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Home My WebLink AboutSOUTH HILLS BLK 2 LT 6Onsite File 11 outh Hills (Nev ub/uZ/l b) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number.- OSP201121 PID Number: 017-063-01 Dwelling: M Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 0 New ❑ Upgrade Name Hultquist Homes LLC ABSORPTION FIELD ❑ Deep Trench FER Wide Trench El Bed F71 Mound Site Address 7355 E 140th Ave ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 2 2.0 GPD/SF 0.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +0.5 FI Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot South Hills 2 6 Fill added above original grade -•3.0 Ft. Gravel length 60 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To Septic ( Absorption Lift Station I Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 300 Ft?1 n/a Ft. Well 63.1 100'+ 74.5 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding [9 Other Manufacturer Advantex Capacity 1500 Gal. Surface Water 100'+ 100'+ 100'+ j Material Number of compartments Lot Line 5'+ 5'+ 5'+ , NA Fiberglass 2 Foundation 10'+ 101+ 10'+ ( LIFT STATION Manufacturer Capacity Remarks Orenco 250 Gal. Alarm location House Electrical installed by Capstone PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Installer White Raven Drainfield 3034 CD/MT 3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 916.0 It ection v, 10/16/20 Inspection 10/17/20 Location and description 31' 10/17/20 2„� 41h 11/17/20 Bottom Trim @ A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF• A�_q Conditional Approval: Date �� C. ---- ....... Steven . Pannone y� �P�!1FE�� U,Cv\ Septic System ' �A� Approved I I// Date JO � Note: this approval does not include well permit requirements. (Nev ub/uZ/l b) �Kcmm ncioyvD n= � � m n m m —i cim n_i�zz_i � �D D�raDOG) Om o -I C O, 0 m 0 �z mr*m n z to m A r O z D O z O C 1 E m mD (n ;u mp D r —i 0 2 n Nm in D U) -0 -i'a z -u -0 zNn� �Za o Dco Z7 �— 000, nN o KD =mo� mm Oo �� g�•• N� M m L7 m `o w (n m -0 C — D 0 m"' m < ,, � LA D S wo � N o- m O m N O) X m Q m O K: > Ci) I - GJ o °o Z 0 O 0 1 t-�Ln a I o m I \ I z -\-- — - —I — A \ r __\ o —\ \ Ln 0 P, D z \ x \ `NN \ OA m r rn I i" o rn N �\ KELLY RANCH RD \\ NOTES: PJB( NONE ENG SVC LLC (C.f. 1088) ""` t, REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALER, AK 99645 ;-�E OF g4gh, + 11/17/2020 S , 14 2020 PHONE (907) 745--8200 FAX 907} 745--8201 : ��?' ' � y REV 1: 12 � / SCALE SOUTH HILLS B2 L6 P.I.D. NO DRAWN ACP HULTQUIST HOMES LLC 017-063-01 steva� - aoawne PERMIT NO. 7355 E 140TH AVE °E_e,49= OSP201121 SITE PLAN ANCHORAGE, AK;a=' _._.__..______.._SHEET OF 2 I FTI , I w N 1 v Ln -4- Ln cn oo J D N N Co OJ 00 O O1 Ll�cl 0)0) OJ--1vCO U41 00 41 U'i 00 in D U) -0 -i'a z -u -0 zNn� �Za o Dco Z7 �— 000, nN o KD =mo� mm Oo �� g�•• N� M m L7 m `o w (n m -0 C — D 0 m"' m < ,, � LA D S wo � N o- m O m N O) X m Q m O K: > Ci) I - GJ o °o Z 0 O 0 1 t-�Ln a I o m I \ I z -\-- — - —I — A \ r __\ o —\ \ Ln 0 P, D z \ x \ `NN \ OA m r rn I i" o rn N �\ KELLY RANCH RD \\ NOTES: PJB( NONE ENG SVC LLC (C.f. 1088) ""` t, REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALER, AK 99645 ;-�E OF g4gh, + 11/17/2020 S , 14 2020 PHONE (907) 745--8200 FAX 907} 745--8201 : ��?' ' � y REV 1: 12 � / SCALE SOUTH HILLS B2 L6 P.I.D. NO DRAWN ACP HULTQUIST HOMES LLC 017-063-01 steva� - aoawne PERMIT NO. 7355 E 140TH AVE °E_e,49= OSP201121 SITE PLAN ANCHORAGE, AK;a=' _._.__..______.._SHEET OF 2 I FTI , I I 1 i ii 1 in D U) -0 -i'a z -u -0 zNn� �Za o Dco Z7 �— 000, nN o KD =mo� mm Oo �� g�•• N� M m L7 m `o w (n m -0 C — D 0 m"' m < ,, � LA D S wo � N o- m O m N O) X m Q m O K: > Ci) I - GJ o °o Z 0 O 0 1 t-�Ln a I o m I \ I z -\-- — - —I — A \ r __\ o —\ \ Ln 0 P, D z \ x \ `NN \ OA m r rn I i" o rn N �\ KELLY RANCH RD \\ NOTES: PJB( NONE ENG SVC LLC (C.f. 1088) ""` t, REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALER, AK 99645 ;-�E OF g4gh, + 11/17/2020 S , 14 2020 PHONE (907) 745--8200 FAX 907} 745--8201 : ��?' ' � y REV 1: 12 � / SCALE SOUTH HILLS B2 L6 P.I.D. NO DRAWN ACP HULTQUIST HOMES LLC 017-063-01 steva� - aoawne PERMIT NO. 7355 E 140TH AVE °E_e,49= OSP201121 SITE PLAN ANCHORAGE, AK;a=' _._.__..______.._SHEET OF 2 OWNER OF LAND: William Sloan ADDRESS: LEGAL DESCRIPTION South Hills Block 2 Lot 6 DATE: 10-4-18 PERMIT NUMBER: OSP181291 DATE OF ISSUE: 9-13-18 TAX IDENTIFICATION NUMBER 01706301000 Is well located at approved permit location: ❑Yes EJNo Method of Drilling: ❑air rotary ❑cable tool Depth of Well: 242' Casing Type: Steel Wall thickness ,250 inches Diameter: 6 inches, depth 64 feet Liner type 200' of 4.5" PVC Static Water Level: 85 feet Recovery Rate 1 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ❑ open end ®open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 2 4 4 38 38 51 51 58 58 194 194 242 Casing Stickup Overburden Silty Sand & Gravel w/ Clay Tight Silt & Sand w/ Gravel Silty Sand & Gravel Bedrock Soft Bedrock Gray Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. Well Drilling Permit Number: SW Parcel Identification Number: r www.suilivanwaterwells.com Pump Installation Log OSP181291 Date of Issue 9-13-18 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. m PDO� qOUD� AllaN ,LL'L9Z M,,02,90.00N O 50' 50' I ALF: co 0 00 E Qo o 4-j 0 ">O Ln 00 ui LO L-- - - - - - - -- - - - - - - - - - - - - - --- - - - - - - - - - - - - ----- - - - - - - - - - LZ-*L9Z M,,OO,ZO.00N O 50' 50' I ALF: co 0 CL U) 93 00E� m L- L- M MOO 0-0 ID 0 .0 W.W E E -, a) O a 0 Lo Et 3-00 0 (D 0 (D a -C 0 41 0 c a) 0 c: r QT MUNICIPALITY OF ANCHORAGE On -Site Woter& Wastewater Program, POBox 19665 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 Permit Number: OSP201121 Work Type: VVoUSeptioRenawa| Tax Code Number: 01706301000 Site Legal Address: SOUTH HILLS BILK 2 L S G:2939 Site Mailing Address: 7355E14OTHAVE, Anchorage Owner: HULTOU|STHOMES INC Design Engineer: PANNONEENGINEERING SERVICES This permit isfor the construction of: 0 Disposal Field P Septic Tank 0 Holding Tank* 0 Privy Effective Date: Expiration Date: Lot Size in Sq Ft: 5/19/2020 5/19/2021 49513 P Private Well 0 Water Storage All construction shall beinaccordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18A\C72)and Drinking Water Regulations (18AAC8D) 3. The wastewater code requires inspections during the installation. The engineer'shall notify the Development Services Department per AMC i6.66.Provide notification bycalling (QO7)343-7BD4(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received & Issued By: 51 MUNICIPALITY OF ANCHORAGE [•'..�`�` `' _' ' g `ar.'nTPa�m 3^--..zi""v .n +i t rf Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section --- .� Fax: 907-343- 7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-063-01 Property owner(s) Bill Sloan Day phone Mailing address 7813 Wisteria St. anchorage, AK 99502 Site address N H N 140th Ave Legal description (Sub'd., Block & Lot) South Hills B2 L6 Legal description (Township, Range & Section) Lot Size 49513 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (© all that apply) Absorption Field 0 Initial 0 Single Family (SF) Ej Septic Tank El Upgrade F71(w/wo ADU) Holding Tank ElRenewal [j Duplex (D) E] Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: '�s' 16,3. rs Waiver Fees: Date of Payment: ls136 O -Lb Date of Payment: Receipt Number: C)%33q I Receipt Number: Permit No. 05P120 11211 Waiver No. GADevelopment Services\Building Safety\On Site W1S4D (IDA819water\Forms\Client Forms\Permit Application.doc ^5% DISCOUNT APPLIED Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201121, Deb Wockenfuss, 05/19/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201121, Deb Wockenfuss, 05/19/20 • ,N``'°""'ro MUNICIPALITY OF ANCHORAGE n,enr On-Site Water&Wastewater Program No S�^ \ PO Box 196650 4700 Elmore Road L. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax: (907)343-7997 ,; 1 1 "" http://www.muni.org/onsite !1>�, f / ® }wv kid iiii \ ��// I)cpartinc tit 4k'C14ORAGE On-Site Water & Wastewater System Permit Permit Number: OSP181291 Effective Date: 9/13/2018 Work Type: WellSeptic Initial Expiration Date: 9/13/2019 Tax Code Number: 01706301000 Site Legal Address: SOUTH HILLS BLK 2 LT 6 G:2939 Site Mailing Address: Owner: SLOAN WILLIAM Lot Size in Sq Ft: 49513 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field IZI Septic Tank 0 Holding Tank 0 Privy Q Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: i Date: Issued By: i/ lj(47 / /tet_ Date: l /J 0 PLMS MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-063-01 Property owner(s) WILLIAM SLOAN Day phone Mailing address 7813 WISTERIA ST, ANCHORAGE, AK 99502 Site address NHN 140TH AVE Legal description (Sub'd., Block& Lot) SOUTH HILLS B2 L6 Legal description (Township, Range & Section) Lot Size 49,513 Sq. Ft. Number of Bedrooms LI APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field 0 Initial Single Family (SF) 0 Septic Tank ❑X Upgrade (w/wo ADU) Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ' 412, Waiver Fees: Date of Payment: _ Date of Payment: Receipt Number: / I Receipt Number: Permit No. 05 • ( / Waiver No. Permit App__-•• :...,.c: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181291, Deb Wockenfuss, 09/13/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181291, Deb Wockenfuss, 09/13/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181291, Deb Wockenfuss, 09/13/18 PERFORMED FOR: ~ LEGAL DESCRIPTION: 1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTSTR MUNICIPALITY OF ANCHORAGE E ONMEN~'I I 6. ~.A~.C, HORAC-~ 825 L. Street, Anchorage, Alaska 99501 ~¢1~q),,;5I SOILS LOG- PERCOLATION TES~u0 2 ' SLOPE SOILS LOG PERCOLATION TEST SITE PLAN WAS GROUND WATER ~ 0 ENCOUNTERED? P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) FT AND , FT PERFORMED BY: 72-008 (6/79) CERTIFIED BY: DATE: MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the"AGREEMENT" made and entere into as of this J/ Day of � �of 20 t (.g, by and between /7///;‘,.. k7 S70 c;� ,t/ ,herein the"OWNER," and the Municipality of • P tY i Anchorage,herein the"MUNICIPALITY", in accordance with Anchorage Municipal Code a (AMC) 15.65.365. In consideration of the mutual covenants contained herein,the parties to this s Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System(AWWTS), described as • located at(legal description) � �f(� JJ .G .,>L1u / rr.... t`1c ( Is ..G( c)c. c.? kGJ 1n 2. Maintenance, Repairs and Alterations. • (Owner is required to read, understand and initial each section) • ACS Throughout the term of this Agreement,the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory j. condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. OS It shall be the responsibility of the Owner during the term of this Agreement to pay for all 1 repair(s),maintenance,adjustment(s),replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). ,"�g Owner agrees that only maintenance and repair personnel approved by the Municipality • or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. leOwner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system,which could include sewage backup and costly repairs or drainfield replacement. • (rev. 05/18/2018) Page 1 of 3 • .6)es Owner acknowledges that the Municipality may request records of maintenance and • • repairs from the manufacturer's representative or maintenance provider. • /),e5 Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. aes Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. II.< Owner agrees that any sale or transfer of title of the property will not occur without a new • Certificate of On-Site Systems Approval. 42/75. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. di5Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof,or the right of the Municipality • thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of • the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. •• 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at • • Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. • 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: i , / signature) Date: ,2C>l9 C./j i j ; 10 (print name) • STATE OF ALASKA ) • ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrurne was ac owledged before me this f( day of S , 20IC , by WIIt(Q17 'i('10 so ) • NOTARY PUBLIC FOR ALASKA Notary Public • My Commission expires: (J1(J D2 5' 2020 B. NOLASCO t. State of Alaska • My Commission Expires July 25,2020 •E w. . MUNICIPALITY: By: kf'{v (signature) Date: Q /3 fj 5j t l Del) (.6 c. enc,, (print name) Title: • • • • • (rev. 05/18/2018) Page 3 of 3 Certificate of On -Site Systems Approval Parcel I.D. 017-063-01-000 1. GENERAL INFORMATION Complete legal description South Hills B2 L6 Location (site address) 7355 E 140th Anchorage Expiration Date:._ / 7"'" /0mA a01? Current property owner(s) William Sloan Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: q_ 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well F] Private Septic M. Water Storage ❑ Holding Tank E] Community Well ❑ Community M Public Water System ❑ Public Sewer 171 Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ i3o uSH Waiver Fee $ Date of Payment 02v Date of =Payment Receipt Number 067; G Receipt Number COSA # 0SCQ0 1 (05 Waiver # MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343- 7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Arsenic Advisory Certificate of On-Site Systems Approval # OSC201675 Subdivision: South Hills, Block: 2, Lot: 6 A water sample revealed an arsenic concentration of 10.5 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On-Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval.