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Home My WebLink AboutSCIMITAR #1 BLK 2 LT 16Scimitar #1 Lot 16 Block 2 #0§1-132-24 Rick Mystrom. Mayor Municip W of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci anchorage.ak.us June 7,2000 Gary Jones 19901 Tulwar Dr. Chugiak, AK 99567 Subject: Scimitar #1, Block 2, Lot 16 Permit # SW990191 PID # 051-132-24 The subject permit #SW990191 issued by this office for a single family well and/or on- site wastewater system, is due to expire 365 days after it's issuance on July 13, 1999. If this is a well permit and you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If this is an on-site wastewater system and a licensed Professional Engineer has inspected the installation, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. However a new permit can be issued free of charge for a second year if the application for the renewal is received on or before the date of expiration of the original permit for which a fee was paid. When applying for a new permit after the original permit has expired or for more than a second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-4744. Sincerely, Program Manager On-site Services enc: Copy of Permit MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON.SITE WATER SUPPLY PERMIT Initial Date Issued: Jul 13, 1999 Expiration Date: Jul 12, 2000 Permit Number: SW990'191 Legal Description: SCIMITAR#1 BLK 2 LT 16 Design Engineer: 0070 KND Engineering Owner Name: Gary Jones Owner Address: 2812 Bass Street Anchorage, AK 99507-0000 Parcel ID: 051-132-24 Site Address: 019901 TULWAR DR Lot Size: 41873 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ail 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 engineer must notify DHHS at least 2 houm prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special previsions. This is a renewal of permit #SW980233 issued 7/13/98. Received By: Issued By: Date: " Municipality of Anchorage Page // of ,~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ,.~,O~OZ~ PIDNumber: ~[~l,'~ Nam.: ~E¢ ~0~4~ Wastewater System: ~New ~ Upgrade ~d~:2¢ /~ ~A~ ~ ABSORPTION FIELD .~o~: ~¢~_~_/~¢~ ~No.o,.~oom.: ~.~.r~. ~,,o..r~.~h ~d ~.o..d ~O,h~r Total Depth from original grade: LEGAL DESCRIPTION s°""~t~"~: l.& e,~/s,.,~. &,¢~ Subdiv~ion: Depth to pipe bosom Iro~ obgfnal grade: Gravel depth beneath pipe ~ Ft. ,o..,,,,= ISectio*: Filladdedaboveoriglnalgr~;:~ Ft. Graveilength: 3q. 7 Ft. WELL: B New ~ U~ Gravelwidth: ~ Ft. ] c~wee, lines: Ft. Classification (Private, A.B,C): i[~ ~h: Cased To: Total absorption area: Pipe materi~h y, at: Cssing Height Above Ground: TAN K ~ GPM [ Ft. Ft. SEPARATION DISTANCES ~Septic D Holding a S.T.E.P. Su~a~e _ -- _ LIFT STATION ~ Water / ¢O/+ /~0~ ~ Lot si~ ~. g~,o*s: ~ u~..f~c~,,~,: Line ] D/+ /~ l + __ ~ .emprOs: ,~¢//¢¢/ /~7~/~ ¢2 aENCH MARK ENGINEER'S SEAL ~n~pe~tion~pe,o~medW: ,~O~q,~e~¢¢ D~tes:~st?~/~ g" "~9~ Department of Health and Human Se~ices .p~¢~i Reviewed and approved by:~ '/~ fl- ~Date: 72-013 IRev 9/91) MOA 25 AS-]}UILT SYSTBH SETA~LS/STTE PLAN ?e~i$ swssoass SCIMITAR S/D BLOCK 2, LOT 16 PID~ A-C=29.7' ~ ~. .... == ~ A-D=35,3' ~ d ~ d ~ ~ FINISHED GRADE ~ ~1000 GAL ~ S-E=~,S' ~ /I SEPTIC t ~ ~ T ~ O~ ~4~ J PREPARES FDR, SCALE, NTS T ANCHORAGE, AK 99507 ~~~~ (907) 349 ,653 ~o~ss~o~ ~ ~""~: aOHNSON ~'[: ~/~4/~8 EAGLE RIVEN, AK 9957?-8?36 AC*~ g,.~: 98077.DWG ao~ ~o.: 98077 (907)696-6111/~AX (907)696-811~ P.O. Box 774769 * Eagle Pdve,'~ Alaska 99577 907.696-2,H1 o Fax: 907-604-2441 13 -~ xemb~ 199~ KN)) Engineering 20/,41 Ptarmigan Blvd, Eag].e River, AK 99577 Attn: I)e~ Lot ~6 Blk 2 Scimitar Subd~v~slon !)ear Doe; K & L Plumbing and Heating, Inc,, has installed 2/i,0G0 gajlon Nl'f; Potable Wa~er holding tank~ with ail dOmponenLs meeting the Shou.ld you have any further questions please feel ire(, to calJ, SiacereJ. y, /~ Lesl. iv A, Bu/net~, President MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On~Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Jul 13, 1998 Expiration Date: Jul 13, 1999 Permit Number: SW980233 Legal Description: SCIMITAR#1 BLK 2 LT 16 Design Engineer: KND Engineering Owner Name: Gary Jones Owner Address: 2812 Bass St. Anchorage, AK 99807- ParcellD: 051-132-24 Site Address: Lot Size: 41873 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] SepticTank [] Holding Tank ~ Privy [] Private Well [] Water Storage All construction must 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 June 25, 1998 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New sewer/well permit - Scimitar S/D; Lot 16, Block 2 Gentlemen: The owner has requested we proceed forward to obtain a well and septic permit on the subject lot. On June 16, 1998 we dug two testholes for the proposed system. The results of these tests are attached. The general slope of this lot is from east to west at approximately 5% - 10%. We are more than fifty feet away from the 25% slope. W e have designed our system utilizing the testholes we excavated for the three- bedroom house, which is proposed for this lot. The lot will be served by individual well. We propose to install a 5' wide deep trench with a 2' sand layer. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our 'proposed system location except as noted. There is no surface water within 100! of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, ~1~I~I~ Engineering attachments: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL: IT 18 WASTEWATER SCINITAR S/D BLOCK 2, LOT 1 DISPOSAL SYSTEM DETAILS/SITE LOT 16 LOT 14 ! 15 VACANT ,' / LOT 16 / PLAN / / / / / / / I' i / LOT 6 VACANT LOT 7 LOT e DESIGN DETAILS 3 BDRM X 150 GP]) = 450 GPD 450 GPD/1,B GP]? PER SQ, FT, (1,2 MIN/IN,)- 375 SQ, FT (375/(5'(W) X 0.5(RF)) (4,0' ORAVEL) - 38,7 FT, TRENCH USE 1 TRENCH - 37,5(L) X 5' (W) X 4'(D) To~ccL depth oF system i$ 6.0' ?rom origincL 9rcde. To,or dep~ch oP gpcvet below dis~cpibu±lon pipe Is 4.0' . NOTES: 1, USE 1BDO GALLON SEPTIC TANK, INSULATE TANK IF <4' COVER, B, INSULATE TRENCHES WITH B' HD BURIAL FDAN, 3, CONTRACTOR WILL ENSURE NAXINUN BY, SLOPE INTO SEPTIC TANK, 4, INSTALL 2' SAND LAYER IN ]~OTTDH DF TRENCH TB NEET DHHS SPECIFICATIONS PREPARED FOR: GARY .JONES 2812 BASS ST, ANCHORAGE, AK 99507 (907) 349-1653 FIELD 800KS COMPUT£D: OW6. FILE: ACAO FILE: 98077.DWG D^m: 6/25/98 ~r~,: NWl 261 JoB No.: 98077 Scale: 1'= 100' PAGE 1 OF 2 I~MD ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 I (90?)696-61n/FAX (9o?)69D-ani WASTEWATER SCIHITAR DISPBSAL SYSTEM S/D BLBCK 2, LBT 16 DETAILS PREPARED FOR, GARY JDNES 2812 BAgS RTREET ANCH[]RAGE, AK 99507 (907) 349-1653 FIELD BOOKS DWG. RLE: ACAO F~LE: 98077.DW6 o^m 6/25/98 6RID: NW1261 ~os No.: 98077 Sca[e: l"-- ~0' PAGE 2 I]F 2 ~[ ~[ ~ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-611 l/FAX (907)696-8111 .": :' 20441 PTARMIGAN BLVD. EA~LE ~R, ~ 995~-8736 ~ , ,. .... _ ~ ~,.~,h ~. ~, : .~, SOILS LOG ~ PERCOLATION TEST ~ ~;. c~ z~ ~6 :'~- ~ I ~~80FE SBio~'~ / / d LEGAL ESCRIPTION:,~d/m/ ./~ Township, Range, Seclion: ' - SLOPE SITE PLAN 1 2 3 4 5 6- 7- 8- 9- 10- 11 13 14 15 16 17 18 19- 20- COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth · Water AJler7. Gross Net Depth to Net Reading Date Time Time Water Drop Z. ~ ~ .:30 :5"~ ~½ /D /O" ,5 ~-; '~ / - /o,, _ PERCOLATION RATE ~ [rmnules/mch) PERC HOLE DIAMETER TEST RUN~E~WEEN .~ _~T^NO 5`/ ~T ACCORDANCE WITH ALL STA~E AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~0al ~A~IGAN BLVD. g*[49~ ~ ~ * EAGLE ~R, ~ 995~-8736 ~.~,.~,...~,~. ·, SOILS LOG PERCOLATION TEST I ~ *' CE Y116 . ~ F ~ ~J ~0FESS~g"~~ / L pERFoRMED ! 2 3 4 10 ENCOUNTERED? ) J )F YES, AT WHAT DEPTH? 14- 1§- 16- $7- 18- 19- 20- PERCOLATION RATE ~ Immures/tach) PERC HOLE DIAMETER TEST RDN BETWEEN '-~ _ FTAND ~' FI -U ACCORDANCE WITH ALL STATE AND MU C L GUIDELINES iN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED tN MUNICIPALITY Of ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 'Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailin_g address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~95 {Rev. 1/91) Front MOA ~21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that rny investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /~'/¢ ¢ ~'~d'/~,"~-~/~j' Address ~D L/y/ Engineer's signature bedrooms. DHHS SIGNATURE ~/ A?proved for Disapproved. __ Conditional approval for Phone /¢94, -¢/// [:)ate bedrooms, with th-e following stipulations: Additional Comments Date //- 2,¢;/' -'~'~ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of hornes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage ~:~ DEPARTMENT OF HEALTH & HUMAN Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 3~-1~-7~9 Legal Description: Health Authority Approval Checklist . . ~_.~,..~;~.~!~,~.~Lr~ A, WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N?~ IfA, B, or C, attach ADEC I~,tter. A~stem number Z')'r u ~¢a;S'~d to IW~ Casing height (above ground) ~ Wires properly protected (Y/N) FROM WELL LOG AT iNSPECTION Date of test ~-~ Static water level ~ Well production ~ g.p.m. / g.p.m. WATER SAMPLE RESULTS: Coliform ~itrate ~ Other bacteria Date of sample: ,~ ~by: B. SEPTIC/HOLDING TANK DATA Date installed--"//2~/'/~ Tank size //~_,~ Number of Compartments ~- Cleanouts (Y/N) y Foundation cleanout (Y/N) ¥ Depression (Y/N) ~-J High water alarm (Y/N) /[~/,~ Date of Pumping ~ Pumper Fluid depth in absorpti~ test (in.); Fiuid depth ~ (ins) Minutes later: Per°xide tr..~ment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* C. ABSORPTION FIELD DATA Date installed -'//~'~/~ Soilrating (g,p,d,/ft~orfF/bdrm) /'''~- Systemtype ~'~ Len~h ~, e ~id~ Gravel thickn~s below pipe Y r To~l depth ? ~ ' ~ Depression over field Effective abso~fion area ~ ~ ~ ~ng Tube present ~) Date of adequacy t~t / Results (Pass.ail) /For o0ms ate = / g.p.d. ~ If yes, give da~,/~ LIFT STATION Date installed' Mahhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES ,~ Size in gallons / /"Pump on" level at* / "Pump off" level at* .__ *Datum / SEPARATION DISTANCES FROM WELL ON LQT TO: Septic/holding tank on lot Absorption field on lot On adjacent lots On adjacent lots Public sewer main .~ Public sewer manhole/cleaneut Sewer/septic service line ~.b~ / Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation /b /~ Water main/service line Property line /¢ /¢- Absorption field. /'0/'/- Surface wateddrainage./D~/f Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line /~ /¢ Building foundation /D ~/ Water main/service line Sudace water /D ~'/+ Driveway, parking/vehicle storage area Curtain drain /¢ ¢ -~ Wells on adjacent lots /~/~ F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and revie~ in conformance with MOA HAA guidelines in effect on this date. Signature ---~(~~ ~ Engineer's Name fi~/7 ~'~~t~/~ HAAFee $. ~'~z'P~, Date of Payment Receipt Number Waiver Fee $ Date of Payment . Receipt Number 72-026 (Rev. 3/96)* Sent Bye, KND ENGINEERING; 9076968111; Nov-23-98 11:19; Page 1/2 ~ F. NGINE[,.'RING I40"J 2~ 5 ~9~, 20441 PTARMIGAN BLVD. ~3unicipa~V~er~ce~ EAGLE RIVER, AK 99577-8736 OopLHeatth~ OFFICE (907)0%-611 I FAX (907)696-81 I I FAX TRANSMISSION DATE: TO: FROM: SUBJECT: COMMENTS: ,FAX # (907) 696-8111 TOTAL PAGES ( Including Cover Sheet )_~ Seat By: e'~,""vo/L /~gq'/~'~" Phone # (90T) 696-6 !.1..1. ........ Receiver: Please deliver this facsimile transmission to the above addressee. If you do not receive all of the pages in good condition, Please advise the sender at your earliest convenience. Thank you for your assistance. Sent By) KND ENGINEERING; 9076968111; Nov-23-98 11:19; Page 2/2 ~ND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-61 ll/FAX (907)696-8'111 November 17, 1998 Municipality of Anchorage Dept, of Health & Human Services On-Site Services Section P_ O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED I~OV 2 3 1998 Municipality of Anchorage Dept, Health & Human Services Subject: Water Storage Facility Specifications & Inspection-Scimitar S/D LI6, B2 Donna & Gentlemen: On November 17, 1998, we inspected the subject property. The owner has installed 2 - 1000 gallon NSF water storage tanks. The tanks were plumbed in accordance with. current UPC requirements (see attached letter from K&L). The access to the storage tanks were clearly and permanently marked with "potable water", If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, ~x~ Engineering