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HomeMy WebLinkAboutROLLING HILLS VIEW ESTATES BLK 2 LT 3Rolling Hills View Estates Lot 3 Block 2 #050-322-03 Municipolity of Anchoroge Page 1 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchoroge, Alesko 99519-6650 Telephone: 345--4744 On-Site Wastewater Dis 3osal System and/or Well Inspection Report SW990037 (WELL' Permit Number: SW990134 (SEPTIY) PID Number: 050--322--03 Hame:GLEN MORDINE c/o JOHN THOMSON WastewaterSystem: · New [] Upgrade Address: 17543 SANTA MARIA EAGLE RIVER, AK 99577 ABSORPTION F~ELD Ph°ne:(907~ 240--2020 D Deep Trench · Shallow Trench 12 Bed D Mound · Other * soil R~flng= APPLICATION RATE Totol Depth from original grade: LEGAl. DESCRIPTION 4-.o ~,o/s,. ~ **2.9 - ~.o 5 2 ROLLING HILLS VIEW EST, 0.23 - 1.37 r~ 0,62 Ft, -- -- -- 1.9 -- 5.0 r~ 50 ~t. WELL: · New [] Upgrade 5.0 r~ 1I - Ft. Claaslflc~eon (Private, A,B,C), Tot~] eopth~ Ca,,~ To: Pip, ,~=,ol: ASTM D-3034/ (TO ~BE,.B~OOK) Tot. I .baorptlon ore°= PRIVATE 400' R. zu.~ rk. 150 SQ, FL F-810/SCH 4-0 PVC GREEN CONTRACTING 10/28/99-11/5/99 SULLIVAN WATER WELLS ~**5/22/99 12' SEPARATION DISTANCES ~ septic [] ,o,dl.g · S.T.~.,. To Septic Abaor Ugh Df[ Holding Publlc/Prlwte Re~ Stotion Tank s,,,,~ u,*, ANCHORAGE TANK 1500 From Tank Well 100'+ 100'+ 100'+ -- 25'+ STEEL 2 su,oo~ ~oo'+ ~oo'+ ~oo'+ - - LIFT STATION Woter Lot 5'+ lO'+ 5'4- - - 1500I ANCHORAGE TANK/ORENCO PRODUCTS Line "Pump on' ,.., °b ["Pum~ off' 'e~,' ~b IHI~ ~a~er ~'arrn ~=6,' Foundation 5'+ 10'+ 5'+ - - -TIMER ACTIVATED- ;:emarks: * THIS IS A INNOVATIVE REACTEX SYSTEM . BENCH I~IARK · * 2.01 FEET OF M.O.A. APPROVED SAND FILTER ADDED. 1) TOP OF FOUNDATION AT POINT" B" NOTE: FINAL GRADING OF THE PROPER'PC, INCLUDING A 2) TOP OF MANHOLE ACCESS ROAD TO THE WELL, WILL BE PERFORMED IN THE 1) 100,00 / 2) 101,85 Ft, WELL FLOW TEST DONE BY AWWC, INC. FOUND WELL PRODUCTION TO BE 4.85+/-GPM. ~C~./~/< ~v( 2nd 10/28/99--11/3/99 3rd 3/27/2000 , .. ~ fr, r A. Garness,; Department of Health and Human Services approval ~(~,~,~.... ............ ..~ Reviewed and approved by: Q~'/,~--,~ fl-'/, ~<:¢'~"~ Dote: _~ -/~" 0 O ~k~,~' o ~ ~.¢o~%,'=~ .ER ,T AS BUILT DRAWING PAR°EL ,0 SW990037 (WELL) . 050-322-05 SW990134 (SEPT[C) A B C D / FCO 13.1 - - 27.2 / C01 14.1 - - m -31,~' ST1 12.7 - _ 33.6 MH 9.8 - - 42.8 SP 19,5 9,2 _ _ ~ 100' WELL RADIUS ~N~ ~ WELL C02 17.9 7.7 - - C03 10.9 35.7 - ~ MT1 25.0 39,4 - 004 37.1 44.2 - AIR~INE~ / UPPER SKYLINE DRIVE AIASI~ WATER & WASTE~A~ ER ,~,~: , GLEN ~ORDINE C/o JOHN THOMSON (907) 240-2020 2 OF 3 ~ ~, ~:fiey A~/nes~: .~aAL O[SCRIPTIO~: t0&~ % LE-7953 ROLUUa H~LLS YEW [STAT[S S/D; t.oT *, ~L0CK 2 uh~[o~'' ............. '¢~ AS-BUILT OF NEW WELl. LOCATION AND SEPTIC SYSTEM (REACTEX) PBRMIT NUMBER: sw99oo37 (WELL~ AS--BUILT DRAWING PARCELID050__322__03NUMBER: SW990134 (~SEPTi'C) ~ Af ~f ' 96,57 ALASI~ WATER & WAS [EWI'I ER ~ SCAR: CONSULTANTS, INC. 1 Ok[~ MORDI~[ e/o O0H~ IHOMS0~ (007) 240-2020 3 0F 3 ROLLING HILLS VIEW ESTATES S/D; LOT 5, BLOCK 2 .'"'" WPE OF WORK: PROFILE AS-BUILT Of SEPTIC SYSTEM (REACTEX) Risin Son Electric .¢.. ~. j... ':..":':'~ ...~ ?7'. P.O. Box 670687 · ~- ,-', Chugiak AK, 99567 (907) 688-67'77 April 5, 2000 Lift Station at Lot 3 Block 2 Rolling Hills View Estates To Whom It/~ay Concern: This letter is to certify that P. isin9 5on Electric, Electrical Administrator license number 1284, Contractor license numbee 25396 has successfully completed the electrical connections in accordance with the N.E.C. for the lift station at the above referenced property. Should you have any questions, please do not hesitate to call me. Thank you. Kevin 5, Hornbuckle Owne~'/Administrator KSH/cmh Mar 24 O0 lO:lla p.1 ASBUILT ] HEREBY CERTIFY .THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNE~ TO DETERf41NE THE EXISTENCE OF ANY EASEMENTS, ¢OVENANT$~ OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO ClRCUMSTAI~CES ~SHOULD ANY DATA HE]~EON BE; USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES, SCALE. OWNER OF LAND aOSE ~ DATA DEPTH tDD. RES$ LEGAL DESCNIPTION PERMIT N UMSER,._c~.~Oo ~._~ Data of IBaae TAX INDE~IFI~TION NU~EE ~ Me~ of Drilling: ~ro~ Ca~ing Type ~'~_~_V~! Thickness DLamater ~/~,'" ' bc~c,, Baaing SL~kup ~ve ~nd: ~ Pum~ng ~vel: ~t a~__,hm, pu~pln Re~over Rate: .~gpm Well Intake Opening Ty~; ~ ~ Opsn End [~. t~reaned; ~teri, I~ Perforallons' ~ Depth; from O Pump Intake feat hp Brand Name Well Dislnfeot~l Upon Complellon? 0 Yea E] No Method or Dlslnfeetlon: .... · ATTENTION: I! ~ the resP~3%iui~ity of~e property re,mm' t of Anollerage; Dep~dment of Health & Ht~rnan SA~,.ei ~ Departmen~ ~f Envlronme~ital Conservation, Page t/1 APM 06 20bO - Municu:,al:~y of Anchorage I~rl[ler"s Name..~._~,4,.,~.~ o~ submit a r~py ef lllo well log to Iht proper eutl'~rlty. Municipality ~/mr I'lnfl,qrlmwnt ~.ilt~l¢c]nrn~ltal CDrc, eJ~atlon, .fColSu Borough', Alaska Water & Wastewater Consultants 6901 Debarr Road, Snite 2-B N Anchorage N Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 May17,1999 Glenn Mordine c/o Sudsbury and Sons 16906 Riddel Street Eagle River, Alaska 99577 Subject: Well Flow Test at Lot 3, Bk 2, Rolling Hills S/D. Dear ivh'. Mordine: Per your request, we performed a flow test on the subject well to determine its production after the hydrofracturing procedure was completed by Anchorage Well & Pump Service (AWPS). Per AWPS, on 5/3/99, two-thousand (2000) gallons of water was introduced into the well in the hydrot~acturing process. On 5/14/99 static water level in the well was 12 feet below the top of the casing (BTC). Over a period of 208 minutes, 2053 gallons was pumped, causing the liquid level to drop 207 feet, to 219 feet BTC. The flow was continued for an additional 220 minutes, during which time 1480 gallons was pumped, causing the liquid level to drop an additional 15 feet. The pump was then shut off and the recovery monitored. Over a period of 30 minutes the level in the casing rose 97 feet, indicating a recovery rate of approximately 4.85 gallons per minute. Based upon this data it was concluded that the well production exceeds the Municipal requirements for a 4 bedroom residence, which is .42 gallons per minute. If you have any question, s, or if we can be of further assistance, please contact us at 337-6179. /I Presitleht Rick Mystrom, Mayor Mtmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchora9e.ak.us April 3, 2000 Gleam Mordine PO Box 771437 Eagle River, AK 99577 Subject: Rolling Hills View Estates, Block 2, Lot 3P-624 SW990134 ParcelID: 050-322-03 The subject permit #SW99013J{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 June 10, 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 fi'om 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. Program Manager On-site Smwices 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 995'19-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jun 10, 1999 Expiration Date: Jun 09, 2000 Permit Number: SW990'134 Parcel ID: 050-322-03 Legal Description: ROLLING HILLS ViEW ESTATES BLK 2 LT 3 P-624 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Glen Mordine Owner Address: 16906 Riodell Street Eagle River, AK 99577- Site Address: 019101 UPPER SKYLINE DR Lot Size: 45765 SQ. Fl'. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [~ Septic Tank [] 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 tile 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. 5. The following special provisions. THIS PERMIT IS ISSUED FOR THE CONSTRUCTION OF AN INNOVATIVE RECIRCULATING TRICKLING UPFLOW FILTER SYSTEM (REACTEC). AS A CONDITION OF THIS PERMIT, THE OWNER SHALL MAKE ARRANGEMENTS FOR THE SYSTEM TO BE SAMPLED ONCE A MONTH THROUGH DECEMBER 1999 AFTER THE SYSTEM IS PUT INTO USE. THE ATTACHED PROPERTY OWNFR AGREEMENTS BECOME A PART OF THIS PERMIT PACKAGE. Received By: Issued By: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Snite 2B ~ Auehorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers May26,1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Se~wices On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Design for Lot 3, Block 2, Rolling Hills View Estates S/D REACTEC SYSTEM (Recirculating Uplfow Filter System) To whom it may concern: 1. GENERAL: The proposed 4 bedroom home will be served by a private septic system and a private well. As can seen in the design package (site plan, design, topography map, soil logs, & photo's) there are numerous site constraints which are as follows: The 100 foot well radii locations · The steep slopes ou the majority of the property · The presence of shallow bedrock/fi'actured bedrock · The location of the driveway Given these site constraints, we are proposing to install the Recirculating Upflow Filter (Reactec) system. 2. SOIL CONDITIONS: Three test holes were excavated on March 1, 1999. The soils below the organics in all test holes were a GM material SW lenses. At the depths of 4 feet in TH#1 and 8 feet in TH#2 & TH#3, fractured bedrock was encountered. At the depths of 7 feet in TH#l, 10 feet in TH#2, and 10.5 feet in TH#3, bedrock was encountered (bottom of test holes). A small ground~vater seep at 9.5 to 10 feet was encountered during the excavation of TH#2; but after twelve day groundwater monitoring, all the monitoring tubes were found dt~. On 5/14/99, the monitoring tubes xvere checked and xvater was found to be at 8.5 feet in TH#2. Txvo percolation tests were perfommd between the depths of 3.0 feet to 4.0 feet in TH#2 and TH#3. The absorption rates were measured at a rate 10 and 10.9 minutes/inch (see attached soil logs). We are proposing to design the primm~ site within the 30 foot radius of TH#2 and the alternate site within the 30 foot radius of TH#3. 3. DRAINFIELD: The intent is to install a Recirculating Upflow Filter (Reactec) system that will allow the use of a small drainfield. The size of the drainfield will be based upon the previously established criteria for the RUF systems, which dictates that soils percolating between 1 & 30 minutes/inch have an allowable application rate of 4 gpd/fi2, and soils percolating between 30 & 60 minutes/inch have an allowable application rate of 2 gpd/ft2. Given the absorption rates of the soils, a 4 gpd/ft2 application rate would apply. We are proposing excavate down 4 feet below grade (maximum) by 5 foot wide by 30 feet long and add 2 feet of M.O.A. approved sand filter. After the sand filter, 6 inches of clean, washed sewer drainrock is to be added below and above the distribution line invert. This corresponds to an absorption area of 150 ft2, or an application rate of 4 gpd/ft2 (assuming 600 gpd total flow). 4. ORENCO PACKAGE SYSTEM: The STEP tank with the trickling and upflow filter will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As ~vith their standard STEP tm~, it is equipped with a high water alarm per M.O.A requirements. 5. SURFACE WATER: There is no surface water within a 100 feet of the proposed septic system. 6. TOPOGRAPHY: As can be seen on the attached design and topography site plan, The lot slopes runs from approximately north to south at a 20 to 25 percent in the area of the proposed septic system. There is a cutbank with a slope greater than 25 percent on the south/southwest of the driveway. We request that a 35 foot waiver be granted from the proposed drainfield to the cutbank. All effort will be made to insure that no other cutbanks will be made during construction. 7. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337-6179. Sincerely, ]~/~ Jp:::f~i~Y~t ' }G alqess, P'E'' M'S' I / NOTE: ALTERNATE SITE MAY REQUIRE A IMPERMEABLE / BARRIER AND A RETAINING WALL ALONG THE UPHILL SIDE OF THE EXISTING DRIVEWAY IN ORDER TO PREVENT ANY POSSIBLE SURFACING OF EFFLUENT. / I / NOTES: 1, THE CONTRACTOR SHALL FIELD VERIFY THAT ALL SEPARATION DISTANCES WILL BE MET PRIOR TO ANY CONSTRUCTION. I 2, THE CONTRACTOR SHALL HAVE THE 100 FOOT WILL RADII FLAGGED BY A REGISTERED LAND 100' WELL RADIUS SURVEYOR PRIOR TO CONSTRUCTION. I ' ~ NEW WELL (see DETAIL, PAGE 3 OF 5) / / \/ / ,--PRo,'osEo ORA, NE, ELB. ~CAVATE / J ! / 4 FEET DEEP MAXIMUM BY 5 FEET % ! PROPOSED _P ] / ~ / / FIFE IIs~DE2D~T~iI~_~SpAA~E[O, 5E oTHFEs)P. IPE x -- -- INSTALL _ 4. BEDROOM : ,.~, _z W ~PLE / "~m#1 , , / .. '-%-- ~TOP OF \ / ~KISTINo ~ / CUTBANK / ........ :~Y -.~-_~' Ih/ /,q I/ I V~ / / / UPPER SKYLINE DRIVE ALASKA WATER AND WASTEWATER CONSULTANTS, INC. .sol DE.ARR ROA0 SU,TB ~S. ARCHORADE, AX 0~S04 PHONE: (~07) 337-SF79/FAX: (@07) 33B-3246 LEGAL DESCRIPTION: DESIGN FOR SEPTIC SYSTEM (REACIEC SYSTEM) ' .~,~ ...... EPARED FO,: ,,ORE ,U,,ER: .... 696-1610 GLEN MORDINE c/o HARLEY SUDSBURY DATE: 5/26/99 D~WN BY: SCALE: PAGE: REVSED 6/16/99 J,L,M. 1 = 50' 2 OF 5 ess I HAMILTON TRACT UPTON TRACT .~ ~ '~-~¢' SERVED BY PRIVATE WELL AND SEPTIC NO ENCROACHMENT CONCERNS (SEE DESIGN, PAOE 2 OF 2)~ ~ .lOO' W~LL ~DIUS: ,CT ~, .,ocx L. ~ .---- ~/ ~o,u~ ~,~s v~ / i /~' - -. / Vt ~OT2, BLOCK ~ / / ~ ~. '~ /~ / ROLLING HILLS VIEW lNG HILLS VIEW ~ k ~ LOT 9, BLOCK 5 / LOT 8, BLOCK 5 ROLLING HILLS VIEW ESTATES S/D, LOT '. BLOCK, ,~,:'.~ SITE PLAN FOR REAOTEC SEPTIC SYSTEM DESIGN ~7~ ~ %l~ff¢~ J A. ~REPARED FOR' PHONE NUMBER: /A~ ¢.J GLEN M'ORD NE c/o HARLEY SUDSBURY 696-1610 ~( '..V~'" ~- .~%-,~u~ ...~ . . ~h~e~ ' , ........ ..' )ATE: 5/26/99 ID~wN "T',. Is°*~"'l = 100' I**~"'1 OF 5 '%~e,...'~ REVISED 6/16/991 ........ m J ~ OUT__LET' ~J BLUE BOARD-- -- m ~ INLET : ~~¢~: ~ ~ID" ~fi~OUT~ET ,N . ~ ~ / ~'~og ~% mi Illllll m I NO~: l~OO GABON TANKS FOR , (SEE "0~) , ' IIY m PHONE: (907) 337-6179/F~: (907) 338-3246 SUBSBURY ..,,. OLEN ~ORDINE c/o HARLEY ~o. J '"' DATE:5_26_99// D~WN BY: JS~LE: PAGE: J'L'M'J N'T'S' 5 OF 5 - 68 INCHES DIAME~R CHAMBER 4'x8' BOARD ~ DS~IBU~ON LINE ~:~':~ ,:;;~,<'~;f~(AS~O BLOCK PEA);~F);~;~;;;~'~ , INLET ALASKA WATER & WASTEWATER CONS~TANTS, INC. ROLLING HILLS VIEW ESTATES S/D; LOT 3, BLOCK 2, - .' .... ;...J P~N AND PROFILE Or UPFLOW n,TER (~[~c~c s~s~[u) ~ d ¢.~ ....... ......~ 696-1610 ' ',. GLEN .ORDINE o/o HARLEY SUDSBURY "DZ~:%-.~ - ............. · DATE:5/26/99 ~D~WN BY: IsoALE: PAOE:4 J.L.M. N.T.S. OF 5 r o Mf ~¢kLgJ',lf PI~OM LP~I. OW PII-fCR PLAN VIEW Mj' c=O / /-~^~o~ _ PROFILE VIEW P~ON~: (~o~) ;;~-~g/r~, (~o~) ;;~-~4~ .......... ' J J lJ~ ~ ~ ~PE OF WORK: Pt~N AND PROFILE OF DRAINFIELD (REACTEC SYSTEM) LL ..... ~ ,~.V....,...¢.........~ 'REPAREB FOR: "HONE NUMBER: GLEN MORDINE c/o HARLEY SUDSBURY 696-1610 DATE:5/26/99 )~WN BY: SCALE: PAGE: J,LM, N,T,S, 5 OF 5 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DE~RR ROAO. SUITE 2B * ~CHO~OE. AK. 99504 ~.'~ ...... [SOIL LOG -. PERCOLATION TEST] LEOAL DESCRIPTION: ROLUNO HIL~ VI~ ~STATES S/D; LOT 3, BI.OOK 2, ~'~';'"~ff~ ~'"[~'" ........... oo~ 4 BEDRO0~ ~o~ GH/SW LENSES ;~,.,,~::~:~¥, GW ......... ORG HOUSE-~ ,/ ~% ~ SITE P I/~%~ ~o ~ GM CL "~ ~ I" = LO~ .-= ~ oc OL ~:=~.~ ~ j FRACTURED SM OH .xx ~ BEDROCK DEPTH TO DATE c~: .... t.~~ SROUNDWATER 8 -- DRY 5/1/go P FERNATE . __ si'rE 9-- DRY 5/14/99 ~ ~.~- ~ / / UPPER SKYLINE DRIVE 10I 11- DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 12I 1~I 15-- NO PERCO ATION T~ST PErFORmED i ~- - 19-- PERCOLATION RATE - (MIN./INCH) PERC. HOLE DIA. 6" (INCHES) 20 TEST RUN BETWEEN ~ FT. AND~- ~FT. COMMENTS:. PERFORMED BY A~SKA WATER · WAST~ATER I,. ~.. ' , CERTI~ THAT T..S w*s .~.~o..~. ,..cco..*.c~ W,T. *~. ~T*=¢~,¢.,0,~.,~.,.~ ,. ~C~ O. ~.,~ /~ DEPTH TO DATE SROUNDWATER DRY _ 511199 DRY 3/12/99 DRY 5/14/99 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 OEBARR ROAD, SUITE 2:6 * ANCHORAGE, AK. 99504 PHONE (907) 357-6179 * FAX (907) 338-3246 JSOll LOG - PERCOLATION TEST J LEGAL DESORIPTION: ROLLINg HILLS VIEW ESTA'rES S/D; LOT 3~ BLOOK 2, PERFORMED FOR: SUDSBURY & SONS DATE PERFORMED: 3/1/99 ORGANICS JTEST HOLE GM/SW LENSES FRACTURED BEDROCK BEDROCK  ORG ML OH SC DEPTH TO DATE GROUNDWATER 9.5' TO 10' 3/1/99 DRY 3/12/99 8.5' -~/14/99 PROPOSED 4 BEDROOM HOUSE- DATE READING 3/3/99 - PERC CAVITY 2 3 4 5 CLOCK J NET TIME J WATER LEVEL NET DROP TIME I (MINUTES) J READING (INCHES) PRE:SOAKED FOR 4+ HOURS PRIOR TO TEST. 4:20 6" 4:50 30 MIN, 3" 4:50 6" 5:20 30 MIN. 3 1/4" 2 3/4" 5:20 6" 5:50 30 MIN. 3 1/4" 2 3/4" PERCOLATION RATE. 10,9 (HIN./INCH) PERC. HOLE DIA. 6" (INCHES) TEST RUN BETWEEN 3.0 FT. AND.~9._~FT. COMMENTS' ~ //// "~ ~ ~ , ' / I///I/ //l ~ PERFORMED BY ALASKA WATER & WASTEWATER ', ( .,,-/~//'/~W'~ '~"'-)-'~ . CERTIFY THAT THIS WAS PERFORMI~D ,11~ AOCORDANCE WITH ALL ~"q'"~TF-~/¢~O ~vlUNIOIP"AL-'-~UlDELINES IN EFFEOT ON THIS DATE. DATE: g/Z-{~/qq t~ l hLASKA WATER & WASTEWATER CONSULTANTS, INC.'~-kx~ ..O..F....A..~.v~. 6901 DEOARR ROAD, SUITE 2B * ANCHORAGE, AK. 99504 ]SOIL lOG - PERCOLATION TESTI '~'-"~r LEGAL DESCRIPTION:_ ER 0R. D FOR] SU SBUR SO S _ DATE PER.0R.ED: ~/~/""' - '~''"'"' ~'"---' ~0~ "~bi'". ........... ."~ (feet) t¢~::~¢~ ORGANICS 2 ooo 4 BEOROOM .% ;.,..,,::.. ~;,, GW ....... ORG HOUSE o~o ~ GP ~' ML -] oo%! GM CL _1~ I_0~ /;~k~ I ~ GH/SW LENSES GC OL _L ~o~, SM ' OH o"¢, GROUNDWATER 8 DRY 3/1/99 PROPOSED A ~ERNATE SEPTIC /~ I ~ ~ SITE 9 FRACTURED 5/14/99 J ~%_~ BEDROCK DRY ~ / ...... / UPPER SKYLINE DRIVE  BEDROCK CLOCK NETTIHE WATER LEVEL NET DROP 11 DATE READING TIHE (HINUTES) READING (INCHES) 12 3/~/99 - PERC OAVI~ PRESOAKED FOR_~+ HOURS PRIOR TO TE~, 13 3/~/99 1 4:18 .______ 6" ...... ~ ..... ~:~%~ ~o ~lN. ~ ~/2"~ ~/2" ....... fi -- 5:18 ~0 MIN. 15 ~- 5 5:18 6" 16 -- ~ .... 5:48 ~0 MIN. 18 1 , PERCOLATION RATE 10 .(HIN./INCH) PERC. HOLE DIA. 6" (INCHES) ~o- T~S~,U,,~TW~,,. ~.o ~-r.,,~.~'r. PERFORMED BY A~S~ WATER · WAST~ATER I, .~.. ~--~ , CERTI~ THAT Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www,ci,anchorage.ak,u s Dear Homeowner/Prospective Buyer: The on-site wastewater disposal system you are purchasing/installing is an "alternative" wastewater disposal system. This system, kno~vn as a "Recirculating/Upflow Filter Septic System", is undergoing testing within the Municipality of Anchorage under the Alternative System section of the Wastewater Disposal Regulations (AMC 15.65). There are certain risks involved with the ownership of one of these systems: 1. The technology used in this system has been shown to be effective in other areas. The system is currently undergoing a two year testing period in Anchorage under the guidance of the Department of Health and Human Services (DH}IS) and the State of Alaska Department of Environmental Conservation (ADEC) to determine its effectiveness in a subarctic environment. 2. The system for this property received a vertical separation distance waiver from both State of Alaska and Anchorage Municipal Codes to ground water. This waiver was granted due to the system's expected performance within the site conditions on this property, I (we) certify that I (we) have read {he above statements and am (are) aware of the risks outlined. I (we) also certify that I:(we),,am (are) in th, e process, of !mrchasing (property legal description): (Purchaser Name) (Purchaser Signature) (Purchaser Name) (Purchaser Signature) ................ Notarize Here ................................................................. State of ~f/-~ ' / /~g~r~~ personallyrappear~d before .me, who is personally known to me --~-- whose identity I proved on the basis of~-f~~~ ----whose identity I proved on the oath/affirmatio~of , a credible witness to be the signer of the above document, and he/she ackhowledged that he/she signed it. ~ Notary Publ±c My commission expires ~_z?/~/~ P~ROPERTY OWNER AGREEMENT FOR Tm7, MAINTENANCE OF AN ON-SrrE WASTEWATER DISPOSAL SYSTEM This agreement, dated ~;~ 199.._~, ismade between the Municipality of Anchor~,ge Department of Health and Human Servic,~s. (DI-]I-IS) and. the property This agreement is made for the purpose of malntainlng an on-site wastewater disposal system on the subject property. The property owners agree to th, e following: Submit to the Municipality of Anchorage, on an annual basis, an im'pection and operation statement from a registered professional engineer. This inspection and . operation statement shall verify that the engineer.has im~ected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. (Si~ature) (Signature) (Printed Name) (Printed Name) ................................... Notarize Here .............. ~ ......................... ~~~ persona~y appeared before me, who is personally kno~ to me v , - whose identity I proved on the bath/affimat:[on~f , a credible wi~ne~s to be the signer of the aboy~ ~oeume~t, and he/she acknowl~dge~ that he/she signed it. ~Notary Public 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: Mar 19, 1999 Expiration Date: Mar 18, 2000 Permit Number: SW990037 Parcel ID: 050-322-03 Legal Description: ROLLING HILLS VIEW ESTATES BLK 2 LT 3 P-624 Design Engineer: 0041 AK Water & Wastewater Consulta Site Address: 019101 UPPER SKYLINE DR Owner Name: Glen Mordine Lot Size: 45738 SQ. FT. Owner Address: 16906 Riodell Street Total Bedrooms: 0 Permit Bedrooms: 0 Eagle River, AK 99577- 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 ( 18AA072 ) 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. 5. The following special provisions. This permit is for an exploratory well only. If water production is determined to be satisfactory tile well must be temporarily decommissioned as per AMC 15.55.060.J until a permitted wastewater disposal system is constructed. If the water production is insufficient the well must be permanently decommissioned as per AMC 15.55.060.J. A well Icg must be turned into the Depadment within 60 days of drilling in addition to a statement regarding the decommissioning of the well (i.e. permanent, temporary) including intended actions for wastewater disposal. Received By: Issued By: Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle ~ Anchorage - Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers RECEIYEv March 17, 1999 MAR 1999 Mk;NIGIPAklIY O1' ANGtf,.)P, iA~r- ENVIRONMENIAL SERVICES DIVISION Mmfieipality of Anchorage Department of Health & Human Services Division of Enviromnental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Permit to Drill an Exploratory.. Well: Rolling Hills View Estates, Lot 3, Bk 2 To whom it may concern: The subject property is cmxently undeveloped, but the builder, Sudsbm3~ and Sons, is proposing to construct a single family house on the site. Soils testing has been done and given the shallowness of bedrock, and the lot topography, it is anticipated that an innovative septic system will be required. Another factor which may effect the developability of the lot is whether a viable well can be drilled. Prior to proceeding with the paperwork necessary to obtain a land use permit, the property owner and the builder would like to drill an exploratory well. Attached is a site plan which shows the proposed location of the well. The lot to the north, "Upton Tract" has a well anti septic system on it which are much greater than 200 feet from the proposed well. If you have any questiq6 ~~i ~~Sinc y, / ,~_ Presi~enf please contact me at 337-6179. Thank you for your assistance. NO}E: 1HE I}RILtJ~R SIIALI. PHYSICALLY VERIIW TIIA1 THERE ARE NO SEPTIC SYS]EMS WITH IN ~HE PRO~EC]IVE RAOIUS OF THE WELl PRIOR ~ HAMI[30N [RACT UPTON TRACT EXPLORATORY / / / ROt_t lNG 14ILLS VIEW ~1o0' WELL ~OILJS 0 [01 4, [~LOCK 2 ~ ---~ .... PROPOS D ~ ~ ~ HOUS ~ JOT 2, BI OCI< / ~ ~ LO~ON ~O0' WELL ~l)ltJSo ~ ~ ...... ~ ~PTIC AR~ ...... ~-'G HILLS VIEW 6901 DEBARR ROAD, SUITE 2B. ANCHO~GE, ROLLING HILLS VIEW ESTATES, LOT SITE PLAN SUBSBURY 696-1610 " GLEN MORBINE c/o HARLEY OATE:3/17/99 A,C.G./J.L.M. 1 by DOC Co. dba SULLIVAN WATER WELt, S P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 OWNER OF LAND ~, ~U DEPTH ADD~RESS LEGAL DESCRIPTION PERMIT NUMBER ~¢/Od~4~ Date of Issue Z - TAX INDENTIFICATION NUMBER ~"¢ - ~:~ - Is well located at approved permit location? ~ Yes ~ No Method of Drilling: ~]'otaw ~ cable tool Depth of well: ~0~ CasingType 5'7'~¢l.~WallThickness , ~"O inches Diameter ~ It inches, depth ~O t ¢/l feet Liner Type: ~O~4' Casing Stickup Above Ground: ¢~ feet Static Water Level (from ground level): ~ ~ feet Pumping level: feet a~er hrs. pumping gpm Recover Rate: G°I* Method of Testing: Well Intake Opening Type: I~ Screened; Start I~ Perforations Start__ Grout Type: Depth: from 6 Pump Intake Depth: Pump Size. gpm Open End (~'O~pen Hole feet Stopped. feet feet ~touoed . feet feet, to c,?o feet feet hp Well Disinfected Upon Completion? Method of Disinfection: Comments: 8ORE HOLE DATA ATTENTION: It is the responsibility of the property owner to submit a Copy of the well Icg to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. Driller's Name /24.~- J" BrandName_ __ RECEIVED E1Yes ¢~ No n ~nna dUN ~ '"'" Oept. Health & Human ~erv,ce~ 05~3!-0D 15:12 FROU"CTE ENVIRONi~ENTAL ztr~ GT&E Environmental S~tvices Inc. T-ggl P.02/03 F-032 CT&E Client Name Project Name, dO Client Sample ID Matrix Ordered By I~WSID Sample 1001319001 AK Water & 9.tastewaler Col~sllllants Ii~c. Rolling Hilb view Est L 3 B 2 Oa~side Hose Bib Drinking Wa~r WATERS DEPT O.SO0 ~/L EPA ~oo.o Client pO~ Printed DatedTime 03~31/2000 9;30 Collt~tod DaledTime 03/2'112000 8:35 Reeeived Date/time 03/27/2000 9:50 Te~hflical Dlre,C~]~ $,~ephen C. E. dc,· (<18) 0~/27/00 scl 0 cotllOOm~ ~Mla 92~20 03-31-60 15:12 ~ROM-CTE EHVIRONMEHTAL 5615301 T-6gl P.63/03 F-032 CT&E Environmental Services Inc. Laboratory Division r 2.00 W. Potter Drive AK 99518-1606 Tel (907) 562-234,3 Drinking Water Analysis .Report for Total Coliform Bacteria Anchorage, , . . DE BEFO~ COLLECTING S.4MPL~ It07) 561-5201 - ~S-i'R~CTIONSON~VE~S~SI~~ ~~LABOR~fOEY R~AD I ~ ~ TO BE COMPL~ ~~PLETED BY WATER ~UPPLIER .qn~dys,s ~hows ~hi$ Water SAMPLE ~u 0 PUBLIC WATER ~Y~TEM I'D'" ~~ ~ )t~ PRIVATE wATER sYSTEM _ . [~ Sample over 30 hours old, rcsal~ may be anrehable gl Sample too long in wanstt; sample shoald not be over 48 hoars old at cxammanon [o mdica~ rehable res~l~. Please s~d new sample via~ecml delivery mad. Oat~ Received ~~- Time'c,ired ~ ~- ~Utr~ ..... ~" Send la~oiae ~ Anal~'aiti Began t"leg.. Membrane Fdter ~ ...... -' Result' AnalyS[ Month Day Year SAMPLE TYPE: fi Trea~d Waler Fbk~ Jun  Routine Repeat Samplr (for roufige ~amp{¢ ~ Unl~aged Waler Dam' . . T*~ .. ~illl lab ref. ao.~. ~) Client notified of unsatis[aetory resaRs: ~ Special Purpose Ti~ Co{lect~ SAMPLE LOCATION Collected By ~ ~ FaxcO phonea Spog~ wl;h flACTE~OLOGICAL WATER ~ ~CO~ f. Coil. MMO-MIIG ~ult: To~al Colifo~ ~- ' Colonie~lO0 mi Verification: LTB ~ BGB ~~COLtFIRM~ os -o~,t~',~ Fecal C~llform Confimaflon ' Colffo~IO0 mt MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6660 (907) 343.4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D, #. 050-.322-05 HAA ~ '~'~~)~O~r /'~ ~ 1. GENERAL INFORMATION Complete legalclescription ROLLING HILLS VIEW ESTATES S./D: LOT 3. BLOCK 2 Location (site address or directions) UPPER SKYLINE DRIVE EAGLE RIVER. ALASKA Propedyowner GLEN MORDINE c/o JOHN THOMSON Dayphone (907) 240-2020 Mailing address 1734:~ SANTA MARIA DRIVE EAGLE RIVER. ALASKA 99577 Lending agency Day phone Mailing address Agent Day phone Address Unless othem, ise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding Tank Community on-site Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC lng to the legality and status of system. 72-025 (Rev. 1/91) Front MOA//21 Computer Version Note: Alaska Water. and Wastewater Consultants, Inc,. shall be paid $400.00 at, or prier to, closing ~or the engineering sen/ices proviaed. 5, STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown balow, I verify that my 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 fudher vedfy 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,~nd State codes, ordinances, and regulations in effect on the date of this inspection. / Name of Firm ALASKA WATER &~WAS'TEWATER CONSULTANTS, INC. Phone (907) 337-6179 .: ,/,/./ (] \ Address 6901 DEBARR ROAD,:SI/JI,,T,E 2B ANCHORAGE, ALASKA 99504 Engineer's Signature [ .,.>,~t'~/~-'"~/; Date -- ,"' ~, /h ..... In conducting this evaluation, AWWC, Inq'/ a en'cted to prowde a thorough, conscientious engmeenng analysls of the system in accordance with ADEC and MOAI~-,DHHS Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water usage of the family being sewed by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DHHS SIGNATURE P~. Approved for Disapproved Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 homes and their lending institutions in order to 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. 72-025 (Rev. 1/91) Back MOA #21 Computer Version Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343.4744 Health Authority Approval Checklist Legal Description: ROLLINC HILLS VIEW EST.; LOT 3~ BLOCK 2 Parcel I.D.: A. WELL DATA 050-322-05 Log present(Y/N) Y Data completed 3/22/'99 Total depth _ ~.00' Cased to 20.3' (TO BEDROCK) Casing height (above ground) 2' Sanitary seal (Y/N) YES Wires propedy protected (Y/N) YES FROM WELL LOG AT INSPECTION Date of test *..3/'22/99 ,..d:.~')...-'''''~ Static water level 12' ~,,~ .8.>..~>~,-~- ~ Well production *6.4- g.p.m. ~ g.p.m. *WELL WAS 4YDROFRAOTURED DURING THE qRST PART OF MAY OF 1999. A WELL FLOW TEST WAS PERFORMED ON 5/14'/99 BY A.W.W.C., INC. AND :OUNB THE WELL PRODUCTION TO BE 4-.85+/- G.P.M. (SEE WELL FLOW TEST DATA). WATER 8AMPLE RESULTS: Coliform 0 Date of sample: ,3/27/2000 I=~. SEPTIC/HOLDING TANK DATA Date installed _11,/3/99 Tank size_ Foundation cleanout (Y/N) YES Nitrate 0,601 mq/L Other bacteria 0 Collected by: A,W.W.C,, INC. 1500 _ Number of Compartments 2 Cleanouts (Y/N}. YES Depression [Y/N) NO High water alarm (Y/N) YES Date of Pumping NEW Pumper - *THIS S A INNOVATIVE REACTEX SYSTEM. C. ABSORPTION FIELD DATA *'2.01' OF M.O.A. APPROVED SAND FILTER ADDED BELOW TOTAL DEPTH Date installed 10/28--11/3/99_Soll rating (g.p.d./ft2 or fl2/bdrm) .4-.0 System type SHALLOW TRENCH Length 30' _Width_ 5' Gravel thicknes.,~ below pipe 0.62' Total depth **3,8' Effective absorption area 150 SQ.FI', Monitoring Tube present (y/N)_._YES__ Depression over field (Y/N) NO Date of adequacy test NEW Results (Pass/Fail) _ - For_ 4- Bedrooms Fluid depth In absorption field before test (in.); _ Fluid depth (ins) Minutes later: Peroxide treatment (past 12 rnonths) (Y/N) 72-028 (Rev. 3/96)* Computer Vemlon - Immediately after '- gal. water added (In.): - - Absorption rate =. - .... f yes, give date. Well Type PRIVATI-' If A, B, or C, attach ADEC letter. ADEC water system number N/A D. LIFT STATION *THIS IS AN INNOVATIVE REACTEX SYSTEM WITH RECIRCULATING SEPTIC TANK. Date installed 11/3/99 Manhole/Access (Y/N) YES High water alarm level at* 46" Cycles tested. NEW Size In gallons '1500 "Pump on" level at* TIMER ACTIVATED "Pump off' level at* TIMER ACTIVATE[3 .Datum.BO'FrOM OF TANK E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot. 100% Absorption field on lot 100% Public sewer main N/A Sewer/septic service line 25% SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Water main/service line 10'+ Surface water/drainage 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10% Building foundation Surface water 100'+ Curtain drain NONE KNOWN F. ENGINEER'S CERT~I~IC,~IO~r/ ~/ I certify that/hay~dete/~ng~/~~ ~eld inspections and review of Mun/cips/ m~ord~ fh~t/~fl~ ~ol systems are In conformance w, th gu,dff/f p_ s,,n th,, date. Signature '-----~//-~,-~/{/'~XC ' Engineer's Name ~- I v JEFFREY A. GARNESS Date ~76~) On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station 100'+ 100'+ N/A N/A 5'+ 100'+ 100'+ 10'+ 10'+ Absorption field Wells on adjacent lots 10'+ Water main/service line Driveway, parking/vehicle storage area Wells on adjacent Receipt Number. ~,~-~''''] ( (~-~ 72-026 (Rev, 3/~6)* Computer Version Waiver Fee $ Date of Payment Receipt Number_