HomeMy WebLinkAboutGREAT LAND ESTATES #3 BLK 3 LT 13Great Land Estates #3 Lot 13 Block 3 #051-133-33 S, UO � 70) U`0111U L' U L��L[J Municipality of Anchorage�C-� t T2023 On -Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231040 PID Number: 051-133-33 Dwelling: © Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑./ Upgrade Name Ron Tombs ORPTION FIELD rE01 D Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 19761 Upper Greatland Dr. Chugiak, AK Other Phone Number of Bedrooms Soil RatingTotal depth from original grade 4 D/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original de Gravel depth beneath pipe Subdivision Block Lot Greatland Estates #3 3 13 Ft. Fill added above original grade Gr I length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist a between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station I Holding Sewer Total absorption area Number of trenches Dist. between t ches From Tank Field Tank Line Ftz Well 100+ I I I 25+ TANK 21 Septic ElS.T.E.P. ElHolding ElOther Manufacturer Capacity Surface Water 100+ Greer 1250 Gal, Material Number of compartments Lot Line 10+ NA Plastic 2 Foundation 10+ I I IPffATATION Manufacturer Capacity Remarks Field verified 5'+ separation of tank to trench. Gal. Alarm location Electric Iled by Installer PIPE MATERIAL House to tankD3034 Tank to drainfield D3034 Denali Excavation Drainfield CO/MT D3034 Inspector Arcterra Consulting BENCH MARK (Assumed elevation) 100 ft Inspdectionates: 1s' 6/27/23 2nd 6/27/23 Location and description Td 6/28/23 41h Garage Slab ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF Conditional Approval: Date `swt 49 1hi * II i Septic System i� c, KENNETH M. FU5 CE �i� Approved Date No . this approval does notinclude•+� pp well permit requlremen s. �� SSP.i �I\GV VJ/VLI IUJ A -C=39.9' B -C=18.2' A -D=42,2' B -D=20,5' AS -BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP231040 GREATLAND ESTATES #3 BLOCK 3, LOT 13 PID# 051-133-33 EV 4 BDRM SFD 103.271 C 103.4 W 0 Z) O S X: 0 L� I I \.I I J E3 v 1250 / I SCALE, NTS OF. �. 49TH = � f• K1:NNCI33 M. S CE -711 PREPARED FOR: R❑N T❑❑MBS P❑ BOX 671808 CHUGIAK, AK FlELD BOOKS BOUNDARY: N JA STMNG: N fA A—%UILT. LANG DNG. FlLE: ACAD Flm- FILE COMPUTED: DR""': KSD a'EcKD: KAAD DAZE 10/17 `MD: NW126 " No' 22174 v U SCALE, 1' = 20' SCALE: NTS pAr I 0 A A 1 t\1 • •Ir k- f MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231040 Effective Date: Work Type: SepticTank Upgrade Expiration Date: Tax Code Number: 05113333000 Site Legal Address: GREAT LANDESTATES #3 BLK 3 LT 13 G:1260 Site Mailing Address: 19761 UPPER GREATLAND DR, Chugiak Owner: TOOMBS RONALD E & KATHERINE Lot Size in Sq Ft: Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: This permit is for the construction of: 3/30/2023 3/29/2024 66647 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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: Issued By: Date: Date: 20z,? 4 MUNICIPALITY OF ANCHORAGE ce 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. 051-133-33 Property owner(s) Ron Toombs Day phone Mailing address P.O. Box 671808 Chugiak, AK Site address _ 19761 Upper Greatland Dr. Chugiak, AK Legal description (Sub'd., Block & Lot) Greatland Estates #3 Block 3 Lot 13 Legal description (Township, Range & Section) Lot Size 66,647 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑S (w/wo AD U) Septic Tank ❑X Upgrade X pg ❑ Duplex(D) El Holding Tank El Renewal F-1 Multiple Dwellings ❑ Privy ❑ (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. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: 2 Date of Payment: 3 2 9 t02 Receipt Number: IF ©� 2 to G Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231040, Curtis Townsend, 03/30/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231040, Curtis Townsend, 03/30/23 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage. AK 99519-6650 Page of www.cLanchorage.ak.us (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ,,,~'~'~ ~'~)~'~:~ PlDNumber: N .... ~ ~ Wastewater System: ~New ~ Upgrade Address: ?~Z ~ ~/~ ~>~/e ABSORPTION FIELD Ph°ne:(?~72 7 X~-- X~ NumberefBed ...... ~ ~eepTren~ ~Shal[owfrench ~Bed ~Mound ~Other: Total Dep~ from odginaf grade: LEGAL DESCRIPTION Soil~ting: ~ ~ GPD/Ftz q' ~ FL Depth to pf~ bottom from odgTnel grade: Gravel depth ben,th pipe: Fill added above ~ginal grade: Gravel Length: Well: ~New ~ Upgrade Gravel width: L ~,. / I ~/~ ~" Classi~tfon (Pdvale. A, B, C): Total Dap/h: Cased to: Total abso~tion area: Pipe Ma(dalai: Yield: ~ ~ GpMil Pump Set at: Ft.,] Casing Height Above Ground:~ ~. TANK SEPA~TION DISTANCES ~Septic ~ Holding ~ S.T.E.P. Other: ~ Manufact ..... ~ Capaci~: To Septic Absorptior Lift Holding PubliFPdvate Tank Field Station Tank Sewer Line /~¢~. ~/4 /~ ¢ Gal. We,I ~ f~ ~6/4 Uatedah NumberofCompa.ments: ~: BENCH MARK Enoinoo~s Siamp Depa~ment of Hoalth and Human Se~mos approval ~fi[/~ Reviewed and approved by: _~Z ~ ~. ~ Date: ~'~ -O AS-3UILT SYSTEM DETAILS/SITE PLAN Permik SW990028 GREATLAN]} ESTATES S/3, LIOT 1.3~ BLBCK 3 PID~051-133-33 '~ SCALE, ]' = 50' g-C=17.0' ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ NONITOR TU~E A-E=32.3' ~ ~ ~ ,~ D ~50 GAL- ~ A-F=5~,9' ~ / ~ANL ~ SEWER RDCK B-F=37'4'~ ~ 9~,53 9~,6A  9629 BALANDRA ~ // '"'., ~ EAGLE RIVER, AK 99577 ~~~ ~-~.~ ............................................ ~ .................... ~ (907)696-5967 . . BOUNgA~Y: LANG DRA~: NMD ~ ................. ~' ~ ASBU~LT: D*~: EAGLE RIVER,AK 99577-8736 ~~ NWl 260 ACAe .~: g8129.DWG ,os ~., 98129 (g07~696-6111/F~ (g07)696-8111 ~D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for: Ron Toombs Date Performed: 4/21/99 Project: Greatland Estates Block 3, Lot 13 TEST HOLE # 99-3 Depth (Feet) 1- 3- 4- 5- 10- 11- 12- 13- 14- 15- 16- 17- 18- ORG/SM - loose, dry GM/SM sM/GM/SP - layers, dry w/cobbles to 12" GM -med dense, damp, clumps of silt & cobbles to 18" B.O.H. HOLE PRESOAKED PRIOR TO TEST SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monito~mg? N/A What depth? N/A Date? N/A Reading Date Gross Net Depth to Net Time Time Water Drop 1 4/21/99 2:00 7' 2 2:30 30 n~n 4 12/16' 2 4/16' 3 * 2:31 7" 4 3:01 30 min 4 12/16" 2 4/16" 5 * 3:02 7" 6 3:32 30 rain 4 12/16' 2 4/16" · Water Added Percolation Rate 13.3 (min/in) Perc Hole Diameter Test Run Between 2.5 feet and 3.5 feet 6// I, Kenneth M. Duffus, certify that this test was performed in accordarrce with all State and Municipal guidelines in effect on this date. N0~--16--99 TUE . by OOC ¢o, Cbs SULLI VAN WATER WELLS P,O, BOX 670272, CHUGIAK, ALASKA 99561 · TELEPHONE 688-2769 OWNER OF LAND ADDRESS LEGAL DESCRIPTION (-~'4,"l"/.~,',J~l PERMIT N UM BER_~.I,~LO_L~ Date of Issue, r. TAX INDENTIFICATION NUMBER 05'/ - j_,~- is well located at approved permit location? ~ No Method of Drilling: ~I~r~r rotary ~1 cable tool Depth of well: a40a Casing Type ,,.C'~--/~ ~ Wall Thickness · ,..g.~ inches Diameter _~, ~/ inches, depth ~/~ feet Liner Type:. ¢L)~)~,,,) ~ Casing Stickup Above Ground: ~ feet Static Water Level (from ground level): J ~ feet Pumping level; feet after __hrs. pumping gpm Recover Rate: ~ gpm Method of Testing: ~ , Well Intake Opening Type: ~ Open End ~n Hole ~ Screened; Sta~ ~__feet Stopped feet Depth: from 0 feet, to ~ 'f~t Pump Intake Depth: _ feet Pump Size _hp Brand Na~e Well Disinfected Upon Completion? ~ ~ No Commente: BORE HOLE DATA DEPTH Drillers Name ' ~-'~-'~'~ 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: Oepariment of Environmental Conservation, 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 PERMIT Initial Date Issued: Mar 08, 1999 Expiration Date: Mar 07, 2000 Permit Number: SW990028 Legal Description: GREAT LAND ESTATES #3 BLK Design Engineer: 0070 KND Engineering Owner Name: RONALD E. TOOMBS Owner Address: 9629 BALANDRA CIRCLE EAGLE RIVER , AK 99577- 3LT 13 Parcel ID: 051-133-33 Site Address: Lot Size: 66647 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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. Received By: ~ Issued BY: ~_~,/~'/~ /' ~ Date: '~'~ / ~-'- ? ? KND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 February 20,1999 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 - Greatland Estates S/D, Lot 13, Block 3 Gentlemen: The owner has requested we proceed forward to obtain a well and septic permit on the subject lot. On October 5, 1999 we dug two testholes for the proposed system. The results of these tests are attached. The general slope of this lot is from northeast to southwest at approximately 2% - 4% at the location of the field which sets on a bench area. Although there are slopes in excess of 25% on the site, we are more than fifty feet away from the 25% slope. We have designed our system utilizing the testholes we excavated for the four-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 75' long. Although the lower layers were damp, 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, ~k~b~) Engineering attachments: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL ~ WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN "% LOT 35 GREATLAND ESTATES S/D, LOT 13, BLOCK 3 LOT 12 x, LDT 9 LDT 14 DESIGN DETAILS 4 BDRN X 150 GPO = 600 GP]} 600 GPO/O,8 GPO PER SQ, FT,(12,63 mir/in) = 750 SQ, FT (750/(59) X O,SO(RF) (4,0' GRAVEL) = 75 FT, TRENCH USE 1 TRENCH 75'(L) X 5'(\¢) X Total depth oF system is 7,5' From originGt grGde, TotG( depth oF 9rove( be(ow distribution pipe is 4,0' , NOTES: 1, INSULATE TRENCHES WITH 2' ND BURIAL FOAN,, 2, CONTRACTOR WILL ENSURE NAXINUN aY. SLOPE INTD SEPTIC TANK, 3, ADDITIONAL FILL WILL BE ADDED OVER SYSTEN TD ACHIEVE NIN, 3' COVER IF REQUIRED, 4, INSULATE TANK IF <4' COVER, )REPARED FBR~ RDN TODM~S 9629 ~ALANDRA EAGLE RIVER, AK 99577 (907)G96-5967 FIELD BOOKS co~Pu~0: BOUNDARY: LANG DR^Va: KMD STA~ING: LANG CUECK~[~: KMD ^S~UlLT: LANG DWO. FILE: ^O^D rILE: 98129.DWG Score: 1~'= 100' SHEET 1/2 J~ ENGINEERING 20441 PTARMIGAN BLVD. (73- 2/18/99 NWl 260 EAGLE RIVER, AK 99577-8736 98129 I (90?)696-61ii/tAX (907)696-8iU WASTEWATER DTSPE]SAL SYSTEM DETA]'LS GREATLAND ESTATES S/D, LIqT 13, BLFICK 3 K D TH MT 8 SF]3 CB FC[ X IqFI?BSES M Pr'opo 1250 9 ~g- [DX PREPARED FBR: RI]N TI]BMB8 9629 BALANDRA EAGLE RIV£R, AK 99577 (907)696-5967 FIELD BOOKS COMPUI~O: BOUNDARY: LANG DRAWN: KMD ASBUILT: LANG ACAD Fi[E: 98129.DWG I DATE: 2/18/99 CB,O: NWl 260 ~OB No.: 98129 Sco. te: 1'= 20' SHEET ~) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 995"/7-8736 (907)696-6111/FA× (907)698-8iii 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 8OILS PERCOLATION TEST Michael Ouinn Date Perfo~ed:_ 10/5/98 Performed for: Project: Greatland Estates Blk 3, Lot 13 TEST HOLE # 98-2 2- 3- 4- 5- 6- 7- ORG- GM/SM SM- loose, dry SM/SP/GM- layers dry cobbles to 12" SITE PLAN FOR HOLE LOCATIONS 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- GM - medium dense wet/damp bulbs of s/lt cobbles to 24" B.O.H. IWas water encountered? NO What Depth? N/A I Depth to Water After Monitoring? 'D ,~.~ Date: :Reading Date Gross Net Depth Net Time Time ToWater Drop I 10/5/98 7:30 7" 2 8:00 30 rnin 4 5/8" 2 3/8" 3 8:01 7- 4 8:31 30 min 4 5/8" 2 3/8' 5 8:32 7" 6 9:02 30 min 4 5/8' 2 3/8" Percolation Rate 12.63 (min/in) Perc Hole Diameter__ Test Run Between 2.5 feet and 3.5 feet 6// I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. EAGLE RIVER, AK 99577-8736 ....... SOILS PERCOLATION TEST Performed for: Michael Ouinn Date Perfo~ed: 10/5/9¢ Pro~ect: Greatland Estates Blk 3, Lot 13 TEST HOLE # 98-1 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 15- 16- 17- 18- 19- 20- ~ ORG - Rootmat GM - medium dense cobbles to 24" GM - change in material medium dense silt moist in clumps B.O.H. SITE PLAN FOR HOLE LOCATIONS Was water encom~tered? NO What Depth? N/A [ Depth to Water After Monitoring? ~)t'~ Date: /Ok~k~ Reading Date Gross Net Depth Net Time Time ToWater Drop I 10/5/98 6:50 11' 2 7:00 10 mid Dry 11' 3 7:01 11' 4 7:11 10 mid Dry 11' 5 7:12 11" 6 7:22 10 mid Dry 11' Percolation Rate < 1 (miD/in) Perc Hole Diameter 6" Test Run Between 2 feet and 3 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Mtmicipal guidelines in effect on this date. Rick Mystrom. Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 hltp://www.ci.anchorage.ak.us December 30, 1999 TOOMBS RONALD E & KATHERINE 9629 BALANDRA CIRCLE EAGLE RIVER, AK 995778638 Subject: GREAT LAND ESTATES//3 BLK 3 LT 13 Permit # SW990016 PID # 5113333 The subject permit #SW990016 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 18-Feb-99. 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, James Cross, PE 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 (9O7) 343-4744 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Feb 18, 1999 Expiration Date: Feb 18, 2000 Permit Number: SW9900'16 Legal Description: GREAT LAND ESTATES #3 BLK 3 LT 13 Design Engineer: 0070 KND Engineering Owner Name: RONALD E. TOOMBS OwnerAddress: 9629 BALANDRA CIRCLE EAGLE RIVER , AK 99577- Parcel ID: 051-133~33 Site Address: Lot Size: 66647 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. 5. The following special provisions. UPON COMPLETION OF CONSTRUCTION OF THE PROPOSED EXPLORATORY WELL AND THE PROPERTY OWNER IS SATISIFIED WiTH ITS PRODUCTION, THE WELL DRILLER SHALL TEMPORARILY DECOMMISSION THE WELL IN ACCORDANCE WiTH 15.55.060 SUBSECTION J., 1. THE WELL SHALL REMAIN DECOMMISSIONED UNTIL A WASTEWATER DISPOSAL PERMIT HAS BEEN ISSUED BY THIS OFFICE. IF THE WELL DOES NOT PRODUCE ADEQUATE WATER, THE WELL DRILLER SHALL PERMANENTLY DECOMMISSION THE WELL IN ACCORDANCE WITH 15.55.060 SUBSECTION J., 2. IF MORE THAN ONE EXPLORATORY WELL IS DRILLED, THIS OFFICE SHALL BE ADVISED OF THE LOCATION OF THE SECOND WELL PRIOR TO ITS CONSTRUCTION. Received By: Issued By: Date: K N ~ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX(907)696-8111 January 4, 1999 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 FEB 1 6 1999 MUNICIPAUTY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Subject: Greatland Estates Block 3, Lot 13 - Exploratory Well Permit Gentlemen: Following a request from the owner, on October 5, 1998 test holes were dug and a meeting was held on site to discuss development of the lot. The owner and I determined best areas for the septic, well and house locations. It is my understanding the owner wishes to develop the well site prior to committing to full development of the lot. I feel confident with my knowledge of the area soils and the layout of the identified areas that adequate area is available for both a primary and reserve area for an on-site septic system. Mr. Toombs and I discussed the need to provide an approved septic system for the lot before the well can be put into service. At this time the surveyor is developing a site plan in anticipation of septic construction after spring breakup. The final septic design and placement shall be submitted for approval once the well location has been finalized. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, I~bJI~ Engineering Cc Ron Toombs 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. # Oql-133-3q i. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA Greatland Estates B3, L13 Location (site address Or direction9 Balandra Ckcle 99577 Property ownerR°n Toombs Mailing address0629'Balandra circle 99577 Lending agency ~ Mailing address. Agent Address Day phone 696-733~ Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 4 NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well X Public water NOTE: TYPE OF WASTEWATER DISPOSAL: ndividuai on-site Holding tank Community on-site Public sewer If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. .. . ~ NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91 ) Front MOA STATEMENT OF INSPECTION BY ENGINEER ~: .:.~ "... ~,:. .' ' AS certified by my seal affixed hereto'and as of the validation date shown below, I verify'that my -~ investigation of 'this Health Authority Approvar 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 disp0~ai system is in comPliance with all Municipal and State codes, · ordinances, and regulations in effect on the date of this inspection. KND Engineering.. Name of Firm A':_ - 20441 Ptarm'i~afi~Blvd., Eagle River, AK 99577 aaress ~~ Engineer's Signature Phone 696-6111 ' Date 11/12/99 .. ~. = DHHS SIGNATURE · Approved f~r ..... '4 ......... bed~:0bms. DisapproVed. Conditional approval for bedrooms, with the following stipulations: .... ~ .: ~ Additional Comments Date // -The. MUnicipality of Anchorage. Department, :,,:, ~. of Hea: th and Human Serv ces (DHHS) .sues Hca th Authoritv_., · .... Approval Certificates based only upon {he representations given in paragraph 5 above by an independent,' :-:---- professional engineer registered ih ~he State of Alaska. The DHHS does th s as a courtesy to purchasersof homes ~ andtl~eirlendinginstitutionsinordertosatisfycertainfederalandstaterequrements EmpoyeesofDHHSdonot . _ 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, RECEIVED Municipality of Anchorage NOV 1 DEPARTMENT OF HEALTH & HUMAN SERVICF-~r~c~^my oF ANgHOl · ' Environmental Sen/ices Division ~NWRONMmT^~ SE'RWCES ~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: Greatland Estates L13, B3 Parcel I.D.: 051- 133- 33 A. WELL DATA Well type Private Log present (Y/N) Yes. Total depth' ' 280' Sanitary seal (Y/N) D~te of test If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to 96' Yes FROM WELL LOG 2/18/99 135' Static water level Well production 2O g.p.m. WATER SAMPLE-RESULTS: Coliform-' ,~' :4. :': .::: ~itrate B. SEPTIC/HOLDING TANKDATA Date installed 6/15/99 Tank-size -.. ¢otJ6dbiiibh~clean~it'0(/Ni :~;.-Y: Date/of PLir~j:)Jr{g C. ABSORPTION FIELD DATA Date installed Length 7'~ 8' Width 2/18/99 . Casing height (above ground) 2' Wires properly protected (Y/N) .: · Yes AT INSPECTION " ': ' 6/1.5/99 n~o- ..:.; g,p,m. Other bacteria ¢ ': ' Soil rating (g.p.d./ff~ or fF/bdrm) 0.8 System type Deep Trench 4.2' Gravel thickness below pipe 4' Total depth 7.5' Effective absorption area 318.36 Monitoring Tube present (y/N) Y Depression over field (Y/N) N DaVY test Results (Pass/Fail) For .~.-bedrooms Fluid depth'" ~ - ' (ins) Minutes- later~ / Absorp~T0n"mte-~ r q/p.d/ Peroxide'treat~) (Y/N) If yes, give date ' ' Collected by: KND Engineering . 1250 Number of Compartments 2 Cl~aho~ts (Y/N) Y Depression (Y/N) N High water alarr;n 0C/N). bI./.A.... '. ,'.-r = ' : : SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ]00'+ Absorption field on lot ! 00'+ 100'+ Public sewer main Sewer/septic service line 25'+ 100'+ On adjacent lots On adjacent lots 100'+ Public sewer manhole/cleanout Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: 1 ' · O0 + Foundation I0'+ Property line 10'+ Absorption field ~'.. ,.. Water main/service line 25'+ Surface wateddrainage 100'+ Wells on ad acent 9t SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Surface water ]00'+ Building foundation 10% Water ma n/service I!ne '~5' I ~: Driveway, parking/vehicle storage area: :., .:: ..2~'~ _ ........... Curtain drain 100'+ Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that I have determined Date 11/9/99 HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number