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BEAR PARK LT 15
ear Park Tract B- 1 Lot 15 #051-042-91 Municipality o! Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 34.3-4744 On-Site Wastewater Dilpo~al System and/or Well InspecUon Report SEPARATION DISTANCES ~ No ~! i ~ '- ~rr~ LIFT STATION )z LOT 15, TRACT I~-1o ~EAR PARK SUgDIVISION EI~ERLE 15N6INE£RING S;'RVIC£S CDMPONENT$ PLAN VIE:V FEATUR~ ~ STICMJ~f't) BM A T~t ~0 74.7 1~8 14.9 TC~ ~0 ~6 ~7 19.3 ~2 20 ~6 ~,4 ~1~ ~3 3.0 69~ 24.7 22.9 ~-4 4~ 76~ 3&7 MT 3~ 76~ ~3 ~5 4~ 38.4 33,0 ~.4 (~ ~ ~ 45 ~5 4~ p~k-2 -- 74.9 34,9 T~nk o Test Pit Pe~ Test 1 _1 ,s,~. , '~ ' BM NEV HOUSE 30 60 ft I I SCALE ARMAS DRIVE 0 WELL LOT 15, TRACT ~-1, B£AR PARK SUBDIVISION £]~;'RLL" £NOINES£RING S£RVIC~'S PROFIL£/ELEYATION /¥ House Is covet'ed by ~e,o~ext:lte 'the enClm*e 'ct'er~,n teno'dn. m 4- 5 6 7 8 9, 10. 11 13- 14- 15- 16- 17- 18 19 20. SLOPE SITE PI. AN 4qt ~ ~t~.U f... WAS GROUND WATER .~.~._~~~ ~ ENCOUNTERED?' IF YES. AT WHAT f / E Gross Net Depth to Net R~dlng C~te Time 1'mm Wl~r Droo PERCOLATION RATE ~'' ! (m,nutes.',nc~)PERCHOLEDIAUETER ~' · COMMENTS ~" ' " " ACCORDANCE ~TH ALL ~TATE ANO MUNI~P~ GUIDELINES IN EFFECT ON THIS DATE OATE '~OI ~ (~. ~) by DOC CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2750 OWNER OF LAND: ADDRESS: LEGAL DESCRIPTION: BORE HOLE DATA DEPTH I PERMIT NUMBER:f) ~,~/cf. Date of IssuelO ..~'.DO TM DENT [C^T ON N. UMBER:,9 swell IocaPL~ at approved permit location? J Yes 'J No Method of Drilling: ~t,'~r rotary J cable tool Deplh of well: Casing Type ,g"T~ Wall 'fhickness , ~.~ -'h'''''~ inches feet · f~t feet Diameter L) I[ inches, depth Liner Type: ~ ~ °,o ~ Casing Stickup Above Ground: c~ Static Water Level: ~ ~ Recover Rate: ~. ~ gpm Method of Testing: ~ //2.- Well Intake Opening Type: {,I,e~n end ~ open hole :J Screened; Start feet Stopped feet rj Perforations Start feet,.,,~topped feet Grout Type: /~te,',.s ';'~ ~1 'T E'Volume Depth: from (e~ feet. to "'"'"- feet Well Disinfected Upon Completion? ~-5'~ No Method of Disinfection: ~ ~,~,,Z~J ~__ Comments: Driller's 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: Department of Environmental Conservation. MUNICIPALITY OF ANCHORAGE Department of Health and Human Sen/ices On-Site Sen/ices Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 - 23-01 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Oct 04, 2000 Expiration Date: Oct 04, 2001 Permit Number: SW000419 Legal Description: BEARPARKLT 15 Design Engineer: 0821 Eberle Engineering Services Owner Name: CMM General Contracting Owner Address: PO Box 774042 Eagle River, AK 99577- Parcel ID: 051-042-91 Site Address: Lot Size: 40000 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank ~ Privy [] Private Well [] Water Storage 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 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. THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COARSE SAND WITH 4% OR LESS PASSING THE #100 SIEVE AND 2% OR LESS PASSING THE #200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED ON THE SAND USED OR OBTAINED FROM AN APPROVED SOURCE. Date: /~/_~. Date: Eberle Engineering Services Greg Eberie, PE 3875 Mariah Drive Eagle River, AK 99577-9757 Phone/FAX (907) 696-0402 LOT 15, Tract B-I, BEAR PARK SUBDIVlSION--PmL Application The attached site plans shows: a) Locations of the proposed on-site wastewater (VVW) disposal system with all its components as well as adequate area for a replacement ~NW disposal site. b) Measured dimensions of the proposed on-site WW disposal field, tank, and distribution piping. c) Measured distances to all WW disposal systems, wells, surface water or drainage courses, roads, property lines, and structures within 200 feet of the location of the proposed and existing VWV disposal systems on this IoL d) Location of the percolation test/test pit where the water-table monitoring tube was placed. e) Topography in the form of arrows indicating direction and pitch of slopes within 100 feet of the proposed WW disposal site. The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: a) The surrounding lots have sufficient room for septic sites. b) Immediate neighboring septic systems are all +30' distance. c) Reserve space is adequate, due to absorption capacity. d) Drainage will not be affected and is not a major consideration in our design. No impacts of the W~V disposal system on adjoining properties are anticipated. All requisite separation distances relative to adjoining wells, WVV disposal systems, and this lot's backup site are met herein. There are no known curtain drains. Eberle Engineering services 3875 Mariah Drive Eagle River, AK 99577-9757 Phone/FAX 907-696-0402 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Lot 15, Tract B-I, Bear Park Subdivision September 28, 2000 A. GENERAL 1. The well and septic plans are for a single-family residence only. 2. The drawing and/or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be vedfied in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. 9. Any remaining open test hole excavations shall be filled. B. SEPTIC TANK 1. Septic tank shall be 1000 gallon Orenco/Anchorage Tank model OS105-20-HHF. C. BED 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The total depth of the bed excavation is not to exceed 6.5' at any point. 4. The effluent line within the bed shall be laid level within 0.03'. 5. The bed gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 7. The area over the bed is to be finish graded to prevent pending of surface water runoff. 8. The septic tank and leachfleld must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 6.0' GRAVEL DEPTH = 6' under pipe, 2" over pipe BED LENGTH = 30' BED WIDTH -- 15' SOIL RATING = 1.0 GPD/sqft BEDROOM CAPACITY = 3 SEPTIC TANK SIZE = 1000 Twenty-four (24) hours notice required for all Inspections. NORTH A~;?U RESERVOIR AND AND DOOSTER PUMPHOUSE L[]T 15, TRACT B-l, BEAR PARK SUBDIVISION EBERLE ENOINEERINO SERVICES PLAN VIE;? LOT ].4 LOT 15 UNDEVELOPEI] LOT 20-3~Y._~ 20_307./ PROPOSEc) EXISTINGo ;?ELL ;?ELL 5-10Y.T 5_10T Test Pit I°! __ LOT IG I Se; Hc System t Not!Constructed V. i/~7/00 OUSE/ CONSTRUCTIO~ ARMAS DRIVE BARN 0 H~ Adjacent Septic System00 EXISTINO 0 ;?ELL 6O SCALE 120 ff I NORTH LOT 15, TRACT B-l, ]~EAR PARK SUBDIVISION EBERLE ENGINEERING SERVICES COMPONENTS PLAN VIE;,/ 5-10% 80-." 0% 20-30% ;ED HUUSE Test Pit ooo ~ 0 S~ \ I ? '" Backup SVce -- © PROPDSE'n ;/ELL 5-10%--~-- 0 ,30 GO ft I I I SCALE ARMAS ]]RIVE No~e~ lO ! SCALE PPopo House Inch Blueloo~rct Insulation 20 ft I LOT 15, TRACT B-l, BEAR PARK SUBBIVISION EBERLE ENGINEERING SERVICES PROFILE/ELEVATION o',er T~nk IF 4 F~ cover no~ ~lned Top oF Tonk el.. 100.1 COs cos11 II II I1iicas PIT COs Bo~to~ oF Bed Bo~o~ oF T~nk et, 95.3Ft et, 96.5Ft . Municipality o! Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street. Anchorage, Alaska 99502-0650 O SOILS LOG -- PERCOLATION TEST ~EG~ ~, LEGAL DESCRIPTION: ~O'f' IS! 'r'~{:k'C''~ ~t'J Township. Range. Section: TISt'J t I'Z.l ) 5~--~", ~ SLOPE SITE PI.AN L'""' 0 1 2 3- 4- $- 6- 7- 8 .g 10 11 WAS GROUND WATER ENCOUNTERED? -~EPTH? pO Gro~ Net De~th to Net Reeding Date Time T~me W/t~ Drop Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak,us (907) 343-7904 Parcel I,D, 1, GENERAL INFORMATION CERTIFICATE OF HEALTH AUTHORITY APPROVAL ' FOR A SINGLE FAMILY DWELLING' HAA# ~1' HA.O-IO/ ~... ~pimtion Date: Complete le~aldescription /..0"7- 15,~., ,I ~"4.C*"{c'' ~*~ I,) .. ,.. Cd~eht Pr°pe~ owner(s) '" . -.~.' ~*~ ~. · .- · ~ , ~ . Lending agenw Mailing address . . Real [~tate ~ent ' Day phono Mailin~ Address Unloss o~o~ ~queste~, H~ will ~o hel~ ~y DSD tor picku~, · :'3..' TYPE_O~ W. ATER,S.tJpPLY:" ...... · ' ,ir~dK;idUal Well" Individu~l Water' StOrage [] - Community Class Well [] . Public Water System. _ []_. TYPE OF WASTEWATER DISPOSAL: - ' 'J~d]~id~J 'O~L-~i{e ........... ~ · ' - Individual Holding tank - - - [] ·. Community On-site [] Public Sewer [] The Municipalit~ of Anchoi'age Development Services Department (DSD) Issues Certificates of Health Authority Approval (HA, A) based only .upon the representations given in paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties sewed by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water sampl.es.) Certificates are valid for one year for properties served by Class A or B wells or a public water system· The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. ST,~TEMENT OF INSPECTION BY ENGINEER · As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) 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(Ere) in compliance with all applicable Municipal and State codes, ordinances, and regulations In effect at the time of installation. ·, ,~ Conditiohal approval for- . . bedrooms, with the following stipulations: .. Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements . Supplemental Engineer's Report Other Odginal Certificate Date: /-~ ' / ~ - 0 1 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak,us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Data completed ~I.~'I;Z~ Sanitmyse~l ~'i, y. Wiresprope~ protectedS/~l, Toteldepth ~t ft. Cas. to 6'1 ft. Casing height (above ground) . ~'-~ In. FROM WELL LOG AT INSPECTION Static water level J~ I~ fl. [~ G,~ ft. Well production ,~ O g.p.m, g p.m. WATER SAM~E RESULTS: Coliform ,~'-~' colonies/100ml. Nitrate /,"'~6 rog.IL Otherbactaria_.~___colonies/100ml. Date of sample: Z~f~'lO' Collected by: .~~~g .. sE mcmoLD,.e DATA Tank Type/Matarial S-t'e.e~ Date installed '-~ ] Tank size ] 000 gal. Number of Compartments ~" Cleanouts (Y/N) Foundation C. ABSORPTION FIELD DATA Datelnstalled 3 Z~ OI Soilrat/ng r~/bdrm) 1. Z Systemtype_.~_'-ie~[~:v~,~e""3~' Ler~th ..~ ~ ft. Wklth ~ __ ft. Gravel below pipe '-[ ft. ~--L~depth ~> ft. Eff. abeorptionama~_..~O~ Monitoringtube~Depressionoverfield~ a/~%ate~adequ~ test Results (Pass/Feil)~ . For .~ bedrooms ~, '.~;,uid de"~.,~orption field before test _0__ in. Water added gel. New depth in. ElapseJ;Y'rime: ~ Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes. give date D. UFT ~rATION~ Date installed s ______ 'Pump on' level at 'Pump off' level at __ in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanlulifl station on lot Absorption field on lot Sewer/septic service line Manhole/Access (Y/N) High water alarm level at Meets alarm & drcult requirements? On adjacent lots On adjacent lots ~' ~'O Public sewer manhole/deanout ~2~ t Surface water .~L~,,, Driveway, parking/vehicle storage SEPARATION DISTANCES FROM SEPTIC/HOLDING 'rANK ON LOTTO: Building foundation '7' Property line ~ _.~Aboorption field Water main r~~ ~[-~¢ff. ~.~,, Water service line pl~/~'~!Sur.~ace water SEPARATION D ST CE FROM A SORPTION F ELO ON LOT Property line /O Building foundation '~1~ Water main Water Service line~b~~ ' Curtain drain ~ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal racomb that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name ~ Y'~¢! HAAFee $ 300.00 Date of Payment Numeer (Rev. 12/00) · Waiver Fee $ Date of Payment Receipt Number CT&E Ref.# 1011587001 Client Name CMM General Contractors Project Name/g Bear Park gl5 Client Sample ID Bear Park # 15 Matrix Drinking Water Ordered By PWSID 0 Sample Remarks: Client PO# PHnted Date/Time 04/09/2001 16:05 Collected Date/Time 04/02/2001 13:30 Received Date/Time 04/02/2001 14:01 Technical Director Stephen C. Ede ..... Allowable Prep Analysis Param~er Resulta PQL Unita · Method l..imita Date Date Init Wa~ers Depar~-ment Nitrate-N 1.38 0.500 mg/L EPA 300.0 10 max 04/02/01 SCL Mi¢rob[olog7 Laboratory Total Coil fon~ 0 col/100mL SMI8 9222B 04/02/01 KAP Alaska DistributOr · . (' , l'U'/~-~ & Wr. LI,~.J P.O. ~o:,'~ m~~~ ~ Eagle River, Alaska 745-25~0 " / R Fax 688-2543 N~A CE~iFIEO PUMP IN~A~LE N~ 6531 Payment due on ~ecelpt of Invoice unleSS other arrangements made, · PleaSe pay by Invoice. All account past Due wilt be charged $25 second bilting charge THANK YOU