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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 4 LT 4Mountain Park Estates Block 4 Lot 4 #017-061-33 Mayor 2.002 2/3/2003 Anton & Vicki Corey 13241 Crestview Dr. Anchorage AK 99516 Subject: Expired On -Site Water and/or Wastewater Permit. Permit Number: SW020018 Eega`l DestriptioiirlVlounfain'Park Es1afesBIock'4 Lof4" Dear Anton & Vicki Corey: An On -Site Water/Wastewater Permit, number SW020018, issued by this office for a single-family system, expired on February 4, 2003. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, anew permit must be obtained from this office. When applying for a new permit, the fees are: $320.00 for a wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-7904. '94 ow Cross, PE On -Site Water and Wastewater Program Enc: Copy of permit P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: (907) 343-3301 • Fax: (907) 343-8200 4700 South Bragaw Street • Anchorage, Alaska 99,507 http://Nx lNl xLanchorage.ak.us MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water &'Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Feb 04, 2002 Expiration Date: Feb 04, 2003 Permit Number: SW020018 Parcel ID: 017-061-33 Lega(bes tiption: MOUNTAIN PARK ESTATES BLK 4 LT' 4 ` Design Engineer: 0000 None Required Site Address: 013241 CRESTVIEW DR Owner Name: Anton & Vicki Corey Lot Size: 27200 SQ. FT. Owner Address: 13241 Crestview Dr. Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99516-0000 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy E 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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: e o Z__ Date: Z UZ 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 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017 — 061 —3.3 Permit Number SW 072OC /S Property owner(s) AP7"ON ' T f vlaE (, COREY Day phone Mailing address (1)_%3241 C d'6STviai. hR/Vle Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) NO /N% 61AI P#Rle It sr. 041{ 4 Lor 4 Legal description (Section, Township & Range) Lot Size 27,200 Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only 2S Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is Th accordance with applicable Municipal Codes. of property owner or aShorized agent) Permit Fees: 1 f • � Waiver Fees: Date of Payment: -7 L I Date of Payment: Receipt Number: /5-3-71 Receipt Number: (Rev. 12/00) SCAT '=50 T._!_____ -- m r — 1 s •• I 1 1 1 STANDARD SCPTIC SYSTEM. I ,SWING TIES 1 I 1000 CAL SLPDC TANK / AC SJ.3 f7 T"rNl I701A .• / 07DT DLPTH: 2 fT 8D J7.0 1 i W10TN.• Z R I LENGTH.•Vf 50 R EEEECN eE S 6 1 I I ROCK OCPTN 6 TT 1 / / AP J9.5 I l 1 a���,1►Uq���D 1 ' 67 .�'(E. 0F eV ♦♦ N ueax �7 t 1 1 t 49th ! r « �M , 1 REPLACEMENT TRENCH 1000 CAL SEPTIC TANK �•« «• �3H 1 I �i: T:88EN $PURKLAND ! I I ♦�Ci`Pt% No. CE -2225 PRIMARY TRENCH I 1 ♦ f�:_ya ,.o"•�� { I IOP H MARK , �► ASSUMED ELM 100.00 o9M S U KLA MOUNTAIN PARK EST. .L RK 4 LOT 4 SEP7/C SYSTEM AS BUILDT 103 W 15TH. AVENUE 3241 CRESTVIEW DRIVE DATE.• AUG. 2. 2000 ANCH. AX. 99501 ANTON CARfY SHEET: 2/3 GRID. 2938 907 279-3916 PERMIT N SV990204 PID k 017-061-33 MP£04042.D V6 JUN -04-01 MON 0211 Pit Drnanic Properties FAY, W. P. 01 FROM : ALPINE CRILLISM FAX W. 1 907 345 0x22 May. 30 2221 101410.M PI, STATE OF ALASKA ODAMUM OF NATURAL anounces r ONISION OF MINING A WATFR M GMT LOCATION OF WILL WATM WELL RECORD• • 10.000M m ii i� ' Ll7s 4 1e0T10014M . aLOtfE11 tOW1�0►• M ' ON E. ^�It [1w LOCATIONICKEYCHr WILL• OW"m DtttHS MIASURID FROM:i cuff top QOrxmp slaface WILL bo"I DATE OF COM►[KION ALL—raft Mated OLt DATA: M•t«I01 TY1•.1nd OOpth Depth o �•uW � r J�- Cobr From To. A2 to D" TO STATIC WATM LCYEL; L •h Wtow Crop of ces4+O Q Oro:u+Q. turfacl,' (p Dow f MCTHOO OF DRR1WOt 6!;Ir rotiry, D'cndk tool; • Q' otlar . tlal OF WILL; sllnrsdo Q vrfpafion. Q'monh« 3 putkVADIV u crew cAtrio n fr Dam ' is tti IoAt C204 tvo•: 00mgovaA n. e� tINTAKEOMMond. Q'ser w.W - .Q p1ROhtld PLOO,.•D•Oth1 Of openings:ItScstm TYPE:In_,�.•ORAVAL ►ACK' YhI:VaG:me w10:p:GROW TYPE:O•FM: from OVALOMI �{AOFNO LlV6 AND' k after N1 FtJMF WTAKI bL"W tt Fkhlpew«: WILL DIErHFex 1— UPON COWLnONt YES" NO CONTRACTOR INFORMATI N; REMARKS: 312 �„ • pi;�ABE LWIL MfTE�OPY OF L03 TO: ' • 7� ONRIDMLIWN OF MM A WATER MGM ANC4WMGI AKS ke 03-U3% . .'.•' •. � Fhmr i�0712SIiS2f:Fee ltOTp{S2•t3S4 _ , Municipality of Anchorage Page 1 of 3 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: Q9 O "LCC PID Number: 017 — 0&11—a 7S Na11e • G e•kt I.';t Wastewater System: ❑ New 11 Upgrade Address: •733 ci ABSORPTION FIELD Phone: No. of B: ms: Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: � BGpDS Total Depth from oIC)a';rade: Ft. Lot: Block: ubdivision: Depth to pipe bottom from ong,re rade: Gravel depth beneath pipe M h• Ar ^ � �{ J Ft. S. 0 Ft Township: Range: section: Fill added above original grade: Gravel length: Ft. Ft. WELL: New ❑ Upgrade Gravel width: NumberOf lines: 1 D'6'anoe Oetween lines: �— A Ft. Ft. Classification (Private, A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: 121Ft. p2473 Ft. 500 SO. Ft — F B t D Driller.A Date Drilled: Subt water Level: Installer. Date instated: fI At.. t rt —OC � R. 0-0 Yield: �n Pump Set M: ✓ GPM OTTbM Ft. Casing Height Above Ground: o& Ft. TANK SEPARATION DISTANCES QLSeptic ❑Holding ❑S.T.EP. To Septic Abaorotien Lm Holding lubliCIPAvillil Manufacturer. Capacity in gallons: From Tank Field Station Tank Sower Lines L 4OM4.3 Welt {i•S Material: 1 Number ofpeMments: Ik•l i� Q .ST.��L �`i N'� LIFT STATION WateSurface r p Lot Size in gallons: Manufacturer. Line "Pump on" level at: 'Pump o evel at: High water alarm at: Foundationr y 1 Curtain , ii A IN Pump Make B Model El Pill Inspections performed by: Drain 11 BENCH MARK Remarks: Ota— Location and Description: I—or dk.tttBltLL Assumed Elevation: ' toy JENGINEER'S SEAL r sit •.. Z� a• , ,Ga7), '175 ... r•...-"�..,- Nom•:.: , f' Inspections performed by: Dates: 1st ;..•••t^•hwN';;:�"\•; 2nd 41A 1V v ii 14' : TAti<, ,` ,,,•.� cuss ".,�:.:. Department of Health and Human Services approval ..•...•..... Date: «- 6• ov Reviewed and approved by: T2-017 (Rev, W) M0A a5 i I / / Well m \ I zs o s so 75 —Too — Tzs —Tso SEAL = 50 T. _ _ — _ J r 1 1 / I 1 STANDARD SEPTIC SYSI£M: I SWING TIES: 1000 GAL SEPTIC TANK /BC 27.5 AC 33.5 ETI I I TRENCH: TOTAL DEPTH: If FT / AD 39.0 1 I WIDTH: 7 fT 8D 3Z I I LENGTH: 50 FT fFFCC71VC BC 516 I I ROCK DEPTH 6 FT AF 39.5 I I ��.�� ��%4OF 67 '/ N MARK I 1 i �tt•• •••♦♦1 1 1 49th. •':* ♦♦ 1 REPLACEMENT TRENCH 1000 GAC SEPTIC LANK I C•• •• J;SEOCJN IUKLD $PURLAND ! I 1 ♦♦i�,l ��• 16. No. [E-2225 F PRIMARY TRENCH I I ♦ F ft•� ES I Imass I I 1 I I I I I I I I I BENCH MARK 1 TOP FOUNDATION ASSUMED ELEV. 100.00 TOBB£N SPURKLAND P.E. MOUNTAIN PARK EST. /I EK 4 LOT 4 SEPTIC SYSTEM AS BUILDT 203 W 15TH. AVENUE 3141 CRESTVIEW DRIVE DATE: AUG. 2, 2000 (NCH. AK. 99501 3 GRID: 2938 907 SHEET..-2� 179-3916 ANTON CARfY PERMIT N S V990204 PID k 017-061-33 MPE04042.DV6 :,. 49th !\ t l+CN SPURKLAND No. CE -2225 "•.........•....... (1FESS 1 — Standard Trench: 2' Wide 50' Long 11' Deep 5.0' Sewer rock 5' Cover 93.8 Silt Barrier NO SCALE 88.5 --&" 5.0 Ft of Septic Rock Effective Foundation Clean out 0 1000 gal Septic tank PRIMARY Monitor Cleonouts - 5' Cover 99: NO SCALE Double Clean Outs 99* 93.8 9J.95 94.10 �— 88.5 1000 gal. septic tank TUBBLN 3NURKLANU N.L. I I MOUNTAIN PARK ESTATE I I SEPTIC SYSTEM SCHEMATIC 203 W15th Ave BLOCK 4 LOT 4 DATE' AUG. 2, 2000 Anchorage Ak 99501 170_1014 ANION COREY SHEET- 313 GRID! 2938 PERMIT IF SPI990204 PARCEL l0 j 017-061-33 MPE04043.DWG Oct -12-00 11:20A TIMBERLINE HOMES INC 907 345-8862 P.O1 Municipality of Anchorage AL Department of Health and Human Services 825*V Street P.O. Boz 196650 Anchorage, At le 99519.6650 Rick Myshom http lAvww el.anehorape.ak.us Mayor Permit Number: #SW 990204 Date of Issue: 7.19.99 Parcel Identification Number: 017-061-33 Date Started: -17 2-00 Date Completed: 9-10-00 Is well located at approved permit location? ® Yes ❑ No Legal Description: Mtn Park Estates Blk 4 Lt 4 Property Owner Name & Address: Anton & Vicki Corey 7331 Huntsman Circle # E Anchorage, Ak 99518 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .025 inches gravelly silt 2 39 Diameter: 6 inches Depth: 243 feet gravelly sandy silt 39 161 Liner Type: gravelly silt 161 195 Diameter: inches Depth: feet Casing stickup above ground: 2 feet silty sandy gravel 195 204 Static water level (from ground level): LO feet silty gravell H2O 204 220 Pumping level: 213 feet after gravelly silt 220 243 24 hours pumping 2_5 gpm Recovery Rate: 2_5 gpm Method of Testing: airlift Well Intake Opening Type: ❑ Open End ❑ Open Hole ❑ Screened Start feet Stopped feet RECEIVED ® Perforations Start 213 feet Stopped 217 feet Grout Type: Bentonite 4 8 Volume: 1 bg OCT 12 2000 Depth: Start 0 feet Stopped + feet Pump: Intake Depth feet Municipality of Anchorage Dept. Health & Human Services Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Clorine Tablets Comments: Drill rod, sub & hit broke off- top of rod 223 , tried fishing but fishing toot broke also. Well Driller: Alpine Drilling & Enterprises P O Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the properly owner within 30 days of completion and the property nwm'r nr �M wAl ,Iralr eho11 nrrodM . It Inn #n +h. rl.M of Nrohh R, Hnmon w itm. An Aea* of rmm�lelinn ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Permit Number: SW990204 Date Issued: Jul 19, 1999 Expiration Date: Jul 18, 2000 Parcel ID: 017-061-33 Legal Description: MOUNTAIN PARK ESTATES BLK 4 LT 4 Design Engineer. 0007 Tobben Spurkland, PE Site Address: 013241 CRESTVIEW DR Owner Name: Anton &Vicki Corey Lot Size: 27200 SQ. FT. Owner Address: 7331 Huntsman Circle #E Total Bedrooms: 2 Permit Bedrooms: 2 Anchorage . AK 99518-0000 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 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: 7-17-92 Date: / - / 9- 99 ' MUNICIPALITYOFANCHORAGE tp Department ofHeafth and Human Services On -Site Services Program .2pm /O 825 L Street, Room 502 825 P.O. Box 196650, Anchorage, AK 99519-6650 la /o o @ 1 p►�-, (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Permit Number: SW990204 Date Issued: Jul 19, 1999 Expiration Date: Jul 18, 2000 Parcel ID: 017-061-33 Legal Description: MOUNTAIN PARK ESTATES BLK 4 LT 4 Design Engineer. 0007 Tobben Spurkland, PE Site Address: 013241 CRESTVIEW DR Owner Name: Anton &Vicki Corey Lot Size: 27200 SQ. FT. Owner Address: 7331 Huntsman Circle #E Total Bedrooms: 2 Permit Bedrooms: 2 Anchorage . AK 99518-0000 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 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: 7-17-92 Date: / - / 9- 99 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 625 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW980259 Legal Description: MOUNTAIN PARK ESTATES BLK Design Engineer. Tobben Spurkland, P.E. Owner Name: Anton Corey Owner Address: 7222 Foxddge Circle, Apt. # Anchorage , AK 99518 - Date Issued: Jul 24, 1998 Expiration Date: Jul 24, 1999 Parcel ID: 017-061-33 4 LT 4 Site Address: 013241 CRESTVIEW DR Lot Size: 27200 SO. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: ❑, Disposal Field ❑✓ Septic Tank Holding Tank E] Privy All construction must be in accordance with: 1. The attached approved design. ❑✓ Private Well E] Water Storage 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 (18AACSO ). 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: f — Issued By: Date: 7-2-q ! & (/ Q— ,ri"""m Date: 77, T.S PURK LAM P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 4 BLOCK 4 MOUNTAIN PARK ESTATE ANTON COREY Municipality of Anchorage Department of Health and Social Services 820I Street Anchorage, Alaska 99501 June 17, 1998 We are submitting an application for the installation of a well and septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system are subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: No Ground Water or Impervious Layer to 17 ft. Use Standard Trench Soil Rating. From Testholes June 11, 1998 10 min/in = 0.8 gal per sq.f /day No. of Bedrooms 2 Required Area per Bedroom: 150/0.8 = 187.5 sq.ft. Total area required: 187.5 x 2 - 375 sgft Testhole depth 17 feet Bottom Rock At 11 feet Top Rock At feet 5 Rock Depth 6 feet Total Trench Length 375 / 12 = 31.25 ft. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 50 FT TOTAL WIDTH 2 FT TOTAL DEPTH 11 FT ROCK DEPTH 6 FT COVER 5 FT SEPTIC TANK 1000 GAL The installation of this septic system will not prevent wells from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. 5 50 75 100 125 T O 1 SCAL = 50 T-- / 1 I I ► I / I I I �- IVell I I I sraNDARD s£vnc snTCLL I 1 1000 CAL SEPTIC TANK / I 1 TRENCH: TOTAL DEPTH: Il fT 1 I WIDTH.- 2 TT 1000 L SEPTIC TANk I I £ f£cTI�VE SO f7 1 1 I I ROCK DEPTH 6 FT / 1 •PSE.Cf ;qC 44 1 I = A 4. .{x+ 1 I 1 = 49th !!Vt . PRIM NCH © I I �Nn: •TOBBE .•SPURKLAND No. CE -2225 I REPLACEMENT TRENCH — _ — _ 1 I ����, '•• ,r < II I �� �FESS1�i 1 I I I 1 I I I I I I I I I M l UUt1LN JrUKALANU r.L.utinc; JTSItM uLJI6N 203 W 15TH. AVENUE MOUNTAIN P.1RIi EST. /I BK 9 LOT 4 ANCH. AK. 99501 3241 CRESTVIEW DRIVE DA TE.- JUNE 15, 1998 loin) 970– Ro 16 ANTON CAREY SHEET. 2/3 GRID: 2938 PERMIT # SV9800XX PID # YY MPE04042.DV6 Standard Trench: 2' Wide 50' L ong ll' Deep 6.0' Sewer rock 5' Cover �'� 19• REPLACEMENT TRENCH s z 49th Sil t 6.0 ft of Effective I1F._N SPURKLAND No. CE -2225 ., NV SCALE /VU J�nLC IUBBLN JPUKKLANIJ F.L. MOUNTAIN PARK ESTATE SEPTIC SYSTEM SCHEMATIC 203 Anchorage Ak DATE wrath Ave BLOCK 4 LOT 4 JUNE 15, 1998 Anchorage 99501 P7a_�q,t ANTON COREY SHEET 313 GRID 293E PERMIT f SPI980OXX PARCEL ID I XX MPE04043.DW0 --0,0- 0 0 --�, 0 1000 gal Septic tank o e e � a V U c Q, O v Q j PRIMARY TRENCH Standard Trench: 2' Wide 50' L ong ll' Deep 6.0' Sewer rock 5' Cover �'� 19• REPLACEMENT TRENCH s z 49th Sil t 6.0 ft of Effective I1F._N SPURKLAND No. CE -2225 ., NV SCALE /VU J�nLC IUBBLN JPUKKLANIJ F.L. MOUNTAIN PARK ESTATE SEPTIC SYSTEM SCHEMATIC 203 Anchorage Ak DATE wrath Ave BLOCK 4 LOT 4 JUNE 15, 1998 Anchorage 99501 P7a_�q,t ANTON COREY SHEET 313 GRID 293E PERMIT f SPI980OXX PARCEL ID I XX MPE04043.DW0 LOT 5B 15C JPG 1 tCD \ 6 5 1 1 °\ I 50 100150 200 250 300 SCALE = 100 ft 1 I I I I I203 SEPTIC SYSTEM DESIGN A O )/279T 39161 NUE I I MOUNTAIN 3"4 ACRES CEW DRI BE 9 LOT 4 I I SDA TE. HEET. UNE 15, 1993 I I PERMIT k SV9800XX PID # YY MPE0404LDV6 • � f • v Municipality of Anchorage DEPARTMENT OF HEALTH 8 HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST _(ENGINEER'S SEAL)._ i• • Y ;., PERFORMED FOR: HTO %A l O'C_"� DATE PERFORMED: LEGAL DESCRIPTION: H C), c i N ` 4'r V_ L=.3TTOWnShip, Range, Section: DEPT (� �J 1 SLOPE SITE PLAN (XEFT) L7 �• 4..0 1 :% �sNse- N 3 I e.1St � 1'"O-Kd7 4 S P.- M L " 5 6 `v S 8 -`' Loostr ��tl.cltpr g r . B oT T e IA•1 O F 18 Hol -e - it'] •Ke: COMMENTS WAS GROUND WATER ^ I ENCOUNTERED? , L L IF YES, AT WHAT O .� l• DEPTH? P E Depth to Wier After I(o Monitoring? = Data �B �Q- e-r.�e�v+z�ee� �/J_IttttttttttttA//� t�4r••4e ��s iy MES-- Am PERCOLATION RATE I (mmutesnnr:h) PPERC HOLE DIAMETER 6 TEST RUN BETWEEN n� FT AND Ell FT • w 1 e r G6K �- s � Y' e O O.GN % •wait �N.�L eM PERFORMED BY: T C - , I T S CERTIFY THAT THIS TEST WAS PERFnORpMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: y -e-+ 6-1-��''e jq To 72-008 (Rev. 4/85) S I� 10 it 12 13 „~ _ A. 14 ' i 5 Is- 16 16 - 174:'— B oT T e IA•1 O F 18 Hol -e - it'] •Ke: COMMENTS WAS GROUND WATER ^ I ENCOUNTERED? , L L IF YES, AT WHAT O .� l• DEPTH? P E Depth to Wier After I(o Monitoring? = Data �B �Q- e-r.�e�v+z�ee� �/J_IttttttttttttA//� t�4r••4e ��s iy MES-- Am PERCOLATION RATE I (mmutesnnr:h) PPERC HOLE DIAMETER 6 TEST RUN BETWEEN n� FT AND Ell FT • w 1 e r G6K �- s � Y' e O O.GN % •wait �N.�L eM PERFORMED BY: T C - , I T S CERTIFY THAT THIS TEST WAS PERFnORpMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: y -e-+ 6-1-��''e jq To 72-008 (Rev. 4/85) ., ",.. I � � tiV.- -.: "' , .0 : '74 .W,. �.OFINSPECTION '**_B'* Y4N hEEW�,'�' 2: -Attachments-, ;HAA 'Cheddist.;�'�, x maintenance Agreements:.'-- -�Septic s V,, .Supplemental Engineer Report ,,i.''4 - 7777777r77= Ij -By Jk nninal Date-, Expimff6n Date: 4 `A4isiue Owl ifim j 1" ' Municipality;of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program S 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-8850 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 4. Bk 4 Mountain Park Estates Ox Parcel I.D.: 017-021-04 A. WELL DATA Well type Private If A. B, or C provide PWSID fl: Date completed 5/12/1976$IIoI dSanitary seal .Y Total depth 226 _ft Cased to 121 ft FROM WELL LOG Date of test 6/15/1996 Static water level 101 ft Well production 1.5 g.p.m WATER SAMPLE RESULTS: Well Log Y Wires properly protected Y Casing height (above ground) 06+ in. AT INSPECTION 6/9/2001 101 ft 1.05 g.p.m Coliform Ocolonies/100 ml Nitrate 5.2 mg/I Other bacteria 0 colonies/100 ml Date of sample: 6/11/2001 Collected by: Laura B. SEPTIC/HOLDING TANK DATA Tank Type/Material Greer Steel Date Installed 10/27/1977 Tank size 1250 gal Number of Compartments;< Cleanouts Y Foundation deanout Y Depression over tank N High water alarm jV Date of pumping 6/15/2000 Pumper Isaacs C. ABSORPTION FIELD DATA Date installed 10/27/1977 Soil rating (g.p.d./ft? or fe/bdrm) 125ft so/bd System type Trench Length 126 ft SRP Width 3 ft Gravel below pipe -2—ft Total depth � ft Effective absorption area Nife Monitoring tube 10 o� Depression over field No Date of adequacy test _6/8/2001 Results (Pass/Fail) Pass -For _4 bedrooms Fluid depth in absorption field before test Q in Water added¢QQ gal. New depthQ in. Elapsed Time: Q min Final fluid depth QDt In Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) No If yes, give date (Ray. I IMO) D. LIFT STATION Date installed Size in gallons 'Pump on" level at _ in'Pump otr level at Datum Cycles tested _ E. SEPARATION DISTANCES Manhole/Access In High water alarm level at_ in Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacentlots 100'+ Absorption field on lot 100'+ Public sewer main 100'+ On adjacentlots 1001+ Public sewer manhole/cleanout 1001+ Sewer/septic service line _2r+ Holding tank 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation S+ Property line10'+ Absorption field 6'+ Water main 10'+ Water service line 10•+ Surface water 1001+ Drainage 1001+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10'+ Water main 101+ Water Service line 101+ Surface water 1008+ Driveway, parkinglvehicle storage _21V+ Curtain drain N/A Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determnned through nerd bmspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineers Printed Name Steven R. Pannone, P.E. Date rolZslc HAA Fee $ _ -75( 1 "' Dale of Payment �Or � 0 Receipt Number. SSi L1Le CT&E Environmental Services Inc. Laboratory Division Laboratory Analysis Report CI'&E ReLq 1013255001 Client PON Client Name Pannone Eng. Srv. Printed Date/Time 06/152001 23:50 Project Name/N L4;134 Mtn Park Est N2 Collected Date/Time 06/112001 10:00 Client Sample ID L4; 134 Mtn Park Est N2 Received Date/rime 06/112001 12:45 Matrix Drinking Water Technical Director Stephen C. Ede Ordered By P\\'SID p Released By Sample Remarks Parameter Results PQL Units Method Allowable Limits Prep Analysis Date Date Init Waters Department Nitrate -N 5.20 0.500 mg/L EPA 300.0 (<10) 06/11/01 SCL Microbiology L•aboratory Total Colirorm 0 0 coVI00mL SM189222D (<1) 06/11/01 KAP 200 W. Potter Drive, Anchorage, AK 99518-1605 —Tel: (907) 562.2343 Fax: (907) 561-5301 3180 Peger Road, Fairbanks, AK 99709.5471 — Tel: (907) 474.8656 Fax: (907) 474-9685 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA