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Home My WebLink AboutPARK HILLS TR BPark Hill Tract B #017-112-55 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: SW980257 PID Number: 017-112-55 Name: REED PACKER Wastewater System: ■ New ❑ Upgrade Y pg Address: 15000 GOLDENVIEW DR, ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 762-1609 4 ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ■ Other LEGAL DESCRIPTION Soil Rating: 2 0 Total Depth from original grade: 1.0' TO 1.2' *Ft. GPD/sq. Ft Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: TRACT B — PARK HILLS ** Ft. 0.25 Ft. Township: Range: Section: Fill added above original grade: Gravel length: — — — 4 Ft. 36 Ft. WELL: Grovel width: Number of lines: Distance between lines: ❑ New ❑ Upgrade 10.5 Ft. 1 — FL Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: — — Ft. — Ft. 378 So. FL 3/4" SCH 40 PVC Driller. Date Drilled: Static Water Level: Installer. OWNER Date installed: 10/14/98-11/7/98 Ft. Yeld: - Pump Set At - Casing Height Above Ground: - TANK GPM Ft FL SEPARATION DISTANCES ❑ Septic ❑ Holding ■ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer. ANCHORAGE TANK Capacity in gallons: 2000 From Tank Field Station Tank Sewer Lines Well 100'+ 100'+ — — 25'+ Material: STEEL Number of compartments: 2 Surface Water 100'+ 100'+ - - - LIFT STATION Line 10'+ — — — Size in gallons: Manufacturer. 5'+ 2000 ANCHORAGE TANK 5'+ 10'+ 'Pump on' level at: Pump- off' level at: High water alarm at, 1 Foundation — — — TIMER TIMER 45" Curtain Pump Make do Model:FJectrical Inspections performed by: Drain NO KNOWN #20—OSI-05-1-11-IFI M.O.A. Remarks: * TO THE BOTTOM OF EXCAVATION BENCH MARK Location and Description: ** 1.24' TO 2.84' ABOVE ORIGINAL GRADE. MANHOLE LID ALL SWING TIES WERE DONE WITH A TOPCON GT -1003 TOTAL STATION. Assumed Elevation: 103.14 FL ENGINEER'S SEAL oo60p0 �i o F v AWWC, INC. - Inspections performed by: Dates: 1st 10/14/98 2nd 11/2/98 i .........................0 1 1 /�/ss 3rd11/7/98 DO '• J #fr A. Garness:' Department of Health and Human Services approval n , �" '•• —7953 O 9/iP�• �c00 ooe, ' ••.1.......••' �Ao Reviewed and approved by: lei tecc, � > C Date: 5 a �`� �QOa�°rofessiondk i t--'� OQ��pOd Cv)�L S'-t'-V"ec, c! O-cd2<I �.�{�, 72-013 Rev. 9/91) MDA 25 1 e'Z.,j Cw rU \jcS 0 42 of 42 INSPEC77ON REPORT MUNICIPALITY OF ANCHORAGE - BUILDING SAFETY DIVISION 3500 EAST TUDOR, ANCHORAGE, ALASKA (907 INSPECHONS: Voim (907) 563-3464 Fu. (907) 343-8235 INFOXM4770N. )343-82 NAJM.* LEE PACKER PERWTNWBER: 98-082. ADDRESS. 15000 GOILDENVIEW DR DAM 3/22/00 7:14 Al� PHONE #1: 244-4623 PHONE #2.- LOT- BLOCK. TR -13 SUBDIVISION: PARKMLLS COMMEMS CALL 134 TO LET KNOW WIMN YOU CAN MAKE IT TYPE OF #2: 03: INSPEC770N.- Electrical Rough No non-compliance observed. ❑ Corrections essential as explained below. n C.O. approved. ❑ Will re-munme at next inspection. ❑ Do not conceal until re -inspected. ❑ C.C.O. approved (comments beloi COMMS MS. - DAM WHEN CORAE C-1$ONS ARL AM DE, PLMSE C-4LL FOR IIVSPEMON DO NOT REAfO VE THIS IVO 77CF- 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: SW980257 PID Number: 017-112-55 Name: REED PACKER Wastewater System: ■ New ❑ Upgrade Y P9 Address: 15000 GOLDENVIEW DR, ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 762-1609 4 ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ■ Other LEGAL DESCRIPTION Soil Rating: 2.0 Total Depth from original grade: 1.0' TO 1.2' * GPD/Sq. Ft. FL Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: TRACT B — PARK HILLS ** FL 0.25 Ft. Township: Range: Section: Fill added above original grade: Gravel length: 4 FL 36 Ft. ' . —� (moi--�,�j (� • VEL Gravel width: Number of lines: Distance between linea: ❑ New ❑ Upgrade � 10.5 Ft. 1 — Ft. Classification (Priv a B,C): Total Depth: Cased To: Total absorption area: Pipe material: — — Ft. — Ft. 378 So. Ft. 3/4" SCH 40 PVC Driller. Date Drilled: Static Water Level: Installer. Date installed: — _ OWNER 10/14/98-11/7/98 Ft. Yield:Pump — Set At: — Casing ' t Above Ground: TANK GPM Ft Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ■ S.T.E.P. To Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Manufacturer. ANCHORAGE TANK Capacity in gallons: 2000 From Well 100'+ 100'+ — — 25'+ Material: STEEL Number of compartments: 2 Sur -face Water 100'+ ,00'+ - - - LIFT STATION LotSize 5'+ 10'+ — — — in gallons: Manufacturer. P Line 5'+ 10'+ 'Pump on' level at: "Pump off" High water alarm at: Foundation — — — Curtain I NONE KNOWN Pump Make e: FJectrical Inspections performed by: Drain Remarks: * TO THE BOTTOM OF EXCAVATION BENCH MARK Location and Description: ** 1.24' TO 2.84' ABOVE ORIGINAL GRADE. MANHOLE LID ALL SWING TIES WERE DONE WITH A TOPCON GT -1003 TOTAL STATION. Assumed Elevation: 103.14 Ft. ENGINEER'S SEAL o Op0000O0 ......... ... .,....... .,�*.oO� Inspections performed by: AWWC, INC. Dates: 1st 10/14/98 x—%z c o� 2nd —11/2/98 D D D 3rd 11/7/98 o. .............o '.�j�.� r � A. G r SS: Department of Health and Human Services approval P PP 13 0 9,� +.•.E-7953 ..:'copy 4� Reviewed and approved by: _ Date: ��3aProfessio�oo 72-013 Rev. 9/91) MOA 25 PERMIT NUMBER: SW980257 i AS -BUILT DRAWING ST1 103.00 115.93 ST2 114.91 125.88 MHL 116.66 127.23 MT1 227.41 228.59 MT2 233.31 233.73 MT3 240.73 252.02 MT4 235.21 247.40 10' UTILITY EASMENT PARCEL ID NUMBER: 017-112-55 MT4r-IMT3 NEW BOTTOMLESS I TH 1 II 'INTERMITTENT SAND FILTER I I� I I MT2L. J MT1 \ TH#24- ALTERNATE SITE AIR LINE \ NEW 2000 GALLON x S.T.E.P. TANK na cnZ m$c� AIR COMPRESSOR B DATE: 5/24/2000 OF ,q��j� i 0 r 1G .. DRAWN BY: QOO .. ALASKA WATER & WASTEWATER SCALE: J.w M o :' • i*ADD CONSULTANTS, INC. SCALE: .• 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504' PHONE (907)337-6179 • FAX (907)338-3246 1 = 50 0 ., ............. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: REED PACKER (907) 762-1609 2 OF 3 Q effjj eA.•Garness.: LEGAL DESCRIPTION: QA 9�..'•• !,' C 7953 0 pO PARK HILLS SUBDIVISION•' TRACT B V�4s YY,. . •• �cO TYPE OF WORK: �4�edorofesslo�'O\� AS—BUILT OF SEPTIC SYSTEM (BOTTOMLESS ISF) ��04poo�oo PERMIT NUMBER: AS -BUILT DRAWING PARCEL INUMBER: _ SW980257 017-11 12-55 TOP OF fANK — Af INI,Ef - 98,60 INVERf OF I3m_ Af 1%1Ef - 96.02 SIDEWALLS OF PLYWOOD WERE INSULATED WITH 2" BLUEBOARD aZym AIR UNE - FINAL 6P.At7E -102,64 -103,62 5fl 5T2 MN NSW 2000 GAI.I.ON WANK INVI; f OF PIPE - FINAL 6m - 03 -104,32 2" IN51ATION —\ Mf — fOP OF TANK Af OLnrf - 98,59 MOM OF PEA 9AVI IL/ fop OF 5AN17 -101,01 cii i„ ••01 DATE: 5/24/2000 DRAWN BY: ALASKA WATER & WASTEWATER SCALE: J.W.M. CONSULTANTS, INC. 1 " = 30' 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504' PHONE (907)337-6179 • FAX (907)358-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: REED PACKER (907) 762-1609 3 OF 3 LEGAL DESCRIPTION: PARK HILLS SUBDIVISION; TRACT B TYPE OF WORK: PROFILE AS—BUILT OF SEPTIC SYSTEM (BOTTOMLESS ISF) .:.,.A . . ..... ......... • f r�A G ness: fE —7953 • ticP� ��pro f e s sio� V11N89'53 O"W 783.45' r— 206.99' 201.86' 33.24' WELL 0 0 0 SEPTIC FIELD cD co 0 0 178.4 S89*53'50"E 171.54' 783.45' V) <n SUBJECT 0 PARCEL 0 Zcp S89*46'29"E 300.44' (n L4 C) TRACT B HAS 652542.51 SQ.FT, OF AREA 482.94' X VERTICAL DATUM WAS ASSUMED 8 - �:-43'39-W NGRAPMC SCAM I hwh - 50 Foot 0 Z 25 12.5 0 12.5 25 50 100 PLOTPLAN ON 5-5-97 W.0-197-270 FOR: Reed & Elizabeth Packer Date -Sc—ale 5-27-99 1"=50' Legal Description FORBES Lot BLock Grid AS -BUILT Park Hills PO BOX 112656, Anchorage, Alaska 3137 99-0342 99511-2656 (907) 349-1488 SUBDIVISION Drawn by Field Boo R.J.B. 135 Tract B I hereby certify that the property described hereon has been surveyed% by OF A4 14 me, or at may direction, and that the improvements situated thereon are within the property lines and do not overlap or encroach on• the property lying adjacent thereto unless otherwise shown. that no improvements on the property lying adjacent therto encroach on the in AW 00 premises question and that there are no roadways, transmission lines or other easements.an * -* 49 -TB said property except as shown. . . . .. ..... . .... It is the resposibility of the owner or builder, prior to construction, to verity proposed building grade relative to finish grade and utility 00 ..... .. .... .... SO ;A 0 10 CHARLES E. FORBES : �'.- 0 connections and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision #'P . -�.' 00 %# LS -7326 A �' '. V plat. Listed distances prevail over scaling.4W Reproduction may cause distortion. '9AW C-14, 4W Ofesslo(% MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 PO. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jul 23, 1998 Expiration Date: Jul 23, 1999 Permit Number: SW980257 Legal Description: PARK HILLS TR B Design Engineer: Alaska Water & Wastewater Services Owner Name: REED A. PACKER Owner Address: 10041 HANLEY CIRCLE ANCHORAGE, AK 99516-0000 Parcel ID: 017-112-55 Site Address: ~GOLDEN VIEW DR Lot Size: 660360 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. 5. The following special provisions. THIS PERMIT ISSUED FOR THE CONSTRUCTION OF AN ALTERNATIVE WASTEWATER DISPOSAL SYSTEM. THE ATTACHED PROPERTY OWNER MAINTENANCE AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE. Received By: Issued By: Date: 7'-' Date: 7- ~4-~8 Alaska Water & Wastewater 7320 East Chester Heights Circle - Anchorage - Alaska 99504 (907) 337-6179 N Fax (907) 338-3246 Consulting Engineers July 16, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Sex, ion P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Well and Septic'Design for Tract B, Park Hills Subdivision To whom it may concern: The referenced property is currently undeveloped. The owner is planning to construct a 4 bedroom house on .'the site. Comments regarding the proposed well and septic design are summarized as follows: GENERAL: Sever, al test holes have been excavated on this property. Due to the presence of groundwater, the location of surface water and drainage probelems, and the limited area where suitable soils were found; a innovative bottomless intermittent sand filter (ISF) is proposed to be installed. WELL: The existing well is located in the northwest corner of the property. SOILS: Two test holes were excavated in the proposed area for the septic system. Attached are the soil logs and pemOlation test results. At the time ofexcavation, groundwater water was found at 9 feet in both test holes. On 7/10/98, groundwater was found at 4.9 feet in test hole #1 and at 6.8 feet in test hole//2. SEPTIC DESIGN: Due to the limited area, we are proposing to install a 10' x 36' bottomless intermittent sand fil~er (ISF) in the Vicinity of TH#1 and TH #2. The following 'is the design criteria for the primary system. a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate for ISF: 4 gallons/day/ft2 c. Number of Bedrooms: 4 (design meets 5 bedroom requirements) d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 300 ft2 f. Effective Depth below pressure pipes: 2.5+ inches g. Width: 10.5 feet h. Length: 36 feet. i. Effective absorption area = 360 f~2 (>300 ft2 OK) j. Air Supply: Thomas Industries, Model 5070, Anchorage Tank . k. Air Supply Line: W~tasteflow emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: Central Paving Products 'W~/inter Road Sand" m. Pea Gravel: 100% passing 3/8" Sieve, less than 20% passing the 114" Sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a depth of lfoot (remove all organics), place a minimum of 2 feet of sand, and-install the ~iir supply line 18 inches below the top of the sand. On top of the sand, 6 inches of 3/8 inch pea gravel will be placed, with the pressure laterals midway in the stratum. A conventional lif~ station (Anchorage Tank), equipped with a programmable timer, will be utilized so that flOw can be intermittently dosed to the ISF. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. TOPOGRAPItY: The lot slopes from east to west at grade of less than 10% (see attached topography site plan). 'In short, there are no concerns. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Muhicipal Onsite Services office (Sth floor, 9th & L St.). CLOSING: Given the site restriction, I think the ISF is the most viable option for this lot, short of install a Recirculating Upflow Filter, which would be more expensive. I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adv~rse' impacts thiSinstallati°n would'have on adjacent wells or septic systems. If you have an !questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. Princt HILLS SUB WORK: TE PLAN FOR: -_"ED fAiR LIN£ TRACT 100' OF 3 LOT 11, BLOCK 2, !'c'~' NE 1/4, NE 1/4, NE 1/4, SE 1/4, ~.¢,,~ "~[. .... PARK HILLS S/D #2[ SECTION 34, ml2N, R3W ..~ ~ ~ ~ WE LL EXIST[~ D NOTE: THERE ARE NO WELLS THAT ENCROACH UPON THE PROPOSED SEPTIC SY~EM. ~AS~ WA~R & WASTEWA~R REED PACKER 762-1609 7953 [ NOTE: I 1. THE CONTRACTOR IS REQUIRED TO NOTIFY THE ENGINEER I 24 HOURS PRIOR TO CONSTRUCTION, I 2. THE CONTRACTOR IS RESPONSIBLE FOR HAVING THE NORTH _j PROPERLY UNE AND THE UTILHY EASEMENT ADJACENT TO TH~I ........... 0 THE NORTH END OF THE PROPOSED SAND FILTER FLAGGEO BY A REGISTEREO LAND SURVEYOR PRIOR TO CONSTRUCTION. ~_~_ 10' UTILITY EASMENT LIFT STATION FOR DRAINAGE OF ONE, NO Ld 0 LOW SPOTS WHICH WILL ALLQW WATER TO COtlECT. ALL CONNECTIONS SHALL BE STAINLESS STEEL WffH STAJNLESS STEEL ObJU ~WDS. NO HOSE C~VPS. ~OFOS~P 2000¢¢U. n-mT NnTES~ THE AIR CDNPRESsnR SHALL lie LDCATEli '~/ITHiN THE GARAGE/UTILITY RDDN OR CRAWLSPACE, THE CgNTRACTnR SHALL PRDVInE A 0-10 PS! PRESSURE GAUGE AT A LFICATIDN WHICH IS REA])ILY ACCESSInLE FRBH ~/ITHIN THE HOUSE, NDTE~ A 30 PSI GAUGE WILL NOT THE AIR CrlNPRES-~DR SHALL lie A THDHAS INI)U~'IRIES NDgEL ~070j AS SUPPLIE~I ]~Y ANCHORAGE TANK, THE AIR LINE SHALL lie 1/~ '~NCH 9IA, 1-19PR (1 PIECE)~ INSULATE9 ~/ITH 1/~ INCH FRIAR PIPE ~*/EAP (R3 VALUE), IN.~[gE ,A B INCH SCH,40 PVC JACKET. THE LINE SHALL lie BtJRtE9 TD ~ HtN[HUH 9EPTH DF 3 FEET, THE CDNTRrlL PANEL FOE THE STEP TANK SHALL ~E INSTALLE'rl ~d[TH A AUgIliLE/VI'SUAL INliICATDR V~'THIN THE GARAGE/UTTLITY ALASKA WATER & WASTEWATER PARK HILLS SUBDIVISION, TRACT B, DESIGN OF PROPOSED SEPTIC SYSTEM =REPARED FOR: PHONE NUMBER: 762-1609 /7; , , -r ,--- / P~N VIEW M~ ~/4" ~d ~A~5 (~,4)~ M~ /~R ~A~ / N 2' MIN, ~ ~R / / / ~.'~'~ ~ "' ' . .... ~5;~; ~'~ / PROFILE VIEW A~S~ WATER ~ WASTEWA~R ~>.~.~~2~ ~PE OF WO~: BOTTOMLESS SAND FILTER (ISF) DETAIL ~.L.M. N.T.S. 3 OF ~ of."s~o~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 10 11 12 13 14 15 16 17 18 19 20 Co ~. COMMENTS DATE Township, Range, Section: SLOPE SITE PLAN was GROUND WATER ENCOUNTERED? S IF YES, AT WHAT q DEPTH? p E Depth to Water After/_ ~, / Monitoring? "~ ' Date: 7- / Gross Net Depth to Net Reading Date Time Time Water Drop I PERCOLATION RATE ~ ! (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN '~ FT AND ~ FT . THAT/THL~q'EST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THiS DATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 5 6 7 8 9 10 11 12 13'-- 14 15 16 17 18 19 20 COMMENTS ~,.'. CJ~ -,9469 ~.~/p. ~1~1~ ..'.~ DATE PERFORMED: Township, ~an~e, Soction: SLOPE SITE PLAN WAS GROUND WATER ./ ENCOUNTERED? )~'¢-' '~ S L IF YES, AT WHAT I O DEPTH? Ottl p E Depth to Water After Z.~ Monitoring? w, ~) /Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE__ ~-~ / (minutes/inch) PERC HOLE DIAMETER ~ /I TEST RUN BETWEEN '~ FT AND /~ FT PERFORMED BY: .... / I CERTIFY THAT~tIS./T~_ST WAS PERFORMED IN ACCORDA.OE, ,T.^.LSTATEA.DM .,C,PA'G 'DE""ES'"E EOTO"T"'SDA E. DA E: 72-008 (Rev. 4/85) PROPERTY OWNER AGREE1VFENT FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYiTF2Vl ThLq agie~2m~nt, dated .~q~-y ~25// 199~'.., is ~e be~e~ ~e Mu~!cip~ of ~chorage D~ent of He~ ~d Hnm~ Se~iccs.~S) ~d ~e prop~ o~) oe ThLs agreement Ls made for ~c purpose of m.lntalning all on-site w~stewater disposal system On ~e subject property. The property owners o~ee to fi]e, following: Submit to ~e Municipality of A~chorage, on a~ annual basis, an inspection and operation statement from a registered professionul engineer, TI~ impection a~d .. operation statemem shall verify ~at ~e engLueer has in~pected all effluent and air p-raps, timers, ~ud alarm~, and that ~uy deficiencies have been repaired ant[ that the system Lq functioning a~ designed. .... / ( (Signamr¢) (Sig~=e) /~o /52, (Printed N,me) ......... No'~arlze Here who is personally kno~ ~o me 1:6 be t:b.e (Prated Name) , , lqqg whose identity I proved on the basis of "-- whose identity I proved on the bath/affirmation of , a credible witness signer of the above doeumen=, and he/she acknowledged that he/sh9 signed f~. October 9, 1998 Municipality of Anchorage Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650 Anchorage, Alaska 99519-6650 Re: Permit Number SW980257 Tract B, Park Hills Subdivision 15000 Goldenview Drive Gentlemen: I would like to obtain your permission to do an owner installed wastewater disposal system. I am the owner of the above referenced property. Scott's Trucking will be assisting me with the excavation work. I am acting as the general contractor for the construction of my new residence. I have previously worked for five years as a general contractor in Southern California and have direct experience with installing plumbing, sewer pipe and irrigation systems. 1 am currently installing the radiant heating system at 15000 Goldenview. For the installation of the on-site wastewater disposal system, I will be working closely with Jeff Garness and Jim Williams to obtain the necessary inspections and to insure that the system is properly installed. Please let me know if you approve this request. Reed A. Packer 10041 Hanley Circle Anchorage, Alaska 99516 cc: Alaska Water and Wastewater Services 05/22/01 FRI 09:33 FAX I 907 ?62 163! VECO ENGINEERING-PROJECT {~001 M-W DRILLING, Inc. P.O. Box 11037~ · 10330 Old Seward H~ghway (907) 349-8535 ANCHORAGE. ALASKA 99511 Well Owner DEll. UNO LOG Use of WellEXPLORATORY Depth in feet from ground surface fl TO ? ? ~0 4 4 ~0 7 7 TO 32 32' TO 37 37 TO 59 TO 62 62 TO 7) 73 TO BO TO 82 R? TO q5 95 TO 102 102TO 122 l~2TO 128 Location (address of: Township, Range, Section, if known; or distance main road TRAt~T R: PARKHI!I SUBDIVISION ROt DEN VIEW SCHOOL SITE: ANCHORAGE. ALASKA Size of ca~ing 6" l~epth of Ho)~ 128 feet Cased t- 128.87 feet Static water leve] 4 fL (~l{)?: ?elow) land surface. Finish of well (check one) open end ( ); Screen ( X ); Perforated ( , ~)~, Describe screen or perfotaUon "" {{ER:ATTACHED AS BUILT SKETCH Well pumping test at ?n gall~l~s~.....~.,Pel~,.~.. ) (minute) for 74 hours wit}, 36.5 ft. of drawdown from static ~el,~.{~ '~:- AS BUILT NOTES: 1) DRILLED 14 DECEMBER · ~r.~ ..,u~ ' 2) COMPLETED AN0 TESTED 15 SEPTEMBER 198: Date of completion IEE NOTES !,,Y '.,' - G~ve d~tAlls of formations penetrated, size o! material, color and hardness CASmG ST CZ UP GRAV[[LY FILL OR,RANTK.~OV~RBURD£N ,~ND~?AND GRAVEL: TAN, DAMP.. . mm GRAV El'. *.DAH P .... ~ , ....... ~- ..... GJ~AVEL HARDPAN :/~AH SAND AND GRAVEI~?'NATERBEARING ~[LTY GRAVEL AND CLAy; SAND AND GRAVEL: 14ATERBEARING GRAVEL AND CLAY: GREY'? SILTY' SAND AND GRAVEL: ~ATER BEARING ~RAyEL AND CLAY: TAN, SILTY 1 --CUSTOMER Municipality of Anchorage Development Services Department Building Safety DMslon On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.atcus. (907) 343-7904 CERTIFICATE OF HEALTH ,UTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-112-55 1. GENERAL INFORMATION Expiration Date: complete legal description Location (site address or directions) Current Property owner(s) Mailing address Lending agency ' Mailing address Real Estate Agent Mailing address PARK HILLS SUBDIVISION; TRACT B 15000 GOLOENVIEW DR., ANCHORAGE, AK 99516 REED PACKER Dayphone (907) 762-1609 15000 COLDENVIEW DR, ANCHORAGE~ AK 99516 Day phone Dayphone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 · 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site E~ Individual Holding tank Community On-site D Public Sawer [-] The Munlclpality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional civil engineer registered In the State of AJaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-sita 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 pedod of up to one year with valid water samples.) 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. Note: Alaska Water and Wastewater Consultants, Inc. shaft be paid $ 00.00 at, or prior to closing for the engin~erlng servfcea provided. 4. STATEMENT OF INSPECTION BY ENGINEER As ce~'fied by my seal affzxed hereto and as of the validation date shown below, I vedfy that my investigation, based on procedures outlined in the Health Authorffy Approval Guidelines for this application, shows that the on-site water supp~/ and/or wastawater disposal s~tem Is(are) safe, functiooal and adequate for the number of bedrooms and ~ of structure Indicated herein. I further vedfy that based on the information obtained from the Munidpali~y of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system Is(are) in compliance ~th all applicable Municipal and State codes, ordinances, and recjulations In effect at the time of installation. Name of Firm ALASKA WATER &: WASTE'WATER CONSULTANTS. INC. Phone Address 6901 DEBARR ROAD. SUITE 2B * ANCHORAGE, AK 9950~- Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AWWC, Inc. attempted to provfde a thorough, consdentious euglneedng ana~sis of the system in accordance wllh ADEC and MOA DSD Guidelines & R~gulatioes. The reported results desctfbed the performance of the system under the conditions encountered at the time of the test, and soparaEa3 d/stances measured to readi~ ldentifiable foateres. The operational life of a~l wells and septic systems depend on the local enEs condition, groundwater levels that may fluctuate during the year, and the tire tar usage of the fam/¥ being sen/ed by the system. These conditions are outside the control of the evaluator of the system. ~atisfactory test results do not guarantee future performance of the system, nor do they guarentoe that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any v,.arranty or lucre estimate of how long the system will conb'nue to meet the operational requlrements of the ADEC or MOA DSD. 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 perty Is not authorized, nor will it confer any lugal tfght whatscev~r. DSD SIGNATURE /,,'""" Approved for ~ bedrooms. Disapproved. Conditional approval for __ Attachments:' NM Checklist Septic System Advlso~ Well Flow Adviso~ Manitenance Agreements Supplemental Engineer's Reort Other Odglnal Certificate Date: Municipality of Anchorage Development Services Department Or-,-Slte Water & Wa~ewater Pmgnlm 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6850 Legal Dascflpllo= WELL DATA Well ~ pRIVATE IIt A, B, er C provide PWSID# N/A Oatacompleted 12/21/81 Sanltmyseal(Y/N)YES Total depth 128 It. Cased to 128.87 ft. Data of test Static: water level Well preductlon WATER SAMPLE RESULTS: HEALTH AUTHORITY ~,PPROVAL CHECKLIST PARK HILLS SUBDMSION; TRACT B Pat'collD: 017-112-55 Date Installed ~l~,/~s 6o~ rating ~ ~redrm) 2.0 Length 56 It. Wldlh 10.5 lt. Total depth 3 lt. Eft. absorp8on sma 578 It' Monitoring tube YES Date of adequacy test. NEW~ I?d~sul~ (Pass/Fall) -- Fluid depth In abserpfion field before test DRY In. E]apeed Time: - min. Final fluid depth - In. Any reJuvanallon ~eatrnsnt (past 12 mo.) (Y/N & type) - *HOUSE NOT OCCUPIED UNTIL 4./1/00 Wataradded - g~. PBD. OW fiNN. GRADEI Coliform ~ colonies/100 mi. Nitrate Date of ~ample: 6/21/01 Collected by:. B. 8EPTIC/tiOLDING TANK DATA Tank Type/Matarlal S.T.E.P./STEEL Tank elze 2000 gal. Number of Comparlmants Foundation cleanout (Y/N) YES Date of pumping 6/25/01 D. ABSORPTION FIELD DATA 2 Depression over tank (Y/N) NO Pumper Well Log (Y/N) W~ms pmpe~y protected (Y/N). Casing height (above gmur~) AT INSPECTION 6/21/2001 29 lt. 12.1+ g.p.m. 18+ In. Other bectada _~colonles/l(X) mi. AWWC, INC. Date Installed 11/7/98 Qeanouta (Y/N) YEs High water alarm (Y/N). YES A+ HOME SER~CES System t~q)e ISF Gravel below pipe 0.25 ft. Depres..~on over field NO For 4 bedrooms Newdepth - In. Absorption rate >- - g.p.d. If yes, give data - FROM WELL LOG 12/21/81 20 g.p.m. D. UFT STATION Datalnstailed lO/14/9~ 8izelngallons 2000 · Pump on' level et..]]~E~_ln. 'Pump off' level ~,! TIMER In. Datum eo'rroM QF TANK Cy~tes ~ 3 E. $£PARATION OISTANCF.~ SEPARATION DISTANCES FROM V~.LL ON LOT TO' Septic tanlallff etal]on on lot 100'+ Absoq~on field on lot. 100'+ Public sewer main N/A Sewer ISel~O ~eMce line 25'+ Manhole/Access (Y/N) YES High water alarm level at 45' Meets alarm & circuit requirements? YES On ao']acent lots 100'+ On adjacent lots 1 oo'+ Publlo ~wer manhole/cteanout Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Abeeq~tlon field. 5% Surface water, lOO'+ Building foundation 5'+ Property line 5'+ Water main N/A Water service line. 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION fiELD ON LOT TO.' Bul]dlng foundation 10'+ Surface watsr 100'+ Wells on adjacent lots, ~00'+ Property I~ne lO'+ Water aenace line 10'+ Curtain drain NONE KNOWN F. COMMENTS Water main N/A Driveway, perldng/Vehlcle storage 50'+ G. ENGINEER'S CERTIFICATION I certify that I have determined t~h field In~cectlons end cor~rmance valh MOA HAA guidelines in effect on this date. Englrleel'sPrln~lN~fne JEFFREY A. GARN~ HAA Fee $ ~DD. O0 Data of Receipt Number (aw, t2/oo) Waiver Fee $, Date of Payment, Receipt Number