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Home My WebLink AboutSAHALEE LT C1BSahal LotCIB #015-014-35 Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrorfl http://www.ci.anchorage.ak, us Mayor Permit Number: #SW 010213 Date of Issue: 6-28-01 Parcel Identification Number:. 0!5-014-35 Date Started: 10-28-01 Date Completed: 10-29-01 Is well located at approved permit location? [] Yes [] No Legal Description: Sahalee Lot C1B Property Owner Name & Address: Gregory L. Transue- The Peteraen Group 8800 Rosalind St. 3820 Lake Otis Pkwy Suite 204 Anchorage, Alaska 99507 Ancorage, Alaska 99508 Borehole Data: Depth (ft) Soil Type, Thickness & Wats Strata From To stick-up 0 2 organic & silt 2 3 gravelly silt 3 31 silt 31 40 gravelly silt 40 69 sandy silt 69 97 silt 97 108 ,,~cavelly silt 108 160 otlty sandy gravel & water 160 170 water sand & gravel 170 174 Method of Drilling [] air rotary [] cable tool Casing type: steel Wall Thickness: .025 ]aches Diameter: 6 inches Depth: 174 feet Liner Type: __ Diameter: __ inches Depth: __ Casing sfickup above ground: _2 feet Static water level (~om ground level): 98 feet Pumping level:__ feet a~er ~ hours pumping 20 gpm Recovery Rate: 20 gpm Method of Testing: air lift Well Intake Opening Type: [] O~n End [] Open Hole [] Screened Start__ feet Stopped feet [] Perforations Start__ feet Stopped .__ feet Grout Type: Bentonite # 8 Volume: 1 bg Depth: Start _0 feet Stopped + feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Clodne Tablets Comments: Well Driller: Alpine Drilling & Enterprises P 0 Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property MUN/C/PA£/TY 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: Jun 28, 2001 Expiration Date: Jun 28, 2002 Permit Number: SW010213 Legal Description: SAHALEE LT C1B Design Engineer: 0014 Anderson Engineering Owner Name: Gregory L. Transue Owner Address: 8600 Rosalind St. Anchorage, AK 99507-3677 Parcel ID: 015-014-35 Site Address: Lot Size: 13943 SQ. FT, Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and 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 hnd closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: /~ Date: Date: ~--2(~--O/ 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/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-014-35 Permit Number SW 010 Property owner(s) Gregory L. Transue Mailing address (1) 8600 Rosalind Street Anchorage, AK 99507-3677 Mailing address (2) Legal description (Lot, Block & Sub'd.) Lot C-lB, Sahalee Subdivision Legal description (Section, Township & Range) Lot Size '13~943 Acres/Sq. Ft. Day phone 344-4017 Zip Code Number of Bedrooms Four (4) THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool [] Well Only [] [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Receipt Number: (Rev. 12/00) Waiver Fees:' Date of Payment:' Receipt Number: June 19, 2001 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Su~e~: Lot C-lB, Sahalee Subdivision Well Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot C-lB, Sahalee Subdivision intends to construct a four-bedroom home on the lot. The lot is currently served by the Municipal sewer system, but water is not available. We are therefore applying for a permit to construct a new well on the lot to serve the new home. The attached Site Plan and backup documentation identify the location of the new well along with the approximate location of the sewer main fronting the lot and the probable sewer service. Existing drainage patterns are shown and will not be altered by the development of the lot. The ground surface on the lot slopes as shown on the attached Site Plan with shallow grades from south to north. The existing drainage pattern on the lot will not be affected during development. The well will be placed a minimum of 100' from all manholes in the area and 75' from the sewer main. In addition, it will be a minimum of 25' from the sewer service line. If the well is constructed in accordance with our design the following statements apply: 1. The well, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The well, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The well, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. The well, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments NOTE: All lots area are served cipal Sewer Proposed Well' the. Muni- Four Bedroom Home x Man Hole S 46°05'13"E 10' T. & E. ESMT. 101.27' 10" AC Sewer Main ZENITH STREET SITE PLAN SCALE 1" = 20' Municipality of Anchorage Development Services Department Building Safely Division On-Site Water and Wastewater Program 4700 South Bragaw St. P,O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (9O7) 343-79O4 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015014-35 1. GENERAL INFORMATION Complet~ legal description I[LOt C16, Sahalee Subdivision Expiration Date: .~O2 Location (site address or directions) Current Property owner(s) The Petersen Group Day phone 562.1170 Mailing address 3820 Lake Otis Parkwa¥~ Suite 204 Anch.t AK 99508 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four(4) Well D D 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System "~iPE OF W~sTE~/ATER DISPOSAL: Individual On-site ;. I Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality 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 Alaska. Certificates of Health Authority Approval are required for the transfer of flue (except between spouses) for properties served 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 pdvate or Class C well and may be reissued with new water sample results less than 30 days old. (Cedificates may be reissued for a period 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. 4. 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, 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 vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with 'all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson En.qineedn.q Address P.O. Box 240773 Anchora.qe, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE ~_ Approved for ,~ Disappro. ved. Conditional approval for bedrooms. Phone 522-7773 bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other (Rev. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4?00 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-79O4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot Cl.8, Se"alee Subdivision Parcel ID: 015-014-35 WELL DATA We" type Private Date completed tor~2oot Total depth. !74 ft. If A, B, or C provide PWSID #, Santtaw seal (Y/N) [ Cased Io. t74 ft. FROM WELL lOG Date of lest 10/29/2001 Static water level 98 ft. W~ production 20 g.p.m. WATER SAMPLE RESULTS: we, Log (Y/N) Y W~s prepen'y protected (Y/N) Casing height (above ground) >24 AT INSPECTION g.p.m. C.43rEorm 0 colonies/100 nd. Nitrate 2 mg,A. Amenic:-OOZ, mg.A. Date of sample: 1/04/2002 B, SEPTIC/NOLDING TANK DATA Tank Tyl~a/Material, Munlcloal suwer 8ystmn Tank size gal. Foundation dear=ut (Y/N) Date of pumping C. ABSORPTION FIELD DATA Other bacteria. 0 colonies/100 nd. Date installed. C3eanouts (Y/N) High water alarm (Y/N) , Date installed Soil rating (g.p.d./l~ ~r ~/bdrm). System type Length ft. Width ft. Gravel below pipe. ft. Total depth ~ ft. Eft, absorption ama. · Monitoring lube _ Depression over field. Date of adequacy test Results (Pass/Fail) For. bedrooms Ruid depth in absorption field bef(x'e test. in. Water added gal. New depth, in. Elapsed T~me: min. Final fluid depth _ in. Absorption rate >= g.p,d. Any reJuv~ation treatment (past 12 mo.) (y/N & type) tf yes, g~ve date, D. UFT STATION Date installed 'Pump on' level at in, Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tenldlift station on lot N/A Absorption field on lot N/A Public sewer main >100' Sewer Iseptic service line >25' Size in gallons "Pump off' level at CycJes tested Manhole/Access (Y~N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots >100' On adjacent lots >100' Public sewer manhole/cieanout >100' Holding tank . N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Wells on adjacent lots Water Service line. Curtain drain F. COMMENTS Property line -- Water service line SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Sudace water Wells on adjacent lots. · Absorption field Surface water Water main G. ENGINEER'S CERTIFICATION I certify that I have determined ff~ough field k~pecEons and ret4ew of Mun~Jpal n~errls Iflat the above systems are ~ confommnce wfth MOA HAA guidefnes ~ effect on this date. Engineer's Printed Name.. Mlcflael E Anderson~ P.E, Date 1/1 rg20o2 ~., 4g'm HAA Fee $ Date of Payment Receipt Number (Rev. ~2/0~) ' Waiver Fee $ Date of Payment Receipt Number 9075515301 T-500 P.OI/O2 F-63g CT&£ Re l'.# 1020130001 Client Name Anderson Engineering Project Nsme/# Lot C]-B Sahn Lee Client Sample ID Lot CI-B, Saha Lee Matrix Drinking Water Ordered By PWSID Sample Remarks: Client PO# Printed Date/Time 01/09/2002 8:59 Collected Date/Time 01/04/2002 I I:00 Received Date/Time 01/04/2002 11:25 Technical Director Stephen C. £de Released B~ Param~cr Resulls PQL Mcthocl Allowable Pr~p Analysi~ Limits Date Date Nitrate-lq 0.200 U 0.200 mg/L EPA 300.0 (<101 01/05/02 SCL Miclrobio~.o~'v L&borntor? Total Coliform $] O11. No Coli col/100mL eMI8 9222B (<11 01/04/02 Sllll Received Time Jan, 9, 9:24AM J.~-OS-OZ 04:27P1,1 FROI,~F-CT/,E ENVIRON~NTAL SRV 90?5615301 T-494 P.O2/OZ Fo$33 ,~I~__..~ CT&E Environmental Services Inc. CT&£ Ref. S Client Name Project Name~ Client Sample ID Matrix Ordered By PWSID 1020140001 Anderson Enginecrin§ Lot C-lB Sahalee Sub Lot C-lB Sahalee Sub Drinking Water Client PO# Pdnted Date/rime 01/08/2002 15:56 Collected Date/Time 01/04/2002 15:30 Received Date/Time 01/04/2002 15:50 Technical Dire¢lor Stephen C. £de Released B~//~ Sample Remarks: Resulu PQL Units Method Allowable Prep AnalySis Limits Date Date Init Me=als Depar~men= Arabic 0.00200 U 0.00200 mg/L EPA 200.9 (<0.05) 01/08/02 JMP Received Time Jan. 8, 4:30PM JAN-15-O2 12:25PM FROM-CT&E ENVIRONI,~NTAL SRV ,~f~___. CT&E EIw~m,ment.! Services Inc. 90?5615301 T-$20 P.02/04 F-81]' CT&E Ref~ 1020229001 Client Name Anderson Engineering Project Name/# N/A Client Sample ID 4841 Zenith, ]Citchen F Man'la Dfin]c~ng Water Ordered By PWSID 0 Sample Remarks: Client PO# Prtnted Date/rime 01115/2002 10:57 Collected Date/Time 01111/2002 13:50 Received Date/Time 01111/2002 14:15 Tethnlca! Director Stephen C. Ede Released ~y~~ ~ PQL Unlu Method Allowable Prep Analysi:~ Limits Date Date Init ~:Lcz:ob ~.ol ogy' Total Coliform col/l OOmL SMI8 9222B (<1) 01111/02 Received Time Jan.15, 12:27PU Man llole X 10' T. & E. ESOT. S 46°05'13"E 101.27' '10" AC Sewer Main ZENITH STREET AS-BUILT SCALE1"=20'