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HomeMy WebLinkAboutSUNSET HILLS BLK A LT 7,Sunset Hill Block A Lot 7 #018-202 02 Municipality of Anchorage Department of' H~alth and. H.m~n ~ervlo~e P,O, BOX 1~0, An~o~e, Permit Number: #SW 0001~2 D.te oflssue: Property Owrmr Name & ~ll~te,-Do~; .......... Depth So~l Type, Thickness & W~er Stcaia * ~r~. To ~tick.up 0 . ~n~ & Silt 2 3 gm velly sl~ 3 11 sl~y cobb~ gm~l 1 f 26 gravelly alit 2e aO · ' sand grovel &H20 - ~0 head or ~lumeSO 85 . sSty sand & we~r 85 Pareel ldeUttfleatiou Number: ~J~[~.O_~ Sunset Hills b/k ~ it ? .~. ance & Donna Conway Anchom~, Ak C~In~ ~Pe; ~el ~.~ i~ ~th: ~ ~ Liner ~: ~ Well lnbd~ Opening Type: Common~:y~,~o, .02~ Mot . PO.Box Attention: The well driller shall ptovlde a well log m the property owner, within 30 days ofcompletion and tl~ prop~y MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box '198650, Anchorage, AK 995'19-6650 (907) 343-4744 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Jun 12, 2000 Expiration Date: Jun 12, 2001 Permit Number: SW000'I62 Legal Description: SUNSET HILLS BLK ALT 7 Design Engineer: 0000 None Required Owner Name: Lance & Donna Conway Owner Address: 11331 Dave lane Anchorage , AK 99515- Parcel ID: 018-202-02 Site Address: 014110 SUNVIEW DR Lot Size: 15000 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. Received By: Issued By: Date: PLOT PLAN ~ A$SUILT SCALE \,'?~?~ GRID L. oT ~oV~= PLOT PLAN ~ ASBUILT_ SCALE ?'=~o~ GRID '5~5~, Project No. ~-o~g Long · Associates, inc. ~15q° O~l Avenue, Anchor=ge, Alaska 99515 (907) 522_6476 Phone Regis,.red Lend Su~eyo~ (907)522 4625 Fox adlaeenf ~er~, that no Imp~emen~ on the prope~ l~ng a~lao~ ~e~ '" Ilne~ or o~er ~lble e~*emen~ on ~ald pmpe~ ex~e~ aa IndlQ~ed hereon. .......... If la the m~pen=lblll~ of ~e owner fe deM~lne ~e ixl~nee (.( any ealemen~, eeYenan~, or rain.on* whlah do n~ appear on fha ~a~ed lubdl~alan pl~. CONS U LT..%NTS, INC. Jt~NE %U June 5, 1975 R & M No. 562039 Rappe Excavating 8001 Arctic Boulevard Anchorage, Alaska 99502 Re: Test Hole and Soil Log Report for Sanitary .System, Lot 7, Block A, Sunset Hills Subdivision Dear Mr. Rappe: We are submitting herewith the test boring results and our comments regarding soil condtions encountered at the subject site. This investi- gation was performed in accordance with your request of June 4, 1975, and those procedures outlined in a letter dated Decer~ber 19, 1974, by Mr. Rolf Striekland of the Greater Anchorage Area Borough of Environ- mental Quality. A single test hole was put down within the Lot 7 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 14.0 feet below ground surface. One sample was recovered from the test hole and retained for grain size analysis. The results of this sample are enclosed. The final log prepared for the 'test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. JWR/nt xc: GAAB T.H .-1 6-4-75 ORGANICS SILT TRACE SAND (ML) 0.0[ 1.5I GRAVELLY SAND TRACE SILT (SP) 5.5I SILTY SAND SOME GRAVEL (SM) NO Water Table 14..0 T.D. Log Represents Log 7, Block A Sunset Hills Subdivision Consultants Inc. ANCHORAGt FAtRGANKS ALASKA Rappe Excavating Jim Marshall Property Log of Test Hole Anchorage, Alaska LABORATORY TEST REPORT TEST ON Insitu Material PROJECT NO, PROJECT NAME Jim Marshall )AMPLED FROM Test Hole 1 SUBMITTED BY Attwood SOURCE. Lot 7, Block A~_'Sunset Hills SubdiviEiQn . LOCATloN Anchorage, Alaska GRAIN SIZE DISTRIBUTION RaM PROJECT NO. DEPTH,., DATE SAMPLED 6-4-75 CLASSIFICATION UNIFIED AASHO FAA %CLAY FSV LL PL P] :CLASS 562039 LAB NO, 75A- FIELD NO. ! OATE REPORTED 6-5-75 _ DATE RECEIVED 6-4-75 COMPACTION OPTIMUM MOISTURE MAX. WET DENSITY_. . MAX. DRY DENSITY CORR. MAX, DRY DENSITy % FRACTURE METHOD NATURAL DENSITY. ,, HATURAL MOISTURE WEJGHT LOOSE WEIGHT ROODED Based on # 3o Gradation #20o STATIC IMMERSION I% , I]/~% 2%__ DELETERIOUS MATERIAL A~SE SPEC FINE MmUS #EO0 MESH MOISTURE - PERCENT , Enotn®~ring ~ ~ologlcal Consulton?,~ Rappe Excavating 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 www.ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 01 8-202-02 1. GENERAL INFORMATION Complete legaldescription Lot 7, Block A. Lo~:ation (site address or directions) Expiration Date: Sunset Hills 14110 Sunview Drive Current Property owner(s) Mailing address Lending agency Mailing address Lance & Donna Conway Dayph0ne 522-7486 11331 Dave Lane Anchorage..AK 99515 Day phone Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: NUMBER OF BEDROOMS: Three (3) TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding Tank [] [] Community On-site I-I [] Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) 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 title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. 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 are valid for one year for propedies 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. 72-025 (Rev. 01;00)° 5. 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 the Health Authority Approval application show 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 disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of insta!lation. NameofFirm Anderson Enqineerinq ' Phone 522-7773 Address P,Q, Box 240773 'Anchorage. AK 99524 Engineer's Printed Name Date 12 / 1,3 / 00 . ~ Approved for ~ bedrooms. -~, ..,~ D~sapproved. ~ ~ ~ .,~.~u ~ Conditional approval for bedrooms, with the following stipulat~ons~" Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Expiration Date: Original Certificate Date: Reissue Date: 75-025 (Rev. 01;00)' Legal Description: Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Se~ces Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (~07) 343-4744 HEALTH AUTHORITY APPROVAL CHECKLIST Lot 7, Block A, Sunset Hills A. WELL DATA Well type Private Date completed 7/1 0/0~anita~y seal __ Total depth 1 02 It Cased to 97 Date of test Static water level 7 8 Well production 2 0 If A, B, or C provide PWSID # __ Y FROM WELL LOG 7/10/0o WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi Date of sample: 1 2 / 5 / 0 0 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Cleanouts Date of pumping C. ABSORPTION FIELD DATA Date installed Length It Total depth ft ft g.p.m Nlffate 1,84 mg/I Collected by: MEa City Sewer System Tanksize Foundation deanom Parcel I.D.: 018-202-02 Well Log ¥ Wires properly protected __ Casing height (above ground) > 2 4 AT INSPECTION It g.p.m Other bacteria 0 colonies/100 mi gal Number of Compartments __ Depression over tank Pumper City Sewer System Soil rating (g.p,d./it2 or ft2/bdrm) __ Width __ft Gravel below pipe Effective absorption area .fF Monitoring tube Date of adequacy test __ Results (Pass/Fail) Fluid depth in absorption field before test __ in Water added__ Elapsed Time: rain Final fluid depth in Any rejuvenation treatment (past 12 mo.) (Y/N & type) High water alarm System b/pa ft __ Depression over field For bedrooms gal. New depth in. Absorption rate >= __ If yes, give date in. g.p.d. 72-o2~ (Rev. 0~00)' D. LIFTS'rATION N/A Date installed 'Pump on" level at in Datum E. SEPARATION DISTANCES Size in gallons __ "Pump off' level at __ Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A Absorption field on lot N/A >100' Public sewer main Sewer/septic service line > 25 ' in Manhole/Access High water alarm level at __ in Meets alarm & circuit requirements On adjacent lots > 100' >100' On adjacent lots Public sewer manhole/cleanout Holding tank N / A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Drainage Property line Water service line Wells on adjacent lots Property line Water Service line Curtain drain F. COMMENTS SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water Wells on adjacent lots __ >100' CeLty Sewer Absorption field Surface water City Sewer Water main Driveway, parking/vehicle storage G. ENGINEER'S CERTIFICATION Ice.ih/that I have determined through field inspections .and review of Municipal records that the above systems are ,n conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Oate 72~36 (Rev. OliO0)' Waiver Fee $ Date of Payment Receipt Number 12-12-00 08:40 FROkI-CTE ENVIRON~NTAL 5015Z01 ~ T-313 P.02/03 F-989 CT&E Environmental Services Inc. CT&£ Ref.~t 1007532001 Client Name Anderson Engineering Project Name~t L7 B A S~et Hill Client Sample ID L? B A S~ct Hil~ Matrix ~ng Water O~e~d By ~WSID 0 Sample Remarks: Client PO~ Print ed Date/Time 12/11/2000 14:30 Collected Daterrlme 12/05/2000 11:00 Received Date/Time 12/0.5/2000 17:01 · Panrn~'r ReselLs PQL Wa~era Depar~men~ Nitrate-N 1.84 0.500 U~Rs Mcihod Allowable P~'p Analy~Ls Limits Date I~te Init m~l. EPA 300.0 10 max 12/05/00 SCL Microbiology La. borar, ory Total Coliform col/I OOmL SMIg 9222B 2/05/00 KAP Received Tiae Dec.]2. 8:48AM BB~D E:C-- 12--2 0 [~ ~ .nB · ,.., r' PLOT .Lung I 12:26 PH