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 [~ ~
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PLOT
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12:26 PH