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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 8 LT 22Mountain Park Estates Block 8 Lot 22 #017-391-20 I No,, '_7 18 05:23P Anchotago `.Nc4 3, Pump Sof- 'ZV 0'12 4 3 0 7,112 P. I bevelopment Services bepartmert Building Safety Division t.On-Site Water A Wastewater Program 4700 Elmore Rood P.0, Box 196650, 10,-k Begich A nchcrage, A.K 99507 Maker (9';7,' 3/-7-7504 Pump Installation Log Well Drilling Verinit NL!rnber; SW------- Date of ],;sue,: Parcel IdentVicatiGn Nu ben Attention- The pear iT stndlwr sh',111 a porn r Wst�':Ia.ion log to the DSD wit',,in 10 days oFnurup Municipality of Anchorage ~ae 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 Perm;t Number:. SW990273 PID Number:. 017-391-20 : Name: THE THOMAS CO. WastewatsrSyst~sm: · New I-I Upgrode Address: P.O. aox 77011o EAGLE: R~V[R, AK g9577 e~'r/~O ABSORPTION FIELD P"°~':(907) 441-2664 4 BDa~p T~am:h r~shot~o,., Tr~ch rlBed []uo~fld t3Other LEGAL DESCRIPTION '" '~ 0.6 ~ ,, 12 (MAX) 22 8 MOUNTAIN PARK ESTATES 2.02/2.48 .. - -I - 0.15/'1.15 n. 2 WELL: · New I-~ Upgrade 2+ rL PRIVATE 280 ~ 170.6n. 1100+ ~n. ASTM D-3034/F-810 M-W DRILUNG INC. 9/23/99 155 ~ SANDER*S 8/24/99 · 4-5 ,,, UNKNOWN ,, 2 ,, TANK SEPARATION DISTANCES , s~u~ =.,.,.. o From Tank StaU~'lTo.k .~.,,~ ANCHORAGE TANK 1250 Welt 100'+ I00'+ - - 25'+ "'~': STEEL ~ d ~ 2 Sur~aCewater ,OO'+ 100'+ -- -- -- UFT STATIO~ /~/ Une 5% 10% - - - Foundation 5'+ 10'+ -- - _ - .~ ee Drain -- NONE1 KNOW~I · I Remarks: * FOR 1 HOUR WITH 100% DRAWDOWN. BENCH MARK TOP OF FOUNDATION CLEANOUT j'q""~ ~ 104.03 Irmpec~ormpeffom~d~ AWWC. INC. DBles:lst 8/2,4/99 [.cO.." ZIJ [U~ % '..."JT~ =., . Department of Health and .Human 8ervice~ approval_ _ 'O0~,!...,..,q~.~,...q ........... :-?9'rJ-'.......~,,~ $W990275 - O17-~91-20 ~ ~ ~ 97 FE~ FROM ~E ~ORNER OF ~ I DBLi 73.1 56.~ ~// /// ~~:~ ~ ~ / / / C04 93.4 08.6 PROFILE AS-BUILT ORAWINO OF 5[PT[C SYSTEU UPGRADE THE IHOUAS OOUPANY (907) 441-2664 ~m2/21/01 K.D.W./J.W.M. I = 50' 2 OF 3 P~RUr~ ~UU~E~ AS BUILT D~7~NG P~RC~.ZO SW990275 - 017-391-20 PHONE (90~ ~7-617g~: (907) ~8-~246 MOUNTAIN PARK ESTATES SUBDIVISION; LOT 22, BLOCK 8 PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE couP NY ( o )a -2664 89/23/1999 12:32 3453287 M W I~RILLING, I~-W'DRILLING, Inc. P.O. Bo~ 11037~ · 10330 Old .~ward Highway ANCHORAGE. ALASK^ 99511 P~C~ 99-199 PERMIT# SW990273 81 Wen Owner THE THOMAS COMPANY DRILLING LO0 ISle of Well DOMESTIC o 2 S ICK up , 2 TO 35 ' ~ ' :~SILTY, CLAYEY 35 TO 43 ~ :' " ~{_.. 43 ~ ~2 ~~O~N, ~.s · ~2 ~ 120 . ' .'...' _ 120 ~.. 147 --~''~ ~'"'~" ""'"" ' ~ '~~; ~ *,, ,;~ .. ~.. ., ~w~.......~.~.. *. ~Sl ~ 160. 160 ~ 195 BEDROtK~--'""GR~" ~95 TO 203 A/A= BROWN WITH WHITE LENSES 254 ~. 280 A/A: LIG~T GREY WITH WHITE LRNRE~' TO LocaUon (eddre~ of: Town,hip, Rm~ge, Section, if known; or d/~tance main _ LOT 22, BLOCK 8, MOUNTAIN PAR}( ESTATE~: 12921 RIDGEVIEW DR ANCHORAGE, ~K ~/zeofcuL~- 6" T~pthofHo]~ 280 feet C~e4t- 170.63 feet Staticwlterleve! 155 fL (I~=Ye~.. [~below) lend lurflce. Fin~hofweU (checko~e) openend ( X Screen ( ); Pcdor.ted ( . .~ Won p=,,p~,g t.t .L~_p~ ~ ~ (,~ute) for I ~o=, .,~th 100~ fL · of dr~wdown from .t~tJc ~l.:. 'L~' p~ [~ELL DRY GROUTED WITH I SACK ~ ~ r . , ;,. ' :AS BUILT NOTES: 1 ) BENTONITE CHIPS' D&teo~¢ompletio~ 23 SE_ ~999 Depth in feet from · ~- ", :~ ~round surface ~ ~f.~ormltion~ penetrated, size of m~terl~l, color Ind h&rdne~ MUNICIPAI. JT~ OF ANCHORAGE Dep,~rtment of Health and Human Servfces On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Aug 11, 1999 Expiration Date: Aug 10. 2000 Pem~it Number:. 8W990273 Legal Description: MOUNTAIN PARK ESTATES BLK 8 LT 22 Design Engineer:. 0041 AK Water & Wastewater Consulta Owner Name: Thomas Company % Mike Thomas Owner Addrass: PO Box 770110 Eagle River, AK 99577-0000 Parcel ID: 017-391-20 Total Bedrooms: 4 Site Address: 012921 RIDGEVlEW DR Lot Size: 20600 SQ. FT. 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 DHHS at least 2 hours pdor 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 clo~ed on the same day. B. Covered. sealed, and heated to prevent freezing. Received By: Issued By: Date: ALASKA WATER & WASTEWATER CONSULTANTS, INC. November 18, 1999 Municipality Of Anchorage Department ofHeahh & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 NOV 2£ 1999 MUNICIPAl. ITt' O~ ANCHORAGE ENVIROI'~ENTAL SERVICES DIVI$1C~ Attn: Dan Roth REFERENCE: Lot 22; Block 8; Mountain Park Estates; Waiver of separation distance between the well and septic serving the referenced property Dear M~. Rotk, The referenced property has a 4 bedroom house and is served by a private well and a private septic system. The septic system was installed on August 24, 1999 and the well was drilled September 23, 1999, by M & W Drilling (see attached well log). During our final inspection of the onsite wastewater disposal system, we found tl~ separation distance between the edge of the cleanout pipe and the new well to be only 99.9 feet. Given the fact that the clean-out is approximately 1 foot fi.om the edge of the trench side walls, it is reasonable to assume that the well is only about 99 feet fi'om the edge oftbe trench. To be conservative, we are requesting that your department waive the subject separation distance to 98 feet between the new well and new septic leachfleld on the referenced property. It is our opinion that the required 100 ft. separation distance between the drainfleld and the well could be waived to a lesser distance without implementing any health ba?ard for the following reasons: Due tb the topography oftbe land, if effluent was ever to surface it would flow in a northewest direction. (topo map attached) It would be physically impossible for the effluent to flow in a southwest direction toward the subject well. 6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504 Ph: (907) 3374179 * Fax: (907) 338-3246 * emaih awws~alaska.net Page Two Waiver request Lot 22; Block 8; Mountain Park Estates The driller's log for the referenced well (and neighboring wells) indicate that there is 160 feet of various layers of silt, sand and clay before bedrock or groundwater is reached. These confuting layers act ns a protective barrier between the septic system and the aquifer (well logs attached). Based upon the facts, it appears that there is minimal risk in granting the subject waiver. If you require any additional information for your review please contact us at 337-6179. Since~ E. M.S. 6901 Debarr Road. Suite 2-B Anchorage, Alaska 99504 Ph: (907) 337-61'/9 Fax: (907) 338-3246 email: nwws~alaska.net ~ I ' '~-~ ' ~ ~ ~ ~'~ ................ /l~.~ L "L. :., ..... ~ ~~- ~~' / F "~ ~ I I ~~.~/ ~ / /~ x. ~ / ~T.~ WA~R ~ W~WA~R CONS~T~S, ~C ~ON~ (90~ ~7-6179~: (907) ~-3248 ' ~OUNTAIN PARK ESTATES SUBDIVISION ~11 LOT 22, BLOCK SITE P~N ~OR WE~ AND SEPTIC DESIGN g,,,~ .... J.LM. I = 100' 1 OF 2 ~'~'o ~o~&~ ~"~ ..... 'J I ~/,---PROPOS£D DRNNFIELDS. EXCAVATE. ~ ...... J\~,'"~/ TWO TRENCHES 12 FEET DEEP (MAX.) ~__ ~'"""'/"--------...~ ~--..~/ BY 2 FEET WIDE BY 30 FEET LONG ......... I lno ,,,,.~ ~/ ~'~.~. EACH (60 FEET TOTAL LENGTH). ADD ----~.._ '~ unu]y F--ASD~ ~ -"-,9 FEET OF CLEAN. WASHED SEWER I ........ -" ~ ~ DRIANROCK. INSTALL TRENCHES I - ~o~ ...../ ~ PA~ ~ n. T.O SLOPE CONTOURS. ;/j ------- ~ ~ ! ~ / AND THE: 100 FOOT W~J. RADII F].A~D BY A ~ / /~ ! ~ ~ONSlI~UCllON. THE SUeR IS TO SHOULD ~ % / ! mE WELL SHALL B~:PLACID 100 F*r.L'T n~O~4 ~ ~ROPOSED AND ALIERNATE SEPI3C ~,T.KSKA WATER AND WASTEWA~E:R CONSULTANTS, ]I'q'C ~GAL DESCRIP~ON: MOUNTAIN PARK ESTATES SUBDIVISION #1: LOT 22, BLOCK 8. lgT~I DESIGN FOR WELL LOCATION AND SEPTIC SYSTEM e~ & ..d~ aREPARED FOR: PHONE NUMBER:{/~)~, "*. COMPANY 441-2664 ,.,,..: MIKE THOMAS W/ THE THOMAS ~?z ' ", ," :~6/18/99 IDamN m': I~ I '~ ~"=' J.LM. 1 = 30' 2 OF 2 31.&SY~A WATER & WASTE~W..A,~,T~? CONSULTANTS, PHONE; (907) ~7-6179 * F~ (907) 3~-3246 ISOIL LOG PERCO~TION TESTI EBb, ~..~.[.-2~,/ PERFORMED FOR: ~IKE ~0~ W/ ~E ~0~ COUP~ DATE PERFORMED: 4/3O/99 ITEST HOLE f ORG~ICS GC OL ~ ~ / ~ "'-~'7--' SW MH ~{lIIIlll w/GM ~ES ~]1 [][& FEW SW P~KET$ 7 DEPTH TO DATE GROUNDWATE~  * D~ 4/30/99 11 DATE RE.lNG CLOCK NET TIME WATER LEVEL NET DROP TIME (HINGES) RE. lNG (INCHES) 12 5/3/99 - PROOFED PERC ~ FOR 4+ HOURS PRIOR TO ~. 13 15/3/99 1 3:54 2 4:24 30 MIN. 4-7/8' 1-1/8' 14 3 4:26 4 4:56 30 MIN, 4-3/4" 1-1/4' 16~]~{[[~ 6 5:26 30 M~N. 4-3/4" 1-1/4' 17 18 19 PERC~TION ~TE 24 .(HIN,/INCH) PERC, HO~ DIA. 6' ,(INCHES) 20 TEST R~ BETWEEN 6.0 FT~DJ/] ~.0 FT. COMMENTS: ~ ~ PERFORMED ~ A~ WA~R · W~ATER I. , CE~ ~T DA~. DA~: / DEPTH TO DATE GROUNDWATE~ DRY 4/30/99 DRY 5/7/99 6901 DEBARR RO~D, SUITE 28 ~ .ANCHORAGE, AK. 99504 J SOIL LOG PEROO~TION TESTm ~4,~ [~ ~ ~ ~ DESCRIPTION: MOU~NN P~K E~A~ S/D ~1; LOT 22, BLOCK 8, PERFORMED FOR: MIKE ~0~ W/ ~E ~0~ COMP~ ...~ DATE PERFORMED: 4/~0/"" ~zl ".. i~-Tgs3 ....-~' JTEST HOLE ~2J / GC OL '~itllllll ~ s~ ~/~ ~ Z/' , ~tttlllll DEPTH TO ~t= [it~lllll 8RO~DWATER ~'~ .--mi .~f~11111 .~ ~/=o/.. ~ /~/l [ · ~t[tlllll DATE RE~INGJ CLOCK NETTIHE ~ WATER LEVEL NETDROP EiitlJlll , TINE (HINGES) RE. lNG (INCHES) EJf[lllll ~JJtlllll 2 4:. ~0 M,N. ~-~/~s' 2-~/~s' ~lttlllll ~ 4:s~ -- s' -- m ~,~T,O,~,~ 1o.7 (HIN.IINCH)y/~PERC. H~DIA. S (INCHES) =o~ TEST Rm.~T~N ~.0 f~. ~././'~ 0 ~/ ~IS W~ PERFORMED IN ACCORD~CE W~ ~ ~EJ~ ~ ~9~IClP%G~ENNES IN EFfeCT ON ~IS DEPTH TO DATE GROUNDWATER DRY 4/30/99 ORY 5/7/99 · ~ Municipality of Anchorage Paa, I of 5 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 543-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Numbe~ SW990273 PID Number:. 017--391--20 Nome: THE THOMAS CO. Wastewater System: · New [] Upgrade P.O. BOX 770110 EAGLE RIVER, AK 99577 [W[ST/rXST] ABSORPTION FIELD [w~-r/~ Ph°ne:(907) 441--2664 ·Poop Trench I'lShollow Trench rlBed r'lMound DOth®r LEGAL DESCRIPTION ~' "~'0.6 ~/~ 12' (MAX) 22 8 MOUNTAIN PARK EST. 2.02/2.48 r~ 9.1/9.25 - -I - 0.15/1.15 r~ 2 O 50' EACH WELL: · New [] Upgrade 2+ ~. 2 18.5+ c~.~r~. (~*.~ ~..C)~RiVATE T~ ~.,., ~ T.: T.u ~ .,~ ~ .,'~'~: 280 ~ 170.6 r~ 1100+ ~.r~ ASTM D-5054/F-810 M-W DRILUNO INC. 9/25/99 155 r~ SANDER'S 8/24/99 ~'~ * 4-5 c~. UNKNOWN ,, 2 ~ TANK SEPARATION DISTANCES · S~pfic m Holding r'l $.T.E.P. from Ton~ F~ld St~Uo, T.~A S.,,., U,.. ANCHORAGE TANK 1250 Well 'J 00'+ 99.9° - - 25'+ STEEL 2 ,oo.+ ,oo.+ _ _ _ Weter tln~ 5'+ ~0'+ - - - ANON ro~ouo~ *'+ ~o'+ - - -~~'"' "' "~ '~ ~'~ I~' '~ '~' '~ Drain NONE KNOW~ I R..~ark~: ' ~."' r~O. EDGE Or WELL C~SI.G BENCH MARK TO EDGE OF CLEAN-OUT PIPE. TOP OF FOUNDATION CLEANOUT,, BOTH TRENCHES HAVE ARE.AS WrTH LESS THAN 5' OF COVER. TO BE RESOLVED IN THE SPRING OF 2000. "104.05 ~,s~c~ons ~rrorm~ ~y: AWWC. INC. Da~es: ~s~ s/2~/., l'"'::'"/7 Cn{f"'"l ':'"~, 2nd 8/24/99 i , ~ Department of Health and Human Services approval ~[~o, .. ............ ...['~,~, R~viewed and approved by: Date: - ~,-of.,,~o~, :~.,,::- PERMIT NUMBER: AS BUILT D~,WING PARCEl ID NUMBER: SW990275 ' 017-591-20 [ / / ~ ,SE CORNER OF N~ HOUSE ON / / / ' ~ / / / ~O4 93.4 96.6 ALAS~ WA~R & WASTEWA~R CONS~TA~S, INC. f 6901 DE~R R~. SU~ 2B. ~CHO~GE, ~. 99504 PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PREPPED FOR: PHONE NUMBER: THE THOMAS COMPANY (907) sw99o=73 AS-BUILT DRAWING - 8~.9 (AV~.) ' ~J (AV~.) ~ONB (907) ~7-617g/r~: (907) ~-324e UOUNTAIN PARK ESTATES ~UB~IVlSlO~; LOT 22, BLOCK 8 PROFILE AS-BUILT DRAWING OF SEPTIC SYST~" UPGRADE Lot 22 ~ '~ Lot 21 MUNICIPAUTY OF ANCHORAGE Department of Health end Human Services On-Site Servfces Program 825 L Street, Room 502 P.O. Box 196650. Anchorage. AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Aug 11, 1999 Expiration Date: Aug 10, 2000 Permit Number: SW990273 Legal Description: MOUNTAIN PARK ESTATES BLK 8 LT 22 Design Engineer:. 0041 AK Water & Wastewater Consulta Owner Name: Thomas Company % Mike Thomas Owner Address: PO Box 770110 Total Bedrooms: 4 Eagle River, AK 99577-0000 Parcel ID: 017-391-20 Site Address: 012921 RIDGEVlEW DR Lot Size: 20600 SQ. FT. 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 DHHS at least 2 hours pdor 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: {~~~~ Date: ~"'l It'~::~ Issued By: ~"~?"?~/?~'~-'~'-'*ffx C //~-~ Date: ~'//'(~----~ Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B ~Anchorage ~Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers August4,1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Well and Septic Design for Lot 22, Block 8, Mountain Park Estates Subdivision #I To whom it may concem: The proposed 4 bedroom house will be served by a private well and septic system. Two test holes were excavated on the property. Comments regarding the proposed septic design are summarized as follows: 1. SOILS: Attached are logs which shows the soil profile, and the percolation test results. The soils below the organic layers are a SM/ML material to a depth of 11 feet in TH#1 and to a depth of 18 feet in TH#2 (bottom of test hole #2). In TH#1 at 11 feet the soils transitions to a SM material to a depth of 19 feet (bottom of test hole #1). No groundwater was encountered during the excavation of the test holes. The percolation tests for TH#1 and TH#2 were performed between the depth of 6.0 feet to 7.0 feet and were 24 minute/inch and 10.7 minute/inch. 2. TRENCI! DESIGN: a. Percolation Rate: 24& 10.7minutes/inch b. Allowable Application Rate: 0.6 gallons/day/fl2 c. NumberofBedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 fl2 f. Total Depth: 12 feet (max.) g. Effective Depth: 9 feet h. Width: 2 feet i. Reduction Factor: N/A i. Minimum Length: 60 feet total lenglth (2 @ 30 feet long each) j Effective absorption area = 1080 fl' 3'. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPIIY: As can be seen on the attached topography site plan, the average slope is 10 to 15 percent running from approximately east to west; in short, there are no slope concerns. 5. WELL LOCATION: The well location is to be staked by a registered land surveyor in order to insure that the 100 well radius does not encroach upon any neighboring septic systems and to insure adequate area for the proposed and alternate septic systems. I am unaxvare of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. E., M.S. NOTE: ,4ttached is a site plan drawing, a design drawing, two soils logs, a topography site plan, and a 4 page construction specification letter which are all part of the design package for this septic system. ~_~ ~l ~~ ~ -~~' / ..... ~~~~~%~ i Y ~901 ~R E~ SU~ 2B. ~CHO~B ~ PHON~ (907) ~7-6179/F~: (907) ~8-3248 MOUNTAIN PARK ESTATES SUBDIVISION ~1; LOT 22. BLOCK 8, SITE P~N FOR WELL AND S[PTIC D[SIGN 441-2664 MIKE THOMAS W/ THE THOMAS COMPANY J.~M. I = 100' 1 ----------- -- ¥ / ~.,,/---PROPOSED DRNNFIELDS. EXCAVATE. -- ~ ..... J\~,,"""/ 1~/0 TRENCHES 12 FEET DEEP (MAX.) ......... I ,n, ._.~~~ // ,?""-..,. EACH (60 FEET TOTAL LENGTH). ADD ...... ~.j ,v ~l.n~ "'~.~.-~,. ~J ~-.9 FEET OF CLEAN. WASHED SEWER jr....... -.... / ~ ORIANROCK. INSTALL TRENCHES ~ ~ ! ~// ~ PROPD~' UNF. ~H£ PROPOSED WELL [OCA~ON, -"'"-- ~~ ~'~ P~SED NqO ALTERNATE StP11C SYST[~S. ALASKA WATE_K AND WASTEWATER. CONSULTANTS, INC. ,~'~"~-~'-'~ MIKE THOMAS W/ THE THOMAS COMPANY ALASKA WATER & WASTEWATER CONSULTANTS, INC. PHONE (907) ~57-6179 * F~ (907) DA~ P~FORMED: 4/~/99 ORG~ICS GC OL 3ROUNDWATEE .Eo~s~] 11 DATE RE. lNG CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINGES) RE. lNg (INCHES) 12 5/5/99 - PR~ P~C ~ FOR 4+ HOU~ PRIOR TO ~L 14 3 4:26 ~ 6' 17 18 lg PERCO~TION ~TE 24 (~IN./INCH) PER~. HO~ DIA. 6' (INCHES) 2 TEST R~ BETW[[N 6.0 FT. ~D ~.._0 DEPTH TO DATE 3ROUNDWATER DRY 4/~0/99 DRY 5/"//99 ALASKA WATER &: WASTEWATEB, CONSULTANTS, INC. ~ oF' PHONE (907) ,3.37-6179 * FAX (907) I SOIL LOG - PERCOLATION TEST I PERFORMED FOR: MIKE THOMAS W/ THE THOMAS COMPANY . I e tv. ^. ~orness..'''''3' DATE PERFORMED: 4/30/99 ~}o~2..e. ~_7953.....!~,.~ [TEST HOLE #2[ 'q~'%" ............ D ( ORGANICS ;. ? ,.~ PROPOSE $~ GC OL .~ --~'~ ,..*...., SP CH" DEPTH TO DATE ~u~j~ SROUNDWATER PROPOS~ DRY 4/30/99 Kt~tIIIII w/GM LENSES , ~----;5-_Vl~-[/~ . ltItllll[& FEW SW POCI~ETS 11 DATE READING CLOCK NET TIME WATER LEVEL~ NET DROP TINE (MINUTES) READING (INCHES) 12 5/;¥99 - PRESOAKED PERC CAVITY FOR 4+ HOURS PRIOR TO ~a 5/3/9~ 1 ;3:44 ~ 6- 2 4:14 ~0 MIN. 3-3/'16' 2-13/16' 14 3 4:17 ~ 6- 4 4:47 30 MIN. 3-3/16' 2-1,3/16' 15 5 4:51 ~ 6' 16 6 5:21 30 MIN. 3-3/16" 2-13/16' 17 18 19 PERCOLATION RATE 10.7 ,(HIN./INCH) PERC. HOLE DIA. 6" (INCHES) 2 TEST RL~ BETWEEN' 6.0 FT. AND ;'T FT. PERFORMED BY ALASKA WATER & WASTEWATER I. ~, CERTIFY THAT THIS WAS PERFORM~p/IN ACCORDANCE WITH ALL ~ATE'~D//¥1~IIClP,,~.-,'GUIDEUNES IN EFFECT ON THIS DATE. DATE: ~ / /' J/ DEPTH TO DATE ;ROUNDWATER DRY DRY $/~/9~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On*Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 017-391-'20 1. GENERAL INFORMATION Complete'legal description Lot 221 Block 81 Mountain Park Estates Location (site address or directions) Property owner Mailing address L~nding agency Mailin. g address Agent Address." Thomas Co. ~.O. Box 770110 12921Ridgeview Drive Anchorage, AK Day p~one 441-2664 Eagle Rivert AK 99577 Day p~one Day phone 4 Unless otherwise requested, HAA will be held for pickup. · NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: XX Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL= Individual on-site Holding tank Community on-site Public sewer Xx NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 of this Health Authority Approval application shows 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 Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm AUI~4(A WATER & WASTEWATER Phone ~'~ 7-~/7 ~ - -- Alaska Weber, & ...... Wastewater Consultants, Inc. Shall be PAID $ ,~,~3AO °° at, or prior to, closing for the Engineering Services Provided. ' 6. DHH$ SIGNATURE x~x Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with th~ following stipulations: Noney ~hall be put in escrow in the amount q~ 1.5 t~¢~ the B~ ~a 6f minimum of 2 bids from approved excavators pursuant to the attached engineer~s letter dated December 7, 1999. Honey in escrow shall not be released until office Elves final approval. Additional Commen~ This work shall be completed by no latar than June 15, 1999. Date The Municipality of An~:horage Department of'Health and Human Services (DHHS) Issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska.The DHHS does this as a courtesyto pumhasers of homes and their lending institutions in order to satisfy certain federal and state requlrements. Employees of DHHS do not conduct Inspections or analyze data before a certificate is issued. The Municipality of 'Anchorage Is not responsible for errors or omissions in the professional engineer's work. ALASKA WATER & WASTEWATER CONSULTANTS, INC. December 7, 1999 Municipality of Anchorage Depamnent of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 22; Block 8; Mountain Park Estates Conditional Health Authority Approval request Request you issue a Conditional Health Authority Approval on the referenced property due to winter conditions. Alaaka Water and Wastewater Consultants, Inc. designed and inspected the installation of a new onsite wastewater disposal system on thc referenced property. The in~allation was performed August 24 - September 8, 1999 by Sanders and Sanders Excavating. The well was drilled by M & W Drilling on 9/23/99. When an as-built survey was done, it was determined the well was drilled 99 feet from the edge of the trench. Due to this being new eonstmction, your department has said the trench must be moved outside the 100 foot well radius. Due to winter conditions, we request you issue a Conditional Health Authority Approval. The end oftbe trench will he relocated outside the well radius on or before the 15th of June, :2000. I~you have any it}iestions or require additional information, please contact us. JAGlgd 6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * email: awws~alaska, net Municipality Df Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICE8 Environmental Sen, ices Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 LegaJ Deschptio~: A. WELL. DATA Well type PRIVATE Log pmsant (Y/N) Total dept~ 280' Health Authority Approval Checklist MOUNTAIN PARK EST; LOT 22~ BLOCK 8 Pamel I.D.: YES Date completed Cased to 170.6' YES 017-391-20 If A, B, or C, attach ADEC letter. ADEC water system number 9/70/g9 Casing height (above ground) 2' Wires pmpefll/protected (Y/N) YES AT INSPECTION FROM WELL LOG s/2 /gs 155' 4 - 5 .g.p.m. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 .~_~ g.p.m. Collected by:. Other bacteria A.W.W.C,, INC. B. SEPTIC/HOLDING TANK DATA Date installed 8/24/99 Tank size 1250 Number of Compmtmants ., YES Depression (Y/N) NO High water ahlrrn (Y/N) Foundation cleanout (y/N) Date of Pumping NEW C. ABSORI~ilON FIELD DATA Date installed 8/24/99 Length 60' (2 o 30')Wicnh g ~eanouts (Y/N). YES N/^ Soil rating (g.p.dJfF or lta/bdrm) O.6 System type TRENCH 2'+ Grawlthiclm__~_belowpipe~TotaJdep~ 12' MAX. EffeclNeabsoq:Wonama1100+ sq FTMonltodngTubepreseht(Y/N)YF'R Depmssionov~rfleld(Y/N) NO Fluid depth in absol~on field bofom test (i n.): Rutd depth (ins r: Ab~on rote - g.p.d. ._.Pefm~:~"E~'m~em ~ 12 monU~) (Y/N) If ye~, ghm dine D. UFT STATION Date installed ~ Manhole/Accese (Y/N) ~.....~,,~'P"~vel at' High water alam~ level at* / 'Datum E. SEPARATION DISTANCES "Pump off" level at' SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line 100' + 99.9' 25'+ 100'+ On adjacent lots On adjacent lots 100'+ Public sewer manhole/cleanout Lift ~[a~on N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundalion 5'+ Property line 5'+ Absorption field. 5'+ Water main/sewloe line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Prope~/line 10'+ Building foundation 10' Water main/se .Mce line 10'+ 10'+ Surface water 100'+ Driveway, parking/vehicle storage area Curteln drain NONE ~_~ Wells on adjacent lots 100'+ HAA Fee $, Date of Payment Receipt Number 72-o26 (Rev. 3/9s)* WR% WR990093 Date Received: MUNICI~PALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Wdiver Review Worksheet PID% 017~391-20 HA% HA990573 November 22, 1999 Permit Legal Description: Mountain Park Estates. Lot 22. Engineer: Alaska Water & Wastewater Consultants 690[ DeBarr Rd., Anchora~e~ AK 9950& Applicant: Th~m,~ Waiver Requested: A Criteria: 1. Points: Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: List Conditions or Reasons Waiver is NOT Granted: X for above: Rec %: By: Amount: $ 920.00 Name of Reviewer Date Paid: l~-??-qq