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HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 5V LT 5ARabbit Creek
View Heights
Block 5V
Lot 5A
#020-541-52
Municipality of Anchorage ,•' ` '° ,
Department of Health and Human Services
/ Building Safety Division
On-Site Water and Wastewater Program, 4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 4-
www.ci.anchorage.ek.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
o3z-i1
Permit Number. SWSW010328 PID Number: 020-M-0
Name:
Wastewater System: ® New ❑ Upgrade
Address:
811 Nelchina Street. 99508
ABSORPTION FIELD
Phone: Number aBedrooms.
O Deep Trench 0 $hall"Trench O Bed O Mound ® Omer. Sand Filter
LEGAL DESCRIPTION
Soil Rabng:
npnilrtBloctc
Total Depth hrn ooriginal grade
Lot Subdivision: i✓r W
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
Township: Range: Section:
FII added above origmal grade.
Gravel Length:
Well: ®New ❑Upgrade
Gr" width:
Number of hoes-
Distance between lines.
Classification (Private, q B. C):
Private
Total Depdt
127 Fi I
Cased to:
FL
Total absorption area
360 F?
P" Matenal:
3034 PVC
Driller:
Data Drilled
Static water Level:
Installer:
Date Installed
YieldPump
Sat at
I
Casing Height Above Ground
TANK
4 GPM
Ft.
Ft
SEPARATION DISTANCES
❑ Septic ❑ Holding ® S.T.E.P. ❑ Other.
To
Septic
Absorption
Lift
Holding
ubliMPdvate
Manufacturer.
Capsoty.
From
Tank
Field
Station
Tank
Sewer Line
Anch Tank
1500Ga1
WellSteel
113
112.9
114
75
Material:
Number of Compartments:
2
Surface water
100+
100+
100+
LIFT STATION
Lot line
82.7
42.2
82.7
size:
250 Gai.
Manufacturer.
Anch Tank
n/a
n/a
n/a
'Pump ort' level at
*Pump olr level at
High water alarm at
Foundation
20 in
24 in
14 in
100+
100+
100+
Pump Make d Model
Electncal htapections performed bY:
Curtain Drain
OR NCO
House not constructed at this time. Well does not
House
BENCH MARK
Location and Description:
have a sanitary seal at this time.
Nail In tree
Assumed Elevation:
100.0 Ft
Engineer's Stamp
OF
Ar eo
Inspections performed by: Pannone Eng, Svc Dates: 1``9/8/2000
�`:' ^ ,TH /�' '; to
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2nd0613012003
Department of Health and uman Services approval
;Steven '. Pannone: �iiar
'(J
Date:
# Ar
No CE 8149 �
Reviewed and approved by: 2
j
7.i'j•••`••(v`',�
♦♦♦W.............
(Rev. 11199)
N
PERMIT NO: SW010328 AS -BUILT P,I.D. NO: 020-112-14
p -g WASTEWATER ABSORPTION SYSTEM Z/4
i._rlT 5 B Ll�7f""t lTC` /• `
NEW P IMARY 41.6
DRAIN FIELD,
BOTTOMLESS SAND ILTER
30 LFxl0'x ' EFF 8 ,7
T I �I
I I �
RESERVER DRAIN FIELD I
BOTTOMLESS SAND FILTE LsJ-
30 LFx10' 3' EFF 5,5-
10
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Q
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LC1CK 5 RABBIT CREEK ,-t�1
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811 Nelchina St
Anchorage, AK 99508
���
(907) 279-7336
1 �
(907) 727-3363
ET G
+`
i WELL
j
20' CUT
BANK
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1
5.6
-NEW
WELL /
JGARAGE
P0POSEDl,APARTMrN
NEW P IMARY 41.6
DRAIN FIELD,
BOTTOMLESS SAND ILTER
30 LFxl0'x ' EFF 8 ,7
T I �I
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RESERVER DRAIN FIELD I
BOTTOMLESS SAND FILTE LsJ-
30 LFx10' 3' EFF 5,5-
10
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PREPARED FOR;
fen R. Pannone: =
Mr. Lonnie Shagena
No. CE 8149 4"N=
0
811 Nelchina St
Anchorage, AK 99508
���
(907) 279-7336
1 �
(907) 727-3363
2:1
2:1
'7.
EXIST'G
WELL
INSTALL 4IR PU P
RUN AIR INE
SAND FIJER
i NEW 150ig
i- INTERMIIENT DOSING
i S.T.E.�� TAN
I
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1 W
0
u
DESIGN: a \\'�
5 BEDROOM HOUSE
FERC RATE 1.5 MIN/INCH
DESIGN FLOW 750 GPD
APPLICATION RATE; 4 GPD/SF
AREA REQUIRED 188 SF
5 -WIDE TRENCH 40' LONG
1' EFFECTIVE, 2' TOTAL DEPTH
200SF TOTAL AREA
PANNONE ENG, SVC
P, ❑. BOX 102954
ANCHORAGE, ALASKA 99510
272-8218 Phone & Fax
DATE: 7-8-0o JAS -BUILT
ISCALE, 1'=60'
PERMIT NCI° SWO10328 AS—BUILT DETAILS P11), NO 020-112-14
WASTEWATER ABSORPTION SYSTEM
LOT 5, BLOCK S RABBIT CREEK Hf-ittttt- V'i��
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Steven R. Pannone; i PANN®NE ENG. SVC,
•�1 No. E 8149 i Mr. Lonnie Shagena P, 0. BOX 102954
•�� �1 811 a AK 99508
� ?.� Anchorage,•.**ANCHORAGE, ALASKA 99510
•
-� (907) 279-7336 272-8218 PHONE & FAX ,�1\\\�����• (907) 727-3363 DATE1 6-28-00 q$-BUILT
NOT T❑ SCALE
I`
107Y DRILLING
WATER WELL RECORD
3540 AKULA: DRIVE-.
STATE OF ALASKA
ARCHORAGE, AK
DEPARTMENT OF NATURACRESOURES
907) 345-0593
Division of Geological _8 Geophysical Surveys
4L
LOCATION Of WELL (Please Complete eitherDrilling
lo, lb or 1c.)
Permit No. v
lo.Borough A.D. L. No.
S division Lot Block -Lb—] 1/4 ql rs. SOCIlon No. Townsh 1PNRange
O . E 0
—of—at of
71.. DISTANCE AND. 01 TI N FR ROAD INTERSECTIO
�6 %•_
WO
3. OWNER OF WELL
-jL
K"
11IN 0 V, a- jz�
Street Address
Addleilz!
an Area Of Well Location
CA M a.
2. WELL L Feet Below
Material Type Surfoco
Top Bottom
4. WELL DEPTHS (final) 5. D-peqo; Compl."lam
ft. 0
I L
6. 0 Cable toolRotary0 Driven 0 Dug
❑ Auger OJ*ttod'* C] Bored 0 Other:
7, USE: YVI
)N OOM0611c. 0 Public -'jupply❑Industry
,
0 Ifrigollon Cj_�. Rechar." 0 commerical
0 Toil Well 0 Other:
8. CASINGs Lj ThreadedWelded
diem. 6 /)M
in. lo� I,Depth Wei hl _ lbs./ ft.
diam, In; to ft. 0•pfh SlIckup_ it.
9: FINISH OF WELLS
Typo:
Slot/Moth Site: Length:
Sol between (I. and
Backtilling Gravel Pack
10. STATIC WATER LEVET
0 Above or 0 1 Dillow land 'surface ofit
Equipment Used:
PUMPING LEVEL below land surfac 0 and YIELD
after hrs. pumping_,.P.,.
affor_hrs. pumping_,.,.,.
12.GROUTING Well Grouled: Yes 0 No
Material: C]Neat Cement 0 Other:
— ------- -------
13.Pumpt (i( bvollobis) HP
7—
Length of Drop pipe capacity
-----------
9. P. on.
0 Subm. 0 jet 0 ConlrIfIcal 0 Other .
Ia PS:UAQVq:
I I �j /0 te\_
16* WATER WELL CONTRACTOR'S CERTIFICATION:
Thi's Well Was drillej 15- Water Temperature —0
4 n d6f MY Jurisdiction end this C
=W1.1.1 _T MP -1. =77
,• RO-isfYrYd report is true to 1he best of my knowledge and belief;
Bus'ne s N -am a
Contract License Number
A I" 1� Dew k
Form 02-wwR 0)/ai)
COPY 0151fibuliort, WHITE - S1010 OGGS,
PINK"Ofillef. CANARY- CUSIO'Mor
0 C,
MUNICIPALITY 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
Renewal
Permit Number: SWO10328
I Legal Description: RABBIT CREEK VIEW BLK 5 LT 5
Date Issued: Aug 22, 2001
Expiration Date: Aug 22, 2002
Parcel ID: 020-032-29
Design Engineer: 0062 Pannone Engineering Services Site Address: 016251 GENEVIEVE ST
Owner Name: LONNIE SHAGENA Lot Size: 35625 SO. FT.
Owner Address: 811 Nelchina St. Total Bedrooms: 5 Permit Bedrooms: 5
ANCHORAGE , AK 99501-0000
This permit is for the construction of.
Disposal Field F� Septic Tank E] Holding Tank [:] Privy Q Private Well Ej 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 and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: _43/Q
Date: Cj " 2 4 —Q/
n
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 SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O 0210- OF>q
Permit Number SW0/0328
Property owner(s)_L 6 bl n i t
"l a g
QK c1 Day phone ra% 9' 733
Mailing address (1)�
T�
fpat:
Mar�mg address (2) 14;25-1U/ ���
�-
Zip Code99x61
Legal description (Lot, Block & Sub'd.) _
L o
!} b-- U
Legal description (Section, Township & Range)
Lot Size -'77,1510 (v�Acres/Sq.Ft.
Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
❑
Well Only
Sewer and Well
❑
Water Storage ❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi ❑
Swimming Pool
❑
Water Softening Unit ❑
Therapy Pool
❑
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 au
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
Mm CD ra;�
9 /9 /Ocie 3l
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Aug 28, 2000
Expiration Date: Aug 28, 2001
��-oma-a9
Permit Number: SW000334 vlew Parcel ID: 02e-tt2-"
Legal Description: RABBIT CREEKT-&BLK 5 LT 5
I<✓.ZsI G—levoe.V; tJ e_ 5T.
Design Engineer: 0062 Pannone Engineering Services Site Address:
Owner Name: Lonnie Shagena Lot Size: 2i�.- .. 35p;2_S
Owner Address: 1094-JeMwiay4Df. g// Ne fr- ria Sr. Total Bedrooms: 5 Permit Bedrooms: 5
T q sd I
This permit is for the construction of:
0 Disposal Field 0 Septic Tank E] Holding Tank E] Privy
All construction must be in accordance with:
1. The attached approved design.
E Private Well F1 Water Storage
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 ( 1 BAAC80 ).
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
Issued By:
Date: Zo
Date: 6— 2 8 `0
Pannone Bneineefine SenIces, LLC P.O.BLA,102N
Consulting Engineers Anchorage, Alaska, 99510
(907) 227-3522 (907)272-8215 Fax
June 28, 2000
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519 Nf-'t"�
S s- 2A t3i -r cOK A
Subject: Lot Z, Block 9 S. ' -- ---' Hi S/D
Septic Upgrade Permit
Gentlemen:
My firm was contacted to conduct an investigation at the above referenced property for
the purpose of installing a septic system for the proposed house. Two test holes were
excavated on July 19, 2000 for a potential system. The soil report and percolation test
results are attached. Ground water was not encountered in this test hole. Bedrock was
encountered at seven feet in the test hole.
The lot is approximately 1.3 acres in size. Lot 5 slopes to the west at a rate of
approximately 25 to 35 percent. The proposed installation will be located in the central
portion of the lot on a relatively flat area (approximately 5% slope). The proposed
location will be greater than 100 feet away from the proposed well serving this property
and 25 feet from the water service lines. The surrounding systems are located greater
than 100 feet from the proposed installation. The lots surrounding this lot are
developed, but do not conflict with the proposed installation. The proposed installation
will not impact the future development of the surrounding or existing lots. See attached
design. The new system will maintain over six feet vertical separation to the bedrock
and over four feet vertically to the ground water.
Please contact me at 272-8218 or 227-3522 if you have any questi
Sincerely,
�en R. Pannone, P.E.
Attachments:
C:\WORK\LE7TERS\2-3SLAKEWOODIiILLS.001.DOC
I "EMMIT NO, DESIGN
WASTEWATER ABSORPTION SYSTEM
LOT 5, BLOCK 5 RABBIT CREEK HEIGHTS
EXIST' ;
W�LLL�
20' CU BANK -
00
I
t
1
PROPOSED PRIMARY
DRAIN FIELD r
g+ T❑MLESS SAND rILTER
30 LFx10' 3' EFF
r - -... - t'
PROPOSED RE'.
DRAIN
IMLESS SAND
30 LFx10':
Cl\
' EFF
P.I.D. NO,
t
PROPOSED
�WELLI
PROPOSED GAF
W//APARTMENT.
INSTALL AIR f
/ RUN AIR LINE;
SAND FILTER%
PROP❑SED15 C
�NTERMITENT DC
S.T,E.P. T/1�J
- - -
........................, 4ill H
I EXIST'G
WELL7� s.
s i
4 � I
DESIGN
5 BEDROOM HOUSE
PERC RATE 1.5 MIN/INCH
DESIGN FLOW 750 GPD
APPLICATION RATE, 4 GPD/SF
AREA REQUIRED 188 SF
5 -WIDE TRENCH 40' LONG
;;�� 1' EFFECTIVE, 2' TOTAL DEPTH
VGdV�S� 200SF TOTAL AREA
PREPARED FORt PANN❑NE ENG. SVC
Mr. Lonnie Shagena P. ❑. BOX 102954
Anchorage, AK 99516 ANCHORAGE, ALASKA 99510
(907) 279-7336 272-8218 Phone & Fax
(907) 727-3363 DATEi 7-8-00 DESIGN
1'=60'
PERMIT NO, DESIGN DETAILS
P.I.D. N0+
WASTEWATER ABSORPTION SYSTEM
LOT 5, BLOCK 5 RABBIT CREEK HEIGHTS
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rAV
Mr, Lonnle Shngenn
�106. No. CE 8149 : a P. O. BOX 102954
e �.06J. 1 Anchorage, AK 99516 ANCHORAGE, ALASKA 99510
•••••....... �r (907) 279-7336 272-8218 PHONE & FAX
����R"'i tS5=•:.�� (907) 727-3363 DATE, 6-28-00
DESIGN
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. .........
.*44"m LAM - FERCULNEXON -1-8wr AV x
PANNONE ENGINEERING SERVICES, LLC
my
P.O. BOX 102954 : 4
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ANCHORAGE, AK 99510 'n -on
(907) 272-8218 -n -R-,--P--c-3 e
Ste L anno
C 81 9 rr
',t,,Stev 8149 _er'
No. C 4 el'14
PERFORMED FOR. Mr. Lonnie Shagetia DATE PERFORMED: 7-19-00
LEGAL DESCRIPTION: Lot 5, Block 5 Rabbit Creek Heights
SLOPE RIM PL
Orpnit-
F-o`R-� 're"Im'" <
1
2
3
4
6
7
a
9
10
11
12
13
14
is
16
17
is
19
20
POORLY GRADED
Sp/ GRAVELS & SAND
OP I
BOH
FRACTURED
BEDROCK
READING DATE GROSS
TUM
NET
TIME
DEM OF
WATER
NET
DROP
7-19-00
6 5/81
--
19,35
la
DRY
6 5/8'
19-55
—
& 5/80
--
. ...........
TEST HOLE
DRY
6 5/8'
2005
—
16 5/13-
—
20115
10
DRY
6 5/81
L&j
........
Ll
>
Ld
>
Li
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L
WAS GROUND WATER
-----------------
SLOPE
ENCOUNTERED? NO
TESTHOLE
TF YES, AT WHAT
DEPTH?
DEPTH TO WATER AFTER
MONITORING? Dry
DATE: 7-28-00
READING DATE GROSS
TUM
NET
TIME
DEM OF
WATER
NET
DROP
7-19-00
6 5/81
--
19,35
la
DRY
6 5/8'
19-55
—
& 5/80
--
20,05
10
DRY
6 5/8'
2005
—
16 5/13-
—
20115
10
DRY
6 5/81
PEROLATION RATE 1.5 fynin/inchl PERC HOLE DIAMETER
TEST RUN BEWrEEN 3 FT and 4 FT
COMMENTS: Test hole excavated by Dan Beck. Test Hole was presoaked before perc test.
PERFORMED BY. Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDEINES IN EFFECT ON THE DATE OF THIS TEST.
PROPERTY OWNER AGREEMENT
FOR THE MAINTENANCE OF AN
ON-SITE WASTEWATER DISPOSAL
SYSTEM
This agreement, dated $/ 2 6 / oo 499L, is made between the Municipality of
Anchorage Department of Health and Human Services (DHHS) and the property
owner(s) of:
Lo -r 4;'_at.oc4 9 -
This
This agreement is made for the purpose of maintaining an on-site wastewater disposal
system on the subject property.
The property owners agree to the following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
operation statement from a registered professional engineer. This inspection and
operation statement shall verify that the engineer has inspected all effluent and air
pumps, timers, and alarms, and that any deficiencies have been repaired and that the
system is functioning as designed.
Lo.v.v i er SO -A,-,,4 dz A
(Printed Name)
(Notarize Here)
(Signature)
(Printed Name)