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Home My WebLink AboutMOUNTAINSIDE VILLAGE BLK 4 LT 1Mountainside Village Block 4 Lot 1 #020-172-08 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 3 www.ci.anchorage.ak.us (907) 3437904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW SW020202 PID Number: 020-172-08 Hone: Rusty Becker Wastewater System: ❑New ®Upgrade 901 Mt Sida villp9e nrive, 99516 ABSORPTION FIELD Phots: rwleer of 9edoome: 345-9R42 4 ® Deep Trend) ❑ shell"Trench p Bed o Maid o DOW. LEGAL DESCRIPTION Sol paling: Total Depth "m wonal pada: 1.2 nmr? 9 Fr Mork: I.M. SIAtiNalon: Depth to post bottom hon or" Waft: Grant depth beneath pipe: 4 1 Mt. Side Village 2.5 n 6.5 n TW Wap: Renge: SeNal: Fd added abM glom pude: Gavel Length: 1 Ft. 4 Fr. Well: ❑ New El Upgrade Gavel a+oh: lancer of wee: Pstanca beneeerl knee: 3 Ff. 1 0 n Oesrhuarl (Pnvre. A B.4I TotalDeptm Cased lo: Tali abeonpeom erect: Pipe Mot": Fl.I FI 520 Ft F810/3034PVC Dnnr. Date Drilled:Static Wis levN: waUW .. Data lnsMlled: Ft A+ Home Services 7/23/2002 Yield: I Piny Ben k I calling Hollisove Grand: TANK GPM FI, n. SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ❑ Other. To Septic Absorption Lift Holding %biicrPrlrale M°'xdadt' capal w. From Tank Field Station Tank Se Llne AnehTank 1250Gr. was 127 137 136 110 MakvW. Wnibar of Canpammnl4 steel 1 2 s.Wcewalen 100+ 100+ 100+ LIFT STATION Size: Lotune 54 68.6 45 250 Gal Oro/Anch Tank Foundation 44 17.6 30 Tp^en on' kr`sl M In at -"dr"at I Wgh wren ahamM M. Q.t.n Darn 100+ 100+ 100+ Pump Make a Mods aed Tical Mspeo "Wored br: MOA R 'viru: BENCH MARK LaodM and Descnwon: Front Porch Inspections performed by: Pannone Enq. Svc Dates: 1"7/2312002 2nd07/24/2002 Department of Health and Hju�n)an Services approval Reviewed and approved by: �f`!► Date: I IIICL (iev.1111N) 1 I Assumed Eon aacn: 100.0 FL Engineer's Stamp PERMIT NO, SW020202 AS -BUILT P.I.D. NOo 020-172-08 WASTEWATER DISPOSAL SYSTEM LOT 1, BLOCK 4 MOUNTAIN SIDE VILLAGE S/D NO WELLS OR SEPTIC 4/ W/IV 200' 3F PROPOSED�Lj~ ti �0 NSTALLED FVM ISTALL BA _L -TY 3-W VAL _.._ST'G D INFIELI 98% US D. TO REUS I E STZ wl EPTIC T N IN PL X20% TOP OF— TER- ----.EXIST'G WELL Fl\Work\7RAW ING\ _—4MOL$gTA SWING TIES CO A B FC 28.7 2.0 T1 44.1 21.5 T2 48.3 28.6 LS 49.6 30.5 MT 35.5 33.5 NO WELLS OR SEPTf W/IN 200' OF PROP❑ SYSTEM. f REPLACEMENT FIELD IDEx4OLFx6.5'ef. ANEW 1500g •6 S.T.E.P. TANK EXIST'G 4BR SHOUSE i ) PREPARED FOR, Rusty Becker 17901 Mt. Side Village Drive Anchorage, AK 99516 345-2892 NO WELLS OR SEPTIC W/IN 200' OF PROPOSED ,SYSTEM. AS—BUILT, PERC RATE= 3 MIN/INCH 125 SF/BR, 4 BR HOUSE 500 SF REQUIRED DEEP TRENCH, 6.5' EFF. 40LFx 3', 9' TOTAL DEPTH TOTAL AREA=520 SF 1500g S.T.E.P. TANK PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax DATEo 8-14-02I AS -BUILT SCALEt 1'=50' PERMIT NO, SW020202 AS -BUILT DETAILS P.I.D. NO, 020-172-08 WASTEWATER ABSORPTION SYSTEM LOT 1, BLOCK 4 MOUNTAIN SIDE VILLAGE S/D NOTEI 1) ALLWORK WAS BE PERFORMED IN ACCORDANCE WITH, & ALL METERIALS 0 00 SHALL CONFORM TO AMC15.65. 16 0; 2) SEE GENERAL NOTES ON SHEET 1. 0 0) 3) ADDED A MINIMUM OF I' OF FILL OVER lna NY313 ENTIRE TRENCH.;:;:;t; 49TM ';1} Y d f d O '•'•'•' f 3anl 8011NON I _a u a. s Z C o O O L 5� K H N I` Ca c I— LN W i U H [i Ld t` M 1n0 NV313 cq CV) a) OL •6 0� T CO Ib V.5� Q 0 6.5' CoC30 1 � I 49TM ';1} Y d f 1110 NW313 1n0 NV313 1n0 NY313 NauVaNnO! 0 Cc\Work\DRAWING\1-4MOUNTAINSIDEVILLAGE.DWG ff PREPARED FORT Pannone Eng. Svc., LLC CE 814gnnone;Am Rusty Becker P. 0. BOX 102954 .��i 17901 Mt. Side Vittage Drive ANCHORAGE, ALASKA 99510 '' `<%� Anchorage, AK 99516 272-8218, PHONE & FAX 345-2892 DATEt 8-14-02 NOT TO SCALEI AS—BUILT J O '•'•'•' f 3anl 8011NON I 5� N W H 1n0 NV313 CV) a) OL •6 0� T CO 1110 NW313 1n0 NV313 1n0 NY313 NauVaNnO! 0 Cc\Work\DRAWING\1-4MOUNTAINSIDEVILLAGE.DWG ff PREPARED FORT Pannone Eng. Svc., LLC CE 814gnnone;Am Rusty Becker P. 0. BOX 102954 .��i 17901 Mt. Side Vittage Drive ANCHORAGE, ALASKA 99510 '' `<%� Anchorage, AK 99516 272-8218, PHONE & FAX 345-2892 DATEt 8-14-02 NOT TO SCALEI AS—BUILT 07/28/2002 11:10 M 907S888770 .fir Home Services, Inc. ®001 i JU6-23-2002 06167 AN FDO. GLGCTRSC /---Rwb 272 4690 r.OL sra'Ar . 7/23/2002 SUO PAGE 1/1 RLSLLtFAX inspection Report Munlc"ntr of Anchorage, SuNing Satrti Dtvlalon 4700.0outh Srapaw InSP'SCT:OPh VCM 346-8300 :► E XUQAe PA7C (eo7)s4a-ms XMFM 3434MIL name EDW ELECTRIC ParmM 02-4730 AedreW 1790L MOUNT INME pool 272-4591 MAGE DR Lapel 69 4 LT 1 Lrup Man Dole 7/24/2002 AM Suamvldon MOUNTAMSMevnLAae Cornrne s Or Opeotlorrs AM U1SP/ CALL PMFLTO INSPECTION TO MEET Irapactlon Retro eklmico1 Ndwpw.thm N NO NONCOMPLEM M OE6MM ❑ COMMCMNS ESSENTULAS EXPLAINED BELOW WILL RE-EXAMDIE AT NEXT DO NOT CONCEAL UN M Re7NSPECTION C3 WILL C) COMFUM I sI (for kepcew use ony) Str�� S.�rTlrh Q.6f,ro0CA.V�i/ (/,/DA Y. Cid. 7 2y MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 02, 2002 Expiration Date: Jul 02, 2003 Permit Number: SW020202 Parcel ID: 020-172-08 Legal Description: MOUNTAINSIDE VILLAGE BLK 4 LT 1 Design Engineer. 0062 Pannone Engineering Services Site Address: 017901 MOUNTAINSIDE VILLAGE DR Owner Name: Rusty Becker Lot Size: 142181 SQ. FT. Owner Address: 17901 MOUNTAINSIDE VILLAGE DR Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-5735 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 and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 7//5-102 EAiG. CALL £O ; fe-/3pTs ra Pu T 07191vFICG 0 i�DCr_✓' �r�l of sfwflQ Rdcl< 4 19`00 (,ALGoN 11-///n Received By: ?Qr_A Q4'1c� _ Issued By:V .. ln'�. Date: 7/Z/OZ-- Date: 7/2/02 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 995196650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020.172.08 Permit Number SW02020Z Property owners) Rusty Becker Day phone 345.2892 Mailing address (1)17901 Mt. Side Villaqe Dr. Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Lot 1, Block 4 Mt. Side Village Legal description (Section, Township & Range) Lot Size'A /1"M,1?/ Acres! q.Ft. Number of Bedrooms 4 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 ❑ I certify that the above information is correct. 1 further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. 5� (Signature of property owner or authorized agent) Permit Fees: L',()oCU / Date of Payment: tD I P-$/ ca Receipt Number. 317 7 S 54 (Rev. 12100) Waiver Fees: Date of Payment: Receipt Number. Pannone Engineering Services, LLC Consulting Engineers (907) 272-8218 June 23, 2002 Municipality of Anchorage Development Services Department On -Site Water 8s Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 1, Block 4 ML Side Village S/D Septic System Replacement Permit Request Gentlemen: P.O. Box 102954 Anchorage, Alaska, 99510 (907) 272-8218 Fax My firm was contacted to a Health Authority Approval of the septic system serving this lot The existing Trench was found to be 98% saturated. The system past an adequacy investigation on May 15, 2002. I informed the new and old owner the system should be upgraded. I was authorized by the new owner to upgrade the system. A single test hole was excavated on June 1, 2002 on the lot The soils report and a percolation test result is attached. Ground water was monitored for seven days. No bedrock was encountered in the test hole. Ground water was not encountered. Seeps were noted at a depth of fifteen feet This depth will be used for the design water table. The lot is approximately 135217 square feet in size. Lot 1 slopes to the west at approximately 1- 2 percent in the area of the test holes, and then steepens to approximately 15 percent on the western portion of the lot The existing septic tank is suspected to be in failure and will be replaced with a new deep burial 1250g septic tank. The proposed installation will be located on the western portion of the lot. The lot is served by a private well. The proposed location is greater than 100 feet away from existing & neighboring wells and 25 feet from the water service lines. The surrounding wells are located greater than 200 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, I teven R. Pa one, P.E. Civil Engineer �J Attachments: Q\Work\Letters\1-4 Mt Side Village.001.doc n'H .... �F55kQ .. 0 PERMIT NO, DESIGN P.I.D. NOo 020-172-08 WASTEWATER DISPOSAL SYSTEM LOT 1, BLOCK 4 MOUNTAIN SIDE VILLAGE S/D � l7 V NO WELLS OR SEPTIC �~ W/IN 200' OF PROPOSED SYSTEM. z NO WELLS OR EPTIC W/IN 200' OF RO71,NSTALL D SYSTEM. eF/OWSPJ INSTALL BAXL-TYPE 3-W VALV EXIST'G D INFIEL 98% US D. TO REUS D. ,v N �1 W� E ST' 250g EPTIC TA - ABA ON IN PLAC ,---pay TOP OF SLOPE OF 3SED REPLACEMENT FIELD TRENCHES, 5'WIDEx45LFxl'ef. PROPOSED DEEP BURIAL 12508 SEPTIC TANK EXIST'G 4BR /-HOUSE 1 NO WELLS OR SEPTIC W/IN 200' OF PROPOSED SYSTEM. DESIGN, J PERC RATE= 3 MIN/INCH / 125 SF/BR, 4 BR HOUSE 500 SF REQUIRED 5 -WIDE DRAINFIELD SYS, 1.0' EFF. REDUCTION FACTOR = 0.87 TWO TRENCHES 45LFx 5', 9' TOTAL DEPTH TOTAL AREA=450 SF DEEP BURIAL SEPTIC TANK PREPARED FOR, Rusty Becker 17901 Mt. Side Village Drive Anchorage, AK 99516 345-2892 PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax DATE, 6-23-02I DESIGN SCALFe 1'=60' PERMIT NO, nc,�Trr\l nPTAILS WASTEWATER ABSORPTION SYSTEM LOT 1, BLOCK 4 MOUNTAIN SIDE VILLAGE S/D NOTE, 1) ALLWORK SHALL BE PERFORMED IN ACCORDANCE WITH, & ALL METERIALS SHALL CONFORM TO AMC15.65. 2) SEE GENERAL NOTES ON SHEET 1. 3) ADD A MINIMUM OF 1' OF FILL OVER ENTIRE TRENCH. 4) INSULATE DRAINFIELD WITH 4- RIGID INSULATION WHERE IT CROSSES THE DRIVEWAY. 5) RESERVE DRAINFIELD IDENTICAL TO ORIGINAL WITH 10' SEPARATION TO ORIGINAL DRAINFIELD. 6) rESERVE FIELD MAY BE INSTALLED AT SAME TIME AS ORIGINAL FIELD. I x S' 1, Y Z a0 ° 0C ,---1 '. c c 10' F— ° ° U a a U 4 :' i N 7.s• —1'— � 3 O 13 R. P.I.D. NO, 020-172-08 LM NV313 ••• 38(11 wIINON tt CC t ,�y33 u N 1(10 Nv313 I N ,n 00 NV3V 1 1(10 NV3V 1r10 NW313 NOILvaNr10! W J C3 CL G\Work\DRAWING\1-4MOUNTAINSIDEVILLAGE.DWG PREPARED FOR, Pannone Eng. Svc., LLC 49 Rusty Becker 17901 Mt. Side Village Drive Anchorage, AK 99516 c1c1�� 345-2892 P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218, PHONE & FAX DATE, 6-23-02 DESIGN NOT TO SCALE W= Ras - McmD0l&uWm 7= PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORA03E.AK99510 On 272-8218 DRIEDFOR: Rwb'Bo*w DATEPBRFORIWD:6-01-01 FOAL DEampnom.- lm 1. Bladt 4 Yt aide VGlxw 8/D Tib[ HO1Z 1OR Onpalo- Roa MA" 1 2- 3— we80tlaQ ow ands a Band 4- 3— — 3— mm HOLT 6- 7— a- 9- 10- 11 - 7— a- 9- 10 - 11 — 12 — 13 — 14 — IS — 16 — 17 — 18 — 19 — 90 — WAS GROUND WATER KDM ZNOOUNTZRZD? No 7= IOU IF YES. AT WHAT BOLI DEPfW 4) - DEPTH TO WATER AP71ER HONIIOR ING? -0- DATE: 673-01 1RADDId nm 0aeaa aR ne"ar Now Tom Tam WATU Imm 6-1-02 1%36 6• -- 1%46 10 2 11/16' 3 5/16• 1%46 -- 6 3/W ---- 19-56 10 3 1/16• 3 5/16• 1936 -- 61/4- --- 2006 10 2 15/16• 3 5/16• PEROIATION RATE 3tmin/hwhl PBRC HOLE DU=%R 6 bwhw TEST RUN BZW ERN 8 I and 9 FT CO)ndW Teat bole esesvated by A+ Home Setvica. Tat hole was pceBoalmd before peen test. PERFORMD BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORWM IN ACCORDANCE WITH ALL STATE AND W UNICIPAL OUMLINE8 IN EFFECT ON THE DATE OF TWS TEST. GRE. ..R ANCHORAGE AREA BO(H yri Department of Environmental Quality 9`'°"` 3330 C Street Anchorage, Alaska 99503 INSPECTION_ REPORT ON-SITE IJ C!�ryCC SEWAGE DISPOSAL SYSTE�/M 7 NAME �'� MAILING ADDRESS__JP j �1 �Sj `�_0 PHONE LOCATION�LEGAL DESCRIPTION !v�4 SEPTIC TANK: DISTANCE / NUMBER OF / FROM WELL `d3 MANUFACTURER A�A MATE RIAL-COMPARTMENTS /r> INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ,;Z- GALLONS. TILE DRAIN FIELD: // 0'eAk0 'r TOTAL LENGTH G DISTANCE FROM WELL FOUNDATION NEAREST LOT LINETOF LINES 1!� NUMBER OF LINES _ DISTANCE BETWEEN LINES -TRENCH DF N. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE - d DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ZZ. MATERIAL BENEATH TILE ___--IN. ABOVE TILE ___ IN. WELL: a/) �/ TYPE V1 //PCONST RUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL APPROVED _ DISTANCES: - _ - OTHER SOURCES DISAPPROVED-___ INSTALLED BY: 6E 4 SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS Form EQ -032 NEAREST SEPTIC SEWER LINE TANK _ REMARKS DEPTH SEEPAGE SYSTEM - DIAGRAM OF SYSTEM DATE L _ APPROVED W v G.A.A.B. DISTANCE FROM: 17,5- iso. otc PLHORAGE AREA BOR 'F1PERMIT NO.DEPARTMENT OF ENVIRONMENTAL QUALITY3330 '•C'• STREET ANCHORAGE, ALASKA 99503TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION A14D PERMIT �^J��/7- MAILING ADDRESS ONE NAME OF APPLICANT _—u"_as INSTALLATION LOCATION/) �"�/ /} LEGAL DESCRIPTION !�/�• f �/ / �/`� INSTALLATION OF: SEPTIC TANK %< SEEPAGE PIT %f `- DRAIN FIELD -. OTHER TYPE AND SIZE OF FACILITY TO 13E SERVED FINANCED THROUGH --- TO BE INSTALLED BY _ NOTE: THIS PERMIT IS NOT VALID WITHOU SOIL T ST SOIL TEST RESULTS � /�///y�� rrr////•/ COMPLETION DATE ANTICIPATED r St'c /yn`�=--' FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TAMC SIZE -,/ TYPE SEEPAGE AREA SIZE /.Y!-D'Ll/ TYPE - ,h�nn� Lv uP� MINIMUM DISTANCES, REQUIRE% ENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TAMC -- -ry FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK •� SEEPAGE PIT _ J DmAi W-7tPE6.D -� TO NEAREST LOT LINE. WEL�.J9O_5EPTIC TANK �u-0 SEEPAGE P{T ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD �� - c SEEPAGE PIT - / G� DRAIN-PiELO SEEPAGE PIT / SEPTIC TANK, /&to TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACK FILL - �=•-5�1�-f'C4�f� � � �� i��-�-�-Q� 2D-C.� CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER d x _ 4m,14 I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-66 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. I also certify that this home will contain a maximum of 4 bedroo s. ,understand an upgrade wqW_be necegrshd more bedrooms be added. DATE -� APPLICANT'S SIGNATURE --- FORM NO. CO -016 cNND GREATEN ANCIIGRAU APP A eoROUl111 Department of Div ironmental Quality 3330 "C" Street. Anchorage, Alaska 99503 SOILSLO(; PliROI, t1'IO1v 7'1?:,'I , Performed for��t Pcrior);;t_ Legal Description: This form reports: sods log ,� _ ----V—___--- Percolation hest—__ -- Depth Feet 6 r'r�li /iz'.�lJ _ 7 13 - `! S 7opo Was ground water encountered? (l _ If ves , at what depth? Reading Date Gross Time Net Time 4 Was ground water encountered? (l _ If ves , at what depth? Reading Date Gross Time Net Time Depth to Water Net Jroh --------cola---- Pertion rateminute. Proposed installat n Seepage Pit _ Drain Hold Uepth of Inlet _ Depth. to Bottom of pit or tretic i X� Performed By: / y e;,c_�-1�r� ��_ Certified -- 1 J r\ n A n , C/ 7 A 1 kNCIIORAGE FAIRBANKS (:ONSUL'I'X-N'I'y, LN(- Ju[VIsAu 249 EAST 51ST AVENUE • P. O. BOX 6007 ^ ANCHORAGE. ALASKA 99503 ^ TELEPHONE 907-279-0463 • TELEX 090-35419 July 14, 1975 Mr. Dan Roger Star Route A Box 1585 F Anchorage, Alaska 99507 R & M No. 562060 RE: Test Hole and Soil Log Report for Sanitary System North East Corner Section 11, T.11 N., R. 3 W., SM Dear Mr. Rogers: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was per- formed in accordance with your request of July 11, 1975 and those procedures outlined in a letter dated December 19, 1974 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental. quality. A single test hole was put down within the building site 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. The final log prepared for the test hole has been included in Drawing A-01. Ground water 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. (Jk) ...y�.1 James W. Roone, vice President JWR/ja xc: GAAB I cCa' Gc 6 4p/ I td �Sjv SRP Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-172-08 HAA # Expiration Date:Z- 1. GENERAL INFORMATION Complete legal description Lot 1 Block 4 Mountainside Village Location (site address or directions) 17901 Mountainside Village Dr., Anchorage, AK 99516 Current Property owner(s) Helen Rogers Day phone 345-2289 Mailing address I 17901 Mountainside Village Dr Anchorage, AK 99516 Lending agency. ' Day phone ' - Mailing address Real Estate Agent Beckie Brocies/Dynamic Prop Day phone 261-7546 Mailing Address 3111 C Street Anchorage AK 99503 Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: ',.'2.- NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 title (except between spouses) on properties served by a single family on -she wastewater disposal and/or water supply system. DSD 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 maybe reissued with new water sample results less than 30 days old. 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. (R...111M 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 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of Installation- Name of Firm Pannone Eng. Svc. Phone 272218 Address P.O. Box 102954. A_nch, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date Co1049Z Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious �*%"W1k1k1LV1%� engineering analysis of the system in accordance with MOA DSD Guidelines & • � �♦ reported results describe the performance of the Regulations. The P��..»». ♦1� system tinder the conditions encountered at the time of W •�'•• r' the test, and separation distances measured to readily identifiable features. The operational life of all i �'J,.•° wells and septic systems depend on the local soil condition, ground water levels that may fluctuate " .during the year, and the water usage of the family being served by the system. These conditions are � 49- m ' � ••• t � outside the control of the evaluator of this systeAll systems eventually fat? and satisfactory test M~ results do not guamntx-future performance of the system, nor do they guarantee that there are no .. »»» »•».»..� » hidden defects or encroachments. PPS can therefore not provide any warranty for future performance ♦ � Steven R.••Pannone: nor give any estimate of how long the system will continue to meet the operational requirements of the _ �j No. CE 8149 Ai ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Anp.. ♦j S i� reliance nponor use of this report by any other Person or party is not authorized nor will it confer any ♦ �4•Z�� • v�� legal right whatsoever: 6.: DSD SIGNATURE; ♦♦ha,�� Approved for L� bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory �`L Supplemental Engineer's Report Well Flow Advisory Other By: / l / " Original Certificate Date: �e - Expiration Date: Reissue Date: ma.111M Municipality of Anchorage • Development Services Department Building Safety Division On -She Water and Wastewater Program 4700 South Bragaw Street P.O. Box 198850 Anchorage, AK 99519-6850 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 1 Block 4 Mountainside Village Parcel I.D.: 020-172-08 A. WELL DATA Well type P Date completed Total depth 105' ft Date of test Static water level Well production If A. B, or C provide PWSID # Sanitary seal v_ Cased to 40'+ ft FROM WELL LOG WATER SAMPLE RESULTS: ril Well Log r1'. Wires properly protected Y Casing height (above ground)IV' in. AT INSPECTION 8N812002 10' ft 9 -p.m 3.0+ 9 -p.m Coliform ,_9 _colonies/100 ml Nitrate 1.29 mQA Other bacteria 0 colonies/100 ml Date of sample: 5/1512002 Collected by: Laura Pannone B. SEPTICMOLDING TANK DATA Tank Type/Material Greer Steel Date installed $10197 Tank size 1250 gal Number of Compartments 1 Cleanouls Y Foundation cleanout Y Depression over tank N High water alarm N/A Date of pumping 711912001 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed108 1978 Soil rating (g.p.d.W or ft�/bdrn) 178 System type Trench Length _0 --ft . Width 3 It Gravel below pipe 8' It Total depth 13— ft Effective absorption area M0 to Monitoring tube Y Depression over field N Date of adequacy test1¢/ 512002 Results (PasslFail) P For!j bedrooms Fluid depth in absorption field before test $4 in Water added618 gal. New depthM in. Elapsed Time:.Q min Final fluid depth 994 in Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date (Rev. 11AM D. LIFT STATION Date installed a allot 'Pump on' level at _ in'P p o level at Datum Cycles t ed E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access in High water alar level at __ in Meets alarm & circuit requirements? Septic tankAitt station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100____ On adjacent lots 1001+ Public sewer main 25'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line _ 25'+ Holding tank 1009+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 0' Property line 68 Absorption field 12' Water main 25'+ Water service line _25'+ Surface water 100'+ Drainage 100'+ Wells on adjacent lots 01+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 95' Building foundation 16' Water main 211 Water Service line 5'+ Surface water _100'+ Driveway, parkinglvehicle storage 211 Curtain drainnc100'+ Wells on adjacent lots 1000+ AA F. COMMENTS tl 1(?gjalled P� ��7J b� s7U4t�(5-AbclAt �Il/Qr�4ivtc. �r�lz�r( 1050. nteowred 1D 90" w/s1odye,cl� b�*, m�.CU� � 0et1'� �0" 5ys�ti� o 'ILZ _ in Qs .• ...�� G. ENGINEER' t FR"CIf4eTIIml 0 r r ;..„,__ i qtr yy� l c&ft that I have delarmined through field inspections and i . 49TH i review o/Municipal records that the above systems are In conftmume with MOA HAA guidelines in effect on this date. w— Engineer's Printed Name Steven RPannone P E �� CSteven R. Hcnnone No. CE 8149 r�� Date to 7- ��J2oL�i�'�'� HAA Fee a -3350' Waiver Fee $_ Date of Payment _ D �� Date of Payment Receipt Number a 0 $ Receipt Number (Rev. 1 UAB) ' MUNICIPALITY OF ANCHORAGE M E M O R A N D U M SEPTIC SYSTEM ADVISORY HEALTH AUTHORITY APPROVAL NO. .02-0 et- q y Prior to a recent adequacy test on the septic system for this lot, C14 inches of standing water was observed in the absorption field. This indicates that approximately �8 of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Health Authority Approval. YAY-17-OZ 04:45PY FR*a&E ENVIRNERAL SRV CTO Emlro~tBl Swvlcw Inc. • YMNrr'rrrwrrrrrr� 8075615301 7-830 P.OZ/03 F-345 CT&I JWV 102239.7001 A9IW WTbwe am Alar4a Sombrd Time CBaat Name Pamome Eb&. Srv. Prated Dae/rime 03/17/2002 10:48 Pmieet Namalf Lt I Dk 4 MomWaside V171aae COReated Do WTlme 05'13/2002 13AS CBrmtSamplelD O/SHoambib Rare(VadDOWTIms 05115/2002 1435 D1aa1s Drt&4 Water Tachakal Dlreaor de ° ° �' Rdr4rra ar PWSCD 0 Semple Re'rarks ARuweb:e Rep Anlyar Prm=pm Raulu POL Wei Method Lima: Daft Ove Mi: Slater& Department Niema-h 129 0.200 myL EPA 300.0 (<10) 0311S/02 MT laior9blology Laboratory TomlCoufo'm 0 eoV100mL SM189222B (e1) 05115m KAP P. W N B9059'1 O°E 363.00' THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. AS -BUILT SURVEY NO CORNERS SET THIS DATE SCALER" = 40' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 1, BLOCK 4, MOUNTAINSIDE VILLAGE SUB. ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _28TH_ DAY OF MAY 2002. HOLT LAND SURVEYING 8600, FB99-55 TEL. 345-5513 5. L GAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS 6. TYPE OF RESIDENCE TIME TIME TIME DATE DATE DATE iA 1 `) -— [MSPECTORnn I CnusI INSPECTOR INSPECTOR ® w� MUNICIPALITY OF ANCHORAGE * ATTACH WELL LOG. A well log is required for all wells drilled MUNICIPALITY OF ANCHORAGE DEPT. OF I'" '.CfH ex DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIRIRONMENU.I. i`i. 'ILCTION ❑ PUBLIC UTILITY 825 L Street- Anchorage, Alaska 99501 • APPS f 1980 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 INDIVIDUAL WATER AND SEWMA 1'TIP REQUEST FOR APPROVAL OF DIRECTIONS: Complete all parts on page 1. Incomplete requests will riot he processed. Please allow ten 00) clays for processing. ER 1. P TYOWNE PHONE MAI DDRESS PHONE PROPERTY RESIDENT If different from shove) -- 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTI UTION , PHONE MAI LING ADDRES§ 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. L GAL DESCRIPTION L STREE OC TION (1 1!(1 Q3L�1�4c, 1i nt 'lu 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ED one El Four EJ Other INGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY xr Three ❑ Six_ 7. WATER SU PLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** _} l _YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79)Y_��/! a�� I✓ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: j SCJ If Tank is homemade give dimensions: SOILS RATING J TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ED"APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY >f� 72-010 (Rev. 6/79) MUNIC/PAUTY OF ANCHORAGE 0Ey[ EWvKOkw�./ � ,.cTK}N ` REK[� ENVIRONMENTAL ENGINEERING- �� /i n«u~,� SRA BOX 1584n 6-D 9/1 )��0 -- ANCHORAGE, ALASKA 99507 '" /`m (907) 344-1205 ]�� X�&m��-�8w&� 276"^1361 DAN,IEL R�CERS SRA BOX �75R ANCHORA�E AK 995�7 SELL�R SAM! SUDDIVISION~MT S�DE VILLAI E BLOCK~� LOT~1 THE TYPE SYSTEM IS A TRENCH NIT� AN AREA OF 720 SQ�T, THE QUANTITY UF �ATE� ABSO6BE0 DURINC THE TEST �AS 612 CALLONS, THE SUILS RATINC EF THE SYSTEM AT CONSTRUCTIUN NAS 175 AND NO� C[]�OOM^ THE REQJIRED AEA FOR A 3 BED8OO� HO]SE �S 390 SQFT` THIS HOyE HAS 720 SQFT^ BASED UPON THE TEST DA�A THE "q.'.'::. IS ACCEPTABLE FO� A 3 BED8OOM HOME � ' 1 ' i�^v C/Ro�, N^�/��5|�/'��`.�,� ; j.0. Municipafity f Anc av e 825 "L." STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGF M. SULLIVAN, NIA" DEPARINILeN I" OF IILALTH AND ENVIRONMENTAL PPOTECT'ION April 18, 1980 Dan Rogers Star Route A Box 475-R Anchorage, Alaska 99507 Subject: Lot 1. Block 4 Mountainside Village (TllN R31q Section 11 NE;) Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (1.) A well log submitted to this department for our review.I x �. G �J / &� Cz . 1 The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. (3) The septic tank pumped with a receipt submitted to this office. (4) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private farms performing the test is enclosed. This report needs to be submitted to this department for our review. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/1. j w cc: Alaska Pacific Bank 101 Benson Boulevard 99503