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Home My WebLink AboutKASILOF HILLS BLK 5 LT 11 Onsite File Kasilof Hills Block 5 Lot 11 #015 - 133 - 10 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221193 PID Number: 015-133-10 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: [K New ❑ Upgrade Name BRIAN & DEBRA LEACH ABSORPTION FIELD ❑■ Dee Trench ❑ Bed ❑ Mound P ❑Wide Trench Site Address 10000 KASILOF BLVD ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 0.80 GPD/SF JTotal 12 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4 Ft.8.0 Gravel depth beneath pipe Subdivision Block Lot KASILOF HILLS 5 11 Ft. Fill added above original grade Gravel length Township Range Section +3-5 Ft. 47 Ft. Gravel width 2.5 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 752 Ft2 1 N/A Ft. Well 100'+ 100'+ NA NA 25'+ TANK p Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 5'+ 101+ NA NA NA HDPE 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to3034 drainfield Northern Excavation & Construction Drainfield 3034 CO/MT3034 Inspector PES BENCH MARK (Assumed elevation) 100.0 ft Inspectoo 1s` 11/7/22 2�a 12/14/22 Location and description 3r° 12/20/22 41h 12/21/22 See Site Plan, Concrete Pad At Front Door ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF A/ 0 _49 TH 1��r Steven R. annoy... �� Septic System Approved Date I I Zr 2� z �� CE 8149 �� 14ks'j, * - • ..... * *<P , r k®®fie®v��'�4 Note: this approval does not include well permit requirements. poi... nG InON ON r�r-a ico CO E �6 r0PXmm� 0�za-4-�G oz D E O N ,- ;u 0 0 L') :�� EDm0 Z CDm0Z U) m�7r0 Z z D D O z rm O UI ;;7 m D r --I -u 0 Z C7 C m N� C) N- N N f O n Cn 00 CY) O J (n J -P (T N Cn J Ul N O D 07 W 00 (n N 0 (), J J J J (n (n Cn 00 N O c0 Du 4 N i -1 -I -' C OONN N D N -0 -I Z Z7 --I A C Z C�Om\Dpm DOJN N D N -I Z U -<'> Oa7 0 0 0 m N m C= �7 Z• N Z -I r• R'I F- D OD 7♦ W M �D-7 p Z N m ;0 Z• Dr C-)� D m (n D x Z C�y�7 jxNm<N x fJ -I N� rn r' W m� ��7NmZ7 'm D N G7m �N N>N =!-'.�Zr*iOmOcnmm� �mC7zmmoNZ CTI (7 jC) m�0m D = p.. Om cn N)m 0. (140 o � (Nn(Jnx �� o CjLnn 0 D O X 0 N O O� O N O� � U) cp O �� '�-0 D0�°No rn � mm ��rn0�°o <� mm FTi C7 p0 Z \ < m N O -N1 Z m m O S N Z'O K C7 '1 a = O LD 0 U —I N x cf)\ 00 cfl v mmy m O O O Cn Crj � p � \ \ ( NON I zz x m rn m m \ \ 00 p \ \ \,ISQn CD 0 Cn x D — — \ r \ \ .0 z oco -no m� zo N� i ��rm- AN' \ im \ \ \ \ \ 0� xZ — -+0 mm \ �'� \ \ v I \ / % N Z Nm o o Do �v,_ �� O :c' \ \ \ \ \ I / coo OZ 00 \ \ \ D T. \ N \ \ \ Ln Z N .. .. / O /� O m \ _ / 0 N \ v \ D m OO D— \ \ \ u\ o \\JI of ? OM � / _ I\ m zDZJ /� Om .. co .Z7 30♦0 c� \ \ \ N — rm o0 F- / O N "N of Z \ \ \ \ \ \ q G7 \ \ \ \ \ \ s- o \ o C t}� \ NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE RECORD DRAWINGS P.O. BOX 1807 PALMER, AK 99645 �f��_ 10/10/2023 PHONE (907) 745-8200 FAX (907) 745-8201 P' SCALE 1" = 50' DRAWN LJC KASILOF HILLS B5 L11 "" """' P.I.D. NO CHECKED ACP SITE:10000 KASILOF BLVD "fi�even an 015-133-10 CE 8149 PERMIT NO. BRIAN & DEBRA LEACH z023.10.10, OSP221193 SITE PLAN ANCHORAGE, AK 99507 SHEET 2OF2 Lot 11, Block 5, Kasilof Hills Subdivision Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying 124 E 7th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com AEC# 173042 Group S4 As-built 10/2/2023 Permit Number: #SW 191261 Date of Issue: 612712019 Parcel Identification Number: 0151331000 Date Started: 7-2-19 Date Completed: 7-3-19 Is well located at approved permit location? x' Yes ❑ No Legal Description: Kasiloff Hills Block 5 Lot 11 Property Owner Name & Address: Brian & Debra Leach 1844 Rogers Park Court Anchorage, Alaska 99508 Borehole Data: Depth (ft) Method of Drilling x air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To stick-up 0 2 sill 2 ; gravelly silt 3 15 bedrock 15 306 �I WATER i�WkLITY TIrU'JNG c i;form AIG-S Col%MmL A rr -,nic N 0 t / V 5 -7, 0Z�. Casing type: steel Wall Thickness:.250 inches Diameter: 6 inches Depth: 44 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2_5 feet Static water level (from ground level): 19 feet Pumping level: 300 feet after 2 hours pumping. 75 gpm PRecovery Rate:.. 755 gp►n lethod of Testing: air li tell Intake Opening Type: Open End r Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite chins Volume: 1 bgs Depth: Start 0 feet Stonned 41 feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Boc 110496 Anchorage AK 99511 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit �»cnt U � Depai-miciit Permit Number: OSP221193 Effective Date: Work Type: Septic Renewal Expiration Date: Tax Code Number: 01513310000 Site Legal Address: KASILOF HILLS BLK 5 LT 11 G:2541 Site Mailing Address: 10000 KASILOF BLVD, Anchorage Owner: LEACH BRIAN DEVOS & DEBRA ANNE Lot Size in Sq Ft: Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: This permit is for the construction of: 6/20/2022 6/20/2023 56968 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer is to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. 2. Piping routing under driveway shall be insulated. 3. Pump install log and water sample results for total coliform, nitrates and arsenic shall be submitted to close out this permit. 4. 7 day groundwater monitoring is required. Construction may proceed at your own risk before the 7 day water monitoring is complete. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site. review and approval. L'j E C-- L -o C -k 110" C 144-/U C, 4 Received By: - Date: Z `` Issued By:Date: 1 Z g ?^D -2- Z ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 01513310000 Property owner(s) Leach Brian Devos & Debra Anne Mailing address Site address Day phone Legal description (Sub'd., Block & Lot) Kasilof Hills B5 L11 Legal description (Township, Range & Section) Lot Size 56968 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field C{ Initial ❑ Single Family (SF) FLI ADU) Septic Tank Upgrade EJ(w/wo Duplex ❑ (D) Holding Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 119 5 Waiver Fees: Date of Payment: 10 'a 0 eta Date of Payment: Receipt Number: Q 9 g8 `1 6 Receipt Number: Permit No. O S Pa X 1 193 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Nhmiapality of Anchorage On-site water and Wastewater •i1?'U-T1F_111r=D FOR CODE COMPUAM +•1 i i n o t } e E€ _, • (i e 4 a; ` ir, .s ,ter c Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com 15 July 2019 Subject: Kasilof Hills B5 L11 Septic System Permit Request Design Narrative This is a design narrative for a permit to install a new septic system to be issued for this property. The proposed systems will serve a proposed four-bedroom (4) house. Currently the lot is undeveloped. This lot and surrounding lots will be served by private wells. Currently there is no wells within 100 feet of the proposed system. 1. Soils. Pannone Engineering Performed two (2) test holes on the subject property. Groundwater was monitored for at least seven days. No ground water was monitored to a depth of 11.0' and 15.0' respectively below the ground surface. Soils logs are attached. Based on the results of the percolation tests, overall soils appearance and the selection of the proposed drain field; an application rate of 0.8 gallons/day/square feet was used for a conventional wastewater system in the area of the test hole based on. Pannone Engineering will perform a percolation test at time of construction as no perc was performed in test hole #1. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography generally slopes from the north northeast to the south, south west in the area surrounding the septic system at approximately 20-30%. There are steep slopes within 50' of the proposed drain field. The proposed drain field will be installed per the steep slope provision of 15.65 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at 745 8200. Sincerely, LAG' lvl / Tawlolle Steven R. Pannone, P.E. Owner/Civil Engineer Om -1T 0-7 -3—I 'UO-i(AC�0 p 2 DCO I � I C oom K_(n D(A -U� -iz;l 71 -1� C �_ Cn D(n ��Z CD REV 1: 7/17/19 rm U)mm NDr-- -- U) o�m rx zpwi=mz- Rm P.I.D. 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BOX 1807 PALMER, AK 99645 PHONE (907) 745-8200 FAX 907) 745-8201 , k4AIii ;* ••�;ate a��ona CE 8149 REVISIONS DATE 11/29/2022 CHANGE ORDER KASILOF HILLS B5 L11 SITE: NHN KASILOF BLVD BRIAN & DEBRA LEACH 1844 ROGERS PARK CT ANCHORAGE, AK 99508 REV 1: 7/17/19 SCALE 1" = 50' REV 2: 11/28/22 P.I.D. NO 015-133-30 DRAWN ACP SITE PLAN PERMIT NO. OSP191296 SHEET 1 OF 2 11/29/2022 O Z=8 p p, J p P A G N O U comm 77 �n J O f J +'00 Oom Zajj2mommmvggmMZ m mQ �Fzo-;DiS�ooFm=�oS�ocmiQ� KI DO F'2 'c' cai yv yC m O 91-P-82, o m m O O r O O O � O m O O O O O p V m O m y c Cor I0 O y O y r �< o m �00000spo•mp p mmaoSzmmz� �N FD�mia Q o `aoF zomsowo mmo o1�-oz,D bo �z � vz oorro� ocJMM-005�->c m m�� o o !q oz oa0 X00 ? 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BOX 102954 ANCHORAGE, AK 99510 PHO(907 272-8218 FAX 907) *:* 4A m ..., .. "$3even R. anrio�e CE 8149 REVISIONS DATE CHANGE ORDER 272-8211 KASILOF HILLS B5 L11 SITE: NHN KASILOF BLVD BRIAN & DEBRA LEACH 1844 ROGERS PARK CT ANCHORAGE, AK 99508 SCALE P.I.D. NO 015-133-30 DRAWN ACP SOIL LOG PERMIT NO. OSP191296 11 /29/2022 SHEET 2 of 2 TEST HOLE 1 OR ORGANICS 1 2 DATE CLOCK WATERTIME NETTIME LEVEL NETDROP READING 1 3 2 -SITEEPLA 4 SILTY GRAVEL 5 GM/SM AND SAND TIGHTER WITH 6 DEPTH 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DATE PERFORMED: 4/16/19 Municipality of Anchorage On-site Water and Wastewater SOILS LOG - PERCOLATION TEST REVIEWED FOR CODE COMP b SLOPE DATE CLOCK WATERTIME NETTIME LEVEL NETDROP READING 1 4/16/19 2 -SITEEPLA 3 4 5 6 �LOT 11 = 7H-2 ' TH �O WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -DRY' DEPTH TO WATER AFTER MONITORING? -DRY' DATE: 4/24/19 SLOPE TH X READING DATE CLOCK WATERTIME NETTIME LEVEL NETDROP READING 1 4/16/19 2 NO PERC 3 4 5 6 PEROLATION RATE X.X (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN X FT AND X FT COMMENTS: Test hole excavated by MICHELSOHN AND DAUGHTER PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: P�ylVl`iol`1L L'1VLI I?YC ��~~ SOILS LOG SVC, LLC OF A(�q�>Dote — P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 y d�� sc.Ie NTS P.I.D. NO KASILOF HILLS, BLOCK 5, LOT 1 i ® / 015-133-30 MICHELSOHN &DAUGHTER CONSTRUCTION Steven R. Pannone PERMfT NO. VOSIKOF PL. AND KASILOF BLVD. ��¢r" CE 8149 cs�. ��,� OSPXXXXXX SOILS LOG ANCHORAGE, AK �to*I - ssioNa��,� [�S�l-eet 1 OF 2 7, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 - 17 - 18 - 19 - TEST HOLE4. 2 OR 1 ORGANICS SILTY GRAVEL GM/SM AND SAND TIGHTER WITH DEPTH Municipality of Anchorage On-site Water and Wastewe SOILS LOG - PERCOLATION TEST REVIEWED FOR CODE CONIP WAS GROUND WATER ENCOUNTERED? N ' i CLOCK �� .. � •SITEPLA ;' � NETDROP 1 4/16/19 8:40 -- 5.31 — 2 •�� •`LOT•,1r1 10 MIN 7.01 II �.. � r'rl r I r , ? I 8:50 4 5.31 --- 1' STH -2 10 IN 6.93 nt 2r`;/ of --- 5.31 -- s 9:10 XO 6.90 1.59 SLOPE BOH IF YES, AT WHAT DEPTH? -DRY' DEPTH TO WATER AFTER MONITORING? -DRY' DATE: 4/24119 DATE PERFORMED: 4/16119 TH X READING DATE CLOCK NET TIME WATERTIME LEVEL READING NETDROP 1 4/16/19 8:40 -- 5.31 — 2 8:50 10 MIN 7.01 1.70 s 8:50 -- 5.31 --- 9:00 10 IN 6.93 1.62 e 9:00 --- 5.31 -- s 9:10 10 MIN 6.90 1.59 PEROLATION RATE 6.3 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by MICHELSOHN AND DAUGHTER PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. SOILS LOG NOTES: PAMONE ENG SVC, C, .L.L C P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SOILS LOG 49 TH KASILOF HILLS, BLOCK 5, LOT 11 ri Nom, 'P8149 L_ MICHELSOHN & DAUGHTER CONSTRUCTIO 1� �SteveCER81 annone VOSIKOF PL. AND ANCHORAGE SIALOF BLVD.FD * 1 k®.'OFESSI4NA ,® Date 4/25/2019 Scale NTS P.I.D. NO 015-133-30 3ERM I —TN 0. 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DRAWN ACP SITE: NHN KASILOF BLVD � S'tev— 011 BRIAN & DEBRA LEACH / "'� als-1�3-so on rye CE 8149 PERMIT No. SOILSOT OSG & 844 ROGERS PARK CT !f+`k`0.�r SHOEP191296 CHORAGE, AK 99508 OF 2 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211308 Work Type: Septic Renewal Tax Code Number: 01513310000 Site Legal Address: KASILOF HILLS BLK 5 LT 11 G:2541 Site Mailing Address: Owner: LEACH BRIAN DEVOS & DEBRA ANNE Design Engineer: PANNONE ENGINEERING SERVICES Effective Date Expiration Date: l�enr � n Department Lot Size in Sq Ft Total Bedrooms: 7/28/2021 7/28/2022 This permit is for the construction of: Q Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing i Special Provisions: I. 1. The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer is to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. 2. Piping routing under driveway shall be insulated. 3. Pump install log and water sample results for total coliform, nitrates and arsenic shall be submitted to close out this permit. www � Received By: Date: Issued By: Date: n MUNICIPALITY OF ANCHORAGE cnt S, On -Site Water & Wastewater Program �. .. PO Box 196650 4700 Elmore Road�- Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite Department On -Site Wastewater Disposal System Permit Permit Number: OSP201230 Effective Date: 7/10/2020 Work Type: Septic Renewal Expiration Date: 7/10/2021 Tax Code Number: 01513310000 Site Legal Address: KASILOF HILLS BLK 5 LT 11 G:2541 Site Mailing Address: Owner: LEACH BRIAN DEVOS & DEBRA ANNE Lot Size in Sq Ft: 56968 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: 0 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer is to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. r 2. Piping routing under driveway shall be insulated. 3. Pump install log and water sample results for total coliform, nitrates and arsenic shall be submitted to close 1 out this permit. Received By: Date: Issued By: Date: 7 d �G.2a MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191296 Work Type: Septic Initial Tax Code Number: 01513310000 Site Legal Address: KASILOF HILLS BLK 5 LT 11 G:2541 Site Mailing Address: Owner: LEACH BRIAN DEVOS & DEBRA ANNE Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: �111q'1}r 1.)epavtinell t 7/T7.12019 7/14/2020 56968 0 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: ** The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer is to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. ** Piping routing under driveway shall be insulated. Received By: Date: I Issued By: �Jvue_ffDate:7/17/17 4 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water System Permit Permit Number: OSP191261 Work Type: Well Initial Tax Code Number: 01513310000 Site Legal Address: KASILOF HILLS BLK 5 LT 11 G:2541 Site Mailing Address: Owner: LEACH BRIAN DEVOS & DEBRA ANNE Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date �t 'S, N° �r f� v ))epai-tment Lot Size in Sq Ft Total Bedrooms: 6/27/2019 6/26/2020 56968 ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing jSpecial Provisions: When well testing is complete, the well driller shall place an approved sanitary seal on the I ; well head and no pitless adapter or pump shall be installed until an approved wastewater disposal system has been constructed. The well may be required to be decommissioned if not put into service. I1 Received By, Issued By: Date: / `"26 Date: Z /9 4 MUNICIPALITY ®F ANCHORAGE Community Development DepartmentPhone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION 10 Parcel I.D. 015-133 Property owner(s) BRIAN & DEBRA LEACH Day phone Mailing address 1844 ROGERS PARK CT, ANCHORAGE AK 99508 Site address NHN KASILOF BLVD Legal description (Sub'd., Block & Lot) KASILOF HILLS B5 L11 Legal description (Township, Range & Section) Lot Size 56,968 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑X Water Storage ❑ APPLICATION IS AN: TYPE OF DWELLING: Initial ❑X Single Family (SF) ❑X (w/wo ADU) Upgrade ElDuplex (D) ❑ Renewal ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: f / r Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or autho Permit/Rush Fees: 3W Waiver Fees: Date of Payment: /„ q t'9 Receipt Number: Permit No. 6-5P191 y'l v Permit App_-'- : • :'-., c Date of Payment: Receipt Number: Waiver No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE Pannone En ineering S e ry e c es LLC OSP191261, Deb K brkenfuss, 06127/; Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com June 27, 2019 Subject: KASILOF HILLS 135 L11 Exploratory Well Permit Request Design Narrative This is a design narrative to issue a permit to install an EXPLORATORY well for this property. The system will serve a proposed four (4) bedroom house. This lot will be served and the surrounding lots are served . by private wells. There are no septic systems within 100' of the proposed well. Any future proposed septic systems on this lot will maintain 100' from the well. 1. Topography: The existing topography on the lot generally slopes from the north and down to the east west and south. 2. Drawing Markings: The Drawings are marked "For MCA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. I\/failing: P.C. box 100217, Anchorage, Ai: 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-82.11 pvidmiuipeffi� of I% .0 -�, (n 0 o v i CC) I On-site Water and Wastewater co REVIEWED FOR CODE COMPLIANC O o O r x A N< I OSP191261, Deb Wockenfuss, 06127 >0U) Z 02D r�17Dj0C) (n O _-I C Zz omz m O p z m m D O M X C D r c� C m Lf)\ W V ` \ \ \ \ \ \ \ r 7 O \\ \\\\ \\ \ \ I \ \ /\ \\-- ----_ \\ m — Ji \ (`1 _ \ \ I I> rrr\---- \ In NOTES: PANNONE ENG SVC LLC REVISIONS DATE FOR CONSTRUCTION P.O. -8 BOX 1807 PALMER, AK 9645 ,�t7P 20190625 PHONE 907 745200 FAX 907) 745-8201 rcP •'' SCALE KASILOF HILLS B5 L11 ,�r48TM ., 1„_ __ 60' P.I.D. NO DRAWN JRL SITE: NHN KASILOF BLVD;ems Brie 015-133-30 BRIAN & DEBRA LEACH CE 8149 PERMIT NO. 1844 ROGERS PARK CT OSPI91261 SITE PLAN ANCHORAGE, AK 99508 SHEET OF X