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POTTER HIGHLANDS PH 2 BLK 2 LT 1
Onsite File Potter Highlands Ph2 Block 2 Lot 1 #020-281-61 (Rev o5m2/18) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201197 PID Number: 020-281-61 Dwelling: © Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: n New ❑ Upgrade Name Potter Creek Development LLC ABSORPTION FIELD Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound site Address NHN Potter Heights Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2.0 GPD/SFJ 9•0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original 4.0 grade Ft. Gravel depth beneath pipe 5.0 Ft. Subdivision Block Lot Potter Highlands Ph2 2 1 Fill added above original grade 0.0 Ft, Gravel length 35 Ft. Township Range Section Gravel width 2.5 Ft. Beds: Number n/a of Lines 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 350 Ftz 1 n/a Ft. Well 50'+ 50'+ 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding 0 Other Manufacturer Orenco Capacity 1500 Gal. Surface Water 50'+ 50'+ Material Number of compartments Lot Line 5'+ 51+ I i NA Fiberglass 2 Foundation 101+ 10'+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Installer Red Dog Masonry Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 101.5 ft Inspection 151 11/17/20 11/17/20 Location and description 3'd 11/18/20 2nd 4"' 2/2/21 Bottom house trim @ B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF AL, Conditional Approval: Date ;;Z�, s Co.• �A 9 TH `...:. Steven R. Pamore Septic System / Approved _ 6Jsw#Date CE 8149 Note: this approval does not include well permit requirements. (Rev o5m2/18) g m -n n –p <3 -i i K n n i CD N x o M OK r x A m O 0 O O ➢ p D n p p 0 'r! -P Cp m i Z w 1J (mca MZ m X r O cf) Z D Zm D m D r- m ;0O Z O m I+ J M D 0 D (o + 2 n �m O in 0cnnlco K�C XO;m DZ - rm zcn,>-C) zo D -T O r D r n T >N C)-0.OA D N mP2 ml O Dx = n .. O U O (All C4 wm cy,ON J`L Ulm 0 MO -0 0� \ O 4�- M K:X 0) LJ O O mco m '--°oo0 z (n -i n TI -0D'n O = O Za Cn O m O fel O n K n n i i T1 / ' v, D O N m n -.I 'r! -P -P w w N N N Ql Q) N -'l J J D (o O U1 in N /33' SEG -TION LANE ESMT l Co ivwvJ 00 cN I,Q. F- 0cnnlco K�C XO;m DZ - rm zcn,>-C) zo D -T O r D r n T >N C)-0.OA D N mP2 ml O Dx = n .. O U O (All C4 wm cy,ON J`L Ulm 0 MO -0 0� \ O 4�- M K:X 0) LJ O O mco m '--°oo0 z (n -i n TI -0D'n O = O Za Cn O m O fel O rrl oo �N�� c- m p00 N D o / / Mi O�D�� D K a'� -Zi IV W \—_io / r_ 3 _ / r zCc17/-– i I m NOTES; PANNONE ENG SVC LLC (C.l. 10$$) "" "" , REVISIONS DATE RECORD DRAWING PHONE (90 )X 1807 745-82 0 FAX 907)9 745-8201 = OF A<�S�ry'h SCALE 11/2021 P.. " n 1" = 50' POTTER HIGHLANDS PH2 B2 L1 ., P.I.D. No 020-281-61 DRAWN ACP POTTER CREEK DEVELOPMENT LLC %�c:. St—ReCE �a9�' "''--- PERMIT No. SITE: NHN POTTER HEIGHTS DRIVE �= OSP201197 SITE PLAN ANCHORAGE, AK r` '''4i,ss�a?�'., SHE 2 OF 3 / \� / lkll� Util Esr1t/ / ' v, D m GREECE DROVE IN / j /33' SEG -TION LANE ESMT F- n n D U) boa / - 6 ' i * Z*Z rrl oo �N�� c- m p00 N D o / / Mi O�D�� D K a'� -Zi IV W \—_io / r_ 3 _ / r zCc17/-– i I m NOTES; PANNONE ENG SVC LLC (C.l. 10$$) "" "" , REVISIONS DATE RECORD DRAWING PHONE (90 )X 1807 745-82 0 FAX 907)9 745-8201 = OF A<�S�ry'h SCALE 11/2021 P.. " n 1" = 50' POTTER HIGHLANDS PH2 B2 L1 ., P.I.D. No 020-281-61 DRAWN ACP POTTER CREEK DEVELOPMENT LLC %�c:. St—ReCE �a9�' "''--- PERMIT No. SITE: NHN POTTER HEIGHTS DRIVE �= OSP201197 SITE PLAN ANCHORAGE, AK r` '''4i,ss�a?�'., SHE 2 OF 3 g �o > �C zg SN xn z X N O n 0 —4— loo D I �b T �O 0 O I n m fn z r ym A 0 m ? OD Z m s n A v Z D m Z _ A A O i — C) I V I n O m i ti _ I 0 o i o - o � o� 0 NOTES: PANNONE ENG SVC LLC (C.'. 1088) ""`", REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645 ,'�ti OF.,A(gs, 2/11/2021 PHONE 907) 745-8200 FAX (907) 745-8201 =��P'' !rah SCALE NTS POTTER HIGHLANDS PH2 B2 L1 P.LD. NO DRAWN ACP POTTER CREEK DEVELOPMENT LLC o20 -281-s1 Stevan R. Ponnone ; 2 SITE: NHN POTTER HEIGHT DRIVE ce—e,a9 �W_ PERMIT PROFILE ANCHORAGE, AK;;, SHEET 3 OF 3 Permit Nunnbez: NSW201197 Date of Issue: 7/8/20 Parcel Identification Number: 02028161000 Date Started: 8-16-20 Date Completed: 8-20-20 Is well located at approved permit location? x Yes ❑ No Legal Description: Potter Highlands Ph 2 Block 2 Lot 1 Property Owner Name & Address: Potter Creek Development LLC Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Method of Milling x air rotary ❑ cable tool Casing type: steel stick -?p 0 2 Nall Thickness:.250 inches gravelly silt 2 bozrlder 39 gravelly silt 41 39 41 91 Diameter: 6 inches Depth: 150 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 235 feet cobbly gravel 91 135 gravelly silt 135 148 Pumping level: 426 feet after bedrock 148 426 2 hours pumping. 75 gpm Recoveiy Rate:. 75 gpm Method of Testing: air li t Well Intake Opening Type: ❑ Open End x Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 2bgs• Depth: Stasi 0 feet Sto ed ? feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No �.-.-.- Method of Disinfection: chlorine tablets WATER QUALITY TESTING Coliform Ne -p _ 100ml- trat 5, S3 L Arserdc N /La192 21 Comments: Well will be hydrofr•aced at a later date. Well Driller: Alpine Drilling & Enterprises PO Box 110496 477chorage AK 99511 MUMUPAUTY (OF h\,,iCHORAGE Dever—o—p-m-ent Services Department Phone- 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drillino, Permit Number: 2011977 _8 _2020 Date of Issue: Parcel Identification Number: 020 281 .Legal Description Block Lot Property Owner Name & Address: Hagm6le, Homes Potter Highlands Phase 2 2 1 2204 Cleveland Avenue, Suite 201 Anchorage, AK 99517 Pump Installation Date.- 02 -6 -2021 Pump Intake Depth Below Top of Well Casing: 390 Pump Manufacturer's Name: -Myers Pump Model: 2NFL1 025 IPump Size: 1 lip Pitless Adapter Burial Depth: 11 feet Pitless Adapter Manufacturer's Name:Martinson Pitless Adapter Installer: Red Dog Well Disinfected 'Upon Completion? 'i Yes El No Method of Disinfection: chlorine tablets I Comments: SAVE FOR COSA. I Pump Installer Name: ICompany: Aarow Pump & Well Service, LLC Mailing Address: P.O. Box 110496 City: Anchorage ,,at,: AK _zip: 99511 feet Attention: The pump installer shall provide a puinp installation log to On-site within 30 days of pump installation. 0 .69*09 3„£0.00000 N 0 3AI80 202380 N 0 N N w�¢cr p O z a, iW- Z W W 36 O w 0 9-0 N w = m D Z H � 5)_ E 6- t!1 to tt) W lyUUco wzoWO© C9 -�? U��UUz 0: Z tt) y�9 Z Z w 9080— w 2 p Z U U � 0 U U w Owlz� © W + .. �� 0- 0 v o X Z !0H z Z 00 cn O T to N N_ u 4 �' N N J eJ- OZ Z T _ C9 5@ND O N >- ir $ � (0o o { =a 3 C-4 o N m o 0: � N � 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 & Wastewater System Permit Permit Number: OSP201197 Work Type: WellSeptic Initial Tax Code Number: 02028161000 Site Legal Address: POTTER HIGHLANDS PH 2 BLK 2 LT 1 G:3638 Site Mailing Address: Owner: POTTER CREEK DEVELOPMENT LLC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: 7/8/2020 7/8/2021 67191 P Disposal Field P Septic Tank ❑ Holding Tank ❑ Privy P 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: Category III Nitrogen -reducing systems are required in this subdivision. t Received By.- Issued y:Issued By: '7Date: Date: 7 o70.2C�% 21 MUNIUPALITY -OF ANCHORAGE �.•_�._.-;-.-,>�-;�.,�.�--�--ter :nom--- = ,t'�_ � - Community Development Department��- Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-281-61 Property owner(s) Potter Creek Development LLC Day phone Mailing address 561 E. 36th Avenue, Suite 200, Anchorage, AK 99503 Site address NSN Potter Heights Drive Legal description (Sub'd., Block & Lot) Potter Highlands Phase 2, Block 2, Lot 1 Legal description (Township, Range & Section) Lot Size 67,191 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial FX1 Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) Holding Tank El Renewal Renewal ❑ (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / 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 perry owner or authorized agent) Permit/Rush Fees: -(/s Waiver Fees: Date of Payment: 6&6zo Date of Payment: Receipt Number: 0/7 72 G Receipt Number: Permit No. 05P201, q 7 Waiver No. Permit App__- :- :-.,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201197, Rebecca Carroll, 07/08/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201197, Rebecca Carroll, 07/08/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201197, Rebecca Carroll, 07/08/20 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343- 7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Well Water Advisory Certificate of On-Site Systems Approval # OSC211074 Subdivision: Potter Highlands Ph 2, Block: 2, Lot: 1 This well’s productivity was determined to be 0.75 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 4-bedroom residence is 0.42 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343- 7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Advisory Certificate of On-Site Systems Approval # OSC211074 Subdivision: Potter Highlands Ph 2, Block: 2, Lot: 1 A water sample revealed a nitrate concentration of 5.33 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached “Nitrate Fact Sheet” for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as “blue baby” disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several “wet chemical” methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive “screening test”, and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and < entered into as of this j Day of --:I�L, L�i -- of 20 by and between AA,a.oT K,z>ofm-,n(-\tj , herein the "OWNER," and the Municipality of Anchorage, herein the -MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), SOO described as I I located at (legal description) Z, L 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) a L—Throughout the term of'this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable ol'performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. Itoy— It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, ad.justment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality I ity or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which Could include sewage backup and costly repairs or drainfield z:1 replacement. (rev. 05/18/2018) Page 1 of 3 &:,-. Owner acknowledges that the Municipality may request records of' maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be Z--. assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. give Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate ot'On-Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall be -in on the date ot'approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof', or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought In the Superior Court for the Third Judicial District ol'the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations ol'the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 051 t 8/2018) Page 2 of 3 OWNER: %------- --- --- ------- --- - By: (print name) STATE: OF ALASKA THIRD JUDICIAL DISTRICT Date: rc The l'oi-e(,)rol*iiQ'IllSti-Lililelit Nvas acknowledged before me this clay of Lu� 2026. by -ann" ''Y Charl6tte Szlve—c- NOTAI�Y PUBLlel-b'< Al—ASKA Sate W Alas M v Commission expires: a 17111'310 E.=N' tMUNICIPALITY: Bv: (signature) l�e6ec�ea ley p LC (print name) Date: Title: (rev. 05/18/2018) Pacye 3 of 3