Loading...
HomeMy WebLinkAboutSPRING HILLS ESTATES #1 BLK 1 LT 12Aff-3 L09UU JAnJ DEC It 2013 Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171324 PID Number: 015-051-88 ❑ New Upgrade Name: FRANCIS & DIANNA SOMMER ABSORPTION FIELD F-1DeepTrench E] Shallow Trench [:]Bed ❑ Mound Address 4700 SILVER SPRING CIRLCE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot SPRING HILL ESTATES #1 1 12A Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 124.0 N/A N/A N/A 118.0 TANK El Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHROAGE TANK Capacity 1250Gal. Surface water 100+ N/A N/A I N/A Material Number of compartments Lot Line 79.3 N/A N/A N/A STEEL 2 NA Foundation 7.8 N/A N/A I N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ N/A N/A N/A Gal. Remarks TANK REPLACE ONLY Pump on level at Pump off level at in. igh water alarm at in. Pump ma model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield PAMRANING EXCAVATION Drainfield CO/MT 3034 Inspector PANNONE ENGINEERING BENCH MARK (Assumed elevation) 323.Oft Inspdectes: X51 tion10/22/17 2"' 12/4/18 Location and description 3'd 4th SW BOTTOM HOUSE TRIM COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp -•�� OF At Conditional Approval: Date qs �t Steven ♦. I5anriorae•� Approved CE 8149 .® ��>t'PRO`�p�low Date ,� a �� �� I iaNcwui i �Pui L_ I- i- 1 [.uoc WELL� � . � . / | / / } | | | / | / | | | | � ( | ' | � / | |/ | |. | J25 / � | / / TO EXISTING DISCHARGE PIPE L_ / `/I / ' | / /] / -w TI 20.1 12.8 T2 23.6 20.1 DCO 25.4 22.8 / -w -w WATERLINE/ WELL RADIUS ss ss NEW SEPTIC Tf ABBREVIATIONS 323.0 TH TEST HOLE JL� (P) PROPOSED (E) Co EXISTING CLEAN OUT NO. 12509 SEPTIC TANK FC FOUNDATION CLEANOUT 3:1 11� FS FLOW SPUTTER PROFILE MT MONITOR TUBE NO. NOTES: PAMONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE,,' AK 99510 Date 12/17/18 RECORD DRAWING PHONE (907) 272-8218 FAX (907) 272-8211 Scale DRAWN ACP ER IT NO. 4700 SILVER SPRING CIRCLE CE 8141 OSP1 71324 ANCHORAGE, AK 99507 Sheet Engineer Legal Description Parcel ID: Permit: Report Type: ��' ^ ^ Q^�nm �/� �� �� i u�m� ��������m�u ��n x�`����m�����|��,^ � �-_ u� � �� On -Site Water and Wastewater Program PD.Box 19855O 470OElmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 PANNONEENGINEERING SERVICES SPRING HILLS ESTATES #1 BLK 1LT 12A OSP171324 SepbuTonk As Built Review 12/17/2018 Completed By: R.Carroll The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: / 1J0' � Si� plan scale seems to be1" = 50 ft, not 1" = 60ft� ��� ind 91 MOA records indicate that the 1yg8system was never installed. This would include the bed shown inthe southee corner pfthe lot. Please confirm whether this bed was present.'-�I-D,490~7- ��£�-65�- 6/*+/ ��.Site plan and profile drawing show that aflow splitter was installed. Please oVnfinnwith regards tnCom nnent#2aMd that itwas oflow splitter, not aflow diveder. Carroll, Rebecca M. From: Steve Pannone <Steve@panengak.com> Sent: Wednesday, December 19, 2018 4:20 PM To: Carroll, Rebecca M.; Accounting Subject: RE: Spring Hill Estates #1 61 L12A Follow Up Flag: Follow up Flag Status: Flagged We checked, no flow splitter was installed. Steven R. Pannone, P.E. Pannone Engineering Services, LLC 907.227.3522 Cell 907.745-8200 Office 907.745-8201 fax Please Check Out the NEW www.panengak.com From: Carroll, Rebecca M. [mailto:rebecca.carroll@anchorageak.gov] Sent: Wednesday, December 19, 2018 9:09 AM To: Steve Pannone <Steve@panengak.com>; Accounting <accounting@panengak.com> Subject: RE: Spring Hill Estates #1 131 L12A Just to double check, a flow splitter was provided even though there is just the one drainfield? Thanks, Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908 From: Accounting <accounting@panengak.com> Sent: Monday, December 17, 2018 3:24 PM To: Carroll, Rebecca M.<rebecca.carrollCc@anchorageak.gov> Subject: Spring Hill Estates 41131 L12A Response to comments attached Jan Frazier, Business Manager Pannone Engineering Services, LLC 1 ��� MUNICIPALITY OF ANCHORAGE „ , , On-Site Water& Wastewater Program fame PO Box 196650 4700 Elmore Road Anchorage.Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite ; 1111/ l), p,irirnt nr l (hUHN"F On-Site Wastewater Disposal System Permit Permit Number: OSP171324 Effective Date: 10/18/2017 Work Type: SepticTank Initial Expiration Date: 10/18/2018 Tax Code Number: 01505188000 Site Legal Address: SPRING HILLS ESTATES #1 BLK 1 LT 12A G:2436 Site Mailing Address: 4700 SILVER SPRING CIR, Anchorage Owner: SOMMER FRANCIS S & DIANNA M Lot Size in Sq Ft: 49633 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field El Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 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: Double cleanouts shall be installed downstream the tank, within 10 feet. /Th, Received By: Date: f II 0 0 Issued By: �� Date: � �� got MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907343-7904 Development Services Division N.,:)11,1 Fax: 7- 3-7997 ��� On-Site Water& Wastewater Program Ru�yjH % OCT ` ON-SITE SEWERMIELL PERMIT APPLICATION � 1 7 20,; Parcel I.D. 015-051-88 Property owner(s) Francis & Dianna Sommer Day phone F 19 Mailing address 4700 Silver Spring Circle Anchroage, AK 99507 Site address 4700 Silver Spring Circle Legal description (Sub'd., Block & Lot) Spring Hill Estates #1 B1 L12A Legal description (Township, Range & Section) Lot Size 49,633 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) \ i Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank 0 Upgrade Q Duplex (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. a PP \ (Signature of property owner or authorized agent) Permit/Rush Fees: 21S + 34t Waiver Fees: Date of Payment: 1011116 Date of Payment: Receipt Number: te561-;b61 Receipt Number: Permit No. 05911 1-. 29 Waiver No. Permit App__- ::...c Pannone Engineering Services iic Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve(alpanengak.com October 17, 2017 Subject: Spring Hill Estates#1 B1 L12A Tank Replace Permit Request Design Narrative This is a design narrative for a permit to install an upgrade 1,250g Septic Tank to replace an existing 1,250g Septic tank to be issued for this property. The existing tank has completely failed. It will be decommissioned per code. Currently the lot is developed. The proposed system will utilize a replacement 1,250g septic tank that will be connected to the existing drain field. The existing tank is located approximately 100'+ from the well. The proposed tank will be placed outside the existing well radius. All required separation distances will be met. 1. Upgrade Tank Design. A foundation clean out installed if needed. The tank will be located: 5'+ from any property line, building foundation or drain field 10'+ from any water line 100'+ from any surface water 100'+from any private wells 200'+ from any public wells The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 907.272.8218. Sincerely, 116, ti'% Steven R.Pannone /I' • 446 III\.R1t.•• Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Rick Mystrom. MaFor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www ci.anchorage.ak.us July 8, 1999 Francis & Dianna Sommer 4700 SILVER SPRING CIRCLE Anchorage;;AK 995074380 Subject: SPRING HILLS ESTATES #1 BLK 1 LT 12A Permit # SW980266 PID # 015-051-88 The subject permit, issued 7/29/98 by this office for a single family well and/or on-site wastewater system, is due to expire as of 7/29/99. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. However a new permit can be issued free of charge for a second year if the application for the renewal is received on or before the date of expiration of the original permit for which a fee was paid. When applying for a new permit after the original permit has expired or for more than a second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-4744. Sincerely, Program Manager On-site Services enc: Copy of Permit 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 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 29, 1998 Expiration Date: Jul 29, 1999 Permit Number: SW980266 Legal Description: SPRING HILLS ESTATES #1 BLK 1 LT 12A Design Engineer: Alaska Water & Wastewater Services Owner Name: Patrick & Patrish Brady Owner Address: 4700 Silver Spring Circle Anchorage, AK 99516- Parcel iD: 015-051-88 Site Address: 004700 SILVER SPRINGS CIR Lot Size: 32654 SQ. FT'. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] SepticTank [] 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 Cede Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours 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. 5. The following special provisions. Received By: .'~J~ ~ lJ~{ l~ ~ Date: ~'~ ~::~ ~//d~ IssuedBy: "~~ C ~'~ Date: 7.~.q'~l~) Alaska Water & Wastewater 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers July 14, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Septic Upgrade Design for Lot 12A, Block 1, Spring Hill Estates To whom it may co~acern: The existing 4 bedroom house is served by a private septic system and well. The existing bed is surcharged and must be upgraded prior to the sale of the house. Two test holes were excavated to the southeast of the existing septic system. ~ Commtmts xegarding.the proposed .upgr_a de design are summarized as follows: 1. SOILS: Attached are the soil logs which shows the soil profile, and the percolation test results. The soil encountered in both test holes consis, t mainly of a poorly permeable silt to silty sand down to a depth of 5.5 feet. Below the 5.5 feet d~pth, the soils consist of a wel[graded sand to sandy gravel. Our intent is to excavate down to the SW soil and add a 3.5 feet thick sand filter. No groundwater was encountered during the excavation of the test holes except for some heavy weeping at 8 feet in TH#1. On 7/10/98, the monitoring tubes were checked and groundwater was found to be at 9.5 feet in TH#1 and the monitoring tube in TH#2 was found to be dry. Two soil percolation tests w~re performed, one at 5.5 feet to 6.0 feet in TH#1 which perked out at a rate of 4.4 minutes/inch and one at 7.0 feet to 7.5 feet in TH#2 which perked out at a rate of <1 minute/inch. 2. TRENCH DESIGN: a. Percolation Rate: 4.4 and <1 minutes/inch b. Allowable Application Rate: 0,Tgallons/d~y/ft2.(sand filter) c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 858 ft2 f. Effective Depth: 0.5 feet g. Approved M.O.A. sand filter = 3.5 feet min h. Width: 15 feet i. Minimum Length: 60 feet j. Effective absorplion area = 900 f~2 k. Maximum depth = 5.5 feet maximum 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The topography of the proposed septic system upgrade area is generally flat. In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. SJ ~s P. Williams, P.E. vil Engineer -" I ~ ,' ,'/ ,' X' ~,' ,; t ~ ..." :/ : /:' ,d ," ~: I ', ~ / :~ ~ ~ ~,~,,~ ,, ~: .... ::~. X / / / ~ ~ /4 BEOROOM / / i LOT 13, BLOCK ~ ~ ~.. / / ,' ~ ~g ~ HOUSE~ I I ', s~ H~L~ s/q / ,/ ',,. _~,, ~ ,, ~,, ~ ',,,/~_/ / ',, ~ ', ,' . . ,. , . ~ %.., /.>'I ~~~ / , / ~~/ , ,, ~ ~o~,~,.~oc~, , ~,.,,~ ~ ~,~.~ ,i;,~~'-. ....: .... E. ~OOth AVE. , m LOT ~4A LOT m HANL~ S/D H~L~ S/D LOT 95 m ~0~ PROPER~ SE~EO BY HAN~ S/D mmm ~0~ ~E WE~ ON LOT 93A. A~S~ WATER & WAS~WA~R ~...'~ , '...~>'~ SITE P~N ~1 PREPAR~ FOR: PHONE NUMBER: lO,~ PATRISH BRADY (907)546-5522 ~ '.. C.E. PATRICK AND ~ oA~:7/14/98 O~WN ~:j.L.M. 1 = 100' 1 OF 5 NOTE' WELL % ~ ~ THE ENGINEER 24 HOURS PRIOR TO CONSTRUC~ON. ~ ~ ~ ~ 2. THE CONT~OR IS R~PONSIBL[ FOR ~NG ~E / ~ ~ ~ ~- / HOUSE I EX[~NO 8EO TO BE USED ~ CO ~ .~ X WI~ OU~ OUT~S / ALAS WA R & WASTEWA R PR~ARm fOR: PHONE NUMBm: I '~ ". NO. 9608 ..' PATRICK AND PATRISH BRADY (907)346-3322 I )ATE:7.14.98// I J.LM. 1 = 30' 2 OF 3 60' ~8, J r [ I ~, I I ~ ~ ~o P~N VIEW PROFILE VIEW DETAIL OF P~N AND PROFILE OF PRESSURIZED BED PREPare FOR: PHONE NUMBER: PATRISH BRADY (907)346-3322 PATRmcK AND J.L.M. N.T.S. 5 OF 5 AL'ASKA WATER & WASTEWATEB 7320 E. CHEWER ~, C]RCL~ * ANCHO~E, ~. 99504 PHONE (907) 337-6179 * F~ (907) 33B-3246 ~" [SOIL LOG - PERCO~TION TESTJ LEGAL DESCRIPTION: SPRING HILLS ESTA~S, LOT 1~, BLOCK 1 DATE PERFORMED: 6/29/98 ~a~'~ NO. %2'.... ~.m ...... ORC I TEST HOLE · .... 1 -- xxX~x FILL ' ~~ 21 ~a;~}~} ORG SOIL CBSSIFICATIONS ' ' : :-~:,::~, .x GW I ~ J ; ,~ SILT W/ F~ SlL~ iq i GM CL ~. S~D LENSES. ~ ~GC ~ ~OL SM~RING. ~ SW "MH 5~I ¢ ~'~,, SP CH 6 -- ~ ~ ~,~,~ SW SC )~&~%~ WELL G~ED SAND :> ~"°%~ ~ GROUNDWATER 8 ~ >o~%o¢~ ~¢~ ~ ~H~ WEEPING ~8' 6/29/98 · = ~-~..~. 9.5' 7/10/98 tglTF PI ANI "'" ~/' ~ .' ~%%%~ BOH 11 ~ DATE READING CLOCK NET TI~E WATER LEVEL NET DROP TINE (HINGES) RE. lNG (INCHES) 12~ 6/29/98 FI~ED PI:RC. HO~ ~X, BRAINED OU ~CH TIME IN LESS 7~ 5 MIN, 13~ 1 2:05 6" 1~ 2 2:15 10 3 1/2" 2 1/2" 3 2:18 15-- ~ 2:28 10 ~ 3/4" 2 1/~" 16~ 5 ~. 2:30 6" 6 2:40 10 3 3/~" 2 1/4" 17-- 19- PERCOLATION RATE 4.~ (NIH.lINCH) PERC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 5.5 FT. ~D 6.0 FT, COHHENTS: BURIED BRUSH PI~ (STUMPS, ROOTS, TRE~S, ~C,) ADJA~O THE WEST OF T,H. PERFO~EO BY A~SKA WATER · WAST~ATER l, ~ ~ i , OERTI~ THAT THIS WAS PERFOR~E~ IN,ACCORDANCE WITH ALL S~tE AND ~UNICIPAL ~UI~EEIN~S IN EFFEOT ON THIS DATE. ~ATE: , ~tM ~ DEPTH TO DATE GROUNDWATER HEAVY WEEPING ©B' 6/29/98 9.5' 7/10/98 .AbASKA WATER & WASTEWATER 7320 E. CHESTER Hl~. CIRCLE * ^NCHOEAGE, AK. ggS04 ~'~,,~., ......... '.*°-*~'1'. PHONE (907) 537-617§ * FAX (907) 338-3246 I SOIL LOG - PERCOLATION TEST] t~A'~'''~.;.'49~ ~j~-'"~-'?'~/~"..?.~{" PERFORMED FOR: PATRICK AND PATRISH BRADY '~V.~ .................... J '.JAMES P. WILLIAMS: DATE PERFORMED: 6/29/98 ~ '-. NO. 9608 ." I0~,,,.".....' C.E, ......"~,~" DEPTH (feet) =~: ORG ITEsT HOLE #21 ...... 3 ~ ~ GP ML I w~~. ~-- GC OL ~ ~ 4 a~ / ,/ ~ SW NH ~ ,., .. < 1 MIN/IN ~ SC ~":;-7 WELL GRADED / . ~ ~ ~ 7-- ?~?~,., ~TERIAL DEPTH TO ~,:~ :~ ~ ~ DATE , .... . '. , ] J ML D~Y 7/10/9~ I~U,~ ~?I "~- d _ 9--ii i J OENSE SILT ~ - ~ =~uu J ___ HARD DIGGING -- ............ ~ 10~ ~ ~ 11 -- , DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MIN~ES) RE. lNG (INCHES) 12 ~ ~ i BOH 6/29/98 FI~ED PI:RC. HO~ TOOK WATER NS FAST AS F ~S ~DED 1~-- 15~ ~ 16~ ~ 17-- 19~ · PERCO~TION ~TE <1 (MIN./INCH) ~RC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 7.0 FT~D 7.5 FT. COMMENTS: '[ ~ ~c7 ~ PERFOME9 BY A~SKA WATER ~ WASTEWATEE I. ~ , CERTI~ THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~JJ~l~ DEPTH TO DATE GROUNDWATER DRY 6/29/98 DRY _ 7/10/98_ 1 1. THE:CONTRACTOR IS RESPONSIBLE FOR NOIIFYINQ ~IS IS AN AL~~A~ DESIGN ~ = / '~ ~f~ ~--~4 BEDROOM PREP~EO ~: PATRISH BRADY PATRICK AND THIS IS AN P~N VIEW - AL~~A~ LEGAL D~CRI~ON; SPRING HILL ESTATES ~1i LOT 12A, BLOCK 1, ~t~:.: .... ~V;~ ....... BOTTOMLESS SAND FILTER (ISF) DETAIL (907)346-5322 PATRICK AND PATRISH BRADY ,~?.... ........... ..'~.~ 3ATE ~l ~WN ~: sc~E I PAGE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE '~]'UPG RAD E S"/? ~0 /~) ' NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATL~X,',~ /hYb /~jdr/,~ wj Lo'! LZ Absorption area Liq, capacity in gallons IF HOMEMADE: Inside length DISTANCE TO: Well Dwelling Manufacturer Foundation DISTANCE TO: Top of tile to finish grade Length Total length of lin s Material beneath tile Depth Crib depth Type of crib Crib diameter Well Building foundation DISTANCE TO: Depth Driller DISTANCE TO: Building foundation Sewer line Dwelling Material Width Material Nearest lot line Tren width inches NO. OF BEDROOMS ~ERMIT NO. No, of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO' ¢~, 3--o~ ,~- ) Distance between lines Total effective absorption area 6-'-! '/ /7 ~ PERMIT NO. Total effective absorption area Nearest lot line Septic tank Distance to lot line OTHER PIPE MATERIALS pvc ci SOIL TEST RATING INSTALLER REMARKS / ,, /// APPROVED DATE ~, M-W DRILLING, Inc., =.O. Box 110378 · 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA99511 DRILLING LOG 85-2.37 Well Owner DecLsn'~ T~ !.!oo,!~.~. !~i_lY UseofWe]l Domaatic Location (address of: Township, Range, Section, if known; or distance main road Size of casing Static water level Screen ( ); Perforated ( ), Describe screen or perforation. '. ;~ None Well pumping test at 20 gallons pe~ ~.q~;) of drawdown from static l?Vel, ~ Date of completion Depth in feet from ground surface Depth of Hole !P! feet Casedto 181 feet !5~ ft. (~RX~O {below) land surface. Finish of well (check one) open end ( X ); (minute) for i hours with 100% WELL LOG Give do{ails of formations penetrated, size of material, color and hardness 0 TO 2 2 .TO_ 4 4 TO_ 49 49 .TO_ 63 63 TO. 99 99 .TO 141 141 TO 142 142 TO 171 171 TO 181 Gravel Gravely Itard' Pan Water Gravel ____TO TO_ TO. TO. .TO_ 1NWWA Certified Contractor TO 3 -- CONTRACTOR S!5() :U.5 ii, 05 103; ::!;4 ?.-'-i~ 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST too PERCOLATION TEST / £-1 LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9- 10- 11 13 14 15 16 17 18 19- 20- COMMENTS DATE PERFORMED: SLOP~ SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? /vD S Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT ~'/,~//,~ be,~ ,,- PERFORMED CERTIFIED BY: Z, ~ '~ /o/ z ALA~,A e~IRonmEnTAL cOrlTROIL SERI~ES, II'lC ~n~jin¢¢rinq ~ ~nuironm~a~lal $1]J~Jics SUPPLEMENTAL SOILS LOGS TEST HOLE NO. ~ TEST HOLE NO.' o. 1'1- ILl 18- 1 17. 1200 U]¢sl 33r~J J~ueJ~U~, Suil~ J~ · Ancl~o~ge, Alosko ~503 · (907) 276-1361 ~ I~t ~ I~ T '~ 0; ~.- ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # I~)~.~- ~_~\_O~ 1. GENERAL INFORMATION Complete legal description ............. Location (siteaddress ordirections) 4700 Silve. r Springs Circle Property owner Mailing address Lending agency Mailing address Agent Mik~ L¢~x'~, Address George & Doris Abrah~, Day phone 346-2763 4700 Silver Sprin,qs Circle, Anchoraqe, Alaska 99516 Day phone PHH/HO~EQUITY 400 East Las Colitis Boulevard Day phone 214-506-8808 Irving. TexaS '[75059 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 N TYPE OF WATER SUPPLY: Individual well XX NOTE: Community well Public water If community well system, provide written confirmation from State ADEC attest- -lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: XX Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA ~21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm s &s ENGINEERII'YG- Address 17034 Eagle River Loop Road Eagle River, Alaska 99577 EngineeFs signature Phone Date DHHS SIGNATURE j.~ Approve~ifor :~..../%Z~/~.,)bedrooms. Disapproved. Condit[0nal approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA ~21  Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST · . /ftYS. Parcel I.D. Legal Description:/_,,~,!~-)~.~,~r,~)~ ~;~1~. ~-<'~'~t~. ~ A. WELL DATA Well type~ If A, B, or C, attach ADEC letter. Date completed Log present (Y/N) ~, /~ , Totaldepth I ~ I Casedto ( ADEC water system number ~ -.z7 -,~ Driller .J~ /~' Casing height Sanitary seal (Y/N) ~1 FROM WELL LOG Date of test ~ ~ Z.'~ - ~ Static water level "' I ~ C) ' Well flow ~ O g.p.m. Pump level ~ ~/ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot / O(~ ~ Absorption field on lot I (pC> 'T Public sewer main ~,~ / I~ Public sew'~r service line /~5/~ Wires properly protected (Y/N) ; On adjacent lots On adjacent lots Public sewer manhole/cleanout Petroleum tank AT INSPECTION ~u _O oo ioo~ WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ¢~¢,.-~'_~'~c..?~,~ (O, ~! Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed ~,~ ~ -'~ ~ ~ Tank size I ~- ~ Cleanouts (Y/N) ~ Foundation cleanout (Y/N) High water alarm (Y/N) /0 J~ Date of pumping ~' ~l~' ~J ~ ,/¥'1 Compartments ~---- Depression (Y/N) /x) Alarm tested (Y/N) t,,) / ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: / I Well(s) on lot I ,~0 ~- On adjacent lots J IPC2 '~ To property line _~-~O ~ Absorption field [ 2- Surface water/drainage J (~) T Foundation Water main/service line [(~ '/- 72-0?6 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed ~ Size in gallons Vent (Y/N) "Pu~p on" level at High water alarm level . ~."'%.~--~ Meets MOA electrical codes (Y/N) '%', Well on lot On adjacent I% D. ABSORPTION FIELD DATA Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Surface water Date installed ~%--- -'f' - ~'~ Length ~ '~ Width Total absorption area ~-,~,/~ Depression over field (Y/N) Results (pass/fail) ¢2¢~ ~.~:> Peroxide treatment (past 12 months) (Y/N) Soil rating ~,~- 4b/~~-- System type Gravel thickness I,~ - o~,' 4,,)¢~'~4~.Tot al d e pt h Cleanouts present (Y/N) Date of adequacy test ~', ~ ! ~ - ~ I for /-~ bedrooms If yes, give date ,',J/IA SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot ( O© '~- To building foundation On adjacent lots ~ Surface water ( 6~O Curtain drain ¢,-) (© On adjacent lots I DO '/" Propertyline ._~-%- To existing or abandoned system on lot /~/ Cutbank_ k ~/f/+- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect on ~ date of this inspection. Signature $ & $ ENGINEERING 17034 Eagle Rid'er' Loop Road Engineer's Name..apl~ River: Alaska eg~7? H^A Fee* ¢¢ Date of Payment Receipt Number 72-026 (Rev. 3/91 ) Back MOA 21 Waiver Fee: $; Date of Payment Receipt Number i~-%~ MUNiCIPALiTYOFANCHORAGE DEPARTI~ENT OF HEALTH AND ENVIRONI~IENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, sect~,~, township, ['ange).~ ' Location (address or directions) (b) ApplicantName./-~-¢×a~//~/////~'c~ Telephone:Home ~)4'~0l¢¢' Business Applicant Address (c) Applicant is (check one): Lending Institution []; Owner/builder~; Buyer []; Other [] (explain); (d) Lending Institution. Address Telephone (e) Address Telephone (f) Mail the HAA to the ~ ~r~,(::) ~A_(..~ following address: I TYPE OF RESIDENCE Single-Family/~ Multi-Family/r-1 Number ofBedr' ooms_ Other WATER SUPPLY Individual Well J~ Community [] Public [] Note: If com m unity/well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite,~ Public [] Community [] Holding Tank [] Note: If~community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 72-025 (1 W84) Page 1 of 2 · ~'~ INSPECTIONS, TESTS, FILE SEARCH, AND INFORMATION ENGINEERING FIRM PROVID - AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval 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 flies and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in complianc? with all Mueicipal and State codes, ordinances, and regulations in effect on theNamedateof o~tion.Firm ~'-~>~-~'- ~/~,-~2' ~ Telephone. ~ ~-~ ~ Address ~ ' ~2~ ' - Date ~-- ~ ~" DHEP A P P R OV,,,~- Approved for _~:~'~'{~'~ bedrooms by Approved ~ Disapproved Terms of Conditional Approval Engineer's Seal CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of hor~es and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 [11/84) ~ /~UNICIPALI~Y C~ ANC~O~GE ' ~ DEPT, OF HEAL1H & ENVIRONM~NI'~.. PROTECTION MUNICIPALITY OF ANCHORAGE (MOAI HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 WELL DATA Well Classification.~'~/'¢'~/- ~ Well Log Preser~N) Total Depth .//,~/' Cased to ~/',¢¢J Casing Height Above Ground Z ~/ Electrical Wiring in ConduCN) Separation Distances from Well: j Legal Description: ti A, B, C, D.E.C. APproved (Y/N) Date Completed ~/-~-~/~'~ Yield × / Depth of Grouting ~ Pump Set At }7~,~ Sanitary Seal on Casin{~N) Depression Around Wellhead (Y~_ / To Septic/Holding Tank on Lot ~'~¢ '7~---' ; On Adjoining Lots To Nearest Edge of Absorption Field on.Lot ./'~ ~ On Adjoining Lots /'¢~/' ' To Nearest Public Sewer Line /¢'~/'~ :To Nearest Public Sewer Cleanout/Manhole '¢'//J~ To Nearest Sewer Service L ne on Lot ,~"'/~ Water Sample Collected by ~'~'"'~-~'¢"¢-~ ~'~ ;Date ,//--// -- Water Sample Test Results "~'~'/-~ Comments ~U_~/~'~ ~t¢12 I.'./~l-f. I_0~ ; FL.OuJ '11¢'~-~f'' SEPTIC/HOLDING TANK DATA Date Installed --~//~ Size Standpipe~N) Air-tight Cap t~"~N) Depression over Tank (~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) / Separation Distances from Septic/Holding Ta~nk: To Water-Supply Well ./'"~ ~' To Property Line '-~'~' /'~"' To Water Main/Service Line Course Comments ~ At~ 1¢'7~ No. of Compartments Foundation Clea~ ,t(~) ~ ; for Temporary Holding Tank Permit (Y/N) .-'~/-'~' ,. To Building Foundation To Disposal Field ./~ / To Stream; Pond, Lake, or Major Drainage Page I of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata, Dat. Installed ~-~ W'idth of Field Square Feet of Absorption Area Depth of Field Gravel Bed Thickness Standpipes Present~'~N~ ) Depression over Field (Y~.)// Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ,,"/~ To Building Founda/tion "%~'~-// Lot ~/~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area. or Vehicle Storage Area Comments ¢b~"- A~F~,~ Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots ./',¢~ /'~-~ To Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request I certify tha¼have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ( ~,~/[~ ~'~/~'¢~ ~-' Date Company ~-~ Ed'~ ~ /¢04~L~ MOA No. '_ Receipt No. Date of Payment Amount: $ Page 2 of 2 72 026 (11/84) Engineer's Seal BES~E, EPPS & 2220 EAST 88 AV~N~JE ANCHORAGE, AK 99507 (907) 349-6451 WATER W~Lr, TEST Location: Client's Name: ~ - ,~ Initial Reading on Meter: TIME GPM ,% VOLUME TOTAL VOLUME Prodnction Rat~:~,~ GPM 24-Hour Capacity Gallons