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HomeMy WebLinkAboutCHUGACH PARK ESTATES BLK 3 LT 5Chugach Estates Block 3 Lot 5 #051- 481- 27 11/03/2008 08:38 9072725115 ELECTRIC INC PAGE 01/01 Certifieb ° riYXf g log by Me CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 *TELEPHONE 688-2759 OWNER OF LAND: tin -l' ' ''r 2`2 �� k' BORE HOLE DATA ADDRESS: JJ LEGAL DESCRIPTION: DATE: ,Q'-�''w�n�DnG �G PERMIT NUMBER: Date of Is 629- - TAX IDENTIFICATION NUMBER: 01 =_q�L- �i— Is well located at approved permit location? Yes O No Method of Drilling:2e1r rotary O cable tool Depth of well: !t v G Casing Type�1tr ( Wall Thickness inches Diameter 6 inches, depth.—feet Liner Type: ^ Casing Stickup Above Ground: d feet Static Water Level: 117 feet Recover Rate:--ca-9 m Method of Testing: 41 Well Intake Opening Type: u open end )e pen hole O Screened: Start feet -Stopped feet perforations Start.L1 n�t feet Stopped �L _feet Grout Type: t lie. iQlvolume 18a Depth: from feet,, /to feet Well Disinfected Upon Comfp" lesion? Oyes O No Method Of Disinfection: l der i vq- /�ti .0/1 Comments: Cahill 1 k . i C Sa+tr( (�ravc 11 �U�111 f�rov - dt,{'Pv' a�vl /+ e. petit i t ck tj 6?.,k k ,-rA Irnc k r- r dicr Lj _tlrtil fa rCt(CC C en4frx-,L CoraA Driller's Name r 1 VrG✓� ATTENTION: It is the responsibility of the properly owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health 8. Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. milm sEMS� 1� -- Cahill 1 k . i C Sa+tr( (�ravc 11 �U�111 f�rov - dt,{'Pv' a�vl /+ e. petit i t ck tj 6?.,k k ,-rA Irnc k r- r dicr Lj _tlrtil fa rCt(CC C en4frx-,L CoraA Driller's Name r 1 VrG✓� ATTENTION: It is the responsibility of the properly owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health 8. Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. Development Services bepartment Building Safety Division A'! On -Site Water & Wastewater ProgramAW 4700 Elmore Street P.O. Box 196650 " Mark Begich Anchorage, A K 99519-6650 Mayor x .muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW_ Date of Issue: Parcel Identification Number: Replacement Only: YES NO Legal Description Chugach Park Estates, Block 3, Lot 5 Pump Installation Date: 1013112008 Pump Intake Depth Below Top of Well Casing: 273 feet Pump Afanufacturer's Name: Afyers Pump Alodcl: 2NFLIO-12-2 Pump Size I hp Pitless Adapter Burial Depth: 12 feet Pitless Adapter Alanufacturer's Name: N/A Pitless Adapter Installer: unknown Well Disinfected Upon Completion? ® Yes ❑ No Alethod of Disinfection: Recirc Comments: Property Owner Name & Address: Steve If'isdorj 1302 IV.. 41st Anchorane.AK. 99503 Pump Installer Name: Aarow Pump & Nell Service LLC PO Box 110496,Anchorage, AK. 99511 (907) 346- 9355 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Sep 25, 2008 Expiration Date: Sep 25, 2009 Permit Number: SW080208 Parcel ID: 051-481-27 Legal Description: CHUGACH PARK ESTATES BLK 3 LT 5 Design Engineer: 0000 ZZ - NONE NEEDED Site Address: 019346 SULLINS DR Owner Name: MARISA MONTBRIAND Lot Size: 55035 SO. FT. Owner Address: PO BOX 672336 Total Bedrooms: 4 Permit Bedrooms: 4 CHUGIAK , AK 99567 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q 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 ( 1BAAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by tailing (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 healed to prevent freezing. Received By. Issued By Dale: C113 -S —CF� / - J Date:�' 2 Jr' 0 i� Municipality of Anchorage .. Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 5 ASH - I I H3, Property owner(s) M A PA % A WQuM fap-IAND Day phone 333 6361 Mailing address Po 16dC G1P-V! o C t -t rA 1 A Zip Code qct 5 C 7 Site address 19 "3''1 Su a_ti1 v s nluv e . _Zip Code q q 56'7 Legal description (Sub'd., Block & Lot) e—Hvg1ft.A Pno- k E.5TATLS A"k 3 t TS Legal description (Township, Range & Section) Lot Size C. 5 , o 35 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms 11 THIS APPLICATION IS AN: Initial Upgrade Renewal I certify that the above information is correct. I further certify that this application is being made for a SingleZe&" Dwelling/and is acc dance with applicable Municipal Codes. ,/tJ STt=%tti w1Sn45Px- (Signature of property owner�uthodzed agent) Date of Payment: Receipt Number. �l 3�a� Receipt Number. (Rev. 11/05) Permit No. Municipality of Anchorage Page 5 of ? Department of IIealth and Human Services Date 8-6-97 ENVIRONMENTAL SERVICES DIVISION -—P.O.-Dox 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/}Yell Inspection Report Legal Description: LOT 5 CLOCK 3 CHUGACH PARK RSTATES N / f�P�b�oxr m�CL / W61a.- i-ocATrou vawi.4 no Cts FRa t*, EA 3fMf�N 1I / � Tq R / FM E 1 / i D R 0 l / N \ I2X / IuUE ) ri E e L D T T _ r �� • �'� 1 \ TH i # R /. LsL• .... .....0 0 ;DEN D _ IIGIt-O vi r 14 Rofes�;Xdl�w,- \\ .. DATE,,\x��.�j-%Q% `% 5 Lo ' T'b ' y D z1z.15 JC�v7E / IJo W&-rEr- 4 rEweIL Tv DA -Ter CERTIFICATE: NOTE: I hereby certify that I have surveyed It is the responsibili the following described property. the owner to determine the LOT 5. BLOCK 3, existence of any easements, CHUGACH PARK ESTATES covenants or restrictions i which do not appear on the rccordcd subdivision. plat. I and that no encroachments exists Under no circumstances „� excent ns indicnterl. /l chnidd nnv dntn hPrPnn he '40 Municipality of Anchorage DeparLmettL of llealth and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 90519-8650 • Tel: 343-4744 On—Site Wastewater Disposal System Legal Description: 1.0T 5 BLOCK 3 CHUGACH PARK RSTATES SWING TIES A B 1 52.3 X13.3 2 46.8 112.7 3 44.8 13.1 4 44.5 13.3 5 29.4 125.8 6132.9 169.0 7 40.4 77.9 8 37.4 3.3 h Page_i of 5 Date 1/15/98 LEGEND ■ CLEANOUT • MONITORING TUBE NOTES: 1. THERE IS NO WELL ON THIS LOT. OWNER WILL INSTALL A WATER HAUL SYSTEM. r 2. ALL CONSTRUCTION WAS IN j ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL ` CODE AS CURRENTLY AMENDED. W613- 4-0 "'Tb 3. PIPE IS PVC CONFORMING ASTM D3O34. IJ 4. THE WATER SYSTEM SHALL BE 'INTERIOR WATER STORAGE TANK. TANK SHALL BE 1250 IGAL. (4 BEDROOM) k HAVE NATIONAL SANITATION FOUNDATION APPROVAL. ACCESS TO WATER STORAGE TANK SHALL BE CLEARLY MARKED 'POTABLE WATER' ALL WATER SHALL BE SUPPLIED BY A SOURCE I APPROVED BY ADEC. (NOT I CONSTRUCTED AS OF THIS DATE.) FF E 1 ELE 13 IL e � � Pq� OF qtqs� �� \ / / I ��. i••. •1•i H• •• •.• i�i 0 0' DENNIS E HIG1t•,y; r CE 5807 •�C=♦ �� / DATE °1•...��,.1v-Qe 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 WATER SUPPLY PERMIT Initial Date Issued: May 07, 1999 Expiration Date: May 06, 2000 Permit Number: SW990087 Parcel ID: 051-481-27 Legal Description: CHUGACH PARK ESTATES BLK 3 LT 5 Design Engineer: 0060 DHI Engineering Site Address: 019346 SULLINS DR Owner Name: Marisa & Ben O'Donnell Lot Size: 55035 SQ. FT. Owner Address: PO BOX 672336 Total Bedrooms: 4 Permit Bedrooms: 4 Chugiak , AK 99567-2336 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: CJ7 7 Issued By: C' /Ijxalo Date: 5— - / ..Perm'if No. Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 10 Tel: 343-4744 On—Site wastewater Disposal System Legal Description: LOT 5 BLOCK 3 CHUGACH PARK RSTATES SWING TIES A B 1 52.3 13.3 2 46.8 12.7 3 44.8 13.1 4 44.5 13.3 5 29.4 25.8 6 32.9 69.0 7 40.4 77.9 18137.4 13.3 g Page 3 of 5 Date 1/15/98 LEGEND • CLEANOUT • MONITORING TUBE NOTES: 1. THERE IS NO WELL ON THIS LOT. OWNER WILL INSTALL A WATER HAUL SYSTEM. 2. ALL CONSTRUCTION WAS IN °) ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL p REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. od PIPE IS /TO ASTM D3034. CONFORMING 114 2 cn o— `"z M 0 ELEVt t I 4. THE WATER SYSTEM SHALL BE INTERIOR WATER STORAGE TANK. TANK SHALL BE 1250 GAL. (4 BEDROOM) do HAVE NATIONAL SANITATION FOUNDATION APPROVAL. ACCESS TO WATER STORAGE TANK SHALL BE CLEARLY MARKED "POTABLE WATER" ALL WATER SHALL BE /SUPPLIED BY A SOURCE APPROVED BY ADEC. (NOT CONSTRUCTED AS OF THIS DATE.) OF A .• AV C17 �4 TI•� • 1I :.... • 00 000 l:•.00 000000 1000 000 000000/090 ♦• ;DENNIS Q HIGH• •0 CE 5807 10� DATE 0�11) C i v i 1 0 Surveying 0 P I a n n i n gDHI CONSULTING ENGINEERS January 15, 1998 W. 0.: 96272 Donna Mears Department of Health and Human Services P.O. Box 196650 Anchorage, AK 99519-6650 RE: Lot 5, Block 3 Chugach Park Estates / Record Drawings Dear Donna, Enclosed are the revised Record Drawings for the septic system on the above referenced lot. I believe that we have addressed the items noted in your review comments. I have enclosed a statement from the Owners concerning their capabilities to install the septic system. They have constructed a home on this lot and they are currently living in it. There are two items that need to be completed in the spring. They are: A) Approximately one foot of fill needs to be added above the leach field. B) The final grading around the leach field area needs to be completed to provide the 50' setback from slopes greater than 25°x6. For the record, there seems to be a discrepancy concerning the notification for inspections on this project. The Owners stated (and are willing to give an affidavit to the fact) that they did call in both inspections at the same time that they notified DHI Consulting Engineers. This completes DHI Consulting Engineers work on this project. Any additional correspondence on this project should be directed to the Owners at the address on the permit. Very truly yours, 7 l -Co suiting Eng Dee High, P.E. Principal Enclosure(s) cc: Marisa and Ben O'Donnell 272dm15J.ltr Dimond Center Tower, 5th Floor • 800 E. Dimond Blvd., Suite 3-545 • Anchorage, Alaska 99515 (907) 344-1385 9 Fax 344-1383 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH do HUMAN SERVICES On -Sits Servlcea T-mnamlttal Sheat TO: ���.Htc, �I LEGAL: L 57, 3 Oh0611 Ta rK The attached paperwork has been reviewed and is being returned for the following reason(s): .. Discrepancy in legal description and/or owner name. Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains• and streams within 200 feet of proposed system. Replacement disposal site not shown and/or tested. —T calculation error its 4404n, oA As•V"If Show locations of all soils, perco ation or water table tests. Proposed system too deep for soil test submitted. Topographic information missing or inadequate. Narrative missing or inadequate. Additional soil/perc test needed. Sand filter requirements not satisfied. Water monitoring results missing or inadequate because Incomplete; missing 'Ou✓rtPr CeA` fa�oy? �ef�Q� �cr Se r )►�sfa�� • �cc�pfGb(e 3N( ��v Ta��e,- 1 lte& Vf-� Well log required. r Other o 25 Z ca✓e✓ ✓IeEo3 10 �72 Z gj,i2- �'� iY?Svfa-{1oYl Please supply the necessary information and re -submit your request. Your cooperation is appreciated. Reviewer-:Gzy4zrl C. Date LEAVE THIS FORM ATTACHED TO PAPERWORK /203 -rev. 4/93 Municipality of Anchorage Page 1 of 5 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: PID Number: 05148127 Nome: Wastewater System: ® New ❑ Upgrade Marisa Montbriand Address: ABSORPTION FIELD 19346 Sullins Dr. Phone:No. 688-4420 01 Bedrooms: 4 6d Deep Trench O Shallow Trench O Bed ❑Mound O Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: O. 8 GPD/Sq. Ft. 1 O Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 5 3 Chugach Park 3.4 Ft. 6.58 Ft. Township: Range: Section: Fill added above original grade: Gravel length: O Fl. Ft. WELL: 0 New 0 Upg�!�3 Gravel width: Numberolllnes: 1 Distancebetween lines: N / A .0 Ft. Fl. Classification (Private, A,B,C►: Total Cased To: Total absorption area: Pipe material: Ft. Ft. 763 so. Ft. ASTM D3034 Driller: Date Drilled: ater Level: Installer: Owner Date Installed: 1 10/4/97 Ft. Yield: Pump Set al: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES IR Septic O Holding ❑ S.T.E.P. To Septic Absorption Lilt Holding ubllc/Privale Manufacturer: Capacity in gallons: From Tank Field Statlon Tank Sewer Lines Anchorage Tank 1,250 Well Material: Number of Compartments: N/A N/A N/A N/A N/A Steel 2 Surface LIFT STATION Water N/A N/A N/A N/A N/A Lot Size in gallons: Manufacturer: Line 63' 19' N/A N/A N/A Foundation"Pump on" level at: "Pump of" evel at: High water alarm at: 10' 18.9' N/A N/A N/A Curtain N/A N/A N/A N/A N/A Pump Make & Model E ricat Inspections performed by: Drain I I Remarks: * Water is to be provided BENCH MARK Location and Descriolion: throu h water haul system Finish floor @ S.W. corner of house. Assume4 Elevation: h 4- T H '• A TH Inspections performed by: Dustin High Dates: 1st 10/9/97 .'• .• .. •.. /.. ... ........ -2nd 1.0/4/97 �• DEE 1111 H I •• CE. 07 V! :r Department of Health and Human Services approval Reviewed and approved by: Date: I- 72-019 fRev 9/91) MOA 25 10 Permit No. Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 Well & On—Site Wastewater Disposal System Page 2 of 6 W.O. 96272 Date 10-28-97 Legal Description: LOT 5 BLOCK 3 CHUGACH PARK ESTATES PID No. SYSTEM DESIGN CALCULATIONS 1. NO. BEDROOMS - 4 2. USL DI_LP IRENCH SYSILM .S. REQUIRED ABSORBTION AREA (# BEDROOMS)(150 GPD/BR) TRENCH APPLICATION RATE - (4)(150) - 750.0 SF REQUIRED .8* 05148127 4. ACTUAL ABSORB -TION ARTA - ?(DEPTH OF GRAVFL)([INGIH) - 2' X 6.58' X 58' /6.3 S. F . PERCOLATION RATE MIN/INCH 0 1 * 6 15 16 30 31 60 GREATER THAN 60 FII T�R LAYER 272CRPAD PIT & TRENCH APPLICATION RATE GPD/SF NOT SUI IAB!. E. 12 0.8 0.6 0.45 NOT SIJ! TAB! F 1.0 MOUND & BED APPLICATION RATE GPD/SF NOT SUITABLE 0.8 0.5 0.4 0.3 •• F, OF At � ••.••••.••.QS ♦♦ • ••_ ;••�� 4 TH • •• •000 • •,j 00000000 00 0000,0 •o**DENNIS *DENNIS EE H: ♦9 •% CE 580 •••' CI � �'rofess��� •� DATE ,\ Pel'mif No. Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System Legal Description: LOT 5 BLOCK 3 CHUGACH PARK RSTATES SWING TIES 1 52.3 13.3 2 46.8 12.7 3 44.8 13.1 4 44.5 13.3 5 29.4 25.8 6 32.9 69.0 7 40.4 77.9 8 137.4 13.3 Page 3 of 5 Date 1/15/98 LEGEND • CLEANOUT • MONITORING TUBE NOTES: 1. THERE IS NO WELL ON THIS LOT. OWNER WILL INSTALL A WATER HAUL SYSTEM. 2. ALL CONSTRUCTION WAS IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 3. ALL PIPE IS PVC CONFORMING TO ASTM D3034. / 4. THE WATER SYSTEM SHALL BE INTERIOR WATER STORAGE TANK. TANK SHALL BE 1250 GAL. (4 BEDROOM) do HAVE NATIONAL SANITATION FOUNDATION APPROVAL. ACCESS TO WATER STORAGE TANK SHALL BE CLEARLY MARKED "POTABLE WATER" ALL WATER SHALL BE /SUPPLIED BY A SOURCE APPROVED BY ADEC. (NOT CONSTRUCTED AS OF THIS DATE.) �Il�li��i MEN FAC .A Ai / •�N A.. •ANO c�c44 • DENNIS E HIGH•g; / ♦�`��ssti• CE 5807 ff ••�N Ar DATE Permit No. Page 4 of 5 W.O. 96272 Municipality of Anchorage Date 1/17/98 Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Bos 196650 • Anchorage. AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System Legal Description: LOT 5 BLOCK 3 CHUGACH PARK ESTATES PID No. 05148127 TH#4 1D 4' PVC MONITORING TUBE. LOWER 6'-7" IS C CLEAN OUT PERFORATED SLOPE FINISH GRADE TO PREVENT PONDING OVER TRENCH ,--ORIGINAL GROUND FINISH GRADE AT '-3.2' ORGANIC d TIME OF FINAL LTS do ROOTS �i INSPECTION ---- - -t----- - -- - - -- 3.2'-16.5' SAND W/ THIN (1/16") LIENS OF SILT OCC. ROCK TO 4" �—GEOTEXTILE FABRIC 4" PERF. PVC SEPTIC ROCK 3'- 0" TYPICAL WIDE TRENCH SECTION A NTS RE<�ORD DRAWING SCALE: NTS UNDISTURBED TRENCH WALLS 8" INSULATION ••F, At ♦• ?P�Ar «...••qs i4. TH1� 0# 1DENN1Y DG�• �AV �s • CE 500"?. •O' F)-Ofess�a� �40 DATE ������ X40-* Permit No. Page 5 of 5 Municipality of Anchorage W.O. 96272 Department of Health and Human Services Date 1/17/98 ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System Legal Description: LOT 5 BLOCK 3 CHUGACH PARK ESTATES PID No. 05148127 Wct —1 cd - 1 - l I Alt 11r. Dee High DHI Consulting Engineers 800 E. Dimond Blvd. Suite 3-595 Anchorage, Alaska 99515-1383 RE: Lot 5 Block 3 Chugach Park Estates Septic/dater design permit/installation Tls wr. ?1r.. Him:. Reference our conversation regarding the above-described project, it is our intent to install both of the above systems as the owner -builder's of this project. Due to our experience and knowledge with surveying, construction, and heavy equipment operation, we feel confident that the above systems can and will be installed with respect to municipal codes and regulations. Further, it is our understanding that the above-described systems will be inspected by the engineers and/or technicians of DHI Consulting Engineers prior to, during and after completion of the above project to ensure that all municipal codes and regulations are being met with regard to placement and installation of the system. Thank you for your time and effort with this project. We look forward to working with you on this endeavor. Sincerely, Ben and Marisa O'Donnell i /� �'/l cap Y MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970336 DESIGN ENGINEER:DHI ENGINEERING OWNER NAME:O'DONNELL BENEDICT & OWNER ADDRESS:19346 SULLINS DR CHUGIAK, ALASKA 99567 PARCEL ID:05148127 LEGAL DESCRIPTION: CHUGACH PARK ESTATES BLK 3 LT 5 LOT SIZE: 55035 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 9/29/97 EXPIRATION DATE: 9/29/98 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL P RECEIVED ISSUED BY ROV SIONS: BY: DATE: C Lf p q DATE: W.O. 96272 SITE NARRATIVE Project: Lot 5 Block 3 Chugach Park Estates Lot 5 Block 3 Chugach Park Estates is located on the west side of Sullins Drive in Peters Creek. The lots to the south and east are developed with existing homes, wells, and septic systems. The lots to the north and west of the subject property are undeveloped. Domestic Water: The location of wells and septic systems within 200' of the proposed improvements are shown on sheet 5 of the enclosed design. The subject lot is proposing to use an above ground holding tank for its domestic water supply. As such, there will be no impact on adjacent lots. Septic System: There is adequate space on Lot 5 for both the proposed system and a additional system without impacting the protective well radii of existing or proposed wells. The subject lot is steep and will require some grading or fill to meet the 50' set back from slopes greater than twenty five percent (see site plan). The proposed deep trench system can be installed without requiring any waivers to seasonal high water table or bedrock. Recent reports by Bristol Enviroments Services show that nitrates in the area are well below the State standards and as such a conventional system will be adequate for this lot. Drainage: The drainage in general is from the east to west. When the property is developed, the general drainage should remain the same. There is enough slope to the property so that the lot can be landscaped to prevent ponding around the septic system. There are no other streams or other drainage channels (other than roadside ditches) on or within 100' of the lot. All disturbed areas will receive topsoil and seeding to prevent erosion. 272nar.rep Permit No Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage. AK 99519-6650' Tel: 343-4744 Well & On—Site Wastewater Disposal System Page 1 of 7 W.O. 96272 Date 7-18-97 Legal Description: LOT 5 BLOCK 3 CHUGACH PARK ESTATES PID No. ? SYSTEM DESIGN CALCULATIONS 1. NO. BEDROOMS = 4 2. USF DFFP TRENCH SYSTEM 3. ABSORBTION AREA = (# BEDROOMS)(150 GPD/BR) TRENCH APPLICATION RATE (4)(150) = 750.0 SF .8* 4. TRENCH AREA 2(DEPTH OF GRAVEL)(LENGTH) = 700.0 SF IF GRAVEL DEPTH = 7.0' THEN LENGTH OF TRENCH = 54.0' PERCOLATION RATE MIN/INCH 0-1 1-5 6-15 16-30 31- 60 GREATER THAN 60 FILTER LAYER 272CRPAD PIT & TRENCH APPLICATION RATE GPD/SF NOT SUITABLE 1.2 0.8 0.6 0.45 NOT SUITABLE 1.0 MOUND & BED APPLICATION RATE ��, OF At,q 4� GPD/SF i ,`'��• T_H ~•~ �♦�1 NOT SUITABLE 0 �•N �+ •* i 0.8 / 0.5 • NNI D �HIGG`H:: Q) Al 0.4/♦��sii• CE 5807 ��� c� • • NOT SU TABLE ♦����°p' ���� ��9 s.p� DATE Permit No. Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Boa 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 Well & On—Site Wastewater Disposal System Legal Description: LOT 5 BLOCK 3 CHUGACH PARK ESTATES NOTES: Page 2 of 7 W.O. 96272 Date 8-7-97 PID No. ? 1 ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 2 INSTALL NEW SEPTIC TANK AS SHOWN ON THE DRAWINGS. SET TANK LEVEL & RECORD INLET AND OUTLET ELEVATIONS OF THE TANK. TANK SHALL BE PLACED ON UNDISTURBED NATIVE SOIL. PLACE OUTSIDE PROTECTIVE WELL RADIUS. 3 SITE TOPOGRAPHIC SURVEY CONDUCTED BY DHI ON 7-24-97. ADDITIONAL EXISTING STRUCTURES, WELLS, SEPTIC SYSTEMS OBSERVED WITHIN 200 FT. OF PROPOSED SYSTEM SITE ARE SHOWN ON DESIGN DRAWINGS. 4 ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION INTO THE SYSTEM. 5 LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS, SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. STAKE PROPOSED SYSTEM PRIOR TO CONSTRUCTION. NOTIFY THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. 6 NOTIFY THE ENGINEER AND DHHS 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRADE. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, TANK, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED. 7 CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED -LINED, AS -BUILT DRAWINGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15.65.F.2, 3, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WITHIN FIVE DAYS OF THE FINAL INSPECTION. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT. THESE AS-BUILTS SHALL BE USED BY THE ENGINEER TO PREPARE AND SUBMIT RECORD DRAWING TO DHHS. g STAKE ALIGNMENT OF SYSTEM WITH MARKERS SHOWING THE PROTECTIVE DISTANCES FROM WELLS AND OTHER BODIES OF WATER PRIOR TO BEGINNING INSTALLATION. 9 ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN. ILMIL%\ OFw%P♦ ,••••..•q (� ;TH •*1, DENN(S D�HIGHAV � 4111 ProfeslE�'o 4:0, DATE 272CRPBD Permit No. Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION Page 3 of 7 W.O. 96272 Date 7-18-97 P.O. Boz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 Well & On—Site Wastewater Disposal System Legal Description: LOT 5 BLOCK 3 CHUGACH PARK ESTATES PID No NOTES: 10 EXCAVATE THE ABSORPTION FIELD. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END OF TRENCH. 11 PLACE THE SFWFR ROCK TO THE SPFCIFIFD DEPTHS. DO NOT CONTAMINATE SFWFR ROCK WITH NATIVF MATERIAL OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO f 1" PRIOR TO INSTALLING THE PERFORATED PIPE. 12 ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER -APPROVED EQUAL. MIN. SOIL COVER SHALL BF 4 FT (OR 2' SOIL AND 2" INSULATION BOARD - SIFF NOTE 13) 13 ALL INSULATION BOARD SHALL BE 2" THICK DOW HI -35 INSULBOARD OR ENGINEER- APPROVED EQUAL. (,ENTER INSULBOARD WIDTH OVER PIPES, FIELD, AND SEPTIC TANK. 14 GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER -APPROVED EQUAL. LAP ALL JOINTS 2' MIN. 15 COVER THE DISTRIBUTION PIPE WITH MIN 2" SEWER ROCK, AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILLING. 16 MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. 17 SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND 3:1 MAX SLOPE, AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNICIPAL SPECS. 18 RECORD THE FINISH GROUND ELEVATION OVER TOP OF TRENCH & TANK. 19 SHORE TRENCH 10 PERVENI UNDERMINING OF HOUSE. FOOTINGS. 20 THE WATER SYSTEM SHALL BE INTERIOR WATER STORAGE TANK. TANK SHALL BE 1250 GAL. (4 BEDROOM) & HAVE NATIONAL SANITATION FOUNDATION APPROVAL. ACCESS TO WATER STORAGE TANK SHALL BE CLEARLY MARKED "PORTABLE WATER". ALL WATER SHALL BE SUPPLIED BY A SOURCE APPROVED BY ADEC. 21 FUTURE SYSTEM IS SHOWN FOR PERMIT PURPOSED ONLY & DEPICTS THAT THERE IS SPACE ON THE LOT FOR A FUTURE SYSTEM. YHE FUTURE SYSTEM HAS NOT BEEN DESIGNED OR PERMITTED. DATE 272CRPCD Permit No. Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Legal Description: LOT 5 BLOCK 3 CHUGACH PARK ESTATES LOT 22 LOT 3 LOT 2 I11161MA ..... .. W ..i LOT 6 / LOT 5 1 -PROPOSED / SYSTEM ..r Page—4 of 7 Date 9-4-97 Report LOT 1 / N, LOT 4 \ LOT 2 100' PROTECTIVE WELL RADIUS •�'�' • I WELL i} .:.: +r .4 •t1• •% LOT 17 / / ; 9 TH % �i EPTIC` /• TDG •i SYSTEM / �� SDENNILOT 3 ��••• c•� / 100' PROTECTIVE�° •••••• • / WELL RADIUS \ It Profess%o f♦4 I / DATE ,���♦♦ t"S'� W.O. gfj77� F,R• Nn «• I srsl F; 1"=100' G. FII F: 272CRPE!? Permit No. Page 5 of ? Municipality of Anchorage Department of Health and Human Services Date 8-6-97 ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 5 CLOCK 3 CHUGACH PARK RSTATES •�—��� P.�� OF A(qS�� rte"A 4 TH Vit D A D �IGI0lff- ai ed ••....�•'����� n DATE Permlt- No. Page 6 of 7 W.O. 96272 Municipality of Anchorage Date 9-5-97 Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Hoz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 Well & On—Site Wastewater Disposal System Legal Description: LOT 5 BLOCK 3 CHUGACH PARK ESTATES PID No. ? TH#4 1 2 3 4 5 6 7 8 1 1 4' PVC MONITORING TUBE LOWER 7" TO BE —4" CLEAN OUT AS PERFORATED SHOWN ON PLAN do PROFILE - SLOPE FINISH GRADE TO PREVENT PONDING OVER TRENCH ORIGINAL GROUND-� 0'-3.2' ORGANIC SILTS do ROOTS 3.2'-16.5' SAND W/ THIN (1/16") LINS OF SILT OCC. ROCK TO 4" SCALE: NTS UNDISTURBED TRENCH WALLS NON COMPACTED Z BACKFILL N r__2" INSULATION '-GEOTEXTILE FABRIC 4" PERF. PVC SEPTIC ROCK 31-0" TYPICAL WIDE TRENCH SECTION NTS r, �.,&IS--%%. OFA �• Ar �� • k TH .� 0 • DENNIS DE F`• / mss% CE 5 •••' • ♦� d �ofess�o� �� )ATE ,, VA'L'. Permit No. Page 7 of 7 Municipality of Anchorage W.O. 96272 Date 9-4-97 Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 Proposed On—Site Wastewater Disposal System 3 CHUGACH PARK ESTATES Legal Description: LOT 5 BLOCK PID 140. 16' 54' SEPTIC INSTALL OPPOSING 4" MON. TUBE TANK PUMP CLEANOUTS W/ PERFORATIONS T. it' OUT CLEAN FULL DEPTH OF MAX.MP )AP OUT- DRAIN ROCK C CLEAN ORIGINAL GROUND (97 OUT — ,N lrlcu�ATior3 z GEOTEXTILE FABRIC SLOPE AS REQUIREDZjr MIN. I I .—w INV.=0.0 CONNECT TO INTERIOR INSTALL NEW o I I PLUMBING SYSTEM 1250 GAL. SEPTIC TANK (SET LEVEL) 4" PERFORATED -DEEP TRENCH PVC PIPE. POINT DRAIN FIELD PERFORATIONS DOWN (2 EACH) INSTALL LEVEL TYPICAL PROFILE SCALE: NM OF At 14' i : 9 TH 0_)3 ;LDENNIS DEE GF`• Zvi �� •. CE 5807 .• .Si • • Njavi'aess0o 40410 DATE 272CRRAD (D a x :3 o CL CD Ll 0. co rN 5* 0 k , O 0 3 CD :3 14- �lj x 1.9 B bl, I 171 E ®._____....m...__ — — ram_.__.___... --------- LP (Y 01, �Orl 0' m l� Municipality of Anchorbge DEPARTMENT OF HEALTH A HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST TEST NO I.6 1$ 0 •#0 PERFORMED FOR: -�Y%/Q2lSA I*lo,Jr_f3a.IANa DATE PEnFOR • '� •• "" fs4w4gS �``v\ LEGAL oESCnIPTION: L �J, (�.� C1402O&C&A A Township, Range, Section: SLOPE SITE PLAN oFrTt+ tri Ti& -,3-1 CFer ORC3A141C SILTY Root s 2 3 i aG >. 3•z- i`•S �`e�T s occacroA A -L 2ocK -a H a 6 7 8 9 10 11 12 13 14 15 16 17 18 19 0 -of Tor., O F rrrsr Nope WAS GROUND WATER ENCOUNTERED a S IF YES. AT WIIAT p • •S 7 DFPTII? P E neplh le W3011 Alin__ 11 __ g _"•41I me"0011ng7 � OIU: r Rending Oala Gross Time Net Time Depth to Water Net Drop 4 > O % rte. I a - ao JILr 20-{ I � UPEnCOLATION nATE 9_ G� �L Iminulevinchl PEnc HOLE DIAMETER 4 `/ TEST nUN 13FTWEEN 3.5 FT AND '4-0 FT � COMMENTS T'• M04C �oYaltid : 1*lpQ- 'i'Q 9—IA#J LJ& TLyl-r ,' PEnronMED By_Q�s ��' I CEnTIFY THAT THIS TEST WAS PERFORMED IN ACCOnDANCE WI tit ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON IIS OATE. DATE. 9'S -`I7 72 nnsi (nnv 4,A,;l Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502.0650 SOILS LOG — PERCOLATION TEST ?e S-? 14f>"3 L PEnronMEo ron: 1''►'1AttsA MID A1T 13QfA#J4 DATE PEn LEGAL DESCnIPTION:cAe9 arc es4 Township, Range, Section: oFPTI+ SLOPE SITE PLAN 6 7 1 (- •,• :�� Trap WgTlj r:{cAJ oc s+L,t acc.. g � �• �oc.k �.,� 3H 10 WAS GFIOUNO WATEn ENCOUNTERED? No Nt✓ S IF YES. AT WHAT O S DEP Tit? P 12 L — -- — prplh In wNor After13 �i, ( Monitoring? AJ O N Oslo: Flooding trF.Flf1 O'_ Z - e r�T Net Time "v . 1 F11.1— MAT60-l"It-, Olec>:N16 2 t f' 3,• 3o Z - IV�rzte.eage. e,Kou..�p v.v o � r. r• v " 3 '17- 6 7 1 (- •,• :�� Trap WgTlj r:{cAJ oc s+L,t acc.. g � �• �oc.k �.,� 3H 10 WAS GFIOUNO WATEn ENCOUNTERED? No Nt✓ S IF YES. AT WHAT O S DEP Tit? P 12 L — -- — prplh In wNor After13 �i, ( Monitoring? AJ O N Oslo: Flooding Oefe Gross Time Net Time Depth to Net Weter Drop t f' 3o e 4 71 a o .� v " 3 '17- 20 L� 4 PEnCOLATION nATE 9' m (a Imulevi�nch) PEnC HOLE OIAMETEn LEST nUN BETWEEN ' FT AND FT COMMENTS �yt SOA" D T( -ST MD r PEnronMEb BY: —Z6 -E" N/bN I CEn1IFY THAT TMS TEST WAS PEnFOnMEO IN ACCOnDANCE WIIII ALL SIATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE. DATE: 72 nnn In�v 14151