HomeMy WebLinkAboutSHANGRI-LA LT 12Onsite File
Municipality of Anchorage
a On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
®N -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP201162 PID Number: 020-043-30
Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: Q New ❑ Upgrade
Name
David & Julie Grills
ABSORPTION FIELD
❑ Wide Trench
Deep Trench ®❑ Bed E] Mound
Site Address❑
16160 Lost Horizon Drive
Other
Phone
rNumber of Bedrooms
Soil Rating
Total depth from original grade
1.2 GPD/SFI
3.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
2.0 Ft.
Gravel depth beneath pipe
1.0 Ft.
Subdivision Block Lot
Shangri La 12
Fill added above original grade
2.2 Ft.
Gravel length
110 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
NA
Distance between lines
NA Ft.
SEPARATION DISTANCES
To
i Septic
Absorption
( Lift Station
Holding
I Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
I
Tank
Line
I � Ft2
2
8.4 Ft.
Well
100.1
108.8
NA
' NA
25'+
TANK @g Septic H S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Infiltrator
Capacity
1530
i
Surface Water
100'+
100'+
NA
NA
(
Gal.
Material
Number of compartments
I
i
f
Lot Line
15.8 I
10.6
NA
NA
NA
Plastic
2
Foundation
12.3
11.2
NA
NA
LIFT STATION
Manufacturer
Capacity
i
I
I
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Northern Excavating
Drainffeld 3034 Co/MT 3034
Inspector Pannone Engineering
BENCHMARK (Assumed elevation) 100 ft
Inspdection V, 8/21/2020 2 d 8/22/2020
Location and description
31d 4m
Basement Door Threshold
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineers Stamp
Conditional Approval: Date
OF A���s�
tt H- T�
—
_.•. o,Pani A,,e
. ' 8,149
--
Septic System
Approved Date
Note: this approval does not include well permit requirements.���
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NOTES: PANNONE ENG SVC LLC (C.I. 088) �a�e��,��, REVISIONS DATE
RECORD DRAWING PHONE 9070 745-8200 1807 PALMER,
tFAX 907)) 74 '5-8201 i`P� OFACq ��� REV:20200617 SCALE010830
SHANGRI LA L12 i/ REV:20200618 1" = so'
SITE: NHN LOST HORIZON DR j REV: 20200917 P.I.D. NO
DRAWN ACP �+ 4teven R. Pannone
020-043-30
DAVID & JULIE GRILLS a PERMIT ND.
5241 WOOD HALL DR �� osP2o1162
SITE PLAN ANCHORAGE, AK 99516 �ih���=" SHEET
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NOTES: PANNONE ENG SVC LLC (C.I. 088) �a�e��,��, REVISIONS DATE
RECORD DRAWING PHONE 9070 745-8200 1807 PALMER,
tFAX 907)) 74 '5-8201 i`P� OFACq ��� REV:20200617 SCALE010830
SHANGRI LA L12 i/ REV:20200618 1" = so'
SITE: NHN LOST HORIZON DR j REV: 20200917 P.I.D. NO
DRAWN ACP �+ 4teven R. Pannone
020-043-30
DAVID & JULIE GRILLS a PERMIT ND.
5241 WOOD HALL DR �� osP2o1162
SITE PLAN ANCHORAGE, AK 99516 �ih���=" SHEET
2oF2
d finer Drifling & Enterprises
Well Log
Permit Number: #SW201162 Date of Issue: 6-19-20 Parcel Identification number: 02004330000
Date Started: 7-8-20 Date Completed: 7-11-20 Is well located at approved permit location? x Yes ❑ No
Legal .Description: Shangri-La Lot 12
.Property Owner Name & Address: Trang T Ngo Thuy
Borehole Data: Depth (ft)
Soil Type; Thickness & Water Strata From To
Slick -tip 0
gt M,2lly silt 2
beclrock 6 606
WATER QUALITY TESTING
Nitrates l.3 5
1`l ►J tri..
Method of Drilling x air rotary 1-1 cable too]
Casing type: steel
Wall Thickness:. 260 inches
Diameter: 6 inches Depth: 98.6 feet
Tiner Type:
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level': 186 feet
Pumping level: 600 feet after
2 hours pumping 2 -pin
Recovery Rate: 2 gpm
Method of Testing: air IiLt
Well Intake Opening Type:
❑ Open End x Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: benw7 ite chin Volume: 6bas
Pump: Intal�e Depth feet
Pump size lip Brand Natne
I) Well Disinfected Upon Completion? x Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Well Driller: Alpine Drilling & E Itetprises
PO Box 110996
Anchorage AK 99511
U 11 / '2`4 1 1,j 1. : 4b y U i - .-1 4`)-'"_1:_'U2 �LFINL LlNiLLIN',l 13-1 / U I
MUN 1 %C01 P A L I Tv 0 A A"
v OF 'a NCHORA GE
Phone: 907-343-7904
DevelloPme.'nt Services Ices epartment Fax: qo--343,J997
(Dn-site Water & WastOwater Section
pump Installation Log 9.20
Well Drigg Ferwit Number, SW201162, Date of Issue,.
020 043 aaooa
Parcel IdentMeation Number: —"--_
y
Legal DBioc), Lot P opertovy.mer Nslue & Address:
escription 12 Michelsohn & Daughter Construction
Shangri-La Trang T Ngo Thuy
Pump Installation Date:
pumip intake Depot Below Top tit' VVell C3sing: 492 feet
pump Manufactuxerls Goulds
Dump Model:'HS'O
rur,].p Size' I
, A
pitiess Adapter Burial DePt-IN/
- --
feet
Pitless Adapter Name; WA
raless Adapter lustafter:N/A
Well Di-sinfeWdUPOD Completitm? yes 0 No
Metbod of chlorine tablets
(,-0jUMe�j1t1;:
PLEASE,Q,AvE FOR COSA
PUMP Installer !";anle,
Aarovq PUMP & Well LLC
Company I. -
p.0. (3ox 110496
MaWng AddreSS:
Cj,y: Anchorage
State,
I ler shall provid" a -PUMP
Attention. The PUMP iWO
SGS Ref.#
1216125001
Client Name
Pannone Eng. Srv.
Project Name/#
16160 LOST HORIZON
Client Sample ID
16160 LOST HORIZON
Matrix
Drinking Water
Printed Date/Time
10/05/2021 11:13
Collected Date/Time
09/16/2021 15:44
Received Date/Time
09/16/2021 16:50
Technical Director
Stephen C. Ede
Sample Remarks:
Allowable
Prep Analysis
Parameter
Results
LOQ
Units
Method Container ID
Limits
Date Date
Init
Metals by ICP/MS
Arsenic
ND
5.00
ug/L
EP200.8
B
(<10)
09/29/21 10/01/21
DSD
Waters Department
Total Nitrate/Nitrite-N
1.35
0.200
mg/L
SM21 450ONO3-F
C
(<10)
09/26/21
EBH
Microbiology Laboratory
E. Coli
Negative
1
100mL
SM21 9223B
A
09/16/21
M.A
Total Coliform
Negative
1
100mL
SM21 9223B
A
09/16/21
M.A
Page 2 of 5
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
Pd Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://wv,/w.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP201162
Work Type: WellSeptic Initial
Tax Code Number: 02004330000
Site Legal Address: SHANGRI-LA LT 12 G:3239
Site Mailing Address: 16160 LOST HORIZON DR, Anchorage
Owner: NGO THUY-TRANG T &
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date
Expiration Date
r�
:J fl
� l
Ocpartill ell t
Lot Size in Sq Ft:
Total Bedrooms:
6/19/2020
6/19/2021
42602
Q Disposal Field Q 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
Special Provisions:
• See the installation requirements for the Infiltrator tank.
Received By:
Issued By:
Date: o
Date:
5
MUNICIPALITY OF ,ANCHORAGE
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. 020-043-30 J.
Property owner(s) DAVID & JULIE GRILLS Day phone
Mailinq address 5241 WOOD HALL DR, ANCHORAGE AK 99516
Site address NHN LOST HORIZON DR
Legal description (Sub'd., Block & Lot) SHANGRI LA-�–!W L12
Legal description (Township, Range & Section)
Lot Size 42,602 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑X Initial Ex
Single Family (SF)FX
(w/wo ADU)
Septic Tank ❑X Upgrade ❑
Duplex (D) ❑
Holding Tank ❑ Renewal ❑
Multiple Dwellings El
Privy ❑
(SF and/or D)
Private Well 0
i.
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE ! WAIVER REQUEST FOR:
{
Distance:
—
I certify that the above information is correct. I further certify that this ir!14 in accordance with
applicable Municipal Codes. o
,l.
(Signature of property owner or authorized agent)
Permit/Rush Fees: I -*)-o 1615
Date of Payment: 10' 116 / Z0 26
Receipt Number: oga9. zev
Permit No. (3C5P1Q6`«;2
Permit App_:'- : • :—'.,'c
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
COVID 19
25% DISCOUNT APPLIED
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201162, Deb Wockenfuss, 06/19/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201162, Deb Wockenfuss, 06/19/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201162, Deb Wockenfuss, 06/19/20
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218,285.&q Ft
5 01 Acs.
90' TEMP TURNAROUND
30'x300' ACCESS ESMT ( 821.46
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12
LOT 111
N 1220
234,175 Sq Ft.
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5 38 Acs
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Gross
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20441 PTARMIGAN BLVD.
v...•....T`"5.......
v
EAGLE RIVER, AK 99577 -8736th
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Trine
KennCE
Water
7116
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SOILS PERCOLATION TEST
jq.PROFEssr
100
�0�at®•
9"
Performed for Earl Ford Date Performed 08/25/00
Project Lot 11 Shangrila TEST HOLE #
00-8
Depth
(Feet)
ORG — rootmat
GP—brown sandygravel
w/ cobbles to V
B O.H bedrock
10-
11-
12-
13-
14-
15-
16-
17-
18-
19 -
HOLE PRESOAKED
20- PRIOR TO TEST
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? NA Date? 09/05/00
Reading
Date
Gross
Net
Depth to
Net
Trine
Time
Water
Drop
1
9/05/00
100
9"
2
110
10 mm
3 9/16"
57/16"
3
*
111
9"
-
4
121
10 mm
312/16"
54/16"
5
122
9"
-
6
132
10 mm
314/16"
52/16"
7
*
133
9"
-
8
143
10 rain
4"
5"
9
144
-
9"
-
10
154
10 mm
4"
5"
11
"
155
-
9"
12
205
10 mm
4"
5"
*
Water
Added
Percolation Rate 2 00
(mm/m)
Perc Hole Diameter 6„
Test Rum
Between 3 feet and 4
feet
I, Kenneth M Duffus, certify that flus test was performed m accordance with all State and Muuucipal guidelines m
effect on thus date
ic.
Municipality of Anchorage
0 Development Services Department
Building Safety Division
Cyr Onsite Water and Wastewater Program
4700 South Bragaw St
P 0 Box 196650 Anchorage, AK 99519-6650
www mum arg/onsite
(907) 3437904
Soils Log - Percolation Test
Performed For Anchorage Development and Conetmetion, LLC
Legal Description Lot 12, Shangri—La SubdIAsIon
Slope
1
�E. ..F • q4 4S.,i
in C7:
49n*
tECORY L MCCO
CE -10163
it VOFESS10
Date Performed 16 MAY 02
Township, Range, Section T11N, R3W, SEC 2 (NE 1/4)
Site Plan
COMMENTS
PERFORMED BY' GREG MCCONNELL I CERTIFY THAT THIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 14 JUNE 02
I
se
Depth
(f -t)
to
12. ORG — ROOTMAT
12 '
s..
yr�
3
"�.•`. y'y
v,
GP SANDY
CN17H
�,,�� —__ '�•
4—
iC,ey"
COBBLES
S TRACE
6—
_r':^�
SILT
in
8—
`k,t w
WATER AT 8'
7—
in
B 0H HARDPAN
WAS GROUND WATER
S
10—
ENCOUNTERED?
NO L
0
1t—
IF YES, AT WHAT
N/A E
DEPTH?
12—
13—
HIGHEST MEASURED
DEPTH TO WATER
48 (5/21/02)
AFTER MONITORING
14—
DATE
12 JUNE 02
15_
GROUND WATER MONITORED
18_
BETWEEN Reading Date
20—MAY-02 AND 28—MAY-02
Grose Time Net Time Initial Depth Net Drop
17—
1
6/12/02
251 10 min 8- 3-
18—
2
6/12/02
301 10 min 6- 2 3/4-
19—
3
6/12/02
311 10 min 6- 2 1/2-
20—
4
6/12/02
321 10 min 6- 2 1/2 -
HOLE PRESOAKED 5
6/12/02
3 31 10 min 6- 2 1/2 -
PRIOR TO TEST
e
8/12/02
3 41 10 min 6- 2 1/2 -
PERCOLATION RATE 40
(minutes/Inch) PERC HOLE DIAMETER 6 Inch
TEST RUN BETWEEN
30 FT AND 35 FT
COMMENTS
PERFORMED BY' GREG MCCONNELL I CERTIFY THAT THIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 14 JUNE 02
I
se