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HomeMy WebLinkAboutMCCABE WEST LT 2C Cab W %t t:m "I JrA 0 0 Is 1192 - IMI I MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 188Gso 4r8OElmore Road Anchorage, Alaska 99519-6650 Ph '7904 Fax: (907) 343-7997 nnvovnwv.mun/uogmnmte Permit Number: OSP221298 Work Type: Septic Renewal Tax Code Number: 01823128000 Site Legal Address: MCCABE WEST LT 2 G:2936 Site Mailing Address: 1325OPEAKV(EVVC/R.Anchorage Design Engineer: PANNONE ENGINEERING SERVICES This permit iafor the construction of: Effective Date: Lot Size in Sq Ft: Total Bedrooms: 8/10/2022 8/10/2023 42181 R1 Disposal Field Z Septic Tank 0 Holding Tank EI Privy 0 Private Well 0 Water Storage All construction shall beinaccordance 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 VYaotevvoher Disposal Regulations (18A\C72)and Drinking Water Regulations /1O/�\�}80) 3. The vvaatewmtercode requires inspections du�ngtheinataUation.Theengineer`haUnodfvtheDeve|oprnen( Services Depa�nnentper A�WC15G5 Pnovidanoti�o�tionbyu calling /gU7)343 ~U4(24 ' . . a ng -/W /7) 4 From osubxu�aoe�oi|abaurod ''� `--�'-�- -' ' . , absorption shall boeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated tuprevent freezing ^ Locate the beginning of the existing field to confirm that the 5' separation between the tank and field will be met. Received B) Issued By: Date: Date: S &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. 018-231-28 Property owner(s) Jason & April Cooley Day phone Mailing address 13250 Peakview Cir Anchorage, AK Site address same Legal description (Sub'd., Block & Lot) McCabe West L2 Legal description (Township' Range & Section) Lot Size 42,181 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field Initial ❑ Single Family (SF) X❑ Septic Tank 0 Upgrade ❑ (w/wo ADU) Holding Tank ElRenewal Q Duplex (D) El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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 property owner or authorized agent) Permit/Rush Fees: tI N-5, Waiver Fees: Date of Payment:8 X01 Date of Payment: Receipt Number: 08S 9 S 6 Receipt Number: Permit No. d S p a Waiver No. Permit App__- : .-.,:c Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveppanengak.com DATE 7/27/2022 Subject: Expired On -Site Water and Wastewater Permit Permit Renewal Request Permit Number: OSP211237 Legal Description: McCabe West L2 This is a request to renew the permit for the above mentioned lot. All site conditions remain the same. The construction still will not affect the health, safety, or development of the surrounding lots. Sincerely, Steven R. Pannone, PE; F. ASCE Owner/Civil Engineer 'Aaiiing: P.O. Box 1807, Palmer, AK 99045-1807 Telel:;hoine: (907) 745-8200 FAX: (907) 745-820 illi`;. NiCIPALi E Y 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://wvvw.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211237 Work Type: Septic Upgrade Tax Code Number: 01823128000 Site Legal Address: MCCABE WEST LT 2 G:2936 Site Mailing Address: 13250 PEAKVIEW CIR, Anchorage Owner: COOLEY JASON E & APRIL M Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: 5. Wg De 1)aI-tIn ell t 6/29/2021 6/29/2022 42181 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 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. "SpecU Provisions: Locatethe beginning of the field to confirm that the 5' separation between the tankand field will be met. Received By: Date: Issued By: L(Date: M �� �� MUNICIPALITY ��� ��������x�� ���Q ��k "�=���`������-��&=@ 8 B ���- 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 018-231-28 Paroo|iD. Property ownar(a) Jason & April C | Mailing address 13250 pE}akV'8VV Cir /\DCh0[8 Site address same Day phone Legal description (Sub'd, Block &Lot) McCabe West L2 Legal desorption(Township, Range & Section) Lot Size 42,181 _Sq. Ft. Number of Bedrooms 4 APPLICATION CSFOR: APPLICATION |SAN: TYPE OFDWELLING: (Zall that apply) Absorption Field FX�|ni�a| El Single Family (SF) -- -1' k�woADU> SoptioTank FK FX -- -- Duplex ([}\ | | Holding Tank | | Renewal �� -- -- � ' Multiple Dwellings -- El Privy (SF and/or D\ Private Well Fl Water Storage El THIS APPLICATION INCLUDES A\/AR|ANCE /VVA|VEFl REQUEST FOR: Distance:______ I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature ofproperty owner orauthorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: .2 0 ;1 Date of Payment: Receipt Number: 31-7 -1), 1 G Receipt Number: Permit No. OSP�211-937 Waiver No. Permit App_-'- :- :�-�c - Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPUANCI Pannone Engineering giaat g riv} . SOSP211237, Deb 0 Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com 25 June 2021 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: McCabe West L2 Septic System Upgrade Permit Request Design Narrative This is a design narrative for a permit to install a septic system upgrade on the subject property. The proposed upgrade will serve an existing four-bedroom (4) house. This lot and surrounding lots are served by private wells. Currently there are no wells within 100 feet of the proposed upgrade. 1. Soils: A test hole was performed on this lot by Pannone Engineering Services on 6/11/2021, and groundwater was monitored for at least 7 -days. No groundwater was observed in the test hole monitor tube bedrock was also not encountered during excavation of the test hole. Based on the results of the percolation test overall soils appearance and data from surrounding test holes an application, rate of 1.2 gpd/sf was used for the design of a conventional wastewater disposal system in the are of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. 4. Topography: See attached site plan for area topography. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and no further comments are received from MoA On -Site Department, the note will be removed and "For Construction" drawings will be issued. lrlaiiing' P.O.Box 1807; Painner, Al< 99645 ?elephone: ;907; 745-8200 FtI,X: (9071 745-8201 Page 2 of 2 The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at 745-8200. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer lilailh P.C_i. Box. �{. j`.1l r 17 CJir lei i`. C 3� i eep iof?c_. :)07) :5-8 .J FAX": (907) 745-820:i. Z (T) N N - (n — i O E: i OC-i� / mzDom i p 0 D i / Z i t* 0 . pOD Fn -n n x J C��mmr- -Tl OmM o r @ ZNm / D m r r `` / "D 0 0;:u / �O / O / m j mf m / / r 07 m �— M O m D c z>7-iA� mz OECK 9 D D r- O / gy m \ — CII rrr0m <QCD 3 p00U / zW1n m Q� ( / n o (n \ / 0 D OZD �Z m/ 0 D Municipality of Anchorage On-site Water and Wastewater v0o--=D C>0 I r- Im z NOTES: FOR CONSTRUCTION N c DX .. r DOD n M D C77 �p�OPxAm< I Dp z Ln;o>D�mm�ci = ... .... ;..St-R.Po..-.'e. °' CE -8149 �= "' `` «,,,......., ���zz��o�D m� Wim?' azmmom SHEET 1 nF 9 Z >0U)> z o z0 � y = D� N CJi� O (n c 0C: '0z ( oo aoo o - i o m xD mm z M �7 n 0 m z c� Om O N Cnp^m r -{ -q (n Lfl -TIM 11 C7 KO m Oz m mD 00: m f�1 O m O o rr-m cn ;u ma D rn Z to -p fTl —I r -+ o z _ (/) M-0 -*I -u a m m 41 v (� \ O C (j) m In 0 m Z (T) N N - (n — i O E: i OC-i� / mzDom i p 0 D i / Z i t* 0 . pOD Fn -n n x J C��mmr- -Tl OmM o r @ ZNm / D m r r `` / "D 0 0;:u / �O / O / m j mf m / / r 07 m �— M O m D c z>7-iA� mz OECK 9 D D r- O / gy m \ — CII rrr0m <QCD 3 p00U / zW1n m Q� ( / n o (n \ / 0 D OZD �Z m/ 0 D Zr- NO (n fl \ m m om < m / m i NOTES: FOR CONSTRUCTION PANNONE ENG SVC LLC (C.l. 1088) P.O. BOX 1807 PALI4ER, AK 99645 PHO,IE (907) 745-8200 FAX (907) 745-8201 OF '�E `. At t - �P• '' S¢'4 r •. y , REVISIONS REVISIONS DATE 6/22/2021 REV 1: 6/25/21 SCALE DRAWN ACP SITE PLAN MCCABE WEST 2 JASON & APRIL COOLEY 13250 PEAKVIEW CIR ANCHORAGE, AK = ... .... ;..St-R.Po..-.'e. °' CE -8149 �= "' `` «,,,......., P.I.D. NO 018-231-28 PERMIT NO. OSPxxxxxx SHEET 1 nF 9 N O F CA r O G) - D O 0 m�T y NOTES: PANNONE ENG SVC LLC (C.1. 1088) "" REVISIONS DATE FOR CONSTRUCTION P.O. 80X 102954 ANCHORAGoE, AK 99510 _'p�E. �F• A�gS'1, REV 1: 6/25/21 6/22/2021 PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE NTS MCCABE WEST L2 P.I.D. 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NO DRAWN ACP JASON & APRIL COOLEY 018-231-28 y -• ste CER.o�e CE -8149 = PERMIT NO. 13250 PEAKVIEW CIR C.. �= OSPXXXXXX SOIL LOG ANCHORAGE, AK ,a1HEla�- SHEET �..,.... 2 OF 2 m T m � A Z n yv m Z I z N O Z D e n= n X 0 '{Om 0 co T n� N epi O 0 zip m N -I l Iron m -i :i1 O Q y O N O CI O S Z m < O N O F CA r O G) - D O 0 m�T y NOTES: PANNONE ENG SVC LLC (C.1. 1088) "" REVISIONS DATE FOR CONSTRUCTION P.O. 80X 102954 ANCHORAGoE, AK 99510 _'p�E. �F• A�gS'1, REV 1: 6/25/21 6/22/2021 PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE NTS MCCABE WEST L2 P.I.D. NO DRAWN ACP JASON & APRIL COOLEY 018-231-28 y -• ste CER.o�e CE -8149 = PERMIT NO. 13250 PEAKVIEW CIR C.. �= OSPXXXXXX SOIL LOG ANCHORAGE, AK ,a1HEla�- SHEET �..,.... 2 OF 2 m u � A Z n yv m Z I z N O Z D e n= n X 0 '{Om 0 n� N epi O 0 zip m N l m D 0 a=v D f1<1 Z m a I n m -`• < N O F CA r O G) - D O 0 m�T y NOTES: PANNONE ENG SVC LLC (C.1. 1088) "" REVISIONS DATE FOR CONSTRUCTION P.O. 80X 102954 ANCHORAGoE, AK 99510 _'p�E. �F• A�gS'1, REV 1: 6/25/21 6/22/2021 PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE NTS MCCABE WEST L2 P.I.D. NO DRAWN ACP JASON & APRIL COOLEY 018-231-28 y -• ste CER.o�e CE -8149 = PERMIT NO. 13250 PEAKVIEW CIR C.. �= OSPXXXXXX SOIL LOG ANCHORAGE, AK ,a1HEla�- SHEET �..,.... 2 OF 2 O*on 0 � A Z n yv m Z I z N m I m op 0 0 0 0 0 0 zip m l a l m �^ D r n ~z mrn O N V _ Z .D1 m D -1 n Z -i i O � S Z C . • • U1 n= foo V m -D czitDil fn !n N A� N A 0 O J D '-10 C 2CC Sp 1--1 D-_1 GZ-1 -i A m Z Z O'o. x •Jy 00 JD mma)mn oV1 z .Zml 'm{>2 �-+ > m pOmm Zmzm,m> • z ZZ-Nw'�C D D -UZ-1cn 195: 0= n n N O F CA r O G) - D O 0 m�T y NOTES: PANNONE ENG SVC LLC (C.1. 1088) "" REVISIONS DATE FOR CONSTRUCTION P.O. 80X 102954 ANCHORAGoE, AK 99510 _'p�E. �F• A�gS'1, REV 1: 6/25/21 6/22/2021 PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE NTS MCCABE WEST L2 P.I.D. NO DRAWN ACP JASON & APRIL COOLEY 018-231-28 y -• ste CER.o�e CE -8149 = PERMIT NO. 13250 PEAKVIEW CIR C.. �= OSPXXXXXX SOIL LOG ANCHORAGE, AK ,a1HEla�- SHEET �..,.... 2 OF 2 � A Z n yv m Z I z I z I m op 0 0 0 0 0 0 zip m l a l m n ~z mm A 0 N O F CA r O G) - D O 0 m�T y NOTES: PANNONE ENG SVC LLC (C.1. 1088) "" REVISIONS DATE FOR CONSTRUCTION P.O. 80X 102954 ANCHORAGoE, AK 99510 _'p�E. �F• A�gS'1, REV 1: 6/25/21 6/22/2021 PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE NTS MCCABE WEST L2 P.I.D. NO DRAWN ACP JASON & APRIL COOLEY 018-231-28 y -• ste CER.o�e CE -8149 = PERMIT NO. 13250 PEAKVIEW CIR C.. �= OSPXXXXXX SOIL LOG ANCHORAGE, AK ,a1HEla�- SHEET �..,.... 2 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 00* 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE 0 NEW 8 _fkr 26 n;`' 13­�18'— j. /i} ❑UPGRADE MAILING ADDRESS S;M 1 lei'- k .%1 ,l, ! sb LEGAL DESCRIPTION LOCATION NO. OF BEDR�O/CIMS Je VpAlI Absorption area Dwelling PERMIT NO. �v DISTANCE TO: neo 47".. � ; :1 r,A3 n~. z Manufacturer „ Material No. of compartments UJ H^� Fc / ti Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 2 ,_, ._ °az DISTANCE TO: Well Dwelling PERMIT NO. 0z< z< Manufacturer Material Liquid capacity in gallons ❑ Lu DISTANCE TO: W:P1 Foundation / / -?,A /z Nearest lot line /,z % PERMIT NO. F, '_'jcl: '� `/ J u. z No. of lines Length of each line Total length of, lines Trench width _;inches Distance between lines H z w % c�CCl r r c Q F Top of tile to finish grad r Material beneath tile Total effective absorption area inches f,�•'_ ;! Length Width Depth PERMIT NO. w < F- Type of crib Crib diameter Crib depth Total effective absorption area CL wa Lu DISTANCE TO: Well Building foundation Nearest lot line Class020 Depth Driller Distance to lot line PERMIT NO. , Lu DISTANCE TO: Building foundation Sewer line Septic tank Absorption area (s) OTHER PIPE MATERIALS SOI L TEST RATING I �­5 �t INSTALLER ; REMARKS �' V ; t J D al Ci U 1t a SIJ eL� Y• a ,i APPROVED DATE LEGAL WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological & Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either la, Ib or Ic.) A.D.L. No. Ia. Borough I Subdivision Lot I Block Ib. '/4gtrs. Section No. Township NRange E❑ Meridian I—of—ot—of s SW[J Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: Address: - r, Street Address and Area of Well Location 2. WELL LOG Feet Below Surface Material Type Top Bottom 4. WELL DEPTH: (final) ft. 5. DATE OF COMPLETION — — 6. Q Cable tool 0 Rotary O Driven E] Dug 0 Auger Jetted ❑ Bored Other: 7. USE: Domestic E] Public Supply Industry Irrigation EJ Recharge Ej Commerical EJ Test Well ❑ Other: 8. CASING: E] Threaded .Q Welded diam. in. to ft. Depth Weight Ibs./ft. diam. in. to ft. Depth Stickup ft. 9. FINISH OF WELL: Type Diameter: Slot/Mosh Size: Length: Set between ft. and ft. Backfilling Gravel pack 10. STATIC WATER LEVEL: ft. ❑ Above or El Below land surface Date Equipment used: II . PUMPING LEVEL below land surface and YIELD ft. after hrs. pumping g.p.m. ft. after hrs. pumping g.p.m. 12.GROUTING Well Grouted: E] Yes ❑ No Material Neat Cement ❑ Other: - OF ANCHORAGE DFPT Cr. i ?" P. 1 i.�•= +• •- FNVIWJr 15. PUMP: (if available) HP Length of Drop Pipe ft. capacity g.p.m. EJ Subm. Jet 0 Centrifical Other i v 14. REMARKS: 16. WATER WELL CONTRACTORS CERTIFICATION: This well was drilled under my jurisdiction and this report is true to the best Registered Business Name Contract Address: 15, Water Temperature 0 ❑ F C of my knowledge and belief; License Number Signed: Date: Authorized Representative Form 02-WWR (11/81) Copy Distribution: WHITE -State DGGS, PINK -Driller, CANARY -Customer Cn G) m r- 0 Z 0 u u 1 {!-6 �I. ..E... 9::7 1=11 --.t€ Mme_. X=m p—� _ !r� _li —O H0 171 E= \ HEALTH — • iE=-RTMENT =h�C�"4h`:rr_- 025 `•L' STREET, . ANCHORAGE, RK. =1950-+ 264-4720 u .. PERMIT NO. < 820237 3 All APPLICANT BETHARD CONST. INC SRA 1698K ANCH. 99507 345-1615 LOC AT 101,1 LEGAL L2 hff•••—•,._BE r,D L4 _..1.. SIZE 42181 SQUARE !–EFT TYPE OF -OIL ABSORPTION SYSTEM I TRENCH H MAXIMUM NUMBER ';E `ER OF BEDROOMS — 4. SOIL Rs I G (SQ :t L:: ` ) M 85 THE REQUIRED S_:v.:_. OF • l E",1._ SOIL {=sF=s'=:C!,'' PTION SYSTEM I E . V_, _ fi--^ a ,i'" -J — -1.171 "^'`s4- �- ?..= FZ "-_ ^ _ !-... t; _... ' {'rE 9_.=� 1 RF-i:� =- —I- I— T tC THE . t :_ I N t DIMENSION ��i'..__I }-, E- t•; LENGTH } ,. {�'-i FEET) t i !F (HI'_ TRENCH I ! 1 .t!,:`;.—' l !`•:IF ! ' , 1 _- "FH_ L .r•i `�T� I ..I .. �� .. _ � �:` . ... 7: E._� . THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND }=j I' D THE BOTTOM OF THE EXCAVATION (1 N FEET). MINIMUM DISTANCE FRC'M { ; PRIVATE `','`ATE THERE IS NO ! SE..! WIDTH Fi_iR TRENCHES. 1-0 A COMMUNITY SEWER LINE IS 5 THE GRAVEL DEPTH IS THE MINIMUM DEPTH f–€ }=' GRAVEL BETWEEN ?_,_. k `I , ,E: OUTFALL PIPE r=1�•:!i_:' THE BOTTOM TOM ! !F THE EXCAVATION 1 {N (I N FEET). Oi' THE WELL LL !_:!_:MP ETTi II`•.{. _ ti _+I : __!. is per' (_ _..:__._s 7_5=10402 0... O tt-:Y E D »`-v FAL - y_ syA =_ PERMIT FR Il –t_I HAS THE RESPONSIBILITY E_-_IB1_TT T_INFORM –I_DEPARTMENT r_RrvG THE INSTALLATION Ii',I'=PEC ii_iI' S OF {=!NFT 'SELLS ADJACENT TO THIS I='j='!_!PERTt_, A{,.,E! ., THE •',I(_iMBER !_!I•- RESIDENCES THAT THE WELL WILL.. SERVE. BACKFILLING OF ANY SYSTEM WITHOUT FINAL. INSPECTION HND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. s _ ,D I --AN :E BETWEEN A WELL ON-SITE SEWAGE DISPOSALSYSTEM T t^ "EF r `= a...: 100 0 FEET FOR {=( PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING f iK IN THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FRC'M { ; PRIVATE `','`ATE WELL TO H PRIVATE ATE SEWER LINE IS 5 FEET AND 1-0 A COMMUNITY SEWER LINE IS 5 FEET. WELL LOGS ARE REQUIRED AND MUST RETURNED -moi ! THE DEPARTMENT WITHIN `:•!_! DAYS Oi' THE WELL LL !_:!_:MP ETTi II`•.{. OTHER REQUIREMENTS i`Ii"!Y APPLY. SPECIFICATIONS H4•:II_:t CONSTRUCTION DIAGRAMS ARE AVAILABLE TO i I �.d.�,URE PROPER INSTALLATION. E0711F`IFANKIETji-; a �• 7-= 6'� �---i! 'tom"; !r,=" pT° _ - 7 AL <1 n_022 1 CERTIFY THAT 1: 1 AM FAMILIAR WITH T !—i{= REQUIREMENTS FOR ON—SITE SEWERS r±p,[I_.t WELT._.' . H,_, SET FORTH BY THE MUNICIPALITY i_iF ANCHORAGE. E. 2: 1 WILL INSTALL THE SYSTEM I IACCORDANCE WITH T –E CODES. ODES. _. + UNDERSTAND =hL"–=T THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF T "E RESIDENCE IS REMODELED TO i I I`•, CL{_{iiE MORE THAN 4 BF` l7;O;,il• & 'ANU n' K'✓ My" yl� �S SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION I TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR:—1 M 0 L e-flll l ( DATE PERFORMED:_ LEGAL DESCRIPTION: Lot z MC cab ' SC) , DEPTH r ��r SLOPE!'I SITE PLAN 1 E �htc_ r1f I I i—H -�6 7 w 8' co, t 15 F4 16 .� 17 0; T ° 18 @• O •i 0004@• @ •!@ i THOMAS R. SM I COMMENTS WAS GROUND WATER j�' O ENCOUNTERED? L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 00 Al PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY* 6k VI '"► 31FFOQA C.O CERTIFIED BY: 72-008 (6/79) DATE: i Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING O� P[a (()oZQ Parcel I.D. 018-231-28 COSA# 0 C l a 105- 1. GENERAL INFORMATION Expiration Date: Complete legal description MCCABE WEST LOT 2 Location (site address) 13250 PEAKVIEW CIRCLE *ANCHORAGE, AK 99516 Current Property owner(s) THERESE FRITCHER Day phone C/O AGENT Mailing address 13250 PEAKVIEW CIRCLE *ANCHORAGE, AK 99516 Lending agency Day phone Mailing address Real Estate Agent ANITA BATES W/ BATES & ASSOCIATES Day phone 244-6188 Mailing address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community°Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family oh -site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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 tiles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, UD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE 4""" Approved for bedrooms. Disapproved. Phone 337-6179 Date a� Z o��SoOp �O oGv p �, 4 T •.�.�� �..... .... .....G f Gar ess.. � G 4 �04 CE— 4 rof/ess1ono,G�o Conditional approval for bedrooms, with the following stipulations: OF ` c Attachments: COSA Checklist Septic System Advisory Well Flow Advisory J I f _ • ." "OpmT . Arsenic Advisory t� Maintenance Agreements Supplemental Engineer's Report Nitrate Advisoryf ! Other L� (Rev. 11/05) Original Certificate Date: ;A) ') Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MCCABE WEST, LOT 2 Parcel ID: 018-231-28 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N A Well Log (Y/N) YES Date completed 10/5/82 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 201 ft. Cased to 201 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 10/5/82 2/20/12 Static water level 162 ft. 162 ft. Well production 8 g.p.m. 2.80 9— p.m-WATER SAMPLE RESULTS: Coliform _ colonies/100 ml. Nitrate tmg./L. Collected by: GEG, Ltd. Arsenic: ug./L. Date of sample: 2/17/12 B. SEPTIC/HOLDING TANK DATA **LOCATED IN CRAWLSPACE Tank Type/Material SEPTIC/STEEL Date installed 6/24/82 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) **YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 2/22/12 Pumper MCDONALDS PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 6/24/$2 Soil rating (g.p.d./ftor Z/bdrm 85 System type DEEP TRENCH Length 26 ft. Width 3 ft. Gravel below pipe 7 ft. Total depth * 13.29 ft. Eff. absorption area 364 ft Monitoring tube **YES Depression over field NO Date of adequacy test 2/20/12 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 78 in. Water added 680 gal. New depth ***86.5 in. Elapsed Time: 120 min. Final fluid depth 78.5 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — **SUMP EXTENDS 83" BELOW INVERT OF DRAINPIPE. SYSTEM * 94% FULL PRIOR TO START OF TEST. ***3.5" ABOVE INVERT OF DRAINPIPE. D. LIFT STATION Date installed "Pump on" level at in Size in gallons Manhole/Access (Y/N "Pump off' level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer main NSA Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *5' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *SEE ATTACHED WAIVER LETTER 00600 p�4 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and T � review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. eff A. G ness.•• Engineer's Printe d Name JEFFREY A. GARNESS �QCE%-79 �cQop� Date 2 /rZ7 /I 2 406, �� FlGI o — ofesso COSA Fee $ tF`t`Z� Date of Payment Receipt Number d oZ �d C7 (Rev. 11/05) Waiver Fee $ �U Date of Payment>� t a Receipt Number Municipality of Anchorage 4PZ" 8Vi o - §/ 2 Development Services Department z ` Wt` Building Safety Division 5A ETY On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci. anchorage. ak.us (907) 343-7904 Septic System Advisory Certificate of On -Site Systems Approval # OSC 121051 During a recent adequacy test on the septic system for Lot 2 of McCabe West subdivision, 78 inches of standing water was observed in the absorption field. This indicates that approximately 94% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program nzen t S Department **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP121022 COSA#:OSC121051 Permit#: PID#: 018-231-28 Legal Description: McCabe West, Lot 2 Engineer: Garness Engineering Group Applicant: Therese Fritcher Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ® The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted): Date: /? a Approved b l ` 'Name of Reviewer Rec#: 00200G Amount: $200.00 Date Paid: 2/29/12 **** VARIAN C E/WAIVER REVIEW **** W 0 2 SEPTIC VENTS N8�• 2z'52° kj. -- E -o9. LT W of 3 PLOT PLAN: GRID: DRAWN BY: PLCHECKED . B CALE: ;" 40' 7125 OLD SEWARD W Y. ENGWEEKS* INC. ANCHORAGE. ALASKA 99YB 04 HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY. OT. &K McCAbE .SL180, ANCHORAGE RECORDING DISTRICT. AK.,���� NO THAT THE IMPR6VEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES NO DONOT ENCROACH ON THE PROPERTY LYING ADJACENT THERETO. THAT NO MSPROVEMENTS ON PROPERTY LYING ADJACENT THERETO ENCROACH ON THE PREMISES,+' N t]LiESTION AND THAT THERE ARE NO ROADWAYS. TRANSMISSION LINES OR OTHER ..;: r... ISIBLE EASEMENTS ON SAID PROPERTY EXCEPT AS INDICATED HEREON. ...,.... M4�..�� ATEi3 THIS , 9.._wDAY_ OF..pG%OiE . 19` ANCHORAGE. ALASKA. MAW. R. sem+ THE OWNER OR BUILDER. PRIOR TO CONSTRUCTION, f 3i... � r� THF AESPt3NSIBILITY :OF ---• _--• '•--...•'`A ~ 'ARNESS ENGINEERING INEERINLJ Ox..11 7 Ltd. CONSULTANTS & GENERAL CONTRACTORS __ February 23, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Lot Line Waiver Request for McCabe West, Lot 2 To whom it may concern: We request that your department issue a 5 foot lot line waiver from the north property line to the existing drainfield. McCabe West Lot 1 is the neighboring property to the north and the drinfield serving the lot is located approximately 30 feet away per MOA records. We do not see any concerns with the granting of this waiver. We are unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at ,ou for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com APPLIQ,^NT FILLS OUT UPPER HAL ONLY Time Property-'Dwner , `. r , ! � . �. t ) • '-w Phone , Mailing Address ` ' Zip Code Date , - r Buyer t Date Address 1 r Vi;_ �1'. 'F, i __ Zip Code Lending Institution �I,-'ja ;!� l - �', Phone Address r s '� �. f ': `i r, , Zip Code Inspector Realty Co. & Agenta .ri _ f % ' ra S ; Phone Address Zip Code r Legal Description ^ c Street Location �'..`� !, Type of Residence l Single Family ' `� j Multiple Family No. of Bedrooms ❑ Other Water Supply i 1j Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility (� CONDITIONAL APPROVAL* DATE � '/'r" "" —''✓ Sewer Disposal `.'Q Individual Year Individual Installed: 'ElPublic Utility When Connected to Public Utility: Date Sewer Installed ❑ Holding Tank Well To Absorption Area NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Received Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector r Field Notes: a in a i PPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED (� CONDITIONAL APPROVAL* DATE � '/'r" "" —''✓ ``�� Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (3182)