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SAND LAKE #2 BLK 4 LT 49
Sand Lake #2 Block 4 Lot 49 #011-135-04 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. Apr 01 22 04:36p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services Department Q..I Phone: 907-343-7904 On -Site Water & Wastewater Section / Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Parcel Identification Number: 011 -135 - 04 Date of Issue• - Legal Description Block Lot Property Owner Name & Address: BERNARD. SHAWN A SAND LAKE #2 4 49 8030 SEACLIFF STREET ANCHORAGE, AK 99502 Pump Installation Date: 93 - 29 - 2022 j Pump Intake Depth Below Top of Well Casing: 240 Pump Manufacturer's Name: A.Y. MCDONALD Pump Model: 1 OA16 Pump Size: 1.50 Pitless Adapter Burial Depth: 10 feet IPitless Adapter Manufacturer's Name: MARTINSON Pitless Adapter Installer: Well Disinfected Upon Completion?Yes ElNo Method of Disinfection: PELLETS I Comments: Pump Installer Name: _ Company: Mailing Address: feet ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET ANCHORAGE, AK 99518 907-243-0740 State: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. f eC 11 b i y I VtDta Ancnorarge 'v eii b: Hump er W /-245'J /4'Z p.b Pump Installation Irate: rJ'/- C f -F� T-`— � -- Puanp Intake Depth Below Top of Well Casinb:300feet Pump Manufacturer's Name- , ex - Pump Morcel: Pump Size Pitless Adapter B-irial Depth: Meet Pitless Adapter Il;anufacturer's Nance: Pitless Adspaer Installer: Well Disinfected Upon Compkati jei" Method of Disinfection: Comments: frrntp Installer Name: Attention: The pump iaista-Alex 3 iaii provid a pump installation log to the DSD within 30 days afpump inst3!Iatior_. Oevelopment Services De.pari•a•ment Building Safety bivision . ' ren -ante Water & Wastewater Program -V.': 4700 Elmore Road �� c P.O. Box 196650 A?arksecich Anchorage, AY 99507 "�,s " ° e '/�` layer' wv w.muai.cro/cnji?e 1907) 343-7904 PunipInstallation WeR Drilling Permit rtTumber: SW _ Date of Issue: Parcel Identificatio;t N umbur: 011-13-5-- 0 q Legal 1)escriptiori Property{)srnep NameAcldress: 84A cI Leke # z 6LI Ly� Pump Installation Irate: rJ'/- C f -F� T-`— � -- Puanp Intake Depth Below Top of Well Casinb:300feet Pump Manufacturer's Name- , ex - Pump Morcel: Pump Size Pitless Adapter B-irial Depth: Meet Pitless Adapter Il;anufacturer's Nance: Pitless Adspaer Installer: Well Disinfected Upon Compkati jei" Method of Disinfection: Comments: frrntp Installer Name: Attention: The pump iaista-Alex 3 iaii provid a pump installation log to the DSD within 30 days afpump inst3!Iatior_. Municipality of Anchorage Community Development Department Page 1 of 3 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: OSP131053 PID Number: 011-135-04 ❑ New 2 Upgrade Name: U.S. Dept of Housing & Urban Development ABSORPTION FIELD S��iZiAral4s. ❑✓ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 8030 Seacliff Street ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 6 GPD/SF 14 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade . 7.0 Ft Gravel depth beneath pipe 7.OFt. Subdivision Block Lot Sand Lake #2 4 49 Fill added above original grade 0 Ft. Gravel length 25* Ft. Township Range Section Gravel width 3FL Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES Tc Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 350 Ftp 1 N/A Ft. Well 97.2 115.8 (E) 97.2 NIA 78,7 TANK ❑ Septic El S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank / Orenco Capacity I 150OGal. Surface water 100+ 100+ (E) 100+ N/A Material Number of compartments Lot Line 26.3 10.5 (E) 26.3 N/A Steel 2 NA Foundation 18.2 (E) 18.2 N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A N/A N/A Orenco 500 Gal RemarksInstalled Advantex, and connected to existing Pump on level at 43 in. Pump off level at 40 in. High water alarm at 45 in. field. *Actual size of existing field verified during installation Pump make and model P2005 Electrical Inspections performed by MoA Building Safety of tank. Installer PIPE MATERIAL Housetotank 3034 Tankto drainfield 3034 A+ Home Services Drainfield (E) co/MT (E) inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Inspdates: 1� 11/4/2013 2 Location and description 3,a a Sill Plate SW Corner COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date OF �itsven 'l5annorie' jf E 81 Approve DateFor, 4� nth W ff rspeuwu RCpon_i-i-J<.uoc r DRAIN FIELD (E) 25.OLF x 3.0'W x 7.0'ED x 14.0'TD REMOVE AND REPLACE FOR RESERVE RESERVE FIELD (P) - 10.01F x 3.0'W x 7.0'ED I 1( rZ 17.8 SUMP1 1 4 (E) 14.1 \H SU I �L 4, �6 * FIELD VERIFIED 1 4BR DUPLEX () —115. 51 50 x 14.O'TD WELL (E) ABANDONED 1 ODOg SEPTIC TANK PER CODE \ INSTALLED 15009 S.T. E. P. TANK WITH AX20 POD 106.4 1 w` \ 4 w— W= WELL (E) NOTES: PAMONE ENG SVC, LLC ~ Date RECORD DRAWING ,..,�QF gCgsl�� 1/25/2013 P.O. BOX 100217 ANCHORAGE, AK 99510 r PHONE (907) 272-8218 FAX (907) 272-8211*�P �y*+'I S a1e30 SAND LAKE #2, BLOCK 4, LOT 49 . . . . P.I.D. NO 011-135-04 US DEPT OF HOUSING & URBAN DEVELOPMENT (, Steven Pannone j PERMIT N0. 34 CIVIC CENTER PLAZA RM 7015 IPF. CE 8149r osP131053 PLAN SANTA ANA, CA 92701 #t(�•...,`� sheet SITE ADDRESS: 8030 SEACLIFF STREET l\��0"2 OF 3 A B DCO 24.0 22.4 T1 25.7 24.7 LS 32.0 32.0 SUMP1 (E) 48.8 40.6 SUMP2 (E) 36.2 46.1 WELL (E) ABANDONED 1 ODOg SEPTIC TANK PER CODE \ INSTALLED 15009 S.T. E. P. TANK WITH AX20 POD 106.4 1 w` \ 4 w— W= WELL (E) NOTES: PAMONE ENG SVC, LLC ~ Date RECORD DRAWING ,..,�QF gCgsl�� 1/25/2013 P.O. BOX 100217 ANCHORAGE, AK 99510 r PHONE (907) 272-8218 FAX (907) 272-8211*�P �y*+'I S a1e30 SAND LAKE #2, BLOCK 4, LOT 49 . . . . P.I.D. NO 011-135-04 US DEPT OF HOUSING & URBAN DEVELOPMENT (, Steven Pannone j PERMIT N0. 34 CIVIC CENTER PLAZA RM 7015 IPF. CE 8149r osP131053 PLAN SANTA ANA, CA 92701 #t(�•...,`� sheet SITE ADDRESS: 8030 SEACLIFF STREET l\��0"2 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 3. SCOPE OF WORK: INSTALLED NEW 1500g S.T.E.P. TANK WITH AX20 POD. 4. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 18 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 18 FEET BELOW EXISTING GRADE. LEGEND w— w— WATEF WELL ss NEW E 0 z wa J U Z t - O � U Z r Z � J r>_ n N 1500 g S.T.E.P, TANK (P) W/ AX20 POD PROFILE DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. TANK W/ AX20 POD PERC RATE = <1 MPI SOIL RATING: 6 GPD/SF AREA ROD: 100 SF SYS. TYPE: DEEP TRENCH 7.0' E.D MIN LENGTH: 7.1 LF DRAIN FIELD DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. TANK W/ AX20 POD PERC RATE = <1 MPI SOIL RATING: 6 GPD/SF AREA ROD: 100 SF SYS. TYPE: DEEP TRENCH 7.0' E.D MIN LENGTH: 7.1 LF USED: USE: 25 LF X 3' WIDE, 7.0' E.D., 14.0' TO (E) 10 LF X 3' WIDE, 7.0' E.D., 14.0' TD TOTAL AREA: 350 SF TOTAL AREA: 140 SF ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE "TES: PANNONE ENG SVC, LLC _—��j� � Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 c��F.... , 1/22/2013 PHONE (907) 272-8218 FAX (907) 272-8211 /�GU�P �y�t Scale *: TH ..*'� NTS SAND LAKE #2, BLOCK 4, LOT 49 """"' P.I.DNO . 011-135-5- 04 US DEPT OF HOUSING &URBAN DEVELOPMENT I "Steven R. Pannone � PERMIT N0. 34 CIVIC CENTER PLAZA RM 7015 f, ��'.. CE 8149 Rj PERMIT os3 SANTA ANA, CA 92701 t�c p� meet DESIGN DETAILS SITE ADDRESS: 8030 SEACLIFF STREETPR 3 OF 3 On -Site Wastewater Disposal System Permit Permit Number: OSP131053 Tax Code Number: 01113504000 Work Type: Septic Permit Effective Dates: June 05, 2013 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 to June 05, 2014 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SAND LAKE #2 Site Legal Address: SAND LAKE #2 BILK 4 LT 49 G:2224 Owner/Address: US DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 34 CIVIC CENTER PLAZA RM 7015 SANTA ANA CA 927014003 Site Mailing Address: 8030 SEACLIFF ST, DUPL, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 8100 Total Bedrooms: 4 N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received 512- 6 Issued By l d�lv . ({ c y t t;ff - Date i %J/ Municipality of Anchorage C1`sFt _ P.O. Box 196650 • 4700 Elmore Road O Anchorage, Alaska 99519-6650 • (907) 343-7904 0 Fax (907) 343-7997 Depp artment htto://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP131054 COSA#: Permit#:OSP131053 PID#: 011-135-04 Legal Description: Sand Lake #2 Block 4 Lot 49 Engineer: Pannone Engineering Services Applicant: HUD 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 0.0 feet. This waiver approval applies to the proposed alternate 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. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: &Approved by: Lzzz,� Name of Reviewer ...........................................................� ................. Rec#: 05781G Amount: $200.00 Date Paid: 4/1713 **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY F t=1 Community Development Department Development Services Division Cin -Site Water & Wastewater Program .r. Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 011-135-04 Property owner(s) U.S. Dept of Housing & Urban Development Day phone Mailing address 34 Civic Center Plaza, Rm 7015, Santa Ana, CA 92701 Site address 8030 Seacliff Street Legal description (Sub'd., Block & Lot) Sand Lake #2, Block 4, Lot 49 Legal description (Township, Range & Section) Lot Size 8,100 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank 0 Upgrade 0 Duplex Q (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Drain Field to Lot Line Distance: 5.0 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: Jc 50 Date of Payment: L4 In I rb �+ Receipt Number: 05i?1 G Permit No. ofiiif?)IDrJ3 Permit App_:- :�..:c. Waiver Fees: A00 Date of Payment: 911-415 Cita Receipt Number: V 1PI G Waiver No. OSP12) W54 Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: stevelfoanengak.com June 4, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Sand Lake #2, Block 4, Lot 49 Septic System Upgrade Permit Request Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system be issued for this property. The proposed systems will serve an existing four (4) bedroom duplex. Currently the lot is developed. Portions of the existing trench will be removed and replaced with clean fill to create the minimum separation from the trench to the property line, and to the water service line, the existing 1000 gallon septic tank will be abandoned per code, and anew 1500 gallon Advantex tank will be installed. This lot is served by a class el6•2' 'C' well that is located . feet from the proposed septic tank, and 110 feet from the proposed drain -waw field. The drain field is also located 106 feet from the private well on Lot 47 to the south, and the septic F" tank is located 112.7 feet from the same well. The class C well located on lot 50 to the North is 94 feet 'P from the proposed advantex tank and 109.7 feet from the drain field. The remaining surrounding wells are located over 150 feet from this system. All appropriate well to septic system waivers have been applied for through the ADEC and approved. See attached. 1. Soils. One test hole was excavated by Pannone Engineering Services in March of 2013, and the ground water monitored for seven days. Groundwater was not observed in the test hole monitor tube after the seven day monitoring period. Bedrock was not encountered in the test hole. Municipality of Anchorage Development Services (MOA) Regulations require accepting soils to have a 2 foot layer of filter sand where there is a percolation rate of less than 1 minute per inch unless a sieve analysis determines an adequate amount of sand exists in the native soil. It is my opinion, based on the results of the percolation tests, the soils analysis, and overall soils appearance in TH-1; an application rate of 4 gallons/day/square feet should be used for a Cat II wastewater system. The system will be removed and replaced as a reserve field. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Marcor, Anchorage, AK 99501 Telephone: (907) 272-8216 FAX: (907) 272-3211. Page 2 of 2 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography is flat in the area of the proposed drain field. There are no steep slopes in the area. 5. Lot Line Waiver Request: I request a lot line waiver to zero feet (0') for the reserve system location. The existing septic system to the west is located over ten feet away from the lot line and will not adversely affect public health with this waiver being issued. 6. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design -Soils Sieve Analysis - Waiver Approval from ADEC Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave., Anchorage, AK 99501 Telephone: (907) 272-8218 PAX: (907) 272-8211 o�/M �. DRAIN FIELD (E) / 30.OLF x 3.0'W x 7.0'ED x 14.0'TD REMOVE APPROXIMATELY 2LF ON SOUTH END AND 8LF ON NORTH END OF TRENCH TO ENSURE 10' SEPARATION TO PROPERTY LINE TO THE NORTH AND 10' SEPARATION TO WATER SERVICE LINE TO THE SOUTH FOR A TOTAL OF 20.OLF x 3.0'W x 7.0'ED x 14.0'TD / ABANDON 1000g SEPTIC TANK (E) PER CODE - INSTALL 1500g S.T.E.P. TANK (P) / WITH AX20 POD � 50 RESERVE FIELD (P) 10 LF x 2.5'W x 94.4 -, 7.0' ED x 14'TD 0 4 14.0 4BR _ 49 DUPLEX 0.3 10.8* (E) H-1 ry96.2 �-- w w 110.0 WA _ .48 _ 5S"/ 112.7 106.2 NOTES: FOR CONSTRUCTION PLAN WELL (E) PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 i SAND LAKE #2, BLOCK 4, LOT 49 US DEPT OF HOUSING & URBAN DEVELOPMENT- 34 CIVIC CENTER PLAZA PZ9270 7015 SANTACA SITE ADDRESS: 8030 SEACLIFF STREET Vim. !iL,gSli� 5/10/2013 Scale T}i .... P.L .D NO ?!.J=..f2� F.. / 011-135-04 Wann- „.,,,,.. 1 OF 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 3. SCOPE OF WORK: INSTALL NEW 1500g S.T.E.P. TANK WITH AX20 POD AND REMOVE ANY PART OF FIELD WITHIN 10' OF PROPERTY LINE AND WITHIN 10' OF WATER SERVICE LINE, AND REPLACE WITH CLEAN FILL. 4. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 18 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 18 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. H CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE 0 FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. z RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTED VALVE FS DRAIN ROCK w BELOW FINISH GRADE OG ORIGINAL GRADE 6.0 FINISH GRADE 3.0 TOPSOIL & VEGETATE 0o -20.0 SECTION m o z �o U a 1z O 71-Z w 0 n N E O 1500 g S.T.E TANK (P) W1 AX20 POD PROFILE LEGEND —w—w— WATER LINE/ WELL RADIUS ss NOTES: FOR CONSTRUCTION NEW SEPTIC DRAIN FIELD DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. TANK W/ AX20 POD PERC RATE = <1 MPI SOIL RATING: 6 GPD/SF AREA ROD: 100 SF SYS. TYPE: DEEP TRENCH 7.0' E.D. MIN LENGTH: 7.1 LF USE: 20 LF X 3' WIDE, 7.0' E.D., 14.0' TD (E) TOTAL AREA: 280 SF PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SAND LAKE #2, BLOCK 4, LOT 49 US DEPT OF HOUSING & URBAN DEVELOPMENT 34 CIVIC DESIGN DETAILS CENTER 7015 92701 SITE ADDRESS: 8030 SEACLIFF STREET ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTED VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE ... ...�. k 5/10/2013 .4.9w, " 1 1 Scale TH *1�) NTS �• �.�., P.I.D. NO ,....,.� n R. Pannone 011-135-04 CE 8149�� PERMIT N0. OSP131053 r 'T0FEss10NP�`J Sheet a��»�� 2 of 4 TEST HOLE 1 OR ORGANICS 2 3 4 5 6 7 8 SAND W/ SOME 9 SP GRAVEL 10 11 ,2 13 14 15 16 17 18 19 20 DATE PERFORMED: 4/1/13 SOILS LOG - PERCOLATION TEST SLOPE X TH i% S E PCA 3 F50I WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? --.-- DEPTH TO WATER AFTER MONITORING? DRY DATE: 4/8/2013 48 SLOPE TH x PEROLATION RATE <1 (minfinch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS: Test hole excavated by PANNONE ENGINEERING. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC LLC _ �� 5/10/2013 Date `� OF A� ll FOR coNsrRucrloN P.O. BOX 102954 ANCHORAGE, AK 99510 r '��•"' .q�, (l) PHONE (907) 272-8218 FAX (907) 272-8211 /r�j�p �yf� scale NTs SAND LAKE #2, BLOCK 4, LOT 49 % ""' P.I.D. -011-135-04 US DEPT OF HOUSING & URBAN DEVELOPMENT r"St'e en' R.'Pannone—/ PERMIT NO. 34 CIVIC CENTER PLAZA RM 7015(+PF'• cE 8149 i osP131o5s SANTA ANA, CA 92701 �sT •. `r SOILS LOG SITE ADDRESS: 8030 SEACLIEE STREET �l10 So sheet '\�� t"�+ 3 OF 4 CLOCK WATER READING DATE TIME NETTIME LEVEL NET DROP READING 411/13 4:30 - 2.36 - 2 BE ORE 4:35 <5 MIN 8.36 6 (DRY) 3 4 "ACCURATE READINGS NOT POSSIBLE e DUE TO THE PERCOLATION RATE. SIEVE ANALYSIS WAS PERFORMED. s PEROLATION RATE <1 (minfinch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS: Test hole excavated by PANNONE ENGINEERING. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC LLC _ �� 5/10/2013 Date `� OF A� ll FOR coNsrRucrloN P.O. BOX 102954 ANCHORAGE, AK 99510 r '��•"' .q�, (l) PHONE (907) 272-8218 FAX (907) 272-8211 /r�j�p �yf� scale NTs SAND LAKE #2, BLOCK 4, LOT 49 % ""' P.I.D. -011-135-04 US DEPT OF HOUSING & URBAN DEVELOPMENT r"St'e en' R.'Pannone—/ PERMIT NO. 34 CIVIC CENTER PLAZA RM 7015(+PF'• cE 8149 i osP131o5s SANTA ANA, CA 92701 �sT •. `r SOILS LOG SITE ADDRESS: 8030 SEACLIEE STREET �l10 So sheet '\�� t"�+ 3 OF 4 4" JIM 4° PUMP - SLIDE SEC OF 6" f OVER THIS CONNEC TO PR01 SHEER PROTECTICI, EXTEND TO BRIDGE EXCAVATION ADVANTEX DESIGN ADVANTEX —11 XI LIARY PUMP BASIN PASSIVE AIR VENT 1500 GALLON ANCHORAGE TANK NOTES: PANNONE LT1�T!'1 SVC, LLC C s.��OF q`'\l Date FOR co srRucTloN P.O. BOX 100217 ENG 99951110 r C .• ...0 s/1o/2013 PHONE (907) 272-8218 FAX (907) 272-8211 /g�`Q '"�y t0 scale j,t:49TH ,tl� NTS SAND LAKE #2, BLOCK 4, LOT 49 % P.I.D. NO .-�'�.....•,• 011-135-04 US DEPT OF HOUSING & URBAN DEVELOPMENT 4 S'te'ven R. Pannone j PERMIT NO. 34 CIVIC CENTER PLAZA RM 7015(�P�. CE 8149 le / 0SP131053 SITE SECTION SANTA ANA, CA 92701 +11s'�. ......... Sheet SITE ADDRESS: 8030 SEACLIFF STREET 1�` "�� 4 of 4 US STD: SIEVE SIZE I US STA SIEVE NUMBER HYDROMETER loo 90 3 1- /2 3/4 3/8 #4 #10 #20 �_ #40 ' t t�I #100 #200 41 -, --- 70 41 60 s - Ll — •-- -- 50 40 30 20 -} -- 10 I 1_ 100 10 1 0: 1 0.I01l 0. 001 GRAIN SIZE IN MILLIMETERS COBBLES GRAVEL SAND SILT or CLAY tnt¢h FIIE C6W& IF➢IUI FIIE SYMBOL SAMPLE SOURCE DEPTH (feet) CLASSIFICATION — — — — Gravelly Sand (SP) Crowther Associates Geotechnical Engineering Services Particle Size Distribution Sand Lake Subdvision #2, Block #4, Lot #49 Anchorage, Alaska Plate Job No. 040.002 File No. PannoneSandLake2B4L49 Date April 2013 CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of5 �)!�,$1C l� Sir) Q Lo,S -91 0!e c- tl--��P' S� ii�� t W41I — F,4— I16—) public water system located in RVI e 110 VU e Alaska, submitted in accordance with 18 AAC 80.100 by_ f 1 GIfO S Ca 1 e Ile have been reviewed and are X, approved. conditional approve (see attached conditions). + q e LE, 1yui, '44p tde, 7 % C--jk�ly�ej- DATA '— / If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract order no. - Approved by Date or descriptive reference) The "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of th4:AW I7 tAKE) _,b #Z LAS 14t 49 public water system was completed on ,!�' (date). The system is hereby granted interim approval to operate for 90 days following the completion date. "' DATE As -built plans submitted during the interim approval period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted 4fina approval to operate. V TITLE DATE May 28, 2013 THE STATE °1ALASK . GOVERNOR SEAN PAtiNrl.). Mr. Steven Pannone, P.E. Pannone Engineering Services PO Box 100217 Anchorage, AK 99510 Re: Sand Lake S/D #2, Block 4, Lot 49; Water Source Separation Distance Waiver Request Dear Mr. Pannone, Department of Environmental Conservation DIVISION OF ENVIRONMENTAL HEALTH Drinking Water Program 555 Cordova Street Anchorage, Alaska 99501 Main: 907.269.7623 Fax: 907.269.7650 J essico.cah ill@a las ka.gov File: 2100.07 Sand Lake S/D #2, Block 4, Lot 49 PWSID: 2330099 On April 11, 2013, this office received a separation distance waiver request associated with the proposed septic system located on Lot 49, Block 4, Sand Lake #2 Subdivision. The construction of a new septic system on Lot 49 (serving a duplex on Lot 49 and a single family home on adjacent Lot 4) cannot be completed without encroaching on the required separation distances of two Class C wells located on adjacent lots. Information was provided on the adjoining Class C wells to allow the assessment of the potential risk posed by the septic system on Lot 49. Waiver Conditions and Determination Based on an evaluation of the available information, the potential for contamination due to the lesser separation distance between the Class C wells and the proposed septic system does not appear to be significant. Separation distance waivers between the wells and proposed septic system on Lot 49 are summarized below: Waiver 1: Class C Well on Lot 49, Block 4, Sand Lake Subdivision #2 The Class C well located on Lot 49, Block 4, Sand Lake Subdivision serves a four bedroom duplex on the same lot and a single family home on the adjacent lot 4. The separation distance required by regulation is 150 feet to the proposed septic system on Lot 49. The separation distance requested and approved is 96.2 feet. The following items were taken into consideration as part of this waiver: 1. Although there was no indication of well grouting submitted for Lot 49, the information provided regarding the well shows a depth of 272 feet. 2. Water samples taken from the well on Lot 49 are free of nitrate/nitrite. 3. Lab results indicated the absence of E. coli and coliform bacteria in the water sample taken on this lot. 4. The proposed septic system on Lot 49 shall be designed and constructed to State of Alaska Standards. 5. Due to development density within the subdivision, there are few options for the placement of this septic system. Connection to public sewer is not readily accessible. 130521_Sand Lake #2, Block 4, Lot 49_WA.docx Page 1 of 3 Mr. Steven Pannone, P.E. May 28, 2013 Waiver 2: Class C Well on Lot 50, Block 4, Sand Lake Subdivision #2 The Class C well located on Lot 50, Block 4, Sand Lake Subdivision serves a duplex on Lot 50 and a single family residence on Lot 51. The separation distance required by regulation is 150 feet to the proposed septic system on Lot 49. The separation distance requested and approved is 94.4 feet. The following items were taken into consideration as part of this waiver: 1. Although there was no indication of well grouting submitted for Lot 50, the information provided regarding the well shows a depth of 316 feet. 2. The proposed septic system on Lot 49 shall be designed and constructed to State of Alaska Standards. 3. Due to development density within the subdivision, there are few options for the placement of this septic system. Connection to public sewer is not readily accessible. Approval Limitations The purpose of this letter is to grant the requested separation distance waivers between the proposed septic system on Lot 49 and the two existing Class C wells on Lots 49 and 50. This waiver approval is for the separation distances associated with proposed septic system on Lot 49 only, and in no way constitutes approval of any other separation distances associated with these lots. The granted waivers do not address the overall development density in this area, or the long term, overlapping impact of multiple onsite septic systems on the onsite wells. The separation distance between the water service lines and adjacent septic systems is minimal, approximately 10 feet. It is highly recommended that all wells be tested regularly (a minimum of annually) for nitrates and Coliform bacteria to identify any developing issues. This approval does not imply the granting of additional authorizations, not obligate any federal, state, or local regulatory body to grant required authorizations. The waiver for the lesser separation distance is not an approval of omissions or oversights by this office or noncompliance with any applicable regulation. The Department's approval does not guarantee correctness of the functional design or waive the owner's responsibility for continued compliance with State regulations. 4ueal Process Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the acting Division Director, Elaine Busse Floyd, 555 Cordova St., Anchorage, Alaska 99501, within 15 days of receipt of this decision. Adjudicatory hearing requests must be delivered to the Commissioner of the Department of Environmental Conservation, Larry Hartig, 410 Willoughby Avenue, Suite 303, Juneau, Alaska 99801, within 30 days of this decision. If a hearing is not requested within 30 days, the right to appeal is waived. More information on the Department's administrative appeals process can be found at the following website: http://www.dec.state.ak.us/cornrilishZReviewGuidance.htm. If you have any questions regarding this plan review please do not hesitate to contact me at 269-7623. Sincerely, Jessica D. Cahill Environmental Program Technician, DEC 130521_Sand Lake #2, Block 4, Lot 49_WA.docx Page 2 of 3 Mr. Steven Pannone, P.E. CC: Owner of Record. Block 4 Lot 49 Castells, Daniel PK Management Group 2103 Coxal Way, Suite 500 Miami, FL 33145 Owner of Record. Block 4 Lot 4 Talbert, Theodis Jr. PO Box 240553 Anchorage, AK 99524-0553 Owner of Record, Block 4 Lot 50 Ryan, James M 18764 W Main Street Galliano, LA 70354-4003 May 28, 2013 130521_Sand Lake #2, Block 4, Lot 49_WA.docx Page 3 of 3 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 5'NEW �. i3�„D�- S •3 S ❑ UPGRADE MAI LING ADDRESS ^{�� �`C / 995')o Pa. 80A 67J ,fik LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS Uy DISTANCE TO: Wellj U0 Absorpti n area % Dwelling. _ 18Y PERMIT O, cA6) IL Z wF Manufacturer �e . L V C MatI� No. of compartments w Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 6 y DISTANCE TO: Well Dwelling PERMIT NO. Juz 2 z Fa- Manufacturer Material Liquid capacity in gallons O w= DISTANCE TO: Well f / /J Foundation �� / Nearest lotline�� PERMIT NO.c;�©`1® j U 'Y Lu LL Z J w No. of lines �• / Length of e h line / Total len th of lines , Trench wi0th Distance between li e V Z F_W 3(0 inches. Top to finish / Material beneath rile Total effective absorption area F of rile grade ll sJ09 inches !2�! Length Width Depth PERMIT NO. LU 0 a H Type of crib Crib diameter Crib depth Total effective absorption area wa wWell U) Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J Lu 3: Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER - -- - -- - - PIPE MATERIALS _� P& I—C14vliL tPF SOIL TEST RATING - - -- b 51 ��jj��j�.�^ Py�l F INSTALLER REMARKS 1 m� * 49th :* s e NJ e �•.�� 1834E e '0_ ••. •.•• �0 �® P90FESSION���� �®i Ill 41 APPRMr,, DATE LEGAL _ 72-01 T (Rev. 3/78) � '~ »^»��A k- .1. .-- .-, v- .1. -r Q A 13 Flo � � ���W���0� Q .UU `/ 4 `DEPHRTMENT HERLTH .� 904D ENUFRONMENTRI 01001 THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF THE OUTFHLL PIPE �' STREET' HNCHORHGE'rm, Q, PERMIT HHS THE RESPONSIBILITY TO INFORM THI5 DEPARTMENT DURING INSTHLLHTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE ~-254^4720 NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ��� Z141 KIM; FW K (17 -T- 1 11:1042 OR, K�� BHCKFILLING OF HNY SYSTEM WITHOUT FINAL HND HPPROVHL BY THIS 14 g~-��][ DEPHRTMENT WILL BE SUBJECT TO PROSECUTIO�{ MINIMUM DISTANCE BETWEEN H WELL HND HNY ON-SITE SEWHGE DISPOSHL SYSTEM PERMIT NO, ( 820401 ) IS UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVHTE WELL TO H PRIVHTE SENER LINE IS 25 FEET HPPLICHNT SIE�RH BUILDERS NELL LOGS HRE REQUIRED AND MUST BE RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY SPECIFICHTIOP& AND CONSTRUCTION DIHGRHMS H�E PO LOCHTION SEHCLIFF/82ND � 243-50045 LEGHL 15-49 B4 SHND LHKE #2 LOT SIZE 8100 SQU�RE FEET TYPE OF SOIL HBSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS � -�:: SOIL RATING (SQ FT/BR)� 85 THE REQUIRED SIZE OF THE SOIL HBSORPTIOtri SYSTEM IS: �W Nva CIE W N-1 � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TPENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM QF THE EXCHVHTION (IN FEET) 11-1ERE IS NO SET NIDTH FOR TREHCHES. THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF THE OUTFHLL PIPE FNND THE BOTTOM GF TH� EXCHVf -iTION (IN FEET) �EEE: � G, -!,i K 3 AT K P" W Z Q Q, PERMIT HHS THE RESPONSIBILITY TO INFORM THI5 DEPARTMENT DURING INSTHLLHTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ��� Z141 KIM; FW K (17 -T- 1 11:1042 OR, K�� BHCKFILLING OF HNY SYSTEM WITHOUT FINAL HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTIO�{ MINIMUM DISTANCE BETWEEN H WELL HND HNY ON-SITE SEWHGE DISPOSHL SYSTEM 100 FEET FOR H PRIYFIT' E WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING IS UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVHTE WELL TO H PRIVHTE SENER LINE IS 25 FEET HND TO H LINE IS 75 FEET NELL LOGS HRE REQUIRED AND MUST BE RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY SPECIFICHTIOP& AND CONSTRUCTION DIHGRHMS H�E HVHILHBLE TO INSURE PROPER INST�LLH�IGN KEONT"101 1: W Uhns" � �K 10 EEC 141 W I-EC15'..';.". I CERTIFY THHI- A.: I HM FHMILIHR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND NELLS HS SET FORTH BY THE MUNICIPHLITY OF HNC�ORHGE 2I NILL INSTHLL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]� I UNDERSTHND THHT THE ON�SITE SEWER SYSTEM MHY REQUIRE ENL�RG�MENT IF THE RESIDENCE IS REMODELED TD INCLUDE MORE THHN ] BEDROO�S ' HPPLICHNT SIERRH BUILDERS / V40 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: C S/t /4S DATE PERFORMED: �� MAY �j2 LEGAL DESCRIPTION: A ALT V I..AKE sub. No*'Z LOT 4 DEPTH SLOPE SITE PLAN (FEET) �r+�`a 1 l� SIV 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMM PERFORMED BY: 72-008 (6/79) 5AN DY CvRAVgL SILTY SAWDS Yom' SAS.! D Y GRAVt1.,5 WAS • ' ■■■■■■■■ENCOUNTERED? L ■■_ IF YES, AT WHAT E ■■■■■moi ■■■■■■■■■■ Reading Date Gross Time Net Time Depth to Water Net Drop 0 w PERCOLATION RATE TEST RUN BETWEEN CERTIFIED BY: FT AND (minutes/inch) FT DATE ���f � v� G � ,� ^' m -- �; �� I ,/ Time APPLIG,'AT -FILLS OUT UPPER HAL -„.,.ONLY Property Owner _y/ _�J r<, �y%%,� Date Phone Mailing Address j 1 G Zip Code 1(j ��/�.J` fJy Buyer �i> � I If/ /JJi /, Z411 WZ11r1 h Address _ r - Zip Code Lending Institution` r'7 PT (7 ..- -7'1 . - Phone Address Zip Code Realty Co. & Agent RECEIVED _5 (7) APPROVED BEDROOMS Phone Address - Zip Code Legal Description �� F F' G� �f/7��G --o -7 'A-.” Street Location �' - BY: Soils Rating Type of Residence - Well Log Received ,t] Single Family Multiple Family No. of Bedrooms. Other Water Supply - ❑ Individual - - n ' - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For drilled to that date, well depth (attach log if available). X❑ Community X ,l bLI01 I Li I I LL4- wells prior give - Public Utility Sewer Disposal - - 7 L Individual C�'nn Lin Year Individual Installed: /❑_ Public Utility I —Sa When Connected to Public Utility: ❑ Holding Tanker NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE r'7 PT (7 ..- -7'1 . - ENVIE It 'P.:F,. .01 l RECEIVED _5 (7) APPROVED BEDROOMS `CONDITIONS OF APPROVAL ( ) DISAPPROVED - ( ) CONDITIONAL APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72023 (3182( CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL. CONSERVATION . PUBLIC WATER SYSTEM APPROVAL, TO CONSTRUCT Plans for the construction public water systern located in Alaska, submitted in accordance with 18 AAC 80.100 by u_d _ ________._.=._.have been reviewed and are [7 approved. ❑ conditionally approved (see attached conditions). BY �..TiTLE- DATE ----- ------- I I _—__.__ If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract order no. Approved by Date or doscriptive reference) The "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of the_ _ a _ �d .. public water system was completed on(date). The systern is hereby granted interim approval to operate for 90 days following the cpmpletion date. As -built plans submitted during the interim approval period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The systern is hereby granted final approval to operate. TITLk �� DAVE uper. y 0 • '� Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 y d Certificate of On -Site Systems Approval Parcel I.D. 011-135-04 Expiration Date: a A) 113 1. GENERAL INFORMATION Complete legal description Sand Lake #2, Block 4, Lot 49 Location (site address) 8030 Seacllff Street Current Property owner(s) U.S. Dept. of Housing & Urban Development Day phone Mailing address 34 Civic Center Plaza Rm7015, Santa Ana, CA 92701 Real Estate Agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class C Well 0 Community ❑ Public Water Svstem [—I Public Sewer ISI Waiver/Variance request for: Distance: x" : sr Received by:_.----' � �� ���� � -�� �- Date. /�";?12" COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ r� I h Waiver Fee $ Date of Payment �2J Date of Payment Receipt Number '1(01� G Receipt Number COSA# 65031 55 7 Waiver# 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, 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 files 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 Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Alk. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE v` System #1 Approved for bedrooms System #2 Approved for _ bedrooms Disapproved Phone (907) 272-8218 Date 11/13/13 Conditional approval for bedrooms, with the following stipulations: VVt44I`-t„�n Original Certificate Date: l pS Z'_ ,^ ty of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r - c If more than 1 septic system is on the lot: COSA Checklist # 1 of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Sand Lake #2, Block 4, Lot 49 Parcel ID: 011-135-04 A. WELL DATA Well type Class 'C' Date completed _ Total depth 272 ft. Date of test Static water level Well production If A, B, or C provide PWSID # 2330099 Well Log (Y/N) N _ Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Cased to ft. Casing height (above ground) 18 in. FROM WELL LOG ft. g. p. m. AT INSPECTION ft. g.p.m. WATERSAMPL RESt,1LTS: Coliform Neg I t;olonies/100 mL Nitrate ND mg/L Arsenic 21.6 ug/L Date of sample: 4/4/13jjllelt3 Collected by: P.E.S. B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P. / Steel Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Date of pumping New Depression over tank (Y/N) N Pumper Date installed 11/4/2013 Cleanouts (YIN) Y High water alarm (Y/N) Y C. ABSORPTION FIELD DATA Date installed 8/31/1982Soil rating (g.p.d./ft2 or ft2/bdrm) 6 System type Deep Trench Length 25 ft. Width 3 ft. Gravel below pipe 7 ft. Total depth 14 ft. Eff. absorption area 350 ftz Monitoring tube Y Depression over field N Date of adequacy test 4/4/13 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 650 gal. New depth 0 in. Elapsed Time: 180 min. Final fluid depth 0 in. Absorption rate , 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed 11/4/2013 Size in gallons 500 "Pump on" level at 43 Datum Bottom in. `Pump off' level at 40 Cycles tested New E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 97.2 Absorption field on lot 115.8 Public sewer main 150+ Sewer /septic service line 79 Animal containment areas 50+ Manhole/Access (Y/N) Y in. High water alarm level at 45 Meets alarm & circuit requirements? Y On adjacent lots 148 On adjacent lots 138 Public sewer manhole/cleanout 150+ Holding tank 150+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 18.2 Property line 26.3 Water main 10+ Water service line 10.5 Wells on adjacent lots 102.3 ABSORPTION FIELD ON LOT TO: Property line 10.5 Building foundation 36.0 Water Service line 12.7 Surface water 100+ Curtain drain 50+ Wells on adjacent lots 102.3 F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date COSA brown sheet 10-10-12.doc 11/13/2013 Absorption field 6.4 surface water 100+ Water main 10+ Driveway, parking/vehicle storage 10+ in. Municipality of Anchorage GE BL Community Development Department _ Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 131594 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 4, Lot 49 of Sand Lake 42 Subdivision. This inspection revealed an arsenic concentration of 21.6 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.or /og nsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Annroval. M 77 r�77r� qq�{ TTcrTT r�^ r��+ N Z O W�1LLQWrJ �•7j 1�.J��1,.7 � ______ _—____ O N O c0 � 3 mo M M p Z W O 'd.!!��, a 3„OO,ZO.00S TZ Z W ao N N Le .' ® ai w o - LL: CL Nti �p 612, �.'' 3 mm J �n r1LLJ _j _J Baa:.'' oo U � Z w m `r o o � Q Q o E L O 3 3 W .z Z a w LO P4 rr� c J J 0-6 T N U3 a 3 c c >"O O 0 LO 6£w £ o 3 T� aa,o CD > 4o �• O J �N 'a C14 m N LO a +CNN ca NO 4) CLZ W L O E.2 p c a) O c; o.o o N ao E S t 0�l o c oo °' a>) r- :r«a)NQ� o c �'� 8.�HIOf Oa uiu) 0)p i •3 O+•OONo+ z a1^`� O �' O) E 3 C y j 0 ++ -3O Nm JN Op aac' p O Ov z E C IN°°Ep0ao�0-0 c C = 100Z N �U• 0.0 �`�••• ••: :w•• ,"'�` ,, c ZQ c N L 0 ate+ o M 00'09 rQ :x •';�a1� ° rn °°"°cc° 1hA0.Z0.00N �-40, "� m Z ' os°. p, v a y �� , ° u E O r� r� /,� z ,r ° 0 a w c�L aci.c a) o AV d ¢O p c'a •- c!^ y a c •p V) J m 3£ O O T O> t Q Q ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND �i,'t,i.•.'i f(/ttl91[i!j%tcf THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this, [ Day of ! 4 >>, �'.'t� of 204, by and between�+'E�,V I + �; .t % x "i'i herein the "OWNER," and the Munici4llity of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 11) located at (legal description). kq 2. Definitions. Alteration. Any change to the design or function of an AW WTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Pert from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: b. Municipality: Director, Community Development or designated authoritv C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER Bygnature) Date: MAJ iat?(print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this M day of l UIAWYat.QdilL, , 2013 , by �i�ca t i1 (J2 n rsp tici , . NOTARY PrVc� ,FC,F, ALAS" My C oxnntisslQn expires MUNICIPALITY: 1 By:'zG' �L'�, ta�f'L2u (signature) D - _ �Lt c.'r l��n i h ti (print name) Date: + Title: