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Home My WebLink AboutSTORCK #3 BLK 1 LT 4torck #3 Block 1 Lot 4 #017-091-87 Apr 18 22 11:12p Anchorage Well & Pump Ser 9072430742 p.1 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: Parcel Identification Number: 017 091 $7 Legal Description Block I Lot STORCK #3 11 1 4 Pump Installation Date: 04 - 15 -2022 Pump Intake Depth Below Top of Well Casing: 180 Pump Manufacturer's Name: RED JACKET Pump Model: 8S 1 6 Pump Size: '75 Pitless Adapter Burial Depth: 10 feet Date of Issue: - - Property Owner Name & Address: LEWIS RUSSELL & WANDA LIVING TRUST 200 W 34TH AVE #7 ANCHORAGE, AK 99503 Pitless Adapter Manufacturer's Name: MARTINSON Pitless Adapter Installer: Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: PELLETS Comments: feet Pump Installer Name: ANCHORAGE WELL &PUMP SERVICE Company: 7640 KING STREET ANCHORAGE, AK 99518 Mailing Address: _ 907-243-0740 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 Page 7 of 3 Development Services Department OnSRe Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW030437 PID Number. 017491-VO Is Haller Construction Wastewater System: New P.O. Box 110731 Anch. AK 99511 ABSORPTION FIELD Pt"Id,10 5' Wide Trench Four Sal R«eq Ta« D.pm aam o g MI! Q� LEGAL DESCRIPTION .6 GPD/F0 5 Ft. t3btlLa aaam.m Dope b P'p. IX*!= ham a,grrl WO,ft Gl v OWM OAn.«n PW.. 4 Storck No. 1 Ft. 4 FL 7owWp. R«q- Sxoat FY �tlOSO.00w OnPrrIVWs 3.4 &n Lwgm, 120 Ft. Ft. Grw« w 14m a bnn aM.rlw eslwean 3-n.. Well: New 5 Ft. -W—P— 2 >10 FL Cw.nc«m (Pow«., A 6. C) 1 TOW DORM: CA.M b, 41 OW 1,200 FIS FPO MWO.W ASTM 3034 PVC Private 209 Ft. FL paler He Drilling Dr. NOW aWIC W«« L v 11/1212003 0 FL Trallboss Enterprises 10128-111412003 •OOKI ""° s« « cAeev HiHtFol ' Gmind >2 TANK 4.5 GRN Ft. FI SEPARATION DISTANCES STEP To I From Septic Tank Absorption Field Lift Station Holding Tank lubloVitvate sewer unit "' Anchorage Tank ,n 1,500 VAN >100, >100, >100, NIA >25' Steel tnlwe. Two (2) snea.W«w >100, >100, >100, NIA LIFT STATION La Lm >5' >10' >10, NIA 250 G« Anchorage Tank/Orenco FOunOMm >5' >10' >5' NIA M"°°".«44 42 ti 42 ti « m« , cufAelbnel >2O' >2O' >20' Pump NeY.a Naas Orenco EMareal kUPIc, eR.naanea by Munici I' of Anchorage Ft T BENCH MARK Garage Slab. AeuAmd Eler«Ion' 00.0 FL Engineer's Stamp •��weeesds's' J hew `9 •i 4th Inspections performed by: MEA Dates: 1'f 10128/03 ,.ter . .� m ,I 2 11/4103 •• MICHAEL E ANDERSON W Department of ea lth and Human Services approval•� <� sty No CE-438141, Date: ilg22 0L/ Reviewed and approved by: ooilit s„��•. Re 71 5 m m a r to m 4 0 6 z C3 CL ,6'-V l L 3 „ C,L 1.00 N � uNJ 1n • w� M I I Q% 00 01 00 NEW ,I � m dodd= n nn�ry �PNC�R < a.edd nv.nn ,6S' LLZ o hex A H12J0 N Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SW03D437 PID No, 017-09110PI&I N E N / N S 1,500 Gallon STEP Tank 98.6 Dralnfleld Rock 89.1 60' (Trench Length) 81.6 3/16.Orifices Q 3' NORTH LEG 98.5 Dralnfleld Rock 90.4 60' (Trench Length) 3/16.Orifices a 3' SOUTH LEG PROFILE AS -BUILT Swe: 11'- 101 HEFTY DRILLING 3540 AKULA DRIVE `. ANCHORAGE, ALASKA 99516 (907) 345-0593• :..tar•• r•�.;i.arJ!;v,....: STATE, OF ALASKA ` •.:=s;v.:.:; DEPAIZT51ENT OF NATURAL RESOURCES'` ':, ;,• MINING, LAND. WATER HYDROLOGIC SURVEW %VAT.ER WELL LOG Drilling Started:(/ /o / , Completed: ) . / !� `/ City/Borough: Subdivision/USS: Block Lot Property Owner Nanic & Address: Q_I I • nS 1'til 1 -_ �o Y �,+- $¢eRCK �� j `� o r0 ^' hferidian _......._._Township........ -,__Range_ --Section...... Aor _f/�oCT�aof=`•+•...,;::I� iatcN'>• —Long: W..NAD:27OR f3 Elevation: BOREHOLE DATA: (from ground surface) Depth Drilling method: A Air rotary. 0 Cable tool, Other Material: T e Color & wetness I From 112 ' Wellvse: O Public supply, �omestic, 00ther Depth of hole: A. Casing stickup: fJ �d II Casing ape: SLppt4l Thickness ' • OAS' " inches' Casing diameter: O inches Casing depth Liner ()-PC: Diameter. inches Depth '' '•*`•$�'y' : Static water (front top Pumping level &yield: feet aflcr _:hours at'_gpin> ; Recovery rate: • S gpnr• Method of testing: '... QA �Jro Development method: Duration: ' Well intake opening type: CI Opcn end,).(Open hole ' t J QQ S O Screened; Start: ft, Stopped ft, Screen type: Slot/mesh size dROLY D O Perforatcd;Start: R, Stopped ft Stan: ft, Stopped fax -o— p Notc: Groutlype: r1 r�•:¢- volume 12DCJ� FiPAC%G(�i / �r0� qnD /� 7 Depth; from ft, to R Pump intake depot: ft Pump size hp. Brand name: : Was well disinfected upo, om//plction? I•Yes, ONo- Methodofdisinfectiott: • . Driller comments/ disclaimers: , \ Well Driller Name: t 1 . t�- Company Name: HEFTY DRI L NG Mailing Address: 3540 AKULA DRIVE City ANCHORAGE Slate: ALASKA Zip: 99516 Phone Number: 1-907-34 . 593 Drillers Signature: , .•stale law requires that a wity wr tw. ..n i hT N,„w u. nu Stam of Ata•ba / within 45 days. Fares oro aeeopmbk. (AK statutes 3&05.020.38.05.035, 41.08.020, 66.15.020 and AK regnWtions I 1 AAC 93.140). DEPARTMENT OF NATURAL RESOURCES bllnlnr,Land & Water hydrologic Survey 550 W 7th Ave, Suite 900A Anchorage, Al< 99SOI .3577 Telephone (907) 269-8639 and FAX (907) 562-1381 1•d Within the City orAnchorage, it is required that a copy of the well log be sent to the appropriate city office within 60 days and that anothezeopy of the well log be scot to the wall/property owner widen 30 days. Pcrmit Numhcr: _S �_(� Date orissue: Parcel Identification Number: Ts well located at approved permit location? O Yes oro No eZir01 b0 Li daS FROM :HALLER CO FAX NO. :245-3010 - iSF.tFax 9/24/2004 5:41 PAGE 1/1 CIO, Sep. 24 2004 02:42PM P3 363`1 RightFax Inspection Report Municipality of Anchorage,, iowth Brilding aw Safety. Diyislon 4700 Page I of I INSPECTION: VOICE 341-8300 SMSpZMON. pAX (907)249-7777 INFO: 343-7962 Name Address Legal Subdivision Comments or Directions RAM'S HORN ELECTRIC 7175 RABBIT CREEK RD 8KILT4 STORCK #3 Permit 03-1578 Phone 244-5419 Inspection Date 9/24/2004 Inspection Final Electrical Reinspection Y NONONCOMPLIANCE OBSERVED ❑ CORRECTIONS ESSENTIAL AS EXPLAINED BELOW ❑ WILL RE-EXAMINE AT NEXT ❑ DO NOT CONCEAL UNTIL REINSPECTION INSPECTION COMMENTS: (for Inspector use only) p/i/a/,7� Inspector Date: file://C:\Pfogtam%2OFilcmlRightFiLx\Outgoing\hi0004F IS.OW 92412004 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Oct 15, 2003 Expiration Date: Oct 14, 2004 Permit Number: SW030437 Parcel ID: 017 -091 -*6-1 Legal Description: STORCK LT -4' +� Design Engineer: 0014 Anderson Engineering Site Address: Owner Name: Haller Construction Lot Size: 55449 SO. FT. Owner Address: PO Box 110731 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99511 - This permit is for the construction of., Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By - Date: /D —/S— o3 1 �,Y• / t Date: ID IS Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. on—cm— 1.1 l5 Permit Number SW Property owner(s) Hailer Construction Day phone 245.3010 Mailing address (1) P.O. Box 110731 Anchorage, AK 99511 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Lot 4, Storck Subdivision --s 'N Legal description (Section, Township & Range) Lot Size t5l:�Ll qqAcre Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Four (4) Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: 'SSo r 4- %s /ZuWiver Fees: Date of Payment: /0—/`/-0J Date of Payment: Receipt Number: Receipt Number: (Rev. 12/00) ��— ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX October 14, 2003 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 4, Storck Subdivision -413 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 4, Storck Subdivision intends to construct a four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to serve the new home. The attached Site Plan and backup documentation identify the location and configuration of the new well and proposed septic system. No conflicts exist between the well and septic system on this lot and on adjacent properties. Drainage arrows are shown indicating the current patterns. The drainage patterns will be maintained after construction. Test holes placed on the lot in the area of the new absorption trenches indicated silty gravel with varying amounts of sand. The material was noticeable looser toward the surface with a percolation rate of 2 minutes per inch. Below 5' the material became tighter with percolation rates between 48 and 60 minutes per inch. No groundwater was found in the monitor tubes for either hole and none was noted during the monitoring period, which included the normal high water period around October 15. We have therefore used an average application rate of .6 gallons per square foot per day to design the absorption system. The majority of the trenches will be constructed in the looser material with the total depth of the system at 5'. Insulation will be placed atop the trenches to prevent frost penetration. A 1,500 gallon STEP tank and a pressure distribution system will be constructed to transport effluent from the house to the absorption area. The ground surface on the lot slopes at shallow grades from south to north off the existing Rabbit Creek Road. The trenches will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. The new septic system Lot 4, Storck Subdivision October 14, 2003 Page Two will be constructed a minimum of 100' from the proposed well on the lot and the existing wells on the adjacent lots. It will also be constructed a minimum of 100' from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments f j•/ ` 49th iAEL E. ANDERSON No. CEr381 j LO co Cd M 10 C) M 00 d' 00 iA ,6'-bLl 33 L.00 N) uo •,nw `o u °€ i.°vx ,6S' LLZ at �o- A If H1bON co x LOT 4, STORCK SUBDIVISION* 3 DESIGN FACTORS: Five Bedroom House Perc. Rate: 2 - 60 Min./Inch Application Rate: .6 GPD/SF (Avg.) SYSTEM REQUIREMENTS: 5' Wide Trench System 1,500 Gallon STEP Tank 4' Drainfield Rock 4 Bedrooms X 150 GPD/.6 GPD/SF (Aplication Rate) = 1,000 SF Absorption Area 1,000 SF/5 LF (Width)' .5 (Red. Factor= 100 LF Trench Length THEREFORE: Construct 2 - 50' Long x 5' Wide x 4' Effective Depth Absorption Trenches. Flow Line Elevation in Trench to be 1' Below Original Ground Surface. Total Depth to be 5' Below Existing Ground. Provide 2" Insulation and 2' Cover Over Absorption Trench and 4' Cover Over Septic Tank. 6" 6" 4'0" Natural Backfill 5' FI 2" Insulation and Geotextile Fabric 1' Perforated PVC (Holes Down) 3/16" Holes @ Drainfield Rock 3' Spacing TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) •.••p•�E OF J ��... NOTE: Grade Area Over Trench to Drain Away. : a Minimum 6' Separation From Bedrock. ae�ro } Minimum 4' Separation From Groundwater. s�! 1'^^ ` 4f Minimum 10' Separation From Water Service Line. 0 MCWLE MDER Minimum 100' Separation From Surface Water or Streams. ��%A No, 1 2 3 L. 5 6 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, ALASKA 99519-6650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Haller Construction DATE PERFORMED: 6/13/2003 LEGAL DESCRIPTION: Lot 4• Storck Subdivision 3 jTjj TEST HOLE # 1 SLOPE SITE PLAN I I I I I I I I I OG/OLPROJECT # M0302 I* ;d II 12- 13- 14- 15- 16- 17-1 2131415 1617 COMMENTS: Silty Gravel W/Sand Clusters GM Silty Gravel Tighter GM Perc. Rate - 48 Min./Inch WAS GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: DATE: :� 49th••., MICHAEL E. ANDERSON No. CEaMI BOH @ 16' 10% NO None 10/14/2003 L 0 P E 2 ,Load READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 6/13 6:20 9.25" 1 6:50 10 3.75" 5.5" Recharge 6:51 9.38" 2 7:01 10 4.38" 5" Recharge 7:02 9.5" 3 7:12 10 4.43' 5.07" PERC RATE: 2 MIN./INCH PERI. HOLE DIAMETER: 8" TEST RUN BETWEEN 2.5 FT. AND 3.5 T. Test Hole Pre Soaked Prior to Test. TEST PERFORMED BY: MEA I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 10/14/2003 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, ALASKA 99519-6650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: HallerConstnution DATE PERFORMED: 6/132003 LEGAL DESCRIPTION: Lot 4. Starck Subdivision-$ 2 3 4 5 6 7 8 9 IVA TEST HOLE # 2 OG/OLPROJECT # M0302 Silty Gravel J� W/Sand Clusters y GM e a Silty Gravel e . Tighter GM Perc. Rate -60 MinAnch A WAS GROUNDWATER ENCOUNTERED') IF YES, WHAT DEPTH) DEPTH OF WATER AFTER MONITORING: DATE: M,C,MEL E. NOEA90N No. c 4MI BOH @ 16' 10% NO None 10/142003 S 0 P E •1e1 �®2 Teo Road Rabpd C READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 6/13 5:42 8.75" 1 5:52 10 3.38" 5.38" Recharge 5:53 9" 2 6:03 10 3.75" 5.25" Recharge 6:04 9.13- 3 6:14 10 4" 5.13" PERC RATE: 2 MIN./INCH PERC. HOLE DIAMETER: 6_ TEST RUN BETWEEN 2.5 FT. AND 3.5 T. COMMENTS: Test Hole Pre Soaked Prior to Test. Same Soil Conditions as TH1. TEST PERFORMED BY: MEA I, MICHAEL F. ANDERSON , CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 10/142003 MUNICIPALITY OF ANCHORAGE - DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET, ANCHORAGE, AK 99519 SOILS LOG - PERCOLATION TEST PROJECT #: PERFORMED FOR: Haller Construction DATE PERFORMED: 10/28/03 LEGAL DESCRIPTION: lot 4 Storck Subdivision No l�, 2 3 4 5 6 7 8 9 12 17 L TEST HOLE A_ OG Grass/Topsoil GM Silty Gravel Some Sand Silty Gravel More Dense BOH r WAS GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: DATE: 10% NO S L 0 None P E 11/4/2003 SITE PLAN N See Site Plan <2% READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 10/28 4:15 8.25" 1 4:45 30 7.38" .87" Recharge 4:46 8.38" 2 5:16 30 7.63" .75" Recharge 1 5:17 1 1 8.5" 3 5:47 30 7.75" PERC RATE: 40 'MIN./INCH PERC. HOLE DIAMETER: 6" TEST RUN BETWEEN 5.0 FT. AND 6.0 T. COMMENTS: Same Material as Test Hole No. 1. Test Hole Presoaked Prior to Test. TEST PERFORMED BY: M. ANOFRSON I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 5/8/2003 PRESSURE DISTRIBUTION CALCULATION Elevation at Highest Discharge Point Pressure at Highest Discharge Point Liquid Level in Tank (Elevation) Diameter of Holes in Distribution Line Diameter of Distribution Line Hole Spacing in Distribution Line Length of Transport Line Diameter of Transport Line Q = 12.4ev = 12.4(.1875)(.1875) d5-- _ .9748 GPM/Orifice _ .9748' 30 = 29.2 GPM TDH = (107-95) + .0192(29.2)(29.2) 12 + 16.4 36.2' 102' 5' Head 95' .1875" (3116") 1.25" 1.5' 110' 1.5" + .000995(110)(29.2 OT (1.5) 101.v7 + 7.8 Therefore 30 Orifices @ 3' Spacing With 36.2' Total Dynamic Head. Orifice Diameter 3116" 1 11 `LL f 1 Z 200.00 V H U L � 150.00 A J 50.0C I 5.00 10.00 15.00 20.00 25.00 3 1.00 35.00 40.00 45M 50.00 NET DISCHARGE, GPM i- 2 -q. 2 UpM OREIVCOSYSTEMS,INC 2826 COLONIAL ROAD ROSEBURG,OR97470 (503)673-0165 ttbif EFFLUENT PUMPS ' 1/2H to11/2H p p SINGLEPHASE,NZ Iii It 11111 +ifl I, 1 1 f , _� list :., ! �;. 115/230 VOLT 20 OSI 15 H - 9 stage ; ' •' r : ' PC#2 I444 05%92':�y/-'` Ivy -Li ! I I 1 f t i t 1 1 fail 1 fi 11 i I i + -4144 "i"•~"t" I "�'-II ' i 1 i 1 : 11 t 1 t 20 OSI IO iiHF 7 stage - { ; ; f, 1 I I I. 1 11+ fill if 11 fill ,1 it 1 1 , 1 1 t 1 t i IfIf ••1 ,- Iiii I !"I t I I N 1 1 i, i t 1 I; 1 +I' 1i_L Ills11 +, 11 <t +I; + • ! �' _ _ - I , !Ill .. .• �I�t � i� ..iillce _ yam- -�i'�� if i ! I yy_ + _ 1+1_ _ I �•' _I,- .•H '' +yam... +. 1 ti_11—t._ y-1.%ti�_ _LI_i..If y_ 05 HHF - 5 I if fill I it ..1..i-�-.'�_ ++ �-i-��,; "7" ' I f t i I f �-F-I-L i i I ~ I 1 1 .� f i I i i i f i l ,: a 11 i •,It f};: ,i 1 Iii i 414, "�'� I i' i"•' +' f 400 : SI05HH-2 stage' if if If 20 OSI 05 HHF- 5 sta e? -- w /1/4" flaw control ler i 1 I 5.00 10.00 15.00 20.00 25.00 3 1.00 35.00 40.00 45M 50.00 NET DISCHARGE, GPM i- 2 -q. 2 UpM OREIVCOSYSTEMS,INC 2826 COLONIAL ROAD ROSEBURG,OR97470 (503)673-0165 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 4, STORCK SUBDIVISION GENERAL: 1. The scope of this project includes the procurement and placement of a new 1,500 -gallon STEP tank at the location shown on the site plan. Work also includes the construction of 2 new 50' long by 5' wide by 4' effective depth absorption trenches also shown on the Site Plan. The total depth of the trenches will be 5' below the existing ground and the distribution pipe will be placed at 1' below the surface. All components of the new absorption trenches and septic tank must be constructed a minimum of 100' from wells in the area and 100' from any surface water. Insulation will be required atop the trenches to prevent freezing. In lieu of insulation a minimum of 3' of cover must be placed atop the trench. A minimum of 4' of cover is required over the STEP Tank. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. Contractor is also responsible to verify the separation distance from the well on this and adjacent lots. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK/LIFT STATION INSTALLATION The 1,500 -gallon STEP tank must be constructed by a certified tank manufacturer. Construction shall include an 18" manhole to provide access to the lift station. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Lot 4, Storck Subdivision October 14, 2003 Page 2 of 3 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 5. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drain field. 6. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAIN FIELD CONSTRUCTION: The drain field shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drain field rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drain field rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drain field are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. 8. A minimum 2' of accepting soil is required below the drain field rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. Lot 4, Storck Subdivision October 14, 2003 Page 3 of 3 MATERIAL SPECIFICATIONS: The lift station must be constructed by a municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF-5 pump is recommended. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. • g 1 B 9 70 \GCO a& •--d;_-` Municipality of Anchorage �`� On-Site Water and Wastewater Program (907) 343-7904 m S A r ETV APR 2 8 201 > Certificate of On-Site Systems Approv 1-c."1 017-091-87 6 8 9 �t Parcel I.D. Expiration Date: r i 1. GENERAL INFORMATION Complete legal description Storck #3, Block 1 , Lot 4 Location (site address) 7175 Rabbit Creek Rd. Current Property owner(s) Mary & Gregory Grebe Day phone Mailing address 1400 W Benson Blvd. #120 Anchorage, AK 99503 Real Estate Agent Day phone 2. TYPE OF DWELLING: O Single Family (wlwo 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 E Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: I Received b . •A I . L*!- .•!Ifi4j ; Date: )/p l.LD - COSA to be released to the engineer, unless otherwise r-quested by the engi (r. COSA Fee $ 5.2da Waiver Fee $ Date of Payment C1 111 . Date of Payment Receipt Number 0 3514'3'6 Receipt Number COSA# 36C1'411510 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„...,..„. ed from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply r-d and/or wastewate ' ;...c; ;.1 ' -m is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation:` In conducting an adequacy test, I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distan used to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground wat t& may fluctuate during the year,and the water usage of the family being served by the system.These conditions are outside the p a� evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the systelh,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 4/28/2017 6. DSD SIGNATURE A V. 4:4A '••' 9 System #1 Approved for bedrooms 'S even `.•Pannone:"j l.% CE-8149 •&� System #2 Approved for bedrooms s . r Disapproved �'k . OFESSI�' '~ Conditional approval for bedrooms, with the following stipulations: • P CGKP •. �. N..." oR U i l'1"`}rr\`\� Ont • 1 ---------V-- lw•1 Id Original Certificate Date: t----I. �/ -7 The Municipality of Anchorage Development Service aivision (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 XNitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet S - If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Storck #3, Block 1 , Lot 4 Parcel ID: 017-091-87 A. WELL DATA Well type Private If A, B, or C provide PWSIID/# Well Log (Y/N) Y Date completed 11/12/2003 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 209 ft. Cased to 41 ft. /// Casing height (above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test 11/12/2003 9/9/2015 Static water level Artesian ft. Unknown* ft. Well production 4.5 g.p.m3.0+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 4/21/2017 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 10/11/2003 Tank size 1 '500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank(YIN) N High water alarm (Y/N) Y Date of pumping 4/20/2017 Pumper A+ Home Services , C. ABSORPTION FIELD DATA Date installed 10/28/2003 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 GPD/SF System type Shallow Trench Length 60/60 ft. Width 5I5 ft. Gravel below pipe 4/4 ft. Total depth 9.1/8.4 ft. Eff. absorption area 1,200 ft2 Monitoring tube Y Depression over field N Date of adequacy test 9/9/2015 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 20/27 in. Water added 613 gal. New depth 22/29 in. Elapsed Time: 190 min. Final fluid depth 20/27** in. Absorption rate >= 600+ g.p.d. No Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed 10/28/2003 Size in gallons 500 Manhole/Access (Y/N) Y "Pump on" level at 42 in. "Pump off" level at 42 in. High water alarm level at 44 in. Datum Bottom of Tank Cycles tested 5 Meets alarm&circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS *Well has plug so assumed static level of 0 feet. **Field levels verified on 4/21/2017. Survey As-Built on File. G. ENGINEER'S CERTIFICATION �1��``V`� c9f.tey:.4kt, I certify that I have determined through field inspections and ��y�•-• `,,� -i review of Municipal records that the above systems are in *; 49 :t /\ conformance with MOA COSA guidelines in effect on this date. •- - _ Engineer's Printed Name Steven R. Pannone r00;-..:Sieven W. !annone 4/28/2017 � . CE-8149x' Date ,f' . •+' �kk>,,OFESSI�A 4 .� COSA canary sheet_2-6-15.doc YI1 0 Parcel I.D. 017-091 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION 4b\b6e6-- Complete legal description Location (site address or directions) HAA # A4 D5010 Expiration Date: /4* ArIch fill Current Property owner(s) Hailer Construction Day phone 245.3010 Mailing address P 0 Box 110731 Anchorage AK 99511 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Four 4 TYPE OF WASTEWATER DISPOSAL: ® Individual On-site ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority 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 sample results less than 30 days old. (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 Health Authority 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 Anderson Engineering Phone 522.7773 Address P.O. Box 240773 Anchorage, AK 99524 ` t Engineer's Printed Name Michael E. Anderson, P.E. Date 912712004 NICNAm r A amm z 5. DSD SIGNATURE •�I �` ' No. CE -4301 _ z Approved for . 14 bedrooms. •�� ni p` Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: �S_. Q _r �Q �_ Original Certificate Date: (Rw, IM Municipality of Anchorage Development Services Department , Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 www. ci.anchorege.ak. us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST 4�� y Legal Description: 04 6t^^^MSubil"inn Ne_i'S Parcel ID: 017-091 jgZ IJ A. WELL DATA Well type PP g If A, B, or C provide PWSID # _ Well Log (Y/N) Y i Date completed 1111Sanitary seal (YIN) Y Wires property protected (Y/N) Y Total depth �_ft Cased to 1_fL Casing height (above ground) tin. FROM WELL LOG AT INSPECTION Date of test 11H212008 Static water level 0 R ft. I. Well production 4.5 g.p•m. 9•P•m• I'I WATER SAMPLE RESULTS: ; Coliform _J_cobnies/100 mi. Nitrate .1 mg.fl. Other bacteria 0 oolonies/100 ml. i Date of sample: 98912004 Collected by: MEA B. SEPTICIHOLDING TANK DATA Tank Type/Material STEP151:00 Data installed 1012812003 Tank size 1.00' _ gal. Number of Compartments I Clearouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (YM) y High water alarm (YIN) Y r Date of pumping Pumper New ConstrvctIon C. ABSORPTION FIELD DATA j Date Installed 111412003 Soil rating (g.p.d./ftz or fe/bdrm) ,60PDISF System type T WldsTrerch i Length 120 ft. Width 5 R Gravel below pipe 4 ft. i j Total depth $ R Eft. absorption area 1.200 fe Monitoring tube X Depression over field IN Date of adequacy test Results (Pass/Fail) For _ bedrooms I Fluid depth in absorption field before test _ In. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ In. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed 10f2012003 Size in gallons 250 'Pump on' level at 42 in. 'Pump off" level at 42 in. Datum Bottom of Tank Cycles tested New Const E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access (Y/N) Y High water alar level at 44 in. Meets alarm & circuit requirements? Y Septic tankAtIt station on lot >1W On adjacent kits MW Absorption field on lot MW On adjacent lots >1W Public sewer main N1A Public sewer manhole/cleanout WA Sewer /septic service line�> S Holding tank WA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >S Property line >E Absorption field >5 Water main WA Water service line >10' Surface water MW Wells on adjacent kris >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main >1(r Water Service line >10' Surface water Mw Driveway, parkirVvehide storage >25' Curtain drain >W Wells on adjacent kits >100' F. COMMENTS G. ENGINEER'S CERTIFICATION •�"""""' 4L I car* that I have determined through Bell insperddons and 49 In review of Munlcfpal records that the above systems are in-•� conformance with MOA HAA guidelines in effect on this date. i. rmr c .a* Engineer's Printed Name Michael E Anderson. RE �i��: �• Data 9122/2004 1•� ".............•••..�• aaa;�iESSt.�i HAA Fee $ V -- r- V / A • V vr,v-0 Date of Payment 9 9/0* AT161/4W Receipt Number 68&Az vrT -6ms (Rev. 12f00) /LM Fee $ Date of Payment Receipt Number 0 I I NORTH 271.59' I CdJ •o. 00 ;989 ��e 'e7m� Yo,p o" .. " 8_..'o0 p, Cu.^p opFa ,� a P F. ..6P u 0,,nn ^ "�7 c m F-� `met OAP ap;•`.e=r Omao 0.r,sPa n , sn w P�Y :nC^P rtva Rom,,pon`.^ P;ouYPo " m""o°Po�osBn oF. ""o":9anne yP Y •� '•�J •mi Yt "aen9 u.me='oQg"o m=•Oa as m " O"n^ OC.'aa pCa' agmo >> -on cm op d.'sao anwe P O C o..M 0 u.OP6 t < M. G ° ' f. C a r S p7 " " c "e S as j �00000 Aw •a s s A En C7 cn d oP! W y Ca tin II � ov 9 I I ...IW.1 N 00'17'33" E 114.9' FA *I IlL g n� m^go.'l L.SU 11U EXISTING HOUSE nn x� 0 IlL