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Home My WebLink AboutPOTTER HEIGHTS BLK 1 LT 6Potter Heights Block 1 Lot 6 #020-281-31 Municipality of Anchorage Department of Health and Human Services C ^� Building Safety Division On -Site Water and Wastewater Program, 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 Page 1 of 4 www.d.anchorage.sk.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number SWSW030506 PID Number. 020-281-31 Name. TOW Harvey Wastewater System: ® New ❑ Upgrade Adtreu'. ABSORPTION FIELD Phone. Numbs or Badoom .. O Deep Trrxe ® Shan". Trench O ew 13 Mourw Cl otter. LEGAL DESCRIPTION Sar Ravq: TOW Depth tram rfpbW aeee: BWCK La. &ttiweon D.an m viPe eanom Som «phr orale- c..mr a.pn brash pipe: TO - WV RAW Section: Fa "W eb v "" gra" 2/2 DmN Length: Well: ® New ❑ Upgrade Gr" .4 5/5 Numb•r of sera I DeMnce bsbvsen km CMarLubon (PMate. A B. CT Private TOW Depee 98 Cane b: 116 F, TOW sbacgp ares 400 Fe Poo M"rw. 3934 PVCIF810 Dr,lar Date DnW Sbwc water Le"": kwww hdpe Dale buWled raw: 15 Pump wk Caeep Neght "che craw: cPM F.. 2.0 Fr TANK SEPARATION DISTANCES ® Septic D Holding ❑ S.T.E.P. ❑ Other. To From Septic Tank Absorption Field Lift Station Holding Tank ublwPdvate Sewer Line Marax.air.c capocer Aneh Tank 1250" W, 106.6 107.1 gg M"ed" WMytm or Crnprbn Steel 2 s.f. Wet. 100+ 100+ LIFT STATION Lau,. 21.4 11.2 B"` M.me.auec c" Fandrm 17 37 'Rep ens Wo ": 'Poop W N"el at Hph wMr Yem r: Cu Dran 50+ 50+ h Aaro Mab• a ModW h h ENS" hapecb" padamed by Re,wU Fill added over tank and fields. Note: well was BENCH MARK relocated to east for better access. This location will Front D Front LDeck e not effect future development of the surrounding lots. Aaaarod EW : 115.0 FL Engineer's Stamp • OF �1 ............ Inspections performed by: Pannone Eno. Svc Dates: 1"9/22/2004:+ 49,„ 2ne09/22/2004 .................... Department of Health and Human Services approval•' "' •' .... ............••••••..... Reviewed (�'(8' 05leven R. Pannone.i ��' ' and approved by: , nate: ��''� II�,�..� No. CE 8143 � % OZZ ♦ehee SSI ��• PERMIT NO:SW030506 RECORD DRAWING WASTEWATER DISPOSAL SYSTEM Lot 6, Block 1 Potter Hts S/D ppTTER HTS DR NEW DRAIN FIELD 2 ea,- 40LFx5Wx4'ED,7'TD. LOT VACANT - NO WELL OR SEPTIC W/ 100' ";NEW SEPTIC NOTES: 1) All work shall be performed in accordance with AMC15.65. 2) Materials used shall be In accordance with those specified M AMC15.65, Wastewater Disposal. 3) Connect post tank line to mid. point of drain field. typical. 4) Maintain 10'separation to all lot lines and proposed water lines. 5) Lots served by a private well. No wells within 100' of proposed system. a 0 4 15.3 P.I.D. NO: 020-281-31 PROPOSED REPLACEMENT FIELD Zea, 50LFx SW x 4' ED. 7'M LOT VACANT - NO WELL OR SEPTIC W/ 100' DESIGN: PERC RATE: 10.15 I APPLICATION RA : 188 SF/BR 0.80 GPD/SF 4 BR HOUSE REO'D A • 752 SF 4* EF DEPTH, 80 LFX7•T.D. D'N FACTOR -0.5 400 SF TOTAL 1250 GAL. SEPTIC TANK -------------- ° 49TM `V ••••••�I • • ••••._\ • PREPARED FOR: Nk Steven R. Pannone PANNONE ENG. SVC, LLC Andy y 6 Tobu Harvey No. CE 149 P. O. BOX 102954 • 333 Breeze Ct i�Qglr 6 ,.•'� Anchorage, AK 99515 ANCHORAGE, ALASKA 99510 •� 348.6198 227-3522 P. 272.8218 Fax •��• ,��'•�' DATE: 10.16.04 ere, r. 4CCA. RECORD C A B T118.1 38.2 T2 26.4 42.7 DC1 4.548.1 FS .0 49.7 C1 38. 56.8 M1 36.0 .1 C2 55.1 3 M2 50.2 41. C3 56.6 71.1 M3 53.6 67.0 C4 67.5 60.0 M4 ---------------- 65.6 60.7 P.I.D. NO: 020-281-31 PROPOSED REPLACEMENT FIELD Zea, 50LFx SW x 4' ED. 7'M LOT VACANT - NO WELL OR SEPTIC W/ 100' DESIGN: PERC RATE: 10.15 I APPLICATION RA : 188 SF/BR 0.80 GPD/SF 4 BR HOUSE REO'D A • 752 SF 4* EF DEPTH, 80 LFX7•T.D. D'N FACTOR -0.5 400 SF TOTAL 1250 GAL. SEPTIC TANK -------------- ° 49TM `V ••••••�I • • ••••._\ • PREPARED FOR: Nk Steven R. Pannone PANNONE ENG. SVC, LLC Andy y 6 Tobu Harvey No. CE 149 P. O. BOX 102954 • 333 Breeze Ct i�Qglr 6 ,.•'� Anchorage, AK 99515 ANCHORAGE, ALASKA 99510 •� 348.6198 227-3522 P. 272.8218 Fax •��• ,��'•�' DATE: 10.16.04 ere, r. 4CCA. RECORD PERMIT NO:SW030506 DESIGN DRAWING DETAILS WASTEWATER ABSORPTION SYSTEM Lot 6. Block 1 Potter Hts SID NOTES: 1) ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH, AND ALL MATERIALS SHALL CONFORM T0, AMC15.65. ln0 Nv310 38(11NOIINOW P.I.D. NO: 020-281-31 W NJ iH Z WLL of W� 00 W L6 ;r v w Lr U Zr 5 H� 1noNV310 FO Z o NOI1VONnOd Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 , PHONE & FAX DATE: 10-1604RECORD KfnY Tr Q^A.0 J O a .•••(E ............. qgt" ..r ............. r � ........ .....� • even R. Pannone [j/{�� °r PREPARED FOR: Andy d Tobu Harvey CE 8149 333 Breeze Ct '♦1 SY O�,j2'i .....••-• nch a e, 99515 O, Q! j 000000000 W 000000000 000000000 0000, 00000000 00000000 F LC 0 K z 000000°0°0 a b ^ �a 0. Z Iv LL1 JCS OY. 5 J LE 050 < O �jas Ltd Za.m d z to ~ v4 p T LL a! m 38r11 LIOIINOW m lnO NV310 o J 0000 000 g W LL 0000000 000000 0 00000 00 h o 00000000 00000000 „ If N J� 00000000 m %a\ Q 3 b O' h Z � 0 N o C a 0 O N 0 Y u' 1nowmo C 0 1nowmo � _-- -- P.I.D. NO: 020-281-31 W NJ iH Z WLL of W� 00 W L6 ;r v w Lr U Zr 5 H� 1noNV310 FO Z o NOI1VONnOd Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 , PHONE & FAX DATE: 10-1604RECORD KfnY Tr Q^A.0 J O a .•••(E ............. qgt" ..r ............. r � ........ .....� • even R. Pannone [j/{�� °r PREPARED FOR: Andy d Tobu Harvey CE 8149 333 Breeze Ct '♦1 Anchorage,AK O�,j2'i .....••-• nch a e, 99515 P.I.D. NO: 020-281-31 W NJ iH Z WLL of W� 00 W L6 ;r v w Lr U Zr 5 H� 1noNV310 FO Z o NOI1VONnOd Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 , PHONE & FAX DATE: 10-1604RECORD KfnY Tr Q^A.0 J O a .,� Municipality of Anchorage or Department of Health and Human Services 825'L' Street P.O. Box 196650 Anchorage, Alaska 99519650 Rick Mystrom hnp*Uwww.cl anchorage.sk.us Mayor Permit Number: #SW30 0506 Date of Issue: -24-0 Parcel Identification Number: 020-281-31 Date Started: 942-04 Date Completed: 14-04 Is well located at approved permit location? ® Yea ❑ No Legal Description: Potter Hieuhts Block 1 LOT 6 Property Owner Name & Address: Andy & Toby Harvey 333 Breeze Court Anchorage, Alaska 99515 Borehole Data: Depth (R) Soil Type, Thicimess &, Water Strata From To stick-up 0 2 organics & silt 2 3 gravelly silt 3 12 silly cobbly gravel 12 106 cemented silly gravel 106 145 bedrock 145 398 Method of Drilling ® air rotary ❑ cable tool Casing type: steel Wall TWckncss:,250 inches Diameter: ¢ inches Depth: f L feet LIner Type: Dvc Diameter. 4 inches Depth 10-250' 4.5' 250'-398' feet asing stickup a ove ground: Z feet Static water level (from ground level): L 5 feet Pumping level:398feetafter 2 hours pumping 15 gpm Recovery Rate: 15 gpm ethoul ot I es g: air Well Intake Opening Type: ❑ Open End ® Open Hole ❑ Screened Start feet Stopped feet LJ Perforations Start feet Stopped -----Te— et Grout Type: bentonite # N Volume: j Depth: tart _ cet Stoppcd.Zfect Pump: Intake Depth feet Ptunp size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: c nn a t Comments: Well Driller. Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property ......_...d.._..*I A.n.._.1. u... •........ u........ �... .r...... e.. ...... n. ..!.a•. ro J..... r.._.....•... MUNICIPALITYOFANCHORAGE ry I-, A Development Services Department On -Site Water & 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 Permit Number: SW030506 Legal Description:'Potte Heights Block 1 Lot 6.r Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Andy & Tobi Harvey Owner Address: 333 Breeze Court Anchorage . AK 99515 - Date Issued: Dec 24, 2003 Expiration Date: Dec 23, 2004 Parcel ID: 020-281-31 Site Address: Unknown Lot Size: 43560 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy Vrivate Well Water Storage 6R All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked 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: /---:)- ?y 03 Date: f 2 a !E' O 3 Municipality of Anchorage • '"� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number t7 3 0 O G Day phone 348-6198 Mailing address (1) 333 BREEZE COURT Mailing address (2) ANCHORAGE. ALASKA. Zip Code 99515 Legal description (Section, Township & Range) N/A Lot Size 14'�)1 4�; (Q n Acres q.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: 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. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: 5 -So Waiver Fees` Date of Payment: Date r y ��3 Date of Payment: Receipt Number:ys°ii'pjh Receipt Number:, ALASKA WATER Fes- WASTEWATER .�,..�a�....,.y.....�..- �....,..� CONSULTANTS. INC. ..,............_.......... ............................... December 15, 2003 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Septic Design for Potter Heights Subdivision; Lot 6, Block 1. To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. Two test holes were excavated on the property. We are proposing that a 1250 gallon septic tank and a 5 - wide trench type drainfield be installed. The drainfield will be designed around the 30 -foot radii of these testholes. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 0.6 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 12 & 30 minutes/inch b. Proposed Application Rate: 0.6 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 ft2 f. Total Depth: 7 feet (max.) g. Effective Depth: 4.0 h. Width: 5 feet i. Reduction Factor: 0.5 j. Minimum Length: 100 feet long k Effective absorption area = 1000 ft2 3. SURFACE, RATERS: There are no surface waters within 100 feet of the proposed septic system. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwc.com 4. TOPOGRAPHY: The area around the proposed drain£Leld is a 15 +/- percent slope running northeast to southwest. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. I NOTE: A site plan drawing, a design drawing, a topography site plan, two soils logs, and a 7 page construction specification letter which are all part of the design package for this septic System. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwc.com POTTER HEIGHTS S/D; LOT 3, BLOCK 2 C�2 POTTER HEIGHTS S/D; LOT 2. BLOCK 2 I 1 Q� I \\ 1 I ----- -T-f POTTER HEIGHTS S/0; / LOT 1, BLOCK 2 / ER PO'T1 _ TH/2• PROPOSED SEPTIC SYSTEM _ - (SEE DESIGN PACE 2 OF 2) — � l TH/1 POTTER HEIGHTS S/D; LOT 4, BLOCK 1 POTTER HEIGHTS S/D; LOT S• BLOCK 1 Ti1N, R3W. SECTION 14; NE4, NE4, SW4, NE4 C�2 I SCREENING ESMT•I ALTERNATE SITE I I i I I I 1 1 1 1 \\ POTTER HEIGHTS S/0'I LOT 7, BLOCK 1 I I I I -PROPOSED / WELL / T11N, R3W. SECTION 14; NW4, NW4, SE4, NE4 o�/ ALASKA R'A'1'ER & WASTEM'XI'I:R - - - CONSULTANTS, INC. -- - ^-- --� •lni C T'!,!C P^A^ ei -•Tc ,n r Ar,funiA^.c Af P��nl • PUIwc (Onl�.rl-,.,10 • CAf 1p� 1,1.94!/.� PREPARED FOR PHONE NUMBER: ANDY & TOBI HARVEY (907) 348-6198 I PROPOSED I FOUR BEDROOM I HOUSE I I I I 1 1 1 POTTER CREEK GLEN S/D; TRACT B C42 T11N, R3W, SECTION 14; E2. NW4, SE4, NE4 6vo, 12/18/2003 ZWN BY. NVI M.E.W -J:� 1.1i I"= 100, 1 ............. .... .....:... 1 OF 2 7953 POTTER HEIGHTS SUBDIVISION; LOT 6, BLOCK 1 SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM — S DR POTTER HEIGHT PROPOSED DRAINFIELD. EXCAVATE A TRENCH THAT IS 7 FEET DEEP, BY 5 FEET WIDE BY 100 FEET LONG. ADD 4 FEET OF CLEAN, WASHED SEWER DRAINROCK. INSTALL TRENCH PARALELL TO SLOPE CONTOURS. LOT S. BLOCK 1 POTTER HEIGHTS S/D i I 1 ALTERNATE L :. .A 5I0. SCREENING � EAS INSTALL DOUBLE CLEANOUTS — PROPOSED 1250 GALLON SEPTIC TANK �OUN CLEANOUTN n LOT 7, BLOCK 1 \ POTTER HEIGHTS S/D PROPOSED FOUR BEDROOM HOUSE THE 50' SCREENING EASEMENT PARALLELING THE NORTH PROPERTY PROPOSED UNE AND THE EAST AND WEST LOT WELL LINES WITHIN THE VICINTFY OF THE DRAINFIELD FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR 1 AI ASID INWl'I:R & WASTEWATER CONSULTANTS. INC. 370, F TUDOR ROAD SUIT" 101 • ANfaORAGF. AK 00507 • R..ONf (007)337.600 • FAX (00]1159-3717 'REPARED FOR: PHONE NUMBER: M.E.W E: 1" = 40' NUMBER: ANDY & TOBI HARVEY (907) 348-6198 1 2 OF 2 EGAL DESCRIPTION: POTTER HEIGHTS SUBDIVISION; LOT 6, BLOCK 1 YPE OF WORK: DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM J of A. Gar ess.- Qe —7 n O Q�4��PFo f s e sloA000 R H IE cMs DRRE S0' SCREENING F151IT, PROPOSED DRAINFIELD. EXCAVATE ALTERNATE SITE 1 •L _ A TRENCH THAT IS 7 FEEF DEEP, BY 5 FEET WIDE BY 100 FEET — LONG. ADD 4 FEET OF CLEAN. WASHED SEWER ORAINROCK. INSTALL TRENCH PARALELL TO SLOPE CONTOURS. •• — ///�� /.�+ •. INSTALL DOUBLE // �// // • CLEANOUTS PROPOSED 1250 SRN// �// GALLON SEPTIC TANK LOT 5, BLOCK 1 POTTER HEIGHTS S/O i I �1 1 INSTALL • FOUNDATION • CLEANOUT Y 12/18/2003 DRAWN BY: M.E.W AI.ASIU NVATER & WASTI:«TATER SCALE: CONSULTANTS, INC. -- ^„” ,^ 1 " = 40' 3701 F TUMMP WOAD 5111TF mi • ANf HCFA :F AS 00507 • P.ONF 140,)1q.61)4 • FAX ,00)6}X.171.6 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANDY k TOBI HARVEY (907) 348-6198 2 OF 2 LEGAL DESCRIPTION: POTTER HEIGHTS SUBDIVISION; LOT 6, BLOCK 1 TYPE OF WORK: DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM 11 A� MI- ••, of am s.• •.. C 79 ' `app °._ cc4c LOT 7, BLOCK 1 POTTER HEIGHTS S/D PROPOSED FOUR BEDROOM HOUSE I NOTE: THE CONTRACTOR MUST HAVE THE 50' SCREENING EASEMENT PARALLELING THE NORTH PROPERTY PROPOSED UNE AND THE EAST AND WEST LOT WELL LINES WITHIN THE VICINITY OF THE DRAINFIELD FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR 12/18/2003 DRAWN BY: M.E.W AI.ASIU NVATER & WASTI:«TATER SCALE: CONSULTANTS, INC. -- ^„” ,^ 1 " = 40' 3701 F TUMMP WOAD 5111TF mi • ANf HCFA :F AS 00507 • P.ONF 140,)1q.61)4 • FAX ,00)6}X.171.6 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANDY k TOBI HARVEY (907) 348-6198 2 OF 2 LEGAL DESCRIPTION: POTTER HEIGHTS SUBDIVISION; LOT 6, BLOCK 1 TYPE OF WORK: DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM 11 A� MI- ••, of am s.• •.. C 79 ' `app °._ cc4c FA I FA r. i POTTER HEI D: POTTER HS/D: OTTER HEIGHTS S/ LO LOCK LOT , LOCK 4 LO BLOCK rr "VACANT �R , R �P�TTER / TTER HEIGHTS S D: LOT 7, BLOCK R CREEK CLEN TTRACT /0 POTTER HEIGHTS P HEIC /D• ARE APP LOCATIONS LOT 4, BL 1 LOT S K ACANT T1 IN. R3W, SECTION 14; E4, NE4, SW4 E4 CARL Mc WELL 6/M /1198 T N, R3W, SE ON 14; NW4, / W4, SE4, N CARL McD LL SOM /1 EAD / ' T R3W, SE E2.,NW4, S N ARL M /� H 18 62 / Al a Tc IPS . .,•,,^ ,fc , 4U[A, . e .Nc IOM.. .A.'a FAx W, ...,,,., DATE/ 11/1 /2 3 o9pd� � oe .. / •. (1� ov V p f jorn Y� �w C 795 Q •. I ...•"* _o 04ed Pr Tesslc Qom po PRAWN N. .H. J. L. = 1 00• PREP ED OR / PHON NUMBER: A TOQf H VE 07) 348-6 8 PAC NU ER: OF LEqX D RIPTION:60 P ER OIEI S BDIVI ON; L T 61 BC 1 OF WORK• SITE P N FOR TEST OLE L CATION/ / ALASKA VVXMA 1;R & NVAST.LNNTATER --w CONSULTANTS. INC. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 6, BLOCK 1; POTTER HEIGHTS SUBDIVISION PERFORMED FOR: ANDY HARVEY DATE: 11/3/2003 DEPT (feel _--_—__—__' ORGANICS ITEST HOLE 2 1 SOIL GM/SM -'rd; CLASSIFICATIONS ORG GW = WI SOME SP GP III LULLML eff •. E MIXED GM CL THROUGHOUT — 2 GC OL o °o SW MH = �'• •• SP CH N SM /.' OH ywb' Sc 30 9 �I u � I i I I (HARDPAN) 10 11 12 13 14 15 16 17 18 DEPTH TO GROUNDWATER DATE DRY 11/3/03 13' 11/10/03 eff •. E Ga ss. 953 �� .• �8a RIVE POKER HEIGh1TS D SG. SCREQIING ESVT- __-- -____---' #TH#2 TH11 SITE PLAN 1'=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) eff •. E Ga ss. 953 �� .• �8a 4O peafrofessiot,o\ — RIVE POKER HEIGh1TS D SG. SCREQIING ESVT- __-- -____---' #TH#2 TH11 SITE PLAN 1'=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/4/03 1 4:28 — 6' — 2 4:58 30 5- 1' 3 4:58 — 6- — 4 5:28 30 5' 1' 5 5:28 — 6' — _ 6 5:58 30 5' 1' 19� PERCOLATION RATE •30 (MINANCH) PERC. HOLE CIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: NICK HEITSTUMAN COMMENTS: 'RECOMMEND USING A 0.6 APPLICATION RATE DUE TO THE VISUAL APPEARANCE OF THE SOILS. PERFORMED BY AKWWC. INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: L 18 AIASKA «'AI'EIZ & NVAS7M,`NVAER -------------"-- CONSULTANTS. INC. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 6, BLOCK 1; POTTER HEIGHTS SUBDIVISION PERFORMED FOR: ANDY HARVEY DATE: 11/3/2003 DEPT (teet�—r—__ ORGANICS TEST HOLE #1 GM/SM (HARDPAN) DEPTH TO GROUNDWATER SOIL CLAS SIFlCATIONS 11/3/03 GW - = GM/SM� I: ORG a=7 Wi SOME SP GP ML MIXED THROUGHOUT GM CL 6" 4 GC OL 5 SW MH ': �`• : SP CH SM OH '{ 41t brv6Yv' SC GM/SM (HARDPAN) DEPTH TO GROUNDWATER DATE DRY 11/3/03 DRY 11/10/03 4:27 - 6" J f ness., J E 7953 .•'`Fo _ -DRIVE PDlER HEIGHTS 50' SCREWING C4r' _I-------------- +rH#2 #TM#1 i SITE PLAN I"-100' DATE READING CLOCK NET TIME TIME (MINUTES) READING WATER LEVELN22 11/4/03 1 4:27 - 6" 2 4:57 30 3-1/2" 3 4:57 - 6" 4 5:27 30 3-1 2" 5 5:27 - 6" - 6 5:57 30 3-1/2" 2-1/2w PERCOLATION RATE •12 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES C3 NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: NICK HEITSTUMAN COMMENTS: 'RECOMMEND USING A 0.6 APPLICATION RATE DUE TO THE VISUAL APPEARANCE OF THE SOILS. PERFORMED BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS W PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: D UNIMPALITY OF ANCHORAGE OJ& 'er Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-281-31 1. GENERAL INFORMATION Complete legal description Location (site address) Potter Heights 131 L6 7010 Potter Heights Dr. Expiration Date: 1 I _) q—Z0ZO Current property owner(s) Benjamin Montgomery & Kathryn Young Day phone Mailing address Real estate agent FSBO Day phone 2. TYPE OF DWELLING: 0 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: Private Well 0 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ L( 12.,50 Co UID Date of Payment g 11 1202-0 Receipt Number OF533 1G COSA# OSCW Jg2_6 Waiver Fee $ Date of Payment Receipt Number 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. 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 distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, 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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for A bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Phone (907) 745-8200 Date OF AL jk�x Steven R. Ponrctie r, CE 81 ^—. 9 'N' C, bedrooms, with the following stipulations: The Municipality 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 Septic System Advisory _ Well Flow Advisory COSA Checklist blue sheet Nitrate Advisory Arsenic Advisory Other t. !,IMT ff Legal Description: Potter Heights B1 L6 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Parcel ID: 020-281-31 Structure served by this system 1 A. WELL DATA Adequacy test date 7/15/2020 Al Well log is filed with Onsite (or attached) Well production at time of test 3.4+ gpm 1412004 Date drilled 91 Water storage tank volume 0 gallons Total depth 398 ft Well disinfected for coliform test? ❑ Yes ❑✓ No Cased to 116 ft 0 Coliform bacteria is Negative MR Sanitary seal is functioning correctly Nitrate mg/L No Nitrate less than MRL (ND) WE Wires are properly protected Arsenic t.lg/L F151 Arsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by Pannone Engineering Date of flow test for COSA 7115120 Date of Sample 7/15120 Static water level at beginning of test 270* ft. Any rejuvenation treatment (past 12 months) No Comments *Static from well log. Unable to monitor static water level due to blockage in well at 40'. B. TANK DATA Age of tank(s) 16 years Tank type/material Measured operating fluid level in septic tank © Standpipes/foundation cleanout per record drawing Date of pumping 7/27/20 D. ABSORPTION FIELD DATA Shallow Trench C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Which system tested (date installed) 012212004 Adequacy test date 7/15/2020 1 ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 6.7/8.0 ft (max) Fluid depth prior to test 40/54 in Measured depth to pipe invert from grade 2.7/2•$ ft (min) Water added 615 gal ❑ N/A — pressurized field 43/64 New depth In Fi-I Monitor tubes go to bottom of effective. If not, state 360 depth into effective Elapsed time min ® ❑ Code -required soil cover over field Final fluid depth 40/54 in ❑ System presoaked Absorption rate '600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) No date of test) Gallons introduced gallons Ifes, enter date n/a y Comments/Deficiencies: Soil absorption system appears to be operating in the last 10% of its life. The north field is in failure, the south field has 16% remaining. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' F-1 Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft ❑✓ Yes if No Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25'✓� Yes if No Absorption Field on Lot > 100' Fv Yes if No ft Holding Tank > 100' F/ Yes if No Neighboring Absorption Fields > 100' 0 Yes if No. Water Main > 10' Animal Containment > 50' ❑✓ Yes if No ❑✓ Yes if No ft Yes if No. Water Service Line > 10'✓Q Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' F/� Yes if No ft [Z] Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F-1 Yes if No ft Surface Water > 100' ®✓ Yes if No Property Line > 5' ✓� Yes if No ft Wells on Adjacent Lots: 21 Absorption Field > 5' [✓ Yes if No ft Private Wells > 100' 0 Yes if No. Water Main > 10' ft Yes if No ft Community Wells > 200'✓0 Yes if No. Water Service Line > 10'✓Q Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' F-/� Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓Q Yes if No ft Private Wells > 100' ❑✓ Yes if No Water Service Line > 10' 21 Yes if No ft Community Wells > 200' Yes if No Surface Water > 100'✓0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I 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. COSA Checklist yellow sheet OFA`,Isk,� 49 TH StevanCE R 'Jt,nor•1: ft ft ft ft ft ft ft ft ft ft Septic System Absorption Field Advisory Certificate of On -Site Systems Approval # OSC201420 Subdivision: Potter Heights, Block: 1, Lot: 6 During the absorption field adequacy test, 54 inches of standing water was observed in the absorption field. This indicates approximately 90% 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. Ma�lmgAddress P O Box 196650'* Anchorage, Alaska 99519 6650 *www mum org ' U O N Q LF j Z 40 W W 1J E F= 1= N N U U az � o U a E is aim r n a m� IL U T W U tJ N C1 U C D a 1 O .!I O a O a 6 � a d O O N �N u C9i 'w z� �v U a 3 - LF j Z 40 • Municipality of Anchorage °p On -Site Water and Wastewater Program (907) 343-7904 s a F e r e Certificate of On -Site Systems Approval Parcel I.D. 020-281-31 Expiration Date: 1. GENERAL INFORMATION Complete legal description Potter Heights, Block 1, Lot 6 Location (site address) 7010 Potter Heights Dr. Current Property owner(s) Andrew & Tobi Harvey Day phone Mailing address 7010 Potter Heights Dr. Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: U ❑ Single Family (w/wo ADU) ❑ Duplex AUG 2 Z9f ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well i] Individual El Individual Water Storage ❑ Holding Tank ❑ Comm unityC1ass Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance Received by: COSA to be released to the eK, , unless otherwise requested by the engineer. (;i e'fF/,,.)e p q Date: r � COSA Fee $ �2� Waiver Fee $ Date of Payment �� ! 7 t^i"�_ Date of Payment Receipt Number f`'l u{o t G Receipt Number COSA # Cs(-� `I �L�1i Z 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. 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 distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, 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 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Date 8/14/2014 OF C Q= eri l�.�f�oririane CE -8149 t Conditional approval for bedrooms, with the following stipulations: By:ZXz<r� Original Certificate Date:' The 44 a' o nchorage 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet ° , a If more than 1 septic system is on the lot: COSA Checklist # I of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description /_ASr1;a1011L\ Potter Heights, Block 1, Lot 6 Well type Private If A, B. or C provide PWSID # Date completed 9/14/2004 Sanitary seal (Y/N) Y Total depth 398 ft. Cased to 116 ft FROM WELL LOG Date of test 9/14/2004 Static water level 275 Well production 15 nl 9 - p.m - Parcel ID: 020-281-31 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 8/13/2014 270 ft. 3.4+ WATER SAMPLE RESULTS: Coliform e,colonies/100 mL Nitrate ) mg/L Arsenic &b ug/L Date of sample: 91 3/k-) t V Collected by: B. SEPTIC/HOLDING TANK DATA PES Tank Type/Material Septic/Steel Date installed 9/22/2004 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Dateofpumping 4574�L�itY Pumper A FYc.n �P./rc C. ABSORPTION FIELD DATA Date installed 9/22/2004 Soil rating (g.p.d./ftz or ft2/bdrm) 0.8 GPD/SF System type Shallow Trench Length 40/40 ft. Width 5/5 ft. Gravel below pipe 4/4 ft. Total depth 8*7/8'3 ft. Eff. absorption area 400 fe Monitoring tube Y Depression over field N Date of adequacy test 8/13/2014 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 44/56 in. Water added 612 gal. New depth 42/56 in. Elapsed Time: 360 min. Final fluid depth 40/56 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons _ in. "Pump off' level at E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Manhole/Access (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ 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+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ Absorption field5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage11 0+ in. F. COMMENTS Blockage at 41 feet in well. Soil absorption system appears to be operating in the last 10% of its life. The north field is in failure, the south field has 16% remaining. G. ENGINEER'S CERTIFICATION AW T -W I certify that I have determined through field inspections and „r review of Municipal records that the above systems are in ;,*.-'49 Mi ( conformance with MOA COSA guidelines in effect on this date. • • Steven R. Pannone �` ��— Engineer's Printed Name . Seven k. Pannone Date 8/14/2014 ��;;;of-a1as� COSA brown sheet 10-10-12.doc 5 -1k L �� poffer H eights Drive L 150, mm 26.5 7 Ln oil m 01 Propane Tank (2 Story Wood Housel 134.0 3013 location n, , -Qf the structure(s)as areaI t1l �is (ecard drawing --�rmP6,5 with Title 21, AMC. Jy, 25' Public Use Esmt. 126.91 10' Utifty Esmt. S89'51'15'E `�.`�° 5ENTEC, Inc. LAND SURNTYWrff *MAPPING * PLANNING 2102 CLEVELAND STREET TEL # (907'�2survey of this property as shown m this &awing 1) ;-�9966 =UERTMCATION' pt 99 ANCHORAGE, ALASKA 99517 �a#(96;6243-9967 � that the improvements Sitmted daeon are wiWm the VertyImes and meamm ants exist offirr than ilated. (CLUSION NOTES: It is the owners respomibility determine the existence of any casements, versants, or restrictions which do not appear on the mrded subdivision plat NOTE: It is the conhadDes .TounW4 to check top of Nmdahm grade and 11ding setbacks in miction to lovdium and ANBUIL'I OF: LEGAL DESCRIPTION: Lot 6 Blk I Potter Heights Subdivision WOW ORDER NUMBER; UM I n1 1Z 2005 1'1'�=60' r=, 51 8 6 3r-mE-r7mjH7-,3-6 ,39 43 LEGEND: SET FND 5/8'" W11DAP(B Sle RB 0 3.25' M-bM. $MWAIEWT Isla a: TACK 0 q%m- —X— x )RAINAGE- YDW DECKS- RAVEL- XNCREiE- LPHALT- EPTIC STANWFES- VATER VELL- Municipality of Anchorage aL Development Services Department Building Safety Division~ E, On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ei.anchorage.ak.us (907)343-7904 Septic System Advisory Certificate of On -Site Systems Approval # 141442 During a recent adequacy test on the septic system for Block 1, Lot 6 of Potter Heights subdivision, 44 inches of standing water was observed in the absorption field. This indicates that approximately 92% 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