HomeMy WebLinkAboutPRATOR BLK 5 LT 1BPro?or Block 5 Lot lB #017-093-19 Municipality of Anchorage :'i' '" Development Services Department · : 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.ci, anchorage.ak.us (907) ~43-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: swSW050033 PID Number: 01 7 _°~_~-19 M;nd= -~,lffnn ~;ne~ Wastewater System: [] New [] Upgrade '119tl I= MHffmnn Rn~rl, ~MR ~.?~., ~qRtR ABSORPTION FIELD ~fil.~RR 4 B~epTmm~ ~'l$~llk~wTre~ch I~1~ i'lMl~r~f I-fOIhe~ LEGAL DESCRIPTION 1 Well: [] New [] Upgrade c,,.,,~,,4~ 2. Private 246 ;,. 72 n 100811008 FF 3034 PVC Alpine Drillin~ 3/1712(05 48 ;. Pisano's Excavatina 1012112005 ~' ~ ~~ ~YOG-~ TANK 7 ~ ;,. 2 SEPARATION DISTANCES ~ septic ~ Holding ~ S.T.E.P. ~ ~hec Tank F~ld Station Tank ~Lme Anchorage Tank 1250~ ~ 110 102.5 100. Steel 2 ~w~, 100+ 100+ ~ / LIFT STATION L.~ 40 10.4~ s~' Installed bo rlma~ & Rescue fields wi a ball ~pe BENCH MARK dive,er valve be~een the ~o sets of fields. Garage Slab 500 Ft Enginee¢s Stamp ~...: Inspections pedomed by: pES~ LLC Dates: . 2~.1012112005 Development Seduces~~Depa~ment approval/~ ~ Reviewed and approved by: Date-~-~ ~ PER.~T NO: SW0500~3 RECORD DRAWING P.~.D. NO: OtT-Og~-~g WASTEWATER DISPOSAL SYSTEM Lot lB, Protor S/D ~, NEW RESERVE FIELD. 84LF x ~ ~ j tf ~ ~ //~ 6'ED, 10'TD co ' V ' FC ~.8 23.8 ~ ~// / 828LF, 1845LF T~ ~20 ~7~ '~ / ' SHOULDER oc 20= ~.7 tA ' ,' DY 23.3 33.7 ~ ~ ~ % ../ / /~00'CREEK BI 330 ~242 t . ~ / /60% · ' NEW 1250g NOTES: ~ I ./ / / / ~ ~NEW 2) Materials used shall be in ~ ~ / / / accordance with those ~ ~ / ~ . specified in ABC15.65. ~ ~/ ~ ~10% / / Wastewater Disposal. t A ,/ - / . · ~ ~ / I 3) Connect post tank line to ~ /~- --~ .... ~ midpoint of larger droln field ~ ' ~ ~ ~ / & end of shorter field. -- / ~ t ~ . 4) The Engineer shall approve I , ~N~LL. j ~ the Iocotlon of the well prior to I I / ~ its construction ' / ~ 5) Install well prior to installing I ~ / ~10' septic system. Contractor shall ~ ~ stoke 100' well radius before ~ / DES~~IS~G ~LL' constructing septic system / ~'~TE' 20 28 MPI / APPLICATION ~TE: 250 SF/BR ¢ ,'cm~,~ ~, / 0.6 GPD/SF u .~r..~ ~ / 4 BE HdUSE _~$~l~l~j. / REO~ AR~ 1000 SF ,~%...~....~, 'x / ~' ~r~ ,~,T.. ~ Lr ~ ~0'~ ~'-'""'~~ ....... .~.-,.~ % // ~ ~even ~. Honnone z ~ . . ' ~ ~ ., ~ M,ndo Sutton-S~nes P ~ ~ ~ ~"-...~ .... .'~4 ~ 1120 E. Huffmon Rd. PMB474 Akr~DA~ A~ ~C~ nh: ~ n m~- SCALE: 1 "=40' PERMIT NO: SW050033 RECORD DRAWING WASTEWATER ABSORPTION SYSTEM Lot. lB, Prot.or S/D P.LD. NO: 017-043-19 NOTES: 1) ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH, AND ALL MATERIALS SHALL CONFORM TO, AMClS,65. 2) ADD A MINIMUM OF 2' OF R.I. OVER ENTIRE BED. ,3) MAINTAIN 30' SEPARATION FROM ALL SLOPES GREATER THAN 25~*. ~*.w~ PREPARED FOR: Mindo Sutton-Sines 1120 E. Nuffmon Rd, PMB474 Anchor(3ge, AK 99515 261-0,388 t Pannone Eng. Svc..LLC P. O. BOX 102954 ANCHORAGE. ALASKA 99510 272-8218. PHONE &FAX DATE: 11-18-05 t NOT TO SCALE 'DETAILS AUG-18-E~ 01:~8A FROM: TO: P.1/1 WeD ~ Pffm. lt Numben _ 470O ~ ~tPtl! P.O. ~o~ IgAAgO T.,e8~ nm~dpd~u mm:k Lot Pump Immlhtbu hm ~-~-~ ' hmp 8~ ~P M~q Add~~ Permit Number:. #SW050033 Date of Issue: 2-16-05 Date Started: .3-_~__5~__5_ Date Completed: 3-17-05 Legal Description: Property. Owner Name & Address: Borehole Data: Soil Type, Thickness & Water Stra~ Prafor BIk 5 Lt lB M/nde Sines 291 Dailey Ave. # 6 Anchorage, Alaska Depth (fl) Fwm To gravelly silt 3 33 silty gravel ,;. 33 49 )-,~ . 49 ,55 ~avefy ~ 55 66 bedmck 66 246 Parcel Identification Number:..O~?.093.19 well Iocaled at eppvvved perm,. Iocati~m? [] Yes [] No 99515 Method ofDdllinR I-I air rotary ~] cable tool Casing type: ~teel Wall Thickness: .~50 inches "- Diameter:. 6_ inches . ~Deoth: ~ feet Liner Type: Diameter:. inches Depth: ,, feet Casing stickup above ground: ~ feet Static water level (from ground level): .48 feet Pumping level;.246 feet after _2 hours pumping Zgpm ,: . ... Recovery Rate: _7 gpm Method of Tcaflng: ~lrf~ Well Intake Openin~ Type: [] Open End [] ~ Hole [] Screcn;d St,m fcct Stopp,;d f~:t [] Perforations Start. feet Stopped. feet Grout Type: bentonite granules Volume: / Dep~: Start _0 feet Stopped_7 f~t Pump: Intake Depth, feet · ,::Pump i, ', hp Braid Nam ' ' - · Well Disinfected Upon Completion? ~<] Yes ["] No Method of Disinfection: ch/nd. Comments: Well Driller:. A/pine Drilling & Enterprises Anchorage Alaska 99511 Zip TI ' ' Il p ' Il { g t petty ithin 30 day pi AL~uLiou; ,~: ~,~:,1 df diet sim t~ovtdu a w~ o o the pro owner w s of eom etlon and the property MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchocage, AK ~g519-6650 (gO7) 343-7g04 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Feb 16, 2005 Expiration Date: Feb 16, 2006 Permit Number: SW050033 Legal Description: PRATOR SUBDIVISION BLOCK 5 LOT lB Design Engineer: 0062 Pannone Engineering Services Owner Name: MINDA SUTTON-SINES Owner Address: 14241 PRATOR STREET ANCHORAGE, AK 99516- Parcel ID: 017-093-19 Site Address: 14241 PRATOR STREET Lot Size: 43248 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] DisposalField [] Septicmank r-~ Holding Tank [] Privy [] Private Well [] Water Storage construction must be in accordance with: 1. The attached approved design. 2. A~I requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of AJaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AACS0 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by caliing (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 dosed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By;, Date: 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.ckanchorage.ak.us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW Property owner(s) Minda Sutton-Sines Mailing address (1) 1120 East Huffman Road, PMB 474 ~,o.~;,?,,~ address (2)/~ _?~_ .I.-~D¥'A.-~Fr Legal description (Lot, Block & Sub'd.) Lot tB Prator S/D Legal description (Section, Township & Range) Lot Size 5312481 t.22 Acres/Sq. Ft. THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Day phone .261.0388 Zip Code , ...... ~c~51L- Number of Bedrooms 4 [] Well Only [] [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] I certify that the above information is correct. I further certify that this application is being made for a  ng and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 1?JO0) Waiver Fees: Date of Payment: Receipt Number: Permit Number:. #$WOS0033 Date oflssae: 2-16-0S Date Started: 3-15-0S Date Comldeqed: 3-17-05 Legal l)escript~m Prox~rt~ Owner Nsme & Addr~.s~: Borehole Data: Soil TyI~, Thlciuk-sa & Water Strata or, an/cs ~ gravelly silt 3 33 silty gravel .... 33 49 g'~ ':* ' 4 g ,55 beckock 66 246 Part~ Identification Number:. 017-093-19 Is well located at nl~,~oved Pretor Bik 5 Lt lB Mind~ Sines 291DaileyAve. #6 Anchorage, Alaska 09515 Depth (ft) Method of DrilUng [] air rotary From To 0 [] cable tool Casing type: steel Wail Thickness: .250 inches Diameter:'_6 inches ~,*De/~:,;72 feet , Liner Type: Diam¢Icr: inches Depth: Casing stickup above ground: 2 fcct Static water level (from ground level): 48 f'e~ Pumping level: 246 fcct a£tcr _2 hours pumpin~ Z ~pm .~..:. - -, .... Recovery Ra~e: Z Method afT~sting: pirli~ Well Intake Opeainff [] Olin End {~] Olx'n Hole [] Screened Siart ~ l'r~t StOpl~l f~t [] Perforations Start feet Stopped · feet Grout Type: bentonite granules Volume: / Dcplh: Start_Of:ct Stopped_? feet Pump: Intake Depth feet Well Disinfected Upon Completion? [] Yes [] No Method of Di.lnfection: chlodn~ tehlot~ Comments: Wall Dflllar: Alp/ne Ddlling & Enterprises Anchorage Alaska 99511 Zip .* ;. * AtleaUon: Thc well &illcr shall provide a wcil log to thc property owner within 30 days of ~ompletion and the property Pannone Engineering Services, LLC Consulting Engineers (007} 272-821S P.O. Box 102954 Anchorage, Alaska, 99510 {907} 272-8218 Fax February 9, 2005 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot lB Prator S/D Well and Septic System Permit Request Ladies and Gentlemen: I am writing to request a pemfit to construct new well and septic system be issued for this property. The proposed systems will serve a proposed four-bedroom house. The lot is approximately 53,248 square feet (1.22 acres) in size. The proposed well will be constructed in the southwest comer of the lot. 1. Soils. See the attached soils log. Ground water was monitored through the seasonal high period of 2003. No ground water was measured in the monitor during this period, or at the time of my inspect in May of 2004. Bedrock was not encountered in the test hole. It is my opinion that the overall soils appearance of the soils, an application rate of 0.6 gallons/day/square feet should be used. Trench Design. a. Percolation Rate: b. Application Rate: c. Number of Bedrooms: d. Design Flow: e. Min. Absorption Area: f. Total depth: g. Effective Depth: h. Width: i. Reduction Factor: j. Minimum Length: k. Design Length: I. Effective Absorption Area: m. Septic Tank Size: 11-28 Min Per Inch 0.6 gpdpsf (250 sf/br) 4 600 gallons per day 1,000 sf 10 feet 7.0 feet 2-3 feet 0.0 71.5 feet 72 feet 11008 sf 1250 gallon Cont'd on page 2 C:\Work\Letters\5-5 Mann.001.doc Page 2 3. Surface Water: There is no surface water within 100 feet of the proposed system. A creek is located east of the proposed system approximately 150 feet away. 4. Topography: The average topography in the area of the proposed septic system is approximately ten percent in the area of the SAS. A steep drop-off is located to the east of the proposed location. The new SAS will be located 35 feet from this drop-off. 5. Future Upgrade Area: I am proposing that the pr/mary and reserve fields be installed at this time. A new 1250-gallon septic tank will be installed outside the 100- foot well radius. Two ball type diverter valves will be installed after the tank to control the flow between the two drain fields. I have shown the proposed location on the site plan. 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 well location or of the proposed septic location. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven R. Pannone, P.E. Civil Engineer Attachments: C:\WORK\LETTERS\5-5 MANN.001.DOC PERMIT NO: DESIGN DRAWING P.,.D. NO: WASTEWATER DISPOSAL SYSTEM Lot lB. Prator S/D - ~ ~ [ ONS~ICF~ ~ ~ 6'ED, 10?TD. 1028LF. l~45L~ . - Y ~ ~ 11 All .ark sholm be peFformed in accordance *lth AUCl 5.65. -- -- 2) Materials used shall be in m accordance with [hose specU;ed in AMC15.65, Wostewater D~sposal. 5) Connect post tank I;ne to m;dpoin[ of larger drain field. ~ end o~ shorter field. ~ '~ ~ I / I 41 The Engineer shall approve the location of the well prior to its construction. I 51 Install well prior to instolllng I ~~ I ~ / septic system. Contractor shall / stake 100' well rodius before I .... DESIGN: I I constructing septic system. I I ~EX~ST'G SEPTIC APPLICATION RAT~: 250 5F/BR ~n I ,~ ~EFF'T DEPTH.172 LF X 10' ~ ~ ~ %_~ t 1250 GA~. SEPTIC TANK '"T~' ' PREPARED FO~: PANNONE ENG. SVC. LLC '~~~% :~ Mindo Sutton-Sines P.O. BOX 102954 ~,u~....~ol~ ...~ 1120 E. Huffmon Rd. PMB474 ANCHORAGE, A~SKA 99510 'ee~ ~ .......... ~ ~ 261-0388 227-3522 P, 272-8218 Fox Jl,~;+~ DATE: 2-09-05 m DESIGN PERMIT NO: DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM Lot lB, Protor S/D P.I.D. NO: NOTES: 1) ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH, AND ALL MATERIALS SHALL CONFORM TO, AMC15.65. 2) ADD A MINIMUM OF' 2' OF R.I. OVER ENTIRE BED. .3) MAINTAIN .30' SEPARATION FROM ALL SLOPES GREATER THAN 25%. ' I, PREPARED FOR: Mindo Sutton-Sines 1120 E. Huffmon Rd, PMB474 Anchoroge, AK 99515 261-0.388 Ponnone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218, PHONE & FAX DATE: 2-9-05 J DESIGN NOT TO SCALE I PERMIT NO: DESIGN SECTION WASTEWATER ABSORPTION SYSTEM Lot lB, Protor S/D P.I.O. NO: PREPARED FOR: Minda Sutton-Sines t 120 E. Huffman Rd, PMB474 Anchoroge. AK 99515 261-0.388 Ponnone Eng. Svc.,LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218, PHONE &FAX )ATE: 2-9-05 NOT TO 5CALl DESIGN N 9HOO'OO'E 365.63' 7 TH 1 ® TH5 ® TH 2 ® LOT lA 58,038 S.F. N 9HOO'OO'E 336.67' TH 4 ® TH5 ® · TH 6 LOT lB ® S.F. 20' Ull!.. N 90'00'00";' 307.71' TEST HOLE LOCATION PLAN SCALE 1' - 100' NOTE: Test Hole Locations Not Surveyed. Locations Are Not Exact. 5 6 7 8 9 .11 PERFORMED FOR: L. EGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT /,700 SOUTH BRAGAW STREET ANCHORAGE, ALASKA c)9519-0650 SOILS LOG - PERCOLATION TEST Paul Palmer DATE PERFORMED: 9~5D003 Lot 1, Block'5, Prator Subdivision TEST HOLE OG/oLPROJECT ~ Silty Gravel W/Sand Clusters GM 4 SLOPE :,% WAS 6ROUNDWATER ENCOUNTERED? NO. Tighter with Depth IF YES, WHAT DEPTH.'? DEPTH OF WATER None AFTER MONITORING: DATE: 10/4/2003 S L O P E SITE PLAN TH1 TH3 READING DATE GROSS NET DEPTH OF NET TIME TIME WATER DROP Start 9/25 4:18 11.5' 1 4:48 30 . 10.25" 1.25' Recharge 4:49 11.63' 2 5:19 30 10.5'. 1.13' Recharge 5:20 11.5' 3 5:50 30' 10.38' 1.13" PERC RATE: 28 MIN./INCH PERC. HOLE DIAMETER: 6" TEST RUN BE'rWEEN 5.0 FT. AND 6.0 FT. 'COMMENTS: Test Hole Pre Soaked Prior to Test. TEST PERFORMED BY: ED SANDERSON I, J"IICH&~L E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE I .5-- b.-- 5 6-- 7 8-- 9-- II MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT /,700 SOUTH BRAGAW STREET ANCHORAGI~, ALASKA 99519-6§50 SOILS LOG - PERCOLATION TEST PERFORMED FOR: P~,ul Palmer DATE PERFORHED: ¢j/'25r2oo3 LEGAL DESCRIPTION: TEST HOLE # OGioLPROJECT # Silty Gravel W/Sand ClusterS GM Lot 1, Block 5, Prator Subdivision 5 SLOPE 2% SITE PLAN ® C0HI~ENTS: WAG GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? Tighter with Depth DEPTH OF WATER AFTER MONITORING: DATE: NO S L 0 P None E 10/4/2003 GROSS NET DEPTH OF NET READING DATE TIME 'I:IME WATER DROP Start 9/25 4:22 11.5' 1 4:52 30 10' 1.5' Recharge 4:53 11.25' 2 5:23 30 9.75' 1.5' ' Recharge 5:24 11.5' 3 5:54 30 10" 1.5" PERC RATE: 20 MIN./INCH PREC. HOLE DIAMETER: 6' TEST RUN BETWEEN 5.0 FT. AND 6.0 FT. Test Hole Pre Soaked Pdor to T'esL TEST PERFORMED BY: ED SANDERSON I, HIgH&EL E. ANDERSON, CERTIFY THAT THIS TEST WAS PEEFORHED IN ACCORDANCE I 2-- Z~ 5 6 7 8 9 MUNICIPALITY OF/~ICHORAGE DEVELOPMENT SERVICES DEPARTMENT ~700 SOUTH BRAGAW STREET ,t~ICHORAGE, ALASKA 99519-6650 SOILS LOG -PERCOLATION TEST PERFORMED FOR: Paul Palmer DATE PERFORMED: LEGAL DESCRIPTION: '[EST HOLE OG/oLPROJECT # Silty Grovel W/Sand Clusters GM Lot 1, Block 5, Prator Subdivision 6 SLOPE SITE PLAN ~% TH1 WAS GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? Tighter with Depth DEPTH OF WATER AFTER I'"IONITORING: DATE: NO S L 0 P None E lO/4/2oo3 GROSS NET D~PTH OF NET READING DATE TIME TIME WATER DROP Start 9/25 4:33 12' : 1 5:03 30 9.25' 2.75" Recharge 5:04 11.75' 2 . 5:34 30 9' 2.75' Recharge 5:35 12' 3 6:05 ' 30 9.25" 2.75' PERC RATE: 11 MIN./INCH PERC. HOLE DIAHETER~ 6' TEST RUN BETWEEN 5.0 FT. AND 6.0 FT. COMMENTS: Test Hole Pre Soaked Prior to TesL TEST PERFOF~IED BY: ED SANDERSON Ii MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE 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 SUBMITTAL COMMENT SHEET To: STEVE PANNONE Legal description: pRATOR LOT lB The attached paperwork has been reviewed and Is being returned for the following reasons: Original signature or stamp missing on Calculation error in design. Additional soils information needed. Water monitoring results inadequate. Discrepancy in information submitted. Topographic information missing or inadequate. Incomplete; missing Incomplete; missing Additional adequacy test information needed. Water sample unacceptable. Measured/proposed distances/dimensions missing. Locations of all soils, percolation and water monitoring tests not shown. Proposed system too deep for soils information submitted. Well log required. D~ Omission in narrative. Insufficient fill over tank or field. [] Other. SITE PLAN SHOWS PROPOSED TRENCH IS TOO CLOSE TO TOP OF CUT BANK OR SLOPE GREATER THAN 25%. TRENCH NEEDS TO MAINTAIN 50 FOOT SETBACK FROM SLOPE GREATER THAN 25%. OR 35 FOOT HORIZONTAL SEPARATION USING INSTRUCTIONS ON ATI'ACHED MEMO DATED APRIL 7, 2004 Name of reviewer: JOE GOODALL Date: 2/14/2005 Please supply the necessary information and re-submit your request. LEA VE THIS FORM A T'I'ACHED TO THE PAPERWORK Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-093-19 GENERAL INFORMATION Complete legal description Location (site address) COSA# Expiration Date: Lot 1 B, Block 5, Prator Subdivision 14241 Prator Street Anchorage, AK 99516 Current Property owner(s) ' Minda L. Sines Mailing address 14241 Prator Street Anchorage, AK 99516 Day phone Lending agency Day phone Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: Four (4) Day phone TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class ~ Well [] Public Water System [] 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 On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) Safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further vedfy that based on.the information obtained from the Municipality of Anchorage files and from my investigation and inspection, t~e? on-site water supply and/~ wastewater disposal system is(are) in compliance with all applicable Municipal and St~e codes, ordinanceS, and regulations in effect at the time of installation, ii' "~'Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. DSD SIGNATURE t..-J Approved for '.~ Disapproved. Conditional approval for bedrooms. Phone 522-7773 Date 10/20/2010 bedrooms, with the following stipulations: By: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ,/~'~-~, ~...- / 0 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Lot lB, Block 5, PratOr Subdivision Parcel ID: 017-093-19 Legal Description: A. WELL DATA Well type Private Date completed 3/17/05 Total depth 246 ft. If yes, give date Date of adequacy test 10/13/2010 Results (Pass/Fail) Pass Fluid depth in absorption field before test 42 in. Elapsed Time: 1,440 min. Final fluid depth 42 Any rejuvenation treatment (past 12 mo.) (Y/N & type) Date of test Static water level 48 Well production 7 WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Arsenic: N/D mg/I B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,250 gal. Foundation cleanout (Y/N) Y Date of pumping 9/23/2010 C, ABSORPTION FIELD DATA Date installed 10/21/05 Length 72 ft. Total depth 11-12 ft. IfA, B, or C provide PWSID #~ Sanitary seal (Y/N) Y For 4 bedrooms Water added 680 gal. New depth 48 in. in. Absorption rate >= 6oo g.p.d. Soil rating (g.p.d./ft2 or ~/bdrm).6 GPD/SF Width 3 ft. Eft.'absorption area 1,00s ft2 Monitoring tube Cased to FROM VVELL LOG 3/17~05 72 ft. ff. g.p.m. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 10/13/2010 36.5 ft. 4.8 g.p.m. System type Deep Trench Gravel below pipe 7 ft. Y Depression over field N Nitrate 1.27' mg/L Date of sample: 10/08/10 Other bacteria 0 colonies/100 mL Collected by: A. Harala Number of Compartments Two Depression over tank (Y/N) N Pumper Denali Pumping Date installed 10/21/05 Cleanouts (Y/N) High water alarm (Y/N) N Y >18 in. LIFT STATION Date installed "Pump on' level at Datum in. E. SEPARATION DISTANCES Size in gallons "Pump off" level at Cycles tested in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100' Absorption field on lot >100' Public sewer main N/A Sewer/septic service line >25' Animal containment areas >50' Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? in. On adjacent lots >1oo' On adjacent lots >1oo' Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A >100' SEPARATION DISTANCES FROM .SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line :~5' Water main N/A Water service line >10' Wells on adjacent lots >lOO' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 6-* Building foundation >10' Water Service line >10' Surface water >100' Curtain drain None Noted Wells on adjacent lots F. COMMENTS: ***See. Lot Line Waiver. Absorption field >5' Surface water >1oo' >100' Water main >10' Driveway, parking/vehicle storage >25' 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. Engineer's Printed Name Michael E. Anderson, P.E. Date 10/20/2010 Date of Payment Rece, pt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni, orglonslte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-093-19 '1. GENERAL INFORMATION Complete legal description Lot lB, Block 5, Prater Subdivision Location (site address) 14241 Prater Street Anchm'age, AK 99516 Current Property owner(s) Spinel! Homes, Inc. COSA # Expiration Date: Day phone 344-5678 1 1900 W. Northern Lights Blvd.. Suite 200 Anchorage, AK 99517 Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA 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 On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the bansfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public Water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's Work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastowater disposal system is (am) safe, functional and adequate for the number of bedrooms and type of structure indicated heroin. 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(am) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Phone 522-7773 Date 9/7/2006 5. DSD SIGNATURE Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Orig,nalCe~ficate Date: ~::~-/~o,~- - D~_~ Municipality of Anchorage Development Services Depmb. ent Bugdlng Safety Ohdsion On-Site Wa~ & Wastmrater Program 4700 Bmgaw Street P.O. Box 196650 ,Anchorage, ~ 09519-.6650 www.muni.m'g/oaalte (9O7) 343...?954 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST LegaJ Desc~: Lot ~B~ BIoc~ fi~ Pratm. Subdivision Parcel ID:. 017,093-19 A. WI=! ~ DATA Wea type I:~vate . If A, B, m C provide F~I/SID #__ Well Log (YAd) I y Date completed .3/1.,7/05 ~anltaWeeal (Y/N) Y ~mspmpedylm'otected(Y/N) Y Total,depth 246 It. Casedto 72 It. Casing height (above gmund) : 24 in. FROM ~ LOG ATINSPEC~ON Wall production 7 WA;r~ SAMPLE RESULTS: C~fofm 0 ~i~1~ ~ ~: ~ m~ 6~O~1N6 TANK ~TA T~ t~ g~, N~~e~ 2 ~ ~ ;1~ Nw ~ P~r ~O~ON ~ ~TA g.p,m, g.p.m. Ni~lt~ .258 Date ~ ~mple: 8/21K]6 Goile~ed by: J. Andemon rating (g.p,d.~ = f~fod~m) .6 GPD/SF ~Mdth 3 ft. E~. adsmptton area 1,ma ~ Mmltmng tabe New Cm.t. Results (PasWFaJl) Water added Leng~ 72 rc Tol~ll de~th 1t-t2 ft. Rutd depth in ebso~ field before test .in. I=~r~ed Time: __ min. Final fluid depth /my reju~ Ireab~,ent (past 12 mo.) (Y/N & type) Clearmu~ (Y/N) Y ! High water alarm (Y/N) N Grev~balowpipe 7 i Depression over field N F~ bedm~ms gal. New depth. Ab~ rate g.p.d. D. UFT STATION Date installed 'Pump on' ~ at ~. Datum. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons 'Pump off' level at __ in. Cycles tested Manhole/A,~e~_ _ _~ (Y/N) High water alarm level at Meets almm & drcult ~? Septic tanlulilt station on lot >100. Absorption field on lot >100' Public sewer main Sewer/septic sew~ce line >25* An~maJ containment areas None On adjacent lots >100' On adjacent k~s >100' Public sewer manhold/cleanout Hcdding lank NJA ManureJonlmal ~ stmage areas SEPARATION DISTANCES FROM SEP'nc/NoLDING TANK ON LOT TO: AbSOlplion field Su~ace water, Building foundation >5' Pmpen'y line >5' Water main >t0. Water seraice line >10' Wells on adjacent lots >100' N/A SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 0. (S~ Wa~r) Water ~ #ne >10. Curtain drain Norm Noted >100. Water main ·10' Building foundalJon >10. Surface water >100' Wells on adjacent lots >100' F. COMMENTS: ReseweSepllcST~emSlteWaslnstalledat~eTImeofConslzucllonofthePflnlmTS~/stem. Dtverter Valve i~ in Plac~ ~ Central Flow to ~he Individual Abs~pticn Systmns. G. ENGINEER'S CERTIFICATION I cert/fy that I have determined through fie/d ~spect/ons and review of Municipal records that the above systen~ are in conformance with MOA COSA guidelines in effect on ~ date. Engineer's Printed Name Uichael E. Anderson. P.E. Date 9/7/2006 COSA Fee $ Date of Payment Receipt Number WaNer Fee $ Date of Payment Receipt Number, ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) September 7, 2006 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Su~e~: Lot lB, Block 5, Prator Subdivision Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer: The surveyed as-built for Lot lB, Block 5, Prator Subdivision indicates the north end of the most westerly absorption trench was constructed within 6' of the north iot line. Placement of the trench will not conflict with other septic systems or wells in tl'{e area. Lot lA to the north is currently vacant, but the proposed septic area is more than 20' from the edge of this trench. We therefore recommend a waiver be issued to allow placement of the trench at 6' from the north property line. Sincerely, Michael E. Anderson, P.E. Municipality of Anchorage Mayor Mark Beglch 9/12/2006 Mike Anderson Anderson Engineeering P.O. Box 240773 Anchorage,Ak. 99524 Subject: Waiver Request for Prator Block 5 Lot 1B Waiver Request #WR060055 Parcel ID #017-093-19 HAA# 060434 Dear Engineer, Your request for a waiver of the required 10 feet horizontal separation fro~ the absorption field to the property line has been approved. The approved separation di;tance is 6.0 feet. ~ This waiver approval applies to the existing absorption field to property line sepa[ation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. if there are any further concerns or questions regarding this waiver, please call our ~ffice at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On-Site Water & Wastewater Program Communiiy, Security, Prosperity WRY: 060055 PID#: 0174)93-19 Date Received: 9/7/06 Legal Description: prator Block 5 Engineer:. Mike Anderson ~.oderson Enatneerlna Applicant: Soinell Homes Municipality of Anchorage Development Services Department Building 5al'cty Division On-Site Watcr and Wastewatcr Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorag¢.ak.us (907) 343-79O4 Waiver Review Worksheet HA#: 060434 Permit: Lot lB P.O. Box 240773 Anchorm~e Ak. 99524 Waiver Requested: I~ f99~ eeoaration distance absorotion field to nrooertv tine. Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver Is Granted: ( ~ Waiver Is not Granted: List Conditions or Reasons for above: Rec~: 9/71~§ Amount: S175.00 Date Paid: 9/7106 SGS Ref.# 106510900 Clleut Name Anderson Englnccring Project Name/# Lot I B Prator Client Sample ID Lot II! Prator Matrix DrinklnR Watcr All Datt'~Times are Alaska Standard Time Printed Date/Time 09/07/2~06 12:16 Collected Date/Time 08/31/2006 10:05 Received Dste/Time 08/31/2006 10:31 Teclinical Director Steohen'C. F. de S~rnplc Rcmarks: AIIowablc ~ LimiL~ Date Analysis Date Init Total Coliform col/100mL SM20 9222I~ A (<1) 08/31/06 TLF I'rojKt Nime~ C~ept $~Lmpl~ ID ~trtx PHOh~ NO. : 2-/2 8218 1064870001 pa~none Eng. Sty. Printed Date/Time Lot l B Bk5 Prator Collected DsfdTime Lot lB Bk5 l~tor Received Date/Time Dr~nkL'~g Water T~hnica! Director 0 Sample Rem~4cs: ~9. 29 2(~)~ 10:04PH P2 All ~atcu'Times arc Alaka Stand~.rd Time 08/29/2006 8:01 08/20/2006 ! 1:45 08/21/2006 10:15 Stcpl~ea C. Ir~e P. asul~ PQI., Uni~ Metho& Cont~ner ID Inlt A~nic Waters De~ar~men~ Mic~'obio lo~r To~ Coliform ND ~.00 ug/L EP200.8 C 0.268 0.100 m ,~,/L gPA 353.2 col/100mL SM20 97~R (<10) (<10) A 08/22J06 08/25/06 MR 05/~1/06 AIR 0St21/0~ TLF 2004-9 PRATOR SUBDIVISION LOT lB, BLOCK 5 53,238 S.F. 1 "=50' S 89'54'33'E .337.14' 42.7' CENTERUNE 20' UTIU1Y CENTERUNE 50' MNNTENANCE AND PROTECTION EASEMENT / / / / // I iI// / / I /' / I / / I / I I I I III //lllllllo'T..,..~. 7---£ 7-,r,~--- S 89'50'15"E ,309.22' / I // I // / // / / / / / / I AS- B U I LT I HEREBY CERTIFY THAT , HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING. LLC .._ IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.LS. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 4726 WEST 88TH AVENUE COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99502 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA CRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR ,30.39 4/5/2006 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NO. 06-02 PSla5 NOTE: NO CORNERS SET THIS DATE z