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
/ /
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/ I /'
/ I /
/ I /
I I I I
III //lllllllo'T..,..~.
7---£ 7-,r,~---
S 89'50'15"E ,309.22'
/
I
// I
// /
// / /
/
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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
