HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 13 LT 3AMountain Park
Estates
Block 13
Lot 3A
#017-391-58
C":
Municipality of Anchorage
Department of Health and Human Services ry:
Building Safety Division
- Onsite Water and Wastewater Program, 4700 South Bragaw Street
P.O. Box 796650 Anchorage, AK 99SIM50 Page 1 of 2
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
17 1-
Permit Number. SWSWM304 PID Number. 0117-3911-56
wn.
7
Wastewater System: ❑ New ® Upgrade
Address:
ABSORPTION FIELD
Pnaw: rAatdr d B.bopnw:
O Dao Trreft O EMeow Tenc,t O Sed O Mpael O aw:
LEGAL DESCRIPTION
Baia
'row Depth ftm aA°w pnt
Blppk: Lot a'bdhie ac
13 3A Mountain Park Estates,
Oap,t b pp by eam anpsed Weft:
A
Gm., dpth brw. pipe:
f1t
Ta.uep: Rrgc artbn:
FE added above adahnst Veda:
Gmv.l LrgN:
Well. ❑New C] Upgrade
Gw"W1°":
rA.nbrdaw:
C*h -dense awe:
ClerdNebon Wmveb. A. B. C):
Teb, NO.:
cased b:
Taw aberplan twee'
Pq. Ndrw:
Exi
n.
n
03034
PVC
Gras
Dotetaa.d:
swb Wets,Lovd:
rr.nr
ar. bda.d:
H.
Beek ontracting
811812004
reMd:Hengsdr:
Co" prdrboveGarL
TANK
GPM
ft
R
SEPARATION DISTANCES
0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other;
Tp
Septic
Aberxptlon
Lilt
Holding
idPdveb
Ltred.cvr.
c.Ptwer
From
Tank
Field
Station
Tank
sewer Lin.
Anch Tank
1000 Gd.
wY
101.5
102
80
wwrw:
Steel
Num°"dG""°r"r'"
2
Babaw.w
100+
100+
LIFT STATION
L«Lb.
33.7
10
�..
Gd.
LftnLol tw
Faael.dmt
23.1
28
Twm a",.w r:
Tang Or brd d:
wpltrdr drm r:
ca,.ntaewt
100+
100+
p,.np,A...aMada,
er..b,w,r.o.atw.p.wn,.dbr.
nc
4Inches nches of rt kf Insulation over new tank and line
BENCH MARK
from house to tank. Connected new tank to both
ar e
Garage
Gage Doorr Threshold
exist'gfields.
Aruerd Ewe :
100.0 R
Engineer's Stamp
�de���aaa��a
..`P�E.OF...-
�
`ter • ei
Inspections performed by: Pannone Eno. SvcEna. Svc Dates: 1"8/18/2004
49TH �'�'�
s
2nd08/18/2�4
i
Department of Health and Hu an Services a roust
P
" """"'" "••01
# � iSleven R. Pannone: i
+��
/tet/•
Reviewed and approved by: Date:
PERMIT NO: SWO4000 DESIGN P.I.D. NO: 017381-58
WASTEWATER ABSORPTION SYSTEM
LOT 3 BLOCK 13 MOUNTAIN PARK EST NO.1
/ O \ I
SrG
SEPTIC
1r-ExISrG \ xls I AREA
WEU�I fA1
--- G I I
^\ I I I SWINGTIES
T70
2 255 37.1
/ 1 \ T2 30.7 42.8
DC 33.1 44.8
/ W \\ / I I DV 34.4 45.7
\ C1 34.8 47.0
\ / y,/q \ // I I C2 33.3 39.0
C3 31.7 36.6
1971 SYSTEM TO BE
\` 1 , / __'' CONNECTED & REUSED
llZ
\ — 0t3�BY/ j�yyy%� —�
— 8.1 NSTALL DIVERTER VALVE
Q, 3. I I & DOUBLE C.0.5 (DC)
\\ J A IT
\ Q 1% 5%—U!' I 1
-r—.1983 FIELD IN FAILURE
\ INS ALL FOUNDATIO — — — — — Ill TO ALLOW TO REST
\\ \ CLEAN-OUT
/ J I
EXISLGSANK
ABANDON IN
\LN-----
`�-----r SEPTI I \
NOTE: / I\
1) ALL ORK WAS RFO / I r — —\ — —
IN ACCORDANCE & AL9 METE ST)G I I \
SHlLLL � MINIM O AMC15IIIED
¢5. �4C I I \ �� SEPTIC
TADDSrG
PMINIMU OFVOFO R I WELL I I 1,/ REA
3)CONTRACTOR HALLVEDDIMENSIONS 4A LL
FROM EXISTG S. INST NEW TANK I I
OUTSIDEEXIST'G NELL RADIUS'. I I
4) I40 WELLS OR EPTICS WITHIN 100' OF 1 1 I
PROP gSED SYS M \
I \ I 1002
' RIGID INSUL
DESIGN REPLACEMENTLL
� &�� 2 BEDROOM OUSE FIELD:
�'��Q`.••"»»•••••••••• 1� 10008 SEPTIC TANK 97.8 NEW 1000g
SEPTIC TANK 97.4
tf 49TMs}�1�
-• ••••••• • ••• •••••• • • PREPARED FOR:
"" : • PANNONE ENG. SVC,LLC
.\Steven R. Pannone: = Ms. Shirley Germaine
�� i No. CE 8149 r'••\ P. O. BOX 102954
12931 Alpine Drive
t•� �, . �'� Anchorage, AK 99516 ANCHORAGE, ALASKA 99510
10e.•�• (907) 34s 1629 272-8218 Phone 8 Fax
DATE: 7.24-04
���'�� li*� DESIGN
MUNICIPALITY OFANCHORAGE Q �D
Development Services Department,Q D D
On -Site Water & Wastewater Program D
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Jul 28, 2004
Expiration Date: Jul 28, 2005
Permit Number. SW040304 Parcel ID: 017-391-58
Legal Description: MOUNTAIN PARK ESTATES BLK 13 LT 3A
Design Engineer: 0062 Pannone Engineering Services Site Address: 012931 ALPINE DR
Owner Name: SHIRLEY GERMAINE Lot Size: 21498 SQ. FT.
Owner Address: 12931 ALPINE DRIVE Total Bedrooms: 2 Permit Bedrooms: 2
ANCHORAGE. AK 99516-3126
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy
All construction must be in accordance with:
1. The attached approved design.
❑ Private Well ❑ Water Storage
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3_ The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date:
Issued By. Date: z tr/05e
Municipality of Anchorage
-- Development Services Department
Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.enchorage.sk.us
(907)343-7904
ON-SITE SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017391.58 Permit Number SW
Property owner(s) Shirley Germaine Day phone 345.1682
Mailing address (1)12931 Alpine Drive
Mailing address (2) Anchorage. AK Zip Code 99516
Legal description (Lot, Block & Sub'd.) _Lot Block 13 Mountain Park Eat. Ade **e,-4
Legal description (Section, Township & Range)
Lot Size_ _ _ = 1 UGk A qqF
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Number of Bedrooms 2
❑ Well Only
❑
❑ Water Storage
❑
E 'T—ivY_ orvLY
❑ Jacuzzi
❑
❑ Water Softening Unit
❑
El
1 certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and Is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number.
(Rev. 12/00)
Waiver Fees:
uo l 0 �t Date of Payment:
5 77i Z Receipt Number.
Pannone Engineering Services, LLC
Consulting Engineers
July 24, 2004
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Lot 3, Block 13 Mountain Park Estates, Addition No.
Septic Tank Replacement Permit
Gentlemen:
P.O. Box 102954
ge, Alaska, 99510
My firm was contacted to investigate a failed system on this lot. The system that was
installed in 1983 was in failure. The 1971 system was abandoned in place on the lot. I
am proposing replacing the 1971 septic tank with a new 1000 -gallon septic tank and
installing a diverter valve to connect the 1971 system and the 1983 system. This permit
is requesting a permit to replace the existing septic tank only.
The lot is approximately 0.49 acres (21,662.3 so in size. Lot 3 slopes to the west at
approximately 1 percent around the tank, and to the east at 5% in the vicinity of the
1983 system. The proposed installation will be located in the central portion of the lot.
The existing tank will be abandoned in place. The proposed septic tank will be installed
outside the well radius. A new foundation clean out will be installed. A diverter valve will
be installed to connect the two existing systems. The proposed location is greater than
100 feet away from the existing well serving this property and 25 feet from the water
service lines. The surrounding wells are located greater than 100 feet from the proposed
installation. The proposed installation will not affect the future development of the
surrounding or existing lots. See the attached design.
If you have any questions or concerns, please contact me at 227-3522 or 272-8218.
Sincerely, ••„`�,,,,,
444
Steven R. Pannone, P.E. +. �
w T14 %I}
Attachments: i
%Steven R. Ponnone
�.1�^t No. CE 8149
PERMIT NO: SWO4000 DESIGN
WASTEWATER ABSORPTION SYSTEM
LOT 3 BLOCK 13 MOUNTAIN PARK EST NO.1
/ \ I
/ \ I
SEPTI
EA
Zj 11 I I
2\ I I
/ \ W
/ STYi \
\ WELL \ //
\/
�01.0�1X
Z \ 22.4 I / i/�/1 °A 3.1 I
10.7 d
\ •J � � III �
\\
U-.1
r,
3LGSANK i /
\ ABANDON IN PLAC� /
/
\ / ESM'ANK
NOTE: _----
1) ALLWORK SHAL BE PERF RMED /
IN ACCbRDANCE ITH, b ALL METrRARE4 TXi
SHALL PONFORM 0 AMC15.65.TIC
2) ADD' MINIMU OF 1' OF F LL O 4A
TANK I
3) CONTRACTOR HALL VERT DIMENSIONS
FROM EXISTG WE S. INSTALLED NEW TANK
OUTSIDE EXISTG NELL RADIUS' ON 3-28-0y.
4) NO WELLS OR EPTICS WITHIN 100' OF 1
PRO P(.)SEDSYS M \
I \
W�������►fall DESIGN REPLACEMENT FIELD:
�� '(�• ♦♦ 2 BEDROOM HOUSE
����P,.•» ♦♦ 10009 SEPTIC TANK
49-14
='i-••••— ••� PREPARED FOR:
'ven R. onnon e = Ma. SNrley Germaine
No. CE 8149 r/ ; n 12931 Alpine Drive
4741 t W. 'i Mthorage, AK 99518
n;•....••••».w1PL �* (907)345.1826
WELL if WELL
P.I.D. NO: 017-391.68
XIST'G
SEPTIC
AREA
'1971 SYSTEM TO BE
TCONNECTED 8 REUSED
I
_;.INSTALL DIVERTER VALVE
d DOOUBLE C.O.S
I
I 1
-x1983 FIELD IN FAILURE
TO ALLOW TO REST
I
c\l
0
NEW 1000g
SEPTIC TANK
PANNONE ENG. SVC,LLC
P. O. BOX 102954
ANCHORAGE, ALASKA 99510
DESIGN
\ t MUNICIPALITY OF ANCHORAGE
1 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street • Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
❑ NEW
S
_ le
G'IIPGRADE
MAILING ADDRESS
"
SO
LEGAL DESCRIPTION
of l r P
LOCATION I
NO.OF BEDROOMS
At -p -we
a
Well
Absorption area
Dwelling
PERMIT NO.
DISTANCE TO:
D SL
E
i 2
Manufacturer
Material
No. of compartments
W�
C"
Liq, capacity in gallons
IFOMEMADE:
Inside length
Width
Liquid depth
hoz
DISTANCE TO:
Well
Dwelling
PERMIT NO.
S?f
Manufacturer
Material
Liquid capacity in gallons
O
Lux
DISTANCE TO:
Well
Foundation
Nearest lot line
PERMI NO.
J LL Z
No. of lines
Length of each ne
Total length of lings
Trench width
Distance between lines
I—=¢
1
33
34,inches
¢ F..
Top of tile to finish grade r�
Material beneath tile
Total effecti abso'r�pttion area
D
?/ q inches
e r
Length
Width
Depth
PERMIT NO.
W
d H
Type of Crib
Cribdiameter
Crib depth
Total effective absorption area
W d
Lu
w
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
Clasp
,QI
Depth
Driller _
Distance to lot line
PERMIT NO.
pi'W \
_
DISTANCE TO:
gp
Buildin found tion]Sewerline/fir
Se tic tank r
Absor tion &reals)
p
OTHER
t
PIPE MATERIALS
b303-1
SOILTEST RA ING ,
/h
INSTALLER
L' 63-01c)
REMARKS
lAs
r
7P
n G
$e
C
5t
reµ
n
w f
AS
APPHOVED DATE LEGAL
r,3 l-af 3 61OCK n mt- "f
72-013 (Rev.3/78) DKC.LLIM
11 L_1t-1 I f-- I b FyL I TY OF Hh1(1-� -iR n0I=-
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STREET, ANCHORAGE, AK. 99501
264-4720
Ott—� I TE SEWER PER1�1 I T
PERMIT NO. { 830597 )
APPLICANT SHIRLEY A GERMAINE SRA BOX 365A 99507 345-1628
LOCATION
LEGAL NIT. PARK ESTATES 613 L's LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
HAXII•IUM NUMBER OF BEDROOMS = 3 SOIL RATING CSO FT/BP.)= 185
THE REQUIRED SIZE OF THE SOIL ABSORPTION! SYSTEM IS:
C?EF —r"= 1r+ LENGTH= -47' GRAVEL_ IQEFsTH= vS
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
READ F I REO SEF1T I C TiFFt-4K S I cE= GFHILLOFJS
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY 14ELLS ADJACENT TO THIS PROPERTY AND THE
NUHBER OF RESIDENCES THAT THE WELL 14ILL SERVE.
--- TIJG C 2 7 I "_E;F= ECT 101r4S RRE REID. U I REQ ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION! AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM,IS
100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER, LINE IS 25 FEET AND
TO A COMMUNITY SEWER. LINE IS 75 FEET.
OTHER.. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INiSTALLATION.
F1ERM I T EXF' I RES C�ECEt•1EsER 1S;IS
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MOPE THAN 3 BEDROOMS.
SIGNED
APPLI
ISSUED BY
�----------- /
rsl�vazti
A GERNIAINE L_ ,3
/� � � <i�ATE_J O
--D�_ V4. 0
PERFORMED F
LEGAL DESCRI
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1E
19
20
IKerl•
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
Germain,
OL
SM/ML
&11 sand 0411
kms q sand
o -M GOV
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
DATE PERFORMED: (d2-9'1 Q
PLAN
■.■■■■.■■■
Reading
Date
Gross
Time
Net
Time
Depth to -
Water
Net //
Dropp
29
09-'19e
0. b�
O
z
69.• 29
to min.
3
of- 30
-6)
O. 8"O
09: y0
/0 APi17O.
Z9
O. ZZ
S
09.65'
O.s�U
/Smi .
O�Z
09:06'
-&-
5x,
D�D
in
� . /0:/(o ->5— y(�• 0
�1 d
Pe J7COLATION RATE /U•ZG I77/"(minuteis incfi Q, �� -
TESTRUN B TWEEN ND � FT
O — eD 1
PERFORMED BY: Leroy C•Re1d CERTIFIED
72-008 (6/79)
DATE:—fn ff I L b/ k3—.
G'AA0-14131 GR'0~TER ANCHORAGE AREA BORON'.,
Dc.ARTMENT OF ENVIRONMENTAL QUALIT,
3500 TUDOR ROAD ANCHORAGE, ALASKA 89507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME• ales `_'/�A�NI
ADDRESS G!I F CL''F'S�I ��G/raD PHONNE 1
LOCATION I DJ W(= 1J Y' LV � LEGAL DESCRIPTION/--/ B�K13. /'�c'c'Tu'�N....7 ( F -L`1 ),44 !K .
SEPTIC TANK:
DISTANCE FROM WELL/t'e/,•,'
LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF
LINING MATER
DISTANCE FROM
WIDTH
OF
MFNTs
LENGTH ,
LIQUID
DEPTH.
NEAREST LOT LINE . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SO. FT.
TILE DRAIN FIELD:
!f 70TAL LENGTH
DISTANCE FROM WELL t �� ''•d . FOUNDATION �S'� , NEAREST LOT LINE ll' ;eC �� , OF LINES,
NUMBER OF LINES q nn DISTANCE BETWEEN LINES • TRENCH WIDTH , IN. TOTAL EFFECTIVE
ABSORPTION AREA ��) U ' SO. FT. LENGTH OF EACH LINE 0
O '
DEPTH: TOP OF TILE TO FINISH GRADE n I, DEPTH OF FILTER MATERIAL BENEATH TILE �� IN. ABOVE TILE,
SMELL; _ DISTANCE FROM - WATER _
TYPE ICAk DEPTH
.BUILDING FOUNDATION. SAMPLE NEAREST
NEAREST SEPTIC SEEPAGE i - OTHER
LOT LINE , SEWER UNE -.TANK � 6 , SYSTEM «A'% -Q' , CESSPOOL , SOURCES_
DIAGRAM OF SYSTEM
DISTANCES:
DATE ��� •�I
a
GREAr'ER ANCHORAGE AREA BOROUGH
• DEPARTMENT OF ENVIRONMENTAL OUALITY
• 3600 TUDOR ROAD POUCH 6.650
ANCHORAGE, ALASKA 99302
TELEPHONE 279.6686
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
V
NAME OF APPLICANT lt// 14w a"� MA
INSTALLATION LOCATION TI KL' 'J7
� �^4)e-IwC-c,
LEGAL DESCRIPTION L S 7? 13 LS
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT_
PERMIT NO
//ADDRESS yUVY E'ked "^_4 PHONE r�7-5
FIELD / OTHER
TYPE AND SIZE OF FACILITTYY�TO BE SERVED Iseet V`00'LL' aL l 0 LL" 1 �Ul {rLLL[
FINANCED THROUGH ' e (� TO BE INSTALLED BY 4ft1l.TrN4 L /r., R -
SOIL TEST RESULTS P�^�1�L'IG NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TTST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION, 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL' `BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE -75 O TYPE � ^('I A SEEPAGE AREA SIZE - / TYPE
DIAGRAM OF SYSTEM
OUNDATION TO SEPTIC TANK ^w
S/
FOUNDATION TO SEEPAGE PIT Off' DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL ' •''
l aof
SEPTIC TANK _ SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK SEEPAGE PI
GRAIN FIELD ALSO CONSIDE ELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT —
DRAIN FIELD
SEPTIC TANK.. SEEPAGE PIT /00/ DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
FITTED WITH AIRTIGHT REMOVABLE CAPS.
RAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I e Zx-r--
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 26.68 AND THAT THE ABOVE
DESCRIBE SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE / / APPLICANT'S SIGNATURE
GP
J ER ANCHORAGE AREA BOROUG^1
DEPA. RENT Or ENVIRONMENTAL QUAL. :Y CASE #'
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
Performed For William MausDate Performed 10/7/71
Legal Description: Lot 3 Block13 Subdivision Mountain Park Estates
This Form Reports SoilsTg x — Percolation Test
Depth
Fe
z-_
.3-
4
5-
7 _.
.:B.—
Soil Characteristi
Brown sandy silt (ML)
Gray and brown sandy gravel to
gravelly sand (SW) - (GW)
Gray -brown sand silt mix (ML)
Slightly more sandy by 9'
.9— I10—
.11
Was Ground Water Encountered? no
If Yes, At What Depth? -
Reading
Date
Gross Time
Net Time Depth to H2O Net Drop
erco ation
Ratp
Minolta
Proposed Installation: Seepage Pit Drain Field x
Depth Of Inlet Depth To Bottom Of Pit r Trenc
COMMENTS• —
115 square teet of ra nage area is required per bedroom with the rain e
stratum of sand and
R. E. Carlisle
er
Date:
Inc.
I w
/j�rXr�ol27 S
j. lam^ p` (" :'
7-5 C� "O000PiJ-c[cc�L�GG�c
C--
47
jam- p' 57`r -u c T ti
Municipality ofAlichorage
P.O. Box 19(Ti50 • Anchorage, Alaska 99519-;650 • Telephone (007) 313.3301 • Pse (907) 333-821K) "
4700 6rugaa• Strect • Anchorage, Alaska V"7 s • e r .
a�r�r.munLorg
Mayor Mark Bcyich
Building Snfety Division
August 15, 2005
Jeffrey Garness, P.E.
Garness Engineering Group
3701 E. Tudor Road, Suite 101
Anchorage, AIS 99507
Subject: Waiver Requcst for Mountain Park Estates Block 13 Lot 3
Waiver Request WR#: 050063
Parcel ID # 017-391-58
PERMIT #: SW050286
Dear Jeffrey Garness, P.E.:
Your -request -for -a-waiver -of- the -required -100 - feet -horizontal-separation-from-the
septic tank to the private well has been approved. The approved separation distance is a
76 foot horizontal separation from well on Lot 3 to septic tank on Lot 2.
This waiver approval applies to the existing septic tank to private well separation 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 office
at 343-7904.
Sincerely,
roodall
Civil Engineer
On -Site Water & Wastewater Program
Conuluality, Security, Prosperity
Municipality of Anchorage
Development Services Department
• Building Safety Division
On-Si1c Water and Wastewater Program
4700 Bragaw Street
P.O. Boz 196650 Anchorage, AK 99519.6650
www.ci.anchorage.ak.us
(907)343.7904
Waiver Review Worksheet
WR#: 050063 PID#: 017-391-58 HAlPermit# PERI\11T #: SW050286
Dale Received: August 15, 2005
Legal Description: Mountain Park Estates Block 13 Lot 3
Engineer.
Jeffrey Garness, P.E.
Garness Engineering Group
3701 E. Tudor Road, Suite 101
Anchorage, AK 99507
Applicant Gary and Tammy Crowley
Waiver Requested: 76 foot horizontal separation from well on Lot 3 to septic tank on Lot 2.
Criteria:
Geology
A... Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Points:
7.27
3.25
2.21
2.90
2.04
Total: 17.676T�
..........................................................................
Waiver is Granted: X
List Conditions or Reasons for above:
Waiver is not Granted:
Date: 8/15105 By: Joe Goodall
Name of Reviewer
Recti: 72404 Amount: $920 Date Paid: 811512005
State of Alaska:
Separation Distance Waiver Guidelines for S.C.R.O.
(State of Alaska Memorandum to District Office Engineers dated January 3,1985)
Waiver Request for: Mountain Park Estates Block 13 Lot 3
ParcelID#: 017-391-58
Waiver Request Number WR#: 050063
Waiver Requested: 76 foot horizontal separation from well on Lot 3 to septic tank on Lot 2.
Engineer: Jeffrey Gamess. P.E.
PERMIT #: SWO50286
Septic Tank Data:
The original tank on lot 2 was installed before October 1973, which
required a 50 foot well to tank setback. The Lot 2 tank was then
replaced with a new tank in the same location in 1991, however the
new regulations at the time required the tank to be placed 100 feet
from any well. The replacement of Lot 2 tank in 1991 encroached
two separate wells (Lot 2 & 3 wells). Each well requires to be waived
for -separation distance encroachments, however.only.Lot.2 was_.__..._____.__.___ ....... ..... ...
waived in1991. This waiver (WR050063) is to correct the missed
waiver for the 76 foot well on Lot 3 to tank on Lot 2. The septic tank
on Lot 2 has encroached the well on Lot 3 since 1991 when the tank
on Lot 2 was replaced in the same location. The bottom of the tank is
approximately 10 feet deep. This encroachment has existed for over
ten years.
Well Data
There was no well log found for lot 2 however well logs in the area
give a good description of formation of soils. In calculating points for
the purpose of a waiver the well log Robin Hills S/D Block 5 Lot 1 will
be used. There is heavy vegitation between between the well and
the septic tank. If the septic tank were to overflow, effluent would not
flow toward the well head. The location of the septic tank is in a very
visible area and would be identified early if problems exist. The
integrity of the septic tank was verified by the Garness Group on
7/21/2005 and appeared to be in good condition. Water sample
results were taken for Mountain Park Estates Block 13 Lot 2 and
meets Municipal Standards.
State of Alaska:
Separation Distance Waiver Guidelines for S.C.R.O.
(State of Alaska Memorandum to District Office Engineers dated January 3, 1985)
Waiver Request for: Mountain Park Estates Block 13 Lot 3
ParcelID#: 017-391-58
Waiver Request Number WR#: 050063 r.: t ,.� ,,z „•.x
Waiver Requested: 76 foot horizontal separation from well on Lot 3 to septic tank on Lot 2.
Engineer: Jeffrey Gamess, P.E.
PERMIT #: SWO50286
Water Table
Points ,,.
Depth of well: 161 7.27
Depth of septic system: 10
151
Distance from the bottom
Point
of the system to the highest
value
water table in feet
0
0
8
1
2.....—.
24
3
30
4
40
5
85
6
100
7
290
8
1000
9
10
• Straight line Interpolation Is permitted between any two values
Soil Sorbtion
Points ,,..
3.25
Soil Type I Point Value ( 21 1' + r 14 16 + r 23 0+ r 27 6
Clean Gravel 0 151 J l 151 J L-1 51 1151
Fractured Rock 1
Course Clean Sand 1.5
Sand w/ Small Amt of Clay 2.5
Silt 3.5
Clay and Sand Equal 4.5
Clay 6
+I 51,0 +x151,3.5 + [151 15 ,0 +r 514.5
0 + 0.6 + 0 + 1.1
0 + 0.3 + 0 + 1.3
*Use the predominant soil type but values can be averaged for a mixture
Permeability
Soil Type
Point Value
Clay(will channel)
0
Silt and Sandy Clay
2
Clayey Sand
3
Fine Sand
1.5
Sandy Gravel
1
Fractured Rock
0.9
Course Sand (30 grit)
0.4
Clean Gravel
0
Points „«
2.21
*Use the predominant soil type but values can be averaged for a mixture
Gradient
Point
Value
9+
2.9
%Slope
3+
-60%
j
1+
0.3
r 27
3
-10%
l 151,
-5°h
2
51,
2.91- Oat
----- — ......- --'-5%..,. -
5123 ,
10%
l 51,
7
+( 13
assume the worst case
+115113
j
+f
15
+f
151,1
10.01
,2
51,1
5
+10.28
+ 0.15
+ 0.54
0.09
+ 0.17
+ 0.10
+ 0.87
*Use the predominant soil type but values can be averaged for a mixture
Gradient
Point
Value
0
2.9
%Slope
Points Value
-60%
0
30%
0.3
-20%
0.7 slopes toward well
-10%
12
-5°h
2
0%
2.91- Oat
----- — ......- --'-5%..,. -
4.5
10%
6 slopes away from well
60%
7
*If the gradient is unknown,
assume the worst case
Horizontal
Horizontal
Separation
In Feet
Point
Value
0
0
25
0.7
50
1
75
2
100
3
150
5
200
6
300
7
Points ,,..
2.90
Points
2.04
*Linear Interpolation between two point value Is acceptable. Horizontally means
straight line distance to the well not the contaminate travel distance to water table
which may be greater.
Conclusion: Grant Waiver Total Points:_ 17.676,
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GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS mm
August 2, 2005
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Waiver Request for Mountain Park Estates Subdivision; Lot 2, Block 13,
The existing 4 bedroom house is served by a private well and septic system. We request you
grant a 76 feet separation distance waiver from the well on Lot 3, Block 13, Mountain Park S/D,
to the septic tank on the referenced property. The following items are justification for the
waivers:
• The lots is sloping from the septic tank to the road. There is a slight mound and heavy
vegetation between the well on the subject property and the neighboring septic system. If the
septic system was to overflow, it appears that the effluent would not travel toward the well
head.
• The location of the septic system is in a very visible area so that if any effluent was to
surface, it would be noticed and the problem corrected.
• The integrity of the existing septic tank was verified on 7/21/2005 and appears to be of good
integrity with no leaks.
The other path of contamination is subsurface migration wastewater should the tank begin to
leak. As can be seen on the attached well logs, the aquifer is relatively deep, with approximately
149-305 feet of silt, sand, and clay soils that have served to inhibit the migration of untreated
wastewater into the aquifer. Recent water sample results from Lot 3, Block 13, indicated nitrate
levels to be 1.17 mg/L and coliform bacteria results to be 0. Based upon the aforementioned
facts, it appears that there is minimal risk associated with the 76 feet separation distance waiver.
estions, please contact us at 337-6179. Thank you for your assistance.
P.E., M.S.
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507
Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: gamessengineering.com
OF BEDROOMS:4
PER DAY (CPD): 600
DON RATE/S: 60 MIN./INCH
D APPLICATION RATE: 0.45
DRAINFlELD SO.FT.: 1333
IM DEPTH: 11 FEET
2.5 FEET
1:112 FEET
APPROVED SAND FILTER: N/A
NE:6 FEET
DON FACTOR: N/A
SO.FT.: 1344
�— — *IF GRAVITY FLOW CANNOT BE
/ ACHIEVED FROM THE PROPOSED
/ SEPTIC TANK TO THE PROPOSED
DRAINFlELD, A 1500 CALLON S.T.E.
TANK WILL NEED TO BE INSTALLEI
ILOT 1, BLOCK 13
MOUNTAIN PARK ESTATES
S/0
I
TO OBTAIN A COPY OF THE LETTER y•
CONTACT GEC. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER,
WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
CONDITIONS OUTLINED.
/ I
I
II
l
EXISTING 1250 SEPTIC
I TANK VERIFIEO TO BE
I OF GOOD INTEGRITY ON
/ 7/21/2005.
i 8 F--,� �
/
..
\ PROPOSED
CON\\ DRAIN IELD
NC DRAINFlELD
TO BE ABANDONED
EXISITINON, \ •.N p _ _
4 OM
HOUSE
t t
SOUTH, AND EAST LOT LINES, AND ALL WELL
RADII SHOWN FLAGGED BY A REGISTERED LAND
CORWIN
TH/3 I,
SHED
C.E.C. III
ecru I ' I
coRvnNII v
INSTALL.
sTAu T2 'I II I o
% / \ DOUBLE
/ cLEAI+our
T
/ II
/ !L3 L
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
J701 L Twa LIMO. fIII[ 101 • MCEMGG Mc K50) . r (W7)737- IM • rU ("TPM -32u • M[891[: •...,.,....•w..p.m.
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
GARY AND TAMMY CROWLEY (907)-261-9724 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
MOUNTAIN PARK ESTATES S/D; BLOCK 13, LOT 2, R.A.L.
TYPE OF WORK: DATE:
005
(R••. 01851
THE USE OF A
M.O.A. APPROVED
RECIRCULATING
CKUFILTER
(512E0NC FOR 4
BEDROOMS)
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THE USE OF A
M.O.A. APPROVED
RECIRCULATING
CKUFILTER
(512E0NC FOR 4
BEDROOMS)
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Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 017-391-58 Expiration Date
1. GENERAL INFORMATION:
Complete legal description Mountain Park Estates; Block 13, Lot .3A
Location (site address) --12931 Alpine Drive *Anchorage AK
Current Property owner(s) Melanie Coar Day phone 907-632-7611
Mailing address
Real Estate Agent
12931 Alpine Drive *Anchorage, AK
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual
Individual Water Storage
❑
Holding Tank
❑
Community Class A Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for:,
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $550 r Waiver Fee $
Date of Payment
Receipt Number 0 b a 936
COSA # 0 S C -9Q1 31 �_
Date of Payment
Receipt Number
Waiver #
n/l
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: Zb/Z-Z
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the dates of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
systemis; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
#AECC884
6. DSD SIGNATURE
System #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
Original Certificate Date:(0-2-2—
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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAblue sheet10-10-12.doc
COSA Checklist
Legal Description: Mountain Park Estates; Block 13, Lot 3A
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 1971?
Total depth *213+ ft
Cased to LINK ft
o al is functioning correctly
❑ Wires -aye properly protected
asing height (above ground) 12+ in.
Date of flow test for COSA 5/19/22
Static water level at beginning of test 213 ft.
Comments *Per GEG well test
B. TANK DATA
Age of tank(s) 18 years
Tank type/material septi +steel
Measured operating fluid level in septic tank 50
0 Standpipes/foundation cleanout per record drawing
Date of um in fo 7 2-Z-
Parcel ID: 017-391-58
Structure served by this system
Well production at time of test 5.8+ gpm
Water storage tank volume - gallons
Well disinfected for coliform test? ❑ Yes Fol No
0 Coliform bacteria is Negative
Nitrate 2.57 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ■❑ Arsenic less than MRL (ND)
Collected by GEG LTD
Date of Sample 5/19/22
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comment+
COSA Checklist yellow sheet
MR
P P 9—
�
•
43
D. ABSORPTION FIELD DATA North sum /south sumP
0
o
Which system tested (date installed) *1983
Adequacy test date 5/19/22
R ALL standpipes present per record drawing
Results QPass For 3 bedrooms
0
Total measured depth from grade 8.1 ft (max)
Fluid depth prior to test 0/0 in
Measured depth to pipe invert from grade 2.8+ ft (min)
Water added 905 gal
7
❑ N/A - pressurized field
New depth 23/44 in
❑ Monitor tubes go to bottom of effective. If not, state
140
depth into effective 43,.x„
Elapsed time min
P
ElCode-re Code -required soil cover over field
q
Final fluid depth 0 in
7
7 3"n
A System presoaked
Absorption rate 450+ gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months) no
LLdate
of test)
Gallons introduced 2000 gallons System 100°o full
If yes, enter date n/a
� immentS/DeficlencleS• Tested south trench (1983) only. No MT in 1981 Trench
found
COSA Checklist yellow sheet
MR
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'
❑ Yes
if No
Community Sewer Manhole/Cleanout > 100'
[] Yes
if No
ft
My Yes
if No ft
Neighboring Tank > 100' ❑ Yes
if No *76
ft
Private Sewer/Septic Line > 25' 0 Yes
if No ft
Absorption Field on Lot > 100' M-, Yes
if No
ft
Holding Tank > 100' 0 Yes
if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' Yes
if No ft
[�✓ Yes
if No
ft
ft
If septic tank is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Q Yes
if No
ft
[j✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances it less than required)
Building Foundations > 10'
❑ Yes
if No
**5+ ft
Surface Water > 100'
Q Yes if No ft
Property Line > 5'
Q Yes
if No
ft
Wells on Adjacent Lots:
ft Community Wells > 200' El Yes if No
Absorption Field > 5'
Yes
if No
ft
Private Wells > 100'
Q Yes if No ft
Water Main > 10'
Q Yes
if No
ft
Community Wells > 200'
Yes if No ft
Water Service Line > 10'
M 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'
0 Yes
if No
ft Wells on Adjacent Lots:
Water Main > 10'
0 Yes
if No
ft Private Wells > 100' Yes if No
Water Service Line > 10'
El Yes
if No
ft Community Wells > 200' El Yes if No
Surface Water > 100'
0 Yes
if No
ft
F. ENGINEER'S COMMENTS
*WR050063
**met code at time of installation
G. ENGINEER'S CERTIFICATION
I certify that 1 have determined through field inspections and review
of Municipal records that the above systems are in conformance with
COSA Checklist yellow sheet
e f :.......ess;
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ft
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0'.
0
HOUSE DETAIL
Scale: 1 "=30'
'10(.1 00, A
N
N 90 N
DECK
12.4
OECK 20,2'
GARAGE N
N 20,2,
10' UTILITY
Lot 2
EASEMENTS
� I
Lot 4A
Lot 1
0
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Lot 2
MORTGAGE SURVEY _K SCALE1 "_= 40GRiD__SW 2838 Pro ect No. ___ 22263 Al
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
a n g & A s S o e i a� e S inc. (907) 522-6476 Phone
9(907) 522-4625 Fax
ro f e s s i o n a l Land S u ry e I`/ o rS ken0longsurvey.com ..
jonathan0langsurvey.com
�N
LOT 3A, BLOCK 13, MOUNTAIN PARK ESTATES SUBDIVISION (PLAT No. 75-40)
ichorage Recording District, Alaska, and that this Mortgage Location Survey is a
presentation of the conditions that were found on the date the survey was performed.
its survey does not constitute a boundary survey and is subject to any inaccuracies
at a subsequent boundary survey may disclose. The information contained hereon shall
4 be used to establish any fence, structure, or other Improvements.
ited this the _ �' �Day of______, ------ I at Anchorage, Alaska
Is the responsibility of the owner to determine the existence of any easements,
,venants, or restrictions which do not appear on the recorded subdivision plat.
' 49TH+
i' KENN H NG o
U� F ��500 SJ�,d
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AECC963
