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THOMAS L BOYLE BLK 1 LT 9A
Thomas L. Boyle Block 1 Lot 9A #015-282-07 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201433 PID Number: 015-283-07 Dwelling: K Single Family (SF) El with ADU 0 Duplex (D) El Two Single Family Project: K New F_J Upgrade Name PAUL CARSTENS ABSORPTION FIELD El Deep Trench N Wide Trench El Bed El Mound Site Address 11900 WAGNER STREET ANCHORAGE, AK 99516 El Other Phone Number of Bedrooms Soil Rating ITotal depth from original grade 907-727-9782 4 1.2 GPD/SFJ 2.5 / 2.5 / 2.5 - Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.4 / 1.4 / 1.4 Ft. Gravel depth beneath pipe 1.1 / 1.1 / 1.1 Ft. Subdivision Block Lot THOMAS L. BOYLE 1 9A Fill added above original grade 2.3 / 1.9 / 1.6 Ft. Gravel length 45 / 23 / 23 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 517 Ft2 3 6.9/8.7 Ft. Well >100' >100' N/A N/A >251 TANK X Septic El S.T.E.P. 1771 Holding [] Other IManufacturer GREER Capacity 1250 Gal. Surface Water >100' >100' N/A N/A Material PLASTIC Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >10' >10' N/A N/A LIFT STATION Manufacturer N/A Capacity N/A Gal. Remarks Alarm location N/A Electrical installed by N/A PIPE MATERIAL House totank D3034d Tankto D3034 rainfield Installer RED DOG EXCAVATING Drainfield D3034 CO/MT D3034 Inspector L.TIDWELL BENCH MARK (Assumed elevation) 100 ft Inspection 15' 11/11/2011/12/20 Location and description dates: 2 nd 3rd 4th BOTTOM OF SIDING WEST SIDE OF HOME ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date A01 Benjarnk'DwSchiller Septic System�2" Approved 0161MA (LU& Date CE 12592 '0 PROFESSO kkj, Note: this approval does not include well permit requirements. V , ft k16-21101 ItR- 2/24/21 Rev 05/02/18) FCO 1"=50' 4-BDRM HOME CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGENDTH2PERMIT # OSP201433 PID # 015-283-07 THOMAS L. BOYLE, BLOCK 1, LOT 9A A B WAGNER STREETFEET 0 50 100280 275 285TH1 WELL NEIGHBORING SEPTIC SITE NEIGHBORING PROPOSED WELL (NOT YET INSTALLED). 1 - 45' LONG & 2 - 23' LONG x 5' WIDE x 1' EFFECTIVE DEPTH ABSORPTION TRENCHES 1,250 GALLON SEPTIC TANK w/ 20" MANWAY RISER ALTERNATE SITE CAT III SYSTEM: 20' LONG x 5' WIDE x 1' EFF DEPTH ABSORPTION TRENCH APP RATE 6.0 MT2 MT4MT6 MT3MT5 MH1SV1CO5 CO4CO6 CO2 CO3 2CO CO1 MT1 A B FCO 28.5 MH1 30.4 2CO 33.9 CO1 36.7 MT1 34.75 CO2 34.45 MT2 32.5 23.8 28.0 32.6 37.45 36.9 77.35 76.1275 CO3 43.8 MT3 40.9 CO4 39.5 MT4 37.6 CO5 56.0 MT5 53.7 CO6 53.8 49.45 48.2 67.5 66.4 60.35 59.8 76.6 MT6 51.574.9 SV1 32.230.8 FS FS PLAN AS-BUILT 2/18/21 PROFILE AS-BUILT (NO SCALE) 95.0 89.9 95.5 98.7FCOMH1 SV11250 GAL SEPTIC TANK 98.0 FINISH GRADE 45' DRAINFIELD ROCKMT1 TH#287.7 GROUNDWATER 10/9/20 93.2 94.3 CO1CO285.7 93.2 94.3 95.7 ORIGINAL GRADE MT22CO94.7 PERMIT # OSP201433 PID # 015-283-07 THOMAS L. BOYLE, BLOCK 1, LOT 9A 4/26/21 2" INSULATION PROFILE AS-BUILT (NO SCALE) 97.6 FINISH GRADE 23' DRAINFIELD ROCKMT3 TH#287.7 GROUNDWATER 10/9/20 93.2 94.3 CO3CO485.7 93.2 94.3 95.7 ORIGINAL GRADE MT497.3 FINISH GRADE 23' DRAINFIELD ROCKMT5 TH#287.7 GROUNDWATER 10/9/20 93.2 94.3 CO5CO685.7 93.2 94.3 95.7 ORIGINAL GRADE MT6PERMIT # OSP201433 PID # 015-283-07 THOMAS L. BOYLE, BLOCK 1, LOT 9A 2/18/21 Alpine rillin nter rises Well L® Permit Number: 9SW201433 Date of Issue: 1--21-20 Parcel Identification Num Date Started: 11-1-20 Date Completed: 11-2-20 Is well located at approved permit loc Legal Description: Thomas L. Boyle Block 1 Lot 9A Property Owner Name & Address: Merit Homes 520 West 58th Unit C Anchorage, Alaska 99518 01528307000 n? x Yes ❑ No Borehole Data: Depth (ft) Method of Drilling x air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casingii,type: steel stick-up 0 2 Wall Thickness: .250 inches organics and silt 2 3 gravelly sand 3 24 Diameter: 6 inches Depth: 141 fee Liner Type: Diameter: inches Depth: eet silt 24 80 Casing stickup above ground: 2 feet Static water level (from ground level): Pumping level: 140 feet after 2 hours pumping 20+ gpm- Recovery Rate: 20+ gpm feet 5b ` gravelly silt 80 85 silt 85 90 silty gravel 90 110 silt 110 128 Method of Testing: air li t silty gravel 128 139 Well Intake Opening Type: water sand & gravel 139 141 x Open End ❑ Open Hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped feet feet Grout Type: bentonite granules Volume: 1 bg Depth: Start 0 fe t Stopped ? feet Pump:', Intake Depth feet Pump size hp Brand Name WATER QUALFTY TESTING Coll9orm _ ea Col/100ml- Well Disinfected Upon Completion? Method of Disinfection: chlorine tablets Yes ❑ No Comments: �• - MMn- ArserdePO Well Driller: Alpine Drilling & Ente Box 110496 prises Anchorage AK 99511 Development Services Department r On -Site Water &Wastewater Section Well Drilling Permit Number: Pump Installation Log 201433 Parcel Identification Number: p/-�* -.29'39 ?ave.' Date of Issue: 1 _21.20 Legal Description Thomas L. Boyle Block 1 Lot 9A Property Owner Name & Address: Merit Homes 520 West 58th Unit C Anchorage, Alaska 99518 Pump Installation Date: 11 _16 _2020 130 Pump Intake Depth Below Top of Well Casing: feet Pump Manufacturer's Name: Gould s 1 OHS07 Pump Model: 3/4 Pump Size: hp 11 Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: Martinson B 10 Pitless Adapter Installer: Red Dog Masonary Well Disinfected Upon Completion? 8' Yes ❑ No Method of Disinfection: chlorine tablets Comments: PLEASE SAVE FOR COSA Pump Installer Name: David L. Harper Company: Aarow Pump & Well Service, LLC Mailing Address: P.O. Box 110496 City. Anchorage State: AK zip: 99511 Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump in tallation. W -r,,._.._.•••••••••••••»••••••••••y•-•••.�•••t...�•.veccc�rac��mi�vva xtzwa«eirulfftsi,',AienLrormswv£itUecommisioningtOrni.doC INIJUNICIPALITYOF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT A -W 907-343-7904 4 Cin -Site Water and Wastewater Section Fax: �`—� 43-1997 www.muni.org/onsite Well Decommissioning Lo Legal Address: £ Subdivision AC qA$ A , A Block I Lot T R Section Lot On-site Water & Wastewater Section certified contractor performing the well decommissioning: Name: -; Signature: Company: Well decommissioning datef, Method of decommissioning: ;AMC 15.55.0601-1 a. b. c. Location: Use the space below to provide a drawing of the property showing the following items: North arrow • Decommissioned well location • Location of other water wells on the property • Two separate swing -tie distances for each well shown on the drawing Note: The swing -tie distances shall be measured from either permanent structures or the property comers. r �� t f�•Frlcvnlnnmvnt Cnnnnm�Q..Y.Y..... c..F.,+.,ie1.. cis,. iwr�n_- __.e -r,,._.._.•••••••••••••»••••••••••y•-•••.�•••t...�•.veccc�rac��mi�vva xtzwa«eirulfftsi,',AienLrormswv£itUecommisioningtOrni.doC 0 0 Lo co w 0 0 co 0 0 0 .4 1 11=40' PLAT NO. P-2446 BOYLE SUBDIVISION LOT 9A, BLOCK 1 49,500 S.F. N 89059'00"E 300.00' 119.8' 0 0 co co GRAVEL DRIVE % •. EXISTING BUILDING SEPTIC SYSTEM 0 N WELL I,E 1W*311Z1]Y2milZsZi1111 AS -BU I LT I HEREBY CERTIFY THAT I 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.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR GRID DATE SW2734 2/19/2021 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NO. NOTE: NO CORNERS SET THIS DATE 21-01 BS9A1 0 0 �o W H N W 30' w I 0 P Z io 0 0 Q 0 3I z OFAl 1� i;' 49TH �� .*0 . � Jeffery A. Gaslaldi a N . LS -6091 �� AirstP .2/19/2021 �: tJ AV BUILDING DETAIL SCALE: 1 "=20' MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Dater & Wastewater System Permit Permit Number: OSP201433 Work Type: WellSeptic Upgrade Tax Code Number: 01528307000 Site Legal Address: THOMAS L BOYLE BLK 1 LT 9A G:2734 Site Mailing Address: 11900 WAGNER ST, Anchorage Owner: CARSTENS PAUL Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: Uel,artment 10/21/2020 10/21/2021 49500 Q Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing C.�� � 1 o IC" I S L � �1t� U� k -Pi S� Received By: Q Date: Issued By: ' 2 Date: /O 1� 012 0 4 MUNICIPALITY OF SI -;moi Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-283-07 Property owner(s) Paul Carstens Mailing address P.O. Box 231992 Anchorage, AK 99523 Site address 11900 Wagner Street Anchorage, AK Day phone 727-9782 Legal description (Sub'd., Block & Lot) Thomas L. Boyle, Block 1, Lot 9A Legal description (Township, Range & Section) Lot Size 49,500 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑x (w/wo ADU) Septic Tank IR Upgrade ❑X (D) El Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:( q,6, 2 S 0112 Waiver Fees: Date of Payment: �� I q / .ZOq O Date of Payment: Receipt Number: 2 5 j g D Receipt Number: Permit No. O--5P201g33 Waiver No. 1©I Z�lL02O Permit App_'-'- :-'.,:c PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) October 14, 2020 M.O.A. Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Subject: Thomas L. Boyle, Block 1, Lot 9A – 11900 Wagner Street Well and Septic System Design Dear On-Site Services Engineer: The owner of Lot 9A, Block 1, Thomas L. Boyle Subdivision intends to construct a new four- bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The existing well on the lot will be decommissioned per M.O.A. Code and a new well constructed. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Also identified on the plans are the existing well and septic systems on this and surrounding lots. No conflicts exist between the proposed septic system and well or septic systems and wells on adj acent lots. The ground surface on the lot in the area of the septic system slopes to the west. The new trenches will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100’ from all private wells and any surface water. Ground surface contours are shown on the Site Plan which indicate direction of surface flow. Storm water drainage will not affect the proposed septic system. Please refer to the attached test hole log and plan and profile sheets for the septic design. If this design is followed, there will be no adverse impacts to adj acent properties. Sincerely, Michael E. Anderson, PE 10/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201433, Rebecca Carroll, 10/21/20 • ` 2 :• • • • i i NEIGHBORING SEPTIC SITE. NEIGHBORING PROPOSED p WELL (NOT YET INSTALLED). i i LOT 12B i A�TERNA E SITE CA I/11 SYSTEM: 20' LONG -x 5' WIDE x 1' EF. H ABSORPTION TRENCH. APP.'RATE 6.0 ~� c 0* 1 EXISTING WELL TO BE DECOMMISS ONED PER MOA CODE. c0 11 \MT NOTE: CO MT I IIIr 1 MAINTAIN A MIN. MT _ FSI I Q MH FCO pab LOT OF 6' �ETWEEN "' Co Fs 4-BDRM HOME TR�NCHES. co T co ` o =� ` ° a 1 \ i �, CO 'PROPOSED WELL t 1,250 GALLON SEPTIC TANK w% 20" \ MANWA`Y RISER. 1 - 45' LONG & 2 - 23' LONG x 5' WIDE x 1' \ / EFFECTIVE DEPTH ABSORPTION TRENCHES. DECOMMISSION EXISTING SEPTIC \ !f TANK PER U.P.C. ABANDON EXISTING l27 �\\ ABSORPTION TRENCH./-- L ( L OT 9B I NACA ENGINEERING NOTE: ! L � NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 1 00'OF THE LEGEND :^`.................... OFq��PROPOSED SEPTIC SYSTEM CO -CLEANOUT •.• . �®�� ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2CO - DOUBLE CLEANOUT .49th PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC FCO -FOUNDATION CLEANOUT °n.._ •••••s••••••.... ... ..................... •• � SYSTEMS. FS -FLOW SPLITTER VALVE MICHAEL E. ANDERSON MH -MANHOLE p J °•., No. CE -4381 _� 0 50 100 ��Ff•... 11112/20 ..•'F '�� FEET MT - MONITORING TUBE 0 F19°•°°••........... SV - SEPTIC VENT 4�d�4mma S®® ®� 1"=50' ' TH - TEST HOLE THOMAS BOYLE, BLOCK• •A DESIGN FACTORS: 600 GPD PEAK FLOW PERK RATE: <1 MIN/IN (SP/SW) APPLICATION RATE: 1.2 GPD/SF SYSTEM REQUIREMENTS: SHALLOW TRENCH SYSTEM 1,250 -GAL SEPTIC TANK 600 GPD / 1.2 GPD/SF /5' WIDE *.88 RED. FACTOR = 87.5 LF TRENCH REQUIRED (90 LF SPECIFIED) BOTTOM OF TRENCH: 2'6" BELOW GRADE FLOW LINE ELEVATION: 1'6" BELOW GRADE TOP OF TRENCH: V ABOVE GRADE OG TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY 2" INSULATION & GEOTEXTILE FABRIC. RFORATED PVC NFIELD ROCK i i E N G I N E E R I N G'. OF .P .................. ®&®® 069 49th MICHAEL E. ANDERSON No. CE -4381 11112120 of fROFESS\Ct' ' LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet)✏ PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) T H O M A S L . B O Y L E B 1 L 9 A ⌥ 1 0 /2 /2 0 L . T I D W E L L DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH? - 0.96 6 1 2 0 1 5 -2 8 3 -0 7 M E R I T H O M E S ⌥ 4:06 10/2 1 2 3 4 5 6 0 0 16 / 6 0 16 4:11 4:14 4:21 4:27 4:32 1' OB Professional Engineers Stamp: 10/9/20 3:25 N O ⌥ 7 .0 ⌥ 1 0 /9 /2 0 ⌥ SW CL SC 3:48 5:16 5:17 4:44 5:46 0 0 16 / 6 0 16 0 0 16 / 6 0 16 0 0 16 / 6 0 16 0 0 16 / 6 0 16 0 0 16 / 6 0 16 6 0 16 6 0 16 6 0 16 6 0 16 6 0 16 6 0 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201433, Rebecca Carroll, 10/21/20 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet)✏ PROJECT No.: TEST HOLE 2 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) T H O M A S L . B O Y L E B 1 L 9 A ⌥ 1 0 /2 /2 0 L . T I D W E L L DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH? - 0.69 6 3 4 0 1 5 -2 8 3 -0 7 M E R I T H O M E S ⌥ 3:31 10/2 1 2 3 4 5 6 0 0 16 / 6 0 16 3:35 3:39 3:44 3:49 3:54 1' OB Professional Engineers Stamp: 10/9/20 2:19 N O ⌥ 8 .0 ⌥ 1 0 /9 /2 0 ⌥ SW 3:45 3:56 3:59 4:00 4:09 0 0 16 / 6 0 16 0 0 16 / 6 0 16 0 0 16 / 6 0 16 0 0 16 / 6 0 16 0 0 16 / 6 0 16 6 0 16 6 0 16 6 0 16 6 0 16 6 0 16 6 0 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201433, Rebecca Carroll, 10/21/20 PROJECT CLIENT:% GRAVEL 2.2 USCS SP PROJECT NAME:% SAND 96.6 USACOE FC N/A PROJECT NO.:% SILT/CLAY 1.2 % PASS. 0.02 mm N/A SAMPLE LOC.:% MOIST. CONTENT 4.4 % PASS. 0.002 mm N/A NUMBER/ DEPTH:UNIFORMITY COEFFICIENT (Cu) DESCRIPTION:COEFFICIENT OF GRADATION (Cc) DATE RECEIVED:ASTM D1557 (uncorrected) N/A TESTED BY:ASTM D4718 (corrected) N/A REVIEWED BY:OPTIMUM MOIST. CONTENT. (corrected) N/A SIEVE SIEVE TOTAL % SPECIFICATION SIZE (mm) SIZE (U.S.) PASSING (% PASSING) 152.40 6" 76.20 3" 38.10 1.5" 19.00 3/4" 100 12.70 1/2" 100 9.50 3/8" 99 4.75 #4 98 2.00 #10 94 0.85 #20 86 0.43 #40 67 0.25 #60 32 0.15 #100 9 0.075 #200 1.2 ELAPSED DIAMETER TIME (MIN) (mm) 0 0.5 1 2 4 8 15 30 60 250 1440 HYDRAULIC COND.⌃ (ASTM D2434) DEGRADATION (ATM T-313) PLASTICITY INDEX⌃ ASTM 4318 PASSING The testing services reported herein have been performed to recognized industry standards, unless otherwise noted. No other warranty is made. Should engineering interpretation or opinion be required, NGE-TFT will provide upon written request. 11301 Olive Lane Anchorage, Alaska 99515 Phone: 907-344-5934 Fax: 907-344-5993 www.nge-tft.com% N/A N/A 2.5 1.0 Forge Engineering HYDROMETER RESULT⌃ N/A SIEVE ANALYSIS RESULT⌃ Thomas L. Boyle 5665-20 TP #2; Lot 9A/ Block 1⌃ 20-S-2 Poorly-graded sand⌃ 10/12/2020 JA RJPC TOTAL % 115 120 125 130 135 140 145 0 2 4 6 8 10 12 14 16DRY DENSITY (pcf) MOISTURE CONTENT (%) MOISTURE -DENSITY RELATIONSHIP ASTM D1557 SILT or CLAY COBBLES GRAVEL Coarse Fine SAND Coarse Mediu m Fine 0 10 20 30 40 50 60 70 80 90 100 0.0010.01 0.11 10 100 FINER BY MASS (%)GRAIN SIZE (mm) PARTICLE SIZE ANALYSIS ASTM D422 / C136 #200#40 #10 1.5 1/2 3 6 3/4 #4 #20 #60 #100 3/8 U.S. SIEVE OPENING IN INCHES U.S. SIEVE NUMBERS HYDROMETER Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201433, Rebecca Carroll, 10/21/20 "j 4z"� GOER ANCHORAGE AREA EIORO`�l brPARTMENT OF ENVIRONMENTAL QUALIIL 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING ADDRESS�'z9X/.SSOfl. f'!'TA PHONE -- LOCATION_i✓Ac��C/� J>� LEGAL DESCRIPTION��TS SEPTIC TANK: DISTANCE FROM WELL �� �'f S NUMBER OF MATERIAL TEcL COMPARTMENTS / LIQUID CAPACITY %SO GALLONS. INSIDE LENGTH INSIDE WIDTH — DEPTH �-- SEEPAGE SYSTEM: SEEPAGE PIT: ///A NUMBER OF PITS_ LINING MATERIA NEAREST LOT LINE_ TILE DRAIN FIELD: DISTANCE FROM TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH , DEPTH BUILDING FOUNDATION , DISTANCE FROM WELL /�7-e, ,� ,FOUNDATION �D / TOTAL LENGTH i NEAREST LOT LINE �S , OF LINES— NUMBER INES NUMBER OF LINES -Z DISTANCE BETWEEN LINES TRENCH WIDTH ��. S IN. TOTAL EFFECTIVE ABSORPTION AREA LSA' SO. FT. LENGTH OF EACH LINE / (:E � / s DEPTH: TOP OF TILE TO FINISH GRADE- DEPTH OF FILTER MATERIAL BENEATH TILE 4�IN. ABOVE TILE_!5 DISTANCE FROM / WATER �rr��nn''���� TYPE �/'/��' DEPTH /yam �, BUILDING FOUNDATION. �D f' SAMPLENEAREST /O f- NEAREST i� SEPTIC i SEEPAGE . OTHER LOT LINE NONE . SEWER LINE. –,TANK �� , SYSTEM , CESSPOOL 0/1/-`, SOURCE �w-i, DIAGRAM OF SYSTEM DISTANCES: t ��r .. . ..._..._ t DATE ,A % APPROVED lZ 7 G.A.A.B. I GREATER ANCHORAGE AREA BOrtOUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 5500 TUDOR ROAD POUCH 6.650 ANCHORAGE. ALASKA 99502 TELEPHONE 279.6666 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT' LL INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK /L/i1 TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH MAILING ADDRESS1 SEEPAG; PPFIT- � DRAIN FIELD �3Y /i -G 1, -s TO BE INSTALLED BY PERMIT NO.IF46-- Z OTHER /3/O SOIL TEST RESULTS NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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 512E TYPE �p' �-('LLC. C 7 SEEPAGE A MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK 4T' f FOUNDATION TO SEEPAGE PIT Z DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL /5- / SEPTIC TANK S . SEEPAGE PIT Z� DRAIN FIELD TO NEAREST LOT LINE. O' 2 WELL TO SEPTIC TANK � SEEPAGE PIT / D DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /O SEEPAGE PIT DRAIN FIELD _ SEPTIC TANK, SEEPAGE PIT /DO ' 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. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G/ HEALTH RUTH RITY OR LICENSED DESIGNER SIZE . we% TYPE DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE 4g� 25 5/ APPLICANT'S SIGNATURE �y"�'1/� I 4"T✓ �• Gv-' TER ANCHORAGE AREA BOROUC---1 DEPi,..iMENT OF ENVIRONMENTAL QUAL .,2Y 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For Paul Carstens Legal Description: Lot Blocl This Form Reports Soils —Log x Lot 9A & B Depth Feet Soil Characterist7 - - Gray and brown sand (SP) 2- 'u— Gray sand (SW) Was Ground Water Encountered? yes If Yes, At What Depth? 5.2' CASE N Date Performed 10/8/71 ubd— ivlsion Boyle Percolation Test Reading Date Gross Time I Net Time Depth to H2O Net Dr o I nc. arrn In* UZ Proposed Installation: on: Seepage Pit Drain Field x Depth Of Inlet Depth To Bottom Of Pit 67 Trench COMMENTS: 135 square feet of drainage area is required Per bedroom lest Performedy K. E. Car s e_ a a er 7 le ona y:Nati 1 T ti S Date: es ng vs. I nc. MUNICIPALITY Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Parcel I.D. 015-283-07 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: Complete legal description Thomas L Boyle Sub, Block 1, Lot 9A Location (Site address) 11900 Wagner Street Current property owner(s) Paul Carstens Day phone (907) 727-9782 Mailing address Real estate agent 2. TYPE OF DWELLING: P.O. Box 231992, Anchorage, AK 99523 Day phone 0 Single Family (w/wo ADU) 'V ❑ Duplex n ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well FE -1 Private Septic 110-1 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1 a C) e -u S)4 Waiver Fee $ 02 / Date of Payment/ Date of Payment Receipt Number 0 b Receipt Number COSA # 0 S C�, 1 1 M Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller Date 04/13/21 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for 9 bedrooms bedrooms m .m SIVATH P 'F .: y Benjarnn= chiller i ��'srF� • CE 12592 04/13/21 , �0 . a k�1®O�.a pROFESSVO bedrooms, with the following stipulations: By: Original Certificate Date: q / 0� i -� g The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: COSA Checklist THOMAS L BOYLE SUB, BLOCK 1, LOT 9A Parcel ID: 015-283-07 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA 11mil Well log is filed with Onsite (or attached) Date drilled 11/2/20 Total depth 141 ft Cased to 141 ft ❑O- Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA N/A Static water level at beginning of test 56 ft. Comments NEW WELL B. TANK DATA Age of tank(s) <1 years Tank type/material SEPTIC/PLASTIC Measured operating fluid level in septic tank N/A ®❑ Standpipes/foundation cleanout per record drawing Date of pumping NEW CONSTRUCTION D. ABSORPTION FIELD DATA Which system tested (date installed) 11/12/20 limil ALL standpipes present per record drawing Total measured depth from grade 4.114.414.1 ft (max) Measured depth to pipe invert from grade 3.7/3.3r3.0 ft (min) ❑ N/A — pressurized field ®❑ Monitor tubes go to bottom of effective. If not, state depth into effective ®❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Structure served by this system 1 Well production at time of test 20+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 2.41 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by FORGE ENGINEERING Date of Sample 4/13/21 C. LIFT STATION uired maintenance completed Age of lift st—altolo, years Lift station material Comments: Adequacy test date NEW Results E✓ Pass For 4 bedrooms Wtl�id depth prior to test in Water ded gal New depth in Elapsed time min Final fluid depth I Absorption rate gpd Any rejuvenation treatment (past 12 If yes, enter date 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' ✓V Yes Community Sewer Manhole/Cleanout > 100' r, Yes if No ft M Yes if No Neighboring Tank > 100' 0✓ Yes if No ft Private Sewer/Septic Line > 25' [✓ Yes if No Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0✓ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ✓❑ Yes if No 0✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft P/1 Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' ft ft ft ft ft U Yes if No ft Property Line > 5' ✓V Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ✓V Yes if No ft Private Wells > 100'✓0 Yes if No. Water Main > 10' Q Yes if No ft Community Wells > 200' Yes if No . Water Service Line > 10' El 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' ✓❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' a Yes if No ft Private Wells > 100' Water Service Line > 10' Yes if No ft Community Wells > 200' Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet ft ft ®✓ Yes if No ft 0✓ Yes if No ft law TH • Benjarrchiller �.� CE 12592 • �`��� 4/26/2021 • F�� ���F�PROFESS10NP