HomeMy WebLinkAboutDALZELL-SCHNEITER BLK 2 LT 5r.)alzell-
chnei*ter
Block 2
Lot 5
#015-291-17
•� Municipality of Anchorage
Development Services Department -^
Building Safety Division
On-Sde Water and Wastewater Program, 4700 Bragaw St.
P.O. Boz 196650 Anchorage, AK 9951"650 Page I of -Z
www ci anchorage ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: S_w V!j -L PID Number: or S7, _ Zg 1 - ( ;?
Na"
ob f3roblY
Wastewater System: New ❑ Upgrade
//
Adbess P 0. f3o l I o -c..Cn . /F�-
ABSORPTION FIELD
Ph � _ ,y/ J � NumEar vkooms
NV
1
tl1D•ap Tnsn� 0 SNnow T,em9, p B•A p MoW 00"W
LEGAL DESCRIPTION
Sw Raorq �-s
TMM Deptn ham OpnM praoe
l'/•t; GPD61e
oLot 12, FI.
81q Lix SUDbaean
081,11110 PPI, bo"M hom an9nM grade
~N
Q, vM depth D sth ppa
Ft.
(JiV F,
Tw p RwVe Sagan
FA added aOove 0.9,nM pM» J
ti 3.O r FL
GII Lergth'
Ft.
Well: i� New ❑Upgrade
•
G, Mwbh
2, o
NwnDainsa
I
Data heti eeiinea
Fl.
F1
CbsufiM (pMale 0. 9. C)
TOM Depth
cased la
TOM ahsagan areaJ
Pepe Mneno r�
Y a 1.G.i
F1.
F,
/ op tS Fts
iii >
DMler,/ Jp/
DM.Dibd
- O"
slawWal L.rN
J
InMalb, �/pQ J/1 CI§J ✓>'
�Jt7
oat. �
/Z
F,
lift ll]7
Iyi �S
YMId
Z�GPM
Pump Sat n
7
Ca" 11np,n Move Ground
2,0
TANK
Ft.
Ft
SEPARATION DISTANCES
f4 Septic ❑ Holding ❑ S.T.E P. ❑ Other:
To
Septic
Absorption
Ldl
Holding
^p�1 1ef
X �ayr
e dty
From
Tank
Field
Station
Tank
it
c K,
/'Z V D GM
wen
/t7D
/po
Mat•na
S
Nun bw M ConpYlmwee
Z—
S,rf a wMM
too y*
loot d-
R,dLv,a
LIFT STATION
LO Ln.
5Q I f.
Zt1 yI
.za
Gal
xt.nw
Fa ,on
/pt,�
10'4-
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'Pump o"' w M
Nipn rMx 0.M
n
in
Cunan Cran
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N �.
Pump Mae.a
EleptaM hepaOana peda Dy
l•.
RemMU
BENCH MARK
Lo t.."D.wWlm
wmw bvauon
/vCr Ft
Inspections / Ti h e
by: I A ( fxd �T41 ✓1, Dates: 1at 2 / /`IwnOf�\��it
Engineer's Stamp
performed
SpZ.••...!1.gs11
2dd12 .S' ..,
`:�
Development Services Department Approval
• y�/!
Conditional Approval Date:
is 49TH••
' • •• n•�••, •j''�%0 . �..
MICHAEL N../QANDLRSCN:,?
Reviewed and approved by:. -t/ Date:
Permjt No. SW050429 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: LOT 5, BLK 2 DALZELL—SCHNEITER S/D PID No.: 015-291-17
MARK
A
B
ELEV.
C01
8
12
96.6
CO2
14
12
/GRNPIPE
96.5
CO3
14
12
96.5
TC01
16
14
TCO2
21
19
C04
26
21
.
96
C05
28
22101.3
96
C06
36
34
101.9
95.5
MT
60
45
102.2
C07
73
58
102.2
95.5
5
I
SECONDARY TRENCH
n
II
I �iy
II \
II �
II 1
II 1
II I
II /
I
II j
II /
I Imo/
ASBUILT
SCALE: 1 "=30'
mss'
OSP,..•
u : i 49TM
HOLE
N.
SLAB
0
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
June 3, 2008
Municipalities of Anchorage
Departments of health and human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Dalzell-Schneiter S/D Lot 5 Block 2
To Whom it may concern:
After reviewing my asbuit drawing it appears that the original test hole location was shown in a
different location then the final asbuilt drawing, this was due to no survey during the test hole
excavation. At the very beginning of the project, I was asked to dig test holes without any
property line staking. The septic system was installed within the 30 feet radius of the test per
MOA requirements, but my original drawing was incorrect in the location.
The installer (backhoe operator w/ Bradley Company) stated during the installation that he was
an employee of the Bradley Company and that they were MOA certified. Since this appears to be
false, then I have used my name as the installer on the form to get final approval on the system.
The well log and pitless adaptor installation were delivered to me about 2 weeks ago and should
be in the file. The asbuilt form has been updated.
If you have any question please call me at 345-3377
Sincerely
N. An✓d/er�s�on, P..E
.Miael
04/?3/20x8 0e:16 9073458/52 FRADLLY C.= PAs£ 0'30.
,7PR-24.01A 04333P a'R:M: TCh34GE115V P.1
Drilr'ng, I11L. STATE OF ALASKA
DEPARTMENT OF NATURAL RESUURM
DIVISION OF MINM LAND k WATER
Water Well' 9rfGend and Tump Serine W ATCR W ILL LDC
l u(nagge. A�u(w (9J:) rye•v5�? a lsnr s.tee 02/ 15 ?006e. 1,.0215 eaxYi
CI:Y o.Cf:
suhllvlfirn: 9LOCK
IAT
PmPzry0w N-moAAddress:RobartBr2dle
PO Box 110228 Anchorsgo. Ak. 89511
Anchorage
Izell•Schnaber 2
5
mm;d;an Teh..wtoipi_ Ranac--smmcn_ is of —1/4 of —.,/4 of Y.
BOREHOLE DATA(1romtop ofpKinp)orp4
Material: Type. Czlm h wericu I f=1 13
Orillingeutkod:JX) Air roory, ( )Coble mLOdher^—
Well use: ( )1Lbli9 wprly. I x i DonKVic. Other ^ --
e k:kup
0
2
Depth of took: q_ k Cuing tahckup. _ 2 _A
Casing type lm -81 Tldckmn: inches
dirt E rock
2
10
Cuing disouur, 0 inetws coring depth: 91 ft
Linc type: Diamckr.=mchcs Dyxh:_»;,n
sand
10
15
S;micwater (fr mrwoteuMv:_57 f1oaQV- /may'
'
Pumping leve: &yield: _� foct aftrr` boon u._ spm
Recovery rale: _ 25 spm. Method oftemirta airllk
ftrvc1opmenl method: aPi(t Dumli6m_IAOyr
nand d nock
15
45
siky sand & fine rock
45
60
Wall intakd opening 7Pc: f X) Open end, l t Opal hole, Otra
cor.oned1 curt: _A.topped t1
coarse sand & rock
60
81
Semon type: - Sb:/ahca'h du:
P•rfonted: Smrt:_ s, Snwp.d. A
s cn: t, set rp«I: P.
coarse grave) w/ H2O
81
P1
Ner:
Crour type bonktnde Votume - -
0.pth:fnm��rgjsuriarxa ,ro 20 R
--
Putrp intake derth: p
P9np size: _ hp. Btu n toll nc:
Wn well disiafetccd upon ecmpktione 1 x) Ya, ( )NO
Method _of ditiorktion;—C.hlWag_.._._......._..�_.»_......_.._._._
Welldrillefaaaw- nny_Ku.»_......... .......... ....»...._»»......
Company Aawc:.»HePy Drilling,, letc................ ...................
Mailing addcte...35' �_iVCll�� D►^...........
city. Afro __ Stac:Lp 89616
Plvaorombor: i 2E ) 345.0593 faX345-4700
Drilktasil;tuturc- j
Aloka stat ins ralalnr tYah a eopY of thu wd lollSo rent b the Pythlp the Cny df oragq K I
rl; Wtt : r (AK m l Reuun.c wiihi. 5 dry. sent to rre appropriate city ofrce t
46tLldh0an AR gamut 3aic I I A C 93,.433.41 Aa.0-0, pie well log be teat to die wdVpm
b.ISA20 am n. nyuts0ons 11 nAC 93.140).
Dfdd Unmanmm,m.a.bhp Wsm. Pvrml: Numter: OM429
Lie
W W 7rn Avenue, Smite Qt'teofgenu NaYl-Ml2((
An0jore ;. AK 99501- 3502 Parcel tdemiftcaton NWaber m
MOM. 14011209.4639&ad rt419071309.aw Ill well laeaht.d 63 approval Amit
agree uwt a copy of :a: wet; log to
60daY9altd lhafarorheregyof
o.vicer winhin 30 days.
Yee or 4 1No
Development Services Department
Building Safety Division
A -w On -Site Water & Wastewater Program
4700 Bragaw Street ;
P.O. Box 196650 "
Mark ch Anchorage,
Mayor w muni.oro/onsite �9i
(907)343.7904
Pump Installation Log
Well Drilling Permit Number: SW 050429 Date of Issue: nov.09 2005
Parcel Identification Number: 015-291-17
Legal Description
DalzellSchneiter sub, blk.2 tt.5
Property Owner Name & Address:
Robert Bradley
P.O. Box 110226 Anchorage, Ak. 99511
Pump Installation Date: 02/20/2006
Pump Intake Depth Below Top of Well C2sing:73'2" feet
Pump Manufacturer's Name: Aermotor
Pump Model: T12-50
Pump Size 1/2 hp
Piticss Adapter Burial Depth: 132" feet
Pitless Adapter Manufacturer's Name: Martinson B -10X
Piticss Adapter Installer: Hefty Drilling Inc.
Well Disinfected Upon Completion? 0 Yes ❑ No
Method of Disinfection: chlorine
Comments: ,11°kr 1�,
3T4n f#U.
c7l=gau�94 d%9( 99-v6
Pump Installer Name: Hefty Drilling
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
01; 03/2038 02:1t 9V3458:.2 EPADLEV C_- PAGE: 03/0;
04t3:P FRW: TC: 33T..,3' M P.a
Pump Installation
Log Lt. 9
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rivatMap�rylunt em�eri vie: Dif)'"�,.Nbt(�
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a.= war w..
mum wmmwc %P.
q'CM IIIIL An
omemwm well was cisir>;ened upon completion.
rr*thoct caUum hDocMorite.
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Warer wcffandTun!p Selvke
Top 0; C q. -f5 %nchoruge, %Caska
(907) 345-0593
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63111MOU 3.tMUISIQ 0991 St¢ Lno Sf3 MCT 03i So-'oolto
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water b Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SWO50429
Legal Description: DALZELLSCHNEITER BLOCK 2 LOT 5
Design Engineer: 0088 Anderson Construction & Engg
Owner Name: ROBERT BRADLEY
Owner Address: PO BOX 110226
ANCHORAGE. AK 99511 -
Date Issued: Nov 09, 2005
Expiration Date: Nov 09, 2006
Parcel ID: 015-291-17
Site Address: 5623 DALZELL CIRCLE
Lot Size: 55974 SO. FT.
Total Bedrooms:4 Permit Bedrooms: 4
This permit is for the construction of:
Q✓ Disposal Field n✓ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction must 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By.
Issued By
Date: /1/1Z LO
Date:
Municipality of Anchorage
-�1 Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. aq /- /I Permit Number SW
Property owner(s) e)\-> Day phone /o�?/A9" W63
Mailing address rt) a ) ila"L p I %� Zip Code `77 `371
Site address
Code
Legal description (Lot, Block & Sub'd.) (31 Yu 2 Lu '- S Oaig-c I
Legal description (Section, Township & Range)
Lot SizeAcr s/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms
Sewer Only ❑ Well Only ❑
Sewer and Well Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/RushFees: S Jo Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number: —%I_o.',jC Y 4Q Receipt Number.
(Rev. 09!04)
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4640 Shoshone Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
Nov 4, 2005
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Dalzell-Schneiter S/D Lot 5 Block 2
To Whom it may concern:
This is a request for a new septic and well permit. A test hole was excavated at the northwest
corner of the lot and found silty sand for the complete 18' depth. My perc was 8 minutes per inch
after a 4 hour pre-soaking. No water was observed during excavation or after the 7 day
monitoring period. The soil log consisted of silty sands with some silty gravel mixed throughout
the entire depth. An application rate of 0.6 gallons per day per square foot will be used for the
design.
The slope of the lot is 5 to 6 percent for most of the lot, then flattens out to 2 to 3 percent along
the southwest comer. No pounding of water has been observed near the site or in the
surrounding area.
None of the surrounding lots will be impacted by this new system as the overall plan shows for
200' radius.
If you have any question please call me at 345-3377
Sincerel
Michael N. Anderson, P.E.
DESIGN CRITERIA:
4 BDRM X 150 = 600 GPD
SOILS = 600/0.6 = 1000 SOFT
1000 SOFT/16 = 63'
(1) TRENCH
10.0' DEEP
8.0' EFFECTIVE
2.0' WIDE
63' LONG
PROPOSED'�EPTIC SYSTEM-
.
LOT 6
PROPERA'-LINE /
Ex STING 100'
W LL RADIUS
LOT 7
i
i
e
i I
DALZ`ELL CIRp'LE-
LOT 2
MOUND OVER
(THAI) o GRADE
_t ORGFILTER FABRIC
-2.0
4 0 PIPE
SEWER ROCK
-10.0 ' '
2.0'
-1a
NQNS SUB
i
LOT 5 ,-" LOT 4
I
0
` a
0
- - ROPOSED HOUSE
`EXI$TMfG SEPTIC
I
i
LOT 3
Septic Design Prepared For -%
BOB BRADLEY •.••P�.......... ; 114
LOT 5, BLOCK 2 DALZELL-SCIINEITER SUBDIVISION C y#
#
Anchorage, Alaska #j
• ° 49 T" !\
Prepared By ••• • ••J . �.
•.�...• 0
MICHAEL N. ANDERSON, P.E. %%J�/�/ T�
4640 SHOSIIONI DRIVE♦';MICHAEL N. ANDERSON
(007) 345-3377 / FAX (907) 345-1301 ��� No. C _ 9 69 ' ��
SCALE: 1"=100' NOVEMBER 4, 2005 � %was \ •••
PROPOSED WELL. 100'
RADIUS
WELL
LOT 5, BLOCK
THRI
MT
JC.4 DOUBLE C.O.
EXISTING HOUSE
LOT 5
Septic Design Prepared For
BOB BRADLEY
2 DALZELL—SCIINEITER SUBDIVISION
Anchorage, Alaska
Prepared By
MICHAEL N. ANDERSON, F.E.
4640 SIIOSIIONI DRIVE
(007) 345-3377 / FAX (007) 345-1391
SCALE: 1"=30'
NEW 1,250 GALLON p
SEPTIC TANK q:''
C.O.
LINE
NOVEMBER 4, 2005
,
FIELD` 5 g%
MARY SYSTEM 3
OF
I•ij�449LHH
M%M CHAEL N. ANDERSON;
No. r 469ox
iat
•��
� 'CQ
Municipality of Anchorage . h~P •�'� 9+1
DEPARTMENT OF HEALTH & HUMAN SERVICES /r:49TH •.*1
825 "L" Street. Anchorage, Alaska 99502.0650 �" �"",,"//''' ""
SOILS LOG — PERCOLATION TEST /l.�:I!!.. .........
O MICHAEL N. ANDERSON :.v
PERFORMED FOR: a4b 1ad4&t1e!4 DATE PERFORMEd � •• �� s
LEGAL DESCRIPTION: Lv}S' rICi Z Township. Range, Section:
DEPTH }/Olt<Ir- sC�tifl+t re 7/f!
(FEET)
1 °j9et`�S
2-
34 3-
4
Srl[�
5
El
N
8
9.1 I enfe'K SM
1U WAS GROUND WATER _ r O
ENCOUNTERED? l`+
S
11 IF YES, AT WHAT 0
DEPTH? P
12 E
Depth to Water Alar J
13 mmiwringt Ahgc/ Date: / r °S'
14
15
16
17
18 T---F73,vtld..r . F Are.
19
SITE PLAN
®®mmm
20-{
I
PERCOLATION RATE
Immutesnnchl PERC HOLE DIAMETER (o
II_
JI
S
TEST RUN BETWEEN
FT AND FT
5d`rS
Orr JKv4 tUh 4r ss.Wf
s,
-y lso-q l,� Po.I tertf
COMMENTS
20-{
I
PERCOLATION RATE
Immutesnnchl PERC HOLE DIAMETER (o
II_
JI
S
TEST RUN BETWEEN
FT AND FT
5d`rS
Orr JKv4 tUh 4r ss.Wf
s,
-y lso-q l,� Po.I tertf
COMMENTS
PERFORMED BY: A4, le- P L4 ead0v1 I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE I0�2'slnK'
72-008 (Rev. 4/851
• Municipality of Anchorage
Onsite Water and Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel
Expim ion Date: 3
1. GENERAL INFORMATION
Complete legal description ri �� r (� 5� n t r� V5 1; t v I
Location (site address)
.. ;,Qurrent Property owners) Day phone
Mailing address
Real Estate Agent Day phone
2.' TYPE OF DWELLING:
[ Single Family (w/wo ADU)
�] Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 14_
4, TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
individual Well [ Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
� p
Received by �' a Date:
CASA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ L� R� Waiver Fee $
Date of Payment "LLZ7 / 3 �k 8`��a Date of Payment
Receipt Number t7 Receipt Number
COSA# C Jsc Waiver#
. 5. STATEMENT OF INSPECTION BY ENGINEER
As,certified by my seal affaed hereto and as of the validation date shown below, I verify that my investigation,
:based :on procedures outlined the. Certificate -of Onsite Systems Approval Guidelines for this application;
: •=-.,stiows that the on-tite4ater supply and/or wastewater disposal system is (are) safe, functional, and adequate
for thenumber of bedrooms and We. of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and. from my investigatrori and inspection, the on-site water
_.supply andfor wastewater disposal system is(de) in compliance with all applicable Municipal and State codes,
` ordinances, and regulations in effect at the time of installation. •• ; t c
Name of Firm • .Mr k e IV 41 r syyr Q, P:' . 7 2 7 - 5-5s -f
Address — `f G G r
Engineer's Printed Name M. CT<ru Date '&
NNO"U,�
.d
OF Al',
t3 DSD SIGNATURE TH
System #1 Approved for Y bedrooms. /... ..
SC
System #2 Approved for bedrooms. MICHAEL N. AND
�'rf CE- 9469 o
Disapproved.
Conditional approval for bedrooms, with the following 5
Original Certificate Date:
unidpality of Anchorage Development SenAces 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
Munldpality of Anchorage is not responsible for errors or omissions in the professionatengrneels work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
U more than I septic system is on the lot:
COSA Checklist# x of
Structure served by. this system
Certificate of On -Site Systems Approval Checklist
Legal Description: _ 3a r/� — 5 r� „ e, far 43 Z L� uF S Parcei ID:�—
A. WELL DATA
Well type If A. B, or C provide PWSID # Well Log (Y/N) Y
Dale completed 1 S 0 (o Sanitaryseal (YIN) Y Wires properly protected (Y/N) Y
Total depth °L I fL . Casedlo 9 I : fL Casing height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test r s v L -2--
Static
Static water. level S ft.
Well production g.p,m, p
g.p:m.
WATER SAMPLE RESULTS:
Coliform: colonies/100mL Nitrate H,It-((Pmg/L II Is
Arsenic .ugiL Date of sample: Z ! S I Collected by: _[-/c ^y try c
B. SEP71CIHOLDING TANK DATA
Tank Type/Material Date installed - 1 2 F 19 Lo s
. , Tank size 14 11;'0 . gal. Number of Compartments _Zi Cleanouts (Y/N)
Foundation cleanout (Y/N) Depression over tank (YIN) .N High water alarm (YIN)
Date of pumping I Ift'll. Pumper- X n... n r f -k. z (u c C, 06n p ,, r - -
C. ABSORPTION FIELD DATA
Date installed f z ra e 5 Soil rating (g.p.d./ft' or fetbdrm) Q. to System type
Length - fo 3 ft. Width 2, 0 ft Gravel below pipe SJ D fL
Total depth 1 Z ft Eff. absorption area !uo f? . Monitoring tube Y Depression over field /\(
Date of adequacy test Results (Pass/Fail)®5 For `'( bedrooms
Fluid depth in absorption field before test T �LL�in. Water added -local- gal. New depth / 'Z in.
Elapsed Time: 1 `4' /O min: Final fluid depth L' _ in. Absorption rate >= 6,0 ,9 4- g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date .
D. LIFT STATION
Date installed Size in.gallons 4Aanholel �=
'Pump on' level at in. 'Pump off" e in. High water alarm level at
Datum Cycl tested _ Meets alarm & drouit requirements?
' E. SEPARATION DISTANCES
WELL ON LOT TO: j
t �
"Septic tank/lift station on lot . �� On adjacent lots
Absorption field on lot too' 4- On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer /septic service line 50' f Holding tank >J r
Animal containment areas ty' J 4- Manurelanimai excrete storage areas _LULL
r
SEPTICAJOLDING TANK ON LOT TO:
Building.foundation Property line Absorption fieid L i F
`J �
Water main 9 ` Water service line �D f . Surface water / e
Wellsonadjacentiots
ABSORPTION FIELD ON LOT TO:
r
Property line " /. i Building foundation Water main
Water Service line p Surface water i l7I % Driveway, paddnglvehide storage `a- 0
Curtain drain Wells on adjacent lots
F. COMMENTS
n.w-T . W �
G. ENGINEER'S CERTIFICATION
1 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 Nr t�iQ �• �-+ "i
Date
COSH brown sheet 10-10-12.doc
OF AB�i@t^3
..
00
� •• MICHAEL N. ANDERSON
• C 946
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
Jan 18, 2013
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Dalzell-Schneiter Subd. Blk 2, Lot 5
Address: 5623 Dalzell Circle.
To Whom it may concern:
This is a letter of explanation concerning the history and testing of the septic system on the above
referenced lot. The septic system was installed in the December 2005, then the house burned down
approximately 3 years later. The house was not rebuilt but the foundation was backfilled and the lot left
vacant. Now the lot has been sold to Chris Humphrey and he plans to remove the old foundation and
construct a new home for his personal residence with the existing well and septic system.
The leach field was tested by filling the system with over 2000 gallons of water then monitoring the water
level for 24 hrs. The leach field passed the absorption test without any question and from my inspection the
septic system meets all of the current Municipality of Anchorage On -Site requirements for a 4 bedroom
system. After the house has been constructed, fall 2013, a new COSA will be submitted for this lot.
The new owner will be submitting a new set of house plans to the MOA for a permit and needs the On -Site
Department to be apprised of the septic system status. Please call me if you have any questions concerning
this well and septic system condition.
Sincerely n p
Michael N. Anderson, P.B.
I
11 100 50' 01 100'
1" = 100'
-�.
0
;1
Izell—Schneiter
Block 2
0
2
NOTES
1. UNLESS OTHERWISE NOTED, ALL DATA IS
RECORD PER Dolzeli—Schneiter Subd, 77-260.
SURVEYOR CERTIFICATE
I HEREBY CERTIFY THAT I HAVE PREPARED THIS
PLOT PLAN AND THE LOT SHOWN IS PER THE
ORIGINAL PLAT OF DALZELL—SCHNOTER SUBD. BLK
1 LOTS 1-3 AND BLK 2 LOTS 1-18, FILED
UNDER PLAT NUMBER 77-260, ANCHORAGE
RECORDING DISTRICT. RECORDED NOVEMBER 15,
1977 i
J ES A. WILSON
RLS 4725—S
2
0
10
Sub.
5 ;amaa
1.28 AC. M/L
SPTICEXISTING
S
' �SYSTEM
�bsp o
d
f
3
In
� 1/4
( 515 IS14
30' I
S0908'55"E 60.00
7
ca
m`
30' ( 6
Notes
Spot elevation
Direction of drainage --z�-
Owner: Chris Humphery Zone R-6
moan
SINVEY AND DESIGN, LLB
1 2501 OLD 5EWARD, D ANCHORAGE, AK 995 1 5
Phone 344-5900 Fax (907) 344-7794
P PLAN
.. 5,
LOT 5 BLOCK 2
James A. Wilson :q DALZELL-SCHNEITErR` SUB. 77-260
No 4725-S / DRAWN BY: DATE: FIELD BOOK:
ITW
� pNA
kxNK - s CHECKED BY: SCALE:2013 GRID
TW I 1"=1 on' 1 2537