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HomeMy WebLinkAboutDAVISON LT 1'� ��4-a9a-3� Municipality of Anchorage Page I Of 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 -, X)��lo Permit Number: Sw PID Number: til - Name: ame: Wastewater System: ❑ New XUpgrade Address: 5� rSt — Nrt� l�t� (2)0j.5/j=. ABSORPTION FIELD Phone: No. of Bedrooms: ❑ Deep Trench XShallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: ®• z Total Depth from original grade: Z/ R -S GPD/Sq. Ft. Lot:+ Block•division: Depth to pipe bottom from original grade: Gravel depth beneath pipe l 3 • Si Ft. o • S Ft. Township: Range: Section: Fill added above original grade: Gravel length: —0— Ft. S/ P_AC}1 e W G Ft. WELL: ❑ New ❑ Upgrad Gravel width: b Number of lines: Z Distance beween lines: -t-- .S'- Ft. /C) Ft. Classification (Private, A,B,C): Total D Cased To: Total absorption area: Pipe material, Ft. Ft. S/0 SQ. Ft. _S/0 /3(7 3 4 Driller: Date Drilled: Static Water Level: Installer: -t�NOM� svL Date installed - g��l4� Ft. Yield:Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding V_S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines N (` iA AJ i'C /,g QC) Well�d�•� �I Material: Is SEL Number of Compartments: 2 Surface Water /b�j --t- /�j I( � LIFT STATION Lot Line ( y s. (� f �� Size ingallons: /,S_ 00 Manufacturer: Aio (' -T--A/t) It Foundation i 2.5-3 30.2 34.6 "Pump on" revel at: 4�4 "Pump off" level at: Y/ High water alarm at: q,& Curtain ` + l�Oc� l G� Pump Make & Model ectriccaal (r)_spections performed by: `t! 4 Drain Nt_ (; ! Remarks: + Ze.v -T W tvE12-rb BENCH MARK r Location and Description: �4T & 1 N -1�-24M /O, TD 49,6 DrA A A- SG 2 Assumed Elevation: /02,Z: Ft ENGINEER'S SEAL Inspections performed by: Dates: 1sf Q125`46 IV 'h °`°°'�°°° • �.°°°��°•.°,�.•�_•.}� n 5(21,146 Sirl�. L��,tJNCJNf'rY^� Lnd_ 't ••» .•.,es.eaRv°a�°°°9sere•aev ° 'S.° Sfeven R. Pannone FWAL 4 Z/ /,C, Department of Health and Human Services approval `r`'\� CE -8149 ��1f%4- F�}�4+s Reviewed and approved by: �G ��'�� Date: 39 72-013 (Rev. 9/91) MOA 25 PERMIT NO, SW970262 AS -BUILT P,I,D, N❑, --16-148 WASiA TER ABS❑RPTI❑N SYSTEM 0 ��_ �� a -2� 1 DAVISON S/D € EXIST, WELL IS LOCATED OVER 100 FEET FROM kie- ,U SYSTEM APPROXILOCATION OF EXISTING SEPTIC SYSTEM 0 DIVERTER VALVE NEW 1500 g EXISTING CRIB 6 DOUBLE CO'S F S.T,EP. TANK WELL IN FAILURE, r EXIST. 1 g TAN TO BE REUSED ! SEPTIC TANK ABANDONED jj( i t-11, El -------- �" !(( E 0 DV LST2T-i A ]_ I 1� CL' FC C3 V B EXIST. 4 BR i / HOUSE w w W FLOW SPLITTER ° L ° y > M j i f TH `�`� �md3 mo10 may C GARAGE W o o w M2j r w J Lx Z --__- 141 01,9 D NEW SYSTEM, 5 -WIDE TRENCHES-- -�'- ) w� J 1 w 51 LF EACH, 0.5' EFFECTIVE - {{ ';AY EXIST. - J w 4' TOTAL DEPTH i :0 i- '11RIVEWAY YELL w w o r 1 z>-0 C.L. C D co A / B WELL 40,0 11.8 FC 12.6 19.0 Tl 27.0 25,3 T2 33.2 33,1 AREA IS UNDEVELOPED LS 34.6 34,6 NO WELLS OR SEPTIC DC 40.7 DV 42.2 41A�. 43,3 WITHIN 200' OF _'--PROPOSED SYSTEM Cl 38,9 302 C2 82.3 56.6 Ml 79.3 54.5 C3 61.2 48.2 AS -BUILT C4 103.1 M2 78.3 72'9 Perc Rate = 4 Min/Inch 4[�QQ_ El 60.3 60.3 62,3 102' 4 Bedroom House Qpdp �F E2 59.8 59,5 500 SF Rqd TH 78.6 63.0 5' 0,5' 0,5' Effective, 4' Total Depth, 102 4DI y4p LF 5 -Wide Trench 49TH ;z�©p� Total Absorption = -510 sf �°eeee•..e•eevuee a n•eeeeeeueeeneee.Peuee°0 p ® Drawing Cl\Work\1-DAVID.DWG .. . �............ °•°°•°°••••°••°•°°°•°••• •• 0 8 ssteven R. Pannone:` PREPARED F❑R� Pannone Eng. Svc. -. e ® �� 4s 7 'p Charles & Shelia Bates P. ❑. BOX 142025 �jdp Q 3240 E. 151st ANCHORAGE, ALASKA 99514 ®°°'°°°••••°•••�°° °aa® Anchorage, AK 99516 272-8218, PHONE & FAX opo© (907) 275-6334 DATES 9-6-97 ,,,,., � ,_ ^_, AS -BUILT PERMIT NO. SW970262 AS—BUILT DETAILS P,I.D, NO.,011—IG-118 WASTEWATER ABS❑RPTI❑N SYSTEM LOT 1 DAVISON S/D �h d im NV313 a_ a Boa d C �rL L C CZ a a���` -� d w CS gap w N Hvc 1n O °a W 3Hf11 a❑LINOW t a p. CS p 0 3 l �N w o,, .000 5� a a O Zo ionLn 10' MIN Wo''°'` 0 3.0' 0,5 = H C3 O a im NV313 ED )00 zo 00y ^ m In�.000 0 aW 0 o o O O rz� rn � 3/\1VA 2131213AIQ im NV313 u ® im NV313 Z R IL r�= g F A a camY m ca L7 (01 W a p i im NV313 Y io io Fd CS %F N J m m W a - Drawing C,\Work\1DAVID,DWG im NV313 wgLq Z !R y �®�©gym 0 otgo 'Q N❑TEi 0 1) ALL ELEVATIONS SHOWN AREG 313 m ACTUAL GROUND AND AS -BUILT 4e'° �0 INVERT ELEVATIONS. NOUVQNnai o ° 491i ®.................................°............® 9 ....................................°......;..Q PREPARED FOR, (°o5teven R. Pannone° Pannone Eng, SVC, Gi CE 814.9 � WCharles & Shelia Bates P. ❑, BOX 142025 3240 E. 151st ANCHORAGE, ALASKA 99514 � ......°°°° . Anchorage, AK 99516 272-8218, PHONE & FAX �ogEss©(907) 275-6334 DATES 9-6-97 AS -NOTED AS -BUILT 002 P01 wdP405::C:V34,+iYUCSe err97.9-Illuc_no,u.doe SEP—Si.—�1T TLIt 11 xu4 /P� 01 Y L'( I: �iCJ(t!, _=r, F1},i Lii; : !�i N. r i L-iv•c!trN^tc•&A-R 35:0 E.AS r 7UCf7f( t',t;:.!! It13iCCttUtt: V �-:L,a)�RG1 IN�PCt;llVrfi r/•1(B,1'0; 113 -CM _ NAMS C.ree.�t_ GLITI-O •ic(11. R .y�l-cl•� r Lar _.� / �U�.O�iK L 1 .11. 1Ftr ��I}- J. II xh.ii':S liQ 1�^�Il IY.Olrf: 104M i�r�•�c`rl,ljr•ty-II'�It:/'JIC'�;�... Vf _ .. �..._ _....__...; .. . .. ..__...... ..�G-�, ...._ .1l•7 NC NUyCr,::1'L1n•,,,r; G75LT.� IAV (J G4fi!,t:C11L/t: ; L:.:.•,NriAL AS L%(i'LAL'ICJ l:cUCAJ «N'llt Ii&Lor/-f;lE Arl•lx*r as 1 ( �.1:c lort((nor17TCGCgCAI-t.N:,Lt.t_r:•;ctrr ITIS)/ecluta 'K 6o ��E>!�-uE�._ Wli':vCUr,RFCII!�!!: AI:F.1.!;ILE PL�d: E M 1• r Liu 1101 t,i:!d:AE] I ti:l liu t k. c Rick Mystrom, Mayor n r-� Altmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 October 3, 1997 Steven R. Pannone, P.E. PO Box 142025 Anchorage, Alaska 99514 Subject: Waiver Request for Lot 1 Davidson Subdivision Waiver Request #WR970059, PID 0011-161-48 Dear Mr. Pannone: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 5.6 feet from the absorption field to the lot line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, -�;O_cA1&a16 Donna C. Mears On-site Services ljw V. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#1 i-%OC�-)(Y)4�j PID# 011-161-48 HA# Permit # Sw970262 Date Received: —September 18, 1997 w LA n4 Legal Description: Lot 1 Day.Lcnn Subdivision Engineer: Steven R. Pannone, P.E. PO Box 142025, Anchorage, Alaska 99514 Applicant: Charles b Shelia Bates Waiver Requested: Lot line waiver of 5.6 feet from the absorption field to the lot line. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver rrig�s NOT Granted: As List Conditions or Reasons for above: s p'( ('m ive Date: Id• I'97 By: v Rec #: 'l 2 Amount: $ Date Paid: Steven R. Pannone, P.E. Consulting Engineer October 2, 1997 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 1Davison Subdivision Request for a Lot Line Waiver Gentlemen: P.O. lox 142025 Anchorage, Alaska, 99514 (907)272-8218 Fax My firm installed a new septic system on the above referenced lot. The North end of eastern trench was installed 5.6 feet inside the property line. I request the MOA issue a lot line waiver to 5.6 feet for this system. The lot located to the east of Lot 1 has a single family house served by a well and septic system. The location of the new drain field does not impact the system to the east of Lot 1, or any surrounding systems. Thank you for considering this request. If you have any questions about the proposed installation, please contact me at 272-8218 Sincerely, Steven R. Pannone, P.E. CAWOWI-DAVID.002 ste~ R. rr n CE -8149. PAGE 1 OF 1 10•.00 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 ^L^ STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970262 DATE ISSUED: 8/19/97 DESIGN ENGINEER:STEVEN R. PANNONE E IR1ATION DATE: 8/19/98 OWNER NAME L UYw\1_ �� L' S" C, ct� OWNER ADDRESS:3240 EE. 151ST ANCHORAGE, AK 99516 PARCEL ID:01116148 LEGAL DESCRIPTION: -DAILIDS0N-LT 1 Qn. \4'G'r\ LOT SIZE: 19907 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 (16AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: MAINTAIN FOUR FEET OF VERTICAL SEPARATION DISTANCE TO SEASONAL HIGH GROUNDWATER TABLE. RECEIVED BY* DATE: l4[ 4 ISSUED BY: v DATE: V-1!19&; Steven R. Pannone, P.E. P.O. lox 142025 Consulting Engineer Anchorage, Alaska, 99514 (907)272-8218 (907)272-8218 Fax August 9, 1997 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 1 Davidson Subdivision Septic Upgrade Permit FAILED SYSTEM Gentlemen: My firm an adequacy investigation of the septic system serving this lot in August of 1996 for an upcoming sale. The system was determined to be adequate at time, and a MOA Health Authority Approval was Issued by your department. The nrw owners moved into this property in March of this year. The system started backing up approximately one month ago. Currently the new owners arc pumping the tank and crib once to twice a week. The past o%mcr requested I investigate the possibility of installing a new absorption field for this lot. A single test hole was excavated on August 6, 1997. The soils report and a percolation test results are attached. Ground water was monitored for five days. No groundwater or bedrock was encountered in the test hole. The lot is approximately 1.0 acres in size. Lot 1 slopes to the southwest at a rate of approximately I to 2 percent. The proposed installation will be located on the eastern portion of the lot. The existing field will be renscd. A diverter valve will be installed between the two fields. The septic tank is over 20 years old and is planned to be replaced. Double clean -outs will be installed down stream from the tank. 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 arc 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. I request that the design for this replacement system be expedited due to the failed nature of this crib and currently there arc sir adults and two small children utilizing this system. Thank you in advance. If you have any questions about the proposed installation, please contact me at 272-8218 Sincerely, Steven R. Pannone, P.E. Attachments: C IWORKAt DAVID.001 DESIGN TEWATER ABSORPTION SYSTEM 1T 1 DAVIDSON S/D NEW 1250 D SEPTIC TANK DIVERTER VALVE EXISTING CRIBL D[AIHL I E CIMYELL IN FAILHRE, TO BE REUSED Eo T2 y 51 / t E Fi 1 FLOW SPLITTER TH PROPOSED REPLACEMENT EMENT SYSTEM. DEEP TRENCHES 33 LF EACH, 4' EFFECTIVE 8' TOTAL DEPTH CO A B \ FC 12.5 TI 16.8 23.7 AREA IS UNDEVELO T2 24.5 31.7 NO WELLS OR SEPT EI 60.3 62.3 WITHIN 200' OF E2 59.8 59.5 PROPOSED SYSTEM TH 78.6 63.0 C D WELL 40.0 11.8 ••�P�E """" ~~ �yi '% 6 »..«.�.............3.....% Drarin Ci\Work\I—DAVID.DWG ��—r• PREPARED FOR, .Steven R. Pannone: or %, � Charles L Sheila Bates `• q CE 81 9 r' 3240 E. 151st ••� Anchorage, AK 99516 •44���� ;• 1 • (907) 275-6334 EXIST. SEPTIC SYSTEM WELL IS LOCATED OVER 100 FEET FROM PROPOSED SYSTEM EXIST. 4 BR ' NEIGBOR'S SEPTICS SYSTEM HOUSE VELL ARE LOCATTD OVER 100 FEET FROM PIOPOSED �1 SYSTEM AND EXIS,IWELL C1.. 251st STREET DESIGN, Perc Rate = 4 Min/Inch 4 Bedroom House 500 SF Rqd 4' Effective, 8' Total Dept 66 LF Deep Trench Total Absorption = 528 sf Pannone Eng. Svc. P. 0. BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, PHONE 6 FAX ATEo 8-9-97 DESIGN CAI F, V=50' DESIGN DETAILS C Q. WASTEWATER ABSORPTION SYSTEM d c o LOT 1 DAVIDSON S/D L L Q c L �* un NVT0 19 B 3M »tnaaw 4 W L'd^ W V % inn wv o NO�/ I. f. IY IM wv3zi 1M 1V3ro 3AIVA k131 Ala 1 1 � 1M kV313 y I7F Drnring 0\Work\1DAVID.13WG yip NUM g i OF inn w4m 1011 Cie* NauvaNnru 49TM °i �}�j♦ —06 ♦ : or PREPARED FOR, ♦ �4Steven R. Pannone.,�. Pannone Eng, Svc. c 914s t�2�' Charles L Shelia Bates P. 0. BOX 142025 3240 E. 151St ANCHORAGE, ALASKA 99514 •�ttt ,Qy� •••` Anchorage, AK 99516 272-8218 PHONE lL FAX ttt��•�•••• (907) 275-6334 1 a-9-97 DEIGN e ^ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: CNAQL(as DATE P LEGAL DESCRIPTION: L ( UAVt'bsc/-/ Township, Range, Section: ' DEPTH SLOPE SITE PLAN 1 SE' QQ4ANtc51612AS.S141 Ej 2 K 4 CrM- SAArbYG f2AY et - 5 SM "K't> GaAVaMYsA"b w/,�,�Aca stt.T3, 6 7 8..7. CTV-T ,*,4 9 $/lTh A14116,10 4RU N• Iki. 11 12 ] µL I a CA S rt"-rs 14- 15- 16- Ila 41516Ila w 17- 18 19 WAS GROUND WATER ENCOUNTERED? /V 0 S IF YES, AT WHAT L DEPTH? �� O P E Depth to Wrlu Aper f} b Monitoring? T Bele: Reading Date Gross Time 10 Net Time Depthe cC- Water Net Drop :F J/a �—I w I :;t'y z 15 6 3/4 '/ a C1 4 "ZI, sir_ :4-,•14v '— :7 Ifs sg /Z �:q l Ss8 7--Z- 2 20 I 6.• IL— JI PERCOLATION RATE (minutes/=n) PERC HOLE DIAMETER II'' TEST RUN BETWEEN FT AND 49FT COMMENTS T1ySM 001a WA1'�Qtasp) PERFORMED ( CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 8 /6 /R :;Z- ?2-008 (Rev. 4/85) DESIGN /ATER ABS❑RPTI❑N SYSTEM 1 DAVIDSON S/D APPROXIMATE LOCATION OF EXISTING SEPTIC SYSTEM o NEW 1230 6 SEPTIC TANK DIVERTER VALVE EXISTING CRIB L =a r ars IN FAILURE, TO BE REUSED i 0 Or LF EACH, FECTIVE .I TOTAL DEPTH S� 'i P0416eo 2N/Nf/Q; .Amp E1 0 EXIST. SEPTIC SYSTEM WELL IS LOCATED OVER 100 FEET FROM PROPOSED SYSTEM EXIST. 1730a SEPTIC TA TD BE ABANDONED Nn SVI IWN to m. A -TI - 4.9' B -TI - 23.4' EXIST. 4 DR NEIGBOR'S Ft4tAE .,r.. I GARAGE 0•' CL 1315t STREET CO A B FC 12.5 ETI 16.8 23.7 AREA IS UNDEVEL E ET2 24.5 31.7 NO WELLS OR SEPTIC El 60.3 62.3 WITHIN 200' OF E2 59.8 59.5 PROPOSED SYSTEM TH 78.6 63.0 C D DESIGN: WELL 40.0 11.8 Perc Rate = 4 Min/Inch 100' 4 Bedroom House 0.5' 500 SF Rqd 0.5' Effective, 4' Total Depth, 5, 100 LF 5 -Wide Trench Total Absorption = 500 sf Charles L Sheila Bates 3240 E, 151st Anchorage, AK 99516 (907) 275-6334 REVISED 8-16-97 Pannone Eng. Svc. P. ❑. BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, PHONE L FAX ATE, 8-9-97 DESIGN crm r, I•=sn' DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 1 DAVIDSON S/D :, a P 0 IM NV3V CL =: o C u 9 c= = + ; 0 d a t `'•a L 4! s I,. M C: � �::•0.: y d d ' 1z :5 L00 y: n j 000 }? SHILL tminnN g + 00 5 i 00 0 Z e: 00° 1 ' LU' .5' N o Zq Mp - O O O H ^ P Q_ n 000 W N g 0000 N im NV317 R > & ina NV313 3AIVA loINVIQ � Mp 2 > "RVQ =is .2 P . r g 6 P( s T s IM NV= Z7 Za m P Drawing Ci\Work\1DAVID.DWG 100 NY= NOTE' n •�� P'(�r,...••-..... ��. 1) ALL ELEVATMNS SHOWN ARE o ACTUAL GROUND AND INVERT Im Nv7D �.••• 1� ELEVATDINS. NOUVaNWA b .� i 49TM t �. THE PROPOSED SSYYSTEM�AR DESIGN g a �3 ELEVATIONS REVISED 8-16-97 PREPARED FORt Pannone En Svc. /Steven R. Pannone = g' �i C s14 y6 J ,./ s 6 Shelia Bates P. O. BOX 142025 3240 3240 E. 151st ANCHORAGE, ALASKA 99514 +•���0 � ��•• (907) 275e AK 99516 272DAM 8 8218 PHONE L FAX AS NOTFp DEIGN r' -).EATER ANCHORAGE AREA BOi--'JGH HEALTH DEPARTMENT 1 N� 774 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME ADDRESSJI'/� f''144"' PHONFt%:��r' LOCATION LEGAL DESCRIPTION 1-°> /J /%�✓/Jw J`�C SEPTIC TANK: jr�LC.�Old/' Srf_rCG NUMBER OF �— DISTANCE FROM WELL MATERIAL COMPARTMENTS LIQUID CAPACITY /E GALLONS. INSIDE LENGTH �� INSIDE WIDTH �� DEEPTH � SEEPAGE SYSTEM: SEEPAGE PIT: E XGA✓�T/rr/trr_il'/ F,t.�r�` it9cE.�il� cry / L� -�� / , _, G / NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH LENGTHDEPTH LINING MATERIAL L eo Com'/o �G '1 �'E C / . DISTANCE FROM WELL %'�C/'�lr-� // ,BUILDING FOUNDATIC)w2�, NEAREST LOT LINE "LL ' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) G'-Ly SO. FT. TILE DRAIN FIELD: ////" DISTANCE FROM NUMBER OF ABSORPTION NEAREST LOT STANCE BETWEEN LINES _,� TRENCH FT. LENGTH OF EACH TOTAL LENGTH IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE DISTANCE FROM WATER .� DEPTH �� ,BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST « SEPTIC ✓ SEEPAGE .— `OTHER t_ LOT LINE , SEWER LINE—. TANK , SYSTEM , CESSPOOL , SOURCES_ 4.�,/"fe, DIAGRAM OF SYSTEM DISTANCES: /J 7llf c,Fn /l Tc P r izv' lt�oo: s' vorBr. • I .: , DATE (1-, , . a // APPROVED MEAUn •UInORIir GREATER ANCHORAGE AREA B ROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY ,I /( 1 ✓1 11 /rl3500 TUDOR ROAD POUCH 6.650 1 N K✓1L v ANCHORAGE, ALASKA 99502 Ip / /`LC� [, u/ TELePwome 279.8696 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION �L�= LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK / TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH FAI r,�Snn S�l� vSEEPAGE PIT DRAIN FIELD PERMIT NO. .Ec PHONE' 1 ;frl're . OTHER TO BE INSTALLED BY 4' /4I 12S!4/ �) e4yCIZY "5O 0LSC• SOIL TEST RESULTS J�-���NOTE* THIS PERMIT 15 NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION X24 HOUR YNOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE Asn < MINIMUM DISTANCES. REQUIREMEN15 FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT Z `. DRAIN FIELD SEEPAGE AREA 512E SEE •CF�LY�' TYPE TC.TT Ja��DIAGRAM OF�SYSTEM CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 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 REGARDINGINSTALLATION. - HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 25.06 AND THAT THE ABOVE DESCRIB SYSTEM IS IN ACCORDANCE WITH SAID CODE. CA , -L /� / APPLICANT'S SIGNATURE 2'�C�'�' ���~�It SEPTIC TANK TO SEEPAGE PIT WALL r O SEPTIC TANK •5 SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. >I F WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. / O / WATER MAIN TO SEPTIC/TANK .SEEPAGE PIT DRAIN FIELD ./^ / 7 � �n SEPTIC TANK. SEEPAGE PIT .DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 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 REGARDINGINSTALLATION. - HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 25.06 AND THAT THE ABOVE DESCRIB SYSTEM IS IN ACCORDANCE WITH SAID CODE. CA , -L /� / APPLICANT'S SIGNATURE 2'�C�'�' ���~�It oN 4e -- r, P� Jfu�G pr AX -Ft ��ak fon� �ey04 4P .r W7,1N 'T MUNICIPALITY O Development Services Department On -Site Water & Wastewater Section Parcel I.D. 018-292-36 ANCHORAGE Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Davison L1 Location (site address) 3240 E. 151 st Ave Current property owner(s) Mailing address Real estate agent Keith Reed 2. TYPE OF DWELLING: [71 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: " Z-1 Ze 26 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well E Private Septic 0 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 $ �'c�, �U l �0� I D- �1 Waiver Fee $ Date of Payment G Date of Payment Receipt Number ��� Receipt Number COSA # o 5 C a 0 .l y v I 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 frdm 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E.DateZ�� TH 6. DSD SIGNATURE System #1 Approved for �, bedrooms A6� • stewnn RP,�nnol:;e System #2 Approved for bedrooms C� 814g F S Y pp �� r��,F,., •.t Disapproved Conditional approval for bedrooms, with the following stipulations: , -'/1)))))))W III y: Original Certificate Date:. / Z�2x) 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 Septic System Advisory Well Flow Advisory COSA Checklist blue sheet Nitrate Advisory Arsenic c Adisory I Other_ S_Qe � or, Legal Description: Davison L1 If more than 1 septic system on lot: COSA Checklist # 1 1 Parcel ID: 018-292-36 Of Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) 1966 Well production at time of test 2.12 Date drilled gpm Total depth 256** _ft Water storage tank volume n/a gallons Cased to 256x* _—ft Well disinfected for coliform test? ❑✓ [] Yes No MR R Coliform bacteria is Negative Sanitary seat is functioning correctly Nitrate mg/L 0 Nitrate less than MRL (ND) R Wires are properly protected Arsenic 6236 Casing height (above ground)-12_in. ug/L ❑ Arsenic less than MRL (ND) Collected by Pannone Engineering Date of flow test for COSA "/'2719 Date of Sample 7%22120 Static water level at beginning of test 120 ft. Comments * well located in water tight manhole has previous Department of Health tApproval. "Based of previous COSA paperwork. B. TANK DATA Age of tank(s) 22 years Tank type/material sTE"s!"i Measured operating fluid level in septic tank 48" NO Standpipes/foundation cleanout per record drawing Date of pumping 10/11/2019 D. ABSORPTION FIELD DATA 511i.1111-1 Which system tested (date installed) 1997 JU ALL standpipes present per record drawing Total measured depth from grade 5.0 ft (max) Measured depth to pipe invert from grade 4.5 ft El N/A — pressurized field min M Monitor tubes go to bottom of effective. If not, state depth into effective H 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.-- C_ omments/Deficiencies: COSA Checklist yellow sheet C. LIFT STATION ❑ Required maintenance completed Age of lift station 22 years Lift station material Steel Comments: Adequacy test date "/12/19 Results E Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 0 in Elapsed time 275 min Final fluid depth 0 in Absorption rate '600 gpd Any rejuvenation treatment (past 12 months) no 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' Community Sewer Manhole/Cleanout > 100' 2 Yes if No ft M Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25'✓[I Yes if No ft Absorption Field on Lot > 100' [Z] Yes if No ft Holding Tank > 100' 0✓ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑✓ Yes if No ft ED Yes if No ft Community Sewer Main > 75'[✓ Yes if No ft Manure/Animal Excreta Storage > 100' Q Yes if No ft 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' Yes if No ft Property Line > 5' F71 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' [✓] Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' ✓0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' ✓0 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' 0 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' ✓v Yes if No ft Community Wells > 200'(�]✓ Yes if No ft Surface Water > 100' ✓0 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 �1ip+.lollCE �..(v^�C�!lnOCli', Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 201407 Subdivision: Davison Lot 1 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $8,000 to $11,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. Mailing Address P OA Box 196650 *mAnchorage, AlAt 99519 6650 *www muni org W Le V„y} ��i � � � � Fes^ r; -t`.� tom. � �+�s UNIHIF� 11 Vii? '�� F- 8�& �e��� �' 0 ��w��� R.ter# 3e� �� ;_ Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax- 907-343-7997 Lift Station/Pump Vault MaInte'nance Log Owner Street Address i Septic lank: -Sludge level inches -Pumping: required yes; no -Pumping completed'yes esno t Lift station: °Pump basket cleaned ves'' no -Effluent filter cleaned yes no -Control floats cleaned yes no *Proper float settings confirmed 2s no -Operation satisfactory -ves no Alarm System: -Dedicated electrical alarm circuit es no -Audible and visual alarm inside dwelling "es no •Alarm system operation ,-:satisfactory`. not satisfactory - Manhole Riser •Ground water intrusion at riser to tank connection yes no -Ground water intrusion around pipe penetrations ves no -Weep hole functional e� no -Manhole lid: Functional ves_ no Insulated es.r no Properly Secured es no Other -- •Ali manufacturer required inspections and maintenance completed es no Comments: ' Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com August 18, 2020 To Whom It May Concern: I am writing concerning the well located at Davison Subdivision, Lot 1. PES conducted an investigation of this well on November 12, 2019. The well head is located in a water tight manhole that in my opinion meets the requirements of AMC 15.55.060.A, which states: "Well pits are prohibited. The Developmental Services Department may, at its discretion, allow an existing well pit to remain in use if it is shown the pit provides adequate protection against flooding." The exact date the well was installed in a pit is unknown. PES conducted a Health Authority Investigation in July of 1996, and the well was in the pit. My investigation showed the floor and walls are constructed of the pit was water tight concrete. The manhole lid is a water tight variety. The pit was approved as constructed in 1996. A Certificate of On-site System Approval (COSA) was requested on this water well on August 12, 2020. The Development Services Department issued the following comment: "After discussion with Ross (Noffsinger, Mechanical P.E.), because this well pit has water intrusion and no drain you will need to resolve this situation." This comment was forwarded to the Owner. The Owner contacted Mr. Noffsinger, P.E., and the two developed an approved fix that is acceptable to the development Services. The repair as I understand it is to weld an extension onto the manhole ring to raise the access above the grade of the driveway. In my opinion this is unnecessary, expensive and an inappropriate repair. PES was not consulted concerning the aforementioned repair, and expressly excludes any responsibility for this repair. If you have any questions or concerns, please contact me at 907.745.8200. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer 'lailingg: P.O. Box .1807 Pakner, i -\!< 99645 Felephone: (90/) 1145-8200 FA)": (_)07) 45-8201 6 7 X):Z0 61 �/ A' J ANO. 00 N, U - ml 9 � \�^� \�6a. � 6 :5 U - ml 9 � \�^� \�6a. � F�5 \\\\ 2� w Q 5 %'u � \\�\\\\( 15 Y �d T �2 (D a. t�, Q 6 :5 U - ml 9 � \�^� \�6a. � \\\\ w Q 5 %'u � \\�\\\\( �d T Q U - ml 9 � \�^� \�6a. � MUNICIPALITY ANCHORAGE O DEPARTMENT of HEALTH S HUMAN SERVICES of Division Environmental Seniices' On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # (°)1 2 2 92 - 6 - 1. GENERAL INFORMATION HAA# Complete legal description Loi I 1JAYIS0,r. 5/2l� Location (site address or directions) _7-2-5' o G /S/ 5-r AAI t9craAC, c Property owner _t�cnJA(h iSOSAO i>VNAJAN i Day phone 3 15-ccoo Mailing addressZzyo ssi E A VcNAK 995/6 Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-02519w 1/91) IN.I MOA.21 S. STATEMENT OF INSPECTION BY ENGINEERAs certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. l furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investi!c ation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm sv� Phone ''x'—�?rte'• c,�o(�o� ia-zoz� A,ucf� Atz Address Q� Date Engineers signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 0 DateLDS The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent sers of homes professional engineer registered in the State ofAlaska.TheDHHSdoesequirements. as a sytopfDHHS donot and their lending institutions in order to satisfy certain federal and state requirements. Employees conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. n,25 IPw. 1/9,) 6a. M04 -21 Municipality of Anchorage (�1 DEPARTMENT OF HEALTH & HUMAN SERVICRfCEIVED Environmental Services Division 825"1" Street, Room 502 • Anchorage, Alaska 995010 (907) 34-Az44 41996 Municipality of Anchorage Health Authority Approval Checklist Dept. Health & Human Services Legal Description: La -r I -D AV `/Z) Parcel A. WELL DATA Well typerl"ZIWArcz If A. B, or C. attach ADEC letter. ADEC water system number Log present (Y/N) Y Date completed VMk,vowN 6$'/1A Total depth Cased to ZS6 Casing height (above ground) —If t..¢w:as.�o.wn-r�.m5w' /y�rUo�a Sanitary seal (Y/N) i�c.S Wires properly protected (YIN) FROM WELL LOG AT INSPECTION Date of test 48/667� 8/x/96 Static watcrlevel Well production z S g.p.m. 3 • o • g.p.m. WATER SAMPLE RESULTS: Coliform — C> - Nitrate M.1C> Other bacteria Date of simple: 01610) h Collected by: Ke—V(.0 W {i t -r LL B. SEPTIC/IIOLDING TANK DATA Datc installcd 441177 Tank size 12,5o Number of Compartments '2 Cicanouts (YM) Y Foundation clamout (Y/N) Y Depression (Y/N) N_ High water aLtrm (YIN) Datc of Pumping 8i7/9L Pumper A f C. ABSORPTION FIELD DATA Datcinstallcd Soil rating (g.p.d./11=o(frlydrl) 135 S%stcnitype C=RtB Length 3 Width � Gravel thickness below pipe (n Total depth /2 Effective absorption arca G 24 Monitoring Tube present(YRN) '' Depression Deer field (YIN) T _ Date of adequacy test 0171 46 Results (Pass/Fail) �A For bedrooms Fluid depth in absorption field before test (in.); 415h Immediately alicr�ogal. %i;iter added (in.): 2.6•' Fluid depth HS'• (ins.) Minutes later: /LINO Absorption rate = Goo f' t.p.d. 3T'wopw2- Peroxide treatment (past 12 months) (Y/N) .V0 If yes, give date D. LIFT STATION Datc installed ManholdAcccss (Y/N) Size in gallons High water alartnewlat'— *Datum tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: at* "Pump off' level at* Septic/holding tank on lot 1114 ; On adjacent lots Absorption field on lot /2c), ; On adjacent lots / cc, + /ot Public sewer main /v�A Public sewer manhole/cicanout A-)1tq Sewer /septic service line St> t Lift station /✓ ISA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 2131 Property line 3 6 t Absorption field moi` S -o t Water main/scrvicc line .Svc Surface water/drainage /rro'r Wells on adjaccnt lots / oo t' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation S,571 Water main/servicc line So Surface water loc7f Driveway, parking/vehicle storage arca �Z t Curtain drain -4p, F. ENGINEER'S CERTIFICATION Wells on adjacent lots /oc> Property line /0' I certify that / have determined thru field inspections and review ofALuni( in conformance with AIOA ILIA guidelines in effect on this date. Signature ��� Engineer's Name STL'ste�^j 12ts Date C3r'9w/e HAA Fee S <� 0t), 00 Waiver Fee $ Date of Payment Date of Payment 1 11 Receipt Number 0 a 3b3 L2-/3% Receipt Number T Rev. 8/95 OSS: haa.wk.doc ire cr.s.. F'erfcr •:. - ED's_Excavating .-•___ ._• :ire SerSor-ed 7/7/71 .- .. n Daviso :.� 7!:is S•....,rerco::+uo.. lest! fie! th ;,_.,t :'! .. o--ar- n Sketch Brown sandy gravel �(GW) 1 2 Gray sand (SP) Gray gual and sand mix Gray E k_! 1 i;as Grounc 'r:,•,.- :n:o::..__r�: �?,.tea_,...-._. ��,` F'rcco..... Era. ietd 70 t7�!'it trench --- Teat ?'e^iorred B%. R. E. Carlisle Da•a Certified By: National Testing Services, Inc. .......�._........- l:ct Drop I I r 4 r 1 -17 F'rcco..... Era. ietd 70 t7�!'it trench --- Teat ?'e^iorred B%. R. E. Carlisle Da•a Certified By: National Testing Services, Inc. .......�._........- l:ct Drop F'rcco..... Era. ietd 70 t7�!'it trench --- Teat ?'e^iorred B%. R. E. Carlisle Da•a Certified By: National Testing Services, Inc.