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HomeMy WebLinkAboutRUTH CALLAN LT 18As �C� '3"�� .��' � �'�„�, '��" k'�. ''���-.xx'._�� �'{''`"� t>r,��•' ter, �T' a: :tai':• ,,.,w'a� ,:xl:,�.z=."'= w.F e s„2�P- 2;.a.�v�,_ ia4„t'iF` Municipality of Anchorage (J "Page On -Site Water and Wastewater Program • (907) 343-7904 l,t�trC , of ON-SITE WASTEWATER INSPECTION REPOR v� Aja Permit Number: OSP181263 PID Number: 051-091-46 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: ANDREW W. SMITH ABSORPTION FIELD -EXISTING ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound Address 20911 SUNSET BLVD. CHUGIAK, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 3.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot RUTH CALLAN 18A Fill added above original grade Varies 1.4-1.9 Ft. Gravel length 100 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines -- Distance between lines -- Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 500 FtZ 2 6+ Ft. Well 100'+ 100'+ __ NA __ TANK N Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1 1250 Gal. Surface Water 100'+ 100'+ -- NA Material STEEL Number of compartments 2 Lot Line 5'+ 10'+ -- NA NA Foundation 10'+ 10'+ -- NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain NA *50'+ NA NA Remarks *None known. Existing system Pump on level at in. Pump off level at in. High water alarm at in. decommissioned in place per code. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Installer DIrtWOfkS Drainfield 303Li CO/MT 3034 Inspector ARCTERRA BENCHMARK (Assumed elevation) 100 ft Inspeecctiieosn 1" 8/21/2018 8/21/18 Location and description 2nd dat3`d 8/22/18 4" 9/27/18 Patio Cement Slab COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin Conditional Approval: Date Apr 0_._.10 P KENNETH M Du it 7116 Approved ,� C,Y Date Y / 1 eers Stam Inspection Report_9-1-12.doc AS -BUILT SYSTEM DETAILS/SITE PLAN RUTH CALLAN SUBDIVISI❑N LOT 18—A 8.3' 41 F71-,� 44.0' P,rt exF4 m N = x N O C O _ cam_ M z 20.0' A 54.B O ?2.0' N O W N S89°57'54"W (N89°57'25"W A—C=41.9' loo,00 B — C = 5 6.7' _ CLEANa,T A—D=51.2' o B—D=64.3' W a o INSU ATII?1 A—E=60.0' 250 GAL 13 B—E=68,1' 0N SEPTIC A—F=61.2' °1 TANK aEnnEn IN sArm B—F=75.6' A—G=109.6' 96'08 C B—G=116,0' A—H=109.4' SCALEi NTS — B—H=115.2' A—I=109.6' B—I=112.4' A—J=108.7' B—J=111.7' Permit ❑SP181263 PID# 051-091-46 TH18-1 10.0' AXE` oF To O CG o co CO 0 • ® E �j T 41 C I D CO ICO TH18-2 cD MT ,1 MT M NEW 1250 -GAL M SEPTIC TANK 770 T LOT 18-A 10' T&E ESMT 300.58' 300.20' REC) SCALEi V = 30' TUBE FILTER FILTER TUBE MONITOR FINAL GRADE SEWER ROCK TRENCH 1 50' FINAL GRADE INSULATIM SEWER ROCK TRENCH 2 — 50' — 'Aar 4.m PREPARED FOR: Af ANDREW W, SMITH ��49 � 20911 SUNSET BLVD. �01* . TH� * CHUGIAK, AK 99567 � . / KE11NETf1 M. I FIELD BOOKS COMPUTED: CE -711 ® BOUNDARY: N A DRAWN: BMW 1 STAKING: N A CHECKED: KMD 1 � � �� ASBUILT: SLS DATE: 9 25 ESSIO DWG. RLE. GRID: 2839 ACAD FlLF_ FILE Ioe N0•: 18178 0.15' 95,70 T 95.20 MONITOR TUBE O RO M M C/) VARIES T 90,10 °S GRMR VTP TH18-2 09/27/18 84,70 — SCALEi NTS ()o x 0 �- z CD g o 0 > CD z > 0 0 -TJ fD 5 > co rn C5. CD CD 0 IQ 10.0, > W F 0 Ln ,j > rn 'U 0 > tco) oll G f6 CL Q. 0 J, 10' T&E ESMT m I m 041 _22.0' POWERLINE ESMT 10,0, — 10.0' GAS ESMT GRAVEL D/W H I --Zll CONC D/W 44.0' m Q, U5 20.0' CONC C� PATIO 7T MS (4 (A 24.3' S89*57'54"W (N89*57'25"W 300.58' 300.20' REC) I z 0 0 0 C3 0 0 co 10.0, > 0 i— rn 'U 0 10' T&E ESMT 300.58' 300.20' REC) I T/ I/jq 50)4 MUNICIPALITY OF ANCHORAGE �J _ % On-Site Water&Wastewater Program PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997 ,� r, !6%,, " 3r ' httpa/www.muni.orglonsite ilitit.kgbl' Dr pa it iii rut 4'CMOR On-Site Wastewater Disposal System Permit Permit Number: OSP181263 Effective Date: 8/14/2018 Work Type: Septic Upgrade Expiration Date: 8/14/2019 Tax Code Number: 05109146000 Site Legal Address: RUTH CALLAN LT 18A G:1357 Site Mailing Address: 20911 SUNSET BLVD, Chugiak Owner: SMITH ANDREW W Lot Size in Sq Ft: 45064 Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 4 This permit is for the construction of: D Disposal Field Cl Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 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 Special Provisions: ** The Inspection Report is to note that the 2011 trench is not to be tested for future COSAs. Received By: Date: ' " /4 Issued By: Date: /,� MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-091-46 ANDREW W. SMITH Da hone 9U1- ZL�—J/�i3 Property owner(s) y p Mailing address PO BOX 672421, CHUGIAK, AK 99567 Site address 20911 SUNSET BLVD., CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) RUTH CALLAN LOT 18A Legal description (Township, Range & Section) Lot Size 45,064 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field (1 Initial n Single Family (SF) (w/wo ADU) Septic Tank P1 Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal n Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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. (Signat •f J •perty owner or authorized agent) Permit/Rush Fees: 54, Waiver Fees: Date of Payment: M31 a Date of Payment: Receipt Number: C.)5Z30.0 Receipt Number: Permit No. OSP l3/.263 Waiver No. Permit App_9-1-12.doc 14FtCTERR4 , ARCTERHA �k CONSULTING, INC 212 E. 51St Ave,Anchorage,AK.99503 Office(907)868-3791,Fax(907)868-3793 August 7, 2018 Municipality of Anchorage Development Services Department On-Site Water &Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit—Ruth Callan Lot 18A The owner has requested we proceed forward to obtain a septic permit to upgrade the septic system from a 2-bedroom system to a 4-bedroom system. The general slope of this lot is from south to north at a grade of approximately 0- 3% over the septic area. On July 30, 2018 two testholes were performed to investigate soils and groundwater. The results of this test are attached for your review. We propose to install two shallow trenches using previous, historical groundwater data (7.5') found in the MOA file (2011 TH). Groundwater was encountered at 8' (TH18-1 / lower hole) during excavation and at 6' (TH18-1) and 11' (TH18-2) at monitoring. The property and adjacent lots are served by private water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. �A ''i Kenneth . i uffus, P.E. Attachments: On-Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test 20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN RUTH CALLAN SUBDIVISI❑N LOT 18—A LOT 18—B N89'56'51 • 300.16' --22.0' POWERLINE ESMT 100' WELL RADII 10.0' 10.0' GAS ESMT LOT 18—A z o v� o O' o 0)-'-,r.._.... �! 7� THte-1 0 0230-15:0:GA:Gsk.\X1 ADD ApOL FILL AS NEEDED 0 Q VAIIM� I EW a�srJI�I■ F 83 a x �T ! -1 ' p•���i% I I'" + /ts-YAK l _ I- - P1 F-+ 44.0' (ri - -. _ - FLAT R• .. 4App. ' cot' WO >PROPDSED K —I -, 0 0 zaD' _ ��.. FIELDS u1 P (� CGN x t o \ f 220' Q. PATIO FLAT N \ FLAT 1.--1\� No 2., FLAT ' EXIST1NG FIE1D CRAWL COMC D/W ti n w COMMISSION A y. I- D/wExisliNG ST. O 24• &co. 1H2011 11118-2 V f ;lit—X—x X X 10' T&E ESMT N S89.57'S4"W 300. (N89'57'25"W 300.20' R FLAG PROPERTY LINES WELL RADII & EASEMENTS Scale: 1'= 50' PRIOR TO CONSTRUCTION PAGE 1 OF 2 DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD m 600 GPD/1.2 GPD PER SQ. FT. = 500 SQ, FT k (500 / 5 = 100 FT. TRENCH USE 2 TRENCHES — 50' (L) X 5' (W) X 0.5' (ED) oTotal depth of system Is 3.5' max from original grade. co Total depth of gravel below distribution pipe Is 0,5' ND OPOSEPUBLICD SYSWELLSTEM.WITHIN 200' OF NOTES: PR -- NO PRIVATE WELLS WITHIN 200' OF 1. INSTALL 1250-GAL ST OR 1500 STEP & INSULATE TANK IF <4' COVER. PROPOSED SYSTEM EXCEPT AS NOTED. 3 PROPOSEDWELL EXCEPT AS NOTED. NO SEPTIC HI0' OF 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL, MIN, 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK. 3 4. CONTRACTOR WILL ENSURE ALL SEPARATI❑NS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC.., ti ���\ of ALS\ • / ��. 1Q� PREPARED FOR: CTE RR-el N r�� tie ANDREW SMITH ARR �� / J + 20911 SUNSET BLVD.. ,,401(00-4. �. N / * .4• * TH /\� * A Chuglak, AK 99567 �. / •. KENNETH`, y,8 FIELD BOOKS COMPUTED: •11CE-71 1NI ,wt, / BOUNDARY:N/A DRAWN: BMW • \ \ li,, I, '% li I1.$ ti}�/ STAKING: NSA C*IECKED: KMD •� �`a 1^ki IJ • b . . 0' �� AseUILT: SLS DATE' 6/7118 `IF9c'(1 �� \ SSI DWG FILE: G1zID: c• �� E f NW1357 F o ♦� e° .‘116..116.710:111P. ,`� ACAD FILE ae No.: 4%-FR 81- ,TING -�3cs L FILE 18-178 AK.99571 WASTEWATER DISP❑SAL SYSTEM DETAILS RUTH CALLAN SUBDIVISI❑N LOT 18-A --_-- TOP _'k__k ADD ADDL. FILL AS NEEDED TH18-1 INSTALL NEW k FLAT 1250—GAL S.T.( `i"' OR 1500—GAL \ . / PF, l_ f al:. STEP + �18-23% 11 m CO ±�X��k FLAT o CO CO C •QTR MT \ PROPOSED CO FIELDS 111! ler CO CO DIV/ u co FLAT \ FLAT • *11 .• FLAT EXISTING FIELD DECOMMISSION A EXISTING S.T. & COs TH2O11 TH182... x x x x x x x 10' T8c E E k co "54W 300. 5 ' co- ' W 300. 20' ' E ; FLAG PROPERTY LINES WELL RADII & EASEMENTS PRI❑R TO CONSTRUCTION Scale: 1'= 20' ��\\ PAGE 2 OF 2 Al'Air �� OF `�1Q\' PREPARED FOR: RCTER N /(S • f • '� 1 ANDREW SMITH 4,a, • c- .`7 # 20911 SUNSET BLVD.. �� F* . A • TH / '4 * / Chuglak, AK 99567 �, • N / 11111 ,11•61,1► iot(lit 1 ) 8 A. ` • �� {';�' S / FIELD BOOKS couPu>En lii z ` C •�� �� I BWP4OARr:N/A DRANM: BMW 1 4 / ��w sTAKiHc: N/A CHECKED: K M D • �� ,,^N' N 1� IO��y'�C ASBUn.T: SLS DATE: 8/7 18 ��- �6� E FESS ‘11.6.N6.71110-4W D . FILE GRID: 2839 (F,p�cbA, ♦ C",.03, Z ��`� ACAD FILE' FILE Joe"O•' 18-178 SFR, K 9957-V''6 ,` �EtCTERRq \\ T i I ARC 1 ERRA �Q`�� OF AL`�� I CONSULTING, INC /�� ÷,..3„ 1 • '•ti Sias, 212 E. 51st Ave,Anchorage,AK.99503 * 4 TH*_--' �.*0 �4, Oflice(907)868-3791,Fax(907)868-3793 �iA� P KENNETH M.�� / SOILS PERCOLATION TEST `,�'� "'•.,� �,�..• Av Performed for: ANDREW SMITH Date Performed:7/30/2018ssto10" i \`__41.- Project: RUTH CALLAN LOT 18A TEST HOLE# TH 18-1 Depth ..(tet)I., SEE ATTACHED SITE PLAN 54,9t,i'' FOR HOLE LOCATION 1-ii':i1l;1 Org/OL .` Was Ground water encountered? YES What depth? 8' 2 . • ' "• : Depth to water after monitoring?6' Date? 8/6/2018 3- ', -•}. ..*i SP/GP mod dense, w/cobbles to l' Reading Date Gross Net Depth of Net 5-. Time Time Water Drop 1 • 1 7/30/18 1:00 - 6" - . K I•y 7- 'rl..:+ 4 2 1:10 10 min 12/16" 5 4/16" 8- 3 * 1:11 - 6" - 9-• -:711., 4 1:21 10 min 14/16" 5 2/16" 10- • .,, ' 5 * 1:22 - 6" - B.O.H. 11- 6 1:32 10 min 14/16" 5 2/16" 12- 7 * 1:33 - 6" - 13- 8 1:43 10 min 15/16" 5 1/16" RELATIVE GROUND 14- WATER LEVELS: 9 * 1:44 - 6" - TH18-1 IS 5-6'LOWER 15- IN ELEVATION THAN TH18-2 10 1:54 10 min 15/16" 5 1/16" 16- 11 * 1:55 - 6" - 17- 12 2:05 10 min 1" 50/16" 18- * Water Added HOLE PRE-SOAKED 19- PRIOR TO TEST Percolation Rate 2 (min/in) Perc Hole Diameter 6" 20 Test Run Between 3 feet and 4 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. '4 �RCTERi,� `\ L ARCTERRA ,� "•c) OFA 4� S;3,..% I. ! CONSUL'T`ING, INC; � '.Itr1' I, 1 212 E. 5151 Ave Anchorage,AK.99503 L „-q 9TH g 1', c ,,,c,,/Office(907)868-3791,Fax(907)868-3793 I �0Mi/ KENNETH M. DU^`f� Al �� SOILS PERCOLATION TEST `,¢� 7116 6144, / 316 1.- e AI Performed for: ANDREW SMITH Date Performed:7/30/2018 '4\'�O •s1° Project: RUTH CALLAN LOT 18A TEST HOLE# TH 18-2 Depth eet SEE ATTACHED SITE PLAN °fit" FOR HOLE LOCATION 1- "fir Org/OL it Was Ground water encountered? NO What depth? NA 2-:"C "` i.,,ef.jii` Depth to water after monitoring?11' Date? 8/6/2018 3- - , 4- .4(•.e SP/GP mod dense, w/cobbles to 1' Reading Date Gross Net Depth of Net 5_ Time Time Water Drop 6- its" 1 7/30/18 1:00 - 6" - .: 7- s' 2 1:10 10 min 10/16" 5 6/16" 8-k 3 * 1:11 - 6" - 04. .' . 4 1:21 10 min 13/16" 5 3/16" .L' 10- fi' 5 * 1:22 - 6" - : 11 = ,' 6 1:32 10 min 12/16" 5 4/16" �•.4,-; 12- ' 7 * 1:33 - 6" - . : 13- 8 1:43 10 min 13/16" 53/16" 0414 9 * 1:44 - 6" - B.O.H. 15- 10 1:54 10 min 13/16" 5 3/16" RELATIVE GROUND 16- WATER LEVELS: 11 * 1:55 - 6" - TH18-1 IS 5-6'LOWER 17- IN ELEVATION THAN TH18-2 12 2:05 10 min 13/16" 5 3/16" 18- * Water Added HOLE PRE-SOAKED 19- PRIOR TO TEST Percolation Rate 2 (min/in)Perc Hole Diameter 6" 20 Test Run Between 3 feet and 4 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page I of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSPl11065 PID Number: 051-091-46 Name: Ruth Caftan Living Trust Wastewater System: [] New [] Upgrade Address: 2030 Muldoon Rd, Unit 413, Anchorage, AK 99504 ABSORPTION FIELD Phone: Number of Bedrooms: Z [] DeepTrench [] Shallow Trench [] Bed [] Mound [] Other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: 1,2 GPD/Ft= 3.5 Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 18A Ruth Callan 3 Pt. 0.5 Ft. Township: Range: Section: Fiji added above original grade: Gravel Length: .5 Ft. 50.0 Pt. Well: [] New [] Upgrade GraveIwidth: 5.0 Ft. Number of lines:l Distance between lines:Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Private (E) Ft. Pt. 250 Pt2 3034 PVC Driller: Date Drilled: Static Water Level: Installer: Date Installed: Ft. Flintstone Enterprises 6/2/2011 Yield: Pump Set at: I Casing Height Above Ground: Ft.I Pt. TANK GPM SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: ~To Septic Absorption' Lift Holding Oubiic/Private Manufacturer: Capacity: From ~ Tank Field Station Tank Sewer Line Existing 750 Gal. Material: Number of Compartments: We, 115.7 144.3 5O' Concrete 1 Surface Water 100+ 100+ ~ / LIFT STATION Lot Line 31.0 20.6/ Size: Ma,ufacturer: Gal. Foundation 10+ 10+ "Pump on" level at: "Pump off' level at: High water alarm at: in. in. in. Curtain Drain 50+ 50+ Pump Make & Model Electrical Inspections performed by: Remarks: Location and Description: ~_.~../Ul O~ V'~=~i~ . House FF inside back door Assumed Elevation: 100.0 Ft. Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1st 6/2/2011 2nd 6/212011 Development Services Department Approval Conditional Approval ~¢~ ~L,J£~~ Date: ~p / ~ . ~;~ ........... ~.~.~ Reviewed and approved by: ~,~ &2~~ Date: '{',pr  -NOTE: Contractor shall have well radii staked before construction. ~ / / DC1 24.6 14.6 ~ ~ T1 26.0 19.9 g g C1 58.5 52.4 C2 94.0 94.0 SEPTIC AREA~ ~ ~ ~ LEGEND I' ~w w-~ WATER LINE/ ~ ~ WELL RADIUS . ¢ ~ ss ~ NEW SEPTIC NOTES: RECORD DRAWING P.0. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ~?' ~':~'~ Sc¢]eso' RUTH CALLAN S/D, LOT I~A < '~~~ P.LD. NO 051-091-46 RUTH CALLAN LIVING T~UST~~~~- · ~ PERM,* NO. 2030 MULDOON RD, UNIT ~13 ~.. ..:,~ 0sP~065 PLAN ANCHORAGE, ALASKA 99504 'Ii;S~$~s{~¢~~..~. ~----- Sheet SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 5. SCOPE OF WORK: INSTALLED NEW SOIL ABSORPTION SYSTEM. VERIFIED INTEGRITY OF EXISTING 750g CONCRETE TANK. 4. GROUNDWATER WAS OBSERVED AT -7.5' IN THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 7.5 FEET BELOW EXISTING GRADE. /- 6" TOPSOIL AND VEGETATION //- FILTER FABRIC // /-4" PERFORATED LINE TH -1100.1 ,-- ~//~_~--100.6 (FINISH GRADE) -1 -1:~ ~ 5:0 / ///, (ORIGINAL GRADE) i 0 5 J--~~--~-0'5 -~-97.1 (PIPE INVERT) . · I / /~. --96.6 (BOTTOM TRENCH) cP/ sP 4.0 I---5.0---I %- DRAIN ROCK 6" ABOVE PIPE INV -10.0 -- GROUNDWATER @ 7.5' (92.6) GP/ 5/12/2011 SP LJJ I,I -~5.0--85.1 SECTION =~ L.d BOH ~- r~ Z''-~ Q~Z rOE 0I~ I-- F- ZW ZW~- ~o~ Ld .~ O: UJ O: ~-- ~ --/-- FILTER6" TOPSOILFABRicAND VEGETATION z /F Z < //F - ~ uJ ~- DRAIN ROCK 6" ABOVE PIPE INV OJ 0.~ d L~O r~O0 0 r~O0 100.6(FG)x°~'~ //// . 1oo.6(FG __ 97.4 97.1-~ 96.6 ':~"'": ~:'~,.' .,~ ;--'"~, :'.:' ',~' ,"', ......... "~ :" ", "-':.~":.-. ....... · ........ --'~. :-.-~-' ,,,,.:-..-,.,-,- ..H ~7.1 96.6 750g CONCRETE SEP'RC TANK (E) DRAIN ROCK BELOW PIPE IN PROFILE PRIMARY/RESERVE DESIGN PARAMETERS ABBREVIATIONS PRIMARY SEPTIC SYSTEM CU COPPER NO. BEDROOM: 2 (500 gpd) DIP DUCTILE IRON PIPE TANK SIZE: 7509 (E) TH TEST HOLE PERC RATE = 2.0 MPI FC FOUNDAT ON CLEAN OUT SOIL RATING: 1.2 GPD/SF T# TANK CLEAN OUT NO. AREA RQD: 250 SF SYS. TYPE: 5' WIDE TRENCH 0.5' E.D., 5.5' TD C# CLEAN OUT NO. LENGTH: 50.0 LF M# MONITOR TUBE NO. ABSORPTION AREA: 250 SF R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLI'FrER .~..-~%~._'~;~.~.~ I D a t e NOTES: P~O]~_~ ~-~NG ~VC, L~ ~'"~"'~ 0.?. ~L~,~. 6/9/11 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 ~,,~,::.' PHONE (907) 272-8218 FAX (907) 272-8211 ~,~.~..'..' ,~.."_..~'~,~ Scale NTS RUTH CALLAN LIVING TRUST ~'¢,. ~'b.~evenr, EIX~lh'f?n°.~e~' PERMIT NO. 2050 MULDOON RD, UNIT #415~'~.- ~ '*~ .;¢S~,_~i,,~a~iC/c,L...' ....:~.~,~,..,~ osm~o65 DESIGN DETAILS ANCHORAGE, ALASKA 99504-,tt~~',,urbb, '~-~--¢4'~/~;';J;5;0*~'~:'"~ Sheet Permit Number: OSPl11065 Tax Code Number: 05109146000 Work Type: Septic Permit Effective Dates: May 19, 2011 On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 EImore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade to May 18, 2012 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: RUTH CALLAN Site Legal Address: RUTH CALLAN LT 18A G:1357 Owner/Address: CALLAN RUTH LIVING TRUST 2030 MULDOON RD UNIT 413 ANCHORAGE AK 995043647 Site Mailing Address: 20911 SUNSET BLVD, Chugiak Lot Size in Sq Ft: 45064 Total Bedrooms: 2 This permit is for the construction of: Y Disposal Field N SepticTank N Holding Tank N Privy N Private Well N 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 (ISAACS0). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www. muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-091-46 Property owner(s) Ruth Callan Livinq Trust Mailing address2030 Muldoon Road, #413 Site address 20911 Sunset Drive, Birchwood Legal description (Sub'd., Block & Lot) Ruth Callan S/D Lot 18A Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms Day phone Zip Code 99504 Zip Code 99567 THIS APPLICATION IS FOR ([] all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] 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. Pannone Engineering Services, (Signature of property owner or authorized agent) Permit/Rush Fees: ¢ ' Waiver Fees: Date of Payment: ..... : ii ? . Date of Payment: Receipt Number: ..~' ,i ( , ,' Receipt Number: (Rev. 11/05) Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com May l3,20ll Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Ruth Callan S/D, Lot 18A Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed systems will serve an existing two-bedroom house. The existing drain field is undocumented and was found not to meet the minimum size required for a two bedroom house or the minimum separation distance to groundwater. Currently the lot is developed. The lot is served by a private water supply. A new drain field will be installed and the existing drain field will be abandoned per code. The surrounding developed lots are served by private water systems. The private wells are located over 100 feet from the proposed soil absorption system. 1. Soils. A single test hole was excavated by Pannone Engineering in May of2011. See the attached soil log. Ground water was monitored for seven days. Ground water was monitored at a depth of 7.5 feet below ground level after the monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 1.2 gallons/day/square feet should be used, using a 1000 gallon septic tank that will discharge into a five foot wide trench. Soil Absorption System Design. See Design Drawings sheet 2 of 2 for design calculations. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The average topography in the area of the proposed septic system is approximately flat based on the survey information. The proposed installation will be greater than 50 feet from the shoulder of the steep slopes. 7eiep~one: (?,07) 272~,82i8 FAX: Page 2 of 2 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, ,'2, ?..,...x. ............ .....~ --' ~.....~......~.....~..~.....~ Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Physical: (,}l,[~: East 82''c~ Ave, Curie Te',ephone: (907) 272-821.8 FAX; (907) 272-..821.11~ ¢ -NOTE: Contractor shall have well radii staked before construction. gl gll ~WE~(E) ~REUSEIFPOSSI~LE ~ '--118A ~ LEGEND / -- W W WATER LINE/ ~ WELL ~ADIUS ~ ~ss ~ NEW SEPTIC CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ...... PHONE (907)272-8218 FAX (907) 272-8211 ~..' ' "[ P.l.D. NO RUTH CALLAN S/D, LOT 18A ~~~ os~-o9~-46 RUTH CALLAN LIVING TRUST eve~EK~lF~n 20~0 MULDOON RD, UNIT ff415 ~.. ..~ xxxxxxxxx PLAN ANCHORAGE, ALASKA 99504 ~ ,~ ....... ~'~ SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE A~ACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM. VERIFY INTEGRITY OF EXISTING 750g CONCRETE TANK. IF TANK NEEDS REPLACING, INSTALL OUTSIDE WELL RADIUS. 4. GROUNDWATER WAS OBSERVED AT -7.5' IN THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 7.5 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. /-- 6" TOPSOIL AND VEGETATION //- FILTER FABRIC TH -1 ////-4" PERFORATED LINE 3% / o.s ~--~~-o.5 !GP/ 4.0 ~--5.0 DRAIN ROCK 6" ABOVE PIPE sP x-:, -10.0 i GROUNDWATER © 7.5' GP/ 5/1 2/201 1 SP -- SECTION -14.0 BOH ~ ~ ZV OZ OZ 0~ ~ ~Z~ Z~ ~ o ~ o o $ ~ ~ 6" TOPSOIL AND VEGETATION ~ ~ o ~ ~ ~ $~ z ~ ~ z~<O /F Z,L=Zm ZA~R,C ~N = < //F - ~ J o ~ ~ ~ ~ o J ~ ~ ~ ~ DRAIN ROCK 6" ABOVE PIPE INV ~° ~: ~~° o~ ~ o~ ~ ~ /// ~4" PERFORATED LINE SEPTIC750gCONCRETETANK(E) ~ ~~¢~~~~~~~~~~[~~~ ~~~~x~~ PROFIkE PRIMARY/RESERVE DESIGN PARAMETERS ABBREVIATIONS PRIMARY SEPTIC SYSTEM CU COPPER NO. BEDROOM: 2 (300 gpd) DIP DUCTILE IRON PIPE TANK SIZE: lO00g TH TEST HOLE PERC RATE = 2.0 MPI FC FOUNDATION CLEAN OUT SOIL RATING: 1.2 GPD/SF T~ TANK CLEAN OUT NO. AREA RQD: 250 SF SYS. ~PE: 5' WIDE TRENCH 0.5' E.D., 5.5' TD C~ CLEAN OUT NO. LENGTH: 50.0 LF M~ MONITOR TUBE NO. ABSORPTION AREA: 250 SF R.I. RIGID INSU~TION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLICER NOTES: P~O~ ~G ~C, g~ ~ ____,?~ Date ~x~ OW AL~ ~ 5/~9/~ CONSTRUCTION P.O. BOX 100217 ANCHO~AOE, AK 99510 ~ ..... '~ RUTH CALLAN S/D, LOT 18A --~~;~ff~6~&'~ 051-091-46 RUTH CALLAN LIVING TRUST ~,~-. CE 8149 .'~ PERMIT NO. :0z0 xxxx=xxx DESIGN DETAILS ANCHORAGE, ALASKA 99504'II~' ....... '" SOILS LOG - PERCOLATION TEST TEST HOLE SLOPE S1TE~PLAN FILL ML/TOPSOIL - ORGANICS/ ,- o. x ROOT MASS TEST 3- :HOLE o 4 -- POORLY GRADED GP/ GRAVELS AND 5 -- SP SAND LIITLE TO NO FINES 6 -- DONIKERS 12"~18" 7-- 8- ~ 5/12/11 9 -- 10' T&E EASEMENT 11 -- W~ ",N '~ 5/5/11 12 -- GP/ SP GRAY GRAVELS 13 -- AND SANDS WAS GROUND WATER SLOPE 14 -- ENCOUNTERED? Y 15 IF YES, AT WHAT TH 1 BOH DEPTH? -1 1.5-' X DATE PERFORMED: 05/05/201 1 DEPTH TO WATER AFTER MONITORING? -7.5'- DATE: 5/12/2011 CLOCK WATER READING DATE TIME NET TIME LEVEL NET DROP READING 1 05-09-11 10:30 5.96 2 10:40 10 MIN 10.93 4.97 3 10:40 5.96 4 10:50 10 MIN 10.95 4.99 5 10:50 5.96 6 i 11:00 10MIN 10.95 4.99 PEROLATION RATE 2.0 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by Flintstone Enterprise. Test Hole was presoaked before perc test. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. ~'"~-'~%~"~'~.~· ,,. D a t e NOTES: PANNONE ENG SVC, LLC OF ~L..~'~,~,'" 5/19/11 FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ~V~*."49TH ~' "~.*~{k NTS ..... RUTH CALLAN S/D, LOT 18A ~__~'%,L~..~<_',~_.~.~.:-:7.. ,¥.'7T-.. 051-091-4( RUTH CALLAN LIVING TRUST r~ _"b-teven..fL'H.a~nn°?e~ PERMIT NO. 2030 MULDOON RD, UNIT #413--*--cb e'14~ · .~:~,~.. .~.~'_~ xxxxxxxxx CLOCK WATER READING DATE TIME NET TIME LEVEL NET DROP READING 1 05-09-11 10:30 5.96 2 10:40 10 MIN 10.93 4.97 3 10:40 5.96 4 10:50 10 MIN 10.95 4.99 5 10:50 5.96 6 11:00 10 MIN 10.95 4.99 ANCHORAGE AREA BORO""~H HEALTH DEPARTMENT ANCHORAGE, ALASKA 99501 279-25]! GI~r'~TER 327 EA'~LE ST. INSPECTION REF ORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL__O"' LIQUID CAPACITY_ '-~ '"~"~ SEEPAGE SYSTEM: NUMBER OF PITS_ LINING MATERIAL__ GALLONS. MAILING NUMBER OF V~ATERIA[ ~ ~,fl (..L._A ~77~" COMPARTMENTS INSIDE LENGTH_ INSIDE WIDTH __OR WIDTH ., LENGTH__ SEEPAGE Pm7-.1 Z$774K,., OUTSIDE DIAMETiER NEAREST LOT LINE LIQUID DEPTH __, DEPTH __, ~ . DISTANCE FROM WELL. BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: i OTAL LENGTH DISTANCE FROM WELL ON__ - T LINE_ .- F LINES/./ , NUMBER OF LINES__ NCE BET TRENC AL EFFECTIVE ABSORPTION AREA__ SQ. FT. ENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE WELL: Ty p E .-'~/~/U...~'0 DEPTH_ NEAREST LOT LINE , SEWER LINE DEPTH OF FILTER MATERIAL BENEATH TILI~ SEPTIC .,TANK_ , CESSPOOL. DIAGRAM OF SYSTEM DISTANCES: 3'U/t,/~ C~Z" .-,~ C L~O IN. ABOVE TILE____ DISTANCE FROM WATER , BUILDING FOUNDATION._ SAMPLE , NEAREST SEEPAGE OTHER ,SYSTEM_ ,SOURCES___ DATE ,? H E At. iH AUIHORIIY GREATEi_ 327 Eagle St. SEWAGE DISPOSAL SYSTEM - APPLICATION ,NCHORAGF, AREA _ hEALTH DEPARTMENT ~Anehorage, Alaska 9951)1 ROUGH 279-2511 Case No. /"~--.-~ & PERMIT NAME OF APPLICANT r,,7"~-~5.~ '7'~/'~/..~x\/ RESIDENCE ADDRESS._~X~d,'~,/~-- J~,~'] LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK_ .. TO SERVE THE FOLLOWING FACILITY_ FINANCED THROUGH PERCOLATION TEST RESULTS BELOW TO BE~ MAILING ADDRESS /r~X ~ n~ . PH,O, NE NO..,gZd,,~'.--, SEEPAGE PIT~./Z, DRAIN FIELD~ , OTHER TO BE INSTALLED BY_ ~/,/~ ~/X.//<L2E (Lo£J~'T. ANTICIPATED DATE OF COMPLETION, ¢--- //~ .... .Tm FILLED DUT BY HEALTH DEPARTMEN'r THIS IS TO SERVE AS . PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED r--.~ /~Z::~./',/-~'oo/~-,~- . SEPTIC TANK SIZF ~-'~ (~-~ .TYPE d'~~/~'-'~-~¢' SEEPAGE AREA r~/'~-/~/--YPE ~ DIAGRAM OF SYSTEM DISTANCES: Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that above described system is in accordance wi~h said code. ] APPLICANTS SIGNATURE __ SOILS LOG MUNICIPALITY OF ANCFt~t~J~Lq~' o~- ANCHORAGE i DEPARTMENT OF HEALTH AND ENVIRONed, N (~ 825 L. S~reet, Anchorage, Alaska 99501 264-4720 SOILS LOG PERCOLATION'r Y ',5 ,c,,,,, LEGAL DESC,IPTION: e~¢ PERFORNiED FOR: 1 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15- 17- 18- 19- 2O COMMENTS PERFORMED 72-008 (6/79) SLOPE SiTE PLAN WAS GROUND WATER S :ENCOUNTERED? Y~ ~ OL DEPTH? J Gross Net Depth to Net Reading Date 'rime Time Water Drop PERCOLA-rlON RATE (minutes/inch) TEST RUN BETWEEN FT AND ---- FT CERTIFIED ~E: p L • '1 Municipality of Anchorage U ti GE e o On -Site Water and Wastewater Program a (907)343-7904 SabErx CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-091-46 Expiration Date: -/Co - 2_0_2_-_2- 1. GENERAL INFORMATION Complete legal description Ruth Callan Lot 18A Location (site address) 20911_Sunset Blvd. Chugiak;_AK Current Property owner(s) Trevor Mcrae _ Day phone ___ Mailing address Real Estate Agent PO Box 672421 Chugiak, AK 995677 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS 4 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class _ Well ❑ Public Water System ❑ WaiverNariance request for: Day phone ___ TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. Distance: COSA Fee $_� _ Waiver Fee $ Date of Payment _ 2 Z Date of Payment Receipt Number— a 7 �� Receipt Number COSA# 0SC.ZZ j ZO Z 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. Name of Firm _ARCTERRA CONSULTING INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS _ Date Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future 4•� �.\ \ occupants or can ArcTerra guarantee that no unseen �. ericroachments, deficiencies or ldiscrepancies exist. /'� � OF 41'I �jAr110, 9TH f 6. DSD SIGNATURE —r - y10( #1 Approved for bedrooms. f KENNETH N. DnLS � 10(16 System #2 Approved for Disapproved. . Conditional approval for bedrooms.: i` `` Jnr• k, lllllll(�l� �� bedrooms, with the fb�It pu���� -ON-SITE m' v g WATER AND WAST``_=v ATER o PROGR-A- ISA JJi��A O SEPN\�' '.` ,I 111N% -IN" Original Certificate Date: 5`6P-Z022— 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 blue sheet 10-10-12.doc r 0 r Legal Description: Ruth Callan Lot 18A Parcel ID: 051-091-46 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UNK - Structure served by this system Well production at time of test 1.3 gpm Water storage tank volume -600 - gallons Total depth 102* ft Well disinfected for coliform test? ❑ Yes 0 No Cased to 50+* ft 0 Coliform bacteria is Negative Sanitary seal is functioning correctly Nitrate mg/L Nitrate less than MRL (ND) 11 Wires are properly protected Arsenic ug/L Arsenic less than MRL (ND) Casing height (above ground) 29 in_ Collected by Areterra Consulting Date of flow test for COSA 4/21/22 Date of Sample 4/21/22 Static water level at beginning of test 26 ft. Comments *Per previous COSA done on 6/8/11 B. TANK DATA Age of tank(s) 4 years Tank type/material Septic/Steel Measured operating.fidid level in septic tank 4911 Standpipes/foundation cleanout per record drawing Date of pumping 4/12/22 D. ABSORPTION FIELD DATA Which system tested (date installed) 8/21/18 11 ALL standpipes present per record drawing Total measured depth from grade 5.4 ft (max) Measured depth to pipe invert from grade 4.9 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 STATION ❑ Requl aintenance completed Age of lift station years Lift station material Comments: Adequacy test date 4/21/22 Results Q Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 0 in Elapsed time 10 min Final fluid depth 0 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Yes if No Septic Tank/Lift Station on Lot > 100' If absorption field is under driveway comment below Property Line > 10' Community Sewer Manhole/Cleanout > 100' if No ft ® Yes if No ft [1 Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft `^later Ma;;: >.10' ® Yes if No ft Community \Allells > 200' ® Yes if No ft Water Service Line > 10' ® 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' 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' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that l 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 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-091-46. - Expiration Date: Cc_.: 1. GENERAL INFORMATION Complete legal description Ruth Callan Lot 18A Location (site address) 20911 Sunset Blvd. Chugiak, AK Current Property owner(s) Andy Smith Day phone Mailing address Real Estate Agent 20911 Sunset Blvd- Chug , iak, AK 2. TYPE OF DWELLING: Z Single Family (w/wo AD,U) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage F-1 Community Class _ Well ❑ Public Water System ❑ WaiverNariance request for: 4 Day phone Ak F r T Y Z3, ZozO TYPE OF WASTEWATER DISPOSAL: Individual N Holding Tank Fl Community Public Sewer Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. stance: COSA Fee $ Date of Payment 7-2- t - 20 Date of Payment Receipt Number 162 3 q 044 4 Receipt Number COSA P, 6 5C 2 0 1 �H 2- Waiver # S. 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 ARCTERRA CONSULTING INC. Phone 696-611 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArdTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen aer encroachments, deficiencies or discrepancies exist. �y Af V 6. DSD SIGNATURE _ System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. xqzlot�, 'e� Conditional approval for bedrooms, with the folio�t`i�tlj���r�rr OVA'SINt Flo _�I/JNPArr 11 By: Original Certificate Date: 7/23/20Z0 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 rneA h«.> th—t on t2a> n,1. Conditional approval for bedrooms, with the folio�t`i�tlj���r�rr OVA'SINt Flo _�I/JNPArr 11 By: Original Certificate Date: 7/23/20Z0 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 rneA h«.> th—t on t2a> n,1. COSA Checklist Legal Description: Ruth Callan Lot 18A Parcel ID: 051-091-46 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system 1 A. WELL DATA Adequacy test date — ❑ Well log is filed with Onsite (or attached) Well production at time of test 1.3 gpm Date drilled UNK Water storage tank volume gallons Total depth 102* ft Well disinfected for coliform test? ❑ Yes ®No Cased to 50+* ft 0 Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate mg/L ® Nitrate less than MRL (ND) Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 29 in. Collected by Arcterra Consulting Date of flow test for COSA 7/13/20 Date of Sample 7/13/20 Static water level at beginning of test 82 ft. Absorption rate * gpd Comments *Per previous COSA done on 6/8/11 Any rejuvenation treatment (past 12 months) — B. TANK DATA Age of tank(s) 2 years Tank type/material Septic/Steel Measured operating fluid level in septic tank 49 ® Standpipes/foundation cleanout per record drawing Date of pumping 7/17/20 D. ABSORPTION FIELD DATA C. LIFT STATION ❑ Required maintenance completed Age of lift station — years Lift station material Comments: Which system tested (date installed) 8/21/18 Adequacy test date — ® ALL standpipes present per record drawing Results [I]Pass For= bedrooms Total measured depth from grade 5.4 ft (max) Fluid depth prior to test * in Measured depth to pipe invert from grade 4.9 ft (min) Water added gal ❑ N/A – pressurized field New depth in Q Monitor tubes go to bottom of effective. If not, state Elapsed time * min depth into effective _ — ® Code -required soil cover over field Final fluid depth * in ❑ System presoaked Absorption rate * gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) — date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: * New as of 9/25/18 COSA Checklist yellow sheet i 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' 0Yes ifNo_ft Property Line > 5' ®Yes ifNo_ft Neighboring Tank > 100' ® Yes if No _ ft Private Sewer/Septic Line > 25' 0 Yes if No _ ft Absorption Field on Lot > 100' 0 Yes if No _ ft Holding Tank > 100' 0 Yes if No _ R Neighboring Absorption Fields > 100' if No _ ft Animal Containment > 50' ® Yes if No OYes ifNo_ft if No _ ft —ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No _ ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No _ft Surface Water > 100' ®Yes if No _ ft Property Line > 5' ® Yes if No _ ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' 0 Yes if No —ft Private Wells > 100' ®Yes if No — ft Water Main > 10' Qf Yes if No _ ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® 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 _ it Wells on Adjacent Lots: Water Main > 10' ® Yes if No—ft Private Wells > 100' 0 Yes if No _ ft Water Service Line > 10' ® Yes if No —it Community Wells > 200' 0 Yes if No _ ft Surface Water > 100' ® 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 Cheddist yellow sheet Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. o5z-o9:~-46 1. GENERAL INFORMATION Complete legal description Ruth (::allan S/D Lot z8A COSA# Expiration Date: Location (site address) ;~o%zSunset Boulevard Current Property owner(s) Callan Ruth Living Trust Mailing address Day phone Lending agency Mailing address Day phone Real Estate Agent Mailing Address Finis Shelden / Finis Realty & Service Co. Day phone 688-3263 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 2 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank r-~ [] Community On-site [] [] Public Sewer r--[ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further 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 Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box ~oo2z7, Anchorage, AK 995~o Engineer's Printed Name Steven R. Pannone, P.E. Date 6/8/2oz:t Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & 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 ~ ~ ©[- A, 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 ,~?-9~ .... /[ .... satisfactory test results do not guarantee future performance of the system, nor do they guarantee that E '~ ~' /ICl TH ~ the e are no h~dden defects or encroachments. PES can therefore not provide any warranty for future ~....~.~~ ...... &.....~ perzormance nor g~ve any esUmate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed abov~ge~A~'~y~reTian-h'-ce-~on or use of this report by any other person or party is not authorized nor will it '~... No. C£ 8149 j~Yfifer any legal right u2h,atsoeser~.-~ ~ ~ ........... ..,,, f,"' Approved for ~ bedroo . r-' Conditional approval for ~_~ bedrooms, with the following stipulations' / Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type Private Date completed Unknown Total depth 102 ft. Ruth Calan S/D, Lot 18A IfA, B, or C provide PWSID # .. Sanitary seal (Y/N) Y Cased to 50+ ft. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform . Neff Colonies/100 mL Arsenic: ND ug/I B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic I Concrete Tank size 750 gal. Foundation cleanout (Y/N) Y Date of pumping 313012011 C. ABSORPTION FIELD DATA FROM WELL LOG Parcel ID: 051.091.46 g.p.m. Nitrate ND. mg/L Date of sample: 3125120tt Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 24 AT INSPECTION 4/512011 24 ff. 1.2 g.p.m. Collected by: DRM Date installed 4/1711970 Number of Compartments ~_ Depression over tank (Y/N) N Pumper JRs Septic Date installed 612/2011 Soil rating Length 50 ft. Width 5 Total depth ~3,.f.rft. Eft. absorption area 250 ft2 (g.p.d./ft2 or ft2/bdrm) 1.2 GPDISF ft. Monitoring tube Y Cleanouts (Y/N) Y High water alarm (Y/N) N Date of adequacy test New Results (Pass/Fail) Fluid depth in absorption field before test~ in. Elapsed Time: ~ min. Final fluid depth ~ Any rejuvenation treatment (past 12 mo.) (YIN & type) Water added in. in. System type Wide Trench Gravel below pipe 0.5 ft. Depression over field N For bedrooms ~ gal. New depth in. Absorption rate >= g.p.d. If yes, give date LIFT STATION Date installed "Pump on" level at~ Datum Size in gallons in. "Pump off" level at ~ in. Cycles tested E. SEPARATION DISTANCES Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 115.7 Absorption field on lot 144.3 Public sewer main 75+ Sewer/septic service line 25+ Animal containment areas 50+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 10+ Water main 10+ Water service line 25+ Wells on adjacent lots 77.7' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 20.6 Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 101.1 COMMENTS On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout t00+ Holding tank 100+ Manure/animal excrete storage areas Absorption field 5+ Surface water t00+ Water main 75+ t00+ Driveway, parking/vehicle storage 10+ Minimum separation distance met at time of installation. in. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone, P.E. Date 61812011 COSA Fee $ '7 ~ L~ Date of Payment ~[,/~-~//! Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ul 133 @ 8 Z o 2011-05-02 07:5I AAROW PUMP & WELL 18882806416 >> Fax P 1/1 Municipality of Anchorage Community Development Department On-Site Water and Wastewater Program 4700 Elmore St. · P.O, Box 196650 Anchorage, AK 99519-6650 · http://www,muni.orglonsite - (907) 343-7904 Well Decommissioning Log Legal Address: Subdivision Ruth Callan Block XXX Lot !8_.~A T R Section Lot o,.,~.SfianWaterR, Wills & Wastewater Program certified conttactOrcompany:performing file well decommissioning: Name: Aarow Pump & Well Service Slgnature' LLC ~ ....... We, decommissioning date 4/14/2011 [Method ofdecommi.ioning; AMC 15.55.060LI a, {-~ b. I---I c, [--I Location: Use the space below to provide a drawing of the property showing the following items; , North arrow · Decommissioned well, * Other water wells on the proper[y, . Permanent Mru~ures and properbj lines, , Two swing-tie distances for each well Shown on the drawing, Note: The swing-tie distanoes shall ~3e measured from either permanent etrtlcture8 or the [~to ,j~..try cornets. Aarow Pump & Well Service LLC (907)346-9355 Inspection Report 20911 Sunset, Chugiak, AK. Well camera was ran down to 50' with no perforations found. Install MOA approved well seal and conduit. Old well to the southeast was filled with bentonite chips, cut off 2' below grade and with steel plate welded on. Brian R. Wille Aarow Pump & Well Service