Loading...
HomeMy WebLinkAboutUS SURVEY 3201 LT 8 T10N R1W SEC 10US Survey 3201 T1ON R1W Sec. 10 Lot 8 #090-021-33 I[ apt ctwn mupurt_ i - i - I Z.voc Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131185 PID Number: 090-021-33❑ New Upgrade Name: Christina Jess ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench ❑Bed ❑Mound Address 353 Konikson Rd. ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.6GPD/SF 10.5 Ft, LEGAL DESCRIPTION Depth to pipe invert from original grade 6.5 Ft. Gravel depth beneath pipe 4Ft. Subdivision Block Lot USS 3201 8 Fill added above original grade 0 Ft_ Gravel length 2X50 Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station I Holding Tank Sewer Line Total absorption area 1,000 Ftz Number of trenches 2 Dist. between trenches 10AFt. Well 129.2 153.0 N/A I N/A 86 TANK ❑p Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1,250Gal. Surface Water 100+ 100+ N/A N/A Material Number of compartments Lot Line 120.4 54.9 N/A N/A NA Steel 2 Foundation 48.4 64.9 N/A I N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A N/A N/A Gal. Remarks t�? &A/� t 91 ( D , t� Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Girdwood Contracting Co. Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services LLC BENCHMARK (Assumed elevation) 100ft Inspection 1M 10/24/13 2nd Sd 11/1/13 4t' 10/25/13 Location and description Top of Well COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date .�� ° AL���a� n- e. Coven. CE 8149 k N Approved Date (o `i �� I[ apt ctwn mupurt_ i - i - I Z.voc 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 AND ATTACHED SPECIAL PROVISIONS. 2. SCOPE OF WORK: INSTALLED NEW 1,250g SEPTIC TANK WITH DOUB1_E "CLEAN OUT AND SOIL ABSORPTION SYSTEM. INSTALLED NEW WELL. 3. GROUNDWATER WAS NOT ENCOUNTERED AS EVIDENCED BY THE SOIL TEST HOLE. NO APPARENT WATER TABLE WAS OBSERVED IN ANY OF THE EXCAVATIONS. 4. BASED ON PERIODIC FIELD: OBSERVATIONS AS REQUIRED BY AMC 15.65 THIS RECORD DRAWING REPRESENTS THE PROJECT AS CONSTRUCTED, BUT DOES NOT GUARANTEE THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. LOT UNDEVELOPED NO WELLS OR SEPTICS WITHIN 200' Z� �P J �O WELL NEW o� �w �a � U CHUGACH STATE PARK NO WELLS OR SEPTICS WITHIN 200' NO WELLS OR SEPTICS WITHIN 200' P roi 4 C3 M3 �© C4 .� M4 "OTES. PANNONE ENG SVC, LLC RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DRAWN BY: NJC USS 3201, LOT 8 CHRISTINA JESS 353 KONIKSON RD. PLAN BIRD CREEK, AK 99540 OF Aqsl� FC 51.10 59.90 68.00 70.20 . 78.007- 79.70 .: 120.90 1 ij.1v_ 120.10 66.70 71.40 70.00 74.70 107.10 113.90 104.50 1113.10 Date 10/8/2015 Scale 1"=50' . D. NO 090-021-33 Steven'F:"Pa''n orie PERMIT N0. CE 8149 PERMIT OSP131185 'tl lFpF� ..... • P�F� Sheet ll PROFESSION ���\\��~~ 2 OF 3 m -6 SEWER INSULA UNDER TH-1 92.3 4" D DRAIN PIPE DUCTILE IRON PIPE OR TEST HOLE FC ( 4" P DRAIN PIPE 85 C# CLEAN OUT NO. M# MONITOR TUBE NO. FILTER FABRIC RIGID INSULATION SM/ 4.0 6.0 DIVERTER VALVE FS ML BFG PROFILE OG DRAIN ROCK 6" ABOVE PIPE INV FG FINISH GRADE TS&V TOPSOIL AND VEGETATE DRAIN ROCK NOT IN CONTRACT 0.5' 4.0 , 85.8 ,.a<�;f�,ra,,- 85.8 ` xx�{�;s SM/ 81.8 81.8 GM 0 I r-5.0-1-10.4-1-5.0-1 6.a SECTION 75.8 I TH DRY BOH/BR 10/25/04 RIGID INS. m W DESIGN PARAMETERS 4 m W in D K 3 O FILTER FABRIC a z z� —DRAIN Rn III F' AR(1VF PIPE INV � :! PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,250g SEPTIC W/ DCO PERC RATE: 24 MPI SOIL RATING: 0.6 GPD/SF AREA RQD: 1,000 SF SYS. TYPE: SHALLOW TRENCH REDUCTION FACTOR: 0.5 4.0'ED MIN LENGTH: (2@50') 100 LF USED: (2EA) 50 LFx5.0'Wx4.0' E.D., 10.5' TD TOTAL AREA: 1,000 SF LEGEND W WATERLINE/ WELL RADIUS SS NEW SEPTIC TRENCH SEE DESIGN ABBREVIATIONS 8 CU COPPER 4" D DRAIN PIPE DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# 85 C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO 4.0 DV DIVERTER VALVE FS FLOW SPLITTER BFG PROFILE OG ORIGINAL GRADE FG FINISH GRADE PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,250g SEPTIC W/ DCO PERC RATE: 24 MPI SOIL RATING: 0.6 GPD/SF AREA RQD: 1,000 SF SYS. TYPE: SHALLOW TRENCH REDUCTION FACTOR: 0.5 4.0'ED MIN LENGTH: (2@50') 100 LF USED: (2EA) 50 LFx5.0'Wx4.0' E.D., 10.5' TD TOTAL AREA: 1,000 SF LEGEND W WATERLINE/ WELL RADIUS SS NEW SEPTIC TRENCH SEE DESIGN ABBREVIATIONS 8 CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE NIC NOT IN CONTRACT NOTES: PAMONE ENG SVC, C� LLCe..®~�®\\®`` Date RECORD DRAWING P.O. (907) 272-8218 ANCHORAGE, AK 99510 ��°F A�gsll� o/t2/2o,s REV 1 181103 PHONE 907) 272-8218 FAX (907) 272-8211 d,.,G,,`Q . 'Fy �� SGaie DRAWN BY: *; L� TH�/ NTS Nuc USS 3201, LOT 8 / . ......-% P.I.D. O0 02103 CHRISTINA JESS Steven .'Ponnome PERMIT NO. 353 KONIKSON RD. /�� �'�•, CE 8149 c��® OSP131185 DESIGN DETAILS BIRD CREEK, AK 99540 �t�e`�FO�??OFESSiON� � Sheet OF 3 Y kk'wa_ Buildingsc'fs y Division 'L+'. 0.+.5 9 ie Va.3 1 ewtid i'i�r`3 Program,� N' 4700 Elmore toad { = ` Mark 6egich P.Q_ Box 196650 Anchorage, AK 99507 Mayor 4. n.`%muni.cro/onsite (54?)3.3-?9 . Well Log Perrot Number: OSP121042 Date of Issue: Date Started: 07-02-12 Date Completed: 07-02-12 Is well located at approved permit location? Lxj Yes (_j No Legal (Description: US Survey 3201 Lot8 Property Owner Name & Address: Brandon Jess 353 Konikson Rd Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To _ Method of (Drilling j x I air rot rotary U cable tool Casing type: steel Wall Thickness: .250 inches Diameter: ___.6 inches Depth: 79 feet Liner Type: Diameter- - inches Depth: - feet Casing stick-up above ground: 2 feet stickup TO 2 rocky overburden 2 4 silt & gravel 4 40 gravel w/sand 40 65 moist sand & gravel 65 70 Static water level (from ground level): 12 feet Pumping level: _feet after --- hours pumping gpm Recovery Rate- 15 gptn Method of Testing: airlift gravel w/ H2O 70 79 — Well Intake Opening Type: n Open End n Open Hale [] Screened Start feet Stopped feet n Perforations Start feet Stopped _ feet --_ Grout Type: bentonite Volume:gr�les Depth: 20` Start 0 feet Stopped; 20 feet Pump: Intake (Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? n Yes No Method of Disinfection; chlorine tablets Comments: �– _..._.__._ Well Driller: Hefty Drilling, Inc. 3540 Akula Dr. Anchorage, AK 99516 - Water Sample Results: � D Arsenic: ugt Nitrates: QAM mgtL Total Coliform Bacteria: RQA colonies/100ml, Other Bacteria: -- col/100ml, Attention: The well driller shall provide a well Log to DSD within 30 days of completion. bevelopment Services bepartment Building Safety- Division f On -Site Water &Wastewater Program RAG B G, Cz `o 4700 Bragaw Street° P.O. Box 196650 a Mark Begich Anchorage, AK 99519-6650 Mayor www.munLorglonsite (907)343-7904 Pump Installation .dog Well Drilling Permit Number: P 1,; Date of Issue: - - Parcel Identification Number: - - Legal Description Block Lot Property Owner Name & Address: U5 .zV� + P11 4 Je-ss Pump Installation Date: - - --y Lj j Pump Intake Depth Below Top of Well Casing: / 1 feet Pump Manufacturer's Name S'7_4 - 11 i1rL1_ Pump Model: SJ6AiCj0-Sjh(4' i D P.3 H S O�7 Pump Size hp Pitless Adapter Burial Depth: r feet Pitless Adapter Manufacturer's Name: Rac, c 0- Pitless Adapter Installer: Well Disinfected Upon Completion? [ Yes 0 No Method of Disinfection: . Comments: (3 Pump Installer Name: fj 41-"J Company: I1lailing Address: `-Ota Gi b r' .4 k_ City: labA)Ott State• Zip: 7 \-fin: The pump installer shah'`provide a pump installation log to DSD within 30 days of pump installation. a_ ; On -Site Water & Wastewater System Permit Permit Number: OSP131185 Tax Code Number: 09002133000 Work Type: WellSeptic Permit Effective Dates: July 16, 2013 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 to July 16, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: US SURVEY 3201 Site Legal Address: US SURVEY 3201 LT 8 T1ON R1W SEC 10 G:4760 Owner/Address: JESS CHRISTINA M PO BOX 579 GIRDWOOD AK 995870579 Site Mailing Address: 353 KONIKSON RD, Indian Lot Size in Sq Ft: 108900 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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 (18AAC80). 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: j0141444:9 ,� Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 061O -Ca\ -3 3 Property owner(s) 2-)r rr snr) tt,Act , j E SS Day phone 250- -9-1-12:7 Mailing address_ /V H tV k r of k D t r O i AN, A K Site address 3 6 3 !C n n) i k- Sc5- J L Gl", O fi v\ 0 i ✓a N.. k Legal description (Sub'd., Block & Lot) Li S Sul 2 0 1 L cJ 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage 1'l APPLICATION IS AN: TYPE OF DWELLING: Initial Upgrade Renewal L Single Family (SF) (w/wo ADU) ❑ Duplex (D) ❑ Multiple Dwellings 0 (SF and/or D) 0 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: N/ A Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of prerty-eianerar authorized agent) Permit/Rush Fees: Date of Payment: 7/4/i Receipt Number: Permit No. C6 P 1311 t15 - Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. On -Site Water & Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121042 Tax Code Number: 09002133000 Work Type: WellSeptic Initial Permit Effective Dates: April 05, 2012 to April 05, 2013 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: US SURVEY 3201 Site Legal Address: US SURVEY 3201 LT 8 T1ON R1W SEC 10 G:4760 OwnerlAddress: HARMON CHRISTINA M PO BOX 579 GIRDWOOD AK 995870579 Site Mailing Address: Lot Size in Sq Ft: 108900 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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 (18AAC80). 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 Community Development Department Development Services On -Site Water & Wastewater Program Mayor Dan Sullivan Phone: 907-343-7904 Fax: 907- 343-7997 On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. ngto' OD1- e 3 Property owner(s) BRANDON & TINA JESS Day phone 250-7427 Mailing address NHN KONIKSON ROAD *INDIAN, AK Site address NHN KONIKSON ROAD *INDIAN, AK Legal description (Sub'd, Block & Lot) USS 3201 LOT 8 Legal description (Township, Section & Range) Lot Size Sq.Ft. THIS APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms 4 THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: N/A 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 5 = Qo__ nn Date of Payment: 31x01 la l f Receipt Number: b3Vc' G ©Sf 6`-'4a-1Gt Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd. manmassmanos CONSULTANTS & GENERAL CONTRACTORS February 10, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Initial Septic System for USS 3201 Lot 8 To whom it may concern: The referenced property is currently vacant. The owner is proposing to build a 4 bedroom house that will be served by a private well and septic system. We are proposing to install a 1250 gallon septic tank and dual 5 -wide trench type drainfield. Attached are a site plan and a design drawing showing the proposed septic system. Two test holes were excavated on the property. The drainfield will be designed around the 30 foot radius of test hole #1. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing there are no slope concerns. We are unaware of any - . verse impacts this installation would have on adjacent wells or septic systems. If you have any ques '.ns, please contact us at 337-6179. Thank you for your assistance. rely, Pres' .E., M.S. NO' ttached is a site plan drawing, a design drawing, two detail drawings, and two soil logs, which are all part of the design package for this septic system. (Contact G.E.G. Ltd for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com N N CHUGACH STATE PARK / / / / / Lof 9 tv / SCALE: 1" = 100' / GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS. e__—a.4 701 E. IUOOR ROAD, SURE 101 • ANCHORAGE, AH 99507 • PHONE (907)337-6179 • FAX (907)338-3446 WEBSRE: PREPARED FOR: BRANDON & TINA JESS LEGAL DESCRIPTION: USS 3201 LOT 8 TYPE OF WORK: SITE PLAN (Rev. 01105) PHONE NUMBER: 250-7427 5001•KunglneANngxo PAGE NUMBER: 1 OF 2 DRAWN BY: P.N.B. 12/2/11 DESIGN CRITERIA: PRIMARY NUMBER OF BEDROOMS:4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 24 MIN./INCH PROPOSED APPLICATION RATE: 0.6 GPD/PT' MINIMUM DRAINFIELD SQ.FT.: 1000 DRAINFIELD DESIGN: MAXIMUM DEPTH: 11' WIDTH: 5' LENGTH: (2 ® 50') 100' TOTAL M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE: 4' REDUCTION FACTOR: 0.50 ACTUAL SQ.FT: 1000 3'p. / N / \ P10 O 5$S-_ \ 6") ete RESERVE SITE WILL REQUIRE \ ADVANCE TREATMENT \ / PROPOSED D', FIELDS 59, S59e S-_ \\5%- / 5% GEG, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. DESIGN CRITERIA: RESERVE NUMBER OF BEDROOMS:4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/5: 24 MIN./INCH PROPOSED APPLICATION RATE: 4.0 GPD/FT MINIMUM DRAINFIELD SQ.FT.: 150 RESERVE DRAINFIELD DESIGN: MAXIMUM DEPTH: 11' WIDTH: 5' LENGTH: 20' M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE: 3' REDUCTION FACTOR: 0.50 ACTUAL SQ.FT.: 200 CHUGACH STATE PARK INSTALL DBL C/0'S Cir T \' TH(j FSCO SSPE PRO OSED 4 BEDROOM HOUSE NOTE: THE CONTRACTOR SHALL HAVE THE 100' WELL RADIUS AND THE BLM ROAD EASEMENTS FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 1V FCO CO C / / T 59 sLopE PROPOSED 1250 GALLON SEPTIC TANK. / / / / 13, h° GARNESS ENGINEERING G = s CONSULTANTS & GENERAL CONTRACTO 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. Al( 99507 • PHONE (907)337-6179 • FAX (907)3 PREPARED FOR: BRANDON & TINA JESS LEGAL DESCRIPTION: U.S.S. 3201; LOT 8 PHONE NUMBER: 907-250-7427 TYPE OF WORK: INITIAL SEPTIC SYSTEM DESIGN OUP, Ltd. 46 • W€ Tt: wax. 9amawangineerIn9.a0m PAGE NUMBER: 2 OF 2 DRAWN BY: P.N.B. DATE: 2/10/12 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS. 701 E. MOOR ROM, SUITE 101 • ANCHORAGE, M. 99507 • PHONE: (907)337-5179 • FAX (907)338-3246 • WEBSITE: 9amawngineerin9.eom SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION- T1ON, R1W, SEC.10 LOT 8 PERFORMED FOR: EDWARD BARNES DEPTH (feet) 1 2 3 4 5 6 7 10 11 12 13 14 15 16 17 18 19 20 SOILS LOGGED BY: KELLY HEITSTUMAN PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS• PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: /r/1 B.O.H. ORGANICS SM/ML SM/GM TEST HOLE #1 SOIL CLASSIFICATIONS 1E111511 'SSA GW GP GM GC SW SP SM SC DATE: 10/25/2004 ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE DRY DRY 10/18/2004 10/25/2004 �S.744p$ ness; to rOfessiOt o� TEST HOLE LOCATIONS ARE APPROXIMATE SITE PLAN 1 =100 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/25/2004 1 3:26 — 6" — --------_-__ 2 3 3:56 30 4 3/4" ------ 6„— --------- 1 1/4" — 3:56 — - 4 4:26 30 4 3/4” 1 1/4" 5 4:26 — 6" — 6 4:56 30 4 3/4" 1 1/4" PERCOLATION RATE 24 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: YES ❑ NO GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E NOOK RMO. SUITE 101 • MACHO: WE, M. 99507 • PHONE (907)337-9179 • FM: (907)339-3240 • WEBSITE 9amwe•n91n•FNn9.wm SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: T1ON, R1W, SEC.10, LOT 8, PERFORMED FOR: EDWARD BARNES D(feetEPT 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 B.O.H. ORGANICS SM/ML SM/GM 20 SOILS LOGGED BY: COMMENTS. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: io/,L7/� TEST HOLE #2 SOIL CLASSIFICATIONS MIN ORM f:4/t ,4Ai GW GP GM GC SW SP SM SC DATE: 10/25/2004 ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE DRY 10/18/2004 DRY 10/25/2004 / G ess. �0 E-- m Q 4,4," professlol•000 TEST HOLE LOCATIONS ARE APPROXIMATE /SITE PLAN 1"=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/25/2004 1 3:47 - 6" - I 2 4:17 30 6" 0" PERCOLATION RATE 120+ (MIN. INCH) TEST RUN BETWEEN 7.0 FT. AND PERC. HOLE DIA. 6 (INCHES) 8.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: • YES ❑ NO KELLY HEITSTUMAN PERCOLATION TEST PERFORMED BY: ROB CAMPBELL Cars r?c'vj-g,STio,.-c- t t^J «e_ CJsersri,jp ce-) G%JLL 3:444,Jy„1 ESS i 5 0.4;., sz OF g Afar 6.r rd. JG�vctO Au0 7#E ikoiCoua.4-es 66- lca-eJ6. IN Au pm4scs o r Ca.J'sw.tsCfo,.J - JPav�.l Sn.v4 Z3Zt5 ‘,JiLi- eb.JSTeutsnaJ t- ALL TiwuE$p 4001A -C DOM C.1-5 '4 iTh paten .J as., The V1134JmAF11.04 . Anil 15 Wt2L/ Sgpnc 14 pia.' our ,.,u Elder ss npec-na„.. The s IC L A ,A,) &ztu ,,prs-+.,r- C. LW Eli to vcot i,.i Au__ -r.,is -mz.4A110-.1. F-‘63 ro -0 rcvc (DJSra.Jckio.J MUNICIPALITY OF ANCHORAGE l Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 090-021-33 Certificate of On -Site Systems Approval Expiration Date: Legal description US SURVEY 3201 LT 8 T1 ON R1 W SEC 10 Site address 353 KONIKSON RD Current property owner(s) KESTNER DAVID J &LUSK JOANNA D X The On-site system(s) is/are approved for 4 bedrooms 2/13/2025 Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: &Z Gi%r XOriginal Certificate Date: 3/28/24 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval—June 2022 MUMCFA' U U V OF ° FCC HOR „ O Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax. 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION: yy- Parcel I.D. 090-021-33 Complete legal description US SURVEY 3201 LT 8 T1 ON R1 W SEC 10 Location (site address) 353 KONIKSON RD INDIAN AK Current property owner(s) DAVID KESTNER 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ®❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 11 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench 0 Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment 0 Z Date of Payment COSA # OSG 2 9 [ C) 75 Waiver # COSA Application_ June 2022 COSA Checklist Legal Description: US SURVEY 3201 LT 8 T1 ON R1 W SEC 10 Parcel ID: 090-021-33 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA Q Well log is filed with Onsite (or attached) Date drilled 7/2/12 Total depth 79 ft Cased to 79 ft Q Sanitary seal is functioning correctly ❑� Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 2/19/24 Static water level at beginning of test 12 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 48 Date of pumping 2/13/24 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 10/25/13 K ALL standpipes present per record drawing Total measured depth from grade 10.5 ft (max) Measured depth to pipe invert from grade 6.5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective _ ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) _ If yes, enter date COSA Checklist June 2022 Well production at time of test 5+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes Fol No ❑ra Coliform bacteria is Negative Nitrate 0.857 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 2/19/24 MNA C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 2/19/24 Results Q Pass Fluid depth prior to test Water added 600 gal 0 in New fluid depth 0 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 48 in Effective depth used 0 in Effective depth remaining 48 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' Q Yes if No _ ft Q Yes if No _ ft Neighboring Tank > 100'❑ Yes if No _ ft Absorption Field on Lot > 100' 0 Yes if No _ it Private Sewer/Septic Line > 25' g Yes if No _ it Holding Tank > 100' ZYes if No _ it Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No _ it Q Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' e❑Yes if No _ ft R]i Yes if No _ it ❑ N/A - Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10'❑ Yes if No _ ft Tank to Property Line > 5' Yes if No _ ft Field to Property Line > 10' Q Yes if No _ it Water Main > 10' 0 Yes if No _ ft Water Service Line > 10' ED Yes if No _ it F. ENGINEER'S COMMENTS Surface Water > 100' Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' ❑� Yes if No _ it 0 Yes if No _ ft R Yes if No _ It If tank or field is under driveway comment below G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm nn le, L hl X'A Lr rtu n Cr Phone 727-$$64 Engineer's Printed Name 4v wrt Date _VZ7 77-&t OF d n 01.1 .t ... %.....:.. .......... �• MICHAEL N. AND[ RK, PJ CE -9469 _A COSA Checklist June 2022 llNICIPAL.ITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 090-021-33 1. GENERAL INFORMATION Expiration Date: J9 _dZ9 – I � Complete legal description T10N R1 W SEC10 - USS3201 L8 Location (site address) 353 Konikson Rd, Bird Creek Current property owner(s) Joseph Harmon Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic El Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1 Waiver Fee $ Date of Payment 3-23 L IL Date of Payment Receipt Number C.1`�—��a� Receipt Number COSA # (15C 1915,22 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. 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 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for _�_ bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 745-8200 Date / q 0 ?,/, ce Conditional approval for bedrooms, with the following stipulations: �c FT ��Q-p-�L-ITY OF4 1 1�EVIlATER � Original Certificate �Date: 7,2-�t �I 1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: TI ON R1 W SEC10 / US Survey 3201 L8 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA © Well log is filed with Onsite (or attached) Date drilled 11212012 Total depth 79 ft Cased to 79 ft 0 Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA n/a Static water level at beginning of test 12 ft. Comments New house. Vacant until last 30 days. B. TANK DATA Age of tank(s) 10/25!" years Tank type/material Measured operating fluid level in septic tank n/a © Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Which system tested (date installed) "012,5"3 © ALL standpipes present per record drawing Total measured depth from grade 10.5 ft (max) Measured depth to pipe invert from grade 6.5 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: New house. vacant until last 30 days. COSA Checklist yellow sheet Parcel ID: 090-021-33 Structure served by this system _ Well production at time of test 15 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ Nc 0 Coliform bacteria is Negative Nitrate 1.23 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L X Arsenic less than MRL (ND) Collected by PES Date of Sample 7/2119 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results F7 Pass For 4 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate 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) Septic Tank/Lift Station on Lot > 100' 0 Yes Community Sewer Manhole/Cleanout > 100' 0✓ Yes if No ft ✓] Yes if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' 0✓ Yes if No Absorption Field on Lot > 100' 0✓ Yes if No ft Holding Tank > 100' JD Yes if No Neighboring Absorption Fields > 100' Yes if No Water Main > 10' Animal Containment > 50' Yes if No 0✓ Yes if No ft Yes if No_ Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' 0✓ Yes if No ft 0✓ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' 0✓ Yes if No Property Line > 5'✓0 Yes Yes if No ft Wells on Adjacent Lots: ✓0 Absorption Field > 5' 0✓ Yes if No ft Private Wells > 100' Yes if No Water Main > 10' ft Yes if No ft Community Wells > 200' Yes if No_ 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) ft ft ft ft ft ft ft ft Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ✓0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10` Yes if No ft Community Wells > 200' M Yes if No ft Surface Water > 100' Q 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 S`®`® 1.5' \ \N,.. 4 1 \ –50' BLLt POAD t / 1� UTILITY AEVENTS CHUGACH STATE PARK J Lot 7 �—J /,PPROXIlA1 E ROAU LOWHON Lot 8 o/ SHED–\ Lot 1 Lot 9 50' BLI,1 ROAD UTILITY RESERVATION HOUSE DETAIL Scale: 1' = 30' \ i j \ / Lot 6 , STORY CANT PLOT PLAN AS BUILT X SCALE 1" = 6D' GRID --5E 4760 Project No. 11-193/85 11500 Daryl Avenue, Anchorago. Alaska 99515-3049 Lang & Associates, Inc, (907) 522-6476 Phone ooCCCCe keno 522-4625 F O F A t iQ4 Professional Land Surve ors kenolongsurvay-cam Y d F .......... JonaihanOlangsurvey.cam I hereby certify chat I have surveyod the following described property: BLM LOT S. US SURVEY No. 3201 a°,49tH _ '•�_'.�0� Anchorago Recording District, Alaska, and that the improvements situated thereon are �•""'•"•' "•'J' "'Q within the property lines and do not encroach onto the properly adjacent thereto, that 0 i / no im rovemonis on the roe lying adjacent thereto encroach an the Surve ed P property rty Y 9 I y lP NcNNETH G, LANG �r� premises and that there aro no roadways, transmission linos or other visible UQ easements on sold property except as indicated hereon. 0 9Fo '•.L .• ' z�oG Oaiad this the -�= Doy of _ �– �%���%�^'-.>�- %��''- at Anchorage, Alaska Q ... ...• p o WIZ 'SS104fY 1P�q It Is the responsibility of the owner to determine the existence of any easements, IZ114 1 covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 bevelopment Services bepartment Building Safety -Division / On -Site Water & Wastewater Program FA�'� gG� 7 ze 4700 Bra gnw Streetr ;f `a P.O. Box 196650 Mark'Begich Anchorage, AK 99519-6650 S A F E T Y Mayor www.muni.org/onsite (907)343-7904 Pump Installation Log 't'4'ell Drilling Permit Number: � S P ! 31 � S � Date of Issue: - - Parcel Identification Number: - - Legal Description Block Lot Property Owner Name & Address: V5 5U2Vey Pump Installation Date: -7q Pump Intake Depth Below Top of Well Casing: t r feet Pump Manufacturer's Namesi � - �7 Pump Model: S1),6'✓6a-,5jnL,r!� J ' S (qT7 Z 7 Pump Size hp Pitless Adapter Burial Depth: f L , feet Pitless Adapter Manufacturer's Name: Ra " 1 LtsA,,,E Y7 Pitless Adapter Installer: `b r..A'sos).i-j� Well Disinfected Upon Completion? .A Yes V No - Method of Disinfection: �� L�^�i, s�' � ���zjplav1 Comments: C Pump Installer Name:j Company - Mailing Address: ' V' F 1G City: _-,tE2lx c J State: If- Zip: 7 �n: The pump installer shad provide a pump installation log to DSD within 30 days of pump installation.