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HomeMy WebLinkAboutHENKINS BLK 3 LT 2-AHenki4'ns Block 3 Lot 2-A #051-292-76 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page I of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: ��P (f{ 1 6 cj PID Number. ©i f'Zq 7 - 76 �p Z Dwelling Sin IeFamily (SF) ❑Du lex(D) Multiple (SF and/or D) Project: ❑ New ['TCpoggrt'atdke Name: [ti A ORPTION FIELD {� 7Be,,, [E:11Dee Trench ❑ Shallow rench [Dd Mound AddressQQ ��1¢ vt`(ti�JQ f n Other Phone Number of Bedrooms Soil RatingTotal depth (r original grade ©� — 72�a — -7 o G I 3 D,sF Ft LEGAL DESCRIPTION Depth to pipe invert from original de Gravel depth beneath pipe Ft. Subdi'vi$(ion _ Block Lot 3 Z' Fill added above original g Ft. G el length Ft. Township /R,ange/ Section Gravel width Ft. Beds: Number of Lines Dis ce between lines Ft. V V SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total a rplion area Number of trenches Dat. between nches From Tank Field Tank Line Fe t. Well 9 � 1 [� TANK eptic ElS.T.E.P. ❑ Holding El Other Manufacturer GYM_ Capacity t { G F7 r Surface Water � 1() � � 1®Or Gel. Material �� Number of compartments Z 4 44 Lot Line 5 ` NA Foundation Z5 ] L STATION Manufactu Capacity Curtain Drain Gal. RemarksPump on level at Pump evel High water alarm at 0.rl L ` ()� tit2 � 0.rf.¢nr •�-0./1� . Pump make an delElectrical Inspectio erfo Installer Tankto PIPE MATERIAL Housetotank 1, Ip' dran eld Ow t1 e r 5,ze— d1VVe_ D FVC- Off D303 Drainfield GO/MT Inspector /'_fes CLe4 (e .h -k e. 1. C BENC Assumed elevation) t Inspection �1 dates: 1 fe 3 2n° c -[' ( Location and description 3t° am COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval: Date ��7 A �;y� H e .. ... REGONA1,1;NEBEBLE � C�c,992254 ► '� Z� Approved /✓. Date -7—,2, 5 Inspection Report 9'f-12.doc �IPKAProject= (A z t �-i Ll% Page' of Job No._ — �� a Date a t� MIUMN. MINIM. NNN41NNM Title:ku#-5 564 - �By. 160' $!-3 c N (06 we-(( 49TH ... ........ .. .A.... ALAN EBEBiE pl- 5 ApfV"� /93 - - Tt l YNR z8N9 - C2 ZC.a 2� — MT- I�kt(- (06 we-(( 49TH ... ........ .. .A.... ALAN EBEBiE pl- 5 ApfV"� Project 6�5 451 ak 7 . bt Z A Page• of (&RPKQ Job No.: it ®Se (412 (o L Date RodaeyP,NianeyFAssociales'Inc. Title: �G kw t� v'.� By.P 5 Q rl V\ �RPKA Project, �"��d.SN-r`f"�- �Z Poge• Lof Z °�' Job No., J F +� �� ) Date• SKI Rodmswm4Ims—I Ss'sm..,ine. en.eu�.n<iien¢ia:nrunrs Title: W ,a r O�� W V ILL. On -Site Water and/or 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: OSP141165y7 Tax Code Number: 05129276000 Work Type: SepticTank None Permit Effective Dates: June 03, 2014 to June 03, 2015 Design Engineer: Subdivision: HENKINS Site Legal Address: HENKINS BLK 3 LT 2-A G:0755 Owner/Address: MANDERSON PHILLIP T & UEHLING LEHA K 15749 OLD GLENN HWY EAGLE RIVER AK 995779219 Site Mailing Address: 15749 OLD GLENN HWY, Eagle River Lot Size in Sq Ft: 25098 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank 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 (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development pervices 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. Special Provisions: 7he'new septic tank is to meet all required separation distances found in AMC 15.55 and 15.65. Received By: Issued By: Date: �3 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 1. D. 05l— Property owner(s)Day phone Mailing address tq-7 49 ®(tel Gte.,� �(Lq� ms Site address �a v Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) --r(S w r R i W Sc ctn vs 14 Lot Size 35 � X84 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Septic Tank (w/wo ADU) Upgrade F-1Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ 9v_ — (SF and/or D) Private Well ❑ TAL Water Storage El SUBMIT ��44 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUES4CfR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. property owner or Permit/Rush Fees: oil$' Date of Payment:/ Receipt Number: 531Gb Permit No. 0501 4 Permit App_:- : - ::..mac Waiver Fees: Date of Payment: Receipt Number: Waiver No. 3,2o Rodney P. Kinney Associates, ioc. 960911811■ Enrosers a Surveyors June 3, 2014 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Attention: Mr. James Crewdson, P.E. 14 -GE -1730 Subject: Lot 2, Block 3, Henkins Subdivision - Septic Tank Permit Application Owner: Philliip Manderson Address: 15749 Old Glenn Highway Legal Description: T15N, Rl W, Section 14 Lot size: 35,284 Square Feet Parcel ID: 051-292-76 Dear Mr. Crewdson: The property owner of the above-described three bedroom property is applying for permission to abandon his septic tank and replace it with an identical 1000 gallon tank from Greer Tank. The subject septic tank replacement location, which will be the same as the current to -be -abandoned tank, meets all separation distances from neighboring wells and water courses as required by current Anchorage Municipal Code. Please contact us at 694-2332 with any questions or further required information. Thank you. Sincerely, RODNEY P. KINNEY ASSOCIATION, INC. Greg Eberle, P.E. Project Manager GE:djm 16515 Centerllala Drive ■ Suite 101 ■ Eagle River, Alaska ■ 99577 907.694.2332 0 Fox 957.694.1807 0 www.rOka.net To whom it may concern Date 6/2/2014 I am Phill Manderson the owner along with my wife Leha K Uehling of Lot 3 Block 2 Henkins Sub division. Actual address is 15749 Old Glenn Highway Eagle River. I have been a building contractor since 1981. Since then I have been involved in and directly responsible for all types of construction including assisting installing septic systems. The last septic system I was involved in was the one at the United Methodist Church of Chugiak a dual tank system with two very large drainage fields. Since 19811 have driven excavators, large rollers, bulldozers of varying sizes, dump trucks, backhoes, skid steers, I am even a licenced large Crane Driver. The equipment I have rented is from Pacific rentals in Palmer. The tank is from Greer Tank in Anchorage it is a 1000 gallon tank built to the Muni specs I am doing this install myself I will not pay anyone or get help from anyone as it is only a replacement of the tank. Which I will remove and place the new one in the exact same position by myself. Sincerely Phill Manderson Phone number 907 726 7061 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONIVIENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [] UPGRADE LOCATION .. I DISTANCE TO: ~.~t ~ /,~_~' Ab$~na, j~ J/ Dwellin~.c-- ! ~ ~ z Manufacturer ~ M ' . ~ ~ ~ DISTANCE TO: Well I D~ell~ng ~= I DISTANCE TO: I W~o~ /~1 Foundation /~ Nearest,otlin~ ~ ~ I No. of lines / ] Lengt~ch~n~ Total le~of li~ Tren~idth /f ~J~ Topoftil ~fi~r2d~ ~C' ~ ~0 ~ ~ ~ inches Lengt~~ ~ Width ~th ~2~ --Z Z ~ ~ inches ~ ~ J Type of crib Crib diameter ~ / ~. Crib depth ~ DISTANCE TO: Well [ Building foundation Nearest lot Kine ~ Class Depth ~ ~er ~ DISTANCE TO: Building found~ion Sewer line NO. OF BEDRO0~_~ PERMITNO. _~-/ No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons Total effective absorption area PERMIT NO. Total effective absorption area Distance to lot line Septic tank PERMIT NO. Absorption area(s) OTHER PIPE MATERIALS SOILTESTRATI~:~:~_ /~ REMARKS DATE o DJ 0 r~ 0 ! '~ 0 ~ r- Permit .~ g~ Applicant: Location: Legal Description: 107-~ ~/h~ ~-~ Type of Soil Absorption System Is: MUNICIPALITY OF ANCHORAGE De~artment.~ Health and Environmenta]"~-~rotection 825 = Street, Anchorage, AK. ,~501 264-4720 * * * HANDWRITTEN PERMIT * * * AND~ON-SITE SEWER PERMIT WELL Mailing Address: ~J~O ~A/ ~ /~/~//~ Phone Number: ~ ~q-3 ~'~S Lot Size: Trench: ~ Drainfield: Seepage Bed: Holding Tank: Maximum Number-of Bedrooms: .~ Soil Rating(sq.ft/br) /~-- The Required Size of the Soil Absorption System Is: ' DEPTH /O] LENGTH 3~! GRAVEL DEPTH ~C' WIDTH ~//~ The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~Q~ GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. SPecifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 ~ 3 * * * Z certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedroom~.//~ Signe~:,/~__~, ~--~I ~~-- Issued by: ~~~ ~..~0.-~ 4//- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 SLOPE WAS GROUND WATER ENCOUNTERED? [] SOILS LOG O P E IF YES, AT WHAT DEPTH? [] PERCOLATION TEST 12 13 15 16 17 18 20- COMMENTS SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND X,,x/,X.., f /l~//)/~ l(minutes/inch) ~ FT PO ~ J,c.) FI 6-650 AIqLSi IO~/\©E. AL,A,:; .,', 99502-0SS(' (90/) 264-a ~ 11 ~Permit #:820562 ,January 31, 1983 TO: Permit Applicant Subject: Lot 2 Block 3 Henkins Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the .on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 !::!F?L. ~: C:RNT L. OCFFT i L. OT SZ ZE UF'(}N TP.E T?F'E OF' F:'I, FLZ] HELl_. TF Fl CCd"I.hiljN;[T'?' ':.:;FZHER L.~Jt'.,IE T:'? '?5 FEET. :i: C:EI:.:::TIF".r' 'I','HFi]" :L: ! F!H FRHZL.i:RR i.,J. ZTH THE RE:~::!L!ZREi',IEi'.,!"i"E; FOR (}!'.,!--.S :[ 'TE SEWERS I:::!t'-,iD HELLS F!.':.E; SET F'Oi:?.TH B"r' THE ,HUN I E::,r. F'RL. i T? OF !:~NCHOI:;?RGE. 2: I !.,,!:[M,... IN:i.T,"f'F~L.L. THE' S'¢STEH !'N F!CCORDI'::hNCE [41T!4 THE C:ODES. MUNICIPALITY OF ANCHORAGE Development Services Department T3 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051 292 76 1. GENERAL INFORMATION Expiration Date: I :�') �-] Complete legal description HenkinS Block 3 Lot 2-A Location (site address) 15749 Old Glenn Current property owner(s) Williams Mailing address Day phone Real estate agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Q Private Septic, 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ J��i� Waiver Fee $ Date of Payment Date of Payment Receipt Number 0!V10 Receipt Number COSA# Q �J�1 g�aaS 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 C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 6/9/2019 of Ak,4k i 49TH 6. DSD SIGNATURE W::/j%: :: System #1 Approved for � bedrooms /� v` "j . CHARLES G BALZARIHI System #2 Approved for bedrooms �+`���s.•. CE -13854 Disapproved PROFESSIONP��AGW Conditional approval for bedrooms, with the following stipulations: .��.�XjY OFq dN- WATFR AND WASTEWATER o u 1 SEN�G��,� )))))1111 Original Certificate Date: 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: HENKINS BLOCK 3 LOT 2-A If more than 1 septic system on lot: COSA Checklist # 1 of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 5/24/83 Total depth 221 ft Cased to 40 ft Al Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 36 in. Date of flow test for COSA 6/1/19 Parcel ID: 051-292-76 Structure served by this system 1 Well production at time of test +0.54 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by C&M ENGINEERING Date of Sample 6/4/19 Static water level at beginning of test NA ft. Comments ARTESIAN WELL PLUG. WELL CASING HAS APPROXIMATELY 325 GAL OF STORAGE CAPACITY, WELL SUPPLIED 450+ GALLONS IN 4 HOURS PUMPING B. TANK DATA Age of tank(s) 5 years Tank type/material SEPTIC ❑ Standpipes/foundation cleanout per record drawing Date of pumping 5/30/19 D. ABSORPTION FIELD DATA 40' TRENCH, 5'EFF C. LIFT STATION ❑ Required maintenance completed Age of lift station NA years Lift station material NA Comments: STEEL SEPTIC TANK Which system tested (date installed) 4/28/83 Adequacy test date 6/1/19 ❑ ALL standpipes present per record drawing Results ❑ Pass For 3 bedrooms Total measured depth from grade 7.5 ft (max) Fluid depth prior to test 0.5 in Measured depth to pipe invert from grade 4 ft (min) Water added 450 gal ❑ N/A — pressurized field 2 New depth in ❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 1440 min depth into effective 3' ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) Gallons introduced 450 gallons If yes, enter date y NA Comments/Deficiencies: HOME VACANT <1 WEEK PRIOR TO TESTING COSA Checklist yellow sheet 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' ® Yes if No ft Q Yes if No ft Neighboring Tank > 100' F41 Yes if No ft Private Sewer/Septic Line > 25' F41 Yes if No ft Absorption Field on Lot > 100' ®Yes if No ft Holding Tank > 100' QYes if No ft Neighboring Absorption Fields > 100' if No Animal Containment > 50' Yes if No ft Yes if No ft .. Water Main > 10' ® Yes if No ft Manure/Animal Excreta Storage > 100' ®Yes Community Sewer Main > 75' ® Yes if No ft Q Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' ®Yes if No ft Driveway/Parking > 0' E] Yes if No, comment Absorption Field > 5' ®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' F4 I Yes if No ft Community Wells > 200' ®Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q Yes if No ft Driveway/Parking > 0' ® Yes if No, comment Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Q Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' 4 Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS SYSTEM IN DRIVEWAY, PIPE STRUCTURAL CALCS ATTACHED. 4' OF COVER SUFFICIENT TO PREVENT FREEZING G. ENGINEER'S CERTIFICATION l 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. 6/10/2019 COSA Checklist yellow sheet pF AkgS�� ,,d'TH ,�p'� ' ' •F TH �� CHARLES G BALZARINr r$�63�F9 CE -13854 F0PROFESSIOO�,v ®�oia�4 MUNICIPALITY OF ANCHORAGE www.muni.org/onsite Well Water advisory Certificate of On -Site Systems Approval # OSC191225 Subdivision: Henkins, Block: 3, Lot: 2-A WN. This well's productivity was determined to be .54 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ��- � �f � �� g P O� Box 196650x Anchorage; Ataska�99519 650 �w1Mi�i1► muni org �� ,�� :�� x EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. The information hereon is for the use of lending institutions showing the -relationship of existing structures and platted easements and lot lines. It is not to be used for positioning additional structures or fencelines. DRAWN: DMS DATE: 9-3-89 SCALE: 1"=30' FB: 9-21 j GRID: NW 755 lit lk v6 AS -BUILT -No corners set this date I hereby certify that I have performed a Mortagee's in- spection of the following described property: Henkins Subd.,Lot Anchorage Recording Precinct, Alaska. and that the improve- menu situated thereon are within the property lines and do noroverlap or -encroach on the property lying adjacent there- to, that no improvements on property lying adjucent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska thic 3 day of Sept. 19 89 08-4566 SE14AYI} & ASSOCIATES LAND SURVEYING Determine if drainfield distribution pipe in driveway is acceptable Use Plastic Pipe Design Manual by Vylon Pipe http://www.primeconduit.cot-n/Brochures/VVIon/Plastic Pipe Design Manual.pdf A Calculate pipe load B Calculate deflection C Check buckling D Check crushing A Pipe Loading Py=DL+LL DL= yXH Y= 150 pcf soil weight H= 4 ft burial depth DL= 4.166667 psi LL= 2.78 psi based on Table 1, H2O Truck Py= 6.946667 psi B Pipe Deflection deflection= DI*K*Pv*100 (.149*PS)+(.061*E') D1= 1 Lag Factor taken as 1. K= 0.1 Bedding cc taken as 0.1 Py= 6.946667 Prism load PS= 46 Pipe stiffness F/Y E'= 200 Soil modulus for loose, coarse grained soil (conservative for sewer deflection= 3.645779 deflection limit of 5% C Pipe Buckling Pb= 1.15* sgrt(Pcr*E') confined pipe buckling Pcr= 0.447*PS/(1-V*V) unconfined pipe buckling V= 0.38 poissons ratio for pvc pipe Pcr= 25.64516 psi Pb= 82.35985 psi F.S. 11.85602 factor of safety D Pipe Crushing comp stress T/A allowable compressive stress T= Py*D/2 wall thrust (psi) D= 4.5 OD of pipe T= 15.63 lb/inch A= D/dr Area of Pipe Wall (in*in/in) dr 35 (for 3034 sewer pipe) A= 0.128571 in/in 121.5667 psi F.S. 17.5 factor of safety Conclusion: Deflection controls, but is within 5% limit. So pipe is ok structurally L t Height of Highway' Cover H2O 1ftf (lb./in 2) 1 12.50 2 5.56 3 4.17 2.78 5 1.74 6 1.39 7 1.22 8 0.69 10 N.S. 12 N.S. 14 I.S. 16 N.S. 18 N.S. 20 N.S. 22 N.S. 24 N.S. 26N.S. _ 28 N.S. 30 N.S. 35 N.S. 40 N.S. .' 7 W Q W U n- W r- m m L W J ::DQ O U O O z I- U z O Q O 3:C) 3:0- :�E W • Municipality of Anchorage =' On -Site Water and Wastewater Program ' (907)343-7904 Certificate of On -Site Systems ApproVBNi� Parcel LD. 051-292-76 Expiration Date: JUN 16 2414 '/0-� 1. GENERAL INFORMATION Complete legal description Lot 2-A Block 3 Henkins Subdivision Location (site address) 15749 Old Glenn Highway E�r�l��� Current Property owner(s) Phillip Manderson Day phone 907-726-7061 Mailing address 15749 Old Glenn Highway EQA-K q9 577- Piq Real Estate Agent Owner is Seller 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 907-726-7061 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual FX1 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request i G f_ Received by: �KY 0 �s� Date: 12_114 z COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $-5a&.'4 Waiver Fee $ Date of Payment Qi&/j4( Date of Payment Receipt Number( Receipt Number COSA# (��y�2tPZ 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 Rodney P. Kinney Associates, Inc. Address 16515 Centerfield Drive Engineer's Printed Name Gregory A. Eberle 6. DSD SIGNATURE System #1 Approved for _�3 bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Phone 907-694-2332 Date June 5. 2014 0F.A 11 10, * :49. TH7. Ito2 Win...,.,,.... bedrooms, with the following 6AEGET)(/1l4� l EBEilitE V CE 9254. . C71 OFE15f10,? Original Certificate Date: — 2—' TheMniciWfty 9PAnqboftirge Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheet r , Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Lot 2-A Block 3 Henkins Subdivision A. WELL DATA Well type Private If A, B, or C provide PWSID # NA Date completed 5/24/1983 Sanitary seal (YIN) Y Total depth 221. ft. Cased to 40 ft. FROM WELL LOG Date of test May 24, 1983 Static water level 41 ft. Well production (Est. 20 gph) 0.33 9 -P.M. WATER SAMPLE RESULTS: Parcel ID: 051-292-76 Well Log (YIN) Y Wires properly protected (YIN) Y Casing height (above ground) 35 in. AT INSPECTION May 20, 2014 (10" ags) +0.83 ft 0. /O Coliform Negative colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: �' i1e /��( oIIected by. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Date installed Replaced 6/4/14 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N Date of pumping June 2, 2014 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed 4/28/83 Soil rating (g.p.d./ft2 or ft2/bdrm) 125 sq ft/BR System type Trench Length 40 ft. Width 2.5 ft. Gravel below pipe 5 ft. Total depth 10 ft. Eff. absorption area 375 ft2 Monitoring tube 9 ft Depression over field N Date of adequacy test May 20, 2014 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 2 in. Water added 450 gal. New depth 9 in. Elapsed Time: 200 min. Final fluid depth 5 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date NA D. LIFT STATION Date installed NA "Pump on" level at NA Datum NA Size in gallons NA in. 'Pump off" level at NA _ Cycles tested NA E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 197 ft Absorption field on lot 189 ft Public sewer main NA Sewer /septic service line 178 ft (> 110iI 0') Animal containment areas StJ C in. Manhole/Access (Y/N) NA High water alarm level at NA in. Meets alarm & circuit requirements? NA On adjacent lots >200 ft On adjacent lots >200 ft Public sewer manhole/cleanout NA Holding tank NA / Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 25 Property line 12 ft Water main NA Water service line 72 ft Wells on adjacent lots >200 ft ABSORPTION FIELD ON LOT TO: Property line 15 ft Building foundation 22 ft Water Service line 64 ft Curtain drain NA F. COMMENTS G. ENGINEER'S CERTIFICATION Surface water >100 ft Wells on adjacent lots >200 ft l 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 Gregory A. Eberle Date June 5, 2014 COSA brown sheet -1 0-10-1 2.doc Absorption field 8 ft Surface water >100 ft Water main NA Driveway, parking/vehicle storage 0 ft Municipality of Anchorage s Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ei.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 141262 During a recent COSA on-site inspection and test of the potable water supply well on Block 3, Lot 2-A of Henkins subdivision, the well's productivity was determined to be 0.6 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.3 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. A.pE.9 O.� COMM/SS/ONEiPS ,OEE.l1 OF diP/G//YAG S�/B4iliisio/Y ' Gal; o� 9r 387 WE'LL w 0 .: �F- °F• A< ,., •• t it .� •<;• :7 ' �� i Oven. aNrk Sewed i �+ •. LS - 6918 � �t�•`'eiSjpitt�� �� 1✓ AS.BUILT'No corners set this date EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE I hereby certify that I have preformed a Mortagee's to. RECORDED PLAT ARE NOT SHOWN HEREON. apectton of the following described property: Henkins Subd.,Lot 2,Blk. 3 The information hereon is for the use of lending institutions showing the relationship of existing structures and platted easements and lot lines. It is not to be used for positioning additional structures or fencelines. MAWN: DATE: DMS 9-3-89 (SCALE: r=80, FB: 9-21 GRID: 755 Anchorage Recording Precinct, Alaska, and that. the improve. ments situated thereon are within the property linea and do nor overlap or encroach on the property lying adjacent there• to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereun. Dated at Anchorage, Alaska thi. 3 aay or Sept. IY 89 688-4566 SEWARD,A ASSOCIATES LAND SURVEYING APPLI(" 'NT FILLS OUT UPPER HA: ONLY Property Owner ~'~t ~ l'I (~ ~ ~;'' ~ .~/'-'.,,~ (~ . Phone Mailing Addre~ Zip Code J Address Zip Code Address ~U ~'-~ Ix. / ~/-~_. i-~ Zip Code Type of Residence  Single Family Multiple Family ~o. o~ Bedrooms ~ Other Water Supply ~ . ~ Individual ~ A~ACH WELL LOG. A w~i log is required for all wells drilled June 1975. ~ Community.5~ For wells drilled prior to that date, give well depth (attach log if available). ~ Public Uti[Ny Sewer Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Date Date Date Inspector Inspector Inspector /..~ROVED BEDROOMS ) DISAPPROVED ) CONDITIONAL API~OVAL"~ DATE Time ~ ~~ Inspector JUL 1 ~ 1983 "Municipality of Anchoraga" "Dept. of Health & F,nvimnm~n'i'al Profecti~n" *CONDITIONS OF APPROVAL Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Tank