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Home My WebLink AboutDEARMOUN #2 BLK 1 LT 12I eArmoun Block Lot :[2 #018-401-18 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:/~vww.muni.org/onsite · (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141201 PID Number: 018-401-18 [] New [] Upgrade Name: Donna & Scott Stout ABSORPTION FIELD Address [] Deep Trench [] Shallow Trench [] Bed [] Mound 3801 Mathews Drive [] Other Phone Number of Bedrooms Soil Rating Total depth from origrnal grade 3 0.SGPD/SF 10.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.5 Ft. 6-0FtI Dearmoun #2 1 12 =ill added above original grade Gravel length Township Range Section 0 Ft. 47.0 Ft 3ravel width 3ads: Number of Lines Distance between lines SEPARATION DISTANCES 3Ft N/A N/AFt Tc Septic Absorption Lift Station Holding Sewer I'otelabsoq3tionarea ~lumberoftrenches Dist. between trenches From Tank Field Tank Line 564 Ft' 1 N/A Ft Well N/A N/A N/A N/A N/A rANK [] Septic [] S.T.E.P. [] Holding [] Other ~lanufacturer Capacity Surface Water 100+ 100+ N/A N/A Existing Gal Vlaterial Number of compartments Lot Line 5+ 10.7 N/A N/A NA Foundation 5+ 56.4 89.0 N/A LIFT STATION Vlanufaoturer 3apacity Curtain Drain N/A N/A N/A N/A Gal ~ump on level at Pump off level at High water alarm at Remarks Drain field replacement only. in. in, in =amp make and model Elecfrical Inspections performed by Tank to :~IPE MATERIAL Houseto tank draintield 3034 Installer A+ Home Services Drainfleld 3034 CO/MT 3034 Inspector Steven R. Pannone =~ENCH MARK (Assumed elevation) 100ff Inspection 1st 6/18/2014 2'~ 6/18/2014 _ocation and description dates: 3'd 6/20/2014 4~ Top of Deck COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date = ~ " / ....... "' \ i -~, : EXISTING "- ,/ --' .... "~ d~ HOUSE ~ ./ . ' /' ' 10' UTILII~' EASEMENT 1 : ~-', '::~ , /" SEPTIC TANK ~ '~ '~]" ~;~' . ~ -~ EX~STING CRIB ' ." ~ ' . I / % '~: '~ ; ~ ABANDONED PER CODE ~ / . -' ~-. -- ~ ~ · : / ,' I ~ / ,' : C2~/1 '.: ' :' '~:D ~ ~ i",~ ' ,, ' 5BR ~ , ~E~' TH1 ", ~/ ,,> i LOTd2'''-'-~''''. ,., / MA~HEWS DRIVE , ", , EXISTI~ ,, i ,. ~ ~ HOUSE . ,, LOT 1 2 ~ '~ / k,, ¢ ~ LOT 13 ~ ~ " " " EXISTING EXISTING ~ ~ ' '" ,. HOUSE 2 ~ " HOUE ~ ADDN NO 2 , ' "5 "5 "~,, '~'~'' ' // x ",, '~,, ~ ~ '- .... A B '= ~ ~ Cl 69.2 66.7 :' ', , ~ M~ 68.7 67.5 ~ : ~ C2 58.5 82.2 " ~ i ~ ~ M2 59.7 82.9 NOTES: P~O~ ~G ~C, ~ , ~/:;/~o~ =o,~ o~,~,~,.o. ,ox ,oo~,, ,,c,o,,~,, ,~ 00~1o~: ~.~¢¢*'"~*~ PHONE (907) 272-8218 FAX (907) 272-8211 sca~e SCOTT & DONNA STOUT onno~' ¢ PERMIT NO, 3801 MATTHEWS DR fl~. .~ 0SP141201 PLAN ANOHORAGE, AK 99516 ~[~"~;' ~0~S9~'~%~ Sheet ~ ~NN~ 2 OF 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. SCOPE OF WORK: INSTALLED NEW SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15 FEET BELOW EXISTING GRADE. FILTER FABRIC 4" ¢ PERF PIPE TEST HOLE // ~--BRAIN ROCK 6" ABOVE PIPE INV -2.0 s~ 4'.s / / / I BM ~_ SECTION ~o~% o% g~ ~ % ~ ~FILTER FABRIC ~~~ ~z ~ 4" ¢ Perf pipe IT~K(E) ' D~N ROCK~ PROFILE ABBREVIATIONS DESIGN PARAMETERS cu COPPER UPGRADE SEPTIC SYSTEM DIP DUCTILE IRON PIPE NO. BEDROOM: 3 (450 gpd) TH TEST HOLE TANK SIZE: 1000 GAL FC FOUNDATION CLEAN OUT PERC RATE = 5.5 MPI T~ TANK CLEAN OUT NO. SOIL RATING: 0.8 GPD/SF LEGEND c~ CLEAN OUT NO. AR~ RQD: 565 SF SYS. ~PE: DEEP TRENCH 6.0' E.D. ~ W- WATER LINE/ M~ MONITOR TUBE NO. MIN LENGTH: 47 LF WELL RADIUS R.I. RIGID INSU~TION DCO DOUBLE CLEAN OUT USED: ~ SS ~ NEW SEPTIC DV DIVERTER VALVE 47 LF X 3.0' WIDE, 6.0' E.D., 10.5' TD FS FLOW SPLICER TOTAL AREA: 564.0 SF BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ¢~"' ~ '~ fJ NTS SCOTT & DONNA STOUT ~".-~*~w" ~- r~n,,ur.,u NCE 8149 .'.cw~"*~ PERMIT NO. 5801 MATTHEWS DR r~¢~.. ..~ 0SP~41201 DESIGN DETAILS ANCHORAGE, AK 99516 'i~~ Sheet Permit Number: OSP141201 Tax Code Number: 01840118000 Work Type: Septic Permit Effective Dates: June 18, 2014 On-Site Wastewater Disposal 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 Upgrade to June 18, 2015 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: DEARMOUN #2 SiteLegalAddress: DEARMOUN#2BLK 1 LT 12 G:2935 Owner/Address: STOUT DONNA J & SCOTT F 3801 MATTHEWS DR ANCHORAGE AK 995163586 Site Mailing Address: 3801 MATTHEWS DR, Anchorage This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank All construction must be in accordance with: 1. The attached approved design. Lot Size in Sq Ft: 18116 Total Bedrooms: 3 N Privy N Private Well N Water Storage 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. Special Provisions: ' i', Minimum 7 day water monitoring must be provided. Construction may proceed at your own risk before the 7 day monitoring is complete. Please submit stamped and signed results with the as-built inspection report. If the results require a design change, construction of the system will stop pending on-site review and approval. AMC 15.65.060.B.4 Special Provisions: , The location of the crib is unknown. If, during construction, the crib is located, construction of the system will stop and a design change is to be submitted for On-Site review and approval. 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/VVELL PERMIT APPLICATION Parcel I.D. 018-401-18 ~ Property owner(s) SCOTT & DONNA STOUT Day phone Mailing address 3801 MATTHEWS DR, ANCHORAGE, AK 99516 Site address 3801 MATTHEWS DR, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) DEARMOUN #2 BLOCK 1 LOT 12 Legal description (Township, Range & Section) Lot Size 18,116 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (~;~ all that apply) Absorption Field [] Initial [] Single Family (SF) [] (w/wo ADU) Septic Tank [] Upgrade [] Duplex (D) [] Holding Tank [] Renewal [] 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. (Signature of property Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. Permit App_L'- :. Waiver Fees: Date of Payment: Receipt Number: JUN ! $ 2014 Pannone En§ineerin§ Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panenRak.com June 16, 2014 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Dearmoun #2 Block 1 L12 Septic System Permit Request Ladies and Gentlemen: I am writing to request a permit to install a new septic system be issued for this property. The proposed systems will serve a existing three (3) bedroom house. Currently the existing field is in failure and the house is closing at the end of the month. The proposed system will utilize the existing lO00g septic tank n and a conventional drain field. The surrounding developed lots are served by public water system that is 200+ feet away. Soils. We performed one test hole on this lot, and groundwater was monitored on 6/16/2014 and ground water was not observed below the ground elevation in the test hole monitor tube. From 2.5' to 4.5' was a very silty sand, from 4.5' to 13.5' there is a better graded gravel with the silty sand with a perk rate of 5.5 MPI. After 13.5' it became a silty sand with less gravel. It is my opinion, based on the results of the soils tests, the use of a conventional system and overall soils appearance; an application rate of 0.8 gallons/day/square feet should be used for a conventional wastewater system. Soil Absorption System Design. a. See Sheet 2 of the design package. 2. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: The system is being installed in a existing slope that is approximately 1-3%. There are no steep slopes within 50' down slope of the proposed drain field. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: {907) 272-8211 Page 2 of 2 4. 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. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner~Civi[ Engineer Mailing: P,O, Box :100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-82:11 ~ ~ -- /' . -/ ' '- : ~ ~ '. · HOUSE ~' ./ ' DIVERTER VALVE ~ ~', '". ........... ' . ? ~ / ~ ~ .... / ........ ~T~ .......... ' ~' ; ~t ~47LFxG.0EDxS.OW, 10.5 D ' ,] MA~HEWS DRIVE %,, "x, ",, ~ ( 'EXISTI'b / ~ ' ~ ~ ~ HOUSE k LOT 1 2 t LOT 1 5 ~ '~x '/ ' . ....... ', EXISTING ~ ~. x. i ',, HOUSE ' I ~ ' HOU~ ", ~., i I I 'X ADDN NO2 ~ / ~ 0 Z ',,. ,,, . ~ ...... lO]Ut EsOt '., ~ ../ FOR CONSTRUC~ON P.O. BOX ~00217 ANCHORAGE, AK 99510 ~" DEARMOUN ~2 BLOCK 1 LOT 12 - SCOTT A DONNA STOUT ~.. CE 8~49 .'~ PERMIT NO, 3801 MATTHEWS DR rl,~A~¢~¢~ 0SPI41201 PLAN ANCHORAGE, AK 99516' '~I~?~'"';~ Sh~t 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. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM. 5. GROUNDWATER WAS NOT ENCOUNTERED BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15 FEET BELOW EXISTING GRADE NOTIFh THE ENGINEER IMMEDIATELY. ¢" ¢ PERF PIPE TEST HOLE DRAIN ROCK 6" ABOVE PIPE INV DRAIN ROCK su SECTION 1000 g SEPTIC PROFILE ABBREVIATIONS DESIGN PARAMETERS cu COPPER PRIMARY/RESERVE SEPTIC SYSTEM DIP DUCTILE IRON PIPE NO. BEDROOM: 3 (450 gpd) TH TEST HOLE TANK SIZE: 1000 GAL FC FOUNDATION CLEAN OUT PERC RATE -- 5.5 MPI T# TANK CLEAN OUT NO. SOIL RATING: 0.8 GPD/SF LEGEND c# CLEAN OUT NO. AREA RQD: 563 SF SYS. TYPE: DEEP TRENCH 6.0' E.D. -- W- WATER LINE/ M# MONITOR TUBE NO. MIN LENGTH: 47 LF WELL RADIUS R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT USE: i SS i NEW SEPTIC BV DIVERTER VALVE 47 LF X 3.0' WIDE, 6.0' E.D., 10.5' TD FS FLOW SPLll-FER TOTAL AREA: 564.0 SF BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE NO=S: PANNONE ENO SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ~.t~?. ...... ,:.~l.O~_~ 6/12/2014 PHONE (907) 272-8218 FAX (907) 272-8211 ,~.,,,,,r.. ':h ~Sco~e ~ NTS P.I.D. NO DEARMOUN #2 BLOCK 1 LOT 12 , o18-4Ol-m SCOTT & DONNA STOUT ~. ,CE 8149 .~--,.., PERMIT NO. 2 OF5 SOILS LOG - PERCOLATION TEST TEST HOLE I, ' 2 -- / 105.00 ~/ / %125.54 '-- -/ ,.- ....... LOT11 .... // '.. ~o i ' ",.,. ......... ~' x~ / ,/ 1~ / MA~HEWS DRIVE ~, ',, "~ '. ,: , ,,, WAS GROUND WATER SLOPE 14 ~ ENCOUNTERED? ~ SM OC~SIONAL IF YES, AT WHAT TH 16 ~ G~VEL DEPTH? -0-' x 17 ~ DEPTH TO WATER A~ER MONITORING? -DRY- ~ 18 DATE: 6/16/14 3 11:49 -- 2.87 4 11:59 IOMIN 4.93 2.06 5 12:03 ~ 3.08 -- ~ 12:13 10 MIN 4.91 1.83 PERO~TION ~TE 5.5 (Tin/inch) PERC HOLE DIAMETER6 inches TEST RUN BE~EEN 4.5 FTAND 5.5 FT COMMENTS: Test hole excavated by A+ HOM~ SERVICES. ~ec hole was preso~ed. Test ~n for one hour. Last 3 readMgs reposed PERFORMED BY: Steven R. P~none~ P.E. I CERTI~ T~T THIS TEST WAS PERPORMED IN ACCO~CE WITH ~L STATE ~D MUNICIPAL GUIDLINBS IN EFFECT ON TH~ DATE OF THIS TEST. .0T S: P~0~[ (~07) 272-8218 F~X (007) 272-82~ ~...' ~..~ DEA~MOU~ ~2 B~OCK ~ ~07 ~2~ ~.~.~-~..~,.,~~'ut~v~"~x'~zx:' SCOTT & DONNA STOUT',-~I'~". .CE 8149 .Jm~ PERMIT NO. ~80~ MATTHEWS DR ~i,~U~ SOILS LOG ANCHORAGE, AK 995~6'i'~'~~i~'~a~~ shee~ READING DATE CLOCK WATER TIME NET TIME LEVEL NET DROP READING 1 6/13/14 11:36 --- 2.98 --- 2 11:46 10MIN 5.30 2.32 3 11:49 .~~ 2.87 -- 4 11:59 10MIN 4.93 2.06 s 12:03 -- 3.08 .- ~ 12:13 10 MIN 4.91 1.83 Municipality of Anchorage ~ .~', Development ,Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 S, Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page J of~ ~.ci.anchorage,ak,us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/.OR WELL INSPECTION REPORT Permit Number: ~L:JL..~U~ PID Number: . .... ~ ~O/Z ;:., Wastewater System: ~ New ~grade Phone:~ ~.__~-'>/~ Number of Bedrooms: ~ ~ Deep Trench D Shallow Trefl~ ~ed~'~ Mound ~ ~ O~er: Soil Rating: ~ To~l Depth from I grade: LEGAL DESCRIPTION 'o".,n,,v~d~: I ben Block:/ Lo,:~ ~ Subdivision: ~ ~ ~ Depth to pipe b~ FmO~ Fill adde~ve original gmS: ~'~ Gravel Lan /' Ft ~ / ~t.~ vt. Well: ~ New ~ Upgrade Gravel ~d~ ~_ ' Numbe~-dlines:. J Ois~nce be~en lines: Totalabsorpt area: ~ Pipe Material: ~ ~.~ .. .~. TANK SEPARATION DISTANCES ~septic D Holding D S.T.E.P. D Other: T~ Septic Absorption LiE Holding 'ubliclPrivate "a~taaurer: Tank Field Station Tank S~er Line ~ Gal Well t~ /~; ~ ~ ~5i+ ]Material: 5p~ s.~.~w.~ [~ ~ ~ ~ / LIFT STATION' Cudai. Drain - -~O ~', E~~/ ~ Pump M. k__e~- ~ecld~l Inspec,ons pe~rmed by: Inspections pedormed by: ~ ~;,.i,At~s ~5~ Dates: Development Ser~ces Depa~ment Approval PERMIT NO SW030230 PAGE 2 O? 3 Municip~U% o? Anchoraoe DEPARTMENT OF HEALTHAND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 eAnchorage A[askc 99519-66501Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL NSPECTION REPORT LEGAL LOT 12, BLOCK 1, DEARMOUN S/D~¢2.- P.[.D, NO. 018--401--18 J EXiSTiNG CRIB D BL1 & D BL~_~ ~SUMP r_~ NEW 1000 GALLON .(R/ST2 &TH I l~_~ SEPTIC TANK /-ST1 ~6' ~N, / L_~ ~ ~ ' A B NEW ~0 3 BEDROOM ~ ' HOUSE I I I c KEYBOX SCATS:___l" = 3o' I MATHE~S DRIVE ~ ~,,-: ............ ~..~,~. '~t,. ~ ~" '-; "~ PERMIT NO SW030230 PAGE 3 OF 3 Municip. c~Li~;¥¥ _oF Anchonc~qe DEPARTMENT OF HEALTHAND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D Box 196650 IAnchor-age, Ataska 99519-66501Te,i,ephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 12, BLOCK 1, DEARMOUN S/D~i'~- P.I.D. NO. 018-401-18 ST FINAL GRADE~///- 88.2'// ST~95.9' NEW 1000 GALLON SEPTIC TANK A B FCO 20.5' 20.0' ST1 .55.0' 27.0' ST2 41.5' 29.0' DBL1 46.0' .50.0' DBL2 46.5' 31.0' SUMF *82.0' 49.0' * USES POINT C MUNICIPALITY OF ANCHORAGE Deve/opment Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jul 02, 2003 Expiration Date: Jul 01, 2004 Permit Number: SW030230 Legal Description:~ I'~ Design Engineer: 0003 S & S Engineering Owner Name: Scott Bolz Owner Address: 5641 East 98th Avenue Anchorage, AK 99507- Parcel ID: 018-401-18 Site Address: 3751 Matthews Drive Lot Size: 18116 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: ~ Date: ~/~L ,'/~' .,~ Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLicATION FoR A SINGLfE ~AMILY DWELLING ~)\~--q~) I.--t % Permit Number SWO~'oz~o Property owner(s). ~''~O-/L7/- ~o/Z Day phone Ma,lng address (2).'~tg4/lor'o.~; 4K Legal description (Lot, Block & sub'&) L~-J- Legal descdpJion (Sect oti, ToWnsh'p & {Range) this APPLIcAtION Is FOR: SeWer Only Sewer and Welt Sewer Upgrade tHl!s J~P. oPERtY CONTAINs: Hot tub Swimmihg Pool therapy Pool Zip Code Ndmber o~ Bedrooms [] Well Only [] [] Water Storage [] U Jacuzzi J~ [] Water Softening Unit [] U I c~rtlly that the above lnlormatlott Is correcL I further cefJJJ'y ~hat ins application Is being made for a ~t~le P~lly Uw~lllnd and Is In accordahce with ~ppllcable Municipal Codes. 17~4 Eagle Ri~r L~p R~d No. 2~ . ~- =~1~ ~v~. Alaska ~577 (SJ¢~aiute of property owher or ~UJh0rlzed agenJ) befmll J:ees: bate o~ Payment: J~ecelb{ Humber: {Rev. J 2/00) Walvel' J:~es: bale b~ J~aymehl: J~ebklpt ~lu~bet: ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. June 26, 2003 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SOILTEST 8TRUOTURAL & I, tEC~iC.~ r.~.%eN MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 · Anchorage, AK 99519 REFERENCE: Lot 1, Block 12, DeArmoun Subdivision It is requested that you issue a permit to upgrade the septic system~to serve the J proposed three bedroom dwelling on the referenced property. A test hole was excavated and a percolation test was performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation~?/-~/03, no water was found. After monitoring, ground water was not found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on ajay of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. P,_CC/bjj Enclosure '17034 NORTH EAGLE RIVER LOOP ,~ SUITE 204 · EAGLE RIVER, ALASKA 99577 0 (~mns ~ON) · t W 0 3qVDS N¥1d-311$ N91S30 ,0~ = ,,!. Municipality of Anchorage Development Services Department Building S~fe[y Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 vc~w. cLanchoraqe~ak.us (907) 343-7904 Soils Log - Percolation Test Performed Fnr: ..~' ~O 1'- i-- LegalDescdption: L,..~ T } ~ 9j 10- 11- 14- 15- 16- 18- 19- 20- COMMENTS 10/g,l~,~,/"~ Township, Range, Section: Siope Site Plan Reading Date Gross Time Net Time Depth to WaterNet Drop o -- ?',.¢" - ~o ~o~,. /~" ~/¢" 6 o - ~ '/V ,, _ PERCOLATION RATE ~ [minutes~inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~.'.~/~* FT AND ~ *'/~.. FT S & S ENGINEERING ' ' E PERFORMED IN ACC~r'~l~ - --'"'-.~1~ ........... ~"¢4~ ~"~J~C~AL"G01~)ELINES IN ~FFECT ON THIS DATE. DATE'. SREA R ANCHORAGE AREA BOR Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ~ FROM WELL INSIDE LENGTH_ MANUFACTURER ~'//~(~'~ V~ INSIDE WIDTH NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY ~/O~) GALLONS. SEEPAGE PIT: NUMBER OF PiTS / DIAMETER OR WIDTH /-'"~ CRIB SIZE: DIAMETER LINING MATERIAL BUILDING FOUNDATION__., NEAREST LOT LINE . LENGTH''~, DEPTH t/~! DEPTH 7 DISTANCE FROM: WELL ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WE-.: Sd TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION __ LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK __ SYSTEM REMARKS DISTANCES: DIAGRAM Of SYSTEM NSTALLED BY: ~--/ PIPE MATERIAL, q// LOT SLOPE: Form NO. EQ-O31 GREATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK · so,~ T~ST .~su~Ts P~ NOTE:: THIS PERMIT I$ NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOT~'CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TANK SIZE ./~'~../ J.,._ / ~OUNDAT~ON TO SE"TIC TANX FOUNDATION TO SEEPAGE PIT ~ ~ ~ SEPTIC TANK TO SEEPAGE P]T WALt WELL TO SEPTIC TANK ~ 8~M~gPAGE PIT / SE~iC TANK, ~/. SEEPAGE PIT I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-E8 AND THAT THE ABOVE / / r "One test is worth a ~housa,,d · ~)e/~/~A~O~c/ Oa Performed Performed For ,~fO/~cef /_~ . te Legal r)escrintion: Lot /~l, Block~Subdivision .~ Percolation Test. This Korm Renorts Soils Loq Peoth Feet Soil Characteristics 3 4 5-- 6-- 9-- lO Was Ground Water Encountered? I¢ Yes, At__th? Readin~ Date Gross Time Net Time Depth to H20 Net Dron Percolation Rate ~finute Prnposed Installation: Seenaoe Deoth of Inlet CnM~ENTS: Deoth To Bottom Of ~it Or Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 Certificate of On-Site Systems Approval Parcel I.D. 018-401~18 Expiration Date: 1. GENERAL INFORMATION Complete legal description Dearmoun #2, Block 1, Lot 12 Location (site address) 3801 Matthews Dr. Current Property owner(s) Scott & Doniqa Stout Day phone Mailing address 3801 Matthew Dr. Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: [] Single Family (w/woADU) [] Duplex [] Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class 'A' Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual [] Holding Tank [] Community [] Public Sewer [] Received by: ',,"k· :i,. ( . COSA to be released td th,O'engineer, unless otherwise requested by the encneer. Date: Distance: ,¢ l COSA Fee $ Receipt Number COSA# Waiver Fee $ Date of Payment Receipt Number 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 Qn-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 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone bedrooms bedrooms DSD SIGNATURE System #1 Approved for . System #2 Approved for __ Disapproved Conditional approval for Phone (907) 272-8218 Date 6t23/2014 ~ ..St~Ven 'Bi ¢annone, bedrooms, with the following stipulations: ON-SiTE WATER ~-- pROGRAM ~ -¢~)¢ ~/V / S~.~,~ ~,~ , .~/ 0~// Ori§inal Certificate Date: ~ .. ~ Z/ Th evelopment Services Division (DSB) 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. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory X Nitrate Advisory Arsenic Advisory Other COSAbJuesheet_,r - ~, c 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: Dearmoun #2, B1, L12 Parcel ID: 018-401-18 A. WELL DATA Well type Class 'A' Date completed Total depth ff. Date of test Static water level Well production WATER SAMPL~ Coliform ~ colonies/100 mL Nitrate ug/L Date of sample: If A, B, or C provide PWSID # 211936 Well Log (Y/N) Sanitary seal (Y/N) Wires properly protected (Y/N~)..~''''~ Cased to ft. Casing hei~mund) in. FROM WELL LOG AT~CTION g.p.m. mgtL Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tanksize 1,000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping ~,'/e//~,~ I L( Date installed 7/31/2003 Cleanouts (Y/N) Y High water alarm (Y/N) N Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 6/20/2014 Soil rating (g.p.d.tft2 or ~/bdrm) Length 47 ft. Width 3 Total depth 10.5 ft. Eft, absorption area 564 ~ Monitoring tube Y Date of adequacy test New Results (Pass/Fa) Pass Fluid depth in absorption field before test New in, Water added New Elapsed Time: New min. Final fluid depth New in. Any rejuvenation treatment (past 12 mo.) (YIN & type) NO 0.8 GPDISF System type Deep Trench ft. Gravel below pipe 6 ft. __ Depression over field N- For 3 bedrooms gal. New depth New in. Absorption rate >= 450+ g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at __ Size in gallons Manhole/Access (Y/N) in. "Pump off' level at '. ' aer alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots ~ Public sewer main ~e/cleanout Sewer/septic service line ~ Holding tank ~s Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Water main 10+ Wells on adjacent lots 200+ Property line 5+ Water service line '10+ Absorption field 5+ Surface water 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Water Service line 10+ Curtain drain 50+ Building foundation 10+ Surface water 100+ Wells on adjacent lots 200+ Water main 10+ Driveway, parking/vehicle storage 10+ F. 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. Engineer's Printed Name Steven R. Pannone Date 6/23/2014 COSA brown sheet._10-10~12.doc