HomeMy WebLinkAboutR & R TR 9TI 1E STATE,
Joe Lawendowski
PES,LLC
P.O. Box 1807
Palmer, Alaska 99645
i
GOVERNOR MIC, LJEL J. DUNLEAVY
Department of Environmental Conservation
August 6, 2019
DIVISION OF WATER
555 Cordova Street, 3,d floor
Anchorage, AK 99501
Bill Rieth: 907.269.7519
Re: Eagle River -R & R Track 9-19330 Stonehill Drive- Two Houses each with Service into a 1,500 gallon
septic tank to a common field which is a 5 Wide 4 foot Effective Depth and 2 trenches that are 32 feet or
longer in length and a Lift Station Orenco Pump Vault and 1 horsepower, Liberty PRG series lift pump —
Final operational approval to Operate-.ADEC Plan Tracking Number 27749
Dear Mr. Lawendowski,
On July 29, 2019 engineering plans and the documentation of construction forms were received for the R
& R Tract 9-19330 Stoneville Drive. The 5 bedroom complex with one bedroom in one structure and 4
bedrooms in the other are now connected by pumping from the one bedroom unit to the 4 bedroom
complex with the 1,500 gallon septic tank and soil absorption field as shown on the plans.
The Department has reviewed the engineering plans submitted for the Sewer Rehabilitation of the
domestic wastewater system per the Wastewater Regulations 18 AAC 72.245 a final operational approval
to construct is issued for the wastewater systems. A completed "Certificate of Construction" so marked for
the domestic wastewater system is enclosed. Please use the referenced plan number in correspondence
regarding this project.
This approval does not imply the granting of additional authorizations nor obligate any state, federal or
local regulatory body to grant required authorizations.
Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18
AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC
15.185. Informal review requests must be delivered to the Division Director, 555 Cordova, Anchorage,
Alaska 99501, within 20 days of receiving the decision. Guidance information on the informal review
process may be found at httt)://w,.\nv.dec.state.ak.us/commish/Review-Guidance.htm Adjudicatory
hearings requests must be delivered to the Commissioner of the Department of Environmental
Conservation, P.O. Box 111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is not
requested within 30 days, the right to appeal is waived. Thank you for your cooperation. If you have any
questions please do not hesitate to contact me at 269-7519.
Respectfully,
William R. Rieth, P.E.
Environmental Engineer
,-•_ 'x STATE
OF ALASKA , , -
6E1ARi'MENT09 ENVIRONMENTAL CONSERVATION
CO'NSTRUCTION AND OPERATION CERTIFICATE ,
for
,;s � DOMESTIC WASTEWATER DISPOS
"rl -'j fid' _ AL SYSTEMS
!j 5UG> ez, L_GGN >�r I -7 Z,1U l J 3c 5`1161�fr_m 1 f_t ()pj4
A. APPROVAL TO CONSTRUCT i•Pi 4,:C QG.11/4 VvIAII)8 t'�
Pians for the construction or mad(fjcatfo 1-t
l n of l t~ j) (C,6- Ci �
11t3t�I^c+r I A t✓>.
.�-Ec P'�foVA�R f�t1t'�r,a��j�.7-G+itDC
° estc as ewater disposal system
located in �>�y � � 'I �/� ,Alaska, submitted in acco •
by. P,4A oAt 1 rdance with 78 AAC 72.225
have bash reviewed and are.
❑ approved.
�--7 condlt►onall approved (sea attached cc
�� �� ��- --- _ nditlons ). ,.t�.-�- /;.' � u� ��".��•-%
It construction'has not started within two y'sars of the DAT
Specifications must be submitted for review and a approval date
itructi nlffcate is Vold and nawplans and
�.
APPROVED CNAN.GE ORDERS
ppravat6sfore construction, '
Change (contract order no. ordeacdp8ve reference)
Approved by Date
S
APPROVAL VO OPERATE
The "APPROVAL. TO 6PERmplatad and stATE" ssctibn must be cae
Dap=rtrngnt bafor3 this system Is made available for usa. 9n d by the
The construction of thez�cu-(,�"4(�(^,� ��,•.-1�,
system was c
do lc wasts%di
completed on � ��7�"/ � I � poral ��
(data)• Tile system Is hereby
g,ant3d Interim approval to op3rats for SO days following the ccmPlztbn data.
3Y +
TITLE
As -built plans sTE
ubmittad during the interim approval Parlod,.or an ins •o b
D�partm•ent, has co,nfirmad the system was constructed according to the approved The sy ste P .ctlan by the
y Arr) Is hereby granted firal' approval to oparate. Pp ed plans. ,
ay
nTLS
State of Alaska
DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Certification of Construction for
:. Domestic Wastewater Systems
Instructions: Within 90 days after the construction, installation, or modification of a project is
completed, the owner, the contractors) responsible for constructing the project, and a registered
engineer responsible for construction inspection, must complete and sign this form declaring that
the project was constructed in accordance with the most recent Department -approved plans, or in
accordance with the attached as -built drawings.
If a project is being completed in phased construction, a map shall be attached showing that
portion of the project being declared completed on the date stated in Section A - Owners Section.
Completion of each phase of a project must be declared as it is completed. Additional
Certification of Construction forms are available from any Department of Environmental
Conservation office.
Please type or print, except for signatures
SECTION A- Owner's Section
Name and brief description of the project Replacement of existing septic system with a newmulti-unit
septic system
Owner Name Rnhart M and lb rata G K II y
Owner Address 19330 Stonehil) Drive Eaele River Alaska 99577
City State Zip
ADEC Project No. 27749 Date Project Completed: 5/18/2019
I certify that I am the owner of the above -referenced project. I further certify that this project
was constructed in accordance with the latest plans submitted to and approved by the Alaska
Department of Environmental Conservation (ADEC), or in accordance with the attached as -built
drawings. I understand that I may be required to take remedial measures to correct any
construction which was completed without prior ADEC approval, which departs from the
approved plans, and which is found to be inconsistent with the applicable requirements of ADEC
wastewater disposal regulations (18 AAC 72).
Signature of Owner
-
(Please Sign in
Page I oft
Date
SECTION B- Contractor's Section
I certify that I (or an individual under my direct supervision) have conducted an inspection of the
project referenced in Section A, or portions of the project which 1 had the responsibility for
constructing, and that to the best of my knowledge and information, the project, or those
portions, was or were constructed in accordance with the latest plans submitted to and approved
by the Alaska Department of Environmental Conservation, or in accordance with the attached as -
built drawings.
Printed Namb of Contractor Signature of Contractor Dae 7
For multiple contractors, if applicable:
Printed Name of Contractor
Printed Name of Contractor
SECTION C- Engineer's Section
Signature of Contractor
Date
Signature of Contractor Date
I certify that I (or any individual under my direct supervision) have conducted an inspection of
the above referenced project, and that to the best of my knowledge and information, the project
was constructed in accordance with: (check one of the following)
the latest plans submitted to and approved by the Alaska Department of
Enviromnental Conservation
or
in accordance with the attached record drawings.
I further certify that:
oall conditions placed on the construction approval have been met as described
briefly below: (if using a cover letter, you may write "see cover leper")
Signature of Professional Engineer
Responsible for Construction Inspection
(Please Sign in Ink)
Steven R. Pannone, P.E.
Typed or Printed Name of Professional Engineer
`F
State of AIaska
Professional Engineer
Registration Number
Pagc 2 of 2
L
Date
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7
R&R TRACT 9 fl �� 1" =70'
DRAWN ACP ROBERT & THERESA KELLEY .11. ., A. o�n F•NO
066 0-341-01
eveCE
FERMIT NO.
DRIVE
SITE PLAN EAGLES RIVOER, AK 99577 �t �`a�= SHEEIT
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REVISIONS IUAI
7
R&R TRACT 9 fl �� 1" =70'
DRAWN ACP ROBERT & THERESA KELLEY .11. ., A. o�n F•NO
066 0-341-01
eveCE
FERMIT NO.
DRIVE
SITE PLAN EAGLES RIVOER, AK 99577 �t �`a�= SHEEIT
OF
9
Municipality of Anchorage Page of z
_t____
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
°, P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: 5LOci70 3 SO PID Number o60— 3+/' 07
Name:
M4/2.4
Wastewater System: ❑ New 0 Upgrade
Address: doN'NAt_r- EmCniNEf�_
ABSORPTION FIELD
Phone:
'�°t'J "� -':/.� oZ 7
No. of Bedrooms:
-�
0 Deep Tr - h 0 Shallow Trench 0 Bed ' 0 Mou • 0 Other
LEGAL DESCRIPTION
Soil Rating:
• •D/So. Ft.
Total Depth fro •riginal grade:
'1
t e Subdivisioon:
"w -r ID
Depth to pipe bottom from original t .,e:
Gravel • : •th beneath pipe
Ft.
Township:
c,/..
Rang
Sectio
Fill added above original grade:
Ft.
:vel length:
Ft.
-• ❑New • Upgfa.-
Gravel width:
Ft.
Number • 'nes:
Distance between lines:
Ft.
Classification r(Priv ate, • , •;
Total • • .
Ft.
Cased To:
Ft.
Total absorption : a:
SC. Ft.
Pipe material:
Driller:.
Date . •.
Static Water Level:
Ft.
Instal .
Date Installed:
Yield:
GPM
Pump Set at:
Ft.
Casing H ight Abo - ound:
TANK
SEPARATION DISTANCES
%Septic 0 Holding 0 S.T.E.P.
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
Public/Private
Sewer Lines
Manufacturer:
, OI,j� •• L-1-44,42-
Capacity in gallons:
100 0
welh
12.0 4-
hJ 'J}-
fJ I.m
lJ /4
I oot+
Material:
Number of Compartments:
2
WatIN Ce
Loa`'
100(1-
LIFT STATION
Lot -
Line.
/
+
/1.
e C .t
Size in gallons:
• . acturer.
Foundation
0 •/(.
Y"
"Pump on" level at:
"Pum • _
High water alarm at:
Curtain
Drain- -.
NON
_ IOLv...1
----is
Pump Make&
Electrical Inspections performed by:
Remarks:
BENCH MARK
Location and Description:
it P of l..01.LO (r.1 SEL(,_
Assumed Elevation:
•DO Ft
J
ENGINEER'S SEAL
Inspections performed by: J (ri w I wt s.)-1s Dates. 1s 1J
StrAtY e
m ll
1
/ta
eo.
a5 2nd fO 2S 4-
°/' �/
Department of Health and Human Services approval
Reviewed and approved by: � +�— C. ' l Date• /Oz9 9�
w'-•�•. Jef
�". a®,
taloPRopESS(a�a��
C.y A.
CE•7953
r
72-013 (Rev. 8/91) MOA 25
SW970380 A J- B 1
L
i
D VV ._] PID#, 060-341-01
EXISTING
BEDROOM
\CO
D.
A TO FCO = 195
B TO EGO = 21
A TO Si = 15
A TO S2 = 21
B TO S2 = 35
A TO CRIB MT =
B TO CRIB MT =
35
385
BENCHMARK IS TOP OF WINDOW
SILL ON LOWER LEVEL OF HOUSE,
NEAR SEPTIC TANK, ASSUMED ELEV.
= 100.00.
1. FCO INVERT = 94.59
2. TANK INLET INV, 94.35
3. TANK OUTLET INV. = 94.09
4. INVERT AT INLET TO THE
CRIB MT = 92.93.
5, TOP OF TANK = 94.84. FINAL
GRADE OVER TANK = 99.2. MIN.
SOIL COVER = 4.3 FEET.
° wel.L
3
HOUSE
51
S2
DOUBLE C/D
EW C/O ON TOP OF CRIB
XISTING CRIB 19' x
-NEW 1000 GALLON SEPTIC TANK
19'
NOTE! THE EXCAVATOR DAMAGED THE TOP
OF THE CRIB WHEN REPLACING THE SEPTIC
TANK. THE CONTRACTOR REBUILT THE LID
OF THE LOG CRIB USING 8 x 8 PRESSURE
TREATED TIMBERS, AND PRESSURE TREATED
PLYWOOD. PROFESSIONAL JOB.
0--
J ff
' .•
IiT /1 ••;P 0�
; A. Gar ess.
I; —7953 ' ,,c0
�
SEPTIC TANK REPLACEMENT: TRACT 9, R&R S/D
PREPARED FOR:MARIE RAMS.RT•m
0 •
0;
Q s
- _
PREPARED BY; ALASKA WATER & WASTEWATER
DATE: 10/27/97
DRAWN: GARNESS
SCALE: 1" = 30'����pOoess101
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
ON—SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970380 DATE ISSUED:10/22/97
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE:10/22/98
OWNER NAME:RAMERT RICHARD & MARIE
OWNER ADDRESS:
PARCEL ID:06034101
LEGAL DESCRIPTION:
R & R TR 9
LOT SIZE: 65339 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80)
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: (� n.�c�✓LP��"
ISSUED BY:�U�4�,
DATE: 76, �� — G% 7
DATE: (0. 2;2 .4/
October 16, 1997
Alaska Walter Wastewater
8471 Brookridge Drive,., Anchorage — Alaska 99504
(907) 337-6179 — Fax (907) 338-3246
Consulting Engineers
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
ey A. Game
0-79.53
Ref: Septic Tank Replacement for Tract 9, R & R S/D. Hiland Road. Eagle River, Alaska.
To whom it may concern:
The existing 3 bedroom house is served by private well and septic system. The existing 1000
gallon septic tank (fiberglass) is leaking and must be replaced immediately. Attached is a 1" = 40'
site plan. There are no wells within 200 feet of the new septic tank. The contractor will install a
foundation clean-out, and double clean -outs after the tank. There are no surface waters within
100 feet of the proposed upgrade. I am unaware of any adverse impacts this installation would
have on adjacent wells or septic systems. If you have any questions, please contact me at
337-6179, or 244-9612. Thank you for your assistance.
Sincerely,
Je' e' r
Prin• p.
.E., M.S.
MUNKI,ALITY OE ANLriVkHOt.
ENVIRONMENTAL SERVICES DIVISION
OCT 17"1991
RECEIVED
711E.K' ., ARE No WE[cS
WIYI /"J a.0O ` CSF PRc oSsO
SgPTic. TANK - EXCEPT '
_SaN,
„Exisrrru& Cry&
F Ro 57>? L[,47LonL
�- 32;9 ,'fig'-�►
CVAC'N7 LoT TO Trft
Co,J't44-rrc - S 11,4,-1A- 1 ST -v— A- F-voN D r. ---10/J
Cf D pva Le.. c,/a's'r=1L 7SePT►C..,
ru14
Jr 9-, R4 Sb J
SEPTIC
PREPARED FOP: M s34�
Taw. St1 POP/PEW.
;,
PREPARED BY: ALASKA WATER a WASTEWATER SERVICES
DATE: loklqq'
DRAWN: 3ir<A W ILII/ 1
SCALE: rt. 40'
of
A. Gomm 44,,
apt
.✓r%C�.•taper
.7.0". 78
4.
/ 4 0
% •e• ,_e
'r '0 J
s A•• p' pn
�(' I'.
•
/fir
11'
2Z4
•
•
ASBUILr
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FALLOWING DESCRIBED PF3OnERTY;
Mt THAT NO E,NCROACHMF_'NTS EXIST EXCEPT AS
INDICATED, IT IS THE RESPONSIBILITY OF THE
OWNER TO DE'T'ERMINE THE E=XISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CtRCUMSTTNCES SHOULD
OF FENCE HEREON
NOR FORGESTABLISHING SUC9OUND-
ARY LINES.
L V9 689 LO6
SEWARD & ASS(C,IAIIS r,AND SURVEYING f 9 9 - OR 21
SCALE,
DATE+
GRID+
Far
DRAWN!
,e, .,N0,%p x
g��c QF,A1 ea
„ '
•49TH a
, ic-...;--4-4
il.•
• 1. Dune Mirk Sews°Q ' #
'. LS -64)8
110:141;,..•I''.
' tit7W4i700,4,\:41\,\:*4'
925,;192'Z82 Wel 6b: 90 L6-02—d3S
GRED :R ANCHORAGE AREA BORn'IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
�Uu� vckC_
C:7oITh t
/�
I INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME leiLLao-crIANeitt" MAILING ADDRESS rZt t 12-1(O �� PHONE Vjy_ (71711(
LOCATION ‹. °Yk 6t
LEGAL DESCRIPTION 1r¢(t S /`t /C Jzit�
SEPTIC TANK:
DISTANCE
FROM WELL MANUFACTURER145ef
INSIDE LENGTH INSIDE WIDTH
�ih�ep NUMBER OF
MATERIAL 744;5 COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY / 000 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS I DIAMETER lb' OR WIDTH (1 LENGTH 16! DEPTH 61
c/
LINING MATERIAL L CRIB SIZE: DIAMETER a DEPTH V DISTANCE FROM: WELL
uTOTAL EFFECTIVE
BUILDING FOUNDATION Z NEAREST LOT LINE ABSORPTION AREA (WALL AREA) l� SQ. FT.
ADDITIONAL ABSORPTION
WELL: Ocri ctOld c-1,u,.d �C
TYPE CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING
FOUNDATION
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL OTHER SOURCES
APPROVED
DISAPPROVED REMARKS
DISTANCES• DIAGRAM OF SYSTEM
INSTALLED BY•
(r+2tVt IGLOCk
PIPE MATERIAL.
L ct S -t- I V V^
LOT SLOPE•
REMARKS•
Form No. EQ -031
DATE
APPROVED
--111‘1)c..
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
PERMIT NO
NAME OF APPLICANT
'1
�y `•A ) r�1E
INSTALLATION LOCATION :'" /l),2
LEGAL DESCRIPTION kr I,f- r k.)4
/14 k l0 4349 ! oi f r—
��j/yJry �] / .1 Vii,
MAI LItyG AD SS /'^ �`�.it PHONE 2/1////
r
INSTALLATION OF: SEPTIC TANK _yX - SEEPAGE PIT / DRAIN FIELD OTHER
o I f.
TYPE AND SIZE OF FACILITY TO BE SERVED -� n�{ t f �IL� P.P ti I die 11f,' !`}.
FINANCED THROUGH
SOIL TEST RESULTS
/ D A/
TO BE INSTALLED BY
COMPLETION DATE ANTICIPATED
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE QC)1) TYPE A..1.1)/4.4( SEEPAGE AREA SIZE "" TYPE "(74 ('
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK c/
FOUNDATION TO SEEPAGE PIT 20 DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL (4;1
SEPTIC TANK SEEPAGE PIT '2-0(DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK 1 00 SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
/
SEPTIC TANK, /00 SEEPAGE PIT
TO RIVER, LAKE. STREAM
/for
DRAIN FIELD
CAST IRON INTO ANDD -OUT QF S€PT_IC TANK AND _INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
F TED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH GULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO
DESCRIBED, SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE(3/'ICJ
APPLICANT'S SIGNATURE
28-68 AND THAT THE ABOVE
GREATER gCiltIAGL ARCA BOROUGF
jepartment or Environmental Qua
3330 "C" Street
y
SOILS LOU P RO1 ATiON TEST
Performed for Date Performed 401,91711-
I_eI}ai Descrilition: , €� focb 4rlazln�tl___--
Percolai:ion test
-
;hiis form reports: Soils log
Depth
Feet
1
3--
4-
6 .-
,_
8-
s I i1GI I / SIN -7 61 -4 -vel)
ex
•-rv4c
60-(s,(+1 G 1
ks (eAsiA.a `L(
-t-Aft-erei:r 4a
(e)
14#zaw '= `, / Ge .
Was ground water encountered? / Q If yes, at what depth?
dint
Date i -Gross Time Net Time Depth to Water Net Drop
Percolat'iori ra te minute.
Proposed inStal1atior, 3urnaue Pi t
m53 .1 _ Drain Field ---- ---- -.-- ..e;) th of Inlet Depth to iy:".turn o+ pit or trench ____ ___--
:; , r ; i i S : z> b 'J {` t� - ', • l<. 1.t-' t1" ' -• `1-4' (0 I -)_ i o '"�/ f `;-- �j_
>') ; . �.- `:1. � y ` t 44,11:1,) - ._ c,:::?. e' , i ,/it
<d-.t"e'va! - - -
,:ifor y•_, %-l.44Lji40.,t,V_____ Ceititl'-✓�' Dy:>��0-q,��',--_,,'0-(rl t=it_�atu._�N
040 (6,"l4)
f
14#zaw '= `, / Ge .
Was ground water encountered? / Q If yes, at what depth?
dint
Date i -Gross Time Net Time Depth to Water Net Drop
Percolat'iori ra te minute.
Proposed inStal1atior, 3urnaue Pi t
m53 .1 _ Drain Field ---- ---- -.-- ..e;) th of Inlet Depth to iy:".turn o+ pit or trench ____ ___--
:; , r ; i i S : z> b 'J {` t� - ', • l<. 1.t-' t1" ' -• `1-4' (0 I -)_ i o '"�/ f `;-- �j_
>') ; . �.- `:1. � y ` t 44,11:1,) - ._ c,:::?. e' , i ,/it
<d-.t"e'va! - - -
,:ifor y•_, %-l.44Lji40.,t,V_____ Ceititl'-✓�' Dy:>��0-q,��',--_,,'0-(rl t=it_�atu._�N
040 (6,"l4)
Performed for R. Ramert
uepartment of Env ironmenta 'uui,Ly
3330 "C" Street
Anchorage, Alaska 99503
SOILS LOG - PEROLATION 'PEST
Legal Description: Tract 5 on Hignland Drive
This form reports: Soils log
Depth
Feet
1 _ —Overburden
2-
3-
4-
5 -
13 -
14 -
Date Performed 9/16/74
Yes
Slightly Silty Gravel
Graded 6P with Cobbles and
Boulders to 2'. Layers of
clean gravel throughout depth.
150 square foot drainage.
Bottom of Test Hole
Was ground water encountered?
Percolation test
/0/3,0
If
If yes, at what depth?
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
Percolation rateminute.
• Proposed instal 1atfon_ Sepage Pit Yes Drain Field
DCp th of Inlet -3' Depth to bottom of pit or trench
COMMENTS: No—bedrock -5F-water table to depth
PerformedQy: Jame`s ck
EQ -040 (6/74)
Certified By: Construction TesDate:_9/16/-711
L ab
\ 0
0
Well Owner
M -VV DRILLING, Inc.
P. O. Box 4-1224 • 1310C International Airport Road
(907) 274-4611
ANCHORAGE, ALASKA 99509
DRILLING LOG
Richard Ramert
Use of Well Dom
Location (address of: Township, Range, Section, if known; or distance main road
Size of casing
Tract 9, R& R Subdiv, S. side Eap-le River
6 Depth of Hole 175 feet
Cased to 51
feet
Static water level 50 ftari) (below) land surface. Finish of well (check one) open end ( X ) ;
Screen ( ); Perforated ( ).
Describe screen or perforation None
Well pumping test at 11 gallons per (Fi rl (minute) for 1 hours with 100%
of drawdown from static level.
Date of completion
Depth in feet from
ground surface
18 Oct 74
WELL LOG
Give details of formations penetrated, size of material, color and hardness
0 TO 9
9 TO
Sandy Gravel
10i Boulder
10 TO 12 Sandy Gravel
12 To 13
13 TO 20
20 TO
Boulder
Sandy Gravel
34 Sandy Gravel
34 TO 35 Boulder
35 TO 50 Silty Gravel
50 TO
175 Bedrock: small water seaos in fractures from 150' down.
TO
TO
TO
TO
TO
TO
Wane E. Westbe
Ati 5111 \,,
X6 '1 8 9 10
77
•t c.- Municipality of Anchorage
On-Site Water and Wastewater Program ` •n��_il n o s t n
(907) 343-7904 ii• I dvi 3
It• ti
w
Certificate of On-Site Systems Approval `` oz 6 8 L 9��
Parcel I.D. 060-341-01 Expiration Date: Serpi 61 O 1
1. GENERAL INFORMATION
Complete legal description R & R, Tract 9
Location (site address) 19330 Stonehill Dr.
Current Property owner(s) Mary & Marty Wache Living Trust Day phone
Mailing address PO Box 238 Isle, MN 56342
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: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual El
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received 4; 111 1 • I Date: Of Le/0/ie
COSA to be released to the engineer,unless otherwise requested y,he engineer.
COSA Fee $ zl=,. Irr 8155- Waiver Fee $
Date of Payment (0E'i'1C / (a l$ Its Date of Payment
Receipt Number a1606-6/0(41-161U Receipt Number
COSA# 050 i1I Waiver#
04 :.
5. STATEMENT OF I ' OIV' 1E' ;EER
:• ;�,,
As certified by my seal affixed h2 OWl n.=8itof valJ'ptio' .ate 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.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 6/6/2018
Aw•c/r*Py mo• i- -:7u
6. DSD SIGNATURE ;f•••�6
System#1 Approved for 3 bedrooms i�.•.Steven F'.•Pannone• /
System #2 Approved for bedrooms V 1/4, CE-8149 rr/
�!t'l '• oma.=
Disapproved k /*OFESS40NA 4
Conditional approval for bedrooms, with the following stipulations:
Q����t OF iv
V(.yG
jf ON-SITE Y�,
WATER AND
•
•Ort‘ WASTEWATER ,
c PROGRAM
•,��1/Jinn c:.a\,�C. .
By: rel/ �f1�17r ro �klun / Original Certificate Date: I b(ne e 0.1 �S
frE
rJ 9 J )
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: • r• •
t• - r,
COSA Checklist X • •,.Nitr?te.Advisory
9r' .. 4-b,' ` ;-
Septic System Advisory X ` -4.`Arsenic A'�Msol'-y• •
Well Flow Advisory Other .' .:1041c�,`
COSA blue sheet r - ..
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: R & R, Tract 9 Parcel ID:060-341-01
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 10/18/1974 Sanitary seall�(Y/N) Y Wires properly protected (Y/N) Y
Total depth 175 ft. Cased to .�" sft, `lej-PSS Casing height(above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 10/18/1974 3/9/2018
Static water level 50 ft. 70 ft.
Well production i . g.p.m. 1.8 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 1 .92 mg/L
Arsenic ND ug/L Date of sample: 5/16/2018 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Unknown Date installed 10/27/1997
Tank size 1,000gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N
Date of pumping 6/23/2017 Pumper JR's Septic
C. ABSORPTION FIELD DATA
Date installed 9/16/1974 Soil rating (g.p.d./ft2 or ft2/bdrm) 150 SF/BR System type Crib
Length 19 ft. Width 19 ft. Gravel below pipe 6 ft.
Total depth 12.8 ft. Eff. absorption area 456 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 3/9/2018 Results(Pass/Fail) Pass For 3 bedrooms
Fluid depth in absorption field before test 65 in. Water added 450 gal. New depth 71 in.
Elapsed Time: 1440 min. Final fluid depth 65 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm &circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+ On adjacent lots 100+
Absorption field on lot 100+ On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 100+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO: � -`�
Building foundations 10 .-1Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
Verified tank liquid levels normal, solids in 1st compartment only. Survey on file.
Crib is nearing end of life, 90% used.
G. ENGINEER'S CERTIFICATION .40"'_
OF AC N.Nkxkkk
I certify that I have determined through field inspections and r4,
review of Municipal records that the above systems are in ..., • i '47.00‘ *�00/
conformance with MOA COSA guidelines in effect on this date. % * • 0
Engineer's Printed Name Steven R. Pannone r •:Sleveri i.• anrione':••
6/6/2018 ��� 9,. CE-8149
Date s *\,•*.:
COSA brown sheet 10-10-12.doc
MUNICIPALITY SFANCH• , /j GE
DEVELOPMENT SERVICES DEPARTMENT 907-343-7904
On-Site Water and Wastewater Section Fax:343-7997
www.muni.org/onsite
Septic System Absorption Field Advisory
Certificate of On-Site Systems Approval # 0SC181258
Subdivision: R&R, Tract: 9
During the absorption field adequacy test, 65 inches of standing water was
observed in the absorption field. This indicates approximately 90% of the
absorption area is inundated. Although this system passed the adequacy test, the
remaining life expectancy may be limited.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address:P.0.Box 196650*Anchorage,Alaska 99519-6650*www.muni,org
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel l D #
060-34- t -01
1. GENERAL INFORMATION
Complete legal description
HAA #
R .lD
Location (site address or directions)
N:( LLr (� . {-1 IL JO 126.aD
Property owner
Mailing address
Lending agency
Mailing address
Agent 11?(2--u-DE)-) 7'I rrt_- / a\A L(-' Day phone
Address / L6 x- E t
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
P -Cr" Imo(
c_o>v ;moi 4-C�
Day phone )'ct�—��
Day phone" ----
6 Bic-I-6476
hone
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
68c-I-6476
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
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 of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. 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 in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm Alaska WatsI Phone 33 7-6/79
waterY as water cervices
Address 84-
„oo/ 19e411
Engineer's signature
fru �vc��� (Ai J
S Weert 4? E P i D -4 Zl
iNvot'E v
VISA EJA LacIez...)
Sr—�Zvt c s
.5G �,— _os1,3(T,
Date /
6. DHHS SIGNATURE
V Approved for I kEG bedrooms.
Disapproved.
By.
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Date 29 97
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA X21
ENVIRONMENTAL SERVICES DIVISION
Municipality of Anchorage
OCT 2 8 1997
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division R
ECEIVE
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
cq Health AuthorityApprovalChecklist
TT2Ac � 7 S// Parcel I.D.: O'O •34'/-0 /
Legal Description:
A. WELL DATA
PVT-
Well type
Log present (Y/N)
Total depth
4.16,-- •
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed /0 // e/74
Sanitary seal (Y/N)
Date of test
Static water level
Well production
/ p /fes
Cased to JAI Casing height (above ground) / Z
Sj Wires properly protected (Y/N)
FROM WELL LOG AT INSPECTION
/0//C3/74- /WO 7-
/. 5
WATER SAMPLE RESULTS:
Coliform
Date of sample:
Nitrate
g.p.m.
/0 G-3
B. SEPTIC/HOLDING TANK DATA N
Date installed P43/q'7' Tank size /OW
Collected by:
/.36+
06
Other bacteria
S
g.p.m.
Cleanouts Y/N L/s
Number of Compartments ( )
N/
Foundation cleanout (Y/N) \e'S Depression (Y/N) NCS
Date of Pumping 0\i'A- Pumper /41
High water alarm (Y/N)
C. ABSORPTION FIELD DATA
Date installed 9/74 Soil rating (g.yidiff2 or ft2/bdrm) /—�' 0 System type C-0.1 ‘g
Length / / Width /9 Gravel thickness below pipe b Total depth /0 '
Effective absorption area 4' G-6 Monitoring Tube present (Y/N) Y Depression over field (Y/N) Ai °
Date of adequacy test /0/13///T'" Results (Pass/Fail) PSS For 3
u
Fluid depth in absorption field before test (1.n.);
"� - /' ' Nater added
45D4 -
Fluid depth
3'7"
(ins) Minutes later: 200 Absorption rate =
bedrooms
PP
(in.): b5
Peroxide treatment (past 12 months) (Y/N) N°''6:7-- W0")^/If yes, give date
72-026 (Rev. 3/96)*
g.p.d.
D. LI TATION
Date installed Size in gallons
Manhole/Access (Y/N) "Pump . I - * "Pump off' level at*
High water alarm level at* *Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot ( COr f
Absorption field on lot 1 00 t On adjacent lots 1001+
Public sewer main N 1A' Public sewer manhole/cleanout PJ A
On adjacent lots 1 OU 4 -
Sewer
Sewer /septic service line
/co 4 -
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 1 p.) 1 Property line BC �' Absorption field
/00 / t
Water main/service line /0 t' Surface water/drainage t Wells on adjacent lots /0� r—
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
/ f
Property line r0 •I— Building foundation 2f- Water main/service line /0 %
r
Surface water /OC) Driveway, parking/vehicle storage area /*-
Curtain drain No rJ (c%) v w hi Wells on adjacent lots JDO
F. ENGINEER'S CERTIFICATION
I certify that I hav
in conform
anc•
•Ci
Signature /�``
(,',ofz,__-xS
Date /t) c'j•q
Engineer's Nam
"eld inspections and review of Municipal reedr'ds t6
lines in effect on this date.
the ab
154rstems are
‘,.6;• "j
HAA Fee $ 6) - 0-6
Date of Payment 1 /�-�/ % 7
Receipt Number 3 2-76— re.,/ )
72-026 (Rev, 3/96)*
"QV' e,
cy A. Go 4r)
CF:/953 < `
'wo
rEbo
Waiver Fee $
Date of Payment
Receipt Number
vv i
Allas1kai Water St Wastewater
8471 Brookridge Drive — Anchorage n., Alaska 99504
Phone (907) 337-6179 — Fax (907) 338-3246
Consulting Engineers
October 6, 1997
Prudential/Vista
16635 Centerfield Drive
Eagle River, Alaska 99577
Attn: Eva Loken
Subject: Well & Septic System at Tract 9, R&R S/D
Dear Eva:
v. A. G r 05s
E-7953
Per your request, we have evaluated the well and septic system on the subject property. The
results of the field investigation and adequacy tests are summarized as follows:
A. WELL: The static water level on 10/2/97 was 56' BTC. Water was pumped from the well at
an average rate of 2.35 gpm for a total of 290 minutes (681 gallons). During the first 70 minutes
of pumping (260 gallons), the water level dropped 104 feet, down to 160 feet BTC. During the
remainder of the pumping period, the water level fluctuated between 158 and 160 feet. It is
believed that the pump intake is at, or near, 160 feet BTC. The recovery of the well was
monitored for 63 minutes, during which time the level in the casing rose 59 feet. This
corresponds to a recharge of 87 gallons, or 1.38 gallons per minute. Based upon this data, it can
be concluded that the capacity of the well exceeds the Municipal requirements for a 3 bedroom
house (.31 gallons per minute). Before the well could receive final approval, the wires from the
ground, to the casing, would need to be installed in conduit.
B. SEPTIC TANK: The existing septic tank was installed in September of 1974 (approx. 23
years old). According to the M.O.A records, it is 1000 gallons, has one compartment and is made
of fiberglass. Upon our initial inspection, the water level in the tank was only 34 inches (2.83
feet). This level is below the normal operating depth, which lead us to believe that the tank had
been pumped. According to Rick Ramert, Marie Ramert, and the buyers, the tank has not been
pumped. We introduced approximately 54 gallons into the septic tank, and the liquid level rose 2
inches. The tenant (buyer) took a shower and the level rose an additional inch, to a total depth of
37 inches. According to my field engineer (Jim Williams, P.E.) none of the water introduced into
the septic tank could be heard flowing into the log crib. Twenty-four hours later the Liquid level
/1
`ro Fv/a (in) to/7A1-
,' r16/2)ii a.' 4)7-7 /q1
in the tank had dropped down to 33.75 inches. Again, this seems to be less than the normal
operating level for a septic tank. Based upon this evaluation, it appears that the septic tank is
leaking, however, it is not possible to confirm this without physically exposing and inspecting the
tank.
C. SEPTIC SYSTEM ADEQUACY TEST: The drainfield consists of a log crib that was built
in 1974. According to the M.O.A. records, it is 19 feet by 19 feet, and has an effective depth of 6
feet. On the day of our inspection (10/2/97), the crib had 10.5 inches of liquid in it. It is our
understanding that the house had been vacant for about 1 month. It was noted that there was a
considerable amount of muck/scum/solids in the bottom of the crib. This may be an indication
that the baffles in the septic tank are not functioning properly.
Water was introduced into the crib, at an average rate of 2.35 gpm, for 290 minutes (681
gallons), which caused the liquid level to rise 21.5 inches, to a total depth of 33.5 inches (46%
full). This corresponds to 31.7 gallons per inch. Twenty-six and one-half hours (26.5) hours later
the liquid level in the crib was 22.75 inches, indicating approximately 340 gallons had been
absorbed. This corresponds to an absorption of 309 gallons per day. It is probable that if the
system was filled to 100% of its capacity (72 inches of liquid in it), the absorption rate would
exceed 450 gallons per day, as required for a 3 bedroom house. In order to fill the septic system
completely, in a timely manner (well flow rate is too slow), it would be necessary to have a load
of water delivered to the site. The crib could then be filled completely, and the recovery
monitored over a 24 hour period. This could be done when we inspect the septic tank so that the
engineering costs (time on site) are minimized.
D. CLOSING: At this time, it is my recommendation that the septic tank be inspected, and that
the crib be retested. If you have any questions, please contact me at 337-6179, 244-9612, or on
my digital pager at 1-800-481-1162.
Sincerely,
Garness, P.E., M.S.
rind 1
sycre-1-1 Cq63-1.13) uv,.0
io/13/ i-- PUMP
, e_Ae._ tea L.1 V if -)6-- lab GA,Lro„,.S