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Home My WebLink AboutKASILOF HILLS BLK 1 LT 6AKasI*I of Hills Block 1 Lot 6A #015-161-52 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OS P221 339 PID Number: 015-161-52 Dwelling: W Single Family (SF) n with ADU n Duplex (D) [I Two Single Family Project: E] New On Upgrade Name KLEIN SAMUEL ABSORPTION FIELD n Deep Trench n Wide Trench n Bed n Mound Site Address 10981 GLAZANOF DR El Other Phone Number of Bedrooms Sol Rating depth from original grade 252-3288 14 GPDISF 1Total ft LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot KASILOF HILLSBLK 1 LT 6A Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel %vidth Ft. !Beds: Number of Lines 'Distance between lines Ft. SEPARATION DISTANCES Toy Septic i Absorption I Holding Sewer Lift Station i Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft' Ft. Well 1001+ na na TANK 9 Septic El S.T.E.P. [3 Holding E3 Other Manufacturer GREER Capacity 1250 Gal, Surface Water 5!100'+; na na Material Number of compartments Lot Line 0'+ na naNA Pistc Foundation 101+ i na na LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank D3034 (irainfiejTank to D3034 Gary Witt Jr. GLW Enterprises, LLC Drainfield C01MT D3034 inspector NorthRim Eng. BENCH MARK (Assumed elevation) 100 it ection 1- 9/13/22 9/14/22 Inspdates: Location and description 2'" Deck Y'9/15/22 4tjl ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date A� irc 0 0 .* 49 IE Stwa Eng CE --UW hrf Septic System Approv Date? 22 Note: this approval does not include well permit requirements. kMUV VDiV4f 10) u, u CL u E-1 0- U C-1 03.5 C3 y y LD C- C- eoe d Ln 0 C:)F— Ln I-- U L E _u D 0- -P 0 -P 0 3: Cl. u 0-D� Q) a) Qj ai Ld Z(,l P C'I n C3.2 Q cU C4 PCI M (Y) (j (Y) Cl) O u cu E L 75 pq C:) Cu Oj (,) cy) OJ 0 F— �— u 2 00) H �D LLJ F --i ED Li LLJ ED U n PC) oi Ar MV or, C'� zu ON Cn. INN Z z Ln I u E-1 U C-1 03.5 C3 y y LD C- C- d Ln 0 C:)F— Ln I-- U L E _u D 0- -P 0 -P 0 3: Cl. u 0-D� Q) a) Qj ai Ld Z(,l P C'I n H �D LLJ F --i ED Li LLJ ED U n PC) oi Ar MV or, C'� zu ON Cn. INN Z z W ('') 4- O U c N O I— Ln a) in -F' U doa ~ aj Q U {� W u �O Q. O M _) w 0 F- -Cu 0 H_ -P Ln Q J a X W ry r-1 0i UJ \ 4 Ln ry Q Q N N �G pq O c 0 a W U �� J ON H I LA E z ! @J C n ry W o Q mJ 0d W .—°N ° U d °i Z Q >W Q J LJ o, F— CL W W U H Ul U ~ o W Q � N i In EL N d j OMi c C 0 C5 U @j F ic; M c cu 0 Lt- d f � . ; N f�: +' > N p Zw inn d ~ZW �to x m° to °UU ZW� ag LL W Lot 1`A 1 Lot 2A RETAINING WALLS WALKWAY N 85'50'45"E 6�0' P 2. 2, _IZ0 Co. Lot 6A o 27,603 S.F. o 1.5',43' 7CANT O 7 0WELL S. PLOT PLAN AS BUILT X SCALE 40 Long & Associates, inc. Professional Land Surveyors CHAIN-LINK FENCE 48.0' Lot 5A \\-SEPTIC-( t PIPES 16.2'x8.2" SHED 2061, CHAIN -LINK - FENCE Lot 6B X 10' UTILITY EASEMENTS SW 2641 _ Project No. — Daryl Avenue, Anchorage, Alaska 5212-6476 Phone 522-4625 Fax 4, 4 49 .7 1-H ............................... I hereby certify that I havesurveyed, the following described property: LOT 6A, BLOCK: I., KASILOF HILLS SUBDIVISION (PLAT No. 69-233) Anchorage, Recording District, Alaska, and thatthe improvements situated thereon, are within the property lines and do not encroach 'onto`the property adjacent thereto, that� no Improvements on the, property lying adjacent thereto encroach on the, surveyed premises and that there are no roadways, transmission lines or other Visible easements on sold property except as Indicated hersom Dated this the 10 Day of at AnchoragC Alaska It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions> which, do not appearon the recorded subdivision plot. 99515. KFNNFVH,6. 'LANG SIONA'L AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221339 Work Type: SepticTank Upgrade Tax Code Number: 01516152000 Site Legal Address: KASILOF HILLS BLK 1 LT 6A G:2641 Site Mailing Address: 10981 GLAZANOF DR, Anchorage Owner: KLEIN SAMUEL ROBERT & Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 8/25/2022 8/25/2023 27603 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing C:5�� Received By: Issued By: Date: 8/25/22 Date: Z5 ZZ 4 MUNICIPALITY OF ANCHORAGE otm Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 01516152000 Property owner(s) KLEIN SAMUEL Mailing address 10981 GLAZANOF DR Site address same Day phone 252-3288 Legal description (Sub'd., Block & Lot) KASILOF HILLSBLK 1 LT 6A Legal description (Township, Range & Section) Lot Size 27,603 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo AD U) Septic Tank El Upgrade El Duplex (D) El Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Mu ' 'pal Code (Signature of property owner or authorized agent) Permit/Rush Fees: .0 3 6 C) Waiver Fees: Date of Payment: Receipt Number: PermitNo. 1� 2213 Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc SteveEng.com Kasilof Hills B1 L6A SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: The current septic tank has failed- the seepage trench still functions. This lot is fairly large and on private water well. No adverse impacts are expected from tank replacement. Easements are present on the lot & depicted with dashed lines. The slope is indicated in the area of the septic system. No conflicts to neighbor properties. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations.  New 2- compartment, 1250 gallon septic tank. Watertight couplings on inlet & outlet.  5 minimum between the tank and trench. 5  to property lines & 10 to house.  4 of cover or insulation is required for tank; an equivalent of 1  insulation for 1 foot soil cover. Tank & solid pipe must be set on well compacted, stable soil.  No large rocks for tank bedding. Plastic/fiberglass tanks require special bedding per MOA- sand or pea gravel.  4 diameter cleanouts with airtight caps are required 1  to 4 from foundation wall, prior to any 90 degree bend in 4 inch line, in 2 nd tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10  from the tank positioned to provide cleanout access towards the tank and towards the absorption field. Manhole Riser required in 1st tank compartment.  All cleanouts must extend to at least ground level.  In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.  Insulation must be placed over any pipe installed under driveways or parking areas.  Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661,  Sewer Service Line is minimum 2% slope.  Septic Tank to be pumped every two years or when required.  Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221339, Deb Wockenfuss, 08/25/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221339, Deb Wockenfuss, 08/25/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221339, Deb Wockenfuss, 08/25/22 - Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161271 PID Number: 015-161-52 ❑ New ❑Q Upgrade Name: • SAMUEL& CRYSTAL KLEIN ABSORPTION FIELD Address ❑ Deep Trench ❑✓ Shallow Trench ❑ Bed El Mound 10981 GLAZANOF DRIVE, ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 °.8GPD/SF 9.9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 5.9 Ft. 4•0Ft. Kasilof Hills 1 6A Fill added above original grade Gravel length Township Range Section 0.0 Ft. 103.0 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 5.OFt. N/A N/A Ft. Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches To Septic Absorption From Tank Field i Tank Line I C, OF / S P N/A Ft. NOVfr.i,Well NA 147.9 I 100+ 100+ 105.6 TANK ❑Septic ❑S.T.E.P. ❑Hoding ❑Other Manufacturer Capacity Surface Water NA 200+ N/A N/A Gal. Material Number of compartments Lot Line NA 12.7 N/A N/A NA Foundation NA 10.6 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain NA 50+ N/A N/A Gal. Remarks Pump on level at Pump off level at High water alarm at in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield GLW Enterprises Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Inspeection ction 15' 09/29/16 2nd Location and description 09/30/16 3`d 4th Rear door threshold. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL . Engineer's Stamp •Conditional Approval: Date ��p QFgs��1 %* 49 Th *fir/ P —1.0 f . ..-. FA dbteven •. Pannone . �t 1g. CEp8149 Approved . , L 4 _ _ Date1/12:49_{ Ali -.. Inspection Report_1-1-12.doc / / � \ V \ \ 7 - <9.7*., \ \ 4 \ \ \ \ \\/- .�, M \ SFA \\�. \ -y2 A TRUE NORTH , SCALE : 1.= 50' N gRFq/cam 1 A w -�.— /\ \ \\ SFp �J Vv \\ \ qR£q C \ \ '�! \ \ \ \ \\ GG \ \ \ \ \ • \\� , - • - • 7• w \ - • - • - ----- _ _ 20' Walkway . — . — . — . . 7 • J . M • . 16.4 s..\,..A • •\ DRIVEWAY f \\\\\• . Z� \ \ \.-.:% G\ Q 5A \ z� DECK \ ,_ / O 6A 147.9 00 \\ \N\ \ \\ \ \ 176.8 \ _ W L (E) 1 \ WEL \ x — _\Ca \\ \ \ \ _ . — • --- . —_— . _-- \ \ REMOVED TOP 0.5' OF DRAIN ROCK BELOW LATERAL, L12.7 \ \ DECREASED E.D. TO 4.0'E.D. TO GAIN NECESSARY FALL TO FIELD FROM TANK (N) (SEE PROFILE FOR DETAILS) NEW \\ \\\ FIELD DIMENSIONS: 103LF(E)x6.0'W(E)x4.0'E.D.(P), 9.85'T.D.(E) \ \ \ / N \ \ I/I . \_ ' W 4vce \ \\ . — ' 1\. \ . \ ----- \ \ - • -0 \ \ WELL (E)/ \ \ _ --- • ---3t • RECORD DRAWING PANNONE ENG SVC, LLC Date 07/2016 P.O. BOX 102954 ANCHORAGE, AK 99510 �' • PHONE (907) 272-8218 FAX (907) 272-8211 4.. 1,.•.• Scale *I 1. i' ..* 1" = 50' ***I* >�� P.I.D. NO KASILOF HILLS B1 L6A . —161-52 SAMUEL & CRYSTAL KLEIN 3even -:*Pannone PERMIT NO. DRAWN JRL 10981 GLAZANOF DRIVE 8148 OSP161271 '. '• SITE PLAN ANCHORAGE, AK 99507 1'.Gra •.;;-v' ••••••• Sheet 2 OF 3 On-Site Wastewater Disposal System Permit �t»irl( opine MUNICIPALITY OF ANCHORAGE r,. Development Services Department ^Y On-Site Water&Wastewater Program 4700 Elmore Road, PO Box 196650 l)e lea r t nt c n t Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161271 Tax Code Number: 01516152000 Work Type: Septic Upgrade Permit Effective Dates: October 17, 2016 to October 17, 2017 Design Engineer: PANNONE ENGINEERING SERVICES Subdivision: KASILOF HILLS Site Legal Address: KASILOF HILLS BLK 1 LT 6A G:2641 Owner/Address: KLEIN SAMUEL ROBERT & CRYSTAL MAE 10981 GLAZANOF DR ANCHORAGE AK 995070000 Site Mailing Address: 10981 GLAZANOF DR, Anchorage Lot Size in Sq Ft: 27603 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field N 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 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: Construction was approved prior to the permit being issued. - Deb Wockenfuss Received B I/_ , Date: /O/ gbo 10 Issued By: `1� /(Ji / / Date: /00-6- u�6 '189707 ► 4/o a..-s ti RUSH!! �� : RU f j 3 9/2, 1 (.0,6 a SEP 21 2015 1- , * ''0 MUNICIPALITY OF ANCHORAGE � II� s ' ,,. •`':1 A \ Community Development Department `' Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water& Wastewater Program ` ..1SH! j ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-161-52 Property owner(s) SAMUEL & CRYSTAL KLEIN Day phone Mailing address 10981 GLAZANOF DRIVE, ANCHORAGE AK 99507 Site address 10981 GLAZANOF DRIVE, ANCHORAGE AK 99507 Legal description (Sub'd., Block& Lot) KASILOF HILLS B1 L6A Legal description (Township, Range & Section) Lot Size 27,603 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑ Upgrade ❑X 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. tho, N* (Signature of property owner or authorized agent) Permit/Rush Fees: $416, 0 Waiver Fees: Date of Payment: Ql2J Me Date of Payment: Receipt Number: 0/733Receipt Number: Permit No. O5PM911 Waiver No. Permit App__'-' :L..:c Pannone Engineering Services plc Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com 20 September 2016 Subject: KASILOF HILLS B1 L6A Septic System Repair Permit Request Design Narrative This is a design narrative for a permit to repair an existing drain field to be issued for this property.The current system will continue to serve an existing four-bedroom(4BR)house.Currently the lot is developed. This lot and the surrounding lots are served by private wells. There are no wells within 100' of this proposed upgrade drain field.The invert of the lateral line of the existing drain field has a positive grade from the outfall of the tank. The repair consists of removing the top 0.5' of the drain rock beneath the lateral line thereby reducing the effective depth of the drain field from 4.5'to 4.0'. The field is currently oversized by almost two times the required length and reducing the effective depth with have no negative impact on the efficacy of the drain field. The proposed repair 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, .••-( OF A �4L. :CO/ + ''**. /41 49 TH /\ •.T�� •• • t .. Steven R.Pannone•r[}/: CE 8149 ••44�� ESSN.A. Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 , \ 1 \ \ \ / / ,, \ ' \ \ �. 1 \ 4 \ \ \ � ***k* \ \ / gpm- /� . , ..iii , .• . ______\. • SFA \ \ `�' \ -a A TRUE NORTH SCALE : 1 50' gnFq� 1A W /\\ \ \\ C�gFAT�c \ \ REq ‘, \ ' 1 \ \ \ v v 4 \ ` \ \ - -- ---: \ \______\_______\7:- 20] WOlkway — — — \ \ M —� WELL L( D \ \ LOCATIC x BASED CZ` \ \\ \\ --> PRACTI( TOWARC . ..•Acc?..7 1 . IRIVEWAY i \ ,` \ J 38R \ \\ \ \SFD \\\\\\ s \Z. • \ � fro�Z' 5 A A •\ \ z� DECK \ \ \ . V 6A \ \ / '� O \\ \ v_ - W WELL (E)/ \ \ \ l''''''. K"------ 1 �� \ \ \ 1 \ Ci�'� x —x ,\C \\ \ \ — • _ . — •\ 7\---\--\- _ \ \ REMOVE TOP 0.5' OF DRAIN ROCK BELOW LATERAL \ \ DECREASINGTO 4.0 E.D. TO GAIN NECESSARY FALL TO FIELD FROM TANK (P) (SEE PROFILE FOR \\ \\\ 1 DETAILS) NEW FIELD DIMENSIONS: 130LF(E)x6.0'W(E)x4.O'E.D.(P), 9.85'T.D.(E) \ \ \ \ \ \ IN (___\____ / \ \ \ \ �' < \ \ 6 B Q \ \ \ OE \ \ \ \ • \ \ \ ` \ 1 \\ WELL (E)(E).,-----.° \ \ 1 _- I— -- NOTES: PANNONE ENG SVC, LLC OF D09/ 20/2016 te FOR MOA REVIEW ONLY P.O. BOX 102954 ANCHORAGE, AK 99510 �' PHONE (907) 272-8218 FAX (907) 272-8211 1 ••• Scale *iale 1.. , N • 1- = 50' "t� •• P.I.D. NO KASILOF HILLS B1 L6A w 1► \ 015-161-52 SAMUEL & CRYSTAL KLEIN '� �' "O"° PERMIT NO. DRAWN JRLCE 8149 . 10981 GLAZANOF DRIVE OSPXXXXXX • SITE PLAN ANCHORAGE, AK 99507 •�` ' Sheet 1 OF 2 Nto Li, X 3 b I X N O II o1O z x 0 N Z I N v) j- In iv N rn o O O w O 0 O O U — W L a 0 a a (,) • n z 2" R.I.(E) •• g'N 01- 1- I- 83.65(P) - REMOVE 0.5'E.D i r o� •~0 0 0 D FROM EXISTING FIELD QQ0zz zz zz Joz LOWERING LATERAL LINE {�• ' :•'°D w CO v••• 4 • 0—I J -1 0w 89.5(E) . w c_0 c.) c� o� y_6,• I• .� 87.8(E) \- 88.0(E) - - - __ `�.(�* w•::� 1 \ ~- -- } \ 88.7(E) 84.15(E) i. 3.2 1_ / 0.5 �, I 1_�- - - 1 00I0 1500 g SEPTIC \ 83.95(E) 0.5-1c,I z TANK (E) 4.s L5 a J > p cn 79.92(E) o, x Q ILL) \ 79.65(E) �o i1 m 1— 0 Y 79.93(E). W a co -1Q Q N — U N IJJ PROFILE SIZING CALCULATIONS: Lc)O° Q 0 188SF/BRx4BR = 752SF REQ. o N wo o 0X ^ --/v) = NO. BEDROOMS: 4 (600 GPD) wJ o z PERC RATE: 14MPI (KNIEFEL-91) o,_,, Q <t APPLICATION RATE: 0.80 GPD/SF A • -+ REDUCTION FACTOR: 0.5 a AREA REQD: 375 SF SYSTEM TYPE: WIDE TRENCH (4.0 E.D.) - MIN LENGTH REQ: 75LF CURRENT DIMENSIONS: 1 3OLFx6.0'Wx4.5'E.D., 9.85'T.D. } NEW DIMENSIONS: 130LFx6.0'Wx4.0'E.D., 9.85'T.D. u., O -J Q TOTAL AREA: 780 SF o w Ct w I— < M z o a OC u_ 0 0 _ -. _ - _ N 0 O I N r7 N II o_ z cfl O O U _0 W L o 0a ,a cn Sc :o o . I'S, o i- ,- 2" R.I. E 83.65(N) - REMOVED 0.5'E.D `•,- •o a, Q o o o FROM EXISTING FIELD LOWERING -A''• D. z z Et0 LATERAL LINE, REPLACED FILTER 1j�• ��; '°0 Dw w w mw 89.5//E FABRIC. RETURNED TO OG V�, —'� LSU U U pU �. .•� O • •• • — 87.8(E) - 88.0(E) _ -1 - b414; -.4- \__ . 88.7(E) 84.15(E) 3.2 0.5 V 1500 g SEPTIC \ 83.95(E) ff IN Z TANK (E) 4.sc,j a r- Q _1 >> o ¢� J 0 79.92(E) o a m Q I,_ 83.65(N) 79.65(E) 83.65(N) Z Zo 79.93(E) W a 0 A ._(12:>12z < U N Q W PROFILE SIZING CALCULATIONS: Q 188SF/BRx4BR = 7525E REQ. o N. p ,„, el OX^ � w000 NO. BEDROOMS: 4 (600 GPD) g o Q D rn z PERC RATE: 14MPI (KNIEFEL-91) o, Y Q Q Q APPLICATION RATE: G.80 GPD/SF p., o 0 AREA REQD: 750 SF E REDUCTION FACTOR: 0.5 SYSTEM TYPE: WIDE TRENCH (4.0 E.D.) (750SF/5)x0.5 RF = MIN LENGTH MIN LENGTH REQ: 75LF CURRENT DIMENSIONS: 103LFx6.0'Wx4.5'E.D., 9.85'T.D. J W I- c _J NEW DIMENSIONS: 103LFx6.0'Wx4.0'E.D., 9.85'T.D. o z I. ,_ TOTAL AREA: 1030 SFa 0 CLc 0 0_ o z ix o a U W w w 0 Wockenfuss, Deborah M. From: Wockenfuss, Deborah M. Sent: Tuesday, September 20, 2016 9:04 AM To: 'Steve Pannone' Cc: Gary Witt Subject: RE: Kasilof Hills S/D Block 1 Lot 6A Steve, You may proceed with the proposed fix to the trench. Please submit the application package with fees within the next week, include the rush fee. Deb Wockentuss Onsite Water and Wastewater Municipality of Anchorage 343-7906 From: Steve Pannone [mailto:Steve@panengak.com] Sent: Monday,September 19, 2016 4:49 PM To: Wockenfuss, Deborah M. <WockenfussDM@ci.anchorage.ak.us> Cc: Gary Witt<glwalaska@me.com> Subject: Kasilof Hills S/D Block 1 Lot 6A Debbie, As we discussed,the grade from the tank to the drain field is positive, i.e.the drain field invert is approximately 3-4 inches above the tank out let invert.The new home owners have been experiencing back-ups and clogs.The tank levels have been typically high. It is obviously caused by the reverse grade from the tank to the drain field.The system is a five wide drain field, 103 feet long with 4.5 feet of effective depth.The record drawings state there is 927 sf(I believe this is a miscalculation...it should be in excess of 1050 sf) of absorption area.The soils are rated at 188 sf/br,which requires an area of 752 sf of absorption area. Currently there is 5 inches of water in the fields monitor tube. I propose lowering the drain pipe 0.5 feet to give an effective depth of 4.0 feet.The drain field will remain 103 feet long. By my calculations,the minimum required length of a drain field with 4.0 foot of effective depth and five-wide is 75 If. The effective area of a drain field 103 feet long,with five foot wide and 4.o effective depth will be 1030 sf. The contractor would like to begin tomorrow as he has his equipment on site The proposed work will not affect the separation distances to surrounding wells or septic systems, but will only reduce the material below the pipe by 0.5 feet. Please contact me if you have any questions. Steven R. Pannone, P.E. Pannone Engineering Services, LLC 907.272.8218 907.272.8211 fax Please Check Out the NEW www.panengak.com Agents/Clients can order tests online, check status and email staff PES give our Active Military/retired Vets a 10% discount on Engineering services. 1 Municipality of Anchorage Page of 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 Z O ^/�/_ 52 — 0)F )/ Permit Number. PID Number: Name: oto 1_ O1 C.�OL, 1 Wastewater System: 9Aew El Upgrade Address: 23;i �I�� ftr `��ya �NG4L ��/`�L°/ ABSORPTION FIELD Phone: 9 � C � i `7 (-/ � �� ' ? > 1 No. of Bedrooms: � I � /Shallow O Deep Trench Trench EJ Bed 71 Mound 11 Other LEGAL DESCRIPTION Soil Rating: 's1�6C7 Total Depth from original grade,,, K GPD/Sq. Ft_. Lot: / Block: ,9 Spy divisio Depth to pipe bottom from original grade: Gravel depth beneath pipe r'/'I! FL r Ft. Township: Range: Section: Fill added above original grade: r Gravel length: io 3 '` a` ) Ft. Ft. I, �. WELL: Nh El New ❑ Upgrade to I _ Gravel depth: -' I �, Number of lines: Distance between lines: � A Ft. Ft. _ Classification (Private, A,B,C): Total Depth: Ft. Cased To: Ft. Total absorption area: SSQ. Ft. Pipe material: A57-14 .ID Driller: Date Drilled: Static Water Level: Installer:, Date installed: Yield:Pump Set at: Casing Height Above Ground: TAN GPM Ft. ®�Ft. SEPARATION DISTANCES VSeptic E) Holding ❑ S.T.E.P. ® To Septic Absorption Lift Holding Public/Private Manufacturer: 6� 1. /l j� Capacity in gallons: • J �, t,� From Tank Field Station Tank Sewer Lines _ Well �� j' - Material: =' F Number of Compartments:.- 1 ��-- / Surface Water i LIFT STATION 1�` /A, Lot / ,D Size in gallons: Manufacturer: Line '� Q Foundation - " "Pump on" level at: "Pump off' level at High water alarm at: Curtain f` Pump Make & Model Electrical Inspections performed by: Drain / Remarks: INe 11 <21 BENCH MARK //n "� lt 1 G.� j .- S I� at/ion and Desci tion: tr t / S � X �!/�S � !7 �� 06• Assumed Elevationfj Fa _� d F i � uG '� (/IGuti sy Y /Seo• � 9 a" � � AL .9, r� )/ ( Inspections performed by: s. �Gi'1r. f / f)I ��{I Dates: 1st` f i k�60e a °yreie auG e9 ie f rB r? `,� 2nd-�/j � a . �(o _a Sandor Manyoky ;° 'i; r- °ea "$'G' Department of Health and Human Services a roval ,4 �an�3\eP,� ��- Reviewed and approved by: Datep' 9� 72-013 (1/91) MOA 25 Permit No. ✓ w q%,031,1 r%,031t( _ Page --of Municipality of Anchorage 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 ��5/IBJ / Legal Description: t #11/'5 49I N I0_ Z� 01 04. E�Y'� / ea.�errrfi 01 S (•9 '-� 91, 1 osR d LA \Olt 0,1 r 72-013 A (2/91) MOA 25 3 rx la 01a �,P�6ot11FL�E1i�L f� 01'. �peo° ao—e 'cc bee bee U...' Y r Q R'cp ; 5randor Manyaky �eiPJ a° CL 8467 ` /tel � �.l t/lI'---• n4 �/4� �i 4. JL i�A f i '�' ®�y�Y-'94''�� 72-013 A (2/91) MOA 25 Permit No..5yi Page - of I Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Xac0o A U.s 4,1- 611 /� /�< !- PID No.: �/�.' /0 _��? GJ�__9/Z 0; 0 ogili�° G'Q, � ' � G,o , �-rete 72-013 A (2/91) MOA 25 .8 (f 9l e(I ti 0 10 r� I 15 (00 Ga 1. - a If _7q � 7ti ,� kbi •, �i �,� V O:Cn 9`yLpdC• �C9O130nCI candor M. Fr i a 'rr / A _ el y 0 ogili�° G'Q, � ' � G,o , �-rete 72-013 A (2/91) MOA 25 .8 (f 9l e(I ti 0 10 r� I 15 (00 Ga 1. - a If _7q � 7ti ,� kbi •, �i �,� V O:Cn 9`yLpdC• �C9O130nCI candor M. Fr i a 'rr MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920314 ]DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:HOBSON BOBBY L & DONNA M OWNER ADDRESS:2351 CINNABAR LOOP ANCHORAGE, AK 99507 PARCEL ID:01516152 LEGAL DESCRIPTION: KASILOF HILLS SLK LOT SIZE: 27603 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 1 LT 6A THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 9/30/92 EXPIRATION DATE: 9/30/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS PERMIT IS A REISSUE OF SW910274. NOTE NEW LOCATION OF PROPOSED WELL. RECEIVED B ISSUED BY: C' DATE: ` DATE:, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910274 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:WEILER CHARLES D & OWNER ADDRESS:10980 STROGONOF DR ANCHORAGE, AK 99516 PARCEL ID:01516152 LEGAL DESCRIPTION: KASILOF HILLS BLK 1 LT 6A LOT SIZE: 27603 (SQ. FT.) NUMBER OF BEDROOMS:H X THIS PERMIT:y g THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 9/06/91 EXPIRATION DATE: 9/06/92 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY:� DATE: ISSUED BY: �_ _ DATE: i"4z HAAS & ASSOCIATES Construction Services (907) 563.4921 VaCgyi I JOB SHEET NO..--.---- — CALCULATED BY—_-- CHECKED BY - -_ _ SCALE //V 'T5 — ,7dl C? 7, 00- d//#$40r� tva4c 0K,6 N Pte OF --/�_ DATE _1) DATE_ _- S rv• p ,4 9 *reN. A149 -E aee. ens Robor9 E, Kni�fol � 49 /00 $ #(A P)4 ®r 404444, .r J)/� ) r� %) ,�)�-.-lam _ MoD P llii 5;49 r " —4/1"'? -- HAAS & ASSOCIATES Construction Services SHEET No of _.- __ (907) 563.4921 CALCULATED BY—__ DATE -_ _._ -_—.— CHECKED BY_— --_—. DATE_—.--- - SCALE- 4, CALE O, �I tgdr•�„ F!„as�) i 0-i LP3 —_�� 1501t,6, �vC rihe lrn� S111 tiolcs w_ �!a" r9,r 1 i CYC SYSTEM DESIGN GUIDELINES AND NARRATIVE LOT 6A, BLOCK 1, KASILOF I -TILLS SYSTEM REPLACEMENT 1 . This design is for a system replacement with a five wide trench using pressure distribution. 2.. Five Wide Trench with f=our Feet cover, CF = .5 3. 4 Bedrooms x 188 sf/bed / 5 x .5 = /6 if 4. All materials, construction methods and required inspections to follow MOA rules and regulations. The electrical installation for the lift station shall follow MOA code requirements for both installation and :inspections. The contractor is responsible for obtaining all, required electrical. permits. The contractor is responsible for notifying the Engineer and the MOA at :least four hours in advance of all inspection needs. S. Contractor will insure no additions or changes have been made to the location of wells and septic systems on the adjacent lots prior to the time of construction of this system. If any changes to those systems have occurred, the engineer should be immediately notified for review and possible changes will be made as necessary. 6. The OL material will be removed to the underlying gravelly sand material under any portion of the trench area., 1. The lot slopes down to the west and from the N and S lines to the center. The installation of the trench will have little or no effect on the surface drainage, ground water, for the adjacent systems in the area. 8. The septic system should be; properly maintained to include-; septic tank inspection and pumping on an annual basis. If a garbage disposal is used the tank size should be increased to 1,500 gallon tank and the tank pumped on an annual basis. page 3/4 ON-SITE WASTEWATER SYSTEM DESIGN LIFT STATION DESIGN CRITERIA LOT 6A, CLOCK 1, KASiLOF HfL.LS 1, The lift station will be approved by the Municipality of Anchorage, Department of Health and Human Services prior to construction. 2, Lift Station Design Parameters. Pumping Cycle 4 bedroom x 150 600 gale/day / Float Settings Set Pump on-off Set High Alarm gals.bed = 600 gallons/day 6 cycles per day T- 100 gals/cycle to account for 100 gallon cycle 150 gallons above pump on Volume to -fill laterals 76' of 1 1/4" pipe = 4 gallons, ok since 100 gallon volume per cycle Elevation Difference Approximately 10 feet from discharge to field elevation PUMP has approximately 50 feet head, therefore ok :3. Field Piping Total Length - 76 feet from EPA chart use 4' spacing of 5/16" holes og O a � a BBBn � B y�. ,np. a •nay a /a•seaa 9e eoaon+. na w eas..� Robert E. Knio el ? iy �'ae No. 4149-E ��`� o Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG ® PERCOLATION TEST PERFORMED FOR: �'(�(i � , DATE: PERFORMED: LEGAL DESCRIPTION: GISIA/O�fI//dTownship, Range, Section: DEP Nr T�� L:,L• �F� 1 1 OL o'f�n/ 2 � i 3• 4 (l i 'I 5 n 6 I s 9 II I, 10- 11 GP /?(9 0 i d SLOPE WAS GROUND WATER d^'1 ENCOUNTERED? (J S IF YES, AT WHAT 0 DEPTH? O P E Depth to Water Alter ,/ ' Monitoring? Y�1Dale: L SITE PLAN Reading Date Gross Time Net Depth to Time Water Net Drop 7,19_-7( Z Sr n / `f n (Ale It 1t (v To _ _ l �J �•2 ■ 0 NEON I Reading Date Gross Time Net Depth to Time Water Net Drop 7,19_-7( Z Sr n / `f n (Ale It 1t (v To _ _ l �J �•2 20 n PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND —_ FT 9 I COMMENTS 'Gq,s$ a1 l?rrf �l2 GGG141 cut >>.f l' Pil , rsr PERFORMED BY: r� ra �r. [ •� rte` ' '__L CERTIFY TFIAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: �� r 72-008 (Rev. 4/85) 11 yA Municlpallty of Anchorage C*3 DEPARTMENT OF HEALTH & HUMAN ,SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST neon PERFORMED FOR: krego g5ysly m s DATE PER FOFTt4I6PY1Rnr!rscd,(1W gp� LEGAL DESCRIPTION:/" a9S /o Hl/15 p0�e19A Township, Range, Section: PT t -T-P 9�?— SLOPE SITE PLAN ( E #) -' ) r--- - l/ 1 0 f 4i (a Il i � f i t r� 3 6' 4 �raclP��V�� 5 (C/lY�`' lfrfff r� 69 f d%#ov!! � 6 j 7 8 9 10- 11 12 13 14 20 WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT e0/� L DEPTH? O P E Depth to Water After Monitoring? Dale: Reading Date Gross Time Net Depth to Time Water Net Drop n r u II 4 It 37 I PERCOLATION RATE J — (minutes/inch) FERC HOLE DIAMETER 2 gQ TEST RUN BETWEEN FT AND _yFT COMMENTS PERFORMED BY: �� `� 0 i { el p o 4G CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: , /� 7/ 72-008 (Rev. 4/85) J7��v`� �(✓ // /CLOS ON �� fr�i/fG� v6 - o j v) Lim e- cl L . / — C -_ r - Irl / , , D.t re -,S 9, ,�t — 9j WA reA �liNl� �o� /ary X06 /lo6sa1v RECEIVED ie,/" rh r.N lc e 1 MAY 3 1995 / /1% rf M MUniC pa!ity Ol A(iGhOrayO 5_ T 3y r� Dept. Hoalth & Human Services SAN4/11Nd64Avc� 3 9 ria 60 �-- 6'�-d A A- 4 TG/t �y /N Cc, Lo.P 40'l0 6g p 1Cl4C5/Pp0' BPd4O0CIf' 6'C-AAN9 y,�L �A/y.Nv7a �,�`"'io �br— �ec/�C/t' Lr9�Td�itryiNCo/off e�dAcA- 40,1 /f G•��yrw Co l�fb Tv /`/•2 % /fgrTu/Ped/�ge-W/�at/f' � 49,/l 4./t'1�N, G -"NV To -1a/ 64/ V Z �fj 100 - Sec Ifoc/� DA/(K G/rPy /N CO /,o IF .zoo ,`lox`- ��.rcTurcrd G'NdZ, ,2 o`�o .� 9 a .. /y., n b'N��f'p� A/ 2).4 Irk 6,44/Ar Ca torr. 0`7p Z3,,5 lce4e I—vRCCI S('c//TOCf I9,} LrMrNe GA(N) GAZ [91 /foc a "//iriPd To z £r �'- Fn r ru X e ,�'�d�e o c /� c' / y L Nr, v , �.r, :.)� 2 Ta 300" /I /{/e// 4r,4S1,vq AMetyIcA' N Ah/.p/AX/- T/ir�/��uc'S ,0,23— Sc>T Iq r y6% Fey T Fiterr Top oFCAsr;vy Ta 6) 17 ,,C -5T/i"Tr'c X)ATeA�eve1. y/Fre/ le"Ie Tho 6Fe'A f `srao� 4�1A', 6ov4c/ /pvM/ SNr/ir ?ov/c"Pe% a�e40G!! i,'T%Lc>S /cJh/,TR PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW940142 DATE ISSUED: 5/24/94 DESIGN ENGINEER:DUMMY COMPANY EXPIRATION DATE: 5/24/95 OWNER NAME:HOBSON BOBBY L & DONNA M OWNER ADDRESS:2351 CINNABAR LOOP ANCHORAGE, AK 99507 PARCEL ID:01516152 LEGAL DESCRIPTION: KASILOF HILLS BLK 1 LT 6A LOT SIZE: 27603 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 0 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL 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) . 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 ISSUED BY: DATE: X.- DATE: DATE: Permit No. w r C. v Page c.� _ of Municipality of Anchorage 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 Xa5/%1' 11/'t5 /_4f /A f91jk 2 � Zr`AA a P / Vit"' 3 4,0 yA 0'� 0 s j 6A N I �� d,%`'c � C�4MiR/tll�j�(\L �! IC L „ 1Yjtj O': -A I� r ;� Sandor Monyoky . CE $467 At 12.019 A (2/01) MOA 25 Certificate of On -Site Systems Approval Parcel 1.0- 015-161-52 Legal description Kasilof Hills Block 1 lot 6A Site address 10981 Glazanof Dr Current property owner(s) Samuel Expiration Date: 12-22-22 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 9-22-22 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUMUPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 01516152000 Complete legal description KASILOF HILLSBLK 1 LT 6A Location (site address) 10981 GLAZANOF DR Current property owner(s) KLEIN SAMUEL 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 252-3288 TYPE OF WATER SUPPLY: X Private Well--❑-P-rivate Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑■ Plastic ❑ Concrete ❑ Fiberglass Age new - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑■ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 4 w Waiver Fee $ Date of Payment q111 IoZ Date of Payment COSH # D s c� a 1 q0 waiver # COSA Application—June 2022 Legal Description: KASILOF HILLSBLK 1 LT 6A Parcel ID: 01516152000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 5/22/95 Total depth 300 ft Cased to 46.5 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 8/23/22 Static water level at beginning of test 65 ft. Comments B. TANK DATA Measured operating fluid level in septic tank na Date of pumping na ❑ Required maintenance completed, if AWWTS Comments: new tank D. ABSORPTION FIELD DATA Which system tested (date installed) 9/24/93 ❑ ALL standpipes present per record drawing Total measured depth from grade 11 ft (max) Measured depth to pipe invert from grade 6.5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Defici COSA Checklist June 2022 Well production at time of test 3+ gpm Water storage tank volume0 gallons Well disinfected for coliform test? ❑ Yes ❑ No OR Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by NRimEng Date 9/7/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 8/23/22 Results Fm� Pass Fluid depth prior to test 2 in Water added 600 gal New fluid depth 10 in Elapsed time 30 min Final fluid depth 2 in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 48 in Effective depth used 2 in Effective depth remaining 46 in From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' -S Yes if No ft Community Sewer ManholelCleanout > 100, (j]Yjs if No ft Neighboring Tank> 100' RYes if No ft Private Sewer/Septic Line > 25' On Yes if No ft Absorption Field on Lot > 100' [E Yes if No _ ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100* Yes if No ft Animal Containment > 50, Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main –> 75' @]Yes if No ft no Yes if No ft El N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Fleld(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' R] Yes if No _ ft Surface Water > 100' 1 Yes if No ft Tank to Property Line > 5' Field to Property Line > 10' Yes if No ft Yes if No ft Water Main > 10' ra] Yes if No ft Water Service Line > 10' 91 Yes if No ft F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells 2: 100' M Yes if No ft Community Wells > 200' g Yes if No ft If tank or field is under driveway comment below G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm NorthRim Engineering Phone 694-7028 Engineer's Printed Name — Steve Eng Date 9/20/22 . . . . . . . . . . . . . COSA Cheddist June 2022 G • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 5 A E T Y CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-161-52 Expiration Date: 1. GENERAL INFORMATION Complete legal description KASILOF HILLS BLOCK 1 LOT 6A Location (site address) 10981 GLAZANOF DRIVE, ANCHORAGE AK 99516 Current Property owner(s) ROBERTS TRUST D R & P J TRUSTEES Day phone Mailing address Real Estate Agent PO BOX 243845, ANCHORAGE, AK 99524 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class _Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: � COSA to be released unless otherwise requested by the engineer. COSA Fee $ 5Z(O. Q Date of Payment (P i3 J I l® Receipt Number (�IoC7aJl� COSA#_ OSG[ Io 12 -ZZ Date: 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 On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING. INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 6/10/2016 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future vim.® occupants or can ArcTerra guarantee that no unseen �- of Al- encroachments, deficiencies or discrepancies exist. _ �y * 4,q T11 6. DSD SIGNATURE System #1 Approved for bedrooms. 9 KF.N[v'ETE1 D1. DU 87118 System #2 Approved for bedrooms. �RotV. sroNn" i Disapproved. Conditional approval for bedrooms, with the following stipulations: 13`y7 _ bw. `- 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 blue sheet VMO-12.dw 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: KASILOF HILLS BLOCK 1, LOT 6A Parcel ID: 015.161.52 A. WELL DATA Well type PRYT Date completed 5/2211995 Total depth 300 ft. Date of test Static water level Well production If A, B, or C provide PWSID # _ Well Log (Y/N) Sanitary seal (Y/N) Y Cased to 46.5 ft. FROM WELL LOG 5.22.95 ft. 2-5.5 g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate D. !q7 mg/L Arsenic: mug/L Date of sample: 6/112016 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC / STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping 5/3112016 Pumper A+ C. ABSORPTION FIELD DATA Wires properly protected (Y/N) Y Casing height (above ground) 24+ in. AT INSPECTION 6.1.2016 85 ft. 1,47 g.p.m. Collected by: ARCTERRA Date installed 8@411993 Cleanouts (Y/N) Y High water alarm (YIN) N Date installed 912411993 Soil rating (g.p.d./fe o .Pod System type -DEEP TRENCH Length 103 ft. Width 5.1 ft. Gravel below pipe 4 5 ft. Total depth 10.9 ft. (Measured 611/16) Eff. absorption area 927 ft2 Monitoring tube Y Depression over field N Date of adequacy test 6/112016 Results (Pass/Fail) " PASS For 4 bedrooms Fluid depth in absorption field before test 5 in. Water added 600 gal. New'depth 7 in. Elapsed Time: 5 min. Final fluid depth 5 in. Absorption rate >= 600+ > g:p:d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum Size in gallons "Pump off' level at _ in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 1001+ Absorption field on lot 1001+ Public sewer main 75'+ Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 1004 Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank 100'+ Animal containment areas 501+ Manure/animal excrete storage areas 1001+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 101+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main 101+ Water Service line 10'+ Surface water. 1001+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(NONE Keowe) Wells on adjacent lots 1001+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that / 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 KENNETH M. DUFFUS Date 6/1012016 COSA canary sheet_2-6-15.doc �OF A4*' I n cru A KENNVT r UPW00 �y G7 /. p�'EssloeiP�' i in. .- MEN Municipality of Anchorage • -� Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-161-52 COSA# 0110,30? Expiratiog Date: E- 1-7 1. GENERAL INFORMATION Complete legal description Lot 6A, Block 1, Kasilof Hills subdivision Location (site address) 10961 Giazanof Drive Anchorage,AK99516 Current Property owners) Bobby and Donna Hobson Day phone 344-3946 Mailing address 2351 Cinnabar Loop Anchorage, AK 99507 Lending agency Day phone Mailing address -.------Real Estate Agent -----_------ Day phone ----- Mailing Address Unless otherwise requested, COSA willbe by.DSDlorpickup. 2. NUMBER OF BEDROOMS: Three DI 3, TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site ❑� Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verify that my Investigation, based on procedures outlined In the Certificate of Ons to 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 2=2070 OF A4 44, wir. 9�1#i . 4g�, .*� / Vag MICKAEt E ANDERSON • 6. DSD SIGNATURE #4 f� •• CE.4381 Approved for 3 bedrooms. ♦ �q • =-3 /D••. Disapproved. `O„SS10 E Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: /i/ Original Certificate Date: - 7 ” 140 (Rov SIMS) Municipality of Anchorage • Development Services Department Building Safety Division -__ _--- --' Onsite Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 www.muni.org/onshe (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 6A. Block 1, Kaellof Mus Subdivision - Parcel ID: 015.161-52 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Well Log (YM) Y Date completed 512x195 Sanitary seal (Y/N) Y Wires property protected (YM) Y Total depth 300 ft. . Cased to 46.5 ft Casing height (above ground) >24 In. FROM WELL -LOG"-- ' — Ill INSPECTION Date of test 5122/95 Static water level 41 R Well production 25.5 g.p.m, WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate •125 mg/L Arsenic: •776 mg/I Date of sample: 1/2712010 B. SEPTICIHOLDING TANK DATA Tank Type/Material SePtlemteel Tank size 1.500 gal. Number of Compartments Two 2M10 100 ft.' Other bacteria 0 colonies/100 mL Collected by: S. Matey Date installed 9124193 Cleanouts (Y/N) Y Foundation cleanout (YM) Y Depression over tank (Y/N) IN High water alarm (YM) N Date of pumping 612512009 Pumper Anchorage Cesspool Pumping C. ABSORPTION FIELD DATA Date installed 0124193 Soil rating (g.p.d.ift or ft2/bdrm)L8 GPD/SF System type Deep Trend, Length 703 ft. ' Width 6.1 ft. Gravel below pipe 4.5 fL Total depth 14'-75' ft Eff. absorption area 02� ft Monitoring tube Y Depression over field N Date of adequacy test 212'0 Results (Pass/Fall) Pass For 3 bedrooms Fluid depth In absorption field before test 4.5 1in. Water added 650 gal. New depth 6.5 in. Elapsed Time: 120 min. Final fluid depth 4.5 in. . Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) If yes, give date D. LIFT STATION natty installed Sita In gallons sAwnhole/Acces• rvJNl_ 'Pump on' level at_ in. 'Pump otr level at _In. High water alarm level at In. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 10100' Absorption field on lot Public sewer main 10100' WA Sewer /septic service line 1025' Animal containment areas None Meets alar 8 circuit requirements? On adjacent tots 3,100' On adjacent lots >100' Public sewer manhole/cleanout NIA Holding tank WA Manure/animal excrete storage areas None SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation >S Property line 10S Water main NIA Wells on adjacent lots 31100' Water service line >10' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field 3,s Surface water >100, Property line 1070' Building foundation >10' Water main L>1tr Water Service line 1070' Surface water >1co' Driveway, parking/vehide storage Curtain drain Nona Noted Wells on adiacent lots 31100' 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 Michael E. Anderson, P.E. Date 209/2010 COSA Fee $ q Q Date of Payment Receipt Number o 9 9 3 d (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Lot I A -�, —\----- NUS — I•) tetra Cr- h�T 15 pi 'RoF1mprw R.ils -70 5Now Govt Z•) iN"(1321oR- RaR�lN1N4 _WALt+S NoT SF�owN• 10' TELECOM. 8J ELECT. EASEMENT 6•Z'Xlb•2 5Nwtv_._— PLOT PLAN _ ASBUILT k SCALE I" = h0% GRID Vel1 Project No. I0-011 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515 907 522-6476 Phone Registered Land Surveyors 907; 522-4625 Fax I hereby certify that I have surveyed the following deeoribed prop rty � >`.+-oc,t✓ l KA�olt.oF'_NIu.S.SutiG�l151�GaT�233) . Anchorage eeording Dll lot, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that then are no roadways, transmission tins or other visible easements on said property except as Indicated hereon. Dated this the V111 Day of��-S410 at Anchorage. Alaska M Is the responsibility of the owner to determine the existence of any easements, covenants. or.rsaMeffons which do not appear on the recorded subdivision plat. UOL