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HomeMy WebLinkAboutPARADISE VALLEY BLK 2 LT 29Paradise Valley Block 2 Lot 29 #020-423-11 z 0 O z r 0 H H H HH H H 0 0 0 0 000000000000 73 H 73 y y y y H H H 'H H H MUNICIPALITY OF ANCHORAGE DE/ 'FITMENT OF HEALTH AND HUMAN SERO°.:ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name ere,4 Address %%O/ C 61711 E //y N:`X C iL 'tt fi f}nc 171- 9/..Y73- SEPTIC YS f3 - Phone(s) 239- fy6(/ Permit No. 8 6 0 2.2 S No. of Bedrooms 3 LEGAL DESCRIPTION Lot 2 Block n Subdivision Parex 144-e (J4//eg. WELL LOT LINE DISTANCES SEPTIC TANK hvf- z6 ABSORPTION FIELD WELL 10 r Township, Range, Section Se. if r tint /d3cnt'' FOUNDATION 39 bei L -SEPTIC Manufacturer & ee,— Material TANKS ❑ HOLDING Capacity in gallons /000 No. of Compartments ❑ TRENCH TYPE OF SYSTEM ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade 171- FT Total depth from original grade 'tZ FT Fill added above oinal grade FT Gravel depth beneath pipe FT Gravel length /$' * 3 "-- Total absorption area dao FT SQ FT Gravel width ,- le 28 Distance between lines 5 fu 6 FT FT Number of lines 8 Soil rating SQ FT Pipe material D 303 9) FB/O Installer E)4 Installed fpr.27) /?t6: WELLS ❑ PRIVATE Classification (A,B,C) Installei ❑ 0 HER (Identify Total Dap Date Installed: FT REMARKS: Lalculat>i, the nee ,3-%32_.160 'Q(13)(Z3): /6- /5" s23. 3`!S WAr"vee- to 6 r , jo eay+ and /oath /o!' /I net q .rtr el 6y MOO) ‘4,1 111/1 ?e.711"I Change 1//X/j'6. 3Y5-4 /95`4160 7- y-ro® AS -BUILT DIAGRAM (Show location of well, septic system, property hoes, foundation, driveway, water bodies, etc.) a° 0 ty� co 3 a_ 1 54 evoLRND Ar✓ N ur Scale: / Iter' Inspections Performed by: f} Et Date: • Municipal and Stale certify that this inspection was performed according to all delines in effect on this date ` -e r z � / ic�6 Health Department Approval: 72-013 (3/85) Date /-2 ' J7 z8 poe t SWI ENGINEER'S SEAL PERMIT NO: DATE ISSUED: 11-11U 11:2. I0e214,41����itff:.400,1E_ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-472O (.311N1 -11-1E2.1 IEE:114�� 860225 07/10/86 APPLICANT: TERESA M CONNELLY ADDRESS: 11701 NIX CT" #B ANCHORAGE, AK 99515 CONTACT PHONE: 277-9464 ;4CS---33g4 LEGAL DESCRIP: LOT SIZE: LOT LOCATION: MAX BEDROOMS: SUBDIVISION: PARADISE VALLEY SECTION: 11 TOWNSHIP: 11N 16320 (SQ.FT. OR ACRES) • ENGLAND 3 Listed below are the options available to system" Choose the option that best fits _~ _ _ _ DEPTH TO PIPE BOTTOM (FT.) 4.0 GRAVEL DEPTH (FT^) 0"5 TOTAL DEPTH (FT") 4"5 GRAVEL WIDTH (FT") 19^0 GRAVEL LENGTH (FT.) 36,0 GRAVEL.VOLUME (CU,YDS") 25"4 TANK SIZE (GALS) 1,000^0 ** SOIL RATING (SQ"FT./BR) 150 LOT: 29 RANGE: 3W BLOCK: 2 you in designing your septic your site. r� ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certify that: 1^ I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. I will install the system in accordance with all MOA codes and regulation's, and in compliance with the design criteria of this permit" 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot" I understand that this permit is valid for a maximum of 3 bedrooms and any- enlargement will. require an additional permit. IF A LIF! STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN F|FCTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BF DONE BY A LICENSED F|ECTRICIAN" SIGNED APPLICANT:~TERESA M CONNF|AY ISSUED BY DATE: DATE: � / PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST . e: eS a. eon,/ e (/y LEGAL DESCRIPTION: ?a,,,,Iise �/al(e•/ 1J2 L Z% 1- 2 Ci PFF E2T OL a.-len%c- So/ l 3 - 7 - O 8 - 9- 10 Y/ 020 s Clea ravel s'e DATE PERFORMED: R. �epte.,, 6e,- /786- Township, 786 Township, Range, Section: j // T//N R�/r e`YEL of EXls7/NG BED ro NaRTN St t; /en', irr ee 11 - 12- 13- 14- 03AIJD31 15- 98612, p d S 16 NO11031Oild 1YiN3WNO211AN3 17 '8 H11V3H dO '1d80 8JVYOHJNY dO ALITsfe0INfW 18- 19- 20 - COMMENTS '/1Y SAOLJ SLOPE SITE PLAN WAS GROUND WATER �{eS ENCOUNTERED? IF YES, AT WHAT DEPTH? 06 l - 'l.j S L Ia 0 P ( Depth to Water After i''I1 G6 c.ep f Monitoring? • Date: T N TA/ rrett) zy -/ N6 v /Yv Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER cC' / TEST RUN BETWEEN FT AND FT 77644 2 /O /6 is V'S ✓-r/) /-a f/ R7L /SO [7'/1'. TTS is a 3'k/2p/[Me,ikt/ 74e't f 74 c/ea 1 .j'J/ ron'fi"n ve s r'n %ise d'-ecl'°' a F %(2 p. -.,p .i'er,[ AeI e X 14en S,'o.-r._ . PERFORMED BY' AEC_ i /nt. S7 8d 6zV CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) f s.rpr /?A ALASKA el 1 JIROf1n1Cf1TAL C011TROL sCRUICCs, InC. .p� ,Q Og-' i _ /�a tlic-' 9 'f p N engineering & enuironmental Studies Susan Oswalt Municipality of Anchorage 825 L Street Anchorage, Alaska 99501 August 25, 1986 t7 t Dear Susan, ,sJ This is in regards to Paradise Valley, Block 2, Lot 29. Recently, a bed was excavated on this lot. The permit suggested a bed with depth of 4.5 feet, based on the soils log of TH 1, which showed clean sand from 1.5 to 6.5 feet. Unfortunately, the excavator made the bed 4.5 feet deep at the lowest part of the lot, the SE corner, and by the time he had made the bottom of the bed level, the NW corner of the bed was about 6 feet deep. In about 2/3 of the bed the good clean sand had been excavated out, and the base of the bed was largely silt. Ai to Looking at the sidewalls of the bed showed the trend of the clean soil. Essentially, it thins out in the NW half of the bed and is thickest in the SE half. This was confirmed by digging several post -holes in the bed. The presently excavated bed would never pass inspection because most of it is in silty soils. However, the third of it that is good could be salvaged, if it could be extended a little towards the lot lines. Enclosed is a drawing showing where this proposed new bed would go. It would be 5 feet from the east lot line, and 5 feet from the south lot line where England Avenue is. Because this is a bed system, effluent will not flow very far laterally but instead will flow downwards; thus there is no danger from encroaching on the property lines as described. The main advantage; of this -proposed bed is that it leaves the replacement area over TH 4'completely untouched, which would be the area for a potential future upgrade. If the lot line waivers are not granted, the bed will be forced to be built over in the replacement system area, thus eroding away the potential future upgrade site. Therefore we are requesting that these lot line distances be waived to 5 feet, and are submitting a design illustrating how the new septic system will look. If you have any questions, please feel free to call me at 561-5040. Thank you. Sincerely, Darcy Be4ens Engineering Geologist Approved: Leroy C/ Reid, Jr., PhD, P.E. President 410M7C/ngtriy trlalVlhopr, p HEALTH RO O OB N Alt 281986. PECE1 V ED 1200 West 33rd Auenue, Suite 13 • Anchorage, Alaska 99503 • (907) 561-5040 ALASKA bUIROMITAL COfTROL sCRUICCS, I11C. Cngineerinq & Cnuironmental Studies SPECIFICATIONS FOR BED WASTEWATER TREATMENT SYSTEM - LOT 29 BLOCK 2 PARADISE VALLEY SUBDIVISION 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 TIIRU 3, SHALL BE PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE, DEPARTMENT OF HEALTH & HUMAN SERVICES (DHHS), THE CONDITIONS OF THE PERMIT, AND ALL APPLICABLE RULES AND REGULATIONS CURRENTLY IN EFFECT. 1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY, AND ARE TO BE VERIFIED OR MODIFIED IN THE FIELD BY A DHHS APPROVED INSPECTOR. 1.4 IT IS THE RESPONSIBILITY OF THE INSTALLER TO ADHERE TO APPROVED DESIGNS FOR INSTALLATION, TO MAINTAIN THE SPECIFIED SEPARATION DISTANCES, AND TO HAVE THE APPROPRIATE INSPECTIONS. 1 5 IF THE INSTALLATION IS NOT INSPECTED BY AN AECS ENGINEER, AECS WILL NOT BE RESPONSIBLE FOR THE DESIGN. AN ENGINEER AT AECS SHOULD BE CONSULTED PRIOR TO CONSTRUCTION, TO DETERMINE THE NUMBER OF INSPECTIONS THAT WILL BE REQUIRED AND TO EXPLAIN WHAT THESE INSPECTIONS WILL INVOLVE. 2.0 SEPTIC SYSTEM 2.1 THE SEPTIC TANK SHALL BE A UPC --APPROVED TWO-COMPARTMENT TANK, CONSTRUCTED OF 12 -GAUGE STEEL WITH BITUMASTIC COATING, SET LEVEL ON UNDISTURBED SOIL, AND INSULATED WITH AN OVERLYING LAYER OF 2 INCH BURIAL TYPE POLYSTYRENE. 2.2 THE SEPTIC TANK SHALL BE A MINIMUM OF 5 FEET FROM THE HOUSE FOUNDATION, AND A MINIMUM OF 5 FEET FROM THE ABSORPTION AREA. 2.3 THE SEPTIC TANK AND BED SHALL BE A MINIMUM OF 100 FT. FROM ANY PRIVATE WELL OR BODY OF WATER, 150 FEET FROM CLASS C WELLS, AND 200 FEET FROM CLASS A OR B WELLS, UNLESS OTHERWISE SPECIFIED. LESS THAN THE REQUIRED SEPARATION DISTANCE MUST HAVE PRIOR APPROVAL OR WAIVER BY ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION 1200 fest 33rd Auenue, Suite 13 • Anchorage, Alaska 99503 • (907) 561-5040 (ADEC). 2.4 PIPING SHALL BE FITTED WITH A MECHANICAL WATERTIGHT CALDER COUPLING ON THE OUTLET AND INLET OF THE SEPTIC TANK. PIPING SHALL BE 4 -INCH SOLID PVC ASTM D3034 OR CAST IRON, SLOPED A MINIMUM OF 1/4 INCH PER FOOT WITH A MINIMUM OF 4 FEET OF COVER. 2.5 CLEANOUTS SHALL BE INSTALLED AS DESIGNATED AND CAPPED WITH AIR -TIGHT RAIN CAPS (JIM CAPS OR EQUIVALENT), AND EXTEND A MINIMUM OF 2 FEET ABOVE GROUND LEVEL. 3.0 SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE 0.5 TO 2.5 INCH, SCREENED ROCK WITH LESS THAN 3% PASSING #200 SIEVE RESIDUAL. ALL SUBSTITUTES MUST HAVE PRIOR DHEP APPROVAL. 3.2 THE BOTTOM OF THE EXCAVATION SHALL BE LEVEL AND RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. 3.3 THE DISTRIBUTION PIPE SHALL BE 4 -INCH RIGID PVC WITH A MINIMUM CRUSH STRENGTH OF 1500 LBS. ALL PIPES SHALL BE LAID LEVEL, AND SPACED ACCORDING TO THE DRAWINGS. 3.4 MONITOR STANDPIPES SHALL BE PLACED AS SHOWN IN THE DRAWINGS. THEY SHALL BE RIGID PVC ASTM D-3034, OR OR 4 INCH DIAMETER CAST IRON. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5 INCH HOLES ON THE 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE, OR A SECTION OF REGULAR PERFORATED SEWER PIPE MAY BE CLAMPED TO THE SOLID SECTION WITH A NO -HUB COUPLING OR SOLVENT JOINT. A RUBBER RAINCAP (JIM CAP OR EQUIVALENT) SHALL BE PLACED OVER THE TOP OF THE PIPE. 3.5 IF THE FINAL GRADE OVER THE BED IS LESS THAN 4 FEET ABOVE THE GRAVEL, INSULATION IS REQUIRED, USING DOW EXTRUDED BLUE STYROFOAM BOARD. THERE SHALL BE 1 INCH OF INSULATION FOR EVERY FOOT OF SOIL LESS THAN THE REQUIRED 4 FEET OF COVER, BUT THERE MUST BE AT LEAST 18 INCHES OF SOIL EVEN THOUGH INSULATION IS USED. THE SOLID PIPE EXTENDING FROM THE SEPTIC TANK TO THE DRAINFIELD SHALL ALSO HAVE 4 FEET OF COVER OR AN EQUIVALENT LAYER OF INSULATION COMBINED WITH SOIL TO PREVENT FREEZING OF THE LINE. 3.6 IF INSULATION IS NOT NECESSARY, THEN THE GRAVEL MUST BE COVERED WITH A LAYER OF A NONWOVEN FABRIC (SUCH AS MIRAFAI, FIBRETEX 200 GRADE, POLY -FILTER X, OR EQUIVALENT). 3.7 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX OR BLUE GRASS. 4.0 INSPECTIONS 4.1 THIS BED WILL REQUIRE TWO INSPECTIONS. THE FIRST INSPECTION WILL BE OF THE OPEN EXCAVATION, TO ASSURE THAT THE SYSTEM IS INSTALLED IN PROPER STRATA AND DEPTH. 4.2 THE SECOND INSPECTION WILL BE AFTER PLACEMENT OF THE GRAVEL, MONITOR STANDPIPE(S) AND DISTRIBUTION PIPE TO VERIFY PROPER INSTALLATION AND MATERIALS PRIOR TO BACKFILL. ALASKA ENVIRONMENTAL CONTROL SERVICP"-- INC. 1200 West 33rd Avenue. suite 6 ANCHORAGE, ALASKA 99503 (907)561.5040 JOB Pa rad+, S4 / /yc/ V .1 4_27 SHEET NO OF CALCULATED BY 74�`r`"j DATE 2 /�`�JL'%'' CHECKED BY DATE / SCALE / Pnim eie,. o. 0 D br{- /iole. lea l Zfeet'f1T art dV yrn Jlll y. .S 1: 16- e? cava -fed bed _. Du/i(Q pas> Ads ane1 kr)d Sandy g�Yriry S a i l 4r.. ea { {y excavated be,t of Prepared fid'',. w mow 2o4 07471 • ALASKA ENVIRONMENTAL CONTROL SERVIC(MINC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB ,0-4„y7 2 L 2 5 SHEET NO CALCULATED BY PO re CHECKED BY SCALE / OF DATE 9 470-1 ime DATE )‘2-3)=- /75- 23 '71. 3"/ x 3 6ei x i• s- -_ 9 ale,r74 lias 7 oo a riredeet 1 4 ALASKA ENVIRONMENTAL CONTROL SERVICE INC. 1200' West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB Pa--. -^v/ifr G. 2 9 SHEET NO OF CALCULATED BY n"-� / `�I DATE 2.0 4.u�✓S f /986 CHECKED BY - DATE SCALE .It/ sa. „,x At a,na r:441,e toy Jaq soil.. freiSeAtie.d 6acK{a'1! ` • L'c / A) ffi .. ... •%f":vx;/ enonr:hc...fxr.6epraaC�.ft CAT 1. 4, ctig f, C?X e plan Yee fu rS' ;"4ce 147417 Or 441&/ 1G'Ot -' .. / 4n Sf Wei r •L°S. 17 1)............. pS....T 'kI ,6e low 7171.4c. -re e/,r c154e1 on.Di ,,4 ha./d 9 Some tie re cam... ' ! C.ef7.1�'r• �1 LP- ... F�.�Sce.� !°:4 et.:N.. V• e e•-•-• ....... pre ♦• , ..: *..•4�w�y •, /ivt•�•• f'•'f r• , .+s{ ....:..GfaA.e4 t_ /4/c—I ,F.$Pw4•-• P"?'" . • r 4.24 V'4. eleanokfs. a.a So/rd r T. e ,._cler*out; .sAa./ 6 Ca eae)ec,'frd .'fi?........... At }t !N'ICce1 Cjjf �a.z.n........... _...... cScs'otS./-7<'e.(W 7X a ••eAA ........... PERMIT NO: DATE ISSUED: V11.,4 I lc 1: -11-4e C3 F C.:, FA CA11-4: ite-41Ei� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 f-3 �ilona R.q: IF- I _U FA -41M. 1: •-1- 860225 07/10/86 APPLICANT: • TERESA M CONNELLY ADDRESS: 11701 NIX CT" #B � ANCHORAGE, AK 99515 CONTACT PHONE: 277~94-&1Vt./31 'av LEGAL DESCRIp: LOT SIZE: LOT LOCATION: MAX BEDROOMS: ,-CTION: 11 -^`� 16320 (SQ"FT. OR ACRES) ENGLAND Listed below are the options available to system" Choose the option that best fits - - -^� DEPTH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (FT") TOTAL DEPTH (FT.) GRAVEL'WIDTH (FT.) GAVEL LENGTH (FT") GRAVEL VOLUME (CU"YDS") TANK SIZE (GALS) SOIL RATING (SQ,FT^/BR) FENUEID 4"0 0"5 4,5 19"0 36.0 25,4 1,000"0 150 � � `(,� 3° �� �,k-ANGt 3W you in designing your septic your site. ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2^ I will install the system in accordance with all MOA codes and regulations, and in coMpliance with the design criteria of this permit" 3. I wil1 adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot" I understand that this permit is valid for a maximum of 3 bedrooms and any enlargement will require an additional permit. 4" IF A | IFT STATION IS INSTALLED IN AN AREA .COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED APPLICANT: TERESA M CONNELLY ISSUED BY DATE: 7/11 DATE: 1/ rd ALASKA CidIR011 'MAL COI1TROL sCRUICCs, Inc. engineering & enuironmental Studies July 8, 1986 Municipality of Anchorage Department of Health & Human Services 825 L. Street Anchorage, Alaska 99501 Attn: Susan Oswalt Dear Susan: This is in regards to Paradise Valley Block 2, Lot 29. There were several questions you had wanted resolved before issuing a permit for this lot. The best soil on this lot is an SP layer. This strata varies from 2 to 5 feet in thickness and is a mixture of sand and gravel. The issue was raised as to whether or not there is enough sand -.in the -soil to sct'as a natural filter material. This appears to be the case for three reasons: 1) the ;sieve analysisyident fies it as an SP which is rated at 150 square foot per bedroom; 2) when the sieve data is plotted, it partially falls within the MOA sand filter envelope; and 3) it passes a percolation test in an identical manner to a strata I recently perced which falls entirely within the MOA sand filter envelope. For a.clean, gravel strata -that lacks sand, no percolation,readings,,would even—be p©ssible. as the water poured in the hole runs out as fast as it is poured in. But in a sandy soil, the sand slows down the water, and thus readings can be taken; in-this°`oase', of -.20 -Toot per minute:; (eee attached soil logs for comparision). Therefore:we-fees aysand filter 184 -11. -.net be necessary in._thia- instance as- there is ->lots of sand in the strata•'a1ready. There is a lar -of silt beneath the SP soils. However, dtdoesi not -4pPear:�to be;;ermeabr1e; I suspect it is a gradational soil related to the nearby GM (Test Hole 3) which passed a percolation test. In other words, it is likely a slightly siltier area within a single permeable glacial till. Although a seep of water was encountered in Test Hole 2, water was not observed anywhere else in the other test holes, which were left open for awhile to make sure they were dry. Water monitoring also indicates that they are dry holes. This is not unusual to have one area on the lot where there are small seeps, and other areas on the lot which are dry. The lot is fairly flat with a gentle slope from west to east along the road. No water was observed in any ditch along the road. Actually, -no ditch was, observed, either. The major drainage pattern begins on Lot 27 to the north, which steeply drops towards the creek. As to the calculation of reserve area, I have attached two diagrams; one shows area for three septic systems centered on the appropriate test holes and taking up the precise area needed. The other shows that there is over 4500 square feet of area on the lot for reserve area. 1200 West 33rd Auenue, Suite 13 • Anchorage, Alaska 99503 • (907) 561-5040 If you have any further questions do not hesitate to contact the office. Sincerely, Darcy Be ens Enginee ing Geologist Approved by: ALASKA ENVIRONMENTAL CONTROL SERVICES #C, 1200 West 33rd Avenue .,cite B ANCHORAGE, ALASKA 99503. Phone 561.5040 JOB SHEET NO. CALCULATED BY CHECKED BY SCALE / --,30� - - . ALASKA ENVIRONMENTAL CONTROL SERVICED INC. 1200 West 33rd Avenue ouite.B ANCHORAGE, ALASKA 99503 Phone 561.5040 JOB SHEET NO - CALCULATED BY �/ �% DATE CHECKED BY DATE 1/ 1 SCALE % 3a a 9.AR.%M flus 44:nt 144fi eY,t;I4t61e Ce Y kalve [.re 11 r`4 1...�ef a„!1 4r `2'A"i meet Moil r(e V 7eI1 t r ca a'ea. propesed acti eta 1S .:...::. 4-70 Q./,b fn is neaef.s b6 Sia 1/1700 L ey al fltnon/ 'no us rem a.i`i 747)'..c "'e_ COMMENTS p ogre- reQ-b.iV $ o I. 1+0S ierK *es1- wag, readcri 04' paracuse Vape5 IS 2. L7..4'- read-S5S are id �tcAl)astA 1 -his so(► 'WV WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? (ENGINEERS SEAL) DATE PERFORMED: 3 YL4 :tion: SITE PLAN 4 N S L O P E Depth to Water After Monitoring? Date: 1 NS Telt brie 86- 3 Reading Date Gross Time Net Time Depth to Water Net Drop •"73 i; 3 /: I s- , .6 0 ._' /.32:,5" / M,, •.2 Z •38 1:32:30 — •6C 1.33'30 i ,,,.,, 3S •3 0 is 3 3.45— -- .Xb l:3Y;1)"' / p,.i, -V0 .2-0 1:35:00 — .66 , :.36 00 / „, .,, ,410 .20 /36:1T .- ..'9-0 /3 . : /)' /m•H •S-.0 co Q t trt lst w;, , PERCOLATION RATE < MDA s, ,d _ .-ri titer er,"44 e' TEST RUN BETWEEN 5 (minutes/inch) PERC HOLE DIAMETER .. FT AND S - FT n PERFORMED BY AEC S sr ;fid CERTIFY THAT THIS TEST WAS PERFORMED IN e9 nvr. 111101 -LS / V SAMPLE IDENTITY 86-1 PASSING #200 SIEVE: 5.40% RETAINED: 64.40% PASSING #40 SIEVE: 69.80% RETAINED: 28.90% PASSING # 10 SIEVE: 98.70% RETAINED: 0.50% PASSING # 4 SIEVE: 99.20% RETAINED: 0.80% PASSING 1/2 IN SIEVE: 100.00% RETAINED: 0.00% PASSING 3/4 IN SIEVE: 100.00% RETAINED: 0.00% PASSING 1 INCH SIEVE: 100.00% RETAINED: 0.00% PASSING 2 INCH SIEVE: 100.00% RETAINED: 0.00% PASSING 3 INCH SIEVE: 100.00% RETAINED: 0.00% D1O IS 0.10 MM. D30 IS 0.22 MM. D60 IS 0.36 MM. THE LIQUID LIMIT IS UNKNOWN THE PLASTIC LIMIT IS UNKNOWN THE PLASTICITY INDEX IS UNKNOWN CU = 3.60 CC .= 1.344 THE SOILS ARE COARSE GRAINED SANDY SOILS BORDERLINE SOILS THE SOILS ARE POORLY GRADED.SAND.(SP) ALASKA LUI I I KUL u . Engineering & Enuironmental Studies L eg " SMOrt/ /no “S a,74- 741'.r TEST HOLE NO. e /' !y / vIv e Whr SIEVE ANALYSIS SIZE OF OPENING IN INCHES I NUMBER OF MESH PER INCHpSTANDARD pU.S.. Q \ 10 90 , s 20 80\\ 30 ~ 70 st 3 40 0 60 Q7' m W 3 w m 5 50 o ¢ Iids/ la 1Zz 60 Z 40 la z Z la W 1 70 \ wKw a 30 43' 20 10 N. 11 II 11 1 111111 I tFlt 1 0 0p 0 N 11 11 $ OO O O 0 CO WO a MN — m 1.oNr. q 10 �' c N GRAIN SIZE IN MILLIMETERS M N $108 • 1 COARSE L FINE MEDIUM FINE COBBLES 'COARSE 1 GRAVEL SAND — 111 - _ - . , , --- ---- vIv e Whr Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Tie re 5 Cvv.rrcf fiy LEGAL DESCRIPTION: Pox exci'%1‘ N)ci 13 C2 et: DATE PERFORMED: jr'i2 lel 86 Township, Range, Section: Set if 7/ / 42.3 w-- SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? Ta N G si to -plc N 0' S L IF YES, AT WHAT DEPTH? O P E Depth to Water After Monitoring? Ilene. Date: %.D1 1 enCo►a, 4p red Reading Date Gross Time Net Time Depth to Water Net Drop Jb,f)O 253 60 2S 7 2 -30 �o 2 ESQ 60 L`7 f; YO 'LCj 25-y - 0 o' 4 u „.,. 02 .. 1 v y ‘3i�a 6 U: `rU • w PERCOLATION RATE 1 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 2 FT AND ? LFT COMMENTS Soi i /- r r P J S1'Pve inn 1./ f 'f riS PERFORMED BY: /QFC S 1 G� ° 'el-4'CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFEC4N THS DATE. DATE 14.f'e - 6.G 72-008 (Rev. 4/85). s,e•,!d r/ 1 1 itlI : -7-r s JUNE 27 1986 PARADISE VALLEY BLOCK 2 LOT 29 SAMPLE IDENTITY 1 PASSING *200 SIEVE: 0.40%RETAINED: 12.80% PASSING * 40 SIEVE: 13.20% RETAINED: 44.70% PASSING # 10 SIEVE 57.90%_ RETAINED: 10.40% PASSING 0 4 SIEVE: 68.30% RETAINED: 14.70% PASSING 1/2 IN SIEVE: 83.00% RETAINED: ;7.70% PASSING 3/4 IN SIEVE: 90.70* RETAINED: 3.80% PASSING 1 INCH SIEVE: 94.50% RETAINED: 5.50% PASSING 2 INCH SIEVE: 100.00%' RETAINED: 0.00% PASSING 3 INCH SIEVE: 100.00% RETAINED 0.00% THE LIQUID LIMIT IS UNKNOWN THE PLASTIC LIMIT IS UNKNOWN THE PLASTICITY INDEX IS UNKNOWN CU s 0.10 CC 2.500. THE % MOISTURE OF THE SOIL IS %9999:00 THE SOILS ARE COARSE GRAINED SANDY SOILS THE SOILS ARE POORLY GRADED SAND.(SP) THESE SOILS HAVE A FROST CLASSIFICATION OF -NFS- Legal Description' /.-. di 8 2 G. z9 Sample Depth D 10: D 30% D 6IN Comments` TES/ HOLE NO. Date Reported to Plotted Checked by 00 Approved / 10/ 4 *) i' io, ' ,Fog .57,14)1, SIEVE ANALYSIS SIZE OF OPENING IN INCHES { NUMBER OF MESH PER INCH U.S. STANDARD -134 egaitki2g28 l c 4 10 ! o �p i 1■ ■i 1 1 S l �,... $ 5 OO woo I, w ••m �Oh� GRAIN SIZE IN MILLIMETERS COBBLES 1 COARSE 1 FINE COARSE 1 MEDIUM 11 GRAVEL c� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 'Therese. Cormetly DATE PERFORMED: June Z.d tq 86 LEGAL DESCRIPTION: ' o -d' vaile1 t3 2 LZ, q Township, Range, Section: 5 ec a f 'TI ! t4) 3 e•J SLOPE SITE PLAN AS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? NJ S L O P E Depth to Water Ager Monitoring? nf)YIe Bate: Co a �anr ru an terP�t 1 -ti' -1 N k'lojc O` 20 ZS' E Nf LR ub Reading Date Gross Time Ne Time Depth to Water Net Drop June 2.0 2.3 I. 60 30 ,3o zs-r 25-4 - 60 ., 2_s-8 a Ito -zo 25`1 - 60 36/ 2. 140 zo say — 60 ., 3.-4 2 Y D "zo 3e., — 6G $ 2, '10 -2_0 PERCOLATION RATE 1 (minutes/inch) PERC HOLE DIAMETER er TEST RUN BETWEEN "2 FT AND .2..FT COMMENTS 45,911 .kom /•45- pasre61 Sr -e ,i4tiv! ,{'if' as 5e4._ .,ruched_ SI'e trt sp tse) 1/4 PERFORMED BY IeC /9ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFEC ON THIS DATE. DATE �u 3 O 6 72-008 (Rev. 4/85) Sie tie - �� � r4 / /5 J / Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: f 71e"er4 LEGAL DESCRIPTION: P4rod Se t7 4 o rztivA h S (Janet 82 DATE PERFORMED: .20 -f t i e. /986 L .y Township, Range, Section:Se 11 TII 1.1 12-3ctt SLOPE SITE PLAN WAS GROUND WATER Ly,eS ENCOUNTERED? �6 IF YES, AT WHAT DEPTH? S L 0 P E Depth to Water After Monitoring? Dale: 7t1 Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND _,,,t, �t 1, FT COMMENTS No S�tr7 Dle j9r Ort ^St�C. J i'�1°c $t (Icl�� '" cs/t(7 /y�t AN" t�7/Gy '�vu+lcd ;ii c -as -F' - - 11fe �'1 ' *sf— L+otcr r%9S1f� o� /rXS oe.e_ ,,,.y11 -7L per K b.f Je fk'- Sot/ a)<d, PERFORMED BY' A1C S RTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT N THIS DATE. DATE jYi--0 30 P6 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST 7 ereS Co,)„e /17 LEGAL DESCRIPTION: Pisracir•Se Va/(ey $2 12 7 COMMENTS DATE PERFORMED: 2 June l Q84 _ Township, Range, Section: Sac (!T(NR3I SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT O DEPTH? p E Depth to Water Alter Monitoring? (lone Date: Co 9.9 PY1(f)[�niar TH3 N res r #11, (c z 77 Pr v e - Reading Date Gross Time Net Time Depth to Water Net Drop zv Jw a 'f 3 J w 66) •` Yy / 10 3-0 /0 II et/ -• Z o Ys- ( - 6Z? 5-01 r e s-2-- c E. s -0i - bo r// Ic 5'-z ,c,8• f) PERCOLATION RATE 2 / f3 tminutes/inch) PERC HOLE DI TEST RUN BETWEEN 't' FT AND 2 4� FT Sc,1 rzeid 2a_S-p° 1/4 4m /°r- 7 /2 ER PERFORMED BY: .4 cc$ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT •N THIS DATE. DATE' joie 3o 8 72-008 (Rev. 4/85) RTIFY THAT THIS TEST WAS PERFORMED IN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 4-ACreConne%/7 LEGAL DESCRIPTION:, 4/fie t kh7 12 L �J 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 D`- (F E H OL Organ« Suf' c3(-zvtland Soncc SF sur, t�,q •-jv eve - 144L 1-H 4 COMMENTS ori '7k1�rr't s re I/e r1af-. PERFORMED BY: (ENGINEER'S SEAL) DATE PERFORMED: 20 J(h42- /q $ 6 Township, Range, Section: ge c (( T (f 14 F3'. SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? S L 0 P E Depth to Water After In Monitoring? non e Dale: omni inlorvii SITE PLAN N 'Tea 4m 30 PC e 1i �1 NIP Reading Date Gross Time Net Time Depth to Water Net Drop )4.4e zo 5'0 if - 410 S — ,sob 2- 3-3 Fr . /? .5-6 iS Crag' ,s -o s- .2 3 . / • /4-1 5 08 Li.v'4 5—/v i 3 -yd" , /2, 5 /0 4i•O . S-/7. z 3 Zit" •/O 5 /z t/° r -2- S -r4/ z e/.02- I i0 PERCOLATION RATE f`4 (minutes/inch) PERC HOLE DIAMETER 8 , TEST RUN BETWEEN sFivt4 eut- `Irk FT AND I �2"' FT P ra I /_S -0C/'//-2 ECS 1 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFF T ON THIS DATE. DATE NI i7 g6 72-008 (Rev. 4/85) ALASKA ENVIRONMENTAL CONTROL SERVICtt 'INC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 561-5040 JOBParades VIA le 13/«X Loy Ig SHEET NO CALCULATED BY CHECKED BY SCALE r"1 / ^ ='/OD OF DATE 23 .Jule t9(6 DATE vtC_lo.ts .. sed S/qr -{l. f o. Lot 2r s it s S O 74 LAe x / Vf.. .. / / .... raPoS[ei.:...... Wi/A...1..1's .S�iewA r.adj"S /Pli.S4ed d j, TS...... �,te e.... �QC I'/W, /ar,4,0a Ca.- C71 ��qr........ Dt......�f �`r'n%r%I�cl ...P�. TeN H3[.6 li.n 744, 1.1r4e- ° - oplxceoent - ./red, 'l°r S1' m4oral Sep'h'i .e7t4e,q 0,60..:. SLAP. d07[u nJ„ !u. 9o, t1....... L./44-eIN.? Ave/1 E,.. —7-210 SPS _eib 6-a. l :fp�e r:7St",57 N4z7-4— -L.of Zq ,Ilset 711,e.. pa.. a -At!!! exit _..ICE a/on; En/a C-.41jra z=1 '4 41 /wa,F .... iverl at 711 // �at.Z7 G...tn4 ,hee.1( _.!/ folt QrH''.eh :...._71e kcK....:..._. 711,2 !//�� 1 jt' :7t7 :/o f' 4ets ...,_..C%of�...... bPIauSF 4,..,!4,6 /°... ..:... e .. ai SrTc ,,eI _.:.._r �[a n.._..... s wnt re<„'d. raid outs Aire not ....._ r6.e. that 77f, tTOel �� :.._, a f _.... _ st4P nave eyyrvpn'4-.4.10 s ' if f et iic Sy 3.tc.oWi UNIFIED SYSTEM ASTM D-2487 JUNE 27 1986 PARADISE VALLEY BLOCK 2 LOT 29 SAMPLE IDENTITY 1 PASSING #200 SIEVE: 0.40% RETAINED: 12.80%, PASSING # 40 SIEVE: 13.20% RETAINED: 44.70% PASSING # 10 SIEVE: 57.90% RETAINED: 10.40% PASSING # 4 SIEVE: 68.30% RETAINED: 14.70% PASSING 1/2 IN SIEVE: 83.00% RETAINED: 7.70% PASSING 3/4 IN SIEVE: 90.70% RETAINED: 3.80% PASSING 1 INCH SIEVE: 94.50% RETAINED: 5.50% PASSING 2 INCH SIEVE: 100.00% RETAINED: 0.00% PASSING 3 INCH SIEVE: 100.00% RETAINED: 0.00% D10 IS 40.00 MM. D30 IS 20.00 MM. D60 IS 4.00 MM. THE LIQUID LIMIT IS UNKNOWN THE PLASTIC LIMIT IS UNKNOWN THE PLASTICITY INDEX IS UNKNOWN CU = 0.10 CC = 2.500 THE % MOISTURE OF THE SOIL IS %9999.00 THE SOILS ARE COARSE GRAINED SANDY SOILS THE SOILS ARE POORLY GRADED SAND.(SP) THESE SOILS HAVE A FROST CLASSIFICATION OF -NFS- UNIFIED SYSTEM ASTM D-2487 JUNE 27 1986 PARADISE VALLEY BLOCK 2 LOT 29 SAMPLE IDENTITY 4 PASSING #200 SIEVE: 1.70% RETAINED: 15.50% PASSING # 40 SIEVE: 17.20% RETAINED: 43.50% PASSING # 10 SIEVE: 60.70% RETAINED: 16.70% PASSING # 4 SIEVE: 77.40% RETAINED: 14.00% PASSING 1/2 IN SIEVE: 91.40% RETAINED: 2.50% PASSING 3/4 IN SIEVE: 93.90% RETAINED: 6.10% PASSING 1 INCH SIEVE: 100.00% RETAINED: 0.00% PASSING 2 INCH SIEVE: 100.00% RETAINED: 0.00% PASSING 3 INCH SIEVE: 100.00% RETAINED: 0.00% D10 IS 40.00 MM. D30 IS 20.00 MM. D60 IS 10.00 MM. THE LIQUID LIMIT IS UNKNOWN THE PLASTIC LIMIT IS UNKNOWN THE PLASTICITY INDEX IS UNKNOWN CU = 0.25 CC = 1.000 THE % MOISTURE OF THE SOIL IS %9999.00 THE SOILS ARE COARSE GRAINED SANDY -SOILS THE SOILS ARE POORLY GRADED SAND.(SP) THESE SOILS HAVE A FROST CLASSIFICATION OF -NFS- Parcel I.D. 020-423-11 G1 Lio Municipality of Anchor On -Site Water and Wastewater Prpgra (907) 343-7904 Certificate of On -Site Systems Approval Expiration Date: / ^ (Or /7 1. GENERAL INFORMATION Complete legal description Paradise Valley, Block 2, Lot 29 Location (site address) 6401 England Ave. Current Property owner(s) ikon, Brian & Stephanie Day phone Mailing address 6401 England Ave. Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: O 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 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received COSA to be released to the engineer, unless otherwise requested by the engineer. Date: 70 COSA Fee $ Date of Payment Receipt Number COSA# 5210 q(ar//10 00564 656l61c/24 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal arced heretoa nd as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sale 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 6. DSD SIGNATURE 3 System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Date 9/17/2016 t•: Meveri •2. • f�aririarie CE -8149 f 1e `„ate bedrooms, with the following stipulations: c\1/4°.k \( (OFrA fgf/rC‘V(( .'MICA/ Z ON SITE,% WATER AND O WASTEWATER o r ; PROGRAM ���`11', g0p Oma, 'syi11t t�"t 1aVPNACI°` Original Certificate Date: / 0 47 - t 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 Septic System Advisory Well Flow Advisory CASA blue sheet t '- .e c X Nitrate Advisor• y Arsenic Advisory Other 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: Paradise Valley, Block 2, Lot 29 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 8/19/1987 Sanitary seal (Y/N) Y Total depth �. 75 Cased to 75 ft. FROM WELL LOG 8/19/1987 Date of test Static water level 35 ft. Well production • 8` g.p.m. WATER SAMPLE RESULTS: Coliformcolonies/t00 mL Nitrate a $5+Y mg/L Arsenic S.00 (2 ug/L Date of sample: 9/16/2016 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size ,1 ,000 gal. Number of Compartments 2_ Foundation cleanout (Y/N)) Y _ Depression over /` tank (Y//N) N Date of pumping iI?-L b01 /S? Pumper /'i " 00-_c. Parcel ID: 020-423-11 Well Log (YIN) Wires properly protected (Y/N) Y Casing height • (above ground) 12+ in. AT INSPECTION 9/16/2016 52 6.4+ ft. g.p.m. Collected by: PS Date installed`. 9/27/1986 Cleanouts(Y/N) Y High water alarm (YIN) N Beni! cS C. ABSORPTION FIELD DATA 9/27/1986150 SF/BR Date installed Soil rating (g.p.d./ftz or ft2/bdrm) System type Bed Length 15-32 ft. Width 5-28 ft. Gravel below pipe 0'S ft Total depth 5.6 ft. Eff absorption area 700 ft2 Monitoring tube Depression over field N Date of adequacy test 9/16/2016 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test ' in. Water added 4 50 gal. New depth8 - in. Elapsed Time: 450. min. Final fluid depth 7* Any rejuvenation treatment (past 12 mo.) (Y/N & type) No in. Absorption rate s 450+ g.p:d. 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 Datum Cycles tested Meets alarm& circuit requirements? in. E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Sewer /septic service tine 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property 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 5 Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 10-- Driveway, parking/vehicle storage 1 �+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS _ *No water in cleanouts and water never backed up during 'test. System is 95% used with 5% life remaining. **Letter on file dated 8/25/1986. G. - ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven Pannone Date 9/17/2016 COSA canary sheet 2-6-15.doc Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Septic System Advisory Certificate of On -Site Systems Approval # OSC 161426 During a recent adequacy test on the septic system for Block 2, Lot 29 of Pardise Valley subdivision, 7 inches of standing water was observed in the absorption field. This indicates that approximately 95% 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 Municipality of Anchorage Development Services Department Building Safety Division On -Site 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 Parcel 1. D. 020-423-11 1. GENERAL INFORMATION Complete legal description Paradise Valley Block 2 Lot 29 COSA # (7 5G g6 Expiration Date: J ` — �3 -// Location (site address) 6401 England Avenue, Anchorage, AK 98516 Current Property owner(s) Joseph & teresa Connelly Mailing address Lending agency Mailing address Day phone 6401 England Avenue, Anchorage, AK 99516 345-7_92 Day phone Real Estate Agent Sally&ickerson Mailing Address Day phone 229-1148 Unless otherwise fequested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding Tank ❑ Community On-site ❑ Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site 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 On -Site 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 On -Site 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 engineer's 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 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 Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box 100217, Anchorage, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 5/23/11 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & 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. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE t Approved for Disapproved. By: (Rev. 11/05) bedrooms. • it OF q 44 • 49TH /� * • •• 0 be Steven R. Pannone; ,moi i •1�•�'. No. CE 8149 ESS\04\44•• Conditional approval for bedrooms, with the following stipulations: rr. ‘,41/4..\,.‘1:1 Q'• . ' o r� .• r : • ON-SITE •• WATER AND : " WASTEWATER PROGRAM am ... •••-• � 1\ J � �1 , NTS i )) Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other 6-.4Y-- Original Certificate Date: 8'" 1/ Municipality of AnchoragePa¢ Ce Development Services Department s `o Building Safety Division 4 On -Site Water & Wastewater Program SA ETV 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Paradise Valley Block 2 Lot 29 Parcel ID: 020-423-11 A. WELL DATA Well type P If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 819/1987 Sanitary seal (Y/N) Y Wires properly protected, (Y/N) Y Total depth 75 ft. Cased to 75 ft. Casing height (above ground) 12 in. FROM WELL LOG AT INSPECTION Date of test 8/1.9/1987 5/10/2011 Static water level 35 • ft. 50 ft. Well production 8 est g.p.m. 3.3 g.p.m. WATER SAMPLE RESULTS: Coliform !`_ `_'j colonies/100 mL Nitrated` (1 mg/L O6 4-)e-5 Arsenic: ug/I Date of sample: 5/10/2011 Collected by: Laura Pannone B. SEPTIC/HOLD/NG TANK DATA Tank Type/Material Greer Steel Date installed 9/27/1986 Tank size loon gal. Number of Compartments a Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) N/A Date of pumping 49/2011 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 9/27/1986 Soil rating (g.p.d./ft2 or ft2/bdrm) 150 System type Bed Length 15 to 32 ft. Width 5 to 28 ft. Gravel below pipe o.5 ft. Total depth 54 ft. Eff. absorption area 70© ft2 Monitoring tube Y Depression over field N Date of adequacy test 5/10/2011 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test o in. Water added o gal. New depth& in. Elapsed Time: 1440 min. Final fluid depth o in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type). No If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level at in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ioo+ Absorption field on lot 100+ Public sewer main N/A Sewer /septic service line 25+ Animal containment areas 100+ Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? in. On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout N/A Holding tank ioo+ Manure/animal excrete storage areas 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 10+ Water main N/A Water service line 25+. Wells on adjacent lots 100+ SEPARATION DISTANCE FROM. ABSORPTION FIELD ON LOT TO: Property line 5' Waived 8/25/86 Building foundation 3.0+ Water Service line 25+ Surface water 100+ Curtain drain None Known Wells on adjacent lots 100+ F. COMMENTS As -Built on File Absorption field 22' Surface water 100+ Water main N/A Driveway, parking/vehicle storage S G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone, P.E. Date .�► F 444. .. ' ;°�• 4•TH• Is. 41710 4k, • .r • :Steven R. Pannone; i IVo. CE 8149 • isr sff ESS\ COSA Fee $ 490 Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number 05/11/2011 05:25 8686770 APLUS Af HOME SERVICES , INC. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER Block a Toe Connelly 6401 England Drive Anchorage, AK 99516 Lot PAGE 01 INVOICE# 39890 DATE DESCRIPTION AMOUNT 05-09-11 Pump Septic for adequacy test $170.0 -170.0( Less Credit Car4lPaymPert ""' Ili -I( i4 . 4i :I Tank located 25' (fear -hoose drAromay +erValle fai to -P next to TOTAL REMARKS 1E' ' Aorta JP If Mill le (�fy�t Gallons > Septic Leach Area PROBLEM AREA — CALL FOR MORE INFORMATION ,IEtDS TO BE DONE AGAIN IN 6 MONTHS Good Shape ❑ Sludge buildup Jim cap missing or E Cut standpipe needs replacing Holding Tank 2 Stand es 9 "s P P qime p. Floater on top Needs Septictrine ❑ LJ ❑ on bottom to 1' above ground ❑ ❑