Loading...
HomeMy WebLinkAboutTOWER ESTATES BLK 1 LT 1Tower Estates Block 1 Lot 1 #017-411-26 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: SW980111 PID Number: 017-411-26 R] New ❑ Upgrade Name: Hubert & Berta Parker ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench El Bed El Mound Address 8835 Tower Estates Circle ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade (s9 4 1.OGPD/SF s-3—ia -'-{VAMWTt. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. 1 Gravel depth beneath pipe 1.O Ft. Subdivision Block Lot Tower Estates 1 1 Fill added above original grade * Ft. Gravel length - 136 FL Township Range Section Gravel width 5Ft. Beds: Number of Lines - Distance between lines -Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 680 Ft' 2 10.0 Ft. Well 107.1 122.6 N/A N/A 100 TANK+❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufactureracity Unknown Cap 1250Gal. Surface Water 100+ 100+ N/A N/A Material Steel Number of compartments 2 Lot tine 120.2 75.4 N/A NIA NA Foundation 21.9 36.2 N/A N/A LIFT STATION Manufacturer N/A Capacity Gal. Curtain Drain N/A NIA N/A NIA Remarks *System was designed and inspected b y Pump on level at in. Pump off level at in. High water alarm at in. S&S Engineering. PES measured the system and ran an adequacy test. It is assumed that the system was Pump make and model Electrical Inspections performed by installed per code and all specifications in the design. PIPE MATERIAL Housetotank PVC "fankto drainfield PVC Installer * Unknown Drainfield PVC CO/MT PVC Inspector S&S Engineering BENCHMARK (Assumed elevation) 100ft Inspection r dates: 8/21/1998 god 8/22/1998 Location and description 3`d 8/23/1998 4'" Side Door Threshold COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp �;iliw Conditional Approval: Date' 1 Yaniio�e r },bteven figs 4�81r ` 's% Approved Date.+ Inspection Report_1-1-12:floc' i - _ r0/CSO ti�<< DR/V PRIMARY FIELD (E) (1 EA) 85LF x 5'W x 1.0'ED x 4.8'-5.9'TD 75.4 % AND (1 EA) 51 LF x 5'W x 1.O'ED x 3.5'-4.3'TD _ ---- M4 C 12509 SEPTIC TANK (E) M3 ss W/ DOUBLE CLEAN OUT C2 ss -: .... AND FLOW SPLITTER .-- 1p,p2.. - 1 _ s � A 10.0 S 1 RESERVE FIELD (P) FC 0 20LF x 5'W x 0.5'ED x 4'TD .- Al � 4BR B TH1 T1 (S&S ENGINEERING) -" HOUSE / (E) DRIVEWAY, rC 2 C 122.6 ..-. D 107.1 I 114.5 ._.... NOTES: RECORD DRAWING G\ PANNONE ENG SVC, LLC Pof P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 Arco, e *: 49TH TOWER ESTATES; BLOCK 1, LOT 1 .. HUBERT & BERTA PARKER , Steven R. 8835ANCHORAGE, AKE99516CLE tfl�l►i 7B 1`\l 6/28/2012 ;p9+++ Scale • • "* fj P.I.D. -50 NO 017-411-26 inone� PERMIT NO. SW980111 Sheet 1 OF 3 A B C D FC 0.0 0.0 T1 43.8 23.4 T2 48.8 31.4 DCO 50.1 33.2 FS 51.8 35.7 M1 56.1 45.7 Ci 107.0 87.7 M2 106.8 87.9 C2 40.3 48.7 M3 41.5 49.8 C3 124.3 110.8 M4 124.4 111.0 WELL 62.0 54.5 i - _ r0/CSO ti�<< DR/V PRIMARY FIELD (E) (1 EA) 85LF x 5'W x 1.0'ED x 4.8'-5.9'TD 75.4 % AND (1 EA) 51 LF x 5'W x 1.O'ED x 3.5'-4.3'TD _ ---- M4 C 12509 SEPTIC TANK (E) M3 ss W/ DOUBLE CLEAN OUT C2 ss -: .... AND FLOW SPLITTER .-- 1p,p2.. - 1 _ s � A 10.0 S 1 RESERVE FIELD (P) FC 0 20LF x 5'W x 0.5'ED x 4'TD .- Al � 4BR B TH1 T1 (S&S ENGINEERING) -" HOUSE / (E) DRIVEWAY, rC 2 C 122.6 ..-. D 107.1 I 114.5 ._.... NOTES: RECORD DRAWING G\ PANNONE ENG SVC, LLC Pof P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 Arco, e *: 49TH TOWER ESTATES; BLOCK 1, LOT 1 .. HUBERT & BERTA PARKER , Steven R. 8835ANCHORAGE, AKE99516CLE tfl�l►i 7B 1`\l 6/28/2012 ;p9+++ Scale • • "* fj P.I.D. -50 NO 017-411-26 inone� PERMIT NO. SW980111 Sheet 1 OF 3 4' 0 DRAIN PIPE S.TRENGH N.TRENCH ---.102.5 96.0 _ •L ,,.; 6Yi—Yii� .�.1K 0.0= —9].8 050= —90.6 —97.1 J�—__ —89.6 --5.0--�-10.0---5.0-- DRAIN ROCK 1250g SEPTIC "-0 TANK (E) TRENCH SEE DESIGN DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1250g (E) PERC RATE = 4 MPI SOIL RATING: 1.0 GPD/SF AREA RQD: 600 SF SYS, TYPE: WIDE TRENCH 1.0' E.D MIN LENGTH: 120 LF PROFILE LEGEND —W— WATER LINE/ WELL RADIUS USED: (1 EA) 85LF X 5' WIDE, 1.0' E.D., 4.8'-5.9' TO (1 EA) 51 LF X 5' WIDE, 1.0' E.D., 3.5'-4.3' TO TOTAL AREA: 680 SF SS — NEW SEPTIC ra:1.01N1m_11r1•101 CU COPPER DIP DUCTILE IRON PIPE SECTION TEST HOLE s o o T# s w m a m a s = MONITOR TUBE NO. m RIGID INSULATION DCO 0 IN n o0 o u n n r4' 0 DMN PIPE n n 1250g SEPTIC "-0 TANK (E) TRENCH SEE DESIGN DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1250g (E) PERC RATE = 4 MPI SOIL RATING: 1.0 GPD/SF AREA RQD: 600 SF SYS, TYPE: WIDE TRENCH 1.0' E.D MIN LENGTH: 120 LF PROFILE LEGEND —W— WATER LINE/ WELL RADIUS USED: (1 EA) 85LF X 5' WIDE, 1.0' E.D., 4.8'-5.9' TO (1 EA) 51 LF X 5' WIDE, 1.0' E.D., 3.5'-4.3' TO TOTAL AREA: 680 SF SS — NEW SEPTIC ra:1.01N1m_11r1•101 CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE NOTES: PANNONE ENG SVC LLC--"�••� Date RECORD DRAWING 3 OF A1; �kk 7/17/2012 P.O. BOX 100217 ANCHORAGE, AK 99510 >I, PHONE (907) 272-8218 FAX (907) 272-8211 /�g�pyt() Scale NTS �..... ...4 P.I.D. NO TOWER ESTATES, BLOCK 1, LOT 1 017-411-26 HUBERT & BERTA PARKER ''n Steve: Pannone' PERMIT NO. ' 9F,. CE 8149 % 8835 TOWER ESTATES CIRCLE �+ �s . _� SW980111 DESIGN DETAILS ANCHORAGE, AK 99516 (11ossio�P sheet 2 OF 3 4" JIM CAP. 4" PUMP—OUT. SLIDE SECTION OF 6" PIPE OVER THIS CONNECTION TO PROVIDE SHEER PROTECTION— EXTEND TO BRIDGE EXCAVATION RESERVE SYSTEM DESIGN ADVANTEX 24" AX20 POD INSULATED RESERVE SYSTEM DESIGN PARAMETERS NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD PERC RATE = 4 MPI SOIL RATING: 6.0 GPD/SF AREA RQD: 100 SF SYS. TYPE: WIDE TRENCH 0.5' E.D. MIN LENGTH: 20 LF USE: 20 LF X 5' WIDE, 0.5' E.D., 4.0' TO TOTAL AREA: 100.0 SF AUXILIARY PUMP BASIN PASSIVE AIR VENT GAI & ANCHORAGE TANK NOTES: PAMONE ENG SVC, LLC �� OF "%\i Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 ^-�G • gC.11. 6/28/2012 PHONE (907) 272-8218 FAX (907) 272-8211 /Wcj�Qy+� Scale *: 49TH . yt If NTS �... .. .. ....... P.I.D. NO TOWER ESTATES, BLOCK 1, LOT 1 % 017-411-26 HUBERT & BERTA PARKER Steven f2. Pannome PERMIT NO. PF.•. CE 814 % SW980111 8835 TOWER ESTATES CIRCLE +j c .92r SITE SECTION ANCHORAGE, AK 99516 �'1vett3 OF 3 LOCATION OF WELL t) STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD x`07 eFJI"l.•-.. �i! �-� CONTRACTOR INFORMATION: REMARKS: Registed Business Narhe S .Pkv',,L f ' ti PLEASEDNRIDAILSION OFHMTE COPY OTERLOG MGMTTO: Signature of Authorized Resprntatry v b" a Date 3601 C St, Suite 800 WA ANCHORAGE AK 99503.5935 Phone (907)269-8639, Fax (907)562-1384 BOROUGH 'SUBDIVISION LOT BLOCK SECTION OTRS . - SECTION TOWNSHIP. RANGE- MERIDIAN - ❑N ❑E ,�, ., i, � ❑ S ❑ W LOCATION/SKETCH: WELL OWNER: U DEPTHS MEASURED FROM:Rcasing top ❑ground surface WELL DEPTH: DATE OF COMPLETION Depth of hole: ft BOREHOLE DATA: Depth y<�-f',i»firs Depth of casing: ft GF //0 Material Type and Color From To p DEPTH TO STATIC WATER LEVEL: �ft below p top of casing ❑ ground surface Date: fnitrrns+a > �, v 111, -METHOD OF DRILLING: 91 air rotary ❑ cable tool Ay s r r ❑other USE OF WELL: ;R -domestic . El irrigation El monitor . ❑ public supply ❑ other CASING STICK UP: ,q �ft. Diam: 6 In. to,joft - Casing type:-._in:.toft WELL INTAKE OPENING TYPE: ❑ open end ❑ screened - ❑ perforated la'open hole Depths of openings: to ft e� TYPE: en n wchsOq Slot/Mesh Sze: LengthEEN ft up\c\aaQaNc GRAVEL PACK TYPE: _ M 8 ' - Volume used: Depth to top: - Q 0 GROUT TYPE: Depth: from ft to ft DEVELOPMENT METHOD: awl— lt_Duration: Duration: PUMPING LEVEL AND YIELD: .�1 0.S_ ft after - `.~3 _ - hrs pumping � gpm PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPLETION? E].YES ❑ NO CONTRACTOR INFORMATION: REMARKS: Registed Business Narhe S .Pkv',,L f ' ti PLEASEDNRIDAILSION OFHMTE COPY OTERLOG MGMTTO: Signature of Authorized Resprntatry v b" a Date 3601 C St, Suite 800 WA ANCHORAGE AK 99503.5935 Phone (907)269-8639, Fax (907)562-1384 Date: / I-/ a _3 / q $ ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX (907) 694-1211 HEN.THAUTHOPHY APPROVALS REC E I VE E D Municipality of Anchorage DEC 241993 DEPARTMENT OF HEALTH AND HUMAN SERVICES SEWER&WATER MAIN EXTENSIONS 825 L Street Mumiclpaliry of Aacnora0e P.O. Sox 196650 Dept. Haalffi&HumanServices Anchorage, Alaska 99519-6650 SEWER & WATER INSPECTION REFERENCE: Loi (j Loccc / TO S ENGINEERINGSTUDIES AND REPORTS The septic inspegtions for the r erenced property were `b performed on 8( d I / and rll -2 -a YW. Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection Report we are waiting for the &13-7- SvAv6 y to be WELL INSPECTION TEST completed. &FLOW If we may be of further service please contact us. SITE PAWS Sincerely, ' " *Z z "i K'.'.. ROAD DESIGN Robert C. Cowan, P.E. SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER NSPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 �-2/- `t8 MUNICIPALITY OFANCHORAGE g 2. 2 • q b bDepartment of Health and Human Services On -Site Services Program 825 L Street, Room 502 `\�(\ P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SW980111 Design Engineer: 0003 S & S ENGINEERING Owner Name: Dr. H.V. Parker Owner Address: 13036 Algarin Circle Anchorage , AK 99516-0000 Parcel ID: 017-411-26 Legal Description: TOWER ESTATES BLK 1 LT 1 Site Address: Lot Size: 174313 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: Disposal Field 0 Septic Tank Holding Tank ❑ Privy U Private Well ❑ Water Storage All construction must be in accordance with: Ime.'oJO>°-41- G • p. /9'' Date Issued: May 13, 1998 Expiration Date: May 13, 1999 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 ( 18AACBO ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. Received By: Issued By: -/lLc C- l /✓(/�/ " Date: Date: 5T �� Municipality ®f Anchorage Department of Health and Human Services 825 " L' Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 August 7, 1997 Hubert V Parker 20765 Phoenix Lake Road Sonora, California 95370 Subject: Lot 1 Block 1 Tower Estates Subdivision Permit #SW960237, PID 11017-411-26 The subject permit, issued August 7, 1996 by this office for a single family well and/or on-site wastewater system, has expired as of August 7, 1997. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, Togr rely, Cross, P.E. am Manager On-site Services enc: Copy of Permit cc: S & S Engineering please call this office at 343-4744. a 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 AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960237 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:PARKER DAVE OWNER ADDRESS:13036 ALGARIN CIRCLE ANCHORAGE, ALASKA 99516 PARCEL ID:01741126 LEGAL DESCRIPTION: TOWER ESTATES BLK 1 LT 1 LOT SIZE: 174313 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 8/07/96 EXPIRATION DATE: 8/07/97 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: Y / � v� DATE: ISSUED BY DATE :8 - /F(I s&s\ ;tneepunq July 17, 1996 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX (907) 694-1211 HEALTHAurHORITY APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWER & WATER MAIN EXTENSIONS REFERENCE: Lot 1, Block 1, Tower Estates Subdivision Request you issue a permit to drill a well and install a SEWER&WATER septic system to serve the proposed four bedroom house on INSPECTION the referenced property. Test holes were excavated and percolation tests performed. The approximate location of the test holes are located on ENGINEERING STUDIES the attached site plan. AND REPORTS At the time of excavation no water was encountered in test holes and after seven day ground water monitoring, the were found to be dry. WELL INSPECTION & FLOW TEST This property has enough area for a future septic upgrade which can be seen on the attached site plan. SITE PLANS We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. ROAD DESIGN Sincce/rely,/ SCILTEST,/ y C� Rob///ert C. Cowan, P.E. RCC/gk PERCOLATION Enclosure TEsr STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 1" = 60' omP�m m foo` :�E m O O OMMO D z D O C ny y O z C A y _ j j In m X r0 m nnm� O >mm (n O p Z O SITE PLAN , DESIGN )1 � I A N N SIU' O O r� m N �n N C D OZ 0, m0 "Z op o O m rM Z-r�r G7 (mj�i r0 D mG7 mW O71 Oz 0 D C O I m � A 0 t7-1 � D �O m•• v i I � I O O Y I i Ii i! ro l No Ill °s0,+ cs V) � D � ro ro rro )n — F11 U) V)cn NO ri o D r mV'O Z �-O OCO 2 V) mNM V)m0 O moat OO o7 \NO cn 70 w 0 ll 3 II � II moa, opo O (7)C/) pop go )a T1 • m D O 0 0-➢�N Z O N O Z A y N�1 C C,ijm .. ZmZC ZnD�Hy=V o11oa=N� vmz�z�nm $ m t7K19 z pvI A�� AsN `oo<=o rc6 o mrjy Am aJmO� O moo^ inn A pyM( =OZ s 0 n Z z ZO y ON A z [I N.T.S. m DET PR C�1 w 1 ••tY T �Sfl my; �m inr s 00 rn .. M1M1 .� ^yam ••,.; S& ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS PROVALS HORITY REFERENCE: Lot 1, Block 1, Tower Estates Subdivision July 17, 1996 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 SEWER & WATER MAIN EXTENS IONS 1. The scope of this project includes the installation of a 1500 gallon septic tank effluent pumping (S.T.E.P.) and a pressurized leachfield trenches to serve the proposed four bedroom residence located on the SEWER&WATER referenced property. INSPECTION 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all ENGINEERING STUDIES applicable State and Municipal Wastewater Disposal AND REPORTS Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. WELL INSPECT ION & FLOW TEST 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. SITE PLANS 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own ROADDESIGN systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: SOIL PEST 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. PERCOLATION TEST 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. STRUCTURAL& 3. All standpipes on the septic tank shall extend a MECHANICAL minimum of 12 inches above final grade. INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 1, Block 1, Tower Estates Subdivision July 17, 1996 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the holes faced downward. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 1, Block 1, Tower Estates Subdivision July 17, 1996 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachf..ield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the $200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 1, Block 1, Tower Estates Subdivision July 17, 1996 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final. inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will 'take place on --site. The inspecting engineer will not coordinate, direct or control_ .in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in. accordance with the attached M.O.A. permit. There will be no contractual arrangement- existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 1, Block 1, Tower Estates Subdivision July 17, 1996 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: )� 7�- 13,41,11C /z DATE P sLUck ( iOWraF �ST�><T1L S LEGAL DESCRIPTION: Township, Range, Section: DEPTH T r 5 r 7-�Oc # , SLOPE 1 E E'i 02G4iv�cS — `1: `1 �1v (o'1ti Pial b'/s' -7 2 4- 6- 67 7 8 FIF 9 - IF IT] 10 WAS GROUND WATER At O ENCOUNTERED? 11 S IF YES, AT WHAT L O 12 DEPTH? p E 13 Depth to Water After DAY S -6-),/<l6 Monitoring? Date: 14- 15 16- 17 18- 19- Reading 819 SITE PLAN Reading Date Gross Net Time Time Depth to Net Water Drop /�Rf SoAr — `1: `1 �1v (o'1ti Pial b'/s' -7 20 qPERCOLATION RATE J (minutes/inch) PERG HOLE DIAMETER - TEST RUN BETWEEN I rd- FT AND } r/`�' FT COMMENTS S & S ENGINEERING PERFORMED BY:I CERTIFY THAT THIS TEST WAS PERFORMED IN li ago River oop oec I a. 04 / a / q ACCORDANCE GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: r LEGAL DESCRIPTION: DEPTH '^r P- S T- I-1 Qt„ (FEET) 1 27 4{ �S d,—i 04 0-s1N1 C S 3 (y + v G 4V6 L/ fl}N 4 6; 8 9 10 WAS GROUND WATER N U ENCOUNTERED? 11 8 IF YES, AT WHAT "" L O DEPTH? P 12 E 13 Depth to Water Alter Monitoring? DRy gate: 4 H I S �z 14- 15- 16- 17 4151617 18- 19- Reading 819 Reading Date Gross Net Time Time Depth to Net Water Drop �LSD,47 S 3z�16 6'HG I'm — ( — g- N 7 I /'7 N 'f} HV 1 7 " N H 7 J7 - L 10 WAS GROUND WATER N U ENCOUNTERED? 11 8 IF YES, AT WHAT "" L O DEPTH? P 12 E 13 Depth to Water Alter Monitoring? DRy gate: 4 H I S �z 14- 15- 16- 17 4151617 18- 19- Reading 819 Reading Date Gross Net Time Time Depth to Net Water Drop �LSD,47 S 3z�16 6'HG I'm — ( — g- N 7 I /'7 N 'f} HV 1 7 " H 7 20 1, PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN a 1/2- FT AND 3 I/z FT COMMENTS 5 7A 5 ENGINEERING CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: 17-034 Eagle 'RIver Loril: � Y ACCORDANCE WIT4q&Le0xvr AlWB>HU @Nl i aA(L GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) UH CC F A L� 7 V OF z5 HCH0R, A GE Development Services Department :_' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-411-26-000 Expiration Date: 1/26/2024 Legal description TOWER ESTATES BLK 1 LT 1 Site address 8835 TOWER ESTATES CIR Anchorage AK 99516 Current property owner(s) WENSRICH MARTIN D & DIANE R X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: FYI nitrate level for the well is 4.97 mg/L which is only .03 mg/L short of getting an MOA advisory. Original Certificate Date: 10/26/2023 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 x Arsenic Advisory Other COSA Approval June 2022 MV UH PALffy OF " IMCHORAGE A. Development Services Department 7 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. 017-411-26 Complete legal description TOWER ESTATES BLOCK 1, LOT 1 Location (site address) 8835 TOWER ESTATES CIRCLE, ANCHORAGE, AK 99516 Current property owner(s) MARTIN & DIANE WENSRICH Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private 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 25 - 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 $ �:J�� Waiver Fee $ _ Date of Payment�45 Date of Payment COSA # ��C'�23 i waw Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: TOWER ESTATES BLOCK 1, LOT 1 Parcel ID: 017-411-26 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 6/10/1998 Total depth 205 ft Cased to 20 ft (INTO BEDROCK) Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 10/11/2023 Static water level at beginning of test 18 ft. Well production at time of test 1.2 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 4.97 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 10/11/2023 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 47” Date of pumping 10/11/23 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/23/1998 ALL standpipes present per record drawing Total measured depth from grade 6.5 ft (max) Measured depth to pipe invert from grade 3.6 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective 9” 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) N If yes, enter date Adequacy test date 10/11/23 Results Pass (N & S TRENCHES) Fluid depth prior to test 1 & 1 in *(AFTER INJECTING 100 GALLONS) Water added 1200 gal New fluid depth 7 & 2 in Elapsed time 30 min Final fluid depth 0 & 0 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 12 in (MOA 1’ ED) Effective depth used 3 in (Missing ED + Final Fluid Depth) Effective depth (ED) remaining 9 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximately 3” of ED is missing in north & south trenches. *Fields were dry at start, but fluid levels immediately rose to 1” in MTs after injecting 100 gallons with fields being dry after 30 minutes at end of adequacy test. COSA Checklist.docx E. SEPARATION DISTANCES 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 10/25/2023 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 10/25/23 DEVELOPMENT SERVICES DEPARTMENT o r On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC231405 Subdivision: Tower Estates Block:1, Lot: 1 907-343-7904 Fax: 343-7997 The septic tank for this property is 25 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. Parcel I.D. 017 -411 -26 - r -e c�.e'(+ Municipality of Anchorage On -Site Water and Wastewater Progr sioz fr 1 (907)343-7904 Certificate of On -Site Systems Approval Expiration Date: - ( 7-11 1. -11 1. GENERAL INFORMATION Complete legal description Tower Estates, Block 1, Lot 1 Location (site address) 8835 Tower Estates Circle Current Property owner(s) Kay Triplett Day phone _ Mailing address 8835 Tower Estates Cir. Anchorage, AK Real Estate Agent 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 99516 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual rX-1 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ JAZ Date of Payment.. Ca Receipt Number () y 5"S9' G COSA# ©SC ( SI 2 -� Waiver Fee $ Date of Payment Receipt Number Waiver * 5. STATEMENT OF INSPECTION BY ENGINE911 As certified by my seal affixed hereto and as of the validation dateshovm',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 sail condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are. no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for _q_ bedrooms System #2 Approved for bedrooms Disapproved Date 10/13/2016 ... 49 } , CE -8149 Conditional approval for bedrooms, with the following stipulations: By: 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 engineers work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAblue sheet t '. .e c If more than 1 septic system is on the lot: COSA Checklist # + of Structure served by this system i' Certificate of On-Site Systems Approval: Checklist Legal Description. Tower Estates, Block 1, Lot 1parcel ID. .017-411-26 A. - WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (YIN) Y Date completed 06/10/1985 Sanitary seal (Y/N) Y Wireserl ro P P y Protected (YIN) Y Total depth 205 ft. Cased to 20 ft. Casing height (above ground) 12± in. FROM WELL LOG AT INSPECTION Date of test 06/10/1985 05/26/2015 Static water level 11 ft, 43 ft_ Well production 4 9.p-m. 1.4 9- p.m-WATER SAMPLE RESULTS: Coliform ' Neg colonies/100 mL Nitrate 4.07 mg/l Arsenic ND ug/L Date of sample: 10/10/2016 Collected by: PES 4/13�aoa� B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 08/21/1998 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) N Date of pumping 6/227281.5 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed $/23/1998 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.0 GPD/SF System type Shallow Trench Length 136 ft. Width 5 - ft. Gravel below pipe 1 ft. Total. depth 4 ft. Eff..absorption area 680 fe Monitoring tube YDover field N Date of adequacy test 05/26/2015 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 601 gal. New depth 0 - in. Elapsed Time: 320 . min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date G. ENGINEER'S CERTIFICATION I certify that t 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 10/13/2016 COSA canary sheet 2-6-15.doc ■ D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in: Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION INSTANCES WELL ON LOTTO:. Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer /septic service line 25+ Holding tank 1010+ 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+ Watermain10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+. Building foundation 10+ -- Water main 10+:i,^ Water Service line 1'0+ Surface watr;P"100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 1-00+ F. COMMENTS Survey on File G. ENGINEER'S CERTIFICATION I certify that t 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 10/13/2016 COSA canary sheet 2-6-15.doc ■ PTuf �L. • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval n (� Parcel I.D. 017-411-26 Expiration Date: 1. GENERAL INFORMATION Complete legal description Tower Est. Block 1, Lot 1 Location (site address) 8835 Tower Estates Cir. Current Property owner(s) Kay Triplett Day phone Mailing address 8835 Tower Estates Cir. Anchorage, AK. 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: x❑ 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 x❑ Individualx❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment (0+ 511 Date of Payment Receipt Number ogs5yReceipt Number COSA# ®-"?u 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for S bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Date 5/27/2015 bedrooms, with the following stipulations: Original Certificate Date: CV The Municipality of Anchorage De elopment ervi a ivision (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. - ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheelf ... c If more than 1 septic system is on the lot: COSA Checklist #? of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Tower Est. Block 1, Lot, Parcel ID: 01 7-41.1-26 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 6/10/1985 Sanitary seal (Y/N) Y Wires properly protected (YIN) V Total depth 205 ft. Cased to 20 ft. Casing height (aboveground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 6/10/1985: 5/26/2015 Static water level 11 ft. 43 ft. Well production 4 g p.m 1.4 g.p.m. WATER SAMPLE R,ESULTS: Coliform colonies/100 mL Nitrate (,j 5 mg/L.( J Arsenic ! ug/L Date of sample: / / i2 Collected by: B. SEPTIC/HOLDING TANK DATA ' Tank Type/Material Septic/Steel / Date installed 8/2111998 Tank size 1,250 gal Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping + Pumper A+ Home Services. (04. C. ABSORPTION FIELD DATA = 8/2311gg8_ r z 1.0GPD/SF Shallow Trench Date installed Soil rating (g.p.d./ftor ft /bdrm) System type Length 136 ft. - Width 5 ft. Gravel below pipe 1 ft. Total depth 4 ft. Eff. absorption area 680 if Monitoring tube Y Depre§$ion over field N Date of adequacy test, 5/26/2015 Results (Pass/.Fail) Pass Ford 4 bedrooms Fluid depth in absorption field before test 0 in. - Water added 601 gal. New depth 0 in. Elapsed Time: 320 min. Final fluid depth 0 in. Absorption rate >= 600+ 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 Manhole/Access (YIN) "Pump on" level at in. Putnp of level at in High water alarm level at Qaturi>t Cycles tested Meets alarm & circuit requirements? in. E. SEPARATION DISTANCES WELL ON LOTTO. Septicltank/rift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lets 110+ Public sewer main 75+ Public sewer manhole/cleanout'`100+ Sewer /septic service line 25+ Holding tank- 100+ Animal containment areas, 50+-.Manure/animal excrete storage areas 1064- SEPTIC/HOLDING TANK ON1OT TLO: Building foundation rj+ Property line 5+ Absorption field 5+ Water main 1 Q+ Water service line 10+ Surface water 1+00+ Wel,�s on adjacent lots ,100+ ABgORPTION •FIELD ON LOT TO: Property line 0+ Building foundation 10+ Water main 10+ Water Sere line <1.0+ Surface water 100+ Service Driveway, parking/vehicle, storage Q+ Curtain drain 50+. Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S"CERTIFICATIOW t Qertify that I have determined through field inspections and review of Municipal rgcprds i6t Me above, systems are tp conformance With MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date '5/27/2015 COSA canary sheet_2--15.doc 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 I.D. 017-411-26 COSA # ose ra rads Expiration Date: / �- 1. GENERAL INFORMATION Complete legal description Tower Estates Blk 1 Lt 1 Location (site address) 8835 Tower Estates Circle Anchorage Ak. gg516 Current Property owner(s) La Berta & Hubert Parker Day phone Mailing address Lenaing agency Mailing address Real Estate Agent Mailing Address 8835 Tower Estates Cir Anchorage Ak gg516 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: I 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone 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 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 ..�""�,,+ �� OF 1 levels that may fluctuate during the year, and the water usage of the family being served by the system. These •Q�P�E ••"""'q,��1♦♦ 'ry conditions are outside the control of the evaluator of this system. All systems eventually fail and •>' �i♦♦0, satisfactory test results do not guarantee future performance of the system, nor do they guarantee that 0 ? 49 TH there are no hidden defects or encroachments. PES can therefore not provide any warranty for future Q.....r •' ••.. "' ••••• ^••^.••••• j performance nor give any estimate of how long the system will continue to meet the operational i requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed •• ♦Steven R. Pannone. i above. Any reliance upon or use of this report by any other person or party is not authorized nor will it legal 0. 0 *' No. CE 8149 i ♦♦j"�7a"••. confer any right whatsoever. .••''�'•• +hr.�.�51:••• 5. DSD SIGNATURE Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: Original Certificate Date: 7- 0 ~ I (Rev.tvosl/� '.77 `' Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & 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 CHECKLIST Legal Description: Tower EstatesBlkit.ti Parcel ID: o17-411-26 A. WELL DATA Well type Private Date completed 6/= 8 Total depth z�_ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (YIN)Y_ Cased to 20 ft. FROM WELL LOG 6/10/1008 WATER SAMPLE RESULTS: Coliform ND colonies/100 mL in g.p.m. Nitrate 1.66 mg/L Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) tin. AT INSPECTION 6/25/2012 B3 ft. Arsenic: ND ug/I Date of sample: 6129/201 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Date installed 8/22/1998 Tank size 22S0 gal. Number of Compartments 2 Cleanouts (YIN) g.p.m. Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N/A Date of pumping 6/27/2012 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 8122/190 Soil rating (g.p.d./ft2 or ft2/bdrm)1.2 g.p.d/sf System type Shallow Trench Length 1a6 ft. Width ft. Gravel below pipe i ft. Total depth ;.S -S.9 ft. Eff. absorption area 68o fe Monitoring tube Y Depression over field N Date of adequacy test 6125/2012 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test o in. Water added4z3 gal. New depth6 in. Elapsed Time: =o min. Final fluid depth o in. Absorption rate >= 4,co+ 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. Size in gallons Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot zoo+ Absorption field on lot ioo+ Public sewer main 7S+ Sewer /septic service line 25+ Animal containment areas ioo+ Manhole/Access water alarm level at in. Meets alarm & circuit requirements? On adjacent lots ioo+ On adjacent lots ioo+ Public sewer manhole/cleanout ioo+ Holding tank ioo+ Manure/animal excrete storage areas ioo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line ter± Absorption field 5+ Water main zo+ Water service line io+ Surface water ioo+ Wells on adjacent lots ioo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line io+ Building foundation io+ Water main zo+ Water Service line io+ Surface water ioo+ Driveway, parking/vehicle storage io+ Curtain drain go+ Wells on adjacent lots ioo+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in �....n. 4... conformance with MOA COSA guidelines in effect on this date. i ..... ............... Engineer's Printed Name Steven R. Pannone P.E. /1� Steven R. Pann 11� No. CE 8149 Date / 20�9LO6 III ........�;o COSA Fee $ yiy Date of Payment �Y%'i odaOQ / Receipt Number g6 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number N 83°135„9" F- 12 AMENDED CENTERLINE R.O.W. 4 (BOOK 308, PAGE 231) 0 F etocK w. SA'FELtITE DI3N- tSE BEARING DISTANCE FENCE (APX, N 17036'59"E 3.91' N 21045'07"E 35.26'N 29031'23"E 3 N 41035'30"E 9.82' S �6'06'g3„ F 694.34, BUILDING DETAIL SCALE: 1"=20' 8 TOWER ESTAT LOT 1, 174 I ��4 FAt-11S GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. t000 E. DOWLING RD., SUITE I ANCHORAGE, ALASKA 99501 PHONE 248-5454 GRID DATE 2841 7/2/2012 F.B. JOB NO. 12-03 TES11 'UBDIVISION CK 1 OMENtl Dl SIVE 6.37' 71 :RTIFY THAT I HAVE SURVEYED THE IEPICTED ABOVE AND THAT NO ENTS EXIST EXCEPT AS INDICATED. SPONSIBIUTY OF THE OWNER TO fHE EXISTENCE OF ANY EASEMENTS, OR RESTRICTIONS WHICH DO NOT THE RECORDED SUBDIVISION PLAT. NRCUMSTANCES SHOULD ANY DATA USED FOR CONSTRUCTION OR FOR G BOUNDARY OR FENCE LINES. GE RECORDING DISTRICT, ALASKA 10 CORNERS SET THIS DATE. A.C. DRnVE ♦ OF q 1♦ 4V1 PCF;....... 9S ♦ A ♦ Aw co 49TH �. :.49.—..........:�=% ....r..........� . : Jeffery A. Gastaldi i . m :�• 091AV also mom. N O< 'Qa L� 111=40'