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Home My WebLink AboutWYNTER PARK #1 BLK 1 LT 3Wynter Park #1 Block 1 Lot 3 #051-491-50 Inspection Report_1-1-12.doc 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: OSP161289 PID Number: 051-491-50 ❑ New ❑✓ Upgrade Name: Judy Lane & William Hudson - - ABSORPTION FIELD ❑ Deep Trench [?]Shallow Trench ❑ Bed ❑ Mound Address 24023 Park Cir. Chugiak, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2GPD/SF 7.7 Ft. LEGAL DESCRIPTION - - Depth to pipe invert from original grade 3.7 Ft. Gravel depth beneath pipe 4Ft. Subdivision Block Lot Wynter Park #1 1 3 Fill added above original grade 0 Ft. Gravel length 38 Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line - 380 Ft2 -- 1 N/AFt. Well 100+ 100+ N/A 100+ N/A TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1,250Ga1. Surface Water 100+ 100+ N/A N/A Material Steel Number of compartments 2 Lot Line 32.9 21.9 N/A N/A NA Foundation 5.3 10.1 N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain 50+ 50+ N/A N/A Pump on level at Pump off level at High water alarm at Remarks in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Installer JR's Septic Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspection 1�' 10/25/201 �a 10/26/201 Location and description dates: 2 Entrance Top Step 3r° 10/26/201 4'" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF. ACq�I�� Conditional Approval: Date 49 TH / teven annorae' 8149 ApproveCE Date �iAgpFESS� e Inspection Report_1-1-12.doc INSTALLED NEW 1000g SEPTIC TANK NEW DRAIN FIELD 38LF x S'W x 4.0'ED �/ I a v xN/ 3 �\ o N DECOMMISSIONED 100Cg F- SEPTIC TANK PER CODE A 3 6R El WVTUNO l Fc T1 2 Dc - x 7.7 TD " 0 SEPTIC AREA (E)–/ W W– ).0MINI V PARK CIRCLE C h0 .0' MIN . — - ( z RESERVE DRAIN FIELD (P) 38LF x 5'W x 4.0'ED x 8.0'TD INSTALL CLEAN OUT AND MONITOR ASEPTIC AREA (E) TUBE AT EACH END o � J — W 2 NOTES: A B C T1 23.00 1 1 .20 M 1 38.50 30.60 3 �\ o N DECOMMISSIONED 100Cg F- SEPTIC TANK PER CODE A 3 6R El WVTUNO l Fc T1 2 Dc - x 7.7 TD " 0 SEPTIC AREA (E)–/ W W– ).0MINI V PARK CIRCLE C h0 .0' MIN . — - ( z RESERVE DRAIN FIELD (P) 38LF x 5'W x 4.0'ED x 8.0'TD INSTALL CLEAN OUT AND MONITOR ASEPTIC AREA (E) TUBE AT EACH END o � J — W 2 NOTES: ,��`7T77�.��77 P.O. �oXO0 7ENG RA�CK 99510LC PHONE (907) 272-8218 FAX (907) 272-8211 ��\ �'•��OFA� ,qs�� ''�y �) /�*: Q TH 1 .*�� ..... .... .. / �� Ste've'n'R' Pannone/ X401'/ . CE 8149 2 sl N1 -- ES-- ' �\\'GF � Date I1/3/2016 RECORD DRAWING Scole 1"=50' P -LD- NO osI-ael-5a PERMIT No osR16128e DRAWN BY. WYNTER PARK1, BLOCK 1, LOT 3 JUDY LANE & WILLIAM HUDSON 24023 PARK CIRCLE CHUCIAK, AK 99567 NJC PLAN Sheet 2 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1 _ ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS; FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF-ON—SITE WASTEWATER DISPOSAL SYSTEMS AND ATTACHED PES SPECIAL PROVISIONS. 2. SCOPE OF WORK_ INSTALLED NEW 1 ,250 GAL SEPTIC TANK. INSTALLED SOIL ABSORPTION SYSTEM. 3- GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 14 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. NO APPARENT WATER TABLE WAS OBSERVED IN ANY OF TRE EXCAVATIONS LESS THAN 14.0 FEET BELOW EXISTING GRADE. V,o _ TH TEST HOLE FILTER FABRIC m FOUNDATION CLEAN OUT 0 o wo ti T7 TANK CLEAN OUT N0. PRIMARY SEPTIC SYSTEM m< A, 4"mPERE PIPE o 0 - TANK SIZE. 1000a M# MONITOR TUBE NO- apo II p� II 2' R.I- �FG /(1(: Oo q gyp' p o II II II < p r DRAIN ROCK ABOVPPE INV U NEW 1,250g SEPTIC TANK 53.8 . " DRAIN t.`RaOoC�IX jo- 898 38 0— PROFILE —89.81 6.3 83.5 L DRY ABBREVIATIONS Cu COPPER DIP DUCTILE IRON PIPE NOTES: PANNONE ENG SVC, LLC RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DRAWN BY: NJC WYNTER PARK #1, BLOCK 1, LOT 3 JUDY LANE & WILLIAM HUDSON 24023 PARK CIRCLE DESIGN DETAILS CHUGIAK, AK 99567 A9 CE 8149 <<V2PPSFES90NP��-C— Date 11/3/2016 Scale NTS I.I.D. NO G15-491-50 'ERMIT NO. OSP161289 3 OF 3 _ TH TEST HOLE FC FOUNDATION CLEAN OUT DESIGN PARAMETERS T7 TANK CLEAN OUT N0. PRIMARY SEPTIC SYSTEM C CLEAN OUT N0. NO, BEDROOM: 3 (450 gpd) - TANK SIZE. 1000a M# MONITOR TUBE NO- PERO RATE: 1.1 MPI - R.I. RIGID INSULATION SOIL RATING. 1.2 GPD/SF DCO DOUBLE CLEAN OUT AREA ROD. 375 SF _ LEGEND DV DIVERTER VALVE SYS. TYPE. WIDE TRENCH 4.0'EDFS WATER LINE/ FLOW SPLITTER MIN LENGTH. 37S LF W BEG BELOW FINISH GRADE WELL RADIUS OG ORIGINAL GRADE USED: _ - FG FINISH GRADE 38LFx5'Wx4.0' E.D., 7.7'TO SS NEW SEPTIC - TS&V TOPSOIL & VEGETATE TOTAL AREA: 380 SF - NOTES: PANNONE ENG SVC, LLC RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DRAWN BY: NJC WYNTER PARK #1, BLOCK 1, LOT 3 JUDY LANE & WILLIAM HUDSON 24023 PARK CIRCLE DESIGN DETAILS CHUGIAK, AK 99567 A9 CE 8149 <<V2PPSFES90NP��-C— Date 11/3/2016 Scale NTS I.I.D. NO G15-491-50 'ERMIT NO. OSP161289 3 OF 3 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161289 Tax Code Number: 05149150000 Work Type: Septic Upgrade Permit Effective Dates: October 19, 2016 to October 19, 2017 Design Engineer: PANNONE ENGINEERING SERVICES Subdivision: WYNTERPARK #1 Site Legal Address: WYNTER PARK #1 BLK 1 LT 3 G:1361 Owner/Address: LANE JUDY S 50% & HUDSON WILLIAM TAYLOR 50% PO BOX 873084 WASILLA AK 996873084 Site Mailing Address: 24023 PARK CIR, Chugiak Lot Size in Sq Ft: 27679 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: l e" Utz Date: 10 I9 ,?016 4a_S ?60/7X4 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: ! Development Services Division Fax: ! On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION V j SEP 3 0 2015 9 Parcel I.D. 051-491-50 2016 OCT 14 Property owner(s) Judy Lane & William Hudson Day phone Mailing address P.O. Box 873084, Wasilla, AK 99687 �a Site address 24023 Park Circle Legal description (Sub'd., Block & Lot) Wynter Park #1, Block 1, Lot 3 Legal description (Township, Range & Section) Lot Size 27,679 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Absorption Field ❑x Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) ❑x (w/wo ADU) Upgrade 19Duplex (D) El F-1 Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Dis tance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. Permit App_, :-:L.:c Waiver Fees: p Date of Payment: (c-�Receipt Number: Waiver No. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveCraoaneneak.com 30 September. 2016 Subject: Wynter Park #1, Block 1, Lot 3 Septic System Upgrade Permit Request Design Narrative This is a design narrative for a permit to install an upgrade septic system to be issued for this property. The proposed system will serve an existing two-bedroom (2BR) dwelling, but will be designed to accommodate a three-bedroom (3BR) dwelling. Currently the lot is developed. This lot and the surrounding lots are served by Dawn Water System, a Class 'A' water system, with the exception of the lots to the west that are served by private or Class 'C' wells. There are no wells within 150' of this system, and there are no Class 'A' wells within 200' of this system. The existing drain field is in failure and this permit will be to install an upgrade system. The septic tank will be decommissioned per code and a new 1000 gallon septic tank will be installed. 1. Soils. One test hole was performed by PES in September of 2016, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 14.0' below the surface in the test hole monitor tubes in September of 2016. Bedrock was not encountered in the test hole. Based on the results of the percolation tests and overall soils appearance; an application rate of 1.2 gallons/day/square feet was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The proposed system will be placed to the south of the existing house. The area slopes generally from north to south at approximately less than 5%. There are no steep slopes in the vicinity of the septic system. The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 272 -8218. - Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 ■® DECOMMISSION I OOOg SEPTIC TANK (E) PER CODE v INSTALL 1000g SEPTIC TANK (P) WITH DOUBLE CLEAN OUT - j�� 6\ v \N ( SEPTIC V \ AREA (E) DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM - NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g . PERC RATE: 1.1 MPI SOIL RATING: 1.2 GPD/SF AREA ROD: 375 SF SYS. TYPE: WIDE TRENCH 4.0'ED MIN LENGTH: 37.5 LF USE: 38LFx5'Wx4.0' E.D., 8.0' TD TOTAL AREA: 380 SF NOTES: DRAWN BY: DRM PLAN m o � \� SEPTIC AREA (E) / 1 TH-1\yL \ 110.1 v w— w- 10.0 v� �55 PARK CIRCLE 0.0 UPGRADE DRAIN FIELD (P) v 38LF x 5'W x 4.0'ED x 8.0'TD v INSTALL CLEAN OUT AND MONITOR TUBE AT EACH END 0 —w -w W PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 WYNTER PARK #1, BLOCK 1, LOT 3 JUDY LANE & WILLIAM HUDSON 24023 PARK CIRCLE CHUGIAK, AK 99567 2 OF..'.4, `kg l� 0/18/2016 Scale 1"-50' ......... . .. ... P.I.D. NO 051-491-50 Steven 'R' 'P' annone CE 8149 PERMIT N0. .'��% OSP161289 l��iF�PROFES51 ` Skeet 1 1 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. - -- 2. SCOPE OF WORK: DECOMMISSION EXISTING TANK AND INSTALL NEW 10009 SEPTIC TANK. INSTALL NEW SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 14 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. - 4. - THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. - 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W..AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. - ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS, 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT -THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. - 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: m NOTES: FOR CONSTRUCTION DRAWN BY: DRM PLAN TITLE: W WATERLINE/ WELL RADIUS SS NEW SEPTIC PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 WYNTER PARK #1, BLOCK 1, LOT 3 JUDY LANE & WILLIAM HUDSON 24023 PARK CIRCLE CHUGIAK, AK 99567 ABBREVIATIONS TH TEST HOLE (P) PROPOSED - (E) EXISTING CO CLEAN OUT N0. MT MONITOR. TUBE NO TYP TYPICAL oF. AG,, • Steven •Fi. Par %'�•. CE 8149 Date 0/18/201 Scale NTS G P.LO. NO DERMIT NO. OSPI61289 Sheet 3 OF TEST HOLE 1 SOILS LOG - PERCOLATION TEST SLOPE o - SITE PLAN OR ORGANICS lll\ 1 2 3 \ 3 / 3 G (E) \ 4 6 x TH 7 SW SANDAND GW GRAVEL I PAR 6 II - 9 10 11 12 0 13 WAS GROUND WATER SLOPE 14 BOH ENCOUNTERED? N 15 IF YES, AT WHAT TH 16 DEPTH? -DRY' x 17 DEPTH TO WATER AFTER MONITORING? -DRY'- Is DATE: 9/30/2016 19 20 DATE PERFORMED: 9/2312016 SOIL TEST RESULTS/ANALYSIS • PERCOLATION RATE 1.1 (min/inch) (Hydrologic Soils Group: HSG A) • PERC HOLE DIAMETER 6" • TEST RUN BETWEEN FT AND 4 FT. • TEST RUN FOR OVER AN HOUR, LAST THREE READINGS PROVIDED. COMMENTS: Test hole excavated by JR'S SEPTIC PUMPING.Test Hole was NOT required to be presoaked before Perc test due to sandy material (Table 3-8, Para.3, EPA Design Manual). PERFORMED BY: Dan Moran. I CERTIFYTHATTHIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PA `Il`IO� ENG SVC, T T '��` �� Date FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 1.;!" �F A� 4sll� o/15/zo16 PHONE (907) 272-8218 FAX (907) 272-8211 /1 g Fy+� Scale DRAWN BY: *: 4 !'�,, NTS ORM ""' .. ' "' " l P.I.D. NO WYNTER PARK #1, BLOCK 1, LOT 3 1 051-491-50 JUDY LANE & WILLIAM HUDSON Steven R. annone PERMIT NO. 24023 PARK CIRCLE �j+Ps CE 8149 \r/ OSP161289 SOILS LOG CHUGIAK, AK 99567 +k`46/-- ESSIONP � Sheet 1`�� "�� 2OF3 CLOCK WATER READING - DATE TIME NET TIME LEVEL NET DROP READING 1 9/10/16 1:05 -- 1.36 -- s 1:06 6 MIN 7.36 6.00 a 1:07 -- 1.3fi -- 4 - 1:13:30 6.5 MIN 7.36 6.00 s 1:14 — 1.36 -- 1 - 1:20:35 6.6 MIN 7.36 6.00 .. GRE. ER ANCHORAGE AREA BOF 'UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME. ��( L��-—_ MAILING ADDRESS v_�'%p-GL�Q�_--.P/HONE LOCATION_ - "-""' LEGAL DESCRIPTION "��3 r�n�"'� A✓ '� �'� SEPTIC TANK: TANK: q 11 / N-779 DISTANCELF°/ G/� NUMBER OF FROM WELL _ MANUFACTURER_' <-�QL'L MATERIAL COMPARTMENTS 2- _ INSIDE LENGTH _ INSIDE WIDTH_ _LIQUID DEPTH LIQUID CAPACITY_ 100 _GALLONS. SEEPAGE PIT: f NUMBER OF PITS r DIAMETER �� L OR WIDTH Al LENGTH /�.f DEPTH QQf f LINING MATERIAL"L _ CRIB SIZE: DIAMETER (DEPTH . DISTANCE FROM: WELL E 0 TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE �,i A13SORPTION AREA (WALL AREA) +� _SQ. FT. ADDITIONAL ABSORPTION WELL:: TYPE `^`«GIZiGUIPf I BUILDING FOUNDATION CESSPOOL APPROVED DISTANCES: CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED INSTALLED BY: ��I/GG1L,t%Ul�et �J(C GILD PIPE MATERIAL: 6t G n>n LOT SLOPE: REMARKS: rauAg n 4 Form No. EQ -031 DEPTH NEAREST SEPTIC SEWER LINE—, TANK_ REMA DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM _ DATE ROVED M 0��GREATER ANCHORAGE AREA BOROUGH IJEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO 3330 "C" 5TREET ANCHORAGE, ALASKA 99503 TELEPHONE 274.4561 SEWAGE DISPOSAL SYSTEM p- APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION_� L v 0 INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE.. ANTICIPATED MAILING ADDRESS iso. DRAIN FIELD _ OTHER TO BE INSTALLED BY rL NOTE, .THIS PL"RMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSFCU'FION. SEPTIC TANK SIZE l0U"0 -_ TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK / FOUNDATION TO SEEPAGE PIT -- O-_. DRAIN FIELD _ SEPTIC TANK TO SEEPAGE PIT WALL. /.i /\ _ SEPTIC TANK _.-. SEEPAGE PIT C/ /_. DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN 171ELD SEEPAGE AREA SIZE SEEPAGE PIT ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK - SEEPAGE PIT _- DRAIN FIELD-/ SEPTIC TANK. -�4 SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE, STREAM. CASTITiON_I -1"L0_1ND_OUT OF_S EPI_IC TANK AND INTO CRIS CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER SIPIION_PI PES _ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A,A.S. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIB ,SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE M, 4 APPLICANT'S SIGNATURE FORM NO. (EQ/ -01 0 . TYPE DIAGRAM OF SYSTEM AREA BOROUGH ORDINANCE NO. 26-68 AND THAT THE ABOVE a-01Cz\ ti !� • Municipality of Anchoi ge,0V o 1 20100 On -Site Water and Wastewater Prog (a_�n (907) 343-7904 \6� Parcel I.o. 051-491-50 1 Certificate of On -Site Systems Approval Expiration Date: GENERAL INFORMATION Complete legal description Wynter Park #1, Block 1, Lot 3 Location (site address) 24023 Park Cir. Current Property owner(s) Judy Lane & William Hudson Day phone Mailing address Real Estate Agent P.O. Box 873084 Wasilla, AK 99687 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone WaiverNariance request for: COSA to be released to the engineer, unless othewse requested by the engineer. COSA Fee $ 50 Waiver Fee $ Date of Payment . - l l I Ol 116 Date of Payment Receipt Number 007 4 I (l Receipt Number COSA # 05Ca In (51 S Waiver # 3 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual F� Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System Public Sewer ❑ WaiverNariance request for: COSA to be released to the engineer, unless othewse requested by the engineer. COSA Fee $ 50 Waiver Fee $ Date of Payment . - l l I Ol 116 Date of Payment Receipt Number 007 4 I (l Receipt Number COSA # 05Ca In (51 S Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affxeNbreto 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 ofbedrooms 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 Slate 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 Address P.O. Box 100217, Anchorage A. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone (907)272-8218 Date 10/31/2016 Conditional approval for bedrooms, with the following stipulations: il((I(ff ON-SITE ByOriginal Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA hlue sheet 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: Wynter Park #1, Block 1, Lot 3 Parcel ID: 051-491-50 A. WELL DATA Well type Public If A, B, or C provide PWSID # AWWU Well. Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. ' FROM WELL LOG AT INSPECTION Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate Arsenic ug/L Date of sample: ' mg/L Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 10/25/2016 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 (Y/N) N Date of pumping New Pumper N/A C. ABSORPTION FIELD DATA Date installed 10/26/2016 Soil rating (g.p.d./ft' or ftZ/bdrm) 1.2 GPD/SF System type Shallow Trench Length 38 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth ft. Eff. absorption area 380 ftz Monitoring tube.Y Depression over field N Date of adequacy test New Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test NEW, in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New 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 Manhole/Access (Y/N) "Pump on" level at in.. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots — Absorption field on lot " On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ - Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 200+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+. Curtain drain 50+ Wells on adjacent lots 200+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 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 10/31/2016 COSA canary sheet_2-6-15.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 1 0+ ��+►�Xa OF At,q�i�i,,. '49TH *�l Seven Rnnane • 4 CE -8149 Ar Lot 20 P1 C. Lot 21 w N a Cc Cc Cl) CD m o o O z W Lot 22 Lot 29 Lot 4 I I o� Lot 3 m m WII 1 Story Frame Trailer 36O \ `Coop 0 y� l 37 v ock ret. wall N GO e n w ri 9 0 S�plic vent a She LF Kennel N89056'43"E 150.00 '\Wood fence Lot 2 \ ea`?Xoe1 OF 49th 00... ¢ i • •!�00 ,40 WcilOtkca r 3255 - S Je m EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 16-13, pg 18 8447V SCALE: V= 50' Note: This property is served by a community well. I I ,5 O PARK C`RCL ( O � \ AS -BUILT NO CORNERS SET THISDATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 3, BLOCK 1 VVYNTER PARK SUBDIVISION No. 1 Anchorage Recording Precinct, Alaska, and that the improvements Situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 1st day of November, 2016 FRED WALATKA & ASSOCIATES BE (907-20.8-1666) Engineers and Surveyors