HomeMy WebLinkAboutPOTTER HEIGHTS BLK 2 LT 5Potter Heights
Block 2
Lot 5
#020-281-38
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program �� r
UT
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507 s A f
Mark Begich 9
Mayor www.muni.org/onsit
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number: -&20 .20' 19
Legal Description Property Owner Name & Address:
Q2 L5-r957�
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: 3VITeet
Pump.Manufacturer's Name:
Pump Model:
Pump Size
$ SZi
1 hp
Pitless Adapter Burial Depth: /Z feet
Pitless Adapter Manufacturer's Name: /
Pitless Adapter Installer:
Well Disinfected Upon Completion? es ❑ No
Method of Disinfection: ^ ffZ
715
Comments: 1}�
ANCHORAGE WELL & PUMP SERV
Pump Installer Name: 330 EAST 76TH AVENUE
ANCHORAGE, AK 99518
PHONE: 907-243-0740
AW PS.COM
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Municipality of Anchorage
'pc -64
Development Services Department
Building Safety Division a
On -Site Water & Wastewater Program, 4700 South Bragaw St. ;
, n I T
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SWO 10320 PID Number. 020-281-38
NaTe'
JENNIFER BLAKE
Wastewater System: ■ New ❑ Upgrade
Y
Address:
P.O. BOX 110285 * ANCHORAGE, AK 99511
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 345-1363 3
O Deep Trench ■ Shallow Trench O Bed O Mound O Other
LEGAL DESCRIPTION
Soil Rating:
0.45
Total Depth from original grade:
**2.5
CPD/So. FL
(MAX.) FL
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
Grovel depth beneath pipe:
2 5 POTTER HEIGHTS
SEE DWG FL
0.50 AVERAGE rL
Township: Range: Section:
Fix added above original grade:
Crovel length:
— — —
SEE DWG FL
200 (4 ® 50 LONG) Ft
WELL: ■ New ❑ Upgrade
Cravel width:
5
Number of lines:
4
Distancebetween Ones:
15+
Ft,
Ft
Clossification (Private. A.B.C):
Total Depth:
Cased To:
Total absorption oma:
Pipe material:
D 3034/ F-810
PRIVATE
367 FL
259 Ft
1000 so. FL
Dn1ler.
M—W DRILLING, INC.
Date Drilled:
7/1 03
Static Water Level:
140
Installer.
JASON WOOD
Date InstolW:
6/27/02-7/2/02
Ft
Yield:
Pump Set At:
Casing Height Above Cround:
TANK
2.5 GPM
UNKNOWN FL
2+ FL
SEPARATION DISTANCES
■Septic 0Holding 0S.T.E.P. ❑Other
To
Septic
Tank
Absorption
Field
Uft
Station
Holding
Tank
Public/Private
Sewer Lines
Manufacturer.
ANCHORAGE TANK
Capacity In gallons:
1000
7Well
100'+
100'+
—
—
25•+
Material:
STEEL
Number of compartments:
2
Surface Water
100'+
100'+
—
—
—
LIFT STATION
Lot Line
5•+
e4.0•+
—
—
—
Size in gallons:
Manufacturer.
Foundation
5•+
10�+
—
—
—
Limp on' level at:
Pump off ot•
High water olorm at:
Curtain Drain
1 NONE KNOWN
Pump Moka ode1:
Electrical Inspections performed by:
Remarks: *WE REQUEST THAT THE 5 FEET LOT LINE
BENCH MARK
Location and Description:
WAIVER WRO10065 BE AMENDED TO 4 FEET.
INVERT OF FOUNDATION CLEANOUT (F.C.O.)
**1 FEET OF M.O.A. APPROVED SAND FILTER
TOP OF CMU BLOCK @ F.C.O. = 115.85
ADDED TO TOTAL DEPTH.
Assumed Elevation' rt.
109.17
ENGINEER' S L
�O
00 �F 000�
•''•�-��pd
INC.
ooh?• �
Inspections performed by: AKWWC, Dates: 1st 6/27/2002
0 "... .. .........00
2nd 6/28/2002
D
$�. .. ....
7/11/2002
of ey G rness;
4th 7/2/2002
Development Services Department Approval
os C —7953
Reviewed by: I� tl
Date:
4� pedp
and approved
(Rev. 12/01)
�ofess%or'
4O�DO��pOd
V%
PERMIT NUMBER: AS -.BUILT DRAWING PARCEL ID NUMBER:
SW010320020-281-38
o coO
PROPOSED
WELL
ALTERNATE SITE WILL
REQUIRE ADVANTIX
TECHNOLOGY
I ..r
r NEW WEL
#3
#2
� 1
r �' ;a: �;:•',,�,::.',•• GENERAL LOCATION
'.:..y OF DRNEWAY
.t' I
DATE:
10/20/2003
_ DRAWN BY:
ALASKA AVATER & WASTE NVATER J.L.M.
CONSULTANTS, INC. SCALE`
3701 E TUDOR ROAD. SUITE 101 •ANCHORAGE. AK 99507 •PHONE (907)537-6179 •FAX (9 1 40'
07)338-3246
" =
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JENNIFER BLAKE 762-1777 2 OF 3
LEGAL DESCRIPTION:
POTTER HEIGHTS SUBDIVISION; LOT 5, BLOCK 2.
TYPE OF WORK:
AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE
f�
ooQOop 00
f e A�4ness:'
C -7953
�O
0
DOOdProfess"O'I'O 70,
D�OOo�o
A
B
ST1
16.63
40.87
ST2
22.45
42.73
DBL1
24.10
43.12
DBL2
124.90
43.35
FS
87.71
105.02
FS2
89.01
106.64
CO1
89.12
107.05
MT1
88.46
107.42
CO2
107.21
140.57
MT2
103.47 136.36
CO3
105.34 123.77
MT3
105.08 124.97
CO4
123.20 155.29
MT4
120.15
151.61
FS3
120.40 138.50
CO5
120.63
138.99
MT5
120.32
139.33
CO6
138.58 169.44
CO7
137.08 155.14
MT7
1136.021155.001
COB
153.64
183.45
MT8
1153.421182.65
f�
ooQOop 00
f e A�4ness:'
C -7953
�O
0
DOOdProfess"O'I'O 70,
D�OOo�o
PERMIT NUMBER: A S -BUILT DRAWING PARCEL ID NUMBER:
swo10320 020-281-38
FINAL GRADE _
113.20+
TOP OF TANK AT TOP OF TANK AT
INLET = 109.12 OUTLET 109.12
NEW 1000 GALLON
INVERT OF BUNG SEPTIC TANK
AT INLET = 108.54 INVERT OF BUNG
OUTLET 108.266
TRENCH #11
OF SAND
= 99.48
INVERT OF PIPE
= 99.98
BOTTOM OF—
TRENCH = 98.49
TRENCH
TRENCH
FINAL GRADE
FILTER FABRIC
INSULATIONORIGINAL
,�\
MT
7
CO
7
IT 102.50+
GRADE
= 100.66-100.98
OF SAND
= 99.48
INVERT OF PIPE
= 99.98
BOTTOM OF—
TRENCH = 98.49
DATE:
10/20/2003
i�tl DRAWN BY:
ALASKA WATER & NA'ASTICA NVATER J.L.M.
CONSULTANTS, INC. Ste`
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 N.T.S.
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JENNIFER BLAKE (907) 762-1777 3 OF 3
LEGAL DESCRIPTION:
POTTER HEIGHTS SUBDIVISION; LOT 5, BLOCK 2
TYPE OF WORK:
PROFILE AS—BUILT OF DRAINFIELDS AND TANK
00 OF X004
. .. ... ..
I '.J f A. GO ness
—7 cG
v0�01pr0 f esslold40
TRENCH
TRENCH
TRENCH
�{2
#3
14
FINAL
GRADE
100.50+
98.50+
96.50+
ORIGINAL
98.77—
96.96
94.98
GRADE
98.96
HIGH
HIGH
INVERT OF
98.00
95.98
93.98
PIPE
TOP OF
SAND
97.46
95.47
93.51
BOTTOM OF
96.46
94.46
92.49
TRENCH
DATE:
10/20/2003
i�tl DRAWN BY:
ALASKA WATER & NA'ASTICA NVATER J.L.M.
CONSULTANTS, INC. Ste`
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 N.T.S.
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JENNIFER BLAKE (907) 762-1777 3 OF 3
LEGAL DESCRIPTION:
POTTER HEIGHTS SUBDIVISION; LOT 5, BLOCK 2
TYPE OF WORK:
PROFILE AS—BUILT OF DRAINFIELDS AND TANK
00 OF X004
. .. ... ..
I '.J f A. GO ness
—7 cG
v0�01pr0 f esslold40
JUN -03-2002 04:03 PM MARK.HANSEN.P.E. 907 745 4721
F• . b L
MARK HANSEN P.E. Q
CONSULTING ENGINEERS TESTING LABORATORY
P -a Box 4321 POIDW, AK 0"45-4323 Phonic (907) 745-4721 F= (907) 748-4721
t -man; Mh4efttoonitnanot
June 3, 2002
Work Order: 0207
North Star Earthmovers, Inc.
HC 01 Box 8195
Palmer, AK 99645
Pax: 745.3114
Project: Materials Testing
Subject: Sieve Analysis
Gentlemen:
The following Is the sieve analysis of the aggregate sample taken on 9/5/01
MOA Filter Sand - #3
Sieve Percent Passing Spec,
#4 100 100
#10 86
#20 55
#40 16
#60 3
#100 1 0-2
#200 0,8 0-1
Coefficient of Uniformity Cu 3
Coefficient,of Curvature Cc 0.9 -
Amount passing one sieve 40
and retained on next I
Approved B ,
Mark Hansen
\J
Sent By: VECO ALASKA, INC.; 907 762 1100; Aug -7-02 13:13;
_ r
Illi -W trilling, Inc.
♦ P.6. Box 110376 • Anchorage, AK 99511♦
•907-345-4000 • 907-345-3287 Fax*
Job No.: 02-132
• Well Owner:
♦ Legal. Description: Potter He
6841 Pott
♦ Bole Depth: 367'
+Other: Liner
♦
If 'ell Completion- Open a
♦S~eW Perforation
♦ Grout ,Voles: (2)
♦ Notes:
♦ Well Development:
Afdh,
*Static water level (SWL) _
♦ Well yield test at
2.5
with
100%
♦Afethod:
Air lift
• Date of eompletlon:
No.: N/A Permit No. SWO10320
.Jennifer ♦ Use of Well:
ubdivision, Block 2, Lot 5
Alaska
)nstruction- Dr1UMethod. Air Rotary
Dometic
Page 1 /1
Ag Size: 6" *Cased To: 259.03' ♦Material: A 53 Steel
4.5' 257'-367' PVC Shed. 40
Perf-
Screen Perforated X Method:<...Saw SiQts
scrlptionc 3" X 1/8" Horizontal slats- 2 per foot: 238'— 366' _
ks- No. 8 bentonite granules
Air surge _ Notes:
_ (eb~) (below) top of easing (TOC). ;
ns per minute (GPM)1) for 2 hours
rawdown (DD) front static level (SRL).
191July 2002 • Pump Install
Depth in feet from
top of casing.
Detiiils of formations penetrated, size of material, color And hardness.
0
TO
Casingstick
_
2
TO
_2
120
Cobbled +(large boulders at 112'), silty, sandy
.120
TO
132
Cobble gravbl: some boulders
132 �TO 172
172
TO
192
layey Vol
Gravel: san_ , cla e
192 TO ....217
17
:TO
262
Clay: grayeiiy, *some boulders
262
TO
372
Fractured bedrock: gray�:black, small water sea s in sporadic fractures.
TO_._.
_
------ - -- -
TO
TO
_..
TO
TO
�w
-
TTO
O-
--_..,
TO---
a xo's. su & 972
FINAL STRUCTURE AS BUILT
I, William D. Fleming, hereby certify that I have performed an
as built survey of the structure on this lot and that all the
dimensions and information as shown hereon are true and that no
encroachments exist unless shown otherwise.
0)
n
0
3
it7
�t
0
rn
00
4 RECOV. 5/8"
REBAR (TYP)
ty Og°39'2 0••-"
o° °° 235.6'
0
o° ° ° 6a
4" PVC SEPTIC
I STD -PIPES (TYP)
I
I
j-helocatIbin of the structure(s)
I a as shown or. this record drawing
5 (as -built) coy-jjpilez witi j Tittle 21, AMC,
i
I
-a 1
�O D' DECKS
49.T'
y�/sem yp �
I
0
{M) 358.20 (R)
_ _ " " p' UTILITY EASEME $A615 S 09°39 20
30
L
o �
GRAVE DRIVE
i v
' Z
't 0 Well
�Lo
to ANCHORAGE,
DEL STREET
ANCHORAGE, ALASKA 99502
PHONE 243-4890
5/8/03 AS BUILT 58-56
7/23/01 PLOT PLAN 52-10
DATE �OF •�1111+ FLD. BK.
•4 ' •'•'
AF*9� ': A
e• e�e �,�eeeee
Ks
YV D. Fleming
Al
'�♦°'s,. LS -5773 •.
1
Ar
4W 'PV e•eeeN•••ra�4V
4111 r043310not
VA
NOTES: Easements not appearing on record subdivision
plat are not shown unless description of easement is
provided by client. It is the responsibility of the owner
or builder, prior to construction, to verify proposed
building grade relative to finish grade and utilities
connections, and to determine the existence of any
easements, covenants, or restrictions which do not
appear on the recorded subdivision plat.
Elevations based on assumed datum unless otherwise
indicated, and bearings and distances are record data.
PWA. l4Nt
Y�
o,PCLIENT: JENNIFER BLAKE uBMIVAL
7 MAY 1 Z003 LEGAL DESCRIPTION
Ld I '_ 1 S LOT 5, BLOCK 2,
POTTER HEIGHTS
PLAT NO. SCALE GRID
81-224 1"=50 3639
ro
OD
uoN
L
rn
�
3
0►
3
to ANCHORAGE,
DEL STREET
ANCHORAGE, ALASKA 99502
PHONE 243-4890
5/8/03 AS BUILT 58-56
7/23/01 PLOT PLAN 52-10
DATE �OF •�1111+ FLD. BK.
•4 ' •'•'
AF*9� ': A
e• e�e �,�eeeee
Ks
YV D. Fleming
Al
'�♦°'s,. LS -5773 •.
1
Ar
4W 'PV e•eeeN•••ra�4V
4111 r043310not
VA
NOTES: Easements not appearing on record subdivision
plat are not shown unless description of easement is
provided by client. It is the responsibility of the owner
or builder, prior to construction, to verify proposed
building grade relative to finish grade and utilities
connections, and to determine the existence of any
easements, covenants, or restrictions which do not
appear on the recorded subdivision plat.
Elevations based on assumed datum unless otherwise
indicated, and bearings and distances are record data.
PWA. l4Nt
Y�
o,PCLIENT: JENNIFER BLAKE uBMIVAL
7 MAY 1 Z003 LEGAL DESCRIPTION
Ld I '_ 1 S LOT 5, BLOCK 2,
POTTER HEIGHTS
PLAT NO. SCALE GRID
81-224 1"=50 3639
Municipality of Anchorage
Mark Begich, Mayor
Building Safety Division
P.O. Box 196650 • 4700 Bragaw Street
Anchorage, Alaslca 99519.6630 • (907) 343-8301 • PSL\ (907) 343.8200
10/21/2003
Jeffrey A. Garness
Alaska Water & Wastewater Consultantants, Inc.
6901 Debarr Rd, Ste 2B
Anchorage, Alaska 99504
Subject: Waiver Request for Potter Heights Block 2 Lot 5
Waiver Request #WR010065
Parcel ID #020-281-38
Dear Mr. Garness:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
4.0 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater• disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
J Goodall
'1 Engineer
On -Site Water & Wastewater Program
Municipality of Anchorage
Development Services Department
• '`E Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchoragc.ak.us
(907)343-7904
Waiver Review Worksheet
WR#: WR010065 PID#: 020-281-38 HAM Permit#: SW010320
Date Received: 8/8103
Legal Description: Potter Heights Block 2 Lot 5
Engineer: Jeff Garness, P.E. Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Rd, Ste. 2B Anchorane._Alaska 99504
Applicant: Jennifer Blake
Waiver Requested: 4 feet from absorbtion field to lot line
Criteria: Geology Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
Waiver is Granted: Waiver is not Granted.
List Conditions or Reasons for above:
Date: /O Z By: f7de �Tox.i'sf
Name of Reviewer
Rec#: 8349 Amount: $115 Date Paid: 10/21/2003
/0171.
MUNICIPALITY OF ANCHORAGE
Development Services Department -7/-5
/r z.
On -Site Water & Wastewater Program (
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Aug 15, 2001
Expiration Date: Aug 15, 2002
Permit Number: SWO10320 Parcel ID: 020-281-38
Legal Description: POTTER HEIGHTS BLK 2 LT 5
Design Engineer: 0041 AK Water & Wastewater Consultant Site Address:
Owner Name: Jennifer Blake Lot Size: 44601 SO. FT.
Owner Address: PO Box 110285 Total Bedrooms: 3 Permit Bedrooms: 3
Anchorage , AK 99511 -
This permit is for the construction of:
0 Disposal Field 0 Septic Tank ❑ Holding Tank F-] Privy ❑7 Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 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.
Received By:
Date: /
Municipality of Anchorage
• Development Services Department
Building Safety Division `
s• err
OnSKe Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.d.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. C)';� - ?-g 5 9�- Permit Number 5w0/U320
Property owner(s) JENNIFER BLAKE Day phone 762-1777
Mailing address (1) P.O. BOX 110285 * ANCHORAGE. AK
mr-Ma&g address (2) 41� F-aW: ' to V== , ��1�/�''�I�Zip Code 99511
Legal description (Lot, Block & Sub'd.) LOT 5. BLOCK 2: POTTER HEIGHTS SUBDIVISION
Legal description (Section, Township & Range) _N/A
Lot Size y/. bb I Acres/Sq.Ft. Number of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ❑
Sewer and Well 0 Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
(Signature of prepefty owner er authefiz-od age*
' bU
Permit Fees: LI yQ
Date of Payment: 17 1 /o
Receipt Number. 8 3 L19
Waiver Fees: A I I G'j . 00
Date of Payment: ?)1 710
Receipt Number. R S LIq
ALASIZA WATER Fe WASTEWATER
CONSULTANTS, INC. an
August 6, 2001
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragraw Street
P.O. Box 196650,
Anchorage, Alaska 99519-6650
Ref: Well and Septic Design for Lot 5, Block 2, Potter Heights Subdivision
To whom it may concern:
The proposed 3 bedroom house will be served by a private well and septic system. Two test
holes were excavated in the area for the proposed septic system. The septic system will be
designed around the 30 foot radius of these test holes. We are proposing that a 1000 gallon septic
tank and four 5 -wide drainfields be installed. Comments regarding the proposed design are
summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that due to the overall appearance of the soils, an
application rate of 0.45 gallons/day/f12 should be used.
2. TRENCH DESIGN: f�
34•S
a. Percolation Rate: 24 & 60 minutes/inch
b. Allowable Application Rate: 0.45 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 1000 ft2
f. Total Depth: 2.5 feet (maximum)
g. Effective Depth: 6 inches
h. Width: 5 feet
i. Reduction Factor: N/A
i. Minimum Length: 200 feet total length (4 @ 50 feet long each)
j Effective absorption area = 1000 ft2
3. SURFACE WATERS: There are no surface water within 100 feet of the proposed septic
system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average
topography of this property is a 10 to 15 percent running from approximately southeast to
northwest; in short, there are no slope concerns. The trenches are to be installed parallel to the
slope contours.
5. LOT LINE WAIVER: We request that a 5 foot lot line waiver be granted from the east
property line to the proposed septic system. We are unaware of any adverse effects this waiver
would have on the adjacent property.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
., M.S.
NOTE: Attached is a site plan drawing, a design: drawing, a topography site plan, 2 soils logs,
and a 7 page construction specification letter which are all part of the design package for this
septic system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
WILLIAM CLEVELAND HOMESTEAD
NO ENCROAHMENTS CONCERNS
PROPOSED SEPTIC SITE
FOR NEIGHBORING LOT
m
III
-III---------------------------
-----t----t------ - ----- r----------
� I 1 1
ROPOS D SEPTIC SYSTEM
` T i (SEE DESIGN. PAGE 2 OF 3)
THJI
HQ K 2.
Q0 O� 1 a 7Et^ 1 I TERNATE 1 POLOT A. 61 OC
rt.
<� ; SITE I TH#2 C;MNT
PROPOSED
WELLPROPOSED SEC
_
(SEE DESIGN, PAGE
i� p0 - s K 2• 1
1 1
PROPOSED
-_- � � wELL
I s �\ \
GACANT
I I 3 HOUSE
/
1'0 1T 3� IA BLOC
ACANT
DATE:
7/30/2001
ALASKA WATER & WASTEWATERSCAL,w J.L.M.
CONSULTANTS, INC. 1 " = 100
901 DEBARR ROAD SUITE 29 • ANCHORAGE AK 99504 • PHONE (907)337-6179 • FAX (907)338-3246
EPARED FOR PHONE NUMBER: PAGE NUMBER:
JENNIFER BLAKE 762-1777 1 OF 3
.AL DESCRIPTION:
POTTER HEIGHTS SUBDIVISION; LOT 5, BLOCK 2,
'E OF WORK:
SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM
AEC
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PROPOSED I
WELL INSTALL THREE
I ` FLOW SPLRTERS
1
PROPOSED/
—PROPOSED DRAINFIELDS. EXCAVATE
4 TRENCHES THAT ARE 2.5 FEET
DEEP MAXIMUM (ON UPHILL SIDE)
BY 5 FEET WIDE BY 50 FEET LONG
EACH (200 FEET TOTAL LENGTH).
ADD 1 FEET OF M.O.A. APPROVED
SAND FILTER AND THEN 0.5 FEET
OF CLEAN, WASHED SEWER DRAINROCK.
ALL TRENCHES ARE TO BE INSTALLED
PARALLEL TO THE SLOPE CONTOURS.
(SEE DETAIL DRAWING, PAGE 3 OF 3)
—ALTERNATE SITE. WILL REQUIRE
THE USE OF A UFT STATION
AND A BOTTOMLESS I.S.F. SYSTEM.
INSTALL DOUBLE
CLEANOUTS
PROPOSED 1000 GALLON
SEPTIC TANK
INSTALL
\ FOUNDATION
CLEANOUT
wo
aim
M\=
AIASIU ANIATER & WASTEWATER
-° CONSULTANTS, INC.��•a nYi9
6901 DEBARR ROAD. SUITE 2B • ANCHORAGE. AK 99504 • PHONE (907)337-6179 • FAX (907)338-324
PREPARED FOR7 PHONE NUMBER:
JENNIFER BLAKE 762-1777
LEGAL DESCRIPTION:
POTTERS HEIGHTS SUBDIVISION; LOT 5, BLOCK 2,
TYPE OF WORK:
DESIGN OF PROPOSED WELL AND SEPTIC SYSTEM
DATE:
7/30/2001
DRAWN BY -
J. L. M.
Y:J.L.M.
SCALE.
1" = 40'
PAGE NUMBER:
2 OF 3
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FILTER FABRIC
INSULATION -
ORIGINAL GRADE --\
FINAL
•V C• •y., A. IjN
�— 5'--�
PROFILE DRAWING
TYPICAL
7/30/2001
��� DRAWN BY:
__-____ ._. _ _...._._ ___.__ ._ _.__._ _ _--.. _._
ALASKA WATER & IASTENVATKR SCALE: C.J.G.
`
.�.�a�.�.Q�Q... CONSULTANTS INC.�� N.T.S.
6901 DEBARR ROAD, SUITE 2B • ANCHORAGE. AK 99504 • PHONE (907)337-6179 • FAX (907)338-3246
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JENNIFER BLAKE 762-1777 3 OF 3
LEGAL DESCRIPTION:
POTTERS HEIGHTS SUBDIVISION; LOT 5, BLOCK 2,
TYPE OF WORK:
PROFILE DRAWING OF PROPOSED SEPTIC SYSTEM
-INSTALL THREE
FLOW SPLITTERS
'* .ee dG. �•�
C 953
7-13
t.A
�Q4��pr0
f essio
DATE
�,
o0
NET TIME
(MINUTES)
13'
5/7 01
11.25'
AJLASKA WATER & WASTEWATER
8:09
—
g"
CONSULTANTS, INC. �•••"
•ANCHORAC& • •FAX: •
O .:.
2
8901 DEBARK ROND, SUITE 29 AK. 99504 PHONE (907)337-8179 (907)335-3248 WFBS(iE: okrwe.eom
30
4-3/4"
1-1 /4"
SOIL LOG - PERCOLATION TEST
O
8:39
LEGAL DESCRIPTION: POTTER HEIGHTS SUBDIVISION; LOT 5, BLOCK 2
- ;J ff y .
Hess- '••0
'•'
�
PERFORMED FOR: JENNIFER BLAKE DATE: 5/01/2001
o
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9:09
30
..7953
4�e^ed
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DEP
(feet)
5
Pro f e s sioro`
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_
ORGANICS TEST HOLE 1
—
1
PAGE 1 OF 2
30
5-1/8"
7/8"
SOIL CLASSIFICATIONS ;
ROPOS D SEPTIC SYSTEM
2
?, o' GW ORG
SITE PLAN
3
� � GP ML �� \.\
1" =
100'
GM CL ;� 1
4
GC OL �\
TH#�
° SW MH 1 1
0 0°0 0
�
5
• ••• : SP CH A�TERNATE
SrrE
SM . , ,� OH 1
ra TH#2
6
SC
7
4 , // `
DEPTH TO DATE
PROPOSED SEPTI
SM/ML GROUNDWATER
`�
SYSTEM
�'
8
WEEPING BETWEEN
4' & 8' DRY 5/l/01
SOIL WERE
' 1
��' 1 1
3 BEDOROOM
9
DRY BELOW
HOUSE
DEPTH OF PROPOSED
J a I I
10
11
12
13
14
15
16 B.O.H.
7
17-
18-
18
19-
1 g
PERCOLATION RATE 34.5 (MIN./INCH) PERC. HOLE DIA.
6" (INCHES)
TEST RUN BETWEEN 2.5 FT. AND 3.0
FT.
20
COMMENTS:
PERC HOLE WAS PRESOAKED FOR 4+ HOURS PRIOR TO TEST. PERCOLATION TEST PERFORMED BY JOE MARCHETTI.
PERFORMED
BY ALASKA WATER & WASTEWATER I, JEFFREY A. GARNESS, CERTIFY THAT THIS IW S PERFORMED
IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: t3,
O/
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
13'
5/7 01
11.25'
5/15/01
8:09
—
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
6/19/01
1
8:09
—
g"
—
2
8:39
30
4-3/4"
1-1 /4"
3
8:39
—
6"
—
4
9:09
30
5-1/8"
7/8"
5
9:09
_
6"
—
6
9:39
30
5-1/8"
7/8"
.ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
0901 DEBARK ROAD. SURE 28 •ANCHORAOL AK. 99504 • (907)337-8179 • FAX (907)3W-3248 • WEBSITE: okwaeom
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: POTTER HEIGHTS SUBDIVISION; LOT 5, BLOCK 2
PERFORMED FOR: JENNIFER BLAKE DATE: 5/01/2001
DE
(feen TEST HOLE 1
1
2
3 (n
Z
4 O
Q
5— U
LL -
s (n
7 U
I)
8— J
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9
10 0
N
11
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14 n
Ld
15 Ld
(n
16-
17
18
IGROUNDWATERI DATE I
SEE PAGE 1 OF 2
DATE
READING
CLOCK
TIME
NET TIME WATER LEVEL NET DROP
(MINUTES) READING (INCHES)
6/19/01
1
8:10
- 6" -
2
8:40
vzz.�i
3
8:40
- 6" -
4
9:10
/2"5
30 5-1/t 1/2-
!If filill
9:10
WON, •
kli-O &
6
9:40
IGROUNDWATERI DATE I
SEE PAGE 1 OF 2
DATE
READING
CLOCK
TIME
NET TIME WATER LEVEL NET DROP
(MINUTES) READING (INCHES)
6/19/01
1
8:10
- 6" -
2
8:40
30 5-1/2" 1/2"
3
8:40
- 6" -
4
9:10
/2"5
30 5-1/t 1/2-
5
9:10
_ 6" -
6
9:40
30 5-1/2" 1/2-
19 PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES)
20 TEST RUN BETWEEN 6.5 FT. AND 7.0 FT.
COMMENTS: PERC HOLE WAS PRESOAKED FOR 4+ HOURS PRIOR TO TEST. PERCOLATION TEST PERFORMED BY JOE MARCHETTI.
PERFORMED BY ALASKA WATER & WASTEWATER I, JEFFREY A. GARNESS, CERTIFY THAT THIS
IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
RMED
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
6901 DEBAAR ROAD, surrE 28 • momArm AR. 09504 • PHONE (907)337-6179 • FAX 90 46 • • okvre.00m
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: POTTER HEIGHTS SUBDIVISION; LOT 5, BLOCK 2
PERFORMED FOR: JENNIFER BLAKE DATE: 5/01/2001
DEPT
(feet) ORGANICSTEST HOLE #2
1
5
6
7
8
9
10
11
12
13
14
15-
16— B.O.H.
17-
18-
19-
71819 PERCOLATION RATE 24 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN 2.5 FT. AND 3.0 FT.
20
COMMENTS: PERC HOLE WAS PRESOAKED FOR 4+ HOURS PRIOR TO TEST. PERCOLATION TEST PERFORMED BY JOE MARCHETTI.
SM/ML
MOIST IN
UPPER 8'
IIIII1111
���'f.
►I::*L�
DEPTH TO
GROUNDWATER
DATE
DRY
5/11/01
.SOIL
CLASSIFICATIONS
9.5'
5/15/01
8:07
–
6-
2
8:37
30
•"
1-1/2-
-1/2"3
3
8:37
–
6-
I�1111111ML
9:07
30
4-3/4"
-1/4"5
1-1/4-
5
lCL
MGC
–
6"
–
6
9:37
30
4-3/4"
1-1/4"
•
5
6
7
8
9
10
11
12
13
14
15-
16— B.O.H.
17-
18-
19-
71819 PERCOLATION RATE 24 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN 2.5 FT. AND 3.0 FT.
20
COMMENTS: PERC HOLE WAS PRESOAKED FOR 4+ HOURS PRIOR TO TEST. PERCOLATION TEST PERFORMED BY JOE MARCHETTI.
SM/ML
MOIST IN
UPPER 8'
IIIII1111
���'f.
►I::*L�
DEPTH TO
GROUNDWATER
DATE
DRY
5/11/01
11'
5701
9.5'
5/15/01
8:07
–
ROPOS SEPTIC SYSTEM
SITE PLAN
1" = 100'
S
TH11
i 4TERNATE I '=-
��
SITE TH#2
� � C
P SO PTISCED
/ SYSTEM
Vii` I PROPOSED
3 BEDROOM
HOUSE
PROPOSED
WELL
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
6/19/01
1
8:07
–
6-
2
8:37
30
4-1/2-
1-1/2-
-1/2"3
3
8:37
–
6-
4
9:07
30
4-3/4"
-1/4"5
1-1/4-
5
9:07
–
6"
–
6
9:37
30
4-3/4"
1-1/4"
PERFORMED BY ALASKA WATER & WASTEWATER I, JEFFREY A. GARNESS, CERTIFY THAT THIS ISS PERFORMED
IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: O
MUNICIPALITY OF ANCHORAGE
r
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section '- Fax: 907-343-7997
Parcel I.D. 020-281-38
Certificate of On -Site Systems Approval
Expiration Date: 9/27/2024
Legal description POTTER HEIGHTS BLK 2 LT 5
Site address 6841 POTTER HEIGHTS DR Anchorage AK
Current property owner(s) Jennifer Blake
X The On -site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
septic tank pumped 6/2023. House was vacant until 9/2023.
Original Certificate Date: 8/27/2024
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
1. GENERAL INFORMATION
Parcel I.D. 020-281-38
Complete legal description POTTER HEIGHTS; BLOCK 2, LOT 5
Location (site address) 6841 Potter Heights Drive *Anchorage
Current property owner(s) Jennifer Blake Day phone 830-6204
2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: W Private Well F] Private Well serving 2 dwelling units
171 Private Well serving 3+ dwelling units El Community Well or Public
El Water Storage
4. TYPE OF WASTEWATER DISPOSAL: MR Private Septic r_1 Private Septic serving 2 dwelling units
El Holding Tank M Community Septic or Public Sewer
5. SEPTIC TANK: X Steel n Plastic n Concrete n Fiberglass
Age 'z ?_ - See advisory if steel older than 20 years
6. ABSORPTION FIELD: R AWWTS E] Bed R Deep Trench RE Wide Trench R 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 $ Waiver Fee $
Date of Payment 2 C- --Z- 3 Date of Payment
C -
COSA # CS 5 9 Waiver #
COSA ApplicaUon—June 2022
Is
COSA Checklist
Legal Description: POTTER HEIGHTS; BLOCK 2, LOT 5
Parcel ID: 020-281-38
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 7/19/02 Total depth 372 ft
Cased to 259.03 ft
Sanitary seal is functioning correctly
0 Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 6/20/23
Static water level at beginning of test 255.3 ft
Comments
B. TANK DATA
Measured operating fluid level in septic tank
49"
Date of pumping 6/30/23
❑ Required maintenance completed, if AWWTS
Comments: -
D. ABSORPTION FIELD DATA
Which system tested (date installed) 7/2/02
0 ALL standpipes present per record drawing
Total measured depth from grade 3.83 ft (max)
Measured depth to pipe invert from grade 2•5 ft (min)
❑ N/A — pressurized field.
❑■ Per record drawings, field is insulated.
❑O Monitor tubes go to bottom of effective.
If not, state depth into effective
0 Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced *500 gallons 9/27123 date
Any rejuvenation treatment (past 12 months) NONE
If yes, enter date -
Well production at time of test 3.2+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes A No
0 Coliform bacteria is Negative
Nitrate 2.32 mg/L ] Nitrate less than MRL (ND)
Arsenic ug/L *Arsenic less than MRL (ND)
Collected by GEG, Ltd.
Date 6/20/23
CLAge
LIFT STATION
equired maintenance complete
of lift station rs
tation ial
ments:
Adequacy test date 9/27/23
Results Q Pass
Fluid depth prior to test *0 in
Water added **591 gal
New fluid depth 0 in
Elapsed time 0 min
Final fluid depth 0 in
Absorption rate 450+ gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 6 in
Effective depth used 0 in
Effective depth remaining 6 in
Comments/Deficiencies: TRENCH #4 LIQUID DEPTH ON 8/20/24 WAS APPROX. 5.5". FLOW SPUTTERS
REPAIRED SO FLOW IS NOW BEING DIVERTED TO ALL FOUR TRENCHES. TRENCHES 1-3 WERE ALL DRY ON 9/27/23.
"TESTED TRENCH #2 ONLY. PRESOAKED TRENCH #2 ONLY (25% OF SYSTEM)
COSA Checklist June 2022
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' Community Sewer Manhole/Cleanout > 100'
DYes if No ft 0 Yes if No ft
Neighboring Tank > 100' ❑o Yes if No ft Private Sewer/Septic Line > 25' ❑■ Yes if No ft
Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' ❑■ Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment > 50' QYes if No ft
❑■ Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑ra Yes if No ft g 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 Surface Water > 100' ❑■ Yes if No
Tank to Property Line > 5'
Field to Property Line > 10'
Water Main > 10'
Water Service Line > 10'
❑i Yes if No ft
❑ Yes if No **4 ft
0 Yes if No ft
0 Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100' EE Yes if No
Community Wells > 200' 0 Yes if No
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
*MET CODE AT TIME OF INSTALL - ST1 IS 49" AWAY FROM POST SUPPORT FOR
2ND STORY DECK -SEE ATTACHED PHOTO. **WR#010065
ft
ft
ft
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 Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179
Engineer's Printed Name Jeffrey A. Garness Date
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in
accordance with the guidelines and regulations established by the Municipality of Anchorage and industry
practices. The reported results describe the condition of the system/s on the date/s of the evaluation.
Separation distances were measured to readily identifiable features. Hidden defects or encroachments may
exist that were not identified during the evaluation. The operational life of all wells and septic systems depend
upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate
during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing
the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not
guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding
the future performance of the well or septic system. GEG makes no representation whether an alternative well
or septic system can be installed on the property in the event either of the current systems fail to perform
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG
to perform the evaluation. Reliance upon the information provided in this report by any other person or party
(including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever.
COSA Checklist June 2022
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LICENSEE professi00°a
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MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907-343-7904
On-Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org
Septic Tank Advisory
Certificate of On-Site Systems Approval # OSC231259
Subdivision: POTTER HEIGHTS Block:2, Lot: 5
The septic tank for this property is 22 years old. The average life of an asphalt
coated steel septic tank is 20 years. Typical replacement costs are $15,000 or more,
not including engineering, surveying, MOA permitting fees or site restoration.
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.