HomeMy WebLinkAboutTERI #2 LT 6B Onsite File
Teri # 2
Lot 6B
#050 - 751 - 15
Prior to COSH approval , the engineer is to confirm :
1 . there is no effluent daylighting from the slope
2 . that the excessive slope has remained stable .
The log-stabilization method may have to be
replaced at that time .
See the 2017 Waiver .
eUBMITTAJ
JUN 30 2011
Municipality of Anchorage
On-Site Water and Wastewater Program • (907)343-7904 Page 1 of 1
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: SW090028 PID Number: 050-751-15
Dwelling: ED Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑■ New ❑ Upgrade
Name:
PAT TIE MOELLER ABSORPTION FIELD
PAT
Address ❑ Deep Trench ❑■ Shallow Trench El Bed ❑ Mound
❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
3 1.2 GPD/SF 4.0 Ft.
LEGAL DESCRIPTION i �/Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot Ly _ 7 Ft.4.1 Ft.
TERI#2 6B Fill added above original grade Gravel length
Township Range Section \2.7 Ft.38 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 5 Ft. -- -- Ft.
To' Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches
Tank Field Lift Station Tank Line
From 380 Fel -- Fl.
Well +100 +100 -- -- +25 TANK g Septic ❑S.T.E.P. ❑ Holding ❑Other
Manufacturer Capacity
Surface water +100 +100 -•• — ANCHORAGE TANK 1000 Gal.
i Material Number of compartments
Lot Line ; +5 +10 -- -- STEEL 2
II
NA LIFT STATION
Foundation 1 +5 +10 -- -' Manufacturer Capacity
Curtain Drain +25 +25 -- -- -- -- Gal.
Pump on level at Pump off level at High water alarm at
Remarks SY T 1'-'s 74.c e,? :A/ ?ot6 ✓/
CY Pri2 e 7 1 z elf-,+ "Doi FF 9 as) -- in. -- in. -- in.
it ,f Pe./ rdb✓S?a.vC TAM/ O91 1 Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank 3034 Tank td 3034
Installer drainfiel
MARTIN CONSTRUCTION Drainfield 3034 CO/MT3034
Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation)100 ft
Inspection 151 6/27/17 "a 6127117 Location and description
dates: 2
3'a 4`h GARAGE SLAB
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL +00'15 ��f,
Conditional Approval: Date OF • •� �4
• 11• 0
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•3. Cha C . G.Balza i :w.
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Approv I / Date ��-ii.,,,,,,,,,
OFESS����
PP 7 to
Inspection Report_9-1-12.doc
-.1„,�`�.\\V
LEGEND \ ��
a CLEANOUT lr, ,....".11b-
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• MONITOR TUBEoar •Ity �!F9#a
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WELL `49
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PRoiecn •: <, a`f TERI#2 LOT 6B
:ROLx J � .---.� A R
}: .T. C 25.5' 40.5'
' -I':: F .i
SAoS ORIGINAL 'r .i .
D 77.4' 92.8
r. a - \
. .TN/1 (PER • i , . 4 ,
/ •\
WAVER DESIGN) - - \`a
\\\ DISTANCE • .,53425 RESERVE
SITE REgUrtES J \
� . 1 , 24_' (AwwrsOenEwAY .. •_ �
�'
1041° DECK POSTS. A • WSE
• 24 5'a38>t4
y LEACNFlEID > � 6 .' .;:,;( 7-. ',......
eNsi
�`• ,� • ,41• TOP OFF REMOVED
•' r,
WALL //" 10 aF 1000 GAL
+�-: / LEACHFlELD SEPTIC TANK
i r •�° m °� ABANDONED
�• 0 20' OF
' -CE �� 43° LEACHFIELD
•
_- —.-- _-- +-:•,. 43' �-- TN-2017 I BR CABIN
. ' 1116.11Y-EA ETIM0 t -50'SLOPE OFFSET
TIMBER SLOPE
PROTECTION SEE
CROSS SECTION
PLAN — SCALE: 1" = SO'
NOTES:
—BM: +100.0' GARAGE SLAB 1. WELL/SEPTIC LOCATION RELATIVE TO HOME.
T. SYSTEM SHOWN SCHEMATICALLY IN ELEVATION NEW. SEE PLAN
FOR DETAILS AND DIMENSIONS.
ALT BM: +73.56' TOP OF WELL CNI TOR TUBE
BLUE BOARD INSULAR.
9E. FILTER FABRIC 77'7 WISHED
GRADE
4'COVER 11 L'ER g
Hl1TET1°75.0'ORIIG. GRADE
E AATEV END Cf
S BC TENCH
TD
ON TESTHOLE 2. NOTE THAT GROUNDWATER MONITOR
nK �{ :•.4.:10.40.4:111.;......i.:''.•' ^^ TUBE SMOKED NO WATER 1/7/17. AND GROUNDWATER AT
1 / 1000 CAL TANK ����!���!.4:�� 7 INVERT D46' ON 6/8/17
/ 70. 70.
4'0 DISTRIBUTION PIPE GROUNDWATER MT INSTALLED AT TH-2017 SHOWED
//��''Q pp 4.1' EFFECTIVE SEWER ROCK 84.6' 2 SYSTEM MOVED OU A SEASONAL HIGHWCF ATER TESTHELEVOLERADIUS Cf 66.97 ON 6/7/17
Aa•D -- - VS'U B.O.H'- 59.0'
SCHEMATIC ELEVATION — SCALE: NTS
LEGAL DESCRIPTION: TERI#2 LOT 6B
C&M ENGINEERING SERVICES OWNER: PATTI MOELLER DATE:06/29/1; REV: 1DRAWN: CB REF:
907-854-5558
SEPTIC RECORD DRAWING
Certified Drilling Log
DOC CO dba
0111111 BILL 8. COLE
l'►
ULUVAN WATER WELLS
ilerP.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Patricia Moeller Bore Hole Data
ADDRESS: Pattie.moeller@gmail.com Depth
LEGAL DESCRIPTION Teri#2 Lot 6B From To
DATE: 7-13-16 0 2 Casing Stickup
PERMIT NUMBER: 05P161153 DATE OF ISSUE: 1-20-17
TAX IDENTIFICATION NUMBER 05075115 2 4 Overburden
Is well located at approved permit location: ®Yes ❑No 4 59 Silty Sand &Gravel w/Cobbles
Method of Drilling: Mair rotary ❑cable tool 59 63 Boulder
Depth of Well: 302' 63 95 Sand & Gravel w/ Boulders
Casing Type: Steel Wall thickness .250 inches 95 138 Tight Silty Sand & Gravel
Diameter: 6 inches, depth 204 feet
138 140 Boulder
Liner type
Static Water Level: 172 feet 140 146 Silty Sand & Gravel w/Cobbles
Recovery Rate 5 VI gpm n gph 146 148 Boulder
Method of Testing Air 148 192 Hardpan & Cobbles
Well Intake Opening Type:n open end ®open hole
❑ Screened
Start feet Stopped 192 228 Bedrock Gray Broken
n Perforations Start feet Stopped 228 284 Bedrock Gray
Grout Type: Bentonite Volume: 50 lbs 284 291 Bedrock Broken
Depth:from 2 feet,to 42 feet 291 297 Bedrock Gray Hard
Well Disinfected Upon Completion: Eyes ❑ no
Method of Disinfection: Chlorine 50 PPM 297 302 Bedrock Gray
Comments:
r = 111
. , • „l ► CoU100mL
•
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough:Department of Environmental Conservation.
O DOC CO Oa
iULLIVAN WATER WELLS
UL
r P.O. Box 670269,Chugiak,AK 99567 688-2759
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW OSP161153 Date of Issue 1-20-17
Parcel Identification Number: 05075115
Legal Description Property Owner Name &Address
Teri#2 Lot 6B Patricia Moeller 4001 Delores Drive, Eagle River,AK
99577
Pump Installation Date: 2-3-17
Pump Intake Depth Below Top of Well Casing: 290 feet
Pump manufacturer's Name: Goulds
Pump Model: 7H510412CL
Pump Size: 1 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Installer: Guaranteed Services
Disinfected Upon Completion? ® yes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments: Pitless Manufacturer: Martinson
Pump Installers Name: Sullivan Water Wells
Attention:The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
�r` Municipality of Anchorage ��°
A:■
�yN S. '1 7
P.O. Box 196650 • 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On-Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW **
Waiver#: OSV171002 COSA#: Permit#: OSP161153
PID#: 050-751-15
4--)
Legal Description: Teri#2 L6B V l�je(� / /T
Engineer: C & M Engineering Services
Applicant: Patricia Moeller
Your request for a waiver of the required 50 feet horizontal separation from the absorption field
to the excessive slope has been approved. The approved separation distance is 24.0 feet. In
addition, the proposed leg is approved to be perpendicular to the contours.
This waiver approval applies to the proposed absorption field only. Any future upgrade to the
on-site wastewater disposal system will require all separation distances be met or another
approval from this department. The waiver will be rescinded if there is effluent daylighting from
the excessive slope or the log stabilization of the slope fails.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
VI Adjacent properties are not affected by this.waiver.
1
Waiver is Granted: X Waiver is not Granted:
Date: 6A-4/i 7 Approved by: 46-10o-rit ?.f--,
Naffle of Reviewer
**'k* VARIANCE/WAIVER REVIEW *'k**
On-Site Water & Wastewater System Permit
P4 .11,cnt
S
MUNICIPALITY OF ANCHORAGE
Development Services Department �� ri;;
On-Site Water&Wastewater Program
4700 Elmore Road, PO Box 196650 I)rl�artnient
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP161153
Tax Code Number: 05075115000
Work Type: WellSeptic Renewal
Permit Effective Dates: January 20, 2017 to January 20, 2018 E' Vl `.�✓
Design Engineer: C & M Engineering
Subdivision: TERI #2 V— . ,„ S
f---,cd
Site Legal Address: TERI #2 LT 6B G:0704 `` - rr
o� 1"-G)
Owner/Address: d&CSL
MOELLER PATRICIA A (,ill 01C
4001 DELORES DR EAGLE RIVER AK 995770000 I (�,
Site Mailing Address: 4003 DELORES DR, APT, Eagle River Lot Size in Sq Ft: 107158 1S' o
Total Bedrooms: 3 WI 4-6
This permit is for the construction of: `'t'`> v" C^? K
V Disposal Field V Septic Tank N Holding Tank N Privy N Private Well N Water Storage 7a
til
All construction must be in accordance with: 6,--.2.:-/ 7
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions:
This permit has been issued after the well and septic system were installed. The septic system
may not be used until approval has been granted by the MOA.
* The retaining wall is to be built prior to Inspection Report approval.
* The field must be exposed and documented. Someone from Onsite Water and Wastewater is
to be present.
* A new ground water monitoring tube required.
* Any required repairs are to be done prior to Inspection Report approval. Included adequate
cover.
* If required, the casing is to be protected. 1
CO "! S►i r\ G ka Diue hl'gher 3 iOcti4ulot1-er
Xrpf A/
Received By: l 0/
7
Date: i/P--ZI 117
Issued By: C�
� y, r Date: )40/7
MUNICIPALITY OF ANCHORAGE
e
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 050-751-15
Property owner(s) Pattie Moeller Day phone 748-0664
Mailing address po box 77138 Eagle River
Site address 4001 Delores Drive
Legal description (Sub'd., Block & Lot) Teri #2 Lot 6B
Legal description (Township, Range & Section)
Lot Size 107158 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(El all that apply)
Absorption Field x❑ Initial ❑ Single Family (SF) Ix
(w/wo ADU)
Septic Tank Upgrade ❑ Duplex (D) ❑
Holding Tank ❑ Renewal F(1
Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
none Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable • nici•.I Codes.
(S :na - • property owner or authorized agent)
#3-11 Permit/Rush Fees: '5'1 14 O. 00 Waiver Fees: 2 15
�3 1 Date of Payment: 130161 ! 1 to Date of Payment: //z-// 7
Receipt Number: 0 --79, Receipt Number: OA 63D
Permit No. OS P 16 1153 Waiver No. (2. 1/ 171007-
V/P/17 6qq. co 09937
Permit App__- : ..c.
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water&Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System Modifications for Teri#2 Lot6B
Dear Reviewer,
The existing septic system at the above referenced property was installed under an expired permit. In the
process of documenting the system, a new test hole was required for groundwater monitoring. The
groundwater monitor tube indicated groundwater levels significantly higher than those previously
observed, and those observed concurrently at the existing test hole.
The groundwater table was found to encroach on the septic system at the new testhole location, TH- Cps
2017,by 8". The remaining testhole (GEG#2) did not indicate any conf icts with the groundwateLtable —
RLLNt7�✓�1 P!' w�5 rye«SvfPd ea I y' ems' Ereft7A-l T"f{ �• �{�- 2 T 15 (5PLCTC.EITttA/
T►-Irs R eno..`a.c. cows t r 1 it 5 S FASo.M C KZ 1,14.1)we Iv) ?far r.e rt 5 PA,t v(,
In order to mitigate the conflict, the portion of the testhole within 30' of TH-2017 will be abandoned, and
the remainder of the system re-configured to an L shape.
We have included a cross section addressing the new retaining wall referenced in the inspection report
and slope waiver. Note that the owner elected to install a timber erosion control system rather than the
retaining walls. We believe the erosion control system offers equivalent slope protection to a typical
residential retaining wall. The system consists of timbers embedded and keyed into the slope. The
method of slope stabilization has been used successfully by fish and game departments across the
country. Reportedly, the slope has been standing un-protected for 10+ years without measurable
erosion. We request that the installation of these erosion control measure be considered adequate for
protection of the septic system. Note that any significant erosion in this area would block the driveway,
requiring the owner to maintain the slope.
We are requesting a cross slope waiver for the "L" which will be added to the leachfield. The original
grade at this location was approximately 10%. Due to the short leg of the L and limited options, we
believe this would be the most cost effective solution with the least impact to the site.
A site plan, and calculations showing the shortened leachfield is adequate for 3 bedrooms are included
with this letter.
An important design consideration is that the soils log for GEG TH#2 shows percolation results of 5
minutes per inch, but are called out as 6 minutes per inch. The 5 minute per inch percolation rate
changes the wastewater application rate to 1.2 gpolsgft, which is used in calculating the system sizing
requirements.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5558 or by email cgbalzarini@gmail.com with any questions or concerns.
Sincerely,
Charles Balzarini, PE
co
Slope Separation Waiver Request: Teri#2 Lot 6B
A waiver modification for the leach field to 50' steep slope setback is requested to a distance of 24'
minimum to the crest of the slope. The distance between the slope and leach field is unchanged, except
the location of the new 6' long leg, which does not encroach on the slope closer than the previously
approved 24' distance. The primary change to the waive conditions, is the selected method of slope
stabilization, which is described below. The modifications to this waiver is justified for the following
reasons:
1. Th-GEG#2 indicates the soils are relatively free draining (5 min/inch) to a depth of at least 16',
the measured height of the embankment is approximately 17'. This shows the lack of an
impermeable layer which would cause any effluent to travel horizontally through the soil
column rather than vertically.
2. The existing slope has been protected from erosion by horizontal logs placed to stabilize the soil.
This environmentally friendly technique promotes physical stabilization of the slope, and growth
of vegetation/organics for long term stability of the slope. The organic layer, including the logs
will serve to confine effluent should it migrate horizontally through the slope for unforeseen
reasons.
3. Historic groundwater table readings between the top of the leach field and the slope indicates
that the groundwater follows the topography and drops drastically near the slope. Given the
high groundwater readings near the septic system during spring runoff, and lack of seepage or
other signs of groundwater at the steep slope, it is obvious that effluent will behave in a similar
manner. Note that the hydraulic load of up to 450 gallons/day is likely significantly less than the
volume of groundwater traveling through the soils during the spring melt.
4. A majority of the system meets the 35' to steep slope standard waiver criteria.The area shown
on the cross section represents the "worst case" slope conditions.
5. A terraced retaining wall system was conceived for the purposes of slope stability and for
meeting the waiver requirements, with the intent that it would be installed prior to the approval
of the septic system inspection report. Since that time, the owner elected to stabilize and
protect the existing slope using the method described above. Given the history of this slope
standing for 10+years, similar to other slopes in the area (see eagle river road), and the fact that
the erosion control system will serve only to protect the slopes, it appears the owners efforts to
stabilize the slope are sufficient. Replacement of the log system with terraced retaining walls
would have questionable benefit, and a significant cost impact to the property owner.
Cross Slope Waiver Request: Teri #2 Lot 6B
1. A cross slope waiver is requested for the installation of the 6' leach field leg. The 6' leg is
designed to reduce cost impacts for the owner over other means of modifying the system. The
CO l
original slope at the test hole location was approximately 10%. The 6' leg would see a 0.6'
differential in the soil column over its length. The entirety of the effective depth would remain
within the accepting soils. It is not believed that approval of this waiver would have any
measurable impacts.
��v..Q.•ii 4 r
-,:- �1r : G.Balzarini :z-
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water&Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System for Teri#2 Lot6B
Dear Reviewer,
The above referenced property was issued a permit to construct a well septic system on 4/6/2009. The
permit has since expired, and the original engineering firm no longer performs septic system design work.
The septic and well have been installed per the original design however the well pump has not been set.
We are requesting approval for the well pump to be installed so the home currently under construction
can be plumbed and heated. The applicable well separation distances have been verified to meet the
code requirements.
The septic appears to have been installed per the original design, but we are proposing to submit a final
inspection report this spring after the ground thaws. The leachfield will be partially excavated in the
presence of the engineer to verify construction and the materials used. Any deviations in construction of
the septic system will be addressed at that time.
Thank you for your time in reviewing this request. Please do not hesitate to contact me at 907-854-5558
or by email cgbalzarini ar'7gmail.com with any questions or concerns.
Sincerely,
Charles Balzarini, PE
C&M ENGINEERING SERVICES
907-854-5558
Septic Design Calculations
Residence: TERI#2 LOT 6B
RESIDENCE/LOT INFO
number of bedrooms 3 br
Water usage/bedroom 150 gpd/br
Water Usage 450 gpd
Percolation Rate 5 min/inch PER GEG TH-2
DRAIN FIELD
system type: Conventional
type: Shallow Trench
Application Rate 1.2 gpd/sqft
required absorption area 375 sqft
trench width(W) 5 ft
gravel depth (D) 4 ft below distribution pipe
Shallow Trench Factor 0.5
Min Required Length: 37.5 ft (Shallow trench factor* Required
Total Excavation Depth: See cross section
Cover: 3 ft min
Insulation: 2" blueboard
Use Length: 37.5 ft
Effluent Pipe: 4"ASTM 3034
Design Summary
System type: Conventional
Tank: 1000 gal
New Drainfield: S'X32'X4' W'xL'xD' shallow trench
Total absorption area: 375 sqft
See cross section prior to excavating
Calc By: CGB Date: 6/22/2016
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C&M ENGINEERING SERVICES
907-854-5558
Septic Design Calculations
Residence: TERI#2 LOT 6B — seErc
RESIDENCE/LOT INFO
number of bedrooms 3 br
Water usage/bedroom 150 gpd/br
Water Usage 450 gpd
Percolation Rate 6 min/inch
Groundwater Depth 14+ ft bgs from original grade
Test Hole Depth 14 ft bgs from original grade
DRAIN FIELD
system type: CAT III AWWTS
type: Shallow Trench
Application Rate 5 gpd/sqft
required absorption area 90 sqft
trench width (W) 5 ft
gravel depth (D) 1 ft below distribution pipe
Shallow Trench Factor 0.875
Min Required Length: 16 ft (Shallow trench factor * Required
absorption area/W)
Total Excavation Depth: See cross section
Filter Sand Depth 0 ft
Cover: 4 ft min
Insulation: NONE blueboard
Use Length: 25 ft
Effluent Pipe: 4"ASTM 3034
Calc By: CGB Date: 1/11/2017
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PTIC AREA : :�: TERt2 LOT 68
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iti: /
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10' WELL RADIUS LOT 10 \ NEIGHBOR'S
100' WELL RADIUS
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LOT 11
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SEQ%1C
SCALE: 1't = 80'
LEGAL DESCRIPTION: TERI#2 LOT6A
C&M ENGINEERING SERVICES OWNER: PATTI MOELLER DATE:12/20/16 REV: DRAWN: CB REF:
907-854-5558
AREA PLAN
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_______\............
184'/
•GEG
` ` .. . S&S (PER
WAIVE SES ORIGINAL •
DISTANCE DESIGN) ".5x25 RESERVE• •;
• •. SITE REQUIRES'
24'
• • •� 1 DRIVEWAY •
1
�1 ,. . • BM x•
2 BR HOUs ;�
' DECK POSTS , A .' •
PROTECTI�IE• �'•
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. .. _
• • .. -' —/: 141' I REMOVE
' TOP 0:11414111111>AL. 7 10' OF • rC6
' WALL , $.' LEACMFIELD 1000 GAL .. rli
SEPTIC TANK
�� ABANDON
THy2 GWT ,20' OF • - I
f LEACHFIELD (•,
' . MT IN LAC Et 6' LEG IN PLACE, MA .74.. E•' µ�
�. ` •
i. i.'-': i ,
• '• ' '+ M
S
- _ _ .. TH-2017
1 '�lf?lEItY'EA6EMEMj �- 50' SLOPE OFFSET
30' TH-RADIUS
TIMBER SLOPE
PROTECTION SEE30' IZG'•"AV S,AAA,
CROSS SECTION TH-RADIUS U�r� �J
NOTES:
LEGEND
o CLEANOUT 1. THE SEPTIC SYSTEM IS GREATER THAN:
100' FROM ANY PRIVATE WELLS
• MONITOR TUBE 200' FROM ANY PUBLIC WELLS
® TEST HOLE 100' FROM ANY SURFACE WATER
110' TO ANY PROPERTY LINE OR FOUNDATION
0.5%\ SLOPE INDICATOR 5' TO ANY TEST HOLES
SEPTIC SYSTEM LOCATION IS APPROXIMATE
SCALE: 1" = 40'
LEGAL DESCRIPTION: TERI#2 LOT6A
C&M ENGINEERING SERVICES OWNER: PATTI MOELLER DATE:6/22/17 REV: I DRAWN: CB REF:
907-854-5558
SITE PLAN
C c - t
1ETifa 6a
,,,..........„„,
.0._ r,,= A4.4‘k
P• —•..:Si��l
fi TM /
:. / �G BALZARINf j
o'F •• .
CE-13854 ..4
i PROFESSIONS
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EXIST
REQ�L�Q� �
roI
,II . � y� ATI
Ar STABILIZATION
Os .......„
1
cr
-- � THEORETICAL 25% •�C-
SLOPE UNE AT 2.5'
ABOVE LEACHFIELD. �0.
SHOWN FOR MOA 0`;s4
REVIEW PURPOSES ��
ONLY.
SID..
DRIVEWAY
PRIMARY SITE , f S7I2/c. C04/02 7 Ic94,5 66 %i
SCALE: 1 "=10'
k
AMY iSr,
49 ,d
/ tHARLES G BALZARINt
ssa ivooKc woi.ni + F CE-13854 ••�`�<`'�
Z44 to ioI Cf SIM suac
EXIST
GRADE
't GRD
s
ao � qo�
zs Fb
i
MN='Y
SLOpU tic
a RESERVE E NE `'sem DRIVEWAY
SYSTEM
THEORETICAL 25%
SLOPE UNE AT 2.5'
ABOVE LEACHFIELD.
SHOWN FOR MOA
REVIEW PURPOSES
ONLY.
RESERVE SITE
SCALE: 1 "=1 0'
MUNICIPALITY OF ANCHORAGE
Development Services Department
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 I WATER SUPPLY PERMIT
Initial
Permit Number: SW090028
Legal Description: TERI #2 LOT 6B
Date Issued: Apr 06, 2009
Expiration Date: Apr 06. 2010
Parcel ID: 050-751-15
Design Engineer: 0003 S & S ENGINEERING Site Address: NHN DELORES DRIVE
Owner Name: PATTIE MOELLER Lot Size: 0 SO. FT.
Owner Address: PO BOX 771381 Total Bedrooms: 3 Permit Bedrooms: 3
EAGLE RIVER. A 99577 -
This permit is for the construction of:
E Disposal Field [?] Septic Tank E] Holding Tank El Privy Private Well E] 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 ( 18AACBO ).
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:
Issued By:
Date:
Date:
48
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Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.orglonsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0 JC�O - ? 5/ - 15�
Property owner(s;:RMr_
Mailing address 7, 'j�3�X
kkrt1_;5_r_
Upgrade
Day phone '-jq0_0U0q
Code T75 � 7
Renewal
7'7 /3�% &ze.R,,EA.Zip
Site address
Legalclescrip
Legal description (Township, Range & Section)
Lot Size Sq. Ft.
THIS APPLICATION IS FOR (Z all that apply):
Absorption Field 9
Septic Tank 0
Holding Tank El
Privy
Private Well
Water Storage
I certify that the above
Single Family Dwellim
(Signature ofOropA owner
I A
N
Number of Bedrooms -3
THIS APPLICATION IS AN:
Initial
0
Upgrade
El
Renewal
0
natro-n-is correcl I further certify that this application is being made for a
is in accordancjf with applicable Municipal Codes.
agent)
Permit/Rush Fees: 650 — 6ZM waiver Fees:
Date of Payment: 49
Receipt Number: 0 6
(Rev. 11/05)
Date of Payment:
Receipt Number.
S &
March 23, 2009
ROBERT C. COWAN.
CIVIL ENGINEERING
PH: 907-694-2979
FAX: 907-694-1211
PERCOLATTON
TEST Enclosure
STRUCTURAL&
WCHIANICAL
INSPECTIONS
CN SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN I
15861 S. Birchwood Loop Road - Chugiak, Alaska 99567
MUNICIPALITY OF ANCHORAGE
W��Ajxhoftry
AMOVAL3
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
SEWER&WATER
IWIJ;NaTENSKM
REFERENCE: Lot 613; Teri Subdivision Addition #2
SEWER&WATER
It is requested that you issue a permit to install a new well and a new septic systcm to
INSPECTION
serve the proposed three bedroom dwelling on the referenced propen),.
Two test holes were excavated and percolation tests performed by Garness Engineering.
DIG-WERINGSTUDIES
The approximate locations of the test holes are located on the attached site plan. At the
AND REPORTS
time of excavation (11-2-07) water was not found. After seven days of monitoring, no
ground waterA-as found.
WELLINSPECtION
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
&FUDWTEST
areas or drainage patterns by the installation of the proposed septic system. There are no
record of a well or septic on the adjacent Lot 5 to the south and none were found during a
visual field investigation. The construction of this system will not prevent any future
SITEPLANS
development on any of the adjacent properties.
If you require additional information, please contact us.
ADAD DESIGN
Sincerely,
VRA
SOILTEST
Shafer, P.E.
PERCOLATTON
TEST Enclosure
STRUCTURAL&
WCHIANICAL
INSPECTIONS
CN SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN I
15861 S. Birchwood Loop Road - Chugiak, Alaska 99567
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GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS �
ISOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: TERI f7. LOT 68
PERFORMED FOR: PATTI MOELLER DATE:_Ll
DEPTH
(fe e m ORGANIC ITEST HO -L -E -#-fl
111111 SM OR GM
DENSER w/DEPTH
LOAMY FIRST 3'
9—
To-
11 —
12-
13-
14-1
80H.
15-
16-
17
18
DEPTH TO
GROUNDWATER
DATE
11/2/2007
DRY
SOIL CLASSIFICATI
ONS
111/9/2007
DRY
6.
—
GW
A
30
1.
5.
1 1 3
GP
ML
6.
—
1 1 4
4:35
GM
CL
5'
5
4:35
—
GC
OIL
6
5:05
30
5.
SW
MH
SP
CH
sm
OH
sc
111111 SM OR GM
DENSER w/DEPTH
LOAMY FIRST 3'
9—
To-
11 —
12-
13-
14-1
80H.
15-
16-
17
18
DEPTH TO
GROUNDWATER
DATE
11/2/2007
DRY
11/5/2007
DRY
111/9/2007
DRY
6.
—
SEE ATTACHED
DRAWING
iL--
DATE IREADING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
11/5/20071 1
3:35
—
6.
—
1 1 2
4:05
30
1.
5.
1 1 3
4:05
—
6.
—
1 1 4
4:35
30
1.
5'
5
4:35
—
6
5:05
30
5.
PERCOLATION RATE 6 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 5 FT. AND 5.5 FT.
20 A FOUR HOUR PQESOAK WAS PERFORMED: N YES 0 NO
SOILS LOGGED BY: JODY MAUS _ PERCOLATION TEST PERFORMED BY: KYLE MAUS
PERFORMED BY GEG. Ltd. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS FERfORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1119/01%
GARNESS
CONSULTANTS&
101
ENGINEERING GROUP, Ltd.
GENERAL CONTRACTORS
(W7)MI-Oln - V� (WrA�32"
oF
* )A�
.. .. . ....... ..........
3n% L
FS -01L LOG - -PERCOLATION TEST
. ....... ..........
LEGAL
DESCRIPTION:
TERI 12, LOT 68
y a ess:
CE -795.5 1;
PERFORMED
FOR: PATTI MOELLER DATE: 11/2/2007
1 1 e
DEPTH
(feet)
:
ORGANIC
ITEST HOLE #
eap
rofesslo
SOIL CLASSIFICATIONS
2—
.0,�;�, GW 77::--7 ORG
r -74-t GP ML
GM M CL
4—
FFFT'l OL
GC 111111
Ws su SW MH
5
Rw k. SP CH
sm MOH SEE
ATTACHED
6—
SC DRAWING
7—
DEPTH TO DATE
SM OR GM GROUNDWATER
8—
DENSER w/DEPTH 11/2/2007 DRY
LOAMY FIRST 3'
11/5/2007 DRY
9 —
11/9/2007 DRY
SCALE:
10 —
P
p
DATE READING CLOCK NET TIME
WATER LEVEL NET DROP
11
TIME (MINUTES)
READING (INCHES)
11/5/2007 1 3:30 —
12 —
I
1 2 4:00 30
0.
13 —
3 4:00 —
6.
4 4:30 30
0 6.
14 —
Roli.
1 5 4:30 —
B. —
6 5:00 30
o. 6.
15 —
16 —
17 —
18
L
PERCOLAT:ON RATE 6 (MIN./INCH) PERC.
HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 5 FT. A14D 5.5
FT.
2D
A FOUR HOUR PRESOAK WAS PERFORMED: N
YES El NO
SOILS
LOGGED BY:
JODY MAUS PERCOLATION TEST PERFCRMED BY:
KYLE MAUS
COMMENTS:
PERFORMED BY GEG,
Ltd. 1. JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND
MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: III C;
10-7
r ,
• t ate (
• _� Municipality of Anchorage
On-Site Water and Wastewater Program
(907) 343-7904
Certificate of On-Site Systems Approval
Parcel I.D. 0 50- 757 -I 5 Expiration Date: I .7 /E--/
1. GENERAL INFORMATION
•T EZE, T673
Complete legal.description
Location (site address)
.,• •• Current Property owner(s) 6, Ge Day phone
.b ". Mailing address
• . Real Estate Agent Day phone
2. TYPE OF DWELLING: �� —
Single Family (w/wo ADU) r\7'
❑ Duplex
JUL_ i t LJ17
❑ Multiple Dwellings (Single Family and/or Duplex) _
�6 ti
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
•
Individual Well Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well El Community ❑
Public Water System El Public Sewer ❑
WaiverNariance request for: Distance:
Received by Date: 7/107
COSA to be released to the engineer,unless otherwise requested by the eng ger.
COSA Fee $ II 1.fig Waiver Fee $
Date of Payment 'f(t I l: Date of Payment
Receipt Number �} 0 3& Receipt Number
O
COSA# DC � i2,340 Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm 01111 Phone
Address 2WW - '9
Engineer's Printed Name C( /t4I - 5 - >'2 Date -77 ‘1
4Al
1orOF q�%4e
L
�►�: •:rte
s*: 49TH :*♦I
6. DSD SIGNATURE •. s
013harles G.Balzarini ;55
x System #1 Approved for 3 bedrooms c • • 14+..
/ ♦ CE-13854 -�
System #2 Approved for bedrooms
..14..•�J••..,,,, •.••P��,++
Disapproved ��i%1ANA;+��
Conditional approval for bedrooms, with the following stipulations:
OF
Jive
3 ON-SITE
WATER ANDcni
WASTEWATER o
PROCRAr 1
EC Original Certificate Date: 7 fr—f 7
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet f 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: 1 ER.1 it„2_ 1,5217-e(.3 Parcel ID:0,° -75/ i5
A. WELL DATA
Well type ??.3-VAT If A, B, or C provide PWSID # r— Well Log a/N) >(. 5
Date completed 7457/4 Sanitary seal®N) <
s Wires properly protected (YIN) l
Total depth .\ ft. Cased to c2(91-/ ft. Casing height (above ground) v2 7 in.
FROM WELL LOG AT INSPECTION
Date of test 7/1 //d N C✓
Static water level 17,- ft. ft.
Well production S g.p.m. ~ g.p.m.
WATER SAMPLE RESULTS:
Coliform PE(f colonies/10D mL Nitrate �om'/,,"/D mg/L
Arsenic k) D ug/L Date of sample:CV;;7/17 Collected by: Lfv"( tl"ye ~x'G
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material 5 t I>r1~G Date installed (/Nk
Tank size 1000 gal. Number of Compartments Cleanouts l) Y
Foundation cleanoutTanksize 1over tank cap/ j High water alarm (Y/ ? C9
Date of pumping /VELA./. Pumper AJE`^-"--
C. ABSORPTION FIELD DATA
Date installed /f7/t7 Soil rating (g.p.d./ft2 ot-f0PINirm) I System type 51140117c✓
Length 7� Sft. Width 5 ft. �7Gravel below pipe ft.
Total depth -T Eff. absorption area ?j7 ft2 Monitoring tube I�5 Depression over field 41:7
Date of adequacy test/h4/ 6"/ Results /Fail) F/45$ For .3 bedrooms
Fluid depth in absorption field before test 0 in. Water added (.' gal. New depth C) in.
Elapsed Time: �.�l
min. Final fluid depth U in. Absorption rate >_ SC, g.p.d.
Any rejuvenation treatment(past 12 mo.) (YIN & type) AIL,) If yes, give date 4/��-
D. LIFT STATION
Date installed Al9 (– / 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 '� Uv On adjacent lots .4 (69 C)
Absorption field on lot 4 Z.C9c7 On adjacent lots -f CO(
Public sewer main " 1,670Public sewer manhole/cleanout /' 1650
Sewer/septic service line `3-5 Holding tank 4 1
Animal containment areas t-ttO Manure/animal excrete storage areas t' 100
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation S Property line �-S Absorption field 4
Water main tD Water service line "4 !c Surface water 1'/cc
Wells on adjacent lots +(O
ABSORPTION FIELD ON LOT TO:
Property line ` (0 r Building foundation 4 `v Water main '4 6v
Water Service line 4- IC' Surface water '+‘ Driveway, parking/vehicle storage t(j)
Curtain drain `? Wells on adjacent lots
F. COMMENTS
t, Apt+rim i7 Tr, 51~ '? ‘,✓Al V crz n.✓ t•J LE jZc-1 ATNfG t•-, }TND 7 ��
Cr
G. ENGINEER'S CERTIFICATION �� `"tu,`
I certify that 1 have determined through field inspections and "�•••.F ..•.q t+
review of Municipal records that the above systems are in Z,.P••• .S,��+t
conformance with MOA COSA guidelines in effect on this date. 7H ••'9 ,
Engineer's Printed Name Cit Al2(.ES fj/9-1...24412;1----A-/ op.
Date 7 ( (7 ' C:41.
:-'es G.Baltarini
•
1; tDF`SS0746,
COSA canary sheet_2-6-15.doc
•
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ASBUILT- SEWARD & ASSOCIATES LAND SURVEYING 694-082`
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE.
FOLLOWING DESCRIBED PROPERTY: _
.--/"•-;:5-",_ pF AL°%i
T`E.ni ✓� . 14:',A,-4;,,..._,--i- mor 6,f • ' DATE.. X`� ,QS'4
. .-
AND THAT I�0 ENCROACHMENTS EXIST EXCEPT AS T///�7 ,� �... rHT. •.4- }
INDICATED. IT IS THE RESPONSIBILITY OF THE r .
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID= 0'.' ' : '"'j
EASEMENTS, COVENANTS} OR RESTRICTIONS r 7 -
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- '--- , �• uuan. Math w., %
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB f t& .. LS- Jr 3yµ '
ANY DATA HEREON BE USED FOR'CONSTRUCTION J1'� +f i'' /r (ov,•.,
OF FENCE LINES, OR FOR ESTABLISHING ROUND- •- . • i A ' igk A......11:1:';14
�.4.--
ARY LINES. Dt2AWNj '� 'x 'x''