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T12N R2W SEC 31 LT 3 S2
T12N R2W Sec. 31 Lot 3 52 #042 - 091 - 39 Municipality of Anchorage Community Development Department Page 1 of 2 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: OSP171140 PID Number: 042-091-39 ❑✓ New ❑ Upgrade Name: JONATHAN MCDONAGH & TRICIA ELLIOT ABSORPTION FIELD ❑✓ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address NHN CLARKS ROAD ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1.0 GPD/SF 13.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade . 5.0 Ft. Gravel depth beneath pipe 8•OFt. Subdivision Block Lot 3S2 Fill added above original grade 0.0 Ft. Gravel length 54.0 Ft. Township Range Section 12N 2W 31 Gravel width 2.5 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 864 Fe 1 N/A Ft. Well 117.9 144.7 N/A N/A 112.6 TANK ❑p Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 15000al. Surface Water 100+ 100+ N/A N/A Material Number of compartments Lot Line 184.9 29.4 N/A N/A STEEL 2 NA Foundation 8.7 100.2 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A Gal. Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield REDSTONE BUILDERS Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 118.Oft Inspe tion 1st 7/22/17 2� 7/22/17 Location and description 3`d 7/28/17 4'h 12/18/18 O.G. AT HOUSE POINT B COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF A( Conditional Approval: Date ®�� • • �s X. TH . ....... . tteven f. Pannone� CE 8149 Approved �CJ�X 9� �ir(k �.`� Date I 1 y j>�'�� • • Aw �AM,� inspection rteport_i-i-i[.00c \ GESr�I GrN \ PARAMETERS � J/I 200' TO N, S, E OR W \\ \ PRIMARY SEPTIC SYSTEM \ \ \\ \ \\ \ \ \ \ \ •_..._.QX---�� \ NO. BEDROOM: 5 (750 gpd) TANK SIZE: 1500g SEPTIC TANK PERC RATE = 1-5 MPI \\ \\ \\ 29;4 C2 \ \ \ \\ \\ \\ \\ \\ SOIL RATING. 1 GPD/SF �\ \\ t 3\?� AREA ROD: 750 SF ®\� \\ \\ \\ \\ \ \ \ \ \ L \ \ _ \ SYS. TYPE: DEEP TRENCH 8.0' E.D. \ \\ \ \ \ \ \ \ \ \ t MIN LENGTH: 46.9 LF \\ \\ \ M? \ \ \y a \\� \\ \\ \\ \\ S2 \t a t t USED: 54 LFx 8.0'ED x 25W, 13.0'TD TOTAL AREA: 864 SF \\ TH- 1 \ dt Ci \144.7 \ \ \ \ y 1 N t ! M1 \ CO \ \\ \ \ 1t t\ ti 1t ! ! WELL it ! 1 \ \\ \\ \ PRIMARY RESERVE DRAIN FIELD P \ \ 54LFx2.5'WX8.0'E.D., 13.0'T.D., \ \ \ \ \ \ \ 1 1 { ! \ \\\ \ WITH MT AND CO \ \ \ DCO2 \ t \ \ \ t y t y 1 f \ \ \ \ \ AT ENDS OF FIELD \p\ \ \\\ �\ 1174 Q / 1DRIVEWAY I 1 \\ \ \ 0 \ \ \\ \ INSTALL RIGID INSULATION y \ \ \ \ \ \ PAD I I ! ! \ OVER UNE, UNDER DRIVEWAY \ \\ \.DCOt\ BR tt it t t y / \ \ \ \ \ \ \ \ \ \ \ \ OUSE 1 t 1 \ \ \ \ 'O \ \ \ \ \ \ \ \ \ \ \ \ T2 \ z A B C D E F FC 32.9 23.0 T1 21.1 26.4 T1 2N, R2W, Sec 31, LOT 3 S2042-091-39 JONATHAN MCDONAGH & TRICIA ELLIOTT OLD CLARKS ROAD ANCHORAGE, AK 99516 T2 29.9 16.7 0 DCO1 31.0 26.5 DCO2 86.5 83.3 C01 110.7 105.9 C 1 112.2 107.2 M 1 113.8 108.8 C2 166.6 154.5 M2 162.3 153.4 z 0 0 rH-t RECORD DRAWING scale 1"=60' T1 2N, R2W, Sec 31, LOT 3 S2042-091-39 JONATHAN MCDONAGH & TRICIA ELLIOTT OLD CLARKS ROAD ANCHORAGE, AK 99516 Qo 0 0 PERMIT N0. OSP171140 2 ser/ m w z z W z W z W � U m w O m¢ p p r m -U ' U U W pV Od 4 z 2 FIT FARI pZ n n 1016.0E 0 n nn(n� I I (I DU n n n Q I� �� DRAIN ROCK 6" ABOVE PIPE IN o - 1500 g SEPTIC TANK DRIVEWAY PROFILE SCALE: NTS CONNECTED TO END OF DRAIN FIELD I GARAGE BOH DATE PERFORMED: 10/30/15 NOTES=dam`°-��\� '4"tl RAIN PIP 109.0 r ®� ®. 'CSG OF AL 4s11, r�'�g�y�1 ¢� Steven R. Ponnope Or - • CE 8149 �� ��F�s,�' �� lF�'Fp '' • . -' '�P ���a OFESSI� a rH-t RECORD DRAWING scale 1"=60' T1 2N, R2W, Sec 31, LOT 3 S2042-091-39 JONATHAN MCDONAGH & TRICIA ELLIOTT OLD CLARKS ROAD ANCHORAGE, AK 99516 P.I.D. NO t PERMIT N0. OSP171140 2 ser/ 3 GIA 4 s s 8.0' DRAIN ROCK t a 7- 8— DRY: B SP/ SM ii/i( BOH DATE PERFORMED: 10/30/15 NOTES=dam`°-��\� PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 r ®� ®. 'CSG OF AL 4s11, r�'�g�y�1 ¢� Steven R. Ponnope Or - • CE 8149 �� ��F�s,�' �� lF�'Fp '' • . -' '�P ���a OFESSI� a Dote 1/25/19 RECORD DRAWING scale 1"=60' T1 2N, R2W, Sec 31, LOT 3 S2042-091-39 JONATHAN MCDONAGH & TRICIA ELLIOTT OLD CLARKS ROAD ANCHORAGE, AK 99516 P.I.D. NO PERMIT N0. OSP171140 PLAN sheet 2 OF 2 t r Cy: -Site- J`';fa€C''S' ksfaS et' eier a rc%'a'n'c" � ._ X1700 Elmore Poed P.O. Box 196650 Anchorage, AK 99507 Mark Begich enc t:»mu ti.era,�ansitz Mayor (907) 343-7504 Well Log Permit Number: OSP161076 Date of Issue: May 03, 2016 Date Started: 09-06-16 Date Completed: 09-08-16 Is well located at approved permit location? U Yes Lj No Legal Description: T12N R2W SEC 31 LT 3 S2 G3142 Property Owner Name & Address: McDonagh Jonathan R & Elliott Tricia B 4821 E. 102nd AVE Anchorage, AK 99507 Attention: The well driller shall provide a well log to DSD within 30 days of completion. Borehole Data: Soil Type, Thickness & Water Strata _ Depth From (ft) To Method of Drilling U air rotary (J cable tool Casing type: steel Wall Thickness: .250 inches Diameter_ 6 inches Depth: 40 _ feet Liner Type: PVC Diameter: 4.5 inches Depth: 305 feet Casing stickup above ground: 2 feet stickup 0 2 sift &grave[ 2 40 b bedrock 40 305 Static water level (from ground level): 28 feet Pumping level:_- feet after _ hours pumping gpm Recovery Rate: 1.5 gpm Method of Testing: airlift --- --- '_....__....__._ Well Intake Opening Type: n Open End n Open Hole ❑ Screened Start feet Stopped feet n Perforations Start feet Stopped feet Grout Type: entonite Volume- •granules Depthe 20' Start feet Stopped 20 feet - -0 Pump: Intake Depth 280 feet Pump size 1 hp Brand Name Webtrol Well Disinfected Upon Completion? � Yes El Na Method of Disinfection:chlorine tablets Comments- Well Driller: Hefty Drilling, Inc. 3540 Aku[a Dr. Anchorage, AK 99516 . Water Sample Results: Arsenic; 5• � NitT.ates: _N D Total Coliform. Bacteria: Other Bacteria: ug/L mg/L colonies/100mL coul00ml- 12 1S/IB Attention: The well driller shall provide a well log to DSD within 30 days of completion. Development Services Department Building Safety Division -Site Water Wastewater Program`o 4700 Elmore Road _ x P.O. lSox 196650 a Mark Begich Anchorage, AK 99507 Mayor www.imni.orelonsite (907) 343-7904 Pump Installation Log Well Drilling Permit 1mltamber: 10 7� Date of Issue: Parcel Identification Number: --- Legal Description T Baa Sic- �T 3 S :3i4 Pump Installation Date: t, _ I (-..3 - 17 Pump Intake Depth Below Top of Well Casing: Aq U feet Pump Manufacturer's Name: --Y",D Pump Model: Pump Size hp Pitless Adapter Burial Depth: / a feet Property Owner Name & Address: Pitless Adapter Manufacturer's Name: C e 01 bf I 1 8- 10 -11 Pitless Adapter Installer: 14C tk7 A�'+ 1 5 Well Disinfected Upon Completion? F Yes F No Method of Disinfection: ! , t��� -�� e�, Comments: Pump Installer Name: ---- U P.O. BaX 112130 Amhoragc, AK995U Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS Ref.# 1187101001 Client Name Pannone Eng. Srv. Project Name/# T12N R2W Sec31 Lot3 S2 Client Sample ID T12N R2W Sec31 LoG S2 Matrix Drinking Water Sample Remarks: Printed Date/Time 12/26/2018 14:09 Collected Date/Time 12/18/2018 10:20 Received Date/Time 12/18/2018 10:40 Technical Director Stephen C. Ede Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic 5.90 5.00 ug/L EP200.8 C (<10) 12/20/18 12/21/18 DSH Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM21 450ONO3-F B (<10) 12/20/18 EWW Microbiology Laboratory E. Coli Negative 1 IOOmL SM21 9223B A 12/18/18 A.L Total Coliform Negative l IOOmL SM21 9223B A 12/18/18 A.L MUNICIPALITY OF ANCHORAGE r On-Site Water&Wastewater Program •S.; PO Box 196650 4700 Elmore Road t ' W' Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite r% cpa tnietit _ On-Site Water & Wastewater System Permit 7-22, t7 - 2 -2Z- 17 Permit Number: OSP171140 Effective Date: 7/13/2017 Work Type: WellSeptic Renewal Expiration Date: 7/13/2018 Tax Code Number: 04209139000 Site Legal Address: T12N R2W SEC 31 LT 3 S2 G:3142 Site Mailing Address: 8201 CLARK'S RD, Anchorage Owner: MCDONAGH JONATHAN R & Lot Size in Sq Ft: 696960 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 5 This permit is for the construction of: ❑ Disposal Field D Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: jI Date: / Issued By: f t x4,0_, `• -Y Date: 0. 1 7 MUNICIPALITY OF ANCHORAGE Community Development Department Department ;11,hisii'� �► 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. 042-091-39 Property owner(s) Jonathan McDonagh & Tricia Elliott Day phone Mailing address 4821 E 102nd Ave., Anchorage, AK 99507 Site address NSN Old Clarks Road Legal description (Sub'd.. Block & Lot) Legal description (Township, Range & Section) T12N, R2W, Sec 31, Lot 3 S2 Lot Size 696,960 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field I] Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑x Upgrade __ ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑X Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Separation to slope over 25% Distance:20' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date ofd (p —I 3ff Date of Payment: Receipt Number: Receipt Number: Permit No. ell 1140 Waiver No. Permit App__ :: .c Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com June 13th, 2017 Subject: Expired On-Site Water and Wastewater Permit Permit Renewal Request Permit Number: OSP161076 Legal Description: T12N, R2W, Sec 31, Lot 3, S2 This is a request to renew the permit for the above mentioned lot. All site conditions remain the same. The construction still will not affect the health, safety, or development of the surrounding lots. Sincerely, 0 1PN, a � Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 On-Site Water & Wastewater System Permit ;"fir.s', - am` MUNICIPALITY OF ANCHORAGE ;• r. Development Services Department On-Site Water&Wastewater Program 4700 Elmore Road, PO Box 196650 I c p,i r t in m t Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161076 Tax Code Number: 04209139000 Work Type: WellSeptic Initial Permit Effective Dates: May 03, 2016 to May 03, 2017 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: T12N R2W SEC 31 Site Legal Address: T12N R2W SEC 31 LT 3 S2 G:3142 Owner/Address: MCDONAGH JONATHAN R & ELLIOTT TRICIA B 4821 E 102ND AVE ANCHORAGE AK 995070000 Site Mailing Address: Lot Size in Sq Ft: 696960 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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. 40111110W 00001 Received By: i 1-4 Date: /De/ Issued By:00 / �/ Date: 3APPr i 1891p77 MUNICIPALITY OF ANCHORAGE APR 2 0 2016 3 • ti Community Development Department Phone: 907-'4. Of Development Services Division Fax: 907-34 - • %8 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 042-091-39 Property owner(s) Jonathan McDonagh & Tricia Elliott Day phone Mailing address 4821 E. 102nd Ave., Anchorage, AK 99507 Site address NSN Old Clarks Road Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T12N, R2W, Sec 31, Lot 3 S2 Lot Size 696,960 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: ( 1 all that apply) Absorption Field ❑X Initial Single Family (SF) Q (w/wo ADU) Septic Tank EI Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Separation to slope over 25% Distance: 20' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 510 4a 15 = 11 Waiver Fees: i9/6‘' Date of Payment: Lfr2-24L, Date of Payment: CIS // Receipt Number: Dge & i �G Receipt Number: 61C- $ Permit No. Mei IQ fri co Waiver No. OSV 14/0�.3 Permit App_ -:• '..,c ( : :\,, Municipality of. Anchorage ,_,crit i. .-- : .-.: . ) ______ P.O. Box 196650 • 4700 Elmore Road ©w v Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 ep,r,-tment http:/lwww.muni.org/Onsite Development Services Division On-Site Water and Wastewater Program xx** VARIANCE/WAIVER REVIEW xx *x Waiver#: OSV161043 COSA#: Permit#: OSP161076 PID#: 042-091-39 Legal Description T12N R2W Sec 31, Lot 3 S2 Engineer. Pannone Engineering Services Applicant. Jonathan McDonagh & Tricia Elliott Your request for a waiver of the required 50 feet horizontal separation from the absorption field to a 25% or greater slope has been approved. The approved separation distance is 20 feet. 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. n The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non-objection have been received from the owner(s) of the affected adjacent property. X Adjacent properties are not affected by this waiver. 1 Waiver is Granted: X Waiver is not Granted: Date: J4(.______ Approved by: N e of Reviewer Pannone Engineering Services tic Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com April 21, 2016 Subject: T12N, R2W, Sec 31, Lot 3 S2 Well and Septic System Permit Request Design Narrative This is a design narrative for a permit to install a well and septic system to be issued for this property. The proposed systems will serve a proposed five (5) bedroom house. Currently the lot is undeveloped. The surrounding developed lots are served by private wells. There are no wells within 200' of the proposed septic system. 1. Soils. One test hole was performed on this lot by PES in October of 2015, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 19.0' below the surface in the test hole monitor tube in November of 2015. 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 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' of the proposed septic system. The system will maintain 100' of separation to all surface water. 4. Topography: The existing topography generally slopes from the northeast to the southwest in the area surrounding the septic system at approximately 25% to 30%. See slope waiver request. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Pannone Engineering Services etc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com 21 April 2016 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Rd. P. 0. Box 196650 Anchorage, Alaska 99519 Subject: T12N, R2W, Sec 31, Lot 3 S2 Steep Slope Separation Waiver Ladies and Gentlemen: I am requesting a waiver for the subject property for a separation distance from a slope greater than 25% to twenty feet (20'). Steep Slope: The worst case scenario shown by section A-A on the plan set shows the distance from the primary drain field to the grade change to approximately 30% at 20' and subsequent "daylight" of the infiltration line at a distance of 59.7'. The soils in this area are typically Hydrologic Soils Group A which contains organics underlain by silty sand and gravel. PES conducted two percolation tests on the lot and found a percolation rate of five point two minutes per inch (5.2 mpi) above four feet depth and less than one minute per inch (<1 mpi) below four feet in depth. The soil composition and percolation rate confirms the soil classification of HSG A. Due to the nature of and drainage capacity of the soils found in the area (HSG A) the designed infiltration line of 45%for septic system installation on steep slopes should be used instead of the assumed/worst case soil classification infiltration line of 25%. The slopes and soil types enable installation of any conventional system without the system effluent "daylighting" further down the slope of the hill provided bury depth requirements are met. As a result of the separation distance of 20' at a 25% infiltration line that will not daylight until after 50' and that the effluent will not daylight at the HSG "A" 45% infiltration line we are requesting the separation to steep slope waiver to 20' for the lot. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 If you have any questions or concerns, please contact me at 272-8218. Sincerely, ........ • i • • . Steven R.Pannone ? •� �•. � 44' Se :moi Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 LOT 2 i LOT 3 N2 TRACT 2 , LO 3 S2 NOTES: Dote PANNONE ENG SVC, LLC of A�,��>r o,�,�„ FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 � Q'�.•�''.''••. ' PHONE (907) 272-8218 FAX (907) 272-8211 ��*o4. 4 ` Scale t"=200' .., t/��. . .. P.I.D.P.I.D. NO T12N, R2W, Sec 31, LOT 3 S2 491-39 TRICIA ELLIOTT Steven R. 15annoTe % PERMIT NO. CE 8149 OSP161076 OLD CLARKS ROAD �s • _i P! AN ANCHORAGE, AK 99516 11 'fib •'••..•A```` ^' Sheet R?OFESSION..z4 1 OF 5 NO WELLS W/I 200' TO N, S, E OR W .PRIMARY RESERVE DRAIN FIELD P „„l4\47LFx2.5'Wx8.0'E_D., 13.0'T.D. • 7 /- WITH MT AND CO 44.4 AT ENDS OF FIELD li l \ I__________ TH—1 1962 7 , \ / S 1 SS' 126.8 J ` DRIVEWAY/ fJ SPAD � S O INSTALL RIGID INSULATIO 0�, OVER LINE, UNDER DRIVEWAY iL :BIN:\��.�, INSTALL 1500q, HOPSE1 'Pp SEPTIC TANK (P) W/ 4 9p DCO AFTER TANK (P) INSTALL FCO (P) w---_` u �` 4 z \ \M II NOTES: ����.\ Dote PANNONE ENG SVC, LLCf a��y 07�7�1 7 FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 �...1,-.71/4i.'.9 .•'.qS ki /`Q'' '� Scale PHONE (907) 272-8218 FAX (907) 272-8211 0,7 65:. �' �i�tz *�r� 1"=50' iii`��r� P.I.D. NO T12N, R2W, Sec 31, LOT 3 S2 1042-091-39 TRICIA ELLIOTT , S'teven Pannone / PERMIT NO. CE 8149 . it OSP161076 PLAN ANCHORAGE,K AK 99ROAD 516 ��4��' ,\. '� Sheet ,�‘X•I'VCC �.OF 5 LEGEND W WATER LINE/ WELL RADIUS SS NEW SEPTIC FILTER FABRIC(TYR) DRAIN ROCK 6"ABOVE PIPE INV(TYP) ilal a'm PERF PIPE(TYP) PI 4 ,p -40 SRI ' SN D 2 f 47-AS£.)4ON , I ••a ��SG p NGRSI C Z--- 04\- �i SNF 1L GP 1...''''' l /'''''----'• L _ -_19, r ----- I -- 00.7 ABBREVIATIONS DESIGN PARAMETERS Cu COPPER PRIMARY SEPTIC SYSTEM DIP DUCTILE IRON PIPE NO. BEDROOM: 5 (7 50 gpd) TH TEST HOLE TANK SIZE: 1500g SEPTIC TANK FC FOUNDATION CLEAN OUT PERC RATE = 1 -5 MPI T# TANK CLEAN OUT NO. SOIL RATING: 1 GPD/SF C# CLEAN OUT NO. AREA ROD: 750 SF M# MONITOR TUBE NO. SYS. TYPE: DEEP TRENCH 8.0• E.D. R.I. RIGID INSULATION MIN LENGTH: 46.9 LF DCO DOUBLE CLEAN OUT USE DV DIVERTER VALVE 47 LFx 8.0'ED x 2.54, 13.0'TD FS FLOW SPLITTER TOTAL AREA: 752 SF BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE NOTES: PANNONE ENG SVC, LLC :,'oF q�,k � Dote FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 't� =4S / P' '�+0 Scale PHONE (907) 272-8218 FAX (907) 272-8211 ic0_• -y ow it: 49 TM r .` it 9 NTS ��• • •gr•AV• •• 4 P.I.D. NO T12N, /R2W, Sec .31 , LOT .3 S2 ` -091-39 TRICIA ELLIOTT 00tevenCER8i�g no i PERMIT NO. OLD CLARKS ROAD #+ s^` ..^•moi OSP 1 61 076 DESIGN DETAILS ANCHORAGE, AK 99516 ,1 = Sheet >111‘ \�N.�� 3 OF 5 \\ 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: INSTALL NEW 1500g SEPTIC TANK, AND SOIL ABSORPTION SYSTEM. INSTALL WELL. 7 GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 19 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 19 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 EXCAVATIOF, 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 ENGINEEF (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY TH. 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 CHANGI ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: . TITLE: DATE: NOTE:.;: PANNONE ENG SVC LLCQF A 1‘� Dote OR CONSTRUCTION F.D. BOX 100217 ANCHORAGE, AK 99510 �� C qS (h 04/28/16 PHONE (907) 272-8218 FAX (907) 272-8211iaj�•' - •y Scale 4 TH *O/ NTS / . .. .. . .. � PI.D. NO T12N, R2W, Sec 31 , LOT 3 S2 091-39 TRICIA ELLIOTT Steven R annorae / PERMIT NO. CE 8149 0°. OSP161076 OLD CLARKS ROAD �+ DESIGN DETAILS ANCHORAGE, AK 99516 Sheet `ANik\��,-46-~ 4 OF 5 SOILS LOG - PERCOLATION TEST TEST HOLE 1 VII DLAu OR SLOPE r�S ROgC 1 2 GW/ GRAVEL WITH GM SILTY GRAVEL 3 DRIVEWAY/ 4 (7PAD 5 6 'M 7 7 14` TH—1 8 9 10 Sp/ GRAVELLY V BR SM SAND WITH •S' 11 SILT HOUSE 12 / (P) 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES,AT WHAT 16 DEPTH? -DRY' 17 DEPTH TO WATER AFTER MONITORING? -DRY'- 18 DATE: 11/10/15 19 BOH DATE PERFORMED: 10/30/15 WATER WATER READING DATE CLOCK NET TIME LEVEL NET DROP READING DATE CLOCK NET TIME LEVEL NET DROP TIME READING TIME READING I 10/30/15 2:00 --- 7.22 1 10/30/15 1:50 --- 2.12 --- 2 2:10 10 MIN 9.17 1.95 2 1:51 1 MIN 8.12 6.0(DRY) 3 2:10 -- 7.22 --- 3 4 2:20 10 MIN 9.15 1.93 4 5 2:20 -- 7.22 ..- 5 6 2:30 10 MIN 9.14 1.92 6 PEROLATION RATE 5.2(min/inch)PERC HOLE DIAMETER 6 inches PEROLATION RATE <1 (min/inch)PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 2 FT AND 3 FT TEST RUN BETWEEN 5 FT AND 6 FT-SEE SIEVE ANALYSIS COMMENTS: Test hole excavated by A+ HOME SERVICES. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: ...."............m„,„. Dote PANN�NE ENG SVC, LLC .� OF A< k fla/za/16 FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 '(� :4 t `Q-. S�!1Scale PHONE (907) 272-8218 FAX (907) 272-8211 *.• ._11/4 -V +A„firy NTS 401r,'... .. . 0 P.I.D. NO T12N, R2W, Sec 31, LOT 3 S2 St`n R. Ponnorae TRICIA ELLIOTT I PERMIT N0. F'•. CE 8149 . j OSP161076 OLD CLARKS ROAD tf0 sr �`�� SOILS LOG ANCHORAGE, AK 99516 +��� � OfES.S0 . Sheet OF ] t\\���i� 0-10.002 Crowther Associates Client: Pannone Engineering Services Project: T12N R2W Scc31 Lot3 S/2 T/-I-1 S16' 8&L. / Date: October 30, 2015 4e- 141 ic' Particle Size Distribution Table Sample Source Lot 3 South 1/2 Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer 3 inch 100 1-1/2 inch 100 3/ inch 95 #4 70 #10 48 #40 11 #100 6 #200 5 0.02 mm - - Classification Gravelly Sand with Silt (SP-SM) 1632 Bellevue Circle/Anchorage. Alaska 99515 Telephone (907) 319-2198/E mail: crowther( alaska.net Permit Number: OSPI61076 Tax Code Number: 04209139000 Work Type: WellSeptic Permit Effective Dates: May 03, 2016 On-Site Water & Wastewater System Permit; MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, F?O Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Initial to May 03, 2017 Design Engineer: PANNONE ENGINEERiNG SERVICE Subdivision: T12N R2W SEC 3'1 Site Legal Address: T12N R2WSEC 31 LT 3 S2 G:3142 Owner/Address: MCDONAGH JONATHAN R & ELLIOTT TRICIA B 482I E 102ND AVE ANCHORAGE AK 995070000 L) (. par tlnel] t Site Mailing Address: Lot Size in Sq Ft: 696960 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ail 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 sS, stem under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchoraqe, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 htt p://www.mu ni.orq/Onsite Development Services Division On-Site Water and Wastewater Proqram Del~alltlnent **** VARIANCE/WAIVER REVIEW **** Waiverg: OSV161043 COSA#: Permit: OSP161076 PID#: 042-091-39 Legal Description: T12N R2W Sec 31, Lot 3 S2 Engineer: Pannone Engineerin.q Services Applicant: Jonathan McDonagh & Tricia Ell ott Your request for a waiver of the required 50 feet horizontal separation from the absorption field to a 25% or greater slope has been approved. The approved separation distance is 20 feet. This waiver approval applies to the proposed absorption field only. Any furore upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. [] The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. [] Notarized letter(s) of non-objection have been received from the owner(s) of the affected adjacent property. X Adjacent properties are not affected by this 'yvaiver. Date: ?/~/f; Approved by: ~--'/~-'~ - // N~e of Reviewer MUNICIPALITY OF ANCHC Community Development Department Development Services Division On-Site Water & Wastewater Program )RAGE Phone: go~-~O~- ~ Fax: g07-34~ ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 042-091-39 Property owner(s) Jonathan McDonagh & Tricia EIliott Mailing address 4821 E. 102nd Ave., Anchorage, AK 99507 Day phone Site address NSN Old Clerks Road Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T12N, R2W, Sec 31, Lot 3 S2 Lot Size 696,960 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: ([] all that apply) Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] APPLICATION IS AN: Initial [] Upgrade [] Renewal [] TYPE OF DWELLING: Single Family (SF) [] (w/wo ADU) Duplex (D) [] Multiple Dwellings [] (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE ! WAIVER REQUEST FOR: Separation to slope over 25% Distance: 20' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. '~-nature of-property owner or authorized agent) Permit/Rush Fees: ~'(~ "J"~]~' ~ '~°~' Waiver Fees: ¢~/,.~-.~E , Date of Payment: Mil" ~'~-"~/~ Date of Payment: .~'/'~//~ Receipt Number: O~qO~.~ ~A Receipt Number: (-.),.-~'"-~",~ ~ ~ Permit No. 0~) ~ ID'"/~ Waiver No. I~-~ D/[ ~/'~) ~11~. ~ Permit App_J- :-:1ec¢ Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com April21,2016 Subject: T12N, R2W, Sec 31, Lot 3 S2 Well and Septic System Permit Request Design Narrative This is a design narrative for a permit to install a well and septic system to be issued for this property. The proposed systems will serve a proposed five (5) bedroom house. Currently the lot is undeveloped. The surrounding developed lots are served by private wells. There are no wells within 200' of the proposed septic system. ]. Soils. One test hole was performed on this lot by PES in October of 2015, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 19.0' below the surface in the test hole monitor tube in November of 2015. 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 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' of the proposed septic system. The system will maintain 100' of separation to all surface water. 4. Topography: The existing topography generally slopes from the northeast to the southwest in the area surrounding the septic system at approximately 25% to 30%, See slope waiver request, 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Pannone Engineering Services LLC Steven R. Pannone, Principal Re§istefed Professional Ensineer E-mail: steve(~panen~ak.com 21 April 2016 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Rd. P. O. Box 196650 Anchorage, Alaska 99519 Subject: T12N, R2W, Sec 31, Lot 3 S2 Steep Slope Separation Waiver Ladies and Gentlemen: I am requesting a waiver for the subject property for a separation distance from a slope greater than 25% to twenty feet (20'). Steep Slope: The worst case scenario shown by section A-A on the plan set shows the distance from the primary drain field to the grade change to approximately 30% at 20' and subsequent "daylight" of the infiltration line at a distance of 59.7'. The soils in this area are typically Hydrologic Soils Group A which contains organics underlain by silty sand and gravel. PES conducted two percolation tests on the lot and found a percolation rate of five point two minutes per inch (5.2 mpi) above four feet depth and less than one minute per inch (<1 mpi) below four feet in depth. The soil composition and percolation rate confirms the soil classification of HSG A. Due to the nature of and drainage capacity of the soils found in the area (HSG A) the designed infiltration line of 45% for septic system installation on steep slopes should be used instead of the assumed/worst case soil classification infiltration line of 25%. The slopes and soil types enable installation of any conventional system without the system effluent "daylighting" further down the slope of the hill provided bury depth requirements are met. As a result of the separation distance of 20' at a 25% infiltration line that will not daylight until after 50' and that the effluent will not daylight at the HSG "A" 45% infiltration line we are requesting the separation to steep slope waiver to 20' for the lot. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 If you have any questions or concerns, please contact me at 272~8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 1002:Z7, Anchorage, AK 99510-02Z7 Physical: 332 East Manor Ave, Anchoral~e, Al( 99501~ Telephone: (907) 272-8218 FAX: (907) 272-82:~1 TRACT 2 LOT 3 ~o,u~. P~O~ ENG ~C, LLC COHSTRUCTOH P,O, BOX 100217 ANCHORAGE, AK PHONE (~07) 272-8218 FAX (907) 272-82~1 ~..' ~'.'~ ~ iScd~ T12N, R2W,TR CIASeCELL510TT' LOT 5 S2 ~j~ ~"8(even' CER 8149P°nn°~P,.~' ~,~ ~ERMIT NO PLAN ANCHORAGE, AK 99316 ~/. ~90FFSS~ Bhee~ ~ --xINSTALL WELL (P) FO~ CONST~CqON ~.0. BOX 100217 ANCNORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ~... ~-.~ f~ sco~e T12N, R2vV, Sec 51, LOT 5 S2 OLD CLARKS ROAD ji~... ...¢~ OSP161076 PLAN ANCHORAGE, AK 99316 ~li~4b,;~b;&(ryx~ Sheet LEGEND W WATER LINE/ WELL RADIUS -- SS -- NEW SEPTIC FILTER FABRIC sP ASBREVIATIONS DESIGN PARAMETERS cu COPPER PRIMARY SEPTIC B¥S/EM D~P DUCTILE IRON P~PE NO BEDROOM: 5 (750 gpd) TH TEST HOLE TANK SIZE: 15009 SEPTIC TANK FC FOUNDATION CLEAN OUT PERC RATE 1-s klPI T# TANK CLEAN OUT NO. SOIL RATING: 1 GPD/BF C# CLEAN OUT NO AREA RQD: 730 SF M# MONITOR TUBE NO. BYS. TYPE: DEEP TRENCH $0' E.B. RI. RIGID INSULATION MIN LENGTH: &6.9 LF DCO DOUBLE CLEAN OUT USE: DV DIVERTER VALVE 47 LFx 8.O'ED x 2 $'W, 13.0'TD FS FLOW SPLITTER TOTAL AREA: 752 SF BFO BELOW FINISH GRADE GO ORIGINAL GRADE FG FINISH GRADE CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ....... 04/28/16 PHONE (907) 272-8218 FAX (907) 272-8211 Sco~e T12N, R2W, Sec 51, LOT 5 S2 .._~' ~_':.'~ TRICIA ELLIOTT '~' ~.'~ ~" ~ERblIT NO OLD CLARKS ROAD~~-"~'~/~fl/:..r~? 0sP161o76 DESIGN DETAILS ANCHORAGE, AK 99516~ Sheet 30F5 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 1555. 2. SCOPE OF WORK: INSTALL NEW lbOOg SEP/IC TANK, AND SOIL ABSORPTION SYSTEM INSTALL WELL 3 GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF /9 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 19 FEET BELOW EXISTING GRADE NOTIFY THE ENGINLER IMMEDIATELY. zi THE CONTRACTOR (BOTH WELL AND SEPNC SYSTEM CON/RACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION S~AKED 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 ES 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 ~HE 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 EXCAMATION, 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 ~-IELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AB REQUIRED BY AMC lb63 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR 12 THE CONTRACTOR SHALL SION THE FOLLOWING: I CERTIFY THAT aLL WORK WAS PERFOPblED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDFRS, AND THAT THE AS BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED CONTRACTOR: BY: TITLE: DATE: NOTES: PANNONE ENG SVC, LLC :OR CONSTRUCTION P,O. BOX 100217 ANCHORAGE, AK 99510 ,~' ti,,',/.' ;..'~2-.'I, · ID ,o T12N, R2W, Sec 51, LOT .3 S2 x.~ Steven R Parlnone~ TRICIA ELLIOTT r~ · . ~ PERMIT NO li~'. CE 8~49 .,~,~, OLD CLARKS ROAD fl~'. "~ OSP161076 DESIQN BETAILS TESTHOLE1 OR GW/ GM SP/ SM GRAVEL WITH SILTY GRAVEL GRAVELLY SAND WITH SILT SLOPE SOILS LOG - PERCOLATION TEST ,.__. TM/ WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -DRY' DEPTH TO WATER AFTER MONITORING? -DRY'- DATE: 11/10/15 D R M E W A Y CAD 5BR HOUSE SLOPE BOH DATE PERFORMED: 10/30/15 WATER NET DROP READING DATE CLOCK NET TIME LEVEL TIME READING ~ 10/30/15 2:00 --- 7,22 ! --" 2 2:10 10 MIN 9/17 I 1.95 3 2:10 ___ 7,22 --- 4 I 2:20 10 MIN 9.15 1.93 -- 5 I 2:20 ] --- 7.22 ___ 6 ~ ~9.14 1.92 PEROLATION RATE 5.2 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 2 FTAND 3 FT READING DATE CLOCK~ WATER NET DROP TIME NET TIME LEVEL READING 1 10/30/15 1:50 ! --- 2.12 --- 2 1:51 I MIN 8.12 6.0 (DRY', 3 4 5 6 PEROLATION RATE <1 (min/inc_h) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT - SEE SIEVE ANALYSIS COMMENTS: Test hole excavated by A+ HOME SERVICES, Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: FOR CONSTRUCTION SOILS LOG PANNONE ENG SVC, LLC P,O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 T12N, R2W, Sec 51, LOT 3 S2 TRICIA ELLIOTT OLD CLARKS ROAD ANCHORAGE, AK 99616 04/28/16 Scole NTS PlD. NO PERMIT NO 0SP161076 Sheet 50F5 040. 002 Crowther Associates Client: Parmone Engineering Services Project: T12N R2W Sec31 LoG S/2 Date: October 30, 2015 Particle Size Distribution Table Sample Source Lot 3 South 1/2 Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer 3 inch 100 1 - 1/2 inch 100 h inch 95 #4 70 #10 48 #40 11 #100 6 #200 5 0.02 mm Classification Gravelly Sand with Silt (SP-SM) 1632 Bellevue Circle/Anchorage, Alaska 99515 Telephone (907) 349-2198 / E mail: crowther~alaska, net MUMCIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 042-091-39 1. GENERAL INFORMATION Expiration Date: 2 (a 26 2-0 Complete legal description T1 2N R2W Sec31 Lot 3 S2 Location (site address) 8201 Clarks Road Current property owners) Jonathan McDonagh & Tricia Elliot Mailing address Same Real estate agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Fx] Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1-V Waiver Fee $ Date of Payment 11109 Date of Payment Receipt Number Receipt Number COSA # JC l `J`'� Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify) that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for 5 bedrooms System #2 Approved for bedrooms Disapproved phone (907) 745-8200 Date �� OF A�g11t CO e* :.Ar7TH Steven �R Pannone CE 8149 Conditional approval for bedrooms, with the following stipula i CR,(((((fw,, Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. I 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet 11101011:1 M Legal Description: TI 2N R2W Sec31 Lot 3 S2 Parcel ID: 042-091-39 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA W Well log is filed with Onsite (or attached) Date drilled 918116 Total depth 305 ft Cased to 40 ft R Sanitary seal is functioning correctly X Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA n/a Static water level at beginning of test 26 It Commentsr=� 't cti GSL LrG, B. TANK DATA Age of tanks) 7728J17 years Tank type/material S`°°GS' Measured operating fluid level in septic tank n/a ❑ Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 7/22117 © ALL standpipes present per record drawing Total measured depth from grade 13.0 ft (max) Measured depth to pipe invert from grade 5.0 ft (min) ❑ N/A — pressurized field FN Monitor tubes go to bottom of effective. If not, state depth into effective Well production at time of test /r;ar gpm' Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑✓ Nc H Coliform bacteria is Negative Nitrate mg/L 0 Nitrate less than MRL (ND) Arsenic 7.52 ug/L ❑ Arsenic less than MRL (ND) Collected by PES Date of Sample 10/10/79 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date n/a Results ❑✓ Pass For 5 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min 01 Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) _ date of test) Gallons introduced n/a gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Yes Community Sewer Manhole/Cleanout > 100' ft Q✓ Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25'✓0 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' Surface Water > 100' 0 Animal Containment > 50' Yes if No ft ft ✓0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓] Yes if No ft Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ,Yes if No 2LL ft Surface Water > 100' Q✓ Yes if No ft / Property Line > 5' ✓0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ✓' Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10' ✓M Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' R Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10'✓® Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Service Line > 10' Ftl Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that / 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. l 3, t COSA Checklist yellow sheet JtP.Ve i ii: Ponnone CE 81-19 �6 �N� o Drive Access Lq tt is the C -n". do -,nC the Catoms of Ony Cowron1m. co�vno rcw!cliixl vIiich o,t nci an t�!C recorded 1053.67'11C) N1/2, MWI Governmer 49p, ... ...... 00 OS Drive Access Lq tt is the C -n". do -,nC the Catoms of Ony Cowron1m. co�vno rcw!cliixl vIiich o,t nci an t�!C recorded 1053.67'11C) N1/2, MWI Governmer