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Home My WebLink AboutPOMEROY LT 60A Onsite File Pomeroy Lot 60A #051 - 171 - 42 Municipality of Anchorage NUV 6 2019 On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191103 PID Number: 051-171-42 Dwelling: ❑I Single Family (SF) ■❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑t Upgrade Name William &Mary Pomeroy ABSORPTION FIELD ❑ Deep Trench X Wide Trench ❑ Bed ❑ Mound Site Address 19220 Ganoe St. Chugiak, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 350-4626 3 1.2 GPD/SF 6.2 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.2 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Block Lot Pomeroy 60A Fill added above original grade 2.8/1.0 Ft. Gravel length 45 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 388 Ft2 1 Ft. Well >100' >1 00' N/A N/A >25r TANK e❑ Septic ❑ S.T.E.P. ❑ Holding ❑ other Manufacturer Greer Capacity 1,000 Gal. Surface Water >100' >1 00' N/A N/A Material Number of compartments Lot Line >5' >10' N/A N/A NA Plastic 2 Foundation >10' >10' N/A N/A LIFT STATION Manufacturer Capacity Remarks Main house septic system. Gal. 2" Insulation over tank. Alarm location Electrical installed by Design and permitting by Jay Crewdson. PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Kurt Whitters Excavating Drainfield D3034 Co/MTD3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspdection 15' 5/30/19 n 5/31/19 Location and description 2 3'd 411 Bottom of siding @ NW corner of home. ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ®® Conditional Approval: Date 4VE°'...�........ qS��♦ h W ..............9 .. ....... ... .A.... got . 0..............sn.............................. 0- 99 FiZ MICHAEL E. ANDERSON .° 00. . AF �n '. N O. CE— 4381 ,� ��T�� Septic System�� Approved Date lD 30 02V0 ^•.., 11/25/19 ,..•''�C�� F.............. Note: this approval does not include well permit requirements. (KCv UO/UL/ ICS) POMEROY, LOT 60A PERMIT # OSP191103 PID # 051-171-42 \ 15' T&E EASEMENT / �— // \ \ � 3' BLM EASFDALFJT I EXISTING UNDOCUMENTED : ® I SHOP SEPTIC SYSTEM FOR SHOP. ; THA EXISTING SEPTIC TRENCH FOR HOME. EXACT , GJ LOCATION UNKNOWN. CO MT3 _ C01 D* , A ® MT2 2CO Svi z TH1 MT1• MH ( O NEW 45LONG x 5' WIDE x 3'— I m EFF. ABSORPTION TRENCH. / �.� ` \ U) LOT 60B / NO WELL OR SEPTIC SYSTEM / \ \ m ON THIS LOT / m NEW 1,000 GALLON PLASTIC LOT 60A SEPTIC TANK w/ 20" MANV/yJAY. B A \ 100' WELL RADIUS / �O \ / o EXISTING WELL C MH 72.4 66.3 SV1 76.8 70.1 MT1 73.5 66.1 2CO 79.6 72.6 DV 82.2 75.0 C01 89.3 91.2 MT2 89.1 89.5 CO2 120.8 109.1 MT3 118.0 108.1 II I 1 �\ D SHED \ \ -15' T&E EASEMENT -----------------�-_ / \ T BLM EASEMENT / BECKY LANE EHGiNEERIN4 44;4400 `.• 49th r ...;.ate MICHAEL �E. ANDERSON g C No. CE -4381 PLAN AS -BUILT 1 50 100 S� z';_ cru- -MFEET - 1 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEAN( FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE PERMIT # OSP 191103 Mae] PID # 051-171-42 83.0 90.2-92.0 FINISH GRADE i-- 89.2 ORIGINAL GRADE 45' 74.75 (ELEVATION TAKEN AT TRENCH INSPECTION) 'INSULATION 83.0 TH41 \- NO GROUNDWATER 5/31/19 (DRY ON DAY OF TRENCH INSPECTION) 10/23/18 JAMES A. CREWDSON EN GINEEa1NG PROFILE AS -BUILT (NO SCALE) �-• 1 l� b �i��7�k., r. / ��dA 001 111 "f- F,1077 Z)ZW 1JJ Cc RZ)Z)L)1,1H.LVjJ L,MIJ JUKVPY11VCi b94--UbZ4 I HE!?EBY CERTIFY THAT I HAVE SURVEY>•C THE SCALE= ii a, FOLLOWING DESCRIBED PROPERTY= _ 3 Al DATE- AND THAT NO FWOACHENTS EXIST EXCEPT AS /p�4 `� •' - ` . '�� INDICATED. IT IS THE RESPONSIBILITY OF THE f V� i If..... .. .R eao OWNER TO DETERMINE THE EXISTENCE OF ANY GRID. d EASEMENTS, COVENANTS, OR RESTRICTIONS //GvJ/cr 0 WHICH DO NOT APPEAR ON THE RECORDED SUBDi- � Duapa Merk Seward ,fj VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FS' ¢ �•-•., Ls -5 ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- ' ARY LINES. DRAWN:,, Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: PID Number: 051-171-42 Dwelling: ❑ Single Family (SF) ❑■ with ADU E Duplex (D) El Two Single Family Project: N New ❑ Upgrade Name ABSORPTION FIELD William & Mary Pomeroy Site Address ❑ Deep Trench ❑■ Wide Trench El Bed ❑ Mound 19220 Ganoe St. Chugiak, AK 99567 ❑ Other Phone 'Number of Bedrooms Soil Rating Total depth from original grade 350-4626 SHOP (150 GPD) 1.2 GPD/SF 7.7 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.2 Ft. 3.5 Ft. Pomeroy 60A Fill added above original grade Gravel length Township Range Section 0.0 Ft. 30 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 3.0 Ft. Ft. ToSeptic Absorption Lift Station Holding 1 Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Tank Line 210 Ft2 1 Ft. 1TANK ❑■ Septic ❑S.T.E.P. ❑ Holding ❑ Other Well >100' > QQ' N/A N/A >25' Manufacturer Capacity Surface Water >100' >100' N/A N/A Anchorage Tank 1,000 Gal. Material Number of compartments Lot Line >5' 3' N/A N/A NA Steel 2 LIFT STATION Foundation >10' >10' N/A i N/A I Manufacturer Capacity Gal. Remarks IR form is for undocumented shop septic.Estimated installation year is 1999.Tank was exposed&inspected on 5/30/19.Septic tank is insulated. Alarm location Electrical installed by Absorption trench was excavated to determine limits. PIPE MATERIAL House to tank D3034Tank to D3034 Installer drainfield Owner (William Pomeroy) Drainfield D3034 CO/MT D3034 Inspector J. Millette (conducted documentation) BENCH MARK (Assumed elevation) 100 ft Inspection Location and description dates: 151 5/30/19 2^" 3rd 4th Bottom of siding @ SW corner of shop. ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ��...Fq+_+ ta Conditional Approval: Date ••�P.•••• • ''••.. 4:6')...• �4 �1 a • 49th �1 . 1. jrLaz g., 1zr. 1 -i , ii7jkti MICHAEL E. ANDERSON i�: Septic S stem •c� _' p Y �.ten. No. CE-4381 • Approved �G� Date �( ZZ / •A 60,',.... 11/21/19,.••° •• Note: this approval not include well permit requirements. +��is�;•�••• oes (Rev 05/02/18) .Y»cnt ;' .\, Municipality of Anchorage sr, -f� �)C�l;I rt 111CI1( 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#: OSV191093 COSA#: Permit#: OS P191510 PID#: 051-171-42 Legal Description: Poreroy Lt 60A Engineer: Forge engineering Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 3.0 feet. This waiver approval applies to the existing 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. 1 Waiver is Granted: X Waiver is not Granted: Date: 0/0 Approved by: /U'l�t/""Gf/�rr Name of RpiIwer **** VARIANCE/WAIVER REVIEW **** POMEROY, LOT 60A PID # 051-171-42 UNDOCUMENTEC�1000 1/ GALLON STEEL SEPTIC jANK A - - \ / I \ 15'T&E EASEMENT / / N '7- 7._______-4.- 3' -3'BLM EASWLNT 002 — — I • /22 mro 30'LONG x 3'WIDE x 0C1112 mil° SV1•CO 3.5'EFF. DEPTH : o SHOP ABSORPTION TRENCH. • T TH-A C01•• 0 VJ > EXISTING SEPTIC TRENCH ; 0 1 I O FOR HOME. EXACT • LOCATION UNKNOWN. — 1 m o (/) • • H / \ 7J EXISTING NEW SEPTIC FOR HOME. / \ m LOT 60B / m NO WELL OR SEPTIC SYSTEM / LOT 60A \ 1 H ON THIS LOT / \ I 100'WELL RADIUS IEXISTING WELL 00c� \} A B I 0 I II FCO 7.2 21.3 } SV1 14.6 25.2 SV2 20.1 29.2 }1 1 200 22.6 31.0 I C01 36.9 28.0 \ El MT 36.7 30.0 \ CO2 27.6 42.8 \ 15'T&E EASEMENT 7 // \ / N 3'BLM EASEMENT / N V — — —_. — — BECKY LANE� -.., _ ___ _ _ _ 111101PGE EN 0'i NN I N l NO 4006\\\1"r4R =�� -" •"" 41,1 SHOP SEPTIC LEGEND P•,.•• ."moi co_CLEANOUT r r ' ``,99 ♦ 200-DOUBLE CLEANOUT -4_ .~.*O PLAN AS-BUILT i 49th " FCO-FOUNDATION CLEANOUT i � r �►-�• FS-FLOW SPLITTER VALVE •~~•r~•~~~~~~•~•~~•~•~•~~•.'t': 0 50 100 MICHAEL E. ANDERSON:�i MH-MANHOLE ••-j,°•. No. CE-4381 l aJ FEET MT-MONITORING TUBE •IPA ,G, .,.••„11/21119 .+'cv'r+ �-4 �: °ROFESS �i�rr 1"=50' SV-SEPTIC VENT ��_�„-�� TH-TEST HOLE POM E ROY, LOT 60A PID # 051-171-42 0 (V O (f)5 i97.4 N 2" INSULATION 94.9 J 7 , , , , 94.3 -7 1000 GAL STEEL 94.15 SEPTIC TANK 90.0 O� O 95.7 FINISH/ORIGINAL GRADE III - I= -I 91.5 ►. ti : 91.5 . . .. ,• .. .. ... .�DRRNJfIkLnROGKi'. . . .. .. .. ` ... 88.0 30' 81.7 Q NO GROUNDWATER 9/5/19 i- 4$01011111114- : 49th i TGE SOILS LOG AND PERCOLATION TEST 0 z-��---r% ENGINEERING mr wwrrnwrw.rrpn, MICHHAELAEL EE.. ANDERSON •�CC' it:-N., No. CE-4381 t. LEGAL DESCRIPTION: POMEROY L6OA -i<<c"..., 11I10/19 0.'430 PERFORMED FOR: WILLIAM POMEROY ♦..fit.iOF SS 2144' DATE: 5/3 I/19 PROJECT No.: PARCEL ID#: 0 5I-171-42 TECHNICIAN: J. M I L.LE T T E Professional Engineers Stamp: DEI'III TH-A (SHOP) fleet) 1 SLOPE SITE PLAN OB/ORGANICS 3 4 .. 5 SEE SITE PLAN 6 A 7 • • : SANDY SILTY GRAVEL g •• . • GM 9 1 0 WAS GROUND WATER ENCOUNTERED? NO IF YES @ WHAT DEPTH? - S 1 I •• • DEPTH OF WATER AFTER MONITORING NONE DATE OF MONITORING: 9/5/19 �r$$ 12 •�• •. . E • • • DEPTH TO 13 DATE READING G OSST TIME (MINUTES) WATER NET DROP (INCHES) 14 • ' ` " TEST HOLE PRESOAKED PRIOR TO TESTING: 15 1 1:00 ' 10 6°—x/ 1116 516 2 1:30 10 6 °-6-/ 11 ;6 5;6 16 17 3 1:31 10 616/ 1116 5;s 4 2:01 10 6 6/ 11 4 510 18 5 2:02 10 6i°—�/ 11 is 51 19 6 2:32 10 6.;°-6-/ 111i 5a 20 PERCOLATION RATE: 1.8 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 3 FT. and 4 FT. COMMENTS: MUNICIPALITY OF ANCHORAGE r. Community Development Department fir, 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. 051-171-42 Property owner(s) William & Mary Pomeroy Day phone 350-4626 Mailing address 19220 Ganoe St. Chugiak, AK 99567 Site address Same (Shop Building) Legal description (Sub'd., Block & Lot) Pomeroy, L60A Legal description (Township, Range & Section) Lot Size 44,820 Sq. Ft. Number of Bedrooms 1 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X 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: Lot Line to Absorption Trench Distance: 3' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. io,i,e. E._a..4_, (Signature of property owner or authorized agent) Permit/Rush Fees: S Waiver Fees: .226 Date of Payment: (1/111/19 Date of Payment: ultqlti Receipt Number: OQUtaReceipt Number: t4c4tICI3A Permit No. OsPtgi50 Waiver No. Q c5V LQ(003 Permit App_:•: :_..c Mir GE ENGINEERING PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) November 10, 2017 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Pomeroy, Lot 60A— 19220 Ganoe Street Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer: The septic system placed on Lot 60A to serve the shop was completed without a permit. The system has recently been inspected and found to comply with Municipal Code with the exception that the southern end is slightly more than 3' from the property line. A waiver is required to allow the trench to remain in its current location. The percolation rate of the underlying soil is 1.8 minutes per inch. Effluent absorption is expected to be downward with little or no migration in a horizontal direction. The trench is located more than 100' from all wells in the area. Placement of the system at the location described above will have no adverse impact on the well or septic system on this or adjacent lots. We hereby request a lot line waiver be issued. Sincerely, -10,12„1 aA'(-9---Th Michael E. Anderson, P.E. Ur ....................... 4 c • * • . i •1 Nc ..4.***.), 1/10/1..... z 5i 3oi 9 r4. MUNICIPALITY OF ANCHORAGE nt On-Site Water&Wastewater Program ��, S PO Box 196650 4700 Elmore Road ' Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ` http://www.muni.org/onsite nn ; Dcpartmcut 4NCNOR AV° On-Site Wastewater Disposal System Permit Permit Number: OSP191103 Effective Date: 5/20/2019 Work Type: Septic Upgrade Expiration Date: 5/19/2020 Tax Code Number: 05117142000 Site Legal Address: POMEROY LT 60A G:1155 Site Mailing Address: 19220 GANOE ST, Chugiak Owner: POMEROY WILLIAM H & MARY E Lot Size in Sq Ft: 44820 Design Engineer: CREWDSON ENGINEERING, LLC Total Bedrooms: 3 This permit is for the construction of: 2 Disposal Field 2 Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 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 Special Provisions: Prior to Inspection Report approval, the septic system serving the shop is to be documented or decommissioned. • c ; I lq Received By: Ar Date: Issued By: �4, . i �� , Date: _ � MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-171-42 Property owner(s) William & Mary Pomeroy Day phone Mailing address 19220 Ganoe St., Chugiak, AK 99567 Site address SAME Legal description (Sub'd., Block & Lot) Pomeroy, Lot 60A Legal description (Township, Range & Section) Lot Size 44,820 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field El Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank El Upgrade 0 Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify t .•t the above information is correct. I further certify that this is in accordance with applica• : Municipal Codes. .. /r (Si. ..'ure of property owner or authorized agent) Permit/Rush Fees: 59$ Waiver Fees: Date of Payment: Lid/2//9 Date of Payment: Receipt Number: OloM Receipt Number: Permit No. tSP/91/03 Waiver No. G:1Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Crewdgn_Eng(rring LLC James "Jay" Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280-9493 Fax: (907) 688-2295 Civil&Environmental Engineering May 10, 2019 Onsite Reviewer Municipality of Anchorage On-site Water&Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Reference: Pomeroy, Lot 60A Septic System Upgrade Design Narrative The owner of the 3-bedroom home would like to replace the existing septic system. The existing septic tank will be abandoned in accordance with the code and the existing drainfield will be connected to the new septic system through a diverter valve. The septic system upgrade will use an Infiltrator IM-1060 septic tank and a Wide drainfield. As an upgrade to the existing approved septic system with no increase in the number of bedrooms, the design is not required to show a replacement disposal site. The drainfield design is shown on the design drawing(s). The drainfield is located where there used to be two sheds and the slope is flat. Beyond this area the ground slopes between 0.5%to 1.0%. Adjacent properties, wells and wastewater disposal systems will not be impacted if the septic system upgrade is constructed as designed. Anticipated drainage flowing onto or off of the subject property is not likely to adversely affect the proposed wastewater disposal system. No waivers are required for the proposed design. \ Please feel free to contact me if you have any questions. S X1,1 James A. CrewdsonI , 1 `,f)**. �C11527, .•4 / James "Jay" Crewdson, P.E. (t�9F•• •• 11\ '°ROFESSIO. A �� PO Box 671389 • 18368 Amonson Road • Chugiak,Alaska 99567 NOTES 1. All construction shall be IAW AMC 15.65. 2. Insulation:2"rigid foam board,6"maximum 15'TelecomElectric Easement above the top of the following when required: 2.1. Septic tank:required if less than 4 feet of cover soil, 2.2. Drainfield:required if less than 3 feet of 100'WELL RADIfUS cover soil. 3. Inspections Required: CANOPY • •• •' • 3.1• Preconstruction, BOH,TOP,TOT,FG . 4. Inspection Notifications: • . 4.1. 24 hours prior to construction S /,p ,o 4.2. 2 hours prior to: 1)--�, cL >- • 4.2.1. Septic Tank: BOH,TOT,FG AJ ASA z SHOP • 4.2.2. Drainfield:BOH,TOP,FG FS U 5. Installed Elevations:Contractor shall provide . • the following elevations: 5.1. Benchmark including horizontal location • 5.2. Septic Tank:TOT, IN-INV,OUT-INV, FG •___ 5.3. DRAINFIELD:C2 INV,C3-INV,M1-TD, CO, A-- • CANOPY M1-FG,M2-TD, M2-FG • I . (E)DRAINFIEL I. . EXACT LOCATION I ' . UNKNOWN CONNECT TO (P)SEPTIC I • ,, THROUGH DV M1 (E)(p)C1 ' ° • M2 C2 DV I • • C3 DC LEGEND • \S2 e e 51 ' • (E) existing •VI (P) proposed AMC Anchorage Municipal Code T (P)SEPTIC TANK AR-application rate �\vs Infiltrator IM-1060 BGL-below ground level �� TH1 10-23-2018 Y BR-bedroom 100 DRY 10-31-2018 C#-cleanout SW-SM SOIL 1'-16'BGDC-double CO 4.1 MPI DV-diverter valve ED-effective depth P WIDE DRAINFIELD EG-existing ground 3 BR, 1.2 AR, RF 0.58 I DECOMMISSION FC-foundation CO REQD AREA:218 SF I IAW THE CODE FG-finish grade 5'W x 44'L x 3'ED I IAW-in accordance with 6'TD IN-inlet1 I INV-invert o FC 1 MOA-Munic.of Anch. LOT 60A ' MPI-minute per inch 3 BR SFH no-monitor tube OUT-outlet RF-reduction factor S#-septic tank cleanout SF-square foot SFH-single family home ST-septic tank TD-total depth PLAN WELL TOP-top of pipe ° TOT-top of tank SCALE: 1"=30' I TYP-typical Crewdson Engineering, LLC Pomeroy, Lot 60A =- .�♦�A`‘‘1, ;LI Septic Upgrade / o.'.s.. i •'•-.!1t.949%11 DESIGN f • James A.Crewdson ' j °�� Prepared for: • ' 011527 ' � Civil&Environmental Engineering Willie Pomeroy Date: 5-10-19 lc4 $-! _/•/• c, PO Box 671389 Chugiak AK 99567 • cellc.1@outlook.com Page: 1 of 1 1�1��N\"=��+� CellText:907.280-9493 • Fax:907-688-2295 Permit: OS LL INFORMATION SHOWN ON THIS DOCUMENT IS ME PROPERTY OF CRE.NDSON ENGINEERING.LLC AND SHALL NOT BE USED FOR ALLC#112279 ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CRENOSON ENOINEERINO,LLC Municipality of Anchorage —~„—\\\‘\ 0• A��kl Development Services Department '' •• •'••IS 4 • On-Site Water and Wastewater Section /iC��•' :V •/' 4700 Elmore SL /*:49— •.* 6/ •�` _ P.O.Box 196650 Anchorage,AK 99519-6650 ��1icAese www.muni.orq/onsite % .. .. ... (907)343-7904 r James A.Crewdson : F,'. , C11527 .�.`,,/r Soils Log - Percolation Test ll� \"`�� Performed For: William Pomeroy Date Performed: 10/23/2018 Leg. ; •. : Pomeroy, Lot 60A Township, Range,Section: /14 Slope Site Plan Depth (Feet) 1- O� 2- 3- 4- S� 5- 4/11 7- 8- WAS GROUND WATER ,� `„� 9- ENCOUNTERED? �v(J S 10- IF YES,AT WHAT DEPTH? L Depth to Water After `F P 11- Monitoring? (V oNe E 12- Date:J*4g 13- 14- Reading Date Gross Time tet Tame Depth to Water Net Drop 115-6- ✓ ivi/g 16 a �� li 6, 9 17- 0 /i ' 18- r? 21/,‘ //: 19- 20- ?ii i' PERCOLATION RATE'2 1-17 f (minutes/1nch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 21 FT AND ' ” FT COMMENTS PERFORMED BY: Crewdson Engineering LLC 1 James Crewdson CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10/23/2018 ASBUILT U SM4ARD & ASSOCIATES LAND SURVEYING 694-0829 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE`� FOLLOWING DESCRIBED PROPERTY: � � Yo DAT AND THAT 9® ENtOACHMENTS EXIST EXCEPT AS �/ INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRID- EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- V00H PLAT. UNDER NO CIRCUMSTANCES SVOULD FS` Y DKfA HEREON BE USED FOR CONSTRUCTION OF FENCE LIMES, OR FOR ESTABLISHING BOUND- ARYDRAWN. LIAES. .*H 1r... •.aeooa ....,L Duarte Merk Sewer' bk / / MUNICIPALITY OF ANCHORAGE ~;~,Ji ~',]~!\\ DEPARI'MENT OF HEALTH & ENVIRONMENTAL PRo~'E~TION t ~ ~1¢~ ~11 ENVIRONIViEN'rAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE I []NEW LEGAL DESCRIPTION Well Absorption area Dwelling i PERMIT NO. ~ ~ DISTANCE TO: ~/~ / ~ ~ ~ ~ ~ ~ ~ ~8nufacturer ~ ~ Mate~ Liq. capacity in gallons Inside length Width Liquid depth J~ IF HOMEMADE: ~ ~ DISTANCE TO: Well ~/_ Dwelling PERMIT NO. O ~ ~anufacturer~ ~ ~aterJal Z -- ~ Liquid capacity Jn gallons Well j Foundatio~ ~ Nearest lot line PERMIT NO. , DISTANCE TO: i/~'~ lO ~ ~0~ ~,~ ~ ~ ~ ~Ol of ii"es / ~mh of e2"¢"~, Total lengT~ 5ne, Trench ~O inches BJstance between lines Length Width De~th PER~IT NO. ~ ~//~ ~ ~ Type of crib Crib diameter ~ ~depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class D~t~,~ Drille~ . Distance to lot line PERMIT NO. ~ ~ DISTANCE TO: ~ui~di~g'fo~ndation Sewer line Septic tank Absorption area(s) OTHER ~IP[ MAT[~IALS N SOILTESTRATING ~ ~ INSTALLERo~E~. ) Z REMARKS 'F/:,,)~, ~¢",~ No. ....... -~"'~ ~ h /// -/ v. 3/78} Departme~ i Permit ~ :~! Applicant: ~. ~/ of Health and Environment. ~ Protection 82-~_..,~, Street, Anchorage, AK.%'"99501 * * * HANDWRITTEN PERMIT * * * ~ WELL AND~{~ ON-SITE SEWER PERMIT ..... -- ~ Location: ~(~ ~p, Phone Number: Legal Description: ' ~--~/~/ ~ / ~' ~/~ ~6'O Lot Size: Type of Soil Absorption System Is: Trench: ~ Drainfield: Seepage Bed: __ Holding Tank: Maximum Number of Bedrooms: ¼.~.~=~ Soil Rating(sq.ft/br) The Required Size of the Soil ~sorption System Is: DEPTH ~ LENGTH /~-~ GRAVEL DEPTH ,_ · WIDTH the bottom o~ the e~oa~atio~(i5 ~eet). ~be:e i~ 5o ~et ~i~tb ~o~ t~e~obes. the bottom o~ the e~oa~at~o~(~ ~eet). · * REQUIRED SEPTIC(~L~G) TANK SIZE : /~ GALLONS * * o~ ~es~e~oe~ that tSe ~eZI wilZ ~e:~e. · * * TWO(2) INSPECTIONS ARE REQUIRED * * * Baok~ZZi~g o~ a~ s~tem ~itbout ~i~Z i~eotio~.a~d a~:o~aZ b: tSi~ ~e~a:tme~t ~i~ ~ista~oe bet~ee: a well a~ a~ o~-~ite ~e~age disposal ~stem i~ 100 ~eet · * * PERMIT EXPIRES DECEMBER 1 9 3 * * * (~) I ~ ~iZia~ ~ith the ~e~i~eme:t~ ~o~ o~-~ite ~e~B:~ (3) I ~de~tas~ that the o~-~itB se~e~ ~tem ma~ ~e~:i:e e~la~geme~t ~cant ' ~ ~ ~ Issued by: ~'~ SWP/024 (1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST 3 4 ~ 5 7 [] SOILS LOG 10 11 12 13 PERCOLATION TEST SLOPE WAS GROUND WATER N ~ S ENCOUNTERED? J~. 0 ~ P E IF YES, AT WHAT DEPTH? 14 15 16 17 18- 19- 20- COMMENTS Da t,~l; Gross Net Depth to Net Reading Time Time Water Drop I PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN /¢ FT AND ~ -~ FT COSA Checklist yellow sheet COSA Checklist Legal Description: Parcel ID: If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA ______________________ Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) 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 if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If 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 Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet COSA Checklist Legal Description: Parcel ID: If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA ______________________ Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) 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 if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If 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 Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. ~IUNICIPALITY OF ANCHORAGE DEPAR'rMENT OF HEALTN AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF iNSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date . '7/l GENERAL INFORMATION LO T- ~:~ C~A, Po ~ ~ ~_o '~ .. (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ~C', [~L~ (~o~ [~O~ ~ (b) Applicant Name~/i/ll~ I¢, ~OME&o~' Telephone: Home d~-~ Business ApplicantAddress ~-R,'¢I '~ox 2_3~ Ciiu6I.AK, ~K ., (c) Applicant is (check one): Lending Institution ~; Owner/builder~; Buyer ~; Other ~ (explain); (d) Lending Institution ~';~C~J¢~I'i'7 ~.'~ (e) Real Estate Company and Agent Telephone 276 ' I~31 Address Telephone (f) Mail the HAA to the following address: o~ il 33'7 ~ I"-//3 TYPE OF RESIDENCE Single-Family)~ Multi-Family [] Number of Bedrooms Other WATER SUPPLY Individual Well~]~ Community [] Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ____~ E.~~-RV~CES Telephone Address E~tGLE t~IVE~, Al( ~9577 Date Engineer's Seal DHEP APPROVAL Approved for"~'/''*~ ~'~ Approved bedrooms by Disapproved Conditional Date Terms of Conditional ApProval CAUTION ']-he Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ~ ~ ¢- J(~C.tJb~ll~l:~f ((~F//4F4CHOP. AG~ ~BR~. r~= ~'¢~[TH & ~B(~l'~lEf~C&. ~ROTECTION JUL 2 2 WELL DATA Well Classification P~ ~' ¢¢~ Well Log Present (Y/N) Total Depth 70 ¢ Cased to Static Water Level ~ --'¢ / Casing Height Above Ground /--~ If A, B, C, D.E.C. Approved (Y/N) /L~/,/Z¢' ~,) Date Completed /,9 ~' ~ Yield ~ ~.~ ~ Depth of Grouting ,,/'z./,~/ Pump Set At ~/~-¢~',~ Sanitary Seal on Casing (Y/N) Y Depression Around Wellhead (Y/N) Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by ~/~"~' Water Sample Test Results /4~'¢, ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date ,~// Comments B. SEPTIC/HOLDING TANK DATA ~"/~- ~./~'~ Size Date Installed Standpipes (Y/N) ~ '* Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well / ¢O + To Property Line /O /' To Water Main/Service Line ,:~.O / Course No. of Compartments ~-- ,~ '"- Foundation Cleanout (Y/N) ~ "4 Date Last Pumped /"-~/~ ; for - -- Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84} C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed / .~,:P 2~ Width of Field .~o /' Square Feet of Absorption Area Depression over Field (Y/N) /L./ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /O~, To Building Foundation ~7~¢ Lot To Water Main/Service Line / To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field /~,-~ Depth of Field /o / Gravel Bed Thickness ~ ~ / i.~L~ Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line /¢ To Existing or Abandoned System on ; On Adjoining Lots ~'~o ~'- To Cutbank (if present) /b)~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed i~~~ Date Company Z~'/~'/~ ..c MOA No. Receipt No. "-~_ L~. ~ '~7 Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) Engineer's Seal APPU ~.NT FILLS OUT UPPER_H~,~ ,~7 ONLY Property Owner Phone Mailing Address 'i Zip Code Addrese ~ip Code : Phone Realty Co. & A~nt Address Zip Code Street Locati~ Type of Resi~nce Single Family Multiple Family No, of Bedroo~ ~ Other Water Supply ' ~idd'~ A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~-~' Community For wells drilled prior to that date, give well depth (attach log if available). . ~ Public Utility Sewer Disposal ~tn~idual Year Individual Installed: ~ P~blic Utility When Connected to Public Utility: ~ Holding Tank ~ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Da~ Inspector Inspector Inspector Inspector Field Not~,~: MAY 2 7 1983 ~PPROVED BEDROOMS~ Y ' :COND TONS OF APPR¢~,'~,~ , "ZaJ~ ( ) DISAPPROVED ( ) CONDITION~ APPROVAL* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received 3~~ ~/~: Well ,o Tank /O~< Septic :~k Size 72-023 (3/82)