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Home My WebLink AboutCONIFER HEIGHTS BLK 1 LT 2Conifer H¢i-ght lock I Lot 2 ! 5-093 -40 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: OSP1 71059 PID Number: 015-093-40❑New Upgrade Name: McDonoughs/Steiert AK Community trustt ABSORPTION FIELD R Deep Trench Fj Shallow Trench R Bed ❑Mound Address 9300 Nordic St El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 1 3 GPD/SFI Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Conifer Heights 1 2 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 1 Ft. Well 100+ NA N/A N/A 25+ TANK El Septic [I S.T.E.P. M Holding Fl Other Manufacturer Anchorage Tank Capacity 125OGal.EI Surface Water 100+ NA N/A N/A — Material Number of compartments Lot Line 10+ NA N/A I N/A STEEL 2 NA Foundation 10+ na I N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ na. I N/A N/A Gal, Remarks septic tank upgrade only 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 MATERIALHousetotank 3034 Tank to 3034 drainfield A-Plus Home Svc Drainfield CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 365ft Inspection Vt 6/8/17 Location and description 2-d dates: 3,d 4th Top of trim at Point B COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date T Steven A CE 814 Approved Date.-10 ljo is it',Pzuuul I Rzpvj L_ 1 - 1- i 4.006 / 3; \ /I \ WELL E / I /45Z %, TRU NORTHI SCALE 0"= 50' I WELL k- / \1 1 \-----—_-__--- — — I I RED COUR II / IV I 3BR B SFD I III 7i/ / \ I FC E I WELL E / I I / \ ( REMOVED AND REPLACED- 1,250g EPLACED-1,250g SEPTIC TANK \T�101.2I If— \ _W/ DCO AFTER TANK 848_ I W 1 T2 51.6 2 844 I I 1 � J DC ! 840 / 5.0 /\ I U / 836 / I \ / / DRIVEWAY / z \ / 832 1 828 / / ---- I _ / Li Za a mZ o f J 2"R.I. J OJ v OG FG EL. 836.0 EL. 833.1 TIC EL.832.9 TANK NEW PROFILE A B T1 54.0 46.6 T2 62.5 56.0 / 3; \ /I \ WELL E / I /45Z %, TRU NORTHI SCALE 0"= 50' I WELL k- / \1 1 \-----—_-__--- — — I I RED COUR II / IV I 3BR B SFD I III 7i/ / \ I FC E I WELL E / I I / \ ( REMOVED AND REPLACED- 1,250g EPLACED-1,250g SEPTIC TANK \T�101.2I If— \ _W/ DCO AFTER TANK 848_ I W 1 T2 51.6 2 844 I I 1 � J DC ! 840 / 5.0 /\ I U / 836 / I \ / / DRIVEWAY / z \ / 832 1 828 / / ---- I _ / Li Za a mZ o f J 2"R.I. J OJ v OG FG EL. 836.0 EL. 833.1 TIC EL.832.9 TANK NEW PROFILE NOTES: PANNONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510'�' PHONE (907) 272-8218 FAX (907) 272-8211 ��''•• "••. 8149 � ••��'•�:,�';C•' Date 9/22/2017 RECORD DRAWING Scale CONIFER HEIGHTS 31 L2 0 MCDONOUGH/STEIERT ALASKA COMMUNITY PROPERTY TRUSTCE 9300 NORDIC ST ANCHORAGE, AK 99507 P.I.D. NO 015-093-40 DRAWN NJC PERMIT NO. OSP171059 SITE PLAN Sheet 2 of 2 P A "` MUNICIPALITY OF ANCHORAGE tnr On-Site Water &Wastewater Program .N° S'r -hive', PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http:I/www.muni.org/onsite = i)clrirtlilt lit ,hHOA pVE On-Site Wastewater Disposal System Permit Permit Number: OSP171059 Effective Date: 4/20/2017 Work Type: SepticTank Upgrade Expiration Date: 4/20/2018 Tax Code Number: 01509340000 Site Legal Address: CONIFER HEIGHTS BLK 1 LT 2 G:2440 Site Mailing Address: 9300 NORDIC ST, Anchorage Owner: MCDONOUGH/STEIERT ALASKA Lot Size in Sq Ft: 30582 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 1 ` Received By: 4�1:.4 Date: 1 1 ♦ Issued By: i1F,L`te.-11/ l 1�CZc' t.F Date: `J/ ofd .20/7 MUNICIPALITY OF ANCHORAGE ‘)Community Development Department o 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. 015-093-40 Property owner(s) MCDONOUGH/STEIERT ALASKA COMMUNITY PROPERTY TRUST Day phone Mailing address 9300 NORDIC ST, ANCHORAGE, AK 99540 Site address 9300 NORDIC ST Legal description (Sub'd., Block & Lot) CONIFER HEIGHTS B1 L2 Legal description (Township, Range & Section) Lot Size 30,582 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial ❑ 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: Distance: 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: Z1 r Waiver Fees: Date of Payment: C.1 i(q 1«' Date of Payment: Receipt Number: 058 'Q6 Receipt Number: Permit No. 05P19100 Waiver No. Permit App_ - :: ,c Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com April 18, 2017 Subject: CONIFER HEIGHTS B1 L2 Tank Replace Permit Request Design Narrative This is a design narrative for a permit to install an upgrade 1,250g septic tank to be issued for this property. The existing 1,250g tank is collapsing. It will be removed per code and replaced. Currently the lot is developed. The proposed system will utilize a replacement 1,250g septic tank that will be connected to the existing drain field. The existing tank is located approximately 100'+ from the well. The proposed tank will be placed outside the existing well radius. All required separation distances will be met. 1. Upgrade Tank Design. A double clean out will be installed after the tank, and a foundation clean out installed before The tank will be located: 5'+from any property line or building foundation 101+ from any water line 100'+from any surface water 100'+from any private wells 200'+ from any public wells The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 907.272.8218. Sincerely, •• a _ • • ••i• Steven R• .Pannone P •, t? e91 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 i~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE LEGAL DESCRIPTION LOCATION Absorption area Dwelling PERMIT NO. ,~gf Liq. capaci~ IF HOMEMADE: Inside length Width ~.~ No. of c~partments Liquid depth DISTANCE TO: Well Dwelling Well Foundation __ I Nearest lot line DISTANCE TO: ~ "1c No. of lines Length of each line Total length of li~ Trench width inches PERMIT NO. iIIons to finish gr~)~ Material beneath le PERMIT NO. ! lines tire )sorption area O Length Width Depth T NO. Type of crib Crib diamet. Total effecl TO: Building foundation Nearest lot line ~th Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE M~ ~ SOIL TEST RATING REMAR K~' APPROVED 72-013 (~v. 3~78) DATE LEGAL Certified RECEIVED:::,, For. ...................................................... , ~" ';: '7, ................... ~ ....................................... -" Date completed C'ct ? 1 ;LS(.) ........................... 'i).. :': Depth of well ............ k)_.~ ' .... :~¢~' ............................................................................ ,[ .Size of casing ....... ().'.'. 2. ,.!.~., .................................... '!il;' ?:'' '?Z,, ?.': Distance to water ...... [.t?.!f.!... ,?~, I)is~ance to waler while pumpin§ .......... .-_...].¢_1 ~ .................................. at talc o£ ................ ~;.0 .................... §allons. Der hour. _ E.P. O21~b.i-own ti].l -- i -_._:: 5-' -- ~ oilt <' ~, ~' '" "- - -~ '~ ~~ ~';P' t Tan till-silt stz'e'aks~'ha~ _ t'];~:L~-- ,,;.'~nd ?,. r:/rave3.t '}.:oral pipe lei't I certify the above true and correct. .._/~'c, ,:a.,-,,z. &, 'F' ........... ~-i~-; ............. '-" '~ .................. DOTTEN DRILLING CO. John's Road SPENARD, ALASKA We advise >'ou to attach this certificate to your deed, ,:,~,., ' STREET., ANCHORAGE, R}::l. 'ag.:,~.,l · -' ~4-4 ,' 2~2~ .~. klELk_ liNE.", Cm~W--S I TE SE&WER PERMIT NO. aPPL I CaNT TI MBERLINE HOMES INC SRA BOX _-<l-L LOCAT I ON NOP.,D I c _,T LEGAL TYPE OF SOIL ABSORPTION SYSTEM IS' TRENCH [1F~.:,IMLM NUMBER OF' BEDROOMS = 4 SOIL RATING (SQ FT/BR)= 1'.:~0 THE REQUIRE[> ~I-.E OF THE SOIL aBSORPTION SYSTEM IS [:,EP'TH= :1.2 LEI'~GTH= 48 GRA"4EL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF a TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE aND THE BOTTOM OF THE ExcavaTION (IN FEET). REm;ILl I F-:EE-~ SEPT I ¢ TIII'-IK S I ZE= -125~3 m]ALLCml'-Ie PERMIT aPPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTaLLaTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TklO < ~ ) I N_'~PECT I OI'-IS lIRE RE~.~I_I I EEl::" E, RCkFILLINt~ OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEF'ARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND aNY ON-SITE SEWAGE DISPOSAL SYSTEM t00 FEET FOR a PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO a PRIVATE SEWER LINE IS 25 FEET aND TO 8 COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F"ERr"I I T' E>::P I RES DECEMBER _~L.. I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS aND HELLS aS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN aCCORDaNCE WITH THE CODES. i~:: I UNDERSTAND THaT THE ON-SITE SEWER SYSTEM MaY REQUIRE ENLARGEMENT IF THE ~ESIDENC~EMODELEJ~SDE~_~./~~ MORE THAN 4 BEDROOMS. ISSLIE[> B',' ~- _DATE .... V4. 0 ANCHORAGE, ALASKA 99503 4040 "B" STREET (907) 278-1551 August 12, 1980 W.O. #A19409 Grid: 2440 Mr. Bob Lutje Timberline Homes, Inc. SPA Box 31L Anchorage, AK 99507 Subject: Subsurface Investigation for Suitability of On-Site Waste Water Disposal System for Lot 2, Block 1, Conifer Heights Subdivision Dear Mr. Lutje: Transmitted herein in accordance with your instructions are the results of the above referenced investigation as per- formed by us on August 7, 1980. The scope of this project is an investigation for suitability of on-site waste-water disposal system. Included in this transmittal are: Test Hole Location Sketch Test Hole Log Explanatory Information Figure 1 Table A Sheets 1-3 The exploration was conducted using a continuous flight solid stem auger. The rig is owned and operated by Denali Drilling, Inc. Drilling was supervised, the test hole logged and percolation test performed by Mr. O.M. Hatch, engineering geologist with Alaska Testlab. The log of this test hole is included as Table A'of this report. In interpreting the log, it would be helpful to utilize the explanatory information contained in Sheets 1 to 3 of this report. When drilling was completed a 3/4" slotted PVC pipe was inserted in the hole to aid in determining the free water level. For the percolation test, the test hole was fill.ed with water and left overnight to saturate. On returning the next day, the hole was refilled with water and the drop in water level carefully monitored over the next 60 minutes. Mr. Bob Lutje Timberline Homes, Inc. August 12, 1980 Page 2 This procedure is not a standarized percolation test, how- ever, we understand that the Municipality of Anchorage, Department of Public Health and Environmental Protection prefers test performed in this manner to evaluate a site for a proposed on-site sewerage system. Using the above test, the observed percolation rate was 7.0 minutes per inch. However, the soils were highly layered. Therefore, this percolation rate is probably only representa- tive of the Silty Sand layer from 2' to 4' and the Silty Sandy Gravel layer from 8' to 12'. Because of this, we recommend keeping the system in the layer from 8' to 12' and using a more conservative design value of 15.0 minutes per inch or 190 square fe_e~t Fer h~room. This is based on criteria in ~e~Manual of Septic-Tank Practice", U.S. Department of Health Education and Welfare, Public Health Service. We recommend that the seepage trenches be inspected prior to installing the system as the above recommendations are based on the results of a 6" test hole. The seepage trench will provide a much clearer picture of the subsurface condition than the test hole. If conditions are different than encountered in the test hole, it may be necessary to lengthen or enlarge the trenches. No water table was observed during drilling. Therefore, it does not appear that the water table will interfere with the construction or operation of the system. We hope this report meets your present needs. If we can be of further service, please feel free to contact us. Sincerely, ALASKA TESTLAB Terry L. Barber Geologist TLB:rb Enclosures AP P ROVE D Melvin R. Nichols, P.E. Laboratory Manager BI TI-I-£ //.~/ /~.,~ Test Hole #1 Table A WO #A19409 Date: 8/7/80 Logged by: O.M. Hatch Depth in Feet From To 0.0' - 1.0' 1.0' - 2.0' 2.0' - 4.0' 4.0' - 8.0' .0' - 12.0' 12.0' - 16.0' Soil Description F-4, brown Peat, moist, soft. F-4, brown Silt, non-plastic, moist, soft, NP. F-2, brown Silty Sand, poorly graded sand, moist, medium dense. F-4, brown Gravelly Sandy Silti non-plastic, 3" maximum size gravel, moist, stiff. · F-l, brown Silty Sandy Gravel, poorly graded, subrounded, 3" maximum, moist, medium dense. F-4, brown Gravelly Sandy Silt, non-plastic, 3" maximum size gravel, moist, stiff. Bottom of Test Hole: Frost Line: Free Water Level: 16.0' None Observed None Observed DATE RECEIVED INSPECTION APPOINTMENTS ~,1,1~..? ,:~ ~),. { TIME TIME DATE DATI~- ' DATE INSPECTOR , NSPECTO~.') INSPECTOR DEPT. ()F MUNICIPALITY OF ANCHORAGE ~NVIRONMFN~,',~ ~, ~L-C[ION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street- Anchorage, Alaska 99501 ~} ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. 1, P~O~ O~E~ PHONE MAILING ADDRESS ' ~ PROPERTY ~IDENT (If different from above) PHONE 2. BUYER PHONE I MAILINGADDRESS 3. LENDING INSTITUTION PHONE 4. REALTOR/AGENT (~ ) ' PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE NUMBER OFtBEDROOMS ~ One ~ Four ~ Other~ ~ ~ Two ~ Five SINGLE FAMILY ~ MULTIPLE FAMILY ~ Three ~ Six WATER SUPPLY INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled 'prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified [~Septic Tank or I~ Holding Tank Size: ~/,-'~ ,,'~-~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line NUMBER OF BEDROOMS [] ONE [] TWO [] THREE [] FIVE [] FOUR [] SlX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL t Septic/Holding Tank IAbsorption Area Sewer Line [] OTHER INearest Lot Line 5. COMMENTS DATE [~"~,PP ROV ED FOR 4- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) E~ DISAPPROVED ///) 72 010 (Rev. 6/79) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995'19-6650 www. munLorg/onsite (907) 343-7904 Parcel I.D. o:~5-o9q-4o CERTIFICATE OF ON-SITE 'SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING cos^# // Expiration Date: 1. GENERAL INFORMATION Complete legal description Conifer Heiqhts, Block z, Lot 2 Location (site address) 9300 Nordic Street Current Property owner(s) Mailing address Lending agency James Starry 9300 Nordic Street, Anchorage, AK 99507 Day phone 346-2249 Day phone Mailing address Real Estate Agent Mailing Address For Sale By Owner Day phone Unless otherwise requested, COSA will be held by DSD for pickup. N U M BER: OF!~"B ~D ROO M S: TYPE OF WATER SU!~PLY: nd vidual: wa[e'r"Stdrag~ [] Commbhity Ola§s ' Well [] Pbbii¢~ Wat, e. LSy[tem [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title.(except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B Wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in th~ professional engineer's work. 4. 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 Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box loo:~17, Anchorage, AK 99qlo Engineer's Printed Name Steven R. Pannone, P.E. Date 6/27/2Oll Engineers Comments: In conducting an adequacy test, I attempt torprovide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & 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 dunng the year, and the water usage of the family being served by the system. These cond~uons are outside the control of the evaluator ofth~s 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. PES can therefore not provide any warranty for future ~.....~..~,~.~ ...... performance nor give any estimate of how long the system will continue to meet the operational ~~..~..., requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed ab~ve.Anyre~ianceup~n~ruse~fthisrep~rtbyany~therpers~n~rpartyisn~tauth~rizedn~r~i~~it '~'~9~"-.. No. CE 8149., .~ confer any legal right Whatsoever. 5. DSD SIGNATURE c.~ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory /// X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~--~- ~ (~' '"// Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Conifer Heights~ Block =.~ Lot 2 Legal Description: A. WELL DATA Well type Private Date completed Total depth =.97 ft. IfA, B, or C provide PWSID #~ Sanitary seal (Y/N) Y Cased to -J-~1~;:t--ft' ft. g.p.m. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Ne§ colonies/100 mL Arsenic: ND ug/I B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Tank size =.250 gal. Foundation cleanout (Y/N) Y Date of pumping C. ABSORPTION FIELD DATA Parcel ID: Nitrate 5.=.zr mg/L Date of sample: .6/2o/2oz~ Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) =.8 AT INSPECTION :~66 ft. ~-9 g.p.m. Collected by: DRM Date installed Number of Compartments _= Cleanouts (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Pumper Isaacs Pumping Service Date installed q1=.51=.98o Soil rating (g.p.d./~ or ft2/bdrm) =.9oSFIBR Length 50 ft. Width 2~ Total depth ~ ft. Eft. absOrption area 80o ft2 Date of adequacy test 81:~6/2o=.o Results (Pass/Fail) Fluid depth in absorption field before test o__ in. Elapsed Time: 7o min. Final fluid depth _o in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N Monitoring tube Y Pass System type Deep Trench Gravel below pipe 8 Depression over field N For/, bedrooms Water added6zro gat. Absorption rate >= 6oo+ in. New depth_8 in. g.p.d. If yes, give date D= LIFT STATION Date installed "Pump on" level at~ Datum Size in gallons in. "Pump off" level at ~ in. Cycles tested E. SEPARATION DISTANCES Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot lOZ~ Absorption field on lot zoo+ Public sewer main 75+ Sewer/septic service line 25+ Holding tank zoo+ Animal containment areas 50+ Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Property line ~.o. Water service line 25+ Building foundation zo+ Water main zo+ Wells on adjacent lots zoo. On adjacent lots zoo+ On adjacent lots zoo+ Public sewer manhole/cleanout SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line lO+ Absorption field, 5+ Surface water zoo+ Water Service line Curtain drain 50+ F, COMMENTS Ee-(Zertivication lO0+ loo+ Building foundation ~.o+ Water main 75+ 25+ Surface water lOO+ Driveway, parking/vehicle storage Wells on adjacent lots zoo+ in. I certify that I have determJned through field inspections and · ' ' rewew of Municipal taco.s that the above systems are conformance with MOA COSA guidelines in effect on this date. Engineer s Printed Name Steven R. Pannone. P E COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Community Development Department Development Services Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.rnuni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On-Site Systems Approval # 101195 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1, Lot 2 of Conifer Heights subdivision. This inspection revealed a nitrate concentration of 5.14 milligrams per liter (rog/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. o:~5-o93-/+o COSA # (~,~,, Expiration Date: GENERAL INFORMATION Complete legal description '~ Conifer Heights, Block z, Lot 2 Location (site address) 9:]00 Nordic Street Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent For Sale By Owner Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. James Starry 9goo Nordic Street, Anchorage, AK 99507 2. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well Individual Water Storage CommunitylClass __ Public Water System Well Day phone 346-2249 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank [~ [] Community On-site E~ [] Public Sewer r-] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells ~r a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professiona/e!:~lipegr's work. 4. 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 Pannone Engineering Services, LLC Phone 27:2-8218 Address P.O. Box 100217, Anchorage, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 8/31/2OLO Engineers Comments: in conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & 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. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSO SIGNATURE \/ Approved for /_iL bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Conifer Heights, BloCk 3., Lot = A. WELL DATA ' Parcel ID: o3.n-o9~-,.o Well type Private Date completed Total depth 3.97 ft. If A, B, or C provide PWSID # ~ Sanitary seal (Y/N) Y Cased to ._~ft. FROM WELL LOG Date of test . 3.ol3.13.98o Static water level Well production 5 WATER SAMPLE RESULTS: Coliform 4/~ colonies/100 mL Arsenic: ~/D ug/I B. SEPTIC/HOLDING TANK DATA Tank Type/M'aterial Steel ff. g.p.m. Nitrate ~ ~Z. mg/L Date of sample: ~r/Zb Tanksize 3.a5o gal. Foundation cleanout (Y/N) Y Date of pumping 81:~nlao',o C. ABSORPTION FIELD DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 3.8 AT INSPECTION 81a6/203.0 ft. g.p.m. in. Other bacteria ~/~ colonies/100 mL Collected by: .~.~/,4~,¢~ E'~E(,C,/C,c~.~t~,p,. Date installed nl~.nl3.q8o Number of Compartments z Cleanouts (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Pumper Isaacs Pumping Service Monitoring tube Y Pass Date installed 913.nh.98o Soil rating (g.P.d./~ or ft2/bdrm) 3.9oSFIBR Length 50 ft. Width Total depth 3.= ft. Eft. absorption area 800 ft2 Date of adequacy test 81~61~o=.o Results (Pass/Fail) Fluid depth in absorption field before test _o in. Elapsed Time: 7o min. Final fluid depth _8 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N System type Deep Trench Gravel below pipe 8 ft. Depression over field N For _~ bedrooms Water added~ gal. New depth_8 in. Absorption rate >=~_/~+ 6Oo~ g.p.d. If yes, give date LIFT STATION Date installed "Pump on" level at~ Datum Size in gallons in. "Pump off" level at ~ in. Cycles tested E. SEPARATION DISTANCES Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ~.o~ Absorption field on lot Public sewer main 75+ Sewer/septic service line Animal containment areas 50+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Property line ~o, Water service line On adjacent lots ~.oo, On adjacent lots ~oo+ Public sewer manhole/cleanout ~.oo+ Holding tank Manure/animal excrete storage areas Absorption field Surface water Building foundation ~o+ Water main ~.o+ Wells on adjacent lots ~.oo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ~oo+ Property line ~.o+ Water Service line Curtain drain 50+ COMMENTS Water main 75+ Driveway, parking/vehicle storage Building foundation ~o+ Surface water ~.oo+ Wells on adjacent lots ~.oo+ in. 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. Engineer's Printed Name Date Steven R. Pannone, P.E. COSA Fee $,, Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On-Site Systems Approval # 101195 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1, Lot 2 of Conifer Heights subdivision. This inspection revealed a nitrate concentration of 5.42 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. RED COURT Lot 5 N 90'00'00" W 60.60' 5.0 21.2 36.1 Existing House 12.4 24.0 o 2.( 1.~ LOT2 O' UTIL ESM'T N 90'00'00" W 167.20' 50' _ rY o o (22) ~ 0 b z 0 Lot 1 50' NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. Legal Description: AS-BUILT Lot 2, Block 1, Conifer Heights Subdivision Ordered By, Jim Starry Legend: Septic Standpipe ® Water Well e Fence ~X~X SURVEY CERTIFICATION: LANTECH has conducted a physical survey of the property as shown on this drawing and certifies that the improvements situated thereon are within the property lines and no encroachments exist other than noted. EXCLUSIONARY NOTE: It is the owners' responsibility to determine the LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGINEER.~ existence of any easements, covenants, restrictions or right--of-way I takings which do not appear on the recorded subdivision plat. Under ~440 West Benson Boulewrd, Suite 200 Phone: 562-52911 no circumstances should any data hereon be used for construction, ~Anchomge, AIQsE~ 99505 Fex: 561-6626 for establishing property lines, or for plot-plan purposes. JPlat: 71--190 Grid: 2440 Date: November 1, 2010 Drawn By, PL Jwo~ Order: 2010--L--252 rb/Pg: 768/18 Ref: 92--L--O15A Scale: 1"=50' Checked By, JMZ