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HomeMy WebLinkAboutAURIGA LT 1Onsite File g Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number OSP181146 PID Number: 090-022-37 Dwelling: IllSingle Family (SF) Cl Duplex(D) [' Multiple(SF and/or D) Project: ■❑ New ❑ Upgrade Name: Sally Mead ABSORPTION FIELD Address • ❑ Deep Trench ❑ Shallow Trench ■❑ Bed El Mound 1072 Powerline Road ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8 GPD/SF 5.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.5 Ft._0.5 Ft. Auriga 1 Fill added above original grade Gravel length Township Range Section 0 Ft. 50.0 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 15.0 Ft. 3 5 Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 750 Ft2 N/A N/A Ft. Well 178.1 149.1 N/A N/A 10+ TANK M Septic 0 S.T.E.P. 0 Holding ❑Other Manufacturer Capacity Surface Water 100+ 100+ N/A N/A Anchorage Tank 1250 Gal. Material Number of compartments Lot Line 41.5 14.4 N/A N/ANA Steel 2 Foundation 15.8 34.2 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A N/A Gal. Remarks Pump on level at Pump off level at High water alarm at in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield H.R. Redmond Co, Inc Drainfield 3034 CO/MT3034 Inspector PES BENCH MARK (Assumed elevation) 100 ft Inspection 151 7/13/18 2nd 7/14/18 Location and description 3" 7/16/18 4'" 7/17/18 Front deck corner COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date •T•4t. •• '4sll, "" - ' ' -- t ••never:•R. Pannone p tl 1,• C�E818149 ,�/� Approved L` W Date 7-24(le k1 s� .� Inspection Report_9-1-12.doc \\.1.1 ,, t A B Ti 19.3 28.6 V"-i T2 25.8 35.6 � •\ DCO 29.5 39.4 M1 50.6 47.3 1 Cl 52.0 49.0 . ,--L.N. _ C2 55.1 53.5 0 $ C3 58.9 58.3 Z / • M2 60.7 60.7 W L WELL, / P-4,- �� S0 A0 `• ' C4 50.2 72.8 f , GF,F' I '9 00 C5 44.7 68.1 �P PT C6 39.7 64.0 O� 1 BR ADU • M4 37.5 61.9 4) v� ki(DRY) • c f. \ 0P _ (E) Go • �� 'II/ 130.0 ��'LF • /� O • \ -9,s, N / OOH �./ M C3F.// /(�4� ��LT • .� X W 17.0 1 C2 4/)._ \. W W '4 M11 1250g SEPTIC TANK (E) n5, DECOMMISSIONED PER CODE DRAIN FIELD (E) IN FAILURE , /6z„ DCO AND REPLACED WITH 12508 SEPTIC TANK (NEW) REMOVED ALL BIOMATTED MATERIAL j INSTALLED DOUBLE CLEAN OUT \yAND REPLACED Nn"' ��� T2 .� TiC 'iiii \ �` B TED MOORE 1987 J C6,'` 1Q 36R HOUSE ---.../ \ M4 A (E) 'N LOT UPGRADE DRAIN FIELD (NEW) \ REMOVED AND REPLACED EXISTING // EXx 15'W x S DD x 5.5'TD EXCAVATED TO SAND LAYER AND 2 REMOVED BIOMAT AND REPLACED /� WITH SAND AS NECESSARY INSTALLED MT IN EACH CORNER AND DESIGN PARAMETERS CO AT EACH END OFEACH LATERAL UPGRADE SEPTIC SYSTEM _- N.NO. BEDROOM: 4 (600 gpd) TANK SIZE: 12508 PERC RATE: <1 MPI SOIL RATING: 0.8 GPD/SF \ N 7---- AREA RQD: 750 SF \ ABBREVIATIONS /SYS. TYPE: BED 15'W LEGEND TH TEST HOLE SE.P� \MIN LENGTH: 50.0 LF 00 W WATER LINE/ \(P) PROPOSED USED: WELL RADIUS (E) EXISTING 50 LFx15'Wx0.5' E.D., 5.5' TO CO CLEAN OUT NO. REMOVED BIOMAT AND REPLACED SS NEW SEPTIC MT MONITOR TUBE N0.\ WITH SAND AS NECESSARY TYP TYPICAL TONAL AREA: 7507 N . NOTES: �����\\\ Dote PANNONE ENG SVC, LLCOF At 4'1 7/20/2018 RECORD DRAWING - P.O. (907) X100217 ANCHORAGE, AK 99510 ,g...-,c .. 'qs 11 PHONE 272-8218 FAX (907) 272-8211 /- �L.:140#0 Scale 50 4 AURIGA, LOT 1 r ,,•, 1090-022-37 Steven R. 'Pannorae'� PERMIT NO. SALLY MEAD �0 /'F'. CE 8149 •. �/ OSP181146 1072 POWERLINE ROAD o, cs •.� PLAN BIRD, AK !ll�4-',.• �ssoNP`*� Sheet `AN"\\ �� 2 OF 3 N N x x Z ,- H i-I- ,. Id W M 0D 0 0 7D x m m x 00 p0 Z QZ wzz 7 ~ 1- D Z Z <L.J W Q 0 Q: K p 0.4 0 0 -I-r Z p 0 Z �0 00 w Z Z w 0M M 0 - -98.6 - _ _ /94.3(NW SIDE) TH-TED MOORE 95.6(SE SIDE) PT--0.5 95.2(0TH) .-_._ • `ML--1.5 94.0 1250g SEPTIC 93.8 TANK(NEW) GM CONNECTED AT 90.61- 1.5'-2.5'SAND 90.1 6 -6.0 MIDPOINT OF FIELD REMOVED B10MAT-Z ]SAMPLE®8.0' (7/13/18) SW -11.0 SP --7-- -12.0 83.2(10/9/87) -13.5 -SM--14.0 PROFILE NOTES: PANNONE ENG SVC,C, LLC s~SOF qv, Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, ) 99510 r�� Cgs�l1 7/20/2018 PHONE (907) 272-8218 FAX 907 272-8211 eco..' �4 . • -v Scale AURIGA, LOT 1 t ..... 37 Steven R. Po none / PERMIT NO. SALLY MEAD �0 10•, CE 8149 .•,j osP1IT 1072 POWERLINE ROAD l� cs . •• _� PLAN BIRD, AK 111 ?).•• SStON � ,...1.: Sheet `•k\X' .1" 3OF3 040.002 Crowther Associates Client: Pannone Engineering Services Project: Auriga Lot 1 Date: July 16, 2018 Particle Size Distribution Table (percent passing sieve size) Sample Source Lot 1 Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer 3 inch 100 1-1/2 inch 100 3/4 inch 100 #4 98 #10 92 #40 49 #100 13 #200 8 0.02 mm Classification Sand with Silt (SP-SM) 1632 Bellevue Circle/Anchorage,Alaska 99515 Telephone(907)349-2198/E mail:crowther@alaska.net \ lPAtI MUNICIPALITY OF ANCHORAGE oa `1111 I1( On-Site Water&Wastewater Program PO Box 196650 4700 Elmore Road • Anchorage.Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 httpa/www.muni.org/onsite p�ryry R Dcpartnictit �'tiCfiOR PGE On-Site Wastewater Disposal System Permit 743/i' `gyp Permit Number: OSP181146 Effective Date: 6/28/2018 Work Type: Septic Upgrade Expiration Date: 6/28/2019 Tax Code Number: 09002237000 Site Legal Address: AURIGA LT 1 G:4760 Site Mailing Address: 296 AURIGA LN, Indian Owner: MEAD SALLY Lot Size in Sq Ft: 103819 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field 0 Septic Tank 0 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: 1. Per the new code, the USCS soil classification shall be determined by a sieve analysis. Construction may proceed at your own risk. 2. The privy near the field is to be removed prior to inspection report approval. 7/9/18 Change Order#1: Design changed to remove and replace bed. Received By: _ . ai _ � 01. A Date: —11101 43 Date: /fig Issued By: ►�i 4 If i._ /_ MUNICIPALITY OF ANCHORAGE Community Development Department + Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 090-022-37 Property owner(s) Sally Mead Day phone Mailing address 2150 Stanford Drive, Anchorage, AK 99508 Site address 1072 Powerline Road Legal description (Sub'd., Block& Lot) Auriga, Lot 1 Legal description (Township, Range& Section) Lot Size 103,819 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: IN all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑x Upgrade ❑x 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: 5409 Waiver Fees: Date of Payment: (a 1($0 Date of Payment: Receipt Number: 015636 Receipt Number: Permit No. rS PI?I la, Waiver No. Permit App_.- :;..,c: Municipality of Anchorage On-site water and wastewater REVIEWED FOR CODE COMPLIANCE Pannone Engineering Services LLC OSP181146,Deb Vuxkenfuss,06"28/: Steven R. Pannone, Principal Registered Professional Engineer E-mail:stevePpanengak.com June 14, 2018 Subject: Auriga, Lot 1 Upgrade Septic System Permit Request Design Narrative This is a design narrative to issue a permit to install an upgrade septic system to be issued for this property. The proposed system will serve an existing three (3) bedroom house, with a one (1) bedroom ADU. The 1250g septic tank will be verified and replaced with a new 1250g septic tank if it is found to be leaking. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system. 1. Soils. One test hole was conducted in the vicinity of the proposed system in 1989 by Ted Moore. Ground water was not observed to a depth of 12' below the surface in May 1989. Bedrock was not encountered in the test hole to 14'. Based on the results of the percolation tests and overall soils appearance an application rate of 0.8 gallons/day/square was used in the area of the test hole. The engineer will perform a verification test hole to ensure continuity of soils at time of construction. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water:There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography on the lot generally slopes from southwest to northeast, with a slope of approximately 8%-10% in the area of the proposed drain field. There are no steep slopes within 50' of this system. 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. 6. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at 272-8218. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 \\._,,_ 1 2i •` -../ \ . ---.--N. ____ . x 2 . . % / • . ........ • [>---ti, WELL ("E.,),,„,„, G��P''Qp�O �,-- • . P I • Ockp\\\''' 1 BR ADU (iii 4:5 •\ �\� 4132.0 FFgs • N. / pie 1/ O,pzt� �til •x N� 1--- 4411k. I �-9)- � wW W/ • 1250g SEPTIC TANK (E) f,- DECOMMISSION PER CODE DRAIN FIELD (E) IN FAILURE "> AND REPLACE WITH 1250g SEPTIC TANK (P)\ REMOVE ALL BIOMATTED MATERIAL _, •>��> INSTALLDIVERTER VALVE 7 AND REPLACE `/ * \y • 15.y \ THS 1 TED MOORE 1987 `NAYS 9 s HOUSE � (E) N • \ LOT1 N UPGRADE DRAIN FIELD (P) \ REMOVE AND REPLACE EXISTING / 5OLF x 15'W x 0.5'ED x 5.5'TD / EXCAVATE TO SAND LAYER AND 2 REMOVE BIOMAT AND REPLACE /� WITH SAND AS NECESSARY INSTALL MT IN EACH CORNER AND DESIGN PARAMETERS co Ar EACH END oF`cH LATERAL UPGRADE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) N TANK SIZE: 12508 PERC RATE: <1 MPI N;SOIL RATING: 0.8 GPD/SF \ AREA RQD: 750 SF ABBREVIATIONS /SYS. TYPE: BED 15'W LEGEND TH TEST HOLESEP' \MIN LENGTH: 50.0 LF 00 W WATER LINE/ \(P) PROPOSED USE: WELL RADIUS (E) EXISTING 50 LFx15'Wx0.5' E.D., 5.5' TD CO CLEAN OUT NO. REMOVE BIOMAT AND REPLACE SS NEW SEPTIC MT MONITOR TUBE NO.\ WITH SAND AS NECESSARY \ TYP TYPICAL TOTAL AREA: 750 j F \ •\ / NOTES: _.�.���. v Date CHANGE ORDER PANNONE ENG SVC, LLC .�SOF A/ It 7/9/2018 P.O. BOX 100217 ANCHORAGE, AK 99510 . . .:.:1040 PHONE (907) 272-8218 FAX (907) 272-8211 j 0'; ' ��i'�y,�i Scale 50 j 1i �� :••,0 P.I.D. NO AURIGA, LOT 1 - 7 Steven F. I5'annone / PERMIT NO. SALLY MEAD ri CE 8149 '/ OSP181146 1072 POWERLINE ROAD • PLAN BIRD, AK 111 ie:•• o••. = Sheet i��\�\`‘-- --qb- 1 of 2 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: REMOVE AND REPLACE SEPTIC TANK AND REMOVE EXISTING ABSORPTION SYSTEM AND ALL BIOMATTED MATERIAL INSTALL SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 12 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 12 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 EXCAVATION, 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 ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE 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 CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: . BY: . TITLE: DATE: NOTES: Date CHANGE ORDEROPANNONE ENG SVC LLC - pF A� \l 7/9/2018 P.O. BOX 100217 ANCHORAGE, AK 99510 r '��' qS 1 PHONE (907) 272-8218 FAX (907) 272-8211 .... Scale , • *1, NTS X47 ') m.•• P.I.D. NO AURIGA, LOT 1 1.1-022-37 Steven R. Pannone / PERMIT NO. SALLY MEAD � •P• CE 8149 �j 1072 POWERLINE ROAD �1 • OSP181146 cs . .g, DESIGN DETAILS BIRD, AK 11.F•o• •• Sheet �i��OFESSI�+ 2 OF 2 r yo 8463x1 woo SCALE: 141= 60' EASEMENTS OF RECORD, OTHER THAN THOSE= SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HERGON UNLESS OTHERWISE NOTED. ✓ y s LOT 2 stw+ UNSUBDIVIDED LOT 1 � N. ` ell -- wl oF ebb' .� rr•.�'. .*�,,�... ��, ago Vii¢ d� LOT 14 rE 17-8, pg 28 f k x -".Fred Walatka.Of ' 3255— s ,p BE A"UILT NO CORNERS SET THIS DATE I homby cordfy chat I have per'formad a Mortgageo's insp Wan of the fcaicwft d000d ad property: LOT .1. AURI.. A SLMQJM ©i N Arichwav Rewrding PfWnd, Alwka, WO that itte knprmmwts aituated thwoon aro within ft wopertY Ums and dry mat overlap of enmach on tho pwpoyrWng adloco rt thergto, that no Jrrtprovementa an tft4 pmpody tying adjacent theroto encroach on Ov premises In question and tto there are no roud*uys, tranarnlsaton tirrt+s or othar vislbfe easomenls on said property axe* as Wfcated hereon. Dat6d at Artrhnrager. AJaaka this Zlh day aSmasmW r , X017. FRED WAtATKA 8 ASSOCIATES Eagiftsm and Surveyors Municipality of Anchorage 'Page ~ of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: .%W q J 0 I 7.5' PID Number: 0 ~(;::)0 2 2 1~ _ Name: ~;,~ L Ld ~ E ~ ~ Wastewater System: ~ New ~ Upgrade AOOress:~3~ GLEN~oo~ , ~N~o ~qSO8 ABSORPTION FIELD Phone: ~ 7~-- ~ ~ . of Bedrooms: ~ ~ Deep Trench ~ Shallow Trench ~Bed ~ Mound ~Other LOT ~1'~ Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION ~ss ~ L2 GPD/Sq, Ft. Lot: ~ ~ ~; ;;~k: ~ Subdivision:~ ~ ~, ~o c, Depth to pipe bottom from original grade: Gravel depth beneath pipe Range: Section: Fill added above original grade: Gravel length: Town~ip: J~ N [ ~ [ 0 O,~ Ft. ~0 -,Ft. WELL: ~ New ~ Upgrade Gravel de,~:~ ~ Number of lines: ]Distance between lines: Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: : Pipe material: ~D~ Ft. Ft. ~SO / SO. Ft. F ' 8 I0 pElF Driller: OateDrilled: Stafic Water Level: Installer: ~_¢/~, Dateinstalle~: / ~t. DoN Cg~RAb~/~/gl Yield: GPM [ Pump Set at: Ft. [ Casing Height Above Ground:Ft. TANK i i SEPARATION DISTANCES ~Sept~ u Holding ~ S.T.E.P, To Septic Absorption Lift Holding 3ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank S .... Lines Anc~AGe TANk Well ~ 50~ [ 20s~ __ ~ [ H5~ Material: ~ L Number of Compartments: Sudace ~ Water 13o Io~ -- - izS' LIFT STATION LineL°t ~01 J J ~ ~ ~ ~0~ Size in 9allons: [ Manufacturer: I ~, __ "Pump °n" level at: I "Pump °fr' level at: I High water alarm at: Foundation- 15 ~ ~ O ' Curtain Pump Make & Model ~ Electrical Inspections performed by: Drain ~ ~ - - -- I Remarks: ~~ mj~lle~ p~r ~~.~ BENCH MARK Location and Description: At'ch eg $o;I xa~ple ~e~o~a ~ ~ [ Assumed Elevation: 100, 0 :;:' :': ENGINEER'S SEAL Inspections performed by~ffo~ ~;~ Se~vjc~Dates: 1st ~/~/2] .... ' ..... " ]~5S0 ~c~o St~ee[ 2nd ~ / 7/~ / ~~ Department ot Health and Human aervices approval "~ ~' "' ' Reviewed and approved by: ,~-~ ~t~,~ Date: /~ - 17-¢/ 72-013 (1/91) MOA 25 Permit No. ~ J4/ c~lO I '7,5' Page ~ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: ~.oT ~ /~URI6;/~ (/.,eT ~'~ VS5 .52_o3.") PID No.: .SooTH ~~I Flattop Tec.,hnicaI Ser' 72-013 A (2/91) MOA 25 - ices ~516 Permit No. $~ 91o 175' Page ~ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: LoT I AuR~¢~ (LoT I'~ L,'SS 32o-z.''x) PIDNo.: 0~00221~ loc> ~0 $~'PTIC T RN I,:: OUTLET VF. RT~cAc 5c AcE 72-013 A (2/91)MOA 25 ORIG. F.-T~. F4i~R IC Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 'BoTTo~ o1: T,N, 91, ENGINEER'S SEAL _~,~..,,,... "-x~ ~ '*: 49~ ~.'~ ?;% ',~ ~ ... ..- -~ PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST i ~. THEODORE F, g~OORE ' ~ DATE PERFORMED:. ) /~/~/ LEGAL DESCRIPTION: 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 Fe~c Y'~¢ ~o~e Township, Range, Section: SLOPE WAS GROUNDWATER ENCOUNTERED? S IF YES, AT WHAT O DEPTH? p E Deplh l0 Waler Alter Monitoring? Date: 5~.c ~'% T'/o/',/,, R /~ SITE PLAN A > ~.~ ~ . ~E PTi C, Reading Date Gross Net Depth to Net Time Time (C'~,.) Water Drop COMMENTS cz~aeer co~S'frc~c',~bn. .Sa~,,,?le collec/.e~ ~ PERFORMED BY: F('~,~':~,p '7-ec6, _q'o-c. ~ "~ ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, 72-008 (Rev. 4/85) PERCOLATION RATE '~, t/ (m,nutes/mch) PERC HOLE DIAMETER 7 TEST RUN BETWEEN 7, CT2 FT AND ~ ,.~ FT CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: Y/ ~,.~ //~ I October ~:usan Oswald Em,'~ronmenta! SeF'vlqes Depar'tment of Health and Hurnan Ser'v~ces f'.lurd c!pal i tv of Anchoraae .~nchorage., A't aska Dear'. Ms, Oswald, Regarding the ons~te disposal system for Sally Mead, U S Subdivision 3202 Lot 13 under appticatioa as Aur'iga Subdivision Lot A. i certifv that the original gray wa[er' drain system nas been abandoned and the newly constructed septic: system under permit ~' SW910175 has been connected and is ~n full work!rig order 3incer'el¥, ,~/} Tr jst'eR Peerv PO Box 9800 Robert Circle Anchorage, Alaska 99516 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910175 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:MEAD SALLY & FELLOWS OWNER ADDRESS:2433 GLENWOOD ANCHORAGE, ALASKA 99508 PARCEL ID:09002214 LEGAL DESCRIPTION: US SURVEY 3202 LT LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 12 DATE ISSUED: 7/01/91 EXPIRATION DATE: 7/01/92 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ADDITIONAL SOILS TEST(S) SHALL BE PERFORMED AT THE TIME OF CONSTRUCTION. IF SOILS ARE NOT AS INDICATED ON THE 1987 SOILS TEST, AN ADENDUM TO THIS PERMIT APPLICATION SHALL BE SUBMITTED TO THIS OFFICE PRIOR TO COMMENCING WITH CONSTRUCTION OF THE ON-SITE WASTEWATER DISPOSAL SYSTEM. ! DATE: 7 --/ --2! r, ATE: 7- I - ?1 TECHNICAL CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS TItEODORE F. MOORE, P.E. June 21, 1991 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 196650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative to accompany our application to renew the permit to construct an on-site wastewater disposal system to serve the existing residence on Lot 2 of Auriga S/D (a pending resubdivision of Lots 12 and 13 of USS 3202 in Bird Creek). The soils log, site plan, design drawings and specifications are enclosed along with a copy of the driller's log for the new well drilled in 1989. The original permit taken out in 1989 was based on a visual soil rating of 125 square feet per bedroom of the receiving sand stratum. The design has been slightly modified to exclude the actual test hole location from the soil absorption bed. We propose to conduct a percolation test of the sand comprising the bed bottom at the time of construction as required by the new code. Assuming that this test confirms that the percolation rate is faster than 5 minutes per inch we would plan to stick with the original design, which complies with the new criteria of 4 bedrooms x 150 gpd/bdrm / 0.8 gpd/sq, ft. = 750 square feet. If, as is possible, the sand percs faster than 1 minute per inch, we would assess whether it meets the specifications of filter sand, and if so would not truck in another 2 feet of pit run filter sand. If you wish to confirm this finding on site, or have a sample of the sand brought for your analysis, please so specify on the permit. The topography of the site slopes downwards towards the northwest at approximately 10 %. The proposed bed will be constructed outside the required 100 foot setback from a small unnamed creek to the north. We have designated a comparably sized replacement bed site 10 feet to the southeast of the original bed on the other side of the test hole. The proposed system will be in excess of 100 from the well on this lot and adjacent lots, and more than more than 30 feet from any other existing or proposed wastewater disposal facilities. Thus, the proposed project will have no impact on wells or wastewater disposal systems on adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Please give me a call if you have any questions on this permit application. Sincerely, Ted Moore, P.E. I-oT % LoT' _~ t T~ P~A-N t ;'- 12" TiP PLA N LoT SEPTIC PLAN Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 1, Auriga S/D Bird Creek Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project includes installation of a 1250 gallon septic tank and a 750 square foot soil absorption bed. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically waived. Care shall be taken to ensure the system does not encroach of the 100 ft. required creek setback. 1.4 The contractor shall be responsible to obtain any necessary utility locates. The buried el~trical and telephone cables are to be relocated as needed around the north side of the soil absorption bed. 2.0 Septic Tank: 2.1 The 1250 gallon septic tank shall be Municipally approved with two compartments, and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buffed less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating the silty gravel surface soils to create the level bottom surface of a 15 foot wide by 50 foot long soil absorption bed in a clean sand stratum at a depth of approximately 6.5 feet below the original ground level in the vicinity of test hole #1. A percolation test of the sand comprising the bottom of the bed shall be conducted by the inspecting engineer to verify that the percolation rate is faster than 5 minutes per inch. If the measured percolation rate is faster than 1 minute per inch the engineer shall determine whether the native sand meets Municipal requirements for filter sand; if not, a total of 2 feet of approved filter sand shall be placed in the bottom of the bed. 3.2 A total of 12 inches of sewer gravel shall be placed in the bottom of the bed. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. The 4" diameter perforated and non-perforated distribution pipes shall be configured as shown on the design drawing. The pipes shall be laid level with the bottom of the pipes no less than 6 inches above the bottom of the sewer gravel. 3.3 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the di~sign drawings. The portion of the monitor tube extending through the sewer gravel shall be 'perforated. 3.4 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 3 feet of soil cover is to be placed over the filter fabric. 3.5 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shah be no steeper than 3:1. 4.0 Inspections: 4.1 A total of 4 engineering inspections will be required dm'ing the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the original soil test information and to allow a percolation test to be done, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after final backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. ~lattop 'Techn2cal Services 14530 Echo Street Anchorage, Alaska 9951R Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMEO FOR: 5eX'II LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 fledges 4 ~, If WAS GROUND WATER ENCOUNTERED? I ~ ..... ~-''" .... *''*'"*'"~1 I ~ ........ ~ ~.,o~o~' ;, ~oo.~ / 1%~>~:'-., ....... ";_;~ / DATE PERFORMED: IU~ [ . .*:':: lO/9 /~7 Township, Range, Section: ~!~I ~ ~ ~ I0 SLOPE SITE PLAN 20 PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN __ FTAND __FT '7-/~ L~ · · ACCOR~ANCE WITH ALL STATE AND MUNiCiPAL GUiDELiNES iN EFFECT ON THIS DATE. DATE: ~Of~~ 72-008 (Rev. 4/85) L ~. p IF YES, AT WHAT t 0 DEPTH? I'~ p ~ Sm,~u /-/~,c) oo?..~ E ~ ~ Depth lo Water After I~O ~'/~r~ Monitoring? I~ ~-d" Date: ~/~0/~ ff.~. Reading Date Gross Net Depth to Net Time Time Water Drop WATER WELL RECORD STATE OF ALASKA , DEPARTMENT OF NATURAL RESOURES' Division of Geological 8~ Geophysical Surveys Drilling Permil No. LOCATION OF Wi .L & (Please complete either Ia, lb or lc.) A.D.L. No. ~o.lleorough '~ Lot Block I/4qtrl. Section. No. Towneh;PN[-'I Range E[""~ Merldlen ,c.lj DISTANCE AND DIreCTION FROM ROAD INTERSECTIONS ~. OWNER OF WELL: Street Address end Ar~; of .~11 Loc;llo~ 2. WELL LOG Feet Below Surface 4. WELL DEPTH: (final] 5. DATE OF COMPLETION di~m. in. to ft. Depth ~tickup 9. FINISH OF WELL: Set between ft. ~nd ff. Bock filling Grovel pock ' Date  Above or ~ 8Blow lend surface ~ Equipment usad: ,~,~ II. PUMPING LEVEL below lend aurfoce and YIELD 12.GROUTING Well Grouted: ~ ~** 13. PUMP: {if avalloble) HP ~ Dept. ttaa~u,~ '- ~ Subm. ~ Jet ~ Centrifical ~ O,her 14. REMARKS: 16. WATER WELL CONTRACTOR*S CERTIFICATION: 15. Water Temperature ~o ~ F ~ C ThJt well ~as drille~under my jurisdiction and this luthor~ Representative Form OZ-WWR (11/81) Copy DislribuHon; WHITE-State DG~ PIHK-DriHer, CANARY-Cuslomer 1"I U N ;i: C :!: I:::' A I... :[ I' Y [] F A N C I"1 0 R A G )':)epaptme)nt ol Healt'.h & Human Ser'vic::es 825 I.. Str'eet, Anchor'age, Alaska 99501 343-4720 []wrl6:,r' Name ~[ []wnev Add[' es!s: S AL I....Y MEAD 24:]:3 Gl .,ENWOOD ANCH[]I:~:AGE, AK 995()8 Day F:'h o n e .'-'. 561-42 :t. :[ F'ar' c:e 1 I d: (:;90..-0[;~;7-'" ],5 I~.ot. Leg a I: ~-:~l..d::~ ci :i. v :i. s :i. (::in: U. S ~ S ,~ ~3R02 Lot Sec:tion~'~ :1.0 Town~hip: 10N Range~ PROPOSED LOT 1 AURtGA Lot S:[z~ 108900 (sq. Ct. of att'es) ?lax ?~:~:,CI f' CiCHfI'B ~ Th :i. S l:::'er' i~:i. t: 4. Tot. a ]. Capac: i '(. y: 4 capac:i, ty: :[,250 ga].lons.~,, Each septic Depth to top I::H' septic tank (s) ,:: 4,,() W!i!!]..I...= Log must. be subm:i.'Lted to Mun:i.c:Lpality of Ai"~c:hc~r'agEe De,0ar"(.i[ier'1t o-f Hea].l:h [NF'[]I:.~M :O,,H,,H.S. PRIOR ]'0 EACH INE;PEC'IZON PERFOI::~MIED BY IEIqG]:NIEER, IF AF:'Ti:R OF:'F]X]E}: I"IOURS~, CAL,L. ;%q. 3-'461~]:1. AND LEAVE A M[~:SSAGE. CONS'fF,;UC, T F'tER ENGINEERS A1-T'AC;HED APF'ROV[:~:D DESIGN,, TH:rS PEi::~M :[ 't !EXPIRES :1.21:3:[/89 AND VAL,:[D FOR A S:[NGLE FAMIL.Y HOME,, :i: CiER!'!F:Y I'FIAT.' i. i[ alit [alilJ,].:[ap w:i.'l:.l"l 'I:.l'l~;~ r'E!l~Llil"(~;~Ri~!r'l't:.!-=i '~'C~I'" (;]l']""!~i~.'li.~! ~iii~:,l"[~ arid ~.~E~].].Ei a.[~ f~iE, t forth by the I"lLtrlic:il:~ality Of Ancl]opag&~, (~CIA) arDd the State of A:Laska. 2. I will :i. nstall tl'H-~ syst~)ll] iii ac:c:c)pdaf'lc:E,) w:i. th all MOA codes and ar'id J,I] compl:i, arlc~e with ~'.he ds)s:i,(lR cr':i, tepia Of th:Ls 3,, I w:i.!l a(:lhene to all M[]A and State of Alaska requir'ement, s f'op the set. back d J stance:,s t'l"Clr~] any ex i. st lng wel 1, wastewa'Ler' disposal system c)r' pub 1 ic seweral~e system on t:.hi~ (::Ip any adjac:erlt oP r"~i2al'[:ly ICY[.. · '~r. ]] LU]I:JlaPE;ta~.FICJ tl"la'[. '[.his pel'm:i.t:, is valid fop a maximum of fl. bedrooms,, a~Bo LIr'idsl"sts/i'ld tha'(. ~:.I-I(,[.! c:apac::i.'t'.y of the total sy~Btem is 4 beclpooiilli~ and ally 6~,1"i ].aPg6)liiE.iFi~L ~.g~ ]. ~ P6)RLIi re an add it ional [)el*mit, ' = -' ' , DA'T'E~ Lot 1, Auriga Subdivision Bird Creek Septic System Specifications 1. The design of this soil absorption bed is based on a visual soil rating of 125 square feet per bedroom for the sand stratum encountered between 6' and 1 l' in the test hole. A four bedroom system will require (4) x (125) x (1.5) = 750 square feet, Which is accomplished by a 15' wide by 50' long bed. 2. The configuration of the system shall be as shown on the plans, except that minor modifications may be allowed or required by the engineer conducting the inspections. The bottom of the bed shall be no deeper than 8 feet below natural ground level at the location of the test hole. 3. All construction materials and practices shall conform with M.O.A. regulations. 4. A foundation cleanout shall be installed, and all pipe leading to the septic tank shall be sloped down at 2% and insulated with 2" of burial type insulation, wherever less than 4' below ground surface. 5. The perforated pipe in the soil absorption bed shall be laid level, with the bottom of the pipe 6" above the bottom of the sewer gravel. The top of the sewer gravel shall be covered with filter fabric, and the designated cleanouts and monitor tubes installed before backfill. 6. Three inspections shall be required during construction: (1) preliminary stakeout, (2) after the bed is excavated, but before placement of the sewer gravel, and (3) after the gravel is placed, the septic tank is set, and all pipes are connected, b utb efore final backfill. ,~~~ ~C~ ~. ~ i'l ~ E~ --0t' SEPTIC PI-AN ~_l~top 'Tedhrfc~ Servlces 14530 Echo Street A'nchorage, Alaska 9951R Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICEs 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: .,.(~0¢.1~? ~'1~:~1:¢(. LEGAL DESCRIPTION: LO~ I~ ~ ~O~ ~l~ ~ Township, Range, Section: SLOPE . ~m £,tG ~,l t' i.~t P E 1 2 3 4 5 6 -- 7 8 9 10- 11 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth lo Water Atter Montoring? 14 ~..~. 15- 16- 17 18 19 20 PERCOLATION RATE -- (minutes/inch) PERC HOLE DIAMETER . TEST RUN BETWEEN __ FT AND __ FT PERFORMED BY; ~ t~ ~ ~"' ¢~/ S~" ' ~~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE· DATE: ~/~ ~ 72-008 (Rev. 4/85) Re&ding Date Gross Net Depth to Net Time Time Water Drop '.% · 7'lOt, It I"g .'lu.,,, ..C,,,¢ I0 SITE PLAN PERHZT [:,E F'Fff,~:TME N -F' :' 825 "L" F~F'PL I C'F!NT '._'x t%.L h.' MEFID L. OCFiT I ON I NE) i F!J'q L.EGFIL Lt&Sm]:2C12 TRRCT LOT ST RT 80X 8(547 LOT ?,'_' ;:?. E 653:-.885:;L FEET MiB!iHUi'.i [)IS'TFff,!C:E BE"i"HEEi'.~ F:[ NELL FIi'.,!D FIN'-/ OH-SITE SEi4FIGE DISF'OSSL Sh-'STEH ::!..EiEt F{:EE']* FOR g PR!VF:FI'E: HELL. 0,L.] i50 TO 206 FEET i:'F.:OH Iq PLIE&.iC: HCLL [:,EF'Ei'-,IDIi'..!G UPON Ti'~E T".,-'PE OF PUE,'L:[C HELL. h'lINihlUhl [:,ZSTBNCE FROh'! FI PRZ',,,'F!TE !,IEL.L TO F! PR!',,,'FITE SEWER L:iNE 'ES 2(.5 FEET FII'...']]:, TO Fi C()I'IHUN:[T'T' SEHEF..". LiNE iS '?5 FEET. HELL. LOGS FIRE F:E:QUIF:.:ED Fff,![;, HUST E:E RE'FURNED TO THE [:,EF'RR'T'MENT HI'CHIN 38 [:,Fih"S OF' TFiE HELL COMPLET!Oi'..L OTHEF.: RE_'L;:!U I REHEi'..!]'S FIR'?' F:tPF'L?. SPEC ! F Z CRT ~ Of,IS i::I!'-g.} CONSTRUCT ]: Oi'.~ [::, ]: i~]GRF!i'"I5 FiRE F?,,,'R;[L. RE&.E TO :[NSLIRE PROPER !i'-,!STRL_LRTilJON. F" EE ~F~:'.'. ~"1% "T' EE :~:: F= % ~: ~ :~ E:>, EE: C: ~E ~"~ ~E'; EE:: ~:;;: ! F'OF~TH B",,' TF!E HUN l C 2: Z HILL !NE;TFII_L TPIE S'¢STEi"! ZI',! FiCCOR[:,Rt'.IC:E HZTH -rile CODES. RF'F'L. I C:F~.N T E;Fii..L'tMi~' HEF;.'D ,, ..... , ....... ,, ¢-'F .','"/ CERTIFY TFIFFF :[ RH FRi,'IIL. IFI, F: HI'FH "FHE ,.c::EQUiREMENTS FOR ON-SiTE SEHER':'~; FIND !.4EL.L.S i-3S SET ',/4. 9 ~ WATER WELL RECORD STATE oF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geoiogicel ~ Geophysical Surveys Drilling Permit No, either lb or lc.) A.D.L. NO. ~lBorouph Subdivision Lot , Bloch ~ '/4qtr$. Seefion Ho. TownahiPN[~ ..nge E~I Meridian ~ID~STANCE ANO DIrECTiON FROM ROAD INTERSECTIONS 5. OWNER OF WELL: ~,.. - . '. Street Address and Area of Well Location WELL LOG Feet Below 4. WELL DEPTH: (final) 5. DATE OF COMPLETION Su~fa~ 7~ ~t. 10 - .8 - Materiol Type Top Bottom SOf"~. 7. USE: ~Domestio ~ Public Supply ~ Industry r]~ ~ ~ ~ }?!~]~'~'"/'~? ~'J~'~ ~3~'~ ; ~(~ ~ ~ ~ irrigation ~Recharge ~Commerlcal T]~3tO~'; '~' ~;~,~ 8. CASING: ~ Threaded ~Welded ' ' '~ ~i ~ ft. Depth Weight ~ Ibs./ft ~.:[.~.~.~:~.~.~: ~j.~J ~1'~O~"~;~O~[ O~ ~ ~'~ 9. FINISH OF WELL:~ ,)~7~ ~' O~ O ;-o I~O,,A · ~ l"~ ~I:,~ <) .... ~,~O. ~ Length: .~'1~(1~ tO. STATIC WATER LEVEL:. ~ ff. '~:Above or ~ Below lend DEPT. , ~ REC .... Aufhorlz~d Represent=live ~ ' / RONA. • • Municipality of Anchorage ° On-Site Water and Wastewater Program (907) 343-7904 SAFETY • Certificate of On-Site Systems Approval Parcel I.D. 090-022-37 Expiration Date: l © --2q — ( 1. GENERAL INFORMATION Complete legal description Auriga, Lot 1 Location (site address) 1072 Powerline Road Current Property owner(s) Sally Mead Day phone Mailing address 2150 Stanford Drive, Anchorage, AK 99508 Real Estate Agent Day phone 2. TYPE OF DWELLING: O Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: , ', Date: 7 J of / ) B COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ di 424/(00 Waiver Fee $ Date of Payment /124 L t Date of Payment Receipt Number 6146 Receipt Number COSA# ()1f1F t??5�' Waiver# 5. STATEM"` � �. • .• BY ENGINEER As certified by my se`` a r?- .• r the validation date shown below, I verify that my investigation, based on procedures outlined in the Certiflaeb.of On„,ite yst pp al Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, nal 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. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 7/20/2018 i*'49 TSI. i\ *fj 6. DSD SIGNATURE System #1 Approved for I bedrooms •• •Seven R. 'annane • System #2 Approved for bedrooms �1 ��, CE-8149 .; �� • Disapproved ��k ;OFESS�A"'"' \\�v Conditional approval for bedrooms, with the following stipulations: . fitn, VQP� :�. J r. � ON-�AtuG G�` wpTE tiASTE.w AT n. pROGR�'f�''ER l��•rCti FT CCK,. By: Original Certificate Date: 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory • Well Flow Advisory Other COSA blue sheet r • . .. If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Auriga, Lot 1 Parcel ID: 090-022-37 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 8/25/1984 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 107 ft. Cased to 86 ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 8/25/84 5/18/2018 Static water level 0 ft. 0 ft. Well production g.p.m. - %lt 2., n, b g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic 8.56 ug/L Date of sample: 5/18/18 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/ STEEL Date installed 07/12/2018 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N/A Date of pumping New Pumper C. ABSORPTION FIELD DATA Date installed 7/13/2018 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 gpd/sf Bed System type Length 50 ft. Width 15 ft. Gravel below pipe 0.5 ft. Total depth 5 5 ft. Eff. absorption area 750 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) For 4 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed N/A Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: 100+ 100+ Septic tank/lift station on lot On adjacent lots + + Absorption field on lot 100 On adjacent lots 10 75+ 100+ Public sewer main Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ Holding tank 50+ Animal containment areas Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 10 Absorption field 10+ 10+ Surface water 100+ Water main Water service line Wells on adjacent lots 10 ABSORPTION FIELD ON LOT TO: 10+ Property line Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells os -•jacent lots 100_+----- -CO IMAM NpTSS " �f __` /,^1�L ,{ pev• CA / ASI is 4al ' -'--eic- 4`e VO€P) (N-00 rjAj4--IC ' ' p(7 ' _c_ r 1 G. ENGINEER'S CERTIFICATION ...-47-c sik ...A�..4.9 I certify that I have determined through field inspections and AY 0).- �4 •.9 #r review of Municipal records that the above systems are in 0* 49 N 1\ ••'� t conformance with MOA COSA guidelines in effect on this date. %••• • 11 4d4• r Steven Pannone :Seven fit. Pannone . AftS 07/20/2018 �� 4 Engineer's Printed Name �p4 �;•• CE-8149 Date ilk o s# `4 COSA canary sheet_2-6-15.doc / / ''O 8463A / _ / / -- — /�P / \\ \ \ /// �P `\ \ \ / P \ ,06 J�o°° i iIi N / a,� \\ \dy\ / �O \ \ N \\ N \X/ \ finding Drainage Casement e / / / / `\ \ / / co Wello / N \c'—_ UNSUBDIVIDED _ / \C cs•� ---‹ // \ \ reenhouse / '9" / S•� N \ ` re fence �_ / / '<\ V /` �/ 2 Story Frame • . ` \ s N. /// v �e 2 , \ \ X92°' )0 N '41 / S,,`,"' `ej 629 N Na O / o/s N \ on� // `Sa4 SP Odd(gots \ 0:be \ / , ,s,Shed encroach:- '!03 t)r. Story Cobs N hod N1. m ? \ s O 0 o O• \ 43o X33 LOT 1 N\Wr \ �Oao N s�90 f• \N G�- \ LOT 2 �'i'- N N / N N 6' N case N 2987 \`\ �e'f \ `SAS \\ RECERTIFIED 7-19-18 V J N N AS-BUILT NO CORNERS SET THIS DATE \ A� \ ��� I hereby certify that I have performed a Mortgagee's inspection .%.‘,;%.‘A, of the following described property: LOT 1. \ P)'‘ AMP_��• OF a�� ', AURIGA SUBDIVISION \ Shed enoroa •� / 0Illik0� SW '`P•• ' 4 t Anchorage Recording Precinct,Alaska,and that the N �O l''1• 49th " ' ••:1.4r// improvements situated thereon are within the property lines N and do not overlap or encroach on the property lying N -o i •• :• g4 adjacent thereto,that no improvements on the property lying \ ••• adjacent thereto encroach on the premises In question and „_ 60' O9 / •.Elizabe h L. Walatka , 1 / that there are no roadways,transmission lines or other SCALE: 1 - N N d ' LOT 14 I s •, • . visible easements on said property except as indicated rs 8036 - LS ,•••q- — hereon. EASEMENTS OF RECORD, OTHER THAN / ' ' ••• , . • •ao i Dated at Anchorage,Alaska THOSE SHOWN ON THE RECORDED N 1' 1�DFfSStoN1:‘-'''''... � J this 7th day oSeptember ,2017. PLAT ARE NOT SHOWN HEREON \ --' 1 X X%X.N' lb FRED WALATKA&ASSOCIATES UNLESS OTHERWISE NOTED. \ / FB 18-4, pg 38 7- - lb Engineers and Surveyors X / FB 17-8, pg 28 BE (907-248-1666) . .•, •••,•.•• • • • - :: - . ..._ .. . - . -,.. • • .- '- : • •• • .. •• • • •• . . . , :',•'' i i ; ; I 1 r. I 1 1 • I I ; , • , ! ! ; , • • : ! ; I . I •\ a I i : : ... 1•••• t ,. : ; ; 1 I , . ! I ' 1 1 ; : ! ‘..) i • t..I; do I ,•;: ! ...„_, ... ; ----.* ; ........_ ..--• V::-r..:I Vr.•1 v.,--.' 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