HomeMy WebLinkAboutT12N R3W SEC 33 LT 117wllm
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Municipality of Anchorage
Community Development Department Page 1 of 2
On -Site Water and Wastewater Program
4700 Elmore St. - P.0, Box 196650 Anchorage, AK 99519-6650 - http://�vmw.muni.org/onsite - (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171130 PID Number: 018-252-18
F-1 New E] Upgradel
THE BRADLEY COMPANY
3025 PORCUPINE TRAIL ROAD
of Bedrooms
4
LEGAL DESCRIPTIONDepth to pipe invert from original grade Gravel depth beneath pipe
6ubdivision
Block
Lot
117
Township
12N
Range
3W
Section
33
SEPARATION DISTANCES
To
From
Septic
Tank
Absorption
Field
Lift Station
Holding Sewer
Tank Line
101.3
Surface Water
100+
100+
N/A
N/A
NA
Foundation
51 2
50.7
N/A
N/A
Curtain Drain
50+
50+
1 N/A
N/A
ABSORPTION FIELD
Z Deep Trench M Shallow Trench El Bed El Mound
El Other
Soil Rating Total depth from original grade
Fill added above original grade Gravel length
Gravel width Beds: Number of Lines Distance between lines
Total absorption area Number of trenches Dist. between trenches
TANK El Septic El S.T.E.P. [I Holding El Other
Manufacturer Capacity
Anchorage Tank/ 1500G,L
Material Number of compartments I
Steel 2
LIFT STATION
Manufacturer lCanaritv
on level at jPump off level at I High water alarm at
make and model Electrical Inspections performed by I
Tank
Installer d
JIM WITTERS/WHITTERS EXCAVATION Drainfield 3034 CO/MT 3034
Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 106.2 it
Inspection Location and description
3"' 6/20/17 4"' 5/7118 1 BOTTOM OF HOUSE TRIM
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL I Engineer's Stamp
ditiona|Approvo|:
Approved PU 6zze&
Date 9cV.-Azle
.......DESIGN PARAMETERS
PRIMARY/RESERVE SEPTIC SYSTEM
NO. BEDROOM: 4 (600 gpd)
MIN TANK SIZE: 1,2508
PERC RATE: 4.2 MPI
SOIL RATING: 1.2 GPD/SF
AREA ROD: 500 SF
III SYS. TYPE: DEEP TRENCH- 5.0'ED
MIN LENGTH: 50 LF
USED:
(2EA) 26LFx2.5'Wx5.0' E.D., 10.2/8.2'
TOTAL AREA: 520 SF
TANK: 1,500g
INSTALLED 1500, SEPTIC TANK
INSTALLED FOUNDATION CLEAN OUT
BEFORE, & DCO AND FS AFTER
F
/SEPTIC AREA I" --
M
116A
INSTALLED DRAIN FIELD/to Mr
(2EA') 26LF x 2.5'W x 5.0'ED x 10.278.2'TD
INSTALLED CLEAN OUT AND MONITOR
TUBE AT EACH END
APPROXIMATE LOCATION OF PREVIOUS
EXISTING DRAIN FIELD. REMOVED AND BACKFILLED
WITH NATIVE MATERIAL 5/31/17
_0 117
ocn
.... .. ... .
z
O -
_5
t� 0
0 0 0
, z z
z
102.0
1500 g SEPTIC
4 TANK
PROFILE
SCALE 1"=10'
z
Z5
C3
md U 2:
TO MIDDLE
OF EACH
FIELD
S TRENCH: 94.4
48R
HOUSE48R
H OUS E
101.3 WELL
WELL
TH =i 1
1 1.6
0.6
>A
DRAIN ROCK 6-
FABOVE PIPE INV
4"0 DRAIN PIPE 0
z
FILTER FABRIC o FG. NORTH 100.4
FO. SOUTH 97.6
OG. NORTH 99-9 OR
OG. SOUTH 97,1 DATE PERFORMED:
5/31/17
50* DRAIN ROCK GW/ DRY:
GM 6/6/17
_15.0
-17.0
NOTES: PANNONE ENG SVC, LLC Dote
RECORD DRAWING ...... 10/26/2018
P.O. BOX 100217 ANCHORAGE, AK 99510
DRAWN BY: Sc10le
Aw 4
PHONE (907) 272-8218 FAX (907) 272-8211
"=50'
9 TH
ACP
d P.I.D. NO
T12N, RX Sec 33, L117 -GI8252-18
v onone -
THE BRADLEY COMPANY LIMITED LLC StePERMIT NO,
CE 8149
3021 PORCUPINE TRAIL ROAD Q/ -,REV: 11 /6/201 OSP1 71130
PLAN ANCHORAGE, AK �
�' I - * Sheet
2 OF 2
11
A
B
FC
25.4
4.60
Tl
59.6
52.1
T2
69.0
62.1
DCO
70.9
64.1
C1
_79.7
76.6
M 1
78,8
75.4
C2
54.3
51.3
M2
55.3
523
C3
78.4
1 80.7
M3
77.4
79.5
C4
52.4
57.3
M4
515
58.5_
DRAIN ROCK 6-
FABOVE PIPE INV
4"0 DRAIN PIPE 0
z
FILTER FABRIC o FG. NORTH 100.4
FO. SOUTH 97.6
OG. NORTH 99-9 OR
OG. SOUTH 97,1 DATE PERFORMED:
5/31/17
50* DRAIN ROCK GW/ DRY:
GM 6/6/17
_15.0
-17.0
NOTES: PANNONE ENG SVC, LLC Dote
RECORD DRAWING ...... 10/26/2018
P.O. BOX 100217 ANCHORAGE, AK 99510
DRAWN BY: Sc10le
Aw 4
PHONE (907) 272-8218 FAX (907) 272-8211
"=50'
9 TH
ACP
d P.I.D. NO
T12N, RX Sec 33, L117 -GI8252-18
v onone -
THE BRADLEY COMPANY LIMITED LLC StePERMIT NO,
CE 8149
3021 PORCUPINE TRAIL ROAD Q/ -,REV: 11 /6/201 OSP1 71130
PLAN ANCHORAGE, AK �
�' I - * Sheet
2 OF 2
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MUNICIPALITY OF ANCHORAGE a„r
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:llwww.muni.orglonsite 1111 16_11_11_1111
l)Chart[l unt
_
On-Site Wastewater Disposal System Permit
Permit Number: OSP171130 Effective Date: 6/13/2017
Work Type: Septic Upgrade Expiration Date: 6/13/2018
Tax Code Number: 01825218000
Site Legal Address: T12N R3W SEC 33 LT 117 G:3034
Site Mailing Address: 3021 PORCUPINE TRAIL RD, Anchorage
Owner: BRADLEY COMPANY LIMITED LLC Lot Size in Sq Ft: 108900
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4
This permit is for the construction of:
El 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
Special Provisions:
Prior to Inspection Report approval, the fill with topsoil and vegetation shall be in place.
0
Received By. 11. AA l60, _Ali
Date: 3
Issued By: b.” ,< <� _ Date: 6 2
mrnr
Municipality of Anchorage s�
.'
( ,II FIlM Ill
P.O. Box 196650 s 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#: OSP171050 COSA#: Permit#: OSP171130
PID#: 018-252-18
Legal Description: T12N R3W Sec 33 Lt 117
Engineer: Pannone Engineering Services
Applicant: Bradley Company Limited
Your request for a waiver of the required 50 feet horizontal separation from the absorption field
to the excessive slope has been approved. The approved separation distance is 0.0 feet.
This waiver approval applies to the proposed absorption field only. Any future upgrade to the
on-site wastewater disposal system will require all separation distances be met or another
approval from this department.
•
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
n Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
Waiver is Granted: X Waiver is not Granted:
Date: 6�7p 7 Approved by: �/` L
(((((( ame of Revi -r
•
*'k*'k VARIANCE/WAIVER REVIEW ****
MUNICIPALITY OF ANCHORAGE
Community Development Department As cori Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water & Wastewater Program
N , ON-SITE SE WER L PERMIT APPLICATION
Parcel I.D. 018-252-18
Property owner(s) The Bradley Company Limited LLC Day phone \
Mailing address P.O. Box 110226, Anchorage, AK 99503
Site address 3021 Porcupine Trail Road
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) T12N, R3W, Sec 33, Lot 117
Lot Size 108,900 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®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 l WAIVER REQUEST FOR:
Distance to Slope greater than 25% Distance: 0
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: q IQ 110 Waiver Fees: 11 t /2 cl
Date of Payment: O11' Date of Payment: 6//„.3///7
Receipt Number: o'g&326 Receipt Number: 0cQ756-
Permit No. OSPM13o Waiver No. ask/ I7/0�)
Permit App_.• :
eo l4
Pannone Engineering Services ac
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail:steve@panengak.com
June 12, 2017
Subject: T12N, R3W, Sec 33, Lot 117
Septic System Permit Request
Design Narrative
This is a design narrative for a permit to install an upgrade septic system to be issued for this property.
The proposed system will serve a reconstructed four (4) bedroom house. Currently the lot is developed,
with an existing house that has been torn down. The system will utilize a new 1,500g septic tank and
conventional drain field. This lot and the surrounding lots are served by private wells. The existing well
on this lot will be located 100'+ from this system. There are no wells surrounding wells within 200' of the
proposed septic system.
1. Soils. One test hole was performed in the vicinity of this system by PES in May 2017, and groundwater
was monitored for at least seven days. Ground water was not observed to a depth of 17.0' below the
surface in the test hole monitor tube in June of 2017. Bedrock was not encountered in the test hole to
17.0'. Based on the results of the percolation tests and overall soils appearance; an application rate of
1.2 gallons/day/square was used for a conventional wastewater system in the area of the test hole.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
3. Surface Water: There is no surface water within 100 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 north to south, with a
slope of approximately 20%to 45% in the area of the drain field. See waiver request.
5. Waivers:
We are requesting a separation distance waiver between the proposed septic system and a slope greater
than 25%to a distance of 0'. Due to the nature of and drainage capacity of the soils found in the area
(HSG A) the designed infiltration line of 45%for septic system installation on steep slopes should be used
instead of the assumed/worst case soil classification infiltration line of 25%. The slope will be filled to no
greater than 3:1 so that a 25% infiltration line will not daylight nearer than 20' from the proposed drain
field, and the 45% infiltration line for this soil type will not daylight. The slopes and soil types enable
installation of the proposed system without the system effluent "daylighting" further down the slope of
the hill (see system site plan and section).
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
6. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that
the review is complete and that there are no further comments is received from MoA On-Site
Department, the note will be removed and "Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of this or the surrounding lots.
Please contact me if you have any comments or concerns.
Sincerely,
:co/
P�� O 41:14•(.
• ,11/11
•, *vb. •
0 •
Steven R.Pannone���jj'7�•. ,f
,` •
111••�..•' '"�=
11111111 FESS,, �'.
Steven R. Pannone, P.E.
Owner/Civil Engineer
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor Ave, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
3 I
T _
14,
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0„._________,,„ ---------,viA,,
3
I
'1 A/1 4\P' §
/ I Oo
UR
OC g
r HOUSE 1
1,500g SEPTIC TANK (P) 1 (P)
/ INSTALL DCO, DV, AND FCO INV:95.8
TANK INLET INV: 94.8 rr
TANK OUTLET INV: 94.6 il l
101.3 WELL (E)
c'c
INV ® N LATERAL; 94.1 I
SEPTIC AREA (E) 71 TANK
1 101.6 /
FF:100.0
_ Apr
Illr
I APPROXIMATE LOCATION OF PREVIOUSLY /
PRIMARY/RESERVE DRAIN FIELD (P) ty, EXISTING DRAIN FIELD. REMOVED AND
(2EA) 26LF x 2.5'W x 5 ED x 11.0'TD \BACKFILLED WITH NATIVE MATERIAL 5/31/17
INSTALL MT AND CO AT EACH END
. � /moi
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Co
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• 33' BLM RESERVATION
PORCUPINE TRAIL ROAD
DESIGN PARAMETERS
PRIMARY/RESERVE SEPTIC SYSTEM
NO. BEDROOM: 4 (600 gpd) LEGEND
MIN TANK SIZE: 1,250g w WATER LINE/
PERC RATE: 4.2 MPI WELL RADIUS ABBREVIATIONS
SOIL RATING: 1.2 GPD/SF
AREA RQD: 500 SF TH TEST HOLE
SS NEW SEPTIC
SYS. TYPE: DEEP TRENCH— 5.O'ED (P) PROPOSED
MIN LENGTH: 50 LF _ — —GB— _ — GRADE BREAK (E) EXISTING
CO CLEAN OUT NO.
USE: MT MONITOR TUBE NO.
(2EA) 26LFx2.5'Wx5.0' E.D., 11.0' TD — �_ - -0 RETAINING WALL
TYP TYPICAL
TOTAL AREA: 520 SF
TANK: 1,500g
NOTES: PANNONE ENG SVC, LLC _!!�"``vDate
�F.AC 4,;1 i 6/9/2017
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, A99510 .rA,y'� '4S i
PHONE (907) 272-8218 FAX (907) 272-8211 rfg).' �• �� y�, Scale
DRAWN BY: a*.49TH /\ •,*#, 1�=50
DRM ....4.112101 ... .... p P.I.O. NO
T12N, R3W, Sec 33, L117 ;ow .18-252-18
THE BRADLEY COMPANY LIMITED LLC teven '' 'I5onnone PERMIT N0.
r -P . CE 8149 / OSP171130
3021 PORCUPINE TRAIL ROAD I+ s• _,...1,•. �
PLAN ANCHORAGE, AK INl s�o p�` Sheet
`'NW '�s� 1 OF 4
TH�EXISTING GRADE
2376 OR —1.0
FILL WITH NATIVE
TO CREATE SLOPE DRAIN FIELD 5.0
NO STEEPER THAN 3:1
TOPSOIL AND VEGETATE _
..,, t
f^' GW/
y0'�' x,..,. 5.0 GM
7 k''
. t
57 SM —15.0
12.0 L SW
l• 23.4 —17C
—50.0
SECTION
NOTES: �s+�1x\\` Date
PANNONE ENG SVC, LLC 1 of A� �� Date 2017
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 '��•
•"•''''QS Iti
�'AP• [ Scale
PHONE (907) 272-8218 FAX (907) 272-8211 ,div, c-6:. �4� .:y +
DRAWN BY: - * d' -*I, 1"=10'
=1�"� "' P.I.D. NO
DRM T12N, R3W, Sec 33, L117 _ 018-252-18
THE BRADLEY COMPANY LIMITED LLCIC te'ven F�. �o'ririorae PERMIT NO.
•. CE 8149/..
r� OSP171130
3021 PORCUPINE TRAIL ROAD 4 Qx .SECTION VIEW ANCHORAGE, AK +t�l'�o ' OFESS10Np�`� Sheet
`��\\���� 2 OF 4
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55.
2. SCOPE OF WORK: INSTALL NEW TANK AND DRAIN FIELD.
3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 17.0 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 17.0 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.D.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: PANNONE ENG SVC, LLCOF At` kk Dote
FORFOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 .�"`�'''•' k /2017
PHONE (907) 272-8218 FAX (907) 272-8211 ic�� • �( '.I , Scale
DRAWN BY: %*: 49 TH /\ >t`/ NTS
DRM "' 'i' . " P.I.D. NO
T12N, R3W, Sec 33, L117 / 018-252-18
THE BRADLEY COMPANY LIMITED LLC / s't n onnc:Te / PERMIT NO.
3021 PORCUPINE TRAIL ROAD ��Tb CE 8149 �� oSP171130
DESIGN DETAILS ANCHORAGE, AK �>'%-"(01E..
� S4ee0F 4
\X
SOILS LOG - PERCOLATION TEST
TEST HOLE 1
SLOPE • I
/ SITE PLAN
I
OR ORGANICS
1 _. I 4BR 4I.
1 —
21 HOUSE
3 ! ` �P)
4
I INV:95.8
V: 94.8
5 INV: 94.6 Wr
2AL: 94.1
6 x I c4\—TH-1
TH
7 GW/ GRAVEL TO FF:100.0
GM SILTY GRAVEL I
B
9 I
1 N ,
11 sl,
12 ( a w
13 . ,
WAS GROUND WATER SLOPE
14 ENCOUNTERED? N
15 IF YES,AT WHAT TH
SW SILTY SAND DEPTH? -DRY x
16 SW AND SAND
17 DEPTH TO WATER AFTER
BOH MONITORING? -DRY
DATE: 6/6/17
CLOCK WATER
READING DATE TIME NET TIME LEVEL NET DROP
READING
1 5/31/17 8:10 --- 3.30 ---
2 8:20 10 MIN 6.45 3.15
DATE PERFORMED:5/31/17 3 8:20 3.30
4 8:30 10 MIN 6.08 2.78
5 8:30 --- 3.30 ---
6 8:40 10 MIN 5.90 2.60
7 8:40 --- 3.30 ---
8 8:50 10 MIN 5.74 2.44
9 8:50 --- 3.30 ---
10 9:00 10 MIN 5.70 2.40
PEROLATION RATE 4.2(min/inch)PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 4 FT AND 5 FT
COMMENTS:Test hole excavated by BRADLEY COMPANY
PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES: PA sINON ENG SVC, LLC ____�`\``\ Date
��l
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, A 99510 _' ��pF.AL'4 1i 6/9/2017
PHONE (907) 272-8218 FAX (907) 272-8211 i63:• �/�s4y+o Scale
DRAWN BY: _- *: • P ,0k • *// NTS
DRM a.. --,.. l... .... 0 P.I.O. NO
T12N, R3W, Sec 33, L117 / . V / 018-252-18
THE BRADLEY COMPANY LIMITED LLC' / Ii.
I~;""Pannone j PEPERMIT NO.
3021 PORCUPINE TRAIL ROAD ``i'c`c�. CE 8149 . �� OSP171130
SOILS LOG ANCHORAGE, AK I`,^p•• '•••`E . Sheet
,� � 3 OF 4
,I~JATER ANOtORAGE AREA BOROUGH
327 EAGLE STREE] :
~NCHORAGE~ ALASKA 99501
279-2511
DATE ~ECE IVE
INSPECT:
TIEE:
REQUEST FOR APPROVAL OF :
INDIVIDUAL SELVAGE ~X~D NATER FACILITIES
2. Property Owner
.3. Legal Description
4. Type of Facility to
Phone
Well Data:
A. Type /_.
B.
D. Construction 1~
E. Bacterial Analysis
6, Sewage Disposal System:
Septic Tank (If homemade, show diagram on back)
A eSize
3. blanufacturer
4. Installer
Approval Request for Se~ ~ Water Facilities
Page Two
B, Seepage Pit
1. Size
2. Lining
C. Oisposal Field
1. Number of Lines
2. Total Length
Required Measurements
A. Well to Septic Tank
B. Well to Seepage Pit
C. Well to Sewer Line
D. Well to Property Line
B. Well to Other Possible Contamination J~/~
F. Foundation to Septic Tank
G. Foundation to Seopage Pit
H. Seepage Pit to Property Line
COt~IWENTS:
APPROVED:
DATE:
APPROVAL VALID FOR ONE YEAR FROH DATE S_=IGNED.
GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT
EDll70
�
Parcel I.D. 18-^-���-1�
D� ~ ~~ ~
Municipality
{}fA�Dc0�{�ra��e
On -Site and Wastewater Program
'
Certificate of On -Site Systems Approval
0
Expiration Date: P -,b .0
1. GENERAL INFORMATION
Complete legal description T1 7N R9VV Sec 33 Ll 17
Location (site address) 3025 Porcupine Trail
Current Property owner(s)
Mailing address
Real Estate Agent
The Bradley Company
2. TYPE OFDWELLING:
F7 Single Family kw/woADL0
F1 Duplex
Fl k8u|dp|e Dwellings (Single Family and/or Duplex)
�
J. NUK8BEROFBEDROOMS: '
Day phone
Day phone
4. TYPE DFWATER SUPPLY:
TYPE OFWASTEWATER DISPOSAL
Individual Well
Individual
El
Individual Water Storage
[l
Holding Tank
�l
Community Class Well
D
Community
�
Public Water System
El
Public Sewer
El
maiveo/Vahenoerequos for:
COSA to be released to t 6ee, g4eer, unless othewiise requested by the engineer.
Waiver Fee $
uaua or Payment ' ILO 4,11,y Date of Payment
Receipt Number Receipt Number
'
As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined
in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater
disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply
and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at
the time of installation.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 745-8200
Address P.O. Box 1807 Palmer, AK 99645
Engineer's Printed Name Steven R Pannone Date 11/5/2018
TH
6. DSD SIGNATURE.
System #1 Approved for bedrooms ' ' : Sleveri R. i onnone
System #2 Approved for bedrooms CE -8149
Disapproved
Conditional approval for bedrooms, with the following stipulations:
WATER AND
WASTEWATEF
By:TLt 0, Original Certificate Date:5
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 C
T1���JR3�/��8C3��117
Legal Description:~ ' '
A.WELL DATA
Well type Private |fA.@.orCprovide PVVS|D#
Date completed unknown Sanitary seal (Y/N)Y
Total depth 110 ft. Cased to_ft.
FROM WELL LOG
Date of test UOKDoVVO
unknown5�Uowa�r|eve
Well unknown
WATER SAMPLE RESULTS:
ft.
Kjeg O�
Co|Utnnokzn�a/OOmL Nbro�mg/L
13.0 '10/29/118&11/2118Arsenic��_ ug/L OoUsnfsampka�_________
B.SEPOC8HOLD(NG TANK DATA
TankType/MohyhSeptic rnhC~ ' / Steel
Tank obo 1500 gal, Number of Compartments 2
Foundation cleanout (Y/N)Y Depression over tank (YNYN)
Date ofpumping D/a Pumper new
Ifmore than 1septic system iannthe lot:
C0SAChnckist#10
Structure served bythis system _1____
Parcel ID: O18 -252-1}q
Well Log (YYN)N
Wires properly protected (YYN)Y
Casing height (above ground) 18 in.
AT INSPECTION
10/29/18
74
�
3.3
PES
Date
�/��/17
Da�inuha�d
High water alarm (Y/N) N/A
C.ABSORPTION FIELD DATA
Date installed 6/20/17 Soil rating (g.p.d/ftzorftz8zdnn) 1.2 gpd/Sf System type Deep Trench
Length 26/26 ft, Width 2'5 ft. Gravel below pipe 5 ft,
Total depth 11 ft. Eff. absorption area 520 ft Monitoring tube \/ Depression over field N
Date ofadequacy test new Results (Pens/Fai|)Pass For bedrooms
Fluid depth in absorption field before test in. Water added gaL New dopth_____in,
Elapsed Time: min. Final fluid depth _in. Absorption rate ^=g.p.d.
Any rejuvenation treatment (past 12mn.)(Y7N&type) n/a |fyes, give date________
D. LIFT STATION
/�
Date installed O'�
od
"Pump on" level atin. "Pump Off' level at in.
19-611111111712
_ Size ingallons
Cycles tested
E. SEPARATION DISTANCES
WELL ONLOT TO:
SopticbanW|ift station on |/t 100'f
Absorption field onlot 100'f
Public sewer main 75'f
Sewer /septic service line 25.+
Animal containment areas 50'f
Manhole/Access (//N)_
High water alarm level at
Meets alarm &circuit requirements?
1��'f
Ona��m���
Onadjacent lots 100`+
Public sewer manhole/cleanout 100'f
Holding tank 100'f
Manuna�nhna|excrete storage areas 100y+
SEPTIC/HOLDING TANK ONLOT TO:
Building foundation 10'f Property line 104'
Water main 25.+ Water service line 25.+
Wells onadjacent lots 100'f
ABSORPTION FIELD DNLOT TO:
Property line 10`f Building foundation 104-
'
Water Service line 25+ Surface water 100'f
Curtain drain 501f Wells un acU000n� |oto 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
/ certify that / have determined through field inspections and
review of Municipal records that the above ayoh*ma are /n
conformance with MOA C0SAguidelines in effect nnthis date.
Engineer's Printed Name Steven R. P8ODOOe
Date 11/5/2018C —8149
cosAcanary ohem_2-n1n.mm
51+A�o�o
Surface water 100'f
10'+��r��Driveway, parking/vehicle storage 10'+
~
Aw
0M
1!J
DEVELOPMENT SERVICES DEPARTMENT
On -Site Water and Wastewater Section
www.muni.org/onsite
Certificate of On -Site Systems Approval # OSC181582
Subdivision: T12N R3W Section 33 Lot 117
907-343-7904
Fax: 343-7997
A water sample revealed an arsenic concentration of 13.0 micrograms per liter
(ug/L). The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 ug/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. information on arsenic is available from the On -Site Water and
Wastewater Program website (www.muni.org/onsite) or at 343-7904.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
1
Carroll, Rebecca M.
From:Steve Pannone <Steve@panengak.com>
Sent:Thursday, November 8, 2018 7:14 AM
To:Carroll, Rebecca M.
Cc:Accounting
Subject:RE: T12N R3W Sec 33 L117 - COSA
Follow Up Flag:Follow up
Flag Status:Flagged
Good Morning Becca,
I saw that in the records. The well was extended above grade by, I believe Dave harper, to a heath of at least 24 inches
above grade during the whole-house reconstruction. I hope this answers your questions.
Steven R. Pannone, P.E.
Pannone Engineering Services, LLC
907.227.3522 Cell
907.745-8200 Office
907.745-8201 fax
Please Check Out the NEW www.panengak.com
From: Carroll, Rebecca M. [mailto:rebecca.carroll@anchorageak.gov]
Sent: Wednesday, November 07, 2018 3:21 PM
To: Steve Pannone <Steve@panengak.com>
Cc: Accounting <accounting@panengak.com>
Subject: T12N R3W Sec 33 L117 - COSA
Steve,
Regarding my review comment asking whether the well is a pit well, as indicated in MOA records, since no letter was
submitted regarding adequately protection from flooding, does that mean the well is not a pit well.
Thank you,
Becca Carroll
Onsite Water and Wastewater
Municipality of Anchorage
343-7908
