HomeMy WebLinkAboutT15N R1W SEC 4 N2NE4SW4NW4 PTN (LESS W 30' & N 165' E 330')T15N RIW
SEC
2
N2NE45W4NW4 PTN
(LESS W 30' & N 165' E 330' )
#051-042-06
Municipality of Anchorage
Community Development Department Page 1 of 3
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: OSPI51254 PID Number: 051-042-06 DWew, ❑✓ Upgrade
Name:
Emma Strosin
ABSORPTION FIELD
❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound
Address
21928 Armas Dr.
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
1
1 GPD/SF
6.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
- 6 Ft.
Gravel depth beneath pipe
0.5Ft
Subdivision Block Lot
N2NE4 tSW4NW4 /° Jai{/� S 14 �D'��JJGS
Fill added above original grade
0Ft.
Gravel length
30 Ft,
Township Range Sections 223O
T1 5N R1 W Sec 4
Gravel width
5Ft.
Beds: Number of Lines
N/A
Distance between lines
I N/Apt
SEPARATION DISTANCES
TO
From
Septic
Tank
Absorption
Field
Lift Station
Holding
Tank
Sewer
Line
Total absorption area
150 Ftp
Number of trenches
1
Dist. be vreen trenches
- N/AFt.
Well
107.8
120.9
N/A
N/A
N/A
TANK ❑ Septic O S.T.E.P. ❑ Holding n Other
Manufacturer
Anchorage Tank
Capacity
1,000Gal.
Surface Water
100+
100+
N/A
N/A
Material
Number of compartments
Lot Line
81.4
57.2
N/A
N/A
NA
Steel
Foundation
24.7
32.4
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
N/A
N/A
N/A
NIA
Gal.
RemarksSystem services main floor bedroom.
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL House to tank 3034 dna nfe d 3034
JR's Septic Services
Drainfleld 3034 Co/MT 3034
Inspector Pannone Engineering Services
BENCH MARK (Assumed elevation) 1400ft
Inspection s' g/12/2015 �a
dates: t 2 8/13/2015
3'tl 8/13/2015 4t".
Location and description
Bottom Step of Deck
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
Conditional Approval: Date
2*- k
CIF
NG'
*' TH
' i�ev—A.--Pil;r644
CE 8149 r
Approved Date -2�`%
inspection Report_rrtzoocs
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION WAS 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.
2. SCOPE OF WORK: REMOVEED 1000g SEPTIC TANK AND CRIB AND INSTALLED NEW 1000g SEPTIC TANK AND
NEW SOIL ABSORPTION SYSTEM.
3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 13.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL
TEST HOLE. NO APPARENT WATER TABLE. WAS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 13.0 FEET BELOW _
EXISTING GRADE.
4. RECORD DRAWING BASED ON LIMITED INSPECTIONS PERFORMED IN ACCORDANCE WITH CODE
WELL E
/ i i i A* 0
/ ea oa '� ac _,� o
/ i n_ o'
i
t
I OOOg SEPTIC TANK E /
71 -
i
MT CO
i
A 1
T2 T1�
/ /DRAIN FIELD E
/ DC ABANDONED 10(
sal _ SEPTIC TANK PER CODE
MT1 ..
COLLAPSED CRIB WAS _ TH i INSTALLED 1000a SEPTIC TANK NEW
REMOVED AND BACKFILLED W/ DCO AFTER TANK
MT2 255.91
3
INSTALLED ABSORPTION FIELD NEW
3OLFx5.0'WxO.5'E.0., 6.07D
W/ 2.0' SAND FILTER
i NO WELLS LOCATED W/I 200'
i' TO THE SOUTH OF EXISTING SYSTEM
�_.
DESIGN PARAMETERS
PRIMARY SEPTIC SYSTEM
NO. BEDROOM: 1 (150 gpd)
TANK SIZE: 1000g
PERC RATE: <1 MPI
SOIL RATING: i GPD/SF
AREA ROD: 150 SF
SYS. TYPE: WIDE TRENCH 0.5'ED
MIN LENGTH: 30 LF
USED.
3OLFx5'WxO.5' E.D., 6.0' TD.
WITH 2.0' SAND
TOTAL AREA: 150 SF
ABBREVIATIONS
TH TEST HOLE
(P) PROPOSED
(E) EXISTING
CO CLEAN OUT NO.
MT MONITOR TUBE NO.
TYR TYPICAL
NOTES:
A
8
FC
18.0
30.0
T1
47.1
46.6
T2
52.7
51.3
DC
55.4
53.9
M1
62.7
59.7
C1
61.8
58.2
M2
58.0
73.1
C2
56.4
72.6
ABBREVIATIONS
TH TEST HOLE
(P) PROPOSED
(E) EXISTING
CO CLEAN OUT NO.
MT MONITOR TUBE NO.
TYR TYPICAL
NOTES:
PANNOaNE7 EN ANCHORAGE,CK 995 0
PHONE (907) 272-8218 FAX (907) 272-8211
-������\\\
kkk 10
�� OF• A� 46,-
/�Gjp �.7#I/
STH . *
% '�
"........ ..P......e• ;'0
%PFC, CE8149.•<„e-�
(`� �'p,/q.'......
ll\\�OFESS*
Dates
8/; /2015
RECORD DRAWING
Scale =50'
1"
P.I.D. NO
51-042-0
PERMIT NO.
OSP151254
T15N R1W SEC4 N2 NE4 NE4 SW4 NW4
LESS W 30' & N 165' E 330'
EMMA STROSIN
21928 ARMAS DR
CHUGIAK, AK 99567
DRAWN NJC
PLAN
Sheet
1 OF 2
96.1
oa
z z
a a
U U
1000g NEW
SEPTIC TANK
100.7
- p CR
OR/
SM
-7.0
GP/
SP
-13.0
NOP
2' SAND FILTER C
FILTER FABRIC
- 4" 0 DRAIN PIPE
DRAIN ROCK 6" ABOVE PIPE INV
SECTION
PROFILE
3.8
1.8
m
NOTES:PANNONE ENG SVC, LLC ' Dote
RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 e(E - ".sly) 8/17/2015PHONE (907) 272-8218 FAX (907) 272-8211 ico -
�y++ Scale
/* TH NTS
T15N R1W SEC4 N2 NE4 NE4 SW4 NW4 % P_I.D.
-on2-o
(LESS W 30' & N 165' E 330') "S'teIve'n'R:'Pannone /PERMIT No.
DRAWN Noc EMMA STROS N �+P�c. CE 8149 .'cel OSP151254
DETAILS 21928 ARMAS DR l��FOpROFE5S10NP1\sheet
CHUGIAK, AK 99567 lliP � 3 OF 3
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP151254
Tax Code Number: 05104206000
Work Type: Septic Upgrade
Permit Effective Dates: August 10, 2015 to August 09, 2016
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: T15N R1W SEC 4
Site Legal Address: T15N R1W SEC 4 N2NE4SW4NW4 PTN (LESS W 30'& N 165'E 330') G:1558
Owner/Address: STROSIN EMMA RAE
PO BOX 671023 CHUGIAKAK 995671023
Site Mailing Address: 21928 ARMAS DR, Chugiak
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy
All construction must be in accordance with:
Lot Size in Sq Ft: 152024
Total Bedrooms: 1
N Private Well N Water Storage
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions: The Inspection Report is to show the correct location of the property line.
Received
Issued By
MUNICIPALITY OF ANCHORAGE
i
il
Community Development Department v ✓ s phone: 907-343-7904
Development Services Division t Fax: 907-343-7997
On -Site Water & Wastewater Program ,
ON-SITE SEWER/WELL PERMIT APPLICATION 1 i
Parcell.D. 051-042-06
Property owner(s) Emma Strosin Day phone
Mailing address PO Box 671023, Chugiak AK 99567
Site address 21928 Armas Drive
Legal description (Sub'd., Block & Lot) N2 �W_<NE4 SW4 NW4
Legal description (Township, Range & Section) T15N, R1 W, SEC4
Lot Size 152024 Sq. Ft. Number of Bedrooms/e
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑X
Initial ❑
Single Family (SF)
❑X
Septic Tank
1Z
Upgrade ❑X
(w/wo ADU)
Duplex
Duplex (D)
El
Tank
E]
Renewal F1
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
owner or autnorizeo agent)
Permit/Rush Fees: I �1
Date of Payment: ?sl3o1/� CJw_
Receipt Number: 01432
Permit No. _DsP16 125
7//o�/ ; T,-1, ehIy
Jf2(9 0611346 -
Permit App_:- : . :-.mac:
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
9 330)
Pannone Engineering Services uc
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@oaneneak.com
July 31, 2015
Subject: T15N R1W SEC4 N2 NE4 NE4 SW4 NW4
Tank and Drain Field Upgrade Request
Design Narrative
This is a design narrative for a permit to install a new septic system to be issued for this property. The
proposed system will serve one (1) bedroom of an existing four (4) bedroom house. Currently the lot is
developed. The proposed system will utilize a 1000.9 septic tank with a conventional drain field. The
surrounding developed lots are served by private wells. There are no wells on surrounding lots within 100
feet of this system and there are no septic systems installed on the surrounding lots within 100 feet of the
existing well.
1. Soils. One test hole was performed in the vicinity of this system by Pannone Engirreering Services in
July of 2015, and groundwater was monitored for at least seven days. Ground water was not observed
to a depth of 13.0' below the surface in the test hole monitor tube in April of 2015. Bedrock was not
encountered in the test hole. An application rate of 1 gallons/day/square feet with a 2.0' sand filter
should was used for a conventional wastewater system in the area of these test holes.
2. Soil Absorption System Design:
a. See Sheet 2 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 slopes from the southeast to the northwest at
approximately 10% in the area of the septic system. There are no steep slopes within 50' of the proposed
drain field. The proposed drain field will maintain 50' separation all steep slopes.
S. 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 the surrounding or existing lots. There
are no surrounding wells within 100 feet of the proposed septic location or septics within 100 feet of the
proposed well location.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
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.
2. SCOPE OF WORK: REMOVE 10008 SEPTIC TANK (E) AND CRIB (E) AND INSTALL NEW 1000g SEPTIC TANK (P)
AND NEW SOIL ABSORPTION SYSTEM (P).
3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 13.0 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 13.0 FEET BELOW
EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY.
/WELL E
60
64 i 68 >2 ]6 80 84 86 -92 96
/ 1000g SEPTIC TANK (E)/
T7 0
, MT7
o ^
DR AIN FIELD E
COLLAPSE CRI 'x8'x5' E o IN
W
J
,REMOVE 1000a
W
INSTALL ABSORPTION FIELD P -i / �°0� 1
30LFx5.0'WxO.5'E.D.,. 6.07D
W/ 2.0' SAND FILTER m /
W/COS'/1'bT'S &r cede. C6` /NO WELLS LOCATED W/I 200'
TO THE SOUTH OF EXISTING SYSTEM -
DESIGN PARAMETERS
PRIMARY SEPTIC SYSTEM
NO. BEDROOM: 1 (150 gpd) /
TANK SIZE: 1000g
PERC RATE: <1 MPI
SOIL RATING: 1 GPD/SF
AREA ROD: 150 SF
SYS. TYPE: WIDE TRENCH O.5'ED
MIN LENGTH: 30 LF ABBREVIATIONS
TH TEST HOLE.
USE: (P) PROPOSED
3OLFx5'WxO.5' E.D., 6.0' TO (E) EXISTING
WITH 2.0' SAND - CO CLEAN OUT NO.
TOTAL AREA: 150 SF - MT MONITOR TUBE NO.
TYP TYPICAL
NOTES: PANNONE ENG SVC, LLC �'oF q `�\ DOCe
FOR CONSTRUCTION p,0. BOX 100217 ANCHORAGE, AK 99510 ,� '( ..•"' �.qs!i 07/31/15
PHONE (907) 272-8218 FAX (907) 272-8211 Scale 50
T15N R1W SEC4 N2 NE4 NE4 SW4 NW4 P.I.D.. NO
51—
(LESS W 30' & N 165' E 330' "S'te've'n'R. Pannone T
PERMIT NO.
DRAWN JRL EMMA STROSIN �, ��c. CE 814. j OSPXXXXXX
PLAN 21928 ARMAS DR f'll `'A��-r Sheet
CHUGIAK, AK 99567 �\OFES9 1 OF 2
TEST HOLE 1
I -
OR
TOPSOIL
2
3
Silty SAND &
4
GP/SM
GRAVEL
5
6
7
8
9
10
GP/SP
Silty SAND &
GRAVEL
11
12
3
BOH
DATE
PERFORMED
20JUL15
SOILS LOG — PERCOLATION TEST
TEST
HOLE
/ SITE PLAN
i
I'
1
WAS GROUND WATER SLOPE
ENCOUNTERED? N -
IF YES, AT WHAT TH 1
DEPTH? -0-'
X
DEPTH TO WATER AFTER
MONITORING? - - DRY -
DATE� 7-27-15
WATER
READING DATE CLOCK NET TIME LEVEL NET DROP CRATE
TIMEREADING
1 20JUL15 11:48 5'
2 11:56 <10 MINDRY <1,0
SIMILAR RESULTS FOR EACH ITERATION. SOIL SAMPLES REFERRED FOR SIEVE ANALYSIS
SEE SIEVE ANALYSIS RESULTS,
PERCOLATION RATE <1(mini / PERC HOLE DIAMETER 6" / TEST RUN BETWEEN 2FTANi
COMMENTS: Test hole excavated by Pannone Engineering Svc. Test Hole was presoaked before Perc test.
PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE
AND MUNICIPAL GOIDLINES IN EFFECT ON THE 7D�7ATTE OFF THIS TEST. LLC
NOTES: PMNONE ENG SVC, LLC ���" XNAkk1 Date
FOR MOA REVIEW ONLY P.O. BOX 102954 ANCHORAGE, AK 99510 .: C(G �F /a/ gsli' 07 29/15
PHONE (907) 272-8218 FAX (907) 272-8211 10Vrg�y �� Scale
NTS
�.... ... .. ..... P.I.O. NO
T15N R1 W SEC4 N2 NE4 NE4 SW4 NW4051-042—C
DRAWN JRL EMMA STROSIN / Steven 'R. 0 Fnone� � PERMIT N0.
21928 ARMAS DR (f+dys , CE 8149,_r osaxxxxxx
SOILS LOG CHUGIAK, AK 99567 ��l`F�*— — . E Sheet
PROiWi\\ qS 2OF2
flw
631
MIE,0594
THIS EASEMENT, entered into this w` day of AMML
1981, by and between HARVEY E. STROSIN and EMNA
RAS STROSIN, husband and wife, hereinafter "Grantors" and
HARVEY E. STROSIN, hereinafter "Grantee" and GORDON E.
RANXIN and GLORIA RANKIN, husband and wife, hereinafter
"Beneficiaries":
WHEREAS, Grantee is the owner of the following described
real property (hereinafter referred to as "Lot No. 10) which
has a house located thereon:
The North one-half (N 1/2) of the Northeast
one-quarter (NE 1/4) of the Southwest one-
quarter (SW 1/4) of the Northwest ons -quarter
(NW 1/4), Section 4, Township 15 North, Range
1 Neat, Seward Meridian, EXCEPT THEREFROM the
West 30 feet and the North 165 feet of the
East 330 feet, Records of the Anchorage Record-
ing District, Third Judicial District, State
of Alaska.
WHEREAS Grantors are the owners of the following des-
cribed real property (hereinafter referred to as "Lot No. 20)s '
The North 165 feet of the East 330 feet of the
North one-half (N 1/2) of the Northeast one-
quarter (NE 1/4) of the Southwest one-quarter
(SW 1/4) of the Northwest one-quarter (NN 1/4),
Of Section 4, Township 15 North, Range 1 Nest,
Seward Meridian, in the Anchorage Recording -
District, Third Judicial District, State of
Alaska.
WHEREAS there is an existing water well and a portion
i, of a residence located on Lot No. 2 shoves
R WHEREAS the primary portion of the residence is located
on Lot No. 1 above, which was inadvertently partially con-
structed on a portion of Let No. 2, as was a water well,
_ WHEREAS Grantors have purchased Lot No. 2 from Beneficiaries
OY and extended to them a Deed of Trust,
7-y WHEREAS to enable the Grantors to finance the structure
o.
zit with the bank and as an inducement to the bank and any
8 secondary lenders to extend financing for construction of
Z
the improvements thereon, and
WHEREAS the extent of the easement is to grant a perpetual
+" right to use that portion of rpt No. 2 for purposes of
rt-W=AL
M 631
PACE 0595
utilising the water well and maintaining the water wells and
maintain the placement of the home on Lot No. 2.
WITNESSETH:
The Grantors, in consideration of $10.00 herein acknow-
ledged, and for other good and valuable consideration, do
hereby convey to themselves, Grantee and Emma Rae Strosin, for
the benefit and enjoyment of Lot No. 2 a determinable easement
to use, to withdraw, to transfer, and to maintain that
certain water and water well and all appurtenances thereof
from a certain well located on the aforementioned Lot No. 2.
Grantee and Emma Rae Strosin are granted the right of egress
and ingress over and upon Lot No. 2 for the purposes of
acquiring the aforementioned water or to repair the water
pipes constituting the water system, or facilities pertinent
to said water system, if such is necessary, but egress and
ingress shall extend only to those reasonable amounts of
land necessary for such purposes as herein described.
Grantee and Emma Rae Strosin shall have the right to
total reasonable use of the water well and all appurtenances
thereof on Lot No. 2.
This easement shall extend in perpetuity for all intent
and purposes and to the extent of the declared uses described
herein, and shall be binding and in full force and effect
and shall run with the land upon all heirs, succesers and
assigns.
Beneficiaries herein acknowledge and concur in the
agreement of the easement to the extent of Beneficiaries'
interest as the beneficiary under the above described Deed
of Trust, and agrees to abide by and be bound by the declaration
of easement described herein to the extent of any rights
which Beneficiaries may now or hereinafter possess on the
property as holders of the prior dead of trust.
DATED this -���_� day of August, 1981. .:
GRANTOR:
HARVEY E. STfOSIN
r -
$3t
x'0596
EMMA RAE x SIN
GRANTEE: ([
1 SCJ ��
NARVEy E. S OSIN
BENEFICIARIES:
aO40RDON E. RANKZN
STATE OF ALASKA )
)es.
TRIAD JUDICIAL DISTRICT )
THIS IS TO CERTIFY that on the !� day of August, 1981,
before me, the undersigned, a Notary-p-ubTic for Alaska,
personally appeared HARVEY E. STROSIN and MM RAE STROSIN, to me
known and known to as to be the persons mentioned in and who
executed the above and foregoing instrument and acknowledged
to me that they did the same freely and voluntarily for the
use and purpose therein contained.
WITNESS my hand and seal the day and year
written.
a
My commission expires:Ow
STATE OF ALASKA
THIRD JUDICIAL DISTRICT )aa •?•.
THIS IS TO CERTIFY that on the -r'.Vt-day Of August,
1981, before me, the undersigned, a Notary Public for Alaska,
personally appeared GORDON E. RANKIN and GIARIA RANKM, to as
known and known to me to be the persons mentioned in and who
executed the above and foregoing instrument and acknowledged
to me that they did the same freely and voluntarily for the
use and purpose therein contained.
WITNESS my hand and seal the day and yearrst�above
written.
otary Pu c or A as
S/- 0 4 5 5 0 q MY commission expires
AMCHORACE RIC,
DISTRICT
� i3 4 ik fll'� i
cCUES1ED BY
-
,
-
of
at
AS -BUILT -
I hereby carft that T havg zsilrveyed, the 0114•wing
-
'described property 'A% z 1✓E•s`.u� 6/tv -
-:
Anchorage Reegrdmg Precinct Aleskaand tiiai the
:
- -
improvements situated thereon .ate within the property- -
lines : and do not overlap ax encroach on the property
-.
"-
`-
..tying adjacent, there to-.thatno' ilnp rovements,An prop=,
-
;� �
erty lying adjacebt thereto' enQroacnh-,on the pt'e#niyes
uestioathat. thetB.
qn nd �.are no aoadmay5,;#ranshrlssxom.�
-lin "said
.
es,pn:othe:+-visible easements on' p;operty` except.
1
as indicated hereon
}?%KKI" v
Aated 4 rAgle River, Alaska
day oPT� 19 r v
1
"
Q1Z:L' 30IlNSON'
Sf AT.E
glsteted 1 and Suavey¢r No.. S:
hone'- 46 F�agte River, AlaBka
Od P99 9 2543.
INTMIJ1141-1-1r
- MUNICIPALITY OF ANCHORAGE 41
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
EW
S
o�1la�.�1 3
❑ UPGRADE
MAILING ADDRESS Ik
C�
EN L
LEGAL DESCRIPTION
14- %0 4 NWI A 4 -
LOCATION
S Ae.s Q0 RID
NO. OF BEDROOMS
1 r m 013 NM W U FM 0 g Qbem
3
U Y
IS
DTANCE TO:
Well q -
Absorption area
5
Dwellin h
PERMIT NO.
,� 3 8
MZZ
W
Manufacturer Q
JUn�SE Psnc
Material
Fr ber L s
No. of compartments
4.
rn
Liq, capacity in gallons
IF HOMEMADE:
Inside length
Width
k
Liquid depth , 1
1
O®O
N
60Y
DISTANCE TO:
Wet
Dwelling
PERMIT NO.
Z
Oz
F
Manufacturer
Material
capacity Liquid ca
q p y in gallons
DISTANCE TO:
WeII
O'-1
Foundation
3
Nearest lot line
PERMIT NO.
IM 8 3 8
W=
J LL Z
No. of lines
Length of each line
Total length of lines
Trench kith
Distance between lines
FZw
O inches
�—¢
I..
Top of rile to finish grade Q y q
S
Material beneath rile r
—6(p
Total effective abs oQrption area
O
inches
:C
Length
Width
Depth
PERMIT NO.
W
a F
w °-
Type i
Crib diameter
Crib depth
Total effective absorption area
y
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
las(�
7(
Depth
Driller
Distance to lot line
PERMIT NO.
J
W �
DISTANCE TO:
Building foundation
Sewer line
Septic tank
.Absorption areals)
OTHER
1
r
PIPE MATERIALS
T c�al�o3
3
SOILTESTRATING
z TIb
�5
INSTALLERQ
w�ELF
K4
REMARKS O {�
Rets
O ui
OLl6EllN6 6N a
a
C4
u
Y
LLPo
OVED DATE LEGAL -
72-01°Mev. 3/78)
CAS -
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 "L' STREET, ANCHORAGE, AK. 99501
264-47 20
PERMIT NO. c; 780838 i
APPLICANT HARVEY STROSIN GEN.
LOCATION FAST OBERG RD
LEGAL Tl` -v Riw 54 wh llf do --ianLAA"
TYPE OF SOIL ABSORBTION SYSTEM IS: Tt&MCM
DEL. CHUGIAK. AK
LOT :=.LSE 110044E1 SQUARE tFif?f
'""V
aRHdug«a 51 a" LuiDTH aligtrit
MAXIMUM NUMBER OF BEDROOM'- = 3, :'OIL RATING CSO FTlBR3- 85
THE REG?UIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: rr
.pPTle n1 v i—r 'C', 0 10' 02 kz' 1 1 )W w b
ED -1=_ f!" -1- 61= 3. ill I_ E0 44 C3 I-1--9 IL _ -0 C3 FQ Fl ' F:1_.- Ew E- F" _T+ .-n_ _: I_- to
omovi +w 0-S 3.(o
THE LENGTH DIMENSION IS THE LENGTH ON FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IES THE DISTANCE BETWEEN THE SURFACE OF THE:
GROUND AND THE BOTTOM OF THE E":CAVATION (IN FEETT.
THERE IS NO SET WIDTH FOR: TRENCHES.
THE GRAVEL DEPTH I_• THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL. PIPE
AND THE: BOTTOM OF THE ESCA`•:ATION (IN FEET).
F-° F- C---! e_' I F<' E= E : On E= F• T' I o= T" 1=11°-4 F=.' I 2? E_ _ _1.. k_A 129 Co C3 Ft L_.. L-. CA r4 103
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION IN_•PECTIONS OF ANY WELLS ADJACENT TO THIS. PROPERTY AND THE
NUMBER: OF RESIDENCES THAT THE WELL WILL :SERVE.
- — -T L-A co r_ 2L --a I tys W- 9=w E= o=. `F I Cl 1`-4 _ 1=1 FOSE= F_ E= e�x 1_1 I F= EE ID' --
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DI'SP'OSAL. SYSTEM I
100 FEET FOR: A PRIVATE WELL; OR:
150 TO 200 FEET FROM A PUBLIC WILL DEPENDING UPON THE TYPE OF PUBLIC: WELL.
OTHER: REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTL?N DIAGRAMS ARE::
AVAILABLE TO INSURE PROPER INSTALLATION.
F•EF;'Fol I T E_.= F° I F0 E= E• E_ E= E= B1 E_: En _-"= 1_, o':513
I CERTIFY THAT'
1: I AM FAMILIAR WITH THE REQUIREMENT_ FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODE_.
I UNDERSTAND THAT THE ON-SITE SEWER: SYSTEM MAY REQUIRE ENLARGEMENT IF THE.
RESIDENCE I'S REMODELED TO INCLUDE MORE THAN I BEDROOMS.
SIGNED
ISSUED B'
V3. ,_.
£f E GECHNI CAL €t DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 699-2280
Russell Oyster Ead Ellis
694-2774 SOIL LOG 688-2280
Soils B Foundations Land Developrnent
Performed for: Name: ���� ��� J7 etas �� Tel. No. Z_ k" _ / Wk'
Mailing Address:fEnlE/LA�
Legal Description .04,(/F%. <I(Ad VIVA- 5kc, Q,7/SN 21W 5./11
Depth (feet)
0
1
2
3
4
6
7
8
9.
10
11
Soil. Characteristics
544455 e- 6e9VCZ-s
®41116.2
16 19077dA' OF f /T
Ground Water Encountered: Yes No . If yes, what depth
Proposed Installation: Seepage Pit. Drain Field
Comments:
>°IA57- IPy4Af
Ale
Performed by: - jr- I Date: 71-717S
�3 ..
14
Soil. Characteristics
544455 e- 6e9VCZ-s
®41116.2
16 19077dA' OF f /T
Ground Water Encountered: Yes No . If yes, what depth
Proposed Installation: Seepage Pit. Drain Field
Comments:
>°IA57- IPy4Af
Ale
Performed by: - jr- I Date: 71-717S
0 & E GEOTECHNICAL & DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Soils & Foundations
SOIL LOG
Ear/ Elis
688-2280
Land Development
Performed for: Name: 14//4/-4,c;o loi?awLEy Tel. No. 6,e8- 3031
Mailing Address: Re. 13c)x 5l6-�e CNVUiR-k, fJK. 99J67
Legal Description: /'/�z - NE14-, 3 W%4, NW %¢, SEc. SL, 7 -15 -Al, AC/rl, 5, M.
Depth (feet) Soil Characteristics
0
1 /04/ - Cyd
2
3
4 �t� - '5,*v f� 6eAvEG , �G AAl,
5 GD 666E4- 7r9 /Z~42(
6
7
21i98 2557-7—vn4 OF /217-
9
10
11
12
Ground Water Encountered: Yes No If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
Performed by:
Date:
AT
by
u ' A & L DRILLIP
.°
BOX 97, EAGLE RIVER, ALASKA 91
OF LAND ji/
--------
Started L h^ Ended
y_
1r1�
G COMPANY
R7 • TELEPHONE -094.2599
DEPTH OF WELL
/'S'TATIC LEVEL OF WATER FT.
rVRAW DOWN FT. "
GALS. PER HR
KIND OF CASING
7.7
1Np OF FORMATION:
Ft. to
Ft.
From
Ft. to
Ft.
From
,
rpm n Ft. toFt.
L24.'rr� - n /E
From
•Ft. to
Ft.
.
Ft. to�Ft.i
' �l✓`
`• From
Ft. to
Ft.
r{rm
,�
"Ora toS ,' Ft.�-
u_�
From
Ft. to
Ft.
From
Ft. to
Ft
1ppi ` E°'! Ft, t d Ltat.
/i _l 'f+ rC.rlr ja`
! i 3-krom
Ft. to
Ft
,
-5
rom Ft. to Ft.
From
Ft. to
Ft.
rom - Ft. to Ft.
From
Ft. to
Ft.
rQT.Ft. to Ft.
From
Ft. to
Ft.
FQAl Ft. to Ft.
From
Ft. to
Ft.
roJit : Ft. to -Ft.
From
Ft. to
Ft.
ru RW Ft. to Ft.
From
Ft. to
Ft. '
rom, - Ft. to Ft.
From.FL
tR-
Ft. -
mm Ft. to.... Ft.
- - .. _.'.
From
Ft.`to
- Ft...•- - ...
to Ft._
to Ft. _
. to to -Ft._
From Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft
kfORMATION:
r r, ;,'
1.
DRILLER'S NAME
.. _ ...�,-t a i:1Yr.LLYai1_.J.,.�•_'4 a-_s:::AaeW_
June 24, 1987
Mr. Louis Butera
Eagle River Engineering Services
F.O. Box 773294
Eagle River, Alaska 99577
Dear Mr. Butera,
This letter is to explain the existence of two septic systems
that are located on my lot. The original septic system was installed
in 1976 and was inspected by the Municipal Inspector. The second
system was installed in order to serve the basement elevation rather
then lowering the original system. This septic was installed in 1978
and was inspected by the Municipality Inspector. The home is not
intended to be used as a multi -family dwelling.
The distance to the well of 85' and 95' for each septic tank was
approved by the City Inspector.
Sincerely, l�
v �
H'a vey o sin
EAGLE RIVER
ENGINEERING SERVICES INC.
P. 0. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694.5195
3
PP00001NH Inc. cwo H 01611.
JOB �Jlil/�1CS FS7` SF !i�✓✓
SHEET NO. OF
CALCULATED BY ` �` DATE 5f- 0
CHECKED BY DATE—
-
Lcuis A.
'®1
J
EAGLE RIVER ENGINEERING SERVICES
September 4, 1987
Mrs. Susan Oswald
Director, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, Alaska 99519
REF: James Estates Subdivision
Dear Mrs. Oswald:
e
Lou Butera, P.H.
P.O. Box 773294
Hale River, Alaska 99577
Telephone (907J 694.5195
MUNICIPALITY OF ANCHORAW
DEPT. OF HEALTH g,
ENVIRONMENTAL PROTECTION
SEP 81987
RECEIVED
As per your request, we have excavated a test hole to a depth of
4' below the bottom of the leachpit elevation and monitored for ground
water. There was no ground water evident in the test hole at this
date. We have also had the tank pumped and attached is the receipt
for 1000 gallon pumping. Attached, please find a copy of the revised
plat showing a designated well area for Lot 2. A platting signoff
sheet has been provided for your signature.
Please advise us as to when we can obtain your approval as our
platting deadline is approaching.
If there are any questions or concerns, please feel free to
contact me at 694-5195.
' W �� ��
Sincerely, � �� fi
Louis A. Butera, P.E.
c f�
LAB:bls
Attachments
V
®*�4 SX..' v
0. 'p a Louts A. Butera < Cir,
�� �n •.. CE -6736 .' °�
MUNICIPALITY F ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 051-042-06
1. GENERAL INFORMATION
Expiration Date: 7 — / q — Zn Z 2 -
Complete
Complete legal description T15N R1W SEC 4 N2NE4SW4NW4 PTN LESS W30'& N 165'E 330'
Location (site address) 21928 ARMAS DRIVE, CHUGIAK, AK 99567
Current property owner(s) ROBERT & ALICIA MORMAN Day phone
Mailing address
Real estate agent
8510A CHICO LOOP, MOUNTAIN HOME AFB, ID 83648
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone_
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
®
Private Septic
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ --�5S0' / Waiver Fee $
Date of Payment7l�la 0, a Date of Payment
Receipt Number 8,09093 Receipt Number
COSA # OSC 2,2 I [30 Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY, ANCHORAGE, AK 99516
Engineer's Printed Name CURTIS HUFFMAN, PE Date 4/7/2022
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
,these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting & FW[ S
6. DSD SIGNATURE
System #1 Approved for � bedrooms
System #2 Approved for bedrooms
OF At 'k�
.r-
49
% CurtisHuffman
6" CE CE 128991 .•zo w
�'`�
1l ROFESSIO
Disapproved
Conditional approval for bedrooms, with the following\�QNrtDf,q�,�ii� i
oc
g-SITE
WATER�Ai
�m WAST—V'`ATER z�
PROGRAM c;
O S ��
SFRYIG�
BY: Original Certificate Date: q— 191 - Z02Z
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
Legal Description: T15N R1W SEC4 N2NE4SW4NW4 SEC4 PTN LESS W30'& N 165'E330' Parcel ID: 051-042-06
If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system
A. WELL DATA
® Well log is filed with Onsite (or attached)
Date drilled 6/27/1975 (o&L DRILLING)
Total depth 104 ft
Cased to 104 ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 12 in.
Date of flow test for COSA 4/6/2022
Static water level at beginning of test 31 ft.
Comments
B. TANK DATA - BOTH 1000 -GAL
Age of tank(s) 44 & 7 years
Tank type/material SEPTIC / FIBERGLASS & STEEL
Measured operating fluid level in septic tank 49" & 50"
® Standpipes/foundation cleanout per record drawing
Date of pumping 8/25/2021 — JRS BOTH TANKS PUMPED
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/13/2015
® ALL standpipes present per record drawing
Total measured depth from grade 6_5 ft (max) (MT1)
Measured depth to pipe invert from grade 6 ft (min) (MTI)
❑ N/A — pressurized field
® Monitor tubes go to bottom of effective. If not, state
depth into effective
Well production at time of test 2.8 gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? ❑ Yes ® No
® Coliform bacteria is Negative
Nitrate 1.61 mg/L E]Nitrate less than MRL (ND)
Arsenic ug/L ® Arsenic less than MRL (ND)
Collected by ME
Date of Sample 4/6/2022
C. LIFT STATION
❑ Required maintenance completed
Age of lift station _ years
Lift station material
Comments:
Adequacy test date 4/6/2022
Results M Pass For 3 bedrooms (IBR FIELD)
Fluid depth prior to test 1.5" & DRY In (MT1 & MT2)
Water added 600 gal (TESTED NEWER 1BR FIELD)
New depth 1.5" & DRY in
Elapsed time <1 min
® Code -required soil cover over field
Final fluid depth 1.5" at DRY In (READILY ABSORBED)
❑ System presoaked Absorption rate 600 gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies: 9/21/1978 FIELD WAS DRY. JRS PUMPED TANKS FALL 2021 & FOUND PIPES IN 2022.
Am
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
Community Sewer Manhole/Cleanout > 100'
® Yes
if No *81
ft
® Yes
if No
Neighboring Tank > 100'
® Yes
if No
ft
Private Sewer/Septic Line > 25' ® Yes
if No
Absorption Field on Lot > 100'
® Yes
if No *92
ft
Holding Tank > 100' ® Yes
if No
Neighboring Absorption Fields
> 100'
Animal Containment > 50' ® Yes
if No
® Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
®Yes
if No
ft
® Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
® Yes
if No
ft
Surface Water > 100' ® Yes
if No
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes
if No
ft
Private Wells > 100' ® Yes
if No
Water Main > 10'
Yes
if No _ .
_ft
Community Wells > 200' ® Yes
if No
Water Service Line > 10'
® Yes
if No
ft
If septic tank is under driveway comment
below
From Absorption Field on Lot to: (Please enter distances if
less than required)
Building Foundation > 10'
® Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
® Yes
if No
_ ft
Wells on Adjacent Lots:
Water Main > 10'
® Yes
if No
ft
Private Wells > 100' ®Yes
if No ft
Water Service Line > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes
if No
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
*9/21/1978 FIBERGLASS TANK WITH MOA WAIVER #WR -970014.
G. ENGINEER'S CERTIFICATION
l 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. -49 2i
-law 11
Aw
..
•......
.... ........�......
of�, Curtis HuffmanT �/��
•,� CE 128991 .,•r,�
�klk', ROFESO V -44.d
ft
ft
ft
ft
ft
ft
ft
ft.
•; Municipality of Anchorage`
On -Site Water and Wastewater Program
(907)343-7904 sn Er*
Certificate of On -Site Systems Approval
Parcel I.D. 051-042-06 Expiration Date:
1. GENERAL INFORMATION
U
Complete legal description T15N R1 W Sec 4 N2NE4SW4NW4 PTN Less W 30'& N 165'E330'
Location (site address)
21928 Armas Dr
Current Property owner(s) Emma Rae Strosln Day phone
Mailing address
Real Estate Agent
P.O. Box 671023 Chugiak, AK 99567
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class _
Public Water System
WaiverNariance request
Received by:
COSA to be released to
Well
9
Day phone
TYPE OF WASTEWATER DISPOSAL:
7
Individual
0
❑
Holding Tank
Q
❑
Community
❑
❑
Public Sewer
❑
unless otherwise requested by the engineer.
Date: _0 / 2 LC
COSA Fee $ oZ 6 g60 Waiver Fee $
Date of Payment til lg 115 Date of Payment
Receipt Number db�l'1� G Receipt Number
COSA# 04,PJ514gD Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined
in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater
disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply
and/or wastewater disposal system !slate) 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
6. DSD SIGNATURE
_��System #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
Date 8/17/2015
Conditional approval for . bedrooms, with the following stipulations:
y,.
o',
ON-SITE ,
NATEN AND TT
ASTFlAIATr- a
PROGRAM 8�:
By: / C J Original Certificate Date: R -a %- /.�
Th nielpality of rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenallons 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 f
If more than 1 septic system is on the lot:
COSA Checklist # + of 2
Structure served by this system +
Certificate of On -Site Systems Approval Checklist
Legal Description: T15N RIVV Sec 4 N2NE4SW4NW4 PTN Less W 30'& N 165'E330' Parcel0:054-042-066
9 P
A. WELL DATA
Well type Private 1f A, B, or C provide PWSID #
Date completed 6/27/1975 Sanitary seal (Y/N) Y
Total depth 104 ft. Cased to 104 ft
Date of test
Static water level
Well production
FROM WELL LOG
6/27/1975
32
100
ft.
g.p.m.
- Well Log (Y/N) Y
Wires properly protLcted (Y/N) Y�
Casing height (above ground) 12+ in.
AT INSPECTION
6/22/2015
27
E
WATER SAMPLE RESULTS: /
Coliform ` �G colonies/100 mL Nitrate �. mg/L
Arsenic I`� � ug/L Date of sample: Z 21 Cpl Collected by:
B. SEPTIC/HOLDING TANK DATA
ft:
Tank Type/Material Septic/Fiberglass Date installed 9/21/1978
Tank size 1,000 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
Dateofpumping q of S Pumper'nC
C. ABSORPTION FIELD DATA
Date installed 9/21/1975 Soil rating (g.p.d./ft2 orft2/bdrm) 85 SF/BR System type Shallow Trench
Length 28 ft. Width 5 ft. Gravel below pipe 3.5 ft
Total depth 9.8 ft. Eff. absorption area 259 ft2 Monitoring tube Ypgpression over field N
Date of adequacy test 6/22/2015 Results (Pass/Fail) Pass For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 475 gal. New depth 0 in.
Elapsed Time: 140 min. Final fluid depth 0 in. Absorption rate >= 450+ 1 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at in.
Datum
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at
Cycles tested
WELL ON LOT TO:
Septic tank/lift station on loty r
9`
Absorption field an lot -1.o0-.F 2
Public sewer main 75+
Sewer /septic service line 25+
Animal containment areas 50+
SEPTIC/HOLDING TANK ON LOT TO:
in.
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On -adjacent lots 100+
On adjacahtlots 100+
Public sewer manhole/cleanout 1 Q0+
Holding tank 100+
Manure/animal excrete storage areas 100+
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Propertytine 10+ Buildingfoundation 10+
Water Service line 10+ Surface water 100+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
.-4 A-LuQ - 9 7col q
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 Steven R. Pannone
Date 8/17/2015
COSA canary sheet 2.6-15.doc
Water main 10+
Driveway, parking/vehicle storage 10+
in.
If more than 7 septic system is on the lot:
COSA Checklist # 2 of 2
Structure served by this system
Certificate -of On -Site Systems Approval Checklist
Legal Description: T15N R1VV SecAi N2NE48W4NW4 PTN Less W 30'& N 165'E330'- Parcel ID: 051-042-06
A. WELL DATA
Well type If A, B, or C provide PWSID # _
Date completed Sanitary seal (Y/N) _
Total depth ft. Cased to ft.
FROM WELL LOG
Date of test
Static water level ft.
Well production g.p,m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L
Arsenic WLug/L Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,000 gal. Number of Compartments 2
Foundation cleanout (Y/N) 2 Depression over tank (Y/N) N
Date of pumping New Pumper N/A
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground) in.
AT INSPECTION
ft.
Collected by:
Date installed $112/2015
Cleanouts (Y/ -N) Y
High water alarm (Y/N) N
C. ABSORPTION FIELD DATA
8/13/2015 z 1 GPD/SF Shallow Trench
Date installed Soil rating (g.p.d./ft orftz/bdrm) System type
Length 30 ft. Width 5 ft. Gravel below pipe 0.5 ft.
Total depth 6.5 ft. Eff. absorption area 150 ftz Monitoring tube Y Depression over field N
Date of adequacy test New Results (Pass/Fail)'PaSS For 2 bedrooms
Fluid depth in absorption field before test New in. Water added New gal. New depth New in.
Elapsed Time: NeW min. Final fluid depth New in. Absorption rate >= New g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date
D. LIFT STATION
Date installed Size in gallons
"Pump on" level at in. `Pump off' level at in.
Datum Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+
Absorption field on lot 100+
Public sewer main 75+
Sewer /septic service line 25+
Animal containment areas 5a+
SEPTIC/HOLDING TANK ON LOT TO
Manhole/Access (Y/N) _
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots 100+
On adjacent lots 100+
Public sewer manhole/cleanout 100+
Holding tank 100+
Manure/animal excrete storage areas 100+
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 0+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10+ Surface water 100+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in .
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Steven R-. -Pannone
Date 8/17/2015
COSA canary sheet 2-6-15.doc
Water main 10+
Driveway, parking/vehicle storage 10+
in.
*-F 7H
, ,*
A�le
iSrainorie:
`
1CE-8149
4%X1 -..... ::15�0.�r""
J
�0-I
,0i=„ L :aIDOS
1Ib'13a 3SAOH
Pa.aano0 J r__m
pv pr s� p
,os = „L : 31vOs
da}S
I I DM
loom
6 101 N
ti 10i
£ 101
Z 101
h
m
ro
m
rn
N
gLOZ }sem;o CDp y}gLsly} 'DIsDly a6DJoyouy •6ulmoJp sly} uo JDaddD }ou ADLU }Did
PJOOaJ ay} uo UMoys asoy} UDy} Jay}o s4uawasD3 'uoaJay pa}D31Pw so }daoxa C}JadoJd plus
UO s}uawasoa aiglsln Jay}o Jo sauli UOISSIWSUDJ} 's,(DMPDOJ OU aJD @Jay} }oy} puD uol}sanb
ul saslwaJd ay} uo y000nua o}aJay} }uaoofpo 6up(I C}JadoJd ay} UO S}U@waAOJdw'I OU
}014} 'O}aJay} }uaoDfpD 6ulXl ApadoJd ay} uo yDDOJOUa Jo dDIJanO }ou op puD sauil C}JadoJd
ay} my}IM aJD UOOJay} pa}Dn}Is s}uaLUanolduul ay} }Dy} puD gLOZ -ZL }sn ny UO @pow Som
•DMsoly ;o a}D}S
lololpnr pJlyi 1014s10 bu'PJo3a8 a60Joyouy ay} ;o spJo3aa '}aa; 0££ 4sD3 ay} ;o }aa;
99L y}JoN ay} Pur) }aa; O£ }saM ay} WON3383H1 1d30X3 'ur)lpuaW pJDMaS '}saM L a6uo�l
'q:PON g L dlysumoi '{, uoi}3aS `Q MN) Ja}JDnb—auo }saMy}JON ay} ;o Q MS) Ja}JDnb
—auo }saMy}noS ay} }o (t 3N) Ja}JDnb—auo }s0ay}JON ay} ;o (f N) }IDy—auo gIJON ayi
:(}JadoJd Paquosap bulmollo; ay} }o CanJns a}DJnODD UD }Dy} R;l}Jao AgaJay I
.Z 'ON }ol uo awoy ay} 10
}uawaoold ay} upulow puD `11aM Ja}DM ay} bulUID}UIDUJ pun ilaM Ja}DM ay} 6uizlg}n ;o
sasodJnd Jo; Z -ON }ol ;o uol}Jod }Dy} asn o} }y6u lDn}adJad 0 }uDJ6 01 }uawasDa Uy £
(}UawasD3 0uDi8) • L a60d 9-3
Moog }u9UJ9sD3 `696L `9L JagwanON papJoOaJ }uawnJ}sul (q wa}s(s Jo cull uol}nqu}slp
auoydala} JofpuD uolsslwsuDJ} 01}3@1@ UD UID}UIDw puD a}oJado '}3nJ}suoo o} }s@Ja}ul
ul sJossaoons Jo/PUD su61ssD s}I puD 'uoI}OJodJo3 D 'ONI 'NOIIVIOOSSV MLO1 13
V>IsnNV1VW Pa}UDJ6 ';oaJay} suolslnoJd puD swJa} bulpnloul '}uawasD3 ,CDM ;o 4y61�1 '£
'(CLL -92) sa}o}s3 M91A MIuX ;o }Did ay} woJ; uaMD} saOUD}slp puD s6wJD98 •Z
-uol}Dpuno; a}aJouoo o} paJnsr)aw WD suolsuaw!0 -L
:S310N
9 101
Z 101
b iM
}uauJ40DOJ0u3 ,C6-
gDIS a}aJouoO uo a6DJD0
awDJ3 pooM ,Z'Z L x ,Z'OZ -
}uawy0DoJ3u3 g•
,2'L
V£ iol VZ 101
3,,2t j,0.00S
N N
i
D7 �
w Fj
t o (•puno3 ON)
orn; n asnoH uaaJO �O
vl aLUDJ3 pooM rb
o�
H
asnoH uaaJO
if awDJ3 pooM
T
IID}a0 aaS
uol}Dpuno3 apiouo0
uo }uawasog/M
asnoH 603 lanai Z
g£ O
O �+
dC
,00'g9 L p uoalo hn
zti,bO,00S o00
c0 m
00
Z:
L 10_1
0££
0 i3vNI
0
L 101
.L33HIS
YIXY 4I
O MUNICIPALANCHORAGE
• DEPARTMENT OF HEALTH
&HUMAN SERVICES
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR AS] NGLE FAMILY DWELLING
Parcel I.D. # G5� baa o HAA #7//�j
1. GENERAL INFORMATION f1�'
Complete legal description 1✓ya 1U6 w SW !v /yw V T/s^) f/ w Sm -
Location (site address or directions) At enlas pal✓r
Prop--ty owner
Day phone SFS
Mailing address P6R 5 7/o a 3 c
5?'s6 7
Lending agency %✓ori /s��4 �"°rty 4 ye
Day phone
Mailing address '/6331 Il-e:7`4se este
E4
Agent
Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
OF BEDROOMS: /
RECEIVED
2. NUMBER
3. TYPE OF WATER SUPPLY:
APR 22, 1957
Individual well X
Municipality of Anchorage i
Oept. Health & Human Sarv,`c"
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community:on-site -
Public sewer f
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025(Rw.1/91) Front MOA#21
S. 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 of this Health Authority Approval applicationshows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my invest�qation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm a5le ��✓� rr✓s�. c�� �r Phone
Address
Engineer's signature � ' Date �/-'.9'-9 7
6. ` DH/HS SIGNATURE
/�
Approved for
Disapproved.
1OU6t J(' bedrooms. '
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
By:
Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a cou rtesy to purchasers of homes
and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality; of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
1
72-025 (Bev. 1/91) Back MOA W21
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
a Municipality of Anchorage APR 2 1 1997
DEPARTMENT OF HEALTH & HUMAN SERVICES C C /
Environmental Services Division R C C E 1 V
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Health Authority Approval Checklist
Legal Description: /V i111/6 '11V S w iy niw %y se, 4/ �%Parcel I.D.:
A. WELL DATA
Well type i0-jv fe If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) Y Date completed 6 - -7 - 75 -
Total
S`Total depth �a y J Cased to /0-,/ Casing height (above ground)
Sanitary seal (Y/N)
Date of test
Static water level
Well production
FROM WELL LOG
6-1 7 -7s -
3a'
/UO C'- n
WATER SAMPLE RESULTS:
Coliform
Date of sample:
I/ -ii -P7
Wires properly protected (Y/N)
AT INSPECTION
4'-9�-57
37'
g.p.m. S
Nitrate U , 9 s � s/'
Collected by:
B. SEPTIC/HOLDING TANK DATA " � -76 /zb
Other bacteria
g.p.m.
Date installed /99G /i y?k Tank size foo•° ioo Number of Compartments / i Cleanouts (Y/N) V
Foundation cleanout (Y/N) Y Depression (Y/N) 7✓ High water alarm (Y/N) N
DateofPumping Pumper Syi✓iryry �" ^�ccr
C. ABSORPTION FIELD DATA
Date installed /i?G //V 7k Soil rating (g.p.d./ft2 or ft2/bdrm) YS- s2k System type F..�
Length Width Gravel thickness below pipe 6 3 r Total depth
Effective absorption area 4-k- S r Monitoring Tube present (Y/N) Y Depression over field (Y/N) N
Date of adequacy test Y - 9 - 9 7 Results (Pass/Fail) /' a 11 For L/ bedrooms
Fluid depth in absorption field before test (in.); 3 a Immediately after 4s`c gal. water added (in.): 3 /o
Fluid depth 3 % (ins) Minutes later: lo Absorption rate = r fs� g.p.d. eo�A ry ire
Peroxide treatment (past 12 months) (Y/N) If yes, give date
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed <
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
J
Septic/holding tank on lot 82 On adjacent lots
Absorption field on lot 43 1197
"Pump off" level at*
7-/oe�'
On adjacent lots /oma
Public sewer main N14 Public sewer manhole/cleanout
Sewer/septic service line G'S`A
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
s✓/�1
Foundation 13 J Property line tro Absorption field }s ,
Water main/service line Surface water/drainage tJO° Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line / Building foundation tis ' Water main/service line *J"
Surface water Joy Driveway, parking/vehicle storage area + '
Curtain drain Ai
F. ENGINEER'S CERTIFICATION
Wells on adjacent lots
I certify that I have determined thru field inspections and review of Municipal recon
in conformance with MOA HAA guidelines in effect on this date.
axe
Signature
Engineer's Name 4ov�,✓
Date 5/-J'9-57
HAA Fee $ -�) R ` 0
Date of Paymentd-7- f
Receipt Number ) ? / -77
72-026 (Rev. 3/96)*
Waiver Fee $ C 7-&-. dv
Date of Payment XI
Receipt Number 2 7 7 Z
Municipality of Anchorage
�i
Department of Health and Human Services —�
825 " U Street
Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650
Mayor
343-4744
May 15, 1997
Louis A. Butera, P.E.
Eagle River Engineering Services
P.O. Box 773294
Eagle River, Alaska 99577-3294
Subject: Waiver Request for T15N R1W Section 4 N2NE4SW4NW4
Waiver Request #WR970014, PID #051-42-06
Dear Mr. Butera:
Your request for waiver(s) of the required 100 foot horizontal
separation of an on-site wastewater disposal system to a private
well has been approved. The approved separation distance(s) are
83 feet, 82 feet and 92 feet from the private well to a private
leachfield trench and two private septic tanks.
This waiver approval applies to the existing on-site wastewater
disposal system to well separation only. Any future upgrade to either
will require all separation distances be met or another approval
from this department.
If there are any further concerns or questions regarding this waiver,
please call ur office at 343-4744.
SincerelyA4,-Vft
James P. Williams
Civil Engineer
On-site Services Program
ljm:#6
WR# WR970014
0 0
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
PID# 051-042-06 HA# HA970152 Permit #
Date Received: 04/22/97
Legal Description: T15N R1W Sec 4 N2NE4SW4NW4
Engineer: Eagle River Engineering .Services, --.Lou Butera, P.E.
Applicant: Harvey & Rae Strosin
Waiver Requested: Separation distances of 83' 82' and 92' from the private
well to a private leachfield trench and two private septic tanks.
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: —�141 Waiver is NOT Granted:
List Conditions or Reasons for above: �� �Ncrncia2S1�StL(
�)PF-et_-o IPPR [gam l�(2}
Rec #: 02844 Amount: $ 920.00 Date Paid: 04/21/97
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
April 18,1997
Jim Cross, P.E.
Municipality of Anchorage
On -Site Services
P.O. Box 196650
Anchorage, AK 99519-6650
Re: Nl/2 NEI/4 SWl/4 NWl/4 Tl5N R1W SEC 4
Dear Mr. Cross:
APkpR 2°*7
4�ynicipall ofAnchCrag�
p��p�•�i��lfri'�`'Fitliiiatr5`etv7>;es
On behalf of our client we are applying for detemvnation of waiver of separation distance for the
above referenced single family property. The requested waivers are for separation distances of 83',
82', and 92' from the private well to a private leachfield trench and two private septic tanks. A site
plan is attached showing the distances from the well to the above mentioned items.
The well log for the subject property and for nearby properties are attached. The subject well was
drilled in 1975 to a depth of 104'. The original log shows sand and gravel to a depth of 45 feet, where
a 10' layer of blue clay is encountered. A layer of silt then is found from 55 to 75 feet, with a 29'
layer of sand and gravel to the bottom of the well. The water is found in the lower layer of sand and
gravel, below both the blue clay and silt layers. This shows a likely isolation of the aquifer of this
well from any surface water of the area. Surrounding well logs are consistent with the subject
property, showing layers of clay, silt and high silt content soils, and hardpan on immediately adjacent
lots. This supports a protective barrier to the aquifer that extends beyond the bounds of the subject
property.
The soil layers near the surface are also consistent with the surrounding lots, showing gravel and sand
as the predominant soil for the area. The attached soil logs confirm that the above is true, and support
the consistency of the soils for the entire area surrounding subject lot. The ground slopes to the
Northwest at over 75 percent on average, and directs surface drainage away from both the well and
septic systems. The house is located between the well and septic, creating a barrier for surface water
flow.
G Awpdo& 1996\95-1 l4a-ltr
There are two septic systems serving one house on this lot. For the trench septic system on the Iot, the
on-site sewage disposal inspection report was dated September 21, 1978. The inspection ,was
performed by a Municipal Inspector and the recorded distance from the well to the drainfield was 107
feet, the distance from the well to the tank was 92 feet. The seepage pit septic system was installed in
1976 and was reportedly inspected by a municipal inspector also. This is explained in an attached
letter written by the property owner. There is no original paperwork on file for the 1976_ system,
which was asbuilted by our firm in 1987 to show a 1000 gallon tank and unknown capacity leach pit.
This asbuilt documentation was accepted by the MOA for subdivision approval in 1987 and it was
indicated in recent meetings with MOA managers that this documentation would suffice for a current
HAA. Current water samples show zero coliform and a very low nitrate level of 0.95 mg/l.. Both
septic tanks have been pumped.
Based the length of time that the well and septic have been in place, the results of the water samples,
and the small distance being waived, we do not anticipate a significant negative impact on the water
supply by allowing this waiver. Please review the attached file research data and if you have any
questions, please call our office at 6945195.
Sincerely,
tthew I Nardi I
Reviewed by:
N��
Louis A. Butera, PE
GAviNocs\1996\95-114a-Itr 2
ApaElz Tae T�l �OzL�- (-C - co'-vzE(;L va
& A 06prtf of 5L5'
r4 -? T4iN�Swev" r ig i
L -,T. P. U.
4o S.o
6s x ay Zn eERFiva7«w
8S 6.0
�tL. So2PCloti,:
L«,
45` . o>= SAS 4 (sQ4,J€L
q55I- Ss ` CL -Y
S5 - mss' Src-T
IQ, CLPH
to SILC,
C�aY
S«�
6s �a.o� +
PZS
WATeiL Cin terj-c '.
4—'gc.,ME
D 7 a,i Pkr
"-;canrtW— SEpwaa�zcoa VIST. l�,
�S • 2 T�TY�'
83 `
I coo' 3
-�-DV- S-6
�s
Igo
as
a.3
�Lu
0
WELL —
1976 LEACH pit
85' o
4tank
ask
.�1+peC91a51
3 BORM
HOU5E
NO SURFACE WATER
BANKMENT
SITE PLAN
LEGAL: N1/2 NE1/4 SW1/4 NW1/4 T15N R1W SEC 4
OWNER: STROSIN
CONTRACTOR: N A
JOB # 97-019 1 DATE: 4/14/97 1 SCALE 1" = 30'
EAGLE RIVER ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX.- (907) 694-3297
OF
�* :49THl
.... .,.. r. ra ........... .
�m •• LOUIS A. BUTERA •4
ACE-6736
v#o"----
�_-
lDa
! d �f.66 6JC A Kd0o00 S
1I,
lsD8V Sb•6Z£ 3„ZO.170a00S
0e
N P
L $
o3y
06
L6 S a uNi
ZWZ
Qa3
A
N¢3
ZaG
.+
ON C9
LL
0
OP
M
M
d
0
CL.
0
2E ci
uj
CC
Z 0-10 4. OC
'004
U7y
U' -°
U N
a Z a j m M
Uy°C0°a
u
° C u�1
^ UA < a.
ZzFZ=3
WLu o pa.Z�UN
SOC f]S ZOi QF
pa
\f)?
0
z
@N
Q
O:Q
U 0,0
a
paa°
OP
M
M
d
0
CL.
0
2E ci
uj
CC
Z 0-10 4. OC
'004
U7y
U' -°
U N
a Z a j m M
Uy°C0°a
u
° C u�1
^ UA < a.
ZzFZ=3
WLu o pa.Z�UN
SOC f]S ZOi QF
pa
\f)?
0
W4
z
@N
Q
E
a
paa°
°x
N 1Q
Z rJJ
N N. Q
Q J
LL LL
w
Q P
pzN
O
Ioo
W
..
°
P
..
W4
'IS JHA
z
Q
E
a
paa°
QiC
N 1Q
N N. Q
3�v° ao
0z
z a
N
Q P
pzN
$
Ioo
'IS JHA
X SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264.4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: MG "I S4 Yvt!Y DATE PERFORMED: /I/GY 'V /5&f
LEGAL
1
/ t
2-
3-
4-
5
34 5
• v:
6 t
O<
7 <
9 0 _•
' d
10-
11 O .
12 U
13 Is • to
14
MJ
aINE
Top ro;i 0A f-~' C
(&W)
(.•e 11 5:4��(
§4--t 40 Gr<ve!
SLOPE
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH?
ONE
Gross
Time
Net
Time
Depth to
Water
NONE
16
17
0
0,
ONIONERNME
,j
_
nCp
18
•7 ,
Cc 6736
19
p.,
SLOPE
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH?
Reading
ONE
Gross
Time
Net
Time
Depth to
Water
NONE
0
ONIONERNME
MENEENEENE
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
20 - ri,rkc!
PERGE160'F18N RATE �` '��Y7r (minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS Fhr 51, 6..e- Ti/%" /.0/C otie/,.,,jF�/ (� lgr•wr so,/
PERFORMED BY:
Eagle River Engineering Services CERTIFIED BY: DATE:
��—
P n eei1is79$60
_
Eagle River, AK 99577
694.5195
72-008 (6/79)
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264.4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: 1,49L
Date
-.y
DATE PERFORMED: 4/w //
IsBS-
LEGAL DESCRIPTION: y �%i /t%r-!1.t
17
o
K.T4+ ee
'esrA ye✓)
5
6-
7-
9-
10-
11 7910 11
12-
13
2
13
T-6,,eS.i1 04 4A vr<
G w 5r._Oz j G.+w(
Cr m
S< aj 6; .'e.!
s.+,16""
141 1_ __%%'
e OF
15
20
Date
a•
16-
Depth to
Water
Net
Drop
17
o
................. .'
A
...
Louis A.
18
0
41a
Butera W /
••• C 3
9
19-
SLOPE SITE
WAS GROUND WATER S
ENCOUNTERED? _ yes L
O
s' - rt/io/cr
IF YES, AT WHAT E
DEPTH? S - Ir/A r/ir
f
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
.SoarK
f1/10/8r
20 G
II._II PERCOLATION RATE /O (minutes/inch) %a S f�Bw
r TEST RUN BETWEEN 2 FT AND FT
COMMENTS—r-", ,fw 6.�r.- �fS�'
PERFORMED BY: EagleRlver En Irearl Servl CERTIFIED BY: i" DATE: /1 /i3�J"
. Boz 773294
Eagle River, AK 99577
72-00e (6119( 814.5195
I
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: A'c C/, -s ioc/r .i-,. e ns DATE PERFORMED: tvo✓
LEGAL DESCRIPTION: N�&
1
2-
345s3-
4-
5-
6
7
J .
8
9 :
10
11
12
13
18
19
20
. SaJ %v A/er
Toes.; I —dot 0~44
COMMENTS rA Arse
A/ 7
SLOPE
WAS GROUND WATER
ENCOUNTERED? yei
IF VES, AT WHAT 6
DEPTH? 6
Tc. es C -r Jk *
PLAN
Reading
Date
OF /.
'a'ooexoa-
.Net.
Time
Depth to
Water
Not
Drop
f' A' if
(
l
5,•a 4
U
�.�` ;. - yam✓
4//4
COMMENTS rA Arse
A/ 7
SLOPE
WAS GROUND WATER
ENCOUNTERED? yei
IF VES, AT WHAT 6
DEPTH? 6
Tc. es C -r Jk *
PLAN
Reading
Date
Gross
Time
.Net.
Time
Depth to
Water
Not
Drop
f' A' if
10,
5,•a 4
.i �' I//�
4//4
PERCOLATION RATE .4ye>• 1 8'/ ��'pit--{TirweeeFneh�
TEST RUN BETWEEN FT AND 3 FT
PERFORMED BY: Eagle River Engineering Servkee CERTIFIED BY: .! 3 DATE:'
P. 0. Boz 773294
Eagle River, AK 99577
72-006 (6/79) 5945195 -
