HomeMy WebLinkAboutPENNINGTON PARK BLK 2 LT 6Pennington Park Block 2 Lot 6 #020-181-50 Municipality of Anchorage -•, Development Services Department Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 Page of 4 www.ci.anchorage.ek.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO50437 PID Number. 020-181-50 Dennis & Heather Double Wastewater System: ❑ New El Upgrade AOarna 5721 Kallander Ave, Anchorage ABSORPTION FIELD ppb Nun of Beeroanr 4 (70aaaTwrimElswa"Twich❑8ea ❑n+wna ❑om.r LEGAL DESCRIPTION SW Rating 6.0 T°" ftmen°"Weei It a tatccoucP 2 6 bLOaHacn Park DSM b pp Oaeom Ram anpn" a a0a 1.7 Ft. Gw "a.M Raneam pa TwoPennington Range Semon 1.2 Ft. FY gaga atw a aper, pnee 0.5 Ft Gra" Length 1.8 FL 38.0 Ft. Well: El New ❑Upgrade 5.0 NmO. al wa D."nc. R.waenr as Drwcahon (Pwab, /� e, t•7 7aa, DSM' CaeM b FL T"aea"pt n arae 1 NA P�aa Wtara, Ft Ft. Ft Dntar 190 FP ASTM D3034/F810 Dar Dntaa Stake We" Lw" ,n"aiw. A+ Home Services DeOe lrrr,ba Ft rrr parry S"" Cawnp Nowa Aepa Grorq Jan. 19, 2006 OpM Ft• Ft TANK SEPARATION DISTANCES ❑Septic ❑Holding ❑S.T.E.P. Other. To Septx; Absorption LM From Tank Field Station Hol ng ubstlPrivate Tank SarerLine •ter•' peoq. Anchorage Tank & Welding 1500 o" was102.5 120+ NA NA 80+ "a"n" 3/16• steel, epoxy coated AdvanTex tank Nun° ofanpYeM1b 2 smapewaw 100+ 100+ NA NA LIFT STATION X .20 La Line 75 39 NA NA �, OrenCO-AdvanTex FouMahon 60 75+ NA NA Yump an' """" -Puma err r"., n Mph ww awm at timer b timer �, 43 b ahem Drm NA NA NA NA Pune 11iea a twau„nyacoana Fa bmra ° OSI3POS71 0.05- MOA Ramer" Old tank and drainfietd abandoned in place. BENCH MARK AdvanTex w/gravity flow to trench. Trench Insulated Loo wneM Dwnipon garage stab w/2rt foam. 119.93 Ft Engineer Stamp � P•c.�r•..R.F Inspections performed by: Cindy W. Ellis, P.E. Dates: 1/18/06 * 49TH 9 10 2 n 1/18/06�---- Development Servi es Department Approval`: Cl y W. Ellis Reviewed and approved by: IN. Date:? (Ra" two) CE-to577 ��FSsioi+ai•a 98.10 NOTE: RELATIVE DEPTH OF TEST HOLE = 91.80' WATER @ 93.80' FINAL GRADE = 112.60 107.34 DCO ADVANTEX I MAN - AX -20 POD HOLE STEEL ADVANTEX TANK 1500 GALLON N.T.S. MT1 C01 FINAL GRADE= 101.57-101.63 2" PVC MT2 CO2 u u 98.95 ONROTE:IGINAL GRADE _ TER FABRIC * INSULATION 99.62-99.80 4"0 PIPE SEWER ROCK 38.0 TRENCH N.T.S. 10 AS -BUILT Pennington Park Blk 2 Lot 6 Record Drawing of Septic Upgrade `000�ooppp OF At Dennis Double Parcel ID: 020-181-50 Watkins Engineering, Inc. "�4p� o 4. • .' ��0 TH -� 0 • 49 � Permit Number. SWO50437 > v0 0.�......... �.Y DO �. •, CINE W0577LIS . O� 00 ; '.• o o9��aopoo..... Cindy W. Ellis, P.E. P.O. Box 110443 �� Not to Scale2006 Phone: (907) 349-1851, Fa (907) 349-1934 AS -BUILT Based upon a survey by Shane Holt, LS -6914, Jan. 23, 2006. / 30' i CO2 1 1 1 1 1 1 1 1 N \ W \ vp b \ S \ \ Pennington Park Block 2 Lot 6 Record Drawing of Septic Upgrade Dennis & Heather Double Parcel ID: 020-181-50 Permit No. SW050437 Cindy W. Ellis, RE. February 27, 2006 Scale 1 Inch - 30 ft Iu(fdl MH f o sump - C old field s D i / \tank Z AdvanTex 1500 gal steel -20 podro m WELL " DCO -- h NK GRA EL \ DRIVEWAY o�� .01 \HOUSE EXISTING ��� V�!`�J Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 A B C DCO 17,4 23.8 — STl 68.0 64.6 11.8 MH 71,5 63.0 10.0 C01 92.8 87.6 34.0 MTI 95.1 90.0 36.4 CO2 103.1 83.5 43.1 MT2 100.5 82.0 39.7 i / \tank Z AdvanTex 1500 gal steel -20 podro m WELL " DCO -- h NK GRA EL \ DRIVEWAY o�� .01 \HOUSE EXISTING ��� V�!`�J Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 i `�.• "'..•••••••. •�•.. w+i GIG veno 01/26/06 11:24 am P. 001 From +39078303507 Two Jan 24 0513407 2006 page lofl INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION &HELP: 343_7962 INSPECTION: VOICE343-e30o INSPECTION: FAX49-7777 907 ( )2 www.munf.org(BSD/Irrepectlons.cfm NAME: duan PERMIT N: 08-711 o COMPANY: eds electic INSPECT DATE: 1/24/2008 PHONE N: 272-4591 PHONE N: PHONE N: ADDRESS: 5721 KALLANDER AVE LOT BLOCK SUBDIVISION: PENNINGTON PARK GRID N: SW3437 COMMENTS or DIRECTIONS am; call b4 for omhe mtg TYPE OF INSPECTION: Retc, Electrical COMMENTS: (FOR INSPECTOR USE ONLY) I I, ;JCI,, I'i • ( t J PRINTED NAME I ,s MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Nov 29, 2005 Expiration Date: Nov 29, 2006 Permit Number: SWO50437 Parcel ID: 020-181-50 Legal Description: PENNINGTON PARK BLK 2 LT 6 Design Engineer: 0844 Watkins Engineering, Inc Site Address: 005721 KALLANDER AVE Owner Name: DENNIS & HEATHER DOUBLE Lot Size: 42722 SO. FT. Owner Address: 5721 KALLANDER AVENUE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-5617 This permit is for the construction of: 0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( IBAAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By. Date: Z q O Date: o Municipality of Anchorage -. Development Services Department Building Safety Division i On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsfte (907)343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-181-50 Permit Number SW Property owner(s) Dennis & Heather Double Day phone Mailing address (1) 5721 Kallander Ave. Mailing address (2) Anchorage. AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Pennington Park Block 2 Lot 6 Legal description (Section, Township & Range) Lot Size 42,722 Acres/ q.F r THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade El THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. %, P•E. (Signature of property ownef or authorized agent) Permit Fees: erD Date of Payment: Receipt Number. 15 (Rev.12100) Waiver Fees: Date of Payment: Receipt Number. Watkins Engineering, Inc. P.O Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net November 21, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Pennington Park Block 2 Lot 6 Septic System Upgrade To Whom It May Concern: Attached please find the application and supporting documentation to upgrade the septic system for the referenced 4 bedroom house. The existing septic system was installed in 1978 and the drainfield is now surcharged. The septic tank and a portion of the drainfield are within the 100 ft well radius. It is proposed to abandon the existing tank and drainfield in place. . Two test holes were dug on October 26, 2005. The proposed design is based upon test hole #1. The hole was dug to 8.0 ft with water encountered at 6 ft. After a 7 day monitoring period, the water level was at 5.7 ft. The proposed drainfield will be installed in a silty sand layer which occurs between 1 ft and 7 ft. A percolation test conducted between 2.5 ft and 3 ft resulted in a rate of 1.7 minutes per inch. An application rate of 6.0 gpd/ft2 is used in the design. The soil log is attached. Proposed Soil Absorption System: 4 Bedrooms x 150 GPD/BR = 600 GPD System Type: Shallow trench Application rate: 6.0 gpd/ ff 600 GPD / 6.0 gpd/fe = 100 ft' required Maximum Depth: 1.7 ft Effective Depth: 0.5 ft Proposed Length: 40 ft Absorption Area: 200 fP Sewer Upgrade Permit Application for Pennington Park alk 2 Lot 6 Watkins Engineering, Inc.; November 21, 2005; page 2 The proposed drainfield is in an area where a gully runs through the property. It is proposed near the bottom of a cutbank, so there will be no slope concerns. Test hole #2 is located on the opposite side of the gully. Due to the difficulties of crossing the gully with the sewer line, it is proposed to utilize an advanced system with a small drainfield around Test hole #1. There are no surface waters or private wells within 100 ft of the proposed septic system. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, didelvw� Cindy Ellis, P.E. President Approx Locatoin of Welll _—_—E. 172 AVE 1A ' Undeveloped --�------J — — — — -7 Lot 7A Well \E 2A / 7A I 8 / / 8 \ Undeveloped / Proposed Septic We11 �. S stem / \- / TH2, •CA,p�rox Well Location / ` Tt11 _ —Cid nk el 1 , ` 4A Q P NO A 5 M � DRIVE xistI ing Septic system Undeveloped w z W O J (7 Pennington Park Blk 2 Lot 6 Proposed Septic Upgrade Site Plan �pv1�iVQO - Dennis & Heather Double Watkins Engineering, Inc. 'wUO TH 0 a 4g— ::.w..0 Parcel Ia. 020-181-50 p.........,........... 0...... ul O P.O. Box 110443 Cindy W. Ellis, P.E. c.N y�rw 0 ^; cl?- io577 v �op��o4��...^e^.�o� November21, 005 Phone: (907) 349-1851 Fax: (907) 349-1934 Scale 1* -100' ��o Based upon a l / \trench survey byShane Holt,LS-6914.W l TH#2Oct. 27, 2005 TH#1/;°o oped 40 1�o_______1.7It deep, 0.COs & MTs 41 /,100. / Existing trench (1978) - / to be abandoned — / In place. Lot 5 100 ft well radius\ / Ito \\ / TGA\\ ro \ Existing 1250 gam Sunset plastic septic tank - to be abandoned in place. Pennington Park Blk 2 Lot 6 Proposed Septic Upgrade Dennis & Heather Double Parcel ID: 020-181-50 Cindy W. Ellis, P.E. November 21, 2005 Scale 1 Inch - 30 ft \Proposed 1500 gat steel \ AdvanTex tank, with AX -20 o G� e ' Q - DESIGN DETAILS 4 BR, 600 GPD 6.0 gpd/ft2 Requires 100 ft2 Shallow Trench 0.5 ft effective 40 ft long Max 1.7 ft deep Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 �Q 49 LH W. EWS - 10577 Proposed Trench +1.5 Test Hole #2 r so i cover - seeded 10/26/05 OG Fabr c 6lnsulation Organics 1.0 -1.2 e-oenpive -1.7 0.5 a sevrer SMI rock GP o �G Water @5.7 \O 10 ML GAO 8.0 e\O BOH Pennington Park Blk 2 Lot 6 Proposed Septic Upgrade Dennis & Heather Double Parcel ID: 020-181-50 Cindy W. Ellis, P.E. November 21, 2005 Scale 1 Inch - 30 ft \Proposed 1500 gat steel \ AdvanTex tank, with AX -20 o G� e ' Q - DESIGN DETAILS 4 BR, 600 GPD 6.0 gpd/ft2 Requires 100 ft2 Shallow Trench 0.5 ft effective 40 ft long Max 1.7 ft deep Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 �Q 49 LH W. EWS - 10577 Municipality of Anchorage Development Services Department Building Safety Division yam. On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519.6650 www.muni.org/onsite (907) 343.7904 Soils Log - Percolation Test Performed For. Dennis Double Date Performed: October 26, 2005 Legal Description: Pennington Park Blk 2 Lot 6 Township. Range. Section: Slope Site Plan TO "I I� Depth (Feet) L) fpYt i CS I--- 2- 3-1 2- 3 SVA -7.O p1L $,o �o(f 10- 11- 12- 13 - COMMENTS WAS GROUND WATER Date Gross Time ENCOUNTERED? Yes Net Drop 1 10/26/05 S IF YES. AT WHAT DEPTH7 6' L C Depth to Water After P Monitoring? 5•7 E Date: 11-2-05 1:10/1:18 Reading Date Gross Time Net nme Depth to Water Net Drop 1 10/26/05 12:51/12:59 8 6-0 6" 2 1:00/1:08 8 6-0 6" 3 1:10/1:18 8 6-0 6- 4 1:30/1:40 10 6-0 1 6- 5 1:42/1:52 10 6-0 6- 6 1:54/2:04 10 6-0 6" PERCOLATION RATE 1.7 (MWW ch) PERC HOLE DIAMETER ew J TESTRUNBETWEEN 2.5 FT AND 3 FT PERFORMED BY: Rocky Trainor/Cindy Ellis I I/yTl�iti �G1� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEI NES IN EFFECT ON THIS DATE. DATE: 11-7e-05 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.oWonsite (907) 343-7904 Soils Log - Percolation Test Performed For. Dennis Double Date Performed: October 26, 2005 Legal Description: Pennington Park Blk 2 Lot 6 Township, Range, Section: 02- Slope Site Plan T� Depth 61M 9 hL n -I PON 1 1 16- 17- 18- 19 - COMMENTS 09an ie -S /.5 rKA WAS GROUND WATER Lj 0 ENCOUNTERED7 yes e IF YES, AT WHAT DEPTH? 7 L Depth to Water After D 7.8 P Monitoring? 7.8 Date: 11-2-05 Reading Date Gross Time Net Time Depth to Water Net Drop 1 10/26/05 11:33-11:43 10 6.2 4- 2 11:45-11:55 10 6-2 4- 3 11:58-12:08 10 6-2 4- 4 12:10-12:20 10 6-2 1 4- 5 12:23-12:33 10 6-2 4- 6 12:35-12:45 10 6-2 4 - PERCOLATION RATE 2.5 (mY.e..hrh) PERC HOLE DIAMETER a InMs TESTRUNSETWEEN 2.5 FT AND 3 FT PERFORMED BY: Rocky Trainor/Cindy Ellis I (/ td—C GG1(4; CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDEL ES IN EFFECT ON THIS DATE. DATE: /(,V-05 PI-fl-tm_�D MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME A PHONE XNEW UPGRADE MAILING ADDRESS ^ K4-15 r-ki LEGAL DESCRIPTION (� LOCATION v, NOE NO. OF BEDROOMS 4. DISTANCE TO: Well Absorptiory ea J Dwelling' PERMIT NO., `9 BO 1- Z y< Manufacturer Su L s Mater i I No. of compartments -�' Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth C Y J t7Z DISTANCE TO: Well Dwelling PERMIT NO. O Z < ManufacturerMaterial Liquid capacity in gallons D w = DISTANCE TO: Well 1 k '0`�� FoundationNearest lot line `(S PERMIT NO. `( EyOck ,q J LL Z Z w No. of lines Length of each Ii a O Total length of lines 40 Trench id;h inches Distance between lines y� Q H I= © Top of tile to finish grade 0 I Material beneath tile inches Total effective ab ption area ss 4 y W Length Width Depth PERMIT NO. QF- n. a LU Type of crib Cri is a er Crib depth Total effective absorption area N DISTANCE TO: Well Building foundation Nearest lot line J lass \ Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER 1411Cp ,.� P� PIPE MATERIALS %7rn �Q SOIL TEST RATING WL INSTALLER L� d REMARKS 5 t \5 ` NE � e �► a -04 ` i� �m It 11 to 3 � PR VED DATE LEGAL 72-013 (Rev. x/78) M Li r4 I i:„ I F=- I L. I -r kil 01 F= F=i r-4 IZ: Fl 1:3 I= - DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET.- ANCHORAGE, AK 99501 264-4720 L. F=j r -A E> 0 t-4 -r E !E; FE L4 FEE f;Z F- E: F< r-1 I PERMIT NO. ( 780919 " I io 'sn M6n Iv -,a -Is 4bA-S j "So lc)-A-7� APPLICANT STEPHEN PISA SRA BOX 475-5 ANCH 349-4723 LOCATION LEGAL L6B2 PENNINGTON PK S/D LOT SIZE 44000 SQUARE FEET TYPE OF SOIL RBSORSTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING <50 FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C -a F_::"F:l' -V " = 15 L_ I -E " 0 -r " — -dt 0 0 FR. f=1 V I -E t- L-31 F=* F:* -r " = 3: THE LENGTH DIMENSION 15 THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). '7- " FE -r F;?. E: V4 i=: t4 l CATH 31 :E; la C31 10 F= FE E: THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET}. FR E: Q U I F;Z e C), !S I=- F:* -r I (:= -r 1=4 " K :E; I Z FE = ::L:7 --4!T5 C-1 0 n L_ L_ 0 "'_c; PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- -rWQ < � > I N:S F> 1-= C- -7- 10 N!S3 F=l FZ EE f?E. Q U I F:?- E: L'I-a — — — BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F::"EElRMl-r =<::L.- :1.!51 71!P. I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE 15 REWMODEXED TO CLUDE MORE THAN 4 BEDROOMS. AA__ ....................... SIGNED: ------- -- ------ - APPLICANT STEPHEN PISA ISSUED BY-- ----__--__--__DATE__ - 2 V3, 2 ASOILS LOG /-- MUNICIPALITY OF ANCHORAGE PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST Pouch 6650, Anchorage, Alaska 99502 276-2221 SOILS LOG - PERCOLATION TEST PERFORMED FOR: S`e«CA LEGAL DESCRIPTION: DEPTH k- 2 P (FEET) 2 �^ x 4 c7l�w�_ Jr— % 51�6,rouvN ^M 5 6 7 8 9s 10- 11 vti� 12- 13- 14- 15- 16- 17 21314151617 18- 19- 72-008 819 —DATE PERFORMED: W/ Y SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS 5n,'' 15 MaXlht/1ILA. PERFORMED BY:CERTIFIED BY: DATE: L.-2— 72-008 (7/76) g 1369sTAIZ �.®ti TE .�. AP C�OY�AGE, 1�LA�ICA 99502 s f + - 7714 ' 44 185 Teet SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF f' -_ =. X19:" oo 0 :- � • � f � :< < , � � ��. �,��. - DRILLED AT THE RATE OF PER FOOT. {'PROPERTY OWNER •` Steve Pia SRR # 475-�S Rnch. Ria4ka 99507 Sub. PENN""P� rary /, LOCATION OF WELL SITE s< � G1dnk�s. >r t Y r e nAP- DRILLER WELL LOG _ i r* x .. ¢, 185 4ea,--T Jr�t TO. tag z Dn.�i t ed Gy. ,Cook 9n.Le t Co 1WeAX deepened prom. 92.4Y0 ,. 92--185' Bedtock. R 4ed iman Ay. Aidck Some wa e& p lwduz ti on. hour ing at 126 to 128 e -e- • R fR 1 1 8 a 4o 35 to 3 a V mho 7/2 �Pm — ; 174 '.to 179 Te R po>cdu,•j Bock with a pnoduc�,t..dn. 4haev o� 2 rd7'l�• Tdta� p�idcf�lct/�on 4' F - .. ','. S?. 2 r .. YI/ �.V ✓./ L✓J eM.. TILQ� �.� eve `�o be ve�uL c,Lo�e � �hlree .PIR with, an •i.ncheuv�e ,; �. cPm_ 3/4 f{d�e Su,Gine�.ilr.Le Pump. -- p TFax HANK YOU VERY MUCH BERME CLAUS OF RAMPART DRILLING WORK: ,I�< �. �, of #DATE r -...Fv'i Rau. 10th, 1978".,��- _ -- atez ` `s•'t-t' '`t,._a..,2 4 a , 711t117-1 5. LEGAL DESCRIPTION 8 MUNICIPALITY OF ANCHORAGE MUNICIPA TY Q�WADEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTIOOEP 825 Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENVIRONMENTAL ENGINEERING DIVISION ` JUL 11 1979 Telephone 264.4720 , p REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEM DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow tan (10) days for processing. 7. PROPERTY OWNER! PHONE A A ` MAILING ADDRESS 91 PROPERTY R SIDENT (If different from above) PHONE 1 INDIVIDUAL 2. BUYER COMMUNITY _ ENw1.SOCbC ❑ PUBLIC UTILITY MAILING ADDRESS 3. LENDINGINSTITUTION OV I -rep l3 Awdt DF A c,4.r PHONE ,2 7C ✓ 911 MAILIN ADDRESS 1 2y' At,ILIaxfge, gSe z 4. REALTOR/AGENT pHONE o7`E " 7�FtQ R r E' Ptd' R 2 MAILING ADDRESS -72 Y G-' tS' 7#' 5. LEGAL DESCRIPTION 8 STREET LOCATION N 110 A -e e A eV 0 r R vIC-: 6. TYPE OF RESIDENCE NUMBER OF B1DR3OMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two 1:1 Five•.Three ❑ MULTIPLE FAMILY ❑ Six 7. WATER SUPPLY 1 INDIVIDUAL *ATTACH WELL LOG. A well log is required for all wells drifted COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM $6 INDIVIDUAL/ON-SITE*o **If individual/on-site, give installation date PUBLIC UTILITY If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED 72-01.013 THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME - TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ED SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS " ❑ ONE ❑ THREE ❑ ` FIVE ❑ OTHER ❑ TWO ❑ FOUR Cl SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED` 3. SEWAGE DISPOSAL SYSTEM 3. ❑ INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY) Connection Verified PERMIT DATE INSTALLED p -" 0 INSTALLER ❑Septic Tank or ❑ Holding Tank SizerIf Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearestLoft Line 5. COMMENTS DROVED FOR _ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE kLE(AL BY(T'tw DESCRIPTION 72-010 (Rev. 3/7$) Municipality of Anchorage • -- Development Services Department Building Safety Division ; y i:• �: On -Site Water and Wastewater Program ` 4700 Bragaw Street S " P.O. Box 1%650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-181-50 COSA# ac CG�7 Expiration Date: — 1'7— D (o 1: GENERAL INFORMATION Complete legal description Pennington Park Bk 2 Lot 6 Location (site addfess) 5721 Kallander Ave., Anchorage, AK 99516 ' Current Property owner(s) Dennis & Heather Double Day phone Maihhg address same Lending agency Day phone — --- Mailing address Real Estate Agent Claire Ramsey / Dynamic Properties Day phone 261-7552 Mailing Address 3111 C Street, Suite 100, Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD /or pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On-Slte Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on -she water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and Inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn Engineering. Watkins E ineerin , Inc. Phone 349-1851 Address P.O. Box 110443, Anchorage, AK 99511 Engineer's Printed Name Cindy W. Ellis Date 5. DSD SIGNATURE NZ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: ON-SCTE ��: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By _,,. Original Certificate Date: (R« „M) Municipality of Anchorage ' Development Services Department Building Safety Division Onsite Water 3 Wastewater Program : 4700 Bragaw Street P.O. Box 19950 Anchorage, AK 99519.6850 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Pennington Park 61k 2 Lot 6 Parcel IO: 020 -181 -SO A. WELL DATA Well type W If A, B, or C provide PWSID # _ Well Log (Y/N) Yes Date completed 11/10/78 Sanitary seal (YM) Y Wires properly protected (Y/N) Yn Total depth 18s R. Cased to 40' R Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 11/10/78 deepened 1/17/2006 Static water level NA ft. _ 23 ft Wen production _ 3.0 g.p.m. 2.3 9.p -m. WATER SAMPLE RESULTS: CGiifonn JURILLIM0011100 mL Nitrate 0 on 2/14/06 mg/L Other bacteria 0 on 2114106 ooV100 mL Arsenic: 1.18 micrograms/L Date of sample: 3/6/06 Collected by: Watkins aSr. S. SEPTICIHOLDING TANK DATA Tank Typematerial Steel AdunTex Date installed 1/19/2006 Tank size 1500 gal. Number of Compartmanis j Cleanouts (Y/N) Y Foundation cleanout (YM) 00 Depression over tank (Y/N) N High water alarm (YM) Y Data of pumping NA -new Pumper C. ABSORPTION FIELD DATA Date installed 1/18/2006 SW rating (g.p.d./R' or R'/bdrm) 6.0 System type shallow trench Length 38.0 ft. Width IAL ft Gravel below pipe _ 0. S ft Total depth jj R ER. absorption area i90 R' Monitoring tube y Depression over field N Date of adequacy test NA new Results (Pass/Fall) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rats >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) If yes, give date D. LIFT STATION Date installed NA Sae in gallons 'Pump on' level at in. 'Pump off" level at Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot 102. S Absorption field on lot 120+ Public sewer main 100+ Sewer /septic service line 75+ Animal containment areas 50+ Manhole/Access (YIN) in. High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent kris 100+ Public sewer manhole/cleanout 100+ Holding tank NA Manurelanimai excrete storage areas S0+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 60 Property line —U Absorption field 19 Water main 100+ Water service line 60+ Surface water 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 39 Building foundation 75+ Water main 1003 Water Service line 90+ Surface water 100+ Driveway, paddng vehicle storage 90+ Curtain drain yl A Welts on adjacent lots 100+_ F. COMMENTS G. ENGINEER'S CERTIFICATION I car* that I have determined through field inspections and review of Municipal records that the above systems are in conformance w0 MOA COSA guidelines in effect on this data Engineer's Printed Name Cindy N. El11s Data 3- 13-D& COSA Fee S - Waiver Fee $ _ Date of Payment 3I i3 Ti Date of Payment Receipt Number � Receipt Number (Rrrv. 1 V06) lay W. Ellis CE . foam 6,�000pp� / OF ...... ................................ / • SHANE A. HOLT oO / +� LS -6914 u' w 0 0 0 0 r' Oho �yfl/`' /a�/p?' / Ow / o / 0 / O / / N O I BB $ co I I 1 MANHOLE ► FILTER TANK I I �l l 1 e 1 1 ► r ffi F wE FMIILY ` NDUSE � \ GRAVEL \ DRIVEWAY I — Al 14tp65 I L = 96.39 AS -BUILT SURVEY SCALE: 1"-40* I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 0. BLOCK 2. PENNINGTON PARK SUB. THE NFORMATKMI HEREON W FOR THE USE Q LENDING NBTITUTDNS BPECIFICAUY M &IOW ANY CONFLICTS BETWEEN EMSTNO STIWCTMES AND PLATTED LOT LIVES OR EASEMENTS AND 4 NOT TO BE USED FOR POSDDWND ACDTCI STRUCTURES OR FENCELNEB. ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE EASEMENTS OF RECORD. OTHER THAN THOSE NDWTI ON THE RECORDED PLAT. ARE NOT SHOWN HEREON. WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. NOTEANY FENCELIKS aMDWN ME LOCATED APPROXAMTELY ANOME NOT TO BE USED TO DETERMINE PROPERTY LINES ORLOCATE STRUCTURES. DATED AT ANCHORAGE, ALASKA THIS 23RD ANY PANND M10WTI MAY BE APPROXIMATE DUE TO SNOW CONDIT OHB. DAY OF _JANUARY_ 2008_ _ HOLT LAND SURVEYING930 9. F812040.121.42 TEL.345-M13 GJ/1J/[OOb 1b:,4 J4y1`JJ4 WAIKIP?a tMY< rHUt 01 Watkins Engineering, inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 fax 349-1934 March 13, 2006 Clair Ramsey Dynamic Properties 3111 C Street, Suite 100 Anchorage, AK 99503 RE: Pennington Park Block 2 Lot 6 5721 Kallander Ave., Anchorage Water Sampling Results for Arsenic Dear Mr. Ramsey, In conjunction with the sale of the subject property, water samples were taken and analyzed for nitrates, bacteria, and Arsenic, as required by the Municipality of Anchorage. There were no nitrates or bacteria present, but Arsenic was detected at varying levels. Three samples were analyzed for Arsenic, with one result significantly above the allowable limit and two below the limit. After a thorough review of the Quality Control/ Quality Assurance data, we believe that the lab results are accurate. Details about the test results follow. The limit for Arsenic in drinking water is 10 micrograms per liter of wateralso presented as parts per billion (ppb). When the first sample result was above the Iimit, we took another sample as a check. The second sample was below the limit, so a third sample was taken and analyzed at a different lab for confirmation. The third sample was also below the limit The table below lists the sampling data: The result of the February 23 sample was NO (non -detect), with a detection limit of 5 ppb. The lab reports are attached. The sampling conditions were different for the first sample than for the 2 subsequent samples. The first sample was taken during the well flow test on January 17. The water level In the casing had dropped from 23 ft to 120 ft, which is the deepest reading achieved with the acoustic meter. Thus, the well was in a pumped off condition, with water presumed to be at or near the bottom. This is a bedrock well with a total depth of 185 ft. Approximately 400 gallons of water had been produced when the sample was taken. The second and third samples were taken after running the water for only 5 minutes, which would be about 35 gallons of water. All 3 samples were taken from the same hoso bib on the north side of the house. The first sample had a significant amount of debris, or particulate, in the water. The other 2 samples did not have this. When a sample Is analyzed, the particulate is digested and u4r 14r [OGo Ib: tl4 4471744 WA I KIN) LNUO( F'AUt b'1 Watkins Engln"dng, Inc. to Clain Ramsey; parch 13, ZOOS, PeMington Park Blk Z Lot 6 Arsenic Levels; Page Z dissolved Into the water. Therefore, if the particulate has any Arsenic content, k will be dissolved into the water sample and will yield higher levels of Arsenic. I believe that this could be the cause of the higher level of Arsenic in the first sample. The debris may consist of scale off of the casing or pieces of the rock formation. Further testing would be required to determine if this Is the case. In a normal household use situation, it is uncommon to use 400 gallons of water at a time. Therefore, the Arsenic would typically be at the lower level, which is below the limit. If the homeowner is concerned, they may wish to test the water periodically, If the source of the Increased Arsenic Is from particulate In the well, a simple particulate filter would remove It. These filters are commonly placed near the pressure tank, to treat all water entering the house. To remove dissolved Arsenic, a special filter is required; an example of this is the 'adedge' system sold by Alaska Pure Water Products Co. The test results have been submitted to the Municipality of Anchorage with the application for a Certificate of Onsite Approval. The MOA does not deny a COSA based upon elevated Arsenic levels, but may Issue an advisory notice. 1 will continue to Investigate this situation, as a matter of technical Interest If further Information becomes available, I will notify you. If you have any questions, please call me at 349-1851. Thank you for this opportunity to be of service. Yours truly, Cindy W EW llis, P.E., M.S. President Cc: Dennis Double, homeowner Jeff Poet Municipality of Anchorage, Onshe Water & Wastewater Program ADVANCED WASTEWATER TREATMENT SYSTEM MAIN PENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN ^NIUNICIPALITY OF \ANCHORAGE AND (/.. `( JL -"M THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this day of C M of 200 G by and between. herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described/as A Va , i �e ,� located at PES n ;' fit Pa r• /. /3 /A - ), Anchorage, Alaska. 2. Definitions. ro A. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that %were in place at the time of system construction. C. Damagc. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AW16'TS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of :2- F R 0 (S 0.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWNN'TS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AW\'VTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWV1"fS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AU'WTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: `/ /= A %t' L V C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. OHner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the O%vner's AWWTS. 7. romvaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding -vas executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terns and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: By: Date: �J STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ) ss. The foregoing instrument was acknowledged before me this Lqay of lYla�Gh 20( Imo, by _],,tg , the of , on behalf of the Municipality of Anchorage. PUBLIC FOR A fission expires: _ [a PUBLIC