HomeMy WebLinkAboutKNOLL ON THE WOLD BLK 1 LT 6
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Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP201274
PID Number: 041-031-51
Dwelling: H Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade
Name
Hans & Patricia Jensen
ABSORPTION FIELD
❑ Deep Trench 0 Wide Trench ❑ Bed ❑ Mound
Site Address
9111 Teri Circle
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
1.2 GPD/SF
10.0 Fl.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
6.0 Ft.4.0
Gravel depth beneath pipe
Ft
Subdivision
Block Lot
Knoll On The Wold
1 6
Fill added above original grade
0.0 Ft.
Gravel length
50 Ft.
Township Range Section
Gravel width
5.0 Ft
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
I
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
500 Ftz
1(e) 1(N)
12'+ Ft.
Well
100'+
100'+I
25'+
TANK Septic ElS.T.E.P. El Holding El Other
Manufacturer
Greer
Capacity
1250 Gal.
Surface Water
100'+
1001+
Material
Number of compartments
Lot Line
5'+
10'+
NA
HDPE
2
Foundation
10'+
10'+
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Deans Construction
Drainfield 3034 Co/MT3034
Inspector Pannone Engineering
BENCH MARK (Assumed elevation) —850 ft
ection 1s` 8/17/20
Inspection d 8/17/20
Location and description
Z
3`d 8/18/20
4"' 2/11/21
Bottom House Trim @ A
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
�� OF Ak4k��
co
44 Steven R. 'Pannone'
Septic Syste
10,; . -E 8140 Q
Approved
Date (G Z
�s'Fr�, • .... • • _�: `.y
Note: this appro does not include well permit requirements.`���=�`��
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NOTES: PAMMONE EMG SVC LLC (C.1. 1088) """ c, REVISIONS DATE
RECORD DRAWING P.O. BOX 1807 PAINTER, AK 99645 �6. �.. gCgl''I, 3/2/21
PHONE (907) 745-8200 FAX (907) 745-8201 =_��? s¢9h REV 1: 3/10/21 SCALE
a`:'a 1" = 50'
KNOLL ON THE WOLD B1 L6 ' — P.I.D. No31-51
DRAWN ACP HANS & PATRICIA JENSEN " " R. P""""".
Stevan R. PonnaneN0.
9111 TERI CIR ' ° " `4-209
',,� •• a/a/2ozo".••'�- OSP201274
SITE PLAN ANCHORAGE, AK 99507SHEET
„ ........ 2 OF 3
Pannone Engineering ServiceS LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
10 March 2021
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. 0. Box 196650
Anchorage, Alaska 99519
Subject: Knoll on The Wold B1 L6
Review Comments Responses
Ladies and Gentlemen:
On 3/8/2021 we received comments in response to a record drawing submittal. The comments have been
addressed as follows:
1. The existing field is within the radius of the well on lot S. A waiver is required
Response: Upon further review of record drawings in the area the well located on lot 5 may be in a
different location than that shown on our plans. The new location is shown on the revised site plan. This
location places the existing drain field on lot 6 outside the radius for the well on lot 5. If the department
finds documentation that the existing absorption field on lot 6 is in fact inside the radius of the well on lot
5 or feels a waiver is still required, the owners of lot 5 should be notified of this code violation. Pannone
Engineering Services LLC will not apply for or submit a waiver request and therefore assume future
responsibility for this violation if one exists.
2. Provide elevations of the beginning and end of the distribution pipe
Response: provided
Please contact me if you have any comments or concerns.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Anchorage 'Mailing: P.O. Box 100211, Anchorage, AK/ 99510-0217
Pairner ivlailing: P.O. Box 1807, Palmer, AK 996/15
Telephone: (907) 745-8200 FAX: (907) 745-8201.
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MUNICIPALITY OF ANCHORAGE
On -Site Water& Wastewater Program
POBox 1S0G50 4/VOElmore Road
Anchorage, Alaska 9g5190O5O Ph 04 Fax: (807)3v3'7897
Permit Number: OSP201274
Work Type: Septic Upgrade
Tax Code Number: 04103151000
Site Legal Address: KNOLL ONTHE VVOLDBLK 1 L 8 G:2142
Site Mailing Address: S111TER(C|R.Anchorage
Owner: JENSENHANSF&PATRICIA
Design Engineer: PANN(}NEENGINEERING SERVICES
This permit iefor the construction of:
Z Disposal Field Z Septic Tank Holding Tank Privy
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
8/6/2Q20
8/G/2O21
F-1 Private Well El Water Storage
All construction shall beinaccordance with:
1. The attached approved design.
2' All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
VVaabevvator Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC8O)
3. TheweatowabarcodonaquinaoinepaotionuduhngthoiqmbaUeUon.Theon0ineerahaU notify the Development
Services
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall baeither:
a. Opened and Closed onthe same day, or
b. Covered, sealed, and heated to prevent freezing
Received B
Issued By:
Date:
Ooba:
a]
Municipality of Anchorage
DepartmentP.O. Box 196650 ® 4700 Elmore Road
Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
x x x X VARIANCE/WAIVER REVIEW x x x x
Waiver#: OSV201043 COSA#: Permit#:OSP201274
PID#: 041-031-51
Legal Description: Knoll On The Wold B1 L6
Engineer: Pannone Engineering Services
Your request for a waiver of the required 50 feet horizontal separation from the absorption field to
the excessive slope has been approved. The approved separation distance is 10.0 feet.
This waiver approval applies to the proposed absorption field only. Any fiiture upgrade to the on-
site wastewater disposal system will require all separation distances be met or another approval
from this department.
Waiver is Granted: X Waiver is not Granted:
Date: ,a ZO Approved by:
Name of Rev X er,
**** VARIAN C E/WAIVER REVIEW ****
MPALITY OF ANCHORAGE
Community Development Departmentf Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 041-031-51
Property owner(s) Hans & Patricia Jensen
Mailing address 9111 Teri Circle Anchorage, AK 99507
Day phone
Site address same
Legal description (Sub'd., Block & Lot) Knoll on the Wold 131
L6
Legal description (Township, Range & Section)
Lot Size 52,535 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑X Initial ❑
Single Family (SF) ❑X
(w/wo ADU)
Septic Tank ❑X Upgrade �
Duplex (D) ❑
Holding Tank ElRenewal ❑
Multiple Dwellings ❑
Privy ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST
FOR:
Drain Field to Slope >46%
Distance: 10.0
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 46 ZS ll 10 Waiver Fees: 1,6 0, 75 (—C V I D
Date of Payment: 7 a 5 o'a o Date of Payment: l � a -5 ,2 0Z L-)
Receipt Number: 1 G Receipt Number: 6-11 � G
Permit No. 05PZO)27!�j Waiver No. 0<VZ _C Oy-2
Permit App_:- :- :'_, c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201274, Deb Wockenfuss, 08/06/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201274, Deb Wockenfuss, 08/06/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201274, Deb Wockenfuss, 08/06/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201274, Deb Wockenfuss, 08/06/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201274, Deb Wockenfuss, 08/06/20
�A
'A
_V1
- g.5
I IS THE RESPONSIBILITY OF THE OWNER OR BUILDER,
RIOR TO CONSTRUCTION TO VERIFY PROPOSED BUILDING
RADE RELATIVE TO FINISHED GRADE AND UTILITY
ONNECTIONS. AND TO DETERMINE THE EXISTENCE OF ANY
ASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT
PPEAR ON THE RECORDED SUBDIVISION PLAT.
have conducted a physical survey of the lot and have found or established all
f the lot corners as shown on the plan and to the best of my knowledge and
bilities, all dimensions have been measured true and correct.
OTE:ELEVATIONS ARE ASSUMED DATUM.
ROPOSED CONSTRUCTION PLAN 5'130 Z93
M[JNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROI'ECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
]PHON~~
LOCATION
uJ
aJ
DISTANCE TO: 'T'-
Manufactur.
L.iq. ca, pa~ty, in,~allons
DISTANCE TO:
Manufacture,- /
DISTANCE TO:
No. of,,,,, f Leng,,,ofe¢?
Top of tile to finish grade
Length ' ~'~th
Type of crib C:~
DISTANCE TO: ~ell --
Build~ng foundation
· Absorption al'~,- . 1~'~ Dwelling
!
Inside length Width
DISTANCE TO:
NO. OF BEDR~vlS
PERMIT NO~/O ~ / _3
Nearest lot line/~ ,~
Trench width
inches
IF HOMEMADE:
'W/g7 /.) Dwelling PERMIT NO.
I Material Liquid capacity in gallons
We~/¢ ~-' (,~"~ ,' Foundation ~, ,~ t PERMIT NO.
Distance be[ween lines
Total lengtl~/~f lines
Material beneath tile
Depth
No. of compartments
Liquid depth
Total effective abso~'ption area
PERMIT NO,
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to tot line
Sewer line Septic tank
PERMIT NO.
Absorpt on area(s)
OTHER
PIPE MATERIALS
SOILTESTRATIN~ /
INSTALLER
REMARKS
APPROVED
7~2¢013 (Rev. 3/781
DATE LEGAL
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1.3RE:I<:I:::' ILL :[ NG Eft= FIi",I'¢ :!.T,'¢%"f'EM 1.41 'THOL.rT F ]: i'.~l::ll... I I',I'.E;F'tEE:'f' I ON FINE:' FIF:'F'RO',,,'FtL B"r' 'T'H I S
[:,EF'F:IF;:TI"!E:t'.4T [,.t Z LL. E:I:?. SLIEL~'EE:T TO F'F,.".CV.':~;[.::E:IJ"f' 1 O1'4.
i"1I I'.,I :[ HIJM [::, I S:;TFII'.,ICE EfE:r'HEEN F:t HEL. L. i::ti'.,ID Ftl'.,t'.r' Cdq--.S I "I"E SEHI::II3E C, I 'Z, PEI~.;FIL ~;'T'ST[~i'"I I ':];
::I..EuE~ FE[C'T' FOF-'. FI F'R]:',,,'FITE !4EL..L Eft::: :I.~:;EI 'T'O ;21.?JEI F:EE:'T F'F~:EII'"I Fi F'LIE:L. IC: HELL [::,EF'ENDING
IJPOI'.,I THE:: T'¢F'E ElF' F'LtE&.. l E: HEL. L..
M l I'.,t :I:i"ILIM D :[ S"I"Fq",I(::E F'F.?.Oh'I F'I F'F:: I ',,,'FI'TE HELL. TO I::1 F't';.i l ',,,'FITE SEHEF: L I NE :f. S ;2'.5 FEET
TO F:I COHMLII'.,II"r"¢ SEI.qEf~: LINE I'==; 7.5 FEET.
OTHEF: .F..:EQI..t I F.:EP'IENTS I"1F:1'¢ RPF'Lh". '.::;[:'liE(::: ): F I (.':F~T I FIN.':=; FIND COIqSTRIJC'T t ON [:, I F:IGRFIMS I:~R:IE
I::1',,,'I::11 L.I::IE:I..E TO :[ I",tSURE PROF'ER I NSTRLL. FI"I" ]: ON.
:[ C:EIq:'T' l F"?' 'THFIT
::1..: I I::11"1 FFIHILZFtF4: I.,.II'I"H 'I'FtE: [;?.Eg!LtlF!Ei'qEI'.,ITS FOF'..' ON-L=;:[TE :3E!-,.IERS Fli'.,l[) [,.!ELI~.:::.; F:tL:i; SET
FOI;:'t"I.I 13'T' 'T'HE P1LII'.,!:[C:IF'FIL..IT'¢ OF' FII'.,ICHOF,:':F~CiE.
;:E': :[ 141'1~.L. iI",ISTFIL...L. THE S'¢STEM IN F:ICC:ORE:,FINCE I.,.IZ'f'H THE
:~:: ! I...INDERSTFtI'.~D 'f'HF:FI" 'THE L-~t",I..-".:-.';ZTE '.51EI.,.IER S¥STEP'I t'"lFl'¢ R:EE(.:.!UIFi:E EI'.41..I:;~[;~:GEME:.I'.,IT Z I'-:' TH[C
RES 113, EI'.g::E I S I.q%MOr::,ELED TO :[ I'-,IC!..LII:::,E MORE THRN 4 E~EDIqOOPI'.'::.;.
'v'4. ~3
I
LOCATION OF WELL (Pit... complete line, I" I. or Ic.)
113,615
WATER WELL RECORD
STATE OF ALASKA
D'c PARTMENT OF NATURAL RESOURES
Division of Geological a Geopoysical surveys
Drilling Permit No.
A.D.L. No.
OIE80'r ,fuO L}on, Let 81oak Ib.: rA �a IIfB Section No. TownshipN flange E� Meridian )
�j wLJ,d 6 ' athfaY'. [� oC
! 3O Z W
tc. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS /y f/ w6�_ 3. OWNER OF WELL:
Darryl H.Handy
Knoll on the Wold Address: C?�(�(''I, ) I- GIr . Lam.
Strut Add,*,, and Are. of Well Lotatlen 1�T�/�(gdi A-,'c-44Sa%
2. WELL LOG Feat Holo.
Sures.,
Material TypeTop Saito.
4, WELL DEPTH; (final)
1 1 1 R.
S. DATE OF COMPLETION
O — Q'
brown till 0 19
7p�
S. -u CnAI. tool ORolory O Driven O Dug
❑Auger - OJeued O80red pother:
hard cobbly till
cemented gravel 6 silt 40 55
7. USE: Q Domntit O public Swop{Y Q Industry
❑ Irrigation 0 Recharge O Commerltol
O Test Well O olftoc
silt
hard brn till lenses of grav 1 75 98
silty brn till q8
IS. CAST O T reseed .O Welded
die.. - in. ta71-,t. Booth weight 17 ,beau.
aiam._Is. toft. Booth SNokuo 11.
ti ht ravel -lenses of hard ill
Ti th Silt —H2O 1�5 gam 1055 111
9. FINISH OF WELL:
Type; open hole Diameter:
Slot/M,sb SIP*: Length:
Sol bet.." ft. and fl.
HockllNing Gravel Bock
10. STATIC WATER LEVEL! go - ft,.
O Abave or r.! gel*. land surface Date
Equipment used: T of C
I1. PUMPING LEVEL bell. land surface and YIELD
10 -it. offer r ins. Pumping 5L g•y,m.
_it. after _nrs, pumpino—"p,m.
12.611OUTING Well Grow Nd: O To. t3No
Material: O Neat Cement O Other:
_
13. PUMP: (If available) NP
Length of Drop Pipe - fl. capacity g.p.m.
❑ Suble. O Jet O CORtrif,Cel O Other
_
14. REMARKS:
16. 'AATER WELL CONTRACTOR'S CERTIFICATION:
.e0 .ss dr!11.d unser mY f.risdmlmn and tPis report is hue rc Inc best
15. Weler Tem pa rehire ❑ F O C
.I
of my kne.tedge and belief; s{✓
".�st.nd a smess Nnm. Ctnlrtcl License Numsar
12!+1 lv n ,t, r,r ra e AK ocl 1:
2
- .elear,e.a .e reszmoli.a.
L/{S 9a5Z
°11 :^Fr Dn^•bJ¢r WHIT
lC. {)~stance and Oirectlon From Road intersections
RETURN TO: OJvislon of Geological and ,hysical Surveys (OGGS~
30OI Porcupine Drive (Te, >ne: 277-6615)
Anchorage, Alaska 99501
WATER WELL RECORD
~ATION OF WELL ] Please complete either la, lb, or Ic.
N/S
Street Address and Area of Well Location
2. WELL LOG
SurCace
MaterlaJ Type Top
_//· .
.I
5. ~/ATER WELL CONTRACTOR'S CERTIFICATION:
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
4. WELl. OEPTM: (completed) ] Surface Elevation I Date of
Compl et ion
6, USE:
[_z~Domestlc []Public Supply [] Industry
[.~ I r r Igat ion ~ Recharge [] Comn~rcial
[~Test Well [~Other:
7. EASING: ~] Threaded [~Welded
to _t_tLft , Depth
in. tO ft. Depth
8. FINISH OF WELL:
Set between
ft. and
9. STATIC WATER LEVEL: __ ~_~.:~. , . ft.
[]Above [~Below land surface
Type of Heasurernent: .~7"~? ~
lO. PUMPING LEVEL below land surface
ft. after hrs. pumping
II. WELL H~O COMPLETION:
[~Pitless Adapter
[~ In Approved Pit
inches above grade
GROUTING: Well Grouted: [~ Yes [~]No
Material: [~Neat Cement [] Other:
13. PUMP: (If available) HP
Length of Drop Pipe ~ ft. capacity _~g.P.K
Type; [~]Submersible [~Reclprocating
[~Jet [~]Other:
This well was drilled under my jurlsdlctlon and this report is true to the best of my knowledge and bellef:
Registered Buslnes~me ~ ~6ntr$cC License Num e
E/W
Address:
Drilling Permit No.
A,O,L. NO.
Meridian
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATtON
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
O^TE PERFORMEO: JO~C 7~ /I ~
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15-
16
17
18
19
2O
COMMENTS
~?-/Z
SLOPE
9~
/?/ r
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SITE PLAN
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND __ FT
72-008 (6/79)
I::IPPI.... Z CFII"~'I' L. Ft!'CO'T'FI C:ORP
L O I:: I::1 'T' :[ I::ll',~
LE:EiF:IL I.,..(:; 'E,'SL I<:I'~OL.L Ot",1 'FH~.I.,.ICILD'
LOT'
i'"11N ]' I','ll. I"1 I) I S"I"I::!NC:E ['.!:EiT'I.,.IEEI'.,t FI I,.IEI._L FII'.,I[:, l::li",l"r' OH'-S :1: TIE: SI':!4AC'i[E [::' I
~::. :::.: ....
:IjZIIi:.'i, EL1 Fqi:ll:;i~ I:1 F'I:?.I',,,'F:ITE'. I.,.tE:LL I:)F':: ::L!5{:~ T(:I ;-~1~1t]1 F.E[ET FF,?CH Fi F'LIE:I...IC I.,.IELL
I. I:::'0~'.~ "FHE: TYF'E F)F' F'L.[: L I iS: I,-!E'.L.L.
h'lIt'.,lIHl...Ih'l [:,ISTI::II'.,ICEi FF':H FI PF~'.I',/FITE'. I,.!EL..L. TO F:I F'F.'..[',,,'FITE: '::-';EI.,.IEF;i: LIHF IS ;-?.!!:.ii I::EEET FIN[:,
'T'O FI ="Li'"li'"l l"l~T"r' '.ii;EI,.IER L,i[IqE': I'.E; ,"~'C5
... .F..t
HELL. I...C,3S FtRI: F;~:EL:.!UIF:.':E[)F:INI::, I',II..IS'F PE F.~:)_I: NEB TC THE E:,EI:::'FIRT'HEI'.,IT I.,.I:[THII'.,I 'z~ZI ', ......
CtF 'T'HE t4E[I._L, c :'II',II::'[..E:"I"~ 01'.,I.
Cq'HIEI:: F::E:~::!U]:F:E:HEI'.,tTtE; hlFIY F/I.:FL . ':-SF'ECIFIC:F:ITIOI'.,I!E: FIND c:rZiM':::TI:'_L-:'I"~OI'.,I [;:,..I-..~F.I~-II:::. i:::iFitlE
· N:.- . - F'!;?.OF'I::F-:.:
I::I[,,,'F:I I k...FI[:&_E: 'T'].".:I I ' F~; _ F~ E ~ I'.,IS':,TFll..L..FF1~ ]: ON.
:1: ..1::1,: I ]. F T THI::I'T
:t.' I I::11"1 !:::'FIHII_IFII:~: I,.I:['TH THE: F::EJ::!UII:;:EHEi'.,!T::7:, F':31~' C~I'.,I-...S:;,I'T'E: ::;I~:I..II-_::F::5 I:::ll'.,l[:, HELL'.:;; FIE:; SE:T'
F'ZF;'TH ic', THE: M I'.ITCIPI::ILI'T'~' CiE
;~.~:' :[ I.,.IIL. I.. II'.,I'.STFILL THE: SY'S:;TEH :IN FIC:C:OF:[>FII',ICI: I.,.I:'T'H THE CO[::,EZ.
