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Home My WebLink AboutMCMAHON BLK 4 LT 5M�Maho�.8 5l GAAB-HD-I _ GR'`ATER ANCHORAGE AREA BORO" H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING (r/% Lf„I If � NAME t ADDRESS LOCATION s L c - f _ LEGAL DESCRIPTION Zet SEPTIC TANK: ,27,2 cl.�7 7-2- PHONE— NUMBER dZPHONE DISTANCE FROM WELL 107 MATERIAL 6pl"�UZ_ —COMPARTMENTS 7 /?7o LIQUID LIQUID CAPACITY —GALLONS. INSIDE LENGTH INSIDE WIDTH—DEPTH— IDTH DEPTHSEEPAGE SEEPAGESYSTEM: SEEPAGE PIT: / �C) DEPTH NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH LENGTH LINING MATERIAL DISTANCE FROM WELL 127 BUILDING FOUNDATION jC7 / L5�//® SQ. FT. NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF. LINES ABSORPTION A FOUN CE BETWEEN LINES FT. LENGTH OF NEAREST LOT BENCH TOTAL LENGTH OF LINES , IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE. - IN. ABOVE TILE WELL:ryiCl�cj % DISTANCE FROM 3&/ WATER TYPE DEPTH BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTICSEEPAGEOTHER LOT LINE SEWER LINE ,TANK /07 SYSTEM /j1 CESSPOOL -- SOURCES_ DIAGRAM OF SYSTEM DISTANCES: DATE �7 l' ` z� APPROVE GARB -HD -2 GREATEN_. ANCHORAGE AREA , JROUGWACase No. S2 HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 / /O I x� SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT MAILING ADDRESSg/ /�� PPH0NENO� RESIDENCE ADDRESSIla LOCATION OF INSTALLATION —�• 1//& 5�EN"*�� LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK , SEEPAGE PIT ✓ DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY 5r FINANCED THROUGH TO BE INSTALLED BY PERCOLATION TEST RESULTS G`r . ANTICIPATED DATE OF COMPLETION— BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE ° TYPE SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: Health Authority TYPE I certify that I am familiar with the requirements of Greater AnchorageAreaBorough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE APPLICANTS SIGNATURE ` Municipality of Anchorage/,, On -Site Water & Wastewater Program .g = _- (907) 343-7804 NOV.I. 9 ?015 n �. CERTIFICATE OF ON-SITE SYSTEMS AP'PR� Parcel I.D. 017-041-06 Expiration Date: 1. GENERAL INFORMATION Complete legal description MCMAHON; BLOCK 4, LOT 5 Location (site address) 12651 LORRAINE STREET Current Property owner(s) SPENCER IRREVOCABLE TRUST Day phone Mailing address 12651 LORRAINE STREET Real Estate Agent HILARY LOCKHART 2. TYPE OF DWELLING: Single Family (w/wo ADU) Duplex; ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 480-213-5623 4 TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Waiver Fee $ Individual On-site Date of Payment Individual Water Storage ❑ individual Holding tank El Community Glass Well ❑ Community On-site Public Water System ❑ Public Sewer El WaiverNanance request for: _�N. COSA Fee $ S Date of Payment - COSA # Waiver # Waiver Fee $ Date of Payment Receipt Number COSA # Waiver # 5. STATEMENT OFINSPECTIONBY 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 andlor 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 Firm GARNESS ENGINEERING GROUP, Ltd. - Phone. 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG provided an engineering evaluation of the weft andlorseptic system M accordance with the - guidelines and regulations established by the Municipality of Anchorage and indusby practices. The reported results describe the condition of the systemAs on the decals of the evaluation. separation distances were measured to maddy identifiable features. Hidden defects or encroachmentsmay exist that werenetidentified during the evaluation. The operational Nis of all wefts and sopa systems depend on variety of variables inducting, but not limited to, soil conditions, groundviate( levels (that may fluctuate dunn the year), quatdyof constmdlon (materials and workmanship), and the water usage of the family utilizing the systeads. These conddions can vary, and are outside the control of GEG. satisfactory test results do not guarantee future pedormance of the systert rs, therefore, GEG makes no womanly (express or implied) regarding the future pedermznce of the well or septic system.. GEG makes no representation whether an altemalfre wall or septic system can be installed on the property m the event.:eifherof current systems had. The content of this meat is far the sole benefit of the persan/party who retained GEG. Radiance upon the - infermatipn provided in this report by any other person or party, including but not limited to subsequent property purchasers, is no authorized. In shod, GEG disavows any legal duty to anyone other then the personlparfy who paid for this report... - 6. DSD SIGNATURE _.Z System #1 Approved for bedrooms; System #2 Approved for bedrooms. Disapproved.V[�VClp d.,,r,, Conditional approval for bedrooms, with the following stipules: O O: . •. SAD AIN). � n_ Z_ 0eunicipality, , rY Original Certificate Date: S' T or Anchorage Develop, eat 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 to the professional engineer's work. - 7 ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: MCMAHON; LOT 5, BLOCK 4 Paroel ID: 017-091-06 A. WELL DATA *PER GEG INSPECTION **PER SURROUNDING WELL LOGS Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed +x ;� 1970 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *52+ ft. Cased to **40'+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test UNK 9/1/2015 Static water level UNK ft, 52 ft Well production UNK g.p•m. 4.0+9•P•m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 4.87 mg./L. Collected by: GEG. Ltd. Arsenic: NO ug./L. Date of sample: 28/15 B. SEPTIC/HOLDING TANK DATA *DOUBLE CLEANOUTS BEFORE TANK .Tank Type/Material SEPTIC/CONCRETE Date installed 6/17/1970 Tank size 1250 gal. Number of Compartments 1 Cleanouts (Y/N) YES Foundation cleanout (Y/N) * Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 6/24/15 Pumper ISAACS PUMPING SERVICE C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 6/17/1970 Soil rating .p.d. r ft2/bdrm)***5.8 System type SEEPAGE PIT Length 10 `• '! ft. Width 60 ft. Gravel below pipe 6 ft. Total depth ` 12.25 ` ft! Eff. absorption area 840 ft' Monitoring tube YES' Depression over field NO Date of adeq'4acy test 9/1 /2015 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorp)ion field before test 5 in. Water added 625 gal. New depth 5 in. Elapsed Time: 0 min. Final fluid depth 5 in. Absorption rate >= " 1500+ g•p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — **SEE PANONE PERK TEST *"ASSUME -0 PER RDA i3ECaRDS D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level .. High water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflift station on lot 50'+ On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25'+ On adjacent lois 100'+ Public sewer manhole/cleanout Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field *5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN 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 COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 12 1, L (Rev. 11/05) I4A am me ww l 7 NKAT IAeslla� W INUW6 i1Me 187.50' N900 00' 00" E draw awa I 1 i � 1 LL 30' LU I b 0 1 •a 1 E... $ rywa w z I Wo I g I LL r`^ o o ?o• EXISTING OD V! ° HOUSE �*.°�' � 6 Ip �0 Nd I LU Z O I� p 1 �'o 00 N90e 00' 001w 157.50' FURROW CREEK ROAD Cr) L------------------------ UNDER NOCIRCUMSTANCESSHOULD AN AS-SILT BE USED FOR CONSTRUCTION OR FOR ESTAaUSHING BOUNDARY OR FENCE UNES THESURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. IAT. SAREy SURVEY TYPE SYMBOLS ° ° ASPHALT FOUNDATION AS-_B&T SET RESAR. . DRAINAGE RMI: STRUCIIME AS-MMIT O FWPm REBAR 4 � ,WOOD FENCE. �' CONCRETE RAT PLAN... AS-9MLT ... IDT 9tIR1ET ... TOPONA NY ® ASSUMED ELEV. iF-if-1F METAL FENCE WOOD DECK PLOT PLA ffi LOT SURVEYS -NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE FENCES WELLS. SEPTIC CLEANOUTS. SIDEWALKS, DRIVEWAYS, CONSTRUCTION. .To VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE SHOWN, ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY, SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. DISTANCES ARE RECORDUNLESSOTHERWISE NOTED. WHICH. DD. NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL Prepared by SURVEY CERTIFICATION MA"S IL111 of Robert E. Johns, Jr. & Assoc. ,q.'!+, PLOT PLM Land Surveyors *SPE . Professional w M e.r .M swr AerA eM Mkt f 1100 Brink Onus. Aw Ar rrYYMa a k w NT•re• -J r awerwkr MYwAr1a" kakNT• rr aW a a.eq." xe" L I {i S >}_I ANCHORAGE. ALASKA 99504 - Rae. Lot 5.F. Rea. Plat Fla No. wrAa Nn r wnol �. 1 a FOUNDATION AS-BULT Sealer. it, = 40' Drawn by Checked b L Ar"! c u.". s, A.ry awaT ak11 / / ,,,,,.,.,.,..„Yyyaw Data Surveyed: 09/24/15 REJ J M K AVINWI Yr MY bIN Mka My ,,-;,�'...r draw.a wNrrlr r aer Af+ri ROSERTtr. JOHNS JR °r1dc W'0' Date Drawn: 09125/15 2835 15-410 AS-BUILT FINAL STRUCTURE 41YM1 c AMr, t Aeay rar tla �. �� fe• . ..++ Legal Deettlptbn: Lot 5 BLOCK 4 .,...Mwe. r «.r ... A aFasaioao �ac:�'�' hAn..��+� MCM,4HON �:.rw.rrwtiwM rlr Jeff Garness From: Crewdson, James A. <CrewdsonJA@ci.anchorage.ak.us> Sent: Wednesday, December 2, 2015 9:36 AM To: Jeff Garness; 'Steve Pannone'; rebeccapower29@gmail.com; kdspencer@gmail.com Cc: Wockenfuss, Deborah M. Subject: RE: 12651 Lorraine St Jeff, I appreciate your quick reply. It appears On-site will be able to approve the system for four (4) bedrooms once the sealed original is submitted. Thanks Jay James "Jay" Crewdson, P.E. Civil and Environmental Engineer Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program Location: 4700 Elmore Road Mail: P.O. Box 196650, Anchorage, AK 99519 v. 907.343.7908 f. 907.249.7601 From: Jeff Garness [mailto:Jeff@garnessengineering.com] Sent: Tuesday, December 01, 2015 6:28 PM To: Crewdson, James A.; 'Steve Pannone'; rebeccapower29@gmail.com; kdspencer@gmail.com Cc: Wockenfuss, Deborah M. Subject: RE: 12651 Lorraine St Mr. Crewdson, • Per Mr. Pannone's soil percolation test, the allowable soil application rate is 0.8 gpd/sq.ft. • The owners are requesting a four (4) bedroom COSA which assumes a peak design flow of 600 gallons per day • Per the 1970 MOA inspection report, the existing seepage pit is 60 feet long, 10 feet wide, and has an effective depth of 6 feet for a total absorption area of 840 sq.ft • 840 sq.ft and 0.8 gpd/sq.ft. equates to 672 gallons per day peak flow Based upon Pannone's percolation test results, and the above calculations, the existing seepage pit is adequately sized for four (4) bedrooms. Best Regards, Jeffrey A Garness, P.E., M.S. President 1 2 3 4 5 6 7 B 9 10 11 12 13 14 15 16 17 18 19 TEST HOLE 11 OR ORGANICS FINE SAND SM/ WITH SILT AND GM TRACES OF GRAVEL BOH DATE PERFORMED: 11116/15 APPLICATION RATES BASED ON: 1990 CODE - 0.8 GPD/SF (188 SFIBR) 1986 CODE - 185 SFIBR PRE'86 CODE - 185 SPIER COMMENTS: Test hole Test nun for at least on PERFORMED BY: Stev WITH ALL STATE AND NOTES: SOILS LOG SOILS LOG SOILS LOG - PERCOLATION TEST SLOPE ! SITE PLAN X TH OR/`ev \ SHY HOUSE (E LOT 5 w . w z�h\ a o I W�Wim_W I� APPROXIMATE LOCATION OF EXISTING SEPTIC- FURROW CREEK ROAD WAS GROUND WATER SLOPE ENCOUNTERED? N IF YES, AT WHAT DEPTH? DRY DEPTH TO WATER AFTER MONITORING?-XXX.XX' DATE: XX/XX/20XX TH X �TH-1 READING DATE CLOCK NETTIME WATERTIME LEVEL NETDROP READING 1 11/16/15 1:30 - 5.98 - 2 2:00 30 MIN -. 8-.12 2.14 a 2:00 - - 5.98 - 4 2:30 30 MIN 8.10 2.12 5 - 2:30 - 5.98- - 6 3:00 30 MIN 8.09 - 2:11: - PEROLATION RATE 14.2 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT Prec hole was Last .s reaamgs reporLeu. 'annone, P. E. I CERTIFY THAT THIS TEST �-IPAL GUIDLINES IN EFFECT ON THE DA PANNONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 McMAHON, BLOCK 4, LOT 5 LOIS SPENCER REVOC. TRUST PO BOX 1084 KULA, HI 96798 12651 LORRAINE STREET Date OF. A(g k> 11/17/2015 Scale T ... *tl� P.LD.NO ✓ 017-041-06 Steven •R�•PGnnoNe PERMIT NO. I'P�fl C 8149 r OSPXXXXXX �S171�1•� �iIII, OFES`==� Sheet OF 1