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Home My WebLink AboutMACBETH BLK 2 LT 5AMacbeth Block 2 Lot 5A #015-511-01 Municipality of Anchorage Community Development Department Page 1 of 4 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: OSP141301 PID Number: 015-511-01 ❑ New ❑✓ Upgrade Name: Matt and Karla Vander Bie ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 11161 Ridgecrest Drive ✓❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 85 sf/brGPD/SF /U.' S .80FFL LEGAL DESCRIPTION Depth to pipe invert from original grade q, y Ft Gravel depth b neath pipe 6.OF_ Subdivision Block Lot Macbeth 2 5A Fill added above original grade * • 0 Ft. Gravel length 15 Ft. Township Range Section Gravel width 15Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 360 Ft N/A N/AFt Well 70.2 90.9 NA N/A 25+ TANK ❑+ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 15000al. Surface water 100+ 100+ NIA N/A Material Steel Number of compartments 2 Lot Line 7.8 3.4 NIA N/A NA Foundation 10+ 10+ N/A NIA LIFT STATION Manufacturer Capacity Gal. Curtain Drain NIA N/A N/A N/A Pump on level at Pump off level at High water alarm at RemarksTank replace installed by JR's Septic Pum ping in. in. in. and inspected by PES. Existing crib exposed and verified. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to drainfeld 3034 Installer JR'S Septic Pumping Draintield CO/MT Cl Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspection1� g/13/2014 m 2 4/3/2015 Location and description dates: House FF 3'" 4,h COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp "-` At Conditional Approval: Date Mven Pon .Iiorae CE 8149AW: Approved Date Inspection Report_1-1-12.doc A. I I DRAIN FIELD - CRIB (E) TH- 15' x 15' x 6.0'ED x 9.0'TD EXPOSED AND VERIFIED 1 -1 . I / 2 5.41 1T/I 0 4 BEDROOM HOUSE (E) ,p- 1000g & 500g SEPTIC TANKS ABANDONED PER CODE INSTALLED NEW 1,SOOg SEPTIC TANK 7.8 DCOi SUPPORT COLUMNS CARPORT ROOF LINE, TANK LOCATED OUTSIDE OF DRIVEWAY AND PARKING AR B 70.2 `1 EXISTING WELL 10' UTIL ESMT 112TH AVE NOTES: A B DCO1 15.9 13.5 X-rl 21.8 28.9 T2 23.0 36.5 DCO2 24.2 38.3 NOTES: PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 _�� — of a� Ali r �p� ' . .' qs��+ % * 4 TH *j6 ..... .. .. .. ven ;, R, annone �� Plo; GE 8149r�/ ++�lNe" lOFESSIONP . Date 2015 RECORD DRAWING Scale/ P.I.D. NO 15-511-01 PERMIT N0. OSP 141301 MACBETH BLOCK 2 LOT 5ASte MATTHEW & KARLA VANDER BIE 11161 RIDGECREST DR ANCHORAGE, AK 99516 PLAN Sheet 2OF4 l SECTION -15.5 -16.0ML _ 7/17/1 -170 NOTE: GROUND WATER MONITORING ON 411 115 SHOW WATER LEVELS AT THE SAME DEPTH BELOW GROUND AS THE WATER LEVELS IN THE CRIB. THE WATER MONITORING IS BEING INFLUENCED BY THE WASTEWATER FROM THE CRIB. SEE TEST HOLE 2 FOR CURRENT WATER MONITORING. H 0 0 0 w0 O O w0 TH-2 GM/ SM -15.0 1—a DRY 4/10/15 DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM N0. BEDROOM: 4 (600 god) TANK SIZE: 15COg SOIL RATING: 85 SF/BR AREA ROD: 340 SF SYS. TYPE: CRIB 6.0' E.D. USED: 15 LF X 15' WIDE, 6' E.D., 9.0' TD TOTAL AREA: 360 SF PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE NOTES: PANNONE ENG SVC LLC —�oF q �� Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 �; (�. Cgs\k+ a/n/zols PHONE (907) 272-8218 FAX (907) 272-8211 %g�P �yf� Scale j *: 'q TH ' NTS ... ..... .. .... P.I.D. NO MACBETH BLOCK 2 LOT 5A au -s11 -o1 MATTHEW & KARLA VANDER BIE �� Steven R Pannone PERMIT NO. 11161 RIDGECREST DR QP��s CE 8149/ OSP141301 DESIGN DETAILS ANCHORAGE, AK 99516 `t;�\ — - I", Sha eOF 4 SOILS LOG - PERCOLATION TEST TEST HOLE 1 SLOPE SITE PLAN OR ORGANICS 3 �5 / GM/ SILTYSAND &I, s 4 SM GRAVEL ^, 5 6 X TH \ II A i 7 . 5A ,1 6 � s _4. 101 Wil Esmt 10 11 12 o ` 13 — WAS GROUND WATER SLOPE 14 ENCOUNTERED? Y 15 IF YES, AT WHAT TH 16 DEPTH? -16= X ML � n 7/17/2014 DEPTH TO WATER AFTER BOH MONITORING? -11'- 18 DATE: 4/1/2015 DATE PERFORMED: 7117/14 NOTE: GROUNDWATER MONITORING ON 4/1/15 SHOW WATER LEVELS AT THE SAME DEPTH BELOW GROUND AS THE WATER LEVELS IN THE CRIB. THE WATER MONITORING IS BEING INFLUENCED BY THE WASTEWATER FROM THE CRIB. SEE TEST HOLE 2 FOR CURRENT WATER MONITORING. PEROLATION RATE 3.0 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 6 FT AND 7 FT COMMENTS: Test hole excavated by JR'S SEPTIC SERVICES. Prec hole was presoaked. Last 3 readings recorded. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: �7�TT�� T��+ T T s_��'�\1k Date RECORD DRAWING PL]L.1\Ol`IIC. ENG SVC, L,L,COF A4. skk 4/16/15 P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 //*y� TM Q(� �y*II Scale NTS �..... ..:..,� P.I.D. NO MACBETH BLOCK 2 LOT 5A / MATTHEW & KARLA VANDER BIE I '01 S'teven 'R' �a' noae'j PERMIT NO. 11161 RIDGECREST DR I'.• CE 8149 ej ANCHORAGE, AK 99516 I+�gs� '• w sheet SOILS LOG (, OFESs 4 OF 5 CLOCK WATER READING DATE TIME NET TIME LEVEL NET DROP READING 1 7!17!14 2:15 --- 4.70 --- WATER 2:25 10 MIN 7.95 3.25 3 2:25 --- 4.70 --- 4 2:35. 10 MIN 7.96 3.26 s 2:35 --- 4.70 --- s 2:45 10 MIN - 7.98 3.28 TEST HOLE 2 SOILS LOG - PERCOLATION TEST OR ORGANICS SLOPE N M 1H- 3 \ 4 ' � a �w 5 6 x TH 5AI SILTY 3 j 8 GM/ SM SAND AND r�GRAVEL 9 10 11 12 13-- WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES, AT WHAT TH 16 BOH - DEPTH? DRY' - x 17 DEPTH TO WATER AFTER MONITORING? DRY 18 DATE: 4/10/2015 19 20 DATE PERFORMED: 4/3/2015 COMMENTS: Test hole excavated by JR'S SEPTIC SERVICES. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: - �� \� Date PANNON21 ENG SVC, LLC = of a RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 � '(�•••'• �,qsla 13 2ot5 PHONE (907) 272-8218 FAX (907) 272-8211 F9+� scale NTS .... .. ... .. . f P.I.D. NO MACBETH BLOCK 2 LOT 5A 015-511-01 MATTHEW & KARLA VANDER BIE �I S'teven F2: onnone /PERMIT N0. 11161 RIDGECREST DR �`�•. CE 8149 . �� OSP141301 SOILS LOG ANCHORAGE, AK 99516 �s ••.•••''r Sheet ,l �OFES9.I7.r 4 OF 4 READING DATE CLOCK TIME WATER NET TIME LEVEL NET DROP READING 1 NO PERC z 3 4 5 6 ■ 0 as Community Development Department Phone: 07-343-79 4_ Development Services Division !i't, On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION AUG 5 2014 015 Parcel 1. D. -9W-511-01 Property owner(s) MATTHEW & KARLA VANDER BIE Day phone Mailing address 11161 RIDGECREST DRIVE ANCHORAGE AK 99516 Site address SAME Legal description (Sub'd., Block & Lot) MACBETH BLOCK 2 LT 5A Legal description (Township, Range & Section) Lot Size 22,000 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank NUpgrade 1ZDuplex (D) ❑ Holding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 10' UTILITY EASM., LOT LINE, & WELL RADIUS Distance: J_Fly I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. of property owner or authorized agent) Permit/Rush Fees: oW 40 Date of Payment: _ $15 Receipt Number: a Permit No. ti S P I'll—gti / Permit App__- : - : Lac. Waiver Fees: f &'Q B. v Date of Payment: 1/5/10 Receipt Number: til 6 l &- Waiver No.�ib41(�� Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve0paneneak.com April 21, 2015 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: MacBeth Block 2 Lot 5A Septic Tank Replacement Permit Request/System Documentation Ladies and Gentlemen: I am writing to request that a permit to install a new 1500 gallon septic tank be issued for this existing four bedroom house on the subject lot and to document the existing drain field serving this property. The house was constructed in 1964 and extensive research has not turned up record information concerning the installation of the original septic system. Information from your files date back to 1983 when a request was made to gain approval of the four bedroom system and it was discovered the septic tank was only a 1000 gallon tank (sized for three bedrooms.) A 500 gallon septic tank was installed after the 1000 gallon tank and the system was approved for a four bedroom house. This request/Documentation is to replace the two tanks with a single 1,500 gallon septic tank. The existing tanks will be abandoned per code. This lot is served by a private well that is located approximately 65 feet from the existing 1,000 septic tank and approximately 90 feet from the existing drain field. See below for the tank replacement request: 1. Upgrade Tank Design. a. See Sheet 1 of 1 of the plan set new 1,500 septic tank 2. Surface Water: There is no surface water within 100 feet of the existing system. The proposed septic tank will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: Lot 5A slopes from east to west at approximately 11.7% in the area of the tank replacement. The proposed installation will be located in the northern portion of the lot, to the north side of the existing house. 4. Waiver Requests: The proposed septic tank will be located approximately 70 feet from the existing well. The proposed area is relatively flat and in the area of an old driveway no longer in use. This is the optimum location for the tank in that this fully developed lot had old-growth trees nearer the drainfield. The location is also down gradient hydraulically and geographically from the well and is not like to cause contamination of the water source. The existing crib is inside the 10' utility easement on the northwest corner of the lot. The crib is also 3.4' off of the north lot line and 5.4' off of the west lot line. I am requesting a waiver for the crib to be 3 feet off of the property line. The existing soil absorption system is locate 90.9 feet from the well on Lot 5A and 92.1 feet from the well on South Lakewood Hills, Block 6, Lot 8 located across Ridgecrest drive. I feel no waiver is required as the Code in affect when this soil absorption system was installed stated that the system needed to be over fifty feet (50') from a Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 private water source. This system was constructed to the standards and Codes in affect at the time of installation. As the well across Ridgecrest Drive located on South Lakewood Hills S/D Addition No. 1, Block 6, Lot 8, was constructed AFTER the soils absorption system on Lot 5A was constructed, that property should be required to obtain a waiver at the next COSA. However in the attempt to get this project closed and by no means setting any precedent, I submit the following and request a waiver be granted for a lesser separation distance between the well on South Lake wood Hills No.I Block 6, Lot 8 and the soil absorption system on MacBeth S/d Block 2, Lot 5A of 92 feet. There are numerous mitigating circumstances in favor of granting this waiver: The situation has existed since 1969 and no health effects are evident; the separation distance is 92 feet, just shy of the required 100 foot required; there is a road between the well and the SAS with ditches and a structural section that will prevent effluent form reaching the well; and the most recent COSA on South Lakewood Hills show a nitrate level at 0.24 mg/l. If the well was going to be contaminated by this SAS, it would have happened by now, which it has not. The SAS is down gradient hydraulically and geographically from these two wells and is not like to cause contamination of the water sources. 5. Drain Field Documentation: PES exposed the existing crib and found it have four foot diameter concrete rings, six feet tall in the center of a field 15 feet by 15 feet of gravel. There was visqueen placed over the top of the gravel as was the practice in 1964. As mentioned earlier, PES researched extensively for documentation on this system. This house and septic system were in operation before MacBeth Subdivision existed. PES performed a sails investigation and found the soils adjacent to the crib to be Gravel and sand with some silt. The soils have a -G',, J t, � percolation rate of 3 minutes per inch (mpi). Soils on Lot 5B were recently tested to have a percolation rate gp@g than 1 mpi, which required the system to have a filter layer. In the practice of the engineers in the years between statehood (1959) and the early 1990's (see Contractors Bulletin 90-5 dated October 12, 1990 revising this practice and the ADEC Installer's Manuals of that time frame) the soils were visually rated with the best soils having an application rate of 85 square feet per bedroom (sf/br). The soils encountered in the two test holes performed on this lot by PES and on the adjacent lots by other Engineer would all have fallen into the 85 sf/br visual rating. That is the application rate which was used to verify the size of this crib and approved it for a four bedroom house. Additionally, your record have numerous test performed by various Engineers stating that this system passes for a four bedroom house. PES conducted a recent adequacy test and found that this soil absorption system is able to safely absorb in excess of 600 gallons per day as required by the COSA guidelines. The proposed installation will not affect the future development of the surrounding or existing lots. Approval of the existing soil absorption system that has been in operation since 1964 will not affect public health. Approval of the waiver to the New 1,500 gallon septic tank will not affect the public health of this subdivision. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 ipellt ,�\ MUNICIPALITY OF ANCHORAGE s Community Development Department q Right of Way Section v, Department ENCROACHMENT PERMIT R151222 THIS AGREEMENT, made this 25th day of March, 2015, by and between Matthew J. and Karla K. H. Vander Bic and their heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State of Alaska, hereinafter called the "PERMITTER". WITNESSETH: WHEREAS, PERMITTEE is the owner of the following described real property: MACBETH, BLOCK 2, LOT 5A, according to the official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: The 10 FOOT UTILITY EASEMENT located in the western portion of the PERMITTEES property as shown on Plat No. 70-0071, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTEE has placed a septic drainfield upon the referenced easement which encroaches approximately 5 feet into the PERMITTER'S 10 foot Utility Easement. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The PERMITTER, acting through the Director of Community Development Department, hereby grants to the PERMITTEE the privilege of allowing a septic drainfield to encroach approximately 5 feet upon the PERMITTER'S 10 foot Utility Easement, as shown on "Attachment A," included herewith. 2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers. and employees, from any and all lawsuits, claims or actions brought to any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in connection with the existence of, alterations, maintenance, repair, renewal, reconstruction, operation, use or removal of the encroaching septic drainfield, as placed upon the PERMITTER'S Utility Easement. 3. The PERMITTEE shall not assign or transfer any of the rights granted herein to another individual or company without first notifying and securing the approval of the Director of Community Development Department. 4. This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S real property whatsoever, except only the encroachment rights described herein. 5. The PERMITTER reserves the right to revoke this permit upon twenty (20) days written notice to the PERMITTEE. The PERMITTEE agrees upon such notice of revocation, to move said encroachment(s) from the Utility Easement in which it is placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER may, without further notice to the PERMITTEE, remove or cause to be removed the encroachment(s), and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual promises heretofore made, the PERMITTEE has paid the PERMITTER a one-time permit application fee of $115.00. The PERMITTER hereby waives the annual fee of $300.00. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seal the day and year first hereinabove written. GRANTEE: tthew L Vander Bie, owner K. H. Vander Bie, owner GRANTOR: MUNICIPALITY OF ANCHORAGE L. Frost, Jr. V t of Way Supervisor STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this Tl*'� day of _`'hfTlXt,�-•-• , 2015, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Jack L. Frost, Jr., known to me to be the Right of Way Supervisor for the Municipality of Anchorage, Alaska, who executed the foregoing instrument, and he acknowledged to me that he executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year fust above written. STATE OF ALASKA THIRD JUDICIAL DISTRICT % Ikj�� lzk NOTARY PUBLIC in and for Affiska My Commission Expires: "l C"I ) ss. N THIS IS TO CERTIFY that on this - r day of 2015, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Matthew J. Vander Bie, known to me to be the individual named herein who executed the foregoing instrument, and he acknowledged that he did so freely and voluntarily for the used and purposes therein mentioned, and on oath stated that he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. u�-• duurrr��4 NOTARY PUBLIC in and for Alaska _ • Tp�� My Commission Expires: 91 `i l O w.*r k9L* �•'+ STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this n day of 1A' l , 2015, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such; personally appeared Karla K. H. Vander Bie; known to me to be the individual named herein who executed the foregoing instrument, and she acknowledged that she did so freely and voluntarily for the used and purposes therein mentioned, and on oath stated that she was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first a ove written. \\\ttttlUll/ry// NOTARY PUBLIC in j; for Alaska My Commisd Commission Expires: ( 2 r 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 y PHONE ❑NEW MAILING ADDRESS 6r, o 4 "A 4-;4 . LEGAL DESCRIPTION / Z 6 SW Ithc de 14. l S S'— � Z L •S�4 �� d3 e �) LOCATION NO. OF BEDROOMS DISTANCE TO: Well - Absorption area Dwelling PERMIT NO. F�3 0 /7 7�Lq.capacity nufacturer f^Material No. of compartments in gallons � L7 IF HOMEMADE: Inside length Width Liquid depth O(Dz DISTANCE TO: Well Dwelling PERMIT NO. 2 z F Manufacturer Material Liquid capacity in gallons j w DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. J LL Z Z w No. of lines Length of each line Total length of lines Trench width inches Distance between lines FTop p of tile to finish grade Material beneath tile inches Total effective absorption area w Length Width Depth PERMIT NO. a Q F• w a• Type of crib Crib diameter Crib depth Totaleffective absorption area LU DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. Lu DISTANCE T0: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER / p1dM o M�s/tli� REMARKS oC r104 ez APPROVED DATE LEGAL 5 z —� f L sA 62- MA e k f/ 72-013 (Rev. 3/78) CATER WELL DRILLERS LOG a .ng, `Jri7 Driller . Well owner Location address of; Township, Range, a section, if known; /7% J,7 — Size --orf cas Depth of hole 7700' fee Static water level /� d' feet (above)( Blow) land surface. one) Open end > Screen ( ); Perforated ( ). DO NOT FILL IN i USGS No./.2 -3 -a3 !2, ��c7J Area Ilse of well ZZc= rJ or distano- from main to moo' -fee Finish nf well (check Describe screen or perforations Well pumping test at /D gallons per hour minute for hours with 80 feet of drawdown from static level Remarks Well flog f'zz Depth in feet from Give details of formations penetrated, size of material, color, ,_,... -Around surface and hardness. to to f ��+C1�/ Lf f to 93 �1111i"d/ ll� / to zleiV __to/a� 1 to to to to to to to to to ! UvlU8A][�:][ CK F=- ��t�K�� EF DEPARTMENT � \HE�LT� �ND E�VIRONMENTHL�' �TECTIQN / 825 'L- STREET/ ANCHORAGE, AK 99t,01 � x � ^ 264-4720 , PERMIT NO. ( 8]0171 } i APPLICANT R8MQN MENQLER P.8.BOX 10089 SOUTH ST. 502-3727 'LOCATION �� ~�cu LEGAL LGT,2?�BLKASR MAC8ETH SUB LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= -99 � THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: � � � E�� =�n�� = ~v :-77"\ � THE LENGTH DIMENSION ` IS THE LENGTH (IN FEET) OF THE TRENCH OR :tIELD. | THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). / THERE IS NO SET WIDTH FOR TRENCHES. ' THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE . AND THE BOTTOM OF THE EXCAVATION (IN FEET). �F= C,! L-1 I| �[:*), !F. 1= F=� -r 1'f--. �n r-4 VCI :::."��"� � 'y ~��.�_�-~~� � 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. �___ _lFwc_# < -z__ > I "!E. F=O F="o _r I cl "!E. ��F=' ��u I R-1 FEEN ___ i 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 9 PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND � TO H COMMUNITY SEWER LINE IS 75 FEET � . OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ��M 1 7- �X F::' I F;;" F="=-. C_- FE C, F= M E? F= FR 3Z -1 �_=;k 9E? 3- I CERTIFY THAT -i: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. � 2: I UNDERSTAND THAT THE 8N -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED | ISSUED ~� / � 4 • Municipality of Anchor�le�iov p 7 4%6,5 On -Site Water and Wastewater Progra' (907) 343-7904 6� Certificate of On -Site Systems App Parcel I. D. 015-511-01 1. GENERAL INFORMATION Complete legal description Location (site address) Expiration Date:,, - S MacBeth, Block 2, Lot 5A 11161 Ridgecrest Dr. Current Property owner(s) Gregory & Jenny Smith Day phone Mailing address Real Estate Agent 11161 Ridgecrest Dr. Anchorage, AK 99516 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well (] Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 52U0, 00 Waiver Fee $ Date of Payment I (/0FAxiIo Date of Payment Receipt Number 0lD4I-767 Receipt Number COSA# 0SG4015% 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 System Approval Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not, guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC 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 Phone (907) 272-8218 Date 11/7/2016 V.. 9 Steven R. ESannone • �% fig- CE -8149 Conditional approval for bedrooms, with the following stipulations: By �I Original Certificate Date: 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 COSAWUesheel � ,. If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system 1 Certificate of On -Site. Systems Approval Checklist Legal Description: MacBeth, Block 2, Lot 5A Parcel ID:1015=511-01 A. WELL DATA Well type Private If A, B, or provide PWSID # Well Log (Y/N) Y Date completed 8/8/1964 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y / Total depth 200 ft. Cased to 200 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION_ Date of test 8/8/1964 11/2/2016 Static water level 100 ft 153 ft. Well production 10 g.p.m. 6,8+ g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 2.04• mg/L Arsenic ND ug/L Date of sample: 10/14/2016 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 8/13/2014 Tank size 1,500 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 Date of pumping 8/29/2016 Pumper Northland Pumping Serivice C. ABSORPTION FIELD DATA Date installed Unknown . Soil rating (g.p.d./ft2 or ft2/bdrm) 85 SF/BR System type -Crib Length 15 ft. Width 15 ft. Gravel below pipe 6 ft. Total depth 10.4 ft. Eff. absorption area 360 ft2 Monitoring tube Y Depression over -field N Date of adequacy test 11/2/2016 Results (Pass/Fail) Pass. For 4 bedrooms Fluid depth in absorption field before test 46 in. Water added 647 gal. New depth 55 in. Elapsed Time: 370 min. Final fluid depth 46 in. Absorption rate->= 600+ 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 Datum Size in gallons in. "Pump off' level at Cycles tested - Manhole/Access (Y/N) in. , High water alarm level at in. Meets alarm & circuit requirements? E. SEPARATION DISTANCES. WELL ON LOT TO: Septic tank/lift station own lot 70* On adjacent lots 100+ Absorption field on lot ' K+ 90.9 On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ 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+ ABSORPTION FIELD ON LOT TO: Property line 3.4 Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 1.00+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots F. COMMENTS *Waiver on File 0SV141302 Survey on File G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records t6t the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven Pannone Date 11/7/2016 COSA canary sheet_2-6-15.doc J.� even •. annane — -_ i CE -8149 �C�/ • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 45 r,r ^ssa�ir 7 Certificate of On -Site Systems Approval of S-St1-ot Parcell.D. Expiration Date: 7 A 1. GENERAL INFORMATION Complete legal description MacBeth, Block 2, Lot 5A Location (site address) 11161 Ridgecrest Dr. Current Property owner(s) Matthew & Karla Vander Bie Day phone Mailing address Real Estate Agent 11161 Ridgecrest Dr. Anchorqage, AK 99516 2. TYPE OF DWELLING: FF] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual E Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by:Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 01 t2 rlav Date of Payment Receipt Number COSA# (C��1U99 Waiver Fee $ Date of Payment Receipt Number _ 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. 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 sale 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 it System #1 Approved for 4_ bedrooms System #2 Approved for bedrooms Disapproved Date 3/20/2015 Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: Zi f 115— The Municipality of Anchorapg Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet t .. If more than 1 septic system is on the lot: COSA Checklist # -L_6f 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: MaCBeth, Block 2, Lot 5A A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 8/8/1964 Sanitary seal (YIN) Y Total depth 200 ft. Cased to 200 ft. FROM WELL LOG Date of test 8/8/1964 Static water level 100 ft Well production 10 g.p.m, WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 1.53 mg/L Arsenic ND ug/L Date of sample: 1/21/2015 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,500 gal: Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping New, Pumper C. ABSORPTION FIELD DATA 015-5 11 -01 . n 1 � R - Parcel ID"d'`�6" Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 1/21/2015 146 ft. 6.2+ g.p.m. Collected by: PES Date installed 8/13/2014 Cleanouts (Y/N) Y High water alarm (Y/N) N Date installed Unknown . Soil rating (g.p.d./ft2 or ftZ/bdrm) 85 SF/BR System type Crib Length 15 ft. Width 15 ft. Gravel below pipe 6 ft. Total depth 10.4' ft. Eff. absorption area 360 ftZ Monitoring tube Y Depression over field N Date of adequacy test 1/21/2015 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 10 in. Water added 628 gal. New depth 1-2 in. Elapsed Time: 120 min. Final fluid depth 10 in. Absorption rate >= 600+ 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 Datum _ Size in gallons Manhole/Access (Y/N) in. "Pump off' level at - in. High water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankflift station on lot 70* On adjacent lots 100+ Absorption field on lot 90.9 On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 3.4** Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 92.1 F. COMMENTS **See attached waiver request Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage1 0+ G. ENGINEER'S CERTIFICATION -7041-1 LN I certify that l have determined through field inspections and 90. review of Municipal records that the above systems are in *:4 7H ;*+ conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R, Pannone i lid �anriane: 4/17/2015 j� , C08149Date z COSA brown sheet 10-10-12,doc 5B S89e 59'00"W 200.00' 170 EAST 112th AVENUE ------------------------- UNDER NO CIRCUMSTANCES SHOULD AN AS—BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE UNES. THE SURVEYOR TAKES RESPONSIBIUTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. Lj LOT SURWCY SURVEY TYPE SYMBOLS ❑ FOUNDATION AS—BUILT - •— SET REBAR O ASPHALT ❑ RNAL STRUCTURE AS—SULT DRAINAGE A O FOUND REBAR g_g—g. WOOD FENCE '-°�' CONCRETE ❑ PLOT PLAN ... AS—BUILT ...LOT SURVEY ... TOPOGRAPHY 00II ASSUMED ELEV. r7 ..- e.... ..,, ,.,e.,�.. ..-. 621 e<,.aa,.a,�.,.,,.� .� o,.,. �,. .�a�.aa a -r O 1E 1E METAL FENCE ® WOOD DECK IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO -CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE - THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON .THE RECORDED SUBOIVISION PLAT. � Nellxem oxraNY ea'.al•C 1^:..•- -••., �\%�+♦ rlmWve as W Na bt evnae �.�.0 1700 Brink Drive. ANCHORAGE. ALASKA 99504 \.O.S Scale:11, _ AOI Ree. Lot S.F. Rec. Plat File No. Date Surveyed: 02/25/15 Drawn by' REJ /Q ■ • 49th Grid- 2639 TION AS—BUILT AYnA r. xaMY aaNfy Nal I / - '•• •'l. •••• '••• _ •,, na.a ,W awll Imt A 11 NY kl aM Net aY tlM . I GF.�TTTYYYiii��FFF"'///"'CCC ••• .... W Fbmalkn a Nati MrcC•i' Rr1R R -& GRAVEL CA R HED W _ zt DRIVE ORT o 21.3' ro L I ZO VJ Co O LLI Lum. o _J z U Z) GRAVEL 22.9' LLt �p DRIVE EXISTING 0 (I, HOUSELL I L', O Q 44.2' ------------------------- ---- Iq 10' UTIL ESMT S89e 59'00"W 200.00' 170 EAST 112th AVENUE ------------------------- UNDER NO CIRCUMSTANCES SHOULD AN AS—BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE UNES. THE SURVEYOR TAKES RESPONSIBIUTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. Lj LOT SURWCY SURVEY TYPE SYMBOLS ❑ FOUNDATION AS—BUILT - •— SET REBAR O ASPHALT ❑ RNAL STRUCTURE AS—SULT DRAINAGE A O FOUND REBAR g_g—g. WOOD FENCE '-°�' CONCRETE ❑ PLOT PLAN ... AS—BUILT ...LOT SURVEY ... TOPOGRAPHY 00II ASSUMED ELEV. r7 ..- e.... ..,, ,.,e.,�.. ..-. 621 e<,.aa,.a,�.,.,,.� .� o,.,. �,. .�a�.aa a -r O 1E 1E METAL FENCE ® WOOD DECK IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO -CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE - THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON .THE RECORDED SUBOIVISION PLAT. � Nellxem oxraNY ea'.al•C 1^:..•- -••., �\%�+♦ rlmWve as W Na bt evnae �.�.0 1700 Brink Drive. ANCHORAGE. ALASKA 99504 m� tlw pbn mC b q• ar M mY Scale:11, _ AOI Ree. Lot S.F. Rec. Plat File No. Date Surveyed: 02/25/15 Drawn by' REJ Checked 6,fMK ■ • 49th Grid- 2639 TION AS—BUILT AYnA r. xaMY aaNfy Nal I / - '•• •'l. •••• '••• _ •,, na.a ,W awll Imt A 11 NY kl aM Net aY tlM . I GF.�TTTYYYiii��FFF"'///"'CCC ••• .... W Fbmalkn a Nati MrcC•i' Rr1R R If1HN IR RNAL STRUCTURE AS—BUILT '� "• x4121—S I, RWI c .IeMa r., x..elr a.Uy Nat I �. few •'•,, xe.. M6awa N eaun .o»r m N. ♦ ey '•..........•• -.wae.w ea Nw Ix aw Nel s Ne - ae,.wrm.�ww'OYo/essionOl ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. Prepared by Robert E. Johns, Jr. & Assoc. Professional Land Surveyors 1700 Brink Drive. ANCHORAGE. ALASKA 99504 Scale:11, _ AOI Ree. Lot S.F. Rec. Plat File No. Date Surveyed: 02/25/15 Drawn by' REJ Checked 6,fMK Date Drawn: 02/26/15 Grid- 2639 1w.G, 15-69 Lot 5A BLOCK 2 MACBETH M of Ancho ,cent -3; Z Q y epaitenMen t *** VARIANCE/WAIVER REVIEW **** Waiver#: OSVI41302 COSAM OSC151099 Permit#: OSP141301 PID#:015.511-01 Legal Description: MacBeth Block 2 Lot 5A Engineer: Pannone Ensrine�rin aServices Applicant: Matthew and Carla Vander Ble Your request for : a waiver of the required 100 feet horizontal separation from the absorption field and septic tank to the private wells have been approved. The ` approved separation distance. is 70 feet for the tank to the well on the lot and 92 feet from the crib to the well on South Lakewood Hills #1 Block 6 Lot 8. In addition, the crib is approved to be 3 feet from the west and north property line. This waiver approval applies to the existing absorption field and septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ®,The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: Approved by: Name of Reviewer •.Yi.•��..�Y••Y..Y...-•..�....'Y.Y�a Y..■t.Y.Y....YY�..•F.,....• f.��Y.�YYI.••9..1 **** VARIANCE/WAIVER REVIEW **** ■ MacBeth Block 2 Lot 5A Parcel I D: 015-511-01 Waiver for 70 feet from well to tank and 92 feet from field to well on South Lakewood Hills #1 Block 6 Lot 8 4/21/2015 General 1. The house is between the tank and the well. 2. Tank is down gradient from the well 3. 2015 Nitrate levels at 1.5 mg/L for the well on the lot. The failed tank was previously waived to 70 feet also. 4. The road is between the crib and the neighboring well. 5. 2001 nitrates at .24 mg/L for the neighboring well. ADEC Criteria Points Water Table Depth to water bearing layer 124 feet Depth of field 10 feet 114 feet 7.1 Soil Sorotion (no well log available for the neighboring lot) Soil descriptions Permeability Soil descriptions (no well log available for the neighboring lot) DEC PTS Depth From Depth To Thickness Calc. Pts sand and gravel 0.8 10 19 9 0.06 hard pan till 4.5 19 80 61 2.41 clay 6 80 93 13 0.68 sandy silt 2.5 93 97 4 0.09 till 4.5 97 115 18 0.71 clay 6 115 124 9 0.47 114 4.43 4.4 Permeability Soil descriptions (no well log available for the neighboring lot) Total Points 15.5 As per ADEC waiver guidelines, with a minimum point value of 15.5, No bacteriological pollution possible but chemical pollution possible but unlikely from household chemicals. DEC PTS Depth From Depth To Thickness Calc. Pts sand and gravel 1 10 19 9 0.08 hard pan till 3 19 80 61 1.61 clay 0 80 93 13 0.00 sandy silt 2 93 97 4 0.07 till 3 97 115 18 0.47 clay 0 115 124 9 0.00 114 2.23 2.2 Water Table Gradient - Not calculated ## Horizontal Separation Worst case is 70 feet between tank and well 1.8 Total Points 15.5 As per ADEC waiver guidelines, with a minimum point value of 15.5, No bacteriological pollution possible but chemical pollution possible but unlikely from household chemicals. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date T»nP 1-1, 1985 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 5A, Block 2, MacBeth Subdivision Location (address or directions) (b) Applicant Name Ramon Mengler Telephone: Home Applicant Address 11161 Ridgecrest Drive 346-2411 Business 562-3727 (c) Applicant is (check one): Lending Institution ; Owner/builder; Buyer ❑ ; Other ❑ (explain); 667 (d) Lending Institution %T14_ Zfe_A /JS 4/9/41'" e ephone SX1 2 - Address G��/J�% LFi S✓.�'�C 7 g (Z /.T ,A0.? — (e) Real Estate Company and Agent Address tt5 h - Telephone _ (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family) Multi -Family ❑ Other Number of Bedrooms 4 3. WATER SUPPLY Individual Well ® Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite RI Public ❑ Community ❑ Holding Tank El Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025(11,64) Page 1 of 2 5. ENGINEERING FIRM PROVID4,.. INSPECTIONS, TESTS, FILE SEARCH, Dt.. A AND INFORMATION 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 shows 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 investigation 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 OUADRA Engineering, Inc. Telephone 276-3770 Address 401 East Fireweed Lane Anchorage, Alaska 99503 Date 6. DHEP APPROVAL Approved for bedrooms by Approved < Disapprove T-erms-of-6o tditional-Apprevaf 7' w ur'tZ) en - Conditional CAUTION Date Engineer's Seal i'_- LeL /,�6 The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 2644720 Legal Description: Lot 5A, Block 2, MacBeth Subdivision A. WELL DATA Well Classification Private If A, B, C, D.E.C.'Approved (Y/N) N/A Well Log Present (Y/N) y Date Completed August 29, 1979 Yield 7.14 GPM Total Depth 200Cased to 200' Depth of Grouting Acceptable Static Water Level 100, Pump Set At Unknown Casing Height Above Ground 1.5 Sanitary Seal on Casing (Y/N) ( See Comments) Electrical Wiring in Conduit (Y/N) Separation Distances from Well: Y Depression Around Wellhead (Y/Ni N To Septic/Holding Tank on Lot 70' �,�n Adjoining Lots 200' To Nearest Edge of Absorption Field on Lot 1��I ; On'Adjoining Lots 200' To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by To Nearest Public Sewer To Nearest Sewer Service Line on Lot Alan Harala ;Date June 11, 1985 Water Sample Test Results Acceptable (results attached ) Comments Sanitary seal must be replaced. B. SEPTIC/HOLDING TANK DATA n� / % C1 I ry Date Installed 1970 Size 1500 No. of Compartments 2 Standpipes (Y/N) Y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) N Date Last Pumped 6/10/85 ( Receipt Pumping/Maintenance Contract on File (Y/N) N ;for Attached) Holding Tank High -Water Alarm (Y/N) N Temporary Holding Tank Permit (Y/N) N/A _ Separation Distances from Septic/Holding Tank: To Water -Supply Well 70' To Building Foundation 21' To Property Line 10, To Disposal Field 1 2 ' To Water Main/Service Line NSA To Stream, Pond, Lake, or Major Drainage Course Comments System is composed of two septic tanks. One is 1000 Gals. installed 15 years ago. The other is 500 Gals. installed 2 vears ... Page 1 of 2 72-026(11/84) 72-026(11/84) - -. MUNICIPALITY OF ANCHORAGE 1 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) J( 14 CHECKLIST -FEBRUARY 1984 (`� 264-4720 - R E C E{ V E V \ Legal Description: Lot 5A, Block 2. MacBeth Subdivision i A. WELL DATA Well Classification Private If A, B, C, D.E.C. Approved (Y/N) NMA Well Log Present (Y/N) Y Date Completed August 29, 1979 Yield 7.14 GPM Total Depth 200' Cased to 200' Depth of Grouting Acceptable Static Water Level 100' Pump SefAt Unknown Casing Height Above Ground 1.51 Sanitary Seal on Casing (Y/N) ( See Comments) Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) N Separation Distances from Well:'0 70' g �° yOn 200' To Septic/Holding Tank on Lot Adjoining Lots To Nearest Edge of Absorption Field on Lot 685 ; On Adjoining Lots 200' To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by Alan Harala ; Date June 11, 1985 Water Sample Test Results Acceptable ( results attached) Comments Sanitary seal must be replaced. B. SEPTIC/HOLDING TANK DATA Date Installed 1970 Size 1500 No. of; Compartments 2 Standpipes (Y/N) Y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) N Date Last Pumped 6/10/85 ( Receipt ' Attached.) Pumping/Maintenance Contract -on File (Y/N) - N ; for Holding Tank High -Water Alarm (Y/N) N Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To -Water -Supply Well 70' To Building Foundation 21' To Property Line '30 ' To Disposal Field 121 To Water Main/Service Line N/A To Stream, Pond, Lake, or Major Drainage Course Comments System is composed of two septic tanks. One is 1000 Gals. installed 15 years ago. The other is 500 Gals. installed 2 years ago. _ Page 1 of 2 72-026(11/84) - -. C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 125 Ft2/Bedroom Type of System Design Unknown Date Installed Unknown Length of Field Unknown Width of Field Unknown Depth of Field Unknown Gravel Bed Thickness Unknown Square Feet of Absorption Area Unknown Standpipes Present (Y/N) Y Depression over Field (Y/N) IN Date of Last Adequacy Test June 11, 1985 Results of Last Adequacy Test Acceptable Separation Distance from Absorption Field: To Water -Supply Well 5 To Property Line 30' To Building Foundation 4 0 1 To Existing or Abandoned System on Lot N/A ; On Adjoining Lots 300' To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Cutbank (if present) N To Driveway, Parking Area, or Vehicle Storage Area Comments The type and size of absorption system is unknown. The adequacy test data proves the system is acceptable for a 4 bedroom house. D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) _ -Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) ** Check Permitted Bedroom Rating Against HAA Request ** Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed A " n" Date June 13, 1985 Company QUADRA Eng., Inc -MOA No. ST 85-199 Receipt No. Date of Payment Amount: $ — Page 2 of 2 72-028 (11/84) I Engineer's Seal C^ ,ABSORPTION FIELD DATA _ t Soils Rating in Absorption Strata r125 Ft2 Bed oom Type of System Design Unknown Date Installed Unknown ' Length of Field Unknown Width of Field Unknown y ' Depth of Field Unknown Gravel Bed Thickness Unknown Square Feet of Absorption Area Unknown Standpipes Present (Y/N) Y Depression over Field (Y/N) N Date of Last Adequacy Test June 11, 1985 Results of Last Adequacy Test Acceptable Separation Distance from Absorption Field: i To Water -Supply Well^ /Z5r To Property Line 30' To Building Foundation 401 To Existing or Abandoned System on Lot N/A ; On Adjoining Lots 3001 To Water Main/Service Line N/A To Cutbank (if present)' N/A To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments The type and size of absorption system is unknown. The adequacy test data proves the system is acceptable for a 4 bedroom house. D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments Dimensions Manhole/Access (Y/N) " Check Permitted Bedroom Rating Against HAA Request "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked verified, orconformed to all MOA and HAA guidelines in effect on the date of this inspection. Signedh "'�"'y d" "��Date June 13, 1985 Company QUADRA Eng. , Inc -MOA No. ST 85-199 Receipt No. Date of Payment Amount: $ Page 2 of 2 72-028 (11/84) Engineer's Seal 1' APPLIr`�NT FILLS OUT UPPER HAF'� 'NLY I L:-� Phone Property Owner"' ��,lyyr /`i Time >fi//="/'old Mailing Address /-� /J /- �; /` .^;. �G--%t �/i ST ✓ ! / -/• Zip Code Date Buyer Inspector Address �' �� T- Zip Code Lending InstitutionPhone Address Zip Code MUNICIPALITY OF Xit-uep Realty Co. & Agent ... Phone Address Zip Code RECEIVED Legal Description 5z-1. , S 14-1 -` /�/'"yam/i' Street Location ✓�r � � T�T / Type of Residence Single Family - 'CONDITIONS OF APPROVAL ❑-'Multiple Family No. of Bedrooms Other a Water Supply Individual - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available).. ❑ Public Utility Septic Tank Size Sewer Disposal Ja Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. -l1 A c n -n 3v� Time Time Time Time Date Date Date Date Inspector Inspector Inspector - Inspector -1 MUNICIPALITY OF Xit-uep Field Notes: PT. OF HALTH ?: 5' e ENVIROI�'P�ENTAL 'PROTECTION r A 47' RECEIVED ...k z ✓�r � � T�T / I (r/) APPROVED BEDROOMS Ifo, - 'CONDITIONS OF APPROVAL (�/) DISAPPROVED //�/ (y`-) CONDITIONAL APPROVAL' DATEtj a ��✓`�� p'r7/ts r v Soils Rating Date Sewer Installed Well To Absorption Area s� Well Log Received Septic Tank Size Well to Tank ], € 72023 (3182) V,i BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 June 28, 1985 AM22!D Mr. Michael E. Anderson, P.E. Quadra Engineering Inc. 401 E. Fireweed Lane Anchorage, Alaska 99503-2197 SUBJECT: Waiver Horizontal Separation between Well and Septic Tank, Lot 5A, Block 2, Macbeth Subdivision, Anchorage, Alaska (8521 -WA -195) Dear Mr. Anderson: The Department has reviewed the subject waiver request an cannot approv the waiver at this time. If it can be shown that the ;two tic tan are structurally sound with calder couplings or equivalent on in et and outlet connections, a waiver can be granted. Sincerely, Steven W. En -- :E. District Engineer SWE/msm F /Affr� l 1 'A I � IL� �i �, J �, Al L� BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 July 22, 1985 Quadra Engineering, Inc. 401 E. Fireweed Lane Anchorage, Alaska 99503-2197 SUBJECT: Waiver Horizontal Separation between Well and Septic Tank, Lot 5A, Block 2, MacBeth Subdivision, Anchorage, Alaska (8521 -WA -195) Dear Sir: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and septic tank to 70 feet on the subject property for a 4 bedroom single family residence only. SWE/msm Sincerely, S Ven W. 6Enge;z�--- District Engineer MUNICIPALITY OF DEPT. OF FIEALTH & ENVIRONMENTAL PROTECTION AUG G U ty� RECEIVED 401 EAST FIREWEED LANE ANCHORAGE, ALASKA 99503-2197 (907) 276-3770 DATRFAX NO. (907) 279-5092 ANCHORAGE JUNEAU BETHEL FAIRBANKS �JASI A illaemlzc� MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION' June 20, 1985 FJUN 2 WS RECEIVED Alaska Department of Environmental Conservation 437 E Street Anchorage, Alaska 99501 Subject: Ramon Mengler Well Lot 5A, Block 2, MacBeth Subdivision Gentlemen: The well on Lot 5A, Block 2, MacBeth Subdivision is located approximately 70' from the septic tank on the lot. It is also located nearly 125' from the absorption field. Quality tests run on water obtained from the well are acceptable and attached for your use. We, therefore, request. a waiver of the 100' separation between the well and septic tank on this lot. If you have questions or require further information, please contact me at 276-3770. Sincerely yours, �� ®� wllt,f .5 a,-., Ems.---.. Michael E. Anderson, P.E. MEA/ jb Enclosures xc: Ramon Mengler D.H.E.P. 401 E. FIREWEED LANE ANCHORAGE, ALASKA 99503-2197 (907) 276-3770 ANCHORAGE • JUNEAU • BETHEL July 15, 1985 State of Alaska Department of Environmental Conservation 437 E Street, Suite 303 Anchorage, Alaska 99501 Attention: Steven W. Eng, P.E. aINJID118 td011�31oad 1�1r!aWN��I�N3 � M11'd3M d" I.d34 3 0`dhoHOw do un�al�WftW Subject: Ramon Mengler Property Lot 5A, Block 2, MacBeth Subdivision Waiver Horizontal Separation Between Well and Septic Tank (8521 -WA -195) Dear Mr. Eng: on July 5, 1985, an inspection of the septic tanks on the subject property was completed. Excavation to expose inlets and outlets of tanks revealed wa rpxoo--..m_canuections ak-..._.,... each-_ttnd. Photographs of the cfi a fi as -built drawing are enclosed for your use. If further information is needed prior to granting the separation waiver please contact me at 276-3770. Sincerely yours, Michael E. Anderson, P.E. MEA/jb xc: Ramon Mengler D.H.E.P. 401 E. FIREWEED LANE ANCHORAGE, ALASKA 99503-2197 (907) 276-3770 /00, 5'Do JOB SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE SCALE O(1) Stainless Steel/Rubber No Hub Coupling (1) Rubber No Hub/w stainless steel banding O_(2) stainless steel/rubber No Hub coupling O(2) Rubber No Hub/w stainless banding O(1) Rubber No Hub/w stainless banding All couplings on all fittings were found to be acceptable as a calder coupling. All were leakproof. The moisture, as seen in the photos, around the coupling periphery is that of ground moisture. 401 E. FIREWEED LANE ANCHORAGE, ALASKA 99503-2197 (907) 2763770 J08 / SHEET N0. OF CALCULATED BY DATE CHECKED BY DATE SCALE 70 /DOO C�fIG. ✓EP17G"'� f/ USE ✓ETT/G � V WELL ALASKA MUIROWnTAL C011TROL %iolrUCs, Inc. Cngineerinq & 6nuironmental Studies 3/28/83 RAMON MENGLER 4115 LAKE OTIS ANCHORAGE AK 99504 SELLER — RAMON MENGLER BUYER— SUBDIVISION—MCBETH BLOCK -2 LOT -5A ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A UNKNOWN WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 3/28/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 GALLONS IS INADEQUATE BY 250 GALLONS FOR THIS HOUSE OF 4 BEDROOMS. OF A4411, o ° ®•° v , Y + aroy eid, Jr. m P� No. 51•E�a•� "ROFESSI�� 1200 West 33rd Auenue, Suite B • Anchoroge, Alaska 99503 • (907) 276-1361 M P arch 17, 1983 Ramon Mengler P. 0. Box 10089 South Street Anchorage, Ak 99511 Subject: Block 2, Lot 5A, Mae Beth Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: 4�eleThe top of the well casing should be sealed so that it is water tight. Exposed electrical wires to the well head are in violation lC of the Municipality of Anchorage codes and must be encased in conduit. The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this dey)artment. The total number of gallons pumped needs to be s on the receipt and verified by a registered engineer ato the actual number of gallons pumped. This is to verify the size of the septic tank. 0 An adequacy test needs to be performed on the existing leaching area. This test will determine if the: system is adequate accox IJ 4- A �n - National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. 0 A soils test will be required to establish specifications for the septic system. Please notify this Department for a reinspection when the noted discrepancies have been corrected. if there are any further questions, please call this office at 264-4720. Sincerely, JR167/ej/El Jim Roberts Enclosure Associate Environmental Specialist ZAII Y If I x . . d; v � a F- 4 $r lr�'rvkiil t 1,t t �'� x •� 1 1 �. �04 } s • it•4 ! �1 rI i, . . d; v � a F- 4 $r lr�'rvkiil