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HomeMy WebLinkAboutHINSON LTS 2 & 3Onsite File s Am,s- Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191090 PID Number: 011-161-56 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New FE-1 Upgrade Name Sherlyn Shears ABSORPTION FIELD 1771 Deep Trench KWide Trench F1 Bed F-1 Mound Site Address 4915 W. 87th Avenue ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 12.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 8.0 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot Hinson 2 & 3 Fill added above original grade 0 Ft. Gravel length 51 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 Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 510 Ftl 1 N/A Ft. Well 131.5 120.4 N/A N/A 25+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1250 Gal. Surface Water 100'+ 100'+ N/A N/A Material Number of compartments Lot Line 19.6 22.0 N/A N/A NA Steel 2 Foundation 17.2 27.3 N/A NIA LIFT STATION Manufacturer N/A Capacity Gal. Remarks Tank max burial depth 10' Alarm location Electrical installed by PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Installer Pamraning Excavation Drainfield 3034 CO/MT3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100.0 ft Inspection15' 5/11/19 5/12/19 Location and description dates:Zed Td 5/15/19 41h 6/6/19 Corner of asphalt driveway ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Al Conditional Approval: Date .�� Steven R. Pannone Septic System 1 00)�z 1`� CE /8149 �����t Approved /'�C� Date • �� ®- �%��®@'� Note: this approval does not include well permit requirements. (Kev ub/uZl16) WELL (E) I2 1 I \ TH-2 I LOUIS BUTERA-1996 TH O.M. HATCH -1977 / l I� - I 1 10' UTILITY EASEMENT -SEPTIC SYSTEM (E) NEW UPGRADE DRAIN FIELD M1 j- 51 LF x 5'W x 4.0'ED x 12.0'TD C1 I -1997 J INSTALLED CO AND MT AT EACH END ss i ss . ' C2 ^ M DCO \ T2 NEW 1,250g SEPTIC TANKB C INSTALLED FOUNDATION CLEAN OUT, /� 4 BR AND DOUBLE CLEAN OUT T1 HOUSE (E) I B SEPTIC SYSTEM �' FC DECOMMISSIONED PER CODE _ L DECOMMISSIONED EXISTING L 3 WELL PER CODE DRIVEWAY TH-2 O.M. HA WELL (E) A B C I WELL (NEW) s r :87TH AVENUE 1 24.5 I DESIGN PARAMETERS UPGRADE SEPTIC SYSTEM NO. BEDROOM: 4(600 gpd) TANK SIZE: 1,250g PERC RATE: 1-5 MPI SOIL RATING: 1.2 GPD/SF AREA ROD: 510 SF SYS. TYPE: DEEP TRENCH 7.0'ED MIN LENGTH: 35.7 LF USE: 51 LFx5'Wx4.0' E.D., 12.0' TD TOTAL AREA: 510 SF NOTES: RECORD DRAWING DRAWN BY: DRM PLAN PANNO tE EVIG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 HINSON SUBDIVISION, LOT 1, 2, & 3 SHERLYN DARLENE SHEARS 4915 W. 87TH AVENUE ANCHORAGE, AK 99502 c� of A�gs�i 42011 Steven R. Pannone CE 8149 .moi "PROFESSiONP— Wzo Date 8/27/2019 Scale 1 "=50' E.L. N0 011-161-56 'ERMIT N0. OSP191090 Sheet I OF 2 A B C FC 1.9 T1 28.5 24.5 0.0 T2 34.9 22.6 0.0 DCO 36.8 22.6 0.0 C1 62.2 36.6 0.0 mi 63.5 37.7 1 0.0 C2 44.5 60.7 M2 41.5 61.7 PANNO tE EVIG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 HINSON SUBDIVISION, LOT 1, 2, & 3 SHERLYN DARLENE SHEARS 4915 W. 87TH AVENUE ANCHORAGE, AK 99502 c� of A�gs�i 42011 Steven R. Pannone CE 8149 .moi "PROFESSiONP— Wzo Date 8/27/2019 Scale 1 "=50' E.L. N0 011-161-56 'ERMIT N0. OSP191090 Sheet I OF 2 W W FILTER FABRIC Q0 0 0 W0 0 cr Z w w w mco 4" 0 PERF PIPE Fo z o � 0 0 � W 0 0 DRAIN ROCK 6" 0 � 0 m ABOVE PIPE INV v 99.1 -99.6- 92.4 NEW 1250g 92.2 SEPTIC TANK 91.6 L� gc g4s}�f 2; 91,6 PROFILE x ,;�'`YoRnIN,RocKt,Yn x;= 87.6 ; :�r�-� ;�.;��i, .`.^x, .'.v`-.:�.r ;-_:' 87.6 NOTES: ��yy pp ���77���� A�77L�+ �T�^+ SVC, LLC T � .���® RECORD DRAWING PAMONE L1VL,T SYC� LLMC � � ��� Date P.O. BOX 100217 ANCHORAGE, AK 99510 '� °F ALgsl11/11/2019 PHONE (907) 272-8218 FAX (907) 272-8211 s/IdwGj�P �yt¢ Scale DRAWN BY: DRM "'"" "" P.I.D. NO HINSON SUBDIVISION, LOT 1, 2, & 3X1=56. SHERLYN DARLENE SHEARS �� S'te'ven 'R. ' on one PERMIT NO. 4915 W. 87TH AVENUE CE 8149 �\��i' OSP191090 DESIGN DETAILS ANCHORAGE, AK 99502 ` q*,�O�Ss�QNA`�`d Sheet 3 %®® �®� Municipality of Anchorage On -Site Water and Wastewater Program P.O. Box 196550 4700 Elmore Road of Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 ti3 f nrti nuni.oralansite }� iS.fi Review Comments Engineer: PANNONE ENGINEERING SERVICES Legal Description: EPLANS HINSON LTS 2 & 3 Parcel ID: 01116156000 Permit: OSP191090 WellSeptic Report Type: As Built Review +..�r�..d fid, v .T -� � •r, I)cI)aI.IIIIt.'IIt 11/4/2019 Completed By: R.Carroll The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: `4! Please correct the permit # on the Inspection Report form (should be OSP191090). 2 Based on contour lines shown on record drawing, the drainffeld was installed perpendicular to the slope with more than a foot drop across the length. Profile only indicates a 1/2 foot drop. Please address. Please correct the permit # on the profile drawing (should be OSP191090). 4. Please submit an as -built survey. Z , CD,t) ToJ � l /�i /��r.�� � F�, i� r �P✓�/�vT.�-r �o� C� � o Po�2�Pl�Y �i-� �c�� s PCS DOC'- -VOT 1,A) 19 db Fog,, MO57 .56'? rlL_ l,,0l 7,f�ZLS ������L.Ev'*7tc,W6 5 t,) ! �A)S�uh�r�a,J. Certified Drilling Log B DOC CO dba BILL �& GDLE ULLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2756 OWNER OF LAND: Spinell Homes ADDRESS: LEGAL DESCRIPTION Hinson Lot 2 DATE: 3-8-19 PERMIT NUMBER: OSP191012 DATE OF ISSUE: 1-30-19 TAX IDENTIFICATION NUMBER 01116156000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: ❑air rotary ❑cable tool Depth of Well: 356 Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 356 feet Liner type Static Water Level: 82 feet Recovery Rate 60+ ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ® open end ❑open hole Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: VIATER QVI ` . • " - •/ VIIML • m Bore Hole Data Depth From To 0 2 2 4 4 39 39 197 197 245 245 292 292 335 335 356 Casing Stickup Overburden Silty Sand & Gravel Silt & Sand w/ Gravel Tight Silt Silt & Sand - Water Clay & Gravel Sand & Gravel Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. Well Drilling Permit Number: SW OSP191012 Date of Issue 1-30-19 Parcel Identification Number: 01116156000 Legal Description Hinson Lot 2 Pump Installation Date: 3-12-19 Pump Intake Depth Below Top of Well Casing: 310 Pump manufacturer's Name: F&W Pump Model: 4F10G10301 Pump Size: 1 Pitless Adapter Burial Depth: 10 Pitless Adapter Installer: Pomraning Excavation Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson 11 Pump Installers Name: Sullivan Water Wells Property Owner Name & Address Spinel) Homes feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS Ref.# 1191095001 Client Name Sullivan Water Wells Project Name/# 4915 W 87th Ave Client Sample ID 4915 W 87th Ave Matrix Drinking Water Sample Remarks: Parameter Results Printed Date/Time 03/19/2019 16:05 Collected Date/Time 03/13/2019 15:55 Received Date/Time 03/13/2019 16:22 Technical Director Stephen C. Ede Allowable Prep Analysis LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 106 r 5.00 Waters Department Total Nitrate/Nitrite-N ND 0.200 Microbiology Laboratory E. Coli Negative 1 Total Colilorm Negative 1 ug/L EP200.8 B (<10) 03/18/19 03/18/19 ACF mg/L SM21 4500NO3-F C (<10) 03/19/19 EWW 100mL SM219223B A IOOmL SM219223B A 03/13/19 A.L 03/13/19 A.L 2 of 5 ma 1, 'SEEN - � MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box. 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone; (907) 343-7904 Fax: (907) 343-7997 http://tivww.niuni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191090 Work Type: Septic Upgrade Tax Code Number: 01116 156000 Site Legal Address: HINSON LTS 1,2 & 3 G:2324 Site Mailing Address: 4915 W 87TH AVE, Anchorage Owner: SHEARS SHERYLN DARLENE Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: 1_>rlrttt,ct�t 4/15/2019 4/14/2020 30923 Q Disposal Field ✓❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Wel,' ❑ Water Storage All construction shall be in accordance 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 Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: J Issued By: Date: Ir Date: 4 MUNICIPALITY F ANCHORAGE Community Development Department 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. 011-161-56 Property owner(s) Sheryln Darlene Shears Mailing address 4915 W. 87th Avenue, Anchorage, AK 99502 Site address 4915 W. 87th Avenue Day phone Legal description (Sub'd., Block & Lot) Hinson, Lots 1, 2, & 3 Legal description (Township, Range & Section) Lot Size 30,923 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 0 (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: 1 certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. nature of property owner or authorized agent) Permit/Rush Fees: J�95� Waiver Fees: Date of Payment: Ll 1'1 Date of Payment: Receipt Number: (J%/�3� � Receipt Number: Permit No. 05p,q 1040 Waiver No. Permit App_'-'- :- :_..:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191090, Rebecca Carroll, 04/15/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191090, Rebecca Carroll, 04/15/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191090, Rebecca Carroll, 04/15/19 N 00-00'-,-,- P- I'ZA On' J N3n3SV3 )untuno 'L— i 5�4e- 'C92L 3 ,OO,ZO.D() S X FZ F--- E -F iujp-tt AV4 rt>--fbC, Lo4s 2� move, maq 15$ CFI Y� Cli --44 CD LO LO,ZO-00 N fq co C4 o 0 0 cn CA Cu u00,ZO.Oj m N r+ cz C 0 C;) co m 0 0 Vi 0 > < rri C -i m z c �3 �..O 0. Z �O. 0 0 0 03 4. :P- C) 0 0 d Ce 'C92L 3 ,OO,ZO.D() S X FZ F--- E -F iujp-tt AV4 rt>--fbC, Lo4s 2� move, maq K t 0 � V • } 3 to .j3 t31 4a ctvn.r !G9 6� e�.s in -it 1 Go 3! � n w h W EIGHTY SIXTH Ave KI. Of�aYo 1 EF ' ! z98 z2. coenl+ 33 1� L� }^ ri t ° to 96 Da..... 4 111 3 �- r^� 1 s.. t • ♦ S T;- 57r� Qs d oq as So _ b9 sb 70 00 7s a0 $•r" 00 e. 33 � g ti raz ca c>.,o i'= 4 °G1'1 f ' iq =r'� W 87th AYE m ? " ,yg�v S`4S"tiJ ci({ 5Y T/1,rf 33 5 o a f s h C3 a a a 3 v W ui 20;30 'd tti . n a <1 0 K in M i oT ♦t K al 3d ITS 4L Cer.r !a3 Gc eo+., 298 31. tvr"p d3 ...., "W EIGHTY 'EIGHTH A � �' " n tb3 44 ta,,p i3e. aaaw iotszg I.N �1 h 491313 3z cm•ly 3x TEST HOLE LOCATION SKETCH FIGUM, 2 Test Pit #1 ,Depth in Feet From To 0.0 0.5 5.0 7.0 10.0 0.5 5.0 7.0 10.0 16.0 Bottom of Test Pit: Frost Line: Free Water Level: Date: 12-29--77 Logged By: O.M.Hatch Table A WO #D10759 Soil Description Brown Peat and Silt. NFS/F-2, brown Sand, SP -SM, with traces Silt and Gravel, poorly graded, damp, medium density. NFS, brown Gravelly Sand, SP -SM, with trace Silt, damp, medium density, rounded particles to 211. NFS, brown Sand Gravel, GW -GM, with trace Silt, well graded, damp, medium density, rounded parti- cles to 3". NFS, brown Gravelly Sand, SW, damp, medium density, rounded particles to 1". 16.0 ft. 1.0 ft. None observed while drilling Type of Sample Depth Sample 1 5.0 G 2 10.0 G 3 15.0 G Remarks: 1. 2. 3. A. 5. 6. Unified Classification SP -SM GW SW Type of Sample, G -Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, M=Medium, H -High. Group refers to similar material, this study only. General Information, see Sheet 1. Frost and Textural classification, see Sheet 2. Unified Classification, see Sheet 3. Test Pit #2 Depth in Feet From To 0.0 1.0 1.0 5.0 5.0 8.0 8.0 11.0 11.0 16.0 Bottom of Test Pit: Frost Line: Free Water Level: M Table A 0 Date: 12-29-77 Logged By: O.M.Hatch WO 010759 Soil Descrytion Brown Peat and Silt, topsoil. NFS/F-2, brown Sand, SP -SM, with traces Silt and Gravel, poorly graded, damp, medium density. NFS, brown Gravelly Sand, SW, well graded, damp, medium density, rounded particles to 2". NFS, brown Sandy Gravel, GW, well graded, damp, medium density, rounded particles to 3". NFS, brown Sand, SW, with trace Gravel, damp, medium density, rounded particles to 111. _ 16.0 ft. 1.0 ft. None observed while drilling Type of Sample Depth Sample 1 5.0 G Unified Classification SP -SM 2 10.0 G GW 3 15.0 G SW Remarks: 1. Type: of Sample, G --Grab, SP = Standard Penetration, U = Undisturbed. 2. Dry Strength, N=None, L --Low, M -=Medium, H=High. 3. Group refers to similar material, this study only. 4. General Information, see Sheet 1. S. Frost and Textural Classification, see Sheet 2. 6. Unified Classification, see Sheet 3. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502 -Mo SOILS LOG —> PERCOLATION TEST PERFORMED FOR: /�wnr-rGre/" C.-cTr-rc Tr•o" DATE PERFORMED: -7- 9,-q K LEGAL DESCRIPTION: 7474—I't r 1 Township, Mange. Section: / I Z AI R Y)"'' 15;-; /p t gp3H SLOPE SITE PLAN ?"� Q E Topsvr'l 2 Tro�c 3 `Q l3 SrIT j 5 6 T 8 • /� •sh 1t • 112 •Q 13- 14-1- 16- 20 3 i4 +-iV 20 COMMENTS Sart w►Th �rovc! �te,o,, ? joosc,r�lry . rro,. WAS GROUND WATER ENCOUNTERED?�/� S IF YES. AT WHAT L O DEPTH? E gout to wear Atter At ""wing? _,,.. dr -7 Cott 3 - +s-76 MEMENNER mmommumm 0mm ■,m■■■■u■ NIMEM■■E mi m -- Reacting pate Gross rte► NK Time 000th to wale. Net pros ,w _ ..r I 3–$ al is 0 3 7i 8/ '/I,( ,, i'y PERCOLATION RATE ._ tmmuteumch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND Z ,.FT PERFORMED 8Y:'�� I -•"C"'- CERTIFY THAT THtS TEST WAS PERFORMED It ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. OATS• Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST d` `J •'tE�tGtFFEER'}S� +s 1 e � e�••y�ae ee Qeeea Veo.ee ea�O�ee Yj,) Vii« Louis A. 8utarc jt44 tr1"s Cr -•G736 PERFORMED FOR: //Anee��/ e,r t.,..•«+s7/wc T.'o.. DATE PER FORMED: LEGAL DESCRIPTION: Ire -4 -if wo.w, 4,7 l Township. Range. Section: % I2 NIF Eum* SLOPE SITE PLAN H _IA ET Topsor l 1 2 rz W W; Th pnw "llaC c 0,0 s;rr 3 , 4 P! Tait _447 6 7 '.d W+7h Anvil 10 I,- 13- Is - 16 11315 -16 17 18- 40 20 COMMENTS r-., ,;e- Ty WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? !L,''© up to wuar Miter P4&wtq? CQ J Cate 3 "+r•St: OMEN on ■i i�t���i MEMNON WIENS so � NEENER MEN- �� Reading Date Grow r+me Net Time Death to water Not Oroa rf- r y>r •� r PERCOLATION RATE Imnutewmchl PERC HOLE DIAMETER TEST RUN BETWEEN FT ANO q' S_ FT PERFORMED BY: f_12 �� ! ter"'' ��' CERTIFY THAT THIS TEST WAS PERFORMED I ACCORDANCE WITH ALLSTATE AND MUNICIPAL. GUIDELINES IN EFFECT ON THIS DATE DATE; 3— lS — $f 3 4 5 6 7 a 9 10 11 12 13 14 15 16 17 18 19 TEST HOLE 1 OR I ORGANICS SW/ SAND W/ GW TRACES OF IGRAVEL - SOILS LOG - PERCOLATION TEST SLOPE x TH IME WAS GROUND WATER ENCOUNTERED? N BOH IF YES, AT WHAT DEPTH? ' DRY DEPTH TO WATER AFTER MONITORING? DRY DATE: 11/16/2015 DATE PERFORMED: 11103115 SITE PLAN WELL (P) LOT 10 Cn Q� WELL (EI) I \w� 48R z HOUSE (P) m ui dz. Li TH —1 10, UTILITY EAaSEN NT_ SLOPE TH x READING DATE CLOCK TIME NET TIME WATER LEVEL READING NET DROP 1 11/03115 8:45 1.22 - 2 8:52:10 7.2 MIN 7.22 6.00 3 8:53 1.22 4 9:05:27 7.5 MIN 7.22 5 9:06 1,22 6 9:13:30 7.6 MIN 7.22 6.00 PEROLATION RATE1.25 (min/inch) PERC HOLEDIAMETER6 Inches TEST'RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by HOMEOWNER. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported. 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 PAMONE . ENG SVC, LLC- -fte--'OF Ak FOR CONSTRUCTION' 12/14/2015 P.O. BOX 102954 ANCHORAGE, AK 99510 A IM PHONE (907) 272-8218 FAX (907) 272-8211 F, Scale NTS ........ .. ... P.I.D. NO WIGGS, LOT 10 -161--41 JEFFREY GRIFFINeven PERMIT NO. 5030 W. 86TH AVENUE CE 8149 OSP151378 SOILS LOG ANCHORAGE, AK 99502 AW Sheet PROFESSkOf --", 3 OF 3 5R-Vk� WY GNk tit 11 WOO 4, Municipality of Anchorage 0 .4p DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 rimtoo SOILS LOG PERCOLATION TE . . . . . . . off re C PERFORMED FOR: T DATE PERF.R.0';f 1,' LEGAL DESCRIPTION: Township, Range, Section: r7l �) 7E T) 11 / SLOPE SITE PLAN T 1 .0 p.,;Of R5 -7 1 loll 2 3- 1 4- 5- 6 7 8 9 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After09h,'g Monitoring? 0 A10 L 0 P E Date. f Depth to Wter i �111F; 0 OWN, I 20 PERCOLATION RATE (minuteslinch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS 2- PERFORMED BY: - - C -- - f CZTHAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI ?IN EFFECT ON THIS DATE. DATE: 2 72-008 (Rev. 4/85) i Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SE 4%-" 825 "L" Street, Anchorage, Alaska 99502- 5} SOILS LOG -- PERCOLATION'T ;•+•• i ISR C�4-06a as PERFORMED FOR. LEGAL DESCRIPTION.-, l•OWrlShip, Range, Section, SLOPE E 1 211 1A- 3 �! ��N� r��� j 4 5' 6 7 9 ! {�WAS GROUND WATER f 10 ,�"11�� �ENCOUNTERED? V •'t"' 11 '� OF IF YES, AT WHAT 12 • . DEPTH? .�P f 13 Depth to Water er . •' Monitoring? Date --- 14— f6 -14 fis •.• I, 17 6A D t i - � � t 18 19 20 7 j� ' : ,� �+tEE6 SEAL) a) too.,** a i• C. J •o a •a•� •r.+iJ►f• � ��Q�'", RJ_, O . R • CE•22'Ss.`• SITE PLAN ==mmDepth a . REilF �1,101M � MAIM== RUMN==��Si'i/i�MVXM�ill� � . =�W" mdfmmmlgi� i .t M . -- ��t�1�� Il' �_�► _, p�+ / TEST RUN B/E�TWWEEN / ` FT AND FT -1.4 COMMENTS _�Ct?�!T'i1f11i!/ l lISO �a� fZS 54.T r j :'7Er` rZY % G'YYJ / ilia x.45:474 PERFORMED BY: MAXAMAd I �z CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION TEST Pouch 6.650, Anchorage, Alaska 99502 276-2221 SOILS LOG — PERCOLATION TEST PERFORMED FOR:. DATE PERFORMED: LEGAL DESCRIPTION: 5-w 1/4- L/ SLOPE 51TE PLAN utrin 0 2 — 3 - 4- 8- 9- 10- 12- 13- 14- 15 16- 17 — 18- 19- 20 6 CDA.,J) COMMENTS C000, tA'\ PERFORMED BY: 72-008 (7/76) WAS GROUND WATER S; ENCOUNTERED? i L O P IF YES, AT WHAT E DEPTH? T - Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN FT AND OJS e .AAA,'\ CERTIFIED BY:(��� (minutes/inch) FT DAT b- GARNESS ENGINEERING GROUP, Ltd, CIVIL & ENVIRONMENTAL ENGINEERS ISOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION T12N, R4W, SECTION 10, LOT 28, NORTH 1/2 PERFORMED FOR� DEPTH (feet) I I „.Mil;Y 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 JASON WOOD ORG W/ SILT SOIL CLASSIFICATIOjj NS GW 1 1. I w I sm c SP, UNIFORM SAND W/ SOME GRAVEL DATE: 5!'28;2014 pp P%NA R 5/28/2014 DRY 5128/2014 DRY 6/4/2014 Cj ',V A 1� 5/28/2014 PERK HOLE ABSORBED 6' OF WATER IN LESS THAN 3 MINUTES, 3 TIMES <1 6 19 6.5 7.5. 20 ANDREW GRAY ANDREW GRAY PERCOLATION READINGS ARE WITHIN 116 OF INCH. PERFORMED BY GEC;. Ltd. 1. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF)ORt4ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. Z Ell r p CN CN C14 ; c� CD - Ul i i3 E Ix ce p C V / 00 S.v1 =1 ] V V 146ioM Aq BuIssed IuaOaad u, rr N c'3 J C3 co m 'b CV =9 F Com! ^- cn ';t ' ' G: ro r LL tl r i c } 5 c 5- 5 CN LZ CD rw. � t i t f g I E v 'i t Sid {(S iL r� Q7 .r t I i It .- _ ,..,.._ ..... _..w _.e .... .. ..,.. 0. C'^ .. i + `e i 3 F ('f•j u irr d , L Ltj C V / 00 S.v1 =1 ] V V 146ioM Aq BuIssed IuaOaad I 3'0HNNA'5 V,/'00DS SLLBD. ,..~ N B0)°52'49'' Vv'.- IA-5.12' lO' LL-FILI~¥ F__ASEMEN-F 5A MUNICIPALITY OF ANCHORAGE D~T Cu HE,U.T'.~ ° JAN 2 ? 1g$2 RECEIVED lO' UTIL. ESM"f. "'-IN B?°A-5'~-5'' ~/.-- 144.85' '~- ¥/f 5T STREET .51 ~2 TEV/EL LAKE SMALL TRACTS .SEPTIC E(SCATIGN LOT SA, HINSON $~BD. SCALE: I"= 40' GRiD ~ 2_324 MUNICIPALITY Of ANCHORAGE ~ ,, Department~TM Health and Environmental' '?rotection ~ 825 ~ Street, Anchorage, AK. ~9501 * * * HANDWRITTEN PERMIT * * * Permit ~ ~ ON-SITE SEWER PERMIT Applicant: ~ ~/~/~/ ~ Mailing Address: Location: Phone Number: '~ Legal Description: ~oT ~/~Z TYpe of Soil Absorption System Is: Trench: [~~nfield: Maximum Number of Bedrooms: ~ f'~'~SOi.~ ~-~Ot Size: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is:' DEPTH /r'~! LENGTH ?CCj~ iI GRAVEL DEPTH ~ '( WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). 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). * * REQUIRED SEPTIC(HOLDING) TANK 'SIZE = /~5-S GALLONS * * 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. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer lmne is 25 feet and to a community sewer line is 75 feet. Well logs are required and. must be returned to this department within 30 days Of the well completmon. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 3L 1 9 8 3 * * * I ~ertify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I willinstall the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residen~emodeled to include more~t~edrooms. Date: S~P/024 (1/81) JAMES B. ROBERTS, PE, ENGINEER SURVEYOI~ 1207 EAST 74TH AVENUE ANCHORAGE, ALASKA 99502 MUNICIPALITY OF ANCHORAGE DEPARTIVIENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 SLOPE DATE PERFORMED: ~~~ SITE PLAN I0 11 13 14- 15- 16 17- 18- 19- 20- COMMENTS Ho. 1516-E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) ~ FT PERFORMED BY: ~/'~ CERTI FI E~~'DATE:J~~/~-~ LOT 2 LOT --. ~ 87fh AVE. BUILDING SKETCH BLM I LOT 30 LOT 31 JEWEL LAKE LOT LOT JEWEL LAKE SMALL { TRACTS I SMALL LOT 28 I LOT : TRACTS .LEGEND Bras= C~p Monument se1 ~'~ C.E.SW~64 Cor' / VICINITY NOTES: 53 Date __&o--~- -.~ o,.~ar.~cs~__. : 'DTi00~7-12' '~~w~.~., ~s~ ~ HINSON SUBDIVISION ~ SUeO~WS~ON OF SV2 of B LM LOT 29 JEWEL LAKE SMALL TRACTS LOCATED ANCHORAGE, A~SKA F VLIMNS MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 011-161-56 1. GENERAL INFORMATION Complete legal description Location (site address) Hinson L2 & L3 4915 W. 87th Ave Current property owner(s) Sherlyn Shears Mailing address Real estate agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Expiration Date: Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ '2slo Waiver Fee $ Date of Payment l �o���g Date of Payment Receipt Number OMQI't) Receipt Number COSA # 50q I, '4 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 rife 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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone_P.E. Phone (907)745-8200 Date !C? /If -ed OF A�;� ' A . 6. DSD SIGNATURE....'• . LSystem #1 Approved for bedrooms en 'R"Pa�riorie' Ill. CE 8149 System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: Ur Afv% z a \NS rt\ A,-,nf�RANI T SER By I � � a "� � Original Certificate Date: 1 �� -7/)9 T i 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Mid Legal Description: Hinson L2 & L3 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA Al Well log is filed with Onsite (or attached) Date drilled 318/19 Total depth 356 ft Cased to 356 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA n/a Static water level at beginning of test 82 ft. Comments B. TANK DATA Age of tank(s) 511119 years Tank type/material S,W'1S1e 1 Measured operating fluid level in septic tank n/a ❑ Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Wide Trench Which system tested (date installed) 5/12/19 0 ALL standpipes present per record drawing Total measured depth from grade 12.0 ft (max) Measured depth to pipe invert from grade 8.0 ft (min) ❑ N/A — pressurized field 0011 Monitor tubes go to bottom of effective. If not, state depth into effective OR Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: Structure served by this system 1 011-161-56 Well production at time of test 60 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? R✓ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L N Nitrate less than MRL (ND) Arsenic 88.8 ug/L ❑ Arsenic less than MRL (ND) Collected by Pannone Engineering Services Date of Sample 16 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date n/a Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) no If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 0 Yes Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft Q Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' F Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' 0✓ Yes if No ft Water Main > 10' Animal Containment > 50' 0 Yes if No ft 0 Yes if No ft 0 Yes if No ft Water Service Line > 10' 0✓ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' 0✓ Yes if No ft Property Line > 5' 0✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0✓ Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' 0✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ✓0 Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓0 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100'✓0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. ` frl? COSA Checklist yellow sheet MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Arsenic Advisory Certificate of On-Site Systems Approval # OSC191564 Subdivision: Hinson, Lot: 2 & 3 A water sample revealed an arsenic concentration of 88.6 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On-Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. a » .ate #s .-; Labl Water Quality Testing 9131 E Frontage Rd, Ste 15 Palmer, AK 99645 (907)745-3005 matsutestlab.office@cimail.com Varve: Pannone Engineering Lab LDf`: M191189 ltictilingAddress: P.O. Box 1807 Date Sampled: 11/21/2019 Colilert Palmer, AK 99645 Time Sampled: 1130 Legal Description: Hinson Lot 2 & 3 Sampled By: ACP P --- Date Received: 11/21/2019 Sample Site Location: Outside Hose Bib Time Received: 1245 1 Parameter Method Result Unit MRL MCL Date Colilert Total Coliforms P --- --- --- 11/22/2019 (SM 9223B) Colilert E. coli -- "' --- 11,`22/2019 (SM 9223B) TNTplus 835/836 Total Nitrate - N <MRL mg/L 0.200 10.0 11/22/2019 (Hach 10206) Arsenic by ASV Arsenic EPA 7063 88.612 pg/L 1.000 10 11/21/2019 Aletltod Reporting Lintnit (:YIRL): the lowest concentration that can be reported reliably NlaxinrunrContaminant Level (d1CL): highest acceptable level in public water systems as set by EPA nzg/L: milligrams per liter, 1/1000'' ofa gram lig/L: micrograms per liter, 1/1.000,000" ofa gram Absent (A): none of this type of bacteria was detected Present (P): one or more bacterial cells of this type were detected Results Reported By: l"C2`.GQ,.�LC� .L1�yt�G Patience Lynch Laboratory Analyst Reviewed By: Signature: �,7 W _ Email: matsutestlab.office@gmail.com ftlatmasu Test Lab, LLC Midtown Community Business Park 9131 East Frontage Road, Suite 15 Palmer, Alaska 99645 Phone: 745-30051 Fax: 745-3010 Website.- www.matsutestlab.com E -Mail: matsutestlab.office@gmaii.com Drinking Water Analysis Report Total Coliform Bacteria (SM9223B by Colilert) Client: Pa V1 n C) rt Mailing Address: Phone#: -4q PUBLIC WATER SYSTEM (PWS) ID#: Results/invoice (Please choose at least one): —Information needed for DEC, from your monitoring surnmary­ Facility ID=.' Fax: Sample Pt. ID: Email: C1k&S-1'-V0A V C, C, en CLK ca vl Hard COPY (To be mailed to address listed 'above) Cl Residual (if applicable):.. Legal Description of Property: � �1 50 n L_')/- -)- L 1 / -I i I S V\J 0 --T � Sample Site Location: JZ lfck-cv-1 51'nl(_, -Delivered by: (I.E.: bathroom sink, outside hose bib) Date Sampled:L, Time Sampled: J T_ Sampled by: WGI Circle One: Standard Test / Rush Test Circle One: Routine Test / Repeat Test / Special Purpose This Section to Be Completed by Lab + 045 Analysis Results: Lab ID #_ M191199 Satisfactory Unsatisfactory E]Sample Rejected — Reason: Chromogenic/Fluorogenic Method Results: INCUBATOR# Total Coliform Present (P)/Absent (A) E. Coli Present (P)/Absent (A) I Received k5 I Started I Finished ml V6 Z. Yellow /(!�o �Color �­ Fluorescence:No_o___ Flurese 1 3 By_` 115)tp BY: J -,j