HomeMy WebLinkAboutBINGMAN TR B-1
Municipality of Anchorage Page ! of _-~
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: S,0U' q, ol o~ ~ PID Number: O I
Name:
~C ~ ~. ~ L Wastewater System: ~New ~ Upgrade
Address: ~ ~. ~ ~ O ~ ~ ~ ~/ ABSORPTION FIELD
Phone: ~ No. of Bedrooms:
~ ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
LEGAL DESCRIPTION so, Rating: Total Depth from original grade:
Lot: Block: Subdiv~ion: Depth to pipe bosom from original grade: Gravel depth beneath pipe
Township: ~ Ranger ~ Section: Fill added above original grade: Gravel length:
I
I
WELL: ~ New ~ Upgrade erave~ width: Number of lines: Distance belden lines:
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: ~-- ~ ~te~/l~/~Drilled:~ Staticj~oWater Level:Ft.Installer:c J ~ Date installed:
Yield: IPump Set at: Icasing Height AbOve Gr0und: TANK
SEPARATION DISTANCES ~s,,tic ~ Ho~ing ~ S.~.~.P.
TO Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~H T~ [~
Walk ~[ ~' [ ~ ~/~ ~/~ 7~ Material: ~ ~ Number of Com~ments:
Suflace
Water ~ O N ~ LIFT STATION
LineL°t ~ ~ ~ ~ ~ _ Sizein gallons:I~ Manufacturer:
Foundation I~ ~'~ ~ __ "Pump on" level at: I "Pump off" level at: ~ High water alarm at:
CuAainDrain ~l 0 ~ ~ Pump Make & Model~ Electrical Inspections peflormed by:
Remarks: BENCH MARK
Location and Description:
A~um~ Elevation:
ENGINEER'S SEAL
Inspections performed by: ~~ Dates: ls, ~o~*
Depa~ment of Health and Human Se~ices approval
Reviewed and approved by: ~J~~ ~ Date: ~-~-
72-013 (Rev. 9/91) MOA 25
N
5O Y5
££4LE; /" -- 50 ?T,
.8
100 /25 150
TRENCH LOCATION
®
,'STEI~
GAL
FT
FOTAL DEPTH
OCKDEPTH 5 FT
OVER
~oO
TOBBEN SPURKLAND P,E.
203 W 15TH. AVENUE
ANCH. AK. 9950!
(907) 279-$9~6
II
TRACT B1, BINCMAN SJD
MICHAEL P. SEIDL
SEPTIC SYSTEM AS BUILT
OA [E: JUNE 9, 1999
SHEET: 2/5 G£1D: 2224
PERMIT// SW990026 PID Ol 1-112-41 BINGWBI2. DWG
REPLACEWENT TRENCH '~.-~n % No, cE-eaas
S~ondord ~re~ch~
SO' L on9
~' Deep
~O' Se~er rock
4' Cover
~0 1 ~ 0 O: 0
l
Monlto~
/ E~J. 21~'
//
81,2 ~ 81,2
/
Effeofive
ND SCALE
AS BUILT
TOSSEN SPURKLAND P,E, ~0~ B-X BZ~A~ SEPTIC SYSTEM SCHEMATIC
203 W15th Ave
Anchora9e Ak 99501 SAND LA~E ROAD SATE: JUNE 9, ~999
WICHAEL P. SE/DL SHEET,
PENWI~ ~ ?W99002~ PARCEL ID ~ 01 ~- ~ ~2-4~ BIMOWB13, DW?
(907) 349-8535
ANCHORAGE, ALASKA 99511
DRILLING LOG
SiZe o! casing~fJL----Depth of Hole,, ~ 6 ! '
Of.fOrmations
o
_. 2 TO.,,, 5
8 TO 20 .....
2 0 TO_.1 5 9
!?a TO ~In
feet Cased to-.? 6 n.. -~ n feet
Fh~sh o! well (check one) open end ( X
(minute) for I --.
hours with
penetrated, size of material, color and hardness
RE. CEIVED
Municipality ot Anchorage
Dept. Health & Hutnan Se,-v;ce&
);
.2.49 TO a0g WAT_ER~ARING GRAVEL:
$__LIGHTL¥ .SANDY.
,TO
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CONTRACTOR
I~ 39Vd ONI 'gNIqgI~JG ¢,1 N LBF~Eg~ ,ak_-. :88
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 995~9-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Mar 08, 1999
Expiration Date: Mar 07, 2000
Permit Number: SW990026
Legal Description: BINGMAN TR B-1
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: MICHAEL P. SEIDL
Owner Address: P.O. BOX 103534
ANCHORAGE , AK 99510-
Parcel ID: 011-112-41
Site Address: 007745 SAND LAKE RD
Lot Size: 49333 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field ~] SepticTank [] Holding Tank [~] Privy
[] Private Well
Water Storage
All construction must 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Issued By:
Date: ~-- ~:~- ~,~
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
TRACT B-1 BINGMAN S/D
MICHAEL P. SEIDL
Municipality of Anchorage
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
February 24, 1999
We are submitting an application for the installation of a well and septic system for this lot. The
submittal consists of three (3) drawings showing the present improvements on the lot and the
adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and
septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system,
(sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic
system design is based on the following:
No Ground Water or Impervious Layer to 16 ft.
Use Standard Trench
Soil Rating. From Testhole 02/18/99
<1 min/in = 1.2 gal per sq.ft/day
No. of Bedrooms 4
Required Area per Bedroom: 150/1.2 = 125 sq.ft.
Total area required: 125 x 4 = 500 sqft
Testhole depth 16 feet
Bottom Rock At 9 feet
Top Rock At 4 feet
Rock Depth 5 feet
Total Trench Length 500 / 10 = 50 ft.
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 50 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 9 FT
ROCK DEPTH 5 FT
COVER 4 FT
SEPTIC TANK 1250 GAL
The installation of this septic system will not prevent wells from being installed on the adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation.
RI BI ~ B,~ I ~
I
~ TB~IEN SPURKL~N~ ~,~
'~ ~FESS %~~
SCALE; ~" = ~00 FT,
TOBBEN SPURKLAND P.E. TRACT B1, BINGMAN S/D SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE DATE: FEB, 15, 1999
ANCH. AK. 99501 MICHAEL P. SEIDL SHEET: 1/3 GRID: 2224
PERMIT ~ SW9900XX PID 015 BINOMB21.DWO
25 iol
£C~L£: 1~ = 55 FT,
?r
I FOTAL DEPTH
~OCKDEPTH 5 FT
OVER
~oO
I ?O££EN SPURKLAND P.E.
203 W 151-/-/. AVENUE
ANCH. AK. 9950i
(907) 279-39i6
PERMIT ~zSP/9900XX
II
TRACT BL BINGMAN $/D
II SEPTIC SYSTEM DESIGN
DATE: FEB. 15, 7999
SHEEt' 2/3 GRID: 2224
PID 015 BINGM$IZ. DWG
~.~ N\x-
2'
50'
~0' Sewer rock
4~ Cover
PR/MARY TRENCH
~ i25~ 90~ SepS'c ~onk
NO SCALE
(Hon/ t or
C~eonout5
4'
Cover
S,O F? oF Sep?/c ~ock
Effective 1250 9ol, septic
N~
TBgBEN SPURKLAND P,E, ~ ~-] ~I~~ S~P SEPTIC SYSTEM SCHEMATIC
203 W15%h ave SAND LAKE ROAD DATE: FEB. 15, 1999
Anchorage ~k 99501
W/OHAEL a SE/DL S~EET:
~7~-~915
PENW/~ ~ SW9900XX PANCEL /D ~ XX
PERFORMED FOR:
Muni :il:aiRy of Anchorage
DEPARTMENT OF ,.IEALTH & HUMAN SERVICES
825 "L" Street, Alu..'.horage, Alaska 99502-0650
SOILS LOG- PERCOLATION TEST
LEGAl. DESCRIPTION:
3
6
7
Township, Range, Section:
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES. AT WHAT O
DEPTH? p
E
Gross Net Depth to Net
I~eading [~ate
Time Time Water Drop
,, 'g,.,.- ?
Del. tit lo Waler Alter _/ .
Mo.qitoring? ~ Date:
DISCLAIMER: C~r~undwater
Past and future presence
' ?rom these obs~vat~ons. ~.
PERFORMED BY'. !: ~ ....... I '~
ACCORDANCE WiTH ALL STATE AND MUNICIPAL GI.,,IL ELINES IN EFFECT ON THiS CALF.
PERCOLATION RATE ~ I (minutes/inch) PERC HOLE DIAMETER
T~ST RUN BETWEEN ~ FT AND °'~ FT
c~nditions indicated are for the dates
and/or depth of gro,,ndwater can not be
shown only.
predicted
__ CERTIFY THAT THIS TEST WAS PERFORMED IN
72-008 (Rev. 4/85)
9 7
•6 : Municipality of Anchorage
On-Site Water and Wastewater Program < WI
(907) 343-7904 c .,,ly f,,,Y :„0 n
a.
Certificate of On-Site Systems Approval � • c., ,-
/
Parcel I.D. 011-112-41 Expiration Date: 0 ( A
1. GENERAL INFORMATION
Complete legal description Bingman Tr B-1
Location (site address) 7745 Sand Lake Road
Current Property owner(s) Michael Seidl Alaska Community Property Trust Day phone
Mailing address 7745 Sand Lake Rd. Anchorage, AK 99502
Real Estate Agent Day phone
2. TYPE OF DWELLING:
D Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
• )
Received by:` . ,' 4 Date: 1...*(Q2_1
hipfr
COSA to be released to the engineer,unless • erwise requ ste by the engineer.
COSA Fee $ 524 Waiver Fee $
Date of Payment 5l74/I Date of Payment
Receipt Number ()Wag 62 Receipt Number
COSA# 05Cl31/C0 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 sole 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 . Date 5/4/2018
,..�v .OFA•IS,,
6. DSD SIGNATURE ••�•ri 4h. � ••�-
xSystem #1 Approved for bedrooms ..Steven R. Pannone: /
I 6 1.• CE-8149 ��
System #2 Approved for bedrooms
61.- CE—
Disapproved lel;\"I�4+-
Conditional approval for bedrooms, with the following stipulations:
,v ,'
aY� G7-).--_---e' Original Certificate Date:
�---- (7- 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 engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheeti: ,.
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: Bingman Tr B-1 Parcel ID:01 1-1 12-41
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 5/13/1999 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 260 ft. Cased to 260 ft. Casing height(above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 5/13/1999 3/13/2018
Static water level ,120 ft153.1 ft.
Well production 3 l g.p.m. 2.7 g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate Nn mg/L
Arsenic ug/L Date of sample: 4/27/2018 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 5/26/1999
Tank size 1250 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/A
Date of pumping 7/10/2017 Pumper A+ Home Services
C. ABSORPTION FIELD DATA
Date installed 5/26/1999 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD/SF System type Deep Trench
Length 50 ft. Width 2 ft. Gravel below pipe 5 ft.
Total depth 9 ft. Eff. absorption area 500 ft2 Monitoring tube _ Depression over field N
Date of adequacy test 3/13/2018 Results(Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 21 in. Water adde ?; gal. New depth 25 in.
Elapsed Time: 120 min. Final fluid depth 21 in. Absorption rate >_ 45/41fVW g.p.d.
N
Any rejuvenation treatment (past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+ On adjacent lots 100+
Absorption field on lot 100+ 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 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION +� OF AL,4 is,l�
I certify that / have determined through field inspections and "gr. •• �"-- 941
review of Municipal records that the above systems are in 0*: - ! . i\ •.*Y0
conformance with MOA COSA guidelines in effect on this date. %••••`•' W. ; ••• 0
Engineer's Printed Name Steven Pannone ,�••..Steven lt Panriorie
Date 5/4/2018 �+kgs• CE-8149 ,�
i
COSA canary sheet_2-6-15.doc
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT I. . 907-343-7904
On-Site Water and Wastewater Section Fax:343-7997
www.muni.org/onsite
Arsenic Advisory
Certificate of On-Site Systems Approval # OSC181190
Subdivision: Bingman, Tr B-1
A water sample revealed an arsenic concentration of 17.7 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.
Mailing Address: P. O. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org
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