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STORCK BLK 2
torck Block 2 #017-091-05 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: OSP161311 PID Number: 017-091-05 ❑ New Upgrade Name: ABSORPTION FIELD Gerald Budd ❑ Deep Trench ❑r Shallow Trench ❑ Bed ❑ Mound Address 7401 Clarks Road ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2GPD/SF 4.0/3.4 Ft, LEGAL DESCRIPTION Depth to pipe invert from original grade 3/2.4 Ft. Gravel depth beneath pipe 1 1 OFt. Subdivision Block Lot Storck 2 Fill added above original grade 1.0 FL Gravel length 2x-33 Ft. Township Range Section Gravel width 5.0Ft, 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 379 Fe 2 17.5 Ft, Well 117.3 109.1 N/A N/A 25+ TANK p Septic ❑ S.T E P ❑ Holding ❑ Other Manufacturer Existing Capacity I 1000Gal. Surface Water 100+ 100+ N/A N/A Material Concrete Number of compartments 2 Lot Line 5+ 20.9 N/A N/A NA Foundation 5+ 27.1 N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain 50+ 50+ N/A N/A Pump on level at Pump oft level at High water alarm at Remarks nl in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Installer A+ Home Services Drainheld 3034 comer 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft InspeGion 1" 11/29/16 m 11/30/16 Location and description dates: 2 SW corner trim 3i° 4'" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp 0'!5F A7__ Conditional Approval: Date C2 .. ........ " $even 'R"Pannome'� 49 CE 81AW Approve I "`� E`-=L�^ ' \ Date g 3^1 �cU►►�� Inspection Report_1-1-12.doc / i iI i �►• ► ► �, I I I 1 I r 1 i t II ►•�� M 4-_I I I � � � � I ♦+� iRUE NORTH �y 5cnic i Q I — 1 I 1 II I I i I -------� 72.6_ —— — — — 10' Power Line Esmt _ IN TA NP W QRAIN FI 1 109.1_ + — — — — (2EA)33LFx5.0•Wa1.O'E.D., 4.0'T.p. — — I — l — NITH DCO&DV (OUANTICS TRU—FL O) M2 3B BEFORE FIELD & MTs AND COs AM4 C2SFD ENDS OF FIELD C41 „� 1H I , V v M MI Al 1 v� I iii C3 DCl W ,- i T11 .I I \N \\ C2 20.9/ 20.9 ®� \ IQQQO CQNCRETEPTI TANK TO REMAIN, ADDED DCO BEFORE TANK A6AN NED ABSORPTION TIEILQ \ PER MOA CODE E.D.-2.0 Ir 1 w L� j Ln t, N Ld \ 0 1 I v vv �S I I z 1 l I �1O v A 3. � y A \ \ \ Tt 29.6 83.7 \ \ C4 77.9 81.1 ES. NOTRECORD PANNONE ENG SVC, LLC P.O. 80X 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 •• •• Date 02/06/2017 DRAWING Scale 50' P.I.D. NO STORCK B2 I 017-091-05 GERALD BUDD t3°v°^ °A^O11° PERMIT NO. DRAMM JRL 7401 CLARK'S ROAD CE 8149 OSPI61311 Sheet SITE PLAN ANCHORAGE, AK 99516 2 OF DESIGN PARAMETERS m PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3(450 gpd) wo o mz z a a 'o TANK SIZE: 1000g (3 0 z a o FN 00 �z `•y o PERC RATE: 2.7 MPI E) ou 90.8(W) frj•� - SOIL RATING: 1.2 GPD/SF 94 E 949(W) AREA ROD: 375 SF 94.9 E TH-1 REDUCTION FACTOR: 0.87 89.8(W) Gu/Su-05 EFFECTIVE AREA ROD: 326.25 SF 92 5 (E) SYS. TYPE: WIDE TRENCH 1.0'ED SEPTIC TANK . . 86 8 (W) MIN LENGTH: 66 LF 86.8 (W) USED: (2EA)33.OLFx5.0'Wx1.O' E.D., 4.0' TD 85.8 (W91,5 ) Gu/GP TOTAL AREA: 330 SF 85.8 (W) ABBREVIATIONS TH TEST HOLE (P) PROPOSED (E) EXISTING W W -WATERLINE / CO CLEAN OUT NO. WELL RADIUS MT MONITOR TUBE NO. TYP TYPICAL ss ss — NEW SEPTIC (907) 272-8218 FAX (907) 272-8211 �. scale ... .. ... . ..... P.I.D. NO m w m r wo o mz z a a 'o wo mz a 'o (3 0 z a o FN 00 �z `•y o ou u E) ou 90.8(W) frj•� - ftf4E) 90.8(W) 94 E 949(W) 94.9 E TH-1 .9 89.8(W) Gu/Su-05 EMSTING 1000 9 92 5 (E) L 92.5 (E) -2 0 SEPTIC TANK . . 86 8 (W) 86.8 (W) 91.5 (E) 85.8 (W91,5 ) Gu/GP 85.8 (W) -10.0 -t�vY t o�to�l6 WIN RECORD DRAG PANNONE ENG SVC, LLC P.O. 80X 102951 ANCHORAGE, AK 99510 e' "" 1/06/2017 p'.••"' PHONE (907) 272-8218 FAX (907) 272-8211 �. scale ... .. ... . ..... P.I.D. NO STORCK B2 017-091-05 GERALD BUDD 7401 CLARK'S ROAD �""^ R pa^^ PERMIT NO. CE 8149 ,•'� OSPI61311 DRAWN JRL SECTION ANCHORAGE, AK 99516 FcF!' Sheet 3 OF 4 TEST HOLE 2 CLOCK OR TOPSOIL 1 30NOV16 GM/SM Brown Silty 2 2 SAND & 10 MIN DRY 12" GRAVEL 3 6 265' GRAY Silty 4 GM/GP SANDY y 5 GRAVEL WITH ROCKS BOH DATE PERFORMED: 30NOV16 NO GROUNDWATER SOILS LOG — PERCOLATION TEST SLOPE TEST HOLE WAS GROUND WA ENCOUNTERED? IF YES, AT WHAT DEPTH? READING DATE CLOCK WATER NET nME LEVEL READING NET DROP 1 30NOV16 II: 10 6.265" 2 1120 10 MIN DRY 12" 3 11: 20 6 265' 4 11:30 10 MIN DRY 12' 5 6 SOIL TEST RESULTS/ANALYSIS • PERC HOLE DIAMETER 6' • TEST RUN BETWEEN 3.5 FT AND 4.5 FT. COMMENTS: Test hole excavated by A+ HOME SERVICES. Test Hole was NOT required to be presoaked before Perc test due to sandy material (Table 3-8, Para.3, EPA Design Manual). PERFORMED BY: Joseph Lawendowski. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH -THE SPECIAL PROVISION ON PERMIT#: OSP161311. NOTES: PANNONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 Q(�• PHONE (907) 272-8218 FAX (907) 272-8211 *�' . * ..... .. .. . ..... STORCK B2.15017-091-05 GERALD BUDD Seven R• * nO"° CE 8149 7401 CLARK'S ROAD ANCHORAGE, AK 99516 y Dote 2/06/2ot7 RECORD DRAMANC Scale NTS P.I.D. NO PERMIT NO. OSP161311 DRAWN JRL SOILS LOGS Sheet 4OF4 Mfimaaf Illepwit Uniform Residential Appraisal Report Ra 1125962546 2753993 lib .lea d los eaool Atom! beat h b Fmsae N Nnearl'sbe Nat n mn, bq an.;. vie matin vale d h toxcl D,Wq P.Wt1'rLaFos 7401 Csrks Rd (N Anehoae sae AK no coke 99516 Boxoa IlArginia Lunsford / Kyle Lunsford Oeab dn4t RaaN SLE OF ALASKA LLC Gmnn Anchorage Leal" sm STORCKBLK2 Aabroes Paola 017-091-05000 Tay" 2016 RE. lues)_ LM4eloNl Noa Hillside moaMawo 11260 coal trtf 0028.23 oFaaaa - Das ratty X vol SapM Aaaoiwws 0 PLID 110" 0 Po1No broom P Will Ryle Aob+sa Xfee Sliw, Lbwlxe -moi Dswidm-" — - — AogNiwNlae X Haar ran.cbn - b TaacNr ar lYetbl - tn°ocLea JPMorgan Chase 'a4aaa 270 Pads Awnue Now YWK NY 1001.7 dNaebAtbabM sonata mNepbsrumLe.ldbsbsreNewrw mmNblabNsnaas aELaas ab+sn .'wF -�. ee seem M samisl wet. 0brx4 Anil b4 fine) DOM 63'ancMLS816-179/8 was Isted on '1'26/2016 for4loWhat, change on 12/14118 Oo 01/08/17 on 01/13/17 1/20117 to lklMd changed to pending status on 01/29/2017. aN dhemetllasax.r'Naaf]eaaw a^g1^ra Arms length sale 'Appe ma to be a standard arms -length purchase agreement provided by the client 11 total papa, dated last signed) 02/122017 for No value given to pensonal pmpeM_ smmNn moar�ilLS/ConllaCi Cmrsi Porl Dn d Gmett 02/12/2017 IS h rrwbry SYx N OAnr d Flat roa+ X Ya No On h tlere aD'Mwica Meshrxx ben aNsee. sae coaseiow. 9tlaaownlNPmeassxb..n bMD"Ey ary b FagmbhadN�oonoaa'r_�"' XY rias. mFm Nbb arta am.M me axroeN bnsbupaa �sellerto pay upto'erwes buyers pre-paids lesenws taxes and Dosing costs_ _ Not. NoeaaN raiMmgx"brd N rheiFli6ernoax n MaPIrtW Icbe. EYIMbbMOwMbNMe hulaalbWeTlnY OFWLLeerl IaesYWfleet Lwow M. X suewm Nus nonan vaef IrcreB.y X stake oeaM1q vrucE ACE (bre -sell 8i t WAR 410 Onrna X2s75% Old 25% Dlaer~ R -MP XNB"ra Oeb U* 1Pat) bN1 24W 65 Gmi - Rapid X stele _. Slow IMaYM-Tm X uarlmM 36mra Ow6eN 150 L. 1 seAlwer _ 5% NOnmorNo0a BaixiO'^a The subjecl properties boundaries are defined by�Abbott Rd on the North 1,350 mh 60 DOaoow 5% Chugach Park Lath on the East ook The Cinlet on the South and Elmore Road on the West 450 `re° 30 Dos 5% bibiemimo DescrlFam There are no apparent adverse factors which would affect the subject's marketabdi Access to Anchorage's Central Business District local parks schools and all residential support facllties is considered average for the area. Other Land use is Park / Schools The market consist of a good mi of single family homes 15NIe, living area). The subject's land use %R is not a negative factor Mai cpmsons I.W, Agwin b N a5pa.xtaaal Th_e general market sen best be described as stable Wall within local economy in the at 12 months with some increase over the past 3 years. Trend is for stable real estate values Marketing time m the subject area Is generally less than 90 davs when priced correctiv. During the winter months sales tend to decline slightly and increased DOM over 90 can be hlarcal Di owns Survey not provided "ria 1 0 ac `we Triangular/Avg 'Nes B'MWVMtn soecit I.N c"snatn R6 I., Descnpnn Si�amily Residential_ _ - -- Z." LarxAaxe X Lad - Laplfbio,lbloM lrxaMeabst uol Noimerp up laesmoe '"b9tNawebardu lP4oYo Wool (Wo I'Muld brloPo ant wbh )b lxn"aat Xy b sb,abvb lab Aeottswa4 nab sawaabW iilP�-Trae Fdb I'll ',g - all X PWMWAvgVTyp Si Asphaft sa nor lost A AAI/ None :,cul les 1a0aArw Tse MW RAtAWoxbw 1L FW Mw• O200051180D RA1tAtFDn 0&25r200a --olbe a4 aeMb liararaFNn tsNbab Nmablaatt lyse b aka booth -, arty aMaw eb miss a stools Mstnlewo�e. araaeGFwiR aawbbbYpalehn. b4 searR.l1 1w b rr., haunt �s encumbered by normal utility and easemenh of records „e�.rai )eea,�ol,o. PanMbn Fpummsew Concrete/Average rb013 crouvyiIWdLmvAw•_ 1 .. -, mem Fara Wn Wood Siding/Avg _ _ wL' FTDrywil/Avg'___ "lot LJ Aa LJ —s0el on, baontA 1248 wit Rpol Swbe Asphalt Shmgles/Avg rnobfirsn VVdPainted/Avg- D Prgoof El urea" aaaaad Gala 100 s Goers A Do.epra NoneTyp/Avg..- bm Ebm TiWAvera + - ,yal Ranch 4 Msaa Bisait El somas aYbo nee Double Pane/Avg-_Bi°WAmbo0' TEle/Awra l 1872 Esrwa lbnlos Nab r,,WdBba aaNNMne InGLrryp/Avg sbaw Non "46al 20 Diboll F1 seenwabeen Sll? icaUA bill sac. e ala Neeaq MA r/R ha RIIUN bobs Ylaobbnbl. 0 NIAll saho r Star El si Olin 911rull Gas fl'i0 0 F1 Lox° None im O.w 00cae 2 swat tong cMa McaYbae rdOO Mood Ppan Stoo onion sd0os 0 :nes ltar Lswla OPa NOrs Al None Ntor GmHae As. aL ee4l es aleebr 914110 NN N DA`oww N Wil MkreNw Warr9rp ❑Dao laetael doom aaataebba R., 10 Bnlal 1,248 Scam reel of Cr®e uv, Ama Above craw lasso lwdsarealr aakbNbw. nl. The gualdy Ranch all home with a functional floor plan which all exhibits average maintenance levels. The home's features inc�Nlde new double Dane windows and hot water baseboard heat Ire coram dN"AM laxaiN mese spars. anmra5oa reno,bw,s mombift s) CT -Kitchen -updated -less than one year ago.Bathroo ns -u ted -less than one year All No functional or ph all inadequacies were observed at the time of inspection The appraiser assumes that all major systems are functional and no concealed damage exists. The home appeared to be In above average overall condition with recent updating throughout. The home's features include remodeled kitchen with granite counterlynew fi o nq_newpaint, new paint, updated 1 r•ns new fixtures deck above the 2 car garage, inlet / mountain views, a sauna off the family room and a large greenhouse_ eny pkpui &kmmft m AaKrxe oo Wiems mat alAxt me YvwiYry. sourabnmbs or swcbral nregmy of me promrMo ❑ Ya Z No It 41 Oe11111 .... ompenr ,wl mnbrm b N neMMofiwd paxarnM4'. ant, rwil use, comauceon. my _ ya I` No nNo. aescM r f ac Form 70 Mach 21105 uA0 Veabn 92011 Gage 1 of 6 Flo. Mee From 1 Dox Mach 2005 Municipality of Anchorage On -Site Water and Wastewater Program P.O. Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 htto://www.m un i.org/onsite Review Comments Engineer: PANNONE ENGINEERING SERVICES Legal Description: STORCK BLK 2 Parcel ID: 01709105000 Permit: OSC171043 WellSeptic o,tcnr o Sin L H Me'ppatrtment� 2/23/2017 Report Type: COSA Completed By: T.Ecklund The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: None of the pages of the I.R. engineer's stamp was signed b 2. Cama has tt Please resolve with the house being listed as a 5 bedroom yet the system is permitted 3 3. Per profile the east trench appears to have 4. Please state water elevation on TH-1 or state dry 5. Please label Finish and original grade No Comments on COSA cover �• S � L J c,�� 0 ra�5 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161311 Tax Code Number: 01709105000 Work Type: Septic Upgrade Permit Effective Dates: November 28, 2016 to November 28, 2017 Design Engineer: PANNONE ENGINEERING SERVICES Subdivision: STORCK Site Legal Address: STORCK BILK 2 G:3039 Owner/Address: SLE OF ALASKA LLC 940 BOTANICAL HEIGHTS CIR ANCHORAGE AK 995150000 Site Mailing Address: 7401 CLARK'S RD, Anchorage Lot Size in Sq Ft: 43560 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Lcial Provisions: At time of construction, the engineer shall perform an additional percolation to cover the proposed fields. See site plan for location of test hole TH(P). 12 inches of clean er will be added to the percolation hole (twice). If the water seeps away within 10 minutes, struction may begin immediately. If the 12 inches of water does not seep away in ten minutes, rcolation test will be ran continuously until two consecutive water drop readings are within th of an inch. All readings shall be recorded and submitted to MOA Onsite. MOA is to be ied 2 hours prior to conducting this test. Received Issued By By: /� n Date: Date: 11 28 ?d X } Municipality ®f Anchorage _ � T P.O. Box 196650 0 4700 Elmore Road Anchorage. Alaska 99519-6650 o (907) 343-7904 o Fax (9071 343-7997 Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV161131 COSA#: Permit#:OSP161311 PID#: 017-091-05 Legal Description: Storck Block 2 Engineer: Pannone Engineering Services Applicant: SLE of Alaska LLC Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 16.0 feet. This waiver approval applies to the proposed absorption field 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 I Waiver is not Granted: Date: Approved by:�l-( Lec-f Name of Reviewer ............................................................................... **** VARIANCEMAIVER REVIEW **** MUNICIPALITY OF a Community Development Department Development Services Division On -Site Water & Wastewater Program Cf!) -1 l0/18f'201(s ANCHORAGE ?s_3 OCi.ig2015 Phone: 907-343= Fax: 907 -343 - ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-091-05 Property owner(s) Gerald Budd Mailing address 7401 Clark's Road, Anchorage, AK 99516 Day phone Site address 7401 Clark's Road, Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) STORCK B2 Legal description (Township, Range & Section) Lot Size 43,560 Sq. Ft. Number of Bedrooms 3 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 ❑ Upgrade ❑X Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: SEPARATION FROM SLOPE >25% Distance:25� 1� I— I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. re of property owner or autnorizea agent) Permit/Rush Fees: S�� Waiver Fees: a 15 Date of Payment: Date of Payment: 0 Receipt Number: 03`112-G Receipt Number: G Permit No. (SPI �Q I0t>1\ Waiver No. OSV 10 1 131 Permit App__- :-.,:c: Pannone Engineering Services uc Steven R..Pannone, Principal Registered Professional Engineer E-mail: steve@panenRak.com Subject: STORCK B2 Septic System Upgrade Permit Request Design Narrative 22 November 2016 This is a design narrative for a permit to install an upgrade septic system to be issued for this property. The proposed system will serve an existing three-bedroom (3BR) dwelling. Currently the lot is developed. This lot and the surrounding lots are served by private wells. There are no wells within 100' of this system. The existing drain field is in failure and this permit will be to install an upgrade system. 1. Soils. One test hole was performed by PES in October of 2016, and groundwater was monitored for at least seven days. A second test hole will be performed at the time of construction to ensure soils similarity for the entire drain field. Ground water was not observed to a depth of 10.0' below the surface in the test hole monitor tubes in October of 2016. Bedrock was not encountered in the test hole. Based on the results of the percolation tests and overall soils appearance; an application rate of 1.2 gallons/day/square feet was used for a conventional wastewater system in the area of the test —hole. Due to the existent soil morphology no pre-soak of the test hole is required. Paragraph 3 of Table 3-8 of the EPA Design Manual (Onsite Wastewater Treatment and Disposal Systems) provides two conditions in which_ a presoak of the soils for a percolation test are not required. First is if the soil is sandy with little or no clay. Second is if 12" of water that is introduced into the test hole seeps completely away in less than ten minutes twice. These are either-or conditions not both -ands due to the construction of the sentences. Further in Paragraph 4 the conditions required for completion of the percolation test in sandy soils are met when two successive water level drops do not vary by more than 1/16th of an inch and the test has been conducted for one hour with readings in 10 minute intervals. When these conditions are met the soil is assumed to be in a saturated state which is the intent of pre-soaking the soil (to ensure the water is in a saturated state) and a percolation rate for the existent soil can be determined. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water. 4. Topography: The proposed system will be placed to the West of the existing house. The area Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 slopes generally from East to West at approximately less than 13-19%. There are steep slopes within 50' of the septic system (see Waivers). S. Waivers: a. Slope Separation: We are requesting an absorption field to steep slope separation waiver for this upgrade. There is a slope greater than 25% within 50' of the proposed upgrade. The grade breaks to 25% occurs 16'± downhill from the proposed system. Using the realistic (HSG A) infiltration lines the system will not daylight within 50' of the upgrade absorption field along either Section A -A nor Section B -B. The soils in the area of the test hole are of HSG A morphology. Using the worst case 25% infiltration line (HSG D) the system will daylight at 39.6' along Section A -A and will not daylight within 50' along Section B -B. We are requesting a steep slope separation waiver to 16'. The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 272-8218 Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer 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 1 10' ower ne',Es to11.4 -r--H -- ,I--T- (2EA)33LFx5.0 Wx1.0-E.D., 4.0 LD. WITH DCO&DV (QUANTICS TRU-FLO) BEFORE FIELD & MTs AND COs AT \ ENDS OF FIELD \ \ I Q I i 1 I i I 1 , \ I NOTES: I DRAWN I JRL SITE PLAN J REMAIN\ ADD DCO B�FORE ,ON ABSORPTION FIELD E RA CODE E\D.-2.0' I� j w I � \ 01LLJ, z \ \\ 1wQY Y \I� \ o I = PANNONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 STORCK B2 GERALD BUDD 7401 CLARK'S ROAD ANCHORAGE, AK 99516 TRUE NORTH= I SCALE I"= 50' I Date 11/09/2016 C=50' P.I.D. NO 017-091-05 9 PERMIT NO. OSP161311 1 OF 4 DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM \ NO. BEDROOM: 3(450 gpd) TANK SIZE: 1000g PERC RATE: 2.7 MPI SOIL RATING: 1.2 GPD/SF AREA ROD: 375 SF REDUCTION FACTOR: 0:87 EFFECTIVE AREA ROD: 326.25 SF. U \ Cn SYS. TYPE: WIDE TRENCH 1.0'ED m m MIN LENGTH: 66 LF USE: \ (2EA)33.OLFx5.0'Wx1.O' E.D., 4.0' TD O O TOTAL AREA: 330 SF z z \� D D —w w WATER LINE / o ICU WELL RADIUS gN N i — 55 55 NEW SEPTIC SC A N � n V O O y 9 Z \ O r \ ABBREVIATIONS TH TEST HOLE T \ o n� (P) PROPOSED �9 n pis m n (E) EXISTING zic CO CLEAN OUT N0. MT MONITOR TUBE N0. x s TYR TYPICAL m r p > p �O�N ➢ < 9 FN V y n V < y n n A z JI \ a oH� O > v O o \n m -z n < 0 > o 4 o VIA 2�T' c n0 N O �AU O �7�+T�7 NOTES: PANNONE ENG SVC, LLC Dot/09/2016 FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 'l�'•"' PHONE (907) 272-8218 FAX (907) 272-8211 �p Scale - t 0' .... ... L. . ...... P.I.D. NO STORCK B2 017-09i-05 DRAWN JRL GERALD BUDD ••�;��•c�• 81panf10R8 PERMIT NO, AO 7401 CLARK'S ROAD bl(2 OSP161311 SECTION ANCHORAGE, AN 99516 APpFi590NL Sheet 2 OF SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 10 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. - 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. - 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. . 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: TITLE: DATE: NOTES: PANNONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 STORCK B2 GERALD BUDD DRAWN RL 7401 CLARK'S ROAD DESIGN NOTES ANCHORAGE, AK 99516 CE 8149 11/09/2016 Scale NTS I . NO 017-091-05 'ERMIT NO. OSP161311 Sheet 4 OF 4 TEST HOLE 1 TOPSOIL SOILS LOG — PERCOLATION TEST SLOPE TEST HOLE WAS GROUND WA ENCOUNTERED? IF YES AT WHAT DEPTH? DEPTH TO WATEF MONITORING? DATE: 1001T�., ., READING DATE GM/SM Brown Silty 2 NET DROP SAND & 1 03OCTi6 1019 GRAVEL 3 P.I.D. NO 017-091-05 4 1029 10 MIN 5 3.97' 2.5" 3 1030 GRAY Silty 6 SANDY . GM/GP GRAVEL WITH 7 3.76" ROCKS 8 1041 9 C 1051 10 MIN 9.975" BOH DATE PERFORMED: 03OCT16 NO GROUNDWATER SOILS LOG — PERCOLATION TEST SLOPE TEST HOLE WAS GROUND WA ENCOUNTERED? IF YES AT WHAT DEPTH? DEPTH TO WATEF MONITORING? DATE: 1001T�., ., READING DATE CLOCK TIME NET TIME WATER LEVEL READING NET DROP RATE (,UPI) 1 03OCTi6 1019 STORCK 62 GERALD BUDD ` 7401 CLARK'S ROAD ANCHORAGE, AK 99516 6.265" P.I.D. NO 017-091-05 2 1029 10 MIN 10.236" 3.97' 2.5" 3 1030 6.265" 4 1040 -10 MIN 10.031" 3.76" 2.7" 5 1041 6.265" 6 1051 10 MIN 9.975" 3.7i" 2.7" SOIL TEST RESULTS/ANALYSIS • PERCOLATION RATE 2.7 (min/inch) (Hydrologic Soils Group: HSG A) • PERC HOLE DIAMETER 6" • TEST RUN BETWEEN 3.5 FT AND 4.5 FT. • TEST RUN FOR OVER AN HOUR, LAST THREE READINGS PROVIDED. COMMENTS: Test hole excavated by A+ HOME SERVICES. Test Hole was NOT due to sandy material (Table 3-8, Para.3, EPA Design Manual). to be presoaked before Perc test PERFORMED BY: Joseph Lawendowski. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: Ptll\J`IONE ENG SVC, LLC BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 P•(rG 7H * ......P.I.D. �� , $leve^ Is°hnoR8 8149 ,•[ Date 11/09/2016 FOR coNSTRucnoNP.O. Scale NTS STORCK 62 GERALD BUDD ` 7401 CLARK'S ROAD ANCHORAGE, AK 99516 P.I.D. NO 017-091-05 PERMIT No. OSP 161311 DRAWN JRLCE SOILS LOGS sheet 3 OF 4 a, ,GAAB-HD-2 GREATER ANCHORAGE ARE HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 A .BOROUGH Case No. ��J�L,D PG/DC7 279-2511 U / ./l p SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT �/ NAME OF APPLICANT ` IAROZ- 9– 000 MAILING ADDRESS 90X 1-7,f2:./71YC/fPHONE NO. RESIDENCE ADDRESS 10727--' 661.2''i/ j/,P1121c LOCATION OF INSTALLATION LEGAL DESCRIPTION "%��`%if �R'P'y' 154g '_2 APPLICATION TO INSTALL: SEPTIC TANK_, SEEPAGE PIT V DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY S / C211Oi[Ell? FINANCED THROUGH `�E: / !" TO BE INSTALLED BY ILATIOiV TEST RESULTS ANTICIPATED DATE OF COMPLETION ;o rf = rTJp' BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS Nib OW f. /d(/W? PERMIT TO INSTALL A AS DESCRIBED BELOW, SIZE OF UNIT TO BE SERVED— SEPTIC TANK SIZETYPE SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: 711VK — 5 e1 / S r671'46; _ 1-21r 7_z) 7✓i/U/- / 5 - �orizr z AcojJL-:e s' 1L Health Authority TYPE I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code,- 14il' �U/�/�7- See/L EST DATE APPLICANTS SIGNATURE— <-� Mrs. Carolyn Budd Box 1959 Anchorage, Alaska 99501 SUBJECT: Permit and Application for Sewage Disposal System, Clark Road and Rabbit Creek. Dear Mrs. Budd: In 1970, you obtained a permit from this Department for the installation of a sewage disposal system. As of this date, the permit is still outstanding. Please advise this Department if you have installed, or still intend to install, a sewer system on the subject property and wish your permit kept pending; in our files. Sincerely, C.S. McKechnie Environmental Health Aide rn • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-091-05 Expiration Date: ©Ul 1. GENERAL INFORMATION Complete legal description Storck Block 2 Location (site address) 7401 Clarks Road, Anchorage, AK 99516 Current Property owner(s) Kyle Lunsford Day phone Mailing address Real Estate Agent 7401 Clarks Road, Anchorage, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class Well ❑ Public Sewer ❑ Public Water System ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment 0 Date of Payment Receipt Number 02 q 9 G Receipt Number COSA # 05C20120 J Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my sea[ 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. Name of Firm ARCTERRA CONSULTING INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS _ Date 6ZZo Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested: The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. r' 0�, `Sy 6. DSD SIGNATURE System #1 Approved for 3 System #2 Approved for Disapproved. Conditional approval for bedrooms. `�° 'r1 °or=1_ bedrooms. `l ortis: rot:•..® bedrooms, with the following stipulations: OF QP r, r, PSD r 0� Q N 11, By: Original Certificate Date: 7 2n 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 Septic System Advisory Well Flow Advisory �( COSA b.ve sheet_10-10-12.doo. Nitrate Advisory Arsenic Advisory Other COSA Checklist Legal Description: Storek Block 2 Parcel ID: 017-091-05 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1972* Total depth 105+** ft Cased to UNK ft FBI Sanitary seal is functioning correctly Fat Wires are properly protected Casing height (above ground) 16 in. Date of flow test for COSA 6/2120 Static water level at beginning of test 37 ft. Comments * :Year built **: From previous COSA B. TANK DATA Age of tank(s) 48 years Tank type/material Septic/Concrete Measured operating fluid level in septic tank 51" C Standpipes/foundation cleanout per record drawing Date of pumping 6/5/20 D. ABSORPTION FIELD DATA Which system tested (date installed) 11./30/16 ❑ ALL standpipes present per record drawing XY Total measured depth from. grade 5 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Well production at time of test 0.6 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes N No Coliform bacteria is Negative Nitrate 0.263 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L X Arsenic less than MRL (ND) Collected by Areterra Consulting Date of Sample 6/2/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 6/2/20 Results RJ Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 6 in Elapsed time 10 min ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) .� date of test) Gallons introduced gallons if yes, enter date Comments/Deficiencies: *: Only tested east side trench *,"Field verified no pre -tank cleanouts COSA Checklist yellow sheet 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' ® Yes if No Community Sewer Manhole/Cleanout > 100' Wells on Adjacent Lots: ® Yes if No _ ft [0 Yes if No _ ft Neighboring Tank > 100' ® Yes if No _ ft Private Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' ® Yes if No _ ft Holding Tank > 100' ® Yes if No _ ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft ®Yes ifNoft _ Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No It 0 Yes if No _ ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No _ It Surface Water > 100' ® Yes if No _ ft Property Line > 5' ® Yes if No _ ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No _ ft Private Wells > 100' 0 Yes if No _ ft Water Main > 10' ® Yes if No _ ft Community Wells > 200' 0 Yes if No _ ft Water Service Line > 10' ® 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' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No _ ft Water Service Line > 10' ® Yes if No _ ft Community Wells > 200' ® Yes if No _ ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 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. COSA Checklist yellow sheet Well Water Advisory Certificate of On -Site Systems Approval # OSC201281 Subdivision: Storck, Block: 2 This well's productivity was determined to be 0.6 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. �,„ ,�����, � Mail ng�Ac�dressPO���o�%196650 * Anchorage��Alaslfa 995196650 *www mun�uorg � s t � ry ��Y Cl) i 8451'0' Urtsubdivided 0 a S89057`00"E 329.36 V_ C:) -�- o _ 20' Power Line Easement S,------------_._..._..-_._--._.._ _- Block 2 q a CO $aa`� Starck Subd. �� rs ro � 23.3 $. �70 d N 0 t U .c r�?S� N2: L� \ o � � '�• •QF • A' AS-BUILT NO CORNE=RS SET THIS ELATE 00 4 tai � , �7 � 1 hereby certify that I have performed a Mortgagee's inspection .0t of the following described property: �,�, _� BLOCK .2. S� ORCK SUBDJVJ§1 t4 00"� •. Fred Walotka� ..__ 0t c� Anchorage Recording Precinct, Alaska, and that the �`">F • 3255 — S • •� improvements situated thereon are within the property lines �Fa • • ' . ` �; .� and do not overlap or encroach on the property lying oFFssior+Ati•��'`+ adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the premises in question and SCALE:„_ 50' visible X ��s that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN this 17th day of February 2017. THOSE SHOWN ON THE RECORDED PLAT ARE. NOT SHOWN HEREON. FRED WALATKA & ASSOCIATES Fb 17-1, pg 16 BE rRn7_7GA_1AAA1 Engineers and Surveyors q". Csv 61 a 9 70 • Municipality of Anchorage �)' A� On -Site Water and Wastewater Program (907) 343-7904 a FEB 21 20 S I In �r ti Certificate of On -Site Systems Approv<< �^ Parcel I.D. 017-091-05 Expiration Date: (n 1. GENERAL INFORMATION Complete legal description Storck, Block 2 Location (site address) 7401 Clarks Road Current Property owner(s) Gerald Budd Day phone _ Mailing address Real Estate Agent 7401 Clarks Road, Anchorage, AK 99516 2. TYPE OF DWELLING: Fx] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: C j/eCyi Date: COSA to be released to the engineer,un ess otherwise requested b e gineer. COSA Fee $ OU � 50 Date of Payment a1aa-1 r-� Receipt Number ngjl-16 COSA# 5)07/W3 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 sys safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or waste m 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, 1 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 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: By: cvvx 1 Original Certificate Date:3—.3 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r , If more than 1 septic system is on the lot: COSA Checklist # + of I Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Storck, Block 2 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed Unk Sanitary seal (Y/N) Y Total depth 105+ft. Cased to ft. FROM WELL LOG Date of test Static water level III Well production g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 0.185 mg/L Arsenic ND ug/L Date of sample: 2/1 /2017 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/ Concrete Tank size 1000 gal. Number of Compartments 1 Parcel ID: 017-091-05 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 02-01-2017 40 ft 1 . Collected by: PES g.p.m. Date installed Unkown Cleanouts(Y/N) Y Foundation cleanout (Y/N) Nz Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 2/7/2017 Pumper A+ Home Services C. ABSORPTION FIELD DATA , Date installed 11/30/201* Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 gpd/Sf System type Shallow Trench Length 66 ft. Width 5.0 ft. Gravel below pipe 1.0 ft. Total depth 5.0 ft. Eff. absorption area 379 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) For 3 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed N/A "Pump on' level at Datum Size in gallons in. 'Pump off' level at in. E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tankilift station on lot 117.3 Absorption field on lot 109' 1 Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ Manhole/Access (Y/N) _ High water alarm level at Meets alar 8 circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ 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 20'9 Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS 'Double clean out installed before tank. G. ENGINEER'S CERTIFICATION Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage11 0+ I certify that I have determined through field inspections and ��,9 I review of Municipal records that the above systems are in #•• TH conformance with MCA COSA guidelines in effect on this date. Engineer's Printed Name Steven Pannone �)e1t.'pnnnane Date 2017-02-09 �� ;yiA CE -8149` COSA canary sheet_2-6-15.doc in. Municipality of Anchorage Development Services Department , 44 - Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC 171043 During a recent COSA on-site inspection and test of the potable water supply well on Block 2, Lot of Storck subdivision, the well's productivity was determined to be 0.6 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval.