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HomeMy WebLinkAboutT15N R1W SEC 5 LT 111ril 14sf �� 2 } > \ , , , �¥ » \ < : � � \ � ^ > 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://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221435 Work Type: SepticTank Upgrade Tax Code Number: 05108221000 Site Legal Address: T15N R1W SEC 5 LT 111 G:1457 Site Mailing Address: 21020 OLD PIONEER DR, Chugiak Owner: SMITH JERRY A & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 0 r� v Uc:parttnent 11/9/2022 11/9/2023 108900 ❑ Disposal Field © Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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: F114—At ked 4o Date: j " Issued By:�. _ ,( Date / t—r Il WUNICWAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-082-21 Property owner(s) JERRY SMITH Day phone 907-440-4043 Mailinq address 21020 OLD PIONEER DRIVE, CHUGIAK, AK 99567 Site address 21020 OLD PIONEER DRIVE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) LOT 111 Legal description (Township, Range & Section) T1 5N, R1 W, SECTION 5 Lot Size Sq. Ft. Number of Bedrooms 4 (TOTAL) APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Absorption Field ❑ Initial ❑ Septic Tank Z Upgrade 0 Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) El (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 02 a 5 Waiver Fees: Date of Payment: 1a.)_ Date of Payment: Receipt Number: G 3 9a 4C;� Receipt Number: Permit No. S 10 22, 1L/,35 Waiver No. -- ---- — G:1Development Services\Building SafetylOn Site Water end WastewaterlFormslClient FormslPennit Application.doc I T l Wnicipality of Anchorage On-site Water and Wastewater ENG INEER ING°-SALES -CONSULTING , October 13, 2022 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Tank Upgrade for T1 5N, R1 W, Section 5, Lot 111 To whom it may concern: 11 •- •N Wk I I°► 2143.5, Tim Ecklund, 11/09/22 The existing 3 -bedroom house and 1 -bedroom A.D.U.r are served by private water and septic system. The existing septic tank and drainfield were installed in 1993. The owner has requested that the existing steel STEP tank be upgraded. We are proposing that an IM -1530 Infiltrator STEP tank be installed and that the old tank be decommissioned per UPC. Comments regarding the design are summarized as follows: SURFACE WATERS: There is no surface water concerns within 100 -feet of the proposed tank upgrade. CALCULATION FOR PRESSURIZED BED: Per the 1993 Eagle River Engineering design, the pressurized distribution lines in the bed has a total of 58 — 1/8" diameter holes, spaced 26" on center. We have used OSI Pump Select program to calculate the system curve using the information on the 1993 design. Attached is the pump curve for the pump that is proposed to be used with the approximate system curved sketched on the pump graph. In short, there appears to be no issue with the pump that is proposed to be used. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If yo t have any questions, please contact us at 337-6179. Thank you for your assistance. r / Sin P. E., M.S. OF C 1 '. 49 H. .. �JgvA..B•es •. CE -7953 F� PROFESSI�NP�-•� 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage On-site Water and Wastewater I�/ I T15N, R1W, SECTION 5; LOT 100 11 I OSP221435, TimEcklur>,d, [ N 1I O� 100' WELL RADIUS z I I O h\ O I (GENERAL LOCATION) Wrl-------------------------I 4�0�. 1 THE DEPICTION OF ALL STRUCTURES SHOWN ON ADJACENT PROPERTIES ARE y� 1 APPROXIMATE IN REGARD TO CONFIGURATION/LOCATION AND MAY BE BASED SOLELY I 2^ 1\ ON PUBLICLY AVAILABLE MOA GIS RECORDS. THE LOCATION OF ALL WELLS AND SEPTIC \ SYSTEMS SHOWN ARE APPROXIMATE AND MAY BE BASED SOLELY ON INFORMATION \\ OBTAINED FROM PUBLICLY AVAILABLE MOA ONLINE RECORDS AND/OR ASSUILT SURVEYS "Ql D PIONEER 33' SECTION LINE EASEMENT AsPha_ ------10' GAS EASEMENT — — — — — — — i EXISTING PRESSURIZED Gra IMT. J Q BED TYPE DRAINFIELD P. -v-- L---------- coa e IV7 ti�y• . —�1 LOT 115 i I i i i l / Green House I ) S,aA I JO jQua\ Planter I @J 1 1 GXRAGE \\ Gravel drivelva it PROPOSED IM -1530' INFILTRATOR STEP TANK. SEE DETAIL DRAWING, PAGE 2 OF2-- / DB\L cas EXISTING 3 -BEDROOM / HOUSE E-11 r i /anter � N SCALE; 1"=60' EXISTING 1 -BEDROOM A.D.U. (PER OWNER) —EXISTING 1500 -GALLON STEEL STEP TANK TO BE DECOMMISSIONED PER UPC T15N, R1 WSECTION 5; LOT 116 WILKEN SID; LOT 1 WELL AND SEPTIC SYSTEMS LOCATED ON EAST HALF OF LOT. NOENCROACHMENT CONCERNS WILKEN SID; LOT WELL AND SEPTIC SYSTEMS LOCATED ON EAST HALF OF LOT. NOENCROACHMENT CONCERNS I I WILKEN SID; LOT AW .. 01 TP Ed Iff r_'4 .... -y ENGINEERING SALES CONSULTING v 3701E TUDOR ROAD. SUITE 101 ' ANCHORAGE. ALASKA • PHONE (907) 337.6179' WEBSITE. w .gamessengineenng mm •.• .. ... ........................ . o PREPARED FOR PHONE NUMBER: PAGE NUMBER: _A_Garn s � B JERRY SMITH 807-440-4043 1 OF 2®�,' C -795 �a PROJECT/LEGAL DESCRIPTION: __ _ _ __ - ---_ __ _ _ DRAWN BY: ®®® ` I e�Z ® T1 6N, R1 W, SECTION 5; LOT 111 J.L.M. 0 F '. e TYPE OF WORK: DATE: LICENSE PRO E ®O�O�®�� SITE PLAN FOR PROPOSED SEPTIC TANK UPGRADE 10/11/2022 #AECC884VA Ej Municipality of Anchorage On-site Water and Wastewater INFILTRATOR TANK NOTES: OSP221435, Tim Ecklund, 11 UL LISTED UL LISTED • PER INFILTRATOR SYSTEMS, INC., THESE TANKS HAVE A INTERIOR DEMAND DOSE MAXIMUM BURIAL DEPTH OF 48 INCHES OVER TOP OF TANK. ALARM CONTROL PANEL PER INFILTRATOR SYSTEMS, INC., THE TANKS ARE TO BE BURIED SO THAT THE INVERT OF THE INFILTRATOR TANKS ARE NOT SUBMERGED DURING HIGH GROUNDWATER LEVEL CONDITIONS. • GEG RECOMMENDS ALL PIPE PENTRATIONSMOINTS ASSOCIATED WITH THE INFILTRATOR TANKS THAT MAY BE SUSCEPTIBLE TO INFILTRATION BE ENCASED IN BENTONITE CHIPS. • IF GROUNDWATER IS ENCOUNTERED, THE CONTRACTOR SHALL ENSURE THAT SOIL COVER AND/OR BALLASTING IS PROVIDED AS OUTLINED IN THE INFILTRATOR "SEPTIC TANK BUOYANCY CONTROL GUIDANCE" BROCHURE. WEEP 2" OF INSULATION "NIN I I I/,/—HOLE BAFFLE WALL MINIMUM I BAFFLE OPERATING HOLES LIQUID LEVEL 38.5" (1,337 GALLONS) IM -1530 GALLON TWO BAFFLE SLOT COMPARTMENT INFILTRATOR TANK GOULDS PE51M PUMP OR EQUIVALENT --J TWO (2) CINDER BLOCKS FOR PUMP STAND (SUPPLIED BY CONTRACTORI gJUMFUNENTS SUPPLY NOTE: 1. TANK AND RISER ADAPTER RING ARE INFILTRATOR TANKS, AND ARE SUPPLIED BY FERGUSON. 2. INSULATED RISERS AND LIDS ARE SUPPLIED BY DAY ENTERPRISES, LLC. (907-223-0555) AND/OR FERGUSON (907-260-6300) 2. THE PUMP, FLOATS, INTERNAL PIPING, GROMMETS, CONTROL PANEL (WITH FLOATS), AND INTERIOR ALARM ARE AVAILABLE FROM GARNESS ENGINEERING (907-337-6179). 3. ALL OTHER EXTERNAL COMPONENTS SUCH AS PIPING, FITTINGS, WIRING, INSULATION, ETC., SHALL BE SUPPLIED BY THE CONTRACTOR. TO -HIGH WATER FLOAT. ALARM ACTIVATES @ 42.5" (TANK VOLUME = 1484 GALLONS) FART FLOAT. ALARM ACTIVATES @ 41.5" (TANK VOLUME = 1448 GALLONS) STOP FLOAT. ALARM DEACTIVATES @ 38.5" (TANK VOLUME = 1337 GALLONS) PUMP TANK FLOAT SETTINGS INFILTRATOR TANK MODEL IM -1530 TOTAL CAPACITY 1787 GALLONS WORKING CAPACITY 1638 GALLONS INLET INVERT 47" HIGH WATER FLOAT 33-(-41-) START FLOAT 32" •40" STOP FLOAT 32-(-40') FLOAT LEVELS ARE FROM BOTTOM OF PUMP ('MEASUREMENT FROM BOTTOM OF TANK). NOTE: MEASUREMENTS ARE WHERE THE FLOAT WIRE ATTACHES TO PIPING WITH A 3.5 INCH TETHER FROM PIPING TO FLOAT (PROVIDES X OPERATING RANGE). ALL FLOATS MUST BE NARROW ANGLE FLOATS. NESSI �Ik'dN PP9 Ltd 3v=° ENGINEERING- SALES CONSULTING 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, ALASKA' PHONE (907) 337.6179' WEBSITE: wwmaemessenolneerina.m PREPARED FOR: JERRY SMITH PHONE NUMBER: 24" MOA APPROVED 24" MOA APPROVED 807440-4043 INSULATED LID INSULATED LID LISTED JUNCTION AND RISER AND RISER A AND PVC CONDUIT DATE: DETAIL OF IM -1530 INFILTRATOR STEP TANK FOR ELECTRICAL FINAL GRADE CONNECTIONS SIMfFECH PRESSURE FILTER WEEP 2" OF INSULATION "NIN I I I/,/—HOLE BAFFLE WALL MINIMUM I BAFFLE OPERATING HOLES LIQUID LEVEL 38.5" (1,337 GALLONS) IM -1530 GALLON TWO BAFFLE SLOT COMPARTMENT INFILTRATOR TANK GOULDS PE51M PUMP OR EQUIVALENT --J TWO (2) CINDER BLOCKS FOR PUMP STAND (SUPPLIED BY CONTRACTORI gJUMFUNENTS SUPPLY NOTE: 1. TANK AND RISER ADAPTER RING ARE INFILTRATOR TANKS, AND ARE SUPPLIED BY FERGUSON. 2. INSULATED RISERS AND LIDS ARE SUPPLIED BY DAY ENTERPRISES, LLC. (907-223-0555) AND/OR FERGUSON (907-260-6300) 2. THE PUMP, FLOATS, INTERNAL PIPING, GROMMETS, CONTROL PANEL (WITH FLOATS), AND INTERIOR ALARM ARE AVAILABLE FROM GARNESS ENGINEERING (907-337-6179). 3. ALL OTHER EXTERNAL COMPONENTS SUCH AS PIPING, FITTINGS, WIRING, INSULATION, ETC., SHALL BE SUPPLIED BY THE CONTRACTOR. TO -HIGH WATER FLOAT. ALARM ACTIVATES @ 42.5" (TANK VOLUME = 1484 GALLONS) FART FLOAT. ALARM ACTIVATES @ 41.5" (TANK VOLUME = 1448 GALLONS) STOP FLOAT. ALARM DEACTIVATES @ 38.5" (TANK VOLUME = 1337 GALLONS) PUMP TANK FLOAT SETTINGS INFILTRATOR TANK MODEL IM -1530 TOTAL CAPACITY 1787 GALLONS WORKING CAPACITY 1638 GALLONS INLET INVERT 47" HIGH WATER FLOAT 33-(-41-) START FLOAT 32" •40" STOP FLOAT 32-(-40') FLOAT LEVELS ARE FROM BOTTOM OF PUMP ('MEASUREMENT FROM BOTTOM OF TANK). NOTE: MEASUREMENTS ARE WHERE THE FLOAT WIRE ATTACHES TO PIPING WITH A 3.5 INCH TETHER FROM PIPING TO FLOAT (PROVIDES X OPERATING RANGE). ALL FLOATS MUST BE NARROW ANGLE FLOATS. NESSI �Ik'dN PP9 Ltd 3v=° ENGINEERING- SALES CONSULTING 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, ALASKA' PHONE (907) 337.6179' WEBSITE: wwmaemessenolneerina.m PREPARED FOR: JERRY SMITH PHONE NUMBER: PAGE NUMBER: 807440-4043 2 OF 2 PROJECT/LEGAL DESCRIPTION: DRAWN BY: TI 5N, R1 W, SECTION 5; LOT 111 J.L.M. TYPE OF WORK: DATE: DETAIL OF IM -1530 INFILTRATOR STEP TANK 10/13/2022 ►®••o VI , v,1 0,116...; 6 17'7......................;. ..i ^ �I ey A Gar ess a �v i1 G'�� _ _ C_ _79 .3 •'IPR=moi LICENSE e,,1U\ S®` O••o #AECC884 MUNICIPALITY OF ANCHORAGE Development Services Department r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 •0 1 1^ 1 . - • The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner to perform work on an on-site wastewater disposal system to serve that individual's owner - occupied, single-family or duplex home if the homeowner meets and agrees to the following requirements: 1. The property owner and excavation equipment operator may perform work on no more than one owner -installation project in a 12 -month period. 2. Owner's projected active involvement with the installation: , 'M JIQ 1 e4 L ex 3. The name of the excavation equipment operatorl-WI -e- ` C� 4. 1 agree that there will be no monetary compensation for installation services rendered. 5. The name of the inspecting engineer: Gr"ct-7ij ---a S _'s 6. 1 agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On-site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. O - S As owner of (legal description) q sU r OS a.5 Eo,wm ss ,e 7)5� 1m I agree that the information above is true and accurate. 2 tOzv p►A PrI «r Owner's printed name: J eYG /� s �` f Owner's signature:JO_AAIZ-2"���7_Date: �� Z' iMunicipality of Anchorage Page _ / of. DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anc,horage, Alaska 99519-6650 · Telephone: 34',]-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~ ,bV' ~ ~Oq~c'~ PID Number: 0 5 / ~ ¢)~' 2- - ~ / N.~.: ~ Wastewaler System: ~ New D Upgrade Address: ~ ~ , ~ ~-~ Po &o~ ~/oz/ d~/~/ ~,~ ~ ABSORPTION FIELD Phone: ~o, o~ Bedrooms: ~ - ~G~ ~,~ ~ ~ Deep Trench ~Shal~owTrench ~Bed UMound UOther LEGAL DESCRIPTION So,..~n.: Total Depth from original grade: ~' ~ OPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe ~ Fill added above original grade: Gravel length: WELL:, ~New D U~grade~ ~.vol~: ~/~ /~ ~t. ~J ~ Ft. Classification (Private, A,B,O): Total Depth~ Cased To: Tolel absorption area: Pipe material: Driller: Dat~rll~d: SlalicWafer Level: Installer: Dateinst~lled: Yield:4GpM pump Set at:a~NV~3/ Ft. Ca~lngHetghtAb°ve~r°und:; ~ .~. TANK SEPARATION DISTANCES ~eptrc ~ Holding n S.T.E.P. From Tank Field Station j Tank Sewer Lines ~/~/~ ~ Well /?~ /?~' /?~' ~]/~/Z ~5 I Materlal:5~ Number°lC°mparlments: Water Line [/~ ~t ~ ~/ ~/~ ~ 5' Size In gallons: Manufacturer: Drain · , /~, Remarks: J BENCH MARK ~ ENOlNEER'S SEAL Department of Heal~ ~uman Services approval 72-013 (1/91) MOA 25 ; Permit No. SW 930482 Page 2 ,o1_ 2 MunicipaLity of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMEN'rAL SERVICES DIVISION P.O. Box 196650 · Ancl~orage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewaler D~,Sposal System and/or Well Inspection Report. Legal Description: Lot 111 T15NiR1W, Section 5 PID No.: 051:Q-~21------ 'J~' GAS +EASEHENI'  18'x48 89"52'00' E 330,07 , t,500 TANK W/ L!FT B iN 89°52'00' E 330,07 84,0' 12-013 A (2/gl) MOA 25 SWING TIES A - C = 196.6 A - D = t94,5 B - D = t7~,O0 TEST HOLE MONITOR TUBE SEWER CLEANOUT WELL - - EASEMENT SCALE f' ~ 60' ENO INE_EB'S SEAL .... '. LOUIS A. BUTERA · ~,' . CE-6736 ' I-eb.21,q4 t4:]u F'.O:l flIJRDP, fl.PRE]F'FL~IIES 'lEi[ Nb.90? 658-1310 Feb.J5,9~ 15:i? P.O~ Municlp~ .... 1) epic_ WELL L~ public suppf~ ~ D~pth~ of opetllR~: ~ to ~qCREEN TYP~: ...... ~ Ui~nt: IlL QI~VEL PA(~K TYP[:. ~ ............ Ovpth; 11o111 _~__ It t~ ft F'LEASE MAIL WIII1E GUPY OF LOG TO: bNB/plvI.~ION OF WA~I1 i~O BOX 7~116 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT!OF HEALTH AND HUMAN SERVICES P.O. BOX 194650, 825 "L" STREET, ROOM 502 ANCHORAGE,: ALASKA 99519-6650 ~,~ ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930482 DESIGN ENGINEER:EAGLE RIVER E~GINEERING SERVICES OWNER NAME:EKLUTNA INC OWNER ADDRESS:510 L STREET ANCHORAGE, AK 9~501 PARCEL ID:05108221 LEGAL DESCRIPTION: T15N R1W SEC 5 LT 111 LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IlS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK /IWELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1 2 o DATE ]iSSUED: 11/16/93 EXPIRATION DATE: 11/16/94 THE ATTACHED APPROVED DESIGN. ALL RLQUIREMENTS SPECIFIE~ IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) ANDJ DRINKING WATER REGULATIONS (18AAC80). THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343~4681 AFTER ]BUSINESS HOURS FROM OCTOBER 15 TO APRIL ~15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS ISSUED BY: /~ DATE: DATE: Louis Butera, P.E. Registered Civil Engineer November 10, 1993 John Smith, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 111, T15N R1W S¢:tion 5 Narrative Dear Mr. Smith: The proposed septic upgrade Will have very limited impact on adjacent properties for the following reasons: 2. 3. 4. The area has large lots allowing sufficient room for septic sites. Immediate neighboring septic systems are all +30' distance. Reserve space is,adequate, due to large lot size. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \1993\93-070A.NAR P.O. Box 773294 . Eagle liver, Alaska 99577 . ['elepl o e (907) 694-5195 · Fax (907) 694-3297 PRIVATE WELL +100' ~ ULD PIONEER DRIVE SEPTIC +100' ] l0 GAS EASEHENT ~-- ~-- __.- ~ P_V.~_C Z I ~ PUC LAIERALS / X '~ ~ ~ 1,500 TANK ~?ELL.. SI E ~ / / ~$. ' ~ TEST HOLE o SEWER CL~NOUT MAY VARY iN FINAL PBSiTiBN, NO KNOWN CUR'IAIN DRAINS ~ LEGAL: LOT 111, TISN R1W SEC,5 ~ . ~(~l ~ P.O: Box 77329{ '¢F¢. '-c[ ~7;~ ; % (907) 694-5195~ FAX: (907) 694-3297 ',,tt;[::,o~.:~. M,Unlclpnllly Df Anchorage DEPAR1MEN!' OF HEALTH & HUMAN SERVICES 825 "L" Street, Almhorage, Alaska 99502-0§50 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) DATE PE.FORMED: LEGAL DESCRIPTION: ! 3 12 13 14 1 ownshlp, Range, 8epllon: SLOPE WAS GIiOI.tNO WATER ENCOUNTERED;' IF YES, AT WHAT DEPTH? fl~plh I~ Water After Fleadlng Dal~: Thtl~ SITE PLAN Net Tlnlo Jr_ lOMl 1,,H I_N Net Drop PERCOLAIIrON RA1E ~ (minutes/htchl PEFIC I-IDLE DIAMETER ~ IESI RUN BEIWEEN Z~/ FTAND ~"- Fl ./'~ ~"~'"'- ~' ~ CERI IFY Ti'IA1 THIS TEST WAS PERFORMED IN AgCDRDANCE WIIH ALL 81ALE AND MUNIGIPAL OIJlDELINE$ IN EFF~C:! ON 1HIS DAII~. DALE: __ ////'" ~*,/'~ _R I,o1' III Murilclpallly Gl Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICE8 825 L S reeli Anchorage, Alaska g9502-0050 SOILS LOG -- PERCOLATION '[EST 1 2 3 4 6 8 g 10 F~' "~ ~ " "~ O~plh Io Waler Alter ~ , N,~," ..... ~.~o~. MallltOIllag~ ~'~ DIre: ./1' ~ (ENGINEER'S SEAL) I F_HL __W SITE PLAN 12 P E 14 15 16 17 20 minules/Inch~ PERC HOLE DIAMEIER tEST RUN SETWEEN '~'~' FIAND_ ~ > FT COMMENIS tH~Abb 1~4'' FU(~ ~OHIfo~ ~0 q ' ACCORDANCE WHtl ALL SLATE AND MUNICIPAL ~UIDELINBS IN EFFECT ON THIS DATE. 72 ~8 (Rev 4,B5l Drop CERIIFY THAT 1HIS TEST WAS PERFORMED IN LEGAL: SPECIFICA~'IONS FOR ON-SITE SEIrFIC SYSTEM LOT 111, T15N RIiW Section 5 GENERAL 2. 3. 4. 5. 6. 7. 8. The well and septic plan are for a single family residence only. The drawing and ior site plan shall be a part of this specification. All materials andi workmanship shall ~neet the Anchorage Department of Health requirements. All soil tests are ~qdwsory to the design and are to be verified or modified in the field by the engiqeer. All excavations m}d depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage requirements. It is the responsibility of the owner to obtain all necessary permits or easements and to locate anyladjacent multi-family wells. The excavation is~ to be exactly in the area shown on the site plan, any deviation reqmres engineeri approval. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. B. SEPTIC TANK 1. 1,500 gallon Orehco Systems lift station/tank with 20-OSI-05 HHF pump. 2. Receipt from licensed electrician to be provided to engineer for wiring of lift station. C. BED 1. The bed is to fol[ow the natnral land contour to maintain'uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minns 1.5". 3. The upper soil layer is to be completely removed to 4' and backfilled with MOA approved sand filter material to a depth of 2' below the ground surface. A 12" septic gravel layer is to be installed over the sand with 1-1/4" PVC pressure effluent piping at 2" below top of gravel. 4. T ~e bed gravel is to be covered with typar fabric material. 5. A combination of soil and extruded board insulation to an equivalent depth of 4' is to be placed over the leachfield, sloped 4% over the bed and sloped at 3:1 to ground surface at edges. 6. The area over the bed is to be finish graded to prevent ponding of surface water runoff. 7. The septic tank and leachfield must not be closer tban 100' to any existing private well, 150' to an~ Class "C" well, or 200 feet to any community well· RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 4' (sand)/2' (gravel) GRAVEL DEPTH = 12" BED LENGTH = 48' SAND DEPTH = 2' SOIL RATING = 0.7 GPD/ft~ BED WIDTH = 18' SEPTIC TANK SIZE = 1,500] with lift station BEDRO?M CAPACITY ,~ 4 NOTE: Leachfield pipin~ to be 1-1/4" PVC with 1/8 boles spaced 26 OC for a total of 58 holes, installed face up with orifice shields installed over holes. Twenty-fora' (24) honrs notice required for all inspections. \1993\93-070A.SPC EAGLE RIVER ENGINEERING SERVICES P,O. Box 773294 EAGLE RIVER, AK 99577: (907) 694.5195 JbO Lot 111 T15N R1W Section 5 SHEEI NO OF. C^LCUL^TED BY LoB. U^TE 11/08/93 Four Bedroom Siugle Family;Residence 4 Bedrooms = 600 gpd Percolation rate = Soil.absorption rate Bed absorption area < 1 minutes/inch (sand filter) = 0.7 gpd/ft2 (bed with sand filter) = 600 '+ 0.7 = 857 square feet Bed Dimensions: Length = 48' Width = 18' Piping Calculations: Total flow rate from pump = 25 gFm 1/8" orifice flow rate = 0.433 gFm Total orifice number = 25 + .433 = 58 Spacing = 126LF + 58 = 2.2' = 26"O.C. \/993\93-070A.CAL Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4Z00 Braga~_S!;r~;[ P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite , (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAI'IILY DWELLING Parcel I.D. 051-082-21 1. GENERAL INFORMATION Expiration Date: '~-/~ ~// I Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address T15N, RlW, SECTION 5, LOT 111 21020 OLD PIONEER DRIVE * CHUGIAK, AK * 99567 RAY CUMMINS Day phone 6,50-945-0756 C/O AGENT Day phone NANCY STAHLY W/ GREATLAND REALTY Day phone 501-4115 11411 OLD GLENN HIGHWAY * EAGLE RIVER, AK * 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the vafidation date shown belo;;; I verify thst ,m,y investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this appfication, 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 Municipafity of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with afl applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING G.ROUP, Ltd. Phone 357-6179 Address 5701 E, TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described 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 soils condition, groundwater 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following st~putctt1~:)~ .~.,F .... ' ~: WATER AND ~ ~ WASTEWATER ' ~ ~ pROGRAM -"09' ~:N/~ .' Arsenic AdvisoW Attachments: COSA Checklist Septic System Advisory Well Flow Advisory (Roy. 1 Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ///~//'~) CERTIFICATE Legal Description: WELL DATA Well type PRIVATE Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite ~ ~ (907)..,343-7904 OF ON- ITE YSTEMS ,PPROVAL CHECKLIST T15N, rlW, SECTION 5; LOT 111 Parcel ID: If A, B, or C provide PWSID# N/A Date completed 12/17/1993 Sanitary seal (Y/N) YES Total depth 197 .ft. Cased to 150 ft. FROM WELL LOG Date of test 12/17/19.93 Static water level 120 .ft. Well production 4 g.p.m. WATER SAMPLE RESULTS: Coliform ~ colonies/100 mi. Arsenic: ND ug./L. B, SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Tanksize 1500 gal. Numberof Compartments 2 Foundation clean'out (Y/N) YES Depression over tank (Y/N) NO Date of pumping 10/19/2010 Pumper C. ABSORPTION FIELD DATA I'BELOW EXISTING GRADEI Date installed, 1,.2/1:5-16/93 Soil rating ~or ft2/bdrm) 0.7 Length 48 ft. Width 18 ft. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 9/21/2010 25 1.27 g.p.m. YES YES 12+ in. Total depth *3.6 ft. Eft. absorption area 864 ft2 Monitoring tube YES Depression over field NO Date of adequacy test *'10/8/2010 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 1250 gal. New depth 0 in. Elapsed Time: - min. Final fluid depth 0 in. Absorption rote >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - L'**BED was PRE-SOAKED 'WITH 1000 GALLONS PRIOR TO .TEST. WE PROCEEDED WITH THE 1250 GALLON, TEST IMMEDIATELY AFTERWARD. THE 'BED REMAINED DRY THROUGHOUT THE ENTIRE PRE-SOAK AND TEST. NOTE: DRAINFIELD IS INSULATED PER INSPECTION REPORT. System type BED Gravel' below pipe 0.7 Date installed 12/15-1 6/1995 Cleanouts (Y/N) YES High water alarm (Y/N) YES JR'S PUMPING Nitrate ND mg./L. Other bacteria 0 colonies/lO0 mi. Date of sample: 9/21/2010 Collected by: GEG Ltd. D. LIFT STATION Date installed 12/15-16/93 "Pump on" level at 4.4 in. Datum BOTTOM OF TANK E. SEPARATION DISTA~NCES Size in gallons 1500 "Pump off" level at 42 in. CycleS tested 5 SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on' lot . 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ 100'+ Manhole/Access (Y/N) YES High water alarm level at 45 Meets alarm & circuit requirements? YES .in. On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ Building foundation Water main Wells on adjacent lots SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5'+ Property line 5'+ Absorption field N/A . Water service line. 10'+ Surface water. 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 5'+ 100'+ Property line 10'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots. 100'+ COMMENTS Water main N/A Driveway, parking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that .the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A, GARNESS Date 'tlID /IO COSA Fee $ /-'//'~ 0 Date of Payment II//o~/~) ~ Receipt Number ~'~<~,~ (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number 8354E LOT 99 LOT 112 ~ LOT 115 LOT 100 EAST 330.06 · ~OLD P ONEEr~ AVENUE ~L~ ~' ~ECT,ON UNE EASEMENT A , ........... ....... -- ....... ~ _ ~ O' ~ ~,SE~E~, ~ ~A~E %0 X_~. ~ >. ¢~'- ~ T SECTION 5, T15N, RIW, X J ¢%~ ~ L2S~F~ Seward Meridian ~ ~ ~ ~ ~e / CLF'kennel~ / / } ~ ~1 ~e~y ~ 20.0 ~ 28. I T EAST 330,11 LOT 116 LOT 101 LOT 110 LOT 117 scALE: FA. SEMENTS OF .RECORD, OTHF-R THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. F510,8, pg AS-BUILT NO CORNERS SET THIS DATE I hereby certify that ! have perfom~d a Mo~gagee's ins~oec~on efthaf~low'mgdescdbedpmpett~. BLM LOT 111~ SECTION 5. T15N. R1W, SEWARD MERIDIAN, AK Anch=tage Recording Prec~c~ Alaska, and that the :rc, orcvarnent~ situated ~em=n are ~ithin ~e ~y ~,es =mci do not oveda0 or enc~ac, h on f~he =mpertylying adjacent thereto, that no impmvement~ on the pmpeAy tying adjacent thereto ~nc:rcach ~n the pfanttsea ~n q*~&:n and heraon. this ,, 2'{at day of Seotember .2010 FRED WALATKA & A~SOCIATE$ (907-248-1(~68} Engineers an~ 8urveyom Page 1 of 1 Andrew Gray From: Ray Cummins [ray_cummins@hotmail.com] Sent: Monday, November 08, 2010 3:21 PM To: Andrew Gray; nstahly@hotmail.com Subject: RE: 21020 Old Pioneer Drive Andrew, I formally attest that there is no water supply to the studio/cabin. A water supply will be provided/installed (per applicable codes) if the building is completed as a permanent residence or Accessory Dwelling Unit. Please complete the inspections and forward the information for closing to Nancy Stahly. Thank You, Ray Cummins 21020 Old Pioneer Ave Chugiak AK 99567 630-945-0736 11/10/2010 MUNICIPALITY OF ANCHORAGF DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska,, 99519-6650 343-4744 Parcet I.D. # CERTIFICATF OF HEALTH AUTHORITY APPRO~JAL FOR A SINGLF FAMILY DWELLING 051-082-21 HAA # -~ ~o~%\ 1, GENERAL INFORMATION Complete legal description ~ Lot 111, T15N R1W Section:':5 Location (site address or directions) NHN Old Pioneer Ave., Chugiak Property owner Mailing address SuiterConstruction, Inc. Day phone 344-6594 P.O. Box 231621, Anchorage, AK 99523 [_ending agency N/A Mailing address. _ Day phone Agent Aurora Properties/Sharon Dunckle Day phone. Address P.O. Box 671923, Chu.qiak Ak 99567 Unless otherwise requested, HAA will be held for pickup. 688-4939 NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: ~ng to the legality and status of system. T¥PE OF WASTEWATER DISPOSAL: Individual on~-site _ X Holding tankl Community on-site. . - Public sewer NOTE: If community well system, prowde written confirmation from State ADEC attest- ,\ if community wa~tewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~025 (Rev. 1/B1) Fronl MOA #21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal'system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my inves.t~ation and inspection, the on-site water supply and/or wastewater disposal system is in corn pliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of FirmEagle River Engineerin9 Services Phone 694-5195 Address P.o. BOx 773294, Eagle River, AK 99577 ~ature~'~..c~f ~ Date. ~- 2./- 9~/ Engineer's sag DHHS SIGNATURE ApproveC for ~ Disapproved. Conditional approval for bedrooms, bedrooms, withr the following stipulations: Additional Comments Date 3 M~'ici~a ity of A~'~h~rage Department of Health and Human Services (DHHs) issues Health Authority ::~A,?proval Ce~tificates';b~sed only upon the representations given in paragraph 5 above by an independent "~rof~Js~sio~l engin(~er'registered in the State of Alaska, The DH HS does this as a courtesy to purchasers of homes an'd ~hei~ii~ding i~stitutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/~)l) Back MOA#2i ~ Municipality of Anchorage Depart~nent of Health and Human Services HEALTH AUTHORITY APPROVAl_ CHECKLIST Legal Description: ~05 /// '7'/¢/`/ ,~///¢ ~;d-.~Parcel I.D. 0~/~ OJ~ '~'-/ A, Well Data Well type /;'./Z1(,"/l¢'£ If A, B, or ~, attach ADEC letter. A[:)EC water system number Log present (Y/N) Y~ Date completed /~-//"~/?.~' I:)riller Total depth / ~ '¢ / Cased to Sanitary seal (Y/N) Y~ Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test / ~-//2/~ ~ /"///~ Static water level / ~(~ / l Well flow "/-/ g.p.m, g.p.~?~, Pump level1 U,'N'Af/Vb/'~/'/ · SEPARATION DISTANCES FROM wFLL TO: Septic/hoMing tank on lot /"~ -~'' t ; On adjacent lots ¢/0~/ Absorption field on lot /'~ ~' ;On adjacent lots Public sewer main /'//~ Public sewer manhole/cleanout Sewer service line ~ ~ Petroleum tank __/VO/'/~' WATER SAMPLE RESULTS: Coliform '~ Date of sample: !Nitrate Collected by: Other bacteria Tank size B. SEPTIC/H~I.--BING TANK DATA Date installed /.¢//U/¢.~ Cleanouts (Y/N) )/{¢.~ Foundation cleanout (Y/N) High water alarm (Y/N) ~'5 Date of pumping ~/~- ~ W~ Pumper SEPARATION DISTANCES FROM SEPTIO/HOL~INO TANK TO: Compartments Depression (Y/N) Alarm tested (Y/N) /~,/~ Foundation Water mai~/sarvice line Well(s) on lot / '~ ~ / On Cdjacent lots To property line ~-~ ~' / I Absorption field Sudace water/drainage /V/,4 72-026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) ~/~'~ ~ Manufacturer /'tv'Vt./-/ ~",4././/Z / Manhole/Access (Y/N) /7/'/¢ ~ "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot / 7~- / On adjacent lots '/~/¢)~ / Sudace water /"//4 D. ABSORPTION FIELD DATA Date installed / ~-//U/¢ ~, Length ~ ¢ ' Width Total absorption area ~ {D/-¢ Date of adequacy test /V/c/ Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/Ft~) ~)' "~ System type / ~ / Gravel thickness ,'~'~¢, '~ / Total depth Y~ Depression over field (Y/N) _ /~/'¢ ~' ~ for '~ Bedrooms Cleanout present (Y/N) Results (pass/fail) After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / '~(~ / On adjacent lots /-/~ / Property line To building foundation /"~ ~ / To existing or abandoned system on lot On adjacent lots '/' ,~ (~ / Cutbank /V/-'~ Water main/service line Surface water ./k///~ Driveway, parking/vehicle storage area Curtain drain ,A//~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidefines in effect o~o.t~e, d. at¢ ..of this inspection. Signature ~ Engineer's Name ~/~ Date (27~/~//~ HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3~93)* Back