HomeMy WebLinkAboutTIMBERLUX #2 BLK I LT 2Onsite File
Timberlux #2
Block I
Lot 2
#018-271-40
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP201245 PID Number: 018-271-40
Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade
Name
MICHAEL SCHLEGEL
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bedound
Site Address
4900 HILLANDALE AVE *ANCHORAGE, AK
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth original grade
907-230-1409
4
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
TIMBERLUX #2; BLOCK I, LOT 2
Fill added above original gr
Ft.
Gravel length
Ft.
Township Range Section
-
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
Tod
Septic
Absorption
Lift Station
Holding
Sewer
Total orption area
Number of trenches
Dist. between trenches
From
i Tank
I
Field
Tank
Line
Ft2
Ft.
Well
f
100'+
i
TANK El Septic ElS.T.E.P. 171 Holding El Other
Manufacturer
GREER TANK
Capacity
1250 Gal.
Surface Water
! X90'+,,
I
Material
HDPE
Number of compartments
2
Lot Line
5'+
NA
i
LIFT STATION
Foundation**
j 0'+
Manufacturer
Capacity
Gal.
Remarks OLD TANK DECOMMISSIONED PER UPC
PER CONTRACTOR *100'+ TRAVEL PATH
Alarm location
Electrical installed by
'LESS THAN 5' FROM STAIRS. SEE ATTACHED LETTER AND PHOTOS - SEE PAGE 2/3
PIPE MATERIAL House to tank D3034 dTank to
D3034
Installer
GROUND UP EXCAVATION
Dralnfield D3034/EXISTING CO/MTD3034
Inspector TIM ECKLUND AND GEG
BENCH MARK (Assumed elevation) 98.81/1 OC ft
Inspection 15I 8/19/2020
Location and description
dates: 2
�d31d
TOP OF MH/GARAGE SLAB
- 41h
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
4o600O���
dr./C
Conditional Approval: Date
D
Septic System QQQQ +',,,�
Approved Cuist X � 7`m �I��'" bate'u Dao
OQ C 953
0� ste .cam
Q' �•/10
Note: this approval does not include well permit requirements.
ap'
���Ooo l ,
aAEccaea
(Rev 05/02/18)
PERMIT NUMBER:
OSP201245
A I B
MH 34.6 20.4
ST1
388
227
DBL1
39.8
23.4
DBL2
41.2
24.3
FS
42.3
25.1
RECORD DRAWING
APPROXIMATE
DURING
/
APPROXIMATE LOCATION OF SURFACE WATERS NOTED
F
INSPECTION ON 8/19/2020. TOPOGRAPHY IS SUCH
THAT ff-APPE*R6 THAT SURFACING EFFLUENT FROM THE
DRAINFIELD OR SEPTIC TANK WOULD NOT FLOW DIRECTLY
T V
OWARDS THE SURFACE WATER, BUT WOULD TRAVEL 100'
PRIOR TO REACHING THE SURFACE WATERS --, \-tz:Z
PARCEL ID NUMBER:
018-271-40
loo'IV'
4 p
,qo !US
U P 9 L t d
ENGINEERING, SALES, CONSULTING
3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK99507 -PHONE (907)337-6179- FAX (907)338-3246 'WEBSITE: w games ngmemmg.00m
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
MICHAEL SCHLEGEL 907-230-1409 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
TIMBERLUX #2; BLOCK 1, LOT 2 D.J.G.
TYPE OF WORK: DATE:
SEPTIC TANK RECORD DRAWINGS 8/24/2020
4W Ic . ..........
4W
#
#
f
0
0 ..... 0
0 0
0
J re. A Games
AlF
CAV
AV
AW
�l 4*
LIC SE
#A C 8 1 k llak 1%k I ks
Y APPROXIMATE LOCATION OF END OF OLD DRAINFIELD;
TRENCH WAS PROFESSIONALLY LOCATED DURING
INSTALLATION AND A CLEANOUT AND MT WAS INSTALLED AT
THE SOUTH END OF THE TRENCH (AS PERMITTED). END OF
TRENCH, WAS "TIED IN" BY GEG AFTER BEING LOCATED
HILLANDALE A�ENUE
0
M
A -
NEW 1250 GALLON HOPE
GREER SEPTIC TANK;
LESS THAN STO STAIR
LANDING - APPROVED
.7t:
W/MOA ONSITE, PRIOR
TO TANK INSTALLATION
TIMBERLUX #2;
BLOCK 1, LOT I
HE
TIMBERLUX #2; BLOCK 1, LOT 31
40
U P 9 L t d
ENGINEERING, SALES, CONSULTING
3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK99507 -PHONE (907)337-6179- FAX (907)338-3246 'WEBSITE: w games ngmemmg.00m
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
MICHAEL SCHLEGEL 907-230-1409 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
TIMBERLUX #2; BLOCK 1, LOT 2 D.J.G.
TYPE OF WORK: DATE:
SEPTIC TANK RECORD DRAWINGS 8/24/2020
4W Ic . ..........
4W
#
#
f
0
0 ..... 0
0 0
0
J re. A Games
AlF
CAV
AV
AW
�l 4*
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#A C 8 1 k llak 1%k I ks
r7PERMIT NUMBER: PARCEL ID NUMBER:
OSP201245 RECORD DRAWING 018-271-14
TOP OF MANHOLE = 98.81
98.2-98.5
MH ST2
2" INSULATION PER CONTRACTOR
TOP OF TANK AT INTLET = 95.57 TOP OF TANK AT OUTLET = 95.57
NEW 1250
INVERT OF BUNG AT INLET = 94.94 GALLON H. D. P. E. INVERT OF BUNG AT OUTLET = 94.73
SEPTIC TANK
OF
rg /* f
UARNES"IJ •............: .,... ...::.....�
. ENGINEERING =SALES CONSULTING i ,�� 1/1 I i
3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507' PHONE (907) 337E779' FAX (907)338-3246 - WEBSITE: wxw.gamessengineenng com ;:; ,.. Q . ; ,,
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 00
in
;. � J� @y XQpL "s J 1w
MICHAEL SCHLEGEL 907-230-1409 3 OF 3 ♦�f•11 C -7953 _AV
LEGAL DESCRIPTION: DRAWN BY: �♦ �•.,�• �`.�AV
TIMBERLUX #2; BLOCK I, LOT 2 D.J.G. �� FO %��.....• .............. 4V �~
TYPE OF WORK: DATE: LICENSE ♦it O ESS,"'
SEPTIC TANK PROFILE 8/24/2020 #AECC884 %Iklklklk"**
September 141h 2020
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Surface Water Clarification for Timberlux #2; Block I, Lot 2
To whom it may concern:
On 8/19/2020 a new septic tank was installed and the existing 1982 drainfield was
professionally located. During the install, several ponded surface waters were noted less than
100' from the newly installed septic tank and existing drainfield/s (see record drawings for
approximate location). Per MOA onsite code, if the travel path to these surface waters is greater
than 100', then it does not require a waiver. GEG engineer David Garness & MOA inspector
together assessed the situation and determined that if effluent were to overflow, it would not
flow directly towards the surface water and the path would be greater than 100'. An additional
site visit was performed by Jeff Garness, PE and David Garness, PE to confirm these findings.
See attached photos and record drawings regarding the ponded surface waters.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
17� S
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L
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 QA
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program S"
PO Box 196650
4700 Elmore Road f.
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: OSP201245 Effective Date: 7/28/2020
Work Type: Septic Upgrade Expiration Date: 7/28/2021
Tax Code Number: 01827140000
Site Legal Address: TIMBERLUX #2 BLK I LT 2 G:3136
Site Mailing Address: 4900 HILLANDALE AVE, Anchorage
Owner: SCHLEGEL MICHAEL G Lot Size in Sq Ft: 57051
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4
This permit is for the construction of:
21 Disposal Field 21 Septic Tank 11 Holding Tank El Privy 171 Private Well 11 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 (2417).
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,
Issued By:
Date:
Date:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201245, Rebecca Carroll, 07/28/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201245, Rebecca Carroll, 07/28/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201245, Rebecca Carroll, 07/28/20
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Bisposal System and/or Well Inspection Report
Permit Number: ,--L(~,,.~C)\'L~(~'Li ~,-~ RID Number: ('~\~ -- c'~'-~
Name:Wastewater System: [] New [] Upgrade
Mike Schlegel
Address: 4900 tLillandale Ave. ABSORPTION FIELD
No. of Be(~.~oms:
Phone: 345-7356 ~ Deep Trench [] Shallow Trench [] Bed [] Mound [] Other
LEGAL DESCRI PTI ON Soil Rating; Total Depth from original grade:
0 · 6 GPD/Sq, Ft. 1 4.2
yb ivisio : 6 · 2 Ft. 8 · 0 Ft.
Lo,:2 mock: I ¢~%er[ux Dep,h to pipe bottom Dom odginal grade: Gravel depth beneath pipe
I Range: I Section: Fill added above original grade: Gravel length;
Township: i2N 3W] 21 0.5 Ft. 50 o5 Ft.
Number of lines: [Distance between li~es:
WELL: N/A [] New [] Upgrade Gravelwidth: 3 Ft. 1I N/A Ft.
Classification (Private. A.B.C): Total Depth: Cased TO: fotal absorption area: Pipe material:
Ft. Ft. 808 SQ. Ft. ~1 0 and Ag'f~vf D3034
)riller: Date Drilled: ,taticWater Level:Installer: Date installed:
st. GOLDSTAR 1/18/94
Yield:GPM IPumpSetat: Ft [CasingHeightAbove Ground:Ft.TANK
SEPARATION DISTANCES ~ Septic [] Holding [] S.T.E.P.
To ~G~p~J Absorption Lilt Holding ~ublic/Pfivate Manufacturer: Capacity in gallons:
From Tank Field Slation Tank Sewer Li.e, GREER 500
Materi~TEEg Number of Compartmentsi
we, %27.0h 114.5'
Surface N/A N/A LIFT STATION N/A
Water
60.3 ' ! 15.0 ' Size in gallons: J
kot
Manufacturer:
Line
"Pump on" level at: I "Pump of P' level at: I High water alarm at:
Foundation 16.0'; 19.8'
Curtain Pump Make & Model ] Electrical Inspections performed by:
Drain N/A N/A
Remarks: BENCH MARK
Location and Description;
Verified integrity of existing Garage Finished Floor
septic tank. ElevAtion
Assumed Elevation:
100.00 F~, I
~,:.'-, ~,..,"
Szmon Schroeder 11/18/94 w-.-?~-~, ........
InspeCtions performed by: Simon Schroeder .... Dates: 1st __
2nd 11/18/94 ~'/_o~,:,~ ,o~.E~rl Sb,~on /,'~-/~
· ~ u:¢ ... ..., ~ ,~
Department of Health, and I-Juman Services approv li,~;p~* ................
Reviewed and approved by: Date:/,2-/2-¢/'~
72-013 {Rev. 9/91 } MOA 25
~- / Nearest [ ~.' '~ /--.X~.~.K~ ' Lot
~ SEE PROFILE OF
~ 57,051 Sq. Ft. sv~u o~
, , , ~ ~ SHEET4OF5
0' 5o' ~oo' ~ 1.3~ Acres
.EGEND '-~ ~ .... LOT 2, BLOCK I ~,= so~ 1"=
~ MON~ORING ' CLEAN~T TIMBERLUX S/D .~: SHS
"... - NEW SYSTEM
100' FROM NEAREST WELL ~".. TRENCH WIDTH: 3.0'
TRENCH TOTAL LENGTH: 50.5'
/ ~ - NE Cor.
PERC TEST /
LOCATION
-- ~ EXISTING
q ¢ ~ ~' --~NEW SEPTICTANK
[ [~ ~ I BALL
NTS
LEGEND ¢,~....~ S..T~OT~KOL.~O~S LOT 2, BLOCK I .... so~ ~,~°~o,
e ~ON~m~NeTU~ · CL~O~ TIMBERLUX S/D
J
I
H lNG SYSTEM
/,,,~F ~ SWING TIE DISTANCES
/D®"~ A to B -- 43.0'
/ / AtoC= 19.9'
~,C/' A to D = 21.8'
~ ~ A to E = 22.8'
~ A to F = 23.3'
'~ A to e = 23.8',
/ Atoll= 19.9
/ =
~ ~to¢= 56.2'
a to K = 19.0'
A to L = 21.0'
B to C = 34.3'
B to D = 39.2'
B to E = 40.5',
B to F = 41.4,
~ B to G = 42.0,
~ B B to H = 51.2
B tO I = 83.2;
B to J = 83.8
A to K = 29.5'
A to L = 23.0'
LOT 2, BLOCK I ...... ~" N.T.S.
TIMBERLUX S/D DATE:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH A1ND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGP~ADE) PERMIT
PERMIT NLTMBER:SW940415
DESIGN ENGINEER:ENVIRONMENTAL MANAGEMENT,
OWNER NAME:SCHLEGEL MICHAEL G
OWNER ADDRESS:4900 HILLAIqDALE AVE
ANCHOP~AGE, AK 99516
INC.
DATE ISSUED:10/27/94
EXPIRATION DATE:10/27/95
PARCEL ID:01827140
LEGAL DESCRIPTION: TIMBERLUX #2 BLOCK I LT 2
LOT SIZE: 57051 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
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 343-4744 (24 HOURS)
4. 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
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
ISSUED BY: ~/~~/~
SPECIFICATIONS FOR UPGRADE OF EXISTING ON-SITE
SEPTIC SYSTEM
Legal Description: Lot 2, Block I, Timberiux Subdivision
Owner: Mike Schlegel
A_=. General Overview
o
10.
The septic upgrade is for a single family residence only.
The attached drawing and/or site plan shall be part of this specification.
All materials and workmanship shall meet the Anchorage Department of
Health and Human Services requirements.
All soil tests are advisory to the design and are to be verified or modified
in the field by the engineer. Upon completion of the excavation, soil
conditions present in the walls and floor of the deep trench should be
logged.
All excavations and depths are advisory and are to be verified or
modified in the field by the contractor to meet Municipality of Anchorage
requirements.
It is the responsibility of the engineer to locate any adjacent wells.
The installation and excavation is to be exactly in the area shown on the
site plan, any deviation requires engineer approval.
It is prudent that a surveyor locate the nearest lot line position and the
location of any easements.
Inspection of on-site waste water disposal system installations are
required, and shall be in accordance with the Municipality of Anchorage
Waste Water Disposal Regulations Section 15.65.150. The first
inspection must be conducted after the excavation of ditches and before
any gravel is placed. At this time the construction materials will be
verified by the engineer. The second inspection must be conducted after
the placement of gravel, distribution line, monitoring tube, and cleanouts,
but before the placement of any other backfill. At this time elevations and
grade will be verified by the engineer. The engineer will be on site for
the placement of the remaining backfill and silt barrier. EMI requires a 24
hour notice to schedule inspection times.
This septic system design consists of; three pages of specifications,
percolation test form, and three pages of drawings.
B_,. Existing Septic Tank
1. The existing septic tank is a 1,000 gallon, two compartment, steel tank
installed July of 1982.
2. The integrity of septic tank will be verified by the engineer during the
drainfield installation.
Ellens HD/EMI Jobs/6302 ICik~¢l page 1
C_~. Existing Drainfield
The existing on-site septic system is a trench system. This system has
failed and can no longer properly absorb the effluent coming from septic
tank.
J
A 4 inch diameter Bullrun ball valve or equivalent will be installed in the
existing system after the septic tank at the connection of the proposed
drainfield as shown in the attached drawings.
D. Proposed Drainfield (Deep Trench)
1. The bottom of the trench shall be level, plus or minus 1.5 inches.
2. The drainfield pipe will be laid over a minimum of 8 feet of gravel bed
with an additional 6 inch layer of gravel installed to provide a minimum of
2 inches of gravel over the drainfield pipe.
3. Piping materials used for drainfield installation shall be 4" ASTM P30304
or ASTM F789 (PVC) pipe or approved MOA pipe. All pipe must be
labeled with the ASTM designation on the side or show proof of ASTM
equivalency.
4. Gravel backfill material shall be 3/4 inches to 3 inches screened rock
diameter with less than 3% passing #200 sieve residual.
5. Two cleanouts and one monitoring pipe are to be installed in the trench
as shown in the plan drawings.
6. The drainfield pipe in the trench will be connected to the line going into
the ball valve as shown in attached drawing.
7, A silt barrier or approved non toxic geosynthetic fabric will be placed
between the final gravel layer and the native soil.
8. The fill over the trench should be graded to prevent ponding of surface
water.
9. A new 500 gallon tank will be placed after the existing septic tank to help
produce a cleaner effluent going into the drainfield.
10. The grade of the sewer line between the new septic tank and the existing
septic tank shall be a minimum of 1.5% to a maximum of 2%. The grade
of the sewer line between the new septic tank and the proposed
drainfield shall be approximately 10% to achieve the required depth of
the proposed drainfield.
11. Two cleanouts will be placed between the ball valve and the new septic
tank as shown in the attached drawings.
Ellens HD/EMI Jobs/6302 M~$ehl~fel page 2
Recommended Drainfield Dimensions
1. Proposed Trench: 50.5' long x 8' depth//'' x2 walls = 808 sq. ft.
Percolation Rate = 17.8 min./inch
(see Municipality of Anchorage Soil Log - Percolation Test for Lot 2,
Block 1, Timberlux Subdivision.)
(3 bedroom) (150 gallon per day Der bedroom) = 750 sq. ft.
0.6 gpd/sq, ft.
Ellens HD/EMI Jobs/6302 M_~el page 3
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Mike Schlegel c
PERFORMED FOR:
LEGAL DESCRIPTION:LOt 2,Blk 1 r Timberlux Sub.Township` Range' Section: Sec.21 r T12N, R3W
SLOPE SITE PLAN
1
2
P_ea_t/O_rg_anic _Material (Pt).
Silt w/some sand (ML)
Silty.gravel w/sand (~M)
moist, medium to
lense at approximately 5'
WAS GROUND WATER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH?
Depth to Wate~ After --
Monitoring? N/A
10-
11
12
13
14
16-
17
18
19
20
of Excavation
250 sq. ft./bedroom
COMMENTS
No
Dam 10-7-94
Reading I DaTe
1 9-30-94
I "
11:30:00
12:00:00
12:01:00
12:31:00
12:32:00
1:02:00
30 rain
30 rain
30 min
Depth to
Water
4.31"
6"
4.31"
6"
4.25"
Drop
1.75"
PERCOLATION RATE 17.8 {m,nules~,nch) PERC HOLE DIAMETER 6"
TEST RUN BETWEEN 6.5 FT ANO 7 FT
PERFORMED BY: Start Dolloff/Environmental ~nagement, Inc.
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
Page 3
CERTIFY THAT THIS TEST WAS PERFORMED
DATE~
Lo[ 2(~:~hIegel) '~-----'~'\~ -- 1
~ \ Water .' I'
/ / we, /
Lot 3
~ Lot 2 NOTE:
~ SEE PROFILE OF
~ 57,051 Sq. Ft. s~sr[u ON
SHIll 3 OF 3
0' 50' 100' ~ 1.31 Acres
~. ~>~ % CE- 8061 ~' ~/ ' -
~ ~e ~ ~.. ,,'~<' ~ Lot z(~,~emO
LEGEND ¢%:~"~'zz?~;~? LOT 2, BLOCK I
".. -- PROPOSED SYSTEM
100' FROM NEAREST WELL ~-... / TRENCH WIDTH: 3.5' ,
'"~.. / TRENCH TOTAL LENGTH: 50.5
"..~. _.~ ~ Lot 2(Schlegel)
/ :.. ~ '
/ :: 30'/,/~'\ ~ EXISTING
LOCATION
BALL
VALVE ~~
~f ~;~¢X DETAIL A
M~ORINGTUEE · CLE~T TIMBERLUX S/D ~; JES
) ~k.~' MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
~ ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
t ~ [] UPGRADE
". DISTANOE'O: IWell /~O ( ~Abs°rpti°nTO ' Dwellin~__,
=~ Manufactu(~~ Mater~r~C No. of c~rtments
~ ~ Liq. c a~l >,~ ,allo.s IF HOME~D~: Inside ,e.flth Width Liq.id
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
~ DISTANCE TO: Well/Od r ~ Foundation /d~t Nearest lot lin/d
inch~s Total eff~et~a~n area
D~O TopoftiletofinishgraO;idB]~ Material beneath tile 7 '
Length Depth ~ PERMIT NO,
~ D Type of crib Crib diameter Crib depth Total effective absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
m Building foundation Sewer line Septic tank Absorption area(si
~ DISTANCE TO:
OTHER
SOILTEST AT ~
INSTALLER ~
APPRO~ DATE LEGAL
72-013 (Re~ 18) ' (~ i
"r~-~.l::' ~.~...ILI~F:ED f]F' c;O1'L FiB:5ORFq"!ON ':::~.":TF'i<] '~'::"
THE LENGTH D!h!EI',IS]:ON IS THE L. ENLTTH (IN FEET) OF' T'HE TRE:NCH OR BRR!NFZELD.
THE DEF'TH OF R TRENCH OR PIT IS THE: DISTT'RNCE BETHEEN THE SLiRFFiCE OF TFIE
GRCIUND RND THE E:OTTOH OF THE Ei:':',CFIVFf'r'ZOhI <IN FEET).
THERE IS NO SET !4![:,TH FOR TRENCHES.
TF!E GRRVEL [:,EF:'TH ~L~; THE HIN~(MIJH DEF'TH OF GRRVEL. BETHEEN THE OIjTFRLL PIPE
RN[:, THE B(]T]'C$i OF THE E;>:;C:FiVFrTZoN (iN F'EET).
F,:,..rl.~, HF'PL. IL:HI'-,!T Pl,c':g THE NE.:,hur,=,!c,l.~l'T'-/ "rr] INFOF:H THIS )..:,EF'FiF::-FMEH] "~itt~,~.,i1'? ~r.!:
iNS'TFIL. L. RT:[ON INSPECT!E~NS OF F¢.,W HELLS .............. ¢IrxTF4r':E'N-r TO ~"'"'~-~:,c'~""'Pc~'~"¥,..,.~, ,~,.., . RNr.. ._ THE
. ~:' ~ SERVE.
N_HBEF: OF' RES!E:,ENE:EE; T'HRT THE , ,.L,. HILL
h!Ii"41MUM r:,]' 'q]'l:h~-,!l-':F' F' :'lq. ~:c',.~
~.,~. ,.--,r ...., .....
· ~¢i~;'i ...... FEET F'"~? F:I ..... c,[;,'r,,,:'rc'L,, .... 14ELL ' .... ¢ ....... '1 =¢ TO ;REiEI F:'F=FT F'REff'! R F'LiE:LZC HE! L DEPENC, ZNG
L,,'..,L! THE T'?'PE ')F F'JErL~C !.,.!EL.L.
MZNZMLIM DZSTRNE:E FROM R PR!',,,'RTE HELL Tn F* r-E...,!t E. SEHER LINE Tq ';,r4 ..... 1 FIND
HELL _OGS R!RE REQ!JZRED FIBI[:, /1 ?T ErE F:E"Fi..iI4'.!'.,iE[;, ]"O THE [:,EF'FfRT'MEI'.,!]"
· * THE HELL "'"HF'I ET!
OTHER REQI..!ZREh'IEt'.YTS MF!'¢ RF'?L'T'. ':.,F'FI: IF ZI~H i i! I~'.~'..', Ri",i[:, -.Ur,l':,q ,.LIL., !,..4-~ DZR:3F?Fh"~ FiRE
I CERT'!F'"¢ THFIT
I.: ! F!M F'FIP'!IL. iFII:-? 1.4ITH THE REQLI:[REMEt".I'TS FOR ON-'.'SI"FE SEHERS RND I,]ELi...S FIS SET
FO.RTH B'¢ ]"HE ML!N~C!PFIL~TY OF Ri"..ICHORFIGE.
;2: I ~.,!!LL. !NS!-F~LL -f'Hl:]t S'T'STEM Ii",! F~CCORDFINCE HI'TH T'HE COE)ES.
2.:: 'i UNDERSTF1N[:, ]"HFFI' THE ON-SiTE SEHER S"/STEH h'iFPr' REQUIRE ENLFERGEHEN]" Zi=' THE
RE::=,!DENE:E IS REPIODEL. ED 'TO INCLLIDE f'I. 0RE THRN 3 BE£:,ROOMS.
MUNICIPALITY OF ANCHORAGE '
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ PERCOLATION
TEST
SOILS LOG - PERCOLATION TEST
PERFORMED FOR:
LEGAL OESCR,PT,ON:
9-
10-
11
13-
14-
15
16-
17-
18-
19-
20-
COMMENTS
S ~.~v cA/ /
~x~'c~( IF YES, AT ~HAT
SLOPE
SITE PLAN
PERFORMED BY: /~1A¢~
P
E
DEPTH;)
Gross Net Depth to Net
Reading Date Time Time /%"~1~ Water (~-~ Drop
</ ~35~ I0 . ~0 , S~
PERCOLATION RATE ~( (minutes/inch)
TEST RUN BETWEEN t.~ /~'Z- FT AND '~" FT
72-008 (6/79)
~.,,~: WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological ~ Geophysical Surveys
Drilling Permlf No.
LOCATION OF WELL (Please ¢omplefe either Io~ II) or lc.) A.D.L No.
DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS E. OWNER OF WELL:
~ l~t Well ~ Other:
9. FINISH OF WELL:
~ Above or ~ Below lan~ ~urface
~Vi~Hh'~rhA.* ~ :~T[<~ ft. after hrs. pumping .' g.p.m.
I<~Lgl V ~[J Length of Drop Pipe ~ft. capacity
D $.bm. ~ Oct ~ Centrifi,al ~ Other
t 15. Water Temperoture o
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I. D.018 -2714k y
1. GENERAL INFORMATION:
Complete legal description TIMBERLUX#2; BLOCK], LOT 2
Expiration Date: .')
_hC C_ ',
Location (site address) 4900 HILLANDALE AVE *ANCHORAGE, AK
Current Property owner(s) MICHAEL SCHLEGEL Day phone 907-230-1409
Mailing address
Real Estate Agent SHEL HENSLEY Day phone 907-360-6340
2. TYPE OF DWELLING:
Z Single Family (w/wo ADLI)
F-1 Duplex
F71 Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
z
Individual
z
Individual Water Storage
El
Holding Tank
El
Community Class_Well
El
Community
El
Public Water System
El
Public Sewer
El
WaiverNariance request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ yla' 50 (co\j Waiver Fee $
Date of Payment Vi`( J02 D Date of Payment
Receipt Number Receipt Number
COSA # O'S c2ol 5C)CI Waiver #
I
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.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date:_ / r
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
V_ System #1 Approved for / bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms,
#AECC884
tOF4j4(6,1�
Z ON-SITE m
with tl�folloW*ST A Z
WA,v
z
AAA 5: =
11))))111
By: ��Sw c�, �a 6C I � �t h� Original Certificate Dater as o2�
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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist
Legal Description: Timberlux #2; Block I, Lot 2
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑■ Well log is filed with Onsite (or attached)
Date drilled 6/26/82
Total depth 101 ft
Cased to 101 ft
R Sanitary seal is functioning correctly
MR Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 6/7/20
Static water level at beginning of test 54.4 ft
Comments
B. TANK DATA
Age of tank(s) NEW years
Tank type/material SEPTIGIMDPE
Measured operating fluid level in septic tank NEW
V Standpipes/foundation cleanout per record drawing
Date of pumping N/A
D. ABSORPTION FIELD DATA
Which system tested (date installed) 1994
❑ ALL standpipes present per record drawing
Total measured depth from grade *8.66 ft (max)
Measured depth to pipe invert from grade 5.5+ ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective 5.0-5.1'+
Parcel ID: 018-271-40
Structure served by this system
Well production at time of test 4.8+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes 0 No
R Coliform bacteria is Negative
Nitrate mg/L R Nitrate less than MRL (ND)
Arsenic ug/L M Arsenic less than MRL (ND)
Collected by GEG LTD.
Date of Sample 6/4/20
C. LIFT STATION
❑ Required maintenance
Age of lift station
Lift station materi
Commen
Adequacy test date 6/7/20
Results Q Pass For 4 bedrooms
Fluid depth prior to test 15 in
Water added 624 gal
New depth 29 in
Elapsed time 135 min
Q Code -required soil cover over field Final fluid depth 21 in
❑ System presoaked Absorption rate 600+ gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO
date of test) N/A
Gallons introduced N/A gallons If yes, enter date
Comments/Deficiencies: ONLY 1994 TRENCH WAS TESTED - RECOMMEND JETTING OF 1994 TRENCH. CONITION OF 1982 IS UNKNOWN *AT MT
NO SUMP AT END OF 1982 TRENCH
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'
If absorption field is under driveway comment below
Property Line > 10'
Q Yes
if No
ft
M Yes
if No
ft
Neighboring Tank > 100'
Yes
if No
ft
Private Sewer/Septic Line > 25' Q 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' Q✓ Yes
if No
ft
M Yes
if No
ft
Manure/Animal Excreta Storage > 100'
—❑✓
Community Sewer Main > 75'
M Yes
if No
ft
Yes
if No
ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
Q✓ Yes
if No
ft
Surface Water > 100' ❑ Yes
if N
ft
Property Line > 5'
✓/ Yes
if No
ft
Wells on Adjacent Lots:P�`'`
Absorption Field > 5'
❑✓ Yes
if No
ft
Private Wells > 100' Yes
if No
ft
Water Main > 10'
Yes
if No
ft
Community Wells > 200' 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'
0✓ 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 N **85'+
F. ENGINEER'S COMMENTS
*5'+ FROM ALL DECK POSTS BUT LESS THAN 5' FROM STAIR LANDING (SEE ATTACHED PHOTO) **100'+ TRAVEL PATH - SEE ATTACHED RECORD DRAWINGS
***ASSUMED BASED UPON DRAINFIELD C/O LOCATIONS ***'`1982 TRENCH WAS PROFESSIONALLY
LOCATED DURING THE INSTALLATION OF THE SEPTIC TANK AND IS BELIEVED TO BE ON PROPERTY; HOWEVER, THE EXACT DISTANCE TO PROPERTY LINE IS UNKOWN
op�S�p r.
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.
000 ..... ffi ey A rness:
CE -79 3 qp
00 '9's� JJ A�c4Ga
COSA Checklist yellow sheetDQa °r o f e s sW"'
#AECC884 x'111 ��
APPLIC' OUT UPPER HAIz,.
~IT FILLS ~ ;ONLY
~pe of Resi~nce
Time
BECE!.VEP
APPROVED BEDROOM8 'CONDITION8 OF APPROVAL
GONDITIONAL APPROVAL'
~--~ ~ WelltoTank '~ Septic T~k Size
