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T12N R2W SEC 30 E2NE4SW4NE4SE4
TI 2N R2W Sec . 30 E2NE4,SW4NE4SE4 #021-022- 20 Municipality of Anchorage Development Services Department Building Safety Division °• ., On -Site Water and Wastewater Program, 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Pagel of 4 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: E✓ j> 111040 PID Number. 021-222-00 Name: Wastewater System: ❑ New ® Upgrade Address: ABSORPTION FIELD Phone: Number of Bedroom& O Deep Trench 0 Shallow Trench 0 Bed 0 Mound ❑ Other. LEGAL DESCRIPTION Soil Rating: GPD/FtBlotic: Total Depth from original grade: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 2n e4se4 +2.5 Ft. 0.5 Township: Range: Section: Fill added above original grade: Gravel Length: 5 Ft. 40 Ft. Well: El New ❑Upgrade Gravelwicith: Number of lines: Distance between lines: 15 Ft. 3 5 Ft. Classification (Private, A. B, Cr Total Depth: Cased lo: Total absorption area: Pipe Material: Existing Private Ft. P,. 600 Fe 3034 PVC Driller: Date Drilled: Static Water Level: Installer: Data Installed+ FL Beek 7/27/2011 Yield:Pump Set at Casing Height Above Ground: TANK GPM Ft. FL SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublifJPrivate Manufacturer: Capacity From Tank Station Tank Sewer Line Anchora eTank 1250Gal. Well 105.9 OField 1 V 0+ 95 Material: Steel Number of Compartments: 2 Surfacewaler 100+ 100+ LIFT STATION Lot Line 15 14.9 Size: 250 Manufacturer: Orenco Gal. Foundation 23 107 'Pump on" level at: 40 'Pump off level at 43 High water alarm at: 45 in. in. in. Curtain Drain 50+ 50+ Pump Make & Model P2005 Electrical Inspections performed by SDLnJGlzovAjb j5�Gpc-T 1_1_e Remarks: Existirig tank removed old field abandoned in place. BENCH MARK Location and Description: Garage man Door Assumed Elevation: 100.0 Ft Engineer's Stamp Inspections performed by: PES. LLC Dates: 1517/25/2011 Ar ; H `:♦♦� 2 n07126/2011 i Development Services Department approval ..... .............. ste�en R. Pannone00 Conditional Approval by:Date: ♦� s'•. No. CE 5149 ♦j % Reviewed and approved by: Date: /`� •L . E/. ..0* �41\�U SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS 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. 2. ALL WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3, SCOPE OF WORK: INSTALLED NEW 1250 GALLON S.T.E.P. TANK, AND NEW SOIL ABSORPTION SYSTEM. DOCUMENTED WELL. 4. NO GROUNDWATER WAS OBSERVED DURING EXCAVATION OF THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 4.0 FEET BELOW EXISTING GRADE. 88.4INEW 1250 S.T.E.P. TP DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1250g S.T.E.P. PERC RATE = 1-5 MPI SOIL RATING: 0.8 GPD/SF AREA ROD: 562.5 SF SYS. TYPE: 15'W BED 0.5' E.D. MIN LENGTH: 7.5 USE: 40 LF X 15' WIDE, 0.5' E.D., +2' TD TOTAL AREA: 600 SF 1 1/4" PVC F.M. SLOPE VARIES ABBREVIATIONS 40.OLFX15'WXO.5'ED BED PROFILE CU COPPER DIP DUCTILE IRON PIPE TH 2" RIGID INSULATION FC FOUNDATION CLEAN OUT T# 6" TOPSOIL AND VEGETATE C# CLEAN OUT NO. 1 1/4"0 DRAIN PIPE A" HOLES MONITOR TUBE NO, R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT 30" 0. C. TYP. OF 3 DIVERTER VALVE FS FILTER FABRIC ABOVE DRAIN ROCK 5.O' 5.0' DRAIN ROCK 4" ABOVE PIPE INV. 95.8 1.0' 3:1 SLOPES11 2 - - TEST HOLE 1&2 92.7 90.7 2. -2' OR -4.0 SM 4.5 88'2 DRAIN ROCK 0.5' BELOW PIPE INV. BOH 15.0' SAND FILTER MATERIAL SECTION 2'-3' MOA TYPE IIA o' REMOVE ORGANICS o� 0 w wz 70 1 1/4" DRAIN LINE w w mo a o o a o W/ 1 /8" h HOLES ON 30" CENTERS ~ o �z z ~ �_ v �_ a J J W Q z W O w o [7 91.9 EG ZO m 88.4INEW 1250 S.T.E.P. TP DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1250g S.T.E.P. PERC RATE = 1-5 MPI SOIL RATING: 0.8 GPD/SF AREA ROD: 562.5 SF SYS. TYPE: 15'W BED 0.5' E.D. MIN LENGTH: 7.5 USE: 40 LF X 15' WIDE, 0.5' E.D., +2' TD TOTAL AREA: 600 SF 1 1/4" PVC F.M. SLOPE VARIES ABBREVIATIONS 40.OLFX15'WXO.5'ED BED PROFILE CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO, R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER LEGEND W WATERLINE/ WELL RADIUS SS — NEW SEPTIC NOTES: ���\\ _. PANNON21 ING SVC, LLC �� OF At q 010/15/11 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 ? �� • . >I PHONE (907) 272-8218 FAX (907) 272-8211 Aw, TH 59�+r Scale ...NTS .. .. ...... P.I.D. NO T12N, R2W, SEC 30, E2NE4SW4NE4SE4 021-022-20 GEORGE GEISTAUTS Steven . �Oanno,;e PERMIT N0. 2440 E TUDOR RD. PMB 102 r111 *.•.cE 8149 �/ Osp111040 DESIGN DETAILS ANCHORAGE, AK 99507 (l ...... sheet 3 OF 3 ALP i' A T2 LS LOT UNDEVELOPED NO WELLS OR SEPTIC WITHIN 100' 41 DRIVE fWELL (C) 5.9 TO BE DOCUMENTED CAMERA WILL BE USED TO CHECK FOR PERFORATIONS IN THE CASING 3BR HOUSE (E) \N� T1 VG 10OOg ' TANK REMOVE AND. REPLACED WITH NEW 1250g %T.E.P. TANK TH EXISTING FIELD IN FAILURE —27.5�/— ABANDONED IN PLACE m1i ...... . M4 . ....... 14.9 (UP) (A , W l PIRIWARY FI (nu) 4 F$15'WxO.5'ED, 1,5'TD �SWING TIES C 0 B 1-2, TH2 FC 6.9 A T 1 23 M1' M4 U,,Pu, 4 TH2 20.5 26.9,�6.5 27.8 8.0 M1 107.9 82.d � M2 12.9 CO 91 M2 M3 / 37.3 11.8 M4` 4 11.8 38.1�- NOTES: PAMONE EKG SVC,FA RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK �c ff951 0 Ile AwA PHONE (907) 272-8218 FAX (907) 272-8211 ..' r- T12N, R2W, SEC 30, E2NE4SW4NE4SE4 GEORGE GEISTAUTS 2440 E TUDOR RD. PMB 102 PLAN ANCHORAGE, AK 99507 -a:% CE 8149 L\ Date 10/15/11 Scale 1"=50' P.I.D. NO 021-022-20 DERMIT NO. OSP1 11040 Sheet 2 OF 3 TEST HOLE 2 DATE PERFORMED: 7/15/11 SOILS LOG - PERCOLATION TEST SLOPE K TH SIT[ l 3BR HOUSE (E) / t % / TH i 1 \ WAS GROUND WATER SLOPE ENCOUNTERED? N IF YES, AT WHAT TH DEPTH? X DEPTH TO WATER AFTER MONITORING? - DATE: 4/17/11 READING DATE OR ORGANICS 2 NET DROP 1 7/15/11 0830 3 SM SILTYSAND 4 10 MIN 9.37 5 BR FRACTURED --- 5.27 BEDROCK 6 8:50 10 MIN 9.39 BOH 58:50 7 __ 5.27 8 6 9:00 9 9.42 t 4.15 10 ,2 13 14 15 16 17 18 DATE PERFORMED: 7/15/11 SOILS LOG - PERCOLATION TEST SLOPE K TH SIT[ l 3BR HOUSE (E) / t % / TH i 1 \ WAS GROUND WATER SLOPE ENCOUNTERED? N IF YES, AT WHAT TH DEPTH? X DEPTH TO WATER AFTER MONITORING? - DATE: 4/17/11 READING DATE CLOCK TIME NET TIME WATER LEVEL READING NET DROP 1 7/15/11 0830 -- 5.27 — 28:40 2 10 MIN 9.37 4.10 3 8:40 --- 5.27 --- 4 8:50 10 MIN 9.39 4.12 58:50 __ 5.27 _— 6 9:00 10 MIN 9.42 t 4.15 PEROLATION RATE 2.4 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by BEEK'S CONSTRUMON. Prec hole was presoaked. Test run for one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMEI WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST, NOTES: PAMONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ��` A\ �F A�gsl�l Aw. C y*�r / TH W `.... .. .... Steven 5'• none / /Iti CE 8149 oil'Fp..p� 1i\ Date 10/15/11 RECORD DRAWINGS Scale NTS P.I.D. NO t-022-20 PERMIT N0. OSP111040 T12N, R2W, SEC 30, E2NE4SW4NE4SE4„ GEORGE GEISTAUTS 2440 E TUDOR RD. PMB 102 ANCHORAGE, AK 99507 SOILS LOG sheet -j 3OF3 Wags cV gzxr "r V axgi gtgrrg z 4mgegnoia Solid Ground Fteciric, U.0 IM I Savage Drive Eagle Raves, AK "577 solidgroundelectri00yah.... This letter is to state that the electrical 19434 Alpweg was installed in accorda; Corte and the Municipality of Anchoragi Sincerely, scptt C6aarn r$ Sold Ground Electric LLc J g. V . I1f V.:, m ■ 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: OSP111040 Tax Code Number: 02102220000 Work Type: Septic Upgrade Permit Effective Dates: May 06, 2011 to May 05, 2012 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: T1 2N R2W SEC 30 Site Legal Address: T12N R2W SEC 30 E2NE4SW4NE4SE4 G:2943 Owner/Address: GEISTAUTS GEORGE A 2440 E TUDOR RD PMB 102 ANCHORAGE AK 995071185 Site Mailing Address: 13434 ALPWEG, Anchorage Lot Size in Sq Ft: 54450 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage e %0'o0 3 c) e 9 , o -D 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. Receiv Issued -(rs'-2- 67 U c7ue✓�J, n�� ✓Dr/ d l—e5��y�%7 1 yt2W�SC �.a 14/�`"'d`2.� w r f� �(! 2✓7� sem%, W/',q© j! L7/ -p MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division — Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan SutPfvan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. OZf - b'ZZ- Zo Property owner(s) &a)F*-F 6 -Ci Sr t1TS Day phone Mailing address 2yqo €• -ro" Roan fAJ5 lozi AWA09416-/✓ Site address _134;3y ALpug�-G- Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section)'TIZA✓ ?\ZW a SeL,&j t'2 NEN 5wt (( UErf d Lot Size ¢—Sq. Ft. Number of Bedrooms _3 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (M all that apply) Absorption Field Initial ❑ Septic Tank Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well 19I No Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: J Waiver Fees: Date of Payment: �� 1 / Date of Payment: Receipt Number: _/ Receipt Number: Permit No. oSP 1 I I u Waiver No. G:1Bui1d1ng\0n Site\FormsUient FormsTermit App_010411.dm (Rev. 1A 1) Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com May 5, 2011 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: T12N, R2W, Sec 30, E2NE4SW4NE4SE4 Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed systems will serve an existing three-bedroom house. Currently the lot is developed. The lot is served by a private well. The existing septic system is in failure. The surrounding lots are undeveloped. 1. Soils. A single test hole was excavated by Pannone Engineering Service in March of 2011. See the soil log attached. Ground water was monitored for seven days. No ground water was monitored to a depth of 4 feet below ground level after the monitoring period. Bedrock was encountered at 4 feet in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 0.8 gallons/day/square feet should be used, using a 1,250 gallon S.T.E.P. tank and bed type drain field. 2. Soil Absorption System Design. a. See Sheet 2 of the design package 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography in the area slopes approximately 10 percent from northeast to southwest. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. l.i.�.«. .. .✓ 0 9) L 72-S218 4"" S , r i ... k, 2.M �w ......, .w.. Page 2 of 2 The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, 41 !. C'� 4 ll 9 T 1W......•..... ........... . . ...... ..... A 0 ............ .... ..... ............ St.v.. R. P.nnone n,- AF CE 8149 AV 5/4/2011 Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: DX 'UL"'Zll I, M TQM /� .... ALP EG DRIVE WELL (E) j 105.9 TO BE DOCUMENTED CAMERA WILL BE USED TO CHECK ' ,' • FOR PERFORATIONS IN THE CASING S1 / 3BR HOUSE • (E) EXISTING 1000g SEPTIC TANK LOT UNDEVELOPED TO BE REMOVED, NO WELLS OR SEPTIC N AND, REPLACES WITH WITHIN 100' 1250g S.T.E.P. TANK (P) j10.0 EXISTING FIELD IN FAILURE 27.5 NN +� ABANDON IN PLACE tPNNN N L H=-1 PRIMARY ;FIELD (P:) ; 40LFx15'Wx0.5'ED; 1.5'TD \ z Q cc I a G . o N • FOR CONST UCTIONOTES: PAMONE ENG SVC, LLC r pF q� �l .�� \ Date P.O. BOX 100217 ANCHORAGE, AK 99510 �� '4slij 5/5/11 e PHONE (907) 272-8218 FAX (907) 272-8211Scale 1"e � * • *��� Scal ..., l.s.. 1:.. f.... P.I.D. NO T1 2N, R2W, SEC 30, E2NE4SW4NE4SE4-;..;_,.,./ 021-022-20 GEISTAUTS r �steveR8149 Pannone -;e - GEORGE % PERMIT NO. CE 2440 E TUDOR RD. PMB 102 ,� Fc •,� OSP111040 PLAN ANCHORAGE, AK 99507 ��1�/rED p�F��� Sheet 1� pROFESSIO`�� 1 OF 3 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. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL NEW 1250 GALLON S.T.E.P. TANK, AND NEW SOIL ABSORPTION SYSTEM. DOCUMENT WELL. 4. NO GROUNDWATER WAS OBSERVED DURING EXCAVATION OF THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 4.0 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 2" RIGID INSULATION 6" TOPSOIL AND VEGETATE 1 1/4"0 DRAIN PIPE �" HOLES 30" 0. C. TYP. OF 3 4.0 NEW 1250 40.OLFX15'WXO.5'ED BED S.T.E.P. TANK 1 1/4" PVC F.M. SLOPE VARIES PROFILE DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM ABBREVIATIONS LEGEND NO. BEDROOM: 3 (450 gpd) CU COPPER W WATERLINE/ TANK SIZE: 1250g S.T.E.P. DIP DUCTILE IRON PIPE WELL RADIUS PERC RATE = 1-5 MPI TH TEST HOLE SOIL RATING: 0.8 GPD/SF FC FOUNDATION CLEAN OUT SS NEW SEPTIC AREA ROD: 562.5 SF T# TANK CLEAN OUT N0. SYS. TYPE: 15'W BED 0.5' E. D. C# CLEAN OUT NO. MIN LENGTH:37.5 M# MONITOR TUBE N0, USE: R. 1. RIGID INSULATION 40 LF X 15' WIDE, 0.5' E.D., DCO DOUBLE CLEAN OUT +2' TD DV DIVERTER VALVE TOTAL AREA: 600 SF FS FLOW SPLITTER NOTES: PAMONE ENG SVC, LLC FOR CONST ;' pF q�ll Date 5/5/11 P.O. BOX 100217 ANCHORAGE, AK 99510 '�� 'q PHONE (907) 272-8218 FAX (907) 272-8211 %co s�y` Scale *: 49 TH NTS ....,�.;` .,..� ..... P.I.D. NO T12N, R2W, SEC 30, E2NE4SW4NE4SE4 ���?�, < �e_ / 021-022-20 GEORGE GEISTAUTS Stev'en'ff. 'Pc?nnone %PERMIT N0. r+s CE 8149�� OSP111040 2440 E TUDOR RD. PMB 102 ti � _ DESIGN DETAILS ANCHORAGE, AK 99507 pssi =� Sh2e0F 3 FILTER FABRIC ABOVE DRAIN ROCK 5.0' 5.0/1 Z DRAIN ROCK 4" ABOVE PIPE INV. 4:1 SLOPES 1.0' TEST HOLE 1 2 0 -2' OR -4.0 SM 4.5' 15.0' BOH SECTION DRAIN ROCK 0.5' BELOW PIPE INV. SAND FILTER MATERIAL Of Li w zo z wz m o 1 1/4" DRAIN LINE m Of o z o � 0 W/ 1/8"0 HOLES ON 30" � o0 Q o z o z Q o u CENTERS o= �Q Zw Q cn �Q 0� z w 0Q w o0Q 4.0 NEW 1250 40.OLFX15'WXO.5'ED BED S.T.E.P. TANK 1 1/4" PVC F.M. SLOPE VARIES PROFILE DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM ABBREVIATIONS LEGEND NO. BEDROOM: 3 (450 gpd) CU COPPER W WATERLINE/ TANK SIZE: 1250g S.T.E.P. DIP DUCTILE IRON PIPE WELL RADIUS PERC RATE = 1-5 MPI TH TEST HOLE SOIL RATING: 0.8 GPD/SF FC FOUNDATION CLEAN OUT SS NEW SEPTIC AREA ROD: 562.5 SF T# TANK CLEAN OUT N0. SYS. TYPE: 15'W BED 0.5' E. D. C# CLEAN OUT NO. MIN LENGTH:37.5 M# MONITOR TUBE N0, USE: R. 1. RIGID INSULATION 40 LF X 15' WIDE, 0.5' E.D., DCO DOUBLE CLEAN OUT +2' TD DV DIVERTER VALVE TOTAL AREA: 600 SF FS FLOW SPLITTER NOTES: PAMONE ENG SVC, LLC FOR CONST ;' pF q�ll Date 5/5/11 P.O. BOX 100217 ANCHORAGE, AK 99510 '�� 'q PHONE (907) 272-8218 FAX (907) 272-8211 %co s�y` Scale *: 49 TH NTS ....,�.;` .,..� ..... P.I.D. NO T12N, R2W, SEC 30, E2NE4SW4NE4SE4 ���?�, < �e_ / 021-022-20 GEORGE GEISTAUTS Stev'en'ff. 'Pc?nnone %PERMIT N0. r+s CE 8149�� OSP111040 2440 E TUDOR RD. PMB 102 ti � _ DESIGN DETAILS ANCHORAGE, AK 99507 pssi =� Sh2e0F 3 TEST HOLE 1 SOILS LOG - PERCOLATION TEST SLOPE SIT PLAN OR ORGANICS 3BR'HOUSE 2 (E) �/ — 3 SIM SILTY SAND vv--- 4 5 BR FRACTURED BEDROCK 6 BOH 7 8 9 x TH 10 // 12 TH-1 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES, AT WHAT TH 16 DEPTH? --- x 17 DEPTH TO WATER AFTER MONITORING? 18 DATE: 4/17/11 READING DATE CLOCK NET WATER DATE PERFORMED: 3/30/11 TIME TIME LEVEL NET DROP READING 1 3/30/11 6:30 --- 1.90 --- 2 6:40 10 MIN 6.12 4.22 3 6:40 --- 1.90 --- 4 6:50 10 MIN 6.01 4.11 5 6:50 --- 1.90 --- 6 7:00 10 MIN 5.95 4.05 PEROLATION RATE 2.5 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by BEEK'S CONSTRUCION. Prec hole was presoaked. Test run for one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMOM ENG SVC, LW 1!k� Date FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 5/5/11 PHONE (907) 272-8218 FAX (907) 272-8211 lose Scale TH NTS ...... P.I.D. NO T12N, R2W, SEC 30, E2NE4SW4NE4SE4 421-022-20 Steven R. Pannone GEORGE GEISTAUTS PERMIT NO. -,eo * - CE 8149 P,-,W 2440 E TUDOR RD. PIVIB 102 OSP1 11040 �p AV 101 A-W SOILS LOG ANCHORAGE, AK 99507 Sheet PROSS101 Sheet 3 GRE, ANCHORAGE AREA BOR A (�T �I Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME f -'d Sc V _--MAILING ADDRESS �) X --3- _) 3 3 IZ PHONE Ct 4' LOCATION __- LEGAL DESCRIPTION 6 (PPIJ_0T-- SEPTIC TANK: DISTANCE NUMBER OF FROM WELL -011 MANUFACTURER reeV- MATERIAL- S'i-P e_( -- COMPARTMENTS INSIDE LENGTH--- ' .—INSIDE WIDTH_ __— LIQUID DEPTH _ -LIQUID CAPACITAP-0- GALLONS. -1� ✓° �' --^Fac � -- - - TD: t r ' TOTAL LENGTH r DISTANCE FROM WELL J LI�_FOUNDATION Q0 --NEAREST LOT LINE-_{ .l_OF LINES _�� NUMBER OF LINES----- DISTANCE BETWEEN LINES .. TRENCH WIDTHH—. IN. TOTAL EFFECTIVE C ABSORPTION AREA -��� -- SQ. FT. LENGTH OF EACH LINE - ---. (7 ,-- ----- - — - i DEPTH OF FILTER i ' 3 DEPTH: TOP OF TILE TO FINISH GRADE _ MATERIAL BENEATH TILE _.1<< - 0. ABOVE TILE . _� IN. WELL: TYPE--_PV'LJ CALL'—_. - —CONSTRUCTION- 0PPr0- ___DEPTH___ _DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC'�'�, SEEPAGE FOUNDATION__, LOT LINE-_ SEWER LINE_. TANK_ /00 , SYSTEM- -- CESSPOOL _- _. , OTHER SOURCES -_- _ --- APPROVED - ----- -- --DISAPPROVED-- .---REMARKS DISTANCES: V I�---- INSTALLED BY: - SEWER LINE DEPTH: - PIPE MATERIAL:. LOT SLOPE: _t7wN T✓e�2-�-F�S REMARKS:. -_t _UA`Q- Form EQ -032 DIAGRAM OF SYSTEM DATE U/J�/%APPROVED G. A. A. B. NAME OF APPLICANT GRE. ANCHORAGE AREA BOF DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 H PERMIT NO. --- ue, e0; mt ?\ %71 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION )V/ LEGAL DESCRIPTION - /�O INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED 1 - MAILING ADDR ESS�4�-�.'i' 2'� �' - PHONE / �"e 7 SEEPAGE E P I//T, DRAIN FIELD I v S -<,, ' 7S� OTHER FINANCED THROUGH .] TO BE INSTALLED BY % S—� SOIL TEST RESULTS"`} NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION GATE ANTICIPATED L✓h �- Sc'i5o I✓ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL_ QUALITY AUTHORITY WILL BE SUBJECT TO PROSECCUTIOJI. SEPTIC TANK SIZE / TYPE �•1 C t - SEEPAGE AREA SIZE MINIMUM DISTANCES. REQUIREME MTS S,• FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT / .[ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL_ - SEPTIC TANK-'� SEEPAGE PIT fid.--. DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK� 4 �� ` SEEPAGE PIT DRAIN FIELD -. ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD - SEEPAGE PIT SEPTIC TANK, (SEEPAGE PIT Q DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL 13ACKFILL. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. /L, /1. S ' G.A.A.B. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-6B AND THAT THE ABOVE DESCRIBED SYSTEM ISINACCORDANCE WITH SAID CODE. .� DATE - - APPLICANT'S SIGNATUREAkZ1:� FORM NO. EO -016 ,;RLATER ANCIIORIIGI P,I(i..A 1AROUuu Y�Y Department of Invironmental Quality •��� �_` 3330 "C' Street Anchorage, Alaska 991A3 `MILS I,OG PEROI,AI ION TlIS f performed for �<�.� �_ '�� ;ate Pcrforr,,,J - - - Legal Description CL .ZU4'q 5_��ej /U��y 5<y2 a_:_�� (i; G'. �Cz�_ — - -- - This form reports. Sd�ls l07 Percolation test Depth Peet 5- 6 - 7- R - 9 - 10 i 12 - 13 - 14 - Was ground water encountered? S/O/ e If yes, at what cle,,th? __ _-_.--_- Readiny Date Gross Time Net Time Depth to Water Wet Drop Percolation rate minute. Proposed installation Seepage Pit Drain Field Depth of Inlet Depth to hottom of pit or treici COHMEWTS 1��L, iz�Y�cci-1 jf :cl �__ � ��, - a < ll ��C - -- — -- - - date perf.ormed 13y:�«���_J 5���«-� Certified By HO 040 (s/74) A GH 7J 1\,J ality 03 03 274-4561 eceived �f�)-af ��___ of Inspection - [ot f Inspectionn /,Q-Aq--%�i TIES /Ybi t Ujor bi 1=iu ir�c e �i o t no 44Lw wed hcuoC 4nusClud-Ub-j 1. Approval requested by: Mailing Address: 0"'A �,nn Phone: 2. Property Owner: Mm � t a F )An `'Q0 th doh r+�, Phone: Mailing Address: LalyL I Mi AQ g L�x S3,� 3. Legal Description: nP, ')Li �I I)'ILI Q?Jkj LLa- 0, La- 0aLL-) L, M. 4. Location: " r 5. Type of facility to be inspected �a No. of bedrooms 6. Well Data: A. Type --�f _ B. Depth _ )LL. I _ C. Construction a A wQ D. Bacterial Analysis _ 7. Sewage Disposal System: Cu -r3 -k --3a X,O,(LL�av �e A. Instal led ,�f_1�_1�, B. Installer _ C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material � E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages GREA E'R ANCHORAGE ARL 1, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CjMRO VA F11A CONY xx 2. Property Owner: Edmond and Elizabeth £. ICS -7`74_ _ Nailing Address: �SRA box 393R Day Phone 1-44-0967 3. Name of Buyer: George A_& Ilike Gerstauts_ hailing Address: 5350 Lake Otis Parkway ID Duy Phone _272-5522 4. Name of Lending Institution: National Bank. of Alaska -Mort a e Loan De t Nailing Address: P.O. Box 3-3859 Phone 279-2596 5. Name of Realtor or Agent:: none Mailing Address: Phone E 1/2 , NE 1/4, SW1/4, NEI/4,SE 1/4, Sec 30 6. Legal Description: _ T1 2N, R2W, Seward Meridian Location: Glen Alps S/D L.r>r .4o 7. Type of Facility to be inspected: SFR No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual xx If Individual, number of dwellings presently served 1 Is Individual, depth of we11 9. Sewage Disposal Sy step Type of System: Public Utility ,_- Individual (on-site) xx If Individual, date of installation_ £. ICS -7`74_ _ Thank You, 1 H. Mason Mortgage Loan Dept Page 2 of two pages - Rec st for Approval of Individual F :r & Water Facilities Legal Description ILL)`Id n1 -'k� IZ J-1 LC _f an L a � _rn . G Lo C-\ n5 Ldp :-QU Comments Approved Disapproved Date 10—;11�1re17s AppWal Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date EPCPINS MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. ( 1 -072--Z d Expiration Date: 9- z ?-r cti 1. GENERAL INFORMATION Complete legal description T12N R2W SEC30 E2NE4SW4NE4SE4 Location (site address) 13434 AlpWeg Current property owner(s) George GeistautS Day phone Mailing address 2440 E Tudor Rd Pmb 102 Anchorage, AK Real estate agent Day phone 2. TYPE OF DWELLING: 0 Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: • COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 55O Waiver Fee $ Date of Payment 113)1 q Date of Payment Receipt Number 4(04 1067 Receipt Number COSA# 35C/9t '232. Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system.All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance,nor can we estimate remaining life of the system.The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. Date /Q4CP bi r7-- - 6. DSD SIGNATURE *149311 il :*••• System #1 Approved for 3 bedrooms •• •t\•1. Y pP ••$seven annope System #2 Approved for bedrooms : C4E ... 8149 Disapproved Conditional approval for bedrooms, with the following stipulations: kow(i(((ffl(( J. ON-SITE t� �� WATER AND z t2 WASTEWATER PROGRAM - SJi O, F ,EC iSR� ON )))) ) )11‘ 7--Z)21? By: tom-- (-=F�� Original Certificate Date: (7' The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Check!st blue sheet COSA Checklist Legal Description: T12N R2W SEC30 E2NE4SW4NE4SE4 Parcel ID: 021-222-00 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) Well production at time of test 3.0 gpm Date drilled uk Water storage tank volume n/a gallons Total depth uk ft Well disinfected for coliform test? ❑Yes 0 No Cased to uk ft II Coliform bacteria is Negative 0 Sanitary seal is functioning correctly Nitrate 0895 mg/L ❑ Nitrate less than MRL(ND) 0 Wires are properly protected Arsenic ug/L Q Arsenic less than MRL(ND) Casing height(above ground) 20 in. Collected by Pannone Engineering Services Date of flow test for COSA 6/4/19 Date of Sample 6/4/2019 Static water level at beginning of test 36.5 ft. Comments No well log B. TANK DATA C. LIFT STATION Age of tank(s) 8 years 0 Required maintenance completed Tank type/material 5"" Age of lift station 8 years Measured operating fluid level in septic tank 48" Lift station material Steel Standpipes/foundation cleanout per record drawing Comments: Date of pumping 06/05/2019 D. ABSORPTION FIELD DATA Bed/ Mound Which system tested(date installed) 726/2011 Adequacy test date • 6/4/2019 0 ALL standpipes present per record drawing Results ['Pass For 3 bedrooms Total measured depth from grade 3.1 ft(max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade ft(min) Water added 450 gal 0 N/A—pressurized field New depth 0 in ID Monitor tubes go to bottom of effective. If not, state Elapsed time 150 min depth into effective © Code-required soil cover over field Final fluid depth 0 in Absorption rate >450 gpd 0 System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) n/a date of test) Gallons introduced 2000 gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet i 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' Community Sewer Manhole/Cleanout> 100' 0 Yes if No ft 0 Yes if No ft Neighboring Tank> 100' 0 Yes if No ft Private Sewer/Septic Line >25' 0 Yes if No ft Absorption Field on Lot> 100' 0 Yes if No ft Holding Tank> 100' 0 Yes if No ft Neighboring Absorption Fields> 100' Animal Containment>50' 0 Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage> 100' Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to:(Please enter distances if less than required) Building Foundations> 10' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft Property Line>5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells>200' 0 Yes if No ft Water Service Line> 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to:(Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line> 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main> 10' 0 Yes if No ft Private Wells> 100' 0 Yes if No ft Water Service Line> 10' 0 Yes if No ft Community Wells>200' 0 Yes if No ft Surface Water> 100' ✓❑ Yes if No ft F. ENGINEER'S COMMENTS • G. ENGINEER'S CERTIFICATION -• 4F A� ; ' i I certify that l have determined through field inspections and review �c0.* .9 �jf of Municipal records that the above systems are in conformance with �'' 4 .l . f MOA COSA guidelines in effect on this date. 40 ._. -w COSA Checklist yellow sheet •I S89'51'09"F. _ f • 5/8" Rebar-� �� Wet 763.31' S/8' Rebar--/�} • ( ' j •• > i 1 • o I • I i ood Deck Cone. i Pod-\. 24.3' � --. Bi-Leve: Wood Frame 14.8 -e- .i ,rte Residence on Concrete 16.1' • Foundation `'Jt ' oc 23 �l`trt, n b' 23.5. E{ Cont;lever + J� 16.8'°'• 16.3'- 11\-Lifl. Station Monhcle \ ,\ • 1 i rntW N. . �' n o ;n 5 a � m a o z Dn om I , z z O, 000, `Riser Pipes ForF/Pa le, 111I l Mound Systems Co6jes . i i 1 I LOT 2 1 i 1 I t i i ; v j I I RI ----- -'- 164.45' -___.--- _.._.__ _ ......f 30' N89'52'43"W I LOT 1 UNSUBDIVIDED • SCAL• E 1" = 30' . r-11111111111111111111-/-15.11.11211 N. C' 75' 30' 60' , • 1. Dimensions ore measured to the wood trim. 2. Bearings and distances token from a field survey of the NE1/4, SE1/4, Sec. 30. I PRE~'ARM FOR: T'2N. R2W, Seward Meridian Alaska preformed by Wore L. Brickey Jr. doted Jury 19, i 1965 Registration Vumber 542-S. on file with the Municipality of Anchorage as Fie No. 1998-93. GEORGE GEISTAUTS —.JI hereby certify that an accurate survey of the following described t •..i property: - n t :,P�r''GF'A(9S�fxl F1/2 1/2•SEWARD MERIDIAN,4. W1/ ALASKA E 1/4, SEC. 30, T t 2N r' i — -. J I I- f ,r 6"; ; June 7, 2019 DM. TE I 4 N. 9. was made on and that the improvements OWt`I. DATE ,GRID I 44-4 :49LI " • situated thereon ore within the property lines and do not overtop orn P P Y p DM. 6/20/2019 12943 x ! 7�Swk� •encroach on the property lying adjacent thereto, that no • .tc. Lee xerabt'ww rt ':improvements on the property lying adjacent thereto encrooeh on FILE NO. F.B. 2019 I JOB NO. - ,A„ti, s's-s the premises in question and that there ore no roadways, 11905 PG. 3 1907 `t`D - transmission lines or other visible easements on sold property except �, +,a ••'.... as indicated hereon. rosements other than those shown on the t _ 'i.. ,,: record plat may not appear on this drawing. , /'(/-t/�A l�EL l�1 i+l� L/FF `^ /2=izof� SUP YIN G W Anchorage Alaska, this_ 10th day of .lune 2019. VE fao�)asr-sas•r y 1 • MUNICIPALITY OF ANCHORAGE Develop:Tient Services Department. ti •• Phone:907-34::.; 7904 On-Site Watei &Wastewater Section Fax:907 '.: ci Station/Pump Vat Maintenance Log owner_-.' '� ?f.-/�•,'�.cck sty lc: Address_ Septic'tank: •S:udgc leve! �2 inches •Pumprnh'required yes``0; -pumping completed (jilts r itf'tstatieD: •:'•.-,:p basket ciearw:d (a. 'LC? -Effluent filter cleaned �..t4:..i!Q •C nntroi floats cleaned xa rtQ -Proper tloat setting confirmed •x aC •Operalion satisfactory s:no. Alarm Svs rn' •Dedicattaa electrical alarm circuit �..no -Audible and v1sual alarm inside dwelling (; =. ,_r1. -Alarm:system operation :far_ fact.Ory' not s�TtS =9►at Manhole Riser •Ground water intrusion at riser to tank connection y_es...Cg. •Crou,1i water intrusion urrtznepenetr?t)orm -tigeoe holyfundona1 _ f:! •ManhO!a lid: Functional �s- oInsulated J .•. Properly Secured �e . Other 1 .All manuf.r turer required inspections aro maintenanr.n completed t: s n3 omments• MintcnanCe PrQyider: Dnte-.,f -ainten„nca ' ='; !• Company r ! _ - f.> ; .•... -. Sip ature = !:atr_L; ... \ct, ff I