HomeMy WebLinkAboutT15N R1W SEC 18 LT 30BT15N RIW
Sec 18
Lot 30B
#051-171-36
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page / of le
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: 0.5f Is/3 7/ PID Number: a 51 / 7/3 6"
Dwelling Single Family(SF) ❑ Duplex(D) ❑ Multiple (SF and/or D) Project: ❑ New Upgrade
Name:
S i e-ve_Ar -OAis ABSORPTION FIELD
Address ,Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
/9 573 ---.0Y ,s/V.. / ❑ Other
Phone 8 / Number of Bed/rgoms Soil Rating Total depth from original grade
552^ 3 73 0
OGPD/SF /3, 5 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe 5
Subdivision Block Lot 3. Ft. /6t Ft.
_
30Filladded above original grade Gravel length
Townshi13/SA(
/ q Range Section Ft. 78 Ft.
/S/ ( 114/ / Gravel width Beds:Number of Lines Distance betwee\lines
SEPARATION DISTANCES 3 Ft. _ \`
fit.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches Tank Field Tank Line /staiog Fe 2- 2.5" Ft. \,
Well `dd/4„ /0 (.#•
Ufa - ^fie`TANK ?Septic 0 S.T.E.P. ❑Holding ❑Other \
( ! (/ GJ Mann�ufactu?Septic
[ G Capaci
Surface Water ��yy�7 / — AAIL 17O(Z,4 ./-4ac �Q Gal.
/l/t/ "f UQ Material Number of compartments
Lot Line / 41* /0 /f -- -- NA 5— fie' z
Foundation //1) /.f / 6 'r — — LIFT STATION NA
/v Manufacturer Capacity
Gal.
Curtain Drain so .f �"(J f-' �-
Pump on level at Pump off level at High water alarm at
Remarks
in. in. in.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank A Tank to
Installer LJ 3a3T drainfeld 363ci
ct./At TS 7QNI_ Drainfield Q3(jj1( cum-411%1c(
Inspector AK,,,,..,-4i21 �n BENCH MARK (Assumed elevation) /6 0 ft
Inspection Location and description /� f� �+
dates: 1 tGA7/S 2nd /Z/Zi/.S ,� 00, 3IGL-
3'd /Z/zit S 4th /Z/sf/$"
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL En ° kt mp
QF �?g 11
Conditional Approval: Date 41�'A. •^' A.,t,••,*4 it
® * :4�r _ - 0
`o6. / d'
Steven W. Eng ; 'mss
��2p0. . .E/6/23,,t, .`,
Approved in-4 t-_c4 /rl N ,� Date -2 ?-17 �,km�Oa Es
Inspection Report_9-1-12.doc
AS-BUILT MEASUREMENTS
C D Lot 9
DC❑1 53 35.5
ST1 55 39 `
ST2 63 52.5 \\ /
DC❑2 65.5 56 /
8 No
CO/MT1 39 46 Conflicts
CO2 60 45
MT2 60 45
CO3 10 32 C ass C
Splitter 12 35 ell
CD4 43 13
MT4 40 10
Lot 1 \v),
5% Slop
ro o
1/ S ro�
u�� ~ ��pP 0/MT2
cv—
CO/MT1 0TH2
a0-- 1% _Slope C❑/MT4
oSplitter H Shafer
(--/5— l Existing
Field
-- 1% Slope
Ow
Decommissioned /Ad Old�0 hed
Above-
Seotic Tanks Crib -O DCO2 round
PER UPC -- ST2
I
41110# STNo
New 2000 Gallon • DC1❑1 Conflicts
Septic Tank
/
,% Slope
6 Bairn d Lot 30-A
Lot 2 -5-
00
Q
Well
RDA X100 ° 33' BLM
0' Utility Easement ROW
J.y Avenue /
lllllllllllllllll
NORTHR/M :ter"` T15N R1W SECTION 18 1 40
ENGINEERING f* :49m LOT 30-B RECORD
PO Box 770724 „;Ve aw LAY❑U T
Engle River, Alaska 99577 . z- ' i WASTEWATER RECORD
907. 694. 7028 44 f If/.
7 'w UPGRADE SEPTIC 'tet°: �T:
5/20/17 12 of 3
w
•
Double Cleanouts Elevation @ 100'
/ Tank Cleanouts Elevation @ 98'
Fin ade Opposing Cleanouts Between Septic Tank & Trench
2 Foot Cover /,e0
w/ 4° Insulation
Elevation @ 97,5' "' /
To Trench
2000Ga Steel
levation @ 97, Elevation @ 97.4' Mounded Cover To Match Terrain
7 'Anchorage
e Taankk
Solid Pipe Monitor Tube
leanout
I G.
O.G. Elevation @ 98.5' •-.
Elevations For Both Trenches, Both Ends Filter Fabric 3.
Elevation @ 95' - '' •,-..,>.;:;;'
p s eipzWi�liP_.:
t i i:•=•:•:•:
10' ' !-!•!•_=
S❑ILS LOG - PERC❑LATI❑N TEST
I\ICRTI--M Date Performed: 11/17/15
ENGINEERING
Performed For: Chris Moore
Legal Description: T15N 8114 Section 18 Lot 30-B
DEPTH
(FEET) T.H. Location: See Attached Design
�/: 'a./,7 Organic Flat Terrain
1 - .0.•
3 _ ' .
5 - a:. SM Silty Sand
Y• w/ Gravel
6 - •: Q:: :-. Groundwater? No
7 - Depth
g _ v.-.0:1-• ` Water Depth
9 _ ;,• After Monitoring. None Date: 11/25
10 -
.0.-:...:.:., _. Denser @ # Date Gross Tine Net Time Depth Net Drop
0 Depth
11 - .- - 1 11/17 0 -- 5' --
12 - -•:•:.--,---.
..-"•t •,` 2 11/17 10 10 mil-. 7' 2'
13 - 3 11/17 12 -- 5' --
14 - •``•.. 4 11/17 22 10 Hr. 7' 2'
.
•
15 - 5 11/17 25 -- 5' --
16 - • 6 11/17 35 10 nir. 7' 2'
17 - 7 11/17 37 -- 5' --
18 - • '... 8 11/17 47 10 nir. 7' 2'
19 - : : '• 9 11/17 50 -- 5' --
20 - . • 1 10 11/17 60 10 nlr. 7' 2'
21 - Percolation Rate 5 min./inch Perc Hole Diameter 6'
Test Run Between 3' and 4'
Comments: Presoaked
Performed By NarthRim Fng, I -�- CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
DN THIS DATE. DATE: 11/25/15
(°Fkt TESTH❑LE LOG
NORTHRIMi; . '
ENGINEERING * •49m ' * LOT 30-B T. H. 2
PO Box 770724
Eagle River, Alaska 99377 a
907.694.7028 :OS° GE❑TECHNICAL m' tilIT:11/25/15
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: OSP151371
Tax Code Number: 05117136000
Work Type: Septic Upgrade
Permit Effective Dates: November 16, 2015 to November 15, 2016
Design Engineer: NORTH RIM ENGINEERING
Subdivision: T1 5N R1W SEC 18
Site Legal Address: T1 5N R1 W SEC 18 LT 30B G:1155
Owner/Address: JONES STEVEN
17806 MEADOW CREEK RD EAGLE RIVER AK 995770000
Site Mailing Address: 19513 JOY AVE, Chugiak
This permit is for the construction of:
Lot Size in Sq Ft: 45759
Total Bedrooms: 6
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
The Engineer needs to do an additional test hole prior to the construction of the septic field.
Construction may proceed at your own risk before the 7 day water monitoring is complete. Please
submit stamped and signed results with the As -built Inspection Report. If the results require a
design change, construction of the system will stop pending On -Site review and approval.
Received By:
a/m/- Ir
IRWAUNICIPALITY OF ANCHORAGE
Community Development Department " Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water & Wastewater Program
ON-SITE SEWERNVELL PERMIT APPLICATION
I. s
Parcel I.D. O V— 171- 3 4
Property owner(s) Day phone
Mailing address 'T OK Ayt.=
Site address
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) !Z25nf SgC /,P 40/--3a — $
Lot Size S. 7S`3 Sq. Ft. Number of Bedrooms tir
APPLICATION IS FOR: APPLICATION IS AN. TYPE OF DWELLING:
(® all that apply)
Absorption Field.'
Initial ❑
Single Family (SF)
Septic Tank
Upgrade
(w/wo ADU)
Tank
�
Renewal ❑
Duplex (D) El
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
P6
owner
Permit/RushFees: 61A -IMI go 911>4%Waiver Fees:
Date of Payment: //I/�7'3� Date of Payment:
Receipt Number: b5ll-) Receipt Number:
Permit No. 0 P15 V31 1 Waiver No.
Permit App_9-1-12.doc
ENGINEERING
Date: 11/9/15
To: MOA On -Site Services
MEMO
Steve Eng, PE, PH
P.O. Box 770724, Eagle River AK 99577
(907) 694-7028
SteveEngPE@gmail.com
Subject: T15N R1W Section 18 Lot 30-B
Septic System Upgrade
Number of Pages:
An existing trench'has failed on the subject lot. A number of soil tests in the area reveal silty
sandy gravel soil and no groundwater. The design calls for two 5' -wide trenches, and a new
septic tank. A new soil test will be completed prior to construction to verify the soil. The entire
subdivision is on wells and septic systems. The terrain slope is slight at the trench site. The
system size is a single family at 6 bedrooms. A previous soil test is being used for design. It
appears the existing trenches are beneath the shed.
Please review the wastewater system design for the existing$' bedroom home. I have included
design plans & specs, design guidelines, & soil tests. If there is need for additional information or
clarification please give me a call.
Thanks-Stev, ,
r
THU -
ENGINEERING
T15N Rl W Section 18 Lot 30-B
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is an existing 6 -bedroom, single family home. This is a
developed subdivision. These lots are large and are served by private/Class C water wells.
No adverse impacts are expected from trench/tank upgrade. No conflicts to the other lots
will take place by this septic system construction. The easements are located on the
drawing and are not encroached upon. A previous soil test reveals silty sandy gravel. A
test hole will be completed prior to construction. An application rate of 0.6 GPD/FT1.
Trench Length = 1500 FT2/10'x 2 = 75' trench, say 2 @ 38' (10' effective). A new 2000
gallon septic tank will be installed; Decommission old tanks/crib/field per UPC.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• Two compartment, New 2000 gallon septic tank. Install Double Cleanouts.
• 5' minimum between the tank and trenches. 10' to property lines.
3' of cover or insulation is required for trench; 2" Minimum thickness for insulation
can substitute for 1' cover.
Tank & solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation
wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two
adjacent opposing cleanouts between the tank and the absorption field, not more than
10' from the tank positioned to provide cleanout access towards the tank and towards
the absorption field.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from drain -
rock.
• Drain rock to be '/z inch to 2 %i inch screened. Drain rock to be distributed uniformly
throughout the trench.
• Perforated pipe to be installed level with perforations down.
Silt barrier (filter fabric) to be installed above the drain rock.
• Smeared trench sides must be raked or scarified before drain rock placement.
• Backfill over drain rock must not be less than 36".
• The finish grade must be mounded to promote drainage away from trench.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal)
DESIGN NOTES:
1.
Total Depth of 2 Trenches is 13.5'.
Lot 9
Terrain Slopes Slightly
North & West.
2.
Sewer Service Line
minimum 2% slope.
3.
Private Water Wells
& Class C.
4.
Decommission Old
rench/Crib/Tanks Per
UPC. No
Cc
5.
Test Hole Prior To
Construction.
6.
Measure Separation
ihbStems.
To NTito
Prior To Constructi
n.
Lot 1
M
l ` Z,
3-
— \O%J
Lr7 e
0i —
CO'1.
a— 1% Slope
_O —
�,5_-- 1
1% Slope
Decommission M ❑ld
Septic Tanks Crib 0
PER UPC
Lot 2
Well
NORTHRIM
ENGINEERING
PO Box 770724
Eagle River, Alaska 99577
907.694. 7028
New 2000 Gallo
Septic Tank
M
Slope
Shed
;s
I
Class C
Well
--R150
1 5% Slope
_CO'TMT's
Shafe
TH
No
Confl
Existing
Field
6 ���til ILot 30-A
o Y �
_ 33' BLM
Utility Easement ROW
Avenue
'Aq T15N R1W SECTI❑N 18
LOT 30-B
WASTEWATER DESIGN
fI' UPGRADE SEPTIC
1" = 40'
PLAN
LAYOUT
11/16/15 2 of 3
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HFALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~PHONE I I~] NEW
NO. OF BEDROOMS ~
Wi~Ltl~---- Liquid depth
Dwelling PERMIT NO,
Material Liquid capacity in gallons
Type of crib
DISTANCE TO:
DISTANCE TO: Building foundation
O'rHER
PIPE MATERIALS
SOl L TEST RATIN~ ~ ~
CHh depth
Distance 15elc~ej~ lines/
inches" Tota/~.~ a~o/n area~
Total effective absorption area
Nearest lot line
Septic tank Absorption area(s)
Distance to Jot line PERMIT NO.
Building foundation
Driller
Sewer line
DATE
72-013 (Rev. 3/78)
MUNIcIPALIT? OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL' PROTECTION
825 L STREET~ ANCHORAGE~ AK ~9501
264-4?20
ON-----c. ITE -SELLER PERM I T
PERMIT NO:
DATE ISSUED:
APPLICANT~
CONTACT PHONE:
C/O S & S ENG~O.
EAGLE RIVER, AK
WILLIAM KNAPPE
99577
LEGAL DESCRIP;
LOT SIZE:
MAX BEDROOMS:
SUBDIVISION: NA
SECTION: 18 TOWNSHIP:
45759 (SQ. FT. OR ACRES)
LOT: 30B BLOCK: NR
iSN RRNGE: iW
LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING WOUR SEPTIC
$~STEM. CHOOSE THE OPTION THAT BEST FITS ~OUR SITE.
TREt~CH BEE,
DEPTH TO PIPE BOTTOM (FT.) 3.0 m~ 4.0
GRAVEL DEPTH (FT.) 7.0 0.5
TOTRL DEPTH (FT.) 10.0 4.5
GRRVEL WIDTH (FT.) 2.5 30.0
GRAVEL LENGTH (FT.) 82.0 ~ 60.0
GRAVEL VOLUME (CU. YDS. ) 56.9 66.6
TANK SIZE (GALS) i, 750.0 ~m i, 750:0
SOIL RATING (SQ. FT./BR) 18~ i~7
4.0
-?..5
7.5
5.0
750. 0
200
DEPTH TO PIPE BOTTOM < ~.5 FT. REQUIRES INSULATION
DEPTH TO PIPE BOTTOM < 4.0 FT, MAY REQUIRE 8 LIFT STATION
GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT E~CEEDING
TANK MUST HAVE AT LEAST TWO COMPARTMENTS
EACH)
I CERTIF~ THAT:
I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH B~ THE MUNICIPRLITV OF ANCHORAGE (MOA) RND THE STATE OF ALASKA.
2. I WILL I,NSTALL THE S~STEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS~
AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT.
~. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK
DISTANCES FROM ANV'E~ISTING WELL~ WASTEWATER DISPOSAL S~STEM OR PUBLIC
SEWERAGE S~STEM ON THZS OR ANV ADJACENT OR NEARBY LOT.
4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR 8 MAXIMUM OF ~ BEDROOMS AND
ANY ENLARGEMENT WILL REQUIRE 8N ADDITIONAL PERMIT.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (l> AN ELECT~ PERMIT AND INSPECTION MUST BE OBTAINED~ (2> AS-BUILTS
WILL NOT BE APP~VED ~ITHOUT AN ELECTRICAL INSPECTION REPORT.: 8ND (3> THE
ELECTRICAL W~ MLI~T~~ 8 LICENSED ELECTRICIAN.
RPPLI~RNT:~S & S ENG'G. NILLIR~ KNRPPE ....
.....
MUNICIPALITY OF ANCHORAGE Protectio~/.~~7~/~
Department f Health and Environments
__ 825 ~ Street,264-4720~ch°rage' A~.. 5p/~
* * * HANDWRITTEN PERMIT * *
Permit ~
t WELL AND/OR ON-SITE SEWER PERMIT
Legal Descr~ Lot Size:
Type of Soil ~sorption System Is:
Trench: ~ Drainfield: _ Seepage Bed: Holding Tank~
Maxim~ N~ber of Bedrooms: , ~ soil ~ating(sq.ft/br)
The Required Size of the Soil ~sorption System Is:
L~NGTH /~ / GRAVEL D~PTH ~ WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(.in feet). There ~ ~o set width for trenches.
The gravel depth is the minim~ depth mm tween the outfall pipe and
the bottom of the excavation(iD ~
* * REQUIRED SE~ ~ GALLONS * *
Permit applicant has th, .,~ ~,~. ] ~ department
during
the
installation inspection~ .' ~/~ ~[J~ ~ ~ property and the number
* * * ~ ~' 'D * * *
~ckfilling of any system ~ ~Fi approval by this departmen
w~ll be subject to prosem /i/~
Minim~ distance between a ~ ~.~" .. C ~sposal system is 100 feet
is 25 feet and to a co~uni , // ~ ~ f ~"~ tl logs are requ~rea
Other requirements may apply ~ ~/~4~ ~/J ¢~.~uction diagrams are
PERMI ....-~AES DECEMBER ~1~ 1 9 8
I certify that:
(1) I ~ f~iliar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
n er,.n mor tZ , roo .
(3) the residence is remodeled to sewer system may require enlargement
AppliCant -~- / Date: ¢/¢~--
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
PERCOLATION
TEST
DATE PEREORMED: 6--/--
LEGAL DESCRIPTION: ~--o7' ~ ~
--,3" OAGf~q I~.
2
4
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
2O
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
, /~
PERCOLATION RATE /'~ (minutes/inch)
TESTRUN BETWEEN ~'~Z- FTAND ~ FT
72-008 (6/79)
CERTIFIED BY:
DATE:
PERMIT NO.
MLI~I ICIr tLIT'~ L%mF FIY~(~I--f
DEPARTMENT Or HEALTH AND ENVIRONMENTRL PROTECTION
825 ~L~ STREET, 8r.~:HORAGE, AK. 99501
264-4720
790008 )
APPLICANT
LOCATION
LEGAL
WILLIAM G. KNRPPER
KNAPPER LANE
TiSN RiW Si8 L~OB
PO BOX i57 CHUGIAK AK
LOT SIZE
688 249:;L
45750 SQt.IRRE FEET
MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM
· 00 FEET FOR A PRI¥ATE WEL. L.~ OR
i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WEt]
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO TWE [~EPARTMENT WITHIN 30 DFIY'.:T'.
OF' ]'HE WELL COMPLETION,
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS I'qRE
8¥AIL~BLE TO INSURE PROPER INSTALLATION
F'ERP11 T E~z.P I RES [)E£:Ef'IBER 3:1., ~l.S' l'-~
I
FORTH BY THE MUNICIPALITY OF ANCHORAGE
2: I WILE. INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
-, I LINED:
RPPLICANT WILLIAM ~3. /K~PPER
CERTIFY THAT
I 8M F~MILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FINE:, WEL. E,.S FIS SET
I)RII. IJI,4C,, IN ~.
MUNICIPALITY OF ANCHORAGE
DEPT. OF i ~ALTrl 8,
ENVIRONMENTAL ,, i.CTiON
MAR 2 7 k,/,:~
I)RIIJ,ING LOG
Well Owner ~Zi : ~ ~ ~: ~?:: ..... ) 5;~L~
Location (address of: £oxv ~ship, Range, Section, if known; or distance mai~ road.
Static water level ~'i ft. (abbve)
Screen ( ); Perforated (
Describe screeh or perforation
Well pumping test at ?_ gallons per (hour)
of drawdown from static level.
(below) land surface. Finish of well (check one) open end ( ; >, );
).
ilk ,',~ ,q ;r'c:,::t':,,,-- ~,,~ .0 , ,.,. "
(minute) for . ;~ hours with
)Date of completion ....... ~! / i //' 7 '4
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
. A_ 'to_ ~ _ ' ' '
o 1 '1
_TO
NWWA Certified Cnu ,¢.tor
C{, ~f,c to NCs. 814 & ~'3
Municipality of Anchorage ••
On-Site Water and Wastewater Program oH'
t.� 1_ (907) 343-7904
K
S c
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-171-36 Expiration Date: gr'2Z- —( 7
1. GENERAL INFORMATION
Complete legal description T15N R1W Section 18 Lot 30B
Location (site address) 19513 Joy Ave
Current Property owner(s) Jones Day phone 552-3873
Mailing address Same
Real Estate Agent Owner Day phone 552-3873
(01g919774.,
2. TYPE OF DWELLING: r,,4 ROS
® Single Family (w/wo ADU) i .Lp\r '1
❑ Duplex
�i'�M
❑ Multiple Dwellings (Single Family and/or Duplex) �6
geti
3. NUMBER OF BEDROOMS: 6
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class C Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
Received by: — Date: 2�J
/7
COSA to be released to the engineer, unless otherwise r uested by the engineer.
COSA Fee $ a(p$ Date:
Date of Payment i it.oll/ Date of Payment
Receipt Number OVii a5b Receipt Number
COSA# 05C ll l`C l 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.
Name of Firm NorthRim Engineering Phone 694-7028
Address PO Box 770724, Eagle River
Engineer's Printed Name Steve Eng Date 5/15/2017
OF itt,
•
6. DSD SIGNATURE ° '`-' . '" 1e'I
System #1 Approved foryCstem #1 : ' 04,
System #2 Approved for bedrooms. 70, ; Steven Eng
Disapproved. 4,L A,�n PS 6 i 6 �,
Zp
$ ROFESSIS' r�
Conditional approval for bedrooms, with the following stipulatio rt'a% N-'•
\-\\' OF Aiilr:
ON-SITE �u
WATER AND r"
o, WASTEWATER o
PROGRAM
`0•n, .rte
By: { � Original Certificate Date: — r 7
The Municipality of Anchorage Devlopment Services Division(DSD)Issues Certificates of On-Site Systems Approval(COSA)based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 9-1-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certfficate of On-Siite Systems ApprovaD Checklist
Legal Description: / /-!V t' k) f e G c Lel- 3013 Parcel ID:C51 ( 7136-
A.
(3A. WELL DATA
Well type P If A, B, or C provide PWSID# Well Log (Y/N) y
Date completed /0 7/7 ? Sanitary seal (YIN) r�/ Wires properly protected (Y/N) y
Total depth 8' 3 ft. Cased to k0. 7ft. Casing height (above ground) 7di`/ in.
FROM WELL LOG AT INSPECTION
Date of test //i 7/7? S//al/7
Static water level 33 ft. P ft.
Well production g.p.m. Z. Z g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate 2. 75 mg/L
Arsenic Nb ug/L Date of sample: .Shit 7 Collected by: /116r.-,,
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material 5 e,r/C/ 5 7 Date installed /2f///5
Tank size 2000 gal. Ca c Number of Compartments Z Cleanouts (Y/N) Y/
Foundation cleanout(Y/N) Y Depression over tank (YIN) A./ High water alarm (YIN) /V
A/e-
Date of pumping Pumper
C. ABSORPTION FIELD DATA Deep
Date installed/272//.5 Soil rating (g.p.d./ft2 or ft2/bdrm) 0. 6. System type 1,rpric
Length 3 k 'ei c{Cf ft. Width � ft. Gravel below pipe /d ft.
Total depth /3,5 ft. Eff. absorption area/S60 ft2 Monitoring tube y' Depression over field N
Date of adequacy test ��� Results (Pass/Fail) / For bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date
•
D. LIFT STATION NA
Date installed Size in gallons Manhole/Access (YIN)
"Pump on" level at in. "Pump off" level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot / !i On adjacent lots /e70 rt-
O
Absorption field on lot /D Q /t On adjacent lots /4/(1
Public sewer main /&‘61,-- Public sewer manholelcleanout . / 1 'it
1
Sewer/septic service line 2 S '- Holding tank loD 1.t-
Animal
Animal containment areas SD -fr Manure/animal excrete storage areas ADO (i-
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation /G {f Property line //e) <f Absorption fieldrf r7.-
Water main /Q (fWater service line /d r f Surface water /OG rt
r
Wells on adjacent lots /Do f
ABSORPTION FIELD ON LOT TO:
(
Property line /o f Building foundation 7
_� t Water main / a 1-
1_4_ r
Water Service line / Surface water /LW Driveway, parking/vehicle storage /Q "
Curtain drain 5 D r" Wells on adjacent lots /r�[ /t'
F. COMMENTS
G. ENGINEER'S CERTIFICATION t ,,'
. 4
O F +
1 certify that l have determined through field inspections and 4--
review of Municipal records that the above systems are in 0', : -
conformance with MOA COSA guidelines in effect on this date. z;::;,,;_-w;� ,
Engineer's Printed Name - i_51Vs 0 , `�E �l ;
Date sl/5// 7 0,.
f ,r1
: 5/45/I 7 -3"
74 'iy%e4o4y—
COSA yellow sheet_2-6-15.doc
. LOT 10 LOT 9
S 89'59'06"E 150.00' —
' N
y G
LOT 30—B N
LOT 1 45,759 s.f. o
0
0
a)
/ m
. O
Z Cr
O b
q SEPTIC PIPESa'-
o
cnX3.2'
O 0
12.7'xt6.0' 203; )a LOT 30-A
GREENHOUSES o ":„ N -z`
N o0 4.0' PORCH�0' 1a.6 a:N
\ 0 >GARAGE 8.7'
l�SEPTIC PIPESS `� 363
�\ \ o WOODEN FENCE
2.2' CANT `
/ �o� p 2.0'x60.2'�\ GRAVEL DRIVEWAY
/ ��, �� CANT a
/ 1 ,O ' 6°.2 .' N. \
LOT 2 `� o. 4s.a 50 c 7.8'
/ �'y `'A' . 516 2 •�Al'►r�� 2.0'x20.4' CANT
QG, 2.0'x33.8' N• R 6° ` 1,2'x7.0' CANT
CANT--_.r ' J 10' UTILITY EASEMENT
lDECK
WELL N /7-33' BLM RESERVATION
rn
—r-
1 v' N 89'59'24"W 150.00'
KNAPPER LANE
PLOT PLAN ___ AS BUILT _X SCALE 1" = 50' GRID NW 1 155 Project No. 17-103/R1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates , inc . (907) 522-6476 Phone ooOOp
(907) 522-4625 Fax �OF �/00�4
Professional Land Surveyors kenOlongsurvey.com
d ,Q 1J
jonathanOlangsurvey.com OO 0I hereby certify that I hove surveyed the following described property: QOM ' %LOT 30—B, SECTION 18, T15N, R1W, SEWARD MERIDIAN, ALASKA o *• 49TH*14---001,
"'• *VOA
Anchorage Recording District, Alaska, and that the improvements situated thereon are 0 VA
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed �o� KENNETH LANN o
premises and that there are no roadways, transmission lines or other visible O
asements on said property except as indicated hereon. 00 sl, '•, 5.1,« L� .•' ,�0
t, 0Q *,''•.LS-5202.•'' S`�G
Dated this the _ Day of ._ , , at Anchorage, Alaska aR •..... �0 c
4% O SSIONA1-�=
It is the responsibility of the owner to determine the existence of any easements, 04000o -'` '
covenants, or restrictions which do not appear on the recorded subdivision plot. AECC963