HomeMy WebLinkAboutGREENLAND BLK 4 LT 4l � 1
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Municipality of Anchorage
Community Development Department Page 1 of 3
On-Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP151218 PID Number: 015-172-03 ❑ New ❑� Upgrade
Name:
Cynthia &Walter Karwowski ABSORPTION FIELD
Address
❑ Deep Trench E Shallow Trench El Bed ❑ Mound
4841 Jumar Rd. ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
4 0-8GPD/SF 818 Ft.
•
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 6/6 Ft. 2/2Ft.
Greenland 4 4 Fill added above original grade Gravel length
Township Range Section 0/0 Ft. 70/70 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 5/5Ft. N/A N/A Ft.
To; Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From
Tank Field Tank Line 1,000 Ft2 2 11.6 Ft.
Well N/A 168.4 N/A N/A N/A TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑Other
Manufacturer Capacity
Surface Water N/A 100+ N/A N/A Existing Gal.
Material Number of compartments
Lot Line N/A 16.3 N/A N/A
Foundation N/A tgI
N/A 1 N/A NA LIFT STATION
Manufacturer Capacity
Curtain Drain ' N/A(„�'�-1•HfC0-N/A N/A Gal.
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 3034 Tank to 3034
Installer drainfield
A+ Home Services Drainfield 3034 CO/MT 3034
Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100 ft
InspectionLocation and description
V`
dates: 9/3/2015 2n4 9/4/2015
3rd 4,„ NW Corner of barn, bottom of trim
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
Conditional Approval: DateQ't4-11
•OF.AL'9llt
`• k`�•` ••• 0
/0 tteven A 5annope
:' C• E 8149 A°
k(Z 21f.!_76 4;,":
Appro f 1 Wt Date 6-' s -/7 hv �
Inspection Report_1-1-12.doc
\ 1
\ PRIVATE
..k. WELL (E) WELL (E) - �I L•'/ a'
\--PRIVATE IP A% \ WELL (E)
/
WELL (E) 145.2 r
/ /;"
-...1.‘
11'---„,,,.,... \ 149.5 E. 115TH AVENUE\
•
M/� w---- „Jr'
�r
{
J` �
UPGRADEED DRAIN FIELD NEW /�
11.5 (2EA) 7OLF x 5'W x 2.0'ED x 8.0'TD -
1) 11/ WITH CLEAN OUT AND MONITOR TUBE'
.AT EACH END
�y I I � �
TH-1994-2
SEPTIC AREA (E) TH-1-4 IIT' (TED MOORE) ! ff J
(PES) Fiji 0 5 11 DRAIN FIELD (E) IN FAILURE
1 i %,"--
RE-USE AS RESERVE i
PREVIOUSLY ABANDONED DRAINFIELD
REMOVED COMPLETELY AND REPLACE- - • 1
WITH CLEAN NATIVE MATERIAL LOT VACANT
I --I I / NO WELLS OR SEPTICS
� - ' .
TH-1994-13 - \
',TED MOORE)
\\ g , \
INSTALL DIVERTER VALVE NEW kto
. 1
'��/i„6.__-----M — - M Mr M J
.,, , 5 `di LOT4 �
4BR
'a I 17 HODS':= �a
(E)
/ \ \
• ; 7i
•
- i / 3
1
I i fA B .
i 1 M 1 17.0 1 7.1 .
WELL (E) J JIUMAR AVENUE•
Cl 15.4 18.3
M2 12.1 30.9
z
�' i- C2 12.5 32.6 •
\ / M3 81.8 78.9
4z-
, C3 82.2 79.5
/ \Ly s% M4 77.4 80.1
ce, \\// / C 4 78.3 80.5
NOTES. �s�-�\ Dote
PANNGNE ENG SVC, LLC OF AL`11 8/20/2015
RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 1'C�-. '•q6, 11�
„�q • .4- Scale
PHONE (907) 272-8218 FAX (907) 272-8211 eco.- '•9 r
DRAWN BY ><�},• 49 1. 4.2 •¢0l} 1"=50'
NJC 441 \ '' / R.I.D NO
GREENLAND, BLOCK 4, LOT 4 �1 015-172-03
WALTER & CYNTHIA KARWOWSKI �I teveCEf�8149 nom' PERMIT NO.
T �.' DSPI51218
4841 JUMAR AVENUE fl �st*221. . ,�
PLAN ANCHORAGE, AK 99507 '1k1�\`"```4 Sheet
3
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. SCOPE OF WORK: INSTALLED NEW SOIL ABSORPTION SYSTEM.
3. GROUNDWATER WAS.NOT ENCOUNTERED TO A DEPTH OF 14 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL
TEST HOLE. NO APPARENT WATER TABLE WAS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW
EXISTING GRADE.
DRAIN ROCK
FILTER FABRIC
4•'0 DRAIN PIPE
DRAIN ROCK b'•ABOVE PIPE INV
TN-1
9$.9 100.0
-1
6.0
92 94.0 / i _ i
---. .a I 2.'.
90 _ I I 92.0
I—5.0--i--10.0 I 5 n--1
( Dr14 on iii/1 G
SECTION
W
> W W
J m m
r
QO 0 0 WOW 0 S FILTER FABRIC a: 0
f �o��
Z a a a `na W z Z 4"m DRAIN PIPE z a
DW W gW , W J
oW L) u u 0 c> 0 DRAIN ROCK b•' M = vie
- '- ABOVE PIPE INV -
. -- . - — 1000 - - —
t_---„--— '
I.250g SEPTIC ,
TANK (E)
FLOW J 4i.
SPLITTER
PROFILE
DESIGN PARAMETERS
PRIMARY/RESERVE SEPTIC SYSTEM
NO. BEDROOM: 4 (500 gpd)
TANK SIZE: 1250g (E)
PERC RATE: 6-15 MPI
SOIL RATING. 0.8 GPD/SF
AREA ROD: 750 SF ABBREVIATIONS
SYS. TYPE: 5'W TRENCH 2.0'ED TH TEST HOLE
LENGTH: 105 LF (P) PROPOSED
MIN
(E) EXISTING
USED: CO CLEAN OUT NO.
(2EA) 70 LFx5'Wx2.0• E.D., 8.0' TD MT MONITOR TUBE NO.
TOTAL AREA: 1000 SF TYP TYPICAL
NOTES: �����N.‘\� Date
PANNONE ENG SVC, LLC OF ,°!/....0 Date8/20015
RECORD DRAWING P.O. BOX 100217 ANCHORAGE. AK 99510 .; •' 0
PHONE (907) 272-8218 FAX (907) 272-8211 .003:
...VV.:.• 't Scale
y
DRAWN BY. * 4 TH .•*,• 1 P.I.D TSO
Nuc GREENLAND, BLOCK 4, LOT 4S
fro0# 015-172-03
WALTER & CYNTHIA KARWOWSKI 0 Steven R annome PERMIT NO.
!i E 8149 •\c�i� OSP 151218
4841 JUMAR AVENUE �+ ,cE
DESIGN DETAILS ANCHORAGE, AK 99507 � �� •r. `45• •,, Sheet
30F3
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:
OSP151218
Tax Code Number:
01517203000
Work Type:
Septic Upgrade
Permit Effective Dates: July 29, 2015 to July 28, 2016
Design Engineer:
PANNONE ENGINEERING SERVICE
Subdivision:
GREENLAND
Site Legal Address: GREENLAND BLK 4 LT 4G:2636
Owner/Address: KARWOWSKI CYNTHIA A & WALTER J
4841 JUMAR ROAD ANCHORAGE AK 995162249
Site Mailing Address: 4841 JUMAR AVE, Anchorage Lot Size in Sq Ft: 27000
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
4,
Special Provisions: A field to foundation waiver may be needed for the existing field. Waiver to be
addressed prior to Inspection Report approval.
4
Received By:
Issued By:
all
-R 1 2L) IT
X5
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
JUL t U LUIJ
Phone: 907-343-7904
Fax: 907-343-7997
Gretchen Stuller
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 015-172-03
Property owner(s) Walter & Cynthia Karwowski Day phone
Mailing address 4841 Jumar Avenue, Anchorage, AK 99516
Site address 4841 Jumar Avenue
Legal description (Sub'd., Block & Lot) Greenland, Block 4, Lot 4
Legal description (Township, Range & Section)
Lot Size 27,000 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DUELLING:
(® all that apply)
Absorption Field ❑x Initial El Single Family (SF) ❑X
(w/wo ADU)
Septic Tank ❑ Upgrade ❑X
Duplex (D) ❑
Holding Tank ❑ Renewal ❑
Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
Permit/Rush Fees: 5609 Waiver Fees:
Date of Payment: f Iol IS Date of Payment:
Receipt Number: 6%L151G Receipt Number:
Permit No. OSPISI'AN Waiver No.
Permit App__ :::...:c�
Pannone Engineering Services LLC
Steven R. Pannone, Principai
Registered Professional Engineer
E-mail: steve(@Panengak.com
July 28, 2015
Subject: Greenland, Block 4, Lot 4
Septic System Permit Request
Design Narrative
This is a design narrative for a permit to install a septic system to be issued for this property. The
proposed systems will serve an existing four (4) bedroom house. Currently the lot is developed. This tot is
served by a private well. The surrounding developed lots are served by private wells. There are no wells
within 100' of the proposed septic system.
1. Soils. One test holes were performed in the vicinity of this system by Pannone Engineering Services in
June of 2015, and groundwater was monitored for at least seven days. Ground water was not
observed to a depth of 14.0' below the surface in the test hole monitor tube in July of 2015. Bedrock
was not encountered in the test hole. Based on the results of the percolation tests and overall soils
appearance; an application rate of 0.8 gallons/day/square feet was used for a conventional
wastewater system in the area of these test holes.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field.
The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage
ditches.
4. Topography: The existing topography slopes from the east to the west at approximately 5% in the
area of the septic system. There are no steep slopes within 50' of the proposed drain field. The proposed
drain field will maintain 50' separation all steep slopes.
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.
The proposed installation will not affect the future development of this or the surrounding lots.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
�4 I \ ;�` I \\ I
WELL (E)WELL (E) (S \
PRIVATE
WELL (E)
W�
/SEPTIC AREA E TH-I
(PES)
I �
152.6 / / o WELL (E) ,
152'4 E.1 15TH AVENU
�{S
F W W ty
UPGRADE DRAIN FIELD (P)
(2EA) 70LF x .5'W x 2.0'ED x 8.0'TD
``���}} WITH CLEAN OUT AND MONITOR TUBE
AJf' AT EACH END
PREVIOUSLY ABANDONED CRIB (E)
REMOVE ANY PORTION ENCOUNTERED
WITHIN 10 FEET OF DRAIN FIELD (P)
O.4
AND REPLACE WITH CLEAN NATIVE MATERIAL 1 y' 110.,3
NOTE: PES EXCAVATED THE AREA OF i
THE TRENCH DEPICTED IN THE 1974
INSPECTION REPORT AND FOUND A PERF -
PIPE RUNNING FROM THE OLD TANK
LOCATION TO THE CRIB SHOWN
NO EVIDENCE OF A TRENCH WAS FOUND
I
CLEAN OUT (P)
M \'� LOT 4
4BR
i� HOUSE
T
TEST HOLE
I
(E)
(P)
PROPOSED
77
(E)
EXISTING
} -
a
CO
CLEAN OUT NO.
MT
MONITOR TUBE NO.
TYP
TYPICAL
�
�
o
TH-1994-I2 p �_
(TED MOORE)
i
DRAIN FIELD (E) IN FAILURE
RE -USE AS RESERVE
ILOT VACANT
NO WELLS OR SEPTICS
^ rz
TH-1994-1-��( \ \ \
11 (TED yIMOORE) V
V I I
INSTALL DIVERTER VALVE (P) �ly�
DESIGN PARAMETERS
M PRIMARY/RESERVE SEPTIC SYSTEM
.y� NO. BEDROOM: 4 (600 gpd)
\TANK SIZE: 12508 (E)
PERC RATE: 6-15 MPI
SOIL RATING: 0.8 GPD/SF
AREA ROD: 750 SF
SYS. TYPE: 5'W TRENCH 2.0'ED
RF: 0.70
MIN LENGTH: 105 LF
i I USE:
,' (2EA) 70 LFx5'Wx2.0' E.D., 8.0' TD
TOTAL AREA: 1000 SF
SPECIAL PROVISIONS TO SPECIFICATIONS
1 . ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (VASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON-SITE WASTEWATER DISPOSAL SYSTEMS. -
2. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM.
3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 14 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL
TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW
EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY.
NOTES: PANNONE ENG SVC, LLC
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
GREENLAND, BLOCK 4, LOT 4
WALTER & CYNTHIA KARWOWSKY
4841 JUMAR AVENUE
PLAN ANCHORAGE, AK 99507
OFA. q �1k, 17/28/2015
...... — ......:.. /
., .....*. NOD�O1115-17L2O3
?-
CE 8149
OSP151218
Sheet
1 OF 2
SOILS LOG - PERCOLATION TEST
TEST HOLE 1
SLOPE Iv TF P1 Al)
OR ORGANICS ' /
2 ,p lt
3 � ��
4
TH-7994' 2
5 TH-1 (TED MOOT E)
(PES)
6 SILTY SAND AND X
GM/ GRAVEL WITH TH \
7 SM SMALL POCKETS �.
OF SILT
8 I NO W
a I TH-1994-
11 (TED MOOR
11 U
12 �
13
WAS GROUND WATER SLOPE
14 BOH ENCOUNTERED? N
15 IF YES, AT WHAT TH
DEPTH? -DRY X
16
17 DEPTH TO WATER AFTER
MONITORING? -DRY
18 DATE: 7/6115
DATE PERFORMED: 06/25/15
PEROLATION RATE 13.6 (min/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 3 FT AND 4 FT
COMMENTS: Test hole excavated by A+ HOME SERVICES. Prec hole was presoaked.
Test run for at least 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: A7�77�� ��+ .���� �\ Date
FOR CONSTRUCTION P.O VBOX 1029541EAlNC ANCHORAGE, 99510 � (F•A�gsl�) 7/28/2015
PHONE (907) 272-8218 FAX (907) 272-8211 Awch �y+) Scale
j *: 49 TH ,r f� NTS
.... . . ... ........ P.I.D. NO
GREENLAND, BLOCK 4, LOT 4 / 015-172-03
WALTER & CYNTHIA KARWOWSKY / Steven R Pannone j PERMIT NO
4841 JUMAR AVENUE �+ CE 8149 �r OSPI51218
Vis'.
SOILS LOG ANCHORAGE, AK 99507 llll\\ : Sheet 2
READING
DATE
CLOCK
TIME
NET TIME
WATER
LEVEL
READING
NET DROP
1
06/03/15
12:15
---
2.12
---
z
12:45
30 MIN
4.37
2.25
a
12:45
---
2.12
---
a
1:15
30 MIN
4.33
2.21
5
1:15
---
2.12
___
s
1:45
30 MIN
4.33
2.21
Municipality of Anchorage Page f of.�
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: --9—%0 2Z1 PID Number:-2� ' 17 Z -O3
—®_ —
Name:
W.1► fa»+ t Sandra H ef„ f 7_
Wastewater System: ❑ New ® Upgrade
Address:
�—
urn&'11 Tetr I io ._AAcAr All 99,,1
ABSORPTION FIELD
Phon'1No. of Bedrooms:
3 y�— 2 LIP z
-
IY Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
0. 8 GPD/Sa. Ft.
7.90
z- Y,Lot:
&' Block: Subdivision:
Gr a en /an
Depth to pipe bottom from original grade:
1
Gravel depth beneath pipe
a(O
Ft.
9.9 2. Ft.
Township: Range: Section:
Fill added above original grade:
10
Gravel length:
o�
— Ft.
D i!(' + 70 r i 31.r Ft.
WELL: ExrS7, ❑ New ❑ Upgrade
Gravel width: Number of lines: Distance between lines:
2•
Classification (Private, A,B,C): �— Total Depth: Cased To:
Ft. 2 f Ft.
Total absorption area: Pipe material: F-610
_ Ft. Ft.
Driller: Date Drilled: Static Water Level:
% SO. Ft. — G
Installer: Date installed:
_ Ft.
Sffl;dt Ex cava AA S'/ 19 193 -
Yield: Pump Set at: Height Above Ground:
Casing
_
GPM Ft. I FL
TANK
SEPARATION
DISTANCES
511 Septic ❑ Holding ❑ S.T.E.P.
To
From
Septic
Absorption
Lin
Holding
Public/Private
Manufacturer:
Capacity in gallons:
Tank
Field
Slatlon
Tank
Sewer Lines
A),(h or'[2 cln k
12,$"je�
well-
loll
Z�f
_
—
Material:
S1-rtl
Number of Compartments:
2
Surface
Water
>10U
>1150
-
-
-
LIFT STATION
Lot
Line
1
3o
20
-
-
-
Size in gallons:
Manufacturer:
Foundation
2 6
�� 7
--
."
—
"Pump on" level at:
"Pump off" level at:
High water alarm at:
Curtain
Drain
-
-
-
Pump Make 8 Model
Electrical Inspections performed by: —�
Remarks: S�)-e,., ,n-r)gUtc! rr0Les?
BENCH MARK
c�ef�on wffh mina. die%( ntodi�taha�
Location and Description:
l3ohf�n, o� S;diA Fc(t) C - U,
I"ank' fnJula%roC cur}h 2" ri ick 67tH,
Assumed Elevation:
1670.0 F[
ENGINEER'S SEAL
Inspections performed by: _Flat/r,& 7e6 St-c_Dates: 1st S/17/9S-
X%� t b`jv •s
2nd S/16/9
Yii.atae .....1.161 ...1 •a:"if
Department o4 Hi and Human Services approval
_•.T11 -°D°
:
Reviewed and approved by: ai.f a �[�� Date: -25_-?i—
`��%G;f�•-•..°.°•X'r�� v�
PE=RMIT NO: 940221
EN
"L" I PAGE 2 OF 2
PID NO: 01517203 NEW 66' LONG NEW 70' LONG
TRENCH WIT
TRENCH WITH
3.9' SEWER GVL. 2.4' SEWER GVL.
..H..„K„
SWING TIES
FROM: COR. "A"
COR. "B"
TO:
DOUBLE C.0 -------- „E„
S.T. C.O. "C"
31'
52'
'D" NEW 1250 GAL.
S.T. C.O. "D"
38'
57'
"c"_a _ SEPTIC TANK
DBL. C.O. "E"
40'
59'
TR. C.O. "G"
53'
66'
TR. M.T. "H"
81'
86'
M
TR. C.O. "1"
116'
115'
"B"„A„
TR. C.O. "J”
49'
75'
4
tHOUSE
TR. M.T. "K"
80'
95'
TR. C.O. "L"
119'
124'
o°
Q
DRIVEy
a Y�r
PLAN
VIEW
WELL
SCALE
11
11"
1 11
= 40 - 0
�ril••r••r••••r•lr••1•.a a(:.,.
�.
�(i• • • l• l•r11rp Y6
JUMAR AVENUE • TKODOk. F. MOORS
at.`•a.+• CL -3589
2"
RIGID INSULATION
—ORIGINAL GROUND ELEV. 97.5'
;
II
94 3
1250 GALLON
94 �. INV.
IN
SEPTIC TANK
; ; 93.5'
II
II
93 .5,
II
BOT. TRENCH
BOT. TRENCH ELEV 91.1'
ELEV. 89.6'
WEST EAST
TRENCH TRENCH
T.N.#1 M.T.
,
MAX WATER
�
LOT 4, BLK. 4, GREENLAND S/D
ELEV 85.0'
SEPTIC SYSTEM UPGRADE
AS -BUILT INSPECTION REPORT
PROFILE/ X -SECTION FLATTOP TECHNICAL SERVICES
NOT TO SCALE 14530 ECHO STREET
ANCHORAGE, ALASKA 99516
SCALE: AS -SHOWN
DRAWN BY TFM
JUNE, 1995
Municipality of Anchorage AmDepartment of Health and Human. Services
825 "L" Street
Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650
Mayor
343-4744
July 5, 1995
William H & Sandra L Heintz
4841 Jumar Road
Anchorage, Alaska 99516 2249
Subject: Lot 4 Block 4 Greenland Subdivision
Permit #SW940221, PID #015-172-03
The subject permit, issued July 1,1994 by this office for a
single family well and/or on-site wastewater system, has
expired as of July 1, 1995.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as -built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
qS' --erely,
J mes Cross, �.E.
P ogram Manager
On-site Services
enc: Copy of Permit
cc: Flattop Technical Services
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650 Ir
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
,11�Iq
PERMIT NUMBER:SW940221 DATE ISSUED: a/-0-7.9 -
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES EXPIRATION DATE: r7/01/95
OWNER NAME:HEINTZ WM H
OWNER ADDRESS:4841 JUMAR AVE
ANCHORAGE, ALASKA 99516
PARCEL ID:01517203
LEGAL DESCRIPTION: GREENLAND BLK 4 LT 4
LOT SIZE: 27000 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
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:
RECEIVED BY: ( U,,
ISSUED BY:
DATE :,5 V
DATE: 7 - / ` / 4-
M.O.A. DHHS
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
The purpose of this letter is to provide the required design narrative in support of our application for a
permit to upgrade the wastewater disposal facilities on Lot 4, Block 4, Greenland S/D, located at 4841
Jumar Avenue Soils logs, perc test results, a site plan, design drawings and specifications are enclosed
for your review.
The proposed system will be constructed between test holes #1 and #2. As can be seen from the soil
log, the native material between 3 feet and 7.5 feet is a silty sand with a measured perc rate of 8 minutes
per inch. A seasonal high groundwater table at 11.5 feet mandates that the bottom of the trench be no
deeper than 7.5 feet. Using the soil application rate of 0.8 gpd/square foot specified in the wastewater
ordinance, this 4 bedroom residence requires a total absorption area of (4 x 150)/0.8 = 750 square feet.
The proposed 126 lineal feet of soil absorption trench with 3 feet of sewer gravel beneath the horizontal
distribution pipe has a total absorption area of 756 square feet. In accordance with DHHS guidelines the
trench will consist of two separate segments constructed at the same elevation and fed from the middle.
The topography of the lot slopes gently towards the north and west at approximately 2%.
The proposed project will have no impact on present or future water supply and wastewater disposal
systems serving adjacent properties, nor will it have any significant impact on reserved space/surface and
subsurface, or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
Sincerely,
��/ ae.c�
Ted Moore, P.E.
-----
EAST 115th AVE.
--
LOT 5
LOT 4, BLOCK 4
LOT 3
(VACANT)
T.H.
#2
,
EXISTING
NEW 63' LONG
SOIL ABS.
PARALLEL SOIL
SEPTIC
TRENCH
ABS. TRENCHES
SYSTEM
W. 3' SEWER GVL.
T.H.
o
EXISTING
_o—-—----_
"
SEPTIC ° °
DANK o °
-
NEW 1250 GAL
- - - - -
SEPTIC TANK
4 BEDROOM
HOUSE
HOUSE
DRIVE
WELLWELL
JUMAR AVENUE
--�—
-------------"a�
`,va;?y�
LOT 4,BLK.4,GREENLAND S/D
t.,,
WELL AND SEPTIC SYSTEM
SITE
�e".� .•" . {�
PLAN
}
�V
" • 9C�1� "" Y
D %r 3!
FLATTOP TECHNICAL SERVICES 1 INCH= 50 FEET
+urr +rrerurrr•r
14530 ECHO STREETDRAWN BY'fFM
r"orP•r;,,,,,,,,.
ANCHORAGE, ALASKA 99516 DATE: JUNE, 1994
THEODORE P. hM1GORE � l'¢�
Ci - 3589 ,� 6,. V,
r••+.,,
NOTE: THIS IS NOT A SURVEYED PLAT.
�M1'�» ,,.+•�v
ALL LOCATIONS SHOWN ARE APPROXIMATE.
ti
11 63' LONG SOIL ABSORPTION TRENCH
F-810 PERF PIPE WITH 3' SEWER GVL. BELOW DIST PIPE
M.T. r C.O.
m D-3034 PIPE
r LAID LEVEL
r
63
.T.
3
1
PLAN VIEW
SCALE: 1'! = 15' - 0'!
BACKFILL ORIG. G
(MOUND 1')
FILTER FABRIC
V' -ASTM D-3034 (LAY LEVEL)
ASTM F-810 PERF PIPE
..............
-SEWER GRAVEL
12.5
SECTION "A - All
SCALE: 1" = 5'- 0"
O O
NEW 1250 GALLON
SEPTIC TANK
�A •l,.. s.,^ F�^7 ,�Y�
*49
THLODORE F. MOORE !9
:�, CE - 3S89 r /At
1Z '•
Flattop 7echniea(Services
14530 Echo Street, Anchorage, AK99516
Phone (907) 345-1355
Lot 4, Block 4, Greenland S/D
4841 Jumar Avenue
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists of abandonment of an existing 1250 gallon septic tank and
installation of a new 1250 gallon septic tank followed by 126 lineal feet of soil absorption trench
constructed in two segments, each having a total of 3.5 feet of sewer gravel.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or required by the engineer conducting the inspections.
All construction procedures and material specifications shall conform with Municipal and State
requirements. All separation distances shall be in conformance with Municipal requirements, unless
specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any
buried utilities.
1.4 The contractor shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after
the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction.
2.0 Septic Tank:
2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top
and backfilling with soil.
2.2 The new 1250 gallon, 2 compartment septic tank shall be Municipally approved and shall be set
level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4"
cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type,
rigid insulation.
2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The
waste line from the residence to the septic tank shall have a minimum slope of 1/4" per foot, and the waste
line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A
cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed
within 5 feet downstream of the septic tank.
3.0 Soil absorption system:
3.1 The soil absorption system shall be constructed by excavating two parallel 63 foot long trenches to
a depth of 7.5 feet below the original ground level in the vicinity of test hole #1.
3.2 The bottom of the excavations shall be level and at the same elevation. Any compacted or smeared
surfaces shall be raked to allow proper infiltration.
3.3 A total of 3.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with
the perforated distribution pipes laid level such that the pipe inverts are no less than 3.0 feet above the
bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing
the #200 sieve.
3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on
the design drawings. The portion of the monitor tube extending through the sewer gravel shall be
perforated.
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum
of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet,
two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in
addition to the filter fabric.
3.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the
surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill
slopes shall be no steeper than 3:1.
3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the
site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed
to promote rapid revegetation of all areas disturbed by the construction.
4.0 Inspections:
4.1 A minimum of 4 engineering inspections will be required during the course of the project: (1)
initial stakeout with the contractor to establish the location of the system and to discuss the plans,
specifications and construction procedures, (2) after the native material has been excavated to expose the
infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test
information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected
up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and
grading is complete. The septic tank requires one inspection after it is set level and the piping connected,
but prior to backfill. This inspection may be incorporated with any of the above inspections.
4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Lot 4, Block 4, Greenland S/D
DATE PERFORMED: March 25, 1994
PERFORMED FOR: Bill Heintz
DEPTH SLOPE
(feet) Pt
1
1
1
1
1
1
1
1
1
1
21
SM Reddish sandy loam
GP Loose gravel, variable
SM Gravelly silty sand
Becomes finer below 5.5'
Pockets of SP, NIL
SP Medium sand
Loose, dry
Some gravel
Water seep
ML Sandy silt
019
2%a
Depth to Groundwater
Date
Net Time
(minutes)
3/25194
13' - 8"
4/l/94
12'-11"
4/18/94
11' - 6"
5119/94
i
1:14
161/2
Lu
a
O
U)
�"' •• 41 t
is ,9TH •
• f�f . f f�f//f�.y1 / f f . � f�//f/}./��•ln{./,pl��
..f 1l T�.�Ff.�s.f •�.av
THEODORE i,. ;ttD D,,:
f t-
�,•. Cc - 3580 •"�y%+
SITE PLAN
T.H.
50 #2
EXIST o
SEPTIC
SYST
T.H.
#1
0
o
4 BEDROOM
HOUSE
...........................................................
2%
DateReadin 9
Clock
Time
Net Time
(minutes)
Percometer
Reading
Net Drop
(inches)
20/2-5— 12"resoak
1:10 PM
271/2
D
1:14
161/2
Add water
1:14:45
271 2
Start
1:15:45
233/8
#1
1:16:45
1
205/8
23/4
#2
1:17:45
1
183/4
17/8
#3
1:18:45
1
171/2
1 1/4
L� PERCOLATION RATE <l (minutesAnch) PERC HOLE DIAMETER 6„
TEST RUN BETWEEN 8,0 FTAND 8.5 FT
COMMENTS: Assume seasonal high groundwater table is at It'- 6". Put bottom of trench at T - 6" Note' Additional pert conducted between
PERFORMED BY FLATTOP TECHNICAL SERVICES. I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: �KnP �yl �99U
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
TEST HOLE # 2 SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Lot 4, Block 4, Greenland S/D
DATE PERFORMED: March 25, 1994
PERFORMED FOR: Bill Heintz
DEPTH SLOPE
Pt SLOPE
(feet) 11
1N SM Reddish sandy loam
SM Silty sand
Similar to T.H. #1
Perc test#2
SP Clean sand (dry)
Similar to T.H. #1
Perc test #1
SM Silty sand
Similar to above
Water Seep
B.H.
TEST HOLE #1
PERC TEST #2
2%
Depth to Groundwater
Date
15'
3/25194
15' - 5"
4/l/94
14'-10"
4/18/94
13'-2"
5/19/94
13 ' - 9"
e -/s-.
T.H.
W
a
O
m
• -hr
�!!1Y YY! YY 11YY«•�•e.i t�
s : 714E0DURn F, dnOORI:
•.! CE - 3589 '•.C� %tl
SITE PLAN
T.H.
Reading
50 #2
Percometer Net Dro
Reading (inches
3/25
I
EXIST
2 1/2
a
SEPTIC
SYST
T.H.
#1
a
Add water & start
o
23 1/2
dry
#1
4 BEDROOM
HOUSE
Add water
............— ........................__..........
2%
Date
Reading
Clock Net Time
Time (minutes)
Percometer Net Dro
Reading (inches
3/25
12" Presoak
1,34
2 1/2
Add water
Add water & start
2:36
23 1/2
#1
Add water
2:46.30
231/2
fil
2756730 10
221/8 13/8
Add water
2:57233/8
107 10
22 1
.318
L—� PERCOLATION RATE 7.3 (minuteslnch) PERO HOLE DIAMETER 6"
TEST RUN BETWEEN 3.5 FT AND 4.0 FT
COMMENTS: Assume seasonal high water is at 13' B.G.L. Note: Perc test data shown on this log applies to test hole #1
PERFORMED BY FLATTOP TECHNICAL SERVICES. I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:J_ un �r 'y �Q 9Y
GREP :R ANCHORAGE AREA BORA 'GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME//Pi- CGN.5r�4�eT/U AILING ADDRESS �7 /4, Si2Al(JFSE.�fL� PHONE-6q4-1_'�
_
LOCATION /��q7T �o -" FPDESCRIPTION L� 7 � LUG/L Al
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
TILE DRAIN FIELD:
(.
NUMBER OF
MANUFACTURER 5�W' Ck- MATERIAL Srt'F�--Z COMPARTMENTS_ 2 -
INSIDE WIDTH__.__. LIQUID DEPTH LIQUID CAPACITY/;2A_0 GALLONS.
DISTANCES:
INSTALLED BY: / -.0c eke -"-
SEWER LINE DEPTH:
PIPE MATERIAL: CAsr'
LOT SLOPE: _.
REMARKS:.
P2JPEP U/�c.c.- 27�Sr�i9�! .
Form EQ -032
DIAGRAM OF SYSTEM
DATE %- 3'% _ APPROVED
G.A.A.B.
0 /4-
TOTAL LENGTH
/ 3J
DISTANCE FROM WELL
FOUNDATION S� NEAREST LOT LINE—/
OF LINES _
NUMBER OF LINES
DISTANCE BETWEEN LINES TRENCH
WIDTH—
IN. TOTAL EFFECTIVE
ABSORPTION AREA
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
(p6�f
DEPTH: TOP OF TILE
TO FINISH GRADE MATERIAL BENEATH TILE —3
IN. ABOVE
TILE IN.
WELL: /V0r
TYPE _.___
_-CONSTRUCTION
DEPTH
-DISTANCE FROM:
BUILDING
NEAREST NEAREST SEPTIC
SEEPAGE
i
FOUNDATION__,
LOT LINE_,SEWER LINE_ TANK
SYSTEM
oet_nn0 —,
CESSPOOL---,
OTHER SOURCES
APPROVED -.DISAPPROVED
REMARKS
_-
DISTANCES:
INSTALLED BY: / -.0c eke -"-
SEWER LINE DEPTH:
PIPE MATERIAL: CAsr'
LOT SLOPE: _.
REMARKS:.
P2JPEP U/�c.c.- 27�Sr�i9�! .
Form EQ -032
DIAGRAM OF SYSTEM
DATE %- 3'% _ APPROVED
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
o IILJI °9
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO,
IIn<, t 3330 "C" STREET ANCHORAGE, ALASKA 99503
I /•f TELEPHONE 274-4561 /, jam_ .) !" j-7-
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT - 110
INSTALLATION LOCATION
,I/ s i eu.e yro.v� �z'7/ o ..5�-,ei /�
MAILING ADDRESS —. �E_ PHONE _
2+%
LEGAL DESCRIPTION /-o 7— =,_&/L V 64 2{_'-�v Ll-AJd
INSTALLATION OF: SEPTIC TANK _ SEEPAGE PIT �_ DRAIN FIELD ,� OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED - R'o'e/,-/ _
FINANCED THROUGH TO BE INSTALLED BY/rte
o/zp>iJr zC�
solL TEST REsucrs _ NOMI-: THIS F'CRMI'P IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED _r�LC�Aif�'� !4 (41 GU
0&zoet) — / 3.4 / 4/AAC
FINAL INSPEC'T'ION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL. QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE ___L `S d �L"TYPE - SEEPAGE AREA SIZE - ____ TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
CD /
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ---/ SEEPAGE PIT
TO NEAREST LOT LINE.
DRAIN FIELD
I / /d/
DRAIN FIELD
�W ELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD __--� j___-__, ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK --� SEEPAGE PIT - -,
DRAIN FIEL___.
/ /
SEPTIC TANK, —/a� SEEPAGE PIT _ /-_, DRAIN FIELD D-7� ,
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 AIRI"IGHT REMOVABLE CAPS.
GRAVEL 13AC;Kf;ILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
C ,
a-.��.- � ��-G�2� ✓ter✓
G.A.A.B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITI4 THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE -- APPLICANT'S SIGNATU 2�_ u-
cn.. nlI I'-nI r
T. H. 1
0
.5'
NO NATER TABLE
NOTE: Test hole excavated with tractor -mounted backhoe.
Engineering a Geological Consultants Inc.
ANCHORAGE FAIRBANKS ALASKA JUNEAU
M
.0' T. D.
JIM MARSHALL PROPERTY
LOG OF TEST HOLE
Anchorage Alaska
'DATE: 4-22-74 ISCALE I" = 2' IDWN BY JRS ICHKD BY WED IPIROJ. NO. L62014 IDWQ NO. A-01 �
M2273
1 1-11
� 6�10 R&M ENC. JEERING & GEOLOGIC, 1 CONSULTANTS
—: 229 EAST 51st. AVE. — P.O. BOX 6087 — ANCHORAGE, ALASKA 99503
-=—��� TELEPHONE907-279-0483TELEX 090-35419
42 Civil
Civil Engineers Geologists Land Surveyors
JAMES W. ROONEY, P. E. RALPH R. MIGLIACCIO
MALCOLM A. MENZIES, P.E., L.S. Engineering Geologist
JAMES H. WELLMAN, P.E.
F:Pyt �, =197A 01
April 22, 1974 R & M No. 462014
�KLAILR f F.NYIN�t- MP.FITAL mUA411,
OE�TMr. ,Tim Marshall
2716 Strawberry Road
Anchorage, Alaska
Re: Test Hole and Soil Log Report for Sanitary System
Lot 4, Block 4, Greenland Subdivision
Dear Mr. Marshall:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This
investigation was performed in accordance with your request of
April. 22, 1974, and those procedures outlined in a letter dated
September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage
Area Borough Department of Environmental Quality.
A single test hole was put dorm within the Lot 4 area for the purpose of
defining general subsurface soil conditions for the proposed sanitary system.
Excavation was accomplished with a tractor -mounted backhoe and the test hole
was extended to a total depth of 13.0 feet below ground surface. The final
log prepared for the test hole has been included in Drawing A-01.
Ground water was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL CONSULTANTS
James W. Rooney
rb
xc: GAAB
ANCHORAGE FAIRBANKS JUNEAU
•
•
•t :� Municipality of Anchorage v<06 6 g ; '7, 8
On-Site Water and Wastewater Program ,^' ,Ldi
(907) 343-7904 s ., F k
MAY 01 6.Q
Certificate of On-Site Systems Approva 1-4 I:
C.
Parcel I.D. 015-172-03 Expiration Date: iL-
1. GENERAL INFORMATION '
Complete legal description Greenland Block 4 Lot 4
Location (site address) 4841 Jumar Ave.
Current Property owner(s) Karwowski, Cynthia & Walter Day phone
Mailing address 4841 Jumar Ave. Anchorage, AK 99516
Real Estate Agent Day phone
2. TYPE OF DWELLING:
O Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well E Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance;
Received b ,,_ C Date: 5//5//COSA to be released to the engineer, unless otherwise requested by the ineer.
COSA Fee $ 21 •D Waiver Fee $
Date of Payment iJ !( (/(?' Date of Payment
Receipt Number 003 S Receipt Number
COSA# 05 19I((Q 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 wastewlig stem is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at
the time of insta'ra b : •
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 watK. " -that may fluctuate during the year,and the water usage of the family being served by the system.These conditions
are outside the • I � ,t evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of t - em, nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performanc-, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 5/1/2017
QtOFA• 19 i
iCO.
I .. '� ���
6. DSD SIGNATURE
System #1 Approved for t bedrooms �� Steven IR. Pannone
CE-8149 �
System #2 Approved for bedrooms "P.
Disapproved +�k�r`QFE` � '�'
Conditional approval for bedrooms, with the following stipulations:
Jew •
c:
►NON
-S/7.E
,.
CD
1/161s11i-T�vo ,
pR0 ggTR
�
n✓l Geo
By: Original Certificate Date: S �� 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 blue sheet r -
If more than 1 septic system is on the lot:
COSA Checklist# 1 of ,
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description Greenland Block 4 Lot 4 _ Parcel ID: 015-172-03
A. WELL DATA
Well type Private If A, B. or C provide PWSID# Well Log (YIN) N
Date completed 1974 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 90 ft Cased to 40 ft. Casing height (above ground) 12 in.
FROM WELL LOG AT INSPECTION
Date of test U N K 4/20/2017
Static water level U N K ft 62 ft
Well production U N K g.p.m. 5 8 g.p.m.
WATER SAMPLE RESULTS.
Coliform NEG colonies/100 mL Nitrate 3 39 mg/L
Arsenic ND ug/L Date of sample: 4120/17 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 5/18/1995
'
Tank size goal Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping 9/22/2016 Pumper A+ Home Services
C. ABSORPTION FIELD DATA
Date installed 9/4/2015 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 GPD/SF System type Shallow Trench
Length 70I70 ft. Width 515 ft. Gravel below pipe 2/2 ft.
Total depth 8/8 ft. Eff. absorption area 1000 ft' Monitoring tube Y Depression over field N
Date of adequacy test 4/20/2017 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 3 in.
Elapsed Time: 1440 min. Final fluid depth 0 in. Absorption rate >= 600 g p d
N
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
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 00+ On adjacent lots 100+
Absorption field on lot 100+ On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 0+ Building foundation 10+ Water main 10+
Water Service line 10+ _ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION =1-� AgiIk
1 certify that I have determined through field inspections and r 4 • 4 9:4-14
review of Municipal records that the above systems are in * . V.- 4\ :9ry
conformance with MOA COSA guidelines in effect on this date. f' ---- ••�• •t •••
g Steven Pannone • —
En ineer's Printed Name •Steven , annone:
: )
5/1/2017 CE-8149
Date 4,s'• .�
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I hereby certify that I have surveyed the following described property, Loi�Block. .••""•`•r'. t.�
GiE' ENLAAID .5115D, Anchorage recording,Precinct„A1s ke, end that 0 c. :AT•• - 4; �•'. T vi
the improvements situated thereon are within the property lines and do not overlap or / -' ,
encroach on the property Tying adjacent thereto, that nv Improvements on property �� � / ;r'f/
lying .distant thereto encroach on the premises In question and th■t there era no roadways.
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transmission lines or other visible eeamentr on said propertyexcept Cu In0lpated Mreon,
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Received Time May. 23 201., ri OANi NoC,4305 1998 ' k����s` rt
MUNICIPALITY OF ANCHORAGE
° DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services 44
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel l.D.# (}(5 - 172 - o3
1. GENERAL INFORMATION
HAA # &A S'L `S.2IC
Complete legal description s B�csc Ir `/ 6—'r-ee1v Arm '57,( S/y
Location (site address or directions) `i�y� Jur,ar RcC
Property owner _ 13111 �S S_OnL�y /4e in /-Z Day phone yd `2 f9 2
Mailing address _'Y9q 1 ..% Umar !Z�(• ,gn cAc rQgP, /4-1t 9�23-/6�
J
Lending agency
Mailing address
Day phone
Agent
or P&wf--(1
Reo 1 �Y
Na- tA
Day phone _ ITE -8117
Address
3'72 Y 13jx�z
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Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank _
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rov. 1/91 ) Front MOA a21
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833NION3 AS NOLLOUSN1 d0 1N3W3.LVIS 'S
Municipality of Anchorage pr(I V
C*—) DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division �EC 9 996
825 L Street, Room 502 Anchorage, Alaska 99501 • (90,7 X4/744
GS
Health Authority Approval Checklist oNnnENIAL UNVCES o Ul vrs Cy
Legal Description: Loo q Green /an el Slb Parcel I.D.:_ O /7 Z - 03
A. WELL DATA
Well type P� f i If A, 13, or C, attach ADEC; letter. ADEC water system number
Log present (Y/N) i Date completed l9 7 y
Total depth _��� own[_ Cased to :�k �4, ' Casing height (above ground) 12"
_
Sanitary seal (Y/N) _ Y Wires properly protected (Y/N) i _
FROM WELL LOG AT INSPECTION
Date of testI /•9 F
Static water level 63 '
Well production g.p.m. 5 . 3 it_ g.p.m.
WATER SAMPLE RESULTS
Coliform Q rL/an t ¢v / I000i Nitrate _ 0.9Q9 !y 1"e- Other bacteria At one r7epol4 (
Date of sample: __LL1f 6 Collected by: r& �Z662 %CAry«f S � C i
B. SEPTIC/HOLDING TANK DATA
Date installed S -//6/9S _ Tank size 125-h Number of Compartments 2 — Cleanouts (Y/N) �r _
Foundation cleanout (Y/N) i" Depression (YIN) W High water alarm (Y/N) _ N. /i.
Date of Pumping _9/ Z• / 9 �r _ Pumper �A -t-
C. ABSORPTION FIELD DATA
Date installed S / 19 / 9S _ Soil rating (g.p.d./ft2 or ft2/bdrm) a• System type %rinc%
Length 66" + 7D � Width _� Gravel thickness below pipe3.9� 2_v'_ Total depth7.9', 6 Y
Effective absorption area '75-6 C7' Monitoring Tube present (Y/N) Y Depression over field (Y/N)
Date of adequacy test i 19 / qe_ Results (Pass/Fail) PusJ For _ r bedrooms
)' JB.3 " i; .2,9.9"
Fluid depth in absorption field before test (in.); w 9 ``' _ Immediately afters gal. water added (in.): w i S. I "
Fluid depth w 17'• 9 " (ins) Minutes later: ! G Absorption rate = •� 602 a.p.d.
Peroxide treatment (past 12 months) (Y/N) N — If yes, give date A/. A.
72-026 (Rev. 3/96)*
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T
INSPECTION APPOINTMENTS �>
DATE RECEIVED
TIME
TIME
TIME
DATE -
DATE - -
DATE
SINGLE FAMILY
r
INSPECTOR
INSPECT
INSPECTOR
7. WATER SUPPLY
DE T, Of HEALTH
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL PROTECTION
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
625 L Street - Anchorage, Alaska 99501
®
r T 6 1980
OCT
V1
ENVIRONMENTAL SANITATION DIVISION
Telephone 264.4720
RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. POPE TYOWNER, /
PHONE
AILING A RESS 0 i
GE'zjv Da_ r�
PRO ERTY RESIDENT (if different from above)
PHONE
�- _
2. BUYER
PHONE
MAILING ADDRESS
3. L�%��,DING INSTITUTION/�j'�
(� CLd /l.0. .iCI�C CL- l 1CJ`�YC.nC
MAILING ARDRESS
4.?,EAL OR/ GENT t -
PHONE
-mac f/�✓J a���a�
X76-//7 d
MAILING ADDT,§
5. LEG L DESCRIPTIO
L f
STREET LOCATION
�/�r N i 1 .�1 �Q//✓�W'
6.-TYPVOF: RESIDENCE
- _ NUMBER OF,BEDROOMS
SINGLE FAMILY
❑ One Four ❑ Other__
❑ Two Five
❑ MULTIPLE FAMILY
-
❑ Three ❑ Six
7. WATER SUPPLY
-
C$ INDIVIDUAL*
*ATTACH WELL LOG. A well log is required for all wells drilled
d COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
B. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
�— —L
72-010 (Rev. 6/79) - - - /d _A(/_.pd
72-010 ( Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
-
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY -
❑ PUBLIC UTILITY
Connection Verified___
PERMIT NUMBER - -
DEPTH OF WELL
.DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
El PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED T
INSTALLER - -
❑Septic Tank or ❑ Holding Tank
Size: P _,0 If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABS ORPTIONAREA
MATERIAL e
4. DISTANCES -
WELL TO:
Septic/Holding Tank
Absorption rea
Sewer Eina
Nearest Lot Line
Absorption Area to nearest Lot Line
-
5. COMMENTS
APPROVEDFOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE r
72-010 ( Rev. 6/79)
ALASKA cnuln011MIAL C011TROL SCRUI S, Inc.
Engineerinq & 6nuironmental Studies
EF: A G 0 OU1 'T /TI.AV1::"R :,
2520 Iii: TIaI:0R RD
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1sra..F..1:1; WAYNE TAYLOR
SUI,:: D IV:1:',310N•-CJRlii:E:Nl..ANC, Ic:1...DCa•t---1f
THE, TYPE: OF' Alii.>C:)RF'TION f3Yfii1'I::.M :T:la A
'T'Nli!: SY;iTIz:N :117 C::AP ABLAK (:)i AC.:C:EPT:T:NG'
I•A: EA) (.1H'ON 'TI -Ilii: c:;ii'T' I')ATA THF, fiiYS'T'I N
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1:) C:: T CJ E.: I: R 13 ' lig f:' OF ANCHORAGE
MUNiCiPAf- O.
DEPt. O �f L V'r,vTECt1pN
ENVIRONM
F'I:'T/'T'ItIrNC;4l liT:'TII AN I.JNI,NOWN AREA.
600 G)AI_I... ON":) G)i. WATEA i"i::a1 DAY.
1B ACC:F::PTA I'%':1...1: 1"0R A
'T'IIE 6FE1�''T'11; 'TANI< WA:ii F'IJMPEA) ON 0 CTO 1:.. r.". R 10 :1.990 >
The well has a capacity of 6.4 gallons per minute for a three hour pumping
test.
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Leroy C. Ro(dr Jr.
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C��'P•
1220 West 25th Auenue o Anchorage, Alaska 99503 • 907) 276-1361
