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HomeMy WebLinkAboutGREENLAND BLK 6 LT 2Greenland lock 6 Lot 2 015-171 -2:3 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241090 Effective Date: Work Type: SepticTank Upgrade Expiration Date: Tax Code Number: 01517123000 Site Legal Address: GREENLAND BLK 6 LT 2 G:2636 Site Mailing Address: 4720 E 113TH AVE, Anchorage Owner: CASE SEAN A Lot Size in Sq Ft Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: This permit is for the construction of: �ti�,cnt \° L>e1)art1)1eI t 5/14/2024 5/14/2025 18000 C9 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing C__0 w-1 (C>�vz'z y A--0 O F O F---, F VL .51 n� - Srnt�- v! I' i s l 1 P✓L_ v- y .B,eeeived=By: 1 _ 5 L,'- a f-0 Date: Issued By: k Date: 2 ` — 4 �t<tnergency reptacement. ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 01517123 Property owner(s) Sean Case Mailing address 4720 E 113th Ave Site address same Day phone Legal description (Sub'd., Block & Lot) Greenland 136 L2 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) ❑ Septic Tank Upgrade (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) ❑ 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. sRP (Signature of property owner or authorized agent) Permit/Rush Fees: Z25 Waiver Fees: Date of Payment: Receipt Number: Permit No. _ OSP- 9 106i O c H A"I- o Date of Payment: Receipt Number: Waiver No. � 8Zy Permit App__- : , _.,:c Municipality of Anchorage On -site Water and Wastewater REVIEWED FOR CME COMPLIANCE Pannone Engineering Se ry I ce S LLc OSX241003, Curtis Townsend, 10116 Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@paneneak.com O 2 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Greenland Block 6 Lot 2 Septic System Upgrade Permit Request This is a design narrative for a permit to install a septic system upgrade on the subject property. The proposed upgrade will serve an existing four -bedroom (4) house. This lot and surrounding lots are served by private wells. Due to unforeseen circumstances; it appears a significant rise in the ground water table has affected the subject lot and caused the current system to experience frequent backups at the start of spring 2024. The existing tank in spring of 2024 was pumped of approximately 4,000-5,000 gallons and suspected by the pumping company to be influenced by water. It is the opinion of PES that in recent years —weather patterns have been the wettest on recorded since records have been kept in the city of Anchorage. PES believes the extraordinary and unexpected rise in the ground water table to be at fault for the current systems state of failure as the existing dwelling is experiencing water infiltration through the foundation and into the crawl space. 1. Soils: A test hole was performed on this lot by Pannone Engineering Services, LLC on 12/23/2019. Groundwater was not observed during the excavation of the test hole, and bedrock was not encountered to a depth of 17.0' below ground surface. No groundwater was observed in the test hole monitor tube after 7-days. Per GLW ground water was observed on -site at a depth of 4.0' below ground surface on 09/11/2024. PES observed the drain field monitor tubes to contain water at a depth of 11.0' below ground surface on 09/12/2024. Based on the results of the percolation test previously conducted and overall soils appearance: an application rate of 2.0 gpd/SF was used for the design of an advanced wastewater treatment system in the area of the previous test hole. 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. 4. Topography: See attached site plan for area topography. S. Waivers: Due to space constraints, the proposed system will be located vertically over and between the existing drain fields to be decommissioned. We request a horizontal separation distance waiver of the proposed drain field to existing drain fields of 0.0'. It is likely that the proposed bed may overlap vertically over the existing drain fields serving the subject property. With the proposed bed system subject to category III treatment with the use of a two -foot sand filter, as well as adequate receiving soils present below the bottom of the proposed installation; granting this waiver is not likely to affect the health and safety of this lot or the surrounding lots now or in the future. 6. Drawing Markings: The Drawings are marked "For MOA Review Only". When written notification that the review is complete and no further comments are received from MoA On -Site Department, the note will be removed and "For Construction" drawings will be issued. Mailing: P.O.Box, a.807, Palmer, AK 9964 elrelpf'one: (907) 74-5-8200 FAX: (907) 745-820'�. Page 2 of 2 The proposed installation will not affect the future development ofthis orthe surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, sT�T> Steven R.Pannone, P.E.F.AS[E Owner/Civi|Engineer Mailing: P.D.Box18O7,Palmer, AK99G45 Te|ephnne:(BO7)74S-8ZOO FAX: (9Q7)745-O3O2 u zS Z 9066 AV A5V&0H3N'l7/ NV ld' +I I-, .0 1IM83d *19 9 u 6elk.. �\! - -' 1, IM 1 1 0 7� V NVIS (D D A 3 0 V A 0 0 N I 7 NMV8G a A mu/ 1 T J i�do vos ... (Lijc", E, wznMN03 1 40:3 S"AV TMWd 11"DB LN i M8 Liz 300 SHOM038 MBD& 3111 OAS ON3 3NONNVd SOON - -------------- - ------ ------ ww"k open 2 1 coo. n all T 1 - KIP 1 0 1 z-, Was WA Z n 2 a W a dc oil �, - A owls A U -jilt 11061210 all" OAK W -mks a 1, k Q, poosl Nwml NoIt R i a t Atw P HAN cl 0 7 a: c "Gi w) I QiI out , au"O C Nn1w M cog, C,-,. a 4 wo ! ------LI Joyt Row A Cl, -- f r,2 itock F. HIM Q�yg s,� I. 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II .� �11`i66 V �:a �II� �JPit' ii,£I U 31V4 sNo1s1n3a (8$Ob '1'O �"1'1 �AS'JN3 3NON11i1d N0110f12i1SN00 2i0J L J'. u c., Oil v r L'Iz N U. F c � .�• C N V1 G ;w 3� + U I -IF - it -L w -0,w Lil ,� X . J u"Z tJ �` asO a �' o, vzt A a wlaj r, : TiL-- If -I OiEE Vi _ Z in w - I rawm�;w C -�IJ s �I� z x ri o O u( H t y H wlL w in 7- L 1 L I J i F.� w w w t 1 V I�1 C iZ W; `JL)1LA ! c.rG aIO 2 I _ O W LL I L' w � a r., r i CL i 1 Il III;' -.ICI I -I .., , i,7 -n f-• C, m N M v Ifs +C �- Greenland B6 L2 Subject: 09/27/2024 Originator:LJC Checker: SITE PARAMETERS 1. No angle of repose on backfill material Weight of Water 62.4 lb/ft3 Weight of Soil 100.0 lb/ft3 Tank Bury Depth 4 ft TANK DIMENSIONS Width 6.0 ft Length 12.5 ft Height 5 ft Volume 375.00 ft3 Weight 16000 lbf Manholes Yes Percentage of Tank in Groundwater 100% BOUYANT FORCES (Weight of the displaced water) 23400 lbf UP RESISTING FORCES (Weight of soil & tank) Is Backfill Material Saturated?YES Volume of Manholes 40 ft3 Volume of Soil 260.00 ft3 (Volume of Soil over Tank minus Volume of Manholes) Weight of Soil 9776.00 lb DOWN NET FORCE ON TANK 2376 lb DWN Design OK (No additional Ballast Needed) 1500-gallon Concrete STEP Tank ASSUMPTIONS 2. 100 lb/ft3 backfill material 3. Tank is empty 4. Tank is completely submerged. Septic Tank Buoyancy Check Job Name: Buoyancy Check Job Number:SRP Greenland B6 L2 Subject: 09/27/2024 Originator:LJC Checker: SITE PARAMETERS 1. No angle of repose on backfill material Weight of Water 62.4 lb/ft3 Weight of Soil 100.0 lb/ft3 Figure 1: Additional Soil Over Outside Edge Of Concrete Blocks Tank Bury Depth 4 ft TANK DIMENSIONS Diameter 58.0 in Diameter 4.83 ft Length 12 ft Area 18.35 ft2 Volume 220.17 ft3 Weight 1200 lbf Manholes Yes Percentage of Tank in Groundwater 100% BOUYANT FORCES (Weight of the displaced water) 13739 lbf UP RESISTING FORCES (Weight of soil & tank) Is Backfill Material Saturated?YES Volume of Manholes 40 ft3 Volume of Soil 192.00 ft3 (Volume of Soil over Tank minus Volume of Manholes) Weight of Soil 7219.20 lb DOWN NET FORCE ON TANK -6520 lb UP Ballast Required, See Below 1500-gallon Steel STEP Tank ASSUMPTIONS 2. 100 lb/ft3 backfill material 3. Tank is empty 4. Tank is completely submerged. Septic Tank Buoyancy Check Job Name: Buoyancy Check Job Number:SRP Buoyancy Control: 1.) Assumed angle of repose on proposed ballast of 1:1. 2.) In case of flood event ALL backfill material is assumed to be 100% saturated. Residual uplift: ~ 2,555lbs (See Figure 1) -Additional Soil @ 1:1 anlge of repose over length of outside edge of concrete block(s): ~216ft^3 x (2) => 432ft^3 x 37.6lb/ft^3 = 16,243 lbs down FS =2.0 => (16,243 / 2.0) -2,555 lbs = 5,566.5 Net Force On Tank = ~5,566 lbs down (FS = 2.0) (ENSURE 100lb/ft^3 BACKFILL MATERIAL OVER TANK WITH 4.0' ACHEIEVED. ENSURE EQUIVALENT OR MORE COVER WITH GRADE OVER CONCRETE BLOCKS. RESISTING FORCES (Weight of concrete blocks) Height 2.0 ft Width 2.0 ft Length 6.0 ft Volume 24.0 ft3 Weight of Concrete 145.0 lb/ft3 Weight of Blocks 1982.4 lb Number of Blocks 2 ea NET FORCE ON TANK -2555 lb UP Ballast Required COMPONENTS SUPPLY NOTE: 1. TANKS, MH RISERS, AND LIDS ARE AVAILABLE THROUGH D &S CONCRETE INC. AND MUST BE INSTALLER PER MANUFACTURERS SPECIFICATIONS. 2. THE PUMP, FLOATS, INTERNAL PIPING, GROMMETS, CONTROL PANEL, XPERT ALERT UNIT, AND AEROCELL UNIT ARE AVAILABLE FROM GARNESS ENGINEERING, THE ALASKA STATEWIDE DISTRIBUTOR FOR QUANICSTM PRODUCTS. 3. ALL OTHER COMPONENTS SUCH AS PIPING, FITTINGS, WIRING, INSULATION, ETC., SHALL BE SUPPLIED BY THE CONTRACTOR. NOTE: ALL PIPING FROM PUMP TANK TO AEROCELL MODULE SHALL BE PLACED ON SUITABLE BEDDING MATERIAL THAT IS MECHANICALLY COMPACTED. ALL LINES SHALL BE GRADED SO THAT THEY WILL DRAIN AFTER EACH PUMP CYCLE AND WILL NOT RETAIN ANY STANDING WATER. 24" INSULATED MH RISER WITH 4" OF INSULATION AND INSULATED LID - ELECTRICAL WIRE/S (SUPPLIED BY CONTRACTOR)- 24" INSULATED MH RISER (WITH JUNCTION BOX) WITH 2" OF INSULATION AND INSULATED LID- -SJE RHOMBUS INSTALLER FRIENDLY SERIES (IFS) TIMED CONTROL PANEL WITH DRY CONTACTS FOR XPERT ALERT WIFI MESSENGER UNIT SIM/TECH PRESSURE FILTER - FLOAT TREE ASSEMBLY REGARDLESS OF BURIAL DEPTH, IT IS RECOMMENDED THAT THE TANK HAVE A MINIMUM OF 2" OF INSULATION (NOT SHOWN FOR CLARITY) PLACED OVER THE TOP OF THE TANK - --------------A'----------- -------------------------- -- ---- y=--- - ---- 45" 35" MIN. LEVEL 29" 1500-GALLON TWO -COMPARTMENT CONCRETE TANK -XPERT ALERT MESSENGER UNIT (REMOTE MONITORING SYSTEM). INSTALLED IN HOUSE AS CLOSE TO INTERNET "BOX" AS POSSIBLE. PUMP TANK FLOAT SETTINGS D & S CONCRETE TANK 1500 VOLUME AT INLET INVERT *1625 GALLONS MIN. OPERATING VOLUME *1264 GALLONS INLET INVERT 45" OVERRIDE FLOAT 42.5" HIGH WATER ALARM 40.5" TIMER ENABLE FLOAT 36.5" FLOAT LEVELS ARE FROM BOTTOM OF TANK. NOTE: MEASUREMENTS ARE WHERE THE FLOAT WIRE ATTACHES TO PIPING WITH A 3.5 INCH TETHER FROM PIPING TO FLOAT. ALL FLOATS MUST BE NARROW ANGLE FLOATS. QUANICS AEROCELL CAT. 11 QUANICS AEROCELL SYSTEM CATEGORY II CONFIGURATION (3 BEDROOM SYSTEM ONLY) A-go0 RED �7�pt�TEd, [� a �CEI. 600 4" VISUAL 4" BY 4' WIDE 4" VISUAL INSPECTION PORT-\ INSULATION INSPECTION CENTERED PORT OVER PIPE TRANSITION TO 4" LINES .5" SCH. 40 PVC FEED LINE EP HOLE 4" RECIRCULATION RETURN LINE (80%) TIMER OVERRIDE FLOAT HIGH WATER FLOAT TIMER ENABLE FLOAT OULDS PE51 M FROM BOTTOM OFTANK VOLUME TIMER OVERRIDE ON 44" *1,589 TIMER OVERRIDE OFF 41" `1,480 HIGH WATER FLOAT ON 42" *1,516 HIGH WATER FLOAT OFF 39" -1,408 TIMER ENABLE ON 38" "1,372 TIMER ENABLE OFF 35" `1,264 `NOTE: LIQUID VOLUMES ARE APPROXIMATE. VOLUMES CALCULATED USING D & S CONCRETE INC DIMENSIONS FOR THEIR 1,500 GALLON SEPTIC TANK. 4" DISCHARGE (20%) TO DRAINFIELD OR PUMP VAULT NOTE: ALL PRESSURIZED PIPES ARE TO BE SCHEDULE 40 PVC UNLESS NOTED OTHERWISE. MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 3 0 S+c' ti' C-- 51 Day of s ` of 20 ,;-1 , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex located at (legal description) Greenland B6 L2 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 " Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. ? Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: signature) Date: 3 �y j7,S:+ '_C (print name) STATE OF ALASKA ) ) ss.. THIRD JUDICIAL DISTRICT } The foregoing instrument was acknowledged before me this _;Z� day of 0&0 6-etv' 20214 , by 6;4c, Sc_o Cgs ARY PUBLIC FOR ALASKA -- Commission expires: . I2., '.r1T�A►TE OF ALASKA h -# 4 T RY Pi 'BLIC MUNICIPALITY: By: _(signature) F✓� (print name) NA u Gia M. Currier %F My Commission Expires May 4, 2026 Date: C �' ' Z OZ 7 Title: CI V t L.. & N G /,�,,� f 1_ (rev. 05/18/2018) Page 3 of 3 U13MI I I A[ Aid 0 4 2020 kRuv L101U4110) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191520 PID Number: 015-171-23 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name Sean Case ABSORPTION FIELD NMI Deep Trench F-1WideTrench ❑ Bed [I Mound ❑ Other Site Site Addres s Ess th Ave Phone Number of Bedrooms Soil Rating depth from original grade 4 0.45 GPD/SF JTotal 12.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5.0 Ft. Gravel depth beneath pipe 7.0 Ft. Subdivision Greenland Block Lot 6 2 Fill added above original grade 0 Ft. Gravel length 2 @ 50 Ft. Township Range Section Gravel width 2 @ 2.5 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding i Tank Sewer Line Total absorption area 1400 Ftz Number of trenches 2 Dist. between trenches 14'+ Ft. Well 100'+ 100'+ n/a n/a 25'+ TANK © Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1250 Gal. Surface Water 100'+ 100'+ n/a n/a Material Number of compartments Lot Line 5'+ 10'+ n/a n/a NA Steel 2 Foundation 10'+ 10'+ n/a n/a LIFT STATION Manufacturer Capacity Remarks Dimensions are from well on lot Gal. Alarm location Electrical installed by Installer A+ Home Services PIPE MATERIAL House to tank 3034 Tank to 3034 drainrield Drainfield 3034 Co/MT 3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 470.0 ft Inspdectio v, 1/13/2020 2„ d 1/15/2020 3'd 1/15/2020 4" 2/12/2020 1 Location and description Bottom deck stair ON-SITE TEWATER SECTION APPROVAL Engineer's Stamp Conditional proval: a e � OF. A�,, 4.9— _ Jteven..R'. Gannione I i":`14o << . 4 Septic Sy em Approved Dater%�^'C�� Note: this approval does no ermit requirements. kRuv L101U4110) n-1on^^- n O C-) o_ CD CD r O O r x m m< 11 i O (n C Sc O7 z -D D D O O r Z O S r� Dir on Ln m ::1 p r Z o m O m ;Q r- (n O O 0 "1 Z 0 -i m D m m tF 0 b m -q !/ m x m -i N g: (n c D (n -0 - Z -0 00ml(, Z� momz0;m O'. D C7 r' >Io COD L- (nm � �y�7 �J PAN NE ENG SVC LLC (C.1. 1088) P.O. BOX PALMER, DO Z mr- 8�O-IDNp <Gi n O Z _O m C� O -' Cn c0 rm" C- N m w o :P �� (An -? -P W C.+ N N - -q 0 � m N � N (n O O P.I.D. NO ACP DRAWNCE - SEAN CASE ••• �•N •• ••••••• / Steven f�. F'annome 015-171-23 N 8149PERMIT tAVEo �� SITE PLAN ANC ORAGE13TH AK 99516 m O) SHEEPl9�520 (P Cn -r (A W N N J D -P -P Ul U N N W CA L4 N N N (.4 C..+ O DC) co J CD O co cp N CO J U S M -, (rj CD -P M (A CO 41 C4 N N O CD N n M (D U CD b m -q !/ m x m -i N g: (n c D (n -0 - Z -0 00ml(, Z� momz0;m O'. D C7 r' >Io COD L- (nm � �y�7 �J PAN NE ENG SVC LLC (C.1. 1088) P.O. BOX PALMER, DO Z mr- 8�O-IDNp <Gi REVISIONS rnXj,m7 cn Z _O m C� .= c�° �Q 'F9t1� -' Cn c0 rm" C- N m w o :P �� (An 2/17/2020 SCALE 0 41Un0-p 00 x N -i W Ln Lo� 0 r� ;U o• Lnnv o�D mm - o-I� (nom m-' m 0 m = � - -q 0 � m 0 � N (n O O c -E V I � % � Z — \ / O y m -Tm p m� m m p Fq z P . . . . . . DOrn / I b @ O 00m0 �mo\ \ \ o ➢cn-i nK:cn�0 \ _ m- mem -*i Z m - - 1 \ mrnzrm m>O�m0 \ N/N ' UDW7 � — Io.J \ \ c' \ _ 1 1 J Q) — m / \ a \/ / / m \� I 1c,. u / J r N r o F - co i c�l c I S S \ n -� cn D �O u( m �m(n_ O r \ \ \ I \ � O I n N D / O . CO O A N m J V y z o o i p i 0 rr, Z vV \ S\' \ I O 'r7 m 0 - - L- NOTES: PAN NE ENG SVC LLC (C.1. 1088) P.O. BOX PALMER, ������0\ A�gskt� REVISIONS DATE RECORD DRAWING 1807 AK 99645 PHONE 907 745-8200 FAX 907 745-8201 .= c�° �Q 'F9t1� REV 1: 3/19/20 2/17/2020 SCALE GREENLAND B6 L2 % 50' '�i --� P.I.D. NO ACP DRAWNCE - SEAN CASE ••• �•N •• ••••••• / Steven f�. F'annome 015-171-23 8149PERMIT tAVEo �� SITE PLAN ANC ORAGE13TH AK 99516 it SHEEPl9�520 ���� 2 OF 2 ,o"'a"'r MUNICIPALITY OF ANCHORAGE ��. � On-Site Water & Wastewater Program �e�A v SAF iPO Box 196650 4700 Elmore Road . Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 `" " httpa/ieww.muni.org/onsite • . . ».yJ� 1 epartmeut ''•f HORi.°� On-Site Wastewater Disposal System Permit Permit Number: OSP191520 Effective Date: 12/26/2019 Work Type: Septic Upgrade Expiration Date: 12/25/2020 Tax Code Number: 01517123000 Site Legal Address: GREENLAND BLK 6 LT 2 G:2636 Site Mailing Address: 4720 E 113TH AVE, Anchorage Owner: PANNONE ENGINEERING Lot Size in Sq Ft: 18000 Design Engineer: PANNONE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: Disposal Field E I Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. • 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing , Special Provisions: 7 day groundwater monitoring is required. 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: _ Date: /���4 9 Issued By: W I Date: r"2-/291 6/ %VA't ,S % Municipality of Anchorage ., <<, o L+LI Department P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.orq/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV191097 COSA#: Permit#: OSP191520 PID#: 015-171-23 Legal Description: Greenland BIk 6 It 2 Engineer: Pannone Engineering Services Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the private well has been approved. The approved separation distance is 75.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: JZ,Z`{/(q Approved by: tell-a) Name of Revie er **** VARIANCE/WAIVER REVIEW **** &D\O-Pip MUNICIPALITY OF ANCHORAGE Community Development Department �. Phone: 907-343 7904 Development Services Division Fax: 907-343-7997 On-Site Water&Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-171-23 Property owner(s) SEAN CASE Day phone Mailing address 4720 E 113TH AVE, ANCHORAGE AK 99516 Site address 4720 E 113TH AVE Legal description (Sub'd., Block & Lot) &jentar ok Q( L Legal description (Township, Range&Section) GREENLAND B6 L2 Lot Size 18,000 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑x Initial ❑ Single Family (SF) I (w/wo ADU) Septic Tank Upgrade 0 Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUESTiFOR: WELL TO ABSORPTION FIELD SEPARATION Distance:75' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. _ /*Z,3W (Signature of property owner or authorized agent) Permit/Rush Fees: 5/5- Waiver Fees: VieD — Date of Payment: ((-a-S't C) Date of Payment: ;' /1 - a 5- /9 Receipt Number: /03(03 '6t Receipt Number: O?o? )G Permit No. 6S ei of 1 5 Z ) Waiver No. OSV l'1 1°61 -7 Permit App_:•:•:: c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191520, Deb Wockenfuss, 12/24/19 Page 2 of 2 Water table gradient 2.90 Horizontal separation 2.00 Total Points 16.34 The sum of the above values could equate to the following conditions: 16-25 Almost sure to be free from any form of contamination from household sewage. 6. 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. If you have any questions or concerns, please contact me at 745-8200. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O.Box 1807, Palmer, AI( 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191520, Deb Wockenfuss, 12/24/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191520, Deb Wockenfuss, 12/24/19 ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT f'~- 7~,~- ~,'~'~ ,.J~'UPGRADE MAILING ADDRESS \ ~) . . ~OCATION NO. OF BED.S Well t Absorption area~ Dwelling ~ PERMIT NO. DISTANCE TO: /~0 ~Z Manufa t.~ ~ c~_ Ma No. ~,partments e Liq cai~ it in ns IF HOMEMADE: ~ - ' ~%:¢8 Insidelength Width ~ Liquid~h ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z < Manu~ ~/%/ ~ ~ ~/ Ma / ~ Pacity i~ ;~ DISTANCE TO:~ ~' O0 {¢ lin~ Tre~ wi/~s Dista~en~ line~/~ Well , Foundation ~ ~ ~ No. of Ih, es L/ea,~ Total length of ~ Top of tile to f~ish grade t Material beneath tile ~~s --' Length Width Depth PE I . ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ DISTA~C[ TO: Buddm~ foundation Se~er ~ne Septic ~ank Absorption area{s) OTHER -- SOIL TEST RATIO/ ~ ~ ¢6( ~ /(~ t DATE LEGAL r'E:PI..-.iI~:TP1ENT F HE:F~L'FI..~ FIND EN,,,'IRCINhlE:NTFIL ' CITEC:T C~;2~ "L STREET, FINC:HI~RF1GE., FIK. ,:: ::, FIF'PL ]: CFII"dT T(:,H MUNCE'v' ~.4~? PL F I REP.IEED LN. L.EGI:~I_ 1.3T~ BLk.~, GREENLlaNC,~'=H:',~, LOT SIZE t.E:OC~E~ SQIJF:IRE FEET T'¢F'E OF ~;O]:L HE,=,UF.F] ~ON S'¢STE:H ~E;: TRENCH tlH¢-,IP'It.IH N(.Ih'IBER OF E, EERLIUH_~ =; 2: 'SOIL RRTING ,::~Q F'T,"E:R::,= _ ,,:. ,., -. THE REQUIRE(:, :E;~ZE OF THE ~OZL HE,_,URFTZUN SYSTEM ~S: THE LENGTH DIHENSION I'.E;., THE LENGTH (IN FEET) OF THE TRENCH OR [:,RFIII'.,IFIELL',. THE: E:,EF'TI.4 OF FI TRENCH OF.: F'IT IS THE [:,ISTRNE:E BET!-4EEI'.,! THE SURFFICE OF THE GF.'.OUND FINC, "r'HE E;OTI"OH OF THE E:XCFIVRTIOI'4 4II'4 FEET). TFIE:.F.:E I'-S NO :.SET !,.IIE:,TH FOR TRENCHES. THE GRR',,,'EL DEPTH IS THE HINIMLIH DEPTH OF GRR',,,'EL BE:T(,.IEEN THE: OUTFI=ILL. PIPE Rl'.,If':, THE BOTTOH OF TFIE EXCFI',,,'RTION ,.'.IN FEFT). F'ERHIT' I"tFFLI .HNT F.IFIS THE RESPDN'_:;IE:ILIT'-r' TF~ INF'OF.:M THIS E:,EPFIRTHEI'.,IT B, UF::II"4Ei THE IN:STFILL. FITION I1..,ISF'EF:TIFIN:,5 OF FINY HELLS FIE:,..TRE:ENT TO TI"II2'; F'F..:FIPERTY FINE:, THE I~JI1E, EF.. Cfi::' F.E::,I[.E1.,IL.E=, T(-IFI'F THE I.,.IELL P.IILL. ................. -li~ lt..,..ll C) .:: ,,=:. ::, ]: I'-4 :.., F E: L. '1 Z Ce 1t"-4 "~-~7, IFil ~ E E, FI_.(:.FILL [l',lt.~ f'iF FI1.',IY :~"r'STEH HITHOUT FINRL Zi"L':,FEL. 1 ION FINE:, FIPP(~p:W'FIL E'Y.. TFltc:_, C, EI::'FIF.'.THENT 14ILL E:E :.',JE,..EL.I' T3 PPr'gE': i',llhlIl','lLIi',l [:,ISTRNCE BETHEEI'.,I FI 14EL. L RND FINY Cfi,I-SITE SEt,.IFIGE DISPOS;FIL SYL=',TEH IS :;LOE~ FEET FOR R PF:IVFITE HELL Olq'. ::L50 TO 200 FEET FF..:OM FI PUBLIC NELL DEF'EN[:,ING UF'ON THE TYF'E OF PLIE:LIC HELL. MII'.4IHLIH [:,ISTRNC:E FROH R PRIYFITE HELL TO R PRI',,,'FITE SEHER LINE IS 25 FEET FIND 'TO R COMHLINITY SEP.IEF;.'. LINE IS 75 FEET. I:"~TI-.IER REg!UIRE:HENTS MR"r' FIPPLY. S',F'ECIFICRTIC. INS FIND COI'.,ILSTRUC:TIOI'.~ [:,IFIGRFIMS FIF.'.E R',,,'FIILFtBLE TO IN:St.IRE PROPER INSTFILLRTION. I C:EF.'.T.I:F'¢ TI4F'IT :l.: I Rr'l FFIHILIFIR P.IITH THE F;.iEC!UIREi"IENTS FOR ON-E;ITE E;E!4EIRS RN[.', HELLS FIS SE]' FORTPI D"r' THE HUNIC:IF:'RLITY (:IF FINCHORRGE. 2: I NIL. I_ INSTRLL THE SYSTEH IN FICCOR[:'FINCE .b.IITH THE: COB'lES. ~]:: I UNDERSTRND THFIT THE ON-SITE SEI.,IEF.'. SYSTEH 1.'1RY REL:..!L~II';.:E ENLFIF~GEMENT IF THE F::ESI[:'ENC:E I2; F.:E]"IC~[:,ELEE:, TF~ I1..,ICIJJE:,E MORE THFIN :2: E, EE~F. UJM.=. Gr V fOv4' 0 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION I~ PERCOLATION 'rEST Pouch 6'-650, Anchorage, Alaska 99502 ~76-222~ SOILS LOG -- PERCOLATION TEST ASI NO 01080 PERFORMED FOR: Tom Huncey DATE PERFORMED: 8/12/80 LEGAL DESCRIPTION: LO~ 2! Block 6, Greenland Subdivision SLOPE SITE PLAN 1 5 6 7 8 9 10 11 12 13 Gravelly Silt Brown, Dry ;ilt w/some gravel Dry, Dense Lt. Brown w/cobbles & cobbles WAS GROUND wATER ENCOUNTERED? N o IF YES, AT WHAT DEPTH? 15 COMMENTS Sandy Silt w/some gravel Stephen D, Shmder No, 4148-E Reading Time Net Time ~ m i n Depth to Water, i D Net Drop~ in 1 8/12/8 1:42 -0- 2.76 -0- 2 8/12/8 1:47 5 ~.27 0.51 1:52 2:12 8/12/80 8/1Z/'aT~ 8/12/8o 5 15 15 5.74 4.02 4.41 4.65 2:27 2:42 0.47 0.t2 0.16 0.24 ER CO LATIO N RATE ~ 8 m i n / i n c h (minules/inch) 6 8 BETWEEN FT AND -- FT PERFORMED BY: Skeph 72 OO8 (?/76) Shrader CERTiFiEDBY:S.Shrader, P,E. PATE:8/13/80 Alaska SoiIs Investigations 624 W. Int'l Airpor~ Rd Suite 103 Anchorage~ At< 99502 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. OrS- J-Ir I- ~ 1. GENERAL. INFoRMATIoN Complete legal db§cription COSA # (~"5 C~ Expiration Date: Location (site address) Current Properly owner(s) Mailing address Lending agency Day phone Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone 3. TYPE OFWATERSUPPLY: Individual Well Individual Water Storage Community Class __ Public Water System Well TYPE OF WASTEWATER DISPOSAL: [~ Individual On-site [] Individual Holding Tank [] · Community On-site [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On,Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional.civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissUed with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in theprofessional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER DSD SIGNATURE ~/'"~" Approved for L.~ Disapproved.. Conditional approval for 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. NameofFirm · Phone ~7c/- 3~11~ ' ' Yk ~' ~ ~' Address ~0:~ k,0~ J5 Ave.,dY. :Zo;,iAnc omfl%,AY', , ~' ' Date ' J Printed Name [..r~c~ ~,Oqr~\cX~c~ c~i[312'~'O Engineers' :E' · '; · bedrooms. ~ ~ ·'%cc~:~!~'Z-' .~. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory By: (Rev. 11/05) X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ~' ( ginal Certificate Date: / O - /- / 0 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343°7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ~reer~l~,~ ~W,, (~ {m{ 2. Parcel ID: als--~'~l- 23 A. WELL DATA Well type ~(x~... Date completed ~n~x,~ c~ Total depth fa[4n ft. IfA, B, or C provide PWSID #__ Sanitary seal (Y/N).. ~ Cased to 4qO ft. Well Log (Y/N) Wires properly protected (Y/N) Y casing height (above ground) -I. in. FROM WELL LOG AT INSPECTION Date of test ~c~o ~ Static water level ~o~ ~ ft. Well production ~ ~wo~ ~ g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform ~ coloniesll00 mL Nitrate ~,J'{- mg/L · Arsenic: ~/D ug/L' 'date of sample: ~ z_~.oto Collected by: B, SEPTIC/HOLDING TANK DATA R~%,,~,~ (~o~,; ~i'[Z°to · colonies/100 mL Tank Type/Material. ~re~, /5{'e.e_~ Tank size ~,50 gal. Number of.Compartments ~ Foundation cleanout (Y/N).'.y' 'Depression over tank (Y/N) /V' 'Date of pumping ~/~ ~) 7.O,0 Pumper.. /V'oc Jl~ [~.~ . c. ABSORPTION FIELD DATA Date installed ci/2z/l~l~O Cleanouts (Y/N) High water alarm (Y/N) Date installed, laajm n Soil rating (g.p.d./ft~ or ft~/bdrm) 315 ! ~ - . Length ~(~ ft. Width L~-5 ft. Total depth [[, [ ft. Eft. absorption area .~"~.0ft2 Monitoring tube . Fluid depth in absorption field before test ~ in. Water added {050 gal. Elapsed Time: l~ min. Final fluid depth ~ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & ~pe) ~O System type "T7¢,~c {~ Gravel below pipe IO ft. Depression over field For ~' bedrooms New depth]t~ in. ~0 g.p.d. If yes. give date ' ' Other bacteda D. IZIFT STATION Date installed ~ "Pump on" level at. Datum j E. SEPARATION DISTANCES Size in gallons ' ~" .4' "Pump off" level atT~ ~n. Cycles tested ~' Manhole/Access (Y/N) ~ High water alarm level~at ~,,'"_ in. Meets alarm & circuit r~,,~irements? · SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ~) t ~ Absorption field on lot [00t 'Public sewer main J~/A I Sewer/septic service line ~.~ '~' Animal containment areas 50'-I. On adjacent lots tOOt On adjacent lots [00 Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas i Property line 5 -I- I Absorption field ~ -I- Surface water lO0 t+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I Building foundation ~ -I-- I^ Water main /V' Water service line |0 'Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line [0~4- Building foundati~)n · Water Service line [Ot~ Surface water Curtain drain 50t'l' Wells on adjacent lots COMMENTS Water main /VIA Driveway, parking/vehicle storage G, ENGINEER'S CERTIFICATION I certify that I have determined through fieId inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name ,, L3r$ ,~~c~ Date q1'3)2.(:/~ COSA Fee $ Receipt Number Waiver Fee $ Date of Payment Receipt Number Environmental Consulting and Design SEPTIC SYSTEM DESIGN Green Land Block 6 Lot 2 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 October 1, 2010 Subject: Well Inspection 4720 E. 113th Ave. Ladies and Gentlemen: On October 1 st, 2010 the well casing at the above referenced property was inspected using a camera/scope by Aarow Pump and Well. No leaks or perforations were observed in the first 40 feet of casing. If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lars Spurkland, P.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland~gci.net LOT 3 LOT 11:5 TH EAST AVE 0 u 0 ' 0 0 20" E I00.' (RECORD) 99.67 (Measured)' ~o.~' ~ .'t '. BLOCK CERTIFICATION GREENLAND SUBD/I/IS/ON N 89° 5:5' 20"W I00' ALLEY LOT 2, BLOCK 6, GREENLAND SUBDIVISION ANCHORAGE RECORDING PRECINCT, ALASKA AS-BUILT OCTOBER 25, 1986 PREPARED BY: RAB SURVEYS 4721EAST tl3TH AVE. ANCHORAGE, AK, 99516 346-3582 LOT I It is the .responsibility of the owner or builder proir to construction, bo verify proposed building grade, relative to finish grade and u[ilicy connect- ions and to determine the "existense of any easemen[s convenants or res5ric[ions which do not appear on the recorded subdivision plat. b LEGEND FOUND §18" REBAR EXISTING 5/8' REBAR SCALE r=~O' NO EASEMENTS SHOWN ON PLAT P-258 FILED JULY tS. 1952_ Parcel I.D. # I. GENERAL INFORMATION (Must be completed prior to submittal)  MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES . 343-4744 · CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF .-~-,'~ ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING /~.~- ~'-)~c-O.~ ' ' NAA#' ~,~(~C"C'x,~--).&'" (a) Legal Description (include 10t, block, subdivision, section, township, range) Location (address or directions) Y (b) Property owner _.Tg~."~o~.¢- Mailing Address 'Telephone: (home) Business (c) Lending Institution ~t~0-F'~1 14.,~ ~/u'¢~a.~,t_. . _ Telephone Mailing Address (d) Real Estate Company and Agent ' Address (e) Mail the HAA to the following address: (or check here/~if hold for pick up.) List contact person and day phone number below: f 2. TYPE OF RESIDENCE , / Y Single-Family/~ Number of bedrooms 3; WATER SUPPLY "Individual Well Community [] Public [] · ,.Note: Ifcomm(~ni,ty~well..~ystem, must have written confirmation from the State Department of Environmental "Conservation attesting to'th legality and'stat~s. '~';'~ ........ "" SE--AGEW ' ' 4. DISPOSAL ' N°t~iqf · _ '~st'eni._ ,,_'m~st h~W2,wriit'e'~'~'n¥irmati~r~"f~'0m the State. Departme'r)t oflinvir°n,me~ia!'i Conservation a~esdn~j to the ~eBamy and status. : .r:, .. ' . -~.,- 72-025 (Rev. ;'/88) Page 1 of 2 ~0~_~..~,-~'-~/ ~/4'.,/~_ .~/~-. '~ . ~[~Z.~ · .' ,S.s~jp.P~ · 'uo!lo~dsu! s!qJ to ei~p e~l uo loe~e .U!,Suo!le nSe~ pUe '.s¢oueu p Jo 'sepoo -' pue ledlmun~ I1~ Ni!~ eoue d~o.u s ~ejs~s esode p celeMem~M.~o/pu~ ~ ddns.~ei~M eim-uo eql 'uol~oedeul " pue uo.legRSeAU] ~ mo~l pu~ Sel!t eSe~oNouv ¢o ~liledlo!unR eUl moji peu!~lqo uo3emJolu! e~j uo peseq ?NJ ~UeA ~eNpnJ I 'uleJeN pelempul eJnlon~is ~o ed~ pue. smoo~peq ~o ~eqmnu eNi ~ol eienbepel~"~uo loun~ _ eles ~m-~elsXs I~S6Js.'P Je)eMe~Se~,¢p/pUe,~ ddns Je'leA;~.l,~-,uo-e,q~.~qI :s~oqs::'-~b'Jddv ~1,~ ql V ql s! q3 ~o uo!leSRseAUl ~ ~e'ql ~lpeA I '~oleq u~oqs e3ep uo!3eP!leA eql to se pue om~eq pe.x!iI? lees ~ ~q pe!II~e3 sv - · NOI2~HOaNI QN~ Y2~Q 'HOa~as ama 's2sa~"s NoJ2oadSNI 9NIOlAOad aula 9NlaaaNleNa 'S MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal Description: £-oq- ~ ~V.-~ A. WELR £AI I V E D Well Classification Well Log Present (Y/N) ~%1 Total Depth I iS" Cased to __ ~ ~-- '-% If A, B, C, D.E.C. Approved (Y/N) Date Completed ~.~ v~.4 o,-¢.-t Yield dc e{ ~ ~ ~_~ Depth of Grouting ~J.A Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~ To Nearest Edge of Absorption Field on Lot Pump Set At 'i~,~, ~ v,v) Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~ To Nearest Public Sewer Cleanout/Manhole ~ ~ ;Date_.-~,e.[~-~ ~LlC~c~ B. SEPTIC/HOLDING TANK DATA Date Installed l~' ~O Size Standpipes (Y/N) 6.0 r~e_ Air-tight Caps (Y/N) 7 Depression over Tank (Y/N) ~'~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped C~ [~ l ~1~, ;for /V//A Temporary Holding Tank Permit (Y/N) To Water-Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course To Building Foundation To Disposal Field xl V/A Comments 72-026 (Rev. 7/88) Fronl Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design Length of Field ~, ~ Depth of Field I ~ Gravel Bed Thickness I O J -7 '-L ~ Statndpipes Present (Y/N) Da~of Last Adequacy Test ct J SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line J C) -'F-- To Existing or Abandoned System on ; On Adjoining Lots ~ ~ To Cutback (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) ';Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company Date MOA No. Receipt Date of Payment Amount: $ /' ~:"" ' "" "'"" Engineer's Seal Receipt No.",.,. :" Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Client Sample ID:L2 B6 GREENLAND PWSID :UA Collected BEP 5 90 ~ 14:30 hrs. Received 3EP 5 90 ~ 14:40 ChemLab Ref. $ :903449 Analysis Completed : ~_~-~O Laboratory Supervlso~ :STEPHEN C. EDE Released By : LAB INSTRUCTIONS for Wuzk Ordbr ! 27045 Date Report Printed: SEP-7 90 { 15:11 Client Name : TOBBEN SPURKLAND, P.E. Client hcct : TOBBENS P.O.t NONE RECEIVBD Req ! Ordered By : Send Roports to: i)TOBBEN SPURKLAND, P.E. Special HOLD FOR PICK UP. Instruct: Chemlab Client Parameter Sample { Sample Description Matrix To Test Method Units Result 1 L2 B6 GREENLAND S/D I BOI53-NITRATE-N EPA 353.2 mo/1 ~,(~ 6-751 W Dimond Anchorage Alaska 99502 (907) 246-5095 SEPTIC SYSTEM ADEQUACY TE,,T LEGAL: L~t 2, Block 6, Gr'eenland S/D LOCA[ ION: 4720 E 115th. Ave. OWNER: Pope/Price RESIDENCE: Single Family d Bedr-oores WATER .SUPPLY: Onsite Well, Se~'ving this Residence Only SEP'r lC SYSTEM: FROM MUNICIPAL RECORDS: TANK: 0reef Stee] 1200 ga]. Two Comp. ABSORPTION SYSTEM: Trench ABSORPTION AREA: 1720 sq. ft.. SOIL RATING: 315 INSTALLATION DATE: Sept, 1980 DATE OF LAST PUMPING: Sept. 6, ] 990. Anclnorage Cesspool DATE OF '[ES'f: Sept, 5, 1990 TEST PROCEDURE: System was inspected and measur'edon Sept with 6 feet or cover- and 42 roches of liquid. C]eanout to trench was monitor- tube. was 1 I feet deep and dry. S, 1990 'rank was found 80 deep anddny. Tr-ench 1 1 O0 gallons of olean water- was added to tl~e trench at a constant rate of 4 gallons per rninute. The water'levels in the tank and monitor' tube were monitored. The water level in tile tank did not rise wtnile t. he tnench sump remained dry, 'rEST RESULTS: This septic system meets the operational requirements of tile Municipality of Anchonage. The tank is installed within the 100 foot protectiver'adius of tine well. A ten waiver is r'equired. [he operational life of all septic systems depends on the local soil conditions, groundwater levels that ma,/fluctuate dur'ing the yea', and the water' usage of the family being served by the system. These conditions are outside the conU'ol of tlne evaluator' of this system. We can thei'efore not give any estimate of how long this system will function satisfactory for cur'l-ent or' futune occupants. 6751 W Dh-rlond Anchoraqe Alaska 99502-3P.,04 (.~0/) 248-5095 RESIDENTIAL WELL If,I,:,PECTIOI',I L£OAi__: LO(,ATION: OWNER: WEI I. 01_A$5~ Lot ~-5, B lOck 2, Opeen land S/I) ...,, ¢_0 E. I 13th. Ave. Pope/Price INSIALLAi ION REQUIREMEN1S ME'I: 5ingle Faro ly Residential W(d:l ,,',., WELL LOG AVAILABLE: No WELL YIELD FROM WELL LOO: 61. ol. Per' minute PUMP YIEI.I) FROH TE,S'I: FO.i" gal, per rain.lie hA'rE OF INSPECTION: Sept. 5, 1990 'I'E,5I PRO(,'EI)URE: Well was purnl)ed at a constant rate while the drawdown was r-nonitor-ed ,'¢iti~ ,-~r~ dCOUStiC n,r'obe. At t.i'~e begmrdng of (he test water level was found at 37 feet below the top or'he casing At a pumping rate of 4 gallons per minute the water level dropped to 43 feet .:4tar ¢(, minutes and r'ernalned at tl~at level for the remainder of the test, 4.5 I~r-$. A total of I i''' ~',.) ,., O,bllorJ$ wer'e ~'ernoved from the well. 1'E51 FOR E.OOLI AND 1'01A1_ NITROGEN: Asampleof water taken from the well was tested for E.Coli and nitrates on o(,I)t, 6, 1990 E, Cell 0 Total Nitrates '7,8 rng,/1 E,Coli allowable O, Ida>',. allowable total nitrates 10.0 rng,/1. TE,ST RESULTS: This well meetstl~e requirement of the Municipality of Anchorage. THIS WELL WILL PRODUCE HORE THAN 30ALLONS PER MII',tUI'E FOR MORE THAN EOUR HOURS. The Nunioipal r'equir'emer~t for' well flow is 150 gallons of watur' per' budr'oorn per day. This we!! exceeds finis requirement, The assessment of the condition of th(:well applies only to the cord!tiers as thE;y wane on the clay the well was tested. The flow rate may change duo to .;,ubsLir race conditions that ran not be observed fi'om the surface, or fr'om changes in the land use of other factors that maw !mpaot the aquifer' feeding the well Tom Fink, Mayor / unicipality Anchorage Department of Health and Human Services 825 "L" Street P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 18, 1990 Tobben Spurkland, P.E. 6751 West Dimond Boulevard Anchorage, Alaska 99502-3904 Subject: Waiver Request for Lot 2 Block 6 Greenland Subdivision Waiver Request #WR900035, PID ~015-171-23., HA900378 Dear Mr. Sprukland: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 80 feet from well. to septic tank. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services Concur: ,/ On-site Services ljm:~6 6?Gl W Dimond Anchor'~g~ Ai~k~ g%o2~3g04 (907) 248-5095 Hunlcipality of Anchorage Division of Environmental Health r. Pepartment or Healtl~ and Social 820 L ,:~t~ eet Anchorage, Aiaska, 99501 Services September ! O, 990 Subject: REQUEST FOR WAIVER OF SEPARATION DISTANCE FOR PR IVAT[! WELl_ TO SEPTIC TANK LOT 2, [~LOCK 6, GREENLAND S/D POPE/PRICE We ar'e submitting a request for waiver' from tine separation distance stated in Title 18, Alaska Administrative Code, Chapter 80.020. Dul-'ing an Health Authority Inspection on September 5, 1990, it was discovered that the horizontal distance between the well and tl~e septic tank was approximately 80 feet, 20 feet less than tt~e required 100 feet Tl~e well was installed prior to 1980. There is no well log available. The existing septic system was installed in Sept. of 1980 and was at that time inspected by Municipal Inspectors who indicated a separation distance of lOOfeet A HAA was approved in 1986 witl~ a distance of I00+ indicated Surveyed As [_~uilts per'formed in 1980 and in 1986 show tl~e tank clearly within the l OOfoot radiusof tl~ewell. These surveys also show that the well is located up-hill from the septic system and that the building is located between the well and the septic. By researcl~ing the files at the Health Department we obtained 5 well logs inthe imrnediately vicinity of this location. Well logs for lots 3, 4, 8, and 9, BIockG, andLot 6, Block 5. The information shown on these logs are very s~rnitar and give a consistent picture of the subsurface conditions: A water bearing strata at approxirnately 60 feet, static water level at 30 feet, and a 40 feet tl~ick impervious layer. The information from the five well logs l~ave been summarized in tl~e following table. !nsta!)ecl 1984 Total Depth 69 Water. Level 60 ~tatio Wa[er' Level 50 Clay/Silt Thickness 48 L4/66 kS/B6 t.9/B6 L6/BS 1989 1974 1982 !979 71 68 66 81 66 62 45 7d 28 48 39 45 42 40 20 18 By Following tl~e procedure recomrnended by DEC wt~en analyzing tile potential for contamination, arrive at the following points: Distance to Water Bearing Strata (>40) Soil Sorbtion ( 50% of soil is Silt or Clay) Perrnability (40' of impervious materials) Gradient ( Slopes away From well- Lot 3 -4) Separat:ion (80') Total 5 3 3 3 2_5 16.5 Conclusion: Almost sure to be free From any Form oF contamination from household sewage. Please issue a waiver' for this property. YOUFS 'F. Spud<land P.E. ..,..,.,: ~ ..,, c.,.~ 0 o,...~ ........ ,.~ : MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ~ ~O.~}L~) GENERAL INFORMATION (a) (b) (c) Legal~. f".~- ~ (Z:Lr~ J Description (include ..~,g,..~9 .I°t' block,~x9~ ~--- subdivision,~)/O¢_., sc. ction,~ township, range) Location (address or directions) Applicant Name Telephone: Home ~/&' g~'~ ~-'-- Business Applicant Address ~f ~7-,-''¢'~'¢' I~. / I ~' -¢~,,. ./.~-d,...~ ~ O~- ~"2 ,e. Applicant is (check one): Lending Institution []; Owner/builder~.; Buyer []; Other [] (explain); (d) Lending Institution Address Telephone (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 4'4 TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms /"/ Other WATER SUPPLY Individual Well E~ Community El Public [] Note: If community well syslem, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status, 4. SEWAGE DISPOSAL Onsite ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72~025 ENGINEERING FIRM PROVIDING ,SPECTIONS, TESTS, FILE SEARCH, DA'I,-..,,NDINFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigatio~ of this,Health · Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verily that based on the inlormation obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. . . Name of Firm/'l(,,,,or~tq: ~547.~'¢.~ Telephone -~(.o/- ~/~ [ Engineer's Seal D HEP APPROVAl ~ ~ <~ate ~p/~ Approved for ..//'"~,~--~./ bedrooms b Approved /~ Disapproved / _ Conditio~J Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection ([:)HEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MeAl HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: MUNICIPALffY OF ANCHORAGE DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION J U N 0 1986 D WELL DATA Well Classification }~J / If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) X0 Date Completed ~Yl~q0CJf'/ Yield Total Depth ll~l 4649- Casedto JJ~'¢r4¢' Static Water Level I O5"' Casing Height Above Ground /' ~"~ Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) lk~ 0 ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot __/~)0. t ; On Adjoining Lots I (..)O f -fi'- To Nearest Public Sewer Line /q/R To Nearest Public Sewer Cleanout/Manhole .N/~ To Nearest Sewer Service Line on Lot Water Sample Collected by /--, ,(~ Water Sample Test Results SEPTIC/HOLDING TANK DATA Date Installed q/ZZ/6O''¢: Size l'~'~-'''O-4v'; No. of Compartments Standpipes (Y/N) y¢5 Air-tight Caps (Y/N) Depression over Tank (Y/N) /'4.0 Pumping/Maintenance Contract on Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line _ '/'/0 f Course ~//~ y'~,¢ Foundation Cleanout (Y/N) ~ 0 Date Last Pumped (0/6/8(0 Temporary Holding Tank Permit (Y/N) ~ To Building Foundation "¢ ~ To Disposal Field / ~ To Stream, Pond, Lake, or Major Drainage Comments From Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed q/~,7--~;dr( 5" Width of Field 4/ Square Feet of Absorption Area / Depression over Field (Y/N) /'~ O Results of Last Adequacy Test ~-¢J~ I Separation Distance from Absorption Field: To Water-Supply Well TO Building Foundation "J(- Type of System Design Length of Field ~/OI ¢ Depth of Field _ /¢/S Gravel Bed Thickness /O / -~' To Property Line ~.; On Adjoining Lots To Existing or Abandoned System on ~0'+ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area + Comments To Cutbank (if present) /0' D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Co~ Co m m e n~d~-'- Dimensions Manho~e~(-~ Vent (Y/N) //:~u~p Off" Level at ~'~--~umping Cyclcs-~adll~g Adequacy Test1 Meets MOA / ** Check P~'r~itted Bedr~/om Rating Against HAA Request ** certify th~t/Y~/'b/a~e/eh ec .k/~cV, ve ri fied//~ or conformed to all MOA and HAA guidelines in effect on the date of ~ ~, this Sign e; /~/~ ~ Date ¢~, /~ inspection. Receipt No. Date of Payment ('::::,-'~ Amount: $ ~ .~ Page 2 of 2 72-026 (11/84J DATE RECEIVED I NSPECTI ON APPOI NTM E NTS (¢2-~/~:~).~_.~'~./ T;ME TIME TIME INSPECTOR INSPECTOR INSPECTOR~ _~ MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 JUL,~O 1980 ENVIRONMENTAL SANITATION DIVISION RECEIVED Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS; Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing. PROPERTY RESidENT (If different ~:~m above)~/~ PHONE 2, BUYER ~ ~ PHONE MAILING ADDRESS 4. ~ ~ , I/ PHONE STREET LOGATION -,.~v . ~ 6. TYPE OF RESIDENCE f/ ' ' NUMBER OF~BEDROOMS [] One Z] Foul' E~ Other r~J/~ SINGLE FAMILY IZ~ Two .~ Five [] MULTIPLE FAMILY [] Three :1-] Six 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG, A well Icg is required for all wells dril ed since June 1975. For wells drilled prior to that date. give well depth (attach Jog f available.) 8. SEWAGE DISPOSAL SYSTEM ~ IN DIVI DLJAL/ON-SITE** PUBLIC UTILITY [ e ,/,O ...~YEAR ON-SITE SYSTEM WAS NSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVi DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED F]PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or E]Holding Tank Size:. If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line I 1 WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS ~T APPROVED / BEDROOMS c~'~ (letter must accompany certificate) ~DISAPPROvEDCONDITIONAL APPROVAL DATE BY ,7~ly 11, 1980 Thomas i-~ ~.'lunsey Si?~, Box 1721-A A~.chor.sge, Alaska 99502 Subjeot~' Lot 2~ I~lock 6, Greenland Subdivision Approval for your individual sewer an(l water facilt~J.es ~an not be granted until %he following .i%ems hhve been completed; (3.) T~ septic tank pumped with a receipt submitted to this department. The hotal nun,)er of gallons pumped nee~ls to be on the receipt to verigy 'tile size of tile tan k. (2) A~ adequacy test ~D~performed on the existing leachinf4 area. This test wi].l determin~ if the syste~u is adequate accord, lng to National Stan~lards. A listin~ of private firms performing the 'test is enclosed. This report needs to be submitte<l to this department for our revi(~;. (3) Rte ~ater analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review~ If there are any further questions, please contact this office at 264~4720. Sincerely, Robert C. Pratt, R,S. Associate Specialist ~lCP/kas cc~ Cent,~'y 21 Heritage !!omes ~argie Lugo 207 E. Northern Lights Blwt. 0~9503