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HomeMy WebLinkAboutPIONEER ESTATES BLK 2 LT 4Itswis‹ LA-aita a,4 4 8\okiL `'DSS - O°WtO Municipality of Anchorage Page —hof 2 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: ,3/,'990/7/ PID Number 057-09/--/o Name: Q /..AA/,rQ /-tow.4ao Wastewater System: ® New ❑upgrade Address: Pa , /30x 2 . 2 53 ikiatnacieser 99523 ABSORPTION FIELD Phone: No. of Bedrooms: ���� (a1)G88-.3 0 Deep Trench jsi(Shallow Trench 0 Bed 0 Mound 0 Other LEGAL DESCRIPTION Soil Rating: �• GPD/Sq. Ft Total Depth from original grade: S.5 / Lot: Block: �j S bdivision: 4 2 Ersgn/4" )2- E Ti17.La Depth to pipe bottom from original grade: 3 Ft. Gravel depth beneath pipe 2.5 Ft. Township: /5 Range: 2E Section: 6. Fill added above original grade: o. s Ft. Gravel length: 53 Ft. WELL: Er"f"6l New 0 Upgrade Gravel width: 5 Ft. Number of lines: / Distance between lines: %ry % Ft. Classification (Private. A.B,C): pi?r WI -re Total Depth: a4`0 Ft. Cased To: allo Ft. Total absorption area: 1/53 SQ. Ft. Pipe material: Ar7.n' 303// 6Fi0 Date installed: gbide, Driller: W Or-0//,d9 Date Drlled: 4-a3-9J Static Water Level: 942 Ft. Installer: EX- 95-0609 AutLA.JCH. Yield: a GPM Pump Set at: if 0-111P0 Ft. Casing H Ight Above Ground: Ft. TANK SEPARATION DISTANCES 5d septic 0 Holding 0 S.T.E.P. To From Septic Tank Absorption Field Lilt Station Holding Tank Publlc/Private Sewer Linea Manufacturer. ANe//O2AGE Capacity in gallons: /ow Well- /GC' t//j0 .//2' t/ot� —/— — Material: S tee/ LIFT STATION Number offCCom?artments: N I 4 Surface Lot Line ?Or 2' ea5. 2' Size in gallons: Manufacturer. Foundation �}. 0 5e. 4' _ — "Pump on" level at: "Pump off' level at: High water alarm at: Curtain Drain Pump eBModel Elec rical Inspections performed by: Remarks: BENCH MARK Location and Description: Nr /a Geer- 4; T2P Ofl .et; ,e 9,i- Assumed Elevation: /O� ENGINEER'S sort OF e• N• jje.a.••eab ess(Inspections O 4S i ' Irv,:da ��� q;�ti. LouCE6136is aROF Vonszeir SEAL 44 AN, S 4 • e 1 ora .. V n goN performed by: ,695-k AV r ed-'�cDates:1st c//`//,5 2nd 11'"/f Department of Health and Human Services approval Reviewed and approved by: �--nQ/. dc7: Date 1-.2-`7L- 97 72-013 (Rev. 9/91) MOA 25 Permit No. SW990171 Page 2 of 2 Municipality of Anchorage 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 Legal Description: LOT 4, BLOCK Z PIONEER ESTATES PID No.: 057-091-10 — ROCHELLE AVE - i \ N 89'55'30' E C') H J w 0 0 z 0 0 0 N \ 258.00 \ E • CO • • N. • • 10' UTILITY EASEMENT \J EXISTING WELL TH2 5X57' I I ALT. SITE LOT 4 258.00 U7 J S 89'55'30' W 86.1 85.9 85.5 1 95.5 PROFiI F (N.T.S.) ORIGINAL GROUNDLEVEL AT, 00.5 0 INOOVT 77.0 OATIRI NWCLOT 4 -TOP OF REBAR ASSUMED ELEV = 100.00 SWING TIES A -C 43.8 B -C 43.6 A-0 49.7 B-0 49.1 A-E 61.4 B-E 64.7 A -F 89.8 8-F 73.4 ® - TEST HOLE • - MONITOR TUBE o - SEWER CLEANOUT -0 - WELL I LEACH FIELD — — - EASEMENT SCALE 1' = 60' 08/16/99 ENCYNEER'6 SEAL 00000p�4 P`OFA p�0 cc, ........... 9500 4 QOUIS A. BUTERA r (�O p0p44��D A40FE551d�o��4oO O VGS...99-029 09/03/.1999 18:32 3453287 M 14 DRILLING, INC •044/044 \„, ..• . . . M -W DRILLING, Inc. P.O, Box 11 0$711 • 10330 CM 8.waad Highway. (907)3.484635 ANCHoRAOCALA3KA 90511 DRIIIJNO LOC e000:10, MOI,JARO Well Owner PAGE 02 owe st ouriEsTre 'Ne'otWcill • Location: (address of: Townshil, Range, Section, Imown; or distanceM ' main. ad LpT 4. OLOCK PtONER TSTATITS• • EKLuTNA, ALASKA- : 6" T40 " . •1.40.29 3130 01 asking napth of Cased Ow feet N/A Static water level . ft.(abOVEPI. ibelow) land surface. Screen( ); • 13escribro screen or Well pumping tett a of drawdown from Perforated '414.14•••• • Perfrint±H • t—"11041;04 th0Or?•(minute) for... --.hours with ft. I. • •s;1) ) 14. I/ 2 S • CK'S: t I • ' Salo NOTES:41ffji. IS A ORy• ti THIS. REPTH tl • • .E-•• w Date of cOmpletkm 28 PWCt Si • x lrinish of Well (check one) Opera end ( ); Depth in feet from ground surface tf .1•V. j< WELL too . Sact_ • wmunii df Jormatians penetrated, Idea of nuttnisi, color and hardaass TO 2 eattlitrieeic UP TO 15 TO o /'1 To .44 E, TO 76 U5, TO b 4'0 SaTitLmmtan. 9O UFO TO r" TtL.222—__ 1.40. rn TO TO to E; 41•."4,1.,:4;;;,!.14 P.11:3 •.: trtity, C 08 fi !I /2 GPM) 40ry 14El' .„. . 74,11\t:.ze‘tP4.4•?* • t • GP AVE1 TV, oat) LEV GRAVV.1.1 ,C 0.13t31.,T.Y , HOUI.Oh Wi • writ otc:rowrimdro Al' IIWNPOS RFNWE.S1 •RECEIVED •SEP 7 1999 Municipality 01 Anchorage • Dept. Health &Human Services • 3 — CONTRACTOR 09/03/1999 10:32 3453287 Well Owner •• M W DRILLING, INC PAGE 01 IN -W DRILLING, Inc. P.C. um hears s fosse as sand Hghwer (107) 3+41635 ANCHORAGE, ALASKA 99511 .DRIWNG LOO .• to _ Ilze of Wel1lf1MFS'lf Locatim (addreau of: Township, Range, Section, if ]mown; or distance main road...__ Tr}T d }1 LOCK 2 ptON F.2;',B F.ATATRR F.NIATNA AtAcINA Size of cming_;;g,—Deppth of Hole .4 a feet Caved to240___.__ _Deet Static water leveltep 1 ft. )(iq (below) land surface. Finish of well (check one) open end ( ); Screen ( ); Perforated ( « ), Describe ear4ao m• perforetdonaL�4�' 43 ROWS OF 0.1 �S�X_1_.OQ" PERFORATIONS Well pumping teat atwa is to psi R (Zags) for.—.4—hours rvttti 1 0 0 8 rc, el drawdown from 6tatic1 Y' • a Date of trample ti F• p YVELL LOO Depth in feet from .'.•G . ground surfaced(ItiTz of formations penetrated, size of material, color and hardness tdn 140 TO 178 178 To 240 TO TO TO TO .TQ TO 9 EY WITH WHY 'SOIL WFITRR RF.ApS TN sPnnnf1TC P'RATIIREA RECEIVED SEP 7 1999 TO Municinnliiy ot_Ancnor'.8e Dept. Health & Human Services TO TO TO C�'-.1 Certiltst.1 614 3 —CONTRACTOR MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 I r 17 St 11- /J:oo4 2n,X zoi •bo //n ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW990171 Legal Description: PIONEER ESTATES BLK 2 LT 4 Design Engineer: 0024 Eagle River Engineering Services Owner Name: Bonita Howard Owner Address: PO Box 233253 Anchorage , AK 99523-0000 This permit is for the construction of: �] Disposal Field ryi Septic Tank Li Holding Tank Date Issued: Jul 02, 1999 Expiration Date: Jul 01, 2000 Parcel ID: 057-091-10 Site Address: Lot Size: 103200 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 Privy 1✓I Private Well 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 (24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By: Date: &It) Date: 7` 2- ( 7 tin cipa 11 ty of Anchorage Department of Health and Human. Services 825 "L' Street O. Box 196650 Anchorage. Alaska 99519-6650 343-4744 November 18, 1996 Bonita Howard 1740 Tanana Drive Wasilla, Alaska 99654 5936 Subject: Lot 4 Block 2 Pioneer Estates Subdivision Permit #SW950389, PID 11057-091-10 The subject permit, issued November 16, 1995 by this office for a single family well and/or on-site wastewater system, has expired as of November 16, 1996. 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. Singerely, Ifri Jtmes Cross, P.E. Program Manager On-site Services enc: Copy of Permit cc: Eagle River Engineering 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 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950389 DATE ISSUED:11/16/95 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES EXPIRATION DATE:11/16/96 OWNER NAME:HOWARD BONITA OWNER ADDRESS:1740 TANANA DRIVE WASILLA, ALASKA 99654 PARCEL ID:05709110 LEGAL DESCRIPTION: PIONEER ESTATES BLK 2 LT 4 LOT SIZE: 103200 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 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: ISSUED BY: DATE: l 21i 95` DATE: // -/ (O - 95 Ensile RIlwQir HanIlnQQ 'Ilig SQ rwl©Qv, Louis Butera, P.E. Registered Civil Engineer July 17, 1994 Jim Cross, P.E. Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Pioneer Estates Lot 4, Blk 2 Narrative & Permit Application Dear Mr. Cross: The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring lots are vacant. 3. Reserve space is adequate, due to absorption capacity and lot size. 4. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \G:\W PDO CS\ 1995\95-061 A. NAR P.O. Box 773294 • Eagle River, Alaska 99577 • Telephone (907) 694-5195 • Fax (907) 694-3297 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 95-061 Calculated By: LB Date: 7/17/95 Legal: PIONEER EST. LOT 4 BLK 2 Single Family 3 Bedroom Dwelling RECEIVED NOV 8 1995 Municipality of Anchorage Dept. Health & Nurnan Services Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = Percolation rate = Wastewater application rate = Required absorption area = Trench width (W) = Gravel depth (D) = TEST HOLE 1 450 gallons 0.67 minutes per inch 1 gallons per day per square foot 450 square feet 5 feet 2.5 feet Required length = Shallow trench factor * Required Shallow trench factor = (W + 2) / (W + 1 +2 D) Shallow trench factor = 0.64 Total Excavation Depth Required length = 57 95-061A.XLS absorption area / W = 5.5 feet feet 00000p0� 9F A1t) 00 49TH :�*00 0.. D �O Ft•LOUIS A. BU7ERA QO S'• CE -6736 SINGLE FAMILY ON-SITE WORKSHEET ERES PROJECT NUMBER: 95-061 CALCULATED BY: LB LEGAL DESCRIPTION: PIONEER EST. LOT 4 BLK 2; TH1 NUMBER OF BEDROOMS: 3 WATER USE PER BEDROOM: 150 GALLONS PERCOLATION RATE: 0.667 MINUTES PER INCH DEPTH TO GROUNDWATER: 11.5 FEET DEPTH TO IMPERMEABLE LAYER: 11.5 FEET USABLE SOIL STRATA ANTICIPATED DEPTH OF COVER: 3 FEET TOTAL USABLE DEPTH: 5.5 MOUND OR BED SYSTEM USABLE SOIL STRATA DEPTH: 2.5 WASTEWATER APPLICATION RATE: 0.7 GAUSQ.FT ABSORPTION AREA REQUIREMENT: 643 SQ.FT MINIMUM BED LENGTH 12 FEET WIDE BED 54 FEET 15 FEET WIDE BED 43 FEET TRENCH SYSTEM WASTEWATER APPLICATION RATE: 1 GAUSQ.FT ABSORPTION AREA REQUIREMENT: 450 SQ.FT SHALLOW TRENCH OPTIONS DEEP TRENCH OPTIONS 5 FEET WIDE TRENCH 3 FEET WIDE TRENCH EFFECTIVE REQUIRED TRENCH EFFECTIVE REQUIRED TRENCH DEPTH (FT) LENGTH (FT) DEPTH (FT) LENGTH (FT) 1 79 4 NA 2 63 4.5 NA 2.5 57 5 NA 3 NA 5.5 NA 3.5 NA 6 NA 4 NA 7 NA 8 NA 9 NA DESIGN SPECIFICS FIELD SYSTEM: S (B=BED, S=SHALLOW TRENCH & D=DEEP TRENCH) GRAVEL DEPTH: 2.5 FEET TRENCH OR BED WIDTH: 5 FEET LENGTH: 57 FEET TOTAL EXCAVATION DEPTH: 6 FEET 95-061A.XLS ROCHELLE AVE. N 89°55'30" E 258.00 o /TH2 5X57' ALT. SITE LOT 4 258.00 APPROX. PROP. HOUSE PAD PROP. WELL NO KNOWN CURTAIN DRAINS NO SURFACE WATER +100' S 89155'30" W VACANT ® — TEST HOLE • - MONITOR TUBE o — SEWER CLEANOUT ¢ — WELL I PROPOSED LEACHFIELD - EASEMENT WELL 8c SEPTIC SITE PLAN LEGAL: PIONEER EST. LOT 4 BLK 2 OWNER: BONITA HOWARD CONTRACTOR: N/A JOB # 95-061A DATE: 7/10/95 SCALE 1" = 60' EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 �t '.....NAI. � * 49TH* *0o i o i 0G - LOUIS A. BUTERA j J`p CE -6736 V r! t <c:Ei • k�� g1pRE OFSSIONP moo, SPECIFICATIONS FOR ON-SITE SYSTEM LEGAL: Pioneer Estates Lot 4, Blk 2 07/17/95 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and/or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health (MOA- DHHS) requirements. 4. All soil tests are advisory to the design and are to verified or modified in the field by the Engineer. 5. All excavations and depths are advisory and are to be verified in the field by the Contractor to meet MOA-DHHS/ADEC requirements. 6. It is the responsibility of the Owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. It is the responsibility of the Contractor to secure all utility locates prior to construction. 8. The excavation is to be exactly in the area shown on the site plan, any deviation requires Engineer approval. 9. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. B. LEACHFIELD 1. The leachfield is to follow the natural contour to maintain uniform total depth of the trench bottom. 2. The bottom of the leachfield shall be level, plus or minus 1.5". 3. The total depth of the leachfield excavation is not to exceed 5.5' at any point. 4. The sewer line is to be laid level within 0.03'. 5. The leach gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 7. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200' to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH =5.5' GRAVEL DEPTH = 2.5' under pipe, 2" over pipe GRAVEL LENGTH = 57' GRAVEL WIDTH = 5' SOIL RATING = 1.0 gpd/ft2 BEDROOM CAPACITY = 3 SEPTIC TANK SIZE = 1,000 gallons minimum Twenty-four (24) hours notice required for all inspections \1994\95-061A.SPC 1 S1X'O 190-96 0 O 0 0) N N 3 3 O O O 0 O Percent Finer 0 0 0 0 80 0 0 0 0 0 a ni Ate vC O YJ O 0 c -0 . o rn W r` N 0n 0 r- a • m to K nil 3 2 2 -o 2 0 3: CD Er m `' WN ill 2 a no 7 > > • = W CJI 1.6 D C m= I O O T rt. O d rn ru 40.16 0 ' > -1 m ((i m 0 J ro rn 0 Z 0.376' 0 m ` A 0.26" 0 '1 O) CD• to -1 0 Z r D 116 O r to• r.) Nalco rn #10 ^' Nte rn .71 2 10 O DO1cn 1120 �' D V FAm V.. m r — •P O O f J N i W V O 0 F ry 0 0 0 0 0 0 01 0 0 0 fD if) fn—` N W cn -4 W CO 0 00 v 0 m 0 (1 N N t 0 V W0 0 a 0 0 0 0 0 0 0 0 0 to sisb/euy ana!s a 40 N60 M 100 200 Size Distribution n(� 0O0`` Q 0 C 0 0 0 (-) N 0 0 0 o u 5 P- -� —� O O W .P O) N 0 00 T N 0 ;1, 0 :4ua}uo3 aJnIsior co v (0 m o CD CD cp co a a W CO m m ‘1e a a f g V CO c_ Z W (15 01 N Cn rn 0 m 770 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 3°Ni 7-4 Ai o wo/'c+/ LEGAL DESCRIPTION: �ene Cr 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 d O Topso i l Esr, Ly 32 DATE PERFORMED: 2- 2 - Township, Range, Section: Sandw; th gra vcf and 5111, iooic / olry / ScVer4/ )gyerS of 5/71y Sand OEPROCk SLOPE WAS GROUND WATER Nb ENCOUNTERED? IF YES, AT WHAT DEPTH? Oeplh to Water Atier Monitoring? Pry /1/4 Oale: 7 -/Y -9s SITE PLAN L -he A ve 90 IIs Reading Date Gross Time Net Time Depth to Water Net Drop pp /re- -Sew,E ei/ 3 "T)mtf Td/a..•1L, i >- p-45- /6:0 6 3 /2' 3 f1//6 z i- -1f /6.' n 2 /Z 3 ,. 1 9-9-qr /6:/6 2- I z'' 3" PERCOLATION RATE ' 6 ' (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ' FT AND S FT COMMENTS PERFORMED aY' !/✓nt~S CERTIFY THAT THIS TEST WAS PERFORMED IN arab. 2/71/4.1- ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: /30ry, 74 Na W4rof LEGAL DESCRIPTION: !'oneer E.7, t y 3 TNS 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 •0 D 0 Topsoil r Y2 ' 9 ibA1=6R< EA4{%et S*, 10 e0o91a01:94:11330 v.,,00>- iE ..*e , 41 Louis A. (Moro 4/04 4 S".e CE -6736 I" 4'0tt$ •ROFESSIOV' 40, DATE PERFORMED: 2— 2— it Township, Range, Section: Sand w/Tl4 gravel and slot, 1605c dry, 5evera/ �ayerf o¢ .r'/iry iana✓ Bedrock SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Waler After Monitoring? Dr= y NA Dal • S L 0 P E SITE PLAN the Pe - e t N HI >Z 2- Reading Data Gross Time Ne Time Depth to Water Net Drop !:c-So,kse/ 3 Tr,,s 74>s49ti / 7-7-9r /vac, 3 7o" Y%a 4 7 -P -9r /7.'o7 3 la rho" Y'ha 3 7-7-rr ,?: is- 3 /o r//„ ‘i 140 PERCOLATION RATE °7f TEST RUN BETWEEN 3, 0-mutes/inch) PERC HOLE DIAMETER FT AND yrs FT COMMENTS PERFORMED BY - R zC CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE - 72 -008 (Rev. 4/85) 7/? 7/cs— Municipality of Anch On -Site Water and Wastewater (907) 343-7904 Certificate of On -Site Sys Parcel I.D. 057-091-10 JUL272015 -ns pproval 3 -15 1. GENERAL INFORMATION Complete legal description Pioneer Estates, Block 2, Lot 4 Location (site address) 38200 Rochelle Avenue, Chugiak, AK 99567 Current Property owner(s) Bonita Howard Day phone Mailing address P.O. Box 770316 Eagle River, AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: H Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Waiver/Variance request for: Received by: TYPE OF WASTEWATER DISPOSAL: Individual CI El Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ COSA to be released to the en. r, unless otherwise requested by the engineer. Distance: Date: g `3 —1 S� COSA Fee $!J - f r Waiver Fee $ Date of Payment 11211/6 `-'" d Date. of Payment Receipt Number Waiver # Receipt Number 049 tet‘ COSA# 05C-I51%SM 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application; shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are). in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 7®may®RXye'® 41 1174:44:18.:75.—s\ $tsoF•2(S'r, s*: 49 *Mit 10 6. DSD SIG TURF /e• ew, ,.. System #1 Approved for - bedrooms � m : micf att A n,; .BRSON xoni System #2 Approved for bedrooms ®®c�'rr •, CE- r $1t Disapproved +®iF� pROFESSi��ps'� Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: > 7 a The ikunIcip-alicybulpetrarage 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 X Other COSA blue sheet(c If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Pioneer Estates, Block 2, Lot 4 Parcel ID: 057-091-10 A. WELL DATA - Original Well Drilled on April 28, 1996 to 14 Well type Private If A, B, or C provide PWSID # * Date completed 4 23/97 Sanitary seal (Y/N) Y Total depth 240 ft.Cased to 240 ft. FROM WELL LOG Date of test 4/23/97 Static water level 40 ft. Well production 2 g.p.m. WATER SAMPLE RESULTS: Coliform ' 0 colonies/100 mL !� Arsenic ® ug/L 0'. Deepened to 240' on April 23, 1997. Nitrate 0. /93mg/L Date of sample: 7/27/15 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) >24 in. AT INSPECTION 6/17/2015 174 ft. .34 g.p.m. Collected by: And.Engineering Date installed 8/14/99 Cleanouts (Y/N) Y Date of pumping 6 - /8 - / 5 Pumper 5.4-N iTARY PuMflsi S N C. ABSORPTION FIELD DATA Date installed 8/14/99 Soil rating 2 1.0 GPD/SF (g.p.d./ft2or ft2/bdrm) Length 58 ft. Width 5 ft. Total depth 5.5 ft. Date of adequacy test Eff. absorption area 453 ft2 Monitoring tube 6/17/15 System type 5' Wide Gravel below pipe Y 2.5 Depression over field ft. N Results (Pass/Fail) Pass For3 bedrooms Fluid depth in absorption field before test 0 in. Water added 450 gal. Elapsed Time: 0 Final fluid depth 0 in. Absorption rate N min. Any rejuvenation treatment (past 12 mo.) (Y/N & type) >= New depth 0 in. 450 g.p.d. If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off" level at Datum Cycles tested Manhole/Access (Y/N) in. High water alarm level at in. Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot >100' On adjacent lots X100` Absorption field on lot >100' On adjacent lots X100' Public sewer main >75 Public sewer manhole/cleanout >100 Sewer /septic service line >25' Holding tank X75' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Water main >10 Water service line >10 Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10' Water Service line >10' Curtain drain None Noted Building foundation >10' Surface water >100' Wells on adjacent lots >100' Absorption field >5' Surface water >100' Water main N/A - Driveway, parking/vehicle storage >10' F. COMMENTS 300 Gallon Water Storage recently added to water system. G. ENGINEER'S CERTIFICATION I certify That 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Date 7/13/2015 COSA brown sheet 10-10-12:doc 'tt • C—taii iyn ilii.•• i a • MICHAEL E. ANDERSON eAgo ; i°. CE -4381 ,,I1lltOw�wIO I '40. 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.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 151389 During a recent COSA on-site inspection and test of the potable water supply well on Block 2, Lot 4 of Pioneer Estates subdivision, the well's productivity was deteimined to be 0.34 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. PROPOSED FINISHED FLOOR ELEV, (ASSUMED) PROPOSED BUILDING CORNER ELEV. (ASSUMED) ROCHELLE AVENUE ZONING DISTRICT w 258.00' NB9' 55 30"E FRONT BUILDING SETBACK 10'UTIL SSW SIDE BUILDING SETBACK CRq OkrV�^ REAR BUILDING SETBACK + 400.00' N00' 04' 00"E %� WELL o, wG crfr N f d. as o O 0 V 5 b 0 0 a 0 `ill~ rtl., 1 ( 258.00' N89' 55 30"E UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABUSHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCAUNG. REPRODUCTION MAY CAUSE ERRORS IN SCALE. LI I—I LOT SURVEY SURVEY TYPE o SYMBOLS FOUNDATION AS—BUILT FINAL STRUCTURE AS-8WLT ° SET REBAR DONS PROPOSED ♦ DRAINAGE `""'' °� ASPHALT 0 PLOT PLAN ... AS-BUILT LOT SURVEY TOPOGRAPHY 0 FOUND REBAR A"° � ... ... \\ WOOD FENCE CONCRETE AS-BUILT ... NO CORNERS SET 61 RECERTIFICATION AS-BUILT .. , NO CORNERS SET �00 ) ASSUMED ELEV. X X X METAL FENCE f�7 f PLOT PLANS & LOT SURVEYS WOOD DECK NOTE: IT I5 THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. ALL DISTANCES ARE RECORD UNLESS OTHERWISE SURVEY CERTIFICATION NOTED. Prepared by PLOT PLAN I herebyldrawn and 1 have pherionl.y and the lot drawn and bllohebad hereon. ana toot 1 that hove found or eetpNlehed all of the lot comers as shown on the plan and to the best of my knowledge end abilities, all dimensions haw been measured tone and correct. `.-r�"rr• ♦•PSE Oi.F q�••,� ♦♦�C • .................. s(^\; �• •' •. �5 1� s C., • •• `9 Jvy : /' • Y : �• obert E. Johns, Jr. & Assoc. Professional Land Surveyors r n ' 1700 Brink Drive. ANCHORAGE, ALASKA 99504 FOUNDATION AS—BUILT I. Robert E. Johne. Jr., hereby certify that 1 49th �\ s 9 ` ^_ -� ..w�s .. ; ;`,,,,,.y 0 Scale: n t la_ Vpf Rec. Lot S.F. Rec, Plat File No, on As—Built of the on this lot and Rotolthe dtmenalans ane information m shown hereon are true and no encroatmenta exist unless 5�/ 4:s+rap^G'/" / • . ;• ROBERT E JOHN JR. , Dote Surveyed: 4/04/11 Drawn by: REJ Checked byfaun Lfoundationation hown otherwise. FINAL STRUCTURE AS-BUILT I, Robert E. Johns, �, .' i / •. s '••. 45112/1"---S y�0 • j, I .. fP vw•e*, Date Drown: 4/04/11 Grid: 1412 W.O. O 11-68 Jr., hereby certify that I have performed an Aa—gent Survey of the an this lot and that all the dimensions and information as shown hereon e We and no encroachments exist unless • JL ♦ .., ♦O •�j40 • ed •••••••••• a + •• Pr OO + • °fession0l L .+ Legal Description; Lot 4 Block 2 PIONEER ESTATES