HomeMy WebLinkAboutWILLIAMSON #1 BLK 1 LT 14Onsite File
Williamson #1
Block 1
Lot 14
#015-073-31
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
.� Municipality of Anchorage
#jof�:� Development Services DepartmentBuilding
Safety Division
On-Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Pa
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
/
S `206028
Permit Number: PID Number:
Name T`,r,
Wastewater System: )6New ❑Upgrade
Atltlrp s
S 541x4 n r
ABSORPTION FIELD
Phone /umber oIS rooms:
Deep Trench D Shallow Trench ❑ Bed ❑ Mound D Other
LEGAL DESCRIPTION
Soil Rating
Total Depth from original grade
GPDIFF
Ft.
Bloch. Lot 1.4 Subdivision'.vit
Depth to pipe bohom from original grade:
7.
Gravel depth beneath pipe: !
S
4
- FL
Ft.
Tovmehlp: RangeSection
Fill added above ongmalade- L/
Ss
Gravel Length: }j
O FL
�-+ Ft.
Well: VNew ❑ Upgrade
Gravel wft
3
Number of lines:
Distance ""on lines.
FL
Ft
Clas cation (Private, A. B. Cl:
Total Depth Called
/ r Cased to
Total absorption aarr�e/a:�
Pl al
f ✓qT�
q01 Ft. 261 FI.
IOW Ft'
CJrti
Dr/n11er .-/may, /�
Date Drilled Static Water Lever.
/
Ina/taller: //,,
Z;
Date malanetl:
•7 t s/IfG /rlia�'
l� lC' Q vJ FI.
W/7 �4 Q�
Yieltl. Pump Set of
a� oZ6b
Casing Heigh(Al,ow Ground:
TANK
GPM Ft.
Ft.
SEPARATION DISTANCES
[VSeptic ❑ Holding ❑ S.T.E.P. ❑ Other:
To
Septic
Absorption
Lift
Holding
ublic/Private
anufaaurer
Pr
Capaaty
From
Tank
Field
Station
Tank
Sewer Line
C5
130013al.
Well
►l/ o-►�
�r1�
J
Material: /�/j s-�
Number of Compartments.
-#'
►l/i./
l' U'rz--
Surface WaterI
Dt
LIFT STATION
a
ae: anulactt.re,
Lot Line
�
Gal.
Foundation
3 ,
i /
'Pump on' level of al -
High water alarm at
In.
in
PumpMake 8 Electrical Inspections performed by:
Curtain Drain
nrJ A
C
a
Remarks
TI HIM I)W—T AVL I0Q 7>V0J"
BENCH MARK
Location and Description ,
-tkiM
f3dif
OffIn
{•� ,//^(, r•Aaaumea ELabon .
•Y
r/
1 11++ FI
S d S ENGINEERING
Inspections performed by: 17034 Eagle River Loep Road, No.es: tat
Engineers St mp
Eagle River, Alaska 1 7D
,-
,�'•,,..« •••~S+
Development Services Department Approval
a ti
y�
e�
Conditional Approval QQ' Date: Z L� o
�• � «,e,� a
�fn1tE0 4 Gv"312 Lor; frit OrZ E2 Unko1/1l,fi11A/4J rteei(FOU IA.
3 .••••may,. '
Reviewed and approved by: �y�Yll(/ - Date: Iij�j�7
. •� �a
PERMIT NO. SW060081
PAGE 2 OF 3
Municipatitv of Anchora e
DEPARTMENT OF HEALTH AND HUAN 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
LECAL LOT 14, BLOCK 1, WILLIAMSON #1 P.I.D. NO. 015-073-31
CIRCLE
SHAUN
i
i J4'
°°.
LOT 15
^�
V'1
<
VYOEVELOPED J
°°• Gf
RY
��
f(�
[[Ww ]p
SCPrIC I1M[ALLYII
9O2
f
c 1
ssrut
ST
LOT 13T2
DOLT • DSLZ
N M
' i
C07 ♦rY
17, WIIY. t
LOT 2
LOT 3 5 LE: V . 40•
:
sn
C♦RG ..
LOT 12
/
100• WELL RADIUS
/
'YM •`P ^ !
p
SEPTIC)w• �;
1REA �/••�
/ /
l , •. zwl A. M95m
"ON
PERMIT No. SW060081
PACE 3 of 3
MunicipQ(itv of Anchora e
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
LECAL LOT 14, BLOCK 1, WILLIAMSON #1 P.I.D. No. 015-073-31
-----71[
ST1 ST2
98.6'
FINAL GRADE
2" INSULATION
NEW
!SEPTIC
95.5'
1300 GALLON
OLYETHYLENE
95.3'
TANK
C01=102.5'
CO2=97.2'
FINAL
GRADE
11
INSULATION
C01=95.2'
SR
CO2=94.9'
MT1=95.1'
MT2=86.4
.
N. T. S.
A
1 8
NO WATER FOUND rrAMP'
TMT
-§—Tl
20.0
33.5
80.9' B.O.H.
74.5
36.5
�`11E«w
ST2
T13—L119.0
17.5
37.5
38.0
R r i A
-6-B _L2
1 •y ..,.. .N. Y. N.4;
20.0
38.5
C0155.5
21.0
� t
;'' «. ............
MT1
55.0
20.5
s� A. tri*
CO2
22.5
60.0
-' tL7-0 N"
MT2
21.5
59.5
•:rl,
02/07/2007 15:52 FAX
4
ALPINE DRILLING & ENTERPRISES
® 002/002
.�
Permit Number. #SW0�11 Date of Issue: 9-6-05 Parcel Identification Number: 01507
Date Started:16 &O6 Date Completed: 6-10-06 Is well located at approved permit location? ® Yes ❑ No
Legal Description: William_ s "Blk 1 LOt I y
Property Owner Name & Ad treses `5VA 5t 3'nt.r
r, Sec 45rw
Borehole Data: Deptb (ft) Method of Drilling® air rotary ❑ cable tool
Soil Type, Tbida:ess do Water Str ua From To Casing type: ,Steel
stick-up
silt
silty sand
gravelly sift
0
2
10
12
10eter:
12r
45ng
2rD
'ihickness:, 500 inches
¢ inches Depth: L61 feet
Type:
eter: inches Depth: feet
stickup above ground: 2 feet
silt
45
51c
water level (from ground level): 65 feet
gravelly silt
51
89ping
level: 260 feet after
silt
89
94urs
pumping 20 gpmgravelly
silt
gravel
ravellysilt
water sand & gravel
94
176
192
258
176overy
192hod
258l
261
Rate: 20 gpmsilty
of Testing: ie r lift
Intake Opening Type:
pen End ❑ Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: bentonite granules Volume:l
Depth; Start0 feet Stopped 1 feet
Pump: Intake Depth feet
Pump size bp Brand Name
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Well Driller. Alpine Drilling B Enterprises
PO Box 110496
Anchorage Alaska 99511
u
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
owner or the well driller sl all provide a well log to the Development Services Department within 60 days of completion.
70-192
WILLIAMSON 'SUBD., ADDN. NO. 1
LOT 14, BLOCK 1
12,583 S.F.
HA�N C1RCUE
S-
GASTALDI LAND
SURVEYING, LLC
JEFFA. GASTALDI, R.L.S.
4726 WEST 88TH AVENUE
ANCHORAGE, ALASKA 99502
PHONE 248-5454
GRIDI DATE
2437 11/6/2006
F.B.I JOB NO.
06-07 WS1141P
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDMSION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
NOTE: NO CORNERS SET THIS DATE
1 11=20'
..*$%%auto
•� PA, . OF... 4 ♦♦
f
u °i • 49TH.••i 0
~ ::.............0....... f
i' : Jeller os aldl AV
o1
•�� p���eeflonol�°c.�1
Municipality of Anchorage
��� P0.Iktx 196(W) • Anchorage, Alaslw 96519-0&) • Telephone (4X17) UI-S3A)l • Fax (9)7): 5-8.201)
\\ 4700 Ilrgyate Street • .Anchontge, :Alaska 91.51)7
a'N""Itmi.org
Mayor Mark Begich
Building Safety Division
February 26, 2007
Robert Cowan, P.E.
S&S Engineering
17034 Eagle River Loop Road, Suite 204
Eagle River, AK 99577
Subject: Waiver Request for Williamson #1 Block 1 Lot 14
Waiver Request WR#: 070010
Parcel ID # 015-073-31
PERMIT # SW060081
Dear Robert Cowan, P.E.:
Your request for a waiver of the required 100 feet horizontal separation from the
absorption field and septic tank to the private well has been approved. The approved
separation distance is a 92 foot horizontal separation from well on subject lot to septic
system on WIlliamson #1 Block 1 Lot 17 pMw
This waiver approval applies to the existing absorption field and septic tank to private
well separation only. Any future upgrade to the on-site wastewater disposal system will
require all separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
Jo all
Ci Engineer
On -Site Water & Wastewater Program
Community, Security, Prosperity
Municipality of Anchorage
Development Services Department
• �..� Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorsge.ak.us
(907)343-7904
Waiver Review Worksheet
WR#: 070010 PID#: 015-073-31 HA/Permit# PERMIT # SW060081
Date Received: February 26, 2007
Legal Description: Williamson #1 Block 1 Lot 14
Engineer:
Robert Cowan, P.E.
S&S Engineering
17034 Eagle River Loop Road, Suite 204
Eagle River, AK 99577
Applicant: Tim Shiner
Waiver Requested: A 92 foot horizontal separation from well on subject lot to septic system on
Williamson #1 Block 1 Lot Ji 17
Criteria: Geology Points:
A. Water Table 5.33
B. Soil Sorption 2.61
C. Permeability 2'69
D. Water Table Gradient 6.00
E. Horizontal Separation 2.68
Total: 19.513
.................................................................sea.....
Waiver is Granted: X
List Conditions or Reasons for above:
Waiver is not Granted:
Date: 2/26/07 By: Joe Goodall
Name of Reviewer
.........................................................................
Rec#: 2546b Amount: $1150 Date Paid: 2/26/2007
State of Alaska:
Separation Distance Waiver Guidelines for S.C.R.O.
(State of Alaska Memorandum to District Office Engineers dated January 3, 1985)
Waiver Request for: Williamson #1 Block 1 Lot 14 - 14
Parcel ID#: 015-073-31 IL—
Waiver Request Number WR#: 070010
Waiver Requested: A 92 foot horizontal separation from well on subject lot to septic
system on Williamson #1 Block 1 Lot-* 17 w
Engineer: Robert Cowan, P.E. pr
1k)
# SW060081
Water Table Points e5,
Depth of well: 65 5.33
Depth of septic system: 10
55
Distance from the bottom 1
Point
of the system to the highest
Value
water table in feet
1
0
0
8
1
17
2
24
3
30
4
40
5
85
6
100
7
290
8
1000
9
10
' Straight line Interpolation is permitted between any two values
Soil Sorbtion Points 105,
2.61
Soil Type
Point Value
Clean Gravel
0
Fractured Rock
1
Course Clean Sand
1.5
Sand wl Small Amt of Clay
2.5
Silt
3.5
Clay and Sand Equal
4.5
Clay
6
55 12.5 + r 5 l 3.5 + f 55 2.5 + 55
+ 175 1 + (55, + (55, + (55,
1.6 + 0.4 + 0.6 + 0
0 + 0 + 0 + 0
'Use the predominant soil type but values can be averaged for a mixture
Permeability
Soil Type
Point Value
Clay(will channel)
0
Silt and Sandy Clay
2
Clayey Sand
3
Fine Sand
1.5
Sandy Gravel
1
Fractured Rock
0.9
Course Sand (30 grit)
0.4
Clean Gravel
0
Points as,
2.89
I-
55 1 3. + 5 1 2 +r 55 1 3 + r 5 1 1
+ ( 5 1 1 +r 5 1 1 + 55 1 1 + r
1.91 + 0.22 + 0.76 + 0.00
0.00 + 0.00 + 0.00 + 0.00
'Use the predominant soil type but values can be averaged for a mixture
Gradient
%Slope
Points Value
-60%
0
In Feet
-30%
0.3
0
-20%
0.7
50
-10%
1.2
-5%
2
0%
2.91
5%
4.5
10%
6
60%
7
slopes toward well
flat
slopes away from well
'If the gradient Is unknown, assume the worst case
Horizontal
92
Horizontal
Point
Separation
Value
In Feet
0
0
25
0.7
50
1
75
2
100
3
150
5
200
6
300
7
Points ne+
6.00
Points +os+
2.68
'Linear interpolation between two point value Is acceptable. Horizontally means
straight line distance to the well not the contaminate travel distance to water table
which may be greater.
Conclusion: Grant Waiver Total Points:- 19.513
W MAUIIDFNrY
APPROVALS
SEWERS WATER
F EXTENSDFS
SEWEIIA WATER
WEMN
0IF ERWOSTLMS
AIDREPORTS
WELLN ECTION
SFLOWTEST
311E Pw6
sot (EST
WAIVER FEE:
PAYMENT DATE:
RECEIPT #: -; `J
S&S\
February 16,2007
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Waiver request for Lot 14; Block 1; Williamson #I SID
ROBERT C. COWAN .
CIVIL ENGINEERING
PH: 907-694-2979
FAX: 907-694.1211
The above property is a new 3 bedroom house served by a private well and septic system. We
request you grant a 92 feet separation distance waiver from the well on referenced property to
the septic system on Lot 17, Block 1; Williamson S/D #l. The following items are justification
for the waiver:
- The topography slopes such if the septic system was to overflow the effluent would
not travel toward the well head.
The other path of contamination is subsurface migration of wastewater. As can be seen on the
attached well logs the average depths of the wells range from 60-261 feet deep. The average
static water levels in these wells vary from 21-179 feet with various layers of silt, clay and
hardpan soils that have served to inhibit the migration of untreated wastewater into the aquifer.
Recent water sample results were taken from the well on referenced lot and the results indicated
nitrate levels to be 0.205 mg/L and coliform and bacteria results to be non detectable. These
water sample results indicate that the surrounding area does not have elevated nitrate levels.
Based upon the aforementioned facts, it appears that there is minimal risk associated with the
92 feet separation distance waiver.
We do not anticipate any adverse effects on the neighboring properties by the granting of this
waiver.
PfNCoL TION
OLL If
Y
IESI
ncei
sTRucTuvas
MEOMM
06PECTIONS
Ro
ONSITE
WASIEWAIER
nelc
D VOMS16TEM
DESIGN
please contact us at 694-2979.
, P.E.
15861 S. Birchwood Loop Road - Chuglak, Alaska 99567
MUNICIPALITY OF ANCHORAGE
Development Services Department
Onsite Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Permit Number: SW060081
Legal Description: Williamson #1 Block 1 Lot 14
Design Engineer: 0003 S & S Engineering
Owner Name: TIM SHINER
Owner Address: 8200 STRATON CIRCLE
ANCHORAGE, AK 99507 -
Renewal
Date Issued: May 08, 2006
Expiration Date: May 08, 2007
Parcel ID: 015-073-31
Site Address: 5300 Shaun Circle
Lot Size: 12583 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑Q 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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 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.
5. The following special provisions.
-THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55.
PLEASE SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". IT IS
THE BURDEN OF THE PROPERTY OWNER TO DETERMINE THAT THE PROPOSED WELL WILL NOT HAVE
ANY ADVERSE IMPACTS ON ADJASCENT WELLS OR SEPTIC SYSTEMS AND DETERMINE ANY EXISTING
WASTEWATER PERMITS EFFECT THE LOCATION OF THE PROPOSED WELL. IF THERE ARE ANY
QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT
907-343-7904.
Received By:
Date: 5 6
Municipality of Anchorage
Development Services Department
Building Safety Division
j Onsite Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonsile
(907)343-7904
ON-SITE SEPTICMELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
ZD
Parcel I.D. 615-073-2 Sqy_ I- jell V
Property owner(s) 'SAA C✓ Day phone':Z -_O/r
Mailing
Site address
Code
Legal description (Sub'd, Block & Lot) ��/y1/h ✓N/f/ar �� LST
Legal description (Township, Section & Range)
Lot Size %? r%3 Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
❑
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well
Water Storage
❑
Number of Bedrooms
3
THIS APPLICATION IS AN:
Initial
❑
Upgrade
❑
Renewal
10
certify that the above information is correct. I further certify that this application is being made for a
Ingle Family Dwelling and is in accordance with applicable Municipal Codes.
gnature of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Dale of Payment: -5/ 3/O(a Date of Payment:
Receipt Number: 7 9Zogcf Receipt Number:
(Rev. 11105)
MUNICIPALITY OF ANCHORAGE
Development Services Department
1 ��
l ^
On -Site Water & Wastewater Program
/,,UD
4700 South Bragaw Street
I
P.O. Box 196650, Anchorage, AK 995196650
�Ia
(907) 343-7904
ll�
ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Renewal
Permit Number: SWO50117
Legal Description: Williamson #t Block 1 Lot 14 r
Design Engineer: 0003 S & S Engineering
Owner Name: Tim Shiner
Owner Address: 8200 Straton Circle
Anchorage . A 99507 -
Date Issued: May 11, 2005
Expiration Date: May 11, 2006
Parcel ID: 015-073-31
Site Address: 5300 Shaun Circle
Lot Size: 12583 SO. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
Q Disposal Field ❑.. Septic Tank ❑ Holding Tank ❑ Privy 0 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 DSD at least 2 hours prior to each inspection. Provide notification by catling
(907) 343-7904 ( 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:
Date:
'F rA /05'
Issued By: Date: S-11, toc
K__-) _c WAC
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. (/ 1 S- O-1; -31 Permit Number SW
Property owners) o4__�KQ44t I^ivri Day phone 229- 611 l
Mailing address g2ov ".4+ (11.� Zip Code q�1S o1
Site address _53oo S1yAtAn C i✓ Zip Code
Legal description (Lot, Block & Sub'd.) W 'I I t(Am5at if 1 �lOLIk I toa- /I-[
Legal description (Section, Township & Range)
Lot Size 125`63 Acres/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms 3
Sewer Only ❑ Well Only ❑
Sewer and Well IIST Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 115,0C) Waiver Fees:
Date of Payment: A11R fL0 ` - Date of Payment:
Receipt Number. tof CVf 41 Receipt Number.
(Rev. 09104)
r
Mayor Mark Bc;gich
Municipality ofAnchorage o
I'.(). Ileac IIX;( 1) • Anchomge, Alaska !YM19-6650 • Telephone (!N)7) 343-F' H • Fax (!M)7) 34:1 K -IM
371X1 ISnagmr Strco • Anehamgc, Alaska lkF507
"1'1v.monLorg
Iluildind Safety Di-9sion
August 12, 2005
Robert Cowan, P.E.
S&S Engineering
17034 Eagle River Loop Road, Suite 204
Eagle River, AK 99577
Subject: Waiver Request for Williamson S/D Block 1 Lot 14
Waiver Request WR#: 050062
Parcel ID # 015-073-31
PERMIT #: SW050117
Dear Robert Cowan, P.E.:
Your request for a waiver of the required 10 feet horizontal separation from the
Asorptionfield_to-the_propertyline_has-been-approved.—he -approved-separation
distance is 9 foot leachfield to west property line horizontal separation distance waiver.
And a 3 foot leachfield to east property line horizontal separation distance waiver.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
rcoodall
Civil Engineer
On -Site Water &
Wastewater Program
Community, Security, Prosperity
Municipality of Anchorage
Development Services Department
• Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchoragc.ak.us
(907) 343-7901
Waiver Review Worksheet
WR#: 050062 PID#: 015-073-31 HA/Permit# PERMIT M SW050117
Date Received: August 12, 2005
Legal Description: Williamson S/D Block 1 Lot 14
Engineer.
Robert Cowan, P.E.
S&S Engineering
17034 Eagle River Loop Road, Suite 204
Eagle River, AK 99577
Applicant: Tim Shiner
Waiver Requested: A 9 foot leachfield to west property line horizontal separation distance waiver.
And a 3 foot leachfield to east property line horizontal separation distance
waiver.
Criteria: Geology Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
r ... asesse...............................................e..... sessea.....
Waiver is Granted: X Waiver Is not Granted:
List Conditions or Reasons for above:
Date:1128 /05 By: Joe Goodall
Name of Reviewer
r..s.sssesss.......... assessed ........ assume ...................... sees....
Rec#: 72146 Amount: $175 Date Paid: 8/12t2005
August 5, 2005
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER P.E.
CML ENGINEERS
(907)694-2979
FAX(907)694-1211
NEALTHAMHOFM
APPRMALS
MUNICIPALITY OF ANCI-IORAGE
Development Services Department
P.O. Box 196650
SEWERSWATER
Anchorage, AK 99519-6650
MVNE%TENSIOHS
REFERENCE: Lot 14; Block l; Williamson Subdivision
SEWERS WATER
INSKMON
Request you grant a -waiver on the referenced property for the horizontal
separation
distance between the leachfield and the west property line at 9 feet and the leachfield
ENGINEERINGSTLJDES
and the east property line at 3 feet.
ANOREPORTS
We do not anticipate any adverse effect on the well or the adjacent property.
WELLNSPECNON
If you require additional information, please contact us.
IFLOWTEST
Sincerely,
WTE PIANS
4Z1 7. /
Roberts C. Cowan,y/J�—j'P.E.
.E.
ROADOESIGN
RCC/ts
SOLTEST
PERCOLATION
TEST
STRUCTLA&&
AECHANrAL
NSPECTIONS
PERMIT
PAYMENT DAWEEE:
ON SITE
RECEIPT #:
WASTEWATER
DISPOSALSVSTEM
OESIGN
17034 NORTH EAGLE AMR LOOP • SUrrE 204 • EAGLE RNER ALASKA 99577
1" = 40' DESIGN SITE -PLAN
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ROBERT C. COWAN, P.E.
ROBERTA . SHAFER P.E.
CMLENGWEERS
(907)694-2979
FAX(907)694-1211
r[HRUUrwary
ON-SITE WASTEWATER DISPOSAL SYSTEM
A"WNN"'
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
SEWER& WATER
&dME7(TE11 *m
REFERENCE: Lot 14, Block 1, Williamson Subdivision
August 4, 2005
8MR& WATER
gamey'
GENERAL:
1. The scope of this project includes the installation of a sewage pump, a 1300
EN(iNEMMSTUM
gallon HDPE septic tank, and a trench to serve the proposed four bedroom
PMAEPORTs
residence located on the referenced property.
2. Construction shall be in accordance with the approved site plan and design
WEu. 86PECTIM
drawings, Municipal permit with any special provisions or conditions, and all
sFWWM'T
applicable State and Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary underground
11a^"
utility locates.
4. Unless specifically agreed otherwise, the property owner shall be responsible
„o„oDESM
for final grading areas subsequently depressed from soil settling.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing their
SM TEST
own systems must also receive prior approval from the Municipal Health
Department.
PERCMATM
TEST
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer.
sTRucruvL1
Construction shall include two 4" cleanouts for pumping access.
MECKV*M
86PECR"
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
CNBRE
WASTEWATER
06PCBALs"TEM
OEWM
17034 NORM EAGLE RNER LOOP * SURE 204 • EAGLE RNER ALASKA 99577
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW040113
Legal Description: lWiliiamsonlll Block 1 Lot 14"
Design Engineer: 0003 S & S Engineering
Owner Name: Tim Shiner
Owner Address: 8200 Straton Circle
Anchorage, A 99507 -
Date Issued: May 12, 2004
Expiration Date: May 12, 2005
Parcel ID: 015-073-31
Site Address: 5300 Shaun Circle
Lot Size: 12583 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
0 Disposal Field E Septic Tank E] Holding Tank E] Privy Private Well E] 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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 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:
Date: C--/7 i /o y
Issued By: / 1 I Date: 512 •
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.enchorage.ak.us
(907)313.7904
ON-SITE SEWLI MIELL rERjNAIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015'— 0'+-S— 71 Permit Number SW
Property owner(s) Le" Sti I ✓1P/' Day phone 3g,/— l g q
Mailing address (1) QiaO(>' Sfrn#A✓f 4're le
Mailing address (2) Xn z k&rAgP 41;Zip Code
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size"' � f 5�� Acre Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms 3
Sewer Only ❑ Well Only ❑
Sewer and Well 9 Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for
Single Family Dwelling and is in accordance with applicable Municipal Codes.
I ^ ^ S S ENGINEERING
1 CJ 17034 Eagle River Loop Road No. 204
/�J /'/
n._ roma Qlvw.. Atael(a 99577
(Signature of property owner or authorized agent)
N60 t )7 °'
Permit Fees: 5 - Waiver Fees:
Dale of Payment: T -ho /o y
Receipt Number: O r _
(Rev. 12100)
Date of Payment:
Receipt Number:
May 3, 2004
ROBERT C. COWAN, P.E.
CML ENGINEERS
(907)6942979
FAX (907) 6941211
WMTNAWHMTY MUNICIPALITY OF ANCHORAGE
APPPANALR Development Services Department
P.O. Box 196650
Anchorage, AK 99519
SEWERSWATER
IMMI LrENspNS REFERENCE: Lot 14, Block 1, Williamson Subdivision
SEWEASWATER It is requested that you issue a permit to install a well and a septic system to serve the
INSPECTION
proposed three bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test was performed. The approximate location
ENCINEERwGSTwiES of the test hole is located on the attached site plan. At the time of excavation 3/19/04, no
AN0FXMRTS water was found. After monitoring, ground water was not found.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
WEEWWT�E37T� areas'or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
SITE PLANS If you require additional information, please contact us.
Sincerely,
ROAD DESIGN
Rort . Cowan, .E.
8011. TEST RCC/bjj
Enclosure
PERCOLATION
TEST
STALL MURAL&
MECLWSCAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RNER. ALAS KA 99577
1" = 40' DESIGN SITE -PLAN
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Municipality of Anchorage /O YNGINEEgSr U y
Development Services Department 4'r
j
Building Safety Division /••-••
a.t On -Site Water and Wastewater Program r:•(/'' y, `/'
4700 South Bmgaw St. %'• . "• �'~„ '•^:
s••
P.O. BOX 196650 Anchorage, AK 99519.6650 ROBERT c. eowAN 4Q
www.ci.anchoraoe.ak.us ((tr;• CE -8801 r�J;
(907) 943.7904 jt ••. a�
Soils Log - Percolation Test
Pnr(nrtned Fr+ ! M1 $ I n/L 2 Date Performed: -3 1 i /d Y
S D
Legal Description: !- O T !y 13 Z O c K / Wt L Lr A.n Se.✓ ownship, Range, Section:
m rC (.ANt G S
s
SrT/ FwI� Se,.•o
ht d SrL7-
M L SI c r
WAS GROUNDWATER O
ENCOUNTERED? N
5
IF YES, AT WHAT DEPTH? L
Depth to Water After o
Monitoring? Y e
Date: 71 i VIO-1
play Vz-CjJVq
Site Plan
G
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
70
30
'r
3o60
30
.4y , r
70
30
PERCOLATION RATE r�, Ot (mnuteMrth) PERC HOLE DIAMETER b
TEST RUN BETWEEN_ 7 FT AND FT
COMMENTS
S & S ENGINEERING
PERFORMED BY: 14,4d /-, 6,CERTIFY THAT THIS TEST AS
PERFORMED INA r L �ICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: N o1 R 1C y
Eag s R Yera A as a 93
•
• PSE so
Municipality of Anchorage
On-Site Water and Wastewater Program 7p
, •,���er "
(907) 343-7904 �, ; >> 5 ``T Y
Q.
Certificate of On-Site Systems ^ • •rot P t 2018
Y a
Parcel I.D. 015-073-31 Expira n late: /rh
68L9 �
1. GENERAL INFORMATION:
Complete legal description WILLIAMSON#1; BLOCK 1,LOT 14
Location (site address) 5300 Shaun Circle*Anchorage,AK 99507
Current Property owner(s) Heather Shiner Day phone 301-5503
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® 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 . ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance reques or: Distance:
Received by. _ /b, Date: (o/gbQ
i r
COSA to be released t w' gineer,unless otherwise requested by the engineer.
COSA Fee $ 5249.
Waiver Fee $
Date of Payment /N3/ 2 Date of Payment
Receipt Number 653410 Receipt Number
COSA# 050?I536 Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: )013 )i.i
fi
0000
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system F 4:4��
o0
in accordance with the guidelines and regulations established by the Municipality of Anchorage and ,�� O`..• .. �4.
c��
industry practices. The reported results describe the condition of the system/s on the date/s of the c' ♦ ()n
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or • �� -7 0
encroachments may exist that were not identified during the evaluation. The operational life of all wells 0�•' 4 •T * 0
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, f Q
groundwater levels (that may fluctuate during the year), quality of construction (materials and j VA
workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and 'j .. .. D
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q •• ff y •. Gam= s.• 7
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of 00 CE 79 •• �pG/
the well or septic system. GEG makes no representation whether an alternative well or septic system 9c�4
can be installed on the property in the event either of the current systems fail to perform adequately in
4-4."' •••t°..,77
�. ' ��,�o
the future. The content of this report is for the sole benefit of the person/party that retained GEG to \k‘profess+o�co5
perform the evaluation. Reliance upon the information provided in this report by any other person or �.0000
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
#AECC884
6. DSD SIGNATURE
System #1 Approved for bedrooms
04 Lk ii1v.
System #2 Approved for bedrooms \GHQ tip
40
Disapproved r ON-SITE `7.
Conditional approval for bedrooms, with the followirti��-r WATER AND
.� gINATER z_
PROGRAM
O,fl ,c .
41F�1 SER\I C
By: 1i .______, ere -- Original Certificate Date:
6- 5-"10
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 w0'rk.
r•' •• .
7. ATTACHMENTS: • �" .
COSA Checklist _ / Nitrate Advisoy', ,r�F,
Septic System Advisory Arsenic Advisory,. .. _ o ��
Well Flow Advisory Other ••
COSA blue sheet 10-1O.12.doc
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: WILLIAMSON#1; BLOCK 1, LOT 14 Parcel ID: 015-073-31
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 6/18/06 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 261 ft. Cased to 261 ft. Casing height(above ground) 18+ in.
FROM WELL LOG AT INSPECTION
Date of test 6/18/06 9/10/18
Static water level 65 ft. 71.3 ft.
Well production 20 g.p.m. 7.1+ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 ml. Nitrate 0.654 mg./L. Collected by: GEG, Ltd.
Arsenic: <5.0 ug./L. Date of sample: 9/10/18
B. SEPTIC/HOLDING TANK DATA GRINDER PUMP IN GARAGE
Tank Type/Material . SEPTIC/PLASTIC Date installed 9/21-22/05
Tank size 1300 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout(Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumping 9/24/18 Pumper A+HOME SERVICES
C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MONITORING TUBE
Date installed 9/21-22/05 Soil rating ICq.p.d./f or ft2/bdrm) 0.6 System type DEEP TRENCH
Length 60{?) ft. Width 3 ft. Gravel below pipe 8.5 ft.
Total depth•lo.6 To 16.1 ft. Eff. absorption area 1000 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 9/10/18 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test "78 in. Water added 655 gal. New depth 88 in.
Elapsed Time: 180 min. Final fluid depth 82 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) NO If yes, give date -
*DRAINFIELD HAS 2 INCHES OF INSULATION PER 2005 INSPECTION REPORT
**SYSTEM 75% FULL PRIOR TO START OF TEST
WEST SIDE OF DRAINFIELD IS SHY ON COVER. SEE ATTACHED EMAIL FROM OWNER STATING NO FREEZING IN THE PAST
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at •• wa er alarm level at in.
II- -•- Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots **92+'
Absorption field on lot 100'+ On adjacent lots **92+'
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'+
SEPARATION DISTANCES FROM 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'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line *3' Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
**WR#070010-IT APEARS THAT THIS WAIVER SHOULD BE FROM WELL ON WILLIAMSON#1; B1, L14 TO SEPTIC
ON WILLIAMSON#3: B2, L17 *WR#050062 ***MET CODE AT TIME OF INSTALLATION
UNABLE TO PHYSICALLY MEASURE TO THE UNDOCUMENTED SEPTIC ON WILLIAMSON#1: B1.L13 BECAUSE WE
HAD NO DOCUMENTATION TO PROPERLY IDENTIFY THE SYSTEM.
.•�� OF �4/'11
G. ENGINEER'S CERTIFICATION �P;.•••' •• 5��14. ♦♦
1,- 'y
I certify that I have determined through field inspections and 49 'Ili ..
•
review of Municipal records that the above systems are in i
conformance with MOA COSA guidelines in effect on this ••vc, : ='i ':
♦F` - ey •. -ssr�i
date. #•6%,5,"/ :•- s,
Engineer's Printed Name JEFFREY A. GARNESS • r'., CE/7q53 o4•4
Date t t>13/13 't4 4 PROFESS\�44
LICENSE 111* %%*lS
#AECC884
(Rev. 10/12/12)
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