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Home My WebLink AboutWILLIAMSON #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 Co cn w m C U. \ x'c H+r OU+ �OO i ;na1 �� \•\ oaf n�, ten" / tOmm rU.K Tfl 0-�C\ f�o.44fclC l m C) 00 9 \ ~ o—a:) 6th \ o�,�,t . " L y o v oo C7 ► �i o snwva nam oo� , I ��13M O N v y ~^ Jo v .- o ► �NCAD ff tl o ►. is V ; Zr OP10 '✓� \ T ,``� e -Cirri - � O; \` w *Mon m n yZpm D~O ZD o mm OC XO, O \\ \ =oo y o \ K ZV \\ \\ o '✓ al $4 AV rn 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 \.Ai r \ U4 OD \ O) O r > •^nr' R e \ 0. zVG, :: oz C'V'.K T\(•t OC \` � =I AHI �NN9 m fh Jeno b 41 '9 > A Ln 0 W oN� C/) , �n 11 m o i'1101, o ' o Ln C Sn10V8 113M ,001 I \M O Ln O 0 y :EoI ~— �. a C7 � rn A r 10n ' Ca o 9 N u.o 0 I J/ DO 'sO<pO G'P >A p� r\ o, N \\\ C •N • 1#0 CA *Moo �y \ SGS \\\\M, M • ~ \ LDWO ;o -0.O >rrIoovoy, i C r\~C �AZs D—VI . \ \ >F)CA -n. \\\✓ o xvi�c MC) � imp 9 ZI \ om �nrm \ KKN 0 \ o mm n mOC \ Krpn 0 \ V1N MM \ Dy mo O D may �z O \\ ZNO O \ 20 y o \ \ e� f in N �l.�; in L �a6Fn \ P\.i OF 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) ge