HomeMy WebLinkAboutSNOWCUP LT 2Snowcup
Lot 2
#015-321-36
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP251097 PID Number: 015-321-36
Dwelling: E Single Family (SF) El with ADU R Duplex (D) El Two Single Family Project: El New F -I Upgrade
Name
PAMELA & RUSSEL TANNER
ABSORPTION FIELD
Z Deep Trench R Wide Trench E] Bed [:] Mound
Site Address
10501 BIRCH ROAD, ANCHORAGE
0 Other
Phone
Bedrooms
Soil Rating
Total depth from original grade
5
1 GPD/SF�
11 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4 Ft.
Gravel depth beneath pipe
7 Ft.
Subdivision Block Lot
SNOWCUP 2
Fill added above original grade
VARIES -0.21 TO +0.02 Ft.
Gravel length
55 Ft.
Township Range Section
Gravel width
2 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To, Septic Absorption j Holding Sewer
Lift StationTank
Total absorption area
Number of trenches
Dist. between trenches
From iTank Field Line
770 Ft2
1
Ft.
Well 100'+ 25'+
TANK ED Septic El S.T.E.P. El Holding [I Other
Manufacturer
EXISTING
Capacity
Gal.
Surface Water 100'+
Material
Number of compartments
Lot Line 10'+ NA
Foundation 10'+
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks
Alarm location
Electrical installed by
PIPE MATERIAL House to tank Tank to 3034
drainfield-_-,
Installer MIKE N ANDERSON, PE (MNA)
Drainfield 3034 CO/MT 3034
Inspector MNA & FWC
BENCH MARK (Assumed elevation) 100 ft
Inspdates:ection 1" 5/6/2025 god 5/7/25
Location and description
3rd 5/8125 4th
TOP OF DECK
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
At
Conditional Approval: Date
Awe
TH * �
Septic Syst
Ap iproveo-
Curtis Huffman
Az ��
CE 128991
D
�
p5/12/25. . Asw
this approval does not include well permit requiremenZ
�'°ROFESSIfl��,ti�Note:
(ReV 5/02/18)
PID:015-321-36 PERMIT:OSP251097
FIRST WATER CONSULTING
SNOWCUP LOT 2
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Section
4700 Elmore St.
P.O. Box 196650 Anchorage, AK 99519-6650
(907) 343-7904
Soils Log - Percolation Test
7 `t r�
....fit :• �....•.. i;
r
'� � +�• MICHAEL N. ANUERSGN
f CE 9469
Performed For: T tqq y1 e r— Performed:
Legal Description: 47 K Utn! Ltp L tot Z— Township, Range, Section:
Site Plan
a
10-
11-
12-
13-
14-
15-
16-
17-
18-
19 -
COMMENTS
Gi /` t
WAS GROUNDWATER
ENCOUNTERED?�
S
(� + IF YES. AT WHAT DEPTH? E
Depth to Water Atter p
Monitoring? E
Date: _!E&'42
PERCOLATION RATE 7/ (minme.imh) PERC HOLE DIAMETER Le 4
TEST RUN BETWEEN 3 FT AND tt FT
PERFORMED BY: M 'A�+ , I CERTIFY THAT THIS TESTAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S 1/2_5—
quanics
GARNESS ENGINEERING GROUP, Ltd Alaska Authorized ENGINEERING SALES CONSULTING
April 11, 2025
Russel Tanner
10501 Birch Road
Anchorage, AK
RE: Snowcup L2 —10501 Birch Road — Well and Septic System Evaluation
Dear Mr. Tanner,
Per your request, we conducted an inspection of the septic system and well serving the above -referenced
property in support of your application for a Municipality of Anchorage (MOA) Certificate of Onsite
Systems Approval (COSA). Well flow testing and septic testing were performed on April 2, 2025. Our
findings are summarized below:
Septic System: The septic system consists of a 1,500 -gallon steel septic tank and a deep trench leach field
with an effective depth of 84 inches. Both were installed in October of 2010. Upon our arrival (4/2/25)
the drainfield had 80 inches of liquid in it. We took elevation shots and determined that the monitoring
tube extends approximately 81 inches below the invert. In short, the water level in the drainfield was only
1 inch below the invert of the drainpipe, indicating that the drainfield was almost 99% full. If the drainfield
liquid depth was one inch higher the system would have been deemed to be technically failed. After
introducing only 146 gallons of water, the liquid level in the drainfield rose 1.75 inches (about 0.75 inches
above the invert of the lateral). The introduction of an additional 142 gallons of water caused an additional
rise of 3.5 inches (liquid at top of drainpipe lateral). The introduction of water was stopped, and the system
was allowed to recover for a period of 154 minutes, during which time the liquid level dropped
approximately 3.5 inches (approximately 1.75 inches above the invert of the later). Based upon our
readings/calculations, the absorption rate (in a slightly surcharged condition) is close to 850 gallons per day
(gpd). Given the limited surge capacity of the drainfield, the fact that the system was 99% full prior to
starting the test, and the marginal recovery of the drainfield, it is my opinion that the drainfield is at the
end of its useful life and should be replaced prior to issuance of a COSA.
Well Flow Test and Water Sampling/Analysis:
The well flow test indicated a yield of over 5.5 gallons per minute. A PIWA (Private Individual Water
Analysis) sample was also collected, and results will be emailed to you upon receipt from the laboratory.
If you have any questions or need further assistance, please do not hesitate to contact us at (907) 337-6179.
We appreciate the Aportunity to support your engineering needs.
ly
P.E., M.S.
�E OF A_D1�)
•.4Y 1
2903=®
CE -795 ,•;
j,?ROFESSiOt':
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 ,jr4,G
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com y 1 JILS
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251097
Work Type: Septic Upgrade
Tax Code Number: 01532136000
Site Legal Address: SNOWCUP LT 2 G:2538
Site Mailing Address: 10501 BIRCH RD, Anchorage
Owner: TANNER PAMELA JANE &
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Scl Ft:
Total Bedrooms:
4/11 /2025
4/11 /2026
58427
Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
5
The Engineer is required to do an additional percolation test prior to construction of the septic field. If percolation
results are < 1 mpi, a sieve analysis will be required to confirm USCS classification doesn't require a sand filter.
Please submit stamped and signed results with the As -built Inspection Report. If the results require a design
change, construction of the system will stop pending On -Site review and approval.
Received By:�� �' Date:
Issued By: �^— Date: /='
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel 1. D. 0 15-321 -36
Property owner(s) RUSSEL & PAMELA TANNER Day phone
Mailing address
10501 BIRCH ROAD, ANCHORAGE, AK 99507
Site address 10501 BIRCH ROAD, ANCHORAGE, AK 99507
Legal description SNOWCUP LOT 2
Number of Bedrooms 5
Engineering Firm FIRST WATER CONSULTING
Building Permit Number
APPLICATION IS FOR:
(Z all that apply)
Absorption Field ED
D
D
0
0
Septic Tank
Holding Tank
Privy
Well
Not Applicable X
APPLICATION IS AN:
Initial
El
Upgrade
FxJ
Renewal
El
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees:
Date of Payment:
Permit No. rl)_5 0- 2 9 7
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
April 9, 2025
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
LEGAL: SNOWCUP LOT 2
The property owner has requested we obtain a permit to upgrade the failed septic system of the
above referenced lot. We propose to install one deep trench to serve the existing 5-bedroom
residence. The design is based on the test hole conducted by Brian T Harten, PE on July 26,
2007. An additional percolation test will be conducted at construction as noted on the design. No
groundwater was observed at test hole excavation or monitoring.
The slopes & proposed trench are shown per site and investigation of record documents. The
slopes are moderate at 8-13% at the proposed upgrade location. The lot and area are served by
private water. The design will not impact any of the neighboring properties. Please contact us if
you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251097, Curtis Townsend, 04/11/25
FIRST WATER CONSULTING
SNOWCUP LOT 2
DESIGN CALCS:
NO SLOPES >25% WITHIN 50'OF PROPOSED FIELD.
STAKE PROPERTY LINES, WELL RADII, ESMTS,
OR OTHER SEPARATIONS... PRIOR TO CONST.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251097, Curtis Townsend, 04/11/25
FIRST WATER CONSULTING
NO WELLS WITHIN
100' OF PROPOSED
OR EXISTING FIELDS.
DESIGN DETAILS:
SNOWCUP LOT 2
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251097, Curtis Townsend, 04/11/25
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT
Permit Number: I~H01002 PID Number: 015-321-36
Name:
John Haomeier Builders Wastewater System: [] New [] Upgrade
Address:
2204 Cleveland Ave, Suite 201 ABSORPTION FIELD
Phone: Number of Bedrooms:
[] DeepTrench [] Shallow Trench [] Bed [] Mound [] Other:
LEGAL DESCRIPTION So, Rating: Total Depth from original grade:
1.0 GPD,Ft2 10.5 Ft.
Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe:
2 Snowcup 3.5 Ft. 7.0
Township: Range: Section: Fill added above original grade: Gravel Length:
0 Ft. 55 Ft.
Well: [] New [] Upgrade Gravelwidth: Number of lines: I Distance between lines:
2.5 Ft. 1 Ft.
Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material:
,,C>~ i V'/3-r~ 141 Ft. 141 Ft. 770 Ft2 3034 PVC
Driller: Date Drilled: Static Water Level:Installer: Date Installed:
Alpine Drilling 611312010 95 Ft. John Ha[imeierBuilders 10/30/2010
Yield: I Pump Set at: ~ Casing Height Above Ground:
20 GPMI { ~'~ ' .Ft. 2.0 Ft. TANK
SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other:
T~ TO Septic Absorption Lift Holding >ublic/Private Manufacturer: Capacity:
,rom~
Tank Field Station Tank Sewer Line Anchorage Tank 1500 Ga~.
Material: Number of Compartments;
we,, 116.9 186.0 104.1 Steel 2
Sur~eceWater 100+ 100+ ~ / LIFT STATION
Lot Line 57.9 33,52~ Size: Manufacturer:
Gal.
Foundation 12.4 82.7 "'Pump on" level at: "Pump off" level at: in. High wateralarm at:
Curtain Drain NIA N/A Pump Make & Model Electrical Inspections performed by:
Remarks:
BENCH MARK
Location and Description:
Garage Finish Floor
Assumed Elevation:
100.0 Ft.
Engineer's Stamp
Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1st 10/29/2010
Development Services Department Approval . ~..
Conditional Approval Date: ~
Reviewed and approved by: Date: /¢/~/~0
(Rev. 04/06) / -
~,~17~ ~'~'--.... '7 .i:~." .... "so FO 4.6 46.6
u :' ,,i,;'! ,-" ................... <:(, . "~"-'"., T1 ~5 a 4a.3
';' ;. |." % ' ~ '-, ",, '", ~ * T2 22.4 52.4
/~ , ..~ , ), , , .,, -,. ,'
,"~,~l"l ~.~ .... ' .......... ~X ' '"' ~' "' [ '~' ' DC 31.6 57.6
./~ ;' ........ 'k ..... "~ ' ',., ".L':' ..' Cl 84 0 109 4
/ [ '"~ :'ExIsT:'~ ~" ....... , X'"'. "" ~'. WELL ' ' 488 40.2
; ~1 / I ~/ ~, ~ "-, ...... WITHIN 200 .OF,PROPOSED SYSTEM.,,"
./: ~ : ~m~ ~./ ~~,g ............. " ;
':~ I ...... / i & /, /~. Z,,N ......... ~RESERVE DRAINFIELD LOCATON
:: r ...... LOT ~ / / ~ ~ '~ c~_-~./~ .... ~' ~u~'mxZ~'w ~o.~'~D
~ ~ ' / ' / _/ ~ /22,1r'~ ~ ~
I !
~ / , [ /~ ~ / ~' ~'~~'~ ] ~NEW PRIMARY DRAINFIELD INSTAL
':'~ I t /v ...~.t.. V '~~ ', ~L~x~'~Ox~.~'w,~o.~'~o
'l: EXgT'O ~ / / /', ;, I EXST'G:
.. :', :' i .'
; ~"1 .. ' ' ..~ " ," ..'
,..., ...-..., .......... .....,
I I
: ; . - ...~.~ .... ,, :
~-~ ---~ ~__ _~/. ........... / ..
,. ,' : 'x ', '. ~ ,> / i
" ~ , xx T. ~- X :,~ ~ ~ ~ .."'
~ : x,x ; ~ :// ~ X I.."' M,EXIS' G
~ ,,' n ~EXIST'G I ,~' i
~ ' H ~SEPTIC ~,'~ .
~'' ' " sE
AF'.EA / ~// WITHIN 200/ Oy ~RaPdSED SYSTEM. ~:~
~ ,' .; ': ,,, ;PTIC .,' NO PRIVATE/O~ ~O~MONI~ WELLS
NO,' P~RI'VATE~: OR .CbMMUNI~ WELLS ', ~ :,' ~ X ~ ~ ',,
~ I~HiN 200" 0.¢' PROPOSED SYSTEM.
NOTES: P~O~ ~G ~C, L~ ~: ~
RECOR~ DRAWING P.O. ~OX ~002~7 ANCHORAGE, AK 995~0 ~..
Scale
PHONE (~07) :7:-~:~ FAX (~0~) ~-~:~ ~...'~~ "~"~'...'~ ~"=~o'
Jo~n M~eie~ Bu~,de~ .~~~go~-~:~
2206 Clevelomd Ave, Suite 205 r~a~-. CE 81~ '~ PER~IT NO.
f~:qpZ .5~ OSP101002
PLAN Anchorage, AK 99505 ~.uZ~.
~i- ?~ ....... ,:~ Sh~
~ ~OES9B~
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE A'FI-ACHED SPECIFICATIONS.
5. SCOPE OF WORK: 5-BEDROOM HOUSE, NEW 15009 SEPTIC TANK, NEW DRAIN FIELD.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE
INFORMATION ABOVE 16 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10
FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY.
5. CONTOUR INTERVAL=4 FEET. BASED ON MoA MAPPING DATED 1999.
PRIMARY FIELD RESERVE FIELD
-1.5-- 3i5' 0.5' 5 J//~ Drain rock 6" above pipe
swSM~,J~ i~4~v
-3..' -- j ~ .3 "diam. drain pipe
J 77.3 j~j~"--Drain rock below pipe inv.
-17 ~ 70.8
NO groundwoter SECTION
monitored
o u JO
J SEPTIC TANK == ..............
PROFILE
DESIGN PARAMETERS ABBREVIATIONS LEGEND
UPGRADE SEPTIC SYSTEM CU COPPER --w w WATER LINE/
NO. BEDROOM: 5 (750 gpd) DIP DUCTILE IRON PIPE WELL RADIUS
TANK SIZE: 1,500 gallon TH TEST HOLE
PERC. RATE: 1MPI FC FOUNDATION CLEAN OUT --ss ss- EXlST'G SEPTIC
SOIL RATING: 1.0 gpd/SF T# TANK CLEAN OUT NO.
AREA RQD: 750 SF
SYS. TYPE: TRENCH, 7'ED, C# CLEAN OUT NO. ss ss NEW SEPTIC
MIN LENGTH: 53.5 LF M# MONITOR TUBE NO.
USE: R.I. RIGID INSULATION 0 CHAINLINK FENCE
55LFx2.5'WlDE, 7'ED, 10.5' TD DCO DOUBLE CLEAN OUT
TOTAL AREA: 770 SF DV DIVERTER VALVE
FS FLOW SPLITTER
NOTES: PANNONE ENG SVC, LLC
RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 .. ....
· NTS
SNOWCUP S/D Lot 2 ~ -015-321-36
John
Hagmeier Builders rlj..~"~..~even~E~a2nt?~e,~ PERMIT NO.
2204 Cleveland Ave, Suite 201~'~- ~' ~'-~ "<"~"'l'~,?p/~... ..~_~N~.~ 0SP101002
DESIGN NOTES Anchorage, AK 99505 ~li?'-~?~:.~{~:~.~ Sheet
INOV U~ IU Ul:~bp
dor~n I-lagmeler Homes
9072486434
Alpine Drilling & Enterprises
Well Log
Permit Number: #SWOSP 101002 Date of Issue: 5-5-10 Parcel Identification Number: 01532130000
Date Started: 6-~2-I0 Date Completed: 6-13-10 Is well located at approved permit/ovation? x Yes [] No
Legal Description: Snowcup Lot 2 G2538 ~
Property Owner Name & Address: Saleeby Becky & Ream Bruce '
-' 3421 Spinnaker
Anchorage, Alaska 99511
Borehole Data: Depth (ft)
SoiI T~pe, Thickness & Water Strata From To
Stick-up 0 2
organics 2 3
sandy silt 3 t O
grin, oily silt 10 , 26
silty gray'el 26 I31
gravelly silt 131 137
·vater sand & gravel t37 141
Method of Drilling x air rotary' [] cable tool
Casing type: steel
Wall Thickness: .250 inches
Diameter: 6 inches Depth: 141 feet
Liner Type: ~
Diameter: ~ inches Depth: ~ feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 9_&5 feet
Pumping level: 141 feet after
2 hours pumping 2_Q0 gpm
Recovery Rate: 2_0_0 gpm
Method of Testing: air lift
WelI Intake Opening Type:
x Open End [] Open HOle
[] Screened" Start ~ feet Stopped
[] Perforations Start ~ feet Stopped__
feet
feet
Grout Type: bentonite granules
Start 0 feet
Pump: Intake Depth __ feet
Pump size __ hp Brand Name
Volume: 2bgs
Stopped ? feet
Well Disinfected Upon Completion? x Yes [] No
Method of Disinfection: chlorine tab/ets
Com melllS;
~Vell Driller:
Alpine Drilling & Enterprises
PO Box ] 10496
Anchorage AK 99511
Mark Begich
Mayor
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elrnore 5treet
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
{907) 343-7'904
Pump Installation Log
Well Drilling Permit Number: S
Date of Issue:
Parcel Identification Number: _ Replacement Only: YES NO
Legal Description Property Owner Name & Address:
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: ~ feet
Pump Manufacturer's Name:
Pump Model: ti~
Pump S~e ~ hp
Pitless Adapter Burial Depth: ~ feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer: ~ ,~h:~~ ~; ~ ~?~*~,~
Well Disinfected Upon Completion? ~ Yes ~ No
Method of Disinfection:
Comments:
Pump Installer Name:
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Permit Number: OSP101002
Tax Code Number: 01532136000
Work Type: WellSeptic
Permit Effective Dates: May 05, 2010
On-Site Water & Wastewater System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Initial
to May 05, 2011
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: SNOWCUP
Site LegalAddress: SNOWCUP LT 2 G:2538
Owner/Address: SALEEBY BECKY &
REAM BRUCE 3421 SPINNAKER ANCHORAGE AK 995163424
Lot Size In Sq Ft:
Site Mailing Address: Total Bedrooms:
58427
5
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Pdvy Y Pdvate Well N Water Storage
All construction must be in accordance with: 1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction dudng freezing weather must either.
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:~
Issued By ~
Date. x,.~// c~'///(~
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907) 343-7904
1007.
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR a SINGLE FAMILY DWELLING
Parcel I.D. 015-321-38
Property owner(s) John Haqmeler Co
Mailing address2204 Cleveland Ave, Suite 201, Anchoraqe, AK
Site address I0~01 ~l~c~ R,~
Legal description (Sub'd., Block & Lot) Snowcup S/D, Lot 2
Legal description (Township, Range & Section)
Lot Size 58427 .Sq. Ft.
Number of Bedrooms 4
Day phone
Zip Code 99503
Zip Code
THIS APPLICATION IS FOR (~;~ all that apply):
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
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.
Pannone Engineering Services, LLC
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev. 1 lj05)
Waiver Fees:
Date of Payment:
Receipt Number:
Pannone En§ineerin§ Services LLC
Steven R. Pannone, P.E., Principal
Licensed & Registered in Alaska and Florida
E-maih ~;t~ve~panenRak.~om
April26,203.0
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road
P. O. Box :3.96650
Anchorage, Alaska 99519
Re.'
Snowcup S/D Lot 2
Well and Septic System Installation
Ladies and Gentlemen:
I am writing to request that a permit to construct a new well and septic system be issued for this
property. The proposed systems will serve a proposed four-bedroom house. The lot is not currently
developed. The proposed scope of work is to install a new 1250 gallon septic tank and absorption
system along with a new private well that will serve this lot.
Solls Investigation: A soils exploration was completed in August of 2007 by BTH Construction
The soils encountered were clean well graded sand in the area where the new drain field will be
installed. The percolation rate of the soil based on the test performed is faster than I rain/in, the
soil has sufficient sand content as to no warrant the installation of a sand liner. Bedrock and ground
water were not encountered in the test pit. Ground water was not observed after the water
monitoring period. Based on the soil investigation and the water monitoring performed to date, I
believe the best system would be a conventional septic system using an application rate of 1.0
gpd/sf.
Trench Deslgn:
a. Percolation Rate: <3. min/inch
b. Application Rate: 3..Ogpd/sf
c. Numberof Bedrooms: 4
d. Design Flow: 600 gallons per day
e. Min. Absorption Area: 600 sf
f. Totaldepth: 10.5 feet
g. Effective Depth: 7.0 feet
Mailing: P.O. Box 3.00217, Anchorage, AK 99510-0217
Physical: 615 East 82"~, Suite 86, Anchorage, AK 99503
Telephone: (907) 272-8218 FAX: (907) 272-8213.
Page 2 of 2
h. Width: 2.5 feet
i. Reduction Factor: -
j. Minimum Length: 42.8 feet
k. Design Length: 50feet
I. Effective Absorption Area: 70Osf
m. Septic Tank Size: :1250g steel Septic tank
Surface Water: There is no surface water within 200 feet of the proposed installation.
4, Topography: The average topography in the area of the proposed septic system is
approximately fifteen percent to the southwest based on MoA Mapping
5. Future Development: The proposed installation will not affect the future development of the
surrounding or existing lots. There are no wells or septic systems within :100 feet of the proposed septic
location.
6. Drawing Marking: The Drawings are marked "For MoA Review Only". When written notification
that the review is complete and that there are no further comments is received from MoA On-Site
Department, the note will be removed and "issued for Construction" drawings will be issued.
If you have any questions or concerns, please contact me at 272-8218.
Sincerely,
Steven R. Pannone, P. E.
Principal
s/s/ o
Attachments:
Mailing: P.O. Box :100217, Anchorage, AK 99510-O217
Physical: 615 East 82"d, Suite B6, Anchorage, AK 99503
Telephone: (907) 272-82:18 FAX: (907) 272-82:11
· I~-----.-.__ ' '"::-~" ,:\ '"-. / ,'
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' 1. // ~dd - ~ " ~ ,,, ' ..... WIT~ 200 QF PROPOSED SYSTEM.~ ,,
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: ~', i / ' /~ ~ / SEPTIC /RESERVE oRa~,q~LDS
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, , , : ... ~S~PTIC , NO PRIVATE
~: i '. ..' /*l ~ ~" ~IT.~N 200'
; i; ~ ," , ,.' i i ~ '. ',
~O P~ATE~,OR dOMMUNI~ WELLS ', -" I ~ ~ .: .
~,T~ ~oo or ,Ro.os~ S~S~E~. " .-"' i ~ ~ ~' ~ ....
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.o~,s: ~O~ ~G ~C, L1~ ~. ~/~/~o
ISSUED FOR CONSTRUCTION PHONE (907) 272-82~8 FAX (907) 272-8211 ~..
~... ~ ~ ~ ~. ~. ,'~o'
~ '' ~ ...... ~ P.I.O, NO
SNOWCUP S/D Lot 2
John Hogmeier Builders ' ~~o~n~' ....... ' PERMIT;iS-321-3~NO.
2204 Clevelond Ave. Suite 201 ~ ~.. ~ sw~,~
PLAN Anchoroge, AK 99503 ,~ ~'- .~
~ 1 Or 2
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: 4-BEDROOM HOUSE, NEW 125Og SEPTIC TANK, NEW DRAIN FIELD.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE
INFORMATION ABOVE 16 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10
FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY.
5. CONTOUR INTERVAL=4 FEET. BASED ON MoA MAPPING DATED 1999.
--b ~'j- -
SECTION
- /
PROFILE
DESIGN PARAMETERS ABBREVIATIONS LEGEND
UPGRADE SEPTIC SYSTEM CU COPPER w w WATER LINE/
NO. BEDROOM: 4 (600 gpd) DIP DUCTILE IRON PIPE WELL RADIUS
TANK SIZE: 1.250 gallon TH TEST HOLE
PREC. RATE: 1MPI FC FOUNDATION CLEAN OUT ss ~s ~ EXIST'G SEPTIC
SOIL RATING: 1.O gpd/SF T# TANK CLEAN OUT NO.
AREA RQD: 600 SF
SYS. TYPE: 'fRENCH, 7'ED, C# CLEAN OUT NO. ~ ss ss ,, NEW SEPTIC
MIN LENGTH: 42.8 LF M# MONITOR TUBE NO.
USE: R.I. RIGID INSULATION O CHAINLINK FENCE
50LFx2.5'WIDE, 7'ED, 10.5' TD DCO DOUBLE CLEAN OUT
TOTAL AREA: 700 SF DV DIVERTER VALVE
FS FLOW SPLITTER
.o ss= PANNONF ENG SVC, I.IC t, 5/5/,0
P.O. ,ox ,oo2,7
Scale
ISSUED FOR CONSTRUCTION PHONE (907) 272-8218 FAX (907) 272-8211 ~r~.,'~49TH..~ '..llr~/, NTS
~,--~, ......"'/.~ ~.Lo. NO
SNOWCUP S/D Lot 2 ~.~,.~.115-321-3(
John Hagmeier Builders'¢ %;~,¢~"~"' CE 8149 .,~,.'~' ~ERMIT NO.
2204 Cleveland Ave, Suite 201 h ~'~.. , . ....~,~.,~ sw~
DESIGN NOTES Anchorage, AK 99503 ~i¢,,~.¢A.~,;~? Sheet
,~,~%%.~.~-~ 2 OF 2
f"', Municipality of Anchorage
Development Services Department
Soils Log - Percolation Test
TEST HOLE #5
p~d~m~d~ SXX-M CEDAR HOMES
LOT 2, SNOWCUP SUBDIVISION
S~pe
VEGETATION
BROWN, SANDY
SW - CLEAN, WELL GRADED SAND
ENCOU~ITER£ O? NO .
C:)CPT. TO W.,,TL. ~/A__
DATE; 08-03-07
SEE ATTACHED SITE PIJ%N :
LEVEL
13--
14--
07-26-07 TEST HO: R ACCEPTEr 5 GALLON£ OF WATER WITHIN
5 MINUT] ~ ON TWO SUCCESSIVE ATTEMPTS.
PERCOL~ ION RATE IS GREATER THAN I Mill/IN,
HOWEVER rile CONSI.~TENCY OF THE NATIVE SAND WILL
PRECLUD] TIlE USE CF AN IMPO}TED SAND .[NER.
PERCOLATION RATE >1 MIN~INCH T~ST HOLE DIA. 6 INCHES)
TEST RUN BETWEEN 5.0 FT AN D .._6_...Q _ FT
A FOUR HOUR PRESOAK WAS PERFORMED; [] YES ~ NO
COMMENTS: THIS DATA IS FOR EXCLUSIVE USE BY BTH CONSTRUCTION, LLC TO DEMONSTRATE THE
VIABILITY OF THE SUBJECT PROPERTY TO SUPPORT AN O,~-SITE SEPTIC SYSTEM.
PERFORMEDBY:DTtl CONSTRUCTION. LLC I, BRIAN T. llARTEN ,CERTIFYTI-IATTHISWASPERFORMEDINACCORDANCEW1TH
ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: AUGUST 3 r 2 0 O 7
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251180
Parcel ID 015 -321-36 Expiration Date
Legal description SNOWCUP LT 2
Site address 10501 BIRCH RD
Current property owner(s) TANNER PAMELA JANE &
4/2/2026
X The On-site system(s) is/are approved for 5 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
Original Certificate Date: 5/16/2025
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
sys m(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
D velopment Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
Development Services Department
a Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 015-321-36
Complete legal description SNOWCUP LOT 2
Location (site address) 10501 BIRCH ROAD, ANCHORAGE, AK 99507
Current property owner(s) PAMELA & RUSSELL TANNER
2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: F-01 Private Well serving # 1 dwelling units
E] Other Non-public well as regulated by MOA n Water Storage
F] Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: � Private Septic R Private Septic serving 2 dwelling units
El Holding Tank 0 Community Septic or Public Sewer
5. SEPTIC TANK: nN Steel r_1 Plastic n Concrete n Fiberglass
Age 15 _ See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: R AWWTS R Bed RN Deep Trench R Wide Trench El Seepage Pit
Waiver request for:
Expedited review requested: R
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $_ 'z_ c 0 Waiver Fee $
Date of Payment
COSA #
Date of Payment
Waiver #
COSA App1icafion_Apr2025.doc
COSA Checklist.docx
COSA Checklist
Legal Description: SNOWCUP LOT 2 Parcel ID: 015-321-36
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 6/13/2010 Total depth 141 ft
Cased to 141 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 24+ in.
Date of flow test for COSA 04/02/2025*
Static water level at beginning of test 101 ft.
Well production at time of test 5.5+ gpm
Water storage tank volume NONE gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 0.948 mg/L Nitrate less than MRL (ND)
Arsenic 6.80 ug/L Arsenic less than MRL (ND)
Collected by *GEG Date 4/2/2025
Comments *GEG performed the well flow test & took the PIWA samples – See attached GEG letter & PIWA.
B. TANK DATA
Measured operating fluid level in septic tank 49”
Date of pumping 4/3/2025
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) NEW SYSTEM
ALL standpipes present per record drawing
Total measured depth from grade 11.02 ft (max)
Measured depth to pipe invert from grade 3.79 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective (ED).
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date NEW SYSTEM
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – NEW SYSTEM – NOT TESTED
Effective depth (per record drawings) 84 in
Effective depth used 0 in
Effective depth (ED) remaining 84 in
Comments/Deficiencies: Approximate total measured depths from existing grade.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 05/14/2025
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
05/14/25
Tract C Spring Forest Subd. i
N8905444"E 164.76 ` 8518
Septic vent
o O m
deck ( �o
deck 1.5 OH / S�
a�
I o 0 50.5
0
9.0 2 Story Frame N �~
0
House
06
T_ 2.5 _
2.5 ��? 7.0 "'s 11.0 M
o ~
5.5
N6.0 '
`n r
12.04
00
M LOT 2
Covered
4
concrete 24.0
lq-
CU
House Detail Scale: 1 "=40' Septic vent (typ)
�• °,f o
Lot 1 C M
° °
41
Lot 6
y ° ° �-
p�� N
o�--
co o
� O
8 O
40 ° Wood fence
Z
0 0 2 ° 0 SCALE: 1 "= 60'
Q s
O
rV00 I ��-
2 Story Frame Ramp
_ ,�j House
U p
� oN
� � See house Spring n Forest Subd.
cV detail above l p g
1
I` Well 1 49.7—
`0
0 S89056'40"E 100.00 Asphalt
I
p
o
0 O Gravel drivewa _.,
O I y X--,- Yard light (typ) Ret. wall Lot 5
M 10 T & E Easement
I S8905614011E 290.31 Lot 2
Lot 1 I AS-BUILT NO CORNERS SET THIS DATE
`\\\ \ \ , I hereby certify that I have performed a Mortgagee's inspection
Spring Forest Subd. _� OF / in accordance with ASPLS Standards of the following
•
,,- C • �/ , described property: LOT 2, SNOWCUP SUBD.
35 '� • .�S
Anchorage Recording Precinct, Alaska, and that the
�: ' 49th '•9 , improvements situated thereon are within the property lines
Note: Per Plat No. 2006-32 Note No. 1, •
and do not overlap or encroach on the property lying
Access to lots 1 and 2shall be provided b • •4-
00
``• • • • • •
P y . ''r adjacent thereto, that no improvements on the property lying
a single driveway abutting the flag portion 00,� adjacent thereto encroach on the premises in question and
. • • f
of lot 2. �0 that there are no roadways, transmission lines or other
0- izabeth L. alatka . ff / visible easements on said property except as indicated
�s� • • 8036 - LS • • 'W hereon.
F,Q �J "W Dated at Anchorage, Alaska
this 8th day of MAY 2025.
EASEMENTS OF RECORD, OTHER THAN , pRo�'ESS�ONA1. �P
,
' , \�� FRED WALATKA & ASSOCIATES, L.L.C.
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON � �\�► „r Engineers and Surveyors
UNLESS OTHERWISE NOTED. FB 25-2, pg 21-22 �'� '� BE 907-248-1666
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence, structure or other improvements unless otherwise noted. This drawing shall only be used for a single property transaction. Use of this
drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross
negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
1A9 �
• Municipality of Anchorage ��5 6 " '�>>, °`
_.. ,
i f i..r On-Site Water&Wastewater Program ,...(V i� �0 < • 1i
46 (907)343-7904 X SA
""
II- h,.'-„� f1 6
�Q
CERTIFICATE OF ON-SITE SYSTEMS A'''.4 CI C;1
Parcel I.D. 015-321-36 Expiration Date: Cr^ 12 -1 9
1. GENERAL INFORMATION
Complete legal description SNOWCUP S/D; LOT 2
Location (site address) 10501 BIRCH ROAD, ANCHORAGE,AK 99516
Current Property owner(s) BECKY SALEEBY Day phone 223-2967
Mailing address SAME AS SITE ADDRESS
Real Estate Agent SABRA GILLILAND Day phone 720-7404
2. TYPE OF DWELLING:
U Single Family (w/wo ADU)
❑ Duplex
U Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well I. Individual On-site III
Individual Water Storage ❑ Individual Holding tank ❑
Community Class Well ❑ Community On-site ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for N/A Distance: -
Received by: Date:
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee$ 55 Waiver Fee$
Date of Payment a/2//9 Date of Payment
Receipt Number 0&,611q6) Receipt Number
COSA# Q 5o9to(p‘ 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. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE,AK, 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 3l$//q
Engineer's Comments:
In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the �t*'I**y
guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the *4 OF A/1'tr,
condition of the sysiem/s on the date/s of the evaluation.Separation distances were measured to readily identifiable features. .. ,9
Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic '•�••••••,•,••••/• •.. ,♦�.
systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during ,' / ' �•• �.
•
the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the systems.These / * ••
conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the 49 I' \ * •I/
system/s,therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. /
GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the 0••, ,� I ••.
current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the •�;••• /
information provided in this report by any other person or party,including but not limited to subsequentproperly / . A79Gam ss �v
eq rPurchasers,israt �1•c C -79 ��-
authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. �i,• ( j /
•
6. DSD SIGNATURE p p 4
LICENSE ,,�1,;"`ai4.4
l System #1 Approved for S bedrooms. #AECC884
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipul$tions: G.
ON.S\ o
SSPIERWP
GRAM
.c) PRO
" oo"�nit ss 9" �
By: r \A', �! "-N'ge_ Original Certificate Date: 3 - t2'( q
The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only
upon the represenatations 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. ATTCHMENTS:
COSA Checklist Nitrate Advisory •• ,, ,
Septic System Advisory Arsenic Advisory ,�
Well Flow Advisory
Other
(Rev.10/12/12)
COSA Checklist
Legal Description: Snowcup S/D; Lot 2 Parcel ID: 015-321-36
If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1
A. WELL DATA
0 Well log is filed with Onsite (or attached) Well production at time of test 5.7 gpm
Date drilled 6/13/10 Water storage tank volume n/a gallons
Total depth 141 ft Well disinfected for coliform test? ❑ Yes ❑■ No
Cased to 141 ft Q Coliform bacteria is Negative
❑■ Sanitary seal is functioning correctly Nitrate 0.823 mg/L ❑ Nitrate less than MRL (ND)
❑■ Wires are properly protected Arsenic <5 ug/L 0 Arsenic less than MRL(ND)
Casing height (above ground) 24+ in. Collected by GEG, Ltd.
Date of flow test for COSA 3/5/19 Date of Sample 2/26/19
Static water level at beginning of test 99.5 ft.
Comments
B. TANK DATA „C. LIFT STATION
Age of tank(s) 8+ years ❑ Fre- ' ed maintenance completed
Tank type/material Steel/Sept Age of lift stab. years
❑■ Standpipes/foundation cleanout per record drawing Lift station material
Date of pumping 3/6/2019 Comments:
Note:the tank has 40"of cover on shallow end of tank. no freezing
issues per owner(see attached email form owner).
D. ABSORPTION FIELD DATA Deep Trench
Which system tested (date installed) 10/30/10 Adequacy test date 3/5/2019
Q ALL standpipes present per record drawing Results E Pass For 5 bedrooms
Total measured depth from grade *8.5 ft (max) Fluid depth prior to test 14.75 in
Measured depth to pipe invert from grade 4.1+ ft(min) Water added 1026 gal
❑ N/A—pressurized field New depth —26.75 in
❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 1065 min
depth into effective*3.26'
Final fluid depth 13.75 in
• Code-required soil cover over field
Absorption rate 750+ gpd
❑ System presoaked No
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months)
date of test) N/A
Gallons introduced N/A gallons If yes, enter date
Comments/Deficiencies:*Monitoring tube does not extend to bottom of drainfield or has been partially filled with dirt.There was liquid in
monitoring tube prior to test. **Liquid level was 12.75"inches below invert of west cleanout at end of adding water to system based upon field
elevations taken during testing period.
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100'
11 Yes if No ft Z Yes if No ft
Neighboring Tank> 100' n Z Yes if No ft Private Sewer/Septic Line >25' ['Yes if No ft
Absorption Field on Lot> 100' Ill Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft
Neighboring Absorption Fields> 100' Animal Containment> 50' Q Yes if No ft
nJ✓ Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ✓Q Yes if No ft ✓]Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' * Q✓ Yes if No ft Surface Water> 100' Q✓ Yes if No ft
Property Line > 5' 0Yes if No ft Driveway/Parking > 0' [✓ Yes if No, comment
Absorption Field > 5' ['Yes if No ft Wells on Adjacent Lots:
Water Main > 10' ['Yes if No ft Private Wells > 100' ✓O Yes if No ft
Water Service Line > 10' Q Yes if No ft Community Wells >200' ❑✓ Yes if No ft
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' Q✓ Yes if No ft Driveway/Parking > 0' Q✓ Yes if No, comment
Property Line > 10' [' Yes if No ft Wells on Adjacent Lots:
Water Main > 10' ['Yes if No ft Private Wells > 100' E✓ Yes if No ft
Water Service Line > 10' Q✓ Yes if No ft Community Wells >200' Q✓ Yes if No ft
Surface Water> 100' ✓❑ Yes if No ft
F. ENGINEER'S COMMENTS
*Septic tank is partially under low-lying deck. Deck supported by 2" driven piles.
46"+ from edge of closest 2" deck pile to centerline of tank (see attached photos).
**Measured over 100'+ to heavily vegetated area on north end of Lot 1, BIk 2; Spring Forest S/D.
No septic standpipes were physically found due to snow cover on Lot 1, BIk 2; Spring Forest
S/D, but it is believed there is 100+separation from well on property to this septic system. o�0op,N,\
�Q 4
G. ENGINEER'S CERTIFICATION o OF �
00,
I certify that/have determined through field inspections and review tl
k., •.
of Municipal records that the above systems are in conformance with fr.-. 9 H _...,o0
../
MOA COSA guidelines in effect on this date. O
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COSA Checklist yellow sheet 4 pr°t ess i0(‘°\'= ''c '
#AECC884 Opp00o�>
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. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. o:~5-32x-36
1. GENERAL INFORMATION
Complete legal description 5nowcup, Lot 2
Expiration Date:
Location (site address) zosoz Birch Road, Anchroage
Current Property owner(s) John Hagmeier Homes
Day phone
Mailing address
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 5
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
[] Individual Holding Tank I'1
[] Community On-site
[] Public Sewer E~]
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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 th~i~formation
obtaine.d.,..,, from the Municipality of Anchorage files and from my investigation and nspect on, the ~Sr~l~.,~t~water
suplAly~ah~/or wastewater disposal system is(are) in compliance with all applicable Municipal and l~tait~o.¢es,
,~r~di~s, and regulations in effect at the time of installation.
%:~,~lame of Firm Pannone Engineering Services, LLC Phone 272-8218
Address P.O. Box :too2~7, Anchorage, AK 995zo
Engineer's Printed Name Steven R. Pannone, P.E. Date
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions
encountered at the time of the test, and separation distances measured to readily identifiable features.
The operational life of all wells and septic systems depend on the local soil condition, ground water
levels that may fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of this system. All systems eventually fail and
satisfactory test results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. PES can therefore not provide any warranty for future
performance nor give any estimate of how long the system will continue to meet the operational
requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed
above. Any reliance upon or use of this report by any other person or party is not authorized nor will it
confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for ~ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
By:
(Rev. 11/05)
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program.
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON'SITE SYSTEMS APPROVAL CHECKLIST
Snowcup Lot a
Legal Description:
A. WELL DATA
Well type Private
Date completed 6h._~lao3,o
Total depth 3-4a ft.
If A, B, or C provide PWSID # ~
Sanitary seal (Y/N) Y
Casedto 3,tr3, ft.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform Ne_a colonies/100 mL
Arsenic: ND ug/I
B. SEPTIC/HOLDING TANK DATA
FROM WELL LOG
Parcel ID: ,. o3,~-:~23,-~6
95 ff.
2o g.p.m.
Nitrate 0.627 mg/L
Date of sample: ',3,191=o3,o ~
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 2tr
AT INSPECTION
g.p.m.
in.
Tank Type/Material Anchorage Tank/Steel
Tank size 3.500 gal. Number of Compartments_=
Foundation cleanout (Y/N) Y_ Depression over tank (Y/N) N
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date installed 3,o1~ol2oao Soil rating (g.p.d./~ or ft2/bdrm) 3,.0 GPDISF
Length 55 ff. Width ,,2,5 ff.
Total depth 3-0,5 ft. Eft. absorption area 770 ~ Monitoring tube Y
Date of adequacy test __ Results (Pass/Fail)
Fluid depth in absorption field before test ~ in. Water added
ElaPsed Time: ~ min. Final fluid depth ~
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
Date installed ~oln_ol2o3,o
Cleanouts (Y/N) Y
· High water alarm (Y/N) N
System type Deep Trench
Gravel below pipe 7 ft.
Depression over field N
For ~ bedrooms
~ gal. New depth~ in.
in. 'Absorption rate >= g.p.d.
If yes, give date
Other bacteria Neg colonies/100 mL
Collected by: Pannone Engineering
D=
LIFT STATION
Date installed
"Pump on" level at~
Datum
in.
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at~
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot ~.~6.9
Absorption field on lot ~.86.o
Public sewer main 7~;+
Sewer/septic service line ~.~.~..6
Animal containment areas 50+
in.
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots ~.oo.
On adjacent lots ~.oo+
Public sewer manhole/cleanout ~oo+
Holding tank ~oo+
Manure/animal excrete storage areas ~oo+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~.2./, Property line
Water main ~.o+ Water service line
Wells on adjacent lots
Property line :~.5
Water Service line
Curtain drain 50+
F. COMMENTS
New System .
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation
Surface water
Wells on adjacent lots ~oo+
Absorption field 5+
Surface water 3.o0+
Water main 75+
Driveway, parking/vehicle storage ~o+
in.
I ce~i~ ..... that I have dete~ned through field ~nspections and
review of Municipal reco~s that the above systems a~ in
conforman~ with MOA COSA guidefi~es in effect on this date.
Engineer's
Printed
Name
Date ~1~81~o~0
COSA Fee $
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
40'
O~
0
PLAT NO. 2006-32
SNOWCUP SUBDIVISION
LOT 2
58,427 S.F.
.I
LOT
89°54'44"E 164.76'
LOT 2
.
'
SEPTIC SYSTEM
EXISTING
BUILDING
57.9'
S 89°56'~0"E 100,00'
CONC.-
20' JOINT ACCESS
-- DRIVEWAY AGREEMENT
WELL I~
GRAVEL DRIVE
10' T. & E. ESMT.
S 89°56'40"E 290.21'
49.7'
1
1"=50'
15.9'
DECK
50.5'
11.0'
BUILDING
SCALE:
24.0'
DETAIL
1 "=2.0'
AS-B U I L T , HEREBY CERTIFY THAT I HAVE SURVEYED THE
............ PROPERLY DEPICTED ABOVE AND THAT NO
GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED.
SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO
JEFF A. GASTALDI, R. LS. DETERMINE THE EXISTENCE OF ANY EASEMENTS,
2000 E. DOWUNG RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT
ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT.
PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA
GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR
2538 11/5/2010 ESTABLISHING BOUNDARY OR FENCE ENES.
' ANCHORAGE RECORDING DISTRICT, ALASKA
F.B. JOB NO.
NOTE: NO CORNERS SET THIS DATE.
10-08 SCS2
