HomeMy WebLinkAboutWILLIAMSON #3 BLK 2 LT 16W illiamson Block 2 Lot 16 #015-074-28 Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181406 PID Number: 015-074-28 ❑ New ❑✓ Upgrade Name: JIM LANE ABSORPTION FIELD ❑ Deep Trench El Shallow Trench El Bed El Mound Address 5130 E 98TH AVE ✓❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2.0 GPD/SF 3.75 FL LEGAL DESCRIPTION Depth to pipe invert from original grade 3.5 Ft. Gravel depth beneath pipe 0.25 Ft. Subdivision Block Lot WILLIAMSON #3 2 16 Fill added above original grade 0.0 Ft. Gravel length 38 Ft. Township Range Section Gravel width 10 Ft. Beds: Number of Lines 3 Distance between lines 2.5 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 300 z Fl N/A N/A Ft. Well N/A 107.2 N/A N/A 107.7 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING Capacity Gal. Surface Water N/A 100+ N/A N/A Material Number of compartments Lot Line N/A 35.3 N/A N/A NA Foundation N/A 16.6 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A 1 50+ N/A N/A EXISTING Gal. RemarksD RAIN FIELD UPGRADE ONLY Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034(E) Tank to E034 3 ( ) Installer drainfield DOUG GREY Drainfield 3034 CO/MT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 96.0 ft Inspecttiones: 15 12/4/18 12/4/18 Location and description 2nd 3rd 12/14/18 4'h BOTTOM TRIM AT HOUSE POINT A COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date tte n - ♦�onnorae �d fa %gE 814 0 .� Approved Date G RROFES5.-Aw X See Ui+&e_ked ce o Cz mmon Inspection Report_1-1-12.doc a�:k d 'be C a t Zo IFs V e �o Lo: f 1 `0 �L�7ll -�=A 7 B M 1 19.9 41.8 FV1 33,0 29.2 FV2 34.2 31.2 FV3 35.5 33.1 M2 31.7 26.8 M3 37.3 35.7 0 O.G./F.G, 2- Rj, -;�l ITYPIF 0.25 84.0 1.25"o QRAIN PIPE __FDRAINROCK 14" AIR LINE T"! EVENLY SPACED THROUGHOUT FILER 1.25 AO 5 SAND (E) SECTION A -A SCALE:NTS WW 7 m FFABRICm [FILTER _ AN R. 0 ABOVE PIPE INV z RAIN PIPE L - - - - - - - - - - - - - - - - - - - - 2.0' - SAND -(NEW) . . . . . . . . . 80 .5 i_ I PROFILE SCALE: NTS NOTES: iPANNONE ENG SVC, LLC I RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DRAWN BY: ACP WILLIAMSON #3, BLOCK 2, LOT 16 JIM LANE 5130 WOODCREST CIRCLE PLAN ANCHORAGE, AK 99516 SW/ DRY: S-'-4 5/18/98 BOH DATE PERFORMED: 5/9/98 Dote OF 12/31/2018 C Scale r TH 1"=50- P.1,I). NO 015-074-28 Steven * �� PPa'nnone tev�*� PERMIT NO. CE 8149 OSP181406 lF Aw A— Sheet ssmA- — vi-41��OW — 2 OF 2 Steven R.Pannone, Principal Registered Professional Engineer E-mail: steveCcDpanengak.com 31 December 2018 Municipality ofAnchorage Development Services Department On -Site Water & Wastewater Program 47UUElmore Road POBox l9G65O Anchorage, Alaska 99519-66SO Subject: Williamson S/dNo. 3Block 2Lot 1G Response toComments Ladies and Gentlemen: |amwriting toaddress your review comments mnthe Record Drawings vvesubmitted for this property. | will address the comments in order: Comment: Provide signed inspection report and record drawings. Response: Record Drawings will be signed when the Owner pays us. Comment: Replacement IDSF was to be installed per the original design (permit SVVO00078). Original design was approved with 4 laterals (spaced 2.5 ft apart, in accordance with the IDSF design manual), 0SFinstalled inZ0O8had Slaterals, spaced 1.7ftapart. Inspection report for this permit, as well as submitted photos indicate only 3 laterals were provided, spaced at3.Oft. This does not meet the lateral spacing shown inthe /DSFdesign manual. Please address. Response: The soil type calls for an Application Rate of 2 GPD/sf. For a four-bedroom house, that is a minimum area of 300 sf. The system is 38 feet long. The minimum width would be 7.9 feet wide to achieve an absorption area of 300 sf. The IDSF manual Approved indicates that the pipes in the bed shall have a maximum spacing of 2.5 feet between lateral pipes, and a maximum of 1.16 feet from the outer pipe to the bed edge. With three distribution pipes, the bed width would be a maximum of 7.64 feet wide, which is three inches short of the allowable width, A 7.64 by 38 foot bed gives an area of 290.3 sf, which is 9.7 sf short. However, the bed was constructed ten feet wide, with the air hoses extending to the edge of the bed. Given that the average daily flow from a four bedroom house is 250 gpd, and the "calculated" area is 9.7 sf shy of the minimum required, and that the bed is constructed larger than the minimum area (the bed is constructed to an area of 380 sf, which is larger than the minimum of 300 sf) and the air hoses extend to the edge of the aerated bed, the bed as constructed will provide adequate treatment as constructed. Comment: On the profile drawing, please show the 2 ft sand layer and air line on the profile drawing (indicate if it is existing ornevvj fResponse: VVerevised the details toshow that the sand isnew. Comment: Profile drawing shows o2O17test hole. Please submit soils log Response: Test hole was excavated in 1989 for the original system. We revised the drawing accordingly. Kvllai{ing:P.[).Box 18O7,P�|rne�AK8�645-1OO7 Telephone: /9O7^475-8ZOO FAX.- ('907) 745-8201 Page 2of2 Comment: Please provide bottom oftest hole elevation on profile drawing. Response: Test Hole elevation revised. Comment: As -built survey only shows two septic pipes for the |DSF. Provide as -built survey that shows all monitoring tubes and flushing valves. Response: The surveyor was hired by the Owner. PES's Record Drawing was sent to the Surveyor for Modification. If you have any questions or concerns, please contact me at 907.745.8200. Steven RLPannone, P.E. Ovvner/[ivi|EnQineer K4ai|ing:P.O,Box 10]Z17,Anchoraga AK91951O-O2l7 Physic3|: 352Easty/1aoorAve, AnchOr�lge,AK99SO1 Te(ephone:/9O7\272'82l8 FAX�(9O7)Z72-Q2l1 PLOT PLAN AS BUILT X SCALE 1" = 60' GRID SW 2437 Project No. 18-561/R2 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone oo000pO0 (907) 522-4625 Fax oo F A p04 Professional Land Surve ors kenOlangsurvey.com o y jonothanOlongsurvey.com OOP '. �S4o� I hereby certify that I have surveyed the following described property: LOT 16, BLOCK 2, WILLIAMSON SUBDIVISION, ADDN. No. 3 (PLAT No. 99-106) o* 49TH*0� Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the properly lying adjacent thereto encroach on the surveyed �'A': KEN ... LZ''6 premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. p 0 �-P�' •,LS— 20.2 ' 411 41 Dated this the z�'D Day of .IAyvAry 20� a4 Anchorage, Alaska 40n�'?..........�.�%oo� It Is the responsibility of the owner to determine the existence of any easements, �"vOpoo� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 Page 1 of 1 l t •!!if .ITT JA lA..„Tl a /F lJlf; ,- Fi1ii7:„7 <,. /T OL7l1F.+ ,.. +OL7(ll V)/1'7/)(110 Page I of I �'i�A•%//�'•/Y )cn,^c/!i nrnr, /!�.-..��ntn/l nnn�/I' /Trnrncn{'4/ia%.,r{n.x>c•/`7'n.,,r,nr-n.-.r0/'7 (1T.,f-n.•„�,f 0%7(li:� 17/1 i/')Ol Q Page 1 of 1 �-;in•l�lr.ir rte,,, -„in ,,,,,.,in „�n,,..,JT,.,,,,;i��r;,.,.,,,..,rft«i,.,,a,,,..�rr<,.,,._,.,.,,,...oinnT,,,-,,..�„+oi�nr.: r�r� �»ni � Page 1 of 1 {:lo•IUf`•ITT,o,•,/A ,,lA,�.�71�t /T t/A t: .• rrIT7T;,, 1 ,,,�/1 ,,, 0%7(1T.,� ,., ,+0%711L: 1�/t 7/7(114 Page 1 of i io•urn..ri--/A ,-,,/A--ni rr.,.,,v-NA;—•„—ftnxl:.,A-.," ')nr.,,,-.,-,oi')nr. 1')n'7rInl0 MUNICIPALITY OF ANCHORAGE Pf y` On-Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://.,Av4v.muni.org/onsite f •. 1 ,:fir 2 r ,:� On-Site Wastewater Disposal System Permit Permit dumber: OSP181406 Work Type: Septic Upgrade Tax Code dumber: 01507428000 Site Legal Address: WILLIAMSON #3 BLK 2 LT 16 G:2437 Site Mailing Address: 5130 E 98TH AVE, Anchorage Owner: LANE JAMES J & SHAUN K Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Lute Expiration Date: Lot Size in Sq Ft: Total Bedrooms: i�t'iYtl'C171Cat 11/16/2018 11/16/2019 67590 ❑ 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: The as -built survey submitted with the inspection report shall include the creek and associated easement that runs through the lot. Received By: X -- Issued By: , • p,^� Date: ////&//, _ Date: I I ' f (' bol3 4 LJ 59 Ef U N M P A U ti EI F Community Development Department`s Development Services Division On -Site Water & Wastewater Program f Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-074-28 Property owner(s) James & Shaun Lane Mailing address 5130 E. 98th Avenue, Anchorage, AK 99507 Site address 5130 E. 98th Avenue Day phone Legal description (Sub'd., Block & Lot) Williamson #3, Block 2, Lot 16 Legal description (Township, Range & Section) Lot Size 67,590 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑ Upgrade Duplex ❑ (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. re of property owner or authorized agent) Permit/Rush Fees: 25.6 / Waiver Fees: Date of Payment: / f / 1.311-g Date of Payment: Receipt Number: 6130 'bc1 Receipt Number: Permit No. © .a le 3 iyv4 Waiver No. Permit App_:-:• "—.,:c : Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181406, Rebecca Carroll, 11/16/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181406, Rebecca Carroll, 11/16/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181406, Rebecca Carroll, 11/16/18 PLOT PLAN AS BUILT X SCALE 1 " = 60' GRID SW 2437 Project No. 18-561 /R1 Lan & A S S d c i a f£ S n C® 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone �' ' Professional Land Surveyors (907) 522-4625 Fax ken®iangsurvey.com a � O F q4��d jonathon0longsurvey.com I hereby certify that I have surveyed the following described property: LOT 16, BLOCK 2, WILLIAMSON SUBDIVISION, ADDN. No. 3 (PLAT No. 99-106) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. Dated this the Day of 1111 of of Anchorage, Alaska It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. ,�? 49 .17-1 KE .. S15202. 6Q40nRO�ssiaNA�. �' �`� AECC963 Municipality of Anchorage .':'..'-?, Development Sen/ices Department . ,v -....: Building Safety Division On-Site Water and Wastewater Program. 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK g9519-6650 Page www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. ..~ ~ CoCO '-/~ PIDNumber: O I """: · I ~1 L. ~r ~J E. Wastewater System: J~ New J--I Upgrade ~'": .~O1.~' ~,t~:r q~'r~3~%/t~c/~./~,~q ~'IC ABSORPTION FIELD LEGAL DESCRIPTION 1. Well: ~ New [] Upgrade c,,,,~ -~ J O Fi. ~'~'I /- ~ Fl. TAN K SEPARATION DISTANCES ~'s~p~ic D Holding ~ S.T.E.P. ~ Othec · .-.. ~ ~o --~r / c.,.~,~ Septic ~so~t~on L~ Holding Pubfi~vate Tank Field Sta~on Tank S~rLine ~ ~ ~/~f ~(~4~,( ~ 6~. ~'*~ ~~ ~.0.4. "'~: BENCH MARK ~'/ ~.'~'t, Inspections pe~ormed DyL_. Dales: ~ ~~ . "----::;o. ,',r Loop Roaa No. 2~ 2~ Development Se~ices Depa~ment Approval . ~.'~,~..~..~.,> ..c5'83°1 .,'/~/~. ~'" P£RU~ NO. SW000078 PAC£ 2 OF 3 Municip. o[it oF Anchorooe DEPARTHENT OF HEA~_THAND HUFFAN SERVICES ENVIRONHENTAL SERVICES DIVISION P.D. Box ]96650 ®Anchor=ge, At=skc~ 99519-6650® Tetephone, 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LECAL LOT 16, BLOCK 2, WILLIAMSON t~3 T2 P.I.D. NO. 015--074--28 C01'~ U~'T NEW 1500 SEPTIC PRIVATE ACCESS EASEMENT / / / / / DRIVEWAY / / 40* ROBERT C- CE - 8801 PERMIT NO $W000078 PACE: $ OF 3 Mumicipcz[ity oF Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 oAnchor~ge, Al~sk~ 99519-6650m Telephone, 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT L£OAL LOT 16, BLOCK 2, WILLIAMSON #3 P.I.D. NO. 015--074--28 FINAL GRADE-N ST1 ST2 C01 .r ,n ~ ::..,,., I/ 11~-9.~O' II] IH"""' '° 2" INSULATION-~ I/ II ' Iit \IIi. ,,,,,.,.t x-- 88.4' ),ITl =90.4'% MTI ~-FINAL CRADZ MT,2: MT2=88.7' ,  I~ /' ~[i ORIGINAL GRADE i /,,-..-.,/:=- ,,,.,.,U / ........ / MTZ=84.4'J~BO~O~ OF SAND=B4.4' DIST. UNE=86,7'~ N.T.S. A B FCO 7.5' 84.5' $T1 20.0' 103.5' $T2 23.5' 106.5' C01 26.0' 108.5' MH 28.0' 110.5' MT1 31.0' 103.5' MT2 47.0' 79.0' FY1 41.5' 74.5' FV5 46.5' 78.0' · NO GROUND WATER 7~r.4' B.O.H. Municipality of Anchorage Department of Health and Human Services 825 "V Street P.O. Box 196650 Anchorage, Alaska 99519.6650 Rick Nystrom hap It w.cl.anchorage.ak.us Mayor Permit Number. #SW D00078 Date Oflssue 4128ND Parcelldentirkation Number: 015-074-28 Date Started: 6.8.00 Date Completed: 6-9-00 Is well located at approved permit location? ® Yes ❑ No Legal Descriptio ni '�[l,,Willlamson #3 81k 2 I 16 Property Owner ame & Address: Jim Lane 5015 E 9e Ave A~.hn~e9- Ak9951& Borehole Data: Soil Type, Thickness & Water Strata Depth (fl) From To Method of Drilling ® air rotary ❑ cable toot Casing type: s e 1 stick-up organic 8 at grave fly silt silty gravel sift sandy silty grovel 0 2 8 41 62 69 2 8 41 62 69 101 Wall Thickness: ,025 inches Diameter: 6 inches Depth: 123 feet LlnerType: Diameter: inches Depth: feet Casing stickup above ground:,? feet Static water level (from ground level): 63 feet Pumping level: 123 feet after silly sandy gravel 81120 101 104 2 hours pumping $ gpm clean sandy gravel -wet- 104 109 Recovery Rate: .� gpm gravelly sandy sill 8 water 109 118 Method of Testing: airlift sandy silt and water gravelly silt 8 waterless 11ow,clearer 118 120 120 123 Well Intake Opening Type: ® Open End ❑ Open Ilole ❑ Screened Startfeet Sloppal feet []Perforations- Startfeet Stopped feet Grout Type: Rentonite # 8 Volume: J� Depth: Start 0 feet Stopped ± feet Pump: Intake Depth feet Pum size hp Brand Name Well Disinfected Upon Completion? ® Yes EllNo Method of Disinfection: Clorine Tablets Comments: Well Driller: Alpine Drilling 8 Enterprises P O Box 110496 Anchorage AK 99511 Attention: The well driller shaft provide a well log to the property owner within 30 days of completion and the property Inn tn'ihn rin of N. t1h k 4 Inrrwn C...nr.r'.4th:n And.,, of rmm�l.rinn 907 6'94 1211 P.~P_/~_ PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-,SITE ~¥AS'TEWATER DISPOSAL SYSTEM nchorage Department of HealthVand llumali l~ervlc~s (DllfI$) and the properly owner(s) of: ThE agreement Is made lot' Ihe purpose of maintaining an on-s fie wastcwater disposal system on the subject property, The property owners agree Io tile following: Submit to the Municipality of Anchorage, on ~n annual basis, ~n inspection and operation statement from ~t teglstered professional engineer. Tlds h~spectlon and eperatlod statement shall verify that [he engineer has Inspected all effluent and air pumps, tLmers, and altnn.% ~nd that alty deficiencies have been repaired and that thc system is fUnctloni~g as designed. (Signature) (Printed Name) (Printed Name) Commiss,on Ex p i r e d J__~_ff7 ~_!.__c~_J 37f1'~ OF DA3'I~: I -- 'Z.~~ Ol ROBERT C. COWAN, RE, ROBERTA. SHAFER, P.E. CML ENGINEERS (907) 694-2979 FAX (907) 694-121 ! Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 4 REFERENCE: The septic in. spgctions for the referenced property, were performed on~/7/0o and ~/~/~o . Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection Report we are waiting for the £~cr~,¢~- ~- to be completed. ~f~r $~"~y If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUR'I: 204 · EAGLE RIVER, ~KA 99577 ,t MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Apr 28, 2000 Expiration Date: Apr 28, 2001 Permit Number: SW000078 Legal Description: WILLIAMSON #3 BLK 2 LT 16 Design Engineer: 0003 S & S Engineering Owner Name: JIM LANE Owner Address: 5015 E. 98TH AVENUE ANCHORAGE, AK 99516- Parcel ID: 015-074-28 Site Address: 005130 98TH AVE E Lot Size: 67590 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design, 2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. THIS PERMIT IS ISSUED FOR THE CONSTRUCTION OF AN ALTERNATIVE INTERMITTENT DOSING SAND FILTER WASTEVVATER DISPOSAL SYSTEM. THE A'I-rACHED PROPERTY OWNER AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE. Received By: ,ss.edB,: Date: ~--/-OO ROI3ERT C. COWAN, P.E. CIV1L ENGINEEFL.~ (907) 694-2979 FAX (907) 694-1211 April 11, 2000 MUNICIPALITY OF ANCHORAGE Depmhnent of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 16, Block 2, Williamson Subdivision #3 It is requested that you issue a permit to install an advanced treatment system with an Intermittant Dosing Sand Filter to serve the proposed structure on the referenced property. A test hole was excavated and a percolation test was performed. The approximate location of the test hole is located on the attached site plan. Ground water was monitored and found to be dry as shown on the attached soils logs. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve 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 pmperlies. If you require additional information, please contact us. Sincerel~~ ~nclosure 17034 I~IRTI-I EAGLE RfVER LOOP · SUfTE 204 · EAGLE FdVE FL AJ-A~KA 99577'  ~ LOT 16, BLOCK J.H.M. R. SHAFER 4-11-2000 I OF 3 DESIGN CRITERIA: ( r~n~ 3 BDR~ ' 450 GPD SHO~'N ON SOI~ 450 GPD/SQ.~. 450/Z.0 ' 225 SQ.~. ~Q'D. CRITERIA: ~o ,.,,..-,,,, ......... .s or SYSTtU / .~.// · / / ~.~ . ~C~ " = O A meerin~ (907)694-2979 (gO7)&94-t21! LOT 16, BLOCK 2, [SON S J.H.M. R. SHAF£R 4-10-2000 2 OF' .36' I 1/4' DIA FLE~ABLE-% P¥C HO~E ~ I 1/4' 3/.4; DZA. SH 40 PVC I~T£R~. IV8 DIA. Old'ICE SPACED 27 O.C. TOP VIEW 10' x 36' BOTTOMLESS SAND FILTER TUBE (rfP. or 2) VALVE ENCLOSUR~ 10' I ~~~~,~ Z~OT 16, 2, WILLIAMSON S/D #~ I~.u~ 3 OF' 5 f OR1GINAL GRAOE SIDE VIEW 36' X 10' BOTTOMLESS SAND FILTER DEPARTMENT OF HEALTH & HUMAN SERVICES ' *°° *** * ** '* SOILS LOG -- PERCOLATION TEST ' '~ 2 3 5- 6' 8 9, 10 - WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT L DEPTH? kpml w~, A~ ~3. I~? ~ 14 15 16 ~,.o.H. 17- J9 ovr'd~-,~ 18- 19- 20- PERCOLATION RATE ~ I ~nutes~,nchl PEnC ttOLE DIAMETER TEST R~UN BETWEEN ~ ~TANO =~ FT - I I ' ~ - It I- C] (A CA (Y) (ID ICT I;T (C) m ti ti O O rn rn W 0 Mo LL a O 2 U Z LL J Q^ _.LD E� U �L Z N U 06 U) . 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Q > co N M L6 co W m� a� 0 LL c Q� U O 0 2 COSA Checklist.docx COSA Checklist Legal Description: WILLIAMSON #3 B2 L16 Parcel ID: 015-074- 28 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 6/9/2000 Total depth 123 ft Cased to 123 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 8/30/24 Static water level at beginning of test 54 ft. Well production at time of test 3 gpm Water storage tank volume None gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 8/29/24 & 9/26/24 (SULLIVAN) Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 47” Date of pumping 8/30/24 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station 24 years Lift station material Plastic Comments: SEE LIFT/IDSF MAINT LOG D. ABSORPTION FIELD DATA Which system tested (date installed) 12/14/18 ALL standpipes present per record drawing Total measured depth from existing grade*3.9+ft (max) Measured depth to pipe invert from grade 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 8/30/24 Results Pass Fluid depth prior to test 0 in Water added 600 gal New fluid depth 1 in Elapsed time 30 min Final fluid depth 0 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 3 in (MOA 0.25’ ED) Effective depth used 0 in (Final Fluid Depth) Effective depth (ED) remaining 3 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per measured / visual observations per MOA record documents & appears approximate. *The southern MT with more depth & cover was clogged & the northern MT total measured depth from existing grade is shown. 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 9/5/2024 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 & 9/5/24 PAR AN IDSF - INTERMITTENT DOSING SAND FILTER Cz c N CA L � HC-4 r N N O N n N In G a J d A N i J d t 17Z+`ox y � W co 0 wO Q = of .0 N N E E 0 u a V— a� a� ° N ::3 N dA 00 0 00 0 ~ ' ~ APR-R6-~O 1~.al ~5 ENGINEERING 907 69a 1211 P.01/01 PROPERTY OWNER AGREEMENT :FOR TH~ MAI:KI'ENANCE OF.AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated F3r)~i ~ ~"/ :~ooo ~, is made be~eeu the Municipality of Anchorage Department of Health and Human Services (DHHS) a~d the property 0w~r(s) of: Lot 15~ Block 2t ~illiams..o.n Subc~ivision tit This agreement is made for the pu~ose or maint.)nbg an on-site wastewater dispos~l system on the ~ubject property. The property owner~ agree to Re following: Submit to the Mutdcipality of Anchorage, on an ~u~ual basis, ~ inspection operation statement from a registered professional e-gineer. This im'pcction and operation statement sh.~ll verify that the engineer bas i~spected all effluent and air pump:, timers, and alarms, and ~bat any'deficiencies l~ve been repaired a~d that the system is functioning as designed. ' ' ' ($igmture) (Printed N~e) ~.111~,~//~ , = :NOTARY: - ~-.. .. ~ Z/l/II/ilI illl~x~x' (Printed Name) TOT~L P.01 • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Parcel I.D. 015-074-28 Certificate of On -Site Systems App �g678g 3 NOV a 2019 a Expiration Date: 68L9 T �'rz_ � .) q, ")= 1. GENERAL INFORMATION: Complete legal description WILLIAMSON #3; BLOCK 2, LOT 16 Location (site address) 5130 E.98T" *ANCHORAGE, AK 99507 Current Property owner(s) KIM LANE Day phone 720-5060 Mailing address 5130 E.98TH *ANCHORAGE, AK 99507 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 request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1 r90 Waiver Fee $ ! Date of Payment C �5-1C q Date of Payment Receipt Number 9aRr� Receipt Number COSA # ®J (_015" i 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 Engineerinq 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:' ` y In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o OF in accordance with the guidelines and regulations established by the Municipality of Anchorage and p .. • • • • • . •. Q industry practices. The reported results describe the condition of the system/s on the date/s of the O S evaluation. Separation distances were measured to readily identifiable features. Hidden defects or P 4 T SOI encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon 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 system/s. These conditions can vary, and .... .. .. . are outside the control of GEG. Satisfactory test results do not guarantee future performance of the ffr A. ss: system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of �Q49 CE— 9 3�� the well or septic system. GEG makes no representation whether an alternative well or septic system . �c G can be installed on the property in the event either of the current systems fail to perform adequately in 44 e��' the future. The content of this report is for the sole benefit of the person/party that retained GEG to aprofessio�oo� perform the evaluation. Reliance upon the information provided in this report by any other person or ��OOpOoo� party (including subsequent property purchasers) is not authorized, nor will it confer any leg`l``j��iY tOF (r(((�/// whatsoever. A4jisr //� #AECC884 6. DSD SIGNATURE ON-SITE ��/ System #1 Approved for y pp Ll bedrooms �� WATER AND System #2 Approved for bedrooms lca WASTEWATER oz 1 Disapproved �rn PROGRAM Conditional approval for bedrooms, with the q� � �r,4i �plis: By: vu OA7A k, 'Ti, luo Original Certificate Date: a� 7/(9 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 work. 7. ATTACHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc COSA Checklist Legal Description: Williamson #3; Block 2, Lot 16 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 6/8/00 Total depth 123 ft Cased to 123 ft ❑■ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 4/17/19 Static water level at beginning of test 65.1 ft Comments B. TANK DATA Age of tank(s) 19 years Tank type/material -pt. HDPE \A ❑■ Standpipes/foundation cleanout per record drawing " Date of pumping tv /01 /.5 D. ABSORPTION FIELD DATA IDSF Which system tested (date installed) new ❑■ ALL standpipes present per record drawing Total measured depth from grade *3.75 ft (max) Measured depth to pipe invert from grade *3.5 ft (min) ❑ N/A — pressurized field ❑■ Monitor tubes go to bottom of drainfield. If not, state depth into effective* Parcel ID: 015-074-28 Structure served by this system 1 Well production at time of test 4.7+ gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes 561 No ■❑ Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L■❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 4/17/19 / C. LIFT STATION ❑ Required maintenance completed Age of lift station 19 years Lift station material unknown Comments: LIQUID LEVEL AT 48" ON 4/23/2019 Adequacy test date new Results Z Pass For 4 bedrooms Fluid depth prior to test in Water added - gal New depth in Elapsed time - min 0 Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) new date of test) If yes, enter date y n/a Gallons introduced n/a gallons Comments/Deficiencies: `Per Pannone Record drawings dated 12/31/18. Both IDSF MT's dryon 4/17/19. 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' Yes if No *5+ ft Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' QYes if No ft Private Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' Q✓ Yes if No ft Holding Tank > 100' Q✓ Yes if No ft Neighboring Absorption Fields > 100' Water Service Line > 10' ❑✓ Yes Animal Containment > 50'✓0 Yes if No ft ❑✓ Yes if No ft G. ENGINEER'S CERTIFICATION _0060000 OF..q. Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 7 Yes if No ft ✓QYes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Yes if No *5+ ft Surface Water > 100' 2 Yes if No ft Property Line > 5' ❑✓ Yes if No ft Driveway/Parking > 0' Yes if No, comment Absorption Field > 5' DYes if No ft Wells on Adjacent Lots: Water Main > 10' Q✓ Yes if No ft Private Wells > 100' F, -(]Yes if No ft Water Service Line > 10' ❑✓ 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' r,/ Yes if No ft Driveway/Parking > 0' F✓ Yes if No, comment Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Service Line > 10' F/ Yes if No ft Community Wells > 200' F,/ Yes if No ft Surface Water > 100' ❑✓ Yes if No ft F. ENGINEER'S COMMENTS *met code at time of installation. G. ENGINEER'S CERTIFICATION _0060000 OF..q. Spy Oo 1 certify that I have determined through field inspections and review Municipal that the in of records above systems are conformance with MOA COSA guidelines in effect on this date. D Je e Garn �O •'• s.- 9. E 79 3 .• ���0 �04Ofro COSA Checklist yellow sheet f ess-io #AECC884 ���QO o P: 907-343-794-F: t',:7_343-7997 -P-0. Box 196650 AnebomnAK954S19-6650 Intermiftent Dosing Sand Filter Maintenance Log asineriaa_l. Street Address 513o E, 99'4' 4c- Phon'___&3 Le�921 DOM PID S-el3kc Tank: -Sludge level _-O— _ inches -Pumping: requiredyL5 Cnjo -Pumping completed Absorption Field: 16 .)1.1$/ -Liquic level im.'I.fin -Flushing valves per approved design es no -Alt Rushing valves opci-I _- J, distribution fines flushed, and flushing valves closeri yes no Lift station: -Pump basket cle-aried Cy—et, no-Blotube effluent fifter cleaned EesJ_Io -Timer float settingiv inches -High level float setting,5(�inches -Reference pointe D I) *Pump on—�--seconds -Pump off —l'i—Dminutes -Cumulative lifetime cycl."!i-55-7JE -Cumulative run time hours -Operation _-;absIjactojy res no Air SVstcrn: -Air pump filter cleanevc: 'cPeP5 no -Air pressure psi F.-, -I -Air system operation ,E)ate of Wuast fristali or '�)Uild <s aat i �s:la::ct :a '+�no t satisfactory t i s �fact o Alarm System: -Dedicated elechiml ciTcui-, cy_&aq -Audible and visual alarm inside dwelling GQ no -Floatsetting rG inches -Alarm system operation &369factory notsatisf2efory Comments: 5Y . ..... 0G_.'7 ..... POIT �. ........... .............................................. T ----- ­­ .................................... ................................ .... I ............................................................... I. ................ ................................... .......................... . ............................................................................ .......... .............................. 1- ............................................................ I I I I -11.11.1 ....................... I., ....... 11 .............. ............................................................................. ....................... 1-1.1, ............................... ............................. .. ... - . ....................................... I ................................ t-.•-----------------------• --......... Maintenance Provider: Techniolan J rT 6 Company ei'L4-A tkw '!�er Signature IDSF Mairekenanne L.rx j_0z.G`­`.dce_ Sent from my Whone N Date of mairitenanee aq4d-7 Data....!H PAC a I - MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of 4iVei`!/1�&y of 20 , by and between i'1 �("�,�,herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) ��- lig; �. i���.... � E ���.��`�'�1r1 ��v�f� U� ���� �,�.-� ���- �►�. � t�..� 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) 41�� Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. CQ�t shall be the responsibility of the Owner during the term of this Agreement to pay for all l )i repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 `Ag Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. QA)o__Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 M71k,,-(signature) Date: ll (aLe C( PVC (M (A G ( �oyi (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 2k_ day of Alov&,01rr , NO ARY PUBLIC FOR ALASKA STA TE OF ALASKA =' My Commission expires: J,- 1!3 R, 2,7Z3 NOTARY PUBLIC Joseph W. Vallie tJy Commission E_(pires: July 9, 2023 MUNICIPALITY: By:/�/�� C�%�6 (signature) Date:I Ila 7/1 q Abe ee� 6cr?) (print name) Title: (rev. 05/18/2018) Page 3 of 3