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HomeMy WebLinkAboutT12N R3W SEC 33 LT 156T12N, R3W, Section 33 Lot 156 #018-281-16 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: OSP231189 Work Type: Septic Initial Tax Code Number: 01828116000 Site Legal Address: T12N R3W SEC 33 LT 156 G:3135 Site Mailing Address: 14960 LOC LOMAN LN, Anchorage Owner: HUTCHINGS RODNEY JAMES Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: �»cn� S r DCI)artIII ell t 11/7/2023 11/6/2024 108900 Q Disposal Field Q 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: • The well serving the lot to the north is to be located to ensure that the required separations will be met. Issued By: Date: Date: 2 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 018-281-16 Property owner(s) RODNEY HUTCHINGS Day phone Mailing address 14960 LOC LOMAN LANE ANCHORAGE, AK 99516 Site address 14960 LOC LOMAN LANE ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) T1 2N R3W SEC 33 LOT 156 Legal description (Township, Range & Section) Lot Size 108,900 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ® Initial x❑ Single Family (SF) X❑ Septic Tank KIUpgrade El(w/wo AD U) Holding Tank El Renewal❑ (D) ElRenewal Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Si4ha#ufe:of property owner or authorized agent) Permit/Rush Fees: 9 5 Waiver Fees: Date of Payment: 5 / 2g -1 3 Date of Payment: Receipt Number: 3 5yS 5 Receipt Number: Permit No. 050- Z 311 �j Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! October 31, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: ADU NEW SEPTIC SYSTEM PERMIT LEGAL: T12N R3W SEC 33 LOT 156 – 14960 LOC LOMAN LANE, ANCHORAGE The property owner has requested we obtain a new septic permit for the above ADU on the referenced lot. We propose to install 2 deep trenches and a HDPE 1000-gallon tank to serve the proposed 2-bedroom ADU residence. The design is based on the attached test hole conducted in 2023. Groundwater was not observed during monitoring or excavation. The ADU will be served by the existing well located on the lot to the south as noted on the design. The slopes are moderate at 0-5% 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 OSP231189, Deb Wockenfuss, 11/07/23 FIRST WATER CONSULTING T12N R3W SEC 33 LOT 156 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM. VERIFY PRIOR TO CONSTRUCTION. NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231189, Deb Wockenfuss, 11/07/23 FIRST WATER CONSULTING DESIGN DETAILS: T12N R3W SEC 33 LOT 156 LOT 156 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231189, Deb Wockenfuss, 11/07/23 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: T12N R3W SEC 33 LOT 156 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10/30/2023 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 SM/ml-gm 9 10 11 12 13 14 15 16 BOH 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 6/5/23 30 min 6” 13/16” 30 min 6” 12/16” 30 min 6” 12/16” PERCOLATION RATE 40 (MIN / INCH) TEST RUN BEWTWEEN 5 & 6 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 5/30/23, 6/5/23 & 10/30/20223 TESTHOLE # 23-1 DATE PERFORMED: 5/23/23 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: ROD HUTCHINGS 10/30/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231189, Deb Wockenfuss, 11/07/23 Municipality ol'Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 q.' Sheet Room 502 P.O. Box 196650 Anchorage, AK 995196650 Page 1 of 3 www.ci.anchorage.ak.us (907) 345-4?44 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW000143 PID Number: 018-281-16 Mnrc~,l KRnin WastewaterSystem: [] New [] Upgrade (~1~9 P~,t~mhl~rh ~t_ Anch_ AK 99.~t')7 ABSORPTION FIELD 344-0467 .'l ~Tfe~ch DShal~'rtem:h r'l~)e~ DMo~mcl r'lOl~: LEGAL DESCRIPTION ~n~,~ 0,6 10,5/10,5 12N 3W ~ 0 Well: [] New [] Upgrade O,~,~,,,,dr,, 414 n. 2 14 EXIST'G n. ~l ?~0/770 r~ $054/F810 n OWNER 611112000 ~ ,. ~, TANK SEPARATION DISTANCES [] sep~c [] Holdme E] S.T.E.P. []  Septic Absorption LUt Holding Publ~Onvat~~,~,~: Tank Field Station Tank s~w~ u,, ANCH TANK w,, 145 108 108 STEEL 2 ~,~,w,~ 100+ 100+ ~ / LIFT STATION c~.,. ~.,. 100+ 100+ "'"'~: BENCH MARK TOP OF EXIST'G WELL CASING 107.80 Engineers Stamp Inspections performed by: Pannone En.q. Svc Dates: 1'~.6110/2000 ................. · 2'~0611112000 ~..'~..~.. Department of Health and Human Servmces ap "4'.~/:, ~ ................ .,, ~' P~'RMIT NO, SV000143 Ag-BUILT P,~.~. NO, om-eeH~ ~~ WASTEVATER ABSE]RPTIE]N SYSTEM NE4 T1ZN, R3V, S33, LOT 156 VITHIN 100' Dr PRDPDS~ ~2.5, 102' , N~ ~LLS ~ S:PTI~ VI1 HIN 100' ~F PROPOSE~ ~~'~ ~ SY TEM, RESERVE SYST CM ~IVERTER VALVE~ ~ ..... , ............ X IOuu~ T~ ~= ..... SEPTIC TANK T~ ~/~~ ~PmSa~ FC ~ ~ B/--,.. .... 55LFx4 x7 E ~ EXIST'G .... , / / / ........ . =. HDUSE l EX]ST~ PRIVAT X ~' L~ ' , ~ :THIN~OO' ~ ~ ~T~. DF PROPOS~ ~ ~oo' w~L _ _~ ..................................................  RABIUS v~~ .... ~H.~jgy Courg ~o3 ~' ........ Ti i~.5 ~ ' C~ '~k~gRA 33HKN~K.DVG T~ t7.~ 7L7 DC t8.7 7~.3 AS-gU~LT~ C1 ~7.~ 70,0 PERC RAT~ iS HZN/IN 02 SOIL RATINGm 250 . ~>¢ l-'~d.. M1 60.9 47.4 750 ~F ROn ~*/' ~ ~ 5''~' C3 tS,0 48.0 DEEP TRENCH, 7' EFF. 49 C4 73,0 24.5 TOTAL ~EPTH - 10' ~~ ~~"'"A"~ ................ ~""~ M2 71.6 33.0 55' LONG,TOTAL AREA=770 ~F ~Steven R. P~nnone~ Mp. M~pcel K~nI~ P.O. BOX 102954 e~%~~.d Anchoe~ge~ AK 99507 'e~~4 (907) 344-0467 272-8218 Phone & F~x PERMIT NO, SV000143 AS-BUILT DETAILS WASTEWATER ABSORPTION SYSTEM NE4, T12NR3W,S33, LOT 156 P,I.I). NO, 018-201-16 w Z m~31o W C,\Vor k\~RAVING\13-HKNIK.~6?G PANNONE ENG. SVC,, LLC P. 0. BOX 102954 ANCHORAGE0 ALASKA 99510 272-8~18 PHONE & FAX DATE' 9-8-00 NOT TO SCAL~ AS-BUILT I MUNICIPALITY OF ANCHORA GE 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 PERMIT Initial Date Issued: Jun 02, 2000 Expiration Date: Jun 02, 2001 Permlt Number: SW000143 Legal Description: T12N R3W SEC 33 LT 156 Design Engineer: 0062 Pannone Engineering Services Owner Name: Marcel Kania Owner Address: 6129 Petersburg Anchorage, AK 99507- Parcel ID: 018-281-16 Site Address: 014940 LOC LOMAN LN Lot Size: 108900 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By~ Issued By: ~ Date: (c~-."Z -C~.~ Pannone Engineering Sen,ices, LLC Consulting Engineers (907) 227-3522 P.O. B~ ~ 1(E954 Anchorage, Alaska, 99510 (~r~2'r2-s218 Fax May 25, 2000 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 156, NE4, T12N, R3W, S33 Septic Permit Gentlemen: My fimx was contacted to investigate the possibility of installing of a ne~v system at the above referenced property. Currently the lot is undeveloped, but a private well was" drilled on the property approximately 25 years ago. There is no well log available for this well on file ~vith your office. A single test hole was excavated on May 10, 1995. The soil report and percolation test results are attached. Ground ~vater was Checked on May 21, 2000, and was found to be dry to 16.5 feet. No bedrock was encountered in the test hole. The lot is approximately 2.5 acres in size. Lot 156 slopes to the west at a rate of approximately 1 to 2 percent, and drops off steeply (approximately 10%) along the western side of the property. The proposed installation will be located in the north east comer of the lot on a flat area. The proposed location will be greater than 100 feet away from the existing well serving this property and 25 feet from the water service lines. The surrounding systems are located greater than 100 feet from the proposed installation. The lots surrounding this lot are developed, but do not conflict ~vith the proposed installation. The proposed installation will not impact the future development of the surrounding or existing lots. See attached design. The new system will maintain over six feet vertical separation to the bedrock and over four feet vertically to the ground water. The owner is an experienced excavator, and may install the system himself. He may install both the primary and reserve drain-fields at the time of installation. Please contact me at 272-8218 or 227-3522 if you have any questions..,.,~,*'j~O~f ,~7'%_ Sincerely, ~ I.....,. ...................... .,._.5 . Steven R. Pannone, P.E. Ponnone~ Attachments: C:\WORK\ 1A-3Mann.001 PER.IT .0, DESIGN P.I.~. NO, ~/AST£~/ATER ABS[]RPTIrlN SYSTEM NE4 T12N, R3~, S33, LOT 156 NO WELLS r~R SEPTICS WITHIN 100° OF PROPOSED SYSTEM. szs' NO WELLS OR SEPTICS ...-~x WITHIN 100' OF PROPDSED SYSTEM. ~,rr~ WLW:~ ~ sY :~ ~,,,,,,.~ ~ ~~M 5~ 5 ...._ _ ..~ , .................................................. ~~ A N~Y~ Cou~ .................. : NO WELLS OR SEPTICS ~ITHIN 100' ~F SYSTEM, C,XVo~k~: ~HKNIK.DWG DESIGN, TOTAL ~EPTH = 10' ~.~' ' '~ 55' LONG,TOTAL AREA=77D SF : ..~ PREPAREB FOR~ PANNDNE ENG. SVC,LLC m.~'~ ~ ~ ~ 61E9 Petersburg S~ree~ ANCHDRAGE, ALASKA 99510 ~;~--~ (907) ~44-04~7 e7a-eal8 Phone & Fox ~CALE, l'=lO0' PERMIT Nn~ DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM NE4, T12NR3W,S33, LOT P.I.D. ND, Z 0 I,I Ci\Vorh\DRAVING\13 -HKNIK.I)~/G PREPARED FOR: Mr. M~rcel K~.nI~. 6129 Petersburg Street Anchorage, AK 99507 ¢90?) 344-0467 PANNONE ENG, SVC,, LLC P. O, BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX DATEI 5-25-00 NOT TO SCALEI DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Ancl~orage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEG^' DESCmPTZON=T/~/~ 7' 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16- 17- 18- 19- 2a- WAS GROUND WATER ENCOUNTERED? S I, YES, AT WHAT ~ DEPTH? p E PERCOLATION RATE / ~ (m,nutes/~cn! PERC HOLE DIAMETER ~ /'~' TEST RUN BETWEEN ~-~ ET AND , ~:~ ri' =OMMENTS PERFORMED BY; ~/~'~'~'~" ~'~ I~'"/~- ~ I /-~*~--~,~ CERTIFY THAT THIS TEST WAS PERFORMED IN ' * - ACCORDANCE W TH ALL STATE AND MUN C PAL GU DELINEE IN EFFECT ON THIS DATE. DATE.' GRE (ER ANCHORAGE AREA BOk UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION "/"' (~) ¢-~'JC (D ~llJ~ ~'~) LEGAL DESCRIPTION ~C¢}']" /'-%'~ -t'(~),/t/' f~r~t./'") SEPTIC TANK: D,STANCE FROM WELl INSIDE LENGTH MAN U FACT U R E R 'jLt -~-~LL.~- NUMBER OF COMPARTMENTS INSIDE WIDTH__LIQUID DEPTH .LIQUID CAPACITY /,,"~C', GALLONS. SEEPAG E4~-T: ( ..'k~¢- r-~'J~ NUMBER OF PITS DIAMETER OR WIDTH LENGTH___, DEPTFI LINING MATERIAL CRIB SIZE: DIAMETER BUILDING FOUNDATION__ NEAREST LOT LINE__ ADDITIONAL ABSORPTION DEPTH _ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: BUILDING FOUNDATION CESSPOOL __ APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK __, SYSTEM REMARKS DISTANCES: LOT SLOP~'' REMARKS: DIAGRAM OF SYSTEM GREl :R ANCHORAGE AREA BOF DEPARTMENT OF ENVIRONMENTAL QUALITY ~ ~ ~0 I IC Il STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION ~';~" d"/'~"~'~/';'~'~'~'~/-~"'"'~ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO ~ ~ ¢~2 FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. TYPE seEPAge AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM Of SYSTEM FOUNDATION TO SEEPAGE pit ., DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~'~"~/ , SEEPAGe PIT TO NEAREST LOt LINE. WELL TO SEPTIC TANK (~"~' / WATER MAIN TO SEPTIC TANK -- /,~ ~' SEPTIC TANK, ~,~/:~A SEEPAGE Pit DRAIN FIELD , SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAge: PIT- CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNE)ISTURBED SOIL. 4 INCH DIAMETER CA~T IRON SIPHON PIPES ON SEPTIC 'rANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. [ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE W'TH SAID CODE'~ .... ~/~ ~'~ W~/~~ ' ' ' ~' -, FORM NO. EQ-0I 6 !top- ,soil to Gw The sediments were very com- . , ; patted ~,&th a high boulder content. '~ero were some erratic clay and silt layers but these were of a minor nature. There was a high ss~ld content but the clay a~d silt was in sufficient quantity to cause the soil to be very corapacted. G~F,~TER ANCHORAGE AREA BORO"~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISI$OSAI. SYSTEM SEPTIC TANK: DISTANCE PROM WELl ~-? MATERIAL .~)"r]>~---J~- LIQUID CAPACITY (I ~'1~) GALLONS. INSIDE LENGTH NUMBER OF _INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: / / / NU~ABER OF PITS ............ OUTSIDE DIAMETER OR WIDTH /'/'~ LENGTH / ~) , DEPTH Z ~ ' - ~ -' ) ~/~ BUILDING FOUNDATTON~' NEAREST LOT LINE /'~ ~ . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~' SQ. FT. TILE DRAIN FIELD: DISTANCE FROM\ ELI ,L~FOU~TION . NEARES.~T ,~T IN"LI'~E ~"~_ __2?TL~I~LE~NGTH . ~ .~ DISTANCE BETWEEN~N[~ .~/ TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FIN[SH GRADE DEPTH OF FILTER MATERIAL BENEATH T}LE IN. ABOVE TILE WELL: TYPE I't/~L--L-.-~) DEPTH ~.~ I DISTANCE FROM WAter . BUILDING FOUNDATION.. SAMPLE /J,~J , NEAREST LOT LINE J O ~- . SEWER LINE .... ,TANK_ , SYSTEM__ , CESSPOOL '-- , SOURCES__ DIAGRAM OF SYSTEM DISTANCES: DATE GREATER ANCHORAGE AREA BOROUGI' HEALTH DEPAkTMENT 327 IiAGLE STREET ANOHORAGE~ ALASKA 99501 ~.re.a]g. De~cr~pt~on, .ot/~.~ Block~ubdl ~on This Fo~'m Repopt's a: Sells Depth Feet Location Sketch Installat~on~ Seepage Pit Drain Field Depth Of Inlet l)ep~o B~j ~i~ Or ']'renc~"~ COHME;.VFS:_~ue to th~Tfi3~~Wpes, we estimate ~he average squd~--f~~tinn Data Certified By: / tNCHORAGE AREA HEALTII DEPARTMENT Anchorage, Alaska 99501 GREATE~ 327 Eagle St. )ROUGH 279-2511 SEWAGI~ DISPOSAL SYS'i'EM - APPLICATION & PERMI¥ NAME OF APPLICANT_L{~_://---,/~'L-~?C'/'/~_ MAILING AODRESS~ PHONE NO. APPLICATION TO INSTALL: SEPTIC TANK_ ~ ,SEEPAGE PIT. ~ ,DRAIN FIELD ,OTHER TO SERVE THE FOLLOWING FACILITY FIN~CEOTHROUG. .... TO BE INSTALLED BY_ ~O~N -rEST RE~ ULTS ,/ / ~ ANTICIPATED DATE OF COMPLETION _ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT DIS'rANCES: ~/, ~ ) · GREATER~NCHORAGE AREA BOROUC~ Department of Envl~onmental Qu]ality 3500 Tudor Road, Anchorage, Alaska 99507 279~8686 Date Re etYed Time of Inspection Date of Insoectto~~~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILII~IES FOR Ar)provsl Requested g!. ~ / Type of Facility to h. Inspected: ...... ~~/ Number of gedrooms: Wel] Data:/~ z}~ -_~--~'~.--//-Y '-'':/ ~' L"-: : /'~/~/-/c" '~_~// ~/~ C. Construction ~.~- .:~.K.~r?. : ~ D, Bacterial ~nalyszs .~:.-. /.., Sewage Oisoosa) ~vstem: ,, D. Seepage Pit: 1, Size~_ 2. Material_~ E. Disposal Field: Total Length of Lines~. Distances: Ao / WelZ To: Septic Tank-~2 , Absorption Area__~' , Sewer ......... , t,Marest Lot IAr, e~ ~ , Other Contamina~ion~~_. Foundation to Septic Tank.fl- ~ ';, AbsorptiOn Area ~2 ~ Absorption Area to Nearast Lot Line~ ~ ' 2eq;est for' Approval of Ino}viduel Sewer 8, Water Facilities Page Two Comments: ¢//-- ??.- .¢, - ' ' Aporo'¢a] Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DZAGP, AM OF SYSTEM c,r.t,, that: the infr}rma~,ion contained ir] this request for approval to be a true and accurate re?resentat~on of the subiect sewer and water facilities located at: Signed Date MUNICIPALITY OF Development Services Department = jJ On -Site Water & Wastewater Section Parcel I.D. 018-281-16 A wU `� ANCHORAGES a Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: � (-2-- I 1 T1 2N R3W SEC33 L156 Location (site address) 14960 LOC Loman Lane Current property owner(s) Marcel & Vija Kania Day phone Mailing address Real estate agent Same 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for. Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number U/'� COSA # L05r r I /,_3 -/ Waiver Fee $ Date of Payment Receipt Number 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and 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. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. Phone (907) 745-8200 Date 7 ?0-7— ? W�P0 ALgS�� i� TnHi 6. DSD SIGNATURE System #1 Approved fora bedrooms ''Steven ParnoraE' System #2 Approved for bedrooms �� fl`E 149 y\�Ai �cA^ 1�Q��Si�1`yv-o Disapproved Conditional approval for bedrooms, with the following stipulations: BOriginal Certificate Date: 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet !]'t:a � l Legal Description: T12N R3W SEC33 L156 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 Unk Total depth Unk ft Cased to Unk ft M Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 7/18119 Static water level at beginning of test 61.6 ft. Comments No well log available B. TANK DATA Age of tank(s) 19 years Tank type/material SeP!..S:< Measured operating fluid level in septic tank 48° 01 Standpipes/foundation cleanout per record drawing Date of pumping 6/8/2019 D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) V1112000 RE ALL standpipes present per record drawing Total measured depth from grade 14.3 ft (max) Measured depth to pipe invert from grade 6 ft (min) ❑ N/A — pressurized field © Monitor tubes go to bottom of effective. If not, state depth into effective U Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Parcel ID: 018-281-16 Structure served by this system 1 Well production at time of test 4.44 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑✓ No © Coliform bacteria is Negative Nitrate 0770 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Pannone Engineering Date of Sample 7118/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 7/18/19 Results [Z)Pass For 3 bedrooms Fluid depth prior to test 79.6 in Water added 450 gal New depth 81.6 in Elapsed time 150 min Final fluid depth 79.6 in Absorption rate '450 gpd Any rejuvenation treatment (past 12 months) n/a Gallons introduced gallons If yes, enter date - Comments/Deficiencies: Trench in operation for 19 years recommend switching diverter valve to other trench. 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' P/l Yes Community Sewer Manhole/Cleanout > 100' 7✓ Yes if No ft 7 Yes if No ft Neighboring Tank > 100' ✓� Yes if No ft Private Sewer/Septic Line > 25'✓� Yes if No ft Absorption Field on Lot > 100' ✓� Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment > 50' 21 Yes if No ft F/-1 Yes if No ft 0 Yes if No ft Water Service Line > 10' El Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' 7 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' P/l Yes if No ft Surface Water > 100' F Yes if No ft Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' El Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' El Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' U Yes if No ft If absorption field is under driveway comment below 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' M Yes if No ft Community Wells > 200' [✓ Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet pF A�qS 49 I H www.muni.org/onsite Septic System Absorption Field Advisory Certificate of On -Site Systems Approval # osc191351 Subdivision: T12N R3W Sec 33, Lot: 156 During the absorption field adequacy test, 79.6 inches of standing water was observed in the absorption field. This indicates approximately 95% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. 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