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CHRISTOPHER HEIGHTS LT 4
Christopher Heights Lot 4 #015-233-04 Municipality of Anchorage e` + 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 AND/OR WELL INSPECTION REPORT Permit Number: OSP111259 PID Number: 015.223.04 Name:herine Innes-Taylor Wastewater System: ❑ New ® Upgrade Adtlress: Samuel Court ABSORPTION FIELD Phone: Number of Bedrooms: ® Deep Trench ®Shallow Trench ❑ Bed D Mound D Other. Soil Rating: Total Depthfrom original grade: LEGAL DESCRIPTION 0.8 GPD/F? 4 Fl. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 4 Christopher Heights 0 Ft. 4 Ft Township: Range: Section: Fill added above original grade: Gravel Length: 3 Ft. 60 Ft. Well: El New El Upgrade Gravel width: 5 Number of lines: 2 Distance between lines: 10.4 Ft. Ft. Classification (Private, A. B. C): Total Depth: Cased to: Total absorpfion area: Pipe Material: Existing Private Ft. I Ff. 600 Fe 3034 PVC Driller. Date Drilled: Static Water Level: Installer: Data Installed Ft. Owner 10/10/2011 Yield : Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Private ManufacWrer ca Pacify: From Tank Field Station Tank Sewer Line Existing Gal, Well 108 Material: Number of Compartments: Surface Water *63.4 LIFT STATION 14.1 in Manufacturer. Lot Line Gel, Foundation 1 O.5 "Pump on' level at "Pump off, level at: High water alarm at: in. in. in. NIA Pump Make & Model Electrical Inspectionsperformed by: Curtain Drain Remarks: *WR#: OSP1 11260 BENCH MARK Location and Description: House FF Assumed Elevation: 106.0 Ft. Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: tat 10/9/2011 OF ♦ 2nd 10/10/2011 , . f �� Development Services Department Approval : �,.•' ii%:• TH •: �•� 49 Conditional Approval Date: ■', ,,,, • ///yyy •;Steven •R.••Pannone i I�.� '•.••• No. CE 8149 Reviewed and approved by:440 Date: __•�mo,i ff1/F �: (Bev. "06)f f •.............� M I V a owN w o a Z J ~0 -O V NEW LANDSCAPE MOUND i-- z CONSTRUCTED TO PROVIDE \- AMINIMUM 100' DRAINAGE PATH TO CREEK 1 / NEW DRAIN FIELD (2EA) 30LFx4.0'EDx5'W, 4'TD TH-2000-1 (SPURKLAND) DRAIN FIELD (E) r \ 60LFx2.O'EDx5'W w It'- IN FAILURE -RE-USE AS RESERVE \ w I p C) w - J o Mo Z Z J � J 0001- 03 J Z i g % � €u , i i V) G� SAMUEL CT 107.8 / I p/W ' i 3BR HOSE _107.1 �\ f i m �`1�'✓ SHEDS ON BLOCKS NO FOUNDATION PLASTIC 1260g SEPTIC TANK (E) �• ��, INSTALL DCO AND FS 0 5 \ \ \....... WELL (E) NOTES: PAMONE ENG SVC, LLC DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CHRISTOPHER HEIGHTS, LOT 4 CATHERINE INNES-TAYLOR 6720 SAMUEL CT PLAN ANCHORAGE, AK 99516 5/29/12 P.I1.6NO �. 015-233-04 8 149 . �?� OSP111259 Sheet 2 O 3 A B M2 T1 38.3 60.2 T2 41.6 61.0 EDC 44.8 61.7 DV 46.8 62.1 EC1 68.4 97.5 EC2 54.9 23.4 EM1 54.9 23.6 Cl 51.2 28.3 M1 49.3 29.0 C2 55.4 36.3 M2 52.8 34.0 C3 38.3 26.8 M3 35.3 26.7 C4 47.3 13.2 M4 45.7 1 13.1 M I V a owN w o a Z J ~0 -O V NEW LANDSCAPE MOUND i-- z CONSTRUCTED TO PROVIDE \- AMINIMUM 100' DRAINAGE PATH TO CREEK 1 / NEW DRAIN FIELD (2EA) 30LFx4.0'EDx5'W, 4'TD TH-2000-1 (SPURKLAND) DRAIN FIELD (E) r \ 60LFx2.O'EDx5'W w It'- IN FAILURE -RE-USE AS RESERVE \ w I p C) w - J o Mo Z Z J � J 0001- 03 J Z i g % � €u , i i V) G� SAMUEL CT 107.8 / I p/W ' i 3BR HOSE _107.1 �\ f i m �`1�'✓ SHEDS ON BLOCKS NO FOUNDATION PLASTIC 1260g SEPTIC TANK (E) �• ��, INSTALL DCO AND FS 0 5 \ \ \....... WELL (E) NOTES: PAMONE ENG SVC, LLC DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CHRISTOPHER HEIGHTS, LOT 4 CATHERINE INNES-TAYLOR 6720 SAMUEL CT PLAN ANCHORAGE, AK 99516 5/29/12 P.I1.6NO �. 015-233-04 8 149 . �?� OSP111259 Sheet 2 O 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS 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 WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALLED NEW SOIL ABSORPTION SYSTEM AND LANDSCAPE MOUND. 4. AN APPARENT WATER TABLE WAS OBSERVED AT A DEPTH OF 10.0 FEET AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10 FEET BELOW EXISTING GRADE. 6" TOPSOIL & VEGETATE 3 FILTER FABRIC 1 MAX I—� 99.8 R.I. 99.8 3 TH-1 3.0 -- - ��1 MAX 96.817R _ J- 0.5 96.8 .. .. -1.o GM 4.0 GRAVEL BEDDING 1I92,8 92,8 I I 4" 6 DRAIN PIPE 6.0 I -5.0—F -10.0—I-5.0—{ DRAIN ROCK SM GROUNDWATER 0-10.0, -151 1 8/31/2000 SECTION z a ow �w 5 I-= > > M1 O <o 0 0 0 W 0 �m a=¢a z z l 2 W Z 2 2 ZO W J < w Haaq M �� 4'Dia Part Pipe �uv c0i u oU o U Ea '810 HDPE 99.8 R.I. 72608 SEPTIC - - ,. 96.8 TANK (E) p 92.8 PROFILE WIDE TRENCH SEE DESIGN DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1260g (E) PERC RATE = 1-5 MPI SOIL RATING: 0.8 GPD/SF AREA ROD: 562.5 SF SYS. TYPE: WIDE TRENCH 4.0' E.D. RF=0.5 MIN LENGTH: 56.25 LF USED: (2EA) 30 LF X 5' WIDE, 4' E.D., 4' TD TOTAL AREA: 600 SF (RECORD DRAWING I DETAILS LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC PMNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CHRISTOPHER HEIGHTS, LOT 4 CATHERINE INNES—TAYLOR 6720 SAMUEL CT ANCHORAGE, AK 99516 Effi-Toffiff . sill CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER *.--49 ni �teven'f�� •far CE 8149 11/16/11 *(� P.I.D.TNS O _,� 015-233-04 e� PERMIT N0. oSP111259 3 OF Pannone Engineering Services «c Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveffiipanenRak.com January 23, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Christopher Heights, Lot 4 Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed system will serve an existing three-bedroom house. Currently the lot is developed. The lot is served by a private well. The existing drain field is in failure and shall be re -used as a reserve. A new drain field will be installed northeast of the existing field and will be sized to handle a three-bedroom waste stream. The surrounding developed lots are served by private wells. The surrounding wells are located over 100 feet from the proposed soil absorption system. 1. Soils. One test hole was excavated by Tobben Spurkland in August of 2000. See the soil log attached. Ground water was monitored for seven days. Ground water was monitored to a depth of ten feet (10') below ground level after the monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 0.8 gallons/day/square feet should be used, using a conventional wastewater treatment system. 2. Soil Absorption System Design. a. See Sheet 2 of the design package 3. Surface Water: There is a creek approximately 63 feet from the proposed drain field. See waiver request. 4. Topography: The average topography in the area of the proposed septic system is approximately 8 to 10 percent based on the survey information in the area of the septic system. There are no steep slopes within the vicinity of the proposed drain field. 5. Waiver Request: I request a drain field to surface water waiver. Mounds will be built to create a drainage path of greater than 100' between the drain field and the creek. Granting this waiver will not Mailing: P.Q. Box 100217, Anchorage, AK 99510-0217 Physical: 615 East Wd Ave, Cuite 136, Anchorage, AK 99503 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 impact current or future development on any of the surrounding lots, nor will it impact the water quality of the nearby drainage. 6. Drawing Markings: 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. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: P.O. Box 100217, Anchorage, AK 99510-02.17 Physical: 615 East 82"° Ave, Suite B6, Anchorage, AK 99503 Telephone: (907) 272-8218 Fax: (907) 272-8211 On -Site Wastewater Disposal 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 Permit Number: OSP111259 Tax Code Number: 01523304000 Work Type: Septic Upgrade Permit Effective Dates: September 30, 2011 to September 29, 2012 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: CHRISTOPHER HEIGHTS Site Legal Address: CHRISTOPHER HEIGHTS LT 4 G:2739 Owner/Address: INNES-TAYLOR CATHERINE 6720 SAMUEL COURT ANCHORAGE AK 995162412 Site Mailing Address: 6720 SAMUEL CT, Anchorage Lot Size in Sq Ft: Total Bedrooms: This permit is for the construction of: 52280 3 Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private 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 during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: Prior To Construction: Install a groundwater monitoring tube to determine the 7 -day groundwater elevation. The 7 -day groundwater elevation shall be a minimum of 4 feet below the bottom of the installed drainfield. The owner may proceed with construction prior to the 7 -day monitor reading at his own risk. Special Provisions: The permit includes waiver OSP111260 allowing the drainfield to be 70 feet minimum from surface water. Note: the waiver requires the construction of a drainage swale that forces any drainfield sewage spills to take a 100 foot minimum path to any surface water. Received B} Issued BK Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 s Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Program Ment fttine�nt **** VARIANCE/WAIVER REVIEW **** WR#: OSP111260 HA#: Permit#: OSP1 11259 PID#: 015-233-04 Legal Description: Christopher Heights, Lot 4 Engineer: PES Applicant: Catherine Innes -Taylor Your request for a waiver of the required 100 feet horizontal separation fro e��' field to the surface water has been approved. The approved separation distanc is 0�`ers 14 /� This waiver approval applies to the existing absorption field to surfaee 6 Ul Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: 9/30/11 Approved by" ? l Name of Reviewer ............................................................................... Rec#: 007034 Amount: $800.00 Date Paid: 9123/2011 **** VARIANCE/WAIVER REVIEW **** On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Phone: 907-343-7904 Fax: 907-343-7997 Parcel I.D.1,-Z��-yL� Property owner(s) C!}7 %,it r Al��� j eV, 0(, Day phone Mailing address &_1_ZC> 60,4CL C - i ,9 kW7& Site address 6' rZC' Legal description (Sub'd., Block & Lot) QP4,'T _,PiJ ie � C ►'T Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial ❑ Absorption Field Septic Tank Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 46516clel-r/o.tib F I E L D `fib 5 J- A1C ( 9T e�7& 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. (Si rty ovyher or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: I Permit No. �3r,� 1a x5l'j GABuilding\On Site\Forms\Client Forms\Permit App_01 041 1.doc Waiver Fees:-' Date of Payment: L i Receipt Number: �- Waiver No. C -')c (Rev. 1 /11) Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve(@panen ag k.com September 19, 2011 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Christopher Heights, Lot 4 Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed system will serve an existing three-bedroom house. Currently the lot is developed. The lot is served by a private well. The existing drain field is in failure and shall be re -used as a reserve. A new drain field will be installed northeast of the existing field and will be sized to handle a three-bedroom waste stream. The surrounding developed lots are served by private wells. The surrounding wells are located over 100 feet from the proposed soil absorption system. 1. Soils. One test hole was excavated by Tobben Spurkland in August of 2000. See the soil log attached. Ground water was monitored for seven days. Ground water was monitored to a depth of ten feet (10') below ground level after the monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 0.8 gallons/day/square feet should be used, using a conventional wastewater treatment system. 2. Soil Absorption System Design. a. See Sheet 2 of the design package 3. Surface Water: There is a creek approximately 70 feet from the proposed drain field. See waiver request. 4. Topography: The average topography in the area of the proposed septic system is approximately 8 to 10 percent based on the survey information in the area of the septic system. There are no steep slopes within the vicinity of the proposed drain field. 5. Waiver Request: I request a drain field to surface water waiver. Mounds will be built to create a drainage path of greater than 100' between the drain field and the creek. Granting this waiver will not laffing: P.O. Fox 100217, Anchorage, AK 99510-0217 Physical. 615 Fast 2"d Ave, Cuito06, nchorag!, AK 99503 Telephone: (907) 272-8218 FAX: (9 ?7) 272-8211 Page 2 of 2 impact current or future development on any of the surrounding lots, nor will it impact the water quality of the nearby drainage. 6. Drawing Markings: 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. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mail r,g: FF.0, Box 100217, Archorage, AK 99510-0-11, 7 Pliys c Vii? 5 Fist 2`" Ave,, 5L3;te B6, Arich rag Aid 995 �; T iepl-ionc: 07) 272-8218 FAX: (907) 272-8211 E1 1-1 C,()j /7\ M U) LLJ Q 0w _j cr) Ld U) > 4�7 LJ 0 U) Cf) Z F_ wC) J o WELL (E) SAMUEL CT LANDSCAPE MOUND (P) CONSTRUCT TO PROVIDE A MINIMUM 100' DRAINAGE PATH TO CREEK DEW 3BR 108.0 HOUSE // DRAIN FIELD (P) 10.6 (E (2EA) 30LFx4.0'EDx5'W, 4 TD ' \ / '4\ ..... . ...... . ...... TH-2000-1 --v N (SPURKLAND) S 106.5/ DRAIN FIELD (E) Q)// 60LFx2.0'EDx5'W bi IN FAILURE • w . Vk�—� \\ RE–USE AS RESERVE Cn ` !?,� �\ • Lu U) SHEDS ON BLOCKS vv---_, oNO FOUNDATION 0- a- 0 cf)LiJ,, D _j \ - ........ .. Li [if o PLASTIC 1260g SEPTIC TANK (E) L > 0 j - ZZ INSTALL DCO AND FS cr) Ld (E) ................ . . . . . ....... . ........... NOTES: PAMONE ENG SVC, LLC Date OF Al CHANGE ORDER kk 10/10/11 P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 Scale ,W 49 TH ... .. ...... P.I.D. NO CHRISTOPHER HEIGHTS, LOT 4 iln- ' '' 5-233-04 CATHERINE INNES—TAYLOR tlevePannone PERMIT NO. 6720 SAMUEL CT Ott6A1 CE 8149 OSPI11259 PLAN ANCHORAGE, AK 99516Sheet OFESS 1 OF 2 c®1 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: INSTALL NEW SOIL ABSORPTION SYSTEM AND LANDSCAPE MOUND. 4. AN APPARENT WATER TABLE WAS OBSERVED AT A DEPTH OF 10.0 FEET AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 1260 g SEPTIC TANK (E) DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 12608 (E) PERC RATE = 1-5 MPI SOIL RATING: 0.8 GPD/SF AREA RQD: 562.5 SF SYS. TYPE: WIDE TRENCH 4.0' E.D. RF=0.5 MIN LENGTH: 56.25 LF USE: (2EA) 30 LF X 5' WIDE, 4' E.D., 4' TD TOTAL AREA: 600 SF PROFILE WIDE TRENCH SEE DESIGN LEGEND W WATERLINE/ WELL RADIUS SS NEW SEPTIC NOTES: PAMO'].. ENG SVC, LLC CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CHRISTOPHER HEIGHTS, LOT 4 CATHERINE INNES-TAYLOR 6720 SAMUEL CT DETAILS ANCHORAGE, AK 99516 ABBREVIATIONS CU 3 MAX 1 �TTH 3.5 6" TOPSOIL & VEGETATE FILTER FABRIC 3 1 MAX J 0.5- DUCTILE IRON PIPE TH GM 4.0x FOUNDATION CLEAN OUT GRAVEL BEDDING TANK CLEAN OUT NO. C# CLEAN OUT NO. -rte-- MONITOR TUBE NO. 4" 0 DRAIN PIPE RIGID INSULATION DCO DOUBLE CLEAN OUT DV II F_5.0--}- 10.0—{-5.0—I DRAIN ROCK FLOW SPLITTER 6.0 SM GROUNDWATER -10.0' -1 s 8/31/2000 SECTION W W OF- =Z =Z ¢0 0 w O O w JO w Oof O= w O= O M O U w J J v 0 5 w O J ❑ 0 w Z 0 w z w 4" Dia Perf Pipe 0 2¢ F810 HDPE Z w w 2¢ 0 1260 g SEPTIC TANK (E) DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 12608 (E) PERC RATE = 1-5 MPI SOIL RATING: 0.8 GPD/SF AREA RQD: 562.5 SF SYS. TYPE: WIDE TRENCH 4.0' E.D. RF=0.5 MIN LENGTH: 56.25 LF USE: (2EA) 30 LF X 5' WIDE, 4' E.D., 4' TD TOTAL AREA: 600 SF PROFILE WIDE TRENCH SEE DESIGN LEGEND W WATERLINE/ WELL RADIUS SS NEW SEPTIC NOTES: PAMO'].. ENG SVC, LLC CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CHRISTOPHER HEIGHTS, LOT 4 CATHERINE INNES-TAYLOR 6720 SAMUEL CT DETAILS ANCHORAGE, AK 99516 ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER F At, kkk ateO D 0/10/11 9� #: 49 R *�r' % Scale. NTS P.I.D. NO Steven Pannone j PERMIT N0. CE 8149 ��i/ OSP111259 ,�� ESSOW Sheet 20F2 Col October 10, 2011 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Christopher Heights, Lot 4 Owners Statement Ladies and Gentlemen: I am the owner of the above mentioned lot and performed the installation myself with equipment that I rented from Airport Equipment Rentals Inc. I have experience with excavating equipment and utility installation. I installed the existing system on my lot in 2000. Signatw,re. ,� AFP J.P.Vord J , ' Municipality of Anchorage Page —Lof DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL'SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report SV!/ ODD PID Number: Permit Number: 7tr21 Name. .? ! ore Wastewater System: E3 New Upgrade Address: 'Sa (- ABSORPTION FIELD v Phone: No. of Bedrooms: O Oeep Trench leshallovilTrench O Bed O Mound O Other LEGAL DESCRIPTION Sod Rating. I.Q. Total Depth from or�inal grade 3 _ 5 vor Lot: Block: Subdivision: _ Depth to pipe bottom from Original ones: Gravel depth beneath Dips / L! "T o e,1-14157t) f/ �1Z t1fli 1--S Ft Ft Township. Range: Section: Fill added above original grads: / " Gravel length: Ft .l Ft Gravel width: Number of lines: Distance between hoes' WELL: ❑ New ❑ Upgrade FL Ft Classification (Private. A,B.C): Total Depth: Cased To: Total absorption area: fl Pipe materiel: f FS 16 C -603L/ Ft. Ft. C so Ft. Driller: /t Date Drilled: Static water Level: Installer. Date Installed: Ib *10 7 1 CD \ Ft. yield: / Pump Set at: Casing Haight Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES p/Septic ❑Holding ❑S.T.E.P. To Septic Abwrpt o Lin Noldln9 ubIKJPdvele Manofacturec , Capacity In gallo1ns: From Tank Field Station Tank sewer Lines ,ui:�-r'�� Material: Number of Comport IS: Well 1a 5 I `b >•�> 1 zll i e . -c rfa Surface toy LIFT STATION e Water t� Lo Size In gallons: Manufacturer. Line 1 y t) "Pump ori levet at: 'P p off level at: Migh water alarm at: Foundation a � O Curtain/ Pump Make A Modelectncal InspectiOna performed by: Drain l BENCH MARK Remarks: Location and Description: e TO 1,w ar/fJ� lwQ 'plop AurttOl rvl 4� _ Assumed ElevallOn: ✓ e i0f7 � e. ENGINEER'S SEAL -.0.4 ""' Y7 Inspections performed byDates: 12s {{"/ Ey , ..r,,, t•: -ToEI /','! fr' �l � S-•rrAlun� f Department of Healt and Human Services approval Reviewed and approved by: Date L 4iti� :•;< 72.013 (A" 9191) MOA 25 Is/ I � / 25 50 SCA / /•/ 00 1 I I / I 1 Y I H WRK / swr� ��nncs: • \ AE ` OR lNAL� I ,,,.fit .••."•,:�.� ;. TI1 ... ; .., (.E :225 . di °PROfES°�;°•...� = M FT I I. OWN MARK -- — J BOTTOM SIDING A3SURED-BEVARON 100.00 fT ITOBBEN SPURKLAND P.E. CHRISTOPHER HEIGHTS LOT 4 SEPTIC SYSTEM AS BUILT - I 203 W 15TH. AVENUE 6720 SAMUEL COURT DATE: NOV. 8, 2000 ANCH. AK. 99501 J.P. FORD SHEET. 2/3 GRID: 2739 I PERMIT a SV000421 PID b 015-233-04 CHH00042.DVG O Foundation Clean out 00 Standard Trench, 5' Wide 66' Long 5' Deep 2.0' Sewer rock 3' Cover h,uml d roar and hvncn a O O 1260 gal Septic tank 00 PREWR' POLnTHYI£N£ ••• OF ,♦♦ . : . a : � 4 t i ... i........ • o ....F...G.G.. ♦'; TDBB N SPURKLAND 0 CE -2225 NO SCALE•♦♦♦♦4111,111%SSI��:•••• Monitor Cleanout 3' Cover loot INSULAW l£ 97.8 !£ 98.5 /E 97.8 9.05 I£ 98.2 Silt Barrler 95.8 95.8 2.0 Ft of Septic Rock 1260 gal. septic tank Effective Y 91.0 NO SCALE eorTow mTllot£ mo TOBBEN SPURKLAND P.E. LOT 4 CHRISTOPHER HEIGHTS SEPTIC SYSTEM SCHEMATIC 203 W15th Ave 6710 SAMUEL COURT DATE, NOV. 14, 2000 II Anchorage Ak 99501 J.P. fORD SHEET- 3/3 GRID, 2739 PERMIT / SW000421 PARCEL 1D / 015-233-04 CHH0004J DWG L V1,0 PC r_btD---) MUNICIPALITY OF ANCHORAGE I�I2 �� Department of Health and Human Services 7 On -Site Services Program 825 L Street, Room 502 1 o/% 8/ oD (\d P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 05, 2000 Expiration Date: Oct 05, 2001 Permit Number: SW000421 Parcel ID: 015-233-04 Legal Description: CHRISTOPHER HEIGHTS LT 4 Design Engineer: 0007 Tobben Spurkland, PE Site Address: 006720 SAMUEL CT Owner Name: JP Ford Lot Size: 52280 SQ. FT. Owner Address: 6720 Samuel Court Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99516 - This permit is for the construction of: [-vl Disposal Field 0 Septic Tank E] Holding Tank E] Privy El Private Well Ej Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify 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: U Date: /C% r' 'G'i� T.SPURK LA ]P E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM UPGRADE DESIGN LOT BLOCK S/D NAME Municipality of Anchorage Department of Health and Social Services 825 L Street Anchorage, Alaska 99501 September 12, 2000 We are submitting an application for the upgrade of the septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following : Ground Water @ 9 feet during Break Up Use Standard 5 -Wide Trench Soil Rating. From Testholc 08/23/00 5 min/in = 1.2 gal per sq.ft/day No. of Bedrooms 3 Required Area per Bedroom: 15011.2 a 125 sq.ft. Total area required: 125 x 3 - 375 sqft Bottom Rock At 5 feet Top Rock At 3 feet Rock Depth 2 feet Reduction factor 70% Total Trench Length 3750.7 / 5 = 52.5 ft. USE 52 LF SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 52 FT TOTAL WIDTH 5 FT TOTAL DEPTH 5 FT ROCK DEPTH 2 FT COVER 3 FT SEPTIC TANK 1000 GAL INSULATION OVER TRENCH AND TANK The installation of this septic system will not prevent development of adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. ' n$wSpoRxLAwo 50 0 50 loo 150 cloo 250 300 TOBBEN SPURKLAND P.E. CHRISTOPHER HEIGMS LOT 4 11 SEPTIC SYSTEM DESIGN 20J P/ 15TH. AVENUE 6720 SAMUEL COURT DA TE. SEPT 7, 2000 ANCH. AK. 99501 J.P. FORD SHEET. IIJ GRID: 27J9 / \ ' n$wSpoRxLAwo 50 0 50 loo 150 cloo 250 300 TOBBEN SPURKLAND P.E. CHRISTOPHER HEIGMS LOT 4 11 SEPTIC SYSTEM DESIGN 20J P/ 15TH. AVENUE 6720 SAMUEL COURT DA TE. SEPT 7, 2000 ANCH. AK. 99501 J.P. FORD SHEET. IIJ GRID: 27J9 r rttTC BAN •SPURKLAND'• N6. CE -2225 FESS \ / /1 25 50 100 125 150� SCA + 1' = FT. 1 — // I 1 1 I 1 ♦ �: :. Well N 5X5: DRAIN �� \'•'••• \ \ 1 I xw I TANK \ \ r� / \ •fir r`\ I \ I I \\ I TOBBEN SPURKLAND P.E. CIIRIS710PIIEH IIEIGIITS LOT 4 SEPTIC SYSTEM DESIGN 203 Y/ 15TH. AVENUE DA TE. SEPT 7, 1000 CH. ANAK. 99501 6720 SAMUEL COURT _ _ _ _ J. P. FORD SHEET' 2/3 GRID: 2739 I PERMIT H SVOOOXXX PID # YY CHH00042DI✓6 Silt Bo Standard Trench: ND SCALE 2.0 Ft of Septic Rock Effective 5' Wide 52' L ong 5' Deep 20' Sewer rock 3' Cover Ins We lank and trench Monitor Cleanout NO SCALE 1000 gal Septic tank .fir,,• �. JU s I 49th I Bl/N SPURKLAND No. CE -2225 , 1000 gal. septic tank N TUBBLN SPURKLAN11 P.E. I I LOT 4 CHRISTOPHER HEIGHTS I I SEPTIC SYSTEM SCHEMATIC 203 W15th Ave 6720 SAMUEL COURT DATE: SEPT. 7, 1000 Anchorage Ak 99501 J.P. FORD SHEET- 3/j GRID+ 2739 990_0014 PERMIT p SVVOOOOXX PARCEL ID 1 015-233-04 CHH00043.DV/G MunlcIrallty of Anchorage • r DEPARTMENT OF •tEALTH 6 HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST �. •G f I•. I " N - (ENGONEER'S SEAL) % • , 0 ?,.. i. t .and•: t.. r! pis • •�'`°••.....,•• • �':"' PERFORMED FOR: (.� ,'\oK-� DATE PERFORMED: 1 LEGAL DESCRIPTION: 1 4 C H21S i oP4aOwnship• Range. Section: F -J i1F-I&H -s SLOPE SITE PLAN l� r—•t—rT OrtzCi t4tC5 G r� S; Icy Sa„�I SH V Atcuw\c ()CLn�iur Z7 WAS GROUND WATER S/51100 ENCOUNTERED? 1/ S IF YES, AT WHAT t L DEPTH? _• 1,_ P 'P E Depth to Water Alter ) 8 f -+44:H Monitoring? 10 Damm s/ o -t> 14 ,1Z 15- 16- 17 5 16 17 18 19 Feadinq Date Gross Net -A3-� Time Time Depth to Water Net Drop 341 r 11 3 q a a 20{ btl uPERCOLATION RATE....`2_ (minutev,nch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND L FT DISCLAIMER• Grnundwatpr cnnditinne indicated are fnr the dates shown only. Past and future presence and/or depth of groundwater can not be predicted Trom Lnebe UU rvdLruna. PERFORMED BY: - s I 77 S CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIE ELINES IN EFFECT ON THIS DATE. DATE: ` - G db 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 1PHONE ~ ~/ ~1~1EW MAILING ADDRESS LEGAL DESCRIPTION LOCATION Well DISTANCE TO: ~ Manufacturer ~"{~'-1 ~Liq. capacity in gallons ~_~ M~n~ra~t~r I Absorption.arT~a~ NO. OFBEDROOMS Material ~ ~ ~_t Inside length Width Liquid depth Dwelling PERMIT NO. Material PERMIT NO. No, of compartments Liquid capacity in gallons DISTANCE TO: I L~-(~ NO, of lines I ILength of each line I Top of tile to finish grade Width Foundation Total length of lines Material beneath tile Depth Length Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Class Depth Driller Building foundation Sewer line DISTANCE TO: OTHER PIPE MATERIALS SOIL lESl RATING Nearest lot line Trench width ~' ~') inches ~- ~ inches ITotal effective absorption Nearest lot line Distance to lot line Septic tank PER.MIT NO. Distance between lines Total effective absorption area PERMIT NO. rea PERMIT NO. Absorption area(s) NSTALLER REMARKS APPROVED DATE 72-013 (Rev. 3/78) LEGAL PERMIT NC'. f-ll_lr-J I C: I PRL T T"~-' ,3F Rr-JC:H~]~-~-:RI]E [:,EPRRTMENT L~' HERLTH RND ENVIRONMENTRL 3TECTION :_::25 '" L STREET., RNCHORRAE., RK. _9.'~.5E~1 264-4728 ~4ELL R[~4B, 6~[-4--~- I Ti 5EL~IE~: i'i~:£4 I T ( 83:GASt ) RF'F'L I C:RNT LOC:BT I ON LEGRL FEJES DEVELOF'MENT 14Bi CHRISTOPHER HEIGHTS c - ) 99502 6917 OLD _,EWMR[ HIGHWRY ]:49-6691 LOT SIZE 999999 SQURRE FEET TYF'E OF SOIL RBSORF'TION SYSTEM IS: TRENCH MR::'=: I MUM NUMBEIR OF BEDROOMS _,C I L RRT I NG ,.': SQ FT,-'"E:R ::, = THE REQU I RED '-,I ZE OF THE _,L I L RBSORPT I ON-,¢'~'c'rc~_,.,.-,, I S ' [:,EF'TH= ± L.E----~ LE[-~GTH= 3:2: m..]iR' R k-' E L [:,EF'TH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXC8VRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXC:RVRTION (IN FEET). F:E L---~_ IJ I RE~-, SEF'T I L--: TRf-~F=:: $ I ZE= :L~3~3~3 LaRLLC, P-~S PERMIT RF'F'LICRNT HRS THE RESPONSIE:ILITY TO INFORM THIS DEPRRTMENT DURING THE INST~LLRTION IN=,FE_.TIUN-, OF RNY WELLS ~DJRF:ENT TO THIS PROPERTY RND THE NLIMBER OF RES IDENC:ES THRT THE WELL WILL SERVE. TL4C, .:: ---:.- .':J 1' flSF'E,--:T I I]1'-.15 RE:E E'E~Z-!IJ I BRC:KFILLING OF RNY SYSTEM WITHOUT FINRL INSPECT!ON RND RF'PROVRL BY THIS [:,EF'RRTMENT WILL BE SUBJECT TO PROSEC:UTIC~N. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS t00 FEET FOR R PRIVRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM ~ PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ~RE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RV8ILRBLE TO INSURE PROPER INSTRLLRTION. F"ER:FI l- T E::-::F' I E:ES E:,EC:Ef-IE:EE: "::-::L.. :1_~8_--< I CERTIFY THRT iL: I BM FBMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS FfS SET FORTH BY THE MUNICIPBLITY OF 8NCHORBGE. 2: I WILL INST8LL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERST8ND TH8T THE ON-SITE SEWER SYSTEM MBY REQUIRE ENLBRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. S I GNE[:" ~ ~ ~ .... ~--u~- RPF'LICaNT FEJES DEVELOPMENT ..... :~___ :- _=~_ . -.~%:~ . e ~Permit ~: 821140 January 31, 1983 TO: Permit Applicant Subject: Lot 4 Block 1 Christopher Heights Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation ©~ the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 PERMIT NO. r'ILIN T ,,--: I ,. .-]LI T"T" E'F Rr'~CH-_.'~'R'3E DEF'RRTMENT OF HEALTH RN[:, ENVIRONMENTRL PROTECTION 825 "l" STREET, ANCHORAGE., 2~,4-4720 L~ELL Rr~L~ O~--S I TE SELLER PEF~.hl I T ( ~:21140 > APPLICANT LOCATION LEGAL FEJES DEVELOPMENT L4B1 CHRISTOPHER HEIGHTS OLD SEWARD HIWY 99502 149-6~91 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E:,EPTH= 10 LE~-IGTH= _?-.___-? GRR'-.-"EL L~EF'TH= G THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCfVATION <IN FEET). ~:EQLI I RED SEPT I L--: TRr~k: S I ZE= 1E~O~] GRLL~)r-~S PERMIT fPPLICfNT HAS THE RESPONSIBILITY TO INFORM THIS DEPfRTMENT DURING THE INSTfLLfTION INSPECTIONS OF ANY WELLS fDJflCENT TO THIS PROPERTY RIND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TL40 (2> I NSF'ECTIC~D~S RRE REE!LIIRE[) BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION RIND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN fl WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR f PRIVfTE WELL OR 150 TO 200 FEET FROM f PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET RND TO f COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS fiRE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ERr~ I T E~-~P I RES DECEr-IBER _?~l.. I 982 I CERTIFY THAT ±: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTALL THE SYSTEM IN RCCORDANCE WITH THE CODES. 2: I UNDERSTfND THfT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. V4. 0 SOl LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 /vtL F~ ~ ~___.~ DATE PERFORMED: i ~2 SLOPE ) SITE PLAN .~-,'--'"'~4 0 11 12 13 14 15 16 17 18 19 2O WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) COMMENTS L/~' ~r- v o~. I J PER FORMED BY:/',/~ A ~/~'A ~ (..,~,./~ ~' TEST RUN BETWEEN FT AND -- FT CERTIFIED B 72-008 (6/79) -i LOCATION OF WELL fc. Borough I As (Places complete either Is, Ib arlc.) 11 1 Lot I Slocil ROAD Street Address and Arco of Wall Location 2. WELL LOG WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological Di Geophysical Surveys Drilling Permit No. �• // A.D.L. No. L S Vb. I/c glrs. Section No. Township N0 Range EC] Meridian aaf—of—of — S0 W❑ Ig. WATER WELL CONTRACTOR'S 'CERTIFICATION: hls w 11 as rdrIliad u r m I r fetelionerne f%n�l�n/•Port is }run to the `^T gbbnd Innen Name Address: Signed : &� r r .0 Autharlxed R esentative um OL-WWR(HISI) Copy Distribution: WHITE - Stott DG S. OWNER OF WELL: Fe-"af: Addnn: 6. WELL DEPTH: ifinal) S. DATE OF COMPLETIONy g, _ IVCoble tool QWa" C) Driven - QDce ❑ Auger Jetted ❑ Bond ❑ Other: 7. USE.1VDomestic O Public Supply O Industry D irrigation O Recharge D Commerical O Test Wall 0 Other: S. CASING: [] Threaded 19 Welded dials., 0 In. to //3 ft. Depth Weight _ lbs. dram._in. to— ft. Depth SHckup,.,:-7 ft. S. FINISH OF �WE": Typo:DlamgNr: Slot/Mash Six*: Length: Set bet"" ft. and it. Baehfilling Grovel path 10. STATIC WATER LEVEL:a15— fI. /17,/2F O Above or B Batoq, loop surldcat Safe Equipment used:I I1. PUMPING LEVEL below land surface and YIELD ) A/ys ft. after—bra. pumping—/— 9 -P.m. _ft. after bre. pumping_g.p,m. i 12.01ROUTING Well Grouted: ❑ Yes Preis - f Material: C]Neat Cement O Other: IB.PUMP: (if available) HP Length of Drop Pipe . ft. capacity, 9 -P.M. 0 Subm. [3 Jai ❑ Centriflool Other KREMARKS: /4 -10►/or IS. Water Temperature _e OF C I my knowledge and belief; a Date: PINK -Willer. CANABY-Cusiomm 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 4 FOR A SINGLE FAMILY DWELLING Parcel I.D. 03.5-233-04 COSA #_0S0_ I a 1 Expiration Date: 1. GENERAL INFORMATION Complete legal description Christopher Heights Lot 4 Location (site address) 6720 Samuel Ct. Current Property owner(s) Catherine Innes -Taylor Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: '4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ 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 the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewter 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 Pannone Engineering Services LLC Phone 272-8218 Address P.O. Box 100217, Anchorage AK g4Sio / Engineer's Printed Name Steven R. Pannone, P.E. Date &i (l j 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. .P..... F O. /W�♦ These conditions are outside the control of the evaluator of this system. All systems eventually fail and 1�?,••' �`•.,• �1� 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 r ....... •••• ••• •••••• j 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 ':Steven R Pannone/ i above. Any reliance upon or use of this report by any other person or party is not authorized nor will it I -s".. CE 8149•` confer any legal right whatsoever. • 5. DSD SIGNATURE �Q.. �°.•��• %/ Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nit�ate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other I/ By: �[[ � � � pp �t �r Original Certificate Date: 0/h%�? Municipality of Anchorage s Development Services Department p t 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 Legal Description: Christopher Heights, Lot Parcel ID: 025-z-43-04 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed z is i s Sanitary seal (Y/N) Y_ Total depth 146 ft. Cased to IM ft. FROM WELL LOG Date of test Static water level Well production z128hg83 WATER SAMPLE RESULTS: Coliform Nemec _colonies/100 mL ft. g.p.m. Nitrate o.04 mg/L Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) min. AT INSPECTION 10/10/203.1 ft. 2.2 g.p.m. Arsenic: 0.6o ug/l Date of sample: 9/26/2022 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic / Polyethelyne Date installed 10/8/2000 Tank size 2.26o gal. Number of Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y//N) Y/ Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping �6 «` I Z Pumper SL& AG�0,':W k A✓ y C. ABSORPTION FIELD DATA Date installed 3.0/3.0/2012 Soil rating (g.p.d./11`12 or ft2/bdrm) o.8 System type Wide Trench Length 6o.o ft. Width 5.o ft. Gravel below pipe 4.o ft. Total depth Zo ft. Eff. absorption area boo ft2 Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test _ in. Elapsed Time: min. Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type) Water added_ gal. New depth_ in. in. Absorption rate >= g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum Size in gallons "Pump off' level at _ in. Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot '26 Absorption field on lot so7.8 Public sewer main 75+ Sewer /septic service line zS+ Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots ioo+ On adjacent lots ioo+ Public sewer manhole/cleanout ioo+ Holding tank ioo+ Animal containment areas ioo+ Manure/animal excrete storage areas ioo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Building foundation 36 Property line 27 Absorption field S+ Water main so+ Water service line io+ Surface water ioo+ Wells on adjacent lots uoo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 14.1 Building foundation io.6 Water main io+ Water Service line io+ Surface water 63.4* Driveway, parking/vehicle storage ao+ Curtain drain So+ Wells on adjacent lots ioo+ F. COMMENTS *WR#0SP111u6n . FCO wl=.tl ©fir a�rtJ S• G. ENGINEER'S CERTIFICATION I certify that t 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. Engineer's Printed Name Steven R. Pannone, P.E. Date &t( COSA Fee $ Ca5 "% S7 Waiver Fee $ _ Date of Payment (al rlra Date of Payment Receipt Number 0q 5350 Receipt Number (Rev. 11/05) N No. CE 8149 �s in. I LOT 3 's Rte, 3 N I LOT 4 ry^y pi i y 25' CREEK ry e0 MAINTENANCE s �Q EASEMENT . °>. <\ a� o "7<.1s w� a o ZS 0 _ I ry 21.4 • O I 0 1 o J O r -Dim (Shed Dims I ilio rn s plywood 30' DRAINAGE F, Sheathing \ k I EA� $� \ I Uj Fr'I 14.2 O '' °� 34.8' SAMUAL COURT by CENTER OF15.0 15'0 II " 82'13'18' W i EXISTING.,, w DRAINAGE r L4 17.73' W DITCH "•"-' o d Gravel -�---�� I li V3 .�,0, Drive . :, `&,`,ts $ 8 ..:. 'Well rive ......:::: a 37.5' Ty(:%::.:i:.... _ Existing'' I� I O I ® House p �. CENTER OF 6• ,. �-EXISTING C �•r A i DRAINAGE I -I Cleanout9 ,�1 9' ry0� �� ��• 1 DITCH { (10) 0 Cleanout 9, m ®�? e °� Carport rmr1 Lean -To z Clean to 6^ V 8 c > 0��0000 OF.At o .��oo4 ,9S�4oQ LOT 5 p.A.:.................. D OQ4 A h ny P. Hoffman. 0- QQN ' .. LS -9020 o 404pn40o'ofessianal �a �oo�a NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. Legal Description: Ordered By. J. P. Ford AS -BUILT Legend: Lot 4, Septic Standpipe 05 Christopher Heights Subdivision Water Well ® ::::::::..................... Fence—X—X— Overhang Woo eck SURVEY CER has conducted a physical survey of the Ion show his draw shown an this Brewing and that the improvements =thereon Lmritach nes and thereon are within the property lines and no encroachments exist other t other than nosed. LAND & CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS EXCLUSIONARY NOTE: It is the owners' responsibility to detennine the existence of any easements, covenants, restrictions or right—of—way 440 West Benson Boulevard, Suite 200 Phone: 562-5291 takings which do not appear on the recorded subdivision plat Under no circumstances should any data hereon be used for construction, Anchorage, Alaska 99503 Fax: 561-6626 for establishing property lines, or for plot -plan purpose& Pat: 82-362 Grid: 2739 Data: October 13, 2011 Drawn By: PL Work order. 2011—L-185 Fb/Pg: 758/58 Ret 1OL196 Scale: 1"=50' lChecked By. JMZ APPLI~-\NT FILLS OUT UPPER HA-' ONLY Property Owner Z~'.~..~ /~? ~* ~'~.,~ ,/..?//.,,~ ,~.~:~ ~.J.,~" Phone Address,~_~,,~,~_ ~/~~_~,,__.5~/~.,~_,,~..,,~IP' ~'~__ ~_~..~_ '.~ ZipCode ~'~"~'~/ Lending Institu~io~...........~.~ ~. ~ __ . Phone . r.ss Realty Co. & ^~ent ,~ ~(~ ~,,'r..~_..,*--~ Phone Street Location /,~/~ ~'~Y ~*~,,.~* ~,__~ .,..,, Type of Residence Single Family ~ Multiple Family No. of Bedrooms [] Other Water Supply ATTACH WELL LOG. A well log is required for all well~ drilled since June 1975. ,,~ Individual Community For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sewer Disposal Year Individual Installed: ~/9~---~;::~ ~ - * Individual Public Utility When Connected to Public L~ili~y: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes:~/'~/~_/ MUNICIPALITY (DF ANCHORAGE DEPT. OF ENVI~ONM~'~TAL P~OT~TIO~ RECEIVED ( ~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ~ ~ ~,s~.~ov~o ( ) CONDIT~AL APPROVAL* DATE Soils Rating Date ~wer Installed Well To ~sorptJon Area Well Log Received 72-023 (3182)