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TONJESS ESTATES BLK 2 LT 17A
Onsite File Tonj ss Etsates Block 2 Lot 17A #051-832-28 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: OSP231069 Work Type: Septic Upgrade Tax Code Number: 05183228000 Site Legal Address: TONJESS ESTATES BLK 2 LT 17A G:1462 Site Mailing Address: 25439 SCHAFF DR, Chugiak Owner: MOORE KRISTEN A & RICHARD D JR Design Engineer: ALASKA RIM ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: r1 DeI)aI•till ent Lot Size in Sq Ft: Total Bedrooms: 5/3/2023 5/2/2024 135025 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: 5 S VIE -0 7'0 (�- Issued By: Date: 5 Date: S/3/4121 1- 3 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. # 051-832-28 Property owner(s) Rick and Kristen Moore Mailing address 25439 Schaff Dr., Chugiak, AK 99567 Site address Same Day phone 907.440.9604 Legal description (Sub'd., Block & Lot) Tonjess Estates, Block 2, Lot 17A Legal description (Township, Range & Section) Lot Size 135035 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: ([D all that apply) Absorption Field E] Initial ❑ Single Family (SF) Septic Tank 171 Upgrade (w/wo ADU) Holding Tank 171 Renewal EJ Duplex (D) El Privy Fl Multiple Dwellings 171 (SF and/or D) Private Well 171 Water Storage 171 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. 44/A April 17, 2023 (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: , , '// � 71 1-9 _L 3 Date of Payment: Receipt Number: — I b,61"5 & 9 tf Permit No. (D Ob Receipt Number: Waiver No. G:\Development Services\Building Safety\0n Site Water and WastewaterTorms\Client FormsTermit Application.doc A�..RE April 14,202-31 Municipality of Anchorage, D.S.D., On -Site Water and Wastewater Department 4700 Elmore Road, Anchorage, AK, 99519 Re: Tonjess Estates, Block 2, Lot 17A 25439 Schaff Drive, Chugiak, AK, 99567. Subject: Septic System Modification Application Septic System Design and Permit Application Dear Plan Reviewer, Municipality of Anchorage On-site Wat an a t ter dba ALASKA RIM EiI u�� CONSULTING ENG&fi9tikf�' 05103123 1920 Kentucky Derby Dr. Palmer Alaska 99645 Telephone: 907.775.2347 Alt Phone: 608.617.4070 Email: alaskarimengineering.11c(a),gmaii.com The owners of the above referenced property are planning an addition to their current three bedroom home. The addition would bring the total number of bedrooms to five. With this submittal we are requesting to relocate and expand their septic field. In 2019-2020 they replace their septic tank with a 1500 -gallon septic system. This approval and subsequent modification will allow the owners to continue with their remodel project. SOILS Two test holes were excavated on November 1, 2022, and logged by Charles A. Leet, PE. The test holes were advanced to a depth of 14 feet. The soils consisted of sand, gravels and some boulder with traces of silt. No groundwater was observed after 10 -day monitoring. PERCOLATION TEST The percolation test was conducted on all both test pits between 6 and 7 feet below the ground surface. Results from the percolation test were inconclusive. So, samples were obtained and delivered to Hansen, PE for sieve analysis. The results of the gradation testing indicate the soils to be poorly graded sand. Based on Section 15.65.10, Table 2 the receiving soils application rate of 1.2 gallons per square foot, for the proposed 5 -wide trench. Test hole and percolation test locations are indicated in the site plan accompanying this permit request. TOPOGRAPHY The topography of the subject parcel is that the home was constructed at the foot of Chugach Mountain range. Have provided an overlay of Muni Lidar on the proposed site plans the slopes very from 2-3% around the current home and proposed addition building pad. The driveway slopes away from the house at 20 ±%; as does the slopes adjacent to the driveway. We propose an absorption field and its replacement near the toe of the slope where the slope moderately flattens out, before the slope tapering off to neighboring Lot 16. We have sited the absorption field parallel the property line adjacent to Lot 16, see site plan. Professional Consulting --- Practical Solutions Tonjess Estates, Block 2, Lot 17A Page 2 of 2 April 14, 2023 SEPTIC TANK REQUIREMENTS We propose to use the existing 1500 gallon tank in its current location. DRAIN FIELD DESIGN We are proposing a 5 -wide absorption field that will be constructed parallel to the property line and slope in conformance with municipality requirements. The proposed residence is a 5 -bedroom dwelling with a design flow rate of 750 gallons per day. The prescribed application rate is 1.2 gallons/ft2. The required area is 625 ft2. We are proposing a 4 -foot effective depth, with a trench drainfield that will be 65 -feet in length for a total of 650 ft2. REPLACEMENT SYSTEM There is sufficient area for a redundant/ alternate site to be installed within the 30 foot radius of the test hole. See attached design drawing for the primary and alternate site locations and specifications. SUJRROUNDING PROPERTIES There are no water wells within 100 feet of the proposed system. The property is served by a private well. SURFACE WATERS There is no surface water within 100 feet of the proposed system. Drainage arrows on the site plan indicate the slope and direction of stormwater runoff. (See attached site plan) We do not anticipate any adverse effects on the neighboring septic systems, reserve areas or drainage patterns by the installation of the proposed wells and septic system. Sincerely, .................... Choles A. Leet CE 10480 ,�00000�� -iu—z3 Charles A. Leet, P.E. Principal Engineer Attachments: • Permit application • Area Map • Proposed site plan • Trench detail • Hansen PE Sieve Analysis (2) • Soils log w/ perk test data Professional Consulting --- Practical Solutions MINIMUM SEPARATION DISTANCES VERTICAL: b' SEPARATION TO IMPERMEABLE STRATA 4" SEPARATION TO SEASONAL HIGH WATER HORIZONTAL MINIMUM 100' SEPARATION FROM PRIVATF WELLS MINIMUM 100' SEPARATION FROM SURFACE WATER OR STREAMS MINIMUM 10' SEPARATION WATER SERVICE LINE MINIMUM 10' SEPARATION TANK AND FIELD FROM FOUNDATION OF TH* i Charles A. Leet c D °CE 10480 ,� QU r pR0FES510HA�ac'� Y is1611, y f LOT 16 ! BLOCK 2 J ! r 1 r 490 J � 7771 t 4 50.04 49.$7' off j 18A Blrlf i Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLU 0SP231069, Curtis Townsend, 0: r / )I 1\ I Iilrll III, K11106 f 1" =100' ALASKA RIM ENGINEERING, LLC. 1920 Kentucky Derby Drive Palmer, Alaska 99645 PH; (907)775-2347 alaska ri mengi neering.11c®gmoi I. com — "jMMi111IF I PACE: 1 OF 31 APRIL 10, 2023 Consul[ing Engineers: Planners SCALE: 1 " = 100'1 1N0: 2022026 Conventional Single Family Residential TONJESS ESTATES, BLOCK 2, LOT 17A I•c]MARCH 1, 2023 OVERALL SITE PLAN SITE CRITERIA: NUMBER OF BEDROOMS: GALLONS PER DAY: PERCOLATION RATE (VAIN/IN): APPLICATION RATE (GPD/SFT): MINIMUM DRAINFIELD AREA (SO. FT.]: !IdV►N111121111e=y:1ki21:11� FEET MAXIMUM DEPTH (FT.): FIELD LENGTH (FT) FIELD WIDTH (FT) EFFECTIVE DEPTH_ SAND FILTER DEPTH: REDUCTION FACTOR: DRAINFIELD AREA: LEGEND: FOUNDATION CLEAN OUT 0 SEPTIC VENT LJ DOUBLE CLEANOUT MONITORING TUBE CLEAN OUT 0 TEST HOLE/PIT 5 750 1.2 1.2 625 65 5.0 4.0 N/A 5 FCO Sv DBCO MT Co TH NOTES: 1, DRAIN PIPE FROM HOUSE TO TANK ASTM D2751/2651 2. TANK TO DRAIN FIELD ASTM D3034. 3, DRAINFIELD PIPE SHALL BE ASTM D3034 WITH PERFORATIONS 4. SEWER PIPE IN THE 10 FEET IMMEDIATELY PRECEEDING THS DRAINFIELD SHALL BE INSTALLED NO GREATER THAN A 2% SLOPE OF �Q�� •.qs� �e STH ... .� d q Charles A. Leet Q s ° CE 10480 •" �`�``© •PROFES5I�A��4 LOT 16 M O SIN 490 J � y il0.00} r L- 49.$7" .� - Aea,or FIRM PP & q/ . Ped 1 I 01 rrir Municipality of Anchorage On-site Water and Wastewater I REVIEWED FOR CODE COMPUi 531069, ' is 'r.... Q: J AOT 7 PLO K FLOW i-WI❑� TRENCH. 10 LF '@ 2%4" SEWER PIPE NOTE 4 r 4 �J 26' ALASKA RIM ENGINEERING, LLC. 1920 Kentucky Derby Drive Palmer, Alaska 99645 PH: (907)775-2347 olaskarimengi neering.11c ®gmoil. cam PAGE: 2 OF 31 APRIL 10, 2023 ConsulUng Engineers: Planners SCALE: I" = 50WO: 2022026 Conventional Single Family Residential TONJESS ESTATES, BLOCK 2, LOT 17A SEPTIC SITE PLAN CMARCH 1, 2023 ��oDDDDp� 'tro°9TH l °°g�� > Charles A. Leet �QQ sw ° CE 10480 Qddn �°PROFESSIO�P�c7�' Municipality of Anchorage REVIEWED FOR CODE COMP OSP231069, Curtis Townsend, GROUND SURFACE EARTH COVER SEW ERROCK UNDISTURBED EARTH SEASONAL HIGH GROUN WATER IMPERMEABLE LAYER TRENCH SECTION NOTES: 1. ALL CONSTRUCTION SHALL BE COMPLETED IN ACCORDANCE WITH THE MUNICIPALITY OF ANCHORAGE WATER AND WASTE WATER DISPOSAL REGULATIONS: CHAPTER 15.55 WATER WELLS AND CHAPTER 15.65 WASTEWATER DISPOSAL ALASKA RIM ENGINEERING, LLC. 1920 Kentucky Derby Drive Palmer, Alaska 99645 PH: (907)775-2347 alaskarimengineering.11c@gmail.com PAGE: 3 OF 31 APRIL 10, 2023 Consulting Engineers: Planners SCALE: NTS I W0: 2022Ci26 Conventional Single Family residential TONJESS ESTATES, BLOCK 2, LOT 17A TRENCH CROSS SECTION t f hnr n Municipality of Anchorage On-site Water and Wastewater R CODE COMPLIANCE 3 Town nd. 05/03/23 V Date I l rncc Time 104 ZrAW ••'9 �� Development Services Department Net Drop 49T 00 Building Safety Division Program 10. • .. On -Site Water and Wastewater 00: .004700 South Buragaw .Sit. 0 • • • • • • • ••• . ✓ P.O. Box 196650 Anchorage, AK 991519-6650 ! �� www.muni.org;onsite c� • Charles A. Leet (907)343-7904 Iesr�•,, CE10480 •••��A 1 �. ..de�111 Soil's - P2rColI atioln • pROFESVC, 1`* Log V-Z-„�.L ` Performed For: Rick Moore Legal Description: Tonjess Estates. Block 2, 17A I Depth Date Performed: 11/1%2022 Township, Range, Section: Site Plan 1- ffPLO 61 L -T 4 - If ex, to wkeD I�E,9� 5 7— s, I, 8- {� 7 WAS GROUND WATER 9- X11 ENCOUNTERED? no 10- + i t IF YES, AT WHAT DEPTH? - L r ` i Depth to Water After P 11- Monitoring? none/dry ` 12- 13- 14- 15- 16- 1.7- 18- 19- 2 0- 1 2-13-14- 15- 16- 17-18- 19- 2u-1 I COMMENTS Date: 11/18/2022 Reading Date I l rncc Time I Net Time Depth to Water I Net Drop I ! PERCOLATION RATE 1�6 (minutestinch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN —�-�FT AND FT PERFORMED BY: Charles A. Leet 1 Charles A. Leet CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE ANC IMIUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: RA::n{cipailf� of Anchorayc Development Services Department Building Safety Division On -Site Water and Wastewater Program � 4700 CoUth Br agave St. P.O. i Box 196650 Anchorage, AK 99519-6650 .�„ www.muni.org/onsite (907)343-7904 Soils Log - Percolation Test—.-' 0 F�A`i��� A0. �. 49T •,,� ,+� I 0. Q Ci••, Charles A. Leet ,•2�� CE10480APOFESSIoliA • rj '- Performed For: Rick Moore Date Performed: 11/1/2022 Legal Description: Tonjess Estates, Block 2, 17A Township. Range, Section: Slope Site Plan I I I I I I 1 I I I I Depth (Feet 0_1 6,-MAOLc t (T) I—'- 1 r c✓S/L.T- 1 2- l 11l p d1q/P CCL) 3- b� ,/`r,__11 1��1`JV I I I I I C b -''/`t 4 a t,� 6- J i 7 -iia, 8- �1 9- .s 011 � 10- 1 J 11-Iq n n 12-13- , > y V 14- 15- 16- 17-i 18- 19- 20-1 I WAS GROUND WATER ENCOUNTERED? t10 s IF YES, AT WHAT DEPTH? - L Depth to Water After C P Monitoring? none/dry Date: 11/18/2022 Reading I Date i Gross Time i Net Time i Depth to Water I Net Drop PERCOLATION RATE IA (minutesRnch) TEST R N BETWEEN FT AND PERC HOLE DIAMETER 6' FT PERFORMED BY: Charles A. Leet I Charles A. Leet CERTIFY THAT THIS TEST WAS PERFORMED 1N ACCORDANCE 1TH ALL STATE AND MUNICIPAL GU1DEL1NEE S 1N EFFECT 00N THIS DATE. DATE: 100 90 80 70 i 60 50 m 40 30 2C 1C G Client: Alaska Rim Engineering, LLC Project Tonjess Bk 2, Lt 17A Sample Location: TH # 2 HANSEN ENGINEERING, INC. C ONSUl.1 INO I= N6INI F RS 1 I S I INC; LABORA I ORY 2605 N. Old Glenn Hwy, Palmer, AK 99645 Phone: (907) 745-4721 e—mail: mhpe@rntoonline.net Soil Description: Poorly Graded Sand with Gravel Unified Classification: SP � r75 m Finer I -r 100 Date 11/8/2022 C„= 15 Sample Date: 11/1/2022 C,= 0.8 Proj. no: 22100 2" 50 y 1 1.5" 37.5 91 1" 25.0 87 3/4" 19.0 83 1/2" 12.5 76 i 3/8" 9.5 71 4 4.75 56 10 2.00 38 i 2Q 0.850 20 0 0.425 11 60 0.250 7 100 0.150 5 200 0.075 3.8 Date 11/8/2022 C„= 15 Sample Date: 11/1/2022 C,= 0.8 Proj. no: 22100 100 90 80 70 60 ,'. 50 I -n 40 30 20 10 i cin o CD V, Client: Alaska Rim Engineering, LLC Soil Description: Poorly Graded Sand with Gravel Project Tonjess Bk 2, Lt 17A Unified Classification: SP Sample Location: TH # 1 HANSEN ENGINEERING, INC. (. ONSLA-1 INC, t:NGINf`LR, I f S1 ING I Al 1 )RA I ORY 2605 N. Old Glenn Hwy, Palmer, AK 99645 Phone: (907) 745-4721 e—mail: mhpe®mtoonline.net fl:.,.r.e4nr mm 1.5" 10 20 Diameter Perec mm Finer 75 100 50 100 37.5 98 25.0 93 19.0 87 12.5 80 9.5 74 4.75 59 2.00 44 0.850 25 0.425 110 0.250 4 0.150 2 0.075 1.1 Date 11/8/2022 C'= 11 Sample Date: 11/1/2022 C,= 0.5 Proj. no: 22100 kf%vv uuiucr io) Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 191 �J $' 9 PID Number: 051 832 28 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Craft ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 25439 SCHAFF ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 - GPD/SF - Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade _ Ft. Gravel depth beneath pipe - Ft. Subdivision Block Lot Tonjess Estates Block 2 Lot 17A Fill added above original grade _ Ft. Gravel length - Ft. Township Range Section Gravel width - Ft. Beds: Number of Lines - Distance between lines - FL SEPARATION DISTANCES 0 Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line _ Ft2 1 - Ft. Well +100 +100 _ _ +25 TANK ❑■ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity 1500 Gal. Surface Water +100 +100 - _ Material Number of compartments Lot Line +10 +10 - - NA plastic 2 Foundation +10 +10 -LIFT STATION Manufacturer Capacity Remarks old tank demolished per code Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank pVC Tank to 3034Installer drainfield J R's Drainfield CO/MT 3034 Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation) 100 ft Inspection 1-` 11/11/19 Location and description 2�a 3rd deck post 4w ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date '�� OF ALgd'llt / 49 TH TH '• .z .. •% Septic System I Approved -a-- ' Date CHARLES G BALZARINI �+ �F• CE-13854 • ���� s 006',`P,'-11120119 . • �*�� lliF�PROFESSI�NP Note: this approval does not include well permit requirements. ��\moi>>1 kf%vv uuiucr io) SWING TIES A B �'�P•' '.!��� TANK RISER 25.4 27.3 �Gj •;j7 , TANK CO 25.7 31.6 *.-,49 TF1 •. (� ATCO 1 24.6 32.3 NE 1500 AL POLY TANK \VI ATCO 2 23.6 32.1 �'"-- .... .. r) CHARLES G BALZARIt4t \\\ GLEANOUTS NEW AFTER TANK r����. CE -130854. •.,���` P E TING TANK MT DECK DRA FIELD B EXISTING FCO � A \ 3 BR HOME \ \ DRIVEWAY \ 100' IN RAD IUs ApPRO TONJESS E TATES BLOCK 2 LOT 17A 1 100 \NES RPp\US \ �PPPROX• / LEGEND O CLEANOUT e MONITOR TUBE NEIGHBORING SEPTIC AREA TEST HOLE PLAN — SCALE: 1" = 30' +100.0' DECK POST m 5.7' COVER 1500 90.5 AL TANK 90.3 .11 y+vuwn. LLL Vf111 VIV — .HI r= IV 1 LEGAL DESCRIPTION: TONJESS ESTATES BLOCK 2 LOT 17A C&M ENGINEERING SERVICES OWNER: CRAFT DATE:11/15/19 REV: DRAWN: CB REF: 907-854-5558 SEPTIC RECORD DRAWING 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 t http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191489 Work Type: SepticTank Upgrade Tax Code Number: 05183228000 Site Legal Address: TONJESS ESTATES BLK 2 LT 17A G:1462 Site Mailing Address: 25439 SCHAFF DR, Chugiak Owner: CRAFT CHARLES F Design Engineer: C & M Engineering This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: ,111 L'7Ij `Oi S�t Department 11/4/2019 11/3/2020 135025 ❑ 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 new tank is to be more than 5' from any deck support. Received By: Issued By: plj�,/v'4 Date: Date: Ll 3 IV UNICIP , UTY OF Development Services Department On -Site Water & Wastewater Section -- Parcel I.D. 051 832 28 AHCHORAGE ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) Charles Craft Mailing address Site address 25439 Schaff Phone: 907-343-7904 Fax: 907-343-7997 Day phone 290-3365 Legal description (Sub'd., Block & Lot) Tonjess Estates BLock 2 Lot 17A Legal description (Township, Range & Section) Lot Size 135,025 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field F-1 InitialEl Single Family (SF) El (w/wo ADU) Septic Tank Upgrade 0 Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: NONE Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. C&M ENGINEERING (Signature of property owner or authorized agent) Permit/Rush Fees: 4 3&0 Waiver Fees: Date of Payment: 161, 16119 Date of Payment: Receipt Number: !}C.(g"40 Receipt Number: Permit No. ogle 191,439 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191489, Rebecca Carroll, 11/04/19 C&M ENGINEERING SERVICES Ph: 907-8545558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System Modification for Tonjess Estates Block 2 Lot 17A Dear Reviewer, The above referenced property is currently served by an older septic system. The tank has failed and needs immediate replacement. We are proposing that the existing tank be replaced with a new 1000 gallon (minimum) tank constructed and installed in accordance with MOA requirements. A polyethylene or advanced coated steel tank is required. The tank will have an insulated riser and meet current code requirements. The tank shall be covered with a minimum of 2" moa approved insulation and 3' of cover. The repair shall be performed by a moa certified installer in accordance with MOA requirements. The engineer will inspect the tank before backfilling. Repair of the proposed system will not negatively impact adjacent lots. Upon completion of the installation, a record drawing will be submitted showing the location of the new tank, leachfield, well, and otherapplicable features. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(Dgmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE (10/26/19) or- r� CHARLES G BALZARINI CE13854 , 0 AW {�l�1►- PROFESSO0 '4low LEGEND OLEANOUT , �- a /ASP191489, Re C2r�dll • MONITOR TUBE /C r� • CHARLES G BALZARINI r+�'c6,•. CE -13854 .•��`�� TONJESS Ilk F•.;oiz;i�.�.���`�� ESTATES �l�- ROFEs`* BLOCK 2 LOT 16 NOTE: TONJESS ESTATES \ TRACT B1 TO THE EAST OF THIS LOT DOES NOT HAVE A WELL OR SEPTIC WITHIN 200' OF THIS PROJECT \ TONJESS ESTATES BLOCK 2 LOT 17A REPLACE OLD TANK WITH NEW 1000 GAL (MIN) POLY TANK MEETING MOA REQUIREMENTS. DEMOLISH OLD TANK PER MOA REQUIREMENTS. SHORE EXISTING DECK AS NECESSARY. NEW AFTER TANK POSITION TANK SO THAT IT IS MORE THAN CLEANOUTS DECK 5' FROM ANY DECK SUPPORT. RELOCATE DECK SUPPORT IF NECESSARY. `1\ EXTEND/REPAIR - CLEANOUT EXISTING FCO / OR DAMAGED DRIVEWAY 3 BR HOME TONJESS ESTATES BLOCK 2 LOT 18A SEPARATION DISTANCE NOTES: NEIGHBORING SEPTIC AREA THE PROPOSED SEPTIC TANK MUST BE GREATER THAN: 100' FROM ANY PRIVATE WELLS 200' FROM ANY PUBLIC WELLS 100' FROM ANY SURFACE WATER 10' TO ANY PROPERTY UNE 10' TO THE HOUSE FOUNDATION 5' TO THE DRAINFIELD 5' TO THE DECK FOUNDATION SCALE: 1" = 40' LEGAL DESCRIPTION: TONJESS ESTATES BLOCK 2 LOT 17A C&M ENGINEERING SERVICES OWNER: CRAFT I DATE: 10/28/lq REV: I DRAWN: CBJ REF: 907-854-5558 SITE PLAN DAILY DRILLING LOG SA S DRILLING HCOI 6761 f Palmer, Alaska 99645 (907) 746-0606 OWNER OF LAND.NAT.... .................................................... DEPTH OF WELL.....�l�..F�k3.... M .�. ADDRESS.LI !!.J ...... M .Z.... ...TS ...... STATIC LEVEL OF WATER FT ........................ ........................................ WELL-SITE............................................................................................... DRAW DOWN FT ....................................................... _.............................. DATE -STARTED ... M`......................................................... GALS. PER % ... f?l!1....................................... ' DATE-ENDED......KIND OF CASING ...�Pall{ ..T0...rp..i.I.0...A..T..�Ce KIND OF FORMATION: ` FROM...... n............FT. TO...L?...........FT. FROM........................FT. TO ....................... FT. ..... ...................... FROM...:+ .............. FT. TO...BG........... FT... FROM ........................ FT. TO ....................... FT................................... FROM13S................FT. TOA Z............FT:3. F��. �, cs_K) FROM ........................ FT. TO ....................... FT................................... FROM........................FT. TO ....................... FROM ........................ FT. TO ....................... FT................................... FROM........................FT. TO ....................... FTMP.. C-... WSJ LL W "�FROM........................ FT. TO ....................... FT. ...................... ........... FROMAti ..............FT. TO ...M ............ FT..S\k�...%-S)�' 5- MC) M_'o FROM ........................ FT. TO .... _................. FT................................... FROM ............ _.......... FT. TO .............. _....... FT..aiM3�:.........__.. FROM.A%)...............FT.TO. G.._.......FT.�e�.l:i;,j f?E-` D4►3 FROM........................FT. TO ....................... FT .......... R..E.CE.j.V E D FROM..» ....................FT. TO .................. ..... FT ............. .r �..5..ta5P FROM........................FT. TO ....................... �`ft ..�'S....;� � P! . CK 1n�I1 • FROM ........................ FT. TO ....................... FT. ............ ... Fill ....I........ Municipality of Anchorage FROM........................FT. TO .............. ......... FT................................... FROM ........................ FT. TO ....................... FTDapt..Health.&.HUIf..m Services FROM........................FT. TO ....................... FT................................... FROM ........................ FT. TO ....................... FT................................... y FROM........................FT. TO ....................... FT. ............................ ...... FROM ........................ FT. TO ....................... FT. ........................ .......... MISCL. INFORMATION: F7 vvi> -PE IN -TA% ;AC)LZ W (4t,)N LUW C-Lur UFFs, -�Tj 't ta)TE{(' c-- DRILLER'S NAME..- A?N. J ......:�SIRT;m................................. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 1966501 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910371 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:LARSEN RONALDS C & PATRICIA A OWNER ADDRESS:P.O. BOX 671768 CHUGIAK, ALASKA 99567 PARCEL ID:05183228 LEGAL DESCRIPTION: TONJESS ESTATES BLK 2 LT 17 A LOT SIZE: 68000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED:12/02/91 EXPIRATION DATE:12/02/92 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: 2 / ` l DATE:/2 4 `/1 FROM:2001 REALTY TO:S&S ENGINEERING SENT BY:�TCWART TITLE OF AK :11-13-81 18:21PN 1.-119/24 • a'NTS7 , NOV 141 1991 9:26AM P.01 W11111 brand tax transmittal memo 76711 otpeael n rom pt• none 1 •� /� .��.y+,/ ex 6 G 5 ax 1 ;1 N L'cIT 17 11r.w Aai.x= 135,OzS S.F. + V 3.10 Ac.. x�sTia� Oq ri'c�GD Wtli1 �¢ 4 L \� r I IIi �►o stic-C�c. m � � • � The Napa L}r: %1,TAtti• %00'R. py •e�'�1 ,<v End4 ss.s NBA/D3'S�'k 214;9:.\ •' �1\Skm! '3 •S C�ti.u..s I?F� t�ooz Lo -r 1 ' ''NE.w Aa.En.� 59,:►1 S.F. 1.45 At. N�'L i "il�� vLA`T C'K1;%'TIhiC7 Ns wl LrjTS 0 4 IZ I b P4Ab NCI'T 'Rx'ZA FtLCu AT 'THIS vK-1-L, ��G A4 vC�A IT WL• M TXT RMMNSIS-MY OF TM OWNER 09 BUILDER TO MOVID G;tEMENT 4* - ••••' DpESf RIPTIttiHy (!n'ENKU"IS AW RE,STRiG •^t• -7 r , �,I;:i-I�: J •• •e1e1 111 1..e1 .:Ii IDONS WHICH Do HOT APK..JA AN TNt + � • i J ► - REXCEDS(IFAMWONPLATANDTOVER.FY I \'' M a�"'��'••a 4�a..►t : 1 1 1• �' 1 1 ••1� 111........•..1..... FRUtosen NUILGUJa (AikO- RELATP/E TO 1'_I • . r•.i f� Iw•.a�/ ►. w�IW : 1: ,1J rMIS•1 t:R417r AND LITH ITY GrAVNCCTIL)NS! °•< �' %. LOT SURVEY, CERTIFICATION Ot Qg, Block a=� Area : Sq. Ft '(at File No, Zoning District. anchorage Recording' Dist tic It Alaska I.I&I n.1 _ Ir.1 1 1 _ 1 "•- +rI'�'y 111 • I I i 1•• 1 •' • !•. • ? `R.1 V. rr.`► & Of0$ Cop Llonwn n O Iran Pipe • $I4eI Pin 4 Survey hub A Tack Reildence ot:-- 1 1� 0 0 P4Ab NCI'T 'Rx'ZA FtLCu AT 'THIS vK-1-L, ��G A4 vC�A IT WL• M TXT RMMNSIS-MY OF TM OWNER 09 BUILDER TO MOVID G;tEMENT 4* - ••••' DpESf RIPTIttiHy (!n'ENKU"IS AW RE,STRiG •^t• -7 r , �,I;:i-I�: J •• •e1e1 111 1..e1 .:Ii IDONS WHICH Do HOT APK..JA AN TNt + � • i J ► - REXCEDS(IFAMWONPLATANDTOVER.FY I \'' M a�"'��'••a 4�a..►t : 1 1 1• �' 1 1 ••1� 111........•..1..... FRUtosen NUILGUJa (AikO- RELATP/E TO 1'_I • . r•.i f� Iw•.a�/ ►. w�IW : 1: ,1J rMIS•1 t:R417r AND LITH ITY GrAVNCCTIL)NS! °•< �' %. LOT SURVEY, CERTIFICATION Ot Qg, Block a=� Area : Sq. Ft '(at File No, Zoning District. anchorage Recording' Dist tic It Alaska I.I&I n.1 _ Ir.1 1 1 _ 1 "•- +rI'�'y 111 • I I i 1•• 1 •' • !•. • ? `R.1 V. rr.`► & Of0$ Cop Llonwn n O Iran Pipe • $I4eI Pin 4 Survey hub A Tack Reildence ot:-- 10 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW Cetp/ C GOl�151'ruG—r,D&A OUPGRADE MAILING ADDRESS LEGAL DESCRIPTION Lo7- 7 L Tori ' LOCATION NO. OF BEDROOMS Peler.15 ree DISTANCE TO: Well • Absorption area / S• Dwelling / ,� � PERMIT NO. 2l g�3� V 100 + p/V`ewj L�' 02 Y I— Z W F Manufacturer AhAosw Material ST�e� No. of compartments rn Liq. capacity in gallons TInside IF HOMEMADE: length Width Liquid depth le DISTANCE TO: Well Dwelling PERMIT NO. JZ2 _ _ F Manufacturer Material Liquid capacity in gallons O Lu DISTANCE TO: Well j )(O Qn sl Foundation. Jr / Foundation.,/: Nearest lot Iin16 3/ PERMIT NO. ul LL Z No. of lines Length of each I' a Total length�f lint's Trench width Distance between lines Z w inches Top finish Material beneath tile Total effectiveg;�ption area I.. of tile to grade Q, / Z p U iwebes Length Width Depth PERMIT NO. W u F Type of crib Crib diameter Crib depth Total effective absorption area Q. wd W Well Building foundation Nearest lot line DISTANCE T0: J Class Depth Driller Distance to lot line PERMIT NO. J WBuilding 3 DISTANCETO: foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS to UG SOIL TEST RATING. 25' INSTALLER 4!�rola y- GoNsT 7ibl REMARKS Sy3Tp to a5 I 5 pcl a bed 1.00 14 •• •'• O *; 49th •= �' t • mes L Thode CE 5035 •: ra► Ft' '••....••.• Ii APPROVED DATE LEGAL �t-Iz-�3 LoT !7 6ZK 2 Tonjess CsTa1'r ,?�. 72-013 (Rev. 3/78) -' -- INVOICE NO. Cfa rr �7C1° W C 34 1- 6144 °-� 1442 CNdcK vow2�c v 13 L,,> 04-t}ricM (1 (IG/JSTrlUCT1 D �V rsmrrm;;4 c : I" hl, IA/b � SOLD TO �.� n �- STREET& NO. STREET & NO. ` RR 7 26 Ahles 1nLnsRti i CITY (!HtM7lAIC ak CITY -Amf1 AL, $gTo4' CUSTOMER'S ORDER —CHWIZ &gWn k SALESMAN 4J TERSJS 10 '' 3 vat VIA F.O.D. DATE 2MAY S'S I 4.- V Y 120TV JZ I VL -7-I -' ¢ Jhlc1 J-6 00 TIC -r- 1-667 -D..�.' Af—( NO WATOZ EWE 6RAIN.1Lfzc 6)?c- Y. GLASSY LY Dol a 2NANITIL��' PAT16NAL CHIA)NC,,0 .�G3�i'�ALK RIM z-7 PDwrg . AY-,; APPfWX x.S� WhI f2 IN HOLE I> f H,� Aad - "A p ' -- 3-119121,1T.1Ar12rN6 1 I 14 A 17 0 J? WATE►? Lt vE Z '# s 4 rco Y 4 ci- _ 7H 736 INVOICE LOCATION OF WELL (Please complete either la. ID or Ic.) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological 8 Geophysical Surveys Drilling Permit No. A.D.L. No. 1/4glrSection No. Township 140 Rongs E[3 Moridlon la. Borough Subdivision Lot Block P—of—cf—:' Anch Tonjees 17 2f� sp wp Ic. DISTANCE AN�F�ai FROM ROAD INTERSECTIONS 3. OWNER OF WELL:Mr. Chuck Dowrick Address: SR 2, Box 7327 Street Address and Area of Well Location i Eagle River, Ak. 99577 2. WELL LOG Material Type Feel Below Sur/ace 4. WELL DEPTH: (final) -t S. DATE OF COMPLETION Too Bottom Black ar rock 6. OCobls tool afjotary Driven 0Dug ❑ Auger ❑Jstled ❑ Bored ❑ Other: Black roc crevices water 470 473 T. USE)komootic C] Public Supply ❑ Industry 0 Irrigation 0 Recharge_., Commerical E] Test Well 0 Other: r S. CASING: 0 Threaded X9 Welded diam. in. to It. Depth Weight lbs./fl. diam._—_In. Oto ft. Depth Stickup fl. \ 9. FINISH OF WELL: TYDe=— Diameter: Slot/Mesh Size: Length: —^~ Sat between fl. and ft. Backfilling Gravel pact _ 10. STATIC WATER LEVEL: ft. O Above or D Below land surface Date Equipment used: _ I I . PUMPING LEVEL below land surface and YIELD It. ofler hry, pumping g.p.m. 11. after hre, pumping 9.9 m. 12.GROUTING Well Growled: O Yes C] No Material: LJ Neat Cement C] Other: 13, PUMP: (if available) HP _ Length of Drop Pipe It. capacity g. p. M. 0 Subm. O Jet (3 Centriyical 0 Other 14.REMARKS: Bail tested at 1 GPM Good recovery '— 16. WATER WELL CONTRACTORS CERTIFICATION: IS. Water Temperature F C] C This well was drillod under my )utlsdlclioh and this report IS true to In* best of my knowledge and belief; &"uj9,g_W1ling AA 5385 Reghtered Busies s Name 99577 Contract License Number ...,«.: P.O. Boz 504 Eagle River, Ak. � J si6.a: c" . Une 29 1963 A.IIV, ye ee s st �� ) Q)1 (�/�� Clrp 4'11•:+''�•' AYi7C'B't rs r>SS, 1a. •G.w• CA Y1K(•CrHis.�r i L MUNICIPALITY OF ANCHORAGE Departmentw^� Health and Environmenta,""?rotection 825 Street, Anchorage, AK.' .9501 p264-4720 Permit # I * # * HANDWRITTEN PERMIT WELL ANDV ON-SITE SEWER PERMIT Applicant: :C: Mailing Address: Location: 1:P7 Phone Number: A G. Legal Description: /.rrT / r/ &Ks� TON,TEKS Lot Size: .c 0 Ar- , Type of Soil Absorption System Is: Trench: Drainfield: _ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: 2 Soil Rating(sq.ft/br) /2 s The Required Size of the Soil Absorption System Is:' DEPTH LENGTH v#2 y GRAVEL DEPTH o WIDTH �- The length dimension is the length(in feet) of the trench or drainfield. The depth of a 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 excavation(in feet). . * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ ��� GALLONS * # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * *.* TWO M INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection.and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion: Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. .. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlar ement if the r i ence is remo ed to include more that3 bedroom . Signed: C Issued by Applic t Date: 'T SWP/024(1/81) SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR:DATE PERFORMED:s/s/ 1g'3 LEGAL SLOPE ' 47'" FzoSr AT r' aEGo+.I 2 - :o 3- 4- 5- 6- 7 45 6 7 10- 11 0 11 12 13- '14 •� J 1 15- 16- 17 5 1617 +r, 18 19 14C41 q 4A o EA SA d4 3, (qza vCzC v1 6,44(,661 /ay6p frt 1,6eoknotj 'ot C'ss TNMAI a °/a SCOPE Ar 1-66T- PiT SITE I S�NAFF 4z1VC J Reading Date Gross Time Net Net o Drop Time ,teet%•4 PERCOLATION RATE �(Z�k / (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS�.<.nePilZ)rlI Xjem TO o6e //t/�r�L'lCCli KCrcJt:EKI p •.®®O�MNON �e•1i•QN• ••a v ••M•• i•••61 T /1�'S� f�/BFC1PooM AT- 9I_ .■■US20■■■ C .t(STPc/B.7-/ /J; -Td//_CERTIFIED BY: NI■M■..B®E, na c'X 83-0o j 67- 63 -002 MINMERNMITHIN Q F� •., .r s ■INNOMP.Polumm RNMENUMMEN XURAM ■.■■■■ S�NAFF 4z1VC J Reading Date Gross Time Net Net o Drop Time ,teet%•4 PERCOLATION RATE �(Z�k / (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS�.<.nePilZ)rlI Xjem TO o6e //t/�r�L'lCCli KCrcJt:EKI p �e•1i•QN• ••a v ••M•• i•••61 T /1�'S� f�/BFC1PooM AT- .e.r. s° ,v?t C .t(STPc/B.7-/ /J; -Td//_CERTIFIED BY: �� d. t" GnP NS/Fp DATE: 417"t'9-- na c'X 83-0o j 67- 63 -002 �J,•� I'o. CE -532 • Q F� •., .r s 20 -{ U PERCOLATION RATE �(Z�k / (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS�.<.nePilZ)rlI Xjem TO o6e //t/�r�L'lCCli KCrcJt:EKI 4'ArJl1 (3'14FcocJ SU,E'F.ic,F ze6lS'(ICLS T /1�'S� f�/BFC1PooM AT- PERFORMED PERFORMED BY: GX---,e C .t(STPc/B.7-/ /J; -Td//_CERTIFIED BY: �� d. t" GnP NS/Fp DATE: 417"t'9-- c'X 83-0o j 67- 63 -002 72-008 (6/79) MUNICIPALITY OF /ANCHORAGE 5jlos Development Services Department AW Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051 832 28 1. GENERAL INFORMATION Expiration Date: - -_Li'20 Z () Complete legal description TONJESS ESTATES BLOCK 2 LOT 17A Location (site address) 25439 SCHAFF Current property owner(s) CRAFT Mailing address Real estate agent 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 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 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 $ J5b — 3 3 D Waiver Fee $ Date of Payment ll - QO-M �Z�3� Date of Payment Receipt Number oca'-iqO of 1612 Receipt Number COSA # oeD C 10�t 5 � 2 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 C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 1120/2019 r •S *: 49 TH •. 6. DSD SIGNATURE... " " . " • rI� System #1 Approved for 3 bedrooms rr • CHARLES G BALZARI(u(• System #2 Approved for bedrooms �� �F�•.• CE -13854 .•c`�i Disaroved iFi� �jisTF�FOP • • • A����"' pp ll�\\t�`-� Conditional approval for bedrooms, with the following stipulations: .,I(tcccftrrf/_ '>>P�F91%s•' By: _ 1_ —C Original 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 C Other COSA Checklist blue sheet COSA Checklist Legal Description: Tonjess Estates Block 2 Lot 17 Parcel ID: 051 832 28 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 5/83 Total depth 395 ft Cased to 48 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) +12 in. Date of flow test for COSA 11/719 Static water level at beginning of test 114 ft. Comments B. TANK DATA Age of tank(s) 0 years Tank type/material plastic ❑ Standpipes/foundation cleanout per record drawing Date of pumping na D. ABSORPTION FIELD DATA Trench Which system tested (date installed) 83 ❑ ALL standpipes present per record drawing Total measured depth from grade 12 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of drainfield. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced na gallons Comments/Deficiencies: monitor tube / sumo repaired COSA Checklist yellow sheet Well production at time of test 0.50 gpm Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by C&M ENGINEERING Date of Sample 11/7/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 11/7/19 Results ID Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 0 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 450 god Any rejuvenation treatment (past 12 months) If yes, enter date N/A NO 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' ❑7 Yes if No Community Sewer Manhole/Cleanout > 100' Q Yes if No ft Q✓ 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' if No ft Animal Containment > 50' Q✓ Yes if No ft Q Yes if No ft ft Community Wells > 200' Q✓ Yes if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft Qy/ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑7 Yes if No ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' Fv Yes if No ft Driveway/Parking > 0' Q✓ Yes if No, comment Absorption Field > 5' O✓ Yes if No ft Wells on Adjacent Lots: 0 Yes if No ft Water Main > 10' Q7 Yes if No ft Private Wells > 100' Q✓ Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Q✓ Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q✓ Yes if No ft Driveway/Parking > 0' Q7 Yes if No, comment Property Line > 10' ❑✓ Yes if No ft Wells on Adjacent Lots: CE 13854 AW Water Main > 10' 0✓ Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' Q✓ Yes if No ft Community Wells > 200' F7 Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEERS CERTIFICATION ' OF At,gkkl AW � 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with 'low O co d* .� TH *��r MOA COSA guidelines in effect on this date. 11/20/19 r CHARLES G BALZARINI CE 13854 AW COSA Checklist yellow sheet ARCTIC PUMP & WELL INC. ._- Jim Sullivan, CPI -'—�_ PO Box 770197 Sias MW �..:� Eagle River, AK 99577 (907)688-2510 (907) 243-2282 jint ri_lrcticpumm coil Well Decommissioning Log Legal Address: Subdivision: Tonjess Estates Block: 2 Lot: 17A T: R Section Lot: On-site Water & Wastewater Program certified contractor performing the well decommissioning: Name: Signature: Jim Sullivan Company: Arctic Pump & Well, Inc Well Decommissioning Date 11-20-19 Method of Decommissioning: AMC 15.55.0601.,1 a.0 b.❑ c.[Kl Location: Use the space below to provide a drawing of the property showing the following items: • North Arrow • Decommissioned well • Other water wells on the property • Two separate swing tie distances for each wet] shown on the drawing Note: the swing tie distances`shall be measured from either permanent structures or the property corners. f `p ;J 11. } 0, t - `> Ar,.. �f 17H p t s Arctic Pump & Well Inc. Page 1 of 1 --- SEWARD &ASSOCIATES LAND SURVEYING 694-0829 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE', FOLLOWING DESCRIBED PROPERTY' ."' 1 AND THAT NO ENC�GoT>ROACHMENTS EXIST EXCEPT A5 i)ATL // INDICATED. IT 15 THE RESPONSIBILITY OF THE „ � �fH � • �' OWNER TO DETERMINE THE Exis*I'ENCE OF ANY GRID- • • • ..� EASEMENTS, COVENANTS., OR RESTRICTIONS ,/141, zjli'6Z WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. tJNOERNOCIRCUMSTANCES SHOULD FB' -o ;'•, �s Mere So and ANY DATA HEREON BE USED FOR CONSTRUCTION �y6 '� # ��: • /i/?e� �,ati i OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. DRAWN. Well Water Advisory Certificate of On -Site Systems Approval # OSC191568 Subdivision: Tonjess estates, Block: 2, Lot: 17A I This well's productivity was determined to be .5 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # HAA # i -`A 1l l(11�2L' 1. GENERAL INFORMATION Complete legal descriptionLot 17A; Stock 2; Tongeaa Ea-tatea Location (site address or directions) Property owner Patio -a Lanaen 25439 Schabj Uhi.ve Mailing address Guam, USA Tehnitom/ Lending agency Mailing address. Day phone Day phone Agent Chantene McLean 2001 Reatto Day phone 276-2001 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: - ' 3 3. TYPE OF WATER SUPPLY: Individual well XX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (A". 1N1) Front MOA #21 5. 6. By: 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Phone 17034 Eagle River Loop Road No. 204 Address Faalm River- A1:%&299577 Engineer's signature DHHS SIGNATURE Approved for bedrooms. Disapproved. Date 1-k2-`jZ Or A1j rV,r 4.5� CC273 • �y � 31�� Op i�� N ' .' Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered In the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 72-M (Rev. 191) Beek MOA e21 Attachment Health Authority Approval #HA920024 During a recent Health Authority Approval on-site inspection of the well and septic system on Lot 17A Block 2 Tongess Estates Subdivision, the well flow and recovery test showed the well's sustained productivity varied from 0.05 to 0.8 gallons per minute. The minimum well productivity required by this department to satisfy the requirements of Municipal Codes (AMC 15.55) and Health Authority Approval guidelines, is 150 gallons per day per bedroom. This equates to 0.1042 gallons per minute per bedroom or 0.313 gallons per minute for a three (3) bedroom residence. The recently determined productivity of 0.8 gallons per minute marginally satisfies this requirement. The financing entity and prospective buyers should be made aware of the marginal productivity of the well, and recognize the probability of an inadequate water.supply during certain times of the year. There are measures which can be taken to minimize the adverse impact of the low well productivity, such as: 1. A water storage tank serving as a supplemental reserve reservoir. 2. Curtailment of non-critical water uses (washing cars, lawn and garden watering, etc.). 3. Installation of water saving devices on showers and toilets. 4. Restricted or controlled use of laundry facilities and dishwashers. 5. Self imposed water conservation practices. 6. Connect the new well into the existing water collection and storage facilities for the old well. While the subject well meets the comments herein contained should Author-ity Approval ertification Robert W. Robinson Civil Engineer On-site Services ljm:398 1/22/92 minimum MOA requirements, the be attached to the Health and all copies thereof. y, Municipality of Anchorage ..Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 1-ef 1'I U' t-��- Z- T�,�rfss Esrparcel I.O. f'f't A. WELL DATA ..._. .. I Well type Q' -%y ArC- If A, B, or C, attach ADEC letter. ADEC water system number alb Log present (DN) Date completed U -11S'> Driller MP�t�rJ Total depth `t 1'7r Cased to 4$1 Casing height Sanitary seal &N) J Wires properly protected($/N)y Date of test Static water level FROM WELL LOG U- Well flow p 9.p -m. Pump level01L SEPARATION DISTANCES FROM WELL TO: AT INSPECTION 1- � - X12 ,� `v . •, %�_: o m O O 7u G7 N � 0 z Septic/holding tank on lot 1 dog ; On adjacent lots IoD `t Absorption field on lot �� (� ; On adjacent lots 100 ,� Public sewer main � Public sewer manhole/cleanout '1�a . 5 Sewer service line Petroleum tank 'L WATER SAMPLE RESULTS: C> e_o�%Aoo MA. Nitrate; 3.� Imo. "Jo �E Coliform Other bacteria Date of sample: 1 -lam -9Z S & S ENGINEERING p Collected by:17034 ragle River L cap Rand No 00.4 Eagle River, Alaska 99577 B. SEPTIC/HOLDING TANK DATA Date installed I2-$3 Tank size 00 0 4,on.._ Compartments '2- Cleanouts ON) Foundation cleanout &N) Depression (Yo � High water alarm (Y,[D!-Alarm tested (Y/N) - Date of pumping t 1- `I 1 - • Pumper S f Less Po o f, SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 100 On adjacent lots 100 Foundation _ I I I To property line I c> Absorption field 65.1 Watermain/service line • 101 4 - Surface water/drainage % 00 lk 72.026 (Rev,7M) Front .. . _ CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at i '_`P p off' level High water alarm level Meets MOA electrical codes S=1ot W NCE FROM LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA Cycles tested Surface water' ' Date installed Soil rating 125�`t r�� System type Length Width '� Gravel thickness `3 Total depth IZ Total absorption area Cleanouts present ON)y Depression over field (Y(� Date of adequacy test —-92 Results ail) P `> for "1�rtRs;� �3� bedrooms Peroxide treatment (past 12 months) (Y& rJE'^fE <<�°�^r If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot X t On adjacent lots c'p Property line tv t k To building foundation 10 To existing or abandoned system on lot ',�a On adjacent lots a� Cutbank ti. Watermain/service line %O t Surface water foo ts- Drivewa arkin /vehicle stora a area t S 1 J Curtain drain E. ENGINEER'S CERTIFICATION:._ - P 9 9 . ' .. 1 certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in ef%Lpo the dat�of this inspection. OF.,:At.4 1 ,lQ $ A 5 ENGINEERING •�.�'�' •• ••' 19034 Bogle River Loop Road No. 204 Signature F,E1A River, Alaakft 99677• C�TH , •,// / / Engineer's Name Date HAA Fee $ Date of Payment 13 jCl -,7— Receipt Receipt Number 72-028 (Rev. 3/91) Back MOA 21 /d rc•,• 1£215 f sr •. ,W . Waiver Fee: $ — Date of Payment _ Receipt Number _ HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELLINSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN January 8, 1992 Municipati.ty o6 Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, AZaaka 99519-6650 REFERENCE: Lot 17A; Block 2; Ton1esa Estates; ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694.2979 FAX 694-1211 Request you .issue the attached Heatth Authority Approval Jot the 4e6erenced property. This tetter is to desaci.be the water weft situation and o66er well 6Zow testing rezuP.ta 6or the property. The orig.inat well aerv.ing this property was dkitted on May 2, 1983 to a depth o5 395 6t. with a dtitter'a estimate o6 1/3 gatton per minute (GPM). The weft was then deepened on June 1, 1983 to a depth o6 473 6t. with a drieee%'a estimated 6Zow nate o6 1 GPM. On November 19, 1991 we measured the water Levet within the weft at 441 d"6t. betow the top o6 the well casing. We drew the water teveZ down to the pump, turned the pump o66 and allowed the water Levet to recover. A6ter 45.13 houra a total o6 45.8 gaCZons had recovered to the wet Jot a production rate o6 3 ga tons per hour (GPH) . This proceaa was repeated with a recovery time o6 5.93 hours and a a.cm.c Zan nate obtained. Thus, we appti.ed 6or, and obtained, a permit to dniU a new we t. A new wet was drifted between December 26, 1991 to December 31, 1991. This 'new well was located appkox.imateey 20 6t. 6rom the existing weft on'the opposite side o6 the dni.veway. The dnifter'a estimate 6or this new wet is k GPM. when excavators were contacted to connect the new weft to the existing water Zine the property owners were .in6ormed that per6orm.ing the work would be .cmpracti.cat at this time since the water tine would need to cross the 6rozen driveway in which severat utiti.ti.ea are buried. However, since the new wet was do i tted, the ownera o6 the property have bound the 500 gallon storage tank within the garage constantly rema.im butt as opposed to the prior condition o6 a conttnuouaty parti.aP,ey 6uU hotding tank. with this new condition, the owners suspected the 6Zow nate o6 the existing weU to have .i.ncneaaed due to the d4itt,ing o6 the new we t. There6ore, on January 6, 1992 we pe%6ormed another 6Zow teat on the existing wet aerv.ing the property. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 d.'- I, �00IniN 0. t5SCpr Page Two Lot 17A; Stock 2; Tonjeaa Eatatea January 8, 1992 At 12:20 p.m. on January 6, 1992 we meaaured the water ,teve.t within the welt at appnox.imatety 121 6t. betow the top ob the ca,6ing. A mete? waa connected to the water ayatem and the 6tow funned on 6uU. At 5:00 p.m. the water .tevet was b.inat ty drawn down to the pump. Oven the next 2k hound (a total 6.tow time os nean.ty 7 howca) we monitored the water .tevet .in the weZt and the 6tow nate. We bound that oven th,ia period o6 time the 6.tow nate ob the weU atab-cP,ized at 48 19PH. There6one, with the dtitti.ng o6 the new wettt, it appeana the production o6 the oaig.inat weiZ has .incAeased to 48 GPH which .is nean.ty ats otiginat capacity and .in exceas o6 the amount %equiked to obtain a Heatth Centi6icate bon a 3 bedroom house. Since the b.tow rate o6 thta welt, az with any weZZ, may ituctuate, we w.iah to on.ty temponan.ity abandon the new weU by the .inata tati.on o6 a aan,itary welt 4W to attow bon po66ib.te 6utune use. 16 you have any queat.iona on %equiAe add c iiona.t .in6onmati.on bon your tev.iew, p.teaae contact ua. S.inceAe.e y, ROGER J. SHAPER, P.E. RJS/gm 4b f"{ l0r O Gi Time APPLIC. 'IT FILLS OUT UPPER'HAL ONLY Time Pioperty Slwner 4a r /P 5 12o (� Date Phone Date Mailing Address Date r e-�(Zip Code 1 Chi — ( �� 'j,13 / Buyer Inspector Field Notes: (( MUNICIPALI CEPT. OP tl=t.'_T!1 i Address Zip Code 'p / Lending Institution h 'S T/ wd %ibxrd Phone Address Zip Code ,2 ' 6 — 6 D Realty Co. 3 Agent CGS ^11 BY: . . Phone tt��� �� OC.% r, VVI " �1� Address Date Sewer Installed Zip Code —�, Legal Description 7 / — %1' .2 S5 / Well to Tank Street Location 2 _ / e,3 O pC7/ If61/1r X ^ Type of Residence Q Single Family Multiple Multiple Family No. of Bedrooms ❑ Other Water Supply Cj5 Individual QUI 1 ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility Sewer Disposal / 9 sI G:/Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ 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: (( MUNICIPALI CEPT. OP tl=t.'_T!1 i +�^ EVVZO�l �J,-NTAL PKO7EC7lON ) DEC 2 '_'03' RECEIVED ( /,-)APPROVED BEDROOMS` ( ) DISAPPROVED • •Cj1NQIAPP V��� h �.. (T�'t((''''' C%A9 ( CONDITIONAL APPROVAL' DATE � " � I ' � � \ `� CO�T�^ CGS ^11 BY: . . V �e�R— tt��� �� OC.% r, VVI " �1� Solis Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank ?2-0x3 IM