HomeMy WebLinkAboutT15N R1W SEC 8 LT 20 Municipality of Anchorage
Community Development Department Page 1 of 3
On-Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP161282 PID Number: 051-091-35 ❑✓ New ❑ Upgrade
Name:
Midnight Sun Construction ABSORPTION FIELD
Address ❑ Deep Trench ❑✓ Shallow Trench ❑ Bed 0 Mound
P.O. Box 210994, Anchorage, AK ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
4 1 GPD/SF 0 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot +0.5 Ft. 0•5Ft.
20 Fill added above original grade Gravel length
Township Range Section 4.0 Ft. 120 Ft
15N 1W 8 Gravel width Beds:Number of Lines Distance between Ines
SEPARATION DISTANCES 5Ft. N/A N/A Ft
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line 600 Ft2 2 10.1 Ft.
Well 106.4 108.3 106.4 N/A 25+ TANK ❑Septic I]S.T.E P ❑ Holding ❑Other
Manufacturer Capacity
Surface Water 100+ 100+ 100+ N/A Anchorage Tank 1500Gal.
Material Number of compartments
Lot Line 93.0 51.8 93.0 N/A • steel 2
NA
Foundation 24.1 26.0 24.1 N/A LIFT STATION
Manufacturer Capacity
Curtain Drain 50+ 50+ 50+ N/A Anchorage Tank 500 Gal.
Pump on level at Pump off level at High water alarm at
Remarks
43 in. 40 in. 45 in.
Pump make and model Electrical Inspections performed by
P2005
Tank to
House to tank 3034
PIPE MATERIAL 3034
Installer drainfield
A+ Home Services Drainfield 3034 CO/MT 3034
Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft
InspectionLocation and description
dates: 1' 9/ 5/2017 2"W 9/5/2017
3:, 4,^ top of foundation/nearest corner
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
` OF AL ,�1
Conditional Approval: Date •'Q
i`'4
��'6-yr1
*: 49 1 ..t .*4,
,* ..i;
.141106
;teven *P1annorge
Oi-0A- E 14
Ap a r Date (Q 7lk '�DygptESgtpl���
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Inspection Report_1-1-12.doc
LEGEND
W WATER LINE/
WELL RADIUS
SS NEW SEPTIC
ww
RIGID INSULATION
m m
D FILTER FABRIC r-
0 1.25"V PERF PIPE WITH o
Z 6 *-HOLES DRILLED 18"O.C.
o o a DRAIN ROCK 6"ABOVE PIPE INV m
a OZ `� FC 98.9 98.9
o L 1
0C-
_ TH-1
95.1— 9 .4 -95.4
R.I. 944.9 2.0' SAND 94.9 -1.0 � }-9
92.9 -92.9
• NORTH AND SOUTH TRENCH X90 9�� CP/
90.7 NEW 15008 AT SAME ELEVATION SP
S.T.E.P.TANK -7.0
-8.0--
PROFILE -10.0
L84.9
ABBREVIATIONS
CU COPPER
DESIGN PARAMETERS DESIGN PARAMETERS MIN MINIMUM
PRIMARY SEPTIC SYSTEM RESERVE SEPTIC SYSTEM TH TEST HOLE
NO, BEDROOM: 4 (600 gpd) NO. BEDROOM: 4 (600 gpd) FC FOUNDATION CLEAN OUT
TANK SIZE: 1500g S.T.E.P. TANK SIZE: 1500g ADVANTEX T# TANK CLEAN OUT NO.
PERC RATE: <1 MPI W/ AX20 POD C# CLEAN OUT NO.
SOIL RATING: 1 GPD/SF PERC RATE: <1 MPI M# MONITOR TUBE NO.
AREA ROD: 600 SF SOIL RATING: 6 GPD/SF R.I. RIGID INSULATION
SYS. TYPE: WIDE TRENCH 0.5'ED AREA RQD: 100 SF
MIN LENGTH: 120 LF SYS. TYPE: WIDE TRENCH 0.5'ED DCO DOUBLE CLEAN OUT
MIN LENGTH: 20 LF DV DIVERTER VALVE
USED: FS FLOW SPLITTER
(2EA) 60 LFx5'Wx0.5' E.D., 0.0' TD USE: BFG BELOW FINISH GRADE
WITH 2.0' SAND 20 LFx5'Wx0,5' E.D., 0' TD OG ORIGINAL GRADE
TOTAL AREA: 600 SF WITH 2.0' SAND FG FINISH GRADE
TOTAL AREA: 100 SF TS&V TOPSOIL AND VEGETATE
NIC NOT IN CONTRACT
NOTES: ������\\\ Dote
RECORD DRAWING PANNONE ENG SVC, LLC of A� t1 10/2/2017
P.O. BOX 100217 ANCHORAGE, AK 99510 '�� q
PHONE (907) 272-8218 FAX (907) 272-8211 �i*3P �` •fy, Scalers
T15N, R1 W, Sec 8, LOT 20 e •-• •:• • \ / P.I.D. NO
MIDNIGHT SUN CONSTRUCTION / Steve �. 15 nn r4 / 051-091-35
Ad PERMIT NO
C.O. MICHAEL ANDERSON 4 CE 8149 .ck-� OSP161282
VALLEY AVENUE #14 ' • `.�
DESIGN DETAILS CHUGIAK, AK 99567 1`D;pii =` Sheet .3
s
\Z ��
A B
T1 26.5 39.1
M4 90.9 112.1
8A 7 6 5
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,,. ,,
SEPTIC AREA (E)7 SEPTIC AREA (E)7 SEPTIC AREA (EE))7 SEPTIC AREA (E)7
/ / /
• NEW PRIMARY DRAIN FIELD Ca`�
(2EA) 6OLF x 5'W x 0.5'ED x 0'TD VALLEY AVENUE' /
• •
WITH 2.0' SAND FILTER R.O.W. RESERVE 7 •a
WITH MONITOR TUBE AT EACH END (TYP)
r\ 7:1
= M4 /
>'
aim, SF
10.1
-M3-
1 w> O M2 ss IlkM1 I
I WELL P
ad In.
----"1— •
ie
w 3• L.-/ r\ I TH-1 L5 T1= 106.4
c�p 0 NEW I
• �" 0
2'. 4BR
l \ B HOUSE WELL (E)
I RESERVE DRAIN FIELD (P) \ /
Ln
•
2OLF x 5'W x 0.5'ED x O'TDin
�y
\I (BAWITH 2.0' SAND FILTER \its......
SED ON CAT I LOT 2QNEW 15008 S.CLEA TANK \
STALLED FOUNDATION CLEAN OUT
61,60.
w
r\
W
I o R /.1,0.it
�wM•
IT BLANKET MEA EASEMENT
I 15' EITHER SIDE OF OVERHEAD ELECTRIC \
NOTES: �__ ~NAN\� Dat.
PANNONE ENG SVC, LLC of a< <� ,ai2i20„
RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 r' .'••"-1 l+
/'tP' •'F f Scale
PHONE (907) 272-8218 FAX (907) 272-8211Avg,. :11)` *Tri 1"=50'
T15N, R1 W, Sec 8, LOT 20 %••••'115111110.' •••• / P.I.D. NO
MIDNIGHT SUN CONSTRUCTION "A'. 'teven 'F�' ••annor'e 051-091-3541187
C.O. MICHAEL ANDERSON tf CE 8149 :4% PERMIT NO.
c / OSP161282
VALLEY AVENUE �f��s ' E � Sheet
PLAN CHUGIAK, AK 99567 �� �O'=�— 2 of 3
DOC CO
1ULLIVANBILL
a. WATER WELLS
auK
4 P.O. Box 670269,Chugiak.AK 99567 688-2759
www.sullivanwaterwel Is.com
Pump Installation Log
Well Drilling Permit Number: SW OSP161282 Date of Issue 10-25-16
Parcel Identification Number: 05109135000
Legal Description Property Owner Name & Address
T15N R1W SEC 8 LOT 20 Midnight Sun Construction
PO BOX 210994 Anchorage, AK 99521
Pump Installation Date: 8-22-17
Pump Intake Depth Below Top of Well Casing: 90 feet
Pump manufacturer's Name: F&W
Pump Model: 4F07P053015
Pump Size: 1/2 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Installer: Sanders&Sanders
Disinfected Upon Completion? ® yes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments: Pitless Manufacturer: Martinson
Pump Installers Name: Sullivan Water Wells
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Certified Drilling Log
O DOC CO dba
BILL 8. COLE
s ULLIVAN WATER WELLS
1.1111,P.O. Box 670269, Chugiak,AK 99567 688-2759
OWNER OF LAND: Midnight Sun Construction
ADDRESS: PO BOX 210994 Anchorage, AK 99521 Bore Hole Data
LEGAL DESCRIPTION T15N R1W SEC 8 LOT 20 Depth
DATE: 5-19-17 From To
PERMIT NUMBER: OSP161282 DATE OF ISSUE: 10-25- 0 2 Casing Stickup
16 -
TAX IDENTIFICATION NUMBER 05109135000 2 4 Overburden
Is well located at approved permit location: EYes FIN° 4 19 Silty Sand & Gravel
Method of Drilling: Flair rotary ncable tool 19 41 Silty Sand &Gravel w/Clay
Depth of Well: 115' 41 45 Silty Sand &Gravel wet
Casing Type: Steel Wall thickness .250 inches 45 54 Clay& Gravel
Diameter: 6 inches, depth 110 feet
Liner type 54 58 Silt & Sand wet
Static Water Level: 43 feet 58 92 Silt Clay Gravel
Recovery Rate 5 M gpm ❑ gph 92 104 Silt & Sand some Gravel
Method of Testing Air
104 115 Tight Silt Sand & Gravel w/Clay
Well Intake Opening Type: ® open end nopen hole
❑ Screened Start feet Stopped
n Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth:from 2 feet, to 42 feet
Well Disinfected Upon Completion: lJyes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments:
Valley Lot 20
WATER UALITY TESTING
Conform 'e CoW 1OQmL
ArsenicNitrates rng/L
_ A5
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation,
MatSu Borough: Department of Environmental Conservation.
On-Site Water & Wastewater System Permit
r . Arid MUNICIPALITY OF ANCHORAGE
C t; Development Services Department ^
On-Site Water&Wastewater Program -11rth_111'
4700 Elmore Road, PO Box 196650 1 Vi t,i t i
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP161282
Tax Code Number: 05109135000
Work Type: WellSeptic Initial
Permit Effective Dates: October 25, 2016 to October 25, 2017
Design Engineer: PANNONE ENGINEERING SERVICES
Subdivision: T15N R1W SEC 8
Site Legal Address: T15N R1W SEC 8 LT 20 G:1357
Owner/Address: MIDNIGHT SUN CONSTRUCTION LLC
PO BOX 210994 ANCHORAGE AK 995210994
Site Mailing Address: Lot Size in Sq Ft: 108900
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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.
Mw
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Received By: / A
Date: v — • AO,
Issued By: kd-(47...A.), Date: /0/4--5—M-
MUNICIPALITY OF
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
y:3o
AIVCHORAC
Phone:907
Fax:907
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-091-35
Property owner(s) Clifford & Marlene Johnson
Mailing address 9505 Antler Way, Juneau, AK 99801
Site address Valley Avenue
Day phone
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) T1 5N, R1 W, Sec 8, Lot 20
Lot Size 108,900 Sq. Ft. Number of Bedrooms 4
SEP 26 2015 �s
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Date of Payment:
Date of Payment:
Receipt Number:
r�
����
Absorption Field
❑X
Initial
❑X
Single Family (SF)
19
(w/wo ADU)
Septic Tank
0
Upgrade
❑
Duplex (D)
❑
Holding Tank
❑
Renewal
❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
0
Water Storage
❑
THIS APPLICATION INCLUDES
A VARIANCE I WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit App_-'-: : '_._c
Permit/Rush Fees:
Waiver Fees:
Date of Payment:
Date of Payment:
Receipt Number:
r�
����
Receipt Number:
Permit No. OS
/6J
P
Waiver No.
Permit App_-'-: : '_._c
co -7.I
Pannone Engineering Services ac
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail:steve@panengak,com
June 5, 2017
Subject: T15N, R1W, Sec 8, Lot 20
Well and Septic System Permit Request
Design Narrative
This is a design narrative for a permit to install a well and septic system to be issued for this property. The
proposed systems will serve a proposed four (4) bedroom house. Currently the lot is undeveloped. The
lots to the north, west, and south are undeveloped. The surrounding developed lots to the east are served
by private wells that are over 100' from the proposed development on this lot. There are no wells within
100' of the proposed septic system.
1. Soils. One test hole was performed on this lot by PES in September of 2016, and groundwater was
monitored for at least seven days. Ground water was observed at a depth of 7' below the surface in
the test hole-1 monitor tube in September of 2016, and at a depth of 4' below the surface in May of
2017. Bedrock was not encountered in the test hole. Based on the results of the percolation tests and
overall soils appearance; an application rate of 1 gallons/day/square feet was used for a conventional
wastewater system with a sand filter in the area of the test hole.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
3. Surface Water: There is no surface water within 100' of the proposed septic system. The system
will maintain 100' of separation to all surface water.
4. Topography: The existing topography generally slopes from the south to the north in the area
surrounding the septic system at approximately 5%. There are no steep slopes within 50' of the proposed
drain field. The proposed drain field will maintain 50' separation all steep slopes.
5. 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 this or the surrounding lots.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
co (
8A 7 6 5
, 2
a �
8
SEPTIC AREA (E)7 SEPTIC AREA (E)7 SEPTIC AREA (E)7 SEPTIC AREA (LL))7
/
/ / /
•
M--M—�
PRIMARY DRAIN FIELD (P) Ct`/
(2EA) SOLE x 5'W x 0.5'ED x O'TD / f
WITH 2.0' SAND FILTER VALLEY AVENUE i/
•"JITH MONITOR TUBE AT EACH END (TYP)
I R.O.W. RESERVE
m
r
I 1-> F `n TH-1 _ 7
o WELL (P)/
E� m ss\ r ,
o E
\_ _53.4 _— 110.D 0
I / ss ss
•1 Z • 1 i
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LIvi WELL (E)
RESERVE DRAIN FIELD (P)
2OLF x 5'W x 0.5'ED x O'TD
1, 46R I
• WITH 2.0' SAND FILTER HOUSE
(BASED ON CAT III) LOT 20 (P)
5008 S.T.E.P. TANK (P) \
IOUNDATION CLEAN OUT \
\\IT:BLANKET
R oC,y14'O \ IN
/
• . 00 rd
'PS£Q,0oo
£ I• �MEA EASEMENT
I15' EITHER SIDE OF OVERHEAD ELECTRIC \
i
NOTES: PANNONE ENG SVC, LLC QF a \ki Dot.
CHANGE ORDER •�,s�,. Cgs111 6/5/201,
P.O. BOX 100217 ANCHORAGE, AK 99510 �,tQ,•• t 1 Scale
PHONE (907) 272-8218 FAX (907) 272-8211 *•49 �; ' • �`, 1_-50
T15N, R1W, Sec 8, LOT 20 � �' ' • / P.I.D. NO
_ • -091-35
MIDNIGHT SUN CONSTRUCTION 't • 11,• nnorae
PERMIT NO
C.O. MICHAEL ANDERSON + CE 8149 1 OSP161282
VALLEY AVENUE +1 s *� Sheet
PLAN CHUGIAK, AK 99567 ,� = �� 1 OF 4
Co -
LEGEND
W WATER LINE/ MOUND TO CREATE MINIMUM OF 36"OF COVER
OR 24"OF COVER WITH RIGID INSULATION
WELL RADIUS
FILTER FABRIC
SS NEW SEPTIC 4"0 DRAIN PIPE
DRAIN ROCK 6"ABOVE PIPE INV
TH-1 0.5j___
-1.0 —.Cl/— I 2.0'SAND n
4.0
GPI --k- -4.0 I F-5.0 I 10.0 I 5.0--I
SP
—2— -7.0
-8.0 SECTION
-10.0 MOUND TO CREATE MINIMUM OF 36"OF COVER
OR 24"OF COVER WITH RIGID INSULATION
Li Li
m m
FILTER FABRIC I-
0 1. 25"0 PERF PIPE WITH 0
z z Ye"HOLES DRILLED 18"0.C. z
z r o
0
-D o Q DRAIN ROCK 6"ABOVE PIPE INV
40
z v,
Z8 L - -
0 U 0 J
4'COVER 2.0'SAND
1
r OR R.I. I
I 5/O 1 TANK P) �
5TE
P"`' PROFILE
pe 5.P
ABBREVIATIONS
CU COPPER
DESIGN PARAMETERS DESIGN PARAMETERS MIN MINIMUM
PRIMARY SEPTIC SYSTEM RESERVE SEPTIC SYSTEM TH TEST HOLE
NO, BEDROOM: 4 (600 gpd) NO. BEDROOM: 4 (600 gpd) FC FOUNDATION CLEAN OUT
TANK SIZE: 1500g S.T.E.P. TANK SIZE: 1500g ADVANTEX T# TANK CLEAN OUT NO.
PERC RATE: <1 MPI W/ AX20 POD C# CLEAN OUT NO.
SOIL RATING: 1 GPD/SF PERC RATE: <1 MPI
AREA ROD: 600 SF SOIL RATING: 6 GPD/SF M# MONITOR TUBE NO,
SYS. TYPE: WIDE TRENCH 0.5'ED AREA ROD: 100 SF R.I. RIGID INSULATION
MIN LENGTH: 120 LF SYS. TYPE: WIDE TRENCH 0.5'ED DCO DOUBLE CLEAN OUT
MIN LENGTH: 20 LF DV DIVERTER VALVE
USE: FS FLOW SPLITTER
(2EA) 60 LFx5'Wx0.5' E.D., 0.0' TD USE: BFG BELOW FINISH GRADE
WITH 2.0' SAND 20 LFx5'Wx0.5' E.D.. 0' TD OG ORIGINAL GRADE
TOTAL AREA: 600 SF WITH 2.0' SAND FG FINISH GRADE
TOTAL AREA: 100 SF TS&V TOPSOIL AND VEGETATE
NIC NOT IN CONTRACT
NOTES: PANNONE ENG SVC, LLC —tiOFAL Dote
CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 r':•. '•4- 6/5/2017
�'tQ' ` y Scale
PHONE (907) 272-8218 FAX (907) 272-8211 vG304:.•. ��� •y4,rl NTS
•.IV.•, 1 •••• I P.I.D. . 0
T15N, R1 W, Sec 8, LOT 20 / ' iik S 051-091-35
MIDNIGHT SUN CONSTRUCTION I'•S'teven•I . •r'anno,ne / PERMIT NO.
C.O. MICHAEL ANDERSON r�1.•. CE 8149 .�5 O5P161282
VALLEY AVENUE /4ct' 'F�'� Sheet
DESIGN DETAILS CHUGIAK, AK 99567 II,'k � � �4 2 OF 4
AN,X
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 AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55.
2. SCOPE OF WORK: INSTALL NEW SEPTIC TANK AND SOIL ABSORPTION SYSTEM. INSTALL WELL.
3. GROUNDWATER ENCOUNTERED AT A DEPTH OF 4 FEET BELOW EXISTING GRADE IN TH-1 AS EVIDENCED BY THE SOIL
TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 4 FEET BELOW
EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY.
4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC
LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED
SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK.
5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED.
6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES.
7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING
AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER.
8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE
CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN.
9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE
ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND
TANK ELEVATIONS.
10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF
EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING.
11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE
PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE
ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN
DEFECTS BY THE CONTRACTOR.
12. THE CONTRACTOR SHALL SIGN THE FOLLOWING:
I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE
ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS
CONSTRUCTED.
CONTRACTOR:
BY: . TITLE:
DATE:
NOTES: PANNONE ENG SVC,C, LLC pF AC`‘l 6/5/2017
Date
:riANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 S •��'''••''qcS k�
PHONE (907) 272-8218 FAX (907) 272-8211 .'4'•
1�:• o,-vScale
i NTS
T15N, R1 W, Sec 8, LOT 20 % 2t,\ P.I.o. 0
091-35
MIDNIGHT SUN CONSTRUCTIONI"fi'tev . f5•••••••.
PERMIT N0.
C.O. MICHAEL ANDERSON /� ', CE 8149 . �� OSP161282
VALLEY AVENUE s `'
DESIGN DETAILS CHUGIAK, AK 99567 'lk '° �=�4s Sheet
4
Co 7 - i
SOILS LOG - PERCOLATION TEST
TEST HOLE 1
SLOPE SITE PLAN
OR ORGANICS
1
— — — — i
2 POORLY
GPI GRADED
3 SP GRAVEL AND TH-1 1
SAND 71--
4 5/16/17
• i 15
6 X `d
TH 1
7 —.Li-9/16/16 1
J L-
8 9/8/16
9 GM/ SILTY GRAVEL
SM AND SAND "•••........ \ -.''
10LOT 20 ,,,,,,
BOH N
11
1 •\
2
13
WAS GROUND WATER SLOPE
14 ENCOUNTERED? Y 1
15 IF YES,AT WHAT TH
DEPTH? -8.0'
16 X
17 DEPTH TO WATER AFTER
MONITORING? -7.0'
18 DATE: 9116/16
19 DEPTH TO WATER AFTER CLOCK WATER
MONITORING? -4.0' READING DATE TIME NET TIMELEVEL NET DROP
READING
DATE: 5/16/17 1 9/8/16 1:00 --- 1.50
DATE PERFORMED:9108116 ---
2 1:03 3 MIN 7.50 6.00(DRY)
3 1:03 --- 1.50 ---
4 1:06 3 MIN 7.50 6.00(DRY)
5 1:06 --- 1.50 ---
6 1:09 3 MIN 7.50 6.00(DRY)
SOIL TEST RESULTS/ANALYSIS
• PERCOLATION RATE<1 (min/inch)(Hydrologic
Soils Group:HSG A)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 2 FT AND 3 FT.
• TEST RUN FOR OVER AN HOUR,LAST THREE
READINGS PROVIDED.
COMMENTS:Test hole excavated by Sanders&Sanders.Test Hole was NOT required to be presoaked before Perc test
due to sandy material (Table 3-8, Para.3, EPA Design Manual).
PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES: PANNONE ENG SVC LLC -�oF kl Date
:RANGE ORDER ° ..• � 6/5/2017
P.O. BOX 102954 ANCHORAGE, AK 99510 okP�• s Scole
PHONE (907) 272-8218 FAX (907) 272-8211 -g • 1
.• 1 ` \• \:. fI/ - NT NO
T15N, R1 W, Sec 8, LOT 20 / 051.091 35
MIDNIGHT SUN CONSTRUCTION I/''t'teven"V.I3annorae e PERMIT NO.
C.O. MICHAEL ANDERSON `9,6;),5:,....; CE 8149 .•4��� OSP161282
VALLEY AVENUE E�'� sheet
SOILS LOG CHUGIAK, AK 99567 �1u PRCiEsSCoN
p�
r� NNN- 3 OF 4
•`t _� Municipality of nchorage � '.
On-Site Water and Wastewater Program d
(907) 343-7904 SEP
Certificate of On-Site Systems Approval `a a 6 a'
Parcel I.D. 051-091-35 Expiration Date: 1 ~ 3
1. GENERAL INFORMATION
Complete legal description T15N, R1 W, Sec 8, Lot 20
Location (site address) 21240 Valley Avenue
Current Property owner(s) Midnight Sun Construction Day phone
Mailing address P.O. Box 210994 Anchorage, AK
Real Estate Agent Day phone
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Q Individual
Individual Water Storage. ❑ Holding Tank ❑
Community Class Well ❑ Community El
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received b . L t;� (/�;,� Ih._� ! Date: 4422_
COSA to be released to the engineer,unless otherwise requested by the Ver.
COSA Fee $ /I/.& 4 Waiver Fee $
Date of Payment eila` q11 77 Date of Payment
Receipt Number C1la .56 Receipt Number
COSA# 050 /c164 Waiver#
5. STATEMENT OF INSPECTION B$seNG4NE
As certified by my seal affixed heref9Rllldpf the validation date'sM ,wn below, I verify that my investigation, based on procedures outlined
in the Certificate of On-Site Systems Approvar..Guidelines for thi '.application, shows that the on-site water supply and/or wastewater
disposal system is (are) safe, functional"and adequate for-the numbf bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchofage files and from my investigation and inspection, the on-site water supply
and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,and regulations in effect at
the time of installation.
In conducting an adequacy test, I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system. These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system, nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 9/27/2017
of Agkk
i*•'i • �, �; ..61 *�T
6. DSD SIGNATURE "' i � '
System #1 Approved for S bedrooms j•'
.;111,116.-een R.''annone•
System #2 Approved for bedrooms �� ��•, CE-8149. .•, r�,�
Disapproved k A?O ESSti P
Conditional approval for bedrooms, with the following stipulations:
� f
'`�ePu�Y of `r''2
• OI�_S�r y0
w TERAo y
oo RAM o,
4 ff_
`!'�SERVICEs
4l
By: \ v1, Original Certificate Date: ( OX -) 7
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_' • ..
If more than 1 septic system is on the lot:
COSA Checklist# ' of •
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: T15N, R1 W, SecB, Lot 20 Parcel ID: 051-091-35
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (YIN) Y
Date completed 5/19/2017 Sanitary seal (Y/N) Y Wires properly protected (YIN) Y
Total depth 1 1 5 ft Cased to 110 ft. Casing height (above ground) 24+ in
I-ROM WELL LOG AT INSPECTION
Date of test 5/19/2017 New
Static water level 43 ft. ft.
Well production 5 g.p.m. g p.m
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate ND mg/L
Arsenic 9.839/11/17ug/L Date of sample. Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material S.T.E.P./ SteelDate installed 9/6/2017
Tank size 15002 Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (YIN) N/A
Date of pumping NEW Pumper N/A
C. ABSORPTION FIELD DATA
Date installed 9/6/2017 Soil rating (g.p.d./ft2 or ft2/bdrm) 1 GPD/SF System type Wide Trench
Length 60/60 ft Width 5,0 ft Gravel below pipe 0.5 ft.
Total depth 4.0 ft. Eff. absorption area 600 ft2 Monitoring tube Y Depression over field N
Date of adequacy test NEW Results (Pass/Fail) For 5 bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time min. Final fluid depth in. Absorption rate >= g.p d.
N
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes. give date
D. LIFT STATION
Date installed 9/6/2017 Size in gallons 500 Manhole/Access (YIN) Y
"Pump on" level at 43 in. "Pump off' level at 40 in. High water alarm level at 45 in.
Datum Bottom Cycles tested New Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 106.4 On adjacent lots 100+
Absorption field on lot 106.3 On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 24.1 Property line 93.0 Absorption field 8.5
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 51 .8 Building foundation 26.0 Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION �4.����`,`
I certify that I have determined through field inspections and /oeCO..$7.4 `' y�T,
0
review of Municipal records that the above systems are in *:4,9 /\ •*y
conformance with MOA COSA guidelines in effect on this date. /• ••• ,I•• •}••• • ••
�1 c • %
Engineer's Printed Name Steven Pannone %' •zteven n.•'innorie
9/28/2017 64 °x CE-8149•,
Date
COSA canary sheet_2-6-15 doc
HOUSE DETAIL
SCALE: 1"=30'
7.0' PORCH .
21.9
__; •.•''--_... i A\
13.3 O 11.4 Q °
5.7
rn
S 1 STORY N
RESIDENCE
52.3'
2.0'x5.5' CANT
2.0' CANT
N II I I
0 ( I I I
m I I I I
z 8A I Lot 7 I Lot 6 I Lot 5 I Lot 14
Lot 12B 0 4, L-- — i_ — — 4— — — -4— -♦-
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_25.0'. _L L L _1
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L rri N 90'00'0"E 330.13' — ---..
VALLEY AVENUE / ' Q.
��R.O. T f .....,_
W. RESERVE
If L
I 50.0' SEPTIC PIPES 7.- 1
I 49.9' WELL
I -a
MANHOLE �Ra i
R.O.W. RESERVE \ u .� Pg
49.9'
\ Z a
I \ N nr I
N o
o I q Gd,
o
O /
N
\ N
` o Lot 19
\ Lot 20 w
\ -7-\<Ir \ 108.900 s.f. o
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Lot 21 0/O \
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- - - - ± - 1- - - N 89'59 PAN 330.07'
` o
` _ Lot 30
Lot 28A I I Lot 29 \ —__ `
PLOT PLAN AS BUILT X SCALE 1" = 60' GRID NW 1357 Project No. 16-299/85
11500 Daryl Avenue. Anchorage, Alaska 99515-3049
Lang (Sc Associates , inc . (907) 522-6476 Phone Q4��
(907) 522-4625 Fax oo a F A ��Q
Professional Land Surveyors kenolangsurvey.com v ... 1.6\4(4)
�
jonothanolangsurvey.com i *. . . s Q
I herebycertifythat I have surveyed the followingdescribed roe �a��• !) .'./-1,O
y property:rtY� O�j;' 491 /� •� O
BLM LOT 20, SECTION 8. T15N, R1W, SEWARD MERIDIAN, ALASKA * • * 17
Anchorage Recording District, Alaska, and that the improvements situated thereon are it' " t
within the property lines and do not encroach onto the property adjacent thereto. that A '
no improvements on the property lying adjacent thereto encroach on the surveyed 04,• Q
premises and that there are no roadways, transmission lines or other visible •. KENNETH G. G f/
easements on said property except as indicated hereon. 0o °t(.'L"i(l'2 i
Q �...•1- .752.9.3•''' y��G
Doted this the - Day of '•-1•' ,'•'. ' , I , at Anchorage, Alaska 0 Pa • 44aaOo
QV�Gr510N►a-4'a
It is the responsibility of the owner to determine the existence of any easements. �440oQ�4
covenants, or restrictions which do not appear on the recorded subdivision plot. AECC963
