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HomeMy WebLinkAboutPIONEER ESTATES BLK 2 LT 5 Pioneer Estates Block 2 Lot 5 #057 - 091 - 11 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: OSP171100 PID Number 057-091-11 p New ❑ Upgrade Name: John Bailey ABSORPTION FIELD Address ❑E Deep Trench ❑ Shallow Trench E=1 Bed ❑ Mound 38340 Rochelle Ave D Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SF 9.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.5 Ft 5.0 Ft Pioneer Estates 2 5 Fill added above original grade 'Gravel length Township Range Section 5.6 Ft 40 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 2.5Ft. N/A N/A Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Lift Station Tank Line 400 Ft2 N/A N/A Ft. Well 100+ 100+ ' N/A N/A N/A TANK I]Septic ❑S.T.E.P. ❑Holding ❑Other Manufacturer Capacity Surface Water 100+ 100+ N/A N/A Anchorage Tank\t2F.p"i=lt►-iol 1,000Gal, Material Number of compartments Lot Line 5+ ; 10+ N/A N/A Steel 2 j — NA Foundation 5+ ' 10+ N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A Gal. Pump on level at Pump off level at High water alarm at Remarks in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank3034 Tank to Installer grainfield 3034 lAV,Of)tf5 Drainfield 3034 cow T 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100 ft Inspection ��' 6/22/2017 Location and description dates: 2"d 6/22/2017 3rd 6/22/2017 4m Bottom of Trim COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: _ Date -4OF A` 1'5';f- i� � J� • tteven • . •ISannolae - a -0+• CE 8149 4er.7.(s-e-• ::: Approved I 1 t� C=am Date 1 r-2 0`� � �k1 +. Inspection Report_1-1-12.doc m CO' O > j r , I- <1=8 ZO ,0, o a o O p OOU J �� d 3 o U FG EL 80.8 ', EC EL.80.8 PG EL.80 8 00 I iti_7 FILTER FABRIC GRAIN ROCK 5"ABOVE PIPE INV OG EL.75.2 4"o DRAIN PIPE 00 EL.75.2 TH-1 ❑H -0.5 ML -2.0 EL. 72.0 I :1.4 Z NEW 1000g EL. 71 +— TEL.70.7 SEPTIC TANK EL.70.7 If DRAIN ROCK O 6 EL.65.7-\ GP/ EL.65.7 SP ►' - 40.0 -I PROFILE I` --EL.59.7— BON -15.5 DRY NOTES: �--���ir Dote PANNONE ENG SVC LLC — OF AL �� ,Di29/201 RECORD DRAWING ' �.��,..•..,.Qs '+ P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ico.. �4� 1-..17 , Scale DRAWN BY: *: . • . d" All NTS NJC NO PIONEER ESTATES, BLOCK 2, LOT 5 �" \ - � P.I.O. 057-09191 -11 Steven R. .anno!ae JOHN BAILEY � / PERMIT NO. v:-. CE 8149 �� OSP171100 DESIGN DETAILS 38340CHUGIAAK, AK E99567 UE ��lki p'`�OFES9 P` '� Sheet �>1�‘�"`�� 3 OF 3 WDLL/SEPTIC 200'+ WELL/SEPTIC 200'+ . lr � \ \ ROCHELLE AVENUE ( L 10 �_ �( EASE�bEtVT — ----'---....;4,1` \ — -- — 110 IN \ N \ � \ • \ JELL \ \ \ I N. \H- N. ORJ veil, Y ` 105 I \ \ _ NEW W�LL----- I. \ / \ 36R HOUSE \ J A 100_ - - � NEW 1000g SEPTIC TANK INSTALLED FOUNDATION CLEAN OUT 95 INSTALLED DOUBLE CLEAN OUT AFTER TANK *� FC f—90 / \ N Cl k�� Ti -85 _ T2— ✓ C\ V ---------W NEW PRIMARY DRAIN IELD- — M� DC / `40LF x 2.5'W x 5.0'ED x 9.5'TD 10.0 CM2, Z INSTALLED MONITOR TUBE AND 114 — 80 CLEAN OUT AT EACH END- \ N. ^ — ,75- — — RESERVE DRAIN FIELD (P) - . ,, 4OLF x 2.5'W x 5.0'ED x 9.5'TD \ INSTALL MONITOR TUBE AND — - ..,_ _ CLEAN OUT AT EACH END _70 f \ -- — \ \ r , _ DESIGN PARAMETERS \ \ PRIMARY/RESERVE SEPTIC SYSTEM r 65— NO. BEDROOM: 3(450 gpd) NN__ - __, TANK SIZE: 1000g \I f \ PERC_SOIL RATE:RATING:1,1 1.2 MPI GPD/SF \ ------.. i \ —60 AREA RQD: 375 SF SYS. TYPE: DEEP TRENCH 5.0'ED MIN LENGTH: 37.5 LF A B \ T1 21.5 36.6 - -� \ 55 USED: M2 46.4 36.2 \ �40LFx2.5'Wx5.0' E.D., 9.5' TD - t -- —. TOTAL AREA: 400 SF \ NOTES: PANNONE ENG SVC, LLC q of AC��l 10/29/2017 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 r�� qS 4 PHONE (907) 272-8218 FAX (907) 272-8211 /.r��P �.� . Scale DRAWN BY: *; /\ *0, 1"=50' NJC ..... 41 • '• P.I.D. NO - PIONEER ESTATES, BLOCK 2, LOT 5 „AP-...09-6„AP-...09-6,..._ dr 057-091-11 JOHN BAILEY S even R. 'onnome l PERMIT NO. I+ cJ CE 8149 OSP171100 38340 ROCHELLE AVENUE _ PLAN CHUGIAK, AK 99567 ,l\ OpROFEs510NP�,+... Sheet 3 1�‘�.\ - Certified Drilling Log DOC CO dba BILL 8, COLE ii► ULLIVAN WATER WELLS P.O. Box 670269, Chugiak,AK 99567 688-2759 OWNER OF LAND: Wirtanen Custom Homes Bore Hole Data ADDRESS: 38340 Rochelle Ave. Chugiak,AK 99567 Depth LEGAL DESCRIPTION Pioneer Estates Block 2 Lot 5 From To DATE: 6-7-17 0 3 Casing Stickup PERMIT NUMBER: OSP171100 DATE OF ISSUE: 5-31-17 TAX IDENTIFICATION NUMBER 05709111000 3 4 Overburden Is well located at approved permit location: Yes[.No 4 43 Tight Silty Sand &Gravel w/Clay Method of Drilling: Mair rotary ricable tool 43 45 Tight Silty Sand & Gravel Wet Depth of Well: 225' 45 64 Hardpan &Cobbles Brown Casing Type: Steel Wall thickness .250 inches 64 129 Hardpan &Cobbles Gray Diameter: 6 inches, depth 205 feet Liner type 129 138 Silt&Sand w/Gravel Static Water Level: 167 feet 138 182 Tight Silt Sand &Gravel Recovery Rate 4 ® gpm n gph 182 198 Hardpan Bleeding Method of Testing Air 198 225 Bedrock Gray Well Intake Opening Type:n open end Mopen hole n Screened Start feet Stopped Z Perforations Start 182 feet Stopped 198 Grout Type: Bentonite Volume: 50 lbs Depth:from 2 feet,to 42 feet Well Disinfected Upon Completion: yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: WATER QUALITY TESTING Collbrm N ey COI/1 OOmL Nitrates Z mg/ Arsenic INP ug/L 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. DOC CO dba Oil ULLIVAN WATER WELLS *P.O.Box 670269,Chugiak,AK 99567 688-2758 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number:SW OSP171100 Date of Issue 5-31-17 Parcel Identification Number: 05709111000 Legal Description Property Owner Name &Address Pioneer Estates Block 2 Lot 5 Wirtanen Custom Homes Pump Installation Date: 8-7-17 Pump Intake Depth Below Top of Well Casing: 190 feet Pump manufacturer's Name: F&W Pump Model: 4F05P07301S Pump Size: 3/4 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Eagle View Excavation 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. ���` """r 0, MUNICIPALITY OF ANCHORAGE 7 e n t On-Site Water &Wastewater Program \O S'P PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519 6650 Phone:(907)343-7904 Fax:(907)343-7997 ,% f http://www.muni.org/onsite `"ii,+ 3'1''' epartment ZYCHrn "�'f On-Site Water & Wastewater System Permit Permit Number: OSP171100 Effective Date: 5/31/2017 Work Type: WellSeptic Initial Expiration Date: 5/31/2018 Tax Code Number: 05709111000 Site Legal Address: PIONEER ESTATES BLK 2 LT 5 G:1412 Site Mailing Address: 38340 ROCHELLE AVE, Chugiak Owner: WIRTANEN INC Lot Size in Sq Ft: 103200 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: El Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy El 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: � L L 4h • ; _l Date: cc/// 7 Issued By: .0. , 1W,� . Ire Date: -57.7 Certified Drilling Log DOC CO dba BILL 8. COLE 1110, ULLIVAN WATER WELLS P.O. Box 670269, Chugiak,AK 99567 688-2759 OWNER OF LAND: Wirtanen Custom Homes Bore Hole Data ADDRESS: 38340 Rochelle Ave. Chugiak, AK 99567 Depth LEGAL DESCRIPTION Pioneer Estates Block 2 Lot 5 From To DATE: 6-747 0 3 Casing Stickup PERMIT NUMBER: OSP171100 DATE OF ISSUE: 5-31-17 TAX IDENTIFICATION NUMBER 05709111000 3 4 Overburden Is well located at approved permit location: NYes No 4 43 Tight Silty Sand & Gravel w/Clay Method of Drilling: Nair rotary ❑cable tool 43 45 Tight Silty Sand & Gravel Wet Depth of Well: 225' 45 64 Hardpan & Cobbles Brown Casing Type: Steel Wall thickness .250 inches 64 129 Hardpan & Cobbles Gray Diameter: 6 inches, depth 205 feet 129 138 Silt& Sand w/Gravel Liner type -_ Static Water Level: 167 feet 138 182 Tight Silt Sand & Gravel Recovery Rate 4 7 gpm n gph 182 198 Hardpan Bleeding Method of Testing Air 198 225 Bedrock Gray Well Intake Opening Type: n open end open hole ❑ Screened Start feet Stopped ® Perforations Start 182 feet Stopped 198 Grout Type: Bentonite Volume: SO lbs Depth: from 2 feet,to 42 feet Well Disinfected Upon Completion: Myes n no Method of Disinfection: Chlorine 50 PPM Comments: 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. MUNICIPALITY OF ANCHORAGES Community Development Department r Phone: 907-343-7904 Development Services Division �—' Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 057-091-11 Property owner(s) Wirtanen Inc. Day phone Mailing address 11650 E Palmer Wasilla Hwy., Palmer, AK 99645 Site address 38340 Rochelle Avenue Legal description (Sub'd., Block & Lot) Pioneer Estates, Block 2, Lot 5 Legal description (Township, Range & Section) Lot Size 103,200 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (EI all that apply) Absorption Field 0 Initial Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal n Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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) -q = 1154�Ia Permit/Rush Fees: / t;-16 ��� Waiver Fees: _ Date of Payment: 5�a5 j1 Date of Payment: Receipt Number: °{alt-{ 6 Receipt Number: Permit No. Of f17 I I DO Waiver No. Permit App_ - • ::_.c: Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com May 26, 2017 Subject: Pioneer Estates, Block 2, Lot 5 Septic System and Well Permit Request Design Narrative This is a design narrative for a permit to install a well and septic system and well to be issued for this property. The proposed system will serve a proposed three (3) bedroom house. Currently the lot is undeveloped. The system will utilize a new 1000g septic tank and conventional drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system. 1. Soils. One test hole was performed in the vicinity of this system by PES in July 2016, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 15.5' below the surface in the test hole monitor tube in May of 2017. Bedrock was not encountered in the test hole to 15.5'. Based on the results of the percolation tests and overall soils appearance an application rate of 1.2 gallons/day/square was used for a conventional wastewater system 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 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography on the lot generally slopes from north to south, with a slope of approximately 15%-18% in the area of the drain field and for at least 100 feet downslope. 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 I SEPTIC WELL/SEPTIC 200'+ ., ''..--Ni‘�M�M _I ROCHELLE AVENUE \ / 10' UTILITY EASEMENT I • \ WELL (P) I I 3 Y7 A • / '1 3BR HOUSE S�' ` (P) / I 107.7 + o I o ` N V R /* I a vi 1000g SEPTIC TANK (P) M w w------NN".....INSTALL FOUNDATION CLEAN OUT INSTALL DOUBLE CLEAN OUT AFTER TANKI .110.0 I PRIMARY/RESERVE DRAIN FIELD (P) ' 4OLF x 2.5'W x 5.0'ED x 9.5'TD INSTALL MONITOR TUBE AND I CLEAN OUT AT EACH END TH-1 DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3(450 gpd) TANK SIZE: 1000g PERC RATE: 1.1 MPI SOIL RATING: 1.2 GPD/SF AREA RQD: 375 SF SYS. TYPE: DEEP TRENCH 5.0'ED I MIN LENGTH: 37.5 LF USE: 4OLFx2.5'Wx5,O' E.D., 9.5' TD I TOTAL AREA: 400 SF. I I NOTES: �>>��xx\ Dote PANNONE ENG SVC, LLC of qC �k1 Do26�20, FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 .. '4 7 A'<P' s't t Scale PHONE (907) 272-8218 FAX (907) 272-8211 �- TH �� *�i) 1"=50' DRAWN BY: ORM 0••••ppCI �'•.. ••• P.I.D. NO PIONEER ESTATES, BLOCK 2, LOT 5 �,\�\ ...., 057-091-11 •Steven �'annorae JOHN BAILEY / PERMIT NO. 6 .•. CE 8149 ...".40 0SP171100 38340 ROCHELLE AVENUE °, PLAN CHUGIAK, AK 99567 ��1' p• � Sheet � � 1`\�\\\� 4; 1 OF 3 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, SOIL ABSORPTION SYSTEM. INSTALL WELL. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 15.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15.5 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: ABBREVIATIONS W - WATER LINE/ TH TEST HOLE WELL RADIUS (P) PROPOSED (E) EXISTING SS NEW SEPTIC CO CLEAN OUT NO. MT MONITOR TUBE NO. TYP TYPICAL NOTES: l�ONOOla Dote PANNONE ENG SVC, LLC of a��s1 5/ 26/2017 OR001P.O. BOX 100217 ANCHORAGE, AK 99510 '� •• l ltr PHONE (907) 272-8218 FAX (907) 272-8211 �; :'9 ScaNTS CONSTRUCTION DRAWN BY: DRM ,"' Mb' P.I.D. NO PIONEER ESTATES, BLOCK 2, LOT 5 W / 057-091-11 JOHN BAILEY / Steven ♦�. IIannarae AllPERMIT NO. 38340 ROCHELLE AVENUE V25.. CE 8149 car OSP171100 • �PLAN CHUGIAK, AK 99567 t` s304"\,*,...." Sheet 3 NNIVN SOILS LOG - PERCOLATION TEST TEST HOLE 1 OR ORGANICS SLOPE \ SIT - • 1 1G ML ORGANIC SILTS ` 2 II/ .........t,3 \w------_W-------W 4 5 6 X TH 7 8 POORLY GPI GRADED 9 SP GRAVEL AND r SAND-SOME 10 SILTS 11 TH-1 12 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES,AT WHAT TH 16 BOH DEPTH? -DRY x 17 DEPTH TO WATER AFTER MONITORING? -DRY 18 DATE: 5/2212017 0 42 vi PI WATER 19 READING DATE CLOCK it NET TIME LEVEL NET DROP JO:gq READING 20 1 5/22/165 " -- 9.4 -- 2 11:04 5 14.0 4.6 DATE PERFORMED:7/112016 3 11:04 -- 9.4 -- 4 11:09 5 14.0 4.6 5 11:09 -- 9.4 -- 6 11:14 5 14.0 4.6 PEROLATION RATE 1.1 (min/inch)PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS:Test hole excavated by WIRTANEN INC. PERFORMED BY:Steve Pannone. 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 —SOF AC‘‘1 i 5/26/2017 Dote FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ��•' qS PHONE (907) 272-8218 FAX (907) 272-8211 icof`P �4,,.. 0# Scale DRAWN BY: *. / I NTS ORM Iii'"' �' , • ,0 P.I.D. NO — PIONEER ESTATES, BLOCK 2, LOT 5 , 1 �1 � • 7-••1-11 JOHN BAILEY 1 Steven R. 15 nnORe / PERMIT NO. 38340 ROCHELLE AVENUE 1�vs•_ CE 8149 .•,�� OSP171100 SOILS LOG CHUGIAK, AK 99567 ���14),0-.... pAR �4��.-% Sheete. lakOF 3 \��� MUMC�PAUTY OF AmCHORAGE I �­�-_- Development Services Department - _= Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 057-091-11 Expiration Date:-/ C? _ �, -2- 1. GENERAL INFORMATION Complete legal description PIONEER ESTATES BLOCK 2, LOT Location (site address) 38340 ROCHELLE AVENUE, CHUGIAK, AK 99567 Current property owner(s) KAREN & ROBERT NEWTON Mailing address Real estate agent PO BOX 670037, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 -BR SYSTEM (413R HOUSE) Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Jr' Jc �// Waiver Fee $ Date of Payment Date of Payment Receipt Number 2 o% Receipt Number COSA # 05C Q i 1355 Waiver # 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350.9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 6/25/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to -4-- of A�sll� these various and dynamic characteristics and are outside the control of the evaluator of the i •�(i l well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q:• • • • for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS . ;101/ * . 10 9 TH ;* •�J 6. DSD SIGNATURE Curtis Huffman / /16 System #1 Approved for bedrooms CE 128991 .���Aw �l 'PROF SSO��`� System #2 Approved for bedrooms Disapproved Conditional approval for fbedrooms, with the following stipulations: r C, ©►�' I�Ed 1 ed recd WTY OF����i� QAi VV19 IAIA ANDc� �- r p=`ViATER J By: vim^ l C 0rig inA,'e6L VtM1Q_ 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 • Legal Description: PIONEER ESTATES BLOCK 2 LOT 5 Parcel ID: 057-091-11 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 6/7/2017 Total depth 225 ft Cased to 205 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 6/24/2021 Static water level at beginning of test 167 ft. Well production at time of test 4.7 gpm Comments B. TANK DATA Age of tank(s) 4 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 48" ® Standpipes/foundation cleanout per record drawing Date of pumping 6/30/2021 D. ABSORPTION FIELD DATA Which system tested (date installed) 6/22/2017 ® ALL standpipes present per record drawing Total measured depth from grade 14.8 ft (max) Measured depth to pipe invert from grade 9.8 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Structure served by this system Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FWD; Date of Sample 6/24/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 6/24/2021 Results N Pass For 3 bedrooms Fluid depth prior to test 8 in Water added 600 gal New depth 18 in Elapsed time 1310 min ® Code -required soil cover over field Final fluid depth 8 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons FW' Comments/Deficiencies: ABSORBED 600 GPD OR 4BR EQUIVALENT. WIS E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION / certify that / 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. Aaw AV r.-49 ..� .....:. Curtis Huffman CE 1289916/28/2021 �,�'� RO ft M r- • . ..), •, N...... Municipality of Anchorage On-Site Water and Wastewater Program E (:( '6i3 nil. `' - 4- (907) 343-7904 I '` VII .ter ti/ Certificate of On-Site Systems Approval `' o/ q �. ' Y pp � � Parcel I.D. 057-091-11 Expiration Date: 2 2c9 `"t Ey 1. GENERAL INFORMATION Complete legal description Pioneer Estates, Block 2, Lot 5 Location (site address) 38340 Rochelle Ave Current Property owner(s) Wirtanen Inc Day phone Mailing address 11650 E Palmer Wasilla Hwy. Palmer, AK 99645 Real Estate Agent Day phone 2. TYPE OF DWELLING: CI Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 111 Individual 111 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: raj i Received by!,-----V' ye--YL V _l'VL ( ( \' Date: II/210 COSA to be released to the engineer.unless otherwise requested by theengineer. J COSA Fee $ 6 q.80 Waiver Fee $ Date of Payment 11 ( .-(i 7- Date of Payment Receipt Number G ill Receipt Number COSA# 10C-N-1.5-75� Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,and regulations in effect at the time of installation. In conducting an adequacy test,I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA COSA guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. 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 10/30/2017 Ar'�A��aF A�g61 4 co.- -'c . 7}f 6. DSD SIGNATURE "'101/'- �,/' J� System#1 Approved for bedrooms •S'teven R..lannone System#2 Approved for bedrooms 9yy�. CE-6149 eti% Disapproved ��k � OFFS514NP� Conditional approval for bedrooms, with the following stipulations: UU �� F ON-SITE �G'', \NATER p,Wa :lo wp,STE\NATER = PROGRAM co $VT 7\1 tl By: Original Certificate Date: P ( 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 sheet2: . If more than 1 septic system is on the lot: COSA Checklist# • of ' Structure served by this system ' Certificate of On-Site Systems Approval Checklist Legal Description: Pioneer Estates, Block 2, Lot 5 Parcel ID 057-091-11 A. WELL DATA Well type Private If A. B, or C provide PWSID # Well Log (Y/N) Y Date completed 6/7/2017 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y Total depth 225 ft. Cased to 205 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 6/7/2017 New Static water level 167 ft. New ft Well production 4 g.p.m. New g.p.m. WATER SAMPLE RESULTS. Coliform Nk tJ colonies/100 mL Nitrate 0,,(( i mg/L Arsenic NL.T7 ug/L Date of sample )k J */7 Collected by: _ B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 6/22/2017 Tank size 1'000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (YIN) N Date of pumping New Pumper N/A C. ABSORPTION FIELD DATA Date installed 6/22/2017 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD/SF System type Deep Trench Length 40 ft. Width 2.5 ft. Gravel below pipe 5.0 ft. Total depth 15.1 ft. Eff. absorption area 400 ft` Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 450+ g.p.d. No Any rejuvenation treatment(past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ 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 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ 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 New Construction G. ENGINEER'S CERTIFICATION '.3. OF AL I certify that I have determined through field inspections and , ' ..1 •..r T` review of Municipal records that the above systems are in Age, *: 4 • ' /� •.*I� conformance with MOA COSA guidelines in effect on this date. •••••• `��`•f••• 0 Engineer's Printed Name Steven Pannone c do": }everi'.•IS.nnorie• - 10/30/2017 {� CE-8149 / Date `mgr' / COSA canary sheet_2-6-15.doc ,Qoc,.r�� �, .0,r- 2 ' I /g 6 ` ,, a ...r- e �G 4:—L .2 (1' 0 /I i' ! f • M . a � ' il A • „ I i ,Y®9.:4-.5--1,7e:, rs�a ASBUILT SEWARD & ASSOCIATES LAND SURVEYING 694-0820 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCA-LEe...•„.14.”)i � c '411+4 FOLLOWING DESCRIBED PROPERTY _ `› Qt A( �+; o/Q/Ji ' -;./. .7—,...r,.477‹ DATE / .- •.I5 4 AND THAT NO ENCROACHMETS EXIST EXCEPT AS ' g//i�7 :••(':',:' �, •.• _ ��,, INDICATED. IT 1 S THE RESPONSIBILITY OF THE ,_ s ; 4c' OWNER TO DETERMINE TH': EXISTENCE OF ANY GRID: r •/ �`a. -- EASEMENTS. - EASEMEN T S, COVENANTS, OR RESTRICTIONS ! =-'/�72 .e.' '. WHICH DO NOT APPEAR ON THE RECORDED SUBDI- ------ j' '.- Duena e.F. Seward A VISION PLAT. UNDER NO CIRCUMSTAI'CFS SHOULD FSS •. LS- 1 /i•-7-..f.2.7 ,;, < ‹,k. ANY DATA HEREON BE USED FOR CONSTRUCTION _ t.t ):. X,.f ,3'.,-r OF FENCE LINES, OR FOR ESTABLISHING BOUND- -- • •'' : '�,�."rinA '''' ARY LINES. 6,R. -