HomeMy WebLinkAboutWOODHAVEN #3 LT 13 Onsite File
Woodhaven # 3
Lot 13
#015 - 282 - 58
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231335 PID Number: 015-282-58
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
ALEX & KRISTA BARBOSA
ABSORPTION FIELD
❑ Deep Trench ® Wide Trench ❑ Bed ® Mound
Site Address
4140 MARCELLE CIRCLE, ANCHORAGE
❑ Other
Phone
Phone
f Bedrooms
Soil Rating
depth from original grade
7��
5
2.5 GPD/SF
JTotal
(ABOVE) +4 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
+4.5 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
WOODHAVEN #3 13
Fill added above original grade
7.7 Ft.
Gravel length
60 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
300 Ft2
1
-- Ft.
Well
__
50'+
25'+
TANK ® Septic ® S.T.E.P. ❑ Holding ❑ Other
Manufacturer
EXISTING ADVANTEX
Capacity
Gal.
Surface water
__
50'+
Material
Number of compartments
Lot Line
--
101+
NA
Foundation
-_
10'+
LIFT STATION
Manufacturer
EXISTING AX-ORENCO
Capacity
Gal.
Remarks Remove &rebuild by elevating &lengthening
existing absorption field and added 4" of insulation.
Alarm location
Electrical installed by
Installer .JRS
PIPE MATERIAL House to tank Tank to 3034
drainfield
Drainfield 3034 co/MT 3034
Inspector FWC
BENCH MARK (Assumed elevation) 100 ft
Inspdection V 10/27/23 2 d 10/27/23
Location and description
3rd 4'"
BOTTOM OF SIDING
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Conditional Approval: DateZ
•:t4fi,�
• .
•Curtis
Septic System
Approved -
Huffman
� �F� • CE 128991
Date l t ► -00 Z
��isTF�•..10/30/23 . •��C��i
lI�F�PROFESSIONP�►
Note: this approval does not include well permit requirements.
tMev uoiuu 1 ut
PID:015-282-58 PERMIT:OSP231335
FIRST WATER CONSULTING
WOODHAVEN #3 LOT 13
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: OSP231335
Work Type: Septic Upgrade
Tax Code Number: 01528258000
Site Legal Address: WOODHAVEN #3 LT 13 G:2735
Site Mailing Address: 4140 MARCELLE CIR, Anchorage
Owner: BARBOSA ALEX J & KRISTA A
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date
Expiration Date:
^� n
Uepartmcnt
Lot Size in Sq Ft
Total Bedrooms:
10/5/2023
10/4/2024
40219
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
Rseeived' y: ,S5 5 r teci 4. F&)c Date:
Issued By: Date:
io Z:
MUNICIPALITY OF ANCHORAGE
Development Services Department, Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTICM/ELL PERMIT APPLICATION
Parcel I.D. 015-282-58
Property owner(s) ALEX & KRISTA BARBOSA Day phone _
Mailing address 4140 MARCELLE CIRCLE, ANCHORAGE, AK 99516
Site address 4140 MARCELLE CIRCLE, ANCHORAGE, AK 99516
Legal description (Sub'd., Block & Lot) WOODHAVEN #g LOT 13
Legal description (Township, Range & Section)
Lot Size 40,219 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
Initial ❑
Single Family (SF) El
(w/wo ADU)
Septic Tank
E]Upgrade
Fx_1
Duplex (D) El
Tank
El
Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION
INCLUDES
A WAIVER REQUEST FOR:
Distance:
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/Rush Fees: ' / `� _5_ Waiver Fees:
Date of Payment: (0 / Z '/ 't-0 2 3 Date of Payment:
Receipt Number: �l 1 Z 03 �_ Receipt Number:
Permit No. OSP 'z3 / 3 S f Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
September 26, 2023
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
LEGAL: WOODHAVEN #3 LOT 13
After investigation of the site and area with review of the record documents in the MOA On-Site
file it is proposed that all encountered biomat material be removed, Type II material or MOA
sand be added as needed and followed by 2 MOA sand with 0.5 effective depth to 4+ above
original grade with a modified soils application rating of 2.5 GPD/SF. This soil application rate
is half the previously used soils application rate that was based on the ERS soils. Furthermore,
the proposed 2.5 GPD/SF soils application rate is less than the 4 GPD/SF rate of the insitu soils
percolation.
This is basically a remove and replace of the existing documented septic system with increased
length and 1 higher in elevation than the previous permitted and installed septic system to
increase vertical separations and potential absorption. There appears to have been extensive fill
on the site and the current mounded trench is tucked into this landscaped yard. It appears that the
proposed upgrade trench will also blend in with this landscaping.
The site is heavily landscaped and will be reseeded with topsoil at completion. The lot generally
slopes east to west with approximately 3-8% slopes at the proposed upgrade location. The lot
and area are served by private water. The design will not impact any of the neighboring
properties. Please contact us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231335, Deb Wockenfuss, 10/05/23
FIRST WATER CONSULTING
WOODHAVEN #3 LOT 13
DESIGN CALCS:
NO WELLS WITHIN
50' OF PROPOSED
FIELD
NO ORIGINAL SLOPES >25%
WITHIN 50' OF PROPOSED FIELD.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231335, Deb Wockenfuss, 10/05/23
FIRST WATER CONSULTING
DESIGN DETAILS:
WOODHAVEN #3 LOT 13
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231335, Deb Wockenfuss, 10/05/23
Municipality of Anchorage
Community Development Department Page 1 of 2
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: OSP171095 PD Number: 015-282-58 ❑✓ New ❑ Upgrade
Name:
SpinelI Homes Inc. ABSORPTION FIELD
Address ❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ✓❑ Mound
4140 Marcelle Circle ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
5 5•OGPD/SF +3.0 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot +3.5 Ft. 0.5 Ft.
Woodhaven #3 13 Fill added above original grade Gravel length
Township Range Section 6.0 Ft. 36 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 5.OFt. 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 180 Ft2 1 N/A Ft.
Well 126 100+ 126 N/A 25+ TANK ❑Septic 0 S.T.E.P. ❑Holding 0 Other
Manufacturer Capacity
Surface Water 100+ 100+ 100+ N/A Anchorage Tank/Orenco 2500GaI.
Material Number of compartments
Lot Line 38.5 18.1 38.5 N/A Steel 2
NA LIFT STATION
Foundation 5+ 23.5 5+ N/A
Manufacturer Capacity
Curtain Drain 50+ 50+ 50+ N/A Orenco 750 Gal.
Remarks Pump on level at Pump off level at High water alarm at
ERS System
40 in. 36 in. 45 in.
Pump make and model Electrical Inspections performed by
P2005 MoA Building Safety
PIPE MATERIAL House to tank 3034 Tank to 3034
Installer drainfield
Pomraining Construction Drainfield 3034 CO/MT 3034
Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 368ft
Inspection 1s 8/12/178/12/17 Location and description
dates: 2
3r0 8/12/17 4th
Bottom Trim
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
,.1\\\‘,U
Conditional Approval: Date A-'.� A..494-!
••fir•l��►�•• ..�..
A •tteven'I'. .15annorae Of
—
Approv-s l Date 1 l.2 kku/ROFESSIO
Inspection Report_1-1-12.doc
N,'"---PRIMARY/RESERVE
PARAMETERS
\ E Vgp SYSTEM gpd)
so WV 4*NO BEDROOM: 5 (750
TANK SIZE: 2500g S.T.E.P. FOOTING DRAIN_____----7/ ` ******
W/ (2EA) AX20 PODS & AUX PUMP VAULT OUTFALL MARCELLF .t ** - • ': •�
-PERC RATE: 6-15 MPI
SOIL RATING: 5 GPD/SF
AREA RQD: 150 SF 15' SLOPE ESMT �. 0
SYS. TYPE: 5' WIDE TRENCH MIN LENGTH: 30 LF = _ 20' DRAINAGE EASEMENT - _TRUE NOfJT" _j,I LE : 1•- 50'
. �� +
USED: '1- * WELL I I
36 LFx 5'Wx0.5' E.D., +3.0' TD x I 1 • o
WITH 2.0' SAND IuJ DRIVEWAY III O
TOTAL AREA: 180 SF x 1; uIii
6. I 1 cc
w
."0
o -25.0- I I I- o
INSTALLED 2500q ADVANTEX TANK 2 12.3'- I I w
WITH (2EA) AX20 PODS AND M1T2 1 w
ICO 56R I 3 ~ I Il w
SFD ,)
INSTALLED NEW DRAIN Fl LD C1 itrAy A _ w I,-
y, 36LF x 5'W x 0.5'ED x +3.O'TD w 1_I
WITH 2.0' SAND AND I �r T1 A '� /� a I �' /
36LF x 5.0'W x 2.0' ERS
1.1COZ 1w.f, o 1w18
w -in
1 TH-14 �- w N 1 m•
RESERVE DRAIN FIELD (P) 1 O
12.5LF x 12.5'W x 0.5'ED x +3.0'TD I I
WITH 2.0' SAND AND)
15LF x 15.0'W x 2.0' ERS I I �
INSTALL MONITOR TUBE AT EACH CORNER-
DESIGN PARAMETERS
+ 10' T&E ESMT ERS - IN-SITU INTERFACE
A B - , • J.- . NO. BEDROOM: 5 (750 gpd)
FERC RATE: 24 MPI
- FC 20.4 6.9 - SOIL RATING: 4 GPD/SF
T1 16.2 16.8 AREA RQD: 187.5 SF
DCO 15.3 34.20
USED: -
Cl 27.4 42.10 36 LF X 6.0' WIDE
C2 42.4 30.20 m m TOTAL AREA: 216 SF
Z ,- I- j ~ 2"RIGID INSULATION 00
0 j 0= 0 0 w 0 O p FILTER FABRIC O
o 0 z z ¢ -'Q zQ Z Z 1.25"0 PERF PIPE z a
Z Z Q Q ~ 0,.1 J O W/1/8"HOLES O ti
J J IA O 0 U
O 0 O DRILLED 18"O.C. 0
i`U U U - - - - DRAIN ROCK 6" - FG 101.3
- FC 101.8 [ BoVE PIPE INV , 3TOPSOIL&
AX20 AX20 /TOPSOIL
POD POD _ 98.6 1
;-_
/ 2'SAND DRAIN ROCK
oc/Fc 97.2 STEEL 2,500g ! 96.3
OG 95.3 TH-14
2'MOA TYPE II FILL OR
ADVANTEX TANK - • " -1.O
I 36 REMOVED ORGANICS 0 -3.0
PROFILE - 92.3
SCALE 1"=10' SM/
SP
-15.3
BOH 80.0
NOTES: PANNONE ENG SVC LLC Date
RECORD DRAWING P.O. BOX 102954 ANCHORAGE, AK 99510 . • 2/8/2018
PHONE (907) 272-8218 FAX (907) 272-8211 :• •• •• •• Scale
*;. '.* 1" = 50'
•• •• •• •••• P.I.D. NO
- WOODHAVEN ADDN #3015-282-58
SPINELL HOMES, INC. eleven Pannone PERMIT NO.
DRAWN ACP •,
MARCELLE CIRCLE •• CE 8149 OSP171095
SITE PLAN ANCHORAGE, AK .7• /•• Sheet
2 OF 2
Certified Drilling Log
DOC CO dba
,
BILL 8. COLE WELLS
ULLIVAN WATER
P.O. Box 670269, Chugiak,AK 99567 688-2759
OWNER OF LAND: Spinel) Homes Bore Hole Data
ADDRESS: Depth
LEGAL DESCRIPTION Woodhaven#3 Lot 13 From To
DATE: 7-6-17 0 2 Casing Stickup
PERMIT NUMBER: OSP171095 DATE OF ISSUE: 6-16-17
2 4 Overburden
TAX IDENTIFICATION NUMBER 01528258000
Is well located at approved permit location: EYes ❑No 4 61 Silty Sand &Gravel
Method of Drilling: ®air rotary ricable tool 61 63 Tight Sand & Gravel 3 GPM
Depth of Well: 160' 63 112 Tight Silty Sand & Gravel w/Clay
Casing Type: Steel Wall thickness .250 inches 112 117 Silty Sand &Gravel
Diameter: 6 inches, depth 160 feet
Liner type 117 150 Tight Silty Sand &Gravel
Static Water Level: 90 feet 150 160 Sand &Gravel Water
Recovery Rate 40 F gpm n gph
Method of Testing Air
Well Intake Opening Type: ®open end reopen 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: Xyes n no
Method of Disinfection: Chlorine 50 PPM
Comments:
WAl tR QUALITY TESTING
Conform IA e,5 CoW100mL
Nitrates 2, mg/L
Arsenic_ IEI p ug&
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
4LJ1LWAEN
WATER WELLS
4111. 'at
P.O.Box 670269,Chugiak,AK 99567 688-2759
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number:SW OSP171095 Date of Issue 6-16-17
Parcel Identification Number: 01528258000
Legal Description Property Owner Name &Address
Woodhaven#3 Lot 13 Spinell Homes
1900 W. Northern Lights Blvd#200 Anchorage,AK
99517
Pump Installation Date: 10-10-17
Pump Intake Depth Below Top of Well Casing: 150 feet
Pump manufacturer's Name: Grundfos
Pump Model: 10SQE07-240
Pump Size: 3/4 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Installer: Pomraning 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.
��N ,,,,i`F MUNICIPALITY OF ANCHORAGE t„ ,,,
% v, On-Site Water&Wastewater Program N0 3 .S
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
jhttpa/www.muni.orglonsite r
Department
On-Site Water & Wastewater System Permit
Permit Number: OSP171095 Effective Date: 6/16/2017
Work Type: WellSeptic Initial Expiration Date: 6/16/2018
Tax Code Number: 01528258000
Site Legal Address: WOODHAVEN #3 LT 13 G:2735
Site Mailing Address: 4140 MARCELLE CIR, Anchorage
Owner: SPINELL HOMES INC Lot Size in Sq Ft: 40219
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 5
This permit is for the construction of:
0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy 0 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 - SA .( At .O',_ 1 LL Date: (4 /WE 7
Issued By: A. . // A ,. i��_ Date: 6���7
MUNICIPALITY OF ANCHORAGE
x
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. 015-282-58
Property owner(s) SpinelI Homes Inc Day phone
Mailing address 1900 W Northern Lights Blvd #200, Anchorage, AK 99517
Site address NSN Marcelle Circle
Legal description (Sub'd., Block & Lot) Woodhaven #3, Lot 13
Legal description (Township, Range & Section)
Lot Size 40,219 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field Q Initial Single Family (SF) ❑X
(w/wo ADU)
Septic Tank ❑X Upgrade ❑
Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy (SF and/or D)
Private Well
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Use of ERS Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Code..
(Signature of property owner or authorized agent)
Permit/Rush Fees: 56? -x-215 Waiver Fees: 2 15
Date of Payment: 5/Z /%7 Date of Payment: 6/5/7
Receipt Number: 0/ 7 50 G Receipt Number: (1)54 if
Permit No. (SJ2/7/o q5 Waiver No. 05'J!'7i[ 5
Permit App_:-: ::_. :c
Pannone Engineering Services ac
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail:steve@panengak.com
June 2, 2017
Subject: Woodhaven #3, Lot 13
Septic System and Well Permit Request
Design Narrative
This is a design narrative for a permit to install a septic system and well to be issued for this property. The
proposed system will serve a proposed five (5) bedroom house. Currently the lot is undeveloped. The
system will utilize a new 2500g advantex tank with two AX20 pods and a 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 Michael E Anderson in January
2013, and groundwater was monitored for at least seven days. Ground water was not observed to a
depth of 1.0' below the surface in the test hole monitor tube in July of 2013. Bedrock was not
encountered in the test hole to 15.3'. Based on the results of the percolation tests and overall soils
appearance; an ERS system will be used. See waiver request.
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 east to west, with a slope
of approximately 10% in the area of the drain field. 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
Pannone Engineering Services LIC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail:steve@panengak.com
June 2, 2017
Subject: Woodhaven #3, Lot 13
ERS Waiver Request
1. Waiver Request for use of Engineered Receiving Soil (ERS). I am requesting a waiver to the 1992 Code to
use the proposed Code Update Section of Engineered Receiving Soils (ERS). Below I will detail my request
justifying the use of ERS:
a. One test hole was excavated by Anderson Engineering in 2013. The soils log is attached. Ground water
was monitored for through the fall seasonal high and stabilized at 1 foot below ground level in May of
2017.
b. This design proposes to use MoA Type II.This interface will be approximately 2 feet in depth and will be
compacted to approximately 80 percent to allow free flow of the effluent through it into the native soil
using MoA Waste Water Code application rates. The infiltration area of the interface between the ERS
and the in-situ soil was based on the 24 minute per inch percolation rate of the in-situ receiving soil. A
two foot thick filter sand layer will be placed over the MoA Type II material to act as an interface
between the SAS and ERS.
c. The SAS is sized assuming a percolation rate of the ERS soil, assumed 6-15 MPI, which gives an
application rate of 5 GPDSF.
d. The system will protrude above the ground surface.The cover of the system will produce a mound,
which will have at a minimum, three to one side slopes and six inches of organically rich soil to promote
the growth of vegetation.The mound will be vegetated.
e. Shallow Ground water was observed in the test hole. Steps need to be taken to protect this shallow
ground water from contamination with sewage effluent.These steps include the use of advanced
wastewater treatment system to ensure a high quality effluent and maintaining at least four feet of
vertical separation from the highest ground water and the bottom of the drain field (our design is calling
for 4 feet vertical separation.)
f. Supplemental test holes are not necessary due to the vertical, not horizontal conveyance of effluent.
The proposed installation will not affect the future development of this or the surrounding lots.
Sincerely,
%%%%%%�I
.�•�% OF q g...
��� •� , i
Steven R.Pannone ski
i q i
•••
O.'� •
Steven R. Pannone, P.E.
Owner/Civil Engineer
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 (7---0..e.,--- 11-1-7 i
20' T&�SMT —�� N`�M
/ M
15' GAS AND SLOPE ESMT 4/
•
/ N
•
_ .2 /
i MARCELLE CIRCLE
8
115'
SLOPE ESMT I I
1
FOOTING DRAIN . -20' DRAINAGE EASEMENT
OUTFALL
--7 —
I I
WELL (P)
•
• DRIVEWAY I
cn •
La Aa
1-0 • H
1 °~'d RESERVE DRAIN FIELD (FUTURE) o
3OLFx5'wx0.5'EDx +3.0'TD ✓' 1 5BR3 I-
• WITH 2.0' SAND AND HOUSE p
32LFx6.0'Wx2.0' ERS (p) w I () 0
INSTALL MONITOR TUBE AT EACH END I � /
SEE SECTION I w
I I �L 4 cc
I- 26.6-1 z (� o
W�__ ``'
4
1 TH-14� 26.0 p w
In
4_25.2 ' �� m
PRIMARY DRAIN FIELD (P) 4
12.5LF x 12.5'W x 0.5'ED x +3.0'TD ' � �.�
WITH 2.0 SAND AND v ��� 1 r4-ii
15LF x 15.0'W x 2.0' ERS ' 1 1 l
INSTALL MONITOR TUBE AT EACH CORNER L 1
SEE SECTION
X10 MT 1—t
APPROXIMATE LIMIT
OF MOUND 25008 ADVANTEX TANK (P)
WITH (2EA) AX20 PODS AND AUX. PUMP VAULT
DESIGN PARAMETERS INSTALL FOUNDATION CLEAN OUT
PRIMARY SEPTIC SYSTEM DESIGN PARAMETERS
NO. BEDROOM: 5 (750 gpd) ERS - IN-SITU INTERFACE
TANK SIZE: 2500g S.T_E.P_ NO. BEDROOM: 5 (750 gpd)
W/ (2EA) AX20 PODS PERC RATE: 24 MPI
& AUX PUMP VAULT SOIL RATING: 4 GPD/SF I
PERC RATE: 6-15 MPI AREA ROD: 187.5 SF
SOIL RATING: 5 GPD/SF
AREA ROD: 150 SF USE:
SYS. TYPE: BED 12.5'W 15 LF X 15.0' WIDE
MIN LENGTH: 12 LF TOTAL AREA: 225 SF
USE:
12.5 LF X 12.5' WIDE, 0.5' E.D., +3.0' TD
TOTAL AREA: 156.25 SF JI
NOTES: PANNONE ENG SVC, LLC ���pF A/qi 6/2/2017
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 4..' .....:440,i,
PHONE (907) 272-8218 FAX (907) 272-8211 .�OjP �1.''�y�+ Scale
i* Ti f, '•*0f 1w-50'
.... .... ‘01/i; I P.I.D. NO
WOODHAVEN #3, LOT 13 : 5-282-58
Steven R. -onnorae / PERMIT NO
SPINELL HOMES, INC. �r • CE 8149 ..4 ;e- OSP17109`.
MARCELLE CIRCLE +}1ct ,.� j6[�,; i Sheet
PLAN ANCHORAGE, AK �>1>�` s300 4� 1 OF .5
04.X. ��
2-RIGID INSULATION
FILTER FABRIC
1.25.0 PERF PIPE W/
1/8"MOLES DRILLED 18-0.C.
DRAIN ROCK 6-ABOVE PIPE INV
TOPSOIL h
3 -.5 ", VEGETATE
11- L ���� 0.5
6.0
GRAIN 2'SAND 2.0
ROCK
2'MoA TYPE II FILL 2.0 -
REMOVE ORGANICS
SECTION
ABBREVIATIONS
LEGEND TH TEST HOLE
W WATER LINE/ (P) PROPOSED
WELL RADIUS (E) EXISTING
CO CLEAN OUT NO.
SS NEW SEPTIC MT MONITOR TUBE NO.
TYP TYPICAL
NOTES: xtt Dote
PANNONE ENG SVC, LLC
OF AL
JR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 � •-—- l
PHONE (907) 272-8218 FAX (907) 272-8211 * . 1N 4„,...1;
. / Scale 6/2/2017
%...•or. �� ., . .. 01,14 P.I.D. NO
WOODHAVEN #3, LOT 13 ..� ..\ - = -58
SPINELL HOMES, INC. Steven `. Ponno.ne / PERMIT NOMARCELLE .
�`* CE 8149e,. OSP171095
ANCHORAGE,CIRCLE AK {+!
DESIGN DETAILSpp�� Sheet
2 OF 3
2"RIGID INSULATION
FILTER FABRIC
1.25'0 PERF PIPE W/
1/8"HOLES DRILLED 18'O.C.
/DRAIN ROCK 6'ABOVE PIPE INV
TOPSOIL&
3 2.5 VEGETATE
11—
1— -,-0.5
6.0
I pRAIN 2'SAND 2.0
+I ROCK
2'MoA TYPE II FILL 2.0—
REMOVE ORGANICS)
PRIMARY SECTION
2"RIGID INSULATION
FILTER FABRIC
1.25.0 PERU PIPE W/
1/8'HOLES DRILLED 18'O.C.
DRAIN ROCK 6'ABOVE PIPE INV
1,
TOPSOIL&
3 2.5 VEGETATE
11— ,-. 0.5
1- 0.5
6.0
I DROCK 2'SAND 2.0
RAIN
2.0 —
2'MQA TYPE II FILL
REMOVE ORGANICS
RESERVE SECTION (NIC — FUTURE)
DESIGN PARAMETERS
RESERVE SEPTIC SYSTEM DESIGN PARAMETERS
NO, BEDROOM: 5 (750 gpd) ERS — IN—SITU INTERFACE
TANK SIZE: 2500g S.T.E.P. NO. BEDROOM: 5 (750 gpd)
W/ (2EA) AX20 PODS PERC RATE: 24 MPI
Sc AUX PUMP VAULT SOIL RATING: 4 GPD/SF
PERC RATE: 6-15 MPI AREA RQD: 187.5 SF
SOIL RATING: 5 GPD/SF
AREA ROD: 150 SF USE:
SYS. TYPE: 5' WIDE TRENCH 32 LF X 6.0' WIDE
MIN LENGTH: 30 LF TOTAL AREA: 192 SF
USE:
30 LF X 5' WIDE, 0.5' E.D., +3.0' TD ABBREVIATIONS
TOTAL AREA: 150 SF LEGEND TH TEST HOLE
-- W WATER LINE/ (P) PROPOSED
WELL RADIUS (E) EXISTING
CO CLEAN OUT NO.
NEW SEPTIC MT MONITOR TUBE NO.
TYP TYPICAL
NOTES: PANNONE ENG SVC, LLC ��,OF AC'11 Dote
OR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ...-.0,,,,(s...
�s... AS ki
�hP' Scale
PHONE (907) 272-8218 FAX (907) 272-8211 * i�� *+fir NTS
• ••-• 4• 1.1 a .. 0 P.I.D. NO
WOODHAVEN #3, LOT 13 015-282-58
SPINELL HOMES, INC. 4 •�teven 'F�' �annorae 'PERMIT NO
MARCELLE CIRCLE �� c,' CE 81 �if •
OSP171095
ANCHORAGE, AK ��1fp `�" "0y. Sheet
DESIGN DETAILS l PRo��
,,�t\1V_+� 2 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 ADVANTEX AND SOIL ABSORPTION SYSTEM. INSTALL WELL.
3. GROUNDWATER WAS ENCOUNTERED AT DEPTH OF,a'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 J.' 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, LLC oF a ‘k
1
L , Date
OR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, A99510 Z C1:-. '4c5' 6/2/2017
PHONE (907) 272-8218 FAX (907) 272-8211 ." ��� ' y+� Scale
: , • V t v NTS
I.• ��� P.I.D.O. ao NO
WOODHAVEN #3, LOT 13 �- ��` •.., 1015-282-58
SPINELL HOMES, INC.
Steven .F . Pannone % PERMIT NO.
MARCELLE CIRCLE �+ c CE 8149 .•,,,t-),•"' OSP171095
DESIGN DETAILS ANCHORAGE, AK #4 j'4..."• 4' Sheet i
10�
MUNICIPALITY OF ANCHORAGE 0_swi+saw>tln_
DEVELOPMENT SERVICES DEPARTMENT �`pZc "k4t0
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
itti S '-k
i ; 49th �� 0
SOILS LOG - PERCOLATION TEST •
1t�h Z tC
oe ,,MICHAEL E. ANDERSON l EI
LEGAL DESCRIPTION:
WOODHAVEN SUBDIVISION NO. 3
4,--,;,',. No. EE .991 �+
PERFORMED FOR: SPINF I L HOMLS +��to/ - S k �••�~
DATE: 1/18/13 PROJECT No.: -Itit`lilkirw*
PARCEL ID#: TECHNICIAN:
A. f 1/1R/�LA PrufL.1,1gm'I LngineersSIamp.
DEPTH TEST 1-TOLE No. 14
(feet)
SL OPE SITE PLAN
// � Of3/OG
2 _— ;iIL.I Y SAND
WI III VARYING SILT
ci'
3 —
4 SLE SITE PLAN
SM/SP i
5
6
7
8
WAS GROUND WAI'IR ICNC4)UN I I RH)! No
9 IF YFS(w WHAT DFA'Ill' S
DEPTH'I0 WA'!E R APTI'R MONITORING: .5•
I O IDA Ii OF MONITORING: 5/I5/1;
X115111. .5
10/15/1. S'
11 DEPTH TO
DATE_ READING GROSS TIME NET TIME WATER NET DROP
12 (MINUTES) (MINUTES (INCHES) (INCHES)
13— 1/18 TEST HOLE PRESOAKED PRIOR TO TESTING:
14 I 9:12 .75`
15 BOH @ 15 2 9:42 30 2.00" 1.25"
.3' 3 9:44 .625"
16— 4 10:14 30 1.875" 1.25'
17— 5 10:16 .75"
18— 6 10:46 30 2.00" 1.25'
19
PERCOLATION RATE: 24 (MINiINCII) PERC. HOLE DIA. ger (INCHES)
TEST RUN BETWEEN: 4 FT. and 5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON TI US
DATE: 3/12/13
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-3437904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 015-282-58
Legal description WOODHAVEN #3 LT 13
Site address 4140 MARCELLE CIR Anchorage AK
Current property owner(s) BARBOSA
Expiration Date: c- j 26 2,
X The On -site system(s) is/are approved for 5 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
By Original Certificate Date: 1 1 /1 /2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
MUNICIPALITY OF
Development Services Department
On -Site Water & Wastewater Section
ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
.
Y pP
1. GENERAL INFORMATION
Parcel I.D. 015-282-58
Complete legal description WOODHAVEN #3 LOT 13
Location (site address) 4140 MARCELLE CIRCLE, ANCHORAGE, AK 99516
Current property owner(s) ALEX & KRISTA BARBOSA Day phone
2. ON -SITE SYSTEMS SIZED FOR 5 BEDROOMS
3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 6 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ® AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested:
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On -site staff
to verify the accuracy of the information provided.
COSA Fee $ Waiver Fee $
Date of Payment i (3 �� ' o �- 3 Date of Payment
COSA # d S C 2 3 L1 Waiver #
COSA Application.doc
COSA Checklist.docx
COSA Checklist
Legal Description: WOODHAVEN #3 LOT 13 Parcel ID: 015-282-58
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 7/6/2017 Total depth 160 ft
Cased to 160 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 9/14/2023
Static water level at beginning of test 86 ft.
Well production at time of test 5 gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 2.93 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 9/14/23
Comments
B. TANK DATA
Measured operating fluid level in septic tank NA
Date of pumping 09/01/2023
Required maintenance completed, if AWWTS
Comments: SEE AX MAINTENANCE REPORT
C. LIFT STATION
Required maintenance completed
Age of lift station 7 years
Lift station material STEEL
Comments: SEE AX MAINTENANCE REPORT
D. ABSORPTION FIELD DATA
Which system tested (date installed) NEW FIELD
ALL standpipes present per record drawing
Total measured depth from grade 3,7 ft (max)
Measured depth to pipe invert from grade 3.0 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated. (4”)
Monitor tubes (MT) go to bottom of effective (ED).
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date NA –NEW FIELD
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – NEW FIELD
Effective depth (per record drawings) 6 in (MOA 0.5’ ED)
Effective depth used 0 in
Effective depth (ED) remaining 6 in
Comments/Deficiencies: Approximate total measured depths from existing grade.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No *50+ ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No *50+ ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No *50+ ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No *50+ ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
*MAY MEET CONVENTIONAL SEPARATIONS, BUT SYSTEM MEETS CATIII SEPARATION DISTANCE REQUIREMENTS.
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 10/30/23
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
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
10/30/23
5TD. R970
Municipality of Anchorage ,
On-Site Water and Wastewater Program a
10.•(907) 343-7904 �, , , 3
s'
Certificate of On-Site Systems Approval 6 8 L 9 O
Parcel I.D. 015-282-58 Expiration Date: / 1(-1
1. GENERAL INFORMATION
Complete legal description Woodhaven #3 Lot 13
Location (site address) 4140 Marcelle Circle
Current Property owner(s) Spinell Homes, LLC Day phone
Mailing address 1900 W. Northern Lights Blvd. #200 Anchorage, AK 99517
Real Estate Agent Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
i
Received by. 4 _i : .I��_ 1'Gk - ._� •� Date: 21/11i3 1
COSA to be released to the engineer,unless otherwise requested by the en,'nee,.
COSA Fee $ Waiver Fee $
Date of Payment .216-0 Date of Payment
Receipt Number 01466 Receipt Number
COSA# 0507105 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 2/2/2018
~�oF• Ldc kk
/*: 49TH I\ •* /
6. DSD SIGNATURE
C-
7C System#1 Approved for -S bedrooms �� •Seven R. Pannone:
System#2 Approved for bedrooms
c�9�,% CE-8149 ��
•
Disapproved (!> ttDPROFES90t\' '~
Conditional approval for bedrooms, with the following stipulations:
Z .0. \:.`�'Ppkl`
(le‘
�Q�0C,
CY
B . _ '// / Original Certificate Date: 2 -1
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 engineers work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet r ! c
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: Woodhaven #3 Lot 13 Parcel ID:015-282-58
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 7/6/2017 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 160 ftCased to 160 ftCasing height (above ground) 24 in.
FROM WELL LOG AT INSPECTION
Date of test 7/6/2017 NEW
Static water level 90 ft. NEW ft.
Well production 40 g.p.m. NEW g p m
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 2.55 mg/L
Arsenic NDug/L Date of sample: 1/25/2018 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Advantex/ Steel Date installed 8/12/2017
Tank size 2500gal. Number of Compartments 2 Cleanouts(Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y
Date of pumping NEW Pumper N/A
C. ABSORPTION FIELD DATA
Date installed 8/12/2017 Soil rating (g.p.d./112 ft2/bdrm) 5.0 GPD/SF System type Shallow Trench
Length 36 ft. Width 5.0 ft. Gravel below pipe 0.5 ft.
Total depth 3.0 ft. Eff. absorption area 180 ft2 Monitoring tube Y Depression over field N
Date of adequacy test NEW Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test in. 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 8/12/2017 Size in gallons 750 Manhole/Access (Y/N) Y
"Pump on" level at 40 in. "Pump off level at 36 in. High water alarm level at 45 in.
Datum Bottom of Tank Cycles tested NEW Meets alarm&circuit requirements? Y
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 1 0+ 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
21
G. ENGINEER'S CERTIFICATION ,��`pF`\\74,
I certify that I have determined through field inspections and 7/ 1
,,i'"g' .•• �,i fy+�l
review of Municipal records that the above systems are in *; - • TH ' ••* r
conformance with MOA COSA guidelines in effect on this date. •••• '•• q 9.•
•.• p4
Engineer's Printed Name Steven Pannone :Meven 1Z,•15nnnone:••e
Date 2 201$ 6 CE-8149i/
l o s:Sioi°'-..
COSA canary sheet_2-6-15.doc
SEPTIC DETAIL
Scale: 1'=30'
f 1
i
MARCELLE CIRCLE
o
S 89'58'14'E 184.91'
1 1 1
Z I O! WELL
15' SLOPE 4 i00' p�D_
EASEMENT Q o I
20' DRAINAGE o .._..
EASEMENT 2.0'x9.3' CANTS Lot 13
RETAINING 40,219 S.F.
WALL 40.7' E
�D I 0O to
Lot 12 °i °° `�
c� a U
MANHOLE . "' 2 6.3' 16.0'
SEPTIC PIPES .0 0° oESIDENCE5.� CarrrS 3
o
TREATMENT PODS b
I 31.8' —tI
2.0'x5.3' CADECK
NT ��'
12.3'x16.3' SHED
/ + rn
a
v
w/ RAMP '5 T&E EASEMENT
WOODEN OD POST & WOODEN 10' BUFFER LANDSCAPE
10' T&E EASEMENTS = FENCE to RAIL FENCE FENCE EASEMENT
L— 25 DRAINAGE EASEMENT
N 89.59' 18 204.87 I
I 50.0'
Tract D-1 B—B
i
PLOT PLAN AS BUILT -XL SCALE 1- = 50' GRID SW 2735 Project No. 23-478,(A2 _
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates, inc. (907) 522-6476 Phone `_t\
kenOlongsurvey.com .�� \\`
Professional Land Surveyors jonothanOlangsurvey.com OF. Aq, kkt
travlsOlangsurvey.com
I hereby certify that I have surveyed the following described property:
LOT 13, WOODHAVEN SUBDIVISION - ADDITION No. 3 (PLAT No. 2016-76) *; 4 D TH •,* ��
Anchorage Recording District, Alaska, and that the improvements situated thereon are • • • • • • . • • -
within the property lines and do not encroach onto the property adjacent thereto, that
no Improvements on the property lying adjacent thereto encroach on the surveyed
10
premises and that there are no roadways, transmission lines or other visible KENNETH G. LANG •o
easements on said property except as Indicated hereon. 202
Dated this the Day of - .-:= < �� at Anchorage, Alaska OpRa
It is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963
PLAT NO. 2016-76
WOODHAVEN SUBDIVISION, ADDN. NO. 3
LOT 13
40,219 S.F.
MARCELLE CIRCLE
k
S 89.58'14"E 184.91' 1. ..,,
qo
15'SLOPE ESMT. I 1 I ..J1-1.
20' DRAINAGE ESMT. - T J 1 1-•
I
I
WM. I I
;1 I I
m I I
GRAVEL DR. I I
I
I
I II
I I I n
I I •I m
51.0' ^I— I I I a
g sEr11c [ EXISTING I I I 50' w
s1.0' BUILDING I 11 $ p
51.0'
) I I a I
I _
I I I z
25'DRAINAGE ESMT. I I I
10'BUFFER I I I
iv LANDSCAPE ESMT. I 4 1•
1 "=40'•I_40
-4-10'T.&E.ESMT. at 5'T.&E.ESMT. I I I•
I I II
- 1 - - -I. F-
10'T.&E.ESMT.• I I I.
S 89°5918"E 204.87'
w.5•
t
B
l&1
10.5• .l
C e.s
CANT
10.0.
15.0' o
COIR-'•
31.5'
OEC(
BUILDING DETAIL
SCALE: 1"..20'
AS-BU ILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE
GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO �ii1>1•i1 f
ENCROACHMENTS EXIST EXCEPT AS INDICATED. 4� OF q
SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO • •C •'"""•4'4s
JEFF A.GASTALDI, R.LS. DETERMINE THE EXISTENCE OF ANY EASEMENTS, r ;' y•
2000 E.DOWUNG RD.,SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT yi *: 49IL .••••.k jo
ANCHORAGE.ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. A
PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA
Jeffery A.&ovtoid .
GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR 6091 • ,•
ESTABLISHING BOUNDARY OR FENCE LINES. �Or'^�-••`I1�9/n%eye
SW2735 9/29/2017 y eap ... • 4,
F.B. JOB NO. ANCHORAGE RECORDING DISTRICT,ALASKA *';1:\to.06.
17-05 wHS13 NOTE: NO CORNERS SET 'THIS DATE
To Page: 5 of 9 2023-09-05 23 33 38 GMT 19073086608 From Wes Anderson
451 879
anss $as a on nommas so X soon nil as 11
an go 8 loillos a 2 0 0 1 on man
no 5 NOR on slow a me a Ism a I
LA!dvanTe3e Field Maintenance Report
AnchorageTank
Annual Inspection 907-272-3543
Pw7orne Servlces Tech
. . .. . .................. A+
Alex & Krista Barbosa
-it. address
4140 Marcelle Circle, Anchorage AK 99516 (907) 555-5555
Y iUa I Pro T RTos at Last lnepaction
, at
AX-142591 CSPI 71095 1425374 425373 RTU134923 06/03)2022
Retrieve O&M Info
Daily flow —
Reciroratia—
Timer setfirms:
Perform Field Sampling/Observations
NTU (15 - NTkJs) PH (6-9)7mo (2-6)
7
Odor of Sample
Typica
l NMusty L Earthy Moldy
Non -typical ❑ Suffide Cabbage Decay
Oily film in PVU E Yes 1�1.1
L_�Po
Foam in tank E yes zs 'No
Check Control Panel
Disvihaigo Amps
10
koK A,weldu end visual dlamn, i'_
DId! tone ftelemetry only) F-1 Yes qN.
InspecVCleam Pump System
lmipeyt clean
Riser/Lid �'
Splice Box,
Float cords .....
Floats ....... L.S
Pump .... um
Ei
Blowtie. Fitter.
Blotuce Pump Vault
Recirculating Spinner Valve...
Measure Sludge/Scum
Sludge Scum___
71_t,0_0mp'-_d--M Current Previous Current Previous
end compartment Current Previous Current Pravious
Inspect/Clean AdvanTax Filter
Inspect clean
040r: ��Nolmal Epungent Laterals/Orifices N
Befit r_,�40rrnal �i Excessive Pod Bottom
Bridging/Foriding: �krna/MMvr _j Excessive Intake Vent
Inspect/Clean Discharge Pump System
Inspect inspect Clean
Splice Box Pump LJ
Float cords
Inspect/Service Other System Components
Inspect Clean Inspect Clean
DiVinfection Equipment i—
L-J Dispersal Laterals/Orifices
obaervations -_- - 4 Y___ ___
Additional Services Rendered
Clearled text 4& sheets? El Replaced UV hems?
,__3 Replaced/Used other Items?
Parts Use& W .Warranty, 8 = Billable (V'appropriate selection)
W B Item Number Description
Imumammmm
RCV reinstalled!',,Lids
bolted on
Ilvanifuto econnecied; flush valves closed
s COmani pan.) r"dativated
Summary/Recommendations
'",System "�,SYstem performiregi no further action needed
07ank needs pumping
call for soneoo
0 Othel?
— ------------ -- — ----- -
Fax completed form to 1-886-384-7404
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this J)- Day of �i of 20_&V , by and between
5cd t6— .& A trj3e? , herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as AN ADVANTEX SYSTEM
located at (legal description)
WOODHAVEN #3 LOT 13
2. Maintenance,_ Repairs and Alterations.
(Owner is required to read, understand and initial each section)
Or Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of [,a,%►,. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
By: (signature) Date:
(print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this i )-"" day of OCikrobs- r-
20 �Z% . by S('oa-i- c r1l�i .5 i
`� ........,r �/i
NOTARY PUBLIC FOR ALASKA _ _
My Commission expires:NQTARY.`
c.
: PUBLIC .•'
MUNICIPALITY:
By: (signature)
LAJ LIDS T\0 �... f�r(print name)
Date: ! I Z,3
Title: C ( VIL
(rev. 05/18/2018) Page 3 of 3