HomeMy WebLinkAboutT14N R1W SEC 16 N2SW4Onsite File
#050-353-19
inspection Keport_a-i-il.aoc
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 1
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP171182
PID Number: 050-353-19
Dwelling: X Single Family (SF)
❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑® New ❑ Upgrade
Name:
CHAD GLAUSER
ABSORPTION FIELD
❑ Deep Trench X Shallow Trench ❑ Bed ❑ Mound
Address
NA
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
5
0.45 GPD/SF
JTotal
4 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
2 Ft.2
Gravel depth beneath pipe
Ft.
Subdivision
Block Lot
N 1/2 SW 114
Fill added above original grade
1.1-1.3 Ft.
Gravel length
240
Township Range Section
14N
1W 16
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
1700 Ft z
4
10 Ft.
Well
+100
+100
--
__
+25
TANK ❑e Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage
Capacity
11500 Gal.
Surface Water
+100
+100
Material
Steel
Number of compartments
2
Lot Line
+5'
+10'
--
--
NA
Foundation
+10'
+10'
--
__
LIFT STATION
Manufacturer
Capacity
Curtain Drain
__
+10'
__
-_ Gal.
Remarks
Pump on level at
in.
Pump off level at
-- in.
High water alarm at
-- in.
Pump make and model
Electrical Inspections performed by
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Installer
BC EXCAVATION
Drainfield 3034 CO/MT
Inspector Charles Balzarini
BENCH MARK (Assumed elevation) 100 ft
Inspdection 151 8/6/17
8/6/17
Location and description
3`d 8/6/17
2nd
4'"
TOP OF FOUNDATION
COMMUNITY DEVELOPMENT
DEPARTMENT APPROVAL
Engineer's Stamp
t\
�
Conditional Approval:
Date
�= �(<G........ ..40Aw
49 TH
BA LZARI t
CHARLES'E
Approved
al"t Date 16 �� 1
1
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inspection Keport_a-i-il.aoc
OF Ak.,
49 m .•
WELL I ... l../ .. . y. •.. .. .
DRIVEWAY �--�{/� •
goo. I
CHARLES G BALZARI91
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1500 GAL TANK Fp • • '-O/27/1$ • • ��_�
���,rrF�PROFESSI6NP -�
FLOW SPLITTER
HOME
BENCHMARKTOP
OF FOUNDATION
i
(4)5'x60'x2' EFF.
_ IEACHFIELD
i
� E
NQS FLOW SPLITTER
F
"OLD WELL" ON LOT TURNED OUT TO BE A PIPE OR PILE OF
UNKNOWN PURPOSE AND ONLY EXTENDED A FEW FEET BELOW GRADE.
IT WAS NOT A WELL AND WAS REMOVED.
FILL AND GRADING MITIGATED SLOPES STEEPER THAN 25% WITHIN
35 FEET BELOW THE DRAINFIELD(S). H
NOTE: FLOW SPLITTER RISERS DO NOT EXTENDED ABOVE
PLAN - SCALE: 1" = 40'
LEGEND
O CLEANOUT
0 MONITOR TUBE
® TEST HOLE
[FILTER FAB7-FINISHED
MONITOR TUBE FILTER FABRIC MONITOR TUBE FILTER FABRIC MONITOR TUBE FILTER FABRIC MONITOR TUBE
85.7 r82 9 FINISHED x80'7 FINISHED 78'6 FINISHED
GRADE 1 GRADE I GRADE GRADE TESTHOLE
2.87' 2.65' 2.87' 2.98'
COVER COVER COVER COVER
77.3' ORIG. GRADE
ORIG. GRADE: ORIG. GRADE: ORIG. GRADE: ORIG. GRA E:
84.5 81,8 79.5 773 TESTHOLE
ELEVATIONS
82.5 INVERT 79.9 INVERT 77.5 INVERT 75.31NVER BASED
ON TH-2.
80.5 77.9 75.5 73.3
NO GWi ON 8/6/17
/4"0 DISTRIBUTION PIPE 4"0 DISTRIBUTION PIPE 4"0 DISTRIBUTION PIPE 4"0 DISTRIBUTION PIPE
2' EFFECTIVE SEWER ROCK 2' EFFECTIVE SEWER ROCK 2' EFFECTIVE SEWER ROCK 2' EFFECTIVE SEWER ROCK GWT @ 68.3' (6/8/17)
B.O.H 61.3'
SCHEMATIC ELEVATION - SCALE: NTS
C&M ENGINEERING SERVICES
907-854-5558
SWING TIES
OWNER: GLAUSER DATE:10/28/18 1 REV: 11 DRAWN: CB I REF:
SEPTIC RECORD DRAWING
A
B
C
D
53.1
49.4
E
F
G
H
219.4
236.5
221.4
_
237.1
223.7
237.9
1 227.21
239.9
PLAN - SCALE: 1" = 40'
LEGEND
O CLEANOUT
0 MONITOR TUBE
® TEST HOLE
[FILTER FAB7-FINISHED
MONITOR TUBE FILTER FABRIC MONITOR TUBE FILTER FABRIC MONITOR TUBE FILTER FABRIC MONITOR TUBE
85.7 r82 9 FINISHED x80'7 FINISHED 78'6 FINISHED
GRADE 1 GRADE I GRADE GRADE TESTHOLE
2.87' 2.65' 2.87' 2.98'
COVER COVER COVER COVER
77.3' ORIG. GRADE
ORIG. GRADE: ORIG. GRADE: ORIG. GRADE: ORIG. GRA E:
84.5 81,8 79.5 773 TESTHOLE
ELEVATIONS
82.5 INVERT 79.9 INVERT 77.5 INVERT 75.31NVER BASED
ON TH-2.
80.5 77.9 75.5 73.3
NO GWi ON 8/6/17
/4"0 DISTRIBUTION PIPE 4"0 DISTRIBUTION PIPE 4"0 DISTRIBUTION PIPE 4"0 DISTRIBUTION PIPE
2' EFFECTIVE SEWER ROCK 2' EFFECTIVE SEWER ROCK 2' EFFECTIVE SEWER ROCK 2' EFFECTIVE SEWER ROCK GWT @ 68.3' (6/8/17)
B.O.H 61.3'
SCHEMATIC ELEVATION - SCALE: NTS
C&M ENGINEERING SERVICES
907-854-5558
LEGAL DESCRIPTION: T14N R1W SEC 16 N1/2 SW 1/4
OWNER: GLAUSER DATE:10/28/18 1 REV: 11 DRAWN: CB I REF:
SEPTIC RECORD DRAWING
Certified Drilling Log
R DOC CO dba
BILL 8, COLE
0-W.9►ULLIVAN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Chad Glauser
ADDRESS:
LEGAL DESCRIPTION T14N R1W Sec 16 N2SW4
DATE: 8-2-18
PERMIT NUMBER: OSP171182 DATE OF ISSUE: 8-4-17
TAX IDENTIFICATION NUMBER 05035319000
Is well located at approved permit location: ®Yes [-]No
Method of Drilling: ®air rotary ❑cable tool
Depth of Well: 98'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 94 feet
Liner type
Static Water Level: 84 feet
Recovery Rate 4 ® gpm ❑ gph
Method of Testing Air
Well Intake Opening Type: ® open end ❑open hole
❑ Screened Start feet Stopped
❑ Perforations Start feet Stopped
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
Coliform b m
Nitrates
Arsenic U - ug S 1-6
Bore Hole Data
Depth
From To
0 2
2 4
4 16
16 21
21 36
36 80
80 87
87 95
•
Casing Stickup
Overburden
Silty Sand & Gravel
Silt & Sand
Silty Sand & Gravel
Tight Silt & Sand
Silty Sand & Gravel Damp
Sand & Gravel Tight w/ Water
Clay
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.
Well Drilling Permit Number: SW OSP171182
Parcel Identification Number: 05035319000
Date of Issue 8-4-17
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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"°""'`oMUNICIPALITY OF ANCHORAGE
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On-Site Water& Wastewater Program
JK
•
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.org/onsite r ,
1)LIfartmy!)t
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On-Site Water & Wastewater System Permit
Permit Number: OSP171182 Effective Date: 8/4/2017
Work Type: WellSeptic Initial Expiration Date: 8/4/2018
Tax Code Number: 05035319000
Site Legal Address: T14N R1W SEC 16 N2SW4 G:0157
Site Mailing Address:
Owner: GLAUSER CHAD Lot Size in Sq Ft: 3484800
Design Engineer: C & M Engineering Total Bedrooms: 5
This permit is for the construction of:
Il Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy D Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: The existing well is to be decommissioned.
Received By: / l Date: //
Issued By: 'a Date:Date: 014.117
MUNICIPALITY OF ANCHORAGE
Community Development Department 4.0Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. OSv 27 53- t f
Property owner(s) L F!A) Day phone u0 6 LI
Mailing address
Site address /-'D''C
Legal description (Sub'd., Block & Lot) ' ` /
Legal description (Township, Range & Section) ( )11 )LA l[' /Ulm saAff
Lot Size W A-Lrz Sq. Ft. Number of Bedrooms S
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(El all that apply)
Absorption Field g Initial Single Family (SF) Es:
(wive ADU)
Septic Tank Upgrade ❑
Duplex (D) ❑
Holding Tank ❑ Re ewal
�,!. ❑ Multiple Dwellings El❑ (SF and/or D)
Private Well �' •' "
Water Storage a( 1JUJ11i 1THIS APPLICATION INCLUDES A 1 4 lACE 1 W VER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Sign- ire of property own-er or authorized agent)
Permit/Rush Fees: ' Y4.1 Waiver Fees: #2. 16-
Date of Payment: 9-ii//0" Date of Payment: 0/(07
Receipt Number: Receipt Number: CC? 191 V
Permit No. Os P/?//)7, Waiver No. OS V /7 /07 S
Permit App_9-1-12.doc
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water& Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System T14N R1W SEC 16 N1/2 SW1/4
Dear Reviewer,
The above referenced property is currently vacant and the owner plans to develop the lot and construct a
new 3 bedroom home with a 2 bedroom garage (adu) served by onsite water and wastewater utilities.
The garage may be constructed prior to the home.
We are requesting approval to install a well, septic tank, and leachfield. The owner may construct the
primary, reserve, or both systems under this permit.
We are proposing to install a new 1500 gallon tank, and a new 5 bedroom shallow trench system.
Replacement leachfield sites are also shown.
The soils are a clayey sand material. TH-1 1&2 were excavated on 6/11/17, C&M Engineering logged the
soils on 6/12/17. The soils were observed to be partially frozen at the test hole locations and the upper
strata was saturated. The partially frozen soils were in the final stages of melting out, releasing excess
water into the underlying soils. A distinct ice lense was not observed. It is believed that the early to mid
June water levels represent seasonal high groundwater conditions for this lot for the following
reasons: 1. 2016 groundwater readings at other testholes on the lot show groundwater readings peak in
June (readings described below). 2. The partially frozen soils and saturated upper soil layers show that
the local groundwater was peaking during the time of test hole excavation. 3. The lot sits low in the valley
causing it to receive direct sun later in the year, and likely colder winter temps than other areas, this delay
causes spring melting to occur later in the year.
A nearby testhole on the property, which was excavated in 2015 (shown as TH-REF on the area plan)
had the following groundwater readings: 9' (7/2015), dry (11/2015), 9.5 (5/15/2016), 8.5 (6/2016), 9.8
(7/2016). It has been recognized that the 2015/2016 seasons may have exhibited below average
magnitude groundwater readings, this data shows the seasonal fluctuations appear to lag behind the
assumed May seasonal high groundwater conditions. We believe using the actual data for this lot is
appropriate for the design and installation of the proposed septic system.
The location of the septic system is near a steep slope , based on surveyed contours. The slope will be
graded to a maximum of 25% at the leach field location and within 50' of the lower leachfield. System "A"
as shown on the plans, is within 50' of a steep slope ranging between 25% and 30%. We are requesting a
waiver of the separation distance. Fill will be added such that the slope downhill of the septic system will
not exceed 25% until a point 35° below the lowest leach field as shown on the included cross section. The
cross section shows the typical slope waiver conditions. System B does not appear to require a waiver,
though a cross section is provided. The leach field is located near the steep slope for the following
41>ofIE f� t-E yt sem,
reasons: 1. To keep it from being impacted by vehicle traffic, parking, storage, etc that could occur in the
flat part of the lot. 2. Sufficient drop to the tank and leach field would not be possible due to groundwater
table and the desired location of the septic. 3. The steep slope is about 25-30%, which is at the low end
of the range for a steep slope. 4. The flat area of the lot may be in an area identified as wetlands, though
no surface water was observed, placing the systems as designed ensures no conflict with potential
wetlands. 5. Approval of the waiver is unlikely to significantly impact the health or safety of the occupants
or environment.
Included with this letter is a permit application and design package, including plans, specifications,
calculations, and soils logs.
The installation of the proposed septic system will not adversely impact adjacent lots, which are currently
undeveloped. Changes to drainage patterns are not anticipated.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5558 or by email :_gbalzarini@gmail.com with any questions or concerns.
Sincerely, �e��%OF 44
Charles Balzarini, PE _• 1
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44 . Arles G Ball •.....•
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CBM ENGINEERING SERVICES
Ph: 907-854-5558
SPECIFICATIONS FOR ONSITE SEPTIC SYSTEM - MOA CERTIFIED INSTALLER
LEGAL. T14N R1W SEC 16 N112 SW1/4
JULY, 2017
A. GENERAL
1. The septic design is for a 2 bedroom garage and 3 bedroom single family
residence only.
2. The site plan and drawings shall be a part of this specification.
3. The Wastewater system shall be installed by a certified installer in accordance with
moa requirements. All materials and workmanship shall meet the Municipality of
Anchorage's. and the State Department of Environmental Conservation
requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field
by the engineer. The engineer shall perform percolation tests and groundwater
monitoring prior to finalizing design.
5. All excavations and depths are advisory and are to be verified in the field by the
contractor to meet Municipality of Anchorage. Department of Environment of
Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements. A
licensed surveyor should locate all nearby lot lines, easements, exact 100' radius
from the existing and neighboring on-site wells, and any nearby surface water.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. Any remaining open test hole excavations shall be filled and monitor tube removed,
after construction of the drainfield.
9. The contractor shall provide the engineer with adequate notice to perform
inspections.
10. Insulate the sewer line if it passes under the driveway or parking area. with a
minimum of 2" extruded board insulation, rated for burial, and on the moa approved
list.
B SEPTIC TANK
1 . Septic tank shall be a fiberglass or steel, 1500-gallon capacity tank of MOA
approved construction. Installed to meet MOA requirements.
2. Install a foundation cleanout within 5' of the foundation.
3. A combination of soil and 2" minimum of insulation shall be placed over the tank, to
prevent ponding and promote drainage. The insulation shall be rated for burial
and meet moa requirements.
C. DRAINFIELD
1. The Drainfield is to be located as shown on the site plan. Notify Engineer of any
changed site conditions.
2. The total depth of the initial drainfield excavation is to be at maximum 5' deep from
original grade. Bottom of excavation shall be level +/- 1.5" max. If bedrock or
inconsistent soils are encountered, notify the engineer immediately.
3. In the event of over-excavation, a moa filter sand shall be used to maintain the 4'
separation distance from the bottom of each trench to the seasonal high
groundwater level.
4. A 2 foot effective layer of sewer rock is to be placed in the each trench. The effluent
piping is to be set on top of this layer, buried with sewer rock, with 2" of sewer rock
cover over the piping.
5. The Distribution pipe shall be 4" sch. 40 pvc pipe conforming to ASTM D3034.holes
shall be placed facing down.
6. The complete Drainfield gravel and piping is to be covered with a geotextile filter
fabric.
7. Soil or combination of soil and extruded board insulation to a depth of 4' or
equivalent is to be placed over the drainfield. Mounded side slopes shall not to
exceed 3:1. The minimum insulation thickness shall be 2". Insulation shall be moa
approved and rated for burial.
8. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200' to any community well.
Design Summary SYSTEM A:
MAX Excavation Depth: 4'
Gravel Depth: 2' under distribution pipe, 2" over pipe.
Drainfield Length: 240' (4@60) Drainfield Width: 5'
Soil Rating: 0.45 gpd/sqft System Capacity: 5 Bedrooms
Design Summary SYSTEM B:
MAX Excavation Depth: 6'
Gravel Depth: 4' under distribution pipe, 2" over pipe.
Drainfield Length: 128' (2@64) Drainfield Width: 5'
Soil Rating: 0.6 gpd/sqft System Capacity: 5 Bedrooms
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C&M ENGINEERING SERVICES
907-854-5558
Septic Design Calculations
Residence: T1SN R1W SEC 16 N1/2 SW1/4
RESIDENCE/LOT INFO
number of bedrooms 5 br
Water usage/bedroom 150 gpd/br
Water Usage /50 gpd
DRAINFIELD '
system type: Conventional
type: Shallow Trench
Application Rate 0.45 gpd/sqft
required absorption area 1666.66667 sqft
trench width (W) 5 ft
gravel depth (D) 2 ft below distribution pipe
Shallow Trench Factor 0.7
Min Required Length: 234 ft (Shallow trench factor * Required
absorption area 1W)
Total Excavation Depth: See cross section
Cover: 3 ft min
Insulation: 2" blueboard
Use Length: 240 ft
Effluent Pipe: 4" ASTM 3034
Design Summary
System type: Conventional
Tank: 1500 gal
New Drainfield: (4)5'X60'X2' W'xL'xD' shallow trench
Total absorption area: 1700 sqft
See cross section prior to excavating
Calc By: CGB Date: 7/20/2017
oF q•4 ,r�
,„ . 4 91" •v
............. .. _ .... ...0
•rtes G. Ba arini ''
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C&M ENGINEERING SERVICES
907-854-5558
Septic Design Calculations
Residence: T15N RiW SEC 16 N1/2 SW1/4
RESIDENCE/LOT INFO
number of bedrooms 5 hr
Water usage/bedroom 150 kpd;br
Water Usage 750 gpd
DRAINFIELD
system type: Conventional
type: Shallow Trench
Application Rate 0.6 gpd/sqft
required absorption area 1250 sqft
trench width (W) 5 ft
gravel depth (D) 4 ft below distribution pipe
Shallow Trench Factor 0.5
Min Required Length: 125 ft (Shallow trench factor * Required
absorption area/W)
Total Excavation Depth: See cross section
Cover: 3 ft min
Insulation: 2" blueboard
Use Length: 128 ft
Effluent Pipe: 4" ASTM 3034
Design Summary
System type: Conventional
Tank: 1500 gal
New Drainfield: (2)5'X64'X4' W'xL'xD' shallow trench
Total absorption area: 1280 sqft
See cross section prior to excavating
Calc By: CGB Date: 7/20/2017
OF A 41
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1%,'DROFESS\3 'C
/4 =
/
DELINEATED
WETLANDS
BOUNDARY
/tioA-0446,s, kRI
PROPOSED
SEPTIC AREA
DRIVEWAY
TH-REF / \ �,
2015/2016
;
REFERENCE / II it ,b 1
TESTHOLE
-. II
PROPOSED WELL
' Y
1 i: ir
PROPOSED f
GARAGE
PROPOSED HOUSE
r LOT LINE
i
SCALE 1"=200'
LEGAL DESCRIPTION T14N R1W SEC 16 N1/2 SW1/4
C&M ENGINEERING SERVICES OWNER CHAD GLAUSER DATE 7/21117 REV I DRAWN CB REF
907-854-5558
AREA PLAN
_�\NNAN ,
NOTES: DELINEATED WETLANDS "\ .i - OF A` ki
1.THE SEPTIC SYSTEM IS GREATER THAN: BOUNDARY A` ^Is
100'FROM ANY PRIVATE WELLS 01. ••• � J•-171/
200'FROM ANY PUBLIC WELLS -* T •*`I
100'FROM ANY SURFACE WATER N / • •.
10'TO ANY PROPERTY LINE OR FOUNDATION
5'TO ANY TEST HOLES e
FUTURE .�
- - - 2 BR • • • ARLES G BALZARINF
GARAGE
�`1 ,e/p..,;;
cam•. CE-13854 . ��
\ • - h\PROFESSION.
•-• At -
MOA WETLANDS \,\\�t��
BOUNDARY
N„, ,________
/ \ EXISTING DRIVEWAY -_____
/ \
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O )
Jg
r 2'CONTOURS
/14..E I J
/oo
I
FUTURE SEWER
/ LINE
OPTIONAL DIVERTER IF
FUTURE -_____ 1500 GAL TANK BOTH SYSTEMS ARE TO
3 BR / 7•E INSTALLED.
HOME / EXISTIN / LL
TO BE ABAND• ,.
PER MOA RED'S
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LEACHFIELD
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5'x62'x4'EFF. .z / TH- 015
5'x60'x2'EFF
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/ ILOW SPLITTER �i
X TEST HOLE L
2'000NTOURS
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0.5% \SLOPE INDICATOR - ---'-- SURVEYING
PERC DURING ° ----
FIELD PE•C 30'TESTHOLE
SYSTEM A CONSTRUCTION / O� /i o ()URI G --N RADIUS -- i
� N CONSTRUCTION � -- N/
SYSTEM B -7 .,:-
_.l
` _ -- co
A
B % 50'OFFSET FROM LEACHFIELDV 50'OFFSET FROM LEACHFIELD
NOTE:THE DESIGN SHOWS TWO SYSTEMS ONE SHALL SERVE AS THE PRIMARY (for reference) M (for reference)
SYSTEM AND ONE SHALL SERVE AS THE RESERVE SYSTEM.THE OWNER MAY
ELLECT TO INSTALL BOTH SYSTEMS IN WHICH CASE A DIVERTER VALVE WILL
BE INSTALLED TO ALLOW SWITCHING BETWEEN THE PRIMARY OR RESERVE
-SYSTEMS.
SCALE: 1"=40'
LEGAL DESCRIPTION: T14N R1W SEC 16 N1/2 SW1/4
C&M ENGINEERING SERVICES OWNER:CHAD GLAUSER DATE:7/06/17 I REV: I DRAWN:CB REF:
907-854-5558
SITE PLAN
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SCALE: 1"= 15'
LEGAL DESCRIPTION:T14N R1W SEC 16 N1/2 5W1/4
C&M ENGINEERING SERVICES OWNER: CHAD GLAUSER I DATE:7/21/17 REV: I DRAWN:CBI REF:
907-854-5558
SECTION
'21•44:40® of 4444
Municipality of Anchorage ,', V: NEER' S g
Development Services Department c'.••• TFI.7,J': •,.F��p -�
•
Building Safety Division a� *r • 49 .
• �. On-Site Water and Wastewater Program 9••••• " /`�9
• 4700 Elmore Road so
P.O. Box 196650 Anchorage,AK 99507 -"- Arles`. :alzarini 5
www.ci.anchorage.ak.us
(907)343-7904 ®6%, CE-13854/'/`' .�
fry I 4'8<(:;;.•Z/747.• '�ct'
Soils Log - Percolation Test ., A ROFEEs�o, 4
Performed For: C 1-I 41> V til I u S t- Date Performed: 6)70117
Legal Description: I NA/,'t/ i. Ili+-/ SFC 1,(-, A✓\,/,25(,,..,V11 Township, Range,Section:
Slope Site Plan
Depth
ElI� .
_(Feet) t3 art C ,
2
•
3- i r. 9.t7, ,r
`n(C,6-/- 51 .
5- ; ,s
ril
6- , I
7-
8-
i,
WAS GROUND WATER q
9- t ENCOUNTERED? 7
S
10- IF YES,AT WHAT DEPTH? I C L
Depth to Water After a P
11- Monitoring? E
12- 4 Date:/ of/i7
13-
14- ( Reading Date Gross Time Net Time Depth to Water Net Drop
15- 1 h7'f(f7 ✓r 't'1 O 6 O
16- H 7, 6 :(7 i 8' 3 0 6- Wig ;/y
17- ?7 \ b% ` t/ 0 & 0
18- `t \ " 1D --( 3 5/ "
19- 5 j 6' 50 O 'o
PERCOLATION RATE LI (minutes/inch) PERC HOLE DIAMETER
ti �
TEST RUN BETWEEN LI FT AND 5 FT
COMMENTS +12?)C:4:;osa,ic.E0 LH R/3 J 5 �;- ) ; -0 i 517,
PERFORMED BY: C,c,/({-iJ fl(.r1 4`- 4 T I !",f f_5:�, tee= ?. .. " CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ///i'7/7
Municipality of Anchorage .?q_E'?$� :&s �Ob
Development Services Department ` -• ` 1- .5r-4',0
• Building Safety Division a :•
49• T• ��` „ 0�
• On-Site Water and Wastewater Program s /4,7,
.•--•-,• o
4700 Elmore Road ro'•-• / ,�
•••••.t. . — P.O.Box 196650 Anchorage,AK 99507 :�..�.:.. j�/
www.ci.anchorage.ak.us 4 �_T'-$G. BBlzarini o�c<,m
(V7)34e3.,-7904
n '
�.:C/s 13854
Soils Log - Percolation Test 4k�op r,N �..
_ rFE3SI� .
Performed For: fr }D 1-iv S[- - Date Performed: ,��1�/d`l/ �
Legal Description: -t- (Li A/ 'I kV S G ih,J c f.,/Y/I Township,Range, Section: /
Slope Site Plan
Depth Cf
�a /
(feet). no
77j ( Cf
1- Tor7 5oPC-• -Z.--.g:WGel'✓
2- CLrA-Y Y
3- 5 im
4-
5-
6- i ,
1
7- i
$ WAS GROUND WATER
9- i( ENCOUNTERED? y E5
I ! S
10- I, ! IF YES,AT WHAT DEPTH? f C7 L
Depth to Water After , P
11- I Monitoring? Cr E
12- /i Date: 01//7
13-
14- Reading Date Gross Time Net Time Depth to Water Net Drop
15- ( 6427/17 7 . 30 o O C7
•
16-.! : t}o �jO - [Vg ll�jb
17- 3 \ : C> l 0 G Co
18- ; C( \ , 3 I 30 i- robIUIh
19- 5 \ , 3)- 0 Imo./' O
20- / G :60L- �0 - Ml� v
PERCOLATION RATE 1-1-46 (minutes/inch) PERC HOLE DIAMETER itS .7
TEST RUN BETWEEN t,/, FT AND S FT
COMMENTS /-2{2 E 5UA (c E0 U 4. 1,,ov2 4 ? 2 To ( 5
PERFORMED BY: (4142-L .�Cj F7A 7AW7-7=- 1 CSI$ g-U :53)- 0 :"-CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 777/(7
'♦tt‘%r%11_
�� t
Municipality of Anchorage , : F Rrs '4% -*
Development Services Department •C.?.• , (,r •n- •
Building Safety Division * . 49 / •.Y
7• /
�r On Site Water and Wastewater Program /•���++..... wit, .* ,
f 4700 Elmore Road f 0
.�— P.O. Box 196650 Anchorage,AK 99507 ~Sy��'� '•'“•••••• 0
www.ci.anchorage.ak.us I cn,� ales G.Balzar� ��
�� . v�.
(907)343-7904 J+ '. CE.13854 �„-
Soils Log - Percolation Test �wili ESS P�
Performed For: DA-ev►T V1/1/c 1 E(J ''`` Date Performed: WO),
Legal Description: f 11 W/. RI ti, 5 FG lb �Y '!1Township, Range,Section:
Slope Site Plan
Depth
d$ 6 ' ir-nck T _ .
1 rrt 0,5
2- 1 it1 - f .
3- r-l4x"�4-`�
4- 5 a "/
5-
:-L,',1-1.-t LPRAt/a
6.
7- 1„/1 _ I
8-
WAS GROUND WATER A `
9- i ENCOUNTERED? /V0
y - s
10- 1� IF YES AT WHAT DEPTH? A.,./(94/E
Depth to Water Attar
11- P
Monitoring? A/O/t E
12- Date:t///j 7
13- t'
14- I Reading Date Gross Time Net Time Depth to Water Net Drop
15- - 1 7/09/ 6 ' 0 0 6 y 0
16- L =5d 30 7 - 54 i - 5'i
17- St” o o
4 7 : a3 30 7-9I k- fl
19- S 7.';4 0 6 - (9
20- C3 7. 5q 3D 7-411*• - t - ViCs
PERCOLATION RATE 3- 3 (minutes/inch) PERC HOLE DIAMETER 4':"7-
TEST
TEST RUN BETWEEN ii FT AND 5 FT
COMMENTS yR 5nAI[, 44 tact iRc-, •p T,D(� To 7-E-9 1
PERFORMED BY: C44c1-12 PERFORMED IN ACCORDANCE WITH ALL 3T�ATE AND MUNICIPAL GUIDELINES IN EFFECT O THIS DATE.TH DATES T T S/
Parcel I.D. 050 353 19
Certificate of On -Site Systems Approval
Expiration Date: J (:�_41 0l `( , of 0 a 0
1. GENERAL INFORMATION
Complete legal description T14N R1 W SEC.16 N 1/2 SW 1/4
Location (site address) 8900 SPRING STREET
Current property owner(s) CHAD GLAUSER
Mailing address
Day phone 4064980
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:
Private Well
0
Private Septic
0
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distan
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ q0
Date of Payment
i
Receipt Number
COSA# DSC 19 1 qq&
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation.
Name of Firm C&M ENGINEERING Phone 8545558
Address 20182 TULWAR
Engineer's Printed Name CHARLES BALZARINI Date 9/18/2019
6. DSD SIGNATURE
IV/ System #1 Approved for
System #2 Approved for
Disapproved
Conditional approval for
5 bedrooms
bedrooms
0law
F A�gStl�
49TH * /
% rkARLES G BAUARNI /
T���'F�,,•• CE -13854 .•����
�l%PROFE5S10� �.���
bedrooms, with the following stipulations:
`m
ro��:
�A_
V' v ^^
rrrrrri=n-r�
By: ��( 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 engineer's work.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
Nitrate Advisory
Arsenic Advisory
Other .
Legal Description:
T14N R1W SEC 16 N 1/2 SW 1/4
Parcel ID: 050 353 19
If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Well production at time of test 4 gpm
Date drilled 8/2/18
Water storage tank volume na gallons
Total depth 98 ft - --
-Well disinfected for coliform test? ❑ Yes ❑ No -
Cased to 94 ft
FOR Coliform bacteria is Negative
❑ Sanitary seal is functioning correctly
Nitrate ND mg/L ❑ Nitrate less than MRL (ND)
❑ Wires are properly protected
Arsenic ND ug/L___❑ Arsenic Jess than MRL (ND)
Casing height (above ground) +18 in.
Collected by C&M ENGINEERING
Date of flow test for COSA 8/2/18
Date of Sample 8/28/19
Static water level at beginning of test 84 ft.
Comments NEW WELL, NOT TESTED BY C&M ENGINEERING - VALUES FROM WELL LOG
B. TANK DATA
Age of tank(s) 2 years
Tank type/material STEEL
❑ Standpipes/foundation cleanout per record drawing
Date of pumping NEW NOT PUMPED
D. ABSORPTION FIELD DATA SHALLOW TRENCH
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Which system tested (date installed) 2017
Adequacy test date NA
❑ ALL staridpipes present per record drawing
Results ❑7 Pass For 5 bedrooms
Totalmeasured depth from grade 5.3 ft (max)
Fluid depth prior to test in
Measured.depth to pipe invert from grade 3.3 ft (min)
Water added gal
❑ N/A — pressurized field
New depth in
❑ Monitor tubes go to bottom of drainfield. If not, state
Elapsed time min
depth into effective
❑ Code -required soil cover over field
Final fluid depth in
❑ System presoaked
Absorption rate gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months) _
date of test)
Gallons introduced NA gallons
If yes, enter date
Comments/Deficiencies: SYSTEM IS NEW AND USE STARTED IN JULY OF 2019
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
F✓
Yes
if No
Septic Tank/Lift Station on Lot > 100'
Driveway/Parking > 0'
J❑ Yes if No, comment
Community Sewer Manhole/Cleanout >
100'
Yes
✓0 Yes
if No
ft
CHARLES G BALZARIUI
�$
Q Yes
if No
ft
Neighboring Tank > 100' QYes
if No
ft
Private Sewer/Septic Line >
25',/1Yes
if No
ft
Absorption Field on Lot > 100' ✓Yes
if No
ft
Holding Tank > 100'
0✓ Yes
if No
ft
Neighboring Absorption Fields > 100'
ft
Animal Containment > 50'
—
✓❑ Yes
if No
ft
F,(1 Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Q Yes
if No
ft
✓Q Yes
if No
ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
- -- -
Building Foundations > 10' ✓V Yes
if No
ft
Surface Water > 100'
Yes
if No
ft
Property Line > 5' RV Yes
if No
ft
Driveway/Parking > 0'
RYes
if No, comment
Absorption Field > 5' ✓v Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10' ✓0 Yes
if No
ft
Private Wells > 100'
✓V Yes
if No
ft
Water Service Line > 10' Q Yes
if No
ft
Community Wells > 200'
✓0 Yes
if No
ft
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
F✓
Yes
if No
ft
Driveway/Parking > 0'
J❑ Yes if No, comment
Property Line > 10'
0
Yes
if No
ft
Wells on Adjacent Lots:
CHARLES G BALZARIUI
�$
Water Main > 10'
Q
Yes
if No
ft
Private Wells > 100'✓Q
Yes if No ft
Water Service Line > 10'
✓❑
Yes
if No
ft
Community Wells > 200'✓0
Yes if No ft
Surface Water > 100'
✓�
Yes
if No
ft
F. ENGINEER'S COMMENTS
NEW SYSTEM, USE STARTED IN JULY 2019. HIGH WATER WAS ENCOUNTERED IN TRENCH #2.
APPEARS TO HAVE BEEN DUE TO GROUNDWATER INFILTRATING THROUGH GARAGE STUBOUT.
STUBOUT CAPPED AND WATER LEVEL VERIFIED AT APPROX. 2" IN ALL FIELDS. CAPS ADDED TO STANDPIPES.
G. ENGINEER'S CERTIFICATION
. of at gs���
� •
I certify that 1 have determined through field inspections and review
,,,^°'�'�� •'�.�• }�
�r
of Municipal records that the above systems are in conformance with
TH
MOA COSA guidelines in effect on this date. 09/16/19
/•'• • • • :•
�r •
CHARLES G BALZARIUI
�$
CE -13854 ••�`��®
F�PROFESSIO�P o
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COSA Checklist yellow sheet