HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 10 LT 2 Onsite File
Walter G
Pippel Addition
Block 10
Lot 2
#050 - 123 - 20
J NI ad ENGINRING
TING.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX(907)696-8111
December 8, 2006
Bill Reith, P.E.
Alaska Department of Environmental Conservation
555 Cordova
Anchorage, AK 99501
RE W.G. PIPPLE, BLOCK 10, LOT 2- WATER & WASTEWATER SYSTEM
Dear Bill,
Transmitted herewith is the documentation of the wastewater system
stem of
above referenced property. In conformance with 18 AAC 72, the on-the
wastewater system was designed and installed per the ADEC a site
and existing ADEC regulations and policies. pproved plans
The location of the on-site wastewater system, and other im roveme
shown on the attached as-built drawing. yaveP nts are
additional information, please contact mat 696-6111/FAX 69q6-81any 11.
or require
Respectfully submitted,
tD Engineering, Inc.
Kenneth
M. Duf
Attachments: ADEC Documentation of Construction
Wastewater As-Built
SGS Water Analysis
Date Received —--
STATE OF ALASKA
DEPARTMENT OF ENVIRONMENTAL CONSERVA'T'ION
DOCUMENTATION OF CONSTRUCTION
I.GENERAL INFORMATION —
Legal Description of the Location —--__,_—_ _
WALTER G. FIPPLE BLOCK 10 LOT 2 Submitted by: (Check one) —---
-- ---__� _ —--�-- 0 Certified Installer `--
0 Approved Homeowner
Applicant Name `�
ROYCE MARTIN ' `• peer
Onsite WastewaterSystem Serves: "`���
Mailing Address 0 Single Family, Number of Bedrooms
Pn BOX 773326
❑ Multi-Farm 12 Duplex ms 4
Number!le River,AK 99577 �`
1y.Number of Bedrooms ~-_____
0 Small Commercial Facility with Estimated
II.WATER SUPPLY SYSTEM — 1)esi.. flow of less than 500
SECTIONIS OPTIONAL GPD.
Beaute of Water and Containment(Check all that A
® We/1 Apply) Type of Water System
(Drilled or Drives) 0 Sorfacc(I t fy) 181
Treatment of Water(Check all that Apply)
0 Roof Catchment SF/a"Plex la None
❑ Chlorination
0 Filtration
❑ Holding Tank ❑ Other(!� 6') ❑ Public
L o. ❑ MineralWell Data Is the height of the well Removal
Is a san' ingmore than 12"above the ground? —
r y seal or well cap installed on the well y��-----
Is age directed aw {ro casing? ❑ No
]s weU a m or around the casing within a radius of 10 feet of the well casi El Yes 00 No
wire enclosed in conduit? Yes
0004 Depth of WO
(Feet) Static water level Yes II No
Date Drilled 89' (Feet) Yield(ffmrajlable)
55� 5 GPM Pump Rate(Ila►rarable)
on Distance from the Wel!Cas
to each of the followin:sources of contamination:
Sc.:dFToldi,:Tank on Lot ]00'+Feet
Sewer Lines on Lot 25'+Feet ��—
Closest •tic/Hol•'.: Tank on M Closest scent Lot Abso tion Area on Lot 100'+Feet
I00'+ SeLines on Ad'acent Lot
Closest Ed: of anAbso .;on Area onA.':. tLot
Indicate separation distance from toxic materials including fuel
and other . ,team teaks,Paints,lubricants 100'+Feet
lam: "': ,-, tide fitn:'cides or herbicides to well can'
Water Sam.le Taken b : ame KND En:•,- -'_ On Lot 50'+Feet
Tec. On Ad'acent Lot 30'+Feet
Address:20441 I'taani::., Blvd : e River Sampler is:
Water Saanple Resuh y AK 9957?
Attach Co ❑ Buyer
®Satisfacto Engineer
0 Ban
mtslRcconvnendations ❑Unsatisfacto
suhse. ntl dcvelo as a 4-bedroo proposed and registered(?W�p 218728)as a class C"well lye 0 Government Official
hn
an office building,but was
I cerci that the above information and that ,rovi —
Signa dad in Section IV is correct __ ----——
Aillk
TSPed/Ptinted Name Title — —
`"' t*'` � i, Kenneth M. Du
Date
Note: I. Thisr'►•¢!!!J! flus P.E. /CE-7116
Id be si: r4, bye Certified Installer,Professional Engineer,DEC staff
12/08/2006
2. 411 public .ter systems m st receive A DEC plan approval prior to construction. Se 1 ,ogrgC Q S�Qte°o Alas
for specific requ: • •nts.
f kir Drinking Water Regulations
III.WASTEWATER DISPOSAL — _
Le:: Desert•tion:W. G. PIPPLE BLOCK 10 LOT 2
Type of Wastewater System:
® Septic Tank with Conventional Soil Absorption System
0 Package Treatment Plant(requires engineered design)
El Holding Tank: Materia]Type:
--��— Size in Gallons:
0 Other-Specify Type - -- — Manufacturer.
0 Small Commercial System(<500 GPD)With Estimated Daily Wastewater Flow of:
Criteria Used to Estimate Daily Wastewater Quantity: Gallons Per Day(GPD)
I� NEW SYSTEM 0 REPAIR TO EXISTING SYSTEM — y_'_
Name of Installer Martin Construction Com an ertified Installer Installation Notification Date: ~~
System Installed: Dare Installed: 111"L7/2005
0 By a Registered Engineer —
■ •• •v Homeowner Ea With Inspectiona 8�
by Registered Engineer
attach co a of'L'roval letter 0 B a Certified
Installer/Installer Number•
Septic Tank:Material:
Manufacturer:
Steel Anchvrae Tank Sig`(Gallons) Number of Compartments:
Type of Soil Abso0 1,50 2
n System Ca Deep Tteneh _
❑ Shallow Trench 0 Seepage Pit ❑ Bed
0 Mound 0 Other S•. �
soil Classification:SP _
Soil Rating: 1.2 • ../s f Dimensions/size of Abso .don —
: Size of Distribution Rock:0.75-3" Area:32'x 2'x 8' ED/ 512
Percolation Test Resin --
tsThickne~ • ,th of Distribution Rock:8' ' ft
.Attach Copy of Report:
iNinetcs .- Percolation Test Performed by: Kenneth M.Inch: 1.82 S 1 . bedroom:125
Dutfus/KND Engineering,Inc.
List und co Ver in feet over •:c Tank *�'+ Percolation oat results must be sceled/si r,. are: _
Abso .tion Area:*4'+ -���
Cleanout Pi, Installed: Sewer •'. ;*4'+
Foundation Cleanout:Y
• 'c Tank Y
Indicate on front septic tank or absorptionMonitor Tubes:Y
area,whichever is closest,to all nearby:
Public drinking water svurms within 200 feet 200'+
Nearest water bodies see 18 Private drinking water sources within 100 feet: 100'+
AAC 72.02 t .):): 100'+
Se.: ,:on D' Lot line: 10'+.: + rs�nca from O -I t Sewer Lines to
Public D ' ' : Water Sources: 111Y+
'Son Private Distance from Bottom of Distribution Rock to Groundwater Table: $'+ Sources: 25'+
Se. .tion Distance from Abso an Bedrock: 6'+ `—
Coromenis/R Area to SI exceed'' 2 �+
econunendaticros: *Minimum
filter fabricRmmid cover with 2"insulation installed as neede
(I ypar 3401).Other materials: ASTM D3034,F810 d(DOW Chemical Co.St
Project was constructed per existing 18 MC 72 re Pipe and Fernco couplings, ymfaom HI(Blue Board))w/
subjecuently odnveloped as a existing
corn duplex regulations and ADEC polieics.Originally propos as an office building
uP per ADEC reviewed/permitted design. System installed 12' rad ee T
from original 6),but was
grade' see TH06-1.
1 . ' that the above information,and that .rovided in Section IV is correct: _
Sign:
�--�--
TYped/Printed Name Title e J
.R g Cert Na.,Inst.No.
NODate
Milk /
maighto •. kb Kenneth M. Duffus .
" ' r' dlnstaller,Professional Engineer,DEC StApprovedP.E.P /CE-7118 _
re. trahon n •er,and is Si. ::,those blocks need not be corn elated or en: nneeered submittals. ~-- 1 z/p$/200s
��� binned Homeowner. If engineering seal bears printed name,
------ __—moi— __
IV. DIAGRAM OF SYSTEM(S)
--_ --- —____
INSTRUCTIONS FOR DIAGRAM --"�--�
t In a plan view,locate and identify each of the following:
a)Well
e)Surface Water b)All Strictures
ch)Closest welter adjacent propertySurces of contamination g)Septic
rope Tank
9)Property line d)Soil Absorption System
j) Closest edge of an absorption field on adjacent property (include dimensions)
i)Closest septic tank on an adjacent property
2. Show distances between the well and each of the sources of contaminationteisted i and monitor tubes
3. Show distances between water bodies and each part of the onsite system listed In 1.
4. Jn a cross section view of the soil absorption area, Ilan listed in i.
a)aSss cover b)Absorption of n abso! Identify each Component and show the depth(thickness)of the following:
--- c)Water table d)Bedrock
--��__.—_—_------- ---- e)Discharge pipes
—_-___--_ 0 insulation
(SEE ATTACHED AS-BUILT DRAWINGS)
•• AS—BUILT - 1'STEM DETAILS/SITE
W.G. PIPPEL #1 BLOCKPLANADEC#4176
10, LOT 2
P1Q#050-123--20
eisrool loo
D .:::•:.:..:::1.(aoio....a' •
KiN 16.
:::: :.' ..:' :' 1 I
LOT 1 .... Sra-RY 8 k‘s
J" it Mt)OD
a1PLEX LOT 3
irl
(ew-BOTTOM a g
TH06- D . worlV C. !!
M ,�' Ito
:�i y
,
..._d_iii
p 1 COF--
500 GAL
'ENCH
AI STEEL ST
• _.•.:.
LOT 12 Ilpfrio
LOT 1
LOT 1, 0 40'
Lill
AC
GRAPHICS SCALE
99.79
SCALE:1 40'
A-C=17.17 00.
B-C=26.05 1 g
A-D--23.82 8
B-0=30.84
!± i!L
0 ' '' 9991 FINID GRApE F
hol2 4vi� � ( :;' :it:. ',..*4 .`'.,.:`•b:..•..;...,':..:, 94. 47.7i H
N .:�,. ..x,`-+• 'SEW'ER ROCg ''''""..r-"':.:'•;'-'
''" '� ,�. ,, •
95.5� t J •r. �� ;;•" ...--'r,r;=•;.,i 17
95.1 Li 86.8•) f( air
.40.111111:111111011k
__� _ =�a _ ,._..,• „ _ 86.8' �t
,r OF � ---- s,.r M,„�
� � SCALE NTS r.r"a'.n;�'u,�,►
/5 PREPARED FOR: 80.6 .�,
ABBREVIATIONS`��- ROYCE MARTIN
* /�. * P.O. BOX 773326 BOH = BOTTOM OF TESTHOLE
• EAGLE RIVER, AK. 99577 CO - CLEANOUT
ice! ` —� A / (907) 694-6819 MT MONITORING TUBE
'I� ( FCO = FOUNDATION
nEL0 BOOKS CLEANOUT
qmr OILPuTED: r
rye Al eow+o�ar \ �
} (-� � .- �# ‘.4)44:4. . ' Mit*�/ �► � r' K MTh ENGINEERING
'/ Ion• o,F«m KMD 20441 PTARMIGAN
/4141166:1\"116:441P.
git ssto��ti , DATE; 1 6 06 EAGLE RIVER BLVD.
_�� o*a AK 99577-8736
Nw0252
�:\wELL & SEPT}O - Flied
Ar-4°nu'04009.dwg .pe no.: 04009 .....,...:::,:•::�.::•:
BY Legol\Mr.C, Pipped Subd\BLOCK 400 2\O,Qp9.8 S 907 898-6111 FAX
Ax 9a7 etas-8111
D ENGINEERIN
20441 PTARMIGAN BLVD.
EAGLE RIVER,AK 99577--8736
SOILS TEST
Performed for: Ro ce Martin
Date Performed: 11!27!06
Project: W.G. Pi - -
el #1 lock 10 Lot 2
Depth
TEST HOLE # o6-oI
ORG- red/brown overburden SEE ATTACHE]? S
ITE
1- w/ organics FOR HOLE LOCATION PLAN
2-
Was Ground water encountered? NO
What depth? NA
4-
5-
6-
7
SP—w/ occasional cobbles to 3"
8-
9
10-
11-
12-
13-
I4-
15•
MATERIAL CONSIS'T'ENT W/ 44
16- OTHER DESIGN TESTHOLES I
of at ��
PREVIOUSLY SUBMITTED f4••••••••••••���tS�
17- •• '•.,f. +
ADDITIONAL SOIL
18- VERIFICATION
'"� � r N•••• *« .•
19-
B.O.H. ••. ,.r...
� Kenn� h M.0 us
20- ��`�'.•fi.• CE1•4:',...#
al
4►fit;EsslO r'�
e,Kcnnenthis date.th M.Duffus,certify that this test was performed accordance with all State and
effect
Municipal guidelines in
���Ltoy
SILL
=: PAGE al/e1
., fit Atittt
'
„..
by
000 Man
SULLIVAN WATER WELLS
P.O.110310,01)%CHUOIAlc ALASKA M7 . ,w .
tits\ExACLA __10 . : , IL . • , 1,
AMER OF
:ESLv 6r-;1'''.:§4.1c-__,J0
•'ff 1c-�0 _
c.r� . + IIPVPIV----'-----------"—irf.,r �r•r
'EMIT .._ Mal s 4 7 Y MN ---0-q)ra--"I/2'‘k----,: z ej a.-_
Daisy(issue._-_-- Nang
MC!DENTIRcKnobstaxessm______-______-_______ UM
s well bootedat ? ti No s`
eUhod Pinof Mery 'may a cable toolINI c .st
epthovwee_.. `9 FM �'� t►tf
ISbla�S r6: 4..�" t[It� M
,.,e :s has. alotliesk tfeflih—P1_____feet Mffli _...c.,i_ii& -,_.
nem ' - � 1r�~.
Ater Voltz___A., I .a, ._.___. —, MIEll
gang Slidalp +e+ tees
MOMRatio Water
haat -6' • ,---�.�.�.,.fit
MIN
leoover*Ai intake Openbitt"Wpm Ito• end Ct We flois MI. ---------
I Scgeeneq. Sizet__Aost Sloppod_____Feet min -------------------------------
i �
._e__:1_____.r rK 4butinvisiii t.___L2eLcit En
ea Disinfected ,Cm/Welton? 43N No NM
MhOCI s ME
tatiillEntr NM
NM -,.,—.___._.--...______----
• Iptiner "Me 134Me
EN I1ON.it b the responaglity of the property owner io sr l6mK a co of the
well log to the er aut *�Rt of Environmental of Helftonse &Fac n Services aild/Or ofEnv y Municipr.
M� Barp�,
V i
11• t� Municipality of Anchorage
i� On-Site Water and Wastewater Program a NOV (i 7 Z0 L-01(907) 343-7904 `s aF E T Y
Q
Certificate of On-Site Systems Approval li a 6 s , 9
Parcel I.D. 050-123-20 Expiration Date: ,D V t)0 I
1. GENERAL INFORMATION
Complete legal description Walter G Pippel Addition B10 L2
Location (site address) 17030 Park Place St
Current Property owner(s) Michael W. & Laurel C. Lindquist Day phone 907-242-4272
Mailing address 10319 Coville St Eagle River AK 99577
Real Estate Agent Day phone
2. TYPE OF DWELLING:
E Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: ;, d(r`''LL(,GL1 /Z{YV/ )t' Date: I yr Li
i ----/
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ 59. Waiver Fee $
Date of Payment UN f i ? Date of Payment
Receipt Number 66 O 53 D Receipt Number
COSA# 06C/ "/6- 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 Forge Engineering Phone 907-522-7773
Address 1399 W. 34th Ave. Suite 203 Anchorage, AK 99503
Engineer's Printed Name Benjamin Engineering Date 11/06/17
f 'Ea A
6. DSD SIGNATURE R1.P � i.
, 1t .
1System #1 Approved for ? bedrooms V'
System #2 Approved for bedrooms, sY
Disapproved 8' .Q ' 25U. /I
Conditional approval for bedrooms, with the following stipula :�`�4''
`�F6dF �
k•0111titAtt„
c'
ON-5 cn,
\NO:ER ON")
\NNS1 —vkiN
pROGRAA �=
By: Q,k)-CAVI R Ca ,.t .( 1 - (i rn fc Original Certificate Date: 1 H { 17
U I
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_f: c
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. Walter G Pippel Addition B10 L2 Parcel ID: 050-123-20
A. WELL DATA
Well type Private If A, B. or C provide PWSID# Well Log (Y/N) Y
Date completed 5/2004 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y
Total depth 92 ft. Cased to 92 ft. Casing height(above ground) 35 in.
FROM WELL LOG AT INSPECTION
Date of test 5/2004 10/31/17
Static water level 55 ft. 52 ft.
Well production 5 g.p.m. 4.8 g p m
WATER SAMPLE RESULTS:
Coliform ND colonies/100 mL Nitrate 1 .84 mg/L
Arsenic ND ug/L Date of sample: 10/24/17 Collected by: Forge Engineering
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 1 1/27/05
Tank size 1 500 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping 1/18/17 Pumper JR'S Pumping
C. ABSORPTION FIELD DATA
Date installed 11/27/05 Soil rating (g.p.d./ft2 or ft2/bdrm) 1 -2 System type Deep Trench
Length 32 ft. Width 2 ft. Gravel below pipe 8 ft.
Total depth 14.2 ft. Eff. absorption area 512 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 10/31/17 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test 15.5 in. Water added 755 gal. New depth 31 .5 in
Elapsed Time. 1440 min. Final fluid depth 1 5 in. Absorption rate >= 600 g.p.d.
N
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"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 7100'
Sewer/septic service line 725' Holding tank X75'
Animal containment areas 750 Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
5, 5'
Building foundation 7 Property line 7 Absorption field 75
Water main
>10' Water service line >10' Surface water >100'
Wells on adjacent lots 7100'
ABSORPTION FIELD ON LOT TO:
10' 10 10
' 7 '
Property line Building foundation Water main
Water Service line 710 Surface water 7100' Driveway, parking/vehicle storage >10'
Curtain drain None Noted Wells on adjacent lots 7100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION 3'w •- r s. .
I certify that l have determined through field inspections andL7: 9 y t1
review of Municipal records that the above systems are in
Miazz_illi 1.70conformance with MOA COSA guidelines in effect on this date. so
Ben amin En ineerin • > r
Engineer's Printed Name 1 Engineering 1 . t
11/06/17 %, Ci r' •'
Date
QtFnR
COSA brown sheet 10-10-12.doc
DocuSign Envelope ID.D0A44741-2A21-468F-A605-5D0B9CB92A27
PARK PLACE S i 1 ,EET
8
aisrooe' 1 oa.00
:-..1.0,1_2•-••:-.: iYELL
g r _ 40.3 •
,
` • 8 O
LOT 1 N SDE N . y.
id ■ DUPLD( LOT 3
B 25.2' 43' 4.7' 7 8
25.2` S
x N tv
NN to
4....;;:/3'
8.0' X5.9' •• S.0' XBS' _.r
DECK - DECK
4
to
try
r
SEPTIC
=ARC
MS
s 89"5770) 100.00
I I
LOT 12 I
1 LOT 11 I
I I Lor 10
I
r.1111dria tow
PLAT PLAN ASBUILT X SALE !' 30' '10/5/2017
_ mg NW2P►Djec{ No. 05-191
Lang & Associates, Inc. moo Daryl Avenue, Anotiorost , AJaska 09515-30444
Registered Land Surve ors 907 512-8479 Phone
y (907) 522-4825 Fax
i Mrotiy certify that ! haw surveyed the following described property: -1�`••' ... ',,
LOT 2. BLOCK 10.WALTER 0. PIPPLE SUBDIVISION
�i i,r
withinnge MOb�� District. Alaska, and that the improv }s ],•' 4gjb
wt Improvements Bra and do not encroach onto the wed thereon ahs •' :'*
nor npr�onthere othe �� �4 adjaasnt thereto h acGoon � Thereto, .,( ,. ...•
air+*rte on sold property no
asindicated , liner or rather visiblesurveyed i
... .
KE1VNkTN G.
Dated this the 4D�' r
Day of 0o�M,Atw� , 34,1.x, at Anchorage, Alaska t I ''...1.4
!S 02 -/
It 1r the ra '• . �•'"
of the owner to determine the exrrfen r� �p,,, ......
oovenents, or reeM ons which do nota of bd��rr eo ts. + \."1"411111*"
appear on the recorded subdivision plot. ����+•-