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HomeMy WebLinkAboutPROSPECT HEIGHTS #4 BLK 2 LT 15Heights #4 x 'xai., (Rev 05/02/18) (`_ r + 0_b _ I, (1,1 S" r wcU Lo ca_� n. Municipality of Anchorage -t/e:� On -Site Water and Wastewater Section • (907) 343-7904 Page ' ON-SITE WASTEWATER INSPECTION REPORT 6� �ZZO ' Permit Number: OSP181344 PID Number: 015-132-48 Dwelling: K Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑® New ❑ Upgrade Name Leif & Emily Lunoe ABSORPTION FIELD ❑ Deep Trench 0 Wide Trench ❑ Bed ❑ Mound site Address 10330 Sidorof Lane ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 5 0.6 GPD/SF JTotal 6.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.0 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot 11.5+ Prospect Heights #4 2 15 Fill added above original grade Ft. Gravel length 2@65 Ft. Township Range Section Gravel width 2@ 5.0 Ft, Beds: Number n/a of Lines Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 1300 Ftz 2 8'+ Ft. Well 100'+ I 100'+ n/a( n/a 25'+ TANK © Septic E]S.T.E.P. El Holding El Other Manufacturer Anchorage Tank Capacity 1500 Gal. Surface Water 100'+ 100'+ n/a n/a Material Steel Number of compartments 2 Lot Line 5'+ 10'+ n/a n/a NA Foundation 10'+ 10'+ n/a n/a LIFT STATION Manufacturer n/a Capacity n/a Gal. Remarks see note on record drawing Alarm location n/a Electrical installed by n/a PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer Beek's Contracting Drainfield 3034 CO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 96.0 ft Inspectiones: 15' 10/2/19 10/2/19 Location and description 3`d 10/4/19 2nd a"' 2/5/2020 Bottom House @ Point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF A/�s��� Conditional Approval: p Date .� P,C .... ... ... • . 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BOX 1807 PALMER, AK 99645 ` OF AL \� 2/10/2020 RECORD DRAWING -` qS+ l PHONE (907) 745-8200 FAX (907) 745-8201 ��P• ' ��j�r SCALE - 60' PROSPECT HEIGHTS #4 82 L15 P.I.D. NO DRAWN ACP LEIF & EMILY LUNOE"Pannone / 015-132-48 SITE PLAN SITE: t�NCHORAIDOROK LANE �li1O�—PERMIT \\\i�.� 2 OF 2 Alpine Drilling 4 Enterprises Permit Number: 9SW 181344 Date of Issue: 10-3-18 Parcel Identification Number: 01513248000 Date Started: 1-30-99 Date Completed: 1-31- Is well located at approved permit location? x Yes ❑ No Legal Description: Prospect Heights #4 Block 2 Lot 15 Propert3. Owner Name & Address: Leif and Emily Lunoe 8540 Cormorant Cove Circle Anchorage, Alaska 99507 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Stick-up 0 gruvelly silt 2 bedrock 16 1420 185 WATER QUALITY TESTING Cook= I-1 , COU100ml- Nitrates N D ,_ L ArwMc I -A D — 9�11'aQao r 2 16 2.16 Method of Drilling x air rotary 1:1 cable tool Casing tyrpe: ,steel Wall Thickness:.250 inches Diameter: 6 inches Depth: 42.5 feet Liner "€ype: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from around level): 2: feet 220 Pumping level: 240 feet after 2 hours pumping 4 gpm Recov y Rate: 4 gpm Method of Testing: air li t `ijz' �Ml Well Intake Opening Type: ❑ Open End x Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite chins Volume: 4 b Ts Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? r Yes ❑ No 1Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling &, Errterpris•es PO Box 110496 Anchoraaqe AK 99511 ?/2 0 19 00:4 907-24 5-320 2 PLPINE DRILLING PAGE 01/01 MUNICIPALITY OF ANCHORAGE Development set-vic-es Dppartaler')t Fax: 907-343-7997 on -Site Water & MasteWater Se0011 pump installation Log 10 _03 .18 Well Drilling Pemilt Number: 181344 Date of — -- parcel identification Number,' 0 15 132.4 8 COD F370 -C -11C Lot fawner fame & Add mw - Legal Description L Nosper, Heights 1-1 15 Lalfan Lurloa pump 1pstplittion Date: Pump Intake Delith Below •y op yop of NA"ell Casing: 232 Net Goulds pump pump,-Nklodell 7HS! ptimp Size: Pitiess Adapter Barial depth:N/A ---- feet Pitle iss Adapter -Niamd'acturer's Name., N/A I pitless Adapter Imstalitr' N/A Well Disinfected Upon ComPleti0u? f,1 yes [) No ,dethod of Disinfection: Comments; PLEASE SAVE FOR COSH. pump Installer Nome: Company, Alpine Drilling & Enterprises r P.O. Box 110496 ,vfailing Address: Anchorage AK z. 00511 City: —111� st,t,, ID I. — jPr0vj(l1�,,pun,p,T o'at's of piu P Atte-atlou. The pump imWier shaj 10�, to c�-s�-site within 30 d� n instrAition. r= I Do I 1,11H 28 go .9l / / 5' 89, -C) , (C) Is 0 IV /V / i7 6„ lo Septic Lift �� Station 18. Culvert T '0 C t e ,5p tK 2 z 1-4J L 49.26' R 280.00' D 10*04'48" Gravel Pad LOT 15 (-v Aj 'J A' Tz SIP House Detail I "=50,1 2nd Story Overhang Ito, .01 2nd Story Overhang IPf- EASEMENT T 15' Side Setback �1'a'®�� A AWt N 89*49'32" W 155.52' (M).1 TH N 89*58'01 E 154.42' (R) f) T% 49- I T AWA NOTES MICHAEL J. HORNE.*,�, 1. Bearings and distances are record per referenced plat unless otherwise noted. LS -5318 2. Sufficient boundary evidence was recovered to establish the subject parcel on the ground. Not all AW controlling evidence is shown hereon. farl2oint Land 5ervice5,LL c LEGEND SURVEYING, MAPPING, LAND PLANNING, GIS Rebar Prop. Cor. 1 13 1 E. 76th Ave., Suite 10 1 Anchorage, Alaska 99518 Septic Vent farpointAK.com - (907) 522-7770 * 5urvey@farpointak.com Well ---- ASBUILT SURVEY OF: SURVEY CERTIFICATION: FARPOINT has conducted a physical ()-o Elec. Meter Lot 15, Block 2, Prospect Heights No. 4 survey of the subject property, the improvements situated©Gas Meter Subdivision, Plat No. 83-296 thereon are within the property lines as shown. Anchorage, Alaska EXCLUSION NOTES: It is the owners responsibility to determine PREPARED FOR: the existence of any easements, covenants, or restrictions which Leif Lunoe WORK ORDER No DATE: SCALE: ZONING: do not appear on the Plat used for this survey. NOTE: Under no Oct. 06, 2020 1 "=80' R9 —circumstances should any data hereon be used for construction 15192 —DRAWN: ICHECKED: GRID No: FB BOOK/PAGE: JMD I ME SW2541 154/02 or for the establishing of property lines, 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 Water & Wastewater System Permit Permit Number: OSP181344 Work Type: WellSeptic Initial Tax Code Number: 01513248000 Site Legal Address: PROSPECT HEIGHTS #4 BLK 2 LT 15 G:2541 Site Mailing Address: Owner: LUNOE LEIF C & EMILY C Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: �i»cilt Deharthnent 10/3/2018 10/3/2019 96014 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage 5 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 JL'D� � special Provisions: Two confirmation test holes shall be completed prior to construction to confirm separation to impermeables and seasonal high groundwater, as well as confirm percolation rate of the accepting soil strata. Construction can proceed at your own risk prior to the 7 -day groundwater reading. If results require a design change, construction shall stop pending On-site review and approval of a change order. Please submit stamped and signed soils logs with the inspection report. A� 01�0 &'wT .1hill Received Issued By: ACA &OIX Date: `DSC Date: 10 3 /JP 1zz MUNICIPALITY OF ANCHORAGE s Community Development Department 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. 015-132-48 Property owner(s) Leif & Emily Lunoe Day phone Mailing address 8540 Cormorant Cove Cir., Anchorage, AK 99507 Site address NSN Sidorof Drive Legal description (Sub'd., Block & Lot) Prospect Heights #4, Block 2, Lot 15 Legal description (Township, Range & Section) Lot Size 96,014 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Date of Payment: Absorption Field ❑X Initial 0 Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: _ -�-B �. Waiver Fees: Date of Payment: L? /'2 Date of Payment: Receipt Number: D6 /4t®67 Receipt Number: Permit No. 10 /,213 Waiver No. Permit App__- : . :c.• t r- • � r. -az � a. ,mss i; Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveC@oanenEak.com September 5, 2019 Subject: Prospect Heights #4, Block 2, Lot 15 Well and Septic System Install Permit Request Design Narrative This is a design narrative for a permit to install a new well and septic system to be issued for this property. The proposed systems will serve a proposed five bedroom (5) bedroom house. Currently the lot is undeveloped. There are no wells within 100' of the septic system and no septics within 100' of the well. 1. Soils. Three test holes were performed on this lot by Garness Engineering in September of 2012, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 14.5' below the surface in the test hole monitor tubes after the 7 day monitoring period. Bedrock was not encountered in the test holes. PES performed 2 test holes in May 2019 and groundwater was monitored for at least seven days. Groundwater was observed at a depth of 10' in May of 2019. Bedrock was not encountered in the test holes. Based on the results of the percolation tests and overall soils appearance; an application rate of 0.6 gallons/day/square feet was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography generally slopes from the east to the west in the area surrounding the septic system at approximately 25%. This system meets the provision of the code for steep slopes and there are no slopes exceeding 45% in the area. 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. -Mlaiiing: P.O. Boy: 100217, Anchorage, AK 99510-0217 Physical: 332 Fast Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 2/2-8211 CC) -#1 I/ X 1��� �L SEPTIC AREA (E)' ,• Q NTH -PES -1 5 TH 3 i y PRIMARY/RESERVE DRAIN FIELD (P) (2EA) 65LF x 5'W x 4.0'ED x 6.0'TD TH- ;' INSTALL CO AND MT AT EACH END CONNECT TO LATERAL AT MIDPOINT , TH-PES-2; / ' WELL (P) I 15008 SEPTIC TANK (P) INSTALL DCO AND FCO / INSTALL FLOW SPLITTER TH-1 Mi,r :5BR HOUSE (P) LOT 15/ ,o�„l,—`N ' i � W O�� ' SEPTIC AREA (E) DESIGN PARAMETERS UPGRADE SEPTIC SYSTEM ABBREVIATIONS NO. BEDROOM: 5(750 gpd) TH TEST HOLE TANK SIZE: 1500g (P) PROPOSED PERC RATE: 16-30 MPI (E) EXISTING SOIL RATING: 0.6 GPD/SF CO CLEAN OUT NO. AREA ROD: 1,250 SF MT MONITOR TUBE NO. SYS. TYPE: WIDE TRENCH 4.0' ED TYP TYPICAL RF: 0.50 MIN LENGTH: 125 LF W WATER LINE / USE: WELL RADIUS (2EA)65LFx5'Wx4.0' E.D., 6.0' TD TOTAL AREA: 1,300 SF NEW SEPTIC NOTES: �7ENG PAMONE ENG SVC LLC .��A� d\ oF Date CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE 272-8218 ,� '(� • • "' '4st� �yj+ 9/5/2019 Scale (907) FAX (907) 272-8211 ��GjP �� "=50' DRAWN BY: Cog TH � 1 . DRM PROSPECT HEIGHTS #4, BLOCK 2, LOT 15 "" "' '-' / 'Ponno P.I.D. NO 015-132-48 LEIF & EMILY. LUNOE Stev'e'n R. CE 8149 .��� %d% O. OSP18134 NSN SIDOROF DRIVE • ��11t�pRpFESS�oN���- PLAN ANCHORAGE, AK 995XX Sheet \\ ya 4 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 SEPTIC TANK AND SOIL ABSORPTION SYSTEM, INSTALL WELL. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 14.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14.5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED -LINE AS -BUILT DRAWINGS TO THE ENGINEER. THE RED -LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN -OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS -BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: TITLE: DATE: NOTES: PAM �T �T T Date CHANGE ORDER PAMONE ENG SVC, C' LLQ. '��\1 P.O. BOX 100217 ANCHORAGE, AK 99510 '(� OF A�gs�OO s/5/tot s Scale PHONE (907) 272-8218 FAX (907) 272-8211 ®�•• y j DRAWN BY:: 49 TH0� NTS DRM "' "" P.I.D. NO PROSPECT HEIGHTS #4, BLOCK 2, LOT 15 15-132-48 LEIF & EMILY LUNOE Steven R. Pannone% PERMIT NO. NSN SIDOROF DRIVE r�+�'c�' . CE 8149 �sd OSP181344 Aw PLAN ANCHORAGE, AK 995XX ��,1�FD''--SSIONP, Sheet PROFE2 OF 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 TEST HOLES I I OR I ORGANICS SM/SILTY SAND GM AND GRAVEL BOH DATE PERFORMED: 5/9/2019 SOILS LOG - PERCOLATION TEST SLOPE SITE PLAN' TH-PES-1 TH 3 � 1 TH TH- TH-PES-2. / TH-1 , WAS GROUND WATER SLOPE ENCOUNTERED? Y IF YES, AT WHAT DEPTH? -10.0' DEPTH TO WATER AFTER MONITORING? -10.0' DATE: 5/17/2019 DEPTH TO WATER AFTER MONITORING? -DRY DATE: 9/5/2019 TH X READING DATE CLOCK NETTIME WATERTIME LEVEL READING NETDROP 1 5/9/19 10:50 -- 6.58 - 2 11:20 30 MIN 7.83 1.25 3 11:20 - 6.58 --- 4 11:50 30 MIN 7.80 1.22 5 11:50 --- 6.58 -- 6 12:20 30 MIN 7.78 1.20 PEROLATION RATE _25 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by BEEKS CONTRACTING PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, 99510 PHONE 907) 272-8218 FAX 907 272-8211 ( �� �F A�gstl] /''GDP 'Fye+ 0 �.. • • • • • • • .* r�� Steven R. Pannone P 0 CE 8149 � ���??pF1Ss�i�� � to Dote 9/5/2019 CHANGE ORDER Scole DRAWN BY: PROSPECT HEIGHTS #4, BLOCK 2, LOT 15 LEIF &EMILY LUNGE NSN SIDOROF DRIVE ANCHORAGE, AK 995XX DRM P.I.D.TNO 015-132-48 PERMIT N0. OSP181344 SOILS LOG Sfiet 3OF 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 TEST HOLE 2 OR I ORGANICS SM/ SILTY SAND GM AND GRAVEL BOH DATE PERFORMED: 5/9/2019 SOILS LOG - PERCOLATION TEST WAS GROUND WATER SLOPE ENCOUNTERED? N IF YES, AT WHAT PANNONE ENG SVC LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 .�a���-�\ - ��i OF . 1 '�� ' ' ' ' 'qc4 �, ig�P �y�� �� ..... / S'te've'n 'R: Pannone r�tVON- CE 8149 � ,,1`c�Fo kss10N��� � l�®t ads Date 9/5/2019 CHANGE ORDER TH Scale NTS DEPTH? -DRY PROSPECT HEIGHTS #4,, BLOCK 2, LOT 15 LEIF & EMILY LUNOE NSN SIDOROF DRIVE ANCHORAGE, AK 995XX DRM P.I.D. NO 015-132-48 x PERMIT NO. OSP181344 SOILS LOG Sheet 3OF 4 DEPTH TO WATER AFTER MONITORING? -DRY DATE: 5/17/2019 DEPTH TO WATER AFTER CLOCK MATER MONITORING? -DRY READING DATE TIME NETTIME LEVEL NETDROP READING DATE: 9/5/2019 1 5/9/19 11:00 --- 5.45 --- 2 11:30 30 MIN 6.48 1.03 3 11:30 --- 5.45 --- 4 12:00 30 MIN 6.46 1.01 5 12:00 --- 5.45 6 12:30 30 MIN 6.45 1.00 PEROLATION RATE 30 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by BEEKS CONTRACTING PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 .�a���-�\ - ��i OF . 1 '�� ' ' ' ' 'qc4 �, ig�P �y�� �� ..... / S'te've'n 'R: Pannone r�tVON- CE 8149 � ,,1`c�Fo kss10N��� � l�®t ads Date 9/5/2019 CHANGE ORDER Scale NTS DRAWN BY: PROSPECT HEIGHTS #4,, BLOCK 2, LOT 15 LEIF & EMILY LUNOE NSN SIDOROF DRIVE ANCHORAGE, AK 995XX DRM P.I.D. NO 015-132-48 PERMIT NO. OSP181344 SOILS LOG Sheet 3OF 4 I - Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section -- Fax: 907-343-7997 Certificate of On -Site Systems Approva Parcel I.D. 01513248000 1. GENERAL INFORMATION Expiration Date: ;— C L/— Zd-z/ Complete legal description Prospect Heights #4 B2 L15 Location (site address) /I(D32 S�C'•C: o Current property owner(s) Leif LUnoe Day phone Mailing address Real estate agent 8540 Cormorant cove Anchorage, AK 99507 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 171 Private Septic Fx� Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: _ Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ X6.25 CC) UI f_-) Date of Payment i 0 —C( -Z L) Receipt Number COSA # 0_GC_W / 5 53 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MCA 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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE Date 2z%' lel' 511 P�� OF AC�s����� 9 TSH `� � •,� System #1 Approved for bedrooms Steveii .P_ Ponnone System #2 Approved for �Fc. CE 0149 .f�� bedrooms ,1- . �1 Disapproved Conditional approval for bedrooms, with the following stipt�K�CCI(rf��� ?OTY OF ON-SITE In o SAS -R AND m -litG�i' o PRO, /9 t^- Original Certificate Date: �©� 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 Checklist blue sheet Legal Description: Prospect Heights #4 B2 L15 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 1-30-2019 Total depth 246 ft Cased to 42.5 ft FEE Sanitary seal is functioning correctly Q Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA new Static water level at beginning of test 27 ft. Comments B. TANK DATA Age of tank(s) new years Tank type/material Measured operating fluid level in septic tank 0 Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA new wide trench Which system tested (date installed) 10!4/2020 ® ALL standpipes present per record drawing Total measured depth from grade 7.5 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field R Monitor tubes go to bottom of effective. If not, state depth into effective 0 Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: new System COSA Checklist yellow sheet Parcel ID: 01513248000 Structure served by this system 1 Well production at time of test 4gpm gpm Water storage tank volume gallons Well disinfected for coliform test? ❑✓ Yes ❑ No Q Coliform bacteria is Negative Nitrate mg/L Fiffl Nitrate less than MRL (ND) Arsenic ug/L © Arsenic less than MRL (ND) Collected by Pannone Engineering Date of Sample 1018/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date new Results ED Pass For 5 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' F,71 Yes Community Sewer Manhole/Cleanout > 100' M Yes if No ft 7 Yes if No Neighboring Tank > 100' F,71 Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No M Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' M✓ Yes if No ft 0 Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' ft ft ft ft ft ®✓ Yes if No ft Property Line > 5' F,71 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' El Yes if No ft Private Wells > 100' ✓� Yes if No. Water Main > 10' Q Yes if No ft Community Wells > 200' Q Yes if No_ Water Service Line > 10' FV -1 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' F✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' Q✓ Yes if No Water Service Line > 10' F✓ Yes if No ft Community Wells > 200' FZ Yes if No Surface Water > 100' ✓� Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION / certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet OF' Ak j kkk ,A.0 TH�1 16 inn .F. Pfannone i r CE 81 3.0 sr� • ... • <; law ft ft ft ft