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CINERAMA TERRACE BLK 3 LT 12
Onsite File v Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191156 PID Number: 020-541-18 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project:❑ New ❑ Upgrade Name KENT & LORI KALTENBACH ABSORPTION FIELD El Deep Trench 9 Wide Trench El Bed El Mound Site Address { ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SFJ 3.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.5 Ft. Gravel depth beneath pipe 1.5 Ft. Subdivision Block Lot CINERAMA TERRACE BLK 3 LT 12 Fill added above original grade 1 + Ft. Gravel length 59 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines 0 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 375 Ft2 1 Ft. Well 100'+ 100,+ 50'+ TANK Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCH TANK Capacity 1000 Gal. Surface Water 100'+ 100'+ Material Number of compartments Lot Line 10'+ *1'+ NA STEEL 2 Foundation 1 10,+1 10,+ LIFT STATION Manufacturer Capacity 1 Remarks * LOT LINE WAIVER REQUESTED Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Installer MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT 3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 108.3 ft InspectionIst 9-9-19 nd 9-9-19 Location and description GARAGE SLAB 3'd 4'" ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date R �— _ CID..e j„� ; �t44 • o e s e. o e e° e o e o. e o �� F” o o•oo.00 °so J MICHAEL N. Septic System L9011l ANDERSCN ; d�� 4 ... Approved 'kaw-,V Date `' •. Z ? Note: this approval does not include well permit requirements. (Kev Ub/U2/18) Permit No. OSP191156 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: CINERAMA TERRACE BLK 3 LT 12 MARK A B C01 15 22 CO2 57 37 TC01 65 43 TCO2 70 50 CO3 75 54 C04 78 56 CID 13 93 C 6 76 70 > THS) / / 1 X/ /CO3 \ X06 1 . TCO2 — _TCO1 CO2 0 BENCH, ARAGE SLAB 01 / DRIVEWAY \ I I I I i fhT ELL.." . I \\ // ASBUILT X SCALE: 1"=5C \ PID No.: 020-541-18 NEW 1250 GALLON STEEL TAN i I I I I 1 i — C� �,M` o101. OG 0 'NISH GRADE H ®i_ • �..♦♦ FILTER FABRIC B INSULATION .0 ORG ® "J • '.• y ® . 49 TH 1.250 . ...... „ GALLON T .8 98.5 98,5 GM � STEEL / TANK y 9® •::MICHAEL N. ANDERSON;® 1®®� No. CE 9469 • •�AVAV SEPTIC SECTION 91 ®®®®E\®®® N.T.S. DRY, NOV 2019 ® 1 Dec. 18, 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic and well permit (LOT LINE WAIVER) Legal: CINERAMA TERRACE BLK 3 LT 12 To Whom it may concern: a A 1 ZPll T2 -4(o213 This is a request for a lot line waiver for the leach field on the above referenced lot. This new system will not impact any of the neighboring properties. The separation distance to the neighboring septic is over 50 feet and will not impact this system or waiver. Sincerely '-' `' Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Certified Drilling Log R DOC CO dba BILL Sc COLE 0'W.9►ULLIVAN WATER WELLS el—P.O. Box 670269, Chugiak, AK 99567 6$$-2759 OWNER OF LAND: Kent & Lori Kaltenbach ADDRESS: 16241 Kings Way Drive Bore Hole Data Depth From To LEGAL DESCRIPTION Cinerama Terrace Block 3 Lot 12 DATE: 5-28-19 0 2 Casing Stickup PERMIT NUMBER: OSP191156 DATE OF ISSUE: 5-28-19 TAX IDENTIFICATION NUMBER 02054118000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 144' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 44 feet Liner type 100' of 4.5" PVC Static Water Level: 64 feet Recovery Rate 5 ® 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: 2 4 Overburden 4 12 Silty Sand & Gravel 12 17 Broken Bedrock 17 28 Bedrock Gray 28 51 Bedrock Brown 51 59 Bedrock Broken 59 102 Bedrock Brown 102 112 Bedrock Gray 112 127 Bedrock Brown 3 GPM 127 144 Bedrock Dark Gray 5 GPM WATER QUALBTY TESTING Coliform Iy-e.9�_ COI%100ML Nitrates a . I M91L Arsenic n U91 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 BILL 8. CQLE ULLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2759 www.suilivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW OSP191156 Date of Issue 5-28-19 Parcel Identification Number: 02054118000 Legal Description Cinerama Terrace Block 3 Lot 12 Pump Installation Date: 7-20-19 Pump Intake Depth Below Top of Well Casing: 130 Pump manufacturer's Name: F&W Pump Model: 4F11PO7301S Pump Size: 3/4 Pitless Adapter Burial Depth: 10 Pitless Adapter Installer: Mike Anderson Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson 11 Pump Installers Name: Sullivan Water Wells Property Owner Name & Address Kent & Lori Kaltenbach feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 1.s HOUSE DETAIL Scale: 1" = 30' A� 0, Lot 5 10' T&E EASEMENTS • • • Yil P7/5/I � MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program -ase% PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http:/lwww.muni.org/onsite „ Y L''21 f3 rLki I)ehar(ment On-Site Water & Wastewater System Permit Permit Number: OSP191156 Effective Date: 5/28/2019 Work Type: WellSeptic Initial Expiration Date: 5/27/2020 Tax Code Number: 02054118000 Site Legal Address: CINERAMA TERRACE BLK 3 LT 12 G:3241 Site Mailing Address: 16241 KING'S WAY DR, Anchorage Owner: KALTENBACH KENT & LORI Lot Size in Sq Ft: 106511 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 3 This permit is for the construction of: D Disposal Field 0 Septic Tank 0 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 By: d i 4 Date: /71(f Issued By: Va,4 Date: 5/Z...,647 • MUNICIPALITY OF ANCHORAGE 4;-) Development Services Department ( • 1 Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 020-541-18 Property owner(s) KENT & LORI Kaltenbach Day phone 7"166-- CgwC) Mailing address Site address 16241 KING'S WAY DR Anchorage Legal description (Sub'd., Block & Lot) CINERAMA TERRACE BLK 3 LT 12 Legal description (Township, Range & Section) Lot Size 106,511 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field 0 Initial 0 Single Family (SF) ❑ (w/wo ADU) Septic Tank 0 Upgrade ❑ 6 -x (D) ❑ Holding Tank ❑ Renewal • Pj ` >> ,,ti ultiple Dwellings El Privy El . . SF �•/or D) Q. Private Well VI Atra 4 'y4.v 4 Water Storage 111 a z e ti THIS APPLICATION INCLUDES A WAIVER REQUEST .8 L 9 s h Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. LIZ�/{— (Signature of property owner or authorized agent) Permit/Rush Fees: 7,9b Waiver Fees: Date of Payment: £413O/I9 Date of Payment: Receipt Number: it 1dg82 Receipt Number: Permit No. t35p/q 1 I5b Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc • April 25,2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage,Alaska 99519-6650 Fax 249-7847 Re: New septic and well permit Legal: CINERAMA TERRACE BLK 3 LT 12 To Whom it may concern: This is a request for a septic and well permit on the above referenced lot. A perc test was excavated by Pannone Engineering on the lot and found silty gravels(GM)the full depth of 9 feet with bedrock at 9 feet. No water was found during excavation or after the 7 day monitoring period. The new system is a simple gravity flow 3 bedroom system with 1.5 feet of effective depth. This new system will not impact any of the neighboring properties. The slope is less than 25 percent to the west,see the site plan. Sincerely mik_ Michael N. Anderson, P.E. 4661 Natrona Anch,Ak 99516 Ph 727-8864 DESIGN CRITERIA: ` MOUND OVER (TH#1) /_ GRADE 3 BDRM X 150 =450 GPDORG W ILTER FABRIC SOILS =450/1.2 = 375 GPD 1.5 _1.5 .� 4"0 PIPE 375 GA/5* .78 = 59' IIM II GM -3.0 SEWER ROCK 5.0' (1) TRENCH 3.0' DEEP 9 1.5' EFFECTIVE 5.0' WIDE BEDROCK AND DRY 7111118 59' LONG SEPTIC FIELD SECTION r SEPTIC PROPERTY LINE 4i ��// \SE`RTIC //� \\ 0 i y,----.YVE\L I �Q b��! WEL ,I II / / \\ � -.i r . . -// / ,/ \ %, \\ PROPOSED / / 1. �• \ / / DRAINAGE FIELD ♦\\ -.-- I ti /� .vi — // - - PROPOSED WELL `s� i/\\ // 1 / \ / • WELL 1)--- PROPOSED HOUSE \• / I I SEPTIC Septic Design Prepared for %400,11‘111%\% OF 44'44 KENT KALTENBACH •.•� •.•••••'....i 4. CINERAMA TERRACE, BLK 3 LOT 12 � S 49TH /\ * ♦• Anchorage, Alaska • • Michael N. AndersonP.E. DATE: 4/15/2019 1 •;MICHAEL N. ANDERSON. II ♦ No. C 946 a 4601 NATRONA AVE DRAWN: DJR ♦♦. ?- : ANCHORAGE,ALASKA 99516 ) .•••• 4• (907) 727-8864/FAX: (907) 345-1391 SCALE: 1"=200' ��g%ll";** /4 ©‘2".. 1 (— IC14-. IruS./ )C.-.- . PC4e af(r ( 4r..D lt"e0 4uiir I /.�,'• �,',1 r MT /--PROPERTY LINE f \ v•� /",' ITH#1 • • 7 i.. //� I S SA co __C 1 OpccQ0, MT UCO 1 PROPERTY LINE • Fij,T TCO TCO cDO,p 11 / Sz0. ,ye . PROPaS Dair SEPTIC TANK .' HOUSE ` . ` / '/ oRwS�P's \\ PROPOSED WELL 100'RADIUS 1 1 1 I ---- I 1 .r- . � . 11 /.. .. 1 �. 1 1 \ r — 1 / • I 1 // ?\ \ / / \ \ // / \ / / \ / \ \ / / / `\ / / `\ i .// 11 I \r � / 1 I I , I I I I 1 1 1 Septic Design Prepared for •s�iiiisim\4, KENT KALTENBACH •••P•••••'• OF A�'. S .! • CINERAMA TERRACE, BLK 3 LOT 12 :' ' 49TH /\ ': * '.• Anchorage, Alaska , i 0 i 0 • Michael N. Anderson, P.E. 1 ,MICHAEL N. ANDERSON;• DATE: 4/15/2019 �j dv... No. 9 69 4601 NATRONA AVE DRAWN: DJR .1 . S,Zf � ANCHORAGE, ALASKA 99516 1� 1 ••• (907) 727-8864/ FAX: (907) 345-1391 SCALE: 1"=50' 1����, *�•• SOILS LOG- PERCOLATION TEST TEST HOLE 1 SLOPE SITE PLAN OR/OL ORGANICS/ 1 ORGANIC SILTS \ 2 \ 3 / 'w 4 GM LOOSE SILTY \ 5 GRAVEL / '� 6 x TH it 7 I 8 1 4Z 9 I TH-1 ,`O BOH/BR h44, 10 l 4� �0 -12Q FR 12 Q"v0 J� 13 I WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES,AT WHAT TH 16 DEPTH? -DRY x 17 DEPTH TO WATER AFTER MONITORING? -DRY 18 DATE: 7/11/2018 WATER 19I READING DATE CLOCK NET TIME LEVEL NET DROP TIME READING DATE PERFORMED:07/03/2018 1 07/03/18 9:15 — 5.64 2 9:25 10 MIN 9.64 4.00 3 9:25 — 5.64 — 4 9:35 10 MIN 8.98 3.34 5 9:35 -- 5.64 -- 6 9:45 10 MIN 8.88 3.24 7 9:45 -- 5.64 — 8 9:55 10 MIN 8.86 3.22 PEROLATION RATE 3.1 (min/inch)PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 2 FT AND 3 FT COMMENTS:Test hole excavated by A+HOME SERVICES 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: `"""`‘1 PANNONE ENG SVC, LLC --�� OF, A(%I 7/17/2018Da P.O. BOX 102954 ANCHORAGE, AK 99510 =.\P..••"" '''::‘•52,1- , PHONE (907) 272-8218 FAX (907) 272-8211 �• �I ' 9 7,i Scale 49th �� i NTS • i P.I.D. NO CINERAMA TERRACE, BLOCK 3, LOT 12 ▪ STEVE PAaNONE 020-541-18 • s ^ PERMIT NO. ��‘0'.. CE-8149 �I - KINGS WAY 4,`P,c�... ` - ANCHORAGE, AK 99516 tiN ''••'-"'',�'5`--' Sheet SOILS LOG IIID ;;a"\�- 1 OF 1