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HomeMy WebLinkAboutCINERAMA TERRACE BLK 3 LT 12Onsite 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
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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
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1 \ r —
1 / • I
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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