HomeMy WebLinkAboutPENNINGTON PARK BLK 1 LT 8AOnsite File #020-181-55 `I \- V J/ V L/ I U! Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191373 PID Number: 020-181-55 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ® New ❑ Upgrade Name 5WITH6 LLC ABSORPTION FIELD ® Deep Trench El Wide Trench El Bed ❑ Mound Site Address ND 5550 E 172 AVE., ANCHORAGE, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 6 0.45 GPD/SF 12 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1 Ft. Gravel depth beneath pipe 11 Ft. Subdivision Block Lot PENNINGTON PARK 1 8A Fill added above original grade VARIES 1.67-3.92 +/- Ft. Gravel length 2 @ 50' 100 Ft. Township Range Section Gravel width 2 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 2,200 Ft2 2 22 Ft. Well 100'+ 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1500 & 1000 Gal. Surface Water 100'+ 100'+ Material HDPE Number of compartments 1 & 2 Lot Line 10'+ 10'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks N. EX set Campbell Martinson B-10XLF pitless at 10'+ below grade. Alarm location Electrical installed by Installer NORTHERN EXCAVATION PIPE MATERIAL House to tank 3034d a n k to 3034 Drainfield 3034 CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 151 10/1/2019 2nd 10/1/19 Location and description 3'd 10/2/19 4" 10/3/19 BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL or l� Conditional Approval: Date *. 49TH .....:*�� % • • • • • • • • • .. . Septic System r Curtis Huffman Approved - � CE 128991 ¢� �F��s ^I D-Zc� Date , • . �� TFC• 3/24/2020. •��G tltFOpROFESSIONA�.� Note: this approval does include i\ OFESSOW of well permit requirements. `I \- V J/ V L/ I U! PENNINGTON PARK BLOCK 1, LOT 8A Permit No. OSP991373•••• 10' UTILITY EASEMENT TH19-2 CAT III RESERVE 1 GPD/SF = 900SF+ H 50'L X 11'ED / C0� V I MT CO SPLIT. T CO1 J CO TH19-1 / I I SCALE, 1' = 30' 1000 -GAL S, , / 150 G L S,T. ❑ C❑ co B E MH D C FC 6BR RESIDENCE � A -C=14.1' B - C = 31.0' FCO MN CO CO CO-� A -D=19.2' gg,83 99.80 99.76 B - D = 3 7.8' INSULAMN 97.33 INsuLAnoN A -E=24.0' -E=42.4' 96.75 , 96.00B 95.8 1,500 -GALLON A - F= 3 5.8' SINGLE COMP. 1,000 -GALLON HDPE TANK HDPE TANK B -F=45.3' A -G=53.5' B -G=62.4' SEP77C SECTION A -H=86.5' SCALE, NTS B -H=94.5' A -I=75.8' B -I=95.4' PREPARED FOR: A -J=40.6' RICHARD HAYS B -J=66.5' 4711 SYDNEY PARK CIRCLE, A -K=27.5' ANCHORAGE, AK 99596 B -K=57.5' FIRST WATER CONSULTING 13030 SUES WA Y ANCHORAGE, AK 99516 907-350-9566 firstwcterAK@gmail.com PID No.: 020-181-55 DRIVE WELL CO MT CO 7119-1 RELA77W 99.68 98.83 FINAL GRADE 97.20 ORIG. GRADE /- M � )/- f 94.00 95.25 OC 96'5 FILTER FABRIC 1.0 ORG/OL f & INSUL 3 94.251994.25 SEWER ROCK GM/SM B3 25 FINAL GRADE 97.92 MT 95.67 00 FILTER FABRIC &1NSUL OG 1&0 3.00 93.00 76.00 BOH SEWER ROCK 8/23/19 8200 NO GRND.WTR. SUPPOR SER WCES• ' OF A.Llk wq `�� L -E H 9_ T DA TE.- 3/24/2020 '& rtis Huffman , SUR VEY.• R8 r CE 128991 DRA WN: FWCS cs 3/24/20 �' SCALE: 1 " = 30' %pzsstov; ' 06f25,`2019 61:15 967-345-0202 -LPINE DRILLING f APSE 62/02 Alpine Drilling . Enterprises Permit Number: #,SW191373373 Date of Issue: -30-2019 Parcel Identification Number: 02018?55000 Date Stai-ted, f0-2-19 flate Completed: l0-6-19 is well latched at approved Permit RNMiOn`I X Yea [] No Legal Description.: Pennington Peak Block 1 Lel 8A Froperq Owner Name & Address: Btirnyt3rcne;' Esther Family Trust Richard Ne-ys Borehole Data: Deptb (ft) Soii Type,11i.ckaess Ll,Water Strata Froth To stick -lip Organics & silt 81•are14' silt ,silt graVelly silt bedrock. 1-120 H2O 0 2 r -1 1c� 19 94 2 9 16 19 94 386 101 102 3%i2 36.1 WATER QUALITY �gTING Coliform a Coll100mL Nitrate$ _ i A;rsrn Method of Drilling x air rotary 0 cable triol Casing type: stool Wall Thickness: 2M0 inches )Dhanieter: 6 inches Depth: 92 feet Liner Type: f Diameter: —_ uichcs Depth: _ fee` Casing stickup above %roand: 2 feet-- ! Static water level (from ground .leve;): 93 feet romping level -380 feet after 611011rs punlPina 2,S gpta' Recoyery Rate: 2..5 gpr i Method ofTestiuair Ti Vel.l Intake Opening Type: L] Open Enc! x Open Hole II C Somened Start --, feet Stulslsed --- feet �j Perforations S*art _ fcet Stopped --- feet Grout Type! bentonite.er_tntrles �%olume: 2 bgs Pump: latake Depth _ teet P►rtnV size by brand Nance Well Dishifectted Upon connpletion? T. Yes ❑ No M[etb.od of Disinfection: chlorine lableas Conrngemts: i Well Driller. A0111e Drilling c`>: E17tOrl:rrses PO Box 110496 Anchorage AK995.11 U Ij / —.1 e i "!!S1'1 :zj. -) t IJU e— J4 IL — 0 "Ll—" ALFiNE lfi-ULLINU P96E 01/02 M 'gull NICIPALIT'Ve O%F ANCHORAGE De,jejopmert Services DepartmentRhone' 907-343-7904 Fax: 907--� On -Site, Water & Wastewater Seotion Pump Installation Log -b '191373 3019 Well DriDlug Permit lNum er: Date of fssue� 55 020181000 Parcel Identification Nitnibc-r: " Block Lo t xuropertv OwDer Manic & Address: I d�,er E�ster Family E=,state g LlihrgI ton Park 6A cio KarnaO R16180 Heys 11pen plimp justallation Date. 01 13 --IZ020 4 pump lutake Depth Below Top of Well Castfig: 370— feet Puinp;Nfanafhcturcr's Name,. Gouids Puny 'Model; 7HS1 0 Pump Size: I — hp Pitlens Adapter f;11V31f)CPth. NIA—fret Pitlen Adapter Nlanufacturoor'v Name: – N/A Pitless Adapter hastaller., N/A Well Disinfetted Upon Completion? )y?'i 0 No Method of Disinfection-. chlorine TabIets-__ Comniots, PLEASE SAVE FOR COSA. PUMP Installer Name: Aarow Pump & Well Service, LLC PO. Box 110496 Mailing Address. . - Chy., Anchorage State: AK _ ZIP: 99511 - t� -.- - —=� Attention.- The puillpamtaller shailpro-Vie'e �.t pump hlstallat'�011 log to On-site -xftbAn 30 'days of pump "111stalla"i"rn. Lr 611 co f3+ 1 ` } Chi r------------------------------ I - ! Q c `+ • w �Q�' p p d f F 1 _ � tv a 'x7 D Cu I # I I W 00 C) ml i I I 20.0 f r M C, OID Z Cl) Z D � cl) CD CO Uy CC 0 w�y 0 b JJ r. x 0 tj 0 rb' �• R 'CD`°��� 0 '••• y •f°s � m � rn " c°n ° 0,0 m AcCD 00�� A M m K CD CD 0 �p.-ptr K m co m'Cm M C*K W _0 w a 0 b� . D 7' om�m�0 CD m It maA�C�o' In b w rn � � ym `.� ar'd m m� C G -1 R p m 2my�o�m Vj A .7 r�A rn `gym° o � A p, CrJ 0 _N Cat 0 0 ` I 1 Ln ! �z E - I 1 # I ao*as 1 68.6 � CAI _ Hl X105 ��J J-S�11S SNS��Ib'W -�-- r �- � N 09 I D fTli zlC fTli 1N2VUSd3 All -UA ,OL r------------------------------ I - ! f F 1 I < I i M ! I # I I ml i I I 20.0 f � E 74 o00 f � _ CrJ 0 _N Cat 0 0 ` I 1 Ln ! �z E - I 1 # I ao*as 1 68.6 � CAI _ Hl X105 ��J J-S�11S SNS��Ib'W -�-- r �- � N 09 I D fTli zlC fTli 8/30/19 M UMCPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 020-181-55 Property owner(s) BUMGARDNER FAMILY TRUST Day phone 9075291196 Mailing address 5400 E 172ND AVE., ANCHORAGE, AK 99516 Site address NHN 172ND AVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) PENNINGTON PARK 131, L8A Legal description (Township, Range & Section) Lot Size 40850 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field © Initial ® Single Family (SF) (w/wo AD U) Septic Tank ® Upgrade ElDuplex (D) ElHolding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well FXJ Water Storage ❑ THIS APPLICATION INCLUDES A 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: 515-f d05 Waiver Fees: Date of Payment: ZM' Date of Payment: Receipt Number: O t Z� Receipt Number: Permit No. nsm ea-;� Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 August 22, 2019 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: NEW WELL & SEPTIC SYSTEM PERMIT LEGAL: PENNINGTON PARK B1, L8A We’ve been requested to obtain a new septic & well permit on the above referenced lot. We propose to install two deep trenches to serve the proposed 6-bedroom residence. The design is based on the recent test holes conducted on August 15, 2019. The slopes are moderate at 3-8% at the proposed septic location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191373, Rebecca Carroll, 08/30/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191373, Rebecca Carroll, 08/30/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191373, Rebecca Carroll, 08/30/19 Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 Fax 345 -1391 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: PENNINGTON PARK B1, L 8A PERFORMED BY: FWCS / MNA - I MIKE N. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 8/24/19 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 GM/SM 9 10 11 12 13 14 15 16 17 18 BOH 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 8/22/19 30 min 5 2/16” 14/16” 30 min 5 3/16” 13/16” 30 min 5 3/16” 13/16” PERCOLATION RATE 37 (MIN / INCH) TEST RUN BEWTWEEN 4 & 5 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 8/23/19 TESTHOLE # 19-1 DATE PERFORMED: 8/15/2019 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: RICHARD HAYS 8/24/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191373, Rebecca Carroll, 08/30/19 Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 Fax 345 -1391 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: PENNINGTON PARK B1, L 8A PERFORMED BY: FWCS / MNA - I MIKE N. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 8/24/19 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 GM/SM 9 10 11 12 13 14 15 16 17 18 BOH 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 8/22/19 30 min 4 14/16” 1 2/16” 30 min 4 13/16” 1 3/16” 30 min 4 14/16” 1 2/16” PERCOLATION RATE 28 (MIN / INCH) TEST RUN BEWTWEEN 4 & 5 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 8/23/19 TESTHOLE # 19-2 DATE PERFORMED: 8/15/2019 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: RICHARD HAYS 8/24/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191373, Rebecca Carroll, 08/30/19 ,MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 020-181-55 ANCHORAGE Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: 1 I - Z- 0 — zC92 CD Complete legal description PENNINGTON PARK BLOCK 1, LOT 8A Location (site address) 5550 EAST 172ND AVENUE, ANCHORAGE, AK 99516 Current property owner(s) 5WITH6 LLC Mailing address Real estate agent Day phone 4711 SYDNEY PARK CIRCLE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic 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 $ Date of Payment Receipt Number COSA# 0SC 26 ( yU.6 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 8/3/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FW[ 5 6. DSD SIGNATURE System #1 Approved for� bedrooms System #2 Approved for bedrooms Disapproved •r- g''49 i 9*� ... r • • • • Curtis Huffman CE 128991 •. ��`�� 20 li,_ ROFESOot� Conditional approval for bedrooms, with the following stipulations: Original Certificate Date:—N,-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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: PENNINGTON PARK BLOCK 1 LOT 8A Parcel ID: 020-181-55 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 10/6/2019 Total depth 364 ft r Cased to 99 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA * Static water level at beginning of test 93 ft. Well production at time of test 2.5 gpm Comments *NEW WELL B. TANK DATA Age of tank(s) NEW TANKS years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping * D. ABSORPTION FIELD DATA Which system tested (date installed) 10/1/2019 ® ALL standpipes present per record drawing Total measured depth from grade 13.7+ ft (max) Measured depth to pipe invert from grade 2.7+ ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field w/ INSULATION ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 1.58 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) EWES, Collected by t Date of Sample 7/8/2020 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: *NEW SYSTEM Adequacy test date NEW SYSTEM Results E Pass For 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) N If yes, enter date FWcs «: ,;u�- 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' ® Yes if No ft Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® 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' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® 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' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® 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. �. .. .......r Curtis Huffman CE 128991 ����F�FDp OFESSI N�X��� ft 111