HomeMy WebLinkAboutPELENOR BLK 1 LT 5Onsite File
Pelenor
Block 1
Lot 5
#060-321-43
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page 1 oft
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211030 PID Number: 060-321-43
Dwelling: K Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 0 New ❑ Upgrade
Name
Ilya & Rebecca Shestakov
ABSORPTION FIELD
❑ Deep Trench MR] Wide Trench El Bed F-1 Mound
Site Address IRU,..7 ak-.
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
1.2 GPD/SF
9.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
5.0 Ft.
Gravel depth beneath pipe
4.0 Ft.
Subdivision Block Lot
Pelenor 1 5
Fill added above original grade
0.0 Ft.
Gravel length
58 Ft.
Township Range Section
Gravel width
5.0 Ft
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION DISTANCES
ToI
Septic
Absorption
Lift Station
Holding
I Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
I Field
I Tank
I Line
� Ftz
I
n/a Ft.
Well
100'+
I 100'+
I NA
! NA
25'+
TANK 9 Septic ElS.T.E.P. ❑ Holding [:1 Other
Manufacturer
GREER / Poly
Capacity
1250 Gal.
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
Lot Line I
.5'+
10'+
NA
I
I NA.
NA
HDPE
2-
j
Foundation.. (.
1.0'+ I
10`+1
NA (
N
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Groundbreakers
Drainfield 3034 Co/MT3034
Inspector Pannone Engineering Services, LLC
BENCH MARK (Assumed elevation) 680.5 ft
Inspdect
v 7/26/21 7/26/21
Location and description
es: 2nd
3'd 7/27/21 4th
Top of Foundation Wall
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
OF A�qs��
49 TH
--
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St�=.ver, �arn'nor �'
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Septic Syste
Approved Date�2/
SJ�..-
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Note: this approval oes not include well permit requirements.
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Certified Drilling Log
DOC CO dba
BILL 8c COLE
ULLIVAN WATER WELLS
eP
P.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Wirtanen
ADDRESS:
LEGAL DESCRIPTION Pelenor Block 1 Lot 5
DATE: 6-25-21
PERMIT NUMBER: OSP211030 DATE OF ISSUE: 2-11-21
TAX IDENTIFICATION NUMBER 06032143000
Is well located at approved permit location: ®Yes [—]No
Method of Drilling: ®air rotary ❑cable tool
Depth of Well: 320'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 44 feet
Liner type
Static Water Level: 20 feet
Recovery Rate 4 ® 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:
WMER QUALITY TE TING
r"
Cal/ 10011111-
Arstinic
i
O
Bore Hole Data
Depth
From To
0 2
2 4
4 10
10 43
43 80
80 132
132 190
190 249
249 282
282 320
Casing Stickup
Overburden
Fill
Silty Sand & Gravel
Bedrock Gray
Bedrock Green Hard
Bedrock Gray
Bedrock Green Hard
Bedrock Gray w/ Quartz
Bedrock Gray
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.
Q DOC CO dba
OPS GILL & COLE
ULLIVAN WATER WELLS
VIRO. Box 670269, Chugiak, AK 99567 688-2759
www.suilivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW OSP211030 Date of Issue 2-11-21
Parcel Identification Number: 06032143000
Legal Description
Pelenor Block 1 Lot 5
11 Pump Installation Date: 11-15-21
Pump Intake Depth Below Top of Well Casing: 310
Pump manufacturer's Name: F&W
11 Pump Model: TVS151OLT
() Pump Size: 1.5
11 Pitless Adapter Burial Depth: 10
Pitless Adapter Installer: Ground Breakers
Disinfected Upon Completion? ® yes ❑ no
Method of Disinfection: Chlorine 50 PPM
II Comments: Pitless Manufacturer: Martinson
Pump Installers Name: Sullivan Water Wells
Property Owner Name & Address
Wirtanen
feet
Z
feet
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
THIS SURVEY WAS PREPARED FOR WIRTANEN CONSTRUCTION, AND SHOULD
ONLY BE USED FOR A SINGLE PROPERTY ACTION. RE -USE OF THIS DRAWING
BY THE ORIGINAL CLIENT OR BY OTHERS, FOR ADDITIONAL USES AT A LATER
DATE WITHOUT EXPRESS WRITTEN CONSENT OF HANSON LAND SOLUTIONS IS
A VIOLATION OF FEDERAL COPYRIGHT LAW. UNLESS GROSS NEGLIGENCE IS
DISCOVERED, THE LIABILITY OF SAID SURVEYING COMPANY SHALL BE LIMITED
T6 THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF
THIS PRODUCT.
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(N74°45'W)
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(254.70')
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PELENOR
SUED/ VISION
(20'9--65)
RECOVERED ALUMINUM CAP ON %" REBAR
MEASURED DATA
1 ___
RECORD PER PLAT (2019-65)
PROPOSED WATER WELL
PEDESTAL, ELECTRIC
ELECTRIC TRANSFORMER BOX
METER, ELECTRIC
SEPTIC CLEANOUT
® BUILDING
GRAVEL DRIVEWAY
ASPHALT ROAD
13 POST
QMH MANHOLE (SEPTIC)
BERNARD
SUBLJ/ VISION
(71-193)
569 ° 57' 10 "{Y
(SB9°57'10"W)
w
(R=1155.24')
R=1155.05'
PEL ENOR
SUBD/ VISION
(2079-65)
'OTES
1. THE HEREON REPRESENTED SURVEY DOES
NOT CONSTITUTE A BOUNDARY SURVEY.
IT IS SUBJECT TO ANY INACCURACIES
THAT A SUBSEQUENT BOUNDARY SURVEY
MAY DISCLOSE.
2. INFORMATION PRESENTED HEREON IS A
REPRESENTATION OF VISIBLE
IMPROVEMENTS AND CONDITIONS PRESENT
_ AT THE TIME THE SURVEY WAS
PERFORTRAC I B 3. DIMENSI,ONSO"OBTAINABLEOCTOBER9 FROM1 THIS
DOCUMENT ARE LIMITED TO THOSE
BEARINGS AND GROUND DISTANCES
SPECIFICALLY LABELED HEREON. THE
/ \ DOCUMENT DOES NOT PURPORT TO
PRESENT A BASIS FOR SCALING TO
DIMENSIONS NOT LABELED HEREON.
4. THIS DOCUMENT IS NOT TO BE USED IN
250.01' \ SUPPORT OF ANY NEW CONSTRUCTION.
1 — 5. EASEMENTS, COVENANTS AND
! (250.00') I RESTRICTIONS NOT APPEARING ON THE
Lo
RECORDED SUBDIVISION PLAT MAY
M / EXIST. DETERMINATION OF THEIR
Ito EXISTENCE IS THE RESPONSIBILITY OF
45 O hj� THE OWNER.
d I`1— s `a 6. THIS SURVEY IVAS COMPLETED IN
o`O I ACCESS o Z / SUBSTANTIAL ACCORDANCE WITH ASPLS
(EASEMENT o MORTGAGE LOCATION SURVEY STANDARDS.
X2019 -65)F
,W, 25'
., I / DRA•1 NAGE
I / EASEMENT
=_=-- :'•� / / 2019-65)
5ACCESS 6
EASEMENT ;
(2019-65)
=: r
•A _ _ EASEMENT
(2019-65)
L=225-15'1- `- -
HANSON LAND SOLUTI
305 E. FIREWEED A
PALMER, ALASKA 991
(907)746-7738
BUSINESS LICENSE 'f
Q00000��p4
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�0 .p". HANN�SON:i
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°oo��SIONI,I���oo�
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AIR k Z -Y
I HEREBY CERTIFY
THAT THIS
DOCUMENT
REPRESENTS A
SURVEY MADE BY ME
OR UNDER MY DIRECI
SUPERVISION, OF
THE FOLLOWING
REAL PROPERTY:.
/.1% 5
9L 0c/ 1
PEL ENOR
S119,01VISION
PLA i 2019-65)
ANCHORAGE
RECORDING DISTRICT
-�- - ~ LOCATED WITHIN
NW4 SEC. .19
C) n T.14N. R.1W.
"' U SM, AK
7 20 0 40 60 80
111111 1 1 11
US SURVEY FEET
CONTAINING
1.01 ACRES
MORE OR LESS
SCALE:1 °=30' JOB: 21-160
DBN:ELF FILE:21-160 AB
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105.6'
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(R=1155.24')
R=1155.05'
PEL ENOR
SUBD/ VISION
(2079-65)
'OTES
1. THE HEREON REPRESENTED SURVEY DOES
NOT CONSTITUTE A BOUNDARY SURVEY.
IT IS SUBJECT TO ANY INACCURACIES
THAT A SUBSEQUENT BOUNDARY SURVEY
MAY DISCLOSE.
2. INFORMATION PRESENTED HEREON IS A
REPRESENTATION OF VISIBLE
IMPROVEMENTS AND CONDITIONS PRESENT
_ AT THE TIME THE SURVEY WAS
PERFORTRAC I B 3. DIMENSI,ONSO"OBTAINABLEOCTOBER9 FROM1 THIS
DOCUMENT ARE LIMITED TO THOSE
BEARINGS AND GROUND DISTANCES
SPECIFICALLY LABELED HEREON. THE
/ \ DOCUMENT DOES NOT PURPORT TO
PRESENT A BASIS FOR SCALING TO
DIMENSIONS NOT LABELED HEREON.
4. THIS DOCUMENT IS NOT TO BE USED IN
250.01' \ SUPPORT OF ANY NEW CONSTRUCTION.
1 — 5. EASEMENTS, COVENANTS AND
! (250.00') I RESTRICTIONS NOT APPEARING ON THE
Lo
RECORDED SUBDIVISION PLAT MAY
M / EXIST. DETERMINATION OF THEIR
Ito EXISTENCE IS THE RESPONSIBILITY OF
45 O hj� THE OWNER.
d I`1— s `a 6. THIS SURVEY IVAS COMPLETED IN
o`O I ACCESS o Z / SUBSTANTIAL ACCORDANCE WITH ASPLS
(EASEMENT o MORTGAGE LOCATION SURVEY STANDARDS.
X2019 -65)F
,W, 25'
., I / DRA•1 NAGE
I / EASEMENT
=_=-- :'•� / / 2019-65)
5ACCESS 6
EASEMENT ;
(2019-65)
=: r
•A _ _ EASEMENT
(2019-65)
L=225-15'1- `- -
HANSON LAND SOLUTI
305 E. FIREWEED A
PALMER, ALASKA 991
(907)746-7738
BUSINESS LICENSE 'f
Q00000��p4
-.,x'49"' �; •�
�0 .p". HANN�SON:i
s �JJ
O 312•
°oo��SIONI,I���oo�
�O�a000
AIR k Z -Y
I HEREBY CERTIFY
THAT THIS
DOCUMENT
REPRESENTS A
SURVEY MADE BY ME
OR UNDER MY DIRECI
SUPERVISION, OF
THE FOLLOWING
REAL PROPERTY:.
/.1% 5
9L 0c/ 1
PEL ENOR
S119,01VISION
PLA i 2019-65)
ANCHORAGE
RECORDING DISTRICT
-�- - ~ LOCATED WITHIN
NW4 SEC. .19
C) n T.14N. R.1W.
"' U SM, AK
7 20 0 40 60 80
111111 1 1 11
US SURVEY FEET
CONTAINING
1.01 ACRES
MORE OR LESS
SCALE:1 °=30' JOB: 21-160
DBN:ELF FILE:21-160 AB
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: OSP211030
Work Type: WellSeptic Initial
Tax Code Number: 06032143000
Site Legal Address: RELENOR BLK 1 LT 5 G:0254
Site Mailing Address:
Owner: SHESTAKOV ILYA & REBECCA
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
llc:partment
2/11/2021
2/11/2022
43826
Q Disposal Field Q Septic Tank ❑ Holding Tank- ❑ Privy Q 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
/Special Provisions: Two test holes are required to be done prior to the construction of the septic field.
1✓�/
struction may proceed at your own risk before the 7 day water monitoring is complete. Please submit
stamped and signed results with the As -built Inspection Report. If the results require a design change,
construction of the system will stop pending On -Site review and approval.
Received B)
Issued By:
GOeJes,9,,. pyl w
Date:
Date: / / l 2
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Far.: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 060-321-43
Property owner(s) Ilya & Rebecca Shestakov
Mailing address Po Box 111287 Anchorage, AK 99511
Site address NHN Bernard Drive
Day phone
Legal description (Sub'd., Block & Lot) Pelenor 131 L5
Legal description (Township, Range & Section)
Lot Size 43,826 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑x
Initial FX_1
Single Family (SF)
❑x
ADU)
Septic Tank
❑x
Upgrade F](w/wo
Duplex (D)
❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(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: AS2_0 Waiver Fees:
Date of Payment: 2 9 o2 O 2 1 Date of Payment:
Receipt Number: 00 1 3 (o G Receipt Number:
Permit No. 05 P Z I )0?O Waiver No.
Permit App_:- :- : .,:c:
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
2 June 2021
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. 0. Box 196650
Anchorage, Alaska 99519
Subject: Pelenor B1 L5
Well and Septic System Permit Request
Design Narrative
This is a design narrative for a permit to install a well and septic system on the subject property. The proposed installation will
serve a proposed five -bedroom (5) house. This lot and surrounding lots are currently undeveloped. Pelenor Subdivision will be
served by private wells and private on-site septic systems. Currently there are no wells with 100' of the proposed installation.
1. Soils:
A test hole was performed on this lot by Pannone Engineering Services on 5/22/2019, the soils log is attached. Groundwater
was observed at a depth of 6.5' below the ground surface on 5/29/2019. And one test hole was performed on this lot by
Pannone Engineering Services on 5/26/2021. Groundwater was not observed to a depth of 15' below the ground surface on
6/2/2021. Bedrock was not encountered during excavation of either test hole. Based this an application rate of 1.2 gpd/sf was
used.
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
4. Topography: See attached site plan for area topography.
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is
complete and no further comments are received from MoA On -Site Department, the note will be removed and "For
Construction" drawings will be issued.
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions or concerns, please contact me at 745-8200.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
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NOTES: P.ANNONE ENGSVC LLC (Cl. 1088) " REVISIONS DATE
CHANGE ORDER P.O. BOY, i807 PALM, AK 9645 _ 'qE OF, A(q'h, 6/10/2021
PHONE (907) 745-3200 FAX(907) 745-6201 �Cp ' S/� , REV 1: 6/15/2021 SCALE
1,. = 50'
PELENOR B1 L5 P.I.D. NO
DRAWN ACP ILYA & REBECCA SHESTAKOV = 060-32i-43
NHN BERNARD DRIVE c• Btu CE -8149 ��� �= PERHIT NO.
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NOTES:
PAP NONE ENG SVC
P.O. BOX 102954 ANCHORAGE,
LLC (C.1. 1088)
AR 99510
""`t t
='q6 O.F.ACg'III,
REVISIONS
DATE C
6/2/2021
CHANGE ORDER
rt7'
'
PHONE 907) 272-8218 FAX (907) 272_-8211
= ��? • ' sfy'h,
SCALE
:.... 4s
.. •.......
••• St— R. nnana ;
'�� ce-ails =
�, ••.=
NTS
PELENOR B1 L5
ILYA & REBECCA SHESTAKOV
NHN BERNARD DRIVE
P.I.D. No
060-341-43
DRAWN ACP
PERMIT NO.
OSPXXXXXX
SOIL LOG/ NOTES
EAGLE RIVER, AK
SHEET
t(,......••
2 OF 2
a
Ac
O A'"f
oy�o,I
�
K
�, zra
O
0
v
v�
�m
TH1905-05
RI TOPSOIL
1 —
2
3 BROWN SILTY
SM/GM SANDY
4 GRAVEL
5
6
29MAY1
7 =
8
9
10
11
BOH
DATE PERFORMED: 22MAY19
Gil
SOILS LOG — PERCOLATION TEST REVIEWED FOR CODE CC
SLOPE SITE PLN 211030, E6 l c n;
-4 I
s y,
—Lctt 5 4 \
43,826 sf
11 - 'z
�4e . 61
TEST
HOLE
WAS GROUND WATER
ENCOUNTERED? Y
IF YES, AT WHAT
DEPTH? -6.5-
DEPTH TO WATER AFTER
MONITORING? - 6.5 -
DATE: 29MAY19
READING DATE
NET TIME
WATER
LEVEL
READING
NET DROP
RATE
(MPI)
1 22MAY19
5.900"
—
2
6.6 MIN
11.900"
6,0"
1.1
3
5.900"
4
7.2 MIN
11.900"
6.0"
1.2
5
5.900"
6
7.2 MIN 1
11.900"
6.0"
1.2
COMMENTS: Test hole excavated by the homeowner.
j
SLOPE
TH 1
SOIL TEST RESULTSJANALYSIS
• PERCOLATION RATE 1.2 minlinch
(Hydrologic Soils Group: HSG A)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 3.0 FT AND 4.0 FT.
• TEST RUN FOR OVER AN HOUR, LAST
THREE READINGS PROVIDED.
PERFORMED BY: Joseph Lawendowski. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES:
PAM
ONE L'AT(^! STC, TLC
SOILS TEST FOR SUBDIVISON P,O, BOX 102954 ANCHORAGE, AK 99510
SIL `rte v 6, a2 3� . PHONE (907) 272-8218 FAX (907) 272-8211
PELENOR SUBDIVISION L10
SITE: NHN BERNARD RD
DRAWN JRL MICHAEL WIGHT & RACHEL CUMMINGS
SOILS LOGS 4201 O'MALLEY ROAD
ANCHORAGE, AK 99507
D.
•
06/02/2019
.PERMIT N0.
CE 8149 st 2380
V: 2019062
•"• �to'
040. 002
Client: Pannone Engineering Services
Project: Pellenor Lot,4s0
Date: June 10, 2021
G0�
Crotivther A.ssociales
Particle Size Distribution Table
(percent passing sieve size)
Sample Source
�?494/
LotAP« p6
Sieve Size
Percent Finer
Percent Finer
Percent Finer
Percent Finer
3 inch
100
1-1/2 inch
97
3/ inch
77
#4
51
#10
31
#40
7
#100
4
#200
3
0.02 nim
Classification
Gravelly Sand
(SP)
1632 Bellevue Circle / Anchorage, Alaska 99515
Telephone (907) 349-21981E mail.- crowther@aloska. net