HomeMy WebLinkAboutSHELL #2 LT 7Sh
II
Lot 7
#015-112-22
Municipality of Anchorage .~t,-r-~"-:
Development Services Department
Building Safety Division
OmSite Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519~6650 Page
www. cLanchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ~ c2"~ ~~ I PID Number: ~
A~r°i:ss: ~----~P~~, WastewaterSyst..._...~em: [~New I-]Upgrade
~ho.e: ABSORPTION FIELD
~ H ~ ~ ~' ~ Nuttier of l~edmonlS: ~Oe~p Trench 0 Shallow Trench 0 8ed n Mound El Other:
LEGAL DESCRIPTION so,~,.,: ~)' ~ GPO/Ft' TolalOep~fromodginalgrad,:
Well: [~New [] Upgrade S~v,~ ~,~,~: ~.. O
SEPARATION DISTANCES l~e¢c I-IHolding E]S,I.E.P, ~]Other:
T~ Septic Absorptior Lift Holding =ublic,/PrivateManufactum~. Capao~
Tank Field Statio, Ta,k SewerLine /~* c.(Q ~,lq I~ [2~'O OaL
S~,~,,eW,,~, /oo'.(.. 'oot./. ~ / LIFT STATION
Curtain Drain ~t/~j~ f ~/~. '~ ' / X Purr¢ Make & Model Elec~cal ,n~Dections Der formed by:
BENCH MARK
(~0
Engineer's Stamp
:. :...
2
Development Se~ices Department Approval -
~.,e'v!~ed and approved by: .. O. ~. ,,.~-~/~. ('"J 6 0.,~. Date: ~
Permit No. SW030471
DATE:~ 10/10/0~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Page 2 of 2
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone:
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: LOT 7, SHELL SUBDIVISION NO. 2
MA~K
C01
C02
TC01 /
TC02 /
C03
CO4 10/0/ WELL RAD,US---~
MT
C05 /
1,250 GALLON
SEPTIC
/
71 /
× / EXISTING
.. B HOUSE DRIVEWAY
!
WELL
LOT 7
LOT 6
ADJACENT
EXISTING WELL
HOUSE
PID No.: 015-122-22
RADiUS~\ ~' '-. ~. ~. ~ ~ / /
100' WELL x, As~OJL-']~- -- ~ ~
x,~ SCALE: 1"--40' -O'MALLEY ROAD-
MARK
DIRT
: ALPINE DRiLLiNG FAX NO. : ~07 ~ 0~02 S~p. 17 ~00~ 10:~AM Ri
unlc pahW of Ancho[age
~~1 Department of Health and Human Se~,ces
Mayor
Permit Number #SW 030471 Date of Issue: 1_%70-03
Date Started: 8'10-04 Date Completed:/..~_~.~_q~
Legal Description: .Shell # 2 Lot 7
Property Owner Name & Address: Spinnel/Hom~s
1900 Northern Lights B/vd, Ste 207
.Anchora~le, Alaska 99517
Borehole Data: Depth (fl)
Soil Tyl~, 'f~cJmess & Water Strata From To
stick-up 0 2
silt 2 15
gravelly silt 15 ' 35
silt cobbly gravel 35 70
cobbly gravel 70 92
silty sand 92 117
silty cobbly gravel 111 160
silt 160 173
b/dr 173 778
gravelly silt 178 180
silty cobbly gravel w/bldrs 180 227
gravelly sandy silt 227 251
silt 251 272
silty water sand & gravel
Parcel Identification Number:.,Ol& ~,,1,2-22
Is welt I°ca~ed fi~ aPProVed Bit location? [] Yea [] No
Method of Drilling [] air rotary
Casing type: steel
Wall Thickness: .250 inches
Diameter: 5 inche~ Depth: 27.5 feet
Liner Type:
Diameter: i~ches Depth: __ feet
Ca$l.~g ~fickuP above ground: _2 et~e~~
Static.water level (from ground(evel): 217 feet )
Pumping level: 275 feet afar
2 hours pumping _~ gpm
Recovery Rate: _8 gpm
Method of Testing: ,air lift
Well inta~ openi.g Type:
[] Open End [] Open Hole
[] Screened Start ,, feet Stopped feet
[] Perforations Start feet Stopped _
Grout Type: bentonite # 8 Volume:
D,ep, th: S.,tzqt~ ~2 feet Stopped 20 feet
Pump: Intake Depth feet
Pump size hp Brand Name _ ,
Well Dbinfeeted Upon Completion? [] Yes [] No
Method of Disinfection: _e_~lodne tablets
Alpine Ddlling & Enterprises
PO Box 110496
Anchorage Alaska 9951
Comments:
Well Driller:
[] ?able tool
Attention: The well driller shall provide a well lOg t° the property owner within 30 days of ~ompletion and the property
MUNICIPALITY OF ANCHORAGE
Development Services ~ep~tm~nt
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM /WATER SUPPLY PERMIT
Initial
Date Issued: Nov 10, 2003
Expiration Date: Nov 09, 2004
Permit Number: SW03047'1
Legal Description:
Design Engineer: 0088 Anderson Construction & Eng'g
Owner Name: Spinell Homes
Owner Address: 10720 WHIMBREL DRIVE
ANCHORAGE, AK 99507-
Parcel ID: 015-112-22
Site Address: 010720 WHIMBREL DR
Lot Size: 17981 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date: /////~ ~ / ~'/'~
Date: //
/ ,
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
wWW.ci.anchorage~ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parce
Permit Number SW O~O 4 7/
Property owner(s)
Mailing address (1).
Day phone
Mailing address (2). Zip Code
Legal description (Lot, Block & Sub'd.) ~-u' '~' 2~- '¢~/d ,,//
Legal description (Section, Township & Range) i O"'-~ ~ O
Lot SizeI~l q 91 /~¢__ ~,.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
[] Well Only []
Water Storage []
[] Jacuzzi []
[] Water Softening Unit []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family DWelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev, 12/00)
Date of Payment:
Receipt Number:
Michael N. Anderson, P.E.
Civil/Structural Engineering and Excavation
4640 Shoshoni Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
November 7, 2003
Municipality of Anchorage
Department of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Re: Lot 7 Shell No. #2 S/I)
To Whom It May Concem:
This is a request for a new septic and well permit for new construction by Spinell Homes. The pert was 40 minutes
per inch the same as lot 6 to the south however water was observed at I4 feet. The soil log consisted of the same
sandy silt SM as lot 6 for the complete depth. Water was observed only after 7 days at 14 feet. This could have been
due the severe rain we had at the time of the test hole excavation. Due to this water table a "Bottomless Sand
Filter" has been designed to remain above the water table and fit on the small space available. Due to the time
restriction to get the building permit, additional test holes will be excavated after the foundation is done to verify the
water table} which was not found on lot 6 directly to the south. If the water table can be revised this permit will be
changed to a conventional system if possible with resubmittal. The peru test was found to be 40 minutes the same
as lot 6.
The lot slopes gently to the north at about 2 to 5 percent. The new sand filter will be constructed in the south west
comer where the lot is very fiat. The lot is bordered by two streets and one driveway therefore this new system will
not encroach any neighboring lots for future development.
If you have any question please call me at 345-3377
Michael N. Anderson, P.E.
DES'ICH CRITERIA: , /~--MOUND OVER
4 BDRM X 150 = 600 GPD "--
SOILS = 600/2.0 = 300 SQ FT REQ'D o ~4°' ~ ~FiLTER FABRIC
18' X 20' = 360 SQ-~ ~
~1 u__u u uI
BED SYSTEM SM
3.0' DEEP - -
1.0 EFFECTIVE~ ~FILTER SAND SEE DETAIL SHEET
18.0' WIDE
20.0' LONG
-14' ~
-18' ~ TRENCH SECTION
N,T.S.
~ ~ ~EXISFING 100' WELL
< /RAD JS - ~PICAL
J ~x ~ I // ~ ~ ~P~P('SED HOUSE
NEW PRIMARY & SECONDARY SFE
- O'MALLEY ROAD-
Septic Design Prepared For ~ e. (,J~
SPINELL HOMES, INC. ~f~v.'~ ....
LOT 7 , ~. ~A~ .-~
SHELL NO. 2 SUBDIVISION~
Prepared By ~~~
MICHAEL N. ANDERSON, P.E. ~ · MICHAEL N.
4640 SHOSHONI ~RIVE ~'. cE¢~4~
(90 ) 345-3377 / tax (907) 3 5-z39t
SCALE: 1"=200' OCTOBER 30, 2003 ~.u~
WELL /
-LOTS-
~ { ~'I,SDO/~ALLON
I DRAINFIELD
f~'"~l,00' EXISTING WELL
/ R~,OIUS - TYPICAL
iI \ ( SEPTICS/ \ ~
CO ~ ////
-LOT7-
WELL
DRAINFIELD
-O'MALLEY ROAD-
xx ~_
WELL'
DRIVEWAY
-LOT6-
Septic Design Prepared For
SPINELL HOMES, INC.
LOT ?
SHELL NO. 2 SUBDIVISION
Prepared By
MICHAEL N, ANDERSON, P.E.
4640 SHOSHONI DRIVE
(907) 345-3377 / FAX (907) 345-1391
SCALE: 1"=30' OCTOBER 30, 2003
I ~ J-~AIR LiNE COIL SPACED AT APPROX.
] .......... I 12% ORENCO "WASTEFLOW" ~PE
I / ~'~ I PROVIDED 8¥ ANCNORAGE ~ANX, INC.
J~l I I I I I I I I I I I I I I I III _ ~/--3/4"¢ SCHEDULE 40 PVC ~TERALS
I ~ Z (HOLES, SHIELDS, AND FLUSHING
~ ~ /~ VA~WS P~R OR,NO0 ~S~)
! I I/ I ~ ~ I I I ~ I I I ~ I ~ I / 1~18 x 20 BO~OMLESS [SF,
~ ~ ~ ~ NO LINER ON BOSOM. PRESSURE
1 1/4"¢ SCHEDULE 40 ............ I' ~ ', PIPING DESIGNED BY ORENCO AND
HDPE DISCHAROE LINE FROM~ ~ t ~, ~ , , , , , , ~ J~ ~ ' ~ SUPPLIED BY ANCHORAOE TANK, lNg.
SEPTIC TANK AND MANiFOLD~
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ~ ~ ~ ~PROTECTNE COVERS, EXTEND
I %~~1 ,~ov~
I
I , - ' OF SAND AND DISTRIBUTION PIPE INVERT.
I ~ (DRILL 1/4"¢ HOLES)
L ........ J
18'-0" ,
P~N
Z
MONLTOR~NG ~
-,, ~U~E ~ ~ ~T~ ~A~,C
;/4 ¢ ~VO.~T(E~¢ ~ ' ~ g /OVa* ~AC O*AVE~
~cb ~uv~ / ~ ~FINAL GRADE /
/' / ~2" INSU~TION /
3.3~L ORADE/ / /
6" ~yER OF ¥8" ,~
w/~ ~vo ~;~s ~u*~5 / % ~T~ s,~
MIDWAY IN TIle S~ ~ ~AIR LINE 18" BELOW
(GRAVEL BELOW F PE = 5 =~ TOP OF SAND
~8'-0"
SECTION
Septic Design Prepared For ~:~ OF.
SPINELL HOMES, INC. ~k~.. .... .~
SHELL N0. 2 SUBDIVISION ,'2 49~
Prepared By
MICHAEL N. ANDERSON, P.E. ~ ~ % MICHAEL N. ANDERSON
4640 SHOSHONI DRIVE r ~ - ,
(907) 345-3377 / FAX (907) 345-1391 i-~%- /// .... % ,,~
OCTOBER 30, 2003
ENGINEER'S SEAL)
Municipality of Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
9-
10-
11-
12-
13-
14-
15
16-
17
18
19
20
COMMENTS
SLOPE SITE PLAN
II
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
!
Depth to Water A.er /~"~
Monitoring? ~ Date:
s
L
Gross Net Ot~ [ Depth ~ Nat
Reading Date Time T~me If Water Drop
PERCOLATION RATE __
TEST RUN OETWEEN __
tminutes/inc~) PERC HOLE DIAMETER --
FT AND ('~ FT
PERFORMED BY: /t/'~l¢' ¢1¢"~ ~- ~,,/¢¢1t '~,~',¢'~'~'I i CERTIFY THAT THiS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUN C PAL GU DEL NEE N EFFECT ON THIS DATE. DATE; ff)//~,/~ "~
72-008 (Rev. 4185)
Michael N. Anderson, P.E.
Civil/Structural Engineering and Excavation
4640 Shoshoni Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
Septl7,2004
Municipality of Anchorage
Department of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Re: Lot 7 Shell No. #2 S/D (Revised Permit SW030471)
To Whom It May Concern:
This is a request for a revised septic permit for Spinell Homes. A new test hole was excavated to a total depth of 17
feet. No water was observed as the previous test hole showed and the material consisted of silty sand SM then
changed to clean sand at 10 feet, to the bottom half of the test hole. The peru rate in the silty sand was 16 minutes
per inch. The original test hole had silty sand material and water at 14 feet, however after reviewing the site over the
past year, the water must have come from the heavy rain which occurred during the test hole excavation. Various
other holes have been excavated for water lines, foundation etc. with never any water observed. Even the well
drilling, which has been completed, did not find water at 14 feet. The new system is a 7.5 feet effective, deep trench
system, for a total length of 67 feet. The primary and secondary system have been shown on the plan, with 15 feet
between trenches. The 1250 gallon tank has already been installed, see the plan. The well has also been installed
under the old permit.
The lot slopes gently to the north at about 2 to 5 percent. The new deep trench will be constructed in the area
boarding the Well radius tO the north which is flat. The lot is bordered by two streets and one driveway therefore
this new system will not encroach any neighboring lots for future development.
If you have any question please call me at 345-3377
Mict~a~l l~l. Anderson, P.E.
· WELL
-LOTS-
/"~""~%00' EXISTING WELL
R~,[)IUS - ?~PICAL
SEPTIC xx -...
,250 GALL/O~
TANK /
,
-- RESE~E ~NNF]ELD
~ ~ ~ELL
,2~/ADdAC~T DRAINF[ELD WELL
- O' M A L L EY R O~D -
DRIVEWAY
-LOT6-
Septic Design Prepared For
SPINELL HOMES, INC.
LOT 7
SHELL NO. 2 SUBDIVISION
Prepared By
MICHAEL N. ANDERSON, P.E.
4640 SHOSHONI DRIVE
(90?) 345-33?? / FA,)[ (90?) 345-1391
SCALE: 1"=30' SEPT 14, 2003
~--MOUND OVER
DESIGN CRITERIA: ~ /--GRADE
4. BDRM X 150 = 600 GPD
SOILS = 600/0.6 = 1000 SQ FT REQ'D ,-o k ,~./--FILTER FABRIC
I O00SQF-I' / 15 FEET = 67 FEET ~
DEEP TRENCH SYSTEM
9.5' DEEP
7.5 EFFECTIVE SM/SP
2.0' WIDE
67.0' LONG
_1 2.0'~DRAIN ROCK
TRENCH SECTION
N.T.S.
~ ~ /~EXEI'ING 100' WELL
< /RAD JS - ]'(PICAL co
// ~ ~: ~PJ~'bPC 5ED HOUSE
0 SEPTIC~ ~ ~- k%
NEW PR~'ARY & SECONDARY SITE
-O'MALLEY ROAD-
X /
Septic Design Prepared For ~,..~,,~'"~,._'~..~.~.,~.
SPINELL HOMES, INC.
SHELL N0. 2 SUBDIVISION
MICHAEL N. ANDERSON, P.E.
4640 SHOSHONI DRIVE
(907) 345-3377 / FAX (907) 345-1391
Performed For:
Legal Description:
2-
3-
4-
5-
6-
7-
8-
9-
11-
12-
13-
14-
15-
16-
18-
19-
20-
Municipality of Anchorage
Development Services Departmen[
Building Safely Oivision
On-Site Water and Wastewater Program
4700 South 8ragaw SI.
P.O. Box 196850 Anchorage, AK 99519-6650
_w~,c~.d.anchoraae.ak.us
(907) 343-7~e04
Soils Log - Percolation Test
Township, Renge, Section:
Slope
Site Plan
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT DEPTH?
Depth to Water After
Monitoring? EP
Date:
I
TEST RUN BS~,¥EEN ~ FT ,~ND ~ FT
CERTIFY THAT THIS TEST. WAS
17. 2004 IO:09AM
USKH - ANCHORAGE
FRX NO. : 907 345 ~202
NO. 8485"~P. 1'
17 2004 10:26RH P2
M_un!cipality of Anchor. age
oepartmem of Health and Human Servicea
825 "L' Street ,'
/¢kW?stmm P-O, Box 196650 Anchomge, AJaska99519-6650
Mayor hl~://www, cf.a~l~ora~e,ak, US
Permit Number: ~l~v' ~ Date o:[bsue: ~ Pardi Identiflca~on Nn. mber:~
~ S~: ~ ~ Comple~:~ ~ ~11 l~ ~ approved ~ I~? ~ y~ ~ ~o
Pmpe~ ~r Nme & ~: Spln~ll Ho~s
_ -'
~/R . , ·
git cobbly gravel 34 $8
cobbly grave/ 68 89
~ilty eand 89 1 i 2
~ ~bb~ ~vel 112 I56
gmv~ sin 1~ 1~
sil~ ~bb~ grav~ w~ t ~ 230
~ 2~ 267
water ~a~ & gravel 267 269
Dhmet~ --.-. ~ches Depth:,
C~ing ~tiekap above
Sta~le weter level
Pumping level:.~L$7~feet afar
Recovery Rate: 2_.Q ~m
Method of Testing:
Well Intake Opening Type:
[] Screened Stett_.___.~eet Stopped......... feet
[] Per~orations ~ ....fact Stopped
Grout Type: b~tonh'~ # ~ Volume:
Depth: S~att_O f~
Pump:.lntake Depth ------ feet
~ ~4nnd Name
Welt DisiM'ected ~pon Completion? [] Yes ~] No
Method of Disinfection:
Commuter
Anchorage Alaska 9~$f f
Attention: The Well dallier shall lorovj4e a ~vell log to the property ownc~ within 30 day; of completion and d~e property
AS,E,P., 17. 2004 IO:09AM USKH - ANCHORAGE NO. 8485'--P. 2"
~.r.~= b~t. LING F'RX NO, : ~? 345 0202 Sap. ~7 2~04
Mumc]pah of Anchorage
Depa~ment of Health and Human Se~ices
Permit Number: #SW 03047t Dale of lssne: _~L-~0-03 ' Pm'ecl Zdentification Number:.~
DateStalned.. 8~I0-04 Date-Completeeh ~..~ lswell IocM=da~apptovedpcfmii;loc~ion?j~j Yes [] No
Le~al DeScriPtion: he/~
P~ope~'y Owner Name & Addn~r~. Spinnell Homea
1900 Northern Li~hte Blwl, Ste 20I
· ,__L _,. ,, . Anchora e, Alaska 99617
:aemh°le Data:
Depth (~) Meth°d °f Drillin8 [~ air mtaW I"l cable tool
~ I~e, ~r~ickness & Wa~cr S~mte~r~n To --
stick, up 0 2
silt 2 15
gravelly silt 15 ' 35
silt cobbly grave/ 3,5 70
cobbly grave/ 70 92
silty sand 92 111
silty ~obbly gravel 111 160
alit 160 t73
bldr 173 f78
gravelly ~ I;~8 180
silty cobbly gravel w~Oldra 180 227
gravelly ~andy silt 227 251
~ilt 251 272
· atl~y water sand & gravel
Attention: The well driller shall L~vjdc a well log to thc property owner wimifl
.......... ,. _~.. 30 days ofcontplefion and the pro
pe~ty~..=,,...,..,
PERMIT NO.
~--1 L.IIP-4.17. ~:Z: I F"Ft~._ I 'l-"'r' C~F F:lf'4C:t-IP-'F-':f:tw3E~'
[:'EPFIRTMENT [ HEliLTH FIND EI",I',,,'IRONMENTFIL .}TECTION
825 "L" STREET., FtNCHORFtGE., RK. 995¢_4t
264-4?20
b-! E L L I---~ I'-.; E:.-, wZ'~ t'.,.! .-- S I 'F E ,',S E !..1 E F-: P E F;~ t.1 ][ T
( 8::'.0'902 )
RPPL I CRNT
LOCIIT I ON
L. EGRL
JflMES R IINDERSON
OMRLLE%."'BRRGRW
L7 SHELL. ~2
4546 BUSINESS PK
LOT SIZE
TYPE OF SOIL RBSORF'TION S'¢STEI"I IS: DRliINFIELD
MII~.(tMLIM NUMBER OF BEDROOMS
::..:.:' 74 - 745':L
999999 SOUIIRE FEET
SOIL RRTING (SC,.' F'T/BR)= 85
THE REC..!UIRED SIZE OF THE SOIl_ RBSORPTION S'¢STEM IS:
[:, E F' Tt-~ = 8 !.~- E !".1G T I'-!== .--:_"..': E'~ GRR%.'EL.
THEE LENGTH DIMENSION IS THE LENGTH (IN FEET:) OF THE TRENCH OR DRFIINFIELD.
THIE DEPTH OF FI TRENCH OR PIT IS THE DISTFINCE BETWEEN ]'HE SURFFICE OF' THE
GROUND liND THE BOTTOM OF THE EXCliVRTION (IN FEET).
TIldE TREI'-.I,-:H b-! I C,]-I-! T S 5. E'~--DE~ F-EET.
THE GRRgEL. DEPTH IS THE MINIMUM DEPTH OF GRliVEL BETWEEN THE OUTFRL. L PIPE
RND TIqE BOTTOM OF THE EXCRVRTION (IN FEET),
RE,;!LII I RF-_-C-' SE:F'T I C: TFIb,II-~:: S I DZE= :1. ~-Z'~ E-~ E-i
PERMIT FtPPLICRNT HRS THE RESPONSIE:ILIT'¢ TO INFORM THIS [:,E'PRRTi'"IEI'.,IT DURING THE
INSTIILLFITION INSPECTIONS OF RN"r' WELLS RDJFICENT TO THIS PROPERT"r' FIND THE
NUMBER OF:' RESIDENCES THFIT THE WELL WILL SERVE.
........ Tt..,,I L-3. ,:; ;2: :::, I t-4ISF'F:C:-I'" 1:C,!'-4__.7 FI F..". E F.:Er2. LI I F-:E[:
BRCKFILLING OF RNY S'¢STEM WITHOLIT FINRL INSPECTION RND RF'PROVRL B'¢ THIS
DEPRRTMENT WILL BE SLIB~TECT TO PROSECUTION.
MINIMUM I}ISTRNCE BETWEEN R WELL RND Ri'.~Y ON-SITE SEWRGE [:,ISPOSflL SYSTEM IS
:L00 FEET FOR FI PRIVRTE WELL OR 2L50 TO 20¢~ FEET FROM Fl PUE:LIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRIVflTE WELL TO R PR. IVRTE SEWER LINE IS 25 FEET liND
TO li C:OMMLINIT'¢ SEWER LINE IS 75 FEET.
WELL I_OGS RRE RELqUIF.:ED FIND MUST BE RETURNED TO THE DEPFIRTMENT WITHIN ]:0 DFI'¢S
OF THE WELL COMPLETION.
OTHER REL.]UIREMENTS MR'¢ RPPL'¢. SPECIFICRTIONS FIND CONSTRIJCTION DIRGRRMS FIRE
RVRILRBLE TO INSURE: F'ROPER INSTflL. LRTION.
I CERTIF'T' THRT
:2L: I RM FRMILIIIR WITH THE RE6!UIREMENTS FOR ON-SITE SEWERS fIND WELLS IlS SE]'
FORTH B~" THE MUNICIPFILIT"r' OF RNCHORliGE.
;.:::: I WILL. INSTliLL THE S'¢STEM IN RCCORDRr,,ICE wI'rH THE CODES.
3:: I UNDERSTRND THRT THE ON-SITE SEWER S'¢STEM Mli'¢ REOUIRE ENL, liRGEMENT IF THE
RESIDENCE IS REMODELE[:, TO IN~LUDE MORE THFtN 3: E:EDROOMS.
:-' ' .. ' .:, .. '' .. -~S~', ~ , ~-
PERFORMED FOR:
LEGAL DESCRIPTION:
,~IUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
DATE PERFORMED:
[] SOILS LOG
~F~PERCOLATION
TEST
3
4
9
10
11
°12
13
14
15
16
17
18
19
20
COMMENTS
SLOPE SITE PLAN
ENCOUNTERED? L
IF YES, AT WHAT E
Reading Date Gross Net Depth to Net
Time Time Water -.~/Z" Drop
PERCI;~LATION RATE ~ .' ;..';:5: (minut~'/['~}
..TEST RUN BETWEEN ~ FT AND ~ , FT ~/~
72-008 (6/79)
CERTIFIED
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-112-22
1. GENERAL INFORMATION
Complete legal description
SHELL #2 LOT 7
COSA# 0
Expiration Date:
Location (site address) 10720 WHIMBREL DRIVE, ANCHORAGE, AK 99507
Current Properly owner(s) ROBERT & WHITNEY McCLELLAND Day phone
Mailing address
10720 WHIMBREL DRIVE, ANCHORAGE, AK 99507
Lending agency
Day phone
Mailing address
Real Estate Agent MATT DIMMICK - KW
Mailing Address
Unless otherwise requested, COSA will be held by DSD for PiCkup.
2. NU.MIBER O.F BEDROOMS: 4
3.'~TYPE OF wATE~,":SUPPLY:
Individual, Well ~'.'- []
Individual' Water'Storage []
community class Well []
Public Water SyStem []
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding Tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
* 4. 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 indicafed herein. I furlher verify that based off 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.
Name of Firm AR~ CONSULTING, INC. Phone 8683792
Address ~ I'rARMIGAN .BLVD., EAGLE~RPv, ER__~ AK ~J~
Engineer's Pdnted Name KENNE'J~ M..DUFFUS . Date 05/20/1~
compliancewith ADEC and MOA.regulations. The
subject to these various
evaluator of the well and septic system. Therefore,
AmTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen
encroachments, deficiencies or discrepancies exist.
~'"' Al~roved for
Disapproved.
bedrooms.
are outside the control of the
are
Conditional approval for
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
/~/"?~-Origina, Certificate Date: ~-'- / ~ - 1 /
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: SHELL #2 LOT 7'
A. WELL DATA
Well ty~:~~: I~A, B'; or C ~e:~ID'#
Total depth 275 It. Cased to 275 lt.
FROM WELL LOG
Well
Date of test 8/13/2004
Static water level 217 It.
Well production
WATER SAMPLE RESULTS:
8 g.p.m.
Parcel ID: 015-112.22
Casing height (above ground) .. 24 in.
AT INSPECTION
s/ 2/2o
2O4 ft.
3.01+ g.p.m.
Results (Pass/Fai0 Pass For 4 bedrooms
4.8 in. Water added 770 gal. New depth 58.8
0 in. Absorption rate >= 600+ g.p.d.
(g.p.d./R2 Or ~/bdrm) 0.6 System type Deep Treach
Gravel below pipe 8.5 ff. Total depth 12.9 ft. (Measured 5/12111)
Monitoring tube Y Depression over field N
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NIf yes, give date --_:-
in.
C. ABSORPTION FIELD DATA
Date installed 9/25/200~ Soil rating
Length 60 ft. Width __2 ft.
Eft. absorption area 1020 ~
Date of adequacy test 5/12/11
Fluid depth in absorption field before test
Elapsed Time: 900 min. Final fluiddepth
Coliform Negcolonies/100mL Nitrate 4.07 mg/L
Arsenic: ND mg/I Date of sample: 5/12/11 Collected by:. AzcTezra
B. SEPTIC/HOLDING TANK DATA
Tank TypeRVlaterial Septic/Steel Date installed 9/25/2004 Tank size 1250 gal.
Number of Compartments _2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) _Y Depression e~er tank (Y/N) __N
High water alarm (Y/N) N Date of pumping 5/12/11 Pumper Around the Clock
D. LIFT STATION
Date installed.
'Pump on' level at in.
Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Sep~c ~ift slalion on Io{ ]mY+
Absmp#on ~1 on I~ mm'+
Pub#c.~ ~ ~'+,
~ cont~nment ~ 3~'+ WBG4GGT~
Pdmlic ~.m~ 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~;'+ Property line,,,,,~'+
Watermain llY+ Water~line 10'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO.'
field 5'+
Surf;race water loo'+
10'+
Water main lO'+
Properly line 10'+ Building fourtdation 10'
Water Service line 10'+ Surface water lOO'+
Curlain drain 5~'+
COMMENTS
Engineer's Printed Name KENNETH M. D~$
Date
COSA Fee $400.00
Date of Payment ~'~)~ ~/ll
Receipt Number I qc:~ '~k"l
(Rev. 11/05)
Wa~er ~$
Date of Paymem
Recent Number
SGS Ref.# 1111843001
Client Name ArcTerra Engineering and Surveying Printed Date/Time 05/17/2011 8:18
Project Name/# Shell #2 Lot 7 Collected Date/Time 05/12/2011 14:25
Client Sample ID Shell #2 Lot 7 Received Date/Time 05/12/2011 15:30
Matrix Drinking Water Technical Director Stephen C. Ede
PWSID 0
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic ND 5.00 ug/L EP200.8 C (<10) 05/13/11 05/16/11 NRB
Waters Department
Total Nitrate/Nitrite-N 4.07 0.100 mg/L SM20 4500NO3-F B (<10) 05/13/11 AYC
Microbiology Laboratory
E. Coli Negative 1 100mL SM20 9223B A 05/12/11 DSH
Total Coliform Negative 1 100mL SM20 9223B A 05/12/11 DSH
LOT 5
WHIMBREL DRIVE
23.0'
NOO°O9'OO"W
99.89' (100.00' R)
O/'ll , .0/11 .
/'..( :: '.:..-?'::. }DIW:'-:'".:.~ "i..'II " ." ~" "
· ."'. :'.-:'.. :.¥:' :': .: '.. "- [?'. :; i ":. '.-,.
'.' .,.. ':.' .: ', ....' ~. ..:' . .~. , '..: ~' . · -.. :
COVERED ---~ [Z:ZZI~ ''' "'~2'.;': "' .... .'.4."-
22.0' ~ t, ,~.
DECK
16.1'
EXISTING
HOUSE
CANT
4-2.0'
DECK
15.6'
X~X
25.0'
·
·
SEPTIC --'-~'~'-
VENTS
(TYP)
LOT 7
PLAYGROUNG
EQUIPMENT
·
"' X ;~ X X X X
NOO°12'OS"W 99.94'
(NOO°O9'50"W 100.00' R)
LOT 5
ANCHORAGE RECORDING DISTRICT
REVISED AS-BUILT OF:
SHELL SUBDIVISION NO 2
LOT 7 PLAT P-326A
SURVEY CERTIFICATION: I, John L. Schuller, have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated thereon are within the property lines and no
enchroachments exist other that noted.
EXCLUSION NOTES: It is the owners responsibility to determine the
existence of any easements, covenants, or restrictions which do not
appear on the recorded subdivision plat. Under no circumstance should
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
WORK ORDER NUMBER: DATE: I SCALE E-MAIL:
IMAY 18, 2011 / 1"=20'
I J OLS 12536 110121
I~) = FND 5/8" REBAR
O = FND 5/8" REBAR W/YELLOW PLASTIC CAP
_j
tOO
Z
~.~b LAND
1831 Talkeetna Street
Anchorage, Alaska 99508
(907) 227-1455 office
(907) 274-4992 fax
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 ,i~O~!t~
www. cLanchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
1.
Expiration Date:
GENERAL INFORMATION
Comolete legal desc, dption. ~/4
Location (site address or directions)
Current Property owner(s)
Day phone
Mailing address
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: ~
TYPE OF WATER SUPPLY: ·
Individual Well []
Individual Water Storage []
Community Class __ Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in 13aragraph 4 by an independent professional civil
engineer registered in the State of Alaska, Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a pdvate or Class O well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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 Health Authority Approval Guidelines for this application, shows that the
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 vedf7 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.
Name of
EngineeFs Printed Name
DSD SIGNATURE
i//~' Approved for ~
Disapproved.
Conditional approval for
bedrooms.
Date /u//,/'/0 ,(
q ~ L MICHAEL N, ANDERSON
'tjX..
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Deve opment Serv"ce~. p~epartment
Division
~f A, B, or C prey de PWS~D ~ / ...... We,~[.e~ (Y/N) ~'-
San tary seal (Y/N) "// Wires property protected (Y/N) Y
ft.
Date
. ft,
min.
gt
,tion area
IR.
Mon tor n9 tube '~' ' Depress ~n over fie d
For<~],c eedr~ctrOs
New depth
Absorption rate >=, j ,~ g.p.o
D. LIFT STATION
Date installed Size n gallons Ma~
"Pump on" level at in. "Pump off" level at~h water alarm ~evel at
Datum ~ested Meets alarm & c~rcuit eauirements?
S E P ARATION 'I~IS~T~I~CE~
SEPARAT ON'DISTANCES FR-O~-WEEE-o'f;T¥0%'¢~? ................................................... ~
Seotic '~ank?,ift ctc. tlb. a on lot
Absorption field on lot /~,~
Public sewer main
Sewer/septic service line ~[ '5 /.J,L
On adjacent lots
On adjacent lots
Public sewer mannole/oleanout
Holamg tank
SEPARATION DISTANCE-S-F~O"~f'$'E~'TTC~ TANK ON LOT TO:
Buildin9 foundation '~ o ~ ,-¢-. * Property line 'Z. ~' ~ Absorption field
Water main /'¢ /4~ Water service line
, Surface water
Wells on adjacent lots (¢,~,
SEP A R A TI O ~ DTs'TA'1q'C E"~R E~¢,~S~(~ ~-15
Prooertyline /c;' /,~ . Building foundaton ,-/_~ /,4
Water Service line lu~/¢- Surface water /¢~ /J...
Curtain drain ~/z¢ Wells on adjacent Jots /o c, gJ, L
Water mair /'¢//¢.
Driveway, parking/vehicle storage
F. COMMENTS
, . --
I certify that I have determined through field inspections and · ~ W.," 4 ~ ? FI ~ '..
review of Municipal records that the above systems are in ~,,' '~ ; ~".~. ]~. . . , . . .
conformance with MOA HAA guidelines in effect on this date ~ .~~/~.. .
- · /~t ~ I ~ ~ ~* MCHAEL N ANDERSON
EngmeersPnntedName ~te~o¢//~f~o~ ¢,~, ~,~. CE_94~o ..~
Date /o~ ~ ~ ', ;~~ t'~%%~
Date of Payment
Receiot Number
(Rev, 12/01
Date of Payment/
Receint Number 8 '-Z
$G$ Ref.# 1 D46536001
Client Name Mike N. Anderson, P.E.
Project Naw,~t# Shell #2, Lot 7
Client Sample II) Shell #2, Lot 7
Matrix Drinking Water
Sample Remarks:
Cl[eat corrected ~he legal address.
All Dates/Times are Alaska Standard Time
Printed Date/Time 10/19/2004 I5:02
Collected DatedTime 10/05/2004 !4:00
Reeelv~ Date/Time 10/05/2004 I4:20
TeehnieaI Director ~. Steph~r~2~fE~le
i
Albwable Prep Analysis
Parameter Re*ult~ PQL Units Method Container ID L/mils D~te Date hit
Nitra~e-N 0.369 0.100 mg/L EPA 300.0 B (<=10)
~icrobi~lo~ L~borato~
Total Coliform
10/06/04
0 col/100.'nL SM209222B A (<=1) 10/05/04 DKC
I
200 W. POTTER DRIV~
ANCHORAGE, A[.~,. S KA 99518
Tel: 90?-562-2343
F~: 907-5"6%530I
Drinking Water Analysis Report [:[LTo.t.al Co.l[form Bacteria,,
BE COMPLE~D BY ~BORATORY
Date: /0,'~ ...... , ~ee~r~hoa~l~ ~ RU~SAMPLE
Tem~*,~ ,-, ~w.~ ~ . ,,
Bactetl~Icq~cal Water Analysis ~: ~s~ A~;~ ~
] Membrane Filer
[] MMO-MUG (P/A)
By:
L~b. Ref NO.
Form # FW- 6053 12J17~0~
r-
Municipality of Anchorage
P.O. Box 196650 · Anclmragc, Alaska 99519-6659, Telephone (907) $43-8301 · F~ux (907) '343-8200
4700 Bragaw Strccl · Anchorage, Alaska ~05()7
Mayor Mark Begich B~ ~ ~e--
Di~sion
10/21/2004
Michael N. Anderson
4640 Shushoni Avenue
Anchorage, Alaska 99516
Subject:
Waiver Request for Shell #2, Lot 7
Waiver Request #WR040078
Parcel ID #015-112-22
HAA# HA040550
Dear Mr. Anderson:
Your request for a waiver of the required 100 feet horizontal separation from the
animal contaiment area to private well has been approved. The approved separation
distance is 30.0 feet. Waiver is for water well located on Lot 7 to animal containment area
on Lot 5.
This waiver approval applies to the existing animal containment area to private well
separation only. Any future upgrade to the on-site wastewater disposal system will
require all separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
Julie Makela, P.E.
Civil Engineer
On-Site Water & Wastewater Program
Community, Security, Prosperity
WR#: ' WR040078
MuniCipality Of Anchorage
Building Safety DiviJi~ff:~ ' ...............
On-Site Water and Was;gw~at er Prbgram
4700 Bragaw Street
P.O. Box 1P6~50 A~chorage, AK '99519:6650
www ~i.ancliorage.~a~.us
,(907) 32~3;790~
WaiverReviewWo~rk~¢¢~
' ' P|D~: 015-112;22 ....... HA#: RA0~0$50 ' Permit#:
Cfit~da:"
wati~r Well on Lot 7't& animal containment ~ea 0n.L~ 5
Poidts:
A: W~t~r Tal~16
B 'S011'S0i:pti0n
C. Permeability
D.' W~t~r Table Gradient
E. Horizontal Separation
Total:
Michael N. Anderson, P.E.
Civil/Structural Engineering and Excavation
4640 Shoshoni Avenue
Anchorage, Alaska 99516
Phone 345~3377
Fax 345-1391
October 14, 2004
Municipality of Anchorage
Department of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Re: Lot 7 Shell No. #2 S/D; Waiver Request from "Animal Containment Area"
To Whom It May Concern:
This is a request for a waiver from an animal containment area. The lot directly to the east has horses and corrals
within the I00 foot Setback of the existing well. The following items are my rational for the granting of this waiver:
2,
3.
4.
5.
The well is very deep 267 feet.
The Animal Containment Area is located across the oiled road and down hill from this site.
The water test has low nitrate level typical for the area, test sheet attached.
The coliform and other bacteria are zero, test sheet attached.
The soils around the well has been mounded up for maximum drainage.
If you have any question please call me at 345-3377
Michael N. Anderson, P.E.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O~ Box 196650 Anchorage, AK 99519-6650
www.muni.org/0nsite
(907) 343-7904
ON-SITE SEWER/MM'ELL SUBMITTAL COMMENT SHEET
To: Michael N. Anderson, P.E.
Legal description:
The attached paperwork has been reviewed and is being returned for the following reasons:
[] Original signature or stamp missing on
[] Calculation errorin design.
[] Additional soils information needed. __
[] Water monitoring results inadequate.
[] Discrepancy in information submitted. __
[] Topographic information missing or inadequate. __
[] Incomplete; missing
[] Incomplete; missing__
[] Additional adequacy test information needed.
[] Water sample unacceptable. __
[] Measured/proposed distances/dimensions missing.
[] Locations of all soils, pemolation and water monitoring tests not shown.
[] Proposed system too deep for soils information submitted.
[] Well Icg required.__
[] Omission in narrative. __
[] Insufficient fill over tank or field.
[] Other. Well lOCated With:ill00 feet of animal containment area.
Please submit a waiver
Name of reviewer: 3'ulie Makela, P.E.
Date: 8/19/2004
P/ease supply the necessary information and re-submit your request.
LEAVE THIS FORM ATTACHED TO THE PApERWORK