HomeMy WebLinkAboutHAMANN LT 5AHamann
Lot 5A
#050-611-05
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: SW950400 PID Number: 050-611-05
Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ® New ❑ Upgrade
Name:
LISA O'BRIEN
ABSORPTION FIELD
® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
1586 EAGLE RIVER RD, EAGLE RIVER, AK
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
0.8 GPD/SF
8.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
2.09 Ft.
Gravel depth beneath pipe
6.4 Ft.
Subdivision Block Lot
HAMANN 5A
Fill added above original grade
Var. 0.84 — 1.36 Ft.
I Gravel length
64 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
820 Ft'
1
Ft.
Well
UNK
UNK
UNK
--
UNK
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1 1250 Gal.
Surface Water
100'+
100'+
NA
--
Material
STEEL
Number of compartments
2
Lot Line
5'+
10'+
NA
NA
Foundation
5'+
10'+
5'+
__
LIFT STATION
Manufacturer
— -
Capacity
Gal.
Curtain Drain
NA
'50'+
NA
-
Remarks Foundation only. No well installed at
Pump on level at
in.
Pump off level at
ini
High water alarm at
in.
time of inspection. No asbuilt survey available
at time Of Inspection report.
Pump make and model
Electrical Inspections performed by
PIPE MATERIAL House to tank Tank to D3034
drainfield
Installer Hamann Construction
Drainfield D3034 CO/MT D3034
Inspector KND Engineering
BENCH MARK (Assumed elevation) 100 ft
Inspdates: 1" Nov 95 Nov 95
Location and description Garage door entrance
zea
30 4m
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
�� 0F Al,
Conditional Approval: Date
Alf
/ * TH
�-
r KEtiNt'CH %. /
<04Q:
7116 ,�,,yyti�
Alf.AV
Approved (�,i (� j�v— Date l0-2
Lot 5A (1995) Inspection Report.doc
AS -BUILT SYSTEM DETAILS/SITE PLAN
LOT 5A, HAMANN SUBDIVISION
A—C=3
B—C=3
A—D=4
B—D=4
A—E=5.
B—E=39'
A—F=99'
B—F=102'
0_,_^ 4 SW950400
) 611 05
TANK
_0
33' Easement
4a
SEPTIC
TANK
F AZ
��
*<) 49
TH * I
CE -71 6 Wa /
a~$�/
\fid ti�Aar
�FESSIONA
3d d
FINISHED GRADE
SEWER ROCK
64•
I
LISA O'BRIEN
1586 EAGLE RIVER ROAD
EAGLE RIVER, AK 99577
SCALE: 1" = 50'
83.2 eon
SCALE: NTS
KIND ENGINEERING
20441 PTARMIGAN BLVD
EAGLE RIVER, AK, 99577
(907)696-6111/Fax (907)696-8111
NTE: 12/31/96 GRAWNG g
'ALE:
AS NOTED 95045 -Si
if
v. prtifipb Wilting lwg
by
DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX670272,CHUGIAK,ALASKA99567 • TELEPHONE 688-2759
OWNER OF LAND L IS14_ _Qj7K/ i -J DEPTH OF WELL b I
ADDRESS /Z) Q_b t IC K(_] STATIC LEVEL OF WATER FT. t I
LEGAL DESCRIPTION t oT zs9 l7/�I�YII7�%r DRAW DOWN FT.
DATE, - Started Ended 6 GALS. PER HR
PERMIT NUMBER - KIND OF CASING
KIND OF FORMATION
From (D to_ FL C ldLAC jl �c 1T' From Ft. to Ft
FromFt. to-5—Ft.
0 0tE2 ,JAR%/=� mFro
Ft. to
Ft.
From Ft.to_.?_o Ft.,�J/
f}J£( C441m
Ft. to
Ft.
From Si—Ft. to Ft.
C' i A 7 o/Q "T Jam_ ) ro� Ft. to
Ft ._
From�.�Ft. to�Ft.
-64
Ff/ t � �{� J�om. Ft. to
Ft
From�Ft. to 1�_Ft.
^ ��--%%�/ �
,S([ t 1 .� nla v /ZY�`/Fr�
c-Ut: 1
Ft. to
Ft.
From O Ft. tot
1_ n q Jct
tri<
t. to
- Ft._
From13 r _Ft. to/ Ft.
CL yqS�K%� G.C. From
Ft. to
-Ft.
Fromks.�Ft. to�_Ft
�� O h t4 JcL L Fiom.
Ft. to
Ft.
From Ft. to Ft.—
From
Ft. to
- FL
From Ft. to Ft.
From
Ft. to
Ft.
From -Ft. to—Ft.
From
Ft. to—Ft.
o
Ft.From
From- Ft. to Ft.
From
Ft. to
Ft.
From - Ft. to Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
- Ft.
From _ Ft. to Ft.
From
Ft. to
Ft.
From - Ft. to Ft.
From
Ft. to -
Ft
MISCL. INFORMATION
DRILLER'SNAME
ND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
November 12, 1996
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Incomplete on-site construction projects
Gentlemen:
-r jVc
LD
>> .
NOV I � 1996
N(U11'CfPa7liy raj-Ancnoraga
DeAt. Hearth & Human Senr�ces
As of this date we have several on-site septic and well permits which have not been
completed for various reasons. This letter is to update your department on those
projects and the reason for the delays in the submittal of the final inspection reports.
Permit #
Project Name
Status
SW960281
T14N, R1W, Sec 6, NE4SW4
Winter shutdown, Upflow filter system
installed; Well drilled; No foundation, no
electricity
SW960103
Woodridge Sub, Blk 2, Lot 1
Well and Septic installed; Have not received
survey as -built or well to
SW960097
Glacier View Hts, Blk E, Lot 3
Well, Septic, and Foundation installed; Have
not received as -built survey or well to
SW950400
Hamann Sub, Lot 5A
Well, Septic and Foundation installed; Have
not received as -built survey or well to
SW960195
River View Est, Blk 3, Lot 1
Well and Septic installed; Foundation not
done, no as -built survey, no well to
SW960226
100 Hills 1st Add, Blk 4, Lot 8
Well, Septic and Foundation installed; Have
not received as -built survey or well to
SW960264
Knik View Est, Blk 3, Lot 14
Septic and foundation in; Have not received
as -built survey
SW960325
Rouse Sub, Lot 1
Well and Septic installed; No foundation, no
as -built survey
SW960327
Hylen Crest #3, Blk 4, Lot 1
Septic installed; No foundation, no as -built
survey
Respectfully submitted,
IK HD Engineering
Kenneth M. Duffus,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW950400
DESIGN ENGINEER:KND ENGINEERING
OWNER NAME:JOHN THEO R JR
OWNER ADDRESS:1586EAGLE RIVER ROAD
EAGLE RIVER, AK99577
PARCEL ID:05061105
LEGAL DESCRIPTION:
HAMANN LT 5A
LOT SIZE: 143748 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
�Pm
0
DATE ISSUED:12/04/95
EXPIRATION DATE:12/04/96
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED B
ISSUED BY:
DATE • Lv vkr
DATE • l �"
KND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11/FAX (907)696-8111
November 19, 1995
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Lot 5A, Hamann Subdivision - Sewer and Well Permit
Gentlemen:
Following a request from the owner regarding the proposed development of the
referenced property, we dug two testholes for the proposed system and replacement
field. The results of those tests are attached.
The system will be placed on the southeast portion of the lot. As indicated on the
contours there is sufficient grade to maintain a gravity system. A 1250 gallon tank
will be installed in anticipation of a 4 bedroom house being constructed. There is
also sufficient area and grade to maintain a replacement gravity fed field.
As indicated by the site plan contours, natural drainage is away from this site and
will be maintained after construction. There is no surface water within 100' of the
proposed installation. There are no curtain drains within 50' of the proposed
installation. No wells exist within 100' of the proposed installation.
If you have any questions about this application, please call me at 696-6111/FAX 696-
8111.
Respectfully submitted,
1;Kenneth M. D , P. E. l
1
KND Engineering G ,
attachments: On -Site Well and Sewer Application lDt?
Wastewater Absorption System Details
Site Plan
Soils Log/Percolation Test
SITE PLAN
WASTEWATER DISPOSAL SYSTEM
LOT 5A, HAMANN SUBDIVZZ ISION
P.I.D 050-611-05
\ / Existing gain Field
"—\\` Lot 5B
,,a
s9
Lot 7
Blk 4
Glen Eagle
Not Subdivided
of*r9!1 -4 -*,
9*�
m
llb
i\ Drain Field
�Dr
Lot 6A
KENNETH M. D US r
`
c -7i PREPARED FOR: KND ENGINEERING
e
ti$w/ 20441 PTARMIGAN BLVD
1,d / LISA o'BRIEN EAGLE RIVER, AK, 99577
1'RDFESSIO�AS' i 1586 EAGLE RIVER ROAD
EAGLE RIVER, AK 99577 (907)696-6111/FAX(907)696-8111
DATE: 11-19-95 DRAWING #
SCALE: V = 100' 9545—Si
DESIGN DETAILS
WASTEWATER DISPOSAL SYSTEM
LOT 5A, HAMANN SUBDIVISION
CONNECT TO 4" SOLID FROM HOUSE
0
a
/ORIGINAL & FINISHED GRADE
UNCLASSIFIED FILL(FROM TRENCH EX)
2" INSULATION FILTER FABRIC
SEWER ROCK
P.I.D 050-611-05
w
m
o�
O0
z
o19
� U
0
CI
TOTAL DEPTH OF TRENCH FROM ORIGINAL GRADE 8.5'
62.5' 1
BOTTOM OF TEST HOLE 14.5'
Ods NO WATER OBSERVED
O
s x G, �g� 1%�N�� 11 , "✓
_ I J
Coy I7
•O
75
O
C. 0.
2
M. T.
AG99
OF AL4 \
1
*
HH * /
HENNETHIM. SUS ol
1 1 w
C -71/ r =w
d `�hbFESSiO�P-
DESIGN CRITERIA
1. 4 BEDROOMS X 150 GAL./DAY/BEDROOM = 600 GPD
2. SOILS RATING: 11 MIN./INCH = 0.8 GPD/SF(TRENCH)
3. 600 GPD/0.8 GPD PER SF = 750 SF
4. 750 SF /(2' W x 6' D) = 62.5' L (USE 1 TRENCH 62.5 L)
5. MINIMUM DESIGN SIZE = 62.5' L x 2' W x 6' D Trench
6. 2" HD INSULATION REQUIRED OVER FIELD
7. 2" HD INSULATION REQUIRED OVER TANK <4' OF COVER
PARED FOR: KND ENGINEERING
20441 PTARMIGAN BLVD
LISA O'BRIEN EAGLE RIVER, AK, 99577
1586 EAGLE RIVER ROAD
EAGLE RIVER, AK 99577 (907)696-6111/FAX(907)696-8111
DATE: 11-19-95 DRAWING #
NOT TO SCALE 9545-S2
JO
=O
OJ
=J
00
w
U
w
J
U
z
U
<<
U V
1
n
L
1250
-t�
GAL
—
S. T.
5,
MIN.
0
a
/ORIGINAL & FINISHED GRADE
UNCLASSIFIED FILL(FROM TRENCH EX)
2" INSULATION FILTER FABRIC
SEWER ROCK
P.I.D 050-611-05
w
m
o�
O0
z
o19
� U
0
CI
TOTAL DEPTH OF TRENCH FROM ORIGINAL GRADE 8.5'
62.5' 1
BOTTOM OF TEST HOLE 14.5'
Ods NO WATER OBSERVED
O
s x G, �g� 1%�N�� 11 , "✓
_ I J
Coy I7
•O
75
O
C. 0.
2
M. T.
AG99
OF AL4 \
1
*
HH * /
HENNETHIM. SUS ol
1 1 w
C -71/ r =w
d `�hbFESSiO�P-
DESIGN CRITERIA
1. 4 BEDROOMS X 150 GAL./DAY/BEDROOM = 600 GPD
2. SOILS RATING: 11 MIN./INCH = 0.8 GPD/SF(TRENCH)
3. 600 GPD/0.8 GPD PER SF = 750 SF
4. 750 SF /(2' W x 6' D) = 62.5' L (USE 1 TRENCH 62.5 L)
5. MINIMUM DESIGN SIZE = 62.5' L x 2' W x 6' D Trench
6. 2" HD INSULATION REQUIRED OVER FIELD
7. 2" HD INSULATION REQUIRED OVER TANK <4' OF COVER
PARED FOR: KND ENGINEERING
20441 PTARMIGAN BLVD
LISA O'BRIEN EAGLE RIVER, AK, 99577
1586 EAGLE RIVER ROAD
EAGLE RIVER, AK 99577 (907)696-6111/FAX(907)696-8111
DATE: 11-19-95 DRAWING #
NOT TO SCALE 9545-S2
0
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: L73A D'3219N
LEGAL DESCRII
DEPTH
(FEET)
1
11) 2
4
5
6
+7
I ^"�P8
9
10
11
12
13
14
15
16
17
18
19
OL
iE�T A
GM *' P PV
SM/GM
DATE P
Township, Range, Section:
SLOPE
IF YES, AT WHAT
DEPTH?
Depth to Water Atter
Monitoring? Date:
SITE PLAN
W.=
■■■■■■■■■■
■■■■■■■■■■
Reading
Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
74—
/
Z &
2 m 1 rn
s
2
Z: o 8
2 ,h
B %B „
51B „
7- ev-11n
Z;ZO
Z i✓I
3
2:ZZ
0 �
7
20 /
PERCOLATION RATE 5 33 (minuiesiinch) PERC HOLE DIAMETER �L
TEST RUN BETWEEN Z FT AND FT
COMMENTS /7/0/e DrPsoa,ed
PERFORMED BY: A/V P ZIL SII SFX'I/122- I 4 ar% Z24d3 (J-% CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85) '
LEGAL DESCRIPTION:_ LOT 5A 14Am 1,n(N Township, Range, Section: 7ES / I -lot -e #I
SLOPE SITE PLAN OCt7/• is iT
OL
1
2 /
3-
4 6M
5 b�
6
8 PE_ RC %QST 11415 ,
M
10 ] I SMlgM
12
13
14
15 " 1" 1;,0.14,
16
17
18
19
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
/JC s
L
IVA D
P
E
Depth to Water After / --7
Monitoring? _7J/� gale: �� 9
Reading
_'9tGva m4ymoD�'D�Iofa 0®6m
®m'�a'
Municipality of Anchorage
F.3
D
t o D
DEPARTMENT
' U
'r OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
'�
� D®,auce DasaDaaaaae DDaeeasOamD
6
SOILS LOG — PERCOLATION TEST'
mo aamoe amoa es sea aom ae
tn�a Kennein h.. D� �; a �4�`
/
eD C: 7116 a•
1
PERFORMED LIJA O 3RleN
FOR:
DATE PERFORMt
LEGAL DESCRIPTION:_ LOT 5A 14Am 1,n(N Township, Range, Section: 7ES / I -lot -e #I
SLOPE SITE PLAN OCt7/• is iT
OL
1
2 /
3-
4 6M
5 b�
6
8 PE_ RC %QST 11415 ,
M
10 ] I SMlgM
12
13
14
15 " 1" 1;,0.14,
16
17
18
19
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
/JC s
L
IVA D
P
E
Depth to Water After / --7
Monitoring? _7J/� gale: �� 9
Reading
Date
Net
Time
Depth to
Water
Net
Drop
D
/v 2 95
W��,
/
2
2 rr/ri
3B"
ZB"
2; /2
7 z"
//911
S
Z: y
2 M/,7
7:00
3
2:-1&:30
2,5vnin
7 _718
215
Z:$U
2
zD I cvn/T" AAeXT 5#z�ET
ILJI PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BEETWEEN1� FT AND 8 FT
COMMENTS �yU�� n/PSOr�� p//y/ 1D 7L S/
PERFORMED BY: h 0 Z/i/l//l/I F , y I z P/ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:�A9/�...
72-008 (Rev. 4/85)
n
PERFORMED
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
L IJA D'13p l e
DATEPERFORME6
LEGAL DESCRIPTION: Lor -6A /)AM kqN Township, Range Section:
DErTIa SLOPE SITE PLAN fJ��7C TEST
(FEET) I S Q L
1
2 /
3
4 GM'
5
t
7
(I�lal� 8 FERC %E5T
9
12
13
14 PEi2C
ie6
15 't�.0.4-I,
Cpn1i1111ed
16
17
18
19
20
WAS GROUND WATER _ , /O
ENCOUNTERED? /1/
S
IF YES, AT WHAT L
DEPTH? 16A C
P
E
Depth to Water After
Monitoring? / Date: �� 9
l�
PERCOLATION RATE (minulesnnch) PERC HOLE DIAMETER
TEST RUN B/ETWEEN l FT AND 8 FT
COMMENTS �"l i/Sj
PERFORMED BY://V,? I ��/J ��j��js CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
S
Municipality of Anchorage
t DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: L/5A 0 P�eI4P /V DATE
LEGAL DESCRIPTION:% 5A 11AM,A1/✓ Township, Range, Section:'
SLOPE
)L
PeRc I Es i „A"
�M�w�-frace
SERC. TE57 "LU"
COMMENTS
o. H.
M,
WAS GROUND WATER ,, /
ENCOUNTERED? /VD
IF YES, AT WHAT ^ / n
DEPTH? ,V
Monis Depthto Water Auer,_
Monitoring? Date:
a`� ••pa eaee•mmoe•��6Y�e
amenia ®••• se9 mmmmma•m`•• e
lfinem emau ll •U•v ••
Kenneth M. D
SITE PLAN PE2C.
Reading
Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
O
ro 12 9S 1:53
—
(, 3/q
—
z
:55
yM,h
7 1&
3 e"
3
:56
t WIr7
7 5/4,"
1: 57
,v,
7 12„
3 �„
1! 515
l mlrl
7/ '51,
311&
toI
: 59
I
I
3 / „
Zoo
I ki 1 n
6 5,11,61"
3 i'
I W �
E�-
,
7
3116
5, 3 3
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN 2 FT AND 3 FT
PERFORMED BY: ZaIII CA1d1X1z5Z 1/1I/ I 4Le % ��lf /.�S CERTIFY
,,THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: wzz.
72-008 (Rev. 4185) /
QI
r Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
.,� ti�etFRZV%AL)
4 lb
e 9TEI Fs'a
0
soars 00 at ea m
m •e maommt•s ••
o°•a
m$_ Kenne�h M. Duffu_ o rQ'
PERFORMED FOR: L/SA 0 ,I3iP/EjV DATE PERFOR
LEGAL DESCRIPTION:
1l
1'.
1:
t�
14
15
16
17
18
19
20
COMMENTS
w� �fr-acc
s;lf 45Q�d
-r-EST "13
�M
Township, Range, Section:
SLOPE
WAS GROUND WATER
Date Gross
Time
ENCOUNTERED?
,, /
/VD
Net
Drop
S
IF YES, AT WHAT,,
/ L
C
DEPTH?
/V �- P
!
E
DepthMontt to Water Ager
Monitoring?
/n /
Date; -`-'Y/,/4i`
Reading
Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
o
/o /2 9j 1"2e
—
2 "
!
:Z9
/mrh
3y"
r y„
2
30
Warr
3
:.3/
min
r
:32
Min
'Z "
I
5
33
1,h
59
/g„
E
E
(03y"
—
,-35-
35'3(0
. -5(0
8
/:37
w n
7 %z "
r/,4"
r
PERCOLATION RATE --y— (mmutes/mch) PERC HOLE DIAMETER
TEST RUN BETWEEN Jam, S FT AND v' SFT
PERFORMED BY: 2WD / /�/r/A/FF �/� /i Ipr/ %�j/ CERTIFY THAT THIS TEST WAS PERFORMED IN
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COSA Checklist.docx
COSA Checklist
Legal Description: HAMANN LOT 5A Parcel ID: 050-611-05
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 4/1996 Total depth 161 ft
Cased to 161 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 36+ in.
Date of flow test for COSA 4/3/2024
Static water level at beginning of test 27 ft.
Well production at time of test 3.4 gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 3/27/2024
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank 49”
Date of pumping 4/1/24
Required maintenance completed, if AWWTS
Comments: SEE MOA ADVISORY – TANK IS AT THE END OF LIFESPAN
& MAY NEED TO BE UPGRADED SOON &/OR BEFORE NEXT COSA.
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 11/1995
ALL standpipes present per record drawing
Total measured depth from grade 8.9 ft (max)
Measured depth to pipe invert from grade 2.8 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective. (ED)
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced 2000 gallons 4/2/24 date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 4/3/2024
Results Pass
Fluid depth prior to test 42 in
Water added 610 gal
New fluid depth 57 in
Elapsed time 1380 min
Final fluid depth 41 in
Absorption rate 600 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 77 in (MOA 6.4’ ED)
Effective depth used 41 in (Final Fluid Depth)
Effective depth (ED) remaining 36 in
Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots &
appears approximate with 6.4’ ED. Bottom of MT had about 1” of sludge. The record drawing is correct & the survey missed
the FCO – there is a foundation clean out next to the house.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 4/6/2024
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 or NO 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 &
04/06/24
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CP 91
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`• Municipality of Anchorage
On -Site Water and Wastewater Program a s
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-611-05
1. GENERAL INFORMATION
Complete legal description HAMANN LOT 5A
Expiration Date: 7-27 7 - I i
Location (site address) 24010 THE CLEARING DRIVE, EAGLE RIVER, AK 99577
Current Property owner(s) HARRY CARAWAN... & HEATHER BANE... Day phone
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
24010 THE CLEARING DRIVE, EAGLE RIVER AK 99577
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
❑
Community Class _Well
❑
Public Water System
❑
WaiverNadance request for:
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual
Holding Tank
❑
Community
❑
Public Sewer
❑
Received by: -.' --------- --Date. - K72
COSA to be releasedV,r, unless otherwise requested by the engineer.
COSA Fee $ Ci 22-(,v`
Date of Payment Lth5/I C,
Receipt Number Ua
COSA #
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.
Name of Firm -ARCTERRA CONSULTING, INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 04/14/2016
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. 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,
ArcTerra 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 rt� Of, AL\s
encroachments, deficiencies or discrepancies exist. �v q
f4O TII*,
6. DSD SIGNATURE
System #1 Approved for bedrooms. 'A KENNEL' .. ` F. �� 71 a
System #2 Approved for bedrooms. s
r s '4
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
_—Original-Certificate-Dates_---�[ �----
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 Slate 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
COSA blue sheet_ O-10.12Am
If more than 1 septic system is on the lot:
COSA Checklist # _of _
Structure served by this system _
Certificate of On -Site Systems Approval Checklist
Legal Description: HAMANN LOT 5A Parcel ID: 050.611.05
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID #
Date completed 411996 Sanitary seal (Y/N) Y
Total depth 161 ft. Cased to 161 ft.
FROM WELL LOG
Date of test 411996
Static water level 41 ft.
Well production 30 9 -
p.m -
WATER SAMPLE RESULTS:
Coliform SEG colonies/100 mL Nitrate qA5 mg/L
Arsenic: N 4 ug/L Date of sample: 4/11/2016
B. SEPTICIHOLDING TANK DATA
TankType/Material SEPTIC/STEEL
Tank size 1250 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
Date of pumping 4/1112016 Pumper JRs
C. ABSORPTION FIELD DATA
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 36+ in.
AT INSPECTION
411112016
ft.
Collected -by: ARCTERRA
Date installed 1111995
Cleanouts (Y/N)
High water alarm (Y/N) N
Date installed 1111995 Soil satin g.p.d./fe fe/bdnn) 0.8 System type DEEP TRENCH
Length 64 ft. Width 2 ft. Gravel below pipe 6.4 ft.
Total depth 9_3 ft. (Measured 4111116) Eff. absorption area 820.t? Monitoring tube Y Depression over field N
Date of adequacy test 44004+ y 11 t (p Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in abs&ption field before test 27 in. Water added 700 gal. New depth 42 in:
Elapsed roe: 1260 Min. Final fluid depth 25 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) N if yes, give date
D. LIFT STATION
Date installed
"Pump on" level at _ in.
Datum
Size in gallons
"Pump off level at _ in.
Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tankilift station on lot 100'+
Absorption field on lot 1001+
Public sewer main 75'+
Sewer /septic service line 25'+
Manhole/Access (Y/N)
High water alarm level at in.
Meets alarm & circuit requirements?
On adjacent lots 100'+
On adjacent lots 1004
Public sewer manhole/cleanout 1004
Holding tank
Animal containment areas 504 Manure/animal excrete storage areas 1004
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 54 Absorption field 5'+
Water main 104 Water service line 101+ Surface water 100'+'
Wells on adjacent lots 1004
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 104 Water main 104
Water Service line 104 Surface water 1004 Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONEKNOWN) Wells on adjacent lots 1001+
F. COMMENTS
Vacant system pre-soaked per code prior to test.
G. ENGINEER'S CERTIFICATION
I certify that I 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 t
Engineers Printed Name KENNETH M.DUFFUSv `+
Date 411412016 * 4
COSA canary ahs-6-15.doc
l 1a su:
I
Y\
1
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
SCALE= ..
FOLLOWING DESCRIBED PROPERTY:
. _
. f �6cTs:�..:,...STEXCEPT
hDt O TH�N ��4CHMENTS EXIEXCEPT AS
DATE•
(; ....... ,q r
w��.•'• .
INDICATED. IT IS THE RESPONSIBILITY OF THE
z
S'/��
��j+�f-Q
iF7
OWNER TO DETERMINE THE EOSTENCE OF ANY
i EASEMENTS, COVENANTS„ OR RESTRICTIONS
WHICH DO NOAPPEAR DH THE RECORDED SUBDI^
•• ;I—
i VISION PLAT. UNDER NO CIRCUMSTANCES SHDIA.D
F&
W. Me k
f
ANY DATA HEREON BE USED FOR CONSTRUCTION
OFFENCE LINES, OR FOR ESTABLISHING BOUND-
'`6sAxsa:"
ARY LINES.
DRA
sx x.
r
• , Municipality of Anchorage
n 4 On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 050-611-05
1. GENERAL INFORMATION
Complete legal description Hamann, Lot 5A
Location (site address) 24010 The Clearing Dr.
Current Property owner(s)
Mailing address
Real Estate Agent
Expiration Date: t - .2 - 1;
Theodore John & Elizabeth O'Brien
Day phone
2020 S Dimond Dr. Tuscon, AZ 85713
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
Waiver/Variance request
Received by:
COSA to be relea.
N
Day phone
SUSAUTTAL
0%1 rh V Z0!4
TYPE OF WASTEWATER DISPOSAL:
Q
Individual
FI
❑
Holding Tank
❑
❑
Community
❑
❑
Public Sewer
❑
Date: !
otherwise requested by the engineer.
COSA Fee $ 5240 1 315,01?�,sh = �� �% Waiver Fee $
Date of Payment 1011,1 ty c2!) Date of Payment
Receipt Number 010-jOt (r\ Receipt Number
COSA# (76CM `�Zl 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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE
System #1 Approved for
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
bedrooms
Date 9/8/2014
bedrooms, with the following stipulations:
By: Lf/ ./ Original Certificate Date: ,f B
v
Th anc
nici al horage 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 Stale 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
COSA blue sheet r :. ,.
If more than 1 septic system is on the lot:
COSA Checklist # 1 of
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: Hamann, Lot 5A
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed 4/1996 Sanitary seal (Y/N) Y
Total depth 161 ft. Cased to 161 ft.
FROM WELL LOG
Date of test 4/1996
Static water level 41
Well production 30
tip
g.p.m.
WATER SAMPLE RESULTS:
n
Coliform ��LU colonies/100 mL Nitrate mg/L
Arsenic i ug/L Date of sample: 9/2212012014
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,250 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y
Date of pumping 9/3/14
C. ABSORPTION FIELD DATA
Parcel ID: 050-611-05
Well Log (Y/N) Y
Wires properly protected (YIN) Y
Casing height (above ground) 18+ in.
' rfr
AT INSPECTION
9/2/2014
23 ft.
4.6+ g.p.m.
Collected'by: PES
Date installed After 11/25/1995
Cleanouts(Y/N) Y
Depression over tank (Y/N) N High water alarm (Y/N) N
Pumper SANITARY PUMPING
after 11125/1995 0.8 (VU/5F Ueep I rench
Date installed Soil rating (g.p.d./ftp or fi�ltidrm) System type
Length 62.5 ft. Width 2 ft. Gravel below pipe 6 ft.
Total depth 9.1 ft. Eff. absorption area 750 fe Monitoring tube Y Depression over field N
Date of adequacy test 9/2/2014 Results (Pass/Fail) 'BSS For 4 bedrooms
Fluid depth in absorption field before test 39 in. Water added 636 gal. New depth 49 in.
Elapsed Time: 240 min. Final fluid depth 39 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons _
in. "Pump off' level at
Cycles tested _
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+
Absorption field on lot 100+
Public sewer main 75+
Sewer /septic service line 25+
Animal containment areas 50+
SEPTIC/HOLDING TANK ON LOT TO:
Manhole/Access (Y/N)
in. High water alarm level
Meets alarm & circuit requirements?
On adjacent lots 100+
On adjacent lots 100+
Public sewer manhole/cleanout 100+
Holding tank 100+
Manure/animal excrete storage areas 100+
Building foundation 5+ Property line 5+
Water main 10+ Water service line 10+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10+ Surface water 100+
Curtain drain 50+ Wells on adjacent lots 100+
Absorption field 5+
Surface water 100+
Water main 10+
Driveway, parking/vehicle storage 110+
F. COMMENTS
System is undocumented, all record information taken from design.
System seems to be installed per 1995 design.
1 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.
Engineer's Printed Name Steven R. Pannone
Date 9/8/2014
COSA brown sheet -1 0-1 & 12.doc
in.
I
®N
I HEREBY CERTIFY THAT i HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY-
ANb THAT NO ENftZdHMENTS EXIST e7CGEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXfSTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
OFFENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES.
ma
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ShVARD &ASSOCIATES LAND SOBVEYING 694-0
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