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HomeMy WebLinkAboutWILKEN LT 3Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP151150 PID Number: 051-082-31 ❑✓ New ❑ Upgrade Name: ABSORPTION FIELD KurtWilken ❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound Address NSN Scenic Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade . - - 3 1.0 GPD/SF 5.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.5 Ft. Gravel depth beneath pipe 0.5Ft. Subdivision Block Lot 117 Fill added above original grade - 0 Ft. Gravel length 90.0 Ft. Township Range Section 15N 1W 5 Gravel width 5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft, SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenchas From Tank Field Lift Station Tank Line 450 Ff 2 10.0n. Well 98,8* 115.4 100+ 75+ 67,8 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1,000Gal. Surface Water 100+ 100+ N/A NIA Material Steel Number of compartments 2 Lot Line 30.0 5.0* N/A NIA NA Foundation 34.1 55.5 N/A NIA LIFT STATION Manufacturer Capacity Gal. Curtain Drain 50+ 50+ NIA N/A Pump on level at Pump off level at High water alarm at Remarks *See lot line and Tank to Well Waiver Request. in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL Housetotank3034 Tankto 3034 drainfleld Installer - Whitter's Excavating Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services -LLC. BENCH MARK (Assumed elevation) 100ft Inspection9" 7/8/15 7/8/15 Location and description dates: 2 Top of Floor Slab 3'" 7/8/15 4'" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineers Stamp Conditional Approval: Date "$seven aitnorae' CE 814 JJ++ Approved f (=- Date I Z- rt Inspection Report_1-1-12.doc Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panenaak.com December 16, 2015 Subject: T15N R1W S5 L117 Well to Septic Tank Separation Distance Waiver Request Septic System to Lot Line Separation Distance Waiver Request This is a request for the issue of a waiver for the separation of the well to the septic system of the subject property. The well was installed on 11 June 2015 by Sullivan Water Wells and the Septic System was installed on 08 July 2015 by Whitter's Excavating. This was a new development upon a previously vacant lot. The lots to the east are developed. The lots to the north were developed in conjunction with the subject property. 1. Surface Water: There is no surface water within 100 feet of the installed septic tank or absorption field. 2. Topography: The existing topography in the area of the system slopes from South to North at a slope of 2%. 3. Waivers: We would like to request a waiver for separation distance for the existing septic tank to the well located on the lot and a waiver for the drain field to the lot line separation distance with the details of both specified below. a. Septic Tank (E) to Well (E): A separation distance waiver between existing well on Lot 117 and an existing septic tank on the same lot. The distance between the existing septic tank and well is 98.8'±. We are requesting a waiver for the drain field to the existing well for a distance of 95' on Lot 117. DEC Criteria: The well on Lot 117 is a private well and was drilled in 2015. The data is summarized as follows: LOT# WELL DEPTH STATIC WATER LEVEL YIELD - Well Data Date H2O Test Date - Soil Characteristics Well Log Data Nitrate Level Lot 117 1 180' 1 20' 5+gpm 06/11/2015 1 12/08/2015 1 Y Y 0.1 The ground water in this area typically flows from the northeast to the southwest. The soil cross-sections are similar across the area and a homogenous cross-section was used to calculate the DEC criteria for all components. As outlined under 18 AAC 80.020 and 18 AAC 72.021(a), I have calculated the following points: Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 Lot 117 Septic Tank to Well: Distance from sewer system bottom to groundwater 7.11 Soil sorption below sewage system 2.65 Soil permeability below the system 0.20 Water table gradient 6.00 Horizontal separation 2.92 Total Points 18.88 "The sum of the above values could equate to the following conditions: 16-24 Almost sure to be free from any form of contamination from household sewage." In my opinion, this waiver request meets the above criteria for approval and does not constitute risk to health. I hope the above information will assist you in determining that the waiver should be granted. b. Lot Line Separation Distance: The northern end of the second trench of the existing system (westernmost trench) is also located 5' from the property line. We request a lot line separation distance waiver to 5' for the existing system. The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan December 16, 2015 To: Affected property owners adjacent to T15N R1 W Sec 5 Lot 117 Subject: Waiver Notification Notarized Confirmation To Whom It May Concern: The Municipality of Anchorage On-site Water & Wastewater Program (On-site) regulates private drinking water wells and septic systems for single family residences in accordance with Anchorage Municipal Code (AMC) Chapters 15.55 and 15.65. The Chapters include minimum separation distance requirements for private drinking water wells and septic systems. The requirements represent a conservative approach to protecting public health. Occasionally, the construction or upgrade of a property's well or septic system cannot be accomplished without reducing the code required separation distances. In these situations, a waiver to the required separation distance may be approved if an Alaska licensed civil engineer can successfully show that the public health will be maintained. The code requires a septic system drainfield to be located a minimum of ten (10) feet from any property line. The subject property owner's engineer has formally requested a waiver be granted to allow the existing septic system drainfield to be less than the required separation distance from a property line located on T15N R1W Sec 5 Lot 110. AMC 15.65.140 requires all adjacent property owners be notified seven (7) days prior to issuing a separation distance waiver. This letter and a copy of the as -built survey have been sent to you in accordance with this requirement. Please sign and notarize this letter to acknowledge you have been notified. , Mf On-site Water & Wastewater Program Encl.: as -built survey Owner - T15N R1 W Sec 5 Lot 110 Print Signature rgrrr 3: M OFS Notary My commission Mailing Address: P.O. Box 196650 • Anchorage, Alaska 99519-6650 • http://www.muni.org TH-3 1 i M4 NO WELLS OR SEPTICS I 1WITHIN 200' \ x.5.0 C4 .�. .y_. 110.0 C3 M//� 3 / ANEW 10009 SEPTIC TANK � B DRIVEWAY. C2 98.8 NEW D \1(2EA) 3BR 115.4 HOUSE /A C 1 NEW WELL W PRIMARY/1. { SERVE DRAIN FIELD (P) 45LF x 5'W x 0.5'ED x 5.0'TD 1 I/ WITH 2.0' SANDZF S1yl �V i NO RECORDS ARE AVAILABLE FOR � THE WELL ON LOT 118B I�.N PES WAS UNABLE TO LOCATE THE WELL ON LOT 1188 AND SO THE WELL RADIUS_ �N1 ` ON LOT 118A IS SHOWN WITH PROTECTIVE RADIUS z LOT 118B DOES NOT HAVE A WELL WITHIN `� �z W 200' OF THE PROPOSED SEPTIC SYSTEM \ \k, AREA (E)-/ (E) \ I spy W W ^• NO WELLS OR SEPTICS L WITHIN 200' - NOTES:. _���� \� - Date RECORD DRAWING P MOloNE7 EN SVGE,C, 995L0F'ACl1+ 12/8/2015 PHONE (907) 272-8218 FAX (907) 272-8211 i"g�P �yt� Scale *: .9111 •*�/ 1"=50' T15N, R1W, Sec 5, LOT 117 % P.I.D. NO KURT WILKEN Steven .R .Pannone 051-082-31 C.O. MICHAEL ANDERSONj P•• g y ;�% PERMIT NO. �i OSP151150 SCENIC DRIVE �1 r--p LAN CHUGIAK, AK 99567 l�i\\\`�=i Sheet 3 A B FC 45.6 6.8 T1 59.7 35.0 T2 63.7 40.7 DCO 65.1 42.6 FS 67.1 45.4 C1 65.7 61.6 68.0 62.5 -ml - C2 _ 79.9 74.6 M2 78.0. - 73.3 C3 91.1 56.7 M3 91-.2 57.9 C4 100.5 70.1 M4 102.4 72.8 C D WELL 31.5 23.0 \1(2EA) 3BR 115.4 HOUSE /A C 1 NEW WELL W PRIMARY/1. { SERVE DRAIN FIELD (P) 45LF x 5'W x 0.5'ED x 5.0'TD 1 I/ WITH 2.0' SANDZF S1yl �V i NO RECORDS ARE AVAILABLE FOR � THE WELL ON LOT 118B I�.N PES WAS UNABLE TO LOCATE THE WELL ON LOT 1188 AND SO THE WELL RADIUS_ �N1 ` ON LOT 118A IS SHOWN WITH PROTECTIVE RADIUS z LOT 118B DOES NOT HAVE A WELL WITHIN `� �z W 200' OF THE PROPOSED SEPTIC SYSTEM \ \k, AREA (E)-/ (E) \ I spy W W ^• NO WELLS OR SEPTICS L WITHIN 200' - NOTES:. _���� \� - Date RECORD DRAWING P MOloNE7 EN SVGE,C, 995L0F'ACl1+ 12/8/2015 PHONE (907) 272-8218 FAX (907) 272-8211 i"g�P �yt� Scale *: .9111 •*�/ 1"=50' T15N, R1W, Sec 5, LOT 117 % P.I.D. NO KURT WILKEN Steven .R .Pannone 051-082-31 C.O. MICHAEL ANDERSONj P•• g y ;�% PERMIT NO. �i OSP151150 SCENIC DRIVE �1 r--p LAN CHUGIAK, AK 99567 l�i\\\`�=i Sheet 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALLED NEW I OOOg SEPTIC TANK AND SOIL ABSORPTION. SYSTEM. INSTALLED WELL. -- 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 10.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL_ TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10.0 FEET BELOW EXISTING GRADE. DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g PERC RATE: <1 MPI SOIL RATING: 1 GPD/SF AREA ROD: 450 SF SYS. TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 90 LF USED: (2EA) 45 LFx5'WxO.5' E.D., 5.0' TD WITH 2.0' SAND TOTAL AREA: 450 SF PROFILE LEGEND W WATER LINE/ WELL RADIUS SS NEW SEPTIC ABBREVIATIONS CU- COPPER - - - TH TEST HOLE FILTER FABRIC - FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. 4" 0 DRAIN PIPE RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS - li-DRAIN ROCK 6" ABOVE PIPE INV BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TH-3 TOPSOIL AND VEGETATE NIC NOT IN CONTRACT OR 97.3 97.3 - - 4.5 - G 5� 192.8 92.3 - x-92-8 92.3 GP/ ( 2.0' SAND SM S.D -90.3-90.3 '7 -10.0 87.3 k-5.0 ----10.0 -I-- 5.0 - - -11.0 86.3 SECTION w w MIND .5' FILL m m > > a j FILTER FABRIC U U 4- U z wp m z 3 p K z tt p 4" 0 DRAIN PIPE z z z a U 97.5 U OU W W O O J DRAIN ROCK 6" ABOVE PIPE INV � 94.8 1000g TA Nk R.I.11L SEPTIC94.6 (P) i r 112.0' SAND DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g PERC RATE: <1 MPI SOIL RATING: 1 GPD/SF AREA ROD: 450 SF SYS. TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 90 LF USED: (2EA) 45 LFx5'WxO.5' E.D., 5.0' TD WITH 2.0' SAND TOTAL AREA: 450 SF PROFILE LEGEND W WATER LINE/ WELL RADIUS SS NEW SEPTIC ABBREVIATIONS CU- COPPER - DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BEG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE NIC NOT IN CONTRACT NOTES: PAMONE L:LVG SVC, LLC -OF AL\``l Date 2/8/2015. .RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 i '��•' "'•qS �� C PHONE (907) 272-8218 FAX (907) 272-8211 %oj�p �9++1 Scale .. 4 TH *9, NTS ....... .. .. ....-/ T15N, RM Sec 5, LOT 117 / as1-aaz-31 KURT WILKEN - 'S'te've'n'p:' akWo W C.O. MICHAEL ANDERSON I P C a e j PERMIT N0, �cl,V�� OSP151150 SCENICDRIVE SheetDESIGN DETAILS CH GIAKAK 99567 P6FES400� 3 OF 3 Certified Drilling Log OC CO dOa �t�BILL & COLE OLLIVANgWATER WELLS P.O. Box 670269, k, AK 99567 688-2759 OWNER OF LAND: Kurt Wilken _ ADDRESS: 22750 McManus Dr. Chugiak, AK 99567 LEGAL DESCRIPTION Wilken Estates Lot -3 -- DATE: 6-11-1S PERMIT NUMBER: OSP151150 DATE OF ISSUE: A-11-15 TAX IDENTIFICATION NUMBER 05108231000 Is well located at approved permit location: ®Yes No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 180' Casing Type: Steel Wall thickness ,250 inches Diameter: 6 inches, depth 144 feet Liner type Static Water Level: 20 feet Recovery Rate 5 2 gpm -❑ gph Method of Testing Air _ Well Intake Opening Type: ❑ open end Nopen 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: Bore Hole Data Depth From To 0 2 2 4 4 25 25 125 125 131 131 180 Casing Stickup Overburden Sand & Gravel w/ Cobbles Silt, Clay & Gravel Tight Sand & Gravel (water 2GPM) Sandstone Conglomerate I I 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. ..-SILL a COLE DOC CO dbe RLIVANWATER WELLS P.O. Box 670269, g www.suilivanwater-wells.com Pump Installation Log Well Drilling Permit Number: SW OSP151150 Date of Issue 6-11-15 Parcel Identification Number: 05108233000 Legal Description Wilken Estates Lot 3 Pump Installation Date: 9-12-15 Pump Intake Depth Below Top of Well Casing: 152 Pump manufacturer's Name: Goulds Pump Model: IOHS07412CL Pump Size: 3/4 Pitless Adapter Burial Depth: 10, Pitless Adapter Installer: Whitters Excavating Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson B10X Pump Installers Name: Sullivan Water Wells Property Owner Name & Address Kurt Wilken 22750 McManus Dr. Chugiak, AK 99567 feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. On -Site Water & Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151150 Tax Code Number: 05108231000 Work Type: WellSeptic Initial Permit Effective Dates: June 11, 2015 to June 10, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: T15N R1 W SEC 5 Site Legal Address: T15N R1 W SEC 5 LT 117 G:1457 Owner/Address: WILKEN KURT A 22750 MCMANUS DRIVE CHUGIAK AK 995675478 Site Mailing Address: 21240 SCENIC DR, Chugiak This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy All construction must be in accordance with: Lot Size in Sq Ft: 108900 Total Bedrooms: 3 Y Private Well N Water Storage 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 must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: �� MUNICIPALITY OF ANCHOI Community Development Department Development Services Division On -Site Water & Wastewater Program T Y . + e^ 0.1! ON-SITE SEWER/WELL PERMIT APPLICATION > L) Parcell.D. 051-082-31 Property owner(s) Kurt Wilken Mailing address 22750 McManus Drive, Chugiak, AK 99567 Site address Scenic Drive i 9y!— `�7 0 9 2015 Day phone Legal description (Sub'd., Block& Lot) Legal description (Township, Range & Section) TI 5N, R1 W, Sec 5, Lot 117 Lot Size 108,900 Sq. Ft. Number of Bedrooms 3 MAY 2 9 2015 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑x (w/wo ADU) Septic Tank ❑X Upgrade ❑ Duplex (D) F]Holding Tank F-1Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. of property owner or authorized agent) Permit/Rush Fees: �} .ils = '?8�1 Waiver Fees: Date of Payment: Date of Payment: Receipt Number: 0`436�pG Receipt Number: Permit No. 05el61I,50 Waiver No. �S Permit App_ ::..,:c. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve(@Panengak.com May 28, 2015 Subject: T15N, R1W, Sec 5, Lot 117 Well and Septic System Permit Request Design Narrative This is a design narrative for a permit to install a new well and septic system to be issued for this property. The proposed systems will serve a proposed three (3) bedroom house. Currently the lot is undeveloped. The proposed system will utilize a 1000g septic tank with a conventional drain field. The surrounding developed lots are served by private wells. There are no wells on surrounding lots within 100 feet of this system and there are no septic systems installed on the surrounding lots within 100 feet of the proposed well. 1. Soils. One test hole was performed in the vicinity of this system by Pannone Engineering Services in March of 2015, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 10.0' below the surface in the test hole monitor tube in April of 2015. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 1 gallons/day/square feet with a 2.0' sand filter should be used for a conventional wastewater system in the area of these test holes. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography slopes from the southeast to the northwest at approximately 2% in the area of the septic system. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no surrounding wells within 100 feet of the proposed septic location or septics within 100 feet of the proposed well location. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALL NEW I OOOg SEPTIC TANK AND SOIL ABSORPTION SYSTEM. INSTALL WELL. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 10.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. PRIMARY / RESERVE DRAIN FIELD (P) (2EA) 45LF x 5'W x 0.5'ED x 5.07D WITH 2.0' SAND CO AND MT AT EACH END (TYR) NO WELLS OR SEPTICS WITHIN 200' \ - 10008 SEPTIC TANK (P)7* � WITH DOUBLE CLEAN OUT / 526 AND FLOW SPLITTER Cr SEPTIC AREA (E) i FOUNDATION -CLEAN OUT—_M MIM DRIVEWAY (P) TH-3 - 77 HOUSE m 136 (P) w o.ZF 11 07.2. i z NO RECORDS ARE AVAILABLE FOR 4 CIL THE WELL ON LOT 118B w 3: PES WAS UNABLE TO LOCATE THE WELL :E ON LOT 118B AND SO THE WELL RADIUS 1 ON LOT 118A IS SHOWN WITHA 150 WELL (P) ` I U PROTECTIVE RADIUS 1 z LOT 1188 DOES NOT HAVE A WELL WITHIN `� - \ LLJ � 200' OF THE PROPOSED SEPTIC SYSTEM \� u� DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) - 6y .P1 TANK SIZE: 10009 PERC RATE: <1 MPI WSW SOIL RATING: 1 GPD/SF AREA ROD: 450 SF -�\^ I SYS. TYPE: WIDE TRENCH 0.5'ED WELL (E) MIN LENGTH: 90 LF AHHREVIA71VIVJ TH TEST HOLE USE: (2EA) 45 LFx5'Wz0.5' E.D., 5.0' TD - (P) PROPOSED WITH 2.0' SAND (E) EXISTING TOTAL AREA; 450 SF i NO WELLS OR SEPTICS CO CLEAN OUT NO. MT MONITOR TUBE N0. !— - WITHIN 200' - SYP TYPICAL - NOTES: BO `��� \\ Date FOR CONSTRUCTION P.O.`1j0002211'7 ANCHORAGE, 995110,� •( ...... •QSII� �y+) 6/10/2015 PHONE (907) 272-8218 FAX (907) 272-8211 /%g�p *�/ .• Steven "Pannone ��+PF. Scale 50 51-oaz-31 PERMIT NO. T15N, R1 W, Sec 5, LOT 1167:F- 10' KURT WILKEN KURT C.O. MICHAEL ANDERSON CE 8149 .•��/ `s ' � OSP1s1,50 Sheet PLAN SCENIC DRIVE CHUGAK, AK 99567 (�l��F�FROFESSIONR� '�\\\\���' 1 OF 2 SOILS LOG - PERCOLATION TEST TEST HOLE 3 SLOPE I SITE PLAN OR ORGANICS (� �+( m 2 /£ / ,x -z 3 4 w _ � I • CC 5 C s s I o \ 6 GP/ SILTY SAND AND X SM ROUND ROCKS TH U w` 9 104/1/15 i �'• — w 11 BOH X3/25/15 • .� M\ _ BLAIR AVENUE 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? Y 15 IF YES, AT WHAT TH DEPTH? -11.0' X 16 17 DEPTH TO WATER AFTER MONITORING? -10.0- 18 DATE: 411/15 19 DATE PERFORMED: 3/25115 PEROLATION RATE <1 (min/inch) PERC HOLE DIAMETER 6 -inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by WHITTERS EXCAVATING. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANN N EN _���� \� Date FOR CONSTRUCTION rp,p VB�XO102954 1ANC ORA'SGE�, CK 99510 '��!OF'A`l�, 6/10/2015 PHONE (907) 272-8218 FAX (907) 272-8211 %��p. �y �� Sc.Ie NTS T15N, R1 W, Sec 5, LOT 117 % PLD. NO KURT WILKEN Steven .R. Pannone 1-082-3t C.O. MICHAEL ANDERSON j PERMIT No. 9�,c/, CE 81 49 .cid/� OSP151150 SCENIC DRIVE I�srFgFo ......•PES sheet SOILS LOG CHUGIAK, AK 99567 It �/'BOFESSI `+� 2 OF 2 CLOCK WATER READING DATE TIME NET TIME LEVEL NET READING DROP 1 3/25/15 12:00 --- 4.12 --- z 12:03 3 MIN 10.12 6.00 (DRY) a 12:03 --- 4.12 --- a 12:06 3 MIN 10.12 _ 6.00 (DRY) 5 12:06 --- 4.12 --- s 12:09 3MIN 10.12 6.00 (DRY) • Municipality of Anchorage On -Site Water and Wastewater Program < (907) 343-7904 s a Certificate of On -Site Systems Approval Parcell.D. 051-082-31 Expiration Date:` 1. GENERAL INFORMATION Complete legal description Wilken, Lot 3 Location (site address) Scenic Dr. Current Property owner(s) Kurt Wllken Day phone Mailing address 22750 McManus Dr. Chugiak, AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: 0 e l I _�o 4�(.L Distance: l 5 / Received by: /' 7;�'_( / Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number COSA # 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 Daf6:22/46k2-0=h5 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: 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 COSAbluesheet t If more than 1 septic system is on the lot: COSA Checklist# I of -1 Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Wilken, Lot 3 A. WELL DATA Parcel ID: 051-062-31 Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 6/11/2015 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y Total depth 180 ft. Cased to 144 ft Casing height (above ground) 18+ -in. FROM WELL LOG AT INSPECTION _Date of test 6/11/2015 New Static water level 20 ft Newer_ ft Well production 5.0 g.p.m. New 9 - p.m -WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 12/$/215 Collected by: PES B. SEPTICIHOLDING TANK DATA Tank Type/Material SeptiC/Steel Date installed 7/$/2015 Tank size 1,000 gal Number of Compartments 2 Cleanouts (Y /N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) High water alarm (Y/N) N Date of pumping New Pumper N/A C. ABSORPTION FIELD DATA 7/8/2015 2 2 1.0 GPD/SF Shallow Trench .' Date installed. Soil rating (g.p.d./ft or ft /bdrm) System type Length 90 ft., Width 5 ft. Gravel below pipe 0.5 ft Total depth 5 ft., Eff. absorption area 450 ft2 Monitoring tube Y Depression over field N Date of adequacy test NewResults (Pass/Fail) Pas For bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date D. LIFTSTATtON Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. 'Pump off' level at in. High water alarm level at in. - Datum Cycles tested Meets alarm & circuit requirements? -- E. SEPARATION. DISTANCES WELL ON LOT TO: _ Septic tank/lift station on lot 98.8 On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ - Sewer /septicservice line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANKON LOT TO: Building foundation 5+ Property line 5+ Absorption field'* Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots . 1 00+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main -10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS *See attached waiver request G. ENGINEER'S CERTIFICATION A I certify that 1 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 0213012015 COSA canary sheet 2-6-15.doc ITH seri 37 I�unnone . CE 49 I Parcel I.D. 051-082-31 M Municipality of Anchor DEC 1 n �u15 On -Site Water and Wastewater Progra (907) 343-7904 Certificate of On -Site Systems Approva 1. GENERAL INFORMATION Complete legal description Expiration Date: S `S Q ^( T1 5N, R1 W, Sec 5, Lot 117 Location (site address) Scenic Dr. Current Propertyowner(s) Kurt Wilken Mailing address Real Estate Agent 22750 McManus Dr. Ch 2. TYPE OF DWELLING: F1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone_ iak, AK 99567 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System-- ❑ Public Sewer /II• a r Waiver/Variance request for: WG / � -Ao FO, Distance: / Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ "( ?/ Waiver Fee $ L2- Date of Payment — (;l / / �j Date of Payment jY / t' // 5— Receipt Number b4W(O (St Receipt Number O9 o-7 COSA# or-�)CtSJ��JC Waiver # ot)\(I ir'S7 E 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affxed., nd as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On e, vs* ,-, s Approval Guidelines for this applicafion, 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 flies 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 MCA 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 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 272-8218 Date 12116/2015 All S}everi ,P6AA(;l e pp,• CE-8149.,,� Conditional approval for bedrooms, with the following stipulations: By: t we F Original Certificate Date: 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet; c 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: T15N, R1 W, Sec 5, Lot 117 Parcel ID: 051-0&2-31 " A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log,(Y/N) Y Date completed" 6/11/2015, Sanitary seal (YIN) Y Wires properly protected (YIN) Y Total depth 180, ft. Cased to 144 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 6/11/2615, New Static water level 20 ft New ft. Well production 5.0 g.p.m. New g.p.m. s WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate'. qND m�g/L Arsenic ND ug/L Date of sample: y'l& 5 Collected by: PES i�I g/�.atS B. SEPTIC/HOLDING TANK DATA Tank Type/MaterialSeptic/Steel bate installed 7/8/2015 Tank size 1 °000 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (Y/N) I Y Depression over tank (YIN) N High water alarm (YIN) - Date of pumping New Pumper N/A C, ABSORPTION FIELD DATA Date installed 7!8/2015 Soil rating (g.p.d./ftz or ftz/bdrm) 1.0 GPD/SF System type Shallow Trench Length 90 ' ft. Width 5 ft. Gravel below pipe, 0'S ft. Total depth 5 ft. ^^, Eff._ab8or`ption area 450 ft? Monitoring tube Y Depression over field- N Date of adeouacvtest• New Results (Pass/Fail) Pas For 3 bedrooms Fluid depth in absorption field before test New in.' Water added New gal. New depth NeW in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >_. 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No if yes, give date 1 ■ D. LIFT STATION Date installed Size in:gallons Manhole/Access (Y/N) "Pump on" level at in'% "Pump ofl � level at in. High Water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 98'8 On''adjacent lots 100+ Absorption field on lot 100+ 0n`adjacentlots, • 100+ . Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer /septic service line 25 Holding tank 100+ Animal containment areas 50+1-Manurelanimal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO ; Building foundation 5+ Pfoperty line 5+ Absorption field 5+ Water main 10+ Nater service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+10+ foundation 1 �+ Water m yin. 10+ ,�. 10+ Water Service Iine 10+ $urface walet 100+ Driveway; pafieir Vehicle storage - 50+ - 100+ Curtain drain Wells on adjacent IotS. F. COMMENTS *See attached waiver request G. ENGINEER'S CERTIFICATION I certify`lhat / have determined through field iri6pections and revlgw`of Municipal reco ds that the above ,systems are -in conformance with MOA COSA guidelines in effect on this date. 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