HomeMy WebLinkAboutBOND ESTATES LT 15ABond Estates
Lot 15A
#018-191-25
Municipality of Anchorage %^ .
Development Services Department : e.
\ Building Safety Division
On -Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www d.andlorage.ak.us (907)343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO50187 PID Number. 018-191-25
N.e. Loma Buege
Wastewater System: ❑ New ® Upgrade
Aa 2700 DeArmoun Road Anchorage,AK99518
ABSORPTION FIELD
Peurr 830-2052 Nw a e.eoane Two
O Deep Tl.lm 11!1151 m Tr D 6.1 O wane 0011W
LEGAL DESCRIPTION
Sail Re.p
1.2
Tar Dpr rmm agrlr pre
8.5
Gp f'
enol UX: s,m...n Bond Estates
DOPM 0 M. rme logy WVW pees
Gr deem a PW
3.5 Fl.
4 FL
To.wp RNW Sema[
Fi eeefe elor enVnelVr•
Gm LwVft
1-3 Fl.
40 Fl.
Well: ❑ New ❑ Upgrade
De Witt,
r..roerarw.
Drr.:e Mawlrs
5 Fl.
1
n
Clrremmn (Frere, A B. CI.
Tar Depen Cres w
Tar mpm arae
Ppe r..lr
Existing
Fl. FL
400 Fe
ASTM D3034 PVC
Darr:
Dee 0 r suet wren L."r
lrallar
Deli xmeeee
Ft
Alaska Trail Blazing
6/23/2005
Tela
Parysrr.
Cr•Wa•NxAoo�rGrwra
TANK
GPr
FL
FL
SEPARATION DISTANCES
0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other:
To
Septic
Absorption
U ft
Holding
ubirJPmets
'°'•°'
v
From
Tank
Field
Station
Tank
Sewer Line
Anchorage Tank
1,000 Gr
Merit
Ruin. a Carp.al.r
W1,11
>100'
>1017
WA
WA
>15'•••
Steel
Two (2)
salemwrr
>100'
>100•
N/A
N/A
LIFT STATION
LA "•
>S
>10'
N/A
WA
Gr
'PWVwi levela
venoar rw.L
lel"ver. r.mw
Farlbmn
>S
>10'
WA
WA
h
h
h
Pu r W e roar
Elemvl Irepemora PW N Or
Cam Drr
None
Noted
R�Sewer Service Una Within 25' of Well Is Schedule 40
BENCH MARK
Lamm en1 D.fagea.
PVC with Joints Glued and Shrink Wrapped.
Garage Floor
Existing Septic Tank and Absorption Crib Pumped, Crushed
weeps
100.00 FL
and Abandoned.
ErgLrrVkjamp
Inspections performed by: A. Harala Dates: 10 6123/05
ALaRatt
ti OF At
� e
6/23/05
.F
AW�' QS
Development Services Department Approval
7~P�•••e "'��'
Conditional Approval Date:
••»q••••
�........
... ....... ..
go'. MIQIAr7E�fI' E. ANDEMN•-;'' •',
r^ .
,,r6d0;,�ROlLSS
V'
Reviewed and approved by: Date:
Permit Number. SWO50187
Municipality of Anchorage Page 2 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
DEARMOUN ROAD
LO
M
PLAN AS -BUILT
SCALE V - 40'
PID No. 018-191-25
ESTATES SUBDIVISION
Municipality of Anchorage
Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number. SWO50187
PID No. 018-191-25
r//wweam
1,000 Gallon
Septic Tank
93.1 2.9
98.3
Geotextile Fabric
92.7 DrainfieW Rock
92.7
88.7
79.0 40' (Trench Length)
0..........»........... „ „ .»...... r
PROFILE AS—BUILT
'0 s'°No.r-�
�?
No Scale
at
'����
ANDERSON ENGINEERING
F.O. BOX 240773
ANCHORAGE, AK 99524
October 7, 2007
Municipality of Anchorage
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 15A, Bond Estates Subdivision
Well and Septic System Certification
Certificate of On Site System Approval (COSA)
Dear On Site Engineer:
The existing house and outbuildings on Lot 15A, Bond Estates have been vacant for some time
with the owner currently in an assisted living facility. The septic system was upgraded in June of
2005 to include a new 1,000 gallon septic tank and a 40' long by 5' wide by 4' effective depth
absorption trench. The trench was constructed in sandy gravel soils with some silt. The
percolation rate of the soil was less than 5 minutes per inch and the total absorption area of the
trench is 400 square feet. The system was designed to accommodate a three-bedroom home even
though the existing house has only two bedrooms. Both the tank and the absorption trench were
constructed outside the 100' well radius and the existing tank and absorption trench were
pumped, crushed and properly disposed. The new system was in service only a short time when
the house was vacated. It remains in new condition with a dry drain field and no sludge
accumulation in the septic tank.
The well is located inside the house as shown on the Site Plan. A section of the sewer service
line is closer than 25' from the well. This section of line is constructed of Schedule 40 PVC.
The joints are glued together and enveloped in heavy duty shrink wrapping. Water samples
were recently taken from the well and indicate no contamination from coliform, bacteria, nitrates
or arsenic. Copies of the test results are included for your review.
The casing on the well was recently raised to 24" above the existing ground surface, a new
pitless adapator placed and the pump lowered to the bottom of the well. The pressure tank was
reconstructed to include new fittings and gauges. A new sanitary seal was placed atop the well
casing.
Lot 15A, Bond Estates
October 7, 2007
Page 2 of 2
Two flow tests were completed on the well to verify the water production. Both tests indicated
rates between .4 and .5 gallons per minute. Although these rates are low they are acceptable for
a three bedroom home which requires a minimum of .325 GPM.
The as built for the septic system was only recently completed due to lack of information and the
inability to contact the owner of the property. A surveyed as built was recently completed on the
property and is included with this submittal. The well log is currently on file with the
Municipality.
The future of the property is unknown, but both the well and septic system currently meet the
requirements of the Municipality and are eligible for a Certificate of On Site System Approval
(COSA). We hereby request the certificate be issued.
Sincerely,
W
Michael E. Anderson, P.E.
Attachment
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 9951M650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SWO50187
Legal Description: BOND ESTATES LT 15A
Date Issued: Jun 21, 2005
Expiration Date: Jun 21, 2006
Parcel ID: 018-191-25
Design Engineer: 0014 Anderson Engineering Site Address: 002700 DE ARMOUN RD
Owner Name: LORNA BUEGE Lot Size: 45578 SO. FT.
Owner Address: 2700 DE ARMOUN ROAD Total Bedrooms: 2 Permit Bedrooms: 2
ANCHORAGE. AK 99516-3532
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 specked 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, seated, and heated to prevent freezing.
5. The following special provisions.
ALL PRIVATE SEWER PIPNG OUTSIDE THE FOUNDATION WITHIN 25 FEET FROM WELL WILL BE SCHEDULE
40 PVC WITH GLUED JOINTS AND ALSO BE SHRINK WRAPPED TO PROVIDE ADDITIONAL PROTECTION
'AGAINST LEAKAGE.
Received By.
Date: G — Z/" O 5.
Issued Byf_]ft✓ Date: &/,-/ I.fir
Municipality of Anchorage O
• -� Development Services Department
Building Safety Division `•
On -Site Water and Wastewater Program s r
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWERMELL PERMIT -APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 018.191-25 Permit Number SW
Property owner(s) Loma Buege. Day phone 345-9088
Mailing address (1) 2700 DeArmoun Road Anchorage, AK 99516
Mailing address (2) 2700 DeArmoun Road Zip Code
Legal description (Lot, Block & Sub'd.) Lot 15A, Bond Estates Subdivision
Legal description (Section, Township & Range)
Lot Size qS 598 Acres/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms Two (2)
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub. ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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: -!f D Waiver Fees:
Date of Payment: c Date of Payment:
Receipt Number: 44n Receipt Number:
(Rev. 12100) 4007
'
JUN.21.2005 8:44AM ANDERSON ENGINEERING
ANDERSON ENGINEERING
P.0.13OX 240773
ANCHORAGE, AK 99524
MEMO
DATE:
6/2112005
TO:
Joo Goodall
WITH:
MoAIOn-Site Water and Wastowater
FROM:
Miko Anderson
SUBJECT:
Lot 15A, Bond Estates Subdivision
Septic System Construction Permit
NO. 453 P.1
The well on Lot 15A, Bond Fstates Subdivision is located at the southwest corner of the
existing house. The sewer service line exits the house closer than 25' from the well, At
the time of construction of the original septic system there was no separation
requirement between the well and the private sewer line. The current requirement is
25'. All new pipe placed under this permit and closer than 25' from the well will be
Schedule 40 PVC with glued Joints. The Joints will also he shrink wrappedtMetho
will
additional protection against leakage. We are confident this construccttiioonn
prevent any contamination to the existing well from the new sewer line.
please let me know if you have further questions.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 (FAX)' -
June 16, 2005
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 15A, Bond Estates Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer.
The existing absorption pit on the subject lot has failed and must be upgraded. We are
therefore requesting a permit be issued for the upgrade of the septic system to
accommodate the two-bedroom home on the lot. The attached Site Plan and backup
documentation identify the location and configuration of the existing and proposed
septic systems. Also identified on the plans are the locations of the existing well. No
conflicts exist between the proposed septic system and the wells on adjacent lots. A
new 1,000 -gallon septic tank will be installed outside the 100' radius of the existing well.
In addition the new absorption trench will be constructed outside the radius. Drainage
arrows are shown indicating the current drainage patterns. The drainage patterns will
be maintained after construction.
The test hole placed on the lot indicated clean sand with some pockets of gravel to a
depth of 20'. The percolation rate was determined to be less than 5 minutes per inch.
We are proposing to construct a 5' wide absorption trench with 4' of gravel beneath the
distribution pipe. The distribution pipe in the trench will be placed at 4' below the
surface with the total depth at 8'. The existing seepage pit will be pumped, demolished
and backfilled.
The ground surface on the lot slopes from west to east at less than 2%. The new
trench will be constructed parallel with the slope as much as possible in conformance
with Municipal requirements. The new septic system will be constructed a minimum of
1 00'from the existing well and any surface water in the area.
If the system is constructed in accordance with our design the following statements
Lot 15A, Bond Estates Subdivision
June 16, 2005
Page Two
apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
X
MICHAEL E. MOERSON
DeArmoun Road
r----------------------------
I
-------
----
1 NB HPtawB l0
9 B].Pt
BtNPrsw,B. t
„�
,1J7
a
SB9i$$S$i
A
8
!Y
cc
�
tem Q'9246
10993
n
O to ll�Enn
�y
15B
{{
I
:
N
co
Y
o s
cet o.a
Sep4e NaB
5e9!SStq c 50 00
'E
31AJE B},t
�
Sptk Aroa
A
I
I
I
I
OF
cj . A--,%
'• 49th
%
............................ ........ ...
MICN L E. A ERSON
'°
N0. CE4tet '=
AREA
MAP
t„'..
•
/♦♦44,
ESS•
SCALE t•
• 100'
at
LOT 15A, BOND ESTATES
TDeArmoun Road
I
113.76
I
Garage
h
,d c
1,000 Gatlon
TH1 SePtic Tank
I A Z*
Long x S Wide
8 b
.4- Egecdve Depth
4n I ACsorpuon Trench
's
1
c61 `39�
I I .
LOT 15A, BOND ESTATES
TWO
Bedroom
Home
Existing Septic Area
Pump, Crush 6 Backlill
SITE PLAN
SCALE 1"- 50'
LOT 15A, BOND ESTATES SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Two Bedroom House 5' Wide Trench System
Perc. Rate: LT 5 Min./Inch 1,000 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 4' Drainfield Rock
2 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 250 SF Absorption Area
250 SF/5 SF • .5 (Red. Factor) = 25 LF Trench Length
THEREFORE: Construct an Oversized Trench 40' Long x 5' Wide x 4' Effective Depth.
Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be
6' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over
Absorption Trench.
4'0" I Natural
Backfill Geotextile
Fabric
6"
4'0"
5'
Perforated
'C (Holes Down)
Drainfield Rock
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE) 4
NOTE: Grade Area Over Trench to Drain Away. a
Minimum 6' Separation From Bedrock ;.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells In the Area.
Minimum 100' Separation From Surface Water or Streams.
L ICK4EL E ANOER5011
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 15A. BOND ESTATES SID
PERFORMED
PERFORMED FOR• Inrnn RuPge
DATE: 6/8/2005 PROJECT No -
PARCEL ID1/• TECHNICIAN: A. Horala
TEST HOLE #:1 j
OG/OL
Well Graded Sand
SW
Some Gravel
WAS GROUND WATER ENCOUNTERED?
DEPTH OF WATER AFTER MONITORING:
IF YES e WHAT DEPTNT
DATE OF MONITORING:
I*Q:
0%
SITE PAN
See Site Plan
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
�ryATERF
(INCHES)
INET DROP
(INCHES)
6/15
TEST HOLE PRESOAKED PRIOR TO TESTING:
1
7:35
9.38"
2
7:45
10
Dry
9.38"
3
7:46
9.5"
4
7:56
10
Dry
9.5"
5
7:57
9.38"
6
8:07
10
Dry
9.38"
PERCOLATION RATE, .1 (MIIJ/INCII) PERC. HOLE DIA,-L—ONCHES)
TEST RUN BETWEEN. 4.5 FT. and 5.5 FT.
No
None 6/17/2 05
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 6/17/2005
ONSITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 15A, BOND ESTATES SUBDIVISION
GENERAL:
The scope of this project includes the work to pump, crush and backfill
the existing septic system on the lot. Work will then include the
procurement and placement of a new 1,000 -gallon septic tank. Work
also includes the construction of a new absorption trench 40' long by 5'
wide by 4' effective depth also at the location shown on the Site Plan.
The total depth of the trench will be 8' below existing ground and the
distribution pipe will be placed at 4' below the surface. All components
of the new septic tank and absorption trench must be constructed a
minimum of 100' from any surface water and 100' from the well on this
and adjacent lots. A minimum of 4' of cover is required over the septic
tank and 3' over the absorption trench. In lieu of cover 2" of direct
bury insulation and 2' of cover may be placed.
2. Construction shall be in accordance with the approved site plan,
design drawings, Municipal Permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater
Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines. The Contractor is also responsible to assure
the separation distance from wells and surface water in the area is
maintained. The engineer will accept no responsibility for Contractor
errors.
4. Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed from soil
settling. Property owner shall be responsible for revegetation of
affected areas unless specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified
by the Municipal Department of Health and Human Services for
system installations. Owners installing their own systems must receive
prior approval from D.H.H.S. before beginning system installation.
Lot 15A, Bond Estates Subdivision
June 16, 2005
Page 2 of 4
SEPTIC TANK INSTALLATION
1. A new 1,000 -gallon septic tank must be procured from a certified
septic tank manufacturer.
2. A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
3. The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct
burial insulation.
6. A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drainfield.
7. Final grading over the tank shall be such that a positive slope exists
away from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the
design. The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a
level bed of drainfield rock. Rock should then be placed over the pipe
to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations
shown on the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum
100' away from any private water wells in the area, 150' from a Class
"C" Well or 200' from any community well. The Contractor is solely
responsible to assure these separation distances are met.
Lot 15A, Bond Estates Subdivision
June 16, 2005
Page 3 of 4
6. Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available. Finish grade over the trench
must be mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall verify this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic
tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated
and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections must be
completed during the construction of the septic system. These
inspections must be conducted under the supervision of a professional
engineer registered in the State of Alaska. The first inspection must be
conducted after the excavation of trenches, beds or pits and before the
installation of any gravel. A septic tank may be set in place, but may not
be backfilled. The Contractor must notify the engineer 4 hours prior to the
inspection to prevent delays.
Lot 15A, Bond Estates Subdivision
June 16, 2005
Page 4 of 4
The second inspection must be conducted after the placement of the
geotextile fabric, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as -built of the completed system.
His measurements must include verification that the proper separation
distances have been met. A certified surveyed as -built may also be
required to assure the proper separation distances are met from wells in
the area. The as -built will also include separation distances from streams
or surface water in the area.
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 SUBMITTAL COMMENT SHEET
To: ANDERSON ENGINEERING
Legal description: BOND ESTATES LOT 15A
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on
❑ Calculation error in 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, percolation and water monitoring tests not shown.
❑ Proposed system too deep for soils information submitted.
❑ Well log required.
❑ Omission in narrative. _
❑ Insufficient fill over tank or field._
® Other. ALL PRIVATE SEWER PIPNG OUTSIDE THE FOUNDATION WITHIN 25 FEET FROM WELL WILL BE
SCHEDULE 40 PVC WITH GLUED JOINTS AND ALSO BE SHRINK WRAPPED TO PROVIDE ADDITIONAL PROTECTION
AGAINST LEAKAGE.
Name of reviewer: JOE GOODALL
Date: 6/21/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
M -W DRILLING, Inc.
P.O. Box 10.378 • 10300 Old Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA 99511
DRILLING LOG
Well Owner Use of Well T)p
Location (address of: Township, Range, Section, if known; or distance main road
Lot 15A Floc?: 33 ted Subdivision
Size of casing �, Depth of Hole 138, feet Cased to 138 feet
Static water level 61 ft. (4460L) (below) land surface. Finish of well (check one) open end
Screen ( ) ; Perforated ( ) .
Describe screen or perforation None
Well pumping test at 10+ gallons per QftVM (minute) for 1 hours with
of drawdown from static level.
Date of completion Sote7ber 26, 1983
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
0
TO
50
50
TO
65
?
TO
3.5
7u
TO
62
3.5
TO
29
87
TO
124
TO
42
4'
TO
50
50
TO
65
62`a
TO
78
7u
TO
62
31
TO
67
87
TO
124
124
TO
132
132 TO 137
137 Tp 13S
TO
t:Af3jllF` StiCt nF ANCHORAGE
F{FF�I F:
DEPT. OF ^TION
Organics
Gravel with smd d
Gravel with cobbles
Gravel with simd
Gravel with clay and sand mix
Gravel with occasion cobble �
kdth s -ravel
with sand and rravc
1Z
-.03
N
0
w
q � P�41JIL
3 — CONTRACTOR
• Municipality of Anchorage
Onsite Water and Wastewater Program
(907)343-7904
Certificate of On -Site Systems Approval p
Parcel I.D. 015-191-25 Expiration Date: 12
1. GENERAL INFORMATION
Complete legal description Bond Estates Lot 15A
Location (site address) 2700 De Armoun Rd. Anchorage, AK 99516
Current Property owner(s) Robert Renke Day phone
Mailing address 2700 De Armoun Rd. Anchorage, AK 99516
Real Estate Agent
2. TYPE OF DWELLING:
Q Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 2
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual
F1
Individual Water Storage
❑
Holding Tank
❑
Community Class _Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver/Varianm request
Received by:_ I Il X Date:
COSA to be released tg the enginr, unless gtf erwhte'J.Q.406 the engineer.
COSA Fee $ 52L
Date of Payment '-Emg
Receipt Number C).5. %%
COSA#
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
S. STATEMENT OF INSPECTION BY ENGINEER
As cedified by my seal affixed herelo and as of the validation date shown below, I verify that my investigation, based on procedures outlined
in the Certificate of On -Sits Systems Approval Guidelines for this applicatlon, shows that the on-site water supply andlor wastewater
disposal system is (are) safe, functional and adequate for the number of bedrooms and type of abucture indicated bereim. i further verify that
based on the Information obtained from the Municipality of Anchorage files and from my investigation and inspection, Ne on-site water supply
andfor wastewater disposal system island) in compliance with all applicable Municipal and Slate codes. ordinances, and regulations in effect at
the time of installation.
In conducting an adequacy lest, 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 lest,
and seperaUon distances measured to readily identifiable features. The operational tiM of all walls 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 durable the control of the evaluator of This system. All systems eventually (ail 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 waranly
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of Ne owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 745-8200
Address P.O. Box 1807 Palmer, AK 99645
Engineers Printed Name Steven R Pannone
6. DSD SIGNATURE
System #1 Approved for 2 bedrooms
System #2 Approved for _ bedrooms
Disapproved
Conditional approval for _ bedrooms, with the following stipulations:
Data 8/30/2018
ByOriginal Certificate Date: Gi—i 2f
The Municipality of Anchorage Development Services Division (O5O) issues Certificates of OnSlte Systems Approval (COSA) based only
UW the representations given in paragraph 5 by an independent professional civil engineer registered in the Slate of Alaska. The Municip irly
of Anchorage Is not responsible for emors or omissions in the professional engineers work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory _r_ Other
OOSAdb.Attir - . o
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: Bond Estates Ll 5A
Parcel ID: 018-192-25
A. WELL DATA
Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y
Date completed 9/26/1983 Sanitary seal (Y/N) Y Wires properly protected (YIN) Y
Total depth 138 R. Cased to 138 ft. Casing height (above ground) >24 in.
FROM WELL LOG AT INSPECTION
Date of test 9/26/1983 8/17/2018
Static water level 61 ff 52.30 fl
Well production 10 Spm 0.25 S P.M.
WATER SAMPLE RESULTS:
Coliform Negaiivecolonies/100mL Nitrate ND mg/L
Arsenic ND ug/L Dateofsample: 8/22/2018 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 6/23/2005
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (YIN) N
Date of pumping 8/27/2018 Pumper Around The Clock Pumping LLC
C. ABSORPTION FIELD DATA
Date installed 6/23/2005 Soil ratio ' ' 1-2 g.p.d/sf 5' Wide Trench
g (g.p.d./ft or K /bdrm) System type
Length 40 ft. - Width 5 ft. Gravel below pipe 4 ff.
Total depth 9.75 ft. Eff. absorption area 400 fl' Monitoring tube Y Depression over faid N
Date of adequacy test 8/17/2018 Results (Pass/Fail) Pass For 7 bedrooms
Fluid depth in absorption field before test 2.5 in. Water added 300 gal. New depth 2.5 In.
Elapsed Time: 30 min. Final fluid depth 2.5 in. Absorption rate >= 300 g p tl
Any rejuvenation treatment (past 12 mo.) (YIN & type) Non Known If yes, give date
D. LIFTSTATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at_in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested - Meets alar 8 circuit requirements'
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot >100' On adjacent lots >100'
Absorption field on lot >100' On adjacent lots >100'
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer /septic service line >15' Holding tank 100'+
Animal containment areas None Manurelanimal excrete storage areas None
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >10' Property line >5' Absotption field >51
Water main 104 Waterserviceline>10 Surface water >100
Wells on adjacent lots >100'
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 ?25
Curtain drain Non Noted Wells on adjacent lots >100'
F. COMMENTS
** Sewer service line outside the foundation of the house and within 25' of well is schedule
40 PVC with glued joints and shrink wrapped. Per last COSA 10/8/07. Water from tank used to fill field.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspedions and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineers Printed Name Steven Pannone
nate 8/30/2018
COSA canary sheet 2-5-15.doc
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT �•
On -Site Water and Wastewater Section j�
www.muni.org/onsite—�
Well Water Advisory
Certificate of On -Site Systems Approval # OSC181455
Subdivision: Bond Estates, Lot: 15A
907-343-7904
Fax: 343-7997
This well's productivity was determined to be.25 gallons per minute. The minimum
well productivity required under (AMC 15.55) for a 2 -bedroom residence is .21
gallons per minute or 150 gallons per day per bedroom.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 . www.muni.org
Municipality of Anchorage
C• •. Development Services Department
Building Safety Division
Onsite Water and Wastewater Program
4700 Bragaw Street
F P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonsite
(907) 343.7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
016.191.25
COSA # Hh a% 0 fa
Parcel I.D.
,16
Expiration Date: 118 1.0
GENERAL INFORMATION
Complete legal description got 15A, Bona estates Subdivision
Location (site address) 2700DeAfn'ounRoad Andwage,AK99516
Current Property owner(s) Loma Bue9e
Day phone 301-2911
Mailing address 2700 oeAfR10un Read Anchorage, AK 99516
Lending agency
Day phone
Mailing address
Real Estate Agent -
Day phone
Mailing Address
Unless otherwise requested, COSA will be
held by DSD for pickup.
2. NUMBER OF BEDROOMS:
Two (2)
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Q Individual On -she
Individual Water Storage
❑ Individual Holding Tank ❑
Community Class Well
❑ Community On-site ❑
Public Water System
❑ Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite 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 Onsite 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 Onsite 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 engineers 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 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 Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Phone 522-7773
Engineer's Printed Name Michael E. Anderson, P.E. Date t WC07
*' 49.It1 7V'' �e
... it
5. DSD SIGNATURE AN E I
•�3�r ,�t
Approved for bedrooms. �t�Afo•••,,•.,,•••'���4+
Disapproved. +�1i 1,0e,sa��►��,:W'
Conditional approval for bedrooms, with the following stipulations:
COSA Checklist X Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Report
Nitrate Advisory Other
By: ' ) - Original Certificate Date: /o I L
rw• lnos)
Municipality of Anchorage • _•
• Development Services Department
Building Safety Division `
Onsite Water 3 Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519 -MM
www.muni.orgfonsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Lat15A frond FStOn SrbdWbion Parcel ID: 018-191.25
A. WELL DATA
wed type Mira, IfA, B, or C provide PWSID 1f
Data completed a2aw Sanitary seal (YM) v
Total depth Ise fL Cased to 13a ft.
FROM WELL LOO
Date of teat W25W
Stack water level e1 R
Wed production 10 9 -p -m -
WATER SAMPLE RESULTS:
CotltOrm 0 cdonies/100 mL Nitrate N!D mg1L
Amend: NID nW Data of sample: 2130-7
B. SEPTICIHOLDINO TANK DATA
Tank Type/Material
Tank sim 1.O gal. Number of CompedmOntsTNo
Wed Log (Y/N) Y
Wkea property protected (Y/N) v
Casing height (above grand) >24 le.
AT INSPECTION
10/48007
44.5 fL
.4 9 -
p.m -
Other bacteria 0 colonies/100 mL
Collected by: F. LODoux
Cleanats (YIN) Y
Foundation deanout (YIN) Y Depression over tank (YM) N High water Warm (YM) N
Data of pumping Now Coramredon Pumper
C. ABSORPTION FIELD DATA
Data installed 623=05 Sail raring (g.p.dile or fe/bdrrn)1.2 GPousF System type s was Trance
40 IL Width 5 ft. Gravel below pipe 4 1L
Total depth a R. Eff. absorption area fe Monlfadng lube Y Depression over, field N
Daft of adequacy teat Nes Carat Results (PaswTad) For _ bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Tim: min. Final fluid depth in.
Any rejuvenation treatment (past 12 mo.) (YIN & type)
Absorption rate >= g.p.d.
If yea, give date
D. LIFT STATION
Date installed Sim in gallons Manhole/Access (Y/N)
•Pump ore level at _ In- 'Pump dr level at ,_ In. High water alarm level at in.
Datum CYdes tested Meets alarm a dreus requkomwW
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankU station on lot >101Y
Absorption held on lot >107
Public Bawer maln WA
Sewer /septic service Orae >I V —
Animal containment areas None
On adient lots >ma
On adjacent lots >10(r
Public lower manhole/deanout WA
Holding tank WA
Maraadanmai excels storage areas Nene
SEPARATION DISTANCES FROM SEPTIGHOLDING TANK ON LOT TO:
Building foundation >6 Property One>T Absorption 11ek1 >V
Water main WA Water service dna >19 Surface water >IW
Wefts on adjacent lots >tDa
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
prop" One >19 Building foundation >ta
Water matin >1a
Water Service One >1a Surface water >107
DIVOWSY PWM ngrvahlde Kamp! >23`
Curtain drain None Noted Wells on adjacent lots >,W
F. COMMENTS: "Sewer service Line Cuteids all Fowdadan d ills ileus! and WCNn W d WM Y SdwABe eD PVC
wall Ghwd Jotres and Shddc we.mw t
G. ENGINEER'S CERTIFICATION
I Cer>3ay 6W / have detennhed fhroryh geld hrapedicns and
review Of Municipal records fhat die above systems are in
cordbrmance *1M MOA COSH guldepnes in effect on B11a dafe.
Engineers Printed Name Michael E. Anderson• P.E
Date Ioll 7
COSA Fee $ ` ` , r Waiver Fee $ _
Date of Payment Date of Payment
Recelpt NumberReeelpt Number,
(Rev. 11ro'.f)
s 4910
ul"[ TwatlOn: w
serNile��
SGS Rera
1074812001
Client Name
Anderson Engineering
Project Name/q
pond Estates Lot ISA
Client Sample ID
pond Estates Lot 15A
Matrix
Drinking Water
PWSID
0
Sample Remarks:
All Dateirrimes are Alaska Standard Time
Printed Date/Time
09128/2007 12:01
Collected DateMme
09/13/2007 9:51
Received Date/Time
09/13/2007 10:05
Technical Director
Stephen C. Ede
Allowable Prep Analysis
Panunetu Results POL Units Method Contain ID Limits Date Date Init
Metals by ICP/MS
Arsenic ND 5.00 ug/L EP200.8 C (<10) 09/21/07 09127/07 TK
Waters Department
Total Nitrate/Nitrite-N ND 0.100
Microbiology Laboratory
Total Coliform 0
mg/L SM20 4500NO3-F p
col/IOOmL SM209222B A (<I)
09/18/07 IDS
09/13/07 SDP
111=30'
83-71
BOND ESTATES SUBDIVISION
LOT 15A
45.578 S.F.
SEE NOTE --F
\I I l
AS
W
N
h
O
O
GASTALDI LAND
SURVEYING, LLC
JEFF A. GASTALDI, R.L.S.
4726 WEST BOTH AVENUE
ANCHORAGE, ALASKA 99502
PHONE 248-5454
GRID t DATE
3034 1 10/2/2007
F.B.I JOB NO.
07-11 BEI 5A
DEARMOUN ROAD
b
M
113.74'
5' BUILDING SETBACK
10' T. do E. ESMT.
R.O.W. TAKEN BY THE STATE OF ALASKA, DEPARTMENT OF TRANSPORTATION AND PUBUC
FACILITIES, PROJECT NO. OF -031-2(57).
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS.
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIASION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
NOTE: NO CORNERS SET THIS DATE
017 A4
49W 0
/ ...... ..............�
s ; Jeffery A. Gaetaldi g 1
♦ c LS -6091 mR AV
��M�rev.��IC/•LIJ1.' ya��
p'ole,3lona1 ve �•
••1111r a a;;**