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Home My WebLink AboutSPENARD HEIGHTS ADDITION LT 20• e /r PAO Development Services ®epari'6gienr _`-- Building Saf e''4 ®ivisicii N� On - Si e e � ca—i'er C: Wastevia a es Prot frac e? c �o f 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 < s FET Y Mark Begich www.muni.org/onsite Mayor (907) 343-7904 Well Log Permit Number: OSPI71348 Date of Issue: 11/14/2017 Date Started: 3/19/2018 Date Completed: 3/20/2018 Is well located at approved permit location? U Yes U No Legal Description: Spenard Heights Addition Lot20 G:2026 Property Owner Name & Address: Ron Swank 6334 High PI. Anchorage, AK Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To stickup 0 2 silty sand 2 50 sand 50 75 moist sand 75 82 sandy clay 82 155 moist sand 155 160 wet silty sand 160 170 heaving sand w/ H2O 170 175 gravel w/ H2O 175 180 Water Sample Results: Arsenic: Nitrates: Total Coliform Bacteria: Other Bacteria: 5 °g/L i8 18 k' mg/L - — colonies/100mL. col/100mL, Method of Drilling U air rotary U cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 180 feet Liner Type: - Diameter: - inches Depth: - feet Casing stickup above ground: 2 feet Static water level (from ground level): 60 feet Pumping level: - feet after - hours pumping - gpm RecoveryRate- 50+ gpm Method of Testing: airlift Well Intake Opening Type: Mx Open End ❑ Open Hole ❑ Screened Start feet Stopped feet n Perforations Start feet Stopped feet Grout Type: Bentonite Volumc:granules Depth: 20' Start 0 feet Stopped 20 feet Pump: Intake Depth 150 feet Pump size 3/4 hp Brand Name Grundfos SO.E Well Disinfected Upon Completion? [�] Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Hefty Drilling, Inc. 3540 Akula Dr. Anchorage, AK 99516 Attention: The well driller shall provide a well log to DSD within 30 days of completion. Developmen-1- services Depar•e-rilea Building Sa�s e;Io Division On -Site Wafter wq Qfi as fetum-er Program o f. 4700 Elmore Road a2 P.O. Box 196650 Mark Begich Anchorage, AK 99507 s = T Mayor vimmuni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number:#' 1%1.3 `7 Qj Date of Issue: 1� 01-7 r-- Parcel Identification Number: Legal Description Property Owner Name & Address: w Ci-, V/ Pump Installation Date: Pump Intake Depth Below Top of Well Casing: feet Pump Manufacturer's Name: � %(, hJQV5 Pump Model: )0 S Q697 apo Pump Size 3)cj hp Pitless Adapter Burial Depth: I® feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: ' , / or: 'i V Well Disinfected Upon Completion? 0 Yes n No Method of Disinfection: C� 1� 65 Comments: Pump Installer Name: Vw �fefty Drilling, Znc. P.O. BoXM130 Anchorage, A2C99511 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE On-Site Water &Wastewater Program PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 � http://www.muni.org/onsite .' l crartink•nt pNCHcu�� On-Site Water System Permit Permit Number: OSP171348 Effective Date: 11/14/2017 Work Type: Well Initial Expiration Date: 11/14/2018 Tax Code Number: 01205224000 Site Legal Address: SPENARD HEIGHTS ADDITION LT 20 G:2026 Site Mailing Address: 6334 HIGH PL, Anchorage Owner: SWANK RONN Lot Size in Sq Ft: 21321 Design Engineer: Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy CEJ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: To close this permit please submit: 1 . Well Log 2. Pump Install Log 3. Water sample results 11111 Received By: Date: 1 6� 17 Issued By: AI. /•1.11r Date: /(7/1-07 MUNICIPALITY OF ANCHORAGE Community Development DepartmentV` Phone: 907-343-7904 Development Services Division - Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWERIWELL PERMIT APPLICATION � tos �OQParcel I.D. 01 avJo Property owner(s) Dion( 1I11 1/1VPui' I( Day phone qa—`iy — 655-6ft Mailing address 0-/Ewrg_t_ C-r, f ntC f� A-I( qq S Q 7 Site address 6;o (')tk- PL . 1 N� f cfigsbz Legal description (Sub'd., Block & Lot) 3PfgAieO A-T5 , kph Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms I' APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (El all that apply) Absorption Field ❑ Initial Single Family (SF) ❑ Septic Tank ❑ Upgrade (w/wo ADU) 111 Holding Tank ❑ Renewal Duplex (D) [✓ ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well �r Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Distance: I certify that the above info ation is correct. I further certify that this is in accordance with applic a MunirCode 11-M C7 (Signature of property owner or authorized agent) Permit/Rush Fees: Air Waiver Fees: Date of Payment: ///q//? Date of Payment: Receipt Number: d 2 f i -- Receipt Number: Permit No. 0 5 ian-i3iig Waiver No. Permit App_9-1-12.doc 1 100'SEWER 75'SEWER MAIN SETBACK SETBACK LOT 19B MH N89° 57' 26"E 206.40 ,-- — — ��,//,�,/,//, 100'SEWER ` \ LOT 22 ,' / SETBACK LOT 20 \ ,/,/,-,/,//7/ 100'PROPOSED----A / ' 'DECK \ WELL BUFFER \ � 100'SEWER � /'/�i� SETBACK / ' !//'/',' W ,�,� cr o U \ \ \ / ', /EXISTING —J ,% HOUSE ,�,/Jr ,/ , / ///', ,/,/',',/ oN 1 I'L7 ° ', /,//,/,/ , / // , Lu I I OS / / / O —21' r�", / ' Co \ O ' , Oca ,/'/�,/,i o PROPOSED WELL I �9 //,�,',//, o SITE LOCATION % ////,,/ L7 LOT 23 ,Q • ,,, / 2f L 25'SEWER ;,'./ Z \ 14, SETBACK / Q J' / 75'SEWER MAIN \ \ N //j. SETBACK \ \ \ / v LEGEND. \ , 0 -PROPOSED WELL N """ -SEWER MANHOLE \ \. 1,,/, -POSSIBLE WELL LOCATION ...b2,:.!:%w. n \ 100'SEWER ��,. SETBACK ad - PROPOSED WELL BUFFER \ ----LOT EASEMENT LINE GAS AND OTHER UTILITY LOCATIONS ARE APPROXIMATE. \ SS -SEWER LINE SETBACK CALL 811 FOR LOCATES PRIOR TO DRILLING. N I S -SEWER LINE SEPERATION DISTANCES AND SETBACKS PER ) -UNDERGROUND GAS LINE AMC 15.55.060 TO BE VERIFIED BY DRILLER Lc G SPENARD HEIGHTS SUBDIVISION DRAWN BY: PS CHECKED BY: SC artterr, Inc LOT 20 DATE: 11/06/2017 au6itectuae•e folemiuu9-•a.weym9 'JOB NO: 15064 250HS1reet WELL SITE PLAN .Anchorage,AK 99501 SHEET NO: P1907243-5629 SCALE: F 0 5 F;907)) PARCEL# 01205224000 243-5629 1"=40' .Icgak.c0111 X67 8 9 X07 A74-P•lefin 43 •-,;j c.. `jc._ Municipality of Anchorage I�® On-Site Water and Wastewater Program <Not: 5 2018 S (907) 343-7904 Nil E T Y AI v CV Certificate of On-Site Systems Approval ��` a 6 9 L 9 Parcel I.D. 012-052-24 Expiration Date: / y 1. GENERAL INFORMATION Complete legal description Spenard Heights Addition Lot 20 Location (site address) 6334 Thurman Drive Current Property owner(s) Ronn Swank Day phone Mailing address 3015 Cheyenne Ct. Anchorage, AK 99507 Real Estate Agent Day phone 2. TYPE OF DWELLING: ] Single Family (w/wo ADU) ' Duplex El Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well D Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer 0 WaiverNariance request for: Distance: Received by: P�� `1r Date: ( 1i COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 0•20 1- ct l•$ b Waiver Fee $ &D Date of Payment ((40118 Date of Payment Receipt Number 57(46 fc5X Receipt Number COSA# 06CI 1 sti 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 Date 6/5/2018 ` F C 11 1 - O*• 4 • TH i\ *!$ 6. DSD SIGNATURE % •�� ~V 4 " System #1 Approved for bedrooms cri• •S}even K. ''annone: j 1,•. CE-8149 , System#2 Approved for bedrooms �� •qr'•. • '� Disapproved \NN"`..�` Conditional approval for bedrooms, with the following stipulations: 'R 's I" ,4,y( .. :: ON-SITE '- , NATER AND ^TEWATER .- lIRAM G g� (/,-.4 c to Original Certificate Date:_ ,..._— C::;) ,---7,__ Cg 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: ,,z,•,.. • , ,r COSA Checklist X .Nitrate•Advisory • .: ..,`.-S:..� I, .. c.... Septic System Advisory �''' Arsenic Advisory:'•:. Well Flow Advisory Other %` '': =f COSA blue sheet_[ '- ..• If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Spenard Heights Addition Lot 20 Parcel ID: 012-052-24 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 3/20/2018 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 180 ft. Cased to 180 ft. Casing height(above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 3/20/2018 NEW Static water level 60 ft. NEW ft Well production 50+ g.p.m. NEW g.p.m. ER SAMPLE� RESULTS: r/�' Coliform Vfcolonies/100 mL Nitrate ' 11 Dmg/L �� ► Arsenic 112 ug/L Date of sample:ling" Collected by: }� 66 . 41111 B. SEPTIC/HOL' ' • " D• • �� Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts(Y/N) Foundation cleanout(Y/N) Depression over tank(Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 Monitoring tube Depression over field Date of adequacy test Results(Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION 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 alarm&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 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION 4' 9F A• �q 1 ! I certify that I have determined through field inspections andojN.•• review of Municipal records that the above systems are in /*; !a• /\ ••* r conformance with MOA COSA guidelines in effect on this date. ••••• � ,lp Engineer's Printed Name Steven Pannone j•••Steven•i•. •'annorie: CE-8149 Date 6/5/2018 �� q •• 1 '*OFES.9.00 � COSA canary sheet_2-6-15.doc N 1I •I , .\ FOUND 5/8" REBAR 1 I SET 5/8" REBAR y Lot 18 Lot 19B w/ YELLOW CAP ` N 90 Pi '00"E 206.60' (R) N 89'55'49" .32' (M) N 89'58'29"E 116.25' (M) 15.0' ,50 \ \-SHED ENCROACHES J 4/RS;SOs 7.8'x9.6' SHED 47.2' Osops RETAINING ,,,25.2'N WALL \ 2L c9 J J • •ASPHALT 9 N,5, 7.0'x8.0' i o.s fl DRIVEWAY �� SHED • • Nu _ �'A�J • ' w . o 0 J Il.'. I G) \ O cf, _ ,>,. 3.6'x7.1 26.2• .6 No '7'/_ BALCONY 1 ,'1 *- ' WELL N2°r- 13 V 1 STORY FULL 00 �� BSMT. DUPLEX 'a,'4, q� Q: �o P1 . , Lot 20 w OA 9 : 21,321 s.f. FOUND 1" PIPE \ • \ '4T ,' 0L-1 t,ira A(0--(' 5t-k ft l./ W A6 Cv uc-'ti i ry 1,10\ 4. fAciv 2015 \ PLOT PLAN AS BUILT X SCALE 1" = 50' GRID - SW 2026 Project No. 18-254/A1 _ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates , inc . (907) 522-6476 Phone oppOp (907) 522-4625 Fax a4O r n /004 Professional Land Surveyors kenOlangsurvey.com o r JonathanOlangsurvey.com 00�C!.'''... �S4p0 I hereby certify that I have surveyed the following described property: • �� \ LOT 20, SPENARD HEIGHTS ADDITION (PLAT No. P-117) Q�* 49TH �� •v*�d0 Anchorage Recording District, Alaska, and that the Improvements situated thereon are Q ( (7 within the property lines and do not encroach onto the property adjacent thereto, that 1 no improvements on the property lying adjacent thereto encroach on the surveyed Y O `KEN LANG : premises and that there are no roadways, transmission lines or other visible 00�� `p i �� easements on said property except as indicated hereon. la Dated this the Day of �IP� oQ,`,,,,, ••.LS-5202.•'050 , at Anchorage, Alaska Q A _ ''OR° SSIONAL�4 It is the responsibility of the owner to determine the existence of any easements, DOppppoa covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • 907-343-7904 On-Site Water and Wastewater Section j Fax:343-7997 www.muni.org/onsite -� Arsenic Advisory Certificate of On-Site Systems Approval # OSC 181254 Subdivision: Spenard Heights , Lot 20 A water sample revealed an arsenic concentration of 59 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On-Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.0. Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org