HomeMy WebLinkAboutMCCABE WEST LT 2C
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
POBox 188Gso 4r8OElmore Road
Anchorage, Alaska 99519-6650 Ph '7904 Fax: (907) 343-7997
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Permit Number: OSP221298
Work Type: Septic Renewal
Tax Code Number: 01823128000
Site Legal Address: MCCABE WEST LT 2 G:2936
Site Mailing Address: 1325OPEAKV(EVVC/R.Anchorage
Design Engineer: PANNONE ENGINEERING SERVICES
This permit iafor the construction of:
Effective Date:
Lot Size in Sq Ft:
Total Bedrooms:
8/10/2022
8/10/2023
42181
R1 Disposal Field Z Septic Tank 0 Holding Tank EI Privy 0 Private Well 0 Water Storage
All construction shall beinaccordance 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
VYaotevvoher Disposal Regulations (18A\C72)and Drinking Water Regulations /1O/�\�}80)
3. The vvaatewmtercode requires inspections du�ngtheinataUation.Theengineer`haUnodfvtheDeve|oprnen(
Services Depa�nnentper A�WC15G5 Pnovidanoti�o�tionbyu calling /gU7)343 ~U4(24 '
. . a ng -/W /7)
4 From osubxu�aoe�oi|abaurod ''� `--�'-�- -' '
. , absorption
shall boeither:
a. Opened and Closed onthe same day, or
b. Covered, sealed, and heated tuprevent freezing
^
Locate the beginning of the existing field to confirm that the 5' separation between the tank and field will
be met.
Received B)
Issued By:
Date:
Date:
S
&MUNICIPALITY OF ANCHORAGE
Community Development Department Phone. 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 018-231-28
Property owner(s) Jason & April Cooley Day phone
Mailing address 13250 Peakview Cir Anchorage, AK
Site address same
Legal description (Sub'd., Block & Lot) McCabe West L2
Legal description (Township' Range & Section)
Lot Size 42,181 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
Initial ❑
Single Family (SF) X❑
Septic Tank
0
Upgrade ❑
(w/wo ADU)
Holding Tank
ElRenewal
Q
Duplex (D) El
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: tI N-5, Waiver Fees:
Date of Payment:8 X01 Date of Payment:
Receipt Number: 08S 9 S 6 Receipt Number:
Permit No. d S p a Waiver No.
Permit App__- : .-.,:c
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steveppanengak.com
DATE 7/27/2022
Subject: Expired On -Site Water and Wastewater Permit
Permit Renewal Request
Permit Number: OSP211237
Legal Description: McCabe West L2
This is a request to renew the permit for the above mentioned lot. All site conditions remain the same.
The construction still will not affect the health, safety, or development of the surrounding lots.
Sincerely,
Steven R. Pannone, PE; F. ASCE
Owner/Civil Engineer
'Aaiiing: P.O. Box 1807, Palmer, AK 99045-1807
Telel:;hoine: (907) 745-8200 FAX: (907) 745-820
illi`;. NiCIPALi E Y 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://wvvw.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP211237
Work Type: Septic Upgrade
Tax Code Number: 01823128000
Site Legal Address: MCCABE WEST LT 2 G:2936
Site Mailing Address: 13250 PEAKVIEW CIR, Anchorage
Owner: COOLEY JASON E & APRIL M
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft
Total Bedrooms:
5.
Wg
De 1)aI-tIn ell t
6/29/2021
6/29/2022
42181
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 (2417).
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.
"SpecU Provisions: Locatethe beginning of the field to confirm that the 5' separation between
the tankand field will be met.
Received By: Date:
Issued By: L(Date:
M
�� ��
MUNICIPALITY
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"�=���`������-��&=@ 8 B ���- ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
018-231-28
Paroo|iD.
Property ownar(a) Jason & April C |
Mailing address 13250 pE}akV'8VV Cir /\DCh0[8
Site address same
Day phone
Legal description (Sub'd, Block &Lot) McCabe West L2
Legal desorption(Township, Range & Section)
Lot Size 42,181 _Sq. Ft. Number of Bedrooms 4
APPLICATION CSFOR: APPLICATION |SAN:
TYPE OFDWELLING:
(Zall that apply)
Absorption Field FX�|ni�a| El
Single Family (SF)
--
-1'
k�woADU>
SoptioTank FK FX
-- --
Duplex ([}\
| |
Holding Tank | | Renewal ��
-- --
� '
Multiple Dwellings
--
El
Privy
(SF and/or D\
Private Well Fl
Water Storage El
THIS APPLICATION INCLUDES A\/AR|ANCE /VVA|VEFl REQUEST FOR:
Distance:______
I certify that the above information is correct. I further certify that
this is in accordance with
applicable Municipal Codes.
(Signature ofproperty owner orauthorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: .2 0 ;1 Date of Payment:
Receipt Number: 31-7 -1), 1 G Receipt Number:
Permit No. OSP�211-937 Waiver No.
Permit App_-'- :- :�-�c -
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPUANCI
Pannone Engineering
giaat g riv} . SOSP211237, Deb 0
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
25 June 2021
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. O. Box 196650
Anchorage, Alaska 99519
Subject: McCabe West L2
Septic System Upgrade Permit Request
Design Narrative
This is a design narrative for a permit to install a septic system upgrade on the subject property. The proposed
upgrade will serve an existing four-bedroom (4) house. This lot and surrounding lots are served by private wells.
Currently there are no wells within 100 feet of the proposed upgrade.
1. Soils:
A test hole was performed on this lot by Pannone Engineering Services on 6/11/2021, and groundwater was
monitored for at least 7 -days. No groundwater was observed in the test hole monitor tube bedrock was also not
encountered during excavation of the test hole. Based on the results of the percolation test overall soils appearance
and data from surrounding test holes an application, rate of 1.2 gpd/sf was used for the design of a conventional
wastewater disposal system in the are of the test hole.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
3. Surface Water:
There is no surface water within 100 feet of the proposed septic tank and drain field.
4. Topography: See attached site plan for area topography.
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review
is complete and no further comments are received from MoA On -Site Department, the note will be removed and
"For Construction" drawings will be issued.
lrlaiiing' P.O.Box 1807; Painner, Al< 99645
?elephone: ;907; 745-8200 FtI,X: (9071 745-8201
Page 2 of 2
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions or concerns, please contact me at 745-8200.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
lilailh P.C_i. Box. �{. j`.1l r 17 CJir lei i`. C 3�
i eep iof?c_. :)07) :5-8 .J FAX": (907) 745-820:i.
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FOR CONSTRUCTION
PANNONE ENG SVC LLC (C.l. 1088)
P.O. BOX 1807 PALI4ER, AK 99645
PHO,IE (907) 745-8200 FAX (907) 745-8201
OF
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REVISIONS
REVISIONS
DATE
6/22/2021
REV 1: 6/25/21
SCALE
DRAWN ACP
SITE PLAN
MCCABE WEST 2
JASON & APRIL COOLEY
13250 PEAKVIEW CIR
ANCHORAGE, AK
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NOTES: PANNONE ENG SVC LLC (C.1. 1088) "" REVISIONS DATE
FOR CONSTRUCTION P.O. 80X 102954 ANCHORAGoE, AK 99510 _'p�E. �F• A�gS'1, REV 1: 6/25/21
6/22/2021
PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE
NTS
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DRAWN ACP JASON & APRIL COOLEY
018-231-28
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NOTES: PANNONE ENG SVC LLC (C.1. 1088) "" REVISIONS DATE
FOR CONSTRUCTION P.O. 80X 102954 ANCHORAGoE, AK 99510 _'p�E. �F• A�gS'1, REV 1: 6/25/21
6/22/2021
PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE
NTS
MCCABE WEST L2 P.I.D. NO
DRAWN ACP JASON & APRIL COOLEY
018-231-28
y -• ste CER.o�e
CE -8149 = PERMIT NO.
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6/22/2021
PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE
NTS
MCCABE WEST L2 P.I.D. NO
DRAWN ACP JASON & APRIL COOLEY
018-231-28
y -• ste CER.o�e
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6/22/2021
PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE
NTS
MCCABE WEST L2 P.I.D. NO
DRAWN ACP JASON & APRIL COOLEY
018-231-28
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6/22/2021
PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE
NTS
MCCABE WEST L2 P.I.D. NO
DRAWN ACP JASON & APRIL COOLEY
018-231-28
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NOTES: PANNONE ENG SVC LLC (C.1. 1088) "" REVISIONS DATE
FOR CONSTRUCTION P.O. 80X 102954 ANCHORAGoE, AK 99510 _'p�E. �F• A�gS'1, REV 1: 6/25/21
6/22/2021
PHONE (907) 272-8218 FAX 07) 272-8211 =r7�,. i ySCALE
NTS
MCCABE WEST L2 P.I.D. NO
DRAWN ACP JASON & APRIL COOLEY
018-231-28
y -• ste CER.o�e
CE -8149 = PERMIT NO.
13250 PEAKVIEW CIR C.. �= OSPXXXXXX
SOIL LOG ANCHORAGE, AK ,a1HEla�- SHEET
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL
PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
00*
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION
REPORT
NAME
PHONE
0 NEW
8 _fkr 26 n;`'
13�18'— j. /i}
❑UPGRADE
MAILING ADDRESS
S;M 1 lei'- k .%1 ,l, ! sb
LEGAL DESCRIPTION
LOCATION
NO. OF BEDR�O/CIMS
Je
VpAlI
Absorption area
Dwelling
PERMIT NO.
�v
DISTANCE TO:
neo
47"..
�
; :1 r,A3
n~. z
Manufacturer „
Material
No. of compartments
UJ H^�
Fc
/
ti
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
2 ,_,
._
°az
DISTANCE TO:
Well
Dwelling
PERMIT NO.
0z<
z<
Manufacturer
Material
Liquid capacity in gallons
❑
Lu
DISTANCE TO:
W:P1
Foundation / /
-?,A /z
Nearest lot line
/,z %
PERMIT NO.
F,
'_'jcl: '� `/
J u. z
No. of lines
Length of each line
Total length of, lines
Trench width
_;inches
Distance between lines
H z w
%
c�CCl
r r
c
Q F
Top of tile to finish grad r
Material beneath tile
Total effective absorption area
inches
f,�•'_ ;!
Length
Width
Depth
PERMIT NO.
w
< F-
Type of crib
Crib diameter
Crib depth
Total effective absorption area
CL
wa
Lu
DISTANCE TO:
Well
Building foundation
Nearest lot line
Class020
Depth
Driller
Distance to lot line
PERMIT NO. ,
Lu
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area (s)
OTHER
PIPE MATERIALS
SOI L TEST RATING
I �5 �t
INSTALLER
;
REMARKS
�'
V
; t
J D al
Ci U
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SIJ eL�
Y•
a
,i
APPROVED DATE LEGAL
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological & Geophysical Surveys
Drilling Permit No.
LOCATION OF WELL (Please complete either la, Ib or Ic.) A.D.L. No.
Ia. Borough I Subdivision Lot I Block Ib. '/4gtrs. Section No. Township NRange E❑ Meridian
I—of—ot—of s SW[J
Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL:
Address: -
r,
Street Address and Area of Well Location
2. WELL LOG Feet Below
Surface
Material Type Top Bottom
4. WELL DEPTH: (final)
ft.
5. DATE OF COMPLETION
— —
6. Q Cable tool 0 Rotary O Driven E] Dug
0 Auger Jetted ❑ Bored Other:
7. USE: Domestic E] Public Supply Industry
Irrigation EJ Recharge Ej Commerical
EJ Test Well ❑ Other:
8. CASING: E] Threaded .Q Welded
diam. in. to ft. Depth Weight Ibs./ft.
diam. in. to ft. Depth Stickup ft.
9. FINISH OF WELL:
Type Diameter:
Slot/Mosh Size: Length:
Set between ft. and ft.
Backfilling Gravel pack
10. STATIC WATER LEVEL: ft.
❑ Above or El Below land surface Date
Equipment used:
II . PUMPING LEVEL below land surface and YIELD
ft. after hrs. pumping g.p.m.
ft. after hrs. pumping g.p.m.
12.GROUTING Well Grouted: E] Yes ❑ No
Material Neat Cement ❑ Other: -
OF ANCHORAGE
DFPT Cr. i ?" P.
1 i.�•= +• •-
FNVIWJr
15. PUMP: (if available) HP
Length of Drop Pipe ft. capacity g.p.m.
EJ Subm. Jet 0 Centrifical Other
i v
14. REMARKS:
16. WATER WELL CONTRACTORS CERTIFICATION:
This well was drilled under my jurisdiction and this report is true to the best
Registered Business Name Contract
Address:
15, Water Temperature 0 ❑ F C
of my knowledge and belief;
License Number
Signed: Date:
Authorized Representative
Form 02-WWR (11/81) Copy Distribution: WHITE -State DGGS, PINK -Driller, CANARY -Customer
Cn
G)
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171 E= \
HEALTH —
• iE=-RTMENT =h�C�"4h`:rr_-
025 `•L' STREET, . ANCHORAGE, RK. =1950-+
264-4720 u
..
PERMIT NO. < 820237
3 All
APPLICANT BETHARD CONST. INC SRA 1698K ANCH. 99507 345-1615
LOC AT 101,1
LEGAL
L2 hff•••—•,._BE r,D L4 _..1.. SIZE 42181 SQUARE !–EFT
TYPE OF -OIL ABSORPTION SYSTEM I TRENCH
H
MAXIMUM NUMBER ';E `ER OF BEDROOMS — 4. SOIL Rs I G (SQ :t L:: ` ) M 85
THE REQUIRED S_:v.:_. OF • l E",1._ SOIL {=sF=s'=:C!,'' PTION SYSTEM I E .
V_, _ fi--^ a ,i'" -J — -1.171 "^'`s4- �- ?..= FZ "-_ ^ _ !-... t; _... '
{'rE 9_.=� 1 RF-i:� =- —I-
I—
T tC
THE
. t :_
I N t DIMENSION
��i'..__I }-,
E- t•; LENGTH } ,. {�'-i FEET) t i !F (HI'_ TRENCH I ! 1 .t!,:`;.—' l !`•:IF ! ' ,
1 _- "FH_ L .r•i `�T� I ..I .. �� .. _ � �:` . ... 7: E._� .
THE
DEPTH OF A TRENCH
OR PIT IS THE DISTANCE BETWEEN THE
SURFACE OF THE
GROUND
}=j I' D THE BOTTOM
OF THE EXCAVATION (1 N FEET).
MINIMUM DISTANCE FRC'M { ; PRIVATE `','`ATE
THERE
IS NO ! SE..! WIDTH
Fi_iR TRENCHES.
1-0 A COMMUNITY SEWER LINE IS 5
THE
GRAVEL DEPTH IS THE
MINIMUM DEPTH f–€ }=' GRAVEL BETWEEN ?_,_. k
`I , ,E: OUTFALL PIPE
r=1�•:!i_:'
THE BOTTOM TOM ! !F THE
EXCAVATION 1 {N (I N FEET).
Oi' THE WELL LL !_:!_:MP ETTi II`•.{.
_ ti _+I : __!. is per' (_ _..:__._s 7_5=10402 0... O tt-:Y E D »`-v FAL - y_ syA =_
PERMIT
FR Il –t_I HAS THE RESPONSIBILITY
E_-_IB1_TT T_INFORM –I_DEPARTMENT r_RrvG THE
INSTALLATION Ii',I'=PEC ii_iI' S OF {=!NFT 'SELLS ADJACENT TO THIS I='j='!_!PERTt_, A{,.,E! ., THE
•',I(_iMBER !_!I•- RESIDENCES THAT THE WELL WILL.. SERVE.
BACKFILLING OF ANY SYSTEM WITHOUT FINAL. INSPECTION HND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
s _ ,D I --AN :E BETWEEN A WELL
ON-SITE SEWAGE DISPOSALSYSTEM
T t^ "EF
r `=
a...:
100 0 FEET FOR {=( PRIVATE WELL OR
150 TO 200 FEET FROM A PUBLIC WELL
DEPENDING
f iK IN THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FRC'M { ; PRIVATE `','`ATE
WELL TO H PRIVATE ATE SEWER LINE IS
5 FEET
AND
1-0 A COMMUNITY SEWER LINE IS 5
FEET.
WELL LOGS ARE REQUIRED AND MUST
RETURNED -moi ! THE DEPARTMENT WITHIN
`:•!_!
DAYS
Oi' THE WELL LL !_:!_:MP ETTi II`•.{.
OTHER REQUIREMENTS i`Ii"!Y APPLY.
SPECIFICATIONS H4•:II_:t CONSTRUCTION
DIAGRAMS
ARE
AVAILABLE TO i I �.d.�,URE PROPER INSTALLATION.
E0711F`IFANKIETji-;
a �• 7-= 6'� �---i! 'tom"; !r,=" pT° _ - 7 AL <1 n_022
1 CERTIFY THAT
1: 1 AM FAMILIAR WITH T !—i{= REQUIREMENTS FOR ON—SITE SEWERS r±p,[I_.t WELT._.' . H,_, SET
FORTH BY THE MUNICIPALITY i_iF ANCHORAGE.
E.
2: 1 WILL INSTALL THE
SYSTEM I IACCORDANCE WITH T –E CODES. ODES.
_. + UNDERSTAND =hL"–=T THE ON—SITE SEWER SYSTEM MAY REQUIRE
ENLARGEMENT IF T
"E
RESIDENCE IS REMODELED TO i I I`•, CL{_{iiE MORE THAN 4 BF` l7;O;,il• &
'ANU n' K'✓
My" yl� �S
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION
I TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR:—1 M 0 L e-flll l ( DATE PERFORMED:_
LEGAL DESCRIPTION: Lot z MC cab ' SC) ,
DEPTH r ��r SLOPE!'I SITE PLAN
1 E �htc_ r1f I I i—H
-�6
7
w
8' co, t
15
F4
16 .�
17 0; T °
18
@• O •i 0004@• @ •!@
i THOMAS R. SM I
COMMENTS
WAS GROUND WATER j�' O
ENCOUNTERED? L
O
P
IF YES, AT WHAT E
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
00
Al
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
PERFORMED BY* 6k VI '"► 31FFOQA C.O CERTIFIED BY:
72-008 (6/79)
DATE:
i
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING O� P[a (()oZQ
Parcel I.D. 018-231-28 COSA#
0 C l a 105-
1. GENERAL INFORMATION Expiration Date:
Complete legal description MCCABE WEST LOT 2
Location (site address) 13250 PEAKVIEW CIRCLE *ANCHORAGE, AK 99516
Current Property owner(s) THERESE FRITCHER Day phone C/O AGENT
Mailing address 13250 PEAKVIEW CIRCLE *ANCHORAGE, AK 99516
Lending agency Day phone
Mailing address
Real Estate Agent ANITA BATES W/ BATES & ASSOCIATES Day phone 244-6188
Mailing address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
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 On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family oh -site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage tiles 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 GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, UD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described 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 soils condition, groundwater 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 the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
4""" Approved for bedrooms.
Disapproved.
Phone 337-6179
Date a� Z
o��SoOp �O
oGv
p �, 4 T •.�.��
�..... .... .....G
f Gar ess..
� G
4 �04
CE—
4 rof/ess1ono,G�o
Conditional approval for bedrooms, with the following stipulations: OF ` c
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
J
I
f _ •
." "OpmT .
Arsenic Advisory
t� Maintenance Agreements
Supplemental Engineer's Report
Nitrate Advisoryf ! Other
L�
(Rev. 11/05)
Original Certificate Date: ;A) ')
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: MCCABE WEST, LOT 2 Parcel ID: 018-231-28
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N A Well Log (Y/N) YES
Date completed 10/5/82 Sanitary seal (Y/N) YES
Wires properly protected (Y/N) YES
Total depth 201 ft. Cased to 201 ft.
Casing height (above ground) 12+ in.
FROM WELL LOG
AT INSPECTION
Date of test 10/5/82
2/20/12
Static water level 162 ft.
162 ft.
Well production 8 g.p.m.
2.80 9—
p.m-WATER SAMPLE RESULTS:
Coliform _ colonies/100 ml. Nitrate tmg./L.
Collected by: GEG, Ltd.
Arsenic: ug./L. Date of sample: 2/17/12
B. SEPTIC/HOLDING TANK DATA **LOCATED IN CRAWLSPACE
Tank Type/Material SEPTIC/STEEL
Date installed 6/24/82
Tank size 1250 gal. Number of Compartments 2
Cleanouts (Y/N) YES
Foundation cleanout (Y/N) **YES Depression over tank (Y/N)
NO High water alarm (Y/N) N/A
Date of pumping 2/22/12 Pumper MCDONALDS
PUMPING
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE
Date installed 6/24/$2 Soil rating (g.p.d./ftor Z/bdrm
85 System type DEEP TRENCH
Length 26 ft. Width 3
ft. Gravel below pipe 7 ft.
Total depth * 13.29 ft. Eff. absorption area 364 ft Monitoring tube **YES Depression over field NO
Date of adequacy test 2/20/12 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 78 in. Water added 680 gal. New depth ***86.5 in.
Elapsed Time: 120 min. Final fluid depth 78.5 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date —
**SUMP EXTENDS 83" BELOW INVERT OF DRAINPIPE. SYSTEM * 94% FULL PRIOR TO START OF
TEST.
***3.5" ABOVE INVERT OF DRAINPIPE.
D. LIFT STATION
Date installed
"Pump on" level at in
Size in gallons Manhole/Access (Y/N
"Pump off' level High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot
100'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer main NSA Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line *5' Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*SEE ATTACHED WAIVER LETTER
00600 p�4
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and T �
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date. eff A. G ness.••
Engineer's Printe
d Name JEFFREY A. GARNESS �QCE%-79 �cQop�
Date 2 /rZ7 /I 2 406, �� FlGI
o
— ofesso
COSA Fee $ tF`t`Z�
Date of Payment
Receipt Number d oZ �d C7
(Rev. 11/05)
Waiver Fee $ �U
Date of Payment>� t a
Receipt Number
Municipality of Anchorage
4PZ" 8Vi
o - §/ 2
Development Services Department z ` Wt`
Building Safety Division
5A ETY
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci. anchorage. ak.us
(907) 343-7904
Septic System Advisory
Certificate of On -Site Systems Approval # OSC 121051
During a recent adequacy test on the septic system for Lot 2 of McCabe
West subdivision, 78 inches of standing water was observed in the
absorption field. This indicates that approximately 94% of the absorption
area is inundated. Although this system passed the adequacy test, the
remaining life expectancy may be limited.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval
Municipality of Anchorage
P.O. Box 196650 • 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
nzen t S
Department
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSP121022 COSA#:OSC121051 Permit#:
PID#: 018-231-28
Legal Description: McCabe West, Lot 2
Engineer: Garness Engineering Group
Applicant: Therese Fritcher
Your request for a waiver of the required 10 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 5.0 feet.
This waiver approval applies to the existing absorption field only. Any future upgrade to the on-
site wastewater disposal system will require all separation distances be met or another approval
from this department.
® The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
❑ Adjacent properties are not affected by this waiver.
...............................................................................
Waiver is Granted: X Waiver is not Granted):
Date: /? a Approved b l `
'Name of Reviewer
Rec#: 00200G Amount: $200.00 Date Paid: 2/29/12
**** VARIAN C E/WAIVER REVIEW ****
W
0
2
SEPTIC VENTS
N8�• 2z'52° kj. -- E -o9. LT
W
of
3
PLOT
PLAN: GRID: DRAWN BY:
PLCHECKED . B
CALE: ;" 40' 7125 OLD SEWARD W
Y.
ENGWEEKS* INC. ANCHORAGE. ALASKA 99YB
04
HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY.
OT. &K McCAbE .SL180, ANCHORAGE RECORDING DISTRICT. AK.,����
NO THAT THE IMPR6VEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES
NO DONOT ENCROACH ON THE PROPERTY LYING ADJACENT THERETO. THAT NO
MSPROVEMENTS ON PROPERTY LYING ADJACENT THERETO ENCROACH ON THE PREMISES,+'
N t]LiESTION AND THAT THERE ARE NO ROADWAYS. TRANSMISSION LINES OR OTHER
..;:
r...
ISIBLE EASEMENTS ON SAID PROPERTY EXCEPT AS INDICATED HEREON.
...,.... M4�..��
ATEi3 THIS , 9.._wDAY_ OF..pG%OiE . 19` ANCHORAGE. ALASKA. MAW. R. sem+
THE OWNER OR BUILDER. PRIOR TO CONSTRUCTION, f 3i...
� r� THF AESPt3NSIBILITY :OF ---• _--• '•--...•'`A ~
'ARNESS ENGINEERING INEERINLJ Ox..11 7 Ltd.
CONSULTANTS & GENERAL CONTRACTORS __
February 23, 2012
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Rd.
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Lot Line Waiver Request for McCabe West, Lot 2
To whom it may concern:
We request that your department issue a 5 foot lot line waiver from the north property line to the
existing drainfield. McCabe West Lot 1 is the neighboring property to the north and the drinfield
serving the lot is located approximately 30 feet away per MOA records. We do not see any
concerns with the granting of this waiver. We are unaware of any adverse impacts this waiver
would have on adjacent wells or septic systems. If you have any questions, please contact us at
,ou for your assistance.
P.E., M.S.
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
APPLIQ,^NT FILLS OUT UPPER HAL ONLY
Time
Property-'Dwner , `. r , ! � . �. t ) • '-w
Phone
,
Mailing Address ` ' Zip Code
Date
, - r
Buyer t
Date
Address 1 r Vi;_ �1'. 'F, i __ Zip Code
Lending Institution �I,-'ja ;!� l - �',
Phone
Address r s '� �. f ': `i r, , Zip Code
Inspector
Realty Co. & Agenta .ri _ f % ' ra S ;
Phone
Address Zip Code
r
Legal Description ^ c
Street Location �'..`� !,
Type of Residence
l Single Family '
`�
j Multiple Family No. of Bedrooms
❑ Other
Water Supply
i
1j Individual
ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975.
❑ Community
For wells drilled prior to that date, give well depth (attach log
if available).
❑ Public Utility
(� CONDITIONAL APPROVAL*
DATE
� '/'r" "" —''✓
Sewer Disposal
`.'Q
Individual Year Individual Installed:
'ElPublic Utility When Connected to Public Utility:
Date Sewer Installed
❑ Holding Tank
Well To Absorption Area
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Received
Time
Time
Time
Time
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector
r
Field Notes:
a
in a
i
PPROVED BEDROOMS
'CONDITIONS OF APPROVAL
( ) DISAPPROVED
(� CONDITIONAL APPROVAL*
DATE
� '/'r" "" —''✓
``��
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log
Received
Well to Tank
Septic Tank Size
72-023 (3182)