Loading...
HomeMy WebLinkAboutPITZER LT 2Pitzer Lot 2 #090 - 021 - 56 Municipality of Anchorage Community Development Department Page 1 of 2 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: OSP171058 PID Number: 090-021-56 ❑ New ❑✓ Upgrade Name: DALLAS PITZER ABSORPTION FIELD Address ❑ Deep Trench Shallow Trench El Bed ❑ Mound 216 EL ROCKO LANE ❑✓ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2GPD/SF, 8.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.0 Ft. 4•0Ft. PITZER 2 Fill added above original grade Gravel length Township Range Section 0 Ft. 50 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 5.0Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Tank Line 500 Ft2 1 Ft. Well 115.0 117.4 N/A N/A 78.1 TANK 0 Septic 0 S.T.E.P. 0 Holding ❑Other Manufacturer Capacity Surface Water 100+ 100+ N/A N/A Anchorage Tank 1,250G„1. Material Number of compartments Lot Line 76.9 32.8 N/A N/A Steel 2 NA Foundation 29.0 33.3 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A N/A Gal. Pump on level at Pump off level at High water alarm at Remarks H.R REDMOND CO INC :(„t,,,S4-aa, in. in. in. Pump make and model Electrical Inspections performed by to PIPE MATERIAL House to tank 3034 Tank drainfield 3034 Installer Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100 ft Inspectionst Location and description dates: 1 6/8/17 2n° 9/17/17 3rd 49' SE BOTTOM HOUSE TRIM COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp �z�\\�� �` OF AL�l1 Conditional Approval: Date Q' ••4 A �Aw•A0 ol •• iteven •F . •Fannotae / �rt��g. CE 8149� �l Approved -1�..-� Date 3 l i\ �4D g, 4 Inspection Report_1-1-12.doc / / \ N \d, 1 Wt LL t tf_.- DESIGN PARAMETERS \ N / N N? \ PRIMARY SEPTIC SYSTEM \ /�`\ \ N ' / NO. BEDROOM: 4(600 gpd) N N . . \ TANK SIZE: 1250g \ is \ N / A.PERC RATE: 1.3 MPI \ \ SOIL RATING: 1.2 GPD/SF \ \ \ \ / /AREA ROD: 500 SF \ N N SYS. TYPE: WIDE TRENCH 4.0'ED \ s°�s \\ /y \ / ,. RF: 0.50 \ ,<�, \(1, x :u- MIN MIN LENGTH: 50.0 LF 'P '�� — — S USED: / N rtN. G�y�o ��\ \ � \ g V 50.OLFx5.0'Wx4.0' E.D., 8.0'T.D. \ WELL \ N \ N TOTAL AREA: 500 SF _ _ — \ 4 \ \ \ N N N I I BDR \ \ \ \ � 1 � i \. _ SFD / -- \ ".7T% \ \ y Fo N/N N X / 11 �9� 1 DRI VE 4 \ 7I 1 1 1 15.0 / \N> • E \ \ J —�__ ..... , � M 1 /INSTALLED 1250G SEPTIC 100 \ f \ ' C2 `l• L / TANK W/ DCO BEFORE `� / N/ / ` DCO I / AFTER / INSTALLED DRAIN FIELD `�� l� —A-- / / / 5OLFx5.0'Wx4.0'E.D.,8.0'T.D. \ T1� V�\ / / W/ CO & MT AT fit END OF FIELD'S T2 �� / / \ REMOVED 1000G ' / / `k L \ --- _. / SEPTIC TANK 96 i / A B �' \ \ ci DCO2 _ABANDONED 92 /• ' DCO 25.7 47.9 / 1 \ / EXISTING DRAIN / N/ /...... — • \ — �88 J FIELD PER CODE / N Ti 30.3 52.1 _ // \ / • — — )C / N T2 38.5 59.5 1 / % -- / DCO2 44.9 65.8 1 DI(IVEWAI'• r� / TH-1 (PES)--II // — r F Cl 50.7 76.0 / / i / / %'/ C2 35.5 74.3 /\ / /. q9 / ,„/ M1 34.7 73.6 / /\ �J�` / °��// ....---/ / %/ 0 1- 1- r w W 0 CO 0 0D 0 D r o m< w w -, a 0 FILTER FABRIC o 00 0 0 0 0 00 0 iQ 4" 0 DRAIN PIPE Z - - - OG.FG. 92.0 _ v DRAIN ROCK 6" 0 -- - _ - ABOVE PIPE INV - - OG,FG. 88.0 TH-1 111 1161:111 L_ FILL 87.4 / 1250 GAL \ 87.2 4 TANK 84'0 4' DRAIN ROCK 1 84.13 SILTY MONITORING GRAVEL PROFILE SCALE: NTS 5/5/17 XDATE 12 PERFORMED: I 4/28/17 15 BOH NOTES: PANNONE ENG SVC, LLC Dote RECORD DRAWINGS 05/15/2017 P.O. BOX 102954 ANCHORAGE, AK 99510 v' •"'•••• PHONE (907) 272-8218 FAX (907) 272-8211 • 1,_••• Scale 1" = 50' •••'QV•••• P.I.D. NO — PITZER L2 -a 090-021-56 DRAWN ACP DALLAS PITZER •• leven A. Pannope PERMIT NO. 216 EL ROCKO LANE CE 8149 . OSP171058 SITE PLAN BIRD CREEK, AK 99540 •• Sheet 2 OF 2 MUNICIPALITY OF ANCHORAGE i l 1 f On-Site Water& Wastewater Program �•� S�; �,,� PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 �c http://www.muni.orgionsite 1151 Departnicn1 N,1,,H OR pVf On-Site Wastewater Disposal System Permit Permit Number: OSP171058 Effective Date: 5/15/2017 Work Type: Septic Upgrade Expiration Date: 5/15/2018 Tax Code Number: 09002156000 Site Legal Address: PITZER LT 2 G:4659 Site Mailing Address: 216 EL ROCKO LN, Indian Owner: PITZER DALLAS JAY Lot Size in Sq Ft: 33989 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: Disposal Field El Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 Received By: sl' Date: / Issued By: / (CCti atrif ( Date: 5ff i 7 MUNICIPALITY OF ANCHORAGE Community Development Department j 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. 090-021-56 Property owner(s) DALLAS PITZER Day phone Mailing address 216 EL ROCKO LANE, BIRD CREEK, AK 99540 Site address 216 EL ROCKO LANE Legal description (Sub'd., Block & Lot) PITZER L2 Legal description (Township, Range & Section) Lot Size 33,989 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field x❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑x Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I 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: pc) Waiver Fees: Date of Payment: C.QM)(? Date of Payment: Receipt Number: 0(05494 Receipt Number: • Permit No. OSP/ 105$ Waiver No. Permit App_ - :.,c Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com April 17, 2017 Subject: PITZER L2 Septic System Permit Request Design Narrative This is a design narrative for a permit to install an upgrade septic system to be issued for this property. The proposed system will serve an existing dwelling upgraded to a four (4) bedroom house. Currently the lot is developed. The system will utilize a new 1250g tank and add an additional 25 linear feet to the drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system. 1. Soils. Test holes were conducted in the area when the original plat was subdivided in 1980. Bedrock was not encountered in those test holes. The test hole for the existing system on the subject property rated the soil at 165sf/br. An additional test hole will be performed at the time of construction. The upgrade design is based upon the original design absorption rate using 0.8 g/sf/d (188 sf/br) 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. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography on the lot generally slopes from northeast to southwest, with a slope of approximately 1-5% in the area of the drain field. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. 5. 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 this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 \ DESIGN PARAMETERS '\ DESIGN PARAMETERS .9.Yr \ PRIMARY SEPTIC SYSTEM `RESERVE SEPTIC SYSTEM ♦ mg Om \\ NO. BEDROOM: 4(600 gpd) NO. BEDROOM: 4(600 gpd) * % \ /TANK SIZE: 1250g TANK SIZE: 1500g ADVANTEX t •*** \ PERC RATE: 1.3 MPI W/ AX20 POD ** } •or 'SOIL RATING: 1.2 GPD/SF PERC RATE: 1.3 MPI ELL (E) AREA RQD: 500 SF SOIL RATING: 6 GPD/SF " r / SYS. TYPE: WIDE TRENCH 4.0'ED AREA RQD: 100 SF ` // RF: 0.50 SYS. TYPE: WIDE TRENCH 4.O'ED M TRUE NTH az SCALE : 1'- SO' MIN LENGTH: 50.0 LF / / 1 \RF: 0.50 MIN LENGTH: 10.0 LF WELL (E) / /// USE: ` / 50.OLFx5.O'Wx4.0' E.D., 8.0'T.D, • \\ / / TOTAL AREA: 500 SF \ / \N. \ 1 \ • / /N /, • • \\ / $,� \ '\°•t$-\ /-/- \� /� / �► `� , • W E :� � � •� 1 / • \ 1 / • DRIVEWAY N. ---\ \\ I 1 / �s \ / \ L 1/ I Fq /•\ \ 1. 1 9\ I ,/--1.> ,,_ -.),�' 1 1 `• � � � J `/ice �, 48R/ / f • — SFq / 0/RESERVE AREA BASED UPON - INSTALL 1250G SEPTIC TANK CATIII SYSTEM(NIC W/ DCO AFTER (1 OLFx5.O'wx4.O'E_D..8.0'T.D.) ` 1 REMOVE 1000G -/ / / • ��'/ / 2 N\ U1 \ I /, SEPTIC. TANK (P) ' 96 J f/ / r \ f i 5OLFx5.0'Wx4.0'E.D.,8.0'T.D. P \ _ABANDON DRAIN 92 n • '/ CO & MT AT EACH END OF FIELD , 1 N FIELD E PER CODE • / ti' /\ // / � _ \ / / it I / • \35.6'----1,TH-1 (PES)-+4• .� // _ M ` / l DdVEw� 0 / / / / �j — / — \ / ,/ /` / /, A► / 4/ �` / ' T °it . / / / 1 / // \ 1 M / / / / r // . /Ug1DEVELe" s /Aett / _,------ /-- ,84�/� --41-. ..,.. .\, d°'// / / / / / / a, / �/ 1 11 /// J // 7 { / 5 � /iv/ / // / / / / / / 1 \ ii / / 1 / / f / NOTES: PANNONE ENG SVC, LLC Date 15/2017 FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, A 99510 P •• `9 PHONE (907) 272-8218 FAX (907) 272-8211 *• Scale - *•49 '1--- V ..* 1" = 50' •. ! '•'1 . , P. r -NO PITZER L2 ,., f 090-021-56 • 4Ze+i�0 oanriaie• DALLAS PITZER PERMIT NO. DRAWN JRL �� CE 8149 .j-;,;. 216 EL ROCK() LANE '• E�'TosPnloSa SITE PLAN BIRD CREEK, AK 99540 ''o, Sheet 1 OF 2 TEST HOLE 1 SOILS LOG — PERCOLATION TEST OR ORGANICS SLOPE ` ;SITE PLAN N 1 N / \ C 2 GM FILL S� , ' 3 a� 4BR SF() // / '1( 4 I / 5 Al\ ,, -7?----- W /19 TH \ j► / _ i' 96� i 6 7 GM SILTY GRAVEL , V 1�11 ii� �\ 2 / .-- N. 92 8 – r 9 — • _— —88. — ' 1C � TH-1 PES -47 / 10 6VEWA1'` \- / / I / 11 ' 12 / l 41 / _1 / l / 13 WAS GROUND WATER sl()PE 14 ENCOUNTERED? Y 15 BOH IF YES. AT WHAT TH DEPTH? -13.0' 16 x 17 DEPTH TO WATER AFTER MONITORING? -12.0' 18 DATE: 5/5/17 - - WATER 19 READING DATE CLOCKTIMENET TIME LEVEL NET DROP READING DATE PERFORMED: 4/28/17 1 4/28/17 8:50 --- 2.87 --- 2 9:00 10 MIN 10.45 7.58 3 9:00 --- 2.87 --- 4 9:10 10 MIN 10.58 7.71 5 9:10 --- 2.87 --- 6 9:20 10 MIN 10.53 7.66 PEROLATION RATE 1.3 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS:Test hole excavated by H.R. Redmond Co, Inc. PERFORMED BY:Dan Moran.I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. �7 r LLC FOR CONSTRUCTIONS. PANNONE ENG SVC, LLC OF D05/15/2017 P.O. BOX 102954 ANCHORAGE, AK 99510 ''� PHONE (907) 272-8218 FAX (907) 272-8211 4.•.. 1 Scale " NTS •• „..••-a0•:;41 ••••• P.LD. NO PITZER L2 - .-- ” - 1 1-56 DRAWN I DRM DALLAS PITZER , •��emcE��4� e • PERMIT NO. -- 216 EL ROCKO LANE .,• OSP171058 SOILS LOGS BIRD CREEK, AK 99540 Sheet 2 OF 2 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SW060210 Legal Description: PITZER LOT 2 Design Engineer: 0844 WATKINS ENGINEERING Owner Name: DALLAS JAY PITZER Owner Address: HC 52 BOX 8676 INDIAN , AK 99540 - Date Issued: Jul 20, 2006 Expiration Date: Jul 20, 2007 Parcel ID: 090-021-56 Site Address: NHN SEWARD HIGHWAY Lot Size: 33989 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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 specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify 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, sealed, and heated to prevent freezing. 5. The following special provisions. -THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55. PLEASE SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". Received By: Date* A/ bie Issued By:/ Date: <7/2•/G Municipality of Anchorage Development Services Department Building Safety Division • On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.munl.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 090-021-56 Property owner(s) Dallas Jay Pitzer Day phone Mailing address HC 52 Box 8676, Indian, AK Zip Code 99540 Zip Code Site address Seward Hwy, Indian, AK Legal description (Sub'd., Block & Lot) Pitzer Lot 2 Legal description (Township, Range & Section) Lot Size 33.989 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field 0 Initial Septic Tank 0 Upgrade Holding Tank 0 Renewal Privy 0 Private Well 0 Water Storage 0 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. �dy, to oft- 6 (Signature of property owner o(jauthorized agent) Permit/Rush Fees: / 7� Date of Payment 7 Pi -/06 Receipt Number: 083! 14 (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis©gci.net July 14, 2006 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Pitzer SID, Lot 2 Proposed Well Development To Whom It May Concern: Attached please find the application and supporting documentation to drill a private well on the referenced property. The property was developed in 1981, with a well located on the adjacent Lot 1, to the west. It is proposed to abandon it and drill a new well on Lot 2. There is another private well serving Lot 1. The proposed well is located within the 50 ft BLM Right -of -Way reservation, as this is the only available location on the lot which is 100 ft from the septic system and out of the driveway. An encroachment permit has been approved by the MOA Right -of -Way Division. The existing septic system was installed in 1981, and is partially located within the Right -of -Way reservation along the eastern lot line. This encroachment has also been approved. I am not aware of any adverse effect that this well development would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, Ria Cindy 1N. Ellis, P.E. President Well serving Lot 2- , to be abandoned Lot 8 septic area approx .well \ \ \ \ app/ / N N N N Proposed well site Existing Septic System (1981) RIGHT-OF-WAY Approx location of 10' CEA esmt Pitzer Subdivision Lot 2 Jay Pitzer Site Pian for Well Development Grid SW4659 Parcel ID: 090-021-56 Watkins Engineering, Inc. Cindy W. Ellis, P.E July 14, 2006 Scale 1' - 100' P.O. Box 110443 Anchorage, AK 99511-0443 Phone: (907) 349-1851 Fax: (907) 349-1934 Lot 30 UNDEVELOPED I LOT 1 // / • • 0) \ 6 0 \ M O \� WELL Serving Lot 2 TO BE ABANDONED its I ta cn /T 1 1 1 1 1 1 1 1 I 7' 1 \ 1 1 do 1 1 1 • 10 I 1 1 1 11 t 1 I 1 I a 1 1 c 1_ • 50' B.LM. R.O.W. RESERVATION N 50°11'33"W 164.86' ( MEAS.) 10' UTILfY ESMT. I T ---I \ Proposed well location. Encroachment permit approved. /-i i 0 I 1 Pitzer Subdivision Lot 2 Jay Pilzer Proposed Well Development Grid 5W4659 Parcel 1D 090-021-56 GRAVEL PARKING AREA '20'X20' I ANCHOR -ES/117. I 7 L --- i- // I v / / / Le / LOT 2 / W / l/ 00 /a 0 / • R // / a Z / g / b y Encroachment permit approved. i N 57°33'42"W 163.63' ( MEAS.) Taken from a survey by Shane Holt, LS -6914 dated April 19, 2006 Watkins Engineering, Inc. Cindy W. Ellis, P.E July 11, 2006 Scale 1 Inch a 30 ft P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax (907) 349-1934 0 0. PooA.,�ivpp�4 E-� �4 oa. �'f-00 P'7.49TFH .;yqA Cn• CIN w.. EWS :. O - 10577 0 DO�0000�Q MUNICIPALITY OF ANCHORAGE r -- `-,_' \ (I , DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME � / /^e. PHONE G,5' "rem ii NEW 1.1.115 -GRADE MAILING ADDRESS Fi :-)Lb-r/F//2"% W ✓''1)E,e/a el/0 LEGAL DESCRIPTION 3 LOCATIONNO. %/e_D '�eE'eE/C OF BEDROOMS SEPTIC g TANK it DISTANCE TO: Well t 1'� Absorption area / -To' ,y - Dwelling 6, 0PERMIT NO. Manufacturer -1./C, �1 Material — No. of compartments "1� Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth a z DISTANCE TO: ell Dwelling PERMIT NO. z0 <- Manufacturer f. t- Material Liquid capacity in gallons TILE DRAINFIELD TRENCH DISTANCE TO: Wellf / Sin 4f- Foundation 6 ' / Nearest lot line 21 PERMIT NO. No. of lines r Length of e ch line Total length o lines p') / Trench width inches Distance between lines Top of tile to finish gradee�i Material beneath tile � �� inches Total effective absorption area SEEPAGE PIT Biwriii Width Depth PERMIT NO. o c . -- Crib diameter Crib depth Total effective absorption area D STANCE TO: Well Building foundation Nearest lot line .1 Cla•• /1, -Depth C Driller Distance to lot line PERMIT NO.C.'p�� w DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER '72 / -is-0z PIPE MATERIALSy; ,r� ja 42 U F ? SOIL TEST RATING A e (O "' J� J" o INSTALLER 0 a 0�� �� ��/� cr,L1. d t %l1 REMARKS - 6; i ('L ;j:. _% ` 01-57-- f Y' 30 43 ROVED DATE LEGAL 'V., i"...id Z) cr ) /-013 (Rev. 3/78) P1 R T4 R17.1:1=' N=H I 1- (11E: FA F::1-1 D-4 Funi if= 825 'L' STREET, HNCHORIGE/ 995w1 264-4720 PERMIT NO. ( 810511 ) 1L ma, ' ~ >n- / � �/. l'S APPLICANT DEBRA L PITZER P. BOX 57] 653-8 Jr L. k3��t4q�� LOCATION MILE 101 SEWHRD HWY(GIRDWOOD) LEGAL LOT 2 PITZER SUB LOT SIZE 33989 SQUARE FEE'''r TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = SOIL RATING (SQ FT/AR)165 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: 11E), -11-11-41= LAE: C111l11-N ==x IL_ EE 1- Fi == THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). �LE:00_3i IRREE70 ���-r 17FEWA I — 101104C,J (3F1K 1__TOONPS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADjACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. 1-14CD ������01- I NE -.111"A F1 RAFE u.,10_1 F1EE� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTHLLATIM �XF"IF:nr7E7.= PAED-21EEMPAEEF? I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLU[I MORE THAN ] BEDROOMS`/ �/ / |`<1/\/)`� / �e ��� � . � / �. SIGNED:___ APPLICANT DE ISSUED BY~. °-`/ ^~/ DRTE___[��.��������'- / `'-,''m /. `//^lI/;'/ ,, "/�\ M / \ / /'' |/ / cfl \LQ___c —e__D ct-; \ C iLv a LD C 1 600 (,v CD CALL E OAAJL- APPLI( NT FILLS OUT UPPER HAI ONLY ( I \ NI . Zip Code co `c -- q ) Zip Code Phone Property Owner uu ()r �C._ . 7 r 1.�i. `� �. '�(� L fZ Mailing Address t ) _ ly) ,( I- 0 r... 4:.-.1 y ()won) Buyer Add{ s 1 ` Lending Institution '`_•x c,",`\, \ C) A1- •c�D..)y\ \ r>){ll� Address Zip Code Phone Realty Co. & Agent 10e3z1.-/ '6� Address Zip Code Phone Legal Description I-_ G, -V- .,_13-.., ,��i A. 27" re., , Street Location (i\(E_ �O' '�{--'4,Ji\✓t_) ``^ ,\,(ht it l `a I (,i 7.� f t{(1 {.�A1 i'r'O ( v{/.(., t .�-, Type of Residence -8-Single Family .? ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply ❑ Individual ,...L❑ Community '.. J 2 {--- \.-..._ 0 Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). Sewer Disposal .--8-Individual 0 Public Utility ❑ Holding Tank Year Individual Installed: -' When Connected to Public Utility: ( 3 ) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL AP, ROVAL• DATE (`1j/j i�?,�/ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date 1-5- 83 G1A-(' GX( Inspector P0bti-S Inspector Inspector Inspector Field Notes: Pth 4 n 4 ts• C 1-I-3 ( 3 ) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL AP, ROVAL• DATE (`1j/j i�?,�/ 'CONDITIONS OF APPROVAL BY: �� (�U� Soils Ratingat / Date Sewer Installed Gf - / lJ - rf / Well To Absorption Area /�5 /- Well to Tank / ,!.� 0 / - Well Log Received ./(, Septic Tank Size ea V 72-023 (31821 g 1071 •'tom Municipality of Anchorage 14.1 A� On-Site Water and Wastewater Program �t j (907) 343-7904 n. ;:,o(F . 0 to �Lbcc, Certificate of On-Site Systems Approval c)" 090-021-56 2- 3 d ` I i 8 Date: Parcel I.D. Expiration 1. GENERAL INFORMATION Complete legal description Pitzer Lot 2 Location (site address) 216 El Rocko Lane Current Property owner(s) Dallas Pitzer Day phone Mailing address 216 El Rocko Lane Bird Creek, AK 99540 Real Estate Agent Day phone 2. TYPE OF DWELLING: Ill Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received byC---'edla. 4 .`s , Date: (3f )! COSA to be released to the engineer,unless otherwise requeste Ley the engineer. COSA Fee $ `l 2CI 106 Waiver Fee $ Date of Payment 5/3 0 iDate of Payment Receipt Number (')G 9(f% Receipt Number COSA# (3 /5 o2CP Waiver# IL. • if, 5. STA T, iF IT • =Y ENGINEER As certified by r s l a'r'. e nd r, he validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Appr. al Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system dIllire)4afAtfetaftwatoand 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 5/29/2018 OF Aq4 6. DSD SIGNATURE / • * . . .. System #1 Approved for Li bedrooms � ..Seven R. �arinone System #2 Approved for bedrooms � Q•, CE-8149•• Disapproved kki A?oFESSj40- Conditional approval for bedrooms, with the following stipulations: \`� OF Atvch pN-SER AN ITE WAT �AII'STEWATER o PRGGRI*11 c- • C t r r.,--0\\ • BY —JP Original Certificate Date: 5-- S 0 -1g 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 COSA blue sheet r 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: Pitzer Lot 2 Parcel ID:090-021-56 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 10/7/2006 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 141 ft. Cased to 141 ft. Casing height(above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 10/7/2006 5/29/2018 Static water level 100 ftI�5 • S ft. Well production 20 g.p.m. ( g.p.m. WATER SAMPLE RESULTS: 1 Coliform N olonies/100 mL Nitrate F StYmg/L Arsenic N ug/L Date of sample: 5/18/2018 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic./Steel Date installed 6/8/2017 Tank size 1250 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N/A NEW Pumper N/A Date of pumping C. ABSORPTION FIELD DATA Date installed 6/8/2017 Soil rating (g.p.d./ft2 orft2/bdrm) 1.2 GPD/SF System type_ k \rem Length 50 ft. Width 5.0 ft. Gravel below pipe 4.0 ft. Total depth 8.0 ft. Eff. absorption area 500 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) For 4 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= 600+ g.p.d. N 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 10+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 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 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION Ags7+� PF 44'elk‘Shl 1 certify that ! have determined through field inspections and g'�. •J .9Sro review of Municipal records that the above systems are in ;71*.49 mH c.‘ * , conformance with MOA COSA guidelines in effect on this date. % all) I - Engineer's Printed Name Steven Pannone ` A ':Sievers .••anriorie: Date 5/29/2018 ��1g•• CE-8149 / COSA canary sheet_2-6-15.doc 328ti ( ALPINE DRILLING & ENTERPRISES Permit Number: #SW060210 Date of Issue: 7-20-06 Parcel Identification Number: 090-021-50 Date Started: 10-7-06 Date Completed: 10-7-06 Is well located at approved permit location? ® Yes ❑ No Legal Description: Pitzer Lot 2 Property Owner Name & Address: Dallas Jay Pitzer _ HC 52 Box 8676 Indian, Alaska 99540 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type,Thickness& Water Strata From To Casing type: steel f stick-up 0 2 Wall Thickness: .250 inches gravelly silt 2 11 i Diameter: 6 inches Depth: 141 feet 1 silty gravel 11 94 Liner Type: gravelly silt 94 106 Diameter: inches Depth: feet Casing stickup above ground: 2 feet silty sandy gravel H2O 106 141 Static water level (from ground level): 100 feet Pumping level: 141 feet after 2 hours pumping 20 gpm Recovery Rate: 20 gpm E Method of Testing: air lift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet I! IWATER UALITY TESTING ❑ Perforations Start feet Stopped feet Coliform e Coll100mL L Grout Type: bentonite granules Volume: 1 Nitrates..z..12--.-12--- Depth: Start 0 feet Stopped ? feet Arsenic Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes FT No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 P.`' _ <. '' -� � Anchorage Alaska 99511 Ney4 ,, _A Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Development Services Department within 60 days of completion. • • . : • . . , • • 4 ,....„ • ___ .. , . .. . s • ..,, . „„ .. _.,. „. .,.,,, ... .s.,, ,, ., 2 Ss, �9 ,, s.„ s„9, 4. <0....`srtu . ÷0 ,.�� . . • • 1) . s�4 j, 6R/•VFA �'�� /fj v.47K... -P `s DECK 11111 UR .. 'Vt v 31 • I I yoe. F ..,\ . ,., ASH-•; c s . ir,\ . $ : / ' 3 .., . , „. . , . . : . s‘ ; • 5,,, . , ,.. . , / „.. , .. ..„. . P • .. • • . ,....,. ,..., ,, . . . c, . . 4`. ., • • ,,,,,,,:,,,,,,,,:,,,,,-.- , . • °° .. °• .... ���FbO 0s. . , .5,, ,, . . ,. „... ;. P / ... ° 4 ..f , •.. / ''' Ai), , . , ��' . . .1 J ��� /,. -_... . / 3 , 4S,14141 i AS Se �0 4' i , i ;/ F d66S / d NOTE ,': . LOT 2 ACCESS TO SEWARD HIGHWAY IS ACROSS LOT 3 ”' ... .,. .. 3 _00000O.. a0P�� �F A�gshp0 (p49 TH .. a AS�3QDlLT SURVEY 5°7 = 3. ' 3 a 5A.,, //mo o NO CORNERS SET THIS DATE OQ04l SH•ANE A.HOLT 40-y, e LS-6914 0` , 1-1' HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY ptlio'°'°/es''''•s Iona•% OLFFTTHE FOLLOWR INSGB DESCRIBED PROPERTY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS.AND IS EXIST OTHER THAN NOTED. NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES,IMPROVEMENTS,OR FENCELINES. DATED AT ANCHORAGE,ALASKA THIS 18 TH DAY OF EASEMENTS OF RECORD,OTHER THAN THOSE APPEARING ON THE RECORD PLAT•ARE NOT SHOWN HEREON(UNLESS INDICATED) MAY , 2018. NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. HOLT LAND SURVEYING ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. \,... 9309 GROVER DRIVE \ ANCHORAGE,AK 99507 10101 RC3, FB 185-36,176-44 345-5513