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HomeMy WebLinkAboutARGYLE LT 5PA~C~L- ~ Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171194 PID Number: 015-141-18 R New 0 Upgrade Name: SUSIE KEES ABSORPTION FIELD Deep Trench R Shallow Trench R Bed El Mound Address 11001 LIPSCOMB ST [:] Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1.2GPD/SF: 10.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.0 Ft. Gravel depth beneath pipe 7.5 Ft. Subdivision Block Lot ARGYLE 5 Fill added above original grade -0.5 FL Gravel length 45+20 Ft. Township Range Section Gravel width 2.5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist, between trenches From Tank Field Tank Line 975 Ft2 1 Ft. well 100+ 100+ N/A N/A 25+ TANK 0 Septic Ej S.T.E.P. F-1 Holding 171 Other Manufacturer Anchorage Tank Capacity 1500Gal. Surface Water 100+ 100+ N/A N/A Material STEEL Number of compartments 2 Lot Line 48.8 14.7 N/A N/A NA Foundation 19.1 10+ — N/A N/A LIFT STATION Manufacturer Capacity I Gal. Curtain Drain 50+ 50+ N/A N/A Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034d Tankto 3034 rainfield Installer A+ HOME SERVICES Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 96ft InspectionLocation 1" 26JUL17 d 27JUL17 and description dates: 2 House Trim near foundation cleanout 3" 09AUG17 4th COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF Ak, Conditional Approval: Date low ev 'Pannom' Approved L,-JJ Date w CE 8149 L V —Q-(tt, AA Inspection Report_1-1-12.doc T DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 5(750 gpd) TANK SIZE: 1500g PERC RATE: 6 MPI SOIL RATING: 0.8 GPD/SF AREA RQD: 937.5 SF SYS. TYPE: DEEP TRENCH 75ED MIN LENGTH: 62.5 LF w — w —WATER LINE USED: _TRUE NORTH SCALE 1-= 56' WELL RADIUS .45LFx2.5'Wx7.5' E.D., 10.5' TD(E) +ADDED 20LFx2.5'Wx7.5'E.D_ 10.5'T.D.(P) SS —SS NEW SEPTIC TOTAL AREA: 975 SF RESERVE PARAMETERS RESERVE SEPTIC SYSTEM (NIC) NO. BEDROOM: 5(750 gpd) \%INSTALLED 150OG SEPTIC TANK(E) TANK SIZE: 2000g ADVANTEX W/ DCO AFTER TANK PERC RATE: 6 MPI SOIL RATING: 5.0 GPD/SF AREA RQD: 150 SF SYS, TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 30.0 LFTl 70.2 USE: A 30.OLFx5.0'WxO.5' E.D., 4.0' TD B TOTAL AREA: 150 SF q I 5BR ABBREVIATIONS I SFD 150.2 TH TEST HOLE (P) PROPOSED mM (E) EXISTING CO CLEAN OUT NO. MT MONITOR TYP TYPICAL TUBE NO, I\V TH 9 REMOVED 1250G TANK(E PER MOA CODE INSTALLED ADIDTIONAL 20LF ABSORPTION' —FIELD TO EXISTING FIELD (P) ADD: 20LFx2.5Wx7.5'E.D.,l 0.5'T.D. W/ MT AND CO AT END OF FIELD 'RESERVE AREA BASED ON CATIII AWWTS (NIC 30LFx5.O'Wx0.5'E.D.,4.O'T.D. Z' 0 7� D �O 0 0 0, z Z NOTES: A B C D Tl 21.3 24.1 T2 30.3 34.4 DCO 32.1 36.3 CO NO, OSP1 71194 85.0 85fl MT .7 w — w —WATER LINE USED: _TRUE NORTH SCALE 1-= 56' WELL RADIUS .45LFx2.5'Wx7.5' E.D., 10.5' TD(E) +ADDED 20LFx2.5'Wx7.5'E.D_ 10.5'T.D.(P) SS —SS NEW SEPTIC TOTAL AREA: 975 SF RESERVE PARAMETERS RESERVE SEPTIC SYSTEM (NIC) NO. BEDROOM: 5(750 gpd) \%INSTALLED 150OG SEPTIC TANK(E) TANK SIZE: 2000g ADVANTEX W/ DCO AFTER TANK PERC RATE: 6 MPI SOIL RATING: 5.0 GPD/SF AREA RQD: 150 SF SYS, TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 30.0 LFTl 70.2 USE: A 30.OLFx5.0'WxO.5' E.D., 4.0' TD B TOTAL AREA: 150 SF q I 5BR ABBREVIATIONS I SFD 150.2 TH TEST HOLE (P) PROPOSED mM (E) EXISTING CO CLEAN OUT NO. MT MONITOR TYP TYPICAL TUBE NO, I\V TH 9 REMOVED 1250G TANK(E PER MOA CODE INSTALLED ADIDTIONAL 20LF ABSORPTION' —FIELD TO EXISTING FIELD (P) ADD: 20LFx2.5Wx7.5'E.D.,l 0.5'T.D. W/ MT AND CO AT END OF FIELD 'RESERVE AREA BASED ON CATIII AWWTS (NIC 30LFx5.O'Wx0.5'E.D.,4.O'T.D. Z' 0 7� D �O 0 0 0, z Z NOTES: PAMONTE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510• PHONE (907) 272-8218 FAX (907) 272-8211 .... . .. . .... CE 9 .�EV: 08�215�2(10** Dote 08/09/2017 RECORD DRAWING Scale ARGYLE L5 Q SUSIE KEES•*Pannone* 11001 LIPSCOMB ST ANCHORAGE, AK 99516 P.I.D. NO 015-141-16 —PERMIT DRAWN JRL NO, OSP1 71194 SITE PLAN Sheet 2 OF 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 TEST HOLE 1 OR TOPSOIL ORANGE Silty SP SAND & GRAVEL SM I Silty SAND 17 SM I Silty SAND BOH DATE PERFORMED: 26JUL17 SOILS LOG — PERCOLATION TEST SLOPE TEST HOLE WAS GROUND Wi ENCOUNTERED? IF YES. AT WHA DEPTH? - DEPTH TO WATE MONITORING? DATE: 09AUUZU I i READING DATE CLOCK TIME NET TIME `NATER LEVEL READING NET DROP RATE (MPI) 1 26JUL17 1105 5.900" P.I.D. NO 1-41-16 2 1111 6 MIN 11.900" 6.000" 1.0" 3 1112 5.900" 4 1118 6 MIN 11,900" 6.000" 1.0" 5 1119 5.900" 6 1125 6 MIN 11.900" 6.000" 1.0" SOIL TEST RESULTS/ANALYSIS • PERCOLATION RATE 1.0 (min/inch) (Hydrologic Soils Group: HSG A) • PERC HOLE DIAMETER 6" • TEST RUN BETWEEN 5 FT AND 6 FT. • TEST RUN FOR OVER AN HOUR, LAST THREE READINGS PROVIDED. COMMENTS: Test hole excavated by A+ HOME SERVICES. PERFORMED BY: Joseph Lawendowski. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES:PAMONE ENG LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 .• • ..A: CE 8149 e .• Date 08/09/2017 RECORD DRAWING.•••••.•• _ Scole NTS ARGYLE L5..� SUSIE KEES 11001 LIPSCOMB ST ANCHORAGE, AK 99516 P.I.D. NO 1-41-16 PERMIT N0. OSP171194 DRAWN JRL SOILS LOGS Sheet 3OF3 �H""""'Y�� MUNICIPALITY OF ANCHORAGE ! On-Site Water&Wastewater Program �� „S er PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax: (907)343-7997 - 1 , / httpa/www.muni.org/onsite \ I .ii rmcnt On-Site Wastewater Disposal System Permit Permit Number: OSP171194 Effective Date: Work Type: Septic Upgrade Expiration Date: 7/20/2018 Tax Code Number: 01514116000 Site Legal Address: ARGYLE LT 5 G:2636 Site Mailing Address: 11001 LIPSCOMB ST, Anchorage Owner: KEES SUSIE Lot Size in Sq Ft: 44523 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 5 This permit is for the construction of: I1 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 Special Provisions: 1. A test hole shall be provided, prior to construction of the septic field, to confirm separation to groundwater and impermeable barrier(shall be at least 16.5 feet deep), as well as to provide a percolation test and 7-day groundwater monitoring. If the results of the test hole require a design change, construction of the system shall stop pending On-site review and approval. Submit stamped and signed results with the inspection report/record drawings. 2. No part of the tank can be located under the driveway/parking area. Received By`.--- f f ~ Ai ,' �t Date: M Issued By: Ccut, p Date: M Q 01 7 MUNICIPALITY OF ANCHORAGE , 111710-\ Community Development Department , Pho • °! - . -4.0• \Development Services Division 9 . ,o On Site Water& Wastewater Progr I- JUL 1 9 2017 t ON-SITE EWER/WELL PrE IT A PPLICATION 1 Parcel I.D. 015-141-16 a 6 9 L o,`5 Property owner(s) SUSIE KEE mom,'vow" Day phone Mailing address 11001 LIPSCOMB ST, ANCHORAGE AK 99516 Site address 11001 LIPSCOMB ST, ANCHORAGE AK 99516 Legal description (Sub'd., Block & Lot) ARGYLE L5 Legal description (Township, Range & Section) Lot Size 44,523 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (E)all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑X Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage [l 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: /10,00 Waiver Fees: Date of Payment: 'lac)/ i' Date of Payment: Receipt Number: (ig5o136r Receipt Number: Permit No. 05P ti+I Q�,-F Waiver No. Permit App__- ::..c Pannone Engineering Services tic Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com July 19, 2017 Subject: ARGYLE L5 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 five(5)bedroom house.Currently the lot is developed. The system will utilize a new 1,500g septic tank and add an additional 2OLF to the existing 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.One test hole was performed in the vicinity of this system in February 1981. Ground water was observed at a depth of 16' below the surface in the test hole monitor tube. A COSA was performed on the system and 750g was added which swept away in 30 minutes. Bedrock was not encountered in the test hole. Based on the results of the percolation tests and overall soils appearance;an application rate of 0.8 gallons/day/square was used for a conventional wastewater system in the area 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.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 southeast to northwest,with a slope of approximately 08%-10%in the area of the drain field. 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. Please contact me if you have any comments or concerns. Sincerely, ssssssss °F 114:14,?; +••�I • • . Steven R.Pannonee4'I Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 ABBREVIATIONS IQ�v —ww WATER LINE / TH TEST HOLE co/ N- \ ELL RADIUS (P) PROPOSED �T (E) EXISTING \\ * A —ss —ss —Al. 11EW SEPTIC CO CLEAN OUT NO. \ ' _ *.h. ii :-( MT MONITOR TUBE NO. -- TYP TYPICAL ) / y / ..� - / / INSTALL 1500G SEPTIC TANK( worm _l SCALE :.4-= 50' / W DCO AFTER TANK / (� SCALE . - - M/� // 14 `;1 bV � _ _ ---• \A` \ / CO // 0 I / /0 �I 75.0 ` ; 1 / / / ,�j ;� L / / / / / 2 1 / / , : I /1.50/ // J e2 / 5BR / / / r / W SFD 150.2 / 1�T4 ' fH(P) ) /`� / y/ / / / / /I i r• / / / / / /� 6 R MeV 1 OG TANK E / � / // / // --/ / M 4Y3.7 _ — -hoof- — PER MOA CODE =/1`� / 44 / / / - \ / INSTALL ADDTIONAL 2OLF ABSORPTION " / // / / FIELD TO EXISTING FIELD (P) / f/ / / /4/ / / ADD:2OLFx2.5Wx7.5'E.D.,10.5'T.D. •/ • -f— / / / / W/ MT AND CO AT END OF FIELD / / / / / _ . -� J /\./ � ' " /RESERVE AREA BASED ON CATIII AWWTS (NIC) / / / i 3OLFx5.O'WxO.5'E.D.,4.O'T.D. / /� I / / / / / / r / 7 // / / / ' / r ( w � W �' ...1 //c ( I / / / li / / �' / // WELL (E�'' / / // Q / / - // / / _DESIGN PARAMETERS f / / PRIMARY SEPTIC SYSTEM � ' RESERVE DESIGN PARAMETERS NO. BEDROOM: 5(750 gpd) / ' -- RESERVE SEPTIC SYSTEM (NIC) TANK SIZE: 1500g NO. BEDROOM: 5(750 gpd) PERC RATE: 6 MPI 7 TANK SIZE: 2000g ADVANTEX SOIL RATING: 0.8 GPD/SF / / PERC RATE: 6 MPI AREA RQD: 937.5 SF / / ' J itPERC RATING: 5.0 GPD/SF SYS. TYPE: DEEP TRENCH 7.5'ED —� / AREA RQD: 150 SF MIN LENGTH: 62.5 LF / / / \/ SYS. TYPE: WIDE TRENCH 0.5'ED / * MIN LENGTH: 30.0 LF '�L'USE: / ' / 45LFx2,5'Wx7.5' E.D., 10.5' TD(E) / 1 / USE: +ADD 2OLFx2.5'Wx7.5'E.D., 10.5'T.D.(P)/ ThB 30.0LFx5.0'Wx0.5' E.D., 4.0' TD TOTAL AREA: 975 SFIr / TOTAL AREA: 150 SF Y • NOTES: PANNONE ENG SVC, LLC Dote FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 PG..•• 07/19/2017 PHONE (907) 272-8218 FAX (907) 272-8211 _ e• •• Scale - *'491U. %* 1" = 50' • 7••• P.I.D. NO ARGYLE L5 �_ ` _015-141-16 SUSIE KEES ;•• ev�sn 11t••fan"O1'° PERMIT NO. DRAWN JRL 11001 LIPSCOMB ST -^••,;Ev /21/2o49 OSP171194 SITE PLAN ANCHORAGE, AK 99516 '::,' ;.yt, Sheet � " 1 OF 2 I SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL NEW 1500g SEPTIC TANK, ADD 2OLF TO SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 16 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 16 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: TITLE: DATE: NOTES: LLC date FOR CONSTRUCTION PANNONE ENG SVC, tv 07/19/2017 P.O. BOX 102954 ANCHORAGE, AK 99510 .9f. 9•. .i.••• 507/ PHONE (907) 272-8218 FAX (907) 272-8211 •- *: •* i\ NTS • • P.I.D. NO 015-141-16 SUSIELKEES r k a ri :•sonnoiie' PERMIT NO. DRAWN JRL j•�•�( �8148���: OSP171194 11001 LIPSCOMB ST ,,. .•,•• • • Sheet DESIGN NOTES ANCHORAGE, AK 99516 °► p - 2oF2 ! MUNICIPALITY OF ANCHORAGE 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 I P~,HON E ~ NEW [] UPGRADE MAI LING ADDRESS /.~// /' Wel Absorption a[.~ I Dwelling / ~ ! Manufacturer /~, Ma~ Liq, capa tyn 0 MEMA D E: DISTANCE TO;Well Inside length ~ Width~ Well Foundation _ _ I N~ot line ~STA,C. TO:I ~ /¢~O ' ~ 2~ I ............. Total length of I~nes ~rench width~ .o. of,,ne~ ,.n,,h o,e~o~e~ ' ' Material Top of tde to finish grade ~ beneath tile I Length ~Width Depth 7,~- ~es I Type of crib ~-- Cribdiame~~ / ~ Cr~ ~ANCE TO: ~~ ~uilding foundati~i ~ Depth Driller Distance to lot line - DISTANCE TO: Building foundation Sewer line Septic tank NO. OgEDROOMS PERMIT NO. No. of co~_,~artments Liquid depth PERMIT NO. Distance between Total effective abs.~..~rea PERMIT NO. PERMIT NO. ~¢~/ Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS APPROVED DATE LEGAL l'.lLi I"-.I I ,_-: 1' PAL T -l-"r' F',F RNE:H'-'RRL]E DEF'AF.~TMENT F HEALTH AN[> ENVIRONMENTAL "OTECTION ,:,~.5 "' L STF.'.EET., RNGHUF..RIjE., AK. qq 264-4?20 I T L-JELL RN[~ w-JN--_~. I TE _'~,EL,JER PERr'I ' PEF,'MIT N0. < ;_::1"-'057 > "q,t_J "-' "~ ~"~' _ ~-~ LEGAL L$ ARGLE LOT SIZE SQUARE FEET _j TYF'E OF SOIL ABSORPTION S~r'STEM IS: TF..ENCH . OF BEDF.'.OOMS = 4 SOIL RATING .::S,:, ...... FT,"BF.",= '[';~I}'f.'l:~lJlRE£. SITE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENC. ION I~ THE LENGTH (IN FEET'> OF THE TRENCH OR DRRINFIEL~r'~;~ THE DEPTH OF A TRENCH OF.'. PIT IS THE [:,ISTRNCE BETWEEN THE SURFACE OF THE iJF..OUN[ RN[:, THE BOTTOM OF THE E,'.<CRVRTION ,:'IN FEET>. THERE IS NO SET W I[:,TH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE RN[:, THE BOTTOM OF THE EXCAVATION <IN FEET>. F..'E ~;! Li I RED. '_-~EF'T I C T'Rr~c: $ I ZE-~- -125E~ 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. l'F~C~ (2) I [4SPEC:TIIDN$ RRE REQLIIRED BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A NELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE'NELL OR 150 'FO 200 FEET FROM A PUBLIC NELL DEPENDING UPON THE TYPE OF PUBLIC NELL.. MINIMUM DISTANCE FROM A PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F"ERr.11 t E>~:P I RE--c. E-~ECEr"IBEE: _.--<::L.. -_1_"~ ~:-.:..1_ I CERTIFY THAT i: I 8M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON~SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. S I GNED: ISSUED E?~" ~TE ~- ~(~ V4. 0 [N~TI'~L~T.'EOfl~ [~.TC~'.,~ ~F ~ ~"~ i~J~NT: TO. ~14[~-'- :~ _ --- ---~ .... '.~-~..----- PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 ~---4 5 7 10 12 13 14 17 20 COMMENTS PERFORMED BY: MUNICIPALITY OF ~HOP. A(~ DEPT. OF HE~.,H & MUN lC IPAL ITY O F ANI~I]~I~TAL PROTECTION DEPARTMENT OF HEALTH AND ENVIRONMENTAL ERD~JON SLOPE SITE PLAN 5? ~< ho/~ .. SOILS LOG PERCOLATION TEST WAS GROUND WATER 0~ S ENCOUNTER ED? .5' L '~/- O P IF YES, AT WHAT /~ ' DEPTH? ,/-of L,,,,; , Reading Date Gross Net Depth to ~ Net Time Time Water ~0~ Drop RATE ~minutes/i~)¢C TEST RUN BE~EEN ~ FTAND ~ FT 72-008 (6/79) rpt =44, Municipality of Anchorage On -Site Water and Wastewater Program jam, (907) 343-7904 5 ;, Certificate of On -Site Systems Approval Parcel I.D. 015-141-16 1. GENERAL INFORMATION: Expiration Date: Z —zC) Z L Complete legal description ARGYLE; LOT 5 Location (site address) 11001 Lipscomb Street *Anchorage 99516 Current Property owner(s) Karin Schaetze Day phone 830-0788 Mailing address Real Estate Agent 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1550 Date of Payment -12,1171/2,021 Receipt Number © q.1561 G COSA# OSC- 1 7aa Date: Waiver Fee $ Date of Payment Receipt Number 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. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 f Engineer's Printed Name: Jeffrey A. Garness Date: t Z/ d'I zi In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. IGNATURE � System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, #AECC884 Jam\ ON, �� with the follo)i& Sti iRHA AI G Original Certificate Date: I Z ^ 2 O� 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other LVJ COSA Checklist Legal Description: ARGYLE; LOT 5 Parcel ID: 015-141-16 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA l Well log is filed with Onsite (or attached) Well production at time of 'test 6.9 gpm Date drilled 19"?) Water storage tank volume N/A gallons Total depth 229.4+ ft Well disinfected for coliform test? ❑ Yes F011 No Cased to UNKNOWN ft 19/coliform bacteria is Negative 0 Sanitary seal is functioning correctly Nitrate 0.1 mg/L ❑ Nitrate less than MRL (ND) DE Wires are properly protected Arsenic ug/LArsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by GEG, LTD. Date of flow test for COSA 10/26121 Date of Sample 10126/2' Static water level at beginning of test 223.5 ft. Comments 2ND WELL DECOMISSIONED (SEE ATTACHED RECIEPT) "PER GEG WELL TEST B. TANK DATA Age of tank(s) 4 years Tank type/material SE -C-"` Measured operating fluid level in septic tank i� Standpipesffoundation cleanout per record drawing Date of pumping ---I 1 2. , D. ABSORPTION FIELD DATA C. LIFT STATION ❑ Required maintenance com Age of li>station _ rs Lift statiComme Which system tested date installed 9(23/85 10/2B/21 Y ( ) Adequacy test date ❑ ALL standpipes present per record drawing Results ❑✓ Pass For 5 bedrooms Total measured depth from grade 11.25 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 3.83 ft (min) Water added 838 gal ❑ NIA — pressurized field New depth 10 in ❑ IUonitor tubes go to bottom of effective. If not, state Elapsed time 120 min depth into effective 7.33' P 01 Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 750+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) NONE N/A If yes, enter date N/A Gallons introduced gallons Comments/Deficiencies: 'TRENCH EXTENDED BY 20' ON 8/9/17 -MONITORING TUBE CENTERED IN DRAINNELD WAS NOT LOCATED, CONDITION IS UNKNOWN COSH Checklist yellow sheet Eli E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft Yes if No ft Neighboring Tank > 100' IZI Yes if No ft Private Sewer/Septic Line > 25' Q✓ Yes if No it Absorption Field on Lot > 100'✓� Yes if No ft Holding Tank > 100'✓❑ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' [✓ Yes if No ft [Z] Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' �✓ Yes if No ft n✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5(+ ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' []✓ Yes if No (A15 UMED) ft Private Wells > 100' [71 Yes if No ft Water Main > '10' Yes if No ft Community Wells > 200' C✓,] '{es if No ft Water Service Line > 10' F✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10'0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 121 Yes if No ft Wells on Adjacent Lots: Water Main > 10' [ZI Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' [ZI Yes if No ft Community Wells > 200' 0✓ Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL G. ENGINEER'S CERTIFICATION I certify !hat 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet MECC884 mil _ I Frontier Surveys, LLC Project No: 17-121 It Ordered By: Edward Davison u v, Lot 4 Legend: S00° 03'30"E 150.00 Argyle Date: August 15th, 2017 Plat: 66-83 1 Grid: N/A 3 > of > m a J 25' BUILDING SETBACK LINE �i S00° 03' 10"E 150.00 Lot 6 10' UTILITY EASEMENT ---r--L--ipscomb-Street ------------ _ 1 1= Electric Meter/Outside Power rQ_,) Telephone Pole 0 Gas Meter ® Deck o Fence 0 22 5 45 90 O Septic N Water Well C Mailbox Feet General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Law, 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. Dimensions to property lines are plus/minus 0.1ft. _ L) �1� Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. m P.O. Box 196650 is Anchorage, AK 99507-6650 E t, VVV4'LiTis (907) 343-7904 Well Decommissioning •• • Legal Address: , I a' , i = - E Subdivision i C' t Block Lot T R -) € Section Lot On-site Water & Wastewater Program certified contractor performing the well deco ,t� ." Name: 7r, rre�'` -r i .t C. Signature Company: Well decommissioning date: j Method of decommissioning: AMC 15:55.060L1 a. ❑ b. ❑ c. Location: Use the space below to provide a drawing of the property showing the following items; • North Arrow • Decommissioned well, • Other water wells on the property, • Two separate swing -tie distances for each well shown in the drawing, Note: The swing -tie distances shall be measured from either permanent structures of property corners. Parcel I.D. 015-141-16 Q ,j_j:4'AjNI'j'L Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Complete legal description Argyle Lot 5 Location (site address) 1 100 1 Lipscomb St. Expiration Date: Current Property j owner(�s� Susie Kees Day phone Mailing address Real Estate Agent 11001 Lipscomb St. Anchorage, AK 99516 2. TYPE OF DWELLING: � Single Family (w/wo ADU) F -I Duplex D Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ED Individual EF1 Individual Water Storage 1771 Holding Tank El Community Class Well El Community 1-1 Public Water System 1771 Public Sewer El WaiverNariance request for: Distance: Received byu— Date: COSA to be released to the engineer, unlesherwise requested boe 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 8/17/2017 of At,, 6. DSD SIGNATURE ""' System #1 Approved for bedrooms S even :`Pa'nnorie : ' CE -8149 , System #2 Approved for bedrooms slow •.,% Disapproved PROFESS1O Conditional approval for bedrooms, with the following stipulations: WATER AND r<, By: RJMzCA Original Certificate Date: 6-15 017 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_f .. � k�� Legal Description: rnx|� on�^ ^�'' �~^ ~ A. WELL DATA VVeUPrivate ' //``~^~'x�t� |fA.B.orCprovide PWS |D#__ �� Date completed ~ U '~'^ Sanitary seal (YIN) \y U0� U�� Total depth Ca�d�^=,,�� FROM WELL LOG Date oftest �'`'U0� ^ Static water level ~' ~ U�� ^ ft� Well production UN� on ^~'^'^ 9 -P.M. WATER SAMPLE RESULTS: � Coliform NEGco|oniea/1OOmL NitrateND.mg/L Arsenic ND ug/L Date ofsample: ~'~-~' '' �/��/17 B. SEPTIC/HOLDING TANK DATA ��8nf'r/��p<�| T�kTyp�M��� ~ r"~"�~~ ' Tank size 1500 gei Number ofCompartments 2 Foundation cleanout (Y7N)V Depression over tank (YNYN) ., ��VV Kj8\ Date of pumping '`^-^^ Pumper '`'' ` Kmore than 1septic system ismnthe lot: COSACheck|ist#/of�__ Structure served bythis system 1____ O1�-1/11_1�� Pan��|D�~'~ ''' '" Well Log (Y9N)N Wires properly protected (Y/N)_._______ Casing height (above ground) 24+ in. AT INSPECTION 6/21/2017 ��/1 �� . � Collected by: Date installed d `""'^�~ ' ' Cleanouts (YIN)YHigh water alarm (YIN) NUL m�m xo�mv m2 *zo,a / �rux0� uuup //ux/u/ Date installed Soil rating (g�pd... or....nn)_ System type 2.5 ft. '�1~ �~����O ft. Width^-'~ fL G�ve|be�wpipe �.�fL 10 975 Y �� Total depth �� �� Ef[abeorptinnor�a Monitoring Depreaaionover�e|d_~.__ �VV Date ofadequacy test NEW Results (Paxe/Fei|)______ For5 bedrooms Fluid depth in absorption field before testin Water added gal. New depth in. Elapsed Time: min. Final fluid depthin Absorption rate >= g.p.d. Any rejuvenationtreatment (past 12mo.)(YIN &type) ' N ~ Kyes, give date ________ WELL ONLOT TO: _ Size ingallons Manhn|e/Acomaa(Y/N) Cycles tested Septic tank/lift station onlot 100f Absorption field Vnlot 100+ ��� Public sevwermain ' 7 `^ Sewer /septic service line 25f f Aninna|containment areas ~~ �0 Meets alarm 8circuit requirements? On adjacent lots 100f On adjacent lots 100f Public sewer manhole/cleanout 100f f Holding tank '~~ 10O Manure/animalur�/anim�| excreteoborageoreao100f SEPTIC/HOLDING TANK ONLOT TO: Building foundation 5f on Property line 5f 1Of Water main ' " Water service line 10f Wells onadjacent lots 100f ABSORPTION FIELD ONLOT TO: 1Of Property line '~ Building foundation 10f Water Service line 10f Surface10Df wmter '~° �Of Curtain drain ~" Wells on adjacent lots 100f_..,.�.__ G. ENGINEER'S CERTIFICATION / certify that /have obh*nnined through field inspections and review of Municipal neomTs that the above systems are in conformance with MOA C[}8Aguidelines /neffect onthis date. Engineer's Printed Name Steven Pannone Date A/17/2017 CO3Acanary ohaet-o-6'1o.uon AbsorptionF. COMMENTS h�fSurface water �|d.'.__ 1DMf Water main 1Of Driveway, parking/vehicle storage 10f Co 0) -n c Z- r- ).? 0 q. �: S* 10, ,n CD v W5Q C m 2 -- C7)3 P to (D -< mw N (D -00 m > ry T 3 <o ID W, C (D rD -0 (,D o' ID I O C. ,�4 M, (D 4 ., o (D 0 5 ro �! J 3 CLC a D f7 Q fb <m 3 — 0- < I=D ; CL __j (D -< cm c 0 (D oa c- (D 0 - 0 n 0 (D C , -< 3 no 3 'D 1<1 0 ca cu m 9 H (D CL (D o 0 n _0 i n 0 (D 51 =r I rD NM = 5� I -D to u cr w I . 0 < M o rD (D W, -2 0 =r o — N M - C < 2 r:o,- (D o 0 -< , :E w CD 0 0- 0 in 0 m C L < CR 'F 3 :=3 �t rD 3 0 0 w CL r- 0 3--0 R.O.W. A