HomeMy WebLinkAboutROBERT AUBREY LT 2Robert Aubrey
Lot 2
#051-102-35
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: 870215 PID Number: 051-102-35 ❑✓ New ❑ Upgrade
Name:
Richard Marcel
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑✓ Bed ✓❑ Mound
Address
23136 Tundra Rose
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
188sfbrGPD/SF
Unk Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original gradeGravel
Unk Ft.
depth beneath pipe
- Unk Ft.
Subdivision Block Lott
ill added above original grade
Gravel length
Township Range Section
Unk Ft.
30 Ft.
Gravel width
29Ft.
Beds: Number of Lines
Unk
Distance between lines
I Unk Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
870 Ftz
N/A
N/A Ft.
Well
N/A
N/A
N/A
N/A
N/A
TANK ❑ Septic O S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Unk
Capacity
1250Ga1.
Surface water
100+
100+
N/A
N/A
Material
Number of compartments
Lot Line
23.2
5.7
N/A
N/ASteel
2
NA
Foundation
8.0
21.3
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
N/A
N/A
N/A
N/A
Unk
250Ga1.
Remarks System previously installed by S&S. PES
Pump on level at
43 in.
Pump off level at
40 in.
High water alarm at
45 in.
performed adequacy test and verified observable
portion of septic system. System appears to have
Pump make and model
Electrical Inspections performed by
been installed per original design.
Installer
PIPE MATERIAL Housetotank Tankto
Unk drainfield Unk
S&S Engineering
Drainfield Unk Co1MT Unk
Inspector Pannone Engineering Services
BENCH MARK (Assumed elevation) 100ft
Inspdates: f:r 11/27/13 2nd
Location and description
3.a
0
Top of Deck
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
Conditional Approval:
Date
Steven ` . '%annorae'
17,0q � . ■..
Approved 3
Date , 3`y9t95t�""
��\\Otte+►
wym L_-.�c.uuq�
SEPTIC AREA (E)
11'.4
TUNDRA ROSE AVE
o
L T2
3BR HOUSE (E)
---7 1%-2%
3
4
i
SEPTIC AREA (E) NOTE: MT & CO's look good.
Record Location changed from
the approved Design/Permitted
Location.
A
B
FC
15.4
9.5
T1
18.7
12.3
LS
24.0
18.5
C1
36.6
33.2
M1
43.6
40.8
MOUND CORNER 1
40.5
27.0
MOUND CORNER 2
56.0
49.0
MOUND CORNER 3
21.4
30.7
MOUND CORNER 4
50.0 1
56.7
3
4
i
SEPTIC AREA (E) NOTE: MT & CO's look good.
Record Location changed from
the approved Design/Permitted
Location.
NOTES:
�7�1�7 �7� �+7�� �7�t '� T
PC11�l1VONE ENG SVC, C.� LLC
P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
� SOF ACS ,
< C� "' Stk(
Fg�P �Yq� �yi�
.. � .t.LL,I ."�.�. fP
Steven R. Pannone
?� CE 8148
J_
t���F�PRpFSSIOP
Date
2/4/2013
RECORD DRAWING
Scale
I D. NO
-102-33
ROBERT AUBREY, LOT 2
RICHARD MARCEL _
23136 TUNDRA ROSE
CHUGIAK, AK 99567
PERMIT NO.
870215
PLAN
sheet
2 OF 3
102.11
101.6
SM
OL
GW/ 7/3/1987 (95.5)
S
0
12508 S.T.E.P.
TANK
DESIGN PARAMETERS
PRIMARY/RESERVE SEPTIC SYSTEM
NO. BEDROOM: 3 (450 gpd)
TANK SIZE: 12508 S.T.E.P.
PERC RATE = 15 MPI
SOIL RATING: 190 SF/BR
AREA ROD: 570 SF
104.5
SECTION
PROFILE
R.I. Per Design
'i' 0 DRAIN PIPE
0 DRAIN PIPE
BED SEE DESIGN
LEGEND
W WATER LINE/
WELL RADIUS
— SS — NEW SEPTIC
USED:
BED 30 LF X 29' WIDE x 3.0'TD FROM FG
TOTAL AREA: 870.0 SF
ROCK
01.6
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
MONITOR TUBE NO.
R.I.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
DV
DIVERTER VALVE
FS
FLOW SPLITTER
BFG
BELOW FINISH GRADE
OG
ORIGINAL GRADE
FG
FINISH GRADE
NOTES "\ Date
PANNONE ENG SVC, LLC (oF, ac est 12/41201 ,3
RECORD DRAWING ��(`i.• !Q �-
P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211 �j�`p o �y�� sca1,Te
f..4. TM. r.-... P.I.D. NO
ROBERT AUBREY, LOT 2 ��� f051-102-33
RICHARD MARCEL Steven R.'Pannone PERMIT N0.
PFc, 2CE•81 ,. 870215
23136 TUNDRA ROSE �y
y J` 4D1 Gam•'
DESIGN DETAILS CHUGIAK, AK 99567 ��k\ �O ES"�< Sj3Ot 3
r
Municipauty
®f
Anchorage
January 12, 1988
P.O. BOX 196650
ANCHORAGE, ALASKA 99519-6650
(907)343-4200
T.=XUMW= Tom Fink,
MAYOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
Art Sayles
SR B 217
Eagle River, Alaska 99577
Subject: Lot 2 Robert Aubrey
Permit #870215, Ta #051-102-03
A permit issued by this Department or an individual well
and/or on-site sewer system has expired as of December 31,
1987.
Permits are issued on a calendar year basis by authority of
Municipal Ordinance. A new permit must be obtained from this
Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this Department for documentation of the installation and to
close the permit.
If a private engineer inspected the installation of the on-site
sewer system, the original as -built inspection report (three-part
form) must be sent to this office for review and approval, and
for documentation.
Effective January 1, 1988, a new fee schedule is in effect.
When re -applying for a new permit, the new fees are; $90.00 for
an on-site sewer permit; $50.00 for a well permit; $140.00 for
a combined sewer and well permit.
If there are any further questions, please call this office at
343-4744.
Sinc ely,
Robert W. Robinson
Program Manager
On-site Services
RWR/ljw
enc: Copy of Permit
.NOTIFYD.H.H"S. PRIOR TO 151- & 2ND INSPECTIONS BY ENGINEER
I CERTIFY
THAT:
1. I am familiar
11UN111
ALlTY OF
ANCHORAGE
sewers
and
wells a� set
.
Department
of Health
& Human
Services
o{ Alaska.
2, l will
825 L Street,
Anchorage� Alaska
99501
343~4720
and regulations.
ON�SITE
SEWER
PERMIT
A
this permit,
Permit Number:
870215 Upgrade
adhere to
all MOA and State o{
Alaska
requirements
Oate Issued:
08/17/87 Engineer
Designed
existing well, wastewater
disposal system
Ow:er Name:
ART SAYLES
system on this or any adjacent
or nearby lot.
Day
Phone:
Uwner Address:
SR B 217
For a
maximum o[
3
694-4001
also understand
t1
EAGLE Rl�ER, AK
99577
system is
3 bedrooms and
any enlargement
Parcel Id:
051-102�33
Lot Legal:
Subdivision: RO8ERT
AUBREY SUBD.
Lot:
2 Block:
-
Section: it Township:
1511 Range:
1W
Lot Size
7500 ( loci .It. or
acres)
Max Bedrcoms:
This Permit: 3
Total Capacity:
3
.NOTIFYD.H.H"S. PRIOR TO 151- & 2ND INSPECTIONS BY ENGINEER
I CERTIFY
THAT:
1. I am familiar
with
the requirements for
on-site
sewers
and
wells a� set
WPM
by the Municipality
of Anchorage
(MOA)
and the State
o{ Alaska.
2, l will
insLalltire
system in accordance
with
all MOA codes
and regulations.
a:d Alin
complince
with the design criteria
A
this permit,
3. I will
adhere to
all MOA and State o{
Alaska
requirements
for ihe set back
disAances
from any
existing well, wastewater
disposal system
or public`
sewerage
system on this or any adjacent
or nearby lot.
it. I understand
that
this permit is valid
For a
maximum o[
3
bedrooms. I
also understand
t1
1at the capacity o� the
total
system is
3 bedrooms and
any enlargement
will pequire an additional
permit"
_-CONrTI?UCF 19fl? EA161AEEApj 04EY16^I
'` S & S ENGINEERING
17034 E. R. LOOP #204
EAGLE RIVER9577
PHONE #694~2979
******************ONSlTE SEWER PERHIT APPLICATION*****************
APPLICANT: ART SAYLES
ADDRESS: SRB 217
EAGLE RIVER
ALASKA 99577
av
CON[ACT PHONE: (907)654-4O01
LEGAL DESCRlPTlON: LOT 2
ROBERT AUBERY
SU8DIVISION
SEC 4
�T15N;R1W
LOT SlZE: 7500 (SQ FT OR
AM
MAX. NUM8ER OF 8EDROOHS:
3
n
SOIL RATING: 190 SQ FT/BR
—
SOlL TEST DEPTH: is F7
~
NO WATER PRESENT IN TEST
HOLE.
ll1IS IS AN UPGRADE OF
3 BEDROOM
TO THE EXlSTING
SEPTIC SYSTEM /
. .... ..... ..... ..... .... .... ... ... ... .... ..... .... .... �
�.... ... � .....
... ..... .... .... .... ..... .... .... ���~������'
��.... .... ....
17, T UP
BED
lNFIELD
EFFECTIVE DEPTH
1
COVER DEPTH
2
TOlAL DEPTH
3
LENGTH
0
29
WIDTH
0 \
30
\
�~..... ..... ..... .... ..... ..... ..... .... .... ~
S 7 0
... .... .... .... .... ....
0 \
..... ��������~___��__~��—'.�
/
WALK lAL CONDITIONS OR INSTRUCTIONS:
THE PROPOSED UPGRADE IS A MOUNDED SEEPAGE BED) WITH It IN. OF INSULATION WITH
A MlN. OF 2 FT" OF FILL FOR COVER. SEE SHEET #2 FOR ACTUAL CROSS�SECTION~
1
w
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SCALE
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U
F7
e Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
/�
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: A i ( � A YLGS DATE PERF(
LEGAL DESCRIPTION: i_v+ Z jioj3S2 Township, Range, Section:j /g-�( ��w S.=c V
QE CH
`��'�• SLOPE SITE PLAN
2
3
4
6
7
8
9
Gross
Time
W�
OFNotc
Depth to
Water
Net
Drop
ENCOUNTERED?
11
IF YES, AT WHAT
2vIV
DEPTH?
12
XD
y
• d :�
13
Monitoring? 3 Date: —3
10
Gross
Time
WAS GROUND WATER �GS
Depth to
Water
Net
Drop
ENCOUNTERED?
11
IF YES, AT WHAT
2vIV
DEPTH?
12
XD
y
Depth to Water After
13
Monitoring? 3 Date: —3
14
15
16
17
18
19
■■■■■■■■■■
■■■■■■■■■■
Reading Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
-2y
2, Z
2vIV
XD
y
20
PERCOLATION RATE /5- (minutes/inch) PERC HOLE DIAMETER �
TEST RUN BETWEEN O FT AND / FT
COMMENTS
PERFORMED BY: 17634 Eagle Rivet' LOOP Road NO.'1 CERTIFY THAT T IS TEST WAS PERFORMED IN
Eagle River, Alaska 99577
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDE 4MFWFFCTnNTHiSnAATF. DATE:
• Municipality of Anchorage
e }x
On -Site Water and Wastewater Program
(907)343-7904 sx ell
Certificate of On -Site Systems Approval
Parcel I.D. 051-102-33 Expiration Date:
1. GENERAL INFORMATION
Complete legal description Robert Aubrey, Lot 2
Location (site address) 23136 Tundra Rose Ave.
Current Property owner(s) Richard Marcel Day phone
Mailing address PO Box 1284 Valdez, AK 99686
Real Estate Agent
2. TYPE OF DWELLING:
Fx] Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual
i]
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
U
Public Sewer
❑
WaiverNariance request for:
Received by:,% �` ' -, Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ qqo
Date of Payment /A155:113
Receipt Number
COSA# 0SC
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
0
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 Pannone Engineering Services LLC
Address P.O. Box 100217, Anchorage Ak. 99510 Phone (907) 272-8218
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE
System #1 Approved for ':� bedrooms
System #2 Approved for
bedrooms
Disapproved
Conditional approval for
bedrooms, with the following stipulations:
Date 12/4/13
t. Original Certificate Date: _
Th icip y Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Appr�(COSA
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.
ATTACHMENTS-
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSAbluesheetr'- c
Nitrate Advisory
Arsenic Advisory
Other
If more than 1 septic system is on the lot:
COSA Checklist # _Lof
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: Robert Aubrey, Lot 2
A. WELL DATA
Well type Public
Date completed
Parcel ID: 051-102-33
If A, B, or C provide PWSID # AWWU Well Log (Y/N)
Sanitary seal (Y/N) _
Total depth ft. Cased to ft.
FROM WELL LOG
Date of test
Static water level ft.
Well production g,p.rn,
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L
Arsenic ug/L Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material S.T.E.P/Steel
Tank size 1,250 gal Number of Compartments 2
Foundation cleanout (Y/N) Y
Date of pumping 11/27/13
Depression over tank (Y/N) N
_ Pumper JR's Pumping
Wires properly protected (Y/N)
Casing height (above ground) in.
AT INSPECTION
ft.
g.p.m.
Collected by:
Date installed After 8/1/87
Cleanouts (Y/N) Y
High water alarm (Y/N) Y
C. ABSORPTION FIELD DATA
Date installed After 8/1/87 Soil rating (g.p.d./ftZ orft2lbdrm) 188 SF/BR System type Mound/Bed
Length 30* ft * *
��� Width 29 ft. Gravel below pipe 0 5 ft.
3 0 870*
Total depth ft. Eff. absorption area ftz Monitoring tube Y Depression over field N
Date of adequacy test 11/27/2013 ResultsPass/Fail PBSS
( ) For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 500 gal. New depth 0 in.
Elapsed Time: 20 min. Final fluid depth 0 in. Absorption rate , 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date
D. LIFT STATION
Date installed After 8/1/87 Size in gallons 250
"Pump on" level at 43 in. "Pump off' level at 40 in.
Datum Bottom of Tank Cycles tested 4
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer /septic service line
Animal containment areas
Manhole/Access(Y/N) Y
High water alarm level at 45
Meets alarm & circuit requirements? Yes
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+
Water main 10+ Water service line 10+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10+ Surface water 100+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
*From Design
G. ENGINEER'S CERTIFICATION
I certify that / 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.
Engineer's Printed Name Steven R. Pannone
Date 12/4/13
COSA brown sheet -1 0-10-1 2.doc
Absorption field 5+
Surface water 100+
Water main 10+
Driveway, parking/vehicle storage 10+
in.
rte'°' "` .+"•� <�1�'�;'`
I g8R90,Y CMPY ziiAt i HAVE SURVEIMD THE
FOLLOWING DESMISED MPER'rY: '> �
AND THAT NO I NC QdCHRdI=N 6633
INDICATED. IT IS THE RESPONSIGILI`tY OF THE o w
OWNER TO DETERMINE TH£ Exts,rENCE OF ANY GRID: $' }
EASEMENTS, CDVENANTS, OR RES"RICTION"s itj r 9 a.e
WHICH
DO NOT APPEAR ON THE RECORDED SUGDI
VISION PLAT UNDER NO CIRCUMSTANCES SHOULD FB'
ANY DATA HEREON BE USED FOR CONSTRUCTION /' fi� " _,•; AV
OFFENCE LINES, OR FOR ESTABLISHING. BOUND—
GARY L IBESt?t AW:;;V_.✓..(l *,%
Engineer:
Legal Description:
Municipality of Anchorage
P.O Box 196550 4700 Elmore Road
Anchorage, Alaska 99519-6650 (907) 343-7904 Fax (907) 343-7997
htto:/hvww. m u n i. o rg/onsite
Planning and Development Services Department
Onsite Water and Wastewater Program
On -Site SewerMell Submittal Comment Sheet
PANNONE ENGINEERING SERVICE
ROBERT AUBREY LOT 2
12/10/2013
Permit: OSC131628 Septic Completed By: J.Poet
Report Type: COSA
The attached paperwork has been reviewed and is being returned for the following reasons:
Survey. ikZ'LA4 A
No Inspections noted on permit. Therefore system must be Asbuilt below grade. :µ, t% Q
If it can be verified the 30 foot radius of testhole in file covers existing system, no test hole or perk test is required.
S&S test hole shows water at 3 feet. But page 3 of your Inspection Report shows water at 2 feet. SE�9W 10,
What is total depth of M.T. from grade in field? Sew A-r-eA tO 0) rD�r S
Is system insulated as shown in S&S drawing? V
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