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HomeMy WebLinkAboutVALLISKA LT 2Onsite File #051-302-45 Both wells are in use (2/5/19). Gloria #s Well D-roMing Po Box 1992 Palmer, AK 99645 :)wne- of Land -ega: L 7' 4 MOFINFORIAKTIOW Oepth of Static Leval of Water Draw Down ft Gals, Pw Mir --2 Tvce of Casing—z—L-21 Fmm to ------ YL 1p ft to �ssxn ft to L t" F=m _K to ell to 1µn. t7� FL Ft '4L ,j ' _!2t to F1 —u—FI. ;Od 0( ------ j L Fmm— FL� SCUINFOMAT19M 're ORILLER'S NAME: WATER QUALITY TESTING Colifbrm N CoVlOOmL Nitrates mg/L Arsenic N D ug/L d nl 15 ARCTIC PUMP & WELL INC. Jim Sullivan PO Box 770197 W![t[M9SrSI0a Eagle River, AK 99577 sots s �� (907) 688-2510 l' (907) 243-2282 Pump Installation Log Well Drilling Permit Number: osp151022 Parcel Identification Number: 05130245000 Date Of Issue: 2/2/2015 Legal Description valliska Property Owner Name Address: Jack/Wendy Newell Lot: 2 15524 Old Glenn Block: AK Pump Installaion Date: Pump Intake Depth Below Top of Well Casing: Pump Manufacturer's Name Pump Model: Pump Size: Pitless Adapter Burial Depth: Pitless Adapter Manufacturer's Name Pitless Adapter Installer: Well Disinfected Upon Completion? Method of Disinfection: Comments: Pump Installer Name: Arctic Pump & Well, Inc. Tuesday, Jauuaty 29, 2019 5/1/2015 102 Franklin Constant Pressure System: 5Y10SDQP-1.5HP 1.5 HP 12 Martinson u/k Yes Chlorine On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151022 Tax Code Number: 05130245000 Work Type: Well Renewal Permit Effective Dates: February 02, 2015 to February 02, 2016 Design Engineer: Subdivision: VALLISKA Site Legal Address: VALLISKA LT 2 G:0655 Owner/Address: NEWELL JACK R & WENDY K PO BOX 110473 ANCHORAGE AK 995110473 Site Mailing -Address: 19340 MONASTERY DR, Eagle River This permit is for the construction of: Lot Size in Sq Ft: 61103 Total Bedrooms: 5 N Disposal Field N Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing..�� special Provisions: Prior to closing this permit; a well log, pump install log and water sample results are to be submitted to the Onsite Department for review. In addition, if the existing well is not to be used it must be decommissioned by a certified well professional. Received By: Issued By ( �,r%_ Date: Z ZiDCS 11 ._ _... ... ... " MUMOPALIT ........ ----- . Community Development Department Development Services Division On -Site Water& Wastewater Program `im" to V `RTMV Bargain",. ON-SITE SEWER/WELL PERMIT APPLICATION 907-343-7904 907-343-7997 Parcel I.D. 05130245000 Property owners) Newell Jack R & Wendy K Day phone 9072656976 Mailing address PO Box 771473, Eagle River, Alaska 99577 ---Site address-19340.MonasteryDr- Legal description (Sub'd., Block & Lot) Valliska LT 2 Legal description (Township, Range & Section) TI 5N RI W Section 30 Lot Size 61103 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well x❑ Water Storage ❑ APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) x❑ (wlwo ADU) Upgrade ❑ Duplex (D) ❑ Renewal 0 Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: N/A Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. JACK. NEw6LLeAtcweg,CNer of property owner or authorized agent) -Permit/Rush Fees: 3`` "VII/I Date of Payment: Receipt Number: Permit No. �SQI'.S 1022 Permit App_'-:- :'..k. -Waiver Fees: — Date of Payment: Receipt Number: Waiver No. On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131155 Tax Code Number: 05130245000 Work Type: Well Permit Effective Dates: June 26, 2013 to June 26, 2014 Design Engineer: Subdivision: VALLISKA Site Legal Address: VALLISKA LT 2 G:0655 Owner/Address: NEWELL JACK R & WENDY K PO BOX 110473 ANCHORAGE AK 995110473 Site Mailing Address: 19340 MONASTERY DR, Eagle River Lot Size in Sq Ft: 61103 Total Bedrooms: 5 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: -?/i12af3 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. 051-302-45-000 Property owner(s) Newell Jack R & Wendy K Day phone 907-346-3155 Mailing address PO Box 110473 apcc4 �jo-Z�5 - ro9it, Site address 19340 Monastery Dr Legal description (Sub'd., Block &'Lot) Valliska Lt 2 Legal description (Township, Range & Section) T15N R1 W Section 30 Lot Size 61103 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:' (M all that apply) - Absorption Field ❑ Initial x❑ Single Family (SF) ❑x (w/wo ADU) Septic Tank ❑ Upgrade .. ❑ Duplex (D) ElHolding Tank ElRenewal F]Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑x Water Storage 1-1 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: / 11N Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. /4� /` A �2`i i✓��� C# ALL.: J A%40ASoNW> mer of property owner or Permit/RushFees: ate_ Waiver Fees: Date of Payment: Date of Payment: Receipt Number: (teed Receipt Number: Permit No. DLJ t� (3 )155 Waiver No. Permit App__.: �;C..:u iC3-� MONASTERY DRIVE 7S 00 DiaTumce TCi O�Iv-C AAW1C 1= -r rows 1{013�1� Tay.16 SHOP ;� I 5. 20009 HOLDING TANK (E) -J 1 17 (TO N SEPTIC SYSTEM FOR HOUSE (E) SHED .., H, b' o 20009 HOLDING TANK (E) NOTES: pANNONE-ENG SVC, LLC RECORD DRAWNG P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 VALLISKA LOT 2 DOROTHY LISKA 19340 MONASTERY DRIVE PLAN CHUGIAK, AK 99567 ,el �rowe S CE 8149 l ['4.�SA4,( Date pk1/14/2013 �4 0+ Scale *'� P.I.O.NO L:.. 051-302-45 ine PERMIT NO. 2 OF 2 31 inspecnon Report_ - i- ie.eoc 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: PID Number: 051-302-45 ❑ New ❑✓ Upgrade Name: Dorothy Liska ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 19340 Monastery Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Valliska 2 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic AbsorptionON/AN/A g Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Line Fe Ft Well N/A NIA2 180 TANK ❑ Septic ❑ S.T.E.P. I] Holding ❑ Other Manufacturer Unknown Capacity 2000Gal. Surface Water N/A N/A Material Number of compartments Lot Line NIA N/A Steel 1 NA Foundation N/A NIA LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A Gal. Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to drainfeld Unknown Drainfield CO/MT Inspector Steven R. Pannone BENCH MARK (Assumed elevation) 100ft Inspection151.2/28/12 Location and description ddates: 2 3" am Garage F.F. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date 49TH .* even •R..' onnorar % CE 8149- \ sf t4gi Approved Date /-/7- /3 '. P inspecnon Report_ - i- ie.eoc MONASTERY DRIVE SHOP o vi 5.0 20009 HOLDING TANK (E) 174.2 (TO WELL) SEPTIC SYSTEM FOR HOUSE (E) SHED M M / HOUSE �G C, O LL (E) a o U S� o p z w IiU V U 99.3 94.8 20009 HOLDING TANK (E) NOTES: PANNONE ENG SVC LLC P.D. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 — of q \\t C�• " Cgsl�+ /�Gj�p Fyfe �... ... ... I Date /1a/2o1s Scale P.I.D. NO 051-302-45 RECORD DRAWING VALLISKA LOT 2 DOROTHY LISKA 19340 MONASTERY DRIVE CHUGIAK, AK II Steven "'Pannone' ff�PF`s CE 8149/ +�PF�30FES5i0NP PERMIT N0. PLAN 99567 Sheet \\\ ���` 2 DF 2 Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: stevePpanengak.com January 15, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Valliska, Lot 2 Well to Private Sewer Line Waiver Request Ladies and Gentlemen: N�) C) s 7 1 3,0(121 The septic service line exiting the south end of the house on this lot is located approximately 10 feet from the well. The pipes are 3034 and all joints are encased in concrete. Granting this waiver is not likely to affect the health and safety of this lot or the surrounding lots now or in the future. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer 13adina: P,O. Box 100217, Anchoraec, AK S'9510i 0217 € hv,'Iicril: 2 ` asi NAcinc)-' me ChL nvc, A Telephone: (907) 272-8218 FAX: (9 7) 272-8211 i en tSN Municipality of Anchorage mr f` P.O. Box 196650 0 4700 Elmore Road ` Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 lleparrmenr v Development Services Division On -Site Water and Wastewater Program **** VARIANCEIWAIVER REVIEW **** Waiver#: 131002 COSA#:131004 Permit#: PID#:051-302-45 Legal Description: Valliska Lot 2 Engineer: PES Applicant: Dorothy Liska Your request for a waiver of the required 25 feet horizontal separation from the well to the septic service line has been approved. The approved separation distance is 10.0 feet. This waiver approval applies to the existing well 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: ' - 1 - / 3 Approved by: C Na a eviewer ............................................c. . ............a............ Rec#: Amount: Date Paid: **** VARIANCEIWAIVER REVIEW **** Municipality of Anchorage Development Services Department •'�== ~_'� Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. e A ITT P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Pogo 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW030304 PID Number. 051-302-45 Nome' DORTHY LtSKA Wastewater System: ❑ New ■ Upgrade Y pg Address: 15524 OLD GLENN HIGHWAY • EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 696-2526 55 O Deep Trench ■ Shallow Trench O Bed O Mound OOther LEGAL DESCRIPTION Sol Rang: 0.8 Total Depth from orlp W grode: 8 MAX GPD/Sq. ,t. Ft. Block: Lot, Subdivision: Depth to pipe bottom frvm orl/kal pude: Cmvol depth beneath pipe: — 2 VALLISKA 5.5 MAX tt 2.5+ R. Township: Range: Section: rll added above orl'lnol pude: Growl brgft — — — SEE DWG. n 120 (2 ® 60) rL WELL: ❑ New ❑ Upgrade Gravel eider: 5.0 Number of Dewe: 2 Dbwrae between las: 15+ R R Classification PrNaw, h&C : Total cooed To: Told abeorptkw arm: Pipe malarial: D 3034/ F-810 M R 938+ so. FL Static Water Level: Iwwlwt FORK CONST. Dat. 8%14-18/2003 Driller. \CJ��N� Dow Mod: EX Ft.SOUTH Yield: Pump Set Al:Cain' Height Above Ground: TANK GP„ rL R SEPARATION DISTANCES .septic DHolding OS.T.E.P. 13 Other TO Septic Ab tion Uft Holding Publc/Prlvde monw0`tiffan ANCHORAGE TANK co "CIC• I, gam 1500 From Tank Field Station Tank seer un« well 100'+ too'+ — — 25'+ ` *rw: STEEL Number of comportmwnc 2 Surface water 100'+ 100'+ — — — LIFT STATION Lot Une 5'+ 10'+ - - - Size in qafk� Manuwear . Foundotion 5'+ 10'+ — — — Tlimp an MT.I at, mp o at High V~ alarm at: Curtain Droin NONE KNOWN Pump Nolo EHOMcet Inspections Pwfwmed by: Remarks: BENCH MARK Location and Deeerlptbn: OLD SEPTIC TANK COMPLETELY ABANDONED BOTTOM OF DOOR THRESHOLD ON SHED Assumed EMMbn: 100.00 � ENGINEER' L 4 Inspections performed by: AKWWC, INC. Dates: 1st 8/14/2003 .'. 2nd 8/15/2003 3rd 8/18/2003 Q e A. Garn ss. Development Se ices Department Approval ii QQ0 ' -79 4�dpq°p Reviewed and approved by: Date: n (Rev.tit) Q rOfee 9104 �' 40poo ILI PERMIT NUMBER: SW030304 --7Z- -7Z- AS -BUILT DRAWING PARCEL ID NUMBER: 051-302-45 ----- ---- ------------------ ----- ---------------- ----- ---------------- A- - - - - - - - - - - - - - ALTERNATE SITE WILL REQUIRE THE USE OF AN ADVANTEX TREATMENT SYSTEM r� INSTALLED FLOW / / SPLITTER / / / -w -a/ XISTING DRAINFIELD X)NED SO THAT IT MAY USED IN THE FUTURE N 1500 GALLON SEPTIC TANK DBL1 lco m- ST1 48.05 87.13 ST2 56.78 90.45 DBL3 59.68 91.61 DBL4 60.46 91.95 FS 77.50 83.05 C01 53.50 21.84 MT1 62.13 80.20 CO2 63.26 82.40 MT2 93.59 67.78 CO3 96.27 69.52 MT3 82.68 97.65 C04 80.92 97.87 MT4105.25 84.84 C05 106.13 83.64 D(ISTING WELL ALL JOINTS ENCASED IN CONCRhTE I I 8/26/2003 Q es ) DRAWN BY: ALASKA. WATER & WASTEWATERSSE C.J.G. CONSULTANTS INC. * . 9 'y* 5701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337.6179 • fqx (907)538-3246 1' = 40. :... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: Q DOROTHY LISKA 2 OF 3 �OD'•,J fr G ne LEGAL DESCRIPTION: 7953 ��i e`G VALLISKA SUBDIVISION: LOT 2. e, TYPE OF WORK: Q144edOQ�v AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE ��p'o ess{oQ000000 PERMITNUMBER: AS -BUILT DRAWING PID NUMBER: SWO 051 SW030304 051-302-45 TH#1 n ORIGINAL GRAM 9&66 O HIGH POINT TOP OF ' INLET - TANK AT - 93.53 1 I NEW 1500 GALLON T INVERT OF BUNG I SEPTIC TANK I AT INLET - 94.94 INVERT OF BUNG AT OUTLET - 94.70 WEST EAST FINAL GRADE FINAL GRADE - 99.80-100.53 ORIGINAL GRADE 99.93-100.12 - 9&62 O F -FILTER FABRIC HIGHEST POINTI \ ri1LTER FABRIC TH# 11 INVERT OF PIPE INERT OF PIPE 5-� - 93.19 (AVC.) 5' - 93.19 (AVC.) BOTTOM OF BOTTOM OTRENCH - F 90.68 (AVC) 10, I 90 (AVG•) RELATIVE ELAVATION OF BOTTOM OF RELATIVE ELAVATION OF BOTTOM OF TEST HOLE - 84.68 (TEST HOLE DRY) TEST HOLE - 84.62 (TEST HOLE DRY) E DAToo�Op 8/26/2003 �� F w�i ssa�4 DRAWN BY: 44 ALASKA WATER & WASTEWATER cCALE.•J•G• '� .•. 9 s��Op 49 CONSULTANTS, INC. S N.T.S. "'" """ ... ** ' 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-0179 • FAX (907),538-32[.17 z, PREPARED FOR: PHONE NUMBER: PAGE NUMBER: Q DOROTHY LISKA 3 OF 3 f rues LEGAL DESCRIPTION: o40�m '•. C 795 VALLISKA SUBDIVISION; LOT 2, TYPE OF WORK:. Ocd�o essl000�" PROFILE AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE ��pppoo� MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW030304 Legal Description: LVALLISKA LT..2 ` Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Dorothy Liska Owner Address: 15524 OLD GLENN HWY EAGLE RIVER. AK 99577-9218 <:�K) X1-1 I U3 - 1 l �v►� (Q PM Date Issued: Aug 07, 2003 Expiration Date: Aug 06, 2004 Parcel ID: 051-302-45 Site Address: 015524 OLD GLENN HWY Lot Size: 61103 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 2. All requirements specked 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. Received By: Issued By: Date: 7 0Y Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING a tired. 'recd Parcel I.D. 051-302-45 Permit Number Sfv03030¢ Property owner(s) DOROTHY LISKA Day phone Mailing address (2) Legal description (Lot, Block & Sub'd.) LOT 2: VALLISKA SUBDIVISION Legal description (Section, Township & Range) _N/A Zip Code 99577 Lot Size (V i �� Acres/Sq.Ft. Number of Bedrooms 5 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: H 0 o .._ Date of Payment: S-4-03 n Receipt Number: SCI 5] 2— WaiverFees: Date of Payment: Receipt Number: ALASKA. WATER & WASTEWATER lwft ....m CONSULTANTS, INC. July 22, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic Upgrade for Lot 2; Valliska Subdivision To whom it may concern: The existing 5 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. A test hole was excavated south of the existing drainfield. The drainfield will be designed around the 30 foot radius of this test hole. We are proposing that a new 1500 gallons septic tank and a dual 5 -wide type drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 0.8 gallons/day/ftZ should be used. 2. TRENCH DESIGN: a. Percolation Rate: 10.9 minutes/inch b. Proposed Application Rate: 0.8 gallons/day/ftZ c. Number of Bedrooms: 5 d. Design Flow: 750 gallons per day e. Minimum Absorption Area: 937.5 fl2 f. Total Depth: 8 feet (max.) g. Effective Depth: 2.5 h. Width: 5 feet i. Reduction Factor: 0.64 j. Minimum Length: 2 @ 60 feet long each (120 feet total length) k Effective absorption area = 937.5 ftZ 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The area for the proposed drainfields is relatively flat. In short, there are no slope concerns. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. .E., M.S. NOTE: A site plan drawing, a design drawing, a soils logs, and a 7 page constniction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: akwwc.com I I / I I / I / / I , I / — — — — — — — — — — — — — ------J ��—__—_--__---_--_--_--- __ MONASTERY DRIVE ------------------------------- ------- ---------------------- f-;--/------- — — — — — — — — — — — — — — — — — — — — — — EXISTING SEPTIC -- �� CSEPTIC / / / SYSTEM AR� EXISTING VAWSKALOT TS/D: 5 BEDROOM HOUSE THj /ALTERNATE SITE _� \ i X A VALUSKA / LOT / VALLISKA S/D; LOT 4 C2 , SEPTIC SYSTEM f I PAGE 2 OF 2 I j xx 2 ' Q �Ile/ .,, 1VAI L' 7/22/2003 ALASKA WATER & WASTE NVATE'R CONSULTANTS, INC. 901 DEBARR ROAD, SUITE 20 • ANCHORAGE. AK 99501. • PHONE (907)337-6179 • FAX (907)358.5246 PARED FOR PHONE NUMBER: DORTHY LISKA AL DESCRIPTION: VALLISKA SUBDIVISION; LOT 2 E OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE WN BY: C.J.G./J.L.M. LE > Pq• 1" = 1001 ....... ................. E NUMBER: 1 OF 2 L., � ' Jef y A. Garners.: �y pg; '• E-7953 e`< VIj4�V�dProfesston°I ��`+� PA — — — — — — — — — — — — — — — — — — — — — —� — — — — — — — — — — — — — — — — — — — — — — / EXISTING DRAINFIELD NOTE: THE CONTRACTOR SHALL HAVE TO BE USED AS I RESERVE SITE A THE NORTH AND WEST LOT LINES FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. INSTALL FLOW INSTALL DOUBLE CLEANOUTS ALTERNATE SITE WILL REQUIRE THE USE PROPOSED 1500 GALLON OF AN ADVANTEX SEPTIC TANK TREATMENT SYSTEM INSTALL FLOW ^�! Q EXISTING SEPTIC TANK TO SPS / / / BE COMPLETELY ABANDONED U- PROPOSED DRAINFlELDS. ' EXCAVATE TWO TRENCHES 1 THAT ARE 8 FEET DEEP MAXIMUM BY 5 FEET WIDE BY 60 FEET LONG EACH I (120 FEET LONG TOTAL). ADD 2.5 FEET OF CLEAN. WASHED SEWER DRAINROCK. erIDOS EXISTING SEPTIC SYSTEM TO BE ' COMPLETELY ABANDONED / 14/ e..._.... _.:?!.r... !��....'_ _.._ __..a . 7/22/2003 4 OF DRAWN BY: p � ..... .' • C.J.G. ALASKA WATER & WASTEWATER SGALE: y*ADO CONSULTANTS, INC. �" - 40� a """ 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AN 99507 • PHONE (907)337-0179 • FOX (9071338-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: D Q DORTHY LISKA 2 OF 2 �Q '•,J ff y N. s LECAL DESCRIPTION: QO m 7953 o�p� VALLISKA SUBDIVISON; LOT 20 TYPE OF WORK: 44��ed/'�ofessIo�� DESIGN FOR PROPOSED SEPTIC UPGRADE �DOO0000 GROUNDWATER OF 7/11/2003 R• 7 2� 2�- A. ALASKANIATER & WASTER'ATER p oOQ CONSULTANTS, INC. 6" — SOIL LOG - PERCOLATION TEST 0 •• QO „ ,,;• LEGAL DESCRIPTION: VALLSKA SUBDMSION; LOT 2, eff A. 7953 �Q�s r ess: PERFORMED FOR: DORTHY LISKA DATE: 7/11/2003 ' . `4P DEP 4 4:54 {� == = ORGANICS TEST HOLE # 1� �'�ofesslo<`ooa�v ���00000�� 1 5 4:54 — 6` SOIL CLASSIFICATIONS 6 5:24 30 3 1 4" 2 3 4` 3 :,,,ti;«� GP ML GM CL SITE PLAN 1`=100' 4 GC OL W°, e o SW MH 5 ': '• : �♦ K 4 Vc I� �/7 4s `l Z� ----211. 1-44Y cX 2- .. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME - /- f l h J L �cS PHONE ,. St_.tp ❑NEVY 1PGRADE MAILING ADDRESS a� £ LEGAL DESCRIPTION L -tel SR) NR1o) LOCATION tle 1-1,5 NaGlee l,ll` hus NO. OF BEDROOMS. tJY DISTANCE TO: Absorption area Well too�• welling t `� PERMIT NQ� i�o 01 po ! 1 iQ wp u! Manufacturer �� MateriaS �e �.` ` No. of compartments ns Liq. capsity in galloIF HOMEMADE: O Ins' length Width Liquid depth 0OZ DISTANCE TO: Well Dwelling PERMIT NO. S?f Manufacturer Material Liquid capacity in gallons C - w DISTANCE TO: Well Foundation 4clo Nearest lot line O a -©l PERMIT u Z P:z No. of lines f1 >° Length of each li �- Total length of line Trench widt�t J�inches Distance bet en lines Q, f Top of tile to finish grade Material beneath tile inches Total effective absor ac C7 Length Width Depth - PERMIT NO. a F w °. Type of crIK Crib diameter Crib depth Total effective absorption area - - 2-n DISTANCE TO: Well Building foundation ..Nearest lot line J CI Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation — Sewer line Septic tank ao Absorption ar�y(s� -.r.,. ll CC77 OTHER PIPE MATERIALS L ko In s tG SOIL TEST RATING a + -0')0 INSTALLER of k r REMARKS - ed 0 I APPROVED 4/ DATE LEGAL 72-0,3 tnev. sEftbi .. F-1 PA C2 VA FA1.;EE. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 41 7' S :3:_'S 'L STREET ANCHORAGE: AK. _ 95O1 264-4720 C3r4—_li I TE=E14EFw° PE:F't'•l I T PERMIT NO. ( 780819 APPLICANT JOHN J. LISKA LO::ATION MI 17.5 OLD GLEN LEGAL L61 5.30 T15NRI14 BX 421 :TAR RT E. RS. OF SOIL ABSORBTION SYSTEM IS: TRENCH J `1ku�s -70 /:3() n� lt,flsol/IR--9 A. 688-2526 LOT SIZE =#?saki SQUARE FEET MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BRA= 10 THE REQUIRED SIDE OF THE SOIL ABSORPTION SYSTEM IS: EsE� TFi= 14V1 !_�tlt�T1-1= rF F1 °�: ®_ E:.F• I 9=. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIEL.D. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET:. THERE I= 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;. F E= CA _9 x FQ E0 E> ATE: F• -r I a_- T foi Pol .: PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS: DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELL'_ ADJACENT TO THIS, PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -'— _. _ '_r G' ID < .2 . ° I t-^' `—. F" E / : T 11.1 t� "FRE: FQ E_ 1_ 41-9 T Fes" F E. -s — — -- 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 SYS -:TEM IS 100 FEET FOR H PRI+TATE WELL: OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQ?UIREMENTS MAY APPLY. SPECIFICATION=: AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F' E F' 9-•7 I T E KA F• I F EE S, C° E: C E= tl E E= F, =_ 1- . IL _4 I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS :=ET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 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• ;RDELED TO INCLI >E MORE THAN 4 BEDROOM_:. _ _ SIGNED:_ -----� ----------------- A DANT /JO LISKA ISSUED BY --.IL_ jj 0W -----------DATE— '7A1.! l A_ V3. . ,StevenA.,Johnson Soils Log ` Box -76 Percolation Test Chugiak, Alaska 99567 Phone: 688-3085 Performed for i John Liska Date 8/31/78 Legal Description L e) (o S 2 L '10 T— i2 W i S M Test Pit Location 0 0'to 1.5' red brown gravelly silt w/or anic.s ML. (ML) 275 f /bdrm 2 4 6 GM 12 14 1.5'to 14' gray brown silty sandy gravel with (GM) cobbles to eight inches 225 ft2/bdrm perc tested from 5' to 7' grading more silty below 6 feet no water table encountered 16 Total depth this test 14 feet AVERAGE ABSORPTION AREA REQUIRED FROM SOILS LOG = 23 0 ft.2/bdrm. DATR NET TIME Min. NET DROP In. PERC RATE Min in 8/31/78 0 .50 5.5 30 3.25 9.2 30 2.250 13.4 0 l.?50 17.1 30 1.625 18.5 Percolation rate 1$ 5 inutes/inch Signed C` Parcel I.D. 051-302-45 Municipality of Anchorage A On -Site Water and Wastewater Program a n (907)343-7904 Certificate of On -Site Systems Approval Expiration Date: T -17-13 1. GENERAL INFORMATION Complete legal description Valliska, Lot 2 Location (site address) 19340 Monistery Drive Current Property owner(s) Dorothy Liska Day phone Mailing address 9301 Panorama Dr Real Estate Agent Joe Lowndes/ Keller Williams 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone 317-4830 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual F Individual Water Storage ❑ Holding Tank F Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by:.1 (.l � 'ItV7 _ Date: �t/l7 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ "ilio Waiver Fee $ Date of Payment k3 ( Date of Payment Receipt Number 01tA�'JOc, Receipt Number COSA# oSC,L'boC) j 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 Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE _ System #1 Approved for bedrooms System #2 Approved for _ bedrooms Disapproved Phone (907) 272-8218 Date yzt'a01J Conditional approval for bedrooms, with the following stipulations: By IV Original Certificate Date: Th un' pati ` chorage 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory_ Other COSA blue sheetf'. c If more than 1 septic system is on the lot: COSA Checklist # 1 of 2 Structure served by this system + Certificate of On -Site Systems Approval Checklist Legal Description: Valliska, Lot 2 A. WELL DATA Well type Private Date completed Total depth ft. Date of test If A, B, or C provide PWSID # _ Sanitary seal (Y/N) Y Cased to ft. FROM WELL LOG Parcel ID: 051-302-45 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 18 in. AT INSPECTION 8/12/2011 Static water level ft. 56 ft. Well production g,p,m, 0.60 9 -P.M. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 3.34 mg/L Arsenic ND ug/L Date of sample: 12/28/2012 Collected by: P.E.S. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/ Steel Tank size 1500 gal. Number of Compartments 2 Date installed 1/14-18/2003 Cleanouts(Y/N) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping IZ 17LZv; Z Pumper 'S ?Jy1y'+��e� C. ABSORPTION FIELD DATA Date installed 8/14.18/03 Soil ratingd./ft2 2 ) 08 gpd/sf orft/bdrm . (g.p. System type Wide Trench Length 120 ft. Width 5 ft. Gravel below pipe 2.5 ft. Total depth 8'8-9'4 ft. Eff. absorption area 938 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/1512011 Results (Pass/Fail) Pass For 5 bedrooms Fluid depth in absorption field before test 0 in. Water added 1000 gal. New depth 17.5 in. Elapsed Time: 1020 min. Final fluid depth 0 in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons Manhole/Access (YIN) in. "Pump off" level at in. High water alarm level at in. E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Meets alarm & circuit requirements? Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main N/A Sewer /septic service line *26 10 Animal containment areas 50+ On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout N/A Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main N/A Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOTTO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ Absorption field 5+ Surface water 100+ Water main N/A Driveway, parking/vehicle storage 110+ F. COMMENTS * All Joints were encased in concrete and approved by MOA during installation. Separation between water service line and sewer service line is unknown. G. ENGINEER'S CERTIFICATION I certify that l 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 /ZTSco COSA brown sheet 10-10-12.doc If more than 1 septic system is on the lot: COSAChecklist# 2 of 2 Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: ValllSka, Lot 2 A. WELL DATA Well type See B.S. 1 If A, B, or C provide PWSID # Date completed Sanitary seal (YIN) _ Total depth ft. Cased to ft. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: ft. Mom Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Holding/ Steel Tank size 2000 gal. Number of Compartments Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping Pumper C. ABSORPTION FIELD DATA Parcel ID: 051-302-45 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION ft. g.p.m. Collected by: Date installed Unknown Cleanouts (Y/N) Y High water alarm (Y/N) Y Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 Monitoring tube _ Depression over field _ Date of adequacy test Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >_ Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date ... D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level at in. Datum Cycles tested E. SEPARATION DISTANCES PikTl:4we7�elsVol Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main N/A Water service line 25+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line Building foundation Water Service line Surface water Curtain drain Wells on adjacent lots Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas F. COMMENTS Holding tank serves garage with one restroom. G. ENGINEER'S CERTIFICATION 1 certify that 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. Engineer's Printed Name Steven R. Pannone Date /-?:: (60 e COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main Driveway, parking/vehicle storage in. Municipality of Anchorage Development Services Department Building Safety Division 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 Water Well Advisory Certificate of On -Site Systems Approval (COSA) 4 131004 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 2 of Valliska subdivision, the well's productivity was determined to be 0.60 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 5 -bedroom residence is 0.52 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. 0 z D CO m