HomeMy WebLinkAboutEKVALL TR C-1Jan 27 22 11:25p Anchorage Well & Pump Ser
9072430742 p.1
MUNICIPALITY OF ANCHORAGE
Development Services Department (®<
:.,;�- f Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number:
Parcel Identification Number: 015 _14318
Date of Issue: - -
Legal Description Block Lot I Property Owner Name & Address:
CARSON BALDIVIEZ
EKVALL TR C-1 11393 TOTEM ROAD
ANCHORAGE, AK 99516
Pump Installation Date: 01 - 24 - 2022
Pump Intake Depth Below Top of Well Casing: 120 feet
Pump Manufacturer's Name: A.Y. MCDONALD
I Pump Model:
24075V2
Pump Size: 314 hp
Pitless Adapter Burial Depth: 12
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
feet
MARTINSON
Well Disinfected Upon Completion? Yes
Method of Disinfection: PELLETS
I Comments:
Pump Installer Name: -
Company:
I Mailing Address:
❑ No
ANCHORAGE WELL& PUMP SERVICE
7640 KING STREET
ANCHORAGE, AK 99518
907-243-0740
State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
URMITTAI
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 AUG 1111018 of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP161296 PID Number: 015-143-18
Dwelling: ❑■ Single Family (SF) ❑ Duplex(D) ❑ Multiple(SF and/or D) Project: ❑■ New ❑ Upgrade
Name:
Carson Baldievez ABSORPTION FIELD
Address ■❑ Deep Trench ❑ Shallow Trench El Bed ❑ Mound
11385 Totem Road Anchorage AK 99507 ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
2 .45 GPD/SF 10.9 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 3.9 Ft. 7 Ft.
Ekvall Tract C-1 Fill added above original grade Gravel length
Township Range Section 2 Ft.. 50 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 3 Ft. Ft.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line 750 Ft2 1 Ft.
Well >100' >100' N/A N/A >25' TANK 0 Septic ❑S.T.E.P. ❑Holding ❑Other
Manufacturer Capacity
Surface Water >100' >100' N/A N/A Anchorage Tank 1,000 Gal.
Material Number of compartments
Lot Line >5' >10' N/A N/ANA Steel 2
Foundation >5' >10' N/A N/A LIFT STATION
Manufacturer Capacity
Curtain Drain None Noted Gal.
Remarks Pump on level at Pump off level at High water alarm at
in. in. in.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank D3034Tank to D3034
Installer ___ drainfield _
Denali Excavating Drainfield D3034 CO/MT D3034
Inspector W. Roberts BENCH MARK (Assumed elevation) 100 ft
Inspection 1s' 11/2/1611/3/16 Location and description
dates: 2
nd
aro 4th Garage Slab.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ..,1���\\\
Conditional Approval: Date Vic'..•' `� •;/
:17 4
*••49TH /\ ••* 0/
5/14...z.1 CiZe.L
Michael E.Anderson .
Y �'S% 4381-E •�``��
_ '-i ._2_,..,-
1 _ _ Date 1 `ti i t'b4\i PROFESS10wv ,,. .
Approve.
Inspection Report_9-1-12.doc
Municipality of Anchorage Page 2 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report 05--P(3/6
Permit No.: OSP161296 PID No.
Lot 1 Lot 2
10' UTILITY EASEMENT 10' UTILITY EASEMENT
N 89'57'10"E 324.64'
i M7\\C5
Well no THB '
IX
o s1 s ca Ee Site
o mo i
o C�� 0 P\te ;
Tract A •
,F� o,; . FCO TRACT C-1
rn �'q y 46,188 s.f.
TH4C
S 89'57'10"W 294.75' I-1/ _
cn
Tract B-1 o
33' R.O.W. FOR ROADWAY o
TRACT C - 1 & PUBLIC UTILITIES
7-1
EKVALL SUBDIVISION rn
0 0
O V
A B 4:
S1 . 34.0' 74.2' LEGEND
S2 . 38.7' 77.6' C4 — Clean Out
C4 43.8' 81.3' M1 — Monitor Tube
2C0 — Double Clean Out V
M1 89.7' 123.0' L'
FCO — Foundation Clean Out
MH 92.5' 126.1' S1 — Septic Vent
TH — Test Hole
_igiomilarivi is
''' \''>..... .......--. \:co,
PLAN AS BUILT
� �
49th� i\ .' ♦ 1___J
ill
7� � '-w"fi`-� SCALE 1' = 50' �
30.00'
4 ';MICHAEL E. ANDERSON ;• N 89'56'43"W
0Of•' No. •CE-4381 '
•••; "s-s"0',
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655-343-7904
On-Site Wastewater Disposal System or Well Inspection Report DI 5_- 143_I
Permit Number: OSP161296 PID No. 016 1-42 80 0
96.30
U cn aJ U
ill111111111/
1,000 Gallon
Septic Tank
91.1 90.9
m
U F 2U
9/4.5 96.5/
- -
Finished Grade /
OG
Geotextile Fabric
90.6 Drainfield Rock — 90.6
77.5
�No Groundwater
11-3-16
50' (Trench Length)
I - I
'•
a •'1 �
49th
1 ' $�
01:41
PROFILE AS - 3UILT ,o� �NICHNo, CEE. A48RSON .• ,
No Scale •j •''� 69•••
1•..PROF.Esslice:••
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT ���p� •.. ♦♦1♦
4.700 BRAGAW STREET ANCHORAGE, AK 99519-6650 Arc-), �\ ♦♦♦
a ' 49th
SOILS LOG - PERCOLATION TEST }}}}},,,,��,1
.MICHAEL E. ANDERSON;
LEGAL DESCRIPTION: TRACT CI, EKVALL SUBDIVISION ♦ s NO. CE-4381 ti
r
PERFORMED FOR: EARLENE EKVALL ♦♦♦♦♦:1� ' ��' ��i�
DATE: 11/2/2018 PROJECT No.: 1�� �5�����•
PARCEL ID#: TECHNICIAN: J. MILLETTE/W. ROBERTS Professional Engineers Stamp:
DEPTH TEST HOLE B
(feet)
OB/OG SLOPE SITE PLAN
1
2
3
4
5
SEE SITE PLAN
6
SILTY SAND
7
8 SM
9
WAS GROUND WATER ENCOUNTERED? NO
10
IF YES C WHAT DEPTH? rS
DEPTH OF WATER AFTER MONITORING: NONE
11 DATE OF MONITORING: I I-.S-I b
12
GROSS TIME NET TIME DEPTH TO NET DROP
13 DATE READING (MINUTES) (MINUTES) WATER (INCHES)
(INCHES)
14 TEST HOLE PRESOAKED PRIOR TO TESTING:
15 11/2 1
16 2
3
17 4
18 5
19 6
20
PERCOLATION RATE: (MIN/INCH) PERC. HOLE DIA. (INCHES)
TEST RUN BETWEEN: FT. and FT.
DEPTH OF TEST HOLE AND SOILS ENCOUNTERED BASED ON VISUAL EVIDENCE PRESENTED BY INSPECTORS AND EXCAVATOR.
SOILS ARE SIMILAR TO SEVERAL OTHER TEST HOLES COMPLETED IN THE SUBDIVISION. NO IMPERMEABLE LAYERS NOTED.
COMMENTS: SUBSURFACE SOILS WERE SANDY AND GRANULAR WITH AN ESTIMATED PERCOLATION RATE OF 10 MIN./INCH.
ABSORPTION TRENCH IS DESIGNED FOR SOILS WITH A PERCOLATION RATE OF 31-60 MIN./INCH.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 8/17/2018
04/12/2017 23:15 907-345-3202 ALPINE DRILL It'3 PAGE 02/02
Alpine Drilling & Enterprises
Well Log
Permit Number: NSW/61296 Date of Issue: 10-213-16 Parcel Identification Number: 0151428000
Date Started: 7-20-17 Date Completed; 7;20-17 Is well located at approved permit location? x Yes 0 No
Legal Description: E-kvalr Tr C
Property Owner Name&Address: Ekvall-Yakely Earlene Carson Baldiviez
11401 Totem Road
Anchor&ge, Alaska
Borehole Data: Depth(ft) Method of Drilling::air rotary 0 cable tool — r
Soil Type,Thickness&Water Strata From To --- - -- -
Casing type:steel
stick-IT j 2 ( Wall Thickness:,250 inches
organics d silt ? 3 Diameter:6 inches Depth: 149 feet
Liner Type:_ _
gravelly silt ' Ss Diameter: inches Depth: ____fe:t
silty gravel 5.5 115 Casing stickup above ground:2 feet ____ --
silt 11_5 139 Static water level(from ground level): $7 feet
avel,r.yili 129 4147 Pumping level: 145 fEet after
Ismer sand d gravel 1-t7 149 2 hours pumping I2 tZpm
Recovery Rate: 12 poi
Method of Testing:akjift
Well Intake Opening Type:
x Open End ❑Open Hole
' ❑ Screened Start feet Stopped _ feet
❑Perforations Start._ feet Stopped feet
Grout Type: ben lcrnite.g•anules Volume; Z 1/44
Depth: _,.__tart 0 feet Stepped?feet__
Pump; Intake Depth. feet
Pwnp size __hp Brand Name _____
Well Disinfected Upon Completion? x Yes[]No
Method of Disinfection: chlorine t:;bless
WATER TTY TESTING I Comments: i -
i Coliform a Col/100mL
• Nitrates •7 mg/L Well Driller: Alpine Drilling&Enterprises
Arsenic P12 u9/- PO Box 110496
Anchorage AK 99511
1
u7/G:i .:rJ. If _...Vu 7uf^.i4J- i. ;L r11..r1.1YG Lr.1LLli't.� - r. rJl!ui
Development Services Department
• •
Building Safety Division 01
0 i ;" Water a Wastewater Program 8
Ort-bite . •,°..7 '
i,� 700 Elmore Road .its ;11 o
P.O. Box 196550 "'' ..
$A ETY
Marie Beeech Anchorage., AK )9.C)7
Mayor w mumuni.urolonsirc
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SR 1621296 Date of Issue:10129116
Parcel Identification Nun ber:0151428°00
Legal Description Property Owner Name& Address:
EkvaH Tr C parson Saidi1lez
11401 Totem Road
Anchorage,Ai< 89516
_ •fg -----d pC zra -. = --'�= _IP'—.._....r.
Pump Installation Date: 1110/1$
Pump Intake Depth Below Top of Well Casing: 144 feet
Pump Manufacturer's Name: Goulds
Pump Model: 10SI10T
Pump Size 314 hp
Pideas Adapter Burial Depth: WA A feet
Ptttess Adapter Manufacturer'sKann: ,rJ14
Pitless Adapter Installer: Wt.\
Well Disinfected Upon Completion? r71 Yes 0 No
Method of Disinfection:
Comments: PLEASE SAVE FOR COSA.
Pump Installer Name: Aarow Pump&West Service,LLC
P.O.Box 110436
Anchorage,AK 09511-0496
Attention: The pl;nip installer shall provide a pump installation log to the DSD within 30 days of pump installation.
s;?a x t �
rif r LVER,>'r Iii
On -Site Water & Wastewater 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: OSP161296
Tax Code Number: 01514280000
Work Type: WellSeptic Initial
Permit Effective Dates: October 28, 2016 to October 28, 2017
n,enr
Du partmcnt
Design Engineer: ANDERSON ENGINEERING
Subdivision: EKVALL
Site Legal Address: EKVALL TR C G:2637
Owner/Address: EKVALL-YAKLEY EARLENE
11401 TOTEM ROAD ANCHORAGE AK 995161657
Site Mailing Address: Lot Size in Sq Ft: 40958
Total Bedrooms: 2
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage
/3elT
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:
1. Construction may proceed at your own risk before the 7 day water monitoring of the new test
hole is complete. Please submit stamped and signed results with the As -built Inspection Report.
If the results require a design change, construction of the system will stop pending On -Site review
and approval.
2. A plat note states that this tract is to be reserved for sewage disposal for Tr A. Construction of
the Onsite systems may proceed at your own risk prior to final approval of the platting action.
Received B
Issued By
Y Date:
Date: l�
MUNICIPALITY OF ANCHORAGE
a�
Community Development Department ~yPhone: 907-343-7904
Development Services Division I CCT 4 Zp�6� i Fax: 907-343-7997
On -Site Water & Wastewater Program \� l
ON-SITE SEWER/WELL PERMIT APPLI
Parcel I.D. 015-142-80
Property owner(s) Earlene Ekvall-Yakley Day phone 346-1509
Mailing address 11401 Totem Drive Anchorage, AK 99516
Site address Same
Legal description (Sub'd., Block & Lot) Ekvall, Tract C (Proposed Tract C-1)
Legal description (Township, Range & Section)
Lot Size 40,958 Sq. Ft. Number of Bedrooms Two
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
0
Initial
n
Single Family (SF)
19
(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 / 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: 6(,,q toils = �$ l
Date of Payment: lo 1611(o/
Receipt Number: Og415j�
Permit No. QSPIj2t(o
Permit App__. : ;�...c
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
ANDERSON EIV'GINEERING3��-� ��''FF
.�2�>,�?�a*=5227r7373',.a67�7�7�766;i(FAX)"�;,• '._„;
October 4, 2016
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Tract C-1, Ekvall Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Ekvall Subdivision is currently subdividing the property to include a new
Tract C-1 from what is currently known as Tract C. A new two bedroom home will be
constructed on the new Tract C-1. We are therefore requesting a permit be issued for
the construction of a new septic system to accommodate the home proposed for the
tract. The attached Site Plan and backup documentation identify the location and
configuration of the proposed well and septic system along with the alternate site. Also
identified on the plans are the existing wells and septic systems on surrounding lots. No
conflicts exist between the proposed septic system and well or septic systems and wells
on adjacent lots. Drainage arrows and ground surface contours are shown on the site
plan indicating the grade and direction of flow on the lot. The drainage pattern will not
be changed as a result of this project.
The test holes placed on the lot in the area of the absorption trench and alternate site
indicated silty sand (SM) in the zone specified for the absorption trench. The
percolation rate of the soil was determined to be 47 to 60 minutes per inch. No
groundwater was found during the placement of the test hole and none was noted
during the monitoring period. An application rate of .45 gallons per day per square foot
was used in the design of the absorption system. We are proposing to place a new
1,000 -gallon septic tank and a 50' long by 3' wide by 7' effective depth absorption
trench to treat and dispose of the effluent generated in the house. The elevation of the
distribution line in the absorption trench will be 3' below the surface and the total depth
will be 10'. The test hole will be deepened prior to construction to verify the lack of
bedrock in the area. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed
over the absorption trench and 4' over the septic tank.
Tract C-1, Ekvall Subdivision
October 4, 2016
Page 2 of 2
The ground surface on the lot in the area of the septic system slopes to the northwest.
The new trench will be constructed parallel with the contours of the slope as much as
possible in conformance with Municipal requirements. The new septic system will be
constructed a minimum of 150' from the Class C Well on the property and 100' from all
private wells and any surface water and 10' the proposed and existing water services in
the area.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
'E C2"L--'
Michael E. Anderson, P.E.
Attachments
L�7'
.• 49th /'V ••i
MICHAEL E. ANDERSON
No. CE -4381 .
010
atm
�I;
20' AC S
x--10' UTILITY
EASEMENT
I
i
1
sevlic Aran
MALIN❑IS
Privote {
Well Loy 1
A4.1v
RESIDENCE
C1 s C
EASEMENT
1
1
1
• i
Private i
Well
I
I
1
I
I
DIVISI❑N
LOT 2
O I
1
I
I
I
Septic Area I
RESIDENCE I
i
------------
Well Radius to be Staked by a Registered LOT 40C
Land Surveyor prior to, Construction to
Verify Clearance From all Septic Systems.
5100`--"_______________ J
I
�\
Propom sed to
Well \ i�
1
TRACT C-1 LOT 7
46,166.9 SP \ M b
444
TRACT B
315,418 s.f.
SITE PLAN
SCALE 1' = 100'
EKVALL SUBDIVISION
r 49th •':
y.......
R :MICHAEL E. ANDERSON : ..7,, h
324.89'5 YE
0'
10' UTILITY EASEM
i
Propo ed
oWe Two _
O Bedroo
` �� Ho a mo
a all
/Septic T k
50' Long x 3' e
rrr ` Ca x 7' Effee rve epth
Absorpti Trench
N
®THA female
® Site
O TH3C
��_ TH4C
S 89'59'4W
I
150' Class C
Well Radius`
CONTOUR INTERVAL - 2'
TRACT C-1 =
EKVALL SUBDIVISION
NOTE
N
O
O
M
Well Radius to be Staked by a
Registered Land Surveyor prior to
LEGEND Construction to Verify Clearance From all
CO — Clean Out Septic Systems.
MT — Monitor Tube
2CO — Double Clean Out 30,00'
FCO — Foundation Clean Out
TH — Test Hole
10 •.,,•,�♦1
........49t .. h...
10
....qqqqqq
SITE PLAN♦ :NICHNO. CE-4381
RSON
SCALE 1' = 50' l••••...........•••,; _�r
TRACT C-1
EKVALL SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS
Two Bedroom Home Deep Trench System
Perc. Rate: 31-60 Min./Inch 1,000 Gallon Septic Tank
Application Rate: .45 GPD/SF 7' Drainfield Rock
2 Bedrooms' 150 GPD/Bedroom = 300 SF Absorption Area
300 SF/.45 GPD/SF/14 SF/LF= 47.6 LF Trench Length
THEREFORE: Construct an Absorption Trench 50'x 3' Wide x 7' Effective Depth at the Location
Shown on the Site Plan. Total Depth will be 10' Below Existing Ground with the Distribution Line at 3'
Below the Surface. Place 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. In lieu
of Fill Place 2" Insulation and 2' of Cover.
3'
TYPICAL DEEP TRENCH SECTION
(NO SCALE)
i
:'
NOTE: Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
�.....
Minimum 4' Separation From Groundwater.
rAl
0.....
��
Minimum 100' Separation From Private Wells in the Area.
m
Minimum 100' Separation From Surface Water or Streams.
M
PACHAEL E. ANDERSON
. No. CE4381
t3
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Boz 196650 Anchorage, AK 99507
www ci anchoraoe.ak.us
(907) 343-7904
t� Soils Logue- Percolation Test
Performed For: 6W I ii l � t�� lltll-r��}y, n Dale Pert(
Legal Description: �j V 1,,{/ ,�1h, 1 f\ (l z,. Townshlp, Range, Section:
0
El
5-
6-
7-
10-
11- y
12- Ynl}
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
WAS GROUND WATERT
ENCOUNTERED?
S
IF YES, AT WfiAT DEPT H? L
Depth to Water After 1,! P
Monitoring? �t"7 t\ E
Data:
v%';XUA
A�
A
OF,4.a
�1'•.r 49TH
lr]i�... ].... if ..H..Ja.....M...
...................................
�,•• fdICHAEL E. ANDERSON t
JT. ' CE - 4381 \ tea!
0040' Flssv�" ®®
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
I
I
It �z
SI,r
�R Toy
3oMuly
l'>
'(02" (r
Ivi'
?O
I�/3�
i✓
/
(�il 174
o
PERCOLATION RATE--("�r-0�(min,nes'nm) FERC HOLE DIAMETER rr
TEST RUN BETWEEN ef'�y FT AND C, 0 FT
PERFORMED BY: fi,�lf'-: I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
Performed For:
Legal
Municipality of Anchorage
Development Services Department
Building Safety Divislon
On -Site Water and Wastewater Program
4700 Elmoro Road
P.O. Box 196650 Anchorage, AK 99507
www ci anchoraye ak.us
(907) 343-7904
11
49 �
t4; TH���
i . ..................................
•MICHAEL E. ANDERSON
m
CE -4381 _
Di^yf'. •�tl � '�� -1 6 . •'�,C'� �a
Soils Log - Percolation Test '40'9
B '9 a .... `.\'
/e. ,1 taktr>Nt�y Date Performed:
4<'VAt-V S(Fp-b , I (G, Township, Range, Section:
10- �Y/
11-
12 4
-
14-
15-
16-
17-
18-
19/
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT DEPTH? "`V L
Depth to Water Alter j OF
MonhoringT GI'Yt�1 E
Date: I 2 +
Reading
Dale
Gross Tlme
Net Time
Depth to Water
Net Drop
it
�oMltJh
�qL{"
O�
v 5b
51 "
���lt%
Tib Mf
i�
(i •�3r.
PERCOLATION RATE Lr -j (mn'Aasmr) FERC HOLE DIAMETER ,r
p TEST RUN BETWEEN 7 FT AND 1j•�FT
COMMENTS C�C '�-✓I fy s�/ J r1(Z%U•:-�,I7,,
PERFORMED BY: % f-i//,r!I�� CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
DFIM I I
heel)
3-
4
J -
6
7-
8-
9 -
10 -
II
1 3-
14-
I6
17
18
19
20
SOILS LOG - PERCOLATION'ITST
LEGAL DESCRIPTION: TRACT C.I. EKVAI_L SUBDIVISION
PERFORMED FOR: EARLENE EKVAL L
DATE: 10/26/16 PROJECT No.:
PARCEL ID#: TECHNICIAN: J. MILLEFTE
OB/OG
SILLY SAND
SPI
TEST 1-IOLE
SLOPE
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COMMENTS: TEST HOLE PRE SOAKED PRIOR TO L
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.' 49th
MICHAEL E. ANDERSON
No. CE -4381
SITE PLAN
G
SEE SITE PLAN :
i
NU OIiINQ:
411 ORING
E
GROSS TIME NET TIME DEPTH TO NET DROP
E100/26
READING WATER
(MIND CES) (MINUTES) (INCHES) (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
1 4:16 1.25"
2 4:46 30 4.25" 3.00"
3 4:[,7 1.13"
4 5:17 30 4.13" 3.00"
5 5:18 1.25"
6 5:48 30 4.25" 3.00"
PERCOLATION RATE..: 10 (MIN/INCH) PERC. HOLE DIA. 6 (INCIIFS)
I"GST RUN BETWEEN: 4 FT. and 5' FI'.
TEST PERFORMED BY ANDERSON ENGINEERING. I. MICHAEL E. ANDERSON CER"IIFY THAT
]'HIS WAS PERFORMED IN ACCORDANCE WITH ALL, STATE AND MUNICIPLE GUIDELINES IN EFFECTON THIS
DATE': 10/26/2016
PERCOLATION RATE..: 10 (MIN/INCH) PERC. HOLE DIA. 6 (INCIIFS)
I"GST RUN BETWEEN: 4 FT. and 5' FI'.
TEST PERFORMED BY ANDERSON ENGINEERING. I. MICHAEL E. ANDERSON CER"IIFY THAT
]'HIS WAS PERFORMED IN ACCORDANCE WITH ALL, STATE AND MUNICIPLE GUIDELINES IN EFFECTON THIS
DATE': 10/26/2016
• u(D 5 9 70 /, GfQ co- a4
•}l r Municipality of Anchor. f. A ,,,
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On-Site Water and Wastewater Progr.m oilI i.
(907) 343-7904 m AUG 15 2018 3 s A, F T y
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Certificate of On-Site Systems Ap• 40, I Cu�
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Ol 6 8 9
Parcel I.D. 015-143-18 Expiration Date: — 1 7.t g
1. GENERAL INFORMATION
Complete legal description Ekvall Subdivision, Tract C-1
Location (site address) 11393 Totem Road, Anchorage, AK 99516
Current Property owner(s) Carson Baldiviez Day phone
Mailing address 11385 Totem Road, Anchorage, AK 99516
Real Estate Agent Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Two
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: Vol Pt /_ I A J Date: _224.41k
COSA to be released to the engineer,unless othe se equested by the einginger..
6 I\ 1t//
COSA Fee $ c0'7 '06Waiver Fee $
Date of Payment 2/(� t 1(Jr Date of Payment
Receipt Number 601.36 O bqo Receipt Number
COSA# YC 13(1-11d 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 Forge Engineering Phone (907) 522-7773
Address PO Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date 8/15/2018
ordc'��OF A :`,kk
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6. DSD SIGNATURE 1- �L2Q —)
XSystem #1 Approved for 2_ bedrooms . Michael E.Anderson
System #2 Approved for bedrooms r�� o, , sSE/ .�a�i
�ll>>FOPROFESS10 Ag,..-
Disapproved
Conditional approval for bedrooms, with the following stipulations:
4„ ON ,c-Stl
WATER AND
WASTEWATER
� PROGRAM C
,,
Bye t...-- (`--C-kj Original Certificate Date: r[ 7-1 .7
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 c
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Ekvall, Tract C-1 Parcel ID:015-143-18
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 7-20-17 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 149 ft. Cased to 149 ft. Casing height(above ground) >24 in.
FROM WELL LOG AT INSPECTION
Date of test 7-20-17
Static water level 87 ft. ft.
Well production 12 g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate 1 .78 mg/L
Arsenic ND ug/L Date of sample: 8/9/18 Collected by: Owner
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 11/2/2016
Tank size 1,000 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
Date of pumping New Const. Pumper
C. ABSORPTION FIELD DATA
Date installed
11/2/16' Soil rating (g.p.d./ft2 or ft2/bdrm) .45 GPD/SF System type Deep Trench
Length 50 ft. Width 3 ft. Gravel below pipe 7 ft.
Total depth 13 ft. Eff. absorption area 700 ft2 Monitoring tube Y Depression over field N
Date of adequacy test New Const. 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 >= 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 >75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 0' Property line >5' Absorption field >5'
Water main Water service line X10 Surface water >100
Wells on adjacent lots 100
ABSORPTION FIELD ON LOT TO:
Property line Building foundation >10 Water main X10
Water Service line Surface water >100>10' Driveway, parking/vehicle storage >10
Curtain drain None Noted Wells on adjacent lots >100�
F. COMMENTS
G. ENGINEER'S CERTIFICATION �F A,�\\l
I certify that I have determined through field inspections and iii�P�' 9S/-i�
review of Municipal records that the above systems are in /��' TH ,4 9���
conformance with MOA COSA guidelines in effect on this date. * 49 �� /
Engineer's Printed Name Michael E. Anderson, P.E. 1l�-�.�. , EL+c �
Date 8/15/2018 �Fj Michael E.Anderson :�
�#.6 4381-E ••`�
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COSA brown sheet 10-10-12.doc
fl A. Lot 1 / I T Lot 2 Lot 40C
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/ 10' UTILITY EASEMENT
N 89'57'10"E 324.64'\
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SEPTIC`
X00' PR o I PIPES
O, WELL OTECTIVE RADIUS I I.
o 10' UTILITY EASEMENT
o, • .. . 2 STORY RESIDENCE 135.1'
•C 1/4-4 4.0'x11.1' DECK 2o.4• f� { {
Tract A \ OA 4.0'x12.1' RAMP ,� a I I Lot 7
N ,F,, r„ TRACT C- 1
rn \ qy / / 46,188 s.f.
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1.8' ROOFTOP DECK cn
S 89'57'10"W 294.75' -- - - __ ___ ___ ____ ____
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33' R.O.W. FOR ROADWAY o
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PLOT PLAN AS BUILT X SCALE 1" = 50' GRID SW 2637 Project No. 17-272/B5 T
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lan & Associates inc . (907) 522-6476 Phone
g 0000000 30.00'
(907) 522-4625 Fax oo F A Opo N 89'56'43"W
Professional Land Surveyors kenOlangsurvey.com v � 9SQo
jonathanOlangsurvey.com "
I hereby certify that I have surveyed the following described property: aff ��\ �O
TRACT C-1, EKVALL SUBDIVISION (PLAT 2017-36) p *. 49TH i�r . * VI E. 1 15th AVE
Anchorage Recordin District, Alaska, and that the Improvements situated thereon are 0 D
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed 0
premises and that there are no roadways, transmission lines or other visible ooO�i' '• KENl ��$ N �0
easements on said property except as indicated hereon. '
Dated this the DayofAnchorage, AlaskaO SFO •.LS-520?.••• gJp�
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40QROAZSSIONA►-��V. c I
It is the responsibility of the owner to determine the existence of any easements, DOOppoo�
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963