HomeMy WebLinkAboutNETTLETON ACRES #2 LT 9Onsite File
N
{
;FO&62 am I 15
9,_ UFMOTT w 9
inspection Report_'i-i-i2.00c
Municipality of Anchorage JAN 2 X019
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: OSP171330
PID Number: 015-062-13 0 New ❑ Upgrade
Name:
SPINELL HOMES, INC
ABSORPTION FIELD
0 Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
NHN PAULA PLACE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
6
0.8GPD/SF
9.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.5 Ft.
Gravel depth beneath pipe
6.0 Ft.
Subdivision
Block Lot
NETTLETON ACRES #2
9
Fill added above original grade
0.0 Ft.
Gravel length
2@50 Ft.
Township Range Section
Gravel width
2.5 Ft.
Beds: Number of Lines
N/A
Distance between lines
N/A Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
1200 Ftz
2
10+ Ft.
Well
100+
100+
N/A
N/A
100+
TANK El Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCHORAGE TANK
Capacity
2000Gal.
Surface Water
100+
100+
N/A
N/A
Material
Number of compartments
Lot Line
5+
10+
N/A
N/A
STEEL
2
NA
Foundation
10+
10+
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
50+
50+
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 3034
drainfield
POMRAINING CONSTRUCTION
Drainfield 3034 CO/MT 3034
Inspector Pannone Engineering Services
BENCHMARK (Assumed elevation) 101.5ft
Inspection �5, g/28/18
dates: 2"d 9/29/18
Location and description
Td 9/29/18
4'h 1/22/19
BOTTOM HOUSE TRIM AT HOUSE POINT A
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
oF
A�.,4����
Conditional Approval:
Date
®�rG
4,9 TH
-tteveri
♦�I�annorae
E X8149
Approved J�
�S�n � Date -7/17/f
Cv ?�-
inspection Report_'i-i-i2.00c
DESIGN PARAMETERS
PRIMARY SEPTIC SYSTEM
NO. BEDROOM: 6 (900 gpd)
W ,W
-TANK SIZE: 20008 10' TT&�SEMENT �
jPERC RATE: 13.8 MPI _
SOIL RATING: 0.8 GPD/SF f
AREA ROD: 1,125 SF
SYS. TYPE: DEEP TRENCH 6.0'ED
f MIN LENGTH: 93.75 LF
USED: ( 0 N
z
(2 EA) 50 LFx2.5'Wx6.0' E.D., 9.5' TD �C� RESERVE AREA NIC ; w
TOTAL AREA: 1200 SF f BASED ON CAT III
\ ' ( � ( m� ( TH-1 18LF x 5.0'W x 4.'ED x 9.5'TD / IC
\ ( O I ! a1 M / i
6.4 } V AA
INSTALLED DRAIN FIELD �y ALL IMEASURMENTS
(2EA) 50LF x 2.5'W x 6.0'ED x 9.5'TD M3 \ \ ARE f 1.0'
INSTALLED CO AND MT AT t
EACH END 3 t
I f� 1 c T 127.4 �
88.2
A
T( 25.2
F
INSTALLED 20008 SEPTIC TANK 6BR
I ,W/ FOUNDATION CLEAN OUT BEFORE HOUSE WELL/
1 AND DCO AND FS AFTER.
1
LOT
¢0 0 0 G
zW Q Q m N Z _� 0 Z
00 U U U = w W Z FIT FA RIC Z J
O U U O
O.G./F.G. DRAIN ROCK 6" ABOVE PIPE INV
101.5 O.G./F.G.
EAST: 99.6 4"0 DRAIN PIP
WEST: 99.4 TEST HOLE 1
1 OR ORGANICS
2
3
12000 g SEPTIC 4
TANK 96 7 CONNECTED 5
TO END OF
EACH DRAIN 6 GM/ SILTv SAND
FIELD A T- .t 6.0' DRAIN ROCK �$q T• 1 7 SM AND GRAVEL
PROFILE WEST: 95.9 WEST: 95.9
SCALE: NTS 9
01 10/
10/16/17
1
12
17 4 1
4
5
16- DOM
DATE PERFORMED: 10/06/17
NOTES: PAI ONE ENG SVC LLC ��`` rte Date
RECORD DRAWING ®.
P.O. BOX 100217 ANCHORAGE, AK 99510 '�� .. A�'4!'�- 1/25/2019
,dr •
PHONE (907) 272-8218 FAX (907) 272-8211CoScale
� � • '�' � 1"=50'
*:•�4 TH•��� P.i.o. No
REV 1: 3/19/2019
NETTLETON ACRES #2, LOT 9--- 5-062-13
SPINELL HOMES �Steven I Ponnone PERMIT N0.
NHN PAULA PLACE �,�� T�ego OSP171330
PLAN ANCHORAGE, AKSheet
O'"E1SzS10
2 of 2
A
B
T1
13.6
63.8
T2
18.0
51.3
DCO
23.2
45.1
FS
27.9
40.9
C1
26.6
34.1
mi
27.6
32.9
C2
77.3
35.5
M2
75.0
34.7
C3
29.3
44.4
M3
30.1
45.3
C4
76.5
45.4
M4
76.2
46.0
¢0 0 0 G
zW Q Q m N Z _� 0 Z
00 U U U = w W Z FIT FA RIC Z J
O U U O
O.G./F.G. DRAIN ROCK 6" ABOVE PIPE INV
101.5 O.G./F.G.
EAST: 99.6 4"0 DRAIN PIP
WEST: 99.4 TEST HOLE 1
1 OR ORGANICS
2
3
12000 g SEPTIC 4
TANK 96 7 CONNECTED 5
TO END OF
EACH DRAIN 6 GM/ SILTv SAND
FIELD A T- .t 6.0' DRAIN ROCK �$q T• 1 7 SM AND GRAVEL
PROFILE WEST: 95.9 WEST: 95.9
SCALE: NTS 9
01 10/
10/16/17
1
12
17 4 1
4
5
16- DOM
DATE PERFORMED: 10/06/17
NOTES: PAI ONE ENG SVC LLC ��`` rte Date
RECORD DRAWING ®.
P.O. BOX 100217 ANCHORAGE, AK 99510 '�� .. A�'4!'�- 1/25/2019
,dr •
PHONE (907) 272-8218 FAX (907) 272-8211CoScale
� � • '�' � 1"=50'
*:•�4 TH•��� P.i.o. No
REV 1: 3/19/2019
NETTLETON ACRES #2, LOT 9--- 5-062-13
SPINELL HOMES �Steven I Ponnone PERMIT N0.
NHN PAULA PLACE �,�� T�ego OSP171330
PLAN ANCHORAGE, AKSheet
O'"E1SzS10
2 of 2
OWNER OF LAND:
ADDRESS:
LEGAL DESCRIPTION
DATE: 8-20-18
PERMIT NUMBER: OSP171330 DATE OF ISSUE: 10-26-
17
James & Carol Sheridan
Nettleton Acres #2 Lot 9
Bore Hole Data
Depth
From To
0 2 Casing Stickup
Comments:
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
2
4
Silty Sand & Gravel w/ Yellow Clay
TAX IDENTIFICATION NUMBER 01506213000
Is well located at approved permit location:IKA LLNJ Yes
nNo
4
31
Silty Sand & Gravel
Method of Drilling: ®air rotary ❑cable toot
31
32
Sand
Depth of Well: 242'
32
65
Silty Sand & Gravel Damp
Casing Type: Steel Wall thickness ,250
inches
65
107
Silty Sand & Gravel
Diameter: 6 inches, depth 242
feet
Liner type
107
115
Silty Sand & Gravel Wet 1 GPM
Static Water Level: 90
feet
115
238
Clay & Gravel
Recovery Rate 7 gpm ❑
gph
238
242
Silty Sand & Gravel Water 6 GPM
Method of Testing Air
Well Intake Opening Type: open end Elopen
hole
❑ Screened Start feet Stopped
® Perforations Start 105 feet Stopped
115
Grout Type: Bentonite Volume:
50 lbs
Depth: from 2 feet, to 42
feet
Well Disinfected Upon Completion: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
Well Drilling Permit dumber: SW OSP171330 Date of Issue 10-26-17
Parcel Identification Number: 01506213000
Legal Description
Elettleton Acres #2 Lot 9
Property Owner Name & Address
James & Carol Sheridan
Pump Installation Date: 9-7-19
Pump Intake Depth Below Top of Well Casing: 190 feet
Pump manufacturer's Name: F&W
Pump Model: 41`071`07301S
Pump Size: 3/4 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Installer: Pomraning Excavation
Disinfected Upon Completion? 0 yes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments: Pitless Manufacturer: Martinson
I Pump Installers Name: Sullivan Water Wells
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation
T
to
N
0
,4 4
rn
N 00004'40"W 270.00-
10'
70.00'
10' UTILITY ESMIT.
z
w
0
0
C O
O
0
(� ri
m o
• ° °®• Ln
4 I 0
� m
®� I
52.6°
55.7'
cum
c LC
p N
0:j
zz
c)C)
5
.ao X0'4
�CS,
�
r�1
w
V
p.{
—
z
to
R1
Un
1
6A
w
ASN'"P""rraF MUNICIPALITY OF ANCHORAGE II
On-Site Water& Wastewater Program
PD Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
httpalwww.muni.org/onsite
1)(.11artn�rnl
On-Site Water & Wastewater System Permit
Permit Number: OSP171330 Effective Date: 10/26/2017
Work Type: WellSeptic Initial Expiration Date: 10/2612018
Tax Code Number: 01506213000
Site Legal Address: NETTLETON ACRES#2 LT 9 G:2439
Site Mailing Address: 6701 Paula PL, Anchorage
Owner: SHERIDAN JAMES V & CAROL B Lot Size in Sq Ft: 71111
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 6
This permit is for the construction of:
El Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy El Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: M } Date: /0/60) 1
Issued By: aitrusid Date: 11:M0201 7
MUNICIPALITY OF ANCHORAGE
1rotci
Community Development Department of Phon-. 1T '
Development Services Division ��� F- :Lfi
On-Site Water& Wastewater Program a r OCT 2 4 20!1
ON-SITE SEWERMlELL PERMIT APPLICATION 1,4_ ��1 ti r
4
Parcel I.D. 015-062-13
Property owner(s) James & Carol Sheridan Day phone
Mailing address 4900 Woodridge Cir., Anchorage, AK 99516
Site address NSN Paula Place
Legal description (Sub'd., Block & Lot) Nettleton Acres #2, Lot 9
Legal description (Township, Range & Section)
Lot Size 71,111 Sq. Ft. Number of Bedrooms 6
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field EJ Initial 0 Single Family (SF) ❑X
(w/wo ADU)
Septic Tank ❑X Upgrade ❑
Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well Ill
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.
.. --)\S
(Signature of property owner or authorized agent)
Permit/Rush Fees: 7i4 Waiver Fees:
Date of Payment: /0/9- 09 Date of Payment:
Receipt Number: 62310 Receipt Number:
Permit No. a5PI91330 Waiver No.
Permit App_ - :: .c
Pannone Engineering Services ac
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail:steve@panengak.com
October 26, 2017
Subject: Nettleton Acres #2, Lot 9
Septic System and Well Permit Request
Design Narrative
This is a design narrative for a permit to install a new septic system and well to be issued for this property.
The proposed system will serve a proposed six (6) bedroom house. Currently the lot is undeveloped. The
system will utilize a new 2,000g septic tank and conventional 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 by PES in October 2017, and
groundwater was monitored for at least seven days. Ground water was not observed to a depth of
15.5' below the surface in the test hole monitor tube in October of 2017. Bedrock was not
encountered in the test hole to 15.5'. 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 east to west, with a slope
of approximately 12% to 20% 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.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
l WELL (E) 1 Il I
I 3
\ /
I
4
L._ V
\ / S -
�W�W
z ..
Aa WPRIMARY/
a `�
RESERVE DRAIN FIELD (P)
• \y '/ /
• I (2EA) 50LF x 2.5'W x 6.0'ED x 9.5'TD
II
INSTALL MONITOR TUBE AND CLEAN OUT
I------I AT EACH END
•
T H—1 // fi\/
24.7
ca SEPTIC AREA (E)
12.0'.' '
I wz l 12.0.
. 12.0
�� y� 2000g SEPTIC TANK (P)
w \ 23.2 WITH DOUBLE CLEAN OUT is
w FOUNDATION CLEAN OUT
N
/
• I AND FLOW SPLITTER
I c \ Cr
o /
` ` p
I . ?i
1
, i1,1 I
i 1 3 .7
6BR
HOUSE vi„
'fy `
•
I (P) -55_ \\
1 t/
1 , \•
r 1 it LOT 9 \\
1
, 1
,DESIGN PARAMETERS \\:\
PRIMARY SEPTIC SYSTEM
NO. BEDROOM: 6 (900 gpd) ( )
TANK SIZE: 2000g • �� • �_ WELL P -____M
PERC RATE: 13.8 MPI ' ----; , \
SOIL RATING: 0.8 GPD/SF �+ `Ll
AREA ROD: 1,125 SF 6- //-‘4"
' ____I
SYS. TYPE: DEEP TRENCH 6.0'ED
MIN LENGTH: 93,75 LF �/M
USE: �`
(2EA) 50 LFx2.5'Wx6.0' E.D., 9.5' TD � �/ /
�
TOTAL AREA: 1200 SFI
/ /
NOTES: PANNONE SVC, LLC l�j. OF AL`A`S Dote
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 "i;"7-‘‘.-.• gs11+ �0/26/2017
PHONE (907) 272-8218 FAX (907) 272-8211 _,' �� :y i, Scale
- ,*: /\ ..*010 1"=50'
pi'" • � AWIWP 0 P.I.D. NO
NETTLETON ACRES #2, LOT 9 �_�/ —�� / 015-062-13
SPIN ELL HOMES /r •never -. •15onnorae % PERMIT NO.
1.•• CE 8149 ••&� OSP171330
PAULA PLACE �t cf •. �
PLAN ANCHORAGE, AK 0l'``;•
SOILS LOG - PERCOLATION TEST
TEST HOLE 1
SLOPE SiTF Pi and
1 OR ORGANICS
2
3
4
5
6 GM; SILTY SAND AND X
TH
SM GRAVEL
S
9 -
10
11
12 —
13
WAS GROUND WATER SLOPE
14 ENCOUNTERED? N
15 - IF YES,AT WHAT TH
16 -
BOH DEPTH? -DRY x
17 - DEPTH TO WATER AFTER
MONITORING? -DRY
18 DATE: 10/16/17
WATER
19 READING DATE CLOCK
NET TIME LEVEL NET DROP
READING
DATE PERFORMED:10106/17 1 1016/17 11:30 --- 6.03 ---
2 12:00 30 MIN 8.31 2.28
3 12:00 --- 6.03
4 12:30 30 MIN 8.25 2.22
5 12:30 --- 6.03
6 1:00 30 MIN 8.21 2.18
PEROLATION RATE
13.8(min/inch)PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 3 FT AND 4 FT
COMMENTS: Test hole excavated by POMRAINING CONSTRUCTION
PERFORMED BY: Dan Moran, I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST,
NOTES: PANNONE ENG SVC, LLC
OFks, Date
`` :4Lg1 1' 10/26/2017
'JR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211 ig0P ''�y+� Scale
* , ! I\ *I NTS
------ •• N ••• •• ••• P.I.D. NO
NETTLETON ACRES #2, LOT 9 �... 5-062-13
SPINELL HOMES Steven R. I annorae-- PERMIT NO.
PAULA PLACE 446,40,.•2
�ccs. CE 8149
•Joy AN" OSP171330
SOILS LOG ANCHORAGE, AK 41,`; OFE Si* Sheet
3
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 SEPTIC TANK AND SOIL ABSORPTION SYSTEM. INSTALL WELL.
3. GROUNDWATER NOT ENCOUNTERED TO A DEPTH OF 15.5 FEET BELOW EXISTING GRADE IN TH-1 AS EVIDENCED BY
THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15.5
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: ABBREVIATIONS
CU COPPER
DATE: MIN MINIMUM
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
LEGEND DV DIVERTER VALVE
FS FLOW SPLITTER
W- WATER LINE/ BFG BELOW FINISH GRADE
WELL RADIUS OG ORIGINAL GRADE
FG FINISH GRADE
SS NEW SEPTIC TS&V TOPSOIL AND VEGETATE
NIC NOT IN CONTRACT
NOTES: ������‘\k Dote
PANNONE ENG SVC, LLC OF AL tt ,o�2s�2o,;
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 �"� 4S 1
PHONE (907) 272-8218 FAX (907) 272-8211 ioj�P _� 9+#` Scale
—�*: '.• 1-. �� . *`, NTS
....=.i1 1 P.I.D. NO
NETTLETON ACRES #2, LOT 9 . / 015-062-13
SPINELL HOMES Steven R. 0onnorae PERMIT NO
c. CE 8149 . /� DSP171330
PAULA PLACE �+ s •ter
DESIGN DETAILS ANCHORAGE, AK ��>\,\ `im p Sheet 3
DocuSign Envelope ID: CCAA1 86C-BA77-4l36A-A580-DD61 9CFF34C4
UMCIP"AUTY OW ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7;997
Certificate of On -Site Systems Approval /�LllI
Parcel I. D. 015-062-13
Legal description NETTLETON ACRES #2 LT 9
Site address 6701 PAULA PL Anchoraqe AK
Current property owner(s) STEVENS
Expiration Date:
X The On-site system(s) is/are approved for 6 bedrooms
Conditional approval for
Comments or advisories:
bedrooms, with the following stipulations:
GC(A
By. Original Certificate Date. 11/21/2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field AdvisoryNitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval June 2022
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 015-062-13
Complete legal description NETTELTON ACRES #2 LOT 9
Location (site address) 6701 PAULA PLACE, ANCHORAGE, AK 99507
Current property owner(s) MICHAEL RHEN STEVENS Day phone
2. ON -SITE SYSTEMS SIZED FOR 6 BEDROOMS
3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 5 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ® Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On -site staff
to verify the accuracy of the information provided.
COSA Fee $ �S� Waiver Fee $
Date of Payment I �- Date of Payment
COSA # S �- �- ! �'% b Waiver #
COSA Application.doc
COSA Checklist.docx
COSA Checklist
Legal Description: NETTLETON ACRES #2 LOT 9 Parcel ID: 015-062-13
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 8/20/2018 Total depth 242 ft
Cased to 242 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 11/07/2023
Static water level at beginning of test 61 ft.
Well production at time of test 4 gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic 6.03 ug/L Arsenic less than MRL (ND)
Collected by Date 11/07/23
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank 48”
Date of pumping 11/07/23
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 6/29/2018
ALL standpipes present per record drawing
Total measured depth from grade 11.7 ft (max)
Measured depth to pipe invert from grade 3.6 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective. (ED)
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced 2000 gallons 11/6/23 date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 11/7/2023
Results Pass (E / W TRENCHES)
Fluid depth prior to test 0 / 16 in
Water added 950 gal
New fluid depth 11 / 29 in
Elapsed time 1335 min
Final fluid depth 0 / 16 in
Absorption rate 900 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 72 in (MOA 6’ ED)
Effective depth used 0 / 16 in (Final Fluid Depth)
Effective depth (ED) remaining 72 / 56 in
Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots &
appears approximate.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 11/08/2023
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
11/08/23
MUNICIPALITY F ANCHORAGE
ji
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 015-062-13
1. GENERAL INFORMATION
Expiration Date: 0— (-7—(
Complete legal description Nettleton Acres #2 Lot 9
Location (site address) 6701 Paula Place
Current property owner(s) Spinell Homes LLC Day phone
Mailing address
Real estate agent Day phone
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 6
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
0
Private Septic
F
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment —7 .5- q
Receipt Number r/ S 2
COSA # CiSC l t l 3(9,S -
Date
( ,S
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.
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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly
recommends buyers hire their own engineer to evaluate this report.
Name of Firm Pannone Engineering Services
Address P.O. Box 1807 Palmer, AK 99645
Engineer's Printed Name Steven R. Pannone P.E.
Phone (907) 745-8200
Date C Qd?y Z--
�� OF At
6. DSD SIGNATURE,
System #1 Approved for bedrooms ' 'S.t vor. R.'Fon .n.one'
CE 814`_'
System #2 Approved for bedrooms
Disapproved � ' _,c-, v'-
Conditional approval for bedrooms, with the following stipulations:
S�RVICES�\��N
IN
By: �� �`_� Original Certificate Date:
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 Checklist blue sheet
Legal Description: Nettleton Acres #2 L9
If more than 1 septic system on lot: COSA Checklist # 1 of 1
A. WELL DATA
FO -1 Well log is filed with Onsite (or attached)
Date drilled 8/20/18
Total depth 242 ft
Cased to 242 ft
0 Sanitary seal is functioning correctly
0 Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA n/a
Static water level at beginning of test n/a ft.
Comments New Well
B. TANK DATA
Age of tank(s) 9`28"8 years
Tank type/material Sewk 1S1e 1
Measured operating fluid level in septic tank n/a
0 Standpipes/foundation cleanout per record drawing
Date of pumping n/a
D. ABSORPTION FIELD DATA Deep Trench
Which system tested (date installed) 6/29/18
ALL standpipes present per record drawing
Total measured depth from grade 9.5 ft (max)
Measured depth to pipe invert from grade 3.5 ft (min)
❑ N/A — pressurized field
R Monitor tubes go to bottom of effective. If not, state
depth into effective
01 Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies: New
COSA Checklist yellow sheet
Parcel ID: 015-062-13
Structure served by this system 1
Well production at time of test gpm
Water storage tank volume. gallons
Well disinfected for coliform test?✓❑ Yes ❑✓ No
n Coliform bacteria is Negative
Nitrate mg/L X Nitrate less than MRL (ND)
Arsenic 7.13 ug/L ❑ Arsenic less than MRL (ND)
Collected by Pannone Engineering
Date of Sample 6/27/19
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date n/a
Results EDPass For 6 bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
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'
0✓
Yes
Community Sewer Manhole/Cleanout > 100'
0 Yes
if No
ft
7 Yes
if No ft
Neighboring Tank > 100' 0 Yes
if No
ft
Private Sewer/Septic Line > 25' 0 Yes
if No ft
Absorption Field on Lot > 100' 0 Yes
if No
ft
Holding Tank > 100' R1 Yes
if No ft
Neighboring Absorption Fields > 100'
0 Yes if No ft
Water Main > 10'
Animal Containment > 50' 0 Yes
if No ft
0 Yes
if No
ft
F,71 Yes if No ft
Water Service Line > 10'
El
Yes
if No
Manure/Animal Excreta Storage > 100'
If septic tank is under driveway comment below
Community Sewer Main > 75' 0 Yes
if No
ft
F/ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
0✓
Yes
if No
ft
Surface Water > 100'
Yes if No ft
Property Line > 5'
F,71
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
✓0
Yes
if No
ft
Private Wells > 100'
0 Yes if No ft
Water Main > 10'
0
Yes
if No
ft
Community Wells > 200'
F,71 Yes if No ft
Water Service Line > 10'
El
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'
21
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'✓0
Yes
if No
ft
Private Wells > 100' [✓ Yes if No ft
Water Service Line > 10'
0
Yes
if No
ft
Community Wells > 200' Q Yes if No ft
Surface Water > 100'
✓0
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
1 certify that l have determined through field inspections and review
of Municipal records that the above systems are in conforn3ence vyith
MOA COSA guidelines in effect on this date. /j
Alr5N
COSA Checklist yellow sheet
,� �� OF AC�s���