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Home My WebLink AboutOVERLOOK ESTATES #3 LT 15 Overlook Estates #3 Lot 15 #067-231-28 kRuv uu/uel 10) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221460 PID Number: 067-231-28 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ■❑ New ❑ Upgrade Name HULTQUIST HOMES ABSORPTION FIELD ❑ Deep Trench ■❑ Wide Trench ❑ Bed ❑ Mound ❑ Other Site Address 27220 WILDE CIRCLE Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 8.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision OVERLOOK ESTATES #3 Block Lot 15 Fill added above original grade 0 Ft. Gravel length 50 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines NA Distance between lines NA Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 500 Ftz Number of trenches 1 Dist. between trenches NA Ft. Well 100'+ 100'+ NA NA 25'+ TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 5'+ 10'+ NA NA NA HDPE 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer Little Dipper PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Drainfield 3034 CO/MT3034 Inspector PES BENCH MARK (Assumed elevation) 350.7 ft Inspeection 1st 11/11/22 3rd 12/23/22 Zed 12/22/22 4 1 12/31/22 Location and description Bottom Step Deck ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date .., AM .. $lev . f�. a , " ie CE 8149 '. 20 23.05.1 Septic System Approved Date C,,i Note: this approval does not include well permit requirements. kRuv uu/uel 10) PROFILE SCALE: NTS 1250G GREER POLY TANK PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) VAk.1heaton Water Well, Inc. 1190 N. Wasilla-Fish hook Road Wasilla, AK 99654 (907)376-2041 Name: Hultquist Homes Address: City: Anchorage State: AK Zip Code: 99654 Well Site: Overlook #3 Lot/Block: 15 Additional: Well Depth: 60 ft. From: To: Formation: 0 31 silt/gravel/cobble Below Ground: 58 ft. 31 49 wet silt/gravel Above Ground: 2 ft. 49 60 gravel/sand/water Gal/Min: 30 Static Level: 32 ft. Casing: 60ft. of 6 in. x .25in. steel Liner Pipe: N/A Screened: N/A Perforated: N/A Grouted: Yes Depth: Develop. Method: Air Use of Well: Residential Drilling Method: Rotary Misc: Other: The well was pumped 5' off the bottom with 100% draw down for 2 hours and recovered at 30gpm Date Drilled: 1.04.23 Driller: Benjamin Mattson Mark Begich Mayor Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: Legal Description Property Owner Name & Address: Pump Installation Date: Pump Intake Depth Below Top of Well Casing: feet Pump Manufacturer’s Name: Pump Model: Pump Size hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer’s Name: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes No Method of Disinfection: Comments: Pump Installer Name: Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Lot 15, Overlook Estates Addition 3 As-built 124 E 7th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com AKCAN 173042 Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying S4 Group 5/2/2023 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP221460 Work Type: WellSeptic Initial Tax Code Number: 06723128000 Site Legal Address: OVERLOOK ESTATES #3 LT 15 G: Site Mailing Address: 27220 WILDE CIR, Eagle River Owner: EKLUTNA INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date »1cnt S a U '� Ueparhnent Lot Size in Sq Ft: Total Bedrooms: 11/30/2022 11/30/2023 57881 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ 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: ) S S U e o 1' S Issued By: Date: Date: 1 0 20 2L 4 MUMCIPA TY 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. 067-231-28 Property owner(s) HUltquiSt Homes Day phone Mailing address Site address 16515 Centerfield Drive Eagle River, AK 99577 Legal description (Sub's., Block & Lot) Overlook Estates Addition #3 Lot 15 Legal description (Township, Range & Section) Lot Size 57,881 Sq. Ft. Number of Bedrooms 4_ _ APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial K 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 x❑ 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: 4 g Waiver Fees: Date of Payment: It ILI/ as Receipt Number: 0aa3—;;(4 Permit No. S P9 11 (LI%y Permit App_:- ::'_:c Date of Payment: Receipt Number: Waiver No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221460, Curtis Townsend, 11/30/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221460, Curtis Townsend, 11/30/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221460, Curtis Townsend, 11/30/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221460, Curtis Townsend, 11/30/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221460, Curtis Townsend, 11/30/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221460, Curtis Townsend, 11/30/22 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 Parcel I.D. 067-231-28 Legal description OVERLOOK ESTATES #3 LT 15 Site address 27220 WILDE CIR Current property owner(s) HULTQUIST HOMES INC Expiration Date: 9/12/23 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 6/12/23 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 Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGER05 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. 067-231-28 Complete legal description Overlook Estates #3 L15 Location (site address) 27220 Wilde Cir Eagle River Current property owner(s) Hultquist 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 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 New - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑E 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 $ J -2 0 Waiver Fee $ Date of Payment COSA# 05G2__'2; 1106 Date of Payment Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: 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 Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping 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) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. 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 gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 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 Phone Engineer’s Printed Name Date 2023.06.06