HomeMy WebLinkAboutCANYON VIEW ESTATES BLK 1 LT 8I' •
0
Municipality of Anchorage
On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP241000 PID Number: 021-021-41
Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑* New ❑ Upgrade
Name
Hultquist Homes
ABSORPTION FIELD
El Deep Trench 9Wide Trench El Bed ❑Mound
Site Address
13801 Canyon Road
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
5
1.2 GPD/SF
2.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
Canyon View Estates 1 8
y
ill
Fill added above original grade
Ft.
Gravel length
2 @ 75 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION
DISTANCES
TO
From
Septic
Tank
Absorption
;Lift Station
Field
Holding !, Sewer
Tank Line
Total absorption area
750 Ft2
Number of trenches
2
Dist. between trenches
7.4 Ft.
Well
100'+
100'+ NA
NA 25'+
TANK ❑p Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer (Deep Bury)
Capacity
1500 Gal.
Surface water
100'+
100'+ NA
NA
Material
Number of compartments
Lot Line
5'+
10'+ NA
NA NA
HDPE
2
Foundation10'+
10'+ NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
Brownson Bros
PIPE MATERIAL House to tank D3034 Tank to D3034
drainfield
Drainfield D3034 CO/MT D3034
Inspector Pannone Engineering Services
BENCH MARK (Assumed elevation) 100.0 ft
n 1�t 3/25/24 nd 3/26/24
Inspdeact s2
3'd 3/26/24 4" 4/19/24
Location and description
See Site Plan, Bottom Sheathing.
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
Systemj'
Approved Date
Not this approval does not include well permit requireme ts.
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(Rev 05/02/18) /
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1500 GAL GREER
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PROFILE
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Certified Drilling Log
OWNER OF LAND: Hultquist Homes
ADDRESS: 13801 Canyon Rd. Anchorage, AK 99516
LEGAL DESCRIPTION Canyon View Blk 1 Lot 8
DATE: 3/4/24
PERMIT NUMBER: OSP241000 DATE OF ISSUE: 1/3/24
TAX IDENTIFICATION NUMBER 02102141000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 300’
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 44 feet
Liner type
Static Water Level: 106.2 feet
Recovery Rate 1.5 gpm gph
Method of Testing Air
Well Intake Opening Type: open end open hole
Screened Start feet Stopped
Perforations Start feet Stopped
Grout Type: Bentonite Volume: 250 lbs.
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Shallow bedrock surface seal to MOA code
Bore Hole Data
Depth
From To
0 2 Casing Stickup
2 4 Overburden
4 10 Gravel
10 14 Bedrock broken
14 180 Bedrock
180 290 Bedrock hard
290 300 Bedrock fractured
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.
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: OSP 241000 Date of Issue 1/3/24
Parcel Identification Number: 02102141000
Legal Description Property Owner Name & Address
CANYON VIEW ESTATES BLK 1 LT 8 Hultquist Homes
13801 Canyon Rd.
Anchorage, AK 99516
Pump Installation Date:
10/16/24
Pump Intake Depth Below Top of Well Casing:
292 feet
Pump manufacturer’s Name:
Grundfos
Pump Model:
10SQE15-330
Pump Size:
1.5 hp
Pitless Adapter Burial Depth:
12 feet
Pitless Adapter Installer:
Pitless Manufacturer:
Disinfected Upon Completion?
yes no
Method of Disinfection:
Chlorine 50 PPM
Comments:
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.
Merrill
Unknown
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: OSP241000
Work Type: WellSeptic Initial
Tax Code Number: 02102141000
Site Legal Address: CANYON VIEW ESTATES BLK 1 LT 8 G:3042
Site Mailing Address: 13801 CANYON RD, Anchorage
Owner: HULTQUIST HOMES INC
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
»>cnr
t�epactment
1 /3/2024
1 /2/2025
72058
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: Date:
Issued By: Date: 3 Z O 2 Y
5
MUNICIPALITY OF ANCHORAGE
-%
o;. r'
:a lip r
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. 021-021-41 R_
Property owner(s) Hultquist Homes Inc
Mailing address
Site address NSN Canyon Road
Day phone
Legal description (Sub'd., Block & Lot) Canyon View Estates, Block 1, Lot
Legal description (Township, Range & Section)
Lot Size 72,05$ Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field 0 Initial R
Single Family (SF) 0
ADU)
Septic Tank ❑X Upgrade El(w/wo
Duplex (D) El
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: IS/2- Waiver Fees:
Date of Payment:
Receipt Number:
Permit No. 05PZ_ 41 t %' 00
Date of Payment:
Receipt Number:
Waiver No.
Permit App_*- : ....:c
Pannone i eei ices LLc
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@paneneak.com
13 December 2023
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. 0. Box 196650
Anchorage, Alaska 99519
Subject: Canyon View Estates, Block 1, Lot 8
Septic System and Well Permit Request
This is a design narrative for a permit to install a new septic system and well on the subject property. The proposed
system will serve a proposed five -bedroom (5) house. This lot and surrounding lots are served by private wells. No
surrounding wells or septics are located within 100' of the proposed system on this lot.
1. Soils:
A test hole was performed on this lot by Pannone Engineering Services, LLC in October of 2019. Groundwater was
not observed during the excavation of the test hole, and bedrock was not encountered. Groundwater was observed
in the test hole monitor tube at a depth of 7.0' on 25 May 2023. Based on the results of the percolation test and
overall soils appearance an application rate of 1.2 gpd/SF was used for the design of a conventional wastewater
treatment system in the area of the test hole. Groundwater monitoring was performed after installation of drainage
improvements on the lot.
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.
4. Topography:
See attached site plan for area topography.
5. Drawing Markings: The Drawings are marked "For MOA Review Only". When written notification that the
review is complete and no further comments are received from MoA On -Site Department, the note will be removed
and "For Construction" drawings will be issued.
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions or concerns, please contact me at (907) 745-8200.
Sincerely,
Steven R. Pannone, P.E. F. ASCE
Owner/Civil Engineer
Mailing: P.O.Box 1807, Palmer, AK 99645
DESIGN PARAMETERS
PRIMARY SEPTIC SYSTEM
� FIELD COVER NOTE:
15.65 DOES NOT REQUIRE A LIMIT OF
N0. BEDROOM: 5(750 gpd)
I
� FILL BE SHOWN ON THE DRAWING,
TANK SIZE: 1500g (MIN)
\ HOWEVER, THIS WILL BE AN
PERC RATE: 3 MPI
�� APPROXIMATE LIMIT OF FILL/COVER.
SOIL RATING: 1.2 GPD/SF I
LIMIT OF COVER WILL BE FIELD FIT
AREA ROD: 625 SF
DURING CONSTRUCTION WITH MANY
SYS. TYPE: WIDE TRENCH 0.5' ED
a ��POSSIBLE VARIABLES. THE FILL
MIN LENGTH: 125 LF I
�
/" \ ALREADY PLACED FOR DEVELOPMENT
\
USE:
Z
\ OF THE LOT (DRIVEWAY/HOUSE) WILL
W EFFECT THE LIMIT OF FILL FOR THE
L
\'
(2EA) 70LFx5.0'WxO.5'E.Dx2.0'TD
�\
O
N DRAINFIELD AND WILL MAKE IT DIFFICULT
WITH SAND TO LEVEL
TO DIFFERENTIATE BETWEEN FILL
TOTAL AREA: 700 SF
PLACED FOR DRAINFIELD AND FOR
I�
5BR OTHER DEVELOPMENT. PES WILL
HOUSE VERIFY MINIMUM COVER IS MET AND
\ (P)
MAXIMUM SLOPES ARE ADHERED TO AT
\ THE TIME OF CONSTRUCTION.
I
I
DOUBLE CLEAN OUT (P)
LOCATED NO FURTHER JS
THAN 100' FROM HOUSE \ \
RESERVE DRAINFIELD (P)
\I
25LF x 5.0'W x 0.5'ED x 2.0'TD ELL P 11��
FILTER SAND AS NECESSARY TO LEVEL I \
INSTALL CLEAN OUT AND MONITOR
TUBE AT EACH END 102.4
MOUND TO CREATE 3.0' OF COVER
OR INSULATE WITH RIGID INSULATION
3:1 MAX SIDE SLOPE ON MOUND ��5% 1 1500g (MIN) SEPTIC TANK (P) \
(BASED ON CAT III) 1 INSTALL FOUNDATION CLEAN OUT AT BUILDINGS
PRIMARY DRAIN FIELD (P)
(2EA) 70LF x 5.0'W x 0.5'ED x 2.0'TD
FILTER SAND AS NECESSARY TO LEVEL
TIE IN AT MIDPOINT OF FIELD
INSTALL CLEAN OUT AND MONITOR
TUBE AT EACH END
MOUND TO CREATE 3.0' OF COVER
OR INSULATE WITH RIGID INSULATION
6.0 \ INSTALL DOUBLE CLEAN OUT ON PIPE
RUN OVER 100'
N—g \ AND DOUBLE CLEAN OUT AFTER
5.0 \ INSULATE IF LESS THAN 4' OF COVER
16.2 INSULATE SEWER LINE UNDER DRIVEWAY
`\ (
N P \
\ N I
\ GARAGE I
3:1 MAX SIDE SLOPE ON MOUND -
DESIGN PARAMETE
RESERVE SEPTIC SYSTEM
NO. BEDROOM: 5(750 gpd)
TANK SIZE: CAT III
PERC RATE: 3 MPI
SOIL RATING: 6 GPD/SF
AREA RQD: 125 SF
\\ Nip
/ V
RS �51
(P)
\ 90 0 5�
I
o� I
ESTIMATED
LIMIT OF COVER (P) \
SEE NOTE APPROX. MOA MAPPED
VEGETATED DRAINAGE WAY
SYS. TYPE: WIDE TRENCH 0.5' ED \
MIN LENGTH: 25 LF
USE: \ \
30 LFx 5.0' W x O. 5' E. D x 2.0'TD
TOTAL AREA: 150 SF
- In > \
3,70
O \ F�SF'�FNT 2
0
NOTES: PAMON LAT!'! CFTC' T T C Date
for construction P.O. BOX 100217 ANCHORAGE, AK 99510 1 /2/2024
PHONE (907) 272-8218 FAX (907) 272-8211Scale
1"=50'
.... .. P.I.D. NO
DRAWN BY: DRM CANYON VIEW ESTATES, BLOCK 1, LOT 8 021-021-41
HULTOUIST HOMES INC. ••even ana PERMIT NO.
NSN CANYON ROAD _ CE 8149 osP241000
PLAN ANCHORAGE, AK • •j, Sheet
1 OF 3
SPECIAL PROVISIONS TO SPECIFICATIONS
1. GENERAL NOTES:
1.I' ANY MODIFICATIONS TO THE ATTACHED PLANS NEED TO BE APPROVED BY PES AND THE OWNER OF THE PROPERTY.
1.2. PES SHALL BE NOTIFIED A MINIMUM OF 48 HOURS IN ADVANCE BEFORE CONSTRUCTION OF THE PROPOSED WASTEWATER TREATMENT SYSTEM.
1.3. PES SHALL BE NOTIFIED AM NIMUM OF 24 HOURS IN ADVANCE TO PERFORM A MINIMUM OF FOLLOWING INSPECTIONS:
1.3.1. A PRE CONSTRUCTION MEETING IS REQUIRED BY STATE AND MUNICIPAL REGULATIONS BEFORE A ONSITE WASTEWATER TREATMENT SYSTEM MAY BE INSTALLED.
1.3.2. TOP OF SEPTIC AND OR HOLDING TANK (TANK IS SET IN PLACE LEVEL WITH ALL PIPING ATTACHED (CLEANOUTS, MANHOLES, INLET AND OUTLET PIPING).
1.3.3. BOTTOM OF EXCAVATION OF THE DRAIN FIELD/S.
1.3.4. AFTER PLACEMENT OF FILTER SAND (IF NEEDED).
1.3.5. AFTER INSTALLATION OF THE DRAIN ROCK WITH ALL ASSOCIATED PIPING IN PLACE INCLUDING DISTRIBUTION LINES CLEANOUTS AND MONITOR TUBES PRIOR TO INSTALLATION OF
FILTER FABRIC AND INSULATION (IF NEEDED).
1.3.6. FINAL GRADE INSPECTION. ENTIRE SYSTEM IS INSTALLED AND BACKFILLED.
1.4. THE ENGINEER (PES) HAS NO CONTRACTUAL RELATIONSHIP WITH THE CONTRACTOR (THE INSTALLER OF THE SYSTEM) AND, THEREFORE, HAS NO AUTHORITY, CONTROL OR
RESPONSIBILITY FOR THE CONTRACTOR'S EMPLOYEES, THE QUALITY OF WORK, THEIR COMPLIANCE WITH THE DESIGN DRAWINGS/SPECIFICATIONS OR THEIR MEANS/METHODS OF
CONSTRUCTION. AT APPROPRIATE INTERVALS, THE ENGINEER WILL VISIT THE WORKSITE TO OBSERVE THE QUALITY OF THE CONSTRUCTION AND TO DETERMINE IN GENERAL IF THE
CONSTRUCTION IS PROCEEDING IN ACCORDANCE WITH THE DESIGN DRAWINGS/SPECIFICATIONS.THE ENGINEER WILL NOTIFY THE OWNER IF DEFICIENCIES ARE OBSERVED; HOWEVER,
THE FAILURE OF THE ENGINEER TO OBSERVE A DEFICIENCY WILL NOT RELIEVE THE CONTRACTOR OF THE RESPONSIBILITY FOR CORRECTING ANY SUCH DEFICIENCY. THE ENGINEER WILL
PREPARE RECORD DRAWINGS AND SUBMIT THEM TO THE REGULATORY AGENCY HAVING JURISDICTION OVER THE WASTEWATER TREATMENT SYSTEM (ADEC OR MOA). FINAL APPROVAL OF
THE WORK AND CORRECTION OF ANY DEFICIENCIES IS BETWEEN THE OWNER, THE CONTRACTOR, AND THE REGULATORY AGENCY HAVING JURISDICTION OVER THE WASTEWATER
TREATMENT SYSTEM (ADEC OR MOA).
2. SCOPE AND SPECIFICATIONS:
2.1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MOA COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON -SITE
WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55.
2.2. CONTRACTED WORK WILL BE IN COMPLIANCE WITH MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) DIVISION 10 & DIVISION 20 AS APPROPRIATE.
2.3. SCOPE OF WORK: INSTALL SYSTEM PER DESIGN
2.4. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 7.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN
ANY OF THE EXCAVATIONS LESS THAN 7.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY.
2.5. STRUCTURES DEPICTED ON THE SITE PLAN AR BASED UPON ONE OF THE FOLLOWING: CONCEPTUAL PLOT PLAN DEVELOPED BY OWNER; A PLOT PLAN DEVELOPED BY RLS; OR A
SURVEY AS -BUILT.
3. CONSTRUCTION SPECIFICATIONS:
3.1. ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE
DESIGN
3.2. EXCAVATE THE DRAIN FIELD. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE AND END OF TRENCH BOTTOM. CONSTRUCTION
EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND
REPLACED WITH UNCOMPACTED MATERIAL.
3.3. PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO ±1" PRIOR
TO INSTALLING THE PERFORATED PIPE.
3.4. ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER APPROVED EQUAL. MINIMUM SOIL COVER SHALL BE 3 FEET OVER THE PIPE AND 4 FEET OVER THE SEPTIC TANK.
ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR i FOOT OF SOIL COVER.
3.5. ALL INSULATION SHALL BE 2" THICK DOW HI-40 INSULBOARD OR ENGINEER APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER SEPTIC TANK OR LINES.
3.6. GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER APPROVED EQUAL. LAP ALL JOINTS 2 FEET MINIMUM.
3.7. COVER THE DISTRIBUTION PIPE WITH A MINIMUM OF 2" OF SEWER ROCK AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILL.
3.8. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS.
3.9. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MINIMUM SLOPE AND 3:1 MAXIMUM SLOPE AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE
FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MOA CODE.
3.10. RECORD THE FINISH GROUND ELEVATION OVER THE BEGINNING, MIDDLE AND END OF SYSTEM.
3.11. MAINTAIN 5' SEPARATION BETWEEN PERCOLATION HOLE AND THE DRAIN FIELD TRENCH.
3.12. EXPOSE, PUMP AND FILL LOG DISPOSAL CRIB OR CONCRETE TANK WITH SOIL TO ABANDON IAW WITH MOA CODE IF NEEDED.
4. CONTRACTOR RESPONSIBILITIES:
4.1. THE CONTRACTOR SHALL FAMILIARIZE THEMSELVES WITH THE SITE CONDITIONS AND LOCATIONS OF ALL LOT LINES, EASEMENTS, WELLS (E & P), SEPTIC SYSTEMS (E & P) AND SHALL
MEET MINIMUM SEPARATION DISTANCES OR AS NOTED.
4.2. 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.
4.3. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED.
4.4. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES.
4.5. 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.
4.6. 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.
4.7. 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.
4.8. 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.
5. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WILL BE PERFORMED IN ACCORDANCE WITH THE APPROVED PERMIT, AND ANY AND ALL CHANGE ORDERS, AND
THAT THE AS -BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED.
THE PARTIES HEREBY AGREE TO THE TERMS AND CONDITIONS SET FORTH IN ATTACHED DOCUMENTS.
CLIENT: CONTRACTOR:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
PLy1V1�lONE L'1�1V' �C� LLC Date
for construction 1 /2/2024
P.O. BOX 100217 ANCHORAGE, AK 99510 ••••.
PHONE (907) 272-8218 FAX (907) 272-8211 �P �••• •�'•, Scale
*�•�m `�* NITS
....•• •• •••• P.I.D. NO
CANYON VIEW ESTATES, BLOCK 1, LOT 8 021-021-41
HULTQUIST HOMES INC. •• �ev� anrio�a PERMIT No.
CE 8149
NSN CANYON ROAD OSP241000
DESIGN DETAILS ANCHORAGE, AK ••j, Sheet
2OF3
TH8
SOILS LOG - PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
OR I TOPSOIL
GM/SM I SILTY SANDY
GRAVEL
SM/ML I SILTY SANDY
GRAVEL
BOH
DATE PERFORMED: 030CT19
NO GROUNDWATER: 11OCT19
SLOPE
TEST
HOLE
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH? -NA-
DEPTH TO WATER AFTER
MONITORING? DRY
DATE: 11 OCT19
DEPTH TO WATER AFTER
MONITORING? -0.0'
DATE: 27MAY20
DEPTH TO WATER AFTER
MONITORING? -7.0'
DATE: 25MAY23
COMMENTS: Test hole excavated by WHITE RAVEN
PERFORMED BY: AARON PARADIS. I CERTIFY THAT THIS
TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE
SITE PLAN
SLOPE
TH 1
SOIL TEST RESULTS/ANALYSIS
• PERCOLATION RATE 3.0 mpi(min/inch)
(Hydrologic Soils Group: HSG A)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 2 FT AND 3 FT.
• TEST RUN FOR OVER AN HOUR, LAST THREE
READINGS PROVIDED.
2023 GROUNDWATER MONITORING
PERFORMED AFTER DRAINAGE
INFRASTRUCTURE INSTALLED ON LOT.
READING
DATE
NET TIME
WATER
LEVEL
READING
NET DROP
R E
RATI)
1
030CT19
5.900"
2
10 MIN
9.902"
4.002"
2.5
3
5.900"
4
10 MIN
9.250"
3.35"
5
5.900"
gO
6
10 MIN
9.221"
3.321"
NOTES: PAMONE ENG SVC LLC Date
for construction P.O. BOX 102954 ANCHORAGE, AK 99510 �..., 1/2/2024
PHONE (907) 272-8218 FAX (907) 272-8211P••• Scale
NTS
.... .. ....... P.I.D. NO
CANYON VIEW ESTATES, BLOCK 1, LOT 8 021-021-41
HULTQUIST HOMES INC. ;ems ana PERMIT No.
NSN CANYON ROAD CE 8149.�' osP241000
SOILS LOG ANCHORAGE, AK Sheet
3OF3
MUNICIPALITY OF ANCHORAGE
Development Services Department f Phone: 907-343-7904
On -Site Water & Wastewater Section —� Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 021-021-41-000
Expiration Date:
Legal description CANYON VIEW ESTATES BLK 1 LT 8
Site address 13801 CANYON RD Anchorage AK 99516
Current property owner(s) HULTQUIST HOMES INC
10/16/2025
X The On-site system(s) is/are approved for 5 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
QI
Original Certificate Date: 11/1/2024
Tis 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
MUNICPAL111TY OF ANCHORAGE RU5 ki
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. 021-021-41
Complete legal description Canyon View Estates 131 L8
Location (site address) 13801 Canyon Road
Current property owner(s) Hultquist Homes
2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: 0 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 ❑ 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 $-1/1-0 Waiver Fee $
Date of Payment
COSA# 0,'5:j: i,.2�-IIS 5b
Date of Payment
Waiver #
COSA Applicationjune 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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with ADEC & MOA 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.
Name of Firm
Phone
Engineer’s Printed Name
Date 2024.10.29
Lot 8, Block 1,
Canyon View Estates Subdivision
As-Built
Land Surveying
Land Development Consultants
Subdivision Specialists
Construction Surveying
AEC# 173042
S4
Group
124 E 7th Avenue
Anchorage, Alaska 99501
(907) 306-8104
mail@S4AK.com
07/22/2024