HomeMy WebLinkAboutCANYON VIEW ESTATES BLK 2 LT 7•
z
#0 2 1 am 0
%A%R
(Rev 05/02/18)
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904
Page 1 of 2
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP241049
PID Number: 021-021-53
Dwelling: 0 Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family
Project: R New ❑ Upgrade
Name
Hultquist Homes, Inc.
ABSORPTION FIELD
❑ Deep Trench ❑Q Wide Trench El Bed ❑Mound
Site Address
13852 Canyon Road
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
4
1.2 GPD/SF
JTotal
6.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.0
Ft.
Gravel depth beneath pipe
2.0 Ft.
Subdivision Block Lot
Canyon View Estates
2 7
Fill added above original grade
0.3
Ft.
Gravel length
70 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number
n/a
of Lines
Distance between lines
n/a Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
500 Ftz
1
n/a Ft.
Well
100'+
100'+
NA
NA
25'+
TANK X Septic ❑ S.T.E.P.
❑ Holding ❑ Other
Manufacturer
Infiltrator
Capacity
1537 Gal.
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
Lot Line
5'+
10'+
NA
NA
NA
Plastic
2
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks
Alarm location
Electrical installed by
PIPE MATERIAL House to tank ASTM F628 Tank to ASTM D1785
drainfield
Installer
Red Dog Masonry, Inc.
Drainfield ASTM D3034 CO/MT F628 / D3034
inspector PES
BENCH MARK (Assumed elevation) 500.0 ft
Inspeection
vt 04/23/24
11/05/24
Location and description
ction
31d 11/06/24
2nd
41" 11/21/24
See Site Plan, Top Of Deck
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
OF• A�q kk
Conditional Approval:
pp
Date
��
.....:c
X0
�� . • St2Ven R. 7:)cnnone �
Septic Syste
/ZO2 -Y . J
Approved J'
--- Date
v
Note: this appros
doenot include well permit requirements.
��®
®��'�
(Rev 05/02/18)
PROFILE
IM-1530 GAL INFILTRATOR
PLASTIC TANK
PA
N
N
O
N
E
E
N
G
S
V
C
,
L
L
C
(
C
.
I
.
1
0
8
8
)
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Well Log
Permit Number: #__________ Date of Issue: ________ Parcel Identification Number: __________________
Date Started: _________ Date Completed: _________ Is well located at approved permit location? Yes No
Legal Description:_________________________________________________________________________
Property Owner Name & Address: _______________________________________
_______________________________________
_______________________________________
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
Method of Drilling air rotary cable tool
Casing type: _________
Wall Thickness: inches
Diameter: inches Depth: feet
Liner Type: _________
Diameter: inches Depth: feet
Casing stickup above ground: feet
Static water level (from ground level): feet
Pumping level: feet after
hours pumping gpm
Recovery Rate: gpm
Method of Testing: _________
Well Intake Opening Type:
Open End Open Hole
Screened Start feet Stopped feet
Perforations Start feet Stopped feet
Grout Type: _________ Volume: _________
Depth: _________ Start feet Stopped feet
Well Disinfected Upon Completion? Yes No
Method of Disinfection: Comments:
Well Driller: _____________________________
Company: _____________________________
Mailing Address: _____________________________
Water Sample Results:
Arsenic: _________ ug/L
Nitrates: _________ mg/L
Total Coliform Bacteria:_________ colonies/100mL
Attention: The well driller shall provide a well log to the
On-site Water and Wastewater Section within 30 days of
completion.
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: OSP 241049 Date of Issue 4/9/24
Parcel Identification Number: 02102153000
Legal Description Property Owner Name & Address
CANYON VIEW ESTATES BLK 2 LT 7
Hultquist Homes
13852 Canyon Rd.
Anchorage, AK 99516
Pump Installation Date:
10/18/24
Pump Intake Depth Below Top of Well Casing:
272 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
Lot 7, Block 2,
Canyon View Estates Subdivision
Asbuilt
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
11/27/2024
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: OSP241049
Work Type: WellSeptic Initial
Tax Code Number: 02102153000
Site Legal Address: CANYON VIEW ESTATES BLK 2 LT 7 G:3042
Site Mailing Address:
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:
4/9/2024
4/9/2025
77688
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 2 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: A S Ei5
Issued By:
Date:
Date: J,� 2
4
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON -SITE SEWER/WELL PERMIT APPLICATION
a
Parcel I.D. 021-021-53
Property owner(s) Hultquist Homes, Inc. Day phone
Mailing address
Site address NHN Canyon Road
Legal description (Sub'd., Block & Lot) Canyon View Estates Block 2 Lot 7
Legal description (Township, Range & Section)
Lot Size 77,688 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
Initial ❑x
Single Family (SF) ❑x
Septic Tank
Upgrade El(w/wo
ADU)
Holding Tank
❑
Renewal ElDuplex
(D) El
Privy
❑
Multiple Dwellings ❑
(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: I
Date of Payment: c Z0 Z
Receipt Number:
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Permit App_'- :- .' . c
1::1- 3-
Pannone Engineering Services LLc
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steveCDpaneneak.com
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, Alaska
Subject: Canyon View Estates Block 2 Lot 7
Septic System Initial Permit Request
This is a design narrative for a permit to install an initial well and septic system on the subject property. The
proposed system will serve a proposed four -bedroom (4) house. This lot and surrounding lots are served by private
wells. Currently there are no wells within 100 feet of the proposed system.
1. Soils:
A test hole was performed on this lot by Pannone Engineering Services, LLC on (4/24/2024). Ground water and
bedrock were not observed during excavation of this test hole. Groundwater was observed in the test hole monitor
tube after 7-days at a level of (10.5') below grade on (05/14/2024). Based on the results of the percolation test,
overall soils appearance, and selection of the proposed drain field; 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. The percolation rate was faster
than 1 mpi—see attached sieve results.
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. The drain field will meet the provisions of the steep slope section of the
code with slopes over 25% but less than 46% located downhill of the proposed field.
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,
Is T_�_>_P
Steven R. Pannone, P.E., F. ASCE
Owner/Civil Engineer
15 May 2024
Mailing: P.O.Box 1807, Palmer, AK 99645
Telephone: (907) 745-8200 FAX: (907) 745-8201
DESIGN PARAMETERS
PRIMARY/RESERVE SEPTIC SYSTEMsEPTic
NO. BEDROOM: 4(600 gpd) (E�
TANK SIZE: 1250g (MIN) O \ 0
PERC RATE: <1 MPI / ------ _Al \ �
SOIL RATING: 1.2 GPD/SF 0
AREA RQD: 500 SF
SYS. TYPE: WIDE TRENCH 2.0' ED
RF: 0.70 i / -A \�\
MIN LENGTH: 70 LF
USE: ,!�, / Lot 7
70LFx5.0'Wx2.0'E.Dx6.0'TD
TOTAL AREA: 500 SF / /��� o \� z�\ \
TH-7 CP0 �\ \ \\ y X
/ rF (2023) \
V
Block 2 A.
WELL P \�
O / /
=�' J B HOUSE \ 1
E1Jp� \
TH- 7A �P> age
\ Q���/ (2024)
O\N 10.4
�L��` OSIER s INSTALL MIN 1250gal SEPTIC TANK (P)
8'0 INSTALL FC BEFORE AND DCO AFTER.
IF BOTTOM OF TANK WILL BE AT A GREATER
��N OF 1 \ \ s� DEPTH THAN 1 1.5' BELOW ORIGINAL GRADE
/ PP k INSTALL MoA APPROVE STEEL TANK.
\�� \ IF PLASTIC TANK
/ \ _j ` - — IS USED INSTALL MONITOR TUBE.
\ PRIMARY/RESERVE DRAIN FIELD (P) L o jM M
I 70LF x 5.0'W x 2.0'ED x 6.0'TD
\ \ \ \ iINSTALL CLEAN OUT AND MONITOR
TUBE AT EACH D \ /
oX �
o TH-2023-8
\ \ THE CONTRACTOR, AND OR THE PROPERTY OWNER RESPONSIBLE FOR THE INSTALLATION OF THE
\ o \ \PROPOSED WASTEWATER TREATMENT SYSTEM SHALL NOTIFY PES A MINIMUM OF 24-HOURS IN ADVANCE
MONDAY THROUGH FRIDAY OF THE REQUIRED PRE -CONSTRUCTION INSPECTION. AT THIS TIME A
REPRESENTATIVE OF PES AND THE CONTRACTOR OR PROPERTY OWNER WILL
1. DISCUSS CONSTRUCTION PROCEDURES AND DESIGN REQUIREMENTS.
I 1 2. VERIFY SITE CONDITIONS CONFORM TO THE DESIGN PLANS AND PERMIT.
1 ` 3. VERIFY THE PROJECT LAYOUT CONFORMS TO THE DESIGN PLANS AND PERMIT.
\ \ (Ref: AMC 15.65)
\ PLEASE REFER TO THE NOTES AND SPECIAL PROVISIONS PAGE FOR MORE INSPECTION INFORMATION.
PES \ SHALL NOT BE HELD LIABLE FOR INSTALLATIONS NOT MEETING THE REQUIREMENTS OF 18 AAC 72 AND/OR AMC 15.65 AND THE SPECIAL PROVISIONS OF THIS PERMIT AS APPLICABLE IF THE CONTRACTOR
/ AND OR PROPERTY OWNER FAIL TO GIVE PES PROPER NOTICE. PES WILL ATTEMPT TO DOCUMENT THE
\\ SYSTEM AND OBTAIN ANY NECESSARY WAIVERS AT THE CONTRACTOR AND OR PROPERTY OWNERS EXPENSE.
1 J PES MAKES NO GUARANTEES THAT ANY NEEDED SEPARATION DISTANCES WAIVERS WILL BE APPROVED BY
\AEDC OR THE MUNICIPALITY OF ANCHORAGE ONSITE DEPARTMENT STAFF. 1
NOTES: PANNONE ENG SVC, LLC z Date
CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 .(� 5/15/2024
PHONE (907) 272-8218 FAX (907) 272-8211P••••• Scale
1"=50'
•• ••••••• P.I.D. NO
DRAWN BY: DRM CANYON VIEW ESTATES, BLOCK 2, LOT 7 021-021-53
HULTQUIST HOMES INC. •• }evan anriome PERMIT NO.
CE
NSN CANYON ROAD 8t49 OSP241049
PLAN
ANCHORAGE, AK j. Sheet
1 OF 3
SPECIAL PROVISIONS TO SPECIFICATIONS
. GENERAL NOTES:
1.1. 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 A MINIMUM 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 BACKFILLEO.
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 10.5 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 10.5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY.
2.5. STRUCTURES DEPICTED ON THE SITE PLAN ARE 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 1 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 27 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:
NOTES: PAMONE ENG SVC LLC Date
CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 5/15/2024
PHONE (907) 272-8218 FAX (907) 272-8211;•• ••• Scale
*� �m. • �* NTS
•• ••••••• P.I.D. NO
CANYON VIEW ESTATES, BLOCK 2, LOT 7 021-021-53
HULTQUIST HOMES INC. •• °Y°� °"^Oot°CE PERMIT N0.
NSN CANYON ROAD 8149 OSP241049
DESIGN DETAILS
ANCHORAGE, AK Sheet
2OF3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
TH 7A (2024)
OR I TOPSOIL
BOH
POORLY GRADED
SAND WITH SOME
FINES AND GRAVE
5/14/24
DATE PERFORMED: 2024-04-24
SOILS LOG - PERCOLATION TEST
SLOPE
.TEST
HOLE
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH? -NA-
DEPTH TO WATER AFTER
MONITORING? -10.5'
DATE: 14MAY24
COMMENTS: Test hole excavated by RED DOG
MASONRY
PERFORMED BY: PES. I CERTIFY THATTHIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE
OF THIS TEST.
SITE PLAN
co'
SLOPE
TH 1
SOIL TEST RESULTS/ANALYSIS
• PERCOLATION RATE <1.0 mpRmin/inch)
(Hydrologic Soils Group: HSG A)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 3 FT AND 4 FT.
WATER
RATE
READING
DATE
NET TIME
LEVEL
NET DROP
(MPI)
READING
1
24APRIL24
2
WATER ABSORBED
TO ACCURATELY
TOO
QUICKLY
READ
3
4
5
6
NOTES: PANNONE ENG SVC LLC �� Date
CHANGE ORDER P.O. BOX 102954 ANCHORAGE, AK 99510 Q'���- ""�'/1 /2024e
PHONE (907) 272-8218 FAX (907) 272-8211 •�'! le
.... .. . ....... P.I.D. NO
CANYON VIEW ESTATES, BLOCK 2, LOT 7 021-021-53
HULTQUIST HOMES INC. "even anne
PERMIT NO.
NSN CANYON ROAD CE 8149, OSP241049
SOILS LOG ANCHORAGE, AK '•••• Sheet
3 OF 3
040.002
Crowther Associates
Date: May 13, 2024 C
Client: Pannone Engineering Services, Name
Project: Canyon View Block 2 Lot 7
Particle Size Distribution Table
(percent passing subject sieve size)
Sample Source
Test pit a
Moisture
Content
7.4%
Sieve Size
Percent Finer
Percent Finer
Percent Finer
Percent Finer
3 inch
100
1-1/2 inch
100
3/4 inch
83
#4
50
#10
29
#40
8
#100
3
#200
2
0.02 min
XX
Classification
Gravelly Sand
(SP)
Invoice 215
1632 Bellevue Circle /Anchorage, Alaska 99515
Telephone (907) 349-2198 / E mail: 907crowther@gmail. con?
PA
N
N
O
N
E
E
N
G
S
V
C
,
L
L
C
(
C
.
I
.
1
0
8
8
)
COMMENTS: Test hole excavated by BROWNSON BROS, LLC.
PERFORMED BY: PANNONE ENGINEERING SERVICES, LLC. I CERTIFY THAT THIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
·<1 (min/inch)
·6"
·2 FT AND 3FT
SOILS LOG & PERCOLATION TEST
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241049, Curtis Townsend, 04/09/24
040.002 Crowther Associates
1632 Bellevue Circle / Anchorage, Alaska 99515
Telephone (907) 349-2198 / E mail: crowther@alaska.net
Client: Pannone Engineering Services
Project: Canyon View SD Block 2
Date: May 18, 2023
Particle Size Distribution Table
(percent passing subject sieve size)
Sample Source 7 8 9 10
Moisture
Content
7.0%6.9%6.8%12.1%
Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer
3 inch 100 100 100 100
1-1/2 inch 100 100 100 100
¾ inch 96 91 92 100
#4 58 56 57 93
#10 38 66 37 82
#40 14 19 15 24
#100 7 12 10 10
#200 6 11 9 7
0.02 mm xx xx xx xx
Classification Gravelly Sand
with Silt
(SP-SM)
Gravelly Sand
with Silt
(SP-SM)
Gravelly Sand
with Silt
(SP-SM)
Sand with Silt
(SP-SM)
Invoice 192
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Parcel ID 021 -021-53
Certificate of On -Site Systems Approval
OSC241500
Expiration Date:
Legal description CANYON VIEW ESTATES BLK 2 LT 7
Site address 13852 CANYON RD
Current property owner(s) HULTQUIST HOMES INC
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
By: Original Certificate Date: 12/13/2024
This Certificate of On -Sit e//Sy terns Approval (COSA) is intended to demonstrate the subject
system(s) is/are in su�siantial compliance with municipal code. The Municipality of Anchorage,
Development Service 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 submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
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 1. D. 021-021-53
Complete legal description Canyon View Estates Block 2 Lot 7
Location (site address) 13852 Canyon Road
Current property owner(s) Hultquist Homes, Inc. Day phone
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: X Private Well [-I Private Well serving 2 dwelling units
F-1 Private Well serving 3+ dwelling units 1771 Community Well or Public
F71 Water Storage
4. TYPE OF WASTEWATER DISPOSAL: OR Private Septic E] Private Septic serving 2 dwelling units
F71 Holding Tank F] Community Septic or Public Sewer
5. SEPTIC TANK: 1-71 Steel FN Plastic 0 Concrete F] Fiberglass
Age <1 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS E] Bed R Deep Trench MR Wide Trench R Seepage Pit
Waiver request for:
Expedited review requested: El
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 $ 7 Waiver Fee $
Date of Payment A')
COSA # S
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