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HomeMy WebLinkAboutCANYON VIEW ESTATES BLK 1 LT 6CANYON VIEW ESTATES Lot 6 #021- 021- 39 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241340 PID Number: 021-021-39 Dwelling: RE Single Family (SF) El with ADU El Duplex (D) El Two Single Family Project: W New El Upgrade Name Hultquist Homes Inc. ABSORPTION FIELD ❑ Deep Trench El Wide Trench n Bed A Mound Site Address 13765 Canyon Road El Other Phone Number of Bedrooms Soil Rating depth from original grade 13 5.0 GPDISF JTotal +1.1 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +1.6 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Canyon View Estates 1 6 Fill added above original grade 4.7-5.0 Ft. Gravel length 25 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines na Distance between lines na Ft. SEPARATION DISTANCES To Septic Absorption Lift StationTank Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Line 125 Ft2 1 na Ft. Well 50'+ 50'+ 50'+ NA 25 + TANK El Septic El S.T.E.P. 171 Holding 1001 Other Manufacturer Anchorage Tank Capacity 1500 Gal. Surface Water 50'+ 50'+ 50'+ NA Material Number of compartments Lot Line 5'+ 10'+ 10'+ NA NA HDPE 2 Foundation 10'+ 10'+ 10'+ NA LIFT STATION Manufacturer Capacity Remarks Orenco 250 Gal. Alarm location House Electrical installed by Tesla Electric PIPE MATERIAL House to tank D3034 Tank to D3011A drainfield 34 Installer Hultquist Homes, Inc Drainfield D1785 CO/MT D3034 Inspector Pannone Engineering Services, LLC BENCH MARK (Assumed elevation) 100.0 ft ection 1�, 1/28/2025 Inspdates: �d 1/28/2025 Location and description 3rd 1/29/2025 2 — 41' 5/20/2025 See site plan, bottom sheathing @ A ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF Aljlk�� Conditional Approval: Date 4 9 TH rh Steven R. -'am araeSeptic System L ¢C E 8 14 9 Approved V Date Note: this approval does not include well permit requirement Rev 05/02/18) Lot 6, 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 6/24/2025 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: OSP 241340 Date of Issue 10/8/24 Parcel Identification Number: 02102139000 Legal Description Property Owner Name & Address Canyon View Estates BLK 1 LT 6 Hultquist Homes 13765 Canyon Rd. Anchorage, AK 99516 Pump Installation Date: 2/7/25 Pump Intake Depth Below Top of Well Casing: 291 feet Pump manufacturer’s Name: Grundfos Pump Model: 10SQE10-290 Pump Size: 1 hp Pitless Adapter Burial Depth: 11 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 Certified Drilling Log OWNER OF LAND: Hultquist Homes ADDRESS: 13765 Canyon Rd. Anchorage, AK 99516 LEGAL DESCRIPTION Canyon View Estates B1 L6 DATE: 1/15/25 PERMIT NUMBER: OSP241340 DATE OF ISSUE: 10/8/24 TAX IDENTIFICATION NUMBER 02102139000 Is well located at approved permit location: Yes No Method of Drilling: air rotary cable tool Depth of Well: 360’ Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 48 feet Liner type Static Water Level: 98 feet Recovery Rate 2 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: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: yes no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 Casing Stickup 2 4 Overburden 4 18 Silty Sand & Gravel w/ Some Clay 18 46 Tight Silty Sand & Gravel 46 93 Bedrock Hard Gray 93 105 Bedrock Fractured Olive 105 118 Bedrock Gray 118 124 Bedrock Olive 124 172 Bedrock Gray 172 179 Bedrock Dark Gray 179 320 Bedrock Gray 320 351 Bedrock w/ Sporadic Fractures 351 360 Bedrock Gray 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. PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) PROFILE SCALE: NTS PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) 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: OSP241340 Work Type: WellSeptic Initial Tax Code Number: 02102139000 Site Legal Address: CANYON VIEW ESTATES BLK 1 LT 6 G:3042 Site Mailing Address: 13765 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: 10/8/2024 10/8/2025 75044 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy © 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 CO--Orl 1�"5 ftuuuived- � SSue j -to /1 J Date: Issued By: Date: 3 MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 021-021-39 Property owner(s) Hultquist Homes Inc Mailing address 12570 Old Seward Hwy Anchorage, AK Site address NHN Canyon Road Day phone Legal description (Sub'd., Block & Lot) Canyon View Estates B1 L6 Legal description (Township, Range & Section) Lot Size - 75,044 —Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field Fx� Initial Fil Single Family (SF) nX (w/wo ADU) Septic Tank nx Upgrade F1 Duplex ❑ (D) Holding Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well nx Water Storage n 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: Waiver Fees: Date of Payment: Receipt Number: Permit No, Y 0 Permit App_'-'- : - :'-.,'c ; Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Canyon View Estates B1 L6 Private Well and Septic System Permit Request This is a design narrative for a permit to install an initial well and septic system on the subject property. The proposed installation will serve a proposed three (3) bedroom house. This lot and surrounding lots are served by private wells. Currently there are no wells within 100ft of the proposed installation. 1. Soils: A test hole was performed on this lot by Pannone Engineering Services, LLC on 10/03/2019, the test hole was extended on 10/06/2020. 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 on 05/27/2020 at a depth of 0.9’ BGS. Based on the results of the percolation test and overall soils appearance an application rate of 1.0 gpd/SF was used for the design of a conventional wastewater treatment system in the area of the test hole. 2. Soil Absorption System Design: 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. 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Z -E Y C'T�pAp rtN :� �paOry r IT gvf o O�A J mm -I ! dM�AlaO/ c7 A j _ / Aoabm / Hbrl,-, A�2�^arrx ®nab„Y�Yn� m m O0D>D -Di :012+'7 �r=> m 1 / 'a AOC Y2�2 0 mZ--1A Z D� �)O // / / / f < bey wy0am / ,,,...�. 2�Z'� ...L vpi iy / OOyN Any A';iQ6 DOOM /� r MA<D ` �/ nAk 02,b+7 �OOA� ,,)-a rn0 / �O�Z CSD f2rlA-I'OD Z ; 0;0 np^�2 A A2ay^F� Am -�t9r2+7 C rn Z* 0 i >'m v'zD Z;a / v / / rnn� x N b F�yA DZtmi m / byomH ��yo° czmg� zj 2 �1=m y _/ _/ o >Ln y� m NOTES: PANNONE ENG SVC LLC C.I. 1088) PHONE 90870 745-8200ALF�AX 90ER, AK79645-8201 """"`�7� ==��?�� of AC�s�iq'h,� 49 >t'% ;....•.. 's —n— %'�c: St... RCE-. 49 o' .01/09/2025. - REVISIONS DATE SCALE 02/20 4 1" = 60' P.I.D. NO 021-021— PERMIT N0. OSP241340 FOR CONSTRUCTION REV 1: 01/08/2025 CHANGE ORDER: CANYON VIEW ESTATES 31 L6 HULTQUIST HOMES SITE: 13765 CANYON ROAD REV 1: 01/09/2025 DRAWN ACP CHECKED SRP SHEET SITE PLAN ANCHORAGE AK '�;;� � 1 of 1 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241340, Deb Wockenfuss, 10/08/24 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 OSC251347 -1Parcel ID 021-021-39 Expiration Date: L - Legal description CANYON VIEW ESTATES BLK 1 LT 6 Site address 13765 CANYON RD Current property owner(s) HULTQUIST HOMES INC X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: 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 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 I.D. 021-021-39 Complete legal description Canyon View Estates 131 L6 Location (site address) 13765 Canyon View Rd Current property owner(s) Hultquist Homes 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: 0 Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: R Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass Age new - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: 0 AWWTS ❑ Bed ❑ Deep Trench Q 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 $ K Waiver Fee $ Date of Payment 6/Date of Payment COSA # �Ir 1.51 ?q% Waiver # COSA Applicalion_Apr2025.doc COSA Checklist Legal Description: Canyon View Estates B1 L6 Parcel ID: 021-021-39 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 01/15/25 Total depth 360 ft Cased to 48 ft R Sanitary seal is functioning correctly R Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 01 /15/25 Static water level at beginning of test 98 ft. Comments B. TANK DATA Measured operating fluid level in septic tank new Date of pumping na FO-1 Required maintenance completed, if AWWTS Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) 01/28/2025 R ALL standpipes present per record drawing Total measured depth from grade 3.9 ft (max) Measured depth to pipe invert from grade ft (min) ❑Q N/A — pressurized field. R Per record drawings, field is insulated. R 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) none If yes, enter date Comments/Deficiencies: Well production at time of test 2 gpm Water storage tank volume none gallons Well disinfected for coliform test? Q Yes ❑ No A-1 Coliform bacteria is Negative , Nitrate 1.85 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L W Arsenic less than MRL (ND) Collected by Sullivan Water Wells Date 2/7/25 C. LIFT STATION 0 Required maintenance completed Age of lift station new years Lift station material HDPE Comments: Adequacy test date 01/28//2025 Results F/I Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 Effective depth used 0 in Effective depth remaining 6 in in COSA Checklist_May2025.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100' Yes if No 61.3* ft Neighboring Tank > 100' 0 Yes if No ft Disposal Field on Lot > 100' ❑ Yes if No 91.8* ft Neighboring Disposal Fields > 100' 0 Yes if No ft Sewer Line/Main > 100' Q Yes if No ft Sewer Manhole/Cleanout > 100' ✓M Yes if No Sewer Service/Septic Line > 260 Yes if No Holding Tank > 100' Q✓ Yes if No Animal Containment > 50' F,(] Yes if No Manure/Animal Excreta Storage > 100' rorl Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10' M Yes if No ft Surface Water > 100' Z Yes if No Field to Foundation > 10' 0 Yes Tank to Property Line > 5' Q✓ Yes Field to Property Line > 10' Yes Water Main/Service Line > 10' 0 Yes F. ENGINEER'S COMMENTS *AWWTS if No ft Wells on Adjacent Lots: if No ft Wells > 100' if No ft if No ft Community Wells > 200' M Yes if No Yes if No If tank or field is under driveway comment below G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER ft ft ft ft ft ft ft ft 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 OF q regulations. The reported results describe the performance of the system under the .� ��`��� <S' conditions encountered at the time of the test, and separation distances measured to q? -- •`.--V �1 readily identifiable features. The operational life of all wells and septic systems depend: 49 TH on the local soil condition, ground water levels that may fluctuate during the years, and 0 ' • ' • the water usage of the people served by the system. These conditions are outside the • �w Steven ;R. Pannane control of the evaluator of this system. All systems eventually fail, and satisfactory test CE 81 a9 results do not guarantee future performance if the system, nor do they guarantee that o%(12o2-s there are no hidden defects of encroachments. Therefore, we cannot provide any warranty of future performance, nor can we estimate the remaining life of the system. �01®®0®•�®� The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services, LLC. Engineer's Printed Name Steven R. Pannone Phone (907)745-8200 Date 08/06/2025 COSA Checklist_May2025.docx MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this� Day of �� ( of 20�, by and between /c7' £c:i�J , 1%l z` 11 , herei the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 1500 g Advantex with AX-20 pod located at (legal description) Canyon View Estates B1 L$ 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). �-' Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. kIv/�/ Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. �t2 Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing g� guidelines for the construction, maintenance and repair of the Owner's AWWTS. !" Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: (signature) Date:`' (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument z�%,,as acknowledged before me thisla day of 20[, by �NOTARY PUBLIC FOR 1SKA RAYMOND CALOPEZ Notary Public y Commission expires: 'G' _ state of Alaska /✓ My Commission Expires Apr 4, 2Q24 MUNICIPALITY�) BY __ (signature) d (print name) (rev. 05/18/2018) Date: U- Title: C 1 V1 Page 3 of 3