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HomeMy WebLinkAboutGLENN VIEW ESTATES NORTH BLK 2 LT 9Glenn View
Estates North
Block 2
Lot 9
#051-811-53
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181066 PID Number: 051-811-53
Dwelling: Z Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade
Name:
BRUCE & CAROL ENSIGN ABSORPTION FIELD
Address ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound
22553 WHISPERING BIRCH, CHUGIAK, AK ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
4 0.6 GPD/SF 2.8 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 0.8 Ft. 2 Ft.
GLENN VIEW EST. NORTH 2 9 Fill added above original grade Gravel length
Township Range Section Varies 1 .91 - 2.66 Ft. 140 Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES 5 Ft. -- -- Ft.
Holding Sewer
Tank Field Tank Line Total absorption area Number of trenches Dist. between trenches
To Septic Absorption• Lift Station
From 1000 Ft2 2 6'+ Ft.
Well -- 200'+ -- NA NA TANK N Septic N S.T.E.P. ❑ Holding ❑ Other
Manufacturer Capacity
Surface Water -- 100'+ -- NA EXISTING 1500 Gal.
Material Number of compartments
Lot Line -- 10'+ -- NA 2
NA
Foundation -- 10'+ -- NA LIFT STATION
Manufacturer Capacity
Curtain Drain NA *50'+ NA NA EXISTING 1500 Gal.
Remarks *None known. Pump on level at Pump off level at High water alarm at
Field insulated in. in. in.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank 3034 Tank to 3034
Installer Northern Excavation
drainfield
Drainfield 3034 CO/MT 3034
Inspector ARCTERRA BENCH MARK (Assumed elevation) 100 ft
Inspection 1s'5/10/18 ° 5/11/18 Location and description
dates: 2r'
3r° 5/12/18 4"' Bottom of Siding
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin
OF Ai. \
Conditional Approval: Date �"�,`S�' `4� '
1 r� [-
-- - ----- ---- - / ,lH
49 iii
4` Aar :A
KENT a
�� 7i c.? Al
i
Approve. _ 1,••,, —of, Date S 1� \,ift/ �N�'��
\1...`-4.--'
eer's Stamp
Inspection Report_9-1-12.doc
AS-BUILT SYSTEM DETAILS/SITE PLAN Permit❑SP181066
GLENN VIEW EST. NORTH BLOCK 2, LOT 9 PID# 051-811-53
CONNECTED TO
EXISTING STEP
EXISTING 4
BDRM HOUSE A TH03-1
r.
`� FC•
,
/ 4kItN).
1
Mira r-
'
• .-..:. , �,H03-2
N/F, B MT
EXI 1 ING 1500 •• D p I NFiv \`MT
GAL ..T.E.P. TANK F/�
C
M �F-{",ISj? X yFS
• '►p* E
>'41 ,..4444
MT
zLI ` Sy
` srFM
S
Q s
2
SCALE: 1' = 30'
w A—C=29.0' w 103.5'
cn
m MONI TUBE MONITOR TUBE.
B—C=45.5' 220
R CL s^ FINAL GRADE X100.9
o A—D=33.5' x - �103.5�
INSIIATIEM
I DZmuL GRABcN B—D=38.0' w FILTER FABRIC
VARIESo
A—E=96.0' oy ,EXISTINGo C100,1 1001 Ta 1500—GALQ B-E=107.0'
m STEP SEWER ROCK
A—F=101.0' az
o
z B—F=105.0' C-98.12) TRENCH 1
�8.12�_ I
570'
Z [-MONITOR TUBE MUTER TUBE- �l
�103.7� FINAL GRADE 103.6 101.7
Oa SCALES NTS IMILATIGNI oRIGnuL GRADE
a FILTER FABRICS / v . x
J \ 1
Q9
1.3 al C100.9e) C100.9 )'''''''' T
SEWER ROCK
env
I
o
C98.9V TRENCH 2 98 9 C92.12�
P
\� C86 .42� .a
w .14401,
h �•L+ \ I 70' SCALE: NTS
�Di' Alir.Ar <S, - • • Az`1.6 PREPARED FOR: RC ER DD
4S: .. 1 BRUCE & CAROL ENSIGN ti �•
o / . .•.if # 22553 WHISPERING BIRCH DRIVE ° °��,
* 19TH �� 1k CHUGIAK, AK 99567
; y - � 0
2 V • KE •-.7-7-.E,„ks.,. • / FIELD BOOKS CDYPUIED: r I iifililk
• -71 8 . �,wa BOUNDARY:LANG ORAwN: BMW I a �`u 1 '. — S STAKING: CNEGCED: r
C
Adsr
\ FESSIO��' AseulLr: KGL DATE 5/12/18 <"�c � 411
�``_ DWG. FILE: GRID: NW1161 `'sh.%`VSULTING , l e t9��,
j ACAD ALE: JOB No.: 18142 �"' AK.99577—
N,"°""„ MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program S
a..� PO Box 196650 4700 Elmore Road • /.
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 „V
http://www.muni.orgionsite
\ kIILi
,i
_ i�l'l7ill't1llt'Itl
4^.<:;,-;;R-1:0-
On-Site
On-Site Wastewater Disposal System Permit
Permit Number: OSP181066 Effective Date: 5/1/2018
Work Type: Septic Upgrade Expiration Date: 5/1/2019
Tax Code Number: 05181153000
Site Legal Address: GLENN VIEW ESTATES NORTH BLK 2 LT 9 G:1560
Site Mailing Address: 22553 WHISPERING BIRCH DR, Chugiak
Owner: ENSIGN BRUCE G & CAROL A Lot Size in Sq Ft: 43912
Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 4
This permit is for the construction of:
0 Disposal Field ❑ Septic Tank 0 Holding Tank 0 Privy 0 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
//1/
Received By: Date: qt/O.
/
Issued By: /611'' N Date: --6--X /E3'
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
Parcel I.D.
051-811-53
BRUCE & CAROL ENSIGN 688-2251
Property owner(s) Day phone
Mailing address
22553 WHISPERING BIRCH DRIVE, CHUGIAK, AK 99567
Site address
22553 WHISPERING BIRCH DRIVE, CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) GLENN VIEW ESTATES NORTH B2, L9
Legal description (Township, Range & Section)
Lot Size 43,912 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field JA Initial Single Family (SF) L1
�, (w/wo ADU)
Septic Tank I Upgrade Duplex (D) n
Holding Tank Renewal Multiple Dwellings
Privy I I (SF and/or D)
Private Well I I
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.
1_-
(Signature of rty owner or authorized agent)
Permit/Rush Fees: ILA Waiver Fees:
Date of Payment: LI13O/I Date of Payment:
Receipt Number: Qu Lin Receipt Number:
Permit No. (jSP13/O(0 Waiver No.
Permit App_9-1-12.doc
ge CRA
04
I ARC TERRA
CONSULTING, INC
.„4 SULT ING 99577
•6,6' 212 E.51st Ave,Anchorage,AK.99503
” Office(907)868-3791,Fax(907)868-3793
April 27, 2018
Municipality of Anchorage
Development Services Department
On-Site Water& Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Upgrade Sewer Permit—Glenn View Estates North B2, L9
It has been determined that the absorption field of the subject property is
saturated. Subsequently, the owner has requested we proceed forward to obtain
a septic permit to upgrade and install the reserve fields.
The general slope of this lot is from southwest to northeast at a grade of
approximately 5-10% over the septic area. Existing testhole data is in the MOA
records. The proposed upgrade will serve the existing 4-bedroom single-family
residence. We propose to install a pressurized shallow trench with valves within
STEP to serve the original trenches and this upgrade.
The property and adjacent lots are served by public water. There is no surface
water within 100' of the proposed system and there are no known curtain drains
within 50'. We do not expect there to be any adverse effect on adjacent lots by the
development of this system. If you have any questions, please contact me at 868-
3791 / FAX 868-3793.
Respectfully submitted,
ArcTerra Consulting, Inc.
Kenneth M. Duf E.
Attachments: On-Site Sewer Application
Wastewater Absorption System Details/Site Plan
20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793
WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN
GLENN VIEW EST. NORTH BLOCK 2, LOT 9
CONNECT TO °\°
10 EXISTING STEP ,-,,
EXISTING 4 N,
BDRM HOUSE TH03-1 TRENCHES ARE 50' +
FROM SLOPES >25%
FCO
jN•
cxo be` ��
T T. STq<4 R `ti THO3-2
EXI 1 ING 1500 • �� Oo
GAL ..T.E.P. TANK \° FSy ,-, ��
M • kIS h V STEM lCc) S
•M
j, �o\°$s,ole
Z S MT
`y
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• itan2S3s� ,
• M:74 I
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MT c.
0
al
0
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15 DESIGN DETAILS
N 4 BDRM X 150 GPD = 600 GPD
600 GPD/.6 GPD PER SQ. FT. = 1000 SQ. FT
m (1000 / 5' (W) x 0.7 RF (2' GRAVEL) = 140 FT. TRENCH
USE 2 TRENCHES - 70' (L) X 5' (W) X 2' (ED)
Total depth of system is max from original grade.
z Total depth of gravel below distribution pipe is 2' ,
2.t'
= NOTES:
NO PUBLIC WELLS WITHIN 200' OF
1, CONNECT TO EXISTING 1500 GAL STEP & INSULATE TANK IF <4' COVER.
a PROPOSED SYSTEM. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL.
0 NO PRIVATE WELLS WITHIN 200' OF MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ.
PROPOSED SYSTEM EXCEPT AS NOTED.
,, NO SEPTIC SYSTEMS WITHIN 200' OF 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK.
m PROPOSED WELL EXCEPT AS NOTED. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
v
tz
WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC...
__ Scale: 1'= 30'
N ' �i' ��\ PAGE 1 OF 2
.a
7,1 /��. • . .4,� t PREPARED FOR: CTE D D
W or • 1 BRUCE & CAROL ENSIGN �g l�lCq �,
�' -'� "7 22553 WHISPERING BIRCH DRIVE �1 °��,
* A • TH * Y CHUGIAK, AK 99567 \ �,
�n 907-688-2251
` � %�1� j
;4°1011dII w° • KENNETH Di S FIELD BOOKS COMPUTED: sx
L <
CE '�' •• 4/ BOUNDARY:LANG DRAWN: BMW `=��.. y a7 �S. �� STAKING: NA CHECKED: KMD `%• `''ti�,n'
N FES 00' _ ASBUILT: NA DATE: 4/27/18 .t �c \ 0�
\ DWG.FILE GRID: C C' A, 11
E � � NW1560 F o� t� �
Ri S l
j ` ACAD FILE: JOB No.: 18142 ��''' K.99577-':5 6
WASTEWATER DISP❑SAL SYSTEM DETAILS
GLENN VIEW EST. NORTH BLOCK 2, LOT 9
tiro
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• n
wig
0
0.
iv
N S 80'47.45..E
397.23•
c,, :
olNo• Fk1x'yq� LOT 9
m �N�w`OG
Z 11 4�R °H
m J. NF CONNECT
STTEP ti�
` F.I-� EXISTING 4 , '�
�,l,C BDRM HOUSE TH03.1 ENCHES ARE SO'+
FFRROM SLOPES>25%
c O� FG
aci F
o
a, � NSTq(( � ~ TH03-2
o EXI NG 15.* �;�'•FR` �1
p. GAL•.TE.P.TANK ` FS �'1
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rn \ S titin
5
N
Y
v
0
03
FLAG PROPERTY LINES
w AREA SERVED BY
& EASEMENTS
5 PRIOR TO CONSTRUCTI❑N PUBLIC WATER
z
w
J
oO
P
PRESSURIZED DISTRIBUTION SYSTEM HOLE SPACING DESIGN
c-' Scale: 1'= 60' 1. RESIDUAL HEAD = 5'
177 PAGE 2 OF 2 2. HOLE SIZE = 3/16' = 1.00 GAL. PER HOLE @ 30 PSI
3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES
U
4. 140 LF LATERAL/30 HOLES = 4.6' SPACING PER HOLE
__�� 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS.
43
/ (��. �F• <Q,\1 PREPARED FOR: CTE D
ti ,A -..i,--- I BRUCE & CAROL ENSIGN oti �g R� scfi o /*•I,.. TH 1� * 22553 WHISPERING BIRCH DRIVEb �'CHUGIAK, AK 99567
/ / 907-688-2251 a�o / �+', I A rnL KENNETH S FIELD BOOKS COMPUTED: cii ilit8
x a
N ` '• CE- I
it.: I BOUNDARY:LANG DRAWN: BMW z
1 r. I/ A 7var STAKING NA (HE0®: KMD moo,1 `t� •
FESSIO11A' ASBUILT: NA DATE. 4/27/18 �. .~,�..-. \V 06�/
E _� DWG. FILE GRID' N W1 560 (F C'0 IN icis0
Z \�� ACRD FILE: INo.: R�1,FR S TING ,dye l
18142 • AI(99577-
Oft
Municipality of Anchorage ••" '•
Development Services Department `f
Building Safety Division
-" On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650 Page of
www.ci.anchorage.ok.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW030379
PID Number: _ 051-811-53
Name: Troy Davis Homes- Inc.Wastewater
System: ® New ❑Upgrade
Address:
1451 E.Parks Hwy. Ste.207—Wasilla,
AK
ABSORPTION FIELD
Phone:
Number of Bedrooms:
to Deep Trench ® Shallow Trench O Bed 0 Mound 13 Other.
LEGAL DESCRIPTION
Soil Raring:
Total Depth from original grade:
0.6 GPD/FP
3.0 Ft.
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
2 9 Glenn View
Estates North
1.0 Ft.
2.0
FL
Township: Range:
Section:
FIG added above original grade:
Gravel Length:
1.17-2.43 Ft.
140 Ff.
WellGravel
El New ❑ Upgrade
width:
Number of knee:
Distance between Anes:
5.0 Ft.
2
10 Ft.
Classification (Private, A. B. C):
Total Depth:
Cased W:
Total absorption area.Pipe
Material:
Public
Ff.
Ft
1000 Fe I
D3034
Driller.
Dale Drilled:
Static Water Level:
Installer.
Date Installed;
Ft
Mike Cur I
11/05/03
Yield:
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Ff.
FI
SEPARATION DISTANCES
® Septic ❑ Holding ® S.T.E.P. ❑ Other:
7o
Septic
Absorption
Lift
Holding
PublicfPrivat
ariv arAur•r.
apace y.
From
Tank
Field
Station
Tank
Sewer Line
Anchorage Tank
1500 Get.
well
200'+
200'+
NA
NA
2$'+
Material.
Number of Compartments:
Steel
2
Surface Water
100'+
100'+
NA
LIFT STATION
Lot Line
5'+
10'+
NA
FNA
Size.
1500
dnedC r Orenco
Gal
Foundation44"
5'+
10'+
NA
'Pomp er level aL
'Pump olr level at.
High water alarm al.
in.
42" in.
48" in.
Curtain Drain
NA
*50'+
NA
NA
Pump Make It Model
Electrical Inspections performed by:
Franklin 2445
0117 Rising Son
Remarks:
*none known
BENCH MARK
Location and Description;
Field insulated
Top of deck
Assumed Elevation:
100 Ft.
En n�`Stamp
F gC'As�'
Inspections performed by: KND Engineering.
nc.
IDates: 1St 1 1 /5/20
Joe ••••• •••• •• '•
2nd 11 /6/03 f
/ �:• ••Kenneth M. Dui r� j
�j
DevelopIn Services Department Approval
J, :• CE 7116 •:
Reviewed and approved by.
Date: I1 7 0
,�A9FOa•"••••••'•••�.�`��'�
(Rev. 12100)
� ROFESSIR.
Oft
AS—BUILT SYSTEM DETAILS/SITE PLAN Permit SW030379
GLENN VIEW EST. NORTH BLOCK 2, LOT 9 PID#051-811-53
I o
n s aaar45.E
t �
397,23'
LOT 9
A—C= 21.0'
H 9a.6a
B -C= 20.0''
=, o, acAart
A—D= 25.0'
FS iFql
B—D= 23.5'
o
A—E= 26.0'
N 1500 GA
B—E=36.5'
NN S.T.E.P.
A—F= 91.3' TANK
B—F= 95.9' 9a.5
A—G= 25.0'
B—G= 52.5'
A—H= 88.6' SCALE, NTS
B—H= 99.5'
70.0•
TUBE
FINAL GRADE
SEWER ROCK
TRENCH 2
70.8'
PREPARED FOR:
TROY DAVIS HOMES INC.
1451 E. Parks Hwy. Ste. 207
Wasilla, AK 99687
907-357-9394
FIELD BOOKS COMPUTED:
BOUNDARY. AN DRAW V
Br
STAKING: NA CHECKED: KMD
ASSUILT: NA DATE: 9/3/C
Owa EAE: GRID: _
ACAD i4E: 03029.DWG '10B "° 03029
TUBE
SCALE, NTS
/ZI
.7
1�AV LW ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-6111
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1
Nov 25 03 10:37a
Rising Son Electric Inc.
Troy Davis Homes
$07 622 6777
v
907 357 9395
11125,'03 11a30A P.001
%l`;I ..'P Rising Son E-1ectric. Inc.
`\ V(/`/co1
14Q16 dlanci Drive
•` .�� r `fit C-agle River. AI< 99577
i (907) 622-6777
November 24, 2003
Troy Davis Homes
1451 E. Parks Hwy - Ste. 9207
Wasilla, AK 99654
FAX #(907) 357-9395
Re: Lot 9 B2 Glenview North
To Whom It May Concern:
The lift station at the above referenced property has been wired in accordance with NEC
and State/Local codes.
Thank you.
Sincerely,
Kevin S. Hombuckle, Owner
Administration License Number 1284
Specialty Contractor License Number 27285
,�yrc�•� o-.��-03 C �': bra-�-� ��i�.�u.�x.�-�...
P.2
V
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW030379
Legal Description: Glenn View Estates North Block 2 Lot 9
Design Engineer: 0070 KND Engineering
Owner Name: Troy Davis Homes, Inc.
101u 103 - L� (-A,Yr
1U](01d5-sPr`r'
Date Issued: Sep 15, 2003
Expiration Date: Sep 14, 2004
Parcel ID: 051-811-53
Site Address: 22553 Whispering Birch Drive
Lot Size: 43912 SQ. FT.
Owner Address: 1451 E. Parks Hwy Suite 207 Total Bedrooms: 4 Permit Bedrooms: 4
Wasilla , AK 99687 -
This permit is for the construction of:
❑✓ Disposal Field E✓ Septic Tank ❑ Holding Tank Privy ❑ Private Well Water Storage
All construction must 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received B
Issued B
y: Date: / l U3
r Date: S 03
Municipality of Anchorage
i' •- �ti Development Services Department
Building Safety Division��
On -Site Water and Wastewater Program -
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. f�s � —"� 1 k— V 3 Permit NumberSWO3037 7
Property owner(s) TROY DAMS HoMEs- INC Day phone 357-glg4
Mailing address (1) 1451 E PARKS HWY, SUITE 207, �t"lA�ILLA, AK 99687
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) GLENN VIEW FST NORTH,", L9
Legal description (Section, Township & Range) 7 7 17Q r j1. w -r
Lot Size u 3i ©I 1 Z, Acre q.Ft. Number of Bedrooms _4
THIS APPLICATION IS FOR:
Sewer Only ® Well Only
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi F
Swimming Pool ❑ Water Softening Unit El
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
property owner or authorized agent)
Permit Fees:�yqp!) Waiver Fees:
Date of Payment: III/ 03 Date of Payment:
Receipt Number: e Receipt Number:
(Rev. 12/00)
KND ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11/FAX (907)696-8111
September 3, 2003
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New sewer permit — Glenn View Estates North, Block 2, Lot 9
Gentlemen:
The owner has requested we proceed forward to obtain a septic permit on the subject
lot. On July 31, 2003 two testholes were performed for the proposed system. The
results of these tests ,are attached. The general slope.of the proposed septic system
location on the lot is from east to west at a grade of approximately 8-13%..
We have designed our system utilizing the existing testholes that were excavated for
the proposed 4 -bedroom house. The lot will be served by public water. We propose to
install two 5' wide shallow trenches. Water was not encountered during the excavation
and observed at 107& 8.8' during monitoring.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
ItiHD Engineering, Inc.
Kenneth M. Duff s, E.
Attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
Owners/Excavators Specs
WELL &
K..D
WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA
GLENN VIEW EST. NORTH BLOCK 2, LOT 9
NO PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOTEM
NO SEPTIC SYSTEMS WITHIN 200' OF
PROPOSED WELL EXCEPT AS NOTED.
OF ALS\,
g1H
KENNET D /
1 N"
` %FESSI�NAw
DESIGN DETAILS
4 BDRM X 150 GPD = 600 GPD
600 GPD/0.6 GPD PER SQ. FT. (10 MIN/IN,)= 1000 SQ. FT
(1000/5'(W)) X .7(RF) (2.0' GRAVEL) = 140 FT. TRENCH
USE 2 TRENCHES - 70 (L) X 5' (W) X 2.0'(D)
Total depth of system Is 3,0' from original grade.
Total depth of gravel below distribution pipe is 2.0' .
PRESSURIZED DISTRIBUTI❑N SYSTEM HOLE SPACING DESIGN
1. RESIDUAL HEAD = 5'
2. HOLE SIZE = 3/16' = 1.00 GAL. PER HOLE 2 30 PSI
3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES
4. 140 LF LATERAL/30 HOLES = 4.67' SPACING PER HOLE
5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS.
NOTES,
1. USE 1500 GAL S.T.E.P. TANK, INSULATE IF <4' OF COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
PREPARED FOR,
TROY DAVIS HOMES INC.
1451 E. Parks Hwy. Suite 207
Wasilla, AK 99687
907-357-9394
FIELD BOOKS
BOUNDARY: LANG
STAKING: NA
ASBMT: N A
Dwc. rnr--
ACAD nE: 03029
COMPUTED:
DRAM;
CHECKED:
OATE:
CRID:
Scale, 1'= 100'
PAGE 1 OF 2
ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
JOB N": 03029 1 (907)696-611
111
RO
Si,
WASTEWATER DISPOSAL SYSTEM DETAILS
GLENN VIEW EST, NORTH BLOCK 2, LOT 9
EXISTING 4
BDRM HOUSE 5•
PROPOSED 1500 -
GAL S.T.E.P. TANK
FLAG EASEMENT P
TO CONSTRUCTION
Aft
/49,H*...'*�
• 1�NNETH 1I. DUFFIIS /
CE -7116 w�
�FESSID�1'V �
S 80'4 7'45 "E
LOT 9/,
397-232
vQ� �
OXIMATE TOP OF SLOPE
RECONTOUR TO<25%
PREPARED FORS
TROY DAVIS HOMES INC.
1451 E. Parks Hwy. Suite 207
Wasilla, AK 99687
907-357-9394
FlELD BOOKS COMPUTED:
BOUNOARr. LANG DRAW vRG
STAaNG: NA CHECKED: KMD
ASSULT: NA DATE: 9/3/03
Dwa. P E: GRID: NWi 161
"C"D PLI: 03029.DWG me N°` 03029
Scale; 1'= 30'
PAGE 2 OF 2
LtLVI LJ ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
WASTEWATER DISPOSAL SYSTEM DETAILS
GLENN VIEW EST. NORTH BLOCK 2, LOT 9
S 80'47'45"E
397.23'
KN° � LOT 9
APPROXIMATE TOP OF SLOPE
FILL/RECONTOUR TO<25%
EXISTING 4
BDRM HOUSE 5' TH03-1
FC >y
A,QO
0 s
AF _ ��_� .ZZ
s,.
FLAG EASEMENT P
TO CONSTRUCTION
"���\
9F 4s 1 PREPARED FOR:
TROY DAVIS HOMES INC.
V.#KiE
1451 E. Parks Hwy. Suite 207
Wasilla, AK 99687
............. ....J..._ 907-357-9394..... _/FlELD BOOKS couRuTm:
u. S
�j CE -711 o4 eou"DARr. LANG DRAWN: vBG
• ♦} AV sTAmc;: NA CHECKED: KMD
1 ``u / ASSULT: NA DAT[ 9/3/03
DWG. FILE.' ": NW1161
ACADn1E:03029.DWG ""°` 03029
Scale= 1'= 30'
PAGE 2 OF 2
UM B ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
6-6111/FAX (907)696-8111
KND ENGINEERING, INC. �";•' �••.9 fl
20441 PTARMIGAN BLVD.*
EAGLE RIVER, AK 99577-8736 •••�������� �.
Kenneth M. l.Un
CE 7116 iii
SOILS PERCOLATION TEST �f 9Fo ••..,..,,..� 'o
de, "
\\ pROFESSION��
Performed for: Troy Davis Homes Date Performed: 7/31/0
Project: Glenn View Est. North Block 2, Lot 9 TEST HOLE # 03-1
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Depth
(Feet)
Org/SM — brown, sandy gravelly
silt w/organics
GM/SM — med dense gray
w/cobbles & boulders
GM/SM - tight, gray
w/cobbles & boulders
B.O.H.(hard)
HOLE PRESOAKED
PRIOR TO TEST
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? 107 Date? 8/6/03
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
7/31/03
1:00
-
6"
-
2
1:10
10 min
313/16"
23/16"
3
1:11
-
6"
-
4
1:21
10 min
312/16"
24/16"
5
"
1:22
-
6"
-
6
1:32
10 min
314/16"
22/16"
7
1:33
-
6"
-
8
1:43
10 min
314/16"
22/16"
9
1:44
-
6"
-
10
1:54
10 min
314/16"
22/16"
11
"
1:55
-
6"
-
12
2:05
10 min
314/16"
22/16"
"
Water
Added
Percolation Rate 4.71 (min/ in) Perc Hole Diameter 6„
Test Run Between 3 feet and 4 feet
1, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
Go
KND ENGINEERING, INC. �i ; 0 �l
/r4 L =*�I
20441 PTARMIGAN BLVD. �• •••• • •.•«.......« .:...
EAGLE RIVER, AK 99577-8736
Kenneth M. G tQ f
,, �'�• Cc 7116
SOILS PERCOLATION TEST ,t���\\p-**go
Performed for: Troy Davis Homes Date Performed: 7/31 /03
Project: Glenn View Est. North Block 2, Lot 9 TEST HOLE # 03-2
1-
2-
3-
4-
5-
6-
7-
8-
9-
1G-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Depth
(Feet)
Org/SM — brown, sandy gravelly
silt w/organics
GM/SM — med dense gray
w/cobbles & boulders
GM/SM - tight, gray
w/cobbles & boulders
B.O.H.(hard)
HOLE PRESOAKED
PRIOR TO TEST
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? 8.8' Date? 8/6/03
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
7/31/03
1:00
-
6"
-
2
1:10
10 min
4"
2"
3
*
1:11
-
6'
-
4
1:21
10 min
4 8/16"
18/16"
5
"
1:22
-
6"
-
6
1:32
10 min
413/16"
13/16"
7
1:33
-
6"
-
8
1:43
10 min
5"
1"
9
"
1:44
-
6"
-
10
1:54
10 min
5"
1"
11
1:55
-
6"
-
12
2:05
10 min
5"
1"
•
Water
Added
Percolation Rate 10 (min/in) Perc Hole Diameter 6„
Test Run Between 3 feet and 4 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
KND ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
696-6111/FAX (907) 696-8111
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS
LEGAL DESCRIPTION: , Glenn View Estates North, Block 2, Lot 9
GENERAL:
1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a
single-family residence on the referenced property as delineated on the attached Municipality of
Anchorage (MOA) permit and site plan.
2. Construction shall be in accordance with the approved site plan and design drawings; MOA
permit with any special provisions or conditions, and all applicable State and Municipal
Wastewater Disposal Regulations.
3. KND Engineering, Inc (KND) assumes no responsibility of the accuracy of the as -built survey
.. provided by. the owner or owner's representative. _..
4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the
design plans or drawings prior to commencing work. These discrepancies could be, but not
limited to, possible encroachments, surface water, varying soils, unplatted easements, types or
use of dwellings on or adjacent to property, nearby public wells, etc.
5. The contractor shall be responsible for locating any necessary underground utilities, easements,
property lines and surface water. The owner and/or contractor shall ensure, if deemed
appropriate, that a registered land surveyor prior to construction flags all setbacks.
6. The contractor shall be responsible for verifying all pertinent separation distances and
component layout.
7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading
areas subsequently depressed from soil settling. On all leachfield mound systems, the property
owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded
area.
8. The MOA Development Services Department On -Site Water & Wastewater Program must
certify contractors installing wastewater disposal systems. Owners installing their own systems
must also receive prior approval from said MOA Department.
SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall
include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent
damaging, settling or shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade.
4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will
ensure that the fill over the tank does not exceed the burial depth rating.
5. A foundation cleanout shall be installed one to four feet from the building foundation. In the
line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent
pumping system exists within the septic tank). These cleanouts shall be located on undisturbed
soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward
the septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from the septic
tank.
Page 1 of 3
Reference: GVN Est. N., B2, L9
Date: 09/03/03
Page: 2 of 3
7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank
extending to the bottom of the tank to above grade to monitor ground water.
8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy
forces in high -groundwater areas.
9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence.
10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA
guidelines.
11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform
Plumbing Code. The contractor is solely responsible for the abandonment procedure.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared,
they must be raked or scratched (roughed -up) before gravel (sewer rock) placement.
2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations
facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum
of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure
the silt barrier covers the entire gravel surface before placing backfill.
4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion of the
monitoring tube extending through the gravel shall be perforated from the bottom of the trench
to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as
noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be
installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the
trench must be mounded to prevent the formation of a depression after settling.
6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent
Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per
manufacturer's specifications and MOA requirements.
MINIMUM MATERIAL SPECIFICATIONS:
1. A MOA approved septic tank manufacturer must construct any septic tank proposed for
installation.
2. The following pipe materials are MOA approved for use in septic system installations:
Type of Pip Perforate EMU
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company
Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between
the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing
the #200 sieve. If deemed necessary, a sieve analysis should be performed.
7. When sand is being used as a filter material, its gradation specification must conform to current
MOA or DEC requirements.
Reference: GVN Est. N., B2, L9
Date: 09/03/03
Page: 3 of 3
INSPECTIONS:
Typically there will be three (3) inspections required during the installation of the wastewater
disposal system. These inspections will occur as follows:
1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds
and before the installation of any gravel. A septic tank may be set in place, but may not be
backfilled before this inspection.
2. The second inspection must be conducted after the placement of the sewer rock, distribution
lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any
other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required, especially with the installation of multiple
trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted
at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take
place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's
activities.
The owner shall contract with the contractor to perform the work outlined in these specifications and
attached plans and in accordance with the attached MOA permit. All materials, components, and
construction practices shall comply with the MOA's and the State of Alaska's latest ordinances,
regulations, or policies regarding wells and septic systems. The failure of the'inspecting engineer to
notice a material or construction non-compliance does not relieve the contractor of his/her
responsibility to correct such deficiency. There will be no contractual arrangement existing between
the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the
work as stated above to document the contractor's activities. Final acceptance of the contractor's work
rests with the owner and the MOA.
KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other
persons performing work on this project or the failure of the contractor to carry out the work in
accordance with these construction documents. KND's inspecting engineer will not be responsible for
the construction means, methods, and techniques, sequence, procedures or the safety precautions
incident to this project.
BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR
WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER
ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS.
Owner:
Contractor:
PRIOR TO CONSTRUCTION, THE T&E EASEMENT SHALL BE
MARKED.
Municipality of
Anchorage,
Development Servic6s Department
• Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
T V
:P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904'
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To.
KNO ENGINEERING
Legal description: GLENN VIEWESTATESNORTH BLOCK 2 LOT: 9
The attached paperwork has b6en'reviowed and Is being returned for the following reasons:
E3 ;Original signature or stamp missing on
[3 Calculation'erroIr In de� sign.
❑ Additional soils lnformation:ne6ded.
❑ Water monitoring results inadequate.
El Discrepancy in information submitted.
[:1 ;Topographic information missing or Inadequate.
0;Incomplete;1 missing
13 ;Incomplete; missing
13 'Additional adequacy test information needed.''
❑ Water sample unacceptable. i i
[3 Measured/proposed distanc:es/dimensions' missing.
13 Locations of all soils, percolation and water monitoring tests not shown.�:
1:1 Proposed system too deep for soils Information submitted.
[I Well log required.
0 Omission in narrative.,
0; Insufficient fill over'tank or field'
Other. PlEASE-INDICATE ON THE DESIGN SITE PLAN THAT FILL WILL BE PLACED
SO AS TO CREATE A c25%1SLOPE !A MINIMUM OF 35 FEET DOWN GRADIENT OF THE 1
RESERVE SITE TO THE' 01)OFTHE SLOPE
,l
Narne'of reviewer: QAC) Date: 9/15/03
Please supply the necessary information and re -submit your request
LEAVE THIS FORM A TTA CHED: TO THE PAPERWORK
vID 89 7p17 •
fe
°,1#11c. Municipality of Anchora 4,41K4i%
On-Site Water and Wastewater Programa MAY 14 [.O18
(907) 343-7904 li t r Y
�6 ti
CERTIFICATE OF ON-SITE SYSTEMS AN. - •VAL hcv
0168L9o'
Parcel I.D. 051-811-53 Expiration Date: (
1. GENERAL INFORMATION
Complete legal description GLENN VIEW ESTATES NORTH BLOCK 2, LOT 9
Location (site address) 22553 WHISPERING BIRCH DRIVE, CHUGIAK,AK 99567
Current Property owner(s) BRUCE&CAROL ENSIGN Day phone
Mailing address 22553 WHISPERING BIRCH DRIVE,CHUGIAK, AK 99567
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY: Individual El
Individual Well ❑ Holding Tank ❑
Individual Water Storage ❑ Community ❑
Community Class Well ❑ Public Sewer ❑
Public Water System
WaiverNariance request for: Distance:
Received by: < 7 —�- Date: 5/4//F/
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ 403.56 Waiver Fee $
Date of Payment 5/lLl/l? Date of Payment
Receipt Number 0(1347-1) Receipt Number
COSA# 3OC/43043 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.
Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER,AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 5/12/2018
THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED
WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with
ADEC and MOA regulations. 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 inland use,
local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the
system. 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, ArcTerra can not give any estimate of how long a system will function
satisfactory for current or future occupants or can ArcTerra guarantee that no unseen
encroachments,deficiencies or discrepancies exist. .) OF ALgs
Air
4TH /\ Y
6. DSD SIGNATURE �-- '��j� -�
System#1 Approved ��`���fa�
y for y bedrooms. # � KENNETH u -
System #2 Approved for bedrooms. , s�� 71 s �
Disapproved. \� essi� _
\`!f
Conditional approval for bedrooms, with the following stipulations:
OF qAtA
ON-SITE
. WATER AND
WASTEWAI ER o
PROGRAM ks
reArT Qr:00C G
By: \ - Original Certificate Date: s " t'6 - r
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 blue sheet 10.10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist#_of_
Structure served by this system _
Certificate of On-Site Systems Approval Checklist
Legal Description: GLENN VIEW ESTATES NORTH BLOCK 2, LOT 9 Parcel ID: 051-811.53
A. WELL DATA-PUBLIC WATER
Well type If A, B, or C provide PWSID# Well Log (Y/N)
Date completed Sanitary seal (Y/N)Y Wires properly protected (Y/N)
Total depth ft. Cased to ft. Casing height(above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L
Arsenic: ug/L Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP I STEEL Date installed 11/512003
Tank size 1500 gal. Number of Compartments 2 Cleanouts(Y/N) Y
Foundation cleanout (Y/N) Y pDepression over tank (Y/N) N High water alarm (Y/N) Y
Date of pumping �-60 Cvs----,tatill
C. ABSORPTION FIELD DATA
Date installed 5111/2018 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 System type SHALLOW TRENCH
Length (2 X 70'L) 140 ft. Width 5 ft. Gravel below pipe 2 ft.
Total depth 4.71-5.44 ft. Eff. absorption area 1000 ft2 Monitoring tube Y Depression over field N
Date of adequacy test NA-NEW FIELDS Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test in. Water added_gal. New depth_in.
Elapsed Time:_min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) N If yes, give date
D. LIFT STATION
Date installed 11/5/2003 Size in gallons 1500 Manhole/Access (Y/N) Y
"Pump on" level at 44 in. "Pump off' level at 42 in. High water alarm level at 48 in.
Datum Bottom of Tank Cycles tested 2 Meets alarm&circuit requirements?Y
E. SEPARATION DISTANCES -PUBLIC WATER
WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer/septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 101+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 200'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 200'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date. +� '�\
Engineer's Printed Name KENNETH M.DUFFUS / S.Q"
Date 5/12/2018 l*14• TH .401
.4/"1Iea//r
KENNETH M. / /
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PLOT PLAN AS BUILT X SCALE 1" = 50'
Lang & Associates , GRID NW 1560 Protect No. 18-186/A2
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
inc . (907) 522-6476 Phone �000Opp
(907) 522-4625 Fax F ����
Professional Land Surveyors kenOlangsurvey.com v •••• 16A
jonathanOlangsurvey.com v
oo'`Q � '��0
I hereby certify that I have surveyed the following described property: �Uj•' 4 9TH /�
LOT 9, BLOCK 2, GLENN VIEW ESTATES NORTH SUBDIVISION (PLAT No. 2003-9) O .o: QD
Anchorage Recording District, Alaska, and that the improvements situated thereon are D
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed Q ; K� ETH
premises and that there are no roadways, transmission lines or other visible �n E easements on said property except as indicated hereon. 0 's 513 if 3
i-L� ti4 '�•'•.t5-5202.••• gJp�
Dated this the 1 Day of �'� ` at Anchorage, Alaska 4��ORa •astoNAt�o�
It Is the responsibility of the owner to determine the existence of any easements, DOpppo55
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
10M
Municipality of Anchorage
Development Services Department •* 8•';
t Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-811-53 HAA # J* 030Sf f<
Expiration Date: X17{ 4 /
1. GENERAL INFORMATION
Complete legal description Glenn View Estates North, Rlo _k 2, 1 n q
Location (site address or directions) NHN Whispering Birch Drive, Chualak, AK gg567
Current Property owner(s) Troy Davit Homes, Inc. Day phone _357-9394
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
1451 E. Parks Hwy., Ste. 207, Wasiila, AK 99687
Day phone
16600 Centerfield Drive. Ste. #201 Eagle River, AK 9957
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
®
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional
civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health
Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. 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 Health Authority 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.
Name of Firm 1 ► ► ►Inc.'1.n1 . • .
F.Tereff-MWAIL,lire F . . . .
Engineer's Printed Name Kenneth M. Duffus Date 11/ 6/ 00R
Engineer's Comments:
OF At %I1
This investigation was completed in compliance with
'•tiS�f• 1�
ADEC and MOA regulations. The assessment of the
or y�Q;.•
condition of the well and septic applies only to the
it i ;9
conditions as of the day tested. The flow and absorption
• 9 1 • k
rates may change due to subsurface conditions that
'•�
may not be observed from the surface, changes in
•.«..... .....
land use, local soil characteristics, groundwater levels
9n ; Kenneth M. C 6
�� s �. cf 71of
that may fluctuate during the year and the water usage
? �,
the cservesystems athe resem. The subject to tesoperational
life of all family
and being
various and dynamic characteristics and are outside the
control of the evaluator of the well and septic system.
Therefore, KND can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can KND guarantee that no unseen
encroachments, deficiencies or discrepancies exist.
5. DSD, ✓ Approved for _� bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulat ioi���ff
nil PITT
`� • �rr�rr�---: -C
WATER AND
MACTM
PROGRAM
Attachments: JJ�Wi, �p� • • •�C N
HAA Checklist X Maintenance Agreements �����/J1JtT �► ����\
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: Original Certificate Date:f/2t. by
- Municipality of Anchorage o �I
• ��? Development Services Department''
Building Safety Division + `
On -Site Water & Wastewater Program ' • "'
4700 South Bragaw St.
P.O. Box 196650 Anchorage; AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
= i
Legal Description:. GLENN VIEW ESTATES NORTH,, L9 Parcel ID: 0 5 1 -8 1 1 - 5 3
A. WELL DATA
Well type PubliC If A, B, or C provide PWSID #_ Well Log (YIN)
Date completed Sanitary seal (Y/NJ_ Wires properly; protected (YIN)
Total depth ft. Cased to I. Casing height (above ground) _
FROM WELL LOG AT INSPECTION
i
Date of test
Static water level ft.' ft
Well production 9 -p.m 9 -
p.m -WATER SAMPLE RESULTS: ,
Coliform _colonies/100 ml. Nitrate ung./l. Other bacteria _ colonies/100 ml.
Arsenic: mg./I. Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
j
Tank, Type/Material optic-(STEP)/steel (Anch. Tank) Date installed 11 /5/2003
Tank size 1500 ' gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (YIN) Y_Depression over tank (YIN)water, alarm (Y/N) Y
Date of pumping NA NEW TANK Pumper
C. ABSORPTION FIELD DATA
Date installed 11/5/2003 Soil rating (g.p.d./ftz orfe/bdrm)_M i System type trench
Length 1401 ft.; Width 5 ft'Gravel below pipe 2 ft.
Total depth 3 ft.Eff. absorption area 1000 ft2 Monitoring tube Y Depression over field N
Date of adequacy test! INA -NEW SYSTEM Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test in. Water added gal.; New depth in.
Elapsed Time' min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date .....
D. LIFT STATION
Date installed 11/5/2003 Size in gallons 1500 Manhole/Access (Y/N) Y
"Pump on" level at 44 in. "Pump off" level at4_ in. High water alarm level at 48 in.
Datum Bottom of tank Cycles tested .- Meets alarm & circuit requirements?Y
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer /septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+_ Property line 5 ' + Absorption field 5 ' +
Water main 10'+ Water service line 10 ' + Surface water 100'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10' + Water main 1 0'+
Water Service line 10'+ Surface water 10 0'+ Driveway, parking/vehicle storage 1 0'+
Curtain drain 50'+ Wells on adjacent lots 200'+
o
F. COMMENTS
w
.A ..••••••••._-
G. ENGINEER'S CERTIFICATION
Pte. .• •6
I certify that l have determined through field inspections and 0 ; •••••T>t • �c•
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date. y' •C••;•.•••. •••
Engineer's Printed Name _Kenneth M. Duffus
�d
Date 11/26/2003 �°e-�•e.A�`'• PR0FESS0'; .;%!'
HAA Fee $375.00 + $150.00 Rush Waiver Fee $
Date of Payment 11/26/2003 Date of Payment
Receipt Number � �Iq Receipt Number.
011g,
(Rev. 12/01)