Loading...
HomeMy WebLinkAboutFROSTAD LT 1�VC�S�ad► i Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221174 PID Number: 017-421-27 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name LUCIA RONCALLI ABSORPTION FIELD ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 12621 HILLSIDE DR, ANCHORAGE, 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1.2 GPD/SF 5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2 Ft. Gravel depth beneath pipe 3 Ft. Subdivision Block Lot FROSTAD 1 Fill added above original grade VARIES 1.34-1.4 Ft. Gravel length 40 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches Tank Field Lift Station Tank Line 344 FF 1 (TO EXISTING 14) From Ft. Well 100'+ 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1500 Gal. Surface Water 100'+ 100'+ Material HDPE Number of compartments 2 Lot Line 5'+ 10'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks UPGRADED TO 5BR SEPTIC SYSTEM —THE EXISTING 1994 TRENCH WAS AUGMENTED WITH THIS NEW TRENCH & Alarm location Electrical installed by COMBINED MAKE A 5BR SEPTIC SYSTEM W/ NEW TANK. Installer NORTHERN EXCAVATION PIPE MATERIAL House to tank 3034 dra n k to 3034 Drainfield 3034 co/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1" 7/7/22 2nd 7/$/22 Location and description 3'd 7/11/22 4 1 7/11/22 TOP OF RISER / MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF ' ` • ' ' Conditional Approval: Date fH iw... . ....: •• •• •••• •••••••:••� Septic Syste Approved ��••. Curtis Huffman .� - 3 Date /v ¢� CE 12$991 •, *- Aw �d'tF�•, 11/1/22• •�C\2 • PR0FES1QAt1...- Note: this approval does not include well permit requirements. �NN,�®���m. % uv VJ/VLI IV1 PID: 017-421-27 A—C=40,4' B—C=18,4' A—D=44,6' B—D=20,1' A—E=45,5' B—E=22,3' A—F=51,7' B—F=33.9' A—G=66,1' B—G=38,5' A—H=66,0' B—H=39.6' PERMIT: A—I=44.6' B—I=20,1' A—J=45,5' B—J=22.3' A—K=51.7' B—K=33,9' FROSTAD LOT 1 PREPARED FOR: LUCIA RONCALLI 12621 HILLSIDE DRIVE ANCHORAGE, AK 99516 OSP221174 �zc co \ ' I� 0'80' Q 3%,4 100' WELL 24,4' RADIUS L _ A1 17 INSTALLED 1500—GAL 11/1/22 HDPE GREER SEPTIC TANK D80 FRONTIER D� FWCS PUTTER SATLTE E co G A' H Co MT z f y RESERVE: REMOVE & —14'— REPLACE EXISTING OR TH22-1 INSTALL CAT3 SYST. '—' MT rnvi6m x MT J Z KO m m CO r—K iT% A' r A r-% 1,500—GALLON HDPE TANK NO WELL CONCERNS CO MT MT 91.71 �R nNNAL GRADE �dFlcL7INSULpATION 8,.31 88.31 SEWER ROCK SEPTIC SECTION EXISTING FIELD SCALE, NTS FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK©gmail.com L1. DATE: 11/1/22 SURVEY: FRONTIER DRAWN: FWCS SCALE: 1 " = 30' PAGE: 1 OF 1 Go 90.31 ORIGINAL GRADE 2 ORG/0L GMAP DRY -5/27/22 TH22-1 12' 78.31 BOH OF A4�"IIIIII, 9 TH kj�tL� 0. * tis Huffman Ix CE 128991 11/1/22I X onsstoll ' MUNICIPALITY OF ANCHORAGE Gn-Sits Watff $Pvijw;r rn PO &ax 196650 4700 i=lri ore Rowe Ancharage. Masks Q-45'1M35,q 1 P.hrxic, (so7) 34:3-7904 Fax: JEW) 3-13-7097 h Hplhwem.m uni.orgfon site On -Site Wastewater Disposal System Permit Permit Number., OS.P 21174 Mork Type: SepticTank Upgrade Tax Cotte Number 01742127000 Site Legal Address: FROSTAD LT 1 G;2840 Site Mailing Address: 12€21 HILLSIDE DFS, Anchorage Owner: RONCALL1 LUCIA D Design Engineer: FIRST %1V TER CONSULTING This permit is for the construction of jif Disposal Field © Septic Tank ❑ Holding Tank CI Privy Effective Bate: Expiration Date: Ila enr ;i tit n cj'�•iir 1111411r Lot Size in Sq Ft: 6,71217 22 6a812023 52.151 Total Bedrooms: � 5 El Private livell ❑ Water .Storage All construction shall be in accordance with -- 1. The attached approved resign. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 1,6,55 and the State of Alaska kfttastewaterDisposal Regulations {1,3AAG72) and Drin king V%(ater Requiaffons (ISAACaQ) 3. The waste"rater code requires enspections during the Installation. The engineer shall ncatifj the: Development Services Department per AMC 15.65. Provide no€ification I)y calling {007) 343-7004 (2417). 4_ From Dctobcr 15 to April 15, a subsurface soil .absorption system under construction during 'freezing weather shall be either: a. Opened and Closed on the same rise, or b. Covered., sealed, and heated to prevent freezing Co aided R �_Or a b r Roceived By: Issuers By: �. w 6/7122 Date: Date: 617 MUNICIPALITY OF t� Development Services Department`' On -Site Water & Wastewater Section Parcel 1. D. 017-421-27 ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) LUCIA RONCALLI Day phone Mailinq address 12621 HILLSIDE DRIVE, ANCHORAGE, AK 99516 Site address 12621 HILLSIDE DRIVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) FROSTAD L1 Legal description (Township, Range & Section) Lot Size 52,151 Sq. Ft. Number of Bedrooms 3 Phone: 907-343-7904 Fax: 907-343-7997 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank Q Upgrade 0 Duplex (D) ElHolding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (nature of property owner or authorized agent) Permit/Rush Fees:2 2 Date of Payment: (0 /a aq Receipt Number: 701o,51 Permit No. 05P2-2-1119. Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc FIrst Wder = CONSULTING S, 6f 1 P" F'' ` ,i' Ate: e 11 N t eixiP ?6Sr�i,{{14}'y 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com June 27, 2022 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSYEM UPGRADE PERMIT LEGAL: FROSTAD LOT 1 The owner has decided and requested that we obtain a septic permit to upgrade the existing aged steel septic tank and the size of the current exiting septic system to a 5BR septic on the above referenced lot. The owner will install a 1500 -gallon HDPE tank per the attached design to serve the proposed 5 -bedroom residence. The attached design and soils have the proposed design, which we spoke to Rebecca Carrol about at the MOA On -Site Department several weeks back. There are no slopes or groundwater issues with this upgrade and have attached the increased MOA fee sheet for the proposed septic system. Northern Excavation is planning on installing this system around July 7, 2022. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. S1 Mel 1:0HIS [PNO sFav!(;H WaRINA PLANNING S�IPPCF:d PLANNING DESIGN CALM 37� p�I4vj ,2 X 150 GPD =,390' GPD 31, I v ¢C ov 5R 300 GPD/1.2 GPD/SF = ?59 SF SAS P 250 SF / 5'W X .58RF (3'ED) = 29 -FT. TRENCH USE 1 TRENCH - ,3M) X 5'(W) X 3'(ED) 3S' Lorry NO SLOPES >25% WITHIN 50' TOTAL MAX DEPTH FROM EXISTING GRADE: -5' OF PROPOSED FIELD. E PR❑P^ERTY LIN sRox I �\ r WELL wnn I $ die $ PROx DE15 NO WELLS WITHIN 100' OF PROPOSED SEPTIC FIELD I $ $ I NO STDPES$ >aas $ $ EDGEP1 $ $ WELL RADIUSyPRIOR TO l I , I I I o� I in I /aJy /tea / l / trio- I CONSTRUCTION 8-7 2 \ !' I LOCATE. low WELL L Q4.4' / RAt% PiCat ro CCR 7 _ WELLSLC.D-. _ FROM PROP rm RESERYEID SM- MH OP AM REPALCE 0500 gA� OR CAT! SYSTCo 1A+To SATLTE — m+ m �FESD i5 R. _0z III—u• U122'' I1f"FE131 NO WELL CONCERNS NSULL EE:N' x ri kNEW �Pnc FE1D _CR m carr. waFr W/ EarnErt WELLS ARE 100'+ a FROM PROPOSED SEPTIC TAM FENCEI x Q 0 �n � NCE1 ND AL CAP NO WELL CONCERNS F STAKE ALL REQUIRED SETBACKS Pi TO WELLS 100', PL 10', EXISTING FIELD / TANKS,... PRIOR TO CONST. SUPPORT SERVICES: FROSTAD LOT 1 ® ®®® o PREPARED FOR: OF O LUCIA RONCALLI 12621 HILLSIDE DRIVE C ®* 9 TH* ANCHORAGE, AK 99516 FIRST WATER CONSULTING DATE: 6/28/2022 tis Huffman ,A; 041 13030 SUES WAY SURVEY: FRONTIER , CE 128991 -41 go DRAAV ANCHORAGE, AK 99516 SSCAL/E: 1'WCS 50' 6/28/201 e or 907-350-9566 FirstWaterAK@gmail.com PAGE: 1 OF 2 %nssloll ' .o ®�®®® DESIGN DETAILS: INSTALL NEW ,30'L X 5'W X 3'ED SEPTIC FIELD W/ SPLITTER. MAINTAIN 10'+ FROM FOUNDATION, 100' TO WELLS, 100' TO SURFACE WATER, 5' TO FIELD & DECK SUPPORTS WITH 4' OF COVER OR INSULATION. INSTALL PER AMC 15.65, 15.55, & MASS ... TANK BEDDING, SEPARATIONS, MATERIALS,... OWNER DECIDED TO UPSIZE THE SEPTIC TANK TO 1500—GALLONS. � I CD NO SLOPE �� I o >25% 0 I Q $ CNV I � `c LOCATE 100' WELL L — — 24,4' $ RADII PRIOR TO CONST. — — WELLS ARE 100'+ — — — i FROM PROPOSED SEPTIC FIELD. DFCO RESERVED SITE: MH • RIP AND REPALCE OR CAT3 SYSTEM CO • MAINTAIN S A T L T E DCO — 5'+ TO FIELD R CO PUTTER `� 15_10% i I —14'— X LL o NO SLOPESTH22_1 XISTIN >25% I FIELD N❑ WELL C❑NCER 5-20% MT MT i CO INSTALL NEW $>OSEX 5'W X SED $ PTIC FIELD PRIOR TO CONST. VERIFY W/ SPUTTER. WELLS ARE 100'+ FROM PROPOSED $ X5_10% SEPTIC TANK. CO RIPI& REPLACE EXIS I NCV FIE�D FOR BEDROOM I F -ND YPC RE ERVE S STEM AS NECESSAR , FND AL CAP NO WELL CONCERNS FROSTAD LOT 1 SUPPORTISERVICES: ®®® PREPARED FOR: ®`�� OF�.� 1 LUCIA RONCALLI_ '0 � O F.c.5 12621 HILLSIDE DRIVE C ®* GJ TH* ANCHORAGE, AK 99516 FIRST WATER CONSULTING DATE: 6/28/22 kk�� iiIIII / rtis Huffman SURVEY: FRONTIER 13030 SUES WAY DRAWN: FWCS , CE 128991 ' 6/28/22 ANCHORAGE, AK 99516 SCALE: PAGE: 2 OF 2 1" = 30'ssio�Ay 907-350-9566 FirstWaterAK®gmoil.com ®®®®® Fir I Water ` CON S U L T I N G a e i 3030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@,izmail.com SOILS LOG - PERCOLATION TEST LEGAL:— FROSTAD LOT 1 DEPTH FEET .,y OG. SOILS 1 s;4 ORG/OL 2 3 4 5 GM/gp 6 7 8 9 10 11 12 BOH 13 14 15 16 17 18 19 20 / ....... Curtis Huffman ����Fc�i1l •- CE 128991 o pROFESSOW PERFORMED FOR: LUCIA RONCALLI TESTHOLE # 21-2 DATE PERFORMED: 5/20/22 GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 5/27/22 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION Reading Date Gross Net Time Time Depth to Water Net Drop 5/27/22 1.0 min 6" 3 9/16" " 6" 3 9/16" " 6" 3 7/16" " 6" 3 8/16" " 6" 3 7/16" " 6" 3 7/16" PERCOLATION RATE 3 (MIN / INCH) TEST RUN BEWTWEEN 4 & 5 FT PERC HOLE DIAMETER 6" PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16 TH PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/28/2022 [- " Municipality of AnchoragePage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~ C~<~ I:~..~ I~ PID Number' Name:j~r,3,' RL.[~___j.,,~ ~.~q~y WastewaterSystem: ~New DUpgrade ~': ' ABSORPTION FIELD Phone: J No.~edrooms: ' ~Deep Trench g Shallow Trench g Bed D Mound ~ Other LEGAL DESCRIPTION soi, Rating:~. ~ GPD/Sq. Ft. Total Depth~fr m original grade: Lot: ~ Block: ~ ~+~Subd v~ion:~ Depth ,o pipe bo~,~ originalgrade: Ft. Gr. ave, depth b~ath pipe Ft. WELL: ~New O Upgrade Gravel width~ Number of lines: ~Ois~nce be~eenlines: n. / I Ft. Pipe m~etial: .... _ Yield: ' ~ ~sing Heigh~A~ve Ground: ~.u .~.1 ~ ~. .,. TANK SEPARATION DISTANCES ~Septic D Holding ~ S.T.E.P. TO ~ptic Absorption Lift Holding ~ubli~ Manufacturer: Capacity~n E~ From Tank Field Station Tank Sewer Lines A~ h -~ ~ ~ Well- )~ /~' j~/~ ~t~ ' Materi,l:5~~/ Number. of C~a~ment,: SudaCewater ~ d/A ~/~ M/A N/4 LIFT STATION Fo,ndation 4.~ ~ ~ ~/~ "Pump °'" level at: ' ' I 'Pump '"' level ": Cu~ainDrain ~l?' --: [~ ~ ~ · PumpMake&M°del IElectrlcallnspectionspedormed bY: Remarks: BENCH MARK Location and Description: ' / ~ Assumed Elevation: ENGINEER'S SEAL .spe tions pe,ormed by: 5 Z ¢ Dates: Department of Health and Human Se~ices approval Reviewed and approved by: ~~ ~ D' : 2 ./Z -9~ 72-013 (Rev. 9/91) MOA 25 PERMIT NO. SW940308 LOT 1, FROSTAD SUBD. / " , ' ~ ~ WELL /  , FROM TO DIST. l, * / , A STCOI 50.4 ] ~ / ," IC STCO1 42.6 , /./ .." iA CO1 68.7 i 'x....~.; _. _ _ ~fI ~/.'" ~ C COl 59.7 ~' ~ '- ~t ~::' ~?/~.o., oo~., ~.,. ' i-Q c.o.2 I .~,,¢.,.- .,,. ~,~,,,o~xxC SYSTEM AS BUILT P~ · ,.- · ,-:, :~ ,~.. 1 = 60' ~'.~i~,% J 1517 ~ ; .~,',~ '~:~ ,.~.. ,. ~.~. FROM TO DIST. A STCOI 50.4 C STCO1 42.6 A CO1 68.7 C COl 59.7 JAMES SIZEMORE & ASSOCIATES CIVIL ENGINEERS & SURVEYORS Per'nit No..~ ~'~ (:~ ~ 0 <~ Page .~ of .~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: L 0 '[~ [ FflosTA D ~ UB,D. P~D ~o.: ;I PR L,; 72-013 A (Rev. 9/91) MOA 25 JAN--26--99 TUE 18:05 AM SULLIVAN WATER WELLS 688 2759444444444444 P.01 Dd H g by DOC Co. SULLIVAN WATER WELLS P.O. BOX 670272. CHUGIAK. ALASKA 99567 . TELEPHONE LEGAL DESCRIPTION DATE. Started PERMIT NUMBER Ended DRA~n' DOWN FT. GALS. PER HR _/~' KIN,) OF CASING KIND OF FORMATION: Ftom~Fl. tO~/~ -- Ft. From Ft. to- Ft. From__~Ft. From Ft. to - Ft. From~Ft. From Ft. to Ft. From Front ~ Ft. to Ft. F~om Ft. From~Ft. to ,Ft. From FI. Ft. to Ft. Ft. to__Ft. Ft. to~ Ft. Ft. to FI. Io~F! to~ Ft. to Ft. to Ft. to Ft. to to .Ft. to Ft. to Ft. to~ . Ft. to Ft. ~o Fi. MISCL. INFORMATION: Munic~Paht~ o~ ¢~'an°~ age OePL HeaRh & ~4uman Ser¢ces T£LEPHON£ (907) 277-2SO3 FAX (907} 277-1239 February 1, 1999 LAW 0 r"FIC~:e: rVlAFF El. INC. 7~(J t~ STrEeT ANCHORAGE, ALASKA 99501-3~'26 Municipality o f Anchorage Department Ofltealth And Ituman Services Environmental Services Division P.O. Box 196650 Anchorage, AK 99519-6650 RE: On-Site Waste Water Disposal System Permit No. SW940308 Ruben E. IVlungaray Dear Sir or Madam: P* O, BOX 100674 ANCHORAG~t ALASKA e~'J~g~510-0674 RECEIVED FEB 2 1999 MunicJpality o1 AnCno Dept. Health & Hurnm~ ...... our*vIc~s ] have telephoned your office and requested information as to whether or not you were approving the on-site waste water disposal system in regards to the above-referenced permit number which is on property described as Lot One (1), Frostad Subdivision. In the Zoning Board Of Examiners And Appeals Resolution No. 98-018 adopted on the 9th clay of Jtfly, 1998, at page 3, under item ]mmbcr 4 on that page, tile Board reqtfircd that "[p]etitioner shall resolve xvith tile Depamnent of lleallb and HUman Services the need to provide documentation that the on-site wastcwater disposal system serving the site ,,vas constructed according to the permit and tile Anchorage Municipal Code. Proof shall be provided to the I)epartment of Com~nunity Planning prior to issuance ora Notice of Zoning Action." In response to that, Mr. James Sizemore, who was the engineer on tile project, submitted to 3'our office a form entitled "On-Site Wastewater Disposal System and/or Well Inspection Report". This form was to satisfy tile requirement of the Zoning Board Of Examiners And Appeals. *Please review your files and advise me whether or not the Depa/tment Ofltealth And I Iuman Services has approved the system. If so, please forward to me at 3,our earliest convenience a copy of your approval. Very truly yours, AM/bfin cc: Mr. Mungaray Albert MaffOi PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940308 DESIGN ENGINEER:JAMES SIZEMOORE &ASSOCIATES OWNER NAME:MUNGARAY RUBEN E OWNER ADDRESS:305 SWEETGALE COURT ANCHORAGE, ALASKA 99518-2247 DATE ISSUED: 8/22/94 EXPIRATION DATE: 8/22/95 PARCEL ID:01742127 LEGAL DESCRIPTION: FROSTAD LT 11 LOT SIZE: 52151 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEMUNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: DATE: 6410 S~vitzerland Drive (907) 345-1572 James Sizemore & Associates Civil Engineers & Surveyors Anchorage, AH 99516 WASTEWATER DISPOSAL SYSTEM SPECIFICATIONS LOT 1, FROSTAD SUBDIVISION 1.0 GENERAL: 1.1 The scope of the project consists of installation of a 1000 gallon septic tank and a 54' long by 10' deep, deep trench drainfield. 1.2 Construction shall be as shown on the approved site plan and design drawings. Deviations from the drawings shall be and approved by the engineer conducting the co-ordinated inspections. 1.3 Ail construction procedures and material used to construct the system shall comply with Municipal and State regulations. 1.4 Unless specifically agreed otherwise, the homeowner shall be.respqnsible for finish grading areas after the soil is compacted. Placement .of topsoil and -reseeding all areas disturbed by construction is also the responsibility of the homeowneer. 2.0 SEPTIC TANK: 2.1 The 1000 gallon septic tank shall be Municipally approved. 2.2 The septic tank shall be set level and shall be bedded as necessary to prevent settling or shifting of.the tank. 2.3 'Ail pipe connections to the septic tank shall be equipped with waterproof mechanical couplings. A cleanout shall be installed within 5 feet of the house foundation. A double cleanout whall be installed within 5 feet downstream of the septic tank. " 3.0 SOIL ABSORPTION DRAINFIELD: 3.1 The soil absorption drainfield shall be a deep trench constructed to the dimensions shown on-the drawings. The 10' deep by 54 foot long trench shall be level. The trench shall be dug parallel to the contour of the lot. 3.2 Sewer rock shall~be 0.5 - 2.5" screened gravel, le6s than 3 % passing the #200 sieve. with 3.3 Cleanout pipes and monitor tubes shall be 4" diameter and installed in locations shown on the drawings. The portion of the monitor tube extending through the sewer rock shall be perforated. 3.4 Approved filter fabric shall be placed over the top surface of the sewer rock. A minimum of'2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation will be placed over the entire top surface of the sewer rock. 4.0 INSPECTIONS: 4.1 A minimum of three engineering inspections will be required during construction of the system. One after setting of the septic tank, one after excavation of the bed area prior' to placement of the filter sand, and one after placement of the distribution piping. In addition to the three mandatory inspections it is suggested that prior to start of construction that the contractor and the engineer hold a site meeting to discuss the project. 4.2 The contractor shall coordinate with the engineer least 24 hours prior to start.of construction.. at PROBABLE IMPACTS TO ADJACENT PROPERTIES A) WELLS: The proposed disposal system is designed in accordance with the current 1994 Municipal Wastewater Disposal Regulations. The separation distances from wells on adjacent-properties is greater than 100 ft., and the proper separation from the bottom of the trench to the ground water table is maintained, there should be minimal impact to adjoining propderty from this system. B) WASTEWATER SYSTEMS The size of this lot should minimize the impact on wastewater systems. adjacent C) RESERVED SPACE/SURFACE AND SUBSURFACE There is enough space on this lot to put replacement system and still maintain'the required radiaa between wells and the disposal system. in another protective D) DRAINAGE The locatiOn of the disposal system will not iinterfere with any drainage. The area disturbed'during construction of the system will be graded and sloped so as to not pond water. PERFORMED FOR: DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST LEGAL DESCRIPTION:L/ ~"~/~C~ 9/.[~d 1 2 3 4 5 6 7 8 9 10 11 12 13 Township, Range, S~ction:'~/~.~J SITE PLAN 15 16 17 18 19 20 SLOPE L IF YES. AT WHAT O DEPTH? P E Depth to Water kfl. er~t _ Monitoring? ~' Y ('") Date: Gross Net Depth to Net Reading Date Time Time Water Drop . PERCOLATION RATE ~ {m,nutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~¢ ~ FT PERFORMED BY: J/ ~}¢~7~P~ ~ - CERTIFY THAT THIS T[ST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~ ~FFECT ON THIS DATE' DATE'' ~ · ~ ~ ~ - , 72-008 (Rev. 4/85) PERFORMED FOR: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage,' Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST R u m /n q mi DATEPERFORMED: LEGALDESCR,PTION:/ / /~'"r~~ dY' 3U~T°wnship'Range's;cti°n:T/~ ~ '~ SLOPE SITE PLAN 2 3 5 6 7 0 WAS GROUND WATER 10 ENCOUNTERED? IF YES, AT WHAT O DEPTH? P 12 E Depth to Water Alt~,~J(~:) ~ 13 Monitoring? Dat~ 14 '16 "17 '18 Gross Net Depth to Net Reading Date Time Time Water Drop n_ ~ ~ ~ ~ ?'~' ~/~' PERCOLATION RATE Z.,-.~ (minutes/,nch) PERC HOLE DIAMETER . ~ %TEST Pi. UN BETWEEN ~ FI AND Cr~ FI ~ F/ .... r --. ;, ~- '-~ ' , ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72~ {Rev. by DOC Co. SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 * TELEPHONE 688.2759 owNER OF'LAND DEl'TH OF WELL STATIC LEVEL OF WATER Fr. LEGAL DESCi~H~TiON Z~ [ I t~'A 0 ,,~' DATE - Sta~e~ . ' Ended PE~ NUMB'E~ ~( ~ %~ ~ (0 ~ DRAW DOWN FT. mD OF CASINO 6 ~: o ~9 KIND OF. FORMATION: From ~ Ft.'to ~ Ft. ~ ~~~/~ From ~'d~~ From FromZJq t) ~'t. to5'OO r,. £c~a~Cc ff,~,~z~ From · Ft. to Ft. From Ft. to~Ft. From~.Ft. to Ft. From Ft. to Ft. From Ft. to Ft. ~ £~--E,O From .'./2/- ~., ~ '< '"From From From From From From Fi. to Ft. Ft. to Ft. Ft. to Ft. Ft. to Ft, FI. to Ft FI. to Ft. Ft. to Ft. Ft. to Ft. Ft. to Ft. ~Ft. to Ft. Ft. to Ft. Ft. to Ft., Ft. to Ft. Ft. to Ft. FLto Ft. Ft. to Ft. Ft. to Ft. MISCL. INFORMATION: t RECEIVED OCT 21995 Municipality et Anchorage Dept. Health & Human Services KO6 • • 8 9 70 �E e 77 p , •� �_"� Municipality of Anchor= y , On-Site Water and Wastewater Pro•^ .� '• f ' �I. (907) 343-7904 E JUL 2 7 20t > s a f E TY Certificate of On-Site Systems A oval �w � Parcel I.D. 017-421 -27 Expiration Da 6.8 LI 1 1. GENERAL INFORMATION Complete legal description Frostad Lot 1 Location (site address) 12621 Hillside Drive Current Property owner(s) Ruben MUngaray Day phone Mailing address 12621 Hillside Drive, Anchorage, AK 99561 Real Estate Agent Day phone 2. TYPE OF DWELLING: E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: t2,40-Iti,e ,17)/1 ,7rit, Date: �)/l i I COSA to be released to the engineer,unless otherwi a requested by the engineer. COSA Fee $ rJ 24 " +3iS 'O Waiver Fee $ Date of Payment ��� r� ` lat</� Date of Payment Receipt Number thio1 Receipt Number COSA# 113 Waiver# may- �.yML T4 � �' 5. STATEMENT OF INSPE N 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 Forge Engineering Phone (907) 522-7773 Address PO Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, PE Date 7/25/18 ofAtkk P *. 49 TH ,d *0 04 6. DSD•SIGNATURE 1 ti,, 6 oS 7 -' System#1 Approved for 3 bedrooms r� :' Benjartl,iSchiller System#2 Approved for bedrooms t♦�fi o . CE 12592 •.•1• r� Disapproved !ll\��x\``` '� Conditional approval for bedrooms, with the following stipulations: • • ON ,SITE c m kVA y AT‘-i" R AND m ASTEVV opRDfri GRA MR0 : By: `�_ (----- - Original Certificate Date: I I / t/. 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: .:1, - COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory' ' • Well Flow Advisory Other t • COSA blue sheet r .. c 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: Frostad Lot 1 Parcel ID: 017-421 -27 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed Aug 1994 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 500 ft. Cased to 204"ft. Casing height (above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test Aug 1994 7/17/18 Static water level 100 ft 34.4 ft. Well production 2.78 g.p.m. 0.54 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 7/6/18 Collected by: Forge Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic / Steel Date installed 9/7/94 • Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y . Depression over tank(Y/N) N High water alarm (Y/N) Y Date of pumping 7/18/17 Pumper Isaac's Pumping Service C. ABSORPTION FIELD DATA Date installed 9/6/94 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 GPD/SF System type Deep trench Length 57 ft. Width 2 ft. Gravel below pipe 7 ft. Total depth 10 ft. Eff. adsorption area 798 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/17/18 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 2 in. Water added 608 gal. New depth 1 0.5 in. Elapsed Time: 1 20 min. Final fluid depth 2 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION • Date installed N/A Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. • Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: • . Septic tank/lift station on lot >1 0CY On adjacent lots >100' Absorption field on lot >1 00' On adjacent lots >100' Public sewer main '75' Public sewer manhole/cleanout 100' Sewer/septic service line X25' Holding tank >75� • Animal containment areas X501 Manure/animal excrete storage areas 100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >10' Property line >5 Absorption field >5 Water main >10' Water service line >10' Surface water >100' Wells on adjacent lots X100' ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main >10' ' 10' Water Service line 1 O Surface water 100 Driveway, parking/vehicle storage • Curtain drain None Noted Wells on adjacent lots >100' • F. COMMENTS -Of- c 0-6i2 V' Ai( S 1C f .J i ( Oc.(/r Aela- `t, G. ENGINEER'S CERTIFICATION ���dop�‘ I certify that f have determined through field inspections and v��r'•• I. •••(r-litth 1 review of Municipal records that the above systems are in p, mi ) .*¢¢ conformance with MOA COSA guidelines in effect on this date. =/ (-{---— Benjamin Schiller, PE 6 ' % G Engineer's Printed Named Ar p • Ben am rvSchiller G Date 8/1/18 Dc,,,,10.. CE 12s 2 .,t.' ,t;.-- : klIV4 PROFESS10 �a0 COSA brown sheet 10-10-12.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ® 907-343-7904 On-Site Water and Wastewater Section ` �' Fax:343-7997 www.muni.org/onsite Well Water Advisory Certificate of On-Site Systems Approval # OSC181373 Subdivision: Frostad, Lot: 1 This well's productivity was determined to be .54 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3-bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org ..,,,,-----------..j Frontier Surveys, LLC Project Ncr 16-049 1 Date. June 14, 2016 GJORTH Scale 1" =50' 1 1 i Wollner Subdivision — Lot 4 1 Y -11 �A� � ser sr 05'v best I 50.00 O� 17- 9. I Y sa9- 52' 05'v \S \%1 I \� o�l Y m N Lot 1 5 Jt� 1 A I 1.197 Acres \ > 1 w V 4 A 1 I Y I2 I CD i A 1 �\ I 1 NI i q„ Y I. �N I 12621 Hillside Drive I Qoa I 1 Store Loa Cabin w/Att.2 Car Garaoe I I e on top of Concrete Daylight Basement ,A >v IZ`.9 \----- 11111i I0 r--—SDrow—I 87,2 > _ Y y___>., ,,,v, I '`"2%,I3 3V Y L_ __ '._ h e...• > ( ~ Y CD I ... 0 lk Yc-i SQ refile$ �'a a -pY 0 t. 1/1 .5, so = 1 Y Ct I Y I Y Iter 53' 35-E 230.17 I I , i Y I Not Subdivided I I Legend: -- Electric Meter/Outside Power IT' Gas Meter @ Deck MB Mailbox 7 Tel Utilities //„�,,���� Septic (Y9 Water Well ca, Pole General Notes 1.Excepting for gross negligence,the liability for this survey shall not exceed the cost of preparing this survey 0 50 100 2.Dimensions to property lines are plus/minus 0.1ft. 25 3.This document is created for the purpose of a single property transaction and is subject to Federal Copynght Law. in,'° =„,miemmilmml. Feet 4.This document based on Plat No.87-100 Anchorage Recording District This survey complies with ASPLS Mortgage Location Standards The survey represents visible 10116 1411% , improvements and conditions at the time of the survey This document does not constitute a �1� boundary survey.and is subject to any inaccuracies that a subsequent boundary survey may reveal •, /s 1 It is the responsibility of the Owner to determine the existence of any easements, covenants, or •��4�, restrictions which do not appear on the recorded plat. Under no circumstances should this document • I be used for construction or for establishing a boundary or fence line • �• i Ordered By. Ruben Mungoroy W �9� /\ *0 As—Rapt Survey ok ' Lot 1, Frostad Subdivision h'.Vele*►... to 'x ^►': so I, Pierre M Stragier, hereby certify that I have performed a Mortgage Inspection Survey on the � 1 -9812 dJI subject property as described above on May 31, 2016. .� Of,� •r 1 ' Piot: 87-100 'Grid: N/A tj� ••••'�p�•• Fron tier Surveys, LLC >jt„1, .•• 6331 Wooded Circle Chugiak, Alaska 99502 in fo®frontiersurveys.com — L907.460.1686 FB 15-003 (18A) �S dv���,%fit r a o �° o Z i k Z ° O ( �'' • N �„ m Ln G�`D� r •a ..®. C — C 'O (D (D -< W Q rf v (D q9. n (D z O a TLm--Ifi Oro c c 0- CL - C 1• O 01 11 0 X v OO C ,N..O A 9 s CD NO ro K v I N p O K v ro 3 (D N N m N o 0 ron m N c 0 JD 5 ? N ID ro o.pID�ro 0 0< a c� > ro O ro CO -Q �.mvro� �. �N=�v 2c(Q 3m ro o�.~ 3 0 ro 00 p fl v :Ep (D O v ? < 0 O sswoCn �- a•' v O O Q. (O Q 7 4 7 v O" v 3D C n Q N (D N N O O• N 00 -, OC C S a p < ID= v `< o poo D (D (D K v 0 p O N 7 < 0ro 0 0 m O N ro 0 a 1C. O � n -O 3 o m 3 (D j 3 (D N K Ma N N Q � w N (D i��J LSI ADX�� 1p - r r 93 0, L^ 0 ID m Q— (D N o z v r m r W W w 111 O 0 0 3 N ro m 7 (D n N O (D On ro N = O 00 (D N ? N (D 'O �^ (ODr O CD )(0 m G O (O CL N i® c N D 1 � ' (D n Q (D N D ND � 'T V v O O D N lo -- (:TD m o (D P ro CAal o O fU OW V NT T T (D m n N O C O C (D O N C :0 O" O CL :3 O_ 7 (D (moo s K s (D :3 (D D O O N O N (D � 0'0.. a(D f v ° (D I 00 Q c < T O T O U v ^ � (p C C < _O (5D m o ° > n M C' C nCD m 0 N O C 70 (D a' v N 7-1 .0 O rrin rnrrin�ir r r r r ro r W W w 111 O t!7 O m 7 r O V O N On O 00 O 0) ? N en Z � ti v cc CAal OW V O 7 CA Vii � cn (D N I I O E