HomeMy WebLinkAboutSANDY ACRES LT 3Sandy Acres
Lot 3
#015-501-42
Municipality of Anchorage Page 1 of 3
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.d.anchorage.sk.us (907) 343-7904
ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO50192 PID Number. 015.50142
Zen Investments LLC
Wastewater System: New
Ate...
P.O. Box 240186 Anchorage, AK 99524
ABSORPTION FIELD
24 23.0838 Fo. Runewur a a•e4 epen
24
5' Wide Trench
LEGAL DESCRIPTION
Td.I Wpm km txg liy •
.8 GPWe
7 Fl.
8k La &W um
3
D -PM m pp• Eoean Idn avP pe0•
G,e 0eP1n Ew.wm pp•
Sandy Acres
3 F1.
4 FE
Tp+`" Rwq•' Sawn.
FYeCbee on",;Nid
Ciaaitogln
1.3 Ft.
63 Ft.
Well: New
�+
1M..C•r d Y.••
D.Nenn 0.1-ean k
5 F1.
1
- FE
C1rMlwrwn (Pm"•, A 8, ck
Tdal Wpr1. Ce to
del eworppp. w•l
q..
Private
111 F1. 111 FE
630 Fe
ASTM 3034 PVC
OMW
Alpine
Deb Cdre SNFo Www L•rw
8/5/05 65 FE
Whitters Landscaping
• b
7111-1212005
TeiIC
20
Pw. smAO
dour'
>2
TANK
GPM
r1.
Ft
SEPARATION DISTANCES
® Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
LM
Holding
ubrNRnvata
From
Tank
Field
Station
Tank
sewer Line
Anchorage Tank
1,250
Wee
>100,
>100'
N/A
NIA
>25'
Steel
Two (2)
s.nedrwew
>100'
>100'
WA
NIA
LIFT STATION — NONE ON LOT
La L.
>5'
>10,
N/A
NIA
ow
Fd.Wwn
>5'
>10'
NIA
NIA
�"°�
""'p
` " m
ti
In
ti
Cine.'Dr.n
None
Noted
P..np M.l"""°°''
E" iaiii irwp•d'd"p."mmWby,
Re *
BENCH MARK
Finished Floor
100.0 Ft
Engineer's Stamp
°Z.
Inspections performed by: AH Dates: 1" 7111/05
; 49th to ♦.
2nd 7112105
%....... ,
Department of Health and Human Services appr Val
I
L c! MICHAEL E ANDERSON
♦ if No CC -4381 w
Reviewed and approved by. Date: I 0 D
♦♦i�� •�„-
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519-8655 - 343-7904
Permit No. SWO50192 On -Site Wastewater Disposal System or Well Inspection Report
SANDY ACRES SUBDIVISION
LOT 3
44,228 S.F.
N 8YS6'15'E 165.00'
J_ lo_T. h E. Eswr.�.�--- �.
7H2 C5
qj
``!SVT
CIRCLE
PLAN AS -BUILT
SCALE 1' - 50'
Page 2 of 3
PID No. 015-50142
A IS
St 1 38.7 33.5
62 1470 41.7
G 72.8
c5 76e 65A
Mt 1682 762
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number. SWO50192
GARAGE
PID No. 015-50142
N
Y 2 f
U S r U
PROFILE AS -BUILT
Scale: 1' - 10'
Permit Number: #SW SO 0192 Date of Issue: 6-28-05 Parcel Identification Number: Q15-501-4
Date Started: 8-5-05 Date Completed: 8-6-05 Is well located at approved permit location? ® Yes ❑ No
Legal Description: Sandy Acres Lot 3
Property OwnerName & Address: Hagen Investments, LLC
PO Box 240186
Anchors a Alaska 99524
Borehole Data:
Depth (ft)
Method of Drilling ® air rotary ❑ cable tool
Soff Type, Thickness dt Water Strata
•h ROf1
ALPINE DRILLING
FRX NO. :
907 345 0202 Jan. 25 2006 12:13PM P1
0
2
3
7
2
3
7
61
Wall Thiekness:.250 inches
Diameter: ¢ inches Depth: 111 feet
Liner Type:
r: inches Depth: fat
tickup above ground: g feet
slit
61
ALPINE
DRILLING
& ENTERPRISES
Permit Number: #SW SO 0192 Date of Issue: 6-28-05 Parcel Identification Number: Q15-501-4
Date Started: 8-5-05 Date Completed: 8-6-05 Is well located at approved permit location? ® Yes ❑ No
Legal Description: Sandy Acres Lot 3
Property OwnerName & Address: Hagen Investments, LLC
PO Box 240186
Anchors a Alaska 99524
Borehole Data:
Depth (ft)
Method of Drilling ® air rotary ❑ cable tool
Soff Type, Thickness dt Water Strata
From .
To
Casing type: steel
stick-up
organics & slit
silt
gravelly silt
0
2
3
7
2
3
7
61
Wall Thiekness:.250 inches
Diameter: ¢ inches Depth: 111 feet
Liner Type:
r: inches Depth: fat
tickup above ground: g feet
slit
61
70
ater level (from ground level): ¢5 feet
t'Ruccorvery
silty gravel
70
78g
level:111-feet after
silt
78
102pumping
ZZ -0 gpm
silty sand
water sand & gravel
102
108
108
111
Rate: s20 gpm
Method of Testing: Piz
Well Intake Opening Type:
® Open End ❑ Open Hole
❑ Screened Stag feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: bentorrite M!Iules Volume: I br
Depth: Start Q feet Stopped Z feet
pump: Intake Depth feet
p Lp size hp Brand Name
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Well Driller. Alpine Drilling b Enterprises
PO Box 110496
Anchorage AK 99511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
. .L. �..\\ J.III L 11 1. .... \. 1.. �. .L n �. n... .... n. T. ... ..'.1.1. in J.... •L.. •..t...
` MUNICIPALITY OFANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Permit Number: SWO50192
Legal Description: SANDY ACRES SUBDIVISION LOT 3
Date Issued: Jun 28, 2005
Expiration Date: Jun 28, 2006
Parcel ID: 015-501-42
Design Engineer: 0014 Anderson Engineering Site Address: P.O. BOX 240186
Owner Name: HAGEN INVESTMENTS, LLC Lot Size: 44228 SO. FT.
Owner Address: P.O. BOX 240186 Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99524 -
This permit is for the construction of:
Disposal Field ❑✓ 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 By:
Issued
Date:
6-zs�os
Date: o
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St
P.O. Box 196650 Anchorage, AK 995196650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. nI5-'s l- 4Z Permit Number SW
Property owner(s) Hagen Investments, LLC Day phone 242-0838
Mailing address (1) P.O. Box 240186 Anchoraae. AK 99524
Mailing address (2) (0(e'45 Luliad Circle Arm AK Zip Code
Legal description (Lot, Block & Sub'd.) - Lot 3, Sandy Acres Subdivision
Legal description (Section, Township & Range)
Lot Size 44,228 SF Acres/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms Four (4)
Sewer Only ❑ Well Only ❑
Sewer and Well ® Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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.
(Signature of property owner or authorized agent)
Permit Fees:
Waiver Fees:
Date of Payment 6 - ZZ - D S Date of Payment:
Receipt Number. t9 6 `/ ?757 Receipt Number.
(Rev. 12100)
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 FAX
June 21, 2005
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 3, Sandy Acres Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer.
The owner of Lot 3, Sandy Acres Subdivision intends to construct a new four-bedroom
home on the lot. We are therefore requesting a permit be issued for the construction of
a new well and septic system to serve the new home. No conflicts exist with adjacent
septic systems or wells and the proposed septic system and well on this lot. The
attached Site Plan and backup documentation identify the location and configuration of
the proposed well, septic system and alternate site. The current drainage pattern is
identified on the Site Plan. The drainage pattern will be maintained after development
of this lot is complete.
Test holes were placed on the lot in May of 2003, which indicated well graded to poorly
graded gravel with with lenses of silty sand in the area of the absorption trench and
alternate site. The accepting soils were tested and found to have a percolation rate of
3.6 minutes per inch. Silt lenses percolated slower at 17 minutes per inch. The system
is designed with an application rate of .8 GPD/SF. No groundwater was found in the
test hole during placement and none was monitored during the ensuing period. Our
design includes the placement of a new 1,250 -gallon septic tank along with a 63' long
by 5' wide by 4' effective depth absorption trench to collect and treat the sewage
generated in the house. The bottom of the trench will be 7' below the surface. The
distribution pipe will be 3' below the surface. A minimum of 3' of cover will be placed
atop the trench and a minimum of 4' of cover will be placed atop the new septic tank.
The ground surface on the lot slopes at varying grades from north to south as shown on
the Site Plan. The absorption trench will be constructed parallel with the slope of the
ground surface as much as possible in conformance with Municipal requirements. The
Lot 3, Sandy Acres Subdivision
June 21, 2005
Page Two
new septic system will be constructed a minimum of 100' from the well on the adjacent
lot. It will also be constructed a minimum of 100' from any surface water in the area.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
49th`
MICHAEL E. ANDERSON
4 No, CE -4381 .
O'MALLLY ROAD
.rsenc M&W !�
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SANDY ACRES SUBDIVISION
0
0
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LOT 3
44.228 S.F.
89'56'15'E 165.00'
10' T. & E. ESMT.��\�
I ate \ —N -- -----
I -PO
•O� `
63' Long x 5' Vide \� fs411
W I5�• x 4' Effective Depth
U I ,t. Absorption Trench \\
1.250 Gallon `
Septic Tank
I \\ a
FY rt
I '*.
Z
g1. rt
I „
O
I X X _
I
I �^•a
A.C. DRIVE slab
n I EL - 520'
WI
I" x
®
I o
-r-
I `\
19' �
8SJ• \\ m
+r0 \
'O
LULIAD RCLE 0
N 89'56'15'E 114.94'
15' T. & E. & GAS
-,,, 52 528'
i
SITE PLAN
SCALE V - 40'
LOT 3, SANDY ACRES SUBDIVISION
DESIGN FACTORS:
Four Bedroom House
Perc. Rate: 3 to 17 Min.11nch
Application Rate: .8 GPD/SF (Average)
SYSTEM REQUIREMENTS:
5' Wide Trench System
1,250 Gallon Septic Tank
4' Drainfieid Rock
4 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 625 SF Absorption Area
625 SF/5 SF' .5 (Red. Factor) = 62.5 LF Trench Length
THEREFORE: Construct a 63' Long x 5' Wide x 4' Effective Depth Absorption Trench.
Flow Line Elevation in Trench to be 3' Below Original Ground Surface. Total Depth to be
7' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Trench.
Natural
Backfill
2'6"
3' Cover
Over Trench
Geotextiie
Fabric
6" ed
I�—PVC (H els Down)
4'0" 1 I ,, — Drainfield Rock
5'
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE)
+ter
NOTE: Grade Area Over Trench to Drain Away. a
Minimum 6' Separation From Bedrock. _
Minimum 4' Separation From Groundwater.
Minimum100' Separation From Wells in the Area.
Minimum 10' Separation From Water Services.
Minimum 100' Separation From Surface Water or Streams.
MILINEL E INOERSp1
1 9 '
A .ASKA WATER & WASTEWATER
*,:•
y
CONSULTANTS, INC.
....... . .....
......
«.-d,.m
SOIL LOG
— PERCOLATION TEST
.. . . ................
LEGAL
DESCRIPTION: SANDY ACRES SUBONISION; LOT 1-4,
6/23/2003
•'
ppm• '•. -7853
PERFORMED
FOR:
. TONY BLOMFIELD
DATE:
s^• •.
...
(
4
...
�o'e
CIA
td'
feet
____
ORGANICS
TEST HOLE
o�r.�•Ie
1
---_-
- --
c=ca
SILTY LOAM
SOIL CLASSIFICATIONS
LOT UN
-
GP ML TH13+
TH+ +TH12
3
GM CL r*
GC OL -�
4
0 9 SW MH
•• • S'p CH '^
5
SM i OH' LAT 4
LOT 3
6
SC
o
J
7
Sf��4 OF Ate
DEPTH
OUNDQ ER DATE
g
��p'• �� ••
/ 15 5/23/2003
SITE PIAN
4924
: * 14.50 6/4/2003
1'100'
e
.... ..
j •�•
..
' :13' 10/15/C4
.. .......
OT IN-
T c
'
•• : AUCNAFL I. ANDER
.....
•^�
10
;''• CE -4381
• `'
4��� •/t ' u -p•r % " CLOCK NET TIME.
44frp ZATE READING
WATER LEVEL
NET DROP
11
v,,,,,,...
TIME (MINUTES)
READING
(INCHES)
Qo'►`S'►pe`ti
6/4/2003 1 3:40 -
6'
-
12-1.
.. .
•; .•.•
2 4:10 30
2 1/2-
3 1/2-
2'-.13
-.13
"` ••••
3 4:10 -
6-
-
•%•••'•
4 4:40 30
3 1/8-
2 7/8-
14
14—
00 ;.
SP
5 4 4D -
6'
-
00
::�
6 5:10 30
4 1/4
—
1 3/40
15
.%O ;.
7 5:1 D -
6'
-
•••,
: :•
8 5:40 30
4 1/4-
1 3/4'
16
.D.O.H.
17
'
18
PERCOLATION RATE 17.1 (MIN./INCH), PERC. HOLE DIA. 6 (INCHES)
,
TEST RUN BETWEEN 6.0 FT. AND 6.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HEITSTUMAN
COMMENTS:
PERFORMED BY AKWWC. INC. 1, JEFFREY A. GARNESS. CERTIFY. THAT THIS W LRFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: 6/zei
ALASKA WATER & WASTEWATER
I'UIL LUV - r ' --
LEGAL DESCRIPTION: SANDY ACRES SUBDMSION: LOT 1-4,
PERFORMED FOR: TONY BLOMFIELD DATE: 5/23/2007
( oRCANIcs EST HOLE #2 !-off
1
PAGE 1 OF 2
* DRY
5/23/2003
-=== SANDY LOAM SOIL CLASSIFICATIONS
6/4/2003
2—
----
ORG
TH{3+
GP
ML
3
Rl SM GM
CL
3
GC '
OL
6•
SW
MH
8:30
r..'tii; .•.'. SP
CH
5
4.� SM i
OH
1 -
CW/GP
-
6
SC
m
.o;,,.:z
7
491y --
9 I �WCHAEL [. ANDERSO"
CE•4331
10 i!; fp01; 5,0
11 SM'�\\,ES
12
13
14
17�• 1,
18
1 DEPTH TO
f kpl DWATER
DATE
* DRY
5/23/2003
CORY
6/4/2003
:a PDrV
10/1510
6'
TH{3+
......I.. I... /. I............
x[7953
o?
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
5/28/2003 1
L II UN:
-
6'
TH{3+
+
4TH#2
10
2 1/4'
3 3/4*
3
0
6•
-
1
8:30
1 10
3 1/2-
C
5
8:30
1 -
6.
-
6
8.40
m
3 3/16-
3 16•7
2 13/16-
7
8:40
-
W
-
B
LOT 4j
10
LOT 3
•'2 13/16-
0
O
-
6'in
-
J
0
10
3 3/16'
1 2 13/16'
SITE PLAN
9:00
-
6'
1•-100'
I
LOT UNE
10
T
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
5/28/2003 1
B:10
-
6'
-
2
8:20
10
2 1/4'
3 3/4*
3
8:20
6•
-
4
8:30
1 10
3 1/2-
2 1/2-
5
8:30
1 -
6.
-
6
8.40
1 10
3 3/16-
3 16•7
2 13/16-
7
8:40
-
6•
-
B
8:50
10
3 3/16-
•'2 13/16-
0
-
6'in
-
0
10
3 3/16'
1 2 13/16'
9:00
-
6'
-
9:10
10
3 3/15-
2 13 16
19� PERCOLATION RATE 3.6 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4.5 FT. AND 5.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HEITSTULUW
COMMENTS:
PERFORMED BY AKWWC, INC. 1, JEFFREY A. CARNESS, CERTIFY THAT THIS ERFORMED IN ACCORDANCE
LHRH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
ALASKAI WATER 8c WASTEWATER
CONSULTANTS. INC.
�
ISUIL LUG - rr-M v ^llw. . ,...,,,
LEGAL DESCRIPTION: ' SANOY ACRES SUBDIVISION: LOT 1-4,
PERFORMED FOR: TOME BLOMFIELD DATE. 5/23/2003
(feet) ffEST HOLE #2 �-oT 3
1
(.1
PACE
2 OF
2
WATER LEVEL
NET DROP
"" •' ••
'D
SOIL
ASSIFICATIONS
TIME
(MINUTES)
GW
==_=
2
W
OR'G
Tajo-.
6
0
2003
r
GP
ML
3
3 3 16
2
W
GM
CL
fits o„S,wO�*e:�
3
8:20
GC
OL
4
Z°�
6' (INCHES)
SW
8.30
MH
3-1/2"
2 12
0
20
�'. •.
SP
8:30
CH•.
5
N
COMMENTS:
SM
i
OH
10
3 3/16"
2 13/16"
WITH ALL STATE AND MUNICIPAL
GUIDELINES IN EFFECT ON THIS DATE:
SC
7
6
W
J
7
O
2
B
F-
9 �
W
F-
10 --1 ,A
11
12
IGROUNDWA ERI DATE
.....T .NX..a...a.........
ey A. GdrTeee:
C 7953 e*
SEE SITE PLAN ON
PACE i OF 2
49n fl •�
"•••
16—
(.1
CLOCK
NET TIME
WATER LEVEL
NET DROP
"" •' ••
'D
E
READING
TIME
(MINUTES)
READING
(INCHES)
.....,
MICHAGEL E. ANDERSON
9:00
6
2003
1 8:10
— 6"
E-4381 L Oc,^•�
10
3 3 16
2
8:20
10
fits o„S,wO�*e:�
3
8:20
-
6”
-
PERC. HOLE DIA.
6' (INCHES)
4
8.30
10
3-1/2"
2 12
20
5
8:30
-
6"
-
COMMENTS:
6
8:40
10
3 3/16"
2 13/16"
WITH ALL STATE AND MUNICIPAL
GUIDELINES IN EFFECT ON THIS DATE:
7
8:40
-
6"
-
8
8:50
10
3 3/16-
3 16"
2 13/16-
16
(.1
-
6"
-
0
10
3 3/16"
2 13/16"
17
9:00
6
(/7
10
3 3 16
2 13 16
18
W
PERCOLATION RATE 3.5 (MIN ✓INCH)
PERC. HOLE DIA.
6' (INCHES)
19
W
V)
TEST RUN BETWEEN 7.0 FT. AND
7.5 FT.
20
A FOUR HOUR PRESOAK WAS PERFORMED:
N YES ONO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HERSTUMAN
COMMENTS:
PERFORMED BY AKWWC, INC. I,
JEFFREY A. CARNESS, CERTIFY THAT THIS 1
AS ERFORMED IN
ACCORDANCE
WITH ALL STATE AND MUNICIPAL
GUIDELINES IN EFFECT ON THIS DATE:
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 3, SANDY ACRES SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a new
1,250 -gallon septic tank at the location shown on the Site Plan. Work also
includes the construction of a new 63' long X 5' wide X 4' effective depth
absorption trench at the location also shown on the Site Plan. The
distribution line in the trench will be placed at 3' below the existing ground
surface. Total depth of the trench will be 8' below the existing ground
surface. A separation distance of 100' from any well and 100' between the
septic tank and absorption trench and any surface water must also be
maintained. In addition, a separation distance of 10' between components of
the septic system and any water service line is required. A minimum of 3' of
fill is required over the absorption trench and 4' over the septic tank. In lieu of
the required fill 2" of insulation and 2' of fill may be placed.
2. Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
4. Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Department of Health and Human Services for system installations.
Owners installing their own systems must receive prior approval from
D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,250 -gallon septic tank must be procured from an approved source
and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
Lot 3, Sandy Acres
June 21, 2005
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
6. Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. Contractor shall verify this condition prior to placement of the
rock. All pockets of unacceptable materials must be removed and replaced.
Lot 3, Sandy Acres
June 21, 2005
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as -built of the completed system.
Parcel I.D. 015-50142
Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904 S�F
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Complete legal description SANDY ACRES LOT 3
Expiration Date: Z -c?" " /
Location (site address) 10675 LULIAD CIR ANCHORAGE AK 99516
Current Property owner(s)
Mailing address
Real Estate Agent
TODDLOGAN
Day phone
Day phone
2. TYPE OF DWELLING: "
® Single Family (w/wo ADU) t.�l %6i lh�i�A
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex) APR 2 2 2014
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
n
Individual
E
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Pubiic Vvater System
LJ
Public Sewer
r
L�
WaiverP✓ariance ra4ust .for: NONE Distance:_
Received by: Date:"
COSA to be released to the b gineer, unless otherwise requested by the engineer.
COSA Fee $ -- I
Date of Payment � 2_ !/
Receipt Number o2_nc� >,
COSA# oeDC►q V41
Waiver Fee $
Date of Payment
Receipt Number
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 SPURKLAND ENGINEERING
Address 203 W. j5TH AVE.,STE.202A, ANCHORAGE, AK 99501
Engineer's Printed Name LARS SPURKLAND
6. DSD SIGNATURE
System #1 Approved for Y bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms,
Phone 279-3916
_ Date 4/14114
OF A t`le
r
10
F7 n:: I; 11 L D •,fir
r ��By `� ���`�
with the following t pulations:
By: Original Certificate Date:_
The Mci Ry. r ®rage 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 sheer f _i .,
If more than 1 septic system is on the lot:
COSA Checklist # 1 of 1
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: SANDY ACRES LT 3
A. WELL DATA
Well type PRIVATE
Date completed 8/5/05
Total depth 111 ft
Date of test
Static water level
Well production
If A. B, or C provide PWSID #
Sanitary seal (YIN) Y
Cased to 111 ft
FROM WELL LOG
8/5/05
65
20
WATER SAMPLE RESULTS
ft.
=w
Coliform NEG colonies/100 mL Nitrate 0'219 mg/L
Arsenic ND ug/L Date of sample: 4/11/14
B. SEPTICIHOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL
Tank size 1250 gal. 2
Foundation cleanout (Y/N) Y
Date of pumping 4/10/14
Parcel ID: 015-501-42
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 24+ in.
AT INSPECTION
4/11/14
ARTISIANAL ft
5.25
9.p -m.
Collected by: ANSON MOXNESS
Number of Compartments _
_ Depression over tank (YIN) N
Pumper ISAAC'S PUMPING
Date installed 7/11-12/05
Cleanouts(Y/N) Y
High water alarm (Y/N) N
C. ABSORPTION FIELD DATA
Date installed 7/12/05 Soil rating (g.p.d./ftp or ft2/bdrm) 0.8 System type 5' TRENCH
Length 63 ft. Width 3 ft. Gravel below pipe 4 ft.
Total depth 7-5 ft. Eff. absorption area 630 fe Monitoring tube Y Depression over field N
Date of adequacy test 4/11/14 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 17 in. Water added 630 gal. New depth 24'5 in.
Elapsed Time: 210 min. Final fluid depth 21'5 in. Absorption rate >= 600 g p d
Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons
in. "Pump off' level at
E. SEPARATION DISTANCES
WELL ON LOT TO:
Cycles tested
Septic tank/lift station on lot100+
Absorption field on lot 100'+
Public sewer main NA
Sewer /septic service line 25'+
Animal containment areas 50+
Manhole/Access (Y/N)
in. High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots 100'+
On adjacent lots100 +
Public sewer manhole/cleanout NA
Holding tank NA
Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5'+
Water main NA Water service line 10'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10+
Curtain drain NONE KNOWN
I�40Y, ir,I=1:k&I
G. ENGINEER'S CERTIFICATION
Surface water 100'+
Wells on adjacent lots100+
I certify that l 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 LARS SPURKLAND
Date 4/14/14
COSA brown sheet_1010-12.doc
Absorption field 51+
Surface water 100'+
Water main NA
Driveway, parking/vehicle storage 10'
in.
S . 4. :.. j
J/ E. SPURKLAND. j
15
LLp,V1j 6M1U -z,
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015 501-42
COSA # C24fito g'
Expiration Date: y 170 /0(7
1. GENERAL INFORMATION
Complete legal description
Lot 3, Sandy Acres Subdivision
t
Location (site t3ddress)
10675 Luliad Circle
Current Property owner(s)
Hagen Investments, LLC
Day phone 242-0838
Mailing address
P.O. Box 240186 Anchorage, AK 99524
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
Four (4)
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Q
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 On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of Onsite Systems 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 seat affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of Onsite 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 Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
S. DSD SIGNATURE
t/ Approved for _+ bedrooms.
Disapproved.
Phone 522-7773
Date =5/2006
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrd(e Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By Original Certificate Date: r o 0
(R.. 1195)
Municipality of Anchorage
Development Services Department
'j Building Safety Division
On -Site Water d Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 995196650
1 www.muni.orylonso
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description:��r tLs �4 Parcel ID: 015-501-42
A. WELL DATA
Well type Private K A. B. or C provide PWSIO S _ Well Log (YM) Y
Date completed 815/05 Sanitary seal (YM) Y Wires property pry (Y/N) Y
Total depth 111 ft. Cased to 111 ft. Casing height (above ground) >18 in.
FROM WELL LOG AT INSPECTION
Date of test 815105
Static water level 65 ft. fl.
Well production 20 9.p -m. 9 P.M.
WATER SAMPLE RESULTS:
Coliform % coloniss/100 mL Nitrate 0. 1 mg/L Other bacteria '0 colonies/100 mL
Arsenic: 5_LQ mgA Date of sample: l -- IS -0 6 Collected by: LH.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Se 'dSteel Date installed 7/11106
Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation dewxxd (YIN) Y Depression over tank (YM) Y High water alarm (YIN) N
Data of pumping Now Construction Pumper
C. ABSORPTION MELD DATA
Date installed 7/12105 Sod rating (g.p.d./ft or fe1bdrm) .8 GPDISF System type 5• wide Trend,
Length 63 ft, Width 5 ft. Gravel below pipe 4 ft.
Total depth 8 ft. ER. absorption area 830 fe Monitoring tube Y Depression over held N
Date of adequacy teat New Const. Results (Pass/Fait) For _ bedrooms
Fluid depth in absorption field before test in. Water added_ gat. New depth In.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (pest 12 mo.) (Y/N b type) N If yes, give date
D. LIFT STATION
Date installed NIA Size in gallas
Manhole/Access (Y/N)
'Pump ori level at _ in. 'Pump ofP level at _
in. High water alarm level at in.
Datum Cycles tested
Meets alarm 6 circuit reo mnenta,
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAft station on lot >100'
On adjacent lots >100'
Absorption field on lot >100'
On adjacent lots >100'
Public sewer main NIA
Public sewer manhole/cleanout NIA
Sewer /septic service line >25'
Holding tank N/A
Animal containment areas N/A
Manurelanimal excrete storage areas N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property wo >5'
Absorption field >5'
Water main NIA Water service line
>10' Surface water >100'
Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10' Water main NIA
Water Service line >10' Surface water >100' Driveway ahxage >10'
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS:
G. ENGINEER'S CERTIFICATION
I cerhry 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 Michael E. Anderson. P.E.
Dale 1125/2008
COSA Fee $ S% SI `f 1 75 ( R ILS/{
Date of Payment 11 -ail% a 01:4xio t1
Receipt Number\QiCS�-
(Rev. 11tm)
Waiver Fee S
Date of Payment
Receipt Number
J, 49th
01-27-06;13:20 ;
SCS Itcf.N
1060293001
Client Name
Anderson Engineering
Project Name/0
Lot 3 Sandy Acrd
Client Simple ID
Lot 3 Sandy Acrd
111atrUe
Drinking Water
PWSID
0
Sample Remarks:
;907 561 5301 # 2/ 4
All Dntcs/rimm are Alaska Standard Timo
Printed Dalr TIme
01/26/2006 1430
Collected Date/rima
01/18/2006 13:39
Received DateMme
01/18/2006 14:03
Technical Director
Stephen C. Ede
Allowable Prep Analysis
Panvneter Results ML Units Method Container ID Limits Dale Date Init
Metals by ICP/MS
Arsenic 5.00 U 5.00 ug/L CP200.8 C 01/23/06 01/23/06 WAW
Waters Department
Nitratc•N 0.100 u 0.100
Microbiology Laboratory
Total Coliform TNTC On
mg/L EPA 300.0 B (<.10)
eol/100mL SM209222B A (<-I)
a
01/18/06 DSH
01/18/06 TLF
2004-148
SANDY ACRES SUBDIVISION
LOT 3
44,228 S.F.
3'
n 138.7'
��ac m
$
S+ I
N
I 3
z I 59.8' n
fV
37.8'
EXWNI z
11GARAGE
c -
1 - 29.8'
1 "=40 0011
11
WELL
I �
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LULIAD CIRCLE
GASTALDI LAND
SURVEYING, LLC
JEFF A. GASTALDI, R.L.S.
4726 WEST 88TH AVENUE
ANCHORAGE, ALASKA 99502
PHONE 248-5454
IGRID 2537 I DA�3/2006 I
F.B. JOB NO.
05-16 1 SAS3
N 89.56'15"E 114.94'
15'T. do E. do GAS ESMT.
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
R IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
NOTE: NO CORNERS SET THIS DATE
BUILDING DETAIL
SCALE: 118=20'
GARAGE DETAIL
SCALE: 1 "=20'
OF A41�
Ar
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• A Gastaldl
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165.00'
10' T. do E. ESMT. \
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SEPTIC SYSTEM
ui
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o
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1 - 29.8'
1 "=40 0011
11
WELL
I �
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LULIAD CIRCLE
GASTALDI LAND
SURVEYING, LLC
JEFF A. GASTALDI, R.L.S.
4726 WEST 88TH AVENUE
ANCHORAGE, ALASKA 99502
PHONE 248-5454
IGRID 2537 I DA�3/2006 I
F.B. JOB NO.
05-16 1 SAS3
N 89.56'15"E 114.94'
15'T. do E. do GAS ESMT.
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
R IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
NOTE: NO CORNERS SET THIS DATE
BUILDING DETAIL
SCALE: 118=20'
GARAGE DETAIL
SCALE: 1 "=20'
OF A41�
Ar
9Iki.: •......................a1
• A Gastaldl
0
i •. i 1 AW
�� •. LS -6091 : •
•. s^s0�, ••..•...N•••dhJ*
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