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HomeMy WebLinkAboutSCENIC MEADOWS BLK 1 LT 3Scenic Meadows Block 1 Lot 3 #051-064-79 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw Sl. P.O. Box 196650 Anchorage, AK 99519-6650 Page / of .3 www.ci.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: :SWOS70qV.0 PID Number: Nam. /�'E Ut Wastewater System: P31 ew El Upgrade Aaaesa 6 1 ABSORPTION FIELD Pt A ` Nunn« Of Betio s ♦ Y T. I O Slunow Trend) D B•° D Mourl° O otw LEGAL DESCRIPTION SWFURM TNNDOPMit= w9nN,,. GPDrFI� FI, Bladt'/ LN' Sub o,N Dap,h Ip Ppa bonan hom agnN paae 0" aegh b"rh pI e'. CQ FI. FI Townanp R«qe. Seaan Fd aapea above ag" 4ra 3 tFt. Gra LanWh [�/% SFI. -J `-'a PUBO G w Upgrade Grsv wglh. Numb« d Inas Dnlanpa bNwaen I.,Well: FI. Ft clasa°i .w IPnv«e. B, CT I TNNDapm Cassa to Taal ablonx. «ea C P" MalenN. Ft. FI. so-S.F2 VC 303 pill« DNe Na' $1N�b Wal LavN MSISIM, I}AtICaS D Da,a Ii, FI. S q --J ^ Z /0 tJ Y.a Puaq 501 n. • Cavnp HegM G,Nna. TANK GPM FI. FL SEPARATION DISTANCES 1213septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ubuUPnvata a .w` a 'y Fran Tank Field Station Tank Sewer Line A/C �f' X250 GN. Wen .- � � MNMN. Numb« N ComWn s �- TE Z swaa WII« LIFT STATION LN Lma [f O'.� S e- r ua u« Gat FNr m aJ F� U t,o- � ^ Pump m bvN «. •Pump dr MvN « Hr wal« N«m « N � Cune•n Dran �, � � r Pump Mak. I . IgI Elaancal a'hapKLana P-`7' «la or Ramllrka T /J c.b 'ucaoj w c BENCH MARK loulwn «a Dasa�ptwn. FB �u C Aasumaa I...aa,. 10Q Ft. Engineej!IL$1a1"IIp + o` Al "%>i 1�1o ^.`•' F ••.go T Inspections performed by: Il4 �� Dates: 1N 2 G o p k ' 1AZor Development Services Department Approval L' r" ' ay � ; Sloven W. Eng Reviewed and approved by: Date: 3 '�2- 0 b �+ V, •o PE 6456 or < i a'•ea ••• ���,��\O'er+�� IRe.. I:WI � Septic System Construction Does Not Preclude Adjoining Lots From Sanitatton Improvements•' fz ECF,0F. �7 ljr�r,ocisf{E/� �v�r�6 E N W LOT 2 TH r M 1250 Gallon Septic Tank � .H.3 Double C.O.'s Res rve Site 3 0 4 dBrm 01/M M Ho QLW A Absorption Trench T.H.2 h0'Z-) QY F.C.O. S.T. C.❑.1 S.T.C.0.2 D.C.O. C.O. 1/M.T C.O. 2 NOR THRIM ENGINEERING 17237 Bear Pow Circle . Eagle River. Alaska 99577 907.694. 7028 I/ Water Key Box dge ' •......• ' : of De k DESIGN NOTES: :LMENTS 1. Total Depth of Trench is 8'. nder eck Terrain Slopes South. 0 13.5 9 2. Sewer Service Line minimum 2% slope. 2 10 75 55 3. See Lot Line Waiver. 52 54 4. Lots Served by Public Water System. 1'- _ 40 asa,I SCENIC MEADOWS S/D AS—BUILT BLOCK 1 — ILAY❑UT L❑T3__ — °atis'/19/06 {2 0f 3 i m S u c L L F - as Y L d u 4' a w N c a, w a 0) PCI tn 4. 3 O L d d U Ol N O CL O O L Q) O U 0 3 OW L� d• O S u c L L H O 41 c O CL I a f O W i, a � O N ds N cl ycl F- oa d L Lo 0.r - CD o u N c N Q C5 > N W lCD W J Z ILiLL-—I �2 v W A u M 3 I— Y Z Q ~ O O j A J CL W N _ �� S m 4' Cl. e --I u a %6 m ZU .o C: o a, n +'+p > o u d d 4- W W U f E U p O U U C � O 05 w a w o U ° >. L N a s ) u tn £ O ° O {+ E +1 W L d . _a E� (1, ma L UI C)d E U N-0 c�a, =0o a 0 W C a �N SN aiD:3 u L Oo — O N`a L- NU CU N u + V) S O L �4. F°- d H 1-- 00; F"' U C 00 O I O i L ZSU.Q LLN°3 Z+'ad3-P0,3v v; av,Nvi3w¢ W La .-i (L (`) �J' vi t0 0 m II C 0 41 C5 d W w 0 2 to N W H W J Z ILiLL-—I �2 a � W A M 3 I— Y Z Q ~ O O � A J CL W N Q L y e --I u Y ZU .o W O CD U J o V) A W W J Z ILiLL-—I �2 a � W A f -I Y Z Q ~ LSI F— co) IU_ NH Q CL W V) CL W N O ^ �2 ua Z uj 0, o � 2W�o W MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343.7904 J ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SWO50440 Legal Description: VOYLES TRACT A2 Design Engineer: 0838 North Rim Engineering Owner Name: MIKE QUINN Owner Address: PO BOX 772641 EAGLE RIVER. AK 99577 - Date Issued: Dec 01, 2005 Expiration Date: Dec 01, 2006 Parcel ID: 051-064-61 Site Address: NHN HOMESTEAD ROAD Lot Size: 332324 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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: Date: / G.s Issued By: /�ri� Date: z it) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SWO50440 Legal Description: VOYLES TRACT A2 Design Engineer: 0838 North Rim Engineering Owner Name: MIKE QUINN Owner Address: PO BOX 772641 EAGLE RIVER, AK 99577 - Date Issued: Dec 01, 2005 Expiration Date: Dec 01, 2006 Parcel ID: 051-064-61 Site Address: NHN HOMESTEAD ROAD Lot Size: 332324 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of. Q Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ PrivyPrivate Well ❑ El Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked 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 Alp Date: _l Date: IzUof \ Municipality of Anchorage �l Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 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. 051- DIM- bi Permit Number SW Property, owner(s)�/�cj1^w Day phone 9'9 U 9a'e Mailing addressiv0 ea>G 7 %o?W / Zip Code 99S 77 Site address f/0h1,4::, d?.F*/n 10 ae0 t Zip Code _ 99.SG'7 Legal description (Lot, Block & Sub'd.)- .�,/r/� �� AUuJ r BGOCfC ! 07 7 Legal description (Section, Township & Range) Y 6(L5 Q ,� Lot Size 339, 3N Acres q.Ft) Number of Bedrooms tl THIS APPLICATION IS FOR: Sewer Only Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ 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. (Signature of property owne6e4uthorized agent) Permit/Rush Fees: (Rin 00 Waiver Fees: nee -CID Date of Payment: I1bV1 j=5 Date of Payment IV IfIln?fhCS Receipt Number: _7120CJ�sP[M Receipt Number: :7,"" r?�> _ EAS (Rev. 09'04) bTF ENGINEERING NorthRim Engineering 17237 Bear Paw Circle Eagle River, AK 99577 907.694.7028 November 17, 2005 MOA On -Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: Scenic Meadows S/D, Block 1, Lot 3 A lot is being developed. The soil test was conducted during subdivision approval. The design is based on this test hole & 2 new perk tests will be completed at the septic system site. A lot line waiver is being requested to 1 foot. Public water serves the subdivision. The neighboring lots are under construction. This site should not negatively impact any of the other area lots. The lot slopes to the south and is relatively flat. Please review the wastewater system design for the single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Sincerely, <�: 11 - — ; leve ng, PE, P14 Design Enclosures E7 2IM ENC,INEERING Scenic Meadows S/D, Lot 3, Block 1 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a new 4 -bedroom, single family home. This is a new subdivision and most of the neighboring lots are not yet developed. The subdivision test hole is being used for groundwater monitor; 2 new percolation tests were completed at the site of the wastewater system. These lots are large and are served by public water. No adverse impacts are expected from development. No conflicts to the other lots will take place by this septic system construction. The easements are located on the drawing and are not encroached upon. Soil tests revealed sandy soil with low silt. An application rate of 1.2 GPD/M with 0.5 reduction factor for utilizing a 5' wide trench. Trench Length = 500 FT'/5'x .5 reduction factor = 50'; 1 line @ 50'. No bedrock was encountered or groundwater was encountered. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • Two compartment, 1250 gallon septic tank. Watertight couplings on inlet & outlet. • 5' minimum between the tank and bed. 10' to property lines. • 3' of cover or insulation is required for trench; an equivalent of I" insulation for each foot soil cover. • Tank & solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps are required V to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10' from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from drain -rock. • Drain rock to be % inch to 2 %x inch screened. Drain rock to be distributed uniformly throughout the trench. • Perforated pipe to be installed level with perforations down. • Silt barrier (filter fabric) to be installed above the drain rock. • Smeared trench sides must be raked or scarified before drain rock placement. • Backfill over drain rock must not be less than 36". • The finish grade must be mounded to promote drainage over the trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. 0 Insulation board to be extruded direct burial polystyrene (Dow Styrofoam Fll or equal) Septic System Construction Does Not Preclude Adjoining Lots From Sanitation Improvements. I � 5 \(n w I 01250 Gallon Septic Tank w I F.C.O. Double C.O. s � 4 m drV K) Ho4< I Driveway .H. (Garness) T.H.2 Water Key Box Absorption Tr -Reserve Site DESIGN NOTES: 1. Total Depth of Trench is 8'. Terrain Slopes South. 2. Sewer Service Line minimum 2% slope. 3. See Lot Line Waiver. 4. Lots Served by Public Water System. NORTHRIM y�P ' �y SCENIC MEADOWS S/Dj I j ENGINEERING '.asm .. REVISED 17237 Bear Pow Circle �,,; p;;•• ..... LAYOUT Eagle Rl.er. Alcsko 99577 a 907.694.7028 BLOCK 1 L❑T3 •: -- 11/30/05 _11 of 4 ---- - --- -- — C 0 os Vs V O � '0 r < c N CNV U 7 V U C i LW N CL C C N N O i y UZl` V H N LO W O O O Op N O N N w Ne V1 co 7 N E �c 3 U E w 0 c d En O % N Gi t o S c v OL VI O N V) v Z 0 N Z o 3 N N N H H V1 J W C3 — cli Mi v S u c L L H on Y C d u CL ON c Q) a, a 0) d PQ N 3 O C C% d U Cl) L tn O CL o_ a s u w al c s o. u� v v C 3 O tti N L F N p ~ O n o c p S.10 \ a ' 3 oQ l v Lli cta N L {, -0 u Y o. Z U a W OCD U J > (11 m :P u .". d a W W Z a 3 = _J LL. W w L) ¢ iw� i A U aL, rn A n- OL p L W Y H E L) c� c 2, Q ~ o ea ¢ U C/) a. o Z W U w CCL tn o u ai N'- s° a LA C/) N > u £ N d d E £ •H O £ 41 d i' 3 L 00 W L d N u �, •• +i O ,� 'OW CCDu aoFLo�ntn Eu ;�• v O .NQ Na4 0,-0 L CL �• Atl: oa,ca (4- uN LJ Q p C� ir. �IMjs# £od L.. piu+'U N t L -Yu d p C p Ls4. e^ Li W tF, d 0 pN u E 2 U e' C7 p'— N N Y d Zs�2�wti33 IWao� U na+°� 3 d v_ d Q)o hot 0-K 2 .... N d 01=w rn a to v� 3 rn ¢ W 0 O m o ' m m ri fU Cl Vi L6 %6 h e 2W �P § cu0 +1 0 2 } \ 2 � 0 \ L 0 ¥ 0 j f E § Q y � mco ED ƒw �ED w U� � o U -i V) PCI A . . w t t � •;i®i •;i®i ,� �■� .;� .0 i� wt !Ai f •; i� i®i w■� i� �■w •;ili i��■w ,� w■� •;i®i •;i®i 'i1®A ,���. •;i i ,� �■� ,� �■� a �#� •;iJi ,� w■� i w«� 0 \ L 0 ¥ 0 j f E § Q y � mco ED ƒw �ED w U� � o U -i V) PCI SOILS LOG - PERC❑LATI❑N TEST Th I' 'L-- Date Performed: 11/22/05 EN9WEERING Performed For: Mike Quinn Legal Description: Scenic Meadows Subdivision, Block 1, Lot 3 DEPTH (FEET) 2 3 4 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - 21 - ❑rganic SP Sand w/ Gravel T.H. Location: See Attached Design Groundwater? No Depth -- Water Depth After Mnnitnrinn --- n„+e # Date Gross Tine Net Time Depth Net Drop 1 11/22 0 -- 3' 2 11/22 2 2 min 4' 1' 3 11/22 5 -- 3' 4 11/22 7 2 min 4' 1' 5 11/22 10 -- 1 3' 6 11/22 12 2 min 4' 1' Percolation Rate 2 min,/Inch Perc Hole Test Run Between 4' and 5' Comments: PrPsnnkPd More than 5n Performed By Northgim F'ng• I Performed in Accordance with F ON THIS DATE. DATE: 11/22/05 Diameter 6' 2. CERTIFY THAT THIS TEST WAS State/Municipal Guidelines in Effect NORTHRIM �~P�� �• ..-4 TESTHOLE LOG ENGINEERING IT. H. 2 17237 Bear Pow Circle •' �lp• i £ogle Ri"r• Alaska 99377 a�sA 907.694.7028 GE❑TECHNICAL•: -- 11/30/05 2 of 3 \, SOILS LOG - PERC❑LATI❑N TEST Date Performed: 11/22/05 L7r:llr-TFRI� INEERING Performed For. Mike Quinn Legal Description; Scenic Meadows Subdivision, Block 1, Lot 3 DEPTH (FEET) Organic SP Sand w/ Gravel T.H. Location/ See Attached Design Groundwater? No Depth -- Water Depth After Monitorinn.--- nn+at # Date Gross Time Net Time 3 11/22 4 -- 5 - 6 - 11/22 7 - 2 min 8 - rtDro 9 - 11/22 10 - -- 11 - 12 - 11/22 13 - 2 min 14 - 15 - 11/22 16 - -- 17 - 18 - 11/22 19 - 2 min 20 - 1' 21 - Organic SP Sand w/ Gravel T.H. Location/ See Attached Design Groundwater? No Depth -- Water Depth After Monitorinn.--- nn+at # Date Gross Time Net Time Depth 11/22 0 -- 4'2 11/22 2 2 min 5'3 rtDro 11/22 5 -- 4'4 11/22 7 2 min 5'' 5 11/22 10 -- 3' 161 11/22 12 2 min 4' 1' Percolation Rate 2 min./inch Perc Hole Test Run Between 4' and 5' Comments) PrPconkPd More thnn 5n: Performed ByNorthRim Fng, Ic Performed in Accordance with A ON THIS DATE, DATE, 11/22/05 Diameter 6' -e— CERTIFY THAT THIS TEST WAS State/Municipal Guidelines in Effect NORTHRIM:~9m : * TESTH❑LE LOG ENGINEERING T. H. 3 j -, .... 17237 Bear Pow Circle a br Eagle River, Alaska 99377 •.••a -am r i 907694.7028.GE❑TECHNICAL-----------...__--- --- ---� 3of3! GARNESS ENGINEEERING Gi[G1.1F; Ltd. _.0 .•nwwr+.� V.i JULT. 11 a9��s.1t�LCONiAACfDNp- --. * '�, iWA-Uwlww iia yggiliCiwi w� _ _ _ _ ...1 IACAL DFSC.T61 ". WW FE'L:'['4 iJ'_W.YION• P;kVCSCO LM 3. \i PLAFOkUM FOR. DA)-L112/]CM F� y ":. OROAKCS WT HOLE 3 Gw __=. wr, i a_ cr I.IL ; PUZGm CL s } GC OL i 1 _,� 5w MH 1 i liSF CH L.. II1 i.• �. 74l' �� –. j .TAY .9 . 1 aT 11i GW/SM __7^....._ via•!+ snn sAN ANO n �2ji P. !r iP tjii:l;l •� 12 Tf1 v igitoc+ i.....;e is 151^1-m i -- •'r.` TIM: IWATERLEVE-1 NET n (01NUTCS) READING I (t4:H tp FFRCCLA;I(F: RATE 10 (H:N.hN'.N) Fpt%. INA: CIA E Vu -,ES) TES' RUi PFTNI;tk _.... ,!• • 1.:N> V$ -'— A F7JI llaR PRO*An WAS 1' l*Ok". C i/ vts C3ral tAm s LOGGED Ov: JOC1• YAIB FCRCO'.ATION TEST Mrx L" D QY: �_ NCA HflfStt i4W 1 PLRFOI EU OT CEO, W. L JE/►PC( A. GPRN= C[RDFY THAT IIIS *AS" gL%UjCRL[C IN UR ACCOANUL+ l MTN ALL STATE AND NUMCIPA'. GUDLUNES IN EFFECT CN TH5 OATL_— .C/, X1/04._ • Municipality of Anchora u sj -' e On -Site Water and Wastewater Progra (907) 343-7904 JU( 2 8 4-315 Certificate of On -Site Systems Parcel I.D. ©5 Expiratio(� 1. GENERAL INFORMATION _ Complete legal description �cEti:'G mi A-naa s ?LcgG K L d 1 2j .J 7 Location (site address) L) 3,2 t-/ -7 8w6 Current Property owner(s) S i E VE Day phone o9 UO - y a � Mailing address oZ > .2 u 7 1�1-uziT- Sk 1G S TS Real Estate Agent SUSAN i� 7C KMAA✓ Day phone 2. TYPE OF DWELLING: Single Family (w/wp ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 9 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ® Public Sewer ❑ WaiverNariance request for: /V& /4j 17 Distance: COSA to be the. engineer, unless otherwise requested by the engineer. COSA Fee $ U�p� Waiver Fee $ Date of Paymentn08 �S Date of Payment C Receipt Number IReceipt Number COSA# 05CA6NA-5 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 G I M 5t/t✓5-Phone OSu -s3s Address PRvr7Plo& 15,1Y 4vc Engineer's Printed Name CARL t 5 6AL 2ngx�vL Datea�°�® /A !. ar1H AH,. ••� ®*• 4 — .. S. DSD SI NATURE 0. •• ® sf CYtahle F}alirinf System #1 Approved for --q—bedrooms,®� s •.-3r54G System #2 Approved for _ bedrooms 'd�9Fo ,7/jG�j/JPy�s Disapproved �ll�av RWv- Conditional approval for bedrooms, with the following stipulations: By: -� Original Certificate Date: The Wnlcifidlity f A*Ehorage 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 c0.9A blue s wLf c If more than 1 septic system is on the tot: COSA Checklist # of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: SGENTG fv EA P7 ✓5 A. WELL DATA ?u31 -37e w,4TW LOCK 1 ix -97' 'S Well type If A, 8, or C prov/(Y/ D # Date completed Sanitary seaTotal depth ft. Cased to Date gff test Static water level Well production FROM. WELL LOG its'/q ft. g.p.m. WATER SAMPLE RESULTS'. A,/� Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Parcel ID: C7 � V-06`/ - %9 Well Log (YIN) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION Alli ft. 9 - p.m - Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material �E P7.T C X51 E EL Date installed f wlolo Tank size jot SO gal. Number of Compartments `� Cleanouts CCN) �E S Foundation cleanout f N) '146,5 i Depression over tank (YAW nl0 High water alarm (Y/ap /L/C Date of pumping 10/1 Pumper ',�A A/%r_r h"? I PC" e'^ pe.A S C. ABSORPTION FIELD DATA Date install :�IWA ♦ Soil rating (g.p.d./ft2 or Ab6m) System type Cy* 7ReAfff � ,tom Lenge ..T91 Width V ft. Gravel below pipe �/ ft. Totfj pth IT}i fkr ptEff.•ai�s`hrption area S5 ft2 Monitoring tube Depression over field ND a.os:.......... Da ,pf, jgq} aFy telt, J Results (q(Fail) 7f t For W bedrooms e ttbli 'F' 4�t6�3 Flui �� m p�n tield�re test a a,5 in. Water added 6 CJO gal. New depth_ in. Elapse'l 4413.0 - 0" 1 Final fluid depth a r5 in. Absorption rate >= � g.p.d. �z3 Any rejuvenatidfi ft ent (past 12 mo.) (il&& type) AD.14 WC9C✓A✓ If yes, give date �% D. LIFT STATION N4 Date installe "Pump on" leve at in. Datum I Size gallons Manhole/Acc s (Y/N) "Pump fl" level at 1 High water alar level at in. Cycles tes ed Meets alarm & circuit quirements- E. SEPARATION DISTANCES WELL ON LOTTO: Nn WCGL, Septic ank/lift station on lot Absorpti n field on lot Public sew main Sewer /septic rvice line Animal containmW areas SEPTIC/HOLDING TANK ON LOT TO: On adj ent lots On adjac ntlots Public se r manhole/cleano Holding tank Manure/anima excrete storages Building foundation d' S Property line 4 S Absorption field d S Water main 4 to Water service line 'f � � 80rfac6 water 4 (Wo Wells on adjacent lots lmr9� ABSORPTION FIELD ON LOT TO: Property line Building foundation 49 Water main 410e Water Service line {lm Surface water i 1067' Driveway; parkingkrehicle storage Curtain drain 4 So Wells on adjacent lots t 1619 , F. COMMENTS �tlt/,R/DRTTO.•✓O'Lf,4MS7i1 GczR91E'tJyNl7�`r? FRr9NT /7r CK_ . `✓` S' FTELfj Trn Lor i3IV4t 5EP4}2A)Td•✓ QtyYANCB L.iPyyEtZ, 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 CkAFUCS 13.41FAZRt1 Date %� 4 COSA yellow sheet 2-6-15.doc Municipality of Anchorage !� e„ • 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 U11 S Hal FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-064-79 1. GENERAL INFORMATION COSA # d SC j al,�09 Expiration Date: '%' q Complete legal description Scenic Meadows, Block 1, Lot 3 Location (site address) _23247 Blue Skies Circle, Peters Creek, AK 99567 Current Property owner(s) weciemer Kriss & Irina Day phone 240-0385 Mailing address same Lending agency Day phone Mailing address Real Estate Agent Susan Bickman Day phone 240-0385 Mailing Address Dynamic Properties Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community On-site ❑ 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 On -Site 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 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, ordinnangces;"and regulations in effect at the time of installation. 111 1 Nb of Firm NorthRim Engineering Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 7/31/2012 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 septiVys ems are subject to these various and dynamic characteristics and are outside the control of the�C*� evaluator of the well and septic system. ��• ,,,.a. cps p,� ra ps .+b.yrys4 y0 `i � J T d 5. DSD SIGNATURE e z / # c,c arf W ry L-"" Approved for bedrooms. ,e Y'46M, fp "+ "y�' V Disapproved.};_, =./.Y/r2a 6 ,3.F. Conditional approval for bedrooms, with the following stipulati6ns2 Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other WATER By: Original Certificate Date: S 2 (Rea 11105) r Municipality of Anchorage Y PGE QG • '� Development Services Department Building Safety Division On -Site Water & 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 CHECKLIST Legal Description: :_-� C Q v1 r e— /! 1 _cJz r_ i r B 1 Z3 Parcel ID: O $/ 0 611- 7 A. WELL DATA /'V9410 WATFe— Well type If A, B, or C provide PWSID # Well Log (Y/N) Date completed Sanitary seal (Y/ Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above gro d) in. FROM WELL LO AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RES LTS: Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL Arsenic: mg/I Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material 1fr eT> fa� Date installed 21/0/d S Tank size 1254 gal. Number of Compartments Z Cleanouts (Y/N) Foundation cleanout (Y/N) - Depression over tank (Y/N) // High water alarm (Y/N) Date of pumping 7-3u—/2 Pumper C. ABSORPTION FIELD DATA Date installed ZS Soil rating (g.p.d./ft2 or ft2/bdrm) -2 System type % r&_^e_k Length 50.5 ft. Width C ft. Gravel below pipe Total depth ft. Eff. absorption area 505 ft2 Monitoring tube _Y_ Depression over field _/V/ Date of adequacy test Results (Pass/Fail) RASs For 4 bedrooms Fluid depth in absorption field before test 1 C in. Water added 6OO gal. New depth Zo in. v Elapsed Time: t? O min. Final fluid depth 4M/6n. Absorption rate >= C(�O g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date i D. LIFT STATION Date installed Size'in gallons "Pump on" level at in. "Pump off' level at in. DatumCycles tested E. SEPARATION DISTANCES Manhole/Access ) High wat alarm level at in. M s alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Pv� le t'irgTEiL Septic tank/lift station on lot Absorption field on lot On adjacent lots On adjacent lots Public sewer main Public sewer m hole/cleanout Sewer /septic rvice line Holding t Animal c tainment areas Manu /animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 f- Property line /d Absorption field 2 C) rt i Water main �rri �` Water service line �7� Surface water /045"7-- Wells 045itWells on adjacent lots ZOC `-f- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Jr y- re Building foundation —70iO d- Water main /0 'A Water Service line Surface water /�� ioe- Driveway, parking/vehicle storage J '^f - Curtain drain '- Wells on adjacent lots 2� i'1' F. COMMENTS G. ENGINEER'S CERTIFICATION__i I certify that I have determined through field inspections andOF ,a' UZC7 gp review of Municipal records that the above systems are in O T H conformance with MOA COSA guidelines in effect on this date. go*.. toEngineer's Printed Name$$9G�a Steven W. Eng 9p U� a• PE5 Date %�.3/LIZ • %� L COSA Fee $/ oq - Waiver Fee $ o Date of Payment d 151 a Date of Payment Receipt Number Receipt Number (Rev. 11/05) Municipality of Anchorage Development Services Department e Building Safety Division Onsite 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 l.D. (l5I - QU 4 -tel COSA # Qpog5 Expiration Date: —2-7 1. GENERAL INFORMATION Complete legal description !S�Cr—fr(C- 114rA-DOWS RLOCK I /OT 3 Location (site address) Z76041F4rTL4A_12aAt-0 Current Property owners) /Lr /kE (,LTJ r/,(A.( Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone 561"E Day phone ,ESE RM5e Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site .® Individual Holding Tank ❑ Community On-site ❑ 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 welts 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, 1 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 Ali3r7YiOwt Phone K9L/-7oZ�G Address 1123 7 Berr w (tor 1plp Engineer's Printed Name 'C'TEVe-S er,(G 5. DSD SIGNATURE _Z- Approved for bedrooms. Disapproved. Date�s�i%e. & A� Ott Stc.u+ WC FE 625.5 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other By (N Original Certificate Date: 2' (Rev. IIMS) Municipality of Anchorage • Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 Bragaw Street P.O. Box 198850 Anchorage, AK 99519-8850 www.muni.orgfonske (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST A. WELLDATA PDBtrc Well type — Date completed — Total depth ft. Date of test Static water level Well production WATER Coliform IfA,B,orC aPWSID#— Sa ' seal (YfN) C ed to ft. FROM WELL LOG RESULTS: ft. 9— p.m-mL Nitrate Well Log (YIN) Wires property protected (Y/N) Casing height (above ground) in. AT ft. g.p.m. Other bacteria coloniesf100 mL mgA Date of sample: _,Z— Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material 4AIA M e e._C< q"lit ea- Date Installed /2 5/Gs Tank size /250 gal. Number of Compartments Z Ciearwuts (Y/N) Foundation cleanout (YIN) T Depression over tank (YM) ^J High water alarm (YM) A( Date of pumping A(46caJ Pumper C. ABSORPTION FIELD DATA Date Installed / i o/as Soil rating (g.p.dJft2 or ft=Ibdrm) Z.? System type r7z4&/-f Length 5a S ft. • ' Width ft. Gravel below pipe Total depth _S ft. Eff. absorption area 54 ft2 Monitoring tube Depression over field Date of adequacy test t4iftj Results (Pass/Fad) For -4�(— bedrooms Fluid depth in absorption field before test — in. Elapsed Time: — min. Final fluid depth Any rejuvenation treatment (past 12 mo.) (YM & type) Water added— gal. New depth_ in. In. Absorption rate >= g.p.d. If yes, give date D. UFT STATION N/,4 Date installed 'Pump on' level at m. Datum E. SEPARATION DISTANCES SEPARATION DISTANCES Septic tankilift station on tot Absorption field on Public sewer main Sewer /=inment line. Animalreas Size In gallons 'Pump otr level at _ in. Cycles tested WELL ON LOT TO: Manhoiel ss E, High er alarm level at eels alam� a cirtwk requirements? PtJ 8 f. rc w,tT�2 On adjacenzots, On adjace Public r manhole/cleanout Hol ng tank anure/animal excrete stortloe areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation S r Property line O f' Absorption field 2 �f- Water main /0 � Water service line /Q 'f Surface water / do '& i Wells on adjacent lots ZUO t SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line S /'f' Building foundation d I '0' Water main Water Service line /47 Surface water /B 6 •t Day, park;rglvehide storage S r� i Curtain drain _ Wells on adjacent lots Z 00 i F. COMMENTS G. ENGINEER'S CERTIFICATION `ae (F OF A 4s'b I certify that I have determined through field inspections and review of Municipal records that the above systems are in y� wi a9?'a conformance with MOA COSA guidelines in effect on this date. r.......... Engineers Printed Name 5 I E1/f_ FAJ C �*�: ' `si..:n W. iaa t Date _Sf/y�06 +,+� 9F'�. •;p�`�a�� 11111% ROFE55t0 COSA Fee $ S- Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number In. ASBUILT I HEREBY CERTIFY -THAT 1 HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENG�ROOACHMN S E IX S'r EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, -OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SCALE: DATE: GRID: �vwiyio FB: DRAWN: .02 J ,.0 �OF A r Q; rTH �� I!� j.:..... s....If Duen. WA $.w*,d / LS -16918 *� TL S❑ILS LOG - PERCOLATION TEST Date Performed: 5/8/06 EN,9INEERING Performed For: Mike Quinn Legal Description: Scenic Meadows Subdivision, Block 1, Lot 2 DEPTH (FEET) Organic T.H. Location See Attached Design GP Silty Sandy Gravel Groundwater? No Depth -- Water Depth After Monitorino.--- Date: 5/igni; # Date 2 Net Time 3 - Net Dro 1 5/8 0 -- 5 -- 6 - 5/8 7 4 min 5' 2' 3 5/8 10 -- 5' -- 4 5/8 9 4 min 12 — ::. aH••' 13 - 5/8 14 - ' 3' 15 - 6 16 - 14 17 - 5' 18 - 19 - 20 - 21 - Organic T.H. Location See Attached Design GP Silty Sandy Gravel Groundwater? No Depth -- Water Depth After Monitorino.--- Date: 5/igni; # Date Gross Time Net Time Depth Net Dro 1 5/8 0 -- 3' -- 2 5/8 4 4 min 5' 2' 3 5/8 5 -- 5' -- 4 5/8 9 4 min 5' 2' 5 5/8 10 -- 3' -- 6 5/8 14 4 min 5' 2' Percolation Rate 2 min./inch Perc Hole Diameter 6' Test Run Between 4' and 5' Comments: Prasonked. More thnn 50' Performed By NorthRim Fng, I S Performed in Accordance with A ON THIS DATE. DATE: 5/15/06 '-%- CERTIFY THAT THIS TEST WAS ate/Municipal Guidelines in Effect OFNORTHRIM *.49m .. TESTH❑LE LOG ENGINEERING 17237 &oar Pow Eagle River• Alaska99577 9°769''°26 GE❑TECHNICAL LOT 2 TH 5/8/06 F,..Er; Municipahty of Anchorage \ rr I C0. IWx x44411 • .lnchonige..lholm Tcicphonc 0M.343.8101 • Fax (!N)71333.82(N) 47(X1 Ilei aw Slrco* Anchont9c, Ahr%lui!MA07 s.I e•. qpm munLorg May or Mark Bcgich I311ildinr* Snfct}• llMsion 5/23/2006 Sreve Eng North Rim 17237 Bear Paw Circle Eagle River, AK. 99577 Subject: Waiver Request for Scenic Meadows Block 1 Lot 3 Waiver Request #WR060021 Parcel ID 4051-064-61 HAM 060175 Permit # 050440 Dear Engineer, Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, age Jeffrey W. Poet Engineering Technician On -Site Water & Wastewater Program Community, Security, Prosperity