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HomeMy WebLinkAboutGLENN VIEW ESTATES NORTH BLK 1 LT 4Glen View Estates North Block 1 Lot 4 #051-821-17 Municipality of Anchorage Page 1 of 3 Development Services Department Onsite Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 www.d.anchorage.ak.us (907) 3417904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO50102 PID Number. 051-821.17 S inell Homes Inc. Wastewater System: New Aa 1900 W. Northern Us. Blvd., Ste. 200 Anch., AK 99517 ABSORPTION FIELD 3 4-5678 Fjyga°5 Shallow Bed LEGAL DESCRIPTION Soil R." Tai Depn from rymd papa. .3 GPM? 2.5 Ft. 131 is La'. adtOV.om: DePttb pq OPnam from omarrl ptla. Cr OepM E.rr.p, p 1 4 Glen View Estates North 2 Ft. .5 FL TaWa.p: Raman. 6aaan: FY tlWO d,o.. crgW pa W. 2.4 FL 166 Ft. Well: AWWU Water System cr..d •+ain. 15 1M,mor a rw. 6 . D�5tetrwr, ""Ft Ft. FL Cwrrram IPmr., A, B. Ck Tad D.^: Td.I dHapW, r.a "MNend. Fl. Fl 1,020 Fel ASTM 3034 PVC Dn Or.ONMe'. Staec Wrr L.wt.Tzzw FL Pisano's Dinworks 511-412005 Yre'. P� so Fl. I D...V ADw.Go^a Fy0 -bL0z TANK GPM Ft SEPARATION DISTANCES STEP To I Sepbc Lift Holding ubiwPovate Fran Tank FieldStation Tank se,.erLine Anchorage Tank 1,500 w.a >200' >200' WA >25' Steel Two (2) sur.c.wdr >100' I >100, WA LIFT STATION LAX 1.11111P >5' >10, WA Gat Fa.ddm >5' >5' WA "mp°" " In h. C~Dw, None Noted Puny Mdu A Mood E" it p' parka Ey. R� BENCH MARK Back Deck Northeast Comer Mr.,re EMv.avt 100.0 FL Engineers Stamp OU A • •S Inspections performed by: TLK Dates: 1d 5/1/2005 ? ai 49 ;„„ �0 2n° 5/4/2005 Department Health d.l •,� —• ••.•...;... , V CU_: E. AY:C45D4 W r •, of and Human Services approval s' No.. cE_ays• r d Reviewed and approved b : (R... •oval Date: • o P •44 ,5„ �.• Municipality of Anchorage Permit Number. SW050102 DEVEOPMENT SERVICES DEPARTMENT 4700 Bragaw Street. Anchorage, AK 99519-6655 - 343-7904 Page 2 of 3 On -Site Wastewater Disposal System or Well Inspection Report PID No. 051-821-17 NO=WOODS CIRCLE 0 M 15'T.&E SV 1 23.4-115.5- 12; 3.4'115.5' Ntemate S Adwntex Treatment System GLENN VIEW ESTATES NORTH LOT 4, BLOCK 1 PLAN AS -BUILT SCALE V - 50' 1 � 1 Frye Bedroom Rome A a c 1.0' 102 A 9.4' 12.9' C 7.3' 37.1' 8.4' 55.8' S2 19.1' 22.3' Sv • M2 82.1' 43.1' M 38.1, 23.5' C7 ... ®nn @ SV 1 23.4-115.5- 12; 3.4'115.5' Ntemate S Adwntex Treatment System GLENN VIEW ESTATES NORTH LOT 4, BLOCK 1 PLAN AS -BUILT SCALE V - 50' Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 341J7 04 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SWO50102 N / N UU N PID No. 051-821-17 2U SU M11) Su 92.0 95.3 Geotextlle Fabric 7 IlralnPleld Rock 84' (Bed Length) PROFILE AS -BUILT - Scale: t--10' DEPTI I (Tcd) I- 2' 3 4 5 6 7 8 9 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 4, BLOCK I, GLENN VIEW ESTATES NORTH S/D PERFORMED FOR: SPINELL HOMES DATE: 5/1/2005 PROJECT No.: M0515 PARCEL ID#: TECIINICIAN: T. L. KIMBROUGH TEST HOLE # 3 OB/OG SILTY -SANDS W/ GRAVELS SM -GM E SITE PLAN THIO O TH2 O TH3 WAS GROUND WATER ENCOUNTERED? YFS IF YES (R WIUTORING:^ 6 DEPD I OF WATER AFTER MONITORING: 6' <S% DATE OF MONITORING: b/D2005 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH of WATER (INCHES) NET DROP (INCHES) 5/1/05 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 1210 9.75: CHARGE 2 1240 30 8.88' 0.87' 3 1241 9.5' RECHARGE 4 1311 30 8.75' 0.75' 5 1312 9.63' RECHARGE 6 1342 30 8.88' 0.75' PERCOLATION RATEL40 (MINANCII) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 4_5 FT. and 5_5 FI'. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. SAME MATERIAL AS THI AND TH2. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT TIIIS WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: Existing Ground LOT 4, BLOCK 1, GLEN VIEW ESTATES NORTH SUBDIVISION DESIGN FACTORS: (ALTERNATE SITE) SYSTEM REQUIREMENTS: 5 Bedroom Home Raised Bed System Perc. Rate: 40 Min./inch 5 Bedroom Advantex Treatment System Application Rate: 1 GPD/SF 500 Gallon Add On Lift Station Raised Bed Absorption System 5 Bedrooms X 150 GPD/1 GPD/SF = 750 SF Absorption Area 750 SF/15 SF (Width) = 50 LF Bed Length THEREFORE: Construct a Raised Bed 50' Long x 15' Wide as Shown Below. Place Distribution Piping at Original Ground Surface. Remove Organics and Fill and Place Coarse Sand to Provide 4' Separation From Groundwater. Place Insulation and 2' of Cover Over Bed or Mound Over Bed Minimum of 3'. Place 4' of Fill Over Tank. .5' .5' 1' or As Required Top 6' of Mound Must Be Topsoiled and Vegetated to Prevent Erosion. Natural Backfill 2' Insulation 8 2' Cover (Min.) O O O Drainfield Rock 1 Coarse Sand (See Specification) As Required for Levelling And Replacement of Fill and Organics. In Situ GM Soil 2.5' 5' 5' 2.5 NOTE: Grade Area Surrounding Bed to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 200' Separation From Wells in the Area. Minimum 100' Separation From Surface Water or Streams. Minimum 10' Separation From Water Service Line. 'PVC I/16' Holes Existing 0 Each Lateral 9 49th Michael E. Anderson No. CE4381 a Permit Number: SWO50102 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Apr 27, 2005 Expiration Date: Apr 27, 2006 Parcel ID: 051-821-17 Legal Description: GLENN VIEW ESTATES NORTH SUBDIVISION BLOCK 1 LOT 4 Design Engineer: 00 14 Anderson Engineering Site Address: 23464 NORTHWOODS CIRCLE 44 Owner Name: SPINELL HOMES, INC Lot Size: 48622 SQ. FT. Owner Address: 23464 NORTHWOODS CIRCLE 44 Total Bedrooms: 5 Permit Bedrooms: 5 PETERS CREEK, AK 99567 - This permit is for the construction of. RV Disposal Field E] Septic Tank E] Holding Tank F] Privy Private Well E] 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 AJaska 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. 5. The following special provisions. NEED TO DO 2 NEW TEST HOLES TO COVER FOR RESERVE LOCATION AND AND GROUNDWATER iMONITORING THRU 5115105. Received By: Date: 4 - Issued By: Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 4700 South Bragaw St. www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. n'51 -sol- )*q Permit Number SW Property owner(s) Spinell Homes, Inc. Day phone 344-5678 Mailing address (1) 1900 W. Northern Lights Blvd. Suite 200 Anchorage, AK 99517 Mailing address (2)��11 Northwoods Circle LIH ZiD Code 5256?� Legal description (Lot, Block& Sub'd.) Lot 4, Block 1, Glenn View Estates North Subdivision Legal description (Section, Township & Range) Lot Size 48,622 SF Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Five (5) Sewer Only Well Only E] Sewer and Well Water Storage El Sewer Upgrade El THIS PROPERTY CONTAINS: HotTub El Jacuzzi 11 Swimming Pool 11 Water Softening Unit El Therapy Pool El 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. MA_44-ax (Signature of property owner or authorized agent) Permit Fees: QUO - Waiver Fees: Date of Payment: j 171 L5 Date of Payment: Receipt Number: _In�- Receipt Number: (Rev. 122/00) 63 (0 �1 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) Aphl23,2005 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 4, Block 1, Glenn View Estates North Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 4, Block 1, Glenn View Estates North Subdivision intends to construct a new five -bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new septic system to serve the new home. The subdivision is currently served by a community water system. No conflicts exist with adjacent septic systems or wells and the proposed septic system on this lot. The attached Site Plan and backup documentation identify the location and configuration of the proposed 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 recently placed on the lot indicated silty gravel with minor amounts of sand in the area of the absorption trench and alternate site. The accepting soils were tested and found to have a percolation rate of between 40 minutes per inch and 60 minutes per inch. The system is designed with an application rate of .3 GPD/SF. Groundwater was found in the test holes during placement at 10' below the surface and was monitored during the ensuing period at 7.5' below the surface. Our design includes the placement of a new 1,500 -gallon septic tank along with 2 - 84' long and by 15' wide absorption beds to collect and treat the sewage generated in the house. The bottom of the beds will be 2.5' below the surface. The distribution pipe will be 2' below the surface. A flow splitter valve will be installed to insure even flow to each bed. A minimum of Tof cover will be placed atop the beds 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 with steep slopes near the south end of the lot. The absorption beds will Lot 4, Block 1, Glenn View Estates North Subdivision April 23, 2005 Page Two be constructed parallel with the slope of the ground surface as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 10', from the water service proposed for the lot and on adjacent lots. 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, VU4�� Lat-o� Michael E. Anderson, P.E. Attachments 15' T. & E. 2003-94 GLENN VIEW ESTATES NORTH LOT 4, BLOCK 1 48.622 S.F. 0 MICHAEL r ANDERSON E-1 FEE] '0'�TH�00DS CIRCLE ci EOGARACE S EL. - 98' FIN. FLR. EL - 99.5' Five Bedroom House �..'Okn� -1--LT,-J,- 2 — 84' L�g x 15' Wde 5% Alosorptioo Beds 6�2 Ajtemcte Ste m Vi SITE PLAN SCALE V = 50' ED LOT 4, BLOCK 1 , GLENN VIEW ESTATES NORTH SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: 5 Bedroom Home Shallow Bed System Perc. Rate: 30-60 Min./Inch 1,500 Gallon Septic Tank Application Rate: .3 GPD/SF .5' Effective Depth 5 Bedrooms X 150 GPD1..3 GPD/SF = 2,500 SF Absorption Area 2,500 SF/15 SF (Width) = 166.7 LF Bed Length THEREFORE: Construct 2-84'Long x 15'Wide Shallow Bed as Shown Below. Flow Line Elevation in Beds to be 2' Below Original Ground Surface. Total Depth to be 2.6 Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Trench. 2" of Insulation and 2'of Fill Maybe Substituted for Tof Cover Over Beds. Provide Flow Splitter Valve to Insure Even Flow to Each Bed. Ground Natural Backfill 4 �al_ Existing Ground 1.511 2" Insulation & 2' Cover (Min.) .5' 0 0 .5. Drainfield Rock 4" PVC G M 2.5' 5. [-�44 TYPICAL BED SECTION (NO SCALE) NOTE: Grade Area Surrounding Bed to Drain Away. Minimum 6'Separation From Bedrock. Minimum 4'Separation From Groundwater. Minimum 200' Separation From Class A Wells in the Area. Minimum 100' Separation From Surface Water or Streams. Minimum 10'Separation From Water Service Line. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION� LOT L, BLOCK 1, GLENIN VIEW ESTATES NORTH S/D PERFORMED FOR, SPINELL HOMES DATE: L/11/2005 PROJECT No - M0515 PARCEL ID - TECHNICIAN: T. L. KIMBROUGH DEPTH TEST HOLE #T] (15"t) 1 2 3 4 5 6 7 8 9 SLOPE SITE PLAN THI 0 0 TH2 S=F FLITURf AS:.3UILT 10 BOH WAS GROUND WATER ENCOUNTEREIr N1 IF YES (9 WHAT DEMMI DEMI OF WATER AFTER MONITORING: 81 F� DATE or MONITOMG-.-� <b% <5% I DATE READlNG I ROSS TIME (MINUTES) � NET TIME (MINUTES) DEPTH OF WATER I (INCHES) NET DROP I (INCHES) L.111105 TEST HOLE PRESOAKED PRIOR TO TESTING: I 16L.0 12.0- CHARGE 2 1710 30 11.25" 0.75" 3 1710 12.0- RECHARGE 4 17L.0 30 11.25' 0.75" 5 17L.0 12. 0" RECHARGE 6 �O 30 11.25- 0.75' PERCOLATION RATE;-/ —0(MIN/INCII) PERCJIOLEDIA. 6 INCHES) TEST RUN BETWEEN: 4.5 FT. and 5.5 Fr. CONINIENTS. TEST HOLE PRE SOAKED PRIOR To TEST. TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFOR-NIED IN ACCORDANCE WITH ALLSTATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATEi MUNICIPALITY OF ANCHORAGE I DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTIONi LOT L, BLOCK 1, GLENN VIEW ESTATES NORTH S/D PERFORMED FOR, SPINELL HOMES DATE: /./11/2005 PROJECT No - M0515 PARCEL ID#- TECHNICIAN: T. L. KIMBROUGH DEPTI I TEST HOLE #�T] (f"t) 2 3 4 5 6 7 8 9 1 c I I OB/OG SILTY -SANDS W/ GRAVELS SM -GM ZOM SITE PLAN n THI 0 0 TH2 S=E FUTURC ASBUILT WAS GROUND WATER ENcoUNmTr.RED? N1 IF YES (e WHAT D= DEPTH OF WATER AFTERNIONtTO 10, <5% DATE OF NIONITORING� V I I DATE READING G70SS TIME MINUTES) NET TIMEJ I (MINUTES) DIWEPTH OF ATER (INCHES) INET DROP (INCHES) 4/11/05 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 1630 12.0- CHARGE 2 1700 30 11.25* 0.75" 3 1700 12.0- RECHARGE 4 1730 30 11.25' 0.75" 5 1730 12.0" RECHARGE 6 1800 30 11.25' 0.75" PERCOLATION RATELL0 (MIN/INCII) PERC.IIOLEIDIA. 6 INCHES) TEST RUN BETWEEN: 1.5 FT.and5.5 FT. COMMENTS. TEST HOLE PRE SOAKED PRIOR To TEST. TEST PERFORIMED BY VETECH ENGINEERING TECHNICAL SERVICE. I,I%IICIIAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE� ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 4, BLOCK 1, GLENN VIEW EST. NORTH SUBDIVISION GENERAL: The scope of this project includes the procurement and placement of a new 1,500 -gallon septic tank at the location shown on the Site Plan. Work also includes the construction of 2 new absorption beds each 84' long X 15'wide also at the location also shown on the Site Plan and at the configuration shown. The distribution line in the beds will be placed at 2' below the existing ground surface. The total depth of the beds will be 2.5'. A flow splitter valve must be placed to insure even flow to each bed. The new tank and absorption beds must be placed a minimum of 10'from the water service on the lot. They must also be placed a minimum of 100'from any surface water. 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. 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 1. A new 1,500 -gallon septic tank must be procured from an approved source and installed at the location shown if the existing septic tank is found to be defective. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Lot 4, Block 1, Glenn View Estates North Subdivision April 20, 2005 Page 2 of 3 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: The drainfield shall be constructed to the dimensions shown on the design. The bottom of the bed 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 4, Block 1, Glenn View Estates North Subdivision April 20, 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. Styrofoarn 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. COARSESAND: 1. Coarse Sand must be graded as follows: 50% Passing No. 4 Sieve 3% Passing No. 100 Sieve 1 % Passing No. 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. 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 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET To: Legal description: GLENN VIEW ESTATES NORTH SID BLOCK I LOT 4 The attached paperwork has been reviewed and is being returned for the following reasons: Original signature or stamp missing on Calculation error in design. _ E] Additional soils information needed. F] Water monitoring results inadequate. E] Discrepancy in information submitted. El Topographic information missing or inadequate. incomplete; missing incomplete; missing Additional adequacy test information needed. Water sample unacceptable. _ E] Measured/proposed distances/dimensions missing. M Locations of all soils, percolation and water monitoring tests not shown. Proposed system too deep for soils Information submitted. Well log required. E] Omission in narrative. insufficient fill over tank or field._ Other. -RECHECK ABSORBTION BED NUMBERS, OPENING LETTER NUMBERS DIFFER FROM CROSS. SECTIONALVIEW. -NEED TO DO 2 NEW TEST HOLES TO COVER FOR RESERVE LOCATION AND AND ADDITIONAL GROUNDWATER MONITORING THRU 5/15/05. Name of reviewer: JOE GOODALL Date: 4125/2005 Please supply the necessary information and re -submit your request. EPt4M MUNICIPALITY OF ANCHORAGE 4. Development Services Department •- Phone: 907-343-7904 On-Site Water & Wastewater Section — Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 051-821-17 Expiration Date: g 10_ZD2 1. GENERAL INFORMATION Complete legal description Glenn View Estates North B1 L4 Location (site address) 23464 Northwoods Cir. AnthonyMarciaPerry & Current property owner(s) Day phone Mailing address Same Real estate agent Day phone 2. TYPE OF DWELLING: 0 Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 557) Waiver Fee $ Date of Payment 5709 9 Date of Payment Receipt Number 03/7-36? Receipt Number COSA# 105C'.l`7 N yO 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground water levels that may fluctuate during the year, and the water usage of the family being served by the system.These conditions are outside the control of the evaluator of this system.All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system.The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. Date Qi®6'O 6. DSD SIGNATURE * S4111 • TM i' •'* System #1 Approved for S bedrooms $}eve'ri -�•antione CE System #2 Approved for bedrooms 8149 .;� +•. '" o.'• 5 . Disapproved t '' Conditional approval for bedrooms, with the following stipulations: �.\-cY A tOF(f(ic((62. ON-Sf rE rn ..� w/\TER AND 11.''o WASTEWF.TEP c .� PROGti���► r)� ))))))))t',mw —17 By: - Original Certificate Date: /O The Municipality of Anchorage Development Services Division (DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist b[ue sheet COSA Checklist Legal Description: Glenn View Estates North B1 L4 Parcel ID: 051-821-17 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system 1 A. WELL DATA ❑Well log is filed with Onsite (or attached) Well production at time of test gpm Date drilled Water storage tank volume gallons Total depth ft Well disinfected for coliform test? ❑Yes ❑No Cased to ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height(above ground) in. Collected by Date of flow test for COSA Date of Sample Static water level at beginning of test ft. Comments Public Water B. TANK DATA C. LIFT STATION Age of tank(s) 14 years ❑ Required maintenance completed Tank type/material Age of lift station years Measured operating fluid level in septic tank 48° Lift station material / 0 /1 Standpipes/foundation cleanout per record drawing Comments: // Q Date of pumping 4/12/2019 ( I D. ABSORPTION FIELD DATA Shallow Bed Which system tested (date installed) 5/4/05 Adequacy test date 4/26/19 EU ALL standpipes present per record drawing Results ❑✓ Pass For 5 bedrooms Total measured depth from grade 5-4 ft(max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 4.5-3.5 ft(min) Water added 750 gal ❑ N/A—pressurized field New depth 3 in 0 Monitor tubes go to bottom of effective. If not, state Elapsed time 120 min depth into effective .Star-ka r 0 Code-required soil cover over field Final fluid depth 1 in ❑ Absorption rate <750 gpd System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) n/a date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies:Appears east side monitor tubes have 1-2 inches of debris/sludge in bottom. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' E Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ✓0 Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ✓0 Yes if No ft Surface Water > 100' 0 Yes if No ft Property Line > 5' ✓0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' ✓0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' 0✓ Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION ,1 OFADgs�k I certify that l have determined through field inspections and review /y''c0.• - •:9 r)� of Municipal records that the above systems are in conformance with *•. 49 TH, • . fil MOA COSA guidelines in effect on this date. / p , 0 V • • • • 0 G ?CSC( C( ever, F. Purr:.ne d COSA Checklist yellow sheet • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-821-17 Expiration Date: - 0 - /-S-- 1. GENERAL INFORMATION Complete legal description GLENN VIEW ESTATES NORTH BLOCK�LOT 4 Location (site address) 23464 NORTHWOODS CIRCLE CHUGIAK AK 99567 Current Property owner(s) JOHN & JANE HEBERT Day phone Mailing address Real Estate Agent 23464 NORTHWOODS CIRCLE, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 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: Distance: f r Received by - Date: Date: COSA to be released to't gineer, unless otherwise requested by the engineer. COSA Fee $ 1-A17 1i O — Date of Payment 11�p 1-;s Receipt Number COSA# (°)5C-1 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 9/12/13 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a �`Nt, system will function satisfactory for current or future OF4 \ occupants or can ArcTerra guarantee that no unseen L,�� 1, encroachments, deficiencies or discrepancies exist. s 1 ,0' 4TH 6. DSD SIGNATURE / 7 ( ' KKK UFF / 1/ System #1 Approved for 7 bedrooms. System #2 Approved for bedrooms. \ F�rEssro Disapproved. Conditional approval for bedrooms, with the following stipulations: --N tOF AAI , f By: Original Certificate Date: c'1-11-13 The - ici ity of n orage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_iaial2.tloc 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 I Legal Description: GLENN VIEW ESTATES NORTH BLOCK. LOT Parcel ID: 051.821-17 A. WELL DATA – PUBLIC WATER Well type If A, B, or C provide PWSID # _ Well Log (YIN) Date completed Sanitary seal (YIN) Y Wires properly protected (YIN) Total depth _ft. Cased to _ft. Casing height (above ground) _in. FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform —colonies/100 mL Nitrate _mg/L Arsenic: ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC 1 STEEL Date installed 51112005 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N Date of pumping t75/'20t3 Pumper SANITARY C. ABSORPTION FIELD DATA Date installed 51412005 Soil rating (g.p.d./ft2 or felbdrm) 0.3 System type SHALLOW BED (2 FIELDS) Length 168 ft. Wdth 15 ft. Gravel below pipe 0.5 ft. Total depth 4.1.4.25 ft. (Measured 9/10113) Eff. absorption area 1020 f:2 Monitoring tube Y Depression over field N Date of adequacy test 9110113 Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test 010 in. Elapsed Time: 1440 min. Final fluid depth 012 in. Water added 6701400 gal. New depth 114 in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum Size in gallons "Pump off"level at _ in. Cycles tested E. SEPARATION DISTANCES - PUBLIC WATER WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas SEPTIC/HOLDING TANK ON LOT TO Manhole/Access (YIN) High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas Building foundation 5'+ Property line 5'+ Absorption field 54 Water main 104 Water service line 104 Surface water 1004 Wells on adjacent lots 2004 ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 104 Water main 10'+ Water Service line 101+ Surface water 1004 Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 2004 F. COMMENTS G. ENGINEER'S CERTIFICATION i certify that I have determined through field inspections and review of determined through field inspections and review of Municipal records that inspections and review of Municipal records that the above systems are in Municipal records that the above systems are in conformance with MOA above systems are in conformance with MOA COSA guidelines in effect on conformance with MOA COSA guidelines in effect on this date. COSA guidelines in effect on this date. on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 911212013 COSA brown sheet 10-10-12.doc in. Municipality of Anchorage Development Services Department Building Safety Division OnSfte Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.5650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-821-17 1. GENERAL INFORMATION COSA# 0(&M Expiration Date: Complete legal description Lot 4, Block 1, Glen Yew Estates North Subdivision Location (site address) 23464 Northwoods Circle Current Property owner(s) Spineli Homes, Inc. Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone 344-5678 1900 W. Northem Lights Blvd., Suite 200 Anchorage, AK 99517 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Five (5) 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System 0 Day phone Day phone 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 Onsite 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 Onsite 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 -She 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. (Certficates 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 -She 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. 1 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 Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. I 6. DSD SIGNATURE _fL Approved for _01 bedrooms. Disapproved. Date 7/21/2006 Conditional approval for bedrooms, with the following stipulations: ruwu nucnu. COSA Checklist X Arsenic Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Report Other By, !J. Pd� Original Certificate Date: 7' 02 ✓` Municipality of Anchorage Development Services Department Building Salaty Division OnSfte Water& ftstewaW Program 47W Bragaw, Street P.O. Banc 196650 Anchorage, AK 99519-6650 vwwrmemi.org/onalte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 4. Block 1, Glen View Estates Nath SubdkWm Parcel ID. 051-821-17 A. WELL DATA Wen We _ H A, B. or C provide PWSID S _ Well Log (YIN) Date completed _ Sanitary seal (YIN) _ Wires property protected (Y/N) Total depth tL Cased 10 fL Casing height (above ground) in. FROM WELL LOCI AT INSPECTION Date of test Staflo water level it. It. Well production g.p� g.p.m. WATER SAMPLE RESULTS: Conform coloniesM00 mL Nitrate mnglL Other bacteria colontes/100 mL Arsenic _ mgn Date of sample: _ Collected by: S. SEPTICIHOLDING TANK DATA Tank TypdMaterial Sep8r15teel Des installed SM/05. Tank ate 1_A gat Number of Compartments 2 Cleanouts (Y/N) Y Foundation clearrout (Y" Y Depression over tank (YIN) N High water alarm (Y" N Date of pumping New Construction Pump C. ABSORPTION FIELD DATA Date Installed fin-V05 Soil rating (g.p dAt2 or fe1bdmn) •3 GP=F System type Shallow Bed Length 188 R Width 15 fi. Gravel below pipe •5 fi. Total depth --92--A Etf. absorption area jAMfe Monitoring tube Y Depression over field N Date of adequacy test Results (Pass/Fall) For _ bedrooms Fluid depth In absorption field before test in. Water added gal. New depth in. Elapsed Time: min. . Final fluid depth In. Absorption rate :,— g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN R type) If yes, give date D. UFT STATION Date installed Site in gallons Manhole/Access (YM) 'Pump oM level at _ in. 'Pump cfr level at _ in. High water alarm level at in. Datum Cycles tested Mears alarm b droit mq *wneft7 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/deanout Sewer /septic service One Holding tank Animal containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation >S Property One >S Absorption field >10' Water main >10' Water service line >10' Surface water >100' Wells on adjacent lets >200' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property One >10' Building foundation >10' Water main >10, Water Service One >10' Surface water >1W Daraway, ode starape >2S Curtain drain None Noted Wells on adjacent kits >200' F. COMMENTS: Lot is Served by AWIMI Water System. G. ENGINEER'S CERTIFICATION I COMP that I have determined through field brspeoOOM and review d Munk*xd records that the above systems am in Conformance wfih MOA COSH guidelines k effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Date _ 7nV200e COSA Fee $ 6 " Data of Payment _ T 9'l 10 (p Receipt Number (Rev. 111a6) Waiver Fee S _ Date of Payment Receipt Number. 1 "=40' 2003-94 GLENN VIEW ESTATES LOT 4,1 BLOCK 48,622 S.F. fI I i I NO" ODS CIRCLE �o r) NORTH AS -BUILT GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 9950, PHONE 248-5454 GRID DATE NW1559 2/21/2006 F.B.JOB N0. 06-01 GVEN41 I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST 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 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