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HomeMy WebLinkAboutSUNNY VALLEY LT 24Sunny Valley
Lot 24
#050-354-08
Municipality of Anchorage
•;�.�
� Development Services Department .1
Building Safety .1
Division
On -Site water and wastewater Program, 4700 Bragaw St.
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: rn2 PID Number:Q S4 — 3$L/— dip
Name
Wastewater System: j$New ❑Upgrade
Aaa•u
g33 W16,177–
ABSORPTION FIELD
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LEGAL DESCRIPTION
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TANK
SEPARATION DISTANCES
❑ Septic ❑ Holding S.T.E.P. ❑ Other.
To
from
Septic
Tank
Absorption
Field
Lift
Stati/o�n�
Holding
Tank
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Remark.
BENCH MARK
Loudon all Desotmon.
a P OF ecK
la W YM
/04 FL
�t�1l
Inspections performed by:
41Q►T111`The. Dates: 1" /D14
2nd d 0
AWL,
Oq��'
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.?fit .•• .....,• F�� 3
,•. 21
Development Services De/p�artmentApproval
P
ConditionalApproval� r[,/ J(l. O Date: �l `Jr"0,%
n
✓ .v:•�Y;' :..'
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Reviewed and approved by: L �� Date: �'2 G'O
(aw eama)
If
V
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.C.O.
MH 35
35
46
House i Driveway Drain
2' Wide x 6' Deep
Draln Rock w/Geofabrlc
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Site
F.C.O.
ST CO
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M.T.
CF NORTHRIMo 1��� SI-,
ADVANTEX RECORD DWNG PLAN
VIEW
ENGINEERING '.asm.
SUNNY VALLEY S/D LOT 2
PO Box 770724 N••'�......••••••••
£09/e Rt~. aoako 99377 a : f
•'......'
CLASS B WETLANDS PERMIT . V = 60'
907.891.7018
POA -2006-213 r F
6/7/07 2f` of 3
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-K 11
r S❑ILS LOG - PERC❑LATI❑N TEST
PI'l I r- ZM Date Performed: 10/30/06
INEERING
Performed For. Selwyn Jones
Legal Description: Lot 24, Sunny Valley
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
DEPTH
Date
Gross Time
(FEET)
Depth
Net Drop
1
Organic
T.H. Location:
--
5-
Flat Terrain
2
10/30
30
30 mb
1. 7.5'
2.5'
,•...�
GM
31
--
Silty Gravel
--
4
10/30
61
30 mi
7.5'
Groundwater? No
5
10/30
Depth
--
5'
Water Depth
6
10/30
After Monitoring.
See Attached Design
Tin trm
#
Date
Gross Time
Net Time
Depth
Net Drop
1
10/30
0
--
5-
GE❑TECHNICAL
2
10/30
30
30 mb
1. 7.5'
2.5'
3
10/30
31
--
5'
--
4
10/30
61
30 mi
7.5'
2.5'
5
10/30
62
--
5'
--
6
10/30
92
30 mit
1. 7.5'
2.5'
J Percolation Rate 12 Min./inch Perc Hole Diameter 6'
Test Run Between 1' and 2'
Comments: Presoaked. Perk
Performed By NorthRim Fng. I CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
ON THIS DATE. DATE: 10/30/06
NORTHRIM
SUNNY VALLEY Lot 2
ENGINEERING * �9m ' *
TESTH❑LE LOG
TH4
PO Box 770724
Eagle Ri~. Alaska 99377 aww
9°7694.7028 ""'
GE❑TECHNICAL
10/30/06
DE:
e6/04/20a7 17:3E' 6NE225? SLLLlvr4t PAGE 01/01
0 f� tl iff eb �Drillfilig log
by
occ co. du
SULLIVAN WATER WELLS
P.O. BOX 070'572, CHUOIAK, ALASKA 975e7 •TELEPHONE $69.2759
OWNEROFLAND: `s�Lw�"`f lJAWE�'
ADDRESS: _..-_-•--_-__._ .
LEGAL DESCRIPTIC N: 4 r /nl nl V 004e -C c V
<o -r y-
PERMI7NUMBER:060,719 Date oflssua-r— --?--Q!
TAX IDRITIFICAT10»I r.UM9FP:
Is well located at approved permit location? O Yes U No
Metnod of Drilling: 44Ktay 7 Cable tool
Depth of well: f -J o9
Casing Type .r/r
/./allT.0kness ✓ Inches
//
Diameter __._ `rches. depth A - feet
Liner Typn: --t-4 �tj.&
Casing Stickup Above Oround: CR. _ feet
Static Water Level: 02,5— feat
Recover Rate: .5 0 gpm
Method of Testing: AA—
Well intake Openirg Type n end O open hole
O greened; Start feet Stopped feet
7P6rforatlonSrJ Star;ge tp3ped feet
OrotATypa: " r Volume
Depth: from cam— feet. tto,.�a? Q foot
Well Disinfected Upon Completion^ 1Yes 0 No
Method of Dls.nfection: C4 Q& b Po/Y]
Ccnnments:
10? 1 rof.r,,4 S: 1 -e -J4
f6 I -F���
,3�
_�_ .S'I .��<: s.t4r t52%y��rt �t
�! S f.40
(i %�_�64
Sl. T , (-# J.p d.<#,ltfL 4d.41
�cIFc C4•f7"
ClIt 6A.19E ; -
S -,4,J+0 C—w,4.Jec < c..JtM le-
Drlller's Name A,�4 L=�
ATTENTION: It Is the responsibility of the property owner to submit a copy of the well tog to the proper aulho•ity. Municlpal ty
of Anchorage: Department of Heefth & Human S.rvices anc'or Department of Environmental Conservation. MatSu 90rough:
Department of Environmental Conservation.
Jun OS 07 09:0"a .m :...I.v-•I an7 P,:
Pump Installation Log
Well Drilling Permit Numtx-r: S%VU60249
Parccl Identification Number: 050-354-08
Date of Issue:8-9-05
Leal Deicrip-.6, 'S11MV V.ttle-: !�rty 0,%mrNamc X Addns":
sub ( Sehvin Jones
Led 2J Sub umterha%cn st
n•__--� l Anrh At: 0010,1
f--- — t 5-25_07
Iv:al: instaasion 1�_.�,
Pump Intake Depth Below Top of Well Casing: 136 Pect
�'-r.. than:iudurer's Name: Dempster
Pump Model.MBF-75-S2
pl:,p Size.314 hp
Pia•: ss Adapter Burial Depth -10 feet
Pitless Adapter Mank.lfxturer's Name Mat linsn
"itl:>s 4d: Ater ht^r. ller Arctic Pump & Well, Inc.
Well Disinfected Upen Completion' Yes
Method ofDisinf:e:rion Chlorine
Comments:
Nztnp Installer N--mcr
Arc:ic Punip & Well, Inc.
'Irc•lic Pump & Well, Irr_,
Page J of I
ARCTIC PUMP & WELL INC.
Jim Sullivan
-'1��
' � ��
110 nnx^,7019'. .
bagla Kixt4 Ak 99)77
(907)158.2310
iLl'2s�t'!
Pump Installation Log
Well Drilling Permit Numtx-r: S%VU60249
Parccl Identification Number: 050-354-08
Date of Issue:8-9-05
Leal Deicrip-.6, 'S11MV V.ttle-: !�rty 0,%mrNamc X Addns":
sub ( Sehvin Jones
Led 2J Sub umterha%cn st
n•__--� l Anrh At: 0010,1
f--- — t 5-25_07
Iv:al: instaasion 1�_.�,
Pump Intake Depth Below Top of Well Casing: 136 Pect
�'-r.. than:iudurer's Name: Dempster
Pump Model.MBF-75-S2
pl:,p Size.314 hp
Pia•: ss Adapter Burial Depth -10 feet
Pitless Adapter Mank.lfxturer's Name Mat linsn
"itl:>s 4d: Ater ht^r. ller Arctic Pump & Well, Inc.
Well Disinfected Upen Completion' Yes
Method ofDisinf:e:rion Chlorine
Comments:
Nztnp Installer N--mcr
Arc:ic Punip & Well, Inc.
'Irc•lic Pump & Well, Irr_,
Page J of I
Wockenfuss, Deborah M.
From: Wockenfuss, Deborah M.
Sent: Thursday, February 08, 2007 2:26 PM
To: NorthRim Engineering (NorthRimEng@aol.com)
Subject: Sunny Valley L24
Steve,
got the copy of the site plan. Thanks for getting that to me. Unfortunately, it does not print out to scale. Please bring a
scalable copy to the office. The site plan needs the engineer's signature too. Also, we talked about the requirements for
an engineer's statement regarding why the well location moved and justification for that move. Please bring that in at the
same time.
If at all possible, could you please respond to this request no later than the close of business Monday, February
12, 2007 in order to stay the pending Stop Work order that will be placed on the construction of the house?
Deb Wockenfuss
Onsite WaterMastewater
343-7906
House't Driveway Drain
2• Vkfe x 6' Deep
Drain Rock w/Geo Febrk
G.�;�•*..,. ..,:.:.'„".`�`• 141!1.
` Well
0
3
N
SITE
U
3
G THLhSchedule 40
Drainfleli
a & Altern
- �•
(WEST
NOR THRIMO
ENGINEERING
kl,
.:49m�.'.,r�
Po Soy 77072+
Cnyo River• i{loa4o 9'JB77 •Qyq•,.'��
4.:.w4a 7i)k i
Road Drainage
�\
\ 6p ,\ \
In Drain
e x 6' Deep
Rock w/GeoFabric
Main
eLlSite
N
Curtain Drain
Terminus
304:
LAKE
CURTAIN DRAIN LOCATION PLAN
'From Contractor Notes VIEW
CLASS B WETLANDS PERMIT. 1• = 60'
POA -2006-213 001`E1`
2/7/07 1
WE
AN a-urk be. do,1*S Vium 01 M1
Vplm tpmj p!= 2,1d srt:F-,, ljS
1.C
U
po I TTA
AUG 1 0 2006
GRETCHEN STULLkK
VRELEMINAW1
I hereby cerllfv that I have surveyed the following]
described p, -rt
r r
10,
Anchorage T:ecordin, Prveinct. Ala,lk:,.. and tf,.:!t the pro- I
posed improvements. as planned thereon by the
"il
will be within NeNepr,�pvrtv lines and will not o,�,Alln4-.,
or encroach nn the property lying, uJjncent thereto. th:I'i
no improvements on property hing ziaiacent thereto
encroach on the - - fln premise: 96e�o::nd*,,!i;it there ark
no roadways. translnissifines or other visible ease-
ments on said property (INN-I)l as indicated 11pereun.
NOTE Dated at Ea -le River. Alaska
t i, the responsibiliq•ol'
f the uil,!,.r t(, 2-2
field check di�:anc,e'to lot lines prior. this day of -Y' 200
to commencing cor.,truction. ROBERT C. .101INSON
SCALL: Regimored Land Sui-veyor No. -,FSO-LS
I"= 4-r. 110 , N 450. Eagle River. Alaska
Phone 694-2.343
uss:
OP
WE
AN a-urk be. do,1*S Vium 01 M1
Vplm tpmj p!= 2,1d srt:F-,, ljS
1.C
U
po I TTA
AUG 1 0 2006
GRETCHEN STULLkK
VRELEMINAW1
I hereby cerllfv that I have surveyed the following]
described p, -rt
r r
10,
Anchorage T:ecordin, Prveinct. Ala,lk:,.. and tf,.:!t the pro- I
posed improvements. as planned thereon by the
"il
will be within NeNepr,�pvrtv lines and will not o,�,Alln4-.,
or encroach nn the property lying, uJjncent thereto. th:I'i
no improvements on property hing ziaiacent thereto
encroach on the - - fln premise: 96e�o::nd*,,!i;it there ark
no roadways. translnissifines or other visible ease-
ments on said property (INN-I)l as indicated 11pereun.
NOTE Dated at Ea -le River. Alaska
t i, the responsibiliq•ol'
f the uil,!,.r t(, 2-2
field check di�:anc,e'to lot lines prior. this day of -Y' 200
to commencing cor.,truction. ROBERT C. .101INSON
SCALL: Regimored Land Sui-veyor No. -,FSO-LS
I"= 4-r. 110 , N 450. Eagle River. Alaska
Phone 694-2.343
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Silo Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SWO60249
Legal Description: SUNNY VALLEY LOT 24
Design Engineer: 0838 NORTH RIM ENGINEERING
Owner Name: LARRY COOL
Owner Address: 806 WINTER HAVEN STREET
ANCHORAGE. AK 99504 -
Date Issued: Aug 09, 2006
Expiration Date: Aug 09, 2007
Parcel ID: 050-354-08
Site Address: 9334 WEST LAKE ROAD
Lot Size: 88993 SO. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
❑✓ Disposal Field Q 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.
5. The following special provisions.
The Engineer needs to do an additional lest hole during the construction of the septic field. Please submit stamped
and signed results with the As -built Inspection Report. If the results require a design change, construction of the
system will stop pending Onsite review and approval.
Received
Date: 446
\ Municipality of Anchorage
• .� Development Services Department
Building Safety Division ""
Onsite Water and Wastewater Program
4700 Bragaw Street s T
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Property
Mailing
phone .?V o - Q3F %
Code S°!
Site address 7,'J7k(d7J r L4lor_RU 4,0 Zip Code 9e iS_ 7 -7
Legal description (Sub'd, Block & Lot) SU6&64 -Lem/6 0 L o r .2Q
Legal description (Township, Section & Range)
Lot Size Agt q43 Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well
Water Storage
❑
Number of Bedrooms S
THIS APPLICATION IS AN:
Initial
Upgrade
❑
Renewal
❑
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 ayth6rized agent)
Permit/Rush Fees: %:3_s� Waiver Fees:
Date of Payment: 2 — o Date of Payment:
Receipt Number: Receipt Number:
(Rev. 11/05)
FE (� INEERING MEMO
Steve Eng, PE, PH
17237 Bear Paw Circle, Eagle River AK 99577
(907) 694-7028 tel
(907) 694-7026 fax
NorthRimEng@aol.com
Date: 8/8/06
To: Deb Wockenfuss
1%IOA On -Site Services
Subject: Sunny Valley, Lot 24
REVISED DESIGN
Debby,
Number of Pages: 3
This is in reply to your comments on 8/8/06.
1. We returned to the property to inspect for surface water. We discovered the 6' in diameter
shallow pond & one other 2' in diameter minor wet area; Sheet 1. It appears that the larger
wet area is due to the excavated soil damming the water behind it. The curtain drain will be
extended to this area. The other minor wet area is over 100' from the wastewater system.
2. On 8/8/061 checked MT/ I13 & found no standing water present. The monitor tube was
originally 4' deep in early June & found to be dry. We later deepened it to 5' depth. We are
officially requesting a groundwater waiver due to the Advantex Category III System. Our
early June reading demonstrated 3' of useable unsaturated soil.
3. A cross-section note has been included for 6" of topsoil & seeding.
The owner is in a hardship position with crews waiting to work. We would appreciate your
expediting this permit.
Thanks -Steve
I
o�LlNEERING
IMEMO
Steve Eng, PE, PH
17237 Bear Paw Circle, Eagle River AK 99577
(907) 694-7028 tel
(907) 694-7026 fax
NorthRimEng@aol.com
Date: 8/1/06 Number of Pages: 10
To: Dan Roth
Program Manager, ACOA On -Site Services
Subject: Sunny Valley, Lot 24
REVISED DESIGN
This follows our meeting of 6/22/06. I believe we have answered the design questions.
• A COE wetlands permit is attached. This was applied for last January. An approval was
issued in March. After the approval was questioned by the MOA, the COE once again
reviewed the permit and issued approval.
• The best site for the Advantex drain -field appears to be the front portion of the lot. I do not
believe that the nearby road drainage ditch can be classified as surface water. It has been wet
during the spring ground thaw- ice was present in the ground until July 1. No measureable
flow has been observed.
• The MT has been deepened to 5' following our conversation last week. Perforations were
added to the PVC pipe. No groundwater has been encountered to 5'.
• The curtain drain has been excavated to 4'. It will be deepened to 6' and graded to promote
flow. It will be wrapped with typar geotextile or equal, filled with bone rock/drain rock, and
terminated in the location on sheet 1.
• This Advantex Category III system allows the best treatment available. The closest
neighboring septic system is a conventional system.
• A small drain was discovered under the driveway and noted on the plan. This is upgradient
of the drain field. The drain had a small weep during spring thaw. No flow was recently
observed.
• The owner will be happy to come in & sign a AW WTS Maintenance Agreement.
Thanks -Steve
1
f
ENGINEERING
Date: 6/20/06
MEMO
Steve Eng, PE, PH
17237 Bear Paw Circle, Eagle River AK 99577
(907) 694-7028 tel
(907)694-7026 fax
NorthRimEng@aol.com
To: Deb Wockenfuss
MOA On -Site Services
Subject: Sunny Valley, Lot 24
REVISED DESIGN
Deb,
Number of Pages: 2
We included both monitor tubes on this revised sheet 1 drawing. We are planning on a curtain
drain upslope of the absorption field. This should considerably drop the water table in this
vicinity. The road drainage ditch has normally had no flowing water until farther downslope as
indicated on sheet 1.
Both added monitor tubes are included on sheet 1. Monitor tubes were completed by driving a
steel pipe into the ground. A smaller diameter steel pipe was then driven through the larger pipe.
We were able to get soil samples to a 6' depth with this method. This method is not unlike that
obtained with a hollow stem auger. The steel pipes were then removed and replaced by pvc
monitor tubes. The monitor tubes did not go the full 6' distance, but far enough to monitor the
unsaturated depth for design.
The owner is very anxious to begin. We appreciate if your assistance.
Thanks -Steve
OF s.4-4 n14
Smven W. no
•. PE G25fi
'9F' •••••..••.••'
41c, 0rc'c ,
ENGINEERING MEMO
Steve Eng, PE, PH
17237 Bear Paw Circle, Eagle River AK 99577
(907) 694-7028 tel
(907) 694-7026 fax
NorthRimEng@aol.com
Date: 6/12/06
To: Deb Wockenfuss
AIOA On -Site Services
Subject: Sunny Valley, Lot 24
REVISED DESIGN
Deb,
Number of Pages: 6
The revision includes system relocation & design change. A monitor tube located in the front of
the lot has 3' with no groundwater. A percolation test was conducted & similar soil found: The
application rate was changed.
Another AX -20 pod was added, although Anchorage Tank & Orenco allow one pod in similar
cases. Water is present in the road ditch near the east property boundary, over 100' from the site.
Thanks -Steve
1\1a2T1NF
ENCjINEERING
Northitinn Engineering
17237 Bear Paw Circle
Eagle River, AK 99577
907.694-7028
May 18, 2006
MOA On -Site Water & Wastewater Program
4700 Bragaw St
Anchorage, AK 99519
RE: Sunny Valley S/D, Lot 24
Approval was previously granted by the U.S. Army Corps of Engineers for wetlands
development on the referenced property. Neighboring lots have been developed with
conventional systems. A sand filter was installed last year across the street.
The lot slopes to the south at about 5%. We are proposing an AdvanTex AX -20 Mode b
to serve this lot. A Category III drain field has been sized for the highest ground.
We are requesting your approval.
Sincerely,
Steve Eng, PE, P�
Design Enclosures
DESIGN NOTES:
1. Total Depth of Trench is 1' ® T.H,, Remove Organic Layer.'.
iTerrain Is Sloped Toward South. : f,-
y 2. ,Sewer.:Service Line minimum 2% slope.
S Trench is MinimUm )0`4rom Lot Line. 1.4
4. Lots Served by Private Water, Wells. `
5. AdvanTex AX20- Mode 1b-to Meet.Installation Requirements` PertOrenco Systems
& "Anchorage Tank" \�
I=6. Upper 6 Inches of Mound To Consist-of Top-Soil & 86 Vegetated.
Lot ,-24 To =Be Developed t;
For Single Fariily H6me j
Septic .System Construction
%4�
+;Does Not Preclude ;Adjoining.,Lots'From Sanitation
Improvements,•`.Well
- ,�I•
r�iie
NOR THRIM
ENGINEERING
17237 Bear Paw Clrcl
Eagle R1~. Alaska 9937
907.694.7028
nrvri rioMENT
S/D
pF'„
LOT 24
_30RY III
VICINITY
MAP
V = 200'
Daly.
�_of_4
Septic Srem Construction
Does Not reclude Adjoining
Lots From Sanitation
ingle family Home
0;
el( House
ad (100'x80')
>
Surf°(
o TH
CLASS B WETLANDS PERMIT
POA -2006-213
Voter
6/8/O6
A
2a. h AX20 P - Alude I
C
rtaln Drain
2003Gallon S r1 Tank
3
Wide x 6' Deep
Ef�uent Pump tasinZ,
D
ain Rock w/Geofabrlc
3
\\\4\
T 4,Schedule 40 VC I
Drainflet
orce Main
& Altern e
\\
0
DESIGN NOTES:
\
1.
Total Depth of
\
Trench I . "I®-{... Reme^•Of c r.\
-.F
3y�
M
Terminuscc
Terrain Is Slop
M
,d Toward So th.
2.
Sewer Service
\
ine minimum 2% slope.
SS);
3.
Trench is Minimum
10' from Lot Lt
4.
Lots Served b
Private Water Wells.
\
/)� \
5.
AdvanTex AX2
Mode 1b to Meet Install ion Requirements Per Orenco Sys\tenrs ht
oi,Mound
8
��Oi•
6.
Upper 6 Inch
To Consist of Top,,. Soil do Be Veqetal ed.
`
Septic Srem Construction
Does Not reclude Adjoining
Lots From Sanitation
ingle family Home
0;
el( House
ad (100'x80')
>
Surf°(
o TH
CLASS B WETLANDS PERMIT
POA -2006-213
Voter
6/8/O6
A
2a. h AX20 P - Alude I
C
rtaln Drain
2003Gallon S r1 Tank
3
Wide x 6' Deep
Ef�uent Pump tasinZ,
D
ain Rock w/Geofabrlc
3
Cl
T 4,Schedule 40 VC I
Drainflet
orce Main
& Altern e
Site
0
Curtain Drain
M
Terminuscc
L J
OO 1
BlrCh Rood Drainage C
L.
Small Driveway LAKE
EST Dram P X
RIO
ge Tank".
NORTHRIM� y���� �
ENGINEERING m`.
ADVANTEX DESIGN
SUNNY VALLEY S/D LOT 24
PLAN
VIEW
17237 Boor Pow Cirri :y
eayi. Riw, "'°'"° 99377 ••'• �•;d
ao�as..7oae.........
""
CLASS B WETLANDS PERMIT
POA -2006-213
I• = 60'
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r
Ll S❑ILS LOG – PERC❑LATI❑N TEST
o I Hi IM Date Performed: 4/12/06
INEERING
Performed For; Selwyn Jones
Legal Description; Lot 24, Sunny Valley
1 -
2 -
3 -
4 -
5 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
DEPTH
(FEET)
GM
Silty Gravel
HIGHER SILT
-' k AT DEPTH
T.H. Location: See Attached Design
Flat Terrain
Groundwater? Yes
Depth 4'
Water Depth
After Monitorino.2'
natP, s/ig/m
#
Date
Gross Time
Net Time
Depth
Net Drop
1
4/12
0
--
10.75'
--
2
4/12
30
30 mit
1. 11'
1.25'
3
4/12
32
--
11'
--
4
4/12
62
30 mirp.
12.25'
1.25'
5
4/12
65
--
11'
--
6
4/12
95
30 mit
1. 12.25'
1.25'
21 - ' IPercolation Rate 24 Min./inch Perc Hole Diameter 6'
Test Run Between 1' and 2'
Comments Presoaked
Performed By NorthRim Eng. I CERTIFY THAT THIS TEST WAS
Performed in Accordance with Alt State/Municipal Guidelines in Effect
ON THIS DATE. DATES 5/15/06
NORTHRIM ;�"`•'' TESTH❑LE LOG
ENGINEERING ••• •• ; T. H. 1
j 17237 Bear Pow Clrcl •.•."'.
Eagle River. Alosko 99577 acs
907.694.7028 �'''•••••
GEOTECHNICAL•_ - -- —
5/18/06 11f 2
' TLj� S❑ILS LOG - PERC❑LATI❑N TEST
I
FIRE E Date Performed: 4/12/06
LrEZ'r-9
Performed For Selwyn Jones
Legal Description: Lot 24, Sunny Valley
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
DEPTH
Date
(FEET)
Net Time
Depth
Organic
1
4/12
0
--
6'
--
2
4/12
30
GM
' ' °.•
Silty Gravel
3
4/12
'
HIGHER SILT
6'
AT DEPTH
4
4/12
T.H. Location: See Attached Design
Flat Terrain
Groundwater? Yes
Depth 4'
Water Depth
After Monitorino, Datei
#
Date
Gross Time
Net Time
Depth
Net Drop
1
4/12
0
--
6'
--
2
4/12
30
30 mit
1. 8'
2'
3
4/12
32
--
6'
--
4
4/12
62
30 mh
1. 8'
2'
5
4/12
65
--
6'
--
6
4/12
95
30 mit
1. 8'
2'
21 Percolation Rate 15 min,/inch Perc Hole Diameter 6'
Test Run Between 1' and 2'
Comments: Presoaked
Performed By NorthRim Fng, I CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
ON THIS DATE. DATES 5/15/06
NORTHRIM
...
y�P''
* 149
ENGINEERING
17237 Bear Pow Circle
' ....•
£ogle River. Aloska 99377
•. oi-4w
907.694.7028
•••••
TESTH❑LE LOG
GE❑TECHNICAL
T. H. 2
5/18/06 12 of 2
' TL S❑ILS LOG - PERCOLATION TEST
aI r" I� Date Performed: 6/10/06
INEERING
Performed For: Selwyn Jones
Legal Description: Lot 24, Sunny Valley
DEPTH
(FEET)
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
Organic T.H. Location: See Attached Design
Flat Terrain
Soil Sampled By Driving Steel Pipe Into Strata
GM Steel Pipe Replaced W/ PVC MT w/Perforations
Silty Gravel
Groundwater? No
Depth
Water Depth
After Monitoring. None Date: 6/12/06
#
Date
Gross Time
Net Time
Depth
Net Drop
1
6/10
0
--
4'
--
2
6/10
30
30 mb
1. 6'
2'
3
6/10
32
--
4'
--
4
6/10
62
30 mit
1. 6'
2'
5
6/10
65
--
4'
--
6
6/10
95
30 mh
1. 6'
2'
21 - ' Percolation Rate 15 Min./Inch Perc Hole Diameter 6'
Test Run Between 1' and 2'
Comments: Presoaked. Perk Test Conduc'-edema jacent To Driven MT,
Performed By NorthRim Fng, I CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
ON THIS DATE. DATE: 6/12/06
NORTHRIM
ENGINEERING
17237 Bear Pow Circle
Cog/* River. Alaska 99377
907.694.7028
MAM
TESTH❑LE LOG
GEOTECHNICAL
MT/TH3
- ----
6/12/06 j5
2TI-SIM
ENGINEERING $/1/06 Sunny Valley S/D, Lot 24
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater Svstem Sizing:
This is a new single family home to have 5 bedrooms. A COE Wetlands Permit was
received for construction. Groundwater was not present to 5' below the surface @
MT/T113. The Category III absorption system will be located at this site. The Orenco
Systems, AdvanTex Treatment System will be utilized. This system requires a 2000
gallon processing tank and 2-AX20 filter pods. A Category III System drain field will be
utilized, which will allow an application rate of 4 GPD/FP; This allows a 5' x 37.5' bed;
the size will be increased to 5' x 40'. We have not encountered groundwater within 5' of
the surface at this site. A 1' thick effective layer will be utilized. No adverse impacts are
expected from development. Most of the neighboring lots are developed. No water wells
are impacted by this construction. Soil tests found typical soil for this area; a silty gravel,
with relatively high groundwater table. Easements will not be encroached upon. A curtain
drain has been partially excavated: it will be deepened to 6' depth, typar or equal
geotextile wrapping the trench bottom & sidewalls, and drain rock/bone-rock placed in
the trench. This revision follows meetings and design changes.
Specification Requirements:
All components and work must comply with the Municipality of Anchorage
Specifications (AMC) & State of Alaska Drinking Water Regulations and
Wastewater Regulations, Orenco Systems AdvanTex Treatment System
Design/Installation Manuals, Anchorage Tank & Welding requirements.
• Installation by an Authorized AdvanTex Installer only; approval issued by Orenco
Systems & Anchorage Tank & Welding, Inc.
• 2000 gallon, two compartment AdvanTex processing tank, 2-AX20 filter, VeriComm
Monitoring System & Mode 1 b package requiring a discharge basin to pump to the
elevated absorption field, per AdvanTex Treatment System Manual.
• Watertight couplings on inlet & outlet.
• 5' minimum between the tank and bed. 10' minimum 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 I to 4' from foundation wall,
prior to any 90 degree bend in 4 inch line, prior to the processing tank compartment,
and two opposing cleanouts at either end of the absorption bed.
• 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 3' to groundwater, 6 feet to bedrock from
drain -rock
• Drain rock to be 1/2 inch to 2 %: inch screened. Drain rock to be distributed uniformly
throughout the trench.
I- TF��IM
ENGINEERING
8/1/06 Sunny Valley S/D, Lot 24
• 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" or insulation required
• The finish grade must be mounded to promote drainage over the bed
• Insulation must be placed over any pipe installed under driveways or parking areas.
AdvanTex Treatment System and absorption bed shall not be located under driving 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
• Maintenance agreement for the AdvanTex Treatment System is required for approval.
• Insulation board shall be extruded direct burial polystyrene (Dow Styrofoam HI or
equal)
• Distribution pipe shall be 1.25" Schedule 40 PVC w/ 1/8" orifices @ 27" on center.
• Force main shall be 1.25" Schedule 40 PVC, conforming to Anchorage Tank &
Welding/Orenco Systems specifications. Force main burial to be 4' minimum.
• Silt barrier (filter fabric) to be installed above the drain rock
• The finish grade must be mounded to promote drainage over the bed
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN I%IUNJCIPALITY OF ANCHORAGE
AND Se/in/t/nl TpJCS
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
or—day of J t4 N e of 20, by and between �e/V(.✓ �0'JP.<� ,
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS), described as A 1/d 0— to Lc _ located
at S I Z `_ Z I A LLr=�i Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AWWTS that .
includes the installation or removal of any parts, components or pieces
not included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 15.65.
These approvals certify that the systems are adequate for the homes that
they support and meet the codes that were in place at the time of system
construction.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included in
the original design which would allow the AWWTS to continue to
perform as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an AWWTS, upon meeting all the
requirements of this agreement, the conditions of Operating Permit, the
requirements of the On -Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of �Z r' R O
payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
4. Term. The term of this Memorandum of Understanding shall be for the life of the
AWWTS.
The term begins on the date of approval by the Municipality of the installed system and
shall continue while the ANVWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On -Site approval is issued to
the new owner or transferee of the property.
5. Alterations Installation and Removal of Additional Equipment. Owner agrees
not to make any alterations, removal of parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. )Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AWWTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every provision
hereof.
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Mem'amndum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Owner: Se—/U)y
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for the Third Judicial District of the
State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and
obligations of the parties under this Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
NIUNICIPALITY:
By: r^ By:
,/ Title:
Date: Date:
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoin instrument was acknowledged before me thiszV day of
204!, by the hzPl&� of
on ehalf of the Municipality of Anchorage.
,,ttttrrrrrr/i
fARY PUBLIC k2jj
Commission expires:
;SEN M�:Q/eei
�'ClE3tlC•
67
ittt
NT or
A�6. OA
DEPARTMENT OF THE ARMY
U.S. ARMY ENGINEER DISTRICT, ALASKA
P.O. BOX 6898
ELMENDORF AFB, ALASKA 39506-0898
'JR $1 2006
Regulatory Branch
POA -2006-213-D
Mr. Steve Eng
NorthRim Engineering
17237 Bear Paw Circle
Eagle River, Alaska 99577
Dear Mr. Eng:
This is in response to your January 23, 2006, application, on behalf of
Selwyn Jones, for a Department of the Army (DA) permit to build a single
family home on Lot 24 of Sunny Valley Subdivision located within section 16,
T. 14 N., R. 1 W., Seward Meridian; Latitude 61.3040 N., Longitude -149.4720
W., in Eagle River, Alaska. It has been assigned file number POA -2006-213-1),
which should be referred to in all future correspondence with us.
DA permit authorization is necessary became your project would involve
placement of dredged and/or fill material into waters of the U.S. under our
regulatory jurisdiction.
Based upon the information and plans you provided, we hereby verify that
the work described above, which would be performed in accordance with the
enclosed plan (sheets 1-4), dated July 12, 2006 is authorized by Nationwide
Permit (NWP) No. 29, Single Family Housing. NWP No. 29 and its associated
Regional and General Conditions can be accessed at our website at
www.poa.usace.army.mil/reg or, at your request, a paper copy will be provided
to you. Regional Conditions A -D, F, I, L-0, and V apply to your project.
You must comply with all terms and conditions associated with NWP No. 29.
Further, please note General Condition 14 requires that you submit a
signed certification to us once any work and required mitigation are
completed. Enclosure 1 is the form for you to complete and return to us.
This verification is valid until the NWP is modified, reissued, or
revoked. All of the existing NWPs are scheduled to be modified, reissued, or
revoked prior to March 18, 2007, It is incumbent upon you to remain informed
of changes to the NWPs. We will issue a public notice when the NWPs are
reissued. Furthermore, if you commence or are under contract to commence
this activity before the date that the relevant nationwide permit is modified
or revoked, you will have twelve (12) months from the date of the
p "tu Thu artivity indpr tha
present terms and conditions of this nationwide permit.
Please be advised that this verification does not authorize mechanized
land clearing operations, including vegetation removal or other soil
disturbances in wetlands, beyond the footprint of the work described above.
If such activities are proposed, you must contact us prior to beginning the
work.
-2 -
Nothing in this letter excuses you from compliance with other Federal,
State, or local statutes, ordinances, or regulations.
Please contact me at (907) 753-2712, toll free from within Alaska at
(800) 478-2712, by email at Angela.M.Hunt@poa02.usace.army.mil, or by mail
at the letterhead address, ATTN: CEPOA-CO-R-S, if you have questions or to
request a paper copy of the terms and conditions of NWPs No. 29. For
additional information about our Regulatory Program, visit our web site at
www.poa.usace.army.mil/reg.
Sincerely,
Angela Hunt
Regulatory Specialist
Enclosures
�. Esy sow, Alt'.
1. Kouse NXI 100" x SO!
P. DrIVOw1&3? 15' -1(-:150'1,
3, Std�{iplle. (I�ftludcl Iri' Id4rj Pad)
4,. Septic Syi" 51 x 50'
q*nl Plitt 10,500: Square: .t
Siris Family Horne
cc
,A cc
House I ad E100'xSOI)
TH
DE a fwd 3 .Videb'nDeep
it '--D aInRock-w/0eofdbrlc
1)r;o�lnflel�l'
•Atter.n_ ae. -Site
ET1 304:
LAKE
C<UNNY
D.S/DLOT
LAN
IEW
_ '60'
POA -2006-213; Eagle River 7l12/06 of .3
July 12, 2006'_ --
Sheet 3 of
I c1c_
Ft'
_E1aawd
Birch
WEST
NORTKRIM
ENGINEERING
tT?JT',Baor Pow C7rols
"'^ "�
'[oyl� Riw,Alwlre 9257.7
s ':
�-soza�f.yose '
1)r;o�lnflel�l'
•Atter.n_ ae. -Site
ET1 304:
LAKE
C<UNNY
D.S/DLOT
LAN
IEW
_ '60'
POA -2006-213; Eagle River 7l12/06 of .3
July 12, 2006'_ --
Sheet 3 of
Municipality of Anchorage ,
. ..,<
�.r.� Development Services Department �r:�� • ��:jk'
hY Building Safety Division
On -Site Water and wastewater Program S. <*.
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519.6650
www.muni.org/0nshe
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
COSA
Parcel I.D. � _ 13t_ �% - 0 g
Expiration Date:
1. GENERAL INFORMATION LG o
Complete legal description S
cy33y WEST �..rr,r � n
Location (site address) J
Current Property owner(s) S%Lw ��
'T—a R(fS Day phone 332 —O o3 7
Mailing address SVC
Day phone
Lending agency
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested. COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: S
3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual On-site
Individual Water Storage ❑
Individual Holding tank ❑
Community Class Well ❑
Community On-site ❑
Public Water System ❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) Issues n Independent
n On -Site Systems
Approval (COSA) based only upon the representations given In paragraph 4 byova I are required for the transfer of
engineer registered in the State of Alaska. Certificates of On -Site Systems App q
ter disposal and/or water Approval
title (except between spouses) for properties served by a single-family on-site wastewa
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems
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 engineers 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,
ordinances, and regulations in effect at the time of installation.
Name of Finn 'or_L1r_7 �- a
Phone
Address /'O /QD1C `77n^>_�,i
Engineer's Printed Name
Dated 2 , p 7
t `F + �a
V. tyj •a_
lx
. uT.f.................
5. DSD SIGNATURE 00 ste.on W. tag
10
1 Approved for 0�sf PE 6256 �'
..'
r bedrooms.
�� 9Fp 1'1.1......• p�.v
Disapproved. 4t, 90o1 S-11 •r`
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Attachments:
COSA Checklist X
Septic System Advisory Arsenic Advisory
Maintenance Agreements
Well Flow Advisory
Nitrate Advisory Supplemental Engineer's Report
Other
Original Certificate Date:_/ n •- - 7
(Rw. 11)05)
Municipality of Anchorage
Development Services Department
/ Building Safety Division
Onsite Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 056 — 3 Sy- 0 8
1. GENERAL INFORMATION
Complete legal descripti
Location (site address)
COSA# D`tDffi
Expiration Date: 1 .Z - .r 0_7_
Current Property owners) '.5: 0/ 7_04 - Day phone r3?Z - 4d922
Mailing address
Lending agency
Day phone
- --_ Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested. COSH will
be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
-5
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
Individual Water Storage
❑
Individual Holding Tank ❑
Community Class Well
❑
Community On-site ❑
Public Water System
❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of 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 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 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
Address
Firm _ &0r 9 z E PhoneCF41— 7OZXf
Z'0a x �7�7 •�
Engineer's Printed Name,ST -V6 E61C
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Date o
y1d t
,_�� OF ALgsts,
•,'f.� 3J
Eng ins
6256 •,4�,%
Ll_� Conditional approval for -5� bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
B1"` oC/ Original Certificate Date.
(Rev 11)05)
Municipality of Anchorage
• ^� 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/onsile
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: :af 6LAq,� \/.4LL E-/ LOT Qq — Parcel lD:650-355 - do'
A. WELL DATA
Well type P If A, B, or C provide PWSID # _ Well Log (YIN)
Date completed 4�R5/0 7 Sanitary seal (Y/N) Wires properly protected (Y/N)y
�
Total depth /SZ ft. . Cased to It. Casing height (above ground) 2�in.
FROM WELL LOG
Date of test
Static water level
Well production SO g.p.m.
WATER SAMPLE RESULTS: NEf✓
Coliform colonies/100 mL Nitrate mg/L
Arsenic: _ ug/L date of sample:
B. SEPTICIHOLDING TANK DATA
Tank Type/Material () S % A Q. / F.yV STj£L
Tank size 2440 a gal. Number of Compartments Z
AT INSPECTION NFa
fl.
Other bacteria colonies/100 mL
Collected by:
Date installed !/0 7
Cleanouts (Y/N) y/
Foundation cleanout (YIN) * Depression over tank (Y/N) j�(_ High water alarm (YIN)
Date of pumping A610L J Pumper
C. ABSORPTION FIELD DATA
Dale installed `-` /Z Lc Soil rating (g.p.d./ft2 or&!Jb") ! System type M&JA1Q
Length 4 ft Width 5. s I ft. Gravel below pipe �_ ft.
Total depth 41 ft. Eff. absorption area%24 ftZ Monitoring tube Depression over field
Date of adequacy test 50 Results (Pass/Fail) _d/�� For S 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 (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed
'Pump on' level at l�L in.
Datum SC7 76ry.
E. SEPARATION DISTANCES
Size in gallons fill
'Pump off" level at in.
Cycles tested -
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot , C22*
r�
Absorption field on lot / .>
Public sewer main _ W114
Sewer /septic service line /0 i0 'f
Animal containment areas IV14
Manhole/Access (Y/N)
High water alarm level at 34' in.
Meets alarm & circuit requirements? Y
i
On adjacent lots /00 t
On adjacent lots / Q Q ,•'
Public sewer manhole/cleanout Nf:9
Holding tank AeJ4
Manure/animal excrete storage areas _ 11//A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Z0 f Property line _ rF Absorption field
Water main N4_ Water service line Q i� Surface water / Od "14
Wellson adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line d `'h Building foundation D �f Water main N�4
r
Water Service line 60t- Surface water /O4 rr` Driveway, parking/vehicle storage O r f
Curtain drain 30'1& Wells on adjacent lots /00"1'
F. COMMENTS
G. ENGINEER'S CERTIFICATION <<'�•''••�••�••'a`r'�
I cern that I have determined through field ins •••may,
• t
h' g inspections and I � 49: �+ ••••:: *•
review of Municipal records that the above systems are in i '•""
conformance with MOA COSA guidelines in effect on this date. j••"�_ ••••••••••••••••••••
0,�S�awn;W.
Engineer's Printed Name % 7-fV6 tW ♦ r%PE azsa • ; ,;
•.
Date �r%/r�7 It�9cpp••......
••`��'r
07ES5�
COSA Fee $ 57- 5D
Date of Payment _ I %I 1).q
Receipt Number 4sq!�. d
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
ZZ.
cf .
.00
w.sT LAS y. PrrN-a..
s , ,
AS -BUILT
I hereby certify that I have surveyed the following described
property,L e� 7— z-�
S_. fin-, !E. 7-14,-Nffv, Lf(
Anchorage Recording Precinct, Alaska, and that the improve-
ments situated thereon are within the property lines and do not
overlap or encroach on the property lyrrtg adjacent thereto, that
no improvements on property lying ad' t thereto encroach
on the premises in question and tFat there are no roadways,
1 transmission lines or other visible easements on said property
except as indicated hereon.
Dated at Eagle River, Alaska
this G ' : Jay, of
RO ERT C. JOHNSON
SCALE; Registered Land Surveyor No. BOD -LS
1 'jU" . Box 77-04%, Eagle River. Alaska 99577
Phone (907) 694-2543
j
t
..•a ,
r
�• �„ N.wfl• N1
1
I
I'
S
:. 'r 1,
a ,�,t.'
-
4.
C
f
�\
I !
j
\ a
o•
.00
w.sT LAS y. PrrN-a..
s , ,
AS -BUILT
I hereby certify that I have surveyed the following described
property,L e� 7— z-�
S_. fin-, !E. 7-14,-Nffv, Lf(
Anchorage Recording Precinct, Alaska, and that the improve-
ments situated thereon are within the property lines and do not
overlap or encroach on the property lyrrtg adjacent thereto, that
no improvements on property lying ad' t thereto encroach
on the premises in question and tFat there are no roadways,
1 transmission lines or other visible easements on said property
except as indicated hereon.
Dated at Eagle River, Alaska
this G ' : Jay, of
RO ERT C. JOHNSON
SCALE; Registered Land Surveyor No. BOD -LS
1 'jU" . Box 77-04%, Eagle River. Alaska 99577
Phone (907) 694-2543
RTH IM
NIOrGINEERING MEMO
Steve Eng, PE, PH
(907) 694-7028 tel
NorthRimEng@aol.com
Date: 914/07
To: Jeff Poet
11IOA On -Site Services
Subject: Sunny Valley, Lot 24
C.O.S.A. & Inspection Report
Number of Pages: 1
This is in reply to the July 25, 2007 Comment Sheet:
1. An inspection revealed no surface water within 100 feet of the absorption field. The driveway
was regraded and the previous small seep is no longer present. Photo below.
2. The curtain drain was removed within 25 feet of the well. Photo below.
Please issue approval.