HomeMy WebLinkAboutCHUGACH PARK VIEW LT 6Chugach Park
View
Lot 6
#090-042 -06
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW070143 PID Number: 090-042-06
Name:
Ric Vrsalovik Wastewater System: [] New [] Upgrade
Address:
PO Box 113004/site: NHN, Indian Rd. ABSORPTION FIELD
Phone: Number of Bedrooms:
4 [] Deep Trench ~ Shallow Trench [] Bed [] Mound [] Other:
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION 1.0 GPM/Fi~ North 7.5 / South 7.5 Ft.
Block: Lot: 6 Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe:
-- Chugach Park View N 3,2 / S 3.0 Ft. N 4.03 / S 4.08 Ft.
Township: Range: Section: Fill added above original grade: Gravel Length:
N 0 /S0.1 Ft. 30+30=60
Gravel width: Number of lines: I Distance between lines:
Well: [] New [] Upgrade 5.0 st. 2.51 17 Ft.
Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material:
private 226 Ft. 46.4 Ft 600 Et2 ASTM D3034
Driller: Date Drilled: Static Water Level: Installer: Date Installed:
M-W Drilling, Inc. 08/24/07 27.5 Ft. Wilco Contractors 8/6/07
Yield: Pump Set at: Casing Height Above Ground:
8 GPM 211 Ft. 2.5 rt. TANK
SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other:
T~ To Septic Absorption Lift Holding )ublic/Private Manufacturer: Capacity:
Tank Field Station Tank Sewer Line Oreer 1500 Gal.
Material: Number of Compartments:
we, 125 126 NA NA 125+ steel 2
Surface Water100+ 100+ NA NA--~/! LIFT STATION
Size: Manufacturer:
Lot Line 100+ 100+ NA NA NA Gal
Foundation 40+ 65+ NA NA "Pump on" level at: in "Pump off' level at: in. High water alarm at: in,
Curtain Drain NA NA NA NA Pump Make & Model Electrical Inspections performed by:
Remarks:
BENCH MARK
Location and Description:
Fill added over drainfields in summer 2009. top of well cap
Assumed Elevation:
120.30 Ft.
Engineer's Stamp
Inspections performed by: Cindy W. Ellis, P.E. Dates: lSt.~6/44-z~['0 ~//1.~o/o7 _~
2® ~/g/C7
Development Services Department Approval /~e~ 55:¢:
Conditional Approval Date:
Reviewed and approved by: ~~ff./~~ Date: ]/~/~/~t9 ~a~°~,~/-.. ,E-,o,?? .."~.~
C&e I ~ I See attached sheet ~ ~ Based upon an asbuilt suwey
~e~ I I by Shane Holt, LS-6914;
~ ~ for swing ties.
~ I ~ ~ dated Dec. 1, 2008
Chugach Park View Lot 6
Record Drawing of Well & Septic Development ~.~
Parcel
ID
No.:
090-042-06
Watkins
Fai in
Inc.
Permit No.: ~070143
June 18, 2010 Billings, MI 59104-2574 ~'~-:"
Scale 1 inch = 30 ff (907) 360-3389; ~ellisak~gmail.com
A B C
FCO 7.6 35.9 ......
CO5 23.5 45.5 ......
CO6 50.6 64.1 ......
ST1 51.8 63.9 ......
ST2 57.7 63.5 ......
DCO1 60.0 64.3 ......
DCO2 61.0 64.3 ......
FS 90.8 86.3 125.7
CO1 76.8 89.1 149.8
CO2 89.4 86.3 127.6
CO3 97.2 111.2 167.6
CO4 115.4 119.2 158.7
MT1 78.9 91.2 151.3
t MT2 91.8 89.6 130.6
MT3 98.9 112.8 168.6
MT4 117.4 , 121.6 160.8
See attached drawing of
well and septic system.
A B C
FCO 7.6 35.9 ......
CO5 23.5 45.5 ......
CO6 50.6 64.1 ......
ST1 51.8 63.9 ......
ST2 57.7 63.5 ......
DCO1 60.0 64.3 ......
DCO2 61.0 64.3 ......
FS 90.8 86.3 125.7
OO1 76.8 89.1 149.8
002 89.4 86.3 127.6
003 97.2 111.2 167.6
004 115.4 119.2 158.7
MT1 78.9 91.2 151.3
MT2 91.8 89.6 130.6
MT3 98.9 112.8 168.6
MT4 117.4 , 121.6 160.8
Chugach Park View Lot 6 ~'~,,~...¥>" it '.c.,.~,-,~
Swing Ties for Well & Septic Development ~..-' '...-r-
RicYrsalovikj ~/ 4~1-~'~"~'~.~
Parcel ID No.: 090-042-06 Watkins [n§ineerin§, Inc.
Cindy W. Ellis, P.E. P.O. Box 22574i~ ~,.C~dYCE. W.~0s~Ellis...~
June 18, 2010 Billings, MT 59104-2574
Scale i inch = 30 ff (907) 360-3389; cwellisak~gmail.com
ST1 ST2 DCO
3 FINAL GRADE 12 I~_I
FCO = 106.0
I 102.92~ , 6" INSULATION ,
1500 GALLON
102.47 STEEL SEPTIC TANK ~ 102.21
CO1 MT1 MT2 CO2
~_~ Final Grade = 102.71-103.54 ,-
Filter Fabric & Insulation 100.38
fS ~ , ~ ~= / = Note:
96.15 I~orth Trench = 30' long 96.34
Note: Test Hole Relative Depth -- 89.00
No Water
0013~ Mt3 MT4 004
~ Final Grade = 97.21-97.93 ~ ~-~
94.73 Note:
i_ Filter Fabric & Insulation /--
, ~ ~- ,/ _~_/: Original Grade =
I 4" O Pipe ~ 94.38 I 97.02 - 97.80
90.30 Sewer Rock
90.53 South Trench = 30' long ~r91.38
Note: Test Hole Relative Depth = 83.30
SEPTIC SECTION No Water
N.T.S.
AS- BUILT
Note: This revision reflects additional fill placed over trenches.
Chugach Park View Lot 6
Revised Record Drawing of Well & Septic Development
Ric Vrsalovik
Parcel ID No.: 090-042-06 Watkins Engineering, Inc. 49
Permit No.: SW070143 ~ ......... '~ ............. -'-": ....
CindyW. Ellis, P.E. P.O. Box 22574 ~07," c~ - ~0~ ..'~
June 18, 2010 Billings, NIT 59104 ~i~'"~.~,~/.~.-'~,~
Not to Scale (907) 360-3389; cwellisak@gmail.com ~o,.' .... '~,
M-W Drilling, Inc.
eP.O. Box 110378 e Anchorage, AK 99§11e
· 907-345-4000 · 907-345-3287 Fox,
Job No. 07-140
Permit No. SWO701A3
GROUNDWATER WELL AS-BUILT & LOG
I W
ell Owner: Ric Vrsalovic
L gal Description: Chugach Park View Lot 6
NHN indian Rd, Anchorage
Use of Well: Domestic
CONSTRUCTION
Hble Depth: 226 Casing Size: 6" Cased To: 46.38'
D~rill Method: Air Rotary Wall: .025
Well Completion: Open end Screen
Perforated
Screen/Perforation description:
Grout Notes: ( 4 ) Sack(s) of No. 8 Bentonite granules
I Notes: Bed Rock at 18', used GeoRock to take casing to 46' while grouting
,.[ Disinfected: Yes Method: Chlorine Tablets
v~ell Development Method Air Su[ge ~
Nbtes:
SJ[atic water level (SWL) 27.5 below top of casing (TOC).
Material: A 53 Steel
Perf. Method:
V~'ell yield test at
IV ;ethod: Air lift
~ar~ Date:
P~Jmp install Date:
Depth in feet from
8 gallons per minute (GPM) for ~ hour(s) with 10o%
08/22/07
Completion Date: _ 08/24/07
WELL LOG
~ of drawdown (DD) from static level(SWL).
0
of casin Details of formations penetrated, size of material, color and miscellaneous details.
TO 2.5 Casing Stick Up
!.5 TO 5
,5 TO _1_8
L8 TO 20
~'0 TO 22(
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
Organic Overburden
Gravel, & Course
d J k
Bedrock: Black Grey Sittstone Argillite
Water 9~ age
- ~' ~ N,', 6129
15, 2'}!i!{! ~ 57F:M a,~,,:e~'~.on en~i,nee,"i~ ....
Merk Begich
Mayor
Development Services Department
Building Safety bivision
On-Site Water & Wastewater Program
4700 Elmore I~o~d
P.O. Box 196650
Anchorage, AK 99507
www.mum_~orq/onsite
(907) 343-7904
Well Drilling Permit Number:
Parcel Identification Number:
Il Legal D¢~ription
Pump Installation Log
Pump Installation Date: C~ ~ Q,-]- , 0 ~)
Pump Intake Depth Below Top of Well Casing: feet
Pump Manufaetnrer's Name: brand
July 1,
r Wayne/ Westberg,
2010
Pump Size [ hp
Pitless Adapter garial Depth: ~ feet
Well Disinfected Upon Compl~ion?,~es ~ No
Comments:
Attention: The ptwnp instiller shall provide a pump installation log to *.he DSD within 30 days of pump installation.
SGS Reft// 1102509001
Client Name Watkins Engineering Printed Date/Time 06/10/2010 11:24
Project Name/// Chugach Park View Lot 6 Collected Date/Time 06/04/2010 10:00
Client Sample ID Chugach Park View Lot 6 Received Date/Time 06/04/2010 12:25
Matrix Drinking Water Technical Director Stephen C. Ede
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic
ND 5.00 ug/L EP200.8 C (<10) 06/07/10 06/07/10 KDC
Waters Department
Total Nitrate/Nitrite-N
ND 0.100 mg/L SM20 4500NO3-F B (<10) 06/04/10 AYC
Microbiolog~ Laboratory
E. Coli
Total Coliform
Neaative I 100mL SM20 9223B A 06/04/10 DLC
Neffative 1 100mL SM20 9223B A 06/04/10 DI.,C
/
!
o
o
ELES, ES M'T,
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN
EXISTING STRUCTURES AND PLATED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDmONAL
STRUCTURES OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.
NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES
OR LOCATE STRUCTURES.
F'INAL STR~JSTURE AS-BUILT
AS-BUILT SURVEY
SCALE:I" = 60'
] HEREBY CERTIFY THAT I HAVE PERFORMED A
MORTGAGEE'S INSPECTION OF THE FOLLOWING
DESCRIBED PROPERTY.
LOT 6, CHUGACH PARK VIEW SUB.
ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT
THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE
PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST
OTHER THAN NOTED.
DATED AT ANCHORAGE, ALASKA THIS 1ST
DAY OF DECEMBER 200§ . --
HOLT LA-ND SURVEYING 10481, FB 128-]0,135-1
TEL. 345-5513
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 I WATER SUPPLY PERMIT
Initial
Date Issued: Jul 06, 2007
Expiration Date: Jul 05, 2008
Permit Number: SW070143
Legal Description: CHUGACH PARK VIEW LOT 6
Design Engineer: 0844 WATKINS ENGINEERING
Owner Name: RIC VRSALOVIK
Owner Address: PO BOX 113004
ANCHORAGE, AK 99511-
Parcel ID: 090-042-06
Site Address: NHN INDIAN ROAD
Lot Size: 229881 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] DisposalField [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail 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.
Date:
Municipality of Anchorage
Development Services Department ,, '~ .... "
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street ~
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.orglonsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 090-042-06
Property owner(s) Ric Vrsalovik
Mailing address. PO Box 113004
Site address Indian, AK ~lJ ~'*~[",)~
Legal description (Sub'd., Block & Lot) Chu,qach Park View Lot 6
Legal description (Township, Range & Section)
Lot Size 229,881 .Sq. Ft.
Day phone
Zip Code 99511
Zip Code
Number of Bedrooms 4
THIS APPLICATION IS FOR ([] all that apply):
Absorption Field
Septic Tank
Holding Tank
Privy []
Pdvate Well []
Water Storage []
THIS APPLICATION IS AN:
Initial
Upgrade
[] Renewal
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of pmper~ owner or auth(~r[zed agent)
Permit/Rush Fees: /~0 ~"
Date of Payment:
Receipt Number.
~ev. 11~5)
Waiver Fees:
Date of Payment:
Receipt Number.
Watkins Engineering, Inc.
P.O Box 110443, Anchorage, AK 99511
(907)349-1851 cwellis@gci.net
July 3, 2007
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
RE: Chugach Park View Lot 6; Indian, AK
Well and Septic System Permit
To Whom It May Concern:
Attached please find the application and supporting documentation to install a well and
septic system for a proposed 4 bedroom house in Indian.
The proposed septic design is based upon a test hole dug on April 11, 2007. The hole
(Test hole #1) was dug to 14.5 ft with no water encountered. After a 7 day monitoring
period, no water was detected. The proposed drainfield is a 5 ft wide trench installed in
a sand and gravel layer between 3.5 ft and 7.5 ft. A percolation test conducted between
5.0 ft and 5.5 ft resulted in a rate of less than 1 minute per inch. The soil quality was
adequate to act as a natural sand filter, An application rate of 1.0 gpd/ft~ is used in the
design. The soil log is attached.
Proposed Soil Absorption System:
4 Bedrooms x 150 GPD/BR =
System Type:
Application rate:
600 GPD / 1.0 gpd/ft~ =
Maximum Depth:
Effective Depth:
Reduction Factor:
Proposed Length:
Absorption Area:
600 GPD
Shallow trench
1.0 gpd/~
600 fff required
8.5 ft
4.0 ft
0.50
60 ft (2@30 ft)
600 ·
Well & Septic Permit Application
Watklns Englneerfng, Inc.; July 3, 2007; page 2
The alternate drainfield can be located within a 30 ft radius of Test hole #2, which had
similar soil quality to Test Hole #1. The alternate drainfield will have the same design
parameters as detailed above, but with a maximum depth of 7.5 ft.
There are 2 creeks running through the property. The proposed septic system will
maintain a separation distance of 100 ft to the creeks. It will be located more than 100 ft
from all private wells in the area.
I am not aware of any adverse effect that this upgrade would have on any adjacent
properties' water and wastewater treatment needs.
Thank you for consideration of this permit application, if you have any questions or
need further information, please call me at 349-1851.
Sincerely,
Cindy W. Ellis, P.E.
President
Lot1 ~ Gamess /__/ ~USS~RVEYNO.3200
NOTE: This is an engineering dining, not a sumey.
L~tions are approximate.
Chugach Park ~ ~t 6
July 3, 2007 Anchorage, AK 99511-0443
S~le 1' - 200' Phone: (907) 349-1851 Fa~ (907) 349-1934
//
~,~ ~. ~ ~'~_~ / ~ ~ ~,
/ ~0~/~
/ ~o~.' ~ x
'~-~a~ ~ ~ ~ >~ .........
,I ~
o ~ ~ ~ ~~ // · I
Chugach Park ~ Eot 6
Proposeg Well ~ ~p~c Development
~c wsa~ovlk Watkl~s E~gl~eed~g,
Ond~ W. EII~s, P.E P.O. Box 110443
lul~ 3, 2007 Anchoragm Alaska 99511~443 ~:., ................. ,,:~
S~le 1 ~nch - 30 ~ ~onm
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water end Wastewater Program
4700 South nragaw St.
P.O, Box 196650 Anc~qorage, AK 99519-6650
www cfi anchoreae ak us
(907) 343-79O4
Soils Log
Performed For:. Ric Vrsalovik
Legal Description: Chugach Park View Lot 6
{Test Hole #1 I
1-
2-
3-
4-
5--- ~
- Percolation Test
Date Perfom'md: 4/11/2007
Township. Range. Section:
S~ope
__~20% i
Site Plan
SEE ATTACHED
I-
11-
WAS GROUND WATER
ENCOUNTERED? NO
IF YES, AT ~M~AT DEPTH? --
Depth to Water After
~,,.o.~to~,~? Dry
Date: 4/18/2007
Reading Date Gross Time Net Time Depth to Water Net Drop
1 4/11/07 12:04.12:05 1 6"-0 6"
2 12:08-12:1o 2 6"-0 6"
3 12:24.12-.26 2 6"-0 6"
4 12~9-12:32 3 6"-0 6"
5 12:32-12:36 4 6"-0
6 12:50-12:54 4 6"-0
7 1:02-1:06 4 6'-0 6'
19'
PERCOLA'RON RATE <:1 (mmu~e~) PERC HOLE DIAMETER 6#
TEST RUN BETWEEN 50 FT AND 5.5 FT
COMMENTS Took 5 gallons of water as presoak, in 2 minutes. 'Soil quali~uate as natural sand filter.
PERFORMED By: CindyEIlislRockyTrainor , I , ~-~g//("/'~ CERTIFYTHATTHISTESTWAS
PERFORMED IN ACCORDANCE W1TH ALL STATE AND MUNICIPAL GUIDEIt~ES IN EFFECT ON THIS DATE, DATE: 4/25/07
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 19~650 Anchorage. AK 99519-6850
(907) 343-79O4
Soils Log - Percolation Test
Perforated Foc Ric Vrsalovik Date Performed: 4/11/2007
Legal Description: Chugach Park View Lot 6 Township. Range, Section:
2-
3-
4-
5-
6-
ITest Hole #2 I
Stope Site Plan
SEE ATTACHED I
11-
WAS GROUNDWATER
ENCOUNTERED? NO
$
L
IF YES. AT WHAT DEPTH? -- O
~,,~to~? Dr,/ ~
Oaa: 4118/2007
I
20%
Reading Date Gross T~me Net Time Depth lo Water Net Drop
1 4111/2007 1:19-1:22 3 6"-0 6"
2 4111/2007 1:23-1:29 6 6"-0 6"
3 4/11/2007 1:30-1:37 7 6"-0 6'
4 4111/2007 1:39-1:47 8 6"-0 6'
5 4/11/2007 1:48-1:56 8 6"-0 6'
6 4111/2007 1:56-2:04 8 6"-0 6"
7 4111/2007 2:05-2:13 8 6"-0 6"
15-
16-
17-
18-
19-
20-
PERCOLA'RON RATE 1.3 tr,,~W,~) PERC HOLE DIAMETER
TEST RUN B~EN 5 FT AND 5.5 FT
COMMENTS Took 5 gallons of water as presoak. Soil~adequate as natural sand filter.
PERFORMED BY: Cindy Ellis I Rocky Trainor I ~/~--~ CERTIFY THAT THIS TEST W~ASr
PERFORMED IN ACC~AND MUNICIPAL (~UIDELIN0~:-~ IN EFFECT ON THIS DATE. DATE: ~--~ 0 '7
Municipality of Anchorage ~.
Development Services Department ' ..... '~
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak, us
(907) 343-7904
ON-SITE SEWER/VVELL SUBMITTAL COMMENT SHEET
To: Watklns Engineering
Legal description: Chuflach Park View~ L6
[~3Permlt E~C,O.S.A. [-[Inspection Report
The attached paperwork has been reviewed and is being returned for the following reasons:
~¢-1. With a perc rate of less than 1 min/in, the application rate should be 1 GPD.
o~-2. A subsurface disposal field may not be Iocated...(c) Where there is bedrock or any other
impermeable barrier or where fractured or weathered bedrock occurs within six feet of the bottom
of the absorption area. AMC 16.65.060.A.2
o~ 3. Show the worse case test hole elevation.
~ 4. If, after recalculating, the trench length is over 50' long, entered at the midpoint.
Name of reviewer: Deb Date: 6127J07
Please supply the necessary information and re-submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
Watkins Engineering, Inc.
P.O Box 110443, Anchorage, AK 99511
(907)349-1851 cwellis@gci.net
June 19,2007
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
RE: Chugach Park View Lot 6; Indian, AK
Well and Septic System Permit
To Whom It May Concern:
Attached please find the application and supporting documentation to install a well and
septic system for a proposed 4 bedroom house in Indian.
The proposed septic design is based upon a test hole dug on April 11, 2007. The hole
(Test hole #1) was dug to 14.5 fl with no water encountered. After a 7 day monitoring
period, no water was detected. The proposed drainfield is a 5 ft wide trench installed in
a sand and gravel layer between 3.5 ft and 7.5 ft. A percolation test conducted between
5.0 ft and 5.5 ft resulted in a rate of less than 1 minute per inch. The soil quality was
adequate to act as a natural sand filter. An application rate of 1.2 gpd/~ is used in the
design. The soil log is attached.
Proposed Soil Absorption System:
4 Bedrooms x 150 GPD/BR =
System Type:
Application rate:
600 GPD / 1.2 gpd/ft~ =
Maximum Depth:
Effective Depth:
Reduction Factor:
Proposed Length:
Absorption Area:
SUPERSEDED
600 GPD
Shallow trench
1.2 gpd/~
500 · required
8.5ft
4.0ff
0.50
5O ft
500 fff
The alternate drainfield can be located within a 30 ft radius of Test hole #2, which had
similar soil quality to Test Hole #1. The alternate drainfield will have the same design
parameters as detailed above.
Well & Septic Permit Application
Watklns Engineering, Inc.; June 19, 2007; page 2
There are 2 creeks running through the property. The proposed septic system will
maintain a separation distance of 100 ft to the creeks. It will be located more than 100 ft
from all private wells in the area.
I am not aware of any adverse effect that this upgrade would have on any adjacent
properties' water and wastewater treatment needs.
Thank you for consideration of this permit application. If you have any questions or
need further information, please call me at 349-1851.
Sincerely,
Cindy W. Ellis, P.E.
President
L~tl.~.~~ ~l~.~well septic / 2 /
to north to north! ! /
Oamess / f --- ~ US SURVEY NO.3200 /
'~~~ f~"~'. / / . /
PROPOSED,~ / X-~.b-~-~~[~ ,~e~/ .~.,,~ /
/.+v /~ X x-+~~z , WELL SITE
o*~UP'~'l~~/~ 6~
NOTE: This is an engineering dining, not a sumey.
L~fions are approximate.
Chugach Park~ew Lot 6
~oposed Well & Septic Development Watkins Engineering, Inc
,~.......-.; ..~& ~
Ric V~lovik ~..
June ]8, 2007 Anchorage, AK 995[]~443 '~.. "'.. ..'"?~
~le ~" - 200' Phon~ (907) 349-[85[ Fa: (907) 349-[934
I ~ ,,< ',,. t_x..._ ~,~--~,.
~. w / ,.y x I c~ ,., /
/ CO C.O -J %' c~J "'.-'
/ Z W /
/ ~ ".. ~ / ~'~}C\- / '*/
/ / -'.~_
x. ,'%~.-...,,/ /:::-4"~ -;,"
.. ,._,.o.. 8[ / /' ~
~ ..,o=, ~"'" / / \
/ O.,M.p ~. I x~,."
~ .,~ >,. ~ ~-~=~o- /~'~ I
ChuDach Park~ewLot6~... ~ :
Proposed Well & ~p~c D~elopment
%?'..~,~..~.....':~.L
Parcel ID No: 09~42~6
Cindy W. Ellis, P.E P.O. Box ZZ0443
June Z5, 2007 Anchorage, Alaska gg5ZZ~443
S~le Z inch - 30 fl ~one: (907) 349-Z85L
C
MUNICIPALITY OF ANCHORAGE
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. 090-042-06-000
Legal description CHUGACH PARK VIEW LT 6
Site address 788 INDIAN RD Indian AK 99540
Expiration Date:
Current property owner(s) BUCHTA KRISTEN & STEVE
12/7/2023
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 9/7/2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
MUNICIPALITY OF ANCHORAGE
Development Services Department ' `ice Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 090-042-06
Complete legal description CHUGIAK PARK VIEW LOT 6
Location (site address) 788 INDIAN ROAD INDIAN, AK 99540
Current property owner(s) STEVE & KRISTEN BUCHTA Day phone
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 16 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ 5 5Q Waiver Fee $ _
Date of Payment S Z Date of Payment
COSA # Waiver #
COSA Application.doc
COSA Checklist.docx
COSA Checklist
Legal Description: CHUGACH PARK VIEW LOT 6 Parcel ID: 090-042-06
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 8/24/2007 Total depth 226 ft
Cased to 46 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 30 in.
Date of flow test for COSA 8/10/2023
Static water level at beginning of test 13 ft.
Well production at time of test 4+ gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate ND mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 8/10/2023
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank 49”
Date of pumping 8/10/2023
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/6/2007
ALL standpipes present per record drawing
Total measured depth from grade 6.2 ft (max)
Measured depth to pipe invert from grade 2.3 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective. (ED)
If not, state depth into effective 3.5’
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 8/10/2023
Results Pass
Fluid depth prior to test 1 in
Water added 600 gal
New fluid depth 3 in
Elapsed time 30 min
Final fluid depth 1 in
Absorption rate 600 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 49 in (MOA 4.08’ ED)
Effective depth used 8 in (Missing ED + Final Fluid Depth)
Effective depth (ED) remaining 42 in
Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots &
appears approximately 7 inches of ED is missing in each trench. No known frost issues & attached owner’s statement.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 9/6/2023
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. 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 in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. 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, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
9/6/23
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
September 6, 2023
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
LEGAL: CHUGACH PARK VIEW LOT 6
Per your request, an additional site inspection was conducted today to verify field cover. Based
on cleanout pipe measurements from existing grade at the end of the absorption fields there was
2.3’, 2.5’, 2.9’ and 2.9’ of cover of these short, insulated fields. These measurements were from
the end portions of the fields and appears the cover is greater over the length of the fields. These
fields are located below the house in a field that is heavily vegetated with grass, cow parsnip, …
and this dead vegetation will provide additional insulation of this undisturbed area.
Per the MOA inspection report this field has approximately 4’ effective depth and is supplied
from the septic tank to the end of each field. There are also good cleanout pipes for proper
maintenance. For your information, there appears to be an existing groundwater monitoring test
hole pipe extending 13.8’ below existing grade and was dry.
Based on the MOA file of construction, documents, visual observations, and owner statement of
not having any known freezing issues, we make the reasonable assumption and determination
that there is adequate cover to prevent freezing.
Sincerely,
Curtis Huffman, P.E.
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