HomeMy WebLinkAboutROSEBERRY RIDGE ESTATES BLK 2 LT 3Roseberry
Ridge Estate
Block 2
Lot 3
#050-315-17
Municipality of Anchorage 6
f\\\ Development Services Department
Building Safety Division
OnSde Water and Wastewater Program, 4700 Elmore Road
'
P.O. Box 196650 Anchorage, AK 99507 Page of
www cl.anchorege.ak.us (907) 343-79D4
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number SW070206 PID Number 050.315.17
wll.
MARC HOBBS
Wastewater System: ❑✓ New ❑ Upgrade
Aft Y
13427 KONRAD DRIVE
ABSORPTION FIELD
Peal. 250.3981 Ni1nW 01116& Ts 5
la Daae Twch O sway T ci D Bed O Llano D omx
LEGAL DESCRIPTION
2�
8'
1
GPD",
Fl.
li c 2 Lot 3 SILUmacn
ROSEBERRYRIDGE
Dram b Pp tx ti m epm awvii qr M
rra,x MAUI b,~, pp
2,p
Fl,
8.9 FI
Towmalo rWq. s.ticrl
F..ara.ow.arol Wv
Gm LWVM.
0.9 Ft.
59.0• Fl.
Well: 21 New ❑U rade
Grm+l
"unb. arw
DIRxo Dx,ean Ywa
3.9 FI.
1
WA Fl
cIH "= (p mats A e. cY
TOW D,{m CYYW w
T" aDYagal UYY
pp LtYlyyl
PRIVATE
135' Fl, 1 135' F1
708 F,,
ASTM 03034IF810
D�
Do* Dr SWc Wax Lawl
YWaw
Dxa 1141~
SULLIVAN WATER WELLS
824/04 61• FL
1022/07
Yw
20
Purp Sal x
los
Ca v H. -gm .a Grana
2.0'
kaa< pwnergJall
TANK
GPLI
FL
FL
[r ir5
SEPARATION DISTANCES
O Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lrft
Holding
lubflcP ate
Yp1"
,
From
Tank
Field
Station
Tank
Sewer Lina
ANCHORAGE TANK
1500 Ci1
IN•r
149'
181'
25'•
wlxW
STEEL
"urlw a COmpxY s
2
Sulacawatx
1D0'.
109.
LIFT STATION
La law
98'
4T
adux
GN
FOulaalnrl
aa•
sr
Pump Ong Mvx x
'PIIrIP Oe' YI
Hvrl walN MYm x
n
in
Cutin Dn
NONE
KNOWN
Pune WYas
EM lYrp, p•rranlaa by
Rx
BENCH MARK
Loulm.rlU pon
BOTTOM OF SIDING @ POINT B
WvatM
101.5' FI
1vVineedrig
Engineer's Stamp
Inspections performed by: 1961 L 8114 wood . R(bates: 1" 10/15/07
4 (a 99, 2n1 10/22io7
Development Services Department Approval
JSP{
or •`.;t�1�
Conditional Approval Date:
i * ;
.. , Y')
4 S
.t 40.
R. j
p4afev i(
r^ •Yl 1
Reviewed and approved by: �zv Date:�2%i
(R.. Ow)
Qf�rD�(G+JFd�
$1.Q'11M0�b
PERMIT No. SW070206
PAGE 3 OF 4
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 • Telephone (907) 343-7904 • www.ci.anchorage.ak.us
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOTS, BLOCK2, ROSEBERRY RIDGE ESTATES P.I.D. NO. 050-315-17
C4'i'
c:�s.DD' a.Dius
S u�c
WEU
X09 Z' 20°0�� LOT 4
z
NEW 1500 GALLON
STEEL TANK (COI
CO1 ST2 ST1 CO
MT11 FCO2
1
� DBL1 A
DBL2
N1 1
��M 11
11CO2 100' RADIUS
UMT2 NEW TRENCH
1D I
LOT 2
/
� V
/ LOT
hp wf� / / •..� / 1�
j ENGMP
1 i `
14
PERMIT No. SW070206
PAGE 2 OF 3
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 • Telephone: (907) 343-7904 • www.b.anchorage.ak.us
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT3, BLOCK2, ROSEBERRY RIDGE ESTATES P.I.D. NO. 050-315-17
E95A_
i
�ySt6 / l
SQA/G1 i
i
i
19
NEW 1500 GALLO
STEEL TAN
MT1 ST2 "'
n
DBL1
DBL2
' 11
N�lA
�1,TH
1� CO2 NEW TRENCH
LIT,)
V- 40'
A. Shofa t
PERMIT NO. SW070206
PACE 4 OF 4
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 • Telephone+ (907) 343-7904 • www.ci.anchorage.ak.us
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT3, BLOCK2, ROSEBERRY RIDGE ESTATES P.I.D. No. 050-315-17
FINAL GRADE, ST1 ST2 GRADE=89.5
TOP OF
TANK=85.3' 2" INSULATION
INLET NEW 1500 OUTLET=84.5'
GALLON
SEPTIC TANK
ORIGINAL
GRADE =84:0'
FINAL
Ell
hiTl=76.0'
MT2=76.0'
COI=84.9'
CO2=84.9'
INSULATION
COI=82.0'
CO2=82.0'
WATER FOUND ® 71.0'
70.0' B.O.H.
N.T.S.
ifl ,fER TAMP
OFA ��„
. S i
14 ti9 i
JI A. shot& It;.
06/01/2009 09:24 9076941211 SNSENGINEERING PAGE 02/04
SCS Re"
1092160001
Mar Name
S & S Engineering
Proiect NameM
L3;B2; Roscberry Ridge Est
Client Semple ID
L3;B2; Roseberry Ridge Est
111atAx
Drinking Water
Sample Remarks;
Printed Date2tme
Collected DateRime
Received Date/Ilme
Technical Director
05298009 11:49
05/21/2009 12:20
05/2MOO9 1330
Stephen C. Edt
Rwneter
ResultsAllowable
1'QL
Units
Rep Amtysis
lwfednd Comaiwm (imus Date Dare Inh
Metal■ by ICP/M9
0 col/100mL SdT209222B
A
(<1)
Arsenic
ND 5.00
ug/L
EP200.8 C (<10) 052]./09 0323/09 NRB
Raters D rtmasnt
0521/09
DLC
TOW NitratclNifte-N
0.887 0.I00
mgt
SM20 4300NO3 F D (<10) 05MID9 JDZ
Micrebiol= Laborat:oav
Colony Count
Total Coliform
Fast Coliform
0 CoUl00mL SM20922211
A
(<200)
0521109
DLC
0 col/100mL SdT209222B
A
(<1)
0521/09
DLC
0 WVI00mL SN12092223
A
(<I)
0521/09
DLC
May 27 09 10:41a Sullivan Water Wells 907 688 2759
Cedtfieb drilling tag
by
DOC co. dw
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99667 • .
OWNEROFOrC
ADDRESS
>.EGAt.DEsCra TK*i.z R05613E¢k-� R146E
DAr> 1 " = Y
PER1AT INLI BM Date of C j
TAX IDETfr1RCATION NUMBER: 6! C-�M_---Q�
Is we9lorated at appwed permit location? 1� ;t No
Method of Dritmg: >Z a rotary :i cable tool
Depthof wet13';�
Caslrg Typo L'AL Wall mluc eess • �irxt�es
Diameter _ kxhes, depth / .';_S rest
l.lnerl p� P>:.04 i
C -:;;kg Siic W Above Grand: 3' Beet
Static%werLevet Gf test
Recover Rate:' 9Pm
meviod&TMUVS 4
tNet lntake OpeF*U TyW ' open end a open hole
J SCIewed; • Startfeet Stopped feet
C1 Perforations Stat feet Stopped feet
l!,�• ti • '
GRXA Type: a:� VbkvrC r 3
Dcp1h Sam l% t+.ef. to d G feet
Well Ddn%cfed Upon Completion?(aAt9 Ej No
Medvd Of DisiYixtbx C F/c o.!... iTe,IOAI:.M
Comments
P.1
O ✓f C73 :C�± n1
S,a.,:.� 6 �.r- �•� � c.tfrtTi�i�
Driileft Name r3_. J s _�—
MVMON: It is the responsibility of the proPerty owner to submit a copy of the well log to the proper
X Arch Ve: Department of Heath & Human Services W&or Department of Environmental Cons" tg„ g�
)epa wra Of Emr'rortmerual Cormwiat3on ugh
ARCTIC PUMP & WELL INC.
Jim Sullivan, Cl'I
r PO Boa 770197
p�� Eaglc Rivcr, AK 99577
uat
Nor ' (907) 688-2510
y (907)258-2510
(907)745-2510
aPWO gci.nct
Pump Installation Log
Well Drilling Permit Number: SW070206
Parcel Identification Numbcr:050-315-17
Date of Issue: 8-14-07
Legal Description: Roseberry Ridge Property Owner Name & Address:
Lot:3 Marc Ilobbs
Block2: 13427 Konrad Drive
Pump Installation Date: 8-22-08
Pump Intake Depth Below Top of Well Casing: 109 Feet
Pump Manufacturer's Name: Dempster
Pump Mode1:I1-75
Pump Size:1.5 hp
Pitless Adapter Burial Depth:10 feet
Pitless Adapter Manufacturer's Name:Martinson
Pitless Adapter Installer: U/K
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
Arctic Pump & Well, Inc.
Page l of /
05/29/2009 12:29
Fros:
9076941211
SNSENGINEERING
05/29/2009 10:55
PAGE 02/02
talo P.001/001
L ASK A 380 East 64th Ave
Anchorage, AK 99518
WWW.Olas katroliblazi ng. com
Office (907) 344.4891
Contracting Services 'c"' (907) 3447023
FACSIMILE TRANSMITTAL SHEET
TO: MUNICIPALITY OF FROM: MARC HOBBS
ANCHORAGE & S AND S
ENGINEERING
COMPANY:
DATE: 05.29-09
FAX#: 694-1211 TOTAL NO. OF PAGES INCLUDING
COVER: 1
PHONE NUMBER SENDER'S REFERENCE NUMBER
RE: LAND USE PERMIT 7107-E-3219
I. hiatcus Hobbs (the home owner), installed the septic system at 19125 Dformt hiagnificienr
Circle (Lot 3, Block 2, Roseb=y Ridge Subdivision )accotding to the plans, details,
instruction, and inspections provided by S & S Engineering. I used s Hiacbi EX160
excavator from my company, Alaska TraMlazing, Inc, and a sped septic tank from
Anchorage Tank and Welding.
Thank you,
Marc Ho
CPESC #5084, CESCL #1694, Re&eted iafcty Officer #G43
907-344-1891 office
907-250-3981 ceD
mbobbs@alaskattadblazctg.com
MUNICIPALITY OFANCHORAGE
Development Services Department
On -Site Water d 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: Aug 14, 2007
Expiration Date: Aug 13, 2008
Permit Number: SW070206 Parcel ID: 050-315-17
Legal Description: ROSEBERRY RIDGE BLOCK 2 LOT 3
Design Engineer: 0003 S & S ENGINEERING Site Address: NHN SITKA ROSE CIRCLE
Owner Name: MARC HOBBS Lot Size: 116247 SO. FT.
Owner Address: 13427 KONRAD DRIVE Total Bedrooms: 5 Permit Bedrooms: 5
EAGLE RIVER. AK 99577 -
This permit is for the construction of:
Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By.
Date: % d
Date: Y O
Municipality of Anchorage
�. Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. x/050 - 315-1-/a
Property owner(s) /` I GIY L ><IO�S Day phone
Mailing address lea% �a71"dl� �Q1 �eC, Zip Code
Site address
31
Legal description (Sub'd, Block & Lot)
Legal description (Township, Section & Range)
Lot Size 1 lr r A4 Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
I certify that the above infor
Single Family Dwelling and
(Signature of property
Permit/Rush Fees:
agent)
Code
0OSC
Number of Bedrooms 1
THIS APPLICATION IS AN:
Initial
Upgrade
❑
Renewal
❑
further certify that this application is being made for a
with applicable Municipal Codes.
Waiver Fees:
Date of Payment: � — 1' O -7 Date of Payment:
Receipt Number. l Z Receipt Number:
(Rev. 11/05)
KXTHAUTHDRITY
APPROVALS
SEWER & WATER
AWN CMNS*NS
SEWERS WATER
INSPECTION
ENGINEERMDSTIAIES
ANOREPORTS
WELLNSPECTION
SFLOWTESr
SITE PLANS
,T.-=0
WX TEST
PERCOLATION
TEST
STRUCTURALS
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
OISPOSALSYSTEM
DESIGN
11G ROBERT C. COWAN P.E.
CML ENGINEMS
(907)694-2979
FAX(907)694.1211
July 31, 2007
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519 411
REFERENCE: Lot 3, Block 2, Roseberry Ridge Subdivision
It is requested that you Issue a permit to Install a new 1500 gallon septic tank and a
new septic trench to serve the proposed five bedroom dwelling on the referenced
property.
A test hole was excavated and a percolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time of excavation 5/21/04, ground
water was found at 13 feet. After monitoring, ground water was found at 13.5 feet.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you
Enclosure
information, please contact us.
P.E.
15681 S. Birchwood Lp. Rd. — Chuglak, AK 99567
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SOILS LOG - PERCOLATION TEST
�Ny NE
Performed For: Lee Coy
Date Performed: 5/21/04
Legal Description: Lot 3, Block 2
DEPTH
(FEET)
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
T
Organic
Groundwater?
GP Depth
W/ Gravel Water Depth
AFtPr Mnni-Enr
Page 1 of 1
#
Date
Gross Time
Net Time
Depth
Net Dro
1
5/28
0
--
8'
--
2
5/28
10
10 mir.
6'
2'
3
5/28
40
--
8'
--
4
5/28
50
10 mir.
6'
2'
5
5/28
1 80
--
8.5'
--
6
5/28
100
10 mir.
7.5'
2'
Percolation Rate 5 min./inch Perc Hole Diameter 6'
Test Run Between 3' and 4'
Comments:
Performed By NnrthRiM Fng, I�
Perr"ormed in Accordance with F
UN THIS DATE. DATE: 5/28/04
CERTIFY THAT THIS TEST WAS
S e/Municipal Guidelines in Effec
NORTHRIM TESTHOLE LOG IT. H. 3/2
ENGINEERING" a9>wY� #�►
file://E:\Documents%20and%20Settings\Administrator\Local%20Settings\Temporary%201nternet%20Files... 3/3/2006
S&
ROBERT C. COWAN P.E.
CML ENGINEERS
(907)694-2979
FAX(907)694-1211
NEALTNAUTNOWTV
ON-SITE WASTEWATER DISPOSAL SYSTEM
APPRO &S
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
SEW
j
MAPE)(1ENS*NS
(
7
REFERENCE: Lot 3, Block 2, Roseberry Ridge Subdivision
July 31, 2007
SEWERAWATER
9SPECT1M
GENERAL:
1. The scope of this project includes the installation of a new 1500 gallon septic
ENONEERINGSTUDIES
tank and a septic trench to serve the proposed five bedroom residence located
ANOREPORTS
on the referenced property.
2. Construction shall be in accordance with the approved site plan and design
WEUWSPECT"
drawings, Municipal permit with any special provisions or conditions, and all
aPT.OWTEST
applicable State and Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary underground
SITEPLANS
utility locates.
4. Unless specifically agreed otherwise, the property owner shall be responsible
for final grading areas subsequently depressed from soil settling.
RanDESIcN
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Development Services Department or ADEC if required, for
SOFTEST
system installations. Owners installing their own systems must also receive
prior approval from the respective agency.
PERCOLATION
TEST
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer.
STRUCTUIWa
Construction shall include two 4" cleanouts for pumping access. All HDPE
MECKAPOUL
septic tanks are required to have a 4" monitoring pipe installed next to the
.w6n
tank extending to the bottom of the tank.
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
15681 S. Birchwood Lp. Rd. —Chugiak,AK 99567
Pegs 2
Lot 7, Block 2, Rossbsrry Ridge Subdivision
July 11, 2007
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank.
All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated. All HDPE septic
tanks are required to be covered with a minimum of 2" direct burial insulation, and a
maximum of 4 feet of cover.
A foundation cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent cleanouts (unless
an effluent pumping system exists within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock)
placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion
of the monitoring tube extending through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is equivalent to the effective depth of
the gravel as noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The
finish grade over the trench must be mounded to prevent the formation of a depression
after settling.
Page 3
Lot 3, Block 2, Roseberry Ridge Subdivision
July 31, 2007
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type ofPine Perforated Solid
Cast Iron
Yes
Yes
ASTM D3034 (PVC)
Yes
Yes
ASTM F810 (HDPE)
Yes
No
ASTM D2662 (ABS)
Yes
Yes
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafr 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the 4200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
Page 4
Lot 3, Block 2, Rosebeny Ridge Subdivision
July 31, 2007
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
1. The fust inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
2. The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or
control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
•
• rGc rJ,
•t '`1 Municipality of Anchorage
On-Site Water and Wastewater Program
(907) 343-7904 A T V
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-315-17 Expiration Date: l�, e C to/ c O 1 I
1. GENERAL INFORMATION
Complete legal description ROSEBERRY RIDGE ESTATES BLOCK 2, LOT 3
Location (site address) 19125 MOUNT MAGNIFICENT CIRCLE, EAGLE RIVER,AK 99577
Current Property owner(s) MARCUS&MICHELLE HOBBS Day phone
Mailing address 19125 MOUNT MAGNIFICENT CIRCLE, EAGLE RIVER,AK 99577
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY: Individual
Individual Well ® Holding Tank ❑
Individual Water Storage ❑ Community ❑
Community Class Well ❑ Public Sewer ❑
Public Water System ❑
WaiverNariance request for: Distance:
/�( ��� ' Date: - Q/ 7
Received by: i _ , , // /. .�� -_ . _�
COSA to be released to the engineer,unless olr /quested by the engineer.
COSA Fee $ $52f6, Waiver Fee $
Date of Payment J I$ I`�' Date of Payment
Receipt Number (33foto b Receipt Number
COSA# 53C1-4-1q (p 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 8/14/2017
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
system will function satisfactory for current or future +��\
occupants or can ArcTerra guarantee that no unseen OF A.Z
encroachments,deficiencies or discrepancies exist. r c� •676•
/ 49TlI !'. iT
6. DSD SIGNATURE �• 1111P .1;I
F
System #1 Approved for Jr bedrooms. KENNET
�; 7i 16
System #2 Approved for bedrooms. a o By/
R• FE56 o` i►
Disapproved. 11/4
Conditional approval for bedrooms, with the following stipulations:
Ute" '
TR Arai
;CST C,R A?'J
By: j%jtC.0 A CAA71)\ 0Original Certificate Date: 97(o 0•
1 i
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 Advi§ory •
Septic System Advisory Arsenio Advisory
Well Flow Advisory Other • • •
COSA blue sheet_10-10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist # of_
Structure served by this system _
Certificate of On-Site Systems Approval Checklist
Legal Description: ROSEBERRY RIDGE ESTATES BLOCK 2, LOT 3 Parcel ID: 050.315-17
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID # Well Log (Y/N)
Date completed 8/24/2004 Sanitary seal (YIN)Y Wires properly protected (YIN) Y
Total depth 135._ft. Cased to 135 ft. Casing height (above ground) >0 gin.
FROM WELL LOG AT INSPECTION
Date of test 8/24/2004 8/11/2017
Static water level 61 ft. 57 ft.
Well production 20 g.p.m. 5.6 g.p.m.
WATER SAMPLE RESULTS:
Coliform NECr colonies/100 mL Nitrate 1. 11 mg/L
Arsenic: !UD ug/L Date of sample: 8/11/2017 Collected by: ARCTERRA____
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC 1 STEEL Date installed 10122/2007
Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) N
Date of pumping 8/10/2017 Pumper JRs
C. ABSORPTION FIELD DATA— 'TRENCH INSULATED
Date installed 10/22/2007 Soil rating (g.p.d./ft2 or ft2/bdrm) t2 System type DEEP TRENCH
Length 59 ft. Width 3 ft Gravel below pipe 6 ft
Total depth "9-9.5 ft. (Measured 8111/17) Eff. absorption area 708 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 8/11/2017 Results (Pass/Fail) PASS For 5 bedrooms
Fluid depth in absorption field before test 21 in. Water added 755 gal. New depth 32 in.
Elapsed Time: 1440 min. Final fluid depth 20 in. Absorption rate >= 750+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 100'+
Animal containment areas 50'+ _ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots _100'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots _ 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that / have determined through field inspections and
review of Municipal records that the above systems are in conformance
with MOA COSA guidelines in effect on this date. 40:1%.:416b-
OC ` 1
Engineer's Printed Name_ KENNETH M.DUFFUS
Date 811412017 * i 9 TI /\
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COSA canary sheet_2-6-15.doc ''
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I /��� 0 AS-BUILT NO CORNERS SET THIS DATE
O �2"',,I / �, \� I hereby certify that I have performed a Mortgagee's inspection
'V m� 0 �j` of the following described property: Lot 3,Block 2,
`32$10 /fie eV/,`�' �\G Roseberry Ridge Estates
off. ry
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PGS Anchorage Recording District,Alaska,and that the
co
g improvements situated thereon are within the property lines
b `'� and do not overlap or encroach on the property lying
J adjacent thereto,that no improvements on the property lying
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adjacent thereto encroach on the premises in question and
that there are no roadways,transmission lines or other
/ visible easements on said property except as indicated
„- , hereon.
SCALE: 1 - 50 Dated at Anchorage,Alaska
EASEMENTS OF RECORD,OTHER THAN this 14th day of Auqust ,2017.
THOSE SHOWN ON THE RECORDED I FRED WALATKA&ASSOCIATES
PLAT ARE NOT SHOWN HEREON FB 17-5, pg 60-62 MB Engineers and Surveyors
UNLESS OTHERWISE NOTED. (907-248-1666)