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HomeMy WebLinkAboutCROSS VIEW ESTATES BLK 1 LT 5Cross View Estates Block i Lot 5 #015-221-48 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.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number SWO60386 PID Number.. 015-22148 Nr Crown Pointe, Inc. Wastewater System: ❑ New ❑ Upgrade Aeaw. P.O. Box 112313 Anchorage, AK 99511 ABSORPTION FIELD P` 229-1886 µ a 8.d Four ClD..o Tn D slrpoe Tarr 08.a O Maar Cl Om LEGAL DESCRIPTION s`3`1 141 ' Taroea„naa .8 wolf? 110.5 FI. 96�L" 1 5 &��CrossViewEstates Dapaloppnnaanaaaap.nQ.ae. 4.5 cnalaeoohuseernI'Ve Ft. 6 R Tawny'. Nrgs ti.raal Fa.00ea e0o aaprr pita.'. Gi lanaal: 0-.5 Ft. 65 FI. Well: © New El Upgrade Dl.vr.m.. Nnwwahrw: Dn aaWeenMm. I 3 Ft. 1 - R C� (P . A6. CI: Taal Dean:C•..a b. T" abet pom reit: Pp Mrwn Private 161 FI. 161 FL 780 Fe ASTM D3034 PVC Dale Oar Pa.a. SMeo Wra Level. Ynlrlar D.l. knalsa. Alpine Drilling 10/52005 135 FL Sanders b Sanders 626-272007 Pp�a r z. -V wx�aa..o7 TANK 10 GF1h I FI. FL SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift Holding lublrJPrivata r' . n From Tank Field Station Tank Saver lino Anchorage Tank 1,250 Gr Mrwr Halos a Co,ywmrw. w.F >100' >100' WA WA >25' Steel Two (2) s,.l.4w. >100' >100' NIA N/A LIFT STATION Ld U* >5' >10' N/A N/A cr .arw •FFy an lnal r. •qnq of Mita r'. Xy, rrr.lrm el Fa'mM'a' >5- >10' N/A N/A CMlrn(>rh None Noted Pang MM. a Mar EMcaral Mrp.mal. pw" by BENCH MARK Loosen wa D..alplial. NW Comer Back Deck M auan 100.00 Ft Engineer's Stamp Inspections performed by: A. Harala Dates: 191 626/07 +. genykx% 1i4 627/07 ~�V.OF •A ii Development Services Department Approval or��'�• �•�•�,1� Conditional Approval Date: 49Iii% �* ....... ..... ..... ........ AMOMEL E. ANDERSON: y 81 Reviewed Reviewed by: Date: 7, q •. SFO and approved f do.� OFESSO 111, XL m v l7 N N O 6 3AR10 SIHO13H 30V110H cn m Z CL 0 0 E ,OB'LU A.U.SIDO N 'UIS3 NWO M801S ,OZ f I I L o I r Z x J O I c H m 5 i g m i pq rna ° D I mWYV7 o0Q N Y 0 I c o a V cp mW J Ncw� N 1 N 6>0 0: '= N W �p fn Q3 0 o O t 1 ado N azz CaJ J I n Q /L� Cwm gain N I 8 I..L O L I p® � I o co jf=ga I W CD wuui y ^ I 1 � co 1 o n L------------------------------' --- --------------------------------- --- L: ,LG'SLt N„tY,91DO N E os OV0N 300IN13NIVO d iz` �i1•y if r,�i •1�':, m � z O E Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519$655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SWO60386 PID No. 015-221-48 96.7 r-- 95.5 U � U PROFILE AS -BUILT - No Scale 91.5 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 DEPTI I (fiat) 1- 2- 3- 4- 5- 6- 7- 9- 10- 11 12- 13- 14- 15- 16- 17- 18- 19 - SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 21, BLOCK I, CROSS VIEW ESTATES SUB. PERFORMED FOR: CROWN POINTE, INC. DATE: 4/5/2007 PROJECT No.: PARCEL ID#: TECHNICIAN: A. HARALA OB/OG TEST HOLE A •I SILTY SAND WITH GRAVEL •d SM A SLOPE SITE PLAN SEE SITE PLAN R yh M WAS GROUND WATER ENOMITERE71 IF YES 0 WIUT DEPTH I DEPT OF WATER AFTER MONITORING: NME 2% A DATE OF MONTTORING: 910/01 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 4/5 1 11:08 1.63" 2 11:18 10 Dry 7.75" 3 11:19 1.5" 4 11:29 10 Dry 7.88" 5 11:30 1.75" 6 11:40 10 Dry 7.63" PERCOLATION RATE• 1.3 (MIN/INCII) PERC. I[OLE DIA 6. �INCIIES) TEST RUN BETWEEN: 4.5 FT. and 5.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. SOILS VERIFICATION SAME AS GARNESS TEST HOLE. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY TIIAT THIS WAS PERFORMED IN ACCORDANCE WITI I ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 10/11/2007 ALPINE DRILLING & ENTERPRISES Number- #SWQ50355 Date of Issue. 9-2 Parcel Identification Number: 015-221-40 tigtarted:10-4-05 Date Completed: 10-5-05 is well located at approved permit location? ® •Yee 13No . Description: Heritago Hdls11111110' l�aT S F3t-lG rroperty owner Name & Address: CFM Hdlside, UC 10380 Nigh Road Anchorea Alaska 99515 Borehole Data: Depth (ft) • Method of Drilling ® air rotary ❑ cable tool ;on Type, Thickwss A Water Snaa From To Casing type: steel slit tl 0 4 Wall Thiclmess: ,L5-0 inches 7mveffy at 4 21 Diameter. 6 inches Depth: 161 feet silty gravel 21 48 Liner Type: inches Depth: feet gravelly silt 48 81.Diameter Casing stickup above ground: P- feet sl71y sand 81 98 Static water level (from ground level): L5 feet ,. gravelly sift 98 147 Pumping level: 1Q feet after cobbly gravel w/bldrs wet 147 157 2 hours pumping 10 gpm water sand & gravel 157 161 Recovery Rate:.LO gpm Method -of Testing: pirlif see pump test Well Intake Opening Type: ® Open End ❑ Open Hole i ❑ Screened Sart feet Stopped feet ❑ Perforations Start feet Stopped fed Grout Type: bentonite rrmnrles Volume: Depth: StartQfeet Stopped.Zfeet Pump: Intake Depth feet Pump size Brand Name Well Disinfected Upon Completion? ® Yea ❑ No Method of Disinfection: ohkNtne tablets Comments: Well Driller. Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 79 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property .��.. ...1. �.. to J.t11.. J .Sl ...»t J.. —.111.....1.. "—..t..—... V. 1•l...— .. —U&1. ill J.... .t.....l..l.. SEP -14-2007 02:52A FROM: 70:3437997 P.1/2 flnalep wo Arrlere bowtvirM bAltliy ad"y DMeMR on -sits w.tw A ws"Offe r (i" 4700 fi-faw /trMt e.g. bw 196650 ear* ArAhtwr"ate 011911sb 65° AMS lwrfawwot Pump I stellatio�l Log �x-1 /3-7997 w•5 DMOR5 rMeft Kashw. Iftn of Iuuel Form idawit tl6nrltm5en015. �• 4� 6 Leo Daw"I" era Jim irle�b Owier fhw ! Al/hrs C, i , ✓------------- Pat. .� rup tafab Dq0 �tlsw lrp�d WAS lat/las+ bK rwa M66ebefua'6 NMt„(T.��I�Q ,� S ►ttnn,Mrd.1:,L'� •S� F io-aao N" aim L bv rfne,eAA.,atradr.he!>�a4Ninesdell lldmA4Wvlwftb r W IGlne,�,_� Win nfkrw W" pehlet "? a Yu a No M.Ifio/edilli, Me'I rrr%re tCNearelu CALL FOR SERVICE - Compete Weer Syebm 8ervke - AAROW PUMP & WEU StRVICEf LLC `— BRIAN VALLE ��. AFlCI{ORAQE FAOIE RIVER (9M340 -9M5 (907) 022-W0! Mi Alaat!lAst 91n Dmf f1Yt1l11 tYeU }iaMM I PMW NdAU WN 101 to M wW & 70 4y9 OrFAV (wW'Wos MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water 6 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 X4\ Initial Permit Number: SW060386 Legal Description: CROSS VIEW ESTATES BLOCK 1 LOT5 Design Engineer: 0014 ANDERSON ENGINEERING Owner Name: CROWN POINTE, INC. Owner Address: PO BOX 112313 ANCHORAGE, AK 99511 - Date Issued: Dec 18, 2006 Expiration Date: Dec 18, 2007 Parcel ID: 015-221-48 Site Address: NHN HERITAGE HEIGHTS DRIVE Lot Size: 43878 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of. ❑v Disposal Field ❑? Septic Tank ❑ Holding Tank ❑ Privy 0 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. Receive y: Date: ` 0 Issued By: Date: is orr 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.org/onsde (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-221-48 Property owner(s) Crown Pointe, Inc. Day phone 345.6277 Mailing address P.O. Box 112313 Anchorage, AK 99511 Zip Code Site address Heritage Heights Drive Zip Code Legal description (Sub'd., Block & Lot) Lot 5, Block 1, Cross Yew Estates Subdivision Legal description (township, Range & Section) Lot Size 43,879 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field El Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms Four (4) THIS APPLICATION IS AN: Initial Q 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 property owner or authorized agent) Permit/Rush Fees: r D11IIF4fi c—/ Date of Payment: _ Receipt Number. (Rev. 11105) Waiver Fees: r� Date of Payment: °O V/ Receipt Number. LOT e aVACANT LOT 9 S�puo Ma BLOCK 1 LILAC PARK u ci p + W - em O K !d GM�q YM _ LOT 5 r aS OSS POINTK ESTATES r — [Wtyp Wd C RIVE Aare W.0 LOT 4 Edlq %II LOT 11 - BLOCK 2 LILAC PARK •••— Pt b Ar.e E•qic A +�;' '': M.... 49th i� ::�::--, AREA MAP ��'.KtCHAEL E ANDERSON ♦� No, ¢-43et '�� SCALE 1' = 100' ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX December 13, 2006 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 5, Block 1, Cross View Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer. The owner of Lot 5, Block 1, Cross View Estates Subdivision intends to construct a new four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new septic system to accommodate the home. The well is currently on site and was constructed during the subdivision phase of the project. The attached Site Plan and backup documentation identify the location and configuration of the proposed septic system along with the alternate site. Also identified on the plans are the existing wells and septic systems on this and surrounding lots. No conflicts exist between the proposed septic system and wells or septic systems on adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test hole was placed on the lot in the area of the absorption trench and alternate site during the subdivision phase. The log indicates silty sand (SM). The percolation rate of the soil was determined to be 1.17 minutes per inch. No groundwater was found during the placement of the test hole and none was noted during the monitoring period. An application rate of .8 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1,250 -gallon septic tank and a 63' long by 3' wide by 6' effective depth absorption trench to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 4' below the surface and the total depth will be 10'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. The ground surface on the lot in the area of the septic system slopes to the west. The new trench will be constructed parallel with the slope as much as possible in Lot 5, Block 1, Cross Point Estates Subdivision December 13, 2006 Page Two conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments YC`•AC'. E. ANDCRSCN J Fit BAINBRIDGE ROAD CA 0 Ii. ----------------------------------- —------------------------------ u � I rq R I I I X. M� � � 1 ji 0 x S l d I ®; 1 - -t------------ I ! so' STORM ORNN ESYT. I � I CA 0 HERITAGE HEIGHTS DRIVE n O N < rm t cn M m co > 'nom� (-)N �N C O 00 LOT 5, BLOCK 1, CROSS VIEW ESTATES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Five Bedroom Home Perc. Rate: 1 to 5 Min./inch Application Rate: .8 GPD/SF Deep Trench System 1,250 Galton Septic Tank 6' Drainfield Rock 4 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 750 SF Absorption Area 750 SF/12 SF/LF = 62.5 LF Trench Length THEREFORE: Construct a 63' long x 3' Wide x 6' Effective Depth Absorption Trench at the Location Shown. Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be 10' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Maintain 100' Separation from Wells in the Area. Natural Backfill Geotextile 3'6" Fabric g• O 4" Perforated PVC (Holes Down) Drainfield Rock 3' TYPICAL DEEP TRENCH SECTION ••;.., (NO SCALE) ��p�E„�......,• ���� �;• NOTE: Grade Area Over Trench to Drain Away. a j 49rn .� i » !�l Minimum 6' Separation From Bedrock. r.....;.„_..._.„. _.. _.,_ Minimum 4' Separation From Groundwater. r Minimum 100' Separation From Wells in the Area. r . .......... ”" .. ”"';'N MKJMELEANOERSON Minimum 100' Separation From Surface Water or Streams. Ho. m.�i • � GARNESS ENGINEERING GROUP, Ltd. CCMSMTAKM t mcWAL co4fF@t* CWM LEGAL DESCRIPTION: HERBAGE HILLS SUBDMSION /1: TRACT Ck PERFORMED FOR: PRGFESSKK& TECHNr-& SERVICES TH 5 PTS 514 :...: J../.L.... J........:.:. SEE ATTACHED SITE PLAN �000�0 • IIIIIIII fit•©OOl�ls IIIIIIII ��000�0 �1��1111; sY.de • ���OoaO :...: J../.L.... J........:.:. SEE ATTACHED SITE PLAN PERCOLATION RATE •1.17 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RIIJ BETWEEN 5.5 FT. AND 6.5 FT. A FOLK HOUR PRESOAK WAS PERFORMED: ❑ YES ®NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY. CALEB GALL COMMENTS: 'RECOMMEND USING A 0.8 APPLICATION RATE PERFORMED BY GEG. Ltd. I. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P RFO MED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: �000�0 fit•©OOl�ls ��000�0 ���OoaO PERCOLATION RATE •1.17 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RIIJ BETWEEN 5.5 FT. AND 6.5 FT. A FOLK HOUR PRESOAK WAS PERFORMED: ❑ YES ®NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY. CALEB GALL COMMENTS: 'RECOMMEND USING A 0.8 APPLICATION RATE PERFORMED BY GEG. Ltd. I. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P RFO MED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SWO50355 Legal Description: HERITAGE HILLS #T L -or (o Design Engineer: 0000 None Required Owner Name: CFM HILLSIDE, LLC Owner Address: 10380 NIGH ROAD ANCHORAGE. AK 99515 - Date Issued: Sep 20, 2005 Expiration Date: Sep 20, 2006 Parcel ID: 015-221-40 Site Address: 012241 BAINBRIDGE RD Lot Size: 2431955 SQ. FT. Total Bedrooms: 6 Permit Bedrooms: 6 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907)343-7904(24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. -THIS PERMIT IS FOR THE PROPOSED HERITAGE HILLS LOT 6 Received By. Date: ZZ f O '57— Issued By1 l� Lr- Date: 0 0 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 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW Property owner(s) UM VA j f�io_ Day phone _'M-4 - cj 3ZZ Mailing address 71 Zip Code 91515 Site address Zip Code 99515 Legal description (Lot, Block & Sub'd.) S,n v 4 - Legal description (Section, Township & Range) 5F_ ✓4 '5EP_, =. T fZ 16� 23W r S.M. Lot Size 4p qat !SA Acr s/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further Certify that this application is being made for a Singlefamily Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: V15 _ Waiver Fees: Date of Payment:aIfL/DS Date of Payment: ✓ Receipt Number: '/'-f ox Receipt Number: (Rev. 09104) J. A. HUNTER CONSULTING, INC. September 15, 2005 Mr. Dan Roth Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program PO Box 196650 Anchorage, AK 99519-6650 Re: Aquifer Test Plan, Heritage Hills Subdivision, Anchorage, Alaska Dear Mr. Roth: I am providing you this plan on behalf of the owners of the proposed Heritage Hills Subdivision to accompany well permit applications for the drilling and testing of four test wells at Heritage Hills Subdivision near the comer of Birch and Huffman Roads in Anchorage. Subsequent to the testing and approval phase for this project we anticipate converting the wells to private domestic wells and they will be located and constructed to meet municipal standards for residential wells. Our plan is to drill one test well on lot 35 to determine whether a sand and gravel aquifer is present in that area. Existing information indicates that the depth to bedrock in that area is more than 150 ft. Assuming that a sand and gravel aquifer is present, we propose to drill three additional test wells on lots 6, 55, and 56 in order to fully test the aquifer at Heritage Hills Subdivision using the Municipality of Anchorage's "Aquifer Test Procedures" handout that you provide to us at our meeting yesterday. If a sand and gravel aquifer is not present at the site of the first well drilled, we will subsequently provide you with a plan and additional well permit applications for testing and evaluating the bedrock aquifer at the site. We have carefully selected the site of the proposed three -well test to be centrally located in the largest portion of the development. The locations of the proposed test wells are shown on the attached map of the subdivision. Should you have any questions about this plan or the attached well permit applications, please call me at 345-0165 or on my cell phone at 727-6310. Sincerely, J. A. Munter Consulting, Inc. ' James A. Munter, CGWP, CPG Principal Hydrogeologist 5701 PENNY CIRCLE, ANCI IORAGE, AK, 99516 jamunternarctic.net PI IONS (907) 345-0165; FAX(907)348-8592 13 55 / x V n / 56' \58 57 v Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsRe (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. 015- 9-2)- U8 COSA# 1066 )d t) Expiration Date: 2 -�?' 2—/ D 1. GENERAL INFORMATION Complete legal description Lot 5; mode 1; cross View Estates Subdivision Location (site address) 5115 Heritage Dr. Anchorage, AK Current Property owner(s) Roger s Stelani Summedin Day phone 868-7899 Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: _ ___ Individual Well ✓❑ Individual On-site vQ 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 s a s Engineering I Phone 694-2979 Address 15861 S. Birchwood Loop Rd. Chugiak, AK 99567 Engineer's Printed Name Robert aShafer 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Date Conditional approval for bedrooms, with the following stipulations: ONSITE Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: q 'a. 2 -lo (Rav 11105( 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/onsite (907) 343-7904 CERTIFICATE OF ON-SITE nnS--YSTE`M/S APPROVAL CHECKLIST �l Legal Description: -oT 5: �jLccx () l Y`E� �`3T, Parcel ID: O/S I - Nly A. WELL DATA Well type��VtTTE' Date completed J�5'C5 Total depth JJ Lft. If A, B, or C provide PWSID # '— Sanitary seal ON) 15 Cased to IuLft. FROM WELL LOG Date of test to CS r Static water level 13S ft. Well production 10 g.p.m. WATER SAMPLE RESULTS: (/ Coliform v colonies/100 mL Nitrate �! �O mg/L Arsenic: s d � g/l Date of sample: "1D B. SEPTIC/HOLDING TANK DATA Tank Type/Material f C EL Tank size gal. Number of Compartments Well Log N) Wires properly protected l /) Casing height (above ground) I?rt in. AT INSPECTION Z 'XJ 131 ft. $i g.p.m. Other bacteria d colonies/100 mL Collected by: cJ 9 S f�(k',/rUEEeIXYa Date installed ` t' CleanoutsAQ ) 7CS Foundation cleanou&) Depression over tank (Y&1]) /J0 High water alarm (YonD /* )0 Date of pumping _'1����1 Pumper 0i n r.�rFIGDrs�p/K� C. ABSORPTION FIELD DATA Date installed tlhOt� Soil rating (g.p.d./ft= or felbdrm) System type "Nry,r�,c7�t1 � r Length 66 ft. Width 3 ft. Gravel below pipe Total depth 1A6 ft. Eff. ab so tion area ft2 Monitorin _i.E tube Depression over field MID Date of adequacy test I;! d Result (Pass/ ail For I bedrooms Fluid depth in absorption field before test, -AD in. Water added gal. New deptho?Orrin. *' Elapsed Time: ,]� min. Final fluid depth � in.r OO. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y& type) M 0 If yes, give date — D. LIFT STATION 4113 Date installed / Size in gallons 'Pump on' level at _in. 'Pum Datum Cycles tested _ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank lift station on lot r Ing Absorption field on lot / /CZV 4 Public sewer main Old Sewer /septic service line o75 >t Animal containment areas $� f In. High water alarm level Meets alarm 8 circuit requirements? r On adjacent lots /UC7 f On adjacent lots /� + Public sewer manholelcleanout Holding tank /l1 r Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation .moi r+ Property line 5'4 Absorption field 6-4- Water s"4-Water main N.&T Water service line Surface water /l!'q 7'� r Wells on adjacent lots /Lid f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /O 4.. Building foundation 0 Water main N r� Water Service line A0 Surface water /CL] / Driveway, parking/vehicle storage /Q 4- / Curtain drain AM- K,t2YUd% Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determine" review of Municipal records ?hat conformance with MOA COS guide Engineer's Printed Name Date -2,71-Fs COSA Fee . I lco) Date of Payment tic Receipt Number o� a� (Rev. 11/05) h field inspections and above systems era in Waiver Fee $ Date of Payment Receipt Number in. • � t ...... �12�o li 11AJ ro_,j,es-eCbJC Municipality of Anchorage •�Y♦ •YI Development Services Department Building Safety Division Onsite Water and Wastewater Program : Y 4700 Bragaw Street P.O. Box 196650 ,moi Anchorage, AK 99519-6650- >r www.muni.org/onsfe (Y (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-221.46 COSA # O � Expiration Date: 1. GENERAL INFORMATION Complete legal description I.ot 5, Stock 1, cross View Estates sutxltvision Location (site address) J 115 Heritage Heights Drtve Anchorage, AK 99516 Current Property owner(s) Crown Pdrrte, in,- Day phone 345.6277 Mailing address P.O. Box 112313 Andxxage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA wX be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four (4) 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El 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 Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -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, 1 verify that my investigation, based on procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson. P.E. 6. DSD SIGNATURE Approved for bedrooms. Disapproved. Date 1011MM7 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: W Original Certificate Date: 0 per. nAsr Municipality of Anchorage • ^' Development Services Department Building Safety Division On-Slte Water & Wastewater Program 4700 Bragew Street P.O. Box 106650 Anchorage. AK 99519.6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON—SITE SYSTEMS APPROVAL CHECKLIST .w •w. O � y O f Legal Deeo iption: Lot 5, clock 1, Crass Vkw F.sbfts subdIvnion Parcel ID: 015.221.48 A. WELL DATA Well type Private H A. B, or C provide PWSID Date completed 10rsr2= Sanitary seal (Y/N) Y Total depth 101 0. Cased to 101 fl. FROM WELL LOG Data of teat 1015405 Static water level 135 R Well production 10 g.p.m. WATER SAMPLE RESULTS: Co iforn ­L-colonies/100 mL Nitrate 1.0,4 mg/L Arsenic: NO mgA Date of sarnple MOM7 B. SEPTICIHOLDING TANK DATA Tank TypeNaterial 8 Tank size 1.250 gal. Number of Compartments Two Foundation cleanout (YAC Y Depression over tank (YIN) N Date of pumping N@w cmwucdm Pumper C. ABSORPTION FIELD DATA Web Log (YIN) Y Wires property p (YM) Y Casing height (above ground) >24 in. AT INSPECTION R g.p.m. Collected by: F. LsDoux Date installed W252007 Cleanouls (Y/N) Y High water alarm (YIN) N Date installed WMA" Soil rating (g.p.d./fe or ferodmn).e aPDW System type Deep Tnwich Length e5 ft Width 3 fL Gravel below pipe 5 it. Total depth to . T IL Effabaorytion area 780 fl Monitoring tube Y Depression over field N Date of adequacy teat Now C WL Results (Pass/Fall) For _ bedrooms Fluid depth in absorption field before test in. Water added gal. Now depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN b hyla) H yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) 'Pump on, level at _ in. 'Pump off level at _ in. High water alarm level at in. Datum Cydas tested Masts alarm 6 dreult requmme W E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankilift station on lot >Iw On adjacent k1ts >100' Absorption field on lot Public sewer main WA Sewer /septic service line >w On adjacent lots >10i Public sewer manhole/cleanout VA Holding tank WA Animal Containment areas Nous Manum%nimel w ete storage areas Nana SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation >s Property kne"S Absorption field >5 Water main WA Water service line >10' Surface water >iw Wetly on adjacent lots >1W SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >1Q Water Train >10 Water Service Ina >117 Surface water >1w Driveway, parldrgNehicia atarape >2" Curtain drain Nam Noted Web on adjacent lots >1ar F. COMMENTS: G. ENGINEER'S CERTIFICATION I COMM that I have determined through field hspecBons and review of Municipal records t/tat Pte above systems are it cordormance w9h MOA COSH gu&Wnes In MW on this data Engines Panted Name Michael E. Anderson, P.E. Date 10/112007 COSA Fee $ ig 'f ISS Sh Waiver Fee S Date of Payment Receipt Number (Rev. 11MM Date of Payment Receipt Number LLJLJ O r� 29 WE C c a i n a uc ac 1 I I m to I I I I I I I ,6'Lf I I I I 3AINO S1H913H 30Vil l3H 0 No / O UNS3 NIV210 MOB ,OZ I I mT,- I V 0 a U ON r Qm 00 o I— r` a0 C'4 WJL � LLJLJ O r� 29 WE C c a i n a uc ac 1 I I m to I I I I I I I ,6'Lf I I I I 3AINO S1H913H 30Vil l3H 0 No / UNS3 NIV210 MOB ,OZ I I ce I 0 a 3 L Li. .0'YIa, A It g z 9 x 0'9l D m O D um z b N x�x_ W • • A. 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