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HomeMy WebLinkAboutSCENIC MEADOWS BLK 1 LT 1Scenic Meadows Block 1 Lot 1 #051-064-77 Municipality of Anchorage On-Site Water and Wastewater Section * (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number OSP201345 PID Number: 05106477 Dwelling: 0 Single Family (SF) Ci ts,ith ADU ❑ Duplex IDj ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name LIPCHIK ABSORPTION FIELD ❑ Deep Trench Q Wide Trench ❑ Bed ❑ Mound Site Address 23297 BLUE SKIES CIR ❑ Other Phone Number of B,L-Jrooms Soil Rating Total depth from original grads 365-9765 4 0.8 GPDI$P: 8 E:t. LEGAL. DESCRIPTION Depth to pipe invert from original grade 4 Ft Gravel depth beneath pipe .l: 4 Ft Subditrision Black Lot SCENIC MEADOWS BLK 1 LT 1 FIII added above original grade 1-2 Ft.f I;Gravel length 75 Ft. Tovenship Range Section Gravel width 5 Ft.l I Beds: plumber of Lines - Distance between lines - Ft. SEPARATION DISTANCES Septic Absorption ' Holding Lift Station Sewer Total absorption area I Number of trenches Dist. between trenches From Tank Field Tank Lino 750 Ft= 1 10'+ Ft. Vdcll j200'+na na2'+ TANK ® Septic S.T.E.P. ❑ Holding © Other Manufacturer Capacity Gas. Surtace Water — 100'x- na na I Material Number of compartments NA Lot Line - i 10.+ '' rya na F<�un<j*atior� _ "-}- pa na LIFT STATION &,1anufacfiupr Capacity Gat, Remarks Trench Addition, Existing Tank Diverter Valve To Old Trench Alarm location 1�lactrical installed by PIPE MATERIAL Tank to D3034 draintield Installer Denali Excavating Drainfield CC7MTD3034 ins eclor NorthRim Eng. BENCH MARK (Assumedelevetion) 100 ft Inspection r nLocation t" 9, �1�^Ga n:l 9110/20 and description dales: 2 Deck err Y'Stamp ON-SITE WATER, AND WASTEWATER SECTION APPROVAL OF +++�� 44S Conditional Approval Date4 �'`P `r'��f�♦ FL f.. .......f s if....Steve Eng . .. j Septic System CE-62562�ar 1 � roved Date b 13- Q/ 2'0 / Note: this approval does not include well permit requirements. z Q) x,0 r1i 0 0 ZC) c OD :5 O 0 �o 52- xrTj Z p ,4 :3 rTl -4 Q m0 N a 0 :5 O '4 o 00 Z ro rpD rO p :3 0 444 Cl c 'Y - C+ �,4 tzj t=J M ro QrD M X <+ :3 Cil— --j 3-P C+ 0 M :3 -3 P (D p(D 0 �= n kit rD :3 p rD 0 p C:) C) 0 rD :3 -N p C+ 0 F'9 F9 :5 rD 9 X- ro C+ Ln Fri FTI tj d M m 0 C+ M m r-I -9 0 IJ) ro m p 5-5 < ro p < F— p :3 < 0 C+ P M -a np 65- — m0 m M < ro p ro co rfD < C+ 0 � rD I p 0 o n 10 + ro C+ :3 < co — 1 0 Ln < ro ;;u td ro rID td F9 F— C-) rpD "D ro tj C-F C:) "o ro t _0 ON rD C+ ro p C-+ rD ro M C+ CD 0 F— t:J X p 90 cn ---I 0 <-F 0 ro tzi C+ n 0 0 ro 0ID n w CA ro CA IDlverter VaNe 39 31 rni C;q 7A I NOR TI RIM ENGINEERI SteveEng. cz,�, PO Box 770724 :ogle River, Alaska 995597 907.694.7028 Al 1 SCENIC MEADOWS S/D 1' so' BLOCK 1 LOT 1 RECORD DRAWING CME tm . ......... SEPTIC UPGRADE Date. 10/2/2 10/2/20 12 of 4 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201345 Work Type: Septic Upgrade Tax Code Number: 05106477000 Site Legal Address: SCENIC MEADOWS BLK 1 LT 1 G:1460 Site Mailing Address: 23297 BLUE SKIES CIR, Chugiak Owner: LIPCHIK MARTIN C & MICHELE L Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Effective Date Expiration Date: ^� ri Department Lot Size in Sq Ft: Total Bedrooms: 9/4/2020 9/4/2021 46641 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Per Policy W.05, if a steel septic tank with a a conventional coating is over 10 years old, it should be exposed and inspected for holes at the time of construction to replace a failed drainfield. Received By: (rf/ Issued By: Date: Date: g 4 MUNICIPALITY OF ANCHORAGE C' fir' 1 t�� Development Services Department ,° Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-064-77 Property owner(s) Lipchik Day phone Mailing address 23297 Blue Skies Circle Site address same Legal description (Sub'd., Block & Lot) Scenic Meadows B1 L1 Legal description (Township, Range & Section) Lot Size 46641 Sq. Ft. Number of Bedrooms 4 365-9765 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank ElUpgrade 0 Duplex (D) ElHolding Tank F-1Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: t{ ,6.2.E COVID Date of Payment: <� 0,`7 a6,20 Receipt Number: 08'x'-{(o� Permit No. D.SPW 13 `f Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc SteveEng.com Scenic Meadows B1 L1 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is an existing 4-bedroom, single family home, in a developed subdivision. This is a large lot with no conflicts. A new trench is planned- existing septic tank will continue use. The existing trench to be connected via diverter valve. No adverse impacts are expected from trench upgrade. No conflicts to the other lots will take place by this septic system construction upgrade. A previous soil test reveals GM w/Sand. An application rate of 0.8 GPD/FT². Trench Length = 750 FT²/5 x .5 = 75 trench, 4 effective. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations.  10 minimum between the trench to house. 10  to property lines,  3 of cover or insulation is required for trench; 2  Minimum thickness for insulation can substitute for 1 cover.  Solid pipe must be set on well compacted, stable soil.  4 inch diameter cleanouts with airtight caps are required 1  to 4 from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 from the tank positioned to provide cleanout access towards the tank and towards the absorption field.  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 4 to groundwater, 6 to bedrock from drain- rock.  Drain rock to be ½ inch to 2 inch screened. Drain rock to be distributed uniformly throughout the trench.  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.  The finish grade must be mounded to promote drainage away from trench.  Insulation must be placed over any pipe installed under driveways 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.  Septic Tank to be pumped every two years or when required.  Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201345, Deb Wockenfuss, 09/04/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201345, Deb Wockenfuss, 09/04/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201345, Deb Wockenfuss, 09/04/20 Municipality of Anchorage :� N•, Development Services Department ` Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page I of 3 www.ci.anchorage.ak.us (907) 343.7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. ZYVJ(3 70/9,/ PID Number: 05/'061- 77 Nanta /%Z/kE Of—JIVAI Of—J//AIWastewater System:New ❑ Upgrade IN Add.../DO 450L 77dC411ABSORPTION FIELD PnO1•/� ^ OS.� NOmO«of BeOmana O ! I<DND Tgl A 0 $harrow Tnrwil 0 ago Q MOur d s D Ovw LEGAL DESCRIPTION Sod Rating 6 Total Depam hong onpnr pada Blah L«: �'` Subdroaaa. V C 1f C e UQ GPDIFIL DOPM to PPS I)MM IrOM W91" rade: FI. Grave depth baralh Me .1I Toanarvp' Range. SS w FI. Fa adWd adovS otpnr rade FI. Gnw LarpM: Well:n(f&IC ew ❑Up ade Ft. GnN«OM: FI. Nu ro««mSS: DWame bet•een lnee CIMaRu4on (Pnvate. rl S. Taal DepM' Caaad ro: FI. FI FL TOW abactp4on area 79D FI 'p. h/el Y w �VC so y Dnll« Date OMNd $Ia4C Wat« L1rr: FIL YleletlK _ (. /� � S - r"JA46 Dale ar�l Ft A! �� D 7 Ylyd Pump $r al Cearp Ile'gnl AOorS Grana GPM FI. FL TANK SEPARATION DISTANCES XSeptiC ❑ Holding ❑ S.T.E.P. ❑ Other, To From Septic Tank Absorption Field Lift Station Holding Tank ublietPnvate•ave«. Sewer Line f aDeolr. ZSR Gr_ Wall— -- — — �— Melena T � Nurm« a Compennenle. Z Surlaa Wal« pair10 LIFT STATION Lot /l �-r C/ / O •f. ,.. •rlu edurer G Fpwdalpn SFr /D /, `f'• — Pump On Nret P ump OIr Nrr aC H�qn r rrm N. — In n in tuna" Oran �- hmp 1.4ka 6 at Eladncal alepocoona pedonmea by Remene BENCH MARK locum eM DeamD4m. F Asea wmW Ebre4on. O FL Inspections performed by:-L r_ H— �9 • Dates: 1"41-1716 7... Engineer's Stamp *'•''�"<; %Jt U 2°d)/�g17 .:ter of 'o �e •••rye ,� Development Services Department Approval a:!'W •e• .%'�i"�a•a;�9�d Conditional ApprovalDate: • • d a• .... to Y 6 • •. >' C Staran W. Eng 4"e / �•.� fF 6256 . • t �� Reviewed and approved by: l(1 Date: O-0 06, .......... �n;Jr'E (Rw oval SSr•"t ay TH #1 Level Area ss) CO2/MT Absorption 1 FCO 52 4 ST C01 45 20 STCO2 39 27 DC❑ 35 35 CO 1 65 26 :0 2/MT 40 75 DESIGN NOTES: 1. Total Depth of Trench is 8'. Septic Site is level bench. 2. Sewer Service Line minimum 2% slope. 3. Test Hole By Others. 4. Lots Served by Public Water System. C01 Double C' .0. 1250 Gallon S\,cTonk F.C.O. 31=0-T." NORTHRIM E ENGINEERING '—'��9m GO Box 770724•r: EQV* Pi . Alaska 99377 ao ; • s 907.694.7028 .""" SCENIC MEADOWS S/D BLOCK 1 LOT 1 V = 50' RECORD DRAWING SEPTIC SYSTEM 5vl. 11/29/07 -. 2 of 3 r1l2 Z%D m o 2p222r§ }�f[m;\ /a Qƒ£ �0o= , om� n;/)&$&(2E pe 9006.01 nJ�:13 \ 00 i $]\I��EE R g EG@OD 2 o!+ m I ƒ 0 2@r q ® / �� \�� � �% q ® { / ®`F ro / \ Qq)° go ? n e n(U ) 2 2 m § 2 � , q« § (D®%D 2 q E § §( \ « ; 3 n m ® m 0 E } E ) f, n A c } r- � ro m m O S 2 , ® , $-1-9:37 �@ / : ] / n 2� @ [ O O / 7 w « '+ E :3 ® ® Irl -0. 0 _0k % \(\ \ { FE1��INEERING MEMO Steve Eng, PE, PH (907) 694-7028 tel NorthRimEng@aol.com Date: 1/29/08 Number of Pages: 1 To: Jeff Poet NIOA On -Site Services Subject: Scenic Meadows S/D, Block 1, Lot 1 Comment Sheet Jeff, This is in reply to the Comment Sheet: During home construction a large amount of "gyp -trete" was mixed outdoors. This required the use of large quantities of water. It was mixed near the leach field cleanout/monitor tube. It was reported that during this mixture the hose was run into the cleanout/monitor tube. This resulted in a few inches of standing water in the bottom of the monitor tube. This water has since disappeared. This should not have any effect on the condition of the wastewater system. PI V t' .. d ('yr, t Steven Y:.:nq Municipality of Anchorage Development Services Department ` Building Safety Division ; =°• �; Onsite Water and Wastewater Program ` 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET TO: Steve Eno Legal description: Scenic Meadows Block 1 Lot 1 ®Permit ®C.O.S.A. ❑Inspection Report The attached paperwork has been reviewed and is being returned for the following reasons: 1. Found house not occupied wirh septic tank not full. There was 2 inches of water in M.T. on 12-3-07. 2. Need total depth of system. 3. Elevations missimg for cover over tank.Elevations for field do not add upon page 3 of Inspection Report. 4. Have not heard from you scince our discussion on 124-07. Waiting for reply. Name of reviewer: Jeff Date: January 4, 2008 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK . 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 WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW070194 Legal Description: SCENIC MEADOWS BLOCK 1 LOT 1 Design Engineer: 0838 NORTH RIM ENGINEERING Owner Name: MIKE QUINN Owner Address: PO BOX 772641 EAGLE RIVER. AK 99577 - too Date Issued: Aug 07, 2007 Expiration Date: Aug 06, 2008 Parcel ID: 051-064-77 Site Address: NHN HOMESTEAD ROAD Lot Size: 46641 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑Q 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: 7 7 Date: 1 v 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.orglonsite (907)343-7904 ON-SITE SEPTICMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 651-nLnU- a:1 Property owner(s)/��/C��cJfiJAi Septic Tank Day phone K`%y^ L115"X Mailing address Aa Eo,,�e 7 />? CY/ Zip Code ??-5'77 Site address P. Code 9 f -7r% Legal description (Sub'd, Block & Lot) SC on r C_ 944ar�-t' B / L Legal description (Township, Section & Range) Lot Size 'fLo,tyL1j Sq. FL THIS APPLICATION IS FOR (®all that apply): Absorption Field Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 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 property owner or auEX�Ized agent) Permit/Rush Fees: Y00 Waiver Fees: Date of Payment: 31 f Date of Payment: Receipt Number: Rd -6 Receipt Number: (Rev. 11105) (�.A Vow\II u21M [ NGINEERING NorthRim Engineering PO Box 770724 Eagle River, AK 99577 907-694-7028 July 30, 2007 MOA On -Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: Scenic Meadows S/D, Block 1, Lot 1 A lot is being developed. The soil test was conducted during subdivision approval. The design is based on this test hole. If conditions are found to be different during construction, a design change will be submitted. Public water serves the subdivision. Some of the neighboring lots are under construction. This site should not negatively impact any of the other area lots. The septic system site is fairly level with overall subdivision slope to the south and is relatively flat. Please review the wastewater system design for the single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Sincerely, 2 c Eng, PE, PH Design Enclosures bI NE�ERING Scenic Meadows S/D, Lot 1, Block 1 SPECIFICATIONS & DESIGN GIIIDFLINFS Wastewater System Sizing: This is a new 4 -bedroom, single family home. This is a new subdivision and most of the neighboring lots are under development. The subdivision test hole is being used for soil design basis & groundwater monitor. These lots are large and are served by public water. No adverse impacts are expected from development. No conflicts to the other lots will take place by this septic system construction. The neighboring lots easements are located on the drawing and are not encroached upon. Soil tests revealed silty sandy soil with gravel. An application rate of 0.8 GPD/FP with 0.5 reduction factor for utilizing a 5' wide trench. Trench Length = 750 FT2/5'x .5 reduction factor = 75'; 1 line @ 75'. No bedrock was encountered or groundwater was encountered in the soil test. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. Two compartment, 1250 gallon septic tank. Watertight couplings on inlet & outlet. • 5' minimum between the tank and bed. 10' to property lines. • 3' of cover or insulation is required for trench; an equivalent of 1" 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 1' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10' from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • 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 4' to groundwater, 6' to bedrock from drain -rock. • Drain rock to be %2 inch to 2 %2 inch screened. Drain rock to be distributed uniformly throughout the trench. • 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". • The finish grade must be mounded to promote drainage over the trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTNI D2661, • Sewer Service Linc is minimum 2% slope. • Septic Tank to be pumped every two years or when required. Insulation board to be extruded direct burial polystyrene (Dow Styrofoam III or equal) TH #1 (Garness) Level Area DESIGN NOTES: 1. Total Depth of Trench is 8'. Septic Site is level bench. 2. Sewer Service Line minimum 2% slope. 3. Test Hole By Others. 4. Lots Served by Public Water System. M.T. -Double C.O. 1250 Gallon 'Se is Tank F.C. 10 4 H Absorption enc Septic System Construction Does Not Preclude Adjoining Lots From Sanitation Improvements. NORTHRIM ���� °F•'! h SCENIC MEADOWS S/D V = 50' ENGINEERING ''�9m•• ' `•'•• Po Bax 770724 Eoys RM.. Alaska '•. BLOCK 1 LOT 1 PLAN LAYOUT 99777 ao : •'� 907.694.7028 "' SEPTIC SYSTEM 5awi29i07 11 of 4 Y u u 4 f 0 v u O a Z 0 E Q a N . O.NQ ^ U_ Y Z U u O " NNN T W 0 W J N (n Z LD p 1--1 N w A W H ^ 'c w 3 � N Q W 3 c U •E U t c V L I O c r O v V) ', O > p 0 u T d (N t a •5; m V a N v y 2 Oo N 2 c 2 N � Z D 0 4) H F Ut Fp N J W 0 Y u 4 f 0 3 F- u O a Z q J O V Q a O O . O.NQ ^ U_ Y Z U u O " n m W 0 W J U J u a re N Q \ y � O G W J A 8 0• 3 F- 00 q J H Q W . U_ Y Z U n m W 0 nr U J N Z LD 1--1 w A W H Z Q J w � N Q W 3 O C 3 O M tw O L t LO C) O `•, i A ~ E Ln CLN i d 3 F- oa O41 CL o Q J N L lu Lij1 N N L d 4' O_ W A W0 O CP U J N Ln > +, r n 3 u O N d n W W Z LDN LLJ a 3 J m a L LL. W 0 �' a > Q OLAL N CL o E ° a W Y F— a O U S Z (� UZ,) c = Q } o <a ¢ U F— 0 Z w OL o W U 1 _ F— F— :5 4'c �ui� o W Q.. EW L N�-- N �N gN W d-0 Oi J2 .a _U L (� _N d O O m 0 V U d +• 0.9 +' �•y�_ 1 +' cs 3 lj L CQ O Oi E U O dL O V t O_E� N •� :a; F� v o ^ a to -0 0=0 L a i� ' tl '. Y O 4 N 00,�. 03 U N aj L J O oQ 1111'1s1�: L CcaW 0u+�u tA C5 d L U +a U ''P n O L S !t H W V• a V W dN N U E 2 N a F- F- N F" d Y N Tk — f, tri O C3 0) CLL Z S UQ L LN 0-- TW o Z a a+ ; a) U f� k1 i i a 3 ti gtnNrn3rna�m° n l0 A .-»N Est vi .6 OLU Q e a we, j / \ ti j L \� /§A c5 L 75 k\§ 5�- 6l GCMG £\7/ /L�\ -00 C §§\0 §6ƒ=/ z 41 a) e o. L. gem\ cun« awn - ;;i i • ; i i� •;i i - - ,� - . |; as •; i®i - .�� . - �� a . I. ,� •;i i - �� mew ■ � e ice' ! Apr.20. 2004 12:25PU Garness Ensineering Group, Ltd. GARNESS ENGINEERING GROUP, Ltd. ..,.. C0N9ULTANn 4. GENERAL CONTRACTOR3r� No -5378 P. 2 LEGAL DESCRIPTION: QUINN ESTATES SUBDIVISION; PROPOSED LOT 1 ,p a ess PERFORMED FOR: OUM CONSTRUCTION DAT& x/12/2004cy 79 .•, 0 . • (°�eePii ORGANICS EST HOLE 1 '•poo f sew 1 2 GM/SM 7 to SM 11 B I SILTY GRAVEL'SSM� D T SILT MIXTURES 11 1 14 15 16 17 16 #Hit DATE READING CLOCK NET TIME TIME (MINUTES) WATER LEVEL READING NET DRDP (INCHES) •. SEEM 8:55 6• 2 Illiilll 11 11 2• j j Ili %//% 4 9S5 JO 4• 2• 5 � 6• I �Jk�41' IIIIIiIIWA 10:25 JO 4• 2- GM/SM 7 to SM 11 B I SILTY GRAVEL'SSM� D T SILT MIXTURES 11 1 14 15 16 17 16 #Hit DATE READING CLOCK NET TIME TIME (MINUTES) WATER LEVEL READING NET DRDP (INCHES) t 1J 2004 1 8:55 6• 2 9:25 304• 2• J 9:25 6• 4 9S5 JO 4• 2• 5 9:55 6• 6 10:25 JO 4• 2- 191 ' `^"� I i�l RATE is SMIN.)INCH) PERC. HCLE DIA. 6 (INCHES) TEST RW BETWEEN 5.5 FT. AND 6.0 T. 20 A FOLK MOM PRESOAK WAS PERFORMED: a YES ONO SOII S LOGGtD BY: JODY MADS PERCOLATION TEST PERFORMED BY: NICK HERSTUM W COMMENTS: PERFORATED BY GEG. Ltd. 4 JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER17ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE 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. 05106477 1. GENERAL INFORMATION Expiration Date: -1 - jo -2 oz -z Complete legal description SCENIC MEADOWS BLK 1 LT 1 Location (site address) 23297 BLUE SKIES CIR Current property owner(s) Lipchik Mailing address Real estate agent 2. TYPE OF DWELLING: Fx_1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 365-9765 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System 0 Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ aId (CBV I D - 19) Date of Payment (O 6 a C Q b Receipt Number 0Q �2 7L COSA # 0 �b C 20115 5 Waiver Fee $ Date of Payment Receipt Number Waiver # a. 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, base( on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that thr on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number o bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage Piles and from my investigation and inspection, the on-site water supply and/or wastewate disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations ii effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Blame of Firm NorthRim Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 10/3/20 vv In' : c. ��yft 6. DSD SIGNATURE s * :49TH* rz FV System r1 Approved for bedroomsSteve Eng r. System #2 Approved for bedroomsf��• s a`'i Disapproved �y�, 10/3-/2y Conditional approval for bedrooms, with the following stipulations: llllt(((((( J :F OPMERW ll1D)))11 By: tM4 Original Certificate Date: /o'(3'2� The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site S1 -sterns Ap-proval (COSA) based onl; upon th repro eniaijons given in Paragraph 7 by an independent pr-,Ae,5siDnal ci%d engineer registered in the State of Alaska. The Municipality of Anchorage i not responsible for errors or omissions in the professional engineer's ~work. 7. ATTACHMENTS, COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Legal Description: SCENIC MEADOWS BLK 1 LT 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments B. TANK DATA Age of tank(s) 13 years Tank type/material ...... Measured operating fluid level in septic tank 49.5 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 9/11/20 D. ABSORPTION FIELD DATA 9/10/20 Which system tested (date installed) same ❑ ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade 5 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 05106477 Structure served by this system Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date NEW Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Yes if No + Community Sewer Manhole/Cleanout > 100' [] Yes if No ft El Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 26 Yes if No ft Absorption Field on Lot > 100' El Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' n Yes if No ft Yes if No ft ft If septic tank is under driveway comment below ManurelAnimal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft El Yes if NO ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Yes if No + ft Surface Water > 100' Q Yes if No ft Property Line > 5' El Yes if NO ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' [D Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' ✓ Yes if No ft Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if toss than required) Building Foundation > 10' El Yes it No ft If absorption field is under driveway comment below Property Line > 10' El Yes if No ft Wells on Adjacent Lots: Water Main > 10' F-11 Yes if No ft Private Wells > 100' 21 Yes if No ft Water Service Line > 10" Yes if No ft Community Wells > 200' El Yes if No ft Surface Water > 100' Q Yes if No ft I certify that I 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. �i ASBUILT SEWARD & ASSOCIATES LAND SURVEYING 694-082 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE` � O � �®.u�lmego FOLLOWING DESCRIBED PROPERTY: / OF Ate R sceit��G/tJ'�o�vlf�BGoT/l��/ DATE AND THAT NO ENCRQACHMEW` S EfIST EXCEPT AS INDICATED. IT IS THE RESPONS1131LITY OF THE r * g OWNER TO DETERMINE THE EXISTENCE OF ANY GRID ""A EASEMENTS, COVENANTS, OR RESTRICTIONS -111.!i/YZ`9 WHICH DO NOT APPEAR ON THE RECORDED SUBDI- �¢ ouana Mark Seward A VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB'�I r ANY DATA HEREON BE USED FOR CONSTRUCTION/-` } "?;r " 5°r AOF RY FENCE OR FOR ESTABLISHING BOUND- NE9.DtRAtHNs ,o�y/ Municipality of Anchorage Development Services Department ?e /UPo'"" .• 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 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.05/- 4641- 77 COSA # 020) -Ir -5(o Expiration Date: II — 3 0 — 0 9 1, GENERAL INFORMATION Complete legal description SCE,//C Location (site address) Current Property owner(s)Day phone 691f=U� S - Mailing address %�� Bax 7 Lending agency Day phone Mailing address Real Estate Agent Ql%f (aOlAGc! Day phone !!! l—G/�S_S Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site S Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ja 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 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 Onsite 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 Firm A/,0 r7% P.401 FKa Address Pa�_770 Z -V Engineer's Printed Name S%!�i/E �w1/ 5. DSD SIGNATURE —AZ Approved for —4— bedrooms. Disapproved. Phone 700e Date a G 14 t%R? ti•� y t t^ . Steven Eng to �•, PE 61525 6 . V IfEs �!Fn �•••. •...••o A�r�s� Conditional approval for bedrooms, with the following stipulations: Additional Comments IMI QQ .y•, ' • O'% ON-SITE WASTEWATER Fes•--�, 'tr t)1)) Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Nitrate Advisory Other By. Original Certificate Date: 3 L -08 )Rev. 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 SYSTEMS APPROVAL CHECKLIST Legal Description: cSLEjJ(G /LrF_i}pa,.rs S/Q B/ 41 Parcel ID: U5/— 0 - Q A. WELL DATA /7Ik)k/v Well type _ If Date completed _ Total depth ft. Date of test Static water Well produce/ WATER SATS RESULTS: or C provide PWSID # _ Well Log /Sanitary seal (Y/N) _ Cased to ft. WELL LOG ft. g.p.m. colonies/100 mL Nitrate ug/L date of sample: Wires properly otected (YIN) Casing heig (above ground) in. AT INSP CTION B. SEPTICfHOLDING TANK DATA Tank Type/Material AA4&,1P-AC 7-A,i I /e-/ S 765e- Tank EF-LTank size/Z SO gal. Number of Compartments Z Foundation cleanout (Y/N) _ Y Depression over tank (Y/N) Al Date of pumping Pumper 'uA Other bacteria colonies/100 mL Collected by: Date installed 2-110 :7 Cleanouts (YIN) �K High water alarm (Y/N) A/ C. ABSORPTION FIELD DATA Date installed 02L d 7 Soil rating (g.p.d./ft2 or.R�bdrrn) Q P6 System type T"Tiz C110� Length 77 ft. Width S ft. Gravel below pipe _ ft. Total depth if ft. Eff. absorption area Zf6 ff= Monitoring tube _,Y Depression over field A Date of adequacy test W64-) Results (Pass/Fail) For -!�- bedrooms Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installedZin. Size in gallons Manhole/Access (Y/N 'Pump on' level a'Pump off" level at in. High water alar evel at in. DatumCycles tested Meets alar circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: % aw tJ Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic servi line _ Animal conta' ent areas On adjacent lots On adjacent lots Public sewer m Holding tan? excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation S + Property line Absorption field 5 r Water main / O '' Water service line /D r'r Surface water /00 rr Wells on adjacent tots loo I-0- SEPARATION tSEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Ls2 rf Building foundation S rr Water main Water Service line /� rf Surface water X00 �t Driveway. parking/vehicle storage Z S rt Curtain drain Wells on adjacent lots 00 rf' F. COMMENTS I� G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and •'tx j' c•�x �:' P review of Municipal records that the above systems are in '•� conformance with MOA COSA guidelines in effect on this date. ✓ L.,.... 6 T -Steven 1^/. Eng Engineer's Printed Name �e�sf FE 6256 / 1/ �J Z �< Date / % �QIIO.PRC�ESStO•`e,1»o COSA Fee Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number c ASBUILT � 3L SUTARD 6 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: � FOLLOWING DESCRIBED PROPERTY: M fce�✓iGi��c��1fG?LoT/ AND THAT NO ENCROACHMENTS EfiST>XCEPT DATE AS INDICATED. IT IS THE RESPONSIOILITY OF THE �/z��� OWNER TO DETERMINE THS. EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS �w/yea WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: ANY DATA HEREON BE USED FOR CONSrRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. DRAWN: 9 l a 0