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HomeMy WebLinkAboutCROSS VIEW ESTATES BLK 1 LT 3Cross View Estates Block 1 Lot 3 #015-221-46 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 Page of www ci.enchorage.8k.us (907) 3417904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO80088 PID Number. 015-22146 RrTr Crown Pointe, Inc. Wastewater System: ❑ New ❑ Upgrade Addnn P.O. Box 112313 Anchorage, AK 99511 ABSORPTION FIELD FraM 345-6277 wnoalaeweane s P Drop rre,al O surae Tre,rfi D e.Y O Mand p oYw LEGAL DESCRIPTION Sal Ra" TYUI D.Me w9m pads awaneean 1 3 Cross View Estates '6 opo, ri Dpm a Fw 2.9 4q.wr'Yr 9 11.5-12.8 FI. D�.al'0I °" °e1"'01 p To•nal.p R"Sopa 2.9 .2 Ft FN road real apai VrY• 8 6 Ft Duval Le,gm 1 Ft. 80 FI. Well: New ❑ Upgrade r" M0tl rrnroe,a.n•a Drurce am en iaa Cr.rnaeai (Pmru. A S. C) Tar D•M Cued m Private 3 Ft. TOW abomi aan Sam 2 >16 FL Fp• 475 FL 275 FL 1.280 Fe IVI0 ASTM D3034 PVC Dn Alpine Drilling Dam Drees 7/16/08 Sias wale, Lrrr 144 37W Sanders 8 Sanders Drt.2 p FL 6/27108 108 yrs Pro se, n Crap l ,;N AYow D 20 Dvu FI. 2 FL TANK SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E P. ❑ Other: To Sepac Absorption Lift Holding Yt"Jprt rte '°'�'r iy From Tank Field Station Tank Sewer Line Anchorage Tank 11,500 Dr w" >100' >100' NIA NIA >25' re,«w Steel Two (2)wo (2)Ca'pre^•^u Sw4nwale, >100' >100, N/A NIA LIFT STATION Lathe >6 >10' N/A NIA a Gr FO110 m >5' >10' N/A NIA 'Peo on' wr al 'Puna Or N at M wear rens e, h r h Crnaa Dw, None Noted Pro wry a root Faececa inea w p•darad M Reme,ke BENCH MARK Lxruon ala pwpuon Lower Level Door Threshold NE Comer. MYLOn 100.0 FL Inspections performed by: Dates: 1 A. Harala r 6/27/08 +►��� lk a��;9�•��I� 6/27/06 �� r 2nd ��Q: Development Services Department Approval 9*: 4918 Conditional Approval Date: go.. �{...... ....0....... .. or... �; {� Ty„ ........... �, AlIg1AE1 E ANDERSON.-Ota,, CE-4391 r` Reviewed J,411,zl� and approved by: Date: (R.• arae) �"S`%V11� Municipality of Anchorage Page 2 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Permit Number: SW080088 PID No.: 015-22146 CROSS VIEW ESTATES SUBDIVISION LOT 3, BLOCK 1 41,641 S.F. 5 89'11'M'E 237.00• 10' X 40' GAS ES I I C7 / I I I M1 C4 s1 II I 1 sz / 0 1 I ®THA / Q it — I I M1 / I I/ I 1 c few 6°515°^` i o 30' i Gam N1. s+u Of o I I / z m KIWI SI-VI / mIII rl / 8 30• �Ial 1 100 2901 / vtl-I sz 15 4' 39a / I I I u 7701 427 W/ Cs 270' �2 a' q I M1 493X06' / Q I I ce ma 015 � I I 7 601 62 8' I I M3 573' 61.51 / II / 11' S 69'39'32-E 170.19' •�•��OF •.... ......,•4� ••,`p, .0# PLAN AS-BUILT' „49th.ki�•� ....... .._.......... .... SCALE V = 40' %.'�;xiovo. r mwit u, - 444• '•'.,.'.. ..... + E:•i • 84.5 79.0 40' (Trench Length) No Groundwater SOUTH TRENCH PROFILE AS -BUILT No Scale 4 th M...................._....... NICNAEL E. ANDERSONt . �' No, cE-43ei .� Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SWO80088 PID No. 015-221-46 98.4 U N N UU V53. 4 U �U 97.3 96.0 96.8 F.~ Gr y Geotextile Fabric 93.1 Grainfield Rock 93.1 84.5 78.0 No Groundwater 40' (Trench Length) NORTH TRENCH U rr U 98.3 97.3 96.8 F.~ Croy Geotextile Fabric 93.1 Drainfield Rock 93 1 84.5 79.0 40' (Trench Length) No Groundwater SOUTH TRENCH PROFILE AS -BUILT No Scale 4 th M...................._....... NICNAEL E. ANDERSONt . �' No, cE-43ei .� :■F=ROM :Alpine Drilling FAX No. :907 345 0202 Ju1.13 2009 08:41AM PS ■ ■ ALPINE DRILLING & ENTERPRISES Permit Number. #SW080088 Date of issue: 20-08 Parcel Identification Number: 015-221-46 Date Started:? 16-08 Date Completed: 7-16-08 Is well located at approved permit location? ® Yea ❑ No Legal Description: Cross View Estates Block 1 Lot 3 Property Owner Name & Address: Crown Point, Inc PO Box 112313 Anchorage, Alaska 99511 Borehole Data: Soil Type, Thickness & Water Strata Depth (ft) From To Method of Drilling ®air rotary ❑cable tool Casing type: stool stick-up 0 2 Wall Thickness: . 025 inches silt 2 6 Diameter: ¢ inches Depth: 2275 feet silty gravel 6 14 Liner Type: gravelly silt silt st7ty gravel cobbly silly gravel . 14 23 37 105 23 37 105 124 Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 144 feet Pumping level:_275 feet after 2 hours pumping 0 gpm sandy silt 124 146 Recovery Rate: 2Q gpm s17ty gravel 146 151 Method of Testing: Attift gravelly silt 151 186 Well Intake Opening Type: silty water sand & gravel 166 194 ® Open End ❑ Open Hole gravellysr7t Silty watersand &gravel 194 267 Y67 275 El Screened Start feet Stopped feet El Perforations Start feet Stopped feet Grout Type: bentonire granules Volume: Depth: Start 0 feet Stopped.2 feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller. Alpine Drilling & Enterprises P.O. Box 110496 Anchorage, AK 99511-0496 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Development Services Department within 60 days of completion. Development Services Department Building Safety Division e '`t On -Site Water & Wastewater Program •,' "B`� 4700 Elmore Street P.O. Box 196650 a Maur Begich Anchorage, AK 99519-6650 s Mayor y w .munf.oro/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW_ Date of Issue: Parcel Identification Number: Replacement Only: YES NO Legal Description Property Owner Name & Address: Lot 3, Block 1, Crossview Crown Pointe Date: Pump Intake Depth Below Top of Well Casing: 273 feet Pump Manufacturer's Name: Grundfos Pump Model: 15 Sqe 15 290 Pump Size 1.5 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: cambel Pitless Adapter Installer: n/a Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Recirc Comments: Pump Installer Name: Aarow Pump & Well Service LLC PO Box 110496,Anchorage, AK 99511 (907) 346- 9355 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-77sB WAYI MEMORANDUM DATE: November 5, 2009 TO: Jeff Poet FROM: Mike Anderson, P.E. SUBJECT: Lot 3, Block 1, Cross View Estates Subdivision As -Built and COSA We have reviewed your comments regarding the well and septic system recently constructed on Lot 3, Block 1, Cross View Estates Subdivision and have the following comments: 1. The Pump Installation Log is attached. 2. The new absorption trenches were constructed between 11.5' and 12.8' below ground as opposed to the permitted depth of 11.0'. The additional depth was required to allow gravity flow from the septic tank to the absorption trenches. The entire absorption area of the trenches was placed in the percolation zone of the test holes placed on the lot. No bedrock has been noted on any of the test holes placed in Cross View Estates. The test holes placed on this lot were dug to depths of 17' and 18'. In addition the well placed on this lot was drilled to 275' with no bedrock encountered the entire depth. We are confident that no bedrock is within 6' of the bottom of either trench. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO80088 Date Issued: Jun 20, 2008 Expiration Date: Jun 20, 2009 Parcel ID: 015-221.46 Legal Description: CROSS VIEW ESTATES BLOCK 1 LOT 3 Design Engineer: 0014 ANDERSON ENGINEERING Site Address: 5063 HERITAGE HEIGHTS DRIVE Owner Name: CROWNE POINTE, INC. Lot Size: 41641 SO. FT. Owner Address: PO BOX 112313 Total Bedrooms: 5 Permit Bedrooms: 5 ANCHORAGE. AK 99511 - This permit is for the construction of: 0 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. 5. The following special provisions. 7/28108 J.C.: Construction shall be based on the design sealed by Mike Anderson on 7/27/08. Received By: Date: 7, Z Z9- Date: IssuedB ?� 2006-171 CROSS VIEW ESTATES SUBDIVISION LOT 3, BLOCK 1 41.641 S.F. E2' S B711'44'1 10 mx tos 2-40ng ' Lox T Wide x B' EHeclrw Depth Absorption Trenches av x rr. soo Go — SapUe nk �I Five Bedroom Home I I 0. SLAB I EL 834' I or x s aTSS'32"E Existing Well 10' X 40' 075 ESMT1 828' A.C. DRNE 830' {S _ . — yif _ 1} �....,.....� SITE PLAN ..._.........._....._...._......RR. , MICHAEL E. AN➢ERSW Na. CE -4382 11- A SCALE V = 40' 00= I I I I II xis II II II a II I I O d > II II m c I I �- D II II II � II HA II I I w 0 30' II I I o �� m m Z $ I I Alternate Site mnl Z I I 24' Long x X Vide 1 x 8' Effective Depth rSl wl Absorption Trench w �i r/Advanlex Treatment rj^I WI Syelem. 03 0cr I4fl Irl S B711'44'1 10 mx tos 2-40ng ' Lox T Wide x B' EHeclrw Depth Absorption Trenches av x rr. soo Go — SapUe nk �I Five Bedroom Home I I 0. SLAB I EL 834' I or x s aTSS'32"E Existing Well 10' X 40' 075 ESMT1 828' A.C. DRNE 830' {S _ . — yif _ 1} �....,.....� SITE PLAN ..._.........._....._...._......RR. , MICHAEL E. AN➢ERSW Na. CE -4382 11- A SCALE V = 40' MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 3, BLOCK I, CROSS VIEw ESTATES SUB. PERFORMED FOR: CROWN POINTE. INC. DATE: 6/27/2007 PROJECT No.: PARCEL ID#: TECHNICIAN: A. HARALA DEPTH TEST HOLE A (fiat) A e 15 " A 16- 17- 18— 61718 BOH @ 18' 19 SITE PAN SEE SITE PLAN WAS GROUND WATER ENCOUNTEREIr No ff YES @ WHATO [P'UI'I DEPTH OF WATER AFTER MONITORING No.E 2% DATE OF MOMTORING: _40008 DATE READING OB/OG 1 WA ERD (INCHES) INET DROP (INCHES) A 6/27 2 5:08 3 c •.. 2 5:38 30 4 1.25' 5 5:39 4.25" A 6 4' 30 7 <. 8 6:10 SILTY SAND 4.50" • WITH GRAVEL 9 'A SM 5.63" A 10 11 - A 17 a •. A e 15 " A 16- 17- 18— 61718 BOH @ 18' 19 SITE PAN SEE SITE PLAN WAS GROUND WATER ENCOUNTEREIr No ff YES @ WHATO [P'UI'I DEPTH OF WATER AFTER MONITORING No.E 2% DATE OF MOMTORING: _40008 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) WA ERD (INCHES) INET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 6/27 1 5:08 4.38" 2 5:38 30 5.63" 1.25' 3 5:39 4.25" 4 6:09 30 5.38" 1.13" 5 6:10 4.50" 6 6:40 1 30 5.63" 1.13" PERCOLATION RATE 27 (MIN/INCH) PERC. HOLE DIA 6t� (INCHES) TEST RUN BETWEEN: 4_5 FT. and 5_5 FT. CO,IMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. SOILS VERIFICATION SAME AS GARNESS TEST HOLE. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 7/27/2008 ANDERSON ENGINEERING P.M BOX =773 ANCHORAGE,, AK 99524 522=7773 677-7766 'F IJ,IALY, Is] :7_\►Ioil IJ,I DATE: July 28, 2008 TO: Deb Wockenfuss FROM: Mike Anderson, P.E. SUBJECT: Lot 3, Block 1, Cross View Estates Subdivision Well and Septic System Permit No. SWO80088 Revised Septic System Location Attached is the test hole recently placed on Lot 3 to verify subsurface soil conditions at the revised site location. Water monitoring completed since the placement of the test hole on June 27 indicates no water present. None was present at the time of placement and none is currently found. The Site Plan shows the surface slopes in the area. Bainbridge Drive is currently undeveloped and drainage flows through the area at shallow slopes. All slopes in the area are less than 10% and will have no adverse affect on the new absorption system. Please revise the permit to allow placement of the septic system in the configuration shown. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Elmore 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: Anderson Engineering Legal description: Cross View Estates, B1 L3 ®Permit ❑C.O.S.A. ❑Inspection Report The attached paperwork has been reviewed and Is being returned for the following reasons: 1. Soils log for THA with 7 day water monitoring to be submitted. 2. The site plan shall have a description of the topography, areas of excessive slope, and extent of slopes and surface drainage patterns within 100 feet of any part of the system or portion of the lot intended for use for on-site wastewater disposal. AMC 15.65.030 D. Please provide this information on the site plan. Also, is there a ditch along Bainbridge drive? Name of reviewer: Deb Date: 713108 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK ANDERSON ENGINEERING P.O: BOIL 240773 ANCHOFtAGE, AK 99524 522-7T73 I67T-MS MEMORANDUM DATE:. June 29, 2008 TO: Deb Wockenfuss FROM: Mike Anderson, P.E. SUBJECT: Lot 3, Block 1, Cross View Estates Subdivision Well and Septic System Permit No. SWO80088 Revised Septic System Location The septic system for Lot 3 was designed to be centered around the test hole placed on the lot during the subdivision phase. The location of the test hole was scaled from the drawing submitted at the time of the subdivision approval and attached to this memo. Unfortunately that test hole was not accurately located and has caused a revision to our design. The location of the test hole is accurately shown on the attached plan. We have also modified our design due to encountering unsatisfactory subsurface soils. The new location is shown and a new test hole location is also shown. Information concerning the test hole will be forwarded to you as soon as the field notes are reviewed. Soils encountered in Test Hole A are silt with gravel (MUGM) with a percolation rate less than 30 minutes per inch. The system was originally designed with an application rate of .6 gallons per day per square foot which is in agreement with soils encountered in Test Hole A. 1 rS�C AL t," -v o a - \ ARIA \ 1 1 C; RPnC / EA D 1 \ \I II ••!. I u,ciuu "-,� ------------IT--------- 1`1 1 a 12.000 . �; \ \♦ / �/� / / / >, q -- \ 16,000 i- .�♦ --__- . %II i l i 9 Jt I \ ------------ ---------------- ------------ 2,000: 2,000: I 141000 ---I- I F671 tI\ 11 1 / \ — — - - ------------� --------i ♦ i (Rei. OV05) \ 1 \ \I II ••!. I u,ciuu "-,� ------------IT--------- 1`1 1 a 12.000 . �; \ \♦ / �/� / / / >, q -- \ 16,000 i- .�♦ --__- . %II i l i 9 Jt I \ ------------ ---------------- ------------ 2,000: 2,000: I 141000 ---I- I F671 tI\ 11 1 / \ — — - - ------------� --------i ♦ i (Rei. OV05) MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water Q Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Jun 20, 2008 Expiration Date: Jun 20, 2009 Permit Number: SWO80088 Parcel ID: 015-221-46 Legal Description: CROSS VIEW ESTATES BLOCK 1 LOT 3 Design Engineer: 0014 ANDERSON ENGINEERING Site Address: 5063 HERITAGE HEIGHTS DRIVE Owner Name: CROWNE POINTE, INC. Lot Size: 41641 SO. FT. Owner Address: PO BOX 112313 Total Bedrooms: 5 Permit Bedrooms: 5 ANCHORAGE. AK 99511 - This permit is for the construction of: ❑d 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. Date: &-2-0-L-49' -•= ..�/ i lit/�/ �-- i //i \ Municipality of Anchorage 1 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/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-221-46 Property owner(s) Crown Pointe, Inc. Day phone 727-5259 Mailing address P.O. Box 112313 Anchorage, AK 99516 Zip Code 99511 Site address_60.,3 Heritage Heights Drive Zip Code 99516 Legal description (Sub'd., Block & Lot) Cross View Estates, Block 1, Lot 3 Legal description (Township, Range & Section) Lot Size 41,641 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field 0 Septic Tank El Holding Tank ❑ Privy ❑ Private Well Q Water Storage ❑ Number of Bedrooms Rve (5) THIS APPLICATION IS AN: Initial El 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) Date of Payment: Date of Payment: Receipt Number. 4 Lt -I'? 7 Receipt Number. (Rev. 11105) ANDERSON ENGINEERING P.0. BOX 240773 ANCHORAGE, ACC 99524 522-7773 677-7765 FAX June 16, 2008 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Block 1, Cross View Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer. The owner of Lot 3, Block 1, Cross View Estates Subdivision intends to construct a new five -bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Also identified on the plans are the existing wells and septic systems on surrounding lots. No conflicts exist between the proposed well and 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 between 30 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 .6 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1,500 -gallon septic tank and two 40' long by 3' wide by 8' effective depth absorption trenches to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 3' below the surface and the total depth will be 11'. 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 conformance with Municipal requirements. The new septic system will be constructed a Lot 3, Block 1, Cross Point Estates Subdivision June 16, 2008 Page Two minimum of 1 00'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, 704j�"L C Q Michael E. Anderson, P.E. Attachments : /.Q X V F��crrss��.• Lor E VACANT a0 LOT — BLOCK 1 U LILAC PARK �+ p a S K t E�er�+y •'+ i LOT 3 BLOCK t CROSS POINT ESTATES 1 E,e.iAa wr RNE • •_ Lot 4 a1r 1 1 Lor 11 BLOCK 2 LILAC PARK ��— FYw1nv 1rw - LOT 3 r LOT r I w..r LOT 2 +•p��q�', VACANT •��P��•........,•�11 49OF th AREA MAP jj '..Ml AEL E. ANDERSON iw ��X N CE-4381 `�: SCALE 1' = 100' Municipality of Anchorage • j Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsfte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. 015-221.46 1. GENERAL INFORMATION COSA # U L Expiration Date: 1A ho Complete legal description Lot 3, Block 1, Cross View Estates Subdivision Location (site address) 5063 Heritage Heights Drive Anchorage, AK 99516 Current Property owner(s) Crown Pante, Inc. Day phone 345-62Tr Mailing address P.O. Box 112313 Anchorage, AK 99516 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: Five (5) 3. TYPE OF WATER SUPPLY: Individual Well ❑� Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site R1 Individual Holding Tank ❑ Community On-site ❑ 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, I verify that my investigation, based on procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE Approved for s bedrooms. Disapproved. Date 7rtsrz009 Conditional approval for bedrooms, with the following stipulations: 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: C (R" 1IMS) Municipality of Anchorage • "" Development Services Department c� Building Safety Division ' Onsite Water& Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onske (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 3, Block 1, Cross View Estates SubdWislon Parcel ID: 015221-46 A. WELL DATA Well type Pdvete If A, B, or C provide PWSID # _ Well Log (YIN) Y Date completed 7/6/2008 Sanitary seal (Y/N) Y Wires property protected (YM) Y Total depth 275 fL Cased to 275 ft. Casing height (above ground) >24 in. FROM WELL LOG AT INSPECTION Date of test 7/16108 Static water level 144 IL ft. Well production 20 g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform 0 coionies/100 mL Nitrate 2.40 mg/L Other bacteria 7 colonies/100 mL Arsenic: NID mgA Date of sample: 10/30109 Collected by: M. Anderson B. SEPTICIHOLDING TANK DATA Tank Type/Material Se0clsteel Date installed 61272008 Tank size' 1.500 gal. Number of Compartments Two Cteanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping New Construction Pumper C. ABSORPTION FIELD DATA Date Installed 6127/2008 Soilrating (g.p.dJft=orft2/bdnn)•6GPo1SF System type Deep Trench Length 80 R Width 3 ft. Gravel below pipe 8 R Total depth 12.514 ft. Eff. absorption area 1.280 ftp Monitoring tube Y Depression over field N Date of adequacy test New Const Results (PasstFail) For _ bedrooms Fluid depth in absorption field before test in. Water added gat. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access(YM) 'Pump on' level at _ In. 'Pump off" level at _ In. High water alar level at In. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >Ilw Absorption field on lot Public sewer main N/A >100• Sewer/septic service line >25' Animal containment areas None Meets alar & circuit requirements? On adjacent lots >100' On adjacent lots >100' Public sewer manhole/cleanout N/A Holding tank NIA Manure/animal excrete storage areas None SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >S' Absorption field >5 Water main NIA Wells on adjacent lots >100 - Water service line »c' Surface water SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >70' Building foundation >10' Water main >100' >1a Water Service line >10' Surface water >100• Driveway, parking/vehicle storage >2T Curtain drain None Noted Wells on adjacent lots >1004 F. COMMENTS: a�•�~ 01 G. ENGINEER'S CERTIFICATION �'C.� •• *; 4918 1 certify that I have determined through lied inspections andr review of Municipal records that the above systems are in conf Yh MOA COSH Orance Wr gUde rhes it, enact on this date. ; ; .AUgiA;L_F ANoMON Engineers Printed Name Michael E. Anderson, P.E. �� tri : 1f�'4381 Date 1lnonoos �fO��R�OaEs�sw`��+� COSA Fee $ Waiver Fee $ Date of Payment �7 ��S Q y Date of Payment Receipt Number O a O C� Receipt Number (Rev. 11/05) Iw I� 0P se 601 30' n �o 0 0 z PLAT NO. 2006-171 CROSS VIEW ESTATES SUBDIVISION LOT 3, BLOCK 1 41,641 S.F. S 89'11'44'E 233.00' AS -BUILT GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 2000 E. DOWLING RD., SURE 8 ANCHORAGE, ALASKA 9950 PHONE 248-5454 GRID DATE 2737 2/17/2009 F.B. JOB NO. 09-01 CVE31 S v f` 170.19' O co 10' X 40• GAS 01,11 ORNE I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE. 1 "=30' � , •• OF A •., S ��• 49IH ;9k . Jettery A. Gastaldl o` .lp • • •1 ♦•.e ••, LS -6091 +4p♦d•••••••••••* ♦ P rafesslonQ n6 •,1 It \\rte• rn II II II to II II II II I I 35.0 II I I II SEPnc symm u N I I a.B coa 3. II I I 5.3' gURD I I X0.5.5' II o I I Wlrsl I wl 11.2 N 2.1 NI WI AS -BUILT GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 2000 E. DOWLING RD., SURE 8 ANCHORAGE, ALASKA 9950 PHONE 248-5454 GRID DATE 2737 2/17/2009 F.B. JOB NO. 09-01 CVE31 S v f` 170.19' O co 10' X 40• GAS 01,11 ORNE I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE. 1 "=30' � , •• OF A •., S ��• 49IH ;9k . Jettery A. Gastaldl o` .lp • • •1 ♦•.e ••, LS -6091 +4p♦d•••••••••••* ♦ P rafesslonQ n6 •,1 It \\rte•