HomeMy WebLinkAboutPARADISE VALLEY BLK 1 LT 18Paradis
Valley
lock I
Lot 18
¢ 020-424
-38
Municipality of Anchorage
'Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: OSP101140 PID Number: 020-424-38
N .... Todd and Tami Heber Wastewater System: [] New [] Upgrade
1011 E. Tudor Road Anchorage, AK 99503 ABSORPTION FIELD
Phone:
Number
Bedrooms:
5 ~ep Trench ~..,~aimlk~Ea~ [] Bed [] Mound [] Other:
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION 1.2 GPD/Ft2 9.7 Ft.
Depth to pipe bottom from odginal grade: Gravel depth beneath pipe:
Block:1 Lot: 18 Subdivision: Paradise Valley 3.7 Ft. 6.0 Ft.
Township: Range: Section: Fill added above original grade: Gravel Length:
0-.5 Ft. 56 Ft.
I¢'1~ New I I~u a ' 'pgra-e Gravel width: Number of lines: Distance between lines:
Well:
3 Ft. I - Ft.
Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material:
F"(~ ~f'~[~ ~ ~O Ft. ~,~ ~.~ Ft, 672 Ft2 ASTM D3034 PVC
Driller: Date ~dlled: Static Water Level: Installer: Date Installed:
9,,i1, t i, qsfir Wells ,¢4 rt. PCN, Inc.
Yield: Pump Set at: Casing Height Above Ground:
PM ',~ ~ 1:3 Ft. ,~,,~- Ft. TANK
SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other:
T~ To Septic Absorption Lift Holding )ublic/Pdvate Manufacturer: Capacity:
.rom~
Tank Field Station Tank Sewer Line Anchorage Tank 1,500 oa~.
Material: Number of Compartments:
We, > 1 00' > 1 00' N/A N/A >25' Steel Two
surfaca water Lot Line >100'>5, >100'>10' N/AN/A N/AN/A ~ size: Gal Manufacturer:LIFT STATION
/' "Pump on" level at: "Pump off" level at: in. High water alarm at:
Foundation >5' >10' N/A N/A in in.
Pump Make & Model Electrical Inspections performed by:
Curtain Drain None Noted
Remarks: BENCH MARK
Location and Description:
Finished Floor.
Assumed Elevation:
100.00 Ft.
Inspections performed by: A. Harala Dates: 1st 10[1~/[0
Development Services Department Approval
Conditional Approval Date:
'.% :t~enjan~n J Schiller: ~-~
~? ~~ ?/ ~;~.~'.. C[-,12592 .-' ~.&~
" a/~/z~// ,,, [% -.. ~'/~/~/..',,~ ~"
Reviewed and approved b .~"-'~?~"~,? ¢~_~5/'~.-'' Date: //
Permit Number: OSP101140
Municipality of Anchorage'
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
Page 2 of 3
PID No. 020-424-38
LOT 6
LOT 7
LOT
S1 1~.5'
S2 20.3'
C4 33.5'
C5 57.1'
M1 56.4
LOT 19
B
21.9'
19.6'
41.3'
30.4'
30.4'
C5
C4
$1
LOT 18
Five Bedroom
Home
LOT 8
LOT 17
LOT 9
LEGEND
S1 - Septic Vent
C4 - Cleon Out
M2 - Monitor Tube
FCO - Foundotlon Cleon Out
TH - Test Hole
Well
PARADISE VALLEY SUBDIVISION
LOT 18, BLOCK 1
13,500
PLAN AS BUILT
SCALE 40'
1" =
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number: OSP111029
Page 3 of 3
PID No. 006-043-06
Grade
2" Insulation
1,500 Gallon
Septic Tank
86.1
89.8
~Finished Grade
Odginal Ground
71.8
6/8/10
No Groundwater
-7-
Geotextile Fabric
Drainfield Rock
56' (Trench Length)
89.8
80.1-/
86ol
~-~? AEL 12592 '~
PROFILE AS-BUILT
No Scale
157
Domestic - Commercial - Geothermal
Phone 907-688.2759
www.sullivnnwaterwells.com
Well Log
Permit Number: OSP 101140 Date of Issue 8/27/2010
Date Started: 9/8/2010 Date Completed: 9/9/2010
Property Description PARADISE VALLEY Lot 18 Block 1
Property Owner Name & Address: LIBERTY BUILDERS
Borehole Data:
Soil Type, Thickness & Water Strata
Casing Stickup
Overburden
Sand & Gravel W/Cobbles
Silt Sand Gravel
Silt Sand Gravel Sandy
Sand & Gravel W/Cobbles
Silt Sand Gravel W/Clay
Hardpan
Brown Clay & Gravel
Brown Bedrock Decomposed
Brown Bedrock Soft
Brown Bedrock
Brown Bedrock Soft
Parcel Identification Number:
Is well located at approved permit location?
Section: Town:
PO BOX 111431 ANCHORAGE, AK 99511
Depth
From To
0 2
2 4
4 8
8 25
25 41
41 115
115 128
128 158
158 210
210 235
235 241
241 328
328 340
Water Sample Results:
Arsenic:
Nitrates
Total Coliform Bacteria
Other bacteria:
uga
colonies/100mL
col/100mL
02042438000
x~-']Yes
Range:
Method of Drilling [X~ airrotary /i] cable tool
Casing type:
Wall thickness 0.25 inches
Diameter 6 inches Total: 238 feet
Liner type:
Diameter inches Depth: feet
Casing stick-up above ground: 2 feet
Static Water Level(from top of casing)
Pumping Level: feet after
1 hours pumping gpm
Recovery Rate 15 gpm
Method of Testing: Air
254 feet
Well Intake Opening Type
[ii.ii] Open End IX{ Open Hole
~ Screened Start feet Stopped feet
~ Perforations Start feet Stopped feet
Grout Type: Bentonite dry granular Volume: 100 Pounds
Depth 44 Start o feet Stopped 44 feet
Pump Intake Depth: feet
Pmnp size: HP brand name
Well disinfected upon Completion? lX l Yes I_._[No
Method of disinfection CHLORINE 50 PPM
Comments:
Well Driller:
Cold Sullivan
Sullivan Water Wells
i P.O. Box 670272
i Chugiak, AK 99567
(907) 688-2759
Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion.
May~r
,Anchorage, AK 99~ 19-~0
Pump Installation Log
/ell Drilling Permit ~fumber: S~
D~te of Issue: ~
Number:,
,Zetbod ,]f Disinfectio n:
~ump T_nst=iler ~%~-ne:
:SGS
SGS Ref.# 1111058001
Client Name Anderson Engineering Printed Date/Time 04/01/2011 10:01
Project Name/# Paradise Valley L18, BI Collected Date/Time 03/27/2011 18:35
Client Sample 1D Private Well Water hose bibb Received Date/Time 03/28/2011 11:03
Matrix Drinking Water Technical Director Stephen C. Ede
PWSID 0
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Waters Department
Total Nitrate/Nitrite-N 3.36 0.100 mg/L SM20 4500NO3-F B (<10) 03/30/11 AYC
Microbiology Laboratory
E. Coli Nelzative I 100mL SM20 9223B A 03/28/11 DLC
Total Coliform Ne~zative I 100mL SM20 9223B A 03/28/11 DLC
Permit Number:
Tax Code Number:
Work Type:
On-Site Water & Wastewater System
OSP101140
O2O4243800O
WellSeptic
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Initial
Permit Effective Dates: August 27, 2010 to August 27, 2011
Design Engineer: ANDERSON ENGINEERING
Subdivision: PARADISE VALLEY
Site Legal Address: PARADISE VALLEY BLK 1 LT 18 G:3538
Owner/Address: HEBER TODD T & TAMI G
1011 E TUDOR ROAD ANCHORAGE AK 995036119
Permit
Site Mailing Address: 18701 Denmark CIR, Anchorage
Lot Size in Sq Ft: 28491
Total Bedrooms: 5
This permit is for the construction of:
Y Disposal Field Y SepticTank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received BY:. '~'~''~~ ~~4'"'~~ Date:
Issued By: ~ /_~.~ ¢y ..,¢L'~~ Date:
Parcel I.D. 020-424-38
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/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Property owner(s) Liberty Builders, Inc.
Mailing address 18701 Denmark Circle Anchorage, AK
Site address 18701 Denmark Circle Anchorage, AK
Day phone
Zip Code 99516
.Zip Code 99516
Legal description (Sub'd., Block & Lot) Paradise Valley, Block 1, Lot 18
Legal description (Township, Range & Section)
Lot Size 28491 ,Sq. Ft. Number of Bedrooms Five (5)
THIS APPLICATION IS FOR ([~ all that apply):
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
July 31, 2010
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject:
Lot 18, Block 1, Paradise Valley Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 18, Block 1, Paradise Valley 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.
Two test holes were recently placed on the lot in the area of the absorption trench and
alternate site. The logs indicate the presence of well graded gravel with some silt and
sand (GW). The percolation rate of the soil was determined to be between 1 and 5
minutes per inch. No groundwater was found during the placement of the test holes
and none was noted during the monitoring period. An application rate of 1.2 gallons per
day per square foot was used in the design of the absorption system which is centered
around Test Hole No. 1. We are proposing to place a new 1,500-gallon septic tank and
a 53' 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 3' below the surface and the total depth will be 9'. 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 northwest
at a shallow grade. The new trench will be constructed parallel with the contours of the
Lot 18, Block 1, Paradise Valley Subdivision
July 31, 2010
Page Two
slope as much as possible in 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.
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.
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.
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
_-'
~'~:~ ...... ~ ....... .~....~,.~.~.....~
~ MICHAEL E. ANDERSON
ENGLAND AVENUE
OF
~.~..~'--z-~ ..~i~L* SC~LE ~' = ZOO~
PARADISE VALLEY SUBDIVISION
LOT 18, BLOCK 1
28,4-91 S.F.
LOT
J
LOT
19
LOT 6
Alternate Site
NOTE:
1,500 Gallon Septic Tank
Rated for 4' Burial Depth.
Deeper Burial Requires 10
Gauge or Thicker Wall Tank.
LEGEND:
CO - Cleanout
SV - Septic Vent
TH - Test Hole
MT - Monitor Tube
FCO - Foundation Clean Out
co
~TH2
LOT 7
53' Long x 3' Wide
x 6' Effect[ve Depth
Absorption Trench
1,500 Gallon
Septic Tank
Five Bedroom
Home
A.C. DRIVE
LOT
LFIT 17
LOT
SITE
PLAN
SCALE 1' = 40'
LOT 18, BLOCK 1, PARADISE VALLEY SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Five Bedroom Home Deep Trench System
Perc. Rate: 1-5 Min./Inch 1,500 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 6' Drainfleld Rock
5 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 625 SF Absorption Area
625 SF/12 SF/LF = 52.1 LF Trench Length
THEREFORE: Construct A 53' Long x 3' Wide x 6' Effective Depth Absorption Trench at the
Location Shown. Flow Line Elevation in Trench to be 3' Below Original Ground Surface. Total Depth
to be 9' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption
Trench. Maintain 100' Separation from Wells in the Area.
11
1011
Natural
Backfill
Geotextile
-- Fabric
4" Perforated
PVC (Holes Down)
Drainfield Rock
TYPICAL DEEP TRENCH SECTION
_ _ ----_-~_~~ ..... ,,~,~...~....~,
~:... ....
NOTE: Grade Area Over Trench to Drain Away. ~
Minimum 6' Separation From Bedrock. ~....~.~...~'.']...~.....~.....~.
Minimum 4' Separation From Groundwater. ~
Minimum 100 Separation From Wells in the Area. ~ M~CHAELE. AND~RSON
Minimum 100' Separation From Surface Water or Streams.' ~ No.
~,~ESS~
4700
DEPTH
(feet)
1
2
3
4
5
6
7
8
9
11
20¸
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
BRAGAW STREET ANCHORAGE, AK c)c)51c)-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: 0/7/2010
PARCEL ID#:
LOT 18, BLOCK I, PARADISE VALLEY SUBDIVISION
TANNY HUBER
PROJECT No.:
TECHNICIAN:
TEST HOLE 1
OB/OG
WELL GRADED GRAVEL
WITH SAND AND SILT
GW
HOIST
BOH @ 18'
A. HARALA
WAS GROUND WATER ENCOUNTERED?
IF YES ~ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING:
SLOPE
No
NONE
DATE OF MONITORING: 6/08/2010
SITE PLAN
SEE SITE PLAN
5-8%
-I
DEPTH TO
DATE READING GROSS TINE NET TINE WATER NET DROP
(NINUTES) (NINUTES) (INCHES) (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
6/? 1 11:13 1.25"
2 11:43 30 8.50" 7.25"
3 11:45 1.38"
4 12:15 30 8.25" 6.87"
5 12:16 1.25"
6 12:46 30 8.06" 6.81"
PERCOLATION RATE: 4.3 (Mr~CH) PERC. HOLE DIA. 6" .(r~CHES)
TEST RUN BETWEEN: 4.5 FT. and 5.5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 6/8/2010
~700
DEPTH
(feet)
1
2
3
4
5
6
7
8
9
1
11
1
1
1
1
1
1
1
20
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: 6/7/£010
PARCEL ID#:
LOT 18, BLOCK I, PARADISE VALLEY SUBDIVISION
TAMMY HUBIgR
PROJECT No.:
TECHNICIAN:
TEST HOLE 2
0B/OG
WELL GRADED GRAVEL
WITH SAND AND SILT
GW
MOIST
BOH @ 16'
A. HARALA
SLOPE
NO
WAS GROUND WATER ENCOUNTERED? __
IF YES ~ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING: NONE
DATE OF MONITORING:. 6/08/2010
~..:_..:_..~~..~ ,
Professiona/En~lneem Stamp:
SITE PLAN
SEE SiTE PLAN
5-8%
DEPTH TO
DATE READING GROSS TIME NET TIME' WATER NET DROP
(MINUTES) (MINUTES) (INCHES) (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
6/7 1 11:22 3.13"
2 11:52 30 8.50" 5.37"
3 11:54 3.25"
4 12:24 30 8.25" 5.00"
5 12:26 3.06"
6 12:56 30 8.06" 5.00""
PERCOLATION RATE: 5 (MIN/INCH) PERC. HOLE DIA. 6" CNCI--mS
TEST RUN BETWEEN: 4.5 FT. and 5.5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 6/8/2010
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 18, BLOCK 1, PARADISE VALLEY SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a new
1,500-gallon septic tank at the location shown on the Site Plan. Work also
includes the construction of a new 53' long X 3' wide X 6' effective depth
absorption trench at the location also shown on the Site Plan. The
distribution line in the trench will be placed at 3' below the existing ground
surface. Total depth of the trench will be 9' below the existing ground
surface. The new absorption trench and septic tank must be placed a
minimum of 100' from all private wells and any surface water in the area and
10' from the water service line proposed for the lot. A minimum of 3' of cover
is required over the absorption trench and 4' of cover over the septic tank.
Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified by the
Municipal Building Safety Division On-Site Water and Wastewater Program
for system installations. Owners installing their own systems must receive
prior approval from the On-Site Water and Wastewater Program. before
beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,500-gallon septic tank must be procured from an approved source
and installed at the location shown. A standard 1,500 gallon tank is rated for
a 4' burial depth. This depth shall not be exceeded.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
Lot 18, Block 1, Paradise Valley
July 31, 2010
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below ground must be perforated.
Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. All pockets of unacceptable materials must be removed and
replaced.
Lot 18, Block 1, Paradise Valley
July 31, 2010
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as-built of the completed system.
6 7 8 9 70 O
1,7
• t '-°
Municipality of Anchors I • t {,
On-Site Water and Wastewater Program z
(907) 343-7904 a JUL 3 12011 A F E Y
Certificate of On-Site Systems Appro : ncu
6e9c'
Parcel I.D. 020-424-38 Expiration Date: " 2_:-1 7
1. GENERAL INFORMATION:
Complete legal description Paradise Valley: Block 1, Lot 18
Location (site address) 18701 Denmark Circle*Anchorage,AK 99516
Current Property owner(s) Brad&Joy Sutter Day phone 717-4128
Mailing address 18701 Denmark Circle*Anchorage,AK 99516
Real Estate Agent Dan Wolf Day phone 227-1969
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: % _4. f Date:
4447—
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ '2-(o) - Waiver Fee $
J
Date of Payment XIt l f Date of Payment
Receipt Number OSIq 36 Receipt Number
COSA# OCt 7 133D Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road,Suite 101-Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: 712 1 14
400Qoo444
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o QF A C �p4
in accordance with the guidelines and regulations established by the Municipality of Anchorage and % .• •••. 1
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or Q lir ` On
•
encroachments may exist that were not identified during the evaluation. The operational life of all wells *
. 4 �
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, "" Q
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 1 VA
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and r . Q
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the t/� ey A. . c ess;•
system/s: therefore, GEG makes no warranty (express or implied) regarding the future performance of 0� c 7 53 vQ�
the well or septic system. GEG makes no representation whether an alternative well or septic system .c$'0can be installed on the property in the event either of the current systems fail to perform adequately in %.0\ • ' Z11/.I• �c�
the future. The content of this report is for the sole benefit of the person/party that retained GEG to �4 c pro f es�so^°oQ
44p�0
perform the evaluation. Reliance upon the information provided in this report by any other person or a
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
#AECC884
6. DSD SIGNATURE
System #1 Approved for Li bedrooms
't OF 7 �...
System #2 Approved for bedrooms � yo
Disapproved ON-SITE
Conditional approval forAND
bedrooms, with the following s I itis rronss .
WASTEWATER c
PROGR6"
By: Original Certificate Date: 6 2..` 17
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Paradise Valley, Block 1, Lot 18 Parcel ID: 020-424-38
A. WELL DATA *Bedrock ® 235'
Well type Private If A. B. or C provide PWSID# N/A Well Log (YIN) Yes
Date completed 9/9/2010 Sanitary seal (Y/N) Yes Wires properly protected (YIN) Yes
Total depth 340 ft. Cased to *238 ft. Casing height (above ground) 18+ in.
FROM WELL LOG AT INSPECTION
Date of test 9/9/2010 7/21/2017
Static water level 254 ft. 251.6 ft.
Well production 15 g.p.m. 5+ g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate 4.16 mg./L. Collected by: GEC, Ltd.
Arsenic: ND<5 ug./L. Date of sample: 7/12/2017
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 10/6-7/2010
Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) Yes
Foundation cleanoutt (Y/N) Yes Depression over t nk (Y-�N) Na High water alarm (Y/N) N/A
Date of pumping 'I(` i 7� 11 Pumper C P V "� C PLfrifAi i NL ?e-i--41..:----C,?
C. ABSORPTION FIELD DATA *Below Existing Grade
Date installed 10/6-7/2010 Soil rating kp,dJf 'or ff/bdrm) 1.2 System type Trench
Length _ 56 ft. Width 3 ft. Gravel below pipe 6 ft.
Total depth 11.2+ ft. Eff. absorption area 672 ft Monitoring tube**Yes Depression over field No
Date of adequacy test 7/21/2017 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test 26 in. Water added 865 gal. New depth 39.5in.
Elapsed Time: 120 min. Final fluid depth 34.5 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date —
**A new MT was driven by ARM Services, LLC and extends 6.5 feet below invert.
D. LIFT STATION
Date installed Size in gallons Manhole/Access (YiN)
"Pump on" level at in. "Pump off" level at . wa er alarm evel at in.
I- •• Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100 + On adjacent lots 100'+
Public sewer main
75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25+ Holding tank 75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain None Known Wells on adjacent lots 100'+
F. COMMENTS
4o�ooppd
G. ENGINEER'S CERTIFICATION OF X40
0 �F:.. q`s��4certify that f have determined through field inspections andilf-/)* .ijr:H9
— ���preview of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this rr-
date.
VI"'.----Je A. am ss:'
Engineer's Printed Name JEFFREY A. GARNESS �(09� • E-7195 ep0
J se, .
Date 7/3/If% q%4 r 'p '31 t
d rofessio^aQ
��0000��Q
#AECC884
(Rev. 11/05)
Municipality of Anchorage
Development Services Department
,, Building Safety Division
On-Site Water and Wastewater Program '~~~
-- ~ , , ¢700 Bragaw Street
~,~'~, ,~ P.O. Box 196650 , ..
~0~-- 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. 020-424-38
1'. GENERAL INFORMATION
Expiration Date:
Complete legal description Paradise Valley Subdivision, Block 1, Lot 18
Location (site address) Denmark Circle, Anchorage, AK 99516
Current Property owner(s) Todd and Tami Heber Day phone
Mailing address 1011 E. Tudor Road Anchorage, AK 99503
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
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 []
Individual Holding Tank []
Community On-site []
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 seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of on-Site Systems Approval Guidelir~es for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, f~n~t!o~,al and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that baSed Onthe information.
obtained from the Municipality of Anchorage files and from my investigation and inspecti°n, ,the on-site water
supply and/or wastewater disposa system is(are) in compliance with all applicable Municipal and State codes,
ordir~a~ces, and regulations in effect at the time of installation.
~"~me of Firm Anderson Eng neering
~,~"~' Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Benjamin J. Schiller
bedrooms.
DSD SIGNATURE
Approved for
Disapproved.
Conditional approval for
Date 4/1/2011
_.,, g,.',,~ · · .... '.. h,4
~/,,,~-/t
J Schiller,:
i~. Benj~m
· ~ i~ .PRO~FSS~O~.%¢-
bedrooms, with the following stipulations:
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
Niti?~ Advisory /?
X
(Rev. 11/05)
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Ropd~
P.O. Box 196650
Anchorage, AK 99507
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Paradise Valley Subdivision, Block 1, Lot 18
A. WELL DATA
Well tyPe ..~
Date completed ~l~/'/~0', o
Total depth ~.'o ft.
If A, B, or C provide PWSID #
Sanitary seal (Y/N)...Y
Casedto "/,,~ ft.
Date of test
Static water level
Well production
FROM WELL LOG
! ~' g.p.m.
WATER SAMPLE RESULTS:
Coliform ~_.coIonie~/lO0 mL
Arsenic: ug/I
SEPTIC/HOLDING TANK DATA
Nitrate ~o~b mg/L
Date of sample:
Tank Type/Material .Septic/Steel
Tank size ~, 1,5..0J~. ,,.,ga, i. Number of Compartments Two
F oufldation cleanout ~it~).', Y Depression over tank (Y/N) N
.Date. of pumpihg. New c0nstru~n Pumper
ABSORPTION'FIELD DA~A, ,.
Date installed I,O/~& ~;Ji, o. S~il rating (g.p.d./~ or ff2/bdrm)l.2 GPD/SF
Ue~dgth.. 56 ' .ft. Width 3 ft.
Tot~i-ldel~... 9.7 '.fL' Eft. absorption area 672 ft2 Monitoring tube
Date of adequacy test New Cons[ Results (Pass/Fail) __
Fluid depth in absorption field before test in. Water added
Elapsed Time: min. Final fluid depth
Any rejuvenation treatment (past 12 mo.) (YIN & type)
Parcel ID: 020-424-38
Well LOg (Y/N) ~
Wires properly protected (Y/N)
Casing height (above ground),
AT INSPECTION
g.p.m.
Other bacteria O colonies/100 mL
Collected by: ,~. [J{Ne~-
Date installed ~,,'/,.~f c~
Cleanouts (Y/N) Y
High water alarm (Y/N) N
System type Deep
Gravel below pipe. 6 ft.
Y Depression over field ....N
For bedrooms
~ gal. New depth in.
in. Absorption rate >= g.p.d.
N If yes, give date
LIFT STATION
Date installed
"Pump on" level at~
Datum
in.
E. SEPARATION DISTANCES
Size in gallons
"Pump of~' level,at~
Cycles tested
in.
SEPARATION DISTANCES FROM VVELL ON LOT TO:
Septic tank/lift station on lot >~100'.
Absorption field on lot >100'
Public sewer main N/A
Sewer/septic service line >25'
Animal containment areas >50'
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements? .....
On adjacent .lots >100'
On adjacent lots >100'
Public sewer manhole/cleanout
Holding tank N/A
Manure/animal excrete storage areas
>100'
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >5'
Water main >10' Water service line >10'
Wells on adjacent lots >lOO'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10'
Water Service line >10' Surface water >100'
Curtain drain None Noted Wells on adjacent lots >100'
COMMENTS:
Absorption field >5'
Surface water >1oo'
Water main >10'
Driveway, parking/vehicle storage, >25'
G. ENGINEER S CERTIFICATION
_-'
I ~ that I have datelined through field inspections and
review of Municipal ~s that the above sy~ems are in ~"~ ...... ~"~'~ .......
confo~ance wEh MOA COSA guidelines in effect on this date ~...~~~~..~.
Enaineer's Printed Name Benjamin J. Schiller, P.E.
Date 4/1/2011
COSAFee $ ~ ~ ~ WaiverFee$
Date of Payment ~)~ Date of ~aymont
Receipt ~umbor ~ ~ ~ ~ ~ Receipt ~umber
(Rev. ~ ~/05)
! 8351S
LOT 7
LOT 5
LOT 19
LOT 6 ~
-"' "% LOT
-
' ~' 2~14.0 St°wFmme '
~ House
% ~- c~ I° ~.o ~
N / L=45.00 %
SCALE: 1"= 40'
LOT 17
LOT 9
tt o:,.. ~o. 323u-S ,'~ ~
t,¢~:.. ..-:~
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON. BE
Fb 11-1, pg 31
'
AS-BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
of the following descdbed property: LOT 18, BLOCK 1,
PARADISE VALLEY SUBDIVISION
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not ovedap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 3rd day of March ,2011
FRED WALATKA & ASSOCIATES
Engineers and Surveyors
(907-248-1666)