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HomeMy WebLinkAboutROSEBERRY PARK ESTATES BLK 2 LT 9Roseberry Park states lock 2 Lot 9 050-315 -44 P.O. Box ~98850 (90Z) :43-790~ Pump Installation Log Well Drilling Permit Number: SW parcel Identification Number:__ Date of Issue: Leg,~I Description Pump Installation D~te: P~,mp Intake D~pth BetowTop of Well Casing:.~dPO feet Pump Size ~/~ hp Piflesa ~dapter Bmda~ Depth: feet Pifless Adapter [Vian~f~ctnrer"s Name: Commen~s: Municipality of Anchorage Development Services Department Building Safety Division QmSite Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page]_. of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: FISP101107 PID Number: 050-315-44 Name:Tr`oy ~lo, vi~5 Wastewater System: ~New [] Upgrade Address:Jessie M~e C:i~cLe ABSORPTION FIELD Phone: S 57__ C_~ S C~4 Number of Bedrooms: ~_..D , 4 eep Trench Shallow Trench [] Bed [] Mound [] Other: Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION 1,0 GPD~Ft2 8 Ft. Subdivision: Block: ~ Lot: 9 ~E~O S e b e p ~ y F) o. ~ ~-( Depth to pipe bottom from original grade: Gravel depth beneath pipe: 4 Et. 4 lt. Township: Range: Section: C,X' T¢~-'¢'o_...-~ Fill added above odgina, grade: Gravel Length: 1 + Pt. d--, r3 Ft. Well: ~ New [] Upgrade Gravelwidth: Number of linos: I Distancebetween~ines: Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Privai:e P00 Ft. 141Et. 600 Fi2 P\./P 3034 Driller: Date Drilled: Static Water Level: Installer: Date Installed: Su[[ivo, n 3/31/(15 7PFt. Pomr'o, nina 7/15/10 Yield: Pump Set at: I Casing Height Above Ground: -- 2; GPM ~OO t ~ 2,5t. TANK SEPARATION DISTANCES ~Septic [] Holding [] S.T.E.P. [] Other: T~ Septic Absorption Lift Holding )ublic/Private Manufacturer: Capacity: Tank Field Station Tank Sewer Line (~ n C h o r' a,q e T ~ n I-< 1 ~D 50Gal. Material: Number of Compartments: We, 100'+ 100'-~ Nh Nh ~5'+ Si:eeL p Lot LineSurface Water 10l-j-100'+ 10'+100'a NhNA NANA ~ Size: ~'---.Gal.in. ~Manufacturer:LIFTSTATION Foundation 10 ' -'J- 10I-'j- NA NA in. Pump Make & Model ~ections perfor~~...~.~ Curtain Drain N A N ~ N A N A BENCH MARK Location and Description: Bo, el-< ,~Lidi~9 Boor' Assumed Elevation: B o-t:-I:o m SiLL 10 o~t. Inspectionsperformedb~.or'i;hlRim EnDineer'inD)ates: 1st 7/15/10 ...... ';?' Development Services DepartmentApproval '~"? .... > Conditional Approval Date: ~-~ _~-'~_..---~-- ..,-'/_.,~ '~ ~: :~-~/? ', Reviewed and approved by Date: I 7__-/~, ~ ' ~:~ ... - ...... -... : (Rev. 04/06) ! ' ~eI.L 4 Bdrm Home 1850 GaLLon ;eptic Tank DCD Trench RepLaceMent ECORI) I)~/G MEASUREMENTS A B ST CB1 14 34 STCB8 80 48 3CB 83 44 CB1 46 74 CBS/MT 41 48 N OR THRIM ~N GIN~EF?IN G PO Box 770724 Eagle River, Alaska 99577 PARK 3/3 LOT 9 1" = 50' WASTEWATER RECORD ~t,:18/8/10 SULL~~ WATER WELLS p.O. BOXSTC27~ClIUGIAK. ALA,SICA~ * "'- ' ' ' LJnef"r~ /'O e,,~' ....... Pump Installation Log Date of Issue: Le~ml Desc:ipdon 7' p~mp L~mks Depth Below Top ofWdl Casin~:=~jO feet Pump ~fanmthc~nrer:s Name: I':l-~. j ;" ;~,,g ~ Pumo ~£ode!: Pump SLz~ On-Site Wastewater Disposal System Permit 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 Permit Number: OSP101107 Tax Code Number: 05031544000 Work Type: Septic Initial Permit Effective Dates: July 09, 2010 to July 09, 2011 Design Engineer: STEVE ENG Subdivision: ROSEBERRY PARK ESTATES Site Legal Address: ROSEBERRY PARK ESTATES BLK 2 LT 9 G:0154 Owner/Address: TROY DAVIS HOMES INC 1075 CHECK STREET #107 WASILLA AK 996548067 Site Mailing Address: Lot Size in Sq Ft: 47044 Total Bedrooms: 3 D ~ p a r t m e ~ t This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N 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: ~ Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www. muni.org/onsite (907) 343:7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. (~ /~ ,~p-- 3/5'-- ~ Pro perty own er(s)_~? !/~..¢-"'"' '"'/¢~,..-t / Ma ,ng address/ d"' Site address Legal description (Sub'd., Block & Lot) PO-'-~-- ~'2 P~-'~'~ff-~ Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms Day phone ::I~-PO r../,~' Zip Code 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 Permit/Rush Fees: .~Z~"~ ~: Waiver Fees: Date of Payment: ('i 7 E -- /'O Date of Payment: Receipt Number: /~'". L/,~ c'~p' (~. C.~ Receipt Number: (Rev. 11/05) TH21M ~ E.N.~INEERING MEMO Steve Eng, PE, PH P.O. Box 770724, Eagle River AK 99577 (907) 694-7028 tel northrimeng@aol.com Date: 7/12/10 To: MOA On-Site Services Number of Pages: 3 Subject: Roseberry Park, Block 2, Lot 9 Septic System Design CHANGEORDER- Permit OSP101107 Deb, This is in reply to our 7/12/10 telecon: The owner wishes to change from a 3 bedroom to a 4 bedroom system. We are including the changes. Thanks-Steve THF IM ~ ~_.~INEERING MEMO Steve Eng, PE, PH P.O. Box 770724, Eagle River AK 99577 (907) 694-7028 tel northrimeng@aol.com Date: 6/30/10 Number of Pages: To: MOA On-Site Services Subject: Roseberry Park, Block 2, Lot 9 Septic System Design The referenced property is undeveloped as are 2 of the 3 neighboring properties. There is no water or wastewater development within 100 feet of the proposed wastewater & water well site. The lot slopes southwest toward Meadow Creek. Separation to the creek is maintained. The entire area has clean, sandy soil. The subdivision test hole is being used for design. The water well is already drilled on the lot from the subdivision aquifer test. Please review the wastewater system design & well location 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. Thanks-Steve EERING ~c2~' E Roseberry Park Estates, Block 2, Lot 9 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a new 4-bedroom, single family home. This is a new subdivision and all of the neighboring lots are undeveloped. These lots are large and will be served by private wells. This development is in line with how the site should be developed. No major conflicts to other lots will take place by this septic system construction. The easements are located on the drawing and are not encroached upon. Soil tests revealed sandy soil with low silt. An application rate of 1.0 GPD/FT2 with 0.5 reduction factor for utilizing a 5' wide trench. Trench Length = 600 FT2/5 'x .5 reduction factor -- 60'; 1 line ~ 60'. No bedrock was encountered or groundwater was encountered. Meadow Creek is located to the southwest. All separation is maintained in the design. 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 4' to groundwater, 6' to bedrock. · Drain rock to be ½ inch to 2 ½ 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 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 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) UndeveLoped 1850 Septic TQnk ])CD -CB JESSE MAE CR Lo~ 10 Septic System DESIGN NOTES: 1. Total Depth of Trench is 8'. Terrain Slopes South. 2. Sewer Service Line minimum 2% slope. 3. Private Water Wells. 4. 2 Neighbor Lots Are Undeveloped. RIO0 / ~.~ .... ~. ,, ~ i = 6o 907.694.7028 ~/t~tl ;BLOCK B LOT 9 ._C O ~J C U C C) c- C U C 0 0 C 0 C 0 0 C 0 0 Q ~ Q- Z Z 0 I-- Z Z (._) a SBILS LB(] - PERCBLATIF1N TEST PerFormed For~ Lee Coy DEPTH (FEET) ~ - .0'' ~ - .~.~...~. ' 6 - 10 - '.'. ' 13 .... " 14 - 15 - 16 - 17 - 1~ - ~0 - ~1 - PerFormed in Drganic Groundwater Bbserved: None Depth To Water AFter MonitorinD: Date oF Monitor: 11/23/03 None SP/GW Sand w/ Gravel ~ Dance Gross Time Ne~c Time Dep~ch Ne$ Drop 1 11/11 0 8,75" -- P 11/11 1 1 min, 7,75" 1" 3 11/11 3P -- 7,5,, __ 4 11/11 33 1 min, 6,5" 1" 5 11/11 64 8,0" __ 6 11/11 65 1 min, 7,0" 1" PercoLation Rate: 1,0 min,/inch Pre-Soak Seeped Away In Under Pert HoLe Diameter = 6' Test Run Between 3' and 4' Accordanc~ith ALL State/MunicipaL GuideLines in 10 Minutes EFFect , Eogl,e River, Al~.sk~ 99577 TESTHDLE LBG GEDTECHNICAL iT, H, 4 11/11/03 4 oF Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street 105¢ ' 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 050-315-44 Expiration Date: GENERAL INFORMATION Complete legal description Rosebenr-y Par'~ ]~[ock P, Lot 9 Location (site address) Jessie Mc~e Circle Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Troy Davis Day phone 165 E, Parks Hiway 99654 357-9394 Day phone Audrey Mason 622-3344 Day phone RE/MAX o¢ Eagte River` Un/ess otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Public Water System Well 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 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 bed~oms and type of structure indicated herein. I ~urther verify that base~the information obtained from the I~ality of Anchorage files and from my investigation and inspecti~d?~'~ r~-site water supply and/or ~'[~e~ disposal system is(are) in compliance with all applicable Municipal ~S~:~a~,,cpdes, ordinances., aJ~ations in effect at the time of installation. ?~_~-" NorthRim Engineerin9 694-70P8 Name of F~m · Phone P,n, 3ox 7707;:>4 Address" S-teve En9 1P/8/lO Engineer's Printed Name Date DSD SIGNATURE Approved for L~ Disapproved, Conditional approval for bedrooms. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other (Rev. 11105) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343~7904 CERTIFICATE OF ON-SIT. E SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Roseberry Po`rk, Block 8 Lot 9 Parcel ID~50-31~-44 Well type P Date completed 3/31/05 Total depthS00' ft. If A, B, or C provide PWSID # ~ Sanitary seal (Y/N)Y Cased tel41' ft. FROM WELL LOG Well Log (Y/N) y Wires properly protected (Y/NX y Casing height (above ground) 30~ in. AT INSPECTION Dateof test 3/:~1/05 Static water level 7 ;:) ft. Well production ;:) g.p.m. WATER sAMpLE RESULTS: . Coliform 0 colonies/100 eL' Nitrate0,805 mg/L Arsenic.0,431 ug/L date of sample: 11/2:)9/10 B. SEPTIC/HOLDING TANK :DATA TankType/Material Anch To`hi< (steel) Tank size1;:> 5 0 gal. Number of Compartments Foundation cleanout (Y/N) Y Depression over tank (Y/N)N Date of pumping new Pumper C, ABSORPTION: FIELD DATA 54,4 ft. 2,5 g.p.m. Collected by: SN Date installed 7/15/10 Cleanouts (Y/N) y High water alarm (Y/N)N. Length 60 Total dep~ ~ ft. Date of adequacy test Date installed 7/15/10 Soil rating (g.p.d.fit2 or ft2/bdrm)1,0 ft. Width 5 ft. Eft. absorption a~)~0 Monitoring tube y tq e w Results (Pass/Fail)P_Q,5.5__ no, not Fluid depth in absorption field before test ~ in. Water added no~ no` Elapsed Time:~ min. Final fiukt depth ,, in. Any rejuvenation treatment (past i 2 mo.) (Y/N & type) ~ gal. Absorption rate >= System type T r e n c h Gravel below pip~ f-Tg ft. Depression over fieNI . ~ For4 bedrooms New depl~0' in. g.p.d. If yes, give date NA D. LIFT STATION Date installed "Pump on" level at~ in. Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100' + Absorption field on lot 100' + Public sewer main NA Sewer/septic service line ;~5' + Animal containment areas 100' + Size in gallons "Pump off" level at~ Cycles tested in. Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacon.t lots 100' + On adjacent lots 100' + Public sewer manhole/cleanout NA Holding tank ~A Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Property line 10' + Water service line.. ~5' + Building foundation 10' + Water main NA Wells on adjacent IotstO0' + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field Surface water Water main NA Property line Water Service line Curtain drain COMMENTS 10'+ 10' + NA Building foundation 10'+ 100' + Surface water Wells on adjacent lotst00' + 5/ + 100' + Driveway, parking/vehicle storage10' + in. I ce~i'~ that I have determined thr~gh fieM inspections and rewew of Municipal r~rds ~ ~e ~Ove systems ~e in ~nforman~ with MOA COSA guidelines in effe~ on this date. Engine~,s Pr~t~ Nam~e ve Eng ', COSAFee $ g~' ~q Date of payment / ~,//~O,~",~ Receipt Number (~/'~'-/~ 7 ~-- (Rev. 4/10) Waiver Fee $ Date of Payment Receipt Number 5 4 I I i _/II / LOT 9 BLOCK 2 HAS 47,044 SQ.FT. OF AREA ~0,0 / / ! I / 1 ./ ./ 3B.O0 / / / / / /o / o / / / / / / DRIVEWAY NOT ACCURATELY LOCATED DO TO ICE AND SNOW. /-.. / / TROY DAVIS HOMES Date Scale C.,~APHIC SCALE: JESSIE / / MAE CR. / I / / / / / ! /ncr/ = 40 Feet Legal Description Lot 9 I Block g I 1 / / / LonMork Survey~n§, Inc. 9330 Vanguard Drive, Suite 131 Anch?rage, Alaska 99507 {907) 562-6050 12-05-10 1"=40' Grid As-built NW 154 201030 Field Book Drawn by cef ROSEBERRY PARK ESTATES I hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto unless otherwise shown. 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 easements on said property except as shown. IL is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to finish grade and utility connections and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. lasted distances prevail over scaling. Reproduction may cause distortion.