HomeMy WebLinkAboutROSEBERRY PARK ESTATES BLK 3 LT 1Roseberry Park Estates Blk 3 Lot 1 #050-315-48 Inspection Keport_1-1-12.doc Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141054 PID Number: 050-351-48 ❑✓ New ❑ Upgrade Name: Garret Staudinger ABSORPTION FIELD ❑ Deep Trench 2 Shallow Trench ❑ Bed [:]Mound Address 11323 Jessie Mae Circle ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1 GPD/SF 6.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.5 Ft. I Gravel depth beneath pipe 1.5Ft. Subdivision Block Lot Roseberry Park Estates 3 1 Fill added above original grade O Ft. Gravel length 120 Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines N/A Distance between lines I N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 800 Fe 2 - 1OFt. Well 137.1 137.9 137.9 N/A 126.6 TANK ❑ Septic El S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 2000Gal. Surface Water 100+ 100+ N/A N/A Material Number of compartments Lot Line 43.4 33.3 43.4 N/A STEEL 2 NA Foundation 11.1 10.0 11.1 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A ORENCO 500 Gal. Remarks Pump on level at 43 in. Pump off level at 40 in. High water alarm at 45 in. Pump make and model P2005 Electrical Inspections performed by Z Fi�e��� `c CIL(., Installer PIPE MATERIAL House to tank 3034 Tankto 3034 drainfield Northern Excavation & Construction Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspection1 ` dates: 7/21 /2014 2m 7/22/2014 Location and description 3" 7/23/2014 4'" I House FF COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp - of At,Ii1 Conditional Approval: Date ,.• , V� ����p seven W-0 6— n8mAW t 9 x`81 Approved Date 1- g - /S Inspection Keport_1-1-12.doc _ SEPTIC AREA (E) r SEPTIC AREA E � I I SAI NEW DRAIN FIELD j =�-NEW 20008 STE.P. TANK T2 LS (2EA) 60LF x 5'W x Ls'ED x 6'TD \,y A Tl'. M3 RESERVE DRAIN FIELD (P) 15LF x 5'W x 4.0'ED x 6'TD 1 MIm FC M1 C (BASED ON CAT III) I fROSEBERRY PARK ESTATES � 9 p0 TH-8 (9/2005) DRIVEWAY 58R� M4 HOUSE M (P) B M2 �Y'•, WEL�(E) LOT 1 n WELL (E) /. \ � 1A - SEPTIC AREA (E) W� Wei I 12 A B FC 21.8 58.3 T1 24.7 59.7 T2 32.5 63.2 LS 34.0 64.0 M1 33.6 51.0 M2 89.0 13.8 M3 43.0 52.4 M4 93.5 1 29.4 _ SEPTIC AREA (E) r SEPTIC AREA E � I I SAI NEW DRAIN FIELD j =�-NEW 20008 STE.P. TANK T2 LS (2EA) 60LF x 5'W x Ls'ED x 6'TD \,y A Tl'. M3 RESERVE DRAIN FIELD (P) 15LF x 5'W x 4.0'ED x 6'TD 1 MIm FC M1 C (BASED ON CAT III) I fROSEBERRY PARK ESTATES � 9 p0 TH-8 (9/2005) DRIVEWAY 58R� M4 HOUSE M (P) B M2 �Y'•, WEL�(E) LOT 1 n WELL (E) /. \ � 1A - SEPTIC AREA (E) W� Wei I 12 NOTES: nA O0� 7 ENG P.RECORD AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 _���� �k ,� '(�oF•ACgslk' Fy+) .............. Steven R Pannone / CE CE 8149?/ +�1FAFOPRO E5510NP �� Date 10/22/14 DRAWING Scale P.LD. NO 351-48 PERMIT NO. OSP 141054 ROSEBERRY PARK ESTATES, BLOCK 3, LOT 1 GARRET STAUDINGER 11323 JESSIE MAE CIRCLE EAGLE RIVER, AK 99577 PLAN Sheet 2 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1, ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND ATTACHED PES SPECIAL PROVISIONS. 3. SCOPE OF WORK: INSTALLED NEW 2000g S.T.E.P. TANK. INSTALLED SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 11.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 11.0 FEET BELOW EXISTING GRADE. ROSEBERRY PARK ESTATES TH-8 (9/2005) ILTER FABRIC 4' 0 PERF PIPE ROCK S" ABOVE PIPE INV 90'.1 _- 5 94.6 DRAIN ROCK SECTION NEW 2000 g S.T.E.P. TANK DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 2000g S.T.E.P. PERC RATE — 0.44 MPI SOIL RATING: 1 GPD/SF AREA ROD: 750 SF SYS. TYPE. WIDE TRENCH 1.5'ED RF: 0.78 MIN LENGTH: 115 LF USED: (2EA) 60 LF X 5' WIDE, 1.5' E.D., 6.0' TD TOTAL AREA: 800 SF DRAIN ROCK PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS NEW SEPTIC TER FABRIC 4" a PERF PIPE )RAIN ROCK 6" ABOVE PIPE INV ABBREVIATIONS CU COPPER DIP w z Qo o z F and ¢I ZZ Zw Z J C# 0U QF NEW 2000 g S.T.E.P. TANK DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 2000g S.T.E.P. PERC RATE — 0.44 MPI SOIL RATING: 1 GPD/SF AREA ROD: 750 SF SYS. TYPE. WIDE TRENCH 1.5'ED RF: 0.78 MIN LENGTH: 115 LF USED: (2EA) 60 LF X 5' WIDE, 1.5' E.D., 6.0' TD TOTAL AREA: 800 SF DRAIN ROCK PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS NEW SEPTIC TER FABRIC 4" a PERF PIPE )RAIN ROCK 6" ABOVE PIPE INV ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK .CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NC. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE_ NOTES: PANNONE ENG SVC, LLC Date `rG �F.ACgsl�, 10/22/14 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 S PHONE (907) 272-8218 FAX (907) 272-8211 o�y+� scale %gp 9 TH '. *I/ NTS .... .. .. ..... P.I.D. NO ROSEBERRY PARK ESTATES, BLOCK 3, LOT 1 - 0-351-48 GARRET STAUDINGER / Steven R. Pannone' j PERMIT NO. ` CE 8149..,\ OSP141054 11323 JESSIE MAE CIRCLE c, DESIGN DETAILS EAGLE RIVER, AK 99577 �Ili�FO 0..S.9- Sheet Certified Drilling Log DOC CO dba t�BILL a COL %ULLIVAN WATER WELLS Of P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Garret Staudinger ADDRESS: LEGAL DESCRIPTION Roseberry Park Blk 3 Lot 1 DATE: 4/1/05 Bore Hole Data Depth From To 0 2 Casing stickup PERMIT NUMBER: 050061 DATE OF ISSUE: 3/30/05 TAX IDENTIFICATION NUMBER 05031304 Is well located at approved permit location: Yes No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 240' Casing Type: steel Wall thickness ,250 inches Diameter: 6" inches, depth 140 feet Liner type none Static Water Level: 70 feet Recovery Rate 2 gpm gph Method of Testing air Well Intake Opening Type:Ej open end ®open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite chips volume: 75lbs Depth: from o feet, to 20 feet Well Disinfected Upon Completion: ®yes no Method of Disinfection: Chlorine 50ppm Comments: 2 4 Overburden 4 28 Silty gravel 28 35 Silty gravel wet 35 68 Silty gravel tight 68 73 Clay gravel mix, wet 73 100 Silty gravel 100 105 Silty gravel clay mix 105 114 Silty gravel 114 128 Hardpan 128 165 Bedrock dark gray 165 173 Bedrock broken- Water 173 210 Bedrock dark gray 210 240 Bedrock dark gray s/ quartz Drillers Name: Bill Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. D,S C berry l9ur"!<f �5+ute 5 U 63 Ll �Mlittinfl 1100 J ooby c000.da SULLIVAN WATER P:C. eCt b70?l2. C"UQ Mt. AtAWA fIiSQ7 • OVA*ROFIJWiI oc. per �seo 6 ! Deneofts!+•^3 - 3a.QI wic - 'rFir Knot ntmt tswdbatedrtapo:orod� �Q"b MeomdofDWM Muter CtCtfbbbd Depthefwdk o7�a' ca*m7yPeI-- wai7tidaMxss Asa ted.es ww"NW 6" - .- , dopft /4o roar UnwToe:-- 4%* -4E C6VSttcb Aho.ei�*t StaticMtalrrlr+re` feet fieoova•fia� a sPR1 MaWolTesti 9' -t,s Wag' is'eOperftTW end t]epethde :.!Seemed;. Stat feet Slopped fuer a Pe:tmoom Sta:l feet Stopped feet Ar GmATlr M f3i5 a n -ar F- C�{Iblroe 74 C 2S. pepOckm g IMMAD Q feet Wei DWnbcfedtlpwCoe:fpttWt7ftlC5 Otho t�ttiodoi �''��oK..�� 3o/frt WELLS STt c. K'Jf 64it26 L cu7E C.. .-y 6a#Jc.. -rL"Y" O ._ S /a : Y Ag.4J4" S 13 FOA ac.r 9caL 6id:j LM llg AM I*,C_ l�.Ca 'Wi9ic"� 1700A mot of4g K,,<014 r... -..�. .;.` n. Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99507-6650 www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW 050061 Date of Issue 3/30/05 Parcel Identification Number: 05031304 Legal Description Roseberry Park Est. Blk 3 Lot 1 Pump Installation Date: 8/29/14 Pump Intake Depth Below Top of Well Casing: 232 Pump manufacturer's Name: Goulds Pump Model: O7SB50412CL Pump Size: 1/2 Pitless Adapter Burial Depth: 10 Pitless Adapter Installer: Martin Const Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 ppm Comments: Martinson Pitless Adapter Property Owner Name & Address Garret Staudinger feet hp feet Pump Installers Name: Sullivan Water Wells — Cole Sullivan & Terry Worrell Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Well Disinfected Upon Completion? J ELECTRIC LLC 6732 E. 99th AVE. ANCHORAGE, AK. 99507 January 7, 2015 Pannone Engineering Service Steve@panengak.com RE: Garret Staudinger 11323 Jessie Mae Cr July 22, 2014 This letter is to certify that J Electric LLC wired a septic Liftstation at the above address in accordance to the NEC and MCA Codes. J ELECTRIC LLC Contr . Lie # 34469 F%01 T?A NON -OBJECTION TO EASEMENT ENCROACHMENT DOCUMENT By this document Matanuska Telephone Association, hie. (MTA) declares that it has no objection to the encroachment of a well within the platted telecommunications and electrical easement located within Lot 1, Block 3, Roseberry Park Estates, Plat No. 2005-155, filed in the -Anchorage Recording District, Third Judicial District; State of Alaska. Please be advised that MTA through the issuance of this document does not forfeit any of its rights to the use of the area cited. In the exercise of these rights MTA will, if needed, upgrade, maintain, repair, and/or replace buried or aerial telecommunications facilities within the easement. Any repairs that may be required to the encroachment as a result of utility construction will be home by the property owner of record. This document does not authorize the placement of any additional encroachments within the easement area. Property owners are required to obtain utility locates before doing any kind of work in the utility easements and will be liable for any damages caused by their construction work in the easements. This document is in no waLan agreement to vacate any portion of the utility easement and should not be interpreted as such. Issued for Matanuska Telephone Association, Inc. this 7th day of January, 2015, by, 44 A/I. , Manager, OSP Engineering and Construction THIS IS TO CERTIFY, that on this 7th day of January, 2015, before me the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Robbie Nash known to me and to me known to be the individual named in and who executed the foregoing instrument and acknowledged to me that he signed and sealed the same as a voluntary act and deed for the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and year first above written. NotaryP in and' Alaska My coffimission expires: 11-20-2018 GRANTOR: Matanuska Telephone Association Inc. PO Box 3550 Palmer Alaska 99645-3550 800,746.9510 907.751 .251 0 907,761.2646 (fax) www.mtasolutions.com Loom Long Distance Wireless Business Solutions Internet Directory DTV MATANUSKA ELECTRIC ASSOCIATION, INC. LETTER OF NON -OBJECTION January 8, 2015 Garret J. Staudinger and Jamie M. Staudinger 11323 Jessie Mae Circle Eagle River, AK 99577 Re: Block 3, Lot 1, Roseberry Park Estates (Plat 2005-155, Anchorage Recording District) Dear Garret J. Staudingerand Jamie M. Staudinger: MFA has no objection to the encroachment of a well located in the utility easement as depicted on the attached as -built survey drawing, subject to the following conditions: 1.The improvement will in no way restrict or limit the current or future ability of MEA to fully enjoy the benefits of the easement for any and all utility purposes that it presently enjoys under the easement. 2.MEA will be held harmless by the landowner from liability for any and all damages or injury to any person or property that may result from the existing and future use of the easement by MEA, its contractors, or assigns. 3.MEA will be held harmless by the landowner for any and all liability arising out of or relating to any use of the easement by others under a Letter of Non -Objection. 4.The landowner will be liable for any damages caused to MEA facilities by the improvement in the easement. 5.The landowner will be responsible for any special construction costs incurred by MEA due to the improvement in the easement. 6.The landowner will assure compliance with all applicable safety codes relating to the improvement in the easement. 7.1-1se of this letter by the landowner, their successors or assigns will constitute acceptance of these conditions. 8.Alteration of these conditions shall invalidate this letter. g.This letter is not effective unless it is recorded in the Anchorage Recording District before ownership of the referenced property is changed from the above named landowner. Sincerely, i6 Keith Quintavell Right -of -Way Administrator STATE OF ALASKA)SS- THIS IS TO CERTIFY that on this 8 day of January , 2015 before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared AC 8 Cur%v �2 Known to me and to me known to be the individual(s) named in and who executed the foregoing instrument acknowledgedand to mein nedthey signed ani sealed the,Wufe?as uragluntary act and deed for the uses and s IN WITNESS WHEREOF, I have hereunto set my hand andrfiyciya�l seal the daya"rfd year first above written SEAL f.l /Ey Notary Public in annd�of•Alaska My commission exp' ss_ OpReturn to: MEA, PO Box 2929, Palmer, AK 99645 t' +n,...,..,..:u k k . 15 y / J&Eg\U�cRc_VA_. w , ®`@9 Aq®* 7#� -ae q"§\%| yWX » % | 2I■ Ae ._¥ � * f ■ \ /§ Q\ \�'�� G ; 3DB 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: OSP141054 Tax Code Number: 05031548000 Work Type: Septic Initial Permit Effective Dates: April 16, 2014 to April 16, 2015 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: ROSEBERRY PARK ESTATES Site Legal Address: ROSE BERRY PARK ESTATES BILK 3 LT 1 G:0154 Owner/Address: STAUDINGER GARRET J 3312 EAST 46TH AVE ANCHORAGE AK 995071546 Site Mailing Address: 11323 JESSIE MAE CIR, Eagle River This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 44275 Total Bedrooms: 5 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. Coi v'ev75o.1 IlAa �rrn�1.'P� eldaVIA sE91�r- L\1\Z- coo Received Issued By MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-315-48 Property owner(s) Sam Theis Day phone Mailing address Site address 11323 Jessie Mae Circle Legal description (Sub'd., Block & Lot) Roseberry Park Estates, Block 3, Lot 1 Legal description (Township, Range & Section) Lot Size 44,275 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑X Initial RX Single Family (SF) ❑X (w/wo ADU) Septic Tank 1ZUpgrade F]Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) /p ' p ® �^ p Private Well ❑ l V M 1 T i& Water Storage ❑ J L MAR 2 7 2014 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. property owner or authorized agent) Permit/Rush Fees: 5-14 — Waiver Fees: Date of Payment: 3I27Iiq L&�_ Date of Payment: Receipt Number: ba'1q L � Receipt Number: Permit No. o5nLA 106-q Waiver No. Permit App__. : - :'-.,:c- Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@r)anencak.com March 26, 2014 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. 0. Box 196650 Anchorage, Alaska 99519 Subject: Roseberry Park Estates, Block 3, Lot 1 Septic System Permit Request Ladies and Gentlemen: I am writing to request a permit to install a new septic system be issued for this property. The proposed systems will serve a proposed five (5) bedroom house. Currently the lot is undeveloped, with the exception of an existing well that was drilled as part of the subdivision development. The proposed system will utilize a 1500g S.T.E.P. tank and conventional drain field. The surrounding developed lots are served by private wells. There are no wells on surrounding lots within 100 feet of this system and there are no septic systems installed on the surrounding lots within 100 feet of the proposed well. Soils. One test hole was performed on this lot by Steve Eng in 2003, and groundwater was monitored for seven days. Ground water was observed at twelve and a half feet (125) below the surface in the test hole monitor tube in May of 2004. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 1.0 gallons/day/square feet should be used for a conventional wastewater system. 1. Soil Absorption System Design. a. See Sheet 2 of the design package. 2. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: The existing topography slopes from the northeast to southwest at approximately 8%-10% in the area of the proposed drain field. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation to the road cut -slope adjacent to the downhill side of the lot. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 4. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no surrounding wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 Fast Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Coa w — � -- '' SEPTIC AREA (E) SEPTIC AREA (E) cri 2000g S.T.E.P. TANK (P) DRAIN FIELD (P) (2EA) 6OLF x 5'W x 1.5'ED x 6'TD mm � 4 - S S ,m M \ �i,.0` RESERVE DRAIN FIELD (P) �� M �� 15LF x 5'W x 4.0'ED x 6'TD m-. 'O (BASED ON CAT III) �� m m SBR ROSEBERRY PARK ESTATES HOUSE p p TH-8 (9/2005) .(P) '0 O 1ly� DRIVEWAY GAS M (TO BE VACATED) M �y 130.3 WELL (E) x.::=�, \ _ S7 � SEPTIC AREA (E) NOTE: ENOUGH FALL EXISTS BETWEEN OUTLET OF FCO AND INVERT OF DISTRIBUTION PIPES, INSTALL 1500g SEPTIC TANK WITH DCO FLOW SPLITTER. GRAVITY FEED DISTRIBUTION PIPE WILL BE 4" 6 DRAIN PIPE. '\ 12, \. NOTES: PANNONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 C.O. 2 PHONE (907) 272-8218 FAX (907) 272-8211 ROSEBERRY PARK ESTATES, BLOCK 3, LOT SAM THEIS 11323 JESSIE MAE CIRCLE PLAN EAGLE RIVER, AK 99577 ®I 5/22/14 50 . ... .. .... P.I.D. NO ,,, / 050-351-48 Steven R. Pannone PERMIT NO. ,. CE 8149 OSP141054 It In SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND ATTACHED PES SPECIAL PROVISIONS. 3. SCOPE OF WORK: INSTALL NEW 2000g S.T.E.P. TANK. INSTALL SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 11.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 11.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. ROSEBERRY PARK ESTATES TH-8 (9/2005) ILTER FABRIC 4" 0 PERF PIPE ROCK 6" ABOVE PIPE INV 1.5 - DRAIN ROCK m 1500 g SEPTIC TANK (P) DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 1500g SEPTIC PERC RATE = 0.44 MPI SOIL RATING: 1 GPD/SF AREA ROD: 750 SF SYS. TYPE: WIDE TRENCH 1.5'ED RF: 0.78 MIN LENGTH: 115 LF USE: (2EA) 60 LF X 5' WIDE, 1.5' E.D., 6.0' TO TOTAL AREA: 800 SF DRAIN ROCK PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC NOTES: PANNONE ENG SVC, LLC CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 2 PHONE (907) 272-8218 FAX (907) 272-8211 ROSEBERRY PARK ESTATES, BLOCK 3, LOT 1 SAM THEIS 11323 JE DESIGN DETAILS EAGLER VER, AK 99577 ABBREVIATIONS CU -11.0 (6/23/2014) 1-=—1 DUCTILE IRON PIPE 1 TEST HOLE FC -12.5(5/1/2004)x- T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION SECTION DOUBLE CLEAN OUT DV -14.0 FS FLOW SPLITTER BFG BELOW FINISH GRADE w FlLTER FABRIC FG FINISH GRADE m 4" 0 PERF PIPE o �- F� o o F z rw as a ¢i z DRAIN ROCK 6" v v w t ABOVE PIPE INV 1500 g SEPTIC TANK (P) DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 1500g SEPTIC PERC RATE = 0.44 MPI SOIL RATING: 1 GPD/SF AREA ROD: 750 SF SYS. TYPE: WIDE TRENCH 1.5'ED RF: 0.78 MIN LENGTH: 115 LF USE: (2EA) 60 LF X 5' WIDE, 1.5' E.D., 6.0' TO TOTAL AREA: 800 SF DRAIN ROCK PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC NOTES: PANNONE ENG SVC, LLC CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 2 PHONE (907) 272-8218 FAX (907) 272-8211 ROSEBERRY PARK ESTATES, BLOCK 3, LOT 1 SAM THEIS 11323 JE DESIGN DETAILS EAGLER VER, AK 99577 ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE 6/23/14 *f,rPR TS NO 51-48 nF2. -Pannome� TNOCE 8149 j 41054 2 OF c©a ADVANTEX DESIGN - RESERVE SYSTEM ADVANTEX 24" PASSIVE 4" JIM CAP_ AX20 POD\ INSULATED AUXILIARY AIR p� \ RISER PUMP BASIN \ VENT 4" PUMP—OUT, --------I ILON --IIIfj 6 11 E ( AN2000 CHORAGE ITANK SLIDE SECTION OF 6" PIPE OVER THIS CONNECTION TO PROVIDE SHEER PROTECTION— EXTEND TO BRIDGE EXCAVATION DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 2000g S.T.E.P. W/ AX20 POD PERC RATE = 0.44 MPI SOIL RATING: 6 GPD/SF AREA ROD: 125 SF SYS. TYPE: 5' WIDE TRENCH 4.0' E.D. MIN LENGTH: 12.5 LF USE: 15 LF X 5' WIDE, 4.0' E.D., 6.0' TO TOTAL AREA: 150 SF NOTES: PAMONE ENG SVC, LW P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 FOR CONSTRUCTION FOR FUTURE CONSTRUCTION RESERVE SYSTEM ROSEBERRY PARK ESTATES, BLOCK 3, LOT SAM THEIS 11323 JESSIE MAE CIRCLE EAGLE RIVER, AK 99577 C.O. 2 SITE SECTION (/ NTS •' P.I.D. NO ............ n R. Pannone / PERMIT N0. CE 8149�� OSP141054 P l,4 Sheet "� 3OF3 Parcel I.D. 050-315-48 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 s x = t Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: 14 - d - Complete legal description Roseberry Park Est. Block 3, Lot 1 Location (site address) 11323 Jessie Mae Cir. Current Property owner(s) Garret Staudinger Day phone _ Mailing address Real Estate Agent 3312 E 46th Ave. Anchorage, AK 99507 2. TYPE OF DWELLING: Fxj Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well F Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: FREINO ��� = W COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ �j� Ov Waiver Fee $ Date of Payment ! s/�s (� Date of Payment Receipt Number Receipt Number COSA# i�IJ�IJ����� 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. In conducting an adequacy test, 1 attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE __AZ System #1 Approved for J bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 272-8218 Date 12/30/2014 en'-�2. �aririorie CE -8143 ; Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: - " _5 The i ' alof 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA biue sheet C .. If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system I Certificate of On -Site Systems Approval Checklist Legal Description: Roseberry Park Est. Block 3, Lot 1 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 4/1/2005 Sanitary seal (Y/N) Y Total depth 240 ft. Cased to 140 ft FROM WELL LOG Date of test 8/29/2014 Static water level 70 Well production 2 ft. g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 1 1 mg/L Arsenic ND ug/L Date of sample: 12/15/2014 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T. E. P/Steel Tank size 2,000 gal Number of Compartments 2 Foundation cleanout (Y/N) Y Date of pumping New Depression over tank (Y/N) N Pumper Parcel ID: 050-351-48 Well Log (Y/N) Y Wires properly protected (YIN) Y Casing height (above ground) 18+ in. AT INSPECTION New New New Collected by: PES ft. g.p.m. Date installed 7/21/2014 Cleanouts(Y/N) Y High water alarm (Y/N) Y C. ABSORPTION FIELD DATA Date installed 712312014 Soil rating (g.p.d./ft2 or ftz/bdrm) 1 GPD/SF System type Shallow Trench Length 120 ft. Width 5 ft. Gravel below pipe 1.5 ft. Total depth 6 ft. Eff. absorption area 800 ftz Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) Pass For 5 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed 7/21/2014 "Pump on" level at 46 in Datum Bottom of Tank E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 250 `Pump off' level at 40 Cycles tested New Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ in. Manhole/Access (Y/N) Y High water alarm level at 45 Meets alarm & circuit requirements? Yes On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION 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. Engineer's Printed Name Steven R. Pannone Date 12/30/2014 COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 10+ in. 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