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HomeMy WebLinkAboutROSEBERRY PARK ESTATES BLK 3 LT 4Roseberry Park Estates Block 3 Lot 4 #050-315-51 Municipality of Anchorage Inspection Community Development Department Page I of 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 C p � Permit Number: _ d�T �2 (l Z`Y PID Number: 05jas 155 1®c® 'New ❑ Upgrade Name: ,jo•m�5 M sf Tow•zL L 13"v�A t ABSORPTION FIELD Deep Trench ❑ 'Shallow Trench P Bed ❑ Mound Address❑ e.,. - I ? 2 '�'mseb�croLrk �rr ✓2 R LJ Other W 14 P, rA4_Ck— Phone Numbar of Bedrooms Soil Rating Total depth from original grade �1 -10-7-ZZ3' �p SS% S 1.2 GPD/SF S Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade y Gravel depth beneath pipe U Ft. SubdivisionBlock Lot vY Fill added above original grade L.I Ft. Gravel length �O 7i, 5; Ft. Township 14 Ran c`le` l Section Vv Gravel width S Ft. Beds: Number of Lines NA Distance between lines I N,4 Ft. 1( SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line & 215 Ft 1 NA Ft. Well iDO 1 Do, t / 1�0t+ TANK N Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer r@rZr Capacity 1S 00 Gal. ✓� Surface Water ,,// I b0 + 1 (7Dr t /L Material S'e Number of compartments ?_ Lot Line I -z0' q z t ^ NA Foundation Zs ° 45, x LIFT STATION 7`� Capacity Curtain Drain x x- /` / -/,Gal. Remarks 52-P �-vG Pump on level atHigh evel at water alarm at I ,ns�,2z)ry� J>off in. Soi n ISiCn� t�1 ,r^ rS h'�trl 1 Pump make a del Electrical lnsp;>Skkjjrformed by A rod tlu_4% jVVAL., A)K. Installer PIPE MATERIAL House to tank Tankto ;0 Oln3y drainfieldp3 3 �r' pN �p�,Kl l..(�2(r�%Q..VL— �aq�t �jf4t,CX, J P1/LpM0 Drainfield D3p;4 CO/MTD3ea3 Inspector Iltin 8 19 rto BENCH MARK (Assumed elevation) I 1 p. s ft Inspection O /It -/12, L ,� esciptiondates: t [Icatio,,n 4'"e — Floor '34a a � r N� Y � �Q�,a COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF q<�� Conditional Approval: Date �PtE• .. _ •. i rH*,j i*- 4 p.. .: . ..... ... ..... .. ...f •• •••• ....... If P 10NNEY JR •� Approved ate ?_/ Dates— 1t��o -.•' Inspection Report -1-1-1269F,- LIDGM ADJACENT PROPERTY LINE PROPERTY LINE - - - - EASEMENT LINE — SETBACK C EXISTING WELL ITTIITHE OWNER'S RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. CURVE BLOCK 1 LOT 5 RADIUS LENGTH TANGENT DELTA E Cl 1 175.00' 1 51.91' 1 26.15' 16'59'49" - 5' SNOW STORAGE \ EASEMENT 125' 15' TELECOM AND ELECTRIC EASEMENT p LOT 3 LOT 6 /0 3g0 \\ / N 4.0'o 8.0,1 4 . / h o / 2.8' ROOF cK h TWO STORY 6 OVERH S WOOD - '6.8' BUILDING / �\\ 8.3, 4.7' DECK y LOT 5 II ROSEBERRY PARKBLOCK 3 ESTATES SUBDIVISION 1� 58616'03"E 482.99' / ORT\ {YqY 125.0' TWO STORY WOOD BUILDING SEE DETAIL A- PATNODE HOMESTEAD / TRACT GRAPHIC SCALE 100 0 50 100 ( IN FEET ) 1 inch = 100 Pt. SEPTIC J / SYSTEM 89'00'57"E 221 / z / ry 3 // LOT 4 / / O 4' SEPTICyam\ \ /AO /SYSTEM SETBACK 45' BUILDING /SETBACK / 25' CREEK MAINT. AND PROTECT EASEMENT LOT 2 g // / BLOCK 2 / ° / ROSEBERRY RIDGE ESTATES SURD. O / 40 f4 .... I ........ f JR. LOT 4, BLOCK 3, ROSEBERRY �looeyIKim A=10tillL PARK ESTATES SUBDNISION yyyyyltby Engineers L yyr myyrr NW 1/4 SECTION 7, T14N, R1W, S.M. AS -BUILT SITE PLAN 08/11/14 1 FIGURE 1 /A \ \ DRIVEWAY / B rJ / r � TWO STORY WOOD / BUILDING \ S / t C E / C n PT -1 SURFACE EL.=98.1 BOTTOM EL.=92.6: NIT WELL¢ 100' SEPTIC SYSTEM SETBACK TC1 TC2 / PT -2 C3 C2LSURFACE EL.=101.82' / C4 BOTTOM EL.=96.312'/ / C6 / 14' DEEP TEST HOLE SURFACBLE BOTTOMEELL=83.723 SWING -TIE TA HOUSE A B CORNERS C D E WELL 50.6' 20.5' — — — C1 — — 12.0' — 3.0' TC1 — — 27.8' 39.5' — TC2 — — 36.0' 43.2' — C2 — — 38.0' 44.4' — C3 — — 39.0' 45.0' — C4 — — 41.5' 47.1' — C5 — — 69.0' 80.0' — C6 — — 59.0' 48.0' — MT — — 68.0' 78.5' — GRAPHIC SCALE 30 0 15 30 ( IN FEET ) 1 inch = 30 ft. LEGEND ADJACENT PROPERTY LINE PROPERTY LINE — — — EASEMENT LINE — SETBACK • CLEANOUT EXISTING WELL ® TEST HOLE LOCATION i QEY P, KINNEY JR. N0, CEW AS -BUILT LOT 4, BLOCK 3, ROSEBERRY TEST PIT/SWING-11E � lemy P. Koelate ilL PARK ESTATES SUBDI ind VISION caasnuu aa [aalars a csrsarars NW 1/4 SECTION 7, T14N, R1W, S.M. 08/11/'14 FIGURE 2 LOT 4, BLOCK 3, ROSEBERRY PROFILE 4i)lemyyP. KinnyA=late hL PARK ESTATES SUBDIVISION , NW 1/4 SECTION 7, T14N, RTW, S.M. 08/11/14 FIGURE 3 94.60' 102.10' 95.10' iU-) m U U U U O &� m il) Ld Q 3. � Z �O li X Q O Ha v F- CWS N ay if) U • ll8 s h� N N U Y Z � W � ct) W O O O O 0 (� v J ]C 0��6 W Q U Q j N 5 O ~ (J F Z Of O F a N *;r• 8TH �j ••:s' �l r..00 b ...L... .. 1119 EVJR no �+t*bti•. NO. •�i GRAPHIC SCALE O CE79M s 5 ( IN FEET) d) 1 inch = 5 ft 10, AS -BUILT LOT 4, BLOCK 3, ROSEBERRY PROFILE 4i)lemyyP. KinnyA=late hL PARK ESTATES SUBDIVISION , NW 1/4 SECTION 7, T14N, RTW, S.M. 08/11/14 FIGURE 3 274 SULLIVAN WATER WEA Domestic - Commarcial - Geothermal Phone 987$88.2759 r .solftamrateme8s.eo n Well Log Permit Number: OSP 121174 Date of Issue T112I2012 Parcel Identification Number: 05931551009 Date Started: 7120/2012 Date Completed: 7120/2012 Is well located at approved permit location? KYes ONo Property Description ROSEBERRY PARK ESTATES Lot4 Section: Town: Range: Block 3 Property Owner Name & Address: JAMES BARNDT 17858 TEKLANIKA DRIVE EAGLE RIVER, AK 99577 Borehole Data: Depth Method of Drilling X❑ air rotary cable tool Soil Type, Thickness & Water Strata From To Casing type: Casing Stickup 0 4 Wall thickness 0.25 inches Fill q g Diameter 6 inches Total: 64 feet Liner type: Silt Sand Gravel WlClay 8 55 Diameter inches Depth: feet Silt Sana Gravel 55 64 Casing stick-up above ground: 4 feet Static Water Level (from top of casing) 0 feet Pumping Level: feet after 1 hours pumping gpm Recovery Rate 30 gpm Method of Testing: Air Well Intake Opening Type Open End n Open Hole ❑ Screened Start feet Stopped _feet Perforations Start feet Stopped feet Grout Type: Bentonite dry granular Volume: 50 Pounds Depth 44 Start 0 feet Stopped 44 feet Pump Intake Depth: feet Pump size: HP brand name Well disinfected upon Completion? X Yes Ll No Method of disinfection CHLORINE 50 PPM Comments: THIS WELL IS FLOWING 12-15 GPM OVER THE TOP. Water Sample Results: Arsenic: Nitrates ug/1 - mg/1 Well Driller: Cole Sullivan Sullivan Water Wells Total Coliform Bacteria colonies/100mL P.O. Box AK 9 Chugiak, AK 99567 Other bacteria: col/100ml- (907)688-2759 Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion. _ J I 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 OSP 121174 Date of Issue 7-12-12 Parcel Identification Number: 05031551000 Legal Description Property Owner Name & Address Roseberry Park Estates L4 B3 James & Tara Barndt 18724 Roseberry Park Dr. Eagle River. AK 99577 Pump Installation Date: 7-14-14 Pump Intake Depth Below Top of Well Casing: 30 Pump manufacturer's Name: Grundfos Pump Model: 10SQE05-160 Pump Size: 1/2 Pitless Adapter Burial Depth: 10 Pitless Adapter Installer: Sanders & Sanders Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Cole Sullivan & Chad Cross- Sullivan Water Wells feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Well Disinfected Upon Completion? Municipality of Anchorage Community Development Department Page ' of 5 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.orglonsite - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT C n Permit Number: 05 12_(t14 PID Number: U550S (55 1000 PNew ❑ Upgrade Name 'r"r, L, BaArv\ 't ABSORPTION FIELD Deep ❑Shallow Trench Bed ❑ Dee Trench ❑ Mound [Other Wie��TY�n-G� Address / Porje ¢ 1i0 dark j�r��� Phone 9 �1 Number ofBedrooms �D'7-G 23_ (o55 S Soil Rating Total depth from original grade • Z GPDfSF 'b Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivisio-n` � �� L ,�._,�r�r y1- Block Lot FjDS6"Y w"v�l� �+7 v+-1 �j �' Fill added above original grade 3 p Ft. Gravel length Township - Range` Section _ ` I V V '- Ft. Gravel width S Ft. Beds: Number of Lines NAr Distance bet een lines N4 FL 11 l7 SEPARATION DISTANCES Tc Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 625 Number of trenches Dist. between trenches From Ft' 1 N A Ft. Well /Oo"t 100 t� vv X ' ` TANK peptic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacit Surface Water /�' x x r•=�Q"'r- 1 400 Gal. Material 1 Number of compartments Lot Line IZt), 92� X X NA Foundation LIFT STATION a urer Capacity Curtain Drain v' fir x Gal. Remarks I S_= r Pump on level at i i off level at High water alarm at in. Sor�S (an4lSni' ,i1 ,r rS {� 7..93 --♦t C- a» Tib d �r� , Pump make a all Electrical Inspec erformed by � Installer {{�� f �r� FaLtk t P! `E MAT T House to t k 4jp a 1-1 nk to y_30 H gdRgg x_34, 14d l—kct(�%e^. Drainfield p 50'34 CO/MT J%?jp Inspector C26A Vulirt.,8 IO BENCH MARK (Assumed elevation) /01040 n Inspection M dates: t �1 10 ( 2' Location and description ' �y. Nar.Y.. - ` t%Q.ii.. '� 7 \ Jott l K I ✓OMt 3' 4 .y 1� COMMUNITY DE OPMEN DEP RTMENT APPROVAL OF A4 Conditional Approv Date _�-/sJ ��6,�' %r4.I tti r�.t44¢�S X r lie (117D/�D1/OL 1 s 4e,01riv V 0. CDP LJO Approved Date inspection neporc_-i-i-tz.aoc Rodney P. Kinney Associates, inc. 8828/11121 Engineers s anrvesers May 10, 2013 Municipality of Anchorage Planning and Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519-6650 Attention: Mr. James Crewdson Reference: Roseberry Park Estates Block 3 Lot 4 Permit: OSP121174 Dear Mr. Crewdson: This letter is to request a conditional approval for the on-site septic system at the above-described property constructed under the permit number OSP 121174. The owner of the property plans to continue building the house and garage foundations this year or next. At that time the owner will also complete the construction of the sewer lines to the tank and the respective house and garage foundation cleanouts (one each) of the sewer system. Anticipated future submittals after above-described construction are listed below. 1. Scaled plan view drawing with swing ties of all standpipes, monitoring tube, and the on-site well to Jp1Y Q`(i corners of the house and garage. hUl 2. Profile drawing showing foundation cleanouts, finish grade elevations, and sewer pipes to the tank 'Odp� with invert elevations. 3. Driller's Well Log. 4. Pump Installation Log. 5. Well water quality laboratory report. Attachments to support this request for conditional approval are listed below. I. The inspection report for the septic system. 2. As -built drawings with swing ties from the constructed on-site system cleanouts and monitoring tube to two well heads. One well was completed per Permit OSPI21174 on this lot and the other well is on neighboring Lot 3 Block 3 Roseberry Park Estates. 3. Profile drawings of the septic tank and drainage field. Please call 694-2332 if you have any questions or need additional information. Sincerely, RODNEY P. KINNEY ASSOCIATES, INC. Greg Eberle, PE Project Engineer Attachments 16515Oentertiela Drive a Suite 101 ■ Eagle liver, Alaska ■ 99577 907.694.2882 0 Fav 907.694.1607 0 www.rpke.net CURVE RADIUS LENGTH TANGENT I DELTA Cl 175.00' 1 51.91' 1 26.15' 16.59'49" BLOCK 1 LOT 5 ROSEBERRY PARK ESTATES SUBDIVISION BLOCK 3 LOT 6 5SNOW STORAGE (VACANT) / \ EASEMENT \ 15' TELECOM AND \ �� ELECTRIC EASEMENT I EXILL G LOT 5 (VACANT) / S86'16'03"E 469 00X Fj LNO�TLL4 R� PROPOSED ryh / GARAGE PROPOSED/ HOUSE o 100' SEPTIC r LOT 4 �//0.0� / SYSTEM SETBACK 45' BUILDING / SETBACK 92' ^b / 25' CREEK MAINT. AND PROTECT EASEMENT cb / S89.00'57" 221.28' / ROSEBERRY RIDGE ESTATES SUBDIVISION BLOCK 2 oT 2 GRAPHIC SCALE 100 0 50 100 ( IN FEET ) 1 inch = 100 ft. LEGEND o"40Wn ,4TIHl ADJACENT PROPERTY LINE X? • r PROPERTY LINE �•' • • — — — — EASEMENT LINE ��• GRzGORY ALAN' ESERLE — SETBACK DRAINAGE FLOW Il ' •o �3 [[.`� LINE EXISTING WELL �`�, `�''�.`°'�� PROPOSED WELL LT 4& Bonny P. buy Asso�aatesE11L LOT -11L ESTOATES ROSEBERRYCK rSUBMASION SIT BP AN saoa0rn E.n..arr a sarNE'r' NW 1/4 SECTION 7, T14N, R1W, S.M. 5/9/13 FIGURE 1 it LOT 3 \ c c PA TNODE HOMESTEAD / TRACT / M TOPOGRAPHY SLOPES TO SOUTH—SOUTHWEST TO 10%, AS SHOWN.' LOT 5 (VACANT) / S86'16'03"E 469 00X Fj LNO�TLL4 R� PROPOSED ryh / GARAGE PROPOSED/ HOUSE o 100' SEPTIC r LOT 4 �//0.0� / SYSTEM SETBACK 45' BUILDING / SETBACK 92' ^b / 25' CREEK MAINT. AND PROTECT EASEMENT cb / S89.00'57" 221.28' / ROSEBERRY RIDGE ESTATES SUBDIVISION BLOCK 2 oT 2 GRAPHIC SCALE 100 0 50 100 ( IN FEET ) 1 inch = 100 ft. LEGEND o"40Wn ,4TIHl ADJACENT PROPERTY LINE X? • r PROPERTY LINE �•' • • — — — — EASEMENT LINE ��• GRzGORY ALAN' ESERLE — SETBACK DRAINAGE FLOW Il ' •o �3 [[.`� LINE EXISTING WELL �`�, `�''�.`°'�� PROPOSED WELL LT 4& Bonny P. buy Asso�aatesE11L LOT -11L ESTOATES ROSEBERRYCK rSUBMASION SIT BP AN saoa0rn E.n..arr a sarNE'r' NW 1/4 SECTION 7, T14N, R1W, S.M. 5/9/13 FIGURE 1 V_ Io f VA o_ 13 Atop \ ROSEB£RRY PARK ESTATES SUED/ VISION BLOCK 3 LOT 4 \ PROPOSED GARAGE (1/2 -BATH \NO 'BEDROOMS) L8.0 CO2 I• / 6.0' p / 0 �j CO5 _) o C06 o / P,, cog a _ PT -10 c n C07 col GREGORYALANEBERLE LF. v \ r7.0' L.F. — — � 30' RADII i NEW 1500 GALLON \ \ SEPTIC TANK ALTERNATE \ / SITE PT -2 \ 1 II \\ o PT -2 r� / MONITORING 08 \ TUBE - \\ /� ?a // \ 14' DEEP TEST HOLE y GRADE EL.=97.8' �\ BOTTOM EL.=83.72' / \ 100' SEPTIC / 62.5' LONG x 5' WIDE x 4' / SYSTEM SETBACK EFFECTIVE DEPTH , / ABSORPTION TRENCH. \ \ APPROXIMATE LOCATION GRAPHIC SCALE su BENCHMARK NAIL IN TREE so 0 10 30' RADII WITH BLUE RIBBON / ASSUMED EL.=100.00' / ( IN FEET ) 1 inch = 20 ft 4& loony P. buyA�OPI�S,IIIC. LPARK STATES OT 4, BLCK �SUBDIMS ONY SEPTICPLAN BUILT 098111101 Flglnut t EuuyRs NW 1/4 SECTION 7, T14N, R1W, S.M. 5/9/13 1 FIGURE 2 UNE TABLE FROM/TO WELL LOT 3 WELL LOT 4 Col - - 0O2 - - 0O3 139 146 C04 139 154 C05 139 156 CO6 1 139 157 C07 107 187 208170 160 C09 138.5 159 MON. TUBE 1 109 187 V_ Io f VA o_ 13 Atop \ ROSEB£RRY PARK ESTATES SUED/ VISION BLOCK 3 LOT 4 \ PROPOSED GARAGE (1/2 -BATH \NO 'BEDROOMS) L8.0 CO2 I• / 6.0' p / 0 �j CO5 _) o C06 o / P,, cog a _ PT -10 c n C07 col GREGORYALANEBERLE LF. v \ r7.0' L.F. — — � 30' RADII i NEW 1500 GALLON \ \ SEPTIC TANK ALTERNATE \ / SITE PT -2 \ 1 II \\ o PT -2 r� / MONITORING 08 \ TUBE - \\ /� ?a // \ 14' DEEP TEST HOLE y GRADE EL.=97.8' �\ BOTTOM EL.=83.72' / \ 100' SEPTIC / 62.5' LONG x 5' WIDE x 4' / SYSTEM SETBACK EFFECTIVE DEPTH , / ABSORPTION TRENCH. \ \ APPROXIMATE LOCATION GRAPHIC SCALE su BENCHMARK NAIL IN TREE so 0 10 30' RADII WITH BLUE RIBBON / ASSUMED EL.=100.00' / ( IN FEET ) 1 inch = 20 ft 4& loony P. buyA�OPI�S,IIIC. LPARK STATES OT 4, BLCK �SUBDIMS ONY SEPTICPLAN BUILT 098111101 Flglnut t EuuyRs NW 1/4 SECTION 7, T14N, R1W, S.M. 5/9/13 1 FIGURE 2 a a ? O Page_—* --of j I Date- R_o_dneyr.NinneV sociaies,_mc. i, oa ide: CCRSUTAIp6 FpCIX AS.SUAYtYCIIS T _ P _ 3( By. � r fd� / lk UN 4 cs AW M I � ® d— a J N � s U �t ' \ 5 y � � RFKA Project • PageC; of -5; Job No., Date • 5/0 _13 ley Associates, inc. nxens.fuxnrxns - Title: On -Site Water & Wastewater 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: OSP121174 Tax Code Number: 05031551000 Work Type: WellSeptic Initial Permit Effective Dates: July 12, 2012 to July 12, 2013 Design Engineer: RODNEY P KINNEY ASSOC INC Subdivision: ROSEBERRY PARK ESTATES Site Legal Address: ROSEBERRY PARK ESTATES BLK 3 LT 4 G:0154 Owner/Address: BARNDT JAMES M & TARA L 17858 TEKLANIKA DRIVE EAGLE RIVER AK 995778244 Site Mailing Address: Lot Size in Sq Ft: 112389 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank 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 Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. v> 1'771 Property owner(s) EavVAJI Mailing address Site address Legal description (Sub'd., Block & Lot) (1L L4 i Legal description (Township, Range & Section) Phone: 907-343-7904 Fax: 907-343-7997 Day phone )V -%V Z- E�t-at�-5, �1k3 SLC k Lot Size J l Z 3 6 ISq. Ft. Number of Bedrooms 51 THIS APPLICATION IS FOR: THIS APPLICATION IS, AN/: (M all that apply) Initial R Absorption Field Tank ,� ,/ L� Upgrade ElSeptic Tank El Renewal ElHolding Privy El Private Well T Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 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. property owner or authorized agent) Permit/Rush Fees: 4 -�J6, io_ Waiver Fees: Date of Payment:311Q Date of Payment: Receipt Number: /69 Receipt Number: Permit No. &'k5P/oq 1I T`s Waiver No. GABui1ding%0n Site\Forms\Client Forms\Permit App _010411.doc (Rev. 111) Tuesday, June 19, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage, AK 99507 907-343-7904 Subject: Lot 4, Block 3, Roseberry Park Estates Subdivision Septic System Design Permit and Well Permit Application To On-site Services Engineers: We respectfully request your review and approval to construct the subject well and septic system. Attached are: 1. A Site Plan and Septic Design Plan (Figures I and 2) with stamp and original signature of engineer. 2. Design and calculations with stamp and original signature of engineer. 3. Results of soils, percolation, and water table test with stamp and original signature of engineer. This septic system design is for 5 bedrooms to be served by a private well. The owner intends to construct a new 4 -bedroom home and an accompanying garage/shop with lavatory facilities. We are proposing installation of a 1500 -gallon septic tank and a 5 - wide trench type drain field. The attached Site Plan and Septic Design Plans, Figures I and 2, respectively, include the existing adjacent property well and the proposed well for this lot as well as the location of all soils and percolation test pits we performed for this design application. No other wells exist within 200 feet of our proposed septic system design. We excavated two test holes and performed two percolation tests whose 30 -foot radii encompass both a primary site and an alternate site. We also excavated a test pit to 14 feet deep to identify soils, verify no bedrock, and to place a 4 -inch perforated vertical PVC tube for ground water monitoring. The deep pit serves both the primary site and alternate site with respect to questions of groundwater and bedrock existence. The topography is generally sloping north to south to approximately 10 percent. This lot is partially covered by gravel fill from 1 foot to approximately 4 feet deep. All our test holes were placed in native undisturbed soil outside the fill limits. Soils below an approximately 1 -foot thick surface organic layer consist mostly of sands and gravel, occasional cobbles and small boulders, and a little silt. Please see the attached soils logs and percolation test results. 3 a to Surface waters are more than 100 feet from the proposed and alternate design locations. Figure 1 indicates the creek that runs northeast to southwest through the subdivision by a solid line with lengths and bearings. Various line types in the 100 scale drawing indicate building setback, septic system setback, and creek maintenance and protective easements, as well as adjacent property lines. This installation creates no adverse effects on adjacent wells or septic systems. Please contact us at 694-2332 with any questions or further required information. Thank you. Sincerely, .: ........... AUM EBERLE CURVE R NGENT1 DELTA Cl 1 175.00' 1 51.91' 1 26.15' 16'59'49" BLOCK 1 LOT 5 ROSEBERRY PARK ESTATES SUBDIVISION BL OCK 3 LOT 6 -5' SNOW STORAGE (VACANT) EASEMENT \ 15' TELECOM AND ELECTRIC EASEMENT \\ LOT 5 \ (VACANT) M EXISWELL G i PROPOSED DRIVEWAY S86'16'03"E 489 00\ WELL 1%00 I AGI + / �• PROPOSED N h / ' \ GARAGE PROPOSED/ / c HOUSE o 100' SEPTIC I LOT 4 SYSTEM SETBACK 45' BUILDING SETBACy 92' 25' CREEK MAINT. AND ok PROTECT EASEMENT i7 n m / 589'00'57"E221.28' / ROSEBERRY RIDGE ESTATES SUBDIVISION BLOCK 2 GRAPHIC SCALE 100 0 50 10D ( IN FEET ) I inch = 100 ft. �o l.ESEdQ , o * ; ii ADJACENT PROPERTY LINE ° PROPERTY LINE — — — — EASEMENT LINE®C ° C eGtY AJti1 AGEPi[ SETBACK DRAINAGE FLOW E ISTING WELL �� � � al LINE ♦ �,`ae. PROPOSED WELL lionyI. NiimA t llL LOT 4,PARK ESTOATES CK ROSEBERRY SITE PLAN c.aE■111n Enusers a sarEarar' NW 1/4 SECTION 7, T14N, R1W, S.M. 6/18/12 FIGURE71 a \ LOT 3 c PA TNODE HOMESTEAD / TRACT TOPOGRAPHY SLOPES TO SOUTH-SOUTHWEST TO 1M AS SHOWN. PROPOSED DRIVEWAY S86'16'03"E 489 00\ WELL 1%00 I AGI + / �• PROPOSED N h / ' \ GARAGE PROPOSED/ / c HOUSE o 100' SEPTIC I LOT 4 SYSTEM SETBACK 45' BUILDING SETBACy 92' 25' CREEK MAINT. AND ok PROTECT EASEMENT i7 n m / 589'00'57"E221.28' / ROSEBERRY RIDGE ESTATES SUBDIVISION BLOCK 2 GRAPHIC SCALE 100 0 50 10D ( IN FEET ) I inch = 100 ft. �o l.ESEdQ , o * ; ii ADJACENT PROPERTY LINE ° PROPERTY LINE — — — — EASEMENT LINE®C ° C eGtY AJti1 AGEPi[ SETBACK DRAINAGE FLOW E ISTING WELL �� � � al LINE ♦ �,`ae. PROPOSED WELL lionyI. NiimA t llL LOT 4,PARK ESTOATES CK ROSEBERRY SITE PLAN c.aE■111n Enusers a sarEarar' NW 1/4 SECTION 7, T14N, R1W, S.M. 6/18/12 FIGURE71 S 10 ` ;000 o TH o %&-, GREGORYAViNEBERIE.. \9°� HOUSE PROPOSED CE / G \ ROSEBERRY PARK ESTATES SUBDIVISION BLOCK 3 \ LOT 4 \ COt \ PROPOSED GARAGE (1/2 -BATH \NO BEDROOMS) 1 7.0' L.F. NEW 1500 GALLON \ SEPTIC TANK 30' RADII 0\ ALTERNATE \ �i C05 -- SITE m C06 12.0 L.F. PT -1- 8.0 \ o _ — J P C077 — _ L.F. \ o J f�� \ MONITORING — — a- _ C08 ro �3� \ TUBE • \\ / \ \ 14' DEEP TEST HOLE h GRADE EL.=97.8' 67 ,BOTTOM EL.=83.72' i / \ 100' SEPTIC / 62.5' LONG x 5' WIDE x 4' \ SYSTEM SETBACK EFFECTIVE DEPTH ABSORPTION TRENCH. GRAPHIC SCALE / BENCHMA KT NAIILCATION N TREE 20 0 10 20 30' RADII WITH BLUE RIBBON 1Z ASSUMED EL.=100.00' ( IN FEET) I inch = 20 ft. OT CK ROSEBERRY R��1�]IP. N rAsse s,lAC. LPARKr ESTOATES 3, SUBWASION SEPTIC AN�12 FIGUSIGN enumn rnw.n a sunt... NW 1/4 SECTION 7, T14N, R1W, S.M. (/18RE 2 �RPRAProject- � ry � 5�e.�Q-j S�? Pageof�'! `�� Job No..I I 'dr Dote. IS I Z Rodney PCONSULjNinneyAssociates mc' Title: �lte /�' COS M Mv�lEd-A�61Q �� t+t-�fjPmM. e._Q cf1 t ovn ai vCCJ MT _ � Zii52+Jf'v vr't Co.t1�X, ca�ve.. r o vat 8 'gypA. A 9034 P\/C cJ S ;-�-oclk s4 tt 6.A v= Jbc I Ori cE g®. ®la t. ®-AY Co l c�3 ��4 Cos Cod CDS Mf -� 50-34 0 S of; 303 4 Q P �r ND e- eau GIr i -�Of 4�\ � 4 4 49TM .-V i , �..... A c�!j� GREGORY ALAN ERE U a� 7Y Project* oorvtc\�-7_?obf-f i.... '5!Je7 - Page�of ^ O (&RPKA Job No.' I l - 11 Z `' ® Date' ^ 4 RedneyF.RinneYAssociates, loc. 9 v ceumnee Ixsiwnes.{IIIVMS Title: ^vv 125�7- 5 fi- e 35ti f:.. �. GREGORY ALA EBERLE : � P '/��jj�, ye F��:�o vvb q ..- 1 /1 y��] //. i 1 (r a V P/ yF' Z ^vv 125�7- 5 fi- e 35ti f:.. �. GREGORY ALA EBERLE : � Performed For: Legal Description: 17- 18- 19 - COMMENTS Municipality of Anchorage Development Services Department Building Safety Division On -Site Walerand Wastewater Program 4700 South Bmgaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsil (907) 343-7904 € Soils Log - 5r6wv�, G?6\)e� Skrv9 t'o/ 5. Lt avLd ca�?��C>z-5 NA LC i Date Performed: Township, Range, Section: PERCOLATION RATE hntruealnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT. PERFORMED BY:Gl)'1LF'r �JDR�y� `�— I _CERTIFY THAT THIS TEST WAS ZZ PERFORMED IN ACCORDANC WITH ALLSTATE AND MUNICIPAL nIDELINES IN EFFECT ON THIS DATE. DATE: J"'4 _.4 i? t a to Z012 - WAS GROUND WATER ENCOUNTERED? spy. I XJ IF YES, AT WHAT DEPTH? r 't l�J Depth to Water After- t Monitoring? PC Date: i Date Performed: Township, Range, Section: PERCOLATION RATE hntruealnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT. PERFORMED BY:Gl)'1LF'r �JDR�y� `�— I _CERTIFY THAT THIS TEST WAS ZZ PERFORMED IN ACCORDANC WITH ALLSTATE AND MUNICIPAL nIDELINES IN EFFECT ON THIS DATE. DATE: J"'4 _.4 i? t a to Z012 - Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Sl. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 q YX•'f;VeIry '% .7, .....A- GREGORY .... PIT,17 GREGORYAUM EBERLE: ��1e�� �j� 1+ . - CE 9254„ - •_S , Solis Log - Percolation Test Lt —L 1 Performed For: ')�Q�21j gyp' &V IN At Dale Performed: Legal Description: L4 (3-3 1�-OS -- LES 4 Township, Range, Section: 1 . Cl-e4,-4 �5 Slope FJ 12- 13- 14- 15- 16- 17- 18- 19- CaVL -45N� t' fir, U-� Gw-61t-i I PM r EMEM Date Gross Time EEEE Depth to Water Net Drop OMEN kw�m�� ■MEM Milrfw INAIMM NO]= MIME 02110■ MRIMM WAS GROUND WATER A ) ENCOUNTERED? ,qr 5 IF YES, AT WHAT DEPTHo j6J; Depth to Water After— D Monitoring? PeE.InF' y.,s' E Date: b KIZ Reading Date Gross Time NEM Depth to Water Net Drop mrCEMw,NEMMI■ e00EWMM■■E kw�m�� IMMEM MMEEE / Reading Date Gross Time Net Time Depth to Water Net Drop yy / J. k, TS .ten da PERCOLATION RATE TEST RUN BETWEEN (min.teslln.h) PERC HOLE DIAMETER j FT AND & S FT PERFORMED BY: 6t('9. -Cy PiQr1� I . CERTIFY THAT THIS TEST AS PERFORMED IN ACcORDANC WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 90 4, ?, Ia Performed For: Soils Log - Percolation Test J ",x-6 1,3&,v- w At Legal Description: '_a 3 5 e -N (3 � Township, Range, Section: W i U. Slope � Site Pla 0 �Vrn° liiG7 2- C,v L lk 5N9 3- q-" to L;Ij (A_ 51 5- _ �sW -fir t-{ 6- Z 7- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUNDWATER j` ENCOUNTERED? a \+© may( S IF YES. AT WHAT DEPTH? L Depth to Water After —Y— n yJ� P Monitoring9 rj® barR,\.f.V E Date: L9 [ iii Reading Municipality of Anchorage Gross Time Development Services Department Depth to Water Building Safety Division On -Site Water and Wastewater Program � 4700 SouthBragaw St. P.O. Box 196650 Anchorage,AK 99519-6650 www.muni.org/onsite - (907)343-7904 Performed For: Soils Log - Percolation Test J ",x-6 1,3&,v- w At Legal Description: '_a 3 5 e -N (3 � Township, Range, Section: W i U. Slope � Site Pla 0 �Vrn° liiG7 2- C,v L lk 5N9 3- q-" to L;Ij (A_ 51 5- _ �sW -fir t-{ 6- Z 7- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUNDWATER j` ENCOUNTERED? a \+© may( S IF YES. AT WHAT DEPTH? L Depth to Water After —Y— n yJ� P Monitoring9 rj® barR,\.f.V E Date: L9 [ iii Reading Dale Gross Time Net Time Depth to Water Net Drop / , �� s SIQ ''• �J_ /u • 1 5- B• PERCOLATION RATEs G; (minuteshntr) PERC HOLE DIAMETER TEST RUN BETVVEEN FT AND FT h n - `z^.. L ,s fihw..- ra3^ _ I I % GSo .asrll g�l, PERFORMED BY: (_j,J'ae lam-. 1%L— I V CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDAN E WITH ALLSTATE AND MUNICIPAL 6UIDELINES IN EFFECT ON THIS DATE. DATE: a • '� Municipality of Anchorage"� On -Site Water and Wastewater Program (907) 343-7904 • , E Certificate of On -Site Systems Approval Parcel I.D. ®5 03 (55 ( ©©(j GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent Expiration Date: // - d �-- D 4 Leff4, i lk 3, SDs ��VL �� �� t8-7Z—t J�55e v. t) � -1U-ZV� cu a v a e 5'77 6,mj-5 14 a, "e r� BDay phone 9D7 ' 6SS� 2. TYPE DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY Individual Well Individual Individual Water Storage ❑ Community Class Well ❑ PUU 1 VVCIter JybMlll ❑ WaiverNariance request for t:r Day phone AUG n GQ14 TYPE OF WASTEWATEF�JPLSPOSAL: Individual i Holding Tank ❑ Community ❑ o..Hr,.c,., ..,.. F uuuu .�cvvc� (1 U Received by: Date:c� JLI COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ (011P Waiver Fee $ Date of Payment 01111q�CL �� Date of Payment j Receipt Number ja J'[ � Receipt Number COSA# 05j�-jq pAr 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 atthetime of installation. Name of Firml��Q✓L l . :wc (phone 90-7-664-Z33Z Address "1 S �'o v`��r '� « ( Jz Ci 1 (Z: q T sl—% Engineer's Printed Name C req ©�( �.c_✓ �� Date � �� ZOI 6. DSD SIGNATURE System #1 Approved for 5— bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for bedrooms, with the following GhcGDI tiv�! v 4! `t` c, By4repre Original Certificate Date: TheOations ge Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upoen 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 blue sheet ('- L c 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: Lo 7 �� 12o5c bev.ru P�, (c- Parcel ID: OSC> 3 (5-5 1 A. WELL DATA e s )c 4S 5 b Well type PV -1 vk,�_ If A, B, or C provide PWSID # /J/4 Well Log (YIN) i Date completed '1 Zo I i Sanitary seal (YIN) __�L Wires properly protected (YIN) Total depth eft. Cased toXMFft. (at) FROM WELL LOG Date of test -7 20 /I 2 Static water level O ft. Well production 30 g.p.m. WATER SAMPLE RESULTS: Coliform D colonies/100 mL Nitrate (9,$`t5 mg/L Arsenic U ug/L Date of sample: 8 0 4 - ) �( B. SEPTIC/HOLDING TANK DATA Tank Type/Material S Tank size PS 60 gal. Number of CompartmentsZ-- -- // Foundation cleanout (YIN) Depression over tank (YIN) N Date of pumping /t%&W Pumper IV4 Casing height (above ground) 4V in. AT INSPECTION d -tK- IH D ft. g.p.m. t2f K/� , IIl1 e. Collected by: 95ci LI✓1 /�Gi Date installed Cleanouts (YIN) High water alarm (YIN) C. ABSORPTION FIELD DATA r Date installed Zo iz- Soil rating (g.p.d./ft2 or ftz/bdrm) % d /' System type 7-e"r,4 Length /0 2.ft. Width s ft. Gravel below pipe e"% ft. Total depth B, 5 ft. Eff. absorption area 6Z5 ft2 Monitoring tube �Y_ Depression over field Date of adequacy test SU Results (Pass/Fail) For bedrooms / Ad Fluid depth in absorption field`before test in. Water added gal. New depth in. I 1p�v Elapsed Time: min Final fluid depth SyS Any rejuvenation treatment (past 12 mo.) (YIN & type) _ in. Absorption rate >= — g.p.d. If yes, give date D. LIFT STATION / 1° A Date installed Size in gallons "Pump on" level at in. "Pump off' level at — in. Datum Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: /,/01 `for Septic tank/lift station on lot Absorption field on lot 5rS Public sewer main /O0 Sewer/septic service line l05 Animal containment areas SEPTIC/HOLDING TANK ON LOT TO Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots /Do P Public sewer manhole/cleanout 00 4 - Holding tank l ®o r /- Manure/animal excrete storage areas 1D° r '/ in. Building foundation Property line 4V /3O Absorption field / `/, Water main Ooa t Water service line 4 �® Surface water /D® i Wells on adjacent lots , 3S ABSORPTION FIELD ON LOT TO: � , r Property line 92 Building foundation L%S Water main ODD ¢ , , Water Service line 157 Surface water Driveway, parking/vehicle storage 76 r Curtain drain /bo ?t Wells on adjacent lots NQS F. COMMENTS G. ENGINEER'S CERTIFICATION 1 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. T Engineer's Printed Name P oo) T -f Date _1 H COSA brown sheet_10-10-12.doc M :a r � >o M rm (� z M A J (nSII v U) 5W cn m o� Z M O J \ V% � C c � m C Dro* 1 z -A 0, spom x7 cno cn� En M En 0 II oC� -0z-zom�m tj yzmm �'�-z- j � oy Ut 0 C) rrt r r -u \ \� / zomz m m v \� Cl cNi�. ���� yv= J r` N A o m A \ N0017'28"E ¢ 259.30' __ m z A rnmnr � ung _—� 30 v D 8 MA{ z vov� J M n ZCn O N n o r m rv*iz m \ ro -<m �mA �Ln U) 8O nn n N Z vrn \ N� na N� m \ J \ m n M;vr� mo ?omAino(no / m �1 \\� 145.4' � z m C) mzfoomom n l n � cnM o r5. A a o -t / x 0'_ r 62.9' m CO z >M2,gmv� l rn725 n16 \\ \\ o n X z z /Ln rr 1.cb nl r, rn oar^ nZZMM �vm o�72.5• W �.�' w \ \ \ O ri t- vm0>ij>T>Omw m8 Opp 70.5 90' t, sp \ 'A Lnozzr�mn-<m /171 00 70. • o -n \\ \\ �mm w nWO OC' j 3 z v/ <n <o mo �120.0' ! \ \ 0000 y \ \ 64 U Gm z m m \ \ m�-z G m D ore D m 0