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HomeMy WebLinkAboutROSEBERRY PARK ESTATES BLK 3 LT 5Roseberry Park Estates Block 3 Lot 5 #050-315-52 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: OSP131123 PID Number: 050-315-52 ❑✓ New ❑ Upgrade Name: Michelsohn and Daughter Construction, Inc. ABSORPTION FIELD ❑ Deep Trench ✓❑ Shallow Trench ❑ Bed ❑ Mound Address 3410 Balchien Drive #A Anchorage, AK 99517 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 •8 GPD/SF 4.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade .5 Ft. Gravel depth beneath pipe 2.0 Ft. Subdivision Block Lot Roseberry Park Estates 3 5 Fill added above original grade 1-3 Ft. Gravel length 132 Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 942.8 W Two >10Ft. Well >100' >100' N/A N/A >25' TANK ❑r Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity I 1,5000,1. Surface Water >100' >100' N/A N/A Material Steel Number of compartments Two Lot Line >5' >10' N/A N/A NA Foundation >5' >10' N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain None Noted Remarks 2" Insulation Over Septic Tank and Absorption Pump on level at in. Pump off level at in. High water alarm at in. Trenches. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer Arctic Terra Drainfield HDPE Co/MT D3034 Inspector AH/WR BENCH MARK (Assumed elevation) 100.Oft Inspection15, 10/23/13 10/26/13 Location and description dates: 2nd Entry Door Threshhold West Side. 3'" 10/27/13 COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL `:;������` OF A4 to ••'qS Conditional Approval: Date P.•'•• �� JAWW ..•,.//,,•�si�lll���/%�•••ls��r�..•...1.. C•aa.....✓✓✓..•111.•.• �♦ �, �MICHAEI, E. ANDERSON I� J� ;• CE - 4381•: \� Approved �• � Date % %2 i" % 1AW ��, �'fp p '•' y a� ��e Inspection Report-1-1-12.d6c Q) LC) U O 4� O LO lei 0 rn r Z� W M • � M :a w> Md19 :IJ O p 0) c W rn =Q U1 z Tom¢ 0 w W N Q t \ / C IZ 2a¢ m W o W W' p m E W O y � U III ow 0 Ma m Q '^M N M LO O a n n, Q M M J p n N O M rnZ W Zap CYCL CL CL ►I • � M :a w> :IJ U 0) a1� =Q Z 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: OSP131123 N 1,500 Gallon Septic Tank N UU Page 3 of 3 PID No. 050-315-52 N LL U F U ra f 96.0 94.1 93.6 Drainfield Rock 1.8J 2'+ Coarse Sand 66' (Trench Length) Q Groundwater @ 88' 86.0 10-23-13 PROFILE AS -BUILT No Scale 91.6 M 93.6 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 I SOILS LOG - PERCOLATION TEST I LEGAL DESCRIPTION: Lot 5 Block 3 Roseberry Park Estates PERFORMED FOR: Michelsohn and Daughter Const. DATE: 10/23/13 PROJECT No.: PARCEL ID#: TECHNICIAN: A. Harala DEPTH TEST HOLE A� (feet) 1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 COMMENTS: GM/GW/GP MINOR ORGANICS 0 BOH WAS GROUND WATER ENCOUNTERED? Yes IF YES @ WH DATE DEPTH OF WATER AFTER MO GROSS TIME (MINUTES) DATE OF MO DEPTH ro WATER (INCHES) MICHAEL E. ANDERSON NO. CE -4381 AT DEPTH? NITORING: 8' b HITCHING 10/30/13 E DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH ro WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 10/23 1 12:49 5.12" 2 13:19 30 8.94" 3.82" 3 15:16 7.38" 4 15:46 30 11.12" 3.74" 5 15:47 7.44" 6 16:17 30 11.12" 3.68" PERCOLATION RATE: 8.2 (MIN/INCH) PERC. HOLE DIA.--9--(INCHES) TEST RUN BETWEEN: 4.5 FT. and 5 FT. HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 11/6/13 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 DEPTH (feet) 1 - 2 3- 4- 5- 6- 7- 8- 9 - SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 5 Block 3 Roseberry Park Estates PERFORMED FOR: Michelsohn and Daughter Const. DATE: 10/23/13 PROJECT No.: PARCEL ID#: TECHNICIAN: A. Harala TEST HOLE B GM/GW/GP MINOR ORGANICS 10 BOH 11- 12- 13- 14- 15- 16- 17- 18- 19- 49th 11213141516171819 SLOPE WAS GROUND WATER ENCOUNTERED? Yes IF YES @ WH DEPTH OF WATER AFTER MOI DATE OF MO 49th MICHAEL E. ANDERSON NO. CE -4381 VF DEPTH? "TURIN 8 r vIroRlNG: 10/30/13 LI F L I DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH ro WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 10/23 1 13:25 2.25" 2 13:55 30 5.50" 3.25" 3 13:56 2.3811 4 14:16 30 5.63" 3.25" 5 14:17 2,25" 6 14:47 30 5.50" 3.25" PERCOLATION RATE: 9.2 (MIN/INCH) PERC. HOLE DIA.--L-(INCHES) TEST RUN BETWEEN: 3.5 FT. and 4.5 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: 11/6/13 Certified Drilling Log E Doc co dta �ULLIVAN WATER WELLS 0 + - Pfl. Box 670269, Chugiak, AK 99567 688-23$8 'OX OWNER OF LAND: Michelson & Daughter ADDRESS: 3410 8alchen DR ## A Anch. 99517 LEGAL DESCRIPTION Roseberry Park Est. BLK 3 Lot 5 RATE: 9113/13 PERMIT NUMBER: 131123 DATE OF ISSUE: 6/14/13 TAX IDENTIFICATION NUMBER 05031552000 Is well located at approved permit location: ® Yes ❑ No Method of Drilling: Sair rotary ❑ cable too[ Depth of Well. 84ft Casing Type: steel .Wail thickness. .250 inches Diameter: 6 inches, depth 84ft feet Linertype none Static Water Levek _flowing feet Recovery Rate 15 0 gpm 11 gph Method of Testing" air ,--WeII Intake Opening Type¢ 0 open and 11 open hole 0 Screened Start feet Stopped 0 Perforations Start feet Stopped Grout Type: Bentonite chips Volume: Depth: from 2 feet, to:. 20 feet Well Disinfected Upon Completion: 0 yes 11 no Method of Disinfection; Chlorine 50 ppm Comments: Dore Hole Data Depth From To 0 2 2 4 4 10 10 33 33 55 55 64 64 75 75 -85 Casing stickup Overburden Clay Silty clay Hardpan Tight sand & gravel Tight sand & gravel wet Sand gravel & water Drillers Name: Cole 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. 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 131123 Date of Issue 6/14/13 Parcel Identification Number: 05031552000 Legal Description Roseberry Park Bilk 3 Lot 5 Pump Installation Date: 9/20/13 Pump Intake Depth Below Top of Well Casing: 75 Pump manufacturer's Name: Gould Pump Model: 1OSB05411C Pump Size: 1/2 Pitless Adapter Burial Depth: 10 Pitless Adapter Installer: Sullivan Water Wells Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 ppm Comments: Pump Installers Name: Cole Sullivan Sullivan Water Wells Property Owner Name & Address Michelsohn & Daughter 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? On -Site Water & Wastewater System Permit Permit Number: OSP131123 Tax Code Number: 05031552000 Work Type: WellSeptic Permit Effective Dates: June 14, 2013 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 1Ul26115 100'M to June 14, 2014 /0/Zl 3/,3 Design Engineer: ANDERSON ENGINEERING Subdivision: ROSEBERRY PARK ESTATES Site Legal Address: ROSEBERRY PARK ESTATES BLK 3 LT 5 G:0154 Owner/Address: MICHELSON & DAUGHTER CONSTRUCTION INC 3410 BALCHEN DR #A ANCHORAGE AK 995170000 Site Mailing Address: 18736 ROSEBERRY PARK DR, 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: 158803 Total Bedrooms: 5 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. k Special Provisions: See the engineers note on the site plan regarding securing the tank to prevent floating. Special Provisions: The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. AMC 15.65.060.B.3 Special Provisions: Construction may proceed at your own risk before the 7 day monitoring is complete. Please submit stamped and signed results with the as -built inspection report. If the results require a design change, construction of the system will stop pending on-site review and approval. AMC 15.65.060.B.4 Special Provisions: An inspector is to be onsite during the pit excavation and backfilling to unsure that only organic free material is in the areas surrounding the trench. ��• zs Received By: �"/1 ��--�'=-r� Date: -t-3 Issued By: �/ CTiL�/l �— Date: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-315-52 Property owner(s) Michelson & Daughter Day phone Mailing address 3410 Balchien Drive #A Anchorage, AK 99517 Site address Overlook Drive Eagle River, AK 99567 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Roseberry Park Estates, Block 3, Lot 5 Lot Size 158,803 Sq. Ft. Number of Bedrooms Five (5) APPLICATION IS FOR: (® all that apply) Absorption Field ❑X Septic Tank ❑X APPLICATION IS AN: Initial ❑X Upgrade ❑ TYPE OF DWELLING: Single Family (SF) ❑X (w/wo ADU) Holding Tank Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Dis tance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. ' e_ G (Signature of property owner or Permit/Rush Fees:.% W Date of Payment: Receipt Number: Permit No. QSpla�� Permit App} > :L�c Waiver Fees: Date of Payment: Receipt Number: Waiver No. June 6, 2013 /� hurl 42, Municipality of Anchorage G Development Services Department On -Site Water and Wastewater Program ® 4700 South Bragaw Street O Ue Anchorage, AK 99519-6650 Subject: Lot 5, Block 3, Roseberry Park Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 5, Block 3, Roseberry Park Estates Subdivision intends to construct a new five -bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Also identified on the plans are the existing wells and septic systems on surrounding lots. No conflicts exist between the proposed septic system and well or septic systems and wells 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. Three test holes were placed on the lot in the area of the absorption trenches and alternate site. The logs indicate silty gravel (GM/GW) in the zone specified for the absorption trench. The percolation rate of the soil was determined to be 5 minutes per inch at Test Hole No. 1. Groundwater was found during the placement of the test holes and was noted during the monitoring period at 5.5' to 9.5' below the surface. An application rate of 1.2 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 2,000 -gallon STEP tank and 2 - 63' long by 5' wide by 1' effective depth absorption trenches to treat and dispose of the effluent generated in the house. The elevation of the distribution lines in the absorption trenches will be .5' below the surface and the total depth will be 1.5'. 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 southwest. The new trenches will be constructed parallel with the contours of the slope as much as Lot 5, Block 3, Roseberry Park Estates June 6, 2013 Page Two 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: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, *J-.,tL E dam, Michael E. Anderson, P.E. Attachments MICHAEL E. ANDERSON No. CE -4381 . 3MR] A001a3A0 0 0 i® w 000mm BIZ o-Fm0 n o I•�m ��Fo -nnc o rQ l moc nlp I O � C N � f IL-{ F o / N j' 3 � FO \\ Oao T m / i iii m o' 3 D n x CD 1 3 m 0 0 i® w 000mm BIZ o-Fm0 n o I•�m ��Fo -nnc o rQ l moc nlp I O � C N � f IL-{ F o / N j' 3 � Ln o \\ / T m / i a 0 0 � o' 3 D n x \ 3 m m Cl)rl 3 30 O N mN \ ll/ m2 1®^- _So m.. (�j� C7 ' . I D r = X a 5 v / II a m rn x/ n z o �/ T no / m 0 i® w 000mm BIZ o-Fm0 n o I•�m ��Fo -nnc o rQ V � m 1 l O -i O � C N � m o / N j' 3 � I F N » / T m / i n o � o' 3 � �\ c 3 LOT 5, BLOCK 3, ROSEBERRY PARK ESTATES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Five Bedroom Home Perc. Rate: 8 Min./Inch Application Rate: .8 GPD/SF 5' Wide Trench System 2,000 Gallon Septic Tank 2' Drainfield Rock 5 Bedrooms' 150 GPD/Bedroom = 750 SF Absorption Area 750 SF/.8 GPD/SF/5 SF (Width) *.70 (Red. Factor = 131.25 LF Trench Length THEREFORE: Construct 2-66' Long x 5' Wide x 2' Effective Depth Absorption Trenches, Flow Line Elevation in Trench to be .5' Below Original Ground Surface. Total Depth to be 2.5' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. 2' Min. Natural 2" Insulation & Backfill Geotextile Fabric 5 0 4" Perforated PVC (Holes Down) 2.0' 5' Drainfield Rock TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) i��•\`int NOTE: Grade Area Over Trench to Drain Away. ♦� t{i Minimum 6' Separation From Bedrock. �r� Q;.•"•• QS Minimum 4' Separation From Groundwater,AV 67: Minimum 100' Separation From Private Wells in the Area. so � ijg.M Minimum 100' Separation From Surface Water or Streams./.;;X.«y„. *..,,,)...A.%.° :WHAR E ANDER" CE - 4381 Z ms 0 PZ m :a o0, W N N W O cn W Z N o Ul 3 I m i Cl)CD D 0 � n o (.o CD o W pO C) (B o CD oo S CD N v =. a (D � o_ �0 = y o �. N o �, 0' m _ Cr�: O Q a j 0 CD CD a N j O \ m cn 3 O � z03 m . D m N o C F T JW MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 5 Block 3 RoseberryPark Estates PERFORMED FOR: IV11Cbe1S011ri and Daughter Const. DATE: 5/5/13 PROJECT No.: PARCEL ID#: TECHNICIAN: 7B DEPTH TEST HOLE 1 (Peet) I OB/OG 2 3 4 GM/GW 5 17 6 7 8 9 SLOPE WAS GROUND WATER ENCOUNTERED? Yes IF YES ® WH, I 1 DEPTH OF WATER AFTER MOP DATE OF MO 12 13 14 15 1 1 &ofessional Eneineere Sm. IITORING: 5,5' sITORFN : 5,1/ aITDRmG: 5/31/13 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH ro W'4TER (INCHES) NET INCDROP (HES) TEST HOLE PRESOAKED PRIOR TO TESTING: 5/31/13 1 1:50 3.75" 2 2:20 30 10" 6.25" 3 2:22 3.5" 4 2:52 30 9.75" 6.25" 5 2:54 3.5" 6 3:24 30 9.5" 6" PERCOLATION RATE: 5 (MIN/INCH) PERC. HOLE DIA. 7 (INCHES) TEST RUN BETWEEN: I FT. and 2 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: 5/31/13 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 5 Block 3 Rosebeny Park Estates PERFORMED FOR: l ichelsohn and Daughter Const. DATE: 5/5/13 PROJECT No.: PARCEL ID#: TECHNICIAN: JB DEPTH TEST HOLE 2 (feet) 1 OB/OG 2 3 4 5 GM/GW 6 7 8 9 10 BOH 11 12 13 14 15 16 17 18 SLOPE WAS GROUND WATER ENCOUNTERED? Yes IF YES @ WH DEPTH OF WATER AFTER MO DATE OF MO MICHAEL E. ANDERSON Prof ssio l AT DEPTH? 9.5' Nl7'oRING: 9.5' P NITORING: 5/31/13 E GROSS TIME NET TIME DEPTH T(INCHES) O NET DROP DATE READING (MINUTES) (MINUTES) WATER (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 5/31/13 1 1:11 6.75" 2 1:41 30 11.5" 4.75" 3 1:42 6.25" 4 2:12 30 11.25" 5" 5 2:14 6.5" 6 2:44 30 11.25" 4.75" PERCOLATION RATE:6.32 (MINANCH) PERC. HOLE DIA. 7 (INCHES) TEST RUN BETWEEN: I FT. and 2 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: 5/31/13 MICHAEL E. ANDERSON Prof ssio l AT DEPTH? 9.5' Nl7'oRING: 9.5' P NITORING: 5/31/13 E GROSS TIME NET TIME DEPTH T(INCHES) O NET DROP DATE READING (MINUTES) (MINUTES) WATER (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 5/31/13 1 1:11 6.75" 2 1:41 30 11.5" 4.75" 3 1:42 6.25" 4 2:12 30 11.25" 5" 5 2:14 6.5" 6 2:44 30 11.25" 4.75" PERCOLATION RATE:6.32 (MINANCH) PERC. HOLE DIA. 7 (INCHES) TEST RUN BETWEEN: I FT. and 2 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: 5/31/13 PERCOLATION RATE:6.32 (MINANCH) PERC. HOLE DIA. 7 (INCHES) TEST RUN BETWEEN: I FT. and 2 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: 5/31/13 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 5 Block 3 Roseberry Park Estates PERFORMED FOR: M1ChelSOhn and DaUehter Const. DATE: 5/5/13 PROJECT No.: PARCEL ID#: TECHNICIAN: JR DEPTH TEST HOLE 3 (feet) I OB/OG 2 3 4 5 6 7 GM/GW 8 9 I SLOPE WAS GROUND WATER ENCOUNTERED? Yes IF YES © WH I 1 DEPTH OF WATER AFTER MOI DATE OF MC 14 15 16 17 18 P 1T DEPTH? 3111 P IITORING: 8.75' 91TORING: 5/3113 E DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 5/31/13 1 1:28 g" 2 1:58 30 12.5" 4.5" 3 2:00 7.5" 4 2:30 30 12" 4.5" 5 2:31 7.75" 6 3:01 30 12" 4.25" PERCOLATION RATE:: 7 (MIN/INCH) PERC. HOLE DIA. 8 (INCHES) TEST RUN BETWEEN: I FT. and 2 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: 5/31/13 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 5 Block 3 Roseberry Park Estates PERFORMED FOR: Mlohelsohn and Daughter Const. DATE: 10/23/13 PROJECT No.: PARCEL ID#: TECHNICIAN: A. Harala DEPTH TEST HOLE A (feet) 1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17 18 19 GM/GW/GP MINOR ORGANICS RVA BOH WAS GROUND WATER ENCOUNTERED? Yes IF YES Q WHATDEFrfP DEPTH OF WATER AFTER MONITORING: 8' pO DATE OF MONITORING: 10/23/13 I— C awl �'. 49th � •, MICHAEL E. ANDERSON NO. CE -4361 .• •,��iiuSo���• Professional Enffm xs Stam DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 10/23 1 12:49 5.12" 2 13:19 30 8.94" 3.82" 3 15:16 7,38" 4 15:46 30 11.12" 3.74" 5 15:47 7.44" 6 16:17 30 11.12" 3.68" PERCOLATION RATE: 8.2 (MINANCH) PERC. HOLE DIA -2 --(INCHES) TEST RUN BETWEEN7 4.5 FT. and 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 nATA- 11/6/13 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 DEPTH (feet) 1- 2- 3 - 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15 1 1 1 1 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 5 Block 3 Roseberry Park Estates PERFORMED FOR: M1CbelSebri and Daughter Const. DATE: 10/23/13 PROJECT No.: PARCEL ID#: TECHNICIAN: A. Harala TEST HOLE B GM/GW/GP MINOR ORGANICS U BOH WAS GROUND WATER ENCOUNTERED? IF YES @ WH DEPTH OF WATER AFTER MO DATE OF MO co4-l 011 MICHAEL E. ANDERSON -t AT DEPTH? MTORING: $ NITOR NG: 10/23/13 E GROSS TIME NET TIME D(INCHES) DEPTH To NET DROP DATE READING (MINUTES) (MINUTES) WATER (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 10/23 1 13:25 2.25" 2 13:55 30 5.50" 3.25" 3 13:56 2.3811 4 14:16 30 5.63" 3.25' 5 14:17 2.2511 6 14:47 30 5.5011 3.25' PERCOLATION RATE: 9.2 (MIN/INCH) PERC. HOLE DIA. 7 (INCHES) TEST RUN BETWEEN: 3-517T. and 4.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 11/6/13 PERCOLATION RATE: 9.2 (MIN/INCH) PERC. HOLE DIA. 7 (INCHES) TEST RUN BETWEEN: 3-517T. and 4.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 11/6/13 Parcel I.D. 050-315-52 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1, GENERAL INFORMATION Complete legal description Expiration Date:—/ -0— ,?— L— 114 Roseberry Park Estates, Block 3, Lot 5 Location (site address) 18736 Roseberry Park Drive Eagle River, AK 99577 Current Property owner(s) Mlchelsohn & Daughter Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: 3410 Balchen Drive #A, Anchorage, AK 99517 Day phone r — I,n 0 Single Family (w/wo ADU) k# ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) a JUL E % 2014 3. NUMBER OF BEDROOMS: Five (5) 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual Fx� Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Puiic vater yien PiUllc EWeI J ❑bdS 4VaiverNariance request Received by: `� ' �)� , Date , COSA to be released to the dpgineer, unless otherwise requested by the engineer. COSA Fee $ (,0-(.jo gl.;q =11l.4k Date of Payment —7125%y cG� Receipt Number 61Qc0Q C% COSA# 0:1`41353 Waiver Fee $ Date of Payment Receipt Number 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 Anderson Engineering Phone Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE 'System #1 Approved for bedrooms 522-7773 Date, 7/5/14 49114- 6. figrH System #2 Approved for bedrooms �/'✓f Disapproved 4 #440 Conditional approval for bedrooms, with the following stipulations 7 AW,- ANDERSON r CE -4381 �'7'ZQ'�V •��V�s p��FESS10Na� ` By: `vim ; Original Certificate Date: The unicipal y An orage 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory _ Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet ('- ., 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: Roseberry Park Estates, Block 3, Lot 5 A. WELL DATA Parcel ID: 050-315-52 Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 9/13/13 Sanitary seal (YIN) Y Total depth 84 ft. Cased to 84 ft. FROM WELL LOG Date of test 9/13/13 Static water level 0 ft. Well production 15 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate •337 mg/L Arsenic ND ug/L Date of sample: 6/25/14 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping New Const. Pumper C. ABSORPTION FIELD DATA Wires properly protected (Y/N) Y Casing height (above ground) >18 in. AT INSPECTION 7/2/14 137.9 ft. 75 Collected by: Anderson Engrg. Date installed 10/23/13 Cleanouts(Y/N) Y High water alarm (YIN), Date installed 10/26/13 Soil rating (g.p.d./ft2 or ftz/bdrm) •8 GPD/SF System type 5' Wide Length 2 @ 66 ft. Width 5 ft. Gravel below pipe 2.0 ft. Total depth 5.5-7 ft. Eff. absorption area 942.8 f� Monitoring tube Y Depression over field N Dateofadequacytest,'NewConst. Results(Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: - ' min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION No Add On Manhole - Gravity Flow to Absorption Trench. Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot _ Absorption field on lot Public sewer main N/A Sewer /septic service line >25' Animal containment areas >50' >100' >100' On adjacent lots > 100' On adjacent lots > 100' Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >51 Property line >51 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 > 0 Curtain drain None Noted Wells on adjacent lots >100' IAff@19WJVJI=RY&-] G. ENGINEER'S CERTIFICATION / 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 Michael E. Anderson, P.E. Date 7/24/14 COSA brown sheet 10-10-12.doc Absorption field >5r Surface water >100' Water main N/A Driveway, parking/vehiclestorage >10, ,DF.A a C,gs`ry�i TH • :.�0 �....yq•••••_•••0 aeAMMSOa:Wi ,E-4381 ho p U N � W W n z O' X 0 d 0 7 A O !l V f1 3 App d SO D �wm D D 3 o m � r u N �o co Cr p rt Q N O CJS O p w m x w ao�m��z �W NJ -G � "2-60 mJf� U jSN 1-o N6 'o -a-mo 0 ry o J� p W 0 w3 3— p F o S w a m m e 'm p m � m a - w p w OaOw N� c�Part s a nip ap-p w A 7 0 J O O 3 m N Z O A p OO N. �,ODD N O' \ \ \ r \ m \ o \ o � \ p / \ 00, O }� k/ N h O 4. - 4.4 C7 11.6 .-A Qi Ow cn co Cr Q0 o N O CJS O �W \ \ \ r \ m \ o \ o � \ p / \ 00, O }� k/ N h O 4. - 4.4 C7 11.6 .-A Qi Ow V` \ •O. . t ice- cn co Q0 N O CJS O V` \ •O. . t ice- Ui O Ut CIS V` \ •O. . t ice-