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HomeMy WebLinkAboutDAWN LT 102Dawn Lot 102 #051-061-47 Municipality of Anchorage —TH-3 2014 On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131439 PID Number: 051-06000 Dwelling: X Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: 0 New ❑ Upgrade Name: Preferred Custom Homes ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 148 E. Foxtail Cir, Wasilla, AK 99654 0 Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907.376.9136 3 0.8 ,.r GPD/SF 4.79 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0.8 Ft. Gravel depth beneath pipe 4 Ft. Subdivision Block Lot Dawn, Lot 102 Fill added above original grade 3 Ft. Gravel length 58 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines NA Distance between lines NA Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches I From Tank Field Tank Line 562 Flz 1 NA Ft. Well Public water system. NA NA TANK [M Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1000 Gal. Surface Water >100' >100' NA NA Material Steel — Number of compartments 2 Lot Line >5' >5' NA NANA Foundation >5' >5' NA NA LIFT STATION Manufacturer Capacity Curtain Drain NA NA Na Na NA NA Gal. Remarks " 2 Rigid insulation (Insulfoam) was used Pump on level at NA in. Pump off level at NA in. High water alarm at Na in. system. Pump make and model NA Electrical Inspections performed by Na PIPE MATERIAL House to tank D3034 dwankraintie ld D3034 Installer Northern Excavating Dralntield D3034 CO/Mr Inspector Tyler Perron BENCH MARK (Assumed elevation) 200 ft Inspdat 1& 8/13/14 8/13/14 Location and description es: 2"" 3' 9/3/14 41^ Garage Slab COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp °F a44s►#�+ Conditional Approval: Date . .n.r -c k,( rP?r •./ •_ tz–Il_(tyyy� 68 Cs A. L i i Approved Date -3 -) fi pROFESSV014 _ Inspection Report_9-1-12.doc �✓ CIJEANCJ DOU OLE T (TYP) A B 00 1 8.0 51SP 1 CO 4 321 MT, (TYP)I 14.3 co 00 2 MT 1 33.2 2!3 -� ��$ 33.8 MT 1 57.0 50.1 CO 4 55.4 80.0 MT 2 70.4 53.1 CO 5 8117 x a w i � 1 d 1 \ NI ` 1 2 1 C05� I l BLE ' I' AN OUT 1000 GALLON SEPTIC TANK I I'. l I CO1 A \ I , I �O WATER LINE �� 14 AD %I LOf ,2 0) 00 U'9S" I.J.. LOT 101 93.3 I/ I G 93.8 `93`2 SWING TIES A B 00 1 8.0 51SP 1 10.5 321 STSP 2 BLE ' I' AN OUT 1000 GALLON SEPTIC TANK I I'. l I CO1 A \ I , I �O WATER LINE �� 14 AD %I LOf ,2 0) 00 U'9S" I.J.. LOT 101 93.3 I/ I G 93.8 `93`2 SWING TIES A B 00 1 8.0 51SP 1 10.5 321 STSP 2 14.3 329 00 2 1&3 33.2 00 3 17.3 33.8 MT 1 57.0 50.1 CO 4 55.4 80.0 MT 2 70.4 53.1 CO 5 8117 50.8 -ani wr um ur nous NOTES: 1. THIS LOT SERVED BY A COMMUNITY WATER SYSTEM 2. ALL CONSTRUCTION OF THE ON-SITE WASTEWATER DISPOSAL SYSTEM SHALL BE IN ACCORDANCE WITH THE REQUIREMENTS AND SPECIFICATIONS OF MOA 15.65 . W ............. Charles A. Leet CE 10480 "timed 1�F�En 0 O 1.4 Q0 CD r_� ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE ROAD, SUITE 1 PALMER, AK 99645 PH: (907)745-0222 : FAX: (907)746-0222 EMAIL: akrim@alaskarlm.com : WEB: www.alaskarim.com W0: 1300679 -(A;,*E PAGE: 2 Englnesrs: Planner:: Survayas SCALE: 1 "=30' Conventional Single Family Residential DAWN SUBDIVISION 102 BM ASSUMED ELEV. 200 FG ELEV. 198± OG ELEV. 195± 5' X 58' TRENCH BOTTOM TEST HOLE ELEV. 184± BOTTOM TRENCH 190.2± CAPPED PIPE INVERT 194.2± VENTS FOUNDATIO DBL CLEANOUT CLEAN OUT W/IN 10' OF TANK I _ SOIL 52' 12' 1' ABSORPTION SYSTEM SEE DESIGN SHEET 4—INCH 1000 GAL SEPTIC TANK 4—INCH FINISH GRADE 198± INVERT IN 194.3± 2" RIGID INSULATION INVERT OUT 194.1± TOP OF TANK 194.9± SEPTIC SYSTEM PROFILE qv- � a �(E.�F• A<gsDO SSP°.°• , ,� a� 9 o-r•49TH � Charles A. Leet ' s CE 10480 � JFK°•° , •^°`E�Vq �QQQ PRVFESSIONP tj-ILI ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE ROAD, SUITE 1 PALMER, AK 99645 PH: (907)745-0222 : FAX: (907)746-0222 EMAIL: akrim@alaskarim.com : WEB: www.alaskorim.com -ACRE PAG 1300679 PAGE: 3 Englneem: Planners: Surveyors SCALE: NTS Conventional Single Family Residential DAWN SUBDIVISION 102 ©2014 INSTALL MONITOR TUBE — AT EACH END OF DRAINMU) PERFORATED 4" PVC SEE NOTE 1 3/4°-3" SERER ROCK INSTALL CLEANOUT IT EACH END OF DEAOIFIM PERMEABLE GEOTEXTILB mr 1 58' WIDE DRAINFIELD PLAN VIEW GROUND SURFACE 0G ELEV. 1962 EARTH z• 2• RIGID INSULATION COVER Rtcm INSULATION 3 SEWER ROCK DRAINFIELD DETAIL OF *;° 49TH �!�y \ -•°� ............... �..• .° m Charles A. Leet c ?Q�)D`PFACE 104801 � tt I—FOOT 5' ± In PERFORATED PVC HOLE ORIENTATION (HOLES DOWN) SECTION X—X REMOVABLE EM—CAP GROUND SURFACE essios"e'"eo`c�ae°" 48" DEPTH OF GRAVEL OOc/p o: o 0o 00 4" PVC PERFORATED � • 8• INTERVALS ooso oboe IN SEWER ROCK :poo9goo 000000eo 4Rk V. 190.2 v ELEV. ' \ � o UNDISTURBED 0E 1 tai;3`Ial.�:li�a�I:\'.�I::i:YF�1'Af[:CW'-1•' DRAINFIELD SECTION MONITOR TUBE DETAIL ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE ROAD, SUITE 1 PALMER, AK 99645 PH: (9m@alas-0222: FAX: :www. 46-0222 EMAIL: Gkrim®Glaskarim.com :WEB: www.Glaskarim.com AkRE PACE: 1300679 4 0679 Englnaels: Planners: 8urveyo:d m SCALE: NTS Conventional Single Family Residential DAWN SUBDIVISION 102 DESIGN NOV 2013 COMPErEED 09 03 2014 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: OSP131439 Tax Code Number: 05106147000 Work Type: Septic Permit Effective Dates: November 21, 2013 to November 21, 2014 Design Engineer: ALASKA RIM ENGINEERING Subdivision: DAWN Site Legal Address: DAWN LT 102 G:1461 Owner/Address: STILTNER C BROOKE 11525 OLD GLENN HWY EAGLE RIVER AK 995777308 Site Mailing Address: 21631 GORSUCH ST, Chugiak This permit is for the construction of: Lot Size in Sq Ft: 20000 Total Bedrooms: 3 Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: 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. Q 5'1-6 (0 I -y7 Property owner(s)v—L- L- �� l�„��— Day phone Mailing address Site address Legal description (Sub'd., Block & Lot) _���� ld Z Legal description (Township, Range & Section) Lot Size �y(or�c Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: Date of Payment: it 113.1L9 (® all that apply) Receipt Number: —1� Receipt Number: Absorption Field Initial Single Family (SF) Septic Tank Upgrade ❑ (w/wo ADU) Tank E]Renewal ❑ Duplex (D) ElHolding Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ 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 apble Municipal Codes. f/ � ignature of property owner or authorized agent) Permit/Rush Fees: 4530 Waiver Fees: Date of Payment: it 113.1L9 Date of Payment: Receipt Number: —1� Receipt Number: Permit No. 131 Waiver No. Permit App__- : • ALASKA RIM ENGINEERING, INC. ENGINEERS—PLANNERS—SURVEYORS 9131 E. Frontage Road Palmer, Alaska 99645 Telephone (907) 745-0222 Fax (907) 746-0222 Online at: N" w.alaskarim.enm November 12, 2013 Mr. James A. Crewdson, P.E. On -Site Services Program MOA Department of Health & Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 RE: Dawn 102 Subject: Permit Request — Design Narrative Dear Mr. Crewdson: The owner of the above referenced lot is proposing a 3 -bedroom single-family residence. We are requesting a plan review and a permit to install septic system to serve the proposed development. The lot is served by a public water system. Soils One test hole was excavated and two percolation tests were performed by Alaska Rim Engineering, Inc. on October 23, 2013. The approximate location of the test hole is located on the attached site plan and is identified as TH #1. The soils were visually rate GP -GM poorly graded gavel with silt. Percolation test were performed to verify the percolation rate see percolation test sheets. The percolation were excavated on either side of the test hole see site plan for location. On October 31, 2013, the test hole was measure and no groundwater was observed. Topography The site has a about a 5- foot bank coming off the road right of way then flattens out to create a bench where the house and proposed septic system will be located. The area around the septic field is sloped toward the north east away from the septic field. Drain Field Design The dwelling proposed is a three-bedroom with an estimated daily wastewater flow rate of 450 gallons per day. The proposed wastewater application rate from the perk test is 0.8 gal/day/sft. The required absorption area is 562 square feet. Proposed is a wide drain field (five wide) with 48 -inches of gravel and a length of 112 feet. The reduction factor for a wide drain field with 48 -inches below the pipe is ALASKA RIM ENGINEERING, INC Dawn 102 Charles A. Leet 0.5, therefore the constructed length drain field will be 58 feet. Enclosed are drawings of the proposed system. Surrounding Properties There are no water wells within 200 feet of the proposed septic system. This property and its neighboring lots are on public water. Surface Waters There is no surface water within 100 feet of the proposed development. We do not anticipate any adverse effects on the neighboring, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. This subdivision is server by a community water system. Should you have any questions or comments please do not hesitate to contact me by telephone or email chuck&alaskarim.com. Sincerely, Alaska Rim Engineering, Inc. Charles A. Leet, P.E. Project Engineer Encl: Permit Application Permit fees Soil Logs(1) — Percolation Tests (2) Site Plan (3) Cc: Client AK Rim File # 13-00679 FACA III gyp. •.sf��, 49 T .* -0 � C / tha rtes A. Leel CE 10480 IIh �ROGE5510Np`�`� ALASKA RIM ENGINEERING, INC Engineers—Planners ... Surveyors RECOVERED 3-1/2" BRASS MONUMENT 3475-S 3475-S 1977 i 33.0' I zz E-+ E� wa Q DO V) O v� x Lo x � LOT 103 RECOVERED -RECOVERED I 5/8" REBAR '. (DISTURBED) REBAR - (GROUND (DISTURBED) (GROUND N89'35'20"E 159:d9ELEV=98.6)1 I'(R) i ELEV.=95.2) N89'53'33"E,158.731(C), *LUMINARE,. N REMOTE LOT 102 '4 0,METER BASE � V .20;000 S.F. DECK E� 20.0' g8Pb� T= I FI ° o > >I olbl I � ;z.o' '=Z6.0 5' .w 2.0 o e�w o 0c� FF . N i N89;S5'20"E 159.49'(R N89'53'33"E 158 73'(C RECOVERED CHAIN—LINK, 5/8" REBAR FENCE GOOD CONDITION L V� 99.8BAR ELLOT 101 ELEVATIONS ARE ON AN ASSUMED DATUM. LEGEND: (C)=CALCULATED DATA (M)=MEASURED DATA (R)=RECORD DATA PER PLAT No. 71-151 FF=FINISH FLOOR ELEV.=ELEVATION 00 O .-1 E� O a POWER POLE -!-i POWER LINE I (4) WATER I IGROUND F F i ELEV.-93.5 w I. W Q0 w I W I M CHUGIAK DR. 1" - 4V --- ---- --- -- RECOVERED 1" AL -CAP IN CASE NOTES: 1. PRELIMINARY FIELD WORK PERFORMED NOVEMBER 8, 2013. 2. THE FINAL SEPTIC AREA IS TO BE DETERMINED IN THE FIELD WITH THE VERIFICATION OF SOILS AND NEIGHBORING WELLS. 3. THE FINAL DWELLING LOCATION AND FINISHED FLOOR ELEVATION IS TO BE DETERMINED IN THE FIELD BY THE CONTRACTOR. 4. THE FINAL WELL LOCATION TO BE DETERMINED IN THE FIELD WITH THE VERIFICATION OF NEIGHBORING SEPTIC. EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO Nor APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ALASKA RIM ENGINEERING, INC. �E •CF, A� PLOT PLAN 9131PALMER, ALASKA 9 E. FRONTAGE 96451TE 1 S�P� • 9 ,,wp,w„ PH: (907)745-0222 : FAX: (907)746-0222 *.-**4 9TH ;{r ARE EMAIL: 1300alaskarm.com :WEB: www.alaskarim.com ...: ...... ...... :... W0: 1300679 //__ .1 PAGE: 1 of 1 F.B. 13-12, PG 12 �'•G • Y D••DRASKY : Engineers: Planners: Surveyors SCALE: 1 = 40 FILE: 1300679PO '�.a •,• 2234-5 I HEREBY CERTIFY THAT THIS PLOT PLAN WAS PREPARED UNDER MY �a ••., ,.• DIRECTION ON THE FOLLOWING DESCRIBED PROPERTY: °P�esstoe`, DAWN SUBDIVISION. LOT 102. PLAT No. 71-151, SEC. 3, T15N, R1W, S.M. ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA. 7-0i3 SURVEYED ON THE 8th OF NOVEMBER, 2013. ©2013 E� 0 T= I FI > >I olbl I � M CHUGIAK DR. 1" - 4V --- ---- --- -- RECOVERED 1" AL -CAP IN CASE NOTES: 1. PRELIMINARY FIELD WORK PERFORMED NOVEMBER 8, 2013. 2. THE FINAL SEPTIC AREA IS TO BE DETERMINED IN THE FIELD WITH THE VERIFICATION OF SOILS AND NEIGHBORING WELLS. 3. THE FINAL DWELLING LOCATION AND FINISHED FLOOR ELEVATION IS TO BE DETERMINED IN THE FIELD BY THE CONTRACTOR. 4. THE FINAL WELL LOCATION TO BE DETERMINED IN THE FIELD WITH THE VERIFICATION OF NEIGHBORING SEPTIC. EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO Nor APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ALASKA RIM ENGINEERING, INC. �E •CF, A� PLOT PLAN 9131PALMER, ALASKA 9 E. FRONTAGE 96451TE 1 S�P� • 9 ,,wp,w„ PH: (907)745-0222 : FAX: (907)746-0222 *.-**4 9TH ;{r ARE EMAIL: 1300alaskarm.com :WEB: www.alaskarim.com ...: ...... ...... :... W0: 1300679 //__ .1 PAGE: 1 of 1 F.B. 13-12, PG 12 �'•G • Y D••DRASKY : Engineers: Planners: Surveyors SCALE: 1 = 40 FILE: 1300679PO '�.a •,• 2234-5 I HEREBY CERTIFY THAT THIS PLOT PLAN WAS PREPARED UNDER MY �a ••., ,.• DIRECTION ON THE FOLLOWING DESCRIBED PROPERTY: °P�esstoe`, DAWN SUBDIVISION. LOT 102. PLAT No. 71-151, SEC. 3, T15N, R1W, S.M. ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA. 7-0i3 SURVEYED ON THE 8th OF NOVEMBER, 2013. ©2013 NTS E- E- cc9)o a E C5 x w� x� LOT 103 `CLEAN WT, 1000 GALLON :ANOUT (Twf Sjp7nc TANK \7v I' _ st• 13 (I 1 WATER UNE Lor 20,0 1,02 �arr 93.8 -cnl 4SS.k 'L93.f 00 0 E- 0 0 a NOTES: 1. THIS LOT SERVED BY A COMMUNITY WATER SYSTEM 2. ALL CONSTRUCTION OF THE ON-SITE WASTEWATER DISPOSAL SYSTEM SHALL BE IN ACCORDANCE WITH THE REQUIREMENTS AND SPECIFICATIONS OF MOA 15.65 q49TH ,..°°.°°°°°°°°°.°°......°. Charles A. Leet e`4 CE 10480 ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE ROAD, SUITE 1 PALMER, AK 99545 PH: (907)745-0222 : FAX: (907)746-0222 EMAIL: akrim@aloskarim.com : WEB: www.alaskarim.corn W0: 1300679 PAGE: 1 Conventional Single Family Residential DAWN SUBDIVISION 102 ©2013 A C DOUBLE CLEAN OUT 1000 GALLON EANO'UT PTIC TANK k�u Typ) I 2 31' Z - ATE ATE U /T J 10-2 0 9s S. J, LOT tOl NOTES; 1. THIS LOT SERVED BY A COMMUNITY WATER SYSTEM 2. ALL CONSTRUCTION OF THE ON—SITE WASTEWATER DISPOSAL SYSTEM SHALL BE IN ACCORDANCE WITH THE REQUIREMENTS AND SPECIFICATIONS OF MOA 15.65 G .......... IV, �harles A. Leet CE 10480 F04111 E==� 0 E==, 0 ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE ROAD, SUITE 1 PALMER, AK 99645 PH: (907)745-0222 : FAX: (907)746-0222 EMAIL: akrim@otaskarim.com : WEB: www.alaskarim.com WO: 1300679 1 Conventional Single Family Residential DAWN SUBDIVISION 102 @2013 capped vents FOUNDATION DHL CLEANOUT CLEAN OUT W/IN 10' OF TANK INVERT 93.02± soil 10' 10'27 absorp system see Design Sheet 4—inch 1000 GAL SEPTIC TANK 4—inch FINISH GRADE 96± INVERT IN 92.78± 2" RIGID INSULATION INVERT OUT 92.62± BOTTOM OF TANK 89.04± SEPTIC SYSTEM PROFILE q u OF 7° /49TH�� .� Charles A. Leet a=� r CE 10480 ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE ROAD, SUITE 1 PALMER, AK 99645 PH: (907)745-0222 : FAX: (907)746-0222 EMAIL: akrim@oloskarim.com : WEB: www.alaskarim.com W0: 1300679 PAGE: 3 Engineers: Planners: Surveyors I SCALE: NTS Conventional Single Family Residential DAWN SUBDIVISION 102 ©2013 perforated 4" PVC ace Note I sewer rock install clean out _ at each end of drainfield permeable geotextile m 7 4' PVC dretn_ sewer rock drainfield DETAIL PSE °OF° AIli 4��� =°9 49TH C Charles A. Leet e=� CE 10480 install monitor tube — at each and of drainfield r X 58' WIDE DRAINFIELD PLAN VIEW earth 2• rl ld rigid insulation cover g Snaulation, 1—foot max. 5' t n d perforated PVC hole orientation (holes down) SECTION X—X removeable cap 3 ground surface non—perfor PVC above n' 111 sewer rook seasonal high ELEV. B4 ° grouvdwater m impermeable layer ELEV. e2 DRAINFIELD SECTION MONITOR TUBE DETAIL ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE ROAD, SUITE 1 PALMER, AK 99645 PH: (907)745-0222 : FAX: (907)746-0222 EMAIL: akrim@olaskorim.com : WEB: www.alaskarim.com -ACRE PAGAC 1300679 E: 4 Engineers: Planners: Surveyors SCALE: NTS Conventional Single Family Residential DAWN SUBDIVISION 102 oEMTE @2013 Municipality of Anchorage P,. � Development Services Department.F4, y , Building Safety Division #q.harl6s '.• �. On -Site Water and Wastewater Program • • • • .... . 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraoe.ak us ♦'"o zc/3 , (907) 343-7904 // s• A. Leet CEI0480 �^ Soils Log - Percolation Test eI °AovEssloN;���� Performed For: Preferred Custom Homes Date Performed: 1012312013 Legal Description: Dawn Subdivision Lot 1 Township, Range, Section: Depth 7 wA 0 CP �ti WAS GROUND WATER 9- ENCOUNTERED? none S 10- IF YES, AT WHAT DEPTH? L I t� Depth to Water Aker P 11- Monitoring? none E 12- Date 1013112013 15- 16- 17- 18- 19 - COMMENTS Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop .i qf !Z_ L 1qA, y2ie PERCOLATION RATE (p. i (minmeslinch) PERC HOLE DIAMETER �. TEST RUN BETWEEN L FT AND FT PERFORMED BY: Brandon Jones I Charles A. Leet, P.E.C. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10/24/2013 Municipality of Anchorage Development Services Department — C2.. j Building Safety Division 49THb-5� .•# On -Site Water and Wastewater Program 00 ° • • ' • • • • 4700 Elmore Road gi P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraoe.ak.us �I �•, llt2r, �2 1a =- (907) 343-7904 �� �,.'° Cb CE10480 Leer ; Soils Log - Percolation Test 2 �11 ^oEEsslo Performed For: Preferred Custom Homes Date Performed: 10/23/2013 Legal Description: Dawn Subdivision Lot 1 Township, Range, Section: 1 7 Iz 1C 11 12 13 17- 18- 19 - COMMENTS Site Plan WAS GROUND WATER Date ENCOUNTERED? none Net Time Depth to Water 5 IF YES, AT WHAT DEPTH? L Depth to Water After O Monitoring? none E Date: 10/31/2013 Reading Date Gross Time Net Time Depth to Water Net Drop 6 Z � "go 't&- (17 f / 2 Sb © t s '..i !C, (U 'i2 L Q A S'Z� lU iz !L PERCOLATION RATE l ✓d (minutes/inch)) PERC HOLE DIAMETER (10 TEST RUN BETWEEN '_%FT AND G _FT PERFORMED BY: Brandon Jones I Charles A. Leet, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10/24/2013 EPLANS MUNICIPALITY OF ANCHORAGE Development Services Department \.` `r! Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-061-47 Expiration Date: -1 __ 1 `',c 20 1. GENERAL INFORMATION Complete legal description DAWN LT 102 Location (site address) 21631 Gorsuch St Chugiak Current property owner(s) OSBORNE, CARL & JENNIFER Day phone 907.764.7777 Mailing address PO Box 240394 Anchorage AK 99524 Real estate agent Lindsey Bergeron 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 907.622.5000 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic R Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System P-1 Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer; unless otherwise requested by the engineer. COSA Fee $ 6 6 Waiver Fee $ Date of Payment 1 Q %i9 Date of Payment Receipt Numberd $(� l JVD Receipt Number COSA# 11 SC 191 "23 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Eklutna Engineering, LLC Phone 907.355.9820 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE Date j b. AL. 6. DSD SIGNATURE *:- .. • .- • ' System #1 Approved for bedrooms •••-' ; .T ..' T 9FDate c % a System #2 Approved for bedrooms t cis/. No.eeC �5'— ��� F�F�PRQfES510���'• AW Disapproved Conditional approval for bedrooms, with the following stipulations: By_ Original. Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory Arsenic Advisory Other m COSA Checklist Legal Description: DAWN LT 102 Parcel ID: 051-061-47 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well lo—Tis fled with Onsite (or attached) Date drilled Total depth ftp Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static wate evel-at•begtfapi'r of test ft. Comments public water system B. TANK DATA Age of tank(s) 5 years Tank type/material steel Septic Measured operating fluid level in septic tank 49 ❑ Standpipes/fo.undation cleanout per record drawing Date of pumping 9/4/19 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative . Nitrate mg/L ❑ Nitrate less than MRL (ND) r eniC ug/L ❑ Arsenic less than MRL (ND) Collected by'""`�=�.,. Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 2014 Adequacy test date 913/19 © ALL standpipes present per record drawing Results Q Pass For 3 bedrooms Total measured depth from grade 7 ft (max) Fluid depth prior to test 3 in Measured depth to pipe invert from grade 3 ft (min) Water added 462 gal ❑ N/A — pressurized field New depth 6 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 86 min depth into effective O Code -required soil cover over field Final fluid depth 5 in ❑ System presoaked Absorption rate ' 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) Gallons introduced gallons It yes, enter date Comm ents/Deficiencies: 4a" effective depth, water inserted into north MT, water depth measurements reported for this MT. 2" insuiation over field COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot _> 100' Community Sewer Manhole/Cleanout > 100' .. ❑ Yes if No ft M Yes--if`h7o ft Neighboring Tank > 100' M Yes if No ft Private Sewer/Septic-Ll e? 25`n Yes if No ft Absorption Field on Lot > 100' M Yes if No ft �... HQIding nk > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100'�s.:=- Animal Containment > 50' ❑ Yes if No ft M. Yes�if No ft j' —'" Manure/Animal Excreta Storage > 100' Community Sewer ,au ` > 75' M Yes if No ft M Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' M✓ Yes if No ft Surface Water > 100' M✓ Yes if No ft Property Line > 5' M✓ Yes if No ft Wells on Adjacent Lots: ✓/ Absorption Field > 5' if No Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' fit Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' n Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' FV -1 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓/ Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Yes if No fit Community Wells > 200' Yes if No ft Surface Water> 100' /I Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that l 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. _qz COSA Checklist yellow sheet 7H 7tt T nd No.c 11 A �� �����PR4FESSIOBAlg Municipality of Anchorage = all, o On -Site Water and Wastewater Program a (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 051-061-4y-000 1. GENERAL INFORMATION Expiration Date: /As) U' Complete legal description Dawn Lot 102 Location (site address) 21631 Gorush St Current Property owner(s) Brooke C. Stlltner Day phone Mailing address 11525 Old Glenn Hwy Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Fx� Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public "later System Q Public ub,c Sewer Eler WaiverNariance request for: Received by: ` t'd`—/!=�'-i' Date: COSA to be released to the engi er, nless otherwise requested by the engineer. 1 COSA Fee $ 4- gg= (I " Date of Payment l�13 /S Receipt Number 1 gC COSA # Waiver Fee $ Date of Payment Receipt Number Waiver # 6. 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 Alaska Rim Engineering, Inc. Address 9131 E Frontage Rd Palmer, AK 99645 Engineer's Printed Name Norman K. Gutcher, PE 6. DSD SIGNATURE V System #1 Approved for 3 System #2 Approved for _ Disapproved Conditional approval for bedrooms bedrooms Phone 907-745-0222 Date 1/13/15 41, Norman K. fu' CE -4919 bedrooms, with the following stipulations: Original Certificate Date: MIS— of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet ° , - 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: Dawn Lot 102 ELL DATA Well ty Date completed _ Total depth ft. Date of test Static water level If A, B, or C provide PWSID # Sanitary seal (Y/N) Cased to ft. FROM WELL L ft. 7 Parcel ID: 051-061-40-000 Well tog (Y/N) Wires properly protected (YIN) Casing height (above ground) in. AT INSPECTION ft. Well production g•p•m• WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg1L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA .. Tank Type/Material Septic/Steel Date installed 08/13/2014 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleariout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) N Date of pumping New Pumper NA C. ABSORPTION FIELD DATA Date installed 08/1312014 Soii.rating (g.p.d./ftz orfe/bdrm) 0.8 System type FIVE WIDE Length Sift. Width 5 ft. Gravel below pipe 4 ft. Total depth 4.79 ft. Eff, absorption area 580 fe Monitoring tube Y Depression over field N Date of adequacy test NA Results (Pass/Fail) NA For NA bedrooms Fluid depth in absorption field before test NA in. Water added Na gal. New depth NA in. Elapsed Time: NA mina Final fluid depth NA in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NA Absorption rate >= NA g.p.d. If yes, give date NA D. LIFT STATION Date installed NA "Pump on" level at NA in. Datum NA E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lol Absorption field on lot NA Public sewer main NA Size in gallons NA "Pump off level at NA in. Cycles tested NA Manhole/Access (Y/N) NA High water alarm level at NA in. Meets alarm & circuit requirements? NA NA On adjacent lots NA On adjacent lots NA Sewer /septic service line NA Animal containment areas NA Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas NA SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >10' water main >100' Water service line >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water Service line > 10' Curtain drain None Known F. COMMENTS G. ENGINEER'S CERTIFICATION Surface water'>100' Wells on adjacent lots > 100' 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. Engineer's Printed Name Date ! l ijlc5_ COSA brown sheet 10-10-12.doc Absorption field >I Or Surface water >100' Watermain >10' Driveway, parking/vehicle storage >5' Norman K. Gutcher CE - 4919 33.0' i � RECOVERED v I OVERHEAD 3-1/2" BRASS I POWER LINE MONUMENT I 3475-S 1977 I KEYS � E�CO LO ZJ zz� a � I O C7I w a I_J Lal Qv1 II I I 33.0' LOT 103 RECOVERED 5/8" REBAR () N89 53'33'E 158.73'(C) *LUMINARE LOT 102 ®� 20,000 S.F. ui DECK w (TYP.) > 4" PLASTIC ' RISERS (TYP.) (z) 2.0• GRAIL DRIVENAY 30.. NAT. 74.6GAS I � — RECOVERED 1" AL -CAP io IN CASE 0 sw O N89'55'20"E 159.49'(R) N89'53'33"E 158.73'(C) . ELEC. CHIMNEY CANT w H- LOT 101 LEGEND: (C)=CALCULATED DATA (M)=MEASURED DATA (R)=RECORD DATA PER PLAT No. 71-151 U.G. UNDERGROUND ELEC.=ELECTRICAL NAT.=NATURAL j POLE ill N a i 0 N I I W i � I v I OVERHEAD o I POWER LINE I (4) WATER I KEYS CHUCIAK DR. NOTES: 10 — MY 1. EXCEPTING FOR GROSS NEGLIGENCE, THE LIABILITY FOR THIS SURVEY SHALL NOT EXCEED THE COST OF PREPARING THIS SURVEY. 2. THIS SURVEY REPRESENTS VISIBLE IMPROVEMENTS k CONDITIONS ON THE DATE OF SURVEY. 3. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY & IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. 4. THIS SURVEY SUBSTANTIALLY COMPLIES WITH ASPLS MORTGAGE STANDARDS. 5. TIES TO PARTIALLY MONUMENTED OR UNMONUMENTED PROPERTY LINES ARE t1 Fr. 6. THIS SURVEY PERFORMED FOR PREFERRED CUSTOM HOMES. IT SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. REUSE OF THIS DRAWING FOR ANY PURPOSE NOT STATED ABOVE WITHOUT THE EXPRESS WRITTEN CONSENT OF ALASKA RIM ENGINEERING. INC. IS A VIOLATION OF FEDERAL COPYRIGHT LAW. 7. THIS LOT SERVED BY A COMMUNITY WATER SYSTEM. EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. AS—BU ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE RD., SUITE 1 PALMER, ALASKA 99645 PH: (907)745-0222 : FAX: (907)746-0222 EMAIL: akrim®alaskarim.com : WEB: www.olaskarim.com W0: 1300679 FB: 14-13 PAGE1 of 1 GRID: NW1461 I HEREBY CERTIFY THAT A MORTGAGE INSPECTION WAS PERFORMED UNDER MY DIRECTION ON THE FOLLOWING DESCRIBED PROPERTY: DAWN SUBDMSION. LOT 102. PLAT No. 71-151, SEC. 3, T15N, R1W, S.M. ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA. SURVEYED ON THE 8th OF OCTOBER, 2014. ©2014