HomeMy WebLinkAboutROSEBERRY RIDGE ESTATES BLK 2 LT 1ARoseberry
Ridge Estates
Block 2
Lot 1 A
#050-315-57
Inspection Report_1-1=12.
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: OSP141068
PID Number: 050-315-57 ❑� New ❑ Upgrade
Name:
Troy Davis Homes
ABSORPTION FIELD
❑ Deep Trench ❑� Shallow Trench ❑ Bed ❑ Mound
Address
165 E. Parks Highway Wasilla,
AK 99654
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
357-9394
3
1.2 GPD/SF
8.2 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.2 Ft.
Gravel depth beneath pipe
1 4-OFt.
Subdivision
Block Lot
Roseberry Ridge Estates
2 1 A
Fill added above original grade
0-1 Ft
Gravel length
38 Ft
Township Range Section
Gravel width -
SFL
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
380 Fe
Ft.
Well
>100'
>100'
N/A
N/A
125,
TANK ❑ Septic ❑ S.T.E.P. []Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
I 1,000GaI.
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
Pump on level at
Pump off level at
High water alarm at
Remarks
in.
in.
in.
Pump make and model
Electrical Inspections performed by
PIPE MATERIAL Housetotank D3034 Tank to D3034
drainfield
Installer
Northern Excavation
Drainfield HDPE CO/MT D3034
Inspector MEA
BENCH MARK (Assumed elevation) 100.Oft
Inspecilon
1x 4/28/14
4(28/14
Location and description
2�
Garage Slab.
e
e
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
I
Gras #4
•�s�♦�
�.47, 00 !1 .
Conditional Approval:
Date
s
'HN .HIN.
/ m : MIc71Ag R
!! �••. f3bi N NO,
0.
pFp•......•
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Approvedj,�/�/
Date d
Inspection Report_1-1=12.
211
10
X11
12
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I I L � 0
DEVEOPMENT SERVICES DEPARTMENT
400 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
Permit Number: OSP141068
PID No. 050-315-57
yoo /2A
i/ Existing \�
Well
' Y
N
Existing
�\ LEGE/N ® Well
`§1 - Septic Tonk Vent
r
- Cleanout
M1
TH- Monitor Tube
TH -Test Hole
FCO - Foundation Cleonout
PLAT N0, 2006-138
ROSEBERRY RIDGE ESTATES \ \ \ 1 A
LOT 1 50 ACRSOCK 2 \ \ ✓�, ..'.� �� ��,,,' •
Cn
OF
�\ �.....
..{../.../49%th...�pA• 5�.. ..........
\ %.......... 5;,v,,,..................+".�!:
0322.8'
8 � \ �-AMICHAEL E. ANDERSON ?�tv2
Sl 53.6 \\ +J. �. J+•• NO. CE -4381 •'`:
82 55.5' - :: 3r \ `' �. T�•'•, / •
C4 58.6' +"� �f. � ��• �' XPV :�1
C5
59.s' 9 n ;v, h� OFESSI����
M7 58.2' �1\l\\���
alternate
Site TH1 Three a ifP
9 Bedroom \
TH a \ Home \\
Ay
R•325.00 L=82.95
sea -'a 221.01 — — — — — —
N g2.35•E _ /
R 2]5.00 L_gS69 Ne9•g6']2'E 6].35
PLAN AS BUILT X00
V1
SCALE 1" = 60' —
9
10
X11
12
0
I I L � 0
DEVEOPMENT SERVICES DEPARTMENT
400 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
Permit Number: OSP141068
PID No. 050-315-57
yoo /2A
i/ Existing \�
Well
' Y
N
Existing
�\ LEGE/N ® Well
`§1 - Septic Tonk Vent
r
- Cleanout
M1
TH- Monitor Tube
TH -Test Hole
FCO - Foundation Cleonout
PLAT N0, 2006-138
ROSEBERRY RIDGE ESTATES \ \ \ 1 A
LOT 1 50 ACRSOCK 2 \ \ ✓�, ..'.� �� ��,,,' •
Cn
OF
�\ �.....
..{../.../49%th...�pA• 5�.. ..........
\ %.......... 5;,v,,,..................+".�!:
0322.8'
8 � \ �-AMICHAEL E. ANDERSON ?�tv2
Sl 53.6 \\ +J. �. J+•• NO. CE -4381 •'`:
82 55.5' - :: 3r \ `' �. T�•'•, / •
C4 58.6' +"� �f. � ��• �' XPV :�1
C5
59.s' 9 n ;v, h� OFESSI����
M7 58.2' �1\l\\���
alternate
Site TH1 Three a ifP
9 Bedroom \
TH a \ Home \\
Ay
R•325.00 L=82.95
sea -'a 221.01 — — — — — —
N g2.35•E _ /
R 2]5.00 L_gS69 Ne9•g6']2'E 6].35
PLAN AS BUILT X00
V1
SCALE 1" = 60' —
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number: OSP141068
1,000 Gallon
Septic Tank
99.4
0U
Page 3 of 3
PID No. 050-315-57
U � U
AEL E. NDE
PROFILE AS -BUILT MICMNO. CEQ438RS N
No Scale �1.:.'• .q" `P^f:K`•F
94.6
0
by
Doc G.'Iba
SULLIVAN WATER WELLS
P.O, BOX B?fr CHUGMK, AVMA 9956Y
Ct d t� R4Fs'..i
_ �d rw i T iy2s4J�G._T w'
isWPIM
^bt-.l- i'._lni t' It i �.'..• 4r *:!- E ♦.
Municipality of Anchorage
Community Development Department
On -Site Water & Wastewater Program
4700 Elmore St. P.O. Box 196650 Anchorage, AK 99507-6650 www.munior 'onsite
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: SW 050031 Date of Issue 2/16/05
Parcel Identification Number: 05031347
Legal Description
Roseberry Ridge BLK 2 Lot 1A
Pump Installation Date: 4/28/14
Pump Intake Depth Below Top of Well Casing: 91
Pump manufacturer's Name: Gould
Pump Madel: 75805412CL
Pump Size: 1/2
Pitless Adapter Burial Depth: 10
Pitless Adapter Installer: Northern Excavating
Disinfected Upon Completion? ® yes ❑ no
Method of Disinfection: Chlorine 50 ppm
Comments:
Property Owner Name & Address
Troy Davis Hames
N Pump Installers Name: Cale 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?
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: OSP141068
Tax Code Number: 05031557000
Work Type: Septic Initial
Permit Effective Dates: April 14, 2014 to April 14, 2015
Design Engineer: ANDERSON ENGINEERING
Subdivision: ROSEBERRY RIDGE ESTATES
Site Legal Address: ROSEBERRY RIDGE ESTATES BILK 2 LT 1A G:0154
Owner/Address: BARNETT LORI A & SEAN D
21624 SEAN STREET CHUGIAKAK 995675233
Site Mailing Address: 19025 MOUNT MAGNIFICENT CIR, Eagle River Lot Size in Sq Ft: 135037
Total Bedrooms: 3
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Receive
Issued
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. 050-315-57
Property owner(s) Sean and Lori Barnett Day phone 310-2501
Mailing address 21624 Sean Street Chugiak, AK 99567
Site address Mount Magnificent Circle Eagle River, AK 99577
Legal description (Sub'd., Block & Lot) Roseberry Ridge Estates, Block 2, Lot 1A
Legal description (Township, Range & Section)
Lot Size 135,037 Sq. Ft. Number of Bedrooms Three (3)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑X Initial ❑X Single Family (SF) ❑X
(w/wo ADU)
Septic Tank ❑X Upgrade ❑ Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
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.
W4.4 ,>! EAL.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 55I(aq
Date of Payment: Y r i� lly
Receipt Number:. Oci 031-716
Permit No. OSPltl140
Permit App_,?:
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No. —
April 8, 2014
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 1A, Block 2, Roseberry Ridge Estates Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer
The owner of Lot 1A, Block 2, Roseberry Ridge Estates Subdivision intends to construct
a new three-bedroom home on the lot. We are therefore requesting a permit be issued
for the construction of a new septic system to accommodate the home. The lot currently
has a well on site which was placed during the subdivision phase. The attached Site
Plan and backup documentation identify the location and configuration of the proposed
septic system along with the alternate site and the well on the lot. No existing wells or
septic systems are closer than 100' from the proposed septic system. 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.
The test holes placed on the lot in the area of the absorption trench and alternate site
indicated silty gravel (GM) material with some sand. The percolation rate of the soil
was determined to be 2 minutes per inch. No groundwater was found during the
placement of the test holes and none was noted during the monitoring period. 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 1,000 -gallon septic tank and a 38'
long by 5' wide by 4' effective depth absorption trench to treat and dispose of the
effluent generated in the house. The elevation of the distribution line in the absorption
trench will be 4' below the surface and the total depth will be 8'. 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 absorption trench slopes to the
southwest at approximately 20%. The new trench will be constructed parallel with the
contours of the slope as much as possible in conformance with Municipal requirements.
Lot 1A, Block 2, Roseberry Ridge Estates Subdivision
April 8, 2014
Page Two
The new septic system will be constructed a minimum of 100' from all wells and any
surface water and 10' from 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,
Michael E. Anderson, P.E.
Attachments
�;�• 49th °.�
MICHAEL E. ANDERSON
No. CE -4381 R
2
e.,
10
11
112
4*
e
1A
PLAT N0, 2006-138
1 ROSEBERRY RIDGE ESTATES
LOT 1A, BLOCK 2
— 2.50 ACRES
Existing
Well
\\\\\\ OGS ,� ®ExiWellg
LE
/SV - Septic Tank Vent
\\� 1 lea
CO - Cnout
CO - MonitCleoor Tube
TH - Test Hole
\ \ 9 FCO - Foundation Cleanout
\\ 1A i
\ 49th � ....
\ �...Y1�4� .....
...,,,,;
MICHAEL E. ANDERSON
N0. CE -4381
•••�h�FFSSI�Pi••�
- 1,000 Gallon
Septic Tank and
38' Long x 5'
Wide x 4' Effective
Depth Absorption
I Trench. N+
rye.
Three
\
q° Bedroom
Home � \
CA
FC \ \
CA sq °-0
Alternate Y �\vy
Site ®
TH1 �s.
ao No Conflicts with Wells or Septic
TH2 % v°%• Systems in the Area. No Slopes >25%
within 50' of the Septic System. No 6
�� Surface Water within 100'.
N- S80.42.75•E 221.01 � _ �- — — — — — —f /
SITE PLAN
SCALE 1" = 60'
N
11
I�
I
�
s
I
I
I
10
11
112
4*
e
1A
PLAT N0, 2006-138
1 ROSEBERRY RIDGE ESTATES
LOT 1A, BLOCK 2
— 2.50 ACRES
Existing
Well
\\\\\\ OGS ,� ®ExiWellg
LE
/SV - Septic Tank Vent
\\� 1 lea
CO - Cnout
CO - MonitCleoor Tube
TH - Test Hole
\ \ 9 FCO - Foundation Cleanout
\\ 1A i
\ 49th � ....
\ �...Y1�4� .....
...,,,,;
MICHAEL E. ANDERSON
N0. CE -4381
•••�h�FFSSI�Pi••�
- 1,000 Gallon
Septic Tank and
38' Long x 5'
Wide x 4' Effective
Depth Absorption
I Trench. N+
rye.
Three
\
q° Bedroom
Home � \
CA
FC \ \
CA sq °-0
Alternate Y �\vy
Site ®
TH1 �s.
ao No Conflicts with Wells or Septic
TH2 % v°%• Systems in the Area. No Slopes >25%
within 50' of the Septic System. No 6
�� Surface Water within 100'.
N- S80.42.75•E 221.01 � _ �- — — — — — —f /
SITE PLAN
SCALE 1" = 60'
N
LOT 1A, BLOCK 2, ROSEBERRY
RIDGE ESTATES SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Three Bedroom House Deep Trench System
Perc. Rate: 2 Min./Inch 1,000 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 4' Drainfield Rock
3 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 375 SF Absorption Area
375 SF/5 SF/ LF'.5 (Red. Factor) = 37.5 LF Trench Length
THEREFORE: Construct a New 38' Long x 5' Wide x 4' Effective Depth Absorption Trench.
Flow Line Elevation in Trench to be 4.0' Below Original Ground Surface. Total Depth to be
8.0' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over
Absorption Trench.
Natural
Backfill
3'6"
Geotextile
Fabric
6" 4" Perforated
PVC (Holes Down)
4'0" I 1 .11—r Drainfield Rock
5'
TYPICAL 5' WIDE TRENCH SECTION ••••���
(NO SCALE)
moi;•'
NOTE: Grade Area Over Trench to Drain Away. : t�;`
Minimum 6' Separation From Bedrock. .........49..'.......... ..
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells in the Area. ';p MIGHAae.MDER3
Minimum 100' Separation From Surface Water or Streams. �j£3s,\ No. CE. l
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
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT IA, BLOCK 2, ROSEBERRY RIDGE EST. SUB
PERFORMED FOR: TROY DAvls HOMES
DATE: 3/17/14 PROJECT No.:
PARCEL ID#: TECHNICIAN: W. ROBERTS
TEST HOLE 1
�T
OB/OG
°
e
4'
a
SILTY GRAVEL
a GM
SLOPE
c„
0
Ell
MICHAEL E. ANDERSON
SITE PLAN
SEE SITE PLAN L,
x
s
WAS GROUND WATER ENCOUNTERED, NO
° IF YES @ WHAT DEPTH?
DEPTH OF WATER AFTER MOMTORIING: NONE O 5%
e DATE OF MONITORING: 4/7/14 0
12-1 °
13 e
14-
15-
4
4 154
16
17
18
BOH @ 16.5'
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
3/17
1
11:00/11:10
10
2.38"/7.38"
5.00"
2
11:11/11:21
10
2.50"/7.50"
5.00"
3
11:22/11:32
10
2.38"/7.38"
5.00"
4
11:33/11:43
10
2.25"/7.25"
5.00"
5
11:44/11:54
10
2.50"/7.50"
5.00"
6
11:55/1105
10
2.38"/7.38"
5.00"
PERCOLATION RATE:: 2-0 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 4.0 FT. and 5.0 FT.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS
DATE: 4/8/14
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
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT IA, BLOCK 2, ROSEBERRY RIDGE EST. SUB
PERFORMED FOR: TROY DAMS HOMES
DATE: 3/17/14 PROJECT No.:
PARCEL ID#: TECHNICIAN: W. ROBERTS
TEST HOLE 2
OB/OG
O
G
a
a
SILTY GRAVEL
a GM
a
SLOPE
49th
MICHAEL E- ANDERSON
No. CE -4381 .
0
SITE PLAN
SEE SITE PLAN k,
2
1
WAS GROUND WATER ENCOUNTERED? NO
° - IF YES @ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING: NONE 5%
G DATE OF MONITORING: 4/7/14
12-
13-
14—
is-
16-
17-
18-
19-
BOH
2 1314 1516171819
BOH @ 16.5'
COMMENTS: TEST HOLE PRE SOAKED PRIOR
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
3/17
1
12:13/12:23
10
1.75"/7.00"
5.2511
2
12:24/12:34
10
1.50"/6.63"
5.13"
3
12:35/12:45
10
1.63"/6.75"
5.13"
4
12:46/12:56
10
1.50"/6.63"
5.13"
5
12:57/01:07
10
1.50"/6.63"
5,13"
6
01:08/01:18
10
1.63"/6.75"
5,13"
PERCOLATION RATE: 1_95 (MIN/INCH) PERC. HOLE DIA. 611 (INCHES)
TEST RUN BETWEEN: 4_0 FT. and 5_0 FT.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS
TIATF.• - 4/8/14
ItCert[fteb 3Dritttng log
by
Doc co. ad
SULLIVAN WATER WELLS
P.O. SOX 87MM CHIXSAK, ALASKA OftV •
OWNM of tAP G a E e., -1 - _✓`
Fk
LEGAL rlortl3t a 4ti -r / o
Aol,�a l3nue At Ae,rZ
Dme
TAX IOamncAnoN mAt9E R Q_Mf 3'91 a
Is vree bcaled a< approved peani bcatiore 6 -mg- a No
Mee,oa at ovens rotay J rade Loot
Depth of ••er—l'0 3
Caft Type S rr_A, wrae ThkMw= • a a"� tndias
aa.lew dpM
LkWTyPM 431i'l
Casing Sbdm* Above G=rv& d. Teel
smc mm Levet ab led
RewvW Rabe o Wn
MebW o(Tesb Ate_
wee Intake Qxr*q Type: Sep _end Q open hole
J saeenedt . Stat teat slopped feet
r] Pertara6ons Stab feet Slopped feet
Grq�tTpp� /.i.S.a �yn:'� G IOT�tQ S'
Depft 6om n imet fn d`� teat
CAA .4c- ST-IGG1yo
c `ti6e•� 3.<n.sJ
Cs� R lJ�-a..s •
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cz )k�gmc,
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MUNICIPALITY OF ANCHORAGE
Development Services Department
Onsite Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Feb 16, 2005
Expiration Date: Feb 16, 2006
Permit Number. SWO50031 Y{o5Et3F_tK1 Kic§e E.STR1143 Parcel ID: 050 -31G3 -T7'
Legal Description: 01-Ot k z t..r 1
Design Engineer: 0838 North Rim Engineering
Owner Name: UPPER MEADOW CREEK ESTATES LL
Owner Address: NHN MOUNT MAGINIFICENT
EAGLE RIVER. AK 99577 -
Site Address: NONE
Lot Size: 124771 SO. FT.
Total Bedrooms: 0 Permit Bedrooms: 0
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be In accordance with:
1. The attached approved design.
2. All requirements specked 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
-WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN
DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND
NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL
SYSTEM HAS BEEN CONSTRUCTED.
THIS PERMIT IS FOR THE PROPOSED ROSEBERRY RIDGE ESTATES BLOCK 2 LOT 1
Received By.
Dater- It Is -
Date: _.7/14 or-
Municipality of Anchorage
-tel Development Services Department
Building Safety Division
On -Site Water and Wastewater Program = m
4700 South Bragaw St.
s„..
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 05031347-000 Permit Number SW o5'oo7r
Property owner(s) Upper Meadow Creek Estates, LLC Day phone' 694-2697
Mailing address 18134 Harbor Point Loop, Eagle River, AK Zip Code 99577-8534
Site address Zip Code
Legal description (Lot, Block & Sub'd.)Roseberry Ridge Estates Lot 1 Block 2 (Prelim Plat S-11278)
Legal description (Section, Township & Range) T14N Rl W
124,771 Sq.Ft. N/A
Lot Size Acres/Sq.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only n
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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.
of property owner or authorized agent)
Permit/Rush Fees: 1' ao Waiver Fees:
Date of Payment: /I 1 1,2CL"> Date of Payment:
Receipt Number: o_ _ c�m Receipt Number:
(Rev. 09/04)
Existing':/'
xisting:r:
We
18� •� ►L ,:e 7i
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,;,•�_ _ 'js Propos
480.C -7'.(R)120 '� Well #1/
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i
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Proposed
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TRACT A Circles= je�wExi�i1'g
100!�tadi\
(� .N 6•fATC • 115 •cw y
M1 Pel%. Test ". •el .: -
p
r ,,1. Cj Existing \ Pett Test
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u ..a. w..•o / \ K179. T. re. P(+ Mtl].•2T. i65 2. ..
1 .
C0.
Roseberry Ridge Estates
Preliminary Plat
l
Parcel I.D. 050-315-57
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Expiration Date: ��—
Complete legal description Roseberry Ridge Estates, Block 2, Lot 1A
Location (site address) 19025 Mount Magnificent Circle Eagle River, AK 99577
Current Property owner(s) Troy Davis Homes
Mailing address
Real Estate Agent
Day phone 357-9394
165 E. Parks Highway, Suite 200 Wasilla, AK 99654
2. TYPE OF DWELLING:
Il Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Three
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
E]
Individual
0
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver/Variance request
Received by: a Date
COSA to be releasedvio the engineer, unless otherwise requested by the engineer.
COSA Fee $ 0-j"---yM1 5h l�l•��'
Date of Payment Ct lg lI y C k
Receipt Number 0ino'5
COSA# 0,,c-lU Iqlo'I
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
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
System #2 Approved for bedrooms
Phone
Date
522-7773
-OF q
F
CE•43
gig_ 4-
•....
Disapproved
Conditional approval for bedrooms, with the following stipulations:
•r
By: O/t/f/ Original Certificate Date:
The2 aliV .horage 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet r 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 Ridge Estates, Block 2, Lot 1A Parcel ID: 050-315-57
A. WELL DATA
Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y
Date completed 2/26/05 Sanitary seal (Y/N) Y Wires properly protected (YIN) Y
Total depth L04 ft. Cased to 103 ft Casing height (above ground) >18 in.
FROM WELL LOG
Date of test 2/26/05
Static water level 26 ft,
Well production 20 g.p,m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate 1.39 mg/L
Arsenic ND ug/L Date of sample: 8/19/14
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,000 gal. Number of Compartments 2
Foundation cleanout (YIN) Y Depression over tank (Y/N) N
Date of pumping New Const. Pumper
C. ABSORPTION FIELD DATA
AT INSPECTION
t Zc/
Z>.�ft.
g.p.m.
Collected by: Anderson Engrg.
Date installed 4/28/14
Cleanouts(Y/N) Y
High water alarm (Y/N) N
Date installed 4/28/14 Soil rating (g.p.d./ftz orftz/bdrm) 1.2 GPD/SF System type 5' Wide
Length 38 ft. Width 5 ft. Gravel below pipe 4.0 ft.
Total depth 8.2 ft. Eff. absorption area 380 fe Monitoring tube Y Depression over field N
Date of adequacy test New Const. Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test in. Water added gal. New depthin.
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
Date installed
"Pump on" level at
Datum
No Add On Manhole - Gravity Flow to Absorption Trench.
Size in gallons _
in. "Pump off' level at
Cycles tested
Manhole/Access(Y/N)
_ in. High water alarm level at
Meets alarm & circuit requirements?
in.
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot > 100'
On adjacent lots >1 00'
Absorption field on lot 00
On adjacent lots >1 00
Public sewer main N/A
Public sewer manhole/cleanout N/A
Sewer /septic service line >25'
Holding tank N/A
Animal containment areas >50'
Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line
>5' Absorption field >51
Water main >10 Water service line >10 Surface water >100
Wells on adjacent lots >100,
ABSORPTION FIELD ON LOTTO:
Property line >10' Building foundation
>10' Water main N/A
Water Service line Surface water > Driveway, parking/vehicle storage >10
Curtain drain None Noted Wells on adjacent lots
>100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
t certify that t 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 9/4/14
COSA bmwn sheet_10-10-12.doc
_aWuwu.
LOT 1A BLOCK 2 HAS 135,037
SQ.FT. OF AREA
10
1.1
12
R SEPTIC i
CLEPN Vi 2p) S
B E%ISLNC HOUSE
O
SEPTIC
I � �
R= 25.00 L=82.95 _
--- N 92'35'E 2?i
\n
ENTRY \
41
\9s.r
A \ 9 \
Zb
t \ \\
J
FOR: Troy Davis Homes Date Seale
08-24-14 1" — 50'
FORBES & ASSOCIATES. INC Grid As -baht Sar
P.O. Box 232293 NW 154 240130
Anchorage, Alaska 99523 Drawn by Field Book
(907) 229-5881 CEF 244
I hereby certify that the property described hereon has been surveyed
by me, or at my direction, and that the improvements situated thereon
are within the property lines and do not overlap or encroach on the
property lying adjacent thereto unless otherwise shown. That no
GRAPHIC SCALE. l inch = 50 Feet improvements on the property lying adjacent thereto encroach on the
premises in question and that there are no roadways, transmission r it
25 0 25 50 too lines or other easements on said property except as shown. //�•��
It is the. responsibility of the owner or builder, prior to construction,
to verify proposed building grade relative to finish grade and utility
connections and to determine the existence of any easements, covenants,
or restrictions which do not appear on the recorded subdivision plat.
Listed distances prevail over scaling -
Reproduction may cause distortion.
c
N
N
Legal Description.
Lot IA Block 2
ROSEBERRY RIDGE
ESTATES
OF ,444'i1
49TH
CHARLES E. FORGES a +
LS -7326
08-24-14
a