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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•......• ' , � f 4 ilrl0#0 F SSt�p; Approvedj,�/�/ Date d Inspection Report_1-1=12. 211 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' — 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 • z5os _ F cz )k�gmc, Orier's Matte �-�-( 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 I aa. a u, e_ t. ,;,•�_ _ 'js Propos 480.C -7'.(R)120 '� Well #1/ 1'� �� , i 1054\ Pe& Test ,'� �r.• .-r. Proposed Well #2/1 w� �r. lu5' ' � �•�yJy 22 12 .c �•1 LCL ci i BASS OF 1!-- ;. xv7r5o•c un.er(�) lr.e ee'(.) 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 ''r "-• ./; 0� .,..K,well Proposed ettTest • a., y ��\a Well #215 25 qg• X, c 125• 2 /Existing + v ,., �• ' .•` j Pert,Te�t."t I\ wee 5 i1., iw .9Y r M,."••1 �� €I Ig 1• Perk Test \� Proposed/ to seael.a • • i n (r; se.u.e n .e .c tv ( 120' Wd1 #112 r. 103tos r sul Pte( auOrat•w 10e • Test .\Zi — i. •. •' - a i \i �Y..., / / aw�D'si•F tae.e!',al Proposed �5 ' ' S K Wd1#211 Il •YY•Y"YitO.TL\•� 2^C .�„¢i.S� � .$S• 1 t .,`Proposed a»o7rn2737u F ++ max' 1 2 0 22ell N1/1 w� 5 i Nil[ Test J. ` •Mi 1 M 12 J G .vn,'z �.+•w er .e.r.• StT.'+�1�w�;`RI� ..t!•�- TMa_. C ' '�:... >•t is c,• «a.c>•:/..^•.. cr .e.a.., ,%�i`...__..y}.+ f.ef:Y• n6•L $'(w) wer'N3ln N2.57;n1 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