HomeMy WebLinkAboutHORIZON ESTATES LT 3'0
Horizon
Estates
Lot 3
#051-324-23
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP141296 PID Number: 051-324-23
Dwelling: N Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑M New ❑ Upgrade
Name:
Troy Davis Homes
ABSORPTION FIELD
❑M Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
'address
165 E. Parks Hwy #200 Wasilla, AK 99654
Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
357-9394
5
.8 GPDISF
10.6 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original gradeGravel
2.6 Ft
depth beneath pipe
Ft.
Subdivision Block Lot
Horizon Estates 3
Fill added above original gradeGravel
1-2 Ft.
length
36 Ft
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
1
From
Tank
Field
Tank
Line
5576 Ftp
1
Ft.
Well
>100'
>100'
>100'
NA
>25'
TANK [I Septic M S.T.E.P. El Holding E] Other
Manufacturer
Anchorage Tank
Capacity
1,000 Gal.
Surface Water
>100'
>100'>100'
NA
Material
Number of compartments
Lot Line
>5'
>10'
>5'
NA
Steel
Two
NA
Foundation>5'
>10'
>5'
NA
LIFT STATION
Manufacturer
Capacity
curtain Drain
None
Noted
Gal.
Remarks
Pump on level at
in.
Pump off level at
in. I
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
PIPE MATERIAL House to tank D3034 drainfifield D3034
Installer
Northern Excavation
Dralnfield D3034 CO/MT
Inspector A. Harala
BENCH MARK (Assumed elevation)100.0 It
Inspecttiones: t 8/8/14 8/8/14
Location and description
2m
3rtl 8/15/14 a'"
Garage Slab.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Er gj. , p
OF %11
Conditional Approval:Date
=��*:•'�
,. *014"; 49� .
to » ......
E ANDlItiOT1 :
�
.4381
Approved l' Date 1-/
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��••'�oiESsltiN �•
Inspection Report 9-1't2xbtr%
S89°56'55'E 130.12 Permit Number. 05P14129B
PID No. 051-324-23
Page 2 of 3
17.60 12,40
UTILITY ESMT.(P-549)
3
1 SRO
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Well TH
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i S2 �N`, A B
fU 04 51 S1 16.6'37.2'
c S2
21.0'42.7'
—C4-18.4!48.1'
W M 1
20.4'48.6'
O C5 51.6'70. 1'
2 w bo
--j HREE BEDROOM
�O HOME
LEGEND
M1 — Monitor Tube
FCO — Foundation Clean Out
TH — Test Hole
C1 — Clean Out
Y.e3'
'g�'¢q.Cga-a�iitq!
15 T & E ESMT.
�
■.e4 o N89°58'28'W 130,1 0
...... ...,.��i o
MULDROW STREET $
E. ANDERSON.j'C„ PLAN AS BUILT
CE -4391 _,�ti �
'--7---:` ��i SCALE 1' = 40'
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
Onsite Wastewater Disposal System or Well Inspection Report
Permit Number. OSP141296
ao.a n
Co / co
/ Finlshod 1 1 I
T
PID No. 051-324-23
6-75-74
36'(Trench Length)
PROFILE AS -BUILT -
No Scale
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 3, HORIZON SUBDIVISION
PERFORMED FOR: TROY DAvls HOMES
DATE: 8/1/14 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
DEPTH TEST HOLE A
(feet)
11 A
12 a
13 DENSE
14-
15-1 A
17-1
i ffrmn
SLOPE
SITE PLAN
SEE SITE PLAN y
WAS GROUND WATER ENCOUNTERED? NO
IF YESWHATDEPTH?
DEPTH OF WATER AFTERR MONTTORINO: NONE 2%
DATE OF MONITORING: 8/15/14 p
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
OB/OG
1
TEST HOLE PRESOAKED PRIOR TO TESTING:
8/1
1
13:02
2.25"
a
2
Q
30
3
a ..
3
13:34
4
5
d
30
5.38"
' d
6
a'
7
Q
8
14:35
SILTY GRAVEL
5.25'
3.00"
WITH SAND
g
;a
GM
11 A
12 a
13 DENSE
14-
15-1 A
17-1
i ffrmn
SLOPE
SITE PLAN
SEE SITE PLAN y
WAS GROUND WATER ENCOUNTERED? NO
IF YESWHATDEPTH?
DEPTH OF WATER AFTERR MONTTORINO: NONE 2%
DATE OF MONITORING: 8/15/14 p
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
8/1
1
13:02
2.25"
2
13:32
30
5.25"
3.00"
3
13:34
2.38"
4
14:04
30
5.38"
3.00"
5
14:05
2.25"
6
14:35
30
5.25'
3.00"
PERCOLATION RATE: 1�IINCH) PERC. HOLE DIA.6bINCHES)
TEST RUN BETWEEN: 4 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
T)ATP..- 12/17/14
ACE WATER WELL DRILLING
A subsidiary of ACE Ventures, Inc.
P.O. Box 520090
1167 N. Knapp Dr
Big Lake, Ak. 99652
(907) 357-7987 fax (907) 376-7987 (907) 354-1398 cell
Well Owner Troy Davis Homes Use of Well: Domestic
Location: Lot 3 Horizon Estates — Eagle River
Date of Completion: 08/26/2014 Job # 14-09 Drilling Method: Air Rotary
Size of Casing: 6" Depth of hole: 225 feet Cased to: too feet
Static Water Level: 50 - feet below top of casing -
Finish of Well ( ) Open End ( ) Grout/Seal ( X ) Screen/Liner ( X ) Perforated
Describe screen, seal, or perforation: PVC liner set from 225 to 82 feet. Perforated from 58 to 62
feet. Bentonite surface grout seal.
Well Pumping Test at 3 Gallons per ( ) hour (X ) minute.
Suggested Pump setting depth: 210 feet from top of casing.
Method of disinfection: Chlorine tablets
Depth in feet from casing
to
Details of Formations/size/color/ etc
0 to 2 feet
Stick u
2 to 58 feet
Silty gravel
58 to 62 feet
Water gravel
62 to 82 feet
Clayey avel — dam
82 to 190 feet
Sandstone bedrock
190 to 193 feet
Coal water
193 to 225 feet
Sandstone bedrock
Driller Signature- Date:
Ace Wafter Wells
P O Box 520090
Big Lake, Ak. 99652
(907)376-7987
aceh2o mtaonline.net
Pump Installation
Well Owner: Troy Davis Homes
Installation Date: 11/18/2014
Legal Description: Lot 3 Horizon
Pump Intake Depth: 158'
Pump Manufacturer: Goulds
Model: Bruiser
Size: 1/2 horse
SN: G1363107
GPM: 5
feet below top of casing (TOC).
Pitless Buried Depth: 12'5" TOC
Disinfection method: Chlorine tablets
Job# P14-09
Additional comments: Water Sample taken. Pump Saver and Control box beside water line
stab out in crawl space. Pitless is crooked.
Installer
On -Site Water & Wastewater System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP141296
Tax Code Number: 05132423000
Work Type: WellSeptic Initial
Permit Effective Dates: August 07, 2014 to August 07, 2015
Design Engineer: ANDERSON ENGINEERING
Subdivision: HORIZON ESTATES
Site Legal Address: HORIZON ESTATES LT 3 G:0553
Owner/Address: TROY DAVIS HOMES INC
165 E PARKS HIGHWAY STE 200 WASILLA AK 996540000
Site Mailing Address: 18147 MULDROW ST, Eagle River
This permit is for the construction of:
Lot Size in Sq Ft: 40054
Total Bedrooms: 3
Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage
l:ba
so'.-oo
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
G Community Development Department
J Development Services Division
On -Site Water & Wastewater Program
ANCHORAGE
Phone: 907-343-79
Fax: 907-343-7997 -
"7j ► ,
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 6'51 -32,q -V3
Property owner(s) Troy Davis Homes Day phone 310-2501
Mailing address 165 E. Parks Highway #200 Wasilla, AK 99654
Site address Fish Hatchery Road Eagle River, AK 99577
Legal description (Sub'd., Block & Lot) Horizon Estates, Lot 3
Legal description (Township, Range & Section)
Lot Size 40,030 Sq. Ft. Number of Bedrooms Three
APPLICATION IS FOR:
(N all that apply)
Absorption Field
❑X
Septic Tank
❑X
Holding Tank
❑
Privy
❑
Private Well
❑X
Water Storage
❑
APPLICATION IS AN:
Initial
Upgrade
Renewal
RX
El
TYPE OF DWELLING:
Single Family (SF)
(w/wo ADU)
Duplex (D)
Multiple Dwellings
(SF and/or D)
suRMITT JUL 3 1 2014
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Dis tance:
1 certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized
Permit/Rush Fees: 4M'2 7 S"'
Date of Payment:
Receipt Number: 64011 C"-
Permit No. oe? a ll' 17A6 Waiver No.
Permit App_? ::L..:c.
❑X
c
July 31, 2014
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 3, Horizon Estates Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer
The owner of Lot 3, Horizon Estates Subdivision intends to construct a new three-
bedroom home on the lot. We are 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
proposed and existing wells in the area and septic systems on surrounding lots. No
conflicts exist between the proposed septic system and the well or septic systems and
wells on adjacent lots. Drainage arrows and ground contours 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 indicated silty gravel with sand (GM). The percolation
rate of the soil was determined to be 6 to 15 minutes per inch. No groundwater was
found during the placement of the test holes, but was noted at 15' in TH12 during the
monitoring period. An application rate of .8 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 36' long by 3' wide by 8' 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 2.5' below the surface and the total depth will be 10.5'. 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. A new test hole will be placed as shown on the site
plan and water monitoring completed. The results of the test hole and monitoring will
be submitted with the certified as built for the property.
The ground surface on the lot in the area of the septic system slopes to the north and
northwest at a shallow grade with some cross sloping from the east. The new trenches
will be constructed parallel with the contours of the slope as much as 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
Lot 3, Horizon Estates
July 31, 2014
Page Two
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, n
r--1t�-1-�-cJ11L'
Michael E. Anderson, P.E.
Attachments
°•. 491h
MICHAEL E ANDERSON
N. CE 4381 •
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ORIZON EST ES
LOT
40,03 SF
' Long x 3' Wide
Alter ate x B' Effective Depth
Si
A orption Trench
Well
Proposed CO
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LOT 2SV
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Se tic Tank
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Well
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4
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N89 58'28°W 30.12
��?�',ry'•p•
M DROW TREE
AV
f 49th •° ��
0....... ......... ...... ..0
LEGEND
MT - Monitor Tube
%l
. ...................
.
SITE PLAN
FCO - Foundation Clean Out
TH - Test Hole
CO - Clean Out
MICHAEL E. ANDERSON.::
C
FSV - Flow Splitter Valle
••✓f No. CE -4381 AV
• F=ice
SCALE 1" = 40'
•••11111t1,%
SS ��
LOT 3, HORIZON ESTATES SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Three Bedroom Home Deep Trench System
Perc. Rate: 6-15 Min./Inch 1,000 Gallon Septic Tank
Application Rate: .8 GPD/SF 8' Drainfield Rock
3 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 562.5 SF Absorption Area
562.5 SF/16 SF/LF = 35.16 LF Trench Length
THEREFORE: Construct a 36' Long x T Wide x 8' Effective Depth Absorption Trench at the
Location Shown. Flow Line Elevation in the Trench to be 2.5' Below Original Ground. Total Depth
to Be 10.5' Below Existing Ground. Provide 4' of Cover Over Septic Tank and a Minimum of 3'
Cover Over Absorpiton Trenches. Maintain 100' Separation from Wells in the Area.
Natural
Backfill
2'0"
6" 1 1 \ O
MR
Geotextile
Fabric
4" Perforated
PVC (Holes Down)
Drainfield Rock
TYPICAL DEEP TRENCH SECTION
(NO SCALE) �.•�p•�E. OF A.<
NOTE: Grade Area Over Trench to Drain Away.: �;` 49tn
Minimum 6' Separation From Bedrock. 0 ................................
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells in the Area.MICHAEL E. ANDERSON
Minimum 100' Separation From Surface Water or Streams. ��� 1 N0. CE -4301
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-
16-
17-
18-
19 -
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 3, HORIZON SUBDIVISION
PERFORMED FOR: TROY DAVIS HOMES
DATE: 10/10/13 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
TEST HOLE 11
OB/OG
SILTY GRAVEL
WITH SAND
d GM
0
° DENSE
0
°
a
° BOH @ 17.5'
SLOPE
N
0
e 49th _ ..°.
MICHAEL E. ANDERSON
SITE PLAN
SEE SITE PLAN Y
ffi
x
i
WAS GROUNDWATER ENCOUNTERED? NO
IF YES @ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING: NONE2%
0
DATE OF MONITORING: 10/17/13 0
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH TO
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
10/10
1
9:18
5.69"
2
9:48
30
10.12"
4.44"
3
9:49
5.63"
4
10:19
30
9.88"
4.25"
5
10:20
5.63"
6
10:50
30
9.94"
4.31"
PERCOLATION RATE: 7 (MIN/INCH) PERC. HOLE DIA-6L(INCHES)
TEST RUN BETWEEN: 4.5 FT. and 5.5 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: 10/20/13
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
DEPTH
(feet)
1-
2
3
4
5
6
7-
8-
9-
11
12
13
14
15
16
17
18
19
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 3, HORIZON SUBDIVISION
PERFORMED FOR: TROY DAVIS HOMES
DATE: 10/10/13 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
TEST HOLE 12
OB/OG
SILTY GRAVEL
WITH SAND
a GM
SLOPE
Im
MICHAEL E. ANDERSON
NO. CE -4381 .
SITE PLAN
SEE SITE PLAN _ 9
z
WAS GROUND WATER ENCOUNTERED? NO
IF YES @ WHAT DEPTH? S
DEPTH OF WATER AFTER MONITORING: 15' SL 2%
a DATE OF MONITORING: 10/17/13
o
° DENSE
0
°
a
Al BOH @ 17.5'
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH TO
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
10/10
1
16:15
7.44"
2
16:45
30
10.7511
3.3111
3
16:47
7.5011
4
17:17
30
10.7511
3.2511
5
17:18
7.4411
6
17:48
30
10.6911
3.2511
PERCOLATION RATE: 9 (MIN/INCH) PERC. HOLE DIA.-6L(INCHES)
TEST RUN BETWEEN: 4.5 FT. and 5.5 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: 10/20/13
Parcel I.D. 051-324-23
Municipality of Anchorage
on -Site Water and Wastewater Program
(907) 343-7904 e
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Horizon Estates, Lot 3
Expiration Date: .3 ` � or, IS -
requested
S
Complete legal descnpuon
Location (site address) 18117 Muldrow Street Eagle River, AK 99577
Current Property owners) Troy Davis Homes, Inc. Day phone 357-9394
Mailing address 165 E. Parks Highway, No. 200 Wasilla, AK 99654
Real Estate Agent
2. TYPE OF DWELLING:
Ix Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Three
4. TYPE OF WATER SUPPLY:
Individual Well
rX_1
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
WaiverNadance request for:
Received by: _
COSA to be released
COSA Fee
Day phone
requested by the engineer.
Date of Payment 12,12-2014
Receipt Number Q 3l,05 is
COSA# O`vC.ly lk099
Date: _1J_'—T
Waiver Fee $ _
Date of Payment
Receipt Number
Waiver #
O
TYPE OF WASTEWATER DISPOSAL:
Individual
El
Holding Tank
❑
Community
❑
Public Sewer
❑
requested by the engineer.
Date of Payment 12,12-2014
Receipt Number Q 3l,05 is
COSA# O`vC.ly lk099
Date: _1J_'—T
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 investigafion 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
t z System #1 Approved for 3 bedrooms
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
Phone
522-7773
Date 12117114
bedrooms, with the following
gy. Original Certificate Date: I', - 3 ej _ I
ThM4= alio chorage Development Services Division (DSD) issues Certificates of On-Sfte Systems Approval (COSA) based only
upon the representations given in paragraph 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 engineees work
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
conA 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: Horizon Estates, Lot 3
A. WELL DATA
well type Private
If A, B, or C provide PWSID # _
Date completed 8/26/14
Sanitary seal (Y/N) 2L
Total depth 225 ft.
Cased to 100 ft
FROM WELL LOG
8/26/14
Date of test
Static water level
50 ft.
3
Well production
9 -P.M.
WATER SAMPLE RESULTS:
Coliform --2--Colonies/100 mL Nitrate mg/L
12/16/14
Arsenic ug/L
Date of sample:
B. SEPTICIHOLDING TANK DATA
Parcel ID: 051-324-23
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) >18 in.
AT INSPECTION
fL
Collected by: Anderson Engrg.
Tank Type/Material Septic/Steel Date installed 8/8/14
Tank size 1,000 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) N
Date of pumping New Const. Pumper
C. ABSORPTION FIELD DATA
Date installed 8/8/14 Soil rating (g. p.d.W or iftbdrm) •8 GPDISF System type Deep Trench
Length 36 ft. Width 3 ft. Gravel below pipe 8.0 ft.
Total depth 12-13 ft. Eff. absorption area 576 ftp Monitoring tube Y Depression over field N
Date of adequacy test New Const, Results (Pass/Fall) 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.) (YIN & type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (YM)
"Pump on" level at in. "Pump off level at in. High water alarm level at in.
Datum Cycles tested Meets alar & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot >100, On adjacent lots >100,
Absorption field on lot >100, On adjacent lots >100,
Public sewer main N/A Public sewer manhole/cleanout _
>25' N/A
N/A
Sewer /septic service line Holding tank
Animal containment areas >50' 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' Surfacewater >100,
Curtain drain None Noted Wells on adjacent lots >100,
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I 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 12/17/14
COSA brown sheet 10.10-12.doe
Absorption field >51
Surface water >100,
Water main N/A
Driveway, parkinglvehide storage>> 11 00,
2
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40,054.38 SR•FT. OF AREA
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GRAPHIC SCALE: 1 Inch = 60 Feet
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Assumed Datum.
FOR: TROY DAVIS HOMES Date Scale Legal Description
12-10-14 1" = 60'
FORBES& ASSOCIATES, INC. Grid As—built Survey yet 3 Block
P.O. BOX 232293 NW 453 2140205 HORIZON ESTATES
Anchorage, Alaska 99523 Drawn by Field Book SUBDIVISION
(907) 227-5881 cef 244
I hereby certify that the property described hereon has been surveyed ♦��`QF tt�1
by me, or at my direction, and that the improvements situated thereon ,�� ,,.•.:qt ��
are within the property lines and do not overlap or encroach on the = It?-
property lying adjacent thereto unless otherwise shown. That no
improvements on the property lying adjacent thereto encroach on the
premises in question and that there are no roadways, transmission % iFj 4 9 T -H
lines or other easements on said property except as shown. go •••• .••• ............:....�
It is the responsibility of the owner or builder, prior to construction, 0'�o, ••.•. ...... AO
to verify proposed building grade relative to finish grade and utility f � • CHARLES E. FORBES :Z`00
connections and to determine the existence of any easements, covenants, r :nom•,• LS -7326 ,• ,yam" S
or restrictions which do not appear on the recorded subdivision plat. .• 12-11-14••'
lasted distances prevail over scaling. `+ PaPA •' • • • • •' •.6�aS_
6, Reproduction may cause distortion.