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CROSS VIEW ESTATES BLK 1 LT 30
Cross View Estates Block I Lot 30 #015-221-61 Permit Number: Tax Code Number: Work Type: On-Site Water & Wastewater System Permit 0sPi41252 01522161000 WellSeptic 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 Initial Permit Effective Dates: August 18, 2014 to August 18, 2015 Design Engineer: ANDERSON ENGINEERING Subdivision: CROSS VIEW ESTATES Site Legal Address: CROSS VIEW ESTATES BLK 1 LT 30 G:2737 Owner/Address: H2L INVESTMENTS LLC 635 E 81 ST AVE ANCHORAGE AK 995180000 Site Mailing Address: 12062 LOWER HERITAGE ClR, Anchorage Lot Size in Sq Ft.' 40706 Total Bedrooms: 6 This permit is for the construction of: Y Disposal Field Y SepticTank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. _.,,,._ l Special Provisions: The entire subsu~ece disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do ~._~oo additional percolation tests prior to the construction of the septic field. Please submit stamped and signed results with the As-built Inspection Report. If the results require a design change, construction of the system will stop pending On-Site review and approval. AMC 15.65.060.B.3 / / Received By: Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On-Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Pamel I.D. 015-221-6~ J Property owner(s) H2L Investments, LLC Mailing address 633 E. 81st Avenue Anchorage, AK 99518 Day phone 350-1860 Site address 12062 Lower Heritage Circle Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Cross View Estates, Block 1, Lot 30 Legal description (Township, Range & Section) LotSize 40,706 .Sq. Ft. Number of Bedrooms Six(6) APPLICATION IS FOR: ([~ all that apply) Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] APPLICATION IS AN: TYPE OF DWELLING: Initial [] Single Family (SF) (w/wo ADU) Upgrade [] Duplex (D) Renewa~ U I~J~ j] T"~=~,pl,ti,'ple Dwellings ....... a ~"~(jSF and/or D) JUL ] $ 2014 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. (Signature of property owner or authorized agent) PermitJRush Fees: ~" 2~ -' ~-' Date of Payment: Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_9-1-12.doc July 16, 2014 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 30, Block 1, Cross View Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 30, Block 1, Cross View Estates Subdivision intends to construct a new six-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Also identified on the plans are the existing wells and septic systems on surrounding lots. No conflicts exist between the proposed septic system and well or septic systems and wells on adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. A test hole was placed on the lot in the area of the absorption trench and alternate site. The logs indicate silty gravel (GM) with sand in the zone specified for the absorption trench. The percolation rate of the soil was determined to be 3.1 minutes per inch. No groundwater was found during the placement of the test hole and none developed 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 2,000-gallon septic tank and a 75' 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 septic system slopes to the northwest. The new trench 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 Lot 30, Block 1, Cross View Estates Subdivision July 16, 2014 Page Two constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: 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. 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. 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. 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 24, BLOCK 1 Vacant LOT 27, BLOCK Vacant / LOT 50, BLOCK 1 CROSS VIEW ESTATES LOT 10, BLOCK 2 // CROSS VIEW ESTATES LOT 8, BLOCK 2 MICHAEL ~ ANDERSON No. CE-438t / / / / / AREA MAP SCALE t' = 100' CROSS PLAT NO. 2006-171 VIEW ESTATES SUBDIVISION LOT 30, BLOCK 1 40,706 S.F. LOWER HERITAGE CIRCLE Existing Well LOT 31, BLOCK 1 / Home 198.22' 2,000 C~311on 75',Lon x 5' Wide × 4 Et~estive Depth Absorption Trench Altemate sit. LEGEND: CO - Cleonout SV - Septic Vent FCO - Foundation Cleanout TH - Test Hole MT - Monitor Tube 50' ESMT. 27.08' HERITAGE HEIGHTS DRIVE SITE PLAN SCALE 1' = 50' LOT 30, BLOCK 1, CROSS VIEW ESTATES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Six Bedroom Home 5' Wide Trench System Pero. Rate: 1-5 Min./Inch 2,000 Gallon SepticTank Application Rate: 1.2 GPD/SF 4' Drainfield Rock 6 Bedrooms * 150 GPD/Bedroom = 900 SF Absorption Area 900 SF/1.2 GPD/SF/5 SF (Width) *.5 (Red. Factor)= 75 LF Trench Length THEREFORE: Construct a 75' Long x 5' Wide x 4' Effective Depth Absorption Trench. Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be 8' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. il 4~ /Geotextile Fabric Perforated PVC (Holes Down) Drainfield Rock TYPICAL 5' WIDE TRENCH SECTION (No SCA, E) .......... NOTE: Grade Area Over Trench to Drain Away. ~/ M~mmum 6 Separation F~m Bedrock ..... ~.......=........~....~..~.,....~ M~mmum 4 Separation From Groundwater.. . ~.~ ........ Minimum 100' Separation From Private Wells in the Area. ~t Mimmum 100' Separation From Sufia~ Water or Streams. ~ No. ~700 DEPTH (feet) i 2 3 4 7 8 9 11 20. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: PERFORMED FOR: DATE: 7/lO/Ig PARCEL ID#: LOT 30, BLOCK I, CROSS VIEW ESTATES SUB. HARDING HOMES PROJECT No.: TECHNICIAN: JKB I TEST HOLE OB/OG SILTY SAND WITH GRAVEL SH LOOSE DRY BOH @ 19' WAS GROUIqD WATER ENCOUNTERED? IF YES ~ WHAT DEI~qrI?__ DEPTH OF WATER AFTER MONITORING: SLOPE No SITE PLAN SEE SITE PLAN SEE SITE PLAN DEPTH TO DATE ~EADING GROSS T[HE NET TIHE WATER NET DROP (NINUTES) (PIINUTES) (INCHES) (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 7/10 1 2:07/2:17 10 '.25"/10.50" 3.25" 2 2:18/2:28 i0 7.00"/10.25" 3.25" 3 2:29/2:39 10 7.25"/10.50" 3.25" 4 2:40/2:50 10 7.13"/10.38" 3.25" 5 2:51/3:01 10 7.25"/10.25" 3.25" 6 3:02/3:12 10 7.00"/10.25" 3.25" PERCOLATION RATE: 3.1 .(MIN/INCH) PERC. HOLE DIA. 6" (r~ch~s) TEST RUN BETWEEN: 6 FT. and 7 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: 7/16/1& • Municipality of Anchorage ° On -Site Water and Wastewater Program (907) 343-7904 5':. < < T Certificate of On -Site Systems Approval Parcel I. D.015-221-61 1. GENERAL INFORMATION: Expiration Date: 7 ``Z ^;t Complete legal description CROSS VIEW ESTATES; BLOCK 1, LOT 30 Location (site address) 12062 LOWER HERITAGE CIRCLE *ANCHORAGE, AK Current Property owner(s) Mailing address Real Estate Agent Day phone NICOLE LEE Day phone 907-223-7597 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5-50 Date of Payment "1Z7,z l Receipt Number 07 Ll g 5r COSA # C5G ZI It 5--5 Date: 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 41s'IZ- In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD IGNATURE System #1 Approved for (2:1 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, tq�#AECC884 OF Cyd!/r��� ON-SITE WATER AND r" WAST!--V"ATER z� with the follo�% sti GrPAM NT S FR\I\C' By. Original Certificate Date: r Z 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other �lv COSA Checklist Legal Description: CROSS VIEW ESTATES; BLOCK 1, LOT 30 Parcel ID: 015-221-61 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 10/4/14 Total depth 272 ft Cased to 270 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 3/19/21 Static water level at beginning of test 231.1 ft. Comments B. TANK DATA Age of tank(s) 6.5 years Tank type/material SEPTIGSTEE Measured operating fluid level in septic tank 50 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 6/25/20 7 D. ABSORPTION FIELD DATA Which system tested (date installed) 8/25114 Lr, -,4 -',Il ALL standpipes present per record drawing Total measured depth from grade 9.5 ft (max) Measured depth to pipe invert from grade 5.25 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 4.08-4.25 ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 5.4+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes Al No ❑ Coliform bacteria is Negative Nitrate 0.95 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG Date of Sample 3/19/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station year Lift station material Comment ' Adequacy test date 3/19/21 Results M Pass For 6 bedrooms Fluid depth prior to test 15 in Water added 998 gal New depth 19 in Elapsed time 120 min Final fluid depth 16 in Absorption rate 900+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date N/A M a,9 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' ❑ Yes if No Community Sewer Manhole/Cleanout > 100' Yes if No ft / Yes if No ft Neighboring Tank > 100' R� Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' F/� Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' Q Yes if No ft Fv Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E] Yes if No ft rV7I Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' [ZI Yes if No ft Property Line > 5' ✓L ] Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' Rl Yes if No ft Private Wells > 100' ✓V Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' 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' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓I V Yes if No ft Private Wells > 100' U✓ Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' 0✓ Yes if No ft Surface Water > 100'✓0 Yes if No ft F. ENGINEER'S COMMENTS *5'+ MET CODE AT TIME OF INSTALLATION 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. COSA Checklist yellow sheet .....�........... OO � ••,J r y Gar ess,•• Qo9. C J79 44�Pred .. �o�Ci © /'dddr0FessW'0\ #AECUB4 40�O��Od�'