HomeMy WebLinkAboutAUDUBON HILLS BLK 2 LT 5AAudubon Hills
Block 2
Lot 5A
#015-235-01
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: OSP141472 PID Number: 015-235-01 ❑ New El Upgrade
Name:
Crown Pointe Homes, Inc.
ABSORPTION FIELD
✓❑ Deep Trench El Shallow Trench E] Bed ❑Mound
Address
P.O. Box 112313 Anchorage, AK 99511
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
229-1886
4
6GPD1SF
14 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
6 Ft.
Gravel depth beneath pipe
6Ft.
Subdivision Block Lot
Audubon Hills 2 5A
Fill added above original grade
0-1 Ft.
Gravel length
73 Ft.
Township Range Section
Gravel width
3Ft.
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
From
Tank
Field
Tank
Line
1,168 Ft z
One
Ft
Well
>100'
>100'
>100'
>75'
>25'
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1,250Gal.
Surface water
>100'
>100'
N/A
N/A
Material
Number of compartments
Lot Line
>5'
>10'
N/A
N/A
Steel
Two
NA
Foundation
>5'
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
None
Noted
Gal.
Remarks
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL Housetotank D3034 Tankto D3034
drainfield
Sanders & Sanders
_
Drainfeld F810 CO/MT D3034
Inspector MEA
BENCHMARK (Assumed elevation) 100.Oft
Inspection„
dates: t 2/25/15 2n 2/26/15
Location and description
3'd 9/21/15 4'”
NW Corner Back Deck.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
OF A4 lloo
Conditional Approval: Date
®P S
•' A
49TH %J
I•...
.. ..... .
•MICHAEL E. ANDERSON : /
Ie
Jt CE-4381
p�
Approved ef� 0 - Date -
0�glq,o
n rsyeurvn rceym._ i - i- i <uuc
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
Page 2 of 3 4700 South Brogaw Street Anchorage, AK. 99519-6655 - 343-7904
PID NO.: 015-235-01
Permit Number: OSP141472 PLAT NO. 87-32
AUDUBON HILLS SUBDIVISION as 5i
LOT 5A, BLOCK 2 -5
43,241 S.F.
I
I
1
LEGEND
ALTERNATE SITE:
Advantex Treatment System w/ 20' Long
x 3' Wide x 8' Effective Depth Absorption
Trench. Application Rote 2 GPD/SF.
A 1 8
Si 12.6' 30.0'
S2 13.1' 137.2-
-T4
Mt 43.8 139.6'
C5
44-4'181.2'
A.G. D8als
S ly 3q Sg
w
1n2 Stt,
e TH4
Four Bedroom Home ,
MT - Monitor Tube '
FCO - Foundation Clean Out
TH - Test Hole a�R
CO - Clean Out
s �S fir,
2CO - Double Clean Out 1i � dpi o,,,1,
TBM - Temporary Bench Mark
PLAN AS BUILT
SCALE 1" = 50'
50'
50.43'(M)
174
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: OSP141472
X3.1
Original Ground
97.8
� UU
� N
1,250 Gallon
Septic Tank
Page 3 of 3
PID No.: 015-235-01
v U
98.5 F 98.0
92.4 -(--A 11 Drainfield Rock 11 1 � 92.4
73' (Total Effective Trench Length)
PROFILE AS -BUILT
No Scale
78.0
No Ground ater
10/31112
Alpine Drilling & Enterprises
Well Log
Permit Number. A6W'141472 Date of Issue: 11. 10-14 Pareei ldentifimation Number: 016235010
Date Started: -14-15 Date Completed: 1-16-95 is well located at epluvvW permit location? x Yes ❑ No
Legal Description: Audubon Hills Blk 2 U 5A
Property Owner [Name & Address: Capital Constructors, LLC
1515 E Tudor Road # 4
Anchorage, Alaska 99507
Borehole Data:
Soil Type, Thickness &'Water Strati
Depth (it)
From To
Method of Drilling x air rotary [] cable tool
Casing type: std
Stick-up
0
2
Wall Thickness: 1,14 inches
silt
gravellv.sill
7
3
3
7
Diameter. C inches Depth: ZQ feet
Inner Type:
Diameter: i inches Depth: feet
siltygrrmel
9
25
_
Cas' n stickup above ground: 2 feet
slit
25
39
Statle water level (from ground level): J1 feet
gravelly silt
39
64
Pumping level: 70 feet after
silt
sandy silty gravel H2O
64
69
6 9
73
_ _ _ hours pumping L2 gpm
Recovery Rate: 12 gpm.
Method of Testing: air tr
silt
73
75
Wen intake Opening Types
❑ Open End ❑ Open Hole
x Soreened Start 2 feet Stopped ?4 feet
Cj Perforations Start _feet Sopped __ feet
Groat Type: bentanlf4 g aammdes Volume: 9
WATER QUALITY TESTING
Coliform Co1/100ML
D 9VL*-- Start Pleat St
Pomp: Intake Depth __ feet
Nitmtss �i� m91L
Pump size -- hp Brand Name _
--
Wen Disinfected Upon Completion? x Yes ❑ No
Arsenic N ug/L
N1<etbod of Disinfection: -otVorhmjq§jgts
Comments:
WeG Driller: Alpine Drilling dr Enterprises
PO Bos 110996
Anchorage AK 99511
03/25/2015 20:20
Mam Begioh
Mayor
907-345-0202
ALPINE DRILLING
Development Services Department
Building Safety Division
On -Site Water A Wastewater Program
4700 Elmore Road
P.Q. Bar 196650
Anchorage, AK 99507
WWW. Ull /Q_nglfe
(907) 343-7904
Pilmp Installation Log
Well Drilling Permit Number- Std' 141472
Parcel Identification Number: 0152:wloo0
Date of issue: t t-10-14
PAGE 01/01
Legal De9erlptiOn
81k 2 U SA
Awlubun Hiss
Property f wider Name & Address -
Ca001 C0t181mclorl, LLC! Crown Pointe
1815 r TWO, R05tl *4
Anchorage. Alaska 99x0"'
Pump Installation Datet 7Jt 3l23. S
Pump Intake Repels Below Tui) of Well %using: 12
feet
Pump Manuf7eturer'9 Na41e: CansrtlfoR
Pump Model: tos1E07.200
Pump SiZe 314 hp
Pitless Adapter Burial Depth: NIA feet
Pities Adapter Manufacturer's Nairne: NIA
Pltless Adapter Installer; NIA
Well Disinfected Upon Completlon;' ® Yes ❑ No
Method of Disinfection: 5hlorine tsh els
Comments:
PUMP Installer Nalne: Aarow PUMP & YUat Service, LLC
P.O. Box 110495
Anchorage, AW 98511-04%
Attention: The putup Installer snail prov;d.e a Pump installation log to tho D3D wittlitt 30 tides of pump installation.
F V,I���,��1 D
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: OSP141472
Tax Code Number: 01523501000
Work Type: WellSeptic Initial
Permit Effective Dates: November 10, 2014 to November 10, 2015
Design Engineer: ANDERSON ENGINEERING
Subdivision: AUDUBON HILLS
Site Legal Address: AUDUBON HILLS BLK 2 LT 5A G:2739
Owner/Address: CAPITAL CONSTRUCTORS LLC
1515 E TUDOR RD #4 ANCHORAGE AK 995070000
Site Mailing Address: 12360 AUDUBON CIR, Anchorage
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy
Lot Size in Sq Ft: 43241
Total Bedrooms: 4
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.
C -0j, 4I'&
Received
Issued By
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 015-235-01
Property owner(s) Capital Constructors, LLC Day phone 229-1886
Mailing address 1515 E. Tudor Road #4 Anchorage, AK 99507
Site address NHN Audubon Circle Anchorage, AK 99516
Legal description (Sub'd., Block & Lot) Audubon Hills, Block 2, Lot 5A
Legal description (Township, Range & Section)
Lot Size 43,241 Sq. Ft. Number of Bedrooms Four (4)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field
0
Initial 0
Single Family (SF) El
(w/wo ADU)
Septic Tank
Upgrade ElDuplex
(D) ❑
Holding Tank
❑
Renewal F1Multiple
Dwellings ❑
PrivyEl
and/or D)
Private Well
SUBMITTA[
Water Storage
❑
OCT 2 1
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.
4
(Signature of property owner or authorized agent)
Permit/Rush Fees: ',n)6'1— Gly : Vv
Date of Payment:
Receipt Number: fY610A
Permit No. 05PHM12-
Permit App_9-1-12.doe
Fees:
Date of Payment:
Receipt Number:
Waiver No.
October 21, 2014
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 Elmore Road
Anchorage, AK 99519-6650
Subject: Lot 5A, Block 2, Audubon Hills Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 5A, Block 2, Audubon Hills Subdivision intends to construct a new
four-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 in the area 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.
The test holes placed on the lot in the area of the absorption trench and alternate site
indicate silty sand with gravel (SM). The percolation rate of the soil at the test hole was
determined to be 24-30 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 .6 gallons per day per square foot was used in the design of the
absorption system. We are proposing to place a new 1,250 -gallon septic tank and a 63'
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 3' below the surface and the total depth will be 11'. 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 south at a
shallow grade with some cross sloping from the east. The new trench will be
Lot 5A, Block 2, Audubon Hills Subdivision
October 21, 2014
Page Two
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 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.
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
col
Existing
Well
'
PLAT N0. 87-32 ( Be 50.43'(M) f
AUDUBON HILLS SUBDIVISION
LOT 5A, BLOCK 2
43,241 S.F. / I
\ / Existing I
\ / Septic I
I
�_— M1ry0No0 I
1 I I
LOT 5, BLOCK 2
ry1 R` ALTERNATE SITE, 1
>5
s Atlid Treatment System w/ 20' Long
i' WI
z 3' h. 8' Effective Depth AbsorptionI
Trench. Application Rate 2 GPO/SE I
1
I
Ary4rnats I
I
®ns
®TMi ®rxw _ _ °o
Mr------ — - � _I
73' Long ti 3' Wide 1
x B' Effective Depth I
1,250 Gallon N' =,so Absorption Trench I
Septic Tank
4 of n
u
50W
' QI$m
uu
J� Four Bedroom Home 1 ^ r $ 4 n
c
of
_ m
v n $ 1 q
�a, p,C. 11 ,J S
a
®n12 01H1
LEGEND S4a11
y
R' \
MT —Monitor Tube
FCO — Foundation Clean Out
TH — Test Hole
CO — Clean Out J ms Proposed 1
2C0 — Double Clean Out i ia�`wx� Well
/ o I
I I
•�qr r I4 ,
NOTE:
raf♦♦. I NHoSopes >25% Within\ Existing
All, 50' or Surface Water Well I
% Within 100' of the �I 1
Proposed Septic System. \
.y��
49th� �� �
j,,,; ;, 1;"�';,1+':� 1� LOT 6A, BLOCK 2\
sg'LL--
;MICHAEL E. ANDERff
SON
,fan No. CE -4381 ti: SITE PLAN
SCeaZ'
0�
U ALE 1' = 50' --��
rprrg0 \ // 1pm —
LOT 5A, BLOCK 2, AUDUBON HILLS SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS
Four Bedroom Home Deep Trench System
Perc. Rate: 16-30 Min./Inch 1,250 Gallon Septic Tank
Application Rate: .6 GPD/SF 8' Drainfield Rock
4 Bedrooms X 150 GPD/.52 GPD/SF (Application Rate) = 1,153.8 SF Absorption Area
1,153.8 SF/16 SF/LF = 72.1 LF Trench Length
THEREFORE: Construct a 73' Long x T Wide x 8' Effective Depth Absorption Trenches at the Location
Shown. Flow Line Elevation in Trenches to be 6' Below Original Ground Surface. Total Depth to be 14'
Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Maintain
100' Separation from Wells in the Area.
Natural
Backfill
9.1
Geotextile
Fabric
6'.
4" Perforated
PVC (Holes Down)
M
3'
Drainfield Rock
TYPICAL DEEP TRENCH SECTION
(NO SCALE)
•moi
NOTE: Grade Area Over Trench to Drain Away. p
Minimum 6' Separation From Bedrock.
Minimum 4' Separation From Groundwater. i
Minimum 100' Separation From Wells in the Area. +"at
Minimum 100' Separation From Surface Water or Streams: iia!
MICHAEL E. ANDERSON
No. cEC3a1
DEPTH
(feet)
I-
2-
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10-
11
12-
13-
14-
1
1
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 5A, BLOCK 2, AUDUBON HILLS
PERFORMED FOR: CROWN POINIE HOMES
DATE: 5/22/2014 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
OB/OG
Q
d
a
TEST HOLE 3
a
SILTY SAND
WITH GRAVEL
a SM
a
SLOPE
WAS GROUND WATER ENCOUNTERED? No
IF YES @ WHAT DEPTH> S
DEPTH OF WATER AFTER MO L
DATE OF MO
Pmfessmd Eei.e ., q,a
SITE PLAN
SEE SITE PLAN
111
N EFORI G NONE O
NITORING 5/31/14
I 3_I+%
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH TO
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
5/23
1
11:15
3.13"
2
11:45
30
4.25"
1.12"
3
11:46
3.00"
4
12:16
30
4.13"Mll
5
12:17
3.25"
6
12:47
30
4.38"
PERCOLATION RATE: 26.8 (MIN/INCH) PERC. HOLE DIA. 6n (INCHES)
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
DATE: 2/015
15
DEPTH
(feet)
1-
2-
3 -
4 -
5 -
6 -
7 -
8-
9 -
10-
11
13
14
15
16
17
18
19
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 5A, BLOCK 2, AUDUBON HILLS
PERFORMED FOR: __ CRowN POINT HOMES
DATE: 5/22/2014 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
TEST HOLE 4
X11 OB/OG 11 ---
d
d
a_
a
SILTY SAND
WITH GRAVEL
4 SM
d
a
4
O
n
a
d
BOH @ 16.5'
WAS GROUND WATER ENCOUNTERED? No
IF YES @WHAT DEPTHS S
DEPTH OF WATER AFTER MO L
DATE OF M
7h i' L57
E 49th
IAEL E. ANDERSON
No. CE -4381
SITE PLAN
FSEE SITE PLAN
2
NITORINGG NONE O
ONITORIITORING 5/31/14 0
I 3_4%
DATE
READING
GROSS TIMEJ
(MINUTES)
NET TIME
(MINUTES)
DEPTH TO
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
5/23
1
14:40
2.50"
2
15:10
30
3.75"
1.25"
3
15:11
2.38"
4
15:41
30
3.63"
1.25"
5
15:42
6
16:12
30
3.75"
1.25""
PERCOLATION RATE: 24 (MIN/INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN: 4_FT. and 5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
I EST 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: 2/4/15_
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 -
II
1
1
1
1
1
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 5A, BLOCK 2, AUDUBON HILLS
PERFORMED FOR: CRowN POINTE HoMEs
DATE: 2/8/2015 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
TEST HOLE 4A
OB/OG
d
a
a ..
a
d
d
a .
SILTY SAND
WITH GRAVEL
.Q SM
a
d .
a
a
d
a
d
d
BOH @ 20'
SLOPE
WAS GROUND WATER ENCOUNTERED?
No
IF YES rci WH
DATE
DEPTH OF WATER AFTER MO
GROSS TIME
(MINUTES)
DATE OF MO
DEPTH To
WATER
(INCHES)
Professional Eneineers S,aino_
SITE PLAN
SEE SITE PLAN $
AT DEPTH? J
NITORING: NONE L
NITORING: 2/18/15 EPU
3-4%
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
PERCOLATION RATE (MINANCH) PERC. HOLE DIA (INCHES)
TEST RUN BETWEEN: FT. and FT.
COMMENTS: TEST HOLE TO DETERMINE LACK OF BEDROCK AND GROUNDWATER.
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: 2/4/15
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
DEPTH
(Peet)
I-
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 5A, BLOCK 2, AUDUBON HILLS
PERFORMED FOR: CRowN POINTE HOMES
DATE: 5/22/2014 PROJECTNo.:
PARCEL ID#: TECHNICIAN: A. HARALA
OB/OG
°
d
d
m
TEST HOLE 2
SILTY SAND
WITH GRAVEL
d SM
d
16
17
18
19
BOH @ 16'
SLOPE
WAS GROUND WATER ENCOUNTERED? No
IF YES n li'HAT DEPTH
DEPTH OF WATER AFTER MO
DATE. OF MO
E. ANDERSON
CE -4381
SI IL PLAN
SEE SITE PLAN
a
N ITORI G NONE 0
N]TOR7NG- 5/3VIL
GROSS TIMEJ NET TIME DEPTH To NET DROP
DATE READING (MINUTES) (MINUTES) WATER (INCHES)
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
5/23 1 12:47 7.50"
2 13:17 30 8.75" 1.25"
3 13:19 7.38"
4 13:49 30 8.69" 1.31"
5 13:55 7.50"
6 14:25 30 8.31" 1.31"
PERCOLATION RATE:22.9(MIN/INCH) PERC. HOLE DIA. 6n (INCHES)
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
DATE: 10121114
E. ANDERSON
CE -4381
SI IL PLAN
SEE SITE PLAN
a
N ITORI G NONE 0
N]TOR7NG- 5/3VIL
GROSS TIMEJ NET TIME DEPTH To NET DROP
DATE READING (MINUTES) (MINUTES) WATER (INCHES)
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
5/23 1 12:47 7.50"
2 13:17 30 8.75" 1.25"
3 13:19 7.38"
4 13:49 30 8.69" 1.31"
5 13:55 7.50"
6 14:25 30 8.31" 1.31"
PERCOLATION RATE:22.9(MIN/INCH) PERC. HOLE DIA. 6n (INCHES)
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
DATE: 10121114
PERCOLATION RATE:22.9(MIN/INCH) PERC. HOLE DIA. 6n (INCHES)
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
DATE: 10121114
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 -
II
I
16
17
18
19
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 5A, BLOCK 2, AUDUBON HILLS
PERFORMED FOR: CROWN POINTE HOMES
DATE: 5/22/2014 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
OB/OG
TEST HOLE 2
Q
d
d
a
SILTY SAND
WITH GRAVEL
d SM
d
C
d .
a
a
d
BOH @ 16'
SLOPE
WAS GROUND WATER ENCOUNTERED? No
IF YES @ WH
DEPTH OF WATER AFTER MO
DATE OF MO
AI :, MICHgE.L E. ANDERSON
I NO. CE -4361
sem.
1�4,IpRt1FLssz i
Professional Eneinee Stam
SITE PLAN
SEE SITE PLAN R
x
AT DEPTH?
NITOR7NG: NONE 3-4%
NITORING: 5/3UIL
GROSS TIME NET TIME DEPTH To (INCHES) NET DROP
DATE READING (MINUTES) (MINUTES) WATER (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
5/23 1 12:47 7.50"
2 13:17 30 8.75" 1.25"
3 13:19 7.38"
4 13:49 30 8.6911 1.31"
5 13:55 7.50"
6 14:25 30 8.31" 1.31"
PERCOLATION RATE:22.9(MIN/INCH) PERC. HOLE DIA. 611 (INCHES)
TEST RUN BETWEEN: 4 FT. and 5 FT.
COMMENTS:. TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 10/21/14
AI :, MICHgE.L E. ANDERSON
I NO. CE -4361
sem.
1�4,IpRt1FLssz i
Professional Eneinee Stam
SITE PLAN
SEE SITE PLAN R
x
AT DEPTH?
NITOR7NG: NONE 3-4%
NITORING: 5/3UIL
GROSS TIME NET TIME DEPTH To (INCHES) NET DROP
DATE READING (MINUTES) (MINUTES) WATER (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
5/23 1 12:47 7.50"
2 13:17 30 8.75" 1.25"
3 13:19 7.38"
4 13:49 30 8.6911 1.31"
5 13:55 7.50"
6 14:25 30 8.31" 1.31"
PERCOLATION RATE:22.9(MIN/INCH) PERC. HOLE DIA. 611 (INCHES)
TEST RUN BETWEEN: 4 FT. and 5 FT.
COMMENTS:. TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 10/21/14
PERCOLATION RATE:22.9(MIN/INCH) PERC. HOLE DIA. 611 (INCHES)
TEST RUN BETWEEN: 4 FT. and 5 FT.
COMMENTS:. TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 10/21/14
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Forge Engineering
7/2/24
7/29/24*
*One Stop Pumping
N/A N/A
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Benjamin Schiller, P.E.
(907) 522-7773
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Parcel I.D. 015-235-01
Municipality of Anchorap
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems
1. GENERAL INFORMATION
Complete legal description
U
SEP 2 2 2015M
Expiration Date:
Audubon Hills, Block 2, Lot 5A
Location (site address) 12360 Audubon Circle Anchorage, AK 99516
Current Property owner(s) Crown Pointe, Inc. Day phone 229-1886
Mailing address P.O. Box 112313 Anchorage, AK 99511 .
Real Estate Agent
2. TYPE OF DWELLING:
rx-1 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
VJaiver/Variance request for:.
Received by: ` L A�` Date: 10- 7- tS
COSA to bereleased to the engineer, unless otherwise requested by the engineer.
COSA Fee $ t�t 8 /� Waiver Fee $
Date of Payment �T� l�J� Date of Payment
Receipt Number0Jl(d_ Receipt Number
/
COSA# bo'5-15334 Waiver#
Four
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
(]
Individual
E
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
VJaiver/Variance request for:.
Received by: ` L A�` Date: 10- 7- tS
COSA to bereleased to the engineer, unless otherwise requested by the engineer.
COSA Fee $ t�t 8 /� Waiver Fee $
Date of Payment �T� l�J� Date of Payment
Receipt Number0Jl(d_ Receipt Number
/
COSA# bo'5-15334 Waiver#
5. STATE SPECTION BY ENGINEER
ME1
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
Phone 522-7773
Engineer's Printed Name Michael E. Anderson, P.E. Date
49j—H_t'
6. DSD SIGNATURE v
®.............
MICHAEL E ANOERJON
System #1 Approved for IL bedrooms ®` s , CE 4331
System #2 Approved for bedrooms �p@l^9E °• '�2-
Disapproved 1tIlk`® a®ate+'e®
Conditional approval for bedrooms, with the following stipulations:
Original Certificate
TrLwfvtunicipality 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 engineers work. _.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory l/
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet s
If more than f septic system is on the lot:
COSA Checklist # _of _
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: Audubon Hills, Block 2, Lot 5A
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed 1116/15 Sanitary seal (Y/N) Y
Total depth 75 ft. Cased to 70 ft.
Date of test
Static water level
Well production
FROM WELL LOG
1/16/15
31 ft
WATER SAMPLE RESULTS
12
9 -
p.m -
Parcel ID: 015-235-01
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) >18 in.
AT INSPECTION
ft.
9.p -m.
Coliform 0 colonies/100 mL Nitrate 6.15 mg/L
Arsenic ND ug/L Date of sample: 9/15/15 Collected by: Anderson Engrg.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,250 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y Depression over tank (YIN) N
Date of pumping NEW Const. Pumper
C. ABSORPTION FIELD DATA
Date installed. 2/26/15
Length- _ 73 ft.
Date installed 2/25/15
Cleanouts (YM) Y
High water alarm (Y/N) N
Soil rating (g.p.d./ft2 or i /bdrm) .6 GPD/SF
3
System type Deep Trench
Width ft. Gravel below pipe 8
Total depth 14 ft. Eff. absorption area 1,168 ft2
N C t
Monitoring tube Y Depression over field
-ft.
N
Date of adequacy test t W OnS ' Results (Pass/Fail) 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.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed Size in gallons_
"Pump on" level at in. "Pump off' level at
Datum Cycles tested _
Manhole/Access (Y/N)
in. High water alarm level
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot >100, On adjacent lots >100'
Absorption Feld on lot >160, On adjacent lots >100'
Public sewer main >75 Public sewer manhole/cleanout >100
r
Sewer /septic service line 5 Holding tank >75
Animal containment areas >50• Manurelanimal excrete storage areas >100,
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5r Property line >51
r
Water main Water service line >10
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
r r
Property line 0 Building foundation >10
water Service line >10' Surface water >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 9/21/15
COSA brown sheet -1 0-1 0-12.doc
Absorption field >5r
Surface water >100'
Water main N/A
Driveway, parking/vehiclestorage >10,
.......,
'.MICHAEL E. ANDERSON =
�
CE-4381
in.
PLAT NO. 87-32
AUDUBON HILLS SUBDIVISION
LOT 5A, BLOCK 2
43,241 S.F.
S'9e34 9°W
1
111=30'
AS -BU I LT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
LEGEND
PROPERTY DEPICTED ABOVE AND THAT NO
GASTALDI LAND
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
SURVEYING, LLC
IT IS THE RESPONSIBILITY OF THE OWNER TO
•
FOUND 1/2" REBAR
2000 E. DOWLING RD., SUITE 8
COVENANTS OR RESTRICTIONS WHICH DO NOT
ANCHORAGE, ALASKA 99507
APPEAR ON THE RECORDED SUBDIVISION PLAT.
PHONE 248-5454
•
FOUND 5/8" REBAR
DATE
HEREON BE USED FOR CONSTRUCTION OR FOR
SW2739
8/18/2015
ESTABLISHING BOUNDARY OR FENCE LINES.
0
FOUND REBAR WITH YELLOW PLASTIC
ANCHORAGE RECORDING DISTRICT, ALASKA
F.B.
JOB NO.
m
12-07
AH5A2
CAP STAMPED "LOUNSBURY"
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SET 5/8" X 30" REBAR WITH YELLOW
PLASTIC CAP STAMPED "LS -6091"
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AS -BU I LT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
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ENCROACHMENTS EXIST EXCEPT AS INDICATED.
SURVEYING, LLC
IT IS THE RESPONSIBILITY OF THE OWNER TO
JEFF A. GASTALDI, R.L.S.
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
2000 E. DOWLING RD., SUITE 8
COVENANTS OR RESTRICTIONS WHICH DO NOT
ANCHORAGE, ALASKA 99507
APPEAR ON THE RECORDED SUBDIVISION PLAT.
PHONE 248-5454
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
GRID
DATE
HEREON BE USED FOR CONSTRUCTION OR FOR
SW2739
8/18/2015
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
F.B.
JOB NO.
m
12-07
AH5A2
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