HomeMy WebLinkAboutROSEBERRY HIGHLANDS LT 4Roseberry
Highlands
Lot 4
#050-315-62
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP151315 PID Number: 050-315-62
Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: 0 New ❑ Upgrade
Name:
Troy Davis Homes
ABSORPTION FIELD
El Deep Trench WShallow Trench El Bed ❑Mound
Address
1689 Knik Goose Bay Rd. #400 Wasilla, AK
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
357-9394
4
1.2 GPD/SF
2 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1 Ft.
Gravel depth beneath pipe
1 Ft.
Subdivision Block Lot
Roseberry Highlands 4
Fill added above original grade
2.3-4.4 Ft.
Gravel length
88 Ft.
Township Range Section
Gravel widthBeds:
5 Ft.
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
505.7 Fiz
2
>10 Ft.
Well
>100'
>100'
>100'
>75'
>25'
TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1,500 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
I
Gal,
Remarks 2" Insulation Over Entire Absorption
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
System.
Pump make and model
Electrical Inspections performed by
Installer
Tank o
PIPE MATERIAL House to tank D2665 d a nfeld D3034
Northern Excavation
Drainfleld F810 CO/Mr
Inspector MEA
BENCHMARK (Assumed elevation) 100.0 ft
Inspection1� 10/18/15
Location and description
dates: 2-4/28/16
3" 4/29/16 05/1116
Garage Slab.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Conditional Approval: Date
ilq;' '• 9�
49TH
�.............e.. .. .
MICHAEL E. ANDERSON �.` o- c
CE-4381 :>
A rov
PP Date
inspecuon Kepone-i-iz.aoc
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
Permit Number: OSP151315
Lot 3
Tract 1
49th W
Tenet E
ALTERNATE SITE:
Advantex Treatment System
w/25' Long x 5' Wide x 1'
Effective Depth Absorption
Trench. Application Rate 5
GPD/SF.
Lot 4
97.456 sf.
E,•-............-.� )
.errANDERSON 7'
PLAN AS BUILT
SCALE V = 60'
Page 2 of 3
PID No. 050-315-621
Lot 5
A S
S1 69.2' 58.9'
S2 79.6' 68.0'
SV 99.1' 65.9'
C4 88.1' 71.9-
M1 87.7' 73.0'
C6 84.7' 76.9'
M3 85.9' 76.6'
C5 131.5' 113.7'
M2 130.0' 112.3'
C7 127.9'1114.6'
M4 1126.7'1113.7'
Lot 6
LEGEND
C1 — Cleanout
S1 — Septic Vent
TH — Test Hole
Mt — Monitor Tube
FCO — Foundation Clean Out
FSV — Flow Splitter Valve
LS/PV — Interior Lift Station
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number: OSP151315
PID No. 050-315-62
U F
107.4 >
n N UU Co
Finished
Orlginal
2" Insulation
1,500 Gallon
Septic Tank
4.6 104.45
106.8
44' (Trench Length)
WEST TRENCH
M
107.0 gv
IInII IIpII 104.7/ n III
it it Finished Grade / . II II
103.7 IDrainfield Rock
102.7
No Groundwater
Bedrock 9111115 /
EAST TRENCH
PROFILE AS -BUILT
No Scale
102.71
101.4
—103.7
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 -
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: Lot 4, Roseberry Higjilands Subdivision
PERFORMED FOR: Troy Davis Homes
DATE: 4/29/16 PROJECT No.:
PARCEL ID#: TECHNICIAN: MEA
TEST HOLE 2
OB/OG
GM
Silty Gravel
SLOPE
Bedrock @ 9'
WAS GROUND WATER ENCOUNTERED? NO
IF YES Q
WHAT DEPTH?
DEPTH OF WATER AFTER MO
DATE OF MO
COMMENTS: BEDROCK CONFIRMATION ONLY.
49th
MICHAEL E. ANDERSON
SITE PLAN
SEE SITE PLAN
MONITORING O
MONITORING: tC
GROSS TIME NET TIME DEPTH To NET DROP
DATE READING (MINUTES) (MINUTES) WATER (INCHES)
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
PERCOLATION RATE(MIN/INCH) PERC. HOLE DIA. INCHES)
TEST RUN BETWEEN: FT. and FT.
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: 5/11/16
PERCOLATION RATE(MIN/INCH) PERC. HOLE DIA. INCHES)
TEST RUN BETWEEN: FT. and FT.
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: 5/11/16
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: Lot 4, Roseberry Hif hlands Subdivision
PERFORMED FOR: Troy Davis Homes
DATE: 4/29/16 PROJECT No.:
PARCEL ID#: TECHNICIAN: MF.A
Damn TEST HOLE 3
(feet)
1
2
3
4
5
6
7
8
9
10
11
1
1
1
1
1
OB/OG
GM
Silty Gravel
Bedrock @ 8.5'
�ws
WAS GROUND WATER ENCOUNTERED?
IF YES Q WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING:
DATE OF MONITORING:
COMMENTS: BEDROCK CONFIRMATION ONLY.
SITE PLAN
SEE SITE PLAN g
GROSS TIME NET TIME DEPTH TO NET DROP
DATE READING WATER
(MINUTES) (MINUTES) (INCHES) (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
PERCOLATION RATE: (MINANCH) PERC. HOLE DIA (INCHES)
TEST RUN BETWEEN:_ FT. and FT.
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: 5111116
Certified Drilling Log
OR a COLE OC CO dba
�1
ULLIVAN9WATER WELLS
OWNER OF LAND: Highland LLC
ADDRESS: 351 E. Int'I Arpt Rd. Anchorage, AK 99503
LEGAL DESCRIPTION Roseberry Highlands Lot 4
DATE: 9-24-15
PERMITNUMBER: OSP151315 DATE OF ISSUE:
9-16-15
TAX IDENTIFICATION NUMBER 05031562000
2
Is well located at approved permit location: ZYes
ONo
Method of Drilling: ®air rotary ❑cable tool
52
Depth of Well: 400'
52
Casing Type: Steel Wall thickness ,250
inches
Diameter: 6 inches, depth 44
feet
Liner type
115
Static Water Level: 44
feet
Recovery Rate 0.33 gpm
gph
Method of Testing Air
225
Well Intake Opening Type: F1 open end open
hole
❑ Screened Start feet Stopped
320
❑ Perforations Start feet Stopped
320
Grout Type: Bentonite Volume:
100 lbs
Depth: from 2 feet, to 42
feet
Well Disinfected Upon Completion: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Depth
0
2
Casing Stickup
2
8
Overburden
8
52
Bedrock Gray
52
98
Bedrock Dark Gray
98
115
Bedrock Light Gray
115
180
Bedrock Green
180
225
Bedrock Light Gray w/ Quartz
225
280
Bedrock Dark Gray
280
320
Bedrock Green
320
400
Bedrock Gray
WATER QUALITY TESTING
(form a COU900mL
Ammic inn
Drillers Name: Bill Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
MAR -21-2016 11:14A FROM: 70:19073579395 P.1/1
bevelOp11 oo Servim Depor anent
Building Safety Division
On -Site Water d: Wastewater Prograet
0
4700 Elmore Road . a •:
P.Q. Box 146650 ` e
u g000 Anchorage. AK 99507 s s r v
AMyar MHUNW,
(
Pump Installation Log
Well Drilling Permit Number: 19W. W 1$13! Date of Issue: !2j- iG—;n)5'
Parcel Identification Number:
Legal Descriptioe 4 �� � !! J- Property Owner Name Addrew:
ry r�'o.5 X51 r��
lq�3N3 M#, Magni�+cdr� f-irtlt
"00.* A11"g°►G5y ` '
Pump Installation Date: 3. Ito -1G
Pump Intake Depth Below Top of Wall Casing: VO feet
1h
Pomp Manufacturer's Name: /C b •Iftt1
Pump Model: 75r".7 130V. 42w.
Pump size + hp
PlUess Adapter Burial Depth: /0 feet
Pidess Adapter Manufacturer's Name: �j+ l Q
Pitless Adapter Installer:_TD M
WeR Disinfected Upon Completion? 1AYes n No
Method of Disinfection:
Comments: �1
Pump Indoor Name: Com. 44
Attention: The pump installer shop provide a pump installation tog to the DSD within 30 days of pump installation.
On -Site Water 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:
OSP161111
Tax Code Number:
05031562000
Work Type:
Well Initial
Permit Effective Dates: May 16, 2016 to May 16, 2017
Design Engineer:
ANDERSON ENGINEERING
Subdivision:
ROSEBERRY HIGHLANDS
Site Legal Address:
ROSEBERRY HIGHLANDS LT 4 G:0155
Owner/Address:
TROY DAVIS HOMES INC
1689 KNIK GOOSE BAY DR STE 400 WASILLA AK 996540000
Site Mailing Address:
19543 MOUNT MAGNIFICENT CIR, Eagle River Lot Size in Sq Ft: 97456
Total Bedrooms: 4
This permit is for the construction of:
N Disposal Field N Septic Tank N Holding Tank N Privy N Private Well Y 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.
Received
Issued By: Date:
MUNICIPALITY OF
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
ANCHORAG6�
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 050-315-62
Fax:
MAY 12 2015
7904
1
' J
Property owner(s) Troy Davis Homes Day phone 310-2501
Mailing address 1689 Knik Goose Bay Road, Suite 400 Wasilla, AK 99654
Site address 19543 Mount Magnificent Circle Eagle River, AK 99577
Legal description (Sub'd., Block & Lot) Roseberry Highlands, Lot 4
Legal description (Township, Range & Section)
Lot Size 97,456 Sq. Ft. Number of Bedrooms Four
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial Q
Single Family (SF)
❑X
(w/wo ADU)
Septic Tank
❑
Upgrade ❑
Duplex (D)
❑
Holding Tank
E]Renewal
❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑x
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
-W L 6L
Signature of property owner or
Permit/Rush Fees: 01 t eD Waiver Fees:
Date of Payment: j l 3 J Se Date of Payment:
Receipt Number: 63Q G Receipt Number:
Permit No. (0 Waiver No.
5(1(011 a0 "k Pez
Permit
May 10, 2016
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 4, Roseberry Highlands Subdivision
Water Storage Permit Application
Dear Onsite Services Engineer:
The well on Lot 4, Roseberry Highlands Subdivision was recently developed to produce
.33 gallons of water per minute. This is less than the .42 required by Municipal Code
for a four bedroom home. A total of 660 gallons of static storage has been added to the
water system to increase water availability to the household. The storage includes 2-
330 gallon Norwesco vertical storage tanks. The tanks are NSF certified and all
components of the water system including the storage tanks comply with the latest
adopted edition of the Uniform Plumbing Code.
The storage tanks are plumbed in line with from the well and will be filled directly by the
well. Water flows directly from the static storage through a Goulds transfer pumkp to the
standard pressure tank which maintains the working pressure in the water system. No
water hauling is anticipated. The tanks are clearly marked "Potable Water".
Sincerely, as,
Michael E. Anderson, RE
Attachments
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GrlgMal documents boar n llyht hills NSP Mark.
Certified Drilling Log
;BILL 8. COLE OC C4dba
�OLLIUN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Highland LLC
ADDRESS: 351 E. Int'I Arpt Rd. Anchorage, AK 99503
Bore Hole
Data
_
Depth
From
To
LEGAL DESCRIPTION Roseberry Highlands Lot 4
DATE: 9-24-15
0
2
Casing Stickup
PERMIT NUMBER: OSP151315 DATE OF ISSUE: 9-16-15
TAX IDENTIFICATION NUMBER 05031562000
Is well located at approved permit location: Yes "No
Method of Drilling: ®air rotary ❑cable tool
Depth of Well: 400'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 44 feet
Liner type
Static Water Level: 44 feet
Recovery Rate 0.33 ® gpm ❑ gph
Method of Testing Air
Well Intake Opening Type Copen end ®open hole
❑ Screened Start feet Stopped
❑ Perforations Start feet Stopped
Grout Type: Bentonite Volume: 1o01bs
Depth: from 2 feet, to 42 feet- _
Well Disinfected Upon Completion: Eyes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments:
2
8
Overburden
8
52
Bedrock Gray
52
98
Bedrock Dark Gray
98
115
Bedrock Light Gray
115
180
Bedrock Green
180
225
Bedrock Light Gray w/Quartz
225
280
Bedrock Dark Gray
280
320
Bedrock Green
320
400
Bedrock Gray
Drillers
Name:
Bill Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
Matsu Borough: Department of Environmental Conservation.
MOR -21-201E 1::1HP FROM: TO:3437997 P.1%1
bevelopnient Services bepartment
Building Safety bivision
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650`11111 Lx-jw
Mam ankh Anchorage, AK 99507
0"r www.muni'amlonsite
(9M 343.7904
Pump Installation Log
Well Drilling Permit Number: 9W� rg 1315 Date of Issue: CM- Ito -.2f91,
Parcel Identification Number:„
Legal Description Property Owner Name & Address: ✓ y-
PaSebt<rry R� lois f • 5 MVwe S 3N E.
5K3 1�f.1 03ni(it,wt Gies C evoo
Pum)installation Dade:
Pum intake Depth Below Top or Well Casing: 37o feet
Fum i Manufacturer's Name: 646-161
Pam Model: *75f" 3()U, o2w'
PuA7 Size I hp
PfdeIsAdapterBurialDepth; feet
Pule s Adapter Manufacturer's *me: (3-10
Pilus Adapter Installer:
WellDisinfected Upon Completi n7 ( ,Yes r' No
Neti�ed of Disinfection: r � `0 r l� G
Pump Instafier Name:
Attention: The pump installer shat provide a pump installation log to the DSD within 30 days of pump installation.
Permit Number:
Tax Code Number:
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
OSP151315
05031562000
Work Type: WellSeptic Initial
Permit Effective Dates: September 16, 2015 to September 15, 2016
Design Engineer: ANDERSON ENGINEERING
Subdivision: ROSEBERRY HIGHLANDS
Site Legal Address: ROSEBERRY HIGHLANDS LT 4 G:0155
Owner/Address: HIGHLAND LLC
351 E INTERNATIONAL ARPT RD ANCHORAGE AK 995030000
10111/5
Site Mailing Address: 19543 MOUNT MAGNIFICENT CIR, Eagle River Lot Size in Sq Ft: 97456
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank 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.
Special Provisions:
Bedrock confirmation testholes required prior to construction.
Received B
Issued By:
Y: Date: -2
vv Date:
MUNICIPALITY OF ANCH
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
Parcel I.D.
Property owner(s)
ON-SITE SEWERIWELL PERMIT APPLICATION
050-315-62
Troy Davis Homes, Inc.
Day phone 310-2501
Mailing address 165 E. Parks Highway #200 Wasilla, AK 99654
Site address 19543 Mount Magnificent Circle Eagle River, AK 99577
Legal description (Sub'd., Block & Lot) Roseberry Highlands, Lot 4
Legal description (Township, Range & Section) t
Number of Bedrooms l
Lot Size 97,456 Sq. Ft.
APPLICATION IS FOR:
(® all that apply)
Absorption Field ❑X
Septic Tank
0
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
APPLICATION IS AN:
Initial
❑X
Upgrade
❑
Renewal
❑
TYPE OF DWELLING:
Single Family (SF) ❑X
(w/wo ADU)
Duplex (D) ❑
Multiple Dwellings ❑
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
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)
Permit/Rush Fees: _
Waiver Fees:
Date of Payment:
I it 115 Date of Payment:
Receipt Number:�J-(A2%
Receipt Number:
/i
Permit No. (352161
,31,15 Waiver No.
Permit App_'. S :L..:c;
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 1 677-7766 FAX
September 11, 2015
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 4, Roseberry Highlands Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 4, Roseberry Highlands 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 septic system to accommodate the home. The subdivision is
currently undeveloped and all lots surrounding this lot are vacant. The attached Site
Plan and backup documentation identify the location and configuration of the proposed
well and septic system along with the alternate site. 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 2.5 minutes per inch. No groundwater was found during the
placement of the test holes and none was noted during the monitoring period. Bedrock
was found at 8' below the surface. An application rate of 1.2 gallons per day per
square foot was used in the design of the absorption system. A lift station/pump vault
will be placed in the house to pump septic effluent to the septic tank. We are proposing
to place a new 1,500 -gallon Septic tank and 2-44' long by 5' wide by 1' effective depth
absorption trenches to treat and dispose of the effluent generated in the house. The
elevation of the distribution line in the absorption trenches will be 1' below the surface
and the total depth will be 2' to provide a minimum of 6' separation from bedrock. 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 flow diverter valve will be placed to insure even
flow to each trench.
Lot 4, Roseberry Highlands Subdivision
September 11, 2015
Page Two
The ground surface on the lot in the area of the absorption trench slopes to the
southwest at approximately 10-20%. 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 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.
Si�ncerely,
' Q
Michael E. Anderson, P.E.
Attachments
••••49th
MICHAEL E. ANDERSON
No. CE -4781
3
VACANT
TRACT E
ROSEBERRY HIGHLANDS SUBDIVISION
LOT 4
NOT
Interior Lift Station/Pump
Vault in House.
NOTE:
No Areas of Excessive Slope
or Surface Water are Within
100' of Any Part of the
New Septic System.
273
3
TRACT 1
97,456 SF
2-44' Long x 5'
Wide x V Effective
Depth Absorption
Trench
10-20111 me4°ae'Oolwn a
co �
iI o=ff
n,. i nit
1,5DO Gallon
Septic Tank
WEnp
5
ALTERNATE SITE:
Advantex Treatment System
w/25' Long x 5' Wide x 1'
Effective Depth Absorption
Trench. Application Rate 5
GPD/SF.
n®icr h/ ks u
9 �
IL
Four Bedroom \ /
Home \
1
* 1
. ® ro �d
I
u' 122 1
VACANT
� �" •vt
LEGEN
\ 66� TH — Test Hole
\ LS/PV — Interior Lift Station/Pump Vault
MT — Monitor Tube
MH — Man Hole
SV — Septic Vent
SITE PLAN
SCALE 1" = 60'
LOT 4, ROSEBERRY HIGHLANDS
SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home
Perc. Rate: 2.5 Min./Inch
Application Rate: 1.2 GPD/SF
5' Wide Trench System
1500 Gallon Septic Tank
1' Drainfield Rock
4 Bedrooms * 150 GPD/Bedroom = 600 GPD Total Flow
600 GPD/1.2 GPDISF/5 SF (Width) *.87 (Red. Factor) = 87 LF Trench Length
THEREFORE: Construct 2 - 44' Long x 5' Wide x 1' Effective Depth Absorption Trench.
Flow Line Elevation in Trench to be 1' Below Original Ground Surface. Total Depth to be
2' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over
Septic Tank.
6" Topsoil and
Revegetate Mound
2.5' Min.
3 Natural 3
1 � Backfill 1
Geotextile Fabric
.5'
.5' I 0 4" Perforated
PVC (Holes Down)
1.0 ,1 I —i_— Drainfield Rock
5'
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE) '.,`\\`t`I
NOTE: Grade Area Over Trench to Drain Away. �40,CL• �F...
Minimum 6' Separation From Bedrock. `Q;.•'
Minimum 4' Separation From Groundwater. �l7;
Minimum 100' Separation From Private Wells in the Area.
Minimum 100' Separation From Surface Water or Streams. Ag'•' ••••r°•••••y...i
4AEL E. ANDERSON : O
CE - 4381 �� o
•......
PRorrss 0#�Ar
IitI �
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: 9/t
PARCEL ID#:
DEPTH
(feet)
1 � OB/OG
2
I PROJECT No.:
TECHNICIAN: W. Roberts
TEST HOLE 1
3 GM
4 Silty Gravel
5
6
7
8 Bedrock @ 8'
9
10 WAS GROUND WATER ENCOUNTERED? No
IF YES @ WHAT DEPTH?
I I DEPTH OF WATER AFTER MONITORING: Nolle O
DATE OF MONITORING9/11/15 Ct
14-
15-
16-
17-
18—
415161718 B.O.H.
19
MICHAEL E. ANDERSON
Na. CE -4381 .
SI I E PLAN
SEE SITE PLAN E
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
W4TER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
9/4
1
9:12/9:22
10
.25"/4.25"
4.00"
2
9:23/9:33
10
.38"/4.38"
4.00"
3
9:34/9:44
10
.50"/4.50'
4.00"
4
9:45/9:55
10
.50"/4.50'
4.00"
5
9:56/10:06
10
.25"/4.25'
4.00"
6
10:07/10:17
10
.38"/4.38"
4.00"
PERCOLATION RATE: 25 (MIN/INCH) PERC. HOLE DIA. 6 (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: 9/11/15
MUNICIPALITY OF ANCHORAGE
Development Services Department p p Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 050-315-62-000
Expiration Date: 3/4/2025
Legal description ROSEBERRY HIGHLANDS LT 4
Site address 19543 MOUNT MAGNIFICENT CIR Eaqle River AK 99577
Current property owner(s) NWC TRUST
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
2
Original Certificate Date: 3/27/2024
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory X
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval June 2022
Phone: 907-343-7904
Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 050-315-62
Complete legal description ROSEBERRY HIGHLANDS LOT 4
Location (site address) 19543 MOUNT MAGNIFICENT CIRCLE, EAGLE RIVER, AK 99577
Current property owner(s) NWC TRUST Day phone
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: Z Private Well n Private Well serving 2 dwelling units
F] Private Well serving 3+ dwelling units n Community Well or Public
El Water Storage
4. TYPE OF WASTEWATER DISPOSAL: Z Private Septic ❑ Private Septic serving 2 dwelling units
F] Holding Tank R Community Septic or Public Sewer
S. SEPTIC TANK: M Steel M Plastic El Concrete F-1 Fiberglass
Age 8 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: F-1 AWWTS E] Bed E] Deep Trench Z Wide Trench R Seepage Pit
Waiver request for:
Expedited review requested: El
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ Waiver Fee $
Date of Payment
COSA # OS C- Z f-1 L2 % 7
Date of Payment
Waiver #
COSA Application.doc
COSA Checklist.docx
COSA Checklist
Legal Description: ROSEBERRY HIGHLANDS LOT 4 Parcel ID: 050-315-62
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 9/24/2015 Total depth 400 ft
Cased to 44 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 3/4/2024
Static water level at beginning of test 75 ft.
Well production at time of test 0.18 gpm
Water storage tank volume 600 gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 3/4/2024
Comments Per owner (first owner): no previous water hauling, water was at bottom of well and hydrocracked originally
when well was drilled.
B. TANK DATA
Measured operating fluid level in septic tank 49”
Date of pumping 3/4/2024
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 4/30/2016
ALL standpipes present per record drawing
Total measured depth from grade 5.7 ft (max)
Measured depth to pipe invert from grade 3.1 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective. (ED)
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 3/4/2024
Results Pass
Fluid depth prior to test 0 in
Water added 600 gal
New fluid depth 8 in
Elapsed time 1260 min
Final fluid depth 0 in
Absorption rate 600 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 12 in (MOA 1’ ED)
Effective depth used 0 in (Final Fluid Depth)
Effective depth (ED) remaining 12 in
Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots &
appears approximate with 1’ ED. Same test measurements & results for “MT2 & MT3” inspection report (IR) with both
trenches tested.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 3/18/2024
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
03/18/24
pOx
X132 X54
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0
Well Water advisory
Certificate of On -Site Systems Approval # OSC241067
Subdivision: Roseberry Highlands, Block: , Lot: 4
This well's productivity was determined to be .18 gallons per minute. The minimum
well productivity required under (AMC 15.55) for a 4 -bedroom residence is .41
gallons per minute or 150 gallons per day per bedroom. Although the well
production does not meet this requirement, water storage has been provided to
meet minimum code requirements.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
Parcel I.D. 050-315-62
F
/ .Y 1
Municipality of Anchora ( V, AX i > 2016
On -Site Water and Wastewater Program
(907) 343-7904 y6,
Certificate of On -Site Systems Approval
Expiration Date: g— (0 —/ k0
1. GENERAL INFORMATION
Complete legal description Roseberry Highlands, Lot 4
Location (site address) 19543 Mount Magnificent Circle Eagle River, AK 99577
Current Property owner(s) Troy Davis Homes, Inc. Day phone 357-9394
Mailing address 1689 Knik Goose Bay Road, No. 400 Wasilla, AK 99654
Real Estate Agent Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Four
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
❑
WaiverNariance request for:
Received by: VI—AIIVImIA / uv1J( Date:5!!(a/1 �
COSA to be released to the engineer, unless otherms recillsted by the engineer. 1- _
Date of Payment
Waiver Fee $
Date of Payment
Receipt Number &E -Ko 5C Receipt Number
COSA # `P + - `P q 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
T*C System #9 Approved for 1_/ bedrooms
System #2 Approved for _ bedrooms
Disapproved
Phone 522-7773
Date 5/7/96
Conditional approval for bedrooms, with the following stipulations:
By �V n i��!!� Original Certificate Date: s (�
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite 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 X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAN.esheel—S - .
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 Highlands, Lot 4
A. WELL DATA
Well type Private
If A, B, or C provide PWSID #
Date completed 9/24/15
Sanitary seal (Y/N) Y
Total depth 400 ft.
Cased to 44 ft
FROM WELL LOG
Date of test
9/24/15
Static water level 44 ft.
Well production •33 9 -
p.m -WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate •128 mg/L
Arsenic ND ug/L Date of sample: 5/03/16
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tanksize 1,500 gal. Number of Compartments 2
Foundation cleanout (YM) Y Depression over tank (Y/N) N
Date of pumping New Const. Pumper
C. ABSORPTION FIELD DATA
Parcel ID: 050-315-62
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) >18 in.
AT INSPECTION
ft.
Collected by: Anderson Engrg.
Date installed 4/29/16
Cleanouts(Y/N) Y
High water alarm (Y/N) N
Date installed 4/29-30116 Soil rating (g.p.d./ft2 orft2/bdrm) 1.2 GPD/SF System type 5' Wide
Length 2 @ 44 ft. Width 5 ft. Gravel below pipe 1 ft.
Total depth+$ -(03ft. Eff. absorption area 506 ft2 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 depth in.
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 Size in gallons _
"Pump on" level at in. "Pump off' level at
Datum Cycles tested _
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot >100,
Absorption field on lot >100,
Public sewer main >75'
Manhole/Access (Y/N) _
in. High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots >100,
On adjacent lots >100,
Public sewer manhole/cleanout >100,
Sewer /septic service line >25' Holding tank >75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation > Property line >5 Absorption fie,
Water main >10' Water service line >10' Surface water
Wells on adjacent lots >100,
ABSORPTION FIELD ON LOT TO:
d >51
>100,
Property line 10' Building foundation >10' Water main 04 1 p <
Water Service line >10' Surface water >100' Driveway,parking/vehicle storage >10,
Curtain drain None Noted Wells on adjacent lots >100'
in.
F. COMMENTS
A lift station/pump vault is located in the house. Two 330 gallon water storage
tanks with a transfer pump are installed in line in the water delivery system.
G. ENGINEER'S CERTIFICATION
I certify that i have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines /n effect on this date. a
as
Engineer's Printed Name Michael E. Anderson, P.E. ytr�
Date 5/10/16 j
COSA brown sheet 10-10-12.doc
, 1111
gtgs4
�
Ft� Q
1 E. ANDERSON
E-4381 .' \��r
%�T
Lot 3
Tract E
PLOT PLAN AS BUILT X SCALE 1. = 40' GRID NW 155 Project No. 16-068/A2 .............
Lan &Associates inc.11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang ' (907) 522-6476 Phone app
Registered Land Surveyors (907) 522-4625 rax �a OF q��p0
kenOlongsurvey.com / jonathan*langsurvey.comO0.` ..•••..•.,gsp4o
I hereby certify that 1 have surveyed the following described properly: DOS::
LOT 4, ROSEBERRY HIGHLANDS SUBDIVISION (PLAT 2014-58) p 49TH
Anchorage Recording District, Alaska, and that the Improvements situated thereon are 0•
within the property Imes and do not encroach onto the property adjacent thereto, that Q
no improvements on the property lying adjacent thereto encroach on the surveyed t7 „•„
premises and that there are no roadways, transmission lines or other visible Q a+r .. KENNET o
easements on said property except as Indicated hereon.
'K"' '('b liv at Anchorage, Alaska Q °j •'• —5202.••• gJd
Dated this the �U+ Day of h.iyaY 9 �QQ``b,o ..... �p o
d
�Q�gsslOMA�• �o
It is the responsibility of the owner to determine the existence of any easements, b40ppv�"
covenants, or restrictions which do not appear on the recorded subdivision plat.