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HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 3V LT 9A(Rev 05/02/18) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191174 PID Number: 020-541-33 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 0 New ❑ Upgrade Name Pamela Vincent ABSORPTION FIELD ❑ Deep Trench El Wide Trench N Bed n Mound Site Address 16400 Nickleen Street ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 2 0.7 GPD/SF JTotal 2.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.5 Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Rabbit Creek View & Heights 3V 9A Fill added above original grade 2.3 Ft. Gravel length 30 Ft. Township Range Section Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 5 Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 450 Ft2 Ft. Well 100+ 100+ n/a n/a 25' TANK ❑o Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Infiltrator Capacity 1094 Gal. Surface Water 100+ 100+ n/a n/a Material Septic/Plastic Number of compartments 2 Lot Line 5+ 10+ n/a n/a NA Foundation 10+ 10+ n/a n/a LIFT STATION Manufacturer Capacity Gal. Remarks _6/sotI <7ine1 seed(AC- Q�o%r&or] Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer Pomraning Excavation, LLC Drainfield 3034 CO/MT3034 inspector Pannone Engineering BENCH MARK (Assumed elevation) 1206.0 It Inspectionis' 5/2/20 �e 5/7/20 Location and description 3" 6/16/20 4th Top of deck at house point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OFAkgkq� Conditional Approval: Date 49 TH \•� Y Steven Panrl'uile- Septic System Approved Date ho-IS, CE 8149 �©. ` �r„�� F Note: this appro al does not include well permit requirements. (Rev 05/02/18) �� nn -qnm� iv)mn=CD D o a i m z r•, z• Dr rm' Dr n;K CE) o x m ��m zl 0 o rn- X � M `" m nm n M -+ D� = n .. 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Ponnone '` `E-8749' '''^rF•� • .•����- •.......• SCALE RABBIT CREEK VIEW & HEIGHTS B3V L9A PAMELA VINCENT' 16400 NICKLEEN STREET P.I.D. NO 020-541-33 DRAWN MJL PERldIT N0. OSP191174 SHEET PLAN ANCHORAGE, AK 99516 '���,,n,�;:��' 2 of 2 OWNER OF LAND: Pamela Vincent ADDRESS: Bore Hole Data Depth From To LEGAL DESCRIPTION Rabbit Creek View & Hgts B3V L9A DATE: 6-20-19 0 2 Casing Stickup PERMIT NUMBER: OSP191174 DATE OF ISSUE: 6-6-19 TAX IDENTIFICATION NUMBER 02054133000 is well located at approved permit location: ®Yes F—]No Method of Drilling: ®air rotary cable tool Depth of Well: 65' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 65 feet Liner type Static Water Level: 20 feet Recovery Rate 5 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ® open end Dopen hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ❑yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: 2 5 Overburden 5 10 Silty Sand & Gravel 10 25 Silty Sand & Gravel w/ Clay 25 41 Hardpan 41 62 Hardpan & Clay 62 65 Sand &Gravel w/ Clay UUA-rF;R 01 IN ITY TESTING Drillers Name: Cole 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. Well Drilling Permit Number: SW OSP191174 Date of Issue 6-6-19 Parcel Identification Number: 02054133000 Legal Description Rabbit Creek View & Heights Block 3V Lot 9A 11 Pump Installation Date: 4-17-20 11 Pump Intake Depth Below Top of Well Casing: 50 11 Pump manufacturer's Name: F&W 11 Pump Model: 41`07P05301S 11 Pump Size: 1/2 11 Pitless Adapter Burial Depth: 10 Pitless Adapter Installer: Pomraning Excavation Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM 11 Comments: Pitless Manufacturer: Martinson 11 Pump Installers Name: Sullivan Water Wells Property Owner Name & Address Pamela Vincent 16400 Nickleen Street Anchorage, AK 99516 feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. ---- ------------------------------------ / N� }U/N s q»a »62 m & to,-.......z\\"` MUNICIPALITY OF ANCHORAGE �ti»cntOn-Site Water&Wastewater Program �o'' PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)3434904 Fax:(907)3434997 n / hltp://www.muni org/onsite 411161114' 4NCMORa / On-Site Water & Wastewater System Permit Permit Number: OSP191174 Effective Date: 6/6/2019 Work Type: WellSeptic Initial Expiration Date: 6/5/2020 Tax Code Number: 02054133000 Site Legal Address: RABBIT CREEK VIEW& HEIGHTS BLK 3V LT 9A G:3241 Site Mailing Address: 16400 NICKLEEN ST,Anchorage Owner: VINCENT PAMELA JEAN Lot Size in Sq Ft: 117059 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 2 This permit is for the construction of: 0 Disposal Field 0 Septic Tank ❑ Holding Tank 0 Privy El Private Well 0 Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907)343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing • Received By: -�-�"'—� , Date: f Issued By: )17-1.-1.3" / Date: .0 /9 E.P( nVS MUNICIPALITY OF ANCHORAGE Community Development Department - Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On-Site Water &Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 020-541-33 Property owner(s) PAM VINCENT Day phone 907-250-0071 Mailing address NHN NICKLEEN STREET*ANCHORAGE,AK Site address NHN NICKLEEN STREET*ANCHORAGE,AK Legal description (Sub'd, Block&Lot) RABBIT CREEK VIEW&HEIGHTS;BLOCK 3V,LOT 9A Legal description (Township, Section& Range) Lot Size Sq.Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ® Single Family(SF) Absorption Field ® (w/wo ADU) ❑ Septic Tank ® Upgrade Duplex(D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE!WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP,Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: ?2Waiver Fees: Date of Payment: 5110I 1_i4 Date of Payment: Receipt Number: /� Ciloc rY Receipt Number: Permit No. `sPt 119 ti Waiver No. (Rev.01/11) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191174, Deb Wockenfuss, 06/06/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191174, Deb Wockenfuss, 06/06/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191174, Deb Wockenfuss, 06/06/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191174, Deb Wockenfuss, 06/06/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191174, Deb Wockenfuss, 06/06/19 PEi'EtM I T I",10 ' [:,f:ITE :[ '::Z ':::I ff:::E:,: [:)EF'F:Ii:;i:]"i'tEi]',iT (iF' FIEF:IL'TH I:::IN[:' [Zt,I',..'tROF,fHEIq]-F:IL. F'RO'TECTION 8;2:5 L Ei;TFUEET., FH",ICHORFIGE., FtI< FtF:'F:'L. I C:F:ff'4T: !'.'::FrI'T' H L..E E N !.,.tH I TE:.F:IKER RDDRE'.S5: 4]:2::L El:t::.' ]: NBLiRGH c"J" Fd',iC:F'iEiRFiGE:., t:::t K 995:J_5 ~i]ON"FF:!C?" PHONE:.: LEGI:::IL DE:i~;E:F: ]: F'::i.:.:;f...IE;[) I 'v' I S I ON: F.':RE:E: :t.' T CREEK "/I El.4 :i!;EC'T' Z ON: ::L TOt.,.tNSH :[ F': :.I_4N i..'..OT :E; :i: ;;!!:E: :i: F:iI"i F'F:tHIL]:F:iI:;;: F.i]:]"H 'THE FUE(;!UZ[FUEME]',IT:E'; F'(]I~. ON-SITE 'Z, Et.,.!EF.:"~; FIN[)I.,.tEL. L.S FI2; SET F'OF;:TH B"r' TF'IE: HLii',!]:C:[F'FtLIT"/ (.':iF' FtNCHOt:~:FtGIE,,'::MOFt) FIN[:' THE 5'TFtTE OF FILFFE, KR. 2. :[ ~.,i:[L..L :i:hI:~i;TFtL. L. THE :']:';"r':STEH IN F~CCOR[:'FINCE i.4ITH FILL MOFI CODES RN[:' F.':EGIJLFITTONS., FIN[) I N COMF'L !' FIi':,iCE i.,.! :[ TH' THE [:'ES I Gt",I CR I ]"ER: I FI OF' TH I :F-'; F'ERH I T. 3. ..T.t.,,I]:I,...L FE:,HEF;:E: TO Fit...,L H0i:::! FIN[) ~5'TFtTE OF' I::IL. Ft?;KF~ F..:EE;!UiREMENTS FOR THE SEf' BI'aCK E::,): ?FFIi",ICEtE; FROH F:li'.,l¥ EY, I ::];TI !'.,iG i.,.!ELL., i.,.tFtS.;TEP.IFH"ER I} I SPOS;FIL 5'¢STEf~I OR PLIBL I C: :E.;EI.,.IEF.:FIGE :E;'f:~FT'E:H ON 'FHI:5 OF:: F:Ii'.,I'¢ FI[:,JFICENT .OF;'. N[.:::Fi.[~:EW LOT. IF' Ft L.]:F:"T' :E;TF;iT]:Ed'.,i I:'Z :[I'.,i:~.';]"FILLE[:, i l",t FIN F!REF:I CO'v'EF::ED ["::"r' 1"108 E:UIL[:'ING COI:)EE;., THEN '::d..) FiN EI....ECTRtC:tqL F:'EtE:H:[T !::~ND INSPECTION MUST .BE OE',TRINE:[:'.~ '.'.'2) FI'.-=;-BLIZLTS I.,tIL. L NOT BE: FIF'F:'Fb:}VE[] Nt'THOUT RI'4 EL. ECTRICRL IhiSF'ECTIOI'4 REPORT.~ FIND (]:) 'THE ELEE:]"F;: :i: CF:iL !.;IOF;'.I< HUST BE [.,ONE E',"r' Ft L. I CEN:i~;E[:, EL. ECTF.: I C I RN. FtPF'L .T. 3Fff,H": i.:::¢~:I',1 F.tH I TEFIKER _ MUNICIPALITY OF ANCHORAG~ Departmen~f Health and Environment~ ~Protection · ~ _~ 825' ~ Street, Anchorage, AK ~9501 Permit ~ ~F& ' ' 264-4720 ~'~ ~ , * * * HANDWRITTEN PERMIT · - WELL AND/OR ON-SITE SEWER PERMIT Applicant: .~Z[~/ ~/~/~g~ Mailing Address ~oc~tion: ~c~eF M~ ~/g ~none ~u~r: ~T&-~% , · ype of soi~ ~sorption system ~s: ~/~F~g~ ~~/ Trench: Drainfield: Seepage Bed: / Holding Tank: Maxlmum Number of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil ~sorption System Is: O PTH L N TH, RAV L The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minim~ depth of gr~vel between the outfall pipe and the bottom of the excavation(in feet). · * REQUIRED SEPTIC(HOLDING) TANK SIZE = Permit applicant has the responsibility to inform this department during the inst~llation inspections,of any wel!s adjacent to this property and the number of residences that the well will serve. · * * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this departmen~ will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee~ for a private well or 150 to 200 feet from a public well depending upon the type of publiC well. Minim~ distance from a private well to a private sewer line is 25 feet and to a co.unity sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. · * ~ PERMIT EXPIRES DECEMBER 31~ i 9 I certify that: (1) I ~ f~iliar with the requirements for on-site sewers and wells ~s set forth by the Municipality of ~chorage. (2) I will install t~e system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Appl~can~ SWP/024(1/81) , MUNICIPALITY Of ANCHORAGE~ ~ Departmentlf~.~ Health and Environmenta ]~rotection /~/~], 825 ~ Street, Anchorage, AK. ~9501 · ~, 264-4720 * * * HANDWRITTEN PERMIT * * * Permit '# ~>~-~1 WELL AND/~ 0N-SITE SEWER PERMIT Applicant: .,/~T///' ~/~/-/~:~/~'/- Mailing Address: Location: ~/~ ~/~ ~ Phone Number: ~- Legal Description: ~/ f ~3 ~~ ~A~~Size: Type of Soil Absorption System Is: j~'/ Trench: Drainfield: Seepage Bed: ~/ Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating (sq. ft/br) DEPTH The Required Size of the Soil Absorption System Is: /fJ~f2 ~ LENGTH /--/'~ GRAVEL DEPTH ~ ' WIDTH /~ The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and'the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of'any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installa~'ion. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more tha/~3 bedro~. Applicant Date: SWP/024 (1/81) SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PER.ORMEO FOR: LEGAL DESCRIPTION: SLOPE 2 ~)L,.~FL)~C~ .9 ~]~u~( ~ ' WAS GROUND WATER 11 ~ ~,~¢ ~ ENCOUNTERED? DEPTH? DATE PERFORMED: q,'~/~' ',--':~ / 2'''~ 13 14 15 16 17 18 19 20- Gross Net Depth to Net Reading Date Time Time Water Drop *HzO ~ o:z4 /pmJ~. , ~q PERCOLATION RATE minutes/inch) TEST RUN BETWEEN ''/'-'J' FT AND H~ ~"' FT COMMENTS - , PERFO"MEDBY: UX~'~~ [ O~~ ~ '¢~,[ < ~CERTIDIEDBY: ~// DATE:~ ALASKA nulnonm nTAL CONTROL $ gUICES, ~n(im¢¢rinq $ ~nuironmenlol Studies InC. LOT ~ 3 ? 8 ~0 ~3 17 Supplemental Soils Information. SubdiviHion , RC/b~'l'F~eek \/i eW Block ~ TH Z TH ~ 2 2 10 10 11 11 12 12 13 13 14 - 14 15 - 15 16 16 17 17, 18 18 - 19 19 - 20 20 LOT TH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17 18 19- 20- 1200 UJest 33rd AueDue. ~uJte B .' ~nchora§¢, Alaska 99503 '. {907] 276-1361 ALASKA Ei dlROFI FITAL COFITROL II1C. PERCOLATION TEST DATA SHEET C~ENT ADDRESS DATE ZIP CODE LEGAL LOCATION , ~C~)~ ~reeV~J\'ew _ TOTAL DEPTH OF HOLE ~-~ ft. ZONE TESTED 2 l/Z. ft TO ~ ft READING # CLOCK TIME NET TIME! DEPT~ TO NET DROP I ( in/in) DATUM ~]l~. FINAL PERCOLATION RATE PERFORMED BY ~(/SC>){ (min/in) 1200 UJcst 33r~l Auenut. Suht, J~o Anchorage. Aloska 99503 ,~ (907) 276-1361 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 ~---------- 2 3 4 5 6 7 8 9 10- 11 12 13 14 15 16 17 18 19 20 SLOPE .+ SITE PLAN WAS GROUND WATER S ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to N~ Reading Date Time Time I/~'t. Water Dr, qO .~' {minutes/inch) PERCOLATION RATE TEST RUN BETWEEN ~.~' - FT AND ~-~ FT ! / POL JH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit 9:840046 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 9 Block 3 Rabbit Creek View Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, SupeYvisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 ALASKA ENVIRONM~-NTAL CONTROL SERVICE. '~C. 1200. West 33rd Avenue Suite B ANCHORAGE. ALASKA 99503 Phone 276.1361 SHEET NO OF CHECKED BY DATE SCALE CONTROL SERVICE~-,JNC. 12OO West 33rd Avenu~ ~Jite B ANCHORAGE. ALASKA u~503 Phone 276-1361 CALCULATED BY I . ~ e t'd DATE CHECKEDBY DATE SCALE ALASKA ENVIRONMENTAL CONTROL SERVII~'~ INC. 1220 West 25th Avenu~ Suite B ANCHORAGE, ALASKA 99503 276-1361 279-2917 JOB SHEET NO, CALCULATED BY CHECKED BY DATE SCALF ALASKA ENVIRONMENTAL CONTROL SERVICES, IR · 1200 WEST 33RD AVE., . zTE B 'ANCHORAGE, ALASKA 99503 PHONE 276-1361 JOe SHEET NO OF CHECKED BY. DATE SCALE NOT.ES !._ UP, ETHANE FOAM $iHOULD BE APPLIED TO.;.A .DEPTH C!F.4 .FEET ................. BELOW GROUND. SURFACE AT _A..THICKNESS OF.:..1 ·INCH, . 2,. C©AT BOTTOM .2 .EE.E.T:.I.NSI.DE UlTH.'..BITL!MAST/C PAINT,....L' ..... s., USE.....~"..OR..:..~'.~.U:-X~.BL.E...i...HOSE :TO .~.~: ~.UM~ ...... ' ' . ....... ' _ EIFT...STA~...ION i .................................................................................... ' SCREWS-.,, GROUND F:ILLET WE~L ....... ~LE! ....... CHAIN OR NYLON ?METAL CAP ~,/ITH .,FILL:ET ....~g E.L.D /ALL AROUND '~ COUPL N6 EL.EX: HOSE ......... :' CH ECK -"'~'ALVE-' -- SUMP PUH.B ....................... ALASKA dtI OFIm{ rITAL COFITI OL SEkuICES, IFIC. SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM- LOT 9, BLOCK 3, RABBIT CREEK VIEW SUBDIVISION 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 THRU 5, SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT AND REGULATIONS. 2.0 THE LIFT STATION 2.1 THE STOCK MATERIAL FOR THE LIFT STATION SHALL BE EITHER GALVANIZED STEEL (ASTM A-4444-76), OR ALUMINUM CULVERT, CAPABLE OF BURIAL TO 10 FT. 2.2 THE 24" PIPE FOR THE LIFT STATION SHALL HAVE A WELDED WATER TIGHT BOTTOM OF THE SAME THICKNESS AND COMPOSITION AS THE CULVERT. 2.3 ALL PENETRATIONS OF THE LIFT STATION SHALL BE WELDED AND WATER TIGHT. ALL WELDS SHALL BE CLEANED OF SLAG. WELDS ON GALVANIZED STEEL WILL BE SPRAYED WITH ZINC RICH PAINT OR COATED WITH BITUMASTIC. 2.4 THE TOP CAP SHALL BE RAIN TIGHT AND SECURELY FASTENED WITH SCREWS. 2.5 ALL ELECTRICAL FITTINGS AND CONNECTIONS IN THE LIFT STATION SHALL MEET THE REQUIREMENTS FOR A WATER TIGHT SERVICE. 2.6 THERE SHALL BE A HIGH LEVEL ALARM SET AT THE LEVEL OF THE SOIL PIPE FROM THE SEPTIC TANK. THE BUZZER SHALL BE LOCATED NEAR THE ELECTRICAL CONTROL PANEL OR IN A LOCATION DESIGNATED BY THE HOMEOWNER. 2.7 THE SUMP PUMP SHALL BE CAPABLE OF DELIVERING 10 GPM AT A HEAD OF 20 FEET. 2.8 THE SUMP PUMP SHALL BE SUSPENDED NOT LESS THAN 6 INCHES OFF THE BOTTOM OF THE LIFT STATION WITH A CHAIN OR NYLON LINE. 3.0 SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO 0.5 TO 2.5 INCHES PER CODE. 3.2 THE SAND SHALL HAVE AN EFFECTIVE SIZE OF 0.4 TO 0.6 MM AND A UNIFORMITY COEFFICIENT OF NOT MORE THAN 4. 3.3 THE BERM AROUND THE SEEPAGE BED SHALL BE CONSTRUCTED OF IMPERMEABLE MATERIAL, AND ON A SLOPE OF 1 FOOT VERTICAL PER 3.0 FOOT HORIZONTAL. 3.4 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2". 3.5 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM 3033 D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A REGULAR SECTION OF REGULAR PERFORATED SEWER MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN-CAP (JIMCAP OR EQUAL) ~gnn II1¢,~ ~1 A,,~,,,, 5uii~ B · A,chorao¢. Alaska 99503 · [907) 276-1361 SHALL BE PLACED ON THE TOP OF THE PIPE. 3.6 IF INSULATION IS REQUIRED THE INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAM BOARD OR WESTERN INSULFOAM OF THE THICKNESS SHOWN ON THE DRAWINGS. 3.7 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX OR BLUEGRASS. 4.0 PRESSURE SEWER 4.1 THE PRESSURE SEWER SHALL BE 2 INCH POLYETHYLENE OR PVC PIPE BURIED TO THE DEPTH OF 4 FEET FROM THE LIFT STATION TO THE CENTER OF THE BED. MUNICIPALITY OF F ANCHORAGE l Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-541-33-000 Expiration Date: Leaal description RABBIT CREEK VIEW & HEIGHTS BLK 3V LT9A Site address 16400 NICKLEEN ST Anchorage AK 99516 Current property owner(s) VINCENT PAMELA JEAN 10/11/2025 X The On-site system(s) is/are approved for 2 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: 04 Original Certificate Date: 11/7/2024 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 Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaLJune 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-541-33 Complete legal description Rabbit Creek V&H Block 3V Lot 9A Location (site address) 16400 Nickleen St, Anchorage, AK 99516 Current property owner(s) Pamela Jean Vincent Day phone 2. ON-SITE SYSTEMS SIZED FOR 2 BEDROOMS 3. TYPE OF WATER SUPPLY: ■❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ■❑ Plastic ❑ Concrete ❑ Fiberglass Age 4 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS 0 Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ 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 $ 5-6-0 Date of Payment COSA # OS C2 -H N Lt 2 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 10/11/24 10/23/24 (One Stop) N/A N/A N/A (907) 522-7773 Benjamin Schiller, P.E.