HomeMy WebLinkAboutMOUNTAIN VALLEY ESTATES BLK 1 LT 11
SMARD & ASSOCIATES LAND SURVEYING 694-0829
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Municipality of Anchorage Page / of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: 2/b¢ '¢~;~ / ~'5- PID Number: ~'¢'~:~"~"/~ ~
/./~,¢/~t ~- ...~ h"y ////~,-~ Wastewater System: tEl'New [] Upgrade
Address:
#o, ~,~ 7_7_.c'~, ,~/,~ .4/~ 9'?'¢~' ABSORPTION FIELD -- '
Phone:~l,~,,~_ I'~,~ -- ~¢¢ ~'~ ~ No. of ~.drooms: /~/'Oeep Trench [] Shallow 'French [] Bed [] Mound [] Other
Total Depth Irom original grade:
LEGAL DESCRIPTION So,lRating: /, ,~ GPD/Sq. Ft.
Lot: _~ Z BIock:.~,~o ¢*,. '¢'~.. '¢ ~Subdivis'on:~//~ ~]~ Oeplh~.to pipeobotlom from ong,nal grade: Ft. Gravel depth~¢~beneath/ pipe FL
~ Gravel width: Number of lines: Distance belween linss:
WELL: ~r,//~ D New D U~d¢/ ~ ~ / I ~
Classd~cahon (Private. A,8,C): ~D~lh: Cased To: Total absorphon area: Pipe material:
Ordler: ~/~ Date Ordled: Slahc Waler Level: Installer: ~ate installed:
Yield: ./ ...... Pump Set al: Cas,ng Height Above Ground: TANK
SEPARATION DISTANCES ~Septic Q Holding ~ S.T.E.P.
From Tank F,eld Station Tank S .... L .... ~r
_~ ~ ~ Ma~edal: Number o~mpanmems:
wen 5T~NL
s~ ~ ,~, LIFT STATION
Water ~I~~
Line
FounOation ~/ ~ ~ / ~ '~um~ oa" Iovel at r' level at: water alarm
CurtainDrain ~ ~ . ~ Pum~,~l Electrical Inspecbons performed by:
Remarks: ~T~ /~ /~ ~/~ ~ BENCH MARK
Location an~ Description:
ENGINEER'S SEAl.
Inspections performed by: ~A 4'~, ~.~,~e~,~. Dates: 1st ~-/~'¢~ 1!~9~..,.t~-.,---.""'""" ~ ~
Department of Healed ~man~Services approval
Reviewed and approved by: ~/, .~ ~~ Date: ~-/~-~'
72-013 (Rev 9/911 MOA 25
of 2
Permit No. SW980185 Page 2
Municipoli[y of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchoroge, Aloskm 99519 6650 Te~phone: 545 4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legol Description: MOUNTAIN VALLEY ESTATES LOT 11 BLK 1 PIE) No.: 05064124
Swing Ties
A-C = 200.2'
B-C = 125.5'
A-D = 172.9'
B-D = 155.5'
ELEVATIONS
(NOT TO SCALE)
Rebar, NW Lot CDr
ASSUMED ELEV = 150.95'
GROUND
LEVEL AT:
~83.6
77.9
- TEST HOLE
- MONITOR TUBE
- SEWER CLEANOUT
<F - WELL
LEACHFIELD
EASEMENT
Scale 1"=60'
9/21/98
ENGINEER'S SEAL
0~- A/'~,
~,',,%-.. ......... .-- "' -ti
'~.." 4 9., ~ '...~y~
Fm · . ......... :...:~.~
~ ~'.LOUIS A. BUTERA.'~
~¢&. ............ ..:'~
PAGE 1 OF
MUNICIP~LITY OF ~%NCHORAGE
DEPARTMENT OF HEALTH 3kND HUN2kN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL ialfD WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW980185
DESIGN ENGINEER:EAGLE RI~ER ENGINEERING SERVICES
OWNER NAME:ALLAN JERRY A & LINDA L
OWNER A DDRESS:P.O.BOX 2256
PALMER ALASKA 99645
DATE ISSUED: 6/17/98
EXPIRATION DATE: 6/17/99
Pi~RCEL ID:05064124
LEGAL DESCRIPTION:
MOUNTAIN VALLEY ESTATES BLK 1 LT 11
LOT SIZE: 71147 (SQ. FT.)
~ER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC T/kNK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORD~NCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ~NCHORAGE MLrNICIPAL CODE CHAPTERS
15.55 D~ND 15.65 ~ THE STATE OF ~5~LASKA WASTEWATER DISPOSAL
REGULATIONS (18D2kC72) ~ DRINKING WATER REGULATIONS (18DJkC80) .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION, PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE S2kME DAY
B. COVERED, SEALED .~ND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
DATE:
Eagle River En ineerin Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 t~l
Eagle River, AK 99577-3294 (907) 694-3297 fax
June 8,1998
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Mountain Valley Estates Lot 11 Blk 1
Narrative & Permit Application
Dear Mr. Cross:
The proposed well and septic system will have very limited impact on adjacent properties for the
following reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\ 199~¢Sjp22-N^R.DOC
Eagle River
P.O. Box 773294
Eagle River, dkK 99577-3294
Louis Butera, P.E.
(907) 694-5196 tel
(907) 69'~-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Mountain Valley Estates Lot 11 Blk 1
6/8/98
A. GENERAL.
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State
Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
7~ The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
9. Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK
1. Septic tank shall have a minimum capacity of 1000 gallons and be of a MOA approved design.
C. TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of the trench
bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 6' at any point.
4. The effluent line within the trench shall be laid level within 0.03'.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of mounded soil and extruded board insulation to a depth of Y or equivalent is to
be placed over the leachfield.
7. The area over the trench is to be finish graded to prevent ponding of surface water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 6'
TRENCH LENGTH = 47'
SOIL RATING = 1.2 GPD/ft2
SEPTIC TANK = 1000 gallons
GRAVEL DEPTH = 4' under' pipe, 2" over pipe
TRENCH WIDTH = Y
BEDROOM CAPACITY = 3
Twenty-four (24) hours notice required for all inspections.
\1997\98-022-spec.doc
I
EAGLE RIVER
ENGINEERING SERVICES
PoO, Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 98-022
Calculated By: LB
Date: 6/8/98
Legal: Mountain Valley Estates Lll BIk 1
Single Family 3 Bedroom Dwelling
TEST HOLE
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 450 gallons
Percolation rate = 1.2 minutes per inch
Wastewater application rate = 1.2 gallons per day per square foot
Required absorption area = 375 square feet
Trench width ON) = 3 feet
Gravel depth (D) = 4 feet
Required length = Required absorption area / 2 / D
Required length = 375 / 2
Required length = 47 feet
Total Excavation Depth = 6.0 feet
/ 4
98-022-cal.xls 4:10 PM6/8/98
PERPORMED POR'.
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
3
4
7
8
10
12
14
17
2O
~ ~ Louis A, B~era ~ ~
'I~ '".-~" L~';~
LZZ ~]
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
IF YES, AT WHAT O
DEPTH? t' ~_ p
Oeplh to Waler Alter
Monitoring? /"-2_ Dat~ d...c'-.~ ~ ~
Reading Data Gross Net Depth to Net
Time Time Water Drop
I f-z,t-¢'~ 1~.'3/ 7, z.z,, /~ r//, /',
~~ 1 3.'~o ~ ' ~" g '7 ~" ("
PERCOLATION RATE /I '~ (m,nutes/,nch) PERC HOLE DIAMETER
TEST RUN BETWEEN f FT AND O-/ FT
COMMENTS
PERFORMED BY: v~-~~-~J~ I *~-'-~~ r ~'""~-~2~ ~':''~'-~ CERTIFY THAT tHiS tEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE:
72-008 (Rev, 4/85)
PERFORMED FOR:
Munlclpallly of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:
2
3
4
5
6
7
8
9
10
11
12
13-
14-
15
16
17
18
19
20
~'r~,,, ¢' 77'/
DATE PE.FORMEO:
/__ ././'
Township, Range, Section:
WAS GROUND WATER
ENCOUNTERED?
SLOPE SITE PLAN
S
YES, AT WHAT (~
IF
DEPTH? /~ p
E
Depth 1o Water Alter
Monitoring? /~' ~' Dote: ~ *'-'~Y'
Reading Date Gross Net Depth to Net
Time Time Water Drop
I ~'-.;z~/-~ lZ,'~z x"£~" ~ ~/~" ~",
2. ~ Iz:~-o ~'~" ~ ~/~' ~"
~ /~:~? ~ 'o/" F~ Z~ ,, ~"
PERCOLATION RATE /' 2 (m,nutes/,nch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND ~ ET
COMMENTS
PERFORMED BY:,-~,¢' x¢_~ ~.,,,,,.~. ~,_. ~- I ~L..~"~¢ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
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
OSC251299
Parcel ID 050 -641-24 Expiration Date: 7/30/2026
Legal description MOUNTAIN VALLEY ESTATES BLK 1 LT 11
Site address 4729 BIRDSONG DR
Current property owner(s) PETTIBONE DAVID & ELISSA
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
W
Original Certificate Date:
7/30/2025
m
This C ificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
sys m(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
velopment Service 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 submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory X Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
/l
Phone: 907-343-7904
Development Services Department_ Fax: 907-343-7997
On -Site Water & Wastewater Section
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 050-641-24
description
MOUNTAIN VALLEY ESTATES BLOCK 1 LOT 11
Complete legalP
4L7�29BIRDSONG DRIVE EAGLE RIVER, ALASKA 9957
Location (site address)
Current property owner(s)
DAVID & ELISSA PETTIBONE Day phone
—
2, ON-SITE SYSTEMS SIZED FOR
BEDROOMS
dwelling units
3. TYPE OF WATER SUPPLY: E] Private Well serving # Water Storage
❑ Other Non-public well as regulated by MOA EJ
k� ? �-
❑ Community Well or Public
„F WASTEWATER DISPOSAL: 0 Private Septic F1 Private Septic serving 2 dwelling units
4, TYPO
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: X Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age27 _ - See advisory if steel or fiberglass older than 20 years Seepage Pit
6.
ABSORPTION FIELD: ElAWWTS ❑ Bed 0 Deep Trench EJ Wide Trench ❑
Distance:__ -
Waiver request for:
Expedited review requested: ❑
is subject to inspection by municipal On-site staff
By applying for this entitlement, this propertyied.
to verify the accuracy of the information p
CSsfj
Waiver Fee $
OSA Fee $
Date of Payment
Date of Payment
Waiver #
COSA #
COSA Application Apr2025.doc
COSA Checklist_May2025.docx
COSA Checklist
Legal Description: MOUNTAIN VALLEY ESTATES BLOCK 1 LOT 11 Parcel ID: 050-641-24
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA -- NO WELL DRILLED
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume 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
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank *NA
Date of pumping NA
Required maintenance completed, if AWWTS
Comments: *Tank is empty and there is no house for it to be
in use – please make a note to address with land-use building
permit. There is no house foundation.
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. DISPOSAL FIELD DATA
Which system tested (date installed) 9/15/1998
ALL standpipes present per record drawing
Total measured depth from grade 11.2 ft (max)
Measured depth to pipe invert from grade 6.6 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 2000 gallons 7/14/25 date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 7/15/25
Results Pass
Fluid depth prior to test 0 in
Water added 450 gal
New fluid depth 5 in
Elapsed time 30 min
Final fluid depth 0 in
Absorption rate 450 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 48 in (MOA 4’ ED)
Effective depth used 0 in (Final Fluid Depth)
Effective depth remaining 48 in
Comments/Deficiencies: There is only a septic on this lot & owner requested an adequacy test & COSA per selling contract.
COSA Checklist_May2025.docx
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Disposal Field on Lot > 100’ Yes if No ft
Neighboring Disposal Fields > 100’
Yes if No ft
Sewer Line/Main > 100’ Yes if No ft
Sewer Manhole/Cleanout > 100’
Yes if No ft
Sewer Service/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 Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation > 10’ Yes if No ft
Field to Foundation > 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/Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
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 7/19/25
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 &
07/19/25
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
L� s
On -Site Water and Wastewater Section
www.muni.org/onsite
Septic Tank Advisory
Certificate of On -Site Systems Approval # OSC251299
Subdivision: Mountain Valley Estates Block:1, Lot: 11
907-343-7904
Fax: 343-7997
The septic tank for this property is 27 years old. The average life of an asphalt
coated steel septic tank is 20 years. Typical replacement costs are $15,000 or more,
not including engineering, surveying, MOA permitting fees or site restoration.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.