HomeMy WebLinkAboutSWANEE SLOPES #1 TR ASwonee Slopes
Tr A
#051-221-36
Permit Number: #$W .to.to86 Date of Issue 6.,28/2o.m
Date Started: 71112010 Date Completed: 7t2rZ0~0
Property Description SWANEE 8LOPES #1 TRACT A Lot NONE Block HONE
Property Owner Name & Address:
Borehote Data:
Soil Type, Thickness & Water Strata
Casing Stickup
S~t Sand Gravel W/Bouldem
Gray & WhRe Bedrock
Gray & White Bedrock Fractured
Oral~ & White Bedrock
Tan & Gray Bedrock
Gray &White Bedrock
Gray Bedrock
Well Log
Parcel Identification Number:
is xvcU located at approved permit location?
Seclion: Town:
05122136000
Range:
GLEN KELLER
PO BOX 770788 EAGLE RtVER, AK 99577
Deptlt Me.od of Drilling~.XI--' air ratary ~ cablo tool
From To Casing ~l~e:
o 2 Wallthidmess e.ts inches
Diameter 6 inches Total: ss feet
2 46 . ..
Liner type:
46 158
Diameter ~ches Depth: feet
~58 t~2 Casi=g stkk-up above gr~umt: 2 feet
162 212 Static Water Level(~m top of casing) 39 feet
2~2 2t? Pumping Level: feet
217 2g4 I hours pumping ......... gpm
Recovery Rate 3 gpm
294 360
Me.od o[ Testiag: &ir
Well Intake Opening
['i Ix! Uole
[~ Screeaed Start ...... feet Stopped fe~
[_j Perforatiom Start fe~t Stopped feet
Grout Type: Bentonite dr~ granular Volume: ~00
Depth 44 Start 0 feet Stopped 44
Pump Intake Depth: feet
Pump size: HP brand name
Well disinfected upon Completion? ~ Yes [..] No
Metlmd nf disinfection CHLORINE S0 Pm
Comments:
Well Driller:
Cole Sullivan
SuUivan Water Wells
P.O. Box 670272
Chugiak, AK 99567
Water Sample Results:
Arsenic: ug/1
Nitrates mg/!
Total Coliform Bacteria mionies/lOOmL
Other bacteria: col/100mL
Attention: The property owner ~hall provide this log to DSD (onsite) and DNR within 30 days of completion.
129
L'd 6cjzg 989 Z06 stleM JeleM UeNllnS ~:Jg:90 01. eO tnr'
ARCTIC PUMP & WELL INC.
Jim Sulliwm
PO Bo× 7701 gq
Eagle River, AK 99577
(907) 688-2510
(907) 258-2510
(907) 745-2510
apw~gci.n~
Pump Installation Log
Well Drilling Perm it Number:
Parcel Identification Number:
SW090199
061-221-36
Date Of Issue:
10/5/2009
Legal Description: Swanee Slopes # Tr A
Lot:
Block:
IProperty Owner Name Address:
Glen Keller
PO BX 770788
Eagle River AK 99577
Pump Installaion Date:
Pump Intake Depth Below Top of Well Casing
7/5/2010
285 Feet
Pump Manufacturer's Name
Pump Model:
Pump Size:
Pitless Adapter Burial Depth:
Pitless Adapter Manufacturer's Nam e
Pitless Adapter Installer:
Dempster
MBF2-100-S2
1
12 Feet
Baker
U/K
Well Disinfected Upon Completion?
Method of Disinfection:
Corn m ents:
Yes
Chlorine
Pum plnstallerNam e:
Arctic Pump & Welt, Inc.
3lon~la),, Jilt), 05, 2010
ARCTIC PumP & WELL INC.
J~m Sull~w~, C?I
PO Box 770197
Eagle River, AK 99577
(907) 688-2510
(907) 258-2510
apw(&,,gci.n et
Pump Installation Log
Well Drilling Permit Number: SW
Parcel Identification Number:
Date of Issue:
Legal Description:Swanee Slopes
#1 TrA
Lot:
~1,~,,1,-.
Property Owner Name & Address:
Glen keller
PO BX 770788
Pump Installation Date: 7/5/2010
Pump Intake Depth Below Top of Well Casing:
Feet
Pump Manufacturer's Name:
Pump Size:
Pump Model:
hp
Pitless Adapter Burial Depth:
Pitless Adapter Manufacturer' s Name:
Pitless Adapter Installer:
feet
Arctic Pump & Well, Inc.
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Well permanently decommissioned by procedurel 5.55.060L.c.
Pump Installer Name:
Arctic Pump & Well, Inc.
Arctic Pump & Well, Inc.
Page 1 of 1
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: OSP101086
Tax Code Number: 05122136000
Work Type: Well Upgrade
Permit Effective Dates: June 28, 2010 to June 28, 2011
Design Engineer:
Subdivision: SWANEE SLOPES #1
Site LegalAddress: SWANEE SLOPES #1 TR A G:1057
Owner/Address: KELLER GLEN
PO BOX 770788 EAGLE RIVER AK 995770788
Site Mailing Address: 18351 BENDING BIRCH DR, Chugiak
Lot Size in Sq Ft: 54265
Total Bedrooms: 4
I l)epa,'tmcnt
This permit Is for the construction of:
N Disposal Field N SepticTank N Holding Tank N Pdvy Y PdvateWell 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 Ddnking Water Regulations (18AAC80).
3. The wastewater code requires inspections dudng the installation. The engineer must notify the Development Services
Department at least 2 hours pdor to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to Apd115, a subsurface soil absorption system under construction dudng freezing weather must either.
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions: The existing well is to be decommissioned by a certified well driller or pump
installer.
Date: ?~-LyO
Date: ~;/~'~"
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 EImore Road
P.O. Box 196650
Anchorage, Alaska 99507
www. munLorg/onsite
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
05P iOlO~6
Parcel I.D. (~ ,b'"/-' ,,.2,7_ [ - .~ 6
Propertyowner(s) ~ ,~L~¢/A~''' Day.phone
Mailing address ~ ~ ~ 7~a 2g-~ f~V/~ ~; ~ipCode
Le,a~d~,c~iption(Sub'd..B~oc~&Lot) ~..~.~ ~ ~ ~.~ ~¢
Legal description (Township, Range & Section)
Lo~ si,..~ ~ (~ ~ s,. ,~. ,umber o~B~,,oom. ~
THIS APPLICATION IS FOR ([~ all that apply): THIS APPLICATION IS AN:
Absorption Field [-'] Initial
Septic Tank [] Upgrade
Holding Tank [] Renewal
Privy []
Private Well [~
Water Storage []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number.
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:.
OIOZ/I I/Z ~t~9g£~=~pi~m~q~a~sM~a~d~u!~q~`W~x~.`~u!qq~Akdq/s~dF~s/sn.~e~`~ea~q~ue~!a~!su~//:dm[
O~t~JOq3tlv JO ,(113 ol poJOlS!~a~l :0'~^ ~u!"[q,3/¥~ gq3!dJ,~Se"I ,(q p~JoMOd
[~-19 ~ jo ! .... 01 *~*a]~[ ~
~:jo i~ o,'%d V DeJJ.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-S~te Water and Wastewater Program, 4700 Elmom Road
P.O. Box 196650 Anchorage. AK 99507 Page
www ctanchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: sw090199 PID Number: 051-221-36
N~.e NATIXIS2007-HE2 Wastewater System: [] New [] Upgrade
4708 MERCANTILE DR. FORT WORTH, TX 76137 ABSORPTION FIELD
phone 261-7678 H~m~*-aB~s 4 o~'rr~'~ OS~no~'rfeno'~ rls~
LEGAL DESCRIPTION s~""'~ ~.,o~ 7~ ~,.~
FL ~
~'~ o.~ e~. F,. c.,~~, TANK
SEPARATION DISTANCES ~septic ~HoMtng ~S.T.EP. ~her:
Tank F~eM Station Tank ~r L~ PREMIER P~STICS 1300
~, 109' I~' 25'+ HDPE 2
S.~ War. 100'+ C~.e O,.~r--~Lm 30'27.__ 27'100'+27' -- ~ 8'"e.p ~' ,., .t ~l ,~...~LIFT STATIO~~
NONE KNOWN ~
EXISTING SEPTIC TANK PUMPED, CRUSHED, ~D BENCH MARK
AB~DONED. DISTRIBUTION LINE WAS PLUGGED. TOP OF CONCRETE WAL~AY ~ POI~ C
DISTRIB~ION LINE REP~CED COMPL~ELY. 100
Insp~tions pedormed by: .SP~ ~. Dates: 1a 10/9~009
~~~ 2M 10/10D009
Development Se~ices Depa~ent Approval
Conditional Approval Date: .~'~'~""'"'""-
Reviewed and approved by: i~, e: ~ -~ I-/o ,~ ~,~
P~:R.qIT ~o. SW090199 PAGE 2 oF 3
Municio(~lity oF Anchor'(z.qe
DEVELOPMENT SERVICES DEPARTMENT - BUIL~ING SAFETY DIVISION
ON-SITE WATER AND WASTEWATER PROGRAM, /-~700 BRAGAW STREET
P.C I~cx 196,650 e Anchoroge, Atosko 99519-6650 e Tetephone: (907) 343-7904·www.ci.onchoroge.ok.us
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL TRACT A, SWANEE SLOPES_~I P.I.D. ,~o O51--221-36
EXISTING TRENCH~
ANCHOR P~L_ ~.R~..~:..4.~ c~
PER.tUT NO. SW090199 PAGE 3 OF 5
Municipo[ity oF Ar~chor'oge
DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION
ON-SITE WATER AND WASTEWATER PROGRAM, ~700 BRAGAW STREET
PO Box I96650 OAnchorage, Alaska 99519-6650 oTeeohone' (907) 343-7904 ~wwwci~nrhr~'nn~U =
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL TRACT A, SWANEE SL_OPES S/D #1
P.I.D..~0. 050-221-36
~P OF TANK = 95.8'
90.4'-/
A B
FCO 7.8' 20.2'
ST1 51.0' 45.9'
ST2 54.7' 49.2'
DBL1 56.8' 51.4'
DBL2 57.9' 52.4'
C01 29.2' 56.2'
MT1 20.0' 63.3'~-
C02 54.5' 60.0'--
MUNICIPALITY OF ANCHORAGE
Development Services Depa~lment
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 05, 2009
Expiration Date: Oct 05, 2010
Permit Number: SW090199
Legal Description: SWANEE SLOPES #1 TR A
Design Engineer: 0003 S & S ENGINEERING
Owner Name: NATIXIS 2007-HE2
Owner Address: 4708 MERCANTILE DR
FORT WORTH, TX 76137-3605
Parcel ID: 051-221-36
Site Address: 018351 BENDING BIRCH DR
Lot Size: 54265 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of;
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:.
Issued By:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Propedy owner(s)
Mailing address -~o~ ~'~,ec~.~'~\~.. '~3g..- '~'.
Day phone
} ~"~'~ Zip Code~ (~::L3~r"3 ~5
Site address ~5::J- ~1.~n~ ~dZ,~m. ~)g.. ZipCode
Legal description (Sub'd, Block a Lot) "~'~,~-'~ '~, ) ~¢ ~'n~.- St~...~ $1-.~ ~ .L
Legal description (Township, Section & Range)
Lot Size_,,Sq ¢2.~' Sq. Ft.
Number of Bedrooms
THIS APPLICATION IS FOR (~3all that apply):
Absorption Field []
Septic Tank ~
Holding Tank
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial ~
Upgrade
Renewal [-1
I ,ced fy that, the abo.ve inform~ further cedify that this application is being made for a
S~ngle Famdy Dwelhng ~unicipal Codes,
(Signature of property own~~gent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev.
Waiver Fees:
Date of Payment:
Receipt Number:
lnq
ROBERT C. COWAN .
CIVIL ENGINEERING
PH: 907-694-2979
September 30, 2009
FAX: g07-694-1211
MUNICIPALITY OF ANCIlORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Tract A, Swanee Slopes S/D #1
It is requested that you issue a permit to install a new 1300 gallon llDPE septic
tank to serve the existing four bedroom dwelling on the referenced property.
The existing septic trench has passed a adequacy test. In the process of verifying the
integrity of the existing 1250 steel tank xve found one end of the tank had collapsed.
The new tank xvill be located outside the one hundred foot well radius. The tank needs
immediate replacement on the above referenced property. Attached is a design plan
with pertinent information.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic tank. The upgrade
ofthis system gill not prevent any future development on any of the adjacent properties.
If you require additional information, please contact us.
Since
Enclosure
15861 S. Birchwood Loop Road - C. huglak, Alaska 99567
· I
SITE PlAN DETAIL
1" = 100'
55' Section Line £smt
SITE PLAN DESIGN 1" = 50'
33' Section Line Esmt
ROBERT C. COWAN ·
CML ENGINEERING
PH: 907..694-2979
FAX: 907-694-1211
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Tract A, Swanee Slopes S/D #1
September 30, 2009
GENERAL:
The scope of this project includes the upgrade of the existing system by
replacing the existing 1250 gallon steel septic tank with a 1300 HDPE
septic tank to serve the existing four bedroom residence located on the
referenced property.
o
Construction shall be in accordance with the approved site plan and
design drawings, Municipal permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater Disposal
Regulations.
The contractor shall be responsible for obtaining any necessary
underground utility locates.
Unless specifically agreed otherwise, the property owner shall be
responsible for final grading areas subsequently depressed from soil
settling.
Contractors installing wastewater disposal systems must be certified by
the Municipal Health Department for system installations. O~vners
installing their own systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
15861 S. Blrchwood Loop Road - C. huglak, Alaska 99567
Page 2
Tract A, 5wanee Slopes S/D #1
September 30, 2009
All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
Septic tanks installed with less than 4 ft. of cover shall be insulated.
A foundation cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent ¢leanouts (unless
an effluent pumping system exists within the septic tank). These ¢leanouts shall be
located on undisturbed soil not more than 10 ft. from the tank. The first ¢leanout, in line,
shall be to clean toward the leachfield. The second ¢leanout shall be to clean toward the
septic tank.
Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe Perforated Solid
Cast Iron
ASTM D3034 (PVC)
ASTM FSI0 (HDPE)
ASTM D2662 (ABS)
Yes Yes
Yes Yes
Yes No
Yes Yes
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
Page 3
Tract A, Swanee Slopes S/D #1
September 30, 2009
All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be baekfilled before this inspection.
The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading ofthe property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or
control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
~UNICIPALITY OF ANCHORAGE
He~..~and Environmental Prote~,..~/n
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
INSPECTIO~N
REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK'.,
DISTANCE
FROM WELL~(~
MANUFACTURER
INSIDE LENGTH
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS_'~---.
LIQUID CAPAC T¥/'~2~-'~*''~ GALLONS.
TILE DRAIN FIELD:
_ .~.~2.,~ TOTAL LENGTH
DISTANCE FROM WELL FOUNDATION __NEAREST LOT LINE ..... OF LINE ~
' # of Lines DISTANCE BETWEEN LINES TRENCit W DTH (/J IN TOTAL EFFECTIVE
AB_ORP,,~,~ AREA_ Sq. FT. LENGTH OF EACH LINE
DEPTN OF FILTER ~_~ j
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE_~/ ~. ABOVE TILE (~¢ ~.
SEEPAGE PIT:
Log Crib Rings
DIAMETER I OR WIDTH__, FENGTH DEPTN
Crib Sige: DIAMETER ___DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
. , NEAREST LOT LINE ABSORPTION AREA (WALL AREA)
SQ. FT.
Well
Class: Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe Materials:
~ of Bedrooms:
Installer:
Remarks:
, "','T NL].
FERI1T
FiPPLI CRNT CL R':T' !.,.10 L F F n F-'~?
L. oCRTLON OI_C, GLENN
LEGFIL TRFICT R ,=]I4FiNt50N '=;"['
,-, ,,~, , TREN _.H
T'¢F'E OF _-,uIL FiELSOREFf'ION .=,-r_TErl IS:
HR::-::IHUM NUME:ER OF BEE:,ROOf'lS = 4
,-- RE:SORPT ION _~ ¢_-,TEfl
_,I ~.E
THE REQUIRED '= -"- OF ]'HIE =,L IL
FFU. E,,..,. b4¢ E.R.
LCIT SIZE
,- -i RRI' I NG
:,L It-
t[2-. E F" -T- H ==
54E1E'lEI SC!URRE FEET
<:SI;! FT,-'E:R )=
- .,- ,:'IN FEET) OF THE TRENCH OR DRRINFIELD.
]'HE LENGTH [:,IMENSION I=, ]"HE LENGTH . THE SURFIRE:E OF THE
THE DEPTH OF IR TREi',IL.H OR PIT I:., THE [:,ISTIRNCE BETWEEN
GROUND FIND, THE: E, LTfOH OF THE E,XCFIVIRTION (IN FEE]'::'.
I'HERE ):S NO SET NI[:,TH FEF.' 1F(ENL. HE=,. ,-" , ,I OUTFRLL PIPE
THE GRIR',/EL [:,EPTH IS THE MINIMIJM DEPTH OF GF.:IRVEL E, EP..IEEi'. THE
FIND THE E3OTTOM OF THE E,XC:RVIRTION <IN FEET:).
F."EL=-".Li ?E F".E3E:' :,EFT .-E. E: -T'FINF=:] "-:" ~ gE= :-~,-==---" :
R PRCKRGE PLRNT MRY E:E INSTRLLED RT THE F'ERMIT1'EE'''S OPTION SUBJECT 1'O THE
FOLLOWING ~ JN[.,I] IUN .... = - "
L. LHz,-, I nR II Nz, F RF'F'ROVE[:' F'LRNT MR¥ BE IN_T~LLE[.
~. EITHE.. R - ·
2. IR F:ONTINIIOLIS; MRINTENRNCE RGREEMENT IS REQUIRE[). IF R HRINTENRNCE,=_
_ - , THE _,uIL
RGREEMENT I:, ~]H KEPT Ct__RRENT ~01__1 MR'T' E'E RECgJIFED TO ENLRRGE
RE:~ORF'TION __'T--'f EH RND/'OR 'T'OU MR¥ E'E 'qlIBJEL. T TO F'RO%ECUTION.
c,,,g ", WZTHOUT FZNRL. ZNSPE'RT~ON RNC, RF'F'ROVRL B'¢ THZ,S
E:RCKF ILL I NG OF RN'¢ -,m- TEl1 --
[:,EF'RRTMENT WILL E:E SUBJECT TO F'ROSECLITION.
- ~ ..... .-'- BETWEEN R NELL RN[;, RN'¢ ON-:qITE SEWRGE [¢I~FU_,HL S'.r'STEM I:,
MINIMIJM [¢I:,fHN.E -- '-':'a ~', - ' F'
t00 FEET FnR R F'RIVRTE WELL OR ~ FEET FIR ~ PUBLI- NELL.
..... - .,= CONSTRUCTION [:,IRGRRMS RRE
OTHER RE~IJIFEMENI:, I',1~'~ RF'PL¥. bFE~IFtCHTION-, RND
~,,HILHE, LE TO IN_,IJRE FRLFER INSTRLLRTION.
~. "-" "-1 E. ~.~ I ~..E--. [- ~ ....
I CERTIF'T' THFIT .- ,- ,- , ,q NEL. LL=, H:, _,ET
::L: I RM FRHILIFIF-: WITH THE F.,EiqJIREMENTS FOR uN-:,ITE :,E!JER- RN[:, -'" ':
E,-¢ ]"HE MUNICIF'RLIT¥ OF Hi'.,IL. HUI~.H~E.
F'ORTH : ....... :'
""": " - ' ENLIRRGEMENT IF THE
":': I WILL INSTRLI- THE =,-r._,TEfl IN RcCORDRNCE WITH THE Uu£.E-,.
~': I IJNDERSI"RN[:' I'HRT THE uN-:,ITE SEb. IER S"r'STEM MFf'r' REL..UIF. E
RESIDENCE icc. REf'IODELE[:' TO INCL. LIDE i',IORE THRN 4 BEDROOH'E,.
R,', 'F'-. ' CL. IRY HOLFFORC'
F F L I _.HNT -
BacKhoe / oWater Nell
Trench
Tract A, Swanson Subdivision,
Not To Scale
Distances shown are approximate
and have not been measured by
surveying methods.
TEST HOLE LOG
Scale: 1"=3'
0.0'
--~qORGANIC S~DY Gp~AVEL W/SOME SILT
~-- -- 0.5'
-- SANDY GRAVEL W/TRACE SILT (GM)
~ Brown
-- ~--- 1.5'
SANDY GRAVEL (~'1)
Occasiona~ Cobbles and Boulders,
Brown, Slightly Moist, Dense
20.0' T.D.
Groundwater was not encountered.
This log depicts subsurface soils
observed within the test hole at the
location shown.
See D~awings B-01 and B-02 for
explanation of symbols.
CHECKED BY
10ATE 8--23--77 IP~OdECT ~O 751222
ISCALE see aboveID~aW~N~ NO A-01
~ R&M cor~su%TS.N..TR,J~E:
LOCATION SKETCH A~D TEST HOLE LOG
CHUCK MOWRER
January 4, 1978
Clay Woffard
Box 371
Chugiak, AlaSka
99567
subject: Tract A Swanne Slopes Subdivision
Permit #77454
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date~
If %here are any further questions, please contact this
office at 264-4720.
Sincerely~
Health and Environmental ?rotection
Sewer and Water Section
F'E:I:,;:I"!Z['f' i'.,!0. ,'
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OF THIE I.,.IE:I...I. C:OhlF'I..ET]:OI",L
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F!',?F:I:[L.I::IE:I..E: TEl :[i",k!i;I,.ll::~:lE F'I:,;:E~F'F::F-:.'
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
vvww.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-221-36
GENERAL INFORMATION
Complete legal description
Location (site address)
COSA # ~3¢'~
Expiration Date:
Tract A Swanee Slopes #1
18351 Bending Birch Drive Chugiak, AK 99567
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Current Property owner(s) Glen & Mary Keller
PO Box 770788 Eagle River, AK 99577
Residential Mortg - Rene Fortuny
100 Calais Dr Ste 100 Anchorage, AK 99503
IEC Realty- Mary
HC35 Box 5535A Wasilla, AK 99654
Unless otherwise requested, COSA will be held by DSD for pickup.
Day phone 907-854-2723
Day phone 907-222-8844
Day phone 907-373-5732
2. NUMBER OF BEDROOMS: 4
TYPE OF WATER SUPPLY:
Individual Well []
Individual Water Storage []
Community Class ~ Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding Tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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 ERDMAN & ASSOCIATES
Address 5200 Dunbar Drive Wasilla, AK 99654
Engineer's Printed Name Michael R. Erdman, P.E.
DSD SIGNATURE
~. f Approved for ~
Disapproved.
Conditional approval for
bedrooms.
Phone 907-232-3140
Date 07/28/2010
bedrooms, with the following stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
By:
(Rev. 11/05)
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Road
PoO. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Tract A Swanee Slopes #1
Parcel ID: 051-221-36
A. WELL DATA
Well type __
IfA, B, or C provide PWSID # .__
Well Log (Y/N) Y
Date completed 7/2/10
Total depth 300 ft.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL
Sanitary seal (Y/N) Y
Cased to 53 ft.
FROM WELL LOG
7/2/10
39 ft.
3 g.p.m.
Nitrate 10.0
Arsenic: < 5.00 ug/L date of sample:7/9/10
SEPTIC/HOLDING TANK DATA
Tank Type/Material HDPE (Premier Plastics)
Wires properly protected (Y/N) Y
Casing height (above ground) 24
AT INSPECTION
in.
~ mg/L
g.p.m.
Michael R. Erdman, P.E.
Collected by:
Date installed 10/10/09
Tank size 4300 gal.
Foundation cleanout (Y/N) Y
Date of pumping < 1 Year Old
C. ABSORPTION FIELD DATA
Number of Compartments .2
Depression over tank (Y/N) N
Pumper N/A
Cleanouts (Y/N) Y
High water alarm (Y/N) N
Depression over field No
For 4 bedrooms
New depth 2 in.
Absorption rate >= 627 g.p.d.
If yes, give date
Date installed 9/7/77 Soil rating (g.p.d./ft2 or ft2/bdrm) 85 System type Trench
Length 26 ft. Width 4 ft. Gravel below pipe 7 ft.
Total depth 9.2 ft. Eft. absorption area 364 ft2 Monitoring tube Yes
Date of adequacy test 6/16/10 Results (Pass/Fail) Pass
Fluid depth in absorption field before test 0 in. Water added 627 gal.
Elapsed Time:.230 min. Final fluid depth 2 in.
Any rejuvenation treatment (past 12 mo.) (YIN & type) No
D. LIFT STATION
Date installed
Size in gallons
Manhole/Access (Y/N)
"Pump on" level at ~ in. "Pump off" level at ~ in.
High water alarm level at
in.
Datum Cycles tested
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 176'
Absorption field on lot 144'
Public sewer main N/A
Sewer/septic service line 116'
N/A
Animal containment areas
> 200'
On adjacent lots
On adjacent lots > 200'
Public sewer manhole/cleanout N/A
Holding tank N/A
Manure/animal excrete storage areas N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 30' Property line 28' Absorption field 10'
Water main N/A Water service line 71' surface water >100'
Wells on adjacent lots 128'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 20' Building foundation 28' Water main N/A
> '
Water Service line 25 Surface water >100' Driveway, parking/vehicle storage 50'
Curtain drain N/A Wells on adjacent lots 105'
F. COMMENTS
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 in effect on this date.
Michael R. Erdman, P.E.
Engineer's Printed Name
Date ~ IZ-P--~! t~
COSA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
(Rev. 4/10)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Nitrate Advisory
Certificate of On-Site Systems Approval # 101146
A Certificate of On-Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block , Lot
of Swanee Slopes #1 Tract A subdivision. This inspection revealed a
nitrate concentration of 10.0 milligrams per liter (mg/L) was reported for the
property's well water sample. The Environmental Protection Agency (EPA)
has established a maximum contaminant level (MCL) of 10.0 mg/L for
public drinking water systems. While private wells are not subject to this
regulation, EPA standards are based on existing health information and can
therefore be used to gauge the relative quality of water from private wells.
Please see the attached "Nitrate Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
SGS Ref.# 1103345001
Client Name Erdman & Assoc Printed Date/Time 07/28/2010 11:21
Project Name/# Tract A Swanee Slopes #1 Collected Date/Time 07/09/2010 8:10
Client Sample ID Tract A Swanee Slopes #1 Received Date/Time 07/09/2010 8:55
Matrix Drinking Water Technical Director Stel~hen C. Ede
Sample Remarks:
4500NO3 - Nitrate/Nitrite - MS did not meet QC criteria, biased low. LCS meets QC criteria.
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic ND 5.00 ugFL EP200.8 C (<10) 07/15/10 07/22/10 KDC
Waters Department
Total Nitrate/Nitrite-N 10.0 0.100 mg/L SM20 4500NO3-F B (<10) 07/09/10 AYC
Microbiology Laboratory
E. Coli Negative 1 100mL SM20 9223B A 07/09/10 DLC
Total Coliform Negative I 100mL SM20 9223B A 07/09/10 DLC
I
,,
I
~FOUND 5/8" REBAR W/ CAP (LS 5773) (TYP) l l N 27~.87'
90'00'00" W
I
LOT 1 LOT 2
BLOCK 1
DUKE ~ DUCHESS SUBDIVISION
I
I
I
I
I
NOTBS:
1. UTILITIES OTHER THA~ THOSE $HOW~ MAY EXIST O~ THIS SITE. ONLY THOSE UTILITIES SEE~ O~ THE DATE OF SURVEY ARE $HO~ HEREO~.
2. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT.
~. THIS SURVEY WAS PREPARED IN ACCORDANCE WITH A.S.P.LS. MORTGAGE SURVEY STANDARDS. THIS SURVEY DOES NOT CONSTITUTE A
BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES ~AT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO
CIRCUMSTANCES SHOULD ANY DATA SHOWN BE USED TO CONSTRUCT ANY FUTURE STRUCTURE, FENCE, OR ANY OTHER IMPROVEMENTS.
4. ALL BEARINGS AND DISTANCES SHOWN ARE RECORD, UNLESS OTHERWISE NOTED.
ASBUILT SURVEY~uuu MOOSE SURVEYING 2010
TR~6T "~", SN~NEE SLOPES SUB~IFISION - ~ITION ~
ANCHORAGE RECORDING DISTRICT, ALASKA REVISION BY DATE
MORTGAGE SURVEY CERTIFICATE:
SOMEONE UNDER MY DIRECT
ROBERT S. HOFFMAN SUPERVISION, HAVE PERFORMED A
MORTGAGEE'S INSPECTION ON THE ........
200 HYGRADE LANE, WASILLA, ALASKA 9965~ FOLLOWING DESCRIBED PROPERTY, ~:~. '::~
(907) 357-~57 FAX (~07) 357-~77 A~D IHAI NO ~¢~OAC~U[~IS
RS.H 7/15/2010 FOR: GLEN & MARY KELLER
TWP. RANGE SCALE: PLAT ff75-187 ~?/~ """'"'"~
CHECKED
BY:
SECTION
RSH 17 15N 1W S.M. 1"=60'
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