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HomeMy WebLinkAboutHILL-N-DALE LT 1Hill-hi -hal Lot I 018-232 -33 August19,2007 Rick Miller 4.94.5 DeArmoun Road ~-,~.;qo~age, AK 99516 Lot 1, DeArmoun Subdivision Septic System Construction, Inspection and Certification The stmctu~'e on Lot 1, DeArrnoun Subdivision is classified by the City as a resid,s?~tial dup!ex w~h four bedrooms. As such the City has not jurisdiction over the we[~ se?ic sys~:em on the lot. The State of Alaska Department of Conservation (ADEC) ~'¢'~si~:~3gins ail records concerning duplexes and above with on site. wet~ snd septic 25, 2007, a new 64' long x 6' effective depth septic system absorption constructed on the subject lot to serve the four-bedroom duplex. In addition s ,250-.9a~o~ septic tank was installed to treat the septic effluent genersted in the home. was completed in conformance with standards set by the Stere of. DepaAment of Environmental Conservation and 18AAC 72. A~ched is s copy of the State of Alaska Department of Environmental .... , .. * for On-Site Water and Sewer System Approval along with add~,~ona, bscxup i~fon~*~stiorh Please call if you have any questions or require additiona~ infon~stio~. ~,,~.~..~..~ Eo Anderson, P.E. STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSE~V~['~©N APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL OR DOCUMENTATION OF SYSTEM INSTALL~FION L~l 1, HiR-N-Dale Subdivision {A.p~li~ant i~: 4Chetk one] t__l Bank f-lOwner/builder Two of Residence; ["I Single Family ] Teleuhone: 3mcborage,/kK. 99524 522-7773 ~ A~I~:~ 1~ O~ber ~old for pickup by Michel ~ Ande~u) Su.ts~ze ~£' W~er =~2~2 Ce)=[e~r~mem~ (Ch*elt al~ that Apply) IT~ of Water Supply S~tem ~ ~*!d~ T~ ~Other (Identify) I~ Public (~ mo~ than one ~ r~e ~e[gh~ ef ~e well c~ng mo~ the 12" a~ve lhe Smund? well cap in~adled on the well ~ng? I Adjacent ~t O~t ~er L~ on Adjacent ~t C~t E~e of ~ p~pt~y, invading fuel ~u~ ~in~ iub~ean~ and uther ~olenm 'On ~=~.~~:~ or herb~cid~ indi~t~ di~ance.[~m eon~mi~n~ to well c~iu~ m existing. No work was completed and no ~pe~on r~u~ted on P.E~ / CE435I DEC ~ or Legal Dezcrlption: Lot 1, Hill-N-Dale Subd~sio~ [] Package Treatment ...... ~ ($pecil~v Brand Name or Process) IWhere Waste is Disposed ]Frequency of ?umggv.~ [] othe~ ~sPt~ify): (Outhouse, Incinerator, et~) Excavating Il)ate Inaallt~t ~r St~Anco~e Tank [Dime~o~ ~H Ab~fion S~lem T~antiff BatCH Mattel U~ &~ ~DES X 6' ED X 64' ~768 S~ SoB Ah~fion S~tem Copy of Rego~) Peculation Tnt b~ ~ame) 3~ ~ Haral~R~y Reid Plae~ Wi~ 2' of Fox.flora Iasc. No. Dimensions/Size Soil Absorption System [Type/Qnanti~y Baekt"dl Mater~a~ Uaad for [S~a A. bsorp~on ISeo~ Tank [ ~pfic Tank ~ Y~ ~ No [Ab~o~ S'¢z*e~* ~ ~;~ ~' ~¢,'. Title, Reg./Cert No. P.E. / CE-43gl ,) SEAL · Ii Hiil~N~Date Subdivision, 78,800 SF Lot I "'s ~ Pumped, ~, and ...... ,. · . ...... .. Plan As-Built Scale: 1" = 50' Hill-N-Date Subdivision 78,800 SF , Lot 98.8 ,,__~ Ceotextile Fabric Droinfielct Rock 64' (Trench Length) 87,4-J 79.5 PROFILE AS-BUILT No Scale Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Waslewater Pr~jram 4700 South Bragiaw St. P.O. Box 196650 Anchorage, AK 99519-6650 wvc~.ct.anchora.qe.a k. us · (907) 34 3-7604 Soils Log - PercolatiOn Tost Township, Range, Se~ion: S~te Plan ENO IF YES, AT WHAT DEPTH? ~oL Monitoring? Reading Date Gross Time Net Time Depth to 'Water PERCOLATION RATE [~num~/i~=h) PERC HOLE DIAMETER TEST RUN 6ETWEEN FT AND FT WITH A~ STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Ane. horage, Aleske 99501 264-4720 SOILS LOG - PERCOLATION TEST 14 WAS GROUND WATER ENCOUNTER ED? SLOPE IF YES, AT WHAT DEPTH? DATE PERFORMED' ' SiTE PLAN Time Time PER~LATION RATE ~- ~ ~T RUN ~E~EEN ~ FT AND Mayor Development Services Department Building Safety Division On-Site Water & Wastewatcr Program 4700 Bragow Street P.O. Box 196650 Anchocagc, AK S9519-6650 (~7) 343-7~04 Pump Installation Log Well Drilling Permit Number: SW Parcel Identification Number:~/~ ~ - ~ Date of Issue: () Legal Description Pump Installation Date: P~lRe[ty Owrner ~am~& Address: qqq5 l/rmcl d. Pomp Intake Depth Below Top of Well Casing'~/2~ feet Pump Manufacturer's Name: Pump Model: ~ I Pump Size ~j hp Pitless Adapter Burial Depth:/~ 1 feet Pitless Adapter Manufacturer's Name:/~'~ Pitless Adapter Installer: Well Disinfected Up.on Co~mpletion?~.Yes [] No,, Method ofDisinfectlon:/ly/~lt' ~,/'//~..~,/~, '~ ]3/r~t~ Comments: Pump Installer Name: ANCHORAGE WELL & PUMP SERVICE, INC (,30 EAST 76TH AVE. ANCHORAGE, ALASKA 99518 (907)243-0740 - FAX:(907)243-0742 E-MAIL: pumpmanjim@att, net Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. t!""'I1 ti_Il I1'",,.1f % C:]: % II:x::'` ¢% II...... :;Il;: ""Il"" '"'i¢'~ t[:;;]l ?:' ~¢.::'a il'"ql C]: II-"II IE:~]I II::::;;',: lCx'.~lt It]iiii lEE: DEF:'(.:'d::/TI'IENT E)F HEi;AI....TH AND E]'..IV:I;ROI'qMli!!]qTAI... 825 L. S'T'REIET, AI',IC, I'I(]RAE.)E,~ AK 995,():1. I':;'. :[ CI-.IAR:O M :[ I..J....IER B (] X 4'-" :1. ()0:1. A I",1C I"'I 0 R A G IE, A I< 786'""'.:5526 S!.JBD ;i: V ]1:!3:1: L')N:H ];I..L A ND DAL. t':~ L, OT: SEC'I" I ON: 2'7 'IT)UI'..ISH I I:::': :! 2N RAN('.31!ii: ',,, 3W 781300 (S(2,, FT,, (:JR ACI::;'.ES) AI<A LO'T' :1.~, 'T'R ,A:, ',"I]:LL Ar',ID DAL. E /I- DEF"f'H "I"O I:::' :[ F'IE Bo"r'TT)M (F:'T ,, ) '7 ,, () '7 ,, () GRAVIEI... DIEI:::'TH (F:'T ,, ) 5.5 :1. ,, 0 'I"Ol'AL.. DE:F::'"I'H (1:::'"1" ,, ) :1.;',?. ,, 5 ~3 ,, 0 GRAV[ii]..i. I....lli!]xlGTl'l (I::r'T'.) 5 1 ,, 0 97 ,, O .x..:,~. GRAVE:L.. ',,"OL. UME (( ,..J ,, ~ :(.,,::~ ,, ) 'TANK S I ZL:i: (GALS) ~ :1., ,'?5" ,," .x..,*:. 1 SO I I... RAT I NG (S(:;),, F'f' ,, /BR ) ' ':~ 3 1....,':re:),., I....L.I,IL, I,, > , ....I:::"1",, 1::~I!!i:(2U]:F,'IES , IL, I... I .,.I I...I... :::'l , c~ I'..Jl,l..:, (I',I(:)T E!:X(3!i'ZIE:011q(53 , ,. I:::'"t", ...... ...... I.. ..... TANK I1 ....... I I'IAVE AT I....Ii!i:AST "rkIo I..(..,lll ~1 ,,LI,f ..... ;!. ,, ]: a fl~ {' ,?:~ I¥1 J, ]. :i. -~ I~ I/~ :i. t h t h (:':'! r' (.::¢ q t..t :i. p ~:~r:.~tll i;.:)l'] '1.:. El f (:] I" C)l"l '"' 5B :i. 'L'.. E.) 5B (9) t/,;(.~] I' % .~] r'l ,::~ t',J E.) '.[. ]. c: ...... ~' ~' ' A ;I. ¢clr"l:.h by. 't'h.':, ..... M,.tr'l:Lc::i.l::>al:i.'k',,/ E) f AI]C;I'iOP~:i(~c0 (IfiOA) an,:::f 't'..l'i,?:: ..,t .......... ..of 2,, I w:i. ]. ]. instal 1 the sy?,'Lern :i.r'l ac:eot'dane(.:+: wit. h .a:l. :I. MOA c::c~d¢:xl!i and pe(:lutat a n d :J, I'1 i:;: Of/i p ]. :i. ,'~t I] (;:: ((.2 W :i. '1'. h t h E) d i.:.:?55 5. (;] I] c: r' 5. 4. ,.~, ..., ~ i a o f t h :i. s p (~:, r' m :i. 't' 3,, :1: t,,t;i, ll adl"lE:piz.: 't'..(::t ali. MEhq ar'id State i]f A].a~iiil.::a pc0qL!:i.r'i.:.:xfl6~r'lt.s!i .for' 'l.:.l](.:::: .~!:ie'L bacl.:: [JJ. stal"ii:](.:.~5:i {'l"iDl~ .;:'irly 6)x:i.s'L:i.l]{.:I wii~].].~, ~,l~':ts!~'lt.i~,~,':':~'t;.(~:{,l" (::l:i. st::H:lsat'.l. Elyts'Li?:)R] /:)p Ei (.:.) ~'~ (.D I" a':l (.:j (.D 5}~i y ~i~i'{'.. E.~ iii C)I"/ '[:.. l'l J, !ill Ci I' a I"i y 4~ d 'i a c: 6}1] '~'. c) p 15 (.)] &/p [: v ]. i::) t ,, /:I ,,:[ t.t r'l d (:.;, I" !~5 t o. 1"1 d 'L h ¢:t t 't, h J, !i~ p E.) p iii J. t :i, !B '¢.;3. ]. :i, (:J l:' c) I" ~:t iii o. x :i, i'll L.i Iii (]:, {' .'q. [3 (,D CI I" iD c:) iii % ~':':t I]d al'ly (~:~r'i].ar'{;ji.:.:.xll~5:)r'vl:. v,~:i.].l pi:.:.)qu:i.r'(.z) an ad,::;l:i, ticlria], pc.:.:r'm:i.t,, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 826 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG E~"~pE R CO LATI ON TEST LEGAL DESCRIPTION: I ~L 2 3 4 5 6 7 8 9 10 SLOPE DATE PERFORMED: /7- '~ O- ~' ~¢' - SITE PLAN 11 12 13 14 15 16 17 18 19 20 -( COMMENTS WAS GROUND WATER S ENCOUNTERED? , ~/~C) L O P E IF YES, AT WHAT DEPTH? ~ ii Reading Date Gross Net Depth to Net Time Time Water Drop Il:/¢- ~. ~0 PERCOLATION RATE TEST BE'P/VEEN /F ¢F-O2-f'' CERT,,:,ED .¥: 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 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O18-2q2-3~ 1. GENERAL INFORMATION Complete legal description Hill N Dale Lot ~ COSA # ~,~?" Expiration Date: Location (site address) 4,94~; De Armoun Road, Anchorage, AK 99~z6 Current Property owner(s) Patrick & Michelle Reddington Mailing address Day phone Lending agency Mailing address Day phone J Real Estate Agent MaRina Richardson/Prudential Day phone 27g-726z / Mailing Address mrichardson ¢'¢prualaska.com Unless other]/vise requested, COSA will be held by DSM for pickup. NUMBER OF 'BEDROOMS: ,, TYPE-~E~TSUPPL-~ .............. ~PE~OF wASTEWATER DISPOSAL: Individual Well · Individual Water Storage Community Class Public Water System Well [] Individual On-site ~ [] Individual Holding Tank E~ [] Community On-site ~ [] Public Sewer E~ 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. DSM 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 Pannone Engineering Services, LLC Phone 272-8228 Address P.O. Box ~.oo:z[7, Anchorage, AK 995~o Engineer's Printed Name Steven R. Pannone, P.E. Date ~oh-2 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ~,/ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev., 1,05, X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Pd'p~~' Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: WELL DATA Well type P Date completed Total depth 26=l+ ft. Hill N Dale Lot 2 Parcel ID: If A, B, or C provide PWSID # ~ Sanitary seal (Y/N) Y Cased to 6:1+ ft. FROM WELL LOG Date of test Static water level klD. )C ~ ;. lc'~ ~ ft. Well production I ~g~v ' g.p.m. WATER SAMPLE RESULTS: Coliform Ne§ colonies/100 mL Nitrate 2.~6 mg/L Arsenic: ND ug/I Date of sample: ."o/=."1~'0',', B. SEPTIC/HOLDING TANK DATA Tank Type/Material Anchorage Tank Steel Tank size ~=~;o gal. Number of Compartments _= Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping ~1~3.12o.,3. Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 3.21n1=oo6 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 Length 64 ft. Width =1 Total depth a..Ao ft. Eft. absorption area 768 ft2 Date of adequacy test ~1:~ol2o.,3. Results (Pass/Fail) __ Fluid depth in absorption field before test 39 in. Elapsed Time: =.44o min. Final fluid depth 39 in. Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) ==+ AT INSPECTION 227 ft. 2.o g.p.m. Collected by: Laura Pannone Date installed a21~;12oo6 Cleanouts (Y/N) Y High water alarm (Y/N) NIA Any rejuvenation treatment (past 12 mo.) (Y/N & type) No in. System type Deep Trench ft. Gravel below pipe 6 ft. Monitoring tube Y Depression over field N Pass For _4 bedrooms Water added.6o= gal. New depthA.~6 in, Absorption rate >= 600+ g.p.d, If yes, give date LIFT STATION Date installed "Pump on" level at~ Datum JR. E. SEPARATION DISTANCES Size in ga,,~k "Pump off" le~ Cycles t~te~ ? at in. Manhole/Access (Y/N) High water alarm level at Meets alarm & cimuit requirements? On adjacent lots loo+ On adjacent lots loo+ Public sewer manhole/cleanout N/A Holding tank loo+ Manure/animal excrete storage areas Absorption field 5+ Surface water ~oo+ loo+ Driveway, parking/vehicle storage loo+ lO+ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ~.oo+ Absorption field on lot loo+ Public sewer main N/A Sewer/septic service line Animal containment areas loo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation lo+ Property line lo+ Water main loo+ Water service line 2S+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line lo+ Building foundation lo+ Water main Water Service line 25+ Surface water loo+ Curtain drain None Known Wells on adjacent lots COMMENTS in. 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. Engineer's Printed Name Steven R. Pannone, P.E. Date ~1 [~ COSA Fee $ L.~ Date of Payment Receipt Number (Rev. 11/05) ~ ..... ~.,,.~~~.,,~,,,~ . ...,~...~ .... Waiver Fee $ Date of Payment Receipt Number ~RAV~L ITl o 0 > ~E SUR~Y~ TAK~ ~E~ON~TY FOR ~E INl~ ~Cfl~ ~LY ~0 ASidES :FINANOAL UAS~TY ONlY F~ ~E COST ~ ~E ~Y. LO~ SURVEY S~OLS PLOT PLANS ~ LOT SU~YS ~T IS THE RESPONS~LiTY OF THE ~U!~E~ OR O~ER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUI~ING GRADE ~ELA~ TO FtN~SHED G~ADE AND UT~U~ CONNECTIONS AND TO DE~RMINE THE EXISTENCE OF ANY EASEMENTS, CO~NAN~ OR RES~IC~ONS SURVEY CERTIFICAT~ON PLOT PLAN FINAL STF~UOTURE, A~E~UFLT  FND REBAR C .~ ,-0 WOO0 FENCE ~ CONCRETE NOTE: Prepared by Robert E. dohns, dr. & Professional Land Surveyors ANCH0~AGE, ALASKA 99504 Assoc. := ~ Lot S.F, [~ Plot Fil~ No. 1" 60' 0/07/1 t 11-353 LOT 1 HILL-N~DALE SG$ ReL# 1114821001 Client Name Pannone Eng. Srv. Printed Date/Time 10/11/2011 13:48 Project Name/# HILL-N-DALE LOT 1 Collected Date/Time 10/03/2011 15:50 Client SampLe ID HILL-N-DALE LOT 1 Received Date/Time 10/03/2011 16:00 Matrix Drinking Water Technical Director Stevhcn C. Ede S am-ole Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Waters Department TotalNitrate/Nitrite-N 2.56 0.100 mg/L SM20 4500NO3-F B (<10) 10/10/11 AYC Microbiology Laborator~ E. Coli Negative 1 100mL SM20 9223B A 10/03/11 DLC Total Coliform Negative 1 100mL SM20 9223B A 10/03/11 DLC 2 of 4 Ne~live 1 J0,e~l, $M20 92Z~B R (L%~L¥t i DLC Aarow Pump & Well Service, LLC P.o. Bo× Anchorage, AK 99511 Office: (907) 346-9355- Fax (007) 333-8976 Eagle River: (907) 622-9335 No. 9i4.5 CUSTOMER JOB SITE QUANTITY DESCRIPTION PRICE AMOUNT ' / _ ,~,~"' ~ ,~ ,_~ ~.:~ .~'~......~,~_~:. ~.~;..~ ~ ~ ................. LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR WORK ORDERED BYI DATE COMP. TOTAL I LABOR PaY THIS auount Thank You SIGNATURE (I Hereby Acknowledge the SatisfactoU Completion of 1he Above Described Work and agree thai if above work is riel paid lot in 90 days I agree to allow Aarow Pump & Well Service, L. LC. the right to remove unpaid for equipment and charge for labor already pedermed & labor 1o remove unpaid for equipmem) TERM.~: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% P. ER MONTH WILL BE CHARGED ON O~ERDLYE ACCOUNTS. A+ HOME SERVICES INC. 7501 E. 140th Avenue ***** Anchorage, Alaska 99516 345-1890 CUSTOMER P.O. ttox 100217 INVOICE # Block __ DATE , 03-3I Lot DESCRIPTION te~t 39669 AMOUNT __ ~' : ,-:: . ._ , ------__ L.ach Area ______~ .old,ng Tank _~_.~ Standpipes C/~, ~ime Goo EDS TO BE DONE AGAIN IN 6 MONTHS d Shape ~ Sludge buildup on bottom ~ Floater on top Jim cap missing.or ~ Cut standpipe to 1' above ground needs replacing, ~ Needs Septictrine