HomeMy WebLinkAboutSPENDLOVE VIEW HEIGHTS BLK 3 LT 6P
ndlove View
Height
lock
Lot 6
021-021
-14
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
www.ci.anchorage.ak.us (907) 343-7904
Page of
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: sw950328 PID Number: 021-021-14
Name:
Albert and Valerie Young Wastewater System: [] New [] Upgrade
Address:
P.O. Box 112071 Anchorage, AK 99511 ABSORPTION FIELD
Phone: Number of Bedrooms:
5 ~' Deep Trench [] Shallow Trench [] Bed [] Mound [] Other:
Soil Rating: Total Depth from odginal grade:
LEGAL DESCRIPTION 1.2 GPD/Ft2 12-13 Ft.
il', Lot: / Subdivision: Depth to pipe bottom from onginal grade: Gravel depth beneath pipe:
'-2 Lc Spendlove View 6-7 6
~ Ft. Ft
Township: Range: Section: Fill added above original grade:Gravel Length:
2-3 Ft. 60 Ft,
Well: [] New [] Upgrade
Classification (Private, A, B, C): Total Depth: I Cased to:
Private 386 Ft. Static VVst23er Level: Ft
Ddller: Date Drilled:
Alpine Drilling 7/3/96 21 Ft
Yield: GPM Pump Set at: Casing Height Above Ground:
2 Ft. 2 Ft.
SEPARATION DISTANCES
~ To I Septic I Absorption
From '~ Tank Field
Well I >100' >100'
Surface Water I >100' >100'
LotL~ r >5' >10'
Foundation I >5' >10'
C~ain Ora~n I None t Noted
Remarks:
Lift
Station
Holding
Tank
N/A N/A
N/A N/A
N/A N/A
N/A N/A
~ublic/Private l
Sewer Line I
>25'
Gravel width:
3
Total absorption area:
72O
Installer:
Harten Construction
Ft.
Ft2
Number of lines: Distance between lines:
I - Ft.
Pipe Matedal:
ASTM D3034 PVC
Date Installed:
6/96
TANK
[] Septic [] Holding [] S.T.E.P.
Manufacturer:
Anchorage Tank
Material:
Steel
Size:
"Pump on" level at:
LIFT STATION
IManufacturer:
OllI "Pump off" level at: in.
Electrical Inspections performed by:
Pump Make & Model
[] Other:
Capacity:
1,500 Gal.
Number of Compartments:
Two (2)
High water alarm at:
in.
Installation Verified by Anderson Engineering. Original BENCH MARK
Location and Description:
Installation Inspected by James Sizemore, P.E. Door Threshold Near Foundation Clean Out.
Assumed Elevation:
Septic System Meets Municipal Code. 100.0 Ft
Inspections performed by: J. Sizemore Dates: 1st 6/96
2nd 6/96
Development Services Department Approval
Conditional Approval Date:
~/,~, ,, / ~f~?Date: /"'/"2 ~-'//
~e?v~i4~ed and approved by: ~
Permit Number: SW960145
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
Page 2 of 3
PID No. 021-021-14
N 90°00'00"E 281.91'
/
/
/
/
/
/
WE~
GRAVEL DRI
oo~%¢~
RETAINING WALL
S1
C4 28,6'
16.2'
C5 38.2'
NOTE: (~)
3~.--~ S1
Existing Septic System
Constructed in 1996 by
James HaMcen Construction
and Inspected by Jim
Sizemore, P.E.
SPENDLOVE VIEW HEIGHTS
~ I VOLLEYBALL
LOT 6, BLOCK 3 LEGEND: ~ COURT
S2
CO - Cleanout
SV - Septic Vent
TH - Test Hole
MT - Monitor Tube
FCO - Foundation Clean Out
PLAN AS-BUILT
SCALE 1' = 40'
Permit Number: SW960145
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
On-Site Wastewater Disposal System or Well ~nspection Report
Page 3 of 3
PID No. 021-021-14
Finished
//91.95j SepticTank [ 9~1.75/
95.0 96.6
O~nai-Gra~
Geotextile Fabdc
88.0- --~ Drainfieid Rock
82.0
97.0
88.0
60' (Trench Length)
EXISTING TRENCH
NOTE:
Existing Septic System Constructed in
1996 by Harten Construction and
Inspected by Jim Sizemore, P.E.
PROFILE AS-BUILT
No Scale
A700
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
BRAGAW STREET ANCHORAGE, AK c)951c)-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION:
PERFORMED FOR: ALBERT YOUNG
DATE: &/25/2011 PROJECT No.:
PARCEL ID#: TECHNICL&N:
DEPTH TEST HOLE A
(feet)
1 OB/0G SLOPE
2
3
4
6
7
8 GRAVEL
WITH SAND AND SILT
9 GW/GN/GP
WAS GROUND WATER ENCOUNTERED? No
~ YES ~ WHAT DEPTH?.I
DEPTH OF WATER AFTER MO~TOPdNG: NONE
11 DATE OF MO~TORrNG: &/25/Il
20-- BOH @ 20'
LOT 6, BLOCK 3, SPENDLOVE VIEW SUBDIVISION
A. HARALA
PERCOLATION RATE:
TEST RUN BETWEEN:
SITE PLAN
SEE SITE PLAN
2% _____---
DEPTH TO
DATE READING GROSS TINE NET TINE WATER NET DROP
(PIlNUTES) (PIlNUTES) (INCHES) (INCHES)
__(MnW~NCH) PERC. HOLE DIA. .(FNCHES)
FT. and FT.
COMMENTS: TEST HOLE PLACED TO VERIFY NO BEDROCK WITHIN 6' OF BOTTOM OF TRENCH.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: Z,/25/2011
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW950328
DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES
OWNER NAME:YOUNG ALBERT K & VALERIE J
OWNER ADDRESS:P.O. BOX 112071
ANCHORAGE, AK 99511
DATE ISSUED:10/07/95
EXPIRATION DATE:10/07/96
PARCEL ID:02102114
LEGAL DESCRIPTION:
SPENDLOVE VIEW HEIGHTS BLK
3 LT 6
LOT SIZE: 58601 (SQ. FT.)
NUMBER OF BEDROOMS: ~THIS PERMIT: ~ ~
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
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 (iSAACS0) .
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 SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY:
RECEIVED
MAY 2 4 1996
Municipality of Anchorage
Dept. Health & Human Services
May 22, 1996
MUNICIPALITY OF ANCHORAGE
DEPARTMENI' OP HEALi'H AND HUMAN SERVICES
825 ~L'? STREET, ROOM 502
ANCHORAGE, ALASKA 99519
AT'fENTION MR. DAN ROi'H:
Dear Dan:
Reference Permit No. ' SW950328
The owner of the property on which this proposed system is located has
informed me that he intends to build a fbur bedroom house with the intention of later
changing it to a five bedroom home. I informed him to install a 1500 gal septic tank
and to make the drainfield large enough tbr the future 5 bedrooms.
I have included a design for the five bedroom home, and changed the plans and
specifications to show the five bedroom
I request that the permit be modified to allow for the 5 bedroom home.
Sincerely yours.~.fl/fi_e>
James F. Sizemore P. E.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940396
DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES
OWNER NAME:YOUNG ALBERT K & VALERIE J
OWNER ADDRESS:P.O.BOX 112071
ANCHORAGE, AK 99511
DATE ISSUED:10/12/94
EXPIRATION DATE:10/12/95
PARCEL ID:02102114
LEGAL DESCRIPTION: SPENDLOVE VIEW HEIGHTS BLK
LT 6
LOT SIZE: 58601 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
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 (iSAACS0) .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
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 SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
DATE:
James Sizemore & Associates
6410 Switzerland Drive
/907) 345-1572
Civil Engineers &
Surveyors
Anchorage, AK 99516
WASTEWATER DISPOSAL SYSTEM SPECIFICATIONS
LOT 6 BL3, SPENDLOVE VIEW HEIGHTS SUBDIVISION
1.0 GENERAL:
1.1 The scope of the project consists of installation of a
gallon septic tank and a long by 9 ' deep, deep trench
d~ainfield. 5~.£ -
1.2 Construction shall be as shown on the approved site
plan and design drawings. Deviations from the drawings shall be
co-ordinated and approved by the engineer conducting the
inspections.
1.3 Ail construction procedures and material used to
construct the system shall comply with Municipal and State
regulations.
1.4 Unless specifically agreed otherwise, the homeowner
shall be responsible for finish grading areas after the soil is
compacted. Placement of topsoil and reseeding all areas
disturbed by construction is also the responsibility of the
homeowneer.
2.0 SEPTIC TANK:
2.1 The gallon septic tank shall be Municipally
approved.
2.2 The septic tank shall be set level and shall be bedded
as necessary to prevent settling or shifting of the tank.
2.3 Ail pipe connections to the septic tank shall be
equipped with waterproof mechanical couplings. A cleanout shall
be installed within 5 feet of the house foundation. A double
cleanout whal] be installed within 5 feet downstream of the
septic tank.
3.0 SOIL ABSORPTION DRAINFIELD:
3.1 The soil absorption drainfield shall be a deep trench
constructe& to the dimensions shown on the drawings. The 9'
deep by~,'Sfoot long trench shall be level. The trench shall be
dug parallel to the contour of the lot. A total depth of 6.5 ft.
of sewer rock shall be placed in the trench with 6 ft. of rock
beneath the 4 in. perforated drain pipe.
3.2 Sewer rock shall be 0.5 - 2.5" screened gravel, with
less than 3 % passing the #200 sieve.
3.3 Cleanout pipes and monitor tubes shall be 4" diameter
and installed in locations shown on the drawings. The portion of
the monitor tube extending through the sewer rock shall be
perforated.
3.4 Approved filter fabric shall be placed over the top
surface of the sewer rock. A minimum of 2 feet of soil cover is
to be placed over the filter fabric. If the soil cover thickness
is less than 3 feet, two inches of rigid, burial type insulation
will be placed over the entire top surface of the sewer rock.
4.0 INSPECTIONS:
4.1 A minimum of three engineering inspections will be
required during construction of the system. One after setting of
the septic tank, one after excavation of the deep trench prior to
placement of the sewer rock, and one after placement of the
sewer rock and the perfoorated drain pipe and the clean outs and
monitor tube.
4.2 The contractor shall coordinate with the engineer at
least 24 hours prior to start of construction.
PROBABLE IMPACTS TO ADJACENT PROPERTIES
A) WELLS:
The proposed disposal system is designed in accordance with
the current 1994 Municipal Wastewater Disposal Regulations. The
separation distances from wells on adjacent properties is greater
than 100 ft., and the proper separation from the bottom of the
trench to the ground water table is maintained, there should be
minimal impact to adjoining propderty from this system.
B) WASTEWATER SYSTEMS
The size of this lot should minimize the impact on
wastewater systems.
adjacent
C) RESERVED SPACE/SURFACE AND SUBSURFACE
There is enough space on this lot to put
replacement system and still maintain the required
radiaa between wells and the disposal system.
in another
protective
D) DRAINAGE
The location of the disposal system will not interfere with
any drainage. The area disturbed during construction of the
system will be graded and sloped so as to not pond water.
(,.,o,xV.,v. i"'~
4---A
Municipalily of Anchora e
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
N
WAS GROUND WATER F(~
ENCOUNTERED? .,
Reading Date Gross ~~ Net ~?th to Net
~ Time Time 'water Drop
~3 : ~1 I '~ ~. :~/~
PERCOLATION RATE , _ ( utes/Inc~[RO HOLE DIAMETER
TEST RUN ~[TW[[N ~ FT AND ~' ~T
~* ¢~ CERTIFY THAT THIS TEST WAS PERFORMED IN
Z2-008 (Rev. 4/85>
1
2
3
5
6
7
8
9
I0
12
14
17
18
20,
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
2
3
5
6
7
10 ~ WAS GROUND WATER
ENCOUNTERED?
I
IF YES, AT WHAT ..- __ __
12 DEPTH?
OepthloWaterA,e~.,~.~ ~ /~ ~1
1
3
Monitoring? _. /V~N~ Dale:'--~-~
14
Reedin9 Date Gross Net Depth to Net
Time Time Water Drop
b~. t-~f~ :cfi ,, : .s ~.~ ¢ ,-~-- ~/.~
20-
PERCOLATION RATE ~' (mmutes/,nch) PERC HOLE DIAMETER
/TEST RUN BETWEEN Tx 0 FT AND%~:>
ACCORDANCE WITH ALL STATE AND ~NICIPAL GUIDEUNES iN EFFECT ON THiS DA,E. DATE:..I,. ¢/X /¢
72-008 (Rev. 4/85)
SOILS LOG -- PERCOLATION TEST
. , ~ l~
LEGAL OEsOR,PT,O./_4. z~3 ~d/O~¢¢ ¢/¢~O~n~hi., .an.e. sec~,o.:¢~¢
'i DEPTHS !MEASURED FROM:~] casing~. tdp' [] g~'ou~d 'S'[Jrfa~e
BOREHOLE DATA:
Depth
Material 'Ty Color From To
Depth of ho]
Depth of' cas
DEPTH'TO STATIC WATER LEVEL:
· ~/ ftbelow ~ top of casing
[] ground surface
METHOD OF DRILLING: /r~ air rotary [] cable tool
[] other '
USE OF.WELL: ~ domestic []irrigation [],'monitor
[-I:public'supply [] other
WELL:INTAKE OPENING TYPE: [] open end [] screened
[] perforated ~. open hole
Depths Of openings: to __ ft
SCREEN TYPE:
'Slot/Mesh Size:
GRAVEL PACK TYPE:
Volume-used:
GROUT TYPE:
Depth: from
DEVELOPMENT METHOD:
Duration:
_ _ Diem: in.
Length: ft
Depth to top:.
Volume:
_ ft to ft
MunJcJpa ity ge aND YIELD:
~ hrs pumpin0 .~ gpm
. . DEPTH: . ft Horsepower:
D UPON COMPLETION~ 'YES"~-'~O
S 0~ature of Author zed R~s~ ;s~wN .... '~' ~ ~ ~ ..... "n..,n.,, ....... [~ COPY OF LOG TO:
'- ' ..... , .... ou]cst, Sute800 '
. ' P~ne"(907.}269,8639; Fax {907)562.1"384
PAGE
1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW960145
DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES
OWNER NAME:YOUNG ALBERT K & VALERIE J
OWNER ADDRESS:PO BOXl12071
ANCHORAGE, AK 99511
DATE ISSUED: 6/24/96
EXPIRATION DATE: 6/24/97
PARCEL ID:02102114
LEGAL DESCRIPTION:
SPENDLOVE VIEW HEIGHTS BLK
3 LT 6
LOT SIZE: 58601 (SQ. FT.)
HUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL SYSTEM
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 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 SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWIHG SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY: ~~/2~.'~
ISSUED BY~i~2 /
.L,~ BLS ,_,cp.F../,,,/~LOVE..
/-t E.'[ G h/T 5 .s u 5 Lb.
.' %/TE. F'L.,A N/
Applicant
Location:
MUNICIPALITY OF ANCHORAGE
Department Health and Environmental rotection
825 ~ Street, Anchorage, AK.
264-4720
* * ~ HANDWRITTEN PERMIT * * *
W~LL AND/OR ON-SITE SEWER PERMIT
l-.~ ~.,~ ~...y Mailing ? L
hone u er:
Legal Description, CoT & ~ S ~-~,m.£~L¢(,~__ LOt Size,
Type of Soil Ab~ption System Is:
Trench: &~ Drainfield:
Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br)
!
The Required Size of the Soil Absorption System Is:
DEPTH (>? ( LENGTH.--~C'~/--- C¢ /"
_ . GRAVEL DEPTH ¢~J-'-'/ WIDTH
The length dimension is the length(in feet) of the trenc~ 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 = /~"~3 GALLONS * *
~ermit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
Qf 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.
.~inimum 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
2f 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
~nd must be returned to this department within 30 days of the well completion.
Dther requirements may apply. Specifications and construction diagrams are
~vailable to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 1 9 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
ther'~1esidence~i~re~modeled to include more th~ bedrooms.
S igne~: '/'~ J~__ .....
Applicant .....
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
1
2
3
5
6
7
8
10
11
12
13
14
15
16
17
18
19
20
SLOPE
WAS GROUNO WATER
ENCOUNTERED?
DATE PERFORMED: "~/~,
· SITE PLAN
IF YES. AT WHAT
DEPTH?
COMMENTS /~/ ~.~ ~..J'
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~3 (minutes/inch)
TEST RUN BETWEEN ~' ''7 ~'' FTAND ~'/' 7" '~ ET
PERFORMED BY: /7,~/'~,'~( /V~/o (--~.--
72-00B (6/79)
C ERTI Fl E DBY: '~'~J~~
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
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 021-021-14
GENERAL INFORMATION
Complete legal description Lot 6, Block 3, Spendlove View Heights Subdivision
Location (site address) 13501 Spendlove Drive Anchorage, AK 99516
COSA # OSC. i\\ I\ C~
Expiration Date: '7-..,~2.. ~ - / /
Current Property owner(s) Albert and Valerie Young
Mailing address P.O. Box 112701 Anchorage, AK 99511
· Day phone 727-7200
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
NUMBER OF BEDROOMS: Five (5)'
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 Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
Phone 522-7773
Date 4/12/2011
DSD SIGNATURE
j./// Approved for
Disapproved.
Conditional approval for
bedrooms. ,~ .".~,.~,,_ ~/_~.~. / !.o~-
bedrooms, with the following stipulationS:
By:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rev. 11/05)
X
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
P.O. Box 196650
Anchorage, AK 99507
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type Private
Date completed 7/3/96
Total depth 386 ft.
Parcel ID: 021-021-14
Lot 6, Block 3, Spendlove View Heights Subdivision
IfA, B, or C provide PWSID #
Sanitary seal (Y/N) Y
Cased to 23 ft.
FROM WELL LOG
Date of test 7/3/1996
Static water level Unknown
Well production 2
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL
Arsenic: N/D ug/I
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,500 gal.
Foundation cleanout (Y/N) Y
Date of pumping 3/1/11
C. ABSORPTION FIELD DATA
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
3/19/11
46.8 ft.
1.4 g.p.m.
g.p.m.
Nitrate 1.40 . mg/L
Date of sample: 4/8/11
Number of Compartments Two
Depression over tank (Y/N) ... N
Pumper Denali Sewer and Drain
Y
>18 in.
Date installed 6/96 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD/SF
Length 53 ft. Width 3.5 ft.
Total depth 9 ft. Eft. absorption area 636 ft2 Monitoring tube
Date of adequacy test 3/19/2Oll Results (Pass/Fail) Pass
Fluid depth in absorption field before test 63 in.
Elapsed Time: 1,185 min. Final fluid depth 61
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N
For Five bedrooms
Water added 787 gal. New depth 68 in.
in. Absorption rate >= 750 g.p.d.
If yes, give date
System type Deep Trench
Gravel below pipe 6 ft.
Y Depression over field N
Date installed 6/96
Cleanouts (Y/N)
High water alarm (Y/N)
Other bacteria 0 colonies/100 mL
Collected by: A. Harala
LIFT STATION
Date installed
"Pump on" level at~
Datum
in.
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at__
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
in.
Septic tank/lift station on lot >100'
Absorption field on lot >100'
Public sewer main N/A
Sewer/septic service line >25'
Animal containment areas >50'
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots >100'
On adjacent lots >100'
Public sewer manhole/cleanout
Holding tank N/A
Manure/animal excrete storage areas
in.
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >5'
Water main N/A Water service line >10'
Wells on adjacent lots >lOO'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
N/A
>100'
Property line >10'
Water Service line >10'
Curtain drain None Noted
F. COMMENTS:
Absorption field >5'
Surface water >100'
Building foundation >10' Water main >10'
Surface water >100' Driveway, parking/vehicle storage >25'
Wells on adjacent lots >lOO'
Septic System Inspection Completed by James Sizemore, P.E. in June of 1996. Fluid Depth in Absorption
Trench is Currently 63". Total Effective Depth is 72".
G. ENGINEER'S CERTIFICATION
I ce~i~ that I have dete~ined th~u h field ins ections and
~view of Municipal ~co~s that th~gabOve ~ms a~ in
on
, ·
r Prln N m Michael E Ander~n P E
Enginee s ' ted a e ....
COSA Fee $
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
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. ci. anchorage, ak .us
(907) 343-7904
Septic System Advisory
Certificate of On-Site Systems Approval # 111119
During a recent adequacy test on the septic system for Block 3, Lot 6 of
Spendlove View Heights subdivision, 63 inches of standing water was
observed in the absorption field. This indicates that approximately 88% of
the absorption area is inundated. Although this system passed the adequacy
test, the remaining life expectancy may be limited.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval
bJ
Z
L.i.I
Q.
SPENDLOVE DRIVE
PLAT NO, 68-57
SPENDLOVE VIEW HEIGHTS
LOT 6, BLOCK 3
58,601 SoF,
N 90°O0'O0"E 281.91'
WELL
GRAVEL DRI
PAVERs -
RETAININg
EXISTING ~3UILDING
50.9'
SEPTIC SYSTEM
VOLLEYBALL
COURT
BUILDING DETAIL
SCALE: 1 "=20'
AS BUILT ........ '
--' I HEREBY CERTIFY THAT I HAVE SURVEYED THE
.... PROPERTY DEPICTED ABOVE ANB THAT NO
GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED.
SURVEYING, LLC IT IS THE RESPONSIBIUTY OF THE OWNER TO
JEFF A. GASTALDI, R.LS. DETERMINE THE EXISTENCE OF N4Y EASEMENTS,
2000 E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT
ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT.
PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA
GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR
2942 8/25/2010 ESTABLISHING BOUNDARY OR FENCE LINES.
........... ANCHORAGE RECORDING DISTRICT, ALASKA
FoB. JOB NO.
NOTE: NO CORNERS SET THIS DATE.
98-03 SVH63
1"=40'
SGS Ref.# 1111314001
Client Name Anderson Engineering
Project Name/# Spendlove View Hghts Subd /:5 - .~ 2 ._ ~ Printed Date/Time 04/15/2011 9:28
Collected Date/Time 04/08/2011 13:45
Client Sample 1D Spendlove View l-tghts Subd Received Date/Time 04/08/2011 15:42
Matrix Drinking Water Technical Director Stephen C. Erie
PWSID 0
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic ND 5.00 ug/L EP200.8 C (<10) 04/12/11 04/14/11 SCL
Waters Department
Total Nitrate/Nitrite-N 1.40 0.100 mg/L SM20 4500NO3-F B (<10) 04/12/11 AYC
Microbiology Laboratory
E. Coil Negative 1 100mL SM20 9223B A 04/08/11 DLC
Total Colilbrm Negative 1 100mL SM20 9223B A 04/08/11 DLC