HomeMy WebLinkAboutBROADWATER HEIGHTS TR D BLK 1 LT 3Broadwater
Heights
Block 1
Of Tract D
Lot 3
#050-081-44
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW100004 PID Number: 050-081-44
Name: Jeffrey Knittle
Wastewater System: O New El Upgrade
Address: 12012 Broadwater Drive
ABSORPTION FIELD
Phone: Number of Bedrooms:
357-9394 3
❑Deep Trench )ahallcw Trench ❑Betl ❑Mound ❑Other
LEGAL DESCRIPTION
Soil Rating:
4,0
Total Depth from original grade :
+3
GPD/Ft'
Ft.
Block' Lotb
3 rroadwater Hts
fepll o tr bottom from rginal grade:
Gravel depth beneath pipe:1
+4 Ft.
1 Ft.
ection:
TownshipRange: S -
Fill added above original grade:
Gravel Length:
Tr -,t,
+ Ft.
P 0 Ft.
Well: New El
®
Gravel width:
Number of lines:
Distance between lines:
FL
_ Ft.
Classification (Private, A, B, C)'
Total Depth: Cased tot
Total absorption area:
Pipe Material:
Private
400 Ft. 44FL
113 Ft
Driller.
Date Drilletl: /Q Static Water Level:
Installer:
Data Installed:
Sullivan
35FL
Pomranin
6/10/10
Yield: 1
Pump Set at:
basing Height Above Gj und.
[
TANK
GPM
Ft.
SEPARATION DISTANCES
[ISeptic ElHolding X S.T.ER A ` V4 ❑ other:
To
Septic
Absorption
Lift
Holding
lublictPrivate
Manufacturer:
Anchorage Tank
Capacity
1500
From
Tank
Field
Station
Tank
Sewer Line
Gal,
Well
100'+
100'
100'
NA
25'+
Material: Steel
Numbs of Compartments:
C
aurface Water
1001+
100'
100'
NA
LIFT STATION
Lot Line
10'+
101+
10'+
NA
Size:
1500 Gal,
Manufacture
S, T,E,P, (Anchorage Tank)
Foundation
10'+
10'+
10'
NA
Pump °^ �gl at:
z'F1
Pumpo leve at:
F
High water alarm at:
45
in.
in.
in.
Pump Make & Model
Electrical Inspections performed by:
Curtain Drain
NA
NA
NA
NA
P20 05
05 HHF Dave Cameron
Remarks
BENCH MARK
Alternate & Primary
Location and Description: Garage Steps
r e n ch Lons-tructed
Top Assumed Elevatm
100 Ft
V,4i_VEO off -tori To A1,76?d rE
NorthRim Engineering
EnzipmCgmp�
Inspections performed bell Dates: 1a` 5/ 1MI.
OF A'?4'1�g�
a.•ere.er�
2nd
C,�
'W'A" ,.
p�oa
Development Services Department Approval
fq
4
srs«T}: :,
&Y
Conditional Approval Date:
•Steven
W.
P �(72!'�pF
/Date: .a " ✓!
Reviewed by: -3
and approved
(xev. oaigb)
1500 Gallon —
Advantex Tank
w/AX-20 Pod
Discharge —
Basin
Well
3 Bdrm
HHome
p a�
m 3
��� lternate & Primary
MTl Drainflelds Constructed
/ O level 7 _MT7
RECORD DWG MEASUREMENTS
B
ST C01 14 34
STCD2 15 42
Discharge Basin 21 43
MT1 53 16
MT2 60 26
.'<E+°F
NORTHRIM *y'�49m
ENGINEERING �
BROADWATER HEIGHTS
TRACT D
1' = so
RECORD
Po Box 770724 •
DRAWING
Eagle River, Alaska 99577 a
907.694.7028/"f v
BLOCK 1 LOT 3
6/23/10
2 of 3
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Jun 24 10 05:01a Sullivan Water Wells
907 688 2759 p.1
95
su
Date of Issue
' o..re.d. - prnkrrr.i.l- G.Ia.r.ul
Parcel Identification Number: 069.08144
roc... 997-98& Tea
Is well located at approved permit location? I ]Yes I _-]No
.rwrra.lilwnr.r.rwea...wn
HEIGHTS TR. D Lot 3
Well Log
Permit Number. #SW loo004
Date of Issue
V2912018
Parcel Identification Number: 069.08144
Date Started: 2M12010 Date Completed: 2FV2010
Is well located at approved permit location? I ]Yes I _-]No
Property Description BROADWATER
HEIGHTS TR. D Lot 3
Section: Town: Range:
Block 1
Property Owner Name & Address:
TROY DAVIS ROM SS
155 E. PARKS HWY. #2048 WASILLA, AK 99864
Borehole Data:
Depth
Method ofDrliliog [X ] air rotary cable too[
Soil Type, Thickness & Water Strata
From
To
Casing type:
Casing Stickup
a
2
Wail thickness 025 _ inches
Overburden
2
7
Diameter 5 inches Total: K feet
Liner type:
Green Bedrock
7
36
Diameter inches Depth: feet
Dark Gray Bedrock
35
153
Casing stick-up above ground: 2 feet
Static Water Level(iiom top of easing) 35 feet
Dark Gray Bedrock Fractured 153 156
Gray Bedrock
155
173
Pumping Level: feet after
Grey& White Bedrock Fractured
173
175
.._ 1 hours pumping glan
Recovery Rate t gpm
Dark Gray Bedrock
175
179
Method of Testing: Air
Groy Bedrock
179
275
Well Intake Opening Type
Gray&White Bedrock
275
255
(_]Open Fnd Ix Open .Hole
Dark Gray Bedrock
286
341
C] Screened Start _ feet Stopped feet
Gray Bedrock Fractured
341
343
] I Perfiarstions Start feet Stopped feet
Grout Type: Berdwitedrygranufar Volume: 600 Pounds
Dark Gray Bedrock343 349
Depth 44 Start o feet Stopped 44 feet
Dark Gray Bedrock Fractured
349
353
....._.... _
Pump Intake Depth: feet
Gray Bedrock
353
370
Dark Gray Bedrock Fractured
370
372
PWM size: HP brand name
Well disinfected open Completion? LX Yes : No
Gray Bedrock
372
400
Method of disinfection CHLORINE 60 PPM
Comments. WELL CGNSTRUCTEDWITH OVERSIZE
GROUTED SURFACE SEAL TO DEPTH OF OW.
WELL MEETS CURRENT MOA STANDARDS.
Water Sample Results;
Arsenic:
Nitrates
Total Coliform Bacteria
other bacteria:
ug/i
_ mgfl
cotonie000aiL
-- c 1111.0 ml,
Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion.
Gevefopment Services bepartnent
/ Euilding Saraty Division
On -Site Wcrar & Wastzwirer Program
4700 3 19 S reef
go--
196:50
Mark Begich Aricharoae, Al' 99519-6654
Mayor ..w,muni.crn!onsite
(907j 743-7994
Pump Installation Log
Xell Drilling Permit Number: SW_ Date of Issue: _
?arcel Identification Number:
,,gal Description
1Pro erry Owner Name & Address:
Rmr Z),4V,•s MwNss
J'issi t r9J4G .
?temp Installation Date: �-/i—,?O/D
?ump Intake Depth Below Top of Well Casing: 'JZ! feet
?ump Manufacturer's Name: RfD JA&k*4-
Pump Model:
Pump Size hp
pitless Adapter Burial Depth; 10 feet
Pitless Adapter Manufacturer's Name: A> VWISOI'
Pitless Adapter Installer: N10+'
%V ll Disin:ected'upoa C,)mo1eiioa"1R- :s! --j din.
ylethod of Dis.' ec 'a
-=ommeniJ:
pump InstalleTName; 4yA" j
I
Attention: The pump installer ;hall provide a pump installation log to the DSD Within JO days of pump instaLlatiom_
Development Services Department
Building Safety Division
on -Site Water & Wastewater Program
4700 Elmore Rood
P.O. Box 196650
Mark Begich Anchorage, AK 99507
Mayor wm.muni.org/onsit
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number:
Legal Description Property Owner Name & Address:
(3rkOA0vv/7 _i� �f�/6r/YIC 3EP��c�n�Trt�
2 ,a�b
644W Rweiz, r3 W
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: L/la feet
Pump Manufacturer's Name: RE b-3 A ckr-
Pump Model:
100
Pump Size i hp
Pitless Adapter Burial Depth: is feet
Pitless Adapter Manufacturer's Name: 1
Pitless Adapter Installer:
Well Disinfected Upon Completion? lKs ❑ No
Method of Disinfection: CZ64eir .. Pr/IETS
Comments:
Pump Installer Name: 4 n r [' V eAS f�t—
Attention: The pump installer shall provide a pump installatiSn log to the DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW100004
Date Issued: Jan 29, 2010
Expiration Date: Jan 29, 2011
Parcel ID: 050-081-44
Legal Description: BROADWATER HEIGHTS, BLK 1 OF TRACT D, LT3
Design Engineer: 0876 F.ROBERT BELL & ASSOCIATES Site Address: 12012 BROADWATER DRIVE
Owner Name: JEFFREY & VERONICA KNITTLE Lot Size: 17937 SO. FT.
Owner Address: 165 GEORGE PARKS HW Total Bedrooms: 3 Permit Bedrooms: 3
WASILLA , A 99654 -
This permit is for the construction of:
Q Disposal Field Q 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 catling
(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
Issued
Date:
Date:
Municipality of Anchorage
-• Development Services Department
Building Safety Division i
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www.muni.org/onsite
(907) 343-7904 �sy'
ON-SITE SEWERIWELL PERMIT APPLICATION ,
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Tax ID 05008144
Jeffrey & Veronica Knittle;
Property owner(s) Represented by Troy Davis Homes
Day phone (907) 357-9394
Mailing address 165 George Parks Highway; Wasilla, AK
Zip Code 99654
Site address 12012 Broadwater Drive; Eagle River, AK
Zip Code 99577
Legal description (Sub'd., Block & Lot) Broadwater Heights
Subdivision, Lot 3 Block 1 of Tract D
Legal description (Township, Range & Section)
Lot Size 17.937 Sq. Ft. Number
of Bedrooms 3
THIS APPLICATION IS FOR (® all that apply):
THIS APPLICATION IS AN:
Absorption Field El
Initial
El
Septic Tank (]
Upgrade
❑
Holding Tank ❑
Renewal
❑
Privy ❑
Private Well Q
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.
Z6
of property owner or authorized agent)
Permit/Rush Fees: 4�N31 01,10 4- SSS Waiver Fees: 0 Q
Date of Payment: I ND. o2
Date of Payment: i P l0
��(
Receipt Number: 21d7 // U Receipt Number: %o?
(Rev. 11/05)
F Vobet-L
holltep`
1assoc1
801 West Fireweed Lane, Suite 201 • Anchorage, AK 99503-1801
(907) 274-5257 • FAX (907) 743-3480
January 20, 2010
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
Re: On-site Septic System Design
Broadwater Heights Subdivision, Lot 3 Block 1 of Tract D
To Whom It May Concern:
A 3 -bedroom house is planned to be constructed on the 0.41 acre parcel described as Lot 3 Block 1 of
Tract D in Broadwater Heights Subdivision. The property is located off Broadwater Drive in the Eagle
River area. The property is not served by public water and sewer services. This document is to serve as
a narrative for the on-site septic design we have prepared.
Findings:
Numerous test holes and borings were logged on this property. From our findings we established the
southeast corner of the property as the only viable region to construct an on-site septic system. Steep
slopes and less than 24 -inches of native unsaturated receiving soils limit other areas on the property
from being developed. Soils in the southeast corner of the property were found to be 1 to 2 feet of
topsoil, followed by 2 to 4 feet of poorly graded sands before reaching weathered bedrock. No
groundwater was observed in any of the soil logs. A percolation test was performed in the immediate
area of the proposed absorption areas and results show a percolation rate of 23 minutes per inch.
Per Anchorage Municipal Code (AMC) 15.65.060.2.c at least 6 feet of vertical separation must be
maintained from the bottom of the absorption area and bedrock. Imported fill will be required to reach
this minimum separation. Combining with the additional fill being used for cover on the septic system the
footprint of the import extends beyond the southern property line. A 50 -foot fill easement is proposed to
legally facilitate this need.
This pocket of developable land cannot be designed to meet the minimum standards for the Municipality
of Anchorage (M.O.A.). Variances for slope setbacks and separation between the primary and reserve
absorption areas will be required.
801 W. Firewecd Lane #1201 1 of 3 1365 E. Parks Highway #203
Anchorage, AK 99577 Wasilla, AK 99654
January 20, 2010
Variances:
In reference to a memorandum issued by the MOA on April 7, 2004, absorption areas can be within 50
feet of slopes greater than 25%. This exception is only if the absorption areas maintain a 35 -Toot
separation from the point of intersection for a 25% slope beginning 2.5 feet above the septic field's pipe
invert and the finish grade. The proposed design meets this requirement to the south, but is within 15
feet of the >25% slope found to the west. From our field investigation we feel this reduced setback is
viable because the bedrock was found to slope towards the southeast. Intuitively this means the natural
subsurface drainage pattern would transport effluent in this southerly direction, eliminating concerns that
the discharge would surface on the slope to the west.
The area available for septic fields is not large enough to accommodate the primary and the reserve
areas with the minimum 10 feet of separation. An additional variance is requested to reduce this
separation to 5 feet. Factors for permitting this variance are based on the fact we are using a Category
III Advanced Wastewater Treatment System which produces a cleaner effluent than more conventional
septic systems. The need for imported fill for each septic field also ensures uniform soils are being used
over the entire absorption area. We have also placed the reserve area up slope of the primary
absorption area to limit infiltration. It is critical the contractor does not disturb the reserve area while they
are installing the original septic field.
Domestic Waste Water & Septic Design Calculations:
Tank Size: 1,500 gal (Pre -fabricated fiberglass Advantex Tank w/ Orenco AX -20 Pod)
• 1,000 gal. min. for 3 -bedroom house (AMC 15.65.50)
Design: Daily Flow: 450 gpd (3 bedrooms x 150 gpd / bedroom)
Percolation Rate: 23 min. per inch
Application Rate: 4 gpd/s.f. (per AMC 15.65.350.F)
Absorption Area: 450 gpd _ 4 gpd/s.f. =112.5 s.f.
• Type of Septic Field: "5 -Wide" Shallow Trench
• Width = 5 It
• Depth =1 It
• Reduction Factor = (W+2)/(W+1+2D) _ (5 ft+2)/(5ft+1+(2x1 ft)) = 7/8 = 0.88
• Length = (112.5 s.f. _ 511) x 0.88 = 20 ft
Construction of New Septic System:
As mentioned, this site does not constitute the design of a conventional on-site septic system. A
category III system has been chosen and includes a 1,500 gallon fiberglass Advantex tank with an
Orenco AX -20 pod which is prefabricated by Anchorage Take. The Advantex tank will be connected to a
"5 -wide" shallow trench system with a center manifold. In order to meet the required 6 feet of vertical
separation from bedrock over 3 feet of sand will need to be placed on the existing receivable soils before
the absorption area is constructed. The trench will extend equal distances, 10 feet to the north and
south of the manifold. The absorption area will consist of perforated distribution lines placed on top of 1
foot of filtering rock (3/4" to 1-1/2" washed rock). Monitoring pipes will be installed at the end of each
trench, and cleanouts will be installed on the ends of each distribution line. Cleanouts shall be installed
on the service lines going in and out of the septic tank. All pipes going in and out of the septic tank shall
be installed on undisturbed native soils, or in trenches that have been adequately compacted. The bed
will be filled with additional washed rock to ensure 2 inches of cover is maintained above the lines.
Permeable geotextile fabric will then be installed over the washed rock to prevent fines in the backfill
material from infiltrating and damaging the absorption system. Backfill shall be mounded a minimum of 6
inches above the surrounding grade to ensure positive drainage after settlement. Backfill over the
absorption trench shall not be compacted.
901 W. Fireweed Lane #201 2 of 3 1365 E. Parks I lighwey #203
Anchorage, AK 99577 Wasilla, AK 99654
January 20, 2010
Maintenance of Septic System:
Maintenance of this advanced wastewater treatment system will be the responsibility of the property
owner. Regular servicing and appropriate use of the system should meet the manufacturer's
recommendations and AMC 15.65.360. Using garbage disposals and flushing of non -degradable items
(coffee grounds, cigarette butts, tampons, paper towels, etc.) should be avoided. The owner shall
eliminate heavy surface loads in the area of the septic system to maintain the structural integrity of the
system. Trees and other large plants should be removed and maintained at an adequate distance to
prevent roots from growing into the system.
Please contact me with any questions.
Sincerely,
E AZ
-A :,•C• IG 8• SHMUK•.' x/00
'•, CE 11788 ,•' ��� /
i
ti�`G%/toxo
F. Robert Bell and Associates
Craig Shavlik P.E. / P.L.S.
Attachments:
• Engineered Plans (F. Robert Bell & Assoc.; Jan. 20, 2010)
• Soil Logs: Test Holes #1-6; Borings #1-4 (F. Robert Bell & Assoc.; Varying Dates)
• Percolation Test #1 (F. Robert Bell & Assoc.; Jan. 8, 2010)
801 W. Fireweed Lane #201 3 of 3 1365 E. Parks Highway #203
Anchorage, AK 99577 Wasilla, AK 99654
15 0 30
GRAPHIC SCALE
1"=30'
LOT 6
LEGEND
TO //X
TEST HOLE (APPROX 4'0)
Bo NX6"0 BOREHOLE
PEo PERC TEST LOCATION
XXX%SLOPES
FOUND 5/8" REBAR
® FOUND BRASS CAP
LOT 1
LOT 2
EXISTING GRAVEL DRIVEWAY A I
TH-#q4 BH -9/2
±31.8%
GRADE BREAK
(RIDGELIKE) BHj-#
�/ 1 a I
H-ya0 L I
81-1-430 a011
�E OF.
TH s�911�1
i,AIC B. SHAVUK Tel
'I ��iJ '•, CE 11788
DATE: 01/22/10
N7544's1- �v 'ERC
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( \ BASIS OF
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(EL. 99.92')
- 10x20' ANCHOR
EASEMENT
IOTH-p3 II
F. Roberti TRACT D LOT 3 BLOCK 1
SEPTIC DESIGN
0 EXISTING SITE
PREPARED FOR:
TROY DAVIS HOMES
MLG MOA GRID: NW 253
aU iU U�CHECKED BY78MW
ENGINEERS MD LAND SDIIW�S JOB NO.: 2009-1396.03 FIELD BOOK: 2010-(
Wl WSE nRE'KED UTNE SUIS 201
�E ( i 27:-5:s750J 1801 SCALE:1 =10 SHEET: 1 OF 7
rl
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±30.7%
TH-y6
GRADE BREAK
LOT 3
TH-p5
17°937 S.F.
/
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0.41 ACRES
I
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±13.3%
Lei
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EXISTING GRAVEL DRIVEWAY A I
TH-#q4 BH -9/2
±31.8%
GRADE BREAK
(RIDGELIKE) BHj-#
�/ 1 a I
H-ya0 L I
81-1-430 a011
�E OF.
TH s�911�1
i,AIC B. SHAVUK Tel
'I ��iJ '•, CE 11788
DATE: 01/22/10
N7544's1- �v 'ERC
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( \ BASIS OF
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(EL. 99.92')
- 10x20' ANCHOR
EASEMENT
IOTH-p3 II
F. Roberti TRACT D LOT 3 BLOCK 1
SEPTIC DESIGN
0 EXISTING SITE
PREPARED FOR:
TROY DAVIS HOMES
MLG MOA GRID: NW 253
aU iU U�CHECKED BY78MW
ENGINEERS MD LAND SDIIW�S JOB NO.: 2009-1396.03 FIELD BOOK: 2010-(
Wl WSE nRE'KED UTNE SUIS 201
�E ( i 27:-5:s750J 1801 SCALE:1 =10 SHEET: 1 OF 7
rl
LOT 1
T'k T
1 /0 /" LOT 2 LOT 18A
50 0 100
1;;I-� r --------
GRAPHIC SCALE
1"=100'
1,00. WELL
TYP)jr
RADIUS
LOT 6 LOT 3 RADIU
17.937 S. . -f
LEGEND 0.41 ACRES llul
PROPOSED %I
17 - &937S&-_
0 1 Ci
.4 ACRES
S
RESERVE AREA
EXISTING SEPTIC
SYSTEMS (APPROX. LOT 16A
LOCATION)
SYSTEM
PROPOSED SEPTIC
PROPOSED
ABSORPTION
EXISTING WELL
(APPROX. LOCATION) TRENCH
PROPOSED WE� LOT 4 LOT 15
L
LOT 1
LOT 5
\
OF AZ \X
.... ........... .........
. .........
AIC B. SHAVLIK
CE 11788
DATE: 01/22/10
Wl NIST MEO LME WW 201
M0109A0[. K UA 99503-M1
PHO E (901)-274-5257
TRACT D LOT 3 BLOCK I
SEPTIC DESIGN
ARED FOR:
TROY DAVIS HOMES
GRID: NW 253
LEGEND GRADE BRE IK
TH-#X (RIDGELIKE)
P TEST HOLE (APPROX 4'0) 1
BH—#X6"0 BOREHOLE
P,
DEPTH TO BEDROCK
I EXISTING GRADE
p CONTOUR (TYP)
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BEDROCK.' BH—N4 /(
CONTOUR (TYP) X10_96'—/—]
+Zn�
t
/ + / 1 \
/. BHPo3 oa + +�9 + 5 + p
IDENTIFIED AREA SUFFICIENT FOR — f
/ ABSORPTION FIELDS
5L rrrr 0 70 PROPERTY UN
E 1
GRAPHIC SCALE
1"=10'
TEST
LOCATION
DEPTH OF
ORGANIC SOIL
DEPTH OF
SAND SP
DEPTH OF NATIVE
SOILS ABOVE BEDROCK
BH -1
0.0'
0.0'
0.0'
BH -2
0.0'
0.0'
0.0'
BH -3
0.3'
0.0'
0.3'
BH -4
0.7'
>2.0'
>2.7'
BH -5
0.7'
>3.2'
>3.9'
TH-12.0'
4.0'
6.0'
TH-2
1.0'
3.3'
4.3'
�Q,�•.• OF 9s 11
*5; 49TH l7L• 9* t
rr
q� •.1AIG B. SHAVLIK �Q
fF9F CE 11788
DATE: 01/22/10
\►
GRADE BREAK
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+ +h'
TH-y2
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EXISTING DRIVEWAY
a_
NOTES,
1. DEPTHS TO BEDROCK ARE INTERPOLATED FROM THE CSI
BORINGS AND TEST HOLES PERFORMED. Q
2. FOR BORINGS 4 & 5 BEDROCK WAS NOT OBSERVED
WITHIN THE DEPTHS THE POWER AUGER COULD BE °
USED. CONSERVATIVELY WE USED THE BOTTOM OF �1
THESE BORINGS AS DEPTH OF BEDROCK TO JJ
INTERPOLATE BEDROCK DEPTHS FOR THE SURROUNDINGM
AREAS.
3. BOREHOLES WERE DRILLED USING A 6"0 POWER AUGER. 00
4. TEST HOLES WERE EXCAVATED WITH EXCAVATOR.
TRACT D LOT 3 BLOCK 1
SEPTIC DESIGN
PREPARED FOR: TROY DAVIS HOMES
80E WST nREKEO VIRE SUES 201
Pµ EE (W?)iii-``eaei90J.1B01 SCALE: 1 =1
15 0 30
GRAPHIC SCALE
1"=30'
LEGEND
TQ NX TEST HOLE (APPROX 4'0)
Pt;C PERC TEST LOCATION
® CLEANOUT
Q MONITORING TUBE
0- WELL
PROPOSED WELL
00' WELL RADIUS (TYP)
TH-#6
LOT 6I\ TH-#5
Q PROPOSED
ASSUMED PAD SHOULDER 3 -BEDROOM
HOUSE
ASSUMED PAD \ F.F.E.=109.5'
TOE
I I` -
PREFAB. 1500 GAL FIBERGLASS
ADVANTEX TANK WITH AX -20 POD
\ BEND
2.0 LF
RESERVE 'S -WIDE" TRENCH �\
' IDENTIFIED AREA SUFFICIENT
FOR ABSORPTION FIELDS,1/1
I
ROPOSED 5 -WIDE
LOT 1 TRENCH
NOTES:
1. ALL WORK COMPLETED FOR THE SEPTIC
SYSTEM SHALL BE IN ACCORDANCE WITH
CHAPTER 15.65 OF THE M.O.A. CODE.
2. GRAVEL MATERIAL FROM EXISTING
DRIVEWAY SHALL BE REMOVED PRIOR TO
CONSTRUCTION OF SEPTIC SYSTEM
OFA`s
APS 9 I
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% •.9*
9 ••• Cl AIG B. SHAVUK .• Q
CE 11788
DATE: 01/22/10
n
24.6'
I
I i
I
I I
/ I a
I a
GRAVELED
s,... fDRIVEWAY
8: LF. (4"0)
- 3.3 LF.(2"0)
45• BEND W/
2" TO 4"
EXPANDER
1
- 17.0 LF.(4"0)
TH Y-
7 OPERTRC
(/ Y CINE
SHOULDER OF
IMPORTED FILL I
1 LOT 4 I \
)
TOE OF / / 0 2 IO�H-N3
IMPORTED FILL- 1 a e I
i
F. Robert TRACT D LOT 3 BLOCK 1
SEPTIC DESIGN
PROPOSED SITE
PREPARED FOR:
TROY DAVIS HOMES
0 L MOA GRID: NW 253
iv ILji W
ENONEERS AND LAND SURKr S JOB NO.: 2009-1396.03 FIELD BOOK: 2010-(
801 WST "EKED LANE SUR 201
ANO'09". ALA>�-4`" "503-1601
°NCNE 1W?SCALE: 1 =10' SHEET: 4 OF 7
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FINISHED GRADE ABOVE 4"0 PERFORATED PVC MONITOR TUBE
ABSORPTION TRENCH SHALL BE EXTENDED TO BOTTOM OF TRENCH; EXTENDED
MOUNDED 6" (MIN) HIGHER 2' ABOVE FINISHED GRADE (TYP)
THAN SURROUNDING AREAS DISTRIBUTION LINE CLEANOUT; EXTEND
2' ABOVE FINISHED GRADE (TYP)
PLACE 2" POLYSTYRENE
2MIN. INSULATION ABOVE ALL CENTER
I F-0.5' SYSTEM COMPONENTS MANIFOLD
INSTALL MOA APPROVED
GEOTEXTILE FABRIC OVER
DRAIN ROCK
1.0'J .. . .
3' FILTER SAND INFILTRATION TRENCH
1 3/4" TO 1-1/2" MINUS WASHED ROCK
I'CII I_II I-III=III=111=III=III=III=III=III- NA IIVL ACCLP IING SUILS 1=1II=I II -I I I=III[=III[=III-11"
_..._..
10'
20'
1 DETAIL — ABSORPTION SYSTEM
N.T.S.
INFILTRATION TRENCH
3/4" TO 1-1/2" MINUS WASHED ROCK
\\\\\\\\\�\ 2' MINIMUM
PLACE 2" POLYSTYRENE /jam/jam/j�/j�/j�/j/j�/j�/j/� IMPORTED COVER
INSULATION ABOVE ALL �\j\\j\\j\\j\j\ �\j\j\�
SYSTEM COMPONENTS
2" MIN.
PERFORATED 4"0 1.5'
PVC (ASTM 03034) 1.
BEDDING
MATERIAL
5'
3' FILTER SAND
A SECTION — "5—WIDE" TRENCH
N.T.S.
*c49TH9s9*1'�
... .... ....
RAIC B••SHAVLIK :•�Q/
CE 11788
DATE: 01/22/10
F. Robert TRACT D LOT 3 BLOCK 1
SEPTIC DESIGN
TRENCH SECTION AND DETAIL
OI U Ia;�f" PREPARED FOR: TROY DAVIS HOMES
MOA GRID: NW 253
E11Jl�] aU IOL�JO M
ENONEERS u.01.W0 $URN:rtMI$ JOB NO.: 2009-1396.03 FIELD BOOK: 2010—C
Wl RES! F'REKED EUEE SUIS 201
RµN E°Rj
GENERAL NOTES:
1. ALL ORGANIC SOILS SHALL BE CLEARED PRIOR TO CONSTRUCTION OF SEPTIC SYSTEM.
2. CONTRACTOR SHALL KEEP COMPACTION OF EXISTING GROUND AT BOTTOM OF ABSORPTION TRENCH TO A
MINIMUM.
3. ALL PIPING MATERIAL SHALL BE 4"0 PVC ASTM D3034, OR APPROVED EQUAL.
4. PERFORATED PIPES IN ABSORPTION TRENCH SHALL BE PLACED AS LEVEL AS POSSIBLE. MAXIMUM SLOPE FOR
THESE PIPES SHALL BE 1/4" PER 10' (0.27•).
5. ALL BACKFILL UNDER SEPTIC TANK SHALL BE COMPACTED TO 95% OF MAXIMUM DENSITY INCLUDING MATERIAL
UNDER SEPTIC TANK INLET AND OUTLET.
6. BACKFILL OVER ABSORPTION TRENCH SHALL NOT BE COMPACTED. BACKFILL SHALL BE MOUNDED 6 INCHES (MIN)
HIGHER THAN SURROUNDING AREAS TO PREVENT PONDING AFTER SETTLEMENT.
7. ALL WASHED ROCK SHALL BE STORED AND INSTALLED IN A MANNER WHICH PREVENTS NATIVE FINES FROM
MIXING WITH THE ROCK.
8. THE "5 -NIDE" ABSORPTION TRENCH IS DERIVED FROM THE M.O.A STANDARDS FOR A SHALLOW ABSORPTION
TRENCH FOUND IN M.O.A. STATUTE 15.65.060G.
9. ABSORPTION AREAS ARE LAID OUT PARALLEL TO CONTOURS FOR INTERPOLATED BEDROCK.
10. LINES FROM TANK TO ABSORPTION AREA SHALL NOT HAVE SLOPES EXCEEDING 2% FOR THE 10 FEET LEADING TO
THE SEPTIC FIELD.
11. ALL EXCAVATION AND FILL PLACEMENT SHALL BE PERFORMED IN ACCORDANCE WITH AMC 23.105.
OF A s�,l
.... ..
RAIG B. SHAVLIK : WQ
�I �ifl •, CE 11788 •'G���
1 \ \�F� PROFESSION�V �"
DATE: 01/22/10
a��OC�o
ENGNEEAS MD I D S RM YM
!0� SE fi WED LME WTE 201
M6'MWAU. kAS A 99503-1801
YNDNE (907)-]74-5257
TRACT D LOT 3 BLOCK 1
SEPTIC DESIGN
PREPARED FOR:
TROY DAVIS HOMES
MOA GRID: NW 253
a
0
a
00
1:
55
Municipality of Anchorage
Development Services Department
Building Safety Division
a1 On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507
www ci anchorageak us
(907) 343-7904
Soils Log - Percolation Test
(ENGINEER'S SEAL)
OF• A(4\1II
i w•491-m�il)/
�• � • /
( I•. Ct my ♦r I BN\\�`\r+nrtn`ot�G/ G
Performed For Troy Davis Homes, Test Hole #1 Dale Performed: January 8, 2010
Legal Description: Broadwater Heights Tract D (Lot 3. Block 1) Township. Range, Section: T14N. R2W, SEC 1
Depth
Fill Material for Gravel Drive
SP I Fine sand with organics
SP I Sand With some gravels
Bottom of test hole
8•
WAS GROUND WATER
9- ENCOUNTERED? No
S
10- IF YES, AT WHAT DEPTH? N/A L
Depth to Water After D
11- Monitoring? E
12- Date:
COMMENTS
(See attached site plan
for test hole location)
Reading Date Gross Time Net Time Depth to Water Net Drop
No percolation test
PERCOLATION RATE I�) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
PERFORMED BY: Kurt MacKenzie I Craig Shavlik PE/PLS CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1-20-10
Performed For.
Legal Description:
Depth
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
Soils Log - Percolation Test
Or
Troy Davis Homes. Test Hole #2 Date Performed: January 8. 2010
Broadwater Heights Tract D (Lot 3. Block 1) Township. Range. Section: T14N. R2W. SEC 1
Slope Site Plan
GP I Fill Material for Gravel Drive
SP I Fine sand with organics
SP I Sand With some gravels
Bottom of test We
1
1
1
(See attached site plan for
test hole location)
Reading
Date
WAS GROUND WATER
9-
Depth to Water
ENCOUNTERED? No
1
01-08-09
S
10-
3-
IF YES. AT WENT DEPTH? N/A L
2
Depthto WaterAlter 0
11-
4-314-
Monitoring? E
12-
Dare.
1
1
1
(See attached site plan for
test hole location)
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
1
01-08-09
12:35
3-
2
13:10
35 min
4-314-
1-314'
Refill to 3'
3
13:45
35 min
4-1/2-
1-12'
Refill to 3'
4
14:10
25 min
4-1/8-
1 -1/8 -
PERCOLATION RATE 23 (m.wuwrA) PERC HOLE DIAMETER 10
TEST RUN BETWEEN 3' FT AND 3.5' FT
COMMENTS Presoaking was limited to 50 minutes due to water freezing inside lest hole
PERFORMED BY: Kurt MacKenzie I Craig Shavlik PE/PLS CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1-20-10
Municipality of Anchorage
Development Services Department
Building Safety Division
y1 On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507
www. Cianchoraoeak. u5
(907)343-7904
OF
49
rG a y."a
:Ct 149e
Soils Log - Percolation Test
Performed For. Troy Davis Homes, Test Hole p3 Date Performed: January 8, 2010
Legal Description: Broadwater Heights Tract D (Lot 3, Block 1) Township, Range, Section: T14N, R2W, SEC 1
Slope Site Plan
Depth
SP I Fine sand with organics
SP I Sand with some gravels
Bedrock (Bottom of test hole)
(See attached site plan for
test hole location)
WAS GROUND WATER
ENCOUNTERED? No
5
IF YES. AT WHAT DEPTH? NIA
L
Depth to Water After
D
P
Monkodng?
E
Dew
Reading Date Gross Time Net Time Depth to Water Net Drop
No percolation test
PERCOLATION RATE (m+wro✓rxlil PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND Fr
COMMENTS
PERFORMED BY: Kurt MacKenzie ( Craig Shavlik PEIPLS CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1-20.10
�5-
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
e $MSN
'Ind
Soils Log - Percolation Test;r°-'=Zr;�a
Performed For: Troy Davis Horses, Test Hole #4 Dale Performed: January 8, 2010
Legal Description: Broadwater Heights Tract D (Lot 3. Block 1) Township, Range, Section: T14N. R2W, SEC 1
Slope Site Plan
Depth
(Feet)
OM Organic material
SP Fine sand
1
1
1
1
COMMENTS
(See attached site plan for
test hole location)
Bedrock (Bottom of test hole)
WAS GROUND WATER
ENCOUNTERED? NO
a
IF YES, AT WHAT DEPTH? N/A
L
Depth to Water Arta
0
P
Monitoring?
E
Date:
Reading Date Gross Time Net Time Depth to Water Net Drop
No percolation test
PERCOLATION RATE ImnubrmrAl PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
PERFORMED BY: Kurt MacKenzie ( Crag Shavlik PEIPLS CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1-20-10
Municipality of Anchorage
Development Services Department
Building Safety Division
y1 On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507
www c! anchorage. ak. US
(907) 343-7904
Soils Log - Percolation Test
y •.p.+c s v -Aa
..
Performed For: troy Davis Homes, Test Hole q5 Date Performed: January 8, 2010
Legal Description: Broadwater Heights Tract D (Lot 3. Block 1) Township, Range, Section: T14N. R2W, SEC 1
Slope Site Plan
1
11
1
1
COMMENTS
Organic material
Fine sand
Bedrock (Bottom of test hole)
WAS GROUND WATER
Date
ENCOUNTERED? No
Net Time
Depth to Water
e
IF YES, AT WHAT DEPTH? N/A
U
Depthto Weler Afar
D
P
Monhorinq?
E
Date:
(See attached site plan for
test hole location)
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
No percolation test
PERCOLATION RATE (mnutmWxAi PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
PERFORMED BY: Kurt MacKenzie 1 Craig Shavlik PEIPLS CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1-20-10
Performed For:
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 ei anchorageak u5
(907) 343-7904
49
9 S -'A
Soils Log - Percolation Test IIp=�Zu/!o
Troy Davis Homes, Test Hole #6 Dale Performed: January 8, 2010
Legal Description: Broadwater Heights Tract D (Lot 3, Block
Depth
SP I Fine sand (reddish -brown)
SP I Fine sand (mottled)
GP Gravels with fractured rock
Bedrock (Bottom of test hole)
Township, Range, Section: T14N, R2W, SEC 1
Site Plan
(See attached site plan for
test hole location)
1
1
1
1
1
1
Reading Date Gross Time Net Time Depth to Water Net Drop
No percolation test
PERCOLATION RATE 1m.wh.rxA) FERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
COMMENTS
PERFORMED BY: Kurt MacKenzie I Craig Shavlik PE/PLS CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1-20-10
WAS GROUND WATER
9-
ENCOUNTERED? No
S
10-
IF YES, AT WHAT DEPTH? N/A L
Depthto Water Aller O
P
11-
Monitoring? E
12-
Date:
13-
1
1
1
1
1
1
Reading Date Gross Time Net Time Depth to Water Net Drop
No percolation test
PERCOLATION RATE 1m.wh.rxA) FERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
COMMENTS
PERFORMED BY: Kurt MacKenzie I Craig Shavlik PE/PLS CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1-20-10
Jan 22 10 11:39a Sullivan Wator Wells
t/2212010
Cole Sullivan
Sullivan Water Wells
P.O. box 670272
Chugiak, AK 99567
Sullivan watervvells. com
Craig Sharbk P.E/P.LS.
F. Robert Bell and Associates
907 688 2759 p.2
Craig,
Upon physical review of lot 1 block 3 Broadwater Heights Subdivision, 1 have verified the torrent water well
placement as it is marked on the site plan submitted by F. Robert Bell and assodates. 1t has been determined that the
well placement is accessible said that it an also accommodate necessary mrface "sing as required by tl.c omnrrence
of !hallow bedrock. Lot 4 block 1 Broadwater Heights Subdivision will require some ccarn,g and dirt work, but it
too has sufficient area and slope to accommodate a water well.
Belt Regards, ..
yr ��
Olt Sullivan
Vice President
Sullivan Water Wella
01/22/2010 12:12 6960214
31111-22-2010(FRI) 12:36 F ROBERT BELL yRSILLR
lanuary22, 2010
Munidpality of Anchorage
Building Safety Division
4700 Elmore Road
Anchorage, Ax 99507
Attn: Jay Crewdson
REMAX EAGLE RIVER PAGE 02/02
(FAX)1 907 357 5246 P.002/002
Re: Broadwater Heights, Tract 0, Blocks Lot 3 slope easement.
Mr. Crewdson,
Troy Davis Homes Inc Is In the process of securing the purchase of Lot 4 and will grant an easement on
the lot immediately down slope (Broadwater Heights., Tract 0 Lot 4 Block 11 to fadGtate the backfill
requirement for the proposed dralnfield design as depi;ted In drawing 4 of 7 of the submittal by Bell &
Assoc. to your office dated 1.20.2010.
Sincerely, ' /p�)
U C"
te/y V�tN.o
Troy Davis Homes Inc.
January 22, 2010
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
Re: Broadwater Heights Subdivision, Lot 3 Block 1 of Tract D
Slope Easement for On-site Septic System Design
To Whom It May Concern:
1, Hui M. Diamond, owner of Lot 4 Block 1 of Tract D of Broadwater Heights Subdivision hereby
agree to a 50 -foot slope easement for the proposed septic system as detailed by engineered
plans prepared by F. Robert Selland Associates, dated January 22, 2010. Upon the
Municipality of Anchorage's formal approval of the on-site septic permit a formal easement will
be recorded with the State of Alaska for this purpose.
Sincerely, C�
/lu `
11i i Diamond
�gpY DA V js
S,G.
TROY DAVIS HOMES. INC.
"Quality You'll Appreciate" 165 E. Parks Ifwy #204B
Wasilla, Alaska 99654
(907)357-9394
Fax(907)357-9395
01/29/2010
Craig Shavlik P.E./P.L.S.
F. Robert Bell and Associates
801 W. Fireweed Lane; Suite 201
Anchorage, AK 99503
RE: Lot 3 Block I of Tract D
To whom it may concern:
We are currently in contract for the purchase of Lot 4 Block I Broadwater heights and due to
close on Feb. 150, 2010. We have put down a $5,000 non-refundable earnest money on the land. We
are planning on building a home on the property. We currently have a contract to build a home on
the property.
If you have any questions or concerns please feel free to contact our office.
Cordially,
Samantha Nispel
• Municipality of Anchorage
On -Site Water and Wastewater Program' j=
(907)343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 050-081 Li 4 Expiration Date: / oC � � O y hir
1. GENERAL INFORMATION
Complete legal description Broadwater Heights, Tract D, Block 1, Lot 3
Location (site address) 12006 Broadwater Drive Eagle River, AK 99577
Current Property owners) Jeffrey & Veronica Knittle Day phone
Mailing address 12006 Broadwater Drive Eagle River, AK 99577
Real Estate Agent Day phone
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Three
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well F1 Individual El
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: / ® Distance:
Received by:Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Cj 2%' Waiver Fee $
Date of Payment ott h 5/ Date of Payment
Receipt Number 2011 Receipt Number
COSA # 6SC l,5 1,5 21 Waiver #
5. 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 Phone
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date
6. DSD SIGNATURE
522-7773
;A. 49TH
System #1 Approved for bedrooms 0 a : MICHAEL CANDWON = m
System #2 Approved for bedrooms�I� sem. CE -4381
Disapproved�t+yfop 1..i.Yp�'�=�+
ea `ROFEsso
Conditional approval for bedrooms, with the following stipula�i8r�s�`
By:
� Original Certificate Date: C
The ,., •n.ci orage Development Services Division (DSD) issues Czrtincaies of On -Site Sysienss Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory ,x Other
COSA blue sheet 7-'- . c
If more than 1 septic system is on the lot:
COSA Checklist # of _
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: Broadwater Heights, Tract D, Block 1, Lot 3 Parcel ID: 050-081-44
A. WELL DATA
Well type Private If A, B, or C provide PWSID # Well Log (YIN) Y
Date completed 1/26/10 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 400 ft. Cased to 44 ft. Casing height (above ground) >18 n.
FROM WELL LOG
Date of test 1/29/10
Static water level 35 ft
Well production 1 g.p.m.
WATER SAMPLE RESULTS:
Coliform _l) colonies/100 mL Nitrate 3.86 mg/L
Arsenic ND ug/L Date of sample: 9/9115
- B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Advantex/Steel
AT INSPECTION
9/14/15
42 ft
.73
9.p -m.
Collected by: And. Frigm ng
Date installed
6/10/10
Tank size 1,500 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) Y
Date of pumping Pumper See Anchorage Tank Maintenance .Records
C. ABSORPTION FIELD DATA
Date installed 6/10/10 Soil rating2 ft / 2 4.0 GPD/SF S Wide
(g.p.d.fft or bdrm) System type
Length0 ft. Width 5 ft. Gravel beloWpipe 1 ft.
Total depth 5 ft. Eff. absorption area 113 if Monitoring tube Y Depression over field . N
Date of adequacy test 9/10/$0 Results (Pass/Fail) PASS For 3 bedrooms
o Fluid depth in absorption field before test 0 in. Water added 4 50 gal. New depth 0 in.
15�psed Time:: - 0'' min. Final fluid depth. 0 in. Absorption rate >= 450 g3p.d;-
Any` rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date.
D. LIFT STATION
Date installed Size in gallons _
"Pump on" level at in. "Pump off' level at
Datum Cycles tested
Manhole/Access(Y/N)
in. High water alarm level at in.
Meets alarm R circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tankilift station on lot >100' On adjacent lots >100'
Absorption field on lot > On adjacent lots >1 00'
Public sewer main >75 Public sewer manhole/cleanout >100'
Sewer /septic service line >25 Holding tank >75r
r
Animal containment areas > Manure/animal excrete storage areas > 100
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5r Property line >51
Water main >10, Water service line >10'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10'
Water Service line > Surfacewater >100
Curtain drain None Noted Wells on adjacent lots > 100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
l certify that / 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 Michael E. Anderson, P.E.
Date 8/11/2015
COSA brown sheet 10-10-12.doc
Absorption field >51
Surfacewater. - >100'
Water main N/A
Driveway, parking/vehicle storage >10,
Municipality of Anchorage
Development Services Department
Building Safety Division s
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
Water Well Advisory
Certificate of On -Site Systems Approval (COSA) # 151521
During a recent COSA on-site inspection and test of the potable water
supply well on Block 1, Lot 3 of Broadwater Heights Tract D subdivision,
the well's productivity was determined to be .73 gallons per minute. The
minimum well productivity required by this Department (AMC 15.55) for a
3 -bedroom residence is 0.31 gallons per minute. Although the subject well
currently exceeds this minimum requirement, all parties concerned are
advised that the production capacity of the well may fluctuate. Restriction
of non-critical water uses such as washing cars and watering lawns and
gardens may be required.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
09/11/2015 09:59 8686770 APLJS
249 176
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12006 Broadwater Drive, Eagle River AK 99577
Inepect/Clean Discharge pump System
[907) 5555555
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Odor of sample
Typical Musty ❑ Earthy ❑ Moldy
Non-tyPlcal �ZSUlrido ❑Cebbege ❑Oecay
Of film In Pvu ❑Yes NO
Foam In tank ❑yes �No
Check Control Parcel
Rwh1a Amps Discharge Amps
Audiblealdvisualalarrns PffCK �
Dial lana jtalematry onlll 7N'o
IoepecUCleen Pump Systam
["pact
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Splice am .................. . .
Float cards .. . ...... ..........
Flop". . ....................
Pump.. . .......... ..........
nbtubes Filter. . ............... y�%J
siowbe Pump veutt ......... - -.
Recbcuhating Splitter valve....... /rte
Comments
II
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Measure Sludgemwen
Sludos
ltd Clompartmdnt
Currant
Provides
current
Previous
2nd Compartment
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plevlous
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EleloWg/Ponding: ziNona/Mlnor ❑Exceaahe
Ydekevent
Inepect/Clean Discharge pump System
Inspect
Inspect
Clem
Pllmr/ud -�K Floats - '
Splice Box Pump
Final guide
I62peet/Servlc s Other System Components
["poor clean Inspect clean
13I6lmnxrtion Equipment ..�-' -Et- Dispersal Latamis/Orine"
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AddNlenal Sefvltxe Rendered
Ll Roplaceevi-mad Inner Items?
Parts Used- w = we"*, U - Billable (vr appropriate selection)
w N hem Number Disorwarn
Fina afety Inspection
.pRSV minamged ,.e'Ckis based on
,L,� Manifold reconmocted; nugh valves closed—E�Lenbal Panel reaeth dw
Summary/Recommendations
❑ Syaiam porfarmin9: no further salon needed ❑ Tank needs pumping
❑ Call Tor servile ❑ Otherl
Fax completed form ta, 1-868-3$4-7'404
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN NIV NICiPALITY OF ANCHORAGE
AND -oz/.; lee lism
THIS MAINTENANCE AND REPAI.R AGREEMENT made and entered into as of this
® 7 Day of s of 201.x, by and between =® #.j a s.A s t@ e i d
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Maintenance and Repair Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AW WTS), described as
Advantex Treatment System
located at (legal description).
Lot 3, Block 1, Tract U, B:oadw^.er Heights Subdivision
2. Definitions.
Alteration. Any change to the desi,; t. or fuaction of an AiV9JTS that
includes the installation er rerrnv l of azty parts, components or pieces not
included in the original construction pear t and design.
Certificate of On -Site Systems Approval (COSA). An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and titic transfer in accordance with Anchorage
Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that
the systems are adequate for the homes that they support and meet the
codes that were in place at the time of system construction.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
Permit. An On -Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations. Installation and Removal of Additional Eouipment. Prior to
performing any alterations to an AWWTS, the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and' Repair Agreement, the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AW WTS for the entire term of the AW WTS In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay
for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement
costs, and (5) inspection costs.
B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules
and orders for the AW WTS.
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AW WTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AW WTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
H. Owner agrees that the AW WTS installation and maintenance requirements as
provided by the AW WTS vendor/installer and approved by the Municipality are
the governing guidelines for the construction, maintenance and repair of the
Owner's AW WTS.
6. Nonwaiver. The failure of either parry at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof, or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement, the only authorized representatives of the parties
are:
a. Owner: 3 offs, e Pt A.rrec T—
b. Municipality: Director, Community Development or designated authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair Agreement shall be brought in the Superior Court for the Third Judicial
District of the State of Alaska at Anchorage. The laws of the State of Alaska shall
govern the rights and obligations of the parties under this Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER:
BY�.4.-,�®`®- (signature) Date: 9 A 7/1 y�
a o. s.,i c. (print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this L-Fday of S�Pie`✓>�
20%bY •- +`�- drrr �a
NOT Y BLIC FOR ALASKA
My C ission expires:
:=:=A
:SooAluka ICwmbdwW 1Hvnmr
MUNICIPALITY:
By: (signature) Date:
name) Title:
Municipality of Anchorage
Development Services Department =
Building Safety Division 4
On -Site Water and Wastewater Program s R ETV
4700 Elmore 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 ,41
Parcel I.D. 050-081-44 COSA # OS C'. 101 100
Expiration Date: / a - 2 % -/ o
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Broadwater Hts Tract D, Block 1, Lot 3
(200 Cc
420le Broadwater Drive
Troy Davis Day phone 357-9394
165 E, Parks Hlway 99654
Day phone
Audrey Mason 622-3344
Day phone
RE/MAX of Eagle River
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
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 thumctpality of Anchorage files and from my investigation and inspection, the on-site water
supply and/o ' Teter disposal system is(are) in compliance with all applicable Municipal and State°codes,
ordinance gulations in effect at the time of installation.
NorthRim Engineering 694-7028
Nara% irm Pt. Box Phone
Address Steve Eng 6/24/10
Engineer's Printed Name
5. DSD SIGNATURE
Approved for 3
Disapproved.
bedrooms.
Date
.'�Oi= 4� 1.0s
�.........,, ,P
EnOppSte r.
g
Conditional approval for bedrooms, with the following stipulations:
Attachments
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By. //" Original Certificate Date: 7^.2 7-/-o
(Rev. 11M)
Municipality of Anchorage e£
• J ` Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore 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:
A. WELL DATA
P
Broadwater Hts Tr D, B1 L3 Parcel to: 050-081-44
Well type _ If A, B, or C provide PWSID # _
Datecompleted 1/29/10 Sanitary seal (Y/N) Y
Total depth 400 ft. Cased to 44'ft
FROM WELL LOG
Date of test 1/29/10
Static water level 35 ft.
Well production 1 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 coloniesh00 mL Nitrate L p mg/L MR1_
Arsenic: 06u# ug/L date of sample: 6/17/10
B. SEPTIC/HOLDING TANK DATA
TankType/Material Anch Tank (steel)
Tank size 1500 gal Number of Compartments 2
Foundation cleanout (Y/N) Y Depression over tank (YIN) N
Date of pumping new Pumper
C. ABSORPTION FIELD DATA
Date installed 6/10/10 Soil rating (g.p.d./ft' or felbdrm) 4.0 System type Trench
Length 20 ft. Width 5 ft. Gravel below pipe 1 ft.
Total depth 5 ft. Eff. absorption area 113 ft2 Monitoring tube Y Depression over field _ N
Date of adequacy test new Results(Pass/Fail) Pass For 3bedrooms
na na na
Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in.
na na na
Elapsed Time: min. Final fluid depth _ in. na Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
d
Casing height (above ground) 24 in.
AT INSPECTION
new
new ft.
new
Other bacteria 0 colonies/100 mL
Collected by: Kourosh
Date installed 6/10/10
Cleanouts (YIN) Y
High water alarm (Y/N) Y
D. LIFT 8TATION/10/10
1500
u
Date installed _4_ Size in gallons 36 _ Manhole/Access (YIN) — 45
"Pump on"leyoVt,,j, _ in. "Pump off" level at —5 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 100' +
Absorption field on lot 100' +
Public sewer main NA
On adjacent lots 100' +
On adjacent lots 100' +
Public sewer manhole/cleanout NA
Sewer /septic service line 25' + Holding tank NA
Animal containment areas 100' + Manure/animal excrete storage areas 100' +
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10' + Property line 10' + Absorption fiel
Water main NA Water service line 25' + Surface water
Wells on adjacent lots 100' +
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main _
Water Service line 10 + Surface water 100' + Driveway, parking/vehicle storage
Curtain drain NA Wells on adjacent lots 100' +
F. COMMENTS
NA
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 Steve Eng
Date 6/24/10
COSAFee $ 46J f 13q
Date of Payment &H % U
Receipt Number 00-6S or.
(Rev. 11105)
Waiver Fee $ _
Date of Payment
Receipt Number
0
5' +
100' +
10' +
49'f w
F Steven W. Eng .' 4�
A'I'M
1
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211/0041
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