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Home My WebLink AboutSOUTHPOINTE BLK 2 LT 3Southpointe Block 2 x#020-311-52 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page / of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: VS PID Number: U'Z D —31// — SZ Dwelling: Z Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑ Upgrade Name: ��dt ti452f ABSORPTION FIELD ❑Deep Trench ❑Shallow Trench ❑Bed ❑Mound Address CX Other Phone Number of Bedrooms 15- Soil Rating77 Total de tt�Jhh from original grade T * 7.Q GPD/SF D-Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade -1f 7t 0 Ft. Gravel depth beneath pipe C . 6) Ft. Subdivisions Block Lot S� +-k UI Z, 7, Fill added above original grade 5_.0 Ft. Gravel length 1.1 15 Ft. Township Range Section Gravel width '5-, 0 Ft. Beds: Number of Lines Distance between lines I — Ft. SEPARATION DISTANCES To Septic Absorption Litt Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line yid Fe / Ft. Well(Qp '�- I(1C r� �� t TANK 71Septi S.T.E.P. El Holding j$ Other Manufactur1e1--r L r�tpe Capacity ZN C•1 4w+t k. l%VPN'CQ zaVv Gal. Surface Water ioo��. �tlO t� Material rr �Q-Ta Number of compartments L Lot Line /r �t)IY ZD 14- NA Foundation fp �� LIFT STATION M ctumrCapacity '�M �1 ()J Th 2� Zv u 0 Gal. Curtain Drain ' f.( Remarks Pump on level at Pump off a at High water alarm at r ,IY• -�, vn CY In. n. in. Pump mak = d model Z O Ele ' nspections performed by c,.ce, a . d PIPE MATERIAL Housetotank -303'{ nkto 3 drai nfield -7 Installer " � � Mf t&gLr( /V �tvl �er 40.4 Drainfleld '3.034/ CO/MT'j#-p Inspector�`TYlhe� yLrlQy4Gn BENCH MARK (Assumed elevation) it Inspection .Location dates: Q Zl / f 2� /0 ?I /1 and description fOk CJ f�L. C7Y�G YYJ C/ 3rn rtr e: COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ®;�Stamp ri C ®F� ASS Conditional Approval: Date ry4.g�4• it 49TH ........ `d 00 A • MICHAEL N. ANDERSON :F Ed '. C 69 ��1l9fOp Approv d Date(I 3 ly0®\ f®5®pmt Inspection Re)peff_9-1-12.doc Permit No. OSP111198 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: SOUTHPOINTE BILK 2, LOT 3 PID No.: 020-311-52 MARK A B FCO 25 13 TC01 25 17 TCO2 27 36r C91 _ — 38' 30 CO2 62 42 MT 80 70 CO3 90 81 I \ BE CONCRETE PAD 2000 GALLON 1 . STEEL TANK W/ DUEL ADVANTEX PODS FROM C01./ \ \ CH TANK. TCO j 1 �1 1 1 1 II II II II WELL TC01 'CO B SCALE: 1 107 1�'(n ....... ��S- ♦� RLTER FARRK A4p �70 49TH z,omGALIAR u MLiRXIt GM/SP �NA7E�RSONT'� 0,•: M CHAEL °t. No. CE 9469 SEPTIC SECTION N.T.S. 07/17/2014 23:42 907-345-0202 ALPINE DRILLING PAGE 01/01 Alpine Drilling & Enterprises Well Log Permit Number: #SWJ11/1 9 Date of Issue.1 1 -It Parcel Identification Number:DT-W2.ft Date Started: 9-13-11 Date Completed: 9-17-11 Is well located at approved permit location? x Yes ❑ No Legal Description: Scuthpointe Block 2 Lot 3 Property Owner Name & Address: Neeser Const. Inc. Chris Neeser 2501 Bluebeny Road AnnhnnqnP. Alaska 99503 Borehole Data: Depth (D) Method of Drilling x air rotary ❑ cable tool Soil Type, Thickmess & Water Strata From To Casing type: steel Sock-,+ Shot rock 0 2 2 5 Wall Thiekmess: .250 inches Diameter.6 inches Depth: 40 feet Liner Type: — Bedrock 5 547 Diameter: J inches Depth: _ feet. Casing stickup above ground: 2 feat Static water level (from ground level): ifeet Pumping level;-JjLfeet after 24 hours pumping I gpm Recovery hate: 3 gpm Method of Testing: air i Well Intake Opening Type: ❑ Open End x Open hole ❑ Screened Start — feet Stopped ^ feet ❑ perforations Start,_ feet Stopped feet Grout Type: Bentonite Volume: 4 ba start D feet Pump: btake Depth — feet Pump size _ hp Brand Name — Well Disinfected Upon Completion? x Xes ❑ NO Method of Disinfection: chlorine nets Comments: Well Driller: Alpine Drilling & Enterprise PO Box 110496 Anchorage AK 99511 Development Services Department Building Safety Division On -Site Water & Wastewater Program o' 4700 Elmore Road oY P.O. Box 196650 Mark Begich Anchorage, AK 99507 s a e s r Mayor www.muni.oro/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW 111198 Parcel Identification Number: 02031162000 Date of Issue: 8/19/11 Legal Description Property Owner Name & Address: Block 2, Lot 3 Southpointe Sub. Chris Nasser 2501 Blueberry Rd. Anchorage, AK 99503 Pump Installation Date: 9/27112 Pump Intake Depth Below Top of Well Casing: 552 Pump Manufacturer's Name: Goulds Pump Model: 10 Gs 2hp Goulds Pump Size 2 hp Pitless Adapter Burial Depth: N/A feet Pitless Adapter Manufacturer's Name: N/A Pitless Adapter Installer: N/A Well Disinfected Upon Completion? 0 Yes ❑ No Method of Disinfection: chlorine tablets Comments: Pump Installer Name: Aarow Pump & well Service, LLC P.O. Box 110496 Anchorage, AK 99511-0496 feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS Ref# 1144452001 Client Name Mike N. Anderson, P.E. Printed Date/Time Project Name/# Nesser Collected Date/Time Client Sample ID Nesser Received Date/Time Matrix Drinking Water Technical Director Sample Remarks: 09/17/2014 16:30 09/11/2014 10:30 09/11/2014 14:53 Stephen C. Ede 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) 09/12/14 09/15/14 ACF Waters Department Total Nitmte/Nitrite-N 0.142 0.100 mg/L SM21450ONO3-F B (<10) 09/13/14 NLL Microbiology Laboratory E. Coli Negative 1 100mL SM21 92238 A 09/11/14 MEV Total Coliform Negative 1 100mL SM21 9223B A - 09/11/14 MEV EL C RI C DMNWV;� '�mk'�Af' hl� 11425 Av&,vSt A nrArrwp, A6, 39516 345-2923 440-9351 OeV, 770-2933 faw, Date: 4,128i]4 RE 6225 Southpoine Ridge Dr Anchorage, Ak Southpointe Buba To Whom it may concern: Brickwell, Inc has wired the septic system controls for the above address as per current NEC Code, Feel free to call with any questions regarding this matter, President Brickwell: Inc. [Date \� 3/4" Domed \Survey Markers (Typical) \ J W 1 1 1 6=25' 17'l R=380.00' L=167,71'- 3 0' 67.71'- 30' 30' Lot 2 39 W AA=9.51.4, Set 5/8" x 30" c' 69 6 R=320.00 Rebar L=39.59 'fl SUBDIVISION l (2007-37) ,� �o LOT 3 �5 rk BLOCK 2 y' --Transformer Telephone Pedastal 1 2—Level Wood Frame Residence W/daylight Bsmt. on Concrete Block Foundation Riser Pvc Pipes 2.0' x 6.0' Fireplace Cantilever Lift Station Co Septic Holding 62, Tanks t h 38,2 3.1 x 7.5' / SS >• 2. - F-5 flAm \\ \ \ / 30 p=170° 18'39' / R-70 00' \ L=20\ r r 10.1 /i 30, I hereby certify that an accurate survey of the following described property: LOT 3, BLOCK 2 SOUTHPOINTE SUBDIVISION (2007-37) was made on August 10. 2012 and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Easements other than those shown on the record plat may not appear on this drawing. Anchorage Alaska, this 16th day of August 12012 T M Plastic Cap SCALE: 1 "=40' 0' 20' 40' 80' ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND C kf't_.S kJp.2Stf — THIS MAINTENANCE•� AND REPAIR AGREEMENT made and enteredll into as of this 13 Day of of20_L�, by and between 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 (AWWTS), described as PkAumte,>Z located at (legal description). 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit 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 title 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 Equipment. 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 AWWTS for the entire term of the AWWTS. 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 AWWTS. 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 AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. F. 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 AWWTS 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 AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. I. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 6. Nonwaiver. The failure of either party 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: 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: �\. �� --- (signature) Date: STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The fore i � instrument was acknowledged before me this day of lJ My MUNICIPALITY: IC FOR ALASKA expire—s�;Wa4 /U, 'Old By: (signature) Date: name) Title: On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111198 Tax Code Number: 02031152000 Work Type: Septic Initial Permit Effective Dates: August 19, 2011 to August 18, 2012 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: SOUTHPOINTE Site Legal Address: SOUTHPOINTE BLK 2 LT 3 G:3738 Owner/Address: Site Mailing Address: NEESER CONSTRUCTION INC 2501 BLUEBERRY RD ANCHORAGE AK 995032621 This permit is for the construction of: Y Disposal Field Y Septic Tank Lot Size in Sq Ft: Total Bedrooms: N Holding Tank N Privy Y Private Well N Water Storage t S0 l Department 61024 5 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By Date: j 9 Date: =� MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel 1. D. 0 ZO— ;; P/— T 'Z� Property owner(s) (:�7 k 4 L S /4,( -e rS fr Day phone Mailing address Z CP Z-( Site address U h Le0%ata rt Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) '50"4x 2 C_'z� Lot Size l X t + Sq. Ft. Number of Bedrooms � THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial In Absorption Field Septic Tank Upgrade ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Private Well 0 Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: S30 rn'c Date of Payment: lit Receipt Number: i% lys%S3 Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Building\On Site\Forms\Client Forms\Permit App_01 041 1.doc (Rev. 1/11) Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Aug. 5, 2011 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: SouthPointe Subd. Blk 2, Lot 3 To Whom it may concern: This is a request for a well and septic permit on the above referenced lot. The owner submitted for a well permit last year but didn't install it. We are also requesting a permit for an Advantex system for a 5 bedroom system which requires twin pods and a 2000 gallon tank, see site plan. The test hole revealed silty sandy gravel with some sand, (GM/SP) and bedrock at 3 feet, the perc test was 20 minutes with no water observed during the spring high water period. The slopes are less than 10 to 15 percent with none greater than 25 percent with 100 feet of the proposed leach field. There are no public or private wells within 200 feet of the proposed system location. There is neither surface water within 100 feet nor any known curtain drains within 50 feet of the proposed system. None of this development will have any adverse effect on the adjacent lots. If you have any question please call me at 727-8864. Sincerely Ap Michae N. erson, .E. Attachments: On -Site Well and Sewer Application Revised wastewater absorption system design and details One new Soils Log/Percolation tests DESIGN CRITERIA: 5 BDRM X 150 = 750 GPD SOILS = 750/3.0 = 250 GPD 250 GPD/5 x 0.9 = 45 (1) TRENCH 1.0' DEEP 1.0' EFFECTIVE 5.0' WIDE 45' LONG MOUND OVER TOPSOIL W/ VEGETATION FILTER FABRIC & 4' INSULATION 0 4'0 IN PIPE 1 CV (TH# I) +3.0 GRADE _1 FILL —1.0'—MOA APPROVED FILTER MATERIAL GM/SP _3 BEDROCK SOUTHPOINTE \\ / I 1 BLOCK 2, LOT 2 \ 1 ' SOUTHPOINTE \ 1 \ \ 1 BLOCK 1, LOT 4 \\ PROPOSED DRAINF LLD \ \\ \ \ PROPERTY LII, PROPOSED i \ \ \ \\ SEPTIC TANK SOUTHPOINTE \ SOUTHPOINTE BLOCK 1, LOT 4 \ \ BLOCK 2, LOT 3 PROPOSED SEPTIC 1 (PROPOSED \ LOCATION 1 HOUSE II I I • I PROPOSED SOUTHPOINTE - \ \ BLOCK 1, LOT 4 VILLAGE VIEW ESTATES WEST TRACT A SOUTHPOINTE BLOCK 2, LOT 40000 i VACANT LAND SOUTHPOINTE BLOCK 3, LOT 1 VACANT LAND / SOUTHPOINTE BLOCK 3, LOT 2 / PROPOSED WELL 100' RADIUS SOUTHPOINTE BLOCK 3, LOT 6 Septic Design Prepared for ..��A,1, CHRIS NEESER . DF OF q�qs��♦. �: '••: SOUTHPOINTE SUBDIVISION, BLOCK 2, LOT 3 49 !H- : •••1Al•••••• •••••.•........ Anchorage, Alaska ;•• Michael N. Anderson, P.E. DATE: 8/15/2011 %j0 ';MICHNE�L N'• 9N DEgRSON;14 A 4661 NATRONA AVE. ANCHORAGE ALASKA 99516 DRAWN: DJR ��j� �..� .••''' '4 s � PH. 345-3377 / FAX: 345-1391 SCALE: 1"=100' ��E=�♦♦ \ \ \\ \\P \ ,1 /OPOSED ELL LI Ii i i l Int I' I Septic Design Prepared for CHRIS NEESER SOUTHPOINTE SUBDIVISION, BLOCK 2, LOT 3 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 8/15/2011 4661 NATRONA AVE. DRAWN: DJR ANCHORAGE, ALASKA 99516 PH. 345-3377 / FAX: 345-1391 1 SCALE: 1"=50' / / / / OF r Performed For: Legal Description: 1. 2- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- Depth OF A(qs s Municipality of Anchorage y• (OzNGINEE SEAF_ , Development Services Department * ; 49TH •• �jr Building Safety Division • . , ... �r On -Site Water and Wastewater Program • • 4700 Elmore Road • • . . .. . P.O. Box 196650 Anchorage, AK 99507 •ye : MICHAEL N. ANDERSON www.ci.anchorage.ak.us (907) 343-7904 i� F,pF•. S� .6 tom.,. Soils Log - Percolation Test t� � z0h*s'si��`•"� C r I r t S /`( ^r 114 -r r Date Performed: Township, Range, Section: Slope Site Plan (Feet) (;o t1a-,, t/� A) (,e., WAS GROUND WATER I ENCOUNTERED? S IF YES, AT WHAT DEPTH? L Depth to Water After P P Monitoring? E Date: Reading Date Gross Time Net Time Depth to Water Net Drop 20 0 //•'r. 3or,r.., /t Ze S.r PERCOLATION RATE I V (minuteslinch) PERC HOLE DIAMETER 6 !TEST RUN BETWEEN / FT AND FT t r COMMENTS (,(. tS- /`{ p vGn Yt a, } r��t C e, i p +kms �� t-ewrI0- PERFORMED BY: MIA -�,/� a I CERTIFY THAT THIS TEST WASI PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: // On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101094 Tax Code Number: 02031152000 Work Type: Well Initial Permit Effective Dates: June 23, 2010 to June 23, 2011 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: SOUTHPOINTE Site Legal Address: SOUTHPOINTE BLK 2 LT 3 G:3738 Owner/Address: NEESER CONSTRUCTION INC 2501 BLUEBERRY RD ANCHORAGE AK 995032621 Site Mailing Address: Lot Size In Sq Ft: 61024 Total Bedrooms: 5 This permit Is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either. A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. Received B, Issued By: osp1oiagL1 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D."'1' ala r - Qnr 0 - � j Property owner(s) Ch ✓r a ki-t r Tr Day phone -L?-'I- 8343' Mailing address Zf.2K Fn 15"t•c)' Zip Code Site address 1.101 lZGnjW 41 Zip Code Legal description (Sub'd., Block & Lot) 6yw 4-1, Qoi n k -c- R 2 L 3 Legal description (Township, Range & Section) Lot Size / Z> roc 4- Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms 5 - THIS THIS APPLICATION IS AN: Initial XT Upgrade ❑ Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ZOO 4-120 Waiver Fees: Date of Payment: 6 Z_3�0 Date of Payment: Receipt Number: J 3ZC{ `�_ Receipt Number: (Rev. 11105) Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 June 21, 2010 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: SouthPointe Subd. Blk 2, Lot 3 To Whom it may concern: This is a request for a well permit only on the above referenced lot. The attached site plan has the proposal septic layout also for possible installation if we can find water. The owner would like to install the water well first and then move forward with the septic permitting after the water has been confirmed. Please call me if you have any questions. Sincerely Michael N. Anderson, P.E. DESIGN CRITERIA: MOUND OVER 5 BDRM X 150 Al 750 GPD FILTER FABRIC do 4' INSULATION SOILS a 750/3.0 a 250 GPD C4 4'0 E & 12' SEWER ROCK 250 GPD/5 x 0.9 45 (THI1) +1.0 /—GRADE (1) TRENCH _1 FILL _10 1.0' DEEP f �I 24' WASHED FILTER SAND 1.0' EFFECTIVE GM/SP s.o' 5.0' WIDE 45' LONG —3 BEDROCK I T ; SO UTN70'ITE T I \ BLOCK 2. LOTSUTHP IT I I NTE BLOK2. OT 2\SOl 1 BLOCLOT A I %\\\ \ \ I \ \ PROPOSED DRAINF)LLD �\ \ PROPERTY UNC VACANT LAND PROPOSED \ \ \\ \ SEPTIC TAN; K / �� BLOC SOUTHK PIN K 1 THPOIo BLOCKr \ SOUTHPgNTE —' / / BLOCK 2, LOT 3 / C/ / PROPOSED``. LOCATION I� I iIPROPOSED HOUSE VACANT LAND 1 1 I WELL SOMPOINTEI BLOCK 3. LOT 2 BLOC 1PoLOT s PROPOSED WELL TDO' RADIUS SOUTH701NTE VILLAGE VIEW ESTATES WEST BLOCK 3. LOT B TRACT A Septic Design Prepared for ..��,,, CHRIS NEESER .'�E•••..,, SOUTHPOINTE SUBDIVISION, BLOCK 2, LOT 3 : is Anchorage, Alaska ......... 49... ..................... Michael N. Anderson, P.E. DATE: 6/21/2010 �'•,��°IC NoLN. ANDER CE 9469 4661 NATRONA AVE. PHC 3045A 3377 L/SFAX 9 345-1391 SCALE: 1"-D0J0R ��♦♦,,'• `&t r \ 7-10% PROPERLY LINE � ADVANTEx AK -20 \ W/ 2.000 GALLON \ \ STEEL TANK WITH TWIN \ \ PODS 7-14 ` \ \ 10-15X \ \ DOUBLE cd CO�-DOUBLE Cq/�`/ 1 , II // 10--15% Septic Design Prepared for � CHRIS NEESER •••�E.�••.... ••••• ••\ ... 4 CC;0 ' SOUTHPOINTE SUBDIVISION, BLOCK 2, LOT 3 : tx Anchorage, Alaska ......... 4... TM. ,...... .......... Michael N. Anderson, RE. DATE: 61/205100'08. �ICHAEL N. ANDEF 4661 NATRONA AVE. #� - % No. CE 9469 ANCHORAGE. ALASKA 99516 DRAWN: PH. 345-3377 / FAX: 345-1391 SCALE: •`•Uj�� !�f gti(i • '� Municipality of Anchorage On -Site Water and Wastewater Program - (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. (12 0 — 3 // ^ 5 -z - 1. 'Z 1. GENERAL INFORMATION Expiration Date: atd I� Complete legal description 4o Q A- In r, t?r„ j-c,nZ ❑ �„ b {- 3 Location (site address) (0QV5 Sbt��Pa� ❑ lig 'by - Current Property owner(s) 0h Jr 4 d teSCC Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING:. Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 15- 4. TYPE OF WATER SUPPLY: Individual Well K Individual Water Storage ❑ Community Class Well ❑ Pubiic Water System ❑ WaiverNariance request Day phone TYPE OF WASTEWATER DISPOSAL: Individual K Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: an& "- ixdDate: COSA to be released to the engineer, unless otherwise requested by the engineer. , COSA Fee $ 6P 1, 90 . t y�e6td Waiver Fee $ Date of Payment �) ��bl (ryi►v Ck J l -L Date of Payment Receipt Number {g28 t0 Receipt Number COSA-#— ojLl(i I5?2 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 1`�y1,t �ct t ( 4 % df V Address 14 & (e ( L1 fur k u r1r Engineer's Printed Name M,(,.r &U �.cvkud 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for _ bedrooms Disapproved Phone 72-`7—�- 16,6 V Date / tow1z ..G f' os.....� �..� ®� � •° nticrlAfEt:flf<,I:NcreSvla . ,-�, @� CE -9 9 'v zr Ilk%aPllfl; rSS,,F.� � Conditional approval for bedrooms, with the following stipu Original Certificate Date: , h , ` `f of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems 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 Other COSA blue sheet[ 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: pae ri %ems 1(�> 2 L. U E- 3 Parcel ID:_ 02-0 —'1/ / — SZ— A. WELL DATA Well type . l.e, If A. B, or C provide PWSID # Well Log (Y/N)_ Date completed 9�f Sanitary seal (Y/N)_ Wires properly protected (Y/N)_ Total depth 51qft, Cased tuft. Casing height (above ground) 2 in. FROT WE L LOG Date of test R / /( Static water level W ft. Well production g,p,m, AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate 0, lq&ng/L Arsenic ug/L Date of sample: 21 /(/ Collected by: M / U r B. SEPTIC/HOLDING TANK DATA j l Tank Type/Material L *e,, tl Vfin 1�t,C Tank size ?0 00 . gal. Number of Compartments 7Z Foundation r_....... t (..... Depression oyer tan" (YIN) / `* Date of pumping I4 *tA.) Pumper r VJ Date installed Cleanouts (YIN) Hiyh'r'vatcr aiaiiTi (Y/��) /?•QUPrt �/� (.7JY�N� C. ABSORPTION FIELD DATA Date installed /() Z! /f Soil rating g.p.d./ftZ ft2/bdrm) Zi. D System type d ues {roK Length H 45- ft. Width WSD ft. Gravel below pipe / Q ft. Total depth 4tZft* Eff. absorption area 25-0 fe Monitoring tube _� Depression over field A Date of adequacy test 1q'A'3 Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test �-- in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth el�_ in. Absorption rate >_ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date )q v- AMA. Q,�1 D. LIFT STATION (A-&VenTTlC) 0 Date in f Size in gallons rr a mess (YIN) y "Pump on" level at Lr' In. "Pump t✓" rV in. High water alarm level at in. Datum /- d v K Cycles tested 732 . Mee hafm& 'curt requirements? E. SEPARATION DISTANCES WELL ON LOTTO: Septic tank/lift station on lot /00' '- On adjacent lots too r Absorption field on lot /Do, j - Public sewer main Sewer /septic service line !da �- Animal containment areas _too , tt SEPTIC/HOLDING TANK ON LOT TO On adjacent lots V 0 t Public sewer manhole/cleanout !� Holding tank /� 61 Manure/animal excrete storage areas 100 r Building foundation r Property line Z 0 r'- Absorption field --L2 Water main Water service line f t O r 4- Surface water I u o Wells on adjacent lots 10 0(4 - ABSORPTION FIELD ON LOT TO: Property line "Lor' Building foundation ZO Water Service lin. e/ D r Surface water 1 U o t Curtain drain M Welts on adjacent lots 10 F. COMMENTS G. ENGINEER'S CERTIFICATION l certify that l 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 j�riP�M t � �� Aytd Praip/r Date it �t0!llg COSA brown sheet_10-10-12.doc Water main t` A P / Driveway, parking/vehicle storage