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Home My WebLink AboutPOTTER HIGHLANDS PH 2 BLK 3 LT 2Municipality of Anchorage Community Development Department Page 1 of 3 - - On-Site Water and-Wastewater Program _ 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171007 PID Number: 020-281-73 ❑✓ New ❑ Upgrade Name: Potter Creek Development LLC ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench El Bed ❑Mound Address 3230 C St First Floor, Anchorage, AK 99503 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 6 GPD/SF 9.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5.0 Ft. Gravel depth beneath pipe 4•OFt. Subdivision Block Lot Potter Highlands Ph2 3 2 Fill added above original grade 0 Ft. Gravel length 20 Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 200 Ft2 1 N/A Ft. Well 111.1 108.4 108.4 N/A 25+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding El Other Manufacturer Anchorage Tank/ Orenco Capacity 150OGal. Surface Water 100+ 100+ 100+ N/A Material Fiberglass Number of compartments 2 Lot Line 29.1 10.1 29.1 N/A NA Foundation 15.9 30.8 15.9 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ 50+ N/A Anchorage Tank/ Orenco 500 Gal. Remarks Advantex fully assembled package Pump on level at 43 in. Pump off level at 40 in. High water alarm at 45 in. Pump make and model P2005 Electrical Inspections performed by PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Installer Hagmeier Homes Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Inspection 5. 1 8/16/17 8/17/17 Location and description god dates: Garage FF 3`d 8/18/17 4.n COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF qC ll Conditional Approval: Date • :Q��} ��4'<<G. J • • �teven •�. •�annoRe• D _1 CE 49 AW �, �qRp Approve Date 4 Inspection Report_1-1-12.doc SEP \ TIC AREA`(E)\` zl� ~ u' • Q l ' I I I I1 \ 1 \ • \ \ i b_1 r/f I j I I o I ` i�r' cp�/ o NEW WELL \ \ \ \ \ \ \ 40 03 •' ' ' o rl l A/ NE 4BR 108.4 LbT 2 FCO\ HOUSE / NEW 1500g ADVANTEX TANKr WITH AX20 POD B DRIVEWAY 1 �/ J INSTALLED FOUNDATION CLEAN OUT LS AND POST -TANK DOUBLE CLEAN OUT DCO /. PRIMARY / RESERVE DRAINFIELD (P)• �p C1 - - --20LF x 5'W x 4.0'ED-x-9'TD- r INSTALL CLEAN OUT AND MONITOR TUBE M2 AT EACH END I I zz / TH-924 DESIGN PARAMETERS I \ PRIMARY/RESERVE SEPTIC SYSTEM 1 I I J NO. BEDROOM: 4 (600 gpd) LOT VACANT .I TANK SIZE: 1500g ADVANTEX 1 ` NO WELLS OR SEPTICS I I AX20 POD I I I / SERC RATE: 4.3 MPI SOIL RATING: 6GPD/SF , 1 / i /�• I I /\ /, \ I I AREA RQD: 100 SF \\ \ LEGEND 'ABBREVIATIONS SYS. TYPE: 5'W TRENCH 4.0'ED I TH TEST HOLE �RF: 0.50 \ \ C WATER LINE/ (P) PROPOSED MIN LENGTH: 7.5 LF WELL RADIUS � '(E) EXISTING U\ SED- \ \ i \gg NEW SEPTIC CO CLEAN OUT N0. 20 LFx5'Wx4.0' E.D., 9.0' TD\77 \ / \ \ MT MONITOR TUBE NO. TOTAL AREA: 200 SF • t -IL\ TYP TYPICAL 1 I I I NOTES:PANNONE ENG SVC, LLC Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 r '�� 4s�1` o/is/2oi7 PHONE (907) 272-8218 FAX 907) 272-8211 j g.Qy++, Scale 50 / * 49 k ..'.... :.. P.I.D. NO POTTER HIGHLANDS PHASE 2, BLOCK 3, LOT Z./—.. nn 'n 020-281-73 POTTER CREEK DEVELOPMENT LLC �� Steven Pannone PERMIT N0. *.. CE 8149 -# �� OSP171007 POTTER VALLEY ROAD f� s % PLAN ANCHORAGE, AK 99516 (l\�R�oSSioNP�= Aw sheet 2 OF 3 Z w w OF- Z m m �0 _O w0 F F - Q J Z Of Of O Z Q O Q m j w Z N =O J Z a a OU w DU O O Ld U M U 97.7 TH-924 -96.6-OG/FG-96.6- -1.5 OR 94.3 NEW 15008 F.A.P. ADVANTEX TANK s1 s (INSULATED) 91.6 GP/ GM 87.6 TRENCH SEE DESIGN 87.6 PROFILE -15.0 81.6 NOTES: PAMONE ENG SVC, LLCA�l 0/19/2017 RECORD DRAWING .. P.O. BOX 100217 ANCHORAGE, AK 99510 �,�Q� • �s� �h Scale PHONE (907) 272-8218 FAX (907) 272-8211 * .49 Y NTS .... " ..P.I.D. NO POTTER HIGHLANDS PHASE 2, BLOCK 3, LOT -Z-0 .. 020-281-73 POTTER CREEK DEVELOPMENT LLC / Steven R. Pannone PERMIT NO. tis CE 8149 �� // OSP171007 POTTER VALLEY ROAD + _ DESIGN DETAILS ANCHORAGE, AK 99516ll>tl�Fo)9?oFES'SiU0-Sheet 3OF3 Alpine Drilling & Enterprises Well Log Permit Number: #SW171007 Date ofIssue: Parcel Identification Number: 02028173000 Date Started: 5-15-17 Date Completed: 5-17-17 Is well located at approved permit location? x Yes [-I No Legal Description: Potter Highlands Phase 2 Block 3 Lott Property Owner Name & Address; Potter Creek Development LLC - Hagmeier Homes 3220 C Street First Floor Anrhomap - Alaska .9.950.1 Borehole Data: 'Depth (ft) Method of Drilling x air rotary' E] cable toot Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .250 inches gravell)i cobbly silt 2 44 Diameter: 6 inches Depth: 47 feet — Liner Type:._ bedrock 44 307 Diameter: inches Depth:. feet Casing stickup above ground: 2 feet Static water level (from ground level): 92 feet Pumping level: 300 feet after 2 hours pumping 5 gpm Recovery Rate: 5 gpm Method of Testing: air IiLl. Well Intake Opening Type: F-1 Open End x Open Hole E] Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite-grq4yLes Volume: 2 bzs – Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet "l-4TER (QUALITy –1 C oi� I TESTIN(� Pump size ---- - ------ _ hp Brand Name, Wrates C01/1 OOML Well Disinfected Upon Completion? x Yes ❑ No Mg/L I Method of,Di;,qiP-fection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99.511 beveloPinent Services Department Building Safety vision On -Site Water & Wastewater Program 4700 Eirnore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www.!Au!fi.org/otisite, (907) 343-7904 PUM p Installation Log Well Drilling Permit Number: SW rrh� Date of Issue-, Parcel Identification Number: QAOc� �_17 � 000 L7ma) Description �t_r l ANY, C� PUmP Installation Date: 'I Pump Intake Depth Below Top of Well Casing:Z95 feet Pump Manufacturer's Name: Pump Model: Pump size I hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes 0 No Method of Disinfection: Comments: Pump Installer Name: PY�t rojRerty e a e Atress: o3h 1+ � 9q15 Attention: The pump install . er shall provide a pump installation log to the DSD within 30 days of pump installation. Parcel I.D. 020-281-73 I Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 NV A I E I;/, Certificate of On -Site Systems Approval Expiration Date: 9 q I GENERAL INFORMATION Complete legal description Potter Highlands Phase 2 Block 3 Lot 2 Location (site address) 6185 Potter Valley Rd. Current Property owner(s) John Hagmeier Homes LLC Day phone Mailing address Real Estate Agent 2204 Cleveland Ave. Anchorage, AK 99517 2. TYPE OF DWELLING: Fx_j Single Family (w/wo ADU) ❑ Duplex M Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 ME= 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual � Individual Water Storage D Holding Tank 0 Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ --.- Received eqence: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $_ Date of Payment Receipt Number COSA # Waiver Fee $ Date of Payment Receipt Number Waiver # 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Alk. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE Date 5/21/2018 { System #1 Approved for bedrooms -Steven R. Pannone I � System #2 Approved for bedrooms 9s CE -8149 oa Disapproved ��'OFFSSIO��". .- Conditional approval for bedrooms, with the following stipulations: BY: Original Certificate Date: The Municipality 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r c If more than 1 septic system is on the lot: COSA Checklist # 1 of Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Potter Highlands Phase 2 Block 3 Lot 2 A. WELL DATA Parcel ID: 020-281-73 Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 5/17/2017 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 307 ft. Cased to 47 ft. Casing height (above ground) 24 in. FROM WELL LOG Date of test 5/17/2017 Static water level 92 Well production 5 WATER SAMPLE RESULTS: AT INSPECTION NEW ft. ft. Coliform NEG colonies/100 mL Nitrate 2.29 mg/L Arsenic ND ug/L Date of sample: 10/6&9/2017 B. SEPTIC/HOLDING TANK DATA Tank Type/Material AdvanteX/Fiberg lass Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping NEW Pumper N/A MOM Collected by: PES Date installed 8/17/2017 Cleanouts (Y/N) Y High water alarm (Y/N) Y C. ABSORPTION FIELD DATA Date installed 8/17/2017 Soil rating (g.p.d./ft2 or ft2/bdrm) 6 GPD/SF System type Shallow Trench Length 20 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 9 ft. Eff. absorption area 200 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) For 4 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION A/17�01� Date installed "' ' ' '~-~ ' ' - �� "Pump level at ^ in. Datum Bottom nfTank WELL ONLOT TO: Size ingallons 500 "Pump off' 4U ��__ Cycles tested New Septic tank/lift station onlot 100+ Absorption field onlot 100+ + Public 75+nnawermain ~ Sewer /septic service line 25+Animal containment areas 5O+ __ Manho�/Aoceao�YN)Y 45 in. High water alarm level at Meets alarm & circuit requirements? Y On adjacent lots s '~~ Onadjacent |ot100f a ~~ Public sewer manhole/cleanout 400+ f Holding tank '~~ 1OO Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ONLOT TO: Building foundation 5* Property line 5+ VV VV1O� Water '~ Water service 1D+ ioe|ine '~ Wells onadjacent lots 100f ABSORPTION FIELD 0NLOT TO: Of Property 10+ � 8uUdingfmundation10+ Water Service line 10+ Surf1ODf Surface '~` �0+ Curtain drain ~~ Wells on adjacent lots 100f F. COMMENTS G. ENGINEER'S CERTIFICATION /oedify that /have determined through field inspections and review of 80/nkcioo/ records that the above oyohpmo are /n conformance with MOA COSAguidelines /neffect onthis date. Engineer's Printed Name Steven Date 10/13yJ017 CoSxcanary oxeaLu-6'1o.doo Absorption field 5+ Surface water 1O0+ Water main '~ 1810+ Driveway, parking/vehicle storage 1Of In Tx r ei M -a a f A.C. DRIVE IN • +1 IN