HomeMy WebLinkAboutINLET VUE ESTATES LT 3Onsite Fife
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Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171004 PID Number: 051-021-36-000
Dwelling: Ill Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: N New ❑ Upgrade
Name:
Troy Davis Homes Inc. ABSORPTION FIELD
Address ❑ Deep Trench ❑� Shallow Trench ❑ Bed ❑ Mound
21311 Conley Ave. El Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
907-310-2501 4 1.2 GPD/SF 6 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 2 Ft.4 Ft.
Inlet Vue Estates 3 Fill added above original grade Gravel length
Township Range Section 0.5 Ft. 52 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 5 Ft. Ft.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line 520 Ft2 1 Ft
Well >100' >100' N/A N/A >25' TANK I]Septic ❑S.T.E.P. 0 Holding 0 Other
Manufacturer Capacity
Surface Water >100' >100' N/A N/A Anchorage Tank 1250 Gal.
Material Number of compartments
Lot Line >5' 10' N/A N/A Steel 2
NA
Foundation >5' >10' N/A N/A LIFT STATION
Manufacturer Capacity
Curtain Drain None Noted Gal.
Pump on level at Pump off level at High water alarm at
Remarks
in. in. in.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank D3034Tank to 03034
Installer drainfield
Northern Excavation Drainfield D3034 CO/MT D3034
Inspector Jacob Millette BENCH MARK (Assumed elevation) 100 ft
Inspection
i '
7/21/17 2nd 7/21/17 Location and description
3n17/22/17 0 Bottom of siding at point "A"
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
Conditional Approval: Date r A. �•.t..9r:.........
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Inspection Report_9-1-12.doc
INLET VUE ESTATES, LOT 3
PERMIT # OSP171004 PID # 051-021-36
Tract A - — —
1 1:1
,
1!,
I!
WELL
SEPTIC LINE
INSULATED
C NOTE:-HOMEOWNERS
4-BDRM HOME EXPRESSED INTENT TO
Lot 2 B PAVE FURTHER. DOUBLE
INSULATION WAS PUT
' DOWN UNDER PAVEMENT
__.A _ ___ AREA AND A DRIVEABLE
CAP PUT ON THE
'�
SV2
CLEANOUT.
FCO A 13.66 8.0 SV Pr - ?Flt CO2 N" laso..4flo�J
SV1 35.5 50.7 kN wiPE - g 1.046
SV2 40.7 57.8 C01 f T1 Lot 4
2C0 45.8 64.1
CO1 57.45 73.2 I l
MT1 57.2 73.6
/
CO2 25.0 58.5
TH#3A ',
ALTERNATE
SITE 1
xi 1
NNrn
LEGEND
M MT ONITORING TUBE
o FCO-FOUNDATION CLEANOUT
T 0 TH �iTEST HOLE
��� �,
` SV-SEPTIC VENT
/g'�. . - 1gt0 0 CO-CLEANOUT
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r TH /\ *r�� TH#6
/ I
�� . Benj i �Schiller : Iiie f
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kl`F'�PROFUso; 4 I 15' T&E EASERWE'•'i
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0 50 100 / _ ___
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INLET VUE ESTATES, LOT 3
PERMIT # OSP171004 PID # 051-021-36
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT: 343-7904
4700 ELMORE RD, ANCHORAGE, AK 99519-6655
WASTEWATER DISPOSAL SYSTEM OR WELL INSPECTION REPORT
ON 0
U > > C)
LL (/) C/) N
- - /99.3 — — —
97.0
ULATIO
V
96.65 "-------95.05
96.38 1250iri\ GAL
SEPTIC TANK
J
...` 91.0
�
N
97.5 O_G. O
OFINISH GRADE 97.0 U
INSULATION
95-0 DRAINFIELD ROCK 95.0
— ' 91.0
52'
81.5
2 NO GROUNDWATER 4/6/17
1—
__���.•
r, .. Benjami chiller 4,,/
PROFILE AS-BUILT +��cl... A�EoLe1p592 ..•.&:*
(NO SCALE) `�iF�VPROFE5SI3N1'0"4
Wheaton Water Well, Inc.
1190 N. Wasilla-Fishhook Road
Wasilla, AK 99654
(907)376-2041
Name: Troy Davis Homes, Inc.
Address: 1689 Knik Goose Bay Road, Suite 400
City: Wasilla State: AK Zip Code: 99654
Well Site: Inlet Vue Estates Subd. Lot: 3 Block:
Additional:
ell Depth: 46 ft. 'From: To: Formation:
Below Ground: 44 ft. 0 2 stickup
Above Ground: 2 ft, 2 3 organics
3 5 silt, gravel
al/Min: 10 5 28 sand, gravel, silt
tatic Level: 20 ft. 28 39 wet silty gravel
asing: 46' of 6" ID Steel 39 46 gravel,water
I iner Pipe: none
.creened: none
Perforated: none'
Grouted: Bentonite
Depth: 20'+
WATER QUALITY TESTING
evelop. Method: Air Coliform N Co1/100mL
Nitrates 1 mg/L
se of Well: Residential [Arsenic INC, ugd-
rilling Method: Rotary
luids Used: none
ump Installed: none
then: none
Date Drilled: 2-13-2017 Driller: Ben Mattson
Development Services Department
•
Building Safety Division •
• }t r-i a On-Site Water & Wastewater Program 04.1'
4700 Elmore Road
P.O. Box 196650 ail I
Mark Begich Anchorage,AK 99507 SA ETY
Mayor www,muni.are/o nsile
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW osP171004 Date of Issue: 1-18-2017
Parcel Identification Number:
Legal Description Property Owner Name& Address:
INLET VUE ESTATES SUBDIVISION LOT 3 Troy Davis Horres,Inc
Conley Avenue 1689 Knik Goose Bay Rd#400
Chugiak,AK Wasilla,AK 99654
Pump Installation Date: /_18..2017
Pump Intake Depth Below Top of Well Casing: 34 feet
Pump Manufacturer's Name: Goulds
Pump Model: 10HS05412CL
Pump Size 10 hp
Pitless Adapter Burial Depth: 12 feet
Pitless Adapter Manufacturer's Name: Martinson
Pitless Adapter Installer: Unknown
Well Disinfected Upon Completion? Yes❑ No
Method of Disinfection: stereline
Comments:
Pump Installer Name: Wheaton Water Well,Inc.
1190 N.Waailla-Fishhook Road
Wasllla,AK 99654
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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On-Site Water and Wastewater Pr• mSEP 1 4 2017 K �'v�� n
(907) 343-7904 m 5 A ITV
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Certificate of On-Site Systems A . ,�
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Parcel I.D. 051-021-36-000 Expiration Date: 12 2 0 ~( 7
1. GENERAL INFORMATION
Complete legal description Inlet Vue Estates Lot 3
Location (site address) 21311 Conley Ave
Current Property owner(s) Troy Davis Homes Inc. Day phone 907-310-2501
Mailing address 1689 Knik Goose Bay Rd Ste 440 Wasilla, AK 99654
Real Estate Agent Day phone
2. TYPE OF DWELLING:
O Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: OA 6 W J L/14p0- i ) Date:
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ /11.0147 Waiver Fee $
Date of Payment Date of Payment
Receipt Number 005Eil Receipt Number
COSA# Q -1(l 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 Forge Engineering Phone 907-022-7773
Address 1399 W. 34th Ave. Suite 203
Engineer's Printed Name Benjamin Schiller Date 9/11/17
41. ,. ,ri/jr"
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6. DSD SIGNATURE $• T
(C System #1 Approved for 14 bedrooms dam•• �»
a ;,;.
System#2 Approved for bedrooms fte
• •,• c .i n ��
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Disapproved ,f .°•
PhOLISSOP��'•a�!;��:7•'��4@
Conditional approval for bedrooms, with the following stiptiR lok( ,..
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CIPALITY�F���,
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Original Certificate Date: `z n,
r 27 —17
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.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet S 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 Inlet Vue Estates Lot 3 Parcel ID: 051-021-36-000
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed
2/13/17 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y
Total depth 46 ft. Cased to 46 ft. Casing height (above ground) 24 in.
FROM WELL LOG AT INSPECTION
Date of test 2/13/17
Static water level 20 ft. ft.
Well production 10 g.p.m. g.p m.
WATER SAMPLE RESULTS:
Coliform ND colonies/100 mL Nitrate ND mg/L
ND7!18!17 Wheaton Water Wells
Arsenic ug/L Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 7/21/17
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) N/A
Date of pumping New Const. Pumper
C. ABSORPTION FIELD DATA
Date installed 07/22/17 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2GPD/SF System type 5 Wide
Length 52 ft Width 5 ft. Gravel below pipe 4 ft.
Total depth 6.5 ft. Eff. absorption area 520 ft` Monitoring tube Y Depression over field N
Date of adequacy test New Const. 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
Date installed Size in gallons Manhole/Access (YIN)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot >100' On adjacent lots >100'
Absorption field on lot 1001 On adjacent lots X100'
Public sewer main '751 Public sewer manhole/cleanout 100'
Sewer/septic service line >25' Holding tank X75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
>5' >5' >5'
Building foundation Property line Absorption field
Water main
>10'101 Water service line >10'101 Surface water >100'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line > Building foundation Water main
Water Service line >10' Surface water >100' Driveway, parking/vehicle storage >> O
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION . 1,•G;•+;-C)4.
tip:.•• s•
I certify that I have determined through field inspections and X .,-''..I- e4
review of Municipal records that the above systems are in *:_ . 4 G ''' ''.. ':% d4
conformance with MOA COSA guidelines in effect on this date. / �� i .. m dl
44
Engineer's Printed Name Benjamin Schiller .3 • itt / );H:vz
Date 9/11117 til ••. CL
1#moi ••y'�+7 r7-.% C'a
�Oi< 'ours m 'oaQ`
COSA brown sheet 10-10-12.doc
N
Tract A • '
_
l N 85'30'00"E 181.06' _ _- -
/
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co
WELL
R=100
PROTE 11VE RAMS
1ithi, /
\ 41. ' 63.1'
SEPTIC PIPES
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o Lot 4
Lot 2In p
HOUSE DETAIL
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68,970 s.f. T s
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—15' T&E EASEMENT
N 90'00'00"W 128.40'
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CONLEY AVENUE
PLOT PLAN __ AS BUILT _x SCALE 1 60' GRID NW 1657 Project No. 16-378/B4
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang Sc Associates , inc .
(907) 522-6476 Phone ppp0
(907) 522-4625 Fax �4141.!
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Professional Land Surveyors kenOlangsurvey.com v
jonathanOlangsu rvey.com * ISA
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I herebycertif that I have surveyed the following described property: kDO�e' . " VvLOT3, INLET VUE ESTATES SUBDIVISION (PLAT 2017-6) 0 a: 49TH . *()OA
Anchorage Recording District, Alaska, and that the Improvements situated thereon are
VA
VA
within the property lines and do not encroach onto the property adjacent thereto, that n
no Improvements on the property lying adjacent thereto encroach on the surveyed f//�' {(ENNE H G. LAI46 : 4Q
premises and that there are no roadways, transmission lines or other visible �, �t� H G
easements on said property except as Indicated hereon. ` `
qq Pte'•..�5-52OZ• .• yJp
Dated this the Day of ____—_, , at Anchorage, Alaska Q pR •••••• NOS
�0� °�sioa��`�4
It Is the responsibility of the owner to determine the existence of any easements, 0�4gppd�
covenants, or restrictions which do not appear on the recorded subdivision plot. AECC963