HomeMy WebLinkAboutROSEBERRY PARK ESTATES BLK 3 LT 6 Onsite File
Roseberry Park
Estates
Block 3
Lot 6
#050 - 315 - 53
EXPIRED PERMIT APPLICATION
(Rev 05/02/181
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP231325
PID Number: 050-315-53
Dwelling: ❑■ Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade
Name
Dale &Cindy Carlos
ABSORPTION FIELD
El Deep Trench 9Wide Trench ❑Bed [J Mound
Site Address
18748 Roseberry Park Drive
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
Four(4)
2 GPD/SF
8.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
5.0 Ft.
Gravel depth beneath pipe
Ft.
Subdivision
Block Lot
Roseberry Park Estates
3 6
Fill added above original grade
-0.9 Ft.
Gravel length
35 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
N/A
Distance between lines
N/A Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
1
Dist. between trenches
N/A
From
Tank
Field
Tank
Line
385 Ftz
Ft.
Well
>100'
>100'
N/A
N/A
>25
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding M Other
Manufacturer
Advantex
Capacity
1500 Gal.
Surface Water
>100'
>100'
N/A
N/A
Material
Plastic
Number of compartments
Two(2)
Lot Line
>5'
>10'
N/A
N/A
NA
Foundation
>10'
>10'
N/A
N/A
LIFT STATION
Manufacturer
O re n co
Capacity
250 Gal.
Remarks
Alarm location
Near r• uu JS01id
Electrical installed by
Ground Electric
PIPE MATERIAL House to tank D3034Tank to D3034
drainfield
Installer
Northern Excavation
Drainfield D3034 Co/MTD3034
Inspector M. Jakubisin
BENCH MARK (Assumed elevation) 100 ft
Inspection 15t 4/2/2024
9/19/2024
Location and description
dates:
2nd
Bottom of Siding @ B
3rd
4m
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
. • • ,� t
.��Q••
49TH 9*fir
.� ... ... .. ri
Benjamt'n Schiller
¢�'j��sl�9.
Septic S stem,`..'" i
Approved `
Date
CE 12
12/18/24
Ndte:.th' approval
`�
does not include well requirerf5ents.,
ll`\ pROFESS10 4�
permit
(Rev 05/02/181
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FD - FLOW DIVERTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
PERMIT # OSP231325 PID # 050-315-53
1"=50'
ROSEBERRY PARK ESTATES, BLOCK 3 LOT 6
FEET
0 50 100Benjamin Schiller
CE 12592
R
E
GISTEREDPROFE S S I O N A L E N G INEER
1/28/25
PLAN AS-BUILT
ALTERNATE SITE > 6' AWAY
NEW 35' LONG x 5'
WIDE, 3' EFFECTIVE
DEPTH ABSORPTION
TRENCH
A B
FCO 4.4
MH 17.4
POD 19.9
A
B
C
C
2CO 24.9
CO1
MT1
71.1
71.0
CO2 32.8 42.7
11.9
20.9
24.5
26.0
29.3
29.9
R
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B
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P
A
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D
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4-BDRM HOME
1
5
'
T
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E
A
S
E
M
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N
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TH#1
TH#2
CO2 MT2
NEW WELL W/
50' RADIUS
TH#3
MT1
CO1
2CO
BM
MT2 34.2 44.9
FCO
MH
POD
DRIVEWAY
DRIVEWAY
PROFILE AS-BUILT
(NO SCALE)
92.9
87.9
93.8
98.3
PERMIT # OSP231325 PID # 050-315-53
ROSEBERRY PARK ESTATES, BLOCK 3 LOT 6
96.2 FINISH GRADE
35'
DRAINFIELD ROCK
MT
TH
#
1
GROUNDWATER @ 86.1 10/23/23
89.1
92.1
CO CO
79.1
89.1
92.1
97.1 ORIGINAL GRADE MT
94.6
Benjamin Schiller
CE 12592
R
E
GISTEREDPROFE S S I O N A L E N GINEER
1500 GAL ADVANTEX
FAP 2.0 TANK
AX-20
FILTER
POD
12/18/24
Pump Installation Log
Arctic Pump & Well Inc .
Jim Sullivan
PO Box 770197
Eagle River, AK 99577
(907) 688 -2510
(907) 243 -2282
jim@arcticpump.com
osp231325
050-315-53
9/25/2023
Roseberry Park Est B3 L6
6
3
Quinn Construction
PO BX 772641
Eagle River AK 99577
12/16/2024
52 Feet
Franklin
20PMQP-1.5HP-3RC
1.5 HP
12
ss
Well Drilling Permit Number:
Parcel Identification Number:
Date Of Issue:
Legal Description
Lot:
Block:
Property Owner Name Address:
Pump Installaion Date:
Pump Intake Depth Below Top of Well Casing:
Pump Manufacturer's Name
Pump Model:
Pump Size:
Pitless Adapter Burial Depth:
Pitless Adapter Manufacturer's Name
Pitless Adapter Installer:
Well Disinfected Upon Completion?
Method of Disinfection:
u/k
Yes
Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
5Y
Tuesday, December 17, 2024
Certified Drilling Log
OWNER OF LAND: Michael Quinn Construction
ADDRESS:
LEGAL DESCRIPTION Roseberry Park B3 L6
DATE: 9/4/24
PERMIT NUMBER: OSP231325 DATE OF ISSUE: 9/26/23
TAX IDENTIFICATION NUMBER 05031553000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 64’
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 62 feet
Liner type
Static Water Level: 19 feet
Recovery Rate 10 gpm gph
Method of Testing Air
Well Intake Opening Type: open end open hole
Screened Start feet Stopped
Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Bore Hole Data
Depth
From To
0 2 Casing Stickup
2 4 Overburden
4 29 Tight silty sand and gravel
12 29 Hardpan with cobbles
29 51 Hardpan with clay
51 53 Tight silty sand and gravel 4 GPM
53 62 Hardpan
62 64 Tight sand and gravel water
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
MUNICIPALITY OF ANCHORAGE
„ x.
On -Site Water & Wastewater Program do �." S
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 W4
http://www.muni.org/onsite �
Delml,till eiit
On -Site Water & Wastewater System Permit
Permit Number: OSP231325 Effective Date: 9/26/2023
Work Type: WellSeptic Initial Expiration Date: 9/25/2024
Tax Code Number: 05031553000
Site Legal Address: ROSEBERRY PARK ESTATES BLK 3 LT 6 G:0154
Site Mailing Address: 18748 ROSEBERRY PARK DR, Eagle River
Owner: CARLOS DALE & CINDY Lot Size in Sq Ft: 108929
Design Engineer: FORGE ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction shall 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 shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
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Received By: (' '
Issued By:
Date:
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MUNICIPALITY OF ANCHORAGE
0:.•
Community Development Department v- Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION.
Parcel I.D. 050-315-53
Property owner(s) Dale & Cindy Carlos Day phone
Mailing address 2451 Cinnabar Loop, Anchorage, AK 99507
Site address 18748 Roseberry Park Drive, Eagle River AK 99577
Legal description (Sub'd., Block & Lot) Roseberry Park Estates, Block 3 Lot 6
Legal description (Township, Range & Section)
Lot Size 108,929 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(M all that apply)
Absorption Field
❑X
Initial 0 Single Family (SF) ❑X
Septic Tank
❑X
Upgrade El(w/wo AD U)
Holding Tank
❑
Renewal ❑ Duplex (D) E]
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑X
Water Storage
❑
THIS APPLICATION
INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: /, 9 2. Waiver Fees:
Date of Payment: y ZSboo Date of Payment:
Receipt Number: S Z 3 fl Receipt Number:
Permit No. 05 F Z3 (3 2 Waiver No.
Permit App_'- : .�.,:c
September 22, 2023
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Roseberry Park Estates, Block 3 Lot 6 - Roseberry Park Drive
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 4-bedroom home on the property, so we are
submitting this permit application for the construction of a new well and septic system. The
attached site plan identifies the location of the home as well as the proposed well, septic location
and alternate site.
The ground surface on the lot slopes moderately toward the road at slopes between 15-30%, with
some short areas that are greater than 40-50%. However, it is in the flatter area below the house
that the new septic system is located. There are no slopes greater than 25% within 50 feet
downslope of either the primary or alternate site. Contours are shown on the site plan showing
the grade and direction of flow. Stormwater drainage will not impact this septic system. The new
trench will be constructed parallel to the slope as much as possible.
Wells on this and adjacent lots are shown. No conflicts exist between this proposed system and
any other well or septic system, whether on this lot or adjacent lots. The new system will be a
minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank.
The alternate site is located more than 6’ away.
Please refer to the attached test hole logs, plan and profile pages for the septic design. If this
design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231325, Curtis Townsend, 09/26/23
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ROSEBERRY PARK ESTATES, BLOCK 3 LOT 6
DESIGN FACTORS: SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW 5' WIDE TRENCH SYSTEM
PERK RATE: 30 MIN/IN FAP 2.0 ADVANTEX SYSTEM W/ AX-20 POD
APPLICATION RATE: 2 GPD/SF (CONSERVATIVE)
600 GPD /2 GPD/SF / 5' WIDE * 0.58 RED FACTOR [3' DEEP] = 34.8 LF TRENCH REQUIRED
(35 LF SPECIFIED)
BOTTOM OF TRENCH: 6.0' BELOW GRADE
FLOW LINE ELEVATION: 3.0' BELOW GRADE
2'-6'
6"
3'
Cam; 2
^" .OVIDE ADDITIONAL MIN 6FILL
ACCOUNT FOR SETTLEMENT
3ULATION
:OTEXTILE FABRIC
PERFORATED PVC (HOLES DOWN)
TYPICAL TRENCH SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
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SOILS LOG AND PERCOLATION TEST
LEGAL DESCRIPTION: ROSEBERRY PARK EST B3 L6
PERFORMEDFOR: MICHAEL QUINN CONSTRUCTION
DATE: I0/6/23 PARCEL ID#: 050-315-53
TEST HOLE 3
miiTiIiin 6"OB
GM (FILL / MIXED)
aPERC TEST LOCATION
SM (SANDY SILT W/ GRAVEL)
YES WAS WATER ENCOUNTERED?
1 7 ' IF YES a WHAT DEPTH?
III DEPTH TO WATER AFTER MONITORING
10/23/23 DATE OF MONITORING
G(o ft- �J-
DATE
READING
START TIME
NET TIME
(MINUTES)
DEPTH To
(INCHES)
NET DROP
(INCHES)
INCHES)
---
1
11:22 AM
30
016
31s
2 Q
16
2
0 16
2 16
1 16
3
016
1 16
1 16
PERCOLATION RATE: 30.0 (MIN/INCH)
COMMENTS: USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
SITE PLAN
TECHNICIAN: B SCH I LLER
The On -site Water and Wastewater Section (On -site) may issue an approval for a homeowner
to perform work on an on -site wastewater disposal system to serve that individual's owner -
occupied, single-family or duplex home if the homeowner meets and agrees to the following
requirements:
1. The property owner and excavation equipment operator may perform work on no more
than one owner -installation project in a 12-month period.
2. Owner's projected active involvement with the installation:
Excavating and installing drain field
3. The name of the excavation equipment operator:
Tyler Dwyer
4. 1 agree that there will be no monetary compensation for installation services rendered.
5. The name of the inspecting engineer: Forge Engineering - Benjamin Schiller, PE
6. 1 agree to discuss the following items with the inspecting engineer:
a. Permit design criteria and specifications.
b. Inspection requirements set forth in AMC 15.65.070.
c. Advance notice given to the On -site Water & Wastewater Section for all required
municipal inspections (AMC 15.65.070A).
7. 1 agree to have the project -specific On -site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will
obtain additional installation instructions and approval from the equipment distributor.
As owner of (legal description)
I agree that the information above is true and accurate.
Owner's printed name: Dale Carlos
Owner's signature: TDate: 09-18-24
11111
W111105' C?'BSX9651�ti B'�Si2tAwVW,111tg
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATINIENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AN_D REPAIR AGREEMENT. herein the "AGREEMENT" made and
e tered into as of this Day of NoUe�o\)oK of 20 ?-3 , by and between
Herein the "OtN�ER," and the i�,iIunicipalinr of
Anchorage. herein the "MUNUCIP.ILITY". in accordance with Anchorage Municipal Code
(.AMC) 15.65.365. In consideration of the mutual covenants contained herein. the parties to this
Aarecmcnt a2rce as follows:
1. Advanced NYastewater Treatment Systems. The Municipality grants permission to the
Ox nner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as Advantex System
located at (legal description)
Roseberry Park Estates Block 3 Lot 6
2. Maintenance, Repairs and Alterations. -
(Owner is required to read, understand and initial each section)
c-- Throughout the teen of this Agreement. the Owner shall enter into a service ai7reement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AW)A%TS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility, of the Owner during the term of this :agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically S400 to .`n600).
�e— Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and Make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AW W TS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05r 18!2018) Page I of 3
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturers representative or maintenance provider.
V(' _ Owner acknowledges that the fine for failing to maintain and repair an c�t�-WTS may be
assessed in accordance with AMC I4.60.030.
U Owner agrees to grant the Nlunicipality reasonable access to test and inspect the
AkN"W' ;S. The Municipality will give at least 24-hour notice. '
C)C_ Owner avrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
O Owner agrees that the Aft WTS installation and maintenance requirements as provided
by the AkV TS vendon,'Installer and approved by the Municipality are the governing
,widelines for the construction, maintenance and repair of the Owner's AWWTS.
�-' Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
\-lunicipality to operate the installed system, or upon transfer of title. and shall continue
while the AWWTS is operational or until title is transferred.
4. \oriNvaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Oxvner and Municipality. any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The lawns of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Sevez•abiIity. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05!18/2018) Page 2 of
OWNER:
By:�0 Z (signature) Date:
6X\P— �,Cl� t�S (print name)
STATE OF ALASKA }
} ss.
THIRDJUDICIAL DISTRICT }
The foregoing instrument was acknowledged before me this L"dav oftW-N3(fr
20 3, by 15W CQ Y aS
P,� AC- R NFjVo
\IOTA �T PUBL.IC FOR ALASKA � �� �'Pt,
My Commission expires: i D1 q Z[� L Ainz
MUNICIPALITY:
BI Lt t& .� (signature)
o1"qRYP(j6 JC
N�
�OPALA`��P
Date: 11 b -2,0 z3
c -5 70 L—/-s )SAO (print name) Title
(rev. 05/18/2018) Page 3 of 3
MUNICIPALITY OF ANCHORAGE
Community Development Department i_ Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On-Site Water & Wastewater Program
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
�t For A Single Family Dwelling
Parcel I.D. C15b•31 "53
Property owner(s) JOHN MCCORMICK Day phone 440-9007
Ma`SN
iing_addre PO BOX 771291 EAGLE RIVER, AK 99577
Site address RIE • LAGLE RIVER, AK 99577
Legal description (Sub'd, Block& Lot ) ROSEBERRY PARK ESTATES; BLOCK 3, LOT 6
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(El all that apply) Initial ® Single Family(SF)
Absorption Field ®
Upgrade [II (w/wo ADU)
Septic Tank ® Duplex (D) ❑
Renewal ❑
Holding Tank ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: $47-20 •• Waiver Fees:
Date of Payment: 573/1/3 Date of Payment:
Receipt Number: 0563761 Receipt Number:
Permit No_ d SP/3/// Waiver No.
(Rev. 09/12)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
May 13, 2013
Municipality of Anchorage
Development Service Department
On-Site Water &Wastewater Program
4700 Elmore Road
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Well and Septic System for Roseberry Park Estates; Block 3, Lot 6
To whom it may concern:
The proposed 4 bedroom house is to be served by a private well and septic system. We are
proposing that a new 1250 gallon septic tank and a 5-wide trench type drainfield be installed on
the property. Two test holes were excavated on the property. The drainfield will be designed
around the 30 foot radii of these test holes. Comments regarding the design are summarized as
follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters that were visible within 100 feet of the
proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing, the average topography
below the drainfield area is a 15 to 25 percent slope running approximately north to south.
There is a cutbank 50+ feet below the proposed drainfield and alternate site, which the
contractor will maintain a 50 foot separation to for both the primary and alternate sites. In short,
there are no slope concerns.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
Sincerely,
I
Jeffry arness, P.E., M.S.
Pres] e
NOTE: Attached is a site plan drawing, a design drawing, and two soil logs, which are all part of
the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction
specification letter.)
3701 E.Tudor Road, Suite 101 *Anchorage,AK 99507-1259
Ph: (907) 337-6179 * Fax: (907)338-3246 *Website: www.garnessengineering.com
MOUNTAIN MAN} S/D. / ~ S 7'/L E ." T`-
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3701 E. TUDOR ROM.SUIS 101 •ANCHORAGE.Art 99507 • PHONE (907)337-6179• FAX (907)156-3246 • WEBSITE: ....gor. nwgii.Arirp.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • . 11 Q
JOHN MCCORMICK 440-9007 1 OF 2 0J��s Gorness.
LEGAL DESCRIPTION: DRAWN BY: uo9. �. E_ 93� ��
ROSEBERRY PARK ESTATES, LOT 6, BLOCK 3
J.L.M. hoe, --' . �1.i.•!'-• o°o
TYPE OF WORK: DATE: 4%Qaprofess�01d4�
SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 5/13/2013 '�O:oogz.
• -ROPOPSED WELL
. • 4• - • • •
•
••
DESIGN CRITERIA: •
• • • •.
• I
NUMBER OF BEDROOMS: 4 •• • •
GALLONS PER DAY (GPO): 600 • • • •
PERCOLATION RATE/S: 182 & 1.67 • I
PROPOSED APPLICATION RATE: 1.2 • 1
MINIMUM DRAINFIELD SOFT: 500 • ••• • • , •
• ••I • •
DRAINFIELD DESIGN: Ropy • • •
MAXIMUM DEPTH: 5 FEET 0 / • •
WIDTH: 5 FEET F•• • •
LENGTH:FECT7: y T W t • / i
EFFECTIVE: 2 FEET
REDUCTION FACTOR 0 70 • /
ACTUAL SOFT. 500
PROPOSED
ALTERNATE SITE CRITERIA: 4
4 BEDROOM
NUMBER OF BEDROOMS: • HOUSE
11r,
GALLONS PER DAY (GPD): 600
PERCOLATION RATE/S: 1.82 & 1.67 /
1 PROPOSED APPLICATION RATE: •4.0
MINIMUM DRAINFIELD SO.FT.: 150 PROPOSED 1250 GALLON/
(•USING CAT II AEROCELL SYSTEM) SCALE: SEPTIC TANK
DRAINFIELD DESIGN: 1" - 30' / C•F
',MAXIMUM DEPTH: 4 FEET o
WIDTH: 5 FEET STEEP SLOPE (25-40%)
LENGTH: 30 /
EFFECTIVE: 2 FEET
REDUCTION FACTOR. 0.70
ACT SO 1;7: 214 , _
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(SEE DESIGN CRITERIA)
\ TOP OF CUTBANK AND
\ \ \ 5' SNOW STORAGE ESMT.
G, U.. A PAGE SPECIFICATIONALTERNATE SITE. WILL REOUIE USING
LETTER THAT PERTAINS TO THIS DESIGN.
\ \ A CAT II AERCOELL SYSTEM (SEE
TO OBTAIN A COPY Of THE LETTER
CONTACT GEG. BY PROCEEDING FORWARD
1 \ ALT. SITE DESIGN CRITERIA)
WITH THIS M15TALLATION. THE ENGINEER,
WELL DRILLER, CONTRACTOR AND \
PROPERTY OWNER AGREE THAT THEY I \ \ 49"HAVE READ THESE SPECIE ATIONS AND
AGREE TO ACCEPT THE TERMS AND
CONDITIONS 9IJILNED.\ I \ \
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3701 E 111000 ROAD. SUITE 101 •ANCHORAGE.AK 99507 • PIIGNE (907)337-6179 • FAA (107)136-3246•WE65rtC: ...4W.J.rIpieenn9.e•In 1 I D
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: D•�:s. I Q
JOHN MCCORMICK 440-9007 2 OF 2 0� '-.Jefir arness: p
LEGAL DESCRIPTION: DRAWN BY: QO,c. 1..L C�79 3 .•'. 4'
ROSEBERRY PARK ESTATES S/D; BLOCK 3, LOT 6 J.L.M, ����� -}f ir..i• '. �a�
TYPE OF WORK: DATE: 4�p, rofessio1�•��
DESIGN OF PROPOSED WELL AND SEPTIC SYSTEM 5/13/2013 ��Ooo� .o
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3701 E. TUDOR ROAD. SUITE 101 • ,�wCHORAGt99CONSULTANTS d.GE• PHONE NERAL�CONT/RAX �TOSRS2�6 • *MITE go.easse�q�eee���q corn i• .• :'' •• ••••• oO
SOIL LOG - PERCOLATION TEST C, '. !.. j
LEGAL DESCRIPTION: ROSEBERRY PARK ESTATES S/D; BLOCK 3. LOT 6 // •. e f y A. Gorness•.• oG)
PERFORMED FOR: JOHN MCCORMICK 1 9. CE-7953 t': '
DATE: 5/2/2013 11'' II c I;.. c>47,2'4�
DEPTH 0Pa p,-o f esslolloao
(feet) ORGANICS TEST HOLE # 1 ��D0000��
1, %' :I
LOAMSOIL CLASSIFICATIONS2 ' .
• 0 0 GW _ - ORG
3 • • • . GP 1)1 ^� ML
• � 1' GM � � CL
4
• ' /5/ / GC OL_
• • �o°o g°°o� SW 1 f MH
• • •••t•�'; SP CH
5 • . • . .
• + SM ,' //// OH SEE SITE PLAN
• • 4.ip p SC
6 •
•
• •
7 DEPTH• • GP TO GM GROUNDWATER DATE
0 WITH SOME
• LENSES OF
8 • • SAND AND ML DRY 5/2/2013
• • 10' 5/10/2013
9 •
•
10 •
—. •
•
•
• DATE READING CLOCK NET TIME WATER LEVEL NET DROP
11 — . TIME (MINUTES) READING (INCHES)
•
12 • • 5/13/2013 1 - - 6” -
• • 2 - 10 1/2" 5-1/2"
•
13 3 - - 6" -
•
4 - 10 1/2" 5-1/2"
•
14— • ID 5 - - 6" -
•
• • 6 - 10 1/2" 5-1/2"
15 B.O.11. 7 - - 6" -
16— 8 - 10 1/2" 5-1/2"
9 - - 6" -
17— 10 - 10 1/2" 5-1/2"
11 - - 6" -
18— 12 - 10 1/2" 5-1/2"
PERCOLATION RATE 1.82 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19 —
TEST RUN BETWEEN 5.5 FT. AND 6.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES 1 1140
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS
COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16TH OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: C j 1 1 lam'
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3701 C.,TUDOR ROAD. SUITE 101 • ANCHORAGE,AK. 99507 • PHO : (907)337-6179 • FAX (907)338-3246 • 9E851TE: 9 4$*A9 W4f4q.eom I V
SOIL LOG — PERCOLATION TEST /' '),„/`------ 0
LEGAL DESCRIPTION; ROSEBERRY PARK ESTATES S/D; BLOCK 3, LOT 6 /1) %.J7ffreCE 79 3 Hess•- v 0
PERFORMED FOR: JOHN MCCORMICK DATE: 5/2/2013 I"' • f -1.•' •X0'0
DEPTH _____ ORGANICS 1,r\aPraressiOn1a�
(feet) TEST HOLE #2 0000000
1 _i..i LOAM
:J1
. SOIL CLASSIFICATIONS
2— •
• ' ° o GW E__�5ORG
•
3— • : II111!IIGM V )'i CL
4_ • ///% GC OL
• I ____ _!:::.%°,1:°:. SW 1 MH
• " kildiel SP CH
5 • • IMO Sri •i OH
• . `'i Sc SEE SITE PLAN
6—
I
• GP TO GM DEPTH TO
7- • iWITH SOME GROUNDWATER
DATE
LENSES OF
. : SAND AND ML
R-r DRY 5/2/2013
•
• . 9'-3" 5/10/2013
H
1L
~ CLOCK NET TIME WATER LEVEL NET DROP
• DATE READING TIME (MINUTES) READING (INCHES)
•
• 5/13/2013 1 - - 6" -
12 B.O.H.
2 -
10 0" 6"
133 - - 6" -
4 - 10 0" 6"
•
14— 5 - - 6" -
6 - 10 0" 6"
-
15 - 7 - _ 6" -
16 — -
8 - 10 . 0" 6"
9 - - 6" -
17— 10 - 10 0" 6"
11 - - 6" -
•
18— 1 12 - 10 0" 6"
PERCOLATION RATE 1.67 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19—
TEST RUN BETWEEN 3.5 FT. AND 4.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: Z YES ❑NO
OILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS
•MMENTS: PERCOLATION READINGS ARE WITHIN 1/16TH OF INCH.
RFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS, .E RFOf2MED IN ACCORDANCE
H ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 15 1.3
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251025
Parcel ID 050 -315-53 Expiration Date: 1/10/20206
Legal description ROSEBERRY PARK ESTATES BLK 3 LT 6
Site address 18748 ROSEBERRY PARK DR
Current propertyowner(s) CARLOS DALE & CINDY
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
B�9�Cerk'i'�ic�a
OriginalCertificate Date: 1/28/2025
The of On -Site Systems Approval (COSA) is intended to demonstrate the subject
syste (s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
development Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
Development Services Department \ Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 050-315-53
Complete legal description Roseberry Park Estates Block 3 Lot 6
Location (site address) 18748 Roseberry Park Dr, Eagle River, AK 99577
Current property owner(s) Dale & Cindy Carlos
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY:❑ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel M Plastic ❑ Concrete ❑ Fiberglass
Age 1 yr - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑■ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑■
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee
Date of Payment
COSA #
Z0
Waiver Fee $
Date of Payment
Waiver #
COSA Application—June 2022
COSA Checklist_June 2022
COSA Checklist
Legal Description: Parcel ID:
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test?Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Adequacy test date
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies:
COSA Checklist_June 2022
E. SEPARATION DISTANCES
From Private Well on Lot to:(Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’Yes if No ft
Absorption Field on Lot > 100’Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’Yes if No ft
Holding Tank > 100’Yes if No ft
Animal Containment > 50’Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to:(Please enter distances if less than required)
Building Foundations > 10’Yes if No ft
Tank to Property Line > 5’Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’Yes if No ft
Water Service Line > 10’Yes if No ft
Surface Water > 100’Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’Yes if No ft
Community Wells > 200’Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm Phone
Engineer’s Printed Name Date Benjamin Schiller, P.E.
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the -AGREEMENT" made and
e4ptered into as of this —Day of N�\je,O� _. of 220 ?_3 , by and between
Goxco-s —, herein the "O�N\,ER,"and the Municipality of
Anchorage, herein the "MUNNICIPAUTY11, in accordance with Anchorage Municipal Code
(AMC) 15.65.3165. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems The '\funicipalitv grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AVt WTS).
described as
Advantex System
located at (legal description)
Roseberry Park Estates Block 3 Lot 6
2. Maintenance, Repairs and Alterations.
(0,,vner is required to read, understand and initial each section)
Throughout the term of this Agreement. the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adiustment(s), replacement costs,, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AV IN7TS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drain .field
replacement.
(rev. 05/18/2018) Page 1 of 3
R�L Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipalit-v, reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice. '
�Y— Owner aurees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
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.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce ewer}' provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this 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
I
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05! 18/2018) Page 2 of 3
OWNER: n
By: 1.a 2-- (signature) Date: ,k-"�—n
60,\e CGc�� (print name)
STATE OF ALASKA )
Ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this 3' `'"day of I 0N&,Y' 0-
20 3, by Wr�
,c\AER H AHD
P
L TA Y PUBLIC FOR ALASKA �� s
My Commission expires: I (012y2-O'j4RY z
Pu8L IC
3
,0ty#2.6 `O \o
�OFALAs�PI
(rev. 05/18/2018)
signature) Date:
)rint name) Title:
Page 3 of 3
BUILDING DETAIL
124 E 7th Avenue
Anchorage, Alaska 99501
(907) 306-8104
mail@S4AK.com
Land Surveying
Land Development Consultants
Subdivision Specialists
Construction Surveying
AECC#173042
S4
Group
Lot 6, Block 3,
Roseberry Park Estates
Subdivision
As Built
12/20/2024
