HomeMy WebLinkAboutSOUTH HILLS BLK 7 LT 4O
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Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191288 PID Number: 017-071-29
Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑E New ❑ Upgrade
Name
Cody and Justine Hultquist
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed X Mound
Site Address
8002 Rabbit Hill Dr. Anch., AK 99516
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
770-1536
3
5.0 GPD/SF
+2.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
+2.5 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
South Hills 7 4
Fill added above original grade
5.4 Ft.
Gravel length
30 Ft.
Township Range Section
Gravel width
15 a Ft.
Beds: Number of Lines
3
Distance between lines
5 Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
180* Ft2
Ft.
Well
>50'
>50
>50
N/A
>25
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding 0 Other
Manufacturer
Advantex F.A.P.
Capacity
1,500 Gal.
Surface Water
>50
>50
>50
N/A
Material
Fiberglass
Number of compartments
2
Lot Line
>5'
>10'
>5'
N/A
NA
Foundation
>10'
>10'
>10-
N/A
LIFT STATION
Manufacturer
Orenco
Capacity
100 Gal.
Remarks Bed is insulated. UV sterilizer has been installed in this system.
Mound was topsoiled & seeded after installation. `See attached engineer letter.
Alarm location
Inside garage.
Electrical installed by
Dependable Electric
PIPE MATERIAL House to tank D3034Tank to D3034
drainfield
Installer
•
White Raven
Drainfield D3034 CO/MTD3034
Inspector J. Williams
BENCH MARK (Assumed elevation) 100 ft
Inspdection 15` 8/20/19 9/11/19
Location and description
2nd
Top of foundation on south wall.
3rd 4'h
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
OF
Conditional
Conditional Approval: Date
®��P,..••" ""••e
®�
•No
J •
49th
®......' .. .... ..•s....'
..................................�..... p
................
.
® .... u
�n :• MICHAEL E. ANDERSON .' a
=
�O�% �
Septic S ystem
Approved Date y 1y�6�
%N o. CE -4381 �:
#4 4/9/20
Note: this does include
®� "R0FESSI���®®�®
approval not well permit requirements.
(Rev Ub/U2/16)
PO BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
April 13, 2020
MOA Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: South Hills, Block 7, Lot 4 – 8002 Rabbit Hill Drive
Septic System Design – Absorption System Application Rate
Dear On-Site Services Engineer:
The percolation test completed on the peat found in test holes placed on Lot 4, Block 7, South
Hills Subdivision indicated an absorption rate between 4.6 and 5.2 minutes per inch. This equates
to an application rate of 5 to 6 GPD/SF in accordance with Municipal Code. The absorption sytem
on the lot was originally designed to a much more conservative rate of 2 GPD/SF.
The peat layer found during construction was less than anticipated in the design and resulted in an
effective absorption area of 180 SF. Using the code mandated application rate of 5 GPD/SF the
effective absorption area more than satisfies the design requirement of 450 GPD. We are confident
the absorption system as constructed on this lot exceeds the design requirements of the Municipal
Code.
Sincerely,
Michael E. Anderson, P.E.
JAM
•
I114 "M 0
OWNER OF LAND: Hultquist Homes
ADDRESS:
Bore Hole
Data
Depth
From
To
LEGAL DESCRIPTION South Hills Block 7 Lot 4
DATE: 10-4-19
0
2
PERMIT NUMBER: OSP191288 DATE OF ISSUE: 7-18-19
TAX IDENTIFICATION NUMBER 01707129000
Is well located at approved permit location: NYes F–]No
Method of Drilling: ®air rotary cable tool
Depth of Well: 500'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 124 feet
Liner type
Static Water Level: 70 feet
Recovery Rate 20 gpm ® gph
Method of Testing Air
Well Intake Opening Type: Flopen end ®open hole
Screened Start feet Stopped
Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: ®yes 1-1no
Method of Disinfection: Chlorine 50 PPM
-Comments: .
2
4
4
7
7
26
26
36
36
38
38
104
104
118
118
210
210
280
280
356
356
366
366
421
421
432
432
500
Casing Stickup
Fill
Overburden
Silty Sand & Gravel
Tight Silty Sand & Gravel
Clay & Gravel Wet
Hardpan w/ Clay Seams
Broken Bedrock
Bedrock Gray
Bedrock Gray w/ Quartz
Bedrock Gray
Bedrock Gray w/ Quartz
Bedrock Gray
Bedrock Gray Fractured
Bedrock Gray
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.
SGS Rcf.#
Client Name
Project Name/#
Client Sample ID
Matrix
Sample Remarks:
1201446001
FIultyuist Homes
SH Lot 4 B1K 7
SH Lot 4 BIK 7
Drinking Water
Printed Date/Time
Collected Date/Time
Received Date/Time
Technical Director
04/27/2020 11:40
04/16/2020 10:00
04/16/2020 10:55
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 A (<10) 04/20/20 04/21/20 B,ti1L
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW OSP191288 Date of Issue 7-18-19
Parcel Identification Number: 01707129000
Legal Description Property Owner Name & Address
South Hills Block 7 Lot 4 Hultquist Homes
Pump Installation Date:
2-20-20
Pump Intake Depth Below Top of Well Casing:
490 feet
Pump manufacturer’s Name:
F&W
Pump Model:
TVS1510LT
Pump Size:
1.5 hp
Pitless Adapter Burial Depth:
10 feet
Pitless Adapter Installer:
White Raven
Disinfected Upon Completion?
yes no
Method of Disinfection:
Chlorine 50 PPM
Comments:
Pitless Manufacturer: Martinson
Pump Installers Name:
Sullivan Water Wells
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
P-0 Box 196650 4700 Elrnwe Road
Anchorage, Alaska 99579-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://viww.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP191288
Work Type: WellSeptic Initial
Tax Code Number: 01707129000
Site Legal Address: SOUTH HILLS BLK 7 LT 4 G:2940
Site Mailing Address: 8002 RABBIT HILL DR, Anchorage
Owner: HULTQUIST CODY & JUST€NE
Design Engineer: FORGE ENGINEERING'
This permit is for the construction of:
Q Disposal Field Z Septic Tank ❑ Holding Tanks 0 Privy
Effective Hate
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms
f>
d: 3
eparrtnent
7/18/2019
7/17/2020
23827
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
Received By: L) �_4 ku -.61k(lAW-�,
Issued By: fU('� �"'y
Date: �t�
Date:
3'
MUNICIPALITY OF ANCHORAGE
Community Development Department �"4 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. 017-071-29
Property owner(s) Cody and Justine Hultquist
Mailing address 15790 Elizabeth Street Anchorage, AK 99516
Day phone 770-1536
Site address gD 2 kv 66;+ HAI 4-, Anchorage, AK 99516
Legal description (Sub'd., Block & Lot) South Hills, Block 7, Lot 4
Legal description (Township, Range & Section)
Lot Size 23,827 Sq. Ft. Number of Bedrooms Three (3)
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
0
Initial 0
Single Family (SF) 0
(w/wo ADU)
Septic Tank
0
Upgrade ❑
(D) EJ
Holding Tank
❑
Renewal ElDuplex
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
0
Water Storage
❑
THIS APPLICATION INCLUDES
A VARIANCE / WAIVER REQUEST FOR:
2:1 Side Slopes
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: 1$1 -0-0 Waiver Fees:
Date of Payment: -71 � a 0 1 I� Date of Payment:
Receipt Number: 0(o 3 `` 10 D Receipt Number:
Permit No. oS P M0 $ Waiver No.
Permit App_9-1-12.doc
PO BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
July 14, 2019
MOA Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: South Hills, Block 7, Lot 4 – 8002 Rabbit Hill Drive
Septic System Design
Dear On-Site Services Engineer:
The owner of Lot 4, Block 7, South Hills Subdivision intends to construct a three-bedroom home
on the lot. We are therefore requesting a permit be issued to allow the construction of a new well
and septic system to serve the home. A permit was previously issued on June 28, 2017, but it has
since expired. The conditions in the area have not changed since the issuance of that permit.
The attached Site Plan and backup documentation identify the location and configuration of the
proposed well and septic system. No existing wells are less than 100’ from the proposed septic
system and the proposed well is more than 50’. In addition, the proposed well to serve the lot does
not conflict with septic systems in the area. The surface drainage on the lot is to the northwest as
shown by the surface contour lines on the plan. The drainage pattern will not be changed as a
result of this project.
The new absorption bed will be constructed with Engineered Receiving Soils (E.R.S.) in
accordance with the Municipal Code along with an Advantex Treatment System with an AX-20
Filter Pod and an ultraviolet treatment tube. Horizontal conveyance will be utilized to transport
the effluent through the organic material surrounding the absorption bed and away from the area.
The distribution line in the bed will be placed at 2.5’ above the existing ground to provide 6.5’ of
clearance from the in situ silt below which has been found to be inconsistently permeable
throughout the area. Sections of subsurface soils in the area have been determined through
percolation testing to absorb water at rates faster than 120 minutes per inch, but these sections are
inconsistent and the majority of the subsurface soils are thought to be impermeable. A minimum
of 2’ of MOA approved coarse sand will be placed below the bed and 4’ of clean well graded
gravel (GW) meeting the requirements of Municipality of Anchorage Standard Specifications for
Type II or Type IIA select backfill will be placed under the sand and to a depth of 4’ below the
surface or to the silty in situ layer. The test holes placed on the lot in the past and monitored for
many months indicated no groundwater developed on this lot. The engineered fill will be placed
in 12” lifts and compacted to create a stable base for the absorption bed. The fill slopes will be
constructed at a 2:1 angle of repose with a 4” topsoil cover. All disturbed or new surfaces shall
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191288, Rebecca Carroll, 07/18/19
then be seeded to produce vegetation and prevent erosion.
We are proposing to construct a new 450 square foot by .5’ effective depth absorption bed to treat
and dispose of the effluent generated in the house. The additional porous material beneath the bed
will provide surge volume and septic treatment and increase the surface area for water absorption
to the surrounding strata. Water will flow horizontally through the 90’ LF perimeter of the bed by
1’ effective depth sidewalls or a total effective area of 90 SF. A percolation rate of 4-5 minutes
per inch has been utilized for the peat with a conservative application rate of 2 GPD/SF.
The ground surface on the lot in the area of the absorption bed slopes to the northwest. The new
bed will be constructed parallel with the contours of the slope as much as possible in conformance
with Municipal requirements. The new septic system will be constructed a minimum of 100’ from
all wells and any surface water and 10’ from the proposed and existing water services in the area.
If the system is constructed in accordance with our design it will not conflict with adjacent wells
and septic systems.
Sincerely,
Michael E. Anderson, P.E.
Attachments
7/13/19
1005995
1000
100 0
10 05
ALTERNATE SITE
FCO
10050 0
FEET
1"=50'
3-BDRM HOME
1500-GALLON ADVANTEX
TANK W/ AX20 POD &
PUMP VAULT
NOTE:
NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE
PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
PV - PUMP VAULT
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
SOUTH HILLS, BLOCK 7 LOT 4
RABBIT HILL DRIVE
7/10/19
POWER POLE
10' UTILITY EASEMENT
WARRANTY DEED BK424 P.949
WARRANTY DEED BK66 P.792 WARRANTY DEED BK66 P.792
MH
MH
PV MT
MT
MT
MT
TH1
TH2
PROPOSED WELL
w/50' RADIUS
PROPOSED WELL
w/100' RADIUS
TOE OF 2:1 SLOPE
TOE OF 2:1 SLOPE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191288, Rebecca Carroll, 07/18/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191288, Rebecca Carroll, 07/18/19
MUNICIPALITY OF ANCHORAGE ,o,,,r
On-Site Water &Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
1 http:/lwww.muni.orglonsite
l,artmc nt
On-Site Water & Wastewater System Permit
Permit Number: OSP171150 Effective Date: 6/28/2017
Work Type: WellSeptic Initial Expiration Date: 6/28/2018
Tax Code Number: 01707129000
Site Legal Address: SOUTH HILLS BLK 7 LT 4 G:2940
Site Mailing Address:
Owner: HULTQUIST CODY &JUSTINE Lot Size in Sq Ft: 23827
Design Engineer: ANDERSON ENGINEERING Total Bedrooms: 3
This permit is for the construction of:
10 Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy IZ 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
Received By: L2€iJ lea-M 1/ Date: (P/, 1i 7
Issued By: t �J NA,(1A Cgs, S? Date: to/2,/20 ) 1
. rnr
� ,v
� Municipality of Anchorage A' '? ``;,
P.O. Box 196650 e 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On-Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSV171055 COSA#: Permit# OSP171150
PID#. 017-071-29
Legal Description: South Hills Block 7 Lot 4
Engineer: Anderson Engineering
Applicant: Cody & Justine Hultquist
Your request for a waiver to utilize an Engineered Receiving Soil (ERS) absorption system and
use 2:1 slopes on the fill for the mound has been approved. See engineer's letter for waiver
request.
This waiver approval applies to the proposed primary and alternate absorption fields only. Any
future upgrade to the on-site wastewater disposal system will require all code requirements be
met or another approval from this department.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
'
Waiver is Granted: X Waiver is not Granted:
Date: GlOt spo, 1 Approved by: 2R- x,,,,CA CcUix_ete
Name of Reviewer
**** VARIANCE/WAIVER REVIEW ****
MUNICIPALITY OF ANCHORAGE
(1%) X 6 9 10 /!
Community Development Department /� one: 907-343-7904
Development Services Division ``' 2 U 2017 Fax: 907-343-7997
On-Site Water& Wastewater Program ; ��N
a
ON-SITE SEWER/WELL PERl1t�t, ,APPLICAT
<< 01 6 4B
Parcel I.D. 017-071-29
Property owner(s) Cody and Justine Hultquist Day phone 770-1536
Mailing address 15790 Elizabeth Street Anchorage, AK 99516
Site address NHN Hillside Way Anchorage, AK 99516
Legal description (Sub'd,, Block & Lot) South Hills, Block 7, Lot 4
Legal description (Township, Range & Section)
Lot Size 23,827 Sq. Ft. Number of Bedrooms Three (3)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field 0 Initial 0 Single Family (SF) 0
(w/wo ADU)
Septic Tank Upgrade ❑
Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well 0
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR:
2:1 Side Slopes/New Municipal Code w/Horizontal Conveyance Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
E
(Signature of property owner or authorized agent)
Permit/Rush Fees: S(e. f v-/5 -7/ Waiver Fees: 4215`
Date of Payment: (b-1 / Date of Payment: (' I2-!//i
Receipt Number: 053'5 119 6‘. Receipt Number: Oi6'$706t
Permit No. 66P I1 I IS a Waiver No. Q SV 17 I O 55
Permit App_9-1-12.doc
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
June 20, 2017
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 4, Block 7, South Hills Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 4, Block 7, South Hills Subdivision intends to construct a three
bedroom home on the lot. We are therefore requesting a permit be issued to allow the
construction of a new well and septic system to serve the home. The attached Site Plan
and backup documentation identify the location and configuration of the proposed well
and septic system. No existing wells are less than 100' from the proposed septic
system. In addition, the proposed well to serve the lot does not conflict with septic
systems in the area. The surface drainage on the lot is to the northwest as shown by
the drainage arrows on the plan. The drainage pattern will not be changed as a result
of this project.
The new absorption bed will be constructed with Engineered Receiving Soils (E.R.S.) in
accordance with proposed AMC 15.65.201 .D3c along with an Advantex Treatment
System with an AX-20 Filter Pod and an ultraviolet treatment tube. Horizontal
conveyance will be utilized to transport the effluent through the organic material
surrounding the absorption bed and away from the area. The distribution line in the bed
will be placed at 2.5' above the existing ground to provide 6' of clearance from the in
situ silt below which has been found to be inconsistently permeable throughout the
area. Sections of subsurface soils in the area have been determined through
percolation testing to absorb water at rates faster than 120 minutes per inch, but these
sections are inconsistent and the majority of the subsurface soils are thought to be
impermeable. A minimum of 2' of MOA approved coarse sand will be placed below the
bed and 4' of clean well graded gravel (GW) meeting the requirements of Municipality
of Anchorage Standard Specifications for Type II or Type IIA select backfill will be
placed under the sand and to a depth of 4' below the surface or to the silty in situ layer.
The test holes placed on the lot in the past and monitored for many months indicated
no groundwater developed on this lot. The engineered fill will be placed in 12" lifts and
compacted to create a stable base for the absorption bed. The fill slopes will be
constructed at a 2:1 angle of repose with a 4" topsoil cover. All disturbed or new
surfaces shall then be seeded to produce vegetation and prevent erosion.
We are proposing to construct a new 450 square foot by .5' effective depth absorption
bed to treat and dispose of the effluent generated in the house. The additional porous
material beneath the bed will provide surge volume and septic treatment and increase
the surface area for water absorption to the surrounding strata. Water will flow
Lot 4, Block 7, South Hills Subdivision
November 21, 2016
Page Two
horizontally through the 90 LF perimeter of the bed by 3' effective depth sidewalls or a
total effective area of 270 SF. A conservative percolation rate of 60 minutes per inch
has been utilized for the peat with an application rate of 2 GPD/SF. The design was
completed in accordance with the proposed AMC 15.65.201.D3c.
The ground surface on the lot in the area of the absorption bed slopes to the northwest.
The new bed will be constructed parallel with the contours of the slope as much as
possible in conformance with Municipal requirements. The new septic system will be
constructed a minimum of 100' from all wells and any surface water and 10' from the
proposed and existing water services in the area.
If the system is constructed in accordance with our design the following statements
apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
acA-ef2---)
Michael E. Anderson, P.E.
Attachments
.��.aa.a,�1
r 49th '�
• n N.CHAEL E. ANDERSON S�p
# % No. CE-4381 i
AP
•'•LOT 14 LOT 15
LOT 13 �" - - ��
' p er 4.4
Existing Well I
—
Existing Wen
,, :- ' — "1 t.
---- --------- — — RABBIT HILL DRIVE
a 51
—r__,
11 - - -- •-- �0 • ••• ���ro 5000
f�
Proposed Well
+, LOT 3 1' LOT 1
VACANT LOT 4
LAND
•
a' i
ce::) s*. - teolii : ': ,
`„-.‘ 1..' t 0;1
r
Existing Septic Area Frieling Septic Moa
Exact location Unknown - Exact Location Unknown
VACANT VACANT
•
LOT 12 LOT 13 LOT 14 LOT 15 LOT 16
According to the owner this well also
' serves Lot 1A. It Is not registered as a
Gan C wen, bat meats the erilerio.
0
Exlatinq Wen
Poeside Class C
I t
4.�7 �0F` qz. SOUTH HILLS SUBDIVISION
�`�•> _ p LOT 4, BLOCK 7
iA • •
` 49th i ' 1 0
•
'� t:MICHAEL E. ANDERSON a.41.-":p../., NO, CE-4381 'ti r
A E A NI A P
<+ :......,cl,41,.• 4,4 P•
,11h.
ESSI S. SCALE 1" = 80'
SOUTH HILLS SUBDIVISION
LOT 4, BLOCK 7
23,827 S.F.
RABBIT HILL DRIVE
g'S,."E
N8o'S Proposed Well
Proposed Well
I
1
2
IThree Bedroom Home
g
O \\..4`
\ - o
\' N
A
\� \L 1.500 Gallon Advontex \'4`
x Treatment System - r
w/AX-20 Pod & Pump
Vault -
eTH2 f60 -- TM 481-11- 7� CD
1.0 Vit
5.4
50 ,iiii,
tei
pAtO
'J Z
_ J
10' U11UTY EASEMENT
30' Long x 15' Wide
Absorption Bed w/2:1 Fill
Slopes.
..y�`r�rr\]14.J
st OF
i ,J. QIP LEGEND
i 49th 1\ ` FCC — Foundation Clean Out
I
y•• MT — Monitor Tube
TH — Test Hole
.01 ;MICHAEL E. ANDERSON :p•
it
SITE PLAN PV — Pump Vault
�I.✓f�... NO. CE-4381
.ipOF'ESSl A�� SCALE 1' = 40'
��i>....••+-
LOT 4, BLOCK 7, SOUTH HILLS SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Three Bedroom Home Raised Bed System w/Engineered Receiving Fill
Perc. Rate: 60 Min./Inch -Conservative for Peat Advantex Treatment Sytem
Application Rate: 2 GPD/SF Add On Lift Station & UV Tube
Pressure Distribution System
3 Bedrooms X 150 GPD/BDRM =450 GPD 2.0' Coarse Sand and 4.0' Type IIA Classified Fill
450 GPD/2 GPD/SF = 225 SF Vertical Absorption Area
225 SF/3 LF (Effective Depth of Peat)= 75 LF Perimter of Bed
30' Long x 15'Wide =90 LF Bed >> 75 LF - Bed is Sufficiently Sized.
THEREFORE: Construct a 30' Long x 15'wide absorption bed as shown below. Remove existing
peat and organic material to in situ sandy silt. Place 4'of Type IIA Classified Fill with 2'of Coarse
Sand atop the Type IIA Fill. Construct absorption bed atop the sand layer. Distribution line to be
constructed 2.5' above original ground surface. Place 2"of insulation and 2'of fill over bed and 4'
over Advantex Treatment Tank. Fill slopes must be 2:1 with outer 6" revegetated to prevent erosion.
Maintain 100'separation from all private wells in the area and 100'from Class C Well to the south.
a
2 =11- -i,=.
i,_, 2
Topsoil and Seed 11—_,T4'
,„_,. 1,�_�� -
Outer 6"of Mound n" 2"Insulation&2'Cover(Min.) 1
to Prevent Erosion / / / / / / / / / "_-
.5' 0 0
; � Drainfield Rock
,_ i 510-31116Diamete
,_ii_
Holes per Lateral -"-r=
„,, 2.0' MOA Approved Coarse Sand @ 3'OC 'NIT,.,
.=u Original Ground Original Ground NH
1.0'
Remove all organic 4'Type IIA Classified Fill Remove all organic
material to 1'Depth Po. material to 1'Depth
and Replace with and Replace with
MOA Approved — - ML MOA Approved
Sand. Sand.
Maximum Excavation 4.33'Below Existing Ground
Exact Limits of Excavation
to be Determined in the
Field by the Engineer. 2.5' 5.0' 5.0' 2.5'
f I
TYPICAL RAISED BED SECTION ,,,,,es/`• �'_�4•▪ v• .,
(NO SCALE) M i 49th /,._ \ �;
NOTE: Grade Area Surrounding Bed to Drain Away. t �:
Minimum 6'Separation From Bedrock. •co Michael •E.Anderson, :w■
Minimum 4'Separation From Groundwater.
. -- ••-., No.CE-4381 �2��
Minimum 100' Separation From Wells in the Area. ••.<<' ••••••• �`Zi-+7••.••'414
Minimum 10'Separation From Water Service Line. �4��;, �s=_,,•4,
MUNICIPALITY OF ANCHORAGE rosier~ewaiM
DEVELOPMENT SERVICES DEPARTMENT �4, Q,.:• "••...... b.
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 ??x ;6)7 1�
I 4.�the� .`
SOILS LOG - PERCOLATION TEST i fi ' }}{{,,;
•f :MICHAEL E. ANDERSON
0,61':
LEGAL DESCRIPTION: LOT 4, BLOCK 7, SOUTH HILLS SUB. �.� No, CE-4381 ~
PERFORMED FOR: HULTQUIST HOMES 4#�+;per; �"`
DATE: 5/12/2017 PROJECT No.: --��a+as+--4
PARCEL ID#: TECHNICIAN: JAKE MILLETTE Professional Engineers Stamp:
DEPTH TEST HOLE 1
(feet)
1 OG/PT SLOPE SITE PLAN
2
3
4 ii BOTTOM OF PEAT @ 4.33'
itg
N
o SEE SITE PLAN
6 —
SANDY SILT W/GRAVEL
7 — ML
8
9
10 BOH @ 10' WAS GROUND WATER ENCOUNTERED:' NO
IF YES(¢`WHAT DEPTH''
DEPTH OF WATER AFTER MONITORING: ,0%
NONE
1 1— - DATE OF MONITORING: 10/15/06
12
GROSS TIME NET TIME DEPTH OF NET DROP
13— DATE READING (MINUTES) (MINUTES) WATER (INCHES)
(INCHES)
14 TEST HOLE PRESOAKED PRIOR TO TESTING:
15 tall I 3:11 9.00"
16 2 3:41 30 3.00" 6.00"
3 3:42 9.00"
17
4 4:12 30 3.25" 5.75"
18— 5 4:13 9.00"
19— 6 4:43 30 3.25" 5.75"
20
PERCOLATION RATE: 5.2 (MIN/INCH) PERC.HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN: 3.0 FT. and 4.0 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST TO DETERMINE POROSITY OF PEAT.
TEST PERFORMED BY ANDERSON ENGINEERING. 1,MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 4/12/17
MUNICIPALITY OF ANCHORAGE 4,00 .10111 Ali,
DEVELOPMENT SERVICES DEPARTMENT \ �•T.".••..,,•+,��
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 .A..." •
its _i, .. .
•
49th �‘ 0
SOILS LOG - PERCOLATION TEST •$ yy'j�l- 4
:HICHAEL E. ANDERSON•; 11
LEGAL DESCRIPTION: LOT 4, BLOCK 7, SOUTH HILLS SUB. li�,I+' No. CE-4381
PERFORMED FOR: HULTQUIST HOMES ,' ESie*4.r
DATE: 5/12/2017 PROJECT No.: -Mrs■es�6�4
PARCEL ID#: TECHNICIAN: JAKE Ni ILLETTE Professional Engineers Scamp:
DEPTH TEST HOLE 2
(feet)
OG/PT SLOPE SITE PLAN
1
2
3
4 BOTTOM OF PEAT @ 4.33'
5pSEE SITE PLAN
6
SANDY SILT W/GRAVEL
7 - ML
8 -
9 -
BOH @ 10' WAS GROUND WATER ENCOUNTERED? NO
1 O IF YES( WHAT DEPTH', 10%
DEPTH OF WATER AFTER MONITORING; NONE
1 1 DATE OF MONITORING: 10/15/06
12
GROSS TIME NET TIME DEPTH OF NET DROP
13 DATE READING (MINUTES) (MINUTES) WATERT (INCHES)
(INCHES)
14- TEST HOLE PRESOAKED PRIOR TO TESTING:
15-
4/11 I 3:22 7.50"
16 3:52 30 1.00" 6.50"
3:53 7.50"
17
L. 4:23 30 1.00" 6.50"
1 4:24 7.50"
19 4:54 30 1.00" 6.50"
20
PERCOLATION RATE: 4.6 (MIN/INCH) PERC.HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN: 3.0 FT. and 4.0 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST TO DETERMINE POROSITY OF PEAT.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E.ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 6/20/17
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND HULTQUIST HOMES, INC.
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
19 Day of JUNE of 2017 , by and between HULTQUIST HOMES ,
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
Advantex Treatment System
located at(legal description).
Lot 4, Block 7, South Hills Subdivision
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: (I) 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.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
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.
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: HULTQUIST HOMES, INC.
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: JUNE 19, 2017
BRIAN HARTEN, AUTHORIZED (print name)
AGENT FOR HHI.
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this day of ,
201I , by S C ICkx) "tin
(11/NDWJI"\ VA5A I „A woo
NOTARY PUBLIC FOR AL'i, KA ,
My Commission expires: crave,
00/1111tH\ r��
MUNICIPALITY:
By: `g ��, CULeQP (signature) Date: (o/c) $/ao i 7
'Reber C\ ra t l (print name) Title:
Certificate of On -Site Systems Approval
Parcel I.D. 017-071-29
1. GENERAL INFORMATION
Expiration Date:
Complete legal description South Hills, Block 7, Lot 4
Location (site address) 8002 Rabbit Hill Drive Anchorage, Ak
Current property owner(s) Hiltquist Homes, Inc. Day phone (907) 770-1502
Mailing address 12570 Old Seward Hwy, Ste. 204, Anchorage, AK 99515
Real estate agent Day phone
2. TYPE OF DWELLING:
Foil Single Family (w/wo ADU)
F -I Duplex
1771 Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER
DISPOSAL:
Private Well
Private Septic
PoKI
Water Storage
❑
Holding Tank
El
Community Well
1771
Community
1771
Public Water System
El
Public Sewer
❑
Waiver request for:
Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment Date of Payment
Receipt Number Receipt Number
COSA # A�)C:26acg 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. I acknowledge that On -Site staff may visit the site: to verify the information submitted.
Name of Firm Forge Civil Engineering Phone 907-522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date 4/10/2020
6. DSD SIGNATURE
System #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
G�
NAIATFR AND
WASTEv`rATER o-
i
By:`�--(` v� y'�_� 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.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
1
Legal Description: South Hills, Block 7, Lot 4
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 10/4/19
Total depth 500 ft
Cased to 124 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) '18 in.
Date of flow test for COSA 10/4/19
Static water level at beginning of test 70 ft.
Comments "Arsenic retest.
B. TANK DATA
Age of tank(s) <1 years
Tank type/material Advantex (FAP)/Fiberglass
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping New Construction - 8/20/19
D. ABSORPTION FIELD DATA Absorption Mound
Which system tested (date installed) 8/20/19
❑ ALL standpipes present per record drawing
Total measured depth from grade 3.4 ft (max)
Measured depth to pipe invert from grade ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
❑ Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Com ments/Deficiencies:
COSA Checklist yellow sheet
Parcel ID: 017-071-29
Structure served by this system
Well production at time of test 0.33 gpm
Water storage tank volume None 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 FORGE ENGINEERING
Date of Sample
4/2/20
4/16/20
C. LIFT STATION
❑ Required maintenance completed
Age of lift station `1 years
Lift station material PVC
Comments: Post FAP Pump Vault - 8/20/19
Adequacy test date New Construction
Results ❑ Pass For bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
❑✓
>50
Community Sewer Manhole/Cleanout > 100'
r7Yes
if No
ft
2✓ Yes
if No ft
Neighboring Tank > 100' Yes
if No
ft
Private Sewer/Septic Line > 25' Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
>50 ft
Holding Tank > 100' ❑ Yes
if No NSA ft
Neighboring Absorption Fields > 100'
Yes if No ft
Water Main > 10'✓Q
Animal Containment > 50' 0✓ Yes
if No ft
M✓ Yes
if No
ft
Yes if No ft
Water Service Line > 10'
0✓
Yes
if No
Manure/Animal Excreta Storage > 100'
If septic tank is under driveway
Community Sewer Main > 75' M✓ Yes
if No
ft
r✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑✓
Yes
if No
ft
Surface Water > 100'
0 Yes if No ft
Property Line > 5'
❑✓
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
F✓
Yes
if No
ft
Private Wells > 100'✓Q
Yes if No ft
Water Main > 10'✓Q
ft
Yes
if No
ft
Community Wells > 200'
Yes if No ft
Water Service Line > 10'
0✓
Yes
if No
ft
If septic tank is under driveway
comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
Q
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Yes
if No
ft
Private Wells > 100' Yes if No ft
Water Service Line > 10'
F71
Yes
if No
ft
Community Wells > 200' Q✓ Yes if No ft
Surface Water > 100'
0
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that / have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
®� OF q ��
............... QS®®®
° 49 th
MICHAEL E. ANDERSONa 7
No. CE -4381 •°•
��(�,p•'•.•�� 4/28/20 °°°•°<c��