HomeMy WebLinkAboutSCENIC HEIGHTS LT 3 Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171243 PID Number: 020-291-78
Dwelling: ❑■ Single Family (SF) ❑ Duplex(D) ❑ Multiple(SF and/or D) Project: ❑� New ❑ Upgrade
Name:
Crown Pointe Inc. ABSORPTION FIELD
Address ❑■ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
PO Box 112313 Anchorage AK 99511 ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
(907) 748-5579 4 0.45 GPD/SF 10.3 - 11.8 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 2.3 - 3.8 Ft.8.0 - 8.0 Ft.
Scenic Heights 3 Fill added above original grade Gravel length
Township Range Section 5.2 - 5.9 Ft. 42 - 42 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 3.0 Ft. Ft.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line 1344 Ft2 2 17 Ft.
Well >100' >100' N/A N/A >25' TANK ID Septic 0 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 LIFT STATION
Foundation >10' >10' N/A N/A
Manufacturer Capacity
Curtain Drain None i 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 D3034
Installer drainfield
Sanders & Sanders Drainfield D3034 CO/MT D3034
Inspector J. Mlllette/ B. Schiller BENCH MARK (Assumed elevation) 100 ft
Inspection 1st 8/28/17 2"d 8/28/17 Location and description
3rd 4th Bottom of siding on West wall of house.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
Conditional Approval: Date ..1
*: 49 TM /1\ .* p4
0 ... ..q.:1-7.... ,?,
4 Benj n Schiller :a
) � � � rr ffil ,,•. C 1292 '/
Approved - . eSk Con y Date 9/30/ I ,ioF�•. o..as0.,:\,-,,,„
.•�4,..
\A\t��`►"`4
Inspection Report_9-1-12.doc
SCENIC HEIGHTS LOT 3
-P sal,, PERMIT # OSP171243 PID # 020-291-78
j*� TM * 4r 10• T. & E. ESMT.—
/ .o
6 . Benja i. Schiller • ' w
��9F•• CE 2592 `�/� + ► t • c.> 30'
gh iii
11 PROFESSIONP I I
����\"`_� I 50' SECTION I.
•
•
• UNE ESMT.
p
1 ; ALTERNATE SITE:
I I TH6 Category III
LOT 2 I ` I yr Treatment System
14 .\ � w/30' Long x 5'
VACANT I - Wide x 4' Effective
4 f' Depth Absorption
'J /`' r' C Trench. Application
l
j li:. Rate 2 GPD/SF.
i6
2-42' Long x 3' Wide Coo 'if • 1 1'� LEGEND
x',,8' Effective Depth liT2 4 '4.0,8' / L\ r MT — Monitor Tube
• Absorption Trenches ® `' FOUR FCC — Foundation Clean Out
.1, / TH — Test Hole
• BEDROOM f CO — Clean Out
', 7F1A HOME 200 — Double Clean Out
I '• • ® ® FS — Flow Splitter
CONTOUR INTERVAL — 2'
: i 2C0 1 01
i
. Floi Splitier svz i I
1
• W
vWell LOT 4 A B
\ 1 1,250 Gallon // —.., FCO 28.1 8.1
•
Septic Tank•
'^� VACANT SV1 56.3 58.2
•
•••, t :, , /j� ` \�� SV2 57.7 63.7
\\ 2C0 57.5 65.7
— t `, \\ \ \ i �,''i CO1 48.0 54.6
�I �i ' \ `�. MT1 41.6 51.3
Prap�ed'i ) j \\ S �•, '� '; • CO2 13.3 46.9
Well •r \ t i CO3 56.8 71.3
,/ 1ti 10'\1",.\#\ E. sa�1;, \. \-„,
\•
\
,' MT2 31.9 64.5
` 004 33.2 66.0
J .\ .,
\ I i
t / '
4 I
I r� I
, ,
SITE PLAN
,:\ �'� i SCALE 1" = 50'
I
SCENIC HEIGHTS LOT 3
PERMIT # OSP171243 PID # 020-291-78
o >ci) > 0
- f 97.8 - - -
-- [88.7
92.7 J ---------87.7
88.1 1250 GAL 87.9
SEPTIC TANK
i
`'."-83.8
oI- WEST TRENCH o
U� 94 .4 FINISH GRADE-�_ 89.2 ORIGINAL GRADE CJ
..F ^ . Y '.Ki'i1 ^fi '�wY�'• i^ .• ta7�
r1::. M
e)
.
•
86.9K s �ff i.X'tia'1 }� m4ep„i .� s > yV�'w: •�• ;i••••u:r••1IG 'iti:L. ZAi:'.86.9 .., .' a. :r �c?i: " Ff ' f iN`tn. ''fll�f,y �.�.yt ...' wt-. ''�0S•=` :...,7”,„..;;;r1.-,1S,.• ;�`tfa+S�rr � :'%!•_M .eR I*T4; i `;C317 ., ' w-e'^;'�•'*.. .`"7 rir:.-.-`�' .*f:; %fr. ' ytrbtai ' 1.*"'"r* :1 . Lt' i.: 4-44.....*'',ii..-1, tis1•; 4.•,,',4t` ?itY ?:y441,.,t:.r,% ; {..4:ai.r::E ?4 (... .:2.4,v`? 4.;?ti., C,, :4;;$1,:e; =:."; c, •3`elte. ,t�':•: v :%?xt , a" . ;-i•. Ai ' y •It. 4. 1'wi0:.t.t%14..w: ,' .Nyt:c y41;;;;ti:r'•.•yi. 6• k:ai,$•:: Jx. , o-s a. :V; .`�Ltx6ct/ :: a.L�-*M'.f3;' i'I;+C:a3,( tt4 .,6.yr.R n . r '� Jt-tYi tr;4`c;l "•}.,, ),�,{•t .�c.. a:.^i!.- •! �i,i.'�f'5# .r ,y��:- ..r'+ Fte^ i* ta �� ',.pV•< tLwy ty.Y�.rt ;five y . ti . �x -P.:';',- 2.:',4 _Z> q ,1,.J . :i-..r.,,:17-1 as " � `.eWfifi brattRii.Y. r � wi•••4* .:1�;t. -'.4444;:;e:i C•'}.! .. :Y:. ...P . . . 78.9 J1r 78.9 42,
72.6
NO GROUNDWATER 8/22/17
Q
I
i--
EAST TRENCH 0
U2 96.5 FINISH GRADE` 90.6 ORIGINAL GRADE CJ
. . {w�Y-.•ti'J l'J'� K ,,,�,'a. r,SIIMM
r�i te..4. k..4;: ya: 11,47:. r:r ?r,..}, 86.8
86.8 '�i4 :-C 1' n•re� et,zart• f...4 k. �'f; •s aY. ;��.. ,t, *}iti o
".
L0. •J .. C GL?....s.: .4 ri. 'v:?SI�1 ,.,7'..-;, :,,s•. t•.. t••... :fir,.
• ":'tv�'- r�4A-t. •y;,•;r;:•L:''•�,:"'67•k' gVY: .at.,.,d J. S• '�?^"L:i.,sl+,'• J f',i'vfx. i2.•-C'•}.. ;+
a>3. :?
VJ/ Lir LVi f Vl. JV JU f J'+J ULVL HLr11VG UKILL1Nl7 I-Wat bl/bl
I ■
CM
Alpine. Drilling & Enterprises
Well Log
Permit Number: ##SW 171243 Date of Issue: 8-25-17' Parcel Identification Number: 02029178000
Date Started: 12-03-17 Date Completed: 12-07-17 Is well located at approved permit location?x Yes ❑ No
Legal Description: Scenic Heights Lot 3
Property Owner Name&Address: Crown Pointe Inc.
PO Box 112313
Anchorage, Alaska 99511
Borehole Data: Depth(ft) Method of Drilling x air rotary ❑cable tool
Soil Type,Thickness&Water Strata From To -
Casing type: steel
stick-up 0 3 Wall Thickness: .250 inches
gravelly silt 3 41 Diameter: 6 inches Depth: 60 feet
Liner Type:
silt 41 44 Diameter: inches Depth: feet
gravelly silt 44 53 Casing stickup above ground: 3 feet
bedrock 53 446 Static water level(from ground level): 197feet
Pumping level: 446 feet after
2hours pumping 4 gpm
Recovery Rate: 4 gpm
Method of Testing: air lift
Well Intake Opening Type:
❑ Open End x Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: bentonite granules Volume:2 bgs
Depth: Start 0 feet Stopped ? feet
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? x Yes❑ No
Method of Disinfection: chlorine tablets
Comments:
WATER QUALITY TESTING Well Driller: Alpine Drilling&Enterprises
Coll> m COU1 Anchorage AK 99511
O Box 110496
Nitrates ,� mg/L A
Arsenic N
2ATTIED
OSP 111 2.Li
AI Arctic Pump & Well, Inc.
Jim Sullivan
688-2610
PO Box 770197 or
Eagle River, AK 99577 243-2282
Fax:688-2543
ARCtIC Email:jim@arcbcpump.com
PUMP&V/ELL
\\*N
NWWA CERTIFIED PUMP INSTALLER
Crown Pointe Inc
PO BX 112313 Franklin Key Dealer
Anchorage,AK 99511
Invoice# 2774 PO: chris Date of Completion:: 2/15/2018
Phone: Cell Phone: (907)727-5259 Fax Number:
Email Address:
Property Information:
Legal: Scenic Heights L3 Pitless Depth: 12
Street: 5721 Greece Excavator: sanders
Static Level: 132 Well Depth:440 Pump Depth:412 PSI Tank Precharge:38 PSwitch Setting:40-60
Well Driller:Alpine
Qty Description Price per Unit Price Amount
1 5Y-10FRD1P4-2W230 $1,506.00 $1,506.00 $1,506.00
400 Sch 120 $3.98 $3.00 $1,200.00
413 10-2 WG SUBMERSIBLE PUMP WIRE DOUBLE JACKET $2.50 $2.25 $929.25
1 check valve long $50.00 $50.00 $50.00
1 WATER SPLICE $28.00 $0.00 $0.00
1 Well MOA Seal $86.00 $61.00 $61.00
1 Pumptec $305.00 $305.00 $305.00
1 INSTALLATION $600.00 $450.00 $450.00
Received in Satisfactory Condition
Total: $4,501.25
L
Payment due on receipt of invoice unless prior arrangements made.
All account Past Due will be charged 1 1/2%per month.
$25 second billing charge.
THANK YOU
1'
a ca -a i -,5V" t I M.00'
i'ho location of the structure(s)as
shown on this record drawing
as -built? complies kith Title 21, AMC.
PLAT NO. 2015-76
SCENIC HEIGHTS SUBDIVISION
LOT 3
43,619 S.F.
ossat1t
49TH •. *�0
■
.. 0 00000000*
0. 0 .. 0000..•
. Jeffery A. Gastaldi
L 6091Qj�
e16
S.Pa •0000.••• 5
10' T. & E. ESMT.
BUILDING DI
SCALE: I"=20'
DIRECT VEHICULAR ACCESS TO GREECE DRIVE FROM LOT 2 AND LOT
3 SHALL BE VIA SHARED ACCESS DRIVE_
A S- B U I L T
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
GASTALDI LAND
PROPERTY DEPICTED ABOVE AND THAT NO
SURVEYING, LLC
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
JEFF A. GASTALDI, R.L.S.
IT IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS
2000 E. DOWLING RD., SUITE 8
COVENANTS OR RESTRICTIONS WHICH DO NOT
ANCHORAGE, ALASKA 99507
APPS ON THE RECORDED SUBDIVISION PLAT.
PHONE 248-5454
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
GRID
DATE
HEREON BE USED FOR CONSTRUCTION OR FOR
Sw3637
4/4/2018
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT. ALASKA
F.B. JOB No.
18-01 1 SHS3 NOTE : NO CORNERS SET THIS DATE
ori,— --`-'��o,, MUNICIPALITY OF ANCHORAGE
On-Site Water& Wastewater Program . \ .S•
I
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 .-.
http://www.muni.orgionsite — ilithlili z ,H
Ditartntcnt
4M1cHoof.
On-Site Water & Wastewater System Permit g /z /i7
13014 W ' tsfz5J1n
Permit Number: OSP171243 Effective Date: 8/25/2017
Work Type: WellSeptic Initial Expiration Date: 8/25/2018
Tax Code Number: 02029178000
Site Legal Address: SCENIC HEIGHTS LT 3 G:3637
Site Mailing Address: 5721 GREECE DR, Anchorage
Owner: CROWN POINTE INC Lot Size in Sq Ft: 43618
Design Engineer: ANDERSON ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy El 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
Special Provisions: TH6 shall be deepened or a new test hole provided for alternate site to demonstrate
(
separations to groundwater and impermeable barrier. Test hole can be provided at time of construction and soils
log submitted with inspection report. Any required changes to design of alternate field shall be addressed in
inspection report record drawings.
Received By: VIA U I''l`Q i Date: fp 5
Issued By: jJljl A. Date: 6AW
67 8 \'7
�4 RUSH) 9
MUNICIPALITY OF ANCHORAGE E AUG 3 A2017 3
N,
r• �t6 w
lirlii°
Community Development Department Pho -. s e . • so
Development Services Division ti__� ti :907-343-79•
On-Site Water& Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATI•N A, : ,, , „„
�� ti
Parcel I.D. 020-291-78 ,NC"
!
Property owner(s) Crown Pointe, Inc. •
Day phone ''~t " ` 'Mailing address P.O. Box 112313 Anchorage, AK 99511
Site address 51 Z1 V141-Greece Drive Anchorage, AK 99516
Legal description (Sub'd., Block& Lot) Scenic Heights, Lot 3
Legal description (Township, Range & Section)
Lot Size 43,618 Sq. Ft. Number of Bedrooms Four (4)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑X Initial CI Single Family (SF) ❑x
(w/wo ADU)
Septic Tank ❑X Upgrade ❑ Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (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.
1110P, ii
(Sig..i.:'`re of iiirty owner or authorized agent)
Permit/Rush Fees: 51A t D15-z. it'-( Waiver Fees:
Date of Payment: r a- I I1 743/P Date of Payment:
Receipt Number: 0$(0.1-5C P4-"Receipt Number:
Permit No. OS 1 111243 Waiver No.
•
Permit App_: l'_-c _.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
August 21, 2017
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 3, Scenic Heights Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 3, Scenic Heights Subdivision intends to construct a new four-
bedroom home on the lot. We are therefore requesting a permit be issued for the
construction of a new well and septic system to accommodate the home. The attached
Site Plan and backup documentation identify the location and configuration of the
proposed well and septic system along with the alternate site. Also identified on the
plans are the existing and proposed wells in the area and septic systems on
surrounding lots. No conflicts exist between the proposed well and septic system on this
lot and the existing septic systems and wells on adjacent lots. Drainage arrows and
ground surface contours are shown on the site plan showing the grade and direction of
flow on the lot. The observed slopes on the lot are shallower than those indicated by
the contours. The drainage pattern will not be changed as a result of this project.
The test holes placed on the lot in the area of the absorption trenches and alternate site
indicate silt with gravel and sand (GM/ML). The percolation rate of the soil was
determined to be 1 to 5 minutes per inch. No groundwater was found during the
placement of the test hole and none was found in any of the test holes during the
monitoring period. We have designed the new absorption system to the percolation
rates obtained in TH3 and TH6 completed during the subdivision of the lots in Scenic
Heights Subdivision. An application rate of .45 gallons per day per square foot was
used in the design of the absorption system. We are proposing to place a new 1,250-
gallon septic tank and 2 - 42' long by 3' wide by 8' effective depth absorption trenches
to treat and dispose of the effluent generated in the house. The elevation of the
distribution line in the absorption trenches will be 3.0' below the surface and the total
depth will be 11.0'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed
over the absorption trench and 4' over the septic tank. A flow splitter valve will be
installed to insure even flow to each trench.
The ground surface on the lot in the area of the septic system slopes to the west at a
Lot 3, Scenic Heights
August 21, 2017
Page Two
moderate grade, but less than 25%. The new trenches will be constructed parallel to
the ground contours 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' 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, 4..4�
4 yam •e4\\
Benjamin Schiller, P.E. '" • v. . •..:...,�
Attachments '
V ` C.Ehri 2
SCENIC HEIGHTS SUBDIVISION
LOT 3
10' T. & E. ESMT.
i
4 1 ca
1 \ S 89'56'34"E 300.00'
4 4 W
1 1 44 w 30
W
1 c
1
I 1 S 89'56'34"E 175.50' 50' SECTION •I
I LINE ESMT.
\
1 \
ALTERNATE SITE:
i\ 1 nis i Category III
LOT 2 1 I i Treatment System
VACANT w/20' Long x 8'
Effective Depth
1 Absorption Trench.
Application Rote 2
2-42' Long`\x 3' Wide •o2' /• GPD/SF.
x 8' Effective`, Depth co
LEGEND
Absorption Trenches �' co !•
DRIVEWAY °'
______ 4, io' co >H3 MT — Monitor Tube
��`— �� 1s N FCO — Foundation Clean Out
�/\ — TH — Test Hole
w CO — Clean Out
N FSV
/� 200 — Double Clean Out
'� F•• ' i 0 FSV — Flow Splitter Valve
+c.
b
), BEDR• �M 0 CONTOUR INTERVAL — 2'
\\c. M�coy HOME
z
�,25Q G9l on / Fc.,1 l LOT 4 �lrmmart,
5eptib, Tar*.—t \ \ �4�� OF q 1f�♦
�1 VACANT .•,P•.• •.Lq ♦♦
--- - // rfl111 �. ' 49th i� ♦•�
I
Proposed ' /- 1 I Proposed \ • MICHAEL E. ANDERSON
Well / N I � Well \ 0 '�v�-
'<— — — — -- — — -- \\ '♦♦��T: NO. CE-4381 ,•'/4/Si
`� 10' T. & E. SNA/. \\ ♦♦;PFO,•4:•�Z j S•j•��C��"
1
\ `�t 89'57'39"E 188.00' 11
.4 4?pROFESSIONP+•�
� \ , \ 1 11�11Aw,\***�
1, , ,
, , ,, , , SITE PLAN
Existing 1\ z/� 1I /, /, SCALE 1" = 50'
Well \\ .,-' I / /
N i
L- / _i
LOT 3, SCENIC HEIGHTS SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home DeepTrench System
Perc. Rate: 31-60 Min./Inch 1,250 Gallon Septic Tank
Application Rate: .45 GPD/SF 8' Drainfield Rock
4 Bedrooms X 150 GPD/.45 GPD/SF (Application Rate) = 1,333.3 SF Absorption Area
1,333.3 SF/16 SF/LF = 83.3 LF Trench Length
THEREFORE: Construct 2-42' Long x 3' Wide x 8' Effective Depth Absorption Trenches at the
Location Shown. Flow Line Elevation in Trench to be 3' Below Original Ground Surface. Total Depth
to be 11' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption
Trench. Maintain 100' Separation from Wells in the Area.
2'6"
Natural
Backfill
Geotextile
Fabric
6" O 4" Perforated
PVC (Holes Down)
8'0"
Drainfield Rock
:3'
I I
TYPICAL DEEP TRENCH SECTION
(NO SCALE) •�C �55���
co:' •11
NOTE: Grade Area Over Trench to Drain Away. ..�t•
'•
Minimum 6' Separation From Bedrock. 49tH •
Minimum 4' Separation From Groundwater. s _
Minimum 100' Separation From Wells in the Area. •
• BENJ• � SCHILLER •
w w
Minimum 100' Separation From Surface Water or Streams. V,%. No. CE-12592 =� P
JFESS\ +•+
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT/ON-SITE WATER AND WASTEWATER PROGRAM
4700 ELMORE ROAD, ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
PROJECT #:
PERFORMED FOR: Crown Pointe Homes DATE PERFORMED: 8/15/17
LEGAL DESCRIPTION: Lot 3. Scenic Heights
TEST HOLE # A SLOP= SITE PLAN
.-• 4
I �
OG/OL
.
•
2 — d4 .
3 —a• • See Site Plan
. 4
LF :: Silt with Gravel
4 and Sand
' , ' GM/ML
5 — . •
.
b . 'e
7 • :4 .
8 — - '
�••'. * • WAS GROUNDWATER
9 ENCOUNTERED? No S
. ' • •: L
10— : A.• .
IF YES, WHAT DEPTH? 0
• DEPTH OF WATER None P
AFTER MONITORING: E
• , DATE: 8/22/2017
12—
a
13—. ����•+QF A a. READING Dl TE GROSS NET DEPTH To NET
•`o P� . �4*� TIME TIME WATER DROP
• �: ,:•'••.!y S. 1 7/13 6:20 0.00"
14— d •
. 4, :v./L._� : *$ 2 6:29 9 6.00" 6.00"
to
15 ■
•
3 6:30 0.00"
•;?,.% EMER W i 4 6:39 6 6.00" 6.00"
a. .. •`- •:. N0. CE-12542 .,_t0 5
•
16— 6:40 0.00„
•�.,``,9,:•••41• •�•••: crab. 6 6:49 9 6.00" 6.00"
17 ... ..4 4 . . f+,�-Iii��Swss�+•+�
18 • • •A BOH 18'
PERC RATE: 1.5 MIN./INCH PERC. HOLE DIAMETER: 6„
TEST RUN BETWEEN 4.0 FT. AND 4.5 FT.
COMMENTS: Test Hole Pre Soaked Prior To Percolation Test.
TEST PERFORMED BY: JM I, BENJAMIN SCHILLER, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 8/22/2017
Municipality of Anchorage P. ,; iEER6Ld
Development Services Department ill 69 ��' `'1 •.9
(I.-0
• Building Safety Division * • �•49ftj , •4 ,tr On•Site Water and Wastewater Program 3� "1 f.int O.ee♦ ••s•• ••�.• .ee t..
1 1 4700 Elmore Road # 1, c
�' —' P.O.Box 196650 Anchorage,AK 99507 d o
www,..9J.anchoraoe.ak.uy ) MICHAEL E. ANDERSON a
(907)343.7804 'p.9�J f.� CE-4381 1.
•••-�'�
fA••,12-27-10•••�>>{4
Soils Log - Percolation Test /le PADrtSSso•t,,,
Performed For; James Staengel Date Pelformed:,_9144f 11 Q
Legal Description: Township,Range,Section:
11' 3 Slope Site Plan
Depth
(Feet) ,
1- t^1.-, _
2-
3- .
5- - -
6-
7- - _ J
WAS GROUND WATER d
9- ENCOUNTERED? S
f/
IF
10- YES,AT WHAT DEPTH? 1
Depth to Water After O P
11- Monitoring? ` E ,
12- d4N S.c. Date. 9)Ito II° •
.
13-
-
14- G1)171 Reading Date Gross Time Net Time Depth to Water. Net Drop
15- •bl Ito 1q: E. •..---- C.15 .1 ..----
•
15
16 i'� c� 3 s I`C�'I D.b 11
17- 1*'. Ip 5 bI 'ti '
18- _ ic1'.go 30M,t}1S _ ‘,63'` p,8i 't
19- _ 1y•y°5 ! 5-fit!." -
•
20- V 1 ',j 3 o pt i t (A,31 ` D,'i 'It
PERCOLATION RATE 4 im:rueumch) PERC HOLE DIAMETER 711
TEST RUN BETWEEN - at 1r FT AND 5 FT
COMMENTS PERC CAVITY WAS PRESOAKED PRIOR TO TESTING
PERFORMED BY: A.Harala I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
•vf
��-�Of q ,tr,,_
i.
Municipality of Anchorage D ri t` .IE S y 4r
Development Services Department +• •• •r... .,.../.f,�f.�...A •
Building Safety Division �71._ t_ 1r --1 r
...•.••,•.:. ).S•..•• 4,04..1., :
• r air
On-Site Water and Wastewater Program a�' MICHAEL pNgSCN
4700 Elmore Road r, • (e
.i.-h—)+- P.O.Box 196650 Anchorage,AK 99507 .� s°.° 41=-4'38 i .• ,s
www.ci.a nchoraae.ak.us �,�r'',p+!Z"27-1 Q.`���`i+r
(907)343.7904 y FD °•°•o o•o••
Soils Log - Percolation Test
Performed For: James Staengel Date Performed: -9 f e (1-of a
legal Description: Township,Range,Section:
Slope Site Plan
I .
Depth
(Feet) CT`
Il..,1V
z G .
3
4-
5
6-
8 WAS GROUND WATER j 1
9- ENCOUNTERED? (N
e".. S •
10- IF YES,AT WHAT DEPTH?
0
Depth to Water After P
11- Monitoring? I t
12- Date: 5 1 Ito ►o _ i
13- OM tt
14- Reading Date Gross Time Net Time Depth to Water Net Drop
15- . 3I.. (t Q 15,45 .----- „ In” �—_
16- Ito'ti - 3r, MlrV 1ro1,`. .6,815
1
17- t.'Z o .------- 6,31
1I �--..
18- I a.P0 3" moo 7.Ili" o.81 tr
19- fL 151, (m
— ,ZS'I
20-_ I1;s — 30 M)t4. 1,I2,+ D.861`
PERCOLATION RATE 2)4" (rnrn,tesf. ) PERC HOLE DIAMETER ,t
• ' TEST RUN BETWEEN ..—.1FT AND 4;5 FT .
COMMENTS PERC CAVITY WAS PRESOAKED PRIOR TO TESTING
PERFORMED BY: A.Harare I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE TH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
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
Parcel I.D. 020-291-78
1. GENERAL INFORMATION
Expiration Date:
Complete legal description Scenic Heights Lot '3
Location (site address) 5771
Greece Dr, Anchorage, AK 99516
Current property owner(s) Christopher L & Ginger C Houghton Day phone
Mailing address 5721 Greece Dr, Anchorage, AK 99516
-_ LindsayCross
Real estate agent
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex).
3. NUMBER OF BEDROOMS: 4
_907=2-23-0545
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
Private Septic
❑■
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 550
Date of Payment 3 a q dw
Receipt Number 0503 1 b
COSA # OS C, 22 I l O 9
Waiver Fee $
Date of Payment
Receipt Number
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 Engineering (M.J.) Phone (907) 522-7773
Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503
Engineer's Printed Name Benjamin Schiller, P.E. Date 3/23/22
6. DSD SIGNATURE
System #1 Approved for 4
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
bedrooms
4� OFq X11
*: 49TH •* /
rww
Benjam(rvSchiller
CE
3/23/22
2 �Amp,�/ .. ._ . .
R4FESS10NP .�
bedrooms, with the following stipulations:
A11��h,� ��/i
La
Sj
,S1TE c�
yg WATER A R z^
- �P
W oROG�AM
By 0Original Certificate Date: �W'D-? :z
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
COSA Checklist yellow sheet
COSA Checklist
Legal Description: Parcel ID:
If more than 1 septic system on lot: COSA Checklist # of 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 of Sample
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) years
Tank type/material
Measured operating fluid level in septic tank
Standpipes/foundation cleanout per record drawing
Date of pumping
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
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
Adequacy test date
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
Comments/Deficiencies:
Scenic Heights Lot 3 020-291-78
■4.1
12/07/2017
446 ■
60 ■
4.82■
■■
24+ Forge Engineering
3/14/22
255
3/14/22
4
Septic/Steel
49
■
A+ Home Services 3/25/22
Deep Trench
8/28/2017 3/14/22
■4
14.8/19.5 15/44
8.0/11.2 825
28/51
■
1440
6.8*/8.3
15/45
>600
*Only West trench MT didnt reach to bottom of trench, West/East
✔
COSA Checklist yellow sheet
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’
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
From Septic/Holding Tank on Lot to:(Please enter distances if less than required)
Building Foundations > 10’Yes if No ft
Property Line > 5’Yes if No ft
Absorption Field > 5’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 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
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
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’Yes if No ft
Community Wells > 200’Yes if No ft
F. ENGINEER’S COMMENTS
G. ENGINEER’S CERTIFICATION
I certify that I 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.
3/23/22
✔✔
✔
✔
✔
✔
✔
✔
✔✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
• b
Xo8970
>>� •
Municipality of Anchor: s e °
1,..2t -.� On-Site Water and Wastewater Progr-4 APR 16 2018 i mom"
(907) 343-7904 NIITY
C "w
ti
Certificate of On-Site Systems Appro-1 • 8 L ii 17 �
Parcel I.D.
020-291-78 Expiration Date: t)4 3 0 ) a 0 16
1. GENERAL INFORMATION
Complete legal description Scenic Heights Lot 3
Location (site address) 5721 Greece Dr.
Current Property owner(s)
Crown Pointe Inc. Day phone (907) 748-5579
Mailing address PO Box 112313, Anchorage AK 99511
Real Estate Agent Day phone
2. TYPE OF DWELLING:
El 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 0
Community Class Well 0 Community 0
Public Water System 0 Public Sewer ❑
WaiverNariance request for: Distance:
Received by41/A o / / Q/ Date: 14/,0//g
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ (. 0P-1"'LA1 ' Ilk•i. Waiver Fee $
Date of Payment ("A'l—'1 Date of Payment
Receipt Number 01 t t-10 Receipt Number •
COSA# 05e-Ig 1 iq 6 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) 522-7773
Address PO Box 240773, Anchorage, AK 99524
Engineer's Printed Name Benjamin Schiller, PE Date 4/11/18
6. D *.'49 TH *��
SD SIGNATURE / ... ...
✓ System #1 Approved for bedrooms •• •.
r - Ben- in Schiller „Al
System #2 Approved for bedrooms
7� ' ;. cif 592 �ti�
Disapproved ���;`°co p..... c$?,;�''.A .
Conditional approval for bedrooms, with the following stipulations:
•
`, \-. OF ANC/.:
D
Wg�WR-
': �PROGRp'M
S
�`nFAIT SECS '
By: j' 9\ Ccoutt-4
Original Certificate Date: ri .30, ;:2 D 1 FC-
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 j '- 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: Scenic Heights Lot 3 Parcel ID: 020-291-78
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 12/07/17 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 446 ft Cased to 60 ft. Casing height (above ground) 36 in.
FROM WELL LOG AT INSPECTION
Date of test 12/07/17 New
Static water level 197 ft. ft.
Well production 4 g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform Neg*colonies/100 mL Nitrate 3.84 mg/L
Arsenic ND ug/L Date of sample: 4/3/2018 Collected by: Forge Eng
*Re-tested for choliform after well was disinfected Oh
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 8/28/1 7
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping Pumper New Construction
C. ABSORPTION FIELD DATA
Date installed 8/28/17 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.45 GPD/SF System type Deep Trench
Length 42/42 ft. Width 3.0/3.0 ft. Gravel below pipe 8.0/8.0 ft.
15.5/17.7 2
N
Total depth ft. Eff. absorption area 1344 ftMonitoring tube Y Depression over field
Date of adequacy test New Const Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth 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 (Y/N)
"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 1��' On adjacent lots 100'
Absorption field on lot >100' On adjacent lots >100'
Public sewer main >75' Public sewer manhole/cleanout >100'
Sewer/septic service line >25' Holding tank >75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10'
Property line >5' Absorption field >5'
>10'Water main Water service line 1 Surface water 100
Wells on adjacent lots 100'
ABSORPTION FIELD ON LOT TO:
>10' 10'
Property line Building foundation 1 ' Water main
Water Service line >10' Surface water �1 00' Driveway, parking/vehicle storage >10'
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION �.����At
I certify that I have determined through field inspections and ...t�Q;• 0�
review of Municipal records that the above systems are in �� ' ��
f
conformance with MOA COSA guidelines in effect on this date. *•'' ••�•* A
Benjamin Schiller, PE �= l i
Engineer's Printed Name , ••• •.. .... ......
Date 4/20/18 i/0 », Ben.= in Schiller..:,.;;,...„..•••
•
'' C 12592 .;%
COSA brown sheet 10-10-12.doc