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HomeMy WebLinkAboutT12N R3W SEC 23 NW4SW4SW4NE4 PTNOnsite File a ` Y��� a" I r r r 4 gul Dom ;... is eS Municipality of Anchorage On -Site Water and Wastewater Program R (907) 343-7904"tff;8 r ON-SITE WASTEWATER INSPECTION REPORT AUG Permit Number: OSP181067 PID Number: 015-331-06 6 2019 Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project:I■❑ New ❑ Upgrade Name: Tamara Currier ABSORPTION FIELD FW Deep Trench ❑ Shallow Trench EJ Bed E] Mound Address ;u6) q.5kil d� 6, br} f ftViOrl't e- AK- ❑ Other Phone of Bedrooms Soil Rating Total depth from original grade TNumb—er 0.8 GPD/SF 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.0 Ft. Gravel depth beneath pipe 7.0 Ft. Subdivision Block Lot NW4SW4SW4NE4 PTN Fill added above original grade -0.6 Ft. Gravel length 56 Ft. Township Range Section 12N 3W 23 Gravel width 4.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To! Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 756 Ft 1 Ft. Well >100' >100' N/A N/A >25' TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Infiltrator Water Technologies Capacity 11,530 Gal. Surface Water >100' >100' N/A N/A Material Number of compartments Lot Line >5' >10' N/A N/A Plastic 2 NA Foundation >10' >10' N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. Remarks 2" Insulation Over Absorption Trench. Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Whitters Excavating Drainfield D3034 CO/MT Inspector J. Miilette BENCH MARK (Assumed elevation) 100 ft Inspection1st 5/22/18 5/23/18 Location and description dates: 2nd 3'd 411 Top of foundation. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF Conditional Approval: Date ffR••°••�•R.l-9+��� a 49th '. YR. kyr iARR3Y •RR II•j/R�jYRARRR SRAR1(��,{ �A� ®A < P' AYARRi/ARAE84RARARER RYRARA....ARAA R ARARRR..AARRAv MICHAEL> . AD.> Rsory V No. C£--4387 ® ._,�r���'•R, Approved Date 8/15/19 R.'•���� F RARRRRRRIAARRRR•• mspecuon Kepon:_y-i--iz.aoc T12N R3W SEC 23 NW4SW4SW4NE4 PTN PERMIT # OSP181067 PID # 015-331-06 i \\ WELL �tADJACENT WELL\\, 1 00'WELL RADII ujA LLYFGO U / MT1 62 . B Q O / 2CO 0 J m i \ ® 1530 -GAL PLASTIC LGN 4' WIDE, 7' CQ1 TH#2 ; SEPTIC TANK EFFEC rlVE DEPTH 8(1T2 ABSORPTI DN TRENCH MU TH#1 Caz LOT 1B ....... ALTERNATE SITE ..l.l.v5sreens�sts Forgo logo.;pg +49th '. MICHAEL E. ANDERSON w e CE -4381 ��crfy°• 8/15/19 ,.o+���� ROADWAY EASEMENT ROCKRIDGE DRIVE PLAN AS -BUILT 0 50 0 A B FCO 13.6 46.8 SV1 21.5 60.8 SV2 19.6 67.6 MT1 19.6 70.5 2CO 24.4 70.6 C01 48.9 76.3 MT2 48.8 73.7 MT3 93.7 122.9 CO2 98.6 127.6 9 LOT 6 Septic Area LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEAN( FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE T12N R3W SEC 23 NW4SW4SW4NE4.PTN PERMIT# OSP1 81067 PI D # 015-331-06 2" INSULATION 01-- 75 0 92.6 -1.1'...--.1--.b,,, 85.6 95.0 FINISH GRADE - 95.6 ORIGINAL GRADE 56' 86.1 3.5 92.6 79.6 NOTE: MONITORING TUBE DISTURBED DURING FINAL GRADING PROFILE AS -BUILT (NO SCALE) MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 SOILS LOG AND PERCOLATION TEST LEGAL DESCRIPTION: T12N R3W SEC23 NW4SW4SW4NE4 PTN PERFORMED FOR: CURRIER TAMARA DATE: 4/22/18 PROJECT No.: PARCEL ID#: 015-331-06 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE (feet) 1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 -.BOH 17 81920 18- 19- 20 SLOPE BROWN CLAY / ORGANICS SANDY SILTY GRAVEL GM WAS GROUND WATER ENCOUNTERED? NO IF YES n WHAT DEPTH? - DEPTH OF WATER AFTER MONITORING: NONE DATE OF MONITORING: 4-3-19 L P E SITE PLAN SEE SITE PLAN U 2 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) 4/12 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 15:18 4 2 15:48 30 9z 5 8 3 15:49 4 4 16:19 30 92 52 5 16:20 4 6 16:50 30 91 512 PERCOLATION RATE: 5.5 (MIN/INCH) PERC. HOLE DIA. --§—(INCHES) TEST RUN BETWEEN: 4 FT. and 5 FT. COMMENTS: TEST HOLE #1 DEEPENED TO PROVE SEPARATION TO IMPERMEABLE SOIL PER PERMIT REQUIREMENT. WATER MONITORING BASED ON ORIGINAL TEST HOLE. beveioa'mi mint Services Department slid€ g Safety Division r ' -Sate Water & Waste eater Program „.;. 4700 Elmore Rood P.Q. Box 196650 Ane orctge, AK 99507 s r c- r r Mark Begich %'MW'mL-'2L0 a/onsite Mayor (907) 343-7904 Well Log Permit Number-.OSPIS1067 Date of Issue: 5/7/18 Date Started: 7/3/18 Date Completed: 7/13/18 Is well located at approved permit location? (x { Yes U No Legal Description: T12N R3W SEC23 NW4SW45W4NE4 PTN 6:2639 Property Owner Name & Address: Currier Tamara Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To stickup 0 2 silt & gravel 2 65 boulder 65 67 silt & gravel V 67 82 wet silt & gravel 82 8s clay w/ gravel 85 110 silty clay 110 120 wet silty clay 120 165 silty clay w/ H2O sand w/ gravel & H2O 265 178 178 181 coarse gravel w/ F120 181 186 Water Sample Results: F -t 5't j Arsenic: 1,L V ug/L Nitrates: 1203 mg/L Total Coliform Bacteria: colonies/100ml, Other Bacteria: Ne col/100ml:, Method of Drilling U air rotany L{ cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 186 feet Liner Type Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 84 feet Pumping level: feet after hours pumping _ gput Recovery Rate- 15 gpm Method of Testing: airlift Well Intake Opening Type: Mx Open. End n Open Hole ❑ Screened Start feet Stopped feet M Perforations Start feet Stopped feet Grout Type: Bentonite Yolume.granul' Depth. 20' Start 0 feet Stopped 20 feet Pump: Intake Depth 152 feet pump size 3/4 hp Brand Name Grundfos SQE Well Disinfected Upon Completion? n Yes n No Method ofDisinfection: chlorine tablets Comments: Well Driller: Hefty Drilling, Inc. 3540 Akula Dr. Anchorage, AIC 99516 Attention: The well driller shall provide a well log to DSD within 30 days of completion. bevelopnen s' Services Depanr` mizn-f On -Site Wa-s-er �'_' Was,; e?'Sa er Progif ann 4700 Elmore Road P.Q. Sox 196050 MarkBegich Anchorage, AK 99507 s a f E T Y Mayor �^xvvj.muni.oro/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: 1;510 6i Date of Issue: _-7 - 1 v Parcel Identification Number: Legal Description T Q A/ 02 3 w c)1 Property Owner Name & Address: II q 0� Mr 6. (—(/ Ir Y, C,r- C14:7Y� PxA PI;d5e- 01r, Pump Installation Date: e - C'—_ IC, Pump Intake Depth Below Top of Well Casing: I'j2 feet Pump Manufacturer's Name: Pump Model: l U 5 q E: 07 UO Pump Size 7/y hp Pitless Adapter Burial Depth: 1 ,� feet Pitless Adapter Manufacturer's Name: 6-1 C) Pitless Adapter Installer: Dec) N!, Well Disinfected Upon Completion?Yes n No Method of Disinfection: Comments: Pump Installer Name: /it ftyD6l4,nnc �c, A7C99511 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. V x m Z 0 m D X 11 ,' rg 30' 30' i I3O8.54'(MEAS) ------- -------- NORTH 3O9.16'(REC 78-195) -------- 25' ------ -------- N 00000'00"E 343.54' -------- BASIS OF BEARING {V C \ O ® \0 J (n m 79.8' ;uN CD x D 64.7' A U cn o j�7 0D * NITIZall m r U) m z Iia 0 o GRAVEL DRIVE ------ / --------344.61'(MEAS)-------- 57.26----------- m • N 00006'25"W 319.61'(MEAS) 0 v m - ------ N 00006'51 "W 317.5O'(REC) -------- _ o -< N � mN rn 25' 25'o 0 V x m Z 0 m D X 11 ,' rg LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN See Site Plan DATE READING GROSS TIME(minutes)NET TIME(minutes) DEPTH toWATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) T12N R3W SEC23 NW4SW4SW4NE4 PTN 4/22/18 J. Millette Development Services Department 4700 Elmore Road Anchorage, AK 99519-6650 Municipality of Anchorage DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH OF WATER AFTER MONITORING: IF YES @ WHAT DEPTH? NO - None 5.5 6 4 5 015-331-06 CURRIER, TAMARA Professional Engineers Stamp: 15:18 4/12 1 2 3 4 5 6 30 30 30 4 9 7 8 5 7 8 4 9 1 2 5 1 2 4 9 1 2 5 1 2 15:48 15:49 16:19 16:20 16:50 1' OB SANDY SILTY GRAVEL 4-3-19 BROWN CLAY / ORGANICS BOH GM TEST HOLE #1 DEEPENED TO PROVE SEPARATION TO IMPERMEABLE SOIL PER PERMIT REQUIREMENT. Apr 15, 2019 ., ,""""r'0, MUNICIPALITY OF ANCHORAGE , en( On-Site Water&Wastewater Program �,, .. S b �{ r fir, PO Box 196650 4700 Elmore Road .. il 7 Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 7's http://www.muni.orglonsite ' lliti __ I)t•paitntt•nt 4k0.P GF' On-Site Water & Wastewater System Permit Permit Number: OSP181067 Effective Date: 5/7/2018 Work Type: WellSeptic Initial Expiration Date: 5/7/2019 Tax Code Number: 01533106000 Site Legal Address: T12N R3W SEC 23 NW4SW4SW4NE4 PTN G:2639 Site Mailing Address: 6645 ROCKRIDGE DR, Anchorage Owner: CURRIER TAMARA Lot Size in Sq Ft: 82840 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: 0 Disposal Field 2 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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: A test hole within 30 feet of the drainfield shall be dug/deepened to 16 feet prior to construction of the drainfield to confirm 6 feet separation to impermeable. If the results require a design change, construction of the system shall stop pending On-site review and approval. Please submit stamped and signed results with the inspection report. Received By: I,' ility,,, 77) ` ! Date: Issued By: � j�,C(�(, Eit)t€ J Date: 5 e MUNICIPALITY OF ANCHORAGE 1. -�. Community Development Department s 56 8 9 10 7 " one: 907-343-7904 Development Services Division 'pax: 907-343-7997 On-Site Water& Wastewater Program ti ON-SITE SEWER/WELL PER AokiaA'T'ION ti 6 c�, Parcel I.D. 015-331-06 c> c>� Tamara Currier 01 s 8 Property owner(s) lay phone Mailing address 6412A Whispering Loop Anchorage, AK 99504 Site address NHN Rockridge Drive Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T12N R3W SEC 23 NW4SW4SW4NE4 PTN Lot Size 82,840 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑X Initial 0 Single Family (SF) n (w/wo ADU) Septic Tank ❑X Upgrade n 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 4 wq - Waiver Fees: Date of Payment: (-1/,6/1g Date of Payment: Receipt Number: (� �QD Receipt Number: Permit No. OSP1911)(o7 Waiver No. Permit App_ -: ::.,c .rte GE ENGINEERING PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) April 29, 2018 Municipality of Anchorage Development Services Dept- On-Site Water& Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: T12N R3W SEC 23 NW4SW4SW4NE4 PTN—Rockridge Drive Septic system design and permit application 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. No conflicts exist between this proposed system and any other well or septic system,whether on this lot or adjacent lots. The ground surface on the lot slopes toward southwest at slopes less than 25%. It is in that flatter area 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. Ground surface 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. It 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 14' away. Please refer to the attached test hole logs and plan and profile pages for the septic design. If this design is followed,there will be no adverse impacts to adjacent properties. Sincerely, 14,1„1 Michael E. Anderson, P.E. • 10-4-AL,afeett42,04,-.) • ,MICHAEL E. ANDERSON1 • Attachments ti ip No. CE-4381 ti • X44, E== w� T12N R3W SEC23 - NHN ROCKRIDGE DR Existing Well I I Proposed Well 1 LOTS l \ / .: \ / . . . - � i / 07 _ — 4-BDRM HOME N .. �_ LL N \ FCO . .. = (,) O Y 1,250 Gallon— • — ' w Y Q UO e Septic Tank 40'SV , O CO CO TFak2 .• . CO 0Y• C•-�� - Q • eT"ai :54'Long x 3'Wide x 7'Effective - Depth Absorption Trench lemnate SiteLOTE f . LOT6 vE 1 - 0GE�R Septic ROGKR Area ROADWAY EASEMENT ROCKRIDGE DRIVE NOTE: �•E NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE LEGEND „-,,-. •.• 7 PROPOSED SEPTIC SYSTEM ar C-).•• '�.. .. CO-CLEANOUT •4` 49th• /' ••••*• ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2C0 DOUBLE CLEANOUT • 2• %4' PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC FCO FOUNDATION CLEANOUT I FS-FLOW SPLITTER VALVE '' ..._..�..`��� " SYSTEMS. MH-MANHOLE O•c`MI�EL E. ANDERSON` . 0 50 100 ••-' '••. No. cE-4381 -.- i o ••�� ., ,�^ V: = FEET SLOPES>25/o MT-MONITORING TUBE • 2Y le `:•• _SLOPES>46% SV-SEPTIC VENT ••44•, =w'at, 1"=50' TH-TEST HOLE T12N R3W SECTION 23 NW4SW4SW4NE4 PTN DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW 3'WIDE DEEP TRENCH SYSTEM PERK RATE: 5.5 MIN/IN 1,250-GAL SEPTIC TANK APPLICATION RATE: 0.8 GPD/SF 600 GPD/0.8 GPD/SF/ 7' DEEP/2 SIDES = 53.6 LF TRENCH REQUIRED (54 LF SPECIFIED) BOTTOM OF TRENCH: 10' BELOW GRADE FLOW LINE ELEVATION: 3' BELOW GRADE TOP OF TRENCH: 0.5'ABOVE GRADE t 6" — 'll�l� l -Ilf- -I I f-I I I�i f=Ilk=1 I o III-1 11-I I H I I-I i i HI I I-1 I I-1 I fff 11 2'-6" 111-111-111-11-111 k 1Ik=1I 1I1=1I�II�1 ILEI -IIHIHIHI= H�11l 111=1 I�I I I-1 11=-11E1111=1111111--_-_-111111 =�'�'=•'=•'=•'=•' =•'=•' 4" PERFORATED PVC (HOLES DOWN) =0'•"•:•"•"••• DRAINFIELD ROCK 7' '•;•:•:•:•:•:•:•:•;•::;::.:.:.. ;�,�9;•_•_;�,�,�,�9;;;;;111:;;; 3 TYPICAL DEEP TRENCH SECTION �.• �E of (NO SCALE) � `�9 t NOTES: 49,th '}�, 1. GRADE AREA OVER TRENCH TO DRAIN AWAY G,...... ..... ',•••••, • e --- i 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' �• •MXcI � E. nn rts� :�� WITH 2" OF INSULATION •yrs'., ►�O=4�a1 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER -Lr Lt • Fes, THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY ����� =I 4 '' MUNICIPALITY OF ANCHORAGE �e\>:•• ...... . DEVELOPMENT SERVICES DEPARTMENT '; !— •: •• • 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 Ct /\ . .a....i SOILS LOG AND PERCOLATION TEST '>,vAtti E. ANDERSON:= (1� No . CE-4381 list Sj —LQ-i6j••`• �� LEGAL DESCRIPTION: T I2N R3W SEC23 NW4SW4SW4NE4 PTN 4 ••. L -.•' PERFORMED FOR: CURRIER, TAMARA .��L11� . .- DATE: 4/12/18 PROJECT No.: Professional Engineers Stamp: PARCEL ID#: 015-331-06 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE 1 (feet) 1 1'OB SLOPE SITE PLAN BROWN CLAY/ORGANICS cr ,. 3 :.I' •. =:f 4 •.yr 5 ;q._y,,: SEE SITE PLAN 6 -r �`•: :f,: 1 7 '%. •.-*/;• - SANDY SILTY GRAVEL :1:?..::: GM 10 ::-...%:!-:,:.:;::-.;1 •' • WAS GROUND WATER ENCOUNTERED? NO 'i sitr»r., '' ";‘^' IF YES WHAT DEPTH? 11 `� _. :• :•:r DEPTH OF WATER AFTER MONITORING: NONE -.;,.;-:.'•;' DATE OF MONITORING: 4-29-18 • . . 12 .: .. � • `=`=::`.:`':" GROSS TIME NET TIME DEPTH TO NET DROP DATE READING WATER 13 % y;":;.. •..-;:,-;1:r;;:.. , :;. ti (MINUTES) (MINUTES) (INCHES) ..—�: (INCHES) 14 71f,':`k.' 4/12 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 BOH 1 15:18 4 16 2 15:48 30 98 58 17 3 15:49 4 4 16:19 309152 18 5 16:20 4 19 6 16:50 30 92 52 20 PERCOLATION RATE: 5.5 (MIN/INCH) PERC.HOLE DR. 6 (INCHES) TEST RUN BETWEEN: 4 FT. and 5 FT. COMMENTS: F. MUNICIPALITY OF ANCHORAGE ��\• P,.••"' " " '•;YS DEVELOPMENT SERVICES DEPARTMENT -S 49th i\ A- A1 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 ! I�� ,. SOILS LOG AND PERCOLATION TEST 0-, MI�t nNnE^rzs`aN —;�z X11No. CE-4381 '.� LEGAL DESCRIPTION: T I2N R3W SEC23 NW4SW4SW4NE4 PTN *•1;;p% ii ":' PERFORMED FOR: CURRIER. TAMARA It"""sem Professional Engineers Stamp: DATE: 4/12/18 PROJECT No.: PARCEL ID#: 015-33I-06 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE 2 (feet) 1 1'OB SLOPE SITE PLAN 2 .17;1j.,;s;' . 5 SEE SITE PLAN tz � 'j 6 a 7 r-':=:::`''''' SANDY SILTY GRAVEL :1,:i•-::4.4*., GM 8 ?, .;;-'..c.-.;:-:.::. . 10 •:-',..ii:::?.?-';:s;'.. . WAS GROUND WATER ENCOUNTERED? NO .!::" :i;;; IF YES Q WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: NONE �'`•�'i'�4 DATE OF MONITORING: 4-29-18 12 ;;•';..;: :':-.1:S. .,;:. DEPTH To '-.1-:.::,.1.:::•‘.•;4'.,-•! DATE READING GROSS TIME NET TIME WATER NET DROP ` = (MINUTES) (MINUTES) (INCHES) 13 •: I:•-t:::;% (INCHES) 14 .•:"':''T '• ' 4/12 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 BOH?.;-:! OH' . 1 15:26 5 2 2 15:56 30 7a 1 s 16 3 15:57 5 1 17 4 16:27 30 78 18 18 5 16:28 5 i 19 6 16:58 30 7$ 1 e 20 PERCOLATION RATE:18.4 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 3 FT. and 4 FT. COMMENTS: JNociPALirr p� Municipality of Anchorage ,went s, On-Site Water and Wastewater Program ___________ P.O. Box 196550 4700 Elmore Road j Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax: (907)343-7997 http:/lwww.muni.org/onsite 4hCHOF ot i.)cpai tinent Review Comments Engineer: FORGE ENGINEERING 5/2/2018 Legal Description: T12N R3W SEC 23 NW4SW4SW4NE4 PTN Parcel ID: 01533106000 Permit: OSP181067 WellSeptic Report Type: On-Site Review Completed By: R.Carroll The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: 1. Submit plot plan (AMC 15.65.050D.1). 2. Test holes are not deep enough to demonstrate separation to impermeables or ground water(taking seasonal adjustment of 1 foot into account). Please address. 1. The plot plan is attached. 2. Recent observations indicate the test hole remain dry as of May 6 or slightly more than 1 week from II accepted date for high groundwater observations. We are confident the test holes will remain dry througl that period and will provide documentation to demonstrate our conclusions. The test holes will also be excavated to a depth of 16' prior to construction to verify the lack of an impermeable layer. The results o the test hole excavation will be submitted for your review. We request a special condition be added to th permit requiring the test holes be extended to a minimum depth of 16' prior to construction. T12N, R3W, SECTION 23 NW1/4 SW1/4 SW1/4 NE1/4 PIN PARCEL ID, 015-331-06-000 CONTAINING 82,840 S.F., MORE OR LESS 745'J765' N 89"3B'30"E 240.43'(MEAS) 0. 76.0' 0 b '0 0R1 of OSP. *0.5 7o A 9 iia* < f 'A a 1"" VIIIIIIIIIIIIN ,F pROA / x �fO 9UILOING / C. M¢pp VI k 6 b N O I llifili co Y nn 6W ,r v ;�" vv "' " W ', Nal vio w O O Or::; S p J p SS 'o'�M 8� q 2Z 4 gg O Z Z 1 "=40' R=165.00• - - 750' ,-410- - 1+�''�0 20 ORS cCCCR10GE ��i n - ' w —12.78ROADWAY EASEMENT (BK 936. PG 0223) N ROCKRIOGE DR. N 89'53'52"E 241.07'(MEAS)-SEE NOTE nb 737' ., (PUTTED RIGHT OF WAY) 775' •:n N ROCKRIDGE DRIVE cm ,1 *Assam., q•• OF 10� , (4• • j •• • '*; 49TH *) � '.o • • • . Jel ,Io�tl. f o•... yis 6988 ,`. I 7�_ a•''' •1•�••'otic• J 52.0.4 4. o'ess:0nos'- 44 NOTE: BOUNDARY DIMENSIONS PER WILLLV.M FLEMING m. " 6v47 0 4'cyl. ` f•\SUS.* SURVEY DATED 10/7/99. >.D. ?70. ' 'L OT PL AN I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT s I'V.'T ' GASTALDI LAND THE PROPOSED IMPROVEMENTS AND DRAINAGE SURVEYING. LLCPATTERNS ARE AS SHOWN HEREON. IT IS THE `' ,'JEFF A. GASTALDI, R.L.S. RESPONSI8ILITY OF THE OWNER, PRIOR TO 60.25. WO E. DOwuNG RD..sua 8 INCHORAGE,ALASKA 99507 CONSTRUCTION, TO VERIFY THE PROPOSED PHONE 248-5454 BUILDING LOCATION ON LOT, BUILDING RIO DATE DIMENSIONS GRADE AND UTILITY CONNECTIONS DEC, .. •' SW2639 4/5/2018 AND TO DETERMINE THE EXISTENCE OF ANY *70. EASEMENTS.COVENANTS. OR RESTRICTIONS B. JOS NO. WHICH DO NOT APPEAR ON THE RECORDED SEC23PP SUBOMSION PUT. BUILDING DETAIL SCALE: 1••m20' MUNICIPALITY OF ANCHORAGE #;M 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. 015-331-06-000 Expiration Date: Legal description T12N R3W SEC 23 NW4SW4SW4NE4 PTN Site address 6645 ROCKRIDGE DR Anchorage AK 99516 9/19/2023 Current property owner(s) LUGO FRANKLIN &CURRIER-LUGO TAMARA X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 6/19/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaLJune 2022 MUNICIPALITY OF ANCHORAGE 0 t' Development Services Department Phone: 907-34377904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-331-06 Complete legal description T12N R3W SEC 23 NW4SW4SW4NE4 PTN Location (site address) 6645 Rockridge Drive Anchorage Alaska 99516 Current property owner(s) FRANKLIN LUGO & TAMARA CURRIER-LUGO Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 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 ® Plastic ❑ Concrete ❑ Fiberglass Age 5 - 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 $ 5— �-o Waiver Fee $ Date of Payment I qI 2-02 3 Date of Payment COSA # 0 S C- 2.3 ' 1 '� S Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: T12N R3W SEC 23 NW4SW4SW4NE4 PTN Parcel ID: 015-331-06 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 7/13/18 Total depth 186 ft Cased to 186 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/1/23 Static water level at beginning of test 76 ft. Well production at time of test 4.5+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.876 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 6/1/23 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 44” Date of pumping 6/1/23 Required maintenance completed, if AWWTS Comments: 1530 GALLON INFILTRATOR TANK C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 12/5/19 ALL standpipes present per record drawing Total measured depth from grade 11.5 ft (max) Measured depth to pipe invert from grade 2.8 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) 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) N If yes, enter date Adequacy test date 6/1/23 Results Pass Fluid depth prior to test 10 in Water added 750 gal New fluid depth 26 in Elapsed time 1440 min Final fluid depth 10 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 84 in (MOA 7’ ED) Effective depth used 10 in (Final Fluid Depth) Effective depth (ED) remaining 74 in Comments/Deficiencies: Approximate total measured depths from existing grade. Effective Depth (ED) per elevation measured shots & ED appears approximate. No known freezing issues. COSA Checklist.docx 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 6/10/23 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 6/10/23