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HomeMy WebLinkAboutDENALY ESTATES BLK 2 LT 4 Onsite File benaly Estates Block 2 Lot 4 #067 - 062 - 11 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181281 PID Number: 067-062-11 Dwelling: ■❑ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: 0 New ❑ Upgrade Name: Troy Davis Homes ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench X Bed ❑ Mound Address 1689 Knik Goose Bay Rd 400 Wasilla AK 99654 ❑ Other Phone Number of Bedrooms Soil Rating ITotal depth from original grade 310-2501 4 0.5 GPD/SF 2.6 / 3.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.1 / 2.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Denaly Estates 2 4 Fill added above original grade 3.0/2.4 Ft. Gravel length 2 @ 40 Ft. Township Range Section Gravel width 15 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 1200 Ft Ft. Well >100' >100' N/A N/A >25' TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1250 Gal. Surface Water >100' >100' N/A N/A Material Number of compartments Lot Line >5' 8'** N/A N/A Steel 2 NA Foundation >10' >10' N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. Remarks See Lot Line Waiver. Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank D3034. Tank to D3O34 drainfield Ursa Minor Landscaping & Excavation Drainfield D3034 CO/MT Inspector J. Mlllette ]BENCH MARK (Assumed elevation) 100 ft Inspect iondates: 15' 1 /08/19 1 /16/19 Location and description 2nd 3'd 1/18/19 4'n Lower level slab COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval:Date O e ®® ® e :. 49th "®® p� ...................................... .® �n MICHAEL E. ANDERSON � 1 0Ar 00��° No. CE -4381 �° _A AV ��®�C�,Q`'•., Approve Date — –/ �� 5/20/19 .•••••���® ®f®®4 FES®® ®®®®® wNeC;0011 ePU t_z?-1-1c.uuc DENALY ESTATES, BLOCK 2, LOT 4 PERMIT # OSP 181281 PID # 067-062-11 y LOT 5 VACANrP 1,250 GALLON SEPTIC TANK 2-40' LONG x 15' WIDE x .5' EFFECTIVE DEPTH ABSORPTION BEDS c ` 360- MT4; \ LOT q 4-BDRM HOME D B C 2C01. 8 sviJ rrn s cv� ` '�.f MI/ - col 8 THy2 "r CO2 co MT 03 ALTERNATE SITE: �s MT MTS FS CATEGORY III cos SYSTEM WITH 15' co M s�� -x 20' BED. APP. RATE 2 GPD/SF �^±� o� ®THAI ENGINEEiiNG ` 0 50 100 FEET 1"=50' A B C D 2C01 7.2 18.0 SV1 41.8 29.0 SV2 44.8 36.6 2CO2 46.4 40.5 FS 45.6 57.8 MT1 31.2 51.2 C01 32.4 53.8 CO2 37.1 58.1 CO3 42.4 62.2 MT2 44.8 63.7 MT3 50.7 45.2 C04 59.8 52.2 MT4 66.7 57.4 MT5 52.8 69.3 C05 54.9 72.1 C06 59.4 76.5 C07 64.5 81.2 MT6 66.6 82.1 MT7 72.7 1 61.8 C08 1 80.1 1 68.2 MT8 1 87.2 1 74.6 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANC FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE DENALY ESTATES B2 L4 PERMIT # OSP181281 PID # 067-062-11 94.7 94.2 92.2 94.0 94.0 93.5 91.5 0 - U2 99.8 FINISH GRADE 96.8 ORIGINAL GRADE �- O 2U 4. MOA APPROVED SAND 93.5 ERS (TYPE II PIT RUN) 91.5 r ® 40' 88.0 PROFILE AS -BUILT (NO SCALE) 1190 N. Wasilla-Fishhook Road Wasilla, AK 99654 (907)376-2041 Name: Troy Davis Homes Address: 1689 S Knik Goose Bay Rd. #400 City: Wasilla State: AK Zip Code: 99654 Well Site: Denaly Estates Lot/Block: 4/2 Additional: Well Depth: 161 ft. From: To: Formation: 0 9 sand/gravel/silt Below Ground: 159 ft. 9 27 wet silt/gravel Above Ground: 2 ft. 27 58 silt/gravel dry Gal/Min: 50+ 58 70 silt/clay streaks 70 129 clay Static Level: Artesian 129 152 wet silt/gravel 152 161 gravel/sand/water Casing: 161ft. of 6 in. x.25 in. steel Liner Pipe: N/A Screened: N/A Perforated: N/A WATT( tIALIiY TESTING Grouted: 7 bags of Bentonite ColftmWrates�V e j Cot/1QOmL � Depth: N/A ArseNC � Develop. Method: Air Use of Well: Residential Drilling Method: Rotary Other: well chlorinated to 50ppm The well was pumped 5' off the bottom with 100% draw down for 2 hours and recovered at 50+ gpm. Date Drilled: 1/16/2019 Driller: Ben Mattson Development Services Department Building Safety Division On -Site Water & Wastewater Program r r � 4700 Elmore Road .bud` P.O. Box 196650 Mark Begich Anchorage, AK 99507' Mayor www.muni.org/onsite (907)343-7904 Pump Installation L®g Well Drilling Permit Number: SW Date of Issue: 8/3/2019 Parcel Identification Number: Legal Description Property Owner Name & Address: DELANY ESTATES LOT 4 BLOCK 2 TROY DAVIS HOMES 1689 S. KNIK GOOSE BAY RD SUITE 400 WASILLA, AK 99654 Pump Installation Date: 7/17/2019 Pump Intake Depth Below Top of Well Casing: NA Pump Manufacturer's Name: NA Pump Model: NA Pump Size NA hp Pitless Adapter Burial Depth: NA feet I Pitless Adapter Manufacturer's Name: NA I Pitless Adapter Installer: NA Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: RECIRCULATION feet Comments: JET PUMP WAS INSTALLED IN HOUSE. NO PUMP IN WELL. Pump Installer Name: WHEATON WATER WELL INC. 1190 N. WASILLA FISHHOOK RD WASILLA, AK 99654 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Municipality ®f Anchorage Ste' ID epnrunent P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.orq/onsite Development Services Department On -Site Water and Wastewater Section * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV191034 COSA#: Permit#:OSP181281 PID#: 067-062-11 Legal Description: Denaly Estates Block 2 Lot 4 Engineer: Forge Engineering Applicant: Troy Davis Homes Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 8.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............ 0 M M N K K ...... 0 M M 0 0 1 Waiver is Granted: X Waiver is not Granted: Date: ,Z Approved by: /" Name of Reviewer **** VARIAN C E/WAIVER REVIEW **** May 20, 2019 MOA Development Services Dept, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Denaly Estates, Block 2, Lot 4, 25414 McIntyre Road Lot Line Waiver Dear Onsite Services Engineer: The western lot, line on Lot 4, Block 2, Denaly Estates was not clearly marked during construction and the contractor encroached to within 8' of the line. The septic system on Lot 5 to the west is proposed for placement at least 20' away. This distance more than meets the mandated setbacks between septic systems. We therefore request the waiver to allow the absorption beds to remain in their current location be approved. Sincerely, Michael E. Anderson, P.E. Attachments or- gA �,.•� m 49th ®..................................... ,.... o...........�.�..............:::... �^ MICHAEL E. ANDERSON ®� 1c, CE -4381 = _® -19 AW AW ®® ®®®ea Eq_S\ ®®®®® OSv 11C)3`I 4229 ?0'� A 5/28/19 Gk.z4fi # 04 0-001� Amminummommemor- ""Tr0,, MUNICIPALITY OF ANCHORAGE r , PO Box 196650 4700 Elmore Road On-Site Water&Wastewater Program ��. S - . ‘, tl Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 v r. 1"' http://www.muni.orglonsite ^,+: Department 4N-c--9- -;.,,o' On-Site Water & Wastewater System Permit Permit Number: OSP181281 Effective Date: 8/27/2018 Work Type: WellSeptic Initial Expiration Date: 8/27/2019 Tax Code Number: 06706211000 Site Legal Address: DENALY ESTATES BLK 2 LT 4 G:0362 Site Mailing Address: Owner: TROY DAVIS HOMES INC Lot Size in Sq Ft: 63859 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: 131 Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 2 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 IthSpecial Provisions: The recorded plat for this subdivision notes that artesian wells are common and that special drilling methods ay be required to prevent waste of water via surface discharge. Contractor shall ensure there is a cleanout and/or monitoring tube at each corner of each bed, as shown on e approved permit drawing. e Received By: frittityg/h /, Date: - Issued By: / • // Date: Fil y 70 a MUNICIPALITY OF ANCHORAG : AUG 20 2018 1.11 Community Development Department j Phone: 907f) r Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION aSil Parcel I.D. 067-062-11 Property owner(s) Troy Davis Homes Day phone 310-2501 Mailing address 1689 Knik Goose Bay Rd #400, Wasilla, AK 99654 Site address NHN McIntyre Rd. Chugiak, AK 99567 Legal description (Sub'd., Block & Lot) Denaly Estates, Block 2, Lot 4 Legal description (Township, Range & Section) Lot Size 63,859 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field IXC Initial n Single Family (SF) X (w/wo ADU) Septic Tank I XI Upgrade n Duplex (D) I Holding Tank I I Renewal Multiple Dwellings I I Privy I (SF and/or D) Private Well Water Storage n 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: 12.611- (16 Waiver Fees: Date of Payment: /a,l`lg Date of Payment: Receipt Number: Receipt Number: Permit No. Q P111 911 Waiver No. Permit App_ c a ' GE • ENGINEERING PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) August 19,2018 MOA Development Services Dept,On-Site Water& Wastewater Program 4700 Elmore Rd Anchorage,AK 99507 Subject: Denaly Estates Block 2 Lot 4 — NHN McIntyre Road Septic System Design and Permit Application Dear On-Site Services Engineer: The developer of the subject lot intends to construct a 4-bedroom home on the property. We are submitting this design and permit application for the construction of a new well and septic system. The attached site plan identifies the location of the home and 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 moderately to the south. Ground contours are shown on the site plan showing the grade and direction of flow. Storm water drainage will not impact this septic system. The new beds will be constructed parallel to the slope as much as possible. The adjacent lots remain vacant and undeveloped. The new septic system will be a minimum of 100' from all wells and surface water, and more than 5' from the septic tank. The alternate site is located more than 6' from the primary site and designed for a Category III system. The beds will be 10' from the northwest lot line at the closest point. Please refer to the attached test hole logs and plan and profile sheets for the septic design. If this design is followed,there will be no adverse impacts to adjacent properties. Sincerely, 9 rel 4.�9•� TH.� .I\ ..* Michael E. Anderson, PE � 7ul�G -Za4.4-4 �� '. Michael E.Anderson • �� F•• 381-E •• Attachments ``s% R DENALY ESTATES, BLOCK 2, LOT 4 iE 15'T&E EASEMENT _ _ )/' , N -.____. -... /1 NN \___ ....,_ / ) � / . i )l \--_,*,_ ___ , PROPOSED/INELL ` \ ._ N \ 1 ` \ 1 ....../..\>i N LOT5 \ -1 -� � --- _ _ N VACANT , r N ' o. . N 1,250 GALLON N.--- / SEPTIC TANK \ / 4-BDRM`Ii6ME ,� / N\ .iraFCO \/ - / N // LOT6 2-40'LONG x 15'WIDE x.5' EFFECTIVE DEPTH \ �Sv\ _ --- '- -\ VACANT ABSORPTION BEDS 200 LOT 4 ) C i- --\1 +• — ALTERNATE SITE: CATEGORY • M7 �� • MT III SYSTEM 1�/IZH 15'x 20'BED : MT THii2 APP.RATE 2 GFDAV, SFr T :.SA tax -. - * '' LNOINL[IIN6 • N • / \\ NOTE'.. L.– —\.• N `����\Z\` NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE LEGEND �w s...•C•,gA��T, PROPOSED SEPTIC SYSTEM CO-CLEANOUT 3 '49 111 j�.4.4t.T, 4 ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2C0-DOUBLE CLEANOUT •• _•Q'•-•�•••• • �1�/ PROPERTY ARE SHOWN.NO CONFLICTS WITH WELLS OR SEPTIC FCO-FOUNDATION CLEANOUT r `----V ' SYSTEMS. FS-FLOW SPLITTER VALVE . Michael E.Anderson . / MH-MANHOLE Q PF•• 4831-E -< i 0 50 100 MT-MONITORING TUBE I $'4.--tet„ ' MI FEET �i,epir- 0 .� SV-SEPTIC VENT ii‘1\\`�`�� 1"=50' TH-TEST HOLE DENALY, BLOCK 2, LOT 4 DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW SHALLOW BED SYSTEM PERK RATE: 13 MIN/IN 1,250-GAL SEPTIC TANK APPLICATION RATE: .5 GPD/SF 600 GPD/.5 GPD/SF/ 15'WIDE = 80 LF BED REQUIRED (80 LF SPECIFIED) BOTTOM OF BED: 3' BELOW GRADE FLOW LINE ELEVATION: 2.5' BELOW GRADE TOP OF BED: 1' ABOVE GRADE GRADE TO DRAIN F1' _ 11 II II H II I II II .. 11= u'1T_H0--0III M-lll -W71117-W71117 111= -.. _- �= r - - III-ll�LII-III- -�j-ll� - - I=III= OG II11F- 111=LLQ 1L =111=111OG =ll1 ,=111-111-111—E— 1�-1L� I 2' fZ--I 1— I1=1I SII. .II1- GEOTEXTILE FABRIC -11- I- II-ll 11_11 - IT 'e LIQ A 4.7e047 1701il;.IyISI; 6" F1.Oy1y1 • I�I.1.1.•„��1.1N1 1.1.411.1; ids _•,�>.�.� DRAINFIELD ROCK 4” PERFORATED PVC (HOLES DOWN) 2.5' 5' 5' 2.5' I I 4 I I 15' 1 GE tnOIMItNtNG TYPICAL BED SECTIONl (NO SCALE) j r7• •�4��'�9�I NOTES: *' 4®TM . VI 1. GRADE AREA OVER BED TO DRAIN AWAY / ti- " .... 2. PROVIDE 3' OF COVER OVER BEDS AND 4' OVER SEPTIC TANK, OR 2'WITH 2" : Michael E.Anderson : OF INSULATION "r��F�•., 831-E �sLF . . Z�r•f r 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER Ill WO: THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY �� MUNICIPALITY OF ANCHORAGE �`,�(GOFi4C,q\1l4 DEVELOPMENT SERVICES DEPARTMENT /0.4P'... • :•f,9+� 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 *'•�'9T" .0*�y��1 SOILS LOG AND PERCOLATION TEST 6 . .. . o '. Michael E.Anderson . 1'Ilk g4.43' .. ���/ LEGAL DESCRIPTION: DENALY ESTATES B2 L4 l�F'D/'ROfES............. PERFORMED FOR: TROY DAVIS `\�����~ DATE: 8/08/18 PROJECT No.: Professional Engineers stamp: PARCEL ID#: PROPERTY ID TECHNICIAN: J. MILLETTE N. SHAFER DEPTH TEST HOLE 1 (feet) 1 L. 1' OB SLOPE SITE PLAN 2 *:-.�? COARSE SAND .;.. ,..rte 3 a�'�.�•s�" 4 / 5 BROWN SILT SEE SITE PLAN ML 6 7 . .d.;' 10 ? .;`'.'':'.';1 WAS GROUND WATER ENCOUNTERED' NO ' :`'' .• ' IF YES @ WHAT DEPTH' 11 DEPTH OF WATER AFTER MONITORING: 10.5' I.;,,.•:-: DATE OF MONITORING: 8/17/18 12 ,-,.1.:,..;:.;-',s` ; .< SANDY SILTY GRAVEL DEPTH TO ....::; GROSS TIME NET TIME WATER NET DROP 13 ' . : .: GM DATE READING (MINUTES) (MINUTES) (INCHES) (INCHES) 14 ..::,' :'" 8/10 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 :'',: :'; --,: 1 15:45/16:15 30 4/4 s 10 is 16 2 16:16/16:46 30 4/4g- i16 o 3 16:50/17:20 30 4/4 u 17 18 19 20 PERCOLATION RATE: 48 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 7.5 FT. and 8.5 FT. COMMENTS: MUNICIPALITY OF ANCHORAGE A���‘11 .r'+-""4.9t t4 DEVELOPMENT SERVICES DEPARTMENT �It%• 7H �s•fir 0i, 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 SOILS LOG AND PERCOLATION TEST •. Michael E.Anderson . / I�gi, e* &i P-4831-E!1}•*�it LEGAL DESCRIPTION: DENALY ESTATES B2 L4 ilk'PFDPRO.....o..... PERFORMED FOR: TROY DAVIS `\�������~ DATE: 8/08/18 PROJECT No.: Professional Engineers Stamp: PARCEL ID#: PROPERTY ID TECHNICIAN: J. MILLETTE DUG ON N. SHAFER DEPTII 8/08/18 TEST HOLE 2 (feet) 1' OB SLOPE SITE PLAN 1 ,,,k,ktA,..k.,. COARSE SAND 2 lr�Yr` SILTY LOAM 3ML �t 5 `{`.: SEE SITE PLAN SANDY SILTY GRAVEL 7 .<:::•••: :'.:: ::-..'`lGM 9 . ' 1 0 }_: :!' WAS GROUND WATER ENCOUNTERED? YE S ::,, 1 :'. IF YES @ WHAT DEPTH? 15.5' 1I ‘:1;:.:::::::!. DEPTH OF WATER AFTER MONITORING: 10' ., ;. DATE OF MONITORING: 8/17/18 .�.. 12 ;;- :-:• :_.. '' DATE READING GROSS TIME NET TIME WATER TO NET DROP 13 .:'�' :: (MINUTES) (MINUTES) (INCHES) (INCHES) 14 :-.:':::•..:-;••• 8/12' TEST HOLE PRESOAKED PRIOR TO TESTING: 1 10:05/10:35 30 4"/61." 216" 15 .. , 16 2 10:37/11:07 30 4"/6 6" 2 i 6" 3 11:10/11:40 30 4"/6.a" 2 16„ 17 18 19 20 PERCOLATION RATE: 13 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 5 FT. and 6 FT. COMMENTS: NN O \ \ \-,\O C 15' T&E EASEMENT e l?04D TBM - TOP OF i" REBAR 6 90. ELEVATION = 393.0 ti' S303g4.6 • 94.2 • 394.2 • \ \ • O ��. . • SPOT ELEVATION TABLE / . , EXISTING PROPOSED 378.0 A 378.0 Lot 5 377.5 B 377.8 377.2 C 377.8 aO 377.0 D 377.8 co ti _ f 376.8 E 377.8 * ' '.. N/ 376.5 F 377.8 4441 31.7. 376.3 G 377.8 to 376.2 H 377.8 .�N 31,0. 376.1 I 377.8 376.0 J 377.8 c\f 4111.1*d 375.8 K 377.8 2 375.1 L 377.8 375.8 M 377.8 376.2 N 377.8 v 376.6 0 377.8 `o 377.0 P 377.8 377.3 Q 377.8 v. 377.5 R 377.8 r* 377.6 S 377.8 ,ry 377.8 T 377.8 / N 377.9 U 377.8 0 378.0 V 377.8 °) 378.1 W 378.0 �i L Ot 6 378.1 X 378.0 378.0 Y 378.0 377.9 Z 378.0 L63,859 .f. HOUSE DETAIL Scale: 1" = 20' N N N PORCH N r \ o , �` .° o vZ `�ROOF OVERHANG / 17. w 349.8 0 77.5 349.8 / "� in -1"-- // `? 6.0 - 5 Y ti / N °° �Or/ 6Z 6:1'76„ N 72.0 \ 'A 44 ls2•' , 4/ 1.s. GARAGE EL. 378.0 • // sr A F.F. EL. 379.3 /B ��L N "F(� /* - LEGEND cCONCRF4,49� 352.5 352.5N TE �_X2.5• /E 104.8 EXISTING ELEVATION � N PATIO 103.0 PROPOSED ELEVATION N N K `�Z �i N " / SURFACE DRAINAGE N ----1"- °.o- it N N H --- � / NOTES: c J 1) LOT COVERAGE = 4.8% 2) SEE ENGINEER'S PLANS FOR WELL & SEPTIC LOCATIONS PLOT PLAN X AS BUILT SCALE 1" = 50' GRID SW 0362 Project No. 18-358/61 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates , inc . (907) 522-6476 Phone oo00p (907) 522-4625 Fax oo�O F ���0� Professional Land Surveyors kenOlangsurvey.com o ,9 jonathanOlangsurvey.com O • S p I herebycertif that I have surveyed the followin describedproperty: o'Cr, •00,1 ^ �'" Ov LOT 4, BLOCK 2, DENALY ESTATES SUBDIVISION (PLAT 2018-29) * 49TH /� . *0i0 Anchorage Recording District, Alaska, and that the improvements situated thereon oreo within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed OQ KENNETH G. LANG tO premises and that there are no roadways, transmission lines or other visible O'^c, • easements on said property except as indicated hereon. Q 'n, ..:11 �Q°h�'••.L5-520g.••• SJ Dated this the Day of , , at Anchorage, Alaska Q4 A Noo OkersSIONg-�4 It Is the responsibility of the owner to determine the existence of any easements, 04�004o" ..' covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE .` Development Services Department p P � Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 067-062-11 1. GENERAL INFORMATION Expiration Date: Complete legal description Denaly Estates, Block 2, Lot 4 Location (site address) 25414 McIntyre Road Eagle River, AK Current property owner(s) Troy Davis Homes Day phone 907-310-2501 Mailing address 1689 Knik Goose Bay Road #400, ,Wasilla, AK 99654 Real estate agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 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 $ 120 Waiver Fee $ Date of Payment _ SI Lq Date of Payment Receipt Number (_;t 236 b Receipt Number COSA # y f G q l 31ZL 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 Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 07/18/19 6. DSD SIGNATURE System #1 Approved for bedrooms 0/ System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: 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 Legal Description: Denaly Estates, Block 2, 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 1/16/19 Total depth 161 ft Cased to 161 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 1/16/19 Static water level at beginning of test Artesian ft. Comments B. TANK DATA Age of tank(s) 1/8/19 years Tank type/material SEPTIC/STEEL Measured operating fluid level in septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Absorption Bed Which system tested (date installed) 1/18/19 ❑ ALL standpipes present per record drawing Total measured depth from grade 5.6/5.4 ft (max) Measured depth to pipe invert from grade 5.1/4.9 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 Comments/Deficiencies: NEW CONSTRUCTION COSA Checklist yellow sheet Parcel ID: 067-062-11 Structure served by this system Well production at time of test 50+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate •186 mg/L ❑ Nitrate less than MRL (ND) Arsenic •456 ug/L ❑ Arsenic less than MRL (ND) Collected by Wheaton Water Wells Date of Sample 7/16/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date NEW 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' ❑ Yes Yes Community Sewer Manhole/Cleanout > 100' ✓❑ Yes if No ft ❑ Yes if No Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ED Yes if No ft Q Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' ft ft ft ft ft ❑✓ Yes if No ft Property Line > 5'✓❑ ❑ Yes Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' Yes if No Water Main > 10' 0 Yes if No ft Community Wells > 200' ❑✓ Yes if No Water Service Line > 10' M 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' 21 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 81 ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' Water Service Line > 10' Q Yes if No ft Community Wells > 200' Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS See Lot Line Waiver. G. ENGINEER'S CERTIFICATION l certify that l 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 ft ft ❑✓ Yes if No ft Q Yes if No ft ��� V44pgyy ID:44k##4p�� 4'9 th c „ MICHAEL E. ANDERSON NO. CE -381 (° f'*a® 7118/19 Vol,/'ROFE SS ��"1'Z ''4k44##444#44444'4 �� NOTES: 1) FOUNDATION, WELL & SEPTIC ONLY 2) DATUM = M.O.A. PLOT PLAN _ AS BUILT –2L SCALE 1" —=-20' GRID VW 0362_ Project No. 18-358 B9 _ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 000Q0p4O (907) 522-4625 Fax o OF A Professional Land Surveyors y kenOlangsurvey.com jonothanOlangsurvey.com p gs�o0 O� ��' following described tat I haveSESTATES urveyedtSUBDIVISION I h rebLOTy4CeBLOCKh2, roperty; O * 4he 9TH *OQj DENALYrtify (PLAT 2018- 29) . . . . . Anchorage Recording District, Alaska, and that the Improvements situated thereon are. within the property lines and do not encroach onto the lying thereto property adjacent thereto, that the no Improvements on the property adjacent encroach on surveyed �.. :. KEN H ... premises and that there are no roadways, transmission on said except as Indicated hereon. lines or other visible Q �^_' p easements property Dated this the ?C� Day of M L Q l _, L ��4l at Anchorage, Alaska 0p � ' •1S-5202.-' yJp� u40pRa�3SI0NA& 'n-=97 It Is the responsibility of the owner to determine the existence of any easements, "vOpoo� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963