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HomeMy WebLinkAboutSYLEA LT 1Onsite File Sylea Lot 1 PID# 051-732-36 (Formerly North Woods Unit 3 Tr B1) Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191088 PID Number: 051-732-36 Dwelling: A Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑C New ❑ Upgrade Name: Troy Davis Homes, Inc. ABSORPTION FIELD ❑ Deep Trench A Shallow Trench ❑Bed El Mound Address 1689 Knik Goose Bay Rd 400 Wasilla, AK 99654 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade (907) 310-2501 3 1.2 GPD/SF 1.0 / 1.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0.5/0.5 Ft. Gravel depth beneath pipe 0.5 / 0.5 Ft. Subdivision Block Lot North Woods Unit 3 Tract 131 Fill added above original grade 1.9 / 1.9 Ft. Gravel length 2 @ 38 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines 8 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 380 Fe 2 Ft. Well >100' >100' N/A N/A >25' TANK ❑ Septic X S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank 11,250 Capacity Gal. Surface Water >100' >100' N/A N/A Material Steel Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >10' >10' N/A N/A LIFT STATION Manufacturer Anchorage Tank Capacity 250 Gal. Curtain Drain None Noted Remarks Permit is under old legal (North Woods Pump on level at 13 in. Pump off level at 25 in. High water alarm at 11 in. S/D). New legal is Sylea Lot 1. Tank, trenches and septic lines are Insulated. Pump make and model PF2005 Electrical Inspections performed by Powertec Electric LLC Tank to PIPE MATERIAL House to tank D3034 drainfeld D1785 Installer Ursa Minor Landscaping Drainfield D3034 CO/MT Inspector J. Mlllette BENCH MARK (Assumed elevation) 100 ft Inspdection 1s'7/30/19 7/31/19 Location and description 2nd 3'" 4th Garage slab. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date ...... �P��,JF 4 ® = 49th •- = 3 m f... ...... .... .-.�.- 4 MICHAEL E. ANDERSON 6 �� ��•.• No. CE-4381 +•41 Approved h, — Date • 10/9/19 ..•'••Ct ....... �®n>�a®a®���' inspection Report_9--i--I2.aoc NORTH WOOD UNIT 3, TRACT Bl PERMIT # OSP1 91088 (SYLEA Ll) PID #11 051-732-36 SHELTERING SPRUCE AVENUE . . . . . . . . . . . . 30 LF - 18" CPEP 1a UTILITY EASEMENT TOE OF FILL 2-38' LONG X 5' WIDE X 0.5' jVT4 04 klTl col a THI EFFECTIVE DEPTH ABSORPTION TRENCHES EXISTING WELL J l.. 153 CO2'fr 3-BDRM HOME CO -3100', WELL RADIUS ALTERNATE SITE CATEGORY III SYSTEM W1 SVJ FC'�l Bs'v) 15' LONG x 5' WIDE x 0.5" EFF. DEPTH TRENCH j m 1,250 -GALLON STEP TANK A FUTURE LOT LINE (APPROXIMATE) if tt TRACT Bl NOTE: DELIVERY LINE iS PRESSURE FROM THE LIFT STATION TO THE ENTRY POINT AT EACH TRENCH` Al"X4"ADAPTER WAS PLACED AT EALH TRENCH. LOT 9 LOT 8 C - �-, 0NG / ommummaillial 0 50 A B FCO 36.7 2.8 svi 44.5 12.8 SV2 49.0 19.0 MH1 50.1 2-0.4 Col 23.5 59.6 MT1 24.8 60.2 CO2 24.5 26.6 MT2 23.4 25.1 CO3 34.8 37.0 M73 33.5 34.2 C04 33.8 64.7 I T4 35.7 65.9 LEGEND CO -CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH -MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE NORTH WOOD UNIT 3, TRACT Bl PERMIT # OSP1 91088 (SYLEA Ll) PID # 051-732-36 .5 0� NORTHWEST TRENCH F-- 0 2 0 97.6 FINISH GRADE 2" INSULATION 95.7 ORIGINAL GRADE 95.2 DRAINFIELD ROCK 95.2 94.7 94.7 38' GROUNDWATER @ 88.7 3/6/18 79.7 0 F- SOUTHEAST TRENCH 0 97.6 FINISH GRADE 2" INSULATION 95..7 ORIGINAL GRADE L 95.2 DRAINFIELD ROCK 95.2 94.7 94.7 38' '11 \- GROUNDWATER@ 88.73/6/18 r 78.7 PROFILE AS -BUILT ENGINEERING (NO SCALE) Wasilla, AK 99654 (907)376-2041 Name: Troy Davis Homes Address: 1689 S Knil< Goose Bay Rd. #400 City: Palmer State: AK Zip Code: 99645 Well Site: Northwoods Unit 3 Lot/Block: Tract B1 Additional: 22970 Sheltering Spruce Ave, Chugiak AK 99567 Well Depth: 161 ft. From: To: Formation: 0 3 top soil Below Ground: 159 ft. 3 9 damp silt/gravel Above Ground: 2 ft. 9 71 dry silt.gravel Gal/Min: 7.5 71 88 sand dry 88 117 gravel Static Level: 140 ft. 117 125 silt/gravel 125 137 gravel/sand Casing: 161ft. of 6 in. x .25 in. steel 137 150 damp silty sand/gravel 150 161 gravel sand water Liner Pipe: N/A Screened: N/A Perforated: N/A Grouted: Yes 2 bags g } WATER QUALITY TESTING Depth: N/A Conform . Oat/100mL Nitrates . 0 37 �L Develop. Method: Air Arsenic . q � ug/L Use of Well: Residential Drilling Method: Rotary Misc: Other: !cted with chlorine 50 ppm The well was pumped 5' off the bottom with 100% draw down for 2 hours and recovered at 7.5 gpm. Date Drilled: 5/22/2019 Driller: Ben Mattson Development Services Department Building Safety Division em � On -Site Water & Wastewater Program a� 4700 Elmore Road P.O. Box 196650 d ET v Mark Begich Anchorage, AK 99507 s "F Mayor www.muni.org/onsite (907) 343-7904 Pump Installation L® Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: Legal Description Property Owner Name & Address: North Woods Unit 3 Tr B1 Troy Davis Homes, Inc. 1689 Knik Goose Bay Road #400 Wasilla, AK 99654 Pump Installation Date: 08/16/2019 Pump Intake Depth Below Top of Well Casing: 141 feet Pump Manufacturer's Name: Meyers Pump Model: 3NFL72-8-P4-01 Pump Size 3/4 hp Pitless Adapter Burial Depth: 11'8" feet Pitless Adapter Manufacturer's Name: Campbell Pitless Adapter Installer: Unknown Well Disinfected Upon Completion? ✓❑ Yes ❑ No Method of Disinfection: Recirculation Comments: Pump Installer Name: Wheaton Water Well, Inc. 1190 N. Wasilla-Fishhook Road Wasilla, AK 99654 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 15' UTILITY EASEN SE ml . .......... /§HELTERING SPRUCE AVENUE L©t 7 MUNICIPALITY OF ANCHORAGE 01ent On-Site Water& Wastewater Program \o PO Box 196650 4700 Elmore Road • i Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 \ http://www.muni.org/onsite 11 E, Department '1Cq OPPC'4 On-Site Wastewater Disposal System Permit Permit Number: OSP191088 Effective Date: 4/11/2019 Work Type: Septic Initial Expiration Date: 4/10/2020 Tax Code Number: 05173209000 Site Legal Address: NORTH WOODS UNIT 3 TR B1 G:1459 Site Mailing Address: 22970 SHELTERING SPRUCE AVE, Chugiak Owner: TROY DAVIS HOMES INC Lot Size in Sq Ft: 229126 Design Engineer: FORGE ENGINEERING Total Bedrooms: 3 This permit is for the construction of: D Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy l 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 4V/8//R CO- ( /4-d d u-til to eon/t, ::::8vi : Date: • Date; RUS4 MUNICIPALITY OF ANCHORAGE £P( 4NS ‘ .7. , _ , (Th .......„ Community Development Department ;/ 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. 051-732-09 Property owner(s) Troy Davis Homes Day phone 310-2501 Mailing address 1689 Knik Goose Bay Rd #400, Wasilla, AK 99654 Site address 22970 Sheltering Spruce Avenue Chugiak, AK Legal description (Sub'd., Block & Lot) North Woods Unit 3, Tract B1 Legal description (Township, Range & Section) Lot Size 229,126 Sq. Ft. Number of Bedrooms Three (3) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field [ Initial x Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade [ Duplex (D) n Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 2 CO - 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: 4 952. Waiver Fees: Date of Payment: LI r2 1,19 Date of Payment: Receipt Number: (.jq (D Receipt Number: Permit No. USP V I (On Waiver No. Permit App__-:• ,_.mac; PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) April 9, 2019 MOA Development Services Dept, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: North Woods Unit 3, Tract B1 – 22970 Sheltering Spruce Avenue Septic System Design Dear On-Site Services Engineer: The owner of the above lot intends to construct a 3-bedroom home on the property. We are submitting this permit application for the construction of a new septic system. The property is served by a public water system. The attached site plan identifies the location of the home and the proposed septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system on this lot or adjacent lots. The ground surface on the lot slopes gently to the northwest at shallow grades. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Contours and drainage arrows are shown on the site plan indicating the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trenches will be constructed parallel to the slope as much as possible. The new system will be a minimum of 100’ from all wells and surface water, 10’ from any water service and more than 5’ away from the septic tank. 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, Michael E. Anderson, PE 4/9/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191088, Deb Wockenfuss, 04/11/19 NORTH WOOD UNIT 3, TRACT B1 G0 I HEtTTN s0RUCE AV N"E 30 LF - 18" CPEP „ .. .•'75' U J ITY EASEMENT TOE OF FILL M� 2- 'LONG X 5' WIDE X 5' EFFECTIVE DEPTH "sr. ° T"' ABSO PTI TRENCHES J rIT 1 /PROPOSED WELL J / 1,250 BALLON J �� TH2•Irl - —� STEP�TANK MT T f J F0 MH 3-D#ZM HOME `! 10' �•. I f ``3 ALTERNATE SITE J L,,a/ ` ' `• \ i CATEGORY III SYST LOT 1 W/15' L X 5' WIDE} .5' EFF. DEPTH TR SNC iRGE I N GI N E I it I G NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE LEGEND PROPOSED SEPTIC SYSTEM CO -CLEANOUT ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2CO - DOUBLE CLEANOUT PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC FCO - FOUNDATION CLEANOUT SYSTEMS. FS - FLOW SPLITTER VALVE 0 50 100 MH - MANHOLE FEET 0 SLOPES > 25% MT- MONITORING TUBE ® SLOPES > 46% SV - SEPTIC VENT TH - TEST HOLE NORTH WOOD UNIT 3, TRACT B1 DESIGN FACTORS: SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW PERK RATE: 1-5 MIN/IN APPLICATION RATE:1.2 GPD/SF 5' WIDE TRENCH SYSTEM 1,250-GAL STEP TANK TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY BOTTOM OF TRENCH: 1.0' BELOW GRADE FLOW LINE ELEVATION: .5' BELOW GRADE TOP OF TRENCH: 2.0' ABOVE GRADE 450 GPD / 1.2 GPD/SF /5' WIDE *1.0 RED. FACTOR = 75 LF TRENCH REQUIRED (76 LF SPECIFIED) 4/8/19 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK5' 6" ORIGINAL GROUND6" 2'-0" 2" INSULATION PLACE 4" OF TOPSOIL AND REVEGETATE MOUND Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191088, Deb Wockenfuss, 04/11/19 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 to WATER 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) Sylae Subdivision - Lot 16A Troy Davis Homes 02/07/18 C. Johansen 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? Yes 7' 3/06/18 2/07 3 6 4 5 - 10' OB silty sand w/ gravel 1:30 - 1:401 1:41 - 1:512 10 10 1:52 - 2:023 2:03 - 2:134 2:14 - 2:245 2:25 - 2:356 41 2" - 61 4" 10 10 10 10 13 4" water seeps at 10' 41 2" - 63 8" 17 8" 41 2" - 61 2" 2" 41 4" - 61 4" 2" 2" 17 8" 41 4" - 61 4" 41 2" - 63 8" Professional Engineers Stamp: May 08, 2018 5 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191088, Deb Wockenfuss, 04/11/19 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 #2 SLOPE SLOPE SITE PLAN See Site Plan DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER 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) Sylae Subdivision - Lot 16A Troy Davis Homes 02/07/18 C. Johansen 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? Yes 7' 3/06/18 2/07 1.1 6 3 4 - 8' OB silty sand w/ gravel 11:10/11:16 1 2 6:15 3 4 5 6 water seeps at 8' 6" 6" 6" 6" 6" 6"4 1 2" - 10 1 2" 11:17/11:24 6:23 11:25/11:32 6:22 11:33/11:40 6:47 11:41/11:48 6:47 11:49/11:56 6:47 4 1 2" - 10 1 2" 4 1 2" - 10 1 2" 4 1 2" - 10 1 2" 4 1 2" - 10 1 2" 4 1 2" - 10 1 2" Professional Engineers Stamp: May 08, 2018 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191088, Deb Wockenfuss, 04/11/19 c r) M chi c� r— ti 0) L1J c ca � o LL V A NQN Li. O 2 V z LL I Q0 � U E U CZ L L e Q �jW Z Q N U 06 co ^L^`` c � E � O > C/) Q) c 00 c6 O Q Q.. 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U U (3) m 0) m Q 0 C+� U W 0 co m c O co U O J a) c 0 L Q ca w U) w ❑ z N W LL z z W 'z U) a) C O m CL 0 a C U Hi 0 0 LL (D a) a) LL Q U) 0 c 0 co IL O 0 0 L c IL LO C a) m N _ C 3U O a) CL C 0) L ❑ •� C Q U E 3 U U) E]~ N U) c 'o O E V ® N > O U N 0 O LL L V M a) ❑ N a CO O7 (D Q) ❑ N ,a _C _o O U) a) o c0 >, o O — — 0) a = m> p o ®❑ U m a No o i i 0 ® ❑ ❑ fn 0N = O LL w a a ❑ o °; Q ❑ o U) ai J U)c a) a) LLI ® N W N W W H F- N LL U)j Y 0 z Q O 4- N m W LL LL H u) a a) cm a) O O W W U)I O H W m a) a a H U) Q Q Q > �+ (0 N M d Cfl W m r Hi 0 0 LL (D a) a) LL Q U) 0 c 0 co IL O 0 0 COSA Checklist.docx COSA Checklist Legal Description: SYLEA LOT 1 Parcel ID: 051-732-36 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 5/22/2019 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 7/1/2024 Static water level at beginning of test 139 ft. Well production at time of test 4.5+ gpm Water storage tank volume NONE gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 5.62 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 7/1/2024 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank *NA Date of pumping 7/1/2024 Required maintenance completed, if AWWTS Comments: *STEP FLOATS C. LIFT STATION Required maintenance completed Age of lift station 5 years Lift station material STEEL Comments: (To gravity field / not pressurized) D. ABSORPTION FIELD DATA Which system tested (date installed) 7/31/2019 ALL standpipes present per record drawing Total measured depth from existing grade 3.7 ft (max) Measured depth to pipe invert from grade 3.1 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 7/1/2024 Results Pass (east trench tested) Fluid depth prior to test 1 in Water added 450 gal New fluid depth 3 in Elapsed time <20 min Final fluid depth 1 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 6 in (MOA 0.5’ ED) Effective depth used 1 in (Final Fluid Depth) Effective depth (ED) remaining 5 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximate. Only tested east trench (closest to house). The west trench was saturated. 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 7/7/2024 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 & 7/7/2024 K:jl r- 0 rn rn rn n � M M m m r• X O Ql LL W a 0 z v z LL .O H J CL V z r O O E N O 3: y,, • c� 00 N N (n o L +� O J E i av+ _ N E wo lD Lli O C O � � a U o U x E _0 (L)L • NL Q) N Q w C a) Q a) � N E >- N v � ao U Q L 0 J= \ to t]A X O N co f0 N Q a LL) Q to �' N a) 4 � O > _ � a) > .}+ to v a) N bA O Q) v _0 v O v -� v E a) N CU N > 0 N �O 0 3:a) Y N +j O O t/) LL (1) 1 + z -0 U m a) 4- v N v U c C ao +O-+ ciL O O ro U L U 4� N a) �+— a) o U — O Q cLa 0 00 v m A .� v aJ Ln cn LI? 1 O 4' 0 a) +-ii U i.� U U m>:Lj > cn C O N • � V) C cB v N L °' Q E M N> L .v Q U a) 4 � a — 4' E C O .L LJJ O 4— O U a) > °' C_ M � OU 4-a-+ U a) D aN-+ 00 cB N a) 4-J > O- -0 r C O .� E L O C +' co V a, +-, CO •> E O (6 0 v � 3 a)0 a--� L Q a--+4, C >- L b O C O co L O `� C i o 0- •- U CO +J ro aJ V) L- LnO •� m �' H IJ V a O a .n U IOLO m C LL W ~ f6 a) L � ZI E O ii ° a ,; . 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L C V1 — a L 3 tm v v o o �' co C +� N a a C ,� Z a ro -p LO + +, a +� C C n T Q -C C a ! O � O C a ate1 U @ 1-, E aH .0 �' � U ;} T L L E C6 Z 3 L a L O 1�-• = L Q in Z O O .,O C a s M U Z O p _ t H O'� w > r z � L 0 O a C a a`) +, O aT, Q U a ,� a) m L1 w a ro t a L +- M C_ U a E @ O N a C Z" U L +, rn o E " VI -� — '� dA C co to u E a L a = 3 •N F U M a) (� C C m p 0 p O X N L1 T C w a' a i a C to a a a a o ro On o M °, ''n o °u H 3 E 4- �, H � �, E M ° .0 roA :3 MUNICIPALITY OF Development Services Department _7 On -Site Water & Wastewater Section -` Parcel I.D. 051-732-36 EPLRA(S ANCHORAGE�' IFj ` f-r' Certificate of On -Site Systems Approval Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: � r /0— 20Z D 1. GENERAL INFORMATION Complete legal description Sylea, Lot 1 Location (site address) 22970 Sheltering Spruce, Chugiak, AK Current property owner(s) Troy Davis Homes, Inc Day phone 357-9394 Mailing address 1689 S. Knik Goose Bay Road #400, Wasilla, AK 99654 Real estate agent Day phone 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ,- ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex)!; 3. NUMBER OF BEDROOMS: Three 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic El 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 $- Waiver Fee $ Date of Payment Date of Payment Receipt Number Gia (o-"3 D Receipt Number COSA# d5cIgIL15-1 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 F ` 49th 6. DSD SIGNATURE 0t'jp"""�•'"� t©. nn. un....nnuun.""nn"........ Q System #1 Approved for bedrooms MICHAEL E. ANDERSON O;P. No. CE-4381 System #2 Approved for bedrooms ;P. No Disapproved ©� Opgg4o®S©\pQ 01 Conditional approval for bedrooms, with the following stipulations: \G?QP V By. �• `� Original Certificate Date: 10-10-191 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 Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory Arsenic Advisory Other Legal Description: Sylea, Lot 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 5/22/19 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 5/22/19 Static water level at beginning of test 140 ft. Comments B. TANK DATA Age of tank (S) 7130119 years Tank type/material S.T.E.P./Steel Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping New Construction D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 7/30/19 IN ALL standpipes present per record drawing Total measured depth from grade 2.9/2.9 ft (max) Measured depth to pipe invert from grade •5/_5 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 051-732-36 Structure served by this system Well production at time of test 7.5 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate •0370 mg/L ❑ Nitrate less than MRL (ND) Arsenic 1959 ug/L ❑ Arsenic less than MRL (ND) Collected by Wheaton Water Wells Date of Sample $/5/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date New Construction Results DPass- For 3 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: 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' Q Yes Community Sewer Manhole/Cleanout > 100' Q✓ Yes if No ft Q Yes if No ft Neighboring Tank > 100' [71 Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' P- Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Q✓ Yes if No ft Water Main > 10' Animal Containment > 50' Q Yes if No ft Q✓ Yes if No ft Q✓ Yes if No ft Water Service Line > 10' Q Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' Q Yes if No ft Fv� Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Q Absorption Field > 5' Q✓ Yes if No ft Private Wells > 100' Q✓ Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' Q✓ Yes if No ft Water Service Line > 10' Q 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' Q 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' Q Yes if No ft Private Wells > 100' Q Yes if No ft Water Service Line > 10'✓Q Yes if No ft Community Wells > 200' Q✓ Yes if No ft Surface Water > 100'✓Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 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 AV 49th_ n MICHAEL E. ANDERSON No. CE -4381 9/24/19 Xr SHELTERING SPRUCE AVENUE 0 a 8-430.00' N 90 'OO'E 98.28' --- is 15' UTILITY EASEMENT w u n SE Lot Lot 3 \ f \ \ Lot 7 < PLOT PLAN — AS BUILT X SCALE 1" 550' GRID NW 1459 Project No. 19-086/B5 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inC" (907) 522-6476 Phone oa�� Professional Land Surveyors k.n0I s92—a6y5 Fax OF A�° p0a keniilan surve com Y jonathan0Icngsurvey=rn �� .• '' I hereby certify that I have surveyed the following described property: LOT 1, SYLEA SUBDIVISION Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property tying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the 2O t Day of 1 2 _t° , at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH -� KENNIEH71:4 ie jr S Ogg.-` AECC963 ................. THIS AGREEMENT., made this 7th day of October, 2019, by and between TROY DAVIS HOMES INC and their heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing Linder its Charter and the laws or the State of Alaska, hereinafter called the "PERMITTER`'. WITNESSETH - WHEREAS, PERMITTEE is the owner of the following described real property: SYLEA, LOT 1, according to the official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: The FIFTEEN FOOT UTILITY'' EASEMENT, immediately to the north boundary of PERMITTEES property as shown on Plat No. 2019-69, on file in the office of the District Recorder, Anchorage Recording District, Alaska, ecording Z-1 and; WHEREAS, PERMFFTEE has placed a well upon the referenced real property which encroaches 1.0 feet upon the PERMITTER'S 15.0 -foot Utility Easement. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The PERMITTER, acting through the Director of Development Services Department, hereby grants to the PERMITTEE the privilege of allowing a well to encroach 1.0 feet upon the PERMITTEWS 15.0 foot Utility Easemem, as shown on -Attachment A," included herewith. 2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought to any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in connection with the existence of, alterations, maintenance, repair, renewal, reconstruction, operation, use or removal of the encroaching well, as placed upon the PERMITTER'S 15'0 -foot Utility Eascment. The PERMITTEE shall not assign or transfer any of the rights granted here;n to another individual or company without first notifving and securing the approval of the Director of Development Services Department. 4. This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S real property whatsoever, except only the encroachment rights described herein. 5. The PERMITTER reserves the right to revoke this permit upon twenty (20) days written notice to the PERMITTEE. The PERMITTEE agrees upon such notice of revocation, to rnove said encroachment(s) from the 15.0 -foot Utility Easement in which it is placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER may, without further notice to the PERMITTEE, remove or cause to be removed the encroachment(s), and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual, promises heretofore made, the PERMITTEE has paid the PERMITTER a one-time permit application fee of $:120.00. The PERMITTER hereby waives the annual fee of $315.00. IN WITNESS WHEREOF, the parties hereto have: hereunto set their hands and seal the day and year first hereinabove written. GRANTEE: GRANTOR: MUNICIPALITY OF ANCHORAGE Troy' vis Homes. Inc, Owner Lynn M McGee for Jack L. Frost, Jr. Troy W C Davis Right of Way Supervisor STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT THIS IS TO CERTIFY that on this 7th day of October, 20,19, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Lynn M. McGee for Jackt. Frost, Jr., known to me to be the Right of Way Supervisor for the Municipality of Anchorage, Alaska, who executed the foregoing instrument, and he acknowledged to me that he executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. NOTARY PUBLIC in and for Alaska My Commission Expires: -- STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT '['HIS IS TO CERTIFY that on this day of4, 2019, before J me, the undersigned, a Notary Public—in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Li' —(, b known to me to be the individual(s) named hercin who executed e foregoing instrument, and (s)he acknowledged that (s)he Z� did so freely and voluntarily I tarily for the used and purposes therein mentioned, ami on oath stated that (s) he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above %A-itten. TatnuraGiffin d ska NO-(TARZY PUBLIC in and_7� ry My Commission Expires: September 30, 2019 Troy Davis Homes 22970 Sheltering Spruce Chugiak, AK 99567 To whom it may concern, Subject to your agreement to indemnify the company as set forth below, GCI Communication Corp has no objection to the existing well located in the utility easement of Lot 1 Sylea Subdivision, also known as 22970 Sheltering Spruce Avenue, city grid NW1459, GCI WO 19-0001-51. This letter of non -objection in no way precludes GCI Communication Corp from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of-way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI Communication Corp harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to me at the address below, Sincerely, _ Signature 10/2/19 Date Jarkus Kofoid Manager Outside Plant Design & Data Management GCI Communication Corp 5151 Fairbanks St. Anchorage, AK 99503 907-868-6168 Office 907-868-8580 Fax �u- October 3, 2019 Troy Davis Homes, Inc. 1689 ILnik Goose Bay Rd ##400 Wasilla, AIL. 99654 Re: Utility Easement Encroachment To whom it may concern: ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY Engineering Department Right of Way Section 401 E. International Airport Road P. 0. Box 190288 Anchorage, Alaska 99519-0288 (907) 277-5551 FAX (907) 334-7798 ENSTAR Natural. Gas Company has no objection to the well encroachment within. the fifteen foot (15FT) wide Utility Easement adjacent to the North property line of Lot 1, Sylea Subdivision, according to Plat No. 2019-69, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Digline, Inc., (907) 278-3121 or 811 for line locating two (2) business days prior to any related excavation. This service is free of charge. ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. ® Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR. * Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the land owner. ® All applicable safety code regulations will be observed and maintained. This letter of non -objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, Cassie Acres Right of Way & Compliance Technician ENSTAR Natural Gas Company NON -OBJECTION TO EASEMENT ENCROACHMENT DOCUMENT By this document Matanuska Telephone Association, Inc. (MTA) declares that it has no objection to the encroachment of the well in the platted 15' utility easement of Lot 1 of Sylea Subdivision, Plat Number 2019- 69, filed in the Anchorage Recording District, State of Alaska. Please be advised chat MTA through the issuance of this document does not forfeit any of its rights to the use of the area cited. In the exercise of these rights MTA will, if needed, upgrade, maintain, repair, and/or replace buried or aerial telecommunications facilities within the easement. Any repairs that may be required to the encroachment as a result of utility construction will be borne by the property owner of record. This document does not authorize the placement of any additional encroachments within the easement area. Property owners are required to obtain utility locates before doing any kind of work in the utility easements and will be liable for any damages caused by their construction work in the easements. This document is in no wav an agreement to vacate any portion of the utility easement and should not be interpreted as such. Issued for Matanuska Telephone Association, Inc. this 301" day of September 2019, by, �Robbie Nash, Director, Engineering & Construction THIS IS TO CERTIFY, that on this 30" day of September, 2019, before me the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such,.personally appeared Robbie Nash known to me and to me known to be the individual named .in and who executed the foregoing instrument and acknowledged to me that he signed and sealed the same as a voluntary act and deed for the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and year first above written. OFFICtAL SE&L sal sparrow Notary Pu kc in and for Alaska ' tta�f'uu#44i RaEerxlAlaska My c mind ion expires: .. RD. Box 3550 } Palmer, Alaska 99645 i trttasolrttions.com 907.761.2510 MATANUSKA ELECTRIC ASSOCIATION, INC. LETTER OF NON -OBJECTION October 1, 2019 Troy Davis Homes, Inc. 1689 Knik Goose Bay Road #400 Wasilla, AK 99657 Re: Lot 1 Sylea Subdivision (Plat 2019-69, Anchorage Recording District) Dear Troy Davis Homes: MEA has no objection to the encroachment of a well located in the utility easement as depicted on the attached as -built survey drawing dated 8/30/19, subject to the following conditions: 1. The improvement will in no way restrict or limit the current or future ability of MEA to fully enjoy the benefits of the easement for any and all utility purposes that it presently enjoys under the easement. 2. MEA will be held harmless by the landowner from liability for any and all damages or injury to any person or property that may result from the existing and future use of the easement by MEA, its contractors, or assigns. 3. MEA will be held harmless by the landowner for any and all liability arising out of or relating to any use of the easement by others under a Letter of Non -Objection. 4. The landowner will be liable for any damages caused to MEA facilities by the improvement in the easement. 5. The landowner will be responsible for any special construction costs incurred by MEA due to the improvement in the easement. 6. The landowner will assure compliance with all applicable safety codes relating to the improvement in the easement. 7. Use of this letter by the landowner, their successors or assigns will constitute acceptance of these conditions. 8. Alteration of these conditions shall invalidate this letter. 9. This letter is not effective unless it is recorded in the Anchorage Recording District before ownership of the referenced property is changed from the above named landowner. S%Services t ML STATE OF ALASKA)SS- THIS IS TO CERTIFY that on this 1 day of October, 2019 before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Manny Lopez Known to me and to me known to be the individual(s) named in and who executed the foregoing instrument and acknowledged to me that he/she/they signed and sealed the same as a voluntary act and deed for the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and official seal the dgwand, y,.ar first above written J �v N N Notar Public in and of Alaska M commission expires 3 `� Y Y P Return to: MEA, PO Box 2929, Palmer, AK 99645 3