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GOLDEN VIEW HEIGHTS LT 6K
HomeMy WebLinkAboutGOLDEN VIEW HEIGHTS LT 6KOnsite File
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191155 PID Number: 020-043-07
Dwelling:❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: X New ❑ Upgrade
Name
ANTHONY BROOKS
ABSORPTION FIELD
■❑ Deep Trench El Wide Trench El Bed El Mound
Site Address
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
4
1.2 GPD/SF
JTotal
9.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.0 Ft.
Gravel depth beneath pipe
6.0 Ft.
Subdivision Block Lot
GOLDEN VIEW HEIGHTS LT 6K
Fill added above original grade
1 + Ft.
Gravel length
42 Ft.
Township Range Section
Gravel width
2.0 Ft.
Beds: Number of Lines
0
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
504 Ft2
1
Ft.
Well
100'-1-
100'+
50'+
TANK X Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCH TANK
Capacity
1250 Gal.
Surface Water
100' +
100'+
Material
Number of compartments
Lot Line
10'+
10'+
NA
STEEL
2
Foundation
10'-x-
10'+
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034Tank to 3034
drainfield
Installer
MIKE N ANDERSON, P.E.
Drainfield 3034 CO/MT 3034
inspector MIKE N ANDERSON, P.E.
BENCH MARK (Assumed elevation) 101.5 ft
Inspection1s' 9-15-19 9-15-19
Location and description
2�d
GARAGE SLAB
3m 4th
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Elgin&e Stamp
Conditional Approval: Date
4,q'.°
a000.O
49_x' 4 °�i .A�
.o o
G fj
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° ° . e ........
VO ° MICHAEL N. ANDLRSCid° o
. cE-snz9 ,•'`` �,
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Ji
Septic System{
I6&MA
Approved Date f 9o�b
f'�0 ° (2( �9�(�( °:'
Note: this approval does not include well permit requirements.
(Rev 05/02/18)
Permit No. OSP191155
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: GOLDEN VIEW HEIGHTS LT 6K
MARK
A
B
C01
4
44
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TC01 /
15
40
TCO2 /
22
38
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22
32
PID No.: 020-043-07
i
NEW 1250 GALLON STEELTAf�k
— �pq—= — — "— —
MT
TCO 3 \\TH#1
BENCH, ARAGE SLAB // IITC . B FENCE
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- —
SCALE: 1"=50'
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FlLTER FABRIC @ INSULATION MMb.0 ORG ®M •••M♦♦♦
i49 TH
97 1.250 urw na. ......
GALLON 7. 97 97 SP/GP •'
51EEL
TANK
Ba -7 7
® ..MICHAEL N. ANDERSON:*
♦ %' No. CE 9469 \IW
®®® CN, 2-18-19 �.
SEPTIC SECTION 84 ®♦®® EES,\C ®®®
N.T.S. DRY, MAY 2019
Certified Drilling Log
DOC CO dba
BILL 8& COLE
ULLMAN' WATER WELLS
el—P P.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Anthony & Brandy Brooks
ADDRESS: 6481 West Cir. Anchorage, AK
LEGAL DESCRIPTION Golden View Heights Lot 6K
DATE: 6-19-19
PERMIT NUMBER: OSP191155 DATE OF ISSUE: 5-29-19
TAX IDENTIFICATION NUMBER 02004307000
is well located at approved permit location: ®Yes [—]No
Method of Drilling: ®air rotary ❑cable tool
Depth of Well: 260'
Casing Type: Steel Wall thickness ,250 inches
Diameter: 6 inches, depth 84 feet
Liner type
Static Water Level: 80 feet
Recovery Rate 1 ® gpm ❑ gph
Method of Testing Air
Well Intake Opening Type: ❑ open end ®open hole
❑ Screened Start feet Stopped
❑ Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: ®yes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments:
WATER QUALITY TESTING
Coliform Nf- CoV100mL
Nitrates mg/L
Arsenic N V) Ug/L. is 1 125III,
Bore Hole Data
Depth
From To
0 2
2 4
4 44
44 65
65 69
69 75
75 99
99 175
175 181
181 260
Casing Stickup
Overburden
Tight Silty Sand & Gravel
Hardpan
Silt & Sand w/ Gravel Wet
Hardpan
Bedrock Gray w/ Quartz
Bedrock Gray
Bedrock Gray w/ Quartz
Bedrock Gray
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
www.sullivanwaterwells.com
Pump Installati®n L®g
Well Drilling Permit Number: SW OSP191155 Date of Issue 5-29-19
Parcel Identification Number: 02004307000
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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MUNICIPALITY OF ANCHORAGE m mf„r
On-Site Water&Wastewater Program No5e;
PO Box 196650 4700 Elmore Road •
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.org/onsite .1''�
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On-Site Water & Wastewater System Permit
Permit Number: OSP191155 Effective Date: 5/29/2019
Work Type: WellSeptic Initial Expiration Date: 5/28/2020
Tax Code Number: 02004307000
Site Legal Address: GOLDEN VIEW HEIGHTS LT 6K G:3238
Site Mailing Address: 6481 WEST CIR, Anchorage
Owner: BROOKS ANTHONY & BRANDY Lot Size in Sq Ft: 43888
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
0 Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy El 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
Received By: Date: li
Issued By: COAZ Date: 9 19
MUNICIPALITY OF ANCHORAGE
•
(. : r
Development Services Department r' Phone: 907-343-7904
On-Site Water & Wastewater Section / Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 020-043-07
Property owner(s) ANTHONY BROOKS Day phone Z ct 2. ^D s L o
Mailing address PO BOX 111797 ANCH AK
Site address
Legal description (Sub'd.. Block & Lot) GOLDEN VIEW HEIGHTS LT 6K
Legal description (Township, Range & Section)
Lot Size 43888 Sq. Ft. Number of Bedrooms /f
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(2]all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF)
(w/wo ADU)
Septic Tank ❑ Upgrade ❑ 01
Holding Tank ❑ Renewal ❑ !�
Q ,i1.Ie if; ❑
Privy ❑ 4r .,- d/,•r D)
Private Well 1711 N a.9 3 eois,Water Storage 111i9
THIS APPLICATION INCLUDES A WAIVER REQUEST FO68- 9 S I ''
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
Iri/AAiL
(Signature of property owner or authorized agent)
Permit/Rush Fees: ZC:)4 Waiver Fees:
Date of Payment: 01360 Date of Payment:
Receipt Number: loWD'S Receipt Number:
Permit No. 3S1O1 1155 Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
April 15, 2019
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: New septic and well permit
Legal: GOLDEN VIEW HEIGHTS LT 6K
To Whom it may concern:
This is a request for a septic and well permit on the above referenced lot. A perc test was excavated on the
lot and found poorly grade sand and gravel (SP/GP)the full depth of 16 feet. No water was found during
excavation or after the 7 day monitoring period. The new system is a simple gravity flow 3 bedroom system
with 5 feet of effective depth. This new system will not impact any of the neighboring properties. The
slope is very gentle slope to the west,see the site plan.
Sincerely1 V V
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
DESIGN CRITERIA: , MOUND OVER
(TH#1) o -- GRADE
4 BDRM X 150 = 600 GPD -
SOILS = 600/1.2 = 500 GPD �.0 o�G
500 GA/12 =42' SP'GP 30 �e� FILTERFABRICPPE
(1)TRENCH SEWER ROCK
$6.0' DEEP
6.0' EFFECTIVE 9'0
2.0'WIDE 12.0'
42' LONG 16
SEPTIC FIELD SECTION
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GOLDEN VIEW HEIGHTS, LOT 6K — : 49TH , \* #
Anchorage, Alaska •
• •
Michael N. Anderson, P.E. DATE: 4/15/2019 % •;MICHNoL N.E •A46 RSON; -
4601 NATRONA AVE DRAWN: DJR 4_, .� i
ANCHORAGE, ALASKA 99516 )1'�O•;;•• ' • '�\ •�
(907) 727-8864/FAX: (907) 345-1391 SCALE: 1"=200' 44��•';��44
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Septic Design Prepared for .�����SIMi44
ANTHONY BROOKS •
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GOLDEN VIEW HEIGHTS, LOT 6K ;' 49TH :,* t,
Anchorage, Alaska •
•
Michael N. Anderson, P.E. �� MICHAEL.N. ANDERSON:'
DATE: 4/15/2019 �..�� No. C 94j61.:', . ff
4601 NATRONA AVE DRAWN: DJR ��� �!' :
ANCHORAGE,ALASKA 99516 •t ••.. •• .�
(907) 727-8864/FAX: (907) 345-1391 SCALE: 1"=50' fit. SS Al'44
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Municipality of Anchorage d AAFAGINEE . SEAtf-, to
Development Services Department
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On-Site Water and Wastewater Section �+; 49TH •••,�
4700 Elmore St.
•` �_ P.O.Box 196650 Anchorage,AK 99519-6650 „,d �,
ii •
www.muni.orq/onsite j” p'
(907)343-7904
• MICHAEL N. ANDERSON ;,� /�
rP�0r�9• CE-9469 ,.". ,
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Soils Log - Percolation Test ld� ,?n{fs����\:t..\',...
Soils
Performed For: Art 4-PH)r+�( V29/19{J� L, Date Performed: /y 4
Legal I-• . ion &Nl ili,41V% vi.,,W /iYl•ski- i Township, Range.Section:
J , I r tl 4 Ct , Slope Site Plan
Depth
(Feet) d v-g '
1-'
2-
4 -'
3-
GA 14-r-P(lt 01
4-
5-
6- Lr /e'7 1
7-
8-
WAS GROUND WATER "IV
ENCOUNTERED?
S
1 0- IF YES,AT WHAT DEPTH? L
Depth to Water After 0
11- Monitoring? �( P
1 E
12- Date ? �l'�
13-
14- Reading Date Gross Time Net Time Depth to Water Net Drop
15- 1./,if 1100.!^ Lit
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17- ° �t'�►^` G t S/,
18- G ! .S/r
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PERCOLATION RATE 2- (minutes/inch) PERC HOLE DIAMETER 4
TEST RUN BETWEEN y FT AND 04,5"-- FT
COMMENTS /�/( (1.-!{1 41 n,7 �F t f f(.1 t
PERFORMED BY: k.A f1 As% I !,1 CERTIFY THAT THIS TEST AS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 2 r
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PLOT PLAN X AS BUILT __ SCALE 1" = 30' GRID SW 3238 Project No. 19-005/B1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates , inc . (907) 522-6476 Phone
(907) 522-4625 Fax �.c.• ppO
Professional Land Surveyors kenOlangsurvey.com vl O F A �‘p
jonathanOlangsurvey.com i'`�! .•'•'Q1/4sA
00, . ..'�- pp
I hereby certify that I have surveyed the following described property: ��\ AVO
Off: 49TH ��
LOT 6K, GOLDEN VIEW HEIGHTS SUBDIVISION (PLAT No. 84-475) 0 * : — . * 4
Anchorage Recording District, Alaska, and that the Improvements situated thereon are 0
within the property lines and do not encroach onto the property adjacent thereto, that 0VA
no improvements on the property lying adjacent thereto encroach on the surveyed 0 a 0
premises and that there are no roadways, transmission lines or other visible Q c� KEN ETH LAN o
easements on said property except as indicated hereon. '�
0
04 .'•411,111q 4 ,
Dated this the 5� Day of Ft:P.:ALL.,h 14'-+' , . �S-520 .•' _
at Anchorage, Alaska ��OQO4FSsgoNAQ�o"
It is the responsibility of the owner to determine the existence of any easements, Opppo
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
MUNICIPALITY, OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section - Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 020-043-07
1. GENERAL INFORMATION
Expiration Date: `7 ` % 7 1020
Complete legal description GOLDEN VIEW HEIGHTS LT 6K
Location (site address) 6481 WEST CIR ANCH, AK
Current property owner(s) ANTHONY BROOKS
Mailing address
Real estate agent
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: q
Day phone
Day phone
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well 0 Private Septic 3 6 ? 8 9 170 .
Water Storage ❑ Holding Tank
Community Well ❑ Community a J,4
Public Water System ❑ Public Sew �ZO
a a
ti
Waiver request for: 4
ti
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ d • OD Waiver Fee $
Date of Payment 01119 ( lb20
Receipt Number, 2q(pq,% 3
COSA # 6SG201 O j D
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Namaof Firm MIKE N ANDERSON, P.E. Phone 727-8864
Address 4661 NATRONA AVE ANCH AK
Engineer's Printed Name MIKE N ANDERSON, P.E. Date 1-15-20
6. DSD SIGNATURE
System #1 Approved for _y__ bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms,
A s a
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MICHAEL N. ANDERSCN
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9469
with the following stipL1lgkwSm%
ON-SIT"E
By. Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
COSA Checklist
Legal Description: GOLDEN VIEW HEIGHTS LT 6K
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 6/19/19
Total depth 260 ft
Cased to 84'+ ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 30"+ in.
Date of flow test for COSA NEW
Static water level at beginning of test 80 ft.
Comments
B. TANK DATA
Age of tank(s) NEW years
Tank type/material STEEL
Measured operating fluid level in septic tank NEW
OR Standpipes/foundation cleanout per record drawing
Date of pumping NEW
D. ABSORPTION FIELD DATA NEW SYSTEM
Which system tested (date installed) NEW
❑ ALL standpipes present per record drawing
Total measured depth from grade 9.0 ft (max)
Measured depth to pipe invert from grade 3.0 ft (min)
❑ N/A — pressurized field
OR Monitor tubes go to bottom of effective. If not, state
depth into effective
OR Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced 0 gallons
Comments/Deficiencies: NEW HOUSE AND ON -SITE SYSTEMS
COSA Checklist yellow sheet
Parcel ID: 020-043-07
Structure served by this system
Well production at time of test 1+ gpm
Water storage tank volume 0 gallons
Well disinfected for coliform test? ❑ Yes ❑ Nc
FW Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by MNA
Date of Sample 10/25/19
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date NEW
Results [✓ Pass For t' bedrooms
Fluid depth prior to test 0 in
Water added NEW 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
❑✓
Yes
if No
ft
From Private Well on Lot to: (Please enter distances
if less than required or if community well)
0✓
Septic Tank/Lift Station on Lot > 100'
if No
ft
Community Sewer Manhole/Cleanout > 100'
Water Main > 10'✓Q
Fv Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' Q✓ Yes
if No
ft
Private Sewer/Septic Line > 25' [ Yes
if No ft
Absorption Field on Lot > 100' P/ Yes
if No
ft
Holding Tank > 100' Z✓ Yes
if No ft
Neighboring Absorption Fields > 100'
Animal Containment > 50' E✓ Yes
if No ft
M Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' MYes
if No
ft
Q Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' M Yes
if No
ft
Surface Water > 100' ❑✓ Yes
if No ft
Property Line > 5' r✓ Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5' F Yes
if No
ft
Private Wells > 100' 0✓ Yes
if No ft
Water Main > 10' Yes
if No
ft
Community Wells > 200' ✓0 Yes
if No ft
Water Service Line > 10' Yes
if No
ft
If septic tank is under driveway comment
below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
❑✓
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
0✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'✓Q
Yes
if No
ft
Private Wells > 100' E✓ Yes if No ft
Water Service Line > 10'
Q✓
Yes
if No
ft
Community Wells > 200' E✓ Yes if No ft
Surface Water > 100'✓�
Yes
if No
ft
F. ENGINEER'S COMMENTS
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
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= MICHAEL N. ANDERSCN
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