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Home My WebLink AboutEMERALD GROVE LT 3Onsite File Emerald Grove Lot 3 #015-521-49 , ot, f:7 f) w Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 `_ Page 1`, ON-SITE WASTEWATER INSPECTION REPORT NOV I (F 2020 Permit Number: OSP201022 PID Number: 015-521-49 Dwelling: M Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: F0 New ❑ Upgrade Name Hultquist Homes Inc ABSORPTION FIELD 0 [:]E]Deep Trench Wide Trench Bed ❑ Mound Site Address NHN Bess St. ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 0.45 GPD/SF 11.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original 4.0 grade Ft. Gravel depth beneath pipe 7.0 Ft. Subdivision Block Lot Emerald Grove 3 Fill added above original grade 0 Ft. Gravel length 2@ 60 Ft. Township Range Section Gravel width 2.5 Ft. Beds: n/a Number of Lines Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1680 F0 2 14'+ Ft. well 100'+ 100'+ 25'+ TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1500 Gal. Surface water 100'+ 100'+/ I Material Number of compartments Lot Line 51+ 10'+ NA HDPE 2 Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield White Raven Drainfleld 3034 CO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) ~848.0 ft Inspection 1s` 10/23/20 10/24/20 Location and description 2�d 3'd 10/26/20 411' 11/5/2020 Bottom house trim @ B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF. ACgs� co. __Mt R .,Pa Septic S stem Approved Approved Zd teven , no ne 6� �°�•. CE 8i49 10r �I`'slF?oGl l r,,, Date Note: this approval does not include well permit requirements. tMtw uoluz/ Ib) 00 cl Z Iwc 0 K w > (n T * ---i z x-INC-.� x m�" > 0 m z cn C-) K n K DSO om �o M F �u z > 0 '�\ > C/-) x �11 > cn Co M -0 ;o x z -< z > cn m A O:j 41 41 (A W r) N0 :E m- F� ou m I I x Il) — = 0 0 M 0 -0 cli UD41 41 c� mm ---j m cn 0 0 m 0 N) m 000 o u 0 0 P. -" >\ X U) o 0-4 0 - -u 2- -< 01 > m 0 0 z > --i 'I-, OLD m C) (A m 0 mm Lo K N - -P' > 70 CL r'j -P, o (D cn r'o of - co co U) N cil Cn Cy) (A CA NJ M Co -'J 03 -P, N) 0 cn co Iwc 0 K w > (n T * ---i z x-INC-.� x m�" > 0 m z cn Km>wTvoZT0 _2 0 m z ;u T M > DX �omp�o Z' U) > CSD ;rl mx DSO om �o M F �u z > 0 '�\ > C/-) x �11 > cn Co M -0 ;o x z -< z > cn m A O:j > co ;;o cn om ;a -< z -u 0 > F, 0 x m::�f 0 E; I,') i �7I P Z > 0 :E m- F� ou m I I x M 0 W 0 0 m 0 cli -0 -0 D N Ln = 0 0 M 0 -0 cli o_Z 41 c� mm ---j m cn 0 0 m 0 N) m 000 o u 0 0 00 x -pl 0 Ul K CT) (o cn >\ X U) U) C) 0 1 -q -< ;a _0 (Y Cf) 0-4 0 - -u 2- -< 01 > m 0 0 z > --i 'I-, OLD m C) (A m 0 mm Lo K ---i 0 U) § to K: :E 0- 70 CL m 0O m x U) m 0 0 10' Util Esm, CY) C) 0) ro rl () T I m z rTi 0 m I < I rri00 CA m ;u m x > ;u L> w T m I I < m o_Z > >\ X > ' -n 0 z r - m b. '110 > cf) > -n u) Ln 0 co M, > rTl co ;o ..J 3 I 3(A mo 22 OZ 11 Tele 7— Z9 Ire -et NOTES: PANNONE ENG P.O. BOX 1807 SVC, LLC (C.I. 1088) PALMER, AK 99645 OF A REVISIONS DATE 11/12/2020 RECORD DRAWING PHONE (907) 745-8200 FAX (907) 745-8201 * SCALE 1 50' EMERALD GROVE L3 = P.I.D. No DRAWN ACP HULTIQUIST HOMES INC St— R P—m 015-521-49 NHN BARONIK ST CE-�149PERMIT osp201'022 LSIT E PLAN ANCHORAGE, AK ... p" lgr- SHEET llllm�� a 2 OF 2 Certified Drifflag L®g DOG CO... BILL gc COLE i WELL27' `kcE.� t3 .74 OWNER OF LAND: Hultquist Homes ADDRESS: Bore Hole Data Depth From To LEGAL DESCRIPTION Emerald Grove Lot 3 DATE: 4-1-20 0 2 PERMIT NUMBER: OSP201022 DATE OF ISSUE: 2-20-20 TAX IDENTIFICATION NUMBER 01552149000 Is well located at approved permit location: ®Yes [:]No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 184 Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 184 feet Liner type Static Water Level: 86 feet Recovery Rate 60 ® 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: 2 4 4 10 10 13 13 34 34 82 82 84 84 103 103 158 158 164 164 184 Casing Stickup Overburden Silty Sand & Gravel Sand Silty Sand & Gravel Hardpan Silt & Sand Wet Silty Sand & Gravel w/ Clay Hardpan Silty Sand & Gravel 5 GPM Sand & Gravel 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 Installation Log Well Drilling Permit Number: SW OSP201022 Date of Issue 2-20-20 Parcel Identification Number: 01552149000 Legal Description Property Owner Name & Address Emerald Grove Lot 3 Hultquist Homes Pump Installation Date: 10-14-20 Pump Intake Depth Below Top of Well Casing: 170 feet Pump manufacturer’s Name: F&W Pump Model: 4F11P07301S Pump Size: 3/4 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: White Raven Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Lot 1 I ` :a..: :j S89'58'26"E 234.47' ?0' Utility Easement 30' ------------------------------- Lot 3 43,865sf 4-j ..y S4 <a30.8 -- ------ —:::::1 �y %S 14.8 ..... ! w :�:":: Existing 2.0' Man Hol s ^� House 38.5' ~' I M .{ to C14 to '301.3' E:•::.{:• :'?::.,!; � �" ��7///77--`--- �! ' ! r:•.:�: � � Q'G� �-,^ '•`,pal . Lot 4 I E l::'.:.:::-:= �:.. (v � i �p Benjamw almstram Lij ( LS -118708 LLj �- 50' Temporary Turnaround to he rofessiono�oc=' automatically vacated when road is extended' / '� f I ..L._. l:. 100.00° .';. 589'59'39"E - y : (. Notes: 1. Snow and Ice may conceal minor surface features. Legal Description: Legend: Set Rebar with Cap A sbuilt AL. Monument 01 Found Rebar 0 Lot 3 Monument Well Emerald Grave Subdivision Septic o Pavement 5urvey Certification: I hereby certify that a Mortgagee's Overhang * Inspection was performed on the described property. Notes: It is the owner's responsibility to determine the Wood Deck # existence of any easements, covenants, or restriction which Concrete are not on the recorded subdivision plat. Checked by: BH Drawn by. TM Scale 1" = 50' ( Grid SW2633 Job 2019-96 Field Book: 146 ( Plat 2019-112 1 Date: 11-10-2020 MUNICIPALITY OF ANCHORAGE On -Site Water& Wastewater Program POBox 19085D 47OOElmore Road Anchorage, Alaska 99518'O05O Phone: 04 Fax: (387)343-7sy7 hup://vmv.muniorg/onsite Permit Number: OSP201022 Work Type: VVel|SwpUc|nitia| Tax Code Number: 01552149000 Site Legal Address: EMERALD GROVE LT 3 G:2637 Site Mailing Address: Owner: HULTQUlSTHOMES INC Design Engineer: PANNDNEENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 2/202020 2/19/2021 R Disposal Field Z Septic Tank El Holding Tank 0 Privy 2 Private Well M Water Storage All construction shall be|naccordance 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 VVantaxvehar Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC8O) 3. The wastewater code requires inspections during the installation. The engineer shall notifythaDevo|npnnant Services Department per AMC 15.85.Provide notification bycalling (BD7)343-7QO4(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: o. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing 5 Received By: Issued By: Date: Date: x� MU ICIPA TY OF ANCHORAGE Community Development Department r` Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERNVELL PERMIT APPLICATION Parcel Property owner(s) Hultquist Homes Inc Day phone Mailing address 12570 Old Seward Hwy, Ste. 204, Anchorage, AK 99515 Site address 10990 Baronik Street Legal description (Sub'd., Block & Lot) (Emerald Grove, Lot 3) Legal description (Township, Range & Section) Lot Size 175,301 (43,865) Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (ID all that apply) Absorption Field ❑x Initial ❑X Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) (D) ElRenewal Holding Tank EJ Renewal❑ Privy FJ Multiple Multiple Dwellings ❑ 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: a6 - I-0 Waiver Fees: Date of Payment: II IdOaa Date of Payment: Receipt Number: UNga% Receipt Number: Permit No. _ (� S E2 010, 6f'LWaiver No. Permit App_-'- :_.,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201022, Rebecca Carroll, 02/20/20 RESERVE DRAIN FIELD (P) P) 30LF x 2.5'W x 7.0'ED x 11'TD INSTALL CLEAN OUT AND MONITOR TUBE AT EACH END PRIMARY DRAIN FIELD (P) (4EA) 30LF x 25W x 7.0'ED x 11'TD INSTALL CLEAN OUT AND MONITOR TUBE AT EACH END T Q� E Co LLI LtJ 0 0 TH 4-\ J LOT 4 10' UTILITY EASEMENT TH-3 / 5`' 5BR HOUSE (P) �lb ."1 �A; DRIVEWAY �-I Z. w Li :�E w Lu cn '- N w Y wo Z o:: / OI i I X z TH-3A (PES) INSTALL 1500g SEPTIC TANK (P), PER 15.65.205 WITH FOUNDATION CLEAN OUT, C DOUBLE CLEAN OUT, AND / FLOW SPLITTER. � \ 7 Uj� CS WELL (P) NOTES: PAMONE ENG WC ,LLC Dote CHANGE ORDER P.O. BOX 1807 PALMER, AK 99645 . ......... 5/29/2020 1 PHONE (907) 745-8200 FAX (907) 745-820'-- Scale *- *49 7H 1"=50' EMERALD GROVE, LOT 3 "" ••••'•• P.I.D. NO WEST, TR A 015-521-49 (BOB( ) ��o,�eVan anriotae . N0 HULTOUIST HOMES INC. CE 8149 PERMIT PERMIT NO 22 PLAN BARONIK STREET Sheet ANCHORAGE, AK 1 of 4 LEGEND DESIGN PARAMETERS DESIGN PARAMETERSW PRIMARY SEPTIC SYSTEM RESERVE SEPTIC SYSTEM WATERLINE/ NO. BEDROOM: 5 (750 gpd) NO. BEDROOM: 5 (750 gpd) WELL RADIUS TANK SIZE: 1500g TANK SIZE: ADVANCED TREATMENT PERC RATE: 32 MPI CAT III SS NEW SEPTIC SOIL RATING: 0.45 GPD/SF PERC RATE: 32 MPI AREA ROD: 1,667 SF SOIL RATING: 2 GPD/SF SYS. TYPE: DEEP TRENCH 7.0'ED AREA ROD: 375 SF ABBREVIATIONS MIN LENGTH: 119 LF SYS. TYPE: DEEP TRENCH 7.0'ED TH TEST HOLE MIN LENGTH: 27 LF (P) PROPOSED USE: (4EA) 3OLF X 2.5' WIDE, 7.0' E.D., 1 1.0' TD USE: (E) EXISTING TOTAL AREA: 1,680 SF 30LF X 2.5' WIDE, 7.0' E.D , 11.0' TD CO CLEAN OUT NO. TOTAL AREA: 420 SF MT MONITOR TUBE NO. TYP TYPICAL NOTES: PAMONE ENG WC ,LLC Dote CHANGE ORDER P.O. BOX 1807 PALMER, AK 99645 . ......... 5/29/2020 1 PHONE (907) 745-8200 FAX (907) 745-820'-- Scale *- *49 7H 1"=50' EMERALD GROVE, LOT 3 "" ••••'•• P.I.D. NO WEST, TR A 015-521-49 (BOB( ) ��o,�eVan anriotae . N0 HULTOUIST HOMES INC. CE 8149 PERMIT PERMIT NO 22 PLAN BARONIK STREET Sheet ANCHORAGE, AK 1 of 4 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201022, Rebecca Carroll, 02/20/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201022, Rebecca Carroll, 02/20/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201022, Rebecca Carroll, 02/20/20 no U % US H 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. 015-521- 4l 1. GENERAL INFORMATION Expiration Date: 3 — -1 ^ 2_0 Z ( - Complete legal description Emerald Grove L3 Location (site address) 10930 Baronik St Current property owner(s) HUItquist Homes Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Q 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 $ l o Covin Waiver Fee $ Date of Payment Receipt Number COSA# 0:5c,20(673 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE Date Z,5-,942t7e) OF A�qs� 49 TH P System #1 Approved for ...... bedrooms r� Ste•,er R. Pannone System #2 Approved for CE 8149 bedrooms ,,r•.\�_ Disapproved Conditional approval for bedrooms, with the following \�rr G1PALITyOF O O J _. leo G/i.ct T Original Certificate Date: Z' 2 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: Emerald Grove L3 Parcel ID: 015-521-49 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 4.1.20 Total depth 184 ft Cased to 184 ft 0 Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA NA Static water level at beginning of test 86 ft. Comments B. TANK DATA Age of tank(s) '11'26``° years Tank type/material `'ptci"'P` Measured operating fluid level in septic tank n/a 0 Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 1W24120 0 ALL standpipes present per record drawing Total measured depth from grade 11 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field 0 Monitor tubes go to bottom of effective. If not, state depth into effective 0 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: COSA Checklist yellow sheet Well production at time of test 60 gpm Water storage tank volume NA gallons Wel�disinfected for coliform test? ❑✓ Yes ❑ No Coliform bacteria is Negative Nitrate mg/L (] Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Pannone Engineering Date of Sample 11130120 C. LIFT STATION ❑ Required maintenance co Age of lift station years Lift station matere Adequacy test date n/a Results ❑✓ Pass For 5 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate '750 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' 0 Yes Community Sewer Manhole/Cleanout > 100' ❑v Yes if No ft (�✓ Yes if No Neighboring Tank > 100'✓� Yes if No ft Private Sewer/Septic Line > 25' E✓ Yes if No Absorption Field on Lot > 100' dQ Yes if No ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' F� Yes if No P-1 Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓l Yes if No ft [D 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 Q Yes if No ft Property Line > 5' 0 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'✓0 Yes if No_ 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' ®✓ 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' Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION C� OF. 1 certify that l have determined through field inspections and reviewOf �. 9 �� MOAL� COSA niciguidelinespal records COSAhat in effethe ct on thistdateare in conformance with �. 49 TH zoCz Steven �'• Punriona E 8149 4 v rpt' _t \ COSA Checklist yellow sheet ft ft ft ft