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HomeMy WebLinkAboutPOTTER HIGHLANDS PH 2 BLK 4 LT 2Onsite File POTTer Highlands . �at. lrtev ubiuziiu/ Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201087 PID Number: 020-281-81 Dwelling: ❑® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ®❑ New ❑ Upgrade Name John Hagmeier Homes LLC ABSORPTION FIELD ❑ Deep Trench 9 Wide Trench El Bed El Mound Site Address NHN Potter Highlands Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 6.0 GPD/SF 6.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Potter Highlands Ph2 4 2 Fill added above original grade 0 Ft. Gravel length 20 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines n/a 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 100 Ftz 1 n/a Ft. Well 100'+ 100'+ 1001+ 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑® Other Manufacturer Advantex Capacity 1500 Gal. Surface Water 100'+ 100'+ 1001+ Material Number of compartments Lot Line 5'+ 5'+ 5'+ NA Fiberglass 2 Foundation 10'+ I 10'+ 10'+ I LIFT STATION Manufacturer Capacity Remarks orenco 250 Gal. Alarm location house Electrical installed by capstone PIPE MATERIAL House to tank 3034 Tank to drainiield 3034 Installer Red Dog Masonry Drainfield 3034 C0/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 104.5 It Inspeection f'` 9/3/20 9/3/20 Location and description ction 3`d 9/4/20 2nd 41" 10/8/20 Top of front porch near point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: OF A�q Date A-, .4 ���U Steven R."Pannone - Septic Syste �. ��.•. cr- a� T e •� � Appro Date �E�FZOFESSl01v�.� �� Note: this approval does not include well permit requirements. lrtev ubiuziiu/ -� VI C) 0__ 2 i - -D CID -0 c _ D O r 0 fTl N Z O c m N p G X W �C A Ln om m O D N I- _ r (A? O C) Ln O N 2., m O m 0 O� 0m(] cn C Z cn - m m z (� A -P, Z y O O M m D Z O rr mM (n o Dr O - z n �m rn m : y NOTES: RECORD DRAWING cn Z c� m U) D ,0 m I -I or- ' I I cc,, K2 (n D (n "� v Z Z�mox\zO�m -0 r x m D O N N 0 X W �C A Ln om m O D N O N x D� O N 2., m O m 0 Ln cn Ln cn -P -P, w m6 Cc, !�U00.. rnJcDcroc0 o � ;u i° � - ;,w rn m : y N N N Ln U7 W M Z m -, a m � J J J V O 107 V fm Ca J J O N W (D -� -I or- ' I I cc,, K2 (n D (n "� v Z Z�mox\zO�m -0 r x m D O D 0 X W �C A Ln om m O D N -AG x D� O N 2., m O m 0 N z .. O C7 O m =3 oU'- m6 Cc, !�U00.. F)>m o � ;u i° � - D rn m : DO O r\� , Z < = to �o mm O Z m -, a m � 0 O m— u' x �U (/7 m 0 , do =3 \ , I o r\� , j--- PANNONE ENG SVC LLC (C.1. 1088) REVISIONS P.O. BOX 1807 PALI,,ER, AK 9045 ACgS+, PHONE (907) 745-8200 FAX (907) 745-8201 P(E..OF - '\ /r- t RE' 12/r/2021 POTTER HIGHLANDS PH2 134 L2 s .. DRAWN ACP JOHN HAGMEIER HOMES LLC !'..:.0 �c, St CER87A9 none 4; NHN: POTTER HIGHLANDS DRIVE SITE PLAN ANCHORAGE, AK 10/30/2020 CALE 1"=50' I.D. NO 020-281-81 -RNIT NO. OSP201087 MEET 2 OF 2 ptne Drilling r r P F Permit Number: 9SW201087 Date of Issue: 5-14-20 Parcel Identification Number: 02028181000 Date Started: 7-22-20 Date Completed: 7-24-•20 Is well located at approved permit location?'x Yes ❑ No Legal Description: Potter Highlands Ph 2 Block 4 Lot 2 Property Owner Name & Address: Potter Creek Development LLC Borehole Data: Depth (ft) Soil Type; Thickness & Water Strata From To Method of Drilling x air rotary El cable tool Casing type: steel i stick -zip 0 2 Wall Thickness:.250 inches silty grmEel 2 graven}%silt 5 5 18 Diameter: 6 inches Depth: 64 feet Liner Type: Diameter: _ inches Depth: feet silty gravel 18 51 Casing stickup above ground: 2 feet Static water level (from ground level): 16 feet g3 m-elly silt 51 61 bedrock 61 106 Pumping level: 100 feet after 2 hours pumping 8 gpm Recovery Rate: 8 gpm Method of Testing: airlift Well Partake Opening Type: ❑ Open End ❑ Open Hole ❑ Screened Start feet Stopped feet _ WATER 9,UALITY TESTING x Perforations Start 61 feet Stopped 63 feet Grout Type: bentonite Volume: 2bgs 5 Coliform -9 _ Col/100ML De tli: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size hp Brand Name !Nitrates Z.. mg/L Arsenic "-P—`-L Well Disinfected Upon Completion? i Yes ❑ No Method of Disinfection: chlorine tablets Comments: WeII Driller: .Alpine Drilling & Enterprises PO Box 110496 .Anchorage .AK 99511 MUNK PALITY OF ANCHORAGE r Development Services Department t ? Phone. 907-34.3-7904 On -Site Water & Wastewater Section _....� Fax; 907-343-7997 Pump Installation Log Well.Drilling Permit Number: 201087 Date of Issue: 5 _14- 2020 020 281 slaou Parcel Identification Number: - - Legal Description. Block Lot Property Owner Name & Address: Block 4, Lot 2 4 2 Hagmeier Homes Potter Highland Ph. 2 11 1 Pump Installation Date: 10 -22 -2020 Pump Intake Depth Below Top of Z'irell Casing: 90 feet Pump Manufacturer's Name: G o u l d s Pump Model: 7HS05 Pump Size: 1 /2 lip Pitless Adapter Burial Depth: N/A feet Pitless Adapter Manufacturer's Name: N/A Pitless Adapter Installer: N/A Well Disinfected Upon Completion? rYes ❑ No Method of Disinfection: chlorine tablets Comments: PLEASE SAVE FOR COSA Pump Installer Name: Company: Alpine Drilling & Enterprises Mailing Address: P.O. Bax 110496 City. Anchorage State: AK zip 995 Attention: The ptunp installer shall provide a pump installation log to On-site within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 13OO5U x7OOElmore Road *nohomgn.�|ad'a995�S'GomO Phone: �8O4 Fax: (907) On -Site Water &Wastewater System Permit Permit Number: O8P201887 Effective Date: 5/14/2820 Work Type: VVnUSapbc|nitiai Expiration Date: 5/14/2021 Tax Code Number: 02028181000 Site Legal Address: POTTER HIGHLANDS PH2BLK 4 L 2 G:3638 Site Mailing Address: Owner: POTTER CREEK DEVELOPMENT LLC Lot Size inSqFt: 54348 Design Engineer: PANNONEENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: Z Disposal Field Z Septic Tank [] Holding Tank 0 Privy 2 Private Well [] Water Storage All construction shall beinaccordance 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 (1OAAC8O) 3. The wastewater code requires inspections during the installation. The angineerhoUnotif^ �the Development Services Department per AMC 15.G6.Provide notification bycalling (AU7)343-7904(24 ' 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 Received By: Issued By: Date: Ls 4 -" /'� Date: _51_lql�o MUNICIPALITY OF Community Deve opment Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-281-81 Property owner(s) Potter Creek Development LLC Day phone Mailing address 561 E. 36th Avenue, Ste 200, Anchorage, AK 99503 Site address NSN Potter Highlands Circle Legal description (Sub'd., Block & Lot) Potter Highlands Phase 2, Block 4, Lot 2 Legal description (Township, Range & Section) Lot Size 54,348 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial 0 Single Family (SF) ❑X (w/wo ADU) Septic Tank Q Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: �aO/ Waiver Fees: Date of Payment: ql3ol wz Date of Payment: Receipt Number: O&Z /6 Receipt Number: Permit No. Q5 /�/Ja%1UB?' Waiver No. Permit App-'-'. : .-.,:c; COVID-1 9 2576 DISCOUNT APPUE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201087, Deb Wockenfuss, 05/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201087, Deb Wockenfuss, 05/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201087, Deb Wockenfuss, 05/14/20 MUNIUPALITY OF ANCHORAGE FY 1LL, Development Services Department lcr Phone: 907-343-7904 On -Site Water & Wastewater Section-- Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-281-81 1. GENERAL INFORMATION Expiration Date:. ' 2 r2 0 2 Complete legal description Potter Highlands Ph2 134 L2 Location (site address) NHN Potter Highlands Drive Current property owner(s) Hagmeler Homes LLC Day phone Mailing address 2204 Cleveland Ave Ste 201 Anchorage, AK 99517 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: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 171 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 $ 156 , d 5 A ) b -1 1 Waiver Fee $ _ Date of Payment 11 aW ao� Date of Payment Receipt Number. r7 O G Receipt Number COSA # 0 S C) - O � 15Waiver # 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 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for IL bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Phone (907) 745-8200 Date a 0--cJ �Nk T-' • • F9 Stege r, .P Pannone W bedrooms, with the following stip I�tv� t {(((«( ( (( OF 0 N`^^' Original Certificate Date: 2. 2 Z ©Z D 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 ON-SITE 14114.1 E WASTEVATER z^ / PROGRAM N`^^' Original Certificate Date: 2. 2 Z ©Z D 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: Potter Highlands Ph2 B4 L2 If more than 1 septic system on tot: COSA Checklist # 1 of 1 A. WELL DATA RM -1 Well log is filed with Onsite (or attached) Date drilled 1121120 Total depth 106 ft Cased to 64 ft 01 Sanitary seal is functioning correctly ®❑ Wires are properly protected Casing height (above ground) 18"+ in. Date of flow test for COSA new Static water level at beginning of test 16 ft. Comments new well B. TANK DATA Age of tank(s) 0 years Tank type/material Measured operating fluid level in septic tank n/a © Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Wide Trench Which system tested (date installed) 9/3/20 Q ALL standpipes present per record drawing Total measured depth from grade 6 ft (max) Measured depth to pipe invert from grade 5.5 ft (min) ❑ N/A — pressurized field 0 Monitor tubes go to bottom of effective. if not, state depth into effective ❑I 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 Parcel ID: Structure served by this system 1 020-281-81 Well production at time of test 8.0 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? Q Yes ❑ No Q Coliform bacteria is Negative Nitrate 2.56 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L F11 Arsenic less than MRL (ND) Collected by Pannone Engineering Services Date of Sample I'J[3 L 11J1&- Joao C. LIFT STATION ❑ Required maintenance completed Age of lift station 0 years Lift station material Fihe,91ass Comments: New Orenco system Adequacy test date n/a Results [ Pass For 4 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date no 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' Community Sewer Manhole/Cleanout > 100' ❑✓ Yes 7✓ Yes if No ft Neighboring Tank > 100' 7 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Community Wells > 200' Fv Yes if No. Water Service Line > 10' 0 Yes if No ft Community Sewer Main > 75' F/� Yes if No ft Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' F71 Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Animal Containment? 50' 0 Yes if No ft Manure/Animal Excreta Storage > 100' 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' P/l Yes if No ft Surface Water > 100' [Z] 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' ✓Q Yes if No Water Main > 10' Yes if No ft Community Wells > 200' Fv Yes if No. 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' E✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' F71 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' Q Yes if No Surface Water > 100' F71 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION OF AL I certify that I have determined through field inspections and review .7 of Municipal records that the above systems are in conformance withH MOA COSAguidelines in effect on this date. Steven IPanno,a. ; r CE S i 9 Az' COSA Checklist yellow sheet ft ft ft ft MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWA` ER TREATMENT SYSTEM ���; Al<NTE ANCE AND REPAIR AGREE ENT THIS .MAINTENA.\TCL AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 14 `-i'_ Day of Nov ember or20 2 0 , by and between Kristin R. S c h o e t z _, herein the "OWNER," and the Municipality of Anchorage, herein the "MUNI CIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. in consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipalitygrants permission to the Omer to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex 1500 located at (legal description) Potter Hi_a,hlands Subdivsion, Phase 2 Lot 2, Block 4 2. 'Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) ;rt Throughout the terns of this Agreement; the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall. be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner duiung the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and Inspection costs. This includes an annual maintenance fee (typically S400 to $600). " Owner agrees that only n-iaintcnance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular- maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 ' Owner acknowled-es that the Municipality may request records of maintenance and repairs 1101"n the Imnufacturer's represen'tative or maintenance provider. -;�1Pv Owner acknowledges that the fine for failing to irlaintain and repair an AWWTS may be assessed in accordance with. AMC 14.60.030. .Y,Ar` Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of'On-Site Systems Approval. <<=� Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing uuidehnes for the construction, maintenance and repair of the Owner's AWWTS. Owner- agrees to maintain remote monitoring of the AWWTS as required by the AWWV'S approval. 3. Terin. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Ston waiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver- of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05118/20 1 8) Page's of 3 OWNER: By: c Kristin R_ Schoetz (printname) STATE OF ALASKA } ss. THIRD JUDICIAL DISTRICT } Date: Nov 14, 2020 The foregoing instrument eras acknowledged before me this i 4 chday of November 2020 , by i��i , chael W. Scnoetz -- NOTARY PUBLIC FOR 9 A.SKA My Commission expires: Feb. 2 8, 2 0 2 2 MUNICIPALITY: B : (signature) STATE OF ALASKA NOTARY PUBLIC Michael VV. Schoetz % MAI Commission EVires Feb 28, 2022 Bate: J ?,-2_-7_t9 (print. name) Title: (rev. 05/18/2018) Page 3 of 3 lE co © ' N 03 41 rN . 49'9Z -V M..O-V.9 LoZ9 N 0 0 e w+ °o U� ° jo in g N GRP`V��" DRIVE 1CP124 co .�g•ssz M.,£o / 4;1 OQ70 a O �0 , o C Q�N o y \tw 41jE � 006 stn �! F- �t-�Q =cn o= u� ttt!�� w t= m �ir o- w � m 0 Z U~ U) U)< W �OZ�� wwm �WjUO a(nz ti --Ot6 UFaUUO CD z � . Z ���� E U V� p� o w Li U_ O r0o �a��. awc�W�tnm W O mMW w Lr -:30 C9 � Ua=XW oomz >-?-- 'o z�cn = .. 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