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HomeMy WebLinkAboutPOTTER HIGHLANDS PH 2 BLK 2 LT 2Onsite File Potter Highlands Ph2 Block 2 Lot 2 #020-281-62 kRa V V: ,Uzl I D) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201196 PID Number: 020-281-62 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 0 New ❑ Upgrade Name Potter Creek Development LLC ABSORPTION FIELD ❑ Deep Trench K Wide Trench ❑ Bed ❑ Mound ❑ Other Site Address NSN Potter Heights Drive Phone Number of Bedrooms Soil Rating Total depth from original grade 4 5.0 GPD/SFJ 5 Fl. LEGAL DESCRIPTION Depth to pipe invert from original grade 2 FL Gravel depth beneath pipe 3.0 Ft. Subdivision Potter Highlands Phase 2 Block Lot 2 2 Fill added above original grade 1.5 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines NA Distance between lines NA Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 259 FF Number of trenches 1 Dist, between trenches NA Ft. Well 100'+ 100'+ NA NA 25'+ TANK 9Septic ElS.T.E.P. [I Holding [:]Other Manufacturer Orenco Capacity 1500 Gal. Surface Water 100'+ 1001+ NA I NA Material Number of compartments Lot Line 5'+ 101+ NA I NA NA Fiberglass 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer lle.d_ —,V?rG PIPE MATERIAL House to tank 3034 drainfielTank l d 3034 Drainfield 3034 CO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 108.0 It Inspection v 11/11/20 3`d 11/13/20 2nd 11/12/20 41h Location and description First floor ff at point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF AL 'kms TH •� Steven . Pannone �g �� IS . E 814 Septic System Approve ln.. — Date Z( Note: this approval does not include well permit requirements. kRa V V: ,Uzl I D) Ln 0-- s W ED y FZ c15miv—M cz0 _ t r0UIDZZ O ;ucly O O m En 0 I oy om0 m;0,,_o N z *:E Z Z g r -m O O to ;u C m a r 0 z Ic m m70O Z -n OF= m 0 0 IU) -n_< MOr, V Z M m C O n N m 0—{> D w 2 (� m 0, z N N Ln i., rn0U'o �D O D U) --i a -VC Z \�cn N00-1 0 0 -rf O ><'o mm z'O --1 a ---Ib m O O x m I rnv00Wcn(n0 D (D LD D) m 01 pLnwrncnrnV N O •P r' 0 0 IU) -n_< MOr, V Z M m rU)Drn ZORM rDx 0 o a cn m � 00 -u m 0—{> D w 2 (� m 0, z O Ln i., rn0U'o �D U) 9: > D U) --i a -VC Z \�cn N00-1 0 0 -rf O ><'o mm z'O --1 a ---Ib m O O x m I 0 i n / Lnm to cis0. / / i N NJ • / N i m� 1 I b / / ° ' -1-0 00 �r7 h I O m O m _ Z -NI r0 � o_ -i> 95 / ZZz �� Or -x InwU) z o b- ;0M Lnrrln DDD/ 1 / D / _ m —Ioo rrr co / / Cox O mmm ' / r�3: r,�rr�w D 000 / vcm \� >ZOZ -/O-rf m;c, m?I cc0 / I Zrn (-)p0 Z O O Z m Z D t i Dom F -OS\_ mCD Gl J 00 rri j tP�� \ Z m O /�/ / D v.1 NOTES: RECORD DRAWING DRAY/N I MJL SITE PLAN \' v O / PANNONE ENG SVC LLC (C.I. 1088) �������REVISIO14S DATE PHONE 907} 7�5�8200\LfAX (907)99645 7x5-8701 _=�e� •�F'^49s,F:,, 1/19/2021 9 ,i, SCALE 50' POTTER HIGHLANDS PI -12 k L2 - r'X�" � POTTER CREEK DEVELOPMENT LLC M l - r02 2 %'�;=�""'•'••`•••'�Y 020-281-62 ' c : SlaYatER07a7 ���: y am' PER6RT NO. POTTER HIGHLANDS DRIVE ANCHORAGE, AK `'�•'• OSP201196 ���l,,l%i�EA`� :�' SHEET 2OF2 i,. ft,die Drilling & Enterpril ll We'll Legg Permit Nuinber: #SW201196 Date of Issue: 7-6-20 Parcel Identification Number: 02028162000 Date Started: 8-5-20 Date Completed: 7-8-20 Is well located at approved permit location? x Yes ❑ No Legal Description: Potter Highlands Ph 2 Block 2 Lot 2 Property Owner Name & Address: Potter Creek Develpment Borehole Data; Depth (ft) Soil Type, Thickness & Water Strata from To stick-ul) 0 2 gravelly silt 2 14 silly grcnel 14 40 bedrock 40 266 WATER OYALITY TESTING Comm N e I Col/100mL Ntrales Iy o mg/L Anwric N D ug/L I -13-21 Method of Drilling x air rotary ❑ cable tool Casing type: steel Wall Thickness:.250 inches Diameter: 6 inches Depth: 42 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 1_5 feet Static water level (from ground level): 44 feet Pumping level: 266 feet after 2 hours pumping 3 gpm Recoveiy Rate: 3 gpm Method of Testing: air li t Well Intake Opening Type: ❑ Open End x Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 2bgs Pump: Intake Depth feet Pump size hp Brand Name We11 Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Kttteil)rises PO Box 110496 Anchorage AK 99511 M U-NUUPAUry OF ANCHORAGE Develo ment Services Department o }� P Phone. 907-343-7904 On -Site Water & Wastewater Section `�, �� Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: 20 1 1 96 Date of Issue: 6 2020 Parcel Identification Number: 020 -281 -62000 Legal Description Block Tot Property Owner Naive & Address: . Block 2, Lot 2 2 2 Hagmeier Homes Potter Highland Ph. 2 11 Pump Installation Date: 10 `_22 __2020 Pump Intake Depth Below Top of Well Casing: 232 feet Pump Manufacturer's Name. Goulds Pump Model: 10S H 10 Pump Size: 1 hp Pitless Adapter Burial Depth.: N/A feet Pitless Adapter Manufacturer's Naive: N/A Pitless Adapter Installer: N/A Well Disinfected Upon Completion? ❑ Yes ❑ No Method of Disinfection: chlorine tablets Comments: PLEASE SAVE FOR COSA Pump Installer Name: company: Alpine Drilling Enterprises Mailing Address. P.O. Box 110496 city: Anchorage State: -zip: Lip. 9951'1 Attention: The pump installer shall provide a pump installation log to 011 -site Within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP201196 Work Type: WellSeptic Initial Tax Code Number: 02028162000 Site Legal Address: POTTER HIGHLANDS PH 2 BLK 2 LT 2 G:3638 Site Mailing Address: 5828 POTTER VALLEY RD, Anchorage Owner: POTTER CREEK DEVELOPMENT LLC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: R1 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: 7/612020 7/6/2021 Q Private Well ❑ 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 Special Provisions: Category III Nitrogen -reducing systems are required in this subdivision. Received B� Issued By: Date: �C Date: 4 PY-WhIlCIPALITY OF ANCHORAGE 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. 020-281-62 Property owner(s) Potter Creek Development LLC Day phone Mailing address 561 E. 36th Avenue, Suite 200, Anchorage, AK 99503 Site address NSN Potter Heights Drive Legal description (Sub'd., Block & Lot) Potter Highlands Phase 2, Block 2, Lot 2 Legal description (Township, Range & Section) Lot Size 68,346 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑ (D) ❑ Holding Tank ❑ RenewalDuplex ❑ 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. 11�` '' 1 11, '11 11,''? IN (Signature of property owner or authorized agent) D� Permit/Rush Fees: Waiver Fees: Date of Payment:6�Z�.6�Z0 Date of Payment: Receipt Number: OZZII G Receipt Number: Permit No. OSPZ.OI 196 Waiver No. Permit App__- :' ., c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201196, Rebecca Carroll, 07/06/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201196, Rebecca Carroll, 07/06/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201196, Rebecca Carroll, 07/06/20 MUNICPALITY OF ANCHORAGE Development Services Department `A% Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-281-62 1. GENERAL INFORMATION Expiration Date: L - 20 ^ 2f Complete legal description Potter Highlands Ph2 132 L2 Location (site address) 5828 Potter Valley Road Current property owner(s) John Hagmeier Homes, LLC Day phone Mailing address Real estate agent 2. TYPE OF DWELLING: F 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 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 $ 75 Waiver Fee $ Date of Payment 1 - <2 — 2-( Date of Payment Receipt Number. (95C1 (� Receipt Number COSA # OSC211004 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my sea! 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 MCA 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 System #1 Approved for � bedrooms System #2 Approved for bedrooms Disapproved Date ZZ Steveii .�.F'an'ion' e'' CE '0149 Conditional approval for bedrooms, with the following stipulations: .tk0kkk At tfrrr�,_ B : l 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 Legal Description: Potter Highlands Ph2 B2 L2 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 7-82020 Total depth 266 ft Cased to 42 ft ER Sanitary seal is functioning correctly Q Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA new Static water level at beginning of test 44 ft. Comments Age of tank(s) 1/2020 years Tank type/material Measured operating fluid level in septic tank new ❑ Standpipes/foundation cleanout per record drawing Date of pumping new system D. ABSORPTION FIELD DATA wide trench Which system tested (date installed) 11112,2020 © ALL standpipes present per record drawing Total measured depth from grade 6.5 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field Q Monitor tubes go to bottom of effective. if not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: new field COSA Checklist yellow sheet Parcel ID: 020-281-62 Structure served by this system 1 Well production at time of test 3 gpm Water storage tank volume na gallons Well disinfected for coliform test? ❑✓ Yes ❑ No FEffl Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arseni. ��._. _ ug/L ® Arsenic less than MRL (ND) Collected by PES Date of Sample 1/4/21 t 1/3/aI C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date new Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' D7 Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft ❑7 Yes if No Neighboring Tank > 100' M✓ Yes if No ft Private Sewer/Septic Line > 25' Fv Yes if No Absorption Field on Lot > 100' Fv Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' M✓ Yes if No Q✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' F✓ Yes if No ft 0 Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' ft ft ft ft ft ®✓ Yes if No ft Property Line > 5' D7 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' El Yes if No ft Private Wells > 100' 0 Yes if No Water Main > 10' ✓/ j Yes if No ft Community Wells > 200' ✓] Yes if No. Water Service Line > 10' Fv 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' El Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓Q Yes if No ft Private Wells > 100' Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I 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. 2t o t 0-=7- COSA Checklist yellow sheet ft ft U Yes if No ft ❑✓ Yes if No ft P� OF A��. Ste. -en 'R. �qr ri0 1 -CE 81A9 - Q<' C MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER R TREATMENT SYSTEM. MAINTENANCE AND RE, PAIR AGREEMENT TI -IIS MAINTENANCE AND REPAII: AGREEIVfENT, herein the "AGREEl\4ENT" made and entered into as of this ,;' Day of .' < f`,' of 20 Z/` : by and between herein the "OWNER,:' and the fAunicipality of Anchorage, herein the "1v1UNICIPAL.I1"Y", in accordance with Anchorage R/funicipal Code (AIvfQ 15.65.365. 111 consideration of tllc mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment SN'St'elils. The Municipality grants permission to the Owner to ut'ihZe and operate all Advanced Waste\•valei' Treatment System (AIAIWTS), described as I .(i . {�I('r.f f C` A I located at (legal description) 2. 'Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) V Throubhout the term ofthis Agreement, the Owner shall enter into a service agreenlenl Nvith an A`AlWTS service and maintenance provider approved by the RVlunicipality 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 sliall be the responsibility of t}le Olvller during the term of this Agreement to pay for all repair(s), maintenance, adjustlrlent(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically ,$400 to $600). Owner agrees that only maintenance 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. Ll'i.f Owner acknovvledges 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 I of 3 ON -viler acknoNvIedges that the MLIlliCil)ality may request records of maintenance and repairs frons the illainLifaCurer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 11.60.030. Ovwner agrees to grant the Municipality reasonable access to test and inspect the AWAITS. The Nlfunicipai.ity will give at least 24-1101.11' 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. rpt -•-C Owner agrees that the AEVWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by file Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AW�VTS. ;-. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the MUnicil)ality to oj)erate tine installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. 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 N4Ullicipality thereafter to enforce every provision hereof. S. Amwidnlent. 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 tinder 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. 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