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EAGLE CREST #1 TR B LT 1
Onsite File Eagle Crest #1 Tract B Lot 1 #050-292-26 kmev 05i02i i 8) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201344 PID Number: 050-292-26 Dwelling: ■❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: R1 New ❑ Upgrade Name Hultquist Homes, Inc. ABSORPTION FIELD 9 Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 19164 Citation Rd, Eagle River, AK ❑ Other Phone (907) 522-3204 Number of Bedrooms 4 Soil Rating Total depth from original grade 0.8 GPD/SF 11.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.0 Ft. Gravel depth beneath pipe 8.0 Ft. Subdivision Eagle Crest #1, Tract B Block Lot 1 Fill added above original grade 1.9 Ft. Gravel length 49 Ft. Township Range Section Gravel width 3.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Tank Absorption Field Lift Station Holding Sewer Total absorption area Number of trenches 1 Dist. between trenches From Tank Line 784 Ft2 Ft. Well >100' >100' N/A N/A >25' TANK G Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Greer 1250 Gal. Surface Water >100' >100' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >10' >10' N/A N/A LIFT STATION Nla turer Capacity Remarks Gal. Alarm location installed by Installer PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Dirtworks, Inc Drainfield D3034 Co/MTD3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspection 15' 10/21/20 10/22/20 Location and description 2�a Threshold of back door. 3rd 4,h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF ACq�lil Conditional Approval: Date AMWI. • ' ' , tL TH Septic S stem Approved Date 2-- p %•�•.• Benjamryna5chiller ••:� F� CE 12592 ��'slFq• 12/21/21 = '1�® pROFESSI0NP4 Note: this approval does not include well permit requirements. \\\\`2 , kmev 05i02i i 8) EAGLE CREST #1, TRACT B LOT 1 PERMIT # OSP201344 PID # 050-292-26 CITATION ROAD? Of A,,,, i asTM .mfr PLAN AS -BUILT .4 • 0 . ® 0 50 100 Benja i Schiller /M771FEET CE 2592 •�®A 1"=50' j • . • 12/2012 , •Cj ���ie�PROFESSIONP�'.Aw � CONTOURS: 5INTERVALS LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANO FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE — — •, i_..ESTI ATED WATER SER ICE LINE [I�CjT,j w z LOi'-BDRM ` HOME 1,250GALLON W Lf j ` FCO —SEPTIC,T 49' LONG,x 3' -VIDE x 8' w/20"MPNWAY ErFECTIVE DEPTW ABSOR -TION TRENCH �.—�= MH'e CO2 SV r� 2C0 LR E ALTERNATE SITE CAT !II SYSTEM: 15' LONG x T WIDE x 8' EFF �� N� `� THt . DEPTH ABSORPTION TRENCH <� >16' '� E APP RATE 5.0 GPD S�F 1 t -Iq U.TILITY EA!j N% ,. I - 100' WELL RADIUS \ A 50'WELL RADIUS FOR CAT III ALTERNATE SITE � Of A,,,, i asTM .mfr PLAN AS -BUILT .4 • 0 . ® 0 50 100 Benja i Schiller /M771FEET CE 2592 •�®A 1"=50' j • . • 12/2012 , •Cj ���ie�PROFESSIONP�'.Aw � CONTOURS: 5INTERVALS LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANO FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE PERMIT # OSP201344 92.7 PID # 050-292-26 U� -, F- 0 97.6,FINISH GRADE 95.7 ORIGINAL GRADE NO GROUNDWATER 8/17/20 Z§ r 76.7 l'- PROFILE AS -BUILT ENGINEERING (NO SCALE) 92.7 M. I '10'49 TH Benja i Schiller C 2592 6• CE E 2 10 12121/21• A' n (6 �16.1' N Qo a 16.9• N 7.1 8.6' 7.0' 1 STORY RESIDENCE M "Z w/ WALKOUT BSMT. o �? 0 1 6.0' o N o 0 Lot 2 00 6 % 00 o 34:2' r*t W1 -� cJ� 2.0'x5.2' CANT MANHOLE Cn O BALCONY / a-- 00 WOODEN FENCE 10' UTILITY EASEMENTS I I I I Lot 11 Lot 1 11,070 S.F. IN PIPES WIRE FENCE Lot 12 HT1 I � P '4 :4 I r z L 7 I 50.0' I NOTE: THE LOT IS SERVED BY A I COMMUNITY WATER SYSTEM. PLOT PLAN —__ AS BUILT _X_ SCALE _ 1" _— 30=_ GRID _ NW 0054 Project No. 20-45Z/RL... 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax Qv�odOp�O Professional Land Surveyors ken0langsurvey.com © a F ,q jonathan®langsurvey.com I hereby certify that 1 have surveyed the following described property: LOT 1, TRACT B, EAGLE CREST SUBDIVISION (PLAT No. P-558) 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 lying 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 the22 N Day of ? 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. ?* : I, 49TH y* KENNETH G. LANG o Fa '•.LS -5202.•'' g Q 4p0�R�FfSSIONAL � Q� AECC963 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 Wastewater Disposal System Permit Permit Number: OSP201344 Work Type: Septic Upgrade Tax Code Number: 05029226000 Site Legal Address: EAGLE CREST #1 TR B LT 1 G:0054 Site Mailing Address: 19164 CITATION RD, Eagle River Owner: WILLIS EDWARD CHARLES LIVING Design Engineer: FORGE ENGINEERING This permit is for the construction of: 21 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date �0 7 e G 2_ > n v � 6a Dep a['tilie11t Lot Size in Sq Ft Total Bedrooms: 9/3/2020 9/3/2021 11207 ❑ 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 OJOc"J0V,e� U 100 pts F—&_J , CS L I I S I e SJko.-U ro foSe_a o �,\ 4 4 Q nQ_L0 n Received By: Date: } Issued By: 00_01' G Date: 9 3 b 0 MUNICIPALITY OF ANCHORAGE Community Development Department --rte 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. 050-292-26 a Property owner(s) Hultquist Homes, Inc. Day phone 907-522-3204 Mailing address 12570 Old Seward Highway #204 Anchorage, AK 99515 Site address 10336 Crest View Lane Eagle River, AK Legal description (Sub'd., Block & Lot) Eagle Crest #1, Tract B, Lot 1 Legal description (Township, Range & Section) Lot Size 11,207 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X ADU) Septic Tank ❑X Upgrade 1-1(w/wo Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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) 2 't "l 5 Rust Permit/Rush Fees: 9 t4 6. Z-'-' CD Ul o Waiver Fees: Date of Payment: 97-2-Q) -- 2 D '- 91*1�"'PDate of Payment: Receipt Number: _0 1 QZS D 0 1965) Receipt Number: Permit No. 05P201'394. Waiver No. Permit App__- .-.,:c PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) August 26, 2020 M.O.A. Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Subject: Eagle Crest #1, Tract B, Lot 1 – 10336 Crestview Lane Septic System Design Dear On-Site Services Engineer: The owner of the above lot intends to build a 4-bedroom home on the property. We are submitting this permit application for the construction of a new septic system. The lot is served by the 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 to the southwest at grades approximating 20%. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Ground contours are shown on the site plan indicating the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. The water service on this lot is shown. The new absorption system will be a minimum of 10’ from all water services and 100’ from surface water and more than 5’ from the septic tank. The septic tank is more than 10’ from the foundation. Please refer to the attached test hole logs and plan and profile sheets for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, PE 8/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201344, Rebecca Carroll, 09/03/20 670 1"=50' 4-BDRM HOME 1,250 GALLON SEPTIC TANK w/20" MANWAY. NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND TH1 EAGLE CREST #1, TRACK B LOT 1 CITATION ROAD 9/2/20 FEET 0 50 100 10' UTILITY EASEMENT CREST VIEW LANECONTOURS: 5' INTERVALS TH4 670 675 680 47' LONG x 3' WIDE x 8' EFFECTIVE DEPTH ABSORPTION TRENCH. ALTERNATE SITE. CO MT CO 2CO SV MH FCO WATER SERVICE. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201344, Rebecca Carroll, 09/03/20 EAGLE CREST #1, TRACT B, LOT 1 DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 5.1-15 MIN/IN APPLICATION RATE: .8 GPD/SF 8' DEEP TRENCH SYSTEM 1,250-GALLON SEPTIC TANK TYPICAL TRENCH SECTION (NO SCALE) 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 3' 6" 6" 3' 8' 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: 11.5' BELOW GRADE FLOW LINE ELEVATION: 3.5' BELOW GRADE TOP OF TRENCH: 0.5' ABOVE GRADE 600 GPD / .8 GPD/SF / 8' DEEP / 2 SIDES =46.875 LF TRENCH REQUIRED (47LF SPECIFIED) 8/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201344, Rebecca Carroll, 09/03/20 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 DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) Eagle Crest Tract B Lot 1 8/10/10 Mason Jakubisin DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH? - 13.0 6 4 5 050-292-26 Kourosh Partow 12:12 8/10 1 2 3 4 12:45 13:15 13:47 ORGANICS Professional Engineers Stamp: 8/26/20 30 no None 8/17/20 GM 6 - 2 7 16 3 9 16 30 6 - 2 11 16 3 5 16 30 6 - 3 11 16 2 5 16 30 6 - 3 11 16 2 5 16 LESS DENSE WITH DEPTH Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201344, Rebecca Carroll, 09/03/20 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 4 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) Eagle Crest Tract B Lot 1 8/10/10 Mason Jakubisin DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH? - 5.1 6 5 6 050-292-26 Kourosh Partow 17:40 8/10 1 2 3 18:12 18:43 ORGANICS Professional Engineers Stamp: 9/2/20 30 no None 8/17/20 GM 6 - 0 6 30 6 - 0 6 30 6 - 1 16 5 15 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201344, Rebecca Carroll, 09/03/20 U SH MUMC0PAUTY 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. 050-292-26 1. GENERAL INFORMATION Expiration Date: 3 r 3© —Z02-7,_ Complete legal description Eagle Crest #1, Tract B Lot 1 Location (site address) 19164 Citation Rd, Eagle River, AK Current property owner(s) H U ltq u ist Homes, Inc. Mailing address Real estate agent Day phone (907) 522-3204 12570 Old Seward Highway #204 Anchorage, AK 99515 2. TYPE OF DWELLING: ❑® 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 ❑ Private Septic Q Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System 19 Public Sewer ❑ Waiver request for: Distan Received by' COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 75 -+ -# y5 Waiver Fee $ Date of Payment t9 Date ot Flayment Receipt Number ��`����� Receipt Number COSA # 5 C 2 117 37 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 Benjamin Schiller, P.E. Date 12/21/21 q�bI 6. DSD SIGNATURE System #1 Approved for bedrooms . - — P t♦ �.•• Ben�amlrt6chlller 92 System #2 Approved for bedrooms `��s'• 12/2CE 1/21 %21 Disapproved kl ROFESSIQO �� Conditional approval for bedrooms, with the following stipulations: OA By: I. ,r__a/42"Original Certificate Date: Z- 30 — 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 Legal Description Eagle Crest #1, Tract B Lot 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA II log is filed with Onsite (or attached) Date drille Total depth Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments AWWU Public Water B. TANK DATA Age of tank(s) 1 years Tank type/material Septic/Plastic Measured operating fluid level in septic tank N/A (0 Standpipes/foundation cleanout per record drawing Date of pumping Tank installed on 10/21/20 and is empty D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 10/22/20 M ALL standpipes present per record drawing Total measured depth from grade 12.9 ft (max) Measured depth to pipe invert from grade 4.9 ft (min) ❑ N/A – pressurized field 0 Monitor tubes go to bottom of effective. If not, state depth into effective " Parcel ID: Structure served by this system 1 050-292-26 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) senic ug/L ❑ Arsenic less than MRL (ND) Date of Sample C. LIFT STATION LW uired maintenance completed Age of lift s years Lift station material Comments: equacy test date Res U"k EJ Pass For bedrooms Fluid dept rior to test in Water addedgal New depth �in Elapsed time min Q Code -required soil cover over field Final fluid depth in r_1System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 month date of test) — Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: '*MT1 extends to the bottom of the trench but MT2 only extends 7.5' into the effective depth. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Sep k/Lift Station on Lot > 100' ✓0 Community Sewer Manhole/Cleanout > 100' if No ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No Holding an > 100' ❑Yes if No ft Neighboring Absorption Fields > 100' Yes Animal Con at > 50' ❑ Yes if No ft ❑ Yes if No ft Yes if No ft Manure/Animal Excreta Storage > ' Community Sewer Main > 75' F-1 Yes if No ft ❑ Yes if ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' 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 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' ❑✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓❑ Yes if No ft Private Wells > 100' U✓ 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 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 OF AC`s 49 ?H �; • • ' Benjarr�a5chiller •.. CE 12592 �J'���•,,12/21/21 ••��G� �11F'0pROFESS0X ,d ft ft