Loading...
HomeMy WebLinkAboutPOTTER HIGHLANDS PH 2 BLK 2 LT 3Onsite File Potter Highlands Ph 2 Block 2 Lot 3 #020-281-63 �,­ voivct ion Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201460 PID Number: 020-281-63 Dwelling: FE Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: © New ❑ Upgrade Name John Hagmeier Homes, LLC ABSORPTION FIELD ❑Deep Trench � Wide Trench E] Bed F] Mound ❑ Other Site Address 5856 Potter Valley Road Phone Number of Bedrooms Soil Rating Total depth from original grade 4 5.0 GPD/SF 8.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5.0 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Potter Highlands Phase 2 Block Lot 2 3 Fill added above original grade 0 Ft, Gravel length 20.0 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES Toj From Septic Tank Absorption Field ( Holding i Lift Station I Tank 1 Sewer ,Line Total absorption area 100 Ftz Number of trenches 1 Dist. between trenches N/A Ft. Well 1001+ 100'+j i NA NA 25'+ TANK ElSeptic [IS.T.E.P. ❑ Holding 9Other Manufacturer ORENCO Capacity 1500 Gal. Surface Water 1001+ i 100'+ 1 NA NA Material Number of compartments i I Lot Line j 5'+ 10'+ 1 NA NA NA Fiberglass 2 Foundation I ` 10'+ i 10'+ I NA NA LIFT STATION Manufacturer Capacity Remarks Orenco Advantex Gal. Alarm location Electrical installed by Installer Red Dog PIPE MATERIAL House to tank 3034 Tank to 3034 drainfieid Drainfield 3034 CO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 746.0 It Inspdection v 12/28/20 3rd 12/31/20 2„d 12/29/20 4th Location and description See Site Plan, Bottom of house trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp . Conditional Approval: —� �.---- Date - -- - ------ P�� OF A(qs `A a°..9TH t '.. ..... ... ..... - Z l c% y s iilli t_.:-1 J k`������ -- ---- — — — Septic System' Approved Date .201,;?a) Note: this approval does not include well permit requirements. �,­ voivct ion DESIGN PARAMETERS A _0 PRIMARY SEPTIC SYSTEM DESIGN 7-0 w E RESERVE AREA CAT III (NIC TEST HOLE LOCATION [IN 0 NO. BEDROOM: 4(500 gpd) TANK SIZE: 1500g ADVANTEX W/ �^~ —�'SYSTEM AROUND ACTUAL TEST C-4 �o AX -20 POD ~HOLE LOCATION, INSTALLED DRAIN FIELD (N) PERC RATE: J] MPI 'Tn USE: 8-15 MPIINSTALLED GO & MT AT END, A SOIL RATING: 5.0 GPD/3F AREA RQD: 120 SF`ILI RF: 0.58 ` -'~- � Do ADJ AREA: 09�5 ` ` / ~�~~\Li `~ 3Y3. TYPE: WIDE TRENCH 3.0'ED ' cif MIN LENGTH: 14.0 LF c == USED: � ~ ' ' ADVANTEX (N �5.7 1 � 2 0 LF,5.U'WxJ.O'ED,8.0'TD */ INSTALLED FC lBEFORE &DCO 52.9mi� TOTAL AREA: 100 SF AFTER Z Tl 26.7 17.6 T2 37.8 24.9 AX20 1 32.1 19.6 DCO 44.0 31.1 Cl 47,0 31.8 C2 53.8 45.7 mi 48.2 33.5 2.8 -- --- -- onAIwAcs wwx W ___ WATER LINE / WELL RADIUS ---s---no NEW scpnc ABBREVIATIONS rH rssr *oLs (P) PROPOSED EXISTING k CLEAN OUT NO. FOUNDATION s^wour _JlQW SPLITTER -A TIQR Bs NO, TO STREA� 1 WELL AX 0 CLASS D WETLANDS T SFD -7 7701 < CLASS D WETLANDS BOUNDARY G -j a - AS MAPPED BY MOA 755 75 STAKED IN THE FIFI D C/i Li Lo 7 n4O"' -() - r -j'2 -x = 0 > NN 01 Li LLJ CD CO MT MT CO Tl T2 0 En EL -743.0 CL 4*0 IN PIPE TANK CD DATE PERFORMED: CL 0 10/02/2020 PROFILE t2- C) Alpine Drilling & Enterprises. Permit Numiber: #SW201460 Date of Issue: 91/212020 Parcel Idexitification Number, 020,28163000 Date Started: 2127/2021 !Date Completed: 2/28!2021 Is ,well located at approved permit location? X❑ "Yes [I No Legal Description: Potter Highlands Ph.2, Block 2, Lot 3 property Owner Naine & Address: Hagmeier Homes 2211 Cleveland Ave., Unit 201 Anchorage,AK 99517 Borehole Data: Depth (ff) Me.thod of DZ'illing XL] air rota►y ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: ? Wall Thickness:.2?0 iriche-s stick -111) Q 1 Diameter: 6 inches Depth; 20 feet gravelly,tilt Liner Type. fl - c bedrock 19 206 Diameter: 4.5 inches Depth: 14 feet -54 feet Casing stickup above ground: ,? feet . WATER QUALITY TESTING CoOform C0000ML Arseft N A- 8'!3'21 Static water level (froth ground level): 27 feet primping level: 200 feet. after 2 hours pumping 3 gpm Recovery Rate: 3 gfm Method of Testing: air li Well Igtakc Opening Type: ❑ Open E1ad ❑ Open Hole ❑ Screeta.ed Start feet Stopped feet ❑ Perforations Start _ feet Stopped feet' Grout Type: ber�tc>rtite rcrrt�.�les Volume: J Pump: Intake Depth _ feet Piumn size hta Brand Nemo Well Disinfected Upon. Completion? X❑ Yes ❑ No Method of Disinfection: chlorine tablets Conimems: Well Driller: Alpirie Dr-illirtg & Ertt(zIT7'ises p.0, Bo v 110496 A. nchoruge .4b'. 99511 MUNICIPALITY OF ANCHORAGE Phone: 907-343-7904 DeveloPment Services DePartment ('�fj Fax: 907-343'-7997 On -Site Water & Wastewater Section � lump Installation Lead 11-2 2020 -�Vell.:Drilling "i'ermit Nul"ber: 201460 Date of Issue: - 020 281 F3D06 Parcel identification Number: - Legal Description :Block .Lot F2204 perty Owner :Name &. Address: meier Hames 3 Cleveland Ave., #201 Potter Highlands Phase 2 2 horage, AK 99517 I'ump Installatiorn Date: 7 -31 -2021_ Pup Intake Depth Belofv 'Pop of NVell Casing: 190 _ deet Pump Goulds Pump Njanutacturer's Nanie; Pump Model: 7H07 Pump size: 3/4 lip Fitless Adapter Burial. Depth. N/A feet Fitless Adapter Manufactur'er's Name: I Fitless Adapter Installer.: N/A Well Disinfected Upon Corupletion? 0 yes Cl No Metbod of Disinfection: chlorine tablets Comments: PLEASE SAVE FOR COSA. l'unip Xnstaller Name: C......: AaC°w Rump & Well Service, LLC Mailing Address; P , O . Box 110496 city: Anchorage state;�zi11 .p: —_ Attention: The piunp installer skull provide a pump installation log to On-site within 30 days of pump in5tallab-011. BUILDING DETAIL SCALE. 1 20 �. 632 \ SEPTIC SYSTEM scizzis m EXISTING BUILDING Y. LOT 3. BLOCK 2 2.411 ACRES \ \ �0 \` \ 'P% \ s \ O GMVEL 'O WELL Oito cn o— I I \ 10' SCK N 0 0 II I Us v IN 11,W OF qL Pe •°Oeee•..°••°a co •�j. * ; 49TH o y oeoeesee�.e7ee/.�e see��e e�,e/e •• .o a eeea eeeeeee.e m : Jeffery A. Gastoldi : o` Aff LS -6091 AV 5/13/2021 Q' ov professional 1-�N G is, m via 4 1 11=50' 6®i 5' DEVELOPMENT SETBACK 0' T. & E. ESMT. AS -BU I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S.1•I' DETERMINE THE EXISTENCE OF ANY EASEMENTS, ZOOO E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPS ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR SW3638 5/13/2021 ESTABLISHING BOUNDARY OR FENCE ONES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NOTE: NO CORNERS SET THIS DATE 2021-01 PHS232 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201460, Rebecca Carroll, 11/02/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201460, Rebecca Carroll, 11/02/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201460, Rebecca Carroll, 11/02/20 MUNICIPAUTY OF ANCHORAGE U5 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. 020-281-63 Expiration Date: 1. GENERAL INFORMATION Complete legal description Potter Highlands Ph2 B2 L3 Location (site address) 5856 Potter Valley Road Current property owner(s) Potter Creek Development LLC Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic Q 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 $ 7_�i -+ Date of Payment g I $ ;.021 Receipt Number o r 5"R9 G COSA # 05C, 21 1 y 1 l 6 Waiver Fee $ 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 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 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE N% System #1 Approved for 4 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Phone (907) 745-8200 Date _C7 OF A�,qACL-1 H �.. even R. .=7nrc.,- e ;• - YrC •:cam Vin. bedrooms, with the fw'ng stipulations: F������r/�� WATER AND m By LAOriginal Certificate Date: 02 0 1.20,1 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 Phase #2 Block 2 Lot 3 Parcel ID: 020-281-63 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 IMF Total depth 206 ft Cased to 20 ft ❑ Sanitary seal is functioning correctly On Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA I Static water level at beginning of test 27 ft. Comments Well 11 Year Old B. TANK DATA Age of tank(s) �1 years t lb A04ANTM � ys� Tank type/material Measured operating fluid level in septic tank N/A ❑ Standpipes/foundation cleanout per record drawing Date of pumping New D. ABSORPTION FIELD DATA Wide Trench Which system tested (date installed) 12/28/20 ❑ ALL standpipes present per record drawing Total measured depth from grade 8.0 ft (max) Measured depth to pipe invert from grade 5.0 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Structure served by this system 1 Well production at time of test 3.0 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ® Yes ❑ No ❑ Coliform bacteria is Negative Nitrate •460 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by PES / j Date of Sample 'f/l C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date New Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) _ date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: New COSA Checklist yellow sheet 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' (Q Yes if No ft 0 Yes if No ft Neighboring Tank > 100' Cj Yes if No ft Private Sewer/Septic Line > 25'E] Yes if No ft Absorption Field on Lot > 100' F,71 Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' ft Private Wells > 100'[]✓ Animal Containment > 50' 0✓ Yes if No ft M Yes if No ft ft Community Wells > 200' Yes if No ft Water Service Line > 10' Manure/Animal Excreta Storage > 100' if No Community Sewer Main > 75' Yes if No ft R Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F-1 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' Q Yes if No ft Private Wells > 100'[]✓ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' C]✓ 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' [v Yes if No ft Wells on Adjacent Lots: Water Main > 10' C] Yes if No ft Private Wells > 100' El Yes if No ft Water Service Line > 10' El Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100' n 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. 2ct- COSA Checklist yellow sheet �� QF ALS �p S� ............... ....... (0�t- ') even crnorie