HomeMy WebLinkAboutUPPER CHINOOK ACRES LT 1BOnsite File
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Municipality of Anchorage
On-Site Water and Wastewater Section ^ (907) 343-7904 Page 1 of
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP201479
PID Number: 015-163-41
Dwelling: ❑® Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑® New ❑ Upgrade
Name
Spinell Homes
ABSORPTION FIELD
❑ Deep Trench OR Wide Trench El Bed El Mound
Site Address
11361 Hill Drive
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
5
1.0 GPDlSF
7.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.0 Ft.
Gravel depth beneath pipe
Ft.
Subdivision
Block Lot
Upper Chinook Acres
1 B
Fill added above original grade
0.5 Ft.
Gravel length
80 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
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
I Tank
Line
800 Ftz
2
8.4 Ft.
Well
1100'+I
100'+
NA
NA
25'+
TANK Septic ElS.T.E.P. [I Holding El Other
Manufacturer
INFILTRATOR
Capacity
1530 Gal.
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
i
Lot Line
10'+
10'+
NA
i ANA
Plastic
2
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical-installed by
PIPE MATERIAL House to tank 3034Tank to 3034
drainfield
Installer
Pomraning Excavating, Inc.
Drainfield 3034 Co/MT3034
Inspector Pannone Engineering Services
BENCH MARK (Assumed elevation) 100.0 ft
Inspection1-12125/21
nd 2/26/21
Location and description
3,d 6/30/21
41h 7/1/21
Nearest Corner House Trim
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
OF-A.
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Septic Syste
Approved
Date /q Z �_
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Note: this approval do not include well permit requirements.
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NOTES: PANNONE ENG SVC REVISIONS DATE
PALER,
�C��I. 1088)
RECORD DRAWINGS P.O. BOX 1807 R, AK 9645 08/11/2021
PHONE (907) 745--8200 FAX (907) 745--8201 08/19/2021 SCALE
th 1 = 50'
.. .... . ..... ..
UPPER CHINOOK ACRES, LOT 113 11 il� PJ.D. NO
c' . ...... -163-41
.- .... :.'" 015
DRAWN SPINELL HOMES A St- R. nmn.
CC -8149 PERMIT NO.
SITE: 11361 HILL DRIVE OSP201479
SITE PLAN ANCHORAGE, AK 99517 ........ SHEET
2 OF 2
DOC CO dba
BILL 8& COLE
ULLIVAN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Spinell Homes
ADDRESS: 11361 Hill Drive Anchorage, AK
LEGAL DESCRIPTION Upper Chinook Acres Lot 1B
DATE: 3-9-21
PERMIT NUMBER: OSP201479 DATE OF ISSUE: 11-24-
20
TAX IDENTIFICATION NUMBER 01516341000
Is well located at approved permit location: ®Yes ❑No
Method of Drilling: ®air rotary Elcable tool
Depth of Well: 62
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 62 feet
Liner type
Static Water Level: 22 feet
Recovery Rate 40 ® gpm F—] gph
Method of Testing Air
Well Intake Opening Type: ® open end Flopen 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:
Bore Hole Data
Depth
From To
0 2
2 4
4 22
22 31
31 50
50 62
Casing Stickup
Overburden
Silty Sand & Gravel
Silty Sand & Gravel w/ Clay
Sand & Gravel Tight
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.
Well Drilling Permit Number: SVV
Parcel Identification Number:
Pump Installation Log
11SP201479 Date of Issue 11-24-21C
01516341000
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
1 11=40'
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\ SEPTIC SYSTEM
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(BK 62, PG 351) \
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PLAT NO. 71-308
UPPER CHINOOK ACRES SUBDIVISION
LOT 1 B
40,740 S.F.
N 89055'45"E 246.96'
EXISTING
BUILDING
\
GRAVEL DR.
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�� \ 10' UTILITY ESMT. \
N 89055'45"E 246.91'
A S- B U 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
IT IS THE RESPONSIBILITY OF THE OWNER TO
JEFF A. GASTALDI, R.L.S.
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
2000 E. DOWLING RD., SUITE 8
COVENANTS OR RESTRICTIONS WHICH DO NOT
ANCHORAGE, ALASKA 99507
APPEAR ON THE RECORDED SUBDIVISION PLAT.
PHONE 248-5454
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
GRID
DATE
HEREON BE USED FOR CONSTRUCTION OR FOR
SW2640
7/2/2021
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
17.0'
0 Y
F.B.
JOB NO.
NOTE: NO CORNERS SET THIS DATE
2021-01
UCASIB
BUILDING DETAIL
SCALE: 1 "=20'
OF 1�
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i
. •. LS -6091 �� AV
m '.• 7/2/2021 • y�
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0
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2.83'
o
2.83'
W 2.75'
4.0'
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17.0'
0 Y
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2.0'
7.0'
40.0'
BUILDING DETAIL
SCALE: 1 "=20'
OF 1�
:��P ,,.....,q� qs
• ••.'� •♦
i �; 49TH
*♦
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MUNICIPALITY 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. 015-163-41
1. GENERAL INFORMATION
Expiration Date:
Complete legal description Upper Chinook Acres Lot 1 B
Location (site address) 11361 Hill Drive
Current property owner(s) Spinell Homes
Mailing address
Real estate agent
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
Day phone
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
Private Septic
Fx_1
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 g117/Z 1
Receipt Number 00 - 66-
COSA #
6-
COSA#OSG Z I 1 98 6
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
Address P.O. Box 1807 Palmer, AK 99645
Phone (907) 745-8200
Engineer's Printed Name Steven R. Pannone P.E. Date 2c69e5�
OF ....40 �
49'9
6. DSD SIGNATURE
V� System #1 Approved for bedrooms "�� °:,,ever P. Uar)n6,1e
System #2 Approved for bedrooms9$��rp:j \;
Disapproved
Conditional approval for bedrooms, with the following stipulations:
By: Original Certificate Date: 8A/�z l
The Municipality of Anchorage elopment 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
COSA Checklist
Legal Description: Upper Chinook Acres Lot 1 B Parcel ID: 615-163-41
If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 01119/21
Total depth 62 ft
Cased to 62 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA 3/9/21
Static water level at beginning of test 22 ft.
Comments
B. TANK DATA
Age of tank(s) <1 years
Tank type/material
Measured operating fluid level in septic tank NEW
❑ Standpipes/foundation cleanout per record drawing
Date of pumping NEW
D. ABSORPTION FIELD DATA Wide Trench
Which system tested (date installed) 2121/21
❑ ALL standpipes present per record drawing
Total measured depth from grade 7.5 ft (max)
Measured depth to pipe invert from grade 3.5 ft (min)
❑ N/A — pressurized field
❑ 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 SYSTEM
COSA Checklist yellow sheet
Well production at time of test 40 gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes a No
❑ Coliform bacteria is Negative
Nitrate 2.75 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by PES
Date of Sample $/6/21
C. LIFT STATION
❑ Required maintenance completed
Age of lift station N/A years
Lift station material N/A
Comments:
Adequacy test date N/A
Results ED 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 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'
❑✓ Yes
if No
Community Sewer Manhole/Cleanout > 100'
(Q Yes
if No
ft
M Yes
if No
Neighboring Tank > 100' Z Yes
if No
ft
Private Sewer/Septic Line > 25' F,/� Yes
if No
Absorption Field on Lot > 100' M Yes
if No
ft
Holding Tank > 100' R Yes
if No
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' Q Yes
if No
M Yes
if No
ft
if No
ft
F. ENGINEER'S COMMENTS
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' M Yes
if No
ft
R Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' El Yes if No ft Surface Water > 100'
ft
ft
ft
ft
ft
Q Yes if No ft
Property Line > 5'
❑✓ Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
Q Yes
if No
ft
Private Wells > 100' n Yes if No.
Water Main > 10'
Q Yes
if No
ft
Community Wells > 200' 0 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'
El
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
0
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
0
Yes
if No
ft
Private Wells > 100' Q Yes if No
Water Service Line > 10'
M
Yes
if No
ft
Community Wells > 200' Yes if No
Surface Water > 100'
Q
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
l 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. al 0
COSA Checklist yellow sheet
trverl '�'F'cr' onFe ,
CL 8149
G
ft
ft
ft
ft
MUNICIPALITY OF ANCHORAGE
On -Site Water& Wastewater Program
P0Box 18V05O 47VOElmore Road
Anchorage, Alaska 99519-665OPhone: 343-7904 Fax: (90)343-799r
httpy/wwwmuni.org/onuibe
Permit Number: OSP201479
Work Type: VVoU8eotin|nitial
TmxCodeNumnher 01516341000
Site Legal Address: UPPER CHINOOK ACRES LT 113 (5:2840
Site Mailing Address: 11381Hill DR, Anchorage
Owner: LARSDNMELANIE L
Design Engineer: PANN0NEENG|NEER/NG SERVICES
This permit iafor the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
11/24/202O
11/24/2O21
R1Disposal Field 2Septic Tank [] Holding Tank 0Privy 2Private Well [] Water Storage
All construction shall be inaccordance with:
1. The attached approved design.
2. All requirements specified inAnchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
VVostovvatar Disposal Regulations (18/V\C72) and Drinking Water Regulations (18A\C8U)
3. The wastewater code requires inspections during the installation. The engineer aho|lnntifytheDava1opnoent
Services Department per AMC 15.G5.Provide notification bycalling (807)343-70O4(24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall boeither:
o. Opened and Closed onthe same day, or
b. Covered, sealed, and heated to prevent freezing
Received B
Issued By:
Date:
Dab*:
W�
MUNICIPAUTY OF ANCHORAGE
Community Development Department ks 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. 015163-41
Property owner(s) Melanie Larson (C.O. Spinell Homes) Day phone
Mailing address 1900 W. Northern Lights Boulevard, Ste 200, Anchorage, AK 99517
Site address NSN Hill Drive
Legal description (Sub'd., Block & Lot) Upper Chinook Acres, Lot 1 B
Legal description (Township, Range & Section)
Lot Size 40,740 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(123 all that apply)
Absorption Field ❑X Initial 0 Single Family (SF) ❑X
Septic Tank ❑X Upgrade (w/wo ADU)
p9 ❑
Holding Tank ❑ RenewalDuplex (D) ❑
❑ 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: 6 /S COUI0 Waiver Fees:
Date of Payment: I j I a02 D Date of Payment:
I
Receipt Number: b33`?�(n C-, Receipt Number:
Permit No. _051020 97q Waiver No.
Permit App__- :•
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201479, Deb Wockenfuss, 11/24/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201479, Deb Wockenfuss, 11/24/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201479, Deb Wockenfuss, 11/24/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201479, Deb Wockenfuss, 11/24/20