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HomeMy WebLinkAboutROSEBERRY HIGHLANDS LT 1-AOnsite File Roseberry Highlands Lot 1-A #050-315-73 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221160 PID Number: 050-315-73 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade Name RDesign Inc ABSORPTION FIELD ❑ Deep Trench ❑I■ Wide Trench ❑ Bed ❑ Mound Site Address 19351 Mount Magnificent Cir ❑ Other Phone Number of Bedrooms Soil Rating JTotal depth from original grade 5 1.2 GPD/SF 7.6 / 7.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.5/3.5 Ft. Gravel depth beneath pipe 4.1 / 4.1 Ft. Subdivision Block Lot Roseberry Highlands 1-A Fill added above original grade 2.1 /3.1 Ft. Gravel length 39/38 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 770 Ftz 2 8.5 Ft. Well >100' >100' N/A N/A >25' TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1500 Gal. Surface Water >100' >100' N/A N/A Material Number of compartments Lot Line >5' >10' N/A N/A NA Plastic 2 Foundation >10' >10' N/A N/A LI TATION Manufacture Capacity Remarks Trenches listed south -north Gal. Alarm location Electned by Installer PIPE MATERIAL House to tank D3034. Tank to D3034 drainfield Brownson Brothers Drainfield D3034 CO/MTD3034 Inspector L Tidwell BENCH MARK (Assumed elevation)100 ft Inspection 15` 9/16/22 2�d 9/17/22 Location and description 3'd 4°i Top foundation @ B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp � °F\\alp k li Conditional Approval: Date •'' • .cA,�� } AW�Q'�. i TH *fir '. • e Septic System Approved Date 2(0— BjamenrDaSchiller / �¢ �F�, •, CE 12592 • *`���� �slF • 8/31/23 •'�C�� . , i 11l F� PROFESSI4NP�'.�.�"� Note: this does approval not include well permit requirements. 1"=100' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND PERMIT # OSP221160 PID # 050-315-73 ROSEBERRY HIGHLANDS, LOT 1-A A B 2CO1 22.3 MH 38.0 SV 42.9 A B 2CO2 44.8 DV 67.3 CO1 65.0 12.8 36.1 41.6 43.8 70.2 73.2 Sep 07, 2023 FEET 0 100 200 50' BUFFER EASEMENT EXISTING WELL w/ 100' RADIUS ALTERNATE SITE: CAT III SYSTEM w/ 15' LONG x 5' WIDE x 4' EFFECTIVE DEPTH ABSORPTION TRENCH APP RATE 5 GPD/SF NEW 1,500 GALLON SEPTIC TANK w/20" MANWAY NEW 38' & 39' LONG x 5' WIDE x 4' EFFECTIVE DEPTH ABSORPTION TRENCHES 2CO1 CO1 CO2 MT1 5 - B D R M H O M E DV CO3 TH2 PLAN AS-BUILT CO2 80.9 MT2 CO3 98.9 CO4 78.0 75.5 93.4 84.5 BM MH SV2CO2 CO4 Benjamin Schiller CE 12592R E GISTEREDPROFES S I O N A L E N GINEER Sep 07, 20238/12/23 MT2 95.590.5 MT1 83.477.8 PROFILE AS-BUILT (NO SCALE) 97.7 92.0 98.3 102.3FC O MH SV Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A L E N GINEER Sep 11, 2023 1500 GAL SEPTIC TANK 97.6 FINISH GRADE 39' DRAINFIELD ROCK MT 1 TH # 2 NO GROUNDWATER 7/29/2022 92.0 CO 2 CO 1 78.5 87.9 92.0 95.5 ORIGINAL GRADE 2C O 97.6 PERMIT # OSP221160 PID # 050-315-73 ROSEBERRY HIGHLANDS, LOT 1-A 97.0 FINISH GRADE 38' DRAINFIELD ROCK MT 2 TH # 2 NO GROUNDWATER 7/29/2022 90.4 CO 3 CO 4 76.9 86.3 90.4 93.9 ORIGINAL GRADE TRENCH 1 - SOUTH TRENCH 2 - NORTH MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion?;;<HV No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 050 315 73 ROSEBERRY HIGHLANDS 1-A R DESIGN INC 3811 MIDVALE CIRCLE ANCHORAGE, AK 99507 04 11 2023 390 A.Y. MCDONALD 150C311-8S25 1.50 10 MARTINSON PELLETS ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET ANCHORAGE AK 99518 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: OSP221160 Work Type: Septic Renewal Tax Code Number: 05031573000 Site Legal Address: ROSEBERRY HIGHLANDS LT 1-A G:0155 Site Mailing Address: 19351 MOUNT MAGNIFICENT CIR, Eagle River Owner: MICHAEL QUINN CONSTRUCTION INC Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ,»ent S ,. t�eparttnent 6/29/2022 6/29/2023 109865 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 JSpecial Provisions: A test hole is required prior to construction of the absorption field to confirm minimum separations to impermeables and seasonal high groundwater, as well as to confirm percolation rate of the insitu soil. Construction may proceed at your own risk prior to the 7 -day groundwater reading. If results require a design change, construction shall stop pending review and approval of a change order. Please submit results with the inspection report (or change order, if required). 5 W y» ih rev Sed -�o ko w,e vv�_'v'•, vtp , --lemc Z Received By: Date: Issued By: Date: MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 On-Site Water & Wastewater Section UvoFax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 0 50 - 31 J — �3 Property owner(s) �/ Day phone �0;L2,30 3 V� �7 Mailing address 33?� /// 1 Site address Legal description (Sub'd., Block & Lot) )I � Wa.� J S U LA Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: (® all that apply) / Absorption. Field Septic Tank Holding Tank Privy Private Well Water Storage APPLICATION IS AN: TYPE OF DWELLING: Initial Single Family (SF) (w/wo ADU) Upgrade ❑ Duplex (p) ❑ Renewal ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. I (Signature of pro rty owner or authorized agent) Permit/Rush Fees: 1 �( �j Waiver Fees: Date of Payment: 5 a (o a 0 :� 2 Date of Payment: Receipt Number: 0 9 Z7 Receipt Number: Permit No. `� 5 P a �`� (� Q Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 12.8.20 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-315-73 Property owner(s) Highland, LLC Day phone 229-8117 Mailina address 351 E. International Airport Road Anchorage, AK 99503 Site address NHN Mount Magnificent Circle Eagle River, AK Legal description (Sub'd., Block & Lot) Roseberry Highlands, Lot 1-A Legal description (Township, Range & Section) Lot Size 109,865 Sq. Ft. Number of Bedrooms Five (5) 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 NX Upgrade ❑ 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) Permit/Rush Fees: 1� 615 ( GO � l b " 1 �) Waiver Fees: Date of Payment: 11 Date of Payment: Receipt Number: d a J 6 Receipt Number: Permit No. 0Waiver No. •-��108075 re�� Permit App_ - :• ; .,:c r l �DC T` a r'\ CDIt ) June 20, 2022 UTE E E R I N G PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FORGECIVIL.COM MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Roseberry Highlands L1 -A Septic system Change Order Dear On -Site Services Engineer: The design of the house and house location have been changed. The previous location of the proposed septic system had to be adjusted to accommodate the change in layout. The relocation and adjustment of the absorption trench will not pose any conflicts with the neighboring lots, existing well location, or other separation distances required. Sincerely, r !j Benjamin S`Fhiller, PE ,Z' PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) November 14, 2020 M.O.A. Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Subject: Roseberry Highlands, Lot 1-A – NHN Mount Magnificent Circle Well and Septic System Design Dear On-Site Services Engineer: The owner of the above lot intends to construct a new 4-bedroom home on the property. We are submitting this permit application for the construction of a new well and septic system. The attached site plan identifies the location of the home and the proposed well and septic location and alternate site. No conflicts exist between this proposed well and system and any other well or septic system on this lot or adj acent lots. The ground surface on the lot slopes to the west at grades in excess of 25%. The absorption trench has been designed to comply with the steep slope provisions of the Municipal Code. The distribution line is set at 3.5’ below the surface and no surface disturbance will occur within 50’ down grade from the absorption trench. 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 new system will be a minimum of 100’ from all wells and 100’ from surface water and more than 5’ from the septic tank. The system has been designed based on the test hole placed during the subdivision phase of the project. A new test hole will be placed to verify the design assumptions. Please add a condition to the permit requiring the test hole, water monitoring and percolation test. 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 adj acent properties. Sincerely, Michael E. Anderson, P.E. 11/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201478, Rebecca Carroll, 12/08/20 ROSEBERRY HIGHLANDS, LOT 1-A Colt� TRACT /50 BER UFFEA�SEMi A��JfER NATE /DOG N 4- O 01047745-0 / / j15 LONG . DEPT. I 1 / 2-3 LONG�x�5 J��EF IONTI BS � RPTION T ,5001 1 LLON SI AI�KIW/20" MAI AI'/�1\ITAIAI A LOT 5 \i ls'F , GE �. �ENGINf[RING • a "'..... Ben1 ar?fin Schiller CB 20292 e 1t�\�� FiiSi6�N—�V- I t= WATER/SERVICE LINE // /✓ /EXIS/TING WELL MAIN�AIN�10 SEPARATION / w/ 100' RADIUS / FROM SEPTIC TANK II5',TE:�C/ll�lll SYSTEM w/ IW OE��x/4' EFifE�TIVE� I ABSORPTION/ R NCH / I jAPP%RATE/5 Gf�D/S` / WIDE ` E1DEPES tHNCHES v,wAY �o S J 60N. TRACT RE \OT 6 NOTE: SLOPES >25% ARE WITHIN 50�-OF THEIPROPOSED ABSORPTIOI TRENCH. THE TRENCH HAS BEEN DESIGNED TO MEET THE STEEP SLOPE PROVISIONS OF THE CODE. NO 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. O 100 200 FEET 1"=100' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE ROSEBERRY HIGHLANDS, LOT 1-A 'cot 1 (v R4CT A I TRACT E / WATER SERVICE LINE EXISTING WELL \ MAINTAIN 10' SEPARATION W/ 10 0' RADIUS \FROM SEPTIC TANK EASEMENT ALTERNATE SITE: CAT III SYST�M w/ 14-047745-0) I15' LONG x 5' WIDE x 4' EFFEgTIVE „ DEPTH ABSORPTION TRENCH APP RATE 5 GIPD/SF / 2 - 32 LONG x 5' WIDE x 4' \ /� EFFECTIVE DEPTH / ABS RPTION TRENCHES \cam 1,500 GALLON SEPTIC c TANK w/20" MANWAY co G NIAINTAIN 10' MIN s FROM FOUNDATION zco LOT 5 TNORTHRIM `cam, / ENGINEERING �� i� b3 I LOTI � N s P;� of A�gs�li� fir; cog TH •••ir Ben arlfin Schiller Ce , zoz z2 592 • 1,tl�apRaFESS10NP�'��'� FOUNDATION DRAIN ENSURE 10' SEPARATION SROM SEPTIC LoT16 11 i EXITING FOONDATI N NOTE: SLOPES >25% ARE WITHIN 50' OF THE PROPOSED ABSORPTION TRENCH. THE TRENCH HAS BEEN DESIGNED TO MEET THE STEEP SLOPE PROVISIONS OF THE CODE. NO 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. O 100 200 FEET 1"=100' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANC FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE ROSEBERRY HIGHLANDS, LOT 1-A CC* 1 DESIGN FACTORS: 750 GPD PEAK FLOW PERK RATE: 1.0 MIN/IN APPLICATION RATE: 1.2 GPD/SF SYSTEM REQUIREMENTS: 5' WIDE SHALLOW TRENCH SYSTEM 1,500 -GALLON SEPTIC TANK 750 GPD / 1.2 GPD/SF /5' WIDE -.5 (RED. FACTOR) = 62.5 LF TRENCH REQUIRED (63 LF SPECIFIED) BOTTOM OF TRENCH: 7.5' BELOW GRADE FLOW LINE ELEVATION: 3.5' BELOW GRADE TOP OF TRENCH: 0.5' ABOVE GRADE ILE FABRIC RATED PVC (HOLES DOWN) -D ROCK TYPICAL TRENCH SECTION (NO SCALE) 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 F GE E N G I N E E R I N G �: ,� TH •,fir � .. Benja in Schiller CE 125926/16/22 �� ��l�a�PROFESSIONP��-Q�� W 0 ,�,e of tin Co ®�•. W m. Er J� Aw FO Z w J LO e 2 1 r v a`" oLO O Oz �u Al 20 —' e L O V i W W L� Q o O N az d' �t �w rr aF V �1 w Cl) Cl) /i QU v �w a� �O o OM N U w D_ �� LL O w O m � wLO ir OA' ry O r Ltdlz z W O z u z ED 0o O O 00 O to ti O O r— O 10 co O O cm O LCA LO O J� Z w J e 2 v J O 20 e az �w rr aF QU �w a� r' GE SOILS LOG AND PERCOLATION TEST ENGINEERING LEGAL DESCRIPTION: ROSEBERRY HIGHLANDS LOT I -A PERFORMED FOR: R DESIGN I N C DATE: 7/22/22 PARCEL ID#: 050-315-73 DEPTH TEST HOLE 2 (feet) 1 2 READING I II 11 OB NET DROP INCHES) (INCHES) 3 ' . PERC TEST LOCATION 4 416 7i6 5 2 6 10 416 716 316 GM (SILTY SANDY GRAVEL) 7 1:22 10 8 ` • 4 1:33 9 '_•.. 716 10 .' • 5 11 .f:• 416 76 3i6 6 1:55 10 12 76 36 13 ". 14 • " `•• 15 17 18 1 NO WAS WATER ENCOUNTERED? IF YES @ WHAT DEPTH? DRY DEPTH TO WATER AFTER MONITORING 7/29/22 DATE OF MONITORING DATE READING START TIME NET TIME (MINUTES) DEPTH To WATER NET DROP INCHES) (INCHES) 7/25 1 1:00 10 416 7i6 36 2 1:11 10 416 716 316 3 1:22 10 416 76 36 4 1:33 10 4-1 716 316 5 1:44 10 416 76 3i6 6 1:55 10 416 76 36 6" DIAMETER TEST HOLE PRESOAKED PRIOR TO TESTING PERCOLATION RATE: 2.9 (MIN/INCH) COMMENTS: USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED SEE SITE PLAN TECHNICIAN: J. MILLETTE 6" OF WATER COMPLETELY ABSORBED IN LESS THAN 30 MINUTES Oc[ 17 08 07','59~ Water Wells 907 688 2759 SULLIVAN WATER WELLS P.O. BOX ~?0272, CHUGIAK, ALASKA 99567 .TELEPHONE p,2 OWNER OF LAND; ADDRESS: I~ weti ~ed at ~pprov~ ~ ~cat~? ~ N~ ~ of ~il~:~ir rot&~ Q cable ~pt~m of we(,:~~ ~ $~at~ W. er Lev~_ t 5 1 ____ f~t Met~ ¢ W~l Intake Op~ Type: O OP~ e~n¢ Q Scr~; Sta~.. , ~et Stop~.feet ~ Peonies ~d ..... feet 8t~ ....... feel Depth: ~ ........ feet, to BORE HQLE DATA. f DEPTH '1 ATTEN'IION: I1 is the respor~sibillty of the properly owner to submit a copy of the ,,veil log ~ ~ ~op~ authcri~. Munbipality ¢ Anohocage: ~p~nt o~ He¢lh & H~man Se~lc~ a~¢ ~r~t of E~ircment¢ ~e~i~, MaiSu Bo~gn: O~d~errt of Env~o~me~tel MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date issued: Sep 11, 2008 Expiration Date: Sep 11, 2009 Permit Number: SW080192 Parcel ID: 050-315-22 Legal Description: ROSEBERRY RIDGE ESTATES #1 TRACT A Design Engineer: 0000 ZZ - NONE NEEDED Site Address: NHN MOUNT MAGNIFICENT CIRCLE Owner Name: ROSEBERRY RIDGE ESTATES, LLC Lot Size: 649452 SQ. FT. Owner Address: 10230 RONALD PLACE Total Bedrooms: 0 Permit Bedrooms: 0 EAGLE RIVER, AK 99577- This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. Municipalit3, of Anchorage Development Services Department Built lng Sat'~l~, O v 5icm On-Sh~. ~, at~r aha Wastewat~r Pr~ a~ 4700 Br~g~w Str[~[ P.O. Box 1~)5650 ~r ~ or,ge. Alaska 99519-6~50 (907) 343-7~4 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 05031522-000 ~/-~7,~_~L~f Proper~y owrerls) Roseberry Ridge Estates, LLC Da? O~o~e (907) 360-7157 aa~es~ 10230 Ronald Place, Eagle River, AK ~ Coae 99577-8769 Mailing p Site address Mount Magnificent Circle, Eagle River Zip Code 99577 Legal descripzion (Su~'d., 8lock & Lot) Rosebe~ Ridg~ Es~t~5#l t Tmgt A Legal description (T~,,'rship. Range & Section) T14N R1W LO~ Size ......... ,6~9,~.. ~. Et Number of B~r~ms` .,~[A THIS APPLICATION IS FOR (~ ail that apply): THIS APPLICATION IS AN: Absorption Field ..~ Iridal Septic Tank _._: Upgrade [ _i Holding Tank ~ Renewal ~, ,:~ [7~ Privy i ¢ ~ Private Well ~ This Application is for We~.~3wells Water Storage ~ required for the Aquifer Test for Preliminary Plat S-11628-3 Roseberry Ridge Highlands. I certify that the above information is correc:_ I further cer, ify that. this application is being made for a Single Family Dwelling and is in acccrdance with applicable Municipai Codes. PurmiL,'Rusn Fees; Date 6', Payruer~t: R~¢uu pt Number: Dste o~ Paymer~t: Ruuui2[ 0 ~Z LLI o_ n n 0 · 0 0 J 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. 050-315-73 Legal description ROSEBERRY HIGHLANDS LT 1-A Expiration Date: Z l r Z Site address 19351 MOUNT MAGNIFICENT CIR Eagle River Current property owner(s) RDESIGN INC X The On-site systems) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 9/11/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Ro5H ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-315-73 Complete legal description Roseberry Highlands Lot 1-A Location (site address) 19351 Mount Magnificent Circle, Anchorage, AK 99507 Current property owner(s) RDeslgn Day phone 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑■ Plastic ❑ Concrete ❑ Fiberglass Age <1 yr - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑■ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑E Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ t ZQ Date of Payment Zai Z 3 COSA# '0SG231 y7 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 Roseberry Highlands Lot 1-A 050-315-73 9/11/08 400 N/A 44 2.32 18+ 9/4/23 Forge Engineering 134 7/31/23 N/A NEW INSTALLATION N/A N/A N/A NEW INSTALLATION > (907) 522-7773 Benjamin Schiller, P.E.8/31/23 Municipality of Anchor On -Site Water and Wastewater Prog (907) 343-7904 � - a N JAN 2 7 Z020 �Q U[6 S CERTIFICATE OF ON-SITE SYSTEMS APPR Parcel I.D. 050-315-60 • i�, •► Complete legal description ROSEBERRY HIGHLANDS LOT 2 n A F ETYA- Expiration Date: 5' %z= ZO 2-0 Location (site address) 19303 Mount Magnificent Circle, Eagle River Current Property owner(s) Highland LLC Day phone Mailing address 351 E International Airport Rd, Anchorage, Real Estate Agent Dwell Realty Day phone 907-646-3680 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 0 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual] Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class _ Well ❑ Public Sewer ❑ Public Water System ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 6-zo Date of Payment / plail2.oao Receipt Number COSA# 05c:Z6/oa� Date: 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. Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen i OF A encroachments, deficiencies or discrepancies exist. 6. DSD IGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. /1 r .* q __ _( F '� 1_ KE INzNE1'7H >i. DG / 1Z� 16 / `O P FFSS1 ��• Conditional approval for bedrooms, with the following stipulations: lllll(ttt((/ rr CEb V, B Original Certificate Date:2 • (2' Z47�0 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 blue sheet 10-10-12.doc COSA Checklist Legal Description: ROSEBERRY HIGHLANDS LOT 2 Parcel ID: 050-315-60 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system 1 A. WELL DATA Well log is filed with Onsite (or. attached) Date drilled 9/17/08 Total depth 400 ft Cased to 44 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 1/16/20 Static water level at beginning of test 140 Comments ft. B. TANK DATA Age of tank(s) years Tank type/material Se tic/ Measured open -id level in septic tank t apes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade max) Measured depth to pipe invert from e ft (min) ❑ N/A —pressurized field ❑ Monitor tubes go to bo of effective. If not, state depth into effective ❑ Code -require 11 cover over field ❑ Syste soaked (Requ' if vacant for greater than 30 days prior to da test) Well production at time of test 4.1 gpm Water storage tank volume gallons Well disinfected for coliform test? E Yes ❑ Nc Coliform bacteria is Negative Nitrate 2'09 mg/L ❑ Nitrate less than MRL (ND) 95 Arsenic 6.ug/L ❑ Arsenic less than MRL (ND) Collected by ArcTerra Date of Sample 1/16/20 C. LIFT STATION ❑ Required mainten Age of lift statin _ Lift statim. aterial Adequacy test date mpleted years Results ❑ Pass For edrooms Fluid depth prior to test in Water added g New depth Elapsed time min Final fluid th in AbsorpN rate gpd An ejuvenation treatment (past 12 months) 00"Gallons introduced gallons yes, enter date Comments/Deficiencies: 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' NA if No Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft 0 Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25'52] Yes if No ft if No ft Private Wells > 100' ❑ Yes if No ft Water Main > 10' Absorption Field on Lot > 100' F-1YesYes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' ❑ Yes if No Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) NOT INSTALLED Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: ❑ Yes Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Main > 10' ❑ Yes if No ft Community Wells > 200' ❑ 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) NOT INSTALLED 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' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS SEPTIC SYSTEM NOT INSTALLED G. ENGINEER'S CERTIFICATION 1 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. COSA Checklist yellow sheet P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Dea Duffus JOB LOCATION: 19303 Mount Magnificent Cir Eagle River, AK 99577 Flow Test Report Total Depth: 400' Resting Static: 140' Max draw down: 386' Yield at 4.1 GPM Date: 01/16/20 Tract A Lot 5 0 10 25 50 100 SCALE: 1 `50' I I ' I - I /Tract E \ I I S 69'35'34"E 351.21' -i HOUSE DETAIL Scale: 1 " = 30' WELL I / o I50' BUFFER EASEMENT / (DOC. No. 2014-047745-0) ` �� o u r° co SEPTIC PIPES MANHOLE— SEPTIC PIPES ---,,- Lot 1—A 109,865 S.F. \ ti \ N 39.7'. n LID SEE HOUSE U' T DETAIL cn CR. 1 7 0 �Y \ 1 Lot 6 iVERED � TRY � I I I � PLOT PLAN _ AS BUILT _K_ SCALE _1= = 50' _ GRID _ MW 0155r Project No. 22-29 LE 5 —r 11500 Daryl Avenue, Anchorage, Alaska 99515--3049 Lang & Associates, inc. (907) 522-6476 Phone opp�0 (907) 522-4625 Fax44C) F q Professional Land Surveyors ken*longsurvey.com ' � .. .. ,9 jonathan0langsurvey.com DSP s �O I hereby certify that I have surveyed the following described property: LOT 1—A, ROSEBERRY HIGHLANDS (PLAT No. 2020-31) 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 the _ �__ Day of ___h_'�`_'� _ _-'— _'' ' 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. W •.' 49TH y� ............... .. . ........... i KENNETH G. LAN o � ��, •� . g �� C X23 ����� —5202. S�pG p a Ned N14�'40F'ESSIONAI- �� AECC963