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HomeMy WebLinkAboutBRUIN TERRACE BLK 9 TR 1BOnsite File Bruin Terrace Block 9 Tract 1B #016-112-47 kr-,cv vaivu !a) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211031 PID Number: 016-112-47 Dwelling: © Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: N New [:1 Upgrade Name Hultquist Homes Inc. ABSORPTION FIELD F1111 Deep Trench F1 Wide Trench ❑ Bed E] Mound Ad SiteAddress ddress Forest Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 0.6 GPD/SF 12.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 8.0 Ft. Subdivision Block Lot Bruin Terrace 9 Tr1 B Fill added above original grade 1.1-1.8 Ft. Gravel length 80 Ft. Township Range Section Gravel width 2.5 Ft. Beds: Number of Lines NA Distance between lines NA Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1280 Ft2 2 17.4 Ft. Well 143.1 144.4 NA NA 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1500 Gal. Surface Water 100'+ 1001+ NA NA Material Number of compartments Lot Line 66.9 30.0 NA NA NA Poly 2 Foundation 15.4 23.8 NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Hultquist Homes Drainfield 3034 CO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 100 ft Inspeection im 2/24/2021 2/25/2021 Location and description ction 3"' 2/26/2021 2na 4th Top of foundation wall ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ����� OF A�k�-�cn k ..; ...... `' 11"ven R. P�annore Septic System Approved i:�',c��4- {` � _ Date Note: this approval does not include well permit requirements. kr-,cv vaivu !a) u�inpv = D ��IIIC �(n D(n �-IZ �7 -t^C �cn DCn 'D-iZ -D CO I ( ONicn G�OmDpm ONcn 4�0_mDp_� DrTm ztom —�z• cn —rmm zcnm 2z• CTI C H s DrC)T� m DvDO Dr OS >� i r N F- OJT r te. r- COD _ p�mX cmn C I I �cJ' Z�pD DNO rrn D� Z�DD DNp �oNDzzo=D y £ Dg =mp�mmo� DN =rno�mmomZ zl-p_i00 cn O •• O �N 'O .. �.�� -0 c ZZ O' 0 I I �O --`m'i �o n N`C 06m cNn� �0.. n D mMnZ Cn Nm J� �O �0^ OUx D Oa7 �O^ m � m rr) (n � N -i m C) 0 � � O Co -I C/) 0 -u -j D 0 Z r -m mN rm p O �� -9m r- M�M O c/)j -Ti Zmm o m D r O n CnLID m O n (\JJ to —I h o z o = m Q Z _ -n a ITI C) cn m DO `� n N CO O O O U) m o m O O {w0 Zm CLEAN CLEAN OUT MONITOR TUBE MONITOR TUBE CLEAN OUT OUT I M O m �/ Cn m ,;dM� 41 m o m /� r � J J \ i f J f 'J f � J / i 1 j o � A t L z o0 D \ t r r m r , l N oO V f n , K: CAI t J 1 } \ r z `✓ o S > / n D ^ _ m N � �mNz' D \� m mo �t K"D- ,- Oz \ 20' UTILITY EASESd( U) O M m 4c � x� n \ \ - o nOCn:�E OO n S` D 0 n \ \ \ x CID m \ �\ D tt i\ zm--0 O_i rt O pp m n \ I N , Dz O Fri m - 000L Ll c, NOTES: PANNONE ENG SVC LLC C.�. 1088) P.O. BOX 1807 PAIVER, AK 99645 f *49 TH .* $�ev� annone CE 8149 :• •....• REVISIONS REV: 20210215 n n N� PHONE 907) 745-8200 FAX (907) 745-8201 BRUIN TERRACE B9 TR1 B SITE: NHN FOREST DRIVE HULTQUIST HOMES INC 12570 OLD SEWARD HWY STE 204 ANCHORAGE, AK 99515 n SCALE 1" = 50' -P -P C,r (A N N- SITE PLAN O SHEET 2 of 3 00 00 (.n cn 00 CO -P � CA N N N CO c0 -I" N O 0 0 0 00 f. y N co •.1 CO b) J v -P C,4 Ncy) OD CO (y) m ()) 0) � � -P, � Cn O N CO -4 Cn 0) -P, Cn c0 CO O CO O u (A O c0 O P O CA -A O M O m �/ Cn m ,;dM� 41 m o m /� r � J J \ i f J f 'J f � J / i 1 j o � A t L z o0 D \ t r r m r , l N oO V f n , K: CAI t J 1 } \ r z `✓ o S > / n D ^ _ m N � �mNz' D \� m mo �t K"D- ,- Oz \ 20' UTILITY EASESd( U) O M m 4c � x� n \ \ - o nOCn:�E OO n S` D 0 n \ \ \ x CID m \ �\ D tt i\ zm--0 O_i rt O pp m n \ I N , Dz O Fri m - 000L Ll c, NOTES: PANNONE ENG SVC LLC C.�. 1088) P.O. BOX 1807 PAIVER, AK 99645 f *49 TH .* $�ev� annone CE 8149 :• •....• REVISIONS REV: 20210215 DATE 20210913 RECORD DRAWING PHONE 907) 745-8200 FAX (907) 745-8201 BRUIN TERRACE B9 TR1 B SITE: NHN FOREST DRIVE HULTQUIST HOMES INC 12570 OLD SEWARD HWY STE 204 ANCHORAGE, AK 99515 SCALE 1" = 50' REV: 20210217 P.I.D. NO 016-112-47 DRAWN JRL/DRM SITE PLAN PERMIT N0. OSP211031 SHEET 2 of 3 SOILS LOG — PERCOLATION TEST TEST HOLE 2A SLOPE SITE PLAN OR ORGANICS I 2 3 4 5 2 6 x X TH 7 FINE SILTY GM SAND WITH 8 SOME GRAVEL 10 10 TH- 11 PES TH-2A 12 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES, AT WHAT TH SID SAND DEPTH? -DRY x 16 17 DEPTH TO WATER AFTER MONITORING? -DRY 18 DATE: 3/4/2021 BOH 19 READING DATE CLOCK TIME WATER NET TIME LEVEL NET DROP 20 READING 1 2/25/21 4:00 --- 3.11 --- 21 2 4:30 30 MIN 5.40 2.29 3 4:30 --- 3.11 --- DATE PERFORMED: 2/25/2021 4 5:00 30 MIN 5.26 215 5 5-00 - - 3.11 --- 6 5:30 - 30 MIN 5.25 2,14 PEROLATION RATE 14 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by HULTQUIST HOMES. PERFORMED BY: PES. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 low All Steven R. Po' I none Date 9/13/2021 RECORD DRAWING Scale NTS BRUIN TERRACE B'9 TRIB SITE:NHN FOREST DRIVE P.I.D. NO u 6-112-47 PERMIT NO. HULTQUIST HOMES INC 12570 OLD SEWARD HWY STE 204 CE 8149 Aw ft�ssw* OSP211031 SOILS LOG Sheet ANCHORAGE, AK 99515 3 OF 3 A Existing House Tract 1 n_ :s CF ` �' 28.3' 2.0 Existing House 16.5 0 19.4 i" P t� c, 32.1 Ln Lot 5 d- od Tract 1B 1, 43,995sf 10' Utility Eases luau uu uu r- I I o -1-t'' ! I 320.63' ---c o- 0 Lot 4 Lot 3 Lot 2 Lot 1 Survey Certification: I hereby certify that a Mortgagee's [Checked Avenue Inspection was performed on the described property. a Alaska 99601 Notes: It is the owners responsibility to determine the existence of any easements, covenants, or restriction which 8104 are not on the recorded subdivision plat. K.com It is the contractor's responsibility to check top of foundation grade & building setbacks in relation to property lines and easements. Dr. Crane Scale 1" = 50' Drawn by. CHG Grid SW2633 6 Field Book: 150 Plat 2019-118 Date: 8/17/2021 Cleanout 4" PVC ((:r S 2.2' Diameter Manhole Legal Description: Asbuiit 4" PVC ft Tract 1B, Mock 9, Bruin Terrace Subdivision a 4" PVC \C� f Benjamin Holmstrom a L -S-1187 8 G 0 gi �Qh fessionot Legend: Set Rebar with Cap AL. Monument Found Rebor Q Monument Well Septic OS Gravel Overhang Wood Deck MUNICIPALITY OF AN*CHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section.: -' � l;'ax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: t;l� - Oak Date (if Issue: Parcel Identification Number: IsealDescription Pump Installation Date: Block �ot SII Property Owaer.Nanie . & Address; q 103 Pump Intake Depth Below Top of Well Casing: feet Pump Manufacturer's Name: ArL�6�6 Pump Model- Punip Size: lip Pitless Adapter Burial Depth: (/0 feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer; `bell Disinfected Upon Completi R? Yes 0 No r — Method of Disinfection: cl_=� Coniments., tx,,-jJ .Is /C) c-,, Pump .Installer Name: L/tu /I -- Company: C-- ,j Mailing Address. City: State. dl-�� Attention; The pim�p installer shall provide a pump installation log to Qty -site, within 30 days of ptinip insta.1latiou. MUNICIPALITY OF ANCHORAGE On -Site Water& Wastewater Program PDBox 19OG5O 4700 Elmore Road Anchorage, Alaska 8951g'6650 Phone: 04 Fax: (807)3*3-7997 Permit Number: [J8p211031 Work Type: Septic Initial Tax Code Number: 01611247000 Site Legal Address: BRUIN TERRACE BLK STR 1B G:2633 Site Mailing Address: Owner: HULTQU|STHOMES INC Design Engineer: PANNONEENGINEERING SERVICES This permit kafor the construction of: 0 Disposal Field M Septic Tank 11 Holding Tank 0 Privy Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 2/18/2021 2/18/2022 n Private Well 0 Water Storage All construction shall beinaccordance with: 1. The attached approved 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC73)and Dripking Water Regulations (18AAC8O) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.85.Provide nobfiootionbycalling (9O7)343 -78O4(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 onthe same day, or b. Covered, sealed, and heated toprevent freezing Special Provisions: Atest hole 'arequired attime ofconstruction hoverify reserve field design, including separation hoinnpenneob|eo.seasonal high groundwater and percolation rate. Please submit results with inspection report. Received 5 MUNICIPALITY F ANCHORAGE Community Development DepartmentPhone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 016-112-47 Property owner(s) Hultquist Homes, Inc. Day phone _ Mailing address 12570 Old Seward Highway, Ste. 204, Anchorage, AK 99515 Site address NSN Forest Drive Legal description (Sub'd., Block & Lot) Bruin Terrace, Block 9, Tract 1 B Legal description (Township, Range & Section) Lot Size 43,995 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial FX -1 Single Family (SF) ❑X Septic Tank ❑X Upgrade (w/wo ADU) pg ❑ Holding Tank ElRenewal ❑ ❑ Duplex (D) Privy ❑ Multiple Dwellings ❑ (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: $575 1 Waiver Fees: Date of Payment: 2 /6 ) 02 � Date of Payment: Receipt Number: 00%a OG Receipt Number: Permit No. OSP211031 Waiver No. Permit App__'- ::..,:c: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211031, Rebecca Carroll, 02/18/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211031, Rebecca Carroll, 02/18/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211031, Rebecca Carroll, 02/18/21 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. 016-112-47 1. GENERAL INFORMATION Complete legal description Location (site address) Expiration Date: 2- .70 2/ Bruin Terrace B9 TR1 B 11400 Forest Drive Current property owner(s) Mailing address Real estate agent Hultquist Homes 2. TYPE OF DWELLING: F71 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 FLI Private Septic El Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -7,S4 qS Waiver Fee $ Date of Payment (12— �� �% / Date of Payment Receipt Number 67 07 z Receipt Number COSA # MC_ 2115-7/ Waiver # Distance: 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 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 S bedrooms System #2 Approved for bedrooms Disapproved Date Conditional approval for bedrooms, with the following stipulations: r.9g_\ Y op_., Ong_ o ATER AND m �Z�v�r AT PROLE A A, ER hO Original Certificate Date: (? — 3()- ,Z% 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 %C Well Flow Advisory Other COSA Checklist blue sheet t � f•: d i �Ai iti..d i �� f Legal Description: Bruin Terrace B9 TR1 B If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA OR Well log is filed with Onsite (or attached) Date drilled 11/88 Total depth 113 ft Cased to 113 ft ❑ Sanitary seal is functioning correctly Q Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 9/8/21 Static water level at beginning of test 41 ft. Comments data per Alpine Drilling B. TANK DATA Age of tank(s) New/0 years Tank type/material `"'Y'SCPLC Measured operating fluid level in septic tank new ❑ Standpipes/foundation cleanout per record drawing Date of pumping new D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 2/25/21 ❑ ALL standpipes present per record drawing Total measured depth from grade " ft (max) Measured depth to pipe invert from grade 5 ft (min) ❑ N/A — pressurized field O Monitor tubes go to bottom of effective. If not, state depth into effective F01 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: COSA Checklist yellow sheet Parcel ID: 016-112-47 Structure served by this system 1 Well production at time of test 7 Cpm Water storage tank volume na gallons Well disinfected for coliform test? ® Yes C No Coliform bacteria is Negative Nitrate -W-k;) mg/L ® Nitrate less than MRL (ND) Arsenic t'5.3 ug/L ❑ Arsenic less than MRL (ND) Collected by PES, LLC Date of Sample 9/14/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date new -Results 0 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 Community Sewer Manhole/Cleanout > 100' Q Yes if No ft M Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No ft 0✓ Yes if No ft if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft ® Yes if No 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' Yes if No ft Property Line > 5 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' FVJ 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' ® 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 G. ENGINEER'S CERTIFICATION 1 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 www.muni.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # OSC211571 Subdivision: Bruin Terrace, Block B9 TR1B A water sample revealed an arsenic concentration of 13.3 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org °-T