HomeMy WebLinkAboutUPLANDS PH 3 LT 1Onsite File
Uplands
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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: OSP211093
PID Number: 050-474-64
Dwelling: 01 Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: n New ❑ Upgrade
Name
Smith Phyllis Family Irrevoc
ABSORPTION FIELD
n Deep Trench El Wide Trench ❑ Bed ❑ Mound
Site Address
NSN Upper Lowland Avenue
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
7
1.2 GPD/SF
JTotal
10.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.0 Ft.
Gravel depth beneath pipe
6.0 Ft.
Subdivision
Block Lot
Uplands Phase 3
1
Fill added above original grade
0 Ft.
Gravel length
75 Ft.
Township Range Section
Gravel width
2.5 Ft.
Beds: Number of Lines
NA
Distance between lines
NA FL
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
900 FF
1
NA Ft.
Well
100'+
100'+
NA
NA
25'+
TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1500, 1000 Gal.
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
Lot Line
10'+
I 10'+
( NA
NA
NA
HDPE
2 EA
Foundation
10'+ I
10'+
NA
( NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to3034
drainfield
Pomeraning Excavation
Drainfield 3034 Co/MT3034
Inspector Pannone Engineering
BENCH MARK (Assumed elevation) 821.5 ft
Inspdecct sn im 06/07/21
06/08/21
Location and description
V 06/09/21
2nd
41" 06/10/21
South East Corner Bottom Of House Siding
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
,�tG of AC,gS�
.... �
�t `•.�t : reri R. Panncir��
Septic System
Approved
Date 10
-G
r' C i;14•'fes-
Note: this approval does not include well permit requirements.
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SCALE : t"= 50'
NOTES: PANNONE ENG SVC Lt.0 (C.1. TOSS) """"", REVISIONS DATE
RECORD DRAWINGS P.O. BOX 1807 PALf�ER, AK 59645 .. A4,gSh, 10/18/21
PHONE 907} 745-8200 FAX 907 745-8201^_��? fy'/, SCALE
UPLANDS PHASE 3 LOT 1 49 P.I.D. NO
DRAWN ��C SMITH PHYLLIS FAMILY IRREVOC - - 05MIT NO. s4
i. Stevan -.149 Pannone -_
SITE: NSN UPPER LOWLAND AVENUE CE -8149 .. PERMIT 11
OSP211093
SITE PLAN EAGLE RIVER, AK 99517 q...... SHEET
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k8lLINIC|PALiTY OF ANCHORAGE
On -Site Water 8.Wastewater Program
POBox 19O§5D 47O0Elmore Road
Anchorage, Alaska og510-005O Phone: (9O7)343'7gO4 Fax: (9O7)3*a'79S7
Permit Number: OSP211093
Work Type: Septic Initial
Tax Code Number: 05047464000
Site Legal Address: UPLANDS PH3LT 1 G:0057
Site Mailing Address: 20D78UPPER LOWLAND AVE, Eagle River
Owner: SMITH PHYLLIS FAMILY |RREVOC
Design Engineer: PANN(}NEENGINEERING SERVICES
This permit isfor the construction of:
R1 Disposal Field Z Septic Tank El Holding Tank Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms:
4/12/2021
4/12/2022
El Private Well E] Water Storage
All construction shall beinaccordance 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
VVasbavveter Disposal Regulations (1 8AAC72) and Drinking Water Regulations (1 8AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.G5.Provide notification bycalling (9O7)343'7&O4(24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall beeither:
a. Opened and Closed onthe same day, or
b. Covered, sealed, and heated to prevent freezing
Received By:
Issued By:
Et
MUNICIPALITY NCH
Community Development Department
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. 050-474-64
Property owner(s) Phyllis Smith Irrevoc Trust
Mailing address 10441 Stewart Dr, Eagle River, AK 99577
Site address NSN Upper Lowland Ave
Day phone
Legal description (Sub'd., Block & Lot) Uplands Phase 3, Lot 1
Legal description (Township, Range & Section)
Lot Size 43,589 Sq. Ft. Number of Bedrooms 7
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑X
Initial R
Single Family (SF) ❑X
(w/wo AD U)
Septic Tank
❑X
Upgrade ❑
(D) ❑
Holding Tank
❑
RenewalDuplex
❑
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: $595 Waiver Fees:
Date of Payment: HE aorll Date of Payment:
Receipt Number: 61.1 � � G Receipt Number:
Permit No. OSP211093 Waiver No.
Permit App_:- :• : -.,:c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211093, Deb Wockenfuss, 04/12/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211093, Deb Wockenfuss, 04/12/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211093, Deb Wockenfuss, 04/12/21
4 SOILS LOG AND PERCOLATION TEST
ENGINEERING
LEGAL DESCRIPTION: UPLANDS LOT I
PERFORMED FOR: THE BOUTET COMPANY INC.
DATE: 10/24/18 PROJECT No.:
PARCEL ID#: TECHNICIAN: J. MILLETTE
J. WILLIAMS
DEPTH TEST HOLE 1
(feel)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
•
GM (SANDY SILTY GRAVEL)
SLOPE
SITE PLAN
SEE SITE PLAN
COMMENTS:
DATE
READING
WAS GROUND WATER ENCOUNTERED? NO
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
IF YES @ WHAT DEPTII? -
L
1
3:42/3:48
DEPTH OF WATER AFTER MONITORING: NONE
0
6
2
DATE OF MONITORING: 11-6-18
P
5/11
6
3
E
6:11
COMMENTS:
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
11/23/18
TEST HOLE PRESOAKED PRIOR TO TESTING:
1
3:42/3:48
6:10
5/11
6
2
3:53 / 3:59
6:08
5/11
6
3
4:00/4:06
6:11
5/11
6
4
4:07/4:13
6:07
5/11
6
5
4:14/4:20
6:10
5/11
6
6
4-.21/4:27
6:09
5/11
6
PERCOLATION RATE: 1.03 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 4 FT. and 5 FT.
SOILS LOG AND PERCOLATION TEST
*--GINEERING
LEGAL DESCRIPTION: UPLANDS LOT I
PERFORMED FOR: THE BOUTET COMPANY INC.
DATE: 10/24/18 PROJECT No.:
PARCEL ID#: TECHNICIAN: J. MILLETTE
J. WILLIAMS
DEPTH TEST HOLE 2
0,cet)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
SLOPE
Y
y' GM (SANDY SILTY GRAVEL)
SITE PLAN
SEE SITE PLAN
COMMENTS:
DATE
READING
WAS GROUND WATER ENCOUNTERED? NO
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
IF YES -8 WHAT DEPTH? - L
11/23/18
TEST HOLE PRESOAKED PRIOR TO TESTING:
DEPTH OF WATER AFTER MONITORING: NONE 0
3:00
5
DATE OF MONITORING: 11-6-18 P
COMMENTS:
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
11/23/18
TEST HOLE PRESOAKED PRIOR TO TESTING:
1
3:00
5
2
3:30
30
7
2
3
3:31
5 1s
4
4:01
30
7-1
1 16
5
4:02
5
6
4:32
39
616
1 16
PERCOLATION RATE: 16 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES)'
TEST RUN BETWEEN: 4 FT. and 5 FT.
MUMCWALITY OF ANCHORAGE
�dt.,'�
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. 050-474-64
1. GENERAL INFORMATION
Expiration Date:
Complete legal description Uplands Phase 3 Lot 1
Location (site address) 20976 Upper Lowland Avenue
Current property owner(s) Spinell Homes 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: 7
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well ❑ Private Septic 0
Water Storage ❑ Holding Tank ❑
Community Well ❑ Community ❑
Public Water System El Public Sewer ❑
Waiver request for: _ Distance
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $% Waiver Fee $
Date of Payment (� a O :p a Date of Payment
Receipt Number 0 3 "-1 G Receipt Number
COSA # G 2 l b q ci 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
Engineer's Printed Name Steven R. Pannone P.E.
6. DSD SIGNATURE
I' System #1 Approved for _ l bedrooms
System #2 Approved for bedrooms
Disapproved
Phone (907) 745-8200
Date 220 t
�? f�
AQ TH
Steven
Pannone
F.. CE
`mss •
81-19
I
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i
Conditional approval for bedrooms, with the following stipulations:
VV! -\I LIN P%IV V
J�
By: O
Original Certificate Date: a 3 a 012 a
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: Uplands Phase 3 Lot 1
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 N/A
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly'
❑ Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA N/A
Parcel ID: 050-474-64
Structure served by this system 1
Well production -.at -time' o res N/A gpm
Water-sGorage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by _
Date of Sample
Static water level at beginning of test N/A ft.
Comments LOT SUPPLIED BY PUBLIC WATER SYSTEM
B. TANK DATA
Age of tank(s) <1 years
Tank type/material HDPE
Measured operating fluid level in septic tank N/A
❑ Standpipes/foundation cleanout per record drawing
Date of pumping NEW
D. ABSORPTION FIELD DATA Deep Trench
Which system tested (date installed) 06/07/21
❑ ALL standpipes present per record drawing
Total measured depth from grade 10.0 ft (max)
Measured depth to pipe invert from grade 4.0 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 SEPTIC SYSTEM
COSA Checklist yellow sheet
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 F71pass
For 7
Fluid depth prior to test
_
Water added
gal
New depth in
Elapsed time
min
Final fluid depth
in
Absorption rate
gpd
_ bedrooms
in
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 wel
Septic Tank/Lift Station on Lot > 100' Commun �ewerManhole/C
I Yes if No ft
Neighboring Tank > 100' j Yes if No ft Private Sewer/Septic Line > 2
Absorption Field on Lot > 100' r Yes if No ft Holding Tank > 100'
Neighboring Absorption Fields > 100' Animal Containment > 50'
17 s if No ft
Manure/Animal Excreta Storag
Community Sewer Main > 75' r-]Yesif No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
Yes
leanout > 100'
ft
Surface Water > 100'
❑✓ Yes if No ft
j Yes
if No ft
Yes
if No
5' Yes
if No ft
✓V
AbsorptionField > 5'
M✓
_ Yes
if No ft
ft
Private Wells > 100'
0 Yes if No ft
Yes
if No ft
Yes
if No
ft
Community Wells > 200'
0 Yes if No ft
Water Service Line > 10'
✓❑
Yes
e > 100'
ft
If septic tank is under driveway
comment below
/es
if No ft
Building Foundations > 10'
Yes
if No
ft
Surface Water > 100'
❑✓ Yes if No ft
Property Line > 5'✓0
Yes
Yes
if No
ft
Wells on Adjacent Lots.-
ots:Absorption
✓V
AbsorptionField > 5'
M✓
Yes
if No
ft
Private Wells > 100'
0 Yes if No ft
Water Main > 10'
n
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'✓Q
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
✓V
Yes
if No
ft
Private Wells > 100' ❑ Yes if No ft
Water Service Line > 10'
0
Yes
if No
ft
Community Wells > 200' ❑ Yes if No ft
Surface Water > 100'
0
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
icertify 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. Z2Q31z-
COSA Checklist yellow sheet
-0`of A4 kk
��P.• � � .fid
TH
Steve R Pannone
¢ � CL' 8149
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