HomeMy WebLinkAboutELJAY LT 1Onsite File
Eljay
Lot 1
#050-971-05
trcev vo/uu-iu/
LT
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP211282
PID Number: 050-971-05
Dwelling: K Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade
Name
Eklutna Inc.
ABSORPTION FIELD
❑ Deep Trench ❑■ Wide Trench ❑ Bed ❑ Mound
Site Address
20786 MELODY LANE, EAGLE RIVER, AK 99577
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
907-522-3204
4
1.2 GPD/SF
JTotal
5.9 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1.9 Ft.
Gravel depth beneath pipe
4.0 Ft.
Subdivision
Block Lot
ELJAY
1
Fill added above original grade
3.1 Ft.
Gravel length
50 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
1
Dist. between trenches
From
Tank
Field
Tank
Line
500 Ft z
N/A Ft.
Well
>100'
>100'
N/A
N/A
>25
TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1250 Gal.
Surface Water
>100,
>1 00'
N/A
N/A
Material
PLASTIC
Number of compartments
2
Lot Line
>5'
>10'
N/A
N/A
NA
Foundation
>10'
>1.0`
N/A
N/A
LWTTATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electric ' ailed by
Installer
PIPE MATERIAL House to tank D3034 drainfield Tank to
D3034
NORTHERN EXCAVATING
Drainfield D3034 CO/MT D3034
Inspector J. MILLETTE
BENCH MARK (Assumed elevation) 100 ft
Inspection 15c 8/26/21
8/26/21
Location and description
dates:
3rd 8/26/21
2"d
41h 8/26/21
BOTTOM OF SIDING NEAR FCO
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
~�' �F'gcQl
Conditional Approval:
Date
co
49 TF
o*: •*
O . ...�.............
1'rySchiller
Sep tlC S stem
t✓ �•.• Benja
¢� F�is
A rov 1�
App,
Date
• • CE2iia/21 •' ���/
�`FgF�P/�OFESSIONA��`A.
l
Note: this approval does not include well permit requirements.
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LT
E LJAY SUB, LOT 1
PERMIT # OSP211282 PID # 050-971-05
I!
O 1�
i`
):�:" d
,,ALTERNATE 1ITE:
50'fLONG x 5' WIDE,.4"
AFFECTIVE DI CPTH
x
ENGINEf RING
P*"•E911i . .*
�..
,® Benja i Schiller •:
(� �'F •• CE 2592 `moi
1 4/21
��® PROFESSIONP .d®
l
C�Ur,,-ER LANDS APE BED
CO2 MT2 ® WELL
}
O LOT 11
>= o
TH#1 N `" U- }4-BDRM HOME
MT1 C01
TH#2 `
1250 -GAL SEPTIC`, /
TANK W/ 20" MANWAY,
750 50' LONG x 5' WIDE, 4' EFFECTIVE 760, _ 765
DEPTH ABSORPTION TRENCH
755
LOT 2 �
'i
PLAN AS -BUILT
0 50 100
kE IM kW IM FEET
1 "=50'
A B
FCO
10.6
22.0
MH1
18.4
29.8
SV2
22.9
33.6
2CO
25.9
36.1
C01
32.6 1
45.9
MT1
33.9
46.9
CO2
71.0
56.7
MT2
69.8
54.7
LEGEND
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEAN(
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT -MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
ELJAY SUB. LOT 1
PERMIT # OSP211282
PID # 050-971-05
FOAM INSULATION
01— N
U� 94.7 FINISH GRADE 91.6 ORIGINAL GRADE Ov
1
89.7
DRAINFIELD ROCK 89.7
85.7 85.7
50' -
NO GROUNDWATER 10/15/15
\,- 76.6
lNGIN!l RING
PROFILE AS -BUILT
(NO SCALE)
'49 7H
. �.
• • '
.......
• • • .
Benja ' Schiller ' .
f����s�.�•. CE /14192
21
i�®`�pROFESSiONP�—
Whea'"On Water YAJe v 0nc.
1190 N. Wasilla-Fish hook Road
Wasilla, AK 99654
(907)376-2041
Name:
Hultquist Homes, Inc
Address:
12570 Old Seward Hwy #204
City:
Anchorage
State: AK
Zip Code: 99515
Well Site:
Eljay
Lot/Block: L1
Additional:
20786 Melody Lane, Eagle River
Well Depth:
262 ft.
From: To:
Formation:
0
1
fill
Below Ground:
260 ft.
1
43
sand/gravel/silt
Above Ground:
2 ft.
43
77
sand/gravel
Gal/Min:
10
77
86
fine sand
86
96
wet sand/gravel less than 1 gpm .
Static Level:
221 ft.
96
237
silt/gravel
237
241
bolder
Casing:
262ft. of 6 in. x .25 in. steel
241
244
wet silt/gravel
244
251
silt/gravel
Liner Pipe:
N/A
251
253
bolder
253
262
gravel/sand/water
Screened:
N/A
Perforated:
N/A
WATER QUALITY TESTING
Grouted:
Yes
j Coliform
AJ9 CoV100mL
Nitrates
L i
Depth:
p
! Arsenic. I u��L
Develop. Method:
Air
VZ.-I-7-Zf
Use of Well:
Residential
Drilling Method:
Rotary
Misc:
Other:
Chlorinated to 50ppm
The well was pumped 5' off the bottom with 100% draw down for 2 hours and recovered at 10gpm .
Date Drilled:
8/2/2021
Driller:
Ben Mattson
Development Services Department
Building Safety Division
G
On -Site Water & Wastewater Program o
4700 Elmore Road g ,
P.O. Box 196650 "
Mark Begich Anchorage, AK 99507 s E T r
Mayor www.muni.org/onsite
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: SW osP Date of Issue:
Parcel Identification Number: OSP211282
Legal Description Property Owner Name & Address:
Eljay L1 Hultquist Homes
20786 Melody Ln 12570 Old Seward Hwy #204
Eagle River, AK 99577 1 Anchorage, AK 99515
Pump Installation Date: 02/04/2022
Pump Intake Depth Below Top of Well Casing: 242
Pump Manufacturer's Name: Meyers
Pump Model: 3NFL102-8-P4-01
Pump Size 1 hp
Pitless Adapter Burial Depth: 13 feet
Pitless Adapter Manufacturer's Name: Campbell
Pitless Adapter Installer: Unknown
Well Disinfected Upon Completion? ❑✓ Yes ❑ No
Method of Disinfection: Sterilene
Comments:
Pump Installer Name: Wheaton Water Well, Inc.
1190 N. Wasilla-Fishhook Road
Wasilla. AK 99654
feet _
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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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 Water & Wastewater System Permit
Permit Number: OSP211282
Work Type: WellSeptic Initial
Tax Code Number: 05097105000
Site Legal Address: ELJAY LT 1 G:0057
Site Mailing Address: 20786 MELODY LN, Eagle River
Owner: MOORE FAMILY TRUST
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
��11 CI1(
Depa rtinent
7/15/2021
7/15/2022
40012
P Disposal Field P Septic Tank ❑ Holding Tank ❑ Privy P 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
Veronica Pope
GE 2021.07.15
Received By: 14:28:15 -08'00'
Issued By:
Date: �7
Date:
rd
l
�.,... ,r'- `5—..� It: .1 r > `s, i
Community Development Department :' one: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 050-971-05
Property owner(s) Hultquist Homes Day phone 907-522-3204
Mailing address 12570 Old Seward Hwy #204, Anchorage, AK 99515
Site address 20786 Melody Ln
Legal description (Sub'd., Block & Lot) Eljay Sub L1
Legal description (Township, Range & Section)
Lot Size 40,012 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑x
Initial ❑x
Single Family (SF) x❑
ADU)
Septic Tank
❑x
Upgrade El(w/wo
Duplex ❑
(D)
Holding Tank
❑
Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Wellx❑
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: $ (RUSIJ� Waiver Fees: _
Date of Payment: 3d 1 Date of Payment:
Receipt Number: f?33 `4(0 D Receipt Number:
Permit No. D 3 P Q 1 1:2 S 0 Waiver No.
Permit App__- :-..:c
July 7, 2021
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
7/7/21
Subject: Eljay Sub L1, 20786 Melody Ln
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 4-bedroom home on the property, so 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 as well as the proposed well, septic location
and alternate site. No conflicts exist between this proposed system and any other well or septic
system, whether on this lot or adjacent lots.
The ground surface on the lot slopes slightly toward the west side of the property. There are no
slopes greater than 25% within 50 feet downslope of either the primary or alternate site.
Stormwater drainage will not impact this septic system. The new trench will be constructed parallel
to the slope as much as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all
wells and surface water, and more than 5’ away from the septic tank. The alternate site is located
more than 12’ away.
Please refer to the attached test hole logs, soils lab analysis, plan and profile pages for the sept ic
design. If this design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211282, Rebecca Carroll, 07/15/21
ALTERNATE SITE
10' FROM PROPERTY
LINES AND 8' FROM
PROPOSED TRENCH
Benjamin Schiller
CE 12592R
EGISTEREDPROFES S I O N ALENGINEER
1"=50'
50' LONG x 5' WIDE, 4' EFFECTIVE
DEPTH ABSORPTION TRENCH
1250-GAL SEPTIC
TANK w/ 20" MANWAY
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
750
ELJAY SUB, LOT 1
FEET
0 50 100
NOTE:
NO SLOPES >25% WITHIN 50' OR 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.
EAGLE RIVER ROAD
4-BDRM HOME
July 15, 2021MELODY LANE15' T&E EASEMENT
10' BUFFER LANDSCAPE BED
755
760 765
CO
MT
MT
CO
2COFCOTH#2
TH#1
PROPOSED WELL
100' WELL RADIUS
≥10'
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211282, Rebecca Carroll, 07/15/21
ELJAY SUB, LOT 1
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
Benjamin Schiller
CE 12592R
EGISTEREDPROFE S S I O N ALENGINEER4" PERFORATED PVC (HOLES DOWN)
DRAINFIELD ROCK
5'
6"
6"
3'
4'
DESIGN FACTORS:SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 4.2 MIN/IN
APPLICATION RATE: 1.2 GPD/SF
WIDE TRENCH SYSTEM
1250-GAL SEPTIC TANK W/20" MANWAY
BOTTOM OF TRENCH: 7.5' BELOW GRADE
FLOW LINE ELEVATION: 3.5' BELOW GRADE
TOP OF TRENCH: 0.5' ABOVE GRADE
600 GPD / 1.2 GPD/SF /5' WIDE * 0.50 = 50 LF TRENCH REQUIRED (50 LF SPECIFIED)
July 15, 2021
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211282, Rebecca Carroll, 07/15/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211282, Rebecca Carroll, 07/15/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211282, Rebecca Carroll, 07/15/21
MUNICIPALITY OF ANCHORAGE R u5h
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. 050-971-05
Expiration Date: Sr d I -2 Oz z-
1.
1. GENERAL INFORMATION
Complete legal description Eljay Lot 1
Location (Site address) 20786 Melody Lane, Eagle River, AK 9957
Current property owner(s) HUItquist Homes Day phone
Mailing address 12570 Old Seward Hwy #204, Anchorage, AK 99515
Real estate agent
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple. Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
Private Septic
0
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 $ 7-5 fihY5
Date of Payment C7> - Z
Receipt Number �.?( 5:>
Waiver Fee $
Date of Payment
Receipt Number
COSA # 0 SG 2 117 35 5 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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm Forge Engineering Phone (907) 522-7773
Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503
Engineer's Printed Name Benjamin Schiller, P.E. Date 12/14/22
°F •qs�l
1
TH
6. DSD SIGNATURE
System #1 Approved for bedrooms % Benjam(rv5chiller /
System #2 Approved for bedrooms ��+���sl�592
2E 14?212,.����``���
Disapproved
Conditional approval for bedrooms, with the following stipulations:
WATER ANn
Original Certificate Date:
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
COSA Checklist
Legal Description: Eljay Lot 1 Parcel ID: 050-971-05
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 8/2/2021
Total depth 262 ft
Cased to 260 ft
F Sanitary seal is functioning correctly
®❑ Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA 8/2/21
Static water level at beginning of test 221 ft
Comments
B. TANK DATA
Age of tank(s) <1 years
Tank type/material Septic/Plastic
Measured operating fluid level in septic tank New
®❑ Standpipes/foundation cleanout per record drawing
Date of pumping New
D. ABSORPTION FIELD DATA 5' Wide Trench
Which system tested (date installed) New
0 ALL standpipes present per record drawing
Total measured depth from grade 9.0 ft (max)
Measured depth to pipe invert from grade 5.0 ft (min)
❑ N/A — pressurized field
no 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 NSA gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Well production at time of test *10 gpm
Water storage tank volume NSA gallons
Well disinfected for coliform test? Al Yes ❑ No
0 Coliform bacteria is Negative
Nitrate mg/L ❑® Nitrate less than MRL (ND)
Arsenic <1.0 ug/L ❑ Arsenic less than MRL (ND)
Collected by Wheaton Water Wells
Date of Sample 12/17/21
FT STATION
❑ Requir ainb
Age of lift station .
Lift station material
Comments:
nance completed
\ vears
Adequacy test date
Results ❑ Pass For bedrooms
Flt epth prior to test in
Water ad gal
New depth
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'
Community Sewer Manhole/Cleanout > 100'
Q
Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100'
Yes
if No
ft
Private Sewer/Septic Line > 25' 0✓ Yes
if No ft
Absorption Field on Lot > 100'
Yes
if No
ft
Holding Tank > 100' F Yes
if No ft
Neighboring Absorption Fields
> 100'
Animal Containment > 50' ❑✓ Yes
if No ft
P-
Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
Z✓
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' F✓ Yes
if No ft
Property Line > 5'
✓V
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
Yes
if No
ft
Private Wells > 100'✓0 Yes
if No ft
_._ Water- Main .>. 10'.
✓0
Yes
if No
ft
Community Wells > 200' ❑7 Yes
if No ft
Water Service Line > 10'
M✓
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'
0✓
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'✓0
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that / 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
of:
49 TH
Benjak* 'rv' chiller
I PFC •. CE 12,592
2/16/22
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