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HomeMy WebLinkAboutSKYLINE VIEW BLK 2 LT 41p kyliene View Block 2 Lot 4 #051 � 192 � 23 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program. 4700 BragawSt. page/ P.O.Box196650 Anchorage.AK 99519-6650 of www.ci.enchorage.ak.us (907)343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number�<�VVO S*OC!Y 9� PID Number: ogj, 09-95 "a" Wastewater System: R New [I Upgrade Rori k Address 6 ABSO14PTION FIELD (N!5,.Jo,5,4 &tA P� 160 ZSO-Zoot -r )%D"p TfwKh 0 Sh*fl" Tfwwh 0 Bed 13 MXW4 13 O� 5Zteia& Sxi Rabno T0IWD@PMhw,,W9,"9f*,�. s- LEGAL DESCRIPTION Gpowe Ft. ek,cA LM.q "Vfw /Jt54�) D"m A, pps, boom *am wg," Vule Ft. Gv�ftPthtIN0'VI1kP6 Ft A Rontis FA addod � W91" Qrsddl /.Y G(SvO LWVM 416Ft. Ft. Well: gNew 0 Upgrade Ga� wh -5 Ft. NuMvollm, Ft cla..ficabW(PI, &B.C) Foe'- TW81 D2�Z t Icaww ZZf T,31111 stwPum "A 4"' C) 0 Fe P W1.61 A77C Pr- j ,A5 Ft F, DNI Cj" IVAA /' 310? Stabc WAIN Le� C?s Ft motow sz�- DMI InstsO o.C7411,1611 rtv� As, 0, Z01 Ft.1 c H"M G� 6"no F1 TANK SEPARATION DISTANCES Wseptic 0 Holding 0 S.T.E.P. [3 Other. To septic i Absorption Lift Holding lublicfPnvate )XwOw �ec. cb�ty /00 Oral From �� Tank Field Station Tank Sewer Une zg�MWUC,,a 7--*—Affi� Was t WIV.9i N.MW V 6�8�. a S.18ce WAIN /LIFT STATION Lot Lek, levei At. In in In. PIAI, Wks & CW.n Won R~2 BENCH MARK I ji L,k;AbW D.Awpb. 7—bef qee /' JC.)AOlt7 ,a ot) ed7ra's" Ft Engineers Stamp Inspections performed by: Wo Dates: 1"3U4ZLS-- .: s OF A t,., 2 nd lssr W �, ... "A' A A ,W. C.., Development Services Department Approval IN so or to -6 C, lu "s Conditional Approval Date: 0-0 5,i, 6255 Reviewed and approved by: Date: 0 . ........ . 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Q. 41 07/29/20V 10:22 ESE2259 SULL111wi PAGE 01/01 by wo Co. dhe SULL,IVA. bl''WATER WELLS pjo.MX8yWj cHUWKALAWAIM87 0 -- , - I OV*AM OF &Sam DAM -1 YC' X-4 Isvid atMPmwJdPGPwRbc&*Q* "m wwdo(*ffmu:&Ak,mlffy ticamw *01 Lkw.lpjw c6vsbda*ADDmomxmjt Sbft WNW LewLI 9 PmawFm-%� 014 PAgodd-kOU A - -- Wa Mt*e opo** -MM a opm aid Ck OW W8 :i SMWIVA. simt -w— ow SWPPW i,JPerforao= Sw 00taT yvat3 law AS "i r.. e 'e- 110 6 J o7z- 'o c*J Ll. —,T &',4aO S-44 7 &-eefia cj 4 71 ,fA,ft) — &J S16,11 KAA.Vf, 7—MAL A417fa &�l 4�7.4�jv) 4 Isere& c fc- .. MMIork It is Sw jegporjq&)ft of Sw properb, oww bo subn* a MM Of " v" IV 10 RM POW 84010*- 1"� 0 p4vtmvgw Depwb m i ag HOMIlh & Mxncn 8mvims andVor Depotmt d EMVCnffw" COr"VWOL IAIASu BOKxK )OpwWmt of rnvtcrxvmr*W Cono&vxbM ARCTIC PUMP & WELL INC. Jim Sullivan PO Box 770197 Eagle River, AK 99577 (907) 683-2510 (907) 258-2510 oy%O-i ednel Pump Installation Log Well Drilling Permit Number: SW Parcel Identification Number: Date of Issue: IENEEWV�_-. I Legal Description:skyline view PropertyO ncr Name &-Address: LotA Ron Klassen Block2: PO BX 770348 Pa.lo r;%,Pr AV 00';77 Pump Installation Date 44-05 Pump Intake Depth Below Top of Well Casing:209 Feet Pump Manufacturer's Name: Dempster Pump Modcl:L-75 Pump Size:3/4 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page I of I MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 1966.50, Anchorage, AK 99519-66.50 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SWO50046 Date Issued: Mar 15, 2005 Expiration Date: Mar 15,2006 Parcel ID: 051-192-23 Legal Description: LSKYLINE VIEW SUBDIVISION BLOCK 2 LOT 4 4 Design Engineer: 0838 North Rim Engineering Site Address: NHN DOGWOOD STREET Owner Name: RON KLASSEN Lot Size: 16000 SQ. FT. Owner Address: NHN DOGWOOD STREET Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - This permit Is for the construction of: r-71 Disposal Field [E] Septic Tank E] Holding Tank E] 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 mustbeeither; A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By - Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051- lqtx- ;�a Permit Number SW Property owner(s) 1?6 a &1-'4 sj�6m Dayphone Mailing Site adc Code q 1� _57 7 Code Legal description (Lot, Block & Sub'd.) El -OC Legal description (Section, Township & R ge) 'o Lot Size 0 Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms __31 Sewer Only El Well Only El Sewer and Well /E—r Water Storage Sewer Upgrade El THIS PROPERTY CONTAINS: Hot Tub El Jacuzzi El Swimming Pool E] Water Softening Unit Therapy Pool M I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or Permit/Rush Fees: qb'ob Date of Payment: Receipt Number: (Rev. 09104) agent) CD�Vaiver Fees: Date of Payment Receipt Number: J�Nra_,NEERING NorthRlm EngineerIng 17237 Bear Paw Circle Eagle River, AK 99577 907-694-7028 March 9,2005 MOA On -Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: Skyline View S/D, Lot 4, Block 2, Chugiak Skyline View Subdivision has some vacant lots remaining. The referenced lot is being planned for a 3 bedroom single family home. Some neighboring lots have been developed & develop is depicted in the drawings. Very favorable soil was encountered with no groundwater present. The lot topography is flat. General drainage for the area is to the northwest toward Peters Creek. Please review the new septic system design for the planned 3 bedroom single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Sincerely, t Fev A- n g, P E4H Design Enclosures ,�T I�Y�I.NEERJNG Skyline View S/D, Lot 4, Block 2 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a single family home projected at 3 bedrooms. This requires a 1000 gallon septic tank. This lot is almost 16,000 FF. Some of the neighborhood lots have been developed & are similar in size. No adverse impacts are expected from developing this lot. The proposed water well is located on the drawing as are the neighboring wastewater systems & water wells. The lot is level with slight drainage northwest toward Peters Creek. No conflicts to any neighbor lots is anticipated. Excellent soil for a septic system was found; a sandy gravel with low silt content. An application rate of 1.2 GPD/FT2with 0.5 reduction factor for utilizing a 5' wide trench. Monitoring revealed no groundwater. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. 0 Two compartment septic tank * Watertight couplings on inlet & outlet 0 5 foot minimum between the tank and bed. 10 foot to property lines. 0 3 feet of cover or insulation is required for trench; an equivalent of I" insulation for each foot soil cover. * Tank & solid pipe must be set on well compacted, stable soil 0 4 inch diameter cleanouts with airtight caps are required I to 4 feet from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 feet from the tank positioned to provide cleanout access towards the tank and towards the absorption field. * All cleanouts must extend to at least ground level 0 In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron 0 Trench to be placed level, minimum of 4 feet to groundwater, 6 feet to bedrock from drain -rock * Drain rock to be 1/2inch to 2 1/2inch screened. Drain rock to be distributed uniformly throughout the trench. * Perforated pipe to be installed level with perforations down 0 Silt barrier (filter fabric) to be installed above the drain rock 0 Smeared trench sides must be raked or scarified before drain rock placement * Backfill over drain rock must not be less than 36" * The finish grade must be mounded to promote drainage over the bed * Insulation must be placed over any pipe installed under driveways or parking areas 0 Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, 0 Sewer Service Line is minimum 2% slope 0 Septic Tank to be pumped every two years or when required * Insulation board to be extruded direct burial polystyrene (Dow Styrofbarn M or equal) 4.U@WaSID3 V3W -C IN u T u 0 > 0 Ln o S; :P.9 u 0 :3 --� L'O +.< IA 0 C: 41 -P o -0 cs u 3-P 0 u c cu 0; 0 ti L (4 4. 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No SW Depth =139 Sand Water Depth W/ Gravet After Monitnrinn-rinno nn+�i i/pinc; # I Date lGross Time 0: 3 Net Drop 4 3/1 5 -- 6 7 3/1 2 2 min 9 f 10 3/1 11 -- 12 13 3/1 14 - 2 min 9. 15 - 5 16 - 10 17 - 7.5' 18 - 6 19 - 12 20 - 8.5' Organic Groundwater? No SW Depth =139 Sand Water Depth W/ Gravet After Monitnrinn-rinno nn+�i i/pinc; # I Date lGross Time Net Time Depth Net Drop 1 3/1 0 -- 7.5' 2 3/1 2 2 min 8.5' f 3 3/1 5 -- 8' 4 3/1 7 2 min 9. 5 3/1 10 -- 7.5' 6 3/1 12 2 min 8.5' 21 - Percotation Rate 2 min./inch Perc Hote Test Run Between 4' and 5' Commentsi.Presoakeol Test Hole I Performed BY NarthRim Eng, CERTIFY THAT THIS TEST WAS Performed In AccorclQnce with AtI, Stq:�6/Munlclpat Guldetines in Effect ON THIS DATE. DATEj-3/1/05 Diameter 6' OF AQ NORTHRIM P.49 . TESTHOLE LOG ENGINEERING v clkz,�6�j T. H. 1 17237 Bear P.- �.Ml. rcv* PIZ. Ojosko 99577 01 4 GEOTECHNICAL f 3/l/05 11 or 2 1 SOILS LOG - PERCOLATION TEST Date Performed: 3/1/05 �91NEERING Performed For: -Ron Klassen Legal Description: Skyline View Lot 4, Block 2 DEPTH (FEET> 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 is 19 20 21 Organic SW Sand W/ Gravel. Groundwater? No Depth -6912P Water Depth Ar+c." nn+c>: q/A/n9 # Date Gross Time Net Time Depth Net Drop 1 3/1 0 -- 6. -- 2 3/1 2 2 min 7' 11 3 3/1 4 -- 61 -- 4 .3/1 6 2 min 7- 5 13/1 1 9 -- 6.5' 6 3/1 11 2 min 7.5' 11 Percolation Rate 2 min,/Inch Perc Hole Diameter 6' Test Run Between 4' and 5' .& Presoaked Test Hole Commen s: Performed ByNnrthRim Eng. Performed In Accordance with All ON THIS DATE. DATE: 3/1/05 aNCERTIFY THAT THIS TEST WAS eunicipal Guidelines In Effect NORTHRIM ENGINEERING TESTHOLE LOG T. H. 2 17237 &*or Pow Circle Eagle River. Alaska 99577 4 GEDTECHNICAL D04W —w-- 1 3/1/05 12 of 2 1 Municipality of Anchorage Development Services Department Building safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/0nsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMs APPROVAL FOR A SINGLE FAmiLy DWELLING Parcel I.D. 7— COSA #___"6 1. GENERAL INFORMATION Expiration Date: / / - L3-:-O� Complete legal description Lot 4; Block 2; Skyline View Subdivision Location (site address) 19333 Dogwood Eagle River. Ak99577 Current Property owner(S) Ron Klassen Day phone 350-2560 Mailing address PO Box 773201 Eagle River. A 99577 Lending agency Day phone Mailing address Real Estate Agent Bonnie King Day phone 688-2276 Mailing Address Unless otherwise requested, COSA will be held by DSD forpickup, 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site Individual Water Storage 0 Individual Holding Tank Community Class_ Well 11 Community On-site Public Water System 11 Public Sewer El The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 regulabons in effect at the time of installation. Name of Firm S & S Engineering Phone 694-2979 / Address 15861 S. Birchwood LoopAh 227 Z Engineers Printed Nc Date A. $640 I'Wl-v S. DSD SI ATURE I I ��Approvecl for —.3—bedrooms. Disapproved. Conditional approval for _ bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory X Supplemental Engineers Report Nitrate Advisory X Other By �2. original Certificate Date: R-0-0.iR Municipality of Anchorage Development Services Department Building safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: /,67 P . arcel ID: 06-1 -Ila A. WELL DATA Well type 4111,?7'6 If A. B, or C provide PWSID # Well LogQyh4) Date completed � �211 Sanitary seal CY*) 3v�> Wires properly protected&4) \16-5 Total depth Cased to ALft. Casing height (above ground) 15 1 in. FROM WELL LOG AT INSPECTION Date of test 055 Static water level Well production 9 P.M. g.p.m. WATER SAMPLE RESULTS: mg/L Other bacteria colonies/100 mL Coliform __.�colonies/100 mL Nitrate Arsenic: _h6 ug/L date of sampleW.,O� Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material-5�CPPC �&7tjf(_ Date Installed OS F_ -7 OS Tank siZe gal. Number of Compartments 6� Cleanouts0i) C�> Foundation cleario0u19,N De presslonove�r�lank O)a High water alarm (Y& Date of pump 0 Pumper S C. ABSORPTION FIELD A A Date installed � "-3 S Soil rating (g.p.d./fe or ft/bdrm) System type SHAUD0 leotW 5 -Wlbe) Length ft: Width Gravel below pipe ft. Total depthg_1�4 ft. Eff. absorption area 4W ft2 Monitorin' tube *S Depression over field X0 Date of adequacy test Result ail For 5 bedrooms Fluid depth in absorption field before test Q In. Water added -'W gal. New depth �39' in. Elapsed Time I 40Dmin. Final fluid depth In. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (ym & type) 00 If yes, give date D. LIFT STATION A)ln Date installed Size in gallons "Pump Ono level at _ in. Datum Cycles tested E.-� SEPARATION DISTANCES FROM W I ELL ON LOT TO: Septic tank/lift station on lot —12 8 �Y, Absorption field on lot -f Public sewer main k Sewer /septic service line CaS Animal containment areas High water alarm level at in. Meets alarm & circuit requirements? on adjacent lots On adjacent lots Public sewer manholelcleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTICill TANK ON LOT TO: Building foundation Property line 6�+ Absorption field� Water main Water service line Surface water Wells on adjacent lots too –L SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I IL 1 4 Building foundation Water main Property line Water Service line Surface water A0 0 4 Driveway, parkingivehicle storage oi� Curtain drain ,k)0x-yXV,9'V-0 Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I centily that I have determined review of Municipal records1th, conformance with MOA COO gE, Engineer's Printed Date COSA Fee $ Date of Payrrl7ent5 Receipt Number cc) (Rev. 11/05) h field inspections and above -astqms 9M in Waiver Fee $ Date of Payment Receipt Number It 'A. 111*040 14574 Municipality of Anchorage Development Services Department Building Safety Division On-Sitc water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 Www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 080268 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 2, Lot 4 of Skyline View subdivision. This inspection revealed a nitrate concentration of 7.49 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/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. Please see the attached "Nitrate ract Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 w,.vw.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Health Authority Approval # 080268 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 2, Lot 4 of Skyline View subdivision, the well's productivity was determined to be 0.72 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. 08/13/2008 10:39 9076941211 SCS RICO 1083679001 Client Name S & S Fm.-incering Proj"tNamcl# L4;B2, Skyline view &D Client Sample ID L4;B2; Skyline View S/D. Illatrix Drinking Water FNIISM Secrete Retnarks SMEMIWERING All DattsifTimes ire Alaska Standard Time PAGE 02/03 Printed Date(rime 08/0&12008 16:00 cquectrd Datefrime 07/23/2008 17.00 Received Daterrim, 07/2412003 16:40 T4chwitall D;"ttor Steuben C. lEde parernm Allowable Prop AMWI PQL Units Method ContainerlD Limits . Date Due Nt Mtals IcP/M Assruic 5.00 - U&I MOO.8 c (4(10) 07130,'08 OVOLPOS NRB Watexis DApartment Total Niftsm/Nitrite-M 7.49 HiercIblology Laboratory Colony Count 0 Total Colifunn .0 Fecal Coliform 0 0.100 Ma SM20 450ONO3-F B (<10) QDVIOOML SM209222B coVlOOmL SM20 9222D COIIIOOML $2,1209222B A - (-COO) A (<I) A (< 1) OUNDS JDZ 07/24/08 DLC 07/24109 J)LC 07f24/08 DLC ff., _4 Z' 4, I 7LITI-19 4 AS -BUILT I hereby certify that I have surveyed the following described Property.:— e: I,' 'e-. J V 1 1;* f'y' re I Fnsmission �A Arwhorage Recording Precinct, Alaska, and that the improve. ments .44 situated thereon are within the property lines and do not erl ov ap or encroach on the lying I V no * property adjacent thereto, that ) improvements on Property lying adjacent thereto encnmch on ( the Premises in question and I at there are no roadways tra lines or other visible wr It easements on said propeit except as indicated hereon. y R"', Jo?;? Dated at Eagle River, Aliska r4 o. e ��o this -L-=-Z---day o 200 -*"� V -t - ROBERT C. JOHNS SCALE: Kegistered Land Surveyor No. _880-1-5 Box 77-0456, Eagle Rivet, Alaska 99577 Phone (907) 694-Z543