HomeMy WebLinkAboutSANDY ACRES LT 1andy Acres
Lot i
#015-501-40
Municipality of Anchorage
Development Services Department
Building Safety Division
OrfSite Water and Wastewater Program, 4700 S. Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.ci anchomge.akus (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO50398 PID Number. 015-201-40
N.N
Hagen Investments, LLC Wastewater System: iZ] New Cl Upgrade
Ad
P.O. Box 240186 Anchorage, AK 99524
ABSORPTION FIELD
Pow
242-0838 M'°°'ae°°°o"'4
0D•rpTr.xn0SnM6mTe.,,h0Bw (]Ma.4 Dom
LEGAL DESCRIPTION
Sal 0
TO tiii Oepn Rano per °'°°
.45 Dpowe
fl.
alOr1C lGC 1 aaMM.all'
Sandy Acres
�abpW 000Om ee111 pr1a.W 0•a.
GeM diem e.rappe
Towutrp R.'a. tiadrvt
2 Ff.
Fe •aMd tie ,rV W W.
8 n
Cn L/qb
1.3 Ft,
92
Ft.
Well: ElNew ❑Upgrade
r..."°° 3
DlurnrJnm (Fnreu. A a. C) Ta/ D.M. Grua b
Private
Ft.
2 2 >i6 n
Fq M.anrl
128 fl 128 FL
1,472 Fp
ASTM D3034 PVC
G. W'
Alpine Drilling
D - 04W SM W.. LM
1116/2005 81 FL
Yv1.Ys
Whitters Excavating
Dr. YstarM
10/21-24/05
ria
12
flnvs.a
Cu.ytryxAm.. Diana
TANK
cpM
FL
2 FL
SEPARATION DISTANCES
El Septic [I Holding OS.T.E.P. 0Other.
To
Septic
Absorption
Ldt
Holding
lubloiPrivate
•a'••''
r
Form
Tank
Field
Station
Tank
Sa rLine
Anchorage Tank
1,250
wv
>100'
>100'
N/A
N/A
>25'
lhfi r Steel
N 01c°"°�tle""F
Two (2)
stow—
>100'
>100'
N/A
NIA
LIFT STATION
Lau.
>5'
>10'
N/A
N/A
�
Fa.tl.or
>5'
>10'
N/A
N/A
'Ftnv ox'M,Wa
ttgn... r.aa
In
b
ti
CuWn Ori
None
Noted
Hmp M.L•4Maad
E� tmpa pftm W
R.r,.Ya
BENCH MARK
Laraew,.b Duvpum
Garage Slab
100.0 FL
:°e
A 06 OF A(XV8t0
Inspections performed by: AH Dates: 19 1021/05
•
p49J,1tI �+ ' * i
O••»+«�•a •��� r
2nd 10/24/05
0 ro-MICKAEL
Development Services Department Approval
E. ANDERSON4
�*o
Conditional Approval : by
sl -.. rL=E 4381`
< �y-"r" �d�•'tti
'••....•
Date:
ro
Reviewed and Approved by: Date:— %' ��
r
0
n
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 Bragaw Street Anchorage. AK 99519-6655 - 343.7904
Permit No. SW050398 On -Site Wastewater Disposal System or Well Inspection Report
LOT 1
SANDY ACRES
SUBDIVISION
N 89'56'15'E 114.94'
AS -BUIL
O'MALLEY ROAD SCALE V - 40'
Page 2 of 3
PID No. 015.501-40
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
Onsite Wastewater Disposal System or Well Inspection Report
Permit Number. SWO50398 PID No. 015-50140
N
U
S u
SOUTH LEG
v x 95.5
92.1 j-1 11 Drninfletd Rock
84.0
45' (Trench Length)
NORTH LEG
PR❑EILE AS -BUILT
No Scale
L
d
Y
Y
Qd
N
E
f i
r8.5
cum o
y
UL)
S u
SOUTH LEG
v x 95.5
92.1 j-1 11 Drninfletd Rock
84.0
45' (Trench Length)
NORTH LEG
PR❑EILE AS -BUILT
No Scale
no%'.Nov'.21.-2005t11:08AM The Boutet Company, INC.
8075ss0035 No. 2563 P. 2P.2
Permit Number: #SW 0398 Date of Issue:0-1 5
bate Started: 6-05 1 9-0 Parcel Identification Number: 015-501-4
Legal Description: 0
_ Date Completed: -6-05 Is well located at approved permit location? ® ❑ yes No
Sandy Acresl.ol 1
Property Owner Name & Address: Hagen Investments, LLC
PO Box 240186
Anchors e, Alaska 99524
Borehole Data:
Soil Type, Thickness & Water Strata
Depth (ft)
From To
Method of Drilling ®� tO�1 ❑ cable tool
stick-up
Casing type: steel
0
2
Wall Thickness: ,250 inches
gravelly silt
2
27
Diameter. £ inches Depth: L28 feet
silly sand
27
31
Liner Type:
silty sandy gravel
31
45
Diameter: inches Depth: feet
gravellysilt
45
81
Casingstickuboveground: 2feet
pa
sandy gravel
81101
static water level (from ground level): Lfeet
gravelly silt
101
103
Pumping level:,L -feet after
Silty wafer sand 8 gravel
103
107
2 hours pumping.L2 gpm
Recovery hate: ,1„g gpm
gravelly silt
107
123
Method of Testing:/r i
a l re
silty wafersand & gravel dears
123
128
Well Intake Opt ping Type:
® Open End ❑ Open Hole
❑ Screened Start feet Stopped feet
❑Perforations Start feet Stopped_ feet
Grout Type: Bentonite yanules Volume: I
Depth: Start 9feet Stopped Zfat
Pump: Intake Depth feet
P size hp Bmnd Name
Well Disinfected Upon Completion? ® yes ❑ No
Method of Disinfection: chlorine tablet,
Comments:
Well Driller. Alpine Drilling & Enterprises
PO Box 110496
Anchorage AK 99,511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
.—.------�.....o •.U.•. .1...- ---d J. N .
• -- -..\. ti.... 4..... 1. n._.....tom- .......---.:....../..1.... .i .........•..
Received Time Nov.21. 11:06AM
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SWO50398
Legal Description: SANDY ACRES SUBDIVISION LOT 1
Date Issued: Oct 19, 2005
Expiration Date: Oct 19, 2006
Parcel ID: 015-501-40
Design Engineer: 0014 Anderson Engineering Site Address: 10740 LULIAD CIRCLE
Owner Name: HAGEN INVESTMENTS, LLC Lot Size: 41004 SO. FT.
Owner Address: PO BOX 240186 Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99524 -
This permit Is for the construction of:
❑V 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 specked 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.
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 9951M650
www.ci.anchorage.sk.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015.501-40 Permit Number SW
Property owner(s) Hagen Investments, LLC Day phone 242-0838
Mailing address (1) P.O. Box 240186 Anchorage, AK 99524
Mailing address (2) 10 -WO Lullad Circle Zip Code
Legal description (Lot, Block & Sub'd.) Lot 1. Sandy Acres Subdivision
Legal description (Section, Township & Range)
Lot Size 41.004 SF Acres CeP
THIS APPLICATION IS FOR:
Number of Bedrooms Four (4)
Sewer Only ❑ Well Only ❑
Sewer and Well ® Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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 authorized agent)
Permit Fees: yG0 t *05r v r"Waiver Fees:
Date of Payment: 149 -6-05" Date of Payment:
Receipt Number. 7V181 Receipt Number.
(Rev. 12/00)
ANDERSON ENGINEERING
P.Q. BOX 240773 '
ANCHORAGE, AK 99524.
622-7773 677-7766 F
October 6, 2005
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 1, Sandy Acres Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 1, Sandy Acres Subdivision intends to construct a new four-bedroom
home on the lot. We are therefore requesting a permit be issued for the construction of
a new well and septic system to accommodate the home. The attached Site Plan and
backup documentation identify the location and configuration of the new well and the
proposed septic system along with the alternate site. Also identified on the plans are
the locations of the existing wells on adjacent lots in the subdivision. No conflicts exist
between the proposed well and septic system and those on adjacent lots. Drainage
arrows are shown indicating the surface slope of the property in the area of the new
septic system.
Test holes were recently placed on the lot in the area of the absorption trench and
alternate site, which indicated a silty sand (SM) material.. The percolation rate of the
materials was determined to be 10 to 60 minutes per inch. No groundwater was found
during the placement of the test holes and none was noted during the monitoring
period. An application rate of .45 gallons per day per square foot was used in the
design of the absorption system. We are proposing to place a new 1,250 -gallon septic
tank and 2-42' long by 3' wide by 8' effective depth absorption trenches to treat and
dispose the effluent generated in the house. The elevation of the distribution line in the
absorption trench will be 2' below the surface and the total depth will be 10'. A
minimum of 3' of fill will be placed over the absorption trenches and 4' over the septic
tank. A flow splitter valve will be installed to assure even flow to each trench.
The ground surface on the lot in the area of the septic system slopes gently to the
northwest. The new trenches will be constructed parallel with the slope as much as
possible in conformance with Municipal requirements. The new septic system will be
Lot 1, Sandy Acres
October 6, 2005
Page Two
constructed a minimum of 100' from the proposed and existing wells and any surface
water in the area.
If the system is constructed in accordance with our design the following statements
apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely, Q n n
W' '.0- L �1
Michael E. Anderson, P.E.
Attachments
49th
4ICHALL E. ANDERSON
O'MALLEY ROAD
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SANDY ACRES SUBDIVISION
LOT 1
41,004 S.F.
517 319'
N 89'38'15'E 114.94'
rA /Nbmb oalb r� {o
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I
1
1" r j 1.2w 0� 1 a
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N I a
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924' \
I 621' 7t
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I f l a 4 \VY
c'2
N I I rA N 1
I I
Proposed $
Well I
N 89'58 8'E 70.00' I
I 0
522' og �-----------I—
gN 89'58'56'E 94.88' Z
530'
OF
444
04
G) . ,• _ J
°1} 49th r O'MALLEY ROAD
\MICNKL L ANOERSAI i
'•.' N°.tt�361�= SITE PLAN
•449��8 ;; ♦• SCALE 1' - 50'
LOT 1, SANDY ACRES SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home Deep Trench System
Pere. Rate: 1060 Min./Inch 1,250 Gallon Septic Tank
Application Rate: .45 GPD/SF 8' Drainfield Rock
4 Bedrooms X 150 GPD/.45 GPD/SF (Application Rate) = 1,333.3 SF Absorption Area
1,333.3 SF/16 SF/LF = 83.3 LF Trench Length
THEREFORE: Construct 2-42' Long x 3' Wide x 8' Effective Depth Aborption Trenches at the
Location Shown. Flow Line Elevation in Trenches to be 2' Below Original Ground Surface. Total Depth
to be 10' Below Existing Ground. Provide 3' of Cover Over Trench and 4' Over Tank or Provide
2" of Insulation and 2' of Cover. Maintain 100' Separation Between Existing Wells in the Area
Provide Flow Splitter Valve to Provide Even Flow to Trenches.
Natural
Backfill
16-
Geotextile
Fabric
4" Perforated
PVC (Holes Down)
8'0" 1 I �— Drainfieid Rock
TYPICAL DEEP TRENCH SECTION
(NO SCALE) i
NOTE: Grade Area Over Trench to Drain Away. : a
Minimum 6' Separation From Bedrock. 0 ....;
Minimum 4' Separation From Groundwater. 72
Minimum 100' Separation From Private Wells in the Area. i'
...;
Minimum 100' Separation From Surface Water or Streams.. o#,
Minimum 10' Separation From Water Service Line. b�
No. CE4381
vw�. STEWATE
WATER � WA
p�_,ASKAR
CONSULTANTS. INC. w •ti••.�
•jS70A LOG ERCOLA ION EST
LEGAL DESCRIPTION: SANDY ACRES SUBOMSION; LOT 1-4
PERFORMED FOR:
TONY18LOlAFIELD ' DATE:'5/23/2003
DEPTH =Z=— ORGANICS TEST HOLE #61LoT�
(feet)
LOAM SOIL cl ASSIFICATIONS
2 : yo:. GWORG
SM :i % GP ML
3 GM CL
GM/ML GC I OL
4 °. •°.: SW MH
•. ••.: SP CH
5 SM OH
SC
6
7
A
g 111111
SM
10
tt �F,•OF•A
12-;lijilff 49111
..� xr
13 A51CitAEI E. A^IDER:OU
14 CE -d331
•.
15
um��f�
17-4
DEPTH TO DATE
GROUNDWATER
DRY
18
PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. __L_(INCHES)
19
TEST RUN -BETWEEN 6.5 FT. AND 7.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HEITSTUMAN
COMMENTS:
PERFORMED BY AKWWC. INC. I, JEFFREY A. CARNESS. CERTIFY THAT THIS W PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
CLOCK'
NET TIME' WATER LEVEL
NET DROP
DATE
READING
TIME
(MINUTES) • 'READING
(INCHES)
F S 27 2003
1
6:08
- 6.
�A
2
6:38
30
3
6:39
- 6.
,^ ✓
4
7:09
30 5 1 2'
1 2•
5
6
7:40
30 5 1 20
1/20
18
PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. __L_(INCHES)
19
TEST RUN -BETWEEN 6.5 FT. AND 7.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HEITSTUMAN
COMMENTS:
PERFORMED BY AKWWC. INC. I, JEFFREY A. CARNESS. CERTIFY THAT THIS W PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
)iA.ShA WATER & WASTEWATER
CONSULTANTS, INC.
. SOIL LOG — PERCOLATION TEST
;AL DESCRIPTION: —SANDY ACRES SUBDMSION: LOT 1-4,
2FORMED FOR: TONY BLOUFIELD DATE, 5/23/2003•
P —
e ORGANICS EST HOLE 7
2
3
5-
7-
8-
10-
11 17,
-
7-
8-
10-11�
12-
13 —
==c.
DATE
DRY
SANDY LOAM
SOIL
CLASSIFICATIONS
Dry
GW
/
—
2
+TH14
ORG
+TH$7
I +TH15
3
6:43
—
6..
GP lillui
ML
i
30
3 1/8-
m
5
GMCL
—
LOT 1
\ LOT 2
6
7:44
30
GC I.LjjOL
2 7 R.
`1
,
Isc
SW
MH
1'� t 00'
SPCH
SM . ;
04
jig
Sm SM
a; 49.14 f ��
'L -MICHAEL E. ANU
J� CCE•4331
� rs,er
F --
EPTH.TO
tlROUNDWATER
DATE
DRY
5/23/2003
DRY
6/4/2003
Dry
10/15/0
/
—
'... T . +
.....
i e A. 1 ess.
OQ . ' —7953
OQ4��pro
(ass,
.TE READING
LOT LINE
/ LOT UNE
WATER LEVELI
READING
NET DROP
'(INCHES)'
2003 1
6:12
#TH16.
/
—
2
+TH14
3D
+TH$7
I +TH15
3
6:43
—
6..
_
4
7:13
30
3 1/8-
m
5
,
—
LOT 1
\ LOT 2
6
7:44
30
3 1/8'
2 7 R.
`1
,
SIIANTE P
1'� t 00'
.TE READING
CLOCK
TIME'
NET TIME
(MINUTES)
WATER LEVELI
READING
NET DROP
'(INCHES)'
2003 1
6:12
—
6^
—
2
6:42
3D
2•
4-
3
6:43
—
6..
_
4
7:13
30
3 1/8-
2 7/8-
5
7:14
—
.6.
—
6
7:44
30
3 1/8'
2 7 R.
15' 4jArtiiwvz;;# Ji
GM
16 B.O.H.
17
18
19 PERCOLATION RATE 10.4 (MIN./INCH) PERC. HOLE CIA. 6 (INC
TEST RUN BETWEEN 7.5 F7. AND 8.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: IN YES ❑ NO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: NICK HEITSTUMA'
COMMENTS:
PERFORMED BY AKWWC, INC. 1, JEFFREY A. CARNESS, CERTIFY THAT THIS W PEP�FORMED IN ACCO
` rTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT,ON THIS -DATE: %3
T
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 1, SANDY ACRES SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a new
1,250 -gallon septic tank at the location shown on the Site Plan. Work also
includes the construction of 2 new 42' long X 3' wide X 8' effective depth
absorption trenches at the location also shown on the Site Plan. The
distribution line in the trench will be placed at 2' below the existing ground
surface. Total depth of the trenches will be 10' below the existing ground
surface. The new absorption trenches and septic tank must be placed a
minimum of 100' from the well on this lot and in the area and 10' from the
water service line proposed for the lot. A minimum of 100' must separate any
surface water in the area and the septic tank and absorption trench. A
minimum of 3' of cover is required over the absorption trench and 4' of cover
over the septic tank. A flow splitter valve must be placed to insure even flow
to each trench.
2. Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
4. Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Department of Health and Human Services for system installations.
Owners installing their own systems must receive prior approval from
D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,250 -gallon septic tank must be procured from an approved source
and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
Lot 1, Sandy Acres
October 6, 2005
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
6. Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. Contractor shall verify this condition prior to placement of the
rock. All pockets of unacceptable materials must be removed and replaced.
Lot 1, Sandy Acres
October 6, 2005
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use In septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
orA.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5' in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as -built of the completed system.
Municipality of Anchorage
Development Services Department
Building Safety Division
OnSke Water and Wastewater Program '
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/0nsfte
RUSH
aH (907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
501
Parcel I.D. 01 0 COSA # D&OA2L
Expiration Date:
1. GENERAL INFORMATION
Complete legal description Lot 1, Sandy Acres Subdivision
Location (site address) 10740 Luliad Circle Anchorage, AK 99516
Current Property owner(s) Hagen Investments, LLC Day phone 242-0838
Mailing address P.O. Box 240186 Anchorage, AK 99524
Lending agency
Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, COSA will he held by DSO for pickup.
2. NUMBER OF BEDROOMS: Four (4)
3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well R1 Individual On-site 21
Individual Water Storage ❑ Individual Holding Tank ❑
Community Class Well ❑ Community On-site ❑
Public Water System ❑ Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite 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 OnSRe 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 Ons to 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.) Certicates 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, 1 verify that my investigation,
based on procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application,
shows that the an -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-sfte 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 Firrn
Anderson Engineering Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name
Michael E. Anderson, P.E.
6. DSD SIGNATURE
_Approved for bedrooms.
Date 6262006
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory -
Maintenance Agreements
Supplemental Engineer's Report
Other
By / / i Original Certificate Date:�� % " �i
mr. ruus)
Municipality of Anchorage
' Development Services Department •'��
Builth S�
On-site Water d Wastewat�er program
4700 Bragew Street
P.O. Bar 196650
Anchorage. AK 99519-650
www.muni.org/onsite
ni.org/onsite
(907) 343.7904
CERTIFICATE OF CIN -SITE SYSTEMS APPROVAL CHECKLIST
Lege) Description: Lot 1. Sandy Ac es Su wwwon Parts ID 015201-40
A. WELL DATA
Wen we Biste If A, B. or C provide PWSID # _ Wed Log (YIN) y
Date completed 11AM Sanitary seal (Y/M YL- Wires Property Protected (Y" Y
Total depth 128 R Cased to 128 ft. Casing height (above ground) 24 in.
FROM WELL LOO AT INSPECTION
Date of test 111=005 6/17108
Static water level 81 fL 21.0 fL
Well production 12 g,p,m. 2.5 9.p.m.
WATER SAMPLE RESULTS:
Conform o coWdaaM00 ml- Nitrate ND mglL Other bacteria 0 colonies/100 ml-
Arsenic.
LArsenic: — Mon Date of sample: 6/P2roe Cddected by: J. Anderson
B. SEPTICIHOLDING TANK DATA
Tank TypelMatedal SeptkJSteet Date installed 10/21/2005
Tank size 1,,2W gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation deanout (y/N) Y Depression over tank (Y" N High water alarm (Y/N) N
Data of Pumping New CmsMxBon Pyr
C. ABSORPTION FIELD DATA
Date installed 10/24/2005 Sop raring (g.p.d./Rr or felbdrn) 15 GPDISF Sym epe peep Trench
Length 92 R Width 9 R Gravel below Pipe 8 fL
Total depth 11-13 1L tff. absorption area LA ft: Monitoring tube Y Depression over field N
Date of adequacy test New Cant Results (Pass/Falo For _ bedrooms
Fluid depth in absorption field before test in. Water adde /d ,018 gal. New depth in.
Elapsed Time min. Final fluid depth in. Absorption rate >= g.p.d.
AnY r juvsna0on trcatrneM (past 12 mo.) (YIN 3 type) If
Ye% give date
D. LIFT STATION
Data installed Size in gallons
'Pump oW Level at _ in. -Pump off level at _ in.
Datum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Manhole/Accesa (YIN)
High water alar level at
Meeh alarm b ciradt requiremeras?
Septic tank/Olt station on lot
>1W
On adjacent lata >1W
Absorption field on lot
>1W
On adjacent lots >100'
WaterserviceOne >117
Public sewer main
WA
Public sewer manhole/deanout WA
Sewer /septic service One
>2'
Holding tank WA
Animal containment areas
None
Manure/anlnal excrete storage areas Nam
SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO
Building foundation
�&
Property One >9
Absorption field >10'
Water main
WA
WaterserviceOne >117
Surface water >iw
Web on adjacent kits
>1W
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >1V Building foundation >IV Water main WA
Water Service One >1(r Surface water >1W MNOWaY, pekluow"de storage T
Curtain drain Nam NOW Wells on adjacent lots >100'
F. COMMENTS'
G. ENGINEER'S CERTIFICATION
I ced y that I have determined through Wd inspections and
review of Muni ipal records that the above systems am in
conformance with MOA COSA guidelines in effect on this data
Engineer's Printed Name Me" E. Anderson. P.E.
COSA Fee
Date of Payment
Receipt Number
(Rev. I Imm
Waiver Fee E
Date of Payment
Receipt Number
F W/
O/ 49th
Sun Java System Communications Express - Please View Frame 1 Page 1 of 1
From 'Taylor, Forest (Anchorage)' <Forest.Taylor@sgs.com>
Sent Monday, June 26, 2006 4:07 pm
To Mike Anderson <andengr@gci.net>
Subject 1063258
Attachments 1063258 Preliminary.PDF
23K
Mike,
The arsenic analysis you requested for this sample is scheduled to run this Wednesday. The attached report is
contains the data for the bacteria and nitrate analyses.
Forest Taylor, Project Manager
SGS Environmental Services, Alaska
200 W. Potter Drive
Anchorage, AK 99518
p: 907-562-2343
ddl: 907-550-3207
f: 907-561-5301
SGS sends analytical reports via the Internet as Portable Document Format (PDF) files. Reports in this format,
with authenticated electronic signatures, are considered official reports. No hard copy reports will be sent either
by fax or U.S. Postal Service unless otherwise requested. You may distribute your PDF files electronically or as
printed hardoopies, as tong as they are distributed in their entirety.
Information in this email and any attachments is confidential and
Intended solely for the use of the Individual(s) to whom It Is addressed
or otherwise directed. Please note that any views or opinions presented
in this email are solely those of the author and do not necessarily
represent those of the Company.
Finally, the recipient should check this email and any attachments for
the presence of viruses. The Company accepts no liability for any damage
caused by any virus transmitted by this email.
All SGS services are rendered in accordance with the applicable SGS
conditions of service available on request and accessible at
httpJhvww.sgs.com/terms_and_cenditions.htm
https.Ilmailstore-3.gci.netlframe.html7&security=false&lang=en&popupLcvel--undefined... 6/26/2006
SGS Ret. #:
. 1063258
Client Name:
Anderson Engineering
Project Name:
Sandy Acres, L1
Client Sample ID:
Sandy Acres, L1
Matrix:
Drinking Water
SGS Environmental Services Inc
200 W. Potter Drive
Anchorage, AK 99518
Tel: (907) 562-2343
Fax: (907) 561-5301
All dateAmes are Alaska Standard Time
Printed Date/rme:
0626/06 14:38
Collected DateTme:
0620/06 10:45
Received Date/rme:
0620/06 11:00
Technical Director.
,Steohen Ed/
Released
Allowable Prep Analysis
Parameter Results POL Units Method Umits Date Date Init
Bacteria
Nitrate
0.00
92226
ND 0.10 mg/kg EPA 300.0 10.00
0620/06 0620/06 at
0620/06 0620106 air
N 8
SANDY
2004-1481
ACRES SUBDIVISION
LOT 1
41,004 S.F.1
56'15'E 114.94'
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GASTALDI LANDI
SURVEYING, LLC
JEFF A. GASTALDI, R.L.S.
4726 WEST 88TH AVENUE
ANCHORAGE, ALASKA! 9950.
PHONE 248-5454
GRID DATE
2537 6/5/2006
F.B. I JOB NO.
06-04 SAS1
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I HEREBY CERTIFY THAT IIHAVE SURVEYED THE
PROPERTT" DEPICTED ABOVE AND THAT NO
ENCROAC MENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY : OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR 'dN THE RECORDED SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISgING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING, DISTRICT, ALASKA
NO CORNERS,SET THIS DATE
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2004-1481
ACRES SUBDIVISION
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GASTALDI LANDI
SURVEYING, LLC
JEFF A. GASTALDI, R.L.S.
4726 WEST 88TH AVENUE
ANCHORAGE, ALASKA! 9950.
PHONE 248-5454
GRID DATE
2537 6/5/2006
F.B. I JOB NO.
06-04 SAS1
0'
i
I
_ROAD
I HEREBY CERTIFY THAT IIHAVE SURVEYED THE
PROPERTT" DEPICTED ABOVE AND THAT NO
ENCROAC MENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY : OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR 'dN THE RECORDED SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISgING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING, DISTRICT, ALASKA
NO CORNERS,SET THIS DATE
OF q<
4V. P •••.........• q
At A,
m , . 49I1i
W.91 .................
Jatlery A. Gastaldi . o �
: :
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