HomeMy WebLinkAboutWOODED HOLLOW LT 5Wooded Hollow
Lot 5
#051-521-32
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP 141125 PID Number: 051-521-32
Dwelling: ❑ Single Family (SF) E Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New E Upgrade
Name:
Sean R. Sullivan
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench E Bed E Mound
Address
20510 Wooded Hollow Circle, Chugiak, AK
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
6
0.7 GPD/SF
1 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
0.5 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
WOODED HOLLOW 5
Fill added above original grade
Varies 2+ Ft.
Gravel length
65 Ft.
Township Range Section
Gravel width
20 Ft.
Beds: Number of Lines
3
Distance between lines
7 Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
INumber of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
1300 Fe
--
-- Ft.
Well
100+
100'+
100'+
NA
NA
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
EXISTING
Capacity
I 2000 Gal.
Surface water
100'+
100'+
100'+
NA
Material
Number of compartments
2
Lot Line
5'+
10'+
5'+
NA
NA
Foundation
5'+
10'+
5'+
NA
LIFT STATION
Manufacturer
Anchorage Tank
Capacity
500 Gal.
Curtain Drain
NA
*50'+
NA
NA
Remarks *Non known. Existing field decomm.
Pump on level at
28 in.
Pump off level at
18 in.
High water alarm at
34 in.
in place per code. STEP & Field insulated
Pump make and model
Electrical Inspections performed by
Franklin 2445040117— 1/2HP
poweyt- LfCsrkrr ,WW4oL L
Tankto
PIPE MATERIAL House to tank 3034 dra nfield 3034
Installer Northern Excavation
Drainfield 3034 CO/MT 3034
Inspector ARCTERRA
BENCHMARK (Assumed elevation) 100 ft
Inspeecctiiosn V 5/28/14 5/28/14
Location and description
2nd
date
3" 5/28/14 4" 5/29/14
Bottom of door sill
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engin
OF AI4\
Conditional Approval: Date
S�g.c
�49TJJ
�c9 tt
Approved Date
11111k f�rcl"
\ �`- ft .
ears Stam
Inspection Report_9-1-12.d5c
AS -BUILT SYSTEM DETAILS/SITE PLAN Perm!tOSP141125
WOODED HOLLOW LOT 5 PID#051-521-32
6.2 / LOT 4
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O 2.8' N63. 38Sg„
03 F 406
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1
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A -C=47'
B -C=61'
A -D=48'
B -D=18'
A -E=66'
B -E=36'
N
EYJSTING co nt14-1
2000—GALCo \
S.T. INSTALLED NEW
500—GAL STEP
N89.57"50"E 356.73'(R)
N89°56'39"E 356.77'(C)
N21.10'17"W 20.00'(R&
UNSUBDIVIDED
SCALEi I' = 50'
00 00 5 2
J r
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N n n � �` FINAL GRADE 98,65
s „ „ ,, ,--, „ 100.65 100.65
A4 STEP
� TANK
00 00
2'+ SAND
65'
88.65 sw
SCALE- NTS
OF AZ �'IklPREPARED FORT
CTE R
R
SEAN R. SULLIVAN
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CHUGIAK, AK 99567 a
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Poet, Jeff W.
From: Des Duffus Idea@arcterra.netj
Sent: Wednesday, June 11, 2014 4:24 PM
To: Poet, Jeff W.
Subject: Fw: Wooded Hollow
-----Original Message -----
From: Aaron
Sent: Saturday, June 07, 2014 6:25 PM
To: dea@arcterra.net
Subject: Wooded Hollow
Aaron M. Chambers
Power, Lighting & Control LLC
13841 Savage Drive
Eagle River, AK 99577
plc.chambers@gmail.com
(907) 242-5211
The electrical for the lift station at wooded hollow is complete and tested
for function.
If you have any questions or concerns please contact me at the above phone
number.
Thank you,
Aaron Chambers
This email is free from viruses and malware because avast! Antivirus protection is active.
http://www.avast.com
1
On -Site Wastewater Disposal System Permit
Permit Number: OSP141125
Tax Code Number: 05152132000
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
`.o
r.
n
ti, n
llepartment
10 C4 .,
Work Type: Septic Upgrade
Permit Effective Dates: May 21, 2014 to May 21, 2015
Design Engineer: ARC TERRA CONSULTING INC
Subdivision: WOODED HOLLOW
Site Legal Address: WOODED HOLLOW LT 5 G:1360
Owner/Address: SULLIVAN SEAN R
20510 WOODED HOLLOW CIRCLE #B CHUGIAK AK 995670000
Site Mailing Address: 20510 WOODED HOLLOW CIR, Chugiak Lot Size in Sq Ft: 41537
Total Bedrooms: 6
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Issued By:
Municipality of Anchorage me"`
#
P.O. Box 196650 • 4700 Elmore Road N
Anchorage iD
Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 ep
&tm
arent
hftp://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSP141130 COSA#:
PID#: 051-521-32
Legal Description: Wooded Hollow, Lot 5
Engineer: ArcTerra
Applicant: Sean R. Sullivan
Permit#: OSPI41125
Your request for a waiver of the required 15 foot maximum drainfield bed width has been
approved. The approved distance is 20.0 feet.
This waiver approval applies to the proposed drainfreld only. Any future upgrade to the on-site
wastewater disposal system will require all separation distances be met or another approval from
this department.
❑ The affected, adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
..............................................................................1
Waiver is Granted: X Waiver is not Granted:
Date: Approved
Name of Reviewer
................................................•.............................t
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWERANELL PERMIT APPLICATION _\
Parcel I.D. 051-521-32
SEAN R SULLIVAN
MAY 1. 6 200,
Property owner(s) Day phone
Mailing address 20510 WOODED HOLLOW CIRCLE #B, CHUGIAK, AK 99567
Site address 20510 WOODED HOLLOW CIRCLE, CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) WOODED HOLLOW LOT 5
Legal description (Township, Range & Section)
Lot Size 41537 So. Ft. Number of Bedrooms
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(M all that apply)
Field
[�]
Initial ❑
Single Family (SF)
El
Septic Tank
[]
Upgrade 't
(w/wo ADU)
Duplex (D)
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
a0' Led Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
of:p[operty owner or authorized agent)
Pe#rnit/Rush Fees: f
Date of Payment: `J l kD Ilii
Receipt Number: (:)P5 0�-0J
Permit No. 05J21�4 1125
Permit App_9-1-12.doc
Waiver Fees: bag -
Date of Payment: Sd r/ly
Receipt Number: 005-386i
Waiver No. 0 -WI 9 L 1,30
Q�RJERRq e
~ � R
fq C���LT 77
May 15, 2014
ARCTERRA
CONSLJLTINC=, INC
212 E. 51 ' Ave, Anchorage, AK. 99503
Office (907) 868-3791, Fax (907) 868-3793
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Upgrade Sewer Permit — Wooded Hollow Lot 5
1081V111 #►'
MAY 16 2014
It has been determined that the absorption field of the subject property is
saturated. Subsequently, the owner has requested we proceed forward to obtain
a septic permit to upgrade the septic system.
The general slope of this lot is from southeast to northwest at a grade of
approximately 0-5% over the septic area. On May 8, 2014 a testhole was
performed to investigate soils and groundwater. The results of this test are
attached for your review. The proposed upgrade will serve the existing 6 -
bedroom duplex. Attached are ADEC documents of the property's existing
system. We propose to install a pressurized bed. Groundwater was encountered
at 6' during excavation and at 5.2' at monitoring.
The property and adjacent lots are served by private water. There is no surface
water within 100' of the proposed system and there are no known curtain drains
within 50'. We do not expect there to be any adverse effect on adjacent lots by the
development of this system. If you have any questions, please contact me at 868-
3791 / FAX 868-3793.
Respectfully submitted,
ArcTerrJa Consulting, Inc.
Kenneth M Duffu
Attachments: On -Site Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/ Percolation Test
ADEC Record Docs
20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793
Q+gCTERRq „
�a
ARC 1m
ERRA
a' CONSULTING, INC
,�NG.`6`� 212 E. 51" Ave, Anchorage, AK. 99503
"� Office (907) 868-3791, Fax (907) 868-3793
May 20, 2014
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Upgrade Sewer Permit - Wooded Hollow Lot 5
Due to required design and subject lot's characteristics, we are requesting a
waiver to increase the width of the proposed absorption bed from the standard
15' wide to 20' wide. The contractor will not use heavy equipment over the
absorption bed during construction.
We do not expect there to be any adverse effect on adjacent lots by the
development of this system. If you have any questions, please contact me at 868-
3791 / FAX 868-3793.
Respectfully submitted,
ArcTerra Consulting, Inc.
z - —
Kenneth M. Duffus, P.E.
�9
20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793
WELL & WASTEWATER DISP❑SAL
WOODED HOLLOW LOT 5
LOT 2
LOT 3
NOTESI
R=50'(RhM)
ELEC. ESMTS.
INSTALL 500 GALLON STEP & INSULATE IF < 4'
L=42.59'(M)
w
LOT 4
100'
��4Y
RAO US
BP
3.
a
0' WE
C
IAOIUS
�� J
\T6
t0.1
i
STORY DUPLEX
F
ON CONCRETE
N
FOU DATON
a u;
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND
ALL OTHER SETBACKS.
rST,LL MEQ miP ¢i/u /
LOT 3
NOTESI
15' &
ELEC. ESMTS.
INSTALL 500 GALLON STEP & INSULATE IF < 4'
COVER
w
LOT 4
u
N6
�f
3.
w� %D,
NO SEPTIC SYSTEMS WITHIN 200' OF
4.
ADDITIONAL FILL WILL BE ADDED OVER SYSTEM
�� J
PROPOSED WELL EXCEPT AS NOTED.
i
MIN. 3' COVER IF REQUIRED,
Q LOT 5
F
CONTRACTOR WILL ENSURE ALL SEPARATIONS TO
ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND
ALL OTHER SETBACKS.
rST,LL MEQ miP ¢i/u /
CONTRACTOR WILL NOT
OPERATE HEAVY
EQUIPMENT ON THE
20' WIDE BED
N8n7'S0'E 356.73'(F
N8956'39'E 356.77'((
SYSTEM DETAILS/SITE PLA
UNSUBOIMOED
FLAG ALL WELL RADII
& LOT LINES PRIOR
TO CONSTRUCTION
DESIGN DETAILS
6 BDRM X 150 GPD = 900 GPD
900 GPD/0.7 GPD PER SQ. FT, (<1 MIN/IN.)= 1286 SQ. FT
(1286/ 20' (W) ) (0,5' GRAVEL) = 65FT,
USE I BED - 65' (L) X 20' (W) X 0.5' (ED)
Total depth of system is 1' from original grade.
Total depth of gravel below distribution pipe is 0.5'
1. EXCAVATE TOP 3' FROM ORIGINAL GRADE
2, INSTALL 2'+ OF MOA APPROVED SAND
3. INSTALL 0.5' SEWER ROCK
_� F 'k'\
�� PREPARED F❑RI
Ar SEAN R. SULLIVAN RATER
�1 20510 WOODED HOLLOW CIR. oti Rq
CHUGIAK, AK 99567 �£
* 4 .— * #
FIELD BOOKS COMPUTED: a a
KE -91 BOUNDARY: BOUNDARY DRAW: BMW > g
` CE -711 �Wa #4 STAMIN6: STAKING CHECMED: KMID _
,1 �, 17/ //,�ti' AseulLv RLW DA E 5/15/14'k..
\•� 40ESSIO0
DM. FlIE: cRID: NW1360 c� p�
ACAD FILE: FILE JOB He, 14-135 R'yfR. AK.K.9195 j-5Tj5 �
\\SP32YFR\N Terre Si,ered\St ge\WELL b: SEPTIC — Filed by Legel\Weeded Hdl.w eubd\Int 5\dwg\Wooded Hold. (5 v2004.dn
NOTESI
L
INSTALL 500 GALLON STEP & INSULATE IF < 4'
COVER
NO PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM.
2,
INSULATE BED WITH 2' HD BURIAL FOAM.
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOTED.
3.
CONTRACTOR WILL ENSURE MINIMUM 2X SLOPE INTO SEPTIC TANK.
NO SEPTIC SYSTEMS WITHIN 200' OF
4.
ADDITIONAL FILL WILL BE ADDED OVER SYSTEM
TO ACHIEVE
PROPOSED WELL EXCEPT AS NOTED.
MIN. 3' COVER IF REQUIRED,
5.
CONTRACTOR WILL ENSURE ALL SEPARATIONS TO
ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND
ALL OTHER SETBACKS.
Scalel 1'= 100'
PAGE 1 OF 3
_� F 'k'\
�� PREPARED F❑RI
Ar SEAN R. SULLIVAN RATER
�1 20510 WOODED HOLLOW CIR. oti Rq
CHUGIAK, AK 99567 �£
* 4 .— * #
FIELD BOOKS COMPUTED: a a
KE -91 BOUNDARY: BOUNDARY DRAW: BMW > g
` CE -711 �Wa #4 STAMIN6: STAKING CHECMED: KMID _
,1 �, 17/ //,�ti' AseulLv RLW DA E 5/15/14'k..
\•� 40ESSIO0
DM. FlIE: cRID: NW1360 c� p�
ACAD FILE: FILE JOB He, 14-135 R'yfR. AK.K.9195 j-5Tj5 �
\\SP32YFR\N Terre Si,ered\St ge\WELL b: SEPTIC — Filed by Legel\Weeded Hdl.w eubd\Int 5\dwg\Wooded Hold. (5 v2004.dn
WASTEWATER DISP❑SAL SYSTEM DETAILS
WOODED HOLLOW LOT 5
\ \ I +-1
O 2.8'--
�/� (TYP)
��� (TYP
d
MPH
L
6.2' / /
(TYP) ,V633
0
NO >10% LOPE WTHIN 03 F X66
?0 100' DOWNGRADED
0 OF PROPOSED BED 33 1
21. �\
1
220.
�. co vA
Co CO MT
10
I-)' Co
C
S. T. EXGISTING C0��
S.T. GAL CO \
CO
EXISTING SEPTIC INSTALL NEW
ToLOC. DECOMMISSION 500 -GAL STEP
IN PLACE PER CODE
CONTRACTOR WILL NOT
OPERATE HEAVY
EQUIPMENT ON THE
20' WIDE BED
CO
TH14-1
LOT 5
INSTALL NEW BED - SEE
PAGE 3 FOR SPACING &
OTHER DETAILS
N89057'50"E 356
N89056'39"E 356
Scale: 1'= 30'
PAGE 2 OF 3
����� PREPARED FOR:
'S� OF \
11 SEAN R. SULLIVAN RCTERR
20510 WOODED HOLLOW CIR.
/CHUGIAK, AK 99567 `£b
* TH rt m
FIELD BOOKS COMPUTED: A m
KENNEilf- BOUNDARY: BOUNDARY DRAWN: BMW
CE -7116 �a srAaNc: STAKING CHECNm: KMD a
AmUlu: RLW DAre: 5/15/14
Moo,, AV M. nle: GRID: NW1360 ""C� cO \NG�Ai
ACRD " JOB No.: fR ULT NG
FILE 14-135 AK.995T'1'si
\\SERWER\A cTenu Shand\Stomge\WELL k SEPTIC — Fded by Legol\Wooded Hdlow eubd\Lot 5\dwg\Wooded Hdlow L5 v2004dwg
a w
WASTEWATER ABS❑RPTI❑N SYSTEM DESIGN DETAILS
WOODED HOLLOW LUT 5
INSULATION
w w a o
v v u
II WGHT II 1
500 GAL
S.T.E.P.
L t Stotlan
p
z. FINISHED GRADE (ADD UNCLASSIFIED FILL) o
4' OF TOPSOIL & SFFDFD / VFGFTATFn £
/F FILTER FABRIC AND INSUL
TO FIELD
1 1/4' PVC FOR MANIFOLD
177 LF 1 1/4' PVC W/3/16' HOLES
@ 5' SPACING (TYP)
J
3'
SEWER ROCK
�0
MIN. 2,0'+.SAND: FILTER :FOR`.SEPARATpN
65' BED
WATER NOMI
5.2 ' �ov
PRESSURIZED DISTRIBUTION SYSTEM HOLE SPACING DESIGN
1. RESIDUAL HEAD = 5'
2. HOLE SIZE = 3/16' = 1.00 GAL, PER HOLE @ 30 PSI
3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES Hon H
4. 177 LF LATERAL/30 HOLES = 5.9' SPACING PER HOLE - USE 5' SPACING
5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS.
3'(typ) CAP ENDS OF PIPE
3' (typ) O M.T.
1 1/4' PVC FROM TANK
TO FIELD
1 1/4' PVC FOR MANIFOLD
177 LF 1 1/4' PVC W/3/16' HOLES
@ 5' SPACING (TYP)
J
3'
a
�0
o M.T.
LDWOCJ
r
Y
O
H—
Lo
u
O
U
FROM EXISTING 2000
GAL S.T.
0
fU
65'
NOTES,
1. TANK MAYBE INSTALLED IN 3' OF WATER, HEREBY REQUIRING ADDITIONAL WEIGHT
FOR INSTALLATION. USE 1000 POUNDS OF SADDLE WIEGHT.
2. CONTRACTOR WILL ENSURE A BOTTOM OF TANK DEPTH NO GREATER THAN 9' MAXIMUM,
3. FILL OVER TANK WILL BE CLASSIFIED AND COMPACTED TO 95% DENSITY
4. TANK TO HAVE A MINIMUM OF 2.5' OF COMPACTED COVER.
5. GROUND WATER LESS THAN 4.0' MAY REQUIRE ADDITIONAL SADDLE WEIGHT.
PAGE 3 OF 3
PREPARED FOR;
OF A44
SEAN R. SULLIVAN VJERR
20510 WOODED HOLLOW CIR. o1 '9
CHUGIAK, AK 99567 fir`
�* 49TH *ebm
FlELD BOOKS caxruren: x'
. s iC _
KMNL'rx. DUFFiM eouNOwr.BOUNDARY WAM: 4
`
CE -7118 / STMtING STAKING GAEL : KMD m
1/511/x- $�A'W w93uiLT: RLW Dore: 5/15/14 tt co-" DWW. rvF: MD: NW1360 amxo.:14-135 R'FfM. ULTING
FILE AK_N5n�
/volume/McTemo sMreE/Storage/WE11 k s1r00 — r 5y LWd/Woeeee MlwW/w 5/dM/WboESA H lox 15.aeW
177 LF 1 1/4' PVC W/3/16' HOLES
@ 5' SPACING (TYP)
J
O
0
fU
65'
NOTES,
1. TANK MAYBE INSTALLED IN 3' OF WATER, HEREBY REQUIRING ADDITIONAL WEIGHT
FOR INSTALLATION. USE 1000 POUNDS OF SADDLE WIEGHT.
2. CONTRACTOR WILL ENSURE A BOTTOM OF TANK DEPTH NO GREATER THAN 9' MAXIMUM,
3. FILL OVER TANK WILL BE CLASSIFIED AND COMPACTED TO 95% DENSITY
4. TANK TO HAVE A MINIMUM OF 2.5' OF COMPACTED COVER.
5. GROUND WATER LESS THAN 4.0' MAY REQUIRE ADDITIONAL SADDLE WEIGHT.
PAGE 3 OF 3
PREPARED FOR;
OF A44
SEAN R. SULLIVAN VJERR
20510 WOODED HOLLOW CIR. o1 '9
CHUGIAK, AK 99567 fir`
�* 49TH *ebm
FlELD BOOKS caxruren: x'
. s iC _
KMNL'rx. DUFFiM eouNOwr.BOUNDARY WAM: 4
`
CE -7118 / STMtING STAKING GAEL : KMD m
1/511/x- $�A'W w93uiLT: RLW Dore: 5/15/14 tt co-" DWW. rvF: MD: NW1360 amxo.:14-135 R'FfM. ULTING
FILE AK_N5n�
/volume/McTemo sMreE/Storage/WE11 k s1r00 — r 5y LWd/Woeeee MlwW/w 5/dM/WboESA H lox 15.aeW
ARcTERRq
f9 C��✓SULTI NG. ,NL�s�
Office (907) 868-3791, Fax (907) 868-3793
ARC 1mERRA
CONSULTING, INC
212 E. 51" Ave, Anchorage, AK. 99503
Office (907) 868-3791, Fax (907) 868-3793
Performed for: Sean Sullivan
SOILS PERCOLATION TEST
Date Performed: 05/08/14
OF z�14I 14
5
[}�T11 Y
!1 C
-P_; KEiNNEPH N7. DUAeS 00
£livl'L''SS IOti N�' �
Project: Wooded Hollow Lot 5 TEST HOLE # TH 14-1
Depth
(Feet) SEE ATTACHED SITE PLAN
Org/OL
SP/GP w/ cobbles to 1'+
9 GM/SM
[�J
10
B.O.H
I1-
12-
13-
14-
Water percolated / absorbed
rapidly in sandy / gravelly soils.
FOR HOLE LOCATION
Was Ground water encountered? YES What depth? 6'
Depth to water after monitoring? 5.2' Date? 5/15/14
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
5/8/14
1:00
6"
-
2
1:10
2 min
dry
6"
3
*
1:11
6"
4
1:21
2 min
dry
6"
5
1:22
6"
-
6
1:32
2 min
dry
6"
7
8
9
10
11
12
*
Water
Added
Percolation Rate <1 (min/in) Pere Hole Diameter 6"
Test Run Between 2.5 feet and 3.5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State
and Municipal guidelines in effect on this date.
MUNICIPALITY OANCHORAGE
Development Services Department 3 Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approva
Parcel I.D. 051 521 32
1. GENERAL INFORMATION
Expiration Date: J2 C_ 1 ),d 2
Complete legal description WOODED HOLLOW LOT 5
Location (site address) 20510 WOODED HOLLOW CI
Current property owner(s) THIELE
Mailing address
Real estate agent
2. TYPE OF DWELLING:
❑ Single Family (w/ADU)
0 Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 6
Day phone
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
0
Private Septic
El
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: NONE Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 515 0 Waiver Fee $
Date of Payment q-3— 2Receipt Number 07 3 V 7
COSA# 6SC-111 53S
Date of Payment
Receipt Number
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.
Name of Firm C&M ENGINEERING Phone 8545558
Address 20182 TULWAR
Engineer's Printed Name CHARLES BALZARINI Date 8/22/21
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*: 49 TH •.*
6. DSD SIGNATURE •• • •... •�••••
System #1 Approved for (P bedrooms /r
CHARLES G BALZARIIyf /
System #2 Approved for bedrooms t✓�FG��..• CE-13854 .te/
r^r
Disapproved ililF�pROFE5S1o�A�
Conditional approval for bedrooms, with the following stipulations:
.-rV
g ON-SITE
m WASTE,—VATER z-=
Jct PROGRAM C;
J 1
By: Original Certificate Date: 9 1 C a 0 2 i
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 yellow sheet
COSA Checklist
Legal Description: Parcel ID:
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled
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
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume 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
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) years
Tank type/material
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade 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
Adequacy test date
Results Pass For 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
Comments/Deficiencies:
STEEL
Measured operating fluid level in septic tank
Standpipes/foundation cleanout per record drawing
Date of pumping
D. ABSORPTION FIELD DATA ______________________
Which system tested (date installed)
COSA Checklist yellow sheet
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 if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
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
Property Line > 5’ Yes if No ft
Absorption Field > 5’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ 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
Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
F.ENGINEER’S COMMENTS
G.ENGINEER’S CERTIFICATION
I certify 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.
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Nitrate Advisory
Certificate of On‐Site Systems Approval # OSC211533
Subdivision: Wooded Hollow, Lot: 5
A water sample revealed a nitrate concentration of 5.6 milligrams per liter (mg/L).
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. Since nitrates are known to slowly increase, we recommend
you monitor the water quality. Please see the attached “Nitrate Fact Sheet” for
important information regarding nitrate.
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
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as “blue baby” disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a medi a with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several “wet chemical” methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive “screening test”, and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Lift Station/Pump Vault
Maintenance Log IN
Owner AA Street Address 242S
Septic Tank:
-Sludge level inches -Pumping: required yes o ? -Pumping completedes o
Lift station:
-Pump basket cleaned 4e no -Effluent filter cleaned e ' no
-Control floats cleanede no -Proper float settings confirmed e no
-Operation satisfactoryey s
Alarm System:
-Dedicated electrical alarm circuit e no -Audible and visual alarm inside dwelling es a no
-Alarm system operatio ssg is_ fact T not satisfactory
Manhole Riser
-Ground water intrusion at riser to tank connection eso
-Ground water intrusion around pipe penetrations es -Weep hole functional e no
-Manhole lid: Functional est no Insulated Properly Secured �es no
Other
-All manufacturer required inspections and maintenance completed e no
Qualified Maintenance Pro r:
Technician ' ' ,
Company
Signature
Date of maintenance
,7,).�3//,�z
t
Ir 4 Date
Legend
Electric MeterrsN Septic
LTA Tei. Pedestal 4,1.1 SepticCover
E` EIec. Pedestal Gas Meter
Q (Nater Valve ® Concrete
—x— Fence
General Notes
1. Excepting for gross negligence, the liability for this survey shall not
exceed the cast of preparing this survey. Dimensions to property lines
are plus/minus 0.Ift.
2. This document is created by Frontier Surveys for the purpose of an
as -built for Emily Selix, only.
3. This document is based on Plat No. 83.433, Anchorage Recording
District.
Disclaimer
$. Ttvs survey corrpeeswith the ASPLS Mortgage Lac mon Stato2rds. Thr zurYcy reptesrnts visible
irrptOvemcntt and conditions at the tune of the survey. This docorrmnl does not conwwtc a houndary
wrvey and is subject to any 41]1:cur20e5 thlla subs equern bound try survey mf reveal. ll jsthe
responsrlsikly of lha qvencr to deteirrurte the easience of znyeasemcrns, covenznts. or reunion
wn.th do no appear cn ft record plat. Under no cacum tznces should this docuarnt be used for
cons trucnenor for estabhilang a bowdary or truce Me.
0 20 40 80
Scale in Feet
TROLL KNOLL SUBDIVISION
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• Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-521-32 Expiration Date: - B
1. GENERAL INFORMATION
Complete legal description WOODED HOLLOW LOT 5
Location (site address) 20510 WOODED HOLLOW CIRCLE, CHUGIAK, AK 99567
Current Property owner(s) SEAN R. SULLIVAN Day phone
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
20510 WOODED HOLLOW CIRCLE #B, CHUGIAK, AK 99567
❑ Single Family (w/wo ADU)
® Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class _ Well
Public Water System
WaiverNariance request for:
No
Day phone
81 U 6DiliI T 14-A, _5
d
JUN 0 9 2014
TYPE OF WASTEWATER DISPOSAL:
®
Individual
❑
Holding Tank
❑
❑
Community
❑
❑
Public Sewer
❑
Received by: Date: € '�
COSA to be released to the e ' eer, unless othervJise requested by the engineer.
COSA Fee $ 4?i , . Waiver Fee $ _
Date of Payment (0 l ! [)l f '1 (,f /� �X Date of Payment
Receipt NumberReceipt Number
COSA# 0 L1N12-" 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.
Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFEUS Date 5/29/14
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future �\
occupants or can ArcTerra guarantee that no unseen
encroachments, deficiencies or discrepancies exist. Ar 6
i lry
/niTFI
6. DSD SIGNATURE
9� System #1 Approved for bedrooms.
System #2 Approved for _ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipula ,, (k O((F(((
By: a Original Certificate Date:
Then" f y 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_10.10.12dw
ON-SITE
�d
o1
WnSTEWATER
i
PRiJurl"v°
By: a Original Certificate Date:
Then" f y 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_10.10.12dw
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: WOODED HOLLOW LOT 5 Parcel ID: 051.521.32
A. WELL DATA
Well type PRVT If A. B, or C provide PWSID # Well Log (Y/N) Y
Date completed 1211612010 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 161 ft. Cased to 161 ft. Casing height (above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 12/16110
Static water level 130 ft.
Well production 7 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 5.96 mg/L
Arsenic: ND ug/L Date of sample: 511612014
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC / STEEL
Tank size 2000 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
Date of pumping 512/14 Pumper JRS
C. ABSORPTION FIELD DATA
511114
ft.
g.p.m.
Collected by: ARCTERRA
Date installed 2/312011
Cleanouts (Y/N) Y
High water alarm (Y/N) N
Date installed 5127/2014 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.70 System type BED
Length 65 ft. Width 20 ft. Gravel below pipe 0.5 ft.
Total depth 3 ft. Eff. absorption area 1300 ft2 Monitoring tube Y Depression over field N
Date of adequacy test NA- NEW SYSTEM Results (Pass/Fail) PASS For 6 bedrooms
Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in.
Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mc.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed 5128114 Size in gallons 500 Manhole/Access (Y/N) Y
"Pump on" level at 28 in. "Pump off' level at 18 in. High water alarm level at 34 in.
Datum BOTTOM OF TANK Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 75'+
Sewer/septic service line 25'+
Animal containment areas 50'+
SEPTIC/HOLDING TANK ON LOT TO:
Meets alarm R circuit requirements? Y
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout 100'+
Holding tank 100'+
Manure/animal excrete storage areas 1004
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 101+ Surface water 1004
Wells on adjacent lots 1004
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 104 Water main 104
Water Service line 101+ Surface water, 100'+ Driveway, parking/vehicle storage 104
Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 100'+
F. 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.
Engineer's Printed Name KENNETH M. DUFFUS
Date 5129/14
COSA brown sheet 10-10-12.doc
OF—�AjL4
I�tiNETH M. - FV. /
`�S
'0 7•E �lONpti �'
Municipality of Anchorage
Community Development Department
Development Services Division
On -Site 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 # 141249
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block , Lot
5 of Wooded Hollow subdivision. This inspection revealed a nitrate
concentration of 5.96 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 Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
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