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HomeMy WebLinkAboutROUSE LT 2Rouse Lot 2 #050-321-66 inspection Repon_i-i-_*z.coc Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSPI41425 PID Number: 050-321-66 ❑✓ New ❑ Upgrade Name: Lisa Farber ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench ❑Bed E] Mound Address P.O. Box 770628 Eagle River, AK 99577 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2GPD/SF 2 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1 Ft. Gravel depth beneath pipe 1.0 Ft. Subdivision Block Lot Rouse 2 Fill added above original grade 3-4 Ft. Gravel length 66 Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 455 Ftp TWO >10Ft. Well >100' >100' >100' >75' >25' TANK I] Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1 1,000GaL Surface water >100' >100' >100' >100' Material Number of compartments Lot Line >5' >10' N/A N/A Steel Two NA Foundation >5' >10' N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal, Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPEMATERIAL Housetotank D3034 Tankto drainfield D3034 Green Construction Draintield F810 CO/MT D3034 Inspector W Roberts BENCHMARK (Assumed elevation) 100.Oft Inspection�_� 5/8/15 519/15 Location and description dates: 2"d 3°' 8122/15 4'h Bottom of Siding. COMMUNITY DEVELOPMENT DEPARTMEN T APPROVAL ��E•�•••q�'�f S Conditional Approval: Date �'�P"•• ��'`��'A� 9�i *4 ....;........e......1 :... ...y..:...... �' �. . rte,= MICHAEL E. ANDERSON s: CE-4381 Approved �tJ Date� pROFESSIO�A� inspection Repon_i-i-_*z.coc 1 I n T O N Kong N V41+WAN -� �� Z rTI °, d (» 1° V O N W V �° A I O_ 8.0 t° p�e�NN u - O O N V °] A N b A C OOtlI V W [TA Ae� I .. 0 (n D I I A 14-02'19,,W I I I 00 I I I 1 i A ^ O V m 0 �^ eW C O m 0 00 N m C- 0 C cn -n o m i 90 F— rn J O (O CD m N V / m, D C DCo �N=cT'i�r m °N® to Cl) mm> o' N Fll zm N Da s o o •__, 6-)-uO F- f cM�o SS ', n <`b' (n Mnm m woo 0 0 C 70O Am / ) o w Z u v J o g �, r Ln n 0 4a m ° x > pv i� n �J/ I O 00 �^gym ASN � � ° 3 M� � \ W rn ...5� ����1♦�10' T. & E. EASEMENT Sj *------------------------------------ 119.00 AV ''•9��i o Ar •pQ0 P. .rt ' Z CD I1' m .0 h7 /L.•�-m S •.�/ I O cn ♦ p / O . Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP 141425 7.5 99.9 N UU � N 1,000 Gallon Septic Tank Page 3 of 3 PID NO.: 050-321-66 EAST TRENCH � U WEST TRENCH I.•�P.....yc ? 49th /V PROFILE AS BUILT :`"No. CE 4385IXJ No Scale C; In 0 .35 EAST TRENCH � U WEST TRENCH I.•�P.....yc ? 49th /V PROFILE AS BUILT :`"No. CE 4385IXJ No Scale C; In 0 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 DEPTH (feet) 1- 2- 3- 4 - 5 - 6- 7- 8 - 9 - 10- 11- 14 15 16 17 18 19 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: ROUSE LOT 2 PERFORMED FOR: SCOTT PEPPERS DATE: 8/6/2014 PROJECT No.: PARCEL ID#: TECHNICIAN: JB TEST HOLE 2 OB/OG re r BOH @ 8' BEDROCK SLOPE WAS GROUND WATER ENCOUNTERED? NO IF YES @ W DEPTH OF WATER AFTER MO DATE OF MO 49th AEL E. ANDERSON NO. CE -4381 . SITE PLAN SEE SITE PLAN i HAT DEPTH? ONQ NITORING: NE NITOR NG: 9/22/14 10 GROSS TIME NET TIME DEPTH TO NET DROP DATE READING_ (MINUTES) (MINUTES) WATER (INCHES) (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 8/6/14 1 5:05/5:15 10 2.25"/5.50" 3.25" 2 5:16/5:26 10 - 2.00"/5.25" 3.25" 3 5:27/5:37 10 2.13"/5.38" 3,25" 4. 5:38/5:48 10 2.00"/5.25" 3.25" 5 5:49/5:59 10 2.25"/5.50" 3.25" 6 6:00/6:10 10 2.00"/5.25" 3,25" PERCOLATION RATE:: 33 (MIN/INCH) PERC. HOLE DIA.. 6�I (INCHES) TESTRUNBETWEEN: 3 FT. and 4 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE- 8/24/15 49th AEL E. ANDERSON NO. CE -4381 . SITE PLAN SEE SITE PLAN i HAT DEPTH? ONQ NITORING: NE NITOR NG: 9/22/14 10 GROSS TIME NET TIME DEPTH TO NET DROP DATE READING_ (MINUTES) (MINUTES) WATER (INCHES) (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 8/6/14 1 5:05/5:15 10 2.25"/5.50" 3.25" 2 5:16/5:26 10 - 2.00"/5.25" 3.25" 3 5:27/5:37 10 2.13"/5.38" 3,25" 4. 5:38/5:48 10 2.00"/5.25" 3.25" 5 5:49/5:59 10 2.25"/5.50" 3.25" 6 6:00/6:10 10 2.00"/5.25" 3,25" PERCOLATION RATE:: 33 (MIN/INCH) PERC. HOLE DIA.. 6�I (INCHES) TESTRUNBETWEEN: 3 FT. and 4 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE- 8/24/15 PERCOLATION RATE:: 33 (MIN/INCH) PERC. HOLE DIA.. 6�I (INCHES) TESTRUNBETWEEN: 3 FT. and 4 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE- 8/24/15 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG PERCOLATION TEST LEGAL DESCRIPTION: ROUSE LOT 2 PERFORMED FOR: SCOTT PEPPERS DATE: __ 5/8/2015 PROJECT No.: PARCEL ID#: TECHNICIAN: DEPTH TEST HOLE 3 (feet) 16 OB/OG 1 READING GROSS TIME (MINUTES) 2 DEPTH TO (INCHES) WATER NET DROP (INCHES) 3 4 GM 5 6 7 $ BOH @ 8' BEDROCK 9 10- 011- 11- 12- 121314 13- 14- 16 17 WR SLOPE WAS GROUND WATER ENCOUNTERED? No IF YES @ WHAT DEPTH OF WATER AFTER MO DATE OF MO :. 49th MICHAEL E. ANDERSON No. CE-43Rt SITE PLAN SEE SITE PLAN It Y 1 DEPTH? MTORING: NITORING: DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO (INCHES) WATER NET DROP (INCHES) PERCOLATION RATE:: 3.3 (MIN/INCH) PERC. HOLE DIA.-6L(INCHES) TEST RUN BETWEEN: 3 FT. and 4 FT. COMMENTS: TEST HOLE TO VERIFY BEDROCK DEPTH. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE- 8/24/15 Certified Drilling Log 'DOC CO dba. IbULLIVAN WATER WELLS PO. Box 670269, Chugiak, ki{99,"367 Se8-2759 OWNER OF LAND: Peppers Construction ADDRESS: LEGAL DESCRIPTION Rause Lot 2 DATE: 11/21/14 PERMIT OSP141425 DATE OF ISSUE: 10/15/14 NUMBER: TAX IDENTIFICATION 05032166000 NUMBER Is well located at approved permit location: ®Yes ❑No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 400' Casing Type: Steel Wall thickness ,250 inches Diameter: 6 inches, depth 44 feet Linertype none Static Water Level: 180 feet Recovery Rate 30 ❑ gpm gph Method of Testing Air Well Intake Opening Type: ❑ open end Njopen hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite casing Volume: seal Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes no Method of Disinfection: Chlorine 50 ppm Comments: Bore Hole Data Depth From To 0 2 2 4 4 6 6 12 12 69 69 84 84 122 122 156 156 291 291 320 320 331 331 342 342 400 Casing stickup overburden Silty sand & gravel Brown broken Bedrock Gray Bedrock Dark Gray Bedrock Gray Bedrock Green Bedrock Gray Bedrock Gray Bedrock w/ Quartz Gray Bedrock Gray Bedrock soft Gray Bedrock w/ Quartz Drillers Name: Cale Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. ARCTIC PUMP & WELL INC. Jim sutfivm PO Box 770197 t�[o oie irtu Eagle River, AK 99577 (907) 688-2510 (907) 243-2282 Pump Installation Log Well Drilling Permit Number: osp141425 Parcel Identification Number: 05032166000 Date Of Issue: 10/15/2014 Friday, January 23, 2015 Legal Description Rouse L2 g:0254 Property Owner Name Address: Peppers Construction Lot: 2 g:0254 10224 West Frontage Block: Eagle River AK 99577 Pump Installaion Date: 1/22/2014 Pump Intake Depth Below Top of Well Casing: 385 Feet Pump Manufacturer's Name Franklin Pump Model: Constant Pressure System: 5Y10SDQP-1.5HP Pump Size: 1.5 HP Pitless Adapter Burial Depth: 7 Feet Pitless Adapter Manufacturer's Name S-50 Pitless Adapter Installer: u/k Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump & Well, Inc. Friday, January 23, 2015 Permit Number: On -Site Water & Wastewater System Permit OSP141425 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 Tax Code Number: 05032166000 Work Type: WellSeptic Initial Permit Effective Dates: October 15, 2014 to October 15, 2015 Design Engineer: ANDERSON ENGINEERING Subdivision: ROUSE Site Legal Address: ROUSE LT 2 G:0254 Owner/Address: FARBER LISA L PO BOX 770628 EAGLE RIVER AK 995770628 Site Mailing Address: Lot Size in Sq Ft: 67768 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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. Provisions: 1. The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. AMC 15.65.060.B.3 2. The Inspection Report will not be approved without the required fill in place. 3. The Inspection Report will not be approved without the bedrock confirmation testhole logs submitted. Received B) Issued By: Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program fy, en t 1� F department **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP141426 COSA#: PID#:050-321-66 Legal Description: Rouse Lot 2 Engineer: Anderson Engineering Applicant: Lisa Farber Permit#: OSP141426 Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 25.0 feet. See engineers drawing for special construction requirements. This waiver approval applies to the proposed absorption field 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 nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: ��� Approved by: Name of Review .......................................................... ................... **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-321-66 Property owner(s) Lisa L. Farber Mailing address P.O. Box 770628 Eagle River, AK 99577 Site address 18559 Rouse Circle Eagle River, AK 99577 Day phone Legal description (Sub'd., Block & Lot) Rouse, Lot 2 f Legal description (Township, Range & Section) Lot Size 67,768 So. Ft. Number of Bedrooms Three (3) APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Absorption Field Fx I Initial Septic Tank 0 Upgrade Holding Tank ❑ Renewal Privy ❑ Private Well El Water Storage ❑ ❑ TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) T, Iplings SFandl) SEP 2 9 2014 THIS APPLICATION INCLUDES A VARIANCE ! WAIVER RE;QUSF FAR Absorption Trench to Slope > 25% Distance: 25' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. property owner or authorized agent) Permit/Rush Fees: Waiver Fees: 215 Date of Payment: !q Date of Payment: 114 ltl Receipt Number: 022—pLt Receipt Number: 0 3-19 6i Permit No. nne H til Z 5 Waiver No. 05191 ql ya ( Permit App_9-1-12.doc x❑ September 27, 2014 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Rouse Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of the subject lot intends to construct a new three-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Also identified on the plans are the existing wells and septic systems on surrounding lots. No conflicts exist between the proposed well and septic system and wells or septic systems on adjacent lots. Drainage contours are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test hole placed on the lot in the area of the absorption trench and alternate site indicate the presence of silty gravel with some sand (GM). The percolation rate of the material was determined to be 3.3 minutes per inch. No groundwater was found but bedrock was encountered at 8'. Test Holes will be placed during construction to verify the depth of bedrock. The location of the verification test holes is shown on the site plan. An application rate of 1.2 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1,000 -gallon septic tank and 2 new trenches each 33' long by 5' wide by' effective to treat and dispose of the effluent generated in the house. The elevation of the distribution line 1' below the existing ground surface. Total depth of the trenches will be 2'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trenches and 4' over the septic tank. Fill will be required over the absorption trenches and down slope area to insure sufficient separation from steep slopes in the area. The ground surface on the lot in the area of the septic system slopes to the west at at slope at or greater than 25%. A waiver is attached to allow the location of the furthest westt trench to be less than 50' from a break in grade greater than 25%. 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 constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. Lot 2, Rouse Subdivision September 27, 2014 Page Two 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, Michael E. Anderson, P.E. Attachments '' 49th A ':.* MICHAEL E. ANDERSON .. No. CE -4381 . September 27, 2014 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Rouse Subdivision Absorption Trench to Slope Waiver Alternate Site Dear Onsite Services Engineer: Lot 2, Rouse Subdivision has limited area for construction of a septic system due to steep slopes to the west and the presence of bedrock at shallow depths. We have located an area with acceptable soils, but the bottom of the absorption trenches can only be 2' below ground to provide 6' of clearance from bedrock. The primary absorption trenches are situated slightly more than 40' and 25' from a break in grade greater than 25%. The alternate site is more than 50' from the break in grade to the west. The distribution line in the trenches will be constructed at 1' below grade as bedrock is at 8' below grade as verified in Test Hole No. 1. Fill material will be required to provide sufficient cover over the distribution lines and to provide additional separation from the slope. We are therefore applying for a waiver allowing placement of the absorption trenches at the location shown. Soils in the area are very good for the treatment and absorption of septic effluent. The majority of absorption will be down and migration will be minimal. The imaginary 25% slope from 2' above the distribution line will daylight at 27' and 44' from the edge of the respective trenches. The slope from the alternate site will not daylight. We therefore recommend a waiver be issued allowing placement of the absorption trench at 20' and 40' from a slope greater than 25%. Sincerely, s/J Michael E. Anderson, P.E. Attachment 49TH JCHAEL E ANDERSON 00 CE - 4381 •; _�+ A•�v. �I-ry•••���` � I \ I C) ♦/ � VVON I T N \ otn �a I yV V 1 3 mo O co q3 m'e I 1 3 (��• o �� V 3r 0 Z b 1 0 O .err h 4 �— � 1 o , I I --"-----------' \ I 7 I M � I .o I I I 10 opo SI e � $ , I n. Cf) T 00 � CO pe � Fe CP o ®mo W V/ W C vi00M"iK r �\ C/) 00 O1 m ---- E (Tl O r£oycr o T9:g OD o a C T =moo o , �,o aoa tm.� a� �N Oul om� , 0 N - _ msf <a --- --- - CD O U v D 5Q 0 A O S w x o' t Nx Z \ >.0-1 - > Q N a 00 m m 3 Ln N�xo m W 9 N 00 ism, w 1 N A � m m x —5 I ,•• % .• 10' E. ASEMENT o�°' �: '' 9��------------------------------------- 119.00 OM Z Ar 6A z LOT 2, ROUSE SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home 5' Wide Trench System Perc. Rate: 1-5 Min./Inch 1,000 Gallon Septic Tank Application Rate: 1.2 GPD/SF 1' Drainfield Rock 3 Bedrooms' 150 GPD/Bedroom = 450 SF Absorption Area 450 SF/1.2 GPD/SF/5 SF (Width) *.87 (Red. Factor)= 65.25 LF Trench Length THEREFORE: Construct 2-33' Long x 5' Wide x 1' Effective Depth Absorption Trenches. Flow Line Elevation in Trench to be 1' Below Original Ground Surface. Total Depth to be 2' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. Place Flow Diverter Valve to Insure Even Flow to Each Trench. TYPICAL 5' WIDE TRENCH SECTIO"' (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Private Wells in the Area. Minimum 100' Separation From Surface Water or Streams: Cn 0 0 0 O O cn 0 J O 0 0 0 V Oo W (fn O (T oft, o off.-Z D: :� 9��•i dw o ` •:�; %?•� rye :S %N:� m Z; kv NI � gal 1 � N J o 1' 1 1 g 11 11 1 a; N �N O 1 1 l l IN 1 1 1 N U 1 1 1 1 l 1 1 1 1 1 1 K 1 1 1 Cf) 1 a F- O O N . Cr^ u V Q 1 O_ 1 1 V r� m > F- n o 1 1 SOC N O C/)/^�_ V I Ln o z I�1 OLn z 0) 0 0) Ln. J (T co O O � N � O NI � gal 1 � J o 1' 1 1 g 11 11 1 a; 11 1 11 1 1 l l IN 1 1 l 1 1 1 1 1 1 1 1 1 N . Q 1 O_ 1 1 1 1 N O MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 DEPTH (feet) 1- 2- 3- 4- 5- 6- 7- 8- 9- SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: ROUSE LOT 2 PERFORMED FOR: SCOTT PEPPERS DATE: 8/6/2014 PROJECT No.: PARCELID#: TECHNICIAN: JB OB/OG GM BOH @ S' BEDROCK TEST HOLE 1 10 READING WAS GROUND WATER ENCOUNTERED? No NET TIME (MINUTES) DEPTH TO WATER (INCHES) TDEPTH? TEST HOLE PRESOAKED PRIOR TO TESTING: DEPTH OF WATER AFTER MONITORING:NONE 1 1— 3:20/3:30 DATE OF MONTCORiNG: 9/22/14 12 13 14 15 16 17 18 19 COMMENTS: P.&.i."o En.u.. Stamm: SI I L PLAN SEE SITE PLAN I DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 8/6/14 1 3:20/3:30 10 5.38'/8.50" 3.12" 2 3:31/3:41 10 5.00"/8.00" 3.00" 3 3:42/3:52 - 10 5.25"/8.25" 3,00" 4 3:53/4:03 10 5.13"/8.13" 3.00" 5 4:04/4:14 10 5.13"/8.13" 3.00" 6 4:15/4:25 10 5.00°/8.00" 3.00" PERCOLATION RATE:: 3.3 (MINANCH) PERC. HOLE DIA-6L(INCHES) TEST RUN BETWEEN: 3 FT. and 4 FT. PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS T)ATF• 9/27/14 MUNICIPALITY OF ANCHORAGE9(IS Development Services Departments Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050 321 66 1. GENERAL INFORMATION Complete legal description Rouse Lot 2 Location (site address) 18559 Rouse Cir Current property owner(s) Mailing address Farber Expiration Date: (�� z 2 Z Day phone Real estate agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Q Private Septic M Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: N O N E Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Waiver Fee $ Date of Payment �l� ��o? a Date of Payment Receipt Number 0 ,� 3 5 9D Receipt Number COSA # 0 5 C a a 1), 5'1 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 5/6/22 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for c� OF: A/,qs>>i 49 / • ...• .. CHARLES G BALZARINI ����Fc • CE -13854 ••���� /�TFp•••....••�� `1lF�PROFEiV0 .� bedrooms, with the following stipulations: llt((((ll( ON-SITE WATER AND 1 ate:Tt Original Certificate Date:— The he Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory �_ Other COSA Checklist blue sheet Legal Description: ROUSE LOT 2 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Parcel ID: 050 221 18 Structure served by this system 1 A. WELL DATA Well log is filed with Onsite (or attached) Well production at time of test 0.5 gpm Date drilled 11121114 Water storage tank volume NA gallons Total depth 400 ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to 44 ft 0 Coliform bacteria is Negative FE -1 Sanitary seal is functioning correctly Nitrate mg/L Fq� Nitrate less than MRL (ND) Wires are properly protected Arsenic ug/L M Arsenic less than MRL (ND) Casing height (above ground) +18 in. Collected by C.BALZARINI Date of flow test for COSA 5/20/22 Date of Sample 5/24/22 Static water level at beginning of test NA** ft. Comments TURBIDITY DEVELOPED WHEN DRAWN DOWN TO PUMP. **ARTESIAN CAP INSTALLED B. TANK DATA Age of tank(s) 7 years Tank type/material STEEL SEPTIC Measured operating fluid level in septic tank 50 0 Standpipes/foundation cleanout per record drawing Date of pumping 4/12/22 D. ABSORPTION FIELD DATA SHALLOW TRENCH Which system tested (date installed) 2015 0 ALL standpipes present per record drawing Total measured depth from grade 4.5 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field R 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 NA gallons Comments/Deficiencies: NONE COSA Checklist yellow sheet C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 5/20/22 Results © Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 0 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) NO If yes, enter date NA 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' Q Yes if No Community Sewer Manhole/Cleanout > 100' © Yes if No ft © Yes if No ft Neighboring Tank > 100' © Yes if No ft Private Sewer/Septic Line > 25' © Yes if No ft Absorption Field on Lot > 100' © Yes if No ft Holding Tank > 100' © Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' © Yes if No ft Q Yes if No ft ft If septic tank is under driveway comment below Verified septic standpipes including flow splitter are present per record drawing. Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ©Yes if No ft , Q Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' © Yes if No ft Wells on Adjacent Lots: © Yes Absorption Field > 5' © Yes if No ft Private Wells > 100' © Yes if No ft Water Main > 10' © Yes if No ft Community Wells > 200' © Yes if No ft Water Service Line > 10' © Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' © 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' Q Yes if No ft Community Wells > 200' © Yes if No ft Surface Water > 100' © Yes if No ft F. ENGINEER'S COMMENTS Verified septic standpipes including flow splitter are present per record drawing. 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. 5/30/22 COSA Checklist yellow sheet OF 4,9 TH • CHARLES G BALZARKI aa �F•• CE -13854 •*� � �F�PROFEWQ0 Municipality of Anchorage �F A Development Services Department Building Safety Division S F T On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC221257 During a recent COSA on-site inspection and test of the potable water supply well on Lot 2 of Rouse subdivision, the well's productivity was determined to be .5 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is .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 Certificate of On - Site Systems Approval. Parcel I"D. 050-321-66 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 / Certificate of On -Site Systems 1. GENERAL INFORMATION Expiration g 9 iQ ;r =' RUSH Individual Well 4 1of5 3 Individual �u� 2 Individual Water Storage ti Holding Tank A SOL 68� Community Class Well Complete legal description Rouse, Lot 2 Location (site address) 18559 Rouse Circle Eagle River, AK 99577 Current Property owner(s) Lisa Farber Day phone Mailing address P.O. Box 770628 Eagle River, AK 99577 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: Three Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: uisrance: Received by: `~ ""` Date: 8 — z T- t+s COSA to be released to the engineer. unless othemise requested by the engineer. COSA Fee $ Date of Payment d';tq11. Receipt Number 62612-6j vv COSA# 65C t51'd 5q Waiver Fee $ 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 Anderson Engineering Phone Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. {late 6. DSD SIGNATURE System #1 Approved for _a bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, 522-7773 ®� 49 T -N •••'.� ,, -.MlcHbjff B{NDERSON -,�k- ••E -`x"381 t� O® FgF •.8 W �s . d with the following stipulations: By: e � riginal Certificate Date: Theipip y age 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 Nue sheet° L, c If more than 1 septic system is on the lot: COSA Checklist # _of _ a Structure served by this system Certificate of On -Site Systems Approval Checklist Rouse, Lot 2 Legal Description: A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Date completed 11 /21 /14 Sanitary seal (Y/N) Y Total depth 400 ft Cased to 44 ft. FROM WELL LOG 11/21/14 Date of test Static water level 180 ft 30 Well production g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 4.24 mg/L Arsenic ND ug/L Date of sample: 7/30/15 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel _ Tank size 11000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (YIN) N Date of pumping New Const. Pumper C. ABSORPTION FIELD DATA Parcel ID: 050-321-66 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) > 18 in. AT INSPECTION [i# 9.p.m. Collected by: And. Engineering Date installed 5/8/15 Cleanouts(Y/N) Y High water alarm (Y/N) N Date installed 5/9/15 Soil rating (g.p.d./11:2 or ftZ/bdrm) 1.2 GPD/SF System type 5' Wide Length 2 @-33' ft. Width ' _ 5 ft. Gravel below pipe 1 ft. Total depth 5-6 ft. Eff. absorption area 455 ftz Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For, 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 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main >75' Public sewer manhole/cleanout >100' Sewer /septic service line >25' Holding tank >75' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >51 Property line >51 Water main >10' Water service line >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water Service line >10' Surface water >100' Curtain drain None Noted Wells on adjacent lots >100' F. 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. Engineer's Printed Name Michael E. Anderson, P.E. Date 8/23/2015 COSA brown sheet 10-10-12AM Absorption field >51 Surface water >100' Water main N/A Driveway, parking/vehide storage > 'AEL E. ANDERSON i ,' CE -4381 •�.�e�• PROFESSId�p 4W �`►®aaw1� ASBUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY- AND THAT NO EN6RROACHMENTS EXIST EXCEPT AS. INDICATED" IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS; OR' RES"; RICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SK,JA tD a SCALE- f I GRID:/,!/zS"5� I FB: „1051 OF At ll� op,,�.'