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HomeMy WebLinkAboutGROVER PLACE LT 1 Grover Place Lot 1 #015 - 081 - 43 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 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.orglonsite• (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171074 PID Number: 015-081-43 r❑ New El Upgrade Name: ABSORPTION FIELD Hultquist Homes, Inc Address Deep Trench ❑ Shallow Trench El Bed El Mound 7015 E 99th Ave ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 O 8GPDISF 10 F1. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4 Ft. 6F1 Grover Place 1 Fill added above original grade Gravel length Township Range Section 3.5 Ft. 45(2)Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 2.5Ft. N/A N/A Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Tank Line 1,080 Ft? 2 12.5Ft. - _ Well 100+ 100+ 100+ 100+ 100+ TANK ID Septic ❑S.T.E.P. ❑Holding ❑Other Manufacturer Capacity Surface Water 100+ 100+ N/A N/A Anchorage Tank 1,000Gal. Material Number of compartments Lot Line 5+ 10+ N/A N/A Steel 2 NA Foundation 5+ 10+ N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A Gal. Pump on level at Pump off level at High water alarm at Remarks in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 drainfield tod 3034 Installer White Raven Development Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspection 1s' 7/18/2017a Location and description dates 2" 7/20/2017 s`° 7/20/2017 a" Top of Trim NE Corner COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp `t��Nt\`l Conditional Approval: Date '( At'46k5! 0 .tteven . FSannone ��1.•. CE 8149 ,0� Approved ( Gti 1 Date l (-2-C>17 I r �; ( IIN\X\tom,~► Inspection Report_1-1-12.doc \� SWING TIES I WELL (E) A B C \ D E 12 21.6 21.1 WELL 60.20 72.00 C4 80.5 75.7 .i RESERVE DRAINFIELD (P) (2EA) 45LF x 2.5'W x 6.0'ED x 10.0'TD ! :'11::/ ,ii INSTALL CLEAN OUT AND MONITOR TUBE N AT EACH END WEL_ (L) '11/ S1 • — • 71. • -../...— . 1 ``\ u / M 25' NON DISTURB EASEMENT"-W-----\14 M 4/1 1 / I J 2, I i TH-3- / -/l 1 I (MICHAEL E ANDERSON) + ( r'-- c I M3 _.. t NEW PRIMARY DRAINFIELD W— TH 7 11 0f� .3 (2EA) 45LF x 2.5'W x 6.0'ED x 10.0'TD (MICHAEL E ANDERSON) C41 1.9 92 F� 0 M4 � C1. M1 F ` Pr LWELLIL)L \\\\ >/:- -2M2_ , / LOT 1 '/T2 DC ; -1 " .� / — . Ti _ NEW 1250g SEPTIC TANK 111.7-114‘ !! .41-..,--- ------,----/1/1"--.......,.. M , M / M FC/M A �4 41 M . w _/ _-c B LOT 2 ` a - ,i .yA 11 1-7 w�L W o J�'LI NEW USE4BR /- D 105.6 ---\ N z E ,- / ._ i ,- DRIVEWAY 3 [i[ i j7 '‘ WELL (P _ , __ _ __..., WELL ( ) `g NEW WELL_ ____ o: ,..,.. \_\\\ 10' T&E EASEMENT \ i ''n7--- -X\ . _ / EAST 99TH AVENUE '''' ---i---'-----' ---. " NOTES: PANNONE ENG SVC, LIE .~SOF Aklk Date RECORD DRAWING ��•......:761 k4 11/17/2017 P.O. BOX 100217 ANCHORAGE, AK 99510 �,�p•. Scale PHONE (907) 272-8218 FAX (907) 272-8211 /Gj,• �... '•,y ti _ 50, DRAWN BY: %*' 49 /` *• t7� P.I.D. NO NJC \CI��\• / i -181-43 GROVER PLACE, LOT 1 .. HULTQUIST HOMES, INC. S'te'ven '.nnorae PERMIT NO. 1.•. CE 8149 .�,Q%-% OSP171074 7015 E 99TH AVENUE 9� 6 . _i PLAN ANCHORAGE, AK ,1l`-E'ROFESSIONP� � Sh?et \\\N -� W Z La m m - I-5 5 Qo 0 0 D o ¢ IX 0z z Z W° z .2 0W w QQW J 00-I U U 0 7 U M M U FG EL.92.8(N) FG EL.92.8(N) FG/OC FG EL.94.1 (S) EL.99.6 \ Fc EL.9a.t (5) FILTER FABRIC 00 EL.89.3(N) DRAIN ROCK 6"ABOVE PIPE INV 00 EL.89.3(N) \ _ OG EL.90.6(S) 4"0 DRAIN PIPE OG EL 90.6(S) MICHAEL E ANDERSON EL.92.9 EL DB/OG-1.0 EL.92.3 NEW 1,250g 1�I,\`92.1 - EL.86.6(S) SEPTIC TANK I 85.3(N)-/ c 86.6 S O DRAIN ROCK EL.80.6(s5 I 45.0 I CEL.80 8�S3 GM • PROFILE EL.72.8 L—_16.0 BOH DRY DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,250g PERC RATE: 13.3 MPI SOIL RATING: 0.8 GPD/SF ABBREVIATIONS AREA RQD: 750 SF LEGEND TH TEST HOLE SYS. TYPE: DEEP TRENCH — 6.0'ED W WATER LINE/ P MIN LENGTH: 62.5 LF LINE/ (P) PROPOSED WELL RADIUS (E) EXISTING USED: CO CLEAN OUT NO. (2EA) 45 LFx2.5'Wx6.0' E.D., 10.0' TD SS NEW SEPTIC MT MONITOR TUBE NO. TOTAL AREA: 1,080 SF TYP TYPICAL NOTES: PANNONE ENG SVC, LLC -.., tkDate OF•A11/8/2017 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 �� Cqs�k) A '�P• Scale PHONE (907) 272-8218 FAX (907) 272-8211 ico.• ��� •y 1 DRAWN BY: "al* . ti, '9)• ) , *0,/ NTS NJC r•. allow. �� •' 0 P.I.D. NO GROVER PLACE, LOT 1 ' -„1-43 HULTQUIST HOMES, INC. r Steven R. Pannone / PERMIT NO. p CE 8149 �� OSP171074 7015 E 99TH AVENUE f �s . PROFILE ANCHORAGE, AK I'll le,PROFESSIC Sheet 3\��� Alpine Drilling & Enterprises Well Log Permit Number: #SW171074 Date of Issue: 5-25-17 Parcel Identification Number: 01508143000 Date Started: 7-12-17 Date Completed: 7-13-17 Is well located at approved permit location? ❑ Yes ❑ No Legal Description: Grover Place Lot 1 Property Owner Name & Address: Hullquist Homes Inc. 12580 Old Seward Highway Anchorage, Alaska 99515 Borehole Data: Depth (ft) Method of Drilling x air rotary ❑ cable tool Soil Type,Thickness& Water Strata From To Casing type:steel stick-up 0 2 Wall Thickness: .250 inches Diameter. 6 l at hes 'Depth: 121 feet organics and silt 2 7 Liner Type: gravelly silt 7 15 Diameter: inches Depth:_ feet silty gravel 15 58 Casing stickup above ground: 2 feet water sand&gravel 58 61 Static water level (from ground level): 3" feet silt 61 82 Pumping level: 120 feet after avelly silt 82 87 2 hours pumping 20+ gpm grRecovery Rate: 20+ gpm silt 87 101 Method of Testing: air lift sandy silt 101 117 Well intake Opening Type: water sand&gravel 117 121 x Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 1_g Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size hp Brand Name __._l Well Disinfected Upon Completion? x Yes❑ No WATER Q ITY TE, ;~ .., Method of Disinfection: chlorine tablets Coliform to Cait100mL Nitrates mgt. Comments: 1nir r4BeC_ t1c+L .-__. f Well Driller: Alpine Drilling&Enterprises PO Box 110496 Anchorage AK 99511 Development Services Department • Building Safety Division i Gs RG 0 } t� On-Site Water & Wastewater Program Rtr ...., 4700 Elmore Road l 4: P.O. Box 196650 ` .1i 1 i Mark Begich Anchorage, AK 99507 SA C 7 r Mayor www.rrrunl.orq/onsite (907)343-7904 P Tun Installation Log Well DrillingPermit Number: S W I11( Date of Issue: S12-517)04 Parcel Identification Number: D I 6O (' 30 lial Description P p t74vn r N ec�+► dress: i.ivir a 5riCZ OuLA 5e1.° 1 - 1 Pump Installation Date:ci Ael w 1] f! U Pump Intake Depth Below Top o Well Casing!4? feet Pump Manufacturer's Name:6 )V VINS Pump Model:10,50 b Pump Size 16, hp Pitless Adapter Burial Depth:N 1A fest Pitless Adapter Manufacturer's Name: 1, f Pitless Adapter Installer: 10 Well Disinfected Upon Completion?k Yes❑ No Method of Disinfection: Comments: ikt.dui 'roti co5A . - — - _ -, Pump Installer Name: , ow Pump&Wail Ssrrlce P.O. aox 110496 A ragc, AK 99511.0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. ""' MUNICIPALITY OF ANCHORAGE R►cnc On-Site Water&Wastewater Program \° s^� {, ` PO Box 196650 4700 Elmore Road _ . Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997 httpaJwww.muni.org/onsite ,ti.. �t_� < l,ar�u,� nt 4kCi oO. On-Site Water & Wastewater System Permit Permit Number: OSP171074 Effective Date: 5/25/2017 Work Type: WellSeptic Initial Expiration Date: 5/25/2018 Tax Code Number: 01508143000 Site Legal Address: GROVER PLACE LT 1 G:2439 Site Mailing Address: Owner: HULTQUIST HOMES INC Lot Size in Sq Ft: 46561 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: 0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design, 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: A i.4-,..t/r. i � / Date: Issued By: i1 =� Date: r 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. 015-081-43 Property owner(s) Hultquist Homes, Inc Day phone Mailing address 12580 Old Seward Highway, Anchorage, AK 99515 Site address NSN East 99th Avenue Legal description (Sub'd., Block & Lot) Grover Place, Lot 1 Legal description (Township, Range & Section) Lot Size 46,561 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑X Initial Single Family (SF) ❑X (wlwo ADU) Septic Tank 0 Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. 1111116. k, (Signature of property owner or authorized agent) Permit/Rush Fees: `( Waiver Fees: Date of Payment: tiS�� !�' Date of Payment: Receipt Number: 03B636 Receipt Number: Permit No. OsP 1-i-1 O W Waiver No. Permit App_ • :...c; Pannone Engineering Services tic Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com May 22, 2017 Subject: Grover Place, Lot 1 Septic System and Well Permit Request Design Narrative This is a design narrative for a permit to install a septic system and well to be issued for this property. The proposed system will serve a proposed four (4) bedroom house. Currently the lot is undeveloped. The system will utilize a new 1250g septic tank and conventional drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system. 1. Soils. Two test holes were performed in the vicinity of this system by Michael E Anderson in October 20 15 2034-and February 2016, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 16.0' below the surface in the test hole monitor tube in October of 2015 per S.P and February of 2016, nor was it found in either hole in May of 2016. Bedrock was not encountered in the test hole to 16.0'. Based on the results of the percolation tests and overall soils appearance; an application rate of 0.8 gallons/day/square was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography on the lot generally slopes from south to north, with a slope of approximately 5% in the area of the drain field. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 iPRIMARY / RESERVE DRAINFIELD (P) ...\ ,.._____N\ (2EA) 45LF x 2.5'W x 6.O'ED x 10.O'TD INSTALL CLEAN OUT AND MONITOR TUBE WELL (E) 3 ` AT EACH END M • 25' NON DISTURB EASEMENT__ wf tS` TH-3 (MICHAEL E ANDERSON) P y / ,./.7 7/ 12.0 111,,,.... I .I \ I.,. F� \\ 12.0 _ 5swss TH-7 1 (MICHAEL E ANDERSON) 12'0 u =- �,'------13.2. _13.2 II I FLOW SPLITTER (I='• 1 -'17, f I / +� L WELL[E)1 OI • l 1250g SEPTIC TANK (P) LOT 2 / WITH FOUNDATION CLEAN OUT AND DOUBLE CLEAN OUT 1,n MMM~44 \ M \ik .---- \�, , _, ,,,,_,, .17 \\>--4:- ,,,/ / /� • \ \_. A -------- - II-2k' I \ ill-----ill----- / \ 4BR W102,9 —17H(PjE z, - I a WELL (P 3 wwWELL ( ) 3 LWE ' LL (P) o ..b. __14,----1-------A1- Vi om 4 1 10' T&E EASEMENT ,DESIGN PARAMETERS *. 1 ' PRIMARY/RESERVE SEPTIC SYSTEM \)/ EAST 9TH AVENUI NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,250g . ayly -PERC RATE: 13.3 MPI / , SOIL RATING: 0.8 GPD/SF 3 N AREA RQD: 750 SF \ LEGEND ABBREVIATIONS SYS. TYPE: DEEP TRENCH - 6.0'ED / W\ WATER LINE/ -"IA, TH TEST HOLE \MIN LENGTH: 62.5 LF WELL RADIUS W-- (P) PROPOSED USE: --'44 (E) EXISTING (2EA) 45 LFx2.5'Wx6.0' E.D., 10.0' TD SE NEW SEPTIC CO CLEAN OUT NO. TOTAL AREA: 1,080 SF MT MONITOR TUBE NO. L WFI I fnTYP TYPICAL NOTES: `��nytku Date PANNONE ENG SVC, LLC ` of aL��I s�22�20, FOR CONSTRUCTION P.O. BOX 100211 ANCHORAGE, AK 99510 'c� ‹... (0 / /'tQ.' ,..� Scale PHONE (907) 272-8218 FAX (907) 272-8211 co.. �� *�`i 1"=50' ... Vpilli0:.. P.I.D. NO GROVER PLACE, LOT 1 �-- . 015-081-43 HULTQUIST HOMES, INC. rr Steven conn-. - . PERMIT NO 6 •. CE 8149 . 0SP171074 E 99TH AVENUE 90°4. Ai PLAN ANCHORAGE, AK 1 P� � Sheet 11���` ` 1 OF 2 SPECIAL PROVISIONS TO SPECIFICATIONS 1, ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL NEW SEPTIC TANK AND SOIL ABSORPTION SYSTEM. INSTALL WELL. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 16 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 16 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED-LINE AS-BUILT DRAWINGS TO THE ENGINEER. THE RED-LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN-OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS-BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: . TITLE: DATE: NOTES: ��� �t Date PANNONE ENG SVC, LLC — of Aad u 5/22/2017 FOR CONSTRUCTION 'Q P.O. BOX 100217 ANCHORAGE, AK 99510 • '� S �� PHONE (907) 272-8218 FAX (907) 272-8211 Avg� 4� '� +T Scale S •• •.atoxm ` ..• •• P.I.D.TNO GROVER PLACE, LOT 1 �� �, 015-081-43 ••Steven '. •�annone AO PERMIT NO. HULTQUIST HOMES, INC. CE 8149 E 99TH AVENUE ��} cs ��, OSP171074 DESIGN DFTAII ANCHORAGE, AK +�rp' •p`Es Sheet t0\\��7tPIPOFES9�.1.-1 2 OF 2 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4.4s4l�� ��; 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650,= �• I • 49th l^1 0 SOILS LOG - PERCOLATION TEST ; - Itu-sah ivMICHAEL E. ANDERSON/0 LEGAL DESCRIPTION: Lot 1, Grover Subdivision i�,pNo. CE-4381 ti Hultquist Homes '7-AI.f t S4'5 PERFORMED FOR: SN "...'ESS... • • DATE: 10/1/2015 PROJECT No.: ��T -IKr>••►*M PARCEL ID#: TECHNICIAN: VY. Roberts Professional Engineers Stamp: DEPTH TEST HOLE 3 (feet) l OB/OG SLOPE SITE PLAN 2 3 4 5 See Site Plan k 1< 6 7 8 Silty Gravel GM 9n 1 0 WAS GROUND WATER ENCOUNTERED! No IF YES 04`WHAT DEPTH? I I DEPTH OF WATER AFTER MONITORING: None R DATE OF MONITORING; 5/15/16 12 GROSS TIME NET TIME (INCHES) DEPTH TO NET DROP 1 DATE READING (MINUTES) (MINUTES) WATER (INCHES) ) 14 10/1 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 3:05 1.25" 15 16 ----------- 13.0.H. 2 3:35 30 3.50" 2.25" 3 3:36 1.38" 17 4 4:06 30 3.63" 2.25" 18 5 4:07 1.25" 19 6 4:37 30 3.50" 2.25" 20 PERCOLATION RATE: 1 3.3(MIN/INCH) PERC.HOLE DIA. 6 (INCHES) TEST RUN BETWEEN:4.0 FT. and 5.0 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: 11/2/15 MUNICIPALITY OF ANCHORAGE ioosiiauiviii DEVELOPMENT SERVICES DEPARTMENT i4 •.,�/ w� 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 � 4. •,.'• !1_ +� 49th 1 ' SOILS LOG - PERCOLATION TEST :f- C j, MICHAEL E. ANDERSON • LEGAL DESCRIPTION: Lot 1, Grover Subdivision • •�i , 0. CE-4381 • �+R PERFORMED FOR: Hultquist Homes i o p�, DATE: 2/24/16 PROJECT No.: ++�.iiiwsii.'• PARCEL ID#: TECHNICIAN: L. Betts Professions]EnginarysStamp: DEPTH TEST HOLE 7 (feet) 1 L OB/OG SLOPE SITE PLAN 2 - 4 ti See Site Plan x 6 7 8 Silty Gravel GM 9 10— WAS GROUND WATER ENCOUNTERED? No IF YES(r;WHAT DEPTH'' 11 DEPTH OF WATER AFTER MONITORING: None DATE OF MONITORING: 5/15/16 12 GROSS TIME NET TIME DEPTH TO NET DROP 13— DATE READING (MINUTES) (MINUTES) WATERINCHES) (INCHES) /WATER 14 2/24 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 1 3:22 1.63" 16— B.O.H. 2 3:52 30 3.88" 2.25" 3 3:53 1.50" 17 4 4:23 30 3.75" 2.25" 18 5 4:24 1.75" 19- 6 4:54 30 4.00" 2.25" 20 PERCOLATION RATE:13.3(MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 4.0 FT. and 5.0 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 WITI-I ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 4/18/16 •-11;-:- Municipality of Anchorage (\7/ lei' 4) On-Site Water and Wastewater Program .z ,,,�V y Z�u":-� lVI (907) 343-7904 A -:l 115ID A- Certificate of On-Site Systems Approval ,. ���/ 58 9 - Parcel I.D. 015-081-43 Expiration Date: 2-'-26 1. GENERAL INFORMATION Complete legal description Grover Place, Lot 1 Location (site address) 7015E 99th Ave Current Property owner(s) HUltquist Homes Inc Day phone Mailing address 12570 Old Seward Highway Ste 204 Acnhorage, AK 99515 Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received b�✓- , 1', A , A_ _ C__L-1Date: I J I�1 iCOSA to be released to the engineer,unless otherwise requested by he gineer. COSA Fee $ Coq.Od Waiver Fee $ Date of Payment /1/15711 Date of Payment Receipt Number GVt2la6,) Receipt Number COSA# , 3, e—l9-/53(4 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. In conducting an adequacy test, I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 11/10/2017 -hof ALA41 • 6. DSD SIGNATURE • ••••444101k+' System#1 Approved for `f bedroomsj •Seven R. Pannone System#2 Approved for bedrooms 4143; • CE-8149• .; �P Disapproved 11R`5S��� Conditional approval for bedrooms, with the following stipulations: \NTYOF ON-SITE,, WATER AND WASTEWATtj z , PROGRAM o= 'YrSERV. .�J — (Original Certificate Date: I -2C.) ( / 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 —K-- Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r - • 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- Grover Place, Lot 1 Parcel ID: 015-081-43 A. WELL DATA Well type Private If A, B. or C provide PWSID# Well Log (YIN) Y Date completed 7/13/2017 Sanitary seal (YIN) Y Wires properly protected (YIN) Y Total depth 121 ft. Cased to 121 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 7/13/2017 New Static water level 37 ft New ft. Well production 20+ g.p.m. New g p.m WATER SAMPLE RESULTS: r Coliform f��/ M colonies/100 mL Nitrate i( mg/L Al I Arsenic 9 ug/L Date of sample: � l ^ g'-r7 Collected by: `t�S B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 7/20/201 7 Tank size 1 ,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping New Pumper N/A C. ABSORPTION FIELD DATA 7/20/2017 Soil ratingz z 0.8 GPD/SF Deep Trenches Date installed (g.p.d./ft orft /bdrm) System type Length 45/45 ft. Width 2.5/2.5 ft. Gravel below pipe 6/6 ft. Total depth ft. Eff. absorption area 1 ,080 ft' ,s Monitoring tube Y Depression over field Date of adequacy test New Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 600+ g.p.d No Any rejuvenation treatment (past 12 mo.) (Y/N &type) 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 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION SOF q�t� I certify that I have determined through field inspections and ,.4le1:<. �1,-.1-A review of Municipal records that the above systems are in 0*. •c L /\ ••* A conformance with MOA COSA guidelines in effect on this date. V--..,- '..• ``* I Engineer's Printed Name Steven Pannone r' S even•IR. Pannone. 15 Date 11/10/2017 6.vz-. CE-8149 .... 1: IkVi \:2'' \iN1�� COSA canary sheet_2-6-15.doc • • Municipality of Anchorage 7 v: . •` t T Development Services Department Building Safety Division SA ETY 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 # OSC 171534 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 1 of Grover Place subdivision. This inspection revealed a nitrate concentration of 6.11 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. 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 media 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. Lot 2A S89'58'12"E 155.00' I S Lot 2 SS t) 00 '- Lot 2 d SS o 3 Lot 1 N 46,561 sf r) QQapppO� Ci _ 4 0 ro 00���'O F'''�'�S�V z • p 2 p*�P 49TH i�� ��t 11.3' © 'raj 4 —;:'r 47.9 c 39.7 0 p m •.Thomas H. Dreyer:' 0 0 27.5' N n28.6' o �� �Q z LS-7625 •' A Oil ee,Existing House r; "' �Dop4 r°fesalonot 4 a" po�d co Ln 32.1' in _ot 1 O N 22.3' 10' T&E Easement S89'59'25'W 155.00' p O NI r7 East 99th Avenue Ordered by. S4 Hultquist Hames Inc. Legal Description: Asbuilt Legend: Lot 1, Proposed Well Grou p Grover Place Subdivision Septic o Pavement Land Surveying Survey Certification: I hereby certify that a Mortgagee's Land Development Consultants Inspection was performed on the described property. Overhang H41114441 Subdivision Specialists Notes: It is the owner's responsibility to determine the Wood Deck existence of any easements, covenants, or restriction Construction Surveying which are not on the recorded subdivision plat. This Concrete Thomas H Dreyer, P.L.S. asbuilt shall not be used for construction or for 124 E 7th Avenue establishing property lines. Anchorage, Alaska 99501 Checked by. THD Drawn by. CB Scale 1" = 40' Grid SW2439 (907) 306-8104 mail@S4AK.com Job 2017-43 Field Book: XXX Plat 2016-74 Date: 10/31/2017