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HomeMy WebLinkAboutGROVER PLACE LT 4rove sem'' Fa r a .�;=�a�''"�i ���z� �' `mow �.: „r,axF kP s Municipality of Anchorage Community Development Department Page 1 of 2 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 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181064 PID Number: 015-081-46 ❑✓ New ❑ Upgrade Name: WHITE RAVEN DEVELOPMENT ABSORPTION FIELD Address El Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 7185 E 99TH AVE 0 Other Phone Number of Bedrooms Soil Rating Total depth from original grade j 0.8 GPD/SF 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.0 R. 6.0Ft. GROVER PLACE 4 Fill added above original grade Gravel length Township Range Section 0.0 Ft. 45/45 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 2.5Ft. Ft. Tot Septic Absorption Lift Station i Holding Sewer Total absorption area Number of trenches Dist.between trenches From I Tank Field Tank Line 1,080 Ft2 2 12.OFt. Well 118.2 125.9 N/A N/A 86.7 TANK I Septic 0 S.T.E.P. 0 Holding 0 Other Manufacturer Capacity Surface Water 100+ 100+ N/A N/A ANCHORAGE TANK 1500Ga1. Material Number of compartments Lot Line 62.7 50.1 N/AI N/A STEEL 2 NA Foundation 31.2 34.9 N/A ; N/A LIFT STATION I Manufacturer Capacity Curtain Drain 50+ I 50+ N/A N/A Gal. Pump on level at Pump off Igoe at High water alarm at Remarks in. in. in. Pump ma nd model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield WHITE RAVEN/BRIAN HARTEN Drainfield 3034 CO/MT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 96.0ft Inspection „ Location and description dates: t 5/15/18 2nd 5/23/18 3' 5/23/18 a"' 10/22/18 BOTTOM TRIM AT HOUSE POINT A COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF mAk Conditional Approval: Date A.Is, s —�41 -- - ---- fit • tteven••.•f annofpe•� CE8149 Appy.-;--. _ . 1y/ Date /0 3� ��E }kli F OFE'S�t A` ... _._ �l\ka��� Inspection Report_1-1-12.doc Sr- - - -/-77---/ DESIGN PARAMETERS 25' NON DISTURB EASEMENT `I PRIMARY/RESERVE SEPTIC SYSTEM x ' / -NO. BEDROOM: 5 (750 gpd) / ��� ,„-- TANK SIZE: 1,500g1 PERC RATE: 12 MPI / I I\ �I SOIL RATING: 0.8 GPD/SF 84 / / 1 AREA RQD: 937.5 SF o SYS. TYPE: DEEP TRENCH - 6.0'ED < / / / 1 i MIN LENGTH: 78.1 LF / / / -TH-5 Z •• (MICHAEL E ANDERSON) USED: 7 / SEPTIC AREA(E) N (2EA) 45 LFx2.5'Wx6.0' E.D., 10.0' TD/ / / M3/ / TOTAL AREA: 1,080 SF '� r C3 I I c' I 1 J -' � 86 • 1 / INSTALLED DRAINFIELD // 1.. pr(2EA) 45LF x 2.5'W x 6.0'ED x 10.0'TD i ( 88 J /I �/ 2 / INSTALLED CLEAN OUT AND - ---.. 12.0 • ; C_ MONITOR TUBE AT EACH END J_ / 4 C4 ` le i FLOW SPLITTER L i wa Iv 3 i �' DCO. / / - . 90 C1 / 1 ------ _,/0,‘ M1 /� T2 f �/ T1 INSTALLED 1500q SEPTIC TANK w/ FC BEFORE, & DCO AFTER ACANT ' / �� I A// � F / / - OR TICS ` � j / 1 / 96 / _ w r 1 A B ,S' 125.9 Z! 4 / 118.2~ / % \ -- FC 7.4 14.6 _ 98 58R /' /� w o Ti 34.9 33.0 7- / '1HOUSE % / �\ w' w 1 T2 44.7 42.4 / 100 a / A ¢ O DCO 47.5 44.9 • / z� - W , f C1 35.6 43.3 / O2 M1 38.9 45.0 / i / ~ D C2 77.6 76.4 J / 104 --- f / , 1 SEPTIC AREA (E) M2 79.1 81.8 -WELL (P) 106 SWELL 77 - ...._ - C3 82.3 84.5 r / � /108 / / / i ' I I •-i i M3 78.8 81.7 10' T&E EASEMENT/ // . - / r C4 44.8 56.3 1/ 7 J / ?' ' �- / M4 47.2 57.0 / `� j / EAST 99TH AVENUE / _ � / r- Z w N -= 7 D a < ¢0 0 0 5 v mn RW W W J I O t ...- 1 L-U U OG. 0 oo E, = z FILTER FABRIC a TT o 00.FG. W d 95.0 __ DRAIN ROCK 6"ABOVE PIPE INV TRENCH 1-93.0 2_+ 7 i '' �. A= -ORAIN.212E TRENCH 2-92.0__ TH-ANDERSON - t Cal 2 -_.-r ---L_-_ ® -- - 3 BOA / 1500 g SEPTIC \ 4 TANK 907 r / s T1:89.0 III 6 T2:88.o 6.0•DRAIN ROCK Tt:89.0 7 T2:88.0B DRY: PROFILE SCALE:NTS 5/5/16 10 L 16 ., DATE PERFORMED:„ 2/24/16 '.y- NOTES: PANNON L•7�T/'! SV LLC C 4������`u, Dote RECORD DRAWING P.O. BOX 11002217 ANCHORAGE, AK 99510 ,�'(�9F A�9�,llt 8/23/2018 PHONE (907) 272-8218 FAX (907) 272-8211 g' '' ' -.9.;f- 0 Scale j*: 49ill *9 1"=50' P.I.D. NO DRAWN: ACP -4-1/i. /GROVER PLACE, LOT 4 /1015-081-46 WHITE RAVEN DEVELOPMENT I r Steven R. Ponnone PERMIT NO. E 99TH AVENUE #(.'s •.• CE 8149 Vii/ OSP181064 PLAN ANCHORAGE, AK f t>14;Fo• •• .0 Sheet l,k pRoFEss`o1 _ ‘XM\rC` 2 OF 2 Certified Drilling Log DOC CO dba $ULLIVAN LL 13‘ WATER WELLS P.O. Box 670269,Chugiak,AK 99567 688-2759 OWNER OF LAND: Hultquist Homes Bore Hole Data ADDRESS: Depth LEGAL DESCRIPTION Grover Place Lot 4 From To DATE: 9-19-18 0 2 Casing Stickup PERMIT NUMBER: OSP181064 DATE OF ISSUE: 5-3-18 TAX IDENTIFICATION NUMBER 01508146000 2 4 Overburden Is well located at approved permit location:®Yes nNo 4 15 Silty Sand &Gravel Method of Drilling: fair rotary Ecable tool 15 39 Silt&Sand w/Some Gravel Depth of Well: 124' 39 70 Silty Sand&Gravel Casing Type: Steel Wall thickness .250 inches 70 90 Wet Silt Sand&Gravel Diameter: 6 inches, depth 124 feet Liner type 90 107 Clay&Gravel Wet Static Water Level: 67 feet 107 115 Clay&Gravel Recovery Rate 15 gpm n gph 115 124 Sand&Gravel Water Method of Testing Air Well Intake Opening Type: open end reopen hole ri Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth:from 2 feet,to 42 feet Well Disinfected Upon Completion: Flyes ri no Method of Disinfection: Chlorine 50 PPM Comments: JALITY TESTING 'I\{•e g Co1/100mL Ni rair, V m©/L ,:. n•111— u Drillers Name: Cole 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. MatSu Borough:Department of Environmental Conservation. DOC CO dba 'i ULLIV8. AN WATER WELLS P.O.Box 670269,Chugiak,AK 99567 688-2759 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number:SW OSP181068 Date of Issue 5-29-18 Parcel Identification Number: 01508145000 Legal Description Property Owner Name&Address Grover Place Lot 4 Hultquist Homes Pump Installation Date: 10-2-18 Pump Intake Depth Below Top of Well Casing: 110 feet Pump manufacturer's Name: F&W Pump Model: 4F07P053015 Pump Size: 1/2 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: White Raven Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Attention:The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. �. `� MUNICIPALITY OF ANCHORAGE enc f • On-Site Water&Wastewater Program o m �P^ / • /• r PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite 4;,cH ORr On-Site Water & Wastewater System Permit Permit Number: OSP181064 Effective Date: 5/3/2018 Work Type: WellSeptic Initial Expiration Date: 5/3/2019 Tax Code Number: 01508146000 Site Legal Address: GROVER PLACE LT 4 G:2439 Site Mailing Address: 7185 E 99TH AVE, Anchorage Owner: HULTQUIST HOMES INC Lot Size in Sq Ft: 49557 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 5 This permit is for the construction of: 0 Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 2 Private Well 0 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: 4 ' PO / Date: Issued By: falletC4 • // Date: 5 3 I, E77jriT1kTk' NFTUHMPAUTY OF QNCHORAGE 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, 015-081-46 Property owner(s) Hultquist Homes Inc. Day phone _ Mailing address 12570 Old Seward Highway, Ste 204, Anchorage, AK 99515 Site address NHN E. 99th Avenue Legal description (Sub'd., Block & Lot) Grover Place, Lot 4 Legal description (Township, Range & Section) Lot Size 49,557 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: (® all that apply) APPLICATION IS AN: TYPE OF DWELLING: Absorption Field ❑X Initial FR Single Family (SF) ❑X Septic Tank Q Upgrade El(w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well F Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. kz-)Ignature or property owner or authorized agent) Permit/Rush Fees: TD Waiver Fees: Date of Payment: L, g Date of Payment: Receipt Number: 0(1(4S--,3C-� Receipt Number: Permit No. 1615ap1710(a�/ Waiver No. Permit App_:-:. :-.,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181064, Rebecca Carroll, 05/03/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181064, Rebecca Carroll, 05/03/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181064, Rebecca Carroll, 05/03/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181064, Rebecca Carroll, 05/03/18 EPLM1 • 41 "° Municipality of Anchorage °' On-Site Water and Wastewater Program (907)343-7904 SAI Certificate of On-Site Systems Approval Parcel I.D. 015-081-46 Expiration Date: I - ^ jq 1. GENERAL INFORMATION Complete legal description Grover Place L4 Location (site address) 7185 E. 99th Ave Current Property owner(s) HUItgUISt Homes Inc. Day phone Mailing address 12570 Old Seward Hwy. Anchorage, AK 99515 Real Estate Agent Day phone 2. TYPE OF DWELLING: Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: a t I Y- 1 Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ [o'i.$O Waiver Fee $ Date of Payment /0/238'3 Date of Payment Receipt Number 0(01tig(7 Receipt Number COSA# Q G1 7 /`�712 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 focal 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) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R Pannone Date 10/23/2018 ? l I.LVA 6. DSD SIGNATURE _ /•'•4'i7����•• •• }� System#1 Approved for bedrooms SI 1t.•Ptinnorie• r / System#2 Approved for bedrooms �� g . CE-8149 Disapproved Ell, �OFES�t Conditional approval for bedrooms, with the following stipulations: es‘- i7JL�/>(.. ON-SITE WATER AND WASTEWATER cc) PROGRAM 6. L",„ C_.'. c . By: Original Certificate Date: /6 -3) —17 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 blue sheet • If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Grover Place L4 Parcel ID:015-081-46 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log(Y/N) Y Date completed 9/19/18 Sanitary seal (YIN) Y Wires properly protected(Y/N) Y Total depth 124 ft. Cased to 124 ft. Casing height(above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 9/19/18 NEW Static water level 67 ft. ft. Well production 15 g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform iF,6-- colonies/100 mL Nitrate ND mg/L Arsenic v% /2- ug/L Date of sample: 10/22/2018 Collected by: PES B. SEPTIC/HOLDING TANK DATA . Tank Type/Material Septic/Steel Date installed 5/15/18 Tank size 1500 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/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 6/15/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 System type Deep Trench Length 45/45 ft. Width 2.5 ft. Gravel below pipe 6.0 ft Total depth 10.0 ft. Eff. absorption area 1,080 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW 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.)(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 1001+ On adjacent lots 1001+ Absorption field on lot 100 + On adjacent lots 100 + Public sewer main 75'+ Public sewer manhole/cleanout 1001+ Sewer/septic service line 251+ Holding tank 100 + Animal containment areas 50'+ Manure/animal excrete storage areas 1001+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 101+ Property line 101+ Absorption field 101+ Water main 25'+ Water service line 25'+ Surface water 1001+ Wells on adjacent lots 100 + ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 101+ Water main 101+ Water Service line 25'+ Surface water 1001+ Driveway,parking/vehicle storage 10+ Curtain drain 50'+ Wells on adjacent lots 1001+ F. COMMENTS G. ENGINEER'S CERTIFICATION '��`\�� .� .of A,r~gs\k� I certify that I have determined through field inspections and eCO3- review of Municipal records that the above systems are in * •• 11-1 %\. *7 conformance with MOA COSA guidelines in effect on this date. ®k�`�Se0 •••- 0 Engineer's Printed Name Steven Pannone '':Steven R..Isonnorie:' 10/23/18 61;-.. ��% CE-8149 Date { COSA canary sheet_2-6-15.doc r" ...: .. .:: ,.: .S89'58•12-F 155.49' Iisi ....._ :!.t; ...: 'i ...• !. ..i < 30' 1 i.Ot 4. S4 , : c...s.;:nb."70••• S', •.'E ..•••• i. • • . .c...•:- ,-... ',.%• ..-c•-• ru.• 4 i ms., , • .1-7-e' \-" .: •:,,,-k: :,•••• .13 -+:.!:.pl!, ?, :-: ,f,.!“-.:•*• - •. •- i . ..0(.'").• zt Q:19 N .7„.v/i • la ,, 1.4 • 1:::, /J./ _ rd.io - - H./ - /.v..-ty, -: .p • : 0 Thornoe H. Drey ?...a er: % :•1 cs.1 vi,s4. . ,. .,..... : 04...' -9,... • 1.....:-,b.to ..-..• .4- . (s)T :; 14:,f),. •• ...„:••r• . ,.:..,,t,i' .,..5: (1) :r7•:..• ...(•.'k • 44\ ..). 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