HomeMy WebLinkAboutGREEN PASTURES LT 1 Onsite File
Green Pastures
Lot 1
#051 - 283 - 32
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: OSP181187 PID Number: 051-283-32 New
❑ ❑Upgrade
Name:
JEREMY & NICOLE RUESNIK
ABSORPTION FIELD
❑ Deep Trench ❑✓ Shallow Trench EJ Bed El Mound
Address
17911 ALMDALE AVE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
5
5 GPD/SF
4.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.0 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
GREEN PASTURES 1
Fill added above original grade
0.0 Ft
Gravel length
2@30 Ft
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
N/A
Distance between lines
N/A Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
3002
Ft`
10.9 Ft.
Well
101.3
113.9
117.5
N/A
75.8
TANK ❑ Septic [D S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ADVANTEX
Capacity
2500G,1.
Surface Water
100+
100+
100+
N/A
Material
Number of compartments
Lot Line
65.7
44.0
65.1
N/A
FIBERGLASS
2
NA
Foundation
25.3
i 41.4
41.9
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
50+
50+
50+
N/A
ORENCO
500 Gal.
Remarks
Pump on level at
TIMED in.
Pump off level at
in.
High water alarm at
45in.
Pump make and model
P2005
Electrical Inspections performed by
907 ELECTRIC
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
FISCHER BROTHERS
Drainfield 3034 CO/MT 3034
Inspector Pannone Engineering Services
BENCH MARK (Assumed elevation) 330.0ft
Inspection:,
dates: 10/10/18 2nd 10/11/18
Location and description
3°' 10/11/18 4" 11/6/18
SE BOTTOM TRIM
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
Conditional Approval: Date
TH
tteven loon .norae �
8149
Approve v� Date —1
?D Otap `•
1 I RUPUI I_ 1- 1 - 1 L.000
PRIMARY DESIGN PARAMETERS
Ct
B
FC
1 7.8
30.0
3 0
��41.8
TI
26.7
I—A
T2
NO. BEDROOM: 5(750 gpd)
12
52,2
44,7
56.4
ELS
M "�
E
TANK SIZE: 25009 ADVANTEX CATIII
:75�,9
M2
62.5
71.7
M3
PERC RATE: 7.83 MPI
570
M4
75.7
79.7
SOIL RATING: 5 GPD/SF
AREA ROD: 150 SF
REDUCTION FACTOR: 1.0
ADJUSTED ABSORPTION AREA: 150 SF
WELL
SYS. TYPE WIDE 0.5'ED
MIN LENGTH: 30 LF
30.0LFx5.0'Wx0.5' E.D., 4.5' TD
TOTAL AREA: 150 SF
RESERVE DESIGN PARAMETERS
R
'BR
101.3
NO. BEDROOM: 5(750 gpd)
L SFJD
i — A
1,8 '\
TIC
i
TANK SIZE: 25009 ADVANTEX CATIII
113.9
AREA
PERC RATE: 7.83 MPI
I
SOIL RATING: 5 GPD/SF
0
AREA ROD: 150 SF
\ INISTAL' ED 25 00' ADVANTEX
REDUCTION FACTOR: 1.0
f r!
TANK W/ 2 EA AX -20 POD
ADJUSTED ABSORPTION AREA: 150 SF
W1 AUX PUMP VAULT AND W1
SYS. TYPE: WIDE 0.5*ED
T
FC BEFORE TANK
MIN LENGTH: 30 LF
USED:
10.9
30.OLFx5.0'WxO.5' E.D- 4.5' TD
INSTALLED PRIMARY ABSORPTION
AREA
TOTAL AREA: 150 SF
DRIVEIIVI�Iiy
30LFx5.0'V1x0.5'E.D.,4.5".D.
TH-
1.25"o PIPE W1 0.125 DRILLED
HOLES
Z
Ct
B
FC
1 7.8
30.0
3 0
��41.8
TI
26.7
I—A
T2
39.9
12
52,2
44,7
56.4
ELS
M "�
E
48.1
:75�,9
M2
62.5
71.7
M3
63.9
570
M4
75.7
79.7
Z
Ct
0
D
<
Z
<
C)
CC. FC.
330.0
I—A
AX20 I Aa2-0
2500g ADVANTEX
TANK
PROFILE
SCALE; NTS
as 18" O.C. W/ MTs AT ENDS OF FIELD
44�0 "INSTALLED RESERVE ABSORPTION AREA
-30LFx5.O'Wx0.5'E.D.,4.5'T.D.
1.
T,
5"0 PIPE W1 0.125" DRILLED
LED HOLES 18"
rl— _ 2 )20 R.O.�A/. A Util ReserO.C. W/ MTs AT ENDS OF FIELD
AL\VDALE AVE
r
Ct
Z
D
2
10
0
D
10
z
CONNECTED RA.,NMCK
0
Co. FG,
r
Ct
CONNECTED RA.,NMCK
TO L41DDLE:
OFEACH
FIELD
3i&5 'I-,
- kN-- --
o.m
NOTES: PANNONE ENG SVC, LLC Date
RECORD DRAWING P.O. BOX 102954 ANCHORAGE, AK 99510 1/7/2019
PHONE (907) 272-8218 FAX (907) 272-8211 Scale
*: 1 "=50'
.... .. ..... P.I.D. NO
GREEN PASTURES Ll -361, 283-321
DRAWN JEREMY & NICOLE RUESNIK
PERMIT NO.
CE 8149 OSPI81187
179111 ALMADALE AVEEAGI-E RIVER, AK ...... Sheet
2 OF 2
OWNER OFLAND:
ADDRESS:
LEGAL DESCRIPTION:
DATE
PERMIT NUM8ER:OahsOf|sSu8�
TAY, IDENTIFICATION NUMBER: 051 - -
k;well located sdapproved permit location? >,"�- []No
Method of Drilling: e*oir notary i] cable tool
Depth nfwell:
Casing 7ypefI�e���_�WaUThickness —inches
Diameter inches, depth feet
Liner Type:
Casing Stickup Above Ground: feet
Static Water Level: feet
Recover Rate: I ___gpnn
Method of Testing: `
Well Intake Opening Type: .D open end *�,�open hole
[lScreened; Start _______feet Stopped ______-feet
'i Perforations Start _____ feet Stopped _____feet
Grout Type: Volume 105
Depth: from feet, to ha8t
Well Disinfected Upon Completion? "d.Yeo JNo
Method of Disinfection:
"
_
ATTENTION: It isthe responsibility of the property owner to submit acopy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Ma\Su Borough:
Legal Description
Green Pastures Lot I
Pump Installation Date: II,I3'18
Pump Intake Depth Below Top ufWell Casing
Pump manufacturer's Name: F&VV
Pump Model: 4F07G1030I
Pump Size: l
PidessAdapter Burial Depth: 10
Pit|essAdapter Installer: Unknown
Disinfected Upon Completion? 0 yes
Method ofDisinfection: Chlorine 5OPPM
Comments: Pit|essWlanufacturer Martinson
Pump Installers Name: Sullivan Water Wells
Property Owner Name &Address
Jeremy & Nicole Ruesink
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump insta
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roe MUNICIPALITY OF ANCHORAGE sent
On-Site Water&Wastewater Program N.0 ��,
�.� PO Box 196650 4700 Elmore Road
•
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,� r.
http://www.muni.org/onsite 46y
Dcpartmcnt
On-Site Water & Wastewater System Permit
Permit Number: OSP181187 Effective Date: 7/27/2018
Work Type: WellSeptic Initial Expiration Date: 7/27/2019
Tax Code Number: 05128332000
Site Legal Address: GREEN PASTURES LT 1 G:0753
Site Mailing Address: 17911 ALMDALE AVE, Eagle River
Owner: RUESINK JEREMY & NICOLE Lot Size in Sq Ft: 49199
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 5
This permit is for the construction of:
21 Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 0 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 LSpecial Provisions: During the Land Use Permit review, it is likely that the Plot Plan will change quite a bit.
This may trigger a change in the approved Onsite design. A change order may be required.
' tfth
R 0 eceived By: i/� ,1�,_,Filp , ��� Date: A
`�i,
Issued By: ,ll �4� Date: 7A Ir 9
MUNICIPALITY OF ANCHORAGE
VS
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. 051-283-32
Property owner(s) JEREMY& NICOLE RUESINK Day phone
Mailing address 22633 JUDD CIRCLE, CHUGIAK, AK 99567
Site address 17911 ALMDALE AVE
Legal description (Sub'd., Block & Lot) GREEN PASTURES L1
Legal description (Township, Range & Section)
Lot Size 49,199 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field 0 Initial 0 Single Family (SF) 0
(w/wo ADU)
Septic Tank 0 Upgrade ❑
Holding Tank ❑ Renewal Duplex (D) ❑
❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well 0
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.
-VI
(Signature of property owner or authorized agent)
Permit/Rush Fees: 4'78 •VD Waiver Fees:
Date of Payment: II ??l g Date of Payment:
Receipt Number: Dot ( J 0 Receipt Number:
Permit No. OS 08118-7 Waiver No.
le
Permit App_:-: ....,.c `f i[ J i
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181187, Deb Wockenfuss, 07/27/18
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181187, Deb Wockenfuss, 07/27/18
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT,herein the"AGREEMENT"made and
entered\ into as of this d 5 Day of Ji (y of 20 13 , by and between
,3A.rny 4-Alleat— Z.,.. s,,,x. , ,herein the"OWNER,"and the Municipality of
Anchorage, herein the"MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein,the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as 44C0 <
located at(legal description) 1711! Al mdake-- Ate-, C 6. "tit 1 A%c.. SS 5.77
— — Gat I , 6,-rel aaS1un,
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
Throughout the term of this Agreement, the Owner shall enter into a service agreement
V/f-'
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
• It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs,and inspection costs. This
includes an annual maintenance fee(typically$400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
i-Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system,which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
VAOwner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
vi,
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
"I' Owner agrees to grant the Municipality reasonable access to test and inspect the
lotAWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On-Site Systems Approval.
i___*Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction,maintenance and repair of the Owner's AWWTS.
id'irt'Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system,or upon transfer of title,and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions,nor in any way affect
the validity of the Agreement or any part hereof,or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev.05/18/2018) Page 2 of 3
OWNER:
By:, a /qie.,,,,,,,,-,1,_ (signature) Date: 7/2(9()g
SPE• *141..►-sta-tcf fllc..L.N e,,..-2,..,4print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoin i tr�ru�m�� e twas acknowledged before m this��day of 714,17/ ,
20 ) ), by �it�G Al 1./tole �K
l i
NOW Y PUBLIC F R ALS /Q -✓NOTARY PUBLIC
My Commission expires: 02, 05 O JEAN STOVER
STATE OF ALASKA
i ? COWSSION EXPIRES DECEMBai 03,201e
MUNICIPALITY:4
By: ..-l�ds�l--tV-- - (signature) Date: J7�7i-/
nSS (print name) Title:
(rev. 05/18/2018) Page 3 of 3
Parcel I.D. 051-283-32
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Complete legal description Green Pastures L1
Location (site addresso% 17911 Almdale Ave
Expiration Date: q-11-1?
Current Property owner(s) Jeremy & Nicole Ruesink Day phone
Mailing address 22633 Judd Circle Chugiak, AK 99567
Real Estate Agent
2. TYPE OF DWELLING:
FLI Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual
0
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver/Variance request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ �J� , �/ p Waiver Fee $
Date of Payment ` 1 I ` r Date of Payment
Receipt Number ff 0 9 l i7y Receipt Number
COSA # 06C 9 16 (13 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
Address P.O. Box 1807 Palmer, AK 99645
Phone (907) 745-8200
Engineer's Printed Name Steven R Pannone ► Date 1g 123
OF !41„
'1r Tli
6. DSD SIGNATURE
X_ System #1 Approved for bedrooms S�everi X f�tiriritirie
CE -8149
System #2 Approved for bedrooms ���4'•. �
Disapproved !!�N .8?OFE551d+'�"
Conditional approval for bedrooms, with the following stipulations:
C
By: �-- Original Certificate Date:
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 sheeU .. c
—
If more than I septic system isonthe lot:
COSACheck|iu1#Iof�__
Structure served bythis system 1____
Certificate of On -Site Systems Approval Checklist
(�FB9D��@SfV[8SL1
Legal Description:
A.WELL DATA
Well type Private |fA.B.urCprovide PVVG!D#
\/
Date completed _________ 9/11 /18 Sanitary seal (Y/N)___
Total depth 400ft. Cased to`84 ft.
FROM WELL LOG
Date
9/11/18
—� ��
��
S�o����
Well production 1on
WATER SAMPLE RESULTS:
ft.
Coliform NBg OOmL Nitrate ND mg/L
ug/L Date 12/17/18
Arsenic e_________
B.SEPTIC/HOLDING TANK DATA
TankType/k8e0oriu| AdV8Ot8X/Fib8[gl@SS
Tanksiza2500 go|. Number ofCompo�nen(s2
Foundation cleanout (Y7N)Y Depression over tank (\YN)N
Date ofpumping NewPumper
Parcel ID: 051-283-32
�Y
__- �����____
Wires properly protected (Y7N)Y
Casing height (above ground) 24in.
AT INSPECTION
New
Q1zm-
SullivanCollected by: Water Wells
1��1��1�
Da���a||od_______
C|eanouts(Y0J)Y
Y
High water alarm (Y/N) __
C.ABSORPTION FIELD DATA
Date installed 10/11K19 Soil rating (g.p�.1ft2mK4bdnn) 5{�X}d System type Wide trench
Length 30/30 5
�� Width '0 k. Gravel below pipe 0.�_____5 ft.
Total depth 4.5 ft. Ef[absorption area 300 °c Monitoring tube \' Depression over field Kj
Date ofadequacy test New Results (Poas/Fa||)For bedrooms
Fluid depth inabsorption field before test in. Water added_______gal. New dop(h_____in.
Elapsed Time: min. Final fluid depth in. Absorption rate >=g.p.d.
Any rejuvenation treatment (past 12mo.)(YYN&type) Ifyes, give date
________
D. LIFT STATION
Date inst10/11/18 a||ed Size ingallons 500
. Tinned ---
"Pump on" at Timed ^Pumpo�' |eve| a�__.
Datum Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
1��'f
Sep��n��e�U�onk�____
Absorption field onlot 100'+
Public sewer main 75'f
Sewer /septic service line 25+Animal containment areas
50'f
SEPTIC/HOLDING TANK ONLOT TO:
a
Manhole/Access(YYN)Y
4�
Meets alarm &circuit requirements?
100'+Onad�ma�|o�
0nadjacent lots 100'f
Public sewer manhole/cleanout 100'+
Holding tank 100'f
Manure/animal excrete storage areas 100'f
Building foundation 10'f on Property line 10'f
25'+ 25'f
Water main Water service |ina_____
Wells nnadjacent lots 100'+
ABSORPTION FIELD ONLOT TO:
Property10'f |ine Building foundation 10'f
'
Water Service line 25+ Surface water 100'f
Curtain drain 50'+ Wells onadjacent lots 100'f
F. COMMENTS
G. ENGINEER'S CERTIFICATION
/oertify that /havo determined through field inspections and
review ofMunicipal records that the above systems are in
conformance with MOA COSAguidelines /neffect onthis date.
Engineer's Printed Name Steven Pannone
cos«canary xheeLu-6-1s.do
1�'f
Absorption field
Surface water 100'f
Water main 104
Ddvemmy, parking/vehicle osge101f
in.