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HomeMy WebLinkAboutEMERALD GROVE LT 2Onsite File Emerald Grove Lot 2 #015-521-48 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201185 PID Number: 015-521-48 Dwelling: FIR Single Family (SF) ❑ with ADU ❑ Duplex. (D) ❑ Two Single Family Project: Q New ❑ Upgrade Name Hultquist Homes ABSORPTION FIELD Q Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address NHN Baronik Street ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 0.6 GPD/SF JTotal 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 6.0 Ft. Subdivision Block Lot Emerald Grove 2 Fill added above original grade 0.0 Ft. Gravel length 2@ 50 Ft. Township Range Section Gravel width 2.5 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption g i Holdin Sewer Total absorption area Number of trenches Dist. between trenches From ( Tank Field Lift Station Tank Line 1200 Ft2 2 12+ Ft. Well 100'+ 100'+ 25'+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. ( Surface Water 1001+ 100'+ Material Number of compartments 1 1 I Lot Line 5'+ 10'+ I I NA HDPE 2 Foundation10'+ 10'+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer White Raven Drainfield 3034 cO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 532 It Inspdeatio v, 10/29/20 d 10/29/20 Location and description 2„ Td 10/31/20 41" 12/23/20 1 Bottom Trim @ B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF A�40kk E Steven Puninone 4� 'F��-��v Septic System Approved /d, Date y 9 as 1 19 Note: this approval does not include well permit requirements. kmuv VD/OZ/ i8) tn0 m v D 0.....,. co ON (n ��.ZAJO ql>Z T CO rn -imlrn z(n m- �JZ� v�OCOrr*,�pumi< c�-�zz1v-> rD-O�D z 0 T— t m- O0 to O m C O� om0 mt 1 Z z z m D 0 O to m -C D r O Z n Em (A D -p r- Dr O�cc)> .. DUl z�D �L') m� -�����rilo Z > = �rn..Om _O N K -p -0 41 -P W (..W N N —icnc��Q��D -r� M O N -� mM ------------ U'i W W (-i W W -? -P N -. W P cn m V 0) -P Ut N cD (1i D bo CO CO 6)-P C17 N U Q� �! U� Cn J 4 DJ co J 00 V W J t� J Ul U7 -. N D -p r- Dr O�cc)> .. DUl z�D �L') m� -�����rilo Z > = �rn..Om _O N K -p -0 IT1 0 N � 0 0 0) -I C� D � oo P W "0) —icnc��Q��D -r� M _ p m z\ -� mM p = Lo 7C)- a I m _ O 0) �o O O � -i m p O i ^' A E I t n •p N I / \- - - z \ I OIn b \ m zm N \\ �p < \ D D m \Ul a \ m0lb n (n - rn-u \ 00 r mD I� I \ 1 A n0 �_ \ - I S m m n \ \ zm mm / \ ' I3 I I 00 \ N i O\ o I I I I m co o I N I 10' Tele & gIec Es n / \ o ( \ I BARONIK i treet �'--/---- —--�— A c " """ REVISIONS 1 NOTES: PANNONE ENG SVC LLC �C.1. 'TOSS) DATE RECORD DRAWING P.O. BOX 1807 PALER, AK )9645 _, q6 OF q�q 1: 1/28/21 sca E19/2021 PHONE (907) 745-8200 FAX 907 745-8201 = ��P ..... s9' 4% 1"=50' EMERALD GROVE LOT 2 ....... P.I.D. NO DRAWN ACP HULTQUIST HOMES - 015-521-48 St— R. Pannone _ -- PERMIT NO. SITE: NHN BARONIK STREET "' CE -8749 '� � 2' OSP201185 SITE PLAN ANCHORAGE, AK , SHEET L....... 2 OF 2 Certified Drilling Lei ® DOC CO dba ULLVV� GOLE ;401, LLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Hultquist Homes ADDRESS: LEGAL DESCRIPTION Emerald Grove Lot 2 DATE: 7-13-20 PERMIT NUMBER: OSP201185 DATE OF ISSUE: 6-29-20 TAX IDENTIFICATION NUMBER 01552148000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 165 Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 165 feet Liner type Static Water Level: 83 feet Recovery Rate 25 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ❑ open end ❑open hole ❑ 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: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: • I I KRYA 1.1 Bore Hole Data Depth From To 0 2 2 4 4 12 12 14 14 32 32 83 83 86 86 103 103 157 157 160 160 165 Casing Stickup Overburden Silty Sand & Gravel Sand Silty Sand & Gravel Hardpan Silt & Sand Wet Silty Sand & Gravel w/ Clay Hardpan Silty Sand & Gravel Sand & Gravel 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. Nov 11 20 09:20p Anchol-age V,/all & hump Set 2072430742 p.1 ac, rcin tYarkfxaaich i"Idcrc-C, .<99.g0' S Af tT" 7 c,C, rump Installation Loq Well DI'Mino Pirmit Nutaber: s w 0, T 2 le -S Date of Issue: P-Irccl I(IC'Mificafion Number:_-_-_ 0 15— 52 1 - Le; at Description Property Chvuer Name & Address: o v e- L Pump Installation D.tte: Plimp Intake Depth Below ,rop of vvet, casi,,g. feet PUMPIA-bullfileconzC3 Namc, Pump Sizer hp fillcss Adapter But -in] Depth: i'Itless Adapter Name-. Well Dishift-cted, Upon Completion', T1 Method of Disinfej--tion: /1? comments.. V414f. A Pump lostaller Nnniu: .4vt1__Ac1,_ L . .3 -So Ak: AttentiOR; ]'he. P, uIrnp ins ta !,e: shall j-, rovildht a PUMP :ns' tat lati Ori :cg to the DSD wi-Nr 30 days o puma. insij! 1,itioll. 67 ! R 0 0-2 a. ".. S89*57'13"E 299.69' S89*58'26"E co OFA� ....... ..... q e n jo, rn i n lol strom L-11�( 708 6 4---y essiona 'p, im 0 b 0 U) 30' Legal Description: Asbuilt Legend: Cop Set Rebar with AL. Monument Lot 2, Found Rebar 0 Monument Emerald Grove Subdivision Well Septic QS Survey Certification: I hereby certify that a Mortgagee's Pavement Inspection was performed on the described property. Overhang Notes: It is the owner's responsibility to determine the existence of any easements, covenants, or restriction which Wood Deck ore not on the recorded subdivision plat, Concrete Checked by: AR Drawn by BH Scale 1" = 50' Grid SW 2637 Job 2019-97 Field Book; 146 Plat 2019-112 Date: 1/12/2021 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://kvww.niuni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP201185 Effective Date: Work Type: WellSeptic Initial Expiration Date: Tax Code Number: 01552148000 Site Legal Address: EMERALD GROVE LT 2 G:2637 Site Mailing Address: Owner: HULTQUIST HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Q Disposal Field © Septic Tank ❑ Holding Tank ❑ Privy 6/29/2020 6/29/2021 Lot Size in Sq Ft: 43893 Total Bedrooms: 4 L�1 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 B Issued By: y: Date: ! c Date: MUNICIPA41TY OF ANCHORAGE common Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERM/ELL PERMIT APPLICATION Parcel I.D. 015-521-48 Property owner(s) Hultquist Homes, Inc. Day phone Mailing address 12570 Old Seward Hwy, Ste 204, Anchorage, AK -99515 Site address NSN Baronik Street Legal description (Sub'd., Block & Lot) Emerald Grove, Lot 2 Legal description (Township, Range & Section) Lot Size 43,893 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo AD U) (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X i Water Storage ❑ ;� THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this i8 in accordance with applicable Municipal Codes. ti w i (Signature of property owner or authorized agent) Permit/Rush Fees: gad / ws- Waiver Fees. Date of Payment: 41,201=6 Date of Payment: Receipt Number: Receipt Number: Permit No. 05P'261/15 Waiver No. Permit App_'-'-:. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201185, Rebecca Carroll, 06/29/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201185, Rebecca Carroll, 06/29/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201185, Rebecca Carroll, 06/29/20 TEST HOLE 2 OR ORGANICS 1 2 3 4 5 6 -DRY DEPTH TO WATER AFTER MONITORING? 7SILTY DATE: SM/ MWITH SAND AFTER MONITORING? -DRY TRACES 8 GM OF GRAVEL 8.57 9 10 3 3:15 11 6.66 -- 4 12 30 MIN 7.81 1.15 5 13 3:45 --- 6.66 •-- 14 4:15 30 MIN 7.78 15 16 BOH 17 18 DATE PERFORMED: 6/28/19 SOILS LOG - PERCOLATION TEST SLOPE x TH WAS GROUNDWATER ENCOUNTERED? N IF YES, AT WHAT SITE PLAN nh Ti TH 2' _ 1 Lot 2 a) , 43893sf L - _ - 4+ cn _ ,lb LdLijm � 43 � DEPTH? -DRY DEPTH TO WATER AFTER MONITORING? -DRY DATE: 7/12/19 DEPTH TO WATER AFTER MONITORING? -DRY DATE: 10/l/19 SLOPE TH X READING DATE CLOCK TIME NETTIME `NATER LEVEL READING NETDROP 1 6/28/19 2:45 -- 6.66 -- 2 3:15 30 MIN 8.57 1.91 3 3:15 --- 6.66 -- 4 3:45 30 MIN 7.81 1.15 5 3:45 --- 6.66 •-- 6 4:15 30 MIN 7.78 1.12 PEROLATION RATE 27 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by WHITE RAVEN DEVELOPMENT. PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMONE ENG SVC, LLC ®��® Date SOILS REPORT OF AC k� 0/10/2019 P.O. BOX 102954 ANCHORAGE, AK 99510 Qs �� PHONE (907) 272-8218 FAX (907) 272-8211 l�Q ��$�� saoNTs EMERALD GROVE, LOTS 1-4 "' �—� P.I.D. No SUBDIVISION OF BOB WEST, TR A • • • •-sz1-16 • Stever. R. Pannone HULTQUIST HOMES INC. �� CE 8149 % PERMIT No. BARONIK STREET ��%lF���sl2sos SOILS LOGANCHORAGE, AK �������OfESS�OyP�� b Sheet MUMCIPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 01552148 1. GENERAL INFORMATION Complete legal description Emerald Grove 1_2 Location (site address) 10820 Baronik Current property owner(s� _ HE �Ic;, C) I Mailing address Real estate agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) F-1 Duplex F-l Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Expiration Date: Jul Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic El Water Storage ❑ Holding Tank ❑ Community Well El Community ❑ Public Water System El Public Sewer ❑ Waiver request for: Received by: COSA to be released to t eer, Vniess otherwise requested by the engineer. Date: COSA Fee$ 15 Waiver Fee $ Date of Payment Date of Payment Receipt Number 057 3 `7 G Receipt Number COSA # 05cla1i 1 5G Waiver # Distance: 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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. Phone (907) 745-8200 Date of q_qs�� TH DSD SIGNATURE •• •• ..•••• System #1 Approved for bedrooms Steven P. onnome CE 8149 - System #2 Approved for bedrooms ��`��s;•. �L: �� 'FFD • • .... A�,���`,® Disapproved �?DFEi;io� Conditional approval for bedrooms, with the following stipulations: `o (q OFA4j61, , WATER AND WAST,_. VAT o rr% a - - �J%/��FM' SER ��•,��.�� - By: 1a , 0 1 y 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 Checklist blue sheet COSA Checklist Legal Description: Emerald Grove L2 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 7/13/20 Total depth 165 ft Cased to 165 ft ❑ Sanitary seal is functioning correctly OR Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA new Static water level at beginning of test 83 ft. Comments B. TANK DATA Age of tank(s) new years Tank type/material I�UMH°PE Measured operating fluid level in septic tank new ❑ Standpipes/foundation cleanout per record drawing Date of pumping new D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 10/29121D ❑ ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade 4 ft (min) [J NIA - pressurized field no Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 01552148 Structure served by this system 1 Well production at time of test 25 Qpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑✓ No ❑ Coliform bacteria is Negative Nitrat- mg/L Nitrate less than MRL (ND) Arseni+ tg/L [ Arsenic less than MRL (ND) Collected by Pannone Engineering Date of Sample 3/31/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date new Results E] Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 0 gal New depth 0 in Elapsed time min Final fluid depth 0 in Absorption rate 600 Qpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' M Yes Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft Q✓ Yes if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' F✓ Yes if No Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' 0 Yes if No. Water Main > 10' Animal Containment > 50' M✓, Yes if No r-71 Yes if No ft M✓ Yes if No. Water Service Line > 10' P� Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' M Yes if No ft 0✓ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' M Yes if No ft Surface Water > 100' Yes if No. Property Line > 5' r7l Yes if No ft Wells on Adjacent Lots: ® Absorption Field > 5' if No Yes if No ft Private Wells > 100' 0 Yes if No. Water Main > 10' ft Yes if No ft Community Wells > 200' M✓ Yes if No. Water Service Line > 10' P� 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) ft ft ft ft ft ft ft ft Building Foundation > 10' ED Yes if No ft If absorption field is under driveway comment below Property Line > 10' r7l 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' M Yes if No ft Community Wells > 200' Q Yes if No ft Surface Water > 100' F-11 Yes if No ft F. ENGINEER'S COMMENTS 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. .-11- 01 Y11) COSA Checklist yellow sheet OF k co.' 9 ®� TH •, � Steven- .-Pannone t� CE 8149 DOISSiCNE` IXI-%�