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Home My WebLink AboutTHE VILLAGES-PINE RIDGE LT 1The Villages - Pine Ridge Lot 1 #020-291-38 Inspection Report_1-1-12.doc 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 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131102 PID Number: 020-291-38 Q New ❑ Upgrade Name: Benjamin Hagedorn ABSORPTION FIELD ❑ Deep Trench R1 Shallow Trench ❑ Bed ❑ Mound Address 6927 Fountain Drive Anchorage, AK 99502 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 727-5259 3 .8 GPOJSF 5.3 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.3 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot The Villages Pine Ridge 1 Fill added above original grade 2-3 Ft. Gravel length 1 58 Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES TO Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 580 Fe TWO >10 Ft. Well >100' >100' N/A N/A >25' TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity I 1,000Gal. Surface Water >100' >100' N/A N/A Material Steel Number of compartments Two Lot Line >5' >10' NIA N/A 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 ElecUica1 Inspections performed by Installer D3034 drainn field D3034 PIPE MATERIAL House to tank Teld Richie Excavation Drainfield HDPE CO/MT D3034 Inspector MEA BENCH MARK (Assumed elevation) 100.0 ft Inspection r 1a 7/28/13 8/1/13 description dates: 3" 8/2/13 2- 4`" 814/13 rGaragelab. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ®Engi`n®lisiSti`` ... qS� Conditional Approval: Date ! l�.9 TH a�•� so 1¢s 6/. �.eq ... ........ �i Jr�-MCHEL E. AN£P",N?A a.ry". CE -4381 ; I,®' ' . 2 . f y ,�� !®®s�eo®®� Approved % Date Inspection Report_1-1-12.doc Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT Permit Number: OSP131102 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 THE VILLAGES PINE RIDGE SUBDIVISION LOT 1 41,177 S.F. Twat 13C Page 2 of 3 PID NO.: 020-291-38 S 20'05'15'W 21.72' PLAN AS BUILT SCALE 1' = 40' C at 138A HENT EASEMENT 10' UTILITY EASEMENT a LA 50' SCREENING ►. EASEMENT Lot .f N %1 41,177 s.t. �o Setback WELL L 100' Stream Alternat Three Bedroom Site Home J .( 0 TH3 C 2 -4 C7; M4 FCO F� S 7526'53 �p 6 parm v' 27.06' m QQo~ 4D C4 1 V $2 Lot 2 as " C6 j A 6 C S2 ' 26.1' 13.6 30.7 - _ E4 19.4 37.3 `94• M1 19.3 37.9 -_ _____ _ — ' C 30.5' 47.0' -----" ALTERNATE SITE M2 36.3 28.2' 52.8 BOG 46.3' �°' \ LEGE N C7 C7 Advontex Treatment System FSV 41.0' 20.6' 37.3'��. 622' C5 — Clean Out with 15' Long x 5' Wide x M3 362' 53.1' Q\ QG M1 — Monitor Tube 4' Effective Depth Absorption Ma 39.5' 61.1' �\ TH — Test Hole Trench. Appication Rate 3 FCO — Foundation Clean Out GPD/SF. S1 — Septic Vent FSV — Flow Splitter Volve S 20'05'15'W 21.72' PLAN AS BUILT SCALE 1' = 40' Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP131102 PID No. 020-291-38 90.5 > N y UU CO qSepticTank .4 83.4 Drainfeld Rock 79.4 79.4 1 68.0 Groundwater @ 69.5' 9-5-2010 U F U '-� 83.4 9-5-2010 PROFILE AS -BUILT No Scale 83.2 July 16, 2013 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, The Villages Pine Ridge Subdivision Absorption Trench to Lot Line Waiver Dear Onsite Services Engineer: Lot 1, The Villages Pine Ridge Subdivision has limited area for construction of a new septic system and the absorption trenches due to the location of a Class C Well to the south and a small stream to the north. The westernmost trench must be located 7' from the property line at the north end. The edge of the trench moves further from the property line as it progresses south. A drawing showing the location of the new trench system is attached for your review. Placement of the trench at this location will have no impact on the adjacent lot. Sincerely, Mme- Z - Michael E. Anderson, P.E. P•• 49th •••••': MICHAEL E. ANDERSON 10/19/2013 00:35 907-345-0202 ALPINE DRILLING PAGE 01/01 Alpine Drilling & Enterprises Well Log Permit Number: #SW 131102 Date of Issue 5-23-13 Parcel Identification Number: 20291380000 Date Started: 6-20-13 Date Completed: 6-21-13 Is well located at approved permit location? x Yes ❑ No Legal Deserlption: The villages -Pine Ridge Lot 1 Property Owner Name & Address: Hagedorn Benjamin T & Michell Callie L 6927 Fountain Drive Anrhnrace_ Alaska 99502 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Stick-up Organics & silt Gravelly silt siltygravel gravelly silt bedrock H2O H2O 0 1.5 2.5 6 11 42 101 1.5 2.5 6 11 Method of Drilling x air rotary ❑ cable tool Casing type:is eel Wall Thickness:. 250 inches Diameter: 6 inches Depth: 42.5 feet Liner Type: Diameter: _ inches Depth: — feet Vaainu sticknn above eroand: 1.5 feet _ 42 Static water level (from ground level): 35 feet 246 Pumping level:_20 feet after 6 hours pumping ? gpm Recovery Rate: 2 gpm Method of Testing: air-lift 219 Well Intake Opening Type: open End x Open Hole ❑ Screened Start feet ❑ Perforations Start feet Grout Type: bentonite.ranules Stopped feet Stopped — feet Volume: Pump: Intake Depth — feet Pump size hp Brand Name Well Disinfected Upon Completion? x'Yes ❑ No Method of Disinfection: chlorine tablets I,, Comments: Wen Driller: Alpine Drilling & Enterprises PO Bas 110496 Anchorage Ali 99511 09/23/2013 04:02 907-945-0202 ALPINE DRILLING RAGE 01/01 Development Services Department Building Safety Division On -Site Water a Wastewater Program 4700 Elmore Road P.O. Box 196650 MarkBeglch Anchorage, AK 99507 Mayer W�nSiSe (907) 943-7904 Pump Installation Lag Well Drilling Permit Number: SW 13,1ct:f2 Date of Iaxue s29i2013 Parcel Identification Yumber:2os9139e000 Legal Description Property Owner Name &Address-. The Viaagea - Pine Ridge, Lot I 9anJamin 8 hlfcnehe Hagedorn 6927 Faunt." Dr. An:hnraga, AK 99802 Date; 12/10,2014 Pump Intake Depth l3elow Top of Well Casing! 235 feet Pump Manufacturer's Name: Giundtos Pump Model: 1I e %4y�y �cc ItspP dS Pu it(Dary�ll� Pump Size I hp Pitless Adapter Burial Depth: NIA feet 1 Pitless Adapter Manufacturer's Name: N/A Pitless Adapter Installer: N/A Well Disinfected Upon Completion? z Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: Aarovr Pump a vials Service, LLC � 0. amt 110496 Anchorage, AK 59511-0496 n'OE i"tg4 ,335 .,, N;�'• t a, Sn er- Attend o!?: Thppun statler shall provide a puma installatton tog to the DSD within 30 days of pump installation. On -Site Water & Wastewater System Permit Permit Number: OSP131102 Tax Code Number: 02029138000 Work Type: WellSeptic Permit Effective Dates: May 23, 2013 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 to May 23, 2014 Design Engineer: ANDERSON ENGINEERING Subdivision: THE VILLAGES -PINE RIDGE Site Legal Address: THE VILLAGES -PINE RIDGE LT 1 G:3637 Owner/Address: HAGEDORN BENJAMIN T & MITCHELL CALLIE L 6927 FOUNTAIN DR ANCHORAGE AK 995022822 Site Mailing Address: 19101 Pine Ridge CIR, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 41177 Total Bedrooms: 3 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. Received B) Issued By: C01 revises 4lA. C 09 t. 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. 020-291-38 Property owner(s) Benjamin Hagedorn & Callie Mitchell Day phone Mailing address 6927 Fountain Drive Anchorage, AK 99502 Site address 19101 Pine Ridge Circle Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) The Villages Pine Ridge, Lot 1 Legal description (Township, Range & Section) Lot Size 41,177 Sq. Ft. Number of Bedrooms Three APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial R Single Family (SF) El (w/wo ADU) Septic Tank ElUpgrade ❑ Duplex ❑ (D) Holding Tank F-1Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well FxJ 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. Permit/Rush Fees: 'S30 1 - Date of Payment: S'Za8%�D Receipt Number: Permit No. - Pe'IAelaed US�1010oS Permit App_9-1-12.doc Waiver Fees: �a Payment: Date of �r 31 /g Receipt Number: Waiver No. USP 131 y 1 Co A July 16, 2013 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, The Villages Pine Ridge Subdivision Absorption Trench to Lot Line Waiver Dear Onsite Services Engineer: Lot 1, The Villages Pine Ridge Subdivision has limited area for construction of a new septic system and the absorption trenches due to the location of a Class C Well to the south and a small stream to the north. The westernmost trench must be located 1' from the property line at the south end. The edge of the trench moves further from the property line as it progresses north. A drawing showing the location of the new trench system is attached for your review. Placement of the trench at this location will have no impact on the adjacent lot. Sincerely, � Michael E. Anderson, P.E. Nr, July 16, 2013 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, The Villages Pine Ridge Subdivision Absorption Trench to Slope Contour Waiver Dear Onsite Services Engineer: Lot 1, The Villages Pine Ridge Subdivision has limited area for construction of a new septic system and the absorption trenches cannot be placed entirely parallel to the ground contours due to the location of a Class C Well to the south. The new trenches will be 3.5' below the ground surface at the south end and 3' below the surface at the north end and located entirely in the percolation zone identified for the system. A drawing showing the location of the new trench system is attached for your review. The variance from parallel to the contours is slight and we hereby request a waiver be issued allowing .the trenches to be placed other than parallel to the existing ground contours. Sincerely, Michael E. Anderson, P.E. 49th_ .':. MICHAEL E. ANDERSON No CE -4381 Coa Municipality of Anchorage e1`ftp,,tme�nt'- P.O. Box 196650 • 4700 Elmore Road 4Anchorage Alaska 99519-6650 • (907) 343-7904 •Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP131241 COSA#: Permit#:OSP131102 PID#:020-291-38 Legal Description: The Villages - Pine Ridge, Lot 1 Engineer: Anderson Engineering Applicant: Benjamin Hagedorn & Callie Mitchell Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. Your request for a waiver of the absorption field slope orientation requirement has been approved. 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 non -objection 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 b . Name of Reviewer ............................ a .............. ..•..............................� Rec#:01�aa9 Amount: $200.00 Date Paid: 31 13 **** VARIANCEMAIVER REVIEW **** MEMORANDUM DATE: May 13, 2013 TO: Jay Crewdsen, P.E. FROM: Mike Anderson, P.E. vo...""''ALY 14 2013 SUBJECT: Lot 1, Block 12, The Villages Pine Ridge Subdivision Well and Septic System Permit This design and permit application was originally submitted in late April of 2010. Comments were issued which were never addressed as the owner of the lot was unable to secure financing for the project. We are now resubmitting the design and permit application with the well and septic locations modified to reflect additional soils exploration work. We assume the fees paid with the original permit application are acceptable for this application. A copy of the original permit application is attached. May 13, 2013 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, The Villages Pine Ridge Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 1, The Villages Pine Ridge intends to construct a new three-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new 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. No existing wells or septic systems are closer than 100' from the proposed well or septic system. Drainage arrows 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 holes placed on the lot in the area of the absorption trench and alternate site indicated poorly graded gravel with silt (GP/GM) material. The percolation rate of the soil was determined to be between 4 and 10 minutes per inch. Groundwater was found during the placement of the test holes at 14' to 15' below the surface and was recently noted at 14' during the monitoring period. An application rate of .8 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 a 58' long by 5' wide by 4' effective depth absorption trench to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 5.0' below the surface and the total depth will be 9.0'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. The ground surface on the lot varies, but slopes at 15% to 20% in the southwest quadrant of the lot. The new trench will be constructed parallel with the contours of the slope and will remain in the zone of the absorptive material. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' the Lot 1, The Villages Pine Ridge Subdivision May 13, 2013 Page Two proposed and existing water services in the area. 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, , 9V� z Michael E. Anderson, P.E. Attachments 0 MICHAEL E. ANDERSON 1. No. CE -4381 . 0 / ,1 1 ,1 , % - - - - ----------- --- 1 � 1 ' 13A , p „ Undeveloped 4 j --------------- ----------------- --------------------------- OF -------------- , , , , , 1 „ ��aaagar 49th � ..... ' AREA MAP �;M[CHAEL E. ANIIERSON'j= SCALE 1° = 100' �� f•t, NO. CE -4381 �1,� Co THE VILLAGES PINE RIDGE SUBDIVISION LOT 1 111 1 41,177 S.F. 1 1 ,.L Tract 13C O N 653E Tract 13B 1 T52 / 1X1 5' A.T.U. 1 ass / / 1 EASEMENT �10' lfilLltt EASEMENT / Pouxo sem, sEa�n1 50' SCREENING 1 / EASEMENT Lot 1 41,177 s.f. I Go. stream Setback I T Alternate --Ia-T F. M 5 Site TH3 E. EL 813 ® CI Grp 1,000 Gallon Lot 2 Wo Septic Tank iN4 2-29' Lan x 5'0Wide \ N.a x 4' Effective Depth o Absorption Trenches -_ja� �rsz LEGEND CO — Clean Out MT — Monitor Tube TH — Test Hole FCO — Foundation Clean Out SV — Septic Vent FSV — Flow Splitter Valve Existing Class C Well M1 C2 THS 20 LF. - 18' CMP SITE ALTERNATE SITE Advantex Treatment System with 15' Lang x 5' Wide x 4' Effective Depth Absorption Trench. Appication Rate 3 GPD/SF. PLAN SCALE 1" = 40' TIM - TCP OF 5/8" REW n1v 100.00 ASSUMEO L It yd 4i9th� ........................................... FT '. MICHAEL E. ANDERSON : 1 lw 0 1 BBA J {T B9$ p G 1 Proposed CM>AE 1 Well _ 1 EL 80.0 ® Bedroom 1 ie.e 11 11 1 E� SITE ALTERNATE SITE Advantex Treatment System with 15' Lang x 5' Wide x 4' Effective Depth Absorption Trench. Appication Rate 3 GPD/SF. PLAN SCALE 1" = 40' TIM - TCP OF 5/8" REW n1v 100.00 ASSUMEO L It yd 4i9th� ........................................... FT '. MICHAEL E. ANDERSON : Performed For: Legal Description: k-'J.9" V 2- 3- 4- �f� 5- `° t 6 - Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 _ :.u_.tsni_i<Iroe_at_.u_Z (907) 343-7904 ,t 49TH AFL E. ANDERSON CE -4381 : Sd3-Irk Soils Log - Percolation Test 9' Date WAS GROUND WATER Net Time Depth to a4ter ENCOUNTERED?[ 5 IF YES, AT WHAT DEPTH? P L Depth to Water Aker D 11 - Monitoring? / IrJ!�'.O E 12- Date: { 9it a 1a � 1 F ` 14- 15- X®- 16- 17- 18- 19- Reading 16- 17-18- 19- Range, Section: Reading Date Gross Time Net Time Depth to a4ter Ne�Dr 5-(e 7r 15'°jI t6'IS c 3� 9:3" 2.ny " ! r�nwur, i 1.ry rov a Lf- (minutesflnch) PERC HOLE DIAMETER TEST RUN BETWEEN_ �j, I" FT AND�FT COMMENTS '�'r� {?�[y.; �aIT PERFORMED BY: /4 iz_ I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage R'S , Development Services Department P.-.4 i9 Building Safety Division Y r91� On -Site Water and Wastewater Program • 4196 Elmore Road 00 ........«. 'j p 2.t, P.O. Box 196650 Anchorage, _22"... _ �"' '°"' .. AK 99507 E. ANDI im„ fMMHAEL (907) 343-7904 CE - 4381 ' s-ta -� ��+'F0 Soils Log - Percolation Test PRottss o` Performed For: b'g d k(e Peored:Date �i •'� Il �'lg nship, Range, Section- s L 0 P E Reading Date Gross"Time Net Time Depth to Water Net Drop d � I to I10N1J / 11i�&°3p 3o Mlfs Il.v° 77.V''Dtr 7 11�o L U ! 3 c MIWs r A7, t V inonumwincn7 �t FERC HOLE DIAMETER TEST RUN BETWEEN tj FT AND S-4FT COMMENTSt:Sa�,l,'Ps PERFORMED BY: A- H&Wi' I CERTIFY THAT THIS TEST WAS PERFORMED IN AC60RDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Performed For: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 'www. ar�hornc;;.aI;;,:s (907) 343-7904 Soils Log - Percolation Test Legal Description: rl Date Range, Section: 1 1 WAS GROUND WATER Date ENCOUNTERED? Net Time Depth to Water S IF YES, AT WHAT DEPTH? Y. K L Depth to Water After Monitoring? `/ O Date: *: 49TH a! a AEL-E •ANDERSON :& CE -4381 T��a Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop z t� z1 Flubs 9 b6' 3.W s 11 �1idsIZ b ?iotl(44 BIZ` 3�3t` PERCOLATION RATE (minOeOrm) PERC HOLE DIAMETER :za TEST RUN BETWEEN Sp FT AND FT —� COMMENTS PERFORMED BY:`rl., I CERTIFY THATTHIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: OF 44 4# Municipality of Anchorage ;' INEER'S L'• rV— 0 Development Services Department o *� 49Z *�♦ Building Safety Division /..., ... ... .. ' On -Site Water and Wastewater Program ♦ �� • • •••• ...... ... 4700-Scuth aragaw SL --- __ .- , - - O � :..... L E ANDERSON I ... P.O. Bax 196650 Anchorage, AK 99519-6650 ♦ �,. 4, m www.ci.anchoraae.ek.us ♦♦ �3 f• CE -4381 I� (907) 343-7904 - S .^� •,.F -ZR, -4Q,. ��w FOP••....• A� Soils Log - Percolation Test Performed For. Benjamin Hagedorn C)ao- Q� 1- 3g Date Performed: I __ 1 THE VILLAGES -Pine Ridge Lot 1 Legal Description: - g .'ownship, Range, Section: ...Slone IPA-, 17- 18 - COMMENTS WAS GROUND WATER ENCOUNTERED? _, t S IF YES, AT WHAT DEPTH?. 1% OL Depth, to Water After l� E Monitoring? � i• Reading Date Gross Time Net Time Depth to Water Net Drop IL z$ . r� .� t� I- no l✓.I z t1 to:30 $s10 i PERCOLATION RATE ' TEST RUN BETWEEN i (minutesrinch) PERC HOLE DIAMETER? FT .ANDFT_ PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Legal Description: THE VILLAGES Pine Ridge Lot 1 ownship, Range, Section: I t Slope _ — I- 2- 3- 4- 5- 12- 13- 14- 15- 16, - 2- 3- 4- 5- R& Date Gross Time Munic.ipaiity of Anchorage ,® c Development Services Department i - Building Safety Division -_-�- ---. Ort Water Wastewater Program– 0.... 0,[;, -Site and 4700 South Bragaw St. I c P.O. Boz 196650 Anchorage, AK 99519-6650 www.ci.anchoraoe.ak.us (907) 343-7904 Soils Log --.Percolation Test 19- a Performed For: Beniamin Haaedorn Date Performed: - Legal Description: THE VILLAGES Pine Ridge Lot 1 ownship, Range, Section: I t Slope _ — I- 2- 3- 4- 5- 12- 13- 14- 15- 16, - 2- 3- 4- 5- R& WAS GROUND WATER ENCOUNTERED? S IFYES, AT WHAT DEPTH? .–=–. 0 Depth to Water ARer Monitoring ? Date:- I3 1O ®®eor,pt OF .44 008 =NGINE •••LS�.yy®� 4918 4EL E ANDERSON • CE -4381 Reading Date Gross Time Net Time Depth to Water 12-13-14- 15- 16-. 17- 18- 19- a 20 - COMMENTS 6srrn WAS GROUND WATER ENCOUNTERED? S IFYES, AT WHAT DEPTH? .–=–. 0 Depth to Water ARer Monitoring ? Date:- I3 1O ®®eor,pt OF .44 008 =NGINE •••LS�.yy®� 4918 4EL E ANDERSON • CE -4381 Reading Date Gross Time Net Time Depth to Water Net Drop a Iv'•�jb°3a 'Go.� t� )44`F �. u F r PERCOLATION RATE ' ' (minuwsrinoh) ' PERC HOLE DIAMETER Q,1 TEST RUN BETWEEN �' r FT AND, 4 FT PERFORMED BY: - I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Parcel I.D. 020-291-38 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 _ a 0' sp ETY • Certificate of On -Site Systems Ai 4 Oki Expir i Date:. FEB 6 2014 1. GENERAL INFORMATION Complete legal description The Vliiage&Pine Ridge, Lot 1 Location (Site address) 19101 Pine Ridge Court Anchorage, AK 99516 Current Property owner(s) Benjamin Hagedorn Day phone Mailing address 6927 Fountain Drive Anchorage, AK 99502 Real Estate Agent 2. TYPE OF DWELLING: Day phone 0 Single Family (w/wo ADU) - i ❑ Duplexg�• ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Three 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual i] Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: �: �' %` Date:s 'COSA to be releast'to the; engineer, unless otherwise requested by the engineer. COSA Fee $1 l .�a, Waiver Fee $ Date of Payment [a�IN Date of Payment / Receipt Number Receipt Number COSA# 06Clwa - 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. 522-7773 Date 2/6/2014 ®Pads �F y 6. DSD SIGNATUREr==>•o l�bedrooms System #1 Approved for bedrooms�°°°°��A� System #2 Approved for bedrooms®® ✓r CE -ct?P" Disapproved Conditional approval for bedrooms, with the following stipulations By: Original Certificate Date: The Muhal�Jbf A horse Development Services Division DSD issues Certificates of On -Site Systems Approval COSH based only Ff hr 9 P (DSD) Y PP I ) Y 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 COSAbWesheet f c 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: The Villages Pine Ridge, Lot 1 Parcel ID: 020-291-38 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 6/21/13 Sanitary seal (Y/N) Y Wires properly protected (YIN) Y Total depth 219 ft. Cased to 42.5 ft. Casing height (above ground) >18 in. Date of test Static water level FROM WELL LOG 6/21/13 35 Well production 2 WATER SAMPLE RESULTS: ft. Coliform 0 colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 1/21/14 B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping New Const. Pumper AT INSPECTION ft. g.p.m. Collected by: Anderson Engrg. Date installed 7/28/13 Cleanouts (Y/N) Y High water alarm (Y/N) N C. ABSORPTION FIELD DATA Date installed 8/1/13 Soil rating (g.p.d./ftz or ft2/bdrm) .8 GPD/SF System type 5' Wide Length 58 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 7-8 ft. Eff. absorption area 580 ft 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) If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons _ in. "Pump off" level at Cycles tested _ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main NIA >100' >100' Sewer /septic service line >25' Animal containment areas >50' in. Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots >100' On adjacent lots >1 00' Public sewer manhole/cleanout _ Holding tank N/A N/A Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5' Water main >10, Water service line > 10, Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: 7'** Property line Building foundation >10, Water Service line >10' Surface water >100' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS ***See Lot Line Waiver. Absorption field >5' Surface water >100' Water main N/A Driveway, parking/vehicle storage >10, in. G. ENGINEER'S CERTIFICATION�"6a� ��$F I certify that / have determined through field inspections and Q4, review of Municipal records that the above systems are in &)e ®Of conformance with MOA COSA guidelines in effect on this date. / py r✓ n Engineer's Printed Name Michael E. Anderson, P.E. L .... ............... 2/6/2014 ®®m a MKIRAD. E. Amoeasr N .° Date CE - 438t COSA brown sheet 10-10-12.doc /S�EN�C P NWV A� I—� m � M U � \ O \ \H � PLOT PLAN AS BUILT i SCALE 1" = 30' GRID SW 3637 Project No. 13-042 Lang & Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone opp4 Registered Land Surveyors (907) 522-4625 Fax aQ`��F C0p�4 kglongis*alaska.net / jclangls®alasko.net g �v�`C� .,.....A 904o I hereby certify that I have surveyed the following described property: LOT 1, THE VILLAGES — PINE RIDGE (Plat No. 79-255) 0* 49?H LV Anchorage Recording District, Alaska, and that the improvements situated thereon are �....:..... g ,,,, .. within the property lines and do not encroach onto the property adjacent thereto, that 0 no improvements on the property lying adjacent thereto encroach on the surveyed Q premises and that there are no roadways, transmission lines or other visible D A"' "' easements on said property except as indicated hereon. �O �, '. KENNETH LAN Q4sia'•• LS -5202 Dated this the V5' Day of ,2�, at Anchorage, Alaska Q�tap'•.'��(3��—;,.••'�5op� It is the responsibility of the owner to determine the existence of any easements, 4�QROFFSSIgNA� �o� covenants, or restrictions which do not appear on the recorded subdivision plat. ��Op000a