HomeMy WebLinkAboutHORIZON ESTATES LT 6Horizon
Estates
Lot 6
#051-324-26
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP141336 PID Number: 051-324-26
Dwelling: N Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: 0 New ❑ Upgrade
Name:
Troy Davis Homes
ABSORPTION FIELD
X Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
165 E. Parks Hwy #200 Wasilla, AK 99654
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
357-9394
4
.g GPDfSF
11.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.5 Ft.8
Gravel depth beneath pipe
Subdivision Block Lot
Horizon Estates 6
Ft.
Fill added above original grade .
0-1 Ft
Gravel length
Ft.
Township Range Section
Gravel width
3 Ft.
Beds: Number of Lines
Distance between lines
I Ft
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
7552 Ftp
1
Ft.
Well
>100'
>100'
>100'
NA
>25'
TANK IN Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1,250 Gal.
Surface Water
>100'
>100'
>100'
NA
Material
Number of compartments
Lot Line
>5'
>10'
>5'
NA
Steel
TWO
NA
Foundation
>5'
>10'
>5'
NA
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
Electrical Inspections performed by
Installer
PIPE MATERIAL House to tank D3034 dra nfield D3034
Northern Excavation
Drainfiele 63034 CO/MT 171,3034
Inspector A. Harala
BENCH MARK (Assumed elevation) 102.45 1t
Inspection ection f9' 9/21/14 9/21/14
Location and description
Zm
3'a 10/5/14 4�^
Garage Slab.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
.OF ..... t
Conditional Approval: Date_7A
49LHH b
s................. ..........,
;MICHAEL E. ANDERSON �•�
R� ��.•• CE-4381 ;
\�`�s
ApprovedJj4L4/Date
�111S
s''�.•
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
Permit Number: OSP14336
\ \eeMT1S°
HORIZON ESTATES
LOT 6
40,028 SF
Page 2 of 3
PID No. 051-324-26
Z
Alternate
LEGEND
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Site
Ml — — Monitor Tube
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- 146.75
FCO
—Foundation Clean Out
LOT 5 w
M' c5
Test Hole
LOT 7
C3
C1 —
TH6A
o
�
�
£
C
-ly
S2
Wo
S2 19.6' 27.0'
�D
00
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p
C4 25.8' 28.4'
C5 55.9' 39.3'
UI
°
rT
M7 55.9' 39.5'
/.
no
FCO
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v
/
FOUR BEDROOM
HOME
fU
Q'
Well
OF �O
:> ' : 15' T & E ESMT.
"'`' °'
LEGEND
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S89054'25"W
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- 146.75
FCO
—Foundation Clean Out
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TH —
Test Hole
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:.......................... ✓.I...:...so
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Clean Out
............ _
IC
MHAEL E. AN➢ERSON �
'•y., No, CE -4381
z-75,... ' 1
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: OSP141336
yo.i N
Finished
Ground
1,250 Gallon
Septic Tank 93.65
PID No. 051-324-26
9-22-14
47' (Trench Length)
PROFILE AS -BUILT -
No Scale
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
DEPTH
(fee[)
I-
2-
3 -
4-
5-
6-
7-
8-
9-
10-
11
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 6, HORIZON SUBDIVISION
PERFORMED FOR: TROY DAMS HoMEs
DATE: 9/15/14 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
v
a
d
m
TEST HOLE 6A
OB/OG
SILTY GRAVEL
WITH SAND
a GM
fir• 49th ••`:'�
MICHAEL E. ANDERSON
No. CE -4381
SI I E FLAN
SEE SITE PLAN
WAS GROUND WATER ENCOUNTERED? NO
IF YES @ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING: NONE 2%
DATE OF MONITORING: /22/14 p
a 9 C
12-1
13 a DENSE
14 .
15
a
16
17
a
18
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH TO
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
9/15
1
2:12
1.25"
2
2:42
30
4.50"
3.25"
3
2:43
1.3811
4
3:13
30
4.63"
3.25"
5
3:14
1.25"
6
3:44
30
4.50"
3.25'
PERCOLATION RATE: 9.2 (MIN/INCH) PERC. HOLE DIA.—6, , (INCHES)
TEST RUN BETWEEN: 4.5 FT. and 5.5 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: 2/1/15
ACE WATER WELL DRILLING
NG
A subsidiary of ACE Ventures, Inc.
P.O. Box 520090
1167 N. Knapp Dr
Big Lake, Ak. 99652
(907) 357-7987 fax (907) 376-7987 (907) 354-1398 cell
Well Owner Trop Davis Homes Use of Well: Domestic
Location: Lot. 6 Horizon Estates - Eagle River
Date of Completions 08/28/2014 Job # 14- 08 Drilling Method: Air Rotary
SizeofCasing: 6" Depth.of hole: 145 feet Cased to: -344 Feet
Static Water Level: 34 feet below top of casing.
Finish of Well( X ) Open End ( ) Grout/Seal O Screen2iner { ) Perforated
Describe screen, seal, or perforation: None
Well Pumping Test at 40 Gallons per ( ) hour ( Y ) minute.
Suggested Pump setting depth: 130 feet from top of casing.
Method of disinfection: Chlorine tablets
Depth in feet from casing
to
Details of Forniations/size/color/ etc
0 to 2 feet
Stick u
2 to 133 feet
Silty, clayey ayel
133 to 140 feet
Water gravel
140 to 145 feet
Bedrock
Driller Signatures � '_ 7 — _.._ Date: r� /
Ace dilater Mels
P O Box 520090
Big Lake, Ak. 98632
(907)375-7987
aqeh2oj2rntaonNne. net
Pump Installation
Well owner: Troy Davis Homes Job# P14-08-1
Installation Date: 11/19/2014
Legal Description: Lot 6 Horizon
Pump Intake Depth: 113' feet below top of casing (TOC).
Pump Manufacturer: Goulds Well Depth: 145'
Model: Bruiser
Size: % Horse Static: 113'
SIV: F1459386
GPM: 10
Pitless adapter buried depth: 12'
Disinfection method: Chlorine tablets
Additional comments: Water Sample Taken, Control Box leaning against the pressure tank.
Installer signature: �_J m Date 1 ('-2-6
On -Site Water & Wastewater System Permit
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
Permit Number: OSP141336
Tax Code Number: 05132426000
Work Type: WellSeptic Initial
Permit Effective Dates: August 19, 2014 to August 19, 2015
Design Engineer: ANDERSON ENGINEER
Subdivision: HORIZON ESTATES
Site Legal Address: HORIZON ESTATES LT 6 G:0553
Owner/Address: TROY DAVIS HOMES INC
165 E PARKS HIGHWAY STE 200 WASILLAAK 996540000
Site Mailing Address: 18273 MULDROW ST, Eagle River
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank
All construction must be in accordance with:
Lot Size in Sq Ft: 40049
Total Bedrooms: 3
N Privy Y Private Well N Water Storage
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.
The Engineer needs to do an additional test hole prior to the construction of the septic field.
Construction may proceed at your own risk before the 7 day water monitoring is complete. Please
submit stamped and signed results with the As -built Inspection Report. If the results require a
design change, construction of the system will stop pending On -Site review and approval.
Received
Issued By,
MUNICIPALITY OF ANCHORAGE
Community Development Department / Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
V .
Parcell.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
051-324-26
Property owner(s) Troy Davis Homes
Day phone 310-2501
Mailing address 165 E. Parks Highway #200 Wasilla, AK 99654
Site address Fish Hatchery Road Eagle River, AK 99577
Legal description (Sub'd., Block & Lot) Horizon Estates, Lot 6
Legal description (Township, Range & Section)
Lot Size 40,049 Sq. Ft. Number of Bedrooms9
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
I® all that apply)
Absorption Field ❑X Initial ❑X Single Family (SF) ❑X
Septic Tank ❑X Upgrade (w/wo ADU)
pg ❑ Duplex (D) ❑
Holding Tank ElRenewal ElMultiple Dwellings ❑
Privy❑ �,/ ■ �� ®s and/or D)
R
Private Well 0 SH(rJ HL
Water Storage
El 18 2014
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.
4a'--7
(Signature of property owner or authorized agent)
129=F,uo
Permit/Rush Fees: 5(61,+ 2-11,5 f `lm,40
Date of Payment: $1 1 tf 614
Receipt Number: t�5t-2G�-
Permit No. UD'PlLi 1-$:X,
Permit App_-'.:. :-'.,:c;
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
August 16, 2014
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 6, Horizon Estates Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 6, Horizon Estates Subdivision intends to construct a new four-
bedroom home on the lot. We are 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. Also identified on the plans are the
proposed and existing wells in the area and septic systems on surrounding lots. No
conflicts exist between the proposed septic system and the well or septic systems and
wells on adjacent lots. Drainage arrows and ground contours 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 indicated silty gravel with sand (GM). The percolation
rate of the soil was determined to be 6 to 15 minutes per inch. No groundwater was
found during the placement of the test holes and none was noted 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 1,250 -gallon septic tank
and a 47' long by 3' wide by 8' 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 2.5' below the surface and the total depth will be 10.5'. 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 in the area of the septic system slopes to the north and
northwest at a shallow grade with some cross sloping from the east. The new trenches
will be constructed parallel with the contours of the slope as much as possible in
conformance with Municipal requirements. The new septic system will be constructed a
minimum of 100' from all wells and any surface water and 10' the proposed and existing
water services in the area.
Lot 6, Horizon Estates
August 16, 2014
Page Two
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,
Michael E. Anderson, P.E.
Attachments
t;K.' ._.. l?K .*
MICHAEL E. ANDERSON
No. CE -4381
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4 ,028 SF
CDAlternate `
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CONTOU INTERVAL — CD proposed Co
p 47' Long x 3' Wide
O x 8' Effective Depth
Absorption Trench O
5 MT Co
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1,250 W
D Ilan
Septi
CD Saptic ank SV �
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FOUR B ROOM
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PropWeosed
15' & E ES T.
S89° '25"W 1 .75 %
O
.• ""' •••.� •••0 ULDR W ST EET
Ar e 49th !�V •`; LEGEND
,....:........................ SITE PLAN
MT -Monitor Tube
10.. ................. FCO -foundation Clean Out
t ' MICHAEL E. ANDERSON % TFI -Teat Hole
��t ,I CO - Clean Out
SCALE 1" = 40'
�.rf-ND. CE-4381 ti2C0 -Double Clean Out
•� 4 p� ,...... • 30.00 30.00
LOT 6, HORIZON ESTATES SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home Deep Trench System
Perc. Rate: 6-15 Min./Inch 1,250 Gallon Septic Tank
Application Rate: .8 GPD/SF 8' Drainfield Rock
4 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 750 SF Absorption Area
750 SF/16 SF/LF = 46.875 LF Trench Length
THEREFORE: Construct a 47' Long x 3' Wide x 8' Effective Depth Absorption Trench at the
Location Shown. Flow Line Elevation in the Trench to be 2.5' Below Original Ground. Total Depth
to Be 10.5' Below Existing Ground. Provide 4' of Cover Over Septic Tank and a Minimum of 3'
Cover Over Absorpiton Trenches. Maintain 100' Separation from Wells in the Area.
Natural
Backfill
2'0" Geotextile
Fabric
6., O 4" Perforated
PVC (Holes Down)
8'0" 1 1�— Drainfield Rock
3'
TYPICAL DEEP TRENCH SECTION �.�w a zmio
(NO SCALE) �.�p ...................
NOTE: Grade Area Over Trench to Drain Away. ?a;'
Minimum 6' Separation From Bedrock. : :: 49th
Minimum 4' Separation From Groundwater. i
�.......................
Minimum 100' Separation From Wells in the Area. m, MICHAEL E. ANDERSON
Minimum 100' Separation From Surface Water or Streams. No. CE49a,
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
DEPTH
(feet)
1-
2-
3-
4-
5-
6-
7-
8-
9 -
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 6, HORIZON SUBDIVISION
PERFORMED FOR: TRoy DAVIs HoMEs
DATE: 10/9/13 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
OB/OG
a
d
d
TEST HOLE 5
SILTY GRAVEL
WITH SAND
d GM
11 0
12-
13-.
14-
15-
4
4 15d
16-
17-
18-
SLOPE
61718
SLOPE
wc,: - 1. V
.`- 49th _2
SEL E. ANDER
NO. CE -4391
SITE PLAN
SEE SITE PLAN
i
a
WAS GROUND WATER ENCOUNTERED? No
IF YES QR MONITORING 2%
DEPTH OF WATER AFTER MONITORING: NONE 0
DATE OF MONITORING' 10/16/13 P
E
DENSE
BOH @ 19.5'
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
10/9
1
10:58
6.50"
2
11:28
30
7.44"
0.94"
3
11:30
6.31"
4
12:00
30
7.19"
0.88°'
5
12:03
6.44"
6
12:33
30 1
8.381,
.94"
PERCOLATION RATE:32 (MIN/INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN: 4.5 FT. and 5.5 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: 10/20/13
DEPTH
(feet)
I-
2
3
4
5
6
7-
9-
10 -
II
14
15
16
17
18
19
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 6, HORIZON SUBDIVISION
PERFORMED FOR: TROY DAMS HOMES
DATE: 10/9/13 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
OB/OG
m
TEST HOLE 6
SILTY GRAVEL
WITH SAND
d GM
a
a .
Q
DENSE
a
Q
e
BOH @ 19'
WAS GROUNDWATER ENCOUNTERED?
No
IF YES C WH
DATE
DEPTH OF WATER AFTER MO
GROSS TIME
(MINUTES)
DATE OF MO
DEPTH TO
WATER HES)
(INC
4F 49th
AEL E. ANDER
No. CE -4381
SITE PLAN
SEE Sl FE PLAN
M
I
DEPTH? J
N[TORINO NONE
NITORING: 10/16/13 P
NI
E
2%
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH TO
WATER HES)
(INC
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
10/9
1
11:10
7.63"
2
11:40
30
10.88"
3.25"
3
11:41
7.50"
4
12:11
30
10.94"
3.44"
5
12:12
7.56"
6
12:42
30
11.06"
3.50"
PERCOLATION RATE:9 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 4.5 FT. and 5.5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 10/20/13
Y
Parcel I.D.
051-324-26
e.
Municipality of Anchorage
On -Site Water and Wastewater Prograrfi
(907) 343-7904,! , • r T
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Complete legal description
18273 Muldrow Street Eagle River, AK 99577
Location (site address)
Expiration Date: E' 1Z -
Horizon Estates, Lot 6
Current Property owner(s) Troy Davis Homes, Inc. Day phone 357-9394
Mailing address 165 E. Parks Highway, No. 200 Wasilla, AK 99654
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Fx7l Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family
and/or Duplex)
3. NUMBER OF BEDROOMS:
Four
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
7
Individual
El
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sever
❑
WaiverNariance request
engineer, unless otherwise requested by the engineer.
COSA Fee $ III -0
Date of Payment
Receipt Number
COSA#
Waiver Fee $
Date of Payment
Receipt Number
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.
6. DSD SIGNATURE
t/ System #1 Approved for bedrooms
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
522-7773
Date 2/1/15
d ��b
L � _j %j 9
� °EY
bedrooms, with the following
stipulations:
//
gy. Original Certificate Date: ` 3
The M ' a' of orage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represen ations 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA bale 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: Horizon Estates, Lot 6
A. WELL DATA
Well type Private If A, B, or C provide PWSID # _
Date completed 8/28/14 Sanitary seal (Y/N) Y
Total depth 145 ft. Cased to 140 ft
FROM WELL LOG
Date of test 8/28/14
Static water level 34 ft.
Well production 40 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate •148 mg/L
Arsenic ND ug/L Date of sample: 1/22/15
Parcel ID: 051-324-26
Well Lag (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) >18 in.
AT INSPECTION
ft.
Collected by: Anderson Engrg.
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 9/21/14
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)
Date of pumping New Const. Pumper
C. ABSORPTION FIELD DATA
R
Date installed 9/21/14 Soil rating (g.p.d./ftZ or ftZ/bdrm) •8 GPD/SF System type Deep Trench
Length 47 ft. Width 3 ft. Gravel below pipe 8.0 ft.
Total depth 11-12 ft. Eff. absorption area 752 ft2 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.) (Y/N & type) N 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:
_ . Manhole/Access (Y/N)
in. High water alarm level at
Meets alar & circuit requirements?
Septic tank/lift station on lot >100 On adjacent lots > 100'
>1 00' On adjacent lots >1 00'
Absorption field on lot 1
Public sewer main NIA Public sewer manhole/cleanout NSA
Sewer /septic service line >25' Holding tank N/A
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >51 Property line >5r
Water main > 10' Water service line >10'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10'
Water Service line >10' Surfacewater >100'
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
l 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.
Engineer's Printed Name Michael E. Anderson, P. E.
Date 211.115
COSA brown sheet_10-10-12.doc
Absorption field >51
Surface water >100'
Water main N/A
Driveway, parking/vehicle storage > 10'
OF,A
.,- 49 TH k-
MICHAEL E. ANDERSON
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Lot 6 has 3 3
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FOR: TROY DAVIS HOMES
Date
Scale
Legal Description
10-22-14
1" =
60'
FORRES& ASSOCIATES. INC.
Grid
As -Built Survey
Lot 6
Block
F.O. Box 232293
NW 453
2140207
HORIZON ESTATES
- Anchorage, Alaska 99523
Drawn by
Field Book
SUBDIVISION
(907) 227-5881
cef
244
-
I hereby certify that the property described hereon has been surveyed
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by me, or at my direction, and that the improvements situated thereon
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are within the property lines and do not overlap or encroach on the.♦•.'
lying adjacent thereto unless otherwise shown. That no
• /�-
.property
Improvements lying -encroachon
on the property adjacent theretothe
49TH
premises in question and that there are no roadways, transmission
'lines
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or other -easements on said property except as shown. -
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It is
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the responsibility of the owner or builder, prior to construction,
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to verify proposed building grade relative to finish grade and utility
CHARLES E. FORBES pAw
connections and to determine the existence of any easements, covenants,
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&
or restrictions which do not appear on the recorded subdivision plat.
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Listed distances prevail over scaling. -
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