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HomeMy WebLinkAboutARGYLE LT 3Onsite Argyle Lot 3 #015-141-18 MUNICIPALITY OF Community Development Department Development Services Division C* On -Site Water & Wastewater Program k Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-141-18 Property owner(s) LESZEK KULIGOWSKI (Builder) Day phone Mailing address Site address Legal description (Sub'd., Block & Lot) ARGYLE LT 3 Legal description (Township, Range & Section) Lot Size 44519 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field x❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑x Water Storage ❑ APPLICATION IS AN Initial Upgrade Renewal THIS APPLICATION INCLUDES A VARIANCE / WA TYPE OF DWELLING: ❑ Single Family (SF) (w/wo ADU) El Duplex (D) El Multiple Dwellings (SF and/or D) 4, / A)n v tER REQUESj FOR: !n� I certify that the above information is correct. I further certify applicable Municipal Codes. (Signature of property owner or Permit/Rush Fees: 5A 4 Date of Payment: Receipt Number: 2022 Permit No. 0--TIii' Permit App__-:- .:..,:c. agent) _„I�>iZr`�a Waiver Fees: Date of Payment: Receipt Number: Waiver No. nce with 1 0 0 0 LO Ld 0 0 Q 0 LOT 3 ARGYLE SUBDIVISION 44,519 SF EAST 296.79' I I I I I I I I I I 1 I i I I W I m I I N I I � I m TH2 0I U) i TH 1 I I I I I I i EAST 296.80' ale Locations Not SITE PLAN SCALE 1' = 40' 0 0 0 W 0 0 0 a 0 DEPTH (feel) I- 2- 3 - 4 - 5 - 6 - 7 - R — 9 10— N- 12- 1 J- 14- 15- 16- 17 18 1c 2® MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 3, ARGYLE SUBDIVISION PERFORMED FOR: JOHN Cl ARE DATE: PROJECT No.: PARCEL ID#: TECIIMCIAN:yy, ROBERTS rtrt��T7��77TT TEST HOLE 2� IIIIIIIIIIIIII OB/OG COMMENTS: a SILTY SAND n, ° WITH GRAVEL SW/SM a BOH @ II WAS AROUND WAI ER HNCOUNTERI D, Ila ...._... 49th _ NEL E RNBmuN No. CE -4381 Ofa'TII OP WATC;R APT'GR MUN N2 UATE or MONITORITORING. 2% DATE READING GROSS TIME NET TIME DEPTH Tp (talNu7e5) (MINUTES)- WA I ER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 8/14 1 10:24 0.63" 2 10:54 30 6.75" 6,1P 3 10:55 0.50" 4 11:25 30 6.63" 6.13" 5 11:26 0.75" 6 11:56 30 6.88" 6.13" PERCOLATION RATE: 4.9 (MIN/INCH) PERC. HOLE DIA.. 6!—HNCHES) TEST RUN BETWEEN:: 2_0 FT. and 3.00 FT. 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 DA'Z'E: DEPTI I (lect) 2 - 3 4 - 5 - 6- 7- 8- 9- 10- 11 12- 13- 14- 15- 16- 17- 18- 19- 20 - MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: -_LOT 3, ARGYLE SUBDIVISION PERFORMED FOR: JOHN CLARE DATE: 8/13/15 PROJECFNo.: PARCEL ID#: TECHNICIAN: W. ROBERTS TEST HOLE l OB/OG a o. d a 4 a SILTY SAND WITH GRAVEL d SW/SM n SLOPE i. 49th HrCH L E. PNDERSON SITE PLAN SET SNE PIAN k i a G a WAS GROUND \VATF.R ENCOUNTERED' IF \'ES rt WHAT DEPTH" DEPTH OF WATER AFTER MON11ORING DATE OF hION1TORING: fNG BOH @ 13' DATE No 2% GROSS TIME NET TIME READING (MINUTES) (rolNurFs) DEPTH To WATFR (INCHES) MET DP,OP (INCH) O TEST HOLE PRESOAKED PRIOR TO TESTING: 8/14 1 10:09 L75" 2 10:39 30 7.25" 6.50" 3 10:40 1.50" 4 11:10 30 7.00" 6.50" 5 I:II 1.50° 6 1:41 30 7.00" 6.50" PERCOLATION RATE: 4.6 (MM/INCH) PERC. HOLE DIA.6 (INCHES) TEST RUN BETWEEN- 2=5 FT. and 3.5 FT. COMMENTS: 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: 8/31/15 Performed For: Legal Description: Depth (Feet) 5- 6- 7- 8- 9- 10- 11- 1 2- 13- 14, 15- 16- 17- 18- 19 - COMMENTS y P/C p /'l % �v tfvW rf Ce" 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.ci.anchoraoe ak-us (907) 343-7904 Soils Log - Percolation Test z 1, 1 �y'�PBlGINEER' EA'L{`�'{aej' / y} .' ; k 49TH 01 A! MICHAEL N�•AKDi RSC.•,•• �t+r�q.• CE -9469 PROcrc� ;YDate Performed U ri L u{. 3 Township, Range, Section: WAS GROUND WATER ENCOUNTERED? N If' Gross Time Net Time Depth to Water 5 IF YES, AT WHAT DEPTH? Ir 1� t Depth to Water Aker IO P P Monitoring? t J V tet— E Date: 1) 1 S )1 (7JG Site Plan D.v .A. k - Reading Date Gross Time Net Time Depth to Water Net Drop Ir 1� tam IO PERCOLATION RATE (rrinntesrinch) PERC HOLE DIAMETER 4_ TEST RUN BETWEEN FT AND_FT PERFORMED BY: I�/j ' I I CERTIFY THAT THIS TEST WAS, PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 1 • •-6.-"r Municipality of Anchorage On-Site Water and Wastewater Program . . wil' (907) 343-7904 SAMT c T r CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-141-18 Expiration Date: §-1 2 ( 1 1. GENERAL INFORMATION Complete legal description ARGYLE S/D LOT 3 Location (site address) 10901 LIPSCOMB ST, ANCHORAGE, AK 99516 Current Property owner(s) Day phone Mailing address 10901 LIPSCOMB ST,ANCHORAGE,AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLJNG: \1-3 4 5 g 70 ® Single Family (w/wo ADU) e4' 490 s,0 ❑ Duplex z 41- 0 Multiple Dwellings (Single Family and/or Duplex) �1 -/ 3. NUMBER OF BEDROOMS: 4 4RA mai I \ 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: /414 Date: S 2 COSA to be released to the engineer, unless otherwise requested by the engineer. Cg COSA Fee $ dl DI 'i,( — U( I , to Fr. Waiver Fee $ Date of Payment 5) I/I 1 Date of Payment Receipt Number -2. 11 E a b Receipt Number COSA# 7SC.l't (Ill 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 MIKE N ANDERSON, P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON, PE Date 05/9/17 .Q--,- - '4;‘:::%‘':-..•°•e e o•% '''• 1 F .e _:wr • y '.i 1f e '• 49I7....!K 1.---',$: jfaa 4oceeo o o on 0 • aal/. vd 6. DSD SIGNATURE `,• Ce * aeleGoov•e -Oe•• • r re• •;7?....,!••MICHAEL N. ANDERSCr. , " r;: 7( System #1 Approved for V bedrooms. .4 --"1•• CE-9469 :�...�.';r System #2 Approved for bedrooms. I.i? �1.�'fi: 5/0//F-. ,\.•'J`'" Disapproved. 1h':_v-,.-,=--�=-- Conditional approval for bedrooms, with the following stipulations: `y© ON-SITE -'y WATCR AND m j WASTEWATER z m PROGRAM —4/7..Crr'1 f,f FS C = -- 4 Original Certificate Date: 2 -/ 7 The Municipality of Anchorage Development Sees Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10.10.12 doc .f 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: ARGYLE S/D LOT 3 Parcel ID: 015-141-18 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (YIN) Y Date completed 1-9-17 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y Total depth 240 ft. Cased to 240 ft. Casing height (above ground) 18 FROM WELL LOG AT INSPECTION Date of test 1-9-17 NEW Static water level 214 ft. NEW ft. Well production 10 g.p.m. NEW g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 1,98 mg/L Arsenic: ND ug/L Date of sample: 41412017 Collected by: Mike Anderson B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC 1 STEEL Date installed 1215/2016 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping NEW Pumper NEW C. ABSORPTION FIELD DATA— 1985 SYSTEM TESTED Date installed 1215/2016 Soil rating .p.d./f .r ft2/bdrm) 1.2 System type DEEP TRENCH Length 44 ft. Width 2 ft. Gravel below pipe 6.0 ft. Total depth_at', Eff. absorption area 528 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) NEW For 4 bedrooms Fluid depth in absorption field before test NEW in. Water added NEW gal. New depth NEW in. Elapsed Time: NEW min. Final fluid depth NEW in. Absorption rate >= NEW g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) UNKNOWN If yes, give date • D. LIFT STATION Date installed Size in gallons Manhole/Access(Y/N) "Pump on" level at in. "Pump off level at in.High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 50'+ Holding tank 100'+ Animal containment areas 100'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 10'+ Absorption field 5'+ Water main 100'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(None Known) Wells on adjacent lots 100'+ F. COMMENTS • • G. ENGINEER'S CERTIFICATION • : c,�t.+ ?, ' 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in yr' • ; ,4�g T H ` conformance with MOA COSA guidelines in effect on this date. � �I I. • s4'ltl.!` d Engineer's Printed Name MIKE N. ANDERSON, PE �! MICHAEL N. Ftvr'CRS:'J • • J' 946 Date 0519/2017 er ��,��▪.. I/�?• .•.t.; ••� ‘‘OiNN--•:%- COSA canary sheet_2-6-15.doc • PLAT NO. 66-83 ARGYLE SUBDIVISION LOT 3 44,520 S.F. N 90°00'00"E 296.79' I I 108.0' I I b i I GRAVEL DRIVE b n n I I I I � * I I o I I o o inI I 0 m I I gU���NG l 0 33' o I I gX50 . • • •• o (/) M I I WELL SEPTIC SYSTEM ,M 00 I I • oo Z I La I 111 z WI Z° I O ; I ?YI -e I mea I 1 " =40' b I NP I • I I •1 1 l IN N 90"00'00"E 296.80' WELL LOT 4 S40 se 'ut t8,5' tp U `' U 15.0' acs. 81' 35.2. T. IA it .r Ado ill I BUILDING DETAIL SCALE: 1"=20' AS —B U I L T I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING. LLC IT IS THE RESPONSIBILITY OF THE OWNER TO ***x•111+ JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 4 cc, OF ,i,w*, 2000 E. DOWUNG RD., SUITE 8 • .••""••• 4 COVENANTS OR RESTRICTIONS WHICH DO NOT ♦ P; . S ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. coar • PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA 49TH ••• * • • GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR SW2636 • • •46.447S-rvvrr.-.1111 4/7/2017 ESTABLISHING BOUNDARY OR FENCE ONES. • - a • Je ery A. Gastaldi : o ANCHORAGE RECORDING DISTRICT, ALASKA ♦: •..• ��� ,91� a'• .��,• F.B. JOB NO. NOTE: NO CORNERS SET THIS DATE ,eaj0, ••• �� SJ•� °,esslona1 k . 1 7-02 ARGYLES web+,"'.�� •