HomeMy WebLinkAboutWAKELAND LT 2Wakeland
Lot 2
#050-472-06
Inspection Report_9-1-12.doc
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP161094
PID Number: 050-472-01
Dwelling: X Single Family (SF)
❑ Duplex (D) ❑ Multiple (SF and/or D) Project: X New ❑ Upgrade
Name:
Steve & Marcia Wakeland
ABSORPTION FIELD
❑ Deep Trench 9 Shallow Trench ❑ Bed ❑ Mound
Address
10012 Debbie Drive Eagle River, AK 99577
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
5
1.0 GPD/SF
6.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
2.5 Ft.
Gravel depth beneath pipe
4 Ft.
Subdivision
Block Lot
Wakeland
2
Fill added above original grade
1 Ft.
Gravel length
75 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
7550 Ft'
1
Ft.
Well
>100'
>100'
NA
>75r
>25'
TANK ❑ Septic Iul S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1,500 Gal.
Surface Water
>100'
>100'
NA
NA
Material
Steel
Number of compartments
Two
Lot Line
>5'
>5'
NA
NANA
Foundation>5'
>10'
NA
NA
LIFT STATION
Manufacturer
Capacity
Gal.
Curtain Drain
None
Pump on level at
Pump off level at
High water alarm at
Remarks
in.
in.
in.
Pump make and model
Electrical Inspections performed by
PIPE MATERIAL House to tank D3034 Tank to D3034
drainfeld
Installer
Green Contracting
Drainfield D3034 CO/MT
Inspector Wade Roberts
BENCHMARK (Assumed elevation) 100.0 ft
Inspectionts' 7/5/16
7/6/16
Location and description
dates:
2'
Garage Slab.
aro
4th
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
A4 0a
o®®OF
Conditional Approval:
Date
, �, •,
0
mom • 49 HH neo
.................. ESE.
..SON....•MICHA. 4
CE -4381
Approved
Date
Inspection Report_9-1-12.doc
Lot 5 Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
\ 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
Lot 7
Lot 6 IN 89'35'48"E
Page 2 of 3
PID No. 050-472-01
Permit Number: OSP161094
Lot 8
Lot 16
LOT 2
T/ WAKELAND
1.421 Acres
7 �
i I
I I
Well I
o I
I
Z ASPHALT I
I
0
o � i
ni r
j( ?
Five Bedroom AD�•
Lot 17 0Home a� a
FCO / e�
^� ^� ALTERNATE SITE:
zo
O� Advantex Treatment System
with 15' Long x 5' Wide x
IPJ.. - 51 4' Effective Depth Absorption
' - 2 Trench.
App. Rate 5.0
]<, - a5 BDLot 3
0TH2 T
A.
At. Sit. LEGEND
<_ MT - Monitor Tube
-fn A B FCO - Foundation Clean out
➢. S1 22.7' 37.1' TH - Test Hole
S2 28.0 342' CO - Clean Out
C4 71.5' 51.4' MH - Man Hole
Lot 18 M7 68.8' 49.9'
U C5 44.6' 587'
OF
. ••••••rrrrp�
NOTE: i Al 49th ,
Walkway Over Septic Tnak ;.....r ................ �..........
S 89'33'31'W 30.00' w'. Has No Below Ground ��(.Ll I
LOWLAND
Founda00 O
Removed. It is Easily 4 MICHAEL E� ANDERSBN
��, f•.• NO. CE -4381 .•��,A
S 89'36'32"W 0�� /.:?-Z..... }'0'
AVENUE 30.00' PROFESSI�P.••
PLAN AS -BUILT
Lot 1 SCALE 1" = 50'
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number: OSP161094
U
X.166.
1,500 Gallon
/ Septic Tank
i3.5 J 93.3
PID No. 050-472-01
12-9-2014
PROFILE AS -BUILT
No Scale
Certified Drilling Log
OC CO dba
BILL 8. COLE
TWO -2759
P.O. Box 670269,
6`WEiakLLS
, AK 99567 688
OWNER OF LAND: Steve Wakeland
ADDRESS: 10012 Debbie Drive Eagle River, AK 99577
Bore Hole
Data
Depth
From
To
LEGAL DESCRIPTION Wakeland Subdivision Lot 2
DATE: 6-11-16
0
2
PERMIT NUMBER: OSP161094 DATE OF ISSUE: 6-3-16
TAX IDENTIFICATION NUMBER 05047201000
Is well located at approved permit location: ❑Yes [—]No
Method of Drilling: ®air rotary ❑cable tool
Depth of Well: 200'
Casing Type: Steel Wall thickness ,250 inches
Diameter: 6 inches, depth 124 feet
Liner type
Static Water Level: 45 feet
Recovery Rate 7 ® gpm ❑ gph
Method of Testing Air
Well Intake Opening Type: ❑ open end ®open hole
❑ Screened Start feet Stopped
® Perforations Start 50 feet Stopped 53
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:
Perforations at 70 to 75 (.5 GPM)
2
4
4
12
12
20
20
51
51
69
69
75
75
115
115
146
146
171
171
184
184
189
189
200
Perforations at 50 to 53 (1.5 GPM)
Casing Stickup
Overburden
Silty Sand & Gravel
Silty Sand & Gravel w/ Clay
Silty Sand & Gravel
Silt Sand & Water w/ Gravel
Silty Sand & Gravel Water
Tight Sand & Gravel
Bedrock Yellow Broken
Bedrock Gray w/ Quartz
Bedrock Yellow Broken (4 GPM)
Bedrock Gray
Bedrock Yellow Broken (7 GPM)
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.
ARCTIC PUMP & WELL INC.
Jim Sullivan
r PO Box 770197
u mmwn,rsn Eagle River, AK 99577
uu� c rtuc -� (907) 688-2510
(907) 243 -2282
Pump Installation Log
Well Drilling Permit Number: osp161094
Parcel Identification Number: 05047201000
Date Of Issue: 6/3/2016
MnnAny, December 12, 2016
Legal Description Wakeland
Property Owner Name Address:
Karrie Young
Lot: 2
10012 Debbie Dr
Block:
Eagle River AK 99577
Pump Installaion Date: 8/8/2016
Pump Intake Depth Below Top of Well Casing: 173
Pump Manufacturer's Name Franklin
Pump Model: Constant Pressure System: 5Y10SDQP-1.5HP
Pump Size: 1.5 HP
Pitless Adapter Burial Depth: 13 Feet
Pitless Adapter Manufacturer's Name S-50
Pitless Adapter Installer: u/k
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
MnnAny, December 12, 2016
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 2, WAKELAND SUBDIVISION
PERFORMED FOR: STEVE WAKELAND
DATE: 7/5/16 PROJECT No.:
PARCEL ID#: TECHNICIAN: VV. ROBERTS
DEPTH TEST HOLE A
(feet)
OB/OG
I
READING
GROSS TIME
(MINUTES)
2
d
NET DROP
(INCHES)
d
7/5
1
a
POORLY GRADED GRAVEL
3
2
9:37
WITH SAND
4
9.12"
GP/GW
3
d
5
O
6
n
30
9.75"
9.25"
BOH @ 6.5'
7
10:09
8
9
10:39
30
I
II
0
1
1
1
1
1
1
SLOPE
WAS GROUNDWATER ENCOUN'PERED? NONE
SI I L PLAN
SEE SITE PLAN u
i
IF YES @ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING: NONE 0 2%
DATE OF MONITORING' 10/15/16 P
E
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
WATER G
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
7/5
1
9:07
0.63"
2
9:37
30
9.75"
9.12"
3
9:38
0.50"
4
10:08
30
9.75"
9.25"
5
10:09
0.63"
6
10:39
30
9.81"
9.18"
PERCOLATION RATE: 3.3 (MIN/INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN: 6.5 FT. and 7.5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST TO VERIFY UNIFORMITY OF SOILS.
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
F)A'PF 12/21/2016
Permit Number:
Tax Code Number
On -Site Water & Wastewater System Permit
OSP161094
05047201000
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
Work Type: WellSeptic Initial
Permit Effective Dates: June 03, 2016 to June 03, 2017
Design Engineer: ANDERSON ENGINEERING
Subdivision: T14N R1W SEC 8
Site Legal Address: T14N R1 W SEC 8 SE4N2SW4SE4SE4 REM G:0057
C 7
Ucparuncni
jf,(j �. `1' 3v
Owner/Address: WAKELAND STEVE & MARCIA
FAMILY TRUST WAKELAND S C & M A / TTES 10012 DEBBIE DRIVE EAGLE RIVER AK 995770000
Site Mailing Address: 10012 DEBBIE DR, Eagle River
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank
Lot Size in Sq Ft: 194700
Total Bedrooms: 5
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 It8AAC72) 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.
Special Provisions:
The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation
test. The Engineer needs to do an additional percolation test prior to the construction of the septic
field. 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. AMC 15.65.060.B.3
Received
Issued By
MUNICIPALITY OF
® +r
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
ANCHORAGE. -
Phone:
Fax:
ON-SITE SEWERIWELL PERMIT APPLICATION
Parcel I.D. 050-472-01
Property owner(s) Steve & Marcia Wakeland Family Trust Day phone
Mailing address 10012 Debbie Drive Eagle River, AK 99577
Site address Same
Legal description (Sub'd., Block & Lot)
5
MAY 0 9 2016
Legal description (Township, Range & Section) T14N R1 W SEC 8 SE4N2SW4SE4SE4 REM
Lot Size 194,700 Sq. Ft.
APPLICATION IS FOR:
(® all that apply)
Absorption Field ❑x
Septic Tank
❑X
Holding Tank
❑
Privy
❑
Private Well
❑X
Water Storage
❑
Number of Bedrooms Five
APPLICATION IS AN:
TYPE OF DWELLING:
Initial n
Single Family (SF) ❑X
(w/wo ADU)
Upgrade 1:1Duplex
(D) El
El
Multiple Dwellings ❑
(SF and/or D)
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.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 5V) *f 215� *7ky Waiver Fees:
Date of Payment: Silo%b Date of Payment:
Receipt Number: b"132Z6, Receipt Number:
Permit No. 056 161 041(4 Waiver No.
Permit App__-: :L:c.
May 6, 2016
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 2, Wakeland Subdivision (S12155)
T T1 4N, R1 W, Section 8, SE4N4SWW4SE4SE4 REM
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of the proposed Lot 2, Wakeland Subdivision intends to construct a new
five -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. Also identified on the
plans are the existing wells and septic systems on surrounding lots. No conflicts exist
between the proposed well and septic system and wells or septic systems on adjacent
lots. Ground surface contours and drainage arrows are shown on the site plan showing
the grade and direction of flow on the lot. The drainage pattern will not change as a
result of this project.
The test hole placed on the lot in the area of the absorption trench and alternate site
indicated organic material to 1' underlain by poorly graded sand and gravel (SP/GP).
The percolation rate of the soil was determined to be less than 1 minute per inch. No
groundwater was found during the placement of the subdivision test hole and none
developed during the monitoring period. An application rate of 1.0 gallons per day per
square foot was used in the design of the absorption system as materials encountered
are similar to the sand liner material. We are proposing to place a new 1,500 -gallon
septic tank and a 75' 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 2' below the surface and the total depth will be 6'. To
prevent frost penetration 4' of fill must be placed over the septic tank and 3' over the
absorption trench. In lieu of fill 2" of insulation and 2' of fill will be placed over the
absorption trench and 4' over the septic tank.
Lot 2, Wakeland Subdivision
May 6, 2016
Page Two
The ground surface on the lot in the area of the septic system slopes to the southwest.
The new trench 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.
If the system is constructed in accordance with our design the following statements
apply:
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
Septic
Lot 1
Existing
Septic
U
C
1,500 \n
Septic Tank—
\
SV
75' Long e
x 4' Effective Dept
Absorption Trench
Co
Alternate Site
MICHAEL E. ANDERSON
No. CE -4381
TH1
7—Monitor Tube
— Foundation—C
--Test Hole
Clean Out—
!— Double Clean
— Srl�fierVwnt�
0, 1 T 270.Q� —�
♦ 300.0'
♦; Lot 1
Contour Interval 2'
SITE /P/LAN-
SCALE h° = 50'
LOT 2, WAKELAND SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS
Five Bedroom Home 5' Wide Trench System
Perc. Rate: 1-5 Min./Inch 1,500 Gallon Septic Tank
Application Rate: 1.0 GPD/SF (Sand Liner Material) 4' Drainfield Rock
5 Bedrooms ` 150 GPD/Bedroom = 750 GPD Design Flow
750 PD/1.0 GPD/SF/5 SF (Width) *.5 (Red. Factor)= 75 LF Trench Length
THEREFORE: Construct a 75' Long x 5' Wide x 4' Effective Depth Absorption Trench.
Flow Line Elevation in Trench to be 2' Below Original Ground Surface. Total Depth to be
6' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over
Septic Tank.
61
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE)
NOTE: Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Private Wells in the Area.
Minimum 100' Separation From Surface Water or Streams.
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
301 E. ttM0. PMO, 6UIE 101 •/1gY1MGE, N yp9' Pp`E Itl4 SiIAIM `eM (tlP ]]FI}M'N£0®fF: rww6✓^.w9mslNam
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: T14N, RiW, SECTI0N8, SE 4, N Z SW 4, SE 4. BE 4, REM
PERFORMED FOR: STEVE WAKELAND DATE: 11x1412014
DEPTH ----
UeO ORGANICS ITEST HOLE #2
1 •-
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
SP TO GP
WITH SOME
SILT
SOIL CLASSIFICATIONS
DEPTH TO
GROUNDWATER
DATE
DRY
11/2412014
DRY
1219/2014
111111�11j1
'
1121191
<1.5
0"
8"
�f�.
mmm
WIN
<1,5
111111111
8"
5
•
����.
11111111
<1.5
p"l l
•
FW
DEPTH TO
GROUNDWATER
DATE
DRY
11/2412014
DRY
1219/2014
8"
'
2 -
<1.5
DATE READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL.
READING
NET DROP
(INCHES)
11/25/2014 1 -
-
8"
'
2 -
<1.5
0"
8"
3
8"
4
<1,5
0"
8"
5
8"
6
<1.5
0"
8"
I
19 1 PERCOLATION RATE <t
(MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
1 EST RUN BETWEEN 4.5 FT. AND 5.5 FI.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES IM NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: DAVID GARNESS
COMMENTS: PERCOLATION READINGS ARE WITHIN 1116OF INCH,
PERFORMED BY GEG, Ltd. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF RM DIN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1 Z Z I I
NORTHERN GEOTECHNICAL ENGINEERING, INC. / TERRA FIRMA TESTING
PROJECT CLIENT:
Anderson Engineering
PROJECTNAME:
Lot 2; Wakeland Subdivision
PROJECT NO.:
4382-16
SAMPLE LOC.:
TH2
NUMBER/ DEPTH:
S-1 / 4' Below Grade
DESCRIPTION:
Silty sand w/ gravel
DATE RECEIVED:
5/20/2016
TESTED BY:
dA
REVIEWED BY:
RC
100
90
80
70
60
2 50
ce 40
a
Z 30
20
10
0
145
140
20
115
0 2 4 6 8 10 12 14 16
MOISTURE CONTENT (%)
%GRAVEL: 30.8
% SAND: 54.2
% SILT/CLAY: I5.0
USC:
USACOE FC:
.02 mm:
SNI
ASTM D 15 57 (uncorrected)
Fine Coarse Medium Fine
Pelf
ASTM D4718 (corrected)
6"
pcf
OPTIMUM M.C. (corrected)
3"
aha
NA'rURAL M.C.
8.7
100
PARTICLE SIZE ANALYSIS ASTM D422 / C136
Y 13' In- qo Wo aw
SIEVE ANALYSIS RESULT
SIEVE
SIZE(mm)
SIEVE
SIZE INS.)
TOTAL% SPECIFICATION
PASSING
Coarse
Fine Coarse Medium Fine
15240
6"
PLASTICITY INDEX
7620
3"
38.10
1.5"
100
19.00
3/4"
94
12.70
1/2"
88
9.50
3/8"
85
4.75
#4
69
2.00
#10
50
0.85
920
36
043
#40
27
0.25
460
mil
m
9100
19
0.075
#200
01 111
SIEVE ANALYSIS RESULT
SIEVE
SIZE(mm)
SIEVE
SIZE INS.)
TOTAL% SPECIFICATION
PASSING
Coarse
Fine Coarse Medium Fine
15240
6"
PLASTICITY INDEX
7620
3"
38.10
1.5"
100
19.00
3/4"
94
12.70
1/2"
88
9.50
3/8"
85
4.75
#4
69
2.00
#10
50
0.85
920
36
043
#40
27
0.25
460
23
0.15
9100
19
0.075
#200
15.0
loo to 1 0.1 0.01 0.001
GRAIN s12E (mm) HYDROMETER RESULT
coEeEEs
GRAVEL SAND
SILT or CLAY
Coarse
Fine Coarse Medium Fine
MOISTURE -DENSITY RELATIONSHIP ASTM DI 557
FLAPSED DIAMETER TOTAL
TIME (MIN) (mm) PASSING
0
0.5
1
2
4
8
15
30
60
250
1440
HYDRAULIC COND.
(ASTM D2438)
DEGRADATION
(ATM T-13)
PLASTICITY INDEX
ASTM 4318
The testing services reported herein have been perfonned to recognized industry standards, unless otherwise noted. No other warranty is made. Should engineering
interpretation or opinion be required, NGE-TFT will provide upon written request.
11301 Olive Lane Anchorage, Alaska 99515 Phone: 907-344-5934 Fax 907-344-5993 rovw.nge-tfixom
D]
Municipality of Anc
On -Site Water and Wastewater
(907)343-7904
Certificate of On -Site Systems Appl
Parcel I.D. 050-472-06-000
1. GENERAL INFORMATION
Complete legal description Wakeland, Lot 2
Location (site address)
Expiration Date: Z a3 - I'/
21479 Lowland Avenue Eagle River, AK 99577
Current Property owner(s) Brandon and Kerrie Young Day phone_
Mailing address
Real Estate Agent
P.O. Box 771712 Eagle River, AK 99577
2. TYPE OF DWELLING:
Q Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Five
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
..(pry i7e�...,::. � •.;�
•.
Individual
! ,
pLE BL
DI
Op
❑
Community Class Well
Certificate of On -Site Systems Appl
Parcel I.D. 050-472-06-000
1. GENERAL INFORMATION
Complete legal description Wakeland, Lot 2
Location (site address)
Expiration Date: Z a3 - I'/
21479 Lowland Avenue Eagle River, AK 99577
Current Property owner(s) Brandon and Kerrie Young Day phone_
Mailing address
Real Estate Agent
P.O. Box 771712 Eagle River, AK 99577
2. TYPE OF DWELLING:
Q Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Five
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
❑
WaiverNariance request for:.
Received by:I / //�/��h0/ Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ ll �- 6 r— Waiver Fee $
Date of Payment /Z — Z L— //� ( Date of Payment
Receipt Number 05 5�� G Receipt Number
COSA# DSG/611 Waiver#
i
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 522-7773
Address PO Box 240773, Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date 12/22/2016
6. DSD SIGNATURE t_
System #1 Approved for bedrooms
System #2 Approved for _ bedrooms
Disapproved
Conditional approval for bedrooms,
w ,,est
s., ce -<Iset
D
with the following stipulations:
By Original Certificate Date: Z'z 3 / o
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 engineers work.
7. ATTACHMENTS:
COSA Checklist x Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet f f. 1. s
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: Wakeland, Lot 2
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed 6/11/16 Sanitary seal (Y/N) Y
Total depth 200 ft. Cased to 124 ft.
FROM WELL LOG
Date of test 6/11/2016
Static water level 45 ft.
Well production 7 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate 2.53 mg/L
Arsenic ND ug/L Date of sample: 12/16/16
Parcel ID: 050-472-06-000
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) >24 in.
AT INSPECTION
ft.
9 -
p.m -
Collected by: Anderson Engineering
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material , Septic/Steel Date installed 7/5/2016
Tank size 1,500 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 Pumper New Construction
C. ABSORPTION. FIELD DATA
7
Date installed 7-6-16 Soil rating (g.p.d./ft2 or ftz/bdnn) 1.0 GPD/SF System type 5' Wide
Length 75 ft. Width 5 ft. Gravel below pipe 4 ft.
Total depth 7.5 ft. Eff, absorption area 750 ft2 Monitoring tube Y Depression over field N
Date of adequacy test New Const. Results (Pass/Fail) For 5 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) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons
in. "Pump off' level at in.
E. SEPARATION DISTANCES
Cycles tested
WELL ON LOT TO:
Septic tank/lift station on lot > 100'
Absorption field on lot >1 00,
Public sewer main >75
Sewer /septic service line >25'
Animal containment areas >50'
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >51
Water main > 10' Water service line
Wells on adjacent lots >1 00'
Manhole/Access (Y/N) _
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots
On adjacent lots
>100'
>100'
Public sewer manhole/cleanout >100,
Holding tank >75'
Manure/animal excrete storage areas >100'
sn
ABSORPTION FIELD ON LOTTO:
Property line >10, Building foundation >10,
Water Service line >10, Surface water >100'
Curtain drain Nolle Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
/ certify that l 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 12/22/2016
COSA brown sheet 10-10-12.doc
Absorption field >5
Surface water >100'
Water main >10,
Driveway, parking/vehicle storage >I 01
in.
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1.421 Acres
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Lot 8
Lot 3 HOUSE DETAIL
SCALE: 1"=30'
2.0'x10.2' CANT
2 STORY
RESIDENCE
S 893331"W 30A0zW89'36'32*W
26.0•LOWLAND o 26.0.
? CONCRETE PATIO DECK
AVENUE tj30.00' BELOW DECK
--------------- 2.0'x5.3' CANT
Lot 1
PLOT PLAN AS BUILT X SCALE 1" —=60' GRID NW 0057 Project No. 16-081/85
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates, inc. (907) 522-6476 Phone 000040p
(907) 522-4625 Fax o0 p�0
P ro f e s s i o n a l Land Surveyors kenolongsurvey.com o 0 F A ., q Q
Ion othonOlonasurvev.com G� .• S
I hereby certify that I have surveyed the following described property:
LOT 2, WAKELAND SUBDIVISION (PLAT 2016-44)
Anchorage Recording District, Alaska, and that the Improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that
no Improvements on the property lying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible
easements on said property except as Indicated hereon.
Dated this the J Day of ov ` w� , at Anchorage, Alaska
It is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
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