HomeMy WebLinkAboutINLET VUE ESTATES LT 2Inlet Vue Est
Lot 2
#051-021-35
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171027 PID Number: 051-021-35
Dwelling: ❑� Single Family (SF) ❑ Duplex (D) El Multiple (SF and/or D) Project: ❑t• New ❑ Upgrade
Name.
Troy Davis Homes ABSORPTION FIELD
Address
21275 Conley Ave. Chugiak, AK ❑ Deep Trench 0Shallow Trench ❑ Bed ID Mound
❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
907-310-2501 4 1.0 GPD/SF 7.8 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 3.6 Ft.4.2 Ft.
Inlet Vue Estates 2 Fill added above original grade Gravel length
Township Range Section O Ft. 60 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 5 Ft. Ft.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches
From Tank Field Tank Line 600 Ft' 1 Ft.
Well >100' >100' N/A N/A >25' TANK l l Septic ❑S.T.E.P. ❑ Holding ❑ Other
Manufacturer Capacity
Surface Water >100' >100' N/A N/A Anchorage Tank 1250 Gal.
Material Number of compartments
Lot Line >5' 10' N/A N/A Steel 2
NA
Foundation >5' >10' N/A ' N/A LIFT STATION
T
Manufacturer Capacity
Curtain Drain None ' Noted Gal.
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
Installer drainfield
Northern Excivating Drainfield D3034 CO/MT D3034
Inspector Jacob Millette BENCH MARK (Assumed elevation) 100 ft
Inspectteion
i'' 7/15/17 2nd7/17/17 Location and description
da3R' 4"' Garage concrete slab.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
4.c0Conditional Approval: Date 4. •• �0
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Inspection Report_9-1-12.doc
INLET VU E ESTATES, LOT 2
PERMIT # OSP171027 PID # 051-021-35
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT: 343-7904
4700 ELMORE RD. ANCHORAGE, AK 99519-6655
WASTEWATER DISPOSAL SYSTEM OR WELL INSPECTION REPORT
O (NO
o > > 0
LL co co (V
-- — / 100.1 — — —
97.25
INSULATION
r -_, 1 .j
97.6 96.6
96.7
SEPTIC TANK
`� 92.4
CV CV
O 100.2 H O
FINISH GRADE
96.6DRR )f.6
AINFIELDOCK
92.4 92.4 f
60'
-.�84.x.
2 NO GROUNDWATER 10/15116
4,'°F N..41k,
if' TM , * i
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PROFILE AS-BUILT �f1 doer"•. Schiller .
�^•• . A 12592
(NO SCALE) �`i9fiii? 5Sn'ON-t
Wheaton Water Well Inc.
1190 N. Wasilla-Fishhook Road
Wasilla, AK 99654
(907)376-2041
Name: Troy Davis Homes, Inc.
Address: 1689 Knik Goose Bay Road, Suite 400
City: Wasilla State: AK Zip Code: 99654
Well Site: Inlet Vue Estates Subd. Lot: 2 Block:
Additional:
ell Depth: 42 ft. From: To: Formation:
Below Ground: 40 ft. 35 silt, gravel
Above Ground: 2 ft. 35 42 gravel, sand
al/Min: 12
tatic Level: 17 it.
asing: 42' of 6" ID Steel
I iner Pipe: none
•creened: none j WATER QUALITY TESTING
erforated: none I Coliform D ��-
Nitrates N
routed: Bentonite Arsenic t‘i fl
Depth: 20' +
II evelop. Method: Air
se of Well: Residential
3 rilling Method: Rotary
luids Used: none
I' ump Installed: none
• they: none
pate Drilled: 3-28-2017 Driller: Ben Mattson
Development Services Department
•
Building Safety Division •
• , i r AweOn-Site Water & Wastewater Program a' t e
4700 Elmore Road
P.O. Box 196650 'i it I I
Mark Begich Anchorage, AK 99507 s A LIV
Mayor www.rnuni.crq/onsite
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: SW oSP171027 Date of Issue: 3-13-2017
Parcel Identification Number:
Legal Description Property Owner Name& Address:
INLET VUE ESTATES SUBDIVISION LOT 2 Troy Davis Homes.Inc.
Conley Avenue 1689 Knik Goose Bay Rd#400
Chugiak,AK Wasilla,AK 99654
Pump Installation Date: 7 -,,_2577 — —
Pump Intake Depth Below Top of Well Casing: 33 feet
Pump Manufacturer's Name: Goulds
Pump Model: IOHS054I2CL
Pump Size 1,2 hp
Pitless Adapter Burial Depth: 11 feet
Pitless Adapter Manufacturer's Name: Martinson
Pitless Adapter Installer: Unknown
Well Disinfected Upon Completion?Z Yes ❑ No
Method of Disinfection: stereline
Comments:
Pump Installer Name: Wheaton Water Well, Inc.
1190 N.Wasilla-Fishhook Road
Wasilla,AK 99654
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
INLET VUE ESTATES, LOT 2
PERMIT # OSP171027 PID # 051-021-35
Tract A _
INLET VUE ESTATES
LOT 2
L
I
f
I
�1 / r
/ /
\i'.----- : ---- __
WELL
1
/ B p00*
Qe
I FCO
SV1Q 01
SV2
2C0 \`
T#3
,/ 1MT1 Lot 3
Lot 1 CO2
/ ,----- -- ------ -----_
ALTERNATE \ A B
SITE — ----, / FCO 127.7 20.7
SV1 33.0 60.7
SV2 37.75\ 68.1
2C0 41.25 72.9
CO1 16.2 60.85
i6 MT1 75.4 104.5
TH#4 CO2 73.6 102.4
4�����\`x TH 3 "`
ill
40::. _•_���#+ / LEGEND
j*: Tl-I /\ -*`/ / MT-MONITORING TUBE
Ifj••• i••• '•• A 1 FCO-FOUNDATION CLEANOUT
•• •. / 7- TH-TEST HOLE
Benjani; .chiller :� SV-SEPTIC VENT
11'''''... AEL 592---_.•.`�
1%F9., Sep 23 2011 -..a�s �CO-CLEANOUT
ll�1NUN%N~ —
15' T&E
EASEMENT
0i 50 100
I= MI I= FEET
111=50'
p .
9'11►
144,0
• Municipality of Anchorage
- On-Site Water and Wastewater Program rNi rwrig-r`'
(907) 343-7904 SEP 2 5 20 ' S A
ti
Certificate of On-Site Systems Approv.
051-021-35 01
6 $
Parcel I.D. Expiration Date: ^t
1. GENERAL INFORMATION
Complete legal description Inlet Vue Estates Lot 2
Location (site address) 21275 Conley Ave. Chugiak, Ak
Current Property owner(s) Troy Davis Homes Day phone 907-310-2501
Mailing address 1689 S Knik Goose Bay Rd #400, Wasilla, AK 99654
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Q Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Individual 111
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: 11/A .M/'h'P)//17 ) Date: C/25/17
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 41//.0 Waiver Fee $
Date of Payment ?lI 5 f Date of Payment
Receipt Number _ O/b&((�_ Receipt Number
COSA# 05C 19 /C/57 1 Waiver#
t .
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 Forge Engineering Phone 907-522-7773
Address 1399 W. 34th Ave. Suite 203 Anchorage, AK 99503
Engineer's Printed Name Benjamin Schiller Date 9/20/17
.."gam�-�•'•
eits
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6. DSD SIGNATUREte
System #1 Approved for � bedrooms A 5, . ;j‘d
System #2 Approved for bedrooms : 1of :o Ci• " ,:
�' •Ix f.�
.
Disapproved
Disapproved 4� '� ` co
- �
` � r. �}a�
Conditional approval for bedrooms, with the following stipulations:
•
..«ktlttltttxfrr
ON-SITE
WATER AND 51-;-
'm WASTEWATER
Val)
PROGRAM
fTh
Original Certificate Date: "` ^ r� 7
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_E
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: Inlet Vue Estates Lot 2 Parcel ID: 051-021 -35
A. WELL DATA
Well type Private If A. B. or C provide PWSID # Well Log (YIN) Y
Date completed 3/28/17 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y
Total depth 42 ft. Cased to 42 ft. Casing height (above ground) 24 in.
FROM WELL LOG AT INSPECTION
Date of test 3/28/17 New
Static water level 17 ft. ft.
Well production 12 g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform ND colonies/100 mL Nitrate ND mg/L
Arsenic ND ug/L Date of sample: 7/18/17 Collected by: Wheaton Water Wells
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 7/17/17
Tank size 250 gal Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping Pumper New Construction
C. ABSORPTION FIELD DATA
Date installed 7/15117 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.0 GPD/SF System type 5 Wide
Length 60 ft. Width 5 ft. Gravel below pipe 4 ft.
Total depth 7 8 ft. Eff. absorption area 600 _ft2 Monitoring tube Y Depression over field N
Date of adequacy test New Construction 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) 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 >100On adjacent lots >100'
Absorption field on lot >100' On adjacent lots >100'
Public sewer main >75' Public sewer manhole/cleanout X100'
Sewer/septic service line >25' Holding tank >75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
5, >5 ›5'
Building foundation Property line Absorption field
Water main
>10' Water service line >10' Surface water >100'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
>10' >10'
Property line >10' Building foundation Water main
10' >
Water Service line Surface water >100 Driveway, parking/vehicle storage 1
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and _+�iN ='l;6y
review of Municipal records that the above systems are in S�..O 4,
conformance with MOA COSA guidelines in effect on this date. ! "`:.•• �CV 'qs l.
Benjamin Schiller sr * • . • T ':9 e
Engineer's Printed Name �. . +A•
Date 9/20/17 /y-M. .....'."" ••
PvgA.,
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'(.:Ti:iliRs,Noiv,
COSA brown sheet 10-10-12.doc
ii
•
.. Tract AN. \ I
i A.,
e1,69�N�E N 85"30'00"E 137.58'
5$
/ WELL 1
l `� ii ° , Ror HOUSE DETAIL
ecr,
VF RAbfUs SCALE: 1"=30'
\\ / 54 ,
44.7' ,,
N.N. 50.8' ,�1 0
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SEPTIC PIPES • — - • o CANT
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69,358 s.f. . .
•
15' T&E
EASEMENT —
0
N 90"00'00"W 160.00
0
— — — g — — —
CONLEY AVENUE
PLOT PLAN AS BUILT _X_ SCALE 1=