HomeMy WebLinkAboutT12N R3W SEC 15 LT 7Onsite File
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Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211375 PID Number: 015-501-08
Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: OR New ❑ Upgrade
Name
Kai & Jennifer Starck
ABSORPTION FIELD
❑ Deep Trench 0 Wide Trench El Bed ❑ Mound
Site Address
5140 E 104th Ave
❑ Other
Phone
907-301-5359
Number of Bedrooms
4
Soil Rating
ITotal depth from original grade
1.0 GPD/SF
6.1 / 5.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
5.6 / 4.5 Ft
Gravel depth beneath pipe
0.5 / 0.5. Ft.
Subdivision Block Lot
7
Fill added above original grade
0.7 / 0.6 Ft.
Gravel length
2 @ 60
Township Range Section
12N 3W 15
Ft.
Gravel width
5.0 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
600 Ftz
2
>6 Ft.
Well
>100'
> 1 00'
N/A
N/A
>25'
TANK❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer
Capacity
1250 Gal.
Surface Water
>100'
> 100'
N/A
N/A
Material
Plastic
Number of compartments
2
Lot Line
>5'
>10'
N/A
N/A
NA
Foundation
> 1 0'
> 1 0'
N/A
N/A
LIFT STATION
turer
~'
Capacity
Remarks
Gal.
Alarm location
I installed by
Installer
PIPE MATERIAL House to tank D3034 drainfield Tank to
D3034
Red Dog Masonry
Drainfield D3034 CO/MT D3034
Inspector J. Millette
BENCH MARK (Assumed elevation) 100 ft
Inspection15t 11/29/21 11/30/21
Location and description
2�d
31° 12/1/21 4th
Bottom of siding
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
A
Septic System
Benjart,Schiller
�
Approved lr Date —
�% • • , siv222 • • * ,\ la ,
kkF�PROFESS1aO
Note: this approve I does not include well permit requirements.
in,... noinnie �
��
T1 2N R3W SEC1 5 LOT 7.
LOT 8
2 - 60* LONG x 5'WIDE, 0.5'
EFFECTIVE DEPTH
ABSORPTION TRENCHES
C041 --<-<\ 4 MT2
TH#1
N F
FC(
6 nj
0
\MT3 2GO
ALTERNATE SITE
o
445
\ " \ 450
100.\STREAM SETBACK
CLASS A WETLANDS BOUNDARY
LITTLE CAMPBELL CREEK
(APPX�PER MOA MAPPING
Benja i Schiller
Cell Ju 2
2,20 5
Flo
*. i. ki �
EXISTING WELL
w/ 100'RADIUS
'szz455
1 -GAL SEPTIC
250-
TANK w/ 20" MANwAY--
A B,- C
FCO
13.2
187
MH
27.4
63.8
SV
31.7
65.3
2CO
34.4
66.3
C01
45.4
55.8
MT1
49.6
52.5
CO2
92.2
29.9
MT2
87.1
27.3
FS
59.7
46.4
CO3
57.2
64.0
MT3
60.7
61.4
C04
101.3
44.9__[_
MT4
97.0
42.1
IN mail Ilu
0 50 100
�W M 73097J FEET
ill=50'
LOT 6'
LEGEND
CO-CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
T1 2N R3W SEC1 5 LOT 7
PERMIT # OSP211375
92.2
91.7
NORTH TRENCH
0
0:5 98.5 FINISH GRADE 97 A
P I D # 0 15-501-08
F— 0
r)Pi(--IKIAI r-'PAr'1FZ 75 ()
j •
60'
NO GROUNDWATER 8/5/21
81.8 SOUTH TRENCH
1--0
97.3 FINISH GRADE �5; 96.7 ORIGINAL GRADE 0
92.2 DRAINFIELD ROCK
91.7 MOA FILTER SAND
89.7 89.7
60'
NO GROUNDWATER 8/5/21
92.2
91.7
92.2
91.7
XV&
80.7
PROFILE AS -BUILT
(NO SCALE)
'FH
.. ... ... . ......
.....Benja ..... ..........
in Schiller
F�CE 12592
• /1/2022 *&AAW'
kj7s 1�1
N1PR0Fl!SS@0\- ' IS
EAST 104TH AVE
AsBuilt
5/16/2023
Feet
0 50 100
Development Services Department , Phone: 907-343-7904
,.
On -Site Water & Wastewater Section Fax: 907-343-7997
Permit Number: # OSP211375 Date of Issue: 9/8/21
Date Started: 4/22/22 Date Completed` 4/26/22
Legal Description: T12N R3W SEC 15 LT 7 G:2537
Property Owner Name & Address:
Parcel Identification Number: 015-501-08
Is well located at approved permit location? Yes FE-1 No ❑
Kai & Jennifer Starck
5140 E 104th Ave.
Anchorage, Ak
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
Casing Stick Up
0
2
Overburden
2
4
Gravel
4
23
Silt & Gravel
23
85
Clay
85
97
Dry Sily & Gravel
97
114
Boulder
114
115
Dry Silt & Gravel
115
167
Clay w/ Gravel
167
182
Wet Gravel
182
190
Clay w/ Gravel
190
200
Wet Sand & Gravel
200
202
Coarse Gravel w/H20
202
205
LAT:
LON :
Water Sample Results:
Arsenic: ,`O ug/L
Nitrates: mg/L
Total Coliform Bacteria: 101- -G colonies/100mL
-5- / / P� Z_ Z5
Method of Drilling M air rotary ❑ cable tool
Casing type: A53B Steel
Wall Thickness:.250 inches
Diameter:6 inches Depth: 205 feet
Liner Type: —
Diameter: — inches Depth: — feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 185 feet
Pumping level: — feet after
— hours pumping =gpm
Recovery Rate: 15 gpm
Method of Testing: Air Lift
Well Intake Opening Type:
0 Open End ❑ Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
20 Start 2 feet Stopped 22
Well Disinfected Upon Completion? Yes No
Method of Disinfection: Tabs Comments:
Well Driller: Johnny Kay
M ❑
Company: Hefty Drilling, Inc.
Mailing Address: P.O. Box 112130 Anch., AK 99516
Attention: The well driller shall provide a well log to the
On -site Water and Wastewater Section within 30 days of
completion.
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
OSP211375 9 8 21
Well Drilling Permit Number: Date of Issue: - -
Parcel Identification Number: 015 - 501- 08
Legal Description Block Lot Property Owner Name & Address:
T12N R2W SEC 15 LT 7 7 Kai & Jennifer Starck
G :25337 5140 E 104th Ave
Anchorage, AK
Pump Installation Date: 11 - 22 - 22
195
Pump Intake Depth Below Top of Well Casing:
G ru ndfos
Pump Manufacturer's Name:
1 OSQE07-240
Pump Model:
75
11 Pump Size:
hp
iiR
feet
Pitless Adapter Burial Depth: feet
Pitless Adapter Manufacturer's Name: Campbell B10 Type
Unknown
Pitless Adapter Installer:
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: Tabs
I) Comments:
Johnny Kay
Pump Installer Name:
Hefty Drilling, Inc.
Company:
P.O.Box 112130
Mailing Address:
Anchorage AK 99511
City: State: Zip:
Attention: The pump installer shall provide a pump installation log to On -site within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP211375
Work Type: WellSeptic Initial
Tax Code Number: 01550108000
Site Legal Address: T1 2N R3W SEC 15 LT 7 G:2537
Site Mailing Address: 5140 E 104TH AVE, Anchorage
Owner: STARCK KAI & JENNIFER
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Q Disposal Field Q Septic Tank Holding Tank Privy
Effective Date
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
11 t
O
Department
9/8/2021
9/8/2022
206744
Q Private Well Water Storage
All construction shall 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 shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: /
Issued By:
Date:
Date: g Z
El
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 1. D. 015-501-08
Property owner(s) Kai & Jennifer Starck Day phone 301-5359
Mailing address PO Box 240201, Anchorage, AK 99524
S;t dd 5140 E 104th Ave
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
T1 2N R3W SEC 15, Lot 7
Lot Size 206,744
Sq. Ft.
Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑x
Initial ❑ Single Family (SF)
(w/wo ADU)
Septic Tank
MUpgrade
❑X
Duplex (D)
Holding Tank
ElRenewal
❑
Multiple Dwellings
Privy
❑
(SF and/or D)
Private Well
❑x
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.
(Signature of property owner or authorized agent)
Permit/Rush Fees: �P�rj2� Waiver Fees:
Date of Payment: I i 12 Date of Payment:
Receipt Number: of 5 `(3 Receipt Number:
Permit No. n P2 1137-5 Waiver No.
Permit App__- ..:c
❑x
September 7, 2021
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
9/7/21
Subject: T12N R3W SEC15, Lot 7 – E 104th Ave
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 4-bedroom home on the property, so we are
submitting this permit application for the construction of a new well and septic system. There is
an existing cabin on the property with no well or septic system that will be demolished. The
attached site plan identifies the location of the home as well as the proposed well, septic location
and alternate site. No conflicts exist between this proposed system and any other well or septic
system, whether on this lot or adjacent lots.
The majority of the ground surface on the lot slopes toward the southwest at less than 10%. There
are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site.
Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage
will not impact this septic system. The new trench will be constructed parallel to the slope as much
as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all
wells and surface water, and more than 5’ away from the septic tank. The alternate site is located
more than 6’ away.
Please refer to the attached test hole logs, plan and profile pages for the septic design. If this design
is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Michael E. Anderson, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211375, Deb Wockenfuss, 09/08/21
1"=100'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGENDTH#
1
T12N R3W SEC15 LOT 7
FEET
0 100 200
NOTE:
NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE
PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
EAST 104th AVENUE
4-BDR
M
H
O
M
E
August 30, 2021
33' BLM RESERVATION
100' STREAM SETBACK
CLASS A WETLANDS BOUNDARY
LITTLE CAMPBELL CREEK
(APPX PER MOA MAPPING)
TH#2
PRIMARY &
ALTERNATE SITES
PROPOSED WELL
EXISTING WELL
EXISTING WELL
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211375, Deb Wockenfuss, 09/08/21
1"=50'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
T12N R3W SEC15 LOT 7
FEET
0 50 100
≥6'
NOTE:
NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE
PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
4-BDR
M
HO
M
E
September 7, 2021
100' STREAM SETBACK
CLASS A WETLANDS BOUNDARY
LITTLE CAMPBELL CREEK
(APPX PER MOA MAPPING)
TH#2
PROPOSED WELL
TH#1
100' WELL RADIUS
ALTERNATE SITE
2 - 60' LONG x 5' WIDE, 0.5'
EFFECTIVE DEPTH
ABSORPTION TRENCHES
MAINTAIN 6' MIN SEPARATION
CO
CO
CO
CO
FCO
MT
MT
MT
MT FS2CO1250-GAL SEPTIC TANK w/ 20" MANWAY
MAINTAIN 10' FROM FOUNDATION
455
450
445
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211375, Deb Wockenfuss, 09/08/21
T12N R3W SEC15 LOT 7
TYPICAL TRENCH SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
4" PERFORATED PVC
(HOLES DOWN)
DRAINFIELD ROCK
5'
6"
6"
4'
2'
DESIGN FACTORS:SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: <1 MIN/IN
APPLICATION RATE: 1.0 GPD/SF
SHALLOW TRENCH SYSTEM w/ SAND LINER
1,250-GAL SEPTIC TANK w/ 20" MANWAY
BOTTOM OF TRENCH: 5' BELOW GRADE
FLOW LINE ELEVATION: 4' 6" BELOW GRADE
TOP OF TRENCH: 6"' ABOVE GRADE
600 GPD / 1.0 GPD/SF / 5' WIDE *-1.0 RED FACTOR = 120 LF TRENCH REQUIRED (120 LF SPECIFIED)
August 30, 2021
6"
MOA APPROVED
FILTER SAND
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211375, Deb Wockenfuss, 09/08/21
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:
PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
TECHNICIAN:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(feet)
PROJECT No.:
TH-1 (WEST)
SLOPE
SLOPE
SITE PLAN
DATE READING GROSS TIME
(minutes)
NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH)
TEST RUN BETWEEN: FT. and FT.
COMMENTS:
(inches)(inches)
J. Millette
DATE OF MONITORING:
WAS GROUND WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING:
IF YES @ WHAT DEPTH?-
<1 6
3 4
7/27
1
2
3
4
5
6
GP (POORLY GRADED
SANDY GRAVEL)
Professional Engineers Stamp:
NO
DRY
8/5/21
T12N R3W Sec15 L7
7/27/21
015-501-08
Eric Trevithick
11:20 1
2
3
4
5
6
0 - 6
1' OB
<30 sec
August 30, 2021
SANDY LOAM
SP (POORLY GRADED
SAND,COARSE)
BOH
6
11:21 0 - 6<30 sec 6
11:22 0 - 6<30 sec 6
11:23 0 - 6<30 sec 6
11:24 0 - 6<30 sec 6
11:25 0 - 6<30 sec 6
"SP" is same material as "GP" but with absence of cobbles.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211375, Deb Wockenfuss, 09/08/21
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:
PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
TECHNICIAN:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(feet)
PROJECT No.:
TH-2 (EAST)
SLOPE
SLOPE
SITE PLAN
DATE READING GROSS TIME
(minutes)
NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH)
TEST RUN BETWEEN: FT. and FT.
COMMENTS:
(inches)(inches)
J. Millette
DATE OF MONITORING:
WAS GROUND WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING:
IF YES @ WHAT DEPTH?-
<1 6
3 4
7/27
1
2
3
4
5
6
GP (POORLY GRADED
SANDY GRAVEL)
Professional Engineers Stamp:
NO
DRY
8/5/21
T12N R3W Sec15 L7
7/27/21
015-501-08
Eric Trevithick
11:38 1
2
3
4
5
6
0 - 6
1' OB
<30 sec
August 30, 2021
SANDY LOAM
BOH
6
11:39 0 - 6<30 sec 6
11:40 0 - 6<30 sec 6
11:41 0 - 6<30 sec 6
11:42 0 - 6<30 sec 6
11:43 0 - 6<30 sec 6
Unable to dig deeper safely due to excess sloughing.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211375, Deb Wockenfuss, 09/08/21