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HomeMy WebLinkAboutBLUE BEARYESTATES LT 1Blue Beary � t t Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 2 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221367 PID Number: 020-021-32 Dwelling: IN] Single Family (SF) ❑ with ADU E] Duplex (D) ❑ Two Single Family Project.- X New F-1 Upgrade Name FARNHAM ABSORPTION FIELD 0 Deep Trench 1771 Wide Trench El Bed El Mound Site Address 9500 HONEY BEAR LN [_1 Other Phone Number of Bedrooms Sod Rating --- fTotal depth from original grade- 14 1.2 GPD/SFJ 8.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 8 Ft. Gravel depth beneath pipe 4 Ft. Subdivision Block Lot BLUE BEAR ESTATES Ll Fill added above original grade 1.0 Ft. Gravel length 80 FL Township Range Section Gravel width 2 Ft. Beds: Number of Lines I 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 640 Ftl Ft. Well 1001+ 100'+ 501+ TANK N Septic 0 S.T.E.P. [3 Holding El Other Manufacturer Capacity ANCH/GREER TANK 1250 Gal. Surface Water 1001+ 1001+ — Material Number of compartments Lot Line 101+ 101+ NA PLASTIC, DEEP BURIAL 2 Foundation 1 01+ 10'+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT 3034 inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 100.8 ft Ins pdates: ection im 8/14/23 8/15/23 rtd Location and description 2 TOP OF MANHOLE 3rd 41f' ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF Al Conditional Approval: Date 4 9 1 H Septic System Approved Date )/S<_ J t�C�' MICHAEL N. ANDIRSCN C 9 69 y�, It Note: this does include t ti` •FROfkSc1QK�`�'t`�-' approval not welt permit requirements. (Rev o5iowi 6) Permit No. OSP221367 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On —Site Wastewater Disposal System and/or Well Inspection Report Legal Description: BLUE BEAR ESTATES LOT 1 MARK A B CC TC01 12 20 TC01 19 24 CO2 21 28 CO3 22 29 C04 23 30 C05 108 110 MT 107 1 112 PID No.: 020-021-32 NEW 1250/ GALLON PLASTIC TANK \ 1 � / / / BENCH, TOP OF MH\ SCALE: 1 "=50' NO WATER O 83 AUG 2023 �••�� OF, q 4� ........ �; ••. 49TH `- MICHAEL N. ANDEF No. CE 9469 1 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Section .arRr 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Soils Log - Percolation Test Performed For: t f= 'r 1, *1 L% 1, k� Date Performed: Legal Description: V' ytA C , k-,ginr14 .,� t. �� Township, Range, Section: _ .�,Inna 1 0rCl- 2- 3- 4- 5- 6- �Ni �4ihi( 7- 8- WAS GROUNDWATER 9- ENCOUNTERED? Q s 10- IF YES, AT WHAT DEPTH? L Depth to Water After P P 11- Monitoring? E 12- rftLA Date:=i- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS UAW, Site Plan PERCOLATION RATE Z.• (minutesfinch) PERC HOLE DIAMETER /C TEST RUN BETWEEN _FT AND FT PERFORMED BY: NA, Ac,j, I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /p V'_ MUNICIPALITY OF ANCHORAGE I-vc„r s On -Site Water & Wastewater Program No PO Box 196650 4700 Elmore Road i Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite y.., i Department On -Site Water & Wastewater System Permit Permit Number: OSP221367 Effective Date: 6/14/2023 Work Type: WellSeptic Initial Expiration Date: 6/13/2024 Tax Code Number: 02002132000 Site Legal Address: BLUE BEARYESTATES LT 1 G:3242 Site Mailing Address: 9500 HONEY BEAR LN, Anchorage Owner: FARNHAM MICHAEL & ASHLEY Lot Size in Sq Ft: 328282 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 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 Special Provisions: A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7 -day groundwater monitoring. If results require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, if required). Received By: I S ,,\A Date: Issued By: Date: Z 3 MUNICIPALITY OF ANCHORAGE Development Services Department -343-7904 On -Site Water & Wastewater Section --- Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 020-021-32 Property owner(s) FARNHAM Mailing address 5777 SERENITY LANE, ANCH AK Site address Day phone Legal description (Sub'd., Block & Lot) BLUE BEARY ESTATES LT 1 Legal description (Township, Range & Section) Lot Size 328282 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Fx� Initial El Single Family (SF) El ADU) Septic Tank El Upgrade El(w/wo Duplex (D) ElHolding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A 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/ ush Fees: SIS �"� ��Za-Waiver Fees: ate of Payment: q%12�2 Z Date of Payment: Receipt Number: �la'l2-�l Receipt Number: Permit No. ( a7DeX13(Pl Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc May 25, 2023 Municipalities of Anchorage On-Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: New septic & well permit Legal: BLUE BEARY ESTATES LT 1 To whom it may concern: This is a request for a septic and well permit on the above referenced lot. A single test was done on this lot by Pannone Engineering Services LLC for the new Blue Berry Subdivision, see MOA file S-12325. The total depth was 14 feet and the perc was 1 minutes per inch. A deep trench has been designed for the site. The steep 40 percent slope will require additional fill be placed down slope of the proposed field, see the site plan. This new septic system will not impact any of the neighbors or encroach on any wells, septic or open water issues. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221367, Curtis Townsend, 06/14/23 SEPTIC FIELD SECTION DESIGN CRITERIA: 4.0' EFFECTIVE 4 BDRM X 150 = 600 GPD SOILS = 600/1.2 = 500 GPD 500 GA/8 = 63' 2.0' WIDE 63' LONG (1) TRENCH 8' DEEP 14 (TH#1 BY PES LLC) 1.0 GM/SM ORG 2.0' -4.0 FILTER FABRIC SEWER ROCK ‘3,3( GRADE 1"=200' PROPERTY LINEPROPOSED DRAINAGE FIELD PROPOSED HOUSE PROPOSED WELL 100' RADIUS DRY OCT 2016, SEE S-12325 & INSULATION SCALE: DJRDRAWN: DATE: BLUE BEARY ESTATES LT 1 Anchorage, Alaska ASHLEY FARNHAM 3/16/2023 -8.0 FILL AREA, MAX 25% SLOPE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221367, Curtis Townsend, 06/14/23 NEW 1250 GALLON PLASTIC STEP TANK, w/ 20" RISERS 1"=50' PROPERTY LINE PROPOSED HOUSE PROPOSED WELL 100' RADIUS EXISTING 40 % SLOPE MUST BE FILLED FOR A MAX SLOPE OF 25% 50' FROM THE FIELD TYP.WELL WELL MT FCO DCO TH#1 SCALE: DJRDRAWN: DATE: BLUE BEARY ESTATES LT 1 Anchorage, Alaska ASHLEY FARNHAM 3/16/2023 CO NEW TEST HOLE REQUIRED PRIOR TO EXCAVATION 1 S3 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221367, Curtis Townsend, 06/14/23 1"=20' 4:1 SLOPE 2.5' ABOVE PIPE INVERT EXISTING 40 % SLOPE MUST BE FILLED FOR A MAX SLOPE OF 25% 40' FROM THE FIELD TYP. ADDITIONAL FILL PLACED FROM THE FOUNDATION EXCAVATION SCALE: DJRDRAWN: DATE: BLUE BEARY ESTATES LT 1 Anchorage, Alaska ASHLEY FARNHAM 3/16/2023 30.0' 4. 0 ' 2. 5 ' DRAFTING LINE ONLY 15.0' Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221367, Curtis Townsend, 06/14/23 ### /////////////// WORK ORDER No:DATE:SCALE: DRAWN: LL CHECKED: ME ZONING: 1"=80'Sept. 07,2024 R10SL GRID No:FB BOOK/PAGE: SW3242 170/3 SURVEY CERTIFICATION: Alaska Remote Imaging has conducted a physical survey of the subject property, the improvements situated thereon are within the property lines as shown. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the Plat used for this survey. NOTE: Under no circumstances should any data hereon be used for construction or for the establishing of property lines. ASBUILT SURVEY OF: Found Rebar Cleanout Water Valve Elec Meter Robert O. Lumpkin No. 10459 R E G ISTEREDPROFESS IO N A L L A N D S U RVEYOR 1.Bearings and distances are record per referenced plat unless otherwise noted. 2.Not all monumentation for this survey may be shown on this document. 3.Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. ALASKA REMOTE IMAGING Surveying Mapping Land Planning LIDAR 6239 B Street, Suite 201, Anchorage, Alaska 99518 (907) 519-0339 survey@alaskaremoteimaging.comIMAGINGSURVEYING DRAFTING S U R V E Y I N G AL A S K A Lot 1, Blue Beary Estates Subdivision, Anchorage, Alaska Plat No. 2018-22 PREPARED FOR: Ashley Farnham 9/7/24 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC241445 Parcel ID 020-021-32 Expiration Date: ' c Legal description BLUE BEARY ESTATES LT 1 Site address 9500 HONEY BEAR LN Current property owner(s) FARNHAM MICHAEL & ASHLEY X The On -site system(s) is/are approved for 4 bedrooms By: Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 7/29/2025 This Certificate of 0'n-Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other __ MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Section Phone- 907-343-7904 Fax- 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-021-32 Complete legal description BLUE BEARY ESTATES LT 1 Location (site address) 9500 HONEY BEAR LN, Anchorage Current property owner(s) FARN HAM 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: 11K Private Well 171 Private Well serving 2 dwelling units 171 Private Well serving 3+ dwelling units 171 Community Well or Public F] Water Storage 4. TYPE OF WASTEWATER DISPOSAL: FM-1 Private Septic F] Private Septic serving 2 dwelling units n Holding Tank El Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel r0_1 Plastic ❑ Concrete F-I Fiberglass Age 1 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: 0 AWWTS E] Bed FEi] Deep Trench F71 Wide Trench El Seepage Pit Waiver request for: Expedited review requested: RN Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $ i v�Waiver Fee $ Date of Payment Date of Payment COSA # o Waiver # COSA Application —June 2022 COSA Checklist Legal Description: BLUE BEARYESTATES LT 1 Parcel ID: 020-021-32 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA Q Well log is filed with Onsite (or attached) Date drilled 7/12/23 Total depth 300 ft Cased to 44 ft Q Sanitary seal is functioning correctly ❑� Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 10/14/24 Static water level at beginning of test 96 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 52 Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) NEW Q ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade 5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. Q Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 1.2 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes Q Nc Q Coliform bacteria is Negative Nitrate mg/L Q Nitrate less than MRL (ND) Arsenic ug/L Q Arsenic less than MRL (ND) Collected by MNA Date 10/14/24 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date NEW Results Q Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 48 in Effective depth used 0 in Effective depth remaining 48 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' JE Yes if No ft FE-1 Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' no Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft H Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' f7NYes if No ft rol Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Fleld(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' FE] Yes if No ft Surface Water > 100' © Yes if No ft Tank to Property Line > 5' Ei- Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Yes if No ft Private Wells > 100' © Yes if No Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No Water Service Line > 10' on Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ILI ft G. CERTIFICATION & 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, indicates that the on -site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm (`fit h Z- /V )—A— . c y4cxt__Phone 727-8864 Engineer's Printed Name Date ?/yr/2 S` 41�tt Xnx 4 �P,t�,, tl As %�.. s ,401 ems*_ MICHAEL N. ANDERX-N t ��:• CE-9.Ile COSA Checklist June 2022 Certified Drilling log ® DOC CO dba ,AMBILL & C4LE j4POOLLIVAIN WATER WELLS` P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Ashley Farnham ADDRESS: 9500 Honey Bear Ln. Anchorage, AK Bore Hole Data Depth From To LEGAL DESCRIPTION BLUE BEARYESTATES LT1 DATE: 7/12/23 0 2 Casing Stickup PERMIT NUMBER: OSP221367 DATE OF ISSUE: 6-14-23 TAX IDENTIFICATION NUMBER 02002132000 Is well located at approved permit location: ®Yes [—]No Method of Drilling: ®air rotary Elcable tool Depth of Well: 300 Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 44 feet Liner type Static Water Level: 96 feet Recovery Rate 1.2 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ❑ open end ®open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 8 Bags Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes Ono Method of Disinfection: Chlorine 50 PPM Comments: MOA shallow bedrock surface seal 2 8 Fill 8 17 Silty sand and gravel 17 300 Bedrock 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. Matsu Borough: Department of Environmental Conservation. Well Drilling Permit Number: SW � 3�_: , Date of issue "s LA Parcel Identification Number: -L -), - -,) I Legal Description Pro�erty Owner Namp & Address _AJ Pump Installation Date: 1 Pump Intake Depth Below Top of Well Casing. Pump manufacturer's Name: 1-C, i I Pump Model: Pump Size: 11 I Pitless Adapter Burial Depth: Pitless Adapter Installer: Disinfected Upon Completion? 0 yes R no Method of Disinfection: Chlorine So PPM Comments: Pitless Manufacturer: , —, Pump Installers Name: Sullivan Water Wells feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. WATER QUALITY TESTING Coubrm CC041/1 NWates M-1— M91L Armnic /VD - u/L I g ww��