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HomeMy WebLinkAboutT15N R1W SEC 9 LT 131 E215N RIW SEC 9 Lot 131 E2 051 - 144-02 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241245 PID Number: 051-144-02 Dwelling: © Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New V Upgrade Name ABSORPTION FIELD Tim Ferguson ❑ Deep Trench ©Wide Trench ❑Bed E] Mound Site Address 20044 Pilots Rd. ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SF 8 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.36 Ft. Gravel depth beneath pipe 4.64 Ft. Subdivision Block Lot 131 E2 Fill added above original grade 0.5-1.77 Ft. Gravel length 38 Ft. Township Range Section 15N 1W 9 Gravel width 5 Ft. Beds: Number of Lines Distance between lines FL SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Feld Lift Station Tank Line 380 Ft` 1 Ft. Well 1001+ 1001+ 25'+ TANK 21 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Deep Burial Manufacturer Greer Capacity 1000 Gal. Surface Water 1009+ 1009+ Material Plastic Number of compartments 2 Lot Line 101+ 101+ i NA Foundation 101+ 101+ LIFT STATION Manufacturer Capacity Gal. Remarks Field verified 10'+ separation from old field, old field decommissioned. Field verified 5'separation Alarm location Electrical installed by tank to field. PIPE MATERIAL House to tank Tank to drainfield D3034 Installer _D3034 Home Owner Drainfield D3034 CO/MT D3034 Inspector Arcterra Consulting BENCH MARK (Assumed elevation) 100 ft Inspection 1 Location and description dates: 10/2/24 2-' 10/3/24 3f1 10/3/24 4th 10/4/24 Concrete slab ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ����` =•��P•�''�"''�,� • O Septic Syster � Approved Date/t. j KENNETH M. DU S +u i ��♦:sem CE 711 � No this approval does not include well permit requireme �4riti E +•• Feer, (Rev 05/02/18) '' D/W AS -BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP241245 T15N R1W SEC 9 LOT 131 E2 PID# 051-144-02 SHED / 1000 TANK JWT co L" / cod F C I 0� FCO I SHED B 17t / �y$ DECK C /O O, I� GRAVEL \ D/W 96.4 W 0 47,89 nn 87,73 FINAL GRADE jlljl�l MTM rA==_ -dFAI��� i -.PF `�<Q,S�, , PREPARED TIM FE .. `Y P❑ B❑) * : 4 9 TH CHUGIP KENNE s FIELD BOOKS ` CE B w� / BOUNDARY- N A rcr /p l�y��W A STAaNQ N/A t / �,• L ti�v' / tisemLT. JLS �pm \ 'ssioP -dw CNG. FILE ACAD Flm* FILE GA SCALEi 1' = 30' W r.rsl SEWER ROCK u: En 8812 �i z A -C=44,2' A -I=43,8' B -C=42,4' B -I=74.7' 98.4 A -D=43,3' A -J=45.9' W B -D=45.7' B -J=76.2' o A -E=42.9' RGUS❑N Ln B -E=47.4' 670255 A -F=42.7' yoti U. v B -F=48.2' - _j 100r__ A M- A -G=42.5' H 13 SANKIC u B-13=50.6' p EE A -H=39.0' o x B -H=49.1' 93,08 < GRAVEL \ D/W 96.4 W 0 47,89 nn 87,73 FINAL GRADE jlljl�l MTM rA==_ -dFAI��� i -.PF `�<Q,S�, , PREPARED TIM FE .. `Y P❑ B❑) * : 4 9 TH CHUGIP KENNE s FIELD BOOKS ` CE B w� / BOUNDARY- N A rcr /p l�y��W A STAaNQ N/A t / �,• L ti�v' / tisemLT. JLS �pm \ 'ssioP -dw CNG. FILE ACAD Flm* FILE GA SCALEi 1' = 30' W r.rsl SEWER ROCK 4'� 8812 88 12 I J 81.12 0l 81.37 wo ri SCALEi NTS FOR: gCTER� RGUS❑N 670255 yoti K, AK a o x COMPUTED: Z v� 0 ����, SULTI NG , s R DRANK: KSD CHEOcED: KMD DAT" 10/30124 aao: NW1258tF 1DB N' 24125 AK. 99577 -ate 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 Wastewater Disposal System Permit Permit Number: OSP241245 Work Type: Septic Upgrade Tax Code Number: 05114402000 Site Legal Address: T15N R1 W SEC 9 LT 131 E2 G:1258 Site Mailing Address: 20044 PILOTS RD, Chugiak Owner: FERGUSON TIMOTHY C LIVING TRST Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 8/28/2024 8/28/2025 32234 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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: (-- / `—� (E g ILI Date: Issued By: Date: , 0 � ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel J.D. 051-144-02 Property owner(s) Timothy Ferguson Day phone Mailing address PO Box 670255 Chugiak AK Site address 20044 Pilots Rd. Chugiak,AK Legal description (Sub'd., Block & Lot) Lot 131 E2 Legal description (Township, Range & Section) T15N R1W See 9 Lot Size 32,234 —Sq. Ft. Number of Bedrooms -3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: ([0 all that apply) Absorption Field RX Initial D Single Family (SF) (w/wo, ADU) Septic Tank FX_1 Upgrade 0 Duplex ❑ (D) Holding Tank El Renewal D Multiple Dwellings D Privy El (SF and/or D) Private Well 1-1 Water Storage r-1 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. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: 9 Date of Payment: 5- 2_0L� Receipt Number: Permit No. u3p 2- Y/ 2 L/ Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241245, Curtis Townsend, 08/28/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241245, Curtis Townsend, 08/28/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241245, Curtis Townsend, 08/28/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241245, Curtis Townsend, 08/28/24 0 TARIKA AVENUE ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BLM LOT 131 T15N R1W Sec 9 S.M PLAT 75-202 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shouk any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORKORIDER NUMBER: DATE- SCAU. E-MAIL MAY 4, 2024 1 = 40' sch-ullerokOgmoil.com 1-01-032 DRAWN BY, CHECKED BY, GRID NUMBER: BOOK PAGE: JLS NW1 258 240146 * == FND 5/8" REBAR A 4 ql!�x 14L 1440-19pt & NX, SLW AMW N '�O AW VX, L A, 0 T 0 OW low 4 9TH .......... 0 HN L. SCHULLER.- LS-10408 A 1831 Talkeetna Street �\6 AW Anchorage, Alaska 99508 ��pr0 f \'o Am (907) 227-1455 office essjon6 low (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE Development Services Department , Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Septic System Owner -installer Agreement The On -site Water and Wastewater Section (On -site) may issue an approval for a homeowner to perform work on an on -site wastewater disposal system to serve that individual's owner - occupied, single-family or duplex home if the homeowner meets and agrees to the following requirements: The property owner and excavation equipment operator may perform work on no more than one owner -installation project in a 12-month period. 2. Owner's projected active involvement with the installation: �1 A :n upGraA 3. The name of the excavation equipment operator: yrvyo f 'A y C �e{� q u ,cpll 4. 1 agree that there will be no monetary compensation for installation services rendered. 5. The name of the inspecting engineer: C fll r Co <'1 G 17�,( 6. 1 agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On -site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. 1 agree to have the project -specific On -site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. As owner I agreethat the information) above / is true and accurate. Owner's printed name: "wner's signature: ;��o ., oatt ­ MA Y- ! 7- 90,211 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 Parcel I.D. 051-144-02-000 Legal description T15N R1 W SEC 9 LT 131 E2 Site address 20044 PILOTS RD Chugiak AK 99567 Expiration Date: Current property owner(s) FERGUSON TIMOTHY C LIVING TRST X The On-site system(s) is/are approved for 2 bedrooms Conditional approval for Comments or advisories: By: 11/4/2025 bedrooms, with the following stipulations: Original Certificate Date: 11/19/2024 is Certificate of On -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 Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 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 Application 1. GENERAL INFORMATION Parcel I.D. 051-144-02 Complete legal description T15N R1W Sec 9 Lot 131 E2 Location (site address) 20044 Pilots Rd. Chugiak, AK Current property owner(s) Tim Ferguson Day phone 2. ON-SITE SYSTEMS SIZED FOR 2 BEDROOMS 3. TYPE OF WATER SUPPLY: © Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: © Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel © Plastic ❑ Concrete ❑ Fiberglass Age 0 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ 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 / Waiver Fee $ Date of Payment 7 I wZ i" Date of Payment I COSA # OS C 2_V / `i 60 Waiver # COSA Application—June 2022 Legal Description: COSA Checklist T15N R1W Sec 9 Lot 131 E2 Parcel ID: 051-144-02 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UNK Total depth 156+* ft Cased to UNK ft ❑✓ Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 22 in. Date of flow test for COSA 10/24/24 Well production at time of test 1.2 gpm Water storage tank volume 1000 gallons Well disinfected for coliform test? ❑ Yes [0 No © Coliform bacteria is Negative Nitrate 4.25 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ] Arsenic less than MRL (ND) Collected by Arcterra Consulting Static water level at beginning of test 100 ft. Date 11/4/24 Comments *Depth of 156' reached during well flow test on 10/24/24. B. TANK DATA T STATION Measured operating fluid level in septic tank New ❑ Require tenance completed Date of pumping New install 10/2124 Age of lift station s ❑ Required maintenance completed, if AWWTS Lift station material Comments: Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 1014124 ❑✓ ALL standpipes present per record drawing Total measured depth from grade 9.77 ft (max) Measured depth to pipe invert from grade 5.13 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. 0 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 Adequacy test date Results [:]pass Fluid depth prior to test Water added gal New install New fluid depth in Elapsed time min Final fluid depth in in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining 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' ❑✓ Yes if No ft ?] Yes if No ft Neighboring Tank > 100' ./❑ Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100'✓❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ✓❑ Yes if No ft Surface Water > 100' 2] Yes if No ft Tank to Property Line > 5'❑ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' V Yes if No ft Private Wells > 100' Yes if No Water Main > 10' ./❑ Yes if No ft Community Wells > 200' ❑./ Yes if No Water Service Line > 10' ❑✓ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ru 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 Arcterra Consulting Phone (907)-696-6111 Engineer's Printed Name Kenneth Duffus Date 11 Lig _ Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. �`�M�►sARK�� The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The .��st - � #�M' flow and absorption rates may change due to subsurface conditions that may not be observed from the /�Q I surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year r �7 p and the water usage of the family being served by the system. The operational life of all well and septic J* sl systems are subject to these various and dynamic characteristics and are outside the control of the evaluator go of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. / KENNETH Du li sfj's' ce i 4 COSA Checklist -June 2022 Q Ln TARIKA AVENUE ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BLM LOT 131 T15N R1W Sec 9 S.M PLAT 75-202 SURVEY CERTIFICATE: I, Jahn L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoulc any information on this drawing be used for construction of fences, structures, improvements, or fo+r establishing boundary lines. EXCLUSION NOTES: It is the owners, responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded ssubdivisi.on plat. WORK ORDER NUMBER: DATE: SCALE. E—MAIL; OCT 30s 2024 1 "=40' schulterckOgmcilxorr 24-106 DRAWN BY: ICHECKED BY GRID NUMBER: BC,*( AGE: JAS N W1258 240331 * = FND 5/8" REBAR 04 QQ!L'*NX F r� � U 1� ��� 4 AW to /�. C. �.,..,.......t................. � ••.J N L. SCHIMLER.• o ° LS --10408 •• w :• . 1831 Talkeetna Street nor • •!e • • . 6G' W Anchorage, Alaska 99508 o fe a� � .... (907) 227--1455 office ssion �. �,�;�,, �•�,�."�' (907) 274--4992 fax