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HomeMy WebLinkAboutSAND LAKE #2 BLK 2 LT 15Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211309 PID Number: 011-133-10 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name ANNE BICKFORD & KENNETH WALTON ABSORPTION FIELD ® Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 8132 WILCOX STREET, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 4 GPD/SF 9.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5.5 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot SAND LAKE #2 2 15 Fill added above original grade VARIES 0.33 Ft. Gravel length 20 Ft. Township Range Section Gravel width 2 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 160 FtZ 1 Ft. Well -- 100'+ 25'+ TANK M Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING BIOCYCLE Capacity Gal. Surface water -- 100'+ Material Number of compartments Lot Line -- 10'+ NA Foundation -- 10'+ ILIFT STATION Manufacturer Capacity Gal. Remarks DIVERTER VALVES INSTALLED TO FIELDS Alarm location Electrical installed by Tank to PIPE MATERIAL House to tank 3034 3034 Installer DENALI EXCAVATION drainf eld Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspdectes:ion 1s 8/12/2021 8/12/21 Location and description 2nd 3`d 8/16/21 4'" BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL .� OF Conditional Approval: Date ' •:t�`�� ,fW 49 TH .....�: � Septic System Approve % P•,• Curtis Huffman 1=� -2 F . CE 128991 .• ���PllDate 0 v(p, • . 8/16/21 •��� �`l PROFESSION�`�'�-� Note: this approval does not include well permit requirements. kmuv UJ/UL/ Ib) PID: 011-133-10 PERMIT: OSP211309 SEPTIC AREA SEPTIC AREA x x X LOT 16 o X_ r2OO4 TX O LCA x CO i10'— E MT F ox of x QMT I � o D c ' x F1 O I X H N90°00'00"E 13510' x x x x x x x EXISTING BIOCYCLE BLOCK WALK INSTALLED B DECK -DIV. VALVES 42.0' LE MT EXISTING TRENCH r SHED N 9 0� ON WOOD SEPTIC x SKIDS LOT 14 AnrA A—C=41,7' DIVERTER B—C=47,8' FCO VALVES H A—D=42.6' B—D=48.2' A—E=48.9' B—E=42.9EXISTING BIOCYCLE A—F=47,6' sYsTEM B—F=41.7' A—G=38.7' B—G=32.5' A—H=37,9' B—H=31,3' SAND LAKE #2 BLOCK 2, LOT 15 PREPARED FOR: ANNE BICKFORD & KENNETH WALTON 8132 WILCOX STREET ANCHORAGE, AK 99502 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 co EXISTING � o 3BR HOUSE m. BM A 42.0' �, LOT 15 if BLK 2 x IT '00"E 135.00' CO MT MT Co 97.75 FINAL GRADE 97.75 ORIGINAL GRADE FILTER FABRIC 91.92 91.92 SEWER ROCK ML DRY -8/2/2004 2004 T SPURKL.AND 15.5' SEPTIC SECTION 81.92 BOH SCALE, NTS SUPPORT@ SERVICES: OF AL�' lk 9 TH WE DATE: 8/16/2021 rtis Huffman SURVEY: JLS CE 128991 DRAWN: FWCS 8/16/21�� SCALE: 1" = 20' 1 p�sSlo�Ay 907-350-9566 firstwaterAK@gmail.com PAGE: 1 of 1 Ilk MUNICIPALITY OF ANCHORAGE On -Site Wator & Wastewater Pragra4n PO Box '951350 470D EkFL re PbW Andhoraga, Alaska 9951MBSO Phpne! (907) $4$-7904 Fox' (907 $49.7997 hHPJ 1:4i'4i.rrunl.otVbvsiW On -Site Wastewater Disposal System Permit Permit lumber; C)SP21 13DS Work Type: Seplis Upgroda T�i3x C040 Numboe,, 01113310Q00 Site Legal Address; SAND LAKE #f2 BLK 2 LT 15 Q,2224 Site Mailing Address; 8132WILC-OX ST, Anchorage Owner, BIC KFORI] ANNE L 50% & De sign Engi no or, FIRST V+ATE R CC N SU LTING This permit is for the construction of; Srfertiva V te; Explrati-on Date: Lot Sizc in Sq Ft Total Serdrooms: 8W2021 8f4�2022 6750 0 Disposal Field 0 Septic Teak ❑ Hcldi rag Tank ❑ P ivy 0 Private wet I El Water SE,crage Al I const ruction sha I I be I ri award wnc a with; 1. The attached approved design, 2. All req uirements specified in Anchor -age Municips I cods Chapters 15_65 an d 15.65 a n d the State of Alaska Wastewater Disposal Regulations (1BAAC72) and Drinking Waller Reg Ulatlons (1 ACRO) 3, Th-� w�Mi�wtti�r6OdO requires inspections during the rnstallatlon. I Ile onglneer sholl naklty the Development 8erwices Department per AMC 15,65, Provide rIo%faticn by calling (907) 343-7904 (2Q7)_ 4. From QctotH-,r 15 to .April 15. a subsurface soil -absorption system under construction du ring freezing weatlier shall be either: a. Opened an -d Closed on the same daYr OF b. Covered, sealed, arid heated to prevent Freezing R$ceived By. Issued By. 8J41 0 1 Date: Dale: r MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 011-133-10 Property owner(s) ANNE BICKFORD & KENNETH WALTON Day phone Mailing address 14820 SIERRA WAY, ANCHORAGE, AK 99516 Site address 8132 WILCOX STREET, ANCHORAGE, AK 99502 Legal description (Sub'd., Block & Lot) SAND LAKE #2 132 L15 Legal description (Township, Range & Section) Lot Size 6,750 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field 0 Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank ❑ Upgrade M Duplex ElHolding (D) Tank F-1Renewal ElMultiple MultipleDwellings El El 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. nature of property owner or authorized agent) Permit/Rush Fees: 0 .5 95 Date of Payment:71 6121 Receipt Number: 7 / G 232 Permit No. _Q S P.21 t 30q Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com July 26, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: SAND LAKE #2 BLOCK 2, LOT 15 The property owner has requested we obtain a permit to upgrade the failed trench of the above referenced lot. We propose to install one deep trench and connect to the existing Biocycle tank to serve the existing 3-bedroom residence. The design is based on the test hole conducted on July 16, 2004 by Tobben Spurkland, PE. Per this testhole, no groundwater was observed at test hole excavation or monitoring. The slopes are flat at the proposed upgrade location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211309, Rebecca Carroll, 08/04/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211309, Rebecca Carroll, 08/04/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211309, Rebecca Carroll, 08/04/21 Municipality � � r' v n Anchorage Lex. M a s 2 Y 'sslt. E 9 _y r'3 a YS itt 6' e1 g e P.O. Box 196650 a 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 a Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV211018 COSA#: Permit#: PID#: 011-133-51 Legal Description: Sand lake #2 Blk 2 Lt 13 and 14 Engineer: Pannone Engineering Services Your request for a waiver of the required 100 feet horizontal separation from the absorption field serving Lots 13 and 14 to the private well serving Lot 15 has been approved. The approved separation distance is 98.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ■ 0 M 0 0 M 0 0 M 9 Z M X ....... ■■ ............................. ■ 0 ....... ■ K ............. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: 3 1 Approved by: Name of Reviewpx' **** VARIAN C E/WAIVER REVIEW **** M UMCWAUTY 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. 011-133-10 1. GENERAL INFORMATION Complete legal description SAND LAKE #2 BLOCK 2, LOT 15 Expiration Date: Location (site address) 8132 WILCOX STREET, ANCHORAGE, AK 99502 Current property owner(s) ANNE BICKFORD & KENNETH WALTON Day phone Mailing address Real estate agent 14820 SIERRA WAY, ANCHORAGE. AK 9951 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2" Date of Payment g 134'z I Receipt Number 9 3 11 0 COSA # O S C 02,11 y 8 a Waiver Fee $ Date of Payment Receipt Number Waiver # 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Date 8/12/2021 4' ql A i Z--.* 9..:*��� r• ' • Curtis Huffman j r •• 6,TFp• •C$ 12891• •�����c�-1./ PROFESSIONA� Conditional approval for bedrooms, with the following stipulations: \Ty OF ON-SITE �o WATER AND m mi PRO o - ��-RA 114-- < SERVIG�1}�\�, B �^— Original Certificate Date: g 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 Legal Description: SAND LAKE #2 BLOCK 2 LOT 15 Parcel ID: 011-133-10 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 11/11/1981 Total depth 249 ft Cased to 249 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/12/2021 Static water level at beginning of test 119 ft. Well production at time of test 3.8 gpm Comments B. TANK DATA Age of tank(s) 17 years Tank type/material BIOCYCLE / FIBERGLASS Measured operating fluid level in septic tank * ® Standpipes/foundation cleanout per record drawing Date of pumping SEE MAINTENANCE REPORT D. ABSORPTION FIELD DATA Which system tested (date installed) NEW FIELD ® ALL standpipes present per record drawing Total measured depth from grade 9_8 ft (max) Measured depth to pipe invert from grade 5_8 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic' 13.9 ug/L ❑ Arsenic less than MRL (ND) Collected by FW'E Date of Sample 7/12/2021 C. LIFT STATION ® Required maintenance completed Age of lift station 17 years Lift station material FIBERGLASS Comments: *SEE MAINTENANCE REPORTS Adequacy test date NEW FIELD Results N Pass For bedrooms Fluid depth prior to test _ in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) N If yes, enter date 21 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ❑ Yes if No *98 ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® 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 septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *MOA WAIVER #OSV211018 G. ENGINEER'S CERTIFICATION l certify that / 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. Are W. . TM ....�::�� .. .... .......... Curtis Huffman f CE 128991 nc`�� �� �Fq• •.8(16/21. •'ti�� PROFESS10NP ft M 01 CAnchorage AK 99503 -D 4GC)�E­Alaska Email: crbioak@gmail.com (907) 274-0314 Homeowner Info Customer Name: Kenny and Anne Walton Address: 8132 Wilcox St. Tank#: 159 Install Date: Sept. 2004 Area: Eastside/Westside Initial Inspection: Alarms Tested: Air V High Water 171 Battery Tested: YesE] No ❑ N/A Ir I (Please make Sure alarm is on "normal", not "mute") Does system have a septic tank ? No 171 Yes❑ (Recommend pumping tank every 2 years) Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor? Yes R1 Repaired ❑ Yes � Repaired F-] Strong ❑ Mild F-] None R1 System Inspection Inlet plumbing in working order? Solids pillow normal? Yes 171 Replaced ❑ Yes R1 Requires Pumping EJ Are all aerators functioning? Any buildup of solids? Yes 171 Replaced F-1 Yes F-1 No F,4 Clarification return system operating? Any buildup of solids? Yes [V1 Adjusted F-] Yes F-1 No [71 pH Reading: Dissolved Oxygen PPM Turbidity of discharge (in FTU) (pH of 6-8 is ideal) (2-5 is ideal) (Under 35 FTU is considered compliant.) 7.5 3.5 721 Pump float operating? Alarm float functioning? Any buildup of solids? Yes F4 Replaced El Yes Z Replaced E] Yes [:] No [71 Filter cleaned? Discharge line condition: Yes [;4 N/A ❑ Good FV -1 Replaced F Comments: Inspected By: Chris Date: 12/01/2021 Has emailing or mailing of form been requested? Yes ❑ No ❑ (contact office to request...) Municipality ®f Anchorage R U Development Services Department :::F Building Safety Division i `' On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # OSC211482 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 2, Lot 15 of Sand Lake #2 Subdivision. This inspection revealed an arsenic concentration of 13.9 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. LOT 16 X X _ X N 90°00'00"E o x—x—x—x—x—x—x— O r -- O BLOCK U') i 0 SEPTIC es TANK 08 `L' X LOT 15 co o X BLK 2 0 0 O ' 9.7'% A O X SHED ®SEPTIC O I � VENT d _ z N90°00'00"E I 135. 0' -x—x—x WALK DECK 42.0' EXISTING m HOUSE 42.0' io Xo 'X X X LOT 14 X ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: SAND LAKE SUBDIVISION ADD No2 LOT 15 BLOCK 2 PLAT P-176 SURVEY CERTIFICATE: I, 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 should 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. WORK ORDER NUMBER: DAME scALE E—MAIL• AUG 17, 2021 1"=30' schullerrOak.net 21-105-2 DRAM BY: OHECKED BY GRID NUMBM BOOK AGE JLS SW2224 210238 135.00' 30' WELL ® O0 O to GRAVEL W D/W 0 O O O O O f-- I W W 0_ f— (n 3:1 O = FND 5/8" REBAR p-mg-� .. F. A.L 1% ,* 49TH c. •.J HN L. SCHULLER. LS -10408 el t 17, A0 %�%wf essiono� M yo �D L �R��'� � w4' � xa U a C 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax Gai �1 OWNER: By: ?(Signature) Date: 08/18/2021 Caroline Uluave Vainiaku Polota`y (Pant name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT The foregoin instrument was acknowledged before me this day of , 20 , by �0e l 5 - NOTARY PMUC FOR AL SKA My Commission expires: gck MUNICIPALITY_ l y: (signature) Date: �- -( _ (print name) Title: