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Home My WebLink AboutT15N R1W SEC 9 LT 82ATI5N RIW LOT 82A #051-103-18 Municipality of'Anchorage Development Services Department Building Safely Division On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. d.anchorage.ak, us (907) 343-7904 Page / of ,~ ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ of I~-~-o~¥=i:3 LEGAL DESCRIPTION I~ New [] Upgrade I0 5o SEPARATION DISTANCES ,o,,~,: 15 k( Well: Absoq)tion Uft Holding Field Station Tank I BO~ -- _ T~ Septic Tank / su~wat, /~0~ 't"' LOt Une /0%- - Fo.n=,o. / 5'9' -- - PID Number:. ,, O 5'1-/0 3 -I~ i Wastew. ater System: ~rNew r-I Upgrade ABSORPTION FIELD Tolal De~, Ir~m mig,nal g,-ede: 0cj FI. TANK []Holding [] S.T.F_P. ~T~. [] Other:. in. LIFT STATION BENCH MARK Inspections performed by: /~/~/~7"/~/~ ~'AJ~'. Dates: 1" 1~//7/0~ 2~~ Developme~e~ic~ ~pa~ment Approval Reviewed and approved by: -~~~ ' ./~~,' Date: ~;~/~/~ /,,V'V,F_~7" E;evaucn: Ft. Engineer's Stamp e Slevon W. Eng ~OF~ Fri Z Z F"-I n ]]RID: PETERS 0 n P n mm_ 0 IT1 · 01/0!/] .q99 00:03 GB82259 SULLIVAN PAGE 01/I 1 SULLIVAN WATER WELLS P.O. BOX 6711~'2., CHUGIAK, AI. ASKA 89587 ~TrENTION: I!. l~ ~ responsibility Of tl~ properly owner to submit a cody of the well log to the proper authority. Mtj31ciI aJity )f Anchorage.: Dep.,utmera of Health & Human Services ancl/or Department ol' Environmental ConservatiOn. MalSu t3orc Jgh: 3epartment of En~ental Conservation. JhN-21-O~l WED 05:12 PM BLM'PI~L[O .]t~O OENT~ Fa,~iiO. 90? 271 ~84 ?,~ Unite ] $' ates Department of the Interior BUREAU OF LAND MANAGEMENT ALASKA SI'ATE OFFICE '222 W.'Tth Avenue. ~ ! 3 A.b.'CHORAGF-., ALASKA ~51 Sieve Eng. PE. .Nord~Rt,n Er45t.,..ermg ' 17237 Bear Paw Circle Eagle River. AK 99577 Re_: 2243D Chambers L,.qne T. 15 h',,R. 1W.. Sec. 9. Ia~t 82A De~r Mr, E-~7 :The'U.S. Buremt of Land Management (BI~M) h~ reviewed .ge¢lion'9 of To~s~p 15 North, Range 1 West, S~d Meridian. ~e s~'eyefl to~nship encomp~ing ~e subj~ pm~ny in ;~.82. T& pro,n)' ~ns a 50-f~t mad and utilities fighter-way ~'ed in the od~ ~Patent fw:n tke ~Ft ~ie~v.l Oovemm:nl, ~12~29 ~i~ June ] 3, 1961~ B~i h~ n0 objection the fi~y repta~m~nt bY No'Rim En2in~ng.of fmfi~y gmfimfion fgililics cu~nfl)' cxi~ng Within this e~sement ~ Sincerelv yours, g~M'Public into Center ! ! MUNICIPALITY OF ANCHORA GE Deve/oprnent Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Upgrade Date Issued: Nov 18, 2003 Expiration Date: Nov 17, 2004 Permit Number: SW030480 Legal Description: tr.i'51~i~R:l'W.S~'9 L~t'82A'~' Design Engineer: 0838 North Rim Engineering Owner Name: Eva Loken (Prudential Vista) Owner Address: 22430 Chamber Lane Chugiak, AK 99504- Parcel ID: 051-103-18 Site Address: 22430 Chamber Lane Lot Size: 28690 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [7] Septic Tank r---i Holding Tank [--I Privy Private Well I--'] Water Storage All construction must 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. THE WATER WELL SHALL BE PERMANENTLY DECOMMISSIONED PRIOR TO THE PROPOSED WASTEWATER SYSTEM BEING CONSTRUCTED. Da re: / c~/~/(~,.~ . - Date: Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage .ak.us (907) 343-7904 ON-SITE SEWER/VVEt.I. PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number SW~2:~ 80 Property owner(s)~,/O /~-:'fV',4 L.¢~'~,'~.~,4 ~r~,-,~cte~-'(",c-I ~/t.rficJDay phone ~'~'- Mailing address (1)/PJ'~3?~.7'~ ,,'/..~/~'e~J'J'.' _"'),>-¢~'0 C],//~ L..~,,,,/~ ?q.s'77 Mailing address (2) Legal description (Lot, Block & Sub'd.) "'Zfl'~.. t.~ ~ (.~ Legal description (Section, Township & Range) "f"l.5'/V Zip Code Number of Bedrooms .~' Lot Size LoT ~2Yt THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of prope ner or authorized agent) Permit Fees: ~ .~.. <"~C:) Waiver Fees: Date of Payment: ~'! IO/(::::)'~ Date of Payment: Receipt Number: ~ ~.~ "~'~Oq ,.- ~,,'"7'"'~Receipt Number: (Rev. 12/00) ' ,~..,~ FROM : ~ORTHR ! M Dec. 02 2003 02:50~M Pi F .. NEERIN NorthRim Engineering steve Eng~ PE~ PH (907) 694-7026 tel & fax 830-4186 (cell) NorthRimEng@aol.com Date: 12/2/03 Nnmber of Pages: 2 To: Dan Roth Fax: 249=7838 Subject: Permit SW030480~ T15N R1W Lot 82A~ Section 9 Den, Thanks for the subject permit that was issued. I have been obtaining .some bids on the work & there appem's to be a problem in getting a well drilling rig into the co~fines of the proposed relocated well location. An alternative site for a new well does exist on the west end of thc property. This well site does not adversely impact neighboring lots. The majority of the 1 O0 foot radius extends on roads, bridges, and mad easements. The developed lot to the north has a small portion within the 100 loot radius, but does not adversely affect development I have included the alternative well location site on the plan view drawing. Than~-Stcvc FROM : HORT~R I M NO. :90769~70~6 Dec. 02 2003 02:51PM P2 BRID PETERS F -0 F Z 5n 5- NodhRlm Engineering 17237 Bear Paw Circle Eagle River, AK 99577 907-694.7026 907-830-4186 November 10, 2003 Dan Roth MOA On-Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: T15N RIW Section 9, Lot 82 A, Chuglak Dear Dan, Please review the submittal for the water & sewer design for the existing 3 bedroom single family home. An existing crib is being replaced by a new septic system. The existing water well is to be abandoned and a new well drilled. A 4' separation between the property line and the alternate trench is required due to lack ofspace. Included are design plans & specs, design guidelines, & soil tests. Ifthere is need for additional info,;;ation or clarification please give me a call. Sincerely, Steven W. Eng, PE, PH Design Enclosures TISN RIW Section 9, Lot 82 A 11/9/03 NorlhRim Engineering SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: 'INs is an existing single family, 3 bedroom home. A new septic system is necessary to replace an unapproved crib. This requires a ncav 1,000 gallon septic tank and ne~v deep trench. This lot is about ½ acre in size and no adverse impacts are expected from development. The neighboring subdivision lots are large and are served by on-site s)~tems. The close proximity of Peters Creek only allox~ this tight design configuration. The lot to the east is developed with no conflicts to the existing septic system, property line or ~ter line. Soil tests discovered sandy gravel soil with lo~v silt content. The soil percolation was less than I rain/inch with more than 50% passing the//4 sieve. An application rate of 1.2 GPD/I=ITM ~s used for sizing the absorption trench. Groun&~=ter ~vas monitored for over one week and reported on the soil log. The existing crib will be abandoned & crushed. A 4' separation from the property line to the alternate trench site is required in lieu of the required 10' separation, due to the tight configuration. The existing ~tcr well requires abandonment per MOA specifications. Fill with concrete or approved grout, cut offthe casing below ground level and weld a cap over the casing. A new water well requires construction at the location on the drawing. Water well & water line to be constructed per MOA specifications. Connect ~ater system to existing plumbing system. Specification Requirements: All components and WOrk must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Waste~ater Regulations. Two compartment septic tank · Watertight couplings on inlet 8: outlet · S foot minimum bctween the tank and bed. 10 foot to property lines 2fcetofcovcr& l' insulation is rcquired for trench & tank. · Tank & solid pipe must be set on well compacted, stable soil · 4 inch diameter clcanouts with airtight caps are required I to 4 feet from foundation xwall, prior to an)' 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing clcanouts bcV, veen the tank and thc absorption field, not more than 10 feet from the lank positioned to provide clcanout access towards thc tank and towards thc absorption field. · All clcanouts must extend to at least ground level · In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron · Trench to be placed level, minimum of 4 feet to groundwater, 6 feet to bedrock from drain-rock · Drain rock to be ½ inch to 2 ½ inch screened. Drain rock to bc distributed uniformly throughout the trench. · Perforated pipe to be installed level with perforations do~ · Silt barrier (filter fabric) to be installed above the drain rock · Smeared trench sides must be raked or scarified before drain rock placement · Backfill over drain rock must not be less than 36" · The finish grade must be mounded to promote drainage over the bcd Insulation must be placed over any pipe installed under driveways or parking areas · Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, · Sewer Service Line is minimum 2% slope · Septic Tank to be pumped every two years or when required · Insulation board shall be extruded direct burial polystyrene (Dow Styrofoam HI or equal) r 0 A ~2. ~o~ ~ ° ~u ~ ~, F- C 0 ~ ..~ 0 C 0 > o ._~ 0 Z nx W 0_ Municipality of Anchorage Development Services Department Building Sat'et'/Divisicn On-Site Water and Wastewater Prcgram 47C0 South Bmgaw St, P.O. Box lg6650 A~c.horage. AK S9519-6650 www ci.anchcmqe.ak.us (S07) 343-7.c04 Soils Log - Percolation Test Legal Oescdpticn: '7"/--~',/~ f/~,~ 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS ,Z.~¢'2.,~ ,c~.~'Cl"~,l~ ~ Township, Range, Secticn: SIoce S;te Plan WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Depth to Water After ~,~onltorlag? FO IZ'~ Reading Date Gross Time Net Time Depth to Water Net Drop / I I 7 t..r" ~z I (..r IL-c" ~} g~ I g..r/.,;" I TEST RUN ~ETWEE."~ .~ FT ~ND ,.~ FT I Municipality of Anchorage Development Services Departmen.t Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL' FOR A SINGLE FAMILY DWELLING ~ E l ~'.S' U E Parcel I.D. {~-~/"/O.~- / Z' ,,. (~.,' ,..; , ":,,.. 1..~,~ENER.~L INfoRMATION .~ ', ., .,~.;."~.~',I,>' '. :,' '~'. ' Complete legal, de'sb, ription 7'/,5'/,/ 'Location .(site address o(~ directions) ., .: . '..: .~. Cur.re.n,t Propertyown, er(s)/LI/~/:~4T~g . . - ,, ,'. , ~.,.., .:~ rvlail i b,g ~,.a.,d.,'dj'~ s~~ Lending agency Expiration Date: ,~Off ~l~"C~JCff - /'/~,,v'~'$ Day phone Day phone e Mailing address Real Estate Agent Mailing Address Day phone ~"~ Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: ,.~ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage "' Community Class ' ° Well Public Water System' TYPE OF WASTEWATER DISPOSAL: Individual On-site ,~ Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage .Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of'Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Health Authority Approval Guidelines for this application, shows that theOn- 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 Address ,f"7~ ~ Engineer's Printed Name L~--'~"~ DSD SIGNATURE - I./ Approved for ~ bedrooms. Disapproved. Phone ~' ~9~/-- 70=,.7o~ conditional approval for - bedrooms, with the following stipulations: 'Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: (Rev. 01/02) Municipality of Anch°rage Mark Begich,'Mayor '. Development services· Department · .. P.O. Box 196650 · 4700' Bragaw Street May 11, 2004 V. Mi'Rohrbaugh, Jr. P.O. Box 200583 Anchorage, AK 99520 Anchorage, Alaska 99519-6650 (907) 343-8101 Office (907)343-8125 Fax http://www.muni.org · DEPARTMENT Dear Mr. Rohrbaugh: RE: Septic System Leach Field and Water Well Eneroachments,'Seetion 9, T15N, R1W,.BLM Lots 82A and 82B, Grid NW 1358 " Right of WaY Division has reviewed a request from'Mr. Rohrbaugh for a letter of non-objection to an existing septic system leach field which encroaches between fourteen (14'), and nineteen (19')feet into the twenty-five (25') BLM Right of Way Reserve of chamber Lane, located'on the north side of the referenced lot. 'On the as-built survey recertified 3/31/2004, submitted with the request~ the petitioner has shown the existing septic system and water well. . Right of Way Section issues this letter of non-objectiOn with stipulations, and by using it the petitioner is agreeing to the following: 1. Municipality of Anchorage (MOA) Will be held harmless, now and forever, for any damages, or' injury to any person as a result of the 'encroachments. " 2. All applicable codes and regulations will be observed and maintained within the right of way. 3. This lefter ofnon-objecti°n will in no way preclude MOA from full use and enjoyment of its rights within any portion of the right of way. ~ ' · 4. Additional and extraordinary costs im:Urred during any future required Construction, .repair or reconstruction of MOA imProvements to accommodate any or all of the encroachments shall be · paid by the property owner. ' 5. Obtain letters of non-objection from the following utilities;. Anchorage Water & Wastewater · Utility, Chugach Electric Association, Inc, Alaska CommunicationS Systems, Enstar Natural Gas Company, and GCI Cable of Alaska. · All letters of non-objection should be retained'in your'permanent files. ShoUld you have'any questions, please call me at 343-8033~ Sincerely, J~ck L. Frost, Jr. ' · Right of Way SuperVisor Concur, · Property Owner(s) Section 9, BI.aM Lots 82A & 82B, Rohrbaugh Municipality of Anchorage Development Services Department'" Building Safety Division On-Site Water and Wastewater Program · . 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. OS/- I~$-I~' '1. GENERAL INFORMATION co~nlsiet~'.legal descdpti0n 7"'/5'/~' -.,. . : :..,~ .... . 'Location (site i~d(ess ~r dire~ions) 'Cuffent'Property owner(s), Mailing addrbSs., ,," Lending agency Expiration Date: Day phone Day phone Mailing address Real Estate Agent Mailing Address Day phone ~/~-- ~'7~' '.2. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY:" Individual Well ~ · Individual Water'.Storage I-'1 Community Class ~ Well i-'1 Public Water System i--I Unless otherwise requesled,.HAA will be held by DSD for pickup. " TYPE OF WASTEWATER DISPOSAL: 'Individual On-site Individual Holding tank Community On-site Public Sewer ~ The Municipality of Anchorage Development Services Department (DSD) Issues (~e~ifica'tes' bf Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an'independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are reqUired for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system~ DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served bY a private or Class c well and may be reissued with .ne..w water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) 'Certificate§ are' valid for one year for. properties served by Class 'A or B wells or a public water system, The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's Work. , Municipality~'of Anchorage Development SerViCes'Department Building Safety Division On-Site Water & wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anch0rage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal DescriPtiOn:` 7'/,.5'A/~/b~[ ~Ea~-lo~J t ,' i~(3T' WELL DATA Well type Date compleied 12/I Total depth ~ '. Date of test Static water level If A, B, or C provide PWSID # ~ Sanitary seal {Y/N) ~ Cased to o~"o* ft. Well production FROM WELL LOG · WATER SAMPLE RESULTS: Coliform ·i(~ colonies/100 mi. Arsenic: '"- mgJi. g.p.m.; Nitrate/,0_C; mg./l. Date of samPl~' 12/l 7/0.7 Length. Total depth. ~ ft. B. SEPTIC/HOLDING TANK DATA Tank Type/Material ,/'4-~,(f(~/d/~,,'~C~ ?".,,~A/'/~./~r~--~ Tank size /000 gal. Number of Compartments · Foundation cl'eanout (YIN') ~ Depression over tank {Y/N) : Date of pumping /~/~-¢.,~ ' Pumper ": ~: ·ABSORPTION FIELD DATA ' Date installe ! Soil rating (g.p.dJftt or4t.~adcm) ~ ,2 ft. Width ..~ ft. Eft. absorption area,~7~' ft~' Monitoring tube Date of adequacy test ,A~/~-CJ Results iPass/Fail) Fluid depth in absorption field before test ,~. · Water added, g~. · ' u' .~e.p ~ ~rption · El'apsed Time: min. Final fl th in. Any rejuvenation treatment (past 12 (Y/N & type) g.p.m. ,, ~) colonies/100 mi. Well Log (Y/N) 7 Wires'properly protected (Y/N). ~/' Casing height (above ground). ,,2,~ · AT INSPECTIO~/~_~j~ Other bacteria Co,ected ,.J. Date installed, /-~.//7/0...~ Cleanouts (Y/N) High water ala~ (WN) System type ,T//~"Wc~ Gravel below pipe' ..5~',.5'" ft. Depression overfield ~ For bedrooms New dept~.._ in. rate >= / g.p.d. If yes, give/ ASBUILT I HEREBY CERTIFY .THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERI~IINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDi- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. ASS~~.IATES LAND SURVEYING DATE, GRID-" · DRAWN~ 694-0829'