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HomeMy WebLinkAboutDAWN LT 106** 051 0 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221338 PID Number: 051-061-49 Dwelling: V Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ✓❑ Upgrade Name John Millican & Jean Lucinda A ORPTION FIELD Existing Crib ❑ De Trench ❑Wide Trench ❑Bed ❑Mound Site Address Z Y y C 14 U �,1A� / l M o Other Phone Number of Bedrooms Soil Rating Total depth from original grade 2 /SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original de Gravel depth beneath pipe Ft. Subdivision Block Lot Dawn 106 Fill added above original grade G?IvI length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist a between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between t ches From Tank Field Lift Station Tank Line Ftz WellI 100+ I NA TANK © Septic ElS.T.E.P. [:1 Holding [:1 Other Manufacturer GREER Capacity 1000Gal. Surface Waterf 100+ Material Plastic Number of compartments 2 Lot Line ( 5+ I NA Foundation 10+ I L-1 L ATION Manufacturer Capacity Gal, Remarks Field verified 5'+ Tank to Crib Alarm location Electric fled by PIPE MATERIAL House to tank Tank to D3034 drainfield D3034 Installer Dakota Diggers Drainfield CO/MT D3034 Inspector BENCH MARK (Assumed elevation) 100 ft Inspection �, dates: 10/6/22 2nd 10/6/22 Location and description 3'd 10/8/22 4'h Building Roof ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ♦�� OF Conditional Approval: Date `+� �r � 491H * �� ■ Septic KENNETH M. FF tcr� 11sAr Approved Date -�-zZ i�F,p 'fir,► o �� Note: this approval does not include well permit requirements. �,FESS����� ttirr�►e (Rev 05102/18) v A -C=16.1' B -C=14,2' A -D=20,6' B -D=16.3' A -E=13.0' B -E=11,9' A -F=13.5' B -F=12,6' A -G=25.2' B -G=18,8' A -H=26,5' B -H=19,3' AS -BUILT SYSTEM DETAILS/SITE DAWN LOT 106 KEYBOX NEIGHBORS FIREWOOD SaSTIM PIT w( tF �000 B oI � A I EXISTING HOUSE PLAN Permit ❑SP221338 PID# 051-061-49 LOT 106 fi+ D!W I �. - GRAVEL ° e a. °• D/W _uI o 1000 GAL SEPTIC TANK SCALE, NTS OF..AL 9 TH KENNETH D is CE < �: ,AWr /w F'ESS� PREPARED F❑R1 JOHN MILLICAN & JEAN LUCINDA 21425 G❑RSUCH ST CHUGIAK, AK FIELD BOOKS WMPUTED: BOUNDARY: N A �O J O 00 y ¢a Rz z zz = U � S W del U 0 _uI o 1000 GAL SEPTIC TANK SCALE, NTS OF..AL 9 TH KENNETH D is CE < �: ,AWr /w F'ESS� PREPARED F❑R1 JOHN MILLICAN & JEAN LUCINDA 21425 G❑RSUCH ST CHUGIAK, AK FIELD BOOKS WMPUTED: BOUNDARY: N A DRAM: KSD STMNG N/A OiEG®: KMD AMUILT: JLS DATE: 10/31, MG. ME: GMD: NW146 ACRD Flm FILE 108 N°' 22147 MEI SCALEt I' = 30' SCALE: NTS 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: OSP221338 Work Type: SepticTank Upgrade Tax Code Number: 05106149000 Site Legal Address: DAWN LT 106 G:1461 Site Mailing Address: 24641 DAWN LN, Chugiak Owner: MILLICAN JOHN D & LUCINDA JEAN Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date Expiration Date: ��»ent o� � n � n Department Lot Size in Sq Ft: Total Bedrooms: 9/8/2022 9/8/2023 20000 ❑ 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 Special Provisions: 1. Locate the water line prior to construction to ensure that the required separation is met. 2. Show the water line on the record drawing. 3. Locate the seepage pit prior to construction to ensure that the required separation is met. Received By: Issued By: Date: Date: ZZ 2 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. 051-061-49 Property owner(s) John Millican & Jean Lucinda Day phone Mailing address 21425 Gorsuch St, Chugiak,AK Site address 21425 Gorsuch St, Chugiak, AK Legal description (Sub'd., Block & Lot) Dawn Lot 106 Legal description (Township, Range & Section) Lot Size 20,000 Sq. Ft. Number of Bedrooms 9 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) NO (w/wo AD U) Septic Tank ® Upgrade❑ X (D) ❑ Holding Tank ElRenewal ElDuplex Multiple 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. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: 2- Waiver Fees: Date of Payment: g Z y �ZZ Date of Payment: Receipt Number: 002-�,y G Receipt Number: Permit No. Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221338, Deb Wockenfuss, 09/08/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221338, Deb Wockenfuss, 09/08/22 GREAT"? ANCHORAGE AREA BORO`!H G��� Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ?G 0614alCWD MAILING ADDRESS for Cyl-79 /C��a /Q,t A� PHONE LOCATION / iwIft "�� LEGAL DESCRIPTION SEPTIC TANK: uv_tf �(o7D8t! DISTANCE�[_ _ ('/eeL NUMBER OF FROM WELL MANUFACTURER ACK `MATERIAL JT COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I (QUID CAPACITY �S GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER �LOR WIDTH n ,p LENGTH-, DEPTH (a LINING MATERIAL CRIB SIZE: DIAMETER !7 !DEPTH L / DISTANCE FROM: WELL / oI TOTAL EFFECTIVE /-I� BUILDING FOUNDATION, NEAREST LOT LINE. ABSORPTION AREA (WALL AREA) _( v SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: � 4 PIPE %� MATERIAL: LOT SLOPE: REMARKS: 2o1a Form No. E0-031 DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE , TANK -.SYSTEM - REMARKS DIAGRAM OF SYSTEM DATE APPROVED n GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE. ALASKA 99303 TELEPHONE 276.1391 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF; SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED SEEPAGE PIT S •'1 DRAIN FIELD PERMIT NO. OTHER FINANCED THROUGH TO BE INSTALLED BY >7 SOIL TEST RESULTS """'"'r' -'r'- NOTEI THIS PERMIT 13 NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 26 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE 4; — 51VE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK :5-1 FOUNDATION TO SEEPAGE PIT I DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK _I SEEPAGE PIT. DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK .SEEPAGE PIT Zoo DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK. 3 SEEPAGE PIT /oo, DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B FEET INTO UNDISTURBED SOIL. A INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGAR G INSTALLATION. G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IIjS/-IN ACCORDANCE WITH SAID CODE. XX C DATE Y,6 73- APPLICANT'S SIGNATURE U..� FORM NO. E0-016 DIAGRAM OF SYSTEM NO. 28.66 AND THAT THE ABOVE CREATEP. A;1CHOPAtr AP.L'A ❑i:A:.Ta J�'Ai TF!r'':T 327 A'—REE, A`7CHORA^E. P:LAFSXA 99501 Perfcrmed ror�� L®jel f yyeck�.—nate This Fcrm Reports a: Soils—,sicr. or -r- Depth ' re: reet SciI Char_ctenistics MORe- OF Q 50.rrd� , r,14t, t, S awl +ka vi GY11 Ili UPPO-R- `o -c -flan . Was Ground Water Encountered _no At What Depth CASE 4 �A Location Frcposed InstallatT—Etepa�e ['it DeptF, 0° inletv--x- _. ,Drain Meld De,�tn o bottom of Fit r'.renc f 1" 'M I GL tv/ Lr..-_ , r Test Performedj$.i'7 Data Certified °y� Date. r 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. 051-061-49 Legal description Dawn Lot 106 Site address �`��`�� C RUC-II4r ,Chugiak AK Expiration Date:, / r O A— 2-7-2023 Current property owner(s) John Millican & Jean Lucinda X The On-site system(s) is/are approved for 2 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: rX BY Original Certificate Date: 0(--2©zZ This 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 UMUPALITY OF AmHORAG ,�,�. 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. 051-061 Complete legal description Dawn Lot 106 Location (site address) Z. `Y L"'I / C 14:) GJ_ C- Q rL C (-fy C, U-yk., & L- ( a+/"104) Current property owner(s) John Millican & Jean Lucinda 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 6. SEPTIC TANK: ❑ Steel ✓❑ Plastic ❑ Concrete ❑ Fiberglass Age New - 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 $ J 5-6 / Date of Payment l ! cosA # QST �. c 7� ®��� Waiver Fee $ Date of Payment Waiver # COSA Application June 2022 Legal Description: Dawn Lot 106 Parcel ID: 051-061-49 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ELL DATA ❑ Well lag I d with Onsite (or attached) Date drilled al depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments B. TANK DATA Measured operating fluid level in septic tank New Date of pumping New Install 10/6/22 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 9/7/1973 W ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade NA* ft (min) ❑ N/A —pressurized field. ❑ Per record drawings, field is insulated. ❑✓ 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 2000 gallons 7/27/22 date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: x6' ED Noted in record documents. COSA Checklist June 2022 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ N ❑ Coliform bacteria is Negative itrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date STATION ❑ Require nt+ Age of lift station Lift station material Comments: ance completed Adequacy test date 7/28/22 Results Q Pass Fluid depth prior to test 10 in Water added 450 gal New fluid depth 20 in Elapsed time 90 min Final fluid depth 10 in Absorption rate 300+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in Effective depth used 10 in Effective depth remaining 62 in E. SEPARATION DISTANCES private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift; on Lot > 100' Community Sewer Manhole/Cleanout > 100' Yeses if No ft ❑ Yes if No Neighboring Tank > 100' [J Yes if o ft Private Sewer/Septic Line > 25' Yes if No Absorption Field on Lot > 100' ❑ Yes if No ft Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' Animal Containmen _ ❑ Yes if No Yes if No ft Manure/Animal Excreta Storage >` 10 ' ~� Community Sewer Main > 75' ❑ Yes if No ft Q Yes if No 0 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' n Yes if No ft Surface Water > 100' Q Yes if No_ Tank to Property Line > 5' n Yes if No ft Wells on Adjacent Lots_ Field to Property Line > 10' nJ Yes if No ft Private Wells > 100' © Yes if No _ Water Main > 10' 0 Yes if No ft Community Wells > 200' © Yes if No _ Water Service Line > 10' 0✓ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ft ft ft ft ft ft 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 Areterra Consulting Phone (907)-6/96-6111. Engineer's Printed Name Kenneth Duffus Date it s � '2-- Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 -'a' `� 444-. or surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year A& and the water usage of the family being served by the system. The operational life of all well and septic as # f �s are subject to these various and dynamic characteristics 111 and are outside the control of the evaluator XV— systems ,,,,,, of the well and septic system. Therefore, Arc Terra 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 10. encroachments, deficiencies or discrepancies exist.0�KENNETN WFUS1 CE COSA Checklist June 2022 �� p4ES rd� ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: DAWN SUBDIVISION LOT 106 PLAT 71-51 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 shouh 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: DAIS: SCALE: E-MAIL n OCT 31, 2022 1"=30' s,huI1 0,k.net `Z2-0.70-2 DRAWN BY: CFfECKED BY GR1Q kUMB'cR; BOO7C ACE: JLS NW1461 220355 1030, '�' 49TH � ........ ........... . fes.. Q ',140HN L. SCHULLER.- LS -10408 ,01� � O_fession& �. , � sIV���^ GI 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax N89'54'31 "E 159.45' (N89°55'20"E 159.49' R) — —xxx—xx—x—xx—x— NEIGHBORS • FIREWOOD f 1,.8' F- w ® SEPTIC ' y VENT ry(tyP) J ® ryd LriNL0 o+ MH Mo I tfjd -6 27.3' LOT N > 26.5' r Li 21.0' 106 w o� 00 I o EXISTING C� - O N HOUSE °3 P0 P ct b 0) Oma{ - z o p 26.8' 25.7' Q p o zo 00 � z 1.7' z O GRAVEL Cd GRAVEL DSV! D/W 20.9' 0 N — 25' N89'55'20"E 159.45' (159.49' R) BASIS OF BEARING i� M CHUGIAK DRIVE (DAWN LANE) ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: DAWN SUBDIVISION LOT 106 PLAT 71-51 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 shouh 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: DAIS: SCALE: E-MAIL n OCT 31, 2022 1"=30' s,huI1 0,k.net `Z2-0.70-2 DRAWN BY: CFfECKED BY GR1Q kUMB'cR; BOO7C ACE: JLS NW1461 220355 1030, '�' 49TH � ........ ........... . fes.. Q ',140HN L. SCHULLER.- LS -10408 ,01� � O_fession& �. , � sIV���^ GI 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax