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Home My WebLink AboutDAWN LT 103Dawn Lot 103 051 - 061 -46 On-Site Wastewater Disposal System Permit OSP101222 05106146000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: Tax Code Number: Work Type: Permit Effective Dates: September 29, 2010 to Design Engineer: ANDERSON ENGINEERING Subdivision: DAWN Upgrade September 29, 2011 Site Legal Address: DAWN LT 103 G:1461 Owner/Address: FAUST DONALD T & BRENDA J PO BOX 670662 CHUGIAK AK 995670662 Site Mailing Address: 21705 GORSUCH ST, Chugiak Lot Size in Sq Ft: 20000 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ail 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 must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: /~'-~//~//~,~..~ ~.~¢¢/¢ Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-061-46 Property owner(s). Donald and Brenda Faust Mailing address P.O. Box 670662 Chugiak, AK Site address 21705 Gorsuch Street Chugiak, AK Day phone Zip Code 99567 Zip Code 99567 Legal description (Sub'd., Block & Lot) Lot 103, Dawn Subdivision Legal description (Township, Range & Section) Lot Size 20,000 Sq. Ft. Number of Bedrooms Three (3) THIS APPLICATION IS FOR (~] all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] 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 property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: ANDERSON ENG IN EERI NG P~O. BOX 240773 ANGHORAGE, AK 99524 522-7773 522-6779 September 29, 2010 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 103, Dawn Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The septic tank on Lot 103, Dawn Subdivision is failing and must be replaced. We are proposing to replace the tank with a new 1,000-gallon steel septic tank to serve the three-bedroom home on the lot. The existing absorption trench will remain in place for reuse. We are therefore requesting a permit be issued for the construction of a new septic tank on the lot. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new tank. The subdivision is served by a public water system. The new tank will be placed more than 200' from the community well and 100' from any surface water. The existing tank on the lot will be disposed in accordance with Municipal Code. The drainage patterns will be maintained after construction. The ground surface on the lot is basically flat in the area of the new tank and in all other areas. The new septic tank will be constructed near the location of the existing tank and as parallel with the slope of the land as possible in conformance with Municipal requirements. If the tank is constructed in accordance with our design the following statements apply: The tank, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The tank, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. Lot 103, Dawn Subdivision September 29, 2010 Page 2 of 2 The tank, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. The tank, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments i,I i,I r~ 0 DAWN SUBDIVISION LOT 103 20,000 S.F. 1 59.49 ~g-.,% 0 FCO SV ~ / Home ~_J'Bedr°°m 11 SV~(2) Dispose Existing of Tank in Accordance with Municipal Code. Place New 1,000 Gallon Septic Tank, end 2 Post Tank Cleanouts. Existing AbsorptionTrench 32' Lonq x 2.5' Wide x 6' Effective Depth 1 59.49 SITE PLAN SCALE 1" = 30' LEGEND SV - Septic Vent CO Clean Out MT - Monitor Tube TH - Test Hole 6A2 7C 8B 105 104 102 VACANT 110 109 Septic 107 106 DAWN 112 111 NOTE: Area is Served by Community Water System. AREA MAP SCALE 1" = 100' MUNICIPALITY OF ANCHORAGE ·, · DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION i ENGINEERING DIVISION ENVIRONMENTAL 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE [] UPGRADE LEGALDESCRIPTIONP 0 I~0~ .~'} Cl/~[~t~f~(~L LOCATION ~ ~ Material ~r~ No. of compartments ~ Liq. cT~n gallons IF HOUE~OE: Inside length Width Liquid depth ~= DISTANCE TO: Well ~/~ Foundat,on O9,~ Nearest 1o, ,me ~ ~ NO~ao q qu Total length of lioe Trench width ~ DISTANCE TO: Well Building foundation Nearest lot line ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER I 3¢ APPROVED ~ ! .V. ~AL RPPLICBNT LOCATIOM LEGAL MYERS CONST Li02: DRHH TYPE OF SOIL RBSORPTION SYSTEM PO BOX 25i CHUGIRK 694-44i4 LOT SIZE~2 SQURRE FEET IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = ~ SOIL RRTING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= -1 2 LE/46TH= ..7~-2 6F:R'-,-'EL DEPTH= 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION <IH FEET>. THERE IS NO SET HIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETHEEN THE OUTFRLL PIPE RN[> THE BOTTOM OF THE EXCRVRTION <IM FEET>. REC~.U I RED SEPT I 0 TR[-I~=-: S I ZE= -1 0£16'~ 6FILLOf4S PERMIT RPPLICRHT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY HELLS RDJRCENT TO THIS PROPERTY RNO THE HUMBER OF RESIDENCES THRT THE HELL MILL SERVE. TI,IQ < 2 .-', I I'-.ISPEt'..--'..--T I OI'-.IS RRE RE~.LI I RED BRCKFILLING OF RNY SYSTEM HITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUr,1 [:,ISTRNCE E:ETHEEN R HELL RMD ANY ON-SITE SEHRGE DISPOSRL SYSTEM IS &£'~E'~ FEET FOR R PRIVRTE HELL OR :150 TO 200 FEET FROM R PUBLIC HELL DEPENDIHG UP'ON THE TYPE OF PUBLIC HELL. MINIMUM DISTRNCE FROM R PRIVRTE HELL TO R PRIVRTE SENER LINE IS 25 FEET RND TO R COMMUNITY SEHER LINE IS 75 FEET. HELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT HITHIN ~0 DRYS OF' THE HELL COMPLETION. OTHER RE¢~UIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRr, IS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTIOH. PERr'I I T E×P I F:ES DEOEt'IBER _---~-:-_-I .. -1 9.S-'2 I CERTIFY THRT i: I RM FRHILIRR HITH THE REQUIREMENTS FOR ON-SITE SEHERS RND HELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I HILL IHSTRLL THE SYSTEM IN RCCORDRNCE HITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE EENER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE F:ESIDENCE I~ REMODELED TO IMCLUDE MORE THRN ~ BE~ROOblS. , - - -¢ ........... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST ;~ SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: I 2 3 4 5 7 I0 ~12-. 13. /35' ~t/d/~ SLOPE II1 1 II III/11 I I II WAS GROUND WATER ENCOUNTERED? DATE PERFORMED: IF YSS, AT WHAT DEPTH;' SITE PLAN 14. 15- 10- 20- COMMENTS PERFORMED By: _..~,_'. ~t ^ ~.l(.~ 72-008 (6/79) Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~J/~ (minutes/inch) TEST RUN BETWEEN PT AND FT 327 ~AG!,E f. TR~'ET CASE J_ 'A!{CHORACE, ALA.e'KA 99501 Perfcvmed F0~ I~o~ ~ ' Depth ' Fee: Scll Cha~a~terlstics I,ocali ~n Sketch Was Ground Water Encountered?_. ~O ~°~l if Yes, At What ~erth Reading Date Groc~ Time Ne: Ti~.e Depth To H20 Net Drop Frcposed Inatal~Eeepace Fi: ~ Drain Field bepO, Of Inlet ~/ " -- COM'-IENT$: o~ De~tn 5'0 Bottom O~ Pit Or Trench '~-x/ Test V,evformed Bv:'-h- Da-a Certified Date: AS-BUILT I hereby certify that ! have surveyed t/~e Anchorage ~ecordinff ~ecl~et, that the Imprnv-- to that no Imp~vemen~ ~ prol~rty lyl~ndjacent the~to en~oaeh on the ~reml.~ In question ~d~th~t Ihere ~adwe~; ~an~mlasJon Iin~ or other v~ble ea~menta on laid pro.re7 ex.pt ~ Indleat~ her~, SCA~; ~eglzte~d ~nd Su~eyor No. ~-~ 1" ~ ~ ' Box 4~, Eagle River, A~kI · , }'hone (~,) 6~4-2~4~ .... APPLI'"-'~IT FILLS OUT UPPER HA"-"3NLY' P:cpe.yO',.ne, ~)//T~5, ¢~,n57/~ c, C7/~"/, ) Iv ~ Phone Buyer Address Zip Code Lending Institution Phone Address Zip Code Realty Co. & Agent Phone Address Zip Code Street location Type ol Residence ~,,.SIn gte Family ~] Multiple Family No. of Bedrooms ~ ~] Other Water Supply E] Individual ATrACH WELL LOG. A well log Is required lot all wells drilled since June 1975. i-1 Community For wells drilled prior to IbM date. give well depth (attach log If available). [;~ Public Utility Sewer Disposal Individual Year Individual Installed: Public Utility When Connected lo Public Utility: CI Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN SE INITIATED. Time Time Time Time Date Cat, Inspector Inspector Inspector Inspector ( ~APPROVED ~DR~MS ~ *COND~TIONSOF APPROVAL ( ) DISAP~OVED ( ) CONDIT~NAL APPROVAL' DATE ~--/~ --~ ~ Soils Rating Date ~wet Installed Well To ~sotpllon Area ~ '~ ~ ~ Well L~ R~eiv~ WIUNUPAUTY 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. 051-061-46 1. GENERAL INFORMATION Complete legal description DAWN LT 103 Expiration Date: J (9 - / — ZC Z 0 Location (site address) 21705 Gorsuch St Chugiak Current property owners) FAUST DONALD T & BRENDA J Day phone 907.360.0389 Mailing address PO Box 670662 Chugiak AK 99567 Real estate agent Arleen Myers Day phone 907.250.4077 2. TYPE OF DWELLING: 0 Single Family (w/ o ` DU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic F Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System El Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 6-5p Date of Payment tai 13119 Receipt Number Qt1 M p COSA# 05C/9/52 Date: Waiver Fee $ _ Date of Payment Receipt Number Waiver # 5. 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 Eklutna Engineering, LLC Phone 907.355.9820 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE Date Z 2 �5 �60®a1 6. DSD SIGNATURE System #1 Approved for -3 bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms 49 ... s •utile L. T • • ; .. I Dale .L .Z r CE 11904 bedrooms, with the following stipulations: Ofltti?11tta1,�`'' Original Certificate Date:— 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 COSA Checklist blue sheet COSA Checklist Legal Description: DAWN LT 103 Parcel ID: 051-061-46 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system _ A. WELL DA ❑Well log is file�wVithO orattached) Date drilled Total 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 public water system B. TANK DATA Age of tank(s) 9 years Tank type/material septic steel Measured operating fluid level in septic tank 50 ❑ Standpipes/foundation cleanout per record drawing Date of pumping October 2019 1✓✓ D. ABSORPTION FIELD DATA Which system tested (date installed) 1982 ❑ ALL standpipes present per record drawing Total measured depth from grade 12 ft (max) Measured depth to pipe invert from grade 6 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: COSA Checklist yellow sheet Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ Na ❑ Coliform bacteria is Negative Ni�ey� mig/L E] Nitrate less than MRL (ND) Arsenic ' /L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. !7�TATION ❑ Required m-... nance completed Age of lift station s Lift station material Comments: Adequacy test date 1114/19 Results Q✓ Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 799 gal New depth 0 in Elapsed time 117 min Final fluid depth 0 in Absorption rate ' 450 gpd Any rejuvenation treatment (past 12 months) no If yes, enter date 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' Q Community Sewer Manhole CI > 100' if No ❑ Yes if No ft / ❑ Yes if No ft Neighboring Tank? 100' ❑Yes if No ft �� P�ri �t Sewer/Septic Line ? 25' Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No TE Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Field Private Wells > 100' Yes if No ft Animal Containment > 50' ❑ Yes if No ft Yes _ ❑ Yes if No ft Community Wells > 200' F71 Yes if No ft Water Service Line > 10' ❑✓ Yes Manure/Animal Excreta Storage > 100' ft C pity Sewer Main > 75' ❑Yes if No ft ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field> 5' �✓ Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' F71 Yes if No ft 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' QQ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' ❑r Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' n Yes if No ft Surface Water> 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that l 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. ENGINEERS : TH ............ • • • .. COSA Checklist yellow sheet 1 • . .... � .urlis t..Town d! Date No: C 11 r✓ � �� pPPK7 lU1 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' FOLLOWING DESCRIBED PROPERTY: A,1 AND THAT NO i.�CROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THF E'(IsTENCE OF ANY GRID: EASEMENTS, COVENANTS., OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOUI_D FS: ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING, BOUND-