HomeMy WebLinkAboutDELBERT LT 42AOwathq- S,9
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Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP241099 PID Number: 018-099-59
Dwelling: nN Single Family (SF) FJ with ADU El Duplex (D) El Two Single Family Project: 171 New F01 Upgrade
Name
SCOTT RABE
ABSORPTION FIELD
El Deep Trench F! Wide Trench El Bled ound
Site Address
13821 MC DONELL ROAD -ANCHORAGE, AK
El Other "O;Z
Phone
__75u
Number of Bedrooms
Soil Rating
depthoriginal grade
907-244-1325
GPD/SF
ITotal
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grad
t.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
DELBERT; LOT 42A
Fill added above original
Ft.
Gravel length
ft
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION
DISTANCES
To
septic
Absorption
Lift Station
Holding
Sewer
Total rption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
FF
Ft.
Well
100,+
25'+
TANK 9 Septic [I S.T.E.P. ❑ Holding 0 Other
Manufacturer Capacity
GREER TANK 1500 Gal.
Surface Water
100'+
Z
Material
H D P E
Number of compartments
2
NA
Lot Line
5'+
Foundation
10'+
LIFT STATION
Manufacturer
Capacity
Remarks OLD TANK DECOMMISSIONED PER UPC
Gal.
PER CONTRACTOR
Alarm location
Electrical installed by
PEA_
Tank to PIPE MATERIAL House to tan D3034 D3034
L drainfield
Installer
A.C.E.S.
M4
Drainfield D3034/rXIS'nING CO/MTD3034
Inspector GEG
BENCH MARK (Assumed elevation) 96.93 ft
Inspst ection 16/412024
Location and description
dates: 2nd
TOP OF MH
3rd 4m
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Engineers Stamp
Conditional Approval: Date
T
. ...........
. .. ........
rey A arness.,
3C E 79 F)
Septic System Date
Approved ?
Note: this approval does not include well permit requirements.
P,Ofes$100,\
#AECC884
(Rev 05/07J18)
PERMIT NUMBER: RECORD DRAWING PARCEL NUMBER:
` OSP241099 018-092-59
PIPE LOCATION ARE SHOWN PER
.DWG FILE PROVIDED BY WALATKAS
LAND SURVEYING AND SWING TIES
ARE GENER4TED IN AUTOCAD.
SIGNED.PIDF IS ATTACHED
v
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T12N R3W SECTION 27 lOT 31 1
OTHERIMPROVEMENTS-NO
ONSITE RECORD FOR LOT
1�+ ; '• GRAVEL DRIVEWAY t ' •'' : "r_
--J--- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NEW 1500 GALLON HDPE GREER TANK V! .••, :.. Y-
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DELBERT; LOT 42B
EXISTING DRAINFIELD
ENGINEERING --� SALES ,� CONSULTING
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907) 3376179 • FAX (907) 336-3246' WEBSITE: vrerx.games—gineenng—m
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
SCOTT RABE
907-244-1325
2 OF 3
LEGAL DESCRIPTION:
DRAWN BY:
DELBERT; LOT 42A
D.J.G.
TYPE OF WORK:
DATE:
SEPTIC TANK RECORD DRAWINGS
6/7/2024
50' BLM ROADWAY EASEMENT
II
OF
4.4
. PEE......
AW
..... .....
a.... er••I • ...� aw i..ay a....•..•........•
0 'cn_ � effre arness : 4-i i
♦ E-7�53 �
LICENSE',�Ir�`S`; ���♦
#AECC884
PERMIT NUMBER: PARCEL ID NUMBER:
OSP241099 RECORD D RAW I N G 018-092-59
TOP OF MANHOLE = 96.93
FINAL GRADE = 96.61-96.24
MH1 ST1
TOP OF TANK AT INTLET = 92.98 TOP OF TANK AT OUTLET = 92.97
INVERT OF BUNG AT INLET = 92.29 INVERT OF BUNG AT OUTLET = 92.12
NEW 1500 GALLON H.D.P.E. SEPTIC TANK
" ••'(E OFMWM
AV
t 4
ENGINEERING, SALEB�CONSULTING
3701E. 7UDOR ROAD SURE 101'ANCHORAGE, AK 99507'PHONE(907)337-6179'FAX(907)339-3246*WEBSITE:-gern sengneenn9com • •• ••.....e •••.•
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: j
SCOTT RABE 907-244-1325 3 OF 3 ,♦j �' 1 Bey- .Gar" ss w AF
♦ %' CE-79 3 -
LEGAL DESCRIPTION: DRAWN BY: ♦ '•.
DELBERT SUBDIVISON; LOT 42A D.J.G. �#F'p ••• •'
AV
�� cep t�f�"(:�'.....,..•ry•�P�, ••
TYPE OF WORK: DATE: LICENSE+,4"'F ESS,"' ��•
SEPTIC TANK PROFILE 6/7/2024 #AECC884 lkrVialk •
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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: OSP241099
Work Type: SepticTank Upgrade
Tax Code Number: 01809259000
Site Legal Address: DELBERT LT 42A G:2936
Site Mailing Address: 13821 MC DONELL RD, Anchorage
Owner: RABE SCOTT K & CYNTHIA K
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date:
�»cnt
� r
DellertIII ell t
Lot Size in Sq Ft:
Total Bedrooms:
5/21 /2024
5/21 /2025
49467
❑ 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:
s S �D 10
G r— C
Date:
Issued By:
Date: S12-1126 2
.I
O
Development Services Department~s; Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
,f
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 018-092-59
Property owner(s) SCOTT RABE
Mailing address 13821 MCDONELL *ANCHORAGE, AK
Site address 13821 MCDONELL *ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) DELBERT; LOT 42A
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms 5
Day phone 907-244-1325
APPLICATION 1S FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field Initial ❑
Single Family (SF)
(w/wo ADU)
Septic Tank Upgrade 0
Duplex (D) ❑
Holding Tank El Renewal ❑
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.
(Signature of property owner or authorized agent)
C1P`_e_rm�it1Rsh Fees: 22S
Date of Payment: G7 7-o (? 4
Receipt Number: (BSI 9667
Permit No. 6SP7-41 O!� 21
Waiver Fees:
Date of Payment:
Receipt Number:
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
OSP241099, Curtis Townsend, 05/21/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241099, Curtis Townsend, 05/21/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241099, Curtis Townsend, 05/21/24
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Permit No. -S'76.3 6
Page 2 of
' Municipality of Anchorage W.O. 93061
Department of Health and Human Services Date 8 -g3
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage. AK 99519-6650' Tel: 343--4744
On —Site Wastewater Disposal System/Well Inspection Report
Legal Description: LOT 42A DELBERT SUBDIVISION PID No.�'
50' BLM EASEMENT
RE ER �Tp
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100 E RAD( p
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EX15S\N�
LOT 42
SCALE: 1" = 50'
1001 w
DATE
BRASS CAP NE PROPERTY
CORNER. ELEV 115.76
1e
Ali
I
I I E IS`L G
PROXIMATE
OCATI ON
EXISTING
HOUSE
EXISTING
SYSTEM
THIS AREA
.In,,
RA-
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�NIS 586-7bErI
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of* 0h00000 &fir
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Profess\o"'4�w
VA
72-013 A (2/91) MOA 25 - C. FAe 061CS920
9150 *Sol
STATE OF ALASKA.
DEPARTMENT OF NATUM1. RESOURCES
OMIS1ON OF WATER
WATER WELL PtECORO
LOCATION OF WELL
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CONTRACTOR REMARKS -
Business NarneDNRIDWISION OF WATER
j
Signature ofResp
r 1. PO BOX
EAGLE
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. 018-092-59
Legal description DELBERT LT 42A
Site address 13821 MC DONELL RD Anchorage AK
Current property owner(s) RABE
Expiration Date: 5/9/2025
X The On -site system(s) is/are approved for 5 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 6/11 /2024
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
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 018-092-59
Complete legal description DELBERT SUBDIVISION; LOT 42A
Location (site address) 13821 MCDONELL *ANCHORAGE, AK
Current property owner(s) SCOTT RABE Day phone 907-244-1325
2. ON -SITE SYSTEMS SIZED FOR 5 BEDROOMS
3. TYPE OF WATER SUPPLY: RN Private Well R Private Well serving 2 dwelling units
FI Private Well serving 3+ dwelling units F] Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: [61 Private Septic E] Private Septic serving 2 dwelling units
❑ Holding Tank El Community Septic or Public Sewer
5. SEPTIC TANK: 1771 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age NEW - See advisory if steel older than 20 years
6. ABSORPTION FIELD: n AWWTS nN Bed 1771 Deep Trench E) Wide Trench 171 Seepage Pit
Waiver request for:
Expedited review requested: F-1
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 $
Date of Payment
COSA # 0-3 C— 2-
Waiver Fee $
Date of Payment
Waiver #
COSA Applicadon—June 2022
Legal Description: DEBLERT SUBDIVISION; LOT 42A
Parcel ID: 018-092-59
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _
A. WELL DATA
FE Well log is filed with Onsite (or attached)
Well production at time of test 3.3+ gpm
Date drilled 1/22/1994 Total depth 223 ft
Water storage tank volume 0 gallons
Cased to 223 ft
Well disinfected for coliform test? ❑ Yes ® Nc
W Sanitary seal is functioning correctly
X Coliform bacteria is Negative
n Wires are properly protected
Nitrate 2.54 mg/L ❑ Nitrate less than MRL (ND)
Casing height (above ground) 18+ in.
Arsenic ug/L n Arsenic less than MRL (ND)
Date of flow test for COSA 5/9/2024
Collected by GEG
Static water level at beginning of test 138.1 ft.
Date 5/9/2024
Comments *WELL LOG IS ATTACHED - NOT IN MOA RECORDS
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
❑ Required maintenance completed, if AWWTS
Comments: NEW
D. ABSORPTION FIELD DATA
Which system tested (date installed) 5/4/1994
❑ ALL standpipes present per record drawing
Total measured depth from grade 4.6 ft (max)
Measured depth to pipe invert from grade 4•2 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
n 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
L
IFT STATION
equired maintenance cc ed
of lift station years
atio erial
ments:
Adequacy test date 5/9/2024
Results 0 Pass
Fluid depth prior to test 0 in
Water added 750 gal
New fluid depth 0 in
Elapsed time 0 min
Final fluid depth 0 in
Absorption rate 750+ gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 8 in
Effective depth used 0 in
Effective depth remaining 8 in
Comments/Deficiencies: ATTACHED WITH THE DESIGN IS A 1994 RECORD DRAWING (PROVIDED BY OWNER) WHICH SHOWS THE DRAINFIELD LOCATION
**PER GEG FIELD MEASURMENTS, THE MT EXTENDS APPROXIMATELY 0.6' BELOW THE CLEANOUTS
COSA Checklist June 2022
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'
Fil Yes
if No
ft
0 Yes
if No ft
Neighboring Tank > 100' 0 Yes
if No
ft
Private Sewer/Septic Line > 25' Q Yes
if No ft
Absorption Field on Lot > 100' [E Yes
if No
ft
Holding Tank > 100' Q Yes
if No ft
Neighboring Absorption Fields > 100'
Animal Containment > 50' rE� Yes
if No ft
M Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Fn� 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'
Q Yes
if No
ft
Surface Water > 100'
n Yes if No ft
Tank to Property Line > 5'
no Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
0 Yes
if No
ft
Private Wells > 100'
0 Yes if No ft
Water Main > 10'
n Yes
if No
ft
Community Wells > 200'
n■ Yes if No ft
Water Service Line > 10'
M Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
SEE ATTACHED RECORD DRAWINGS FOR NEW TANK LOCATION AND SEPARATION DISTANCES
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 Garness Engineering Group, LTD. (GEG) Phone 907-337-6179
Engineer's Printed Name Jeffrey A. Garness Date
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in
accordance with the guidelines and regulations established by the Municipality of Anchorage and industry
o�o�
practices. The reported results describe the condition of the system/s on the date/s of the evaluation.
Separation distances were measured to readily identifiable features. Hidden defects or encroachments may
depend
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exist that were not identified during the evaluation. The operational life of all wells and septic systems
fluctuate
.
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upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may
during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing
the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not
• . . • . • . . • • .. . • • • • I . • . • • • . • • .
guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding4
the future performance of the well or septic system. GEG makes no representation whether an alternative well
or septic system can be installed on the property in the event either of the current systems fail to perform
8 ..........
Q ff1, Go`ness.
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG
QO P '• `_ 795
to perform the evaluation. Reliance upon the information provided in this report by any other person or party
(including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever.
LICENSE QRn—rofession
COSA Checklist June 2022 #AECceaa