Loading...
HomeMy WebLinkAboutDALE BRIGGS BLK 1 LT 7Briggs Block I Lot 7 #050-181 - 10 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: OSP231322 Work Type: Septic Upgrade Tax Code Number: 05018110000 Site Legal Address: DALE BRIGGS BLK 1 LT 7 G:0152 Site Mailing Address: 16920 KANTISHNA DR, APT A, Eagle River Owner: CRUICKSHANK MATTHEW J Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date: Expiration Date S e. :v n Department Lot Size in Sq Ft: Total Bedrooms: 9/27/2023 9/26/2024 20037 Q 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: 15,5 v'�D -D Date: Issued By: Date: 2 Z 5 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. 050-181-10 Property owner(s) Matthew Cruickshank Day phone Mailing address 16920 Kantishna Dr. Eagle River AK Site address 16920 Kantishna Dr. Eagle River, AK Legal description (Sub'd., Block & Lot) Dale Briggs Block 1 Lot 7 Legal description (Township, Range & Section) Lot Size 20,037 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field Q Initial ❑ Single Family (SF) 0 Septic Tank ❑X Upgrade 0 (w/wo AD U) Holding Tank ElRenewal ElDuplex (D) E] Privy ❑ Multiple Dwellings ❑ (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: q_'5 2 Waiver Fees: Date of Payment: Receipt Number: Permit No. 0_e -)p7 -3)? 2. Z Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231322, Curtis Townsend, 09/27/23 Minicipality of Anchorage On-site Water and Wastewater REVIEWED FORCODE co ANC WASTEWATER DISPOSAL SYSTEM DETAILS/SITEOR3L"T osrzT DALE BRIGGS BLOCK 1 LOT 7 PID# 050-181-10 PROPERTY LINES DESIGN DETAILS WELL RADII & EASEMENTS 5 BDRM X 150 GPD = 750 GPD PRIOR TO CONSTRUCTION 750 GPD/1.2 GPD PER SQ. FT.= 625 SQ. FT SyfD TRENCH USE 2 TRENCHS; 37' (L) X 5' (W) X 3' (D) Total depth of system is 11' max from original grade. Total depth of gravel below distribution pipe is 3' . � o EXISTING 25+% \ TDBE REMOVED wp LINE KEYBDX BY CODE*,,_,",_ q eX Q � , HjST E � oc :7EPTIL 1 ° _ s � 25+% p U GRAVEL Diw Y DIVERTER O..Ix 0cDo n O 25+% l WT 5 TH-Isz UT }" —�CD Lawn cks t r••+ 50' MI 25+% o 0 0 5• to prey 0� I$ nt Park' , -,Q- tilx 37• Wr t IO' HW Scale: 11'= FLAG PROPERTY LINES DESIGN DETAILS WELL RADII & EASEMENTS 5 BDRM X 150 GPD = 750 GPD PRIOR TO CONSTRUCTION 750 GPD/1.2 GPD PER SQ. FT.= 625 SQ. FT (625 / 5')(0.58 AF) = 72.5 FT. TRENCH USE 2 TRENCHS; 37' (L) X 5' (W) X 3' (D) Total depth of system is 11' max from original grade. Total depth of gravel below distribution pipe is 3' . :, NO PUBLIC WELLS WITHIN 200' OF o NOTES PROPOSED SYSTEM d NO PRIVATE WELLS WITHIN 100' OF 1. INSTALL 1500 GAL. SEPTIC TANK & INSULATE TANK IF <4' COVER. PROPOSED SYSTEM EXCEPT AS NOTED. 2. INSULATE TRENCH WITH 2' HD BURIAL FOAM IF < 3' OF FILL. NO o PROPOSED WELL EXCEPT TIC SYSTEMSWITHIN AS NOOTEDF MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. p 3. INSTALL DIVERTER CONNECTING THE OLD FIELD TO NEW FIELD. 4. TANK TO HAVE MIN. 20' MANWAY RISER PER CODE, 5. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. '- 6. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... PAGE 1 OF 1 :..�Y Jo� TH KENNETH M. S C —71� FESSlo- MATTHEW CRUICKSHANK 16920 KANTISHNA DR EAGLE RIVER, AK FIELD BOOKS COMPUTED: BMNDARY: N A . DRAW: KSD SMNG: N ZA "E"" KMD ASBUiLT: JLS DATE 9Z19/23 DWC, FILE GRID: mutni r,,) ACRD FILE FILE 'IDD N- 23149 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231322, Curtis Townsend, 09/27/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231322, Curtis Townsend, 09/27/23 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Septic System Owner -installer Agreement The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner to perform work on an on-site wastewater disposal system to serve that individual's owner - occupied, single-family or duplex home if the homeowner meets and agrees to the following requirements: 1. The property owner and excavation equipment operator may perform work on no more than one owner -installation project in a 12 -month period. 2. Owner's projected active involvement with the installation: 3. The name of the excavation equipment operator: 4. 1 agree that there will be no monetary compensation for installation services rendered. 5. The name of the inspecting engineer: & 6. 1 agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On-site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. ' As owner of (legal description) e�7 7 ^ I agree that the information above is true and accurate. Owner's printed name: te;_Illtfifi Owner's signature: _ -L �� . r'� ti. Date: Mailing Address:, P. o. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Municipality of Anchorage On-Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I,D. 050-181-10 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent DALE BRIGGS; BLOCK 1~ LOT 7 16920 KANTISHNA DRIVE *EAGLE RIVER~ AK 99577 STEVE KENNISON Day phone 16920 KANTISHNA DRIVE *EAGLE RIVER~ AK 99577 Day phone 223-8090 2. TYPE OF DWELLING: [] Single Family (w/wo ADU) · Duplex [] Multiple Ewellings (Single Family and/or Duplex) 3. NUMBER OF BE;)ROOMS: 5 4. TYPE OF WATE~ SUPPLY: Individual Wetl [] Individual Water Storage [] Community 'Class Well [] Public Water System · TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank [] Community On-site [] Public Sewer [] Received by: ~/ COSA to be released to ~he engineer, unless otherwise requested by the engineer, Date: COSA Fee $ Date of Payment Receipt Number COSA # 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. ahempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results desc#hed the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The opereticoal life of all wells and septic systems depend on the local coils condition, groundwater levels that reay fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluafer of the system. Satisfacfety test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG. LTD. can therefore not provide any warranty or future estimate of how feng the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whateseve~ 6. DSD SIGNATURE ~ System#1 Approved for System #2 Approved for Disapproved. Conditional approval for __ Phone 337-6179 bedrooms. bedrooms. bedrooms, with the following stipulations~ WATER AND By: upon the repreeerl'atations given in paragraph 5 by an independent professional civil engineer registered in the State of Ala.ska, The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other (Rev. 1 lf05) If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system ~ Certificate of On-Site Systems Approval Checklist Legal Description: DALE BRIGGS; BLOCK 1, LOT 7 Parcel ID: 050-181-10 A. WELL DATA PUBLIC WATER Well type IfA, B, or C provide PWSID# __ Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N) J Total depth _ ff. Cased to .ft. Casing hei~ in. FROM WELL LOG AT IN~E~ON Date of test ~ Static water level ~ ft. Well production j ~"~- g.p.m, g.p.m. WATER SAMPLE~ Coliform . ,~ colonies/100 mi. Nitrate mg./L ~ Collected by:_ A.~se~.' ~ ug./L. Date of sample: _ Foundation cleanout (WN) YES C. ABSORPTION FIELD DATA Date installed 1978 Length 12 ff. f B. SEPTIC/HOLDING TANK DATA Tank Type/Matedal SEPTIC/STEEL Tanksize. 1500 gal. NumberofCompartments 2 Depression overtank (Y/N) NO Pumper_~-' ~' ..S Date installed 5/99 Cleanouts (Y/N) YES High water alarm (WN) N/A ~BELOW EXISTING GRADFI Soil rating (g,p.d,/ft~orO_85 Width 15 ft. Totaldepth '12.35 ft. Eff. absorption area 432 fi2 Monitoring tube YES Date of adequacy test 3/11/_13 Results (Pass/Fail) PASS Fluid'depth in absorption field before test 39.75in. Water added 2_290ga1. New depth_**99.75 in, _ Elapsed Time: 120 min. Final fluid depth8.4.75in. Absorption rate >= 688+ . g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type¢ ~ eY~ YES If yes, give date 2/8/13 **LIQUID WAS AT THE INVERT ELEVATION OF POST TANK C/O. System type CRIB Gravel below pipe _ 8 ft. Depression over field NO For_ 5 bedrooms D. LIFT STATION Date installed Size in gallons Manhole/A~ ~ "Pump on" level at in. ~igh water alarm level at in. Meets alarm & circuit requirements~ Datum _--- ~ Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots .~ nout ~ Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line Water main 10'+ Water service line Wells on adjacent lots IO0'+PVT & *150% CLASS C 5'+ 10'+ Absorption field 5'+ Surface water. 100' + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN Building foundation_ 10'+ Water main_ 10'+ Surface water 100'+ Driveway, parking/vehicle storage Wells on adjacent lots! 00'+p~rr & .150'+ CLASS C 10'+ F, COMMENTS *CLASS "C" WELL ON DALE BRIGGS S/D; BLOCK 1, LOT 15 SERVES LOTS 15, 16, & 17. G. ENGINEER'S CERTIFICATION I certify that I 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. Enginee(s Pdnted Name JEFFREY A. GARNESS Date 7 /'~- b,~3 (Rev. 11/05) GARNESS ENGINEERING GROUE Ltd CONSI~LTANTS & G~NE~L CONTRACTORS March 20, 2013 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Request for Five (5) Bedroom COSA for Dale Briggs; Block 1, Lot 7 To whom it may concern: A COSA was issued recently for the referenced property as a four (4) bedroom residence. Per the request of the Owner ;ve are requesting that the COSA be re-issued as a five (5) bedroom residence. The septic tank (1500 gallons) and the drainfield (432 sq. ft.) are both adequately sized for a five (5) bedroom residence. The soils rating for the property was rated as 85sq. ft./bedroom. If you have any queltions, please contact us at 337-6179. Thank you for your assistance. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSI~ RVATION APPLICATION FOR ON-SITE WATER ANDSEWER SYSTEM APPROVAL GENERAL INFORMATION WATER SUPPLY SYSTEM Feint STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC HEALTH AUTHORITY APPROVAL FOR ON-SITE DRINKING WATER AND SEWER SYSTEMS B~s Address: Seller's Address: (£,t ~ ~ ~ ~ ~ a ~b~c Waicr Sy~em, appr~ed by the Dcp~cai ~d ~n~y in mo~lo~g ~mpl~. A ~t ~g ~t~ ~ple ~ lested al ~ ~EC ~fi~ la~tor~ and ~ found to ~t ~nt of E~ro~n~ ~afion ~ng ~ler smn~s for lo~ ~ter ~ ~t this On-Site dfi~ng wat~ ~cm m~ mi~mum ~gon ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEM: (Pleo.~glni~aMpprvpn'ate The ins~llation of this sewer system vc-~ inspected by a ProfeSsional Engineer who confirms that the system meets the requirements of 18 AAC 72. This sew~ system was insalled by a ~nified irataller who confirmi the system mee~s the reqoircments of 18 AAC 72. ] This existing sewer system was inspected and tc.sted by a Professional Engineer who confirms tim system's p~cformance is satisfactory and tlmt the system meets the requirements of 1 g AAC 72, wue U LTa s6VaOP'rrY PROV Based on ~ ~fi~ p~d~ by ~c ~of~io~ En~n~r or Ce~ifi~ l~tler ~d a ~w of ~eir appli~doa for ~mr ~d ~r ~ ~pro~, ~ S~e of g~ D~ent of Environmen~ Co~on ~ t~t ~e on~ite ~ng ~ter ~d mcr ~t~ ~ ~ ~m dc<fi~ ~rcin ~t r~mrcmn~ of ~c Delimit ~d i~ ~s ~blic H~ Au~odb~ ~ ~prov~ is ~id for a . sin~e f~ly ~ .mOfi-~ly ~dc~ ~th at to~ ~ ~ ~. ~e D~a~m~l of Enfimnmental Con~atlon d~ not ~ar~t~ the continued ~tisfacto~ pedomanee of the drinking water ~d ~er S~e of ~ ~nt ~ En~m~en~ ~ation I s-o406D (6D6) Wlaite - Lender, Canary - Applicant; Pink - Fiscal; Goldenrod - File STATE OF ALASKA DOMESTIC WASTEWATER PLAN REVIEW/WAIVER FEE Department of Environmental Conservation [ INVOICE#:~O 5)~ Plan Review N umber: PAYMENT IS EXPECTED ATT[ME OF SUBMITTAL Make check payable to: STATE OF ALASKA Deparanent of Environmental Conservation 555 Cordova Sa-eat, Anch. AK 99501 / Facility~mjec~ ~mc; DEC Contact: FEE REFERENCE 72.210 (eX2) (e)(3) (e)(4) (e)(s) to)(6) 72.440 <a)(i) (~X2) 72.210 (h)(1) (h)(2) (h)(2) Paid; CATEGORY WA WB WC WD WE WG W1 WL. W3 W4 W5 W6 IMPORTANT: Includes holding tank~ 0 - s00 gpa 501 - 2500 gpd 2,501 - 20,000 gpd 20,00t - 50,000 gpd 50,001 - 250,000 gpd More than 250,000 gpd $195 5295 S875 S1,375 $2,000 $3,500 $390 $975 565 $625 $340 ['-] Ca.~h [] Check # S230 ;230/waiver ;175Avaiver $65/I1r, DOMESTIC WASTEWATER PLAN REVIEW Based on Peak Design Flow of: For sewer rcphoement, or extension ~f -~200ft 2ooft- 1000ff >1000ff ivlodificatioa <20% change to daily peak design capacit)', 20% of fee in (e)(l)to(6) Modification 21% to 50% change: fee is equivalent to pcmcmage of that in (e)(l) to (6) Modification >.50% change: fee ia 100% of fee in (e) (I) to (6) Onsite Certified Installer Cart.[fled Installer! Homeowner Training Certification Fee - (2 years) Certification Fee (2 annual installmenm) WAIVER OR MODIFICATION OF PROVISIONS Individual on-site system, includes multiple waiver* Fkst five waivers submitted for a project Waiver submitted for a project, slier fa'st 5 waivers Inspections TOTAL AMOU~'r