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
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Q
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HjST E �
oc
:7EPTIL
1 ° _
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25+%
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U
GRAVEL
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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-
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37•
Wr
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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