HomeMy WebLinkAboutT15N R1W SEC 8 LT 130TISN RIW
c. 8
Lot 130
#051 - 153 - 09
Municipality of Anchorage
On-Water and Wastewater Program • (907) *7904
ON-SITE WASTEWATER INSPECTION REPOR J) L
Permit Number: OSP141295 PID Number: 051-153-09 OCT 29 2014
Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade
Name:
Lee B. Jordan
ABSORPTION FIELD
❑ Deep Trench ® Shallow Trench El Bed El Mound
Address
20610 Jayhawk Drive, Chugiak, AK 99567
❑ other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
0.6 GPD/SF
6.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.5 Ft.
Gravel depth beneath pipe
3.0 Ft.
Subdivision Block Lot
130
Fill added above original grade
VARIES - 0.2 — 1.2. Ft.
Gravel length
(2 X 441) 88 Ft.
Township Range Section
15N R1 W 8
Gravel width
5 Ft.
Beds: Number of Lines
--
Distance between lines
_ Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
758 Ft2
2
10 Ft.
Well
100+
100'+
100'+
NA
NA
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCHORAGE TANK
Capacity
1 1000 Gal,
Surface Water
100'+
100'+
100'+
NA
Material
STEEL
Number of compartments
2
Lot Line
5'+
10'+
5'+
NA
NA
Foundation
5'+
101+
5'+
NA
LIFT STATION
Manufacturer
Capacity
Curtain Drain
NA
*50'+
NA
NA
Gal.
Remarks *None known. Undoc. system decomm.
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
per code. S.T. & field insulated.
Pump make and model
Electrical Inspections performed by
nstaller RPC
PIPE MATERIAL Housetotank 3034 drat fled 3034
Drainfield 3034 CO/MT 3034
Inspector ARCTERRA
BENCHMARK (Assumed elevation) 100 ft
Inspection 19' 9/22/2014 2nd 9/22/14
da
Location and description
309/23/14 a 9/24/14
Door Sill
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
i
Conditional Approval: Date
� f
4 TIT
KE_ 1v M. UF`
7111,6Al
Aw
Approved Date /
\ F°sa!'?,N`
A -C=59'
B -C=49.2'
A -D=65'
B -D=54.5'
A -E=74'
B -E=62.2'
A -F=117.7'
B -F=104'
A -G=120.7'
B -G=109'
A -H=78.5'
B -H=70.4'
AS -BUILT TYSTEM DETAILS/SITE
T15N R1W SEC8 LOT 130
o
0
NEW FIELD
LAN Permit 11SP141295
PID# 051-153-09
NEW 1000—GAL E
O SEPTIC TANK COs M TH14—
O CO GO
co C O
O i
p s 16.1
O
z GRN—HSE
PDQ GARAGE N COs
22.0' A
PAVED
y 7
o ncuaur
cLswart
0
�w
A
0
o y 1000—GAI
ti N SEPTIC
a m TANK
SCALE, NTS
32.0'
LOT 130
SCALE, 1' = 40'
FINAL GRADE
SEWER ROCK
17 9 TRENCH 1
0 —
TUBE
1) FINAL GRADE
mTeR rnMnc� / �
SEWER ROCK
E TRENCH 2
s 87.93
—
s Aw OF AL lk
<Q� 1 PREPARED FORT
LEE B. JORDAN
/*20610 WVE
49TH , CHLIGIAK,YAK99567
/ / PHONE
U
/ KE FIELD BOOKS COMPUTED:
dl /1 (,'E— 11 04 BWNDARY: ABC DRAM: BMW
� sTAaNQ ABC CNE�D' KMD
ABBUILT: JLS DATE
10/28/14
Q phbFTssslOAw DM. nLE: Milk. NW1256
ACAD FILE: 00 .p8 Na: 14-142
MMITGR
T
cLcxolr
Vx s
T
7
NTS
Permit Number:
Tax Code Number:
Work Type:
On-Site Wastewater Disposal System Permit
OSP141295
05115309000
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
Upgrade
Permit Effective Dates: August 'i9, 2014 to August 19, 2015
Design Engineer: ARC TERRA CONSULTING INC
Subdivision: T15N R1W SEC 8
Site Legal Address: T15N R1W SEC 8 LT 130 G:1256
Owner/Address: JORDAN LEE B
20610 JAYHAWK DR CHUGIAKAK 995675880
~tme~t
Site Mailing Address: 20610 JAYHAWK DR, Chugiak
Lot Size in Sq Ft: 108900
Total Bedrooms: 3
This permit is for the construction of:
Y 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. All requirements specified in Anchorage Municipal code Chapters '~5.55 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.
Date:
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWERNVELL PERMIT APPLICATION
051-153-09
Parcel I.D.
Property owner(s) LEE B. JORDAN Day phone
20610 JAYHAWK DRIVE, CHUGIAK, AK 99567
Mailing address
20610 JAYHAWK DRIVE, CHUGIAK, AK 99567
Site address
T15N RIW SEC 8 LOT 130
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
108900 3
Lot Size .Sq. Ft. Number of Bedrooms.
APPLICATION IS FOR: APPLICATION IS AN:
([~ all that apply)
Absorption Field ~ Initial []
Septic Tank [~] Upgrade
Holding Tank [] Renewal []
Privy []
Private Well []
Water Storage []
TYPE OF DWELLING:
Single Family (SF)
(w/wo ADU)
Duplex (D)
Multiple Dwellings
JUL 3 1 ~.0N
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
ap~
(Signatuyproperty owner or authorized agent)
Permit/Rush Fees: ~(,~ '"'
Date of Payment: ~
Receipt Number:
Permit No. oS~'IH lz 5
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Permit App_9-1-12.doc
A cTE A
CONSULTING~ INC
212 E. 51st Ave, Anchorage, AK. 99503
Office (907) 868-3791, Fax (907) 868-3793
June 17, 2014
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Upgrade Sewer Permit - T15N R1W SEC8 LOT 130
The owner has requested that the existing undocumented septic system be
decommissioned and that we proceed forward to obtain a septic permit to
upgrade the septic system.
The general slope of this lot is from south to north at a grade of approximately 7-
12% over the septic area. On May 29, 2014 a testhole was performed to
investigate soils and groundwater. The results of this test are attached for your
review. The proposed upgrade will serve the existing 3-bedroom house. We
propose to install two 5-Wide 44' long trenches. Groundwater was not
encountered at excavation but was at 11.5' at monitoring.
The property and adjacent Dots are served by private water. There is no surface
water within 100' of the proposed system and there are no known curtain drains
within 50'. We do not expect fl~ere to be any adverse effect on adjacent lots by the
development of this system. If you have any questions, please contact me at 868-
3791 / FAX 868-3793.
Respectfully submitted,
ArcTerra Consulting, Inc.
Attachments:
On-Site Sewer Application
Wastewater Absorption System Details / Site Plan
Soils Log/Percolation Test
20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 ° PH (907) 868-3791 · FAX (907) 868-3793
WELL & WASTEWATER DISPBSAL SYSTEM DETAILS/SITE PLAN
T15N RlW SEC8 LOT 130
¼. r
FLAG
WELL
PRIOR
PRBPERTY LINES
RADII & EASEMENTS
TO CBNSTRUCTIDN scare, l'= i00'
DESIGN DETAILS PAGE 1 BF 8
3 BI)RN X 150 6PD = 450 6PI)
450 6PD/O,6 GPI) PER SQ. FT, (18 HIN/IN,)= 750 SQ. FT
(750SF / 5'W x .58RF (3' 6RAVEL) = 87 FT. TRENCH
USE 2 TRENCHES - 44' (L) X 5' (W) X 3' (Eh)
Tot;at depth o? zys'tem Is 6,5' ?ror~ origin<l/ 9parle.
Tol:o,t dep~;k, o? gr(lvet betow dls't;r-ilou'tlon pipe Is 3' .
NBTES~
t. INSTALL 1000 GAL SEPTIC TANK & INSULATE TANK IF <4' CBVER,
2, INSULATE TRENCHES WITH a:' HI) DURIAL FBAN IF < 3' BF FILL,
NIH. 8' FILL WITH INSULATIBN, >3' CnVER NB INSUL REQ,
3, CONTRACTOR WILL ENSURE MINIMUM 2Y. SLOPE INTO SEPTIC TANK.
4. 6BNTRACTOR WILL ENSURE ALL SEPARATIBNS TB ADJACENT
WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC..
PREPARED FBR~
LEE B. JDRDAN
· ~0610 JAYHAWK DRIVE
CHUGIAK, AK 99567
907-622-8900
FIELD BOOKS co~ PU D~D:
BOUNDArY;BOUNDARY ORA~N= BMW
STANNe. STAKING C~ECKEO: KMD
ASSUILT: JLS DA'I~ 06/17/14
ow. a~: ~lo: NWl 256
AC. AD r~m FILE ~o~ No,: 14-142
WASTEWAT£R DISPnSAL SYSTEM DETAILS
T15N RlW SFC8 LOT 130
~ o ~-~ WELL
~x= ~ HOUSE
FLAG PROPERTY LINES
WELL RADII & BASEMENTS
PRIOR TO CONSTRUCTION
M1
NEW m1~-1
NB SLOPES >aSX
~/ITHIN 100' DF
PROPOSED SYSTEM
15C
SccLe~ id= 30'
PAGE P OF 8
PREPARED FBR~
LEE B. JORDAN
80610 JAYHAWK DRIVE
CHUGIAK, AK 99567
907-688-8900
FIELD BOOKS cc~PulTo:
aOU.Da.Y=BOUNDARY DR^~: BMW
s'r,,~we STAKING c. Ecwm KMD
^seu~cm= JLS o^m 06/17/14
~. R~ ~m NWl 256
FILE ,~ No.: 14-142
[ .'~ / ! CONSULTING, INC
, ~ : ~ 212E-51'tAve, Anchorage,AK.99503
'x'"'~;~"~'~ ~ Office (907) 868-3791, Fax (907) 868-3793
SOILS PERCOLATION TEST
Performed for: Lee Jordan
Date Performed:
Depth
(Feet)
11-
13-
T15N R1W SEC 8 LOT 130
ORG/OL
GM/SM
-- B.O.H.
15-
16-
17-
18-
05~9~4
TEST HOLE # TH 14-1
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? 11.5' Date? 6/10/14
Reading Date Gross Net Depth to Net
Time Time Water Drop
I 6/10/14 1:00 6"
2 1:30 30 rain 4 6/16" 1 10/16"
3 * 1:31 6"
4 2:01 30 min 4 5/16" I 11/16"
5 * 2:02 6"
6 2:32 30 min 4 5/16" 1 11/16"
7
8
9
10
11
12
· Water Added
19-
20-
HOLE PRESOAKED
PRIOR TO TESTING
Percolation Rate 18 (min/in) Perc Hole Diameter 6"
Test Run Between 4 feet and 5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State
and Municipal guidelines in effect on this date.
�l3rl�L� �uy
• Municipality of Anchor
On-Site Water and Wastewater Progra SEP 3 ® 2Gi6
(907) 343-7904 �\
z
Certificate of On -Site Systems
Parcel I.D. 051-153-09
1. GENERAL INFORMATION
Expiration Date:
Complete legal description T15N R1 W Section 8 Lot 130
Location (site address)
20610 Jayhawk Dr.
Current Property owner(s) Lee, Jordan
Mailing address 20610
Real Estate Agent
Day phone
awk Dr. Chugiak, AK 99567
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
WaiverNariance
Received by: ! Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment (D� 3%� Date of Payment
Receipt Number Receipt Number
COSA # ��) i �O Waiver #
3
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
IndividualWell
Individual
El
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance
Received by: ! Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment (D� 3%� Date of Payment
Receipt Number Receipt Number
COSA # ��) i �O Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed. hereto eid as of the validation date shown below, I verify that my investigation, based on procedures outlined
in the Certificate of On2MteAysfsmM1 Approval Guidelines for this application, shows that the on-site water supply and/or wastewater
disposal system is (are) safe, functidf al 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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE
System #1 Approved for _E_� bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for
Phone (907)272-8218
Date 09/21/2016
bedrooms, with the following stipulations:
By: 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAbluesheer f %, c
If more than 1 septic system is on the lot:
COSA Checklist # * of +
Structure served by this system +
Certificate of 4n -Site Systems Approval Checklist
Legal Description: T15N R1 W Sec 8 Lot 130 Parser ID: 051-153-09
A. WELL DATA
Well type Private If A, B, or C.provide PWSID # Well Log (YIN) N
Date completed UNK Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth UNK ft. Cased to UNK ft Casing height (above ground) 18+ in.
FROM WELL LOG AT INSPECTION
Date of test' UNK 9/20/16
Static water level UNK ft. 64 ft
Well production UNK g.p.m. , 1.2 g.p.m.
OkV WATER SAMPLE RESULTS:
Coliform �V ¢S[—colon ies)100 mL Nitrate AX mg/L
Arsenic ���-1' ug/L Date of sample: 9/20/16 Collected by: PES
B: SEPTIC/HOLDING TANK DATA
Tank type/Material Septic / Steel Date installed 9/24/2014
Tank size 1000 gal Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping C (-)-c (_ Pumper 5Cl, 46L�," fi.�,. 012-fflS
C. ABSORPTION FIELD DATA
9/22/2014 z 0.6"GPD/SF Shallow Trench
Date installed Soil rating (g.p.d./ftor ftz/bdrrfi) - System type
Length 44/44 ft. Width 5/5 ft. Gravel below pipe 3/3 ft.
7:6M 0 ;758 Y N
Total depth ft. Eff. absorption area fe- Monitoring tube Depression over field _
9/20/16 PASS 3
Date of adequacy test Results (Pass/Fail) For _ bedrooms
Fluid, depth in absorption fleld before test 3/0 -J[n. Water added 455 gal. New depth 3/0 in
Elapsed Time;, 100 mina' Final fluid depth 3/0` in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
G. ENGINEER'S CERTIFICATION,
I certify that i have determined through field inspections and
review of Municipal records that the above systems are -in * TH
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Steven Pannone $ even annon6. •-
- Date
09/21/2016 ��$�`Q
COSA canary sheet_2-6-15.doc
D. LIFT STATION
Date installed Size in gallons
Manliole/Access=(Y/Fi:) -
"Pump on" level at in. "Pump off' level at
in: High water alarm level at in.
Daturri Cycles tested -
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+
On adjacent lots 1.00+
Absorption field on lot 100+
On adjacent lots 100+
Public sewer main 75+
Public sewer manholeicleanout 100+
Sewer/septic service line 25+
Holding tank 100+
Animal containment areas 50+
Manure/animal excrete storage areas 100+
- SEPTIC/HOLDING TANK ON LOTTO:
Building foundation 5+ Property line 5+
Absorption field 5+
Water main 10+ Water service line
10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 105+
Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots
100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION,
I certify that i have determined through field inspections and
review of Municipal records that the above systems are -in * TH
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Steven Pannone $ even annon6. •-
- Date
09/21/2016 ��$�`Q
COSA canary sheet_2-6-15.doc
� � p
LOT 111
�j
EDGE PAVEMENT
J YHAWK DRIVE
N89'57'00"W 329.87' (329.93' R)
EDGE PAVEMENT
33' R.O.W. EASEMENT
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22.0' LOT 130
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32.0' O j
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o � I
c� ® WELL
fO z in HOUSE kk
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53. 24.5'
T 3.0' .16.0.
n EXISTING
• DECK ri HOUSE
32.0
Nx—x—x/
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H RA PATIO
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x N89'54'30 "W k 330.02' (329.84' R)
LX—X
ANCHORAGE RECORDING DISTRICT
ASBUILT OF:
BLM LOT 130 T15N R1W SEC S SAI. AK
DEPENDENT SURVEY DATED MAY 13,1955
SURVEY CERTIFICATION: I, John L. Schuller, have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated thereon are within the property lines and no
enchmachments exist other that noted.
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. Under no circumstance should
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
WORK ORDER NUMBER: DATE: SCAM, _yAl�;
OCT 24, 2014 1"=40'
14-024 - RAW BY: CHECKED HT1 GRID NUMBER: HOOK
AGE:
JLS NW1256 140234
Q} r' FND CENTERLINE MONUMENT
O• = FND 5/8" REBAR
AW aF A.Z9so1
ow
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JOFffI L. S!CF'RIULLER; o`
ON LS -104081
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1831 Talkeetna Stree
Anchorage, Alaska 9§91
(907) 227-1455 offic
(907) 274-4992 fax
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