HomeMy WebLinkAboutNORTH WOODS UNIT 4 BLK 15 LT 2North Woods
Unit 4
Block 15
Lot 2
#051-064-1i
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 Page / of S
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: d 5 P( 511 L15- PID Number: Q 510 6y//0G 0
Dwelling: 0ISingle Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project. New ❑ Upgrade
Name:
ABSORPTION FIELD
Dag eep;retlth'm Shallow Trench E] Bed E] Mound
Address
0? -53 6tl Zl of euiood U V'. c r i
❑ Other
Phone
355 — 733 5
Number of Bedrooms
Soil Rating
/.
Total depth from original grade
.3
I? GPDISF
45" FL
LEGAL DESCRIPTION
Depth to pipe invert from original grade
_ - Z FL
Gravel depth beneath pipe
Ft.
Sub ivision Blo k Lot
a
o� S
Fill added above original gradeGravel
- 5_�_ Ft.
length
3 CO
Township Range Section
Ft.
Gravel width
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
380 Fe
Ft.
Well
l�a
f aQ
l0Q GF
�QG 1
/GG �
TANK Septic [:IS.T.E.P. ❑ Holding ❑ Other
Manut4turer Capacity
Surface Water.
r
/00
- r
/,6 (9
1
(QG
C l� L%+�/� �0� Gal.
Material
Number of compartments
,)
Lot Line
NA
Foundation
c ff
�Q /
�.
LIFT STATION A -f
Manufacturer
Capacity
Gal.
J
Curtain Drain
n an
--
,_.
RemarksAIQ &j(: -(-t apt/ DoT - Pr/BL1C
Pump on level at
in.
Pump off level at
in. I
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
�
Installer Gr f rt e �� e I „ g ,�F
PIPE MATERIAL Houusseetttoohank PVC Ts`annkkto C
Inspector 6tY �K
BENCHMARK (Assumed elevation) �GQ ft
Inspectlo�� 6�/ �,�
dates: 2ntl
Location and description �^ -
- `7
f
3d / s 4m / �s
/
SCJ/1( _
'O
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
EnglneK"", p4.
�e tf R
Conditional Approval: Date
•.,
�:..
w t
A
AApproved
pp Date
Inenorfinn Renn.f °_1_�O d.... -
Ke
Bc
Alternate
Trench
Absorptioi
Trench
Sep
1000 Gallon
Sheltering Spruce Loop
NORTHRIM
ENGINEERING
PO Box 770724
Eagle River. Alaska 99577
907.694.7028
°h '�'
NORTH WOODS UNIT 4
��.: BLOCK 15 LOT 2
WASTEWATER RECORD
� A
,aj-
NEW SEPTIC SYSTEM
Septic
1" = 40'
RECORD
LAYOUT
1/18/16 2'%f 3
A
B
ST1
14
28
ST2
20
27
DO
40
MMT1 C❑
518
MT2/C❑
40
20
Ke
Bc
Alternate
Trench
Absorptioi
Trench
Sep
1000 Gallon
Sheltering Spruce Loop
NORTHRIM
ENGINEERING
PO Box 770724
Eagle River. Alaska 99577
907.694.7028
°h '�'
NORTH WOODS UNIT 4
��.: BLOCK 15 LOT 2
WASTEWATER RECORD
� A
,aj-
NEW SEPTIC SYSTEM
Septic
1" = 40'
RECORD
LAYOUT
1/18/16 2'%f 3
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bTHRI-M
ENGINEERING
S❑ILS LOG - PERC❑LATI❑N TEST
Date Performed: 9/4/15
Performed Fors Tony Fendich
Legal Descriptions North Woods Unit 4, Block 15 Lot 2
DEPTH
(FEET)
1 -
2 -
3 -
4 -
5-
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
Organic T,H, Locations See Attached Design
SM Sand
w/ Gravel
Low Silt
Groundwater? No
Depth --
Water Depth
After Monitorinq,None Date: 9/12/15
#
Date
Gross Time
Net Time
Depth
Net Drop
1
9/4
0
--
7'
--
2
9/4
10
10 min.
10.5'
3.5"
3
9/4
12
--
7'
--
4
9/4
22
10 min.
10.5'
3,5"
5
9/4
25
--
7'
--
6
9/4
35
10 min.
10.5'
3,5"
7
9/4
37
--
7"
--
8
9/4
47
10 min.
10.5'
3.5'
9
9/4
50
--
7'
--
10
9/4
60
10 min,
10.5"
3.5-
Percolation Rate 3 min./inch Perc Hole Diameter 6'
Test Run Between 2' and 3'
Comments: PrPsnnkPd. MPngurPd to r
Performed By NnrthRim Eng, I _
Performed in Accordance with Al
ON THIS DATE. DATE: 9/4/15
NOR THRIM
ENGINEERING
PO Box 770724
Eagle River, Alaska 99577
902694.7028
-Z- CERTIFY THAT THIS TEST WAS
ate/Municipal Guidelines in Effect
TESTH❑LE LOG
....................
. ww [ny t
®fs GE❑TECHNICAL
TH2
9/12/15 11
On -Site Wastewater Disposal System Permit
Permit Number: OSP151145
Tax Code Number• 05106411000
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
Work Type: Septic Initial
Permit Effective Dates: June 17, 2015 to June 16, 2016
Design Engineer: NORTH RIM ENGINEERING
Subdivision: NORTH WOODS UNIT 4
Site Legal Address: NORTH WOODS UNIT 4 BILK 15 LT 2 G:1460
Owner/Address: FENDICH ANATOLY
2253 W RIDGEWOOD DR WASILLA AK 996540000
Site Mailing Address:
This permit is for the construction of:
Y Disposal Field Y Septic Tank
Lot Size in Sq Ft: 28008
Total Bedrooms: 3
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 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.
Special Provisions: The Inspection Report Asbuilt is required to show the location of the waterline.
fi
Received By: Date: �r s
Issued By: Date; 6
Municipality of Ancho
4
Ment S
1� N
e r�
- v
w
epartment
Development Services Division
On -Site Water and Wastewater Proaram
*** VARIANCE/WAIVER REVIEW ****
Waiver#: OSV151064 COSAM Permit#:OSP151145
PID#: 051.064-t1
Legal Description: Morth Woods. Unit Block 15 Lot 2
Engineer:
North Rim Enstinserinst.
Applicant: Fendich Anatoly '
Your request for a waiver of the required 50 feet horizontal separation from the absorption field
to the excessive slope has been approved. The approved- separation distance is 35.0 feet.
This waiver approval applies to the proposed absorption field only. Any future upgrade to the
on-site wastewater disposal system will require all separation distances be met or another
approval from this department.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver..
.......................................................................
Waiver is Granted: X Waiver isnot Granted:
Dater Approved by:
Name of R6viewer
•..•......Y...Y............ a •i.1.. �......... �i......L�.• •.�...�. �..\.....
**** VARIANCE/WAIVER REVIEW,`*
MUNICIPALITY OF
00;
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-6 6G/ —//
Property owner(s) zl A l� Day phone 3 S S— 733S
Mailing address
Site address
Legal descriptio
Legal description (Township, Range & Section)
Lot Size 2 Y, CX kSq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field 2'
Initial /f
Single Family (SF)
F)
(w/wo ADU)
Septic Tank (
Upgrade ❑
Duplex (D). ❑
Holding Tank ❑
Renewal ❑
Multiple Dwellings ❑
Privy ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
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
applicable Municipal Codes.
/
(Signature of property owner or/Gthorized agent)
Permit/Rush Fees: '!Wt ' Waiver Fees: 12 ( 5
Date of Payment: S' 115— Date of Payment: 61// 6115
Receipt Number: O$(..) -I p Receipt Number: D q S 53 p
Permit No. 09015// '{S
Permit App_9.1-12.doe
Waiver No. 03V I E10-6 "I
TH' IZM
ENGINEERING MEMO
Steve Eng, PE, PH
(907) 694-7028 tel
northrimeng@aol.com
Date: 5/23/15 Number of Pages: S
To: MOA On -Site Services
Subject: North Woods Unit 4, Block 15 Lot 2
The soil is sandy with groundwater monitored at 10'. The owner is planning for a 3- bedroom
house. Slopes are as depicted on the drawing. Cut -banks exists above the road, but there is
adequate separation to the septic system. The neighbor's septic is depicted in the drawing.
Please issue a permit to install the septic system. . If there is need for additional
information or clarification please give me a call.
Thanks -Stever/`
ENI I INEERING
Woods Unit 4, Block 15, Lot 2
Wastewater System Sizing: This is a new 3 -bedroom, single family home. This is an
existing subdivision and most of the neighboring lots are developed. These lots are large
and are served by public water. No adverse impacts are expected from development. No
conflicts to the other lots will take place by this septic system construction. The
easements are located on the drawing and are not encroached upon. Soil tests revealed
sandy soil with low silt. An application rate of 1.2 GPD/FTI with 0.5 reduction factor for
utilizing a 5' wide trench. Trench Length = 375 FTI/5'x .5 reduction factor = 37.5'; 1 line
@ 38'. No bedrock was encountered; groundwater was monitored at 10'.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• Two compartment, 1000 gallon septic tank. Watertight couplings on inlet & outlet.
5' minimum between the tank and bed. 10' to property lines.
• 3' of cover or insulation is required for trench; an equivalent of 1" insulation for each
1 foot soil cover. Minimum 2" insulation.
• Tank & solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required F to 4' from foundation
wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two
adjacent opposing cleanouts between the tank and the absorption field, not more than
10' from the tank positioned to provide cleanout access towards the tank and towards
the absorption field.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from drain -
rock.
• Drain rock to be %2 inch to 2 '/2 inch screened. Drain rock to be distributed uniformly
throughout the trench.
• Perforated pipe to be installed level with perforations down.
• Silt barrier (filter fabric) to be installed above the drain rock.
Smeared trench sides must be raked or scarified before drain rock placement.
• The finish grade must be mounded to promote drainage away from trench.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal)
DESIGN NOTES:
1. Trench Depth At 6'.
2. Sewer Service Line minimum 2% slope.
3. 2' Cover + 2" Insulation Over Trench.
4. Lots Served by Public Water.
5. No Conflicts Within 200'.
6. TH @ Construction.
Sheltering Spruce Loop
5'% Slope
TH1 5% Slope
Alternate
Trench �---��
Absorption 3 /
Trench Co DCO
1000 Gallon Septic Tank
Septic
NORTHR/M
ENGINEERING
PO Box 770724
Eagle lily , Alaska 99577
90 7. 694. 7028
Slopel
on
150
3 BdrM
5% Slopel
NORTH WOODS
BLOCK 15 LOT
UNIT 4
2
WASTEWATER DESIGN
NEW SEPTIC SYSTEM
Septic
1" = 40'
PLAN
LAYOUT
'a't
6/15/15 2 of ' -4'
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TH I� M
ENGINEERING
S❑ILS LOG - PERC❑LATI❑N TEST
Date Performed: 5/1/15
Performed For: Tony Fendich
Legal Description: North Woods Unit 4, Block 15 Lot 2
DEPTH
(FEET)
1 -
2 -
3 -
4 -
5-
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
Comments:
❑rganic
SM Sand
w/ Gravel
Low Silt
TA. Location; See Attached Design
Groundwater? No
Depth --
Water Depth
After Monitorinq.10'- Datel 5/22/15
#
Date
Gross Time
Net Time
Depth
Net Drop
1
9/28
0
--
7'
--
2
9/28
10
10 min.
10.5'
3.5'
3
9/28
12
--
7°
--
4
9/28
22
10 min.
10.5'
3,5'
5
9/28
25
--
7'
--
6
9/28
35
10 min.
10.5"
3.5'
7
9/28
37
--
7'
--
8
9/28
47
10 min.
10.5'
3.5'
9
9/28
50
--
7'
--
10
9/28
60
10 min,
10.5'
3.5'
Percolation Rate 3 min./inch Perc Hole Diameter 6'
Test Run Between 2' and 3'
Performed By NorthRim Eng, I ���' CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
ON THIS DATE, DATEi 5/22/15
NORTHRIM y�P�-.....•,
ENGINEERING * •9p�m^-'',.�,
PO Box 770724 ••••• y•
Eagle River, Alaska 99577
907.694.7028ts•
TESTH❑LE LOG
GE❑TECHNICAL
TH1
1
Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904
Certificate of On -Site Systems Approval
Parcel I. D. U 5% 0 6 q ll
1. GENERAL INFORMATION
Complete legal description /VOr! (Al !Lf /
Location (site address) 5A �!
r
i
Expiration Date:
Current Property owner(s) ��/uD l r7 Day phone
_355-7.3/YS
Mailing address ZZ 53 tA) /2I�AewUod k)#-. 24ker ffq
Real Estate Agent ���J c��s ar Day phone Z 2 % — 5275
2. TYPE OF DWELLING:
Single Family (w/wo ADU) i
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
Public Sewer
❑
WaiverNariance request for:
Distance:
Received by:
Date:
COSH to be released to the engineer, unless otherwise
requested by the engineer.
'
COSA Fee $ (,qp+ 0 _ I I), 60
Date of Payment glia 1l�
OI JGrdi
Receipt Number l � q, b
COSA# 05Ct ('41 [D`o
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 dv– 2 — Phone 9 -702 d>
Address 00 6 0,,6 77072
Engineer's Printed Namej /��E/F LFP Date
6. DSD SIGNATURE
Disapproved
Conditional approval for bedrooms
By: g t, L- � Original Certificate Date: C— t .b
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 professionalCivilengineer 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
COSAbluesbeei r : c
System
#1
Approved for
—L
bedrooms
System
#2
Approved for
bedrooms
Disapproved
Conditional approval for bedrooms
By: g t, L- � Original Certificate Date: C— t .b
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 professionalCivilengineer 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
COSAbluesbeei r : c
If more than 1 septic system is on the lots
COSA Checklist # - of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: C�S Mei r
IT 4 2 Parcel I D,05/ d9C'Y /(
A. WELL DATA Pu 6/- IC- Wit 71V<
Well type If A, B, or C provide PWS ID #
Well Log (Y/N)
Date completed Sanitary seal (YIN) _
Wires properly protected (YIN)
Total depth ft. Cased to ft.
Casing height (above ground) in.
FROM. WELL LOG
AT INSPECTION
Date of test
Static water level
Well production g.p.m.
g.p.m.
WATER SAMPLE RESULTS:' ".
_.
Coliform colonies/100 mL Nitrate mg/L
Arsenic ug/L Date of sample: '
Collected by-
_. B. SEPTIC/HOLDING'TANK-DATA
Tank Type/Material �S6 7 ' Z-19
i
Dateinstalled
Tank size Z&4 -[J gal. Number of Compartments Z
Cleanouts (Y/N)
Foundation cleanout (Y/N) Depression over tank (YIN) -Al-
High water alarm (Y/N-) A/_
Date of pumping ACJ Pumper
C. ABSORPTION FIELD DATA
Date instal led 7 s Soil rating (g.p.d.lf:2orie/bdrm) System type eT r tCtn-
Length 3 t ft. Width ft.
- Gravel below pipe _ ft.
Sft. Eff. absorption area 380fl?
Total depthMonitoring,tube 4/ Depression over field A/—
Date of adequacy test ` Results (Pass/Fail)
For bedrooms
Fluid depth in absorption field before test in. Water, added
gal. : New depth in.
Elapsed Time: min. Final fluid depth in. , .'
Absorption rate >= ` g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type)
If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level`at - in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm & circuit requirements?
;H
E. SEPARATION DISTANCES f
WELL ON LOTTO: PU SC.iC coA f� J
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manholelcleanout
Sewer/septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO'.
Building foundation 5 Property tine ��' Absorption field �
Water main 6 "�` water service line _,/ Q �f Surface water /Zoo f"
Wells on adjacent lots 6 r7 t f
ABSORPTION FIELD ON LOT TO:
Property line l0 !'f Building foundation Q (f Water main'---,Z
Water Sd'Nice live l ` Surface water r f. Driveway, parkingNehlcle storage 3 f-
Curtain drain Af4 Wells on adjacent lots f La
F. COMMENTS a
G ENGIN_EER'SCERTIFICATION
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I certify that I have determined through field inspections and
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review of Municipal records that the above systems are:in i �trF
conformance with MOA COSA guidelines in effect on tthhis, date..
atte.
Engineer's Printed jN+ae .
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Date as E656
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COSA yellow sheet_2-6-15.doc
Lot 3
CHAIN -
FI
SHELTERING SPRUCE LOOP
—
Lot 4 j Lot 5
5' T&E EASEMENT
Lot 1
Lot 6
IN
NOTE: LOT IS SERVED BY
A PUBLIC WATER SYSTEM
PLOT PLAN AS BUILT X SCALE —!L-= 40, GRID NW 1460 Project No. 16-046/A1
Lan & ASSOCIt]t@S inc.11500 Daryl Avenue, Anchorage, Alaska 99515-3049
g (907) 522-6476 Phone
Registered Land Surveyors (907) 522-4625 Fax4o�op�p
4(('OF A( a
kenOlongsurvey.com / jonothanQlangsurvey.com ``•.• "' ••. QSQOo
1 hereby certify that I have surveyed the following described property,. �:' j
LOT 2, BLOCK 15, NORTH WOODS SUBDIVISION UNIT IV (PLAT 83-333)
Anchorage Recording District, Alaska, and that the Improvements situated thereon aro • • • • • • • • •
within the property lines and do not encroach onto the property adjacent thereto, that
no Improvements on the property lying adjacent thereto encroach on the surveyed.. ..... ....
premises and that there are no roadways, transmission lines or other visible KEN H LG
easements on sold property except as Indicated hereon. QZllra�i(
Dated this the i �� Day of FWTz V&" at Anchorage, Alaska `lj p GS -5208 0 �G
I0 FESSIONN. o�
It is the responsibility of the owner to determine the existence of any easements, ZiZ
covenants, or restrictlons which do not appear on the recorded subdivision plat.