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Home My WebLink AboutNORTH WOODS BLK 3 LT 37Onsite File North Woods Block 3 Lot 37 #051-731-45 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Number: OSP211044 PID Number: 051-731-45 vame -- Brianna Plumb iite Address 225432 Northwoods Dr Chugiak 'hone Number of Bedrooms 3 Page 1 of 2 Iwo Single Family Project: ❑ New X Upgrade ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound ❑ Other Soil Rating Total depth from original grade GPD/SF L. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot NORTH WOODS BLK 3, LOT 37 Ft. Ft. Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches -rom Tank Field Lift Station Tank JLine Ft2, Fl. Well *200+ 50t+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100, x-� ANCH TANK 1000 Gal. Material Number of compartments Lot Line 10,+ NA PLASTIC 2 Foundation 10,+ LIFT STATION Manufacturer Capacity Remarks * COMM. WATER Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 dTank ' ra nfield 3034 MIKE N ANDERSON, P.E. Drainfield co/MT Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 100 ft Inspection ection 1v 4/6/21 2x' Location and description 3'd 41" TOP OF MANHOLE LID ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date �� • •" Y , 4 r •*49TH ... ............. ............... :a MICHAEL N. ANDERSCN Septic System �— �; . pp d� �� • CE 946 f A r Date.��Z� .� Note: this approval does not include wellermit r sp p equtrements. �:$t01 (Rev 05/02/18) Permit No. OSP2011044 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: NORTH WOODS BLK 3, LOT 37 PID No.: 051-731-45 MARK A B, C01 17 43 CO2 18 43 TC01 19 42 TCO2 CO3 22 25 43 43 C04 26 43 I 1� NEW 1000 GALLON PLASTIC TANK I C04 03 TCO2 TC01 [ CO1 CO A BENCH, TO OF MH LID COMM. TER LINE DRIVEWAY 3 ----- ----- A�BLT--- -------- SCALE: 1"=30' COI CO2 TCOi CO C04 T.2®®®® OF °44 .49TH `• ®®® 1.000 GALLON 4 Pwsnc TANK ....... ' 6',MICHAEL,N. ANDERSON.:,0.0AV/ 91 91 ®� ..4-25-21 ®t ®® SEPTIC SECTION `V•••'....... �� ®�®®®'YA N.T.S. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage. Alaska 99519 -GM Phone: (907) 343-7904 Fax: (907) 343-7997 http:/AwAv.muni.org/onsfte On -Site Wastewater Disposal System Permit Permit Number: OSP211044 Work Type: SepticTank Upgrade Tax Code Number: 05173145000 Site Legal Address: NORTH WOODS BLK 3 LT 37 G:1459 Site Mailing Address: 22543 NORTHWOODS DR, Chugiak Owner: PLUMB BRIANNA JOY Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit Is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: c lanrnu•nr 3/24/2021 3/24/2022 106111001 ❑ Disposal Field 0 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 Special Provisions: Property sold without a COSA in 2020. A COSA shall be submitted for Onsite review and approval prior to final approval of inspection report. Received By: Issued By: Date: Z z Date: Q,�� March 20, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic tank permit Legal: NORTH WOODS BLK 3 LT 37 To Whom it may concern: This is a request for a septic tank permit on the above referenced lot. This lot and the surrounding lots are serviced by a community well. This tank replacement will not impact any of the neighbors or encroach on any wells, septic or open water issues. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211044, Rebecca Carroll, 03/24/21 1"=50' PROPERTY LINE APPROX. COMM. WATER LINE EXISTING HOUSE SHED SCALE: DJRDRAWN: DATE: NORTH WOODS BLK 3 LT 37 CHUGIAK, Alaska BRIANNA PLUMB 3/17/2021 NEW 1,000 GALLON PLASTIC SEPTIC TANK W/ 20" RISER NORTHWOODS BLOCK 3, LOT 38 COMM. WATER LINE CO DCO NORTHWOODS BLOCK 3, LOT 6 NORTHWOODS BLOCK 3, LOT 36 NORTHWOODS DR EXISTING FIELD AREA SERVICED BY COMM. WATER Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211044, Rebecca Carroll, 03/24/21 . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION · ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAM F-.~..~ IPHONE MAILING ADDRESS ~ ~: d ~ ManufacturerG. R~.~a-- Mot~ ?~.~C No. of c:~tmonts Oz~;:: ,Manuf,~er ~ ~/ ' ~quiOcapacityingaHons ~ Founda~ ~ , Nearest lot I,ne/~ ~o. o~es Con,th of each I~* lotal ~ 7~-- ~ inches Total effect~on area ~ Top of tile to finish grade i~[ Material beneath tile ~ inches Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER SOIL TEST B~ REMARKS q ~ APP~ DATE LEGAL 72-013~ .3/78) F'ERMIT NO. [:,EPRRTMEHT C~-''j HERLTH RN[:, EN',,,'tROHMENTRL PROTECTION 825 "L" STREET., RNCHORRGE., BK. 99501 264.-472E~ 810672: ) RF'F'L t CFIN"f' LOL-:RT I ON LEGRI_ STE',,,'EN L. S;KRGG5 C:ON'-'ST. NORTFI$,.100E:,S [:,R. L3:7 B3: NC RTHNOODc; L-q,-'"[:, E:ON [:,., CHLIG i Rl-::Z LOT _,I=E - , , · '--.'":"' , [:,RRiNFIEL[:' ] :FE OF SOIl_ FIE:E;ORF'TIL]N _,'r_,tEH IE;: MR::':;IMJH NLIME:ER OF E:F[:'F;.:OOMS = ]i: 20000 SQURRE FEET :_:,FilL RRTING ,::L:,Q FT,.."E:R):= :_--:50 THE REQUIRE[:' =,I,-:.E OF THE :,L IL 8B'Z-;OFi:F'TION S'¢S]"EM IS: THE LENGTH [:,IMENSION IS THE LENGTH <IN FEET) OF THE "FRENCH OR DRRINFtEL. D. THE DEPTH OF R TRENCH OR PIT IS THE DIL=,,TRNCE BETI.,.IEEN THE SURFRCE OF THE GROUND RNB, THE BOTTOM OF THE EXCR',,,'RTION (IN FEET). 'l-HE GRR',,,'EL DEPTH IS THE MINIMUM [:,EPTH OF GRR',,,'EL BETI.4EEN THE OU"FFRLL PIPE FIND THE BOTTOM OF THE E::.::E:RVRTION (IN FEET). F'ERMfT HFFLIE:RNT HF!S TFIE F..E--,FLN=,IE, ILIT~F TO INFOF.:M THIS DEPRRTMENT [:,URING THE INSTRLLRTION INSPECTIONS OF RN'?' HELLS R[:,JRCENT TO THI_'--, F'REPERT'¢ FIN[:, TNE NUMBER OF RESIDENCES THRT THE 1.4ELL HILL '._.-..EF.:VE. ~. - ' -' 'C ' ,' ~ E:RCKFILLINC4 OF RN"r' ?.,'¢S"f'EM ~,]ITHOI~IT FINRL INSPECT!AN RNE:' HFFF.._',HL THIS [:,EF'RRTMENT HILL E:E '_:.;LIE:JECT TO F'ROL--;ECI..ITI]N. MINIMLIM [:,ISTFINCE BET.klEEN R HELL RND FINY ON-SITE SENRGE DISPOSRL S'-?L-qTEM ±RO FEET FOR R PRIVRTE NELL OR ':L50 TO 2~30 FEET FROM R PUBLIC HELL DEPENDING UPON THE T'¢F'E OF PUBLIC 14ELL_. MINIMUM DISTRNCE FROM R PR I ',,,'RTE NELL TO R PRIVRTE SEHER LINE IS 25 FEET RND TO R COMHUNIT'¢ SEWER LINE IS 75 FEET. OTHER REg!LIIREMENTL:, MRS' RF'PL'¢. SPECIFICRTIONS RND CONSTRUCTION E.',IRGRRMS FI. RE FI',,,'RtL. FIBLE TO INSURE PROPER INSTRL. LRTION. I _,EF:TIFT THFIT ±: I FIM FRMILIRR NITH ]'HE REQLIIREMENT:-] FOR ON-'_-]ITE '-]F'(EF.''= RN.[:, I.IEL_--, RS SET F]F.'TH B'¢ THE MUNICIF'RLIT'¢ OF RNCHORRGE. ;":-': I WILL INSTRLL ?]HE S"r'2;TEM IN FIEE:OF.'DRN]E HITH THE CO[:'E~,. 3' I UNE:,EF.:STRNE.' THRT THE ON-SITE L=;EI.4ER S'?'STEM MR'¢ RELq_IF.'E ENLRRGEMENT IF ]"HE F.:EMOE:,ELE[:, TO I NCLLI[:,E MOF.:E THRN :-': E:E[:,F.:OOMS. /L/~29~.- ,., /,~/¢~ ~"'- RES I DENCE t ,::,:,N'-::T. · - O & E ENG.-NEERING & DEVELO'~..MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Earl Ellis 688-2280 Performed for: Name: ~'~--~O/'~--~E ~Z'L/'/L/t,l' ~ '7- M/ Tel. No Mailing Address: Legal Description: ~,~7' .=-~, /~L~/~ .~, /t//~)/2~Z-/-/V~,'O~ .,~d.,'~Z~. 1 2__ Depth (feet) 0 Soil Characteristics PLOT PLAN 11__ ~round Water ~ncoumered: Yes No If yes, what depth PERC. TEST Proposed installation: Seepage Pit Drain Field.__ Comments: Performed by: Date: ~ ' D~. ~RECEIVED INSPECTION APPOINTMENTS TI--~IE TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR I NSP ECTOR MUNICIPALITY OF ANCHOX^~E MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'~,.ONCCtENTAL 825 L Street- Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Te,ephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~R~FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. ~ PHONE MAI~G ADDRESS .~ /., PR6PERTY RESIDENT (If ~ifferent ,eom above) U . PHONE ~AILING ADDRESS 3, LENDIN~NSTITUTION ~~ PHONE MAILIN6 ADDRESS. 4~ ~AB~R/A~ E~T ¢ PHONE ~AI dN'G~DR ESS · LEGAL DESCRIPTION /o .7"- '7 ;TREETLOCATIQN · ~' ' ;. TYI~I~ OF RESIDENCE ~'~'N G L E FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five [~'"~Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* ~"~COMM UNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 4~1N DI VI DUAL/ON-SITE*~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS ~'~SINGLE FAMILY [] ONE [~'~"TH R E E [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO E~] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY E~ INDIVIDUAL DEPTH OF WELL ~(~OMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~ O []INDIVIDUAL/ON -SITE DATE INSTALLED [~3 PU BI_lC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. cOMMenTS [~-~ APPROV ED FOR .~_'~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) ~ DISAPPRQVED DATE BY /'" 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. 051-731-45 Expiration Date: (0- 6_ 2-07—Z- 1. .0ZZ1. GENERAL INFORMATION Complete legal description NORTH WOODS BLK 3 LT 37 Location (site address) 22543 NORTHWOODS DR, CHUGIAK AK Current property owner(s) BRIANNNA PLUMB Day phone Mailing address 22225 WHISPERING BIRCH DR, CHUGIAK AK Real estate agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) V tl ❑ Duplex ! 6k ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System FK Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ ' -o rL u S 1-I Date of Payment qZI Receipt Number o a COSA# OSC�1� �b3 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864 Address 4661 NATRONA AVE ANCH AK Engineer's Printed Name MIKE N ANDERSON, P.E. Date 4-26-21 �49?1—H 6. DSD SIGNATURE �•• • • • • • . • • ,t System #1 Approved for 3 bedrooms d• • •,• • ......... °j System #2 Approved for bedrooms ��,} `,•M'crl CEN94 gERscr,a •:`�, Lt.• e?-� Disapproved ��J •� . , . • �:; :r' Conditional approval for bedrooms, with the following stipulation1_�•`1-XN_1%:R � .►►fil((((l ((((!i,_ L__6✓u 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 COSA Checklist blue sheet Legal Description: NORTH WOODS BLK 3 LT 37 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments COMM. WELL B. TANK DATA Age of tank(s) NEW years Tank type/material Measured operating fluid level in septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping NEW TANK INSTALLED D. ABSORPTION FIELD DATA Which system tested (date installed) 7/20/81 ❑ ALL standpipes present per record drawing Total measured depth from grade 7.2 ft (max) Measured depth to pipe invert from grade 3.2 ft (min) ❑ NIA — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: CASA Checklist yellow sheet Parcel ID: 051-731-45 Structure served by this system Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 10/15/20 Results Pass For 3 bedrooms Fluid depth prior to test $ in Water added 500+ gal New depth 15 in Elapsed time 1440 min Final fluid depth 8 in Absorption rate 500+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ✓❑ Yes Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes i ft Neighboring Tank > 100' ❑Yes if No ft Private Sewer/Septic _ ❑Yes if No ft Absorption Field on Lot > 100' El if No ft H +rfig'Ia� 100' ❑Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑Yes if No ft ❑✓ Yes if No ft if No ft Yes if No ft Community Wells > 200' Manure/Animal Excreta Storage > 100' Communi ain > 75' ❑ Yes if No ft ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ✓❑ Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10' ✓Q Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓❑ Yes if No ft Private Wells > 100' ✓❑ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100'✓❑ Yes if No ft F. ENGINEER'S 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 conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet & TH 1.1 ^� MICHAEL N. ANDERSC14 d CE 9 I W O ® ®B 00002 f-11&ON 0000, H1tyON I 2 c c W Z I O terry Ll W Q J LU Z W ? 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