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Home My WebLink AboutBENSON LT 3 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221454 PID Number: 051-281-69 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name Darwin & Valerie Young ABSORPTION FIELD El Deep Trench EJ Wide Trench El Bed E] Mound Site Address 17938 Kamkoff Ave, Eagle River ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 907-360-1116 3 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Benson 3 Fill added above original grade Ft. Gravel length Ft. Township Range Section 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 Ftz Ft. Well 1001+ 100'+ 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1000 Gal. Surface Water 100'+ 100'+ Material Number of compartments Lot Line 5'+ 3.6'* NA P01Y 2 Foundation 10,+ 10'+ LIFT STATION Manufacturer Capacity Remarks *see waiver Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034Tank to3034 drainfield RPC -Richard Person Drainfield CO/MT3034 Inspector Crewdson Engineering BENCH MARK (Assumed elevation) 100 ft Inspdates: im 11/13/22 11/14/22 Location and description 2nd 3'd 4"' Bottom of siding at "BM" on record drawing ON-SITE WATER AND WASTEWATER SECTION APPROVAL F A4g Conditional Approval: Date 00, � , .•�� tt / TH •. * / fi Jame k Crewdson 011527 •�it0. Septic Systel�i Approved Date /l ZI 2Z s I�I�FD •• • Note: this approval s not include well permit requirements. ��\��1�'P~ kr�uv VV/VL/ 10) 4A Q5 Coo / / 3.6'/ (E)SP i MT / D2 5.(D1 / 6' o SEPTIC S1 MH / BM BOS ASSUMED ELEV 100' D1 MH NOTE SEPTIC TANK, NEW PIPES AND TOP OF SEEPAGE PIT CHAMBER ARE INSULATED WITH 2 -INCH RIGID FOAM. PLAN SCALE: V=20' �i QR ENCE A BM B 3 BR SFH ELEV EG 95.4' ELEV FG 95.5' EG 94.2' FG 94.2' )1 jD2�, PROFILE jjHj I I NOT TO SCALE SEPTIC TANK ELEV TOT 93.3' INLET INV 91.7' OUTLET INV 91.5' Crewdson Engineering, LLC (E)SP ELEV TOC 92.0' INLET INV 91.3' TOR 91.0' BOC 82.4' Benson, Lot 3 Septic System RECORD DRAWING %I11111l WOO- 'W Prepared for: Date: 11-18-22 dN1$i° iummdE rove g Darwin & Valerie Young PO Box 671389 Chugiak AK 99567 • cellc.1@outlook.com Permit: OSP221454 Page: 1 of 1 Cell/Text: 907-280-9493 • Fax: 907-688-2295 ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC LEGEND (E) - existing BM - bench mark BOC - bottom of pit chamber BR - bedroom BOS - bottom of siding D# - double cleanout EG - existing ground ELEV - elevation FG - finish grade INV - invert MH - 24"0 manhole MT - monitor tube S# - septic tank cleanout SFH - single family home SP - seepage pit ST - septic tank TOC - top of pit chamber TOR - top of rock TOT - top of tank << �� a�gsill, *: TH GV •.fit Ja A. Crewdson I C11527Am l PROFESSION,`, ALLC #112279 SWING TIES (feet) ALL 100' WELL A B PROTECTION RADII D1 48.2 75.8 WITHIN 50' of the MH 55.6 83 project are shown.Lot 1�� D2 601.8 88.7 MT 58.4 83.5 i MT / D2 5.(D1 / 6' o SEPTIC S1 MH / BM BOS ASSUMED ELEV 100' D1 MH NOTE SEPTIC TANK, NEW PIPES AND TOP OF SEEPAGE PIT CHAMBER ARE INSULATED WITH 2 -INCH RIGID FOAM. PLAN SCALE: V=20' �i QR ENCE A BM B 3 BR SFH ELEV EG 95.4' ELEV FG 95.5' EG 94.2' FG 94.2' )1 jD2�, PROFILE jjHj I I NOT TO SCALE SEPTIC TANK ELEV TOT 93.3' INLET INV 91.7' OUTLET INV 91.5' Crewdson Engineering, LLC (E)SP ELEV TOC 92.0' INLET INV 91.3' TOR 91.0' BOC 82.4' Benson, Lot 3 Septic System RECORD DRAWING %I11111l WOO- 'W Prepared for: Date: 11-18-22 dN1$i° iummdE rove g Darwin & Valerie Young PO Box 671389 Chugiak AK 99567 • cellc.1@outlook.com Permit: OSP221454 Page: 1 of 1 Cell/Text: 907-280-9493 • Fax: 907-688-2295 ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC LEGEND (E) - existing BM - bench mark BOC - bottom of pit chamber BR - bedroom BOS - bottom of siding D# - double cleanout EG - existing ground ELEV - elevation FG - finish grade INV - invert MH - 24"0 manhole MT - monitor tube S# - septic tank cleanout SFH - single family home SP - seepage pit ST - septic tank TOC - top of pit chamber TOR - top of rock TOT - top of tank << �� a�gsill, *: TH GV •.fit Ja A. Crewdson I C11527Am l PROFESSION,`, ALLC #112279 W1 of Lot 26 � EJ of Lot 26 � Lot 27 KAMKOFF AVENUE o 0 S 89'57143'E 173.00' 20BLM EASEMENT 15' UTILITY EASEMENT o6 LO Lot 3 r , 519808 S.F. UJ100' PROTECTIVE 04 WELL RADIUS UJ SEPTIC W PIPES 14 Lot 4A = Lot 1—A to MANHOLE d. c0 r " ' 28.2 • p I i. 77.9' a) p0 -0) CANT - N r4) w w COVERED Z CHAIN—LINK x J w N CONCRETE . FENCEo co ENTRY d' �� LO X to w 4.0,�w tp N cn O d'O N WELL p 0 61.2' DECK 9.9'x9.7' SHED w/ RAMP w W fob W N 89'57'43"W 173.00' I I Lot 5 ( Lot 6 I Lot 1 I I PLOT PLAN _ AS BUILT _X_ SCALE _ 1 __50' _ GRID _ NW 0753Project No. ____ 22-701A2___ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & enc . (907) 522-6476 Phone (907) 522-4625 Fax��k Professional Land Surya ors ken0langsurvey.com oFAL4 1 AW jonathan0longsurvey.com Ar , . , S l AW .P I hereby certify that I have surveyed the following described property.01 DIVISION(PLAT No. 82-476 *;4. , TH •LOT 3, BENSON SUB ) / Anchorage Recording District, Alaska, and that the Improvements situated thereon are • •..� • • • •146 • • 9 9 Pwithin the ro ert lines and do not encroach onto the property adjacent thereto, thated .......... .4...... no improvements on the property lying adjacent thereto encroach on the survey TRAVIS A. WILSON premises and that there are no roadways, transmission lines or other visible easements on saidro ert as indicated hereon. �'•� °moo � P P y except • t P AONo. 156408 b Dated this the ,,� ,s .� � r� �z ��s FBF • . . • S�� Day of ___-- �-----____—,at Anchorage, Alaska 1 ,off, • • • • ��D ...•- OFESS IO• �-� f the owner to determine the existence of an easements, �� 11 It is the responsibility o y �1. covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 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: OSP221454 Work Type: SepticTank Upgrade Tax Code Number: 05128169000 Site Legal Address: BENSON LT 3 G:0753 Site Mailing Address: 17938 KAMKOFF AVE, Eagle River Owner: YOUNG DARWIN J & VALERIE J Design Engineer: CREWDSON ENGINEERING, LLC This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: ,4+ent J Department 11/2/2022 11/2/2023 51808 ❑ 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 Special Provisions: 1. The driveway is to be blocked/removed in the area of the tank prior to IR approval. 2. Locate the edge of the crib to ensure that the tank meets the 5' separation. 3. It appears that a property line waiver for the crib may be required for a future COSA. -L 5S (Ae A fiy r -re (& go/1 Ghqi in ecr/ 7 Date: Issued By: Date: [ /Z /Z Z 3 MUNICIPALITY OF ANCHORAGE Development Services Department - Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL Parcel I.D. 051-281-69 CATION Property owner(s) Darwin & Valerie Young Day phone Mailing address PO Box 671392, Chugiak Site address 17938 Kamkoff Ave, Chugiak Legal description (Sub'd., Block & Lot) Benson, Lot 3 Legal description (Township, Range & Section) Lot Size 51,808 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank Q Upgrade (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (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. (Signature of property owner or authorized agent) 1?u.sh Permit/Rush Fees: a25 + 126 0 Waiver Fees: Date of Payment: 111022- Date of Payment: Receipt Number: b0101�_l Receipt Number: Permit No. CD CIDoZ Ig5`1 Waiver No. G:lDevelopment ServiceslBuilding SafetylOn Site Water and WastewaterlFormslClient Forms\Permit Application.doc James “Jay” Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280‐9493 Fax: (907) 688‐2295 PO Box 671389 ● 18368 Amonson Road ● Chugiak, Alaska 99567 November 2, 2022 Onsite Reviewer Municipality of Anchorage On‐site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519‐6650 Reference: Benson, Lot 3 Septic Tank Upgrade Design Narrative Design Narrative: The existing septic tank is leaking and needs to be upgraded. It will be abandoned in place or removed and disposed in accordance with the code. The proposed septic tank will be located in a new location greater than 100‐feet from the well. Prior to construction, the drainfield will be located and adequacy tested. If it fails the adequacy test, a drainfield upgrade permit will be required. Installation of the proposed septic tank shall be as detailed on the design drawing. If constructed as designed, it will; Satisfy all code required horizontal and vertical separation distances, Not cause any probable adverse impacts to adjacent properties, Not negatively impact existing wells and septic systems on adjacent properties, Not be adversely affected by potential drainage that could flow onto and off of the subject property. Please feel free to contact me if you have any questions. James “Jay” Crewdson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221454, Deb Wockenfuss, 11/02/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221454, Deb Wockenfuss, 11/02/22 GAAB-HD-I Gr 'ER ANCHORAGE AREA BOROI DEv~RTMENT OF ENVIRONMENTAL QUALI'I~ ~__.) ~ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS DISTANCE FROM WELL LIQUID CAPACITY GALLONS. MATERIAL ~:?~J>r-aG-J NUMBER OF COMPARTMENTS ~ ~ LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH~ SEEPAGE SYSTEM: SEEPAGE PiT: NUMBER OF PITS ~'/ OUTSIDE DIAMETER '-- OR WIDTH //~'; ' __, LENGTH //~ ' , DEPTH LINING MATERIALL~'~¢~~zg*~'z~' ~'~:~'a"~CL~"c./ DISTANCE FROM WELl //~C.~/~ / BUILDING FOUNDATION NEAREST LOT LINE ~.~':~C~-:' 'J TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~6'~ '~(_..~ SQ FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL. ~ NEAREST LOT LINE OF LINES NUMBER OF LINES / DISTANCE BETWEEN LINES '~ TRENCH WIDTH IN. TOTA~FFECTIVE ABSORPTION AP~A/~. ____ SQ. FT. LENGTH OF EACH LINE~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MA~ T,I F~IN. ABOVE TILE DISTANCE FROM ~ WATER WELL: TYPE/D~,///~-/_.) DEPTH '-~ , BUILDING FOUNDATION .... SAMPLE /'L'~I~..,/¢_)~.."' , NEAREST NEAREST .~ SEPTIC c~'~ / SEEPAGE / .~ OTHER LOT LINE ~ SEWER LINE , TANK SYSTEM_ /~/?'~ , CESSPOOL , SOURCES~ DISTANCES: /z,~,.~.~. DIAGRAM OF SYSTEM DATE :?/(.'/ :' /.// APPROVED GrEAl=:r ANCHORAGE Area bORudGh DEPARTMENT OF' ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 995'02 TELEPHONE 27~)-8686 SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT PHONE INSTALLATION OF: SEPTIC TANK X SEEPAGE PIT ~/' ,/DRAIN FIELD ~ OTHER TYPE AND SIZE Of faCIlitY TO BE SERVED /~'~/l~,/~/ ~ ~ ~ %.~ ~a'~Yl-'V;' J /~[y /7~.~.-~ NOTE, THIS PERMIT IS NOT VALI'D WITHOUT SOIL TEST COM~ION D~T~ ~NTI~IPAT~D FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY' THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK TO NEAREST LOT Line. WELL TO SePTiC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, ,, SEEPAGe PIT ~--o~ ., SEEPAGE PIT DRAIN FIELD , DRAIN FIELD SEEPAGE P,T/ ALSO CONSIDER AREA WELLS. SEEPAGe PIT DRAIN FIELD TO RIVER, LAKE STREAM. DIAGRAM OF SYSTEM (~A~ST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CR_q~ EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTII~ TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUgh REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER I CERTIFY T];l~T I AM FAMiliar WITH The REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE Perfc, r,m~zd Fcr ~ - /, _ _ r ...... ' ...... · ?f-~,~,,~2 . Late Performed o T- / ,~: .. Was Ground Water Encountez,ed?~O ~Y Yes, A~, What De'pt:h J~ead lng D a t e I,ocat ~ on Sketch Nat Drop 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. 05128169000 Legal description BENSON LT 3 Site address 17938 KAMKOFF AVENUE Expiration Date: Current property owner(s) YOUNG DARWIN J & VALERIE J 2/21/23 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Eli Original Certificate Date: 11/21/22 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaIjune 2022 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-281-69 Complete legal description Benson, Lot 3 Location (site address) 17938 Kamkoff Ave, Eagle River Current property owner(s) Darwin & Valerie Young 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone Realtor: 907-360-1116 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel X Plastic ❑ Concrete ❑ Fiberglass Age 0 (new) - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑M Seepage Pit Waiver request for: Existing seepage pit to property line. Distance: 3.6 feet Expedited review requested: FA By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ �S� �' 3�0� Waiver Fee $ t -))S— ;(o0 Date of Payment l l 1 �'� �- fj2t,� 09 9V Date of Payment COSA# I>� t�1 Waiver# COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ 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. 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 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: Benson, Lot 3 051-281-69 5+ *0 ■ 1.12 18+ 10-18-2022 Crewdson Engineering 64 10-19-2022 *Well log could not be found at MOA-Onsite or ADNR websites. * * *new upgraded septic tank 1971 11.3 *2.8 2000 11/11/2022 No 11/12/2022 0 450+ 11 1200 0 450+ 108 0 108 *new inlet cut into concrete chamber ring ■ COSA Checklist_June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Phone Engineer’s Printed Name Date 3.6* *see waiver 907-280-9493 ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 o Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV221076 COSA#:OSC221549 Permit#:OSP221454 PID#: 051-281-69 Legal Description: BENSON LT 3 Engineer: Crewdson Engineering Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 3.0 feet. This waiver approval applies to the existing 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. .......................................... 0 M N 0 M .................. 0 M K 0 0 M 0 0 M M a 1 Waiver is Granted: X Waiver is not Granted: Date: a Z Approved by: Name of Reviewer **** VARIAN C E/WAIVER REVIEW **** James “Jay” Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280‐9493 Fax: (907) 688‐2295 PO Box 671389 ● 18368 Amonson Road ● Chugiak, Alaska 99567 November 18, 2022 Onsite Reviewer Municipality of Anchorage On‐site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519‐6650 Reference: Benson, Lot 3 Seepage Pit Waiver Request During the recent septic tank upgrade on the subject property, the existing seepage pit was found to be 3.6‐feet from the west property line and as such requires a lot‐line separation distance waiver. The adjacent property’s existing septic system and reserve drainfield are greater than 50‐feet from the shared property line and are not anticipated to be impacted by the granting of this waiver. In light of these facts, Crewdson Engineering is requesting a waiver to allow the seepage pit to be within 3‐feet of the west property line. Please feel free to contact me if you have any questions. James “Jay” Crewdson, P.E. - APPLIC' NT FILLS OUT UPPER HAL" ONLY Mailing A'J, ~e~ % Zip Code Address Zip Code ~.: - ._ '. Zip Code - . .: ~',' Zip Code '~'~ .,- ~ f - ' Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedrooms ~ Other ~ Individual , A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ Community ~ - For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility ~ Individual Year Indiv~ual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ~O ~ ~ (.~/ ji~.Ji~'~ ! ~ I~'''~ MUNICIPALITY OF ANCHORAGE - ~ ~.c.,._.~,4VI RO N M ~: N I'AL P~,O'i-F-C rlON .RECEIVED ( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL (~----~) CONDITIONAL APPROVAL' '-~'"'~'~ ' DATE / ~ ~' ~-.--'~)-- ~ '--q' Soils Rating Date ~wer Installed Well To Absorption Area [ ~b ~¢ ~-' Well Log Received 72-023 (3182)