HomeMy WebLinkAboutT13N R3W SEC 33 LT 69AT:[3N R3W
Lot 69A
008 - 07 !
-4!
Municipality of Anchorage
Development Services Department ,!
Building Safety Division
On-Site Water and Wastewater Program, 4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507 Page of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 0sP101204 PID Number: 008-071-41
Name:
Rudolph F. Fernandez Wastewater System: [] New [] Upgrade
Address:
5101 Laurel Street Anchorage, AK 99507 ABSORPTION FIELD
Phone: Number of Bedrooms:
250-1028 3 i [] Deep Trench D1 Shallow Trench [] Bed [] Mound [] Other:
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION 1.2 GPD/Ft2 6.5 Ft.
Block: Lot: 89A Subdivision: Depth to pipe bottom from odginal grade: Gravel depth beneath pipe:
4.5 Ft. 2 Et.
Township: 13N Range: 3W Section: 33 Fill added above original grade: Gravel Length:
.5-2 Ft. 59 Ft.
Well: [] New [] Upgrade Gravel width: Number of lines: Distance between lines:
5 Ft. 1 Ft.
Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material:
Existing Ft. Ft. 421 Ft2 ASTM D3034 PVC
Ddller: Date Drilled: Static Water Level: Installer: Date Installed:
Ft. Digger Dan 10/2-5/2010
Yield: GPM PumpSetat: Ft, CasingHeightAboveGround:
Ft. TANK
SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other:
T~ To Septic Absorption Lift Holding ~ublic/Pdvate Manufacturer: Capacity:
From~
Tank Field Station Tank Sewer Line Anchorage Tank 1,000 Gal.
Material: Number of Compartments:
we, >100' >100' N/A N/A >25' Steel Two (2)
Sun~acewater >100' >100' N/A N/A % / LIFT STATION
Size: Manufacturer:
Lot Line >5' > 10' N/A N/A Gal.
"Pump on" level at: "Pump off" level at: in. High water alarm at:
Foundation >5' > 10' N/A N/A in. in.
Pump Make & Model Electrical Inspections performed by:
Curtain Drain None Noted
Remarks:
Septic System is 135' From Class C Well to the East. A BENCH MARK
Location and Description:
Waiver has been issued by ADEC. Lower Level Finished Floor.
Assumed Elevation:
Existing Tank Abandoned in Accordance With 100.0 Ft.
Municipal Code.
Inspections performed by: A. Harala Dates: 1st 10/3/2010
2nd 10/4/2010
Development Services Department Approval
Conditional Approval Date:
Reviewed andapproved by: ¢'~,~ ~/~/~ '--~,~
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT Page 2 of 3
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
Permit Number: OSP101204 PID No. 080-714-10
~S.1_~_ 28.5' L3_3_..7,_
s2 34.0,1 39.0,
c4 1~0:8:I48.~' LOT 4
C5 '-~4~0'I. 53-1' POWER POLE--t
-~1 ~.~-' 46~.2~-
/-'WOOD FENCE\ \ LOT 8
~ N ag'5.~'nn"F 131.93' \
- - 1 O' UTILITY EASEMENT
'ASPHALT]...-.
-.::' :.'DRIVEWAY . :' M1 c~
~ ~ Bedroom
~1'1 ,_~.!l Home
a: IIIiiiiiiiiii![
:'-:, -'.?i '..-...': --
' '' ........ ASPHAL]~'... -.. . GARAGE
.-. o~i~,Y-. LOT 69A
-': 17,~06 S.F.
· . '-.23.4' · /
/
x /
__ N 89'59'00"E 131.93'
WOOD FENCE
.~ ~..."' ~"....~7 co. LOT 69B
~ ~ ~, MICHAEL E. AN'nERSrmN ,.",~ ·
'*,:c~... 1-~-, ....; ~.~
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number: OSP101204
Page 3 of 3
PID No. 080-714-10
03 /03
~==~ ~,000 Gallon I\
/ ISeptic Tank 15
5.2''-~ I I ~ 95.0
94.4 -~
92.4 ~
I
Finished Grade
Original ~rouno
99.8
Geotextile Fabdc
Drainfield Rock
59' (Trench Length)
/-
92.4
I
85.6
No Groundwater
PROFILE AS-BUILT
No Scale
Permit Number:
Tax Code Number:
Work Type:
On-Site Wastewater Disposal System Permit
OSP101204
OO807141OOO
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: September 28, 2010 to September 28, 2011
Design Engineer: ANDERSON ENGINEERING
Subdivision: T13N R3W SEC 33
Site Legal Address: T13N R3W SEC 33 LT 69A G:1834
Owner/Address: FERNANDEZ RUDOLPH F
5101 LAUREL ST ANCHORAGE AK 995070000
Site Mailing Address: 5101 LAUREL ST, Anchorage
Lot Size in Sq Ft: 17406
Total Bedrooms: 3
This permit is for the construction of:
Y Disposal Field Y SepticTank 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.
Received By: ]~ ,, ~---~~
Issued By: ~/~ ' (?~¢~J? ~ ~/~/
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www. muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
wtzo
Parcel I.D. 008-071-41
Property owner(s) Rudolph F. Fernandez
Mailing address 5101 Laurel Street Anchorage, AK
Site address 5101 Laurel Street Anchorage, AK
Day phone 250-1026
.Zip Code 99507
.Zip Code 99507
Legal description (Sub'd., Block & Lot) T13N, R3W, Section 33, Lot 69A
Legal description (Township, Range & Section)
Lot Size 17,406 Sq. Ft. Number of Bedrooms
Three (3)
THIS APPLICATION IS FOR ([~ all that apply):
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
September 16, 2010
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 Elmore Road
Anchorage, AK 99519-6650
Subject:
Lot 69A, T13N, R3W, Section 33
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The existing absorption system on the subject lot has failed and must be upgraded prior
to issuance of a Certificate of On Site System Approval (COSA) for the property. We
are therefore requesting a permit be issued for the upgrade of the septic system to
accommodate the four-bedroom home on the lot. The attached Site Plan and backup
documentation identify the location and configuration of the existing and proposed
septic system. The existing Septic Tank will be decommissioned in accordance with
Municipal Code. It will be replaced with a new 1,000 Gallon Septic Tank placed outside
the 100' well radius on the lot. The existing absorption pit will be abandoned in place.
Also identified on the plans are the locations of the existing well on this and adjacent
lots and adjacent septic systems. The majority of the surrounding lots are served by
Municipal sewer and water. The lot to the east has a Class C Well and a waiver has
been issued allowing the new absorption trench to be 135' from the well. Protective
radii are shown on the plans to the adjacent wells. Drainage arrows are shown
indicating the current drainage patterns. The drainage patterns will be maintained after
construction.
The test hole recently placed on the lot indicated clean sand with some silt (SM/SP).
The percolation rate was determined to be 4 minutes per inch. We have designed the
system with an application rate of 1.2 gallons per day per square foot. We are
proposing to place a 53' long x 5' wide trench with a 2' effective depth. The total depth
of the system will be 6.5'. The test hole was placed to a depth of 14' and has remained
dry since construction.
The ground surface on the lot slopes slightly to the west in the area of the absorption
Lot 69A, T13N, R3W, Section 33
September 16, 2010
Page Two
trench. The trench will be placed parallel to the contours of the ground as much as
possible and in conformance with design criteria. A minimum of 100' will be maintained
between all components of the septic system and the proposed well and from any
surface water in the area.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
-I
n
33.0'
T13N,
R3W, SECTION
LOT 69A
17,406 S.F.
33
WOOD FENCE
POWER
1000 G~llon
Septic Tank
Th ree --
Bedroom
Home
Existing Absorption
Pit. Size Unknown.
Existing
Well
DRIVEWAY'.
WOODEN FENCE
GARAGE
53' Long x 5'
x 2' Eff~ctlve
Absorption
Decommlaaion Existing
Septic Tank Per.
MdA Requimmenm.
N 89'59'00"E 131.9.3'
NOTE:
Bath Well Radii Shown on This
Drawing Must be Staked Prior
to Construction by Registered
Lond Surveyor.
Piece FoundeUon Cleenout at
Locoticn Shown,
o
z
LOT
69B
,--, ~
LEoEN~
SV - Septic Tank Vent
CO - Clecnout
biT - Moniior Tube
TH - Test Hole
FCO- Foundation Cleanout
W
SITE
PLAN
SCALE 1' = 30'
LOT 69A, T13N, R3W, SECTION 33
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Three Bedroom Home 5' Wide Trench System
Perc. Rate: 4 Min./Inch 1,000 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 2' Drainfield Rock
3 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 375 SF Absorption Area
375 SF/5 SF/LF*.70 (Red. Factor) = 52.5 LF Trench Length
THEREFORE: Construct an AbsorptionTrench 53' Long x 5' Wide x 2' Effective Depth.
Flow Line Elevation in Trench to be 4.51 Below Original Ground Surface. Total Depth to be
6.5' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over
Absorption Trenches.
1011
11
1011
Natural
Backfill
Geotextile
Fabric
4" Perforated
PVC (Holes Down)
-- Drainfield Rock
TYPICAL DEEP TRENCH SECTION
(NO SCALE) ~ .~., ..............
NOTE: Grade Area Over Trench to Drain Away ~ ....
· · , · ' ~
Minimum 6 Separabon From Bedrock. ~ ........ · ...... ~""~'~"zl~
Minimum 4' Separation From Groundwater. ~~
Minimum 100' Separation From Wells in the Area. ~'"&;;;2~;'E'Z~;&;'"':~;~
Minimum 100' Separation From Su~ace Water or Streams.' ~,% No.
4700
DEPTH
(feet)
1
2
3
4
5
6
7
8
9
11
20¸
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
BRAGAW STREET ANCHORAGE, AK 99519-0650
SOILS LOG - PERCOLATION TEST
LOT 69A, TISN, R3W, SECTION ,5,.3
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: 9/14/2010
0B/0G
TURF
RUDY FERNANDEZ
PROIECT No.:
TECHNICIAN:
PARCEL ID#:
ITEST HOLE 1
WELL GRADED SAND
SW
SILT
WITH SAND
ML
BOH @ 15'
A. HARALA
WAS GROUND WATER ENCOUNTERED? I
IF YES ~ WHAT DEPTH?.__
DEPTH OF WATER AFTER MONITORING:
SLOPE
No
NONE
DATE OF MONITORING: 9/17/2010
SITE PLAN
SEE SITE PLAN
DEPTH TO
DATE READING GROSS TIME NET TIME WATER NET DROP
(MINUTES) (MINUTES) (INCHES) (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
9/15/10 1 7.14/7:24 10 1.75/4.63 2.88"
2 7:25/7:35 10 1.63/4.26 2.63"
1 7:36/7:46 10 1.75/4.50 2.75" .
2 7:47/7:57 10 1.50/4.06 2.56"
1 8:01/8:11 10 1.75/4.25 2.50"
2 8:12/8:22 10 1.63/4.13 2.50"
PERCOLATION RATE: 4.0 (MIN/INCH) PERC. HOLE DIA. 6" .(rNCEES)
TEST RUN BETWEEN: 2 FT. and 3 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 9/17/2010
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 69A, T13N, R3W, SECTION 33
GENERAL:
The scope of this project includes the decommissioning of the existing septic
tank in accordance with Municipal Code and the furnishing of a new 1,000
gallon septic tank at the location shown on the plans. Work also includes the
construction of a new 53' long X 5' wide X 2' effective depth absorption trench
at the location also shown on the Site Plan. The distribution line in the trench
will be placed at 4.5' below the existing ground surface. Total depth of the
trench will be 6.5' below the existing ground surface. The new absorption
trench must be placed a minimum of 100' from all private wells and 135' from
the Class C Well on the adjacent property. It must also be placed 100' from
any surface water in the area and 10' from the water service line on the lot. A
minimum of 3' of cover is required over the absorption trench. The existing
absorption crib will be abandoned in place.
Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified by the
Municipal Development Services Department Building Safety Division On Site
Water and Wastewater Program for system installations. Owners installing
their own systems must receive prior approval from the On Site Water and
Wastewater Program before beginning system installation.
SEPTIC TANK INSTALLATION
1. A new 1,000-gallon septic tank must be procured from an approved source
and installed at the location shown.
Lot 69A, T13N, R3W, Section 33
September 16, 2010
Page 2 of 3
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below the distribution line must be perforated.
Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. Contractor shall verify this condition prior to placement of the
rock. All pockets of unacceptable materials must be removed and replaced.
Lot 69A, T13N, R3W, Section 33
September 16, 2010
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as-built of the completed system.
Gp~ATER ANCHORAGE AREA BORO~H
HEALTH DEPARTMENT : ?
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
398
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL ~-'~2 MATERIAL
LIQUID CAPACITY ~'~) GALLONS. INSIDE LENGTH
MAILING .-. .
ADDRESSr~-~.~c ~/~-z~////~ ~'~ ~~
LEGAL DESCRIPTION ~;-~ ~" "'~=="' ' "~'= U=~
NUMBER OF /
~ COMPARTMENTS
LIQUID
/I~SIDE WIDTH ~ DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS. / _OUTSIDE DIAMETER ~ OR WIDTH
LINING MATERIAl ~/~*:-~ ~ ~ -~/'~f~'~'"~' . DISTANCE FROM WELl
, LENGTH '~-2 , DEPTH
· BUILDING FOUNDATION.~-~'' .,
SQ. FT.
TILE DRAIN FIELD: ;
DISTANCE FROM WELL ~EAREST LOT LINE
NUMBER~OF LINES////'~DDISTANCE BETWEEN LINES ~CH WIDTH
ABSORPIIUI~A SQ. FT. LENGTH OF EACH LINE
/
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILI: __
WELL'/~'//~,'~'*~-~'~ DISTANCE EROM ~ WATER
· T¥1~E ~'~://~--~ DEPTH -/'~/z~ . BUILDING FOUNDATION. ~-) '~- SAMPLE
LOT LINE /'/~ .,,~.~ NEAREST SEPTIC ~ SEEPAGE '~'
, SEWER LINE ~-~ . TANK 'r~~ , SYSTEM ~/~ , CESSPOOl
, NEAREST
OTHER
, SO URC ES/~/~
DISTANCES:
DIAGRAM OF SYSTEM
APPROVED
HEALTH AUTHORITY
G^*B-"D-2 GREATE -'ANCHORAGE AREA '?OROUGH CaseNo. / 'qJ
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAMEOF APPLICANT /z;~;'}/~z-< J~?fl/<:~,//,~7~ MAILING ADDRESS r~)-.t3rP~'~ ~'f//~ PHONE NO.
APPLICATION TO INSTALL: SEPTIC TANK ~' ,SEEPAGE PIT ~ ,DRAIN FIELD ,OTHER.
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH (~ d7 ~U) klg~ &2 '~d~ ~,~TO BE INSTALLED BY
PERCOLATION TEST RESULTS ANTICIPATED DATE O~/~MPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS , ~-.~ O~-~O~)-) ,PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF~_~/ffUNITT~ESERVED
~z/'- - ~/~,~-~DiAGRAM OF SYSTEM
DISTANCES:
,
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described~(.~/ ~ '~/~/~)system is in accordance withAPPLiCANTssaid code. SIGNATURE
DATE / _ ~. ~,,
/ )GREATER ANCHORAGE AREA B R0U
HEALTH DEPARTMENT ,~ CASE /~
~ -~ 327 EAGLE STREET ~, ~, /I ~ ~'~
~: "" ANCHORAGE, ALASKA' 99501
LeKal Desc~iptlon: Lot 6~-ABlock . S6b~n
This Form Reports a: S~L I~ '
Depth Vi % tJ ~ t~
Feet Soil Characteristics Location Sketch
Gross Time Net Time Depth To H20 Net Dr~
P. oposed ..n~..~.lza~on: Seepage P~t ~/ Drain F~la
De-th Of ~ '~'"'*'J' .~ I · .. ~- ~ ..... ~
~' ~=~:~)~, ~;~' , ueptn To Bottom Of Pit Or Trench ~5 . ' '
COMMENTS: ~ .~ 7'; ~. ,~ ,,~ ¢,~ ~ ~ ~ ...... 'r"* ~ .~.~ .. . --' ~' ' · -. _ .
~.~t ~o~~.. ~ / ~.~.~ ~".Fk.~7';/~/~' OCT 28 1970
Data Certified By. ~ ~.~.,~:. }-) ,(.,%~.~,
OcI, 4, 2010 12'16PM anderson engineering No. 8932 P. 1
/
/ ~CHO~GE, ~ 99501
/ Phon~: (~p7) 269-7519
~. OP ~O~~ GON~RV~ON j~ F~: (907) 269-3487
D~SION 0F WA~R / h~://~ ~.smte.~.u~dee/
W~W&TRR DI~G~ A~O~v~&TIO~ ~OG~
Michael E. Anderson, P.E.
Anderson Engineering
P.O. Box 240773
Anchorage, Alaska 99524
September 23, 2010
Re:
Anchorage-T 13 N, R 3 W, Sec. 33, Lot 69A & B-Waiver of Separa
Distance from a Class "C' Source Well to a New 0nlot Wastewate:
Treatment and DisPosal using a Five Wide Soft Absorption Syster
ADEC Plan Tracking Number 8340
Dear Mr. Anderson:
[ion
On September 14, 2010 the Department received an engineering plan
submittal for a waiver from an existing triplex with a Class "C" source ~
new onsite wastewater system for existing single family home. The ne~
consists of a five wide trench on-site soft absorption system for the was
system and finds it can be granted based on the following.
The engineer has recommended reducing the separation distance from
source well on Lot 69B from 150 feet to 135 feet to the onsite soft absorption
system on Lot 69A. Samples taken show nitrates were not detected (sa~npled
09/07/2010). The source well log has lower layers of silts and clays (1¢2 foot
depth), with coarse sand and gravel in the first 67 feet.
~ell to a
'system
~ewater
The new 1000 gallon septic tank will have more than 150 feet of separation
distance and will not require a waiver per the present design for a 3 be, lroom
home used in this review.
The Departm.ent bas reviewed the engineering plans submitted for the onstte
wastewater disposal and treatment system and the waiver to 135 feet t~ the
disposal field per the Wastewater Regulations 18 AAC 72.015 is based lupon the
Information provided and 'the engineer's recommendation. /
If the wastewater disposal' system fails or contamination can be traced )ack to
the system, the waiver will be invalid.
Oct. 4, 2010 12'16PM anderson engineering P. 2
This .a.,.pproval is contingent upon compliance with the following
concliZions:
1) The soil cover over the five wide trench soil absorption system ~nust be 4
feet in depth.
2)
If the applicant fails to construct, alter, install, or modify the
within two (2) years after the date that the department issues
approval to construct, the approval is void, and plans must be
resubmitted, [along with associated fees], for department revie
approval.
ystem
and
5)
This apprOVal does not ImlSIy the ~r'ant~Ug'of addi'tiOnal aUthorization~
obligate any state, federal or local regulatorY body to grant required
authorizations. ' .
evlations from approved Plans which affect capacity, flow, operation,
major deSign, of .unitS, point of discharge, mterials of maj°r system
com.p.onenrs tsu?_as pipe, .lagoon liners, etc.), or separation cli~tances,
must De approved by DEC m writing prior to their implementa ion.
This approval is contingent upon your receipt of any other stat,
or local authorizations which are required for your project. You
required to obtain all other necessary authorizations before Pro
with your project.
You are advised that ff this development will require placing f)ll
wetlands or working/n a stream, river, or lake, permits from th U.S.
Army Corps of Engineers and the Alaska Department of Natura
Resources may be req-ired. A Coastal Proiects Ouestionnniv~
ou ~- -- ~ ....... [11 help
y 'aent/fy other Permits and approvals that may be required ~or your
,project.
:, federal
axe
2eedlng
nor
Any person who disagrees with this decision may request an adJudica
hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an info
review by the Division Director in accordance with 18 AAC 15.185. Iai
.r_e....vi..'e.w..re. quests mus.t .be delivered to the Division Direct.O.r, 555' Cord~
Street, Anchorage, Alaska~99501~ Wiffi/n"i5 a~yS-of receiving the dect~
Guidance information on the infonhal review process may be found at
http://www, dee. state, ak. us/e. ommt~b/ReviewGuidanee.htm. Adjnd/e~
hcarlngs reqncsts must be delivered to the Commissioner of the Dep~
of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.
111800, duneau, Alaska 99801, with/.u 30 days of the decision. If a h,
. '. n.o~tl.'re.' qgested with/n .30 .days, ..~..right .to. appeal, is waived.
!ory
ion.
atory
rtrnent
D. Box
;aring is
Oct, 4. 2010 12:16PM anderson engineering No. 8932 P. 3
Thank you for your cooperation. If you have any questions please do n(
hesitate to contact me at 269-7519.
Enclosure: As stated
cc: WillialTl Smyth, WW, w/o eric.
Respectfully,
William R. Rieth, P.E.
Environmental Engineer
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 008-071-41
Expiration Date:
GENERAL INFORMATION
Complete legal description Lot 69A, T13N, R3W, Section 33
Location (site address) 5101 Laurel Street Anchorage, AK 99507
Current Property owner(s) Rudolph F. Femandez
Mailing address 5101 Laurel Street Anchorage, AK 99507
Day phone 250-1026
Lending agency
Day phone
Mailing address
Day phone
U"nless otherwise r6qd~sted, COSA will be held by DSD for pickup.
Real Estate Agent
.~, Mailih{~. Ad~li~es'~ ~
2. NUMBER O'F BEDROOMs:
yypE OF WATER SUPPLY:
.Individual WeiI []
individual Water Storage []
Community Class Well [] '
Public Water System []
Three (3)
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding Tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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 Anderson Engineering
Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name
Michael E. Anderson, P.E.
DSD SIGNATURE
~ Approved for _.~ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
By:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rev. 11/05)
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: /- '-/i
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: T13N, R3W, Section 33, Lot 69A
A. WELL DATA
Well type Private IfA, B, or C provide PWSID #~
Date completed 1970 Sanitary seal (Y/N) Y
Total depth >442 ft. Cased to >4o . ft.
FROM WELL LOG
~ mg/L
Date of test
Static water level ff.
Well production g.p.m.
WATER SAMPLE RESULTS:
Coliform · 0 colonies/100mL Nitrate N/D
Arsenic: N/D ug/L date of sample: 9/7/10
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,o0o gal.
Foundation cleanout(Y/N) Y
Date of pumping New Const.
C. ABSORPTION FIELD DATA
Number of Compartments Two
Depression over tank (Y/N)
Pumper N/A
Parcel ID: 008-071-41
N
Well Log (Y/N) N
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
7/16/2010
44 ff.
4.1 g.p.m.
Y
>18 in.
A. Harala
Collected by:
Date installed 10/4/2010
CleanOuts (Y/N)
High water alarm (Y/N)
Date installed 10/4-6/2010 Soil rating (g.p.d./ftz or ft2/bdrm) 1.2 GPD/SF
Length 60 ft. Width 5 ft.
Total depth 6.5 ft. Eft. absorption area 600 ft2 Monitoring tube
Date of adequacy test New Const. Results (Pass/Fail) ~
Fluid depth in absorption field before test in. . Water added
Elapsed Time: min. Final fluid depth ~ in.
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
Y
N
System type 5' Wide Trench
Gravel below pipe 4
Y Depression over field N
If yes, give date
For bedrooms
gal. New depth in.
Absorption rate >= g.p.d.
D. LIFT STATION
Date installed
Size in gallons
Manhole/Access (Y/N)
"Pump on" level at ~ in. "Pump o~ level at ..... in.
High water alarm level at
in.
Datum Cycles tested
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM VVELL ON LOT TO:
Septic tank/lift station on lot >100
Absorption field on lot >100
Public sewer main N/A
Sewer/septic service line >25'
Animal containment areas >50'
>100
On adjacent lots
On adjacent lots > 100
Public sewer manhole/cleanout
Holding tank N/A
Manure/animal excrete storage areas
N/A
>100'
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >5' Absorption field
Water main N/A Water service line >10' Surface water
Wells on adjacent lots >100'
>5'
>100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10' Water main N/A
Water Service line >10' Surface Water >100'
Driveway, parking/vehicle storage
Curtain drain None Noted Wells on adjacent lots >100'
>25'
COMMENTS
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.
Michael E. AnderSon, P.E.
Engineer's Printed Name
Date 1/3/2011
COSA Fee $
Date of Payment
Receipt Number
(Rev. 4/10)
Waiver Fee $
Date of Payment
Receipt Number
Aarow Pump & Well Service LLC
(907)346-9355
Inspection Report
5101 E. Laurel St.
Camera well to 50'. No perforations found in casing. Install MOA approved well seal and
conduit.
Brian R. Wille
Aarow Pump & Well Service
.................. SGS
SGS Reft# 1104659001
Client Name Anderson Engineering Printed Date/Time 09/09/2010 14:49
Project Name/# Lot 69A Collected Date/Time 09/07/2010 14:00
Client Sample ID Lot 69A Received Date/Time 09/07/2010 14:49
Matrix Drinking Water Technical Director Stel~hen C. Ede
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic ND 5.00 ug/L EP200.8 C (<10) 09/07/10 09/08/10 NRB
Waters Department
Total Nitrate/Nitrite-N ND 0.100 mg/L SM20 4500NO3-F B (<10) 09/08/10 AYC
Microbiology Laboratory
E. Coli Ne~zative 1 100mL SM20 9223B A 09/07/10 DLC
Total Coliform Negative I 100mL SM20 9223B A 09/07/10 DLC
W
33.00'
LOT 4
POWER
FENCE
·- .._....__: ,~,,,~.'......
:'DRIVEWAY .
,5.3'
2 STORY
RESIDENCE
11.4-'
DRIVEWAY'.
12.2' SHED
,, · 4.9'
LOT 69A/
17,406 S.F. /
N 89'5[ 131.93'
WOOD FENCE /
I
LOT 8
I
UTILITY
EASEMENT
z
LOT 69B
P~T PLAN
AS BUILT X SCALE 1" = 30' GRID SW 1834 Project No. 10-146
LQ n g (907) 522-6476
Registered Land Surveyors (907) 522-4625
kglanglsOalaska.net / JclanglsOalaska.nef
& AssocJQfes, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Phone
Fax
I hereby certify that I have surveyed the following described properly:
BLM LOT 69A SEC.33,T13N,R3W (PLAT No. 70-210)
Anchorage Recordlng District, Alaska, and that the improvements situated thereon are
wlfhin the properly lines and do not encroach onto the properly adjacent thereto, fhaf
no Improvements on the properly lying adjacent thereto encroach on the surveyed
premlees and that there are no roadways, transmission lines or other visible
easements on said properly except as Indicated hereon.
Dated this the ~<~ Day of ~__~C-~.~~-- ,
'/~L~ , at Anchorage, Alaska
It Is the responslblllly of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
