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HomeMy WebLinkAboutROBINDALE LT 14000 Municipality of Anchorage. On-Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201096 PID Number: 051-053-16 Dwelling: © Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: n New ❑ Upgrade Name Charlev Cox ABSORPTION FIELD El Deep Trench © Wide Trench ❑ Bed ❑ Mound Site Address 24033 Sunnevside Dr. Chugiak, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-980-9289 4 0.8 GPD/SF 6.32 & 6.13 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.15 & 4.13 Ft. Gravel depth beneath pipe 2.17 & 2.00 Ft. Subdivision Block Lot Robindale 14 Fill added above original grade 0.1-0.86 & 0.38-0.52 Ft. Gravel length 105 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 750 Ftz 2 10+ Ft. Well 200+ 200+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100+ 100+ Greer 1250 Gal. Material Number of compartments Lot Line 5+ 10+ NA Plastic 2 Foundation 10+ 10+ LIFT STATION Manufacturer Capacity 1 I Remarks Alarm location Gal. Electrical installed by Installer RIPE MATERIAL House to tank Tank to D3034 drainfield D3034 Dean Construction Drainfield P810 COlMT D3034 Inspector Areterra ConsutinlZ BENCH MARK (Assumed elevation) 100 ft Inspdeatieos: qs 5/20/20 zed 5/20/20 Location and description 31' 5/21/20 41° 5/21/20 NW building corner ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date Jr afywl w' ta$i`•a JRA«• 4k41aN� r• • asa a Y�` s#tENt4EI D° t1S� ��t�`�s`',�.5'"?�/fir Septic System Approv Date AW '` ;IV Note: this approval does not include well permit requirements.i� AS -BUILT SYSTEM DET AILS/SITE PLAN Permit ❑SP201096 ROBINDALE LOT 14 PID# 051-053-16 TRENCH 1 10' Utli Esm E � F TRENCH 2 FLOW CONTROLLER �.j O LW 1250 K FCO M FENCE N A-C=21.35ti7'w 90.3 89,50 N B -C=20.17 0 T o A -D=24,56 90.44 FINAL GRADE B -D=22.81 R W tea. m 9.50 o A -E=42.61 �B-E=41.63y 1250 GAL A -F=41,34 oN SEPTIC 85.3 B -F=41.33 TANK SEWER ROCK B -G=48,96 TRENCH 1 A -H=15.97 86.34 86.23 83,18 'B I A -I-25,37 78 cLEANMT SONITIIR TUBE B -I=32.53 gg 89,g3 FINAL GRADE a A -J=33.93 SCALE; NTS —.78 I -VB -J=31.71 ORMR=V- WAX i9.50-89.. TA -K=10.88 B -K=35.44 FILTER FABRIC I A -L=10,90 85,37 B -L=34.38 NOTE: NO WELL ON LOT SEWER ROCK r' 83.37 TRENCH 2 uj V) 27 OF{Q� PREPARED FORt w CHARLEY COX 3 24033 SUNNEYSIDE DR o �t TH * Chuglak, AK 99567 En`� 907-980-9289 d KENNE US FIELD BOOKS COMPUTED: o CE 711BOUNDARY: N A ORAVrTJ: KSD /J��,+ % 'r,`;^ STAX'NC: N A CHECKED: KMQ AS8UILT:5LS DATE: 5/27/20 ssl DWG. flLS3 GRID: NW1561 ACAD FILE: FILE Joe N° 20122 SCALE, V = 20' 90.32 nTC, 90.44 372 I5 as 85.35 T 83.18 NIINITOR TUBE a ram+r R.0 9.9.5 i0, 2A0 77, 275 � WATER 7550 — SCALE, NTS P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Charlie Cox 24119 Sunnyside Drive Chugiak, AK 99567 Camera Inspection Report Well seal (Dust cap) is not a sanitary seal. Welds from 20-60 looked good — no sign of leaks. Well is only 2" above grade, needs to be extended for code. Date: 5-13-20 MUNICIPALITY OF ANCHORAGE mhc On -Site Water & Wastewater Program o SP PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax (907) 343-7997 v http:/1ww .muni.orglonsite ' L•l5ai'-Cn7 Citt On -Site Wastewater Disposal System Permit Permit Number. OSP201096 Work Type: Septic Upgrade Tax Code Number: 05105316000 Site Legal Address: ROBINDALE LT 14 G1561 Site Mailing Address: 24033 SUNNYSIDE DR, Chugiak Owner: COX CHARLES B & RENE N Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of IZ Disposal Field Cd Septic Tank 13 Holding Tank ❑ Privy Effective Date, 5/18/2020 Expiration Date: 5118/2021 Lot Size in Sq, Ft: 19074 Total Bedrooms: 4 0 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 (18AA072) 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 p:. Covered, sealed, and heated to prevent freezing Received B1 Issued By: Date: Date: S !9 ZG MUNICIPALITY OF ANCHORAGE t W_�� i Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater SectionFax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-053-16 Property owner(s) Charles Cox Day phone 907-980-9289 Mailing address 24033 Sunnyside Dr, Chugiak, AK 99567 Site address 24033 Sunnyside Dr, Chugiak Legal description (Sub'd., Block &Lot) Robindale Lot 14 Legal description (Township, Range & Section) Lot Size 19,074 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field [ Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank © Upgrade FAI Duplex (D) ❑ Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ a 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. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: J�'7Jr / ��%(o.a�.� Waiver Fees: Date of Payment: 6016 Date of Payment: Receipt Number: 0?(0q%y_) Receipt Number: Permit No. 19'5&W16k' ' Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc COVID-19 2570 DISCOUNT APPLIED Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201096, Deb Wockenfuss, 05/18/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201096, Deb Wockenfuss, 05/18/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201096, Deb Wockenfuss, 05/18/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201096, Deb Wockenfuss, 05/18/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201096, Deb Wockenfuss, 05/18/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201096, Deb Wockenfuss, 05/18/20 ASBUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: �'4 /;l � -SUS AND THAT NO FN6646HMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. .W SEWARD & ASSOCIATES LAND SURVEYING 694 SCALE: '�z pF A DATE= Ar,�� ` • S. GRID= �►.... ..:... —" ; Duane Meirk Seward ■ FS: Ov; LS- ►V DRAWN: h s#nra� v-0 —0829 Tirae Date Insp ,/ ....... MUN CIPALITY OF ANCHORAGF , DEPARTME,, OF HEALTH AND ENVIRONMEN, .... PROTECTION 825 L Street, Anchorage, Alaska 99501 264-4720 11:00 a.m. #2: 9-6-77 Tues. Kennedy Date Received: Time #3: Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Le~ding Institution Request: Mailing Address: Phone: 2. Property~Owner: Robert Ellis Mailing ~dress: Phone: 3. Legal Description: Lot 14 Robindale Subdivision 4: Single Family Residence: ( Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: Well System: Permit # Construction Individual well ( ~ Community/Public System ( ) Depth of Well Well Log on File ( ) Bacterial Analysis For documentation, so he can put trailer on property and get landuse Sewage Disposal System: On-site System (~ Public Utility ( ) Permit Permit # Septic Tank Size Absorption Area ~stances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line Installed Installer Manufacturer Soils Rate Material to Absorption Area Absorption Area P ~_~,g'e Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Leg, al Description: Lot 14 Robindale Subdivision Comment s: Affadavit Attached: (') Approved ' ~ ~. Date: Letter Attached: ( ) 7.'7 Department Worksheet: i Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 051-053-16 5z�et,r Expiration Date: / - -2 0 Z J 1. GENERAL INFORMATION Complete legal description Robindale Lot 14 _ Location (site address) 24033 Sunnyside Dr, Chugiak Current Property owner(s) Charles & Rene Cox Djy phone Mailing address 24033 Sunnyside Dr, Chugiak 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class _ Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer', ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 7- l Go - --3 5 - Date of Payment 3"la laoao Receipt Number 620467 COSA# 4S�aGl�1 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 ARCTERRA CONSULTING, INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS _ ' Date 5/2612020 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future t\ occupants or can ArcTerra guarantee that no unseen �r �L\, encroachments, deficiencies or discrepancies exist. AW 1� Ti.i k G. DSD SIGNATURE System #1 Approved for bedrooms.; `"`E' ;,'e 1 System #2 Approved for bedrooms. { t >, '�? �•~�' �zo��sstohn�• ,,� Disapproved. Conditional approval for bedrooms, with the following stipulations: llllllll(((((( wt, WAST"►il� D m J�o OGA AM o By. Original Certificate Date: -3--2d The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite 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 forerrors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc Legal Description: Robindale lot 14 COSA Checklist If more than 9 septic system on lot: COSA Checklist # of Parcel ID: Structure served by this system 1 051-053-16 A. WELL DATA ❑Well log is filed with Onsite (or attached) Well production at time of test gpm Date drilled Water storage tank volume gallons Total depth ft Well disinfected for coliform test? ❑ Yes No Cased to ft Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate 9.04 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L WArsenic less than MRL (ND) Casing height (above ground) in. Collected by Areterra Consulting Date of flow test for COSA Date of Sample 4/27/20 Static water level at beginning of test ft. Comments Community Well on Robindale lot 20 B. TANK DATA Age of tank(s) New years Tank type/material Plastic Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) New 5/20/20 ALL standpipes present per record drawing Total measured depth from grade 6.5 ft (max) Measured depth to pipe invert from grade 4.5 ft (min) ❑ N/A — pressurized field IN 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: COSA Checklist yellow sheet C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate 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 if No Community Sewer Manhole/Cleanout > 100' If absorption field is under driveway comment below ❑ Yes if No ft [7 Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank a 100' ❑ Yes if No It Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ft M. Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 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' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' P1 Yes if No ft Community Wells > 200' ® 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 Nitrate Advisory Certificate of On -Site Systems Approval # OSC201218 Subdivision: Robindale, Lot: 14 A water sample revealed a nitrate concentration of 9.04 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. o 141PIV Rq D ^ O P, 1 ,q VICES ICE Ma�l�ng Address � P O Box 196650 * Anchorage,`Alaska 99519 6650 *www mum org From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Maibng Address ,P`U� Box 196650 * Anchorage,�Alaska 99519 6650 *www muni org x , Irlo ASBU|LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: FOLLOWING DESCRIBED PROPERTY:EiDATAND THAT, NO FNC�a6HMENTS EXIST EXCEPT ASINDICATED. IT IS THE RESPONSIBILITY OF THEOWNER TO DETERMINE THE EXIs*rENCE OF ANY GRID:EASEMENTS, COVENANTS, OR RESTRICTIONSWHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB:ANY DATA HEREON BE USED FOR CONSTRUCTIONOF FENCE LINES, OR FOR ESTABLISHING BOUNDARY �DRAWN: LINES. IATES LAND ' TH ` LS !X8 Ar