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HomeMy WebLinkAboutOSMOND OLSEN LT 2&o T' (Rev 05/02/18) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231009 PID Number: 012-242-37 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name LATTO ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 7655 JEWEL LAKE RD, ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 2 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot OSMOND OLSEN LT 2 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 Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ftz Ft. Well 100,+ 50'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding El Other Manufacturer GREER TANK/ANCH TANK Capacity 1000 Gal. Surface water 100'+ Material PLASTIC Number of compartments 2 Lot Line 10,+ NA Foundation 10,+ LIFT STATION Manufacturer Capacity Gal. Remarks TANK DEMO PER UPC, Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 drainrield Tank to 3034 Installer MIKE N ANDERSON, P.E. Drainfield COIMT3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 100 ft Inspectiones: 15` 2/23/23 Location and description 2nd TOP OF MANHOLE 3ru 41f' ON-SIWATER AND WASTEWATER SECTION APPROVAL Engineer's StampTE Conditional Approval: Date pP 'e:''�• •`' �; =.•'`F Septic System e (v Zloz `t CE �4 9 : 4 `fir.^ ),9 ; Approved Date d , , • 2�.,.- Note: this approval does not include well permit requirements. (Rev 05/02/18) Municipality i n P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program Waiver#: OSV231011 COSA#:OSC231042 PID#: 012-242-37 Legal Description: Osmond Olsen Lot 2 Engineer: Mike Anderson Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the foundation has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the proposed absorption field. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ■aaaaasaaaaaaaaaaaaoaaaaaaaaaaaaaaaaaaaaaaaaasaaaaaaaoaaaaaaaaasaaaaaaaaaaaaaa� Waiver is Granted: X Waiver is not Granted: Date: Approved by: Name of Reviewer a a a a a e a a a a a a e a o s a a a a a a a a a a s a a a a a a a a a a a a a a a a e a s a a a a e a a a s a a a a a a 1 a a a a a a a a a a a a C a a a 1 March 10, 2023 Municipalities of Anchorage On-Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: 5’ Waiver request Legal: Osmond Olsen Lot 2 To whom it may concern: This is a request for a waiver between the garage foundation (no crawlspace) and the crib which is five feet away. The bottom of the garage footing is 4 feet below grade and does not impact the crib. This condition has existed for the past 50 years with no issues and the crib is outside the bearing area for the building. Inspection of the pit found it was deeper (six feet) than the five feet per the MOA records. The new tank encroached into the crib area therefore we modified the area with a 5-foot separation. This will still allow the total crib area to be 368 square feet (66 feet perimeter x 5.5 feet deep), see site plan. This waiver will not impact any of the surrounding neighbors, see the attached site plan. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Permit No. OSP231009 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: OSMOND OLSEN LT 2 &ELL 1 MARK A B C01 32 276— 6CO2 0O2 33 26 TC01 37 25 TCO2 42 25 CO3 45 22 C04 45 21 C05 MT 36 14 BLENCH, MANHOLE LID C01 TC01 NEW 1000 GALLON PL CO3 17X19 MODIFIED PIT SIZE, 5' F i C05/MT 6 FOOT BRICK SEEPAGE PIT r --' SHEDS NO FOUNDATIONS GARAGE FOUNDAITON, WAIVER BETWEEN FOUNDATION AND PIT APPROX. LOCA ON AWWU WATER UNE \\ 1 I I t L7 I MBUIL SC E: 1 n=,50' X � PID No.: 012-242-37 I J I LANK N W TANK L_ — — — — —F_ — — — OF �■I�111�AV r --� MICHAEL N. ANDERSON; C,�,••••j.� No pC E I�9469 NEW CR78 AREA 368 ®®`t `V�-28-23 ®� SEPii� .TION ��� N.T.S. Certificate of On -Site Systems Approval Parcel I.D. 012-242-37 Legal description OSMOND OLSEN LT Site address 7637 Jewel Lake Rd Current property owner(s) Latto I Expiration Date: 3/ /0 2' d Z -,y X The On-site system(s) is/are approved for 2 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 3 jb 2.2 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 Approval_June 2022 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 Application 1. GENERAL INFORMATION Parcel I.D. 012-242-37 Complete legal description OSMOND OLSEN LT 2 Location (site address) 7637 JEWEL LAKE RD, Anchorage Current property owner(s) LATTO 2. ON-SITE SYSTEMS SIZED FOR 2- BEDROOMS Day phone 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: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass Age NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench 0 Seepage Pit Waiver request for: Distance: - Expedited review requested: ❑ 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 $ Waiver Fee $ Date of Payment -2/ PL//'UP3 Date of Payment COSA # 0:5 C 2316 t1 Waiver # o aaCMt COSA Application_ June 2022 COSA Checklist Legal Description: OSMOND OLSEN LT 2 Parcel ID: 012-242-37 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. Comments AWWU WATER SERVICE B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: NEW PLASTIC TANK INSTALLED D. ABSORPTION FIELD DATA Which system tested (date installed) 7/18/73 ❑ ALL standpipes present per record drawing Total measured depth from grade *13 ft (max) Measured depth to pipe invert from grade 6.9 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. 0 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 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes I ] No ❑ Coliform bacteria is Negative Nitrate— mg/L [:]Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 2/7/23 Results [E Pass Fluid depth prior to test 32 in Water added 450 gal New fluid depth 40 in Elapsed time 1440 min Final fluid depth 32 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) **67 in Effective depth used 40 in Effective depth remaining 27 in Comments/Deficiencies: *MEASURED IN SEEPAGE PIT, BOTTOM 12" IS SLUDGE, ** PIPE INTO CRIB WAS LOWERED 6" DUE TO RELOCATION OF THE NEW TANK OUTSIDE THE NEIGHBORING WELL RADIUS. 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' Community Sewer Manhole/Cleanout > 100' ❑Yes if No ft ❑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 > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main? 75' ❑Yes if No ft ❑ Yes if No ft IN 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 S ft Surface Water > 100' Q Yes if No ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' F. ENGINEER'S COMMENTS Q Yes if No ft [E Yes if No ft Q Yes if No ft 0 Yes if No ft Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' M Yes if No ft M Yes if No ft If tank or field is under driveway comment below 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 e v7 Om Phone 727-8864 Engineer's Printed Name ScPvns . Date � • �1 Fitt ��; ,'s a j _ ' .� d � 'i� •' �: is rl • i, a ; • o ••o • .� •a•• o•o•• . fi • M1CF,%2L N. riot.F.ii�C,N ' f , `,�•. CE - 9459 C .7 � .� �1 "4. • acJ ) COSA Checklist June 2022 8504 OnC3 Lia- tpin P®- ®=,, a.i, +.corf E •¥'?1 i,,2 --==S?6?.Bb.tv =.CT,a.I r'E < Pinain ap: ina £ CD EIcO CD EE] rN _ _____ _ _ __ ___ _ CDa RoWAcquisition(S=e-NOTeT)-=lI a soooo3E 124.1 a I CnC> I, 3 i i i i i I..,,I// ...,..` r,trJ`fr in-,--`-®8 + Pe+coin :-`:- _ I I !' i.! i i i \', 0.7 y` '`.' 3<\ QL %.¥ &_iEE 32. Ch'0 '6 ae aEEi. HELEH EEH ``,, 9 E= CD'0 coN oO.9++ EiEon 'J> a Raw rsfff3i \\ •. I-., _i," LI EiEi=.X91- zC2POin 91 ±fi 26.I D5-_J Ia--> pou5 ii-Faud a Q> 6' oO\ =DIEEa5r Ia+ EE aIDIIE=aI8? Lad-_i ii= cOaTO-a 5I-?|JE- m> GO+ reuRE CD rili9 ..+P cO+ P aD E}Ei soo°o3E 124.1 E-q EF|> CDOn= 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231009 Work Type: SepticTank Upgrade Tax Code Number: 01224237000 Site Legal Address: OSMOND OLSEN LT 2 G:2226 Site Mailing Address: 7637 JEWEL LAKE RD, Anchorage Owner: LATTO ROBERT & VERNIEL LIVING Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date 2/21/2023 2/21/2024 Lot Size in Sq Ft: 37205 Total Bedrooms: �,,//Z ❑ 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 Received By: /- rjPC6; Issued By: �— Date: Date: 2az_ 3 MUNICIPALITY OF 5 A -W Development Services Department On -Site Water & Wastewater Section Parcel I.D. 012-242-37 ANCHORAGE ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) ROBERT LATTO Mailing address Site address 7637 JEWEL LAKE RD Day phone Legal description (Sub'd., Block & Lot) OSMOND OLSEN LOT 2 Legal description (Township, Range & Section) Lot Size 37205 Sq. Ft. Number of Bedrooms Z CIA Phone: 907-343-7904 Fax: 907-343-7997 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank Q Upgrade Fx� Duplex (D) ❑ Holding Tank ❑ Renewal ❑ 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) Permit/Rush Fees: 02.26- Waiver Fees: Date of Payment: ;.Lq 1;24 Date of Payment: Receipt Number: GO ! qGS Receipt Number: Permit No. 05Pa,31009 Waiver No. .100/44- GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Feb. 10, 2023 Municipalities of Anchorage On-Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: Tank permit Legal: Osmond Olsen Lot 2 To whom it may concern: This is a request for a septic tank permit on the above referenced lot. A new 1000 gallon plastic tank will be installed. All cleanouts in the seepage pit will be located and extended. This new tank will not impact any of the surrounding neighbors, see the attached site plan. 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 OSP231009, Curtis Townsend, 02/21/23 1"=50' PROPERTY LINE EXISTING HOUSE-JEWEL LAKE ROAD-REPLACE EXISTING 1,000 GALLON SEPTIC TANK W/ NEW 1000 PLASTIC TANK DRIVEWAY EXISTING WELL 100' RADIUS OSMOND OLSEN LOT 2 DRIVEWAY OSMOND OLSEN LOT 3 OSMOND OLSEN LOT 4 OSMOND OLSEN LOT 1B OSMOND OLSEN LOT 1A HENNING LOT 1B STRAWBERRYPATCH BLOCK 1, LOT 2 EXISTIN G GARAGEEXISTINGHOUSE WELL PROPERTY LINE SCALE: DJRDRAWN: DATE: OSMOND OLSEN, LOT 2 Anchorage, Alaska ROBERT & VERNIEL LATTO 2/8/2023 DCO LOCATE EXISTING CO/MT FOR NEW COSA AWWU WATER SERVICE WELL WELL WELL DCO BOTH LOTS SERVICED W/ ONE WELL LOCATED ON HENNING LOT 1A, WELL LOCATION INSPECTED WITH OWNERS BOTH EXISTING WELLS LOCATED IN THE FIELD BOTH EXISTING WELLS LOCATED IN THE FIELD m 0 J Q p Is J m C _ U) n c w Y C UU Cao a 6 ♦- ti CO N J J a D) m C a - O 9� N O 7 w c 'N me. 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Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 Well Decommissioning Log Legal Address: C Subdivision 0 S M t 21 Block Lot T R Section Lot On-site Water & qWstewater Program certified contractor performing the well decommissioning: Name: Jj V) I Signature: Company: lefty , 2nc. ZV130 Well decommissioning date �_ ` Method of decommissioning: AMC 15.55.0601_1 a. ❑ b. ❑ c. Location: Use the space below to provide a drawing of the property showing the following items; • North arrow • Decommissioned well, • Other water wells on the property, • Two separate swing -tie distances for each well shown on the drawing, Note: The swing -tie distances shall be measured from either permanent structures or the property comers. t C' V, 5` -7�37 G\Community Development\Development Services\Building Satety\Un Site water and wastewatenr-orms\Liient rorms\weii uecommisiomng torm.aoc QGRF'TER ANCHORAGE AREA Bor'qUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ,'f'///~/~'~'"/// .//~/~/~'~./~/~ __ MAILING ADDRESS ,/ g ~'7 , ,,'~"'~:'C/4Z /(/~]'*/(//~'d PHONE SEPTIC TANK: DISTANCE / FROM WELL //5) MANUFACTURER INSID[; LENGTH .----------m_ INSIDE WIDTH NUMBER OF (~ ~--~ MATERIAL ,~("2~E~'~-~ COMPARTMENTS ---~ LIOUID DEPTH LIQUID CAPACITY ~'-~/~? GALLONS. SEEPAGE PIT: NUMBER OFPITS /' DIAMETER ,// OR WIDTH ~ LENGTH.~_', E)EPTH //~d~) / LINING MATERIAL/~-~/~/¢-*~ . CRIB SIZE: DIAMETER ¢~'} DEPTH --) DISTANCE FROM: BUILDING FOUNDATION ~,~{~ / ¢ _ NEAREST LOT LINE /~ //' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ---r~] · ~,/p / WELL ,~'/~/2,,.¢.¢,,/ /.~_.~: SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING ' FOUNDATION CESSPOOL APPROVED V/ _CONSTRUCTION NEAREST -/ LOT LINE OTHER SOURCES . DISAPPROVED NEAREST SEWER LINE DEPTH _ --.~,,';' SEPTIC: / TAN K DISTANCE FROM: SEEPAGE./g '/~ /~.?.,/x SYSTEM - Z,.2/~.,.~¥/ . REMARKS DISTANCES: PIPE MATERIAL: LOT SLOPE: ,.~,?¥~:~,C./ Form No, EQ-031 DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASI~A 99503 TELEPHONE 274-4~61 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND P~:RM~T PERMIT NO. INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIELD __, OTHER T,,PE AND SI= O, F^DILIT'~ TO.E SER'~EO SOIL TEST RESULTS /~ NOTBI THIS PERMIT IS NOT VALID WITHOUT SOIL COMPLETION DATE ANTICIPATED ~ ~ ALSO CONSIDER AREA WELLS. . SEEPAGE PIT DRAIN FIELD GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS ]'IEOARDING INSTALLATION. LICENSED DESIGNER