HomeMy WebLinkAboutKIMPTON LT 1Onsite File
Kimpton
Lot 1
#051-072-64
7/7/2020
i
MUNICIPALITY OF ANCHORAGE
{
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-072-64
Property owner(s) PHILIP WITHEY Day phone 9077203940
Mailing address PO BOX 671644, CHUGIAK, AK 99567
Site address 21738 OBERG ROAD, CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) KIMPTON LOT 1
Legal description (Township, Range & Section)
Lot Size 49097 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field 0 Initial ❑
Single Family (SF) 0
(w/wo ADU)
Septic Tank 0 Upgrade 0
Duplex (D) ❑
Holding Tank ElRenewal El
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: of - W46.25
Date of Payment: _ �2 i i J ;;kUab
Receipt Number: 36 L IWa-
Permit No. 03 P 06 11 X04
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
V
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
COVID-19
25% DISCOUNT APPLIED
13030 Sues Way, Anchorage, AK 99516
907-350 -9566 / firstwaterAK@gmail.com
June 10, 2020
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
LEGAL: KIMPTON LOT 1
The property owner has requested we obtain a permit to upgrade the failed septic system of the
above referenced lot. We propose to install one 20 x 60 mound with a 1250-gallon STEP tank
to serve the existing 3-bedroom residence. The design is based on the recent test hole conducted
on May 21, 2020. Groundwater was observed at test hole excavation and monitoring per the
attached.
The slopes are moderate at 0-3% at the proposed upgrade location. The lot and area are served
by private water. The design will not impact any of the neighboring properties. Please contact
us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201164, Rebecca Carroll, 07/06/20
FIRST WATER CONSULTING
ADJ NORTH WELLS 200'+ FROM PROPOSED SEPTIC
KIMPTON LOT 1
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201164, Rebecca Carroll, 07/06/20
FIRST WATER CONSULTING
KIMPTON LOT 1
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201164, Rebecca Carroll, 07/06/20
4661
13030 Sues Way - Anchorage, Alaska 99516
Tel. 907-350 -9566 firstwaterAK@gmail.com
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: KIMPTON LOT 1
PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT
ON THIS DATE. DATE: 6/5/2020
DEPTH
FEET
OG
SOILS
1
ORG/OL
2
3
4
GM/SM
5
6
7
8
9
BOH
10
11
12
13
14
15
16
17
18
19
20
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
6/4/20 30 min 6 1 6/16
30 min 6 1 6/16
30 min 6 1 5/16
PERCOLATION RATE 23 (MIN / INCH)
TEST RUN BEWTWEEN 2 & 3
PERC HOLE DIAMETER 6
PRE-SOAKED PRIOR TO TEST & ALL READINGS TO
THE 1/16TH.
GROUND WATER ENCOUNTERED: YES
IF YES, AT WHAT DEPTH: 6
DEPTH TO WATER AT MONITORING: 4.5
DATE: 6/4/2020
TESTHOLE # 20-1 DATE PERFORMED: 5/21/2020
SEE SITE PLAN FOR SLOPE & LOCATION
COMMENTS:
VERIFY GROUNDWATER MT
AT TIME OF CONSTRUCTION
PERFORMED FOR: PHIL WITHEY
6/5/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201164, Rebecca Carroll, 07/06/20
S00"16'03"E 142.45'
(SO0'06'13"E 142.00' R)
LOT 2
ANCHORAGE RECORDING DISTRICT, ALASKA
AS -BUILT OF:
KIMPTON SUBDIVISION
LOT I PLAT 82472
SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance should
any information on this drawing be used For construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES; It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER;ort+ So -+w
APR 29, 2020 1 1"=40'
20— 01 7 rO ari]CIE010 a1"NN 8 L top` 1"
JLS
= FND ALUMINUM MONUMENT
d = FN❑ 5/8" RE13AR W/ AL CAP
OFOF
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'• OHN L. SCHULLER '0
OW LS -10408 �
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1831 Talkeetna Street
Anchorage, Alaska 9950B
(907) 227-1455 office
(907) 274-4982 fax
OBERG ROAD
.r
S00'16'51 "E
141.47'
(S00'06'1 YE
141.27' R)
10' T&E ESMT
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S00"16'03"E 142.45'
(SO0'06'13"E 142.00' R)
LOT 2
ANCHORAGE RECORDING DISTRICT, ALASKA
AS -BUILT OF:
KIMPTON SUBDIVISION
LOT I PLAT 82472
SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance should
any information on this drawing be used For construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES; It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER;ort+ So -+w
APR 29, 2020 1 1"=40'
20— 01 7 rO ari]CIE010 a1"NN 8 L top` 1"
JLS
= FND ALUMINUM MONUMENT
d = FN❑ 5/8" RE13AR W/ AL CAP
OFOF
*.:...4 ........ ...... .
'• OHN L. SCHULLER '0
OW LS -10408 �
c�
' y
LANDR
4%p
V• ` G
1831 Talkeetna Street
Anchorage, Alaska 9950B
(907) 227-1455 office
(907) 274-4982 fax
MUNICIPALITY OF ANCHORAGE '%,.,
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAI LING ADDRESS
£ o. Box 23-1 { _o/alr A If qq3-6' 7
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS.~
Well ~ .-,/~)~, ] AbsorlStion area ~z I
DCOelling 2 2" PER=IT NO.
· I DmTANCETO: IbC ';-
~ ~ I Manu,acturer ~, ' -- Materia' 5~/.e'to/ No. of compartments2
~ ? I Oreer JWidth
,.o r- Li capacity in gallons ns de length
q' i~010{.) F HOMEMADE: ---"'~ Liquid depth
~ .. ~ DISTANCE TO' Well Dwelling PERMIT NO.
.~oZ I ' I I
~O z ~ j Manufacturer Material Liquid capacity in gallons
t~ Well ~ . Foundation . ~
,,~,31 J DISTANCE TO: J /~5)~,/ ~' ~ 7 Nearestlotline ~)f
~,,~=o JNo. of Unes '2 JLengthofeachlineo.~' Total length of lines..7// Trench width .. Distance between lines _~ ~,
~ ~ ] Top of tile to finish grade ~ _ , ~ Material beneath tim Total effective absorption area
m [ Length Width Depth PERMIT NO.
~ [ Type of crib Crib diameter Crib depth Total effective absorption area
~m [ Well Building foundation Nearest lot line
~' DISTANCE TO:
~ [Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorpt on area(s)
OTHER
PIPE MATERIALS p Fd
SOIL TEST RATING
INSTALLER
REMARKS
4' ;04.
APPROVED
DATE
10-27'-g'2
LEGAL
T i)"lV
72-013 {Rev. 3/78) t
' rt ttng
by
DOC Co. Clba
SULLIVAN WATER WELLS
P. O. BOX 272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE- Started 7/
PERMIT NUMBER
Ended ~~'
DEPTH OF WELL /& /
STATIC LEVEL OF WATER FT.
/27
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From ~ Ft. to ~ Ft. (9 o'/-"~/~ ¢,,t~d_/~',t~ From--
From -3 Ft. to~ Ft. ~/4T~ ~ ,_~ From
From Ft. to Ft. ~ ~ff4 From
Fro~ a2 Ft. to 3~ Ft. ~Y ~e~¢~ ~/ From
· From Ft. to
From_3. to
From . Ft. to
From /'00 Ft. to
From /~d~ Ft. to
F~om/__~CFt. to
From Ft. to
From
From__
From Ft. to Ft._
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to · Ft.
MISCL. INFORMATION:
Ft. to Ft.
Ft. to Ft
Ft. to Ft
Ft. to Ft
Ft. to Ft.
Ft. to Ft
Ft. to Ft.
Ft. to Ft.
Ft
. .Ft.
Ft
Ft. to
Ft. to
From__ Ft. to
From Ft. to
From Ft. to Ft.
From~'~ Ft. to .Ft.
~o~ __~_ ~-~ro_.~___ Ft.
~.~i~m c'~ ~n~.~': Ft.
DRILLER'S NAME
,-'64-4 ~ ~0
~.-JELI RI-Ir:. C,l--.l--S l- TE SEMEle-.' F"ERI--'! I T
PERMIT NO. ( :3208±6 )
RPPLICRNT ROZRNN KIMF'TON PO BOX .-',_t OH GIRK 9956? 688-2:D89
LOCRTION
LEGRL T15NR1W S4 SE4 NE4 SE4 Cd//( JY-e~ LOT SIZE 999999 SQURRE FEET
TYPE OF SO~L RBSORF'TION _,~_,TE~ ~S: DRR~NF~ELD
MRXIMUM NUMBEF,'. OF BEDROOM=.
SOIL RRTINI3
THE REQUIRED SIZE OF THE SOIL RB_,ORFTION ~=.TEM :
[:.~F' TH= 4 LE~'-.~GTH= 7:~- G F-.' R"-.-" E L [:.EF' TH= :1.
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THE TE:E~-ILtH ~JIC~TH I~ 5. 80E~ FEET.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
F-.'EL-'I-.LI IRE[:. SEPT I IT_: TR~'-.IFC S I ZE= :1_C-'~8 L---'~ F~RLLCii'..,IS
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
TD~O (2) I ~-~SPECTIO~S RRE REQ:J IRE[)
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
t00 FEET FOR R PRI9BTE WELL OR i50 TO 200 FEET FROM R PUBLIC HELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM ~ PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET 8ND
TO 8 COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ~RE REQUIRED 8ND MUST BE RETURNED TO THE DEP8RTMENT WITHIN ~0 DRYS
OF THE HELL COMPLETION,
OTHER REQUIREMENTS WRY RPPLY. SPECIFICRTIONS 8ND CONSTRUCTION DI8GRRMS RRE
8VBILRBLE TO INSURE PROPER INSTRLLRTION.
PER~'d I T ED--[P I RFS DFC:F~'4E:EE: 3:1.. -1982
I CERTIFY THRT
i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SLTE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~: I UNDERSTRND THBT THE ON-SITE SEWER SYSTEM WRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INC:LU[:,E MORE THRN Z BEDROOMS.
SIGNE
........... ,~'.- '.,.l lUI~ -- ' cr~"-'ULATION
!~,~ Street, Anchorage, Alaska 99501 264-4720 '%-..../ TEST
" SLOPE SITE PLAN
ENCOUNTERED?
4~ ~/~/~, IF YES, AT WHAT
DEPTH?
Time Time Water Drop
[NTS
PERCOLATION RATE
TEST RUN 8ETYVEEN
lminules/[nch)
~ FT.AND ~--~ FT
tIMED 8Y;
~6/7~)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTiFiCATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
(a) Legal D, es..c4ription (include Iot~ block, subdivision, section, township, range)
Locati? (address or directions)
(b) Applicant Name · Telephone: Home Business
Applicant Address ¢./
(c)
Applicant is (check one): Lending Institution []; 6)~v~edbuilder ~; Buyer []; Other [] (explain);
(d) Lendinglnstituton~''~ ~ ~'-~ Telephone
Address ~ ~¢'~¢-~¢~ ~
(e) Real Estate Company a'nd Agent
- Address
Telep. hone
///2//
(f)~he HAA to the following address:
TYPE OF RESIDENCE
Single-Family~,~ Multi-Family []
Number of Bedrooms ~
Other
WATER SUPPLY
Individual Well/~ Community [] Public []
/
Note: If corem'unity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite')~ Public [] Community [] Holding Tank []
Note:~f/community well system, must have written confirmation from the State Department of Envi ton mental Conservation
attesting to the legality and status.
72-025 (11¢84)
Page 1 of 2
ENG'INEERiNG FIRM PROVIDIN[~NSPECTIONS, TESTS, FILE SEARCH, D/~,.~./'AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name I '~' ~' ~;~
Date
Telephone
DHEP APP R Oy_~L__~ ~-'~ ~----'/~--,L. ,'~
Approved for ~--~/~d~-¢bedroomsby/~)/~--'~4: "~--~,~./c~.~ ~_~(~.~
Approved ;/~.~ Disapproved Conditio'r~l
Terms of Conditional Approval
Date
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent prefessional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
ENVII~NMENT~ PROTECTION
RECEIVED
WELL DATA
Well Classification
Well Log Present (~N)
Total Depth ~.L~ ~. t Cased to.
Static water Level
Casing Height Above Ground
Electrical Wiring in Conduit (.t~N)
If A, B, C, D.E.C. Approved (Y/N)
Date Completed '? ~- Yield
Depth of Grouting
Pump Set At ~,..,~- ~"~,
Sanitary Seal on Casing~'C~N)
Depression Around Wellhead (Y,~
Separation Distances from Well:
To Septic/C;i4;~,~,g Tank on Lot t ~ ¥ ; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot \'==~:;~"P ; On Adjoining Lots
To Nearest Public Sewer Line ~":~//;~ To Nearest Public Sewer
Cleanout/Manhole '~/¢~- To Nearest Sewer Service Line on
Water Sample Collected by ~-~'~ ~ ~c,--~;C-;=:~¢---~6~ ; Date
Water Sample Test Results ~,/~. ~
Comments ~' ~¢J¢2,~. ',/'l~--F~ T~-~. ~.l.-'t~:~ "~ ~
B. SEPTIC/I-HDL-DiN'-G TANK DATA
Date Installed
Standpipes(.C~N) Air-tight Caps ~N)
Depression over Tank (Y/._~
Pumping/Maintenance Contract on File (Y/N)
/
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/l~ Tank:
No. of Compartments
Foundation Cieanout (Y,(~
Date Last Pumped U-.'.~ ' '~,~-~"
~/'~ ; for
/.
Temporary Holding Tank Permit (Y/N)
To Water-Supply Well
To Property Line
To Water Main/Service Line
Course ~/~,
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed t, ~..~ ¢
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/~).
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot ~
Type of System Design ~;2___~
Length of Field ¢;'.'.'~
Depth of Field ,¢¢¢Ii¢.~-".
Gravel Bed Thickness
Standpipes Present
Date of Last Adequacy Test (,.~::> :~ ~"~ ~'
To Property Line ! c-~ 4-
To Existing or Abandoned System on
; On Adjoining Lots ~'~.-~
To Water Main/Service Line (.
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Cutbar~k (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
MTnhole/Access (Y/N)
/i';Pump Off" Level at
///~ Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
· "*' imv.~".', o, ~' *'~ ......~(* MbA No.
· , .,~~~
Company '~ ' :-
Receipt No. .~ ~G~ · ·
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
November 24, 1985
ROBERT A. SHAFER
CIVIL ENGINEER
694-29;'9
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SiTE pLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHAN[CAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Municipality of Anchorage
Department of Health and Human Services
825 L Street
Anchorage, Alaska 99501
ATTENTION: Susan Oswalt
REFERENCE: Health Authority Approval; Lot 1; Kimpton Subdivision
Health Authority Approval application for the referenced property is
being held in your files pending monitoring of the water table in the
general area of the on-site waste water disposal system. Two monitoring
tubes were installed in the vicinity of the absorption bed with the
water level in these monitoring tubes recorded after a lapsed time of
approximately two weeks. At the time the water level in the monitoring
tubes was recorded it was determined that the water level is approximately
five feet below the elevation of the bottem of the absorption bed.
Based upon the above information, we see no reason why the referenced
Health Authority should not be approved.
Sinc~e~i~,~
SRB 196X EAGLE RIVER, ALASKA 99577