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HomeMy WebLinkAboutHERITAGE PARK BLK 1 LT 1Onsite File Heritage Park Block 1 Lot 1 #050-211-29 (Rev 05/02/18) Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201501 PID Number: 050-211-29 Dwelling: FIR Single Family (SF) E] with ADU [:1 Duplex (D) El Two Single Family Project: M New 110 Upgrade Name AB -SORPTION FIELD Kaye and Andrew Laughlin '*6� De Trench El Wide Trench El Bed ❑ Mound Site Address 10719 Tradition Ave Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 D/SF Ft.1 LEGAL DESCRIPTION Depth to pipe invert from original de . Gravel depth beneath pipe I Ft. Subdivision Block Lot Heritage Park 1 Fill added above original grade Ft. Gr el Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist e between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area N umber of trenches ches Dist. between 11�1 From Tank Field Lift Station Tank Line F t2 t. Well >100' NA NA NA TANK 9 Septic [I S.T.E.P. El Holding El Other Manufacturer Greer Capacity 1250 Gal. Surface Water >1010' NA NA NA NA Material plastic 12 Number of compartments Lot Line >10' NA NA NA Foundation >1 O NA N =AN A LITATION FT -5 Manufacturer Capacity Capacity Gal. Remarks 2" INSULATION OVER TANK Alarm location Electric11 db PIPE MATERIAL House to tank 3034 drainfield Tankto 3034 Installer JRs Septic Drainfield C01MT 3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspection 1st6/18/2021 8/9/2021 Location and description dates: 2nd door threshhold near A 3`d 4th concrete pt ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp law Conditional Approval: Date L wns Curtis L Date, Zo Septic System Approved Date 1110AIao2l 7 PROFESS0 Note: this approval does not include well permit requirements. (Rev 05/02/18) Is I I DOUBLE CLEANOUTS AFTER TANK \\ \t\ THIS PROPERTY IS SERVED BY AWWU THERE ARE NO WELLS WITHIN 2O0,, )'z /f. ( I = I\ : t\ \ /.WATER LINE ALIGNMENT WAS ,,,VERIFIED PRIOR TO CONSTRUCTION STTNG 28' x 60" x 6'.ECTIVE DEPTH TRENCH SLOPE ry 't,/a ,/ NEIGHBORING SEPTIC IS, FROM PROPERTY LINE -----7 10' AND t. ,rw SCOPE OF WORK 1. RIMOVID EXISTING SEPTIC TANK. 2. PLACED NEW 1,250 GALLON PLASTIC SEPTIC TANK AND TIED INTO EXISTING ABSORPTION SYSTEM. THE TANK WAS PROVIDED WITH MINIMUM 20,' @ MANWAY RISER SERVING THE FIRST COMPARTMENT. 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL RTQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. ,,--J Tcnk Replocement Record Drowing Prepored for Kaye and Andrew Laughlin 10719 Tradition Ave, Eagle River Alaska 99577 HERITAGE PARK BLOCK 1 LOT , osp201501 iffi EKLUTNA INGINEIRING, LLC 19162 I./OUNTAIN ROAD CHUGIAK, ALASKA 99567 (e07) 406- 1 os8 DATE: 111112021 DRAWN: CLT SCALE: 1" =40' PID: 050-211-29 SHEET 2OF 3 ffiftrr;;iilhr-: "''$.#gjs$t z_ LLJ_rIoca )<z-.s: Z. tl ".r-F- (./) FloLI =<) L_)C)_rOO r- a\ I\-]7.7 )<z.={lr- \J 2,, INSULATION OVIR TANK .MARK A E STl 39'- 11"z/ - I I ST2 44'-10"28'-5" DCO 47'-10"24'-2" 1 ,250 G PLASTIC TANK Tcnk Replocement Record Drcwing Prepored for Kaye and Andrew Laughlin 10719 Tradition Ave, Eagle RiverAlaska 99577 HERTTAGE PARK BLOCK 1 LOT, osp2015o1 EKLUTNA ING/NIIRING, LLC 19162 NIOUNTAIN ROAD CHUG|AK, ALASKA 99561 (e07) 406- 1 OsB DATE: 111112021 DRAWN: CLT SCALE: 1" = 5' PID:050-211-29 SHEET 3 OF 3 Dayna M. RumfeltREGISTEREDPROFESSIONALL A N D S U RVEYORNo. LS 13322NORTH11/18/21 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: OSP201501 Work Type: SepticTank Upgrade Tax Code Number: 05021129000 Site Legal Address: HERITAGE PARK BLK 1 LT 1 G:0055 Site Mailing Address: 10719 TRADITION AVE, Eagle River Owner: LAUGHLIN ANDREW & KAYE Design Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: Effective Date: Expiration Date ,cnt a �- G. f 1: epartIII ent Lot Size in Sq Ft: Total Bedrooms: 12/22/2020 12/22/2021 21560 ❑ 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: The water service line shall be professionally located to confirm minimum 10 ft separation to septic system. Water line routing shall be shown on final record drawings. V� Received By: Issued By: (Z Zz-2-D Date: Date: 1X 4 -fe-& 4 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201501, Rebecca Carroll, 12/22/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201501, Rebecca Carroll, 12/22/20 · ~,~ , 't,,~j MUNICIPALITY OF ANCHORAGE ~ / O,.,.~['~,-~",~'~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~t~.-?'?."?~'l~(!;~r ~" ENVIRONMENTAL ENGINEERING DIVISION .,:~z~' 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE MAILING ADDRESS k~L ~IPTlO~ "~ DISTANCE TO: Well ff Absor~io~r Dwelling2 2 FI PERMIT NO. ~ ~= Manufacturer/'~ ~ ~ Materi~ ~ ~ ~o. o, com~art~nts Uq. c~oaciw in ~allons Inside Ion~th ~idth ~iquid depth ' I~O IF HOME.DE: ~ DISTANCE TO: Well ~ Dwelling PERMITNO. ~ ~ ~ Manufacturer~ ~ Material Uquid capacity in D ~ell ~ Foundation ~earest lot tine ~ ~[8~lT ~0. ~ ~ DISTA~C[ TO: --~=~ No. oflines Lengthof~chl~ez~ U. Totall~gof,~. TrenchwC¢ inches Distance between lines ~/~ "~ Top of tile to finish grade ~ ~.~ Material beneath tile ~ inches Totaleffectiv~3tion Length Width Depth PERMIT NO. ~ N Type of crib Crib diameter Crib depth Total effective absorption area ~ Well B~ilding foundation Nearest lot line ~ DISTANCE TO: j Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS- I / ~ ~ ~ SOIL TEST RATIN~ ~ ~ ~ ~ iNSTALLER REMARKS ~0~ -~'"~ ~" ":(_ ~, t.) k ~. ..., ,. ,.~ APPROVED DATE LEGAL 72-013 (Rev. 3/78) Permit ~ ~/~)~2 ~ Applicant: ~3'~ ~ )~;~)~L) Location: Department, 'f Health and Environmenta: '?rotection 825'>~' Street, Anchorage, AK. k~9501 264-4720 * * * HANDWRITTEN PERMIT * * * ~ ON-SITE SEWER PERMIT Mailing Address: Phone Number: Legal Description: /~ ~ / ./,~/,~/ ~ ~/~?-/~ ~/~' ~Lot Size: ~/'~- Type of Soil Absorption System Is: Trench: /Drainfield: Seepage Bed: __ Holding Tank: Maximum Number of Bedrooms: ~___ Soil Rating(sq.ft/br) ~ The Required Size of the Soil Absorption System Is: DEPTH [~ ~ LENGTH ~,<~'/ GRAVEL DEPTH ~>'/ WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~-c~) GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departmen~ will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee~ for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may~quire enlargement if the residence is remodeled to include more tha~ 3~ bedrooms. ~ Signe~: Issued by ~z~ App lc~-~nt' Date: UL~/~-~ >//~ ~j ' SWP/024(1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROfEC'flON 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST LOG PERCOLATION TEST DATE Pe~roRmeo: ./~///~'/~-'~ 5- 6 7 8 9 ~---, 10 11 12 13- ~ 14 15 16 17 18' 20'" COMMENTs SLOPE WAS GROUND WATER S ENCOUNTERED? kO L P E IF YES, AT WHAT DEPTH? SITE PLAN Reading Data Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND CERTIFIED BY: 72-008 (6/79) MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING /J-em(-~V¢.4. Pacr'~' ,5/0 Telephone: (home) ~¢ q-'7~8~ Business Telephone Location (address or directions) (b) Property owner Mailing Address IO?1~ (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address ~ 00 6:~ ~ " ~. Telephone ~ ~ - 7K~ echo_7 ~rrl n ~_ (e) Mail the HAA to the following address: (or check here [], if hold for pick up.) List contact person and day phone number below: '7-ec-Z ,=,," C4*'U 5' ¥'5-- 2. TYPE OF RESIDENCE Single-Family [~ Number of bedrooms ~ 3. WATER SUPPLY Individual Well [] Community [] Public [] Note:.lf community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5, ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, Iverifythat my investigation of th is 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 of Firm Address / Date Seal Approved Disapproved Conditional Terms of Conditional Approval~ .,~l . ,/L/~ff/,~Z;~.~'-~ The MunicipalityofAnchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHSdonotconductinspections or analyze data before a certificate is issued. The MunicipalityofAnchorageisnot responsibleforerrorsoromissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELL~~ WelJ Classification ~ ~ ~ ~ Well Log Present (Y/N) Torsi Depth Ossed to ~t~tio Wster Level C~sing Height Above ~round Electric81 Wiring in Conduit (WN) ~EPARATION DISTANCES FRO~ WELL: To ~eptio/HoldJng Tank on Lot To Nesrest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water S~mple Collected by Wster Ssmple Test ~esult8 Comments ~ ~ ~o~ MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: L Date Completed Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date SEPTIC/HOLDING TANK DATA Datelnstalled IIl~'~ Size 125'o ~, No. of Compartments ~- Standpipes (Y/N) ',/ES Air-tight Caps (Y/N) Depression over Tank (Y/N) NO Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) N,/~. Foundation Cleanout (Y/N) Date Last Pumped zC~/ZS//~o ;for I~, Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ltl, A. To Property Line ~ $O ~ To Water Main/Service Line ~ /'/'-~ ¢ To Stream, Pond, Lake or Major Drainage Course To Building Foundation 20' F,~o~ C.O. To Disposal Field Comments 72-028 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Abso[ption Strata Date Installed II/~:~ Width of Field S ' / Square Feet of Absortion Area ,:~(~O ¢/ Depression over Field (Y/N) No Results of Last Adequacy Test ,4 ~¢ q.~,~(-¢ :~,/* SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ^/~/~, To Building Foundation 21' F~ot4 C..o, Lot ~J,/~. To Water Main/Service Line ~ ~' ' To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area z2'/~'P/~Pt Type of System Design Length of Field ,~ 8 Depth of Field Gravel Bed Thickness Stagndpipes Present (Y/N) Date of Last Adequacy Test <~/~z//,~O ! To Property Line ~ /~ To Existing or Abandoned System on / ; On Adioining Lots S'~ To Cutback (if present) N,~, ~ 1oo Comments D. LIFT STATION NONE Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guid~l~r~s._in effect on the date of this inspection. ~ O~ Signed ~~ ~ ~ .~ ~C~ o. l~ ...................... ~...~ Engineers Seal MOA No. ~0 -Ol~ ~ ............. ~'"~ ~ ~:'~ ,.IHEODORE F. MOORE., Receipt No. D,5 -' ~ ~ ~9-0 ~ ~/' o - Receipt No. Date of Payment -¢'/70~--"'-- ,**~ Waiver Fee: $ Amount: $ ¢ -/~ -¢O Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 1. General Infcrmaticn Applicaticn Date -~--9~'~7~ _~ (a) Legal E~cripti_cn (inc]X~e lot~/block, s~vi.s}on., section, to, reship, rarx]e) i~ ( ~ess or irec ~ ~/ / ~-~ ~ (e) Appi. ieant is' (check o~) ~ding Institution ~ ~ ~r~il~%~ (d) ~nding Institution ~/-.~.~,~ (e) Address Real Estate Co. & Agent Address Te lephor~ 2. Tyt>e of Residence S ing le-Famil~.~ Nur~e~ of ~ed~c~ 3. Water Supply_ Well~ Individual ,.Multi-Family OtJ]e~ (describe.) Commu n ity/~---~ Public Note: If community ~11 system, must have w~itte..n confir~ticn from ~-2'.e State Depa~r~nt cf k%nvir©p~rental Conservation attesting to the legalihy arid status. Is the ~11 adequate fo~ the nuu~er of bedrccr~s specified in this HAA (Y/~) Se wao_q~_e Disposal Onsite[~ ~blic L----~ Comnunity ~, Holding ?ank Is the wastewater dis~sa! system adequate [Page 1 of 2] St Engineering Firm'Providin~ Inspections ~ Tests, Data and Infocmation I oertify that I have~ecked, verified, or conformed to all MOA HAA Guidelines ~ effect on the da(~ Of x~/.~ _inspectioq? Name of Firm (ENGINEER SEAL) Disapproved[---1 6. DHEP Approval Approved fore Approved ~ ' Terms of Conditional Approval The Municipality of Anchorage Department of Health and Envircr~entat Protection not guarantee the continued satisfactory perforr~-~nce of the wate~ supply and/ct wastewater disposal system. This approval indicates that, as of the validation shcwn e~c%~a, b~sed cn the data and information furnished by an engir~.~er registere the State of Alaska, the vrater supply and wastewater disposal system is safe a?.d tional fo~- tha numbe~ of bedrocks and type of struct,J~e indicated. ( DHEP SFJM3) 7. Mail the HAA to the fol!cwing address: KB2/d5/s [Page 2 of 2] 2-15-84 Well Classification : We.il .Log P~esent (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Neacest Public Sewer Line Cleanout/Manhole Water Sample Collected By Water Sample Test He~ults Cc~ents MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY OF HEALT~ AUTHORITY APPROVAL (HAA) DEPT. OF H~ALTH & ENVIRONMENTAL PROTECTION CHECKLIST - FEBRUARY 1984 · .REC ED If~.B, c~ C, D.E.C. Approve~/~: Date Completed Yield Depth of Grouting_ Pump Set At Sanitary Seal on Casing (.Y/N) Depression A~ound Wellhead (Y,/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on LOt ; Date Bt SEPTIC/J~B~G TANK [1ATA Date Installg~ /~; /~ Si~ /2~ No. of C~nts ' ~ Standpi~s ~Ta~ ~p~ation Distan~s ~ ~ptic~olding Ta~: To Water-Supply ~!1 ~/~/~ To ~ilding F~ndation ~ ~ To P~ope~ty Line _ J~) TO Water Main/Service Line Course To Disposal Field /~Z ? TO Stream, Pond, Lake, c~ Major D~ainage [Page 1 of 2] 2-15~84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~ Date Installed //~/~d~ /~.~ Width of Field ~ // Square Feet of Absorption~ea /..I Depression over Field (~ Results of Last Adequacy Test Type of System Dosign, Length of Field ~ Depth of Field °/~ Gravel Bed Thickness ~,~ Standpipos P~esen~ Date of Last Ad~=quacy Test /t/~? ~c/ Separation Distanoo f~omAbsorption Field: To Water-Supply Well~l~/t)~ To P~ope~ty Line To Building Foundation ~.~ / ! To Existing or Abandoned System cn Lot /~//-~ ; On Adjoining Lots ~ ~t~/ To Water .Main/Service Line /~ ~ To Cutback(if present) ' To Stream/Pond/Lake/c~ Majo~ D~ainage CooL, se /C/~ ~- To D~iveway, Parking A~ea, c~ Vehicle Storage A~ea //%3 /~ Co, rents D. LIFT STATION Date Installed , / ~ ~ ~ Dimensions Size in Gallons ///b/ //¥_~Manhole/Access (Y/N) "Pump On" Level at V l/ ~J "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested fo~ Pumping Cycles du~ing Adequacy Test. Electrical Codes (Y/N) Comments ~ets MOA ,., ** Check Permitted Bedroom Rating Against HAL IR~qUest certify tha~ have checked, verified, o~ conformed to all MOA HAA Guidelines in effect ~'~o/.. ..... ~¥~, .~ ....... M~A ~O. ~ ~ . ~ .... ..... KB1/dB/s ..,.~':,, ~ _,. ~ :-',~ [Pa 2 of 2] 2-15-84 DEPT. OF ENVIRONMENTAL CONSERVATION SOUTHCENTRAL REGIONAL OFFICE 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR Telephone: (907) Address: 274-2533 To Whom It May Concern: According to records on'file in this office the ~~~ ~Lkg[l~O~%!6~ Water System is in compliance with the State Drinking Water Regulations. Sincerely,