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HomeMy WebLinkAboutBRUIN PARK BLK 4 LT 9Onsite File Bruin Park Block 4 Lot 9 #016-111-47 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211195 PID Number: 016-111-47 Dwelling: © Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New © Upgrade Name AQRPTION FIELD David Neal D Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address❑ 11131 Forest Drive Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 /SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original e Gravel depth beneath pipe Ft. Subdivision Block Lot Bruin Park 4 9 Fill added above original grade G71 1 length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist e between lines Ft. SEPARATION DISTANCES Tof Septic ` AbsorptionHolding Lift Station Sewer Total absorption area Number of trenches Dist between t ches From Tank I Field Tank Line Ftp Well { ' 67'* TANK. IZ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Infiltrator Capacity 1000 Gal. I Surface Water1001+ I Material Plastic Number of compartments 2 Lot Line 55+ I NA 101+ I tffqFoundation ATION Manufacturer Capacity Gal. Remarks *Waiver WR930046 reissued 7/9/21 allows 651+ Well to Tank Seperation Alarm location Electra Ilad by PIPE MATERIAL House to tank Tank to D3034 drainrield D3034 Installer ACES Drainfield CO/MT D3034 Inspector Arcterra Consulting BENCH MARK (Assumed elevation) 100 ft Inspection n 1 Location and description dates: 8/9/21_ 2nd 8/10/21 3n' 8/10/21 4" 8/12/21 Garage Door foundation ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp �& 1144� Ai E T 44� Conditional Approval: Date., I, 49 49111 VKENNM FUS/Lva EiH CE -- 1` ����F Septic System ApprovedDate /� /$ �b,21 Note: this approval does not include well permit requirements. 4�1111 E� (Rev 05/02/18) AS -BUILT SYSTEM DETAILS/SITE PLAN Permit 0SP211195 BRUIN PARK BLOCK 4 LOT 9 PID# 016-111-47 O A -C=35.6' B -C=41.8' A -D=36,8' B -D=43.0' A -E=402' B -E=46.1' A -F=45.3' B -F=50.9' 0 1 0 .11 A/ EXISTING , E X G /V -1, ,A BED (GA 0 PARKING SCALEi NTS OF_AL4, illor 4 pf C:?'49 Tl,* ol 0 KENNETH s 0 CE -7A, AV PESSI011 -dor RMWO NG PREPARED FOR: DAVID NEAL 11131 FOREST DRIVE ANCHORAGE, AK 99516 FIELD BOOKS BOUNDARY. N /A STA"G: N/A ASBUILT. DWG. RLE: ACAS ME* FILE Compulm: DRAYN: KSQ CHECKED: KMD DAM 8/17/ GRID: SW26' JOB No' 21040 SCALE, 1' = 30' SCALD NTS ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF; BRUIN PARK SUBDIVISION 5/8" REBAR LOT 9 BLOCK 4 PLAT P-2228 S' SURVEY CERTIFICATE: I. John L. Schuller Have conducted a •� O F. , A�Xxx`® �.. • • ....� ® �� LANA, Tl physical survey of this property as shown on this drawing and that the / � , � � Q� As� improvements situated hereon are within the property lines and no� enchroachments exist other than noted. Under no circumstance should / .• STH '• ` ,..� �. '. 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 ?jy - •.JOHN L. SCHU R.• Q / . the existence of any easements, covenants, or restrictions which LS -10408 / ;• . . do not appear on the recorded subdivision plat. /--�. -"• �,, • . , . • / 1831 Talkeetna Street WORK ORDER NUMBER: DA: SCALE:_ E—MAIL �• �, ;�' Anchorage, Alaska 99548 iE SEPT 27, 2021 1 =3Q schuller®ak.net � �r o ,�„ _.e DRAWN BY: CHECKED BY GRID NUMBER: BOOK/PAGE: Q f e c,� l- .��► (907) 227--1455 office 21 141 � sslon �►, JLS SW2633 210321 (907) 274-4992 fax 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: OSP211195 Work Type: SepticTank Upgrade Tax Code Number: 01611147000 Site Legal Address: BRUIN PARK BLK 4 LT 9 G:2633 Site Mailing Address: 11131 FOREST DR, Anchorage Owner: NEAL DAVID E & ORAWAN K Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date Expiration Date o t S Q � r DeI)artinent Lot Size in Sq Ft: Total Bedrooms: 7/9/2021 7/9/2022 20000 ❑ 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 Received By: Issued By: Date: Date: Z' !�'E A ( 3 Municipality ®f Anchorage Ur. �rtrtment P.O. Box 196650 a 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 * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: WR930046 updated COSA# PID#: 016-111-47 Legal Description: Bruin Park Bilk 4 Lt 9 Engineer: ArcTerra Permit#: OSP211195 Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 65.0 feet. This waiver is a reissuance of the 1993 waiver for the new proposed tank. This waiver approval applies to the proposed septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: ZZq I Approved by: ame of Reviewe **** VARIAN C E/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Development Services Department ' ' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I. D. 016-111-47 Property owner(s) ON-SITE SEPTIC/WELL PERMIT APPLICATION David Neal Mailing address 11131 Forest Dr. Anchorage, AK Site address 11131 Forest Dr. Anchorage, AK Legal description (Sub'd., Block & Lot) Bruin Park Block 4 Lot 9 Legal description (Township, Range & Section) Day phone Lot Size 20,000 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank 0 Upgrade ® Duplex (D) ElHolding Tank ElRenewal ❑ 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. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: $� 2-2-5 Waiver Fees: Date of Payment: ( Z�/Z ( Date of Payment: Receipt Number: Receipt Number: Permit No. ('� PZ_ 1119 5 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211195, Deb Wockenfuss, 07/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211195, Deb Wockenfuss, 07/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211195, Deb Wockenfuss, 07/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211195, Deb Wockenfuss, 07/09/21 Municipality of Anchorage Page 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 Permit Number: '~'~,~ q ~4::~ ;;z.~ J PID Number: ~.oJ ~¢ ) ~ N~m~:Wastewater System: ~ New ~Upgrade Address: ABSORPTION FIELD Phone: ~ No. of Bedrooms: ~ ~ Deep Trench ~ShallowTrench~ed QMound QOther I DESCRIPTION SoitRating: ~ ~/~ Total Depth from original gr ~ Su~divisio~ , Depth to pipe bottom from original ~ra~ Lot: ~ Bi°ck: ~ ~'~ -l~~.~: Ft. Gravel depth beneath pipe Township: I Range; [Section: Fill added above original grade: ~ Gravel length: ~- Ft. ~Z Ft. Number lines: ~Oistance between lines: WELL: Q New ~ Upgrade Gravel width: ~J Ft. ~ f Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level:Ft. Installer;~~ Date installed: SEPARATIONDISTANCES ~Septic ~ Holding U S.T.E.P. To Septic Absorption Lif~ Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~C~ ~ ~/~ ~ Well ~'~ ~/~ ~1+ Material~ ~~ Number of Compartments: Surface LIFT STATI O~~ Lot~1 ~1~ -- ~ Sizeingall°ns: IManufacture~ ¢ "Pump on" level a~ump off" level at: ~ High water alarm at: Foundation ~ ~ J ~ ~ -- I Curtain Drain ~ ~,~.~ ~~ ~ Pump~odel ~Electricallnspectionsporformedby: Remarks: BENCH MARK ~ Location and Description: I Assumed Elevation: I O~ Ft. ENGINEER'8 SEAL Inspections performed by: Dates:2 ~~,"~~~'""~ Department of Health and H'uma approval ~~~:~:~~~:.,, Reviewed and 72-013 (Rev. 9/91) MOA 25 Permit No. SW950581 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 BRUIN PARK, BLOCK 4, LOT 9 Legal Description: PID No.:01611147 C01 I ooo ~ SEPTIC TANK CO /--INSULATION N.T.S. *PER WAIVER #WR950046 100' WELL RADIUS SCALE f' = 40' 72-013 A (2/91) MOA 25 MT1 MT2 CO3 99'7' / o FILTER FABRIC---....~ o ~ o" w,' I --FINAL: GRADE · 89' IMPERMEABLE SOILS (NO WATER FOUND) NEW 1000 SEPTIC TANK BED C02 L/NE o WELL CO 1 36 44 C02 59 59 C03 60,5 46.5 MT1 47.5 45.5 MT2 69 57.5 ;SEAL PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930381 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:NEAL DAVID E OWNER ADDRESS:ill31 FOREST DR ANCHORAGE, ALASKA 99516 DATE ISSUED: 9/22/93 EXPIRATION DATE: 9/22/94 PARCEL ID:01611147 LEGAL DESCRIPTION: BRUIN PARK BLK 4 LT 9 LOT SIZE: 20000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: C)/( ~o~ O~'"~R HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SIrE PI ANS ROAD DESIGN SOIL TEST PERCOLATION ]-EST STRUCTt)RAI & MECHANICAL INSPECTIONS ON SITE WASTE WAIER DISPOSAL SYSTEM DESIGN July 21, 1993 ROBER1 SI IAFER, P.IE. R(')GER SHAt:¥:R, CIVil. ENGINF!F RS (907) 694.-2979 FAX 694-121 I Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 9, Block 4, Bruin Park Subdivision 11131 Forest Drive Request you issue a permit to upgrade the septic system serving the referenced property, AND grant a waiver for the horizontal separation distance between: (1) The well serving the referenced property and proposed septic tank and leachfield at 65 feet and 69 feet respectively. (2) The well serving the referenced property and the crib serving the adjacent Lot 10 at 90 feet. A test hole was excavated and a percolation test performed in the area of the propose septic system. The approximate location of the test hole is shown on the attached site plan. The monitoring tube within the hole has been checked and found to dry. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. A waiver of the separation distance down to 61 feet, 64 feet, and 90 feet should be granted for the following reasons: Water samples obtained and tested on November 2, 1990, and July 16, 1993, did not show any nitrates detected. This would indicate the well has not been influenced by the existing encroachments after 35 years. The proposed septic system is located down hill from the well, which would prevent any overflowing of the system to migrate in the direction of the well. The foundation of the house is directly between the proposed septic system and the well. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 9957/' Page Two Bruin Park Subdivision, Block 4, Lot 9 July 23, 1993 From the well logs on the neighboring properties it appears that there are confining brown clay, gray clay, and hard pan layers that will prevent a subsurface migration into the aquifer. The brown clay, gray clay and hard pan layers appear to be present from 0-25 & 29-40 feet, 60-97 feet, and 126-160 feet respectively. As can be seen from the soils log: there exists approximately 4 feet of well graded sandy gravel in which a 2 foot sand filter will be installed over, working as a filtration system, purifying the effluent, helping to prevent contamination of the aquifer. If you have any questions or require information, please contact us at 694-2979. / s/Lsu/lsu any additional ) Q 0 ':1-11.:10 ~J d/-I I¥1':1C~ 'S'I'N 0 "1- Oz 0 F ] ~w .rD / w w z w .~> z z o n,-Z z~<_o 3(]VMOd~ oz wo zo \ PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PER FORJ~fI~I1 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S DEPTH? p E Depth to Water Afte.[~_ ,1 _..~../~ Monitoring? ~ ~[ Date: Gross Net Depth to Net Reading Date Time Time Water Drop 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 PERCOLATION RATE ~-"'/ {minutes/inch) PERC HOLE DIAMETER PERFORMED I~Y& 5 ~r~GiNF. F.~i;4G ~/~------ ~.~ __,~~---~-CERTIFY THAT THIS TEST WAS PERFORMED ACCORDANCa ~ ~"~'~"~"~~~ECT ON THIS DATE. DATE: 72 008 (Rev 4/~gle River' Alaska 99577 Muni¢ pality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650 343-4744 September 14, 1993 Robert Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 9 Block 4 Bruin Park Subdivision Waiver Request #WR930046, PID #016-111-47 Dear Mr. Shafer: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are a private well to an on property septic tank of 65 feet; a private well to an on property leachfield of 69 feet; a private well on property to the crib serving the adjacent Lot 10 of 90 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services Concur: ~ On-site Services ljm:%6 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR930046 PID# 016-111-47 HA~ Date Received: July 29, 1993 Permit Legal Description: Lot 9 Block 4 Bruin Park Subdivision Engineer: Robert Sharer, P.E., S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River 99577 Applicant: David Neal Waiver Requested: Private well to on property septic tank of 65 feet Private well to on ~roperty leachfield of 69 feet; and Well on property to the crib serving the adjacentLot 10 of 90 feet. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: o 3. Other: Waiver is Granted: ~. Waiver is NOT Granted: List Conditions or Reasons for above: Rec ~: .~-i~1i Amount: $ ~c\~3,~ Date Paid: x/F£KX .I+?.o 15~ X =o(,f- I / 7./ /.¢ GREATER ANCttORAGE AREA BOROUGtt DEPARTMENT OF ENVIRONMENTAL QUALI'iY 3500 TUDOR liE)Ab ANCHORAGE, ALASK/\ !)9507 279-8686 DATE '~:CL:~VED~ INSPECT: TIME: REQUEST FOR APPROVAl. OF' INDIVIDUAL SEWER AND WATER FACILITIES FOR 1. APPROVAL REQUESTED BY' ADDRESS' .~'-'2 ,~ &~.," PHONE' _____ ~--/ 2. PROPERTY OWNER: ~F ~~"~ PHONE' 3 LEGAL DESCRIPTION [~ ~ ~ ~[ :'>'""': '~' " 4 TYPE FACILITY TO BE INSPECTED' "~!:* ' ¢ ~ ..... ET' NUMBER OF BEDROOMS' WELL DATA: B. DEPTH C. SIZE__ D. CONSTRUCTION BACTERIAL SENAGE DISPOSAL SYSTEM' A o APPROVAL REQUEST FOR SEWER & WATER FACil ITIES PAGE TWO SEEPAGE PIT DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTtt REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT C. WELL TO SEWER LINE D. WELL TO PROPERTY LINE E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK ~' G. FOUNDATION TO SEEPAGE PIT ...... H. SEEPAGE PIT TO PROPERTY LINE COMMENTS · APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. DISAPPROVED: DATE' GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 1%