HomeMy WebLinkAboutBRUIN PARK BLK 4 LT 22Onsite File
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i
771
Municipality of Anchorage
On-Site Water and Wastewater Program - (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP201222 PID Number: 016-101-16
Dwelling: [9 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ®❑ New ❑ Upgrade
Name:
Darryl & Joyce Matthews
ABSORPTION FIELD
❑ Deep Trench A Shallow Trench ❑ Bed ❑ Mound
Address
11140 Polar Drive Anchorage, AK 99516
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
602-6808
Four
1.2 GPD/SF
8.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.0 Ft.
Gravel depth beneath pipe
4.0 Ft.
Subdivision Block Lot
Bruin Park 4 22
Fill added above original grade
1.5 Ft.
Gravel length
50 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
500 Ft2
One
Ft.
Well
>100'
>100'
N/A
NSA
>25'
TANK E Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer
Capacity
1 1,250 Gal.
SurfaceWater
>100'
>100'
N/A
N/A
Material
Number of compartments
Lot Line
>5'
>10'
N/A
N/A
Plastic
Two
NA
Foundation
>10'
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
None
Noted
Gal.
Remarks
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
PIPE MATERIAL House to tank D3034 Tank to D3034
drainfield
Installer
Northern Excavation
Drainfield D3034 CO/MT
Inspector L. Tidwell
BENCH MARK (Assumed elevation) 100 ft
Inspeection 15' 9/14/20 9/15/20
Location and description
2nd
3rd 9/15/20 4'" 9/16/20
Top of Foundation.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
OF 14 �aoe
Conditional Approval: Date
"....°""°••:.5��
49th = ��
Eq.....
............aun.u....u................. .
=, MICHAEL E. ANDERSON
r w®
No CE-4381 =
elp o°°e 4/9/2021
Approved Date 7 13 2.012 1
FD P ••...
`w�...•.�P���
���®0%������
inspection Keport_a-i-iz.00c
PROFILE AS-BUILT
(NO SCALE)
94.3 ORIGINAL GRADE
50'
DRAINFIELD ROCKMT
TH#ANO GROUNDWATER 6/24/19
86.3
90.3 COCO80.3
86.3
90.3
PERMIT # OSP201222 PID # 016-101-16
BRUIN PARK, BLOCK 4, LOT 22
4/9/21
94.57
95.1
98.9FCOMH SV1250 GAL
SEPTIC TANK 2CO94.42
95.8 FINISH GRADE
® DOC CO dba
BILL 8c COLE
ULLIVAN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Joyce & Darryl Matthews
ADDRESS:
Bore Hole
Data
Depth
From
To
LEGAL DESCRIPTION Bruin Park Block 4 Lot 22
DATE: 7-17-20
0
2
Casing Stickup
PERMIT NUMBER: OSP201222 DATE OF ISSUE: 7-6-20
TAX IDENTIFICATION NUMBER 01610116000
Is well located at approved permit location: ®Yes [—]No
Method of Drilling: ®air rotary cable tool
Depth of Well: 180'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 180 feet
Liner type
Static Water Level: 75 feet
Recovery Rate 50+ ® gpm gph
Method of Testing Air
Well Intake Opening Type: ®open end ❑open hole
❑ Screened Start feet Stopped
❑ Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: ®yes Ono
Method of Disinfection: Chlorine 50 PPM
Comments:
2
4
Overburden
4
15
Sand w/ Some Gravel
15
28
Silty Sand & Gravel
28
72
Silt w/ Some Gravel
72
118
Tight Silty Sand & Gravel
118
126
Silty Sand & Gravel 1-2 GPM
126
159
Hardpan
159
168
Silty Sand &Gravel 6 GPM
168
174
Tight Silty Sand &Gravel
174
180
Sand & Gravel 50+ GPM
ER QUAL" TES I ING
ITt
- SZEL
Drillers
Name:
Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
DOC CO dba
t3tt_t. 8: COLE
,hoULLIVAN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 688-2759
www.suilivanwaterwells.com
Pump Installation L®g
Well Drilling Permit Number: SW OSP201222 Date of Issue 7-6-20
Parcel Identification Number: 01610116000
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Lot 3
i
i \ Lot 23
Lot 4
00 0• \ /
y ` \ Lot 24
Lot 5 / Lot 22 `\ \
34,732 S.F.(C) S S \
o
/ F /
8.1'x12.1 SHED �� � \
FENCE N ,�°g,
/ \ /
� r MANHOLE C \ /
LSEPTIC PIPES 4.0'x6.2'
COVERED ENTRY \
Lot 25
\
RETAINING INING O�� "D
Lot 21 \ \ \
°R98. WALL
NOTE: THE RECORD DIMENSIONS ON THE PLAT DO NOT MATHEMATICALLY CLOSE. / ^ose�°moo ?R.0,
—(R) = RECORD y \
—(C) = COMPUTED / PORCH C 1
OQ�` `-,
I � 1
PLOT PLAN AS BUILT X SCALE _ 1 _ 40' _ GRID SW 2633 Project No. 18-593 B5 WELL
11500 Daryl Avenue, Anchorage, Alaska 99515-3049 100' PROTECTIVE RADIUS
Lang & Associates, inc. (907) 522-6476 Phone 44 /
(907) 522-4625 Fax o400�
Professional Land Surveyors kenOlangsurvey.com � �.... A
tonathanOlangsurvey.com
I hereby certify that I have surveyed the following described property: OQ 49TH !! VV�
o EAST 5.15'(R) O
LOT 22, BLOCK 4, BRUIN PARK SUBDIVISION (PLAT No. P-2228) * O \ 1��
Anchorage Recording District, Alaska, and that the improvements situated thereon are""""""""" """ """'0
within the property lines and do not encroach onto the property adjacent thereto, that — —
no improvements on the property lying adjacent thereto encroach on the surveyed �'A ' KENNET.. G....N. ....�� \ /
premises and that there are no roadways, transmission lines or other visible p o
easements on said property except as indicated hereon. OQ s -7 tit
Z
. J Q
Dated this the _ � _ Day of __'1U 2•-o Z I , at Anchorage, Alaska 40 FEAR NOS
4",\0 OFfSSIONAN-
It is the responsibility of the owner to determine the existence of any easements, O�ppOoa�
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
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 Water & Wastewater System Permit
Permit Number: OSP201222 Effective Date:
Work Type: WellSeptic Renewal Expiration Date:
Tax Code Number: 01610116000
Site Legal Address: BRUIN PARK BLK 4 LT 22 G:2633
Site Mailing Address: 11128 POLAR DR, APT, Anchorage
Owner: MATTHEWS DARRYL & JOYCE
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Depai-tment
7/6/2020
7/6/2021
Lot Size in Sq Ft: 34250
Total Bedrooms: 4
Q 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: Date: /
Issued By: Date: 7 6 a�20
lit 7,4 25 X813' 1171106./20 il?a3;'Pj
II?� tlaj_1.1Sep ;.jr c?iis {:jfl�,o-c
MUHMPA UTY OF A HC OR OIC
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. (D ( (p " ( O
Property owner(s) I �t �k / �, c e i11L7�'�I//`Pn.c 05 Day phone Cp (� Z -59
Mailing address ( l I'-(l� 4�r� cr r �� (' ul�e. i,—I1� Gl0 c�� ) k 995/
Site address— ill a)O Pn iii r D r- i v`E y4n C L �/ 9 S / ce
Legal description (Sub'd., Block & Lot) F3 r(A 1 n PG C Ls , 8 ) 0 C-1< 1-4 Lo a
Legal description (Township, Range & Section)
Lot Size,345D Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
(® all that apply)
Absorption Field
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well
Water Storage
❑
APPLICATION IS AN:
Initial
❑
Upgrade
❑
Renewal
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
TYPE OF DWELLING:
Single Family (SF)
(w/wo ADU)
Duplex (D) ❑
Multiple Dwellings ❑
(SF and/or D)
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
property owner or autnonzea agent
Permit/Rush Fees:
08.757 Waiver Fees:
Date of Payment: V Y11ILD
Receipt Number: CU -# k?3 ecu s
18
Permit No. GSPao 1 Z? 2
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client ForrnsTerrnit Application.doc
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7964 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP191268
Work Type: WellSeptic Initial
Tax Code Number: 01610116000
Site Legal Address: BRUIN PARK BLK 4 LT 22 G:2633
Site Mailing Address: 11130 POLAR DR, Anchorage
Owner: MATTHEWS DARRYL & JOYCE
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
0 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms:
c ell t
1
1}epa rtment
7/5/2019
7/4/2020
34250
Q 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: 16
ho9
Date: 7 S
4
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 016-101-16
Property owner(s) Darryl and Joyce Matthews Day phone
Mailing address 11140 Polar Drive Anchorage, AK 99516
Site address 11130 Polar Drive Anchorage, AK
Legal description (Sub'd., Block & Lot) Bruin Park, Block 4, Lot Z
Legal description (Township, Range & Section)
Lot Size 34,250 Sq. Ft. Number of Bedrooms
Four
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
Q
Initial 0
Single Family (SF) ❑X
Septic Tank
Q
Upgrade ❑
(w/wo ADU)
(D) E]
Holding Tank
❑
Renewal F-1Duplex
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this isj in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: q, ya o
Date of Payment: _1� % l9
Receipt Number: 6&61 ?4)
Permit No. 4) 5,0/c? 1.16'y
Permit App_-'- : • ...,c
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
PO BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
July 5, 2019
MOA Development Services Dept, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Bruin Park, Block 4, Lot 22 – 11130 Polar Drive
Septic System Design
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 4-bedroom home on the property. We are submitting
this permit application for the construction of a new well and septic system. The attached site plan
identifies the location of the home and the proposed well, septic location and alternate site. No
conflicts exist between this proposed system and any other well or septic system on this lot or
adjacent lots.
The ground surface on the lot slopes gently to the south in the area of the proposed absorption
trench. There may be slopes greater than 25% within 50 feet downslope of the absorption trenches.
The trenches have been designed to meet the requirements of the steep slope provision of the
ordinance and no waiver is required. Ground surface contours are shown on the site plan indicating
the grade and direction of flow. Storm water drainage will not impact this septic system. The new
trenches will be constructed parallel to the slope as much as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all
wells and surface water, and more than 5’ away from the septic tank.
Please refer to the attached test hole log and plan and profile sheets for the septic design. If this
design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Michael E. Anderson, PE
7/5/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191268, Rebecca Carroll, 07/05/19
255
2 60
250
245
265ALTERNATE SITE
FCO
10050 0
FEET
1"=50'
50' LONG x 5' WIDE x 4' EFFECTIVE
DEPTH ABSORPTION TRENCH
4-BDRM HOME
NOTE:
NO SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
CO
BRUIN PARK, BLOCK 4, LOT 22
SLOPES > 25%
SLOPES > 46%
POLAR DRIVE
6/27/19
A
L
L
E
YALLEY
PT1
THA
PT2
1,250 GALLON SEPTIC
TANK w/20" MANWAY
2CO
CO MT
SV MH
PROPOSED WELL
EXISTING WELL
NOTE:
WELL MUST BE A MINIMUM OF 25' FROM
ANY FOOTING DRAIN SEGMENT.
EXISTING SEPTIC
AREA
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191268, Rebecca Carroll, 07/05/19
BRUIN PARK, BLOCK 4, LOT 22
DESIGN FACTORS: SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 1.5 MIN/IN
APPLICATION RATE: 1.2 GPD/SF
5' WIDE 4' EFFECTIVE TRENCH
1,250-GALLON SEPTIC TANK
TYPICAL TRENCH SECTION
(NO SCALE)
4" PERFORATED PVC (HOLES DOWN)
DRAINFIELD ROCK
5'
6"
6"
3.5'
4'
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
BOTTOM OF TRENCH: 8' BELOW GRADE
FLOW LINE ELEVATION:4' BELOW GRADE
TOP OF TRENCH: .5' ABOVE GRADE
600 GPD / 1.2 GPD/SF /5' WIDE * .5 RED. FACTOR = 50 LF TRENCH REQUIRED (50 LF SPECIFIED)
6/27/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191268, Rebecca Carroll, 07/05/19
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:
PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
TECHNICIAN:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(feet)
PROJECT No.:
TEST HOLE A
SLOPE
SLOPE
SITE PLAN
See Site Plan
DATE READING GROSS TIME
(minutes)
NET TIME
(minutes)
DEPTH to
WATER NET DROP
TEST HOLE PRESOAKED PRIOR TO TESTING:
PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH)
TEST RUN BETWEEN: FT. and FT.
COMMENTS:
(inches)(inches)
BRUIN PARK B4 L22
6/12/18
J. Millette
DATE OF MONITORING:
WAS GROUND WATER ENCOUNTERED?
DEPTH OF WATER AFTER MONITORING:
IF YES @ WHAT DEPTH?
NO
-
NONE
1.5 6
4 5
016-101-16
Darryl MATTHEWS
10:30 / 10:36
6/12
1
2
3
4
5
6
8:30
9:00
9:03
5 14
16 / 11 14
16
5 14
16 / 11 14
1610:37 / 10:46
10:47 / 10:56
10:57 / 11:06
11:07 / 11:16
11:17 / 11:26
1' OB
SM (FINE SAND)
6/24/19
Professional Engineers Stamp:
6/27/19
GP (SANDY GRAVEL)
PERK TEST #1
6:00
9:02
9:00
5 14
16 / 11 14
16
5 14
16 / 11 14
16
5 14
16 / 11 14
16
5 14
16 / 11 14
16
6 0
16
6 0
16
6 0
16
6 0
16
6 0
16
6 0
16
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191268, Rebecca Carroll, 07/05/19
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:
PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
TECHNICIAN:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(feet)
PROJECT No.:
PERC # 2
SLOPE
SLOPE
SITE PLAN
See Site Plan
DATE READING GROSS TIME
(minutes)
NET TIME
(minutes)
DEPTH to
WATER NET DROP
TEST HOLE PRESOAKED PRIOR TO TESTING:
PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH)
TEST RUN BETWEEN: FT. and FT.
COMMENTS:
(inches)(inches)
BRUIN PARK B4 L22
6/12/18
J. Millette
DATE OF MONITORING:
WAS GROUND WATER ENCOUNTERED?
DEPTH OF WATER AFTER MONITORING:
IF YES @ WHAT DEPTH?
NO
-
-
<1 6
3 4
016-101-16
Darryl MATTHEWS
11:20 / 11:20
6/12
1
2
3
4
5
6
4 0
16 / 10 0
16
4 0
16 / 10 0
1611:21 / 11:21
11:22 / 11:22
-
Professional Engineers Stamp:
6/27/19
<10 sec 6 0
16
6 0
16
6 0
16
6 0
16
6 0
16
6 0
16
11:23 / 11:23
11:24 / 11:24
11:25 / 11:25
<10 sec
<10 sec
<10 sec
<10 sec
<10 sec
4 0
16 / 10 0
16
4 0
16 / 10 0
16
4 0
16 / 10 0
16
4 0
16 / 10 0
16
ABSORPTION TRENCH TO BE CONSTRUCTED BELOW THIS LAYER.
GP
SM
SANDY GRAVEL
FINE SAND
ORGANICS
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191268, Rebecca Carroll, 07/05/19
CAS~
Performed For Z~ e'~l,-A/'~/-.~ 5~/~/'~'/~ei//ll,~- Dote Performed~.~../ ,T'~
Legal Deeorlption lot .~;2../~BIk. /~ Subdivl,ion .~::~'c~/~u'
Thle Form Report, a' Soil, log ~ i>ercoloflon Te,f
Sec. .Z.~ T /.2._A/ R :~ ~,v/_' Mer. H,./~'I,
gall Charo~=ferlsflc, Location SI<etch
roe .so,.! - Pea'f-
G vg' - g fa.,-/-
,~
Wac ground Water Encountered?
It Yes, At What Depth
Profile
Depth
fee
2 ,
4~
6 .
8 ,
I0~
/~ ,
/ ~; ---
Profile
I
Reading Date eros, Time Net Time Depth To H20 Net Drop
)eraolatlon Rate I"/ Minute
Propoeed Initallatlon' Seepage Pit Drain Field
Depth of Inlet. Depth To Bottom of ~it or trench
Commente:.