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HomeMy WebLinkAboutBRUIN PARK BLK 4 LT 22Onsite File z 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:.