HomeMy WebLinkAboutT15N R1W SEC 18 LT 6T15N R1W
Section 18
Lot 6
#051 -171 -1 2
At the time of a future upgrade, a
monitoring tube must be placed in the
existing field.
On-Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP131091 PID Number: 051-171-12
Dwelling:
/
Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New
//
Upgrade
Name:
AARON & BOBBI MASON
ABSORPTION FIELD
Address
19537 INLET VW. DRIVE, CHUGIAK, AK
❑Deep Trench .1
❑ Other
Shallow Trench ❑Bed ❑Mound
Phone
Number of Bedrooms
3
Soil Rating
0.6 GPD/SF
Total depth from original grade
7 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Gravel depth beneath pipe
Subdivision Block Lot
3 Ft.
4 Ft.
6
Fill added above original grade
Gravel length
Township Range Section
Var. -0.1 — 0.42 n.
76 Ft.
15N 1W 18
Gravel width
Beds: Number of Lines
Distance between lines
SEPARATION DISTANCES
5 Ft.
Ft.
To
From
Septic
Tank
Absorption
Field
Lift Station
Holding
Tank
Sewer
Line
Total absorption area
760 FTz
Number of trenches
2
Dist. between trenches
10+ Ft.
Well
100'+
100'+
100'+
-_
25'+
TANK Septic • S.T.E.P. • Holding • Other
Manufacturer
Capacity
Surface Water
100'+
100'+
100'+
--
Anchorage Tank
1000 Gal.
NA
Material
12 Gauge Steel
Number of compartments
2
Lot Line
5'+
101+
5'+
--
Foundation
5'+
10'+
5'+
--
LIFT STATION
Manufacturer
Capacity
Gal.
Curtain Drain
NA
*50'+
NA
--
Remarks Field & driveway insulated. S.T.
Pump on level at
Pump off level at
High water alarm at
decommissioned per code, MT installed in
in.
in.
in.
original field.
Pump make and model
Electrical Inspections performed by
Installer Northern Construction
PIPE MATERIAL House to tank D3034 dra rfejoo 03034
Drainfield D3034 CO/MT D3034
Inspector ARCTERRA
BENCH MARK (Assumed elevation) 100 n
Inspdateuti es16t 5/24/13 Zia 5/24/13
Location and description
3`" 5/25/13 4"
TOP OF RAP
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Conditional Approval: Date
!i• ' �l
Art
_. JAG .. '
�. D jet
Approved (Al fo-At—Date 6-s =13
T rQzz9� I$
//•
assto�'t� w
Inspection Report_9-1-12 copy 2.doc
AS -BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP131091
T15N RDA/ SEC18 LOT 6 PID# 051-171-12
WELL RADIUS
STAKED PRIOR TO
CONSTRUCTION
TH13-2
Ha,' 'ei,'2'
TBM
Q
�Z
J
SCALD 1130
0
CO
MT
fQO
NEW 1000
GAL. S.T.
A -C=13'
B -C=32'
A -D=17'
,B -D=35'
A -E=65'
<B -E=42'
• A -F=66'
m
`1B -F=441
A -G=81'
i B -G=59'
A -H=84'
• B -H=61'
Z
'P
N
99.57
0 CLEMSIBT
99.2
92.10")
MONITOR TUBE
FINAL GRADE
MONITOR TUBE.
91.84
FILTER FABRICN_
1000 GAL
SEPTIC
TANK
91,42') 091.40
SCALD NTS
C88.42b
(84.4j
SEWER ROCK
TRENCH 1
C88.4y
C84.4EX
c91.42)....„N
VARIESORIGINAL GRADE
___L
4 i`S.q OF ALS
CE -71166 W 4Ar
FES61014�die
'
/
•
38'+
ONITOR TUBE
92.5 FINAL GRADE
89,4f)
85.4D
FILTER FABRIC\ /
INSUATIRI
SEWER ROCK
TRENCH 2
PREPARED FOR:
38'
AARON & BDBBI MASON
19537 INLET VIEW DRIVE
CHUGIAK, AK 99567
FIELD BOOKS
BOUNDARY: ABC
STAKING REJ
ASBUILT: REJ
DBA;. FILE:
ACAs FILE 00
COMPUTED:
DRAM: BMW
CHECKED` KMD
MONITOR TUBE
C89.41y
85.41
VARIES
ORIGINAL GRADE
DATE` 5/29/13
GRID: NW1155
'IDB N° ` 13-131
On -Site Wastewater Disposal System Permit
Permit Number: OSP131091
Tax Code Number: 05117112000
Work Type: Septic
Permit Effective Dates: May 20, 2013
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
to May 20, 2014
Design Engineer: ARC TERRA CONSULTING INC
Subdivision: T15N R1W SEC 18
Site Legal Address: T15N R1W SEC 18 LT 6 G:1155
Owner/Address:
MASON AARON D & BOBBI S
19537 INLET VIEW DR CHUGIAK AK 995676628
Site Mailing Address: 19537 INLET VIEW DR, Chugiak
Lot Size in Sq Ft: 56192
Total Bedrooms: 3
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
COi revises 4-1e a aaL.,43eld a,.,.a s€$ �•>^k.
Date: 5 Z
Date: S
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-171-12
Property owner(s) Aaron & Bobbi Mason
Mailing address 19537 Inlet View Drive, Chugiak, AK 99567
Day phone
Site address 19537 Inlet View Drive, Chugiak, AK 99567
Legal description (Sub'd., Block & Lot) T15N R1 W SEC 18 LOT 6
Legal description (Township, Range & Section)
Lot Size 56192 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
(El all that apply)
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
APPLICATION IS AN:
Initial
Upgrade
Renewal
TYPE OF DWELLING:
Single Family (SF)
(w/wo ADU)
Duplex (D)
Multiple Dwellings
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(
gn ;yfr'- of property owner or authorized agent)
Permit/Rush Fees: '0
Date of Payment: 5--f3/i
Receipt Number: 015 (Po 3
Permit No. C5it° IM 01
Permit App_9-1-12.doc
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
psRCTERRy ¢
s
CONSULTING, INC
212 E. 51st Ave, Anchorage, AK. 99503
Office (907) 868-3791, Fax (907) 868-3793
CDS
ARC T ERRA
May 22, 2013
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Design Change - T15N R1W SEC 18 LOT 6
The previously submitted design has been modified to forgo the installation of a
S l'EP. An additional testhole was performed, which results are attached for your
review. The proposed upgrade will serve the existing 3 -bedroom house. We
propose to install two 38' long shallow trenches.
The property and adjacent lots are served by private water. There is no surface
water within 100' of the proposed system and there are no known curtain drains
within 50'. We do not expect there to be any adverse effect on adjacent lots by the
development of this system. If you have any questions, please contact me at 868-
3792 / FAX 868-3793.
Respectfully submitted,
ArcTerra Consulting, Inc.
Kenneth M. Duffus, P.E.
Attachments: Wastewater Absorption System Details /Site Plan
Soils Log/Percolation Test
20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793
COS
WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN
T15N R1W SEC18 LOT 6
FLAG PROPERTY LINES
WELL RADII & EASEMENTS
PRI❑R TO CONSTRUCTION
DESIGN DETAILS
3 BDRM X 150 GPD = 450 GPD
450 GPD/.60 GPD PER SQ. FT. (21 MIN/IN.)= 750 SQ. FT
(750 / 5' W x .5 RF (4' ED) = 75 FT. TRENCH
USE 2 TRENCHES - 38' (L) X 5' (W) X 4' (D)
Total depth of system Is 8' max from original grade.
Total depth of gravel below distribution pipe Is 4'.
NOTES:
1. INSTALL 1000 GAL SEPTIC TANK
& INSULATE TANK IF <4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL.
MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC...
z
N
I- NO PUBLIC WELLS WITHIN 200. OF
PROPOSED SYSTEM.
9 NO PRIVATE WELLS WITHIN 200' OF
2 PROPOSED SYSTEM EXCEPT AS NOTED.
`u NO SEPTIC SYSTEMS WITHIN 200. OF
M PROPOSED WELL EXCEPT AS NOTED.
2
Scale: 1"= 100'
PAGE 1 OF 2
PREPARED FOR:
AARON & BOBBI MASON
19537 INLET VIEW DRIVE
CHUGIAK, AK 99567
FIELD BOOKS
COMPUTW:
BOUNDARY: BOUNDARY
ORA
BMW
STAKING
STAKING
CHECKED
KMD
ASBUILT: DMS
DATE' 5/22/13
DWG. RLE
ID
NW1155
ACRD POE: FILE
JOB N°.: 13-131
gCTER
A*
a
°ii 041asil j
\ Ill/ :
4,0 CON
, ♦ O Ci.L
FR, AK. 99577 -�3
C01
WASTEWATER DISP❑SAL SYSTEM DETAILS
T15N R1W SEC18 LOT 6
z
1
E
N
a
DRIVE
CO
TH13-2
C
MT
4.o
MT
INSULATE SERVICE
LINE UNDER DRIVE
PER MOA REG/.
INSTALL MT
1u•
P,I•SnNG ---
A7E(0
C
0
x` DRIVE
R OVE EXISTING SEPTIC TANK '
PER CODE & INSTALL NEW 7
1000 GAL S.T. WTH FC0s
TH13-1
EXISTING
3 -BR HOUSE
NO SLOPES GREATER THAN 15% WITHIN 100' OF PROPOSED SYSTEM
INSTALL TRENCHES PARALLEL TO SLOPE CONTOURS
DESIGN BASED ON SURVEY PROVIDED BY CLIENT & PERFORMED BY
DUANE MARK SEWARD, RLS.
7, AgrArs.c) gy 440
1* 1 • TH AN *.
41 41111h-%!
CB -711i '�
SS1011P
Scale: 1"= 30'
PAGE 2 OF 2
PREPARED FOR:
AARON & BOBBI MASON
19537 INLET VIEW DRIVE
CHUGIAK, AK 99567
FIELD BOOKS
CONFINED:
fiCUNDARY: BOUNDARY
DRANH: BMW
STAKIN STAKING
E ED: KMD
ASHUILT: DMS
DATE' 5/22/13
DWG. FILE
GRID:
NW1155
AGA) FILE` FILE
Jae N' 13-131
gCTER*
//
1/flf..11,11
511))
bfGSLN�RR• AN. 99577';��
x
x
RCTER,5q
AncT MRRA
1 CONSULTING, INC
212 E. 51st Ave, Anchorage, AK. 99503
01 Office (907) 868-3791, Fax (907) 868-3793
001
SOILS PERCOLATION TEST
Performed for: Aaron & Bobbi Mason
Project:
Depth
(Feet)
"1. Ken � e
#, �'e CE 7 76. 44'�
'+e 9 . •-r.e./tt3e*We
dir
Date Performed: 05/17/2013
T15N R1W SEC 18 LOT 6
TEST HOLE # TH 13-2
16-
17-
18-
19-
ORG/OL
GM/sm
B.O.H.
HOLE PRESOAKED
20- PRIOR TO TESTING
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring?
Date? 5/24/2013
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
5/21/13
1:00
-
6"
-
2
1:30
30 min
4 8/16"
1 8/16"
3
*
1:31
-
6"
-
4
2:01
30 min
47/16"
1 9/16"
5
*
2:02
-
6"
-
6
2:32
30 min
48/16"
18/16"
7
8
9
10
11
12
*
Water
Added
Percolation Rate 20 (min/in) Pere Hole Diameter 6"
Test Run Between 3 feet and _4_ feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State
and Municipal guidelines in effect on this date.
tsEtCTE RRQ f
ARC T ERRA
CONSULTING, INC
212 E. 5 P1 Ave, Anchorage, AK. 99503
/ Office (907) 868-3791, Fax (907) 868-3793
SOILS PERCOLATION TEST
Performed for: Aaron & Bobbi Mason _ Date Performed:
Project:
Depth
(Feet)
T15N R1W SEC 18 LOT 6
15-
16-
17-
18-
19-
ORG/OL
GM/sm
B.O.H.
HOLE PRESOAKED
20- PRIOR TO TESTING
•
...0000.•...
co .0
la* 1499TN *
��...:. 11•HG •. 1100 •• • •.1
or ••••e•• 0011 • •
• Kem.elh M. i7u{i� p5t
,� 2g'• CE 7116 • ote
�'4 '°.j`S..7l`�,. e
�e,,p``°R°F/FESS se
04/30/20iroci mouse
TEST HOLE # TH 13-1
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO
Depth to water after monitoring? DRY
What depth? NA
Date? 5/7/2013
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
5/1/13
1:00
-
6"
-
2
1:30
30 min
46/16"
1 10/16"
3
*
1:31
-
6"
-
4
2:01
30 min
47/16"
19/16"
5
*
2:02
-
6"
-
6
2:32
30 min
47/16"
1 9/16"
7
8
9
10
11
12
*
Water
Added
Percolation Rate 19 (min/in) Perc Hole Diameter
Test Run Between
4 feet and 5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State
and Municipal guidelines in effect on this date.
Nov.24. 2009 12:45PM Garness Engineering Group: Ltd. No.7811 P. 2
•ir rix »;g .•
trf ifirb flriLLing 1Lng
`• • SULLIVAN WATER WELLS
•P. 0. SOK 277, DIU0IAK. ALASKA 00657 • TELEPHONE 61012760
OWNER OF LAND dean DEPTH OF WELL.
ADDRESS siz / Bay 4 *7 C/(J6 iq AC STATIC LEVEL OF WATER FT
:
/
•MUNICIPALITY
• 7 r
-.±.(1
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
NAME
gjtN2(w 04L (PHONE
mew
ID UPGRADE
MAILING ADDRESS
51 Sy. 7z I ,T
LEGAL DESCRIPTION -
%,SN Cite.) Snr it /74:.
LOCATION
NO. OF BEDROOMS
3
SEPTIC
TANK
DISTANCE TO:
Well
Absorption area
Dwelling
PERMIT NO.
Manufacturer
Mate
No. of compartmexts
Liq. c pacify in gallon
(000
IF HOMEMADE:
Inside length
Wi th
Liquid depth
6DISTANCE
J U'2
0 I � F
TO:
Well
Dwelling
PERMIT NO.
Manufacturer
Material
Lipuid capacity in gallons
TILE
DRAINFIELD
TRENCH
DISTANCE TO:
Well
Foundation
Nearest lot line
PERMIT NO. ;/67/i -
No. of lines /
Length of eaFh ling
Total length of liar,
Material beneath the
Trench width
inches
/
intes
Distance betwe ,r�
�7>
Total effective absorption area
9, lL
Top of tile to finish grade/' /
I 4-7
SEEPAGE
PIT
Length
Width
Depth
PERMIT NO. /
Type of crib
Crib diameter
Crib depth
Total effective absorption
area
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
CIa Ivr 1_N
��VV
Depth
Driller
Distance to lot line
PERMIT NO.
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption areas)
OTHER
PIPE MATERIALS
SOIL TEST RATING
20
1
INSTALLER
c
.
u
-
J�
k
REMARKS
0 CA -/—"C71)2
I
5
I
APPROVED DATE
l -r. l (G sC O .--El/
LEGAL
LEEGGAL
--/
72- (Rev. 3/78)
V
N -"IIF FN -11: a::_::B_ FF"ll_"'e C F• IF IIr-1a E-' ;F' F=='0CiIE::
DEPARTMENT Or. HEALTH AND F:NVIROr4MEN'rAL... BROT'EC:TIOI''J
825 `I....'' STREET: ANCHOAK. 99501264-47 20
l=0,11 c:' CPA r -.i ........ "-,; I ...N. FE FEN -"..N EE Far N " E;:' :: F ;: r
PERMIT NO. if. 810915 )
AF'F'L:I:CF91''11 r'J'R.P1AN C?IAL..
LOCATION
L_E:GAL-. T9_SN R1W SEC 18 LOT 6
SR BOX 729 9951,7
�.. Imo'siT
L 11„I-sa_no8``
LOT SIZE. 65340 SQUARE :F: FEET
_E.
TYPE OF SOIL ABSORPTION SYSTEM IS. TRENCH
MAXIMUM NUMBER OF BEDROOMS __ :. SOIL_ RATING (SO FT/BR) 220
THE: REQUIRED SIZE OF THE: SOIL_ AEI::C'R)TION SYSTEM IS:
EN E_: N=„ 1-1-1 == :.11... A_. E..._ E_ N" -J a_3...E... N....1-::::::: .,g..'E 1 Co” E' R " EE L._ N 'n EE E v" 111-1=:= 1N-_1 ::_
THE. LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINF1EU).
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE. SURFACE OF THE
GROUND AND THE F..r...OM OF THE EXCAVATION (IN FEE".
THERE 15 NO SET WIDTH FOR TRENCHES.
THE GRAVEL. DE:P1f-I IS THE, MINIMUM DEPTH OF GRAVEL.. BETWEEN THE OUTFALL PIPE
AND THE E3r....:1P1 OF THE EXCAVATION (IN FEET ).
IF-" N=:: a� ®F... 9 :1: R:: E = L=« N 'E: E = ._N.....N: a__ 8' IF -'F r -A F c::: :'_„ I :: " E:- : : y_ Fa F :a E::A A.: F-- a N.--... L-... Cu N^A S
PERMIT APPLICANT f-tRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS CTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THF'IT THE WELL WILL... SERVE.
--._.. _._... ...- 1-- LAI (31 ,r :LL -° `» TL N"-'1 - F' F._" N_: ILA F 1 - Fl FR: EE N . EE: C F_F Jt E:':" E ' N :::n _.-.
BACF::F'TLLING OF ANY SYSTEM WITHOUT FINAL. INSPECTION AND APF'F:CI'VAL... BY THIS.
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE: BETWEEN FI WELL.. AND ANY ON-SITE SEWAGE: DISPOSAL _?'r'SrEM IS
100 FEET FOR A PRIVATE WELL (1F: :1J50 TO 200 FEET FROM A F'LIBL.1' WELL DEPENDING
UPON THE TYRE OF PUBLIC WE:L..L...
MINIMUM DISTANCE FROM A PRIVATE F'JEELL. TO A P'RI'VATE SEWER LINE :r- E:i"" FEET FIND
Fri A COMMUNITY SEWER LINE IS 75 FEET.
WE:1.._I._. LOGS ARE REQUIRED AND MUST BE RETURNED in THE DEPARTMENT WITHIN :1' DAYS
OF THE WELT._. COMPLETION.
OTHER REQUIREMENTS t'1Fi'r' APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
Nom„E_: RFl :T -Tr- EE: F' Tl: ERNE -::'E E:.»E n_'E :N'°'N _IF:: :M ::LS B:::N_.
L CERTIFY THAT
J..: 1 -Ili FF'IfII:I...IAF WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND 1'1FLI-_. Fi:: "E1
FORTH E:Y THE MUNICIPALITY OF ANCHORAGE.
I WILL INSTAL...L-. THE: SYSTEM IN ACCORDANCE WITH "IF -IF CODES.
4,
I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MFI'r' REQUIRE ENLF1RGE:TIENT 1 F THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SI
APPLICANT NORMAN DIAL..
ISSUED E'i....___-
.-DATE_._2S_-,< 2:.g.L.._ V4.0
Applicant:
Location:
MUNICIPALITY OF ANCHORAGE
Department f Health and Environmenta Protection
825 L Street, Anchorage, AK. 99501
264-4720
* * HANDWRITTEN PERMIT * * *
WELL AND/OR ON-SITE SEWER PERMIT
NO(mtiAi .a/AL--
(4/ef //7Pu0
Mailing Address:
Ciicrdrat
SP /3 cc- 7a g
Phone Number: 6 P 5` a 6 c -/d
Legal Description: 776 -Ai YZ/ C4J 3. (& L ,G
Type of Soil Absorption System Is:
Trench: L Drainfield: _ _ Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br) U
The Required Size of the Soil Absorption System Is:
DEPTH// LENGTH 117 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 = (Q d 0 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 department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
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.
Lot Size: C 55 3 9t
# * * PERMIT EXPIRES DECEMBER 31, 1 9 3 1
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 require enlargement if
the residence is remodeled to include more that 3bedrooms.
%
Signed: Issued by: �C� -c-�.rLe,�'
Applicant
Date: Or/e/ (�
swP/024(1/81)
MUNICIPALITY OF ANCHORAGE
Department of,Health and Environmental Protection
825 Street, Anchorage, Ax. 5O1
264-4720
t r HANDWRITTEN PERMIT '"' *
WELL AND/OR ON -'SITE SEWER PERMIT
17/ F! L- Hailing Address: CCif:� /�s t';:- Imo?
:tion: /11/9/ tic 4-t) Phone Number: 6el0
11
Description: -itsA/ f<,/ (41 /_ £
S
e, 51, 3 fro
of soil Absorption System Is:
'trench: Drainfield: Seepage Red: Holding Tank:
imam Number. of Bedrooms; w Soil Rating(sq.ft_/br) o• -•d
The Required Size of the Soil Absorption System Is:
IIH // LENGTH lif GRAVEL DEPTH e ,.... WIDTH
length dimension is the iength(in feet) of the trench or drninfieid. The
Ith.of a trench or pit is the distance between the surface of the ground and
Al bottom of the excavation(in feet). There is no set width for trenches.
); clxavel depth its the minimum depth of gravel between the outfall pipe and
i; bottom of the excavation (in feet) .
REQUIRED SEPTIC(HOL.DING) TANK SIZE ' (60(7 GALLONS * *
41; applicant has the responsibility to inform this depart.ment, during the
i:ileation incpeotiont; of any wells adjacent to this property and the number
:Evidences that the well will terve.
* * ' TWO(2) INSPECTIONS -ARE REQUIRED a * *
lalling of any system without final inspection and approval by this department
be. subject to prosecution.
IIUM distance between a well and any on -Lite sewage disposal system iu 100 feet
private well or 150 to 200 feet from a public well depending upon the type
4b1;tc well, Minimum distance from a private well to a private sewer line
feet and to a community sewer line is 75 feet. Well logs are required
gust be returned to this department within 30 days: of the well competi_on.
4 requirements may apply. Specifications and 'construction :iiagrams, are
.2:b1e to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, -A 9 1 ° * .-
:'ertify that:
(1)
I am fasttiliar with the requirements for on-site sewers and well* as
set forth by the Municipality of Anchorage.
I will install the system in accordance with codes. .
I understand that the on-site sewer system may require enlargement if
h reside, oe is remodeled to include more that 3thedrooms.
Applicant
Issued by:
Date:
4
4,}t n 3'U, :„I
,1 ( ('. r P .....,
c. `? J
/c, o'
Liwt s'
O & E ENC.1sJEERING & DEVELOI ,VIENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Performed for: Name* / r Felin /J /4Z -
Mailing Address.
Tel No 4fl"2640
677//L ,Qac9r.E too x 729, d'gv&//9«, 4g, 99JG7
Legal Description. Lor 4 e SEct /8 T /S W,
Depth (feet) Soli Characteristics
0
1 72,e0 So mac_
.Qi W, 5, frt.
2
3
4
5
In`(I PE2-c,
6
7
S P--- 5/f c e.4UEt[Y « rY
8 Dc,vsee
g V✓/PC,e N
10 .22o e/6,.e.
11
12
13
14
15
BoT re.'e i o P 747-
16 /7-
16
Ltd
J
PLOT PLAN
Alo SCALE
PERC. TEST
/yy /mans ZAsr Se A1'4
20 e//w/f.v , 220 We,/z%
Ground Water Encountered: Yes No ✓ If yes, what depth
Proposed Installation:
Comments.
Seepage Pit Drain Field
'`OFAt®i
v rA'��41,4:7�.... .0s o,
ell *'49TH *1A
•
10 0
D EIIL " •••1 w%
®
4e 'c, "sa •
la ENO. 1745-E J ��
e'eop.•.•...••r' \,E'®
ROrEss\o-
-Asan O+
Performed by: �-
Date.
ZZ 7/
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage. AK 99519-6650
www.muni.orglonsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
1. GENERAL INFORMATION
cosA# 0c10 `/23
No
Expiration Date: 2-A--L{/I Ci
Complete legal description T15N, R1W SECTION 18, LOT 6
Location (site address) 19537 INLET VIEW DRIVE • CHUGIAK, AK 99567
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
NORMAN DIAL Day phone
19537 INLET VIEW DRIVE • CHUGIAK, AK 99567
Day phone
DONNA ALDERMAN w/PRUDENTIAL VISTA Day phone 360-0158
16635 CENTERFIELD DRIVE * EAGLE RIVER, AK 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
]♦ Individual On-site
❑ Individual Holding tank
❑ Community On-site
❑ Public Sewer
•
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. 1 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(are) In compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP. Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD. SUITE 101 * ANCHORAGE, AI< 99507
Engineers Printed Name JEFFREY A. GARNESS. P.E. Date
Engineer's Comments:
In conducting this evaluation, GEG, LID. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report Is kr
Me sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party Is not authorized, nor will It confer any legal right whatsoever.
5. DSD SIGNATURE
v
Approved for J bedrooms.
Disapproved.
Conditional approval for
0
4��0
ss,:-
953
oe •..1,% j 6/0'9eo
0dproreee�o^ao
440 00�
P01°F Ajkith4.
Jam': YGi z
ON-SITE '
WATER AND : TTI-
_ WASTEWATER :
PROGRAM c
bedrooms, with the mowing stipulatiori$ •.
(PENr sEv` NN\,
The t77&7ilon'n9 1-46-e1-46-eGICes n/ton O
ot PX-f'od /O 4)C. ho I
�hP �I'elc1. �f tyle .i. . e� - �ik fe. t, TACT a /746/7 lil�
eXr.5tnr�
u13e. Mu 44 he //ken!! ih -thef I Ile Id
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
v
/Ott/ B n'r 2L
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
(Rev. 11/05)
Original Certificate Date: //? `i/0
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orgfonsite
(907) 343-7904
'CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: T15N, R1 W, SECTION 18, LOT 6 Parcel ID: 051 - 17 I .I .
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 9/19/1983 Sanitary seal (Y/N) YES
Total depth 156 ft. Cased to 80 ft
Wires properly protected (WN) YES
Casing height (above ground) 24
in
FROM WELL LOG AT INSPECTION
Date of test 9/19/1983 8/21/2009
Static water level 79 ft. 83 ft
Well production 5 g p m 2.33 g p m
WATER SAMPLE RESULTS:
Coliform _0_ colonies/100 mi. Nitrate 2 45 mg./L. Other bacteria 0 ,colonies/100 ml.
Arsenic: Nn ug /L Date of sample: 8/24/2009 Collected by: GEG Ltd.
B. SEPTIC/HOLDING TANK DATA *IN BASEMENT (SEE ATTACHED PHOTO)
Tank Type/Material SEPTIC/STEEL Date installed 9/28/1981
Tank size 1000 gal. Number of Compartments 2 Cleanouts (WN) YES
Foundation cleanout (Y/N) •YES Depression over tank (YIN) NO High water alarm (Y/N) N/A
Date of pumping 8/21/2009 Pumper JR'S PUMPING
C. ABSORPTION FIELD DATA
Date installed 9/28/1981 Soil rating (g.p.d./ft'o 1 /bdr 220 System type TRENCH
Length 66 ft.
Width 3
ft Gravel below pipe 7 ft
Total depth *5.66 ft. Eft absorption area 924 ft' Monitoring tube**YES
Date of adequacy test 8/21/2009
Fluid depth in absorption field before test•••1212in. Water added 460 gal. New depth ••••18 in.
Elapsed Time. 120 min.. Final fluid depth •••12 in Absorption rate>= 450+ g.p d
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date •
—
•BELOW EXISTING GRADE
**MONTITORING TUBE ONLY EXTENDS 18 INCHES BELOW INVERT
•••6 INCHES BELOW INVERT (93% FULL)
••••100% FULL
Results (Pass/Fail) PASS
Depression over field NO
For 3 bedrooms
D. LIFT STATION
Date installed Size in gallons Manhole/Access (YIN
"Pump one level at in "Pump off" level . High water alarm level at in
Datu Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent Tots
Absorption field on lot 100'+ On adjacent lots 100'+'
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 51+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent Tots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
100'+
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Wells on adjacent Tots 100'+
1 certify that 1 have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date tl 1 b/o9
Driveway, parking/vehicle storage
0000Ssoop0
ACOF
o•
v
0J y A. essr
40A
10'4-
G.
0'+
E753 er�
Ot iee s •.111�99.�cQoO
��I Professi)c'e.e7
COSA Fee $ 9 0
Date of Payment I I f 1% f V ci
Receipt Number 0(o S %L/U
(Rov. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Septic System Advisory
Certificate of On -Site Systems Approval # 090423
During a recent adequacy test on the septic system for Lot 6 of Section 18 of
T15N R1W, 6.5 inches of standing water was observed in the absorption
field. This indicates that approximately 93% of the absorption area is
inundated. Although this system passed the adequacy test, the remaining life
expectancy may be limited.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval
53:P,LT
.vao'ac :re . .roo
II /
= 50
Sr'tAIU) d ASSOCIATES LAND SLRJE^LINC 69!._062
-:_nc3Y CERTIFY THAT I HAVE SLIT/ETV., THE
)CLONING, CESCRISED PROPERTY:
'0>6 ynt-t rif�'.Pp. .
ID TEAT MO EN?^At9'E."ITS EX:ST EXCEPT AC
DICAT. 1T IS THE RESPONSICILITY OF THE
RNER TO DETERMINE THE CUSTENCE OF MY
S`MENTS, COVENANTS, OR RESTRICTIONS
Ila4 DO NOT APPEAR ON THE RECOPDED SJA,DI-
iION PLAT. UNDER NO CIRCUMSTANCES ScLlD
Y DATA HEREON BE USED FOR CONSTRUCTION
FENCE LINE" CR FOR ES r,3L1SHINS .'NC -
Y LINES.
w., G•
97:5;"019
GRID: a4/�sf
F3
X49 -XS"
SHAWN'
•
.v) rH ..
. v .
Mark
11(147
r •,aesk:cx=
1
SGS
SGS Refit
Client Name
Project Name/#
Client Sample 11)
Matrix
1094388001
Gamcss Engineering Group, Ltd
T15N RI W Section 18 Lot 6
TISN RI W Section 18 Lot 6
Drinking Water
Printed Dater rime
Collected Dateffime
Retch ed Date/Time
Technical Director
08/312009 15:16
08.242009 7:50
08.242009 13:40
Stephen C. Ede
Sample Remarks:
Parameter
Results
I'QtL
Units Method
Allowable Prep Analysis
Container 11) Limits Date Date Init
Metals by ICP/MS
Arsenic
Waters Department
Total Nitratc/Nitritc-N
Microbiology
Laboratory
Colony Count
Total Coliform
Fecal Coliform
ND
5.00
ug/L EP200.8
C (<10) 0827/09 0828/09 NR13
2.55 0.100 mg/L SM20 4500NO3-1' 13 (<10)
0
0
0
col/100mL SM20 922213
col/100mL SM20922213
col/100mL SM20 922213
A
A
A
(C00)
(<1)
(<1)
08/24/09 RJT
0824/09 DLC
08/24/09 DLC
08/24/09 DLC
MUNICIPALITY OF ANCHORAGE
Building Safety Division
MEMORANDUM
DATE: December 2, 2003
TO: The File For T15N R1W Section 18 Lot 6
FROM: Dan Roth
Engineer II, On -Site Water Wastewater Program
SUBJ: Clarification of Septic Construction Parameters To Be Placed in the Subject
Lots Hard File
To clarify and assure that the construction of the absorption field on
the adajacent Lot 7 has not impacted the subject Lot 6, the following
statements can be made:
1. An absorption system may be constructed on Lot 6 as close as 10
feet from the property line in the location of the newly constructed trench on
Lot 7. This trench runs parallel approximately 2 feet from to the property
line between Lot 7 and Lot 6.
2. The soils test for the absorption trench on Lot 7 was dug close to
the property line in the vacinity of a potential future septic site for Lot 6. If
the owner of Lot 6 chooses to construct a potential upgrade wastewater
absorption field in this location then this soils test may either in part or in
total be used providing requirements of AMC 15.65 are satisfied.