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HomeMy WebLinkAboutWYNTER PARK #1 BLK 3 LT 7 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191369 PID Number: 05149242 Dwelling: (] Single Family (SF) ❑ with {CDU ❑ Duplex (ID) ❑ Two Single Family Project: ❑ New X Upgrade Name Roger Cloud ABSORPTION FIELD EJ Deep Trench [I Wide Trench ®Bad ❑ Mound- Site Address 20937 Frosty Drive ❑ Other phone Number of Bedrooms Soil Rating Total depth from original grade 688-3022 3 CPMSF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdi0sion Black. Lot W nter Park #1 BLK 3 LT 7 Fill added above original grade Ft.1 IGravel length Ft. Tovmzhip Range Section Gravel v4dth Ft. Beds: Number of Lines Distance beween lines - Ft. SEPARATION DISTANCES Ta i Septic � Absorption HoldingStation Holding sower Total absorption area Number of trenches Dist. behveen trenches From Tank Field Tann Line Ft2 Ft. Well na n TANKM Septic 0 S.T.E.P. © Holding L] Othpr Manufacturer Capacity 1000 Gal. Suurface Vkrater lGreer ;100'+ na na Material # Piastre Number of compartments 2 Lot Line '� { �-�. na na NA Foundation 104 na na Ll STATION Manufacturer Capacity Remarks Septic Tank Replacement Cal' Alarm location Electrical installed by Installer to PIPE MATERIAL. House drairtfieCi to tank D3034 Tank ld D3034 Stuart Gilbert Drainfield C01IATD3034 tnspec;tor NorthRim Eng. BENCH MARK (Assumed elevation) 100 ft inspe t,i' 91 11 917119Location and description tent Deck 31d 41h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's stamp Conditional Approval: Date ArY* '% s++�� Or 4/ t o'Ir�` c,`Q� * :49TH *ft Septic Systems A,; Appr 4Date _ C% -Z f . Q s c� Steve Eng <v Note: this approval does not include well permit requirements. CE -6256 ��� 1 f1 -/ `l a � �I AS -BUILT MEASUREMENTS A B ST1 33 60 ST2 38 63 DCO 49 64 I L6 Septic New 1000 Calton Septic _Tank w/DCO Decommissioned Old Septic Tank PER UPC 0 25y—slope U) C+ I< 51, -gl—op,- 3 Bdrm 0 tj DCO < op DCO co "jpe c 3 0 LST2 Bo'"' ST ot) 1 2'5" -'10Pe 'ne Driv V0, Ine rj\,/ ewoY �\Wjq 0, t L8 Septic 5% lope 0) E Q) U) C3 LLJ 4-> At NOf?THF?IM s I` WYNTER PARK #1 40' -A' ENGINEERING SteveEng.coml.. ... BLOCK 3 LOT 7 RECORD PO Box 770724 Eagle River, Alaska 9915; 77 �O WASTEWATER UPGRADE' LAY U T 907.694. 7028 16,� REPLACE SEPTIC TANK Da"70/14/20 W +1 CL Q) O C3 Q) v c� +' O CL F' y a) c i d 006 H d t- a v o j\ u >U f— W ED Q J U t' n W -N 2 (Y i v 2:Ld L I— U v Z >- � --Jcu Ln 3 O o 0 v tf7 ��p_ U Ln co a �o -L5 J co W v, OH O coi— L-ajoQ o z opo � w :p> o w >w U Q W U ry Ul H c 01i y d 0 00 O >p d (� U -. w= Qt- i d O Q CL l7 ¢ U p d� LL- OW LL- O I f� dD Q1CD sr It O > jo N W 4�C5'• �: ;'o rn ;;�4pyS Ul aj o v pgMwwroa'ar'0' U h o0 -f �? 6 n� O fz °' W -°¢ ZW o � � � O GI/1M JN', °""TY MUNICIPALITY OF ANCHORAGE 1�C r][. �or"` of / '-\ On-Site Water&Wastewater Program �0 'S�, PO Box 196650 4700 Elmore Road 9 Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,� http://www.muni.orglonsite t ,�, )epartment 4N;NON AGE On-Site Wastewater Disposal System Permit Permit Number: OSP191369 Effective Date: 8/22/2019 Work Type: SepticTank Upgrade Expiration Date: 8/21/2020 Tax Code Number: 05149242000 Site Legal Address: WYNTER PARK#1 BLK 3 LT 7 G:1361 Site Mailing Address: 20937 FROSTY DR, Chugiak Owner: CLOUD ROGER A Lot Size in Sq Ft: 22966 Design Engineer: NORTH RIM ENGINEERING Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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: (14/ 2 Z/ C Issued By: tzec-1�� Date: SA2—//1 MUNICIPALITY OF ANCHORAGE f7-- Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section --, F . 6 ' - 43-7997 j eb ON-SITE SEPTIC/WELL PERMIT APPLICATION ° AU 1 9 L„I.:4 \ c ti Parcel I.D. 05149242 /101 6 8 L 9 5� Property owner(s) Roger Cloud Day phone 688-3022 Mailing address 20937 Frosty Drive Site address same Legal description (Sub'd., Block & Lot) Wynter Park #1 BLK 3 LT 7 Legal description (Township, Range & Section) Lot Size 22,966 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field I I Initial Single Family (SF) Ix I (w/wo ADU) Septic Tank 0 Upgrade E Duplex (D) E Holding Tank Renewal ❑ Multiple Dwellings Privy H (SF and/or D) Private Well E 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. (Signat of property ow er or authorized agent) Permit/Rush Fees: 225Waiver Fees: Date of Payment: ._1,191 Date of Payment: Receipt Number:: OS5(9-5b Receipt Number: Permit No. VJet" l l 31.06) Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc TF-�IM ENGINEERING Wynter Park#1 Block 3 Lot 7 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is an existing 3-bedroom home. Most of the neighboring lots are developed. The current septic tank has failed-the seepage pit still functions. This lot is near a half-acre and served by public water. No adverse impacts are expected from tank replacement. The easements are depicted on the lot. The slope is indicated in the area of the septic system. No conflicts to neighbor properties. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • New 2- compartment, 1000 gallon septic tank. Watertight couplings on inlet & outlet. • 5' minimum between the tank& seepage pit. 10' to property lines & house. • 4' of cover or insulation is required for tank; an equivalent of 1" insulation for l' foot soil cover. Tank & solid pipe must be set on well compacted, stable soil. • 4" diameter cleanouts with airtight caps are required l' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10' from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. • Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) OF 444,1711, • SI. Steven W. Eng ; cv or �t. . P 6246 • t�'es1 • DESIGN NOTES: 1. Existing Seepage Pit Remains In Place. 2. Sewer Service Line minimum 2% slope. 3. Replace Septic Tank/Decommission Old Tank Per UPC. Connect New Tank To Existing Seepage Pit. 4. Lots Served by Public Water System. 5. No Conflicts Within 200'. 6. Check Condition Of Sewer Service Line/FCO— Replace If Necessary. 7. Measure Separation Prior To Construction. f L6 Septic New 1000 Gallon Septic Tank w/DC1T5 Decommission Old Septic Tank 0 PER U P Sr _oPe 5i ope v W K 5% 0 3 B d rm I i pe d dO • W `D Seepage PitTs �' 25rope 5irope 0 w + o, DriveWa- I L8 Septic I i NOR THRI M -'�1 .°F.�`'' WYNTER PARK #1 1• = ao' ENGINEERING �P.'. *•as . * DESIGN SteveEng.com BLOCK 3 LOT 7 PO Engle River.A.ska 99577 "'"a"tra42;iWASTEWATER UPGRADE LAYOUT 90 . 694. 7028REPLACE SEPTIC TANK 8/17/19of 3 Foundation Cleanout Tank Cleanouts Fin ^amide Dpposing Cleanouts Between Septic Tank & Seepage Pit Riser 4 Foot Cover Per or Equal MDA 1000 Gallon To Seepage Pit MDA-Approved Septic Tank lid Pipe Match Elevations To DESIGN NOTESExisting FCD & Line 1. Use Existing Seepage Pit. 2. Septic Tank & Solid Pipe to be Placed on Compacted, Stable Soil, Free from Boulders. 3. Sewer Service Line is Minimum 27. Slope & 3' Cover, 4. Water-Tight Couplings. S. See Specification Sheet. 6. All Work To Conform to Municipality of Anchorage (AMC) Requirements & Specifications. 7. Decommission Old Septic Tank Per UPC. 8, Check Condition Of Sewer Service Line, Replace And/Or Insulate If Necessary. •+ ?!...441t 1 NOR THRIM :,�P��• '�• '++ WYNTER PARK #1 ENGINEERING ;�.. SEPTIC TANK PROFILE 4sm BLOCK 3 LET 7 SteveEng.com s'' "� � PO Box 770724 , sri»E*o Eagle River, Alaska 99577 •+ '-sass 907. 694. 7028 r TANK REPLACEMENT dote:8/17/19 prawn By: SE (ScoIe: 1, = S , ISHEET:3 of 3 SE AS BUILT SURVEY NORTH Pg''‘ FaosrY44-.00 ,etc. , a. - X4-0 93 asc. S p8.As - , 1 w, A i 5fW I 1 aEN po~.N I .moo III -- - zo. z.} --� yi ' N y Pa.+E 4 Res,DENC6 N k 0, N °o ,*—i-, • kJ M M 0illii 0 N it W...0.6.." 33 W Pperi+ 0 e /0• !/ri[/rV Egsa-.�.fr A/ oo'OP'/_" w, 9$.38 R«. I , Richard P Hankins, hereby certify that I have surveyed the following described property: LOT 7 , 510CK 3WYNT'ER Pi9R'K SC/80,No. / Anchorage Recording District, Alaska, and that no encroachments exist .,....oth`1>> except as indicated hereon. OF AC ‘1 Ali 4444.. iykr.0. • ' ..,•��1, It is the responsibility of the owner to determine the existence of %* !4 .�4,L, any easements, covenants, or restrictions which do not appear on Iti the recorded subdivision plat. Under no circumstances should • any data hereon be used for construction or for establishing ••• • T4 Rkhard P.Hak* boundary or fence lines. �,s% 9142 -s 1 4: ••/I_,OFEssi..0 ,0 .. Date: Drawn by; Prepared by �� 7- y_ B3 /IA4 RICHARD P. HANKINS REGISTERED PROFESSIONAL LAND SURVEYOR Scale: Plat filing no: P.O. BOX 1105 -EAGLE RIVER,ALASKA i"--,30 -73-.A+9 PH. 694.2371 99577 E33-35 RE,,' "C.R ANCHORAGE AREA BO[ Department of Environmental (~uality 3330 C Street Anchorage, Alaska 99503 JGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS LEGAL DESCRIPTION LeT "~ PHONE SEPTIC TANK: DISTANCE FROM WELl MANUFACTURER..~ MATERIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY //f--)OO GALLONS. SEEPAGE Pit: NUMBER OF PITS / LINING MATERIAL L~ BUILDING FOUNDATION___ ADDITIONAL ABSORPTION CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT, WELL.: BUILDING FOUNDATION CESSPOOl APPROVED CONSTRUCTION DEPTH NEAREST NEAREST SEPTIC LOT LINE ., SEWER LINE TANK OTHER SOURCES _ DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIA[' LOT SLOPE: REMARKS: Form No, BO-031 APPROV Eg~ Z/~.~-~ /G,A,A.B.' APPLIC NT FILLS OUT UPPER HAl ONLY Address Zip Code Realty Co. & Agent ~.~- Phone )) ~Commung~ For wells drilled prior to that date, give well d~pth (aRach Io0 If available). ~ Public Utility ~mnd[vmduam Year and~Vmdu~m m~*~mmed= NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspirer Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE .~ DEPT, OF HEALTH & /i :~. ~ 79 ~.NVIRONM~NTAL PROTECtiON RECEIVED ( 3 ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONOITIONAL APPROVAL' DATE '~" ~- ~- - °~ ~'~ Soils Rating Date Sewer installed Well To Absorption Area Well Log Received Well 1o Tank Septic Tank Size MUNMPALFY OF ANCHORAGE Development Services Department _ _ Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 05149242 Expiration Date: d ` I S"- Z- 0Z7__ 1. GENERAL INFORMATION Complete legal description Wynter Park #1 BLK 3 LT 7 Location (site address) 20937 Frosty Drive Current property owner(s) Mailing address Real estate agent Cloud 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 688-3022 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System 0 Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ { C.t111t �{ Waiver Fee $ Date of Payment D 0",-) C Date of Payment Receipt Number ' �� �� Receipt Number COSA # �� 2 ©I �� Waiver # S. 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 an -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. 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm NorthRim Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 10/3/20 + ++'`�i 6. DSD SIGNATURE * :49TM System #1 Approved for bedrooms ......Steve Eng f ;; System 42 approved for bedrooms ♦♦+0' 6 ?; Disapproved 'T� 10 / 3% PY Conditional approval for bedrooms, with the following stipulations: y. '1 Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues. Certificates of On -Site Systems Appr( al (COSH) based only upon the representations given in paragraph 5 by an independent proiessiorsal ciAl engineer rrgisierezi in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the ofofcssional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory W4=11 Flnur Ar1wicnrtir nthmr Legal Description COSA Checklist Wynter Park #1 BLK 3 LT 7 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casin>height above gro in. Date o COSA Staticel at beginning of test ft. Comments B. TANK DATA Age of tank(s) new years Tank type/material sep1i,P1 Measured operating fluid level in septic tank new ❑■ Standpipes/foundation cleanout per record drawing Date of pumping new D. ABSORPTION FIELD DATA 6/26/74 Which system tested (date installed) same FN ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field ❑� Monitor tubes go to bottom of effective. If not, state depth into effective ❑■ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 05149242 Structure served by this system Well production at time of test gpm Water storage tank me g�l lons Well dis' ed for coliform test? Yes 9 Nc Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 5'2/20 Results ❑✓ Pass For 3 bedrooms Fluid depth prior to test 6 in Water added 450 gal New depth 20 in Elapsed time 30 min Final fluid depth 8 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) If yes, enter date FN E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well Septic Tank/Lift Station on Lot > 100' E] Yes Community Sewer Manhole/Cleanout > 104' 0 Yes if No ft E] Yes if No ft Neighboring Tank > 100` Q Yes if No ft Private Sewer/Septic Line > 25' F7 Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' 7 Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' n Yes if No ft E] Yes if No ft Manure/Animal Excreta Storage > '100'Community M Sewer lain > 75' [1 Yes if No ft n Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' El Yes if No ft Surface Water > 104' 21 Yes if No ft Property Line > 5' E] Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' R Yes if No ft Private Wells > 100' Yes if No Water Main > 10' ft Yes if No ft Community Wells > 200' Yes if No. Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances it less than required) Building Foundation > 10' EJ Yes if No ft If absorption field is under driveway comment below Property Line > 10' Mv Yes if No ft Wells on Adjacent Lots-, Water Main > 10' El Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10* Yes it No ft Community Wells > 200' Yes it No Surface Water> 100f Yes if No ft G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MCA COSA guidelines in affect on this date. ft rM ft ft