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HomeMy WebLinkAboutT12N R3W SEC 33 LT 83B
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211348 PID Number: 018-251-29
Dwelling: ❑■ Single Family (SF) 0 with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade
Name
Judy L Lamb
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
2845 Nugget Ln, Anchorage
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
907-345-3600
5
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
83B
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
12N 3W 33
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
0
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ftz
Ft.
Well
100'+
255+
TANK ❑■ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer Capacity
'Infiltrator/BioMicrobics RetroFAST 0.375 1530 Gal.
Surface Water
100'+
Material
Number of compartments
Lot Line
51+
NA
HDPE
2
Foundation
10'+
LIFT STATION
Manufacturer
Capacity
Remarks • Existing STEP tank was found to be in satisfactory condition and was left in operation
Anchorage Tank
150+ Gal.
The new tank with RetroFAST 0.375 was installed downstream of the existing STEP.
Alarm location
House
Electrical installed by
Rising Son
A new lift station was installed downstream of the new tank.
Installer
PIPE MATERIAL Tank to tank 17855 Liftstationto 1785
drainfield
Isabelle Construction & Excavating,
Drainfield CO/MT
Inspector Crewdson Engineering LLC
BENCH MARK (Assumed elevation) 100 ft
Inspdection 1�t 10-18-21 2nd 10-22-21
Location and description
3id 4th
Bottom of siding at "BM" on record drawing.
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
,����\��
..Z70 O F A. 4,Q \ 1
Conditional Approval: Date
�,�P••'• s' ��
C.j
/s
/ TH� •. /
..........
Jam 5 A. Crewdson /
Septic System
Approved I N7
C11527'
'�k�,.a
Date
F'
1�� PROFESSIONP=
Note: this approval does not include well permit requirements.
`,- UJl UGI IU)
M
z
a
0 CONCRETE
O GENERATOR PAD
Ln (N)Infiltrator
N IM -1530
SEPTIC TANK
N W/RetroFAST 0.375 MH2 0
tD
�! L BL
(E)STEP TANK—�`
MH1 °
S2 31 F1
• .. F2 � Q4
C
GAZEBO.
,
8.0' BOEEZEWA' '
GRAVE►-
B
BM
—4—BR SFH
A_--- .._,- --.�
i 100' PROTECTIVE
WELL RADIUS
/ DECK
BENCHMARK
EG 98.1' BOS ELEV 100' ELEV
EG 96.4'
FG 98.3' FG 96.6'
- MH2 BL
INLET
INV 93.9'
PLAN
SCALE: 1"=30'
PROFILE
NOT TO SCALE
OUTLET
INV 93.7'
T1 2N, RM, S33, Lot 84B
Septic System
RECORD DRAWING
Prepared for:
CMI &'" =menw avneemv Judy Lamb Date: 6-29-2022
Box671389ChuglakAK99567 • ce11o.1@ouBDok.co- Permit: OSP211348 Page: 1 of 1
Celirex4.907-280-9493 • Fax: 907-68B-2295
ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT SE USED FOR
ENGINEERING OR=PURPOSES WITHOUT WRITTEN PERM1 ISSION FROM CREWDSON ENGINEERING, LLC
LEGEND
(E) - existing
BL - blower
BOS - bottom of siding
BR - bedroom
DC - double cleanout
EG - existing ground
ELEV - elevation
F# - foundation cleanout
FG - finish grade
INV - invert
LS - lift station
M# - monitor tube
MH# - manhole
S# - septic tank cleanout
SFH - single family home
TOT - top of tank
OF Al,qs\l
�.�P•
A. Crewdson
C11527``��i
PROFESSO .s
ALLC #112279
SWING TIES (feet)
A
B
C
F1
26.7
24.0
S1
20.9
24.5
S2
13.1
30.8
MI -11
12.3
32.4
MH2
32.9
11.9
LS
19.5
24.6
F2
74.3
28.6
M1
90.0
94.9
M2
86.2
81.3
Septic System
RECORD DRAWING
Prepared for:
CMI &'" =menw avneemv Judy Lamb Date: 6-29-2022
Box671389ChuglakAK99567 • ce11o.1@ouBDok.co- Permit: OSP211348 Page: 1 of 1
Celirex4.907-280-9493 • Fax: 907-68B-2295
ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT SE USED FOR
ENGINEERING OR=PURPOSES WITHOUT WRITTEN PERM1 ISSION FROM CREWDSON ENGINEERING, LLC
LEGEND
(E) - existing
BL - blower
BOS - bottom of siding
BR - bedroom
DC - double cleanout
EG - existing ground
ELEV - elevation
F# - foundation cleanout
FG - finish grade
INV - invert
LS - lift station
M# - monitor tube
MH# - manhole
S# - septic tank cleanout
SFH - single family home
TOT - top of tank
OF Al,qs\l
�.�P•
A. Crewdson
C11527``��i
PROFESSO .s
ALLC #112279
m �,�000��0411
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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: OSP211348
Work Type: SepticTank Upgrade
Tax Code Number: 01825129000
Site Legal Address: T12N R3W SEC 33 LT 83B G:3034
Site Mailing Address: 2845 NUGGET LN, Anchorage
Owner: LAMB JUDY L & JIMMIE G
Design Engineer: CREWDSON ENGINEERING, LLC
This permit is for the construction of:
Disposal Field Q Septic Tank Holding Tank Privy
Effective Date:
Expiration Date
t cnt
Q >
J
De1)artiiient
Lot Size in Sq Ft:
Total Bedrooms:
9/29/2021
9/29/2022
46970
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
Special Provisions: The Record Drawing is to show the location of the sewer line serving the ADU.
Received By:
Issued By:
Date:
Date: Z
9
MUNICIPALITY OF ANCHORAGE
Development Services Department e7 Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTICM/ELL PERMIT APPLICATION
Parcel I.D. 018-251-29
Property owner(s) Judy Lamb
Mailing address 2845 Nugget Ln, Anchorage, AK 99516
Site address Same
Day phone 907-345-3600
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) T1 2N R3W SEC 33 LTA g3fj
Lot Size 46,970 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
Q
(w/wo ADU)
Septic Tank
0
Upgrade ED
❑
(D)
Holding Tank
El
Renewal ❑
Renewal
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.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 2
Date of Payment: Ell I $ ; Oa 1
Receipt Number: 0 D !R 7 y Cm
Permit No. 0S/o7 1 1-3Llg
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
James “Jay” Crewdson, P.E.
Email: CELLC.1@outlook.com
Cell/Text: (907) 280‐9493
Fax: (907) 688‐2295
PO Box 671389 ● 18368 Amonson Road ● Chugiak, Alaska 99567
September 9, 2021
Onsite Reviewer
Municipality of Anchorage
On‐site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99519‐6650
Reference: T12N, R3W, Section 33, Lot 83B
STEP Tank Upgrade
Design Narrative
Septic Tank Upgrade: The existing 22‐year‐old 2000‐gallon steel STEP tank serving the subject property
needs to be upgraded.
The upgrade will use a septic tank with a BioMicrobics RetroFAST septic treatment system, and a
standalone lift statin to pump effluent to the drainfield. The RetroFAST is being utilized to heal and extend
the life of the aging drainfield. The proposed design is detailed on the design drawing.
The proposed septic tank upgrade, if constructed as designed;
Will satisfy all code required separation distances,
Will not cause any probable adverse impacts to adjacent properties,
Will not negatively impact existing wells and septic systems on adjacent properties,
Will not be adversely affected by potential drainage that could flow onto and off of the subject
property.
Please feel free to contact me if you have any questions.
James “Jay” Crewdson, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211348, Deb Wockenfuss, 09/29/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211348, Deb Wockenfuss, 09/29/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211348, Deb Wockenfuss, 09/29/21
Lot 78
10' UTILITY
Lot 77
Lot 84A
NOTE: ADJACENT LOT 84A HAS
PHYSICAL ACCESS ALONG THE
;.': EAST SIDE OF LOT 83B.
89'S8'39°W 164. 3'
Ctw 1 J
w
— — -------- — -------------
NUGGET
----- ---NUGGET LANE /i
AS BUILT
Lang & Associates, inc.
Professional Land Surveyors
Daryl Avenue, Anchorage, Alaska 99515-3049
522-6476 Phone oopp0p0
522-4625 Fox
I hereby certify that I have surveyed the following described property:
LOT 83B, LOTS 83A AND 83B SUBDIVISION (Plat No. 78-252)
Anchorage Recording District, Alaska, and that the Improvements situated thereon are
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
premises and that there are no roadways, transmission lines or other visible
easements on sold property except as Indicated hereon.
Dated this the Z�E6\ Day of , ti , at Anchorage, Alaska
'�, y ..........,
KENNETA-���' o
c� I �
90`���sZ s o o13
44OQRa�510NA� ��
It is the responsibility of the owner to determine the existence of any easements,-"V4ppo�
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
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: ?:"¢/~' ,..0 lO ~ PID Number:
~m~: ~ ~ Wastewater System: D New ~pgrade
Address:
~. e. ~ [1 ~q ~ ABSORPTION FIELD
Phone: ~No. of~rooms: .~ ~DeepTrench ~ShallowTrench ~Bed ~Mound ~Other
LEGAL DESCRIPTION sog Rating: ~, ~ GPD/Sq. Ft. Total Depth from~originaIo ~ grade:
Lot: Block: Subdiv~ion: Depth to pipe bo~om from original grade: Gravel depth beneath pipe
Township:~ Range: I Section: .~ Fill added above original grade: Gravel length:
Number of lines: ~ Dis~nce ~een li~es:
WELL: D New ~Upgrade Gravelwidth: ~ Ft. ~I ) ~ Ft.
Clarification (Private, A,B,C):, Total Depth: Cased To: Total absorption area: Pipe material:
'
~r;~'~ I/5 ~t. ~1 ~.
Driller: A~FIN ~ Date Dri[ ed: ~/~ S~tic Water Level:.1/Ft. [nstager: ~A A L__.,___ Date in
Yield: Pump Set at: Casing Height Above Ground:
SEPARATION DISTANCES peptic U Holding ~.T.E.P.
TO Septic Abso~tion Lift Holding Public/PrivateUanufecturer: Capaci~in gallons:
i From Teak Field Station Tank Sewer Lin~ ~.
Material: ~umger of Gompa~mont$:
su.~c~ ~/~ ~ LIFT STATION
Water / ~
Lot Size in gagons: ~ Manufactur
"Pump o~' level at: High water alarm at:
Foundation ~ ~ff 7
CaSein Pump Make & Model
Drain ~
Remarks: BENCH MARK I
O~/ ~~ ~ ~~ , Location and Descrlption:
.,. , ,,,. .
Inspections pedormed by: Dates: 1st :
Depadment of Health and Human Se~ices approval
Reviewed and approved by: ~/ ~, Date:
72-013 (Rev. 9/91) MOA 25 ,/ /
SWIND TIES:
,48 24,5 ,el'
BC SO
AB $2
AE 90.5
25 $9 75
£CALE; l* 50 FT.
125
I
I
PR'IMAf~Y T£ENCHES
A
~000 6AL
RENDVED EXIST, CRIB
Well
TANK
T£ENCHES
Well
'BENCH MA£K:
BOTI'OM SIDING
_ ASSJJIdED_EIFK 100.00 Fl'
rOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCN. AK. 99501
(907) 279-59~6
IILOT 83A, SEC. 33, T12N,
JUDY LAMB
2845 NUGGET LANE
R3Y
II sE~=c SYSTEM AS BUILT
DATE: JUNE 19, 1999
SHEET: 2/5 CRID: 5054
PE£MIT # S~/990]02 PIP # 018 25] 29 23338372, D~/6
(~ Non/for
S fondord [renches:
W/de
Lon9
Deep ~4
Sewer roc~
Cover
(~ Non/for I-I/~" PVC WITH J/16~ HOLES AT 18"
ND SCALE
100~ 100~
Foundo f/on C(eon our
2000 SFEP
L..~.......I~.. '~...~
~ ~'~ No. CE eees ,- ~
silt
ENDS
96.4 TOP PIPE ~
89.2 80THENDS 8754
ND SCALE
87.50
2000 6AL STEP
BENCH MARK, 8ormM SlDIN~
ASSUMED EL~A ]OO, O0.
TBBBEN SPURKLAND P.E,
a03 Wl5th Ave
AnchoPoDe Ak 99501
~7~ ~?16
LOT 84B SEC. 33, T12N,
JUDY LAMB
2845 NUGGET LANE
R3I¢
SEPTIC SYSTEM AS BUILT
DATE, JUNE 19, 1999
SHEET, 5(/5 GRID: 3034
PERMIT # SW990102 PID # 0~8 2~ 29 23338593, DW6
Municipality of Anchor. age
Departmont of He82a !Lh,, at tHuman Services
P,O. Box 196650 Anchorage. Alaska 99519-6650
Rick My~from http://www. O,anehom~e.ak.us
Mayo/'
Permit Number: #SW 990102 Date of Issue: 5-f9-99 Parcel Identification Number: 018-251-29
Date Start~l: 6~3.99 Date Comlfleted: 6-3-99 ]s well located at approved permit }ocation? ~ Yes [] No
T12N R3W se¢ 33 Lt 83B
Legal Descriptiopi
Property Owner Name & Address:
'Borehole Data:
Soil Type, Thickness & Water Strata
Stick-up
Silty gravel
gravelly silt
silt
sandy gravelly silt
water sand and gravel
silt
gravelly silt
water sand & ¢ravel
Judy Lamb
P.O. Box 1~2294
Anchorage, Ak 99511
Depth (ft)
]:rom 1'o
0 2
2 ~7
~7 25
25 50
50 59
59 62
62 87
87 111
11~ 115
Method of Drilling [] air rotary [] cable tool
Casing type:
Wall Thickness: 025 inches
Diameter: _~ inches Depth: _~21 fbet
lbincr Type:
Diameter: ~ inches Depth:.
Casing stiekup above ground: _2 feet
feet
Static water level (from ground level): 7/feet
Pumping level: 102 feet after
_2 hours pumping ~ gpm
Recovery Rate: ~5 gpm
Method of Testing: airlift
WeB Intake Opening Type:
[] Open End [] Open Bole
[]Screened Start , feet Stopped__
[] Perforations 8tart.__ feet Stopped
feet
feet
Grout Type: b_~ntonite #8 Volume: I bag
Depth: Starl 0 feet. Stopped: feet
Pump: Intake Depth x_ feet
Pump size hp Brand Name
Well Disinfected Upon Completion? [] Yes [] No
Method of Disinfeetiom vi]lot'Ox
Comments:
Well Driller;
Alpine Drilling & Enterprises
P.O. Box 110496
Anchorage, Ak 99511 AK 0
,*,,l~t~m-, ~l~he weHdiiller ~MI ln'ovlde a..woll log to thc property owner.,withfl} 30 days of completion and the property
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Renewal
Date Issued: May 19, 1999
Expiration Date: May 18, 2000
Permit Number: SW990102
Legal Description: T12N R3W SEC 33 LT 83B
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Judy Lamb
Owner Address: PO Box 112294
Anchorage, AK 99511-2294
Parcel ID: 018-251-29
Site Address: 002845 NUGGET LN
Lot Size: 46970 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special previsions.
New well is to be located adjacent to existing well. The new well shall not encroach any further on to lot 84A.
This permit is a renewal of permit #SW970081 issued 5/2/97.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 83B SEC. 33 T12N, R3W
JEFF TORGRIMSON
2845 NUGGET LANE
Municipality of Anchorage
Department of Health and Social Services
820 1 Sixeet
Anchorage, Alaska 99501
March 31, 1997
We are submitting an application for the installation of a septic system for this lot. The submittal consists of three
O) drawings showing the present improvements on the lot and the adioining properties: (sheet 1/3), the proposed
improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a
schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed.
The septic system design is based on the following:
Abandon existing tank and crib, collapse and/or fill
Use lift station to pump to disposal field
No Ground Water or Impervious Layer to 16 ftc.
Use Standard Trench
Soil Rating. Use average of two tests.
48 min/in = 0.45 gal per sq.t~day
20 min/in -- 0.60 gal per sq.ft/day
Use 0.525 gal per sq.ft/day
No. of Bedrooms 5
Required Area per Bedroom: 150/.525 = 286sq.fl...
Total area required: 286 x 5 = 1430 sq.f~
Testhole depth 16 feet
Bottom Rock At 10 feet
Top Rock At 3 feet
Rock Depth 7 feet
Total Trench Length 1430/14 = 102 ft.
Use 2 trenches at 51 ft. each
SYSTEM CONFIGURATION
STANDARD TRENCIt
TOTAL LENGTH 2 x 51 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 10 FT
ROCK DEPTH 7 FT
COVER 3 FT
1750 GAL STEP WITH 4 FOOT RISER
The installation of this septic system will not prevent wells from being i,u ialled on the adjacent lots.
There are no developed or natural surface / sub surface draingge courses ~ n this or the adjacent lots.
The proposed septic system will not change the general slope of the area 2onding and/or concentration of surface
runoffwill not result from this installation.
~5 50 75
S£ALE~ i" = 50 FT.
125 15~0
P£IMAI~Y [f?ENCHES
I
I
GAL
REMDVE EXIST, TANK
f~EMDVE EXIST, CRIB
~ ffell
TRENCHES
,
I
I
I
I
TOBBEN SPURI(LAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 9950!
(*907) 279-$9!6
J J LOT 83,4, SEC. 33, T12N,R31~
JEFF TORORIMSON
2845 NUGGET LANE
JSEP~C SYSTEM DES/ON J
DATE: MA£CH 2~ !997 J
SHEEh 2/5 OR~: 5054
~33383B~,DM6
PERMIT # PIP #
MoniSor
Stand~rd frenches~
2' Wide
5]' L on9
10' Peep 14
7' Selcer fOCI<
3' Cover
1-1/4" PVC WITH 3/16~ HOLES AT 18"
ND SCALE
Foundo Sion Cleon ou~
2000 S rE?
silt barrier
ND SCALE
2000 5AL S ?EP
DENCH MAI?lC,
ASSUMED ELEV,
TOBBEN SPURKLAND P.E,
DO3 WiDth Ave
Anchopcge Ak 99501
LOT 84B S'~C. 33, T12N,
JEFF TORGRIMSON
2845 NUGGET LANE
RJW
SEPTIC SYSTEM DESIGN
DATE~ MARCH 26, 1997
SHEET~ GRID~ ,~0,~4
Rick Mystrom,
Mayor
umc Lpauvy of A .chor e
Department of Hca[th and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.cLanchorage.ak.us
343-4744
May 5, 1998
Jeffrey L & Ossie V Torgrimson
2845 Nuggett Lane
Anchorage, Alaska 99516 3937
Subject: T12N R3W Section33 Lot 83B
Permit #SW970081, PID #018-251-29
The subject permit, issued May 5, 1997 by this office for a
single family well and/or on-site wastewater system, has
expired as of May 5, 1998.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
~mCe lY, ~
r~%nS;gPe;E'
0n-site Services
enc: Copy of Permit
cc: Tobben Spurkland, P.E.
PAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUIViAN SERVICES
P.O. BOX 196650~ 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM UPGRADE) PERMIT
PERMIT NUMBER:SW970081
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:JEFF TORGRIMSON
OWNER ADDRESS:2845 NUGGET LN
ANCHORAGE, AK. 99516
DATE ISSUED: 5/02/97
EXPIRATION DATE:
PARCEL ID:01825129
LEGAL DESCRIPTION:
T12N R3W SEC 33 LT 83B
(2845 NUGGET LANE)
LOT SIZE: 46970 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT:
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
THE ATTACHED APPROVED DESIGN.
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 (18A3~C80).
THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
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 SlhME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL PROVISIONS.
1 OF
5/02/98
SPECIAL PROVISIONS:
DATE:
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 9950
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 83B SEC. 33 T12N, R3W
JEFF TORGRIMSON
2845 NUGGET LANE
Municipality of Anchorage
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
March 31, 1997
We are submitting an application for the installation of a septic system for this lot. The submittal consists of three
(3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed
improvements &the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a
schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed.
The septic system design is based on the following:
Abandon existing tank and crib, collapse and/or fill
Use lift station to pump to disposal field
No Ground Water or Impervious Layer to 16 ft.
Use Standard Trench
Soil Rating. Use average &two tests.
48 rcdn/in = 0.45 gal per sq.fffday
20 min/in = 0.60 gal per sq.ff/day
Use 0.525 gal per sq.ft/day
No. of Bedrooms 5 -
Required Area per Bedroom: 150/.525 = 286sq.ft...
Total area required: 286 x 5 = 1430 sq.ft ~ -~
Testhole depth 16 feet .,
Bottom Rock At 10 ti:et
Top Reck At 3 feet
Rock Depth 7 feet
Total Trench Length 1430/14 = 102 ff.
Use 2 trenches at 51 ft. each
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 2 x 51 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 10 FT
ROCK DEPTH 7 FT
COVER 3 FT
1750 GAL STEP WITlt 4 FOOT RISER
The installation of this septic system will not prevent wells from being installed on the adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installatian.
78
S3A
!
~9- Well
Ii0~
~,, ~ ........................... ~...~
~ TOKEN SPU~KLRND
~2t... .......... ..'5 -~ ~
50 '
100 150 200 250 300
~CALD 1~ = 100
Well
VACANT
I ~ lfell
I
I I ': ' I
Il Il+ ~ell + ,ell
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
(907) Z79-,~9~6
JEFF TORG£1kISON [I DATE: NARC/-/ 26, 1997
2845 NUGGET LANE SHEET: 1/$ GRID: $054
PERMIT # Pig # 233383BI, Db/5
~0 7,5 100 1c~,5
SCALE~ 1~ ~ 50 FL
PRINARY TRENCHES
I
I
~vO00 6AL
REM£VE EXISL TANK
Well
Well
TOBBEN SPURKLAND P.E.
205 Y/ ISTN. AVENUE
ANCN. AK. 9950!
(907) 2Z9-59!6
LOT 83A, SEC. 33, T12N,
JEFF TORORIESON
2845 NU$$ET LANE
R3t~
SEPlyC SYSTEM DESISN
DATE} MARCH 2~, 1997
SHEET: 2/5 OR/D: 5054
PERMIT # PIP # 233383~2, D~6
£' W/de
5~' Lon9
10' Deep !4
7' Sever rock
3' Cover
(~ /vjonJf;or I-I/4" PVC WITH 5/16" HOLES AT IS"
SCALE
Foundo $lon Cleon out
2000 SFEP
sil! borrler
ND SCALE
~ENCH MAP, K, ..:.
ASSUM£D ELEV, lO0, O0
TBBBEN SPURKLAND P.E.
203 WlSth Ave
Anchorage Ak 99501
LOT 84E SEC. 33, T12N,
JEFF FORO£/~ISON
284.5 NUGGET LANE
SEPTI~ SYSTEH BES[GN
DATE: WARCH 2& 1997
SHEET, GRID: 3034
Municipality of Anchorage
DEPARTMENT OF HEAL'TH & HUMAN SERVIC~iS
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: I
LEGAL DESCRIPTION:
1
3
4
5
6
7
8
II.I
10-
11
1';
13-
14-
15-
16-
17-
18-
19-
20-
DATE PERF
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
PERCOLATION RATE '~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN RETWEEN .. /0~.~.,. FTAND, I/ FT .77
CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DAT;'
72-008 (Rev. 4/85)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
13-
14-
15-
16---
17-
18-
19-
20-
Municipality o! Anchorage
DEPARTMENT OF HEAL'TH & HUMAN SERVICES
825 'L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, S~,ction: T
SLOPE SITE PLAn
WAS GROUND WATER
ENCOUNTERED?
iF YES, AT WHAT
DEPTH7
Time Time Water Drop
PERCOLATION RATE ~ (mn, les/inch) PERC HOLE DIA/~IETER" ~
'reST RUN BETWEEN "~ FT /~' O ,~ '/Z..- FT .
COMMENTS ;:, '
'~ P.ERFORMED BY; v, .--- I ~' CERTIFY THAT THIS 'reST WAS PERFORMED IN
72-008 (Rev, 4185)
c'X
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 018-251-29
Certificate of On -Site Systems Approval
Expiration Date: Q V_ I g .10
1. GENERAL INFORMATION
Complete legal description T1 2N, R3W, Section 33, Lot 83B
Location (site address) 2845 Nugget Ln, Anchorage, AK 99516
Current property owner(s) Judy Lamb
Mailing address
Real estate agent
same
Owner
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
Day phone 907-345-3600
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
Private Septic
171
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 50 Waiver Fee $
Date of Payment (� �? �/ �2©01 Date of Payment
Receipt Number 8 a 5�26- Receipt Number
COSA # 0 S c a-� 1 30 5 Waiver #
Distance:
5. 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. 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 Crewdson Engineering Phone 907-280-9493
Address PO Box 671389, Chugiak, AK 99567
Engineer's Printed Name James Crewdson
6. DSD SIGNATURE
System #1 Approved for 5 bedrooms
System #2 Approved for bedrooms
Disapproved
Date 6-23-2022
s 10.IF A
9
00"
4 TH/
d.... ... �.
am A. Crew,isdn
C11527 •�'��
i VkP ROFESSOO
Conditional approval for bedrooms, with the following stipulations:
Rrrrrris�
"'11))))))111111.
�-•— Original Certificate Date: _Z��
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
Nitrate Advisory
Arsenic Advisory
Other -tine
Legal Description: T12N, R3W, Sec 33, Lot 83B
If more than 1 septic system on lot: COSA Checklist #
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 6-3-99
Total depth 115 ft
Cased to 121 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA 8-2-21
Static water level at beginning of test 64 ft.
Comments
B. TANK DATA
Age of tank(s) 23, 0 years
Tank type/material STEP4«e.S,
Measured operating fluid level in septic tank 55, na
❑ Standpipes/foundation cleanout per record drawing
Date of pumping 7-5-22
D. ABSORPTION FIELD DATA
Parcel ID: 018-251-29
of Structure served by this system
Well production at time of test 5+ gpm
Water storage tank volume 0 gallons
Well disinfected for coliform test? ❑ Yes ❑ No
0 Coliform bacteria is Negative
Nitrate mg/L x❑ Nitrate less than MRL (ND)
Arsenic 5.23 ug/L E]Arsenic less than MRL (ND)
Collected by Crewdson Engineering
Date of Sample 6-23-22
C. LIFT STATION
❑ Required maintenance completed
Age of lift station 23,0 years
Lift station material
Comments: *STEP,Lift Station
** Damaged insulation on underside of lid repaired
Which system tested (date installed) 5-28-99
Adequacy test date 6-23-22
❑*ALL standpipes present per record drawing
Results [D Pass For 5 bedrooms
Total measured depth from grade 9.8,9.9 ft (max)
Fluid depth prior to test 70,68 in
Measured depth to pipe invert from grade ft (min)
Water added 760 gal
❑ N/A — pressurized field
78 76
New depth in
❑ Monitor tubes go to bottom of effective. If not, state
Elapsed 1200
depth into effective 6.8'•6.9'
time min
❑ Code -required soil cover over field
Final fluid depth 70,68 in
❑ System presoaked
Absorption rate 750+ gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months)
date of test)
Gallons introduced gallons
If yes, enter date
Comments/Deficiencies: *assume 3' soil above effective. **all standpipes present per approved record drawing and asbuilt survey.
COSA Checklist yellow sheet
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'
Yes
if No
Community Sewer Manhole/Cleanout > 100'
Q✓ Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' Q Yes
if No
ft
Private Sewer/Septic Line > 25'F71 Yes
if No ft
Absorption Field on Lot > 100' M Yes
if No
ft
Holding Tank > 100' M Yes
if No ft
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' Yes
if No ft
F/ Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Q Yes
if No
ft
0✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
BuildingFoundations > 10' 6.6,7.0
_ ❑Yes if No ft Surface Water > 100' Q✓ Yes if No ft
I
Property Line > 5✓�
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
F/ Yes
if No
ft
Private Wells > 100' 0✓ Yes if No
Water Main > 10'✓Q
Yes
if No
ft
Community Wells > 200' F✓ Yes if No
Water Service Line > 10'
PV Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' E✓ Yes if No ft If absorption field is under driveway comment below
Property Line > 10'
[✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
✓�
Yes
if No
ft
Private Wells > 100' n✓ Yes if No
Water Service Line > 10'
0✓
Yes
if No
ft
Community Wells > 200' Q✓ Yes if No
Surface Water > 100'
✓l
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that l 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.
COSA Checklist yellow sheet
OF A. •.q \�
00 `' • �/
.. TH .
...
10
Ja s A. Crewdson f,
��'' •
011527'
tO\��AR©FESS�QNP-
ft
ft
ft
Septic Tank Advisory
Certificate of On -Site Systems Approval #OSC221305
Subdivision:T12N R3W Sec. 33 Lot 83B
Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for
this COSA / property is 23 years old. A leaking septic tank may be a source of contamination to
the aquifer. Typical replacement costs range from $10,000 to $15,000
This advisory must be attached to all copies of the subject Certificate of On -Site Systems
Approval.
This is an example of a 16 -year-old septic tank in failure and should be replaced.
Mallmg Address P O Box 198650 *Anchorage, Alaska 99519 ;6650 *www muni org
MV U'MUPQUTY OF AHCHO AGE
Development Services Department'
On -Site Water &Wastewater Section Phone: 907-343-7904Fax: 907-343-7997
Lift Station/Pump Vault
�^ Maintenance LociOwner) 4 llJ�M' SS 6
Septic Tank:
Street Address ZV
-Sludge level inches -Pumping: required es no -Pumping completed C ae no
Lift station: 1 I 1� l 7-7 1
*Pump basket cleanedes no *Effluent filter cleaned (es)no
-Control floats cleaned a no •Proper float settings confirmed Vp no
*Operation satisfactory s o
Alarm System:
-Dedicated electrical alar ' cuit e no •Audible and visual alarm inside dwelling no
-Alarm system operatio satisfa tonot satisfacto
Manhole Riser
•Ground water intrusion at riser to tank connection ygs n'
*Ground water intrusion around pipe penetrations ves o -Weep hole functional 'es no
-Manhole lid: Function ` e no Insulated yes 0 Properly Secured t v4 no
Other
-All manufacturer required inspections and maintenance completed Q no
Comments:
Qualified Maintenance Provider:
Technician Date of maintenance / n
1 5
Companyal,v1
Signature �V\ �---. Date