The URL can be used to link to this page

Home My WebLink AboutDEER PARK #1 BLK 1 LT 6r P rk # I #051 am 042 4ow !� T Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 191051 PID Number: 051-042-57 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: Name:TRUST MITSONAddress ABSORPTION FIELD - EXISTING ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 22611 OAK KNOLL DR., CHUGIAK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SF 10 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5 Ft. Gravel depth beneath pipe 5 Ft. Subdivision Block Lot DEER PARK #1 1 6 Fill added above original grade Varies 1.1 Ft. Gravel length 47 Ft. Township Range Section Gravel width 2 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 � -'* 376 Ft2 1 -- Ft. Well 100'+ 100'+ NA NA NA TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK 1 Capacity 1000 Gal. Surface water 100'+ 100'+ NA NA Material STEEL Number of compartments 2 Lot Line 5'+ 10'+ NA NA NA Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain NA *NA NA NA Remarks Existing septic tank and field Pump on level at in. Pump off level at in. High water alarm at in. decommissioned per code. *None known. Used only 4'ED In SF Calculations. Pump make and model Electrical Inspections performed by Tkto PIPE MATERIAL House to tank 3034 d field 3034 Installer DIRTWORKS an Drainfield CO/MT 3034 Inspector FWCS / MNA BENCH MARK (Assumed elevation) 200 ft Inspection 1s` 4/2/19 4/3/2019 Location and description 2�d 3rd 4/3/2019 4"' 5/20/2019 GARAGE SLAB COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL oe®\\ ® OF AL Conditional Approval: Date �* 49TH♦ �� p .MICHAEL N. ANDERSON.- NDERSON.No. CE 9488 A, A01/ No. tem ®� Approved ¢a1vo 71m Eck-luad Date Inspection Report_9-1-12.doc BM 'z tio' A p/ 2 PID: 051-042-57 W PL STAKED AT PERMIT: OSP191051 O cN Ln17 � CONST. s N Ln o CN B - C - 4 0.9' TC01 TCO2 LST O ,;d- F CO 194.4 194.1 193.6 O � MT CO E NEW 1000—GAL 0.0 R7 RA MT SEPTIC TANK FILER FABRIC 2•p ORG / OL SM/ML Os 2 CO 1a9.88 ,s7.zs.sA—F=104.5'EELG SM/sp-9p TH19-1 CO LOT 6 D G FGOs B LK 1 A -G=68.1' 1as.a 182.2 182.2 MT SEPTIC SECTION 176.2 H CO G 1B1O• BOH WELL RADII STAKED AT `DUB CONST. B BM 'z tio' A p/ 2 DRY 3/25/19 B -H=55.1' SCALE: NTS PREPARED FOR: SUPPORT@SERVICES: DAVE & JANET MITSON OF AL�� DEER PARK ADD. NO.1 81, L6-1.15 . 5 22611 OAK KNOLL DR., CHUCIAK, AK 99567 * 49 TH * Michael N. Anderson, P.E. DATE: 6 7/2019 �+ MICHAEL N. ANDERSON 4601 Natrone Ave. / �� No. CE 9469 .1�A, Af Anchorage, Alaska 99516 DRAWN: FWCS �` 6/7/19 r, '�o (907)727 8864/FAX: (907)345 1391 SCALE: 1 A" = 30' f pESSIO' '� SCALE: 1' = 30' A -C=80.2' COs B - C - 4 0.9' TC01 TCO2 CO CO CO MT MT CO MT CO A - D = 8 3.4' 194.4 194.1 193.6 193.3 FINAL GRADE B -D=47.8' 0.0 R7 RA A - E =10 3.5'INSULATION 0.63 It. FILER FABRIC 2•p ORG / OL SM/ML B -E=68,2' TANKN 1a9.88 ,s7.zs.sA—F=104.5'EELG SM/sp-9p SEWER ROCKB-F=69.5' 5'ED A -G=68.1' 1as.a 182.2 182.2 B -G=53.5' SEPTIC SECTION 176.2 A -H=67 9' 1B1O• BOH DRY 3/25/19 B -H=55.1' SCALE: NTS PREPARED FOR: SUPPORT@SERVICES: DAVE & JANET MITSON OF AL�� DEER PARK ADD. NO.1 81, L6-1.15 . 5 22611 OAK KNOLL DR., CHUCIAK, AK 99567 * 49 TH * Michael N. Anderson, P.E. DATE: 6 7/2019 �+ MICHAEL N. ANDERSON 4601 Natrone Ave. / �� No. CE 9469 .1�A, Af Anchorage, Alaska 99516 DRAWN: FWCS �` 6/7/19 r, '�o (907)727 8864/FAX: (907)345 1391 SCALE: 1 A" = 30' f pESSIO' '� t E i _0000000� .�� of 4000 94 0000 O� L / TABLELANDS \ 0 y J ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: DEER PARK ADDITION No.l FND 5/8" REBAR LOT 6 BLOCK 1 PLAT 82-1.33 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a/! • O . , •4 LAl1JD physical surveyof thisproperty as shown on this drawingand that the j'•'' �� A& improvements situated hereon are within the property lines and no 4 enchroachments exist other than noted. Under no circumstance should / CQ .• 4 9 H •. �' � ow100 any information on this drawing be used for construction of fences, Z * • • '�' � structures, improvements, or for establishing boundary lines. FA J? ! EXCLUSION NOTES: It is the owners responsibility to determine .. ' : ' ... .. ' ' ' . • ...: • 'i the existence of an easements covenants or restrictions which C° , `.JHN L. 50HULLE.• % y � � •. .• `�� •�• do not appear on the recorded subdivision plat. LS -10408 t �. , r : . �J / 1831 Talkeetna Street WORK ORDER NUMBER: DAtE: SCAM -MAIL ,� ` �V , , � .L , . d "'J Anchorage, Alaska 99508 MAY 21, 2019 1 =40' � Ar o� ,,�, DRAWN BY: CHECKED BY BOOK/PAGE.-GRID NUMBER: BOOK/PAGE.-�� O f e a\ �- ter► (907) 227--1455 office 19-008 SLS NW1558 190118 ��,��t,�►'�'' (907) 274--4992 fax „' ”"'Y MUNICIPALITY OF ANCHORAGE ��cnt li On-Site Water&Wastewater Program N° ":'<<`=°:'5r� PO Box 196650 4700 Elmore Road c*1 -Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,,, % httpa/www muni.org/onsiteEria_ Department 4hcn0ap(''" On-Site Wastewater Disposal System Permit Permit Number: OSP191051 Effective Date: 3/28/2019 Work Type: Septic Upgrade Expiration Date: 3/27/2020 Tax Code Number: 05104257000 Site Legal Address: DEER PARK#1 BLK 1 LT 6 G:1558 Site Mailing Address: 22611 OAK KNOLL DR, Chugiak Owner: MITSON TRUST Lot Size in Sq Ft: 70814 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 3 This permit is for the construction of: 0 Disposal Field 0 Septic Tank ❑ 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 IgReceived By: � Date: 2 Issued By: /../r ( Date: 3/z / ' ' MUNICIPALITY OF ANCHORAGE Community Development Department (A.i.,, ori ' 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. 051-042-57 Property owner(s) MITSON TRUST DAVID & JANET Day phone 907-360-4196 Mailing address 22611 OAK KNOLL DRIVE, CHUGIAK, AK 99567 Site address 22611 OAK KNOLL DRIVE, CHUCGIAK, AK 99567 Legal description (Sub'd., Block & Lot) DEER PARK #1 BLOCK 1, LOT 6 Legal description (Township, Range & Section) Lot Size 70814 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field > Initial Li Single Family (SF) FX (w/wo ADU) Septic Tank Pi Upgrade Duplex (D) n Holding Tank n Renewal U Multiple Dwellings ❑ Privy n (SF an-1/or D) Private Well E. Water Storage ❑ 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. (Sig • - ofi. •perty owner or authorized agent) Permit/Rush Fees: ' 5d15 •00 Waiver Fees: Date of Payment: 3pt a011 Date of Payment: Receipt Number: OS(U1 0 Receipt Number: Permit No. OS P("Q1 I D5 I Waiver No. Permit App_9-1-12.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage,Alaska 99516 Phone 345-3377 Fax 345-1391 March 9,2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage,Alaska 99519-6650 Fax 249-7847 Re: Septic Upgrade Permit Legal: DEER PARK#1 BLOCK 1, LOT 6 To whom it may concern: The original septic system has failed and this is a request for a septic permit on the above referenced lot. A test hole was excavated and the results are attached for your review. It is proposed that a shallow trench be installed with an effective depth of 2 feet and 8' from original grade. No water was measured in the test hole during or after the excavation. The tank will also be replaced at the same time and the original field decommissioned in place since it encroaches the well radius. The slope at the proposed trench location is flat and there are no cut banks within 50 feet. The lot and area is served by private water and this system will not impact any of the neighboring properties due to the lot layout. Please call me if you have any questions. ,./741).---J Sincerely, Michael N. Anderson,P.E. 4661 Natrona Anchorage,AK 99516 Phone 727-8864 SERVES L3, L4 & L7 & L8 ACROSS THE STREE "IL S IDT/C 1110414, STS PR0pER LOT o ToT CON RuP?I R& 3 In • a N�35,TION LOT , p T .. ,,ar 0j W o .. N MT `I�- MT • 11119-1 r , 275 45. • FLAT �MT •,. .4! S LOTlirr ,, t, ".4 /'44V `.` rbc ,, a .O� � L 8 tOT oT 1 / O' v5 w 1[u g„,..7 S X00, ,'•; F LOT 3 N. ??44 . LOT 4 N89 54'05*E 120.00' Septic Design Prepared for .4ii'l": \\ Dave & Janet Mitson -.) OF Az4� DEER PARK ADD No.1, LOT 6 BLOCK 1 / �. TH 1 -7 4::, Peters Creek, AK * .49 * o 1:14 Michael N. Anderson, P.E. DATE: 3/25/2019 14CHAEL N. ANDERSON 4601 Natrone Ave. �1 No.rE 9 �4��Anchorage, Alaska 99516DRAWN: FWCS .3 ?T `�f. (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 60' `�=� DESIGN CRITERIA: 3 BDRM X 150 = 450 GPD ❑UND OVER SOILS = 450/1.2 = 375 SFRADE 375 SF / (2 x 4'ED) = 47'L l.o' — (1) D❑G-LEG DEEP TRENCH iiir ILTER FABRIC & INSULATION 10' DEEP FROM ORIGINAL GRADE -5.0 ._' •'0 PIPE INSTALL 50'L X 2'W X 5,0' EFFECTIVE DEPTH SEWER ROCK INSULATE FIELD IF <3' OF COVER, MAINTAIN 5'+ FIELD TO TANK, 10' TO PROPERTY LINE, 100' TO WELLS -10,0 & SURFACE WATER & OTHER REQ. SETBACKS, INSTALL NEW 1000-GAL S.T. & INSULATE 2.0 IF <4' COVER. ADD PRE & POST TANK COs. SEPTIC FIELD SECTION \\,......._______:;/— WA/4 PRo Tp CpRADIP pRJ,�TY & Li I k FLAT NS' `�Ip LOT o TRUC R 3 N73.56 TION LOT 7 ..o `� T 116.�• '07 W O 'f CO (i) FLAT I M a ADD DBL 275.45' CO COs 4 FLAT �' / w • 1 C• ,0• . . ,o ti �. A m2 n• Jr" CoQ T 4/51:st,,..5'skVe*, TSoo i iS • e/* 's* c,'4' eJ6I0 o g0` O ke O•ee ryM '/ NU eo • - I Septic Design Prepared for Aiiii.b:‘"1/4 ArrDave & Janet Mitson i�<G � .. 444 DEER PARK ADD No.1, LOT 6 BLOCK 1 � �� `Y •A Peters Creek, AK # * :49 * 0 Michael N. Anderson, P.E. DATE: 3/25/2019 / MICHAEL N. ANDERSON j No. 94 9 4601 Natrone Ave. 4I . Gam/ DRAWN: FWCS Zg. Anchorage, Alaska 99516 1\ iy (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 40' \\�=i Michael N. Anderson, P.E. q� ......£q •! Civil/Structural Engineering and Construction '.;49TH •�'9�. e°j 4661 Natrona Ave. Anchorage, Alaska 99516 ••; °� Phone 345-3377 Fax 345-1391 + /r .MICHAEL N. ANPLRSON L r SOILS LOG - PERCOLATION TESTvi•. CE-94 9 •• ,. LEGAL DESCRIPTION:DEER PARK ADD NO.1 B1, L6 l` \\\I`��1`" DEPTH FEET OG SOILS PERFORMED FOR: DAVID &JANET MITSON 1 ^- ORG/OL TESTHOLE# 19-1 DATE PERFORMED: 2/28/2019 2 3 GROUND WATER ENCOUNTERED: NO SM/ML IF YES,AT WHAT DEPTH: NA 4 DEPTH TO WATER AT MONITORING: DRY DATE: 3/25/19 5 6SEE SITE PLAN FOR SLOPE& LOCATION COMMENTS: 7 SM/sp-gp 8 VERIFY GROUNDWATER MT 9 AT TIME OF CONSTRUCTION 10 11 Reading Date Gross Net Depth to Net 12 Time Time Water Drop 2/28/19 10 min 6" 5" 13 6" 5" 6" 5" 14 `• 6" 5" 6„ 5„ 15 6„ 5„ 16 PERCOLATION RATE 2 (MIN /INCH) 17 TEST RUN BEWTWEEN 6 & 7 FT 18 PERC HOLE DIAMETER 6" 19 PRE-SOAKED PRIOR TO TEST &ALL READINGS TO 20 THE 1/16TH. PERFORMED BY: FWCS / MNA - I MIKE N.ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE& MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 3/25/19 „,,,..,_ ...........t..cepeo./ ...-----(\r------ ------- _-------- Qeilf- AWOL DRI VE ''''''. _ E 0 SO-'05 , i � 'ti L/ L=1 98.61 ' T ESMT R=286.36 r 1 — 0 1-3 GRAVEL CJ (n S/f0 D/W o 1 •SEPTIC `! O VENT O ((t)13) Z O W • 0 U1 m UN • Cn 0) 1111 O ' (i';.? cti93 41110111140 //! 61.8' 19 N ^. H Sn _ NG WELL ?4'0 HO, ' �1 6'x8' 1.5' DECK c• CANT N) OVERHANG o ^) 29.0 0 • 0 -f=, w 73.1' G? 2'x10.5' O CANT a 04, N) J CP LOT 6cn BLK 1 0 2 Co (Cotr 0 is tli J 0 0 226.25' '-3 '0 o_ CP \N00•05 55 TR J LOT 20 TABLELANDS ANCHORAGE RECORDING DISTRICT,ALASKA AS-BUILT OF: DEER PARK ADDITION No.1 O =FND 5/8”REBAR LOT 6 BLOCK 1 PLAT 82-133 ```�% SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a ..0,-,,I, OF �Q�� y� LAND D S RTv_k physical survey of this property as shown on this drawing and that the / •.••'- ''••.:1(5�' 4'S1O ,), improvements situated hereon are within the property lines and no �00cs11 �4w� ,-.404."•• enchroachments exist other than noted.Under no circumstance should 0 :• 49TE /\ % ,j ' .. * � •0 anyinformation on this drawingbe used for construction of fences, • structures,improvements,or for stablishing boundary lines. d x az. . tr"' ii `% , g �`� c,� C� EXCLUSION NOTES:It is the owners responsibility to determine 70 . . ` m '.J HN L. SCHULLER.: c/ 1 the existence of any easements,covenants,or restrictions which 41. LS-10408 .gy ••••0...•,-...AAP.- do not appear on the recorded subdivision plat. �r m / 1831 Talkeetna Street WORK ORDER NUMBER: DATE: SCALE: E-MAIL %1 eo.• • ••,z•10 '/9. aC2� Anchorage, Alaska 99508 FEB 10, 2019 1••=40' A <` 19—008 DRANK BY:DHEacED B''01°D Ml1•ER BDDx/PADe AV:)/.0 fess• cA �'•�' (907) 227-1455 office JLS NW1558 190106 ANONIK Ift. (907) 274-4992 fax 72.6ly(Rev.3/78) I 19-i. LOi-Gbit1 MUNICIPALITY OF ANCHORAGE • \I ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264.4720 \ ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEPHONE NEW S S UPGRADE MAILING ADDRESS LEGAL DESCRIPTION GoT 6 LOCATION NO. OF BEDROOMS Well A Absorption area Dwelling ^/ PERMIT NO. Uy DISTANCE TO: S S i Q Manufacturer / Material s No. of compartments Z W 1„ GV a Liq.capacity in gallons IF HOMEMADE: Inside length Width Liquid depth Z d Y DISTANCE TO: Well / �V Dwelling PERMIT NO. z _? H Manufacturer Material Liquid capacity in gallons DISTANCE TO: Well � Foundation N Nearest lot Ion S" e' PERMIT N d ou No. of lines len th of each line g /•s!" Total len th�Lf i es/ g Trench widt Distance between lines f, 3 inches A Top of tile to finish grade L Material beneath the Total effective absorpion area / inches 3 t Length Width Depth PEH MIT NO. W (7 i H Type of crib Crib diameter rib depth Total effective absorption area Wd N Well Building foundation Nearest lot line DISTANCE TO: J Class !^/^/ Depth �. Driller Distance to lot line PEHMIT NO. W � 1 DISTANCE TO: Buil g oun anon Sewer line Septic tank Absorption area(s) OTHER .1 LL PIPE MATERIALS '( v U SOIL TEST RATING - let<- ,95-- INSTALLER SQUn4S REMARKS r �7 L Rotvd A. Shuhr i'�i •+ 1457-E AP O E �/ DATE LEGAL -• s � s c•rol�Feaa:a ISO'( l ��i(�3 SFlS 193ALA)t f. C. T 72.6ly(Rev.3/78) I 19-i. LOi-Gbit1 r LJ NJ I CT I F" FA L_ I TY CD FO FitJCHTYFZFIGE DEPARTMENT ("''HEALTH AND ENVIRONMENTAL OTECTION C)e)D3. 825 'L STREET, ANCHORAGE, AK. 99501 264-4720 FJELL f=1N[> 4 I TE KSEFJEE PEF II I T PERMIT NO. C 830108 ) APPLICANT DAVID H MITSON SRA 3523-C 99502 345-7275 LOCATION LEGAL B1 L6 DEER PARK #1 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER, OF BEDROOMS = 4 SOIL RATING CSO FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C4EF•TH= :0 FLEtJ0-rH= 34 GFZFik'EL OEF"TH= 4 THE LENGTH DIMENSION IS THE LENGTH CIN 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 CIN FEET). THE TFZEw JCH W I 07TH I i3 5}. CAC -+Q FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). FrEG!U I RED> �EF"T I C TFfNK S 17: E= 1'2Z5-10 C3nL_LLUrJ4-,- 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. --- TFJO C 2 ] I FJSPECT I C}1JS F1FcE FREGeU I FSEG 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 THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER, INSTALLATION. F?EF P1 I T EXP' I FREn> GECEMGEFZ Zl11 15RED3 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 THE CODES. _: I UNDERSTAND THAT T E-ON7SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE PESIDENCQ"IS"REM ELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED ISSUED APPLICANT DAVID H MITSON L--a� C� D = ---- b = V4. 0 / �� = 5 .i i �rvllXlAH 6.di r. POUCH 6_6510 ANCHOR AG-_ A1.n )1%A n";. - n r. it f L!CNT OAL J�(iJV IiiON ::CNL11 Pr:p r cr l':1 `. ,Permit #: 820903 January 31, 1983 TO: Permit Applicant Subject: Lot;6 Block 1 Deer Park Subdivision #1 A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. sincerely C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 t MUM I C I L I TY OF n"cCt2'�'RRGE DEPARTMENT Gr HEALTH AND ENVIRONMENTAL PKOTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 LJELL RMV OM—SITE SEWEFZ F=�EFZM I T PERMIT NO. < 820903 ) APPLICANT DAVID H MITSON SRA BOX 3523-C 99502 345-7275 LOCATION LEGAL B1L6 DEER PARK #1LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DP.RINFIELD MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E>EFTH= S LEN(3TH= 25 GFZR 4'EL E>EF3TH= 4 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 CIN FEET). THE TFZENGH LJ I E>TH I S S. 000 FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FZEQU I FZEE> SEPT I iC TRNFC S I ZE= GRLLQtJS 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. --- TW Q <n2> I MSF=ECT I 0"E3 RRE REQU I FZEE> --- 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 THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F="EFZL'1 I T EXP I RES E>ECEMF3EFZ 35.: I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENCE—TSITMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED: Al ISSUED BY 15+52 AND WELLS AS SET ENLARGEMENT IF THE �zs o y 114, Gv = S V4. 0 0 0 �I 0 0 :LAGORATORY D •TE`.l SL� M char.I -al• Analyses C H D lC z ? SN EQUIPMENT -CASE 8800 Backhoe 00 a� ZEU o�� ELEVATION Exist. Ground DATE 0 9 19/II1 — Dark Grown PEAT,PT,moist,w/fibrous . 35.6 :I .' Brown -Orange SILTY SAND,Sti organics moist,w/gravel & roots 8.1 Secondary Pit dug to 3.0' Percolation hole dua to 4.00t1 // 5 3rowni tUtreyrJlLTQfGRATlElCLrYe$YABc,hsl•i . F-2, moist, w/rar.dom cobbles 28.8 Grey SILT, ML 'i-'4wet, soft to medium soft 5.0 10-7 Grey SANDY GRAVEL, GW, NFS .•'�.y: some sloughing in this strata. :•o.. TOTAL DEPTH OF TEST PIT - 16.0' No free water observed. No free water observed on 10(5/R1 LOG OF TEST 'P T F 13.1 D 3.1 B 4.5 0 15- J Nil LAMBE AND ASSOCIATES ;oils L:-boratory and Geotechnical Engineering bno• E?_ 119.30 APpr• OML DoIeIO/2/8: EQUIPMENT CASE 8BOC Backhoe ELEVATION Exist. GroundDATE 9/19/81 Drown PE , , w fibrous organics Reddish Brown SILTY GRAVELLY SAND, SM moist, w/roots Brown SA IDY GRAVEL, Gl:, UFS moist, loose, w/randon cobbles Grey SILTY GRAVELLY SAND, SM F-2 moist, dense SL Water seeping in slowly at 8.0' during excavation. Free water observed @ 10.0' on •10/5/81 -2 Free water observed @ 11.5' on 9/22/81 Percolation rate of 1 ninute/inch TOTAL DEPTH OF TEST PIT - 15.0' Secondary pit dug to 2.5' Percolation hole duel to 3.2' LOG OF TEST PITS 5 & 6 PLATE QUADRA ENGINEERING DEERE PARK SUBDIVISION At -?J -47'Z -70W 50.00' (r79-7) T/X w+nr 05-1-01( Hv r Al Zt,00 v �3 T� 8.43oe yr I 1 o., 1 In J °• ?_ �4 40,0 3 J.f. 4 �.. � � Z7 .� �a• ;: 0.92.tbp o ' 7r.A l of 's.f Ja 40, 5/ Gilt ..,y 0.9 Ac. � • O t N 005'5 1� r '19 7 aY I •os se^ 3.46 t, 6 OCK�`-�0 . N ed 000 J. f. 9 H9r Ac. fo �,tr6 t49.77'(r797 fi A10-0 '55"W J33.JJ' �o •� t6 d 40.74 0.44 Ac. s. 9 � %1 `3.0/• \ 3v'3.77' � �.J yn'CJ IJ p'� • �s0•ROd. rCinpoio�y r.,,,.0,o1,,.a✓/oaf Dr- PARK SUE ,7�/J no/w//y Yo:olad WAen Slee! _ ^ 1 i Gh'6 8C�) *TP 9 TP 4 SCALE: I'= 200' NOTE: TEST PITS NOT LOCATED BY SURVEY METHODS J M LAMBE AND ASSOCIATES Soils' Laboratory and Geotechnical Eng! Job no 81-119.30 APPc JML Dote FA I TP 3 NORTH I TP 6 TPI SITE PLAN PLATE DEERPARK SUBDIVISION. J QUADRA ENGINEERING, INC. Peters Creek Alaska L7� (J � �J 1 , \ I �J cJ 1 � •J i v I � , PCC/) ,O6'6/F/ M„ZS,YG.6BN 66C9(L•6LdJ M„SS,LS,68N •sovp/j'>a�,qZ'/fE' �_ ,00'SbF LGut sz cz 6e,."z— e �� Yumau �7 oaS,F£ 7 'y hole / `_ N OZ -x I p 5 0 2I6/ vY a z / rs» ” �a 0 �e Y.OtfI'S� 8N m O V < dS n1F A qo Err 1 / , al V lby�C07 I YI Dei '4z) i n 31 I w Q o �orbe s,cE,tt,6eIV N oP you � I ,�5'bJ2 M, St,LC,6PN V [ � E �W O N OQ fp i ".i 1z, N OD pN h le W U i L41_ C It p a qb, 2 [ F b�Q a a V '. n�b�(Wj a IvpOkp /��^ •'��2�� O Z/ ty . ya p 8� 3 I i 3„CO,tS. B 4v c;� W -K iit. 2 e3 / �b o ti.. 4 ? .9 ej u y •'1 k M Q� : h” m Fee o t. F MUNICIPALITY 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. 051-042-57 1. GENERAL INFORMATION Complete legal description DEER PARK #1 BLOCK 1, LOT 6 Expiration Date: Location (site address) 22611 OAK KNOLL DRIVE, CHUGIAK, AK 99567 Current property owner(s) MITSON TRUST Day phone Mailing address Real estate agent 22611 OAK KNOLL DRIVE, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1Z 80 Date of Payment Receipt Number D COSA# dSClq 135 Waiver Fee $ Date of Payment Receipt Number Waiver # 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 ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4661 NATRONA AVE., ANCHORAGE, AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 7/30/2019 6. DSD SIGNATURE V System #1 Approved for 13 System #2 Approved for Disapproved Conditional approval for �OF.A *:49TH *, 000 bedrooms '.MICHAEL N. ANDERSON: No. CE 9469 / bedrooms 11 %7/30/19,.,c,� AW bedrooms, with the following stipulations: G\eP`1 I Y OFA,i r,i�� a ON-4irc vva rr-_ — _ By: I\A l i�;-t� G•NUAI,c I m e.Ou) J Original Certificate Date: �S 1 u l� 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: DEER PARK #1 BLOCK 1 LOT 6 Parcel ID: 051-042-57 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date drilled CIRCA 1983 Well disinfected for coliform test? ❑ Yes ® No Total depth 65 ft ® Coliform bacteria is Negative Cased to 40+ ft Nitrate 1.48 mg/L ❑ Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected US Casing height (above ground) 18+ in. Collected by Date of flow test for COSA 11/09/2018 Static water level at beginning of test 37 ft. Date of Sample 7/24/19 Well production at time of test 1.03 gpm Comments Shallow well – a 500 -gallon storage tank is in the house for peak use. Well housed in small wood box. B. TANK DATA – 4/3/2019 - 1000 -gal Age of tank(s) <1 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping NA – NEW TANK C. LIFT STATION - NA ❑ Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA – 47'L x 2'W x 5'ED –1.2 GPD/SF = 376 SF (USED 4' ED FOR SF CALC.) Which system tested (date installed) 4/3/2019 Adequacy test date NA – NEW SYSTEM ® ALL standpipes present per record drawing Results ❑ Pass For 3 bedrooms Total measured depth from grade 11 ft (max) Fluid depth prior to test _ in Measured depth to pipe invert from grade 6. ft (min) Water added _ gal ❑ N/A – pressurized field New depth —in ® Monitor tubes go to bottom of effective. If not, state depth into effective Elapsed time min — ® Code -required soil cover over field Final fluid depth _ in ❑ System presoaked Absorption rate _ 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:FW5 COSA Checklist DRAFT.docx 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 ft Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® 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 if less than required) Building Foundation > 10' ® 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' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® 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 DRAFT.docx OF AZ4 49TH MICHAEL N. ANDERSON: No. CE 9469 w'�V AO N. 7/30/19. cs A�sstoN�.tior i ft 0 77 Time APPLI'MT FILLS OUT UPPER W_' ONLY Time Time Date Properl, OWnir ' DAVE V M IT-$QIJ o y Phone Mailing Address L) s 210 Code �,:$ 37 S 72 7S Buyer p Al/ E M I T 5 t Inspector Address L /:> OD O 1—j 21 9- 4A1eAA Zip Code s�! CO V, %,r Lending Institution f-fox�E SA��.0 G -s � LowN Phone Z77 /S/S/ Address .4i Zip Code p 1,_x APPROVED BEDROOMS Realty Co. d Agent ( ) DISAPPROVED Phone 1, MAddress Zip Code DATE _ Q f�CV_1)s _ Legal Description BY: Lo c� oic 1 eoe r /-U Q K. •� � Well To Absorption Area p Street Location (O Type of Residence Wall to Tank /On f^ Single Family Family No. Bedrooms Multiple of -3— C' Other Water Supply ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. ?Individual Community For wells drilled prior to that date. give well depth (attach log It available). ❑ Public Utility go Sewer Disposal 8 3 v Individual Year Individual Installed: /.- Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RECUEST BEFORE PROCESSING CAN BE INITIATED. 0 77 Time Time Time Time Date Date Date Date — C Inspector Inspector Inspector Inspector Field Notes: ' CO V, %,r 1,_x APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE _ Q f�CV_1)s _ BY: Soils Rating Date Sewer Installed Well To Absorption Area p Well Log Received Septic Tank Size / OO cf) Wall to Tank /On r7 m r1et1 J Y- -