HomeMy WebLinkAboutSPRING BROOK VISTA #1 BLK 1 LT 6-A1Sp ing B ook
Vista
Block I
Lot 6A-1
#050-091-39
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:. ,,.Ct.,/'OlO 3~'ur PID Number: O,.'c0' 0cf~"
N.~..: Wastewater System: ~ New r'l Upgrade
^co,*.: . ABSORPTION FIELD
LEGAL DESCRIPTION so,,..,,.,:1.2 ~oo~q
~.- I ~/,r;~la 6reel( v;.<to, I,~~
SEPARATION DISTANCES ~s.,~ m Holding
Water ~ 100~ ~10~ i
,o~.~.,,o. ~,,~'t ~ ~ '~-'~""": I'~"~'~ I~'~'~''-
Remarks:~? ,,~ ~ r~:/ BENCH MARK
ENGINEER'S
Inspections pedo~ed by: F.~.E. S Z. ~-~ Dates:lst ?-II-o~ ~*~49~ ~ .~...
Depadment of Health and Human Se~ices approval
Reviewed and approved by:~ Date: ~ -~O- OJ
~//.~
Permit No. SW010244
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On-Site Wastewater 0isposol S~stem and/or Well Inspection Report
Le al Description: SPRING BROOK VISTA, LOT 6A-1, BLOCK I PID No.: 050-091-.39
I
I
I
LOT 6A-1
30.0/
(NaT Tn SCALE)
SCALE 1" = 50'
C 140.3 117.2
D 127.'~' I'~0.~' I
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'~:." 49TH__ ~ '.~'
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Sile Wafer & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Jul 17, 2001
Expiration Date: Jul 17, 2002
Permit Number: SW010244
Legal Description: SPRING BROOKVISTA#1 BLK I LT 6-A1
Design Engineer: 0024 Eagle River Engineering Services
Owner Name: Kipling Dan
Owner Address: 16542 Mercy Dr Total Bedrooms: 3
Eagle River, AK 99577-
Parcel ID: 050-091-39
Site Address: 012232 PRINCE OF PEACE DR E
Lot Size: 23107 SQ. FT.
Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail 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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 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.
Issued By: ~ ~
Date: 7/1 ? ~' ~
Date: ~
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWEPJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number
Mailing address (1) I1~.'~ ~ F~¢~'~1 '7)rr ~ ~ ~, h,.
Mailing address (2) , .~
Legal description (Lot, Block & Sub'd.)~, (1%~)g
Legal description (Section, Township & Range)
Lot Size o~.~, IO'7
Acres/S~ Number of Bedrooms
Dayphone ~=,q-~ c~ -~'~33
Zip Code
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Well Only
Water Storage
Jacuzzi
Water Softening Unit
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent) ~",~J' ~' ·
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
July 3, 2001
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Lot 6Al, Block 1, Springbrook Vista
Narrative & Permit Application
Dear Mr. Cross:
The proposed well and septic system will have very limited impact on adjacent properties for the
follo~4ng reasons:
The surrounding lots are served by public water supply, allowing sufficient room for
septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. The soil permeability is good.
4. Drainage will not be affected and is not a major consideration in our design.
I f you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
L200 I\01-024~AR
/
/
/
LOT 6A- 1
..o
NO WELLS- PUBLIC WATER
NO SURFACE WATER
NO KNOWN CURTAIN DRAINS
?
/ ~ - TEST HOLE
/ · - MONITOR TUBE
/ o - SEWER CLEAN OUT
/ + - KEY 80X
/ .... EASEMENT
/ ~- PROPOSED L~ACH RELD
/ m- EXISTING LEACH F'I?LD
SEPTIC SITE PLAN
LEGAL: SPRING BROOK VISTA, LOT 6A-1, BLOCK 1
KIP DAM
CONTRACTOR:
~01 -024WS
EAC.LE RIVER ENC./NEER/NC.
AP.O. Boz 773294
EAC.LE RIVER. AK. 99577
(907.) 694-5195 FAX:, (907.)
DATE: 6/29/01I SCALE 1"= 40'
SER VICES
694-3297
LOUIS A. BUTERA ."
· .. CE-6736 ."
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
LEGAL:
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
Lot 6A-I, Block 1, Springbrook Vista
June 29, 2001
A. GENERAL
I. The well and septic plan are for a 3 bedroom single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of tlealth and State
Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
o
8. It is always recommended that a surveyor locate the nearest lot line position and the location &any
easements.
9. Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK
I. 1000 gallon MOA approved.
C. .TRENCH
I. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom.
The upper trench is to be installed so that effluent will overflow to the lower, shorter, trench.
2. The bottom ofthe trench excavation prior to rock placement shall be level, plus or minus 1.5".
3. The total depth ofthe trench excavation is not to exceed 10' at any point.
4. The effluent line within thc trench shall be laid level within 0.03'.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the Icachfield.
7. The area over the trench is to be finish graded to prevent ponding of surface water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "Cn well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTtl = 10' GRAVEL DEPTH = 7' under pipe, 2" over pipe
TRENCH LENGTH = 27' TRENCH W1DTtl = 2+'
SOIL RATING -- 1.2 GPD/fi2 BEDROOM CAPACITY -- 3
SEPTIC TANK -- 1000 gallon
Twenty-four (24) hours notice required for all inspections.
~2001\01-024spc
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 01-024
Calculated By: LB
Date: 6/29/01
Legal: SPRING BROOK VISTA, LOT 6A-1, BLOCK TEST HOLE 1
Single Family 3 Bedroom Dwelling
Deep Trench Subsurface Wastewater Disposal Field
Wateruse at 150 gallons perbedroom = 450 gallons
Percolation rate = 3.5 minutes perinch
Wastewater application rate = 1.2 gallons per day per square foot
Required absorption area = 375 square feet
Trench width (W) = 3 feet
Gravel depth (D) = 7 feet
Required length = Required absorption area / 2 / D
Required length = 375 / 2
Required length = 27 feet
Total Excavation Depth = 10.0 feet
/ 7
01-024CaLxls
11:00 AM6/29101
PERFORMED ;OR= /~;p P~'~
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street. Anchorage, Alaska 99502-0650
SOILS LOG ~ PERCOLATION TEST
PERFORMED:
OATE ~~
LEGAL DESCRIPTION:.~.IF';~,~ ~r00k V[$~'a~. A0t $,~-I: ~-~( IT°wnship' Range, Section: TYt/V./~2.~, $~c.
~ SLOPE ~ITE PLAN
5
6
7
8
10-
11
13
14-
15-
16
17-
18-
19
20
/'
WAS GROUND WATER
ENCOUNTERED? ~'~
S
IF YES. AT WHAT
DEPTH? f& p
E
0epa to WaK ~er .. ,
Gross Net Depth to Net
Reading Date Time Time Water Droo
PERCOLATION RATE
TEST RUN BETWEEN
. (mmutes~mch) PERC HOLE DIAMETER ..
, FT AND ~' / FT
PERFORMED By: ~'- /~ E.5, I ~ CERTIFY' THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; 7-- / ~ ' ~ t
72-008 (Rev.
MUNICIPALITY .OF
,
Development Services Department
On -Site Water & Wastewater Section
Parcel I.D. 050-091-39
ANCHORAGE
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Phone: 907-343-7904
Fax: 907-343-7997
Expiration Date:
Complete legal description SPRING BROOK VISTA #1 BLK 1 LT 6-A1
12232 E Prince Of Peace Dr
Location (slte address)
Current property owner(s) DAM KIPLING
Mailing address
Real estate agent
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
Day phone 223-3933
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
Fx_1
Public Sewer
❑
Waiver request for:
Distance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ -5S0 Waiver Fee $
Date of Payment G///�Z/
Receipt Number 0 697y n
Date of Payment
Receipt Number
COSA # DSC ZI (Z4,69 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 NorthRim Eng.
Address PO Box 770724, Eagle River
Engineer's Printed Name Steve Eng
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms
System #2 Approved for bedrooms
Disapproved
one M1 02=1
Date 8/9/21
0 OF
11C
0
:49
k- 0
. ........ J0
CE -621%
2
Conditional approval for bedrooms, with the following stipulations:
rQ ri
jZ OPV -SITE
Z5 144- --miD A him �z
VYAJ F-1\ FA-
-0— WAST,—v\!ATER oz
PROGRAM
By: Original Certificate Date: 1
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 reqistteered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's viork.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
0+e,v-
COSA Checklist
Legal Description: SPRING BROOK VISTA #1 BLK 1 LT 6-A1 Parcel ID: 050-091-39
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)
Date drilled
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Comments
B. TANK DATA
Age of tank(s) 20 years
Tank type/material Sptcstl
Measured operating fluid level in septic tank 50
❑■ Standpipes/foundation cleanout per record drawing
Date of pumping 8/4/21
D. ABSORPTION FIELD DATA 7/19/01
Which system tested (date installed) same
❑■ ALL standpipes present per record drawing
Total measured depth from grade 11 ft (max)
Measured depth to pipe invert from grade 4 ft (min)
❑ N/A — pressurized field
❑■ Monitor tubes go to bottom of effective. If not, state
depth into effective
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑■ No
❑ Coliform bacteria is Negative
Nitrate mg/L E]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 7/26/21
Results Q✓ Pass For 3
Fluid depth prior to test 0
Water added 450 gal
New depth 3 in
Elapsed time 30 min
bedrooms
in
❑E Code -required soil cover over field Final fluid depth 0 in
❑ System presoaked Absorption rate 450 gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies:
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 7
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
❑ Yes
if No ft
Neighboring Tank > 100' ❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields > 100'
Water Main > 10'
if No
Animal Containment > 50' ❑ Yes
if No ft
❑ Yes
if No
ft
Water Service Line > 10'
Yes
if No
ft
Manure/Animal Excreta Storage > 100'
comment below
Community Sewer Main > 75' ❑ Yes
if No
ft
❑ Yes
if No ft
From Septic/Holding Tank on Lot to: i ('lease enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No 7
ft
Surface Water > 100'
Yes if No.
Property Line > 5'
0
Yes
if No
ft
Wells on Adjacent Lots:
Water Service Line > 10'
Absorption Field > 5'
Yes
Yes
if No
ft
Private Wells > 100'
0 Yes if No
Water Main > 10'
if No
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' 0 Yes if No ft If absorption field is under driveway comment below
Property Line > 10'
El
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
0
Yes
if No
ft
Private Wells > 100' Q Yes if No
Water Service Line > 10'
Q
Yes
if No
ft
Community Wells > 200' Q Yes if No
Surface Water > 100'
Q
Yes
if No
ft
F. ENGINEER'S COMMENTS
Tank Not Under Deck Support
G. ENGINEER'S CERTIFICATION
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.
* :49TMW *�
cq� Steve En
CE -6256 'Z A
a
8'/ 9 %21`'=
ENGINEER'S
61
ft
61
ft
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Septic Tank Advisory
Certificate of On‐Site Systems Approval # OSC211469
Subdivision: Spring Brook Vista #1 Block:1, Lot: 6‐A1
The septic tank for this property is 20 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $7,000 to $11,000.
This advisory must be attached to all copies of the subject Certificate of On‐Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
Lot 9-A1
1q8i
SCALE: 1 "= 40'
112-00
o
o 0
Note: This property is served by a
public water system.
OF A4 I
.► c� .
49th 00
••••�••• i••' •• •e••
1 00
OF c- •:�lizabeth L. Walatka •• �o i
• •SQ36 e LS . • �,' s
• • AW
rRaF �
ESS l eNa
1
NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described property: LOT 6-A1, BLOCK 1,
SPRING BROOK VISTA UNIT No. 1
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 4th day of JUNE , 2021.
EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C.
THOSE SHOWN ON THE RECORDED Engineers and Surveyors
PLAT ARE NOT SHOWN HEREON FB 21-23 pg 44-45 BE 907-246-1666
UNLESS OTHERWISE NOTED.
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.