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Home My WebLink AboutT15N R1W SEC 8 LT 15 Municipality of Anchorage g L On-Site Water and Wastewater Program • (907) 343-7904 SEP 1 4ag��71 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number OSP171136 PID Number: 051-091-16 Dwelling: Single Family (SF) ❑ Duplex(D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade Name: Nick Hansen ABSORPTION FIELD Address ❑ Deep Trench ❑ Shallow Trench El Bed El Mound 21027 Sunset Blvd., Chugiak, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-440-6330 3 0.8 GPD/SF 3.64 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 2.39 Ft. 1.25 Ft. 15 Fill added above original grade Gravel length Township Range Section 1.36 Ft. 38 Ft. 15N 1W 8 Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 15 Ft. 3 5 Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches Tank Field Lift Station Tank Line From 570 Ft2 Ft. Well 100+ TANK ❑Septic ❑S.T.E.P. ❑Holding ❑Other Manufacturer Capacity Surface Water 100+ Gal. Material Number of compartments Lot Line 10+ NA Foundation 10+ i LIFT STATION Manufacturer Capacity Curtain Drain None Known Gal. Pump on level at Pump off level at High water alarm at Remarks Construction completed 7-10-17 Diverter valve installed in STEP tank manhole in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank Tank to D1785 Installer drainfield_ _ ARM Services Drainfield D1785 CO/MTD3034 Inspector Crewdson Engineering LLC BENCH MARK (Assumed elevation) 100 ft inspection dates: 15, 7-7-17 2,d 7-10-17 Location and description 3rd 9-13-17 4"' Top of STEP tank manhole COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp :.7` SOFAlq 11 Conditional Approval: Date -- 4.••.. ..•. S * 49,k• * — — — i�*. 712s A. Crewdson; _ ____------ -:. i ,( ��J' 11027 • i Approve ` Date 3 -� rlj`�Fpp±.1-1"/-1.,t',�� %f��'"` -�/ 1 ROT I00 - Inspection Report_9-1-12.doc — — EAST 330.17 NShed— `—' PLAN 0 SCALE: 1"=50' 2 O a> N W MT2 O co m 2017 AF MT3 M M co o MT1 oTH 01-1 00 MT4 2003 MT(3 TYP) M N 0O O o op -- MH;., O O �� L;2003 1250-GAL STEP TANK 0 Z �` 2017 DV INSIDE MH Z Z 1iA 100' BM TOP OF MH Lot 14 / `//I� , 8 moo\ 3 BR SFH/ �F SWING TIES t / a� \ MH 116.62 85.35 Lot 16 / /` I GN MT1 110.59 90.32 // / I \ MT2 145.03 126.60 I t / MT3 149.87 128.15 WELL MT4 117.83 93.59 1,\! 0' Road,%eservatio k VALLEY AVENUE (Not Built) I j \ I \ / EAST 330.12 BM 100.00(top of MH) I I G 98.73 G 97.37 BM benchmark BOP bottom of pipe MH �I■I TH 01-1 BOR bottom of rock —' I D ,—INSULATION 0G/SM BR bedroom 1'25 �I_I� -OP 94.98 DV diverter valve • PVC MT1 M-12.4",-,.BOR3.5 EG existing ground 93.73 MT4 MT3 FG finish grade 1250 GM/GP MH manhole STEP TankH2O 8.5'10-15-01 MT monitor tube PROFILE EL 88.87 11'BOH SFH single family home NO SCALE Fl Ra 17 Crewdson,Enging, LLC T15N, R1 W, Sec 8, Lot 15 ; � 11 Absorption Field *. ��,.. •.*Record Plan and Profile .;IN .:, es ..Crewdson : 1F/74"- . C115527d •.." Civil&Environmental Engineering /S.�ROFESSIO ��\ PO Box 6713B9ChuglakAK99567 • cellc.l@outlook.com Prepared for: Nick Hansen Date: 2-28-18 Cell/Text 907-280-9493 • Fax 907-688-2295 Permit: OSP171136 Sheet: 2 of 2 ALLC#112279 -'."o� MUNICIPALITY OF ANCHORAGE vv.cnt On-Site Water& Wastewater Program 'S.; PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 �y http://www.muni.org/onsite r. eparttnent 44C-14ppPVf On-Site Wastewater Disposal System Permit Permit Number: OSP1Z1135, Effective Date: 6/23/2017 Sct)o tl( St1 Work Type: Septic Upgrade Expiration Date: 6/23/2018 Tax Code Number: 05109116000 Site Legal Address: T15N R1 W SEC 8 LT 15 G:1357 Site Mailing Address: 21027 SUNSET BLVD, Chugiak Owner: HANSEN NICHOLAS W & Lot Size in Sq Ft: 108900 Design Engineer: CREWDSON ENGINEERING, LLC Total Bedrooms: 3 This permit is for the construction of: II Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 Received By: M/ Date: / Issued By: _/ �._ Date: MUNICIPALITY OF ANCHORAGE Community Development Department = > 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. 0/ —0()1 1 -1 6 Property owner(s) NDay phone Mailing address Site address ,p Legal description (Sub'd., Block & Lot) 7"/5/V (/111/11 C 8 c /5- Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field j Initial ❑ Single Family (SF) N ( (w/wo ADU) Septic Tank ❑ Upgrade Holding Tank ❑ Renewal Duplex (D) ❑ ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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/ unicipal Codes. sAf - — (Si.na 4 re of property owner or authorized agent) Permit/Rush Fees: 5(6 Waiver Fees: Date of Payment: (Q L i3 f l? Date of Payment: Receipt Number: Oq3o963 Receipt Number: Permit No. OSIS/?163(o Waiver No. Permit App_9-1-12.doc Crewdson Engineering, LAX / 8 9 70 RUSH.► ".9 E JUN092017 James"Jay" Crewdson, P.E. n Email: CELLC.1@outlook.com Cell/Text: (907) 280-9493 �s .op Fax: (907) 688-2295 Civil&Environmental Engineering �� OL 6 Q L June 9, 2 On-site Engineer Municipality of Anchorage On-site Water&Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Reference: T15N R1W Section 8 Lot 15 Septic System Upgrade Permit Design Narrative The owner of the subject property is in the process of selling the property and has agreed to the buyer's request for the drainfield to be upgraded prior to the sale. The existing drainfield was installed in 2002 by South Fork Construction using a design by KND Engineering, Inc. (currently ArcTerra Engineering). The 2002 design included a replacement drainfield. During construction,the locations for the primary and replacement drainfields were swapped. The 2002 inspection report was approved by Onsite 9-10- 2003. After doing a site visit to confirm the possibility of using the 2002 replacement drainfield design,and per a conversation later the same day with Deb Wockenfuss on 6-8-17,Crewdson Engineering, LLC(CE) proposes to use the permitted 2002 design for construction of the replacement drainfield. CE is providing a copy of that design with this submittal for your review. CE will be doing the construction inspection and providing new record drawings under CE's seal with the final inspection report. Since the project involves a COSA, an new asbuilt survey will be completed after construction. Thanks, A Ja s"Jay" Crewdson, P.E. 9 t i .• = v =� •:J 7s A.Crewdson 011527 •'. '� lit �oiEss10Na�� PO Box 671389 • 18368 Amonson Road • Chugiak,Alaska 99567 Well Drilling Permit Number: SW Date ofIssue Parcel identification Number: Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. • G E• 8•V •, f.t� Municipality of Anchorage G,„` ''kv:. .`, On-Site Water and Wastewater Program < ig N 2 (907) 343-7904 SA ETY Certificate of On-Site Systems Approval Q r Parcel I.D. 051-091-16 Expiration Date: ` ^ 1 1. GENERAL INFORMATION Complete legal description T15N R1 W Section 8 Lot 15 Location (site address) 21027 Sunset Blvd., Chugiak, AK 99567 cur"rent'Property.owner(s) Nick & Arlene Hansen Day phone 907440-6330 ,' > Mailingaddress c•• • Keller Williams Real Day907-696-6683 4 . Real Estate Agent phone 2 TYPE OF DWELLING: I Single Family•:(w/wo ADU) E Duplex, . • ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance reque- Jr: Distance: dam: Received by/" Date: 3-al--/ COSA to be rele•s d to the engineer,unless otherwise requested by the engineer. COSA Fee $268.50 Waiver Fee $ /�� Date of Payment `1/167/' Date of Payment Receipt Number 0(1(06-1(3 Receipt Number COSA# Q%C1?/LI3 I 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. Name of Firm Crewdson Engineering, LLC Phone 907-280-9493 Address PO Box 671389, Chugiak, AK 99567 Engineer's Printed Name James Crewdson Date 9-14-17 Note: as engineer of record,the information I have provided on this form satisfies MOA Certificate of On-Site Systems Approval requirements only, and does not include any statements or guarantee r`kaciq he future life and serviceability of the subject systems. � O F A �q 1. 6. DSD SIGNATURE AQ'•�• • 414..1 v. }( System#1 Approved for bedrooms *. 49, ; / •: // System#2 Approved for bedrooms / r _ rc, . f i •. Crewdson ,��c,% Disapproved • 6, C11.527, ••••1 Conditional approval for bedrooms, with the following : .rigns. ' 4"'"1 pR�FESSIONP��..' 1 (.= rid, i ON-S17� . WATER ANn ,0 WASTEWATER pROGRAV By: tom--- �' Original Certificate Date: S —9 -LE The Municipality of Anchorage Development Services Department(DSD) issues a Certificate 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 blue sheet r -- c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: T15N, R1W, Section 8, Lot 15 Parcel ID: 051-091-16 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 8-7-2002 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 300 ft. Cased to 102 ft. Casing height(above ground) 30 in. FROM WELL LOG AT INSPECTION Date of test 8-7-2002 9-13-2017 Static water level 130 ft. 100 ft. Well production 1.5 g.p.m. 0.08* g.p.m. WATER SA RE t TS._ ice * 1050-gallons water storage in house / — - --- Colifo tAl`e,1 colonies/100 mL Nitrate t ( q 7 mg/L 13,E t^ cy( , ---- Arsenic ug/L Date of sample: 2--"2e ( ,7 Collected by: .o Cli-eldI 0-i \_- B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/Steel Date installed 9-11-2002 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cle //( pression_over_tank{ /N) --N-- High water alarm (Y/N) Y Date of pump l9-3 j (o Pumper S'2'-'k(4-Ail—g---- . C. ABSORPTION FIELD DATA Date installed 2003/2017 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 GPD/SF System type Bed/Bed Length 38/38 ft. 4.)*. Width 15/15 ft. Gravel below pipe 1.0/1.25 ft. . ea.. Total depth 4.7/3.6 ft. Eff. absorption area 570 ft` Monitoring tube Y Depression over field N Date of adequacy test New field Results (Pass/Fail) For bedrooms test not req'd Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (p st 12 mo.) (Y/N &type) If yes, give date 601-2, 4 ) e itis D. LIFT STATION Date installed 9-11-2002 Size in gallons 1250 Manhole/Access (Y/N) Y "Pump on" level at 44 in. "Pump off' level at 42 in. High water alarm level at 48 in. Datum Bottom of tank Cycles tested 5 Meets alarm&circuit requirements'? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ _ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ _ Holding tank 75+ Animal containment areas 50+ _ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain none known Wells on adjacent lots 100+ F. a , , _\ . — 14 Pocc2vdoc ( ess 4v. I Qtkv s (tom tek-Lf p,,,,-t�,f G. ENGINEER'S CERTIFICATION (e• , � •A4.q 11 %�P•'' • ••s�-11 I certify that I have determined through field inspections and i Co.• �,�. •••.9 P • review of Municipal records that the above systems are in j*: 49,40r\ .• j/ conformance with MOA COSA guidelines in effect on this date. .. 7•:" .• . .: . Engineer's Printed Name James Crewdson, P.E. /17: 'mes A. Crewdson cr% •Date 9-14-2017 #r r •• C11527 ••�?4'/ Note: as the engineer of record, I have provided information on PROF S10N this form intended to satisfy MOA COSA requirements only, andnn ,N\� it does not include any statements or guarantee regarding the ALC ) j o"t future life and serviceability of the subject systems. COSA canary sheet_2-6-15_CE.pdf 84451 Lot 2 EAST 330.17 LOT 15 Section 8, � '�j T15N, R1 W, S.M., AK Sheds' `--' 0 ca O cn N N tv Wtig° O 0 0 �gQ�\, ° coc Ir b 0 �<y 0 O. ° Gee O N 4',, 50 O pa o 00 t' °8`�Septic tank o Z r`mney a'w� Z Aliz• /� eck 1.2 OH Lot 14 try 2r3 �,�'6 O under deck --so. .�," 380 g? 'Kat.wal .3oti Lot 16 1 Story Frame House with Basement I 1 rvrv' 280/114 arage 1 101.: weil''% " 26,0 (v- Power Pole (Ni0' Road Reservation gavel driveway o VALLEY AVENUE (Not Built) — EAST 330.12ic, 0 a co co RECERTIFIED 8-1-17 ,,w mJ 30 r Lot 18B AS-BUILT NO CORNERS SET THIS DATE I— `SN.\ ` I hereby certify that I have performed a Mortgagee's inspection W I + OF of the following described property: LOT 15 SECTION 8, A ' T15N, R1 W,Seward Meridian, AK (J) s C0•• 49th -.is- •9 Anchorage Recording District,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 /01111'..6..i.. i••j`• :•Vctice...4_4_00• adjacent thereto encroach on the premises in question and c�,•.Fred Wa I a t k a ,,� / that there are no roadways,transmission lines or other ,I ••• 3255 - S •••JAI. roe visible easements on said property except as indicated .' hereon. SCALE: 1"= 50' 'I IO • • • • • • • • ,�° Dated at Anchorage,Alaska -Fess Iow- ` this 18th day of September ,2016. EASEMENTS OF RECORD, OTHER THAN ' , • r�� r . FRED WALATKA&ASSOCIATES THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Seward, FB 16-8, 35 BE Engineers and Surveyors pg (907-248-1666) • Municipality of Anchorage ..u. Efers.T_ Development Services Department Building Safety Division T ' On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On-Site Systems Approval (COSA) # OSC 171431 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 15 of T15N R1W Sec 8 subdivision, the well's productivity was determined to be .08 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3-bedroom residence is .31 gallons per minute. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval.