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Home My WebLink AboutSHACKLETON LT 23A-3hackl ton Lot 23A-3 #016-141-49 () Municipality of Anchorage .' -'. ;:,, Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 Page '[ of_,~ www. ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S~'O,q-'D ~-q~' PID Number:. "'" 'R,,. ,.d,/ "O,~,14 ~ Wastewater System: '~ New [] Upgrade ^d=,,,,! b~ O 5~,u~ '~cC~c 5 ~ ABSORPTION FIELD LEGAL DESCRIPTION I, Well: ~ New ~ Upgrade ~,.,. ~.~. s.,.,, c..,~ ~,~. e~ TAN K SEPARATION DISTANCES ~ Septic D Holding ~ S.T.E.P, D Other: T~ Septic Absorption Lift Holding Publi~Pdvate ~n~ Capably: i- Tank Field Station Tank Se~rLine ~ p~ ~ "'~'~' BENCH MARK EngineeFs Stamp ~ ~ ee~eeeee~ ,nspectionspefformedby: ~5 Dates: 1" ~'~'~ Developme~ces~ Depadment Approval--t Reviewed and approved by: ,, ~ Da(e: 22~-I 23A-3 23A-2 I · '~ If'eH I ,4¢ t2.$ FT BC 21.2 Afl 214 I 4E 27.8 ] Il t"T ~EEP 5 FT COVB~ ~ I II II II I t' I I I I I I I I I - -\ ~ I ,,, ,~o' ~_~ m ~' :'" .... " 203 V/ 15TN. AVENUE ANCN. AK. 99501 RONNIE AND SHELLY DALTON DATE: t,(ARCN 7, 2003 (907) 279-3916 1II JOAN COURT SHEET: 2/$ GRID: 2630 PERMIT I12V020246 Piti # O]6-J41'"')~q $1 T23A312DVG 0 Stondard Trench: 2' I/ide 40' Lon9 I1' ~eep 6.0' Sewer rock 5' Cover NO SCALE , Nonl~or 1250 9a! Septic tank ~..~ ........ .~ ...... ~-t.....~ ..., Effective lO00 gnt septic tank Ng SCALE AS ~IILT ASSUAI~ EZDf. I00.00 FT TB~EN SPURKLAN9 P.E. II ~03 W15th Ave II Anchorage Ak 99501 LOT 23A-3 SHACKI, p, TON s/D RONNIE & SHELLY DALTON I11 JO4tl L'OURT II SEPTIC SYSTEM SCHEMATIC DATE, ~ARON ~ 2003 SHEET, $/$ GRID, ~°630 PERWIT ~ SPt020246 PARCEL ID / 016-I4I-~/t1'1~ SLT2$A$$.DWG MUNICIPALITY OF ANCHORAGE Devetoprnent Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P,O. Box lg6650, Anchorage, AK 9g51g-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL. SYSTEM PERMIT Initial Date Issued: Jul 25, 2002 Expiration Date: Jul 25, 2003 Permit Number: SW020246 Legal Description: SHACKLETON LT 23A-3 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: Ronald Dalton Owner Address: 160 Shelly Marie Street Anchorage, AK 99515-3489 Parcel ID: 016-141-49 Site Address: 000111 JOAN CT Lot Size: 13456 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field J~J Septic Tank J--J 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 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. 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 SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parce~ I.D, ~;¢-~/~:2 - //-'t// - Permit Number Property owner(s) Mailing address (1) lbo Mailing address (2) Legal description (Lot, Block Legal description (Section, Township & Range) Lot Size / % L/~A--~ Acres~ THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPC=RTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Dayphone 5qq- Iog% Zip Code Number of Bedrooms ~. 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 age,t) I I Permit Fees: Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: T. ? L/klqD P.E. 203 W 15th. Avenue, Suite :203 ANCtlORAGE, ALASKA 9950 I (907) 279-3916 Fax (907)-276--6013 SEPTIC SYSTEM DESIGN LOT 23A-3 SHACKLETON S/D RONNIE & SHERRY DALTON Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street Anchorage, Alaska 99519-6650 July 17, 2002 We are submitting an application for the installation of a septic system for this lot. The lot is serviced with Municipal water. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, ofwhich 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: No Ground Water or Impervious Layer to 17 fl. Use Standard Trench Soil Rating. From Testhole 07/11/02 <1 rain/in = 1.2 gal persq.ft/day No. of Bedrooms 3 Required Area per Bedroom: 150/12 -- 125 sq.ft. Total area required: 125 x 3 = 375 sqlt Testhole depth 17 feet Bottom Rock At 1 ! feet Top Rock At 5 feet Rock Depth 6 feet Minimum Trench Length 375 / 12 -- 31 fl. Use 40 ft SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 40 FT TOTAL W1DTtl 2 FT TOTAL DEPTH 11 FT ROCK DEPTtl 6 FT COVER 5 FT SEPTICTANK 1000 GAL The installation of this septic system will not prevent wells and septic systems 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 ofsurface runoffwill not result from this installation. I I 22A I; --I I I SCALD I' = I88 FT. P/ES T KLA TT R[7AD TOBBEN SPURKLAND P.E. 203 PI 15TN. AVENUE ANCN. AK. 99501 (~o~) I, OT 23A-3 SHACKI, ETON S/D RONNIE AND SHElly DALTON I I I JOAN COURT SEPTIC SYSTEM DESIGN DATE: JULY 17, 2002 SHEET: 1/3 GRID: 2630 PERMIT #St,/O2OXXX PID # OI6-141-XX SL T23A31.DP'G 22~ 23A-£ I I I I I L_ 22~-1 23A-3 N TOBBEN SPURKLANO ?.E. 23A-5 T 205 I¢ 15TH. AVENUE ANCH. AK. 99501 -- I8 FT I -- 25Fi iJ eoI Iza I 23A-4 [~ £ONNIEIi~ND SNEIIY DALTON DATE: JULY 17, 2002 PID It 0]6-141-XX '' S, LT23A3129VG j PE£NIT tt,.~VO~XX, Y Standard Trench: 2' Vide 48' Long II' Beep 6.0' Sewer rock 5' Cover NO SCALE , Monitor ~ Cteanouts 5' Cover Slit Borrler~ 6.0 £t o£ Septic Rod< Effective NO SCALE 1250 gat Septic tank ............ -m~>~ ~ ........ IOOO Dot septic tank 203 ~/15'ch Ave Anchorooe Ak 99501 LOT 23A-3 SHACKI, ETON $/D RONNIE & SHEllY DALTON 111 ~ ~ SEPTIC SYSTE. SCHEMATIC I I)ATE, J~LY"'~I8~ 2002 SHEET, $/$ GRID, 2630 SLT2JA$J. DIVG PERWIT ~ SWO2OOXX PARCEL ID / OI6-I41-XX 9- 15- 16- Municipality of AnchoraGe ~ Developmenl Se~ices Depadment ~" · ~ ~ 8 ~ ~ On. Sile Waler and Waslewaler Program ~',~~// P O Box 196650 An~orage AK 99519.6650 Sods Log - Percolabon Test 7-0~o 140 L.tE. 20°. Slooe SUe Plan WAS GROUND WATER ENCOUNTERED? Monlloting? Reading Dale Gross Time Net Time Oe~h to'~'a',er I Net D'"= I I PERCOLATION RATE {m~ule~n¢~) PERC HOLE OIAMETER TEST RUN EE'I~NEEN PT AND PT ~ER~C~MED BY '~ .~' I ~ .~ CERTIFY THAT TH~S TEST ~,',',; S =ERFORMED U,j ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. "~/11/0 7._ MUNICIPALITY OF ANCHORAGE awl' WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE: (907)564-2762 BLOCKILOTTTRACT LT 23A-3 SUBDIVISION SHACKLETON a:rxPr� WATER CONNECT PERMIT 02-6512 DATE OF APPLICATION 05/31/2002 SCHEDULED COMPLETION DATE 12/31/2002 TAX CODE 1614149 GRID 2630 AS -BUILT STREET ADDRESS 11410 JOHNS RD OWNER DALTON RONALD MAIL ADDRESS 160 SHELLY MARIE CIRCLE ANCHORAGE, AK 995153489 X SINGLE FAMILY MULTI -DWELLING No. APTS_ COMMERCIAL PHONE CONTRACTOR G & H EXCAVATORS ASSESSMENTS Repair Existing Service X Main Line Extension On Property Only City Tap Have Basin Levied Hydrant Only 50' or Longer To Be Levied 2 Main Tap - To Property Line Only Comments:oU XMain Tap & On Property Connect Row No. Disconnect R & R - Main Tap Only Owner r jStaff CONNECT SIZE I" ISSUED pcousins PAID CASH INSPECTIONFEE $ 103.00 PERMIT FEE $ 45.20 /�7 I>( �I CHECK# $ 0.00 �j/ OTHER REIMBURSABLE DEPOSIT TOTAL $ 0.00 $ 148.20 INSPECTED BY p NUMBER DATE REMARKS Repairing keybox. PERMITTEE (Please Print) *SAME AS OWNER MAILADDRESS >4_11,A C -Ai 11V. L� PHONE'-j�—Rk_) b POST IN A CONSPICUOUS PLACE AT THE JOB SITE AWWU INSPECTOR Original DATE SCHEDULED (o-Li-Gtpi TIME i 30 INSPECTOR SUBDIVISION SHACKLETON BLOCK/LOT/TRACTLT 23A-3 iI I INDICATE NORT SIZE CONN 1 CORP. STOP CURB STOP C TO C FT. COPPER PIPE 1 1/4" OR T' KEY BOX FT. THAW -WIRE THAW-PLATE/NUT KEARNYCONNECTOR OTHER / DOMESTIC ONLY BOTH FIRE & DOMESTIC FIRE LINE ONLY FIRE HYDRANT ONLY DATE OF TAPE /p / /Oen BY �, .' fI SIZE MAIN ALLEY STREET EASEMENT TYPE MAIN J7) EXCAVATOR C, $ }y DISCONNECTS YES , "NO SIZE OF DISCONNECT COMMENTS �� KEY BOX LOCATION 541 4e * e&,Z N O F S E a2oo c'.ofw(E-a. A/Vd 4f1 -Q i- 5 � o -P A/Qi-E. 2 AI A;A/ INSPECTION REPORT LINE BLOWN OUT / / INSULATED K.B. & T.W. -OK AFTER BACK -FILL OPEN BORE FLUSH / / 200 LB. TEST MAIN CHLORINATED CHLORINE FLUSHED OK TO TURN -ON 1 DO NOT TURN -ON INSPECTOR _ DATE COMMENTS MUHIU[i AUTY OF /\ HCHORAGE 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. 016-141-49-000 Expiration Date: 11/16/2023 Legal description SHACKLETON LT 23A-3 Site address 11400 JOHNS RD Anchorage AK 99515 Current property owner(s) LORD RICHARD J K &HODGES BARBARA A X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 8/16/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist Absorption Field Advisory Tank Age Advisory Other X Well Flow Advisory Nitrate Advisory x Arsenic Advisory COSA Approval June 2022 MUNICIPALITY OF ANCHORAGE o, Development Services Department c Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 016-141-49 Complete legal description SHACKLETON LT 23A-3 Location (site address) 11400 JOHNS ROAD ANCHORAGE, AK 99515 Current property owner(s) RICHARD LORD & BARBARA HODGES Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ® Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 21 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ® Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment 2 S'/Zo 23 Date of Payment COSA # 0SG23127Z. Waiver # COSA Applicalion.doc COSA Checklist.docx COSA Checklist Legal Description: SHACKLETON LOT 23A-3 Parcel ID: 016-141-49 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA - PUBLIC &/OR CLASS “A” WATER 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. Well production at time of test gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 48” Date of pumping 7/17/2023 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/8/2002 ALL standpipes present per record drawing Total measured depth from grade 11.9 ft (max) Measured depth to pipe invert from grade 6.4 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective 5.1 ft Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 7/17/2023 Results Pass Fluid depth prior to test 0 in Water added 1000 gal New fluid depth 0 in Elapsed time <10 min Final fluid depth 0 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 72 in (6’ ED MOA) Effective depth used 11 in (Missing ED) Effective depth remaining 61 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximately 1’ ED is missing. Area & site has good percolating SW soils. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) - NA Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS AWWU water connect card file attached. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 7/17/2023 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 7/17/23 H UURRCC P„ UTY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On -Site Water and Wastewater Section \ ''_ Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate Of On -Site Systems Approval # OSC231272 Subdivision: Shackleton Block: J. Lot: 23A-3 The septic tank for this property is 21 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. 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. DocuSign Envelope ID: F2B0D830-3956-4D41-88DA-1CDFDDE3516FDocuSign Envelope ID: C460DB2F-ECC7-4FD4-A120-0C00A561DC56