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Home My WebLink AboutT12N R3W SEC 21 N2N2NE4NW4SE4 Onsite File T12N R3W Sec . 21 N2N2NE4NW4 5E4 #015 - 281 - 55 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1of2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191061 PID Number: 015-281-55 Dwelling: ® Single Family (SF) ['with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name SQUARE MOUNTAIN MANAGEMENT ABSORPTION FIELD • Site Address ® Deep Trench ❑Wide Trench ❑ Bed ❑ Mound ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 0.8 GPD/SF 11 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 5.0 Ft. 6.0 Ft. TI2N R3W SEC 21 Fill added above original grade Gravel length N2N2NE4NW4SE4 Township Range Section 2 Ft. 85 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 2 Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1020 Ft2 Ft. Well 100'+ 100'+ 50'.+- TANK ®Septic ❑S.T.E.P. 0 Holding 0 Other Manufacturer Capacity Surface Water 100'+ 100'+ ANCH TANK 1500 Gal. Material Number of compartments Lot Line 10'+ 10'+ NA STEEL 2.0 Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tdralnf e k o 3034 Installer MIKE ANDERSON, P.E. Drainfield 3034 CO/MT 3034 Inspector MIKE ANDERSON, P.E. BENCH MARK (Assumed elevation) 99.2ft Inspection 151 2/4/19 2. 2/4/19 Location and description da 3"' 41" GARAGE SLAB ON-SITE WATER AND WASTEWATER SECTION APPROVAL EactipQets.,Stamp""..- Conditional Approval: Date -•P. • •••r:i gAl f `a.3-r: 49TH .^fir 'a �J M• ICHAEL N. ANDXRSCN ..7. Septic System / .,r• Approv i l.� it— J Date' 13 �lie,,'„!Ip"1.r•.Y`t,,ti;:.:,�::.' 1��;QFESS1' -sem Note: this approval does not include well permit requirements. ON:N.N. -"- (Rev 05/02/18) Permit No. OSP191016 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 Disposal System and/or Well Inspection Report Legal Description: T12N R3W SEC 21 N2 N2 NE4 NW4 SE4 PID No.: 015-281-55 MARK A 8 I © I Col 45 10 I 09_2 45— 1Q — — — —r — — — — — — TC01 40 17ii_____ TCn2 33-- 25 ___ CO3 30 3 —_ / C04 30 1 ' Co5 48---'333 / � N CO6 45 90 / N\ i UT9 7 46 89 / \ \ / // /J \ 8 \CH, GAR \ GARAGE \ ,`' / / { \ oa , . n \ _e6� 11 // 7 P(STING LL 14 \; 11 \1 /I it 11 I - I I 11 • 11 1 I 11 11 • 1 11// 1,500 GALLON E TANK 1 OLD SYSTB'M DECOMM /1 �Q34 11 —� \ • TCO2 MT2 \ / CO1 ;t05 SECONDARY SITE -—1/ — \ BCO?„,J �'�' / \ / CD \ / — ---) / / ! . 1 —� I 0 i—\ice — —\ I / SEPTIC \ I ASBUILT \ SCALE: 1"=50' `\ • 001 r CO2 ///TCO( [CO3 r004 [C05 fMT1 NT2 [CO6 .'V„"1♦%1,, d / TCO2 C 100 .•• ,................44 •. f /+a; FlNQT GRADE _ 4„,.., p,..C.)./.. •�J�-,♦ 1 + MGR :IRlF WC�CTWait.0 ORO • �•':. ��j ...:� I rFILTER FABRIC a ' 49 LH_ /�, • '�•• 97.2 / 2.000 GALLON \96.9 a e51A/SP • • • 0 STEEL TANKK•\ soumeg95 'r...., 25 • •� • • • 09.—/ R9 .0''t MICHAEL N. ANDERSON: fir.- 9},]_/ \93.1 0 C% '• 4No. E/94-69 .' a •. Z • 134,\, 1( (t��y .. * {i SEPTIC SECTION 83 . •••i.ii'•••• �. N.T.S. if ill tK¢ 44 E`1��•. 1 MUNICIPALITY OF ANCHORAGE On-Site Water &Wastewater Program _ \' -'S;. .:Ayie. PO Box 196650 4700 Elmore Road • _ �� Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,N http:/lwww.muni.org/onsite 1 Department ,"CMOs PGE On-Site Wastewater Disposal System Permit Permit Number: OSP191016 Effective Date: 1/31/2019 Work Type: Septic Upgrade Expiration Date: 1/31/2020 Tax Code Number: 01528155000 Site Legal Address: T12N R3W SEC 21 N2N2NE4NW4SE4 G:2735 Site Mailing Address: 3710 E KLATT RD, Anchorage Owner: SQUARE MOUNTAIN MANAGEMENT Lot Size in Sq Ft: 85800 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 5 This permit is for the construction of: 0 Disposal Field Q Septic Tank 0 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 Received By: 04Date: Z / Issued By: ,,� ! Date: MUNICIPALITY OF ANCHORAGE '• 1c Development Services Department \ _�� Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION B 1 TIr Parcel l.D. 015-281-55 ZNd— gni) Property owner(s) RODNEY SPENDLOVE Day phone Mailing address 3710 E KLATT RD ANCH AK Site address SAME Legal description (Sub'd., Block & Lot) T12N R3W SEC 21 N2N2NE4NW4SE4 Legal description (Township, Range & Section) Lot Size 85800 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field 0 Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank 0 Upgrade Duplex (D) ❑ Holding Tank ❑ 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: 595 Waiver Fees: Date of Payment: //Z-G/Q Date of Payment: Receipt Number: -* 33g27 Receipt Number: Permit No. 05 p/q/ol6 Waiver No. G:IDevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Jan. 28, 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New Septic Permit Legal: T12N R3W SEC 21 N2N2NE4NW4SE4 To Whom it may concern: This is a request for a new septic permit on the above referenced lot,the current system is undocumented and will be decommissioned. The existing building is a shop with one bathroom but no bedrooms,a new 4 bedroom house is planned for the near future. A single test hole was excavated which showed sandy silt for the entire 17 foot depth. The perc rate was 10 minutes with no water during or after the monitoring period. The lot slopes 5 to 10 percent near the new location for the leach field,see the site plan,then flattens out to less than 5 percent.This system will not impact any of the neighboring properties due to the lot layout. Please call me if you have any questions. Sincerely Michael N. Anderson, 4661 Natrona Anch, Ak 99516 Ph 727-8864 DESIGN CRITERIA: - MOUND OVER • (TH#1) o -- GRADE 5 BDRM X 150 =750 GPD10 .ORG _______I SOILS = 750/0.8 = 937 GPD W FILTER FABRIC 937 GA/14 =67' 4"0 PIPE SP/SM 4.0 —. SEWER ROCK (1) TRENCH 11.0' DEEP -11.0 7.0' EFFECTIVE 2.0'WIDE 12.0' 67' LONG 17.0 SEPTIC FIELD SECTION • I I • II I I - - I L- �� — I I \ I \ • 1 / \ ll WI I 1 - \ / I I- w I I /. \\ \• �'/ 2 l I --- I 0I I I _I W — — — - - — —-- - — - - - - - - - -r .E-- _ _ \ ,--TEA' KLATTROAD- / / — = 4 — — — — — — \,-__J-- ' , I 1 1 ` PROPERTY LINE JH I I • I .1 / WI l\ ri„ r -- zI l \lI 1 U EXISTING BUILDING 11 r\ I I 1 \ �, � I r - - I I I I I I IL 1 c I- / I ZI _ o Dom__ — — —. = Septic Design Prepared for •_��11�F\%%.. RODNEY SPENDLOVE ••�� • ar("'•�'� ...,„,1 ...• •♦ T12N R3W SEC 21, N2N2NE4NW4SE4 ; 49 TH /\ •': * ♦; Anchorage, Alaska • • IAA • • Michael N. Anderson, P.E. DATE: 1/28/2019 V. ICHAEL N. ANDERSON ip ♦ �' No. CE 9469' �� 4601 NATRONA AVE DRAWN: DJR ♦♦j�r. •. ......... (907)ANCH ,ALASKA 99516 720 8864/ 907) 345-1391 SCALE: 1”=200' ♦♦444 ; ;� �• I ' `• ``\ j \`I, •\ . I \ _ ' I \ ',; / \` • `� -- \ / ` y I i,\' SIEFKER#2 I SIEFKR#2 0 ` LOT A-58 � \ LOT A5C I \ \ - WI- /� -EAST KLATT ROAD- O /�`.\ • /—PROPERTY LINE w .1.' ,'' f•,, •(---- \\c/../../.. ., • •• - • / j PRIMARY • �\�'// Y. ••' .. '\ • i II I1 \TRENCH • • \ II II 1 „<,41?'% • • ••. ) / II II SECONDARY 1' CONTOURS ii 00 - ' • �I i i • 11,.. 1\ TYP. ��\, \ . .-4.- ..• • 1% iii ilii �H#\ ® ` I ,. i i II II ,/ I L _lir \ • O t �! I IG u ANEW 1500 GALLON `� TANK _------_ EXISTING / •' —` h•\1 /0/14A BUILDING . / 8 -- '•`.1 —___/ �i •.• 1 �‘ ' UNDOCUMENTED SYSTEM TO BE 1 0 ? �` DECOMMISSIONED PER UPC r 1 r ' PROPERTY LINE ./i. •. - . . • ... SHED � - ' / . / r , / //_``/••• ,.. --�\--_-- T12N R3W SEC 21 ` / \ I S2N2NE4NW4SE4 \ I ! \ I I G ` 1 I \ l\ / Q.S\ •\\ I / \ \ \._ \ ` 1 �1 ! \ i 1 \ Septic Design Prepared for ♦._sokiLIl q,1� RODNEY SPENDLOVE �.♦,P 0F ' 4'�S,.i• T12N R3W SEC 21, N2N2NE4NW4SE4 ::' 49TH �� • �•� Anchorage, Alaska , iiarybv& • • • Michael N. Anderson, P.E. DATE: 1/28/2019 •�� .MICHAEL N. ANDERSON;p: ♦ No. CE 9469 • ANCHORA4601 GE,ALASKA 99516 NA AVE DRAWN: DJR • ��..,./.•.. .,• ice (907) 727-8864/FAX: (907) 345-1391 SCALE: 1"=50' ��1 55104\' GRAPHIC SCALE. 1 Inch = 100 Feet EAST 50 0 50 10 200 **4‘1\ ,PLATT ROAD N89'58'00"E 660.00 W O WELL 0O 6 Ili 0 co BFB—) ' 1F.LJ ;B v C•4 n . . p Q N89'58'00"E 660.00 v s 1 WELL S��Q-P�� 'n �o �r� 12 OF �\ \ /#\BOBBILF. BURNETT ifBobby F. Burnett -�84 2941 'Carrie a Drive �,�Z.�� J J� f Anchorage, Alaska 99507 BUILDING DETAIL N\' ir w'r (907) 350-5541 1"=50' 1411L.N0111:111P." Date Scale Legal Description 1/28/2019 1" = 100' I hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the improvements situated thereon Grid N 1/2, N 1/2, NE 1/4, are within the property lines and do not overlap or encroach on the SW 2735 AS BUILT NW 1/4, property lying adjacent thereto unless otherwise shown. That no / SE 1/4> SECT 21, improvements on the property lying adjacent thereto encroach on the \,...:rawn by Field Book T12N, R3W, S.M., ALASKA premises in question and that there are no roadways, transmission BFB ASB-2019 lines or other easements on said property except as shown. - Municipality of Anchorage -•--�IGQ�E1 �4� Development Services Department ,•,��; MUNICIPALITY OF ANCHORAGE 1 l i , Development Services Department �, J�/ Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. _015-281-55 , Expiration Date: 1 3 1. GENERAL INFORMATION Complete legal description _T12N R3W SEC 21 N2N2NE4NW4SE4 Location (site address) 3710 E KLATT RD Current property owner(s) SQUARE MOUNTAIN MANAGEMENT Day phone Mailing address Real estate agent .. hone <2\1% X2.3'4 6, 2. TYPE OF DWELLING: N �F6 ,5) ® Single Family (w/wo ADU) �� ❑ Duplex r- P ti ❑ Multiple Dwellings (Single Family and/or Duplex)s 3. NUMBER OF BEDROOMS: 5 S 7 £ Z 1:\.4 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: /i` Date: l (‘/er COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 44e. 00 Waiver Fee $ Date of Payment 02119-119 Date of Payment Receipt Number /� Receipt Number COSA# °S CR! d 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 MICHAEL N ANDERSON, P.E. Phone 727-8864 Address 4661 NATRONA AVE.ANCH AK 99516 Engineer's Printed Name MICHAEL N.ANDERSON, P.E. Date 2-11-1.9..,.E--. r „ ',,.-.... 6. DSD SIGNATURE `% ° ° System #1 Approved for c bedrooms . �.' System #2 Approved for bedrooms 4.; : ;•, ' /"ér • Disapproved ,,,,3 ,;':c.,;`', ;.. ,...; .„ Conditional approval for bedrooms, with the following stipulations: ..)'$ 1 ON-SITE , WATER AND r`t: ro WASTEWATER PROGRAM .” 4 c)"--.. th. ilitSER\10" B ___4"- / Original Certificate Date:,,' / 3 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 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 COSA Checklist Legal Description: T12N R3W SEC 21 N2N2NE4NW4SE4 Parcel ID: 015-281-55— 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) Well production at time of test 3.2 gpm Date drilled UN Water storage tank volume gallons Total depth 388 ft Well disinfected for coliform test? ® Yes ❑ No Cased to UN ft ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate PO mg/L ® Nitrate less than MRL (ND) ®Wires are properly protected Arsenic 1N9 ug/L ® Arsenic less than MRL (ND) Casing height(above ground) 24+ in. Collected by MNA Date of flow test for COSA 2-1-19 Date of Sample 2-1-19 Static water level at beginning of test 356 ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) 2019 years ❑ Required maintenance completed Tank type/material STEEL Age of lift station years Measured operating fluid level in septic tank NEW Lift station material ® Standpipes/foundation cleanout per record drawing Comments: Date of pumping NEW D. ABSORPTION FIELD DATA NEW INSTALLATION Which system tested (date installed) 214/19 Adequacy test date NEW ®ALL standpipes present per record drawing Results El Pass For 5 bedrooms Total measured depth from grade ft(max) Fluid depth prior to test in Measured depth to pipe invert from grade ft(min) Water added gal ❑ N/A— pressurized field New depth in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time ndepth into effective in ❑ 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 date of test) Any rejuvenation treatment(past 12 months) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet.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' 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' Animal Containment> 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water> 100' _ ® 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 ft Water Main > 10' ® Yes if No ft Community Wells >200' ® Yes if No ft 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 ft Surface Water> 100' ® Yes if No ft F. ENGINEER'S COMMENTS -,1fcOFA � te) P G. ENGINEER'S CERTIFICATION �':.•• •••S,`a :47-' .'..7 ' I certify that I have determined through field inspections and review i it • 49Tt-� ;*r ) a � ,/ r4 of Municipal records that the above systems are in conformance I!'/� with MOA COSA guidelines in effect on this date. �•••. MICHAEL N. ANDLRSCN : c� CE 9 9 .•4,:',. • • 1�>>>tio� .�-... COSA Checklist yellow sheet.docx GRAPHIC SCALE: 1 Inch = 100 Feet 50 0 500 1100 200 EAST KLATT ROAD N89'58"00-E 660.00 W WELL F Ili a 0 OD N � CO• O ° o • W v: N v J ® BFB; r o .4 O O _ 0 t 229.67 0 e N89'58'00"E 660.00 ° s ° V w I N . WELL 12 40:41011:116,lir N Ilk i. A• OF AL T * 49 . - 'x - , * O F. BURNS! BobbyF. Burnett LS-6484 2941 arriage Drive ,S./ Anchorage, Alaska 99507 BUILDING DETAIL ,lk ss (907) 350-5541 toN� i Date Scale Legal Description 1/28/2019 1' = 100' I hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the improvements situated thereon Grid AS BUILT N 1/2, N 1/2, NE 1/4, are within the property lines and do not overlap or encroach on the SW 2735 property lying adjacent thereto unless otherwise shown. That no NW 1/4, SE 1/4, SECT 21, improvements on the property lying adjacent thereto encroach on the Drawn by Field Book T1 2N, R3W, S.M., ALASKA premites in question and that there are no roadways, transmission BFB ASB-2019 lines or other easements on said property except as shown.