HomeMy WebLinkAboutRIDGECREST HEIGHTS LT 3Onsite File
HEIGHTS
Formerly TI 2N R3W SEC 23 52NE45E4NW4 Parcel
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211389 PID Number: 015-491-04
Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade
Name
HOME RENEWAL
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
1120 HUFFMAN RD STE 2, ANCH
❑ Other
Phone
Number of Bedrooms
16
Soil Rating
Total dep from original grade
0.8 GPD/SF
4' ID Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1.0 Ft.
Gravel depth beneath pipe
7.0 Ft.
Subdivision Block Lot
RIDGECREST HEIGHTS LT 3
Fill added above original grade
3.0+ Ft.
Gravel length
84 Ft.
Township Range Section
Gravel width
2.0 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION
DISTANCES
0
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
1 176 Ft2
Ft.
Well
1001+
1001+
50'+
TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCH TANK
Capacity
1250+1000 Gal.
Surface Water
100'+
100'+
Material
Number of compartments
Lot Line
10'+
10'+
NA
PLASTIC
2
Foundation
501+
1 0'+
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
MIKE N ANDERSON, P.E.
Drainfield 3034 CO/MT 3034
inspector MIKE N ANDERSON, P.E.
BENCH MARK (Assumed elevation)104 ft
Inspection ection f m 8125/22 2"d 8,'26122
Location and description
Yd 4'h
TOP OF MANHOLE
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
r= of
;Au ilii 01i i•ii..
lVSiCI A°t N.
Septic System
Approved Date Z 2�
; ;; . i • 14 2z' . F1
Note: this approval does not incLe well permit requirements.
Permit No. OSP211389
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: RIDGECREST HEIGHTS LOT 3
MARK
A
B
c01
5
30
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18
30
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22
31
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27
33
TC04
33
35
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35
37
CO3
36
38
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40
50
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78
52
MT
75
48
/
PID No.: 015-491-04
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SEPTIC SECTION NO WATER ® 84 FE8 2021
N.T.S.
ICHAEL N. ANDERSON;,
No CE 9469
.10-27-22 .•.�;
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Development Services DepartmentIN Phone: 907-343-7904
On -Site Water &Wastewater Section Fax: 907-343-7997
omm
Permit Number: # 211389 Date of Issue: Parcel Identification Number: 25A 6:2638
Date Started: 9-30-21 Date Completed: 10-4-21 Is well located at approved permit location? Yes ❑ No ❑
Legal Description: T1 2N R3W Sec23 82NE 4SE 4NW4
Property Owner Name & Address: Home Renewal Co.
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
casing stick up
0
2
overburden
2
4
silt & gravel
4
30
clay _
30
40
silt & gravel
40
120
wet silt & gravel
120
125
silt & gravel
125
145
wet clay
145
150
silt & gravel
150
164
clay
164
180
clay & gravel w/ little H2O
180
205
coarse gravel w/ H2O
205
210
Coordinates
N61°7'3"
W 149° 45'34"
Water Sample Results:
Arsenic: ugjL
Nitrates: __N -V _ _. MAI
Total Coliform Bacteria: colonies/l00mL
1Oj13/22-
Method of Drilling ❑ air rotary ❑ cable tool
Casing type: steel
Wall Thickness: .250 inches
Diameter:6 inches Depth: 210 feet
Liner Type:
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 155 feet
Pumping level: feet after
hours pumping wpm
Recovery Rate: 15 gpm
Method of Testing: airlift
0 Open End ❑ Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: bentonite Volume: 2basS
Depth: 20' Start0 feet Sto ed 20' feet
Well Disinfected Upon Completion? Yes No
Method of Disinfection: tabs Comments:
Well Driller: Johnny Kay ❑ ❑
Company: Hefty Drilling, Inc.
Mailing Address: P.O. Box 112130 Anch AK 99511
Attention: The well driller shall provide a well log to the
On-site Water and Wastewater Section within 30 days of
completion.
Development Services Department
Building Safety Division
4n -Site Water d Wastewater Program
4700 Elmore Road
P.O. Box 196650
MarkBeoch Anchorage, AK 99507
Mayor www.muni.ora_/onsite
(907)343-7404
Pump Installation
Well Drilling Permit Number J_ 113 8 Ot Date of Issue:
Parcel Identification Number:_!2a t'S - &t Q t —1 q
Legal! Description
Pump Installation Date:
Pump Intake Depth Below Top of Welt Casing: a feet
Pump Manufacturer's Name: / if v-�
Pump Model: JL4 1ce- XDOV. /0 Gl" 2W.
Pump Size 31q hp
Pitless Adapter Burial Depth: 10,-5 feet
Property Owner Name & Address:
AmL K Prle +v" I C-.0,
Pitless Adapter Manufacturer's Name: c,' V4611 10
Pidess Adapter Installer. Aacr �,n
Well Disinfected Upon Completion? � Yes ❑ No
Method of Disinfection: Olin lar l m +405
Comments:
Pump Installer Name: Johnny Kay
Hefty Drilling, Inc.
Attention: The pump installer shaU provide a pump installation log to the DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP211389
Work Type: WellSeptic Initial
Effective Date
Expiration Date:
Tax Code Number: 01549104000
Site Legal Address: T12N R3W SEC 23 S2NE4SE4NW4 PARCEL 25A G:2638
Site Mailing Address: 11361 MAEL ST, Anchorage
Owner: HOME RENEWAL COMPANY LLC
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
�,jv t
0
Q
u
Department
9/20/2021
9/20/2022
Lot Size in Sq Ft: 217800
Total Bedrooms: 6
Q 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
Special Provisions:
1. Tanks are to be placed a minimum of 10' from the foundation.
2. The first tank is to have a single compartment.
CO#1 .Design changed for 6 bedrooms.
Received By:
Date:
Issued By: Date: q Z Z
MUNICIPALITY OF A
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION IMSH
Parcel I.D. 015-491-04
Property owner(s) TARAS ILNITSKIY
Mailing address 1120 HUFFMAN RD STE 2, ANCH AK
Site address 11361 MAEL ST, ANCH AK
Day phone
Legal description (Sub'd., Block & Lot) T12N R3W SEC 23 S2NE4SE4NW4 PARCEL 25A
Legal description (Township, Range & Section) (PROPOSED RIDGE CREST LOT3)
Lot Size 217,800 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
0
Initial 0
Single Family (SF)
0
AD U)
Septic Tank
0
Upgrade El(w/wo
Duplex
ElHolding
(D)
Tank
ElRenewal
❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
0
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: 0 1 3 12,
Date of Payment: fZ/Y�2
Receipt Number: D/ 4� G 8 y
Permit No. 0 S P ). 113 S1
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Sept 1, 2022
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: New septic & well permit (CHANGE ORDER)
Legal: T12N R3W SEC 23 S2NE4SE4NW4 PARCEL 25A (Proposed Ridge
Crest Subd. Lot 3)
To Whom it may concern:
This is a request for a change order for the approved septic/well permit on the above
referenced lot. We are requesting a 6 bedroom design, see the attached revised site
plan. This change order will not impact any of the surrounding neighbors.
Sincerely /I;W,
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
DESIGN CRITERIA:
6 BDRM X 150 = 900 GPD
SOILS = 900/0.8 = 1125 GPD
1125 GA/16 = 70'
(1) TRENCH
9.0' DEEP
8.0' EFFECTIVE
2.0' WIDE
70' LONG
iNELL
I
1
/
SEPTIC
(TH#2) it;
10 ORG
-1.0 FILTER FABRIC &
2" INSULATION
GM 4" O PIPE
SEWER ROCK
-9.0
"01
16
NO WATER MAY 2021
SEPTIC FIELD SECTION
/ I
VIIELL — 1'
I\
PROPOSED WELL \\
100' RADIUS \ �^
0 SEP G-\
q\ 0 1
PROPOSED
DRAINAGE FIELD
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WELL
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TEST HOLE 1\\
RADIUS \\I \\
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F PROPOSED WELL
100' RADIUS I�
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PROPOSED HOUSE V
---_` �I EPTIC/\\
PROPERTY LINE
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Design Prepared for
TARAS I LN ITSKIY
T1 2N R3W SEC 23 S2NE4SE4NW4 PARCEL 25A
(PROPOSED LOT 3 RIDGE CREST SUBD)
Anchorage, Alaska
Michael N. Anderson, P.E. DATE: 9/15/2021
4601 NATRONA AVE DRAWN: DJR
ANCHORAGE, ALASKA 99516
(907) 727-8864 /FAX: (907) 345-1391 SCALE: 1"=100'
�*%1L1L\►1
OF A
4w .
MICHAEL N. ANDER
No. CE 9469
9-1-22
I /
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— — — — — — — — — — — — — — -- — — — — — — — — — — — — — — — \ I
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PROPOSED WELL /
100' RADIUS j
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// ♦` /i/ DCO DCO
OLD SYSTEM TO
BE /
\\ DECOMMMISSIONED
FOR A NEW
\\\ SYSTEM I S<O
!0%
10 UTILITY
EASEMENT \
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(2) NEW 1000
GALLON PLASTIC
TANKS W120"
RISER
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PROPOSED WELL
100' RADIUS
/
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Design Prepared for
TARAS I LN ITSKIY
TI 2N R3W SEC 23 S2NE4SE4NW4 PARCEL 25A
(PROPOSED LOT 3 RIDGE CREST SUBD)
Anchorage, Alaska
Michael N. Anderson, P.E. DATE: 9/15/2021
4601 NATRONA AVE DRAWN: DJR
ANCHORAGE, ALASKA 99516
(907) 727-8864 /FAX: (907) 345-1391 SCALE: 1 "=50'
OF
WC
49 TH
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.MICHAEL N. ANDERSON° i
No. CE 9469�
9-1-22
�•••• `.•,, P
14 ..........
SS;4
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Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211389, Deb Wockenfuss, 09/20/21
MUNICIPALITY OF ANCHORAGE
Development Services Department `., / Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
0I,5^cod, 1 y Certificate of On -Site Systems Approval O�
Parcel I.D. �� Expiration Date: 2 4 z d z 3
1. GENERAL INFORMATION
Complete legal description RIDGECREST HEIGHTS LT 3
Location (site address) 11360 RIDGECREST DR, ANCHORAGE AK
Current property owner(s) HOME RENEWAL CO LLC Day phone
Mailing address 1120 HUFFMAN RD #2, ANCH AK
Real estate agent Day phone
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 6
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
0
Private Septic
0
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.
YLusy1
COSA Fee $ Waiver Fee $
Date of Payment l 1 I ZZ Date of Payment -
Receipt Number �O� 1 Receipt Number -
COSA # Waiver #
r
S. 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 MIKE N ANDERSON, P.E. phone 727-8864
Address 4661 NATRONA AVE ANCH AK
Engineer's Printed Name MIKE N ANDERSON, P.E. Date 11-1-22
Ft '441•• • R+•
lPar
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6. DSD SIGNATURE �> � �.......'...
System #1 Approved for 6 bedrooms ill� r �; MtcN,aEL N. AnoEascti ,•� � ���
System #2 Approved for bedrooms •. CE 9469 .•.;° �'
Disapproved t 0 ry to •[•((•{�• �.�` Q
r/?` � L d 3 � J���'�► �v
Conditional approval for bedrooms, with the following stipulations:��d�'°��
tt
Original Certificate Date: l t 2--Z-
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
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
Nitrate Advisory
Arsenic Advisory
Other
Legal Description: RIDGECREST HEIGHTS LT 3
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 10/4121
Total depth 210 ft
Cased to 210 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 30 in.
Date of flow test for COSA NEW
Static water level at beginning of test 155 ft.
Comments
B. TANK DATA
Age of tank(s) NEW years
Tank type/material .0tVHDPE
Measured operating fluid level in septic tank 48
❑ Standpipes/foundation cleanout per record drawing
Date of pumping NEW SYSTEM
D. ABSORPTION FIELD DATA new system
Which system tested (date installed) 8(26122
❑ ALL standpipes present per record drawing
Total measured depth from grade 11 ft (max) ��
Measured depth to pipe invert from grade Ak ft (Vin)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
❑ Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced 0 gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Parcel ID: 015-491-04
Structure served by this system
Well production at time of test 5+ gpm
Water storage tank volume 0 gallons
Well disinfected for coliform test? ❑ Yes ❑ Nc
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by MNA
Date of Sample 10113,22
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date NEW
Results 0 Pass For 6 bedrooms
Fluid depth prior to test 0 in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
It yes, enter date
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'
Q
Yes
Community Sewer Manhole/Cleanout > 100'
0 Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' M Yes
if No
ft
Private Sewer/Septic Line > 25' Q Yes
if No ft
Absorption Field on Lot > 100' R Yes
if No
ft
Holding Tank > 100'�]{ Yes
if No ft
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50'✓[] Yes
if No ft
0 Yes
if No
ft
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' [❑✓ Yes
if No
ft
R Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' M Yes if No ft Surface Water > 100' F✓ Yes if No ft
Property Line > 5'
Q
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
M
Yes
if No
ft
Private Wells > 100' QQ Yes if No ft
Water Main > 10'[]✓
Q
Yes
if No
ft
Community Wells > 200' Q✓ 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'
M
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
M
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Q
Yes
if No
ft
Private Wells > 100' QQ Yes if No ft
Water Service Line > 10'
Yes
if No
ft
Community Wells > 200' El Yes if No ft
Surface Water > 100'✓l
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that / 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 yellow sheet
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r� ;�'•• MICHAEL"N. ANDER ON19
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