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Home My WebLink AboutMARIN LT 2Mar'in Lot 2 #017-013-28 '-~ 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 www. cl. anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PermitNumber..~tOlO~t]t~ PIDNumber: 017--01"5- "*'~' {~a..e'oLt~H r~.c.~E,~.o-- WastewaterSystem: [~[New I-'lUpgrade lO,pO '~-o~p~c.~- ~v" ABSORPTION FIELD S~4~: "7 FI, LEGAL DESCRIPTION [, Well: [~New [] Upgrade c~,~ ,~ v,e.~: Pump saO~l: ~ c.~r,g ~ ~ ~ I. ~ G.~ ~e.~,,v~ .,. eL . TANK SEPARATION DISTANCES IXsepuc I-I Holding ~ S.T.E.P. D Othec SeptJc ~so~tior L~ HoMingPubr~at* Tank Field Sta,o. Tank ~r Line ~.C~ OW~ s~.w.,. "1o NIo ~ LIFT STATION "'~" BENCH MARK Inspections pedormed by: X~ Dates: 1"-~-',-0, Development So.ices Depa~ment Approval ' ~%,;,.,. + Well BENCHMARK SCALE, 1' = .50 FL ~ Wen 49~h No, c£-~22'3 ITOBBEN SPURKLAND P.E. 205 I~ 15TN. AVENUE ANCH. AK. 99501 (~0~) ~-.~ PE£NIT # SW0]0,243 CAROLYN BRADSHA~/ 15045 PATRICK ROAD SEPBC SYSTEM AS BUILTS DATE: OCT. 26, 2001 SHEET: 2/3 eR/O: 2840. P1D # 0~7-013-68 MAROOO~;~.B~G Stondard Trench, B' Vide 68' Long 7' Seep 5.0' Sewer rock 3' Cover NO SCALE , Honltor . / ,/~ Cle~nou,s ~ J' x /~ 2 Cover TANK AN~)~TRENCH INSUL~ TED ~0 Ft oF Septic Rock Eff~#ve ~g S~LE 125~ go(. septic tonk TB99EN SPURKLAND P.E, II 203 Vi5th Ave II Anchorage Ak 99501 P7~-3916 LOT 2 CAROLYN B£ADSHAW ] SEPTIC SYSTEM SCHEMATIC DAT£, OCT.' '26, SHEET, .,z//.,z GRID, 2940 PERt, tIT ~l S~/010245 PARCEL ID ~ 017-015-68 NAROOO2$.DIfG Jan-21-02 02:0BP Tust~ D~illtn(~ S~vte~ 907+349+3787 1:'.2 STA'i~ OF ALASKA DTJ*ART~I' OF HATU~-AL I~$OURC£S DI¥1$ION OF ~%TI~THC, LAND & WATER WATER 1,~ LL LOG P. 02 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Jul 17, 2001 Expiration Date: Jul 17, 2002 Permit Number: SW010243 Legal Description: MARIN LT 2 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: Carolyn Bradshaw Owner Address: 10600 Prospect Dr Anchorage, AK 99516- Parcel ID: 017-013-68 Site Address: 013045 PATRICK RD Lot Size: 44733 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: r~ Disposal Field [] Septic Tank [] 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. Received By' Issued By: Date: Date= 7- 17-0/ 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/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number~ Property owner(s) ~,r-¢,1%IA Mailing address (1) I0~ ~address (2) I~ Legal description (Lot, Block & Sub'd.) Le ~ Legal description (Section, Township & Range) Lot Size ~ ~q. Ft. THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Day phone ?q~tto · 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 author ed agen ) Permit Fees: Date of Payment: Receipt Number: (Rev, 12/00) Waiver Fees: Date of Payment: Receipt Number: 203 W ISth. Avenue, Suite 203 ANCIIORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 2 MARIN SUBDIVISION CAROLYN BRADSHAW Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bmgaw Street Anchorage, Alaska 99519-6650 June 25,2001 We are submitting an application for the installation of a well and septic system for this lot. 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, of which only the well and 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 ofapplicable testholes are also enclosed. The septic system design is based on the following: Ground Water at 12 tL Use Standard Trench Soil Rating. F~om Testhole by S&S 11/10/98 2.5 rain/in = 1.2 gal per sq.lVday No. of Bedrooms 4 Required Area per Bedroom: 150/1.2 - 125 sq.ft. Total area required: 125 x 4 i 500 Testhole depth 14 feet Bottom Rock At 7 feei Top Rock At 2 feet Rock Depth 5 feet Minimum Trench Length 500 / 10 = 50 ft. SYSTEM CONFIGURATION STANDARD TRENCtl TOTAL LENGTII 60 FT TOTAL WIDTII 2 FT TOTAL DEPTII 7 FT ROCK DEPTII 5 FT COVER 3 FT SEPTIC ANK 1250 GAL The installation of this well and 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 oflhe area. Ponding and/or concentration of surface runoffwill not result from this installation. ~ S<SX UPPER DEARMOUN £OAD SCALD 1' = I00 FT. 0 I I I I I I TOBBEN SPURKLAND P.E. 205 PI lSTiq. AVENUE ANCN. AK. ~01 II PERNIT # S~OIOXXX PID # YYY LOT £ MARIN S/D CAROLYN 8RADSNAPI 13045 PATRICK ROAD SEPTIC SYSTEM DESIGN DATE: JUNE 26, 2001 SHEET: I/3 GRID: 2840 /.fAROOOL~I. DI,'G 3 FT CGVEI~ N VA TOBBEN SPURKLANO P.E. 205 IV l$1tt. AVENUE ANCH. AK. 99501 (907) ~X9-~6 II '~ gell SCALE, 1' = 50 Fl;. C4ROLYN BRADSNAIV 15045 PATRICK ROAD SEPTIC SYSTEM DESIGN DATE: JUNE 26, 2001 SNEET: 2/,:7 GRID: 2840 PERNIT it S~/OIOXXX PID # YYY Standard French, 2' Vide 68' Long l' Deep 50' Sewer rock $' Cover NO SCALE 0 Honltor /--/leanouts~ 3' Cover Slit ~orrler~ 5.8 £t o£ Septic Rock / Effective NO SCALE o 1258 GAL Septic lank 0 1250 ga& sepf~ lank TDBBEN SPURKLAN9 P.E. II ~03 VlS~h Ave II Anchorage Ak 99501 ~7~-~16 LOT £ JL4RIN $/D CAROLYN 8RADSRAW 150~5 PA~ ROA~ SEPTIC SYST£N SCHEHATIC SHEET, 3/~ GRIll 2840 P£RI~ff ~ SJ~OIOOXX PARCEL Iff / XX I, tAROOO2$.OP/~ PRL'DEN'~IAL VISTA R.E. O~.~ARTMENT OF HEALTH & HUMAN ~ 'L' ~'eet, AnC,q0rage, Ataslr~ SOILS LOG -- PERGOLATION TEST 11 -- ~4 .ti'. 14- 1~. Feb. 22 2"'~1 04:4~P~.1 (~002 Tow~lp. Rang~ ~e~on: _ I t 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.ancherage.ak, us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. GENERAL INFORMATION · Complete legal description L~' Location (site address or directions) Current Property owner(s) Mailing address Expiration Date: o.o.o I a I "7-/0 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: J-f/ TYPE OF WATER SUPPLY: ' Individual Well Individual Water Storage Community Class ~ Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska, Certificates of Health Authority Approval are required for the transfer of title (except bet'ween spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for g0 days from the date of issue for properties served by a private or C:ass C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Ce~ficates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation, based on procedures outlined in the Health Authority 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 flies 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. Address ,,.-~;. · ~. t'&" Engineer's Printed Name DSD SIGNATURE ~ Approved for Disapproved. 3/- bedrooms. Conditional approval for Phone Date bedrooms, with the follo~ng stipu~ationsk6?~k~X ur · . Additional Comments [~Ot,,- Th,~ 't,..pll far thio ~rn?,rt}, m~et¢ P~ktin~ ~tnt~ and l~,hmlH.nal Codes. There are nitrPtes present. It is suggested that periodic testing be performed to insure the ~vells continued suitability. Current nitrate concentration is $.62 mg/i. EFA maximum cu.ccairaiiuu is i~,.~ mgiC. M,,,,; information on nitrates is available from the On-Site Services Program. at 343-7904. Attachments: HAA Checklist Septic System Adviso~ Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Odginal Certificate Date: ~ -' / O - (-~ ~ 01/02) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Westewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ct.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 0/'7- A. WELL DATA Well type ~ Date completed ~/e I Total depth ~ ft. Well Log (Y/N) :/ Wires properh/protected (Y/N) '~ Casino height (above ground) ~ L~ in. FROM WELL LOG Date of test Static water level ~ ~ fl. Well produc~on I~, '~ g.p.m. WATER SAMPLE RESULTS: Date of sampie: mi. Nitrate .~, b ~ mg./L AT INSPECTION g,p.m. B. SEPTIC/HOLDING TANK DATA Tank TypdMaterial ~,~i,. ~ ~ Tanksize [~C? gal. Number of CompaTtments ~-. Cleanouts(Y/N) Foundation cteanout (Y/N) \/ Depression over tank (Y/N) t,~ High water alann (Y/N) Date of pumping ~"~/~ ~ Pumper Other bacteria -%'?~ oo~onies/100 mi. / Date installed Length ~3,~ Total depth '7 fi- Date of adequacy test C. ABSOi~cqlON mELD DATA Date installed c~////e I SoU rating (g.p.d./fl~ or R~odn?0-' I, L fl. W~dth r~ ft. Eft. absorption area ~ ft2 Monitoring tube 7 Results (Pass/Fall) t~ Fluid depth in absorption field before test /in. Water added ~gal, Elapsed Time: L/min. Final fluid depth f-~in. ~sorption rate Any rejuvenation treatment (past 12 mo,) (YiN & type) ~ Gravel below pipe ~ ft. Depression over field I~ For e.~ bedrooms New~,~th /'~ in. >= g.p.d, If yes, give date LIFT STATION Date installed. 'Pump on" level at Datum in. Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot [~- ~ Absorption field on lot I .~t.~2~ Public sewer main F"~//~. Sewer/septic service line I ~ On adjacent lots On adjacent lots Public sewer manhole/cteanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Wells on adjacent lots Property line ~_~ Absorption field Water service line ~>~-~ Surface wata' SEpAR.~. TION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line. ! O Water Service line ~ .~- '~ Curtain drain ~ ~ L> Building foundaUon L-/-P water main su cewater Wells on adjacent lots Driveway, padre storage F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections end review of Municipal records that the above systems are in conformance ~ MOA I. fAA guidelines in effec~ on this date. Date 9~'-~ ~ '~ ~ H Fee $ Data of Payment V - ~''''' 0 ~,- (R~. 1~) Waiver Fee $ Date of Payment Receipt Number CT&£ Rer~ 1021633001 CI,eat N~m~ Tobben Spuddand P.E. p~jeet ~ame~ Ma~ ~ CI;tat Sample ID ~ ~ Matri~ DriVing Water ~de~d By PWSID 0 S~mple Rtmarks: Ni~'ale-N RemUs PQL L~m,~ M~hud 5.62 0.200 m~L EPA 300.0 All Dates/Times ire Alaska Stan~rd Time i~ttnted Dare. line 04/03/2002 9:31 Co~td Da~e 04/01~2 9:00 ~ceiv~ Dare, line ~/01~2 9:45 TK~ICBI DIr~o~ gte~de Releas~ By ~~ (<101 Ictal Coliform 5 OB, No Coil coVlOOmL SM lg g22.2B 04/01/02 K~.P 30 S 89'57'00' W .308.77' The location of the structure(s) as shown on this record drawing (as-built,),c~mplies with Title 21. AMC. E~y: ~,~/ Date: LOT 2 c,/-//~ ROD DUN~I U~ S 89'57'00" W ,308.80' 3 LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGiNEERS 440 WEST BENSON BLVD. j~ 105 ANCHORAGE. ALASKA 99503 562-5291 (fox)561-6626 WO#2OO1-L-;~I. IB I--t'.30' F:AN. 15. 2002 I""~'WPJ AS--BUILT LOT 2 MARIN OF': LEGAL DESCRIPTION: SUBDIVISION CAROLYN BRADSHAW