HomeMy WebLinkAboutPELENOR BLK 1 LT 1Onsite File
Pelenor
Block 1
Lot 1
#060-321-39
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 Wastewater Disposal System Permit
Permit Number: OSP221426
Work Type: Septic Initial
Tax Code Number: 06032139000
Site Legal Address: PELENOR BLK 1 LT 1 G:0254
Site Mailing Address: 7926 WIMMARICK CIR, Eagle River
Owner: WIGHT RICHARD & JANELLE
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date
Expiration Date:
o\pAenr
V r
f
DeI)artment
Lot Size in Sq Ft:
Total Bedrooms:
11/8/2022
11/8/2023
172100
Q Disposal Field Q 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
J SsU tv l�ctnhon �na�'rtPPr�'nG
Issued By:
Date:
Date: . za� -?
MUNICIPALITY Y 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. 060-321-39
Property owner(s) Richard Wight & Rachel Cummings Day phone
Mailing address
Site address -9601a TOSS rivet -i K 4Q2(
, r.- I � 1L (-
Legal description (Sub'd., Block & Lot) Pelenor, Block 1 Lot 1
Legal description (Township, Range & Section)
Lot Size 92,158 Sq. Ft. Number of Bedrooms 1
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑X
Initial 0
Single Family (SF) ❑X
(w/wo ADU)
Septic Tank
RX
Upgrade ❑
Duplex (D) ❑
Holding Tank
❑
Renewal ❑
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 Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees. 5-915- Waiver Fees: _
Date of Payment: /!a/-(2 lad Date of Payment:
Receipt Number: oq?93(a Receipt Number:
Permit No. 11/z Waiver No.
Permit App_ :• : ._..:c:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221426, Deb Wockenfuss, 11/08/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221426, Deb Wockenfuss, 11/08/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221426, Deb Wockenfuss, 11/08/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221426, Deb Wockenfuss, 11/08/22
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211162
PID Number: 060-321-39
Dwelling: K Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: W New ❑ Upgrade
Name
Richard & Janelle Wright
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench 0 Bed ❑ Mound
Site Address
NHN Bernard Drive
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
0.8 GPD/SF
+2.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
+2.5 Ft,
Gravel depth beneath pipe
0.5
Subdivision
Block Lot
Pelenor
1 1
Ft.
Fill added above original grade
Gravel length
Township Range
Section
6.0 Ft.
50 Ft.
Gravel width
15
Beds: Number of Lines
Distance between lines
5
SEPARATION DISTANCES
Ft.3
Ft.
To�
Septic
Absorption
Lift Station
Holding
Sewer
i
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
I Field
Tank
Line
750 Ftz
Ft.
Well
100'+
100'+
NA
NA
125'+
TANK pp Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1500 Gal.
Surface Water
100'+
I 100'+
NA
I NA
Material
Number of compartments
Lot Line
r
10'+
I 10'+
NA
NA
I NA
HDPE
2
Foundation
10'+
10'+ i
NA I
NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to3034
drainfield
Richard Wright
Drainfield 3034 co/MT3034
Inspector Pannone Engineering
BENCH MARK (Assumed elevation) 690.0 ft
Inspectio im 8/18/21 ection 2nd 9/17/21
Location and description
3'd 9/18/21
4h 9/21/21
North Corner House Trim G i3c , -YA
ON-SITE WATER AND
WASTEWATER SECTION APPROVAL
Engineers Stamp
Conditional Approval:
Date
O�F��A���q,
s
co
Septic Syste
� ��. CE 81-19
s��
Approved
Date /� ZZ
I� '_O>2 ,57
Note:
this approv� does not include well permit requirements.
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® DOC CO dba
BILL Sc COLE
ULLIVAN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Richard Wight
ADDRESS:
LEGAL DESCRIPTION Pelenor Block 1 Lot 1
DATE: 6-24-21
PERMIT NUMBER: OSP211162 DATE OF ISSUE: 5-27-21
TAX IDENTIFICATION NUMBER 06032139000
Is well located at approved permit location: ®Yes ❑No
Method of Drilling: ®air rotary Elcable tool
Depth of Well: 400'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 44 feet
Liner type 360' of 4.5" PVC
Static Water Level: Flowing feet
Recovery Rate 2.5 ® gpm F—] gph
Method of Testing Air
Well Intake Opening Type: ❑open end ®open hole
Screened Start feet Stopped
Fj Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: ®yes Ono
Method of Disinfection: Chlorine 50 PPM
Comments:
Bore Hole Data
Depth
From To
0 2
2 12
12 21
21 35
35 42
42 121
121 1 400
Casing Stickup
Fill
Silty Sand & Gravel w/ Cobbles
Silty Gravel w/ Clay
Hardpan
Bedrock Gray
Bedrock Broken w/ Quartz Fractures
Throughout
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
Matsu Borough: Department of Environmental Conservation.
P DOC CO dba
BILL a DOLE
ULLIVAN WATER WELLS
0 P.O. Box 670269, Chugiak, AK 99567 688-2759
Well Drilling Permit Number: SW
Parcel Identification Number:
www.sullivanwaterwells.com
Pump Installation Log
OSP211162 Date of Issue 6-27-21
06032139000
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
OF ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner
to perform work on an on-site wastewater disposal system to serve that individual's owner -
occupied, single-family or duplex home if the homeowner meets and agrees to the following
requirements:
1. The property owner and excavation equipment operator may perform work on no more
than one owner -installation project in a 12 -month period.
2. Owner's projected active involvement with the installation:
Excavate and install drain field and connect to tank
3
The name of the excavation equipment operator: Richard Wight
4. 1 agree that there will be no monetary compensation for installation services rendered.
5. The name of the inspecting engineer:
6. 1 agree to discuss the following items with the inspecting engineer:
a. Permit design criteria and specifications.
b. Inspection requirements set forth in AMC 15.65.070.
C. Advance notice given to the On-site Water & Wastewater Section for all required
municipal inspections (AMC 15.65.070A).
7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will
obtain additional installation instructions and approval from the equipment distributor.
As owner of (legal description) Pelenor lot 1 block 1
1 agree that the information above is true and accurate.
Owner's printed name: Richard Wight
Owner's signature:
Date: 8/23/21
����� �� ��� �...Ma�hn ;�A►ddress� P �O� Box19�_6,50� nclora eAlas�Cas9�9 1 6,6y'SOMs:,�,wwwmunf:or �����u.�� ����.��� 4�,
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PJBox 196650 47OVElmore Road
Anchorage, Alaska 9g51S -7904 Fax: (8D7)343-7SR/
xupxxw*w.mun/.vrgmos|te
410 ijj! 11
Permit Number: OSP211162
Work Type: VVa|Seobc|nitia|
Tax Code Number: 06032139000
Site Legal Address: PELENDRBLK 1 L 1 G:0254
Site Mailing Address:
Owner WIGHT RICHARD &JANELLE
Design Engineer: PANN[}NEENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
5/27/2U21
5/27/2O22
2Disposal Field 2Septic Tank 171Holding Tank 0 Privy 0Private Well El Water Storage
All construction shall bahmaccordance 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.G5.Provide notification bycalling /Q07\343'7SD4(24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall bneither:
a. Opened and Closed onthe same day, or
b. Covered, sealed, and heated toprevent freezing
ial Provisions:
ions of the proposed primary drainfield are outside the 30 ft radius of the test hole. Additional percolation
shall be completed at time of construction to verify percolation rate. If results require a design change,
ruction shall stop pending Onsite review and approval of a change order. Please submit results with the
inspection report (or change order, if required).
A test hole shall be completed for the reserve field (currently located outside the 30 ft radius of the test hole)
prior to inspection report approval. Please submit results with inspection report.
Received By:
Issued By:
Date -
Date: 7
rd
0
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. 060-321-39
Property owner(s) RICHARD & JANELLE WIGHT Day phone
Mailing address 9601 ALBATROSS DR, ANCHORAGE AK 99502
Site address NHN Bernard Drive
Legal description (Sub'd., Block & Lot) Pelenor B1 L1
Legal description (Township, Range & Section)
Lot Size 172,100 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Date of Payment:
Absorption Field ❑X Initial ❑X
Single Family (SF) ❑X
Permit No. O S 10 Q 1 1 (o a
(w/wo ADU)
Septic Tank ❑ Upgrade ❑
(D) ❑
Holding Tank F]Renewal ElDuplex
Multiple Dwellings ❑
Privy ❑
(SF and/or D)
Private Well ❑X
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 Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees.
Waiver Fees:
Date of Payment: V 2 y oV aQ 1
Date of Payment:
Receipt Number: 0 3 9 5 3 6
Receipt Number:
Permit No. O S 10 Q 1 1 (o a
Waiver No.
Permit App_:- : - ::-...c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211162, Rebecca Carroll, 05/27/21
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APPROXIMA
------------
.
/
INSTALL 150OG SEPTIC TANK(P)
INSTALL DRAIN FIELD P �<��°5
50LF x 15.0'W x 0.5'ED x +2.0•TD
INSTALL CO AT END OF EACH LINE / INSTALL 4VELL P \
AND MT's IN CORNERS.
REMOVE TRACE ORGANICS AND INSTALL , \
2.5' OF FILTER SAND. INSULATE OR
MOUND TO CREATE A MINIMUM OF
3.0' OF GROUND COVER.
- - SFD(P) \
- - - - - - - - - , / \
ST=,4"M �+ / ' DRNEY/AY
------- `------------- -
�Stre_
_ _ ------ --- °r----------------
-- - - -- ' I �--- - -`
NOTES: PANNONE ENG SVCS LLC (C.B. 1088) """ REVISIONS DATE
CHANGE ORDER P.O. BOX 1807 PALM. AK 9913,15 OF. A(,9 4,1 20210518
PHONE 907) 745-8200 FAX 907) 745-8201 _=��F. Spy'', REV 1: 5/26/21 SCALE
PELENOR B1 L1 ;F n " ; REV 2: 6Z21/21 1" = 60'
O
SITE ADDRESS: NHN BERNARD DR ................. P060 -321-39
DRAWN ACP RICHARD & JANELLE WIGHT
5tvao R. P°°°°°`
,c cc -alas s" PERMIT N0.
.. = OSPXXXXXX
SITE PLAN 9601 ALBATROSS DR
ANCHORAGE, AK 99502, sHEE1 of 2
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CHANGE ORDER PHO14E (907)102954
272-8218 0 FOAXA(907) 2AK 72-8211 _ ��9510 OF AC�Sf9'' SCALE21/2021
PELENOR B1 L1
NTS
SITE ADDRESS: NHN BERNARD DR P060-321-39
DRAW ACP RICHARD & JANELLE WIGHT ' .5`"°"R. .....:. -
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040.002
Client: Pannone Engineering Services
Project: Pelenor Block I Lot I Test Hole 2
Date: June 14, 2021
Crowther Associates
Particle Size Distribution Table
(percent passing sieve size)
Sample Source
T1-1 2
Sieve Size
Percent Finer
Percent Finer
Percent Finer
Percent Finer
3 inch
100
1-1/2 inch
100
1/1 inch
99
#4
75
#10
63
#40
16
#100
9
#200
8
0.02 min
-
Classification
Sand with Silt
(SP -SM)
Invoice 161
1632 Bellevue Circle /Anchorage, Alask 1 99313
Telephone (907) 349-2198 /E mail: crowther CkIlasko.nel
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211162, Rebecca Carroll, 05/27/21
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org
Septic System Owner-installer Agreement
The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner
to perform work on an on-site wastewater disposal system to serve that individual's owner-
occupied, single-family or duplex home if the homeowner meets and agrees to the following
requirements:
1. The property owner and excavation equipment operator may perform work on no more
than one owner-installation project in a 12-month period.
2. Owner’s projected active involvement with the installation:
_______________________________________________________________________
_______________________________________________________________________
3. The name of the excavation equipment operator: ________________________________
4. I agree that there will be no monetary compensation for installation services rendered.
5. The name of the inspecting engineer: _________________________________________
6. I agree to discuss the following items with the inspecting engineer:
a. Permit design criteria and specifications.
b. Inspection requirements set forth in AMC 15.65.070.
c. Advance notice given to the On-site Water & Wastewater Section for all required
municipal inspections (AMC 15.65.070A).
7. I agree to have the project-specific On-site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
8. I agree that if the system is an advanced wastewater treatment system (AWWTS), I will
obtain additional installation instructions and approval from the equipment distributor.
As owner of (legal description) ________________________________________________
I agree that the information above is true and accurate.
Owner’s printed name: _________________________
Owner’s signature: _________________________ Date: ________________
Excavate and install drain field and connect to tank
Richard Wight
Aaron Paradis - Pannone
Richard Wight
8/23/21
Pelenor lot 1 block 1