HomeMy WebLinkAboutSIEFKER #3 TR 3Onsite File
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
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241344
Work Type: Septic Renewal
Tax Code Number: 01528130000
Site Legal Address: SIEFKER #3 TR 3 G:2735
Site Mailing Address: 11801 AVION ST, Anchorage
Owner: DIXON BRIAN & KYMBER
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
,iv�nt
fr.
r,
De partIIIcIII
10/9/2024
10/9/2025
198120
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
Received By: � t�;��� 'TIC,
Issued By:
Date:
a 0 c
Date: c ; 2 Ct
3
MUNICIPALITY OF
aw
Development Services Department
On -Site Water & Wastewater Section
ON -SITE SEPTICMELL PERMIT APPLICATION
Parcel I.D. 015-281-30
Property owner(s) DIXON
Mailing address SAME
Site address 11801 AVION ST ANCH AK
Day phone
Legal description (Sub'd., Block & Lot) SIEFKER #3 TR 3
Legal description (Township, Range & Section)
Lot Size 198120 Sq. Ft. Number of Bedrooms 3
Phone: 907-343-7904
Fax: 907-343-7997
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
Rx
Initial R.
Single Family (SF) RX
(w/wo ADU)
Septic Tank
RX
Upgrade R
Duplex ❑
Holding Tank
❑
Renewal
(D)
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
EJ
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: 2 , Z_ Waiver Fees:
Date of Payment: AB /Z
Receipt Number: 00co' 7972
Permit No. (' 5 " Z- y I �
Date of Payment:
Receipt Number:
Waiver No.
GAIDevelopment Services\Building Safety\On Site Water and WastewaterTorms\Client FormsTermit Application.doc
Oct. 8, 2024
Municipality of Anchorage
Development Services Dept.
On-Site Water & Wastewater Section
Anchorage, Alaska 99519
Phone 343-7904
Re: Septic Permit Renewal (OSP221306)
Legal: SIEFKER #3 TR 3
To Whom it may concern:
This is a request for a septic renewal for the above referenced location. A new
Advantex system with a pump basin will be installed. Nothing else has changed in
the design of the system. The renewal of this permit will not impact any of the
surrounding properties.
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241344, Curtis Townsend, 10/09/24
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
p0Box 1966no 4runElmore Road
Anchorage, Alaska eas10-Vnon Phone: 901 nm: (907) 343-7997
xop://xmwv.muniom/onsite
PRO
Permit Number: 0SP221306
Work Type: VVe|SepUc(nitia|
Tax Code Number: 01528130000
Site Legal Address: S|EFKER#3TR 3 G:2735
Site Mailing Address:
Owner: Dixon Brian
Design Engineer: GARNESSENGINEERING GROUP LTD
This permit isfor the construction of:
G] Disposal Field 0 Septic Tank [] Holding Tank [] Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
029/2U22
8/2Q/2023
Z Private Well El Water Storage
All construction shall beinaccordance 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 (1 8AAC72) and Drinking Water Regulations (I 8AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65.Provide notifiootionbycalling (Q07)343'7QO4(24/7).
4� From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall beeither:
o. Opened and Closed onthe same day, nr
b. Covered, sealed, and heated to prevent freezing
Receive
Issued By:
Date: 7Z_
K
Development Services Department A'�
p p Phone: 907-343-7904
On -Site Water & Wastewater Section - Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 015-281-30
Property owner(s) BRIAN DIXON
Mailing address
Site address NHN AVION STREET *ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) SIEFKER #3; TRACT 3
Legal description (Township, Range & Section)
Lot Size
Day phone 907-440-7667
Sq. Ft. Number of Bedrooms ] 0 EEDRODAI DESIGN;
APPLICATION 1S FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field 0 Initial 0
Single Family (SF) E]
Septic Tank E] Upgrade ❑
(w/wo AD U)
Holding Tank ElRenewal ElDuplex
(D) El
Privy ❑
Multiple Dwellings ❑
(SF and/or D)
Private Well n
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: 8 & '? 6
Date of Payment: '911-3/2022
Receipt Number: 09 57a?G
Permit No. ( S pl� 2 130 (
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewatefforms\Client FormsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221306, Deb Wockenfuss, 08/29/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221306, Deb Wockenfuss, 08/29/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221306, Deb Wockenfuss, 08/29/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221306, Deb Wockenfuss, 08/29/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221306, Deb Wockenfuss, 08/29/22
MUNICIPALITY Ok' AINC.HORAGE
ADN CED WASTEWATER TREATMENT SYSTEM
IMA.IINTTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this �'>; Day of ._�- of 20 L by and betvyeen
herein the '`ONNINTER." and the 1\4unicipality of
Anchorage. herein the "MUNICIPALITYY". in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants pennussion to the
Otvnner to utilize and operate an Advanced N astewater Treatment System (Al�m7TS),
described as
located at (legal description)
Maintenance, Repairs and Alterations.
:r
(Owner is required to read. understand and initial each section)
r' Tlu'ouQhout the tenni of this Agreement. the Owner shall enter into a seiz."ice"agreement
L 4
«'lth an A\V VTS service and maintenance provider approved by the Municipality or the
manufacturer''s representative. The ANVWTS shall be maintained in a satisfactor- ,
condition capable of performing as designed and producing treated septic effluent un
accordance with the equipment's approval for operation it the Municipality.
Ii shall be the responsibility of the Owner durin6 the tend of this Agreement to pay for all
repair(s), maintenance. adjustment(s). replacement costs. and inspection costs. This
includes an annual maintenance fee (ty-pically S400 to $600).
�1 Owner agrees that onl- nnaintenance and repair personnel approved by the A/1-
or the manufacturer's representative iyill inspect and snake any necessary maintenance.
repairs or permitted alterations to the system,
1 ± Dviier acknowledges that rec-qilar maintenance of an A1Y)ATTS reduces the potential
failure of the system. which could include sewage backup and costly repais or drainfield
replacement.
(rev. 05.`18!20.15), Page 1 of3
t
Owner acknowledges that the Municipality may- request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
-Ui.' Oivner acl nowledges that the fine for failing to maintain and repair an AVG' TS may be
assessed, in accordance with A.MC 14.60.030.
'j -tL---Owner agrees to grant the Municipality reasonable access to test andinspect the
A IWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a neiv
Certificate of On -Site Systems Approval.
Owner agrees that the A)`M7TS installation and maintenance requirements as provided
by the A«MjTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the ONvner's A)ATWTS.
g Owner agrees to maintain remote monitoring of the A����7TS as required by the
A«Vx7TS approval.
Terni. The term of flus Agreement shall begin on the date of approval by the
Tt-IunicipalitZy to operate the installed system, or upon transfer of title. and shall continuie
while the AVMUTS is operational or until title is transferred.
4. NouN aiyer. The failure of file Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions. nor in any way affec,
the validity- of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce eveiv provision hereof.
�. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
paries under this Agreement.
T Severability. Any provisions of this Agreement decreed invalid by a court of competent
Jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05'18'2015)
Page 2 of 3
STATE OF ALASKA
ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged b
e)
NO*RY PLIC FOR ALASKA
N, Conmussion expires: ± I q :1-
Date:
me this ` day of
4��\t\111VIIfltlli//f//j�
IK N1 , ICIFAkLI T Y :
B; l' ( signature)
(print name)
(rev. 05/'1812018)
Date:
Title:
Page 3 of 3