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HomeMy WebLinkAboutT12N R3W SEC 22 LT 45�"015�142�34 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231338 Work Type: Septic Upgrade Tax Code Number: 01514234000 Site Legal Address: T1 2N R3W SEC 22 LT 45 G:2637 Site Mailing Address: 11535 OUR RD, Anchorage Owner: CHAMBERLIN JOHN A & KATHLEEN A Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date: 1�,,,cnr o r� Depal'till e11t Lot Size in Sq Ft: Total Bedrooms: 10/10/2023 10/9/2024 194669 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 Reeei may: Issued By: Date: Date: /O Z 3 MUH0 FA, LffY OF , NCF1Oo R%„ G,FE Development Services Department, ',_P Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-142-34 Property owner(s) JOHN & KATHLEEN CHAMBERLIN Day phone Mailing address 11535 OUR ROAD, ANCHORAGE, AK 99516 Site address 11545 OUR ROAD, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T1 2N R3W SEC 22 LOT 45 Lot Size 194,669 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) ❑Q Septic Tank 0 Upgrade Q (w/wo ADU) (D) ❑ Holding Tank ElRenewal ElDuplex 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: q5 Waiver Fees: Date of Payment: _/OA&3 Date of Payment: Receipt Number: Ll 0-5-0 Receipt Number: Permit No. Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! October 5, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: T12N R3W SEC 22 LOT 45 (EAST HOUSE) The property owner has requested we obtain a permit to upgrade the failed undocumented septic system of the above referenced lot that is serving the eastward house. This “crib/cesspool” has collapsed and there doesn’t visually appear to be a septic tank towards the house. The existing “crib” will be abandoned in place and if a septic tank is found it will be decommissioned. We propose to install two deep trenches and 1000-gallon tank to serve the existing 3-bedroom residence. We would recommend a 1500-gallon tank be installed for future consideration or flexibility. No groundwater was noted in the MOA on-site file nor in the testhole, but if groundwater is encountered during installation an epoxy coated steel 1500-gallon septic tank may be required. The design is based on the recent test hole conducted in September 2023. No groundwater was observed at test hole excavation or monitoring. The slopes are moderate at 3-8% at the proposed upgrade location. The lot and area are served by private & public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231338, Deb Wockenfuss, 10/10/23 FIRST WATER CONSULTING T12N R3W SEC 22 LOT 45 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231338, Deb Wockenfuss, 10/10/23 FIRST WATER CONSULTING DESIGN DETAILS: T12N R3W SEC 22 LOT 45 STAKE 100' WELL RADII PRIOR TO CONST. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231338, Deb Wockenfuss, 10/10/23 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: T12N R3W SEC 22 LOT 45 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10/04/2023 DEPTH FEET OG SOILS 1 ORG/OL-FILL 2 3 4 5 6 7 8 SM/gm 9 10 11 12 13 14 15 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 10/3/23 30 min 6” 1 6/16” 30 min 6” 1 7/16” 30 min 6” 1 6/16” PERCOLATION RATE 22 (MIN / INCH) TEST RUN BEWTWEEN 5 & 6 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 10/3/2023 TESTHOLE # 23-1 DATE PERFORMED: 9/18/2023 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: JOHN CHAMBERLIN 10/04/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231338, Deb Wockenfuss, 10/10/23 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BLM LOT 45 T 12N R3 W SEC 22 PLAT BLM FEB 149 1952 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoul4 any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION DOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: €—MAlL: AUG 19, 2023 1 "=80' schuller@ak.net 23-092 DRAWN BY. CHECKED BY GRED NUMBER: BOOK/PAM JLS SW2637 230267 U = FND 5/8" REBAR % � o% F 4 SUP s 1 or /AOW ' ,•' 4 9TH '' 'Z-7 en Eli VA PAe . ... ........................�. •,JOHN L. SCHULLER.• a � LS -1.0408 qui �• ` / 1831 Talkeetna Street Anchorage, Alaska 99508 n fes �a� �, ,q., (907) 227-1455 office �l►1` sio C low (907) 274--4992 fax ��t