HomeMy WebLinkAboutCHUGACH PARK ESTATES BLK 1 LT 1CHUGACH PARK
ESTATES
Block 1
Lot 1
#051 -471 -04
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 Water & Wastewater System Permit
Permit Number: OSP241237
Work Type: WellSeptic Initial
Tax Code Number: 05147104000
Site Legal Address: CHUGACH PARK ESTATES BLK 1 LT 1 G:1160
Site Mailing Address: 19551 CHUGACH PARK DR, Chugiak
Owner: TRACY SEAN & TRACY
Design Engineer: ARC TERRA CONSULTING INC
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
U��parttrte it
8/2/2024
8/2/2025
55675
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 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
Received By: ) S 5
Issued By:
Date:
2
Date: Z 2o 2- y'
MUNICIPALITY OF ANCHORAGE
Development Services Department; Phone: 907-343-7904
On -Site Water & Wastewater Section -' Fax: 907-343-7997
r a ,
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-471-04
Property owner(s) Sean & Tracy Tracy
Mailing address
Site address 19551 Chugach Park Dr.
Chugiak,AK
Day phone
Legal description (Sub'd., Block & Lot) Chugach Park Est Blk 1 Lot 1
Legal description (Township, Range & Section)
Lot Size 55,675 Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
®
Initial ®
Single Family (SF) El
(w/wo ADU)
Septic Tank
®
Upgrade ElDuplex
ElHolding
(D)
Tank
❑
Renewal ❑
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.
Dea Duffus
(Signature of property owner or authorized agent)
Permit/Rush Fees: ) 3 � z Waiver Fees:
Date of Payment:
Receipt Number:
Permit No. 0
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241237, Curtis Townsend, 08/02/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241237, Curtis Townsend, 08/02/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241237, Curtis Townsend, 08/02/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241237, Curtis Townsend, 08/02/24
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— — — — -- 5' Electric Easement
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NOTES US SURVEY
FEET Surveying
-All dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. 72-188. 1
-49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under no
circumstances should any data hereon be used for the establishment of property lines.
-It is the owners responsibility to determine the existence of any easements, covenants, or restrictions; no title research performed.
-The average lot grade is in excess of 20%. Therefore, a Site Disturbance Envelope will be marked in the field by the Lnd Surveyor
with pink flagging. the Site Disturbance Area is less than 20% average grade
-Topographic contours shown were digitized from MOA GIS and are only shown for general drainage patterns and overall grade.
-Bear resistant refuse to be used and stored in garage till day of pick-up.
ASBUILT��URVEY
LEGEND
49th Star Surveying Lkl-C-
Utility Pole
(181') Spot
PO Box 738
Lot 1, Block 1,
i
Guy Wire
Elev.
Girdwood, AK 99587
Chugach Park Estates,
A
Tele Pedestal
(907)891-6111
Chugiak, AK
0
Septic Clean Out
Jeremy@49thStarSurveying.com
Well
Drainage
Direction
W.O. 2409 M 6/1/24
SCALE: 1 "=60'
C:. � "Jac Pay ►<, iEFSfi i3 L I
MUNICIPALITY OF ANCHORAGE
Development Services Department `
Phone: 907-343-7904
On -Site Water & Wastewater Section — Fax: 907-343-7997
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. 1 agree that there will be no monetary compensation for installation services rendered.
5. The name of the inspecting engineer. DIE1 0�_) fPJ s
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)
I agree that the information above is true and accurate.
Owner's printed name:
Owner's signature: ____ __ Date: C� l �� ((