HomeMy WebLinkAboutSCIMITAR #2 BLK 3 LT 14cimitar #2
Block 3
Lot 14
#051-132-64
On -Site Water and/or Wastewater System
Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP151236
Tax Code Number: 05113264000
Work Type: SepticTank Upgrade
Permit Effective Dates: July 22, 2015 to July 21, 2016
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: SCIMITAR #2
Site Legal Address: SCIMITAR #2 BILK 3 LT 14 G:1261
Owner/Address: LEIGH ALAN F
PO BOX 670137 CHUGIAK AK 995670137
Site Mailing Address: 20160 TULWAR DR, Chugiak Lot Size in Sq Ft: 44756
Total Bedrooms: 4
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Issued By:
-7/a3b6 !S
RIAS H -
MUNICIPALITY 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
Parcell.D. 051-132-64
Property owner(s) Alan Leigh Day phone
Mailing address P.O. Box 670137, Chugiak, AK 99567
Site address 20160 Tulwar Drive
Legal description (Sub'd., Block & Lot) Scimitar #2, Block 3, Lot 14
Legal description (Township, Range & Section)
Lot Size 44,756 Sc. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(M all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
❑x
(w/wo ADU)
Septic Tank
Upgrade FX]Duplex
F-1Holding
(D)
Tank
❑
Renewal F-1Multiple
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.
Permit/Rush Fees: Q lISDate of Payment: -71 W,115
Receipt Number: 14(4'2-o CA
Permit No. "I S 1 Z%o
Permit App_:- :: �.�c
Waiver Fees:
Date of Payment:
Receipt Number: -
Waiver No.
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve((caoanengak.com
July 22, 2015
Subject: Scimitar #2, Block 3, Lot 14
Emergency Tank Replace Permit Request
Design Narrative
This is a design narrative for a permit to install an upgrade 12508 Septic Tank to be issued for this
property. The existing 1250g tank has collapsed placing the residence out of service. It will be
decommissioned per code. Currently the lot is developed. The proposed system will utilize a replacement
1250g septic tank that will be connected to the existing drain field. This lot and the surrounding lots are
served by private wells. There are no wells within 100 feet of this system.
1. Upgrade Tank Design.
a. See Sheet 1 of the design package.
2. Surface Water: There is no surface water within 100 feet of the proposed septic tank. The proposed
septic tank upgrade will maintain at least 100 feet from all surface water and drainage ditches.
3. Topography: The existing topography is flat with slopes less than 1% in any direction within 100'
of the system.
The proposed installation will not affect the future development of the surrounding or existing lots. There
are no surrounding wells within 100 feet of the proposed septic location.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
3
4z
�nW- w ww
/ 1111
SEPTIC AREA
Is
4BR
HOUSE
Z(E) \
NOTES:
EMERGENCY TANK REPLACE
PLAN
WELL (E)
WELL (E)
9T
COLLAPSED -1250g SEPTIC TANK (E)
\ DECOMMISSION PER CODE /
INSTALL 1250, SEPTIC TANK (P)
�\ WITH DOUBLE CLEAN OUT
DRAIN FIELD (E) LOT VACANT
3
PANNONE ENG SVC, LLC
P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
SCIMITAR #2, BLOCK 3, LOT 14
ALAN LEIGH
20160 TULWAR DRIVE
CHUGIAK, AN 99567
NO WELLS OR SEPTICS
ri\Q��G VrH�q Al 7/22/2015
Sca49 THN
=so'
"' P.I.D. NO
-132-6e / PERMIT NO.
CE 8149 .-,&
1 OF 1
,1GREAER ANCHORAGE AREA BOR'GH
Department of Environmental Quality
YY u 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME60V'/v J �41CALZAlcl/MAILING ADDRESS �' '� �` j i��C PHONEe"�J'- 4'2;�a
LOCATION�tJ/bfi�� %�� LEGAL DESCRIPTION Ao.7'1
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELL MANUFACTURER = ` �° MATERIAL
COMPARTMENTS_
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY `'a`-15 U GALLONS.
SEEPAGE PIT:
NUMBER OF PITS j DIAMETER
LINING MATERIAL �� V� CRIB SIZE:
h i?
OR WIDTH J , LENGTH -,IX DEPTH
6
DIAMETER —DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) 67 6 SQ. FT.
ADDITIONAL ABSORPTION
WELL: JVr 7,
TYPE
CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOL—,OTHERSOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY: if,
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
C
DEPTH
NEAREST SEPTIC
SEWER LINE TANK _
REMA
DIAGRAM OF SYSTEM
DISTANCE FROM:
SEEPAGE
SYSTEM -
¢fele4wC�.��
i31
T�``/C'�i
n
DATE APPROVED� C'
G.A. .B.
i
P
I...If-
ILK
oa Ir lr_`` LNO REPORT
CONTRACTOR
(ROTARY
SPEED
WEIGHT
ON BIT
DATE
- NAME
MARTIN.
rO, ROSS i( 43
HRS.
-
/a
J
TULSA OKLA OMA
`
1117 11516F
/
e
v
COMPANY
LEAS
WELL No.
RIG N IO
1.
SLOPE TEST
ACCIDENT:—
(GIVE NAME) -'
H
H
[@ FT.
SLOPE TEST ACCIDENT:-
(GIVE NAME)
DEG. OFF
H
RL
FT.
MUD RECORD
TIME RECORD
DRILL STEM RECORD
RUN NO.
WEIGHT
DRILLING
SIZE D. P. -
DIS ICT COUNTY
VISC.
STATE
SIZE COLL,
D. P. STRING NO.
SIZE
- JTS. D. P. FT.
BIT AND COR EH EAD RECORD
MUD RECORD
REPAIRS
TIME RECORD -
DRILL STEM RECORD
PH.
FROM
TO
FORMATION
ROTARY
DRILLING
WEIGHT
PUMP
SIZE -
NAME
HRS.
CORING
SIZE COLL.
SPEED
WTR. LOSS.C.C.
ON BIT
PRES.
OTHER
JTS. D. P.
FT.
SERIAL NO.
%
REPAIRS
KELLY DOWN
FT.
DEPTH IN
PH.
TRIP
-
COLLARS
f
2
MTL. ADDS (REMARKS)
TOTAL
DM
�J
EM
H
ACCIDENT:—
SLOPE TEST
(GIVE NAME)
@i FT.
L
DEG. OFF
BIT AND COREHEAD RECORD
I MUD RECORD
TIME RECORD
DRILL STEM RECORD
RUN NO.
WEIGHT -
DRILLING
SIZE D. P.
SIZE
VIGC. -
CORING
-
SIZE COLL.
MAKE
WTR. LOSS.C.C.
OTHER
JTS. D. P.
FT.
SERIAL NO.
FILTER CAKE
REPAIRS
KELLY DOWN
FT.
DEPTH IN
PH.
TRIP
COLLARS
FT.
HOURS RUN
MTL. ADDED (REMARKS)
-
TOTAL
FT.
/!
REMARKS: a, rV X
FROM
TO FORMATION
(ROTARY
SPEED
WEIGHT
ON BIT
PUMP
PRES.
- NAME
NAME
HRS.
oM
DM
EM
EM
H
SLOPE TEST
ACCIDENT:—
(GIVE NAME) -'
H
H
[@ FT.
SLOPE TEST ACCIDENT:-
(GIVE NAME)
DEG. OFF
H
RL
FT.
MUD RECORD
TIME RECORD
DRILL STEM RECORD
RUN NO.
WEIGHT
DRILLING
SIZE D. P. -
DEG. OFF
VISC.
CORING
SIZE COLL,
ORL
WTR. LOSS-C.C.
- JTS. D. P. FT.
BIT AND COR EH EAD RECORD
MUD RECORD
REPAIRS
TIME RECORD -
DRILL STEM RECORD
PH.
RUN NO.
WEIGHT
I
HOURSRUN
MTL. ADDED (REMARKS)
DRILLING
TOTAL FT.
SIZE D. P.
SIZE -
VISC.
CORING
SIZE COLL.
MAKE
WTR. LOSS.C.C.
OTHER
JTS. D. P.
FT.
SERIAL NO.
FILTER CAKE
REPAIRS
KELLY DOWN
FT.
DEPTH IN
PH.
TRIP
-
COLLARS
FT.
HOURS RUN
MTL. ADDS (REMARKS)
TOTAL
FT.
REMARKS:
FROM TO
FORMATION
ROTARY!
SPEED
WEIGHT
ON BIT
PUMP
PRES.
- NAME
HRS.
oM
EM
H
SLOPE TEST
ACCIDENT:—
(GIVE NAME) -'
H
[@ FT.
DEG. OFF
RL
BIT AND_COREHEAD RECORD
MUD RECORD
TIME RECORD
DRILL STEM RECORD
RUN NO.
WEIGHT
DRILLING
SIZE D. P. -
SIZE
VISC.
CORING
SIZE COLL,
MAKE
WTR. LOSS-C.C.
OTHER
- JTS. D. P. FT.
SERIAL NO.
FILTER CAKE
REPAIRS
KELLY DOWN FT.
DEPTH IN
PH.
TRIP
COLLARS FT.
HOURSRUN
MTL. ADDED (REMARKS)
TOTAL FT.
REMARKS:
PRINTED IN U.S.A. - APPROVED
TOOL
PUSHER
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2516 E. TUDOR RD., ANCHORAGE., HK. 99507
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PERMIT Pic -j. el, 76074 )
APPLICANT ilELVIN STRICk.LAND P Cl BOX 615H CHUG IHK 688�2907
LOCHTION TULWHR DR
LEGAL L14 B2 SCIMITAR SUBD UNITLOT SIZE SQUHRE FEET
TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH
MHXIMUM NUMBER OF
BEDROOMS =
4
SOIL RATING (SQ FT/BR':--- 85
THE REQUIRED SIZE
OF THE SOIL
ABSORPTION
SYSTEM IS: '
���-- -V V-0 -I- f2m
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Ci Fu ���VA� �
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF-THE.TRENCH OR DRHINFIELD.
THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEENTHE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCHVHTION (IN FEET). /
'THERE IS NO SET WIDTH FOR TRENCHES. .
THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN`THE OUTFHLL PIPE
HND THE BOTTOM OF THE EXCAVATION (IN FEET).
-r L-A 0--' 2-7-1 1 r-4"-=. F"F--- fl::� -V I CH ��X--- ��������
BACKFILLING OF ANY SYSTEM WITHQUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT' WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON --SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DHYS
OF THE WELL COMPLETION.
SPECIFICHTIONS HND CONSTRUCTION DIHGRHMS HRE HVHILHBLE TO INSURE PROPER
INSTALLATION.
I -IF L- I E;u F-- CH P-4 EE U. F -H F--'F,;.:-"CH Irl �L.11 FE
I CERTIF HHT`
1: I HM F'MILIHR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS HS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE. ^ `
2� I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES`
]� I UNDERSTAND THHT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLHRGEMENT IF' THE
RE DENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
N
SIGNED:
APPLICANT MELVIN STRICKLHND
ISSUED B
~ // �r
(^}
.._........
IFf��
-r
-6
:r MUNICIPALITY OF ANCHORAGE
'
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
- t 825 L Street - Anchorage, Alaska 99501
-3 _ C IA4 I Dlyl<
ENVIRONMENTAL ENGINEERING DIVISION
�`/
C-6 1- 1'150 —�!
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER
-
PHONE
MAIL NG ADDRESS
❑ MULTIPLE FAMILY
PROPERTY RESIDENT (If different fro bove)
7. WATER SUPPLY
PHONE
INDIVIDUAL*
*ATTACH WELL LOG. A well log is required for all wells drilled
COMMUNITY
2. BUYER
❑ PUBLIC UTILITY
PHONE
S. SEWAGE DISPOSAL SYSTEM
**If individual/on-site, give installation date ? .
'5-3-3- -2 3:?
MAI LING ADDRESS
/ �L(As1/I/I i
3. LENDING INSTITUTION
❑ PUBLIC UTI LITY
PHONE
,J J
�pNl�� � ✓L���li� %�(JiC!
MAILING ADDRESS
4. REALTOR/AGENT
�a9CTox-9
PHONE
MAILINGADDRES tn�
�%G ? JGi/
5. LEG L DESCRIPTION
'20 A-1
'
i � 11.°
-3 _ C IA4 I Dlyl<
STREET LOCATION
n
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
❑ One ❑ Four ❑ Other
14 SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
C Three ❑ Six
7. WATER SUPPLY
INDIVIDUAL*
*ATTACH WELL LOG. A well log is required for all wells drilled
COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
S. SEWAGE DISPOSAL SYSTEM
**If individual/on-site, give installation date ? .
1;4_ INDIVIDUTEM SITE**
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTI LITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
H a� s
el
THIS SIDE FOR OFFICIAL USE ONLY I
72-010 (Rev. 3/78)
INSPECTION APPOINTMENTS
DATE RECEIVED _
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
—
DATEDRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
El Septic Tank or ❑ Holding Tank
Size: Q-90 If Tank is homemade
give dimensions:
SOILS RATING
bsi
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL T0:
-Septic/Hol dinr� Tank
Absorption Area
777
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
t,'APPROVED FOR "f BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
L� DISAPPROVED
DATE
17'e'
BY (Title)
9-C- P4�
LEGAL DESCRIPTION
72-010 (Rev. 3/78)