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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 ~ C�`-`����� ��� ���. ��� ° ^ TMQN - ��DEPHRENT OF HEHLTH HND ENVIRONMENTHL ��OTECTI� ^~_ 2516 E. TUDOR RD., ANCHORAGE., HK. 99507 #-Jl EE 1- L- u::A Ir -A ��--- �T '-F- FEEt-4 JEE F;;����1 �� 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 ��r-A 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)