HomeMy WebLinkAboutBRUIN PARK BLK 4 LT 19Bruin
Block 4
Lot 19
#016-101-19
kRcv voiuu I 0
Municipality of Anchorage lkt; 72023
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231249
PID Number: 016-101-19
Dwelling: t❑ Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade
Name
Betty Swain
ABSORPTION FIELD
❑ Deep Trench El Wide Trench El Bed El Mound
Site Address
11210 Polar Drive
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
4
GPD/SF
JTotal
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision
Block Lot
Bruin Park
4 19
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ftz
Ft.
Well
104.7
NA
NA
NA
25'+
TANK 0■ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer
Capacity
1,500 Gal.
Surface Water
100+
NA
NA
NA
Material
Number of compartments
Lot Line
17.8
NA
NA
NA
NA
Plastic
2
Foundation
10+
NA
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks Tank Replace Only
Gal.
- Repaired connecting pipes
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034 Tank to 3034
Installer
drainfield
A+ Home Services
Drainfield CO/MT3034
Inspector PES
BENCH MARK (Assumed elevation) 100.0 ft
Inspe
v 8/23/23
Location and description
tion
2 nd
3`d
4 t
Accessory Structure Door Threshold
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
OF
•'
Conditional Approval:
Date
Q'• • •.
.... .. .. .......
•'��even annope
Septic SyAtem
Approved
Date
�. CE 8149 .�
••.2023.12.0 ,.•
s not include well permit requirem ts.
kRcv voiuu I 0
g:m-1C-) - -a� i
CD
y £
< C) r O r X M m<
�ooC mFn C) cn
z- D
> zOx—I i1 £
x m� o o c m o O o� mZ
Z
COMr-0 z CC
o r-
z m
Z �
O cn
Dr
(7 C M
u) "I
W_
\ r
m
\ r
O �
sol 14
Z
/ \O�
/ m
Z�
y
N oIli
DOUBLE Ula M v p
CLEAN OIJL p p
m O~
MANHOLE sv a Q +
UOUBLE mn
CLEANOUT \ F' nma / a�Cnn O
O M_ yy O
�a2y :-ZEa �2
i
I _ ZD
o
�
Lo
m�cano � a \
0
r Ay �r
s
� m �
w �
NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE
RECORD DRAWING P.O. BOX 1807 PALLIER, AK 99645 12/5/2023
PHONE (907) 745-8200 FAX (907) 745-8201G•• . SCALE
1" = 50'
it:48TH
DRAWN FLBRUIN PARK BLOCK 4 LOT 19 ....... P.I.D. NO
CHECKED I ACP/JRL BETTY D SWAIN a 016-101-19
te ��Te PERMIT N0.
SITE: 11210 POLAR DRIVE cX49
/5/23••` OSP231249
12/
SITE PLAN ANCHORAGE, AK 99516 •; ;� SHEET
2OF2
-ic -az-00
m
.. fAD�_
0
N
0
N
-<
G�
N
rn m 0
Ln
Z
O
71
JP)
-'p
-•
0)
C,a
CTI
o c^'n
n
D
0 0-P,
..
Lo
C) p-<
D
CO
00
J
J
Lo
CL
m
U)
W_
\ r
m
\ r
O �
sol 14
Z
/ \O�
/ m
Z�
y
N oIli
DOUBLE Ula M v p
CLEAN OIJL p p
m O~
MANHOLE sv a Q +
UOUBLE mn
CLEANOUT \ F' nma / a�Cnn O
O M_ yy O
�a2y :-ZEa �2
i
I _ ZD
o
�
Lo
m�cano � a \
0
r Ay �r
s
� m �
w �
NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE
RECORD DRAWING P.O. BOX 1807 PALLIER, AK 99645 12/5/2023
PHONE (907) 745-8200 FAX (907) 745-8201G•• . SCALE
1" = 50'
it:48TH
DRAWN FLBRUIN PARK BLOCK 4 LOT 19 ....... P.I.D. NO
CHECKED I ACP/JRL BETTY D SWAIN a 016-101-19
te ��Te PERMIT N0.
SITE: 11210 POLAR DRIVE cX49
/5/23••` OSP231249
12/
SITE PLAN ANCHORAGE, AK 99516 •; ;� SHEET
2OF2
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
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP231249
Work Type: SepticTank Upgrade
Tax Code Number: 01610119000
Site Legal Address: BRUIN PARK BLK 4 LT 19 G:2633
Site Mailing Address: 11210 POLAR DR, Anchorage
Owner: SWAIN BETTY D
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
0enr
�o
G !G
Depai*tment
8/10/2023
8/9/2024
18000
❑ 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
pa 3,: '>: s51cte �O
Issued By:
Date:
Date:
rd
MUHMP „ UTY OF AHCHORAGE
i
Community Development Department f Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 016-101-19
Property owner(s) Betty D. Swain
Mailing address
Site address 11210 Polar Drive
Legal description (Sub'd., Block & Lot) Bruin Park Block 4 Lot 19
Legal description (Township, Range & Section)
Lot Size 18,000 Sq. Ft. Number of Bedrooms
Day phone
0
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
❑X
(w/wo ADU)
Septic Tank
❑X
Upgrade ❑X
Duplex (D)
ElHolding
Tank
ElRenewal
❑
Multiple Dwellings
❑
Privy -
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
sw
(Signature of property owner or authorized agent)
Permit/Rush Fees: t Z Z �- MNaivor Pooe-
Date of Payment: _
Receipt Number:
Permit No. � 110 � 31 2 Y�
Permit App_::-: ,'_.,:c;
Date of Payment:
Receipt Number:
Waiver No.
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
Mailing: P.O. Box 1807 Palmer, AK 99645
Telephone: (907) 745-8200 FAX: (907) 745-8201
8 August 2023
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Bruin Park Block 4 Lot 19
Septic System Upgrade Permit Request
Emergency Tank Replacement
This is a design narrative for a permit to install a 1500-gallon septic tank to replace an existing 1500-gallon septic
tank to be issued for this property. The existing tank is 43 years old and has failed causing effluent to back up into
the existing structures; this tank will be abandoned per code. Currently the lot is developed. The proposed
replacement will be connected to the existing drain field. This lot and the surrounding lots are served by private
wells. There are currently no wells within 100’ of this upgrade.
1. Upgrade Tank Design.
Foundation clean out(s) installed if needed.
The tank will be located: 5’+ from any property line.
5’+ from any deck/stair support.
10’+ from building foundation.
10’+ from any water line.
100’+ from any surface water.
100’+ from any private wells.
200’+ from any public wells.
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions or concerns, pleas e contact me at (907) 745-8200.
Sincerely,
Steven R. Pannone, PE, F. ASCE
Owner/Civil Engineer
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231249, Deb Wockenfuss, 08/10/23
PANNONE ENG SVC, LLC (C.I. 1088)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231249, Deb Wockenfuss, 08/10/23
PANNONE ENG SVC, LLC (C.I. 1088)
SO
I
L
S
L
O
G
IN
S
T
A
L
L
N
E
W
1
5
0
0
g
a
l
S
E
P
T
I
C
T
A
N
K
.
--
F
E
E
T
--
F
E
E
T
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231249, Deb Wockenfuss, 08/10/23
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
[] UPGRADE
Manufacturer ~~ ? Dwelling
'ater~ r~ No. of ~ompa~nts
Liq. c~n gallons IF HOME.DE: Inside length Width Liquid depth
DISTANCE TO; Well Dwelling PERMIT
We, , · ~oundation/~ Nearest lot line
No. of li~s/ Length of~i~ ~otal lenities Trenc~ Distance
Top of tile to ,,nlsh gradg , ~, Material beneath tile ~/ inches
Length Width Depth PERMIT NO,
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot llne PERMIT NO.
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s}
OTHER
72-013 78)
LEGRL
TYPe OF SOIL RBSORPTION SYSTEM IS:
MRXIMUM NUMBER OF BEDROOMS = 3
P1UIN Z C ! Pi=IL Z TY OF FtNCHORFt'I3E
DEPnRTMENT I H~nLTH riND ENV~RONblENTnL/OT~CT~0~
LOCATION
LOT SIZE 1~000 SQUARE FEET
TRENCH
SOIL RATING
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
FT?BR>= ±50 /"~ ~
DEPTH= 10 LE~GTH= 57 GRAVEL DEPTH= 4
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THe DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OP GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
RED SEPT I C T,A~4K S I ZE= '~ 000 GALLONS
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OP ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OP RESIDENCES THAT THE WELL WILL SERVE.
TPIO ( 2 ) INSPECT IONS ARE REQL) I RED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION,
MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR 8 PRIVATE WELL OR 150 TO ~00 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WeLL TO A PRIVATE SEWER LINE IS ~5 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T EXP I RES DECEMBER ~l.. ~L980
I CERTIF~ THAT
l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS 8S SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2~ I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~ i UNDERSTAND THAT THE ON-SITe SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
SIGNED: ..............
APPLICANT NCR
ISSUED BY .....
/
V4. 0
' LJ_~ 84 ~J[N PtqRK
LO}' ~3~E
' ~P?H-~- 10 LENtiTH~ -5'?
TWO ia) IN~P~T~ON~ ~RE
MUNICIPALITY' OF ANCHORAGE
DEPARTMENT OF HEALTH AND.ENVIRONMENTAL PROTECTION
Poueh 6-650, Anchorage, Alaska 99602 276-222~
SOILS LOG ' PERCOLATION TEST
[[/;~OI LS LOG
[] PERCOLATION
TEST
12-
13-
14~
15
16
i7
1'8
19
20l ~i
WAS GROUND WAVER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH?
Time V~ater Drop
PERCOLATION RATE [minutes/inch¥
TEST RUN BETWEEN FT AND
ATER AI~HORA E AREA BOR GH
Department o~ Hnv~ronmental qualit~
3500Tudor Road, Anchorage, Alaska 99507 279a'8686
Da~e Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL 0~,
INDIVIDUAL SEWER. & WATER FACILITIES
~FOR
? lr~ ~ Approval. Reqv
Addresa:
2. :Prope~tyf~;
4e
~ 5. T~pe
" Nt~mb~r '~ Bedr~O~S.'
f,'-% 6. : Well Data:
!~ ;'~,. A. Type ~ ~
. ~ ep~c Tank:, '1'. , Szze . 2. ~
~ D. Seepage P~tt 1. Size .~/ . . 2. M~e~al
E., Disposal Field: :'To~I Le~:th.~f Linee~
r' 8. DiStances.
~- ~-~ "' :'2
_
-~ %~ A, Well To~ ~p~ic Tank
,?Nearest Lot Line
Bacterial Analysis
Other Contamina~!on