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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