HomeMy WebLinkAboutCONIFER HEIGHTS BLK 3 LT 1Development Services Department
Building Safety Division
!4E On -Site Water & Wastewater Program
4700 Elmore Road
jr
P.O. Box 196650
Mark Begich Anchorage, AK 99507
Mayor www.muni.oro/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue: 76 1
Parcel Identification Number:& S•BR3. ZL
Legal Description Property Owner Name & Address:
Ca-t� 71Pctj�17�S [��k3 L5f i ✓+t,i 73ut-k-y to
v tVl 7q` 6 eo,{ 0,1,d )r.
9QS"o7
Pump Installation Date: ? _ b _ 16
Pump Intake Depth Below Top of Well Casing: 2g9 feet
Pump Manufacturer's Name: K t +1 �a�,vCA—
Pump Model: 106 C"!� I\ $ S Z I
Pump Size I hp
Pitless Adapter Burial Depth: I feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer: /
Well Disinfected Upon Completion? 9' Yes ❑ No
Method of Disinfection:
Comments:
ANCHORAGE WELL & PUMP SERV.
Pump installer Name:44 330 EAST 76TM AVENUE
ANCHORAGE, AK 99518
PHONE: 907-243-0740
AWPS.COM
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation
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: OSP161056
Tax Code Number: 01509322000
Work Type: SepticTank Upgrade
Permit Effective Dates: April 01, 2016 to April 01, 2017
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: CONIFER HEIGHTS
Site Legal Address: CONIFER HEIGHTS BILK 3 LT 1 G:2440
Owner/Address: JACKSON JUSTIN K
7946 PORT ORFORD DR ANCHORAGE AK 995076023
Site Mailing Address: 7946 PORT ORFORD DR, Anchorage Lot Size in Sq Ft: 55701
Total Bedrooms: 3
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.
1. The complete system will only be sized for 3 bedrooms therefore the application has been
changed to 3 bedrooms.
2. Property appraisal lists the house as having 4 bedrooms. Prior to a COSA, the field may need
to be upgraded to serve 4 bedrooms.
Received B)
Issued By:
MUNICIPALITY OF
Community Development Department
Development Services Division 6
On -Site Water & Wastewater Program
ANCHORAGE
Phone: 907
Fax: 907
ON-SITE SEWERIWELL PERMIT APPLICATION
Parcel I.D. 015-093-22
Property owner(s) Justin & Claudia Jackson Day phone
Mailing address 7946 Port Orford Drive, Anchorage, AK 99507
Site address 7946 Port Orford Drive
Legal description (Sub'd., Block & Lot) Conifer Heights, Block 3, Lot 1
Legal description (Township, Range & Section)
Lot Size 55,701 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE QF.DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
(w/wo ADU)
Septic Tank
❑x
Upgrade ❑X
Duplex (D)
Holding 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.
of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment: 3) d5 i1 V C.M
Receipt Number: 063t4AG)
Permit No. M-11PI (P 10610
Permit App__ ::�.�c,
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
MAR 2 4 2016' 1P
P,
❑X
Pannone Engineering ServiceS LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steveC@Daneneak.com
March 23, 2016
Subject: Conifer Heights,, Block 3, Lot 1
Septic Tank Replace Permit Request
Design Narrative
This is a design narrative for a permit to install an upgrade 1250g septic tank to be issued for this
property. The existing tank is collapsing. It will be decommissioned per code. Currently the lot is
developed. The proposed system will utilize a replacement 1250 septic tank that will be connected to the
existing drain field. This lot and the surrounding lots are served by private wells that are all located over
100 feet from this system. 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 slopes from.northeast to southwest in the vicinity of the
system.
The proposed installation will not affect the future development of the surrounding or existing lots. Th ere
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
SPECIAL PROVISIONS TO SPECIFICATIONS
ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON–SITE WASTEWATER DISPOSAL SYSTEMS.
2. SCOPE OF WORK: INSTALL NEW 1,2509 SEPTIC TANK AND DECOMMISSION EXISTING TANK PER CODE.
SLOPE EASEMENT 1
I•
WELL (E) \
/48R
3A HOUSE
DECK (E)
W—� W— n /�
DRAIN FIELD (E) J
3
10' SLOPE EASEMENT
?' PORT ORFORD DRIVE
3
g \ WELL (E)
COLLAPSING 1000g SEPTIC TANK (E)
DECOMMISSION PER CODE
INSTALL 1250g SEPTIC TANK (P)
WITH DOUBLE CLEAN OUT
ENSURE 5' SEPARATION TO DECK PILES
AND INSTALL BOLLARD OR SIMILAR /
BARRICADE TO PROTECT FROM VEHICLE _�Nl
TRAFFIC
ABBREVIATIONS
LEGEND
FC FOUNDATION CLEAN OUT
T# TANK CLEAN OUT NO.
W WATER LINE/
C# CLEAN OUT
- WELL RADIUS
DCO_ DOUBLE CLEANOUT
OG ORIGINAL GRADE
SS — NEW SEPTIC
E EXISTING
NOTES:
PANNONE ENG SVC, LLC
P,O, BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
_—`oF A �t�
(� �,q5,\�)
%6j�p �y++
j*; [j9.TH *II
....... .... .......
Steven R. annone /
+�P CE 8149
Date
a/z3/zois
TANK REPLACE
scale
P.I.D.O .D. NO
of - -22
DRAWN BY:
CONIFER HEIGHTS, BLOCK 3, LOT 1
JUSTIN & CLAUDIA JACKSON
7946 PORT ORFORD DRIVE
DRM
PERMIT NO.
osPxxxxxx
Sheet
PLAN
ANCHORAGE, AK 99507
l,�lgF�PROFE$SIO�P��
\\��� ���
1 OF i
GREA, ER ANCHORAGE AREA BOk. JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME MAILING ADDRESS COPY fCD f PHONE
I
LOCATION LEGAL DESCRIPTION L 3
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELL 4/SU MANUFACTURER MATERIAL 'IbLJCOMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS.
TILE DRAIN FIELD: (.�.
TOTAL LENGTH
DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE_ OF LINES S�
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH _�TIN. TOTAL EFFECTIVE
ABSORPTION AREA L SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER Y�
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE_ IN. ABOVE TILE IN.
WELL: Q
TYPE t)CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION , LOT LINE , SEWER LINE , TANK SYSTEM
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS -- -
DISTANCES:
c
INSTALLED BY: -�
SEWER LINE DEPTH:
PIPE MATERIAL:('
LOT SLOPE:
REMARKS:
Form EQ -032
DIAGRAM OF SYSTEM
DATE
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
4
GREE R ANCHORAGE AREA BOf JGH
PERMITNO.
P
�i//AL
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT 2j?
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FA
FINANCED THROUGH
SOIL TEST RESULTS
5C --,x? MAILING ADDRESS `�+ 0� / c— /&/� ��� —2
PHONE
COMPLETION DATE ANTICIPATED
/d- O
IT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTITIC T�A-�N+�K 'I'e �� /� TYPE("- "' � - - � SEEPAGE P
MINIMUM/ISTANCA,EQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT AO DRAIN PTr=
SEPTIC TANK TO SEEPAGE PIT WALL r - 0
I
SEPTIC TANK 4; SEEPAGE PIT DRAIN FLGke[f
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK _ISEEPAGE PIT
DRAIN FIELD / �// / ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
SEEPAGE PIT
DRAIN FIELD e f
r �%�/�
SEPTIC TANK,, SEEPAGE PITS, DRAIN FIELD D45:�
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILIzl ,/
, j
CONFORM TO BOROUGH REGULEITIONS REGARDING'' STA/LLATII�
ON.
r
SIZE
�% TYPE %j.f
DIAGIRA OF SYSTEM
LICENSED DSIGNER
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
4DAT Ey ° A/FAPPLICANT'S SIGNATURE -°
,r
FORM N Q-016
DEPARTMENT OF ENVIRONMENTAL QUALITY
�%
�'' 1! �,/',�
330 "C" ST €ET ANCHORAGE, ALASKA 99503
ez-rTELEPHONE 274-4561
PERMITNO.
P
�i//AL
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT 2j?
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FA
FINANCED THROUGH
SOIL TEST RESULTS
5C --,x? MAILING ADDRESS `�+ 0� / c— /&/� ��� —2
PHONE
COMPLETION DATE ANTICIPATED
/d- O
IT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTITIC T�A-�N+�K 'I'e �� /� TYPE("- "' � - - � SEEPAGE P
MINIMUM/ISTANCA,EQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT AO DRAIN PTr=
SEPTIC TANK TO SEEPAGE PIT WALL r - 0
I
SEPTIC TANK 4; SEEPAGE PIT DRAIN FLGke[f
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK _ISEEPAGE PIT
DRAIN FIELD / �// / ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
SEEPAGE PIT
DRAIN FIELD e f
r �%�/�
SEPTIC TANK,, SEEPAGE PITS, DRAIN FIELD D45:�
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILIzl ,/
, j
CONFORM TO BOROUGH REGULEITIONS REGARDING'' STA/LLATII�
ON.
r
SIZE
�% TYPE %j.f
DIAGIRA OF SYSTEM
LICENSED DSIGNER
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
4DAT Ey ° A/FAPPLICANT'S SIGNATURE -°
,r
FORM N Q-016
GREATER ANCHORAGE AREA BORON'"'
Department of Environmental Qu ty
3330 "C" Street
Anchorage, Alaska 99503
Yr�nuMy .
SOILS LOG - PEROLATION TEST
Performed for Doug Jackson
Legal Description:
This form reports:
Depth
Feet
Reading
Date Performed July 21, 75
oils log - X Percolation tes
Sand & Gravel Mix
Silts & Sands
Sand & Gravel Mix
S/O
AP
Varies -
5 -15% to
NW, W, SW,
Sand & Gravel Mix
Location: 116 FNL & ' _' FWL of tract.
4
encountered? No If yes, at what depth?
Date Gross Time Net Time Depth to Water Net Drop
Percolation rateminute.
Drain n F i e l d
�` -- `��-- —`"
Proposed instal lation: Seepage Pit
'Depth of Inlet —.—_-----____ Depth to 'bottom of pit or trench
COITIENTS :_.--
.,._._.______ _. __________ ________._-______�___ Date : � _ -�.
Pr. rfarmed By a _. e1_ -Jr._.._-_ _Certified Lay : s�.rG Ea,de,t.-Jr,.._ uly- -22, 1975
EQ -040 (6/74) ��"'S
�`'
S�
W. .
2
3 -
M °
+1P. 1 .
, -.
5-
`
6.-
•a 0
`
• p
7_
SW
8
9
10
E
',o• o
12,
13 -
SW
14 •-
a `i
/5Was
g r od
wa
f*1`
Reading
Date Performed July 21, 75
oils log - X Percolation tes
Sand & Gravel Mix
Silts & Sands
Sand & Gravel Mix
S/O
AP
Varies -
5 -15% to
NW, W, SW,
Sand & Gravel Mix
Location: 116 FNL & ' _' FWL of tract.
4
encountered? No If yes, at what depth?
Date Gross Time Net Time Depth to Water Net Drop
Percolation rateminute.
Drain n F i e l d
�` -- `��-- —`"
Proposed instal lation: Seepage Pit
'Depth of Inlet —.—_-----____ Depth to 'bottom of pit or trench
COITIENTS :_.--
.,._._.______ _. __________ ________._-______�___ Date : � _ -�.
Pr. rfarmed By a _. e1_ -Jr._.._-_ _Certified Lay : s�.rG Ea,de,t.-Jr,.._ uly- -22, 1975
EQ -040 (6/74) ��"'S
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