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Home My WebLink AboutT12N R3W SEC 15 N2NE4SE4NE4 LESS PTNgian 2 3u.) ..StrAnn na rag sdsktivii r\ On -Site Water 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: OSP131449 Tax Code Number: 01507304000 Work Type: Well Permit Effective Dates: November 21, 2013 to November 21, 2014 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: T12N R3W SEC 15 Site Legal Address: T12N R3W SEC 15 N2NE4SE4NE4 LESS PTN G:2437 Owner/Address: MEGO THOMAS S 9600 BIRCH RD ANCHORAGE AK 995070000 Site Mailing Address: 9600 BIRCH RD, Anchorage This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 204675 Total Bedrooms: 3 Y 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 B) Issued By: 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 r Parcel I.D. 10/S'_073 ^O`1 ' RUS11! j Property owner(s) 'r I, P . a4 M �cr D Day phone Mailing address 01 Lo o D (i, V, Site address S 0w e/ Legal description (Sub'd., Block & Lot) TM AJ , 9-30 5mi 5 Legal description (Township, Range & Section) Lot Size ZQq Io7! Sq. Ft. APPLICATION IS FOR: (® all that apply) Number of Bedrooms 3 Na NIff"t seg NSI ILSs PTN APPLICATION IS AN: TYPE OF DWELLING: Absorption Field ❑ Initial ❑ Single Family (SF) Septic Tank ❑ Upgrade p9 (w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well Water Storage ❑ P THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 6 lv� e, e • Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. rermiT/Kusn tees: i un IT 1 c u Waiver Fees: Date of Payment: I� I ZyII� CIS �t5 "I Date of Payment: Receipt Number: 170653 Receipt Number: Permit No. 05 P) I9ge1 Waiver No. Permit App_:: - L.,:c Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Nov 19, 2013 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: T12N, R3W, Sec 15, N2, NE4, SE4, NE4 LESS PTN (TAX ID 015-073-04) To Whom it may concern: This is a request for a replacement well on the above referenced lot. The existing well doesn't have a pitless and is too close to the house therefore the owner is requesting a new well be drilled. The old well encroaches on the existing septic (see the plan) and it will be decommissioned per the current codes. The new well will not impact the neighboring lots due to the large lot size and will only service this single family residence. Please call me if you have any questions. Sincerely if Michael N. Anderson, P.E. VACANT T L _� c Tb e � I 1 SEPTIC r� \ VACANT, OPEN 1SPACE / �7 IffCHELL-STE�HANS PROPERTY UNE I --\ f II WELL LOT 26 1� li I� I II T T EXISTING WELL TO BE DECOMMISSIONEE PER CODE i r i f I I 10' CONTOURS \ NEW PROPOSED WELL LOCATION )1 S C \ r I / l J PROPERTY UNE SUMMIT ESTATES SU�AMIT ESTATES SUMMIT ESTATES / SUMMIT ESTATES BLOCK 1, LOT 5 gL'OCK 1, LOT 4 BLOCK 1, LOT BLOCK 1, LOT 2 Septic Design Prepared for THOMAS MEGO T12N, RM, SECTION 15, N2NE4SE4NE4 LESS PTN Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4661 NATRONA AVE. DRAWN: ANCHORAGE, ALASKA 99516 345-3377 / FAX: 345-1391 SCALE: 10/30/2013 DJR 1"=100' PROPOSED WELL 100' RADIUS I \ I I � I 0 1 \ \ — r WELL I i � i 42N RN SEC 15 / �F4NE4SE4NE4 PTN it r SUMMIT ESTATES i 1 EXISTING WELL TO BE DECOMMISSIONEE PER CODE i r i f I I 10' CONTOURS \ NEW PROPOSED WELL LOCATION )1 S C \ r I / l J PROPERTY UNE SUMMIT ESTATES SU�AMIT ESTATES SUMMIT ESTATES / SUMMIT ESTATES BLOCK 1, LOT 5 gL'OCK 1, LOT 4 BLOCK 1, LOT BLOCK 1, LOT 2 Septic Design Prepared for THOMAS MEGO T12N, RM, SECTION 15, N2NE4SE4NE4 LESS PTN Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4661 NATRONA AVE. DRAWN: ANCHORAGE, ALASKA 99516 345-3377 / FAX: 345-1391 SCALE: 10/30/2013 DJR 1"=100' PROPOSED WELL 100' RADIUS I \ I I � I 0 '�: �`?� 49 TH, MICHAEL N. No. GE EN —EXISTING HOUSE \ \ — I 1 m I WELL I I 1 � I 42N RN SEC 15 / �F4NE4SE4NE4 PTN / SUMMIT ESTATES BLOCK 1, LOT 1 '�: �`?� 49 TH, MICHAEL N. No. GE EN DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION E~IRO~ENT~ PROT~IO~ ~ 825 L 'Street- Anchora~, Alaska 99501 · ' ENVIRO ERR*lNG D VlSIO ;* Telephone 264~720 .i ~ . iNDIVIDU L: :: ~ REQUEST FOR APPROVAL OF A WATER AND SEWER DIRECTIONS: ~ :~ ' ; : ' ' PHON 1. PROPE~NER ~ ~ ~, . MAILING ADDRESS . PROPERTY RESIDENT (If different from above) ~. ~ , ', ~ ' r : PHONE 2. BUYER, : : ': ~,, ; '::{: : PHONE MAILING ADDRESS ~ : : ~ :' 3. LENDING INSTITUTION ~ ~ J ' ': ;* : ~ PHONE MAILING ADDRESS ': [, : i,., : ' · 4. REALTOR/AGENT J :: MAILING ADDRESS : : ~ ~: ~ -, 5. LEGAL~ DESCRIPTION . STREET LOCATION 6. TYPE OF RESIDENCE [] Other :. , ' ~ ~ :'" i NUMBER OF BEDROOMS ..... ~ ;: [] TWo ',' [] Five: '; :: :': 'i;I [i~ Thre~ [] Six 7., WATER, SUPPLY, ' ~ INDIVIDUAL'. r~l,. CdMMUNITY ':. ' I'~: ' PUBLIC UTII:ITY ATTACHrWELI: LOG: A Well log is required fora we sdril ed ~ ,: ~, , . . since Yune'1975. For wells drilled prior to that date, give well Idepth ,(attach log if available.) /~.~<~'/ ' ' 8. SEWAGE DISPOSAL SYSTEM , i ' 'U~' INDIVIDUAL/ON-SITE** FI' PUBLIC UTILITY. ii ::,;I,' ~ r J ;, ' tlf mdlwdual/on-slte, gLve installation date ii:l:'i If Syslem:is over:two (2) y~ears old an adequacy te;t is 1,;,ii'i~ lby this Department. :. NOTE: THE INSPECTION FEE MUST ACCOMPANY 72-010(3/78) f EACH REQUEST BEFORE pROcEssING CAN BE INITIATED. Pin SIDE FOR OFFICIAL USE ONLY · - DATE RECEIVED INSpEcTION APPOINTMENTS iT!ME .... - TIME , TIME DATE - -:' ,. ,. DATE DATE NSPECTOR ,' ~ .... , '"; ~, INSPECTOR INSPECTOR DIRECTIONS: NUMBER OF BEDROOMS 1. TYPE oF RESIDENCE' [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SiX [] OTHER 2. WATER'SUPPLY [] INDIVIDUAL [] COMMUNITY . []. PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE' []PUBLIC UTILITY. ' Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensiohs: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA , MATERIAL DISTANCES WELLTO: Absorption Area to nearest Lot Line Septic/Holding Tank .IAbsorption Area JSewer Line INearest Lot Line 5. COMMENTS DATE ~ APPROVED FOR _~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72~310 (Rev. 3/78) (Title) J'ML John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 NE;'/ PHONE NUNBER 276-4113 SOIL ABSORPTION SYSTE~4, TEST PERFOP~4ED, FOR: NO. OF BEDROOMS: ~ RECORDS ON ~LE:,, , CRIB DRAINFIELD OEER TEST PERFORMED IN ACCORD~TCE ?~TH ~L STANDARD PROCEDURE ACC~TED BY MUNICIP~ITY OF ~CHORAGE, D~T. OF ~IRO~[~TAL ~ALI~ ON 7/~/7~ ~;~ THE FOLLOWING MODIFICATIONS: - ' TELEPHONE: DATE OF,' TESTS: SURGE CAPACITY: SOIL ABSORPTION SYST~4 (SAS) ' ' .~~ ~ SEPTIC TA~K PLUS SAS OBSERVATIONS: PERFORMED BY: SUPERVISED BY . TEST DATA ATT.~ ~. John M. Lambe, P.E. 4303 North Star Street. Anchorage, AlmJca, 99503 907-279-8056 DATE /d./2/.~ PERFORMED BY: x~ ~a~./$¢ LEGAL DESCRIPTION:,, John M. Lnmbe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 DEPTH BRTOW METER READING GALLONS PUMPED -I TIME / ~ '