HomeMy WebLinkAboutT12N R3W SEC 15 SE4NE4NE4SE4NE4 PTNT12N R3W
Sec. 15
SE4 NE4 NE4 SE4 NE4
PTN
#015-073-05
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 �r
httpalwww.muni.org/onsite
1116.kirlif
1)t 1..0 i nik lit
4hCNONpGk
On-Site Wastewater Disposal System Permit
Permit Number: OSP171267 Effective Date: 9/14/2017
Work Type: SepticTank Upgrade Expiration Date: 9/14/2018
Tax Code Number: 01507305000
Site Legal Address: T12N R3W SEC 15 SE4NE4NE4SE4NE4 PTN G:2437
Site Mailing Address: 9640 BIRCH RD, Anchorage
Owner: MITCHELL BRIAN STRIDER Lot Size in Sq Ft: 13125
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field Er 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
Received By: Date:
Issued By: kdiee6i (� Date: I CI7
MUNICIPALITY OF ANCHOR
Community Development Department o 9k • -79'
Development Services Division F . 907-343- 97
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 9tc—D ? 3 _c "
Property owner(s) /\/7 Day phone
Mailing address 6/4/e-10 Owe(4 1241
Site address 4PoN
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) 7-(2."1(z 31,-; S--t-z r5— 5: /Vl& 9 A{ (
Lot Size 13 12 6— Sq. Ft. Number of Bedrooms 5 £ t-{ iEtf. P rr i
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(Z all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) )a
(w/wo ADU)
Septic Tank [ Upgrade Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy (-1 (SF and/or D)
Private Well LJ
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further c= • ttts in accordance with
applicable Municipal Codes.
SEP 1 2
(Signature of property owner or authorized agent)
Permit/Rush Fees: 43114 Waiver Fees:
Date of Payment: gIj�/j? Date of Payment:
Receipt Number: y Receipt Number:
Permit No. er5P/ jaKp l Waiver No.
Permit App__- :_ c.
Sept. 12, 2017
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: New Septic Tank Permit
Legal: T12N R3W SEC 15 SE4NE4NE4SE4NE4 PTN
To Whom it may concern:
This is a request for a new septic tank permit on the above referenced lot. The tank
needs replacement due to its age.
This new tank replacement will not impact any of the neighboring lot and will meet
all of the local Municipality of Anchorage On-site requirements.
Please call me if you have any questions.
Sincerelyo
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
II.a�A 7
•. 7 wMr0 OOIrQ V .
lu. lAa,• _ 1
7.0.114*TACTQ L4 47
re 1
t
WEST /2.-T•QO'
I h - •'294• y,' 5D
• :" V• • r •
•••-•• ▪ `
r •
3.0.! • ': • ,
o
0 aI �� .EX/1P/NG1. .. •� , o0 1� c.c.j F"a Hoca • B % Q
fh
I
0C D as �4
k ay
kin
tic ��o 1to
o 5 I<
sulrn, 30, 1 (}�
sun
r `w
•of
--') -t s.4.,,4F, •-u„ h.d --o b ,
•
•
SURVEY CERTIFICATION +.'� ,. ylit. + Prepared by
PLOT PLAN . ,•,.•OF , Robert E. Johns, Jr. & Assoc.
▪ « .,O,;, ,:; i.-^tet +•-'\P•'' •j Professlanar Land Surveyors
•.....r Er...Min.w.f w*w w.... r • •�•. * QAZ E 12 AVE.
M w..••M•.....•Y M bowl f q N x J I - • {`` ANCHORAGE. ALASKA 99501
b..�.....•.M••....r a....•w.•w.•.w : Y r411111C701..." ]r
`�'•'~'�`�"� • isSOa1a:• 111 30 i R.C. Lot S.F. Roe. Plot ilia No.
FOUNOATON AS-BUILT /i i�• �.•L+M�
4^Ir M M M •
•......k,
«SW.,I dl .:I
. ..� D 4 4�" F 2004 D"�" °YRE.T a,.ck.a by. :.L�
w.......—rw....w.«•....balm. ..._»R.: - . .JOHNS, JR. I
baba .« �...� V : : Dat. vn;26.2004 L : 2437 «.024123
'.""'"."" • 4121—S . ,.
F)NAL STRUCTURE AS-BIAT *0 ••
I..mo �' �..% S°4“. Ill D..a,-v(lCW” W 125 ' of E 175 ' of S 100 '
...ea..•"""'r— 4.. /4 $),o %°"a�0 o f the N N E; SES- N E:
....,.......•W......�-w.•.Wm= I•a.bnd 4 i
.•«••.w.....w....l..w. R�� *�
»--- tit���� SEC 15, T12N R3W SM
El LCT suT,Rr SURVEY TYPE SYMBOLS
❑ FOLNNk•L I•TION AS-RAT SET RLBAR �. I ASPHALT
❑ r..►t,s...uenle[ •..f.RT DRAINAGE
o PLOT KAN.. . A!-QUILT...LCIT WNW?.:.TOPOOAAPPY o FOUND REBAR ....._.-0,. woo° FENCE .; a A. CONCRETE
ll •`–D'P.•... t•2 Ct)RwtE1 QCT Ii R[t1[RtYXizetikevLT...fop CQLYOtI sr' ��� ASSJMED ELEV. 4.% K- M TAL FENCE [}Lf W': -ptCx
PLOT PLANS & LOT SURVEYS NOTE:
IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND ANO VISIBLE WILL BE
CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES. WELLS. SEPTIC CLEANOUTS• SIDEWAUSS, DRtvEWAYS.
TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO CETERMINC ITC.. ARE SHOWN IN THOR APPROXIMATE LOCATION. ONLY. SNOW
TI-4E EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS 1JAY PREVENT SOME IJPROVEN4ENTS FROu BONG SEEN AND LOCATED.
WT+ICH 00 NOT APPEAR ON THE R •RD • SU:DIVISION PLAT. •I TA . - a: .7.-1 • u . .Tr
UNDER P40 OROJ(STANCES SHOULD AN AS-BOLT BE USED FOR CONSTRVCT)Oir OR FOR ESTABLISHING BOUNDARY OR FENCE UNES,
THE SURVEYOR TAXES RESPONSM!TY FOR THE I1 HAL TRANSACTION ONLY AND ASSUMES FMM•DAL UASIt1TY ONLY FOR THE COST CF THE SURVEY.
US1ED OSTANC£S PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE.
GREK,.R ANCHORAGE AREA BORCvSH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
·
LOCATION ..~ ~. .,,~:'/"/"/'~. _~ /J ~- y
SEPTIC TANK:
FROM WELL/~
INSIDE LENGTH ~ INSIDE WIDTH
MATER,^L
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY /~"~'(JGALLONS.
~ELD:
DISTANCE FROM WELL
NUMBER OF LINES /
ABSORPTION AREA
FOUNDATION ..~g~ /
DISTANCE BETWEEN LINES
DEPTH: TOP OF TILE TO FINISH GRADE
NEAREST LOT 'LINE '_-_-_-_~~ / TOTALoF LINEsLENGTH'a~/' '
TRENCH WIDTH 3~",N. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE 4/' /
~//f DEPTH OF FILTER _~ /
MATERIAL BENEATH TILE ~ti. ABOVE TILE ~' IN.
!
WELL:
BUILDING NEAREST NEAREST
FOUNDATION__, LOT LINE~, SEWER LINE
DEPTH
SEPTIC SEEPAGE~
, TANK , SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED
REMARKS
DISTANCE FROM:
INSTALLED BY:
SEWER LINE DEPTH:
PiPE MATERIAL:
REMARKS..
Form EQ-032
O
DIAGRAM OF SYSTEM
PERHIT NO.
r. lljr-,.I i c i PRL I T'-r' OF .Rr-.I;_---H,_-,F.~RC-~E
DEPRRTMENT.OF HERLTH FII'.,ID ENVIRONHENTFIL F'ROTECTION
2516 E. TUDOR RD., RNCHORRGE, FIK. 99507
276-222t
NELL .FIND' ' ~31"-.i--S I TE SEi-..IER
< 76778 >
F"EF-:r-1 I T
RPPLICRNT HRRVIN RRDER 792~ LFIKE OTIS
LOCRTION BIRCH _.BETWEEN O"HRLLEY &REPOT LOOP
LEGRL Ti2N R~W Si5 N1/2 OF NE1/4 SE~q E'I~ ~OT S~'~E
TYPE OF SOI~¢ RBSO~TION SYSTEM IS: TRENCH
~44-2~42
12500 SQURRE FEET
HRXIMUH /4UHBER OF BEDROOMS = 4
SOIL RRTING <SC! FT,-.'BR;,= 1.~5
THE REQUIRED SIZE OFCTHE SOIL FIBSORPTION SYSTEM IS'
C, EF'TH= .'12 LEI"-.I GTH= . "'~---: 4 6RR"-.-'EL
B, EF'TH=
THE LENGTH DIMENSION~ IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTFINCE BETWEEN :THE SURFRCE OF THE
GROUND RND THE BOTTOH OF THE EXCRVRTION (IN FEET).
THERE IS NO SE'I', WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIHUH DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION <IN FEET>.
F,.:Et.~LI I F,-:ED SEPT I ~_-. TRI"4~-< S I ZE= 2258
Ti--.iO ,-' 2 ;:, I r4SPE,_-_-T I ¢Jl'-.IS RF-:E F-:Et_';!lJ I F-:EE:,
E:RCKFILLING OF RNY SYSTEH !WITHOUT FINRL INSPECTION RND RPPF.:OVRL BY THIS
DEF'FIRTMENT WILL BE, SUBJECT TO PROSECUTION.
/4INIMUM DISTRNCE BETWEEN R WELL AND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
i00 FEET FOR R PRIVRTE NE~L OR 200 FEET FOR R PUBLIC WELL.
WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DFIYS
OF THE WELL COIIPLETION.
SPECIFICRTIONS RND CONSTRUCTION DIRGRRHS FIRE RVRILRBLE TO INSURE PROPER
INSTRLLFITION.
F'ERi'-I I T '-.-"RL I D FOF.' ONE "-r"ERR FF.."F~r-1 I SSIJE
I CERTIFY THRT
· : I RH FRHILIFIR HITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDFINCE WITH THE CODES.
~: I UNDERSTFIND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
ISSUED BYi~_i~R i~~' ¢ DFITE_~//_'.d~)__/2_~__
2204 ~eve~n~ ~n~o:~ge,,/'~s~
Performed
~Le~al ~escrintion: Lot Bl~ck Subdivision
(Th~s form Renorts Soils' Loq. ~ ' ' ~; Percolation Test
~eo~h ~
4
6
8
10
12--
14
16
18.
20,
Was'Ground Water Encountered?~O0
I~ Yes, At what De~th?
' Readinq Date Grnss Time Net Time Denth. to H20 Net Dron
Percolation Rate flinute
Prnnosed Installatign: Seenaoe Pit Drain
Deoth of_.~nlet ~. ~n~h To Bottom Of
~-~,~ ~r' ~ ,~'L~.t~, "'
'('~? ~ 11 / ' .~---~
Test Performed B~(~~y(~,/~O~4~.~Data/Certiried Bk:
Date:
Field
Pit Or lrench
September 23, !977
~76739
Marvin P~der
7040 .Abbott Loop P-mad
Anchorage, Alaska 99502
Subject: Pe_~m. it Expiration
Dear .~-~. Rader:
A permit issued by this department for well ~d/or on-site
sewer installation on ~P R3W Section 15 H½ ~E 1/3 ~.~¼
has expired since the issue, date exceeds one (1) year.
In the event you stall plan to..install the well and/or on-site
sewer system, a new permit.iS required. The original soil
test may be used to obtain a current pez~.,3.it.
if the well hms been drilled, ia well log should be sent to
this department to document ~e Lusta!lation date.
if you have any questions '" '
· regarding the above matter, please
do not hesitate to contact, this Office ir~nediately at 264-4720.
Sincerely,
P~oert C. Pratt, R.S. /
Sanitarian ../