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NORTH WOODS BLK 3 LT 33
Onsite File North Woods Block 3 Lot 33 #051-731-49 Prior to COSA approval, a test hole shall be completed near existing drainfield to confirm separation to groundwater. In addition, structural integrity of tank under retaining wall shall be confirmed. Municipality of Anchorage Community Development Department Page 1 of 2 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181350 PID Number: 051-731-49 ❑ New ❑✓ Upgrade Name: ERROL & JUDY BICKFORD ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 22709 NORTHWOODS DRIVE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot NORTH WOODS 3 33 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 Ft' Ft. Well N/A N/A N/A I N/A N/A TANK El Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1 1000Ga1. Surface Water 100+ N/A N/A N/A Material Number of compartments Lot Line 46.0 N/A N/A N/A STEEL 2 NA Foundation 10.0 N/A N/A I N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ N/A I N/A N/A I Gal. Remarks Pump on level at in. Pump off level at in, High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank Tank to 3034 drainfield JR'S SEPTIC SERVICES Drainfield CO/MT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 345.Oft Inspection st dates: 1 10/17/18 2"d 12/18/18 Location and description 31d 411, NW BOTTOM HOUSE TRIM COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp �G, 0F s>� Conditional Approval: Date ,� % even annorae CE Approved Date � 46�010 8149 AW ���N, PRO _ 111Jjju itlul 1 rvz-puI t_ I- 1- I L.UUt: i unicipality ®f Anchorage On -Site Water and Wastewater Program if P.O. Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 htfp_/hNwtiv.muni�ora/onsite Review Comments Engineer: PANNONE ENGINEERING SERVICES Legal Description: EPLANS NORTH WOODS BLK 3 LT 33 Parcel ID: 05173149000 Permit: OSP181350 SepticTank Report Type: As Built Review 1/10/2019 Completed By: R.Carroll The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: 1. Septic tank was installed under a retaining wall. Please provide a stamped/signed assessment that this will not impact the structural integrity of the tank. 1,/0 -CI(/C-,-Y21UttV 6 CcloC. 2. A test hole was required at time of construction to verify soil profile and determine groundwater level near the drainfield. Please provide soils log. J `11 P --o13 h5 /�� Cwt 1�134V �T2e,&f�iZtCT�(—, -'trdJ C uJA l!.S©rt%� ion 6`/Q ✓�'- e�p t C_ AD c- A U lL 7:;/; sz�4 C CSR J 0 v 01r-" / \ C�SEPTIC / AREAI!D \ / 8 / I / SEPTIC 32 AREA ( / \ J / - 350 _ TH TO BE CONDUCTED AT TIME OF / TANK INSTALLATION TO VERIFY SOIL I PROFILE AND DETERMINE J GROUNDWATER ----< 1 / REMOVED EXISTING 1000a SEPTIC TANK PER MOA CODE —SEP \ � AREA \ J \ \ 34 �SEPTIC AREA�!D _ w _ w WATER LINE / 35.5 WELL RADIUS — SS — SS — NEW SEPTIC ABBREVIATIONS DC1 TH TEST HOLE (P) PROPOSED (E) EXISTING CO CLEAN OUT NO. FC FOUNDATION CLEANOUT FS FLOW SPLITTER MT MONITOR TUBE NO. TYP TYPICAL INSTALLED 1000g SEPTIC TANK CVWVI DCO AFTER _/ 7-�SF3ER\ D 33 ALL / / / / IJO0 \ DRIVEWAY \ / i SUBDIVISION ON PUBLIC WATER SYSTEM / z� o� o O.G. F. G, > j _ 0345 a a 0 z O C) _ U U A B T1 35.5 22.2 T2 38.0 25.2 DC1 42.1 23.1 DC2 43.0 22.0 1000 g SEPTIC TANK PROFILE SCALE: NTS wo m z a O U O.G. F.G. 341 CONNECTED 10 EXISTING DISCHARGE PIPE NOTES: PANNONE ENG SVC, LLC — Date RECORD DRAWING P.O. BOX 102954 ANCHORAGE, AK 99510�� •• 12/24/18 PHONE (907) 272-8218 FAX (907) 272-8211 .•'•� Scale �• TH •• 1,. = 50' .... .. ..... P.I.D. NO NORTH WOODS B3 L33 051-731-49 DRAWN ACP ERROL &JUDY BICKFORD •t}even 'PannORe' PERMIT N0. CE 8149 22709 NORTHWOODS DRIVE OSP181350 CHUGIAK, AK 99567 •',� Sheet 2 OF 2 / Lot 9 � OF q4 49th tAq 40 IN sO Elizabeth L. Walatko : ,o ,_o ss • • 8036 - LS . • • - A_Fp • . gJ .� SCALE: V= 40' �� �F@ ARoFEss[ot+A+-.`"�� EASEMENTS OF RECORD, OTHER THAN p 1 THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON, UNLESS OTHERWISE NOTED CEA, FB 18-9, pg 48 "o 0 10 AS -BUILT NO CORNERS SFT TNI.-, nATF 00 hereby certify that I have performed a Mortgagee's inspection :)f the following described property: LOT 33, BLOCK 3, NORTH WOODS SUBDIVISION • ---—J, , �ca.0 la.l, nlaJna, allu tllal t11C improvements situated thereon are within the property tines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and [hat there are no roadways, transmission lines or other visible easements on said property except as indicated 9ereon. Dated at Anchorage, Alaska his 18th day of December .2018. FRED WALATKA & ASSOCIATES, L.L.C. 907-248-1666 Engineers and Surveyors N�rAr;\ MUNICIPALITY OF ANCHORAGE _. S On-Site Water&Wastewater Program Arse PO Box 196650 4700 Elmore Road `. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite --WALLA _ I)cpartnlcnt 44.CMO RI:6 On-Site Wastewater Disposal System Permit Permit Number: OSP181350 Effective Date: 10/3/2018 Work Type: SepticTank Upgrade Expiration Date: 10/3/2019 Tax Code Number: 05173149000 Site Legal Address: NORTH WOODS BLK 3 LT 33 G:1459 Site Mailing Address: 22709 NORTHWOODS DR, Chugiak Owner: BICKFORD ERROL G & JUDY A Lot Size in Sq Ft: 22643 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field E Septic Tank ❑ Holding Tank El Privy 0 Private Well 0 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: 4 1O/ (] (,)Vv-to8 /Issued By: fi Date: 14 3 �P ePuims MUNICIPALITY OF ANCHORAGE Community Development Department OL7,;) \46Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-731-49 Property owner(s) ERROL & JUDY BICKFORD Day phone Mailing address 22709 NORTHWOODS DR, CHUGIAK, AK 99567 Site address 22709 NORTHWOODS DR Legal description (Sub'd., Block & Lot) NORTH WOODS B3 L33 Legal description (Township, Range & Section) Lot Size 22,643 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field n Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple 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. • s\ (Signature of property owner or authorized agent) Permit/Rush Fees: a l6 Waiver Fees: Date of Payment: 101.9. l Date of Payment: Receipt Number: 6q06 Receipt Number: Permit No. Qs PaiaSt Waiver No. Permit App_:-: ::..,c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181350, Rebecca Carroll, 10/03/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181350, Rebecca Carroll, 10/03/18 /~"~%~ k._.j 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 NAME · .2Wn~,O ,>L. ] PI~'ON E '~EW LEGAL DESCRIPTION LOCATION '~ ~ell ~ ~ Abso~on ~ea~ Dwelling/c f .~ DISTANCE TO: ~~(.~ /~ . PERMIT NO ~ ~ Manufacturer Materia~~ ~ . Liyas'c~ ~ gall° ns IF HOMEMADE; Inside length Width Liquid depth ~ ~ DISTANCE TO: Well DwelJin~ ~ / A PERMIT NO. 0 z ~ Manufacturer Material Liquid capacity in gallons ~.~ ~ NO. of Ii.es j ~e.gth of each ,in~ Total ~'e~t~ o~ines Tre~h~,width., inches Dista.ce between I.~i~ P ~ ~ Top of tile~¢,~ish~grade / ~riikbbg. ea~/iJ° -- ,f7 Total effeotivo~bsorptiEn are~ Width ~epth f PERMIT NO. ~ ~ Type of crib Crib diameter Crib d Total effective absorption area ~ Well Building fo~dation Nearest lot line ~ DISTANCE TO: '-I ~ Building foundation I Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PiPE MATERIALS SOIL TEST RATING ~7 INSTAULER APPaOV.eD/L' .. ~/ ~' DATE L:GAL 72-01~ v. 3/78} PERMIT NO. EN.I~._NMENTBL '_TEL. TIUN 825 ~,~'STREET, BNCHORRGE, BK. 95, J± 264-4720 ,]~--SITE SF'~4EF~ F'ERbl IT ( 80034E: ) RPPLICRNT LOCRTION LEGRL GEORGE WILMOTH 508 G STREET NORTHWOODS LOT 3g BLK 3 NORTHWOODS SUB LOT SIZE 279-7833 27300 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS SOIL. RRTING (SQ FT?BR)= 210 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [:.EF'TPt= 11 LEIr4FJTH= 45 i.] ~.' F! '-.." E L [:~FPTI'I= .-' THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRRYEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). SEPT T L--: TRI'4F-; S I ZE= tE~F~¢i t]RLLL]f-~:=-; PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE '- .... I '1' ' ' ' IN--.TRLLPI] ILN IN':~F'ECTIONS OF RNY HELLS RD..TRE:ENT TO THIS PR_¢ERTt RND THE : NUMBER OF RESIDENCES THRT THE WELL HILL SERVE. TI4E, (2) I ~4SF"EE:TIE, htS RRE ~:E~]L,I ~:EE) BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL BND RNY ON-SITE SEWRGE DISPOSRL SMSTEM IS t00 FEET FOR B PRIYBTE WELL OR 150 TO 200 FEE]' FROM B PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL. MINIMUM DISTBNCE FROM B PRIVBTE HELL TO R PRIVBTE SEHER LINE IS 25 FEET BND TO B COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MBY BPF'LY. SPECIFICBTIONS BND CONSTRUCTION DIBGRBMS BRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIFY THRT t: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEHERS RND HELLS RS SET FORTH BY THE MUNICIPRLIT¥ OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES. 3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE TNRN ~ BEDROOMS. SIGNED: RPPLICRNT GEORGE HILMOTH ISSUE[:' - ..... ","4. 0 PERM':T NO. ( ) LOCATION TYPE OF SOIL RBSORF'TION _,,~.-,TErd I MRXIMUM NUMBER OF E:EDROOMS = '_~ :325 "I STREET, ANCHORAGE, ~... . ...... .., ..., ¢.~ ' 'k.._~/ PlELL RI'-4C, C;P..I--S I TE SEI-,IEF.: PERf"I I T LOT SIZE~7~ SQUARE FEET SI]IL RATING <SQ FT./BR)=-~/~2~ THE REOUIRED SIZE OF THE SOIL .ABSC~RF'TION SYSTEM IS:'--~ [:,ES'TH= // LEf-4,STH= ~/~ ,3F4FI'..-'EL [:,EPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAtNFIELD. THE DEPTH OF Ft TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS I'.10 SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OLITFALL PIPE AND THE BOTTOM OF THE EXCRVRTION <IN FEET). REQIJ I RED- SEF'T I C TI]f-Il-=:: $ I ZE= t.] R L L C~ l'-J ~. PERMIT RPPLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS nF ANY WELLS RDJRCENT TO THIS FRLFERT¢ RNC, THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. T L-~ C~ (~_~' .-':, I r-.~--c,P E -P- T I 0~4--c, ARE F-: E LT~. LI IRE[) BACKFILLING OP ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS J. 00 FEET FOR A PRIVRTE HELL OR 150 TO 2E~0 FEET FROM R PUBLIC WELL DEPEN[:,ING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET RN[:, TO A COMMUNITY SEWER LINE IS 7'5 FEET. WELL LOGS RRE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]:0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY RPPLY. SPECIFICRTIONS RND C:ONSTRUCTION DIAGRAMS RRE RVRILRBLE TO INSURE PROPER INSTALLATION. PERt4 I T E,~:P I F-:ES B, ECEPlE:ER 3-1., -1'_~-:B0 I CERTIFY THRT l: I BM FRMILIRR WITH THE REQUIREMENTS FOR 'ON-SITE SEWERS RND WELLS RS SET FORTH B',r' THE MUNICIPALITY OF RNCHORF~GE. 2: I WILL INSTALL THE ~YSTEM IN ACCORDANCE WITH THE CODES. 3: t UNDERSTAND THAT ,THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS~EMO[:~ ~TOr" r, INCLUDE MORE THRN ~ E:EDROOM~. S I GNED: .... +~_ ___1~ ......... RPF'L I C:RN~ .' ~ LEGAL DESCRIPTION: /'u.,~f -~-'"~ SOILS LOG PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED;) Jokela NO. $ 995..E 20 IF YES, AT WHAT DEPTH;) SLOPE SITE PLAN Gross Net Depth to Net Reading Date Time Time , Water Drop PERCOLATION RATE ~' ~::) (minutes/inch) TEST RUN BETWEEN ~ FT AND FT COMMENTS PERFORMED BY: CERTIFIED BY:~.~--- 72-008 (7/76) "' ~' DATE RECEIVED · INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGEF DEPT. OF H~;tLTi-I & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~NVIRONMENTAL F';:c TECTION 825 L Street - Anchorage, Alaska 99501 1 /980 ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing, I, PROPERTYOWNER ~ PHONE MAILING ADDRESS ~ PROPERTY RESIDENT (If different from above) ' I PHONE 2. BUYER PHONE MAI LING ADDRESS 3, LENDING INS~TUTION~ ' ~ PHONE 4. REALTOR/AGENT ] PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,.BEDROOMS [] One [] Four [] Other [IZ] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE~SPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [~ PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-O10 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY ~ ONE ~] THREE [] FIVE [~ OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified iNSTALLER []Septic Tank or []Holding Tank Size:. If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS C ' ; ROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~] DISAPPROVED 72-010 (Rev. 6/79)