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Home My WebLink AboutPRATOR BLK 8 LT 4 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241330 Work Type: SepticTank Upgrade Tax Code Number: 01709131000 Site Legal Address: PRATOR BLK 8 LT 4 G:3039 Site Mailing Address: 6700 FERNHILL AVE, Anchorage Owner: TIBBITTS THERESA L REV TRUST Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ttt,�nr r, O par till cIIt 10/18/2024 10/18/2025 43413 ❑ Disposal Field 0 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: � j =Urti t_ Date: Issued By: Date: i �� 3 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 Parcel I.D. 017-091-31 Property owner(s) Theresa L Tibbitts Trust Mailing address 6700 Fernhill Ave, Anchorage, AK 99516 Site address 6700 Fernhill Ave Day phone (907) 727-4712 Legal description (Sub'd., Block & Lot) Prator Subdivision - Block 8 Lot 4 Legal description (Township, Range & Section) Lot Size 43,413 Sq. Ft. Number of Bedrooms 3 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) 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 2 2 Date of Payment: Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_:•: ,_.,:c: September 30, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Prator Block 8 Lot 4 - 6700 Fernhill Ave Septic Tank Replacement Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, so we are submitting this permit application for its replacement. The attached site plan identifies the location of the home as well as the wells and septic location. No conflicts exist between this proposed system and any other wells or septic system, whether on this lot or adjacent lots. We are replacing the septic tank with the same size designed for 3 bedrooms. The new septic tank will be a minimum of 100’ from all we lls and surface water. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241330, Curtis Townsend, 10/18/24 CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FD - FLOW DIVERTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND 1"=50' PRATOR, BLOCK 8 LOT 4 FEET 0 50 100Benjamin Schiller CE 12592REGISTEREDPROFESSIONA L E N GINEER 9/30/24 SEPTIC PLAN FERNHILL AVE 3-BDRM HOME PR A T O R S T R E E T FE R N H I L L C I R C L E DECOMMISSION 1000- GAL SEPTIC TANK PER UPC APPROX LOCATION OF EXISTING 29' TRENCH TO REMAIN IN SERVICE FIND AND REPAIR CLEANOUT AT START OF TRENCH PROVIDE NEW MT THAT EXTENDS TO BOTTOM OF TRENCH NEW 1000- GAL SEPTIC TANK CONFIRM 100' SEPARATION TO WELL BY SURVEY NEW 2CO FIND AND REPAIR FCO OR PROVIDE 2CO UPSTREAM OF TANK EXISTING WELL WELL LOCATION UNKNOWN. INVESTIGATE AND CONFIRM 100' SEPARATION AT CONSTRUCTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241330, Curtis Townsend, 10/18/24 FERNHILL AVE. PR A T O R S T R E E T FE R N H I L L C I R C L E .IN* STREET ANCHORA*E A. PKRQH FD[ Mark A. Aimonetti No. 13022 - S R E GISTEREDPROFESSION A L L A N D S U RVEYOR oGREi R ANCHORAGE AREA BOI iIGH Department of Environmental Qualily 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ~'~,~/~ ~'~'£~ ~L/~z///~//)~~ -~1~ LEGAL DESCRIPTION .,~,rJ 7- ,~ ~'/~.;- ~ SEPTIC TANK: DISTANCE FROM WELL/~-//? MANUFACTURER ¢~'/hv~,~'~'~ INSIDE LENGTH '-- INSIDE WIDTH COMPARTMENTS LIQUID DEPTH ' -- LIQUID CAPACITY/L'~?GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL/~7'~/}' FOUNDATION '-/~ 37z" NUMBER OF LINES / DISTANCE BETWEEN LINES TOTAL LENGTH NEAREST LOT LINE l~*J f'-/'- OF LINES ~'~ TRENCH WIDTH,-~-~ IN. TOTAL EFFECTIVE ABSORPTION AREA '~/L/OC SQ, FT. LENGTH OF EACH LINE .~9 / DEPTH: TOP OF TILE TO FINISH GRADE /-~ ? DEPTH OF FILTER 96 MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: TYPE CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE __, SEWER LINE TANK__, SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS. DISTANCE FROM: DISTANCES: INSTALLED BY: ,-''T~'/'V /~£~Lf~ L~:~, SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 DIAGRAM OF SYSTEM KO4u -; G.A.A.Bj GRE;L ,,Z.R ANCHORAGE; AREA BO! ,JGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO.. INSTALLATION OF~ SEPTIC TANK SEEPAGE PIT T~PE AND B,~E OF FAC'L,T~ TO "E SERVED ~' /b~'~""~~' , DRAIN FIELD BO,L TEST RE,ULT~ / ~ / NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF AI~Y SYSTEM WITHOUT FINAL INSPECTION BY THE DEPART~v~ENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. S EFT,CT^NK''~E l~ ~,,¢/ .~FE ~"/ SEEPAGE ~REA s,~E MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~'~ f FOUNDATION TO SEEPAGE PIT ~ ~'1 /~ SEPTIC TANK TO SEEPAGE PIT WALl J~l~/ DRAIN FIELD ~'~ ~'"~ / WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, SEEPA~GE PIT TO RIVER, LAKE· STREAM. DRAIN FIELD · DRAIN FIELD ~ ~J SEEPAGE piT f ~'-'~ ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIEL~ CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. DIAGRAM OF SYSTEM 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, /- ~ G";~'"'~ /~~~S~'~ . GREATER ANCHORAGE AREA BOROUF' ~(~NN~)~)~' '~..,,/Department of Environmental Qu~_~ty ~ 3330 "C" Street Anchorage, Alaska 99503 ~, SOILS LOG - PEROLATION TEST Performed for /~]oc~e_ f!~~ Legal Description:_/o7~¢ '~i~ ~T~c~Y~- ~-~k~ This form reports: Soils log ~c Depth Feet 4 - 10- ll 12 - 14 - \, Was 9round water encountered? Date Performed Percolation test ' Ii' If yes, at what depth? Reading Date Gross Time Net Time Depth to Water Net Drop Percolation rate minute. · Proposed installation: Seepage Pit Drain Field i)epth of Inlet Depth to bottom of pit or trench COI.IMENTS: / EQ-040 (6/74) Date: WELL OWNER LOCAT~0N [, WATER WELL LOG FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 USE OF WELL FEET OF DRAWDOWN. FT · REMARKS DAT OOMPL m PUMP TO BE SET AT ,to to ,to _.__~ 0 ,to ,, , tO__ MUNICIPALITY 0f ANCHORAGE DEPARTMENT OF HEALTH &..HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 ~'~,2- (, Z, (,, 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. HAA# ~ t~cl % ~,~ GEN iRAL INFORMATION Com :fete legal description Loc~ion (site address or directions) Prop?try owner Mailing address Lend!:~g agency Maili,,g address. Day phone Unle:'$ otherwise requested, HAA will be held for pickup. Day phone 2. Nur~L;ER OF BEDROOMS: 3. TYP[{~ OF WATER SUPPLY: Individual well Community well Public water Day phone NOT~: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPr-~ OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank community on-site Public sewer If community wastewater system~ provide writte~ confirmation from State ADEC attesting to the legality and status of system. 72-O25 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER - . . As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm r, ~.6~ ~------~pu~-~'--~L~-~ '-~-~-- Phone ~-~ /~ Address ~ ~ l~ ~ ~ ~ I ~/~ EngineeEs signature ~~ Date DHHS SIGNATURE Approved for -~'/~f'~:~'~'~/,/} bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional eqgineer registered in the State of Alaska. The DHHS does this as a courtesyto purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible fo, errors or omissions in the professional engineer's work. Municipality of Anchorage //~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Log present (WN) Total depth ~ ~ Cased to Sanitary seal (Y/N) '~/ FROM WELL LOG Date of test C~,.~ ~ 7 ~ Static water level I ~ ~ If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~ / '~ ¢ ? cP '~' Driller Ii ~' Casing height Wires properly protected (Y/N) AT INSPECTION ~ g.p.m. ..~ g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ~ C~ ~ Absorption field on lot ~ ~ ¢--~ ~ Public sewer main ~'%~ ¢~ t~ ~--- Sewer service line ~,~ /~ WATER SAMPLE RESULTS: Coliform ~ Date of sample: '['l'~l ~ Nitrate ~ ~ Other bacteria Collected by: T~ ~ ¢. B. SEPTIC/HOLDING TANK DATA Date installed ¢/~/'7 ~'~ Tank size J ¢)¢ ~ Compartments J Cleanouts (Y/N) ~ Foundation cleanout (Y/N) ~ Depression (Y/N) High water alarm (Y/N) [~//¢~. Alarm tested (Y/N) ~-¢~ Date of pumping I'~-, ~ -. ~ ~ Pumper I.~o.z~,~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~ ~ ~ On adjacent lots ~ t ¢-~%h-'~ Foundation To property line '), ~ ~ Absorption field ~ Water main/service line Surface water/drainage ~%~ 0 t~*~ ~ CONTINUED ON BACK PAGE 72-026 (3/93)* Front C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) "Pump on" level at "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ,&. ,:~ Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Width ¢ t ~(<¢~;/ Cleanout present (Y/N) Depression over field (Y/N) ,~ ;' '*': "," .:? Results (pass/fail) for After test ~ .If yes, give date Soil rating (GPD/Ft2) /,~/~') Gravel thickness · ? ,,,,~.,, Total depth Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ? //f~ On adjacent lots / ~-:~'¢~) Property line To building foundation On adjacent lots "~ .¢:~ Surface water ,"~'~' i . .:' ~, Driveway, parking/vehicle storage area ,- .. Curtain drain ~"-.I E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA gu/defines in ef~¢.o(~/~ th¢ d~t~ 'd~.tblis inspection. Engineer's Name ~, ~-~ fcic/ ~ u ¢ ~..~_~t.x~ ~'~ ~-~ Date HAA Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number , ~J'~ D~A:~ R EC ElM E D INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSPECTO/~ INSPECTOR INSPECTOR ~/ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE ENVIRONM£i,,~YAL P~OTZCTtON DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street- A.c~or~ge, Alaske 9~50~ N 0 V P, ? lg?g ENV,RONMEN ALSAN,TAT,ON O,V,S'ON RI CEIYED Telephone 264-4?20 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. HONE 1, PROPERTY OWNER MAILING ADDRESS ~ROPERTY RESIDENT (If different from above) PHONE PHONE 2. BUYER ~"'~.~ ~'~'4~ ~ MA~UNG ADDRESS 3. LENDING INSTITUTION J PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STR E ET LOCATION TYPE OF RESIDENCE NUMBER OF~BEDROOMS E~] One [~] Four ~SINGLE FAMILY J~Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other~ 7. WATER SUPPLY [~-~-INDIVI DUAL* [] COMMUNITY [] PUBLIC UTI LITY *ATTACH WELL LOG. Awell Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM J~'~'~ DI V I DUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FiVE [] TWO [] FOUR f-~] 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: f'(.~OO If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSQRPTION AREA 4, DISTANCES WELL TO: Absorption Area to nearest Lot Line MATERIAL Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line 5, COMMENTS Per radio communication 11-29-79: Conditional aDproval if monies are escrowed for the adequacy test, pumping of the tank. Monies escrowed for the upgrade of the sewer system in 'the event the adequacy test fails. RCP/ljw DATE November 29, I~'~PPROVEDFOR ~ BEDROOMS :~[~× CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 1979 /~ 72-010 (Rev. 6/79) December 4, 1979 Dahl Realty 2700 Tudor Road Anchorage, Alaska 99507 Attention: Bruce Griggs Re: Adequacy Test on Existing Sanitary Sewer System; Lot 4, Block 8, Prator Subdivision, Anchorage, Alaska Dear Mr. Griggs: Per your request of November 26, 1979, we conducted a test of the sanitary sewer system on the above described property. During this test the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: Liquid Level Above Tank Total Gallons Time Bottom Added 9:15 4.15'* - 9:20 4.0' 25 9:32 4.0' 50 9:45 4.0' 100 9:58 4.0 150 *Initial high reading may have been caused by solids partially obstructing outlet. The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&MConsultants, Inc. If the 2 bedroom residence on the property is to house 4 people, the average load on the system can be expected to be 300 gallons per day or 0.21 gallons per minute. During the test, the system accepted 150 gallons in 43 minutes. This indicates an average effluent acceptance rate of approximately 3.5 gallons per minute at the time of the test. Because the house on the lot is occupied, we assume that the leach field was at its normal degree of saturation. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 2 bedroom resi- dence. December 4, 1979 Dahl Realty Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS~/~NC. Rich Giesse~ Staff Engin~4~ RG/GS/dj/AT&SI-G GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "c" Street, Anchorage, Alaska 99503 274-4561 Date Received 1. Approval requested by: Mailing Address: Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Phone: 2. Property Owner: Phone: Mailing Address: ~/~ o Legal Description: 4. Location: 5. Type of facility to be inspected 6. Well Data: A. Type D.~~, C. Construction ~_~;~~ Sewage Disposal System: /~~ A. Installed C. Septic Tank: D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line No. of bedrooms B. Depth /~_~ ! D. Bacterial Analysis B. Installer 1. Size 2. Manufacturer , Absorption area , Other contamination ', Absorption area 2. Material , Sewer Lines , EQ-034 (1/74) Page 1 of two pages page 2 ~f two pages - Re,' it for Approval of Individual F ~.r & Water Facilities Legal Description~ /~ 1-- ". Comments Approve~ _~_~~ Disapproved Date //~- Apprd~ Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. siGNED Date EQ-034 (1/74)