HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 2 LT 27
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
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP231312
Work Type: Septic Upgrade
Tax Code Number: 01509118000
Site Legal Address: PROSPECT HEIGHTS #1 BLK 2 LT 27 G:2441
Site Mailing Address: 9801 SLALOM DR, Anchorage
Owner: TULLBERG LINA
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
9/13/2023
9/12/2024
124146
❑ 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: I S Svtr�
Issued By:
Date:
Date:
l:l
UH CJPA�Lo 7 Y of H C H 0 „G
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
4,
ON-SITE SEPTIC/WELL PERMIT APPLICATION �l
Parcel I.D. 015-091-18
Property owner(s) TULLBERG
Mailing address 9801 SLALOM DR
Site address SAME
Day phone
Legal description (Sub'd., Block & Lot) PROSPECT HEIGHTS #1
Legal description (Township, Range & Section)
Lot Size 124146 Sq. Ft. Number of Bedrooms 4
BILK 2 LT 27
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
0
Initial ❑
Single Family (SF) 0
(w/wo ADU)
Septic Tank
0
Upgrade
Duplex (D) ElHolding
Tank
ElRenewal
F1Multiple
Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION
INCLUDES
A 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: 9s-, 2— Waiver Fees:
Date of Payment: J 113 / ZO2 3 Date of Payment:
Receipt Number: 5 3'L Receipt Number:
Permit No. CSS!' � 31 ( 3( 7- Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Sept. 11, 2023
Municipality of Anchorage
Development Services Dept.
On-Site Water & Wastewater Section
Anchorage, Alaska 99519
Phone 343-7904
Re: Septic permit
Legal: PROSPECT HEIGHTS #1 BLK 2 LT 27
To Whom it may concern:
This is a request for a septic permit on the above referenced lot. A single test hole
was completed which showed SP/GP soils for the entire 19-foot depth, with no water
during the excavation or after the 7-dayh monitoring period. The old tank is inside
the well radius and will be decommissioned with the old log crib. A simple gravity
flow deep trench system has been designed, see the site plan. The slope at the leach
field area is between 5 and 10 percent with no cut banks or open water within 100
feet of the site.
This new septic design will not impact any of the surrounding properties.
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231312, Curtis Townsend, 09/13/23
SEPTIC FIELD SECTION
DESIGN CRITERIA:
7' EFFECTIVE
4 BDRM X 150 = 600 GPD
SOILS = 600/1.2 = 500 GPD
500 GA/14 = 36
2.0' WIDE
36' LONG
(1) TRENCH
11' DEEP
1.
0
'
2.0'
-11
-4.0
MOUND OVER
FILTER FABRIC
SEWER ROCK
3,3(
GRADE
1"=200'
PROPERTY LINE
PROPOSED
DRAINAGE FIELD
EXISTING HOUSE
EXISTING WELL
100' RADIUS
SCALE:
DJRDRAWN:
DATE:
PROSPECT HEIGHTS #1 BLK 2 LT 27
Anchorage, Alaska
LINA TULLBERG
9/9/2023
19
(TH#1)
1.0
SP/GP
ORG
WELL
WELL
WELL
WELL
WELL
WELL
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231312, Curtis Townsend, 09/13/23
GARD
EN
LO
T
2
6
B
L
K
2
1"=50'
EXISTING
HOUSE
EXISTING WELL
100' RADIUS
DRIVE
W
A
Y
WELL
SCALE:
DJRDRAWN:
DATE:
PROSPECT HEIGHTS #1 BLK 2 LT 27
Anchorage, Alaska
LINA TULLBERG
9/9/2023
PROPOSED NEW 1,250
GALLON PLASTIC
SEPTIC TANK
CO
CO
OLD SYSTEM TO BE
DECOM. PER THE
UPC
1
0
%
TH#1
DCO
CO
CO
MT
1
0
%
EXISTING WELL
100' RADIUS
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231312, Curtis Townsend, 09/13/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231312, Curtis Townsend, 09/13/23
r
j LOT 26
i SLK 2
)�-� 1 '' --- 6 0'
ANCHORAGE RECORDING DISTRICT, ALASKA
AS -BUILT OF:
PROSPECT HEIGHTS NO.1
LUT 27 BLOCK 2 PLAT 67-23
SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance shout
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER: DALE: SCALE.E-MAIL
APR 8, 2022 1 "-60' schuller*ak.net
23-019 DRAWN BY: CHECKED BY (SID NUMBER: 8cOc AGE
JLS SW2441 230126
* = FND 5/8 " REBAR
.A AN 0 F t� p SUR
?+ t. L A r�T D1'
..:� 1 o a
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/ � • �. �L
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4 9 'k
...
..., ..... �� zr
r. .:...i ................... ....�
•.JOHN L. SCHULLER.-
`� LS --10488 �
� a �/ • �.,.t - ...►sem'"'
1831 Talkeetna Street
C11V ' fo.' Z- • ' d�;�"'� Anchorage, Alaska 99508
fe c �' `' (907) 227--1455 office
`�� s s i o���a. (907) 274-4992 fax
GREA iR ANCHORAGE AREA BOR~. ~GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
/
SEPTIC TANK:
DISTANCE
FROM WELL MANUFACTURER
INSIDE LENGTH
INSIDE WIDTH
NUMBER OF
MATERIAL ~..-~/~ ~-'/-- COMPARTMENTs
LIQUID DEPTH __LIQUID CAPACITY ! ?-~(~ GALLONS.
SEEPAGE Pit: /b' '~2_,//
NUMBER OF PITS / DIAMETER OR WIDTH , LENGTH / , DEPTH
LINING MATERIAL CRIB SIZE: DIAMETE EPTH g DISTANCE FROM:
BU,LD,NG EOUND^T,ON ~¢?, NEAREST LOT L,NE f ~' TOTAL EEFECT,VE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPe
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
DEPTH
NEAREST SEPTIC
SEWER LINE TANK
DISTANCE FROM:
SEEPAGE
SYSTEM
REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
, .i ~s /~
' ~/' ~ ' G.A.A.~
GreaTer ANCHORAge AREa BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C' STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANT
/
INSTALLATION LOCATION
MAILINg ADDRESS
PHONE
INSTALLATION Of: SEPTIC TANK ~ SEEPAGE PIT ~/"'~RaIN, FIELD
OTHER
NOTE: THIS PEF~MIT iS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOT'CE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL be SUBJECT TO PROSECUTION.
TYPE
MINIMUM DISTANCES, REQUIREMENTB
FOUNDATION tO SEPTIC TANK
FOUNDATION TO SEEPAGE P/T ~0
SEPTIC tANK TO SEEPAGE Pit WALL /~'- 2
SEPTIC TANK ~/ , SEEPAGE Pit
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK ~'~
DRAIN FIELD /~ /
WATer Main TO septic taNK /~ / D~AFN F~ELD /~ /
SEPTIC TANK, ~ ) , SEEPAGE PIT TO R~VER. LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CR[B 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.
SEEPAGE Pit /6~/--~ ~'
SEePAgE P,T /0 '
//-')~ '/ _, ORa~N PiELDc'~'~ /
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DESIGNER
DIAGRAM OF SYBTEM
r
I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT~THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAIO CODE. ~ '
APP"CANT'S S'GNAT E ,: &f) E
' MUNICIPALITY OF ANCHORAGE ....... '
DEPARTMENT OF HEALTH & HUMAN sERvicES
Division Of Environmental Services ~- -
. .- On-Site services Section "~ - ' . .....
P.O. Box 196650 Anchorage. Alaska 99519-6650
....... _ .._ 343~4744 ...... ., ....
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # 015--0(// -/ (~- :-' ':'~ .... ' '
1. GENERAL INFoRMATIoN : -:': .... '
Complete legal description -, ~ o I ~ [ ,
Location (s!te address or directions)
- · -.Lending agency Day phone
· -;~.,.--TYPE OF~'WA;TER suPl~LY: - -'---'7"-::~ ..... ._: -..~:._.. ,: ...... .'._ ..'.-_ .:..-} :.. :- _
Individual well v
~ -'. - ...... Community well ~
- ~ublicwater :'~:---.i..:: ~- ' ' ' - - - . ..... " ' '
g o he)egality d tatuS Of-system. :-:: --- .... /-i-: ..... .
in t t an s ~;.Ij/i,..-...-_-.:.--
4. TYpE OF WASTEWATER D,sPOSAL: : ' :- -'? '": "~
, . _' : . ..., ..., . . -..~
V
Individual on-site ;'-. - . --_:-':_ ..... , ~. , , - '- -'
.-.:: :.77.-::. : .-.. _ .: ' -. ..... ::-- -: ." :.-...': .':-' .- .,..- ..... .:~,..,.. -...?,.'~;--.*~ .- ~---:.' i ~-'~; ' --! '%- - ~ '";' :: '-
': '~"' .... :' ~ mm mty ~'o:-: u:'='o ~,~e -Un::'::::~;'~'~: '*;~; ':";~;=::: :' '":' ';'::'~ :'::':: "~'"" :' ': ':": "''-~- "
:-' " : - · " - ;: -:-.--:-L.. _,Z:.~:~.':F;;.--::'.._.
.......... .: ..- ._..-....: . .:..:: :-.?.:%::-- :-~:::.._:.: ::..::-,: --_ .%._,.:. -: :
' --' .' * : - ' . .- -'. 'E--.'. ,;','-.:?:~r..?E:_.__;~.~.~3':.%~_';?.¢.<~L.¢~g:3-~'f~i:'-. :'.:~:~;~,_';'-.? . -: ' ' -:_,-.'?~-.~.\'-=-;.~-3;L'L
NOTE: If community wastewater system, pro*vide written confirmation from' State ADEC
attesting to the legality and status of system.
72-025(Rev. 1/91) Front MOA#21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. Well Data
Well type ~.
Log present (Y/N)
ParcelI.D. ~ t g"'~ O Cf l - l ~'
If A, B, or C, attach ADEC letter. ADEC water system number
y Date completed "7'~'~/'7 ~'~ Driller
Total depth ~ L/~.~ Cased to
Sanitary seal (Y/N) I~ROTM
WELL
LOG
Date of test
Static water level ~-~
Well flow
Pump level1
~ _~ Casing height
Wires properly protected (Y/N)
/,,2. if
AT INSPECTION
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
It 7
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform /,//_/ Nitrate
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed
Cleanouts (Y/N)
High water alarm (Y/KI)
Date of pumping
/~ ,L//y Other bacteria
Collected by: ~ -~'~
Tank size //~'~- ~- (~) Compartments
Foundation cleanout (Y/N) ~./ Depression (Y/N)
/
I"~//-~ Alarm tested (Y/N) i~//"/~L
~'///;;~.~ /q ~" Pumper /~ '~
/,,.!
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ? 7 On adjacent lots
To property line '~ .~'~O Absorption field
Surface water/drainage ~lk,./0/4. ~-
Foundation ¢'?/~
Water main/service line ,,~ ~'-~)
72-026 (3/93)* Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" Level at
.Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Date installed ~'///7 ~
Length t~
Total absorption area
Date of adequacy test
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Soil rating (GPD/FF) c4~ -~
Width / c~ Gravel thickness b
'~/~,.~) Cleanout present (Y/N) y
Y//~//~',~ Results (pass/fail) '~ for
After test
If yes, give date
System type /-4 ~-~ C/~v'', ~
Total depth ~4~'~ ~
Depression over field (Y/N) /~' I
~ ~/'~,~ Bed~oms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot /(7 On adjacent lots
To building foundation
On adjacent lots ~
Sudace water ~
Curtain drain J'~
~)."~//./_~ Property line
To existing or abandoned system on lot
Cutbank /~,0 b'/~ Water main/service line .~ ,,,~r--
Driveway, parking/vehicle storage area / ~
E. ENGINEER'S CERTIFICATION
I certify that. I have checked, verified, or conformed to all MOA and HAA guidelines in effect on~.the date of this inspection.
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
5. STATEMENT~ OF INSPECTION BY ENGINEER
As certified b~my-seal affixed hereto and as of the validation-date shown b~l'ow, I Verify that my
investigation of this Health Authority Approval application shows that thb 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 verifythat 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.
' Nameof'F~i~" / ~'~'>/ ~p~/~'Jx'~]_(~,t,~'~'
- "'-'- Addre~ '-- ~0 ~'.'~-~ /~ ~ ~ .- ",-'-. .... :.',-7..h--. . -
' ' '='--'=En-gi~ ~igna~e ' - Date
.: --A;:.:.: ... " - · - .....
- (;~-~:-'~'-: 6:~ '-DHHS SIGNATURE--
Additional Comments
· :':' :' C°~duct~inSPectiOhs ~r'analYZe'd~tabefore :a certifiCate is iSSued';.The Municipaiity~ofAn~o~g~:is'not t::'.
responsible for errors or omissions in the professional engineer's Work.
72-025(Rev. 1/91) Back MOAI~21
JV~-W DRILLING, Inc.
P. O. Box 4-1728 · 2811 Dawson
A C 907-279-1741
ANCHORAGE, ALASKA 99509
DRILLING LOG
Well Owner Robert Norris Use of WeJ1
Location (address of: Township, Range, Section, if known; or distance main road L27, Blk 2, Prospect Hts. Sub.
Dom
Size of casing 6 Depth of Hole
Static water level. 50 ft. (~
Screen ( ); Perforated (
Describe screen or perforation
Well pumping test at 1 gallons per (1~~)
of drawdown from static level.
5/40 feet Cased to 55 feet
(below) land surface. Finish of well (check one) open end ( X
).
~/A
(minute) for 1~ hours with 100%
Date of completion 15 July 75
WELL LOG
Depth in feet from
ground surface Give details of formations peneirated, size of material, color and hardness
0 TO 4 Surface Organics
4 TO. 10
10 TO 25
__3_5_TO 75
75 TO.
28~rO 54o "
.TO.
TO
TO
TO
TO
.TO
TO
);
ft.
Cobble Gravel
Boulder Gravel
Silty Gravel: small
Weathered Bedrock
Bedrock~ greenstone
brown, siltstone, clayey
dark brow~ carbonzeeus~ ~mall water ~n fractures
Wayn~e E. Westbe~g/
RECEIVED
APR 2 5 1995
Munimpality o~ Anchorage
Oept. Healm a Human Services
1 -- CUSTOMER