HomeMy WebLinkAboutRACHEL LT 3
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: OSP251189
Work Type: Septic Upgrade
Tax Code Number: 01527317000
Site Legal Address: RACHEL LT 3 G:2635
Site Mailing Address: 11151 CANGE ST, Anchorage
Owner: HULTQUIST HOMES INC
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
6/16/2025
6/16/2026
32435
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Private Well ElWater 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
4
Special Provisions: There is an existing water well on this property. This property recently sold without the
benefit of a COSA. The following actions are required to be completed:
1. well professional to perform flow test, provide results to Department,
2. water to be tested for; bacteria, nitrate and arsenic, provide results to Department ``
3. confirm well has adequate sanitary seal and extends a min 18" above grade
v �-
Received By: Date:
i
Issued By: Date:'
a 0
MUNICIPALITY OF ANCHORAGF
Development Services Department Phone: 907-343-7904
(')n__qifa XA/mfor R. \A/nCfJ=%A1!nfnr _(Zckt-finn
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel 1. D. 0 15-273-17
Property owner(s) Aidan Pepperd Day phone
Mailing address 4453 Birdsong Drive Eagle River, AK 99577
Site address 11195 Cange Street Anchorage, AK
Legal description Rachel Lot 3
Number of Bedrooms 4
Engineering Firm Pannone Engineering Services, LLC
Building Permit Number
Not Applicable Fl
APPLICATION IS FOR: APPLICATION IS AN:
(Z all that apply)
Disposal Field
FE Initial El
Septic Tank
0 Upgrade R.
Holding Tank
❑ Renewal EJ
Privy
❑
Well
D
Water Storage
0
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees:
Date of Payment:
Permit No. ()S () 1) S-) ) 1 �91
May 2025
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
Mailing: P.O.Box 1807, Palmer, AK 99645
Telephone: (907) 745-8200 FAX: (907) 745-8201
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, Alaska
Subject: Rachel Lot 3
Upgrade Septic System Permit Request
This is a design narrative for a permit to install an upgrade septic system on the subject property. The installation
will serve a proposed three (3) bedroom house. The wastewater treatment system has been designed for a total of
four (4) bedrooms to accommodate potential future expansion of the dwelling. This lot and surrounding lots are
served by private wells. Currently there are no wells within 100ft of the proposed installation. The existing structure
has already been demolished. The existing wastewater treatment system will be decommissioned per MOA code.
The existing well will remain in service and will be tested as outlined in the design drawings.
1. Soils: A test hole was performed on this lot by Pannone Engineering Services, LLC on 05/27/2025. Groundwater
and bedrock were not encountered during excavation of the test hole. Groundwater was not observed in the
test hole monitor tube after 7-day. Based on the results of the percolation test and overall soils appearance an
application rate of 1.0 gpd/SF was used for the design of a conventional wastewater treatment system in the
area of the test hole with the use of a two (2) foot thick sand filter.
2. Soil Absorption System Design: See Sheet 1 of the design package.
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field.
4. Topography: See attached site plan for area topography. There are no slopes exceeding 25% within 50ft of the
proposed drain field.
5. Drawing Markings: The Drawings are marked “For MOA Review Only”. When written notification that the
review is complete and no further comments are received from MoA On-Site Department, the note will be removed
and “For Construction” drawings will be issued.
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions, please contact me at (907) 745-8200.
Sincerely,
SRP
Steven R. Pannone, P.E. F. ASCE
Owner/Civil Engineer
11 June 2025
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251189, Curtis Townsend, 06/16/25
0 30 L
133HS
, Nd'30V2IOHONd NVId 311S
89LL9Zd30
SL°zv"g° 1332i1S RDNVO 9616 b :311S
6418 3� � �'�
'ON 11w83d p32J3dd3d Ndoltf 1N311O daS 03N33HO
LL-£LZ-9LO '
ON '0'I'd SZOZ/LZiOL Zn3a y Cl 13HOVf l dOV NMVaO
.09 = „ L SZOZ/9Ll90 Z n3a %{c _ 1}:
,tOB-LOZgNOHdVosszoVE �3a '�yr
9ZDZO/90 �1Od
(8806 '1'371-1 OAS JN3 3NONNVd :S310N 'POomISN00 2103
31Vo sNolsin3a
LU
w a w
/ a c.,Ja. o
Y �x oz o No N3Nz
\ o ma — <I I Fp =WZQ
sU moo J O wa F ddo
\ ZyeN �Z \ W z �Z �WW
a = O I O ZHNj
\ 3 Z �Z a
l �x 3z\ wZ O �p now<
\ F w / N< Z O Iq
O
mw,\ O wj �wOZ
c" Q V
��_ rw330vp� �"!��-.x.a I ...N w 3w \dirm
J LZ� ��o N moo Z = p wd zwa0
i x- <N�o a o \\ pap,,Ww a w r m 00 QGow
ti Cl ,` Q\ _2 /lQOZ"i 7 7 W a a W N }O
/ v JOJJNW s_l may... a �I I LLI ~ w (L0 Z^p<
O Z w I\ I w V1 O U
zsvl%cas OdJ
o Nzzjo / 'n v . 4 \ Y Z �� Q�a<.Ow
,�`, Q O U o0 w O W w 9 0
z~ �>` z a 0 J Z oZ�CL
m
=w 1omo tW- O O < N 003 Z��Oa
J _ J = v�4 uoi�a� I\ t N �= V) � O =a O Z - w
a¢aw I I I Y N Z 4 ~ ~�3 ama~�
Z=Z� \\ a g o a a z=o a z o�¢3
o 0 o wow mo wir��z
ui
o w W ~=aviaQ ow0>>
tr J U) Z X O IZ
m p < <
o I\ \I \ m< a o W oQawZz �z3N
a
l �_ \ w� o�waa wZ�w
/, u oo os a I LLJa o a w z �Zo?Zz ~�vaiz
n O� I I Y O O J m�oOgt7 Q W7 u<
J a �- zz I I cn W z� Oi Lmj cn Q, MU_
\ r m0 Z0-\` I } Y W aUU W. ozzo
nw O a I T 5(,Y oz ZO
U c- 0 Q c� c� 4
^� co Z a w � z>ozrnvex o V,�-'zo
IW �pw \ 1 W a 0 �- H Kapw0~ 5; 0 Zw
, t I I w U U O 3 Cwi Z zZWpw� ��='~Z<
z 33Z a.
Z O O of n 3-2Z=� d 5'`,w
ao / caw- I I t
U O> O O�a WmoZ-�W I z = no. No �ozw�o ZmooW
Z� xw& O Z a 0 r w = w=j `�j,Z d-Uaw
llJ \ Xo ' }mo II 1 > I Z wo a a uj o ONWWEU Nod2z
i3 < WOE _/ N�s 1 a I a O W W W w a Q dL�aozZ - ztLatw>-
a zu _ °0o W J x a cn oWXoD <w v�Z
3Z ozm I I N O r2- m N < O (n W Op_UO mav}ia o r z> > w oo I J a N w z 0 0 u- = r Z,wZcng w a
w a xo ga4w I I < uJ Z p (n J > Z r-J�W<
m < \Z O O W� O ��f-�O� O ==ii
ow d� I I �� m J CL 0 w o 0o W w U W U w p�z�ow Z�''-cn�
I o Wo I I 1 Q w a z U J Q W 3 Z wK Zp' ==a ZwVl
< Q QNrp WW
2 < J / I I I W O m K w w J O 0 0� Z w LLJ 0' Z <VfUm, ZUa OUl ZZ
—y J /- - / - I < < 3 ~ 3 N w w Z O �a�V) ice ul� Zwo� r
Z N N N ZZMOWQW iCL
� <0Ozl
-.c \ 1331S 30NV� \� I o= Ni M w O � cv Ni u o>> `; 6 V)> M w F
v�V)o w Y(n
O
Y
W
Z
V%
to
Q
In
—V) O
O
W U_ <
ZO F- m
J
< x
OAF
W
a0
w cn
p U
01
W \ O
0
J Q w W
�� N W
�-j
\ Z Q
Ewa
S 3
F
D
W
��oo��l,
I- \
W V) Z
LLI
O
Of
�wUWi
F
U)OQ p Z
0v��IL��
W
nWcwn
3~
aw w�
33 z w
ma00
v,3W
o
-z O
Q
rng V7I-
pJ
>
OJT
oo J Wz
Q
O d OOP OO WON
0
W L Q
�0 0U)
U O� V70 wON
x WN
I
(
U) Z< W-jm
Z W Fi�J` O
O
V7 •- O .-
cfl�
�1'} �p
1- �/ N
p •-
�Z
J O U D
0 LLJ �-V
(n 0LjjW Z I=-
WC�
0ZZ
�W
W O� O��'2
U'1 Ol;j� Z0 W�
�NQ
o V)
I
'
�OOZOJa�t OOQ
Q a �<MZ3w~SU
O NW>>O>OQ}a}
//Z�
V
0'NF- �O
c(n� �� 0_it w
0_
OQ
W �O0_O
O(n� ��' %-W
X OQ
g N'
N s
111 W- a WUO�IJiOm�QmJx
Lri
N J
W m Yo Q J
l L N QIF
Z0= _W V1
rz
�+-IQ J Fes-
cnwo\O
(nZ0_-wwzH
wOQwO�> -
�nlu�\O
i
OW�OQwOo
xaWOO.", �x0-
ZI-0_ V)< U)
DIC4 co 3�
0_ ZHQ_ (n< (n�
O N ��
ram.. ...UOW W O��F
PA
N
N
O
N
E
E
N
G
S
V
C
,
L
L
C
(
C
.
I
.
1
0
8
8
)
AC
P
FO
R
C
O
N
S
T
R
U
C
T
I
O
N
RA
C
H
E
L
L
3
CL
I
E
N
T
:
A
I
D
A
N
P
E
P
P
E
R
E
D
SI
T
E
:
1
1
1
9
5
C
A
N
G
E
S
T
R
E
E
T
AN
C
H
O
R
A
G
E
,
A
K
06
/
1
0
/
2
0
2
5
01
5
-
2
7
3
-
1
7
OS
P
2
5
1
1
8
9
SR
P
RE
V
1
:
0
6
/
1
3
/
2
0
2
5
06
/
1
6
/
2
0
2
5
RE
V
2
:
0
6
/
1
6
/
2
0
2
5
FI
E
L
D
S
E
C
T
I
O
N
1"
=
5
'
2
O
F
4
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251189, Curtis Townsend, 06/16/25
PA
N
N
O
N
E
E
N
G
S
V
C
,
L
L
C
(
C
.
I
.
1
0
8
8
)
AC
P
FO
R
C
O
N
S
T
R
U
C
T
I
O
N
RA
C
H
E
L
L
3
CL
I
E
N
T
:
A
I
D
A
N
P
E
P
P
E
R
E
D
SI
T
E
:
1
1
1
9
5
C
A
N
G
E
S
T
R
E
E
T
AN
C
H
O
R
A
G
E
,
A
K
06
/
1
0
/
2
0
2
5
01
5
-
2
7
3
-
1
7
OS
P
2
5
1
1
8
9
SR
P
RE
V
1
:
0
6
/
1
3
/
2
0
2
5
06
/
1
6
/
2
0
2
5
RE
V
2
:
0
6
/
1
6
/
2
0
2
5
SO
I
L
L
O
G
NO
S
C
A
L
E
3
O
F
4
COMMENTS: Test hole excavated by PROPERTY OWNER.
PERFORMED BY: PANNONE ENGINEERING SERVICES, LLC. I CERTIFY THAT THIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN
EFFECT ON THE DATE OF THIS TEST.
·<1.0 (min/inch)
·6"
·6 FT AND 7 FT
SOILS LOG & PERCOLATION TEST
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251189, Curtis Townsend, 06/16/25
PA
N
N
O
N
E
E
N
G
S
V
C
,
L
L
C
(
C
.
I
.
1
0
8
8
)
AC
P
FO
R
C
O
N
S
T
R
U
C
T
I
O
N
RA
C
H
E
L
L
3
CL
I
E
N
T
:
A
I
D
A
N
P
E
P
P
E
R
E
D
SI
T
E
:
1
1
1
9
5
C
A
N
G
E
S
T
R
E
E
T
AN
C
H
O
R
A
G
E
,
A
K
06
/
1
0
/
2
0
2
5
01
5
-
2
7
3
-
1
7
OS
P
2
5
1
1
8
9
SR
P
RE
V
1
:
0
6
/
1
3
/
2
0
2
5
06
/
1
3
/
2
0
2
5
NO
T
E
S
NO
S
C
A
L
E
4
O
F
4
2.2. SCOPE OF WORK: INSTALL SYSTEM IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS.
12 FEET
12 FEET
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251189, Curtis Townsend, 06/16/25
Q,GREA,FR ANCHORAGE AREA BOR~,~JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
~N REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LEGAL DESCR,P
LOCATION ~
SEPTIC TANK:
DISTANCE ·
FROM WELL ~573
,NS,DE LENGT,
MAN UFACTU R E ~~*
d COMPARTMENT5~"~.
MATERIAL _~~__~ NUMBER OF ~
INSIDE WIDTH
LIQUID DEPTH
.LIQUID CAPACITY/S/-) ~ GALLONS.
NUMBER OF PITS __ DIAMETER OR WIDTH LENGTH DEPTH
LINING MATERIAL
BUILDING FOUNDATION ~
~N
CRIB SIZE: DIAMETER~DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE~ ABSORPTION AREA (WALL AREA) SQ. FT.
WELL:
BUILDING
FOUNDATION ,
CONSTRUCTION
~, DEPTH DISTANCE FROM:
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK, SYSTEM .
CESSPOOL
, OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIALr '
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
MUNICIPALITY OF ANCHORAGE_M.I,~N C ............. Z'~,,*~
DEPAR~ENT OF H~LTH & ENVIRONMENTAL PROTECTION DEPT. OF H~ALTH &
~ L ;t~ - A~hom~, A~k. 99501 ~IRO~NTAL P~OT[~ION
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 2~720 NOV 1
OF INDIVIDUAL WATER AND SEWE~~
REQUE~
FOR
APPROVAL
~. Pfl~PERTY OWNER ~ PHONE
MAILING AODRE~
~0PERTY RESIDENT (If different a~) ~ PHONE
~ BUYER PHONE
MAILING ADDRE~
~ LE~DINQ INSTITUTION I PHONE
MAILING ADDRE~
MAILING ADDRE~
STREET LOCATt04
TYPE ~ ~IOENCE
[~ INDIVIDUAL*
I--~ COMMUNITY
I--I PUBLIC UTILITY
SEWAGE DISPOSAL $'~"FEIVl ~ INDIVIDUAL/ON-SITE"
[] PUBLIC UTILITY
NUMBE~ OF BEDROOMS
I-'1 One [] Four [] Other
[] Two J~ Five
[] Three [] Six
* 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.)
**If individual/on-site, give installation date
If system is over two. (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
~10(3178)
-: i THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
r-I SINGLE FAMILY I--I ONE [] THREE [] FIVE I'-] 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
[] INDIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY ~-~ \(~"~. (~
Connection Verified
I'-]Septic~Ta~k or [~] Holding Tank
Size: /3 ~-~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL__ /3
Absorption Area to nearest Lot Line
5. COMMENTS
[~'~P~RoVED FOR _~'"~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY ~q
LEGAtL ~)ESCRIPTION
72-010 (Rev. 3/78)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage~ Alaska 99503 274-4561
Date Received February 18f 1976
Approval requested by:
Mailing Address:
Property Owner:
Mailing Address:
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
COIIV o
Alaska Statebank
310 East Northern Lightg Blvdo Phone: 279:~7637
William & Rachel Smith
Phone:
Star Route A Box 1750f 99507
Legal Description: Lot 3. ,Block 25 Rachel Subdivision
Location: Off of O'Malley Road on Can% Drive
'Type of facility to be inspected Single Family Noo of bedrooms
Well Data:
Individual
Ao Type B. Depth
Co Construction
Do Bacterial Analysis
7o Sewage Disposal System:
Ao Installed
C~ Septic'Tank: l, Size
Do Seepage Pit:
Eo Disposal Field:
8o Distances:
A. Well to: Septic tank
Nearest lot line
B~ Foundation to septic tank
1o Absorption Area
Total length of lines
On-site system°
Bo Installer
2. Manufacturer
2o Material
, Absorption area
, Other contamination
~ Absorption area
, Sewer Lines __
C~ AbSorption area to nearest lot line
E0.~034 (1/74) Paae 1 of two Daqes
DEPARTMENT OF ENVIRONMENTAL QUALITY
· " ~1 ~) 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
~L~( ~)'INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO .VA FFJA CONV ~J"'
2. Property Owner: //~,/Z~-~/~,-~ ~/~_~/~'~
Mailing Address: _J/~W ~ /7~w? ' O~-~'-~"M~ ,Day Phone
/
3. Name of Buyer: ~-~*~ ~' . ,~./~:7 /~. ,
Mailing Address: q~? /~. ~/?~ ~'~ ~d.,J Day Ph0~e
4, Name of Lending Institution: ~-)~-~'~'_ ,~-~
Mailing Address: ~-~J/) ~. ~ _,~-/~- Phone
5. Name of Realtor or Agent:
... Mailing Address: Phone
6. Legal Description:
Location:
7. Type ot Facility to be inspected:
8. Water
'1 ~ ot Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
9. ~;ewage Disposal System
EQ-037 (1/74}
Type of System: Public Utility
If Individual. date'of
'
inaivid'Ual "~'"~
Individual (on-site)
P~ge 2 of two pages - Re, st for Approval of Individual ,~ ~r & Water Facilities
Lega~ Description Lot 3 .15lock 25 Rachel Subdivision
Comments
Approved
Disapproved Date
Approval Valid for one year from date s~ied
Greater Anchorage Area Borough~ Department of Environmental Quality
DIAGRAM OF SYSTEM
i 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
E0-034 (1/74~
Depeztmont ,of[ Health
276-222!
4.1
Anchorage, Alaska 99503
~ub~ou~: Lo~ 3 ~lock 25 Rachel Sub~lvlsion
~earSir=
An Inspection of ~he sub}set ~oper~ev~aled the
1, ~he sMr system lacks a nopLtc tank which is za~ut~ed;
2. ~ e~ot d~c8 o~ ~e so~age aras to ~e'~ll cauls '
' ~t~de~o~nefl as r~r~ sta~pt~ is no~ In Fla~e.
the ~l~ m~t ~ te~ o~e ~e alsta~e f~ the~well, !s
~llsh~ as ad~ua~ a~ a sta~pi~ ins~lle~.
27t-2221, extension 2~3..
~e8 N. ~hbolz
~anitariam
cc: William Smith
Star Route A Bo~ 1750
Anchorage