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Home My WebLink AboutDELUCIA LT 46A MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program �� Is, PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 d n http://www.muni.org/onsite r l�elvirtment On -Site Wastewater Disposal System Permit Permit Number: OSP241063 Effective Date: 5/1/2024 Work Type: SepticTank Upgrade Expiration Date: 5/1/2025 Tax Code Number: 05114103000 Site Legal Address: DELUCIA LT 46A G:1259 Site Mailing Address: 22808 NEEDELS LOOP, Chugiak Owner: COLD CREEK ASSETS LLC Lot Size in Sq Ft: 20908 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 2 This permit is for the construction of: ❑ Disposal Field Q 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 Reeeive 6: :!- 5 5 ct e Issued By: Date: Date: 5��. M UHM AUTY OF A HCHO I „CSE Community Development DepartmentPhone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-141-03 Property owner(s) Cold Creek Assets, LLC. Day phone Mailing address Site address 22808 Needels Loop Chugiak, AK 99567 Legal description (Sub'd., Block & Lot) Delucia Lot 46A Legal description (Township, Range & Section) Lot Size 20,908 Sq. Ft. Number of Bedrooms 2 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 El (D) Holding Tank ElRenewal F-1Duplex 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. 1�7:)XP4 (Signature of property owner or authorized agent) Permit/Rush Fees: Z Z �— Waiver Fees: Date of Payment: y� 2 `/�29 2 T Date of Payment: Receipt Number: I I Receipt Number: Permit No. OS r2- Y/ b G3 Waiver No. Permit App_'-'- : .,:c: 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: Delucia Lot 46A Septic System Upgrade Permit Request This is a design narrative for a permit to install a 1000-gallon septic tank to replace an existing 1000-gallon septic tank to be issued for this property. The existing tank is 36 years old and is likely perforated and leaking, it will be decommissioned or removed per code. Currently this lot has no development. The proposed replacement will serve a proposed two-bedroom (2) house and be connected to the existing drain field. This lot and the surrounding lots are served by private wells. There are currently no wells within 100’ of this upgrade. 1. Upgrade Tank Design. A foundation clean out installed or replaced. The tank will be located: 5’+ from any property line. 5’+ from any deck/stair support. 10’+ from building foundation. 10’+ from any water line. 100’+ from any surface water. 100’+ from any private wells. 200’+ from any public wells. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer 19 April 2024 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241063, Deb Wockenfuss, 05/01/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241063, Deb Wockenfuss, 05/01/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) 2.2. SCOPE OF WORK:INSTALL SYSTEM IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS. 14 FEET 14 FEET Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241063, Deb Wockenfuss, 05/01/24 MUNICIPALITY OF ANCHORAGE DEPART.E.T OF .EA'T. A.D "U"^. SE.V,CES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name A~ / ~O SEPTIC ABSORPTION ~ TANK FIELD WELL () ~Permit No INo o~ B~oo~s WELL LEGAL DESCRIPTION LOT LINE Lot. l B,ock ~Sub~ ~A I / ~ FOUNDATION ~Townsh*p, Ran9e, Section T~NKS N ~EPTIC ~ HOLDING ~- ~l TYPE OF SYSTEM TRENCH ~ BED ~ W. DRAIN ~ OTHER Deplh to pipe bottom from ~otal depth from original grade q orlgmalgrade ~~ ~ OFT /~ Fill added abo ..... glnal grade Gravel depth beneath p,p~ t , 0 FT .... ~ FT K Grave~ length Gravel width ~ , }otal absorphon area ~ DJstance between hnes / P,pe FT Installer ¢ ~Q~ ~ ~ Date Insta~ed ' WELLS PRIVATE ~ OTHER fldentilv) N ~ , Olasslhoatton (A,B C) ]otal Depth Cased to ~ ~ Ins ' Date Instaded: FT FT ~ REMARKS: ~ ~ %%- ~ ~ A ~)"1 JUIL Scale: ~ ,'(~ · I 17034 Eagle River L~p R~d No 2~ ~e~il" Pat lh:s ins-ection w .... ' Ea le ~ver, Alaska ~5~ ' Y~ "'' " as penorme, accoro.ng~oa, Municipal an~tale guidelines in effecl off Ibis date: .~/./~ Health Depadmenl Approval: ~ ~''~¢ ~' / P~' ~ Date: (~ 72-013 (3/85) I C I F' A L I T Y 0 F A N C H D R A G E Department o{ Health &. Human Se~vices . ~' ~ - S't..ree{, Anchc,~age, Alaska 995¢)t .:,4..:,-47~:. 0 N .... S I T E S E W E R F' E R M I ]" Per'mit Number: 880.t()4. ",'= ,- 07 /() :1 / 88 Date .1 ..... ued: Upg rade Engineer Designed · ~ c,t-.I O~..,ner. I',lame: DORO'I'HY ,.]dHNc~_N Ow. ncr. (...lddr'e.s'..s; I:::'0 BOXc~'"~('~/... .~:."'""' CHUGIAI*:::, Al< 99567 Day I:'horle: F'ar'c:el Id: 051- :1.4 .t-()3 L. ot. Legal: Subdivision." DELIJ6I~ Lot~ 45~ ~lock: ..... Sect:ion: 9 Town~hip: 15N Range: 1W LcCt Size 21820 (sq. ft. of acres) Max Bedr'ooms~ "f'his Permit: ::5 Total. Capacity: ~ SEPTIC TANK: Minimum t.c~tal septic tank capac:ity~ .t,('~00 gallons. Eac:h sept:lc tank must have at least. 2 compartments. Depth to top of septic tank(s) t'eet requir'e~ insulation over tank (s). INS'T'ALL, PER EEhlGINEERS DESIGN, A TRENCH TYPE ABSORPTION SYS'TEM. L. ENGTH.- L':]4.0 ' , GRAVEL DEF"TH: ~. 0' .~ MAX !MUM DFF'"rH: .tO. 0'. THIS PIEI-]'.M]:T IS ISSUED FOR A SINGLE FAMILY RESIDENCE ONLY AND I~i:XPIRES ;t2/31/88. NOTIFY DHHS F'RIOR TO ANY !NSF:'EC"f'IONS. I CERTIFY' THA'f': 1,, I am familiar wit. h the ~-equi~*ements t'or on-site sew.ers and wells~ as set. forth by +..he Munic:ipality of' Anchorage (MOA) and the State o¢ Alaska. 2.. I will install the system in accordance with all MOA codes and regulatic~ns, and in compliance with the design criteria of this per'mit. :?;. I will adhe~'e t.o all MOA and State of Alaska requirements for the set back distances from any exist, ing we].l, wastewater disposal system of public sewei-age system on this or any adjacent or nearby l(ot.. 4,. I under's'tand t. hat this permit is valid f'or a max imLtm of 3 bedr. ooms. I al. so undepstand that the capacity o~' the t. ot. al system :J.s 3 bednooms and any enlar'gemerit, will require ar~ addit, ional per'mit. Issued By: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~:::~'~ 1 3 4 7 $ 10 12 13 14 17 18 2O COMMENTS PERFORMED BY: c~.~;,,.,,,4,& r~,,-, j ........... ACCORDANCE WITH ALL STATE AND MUNICIPAL 72-008 (Rev. 4/85) SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth to Waler After Monitoring? ~ Date: SITk PLAN Gross Net Depth to Net Reading Date Time Time Water Drop ~ \ '. z~ ~.o ~ ,,3 ~ '~/~.~ -z- TM PERCOLATION RATE (/~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN '1 FTAND FT S & S ENGINEERING //.~_. //~, G UIDELI N'E"~,..4N"EF FECT ON THIS DATE. DATE: 6~~ 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 051-141-03 HAA # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) 22806 Needles Loop Property owner Mailing address Lending agency Mailing address Agent Address Steve Johnson Day phone 7716 Port Orford, Anchorage, AK 99516 Day phone 346-2082 Day phone e Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well Community well Public water xxx NOTE: If communitY well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA 121 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. Name of Firm s & S ENGINEERING Phone (~ 170:34 Eagle River Loop Road No. 204 Address Eagle River, Alaska 09577 Engineer's signature -~'.~j~/"Z/2. ~~. Date "~///, DHHS SIGNATURE ~'/ Approved for~"~'~ Disapproved. Conditional approval for bedrooms. 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 engineer registered in the State of Alaska. The DHHS does this as a courtesy to 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 for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage ~ DEPARTMENT OF HEALTH & HUMAN SERVICES R E C E I Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-471~R 1 1 l(Jg(J Legal Description: Lo T- z/(~ ~ Health Authority Approval Checklist ~L~C./4 ~ ,/ /~ Parcel I.D.: O 5'/ ~NVlRQNMENTAI. SERVICES DiyI~ION - Iff~ -0...7 A. WELL DATA Well type l°~t Log present Total depth Sanitary seal Date completed Cased to .~ J~' 1 / If A, B, or C, attach ADEC letter. ADEC water sYstem number ~ Oasing height (above ground) ~ -/' Wires properly protected(~N) ¥ [_5' Date of test Static water level -' ~ ~)'~(~ ~ Well production -~. FROM WELL LOG AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform o Nitrate Date of sample: 3 / c~ j ~1 ~ B. SEPTIC/HOLDING TANK DATA Date installed -7/~ / ~ ~' Tank size ) C c ~ Foundation cleanout ~/N) Y~ Date of Pumping --~//o //cl ~t Collected by: Other bacteria $ & $ ENGINEERING ~.7~34 -"a~::~ ~:~,~r Loop ~oaci No. 204 Eagle River, Alaska 99577 Number of Compartments '~ Cleanouts (~)__ Depression (Y/~ ~/0 High water alarm (Y/t~ ,,~ 0 Pumper C. ABSORPTION FIELD DATA Date installed '~ / (o/ ~ <~ Length ~ ~ Width Effective absorption area ~ ~ Date of adequacy test 3 / ~, / Fluid depth in absorption field before test (in.); Fluid depth ~)P- Y (ins) Minutes later: Soil rating i '~ 5- System type T~,~, Gravel thickness below pipe ~ Total depth / ! Monitoring Tube present ~N). Y& ~' Depression over field (Y/N) __ Results~Fail) /~P~ ~'.~ For -'~ bedrooms ~ '~Y Immediately afterZ/£7 gal. water added (in.): 7 ~ ~ Absorption rate = /-Y S"O -h g.p.d. (g.p.d./fF or~ Peroxide treatment (past 12 months) (Y/N) ~"~." ,L- K ,,,c ,~,~' If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cyc~ E. SEPARATION DISTANCES Size in gallons -'~""'-~--ii' "Pump on" leve~''"'~~ "Pump off level at* Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line SEPARATION DISTANCES FROM WELL ON LOT TO: ! )/.Jo On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station X~ 4 1~o SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~ '~- Property line 5"- t..j_ Water main/service line j ~ 2~- Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ] O -/- Building foundation / / Surface water / 0 (~ "/-- Curtain drain ~vo~L ~,~ c v,x~ Absorption field Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area f- Wells on adjacent lots / O 0 -/- /O -4- ENGINEER'S CERTIFICATION / certify that I have determined thru field inspections and review of Municipal records in conformance with MOA~u~lines i~effect on this date. Signature ~~ ~ Eng neer's Name ~ ~/-~' ~o~ ~~' ~ ~~ Date _ HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Well Owner Location (address of: M-W DRILLING, Inc. P. O. Box 4-1728 · 2811 Dawson A C 907-279-1741 ANCHORAGE, ALASKA 99509 DRILLING LOG Dorothy Johnson Use of Wel] Dom Township, Range, Section, if known; or distance main road L46, DeLucia Subdiv., Peters Creek Size of casing. 6 .Depth of Hole Static//rhter level 180 ft. Screen ( ); Perforated ( Describe screen or perforation Well pumping test at 10__gallons per of drawdown from static level. Date of completion 19 Apr 7/4 251 feet Cased to 251 feet (below) land surface. ). None Finish of well (check one) open end ( X (minute) for 1 hours with 100% WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 ~TO 92 TO 1~$~ TO. 172 180 218 92 1D~ 146 .TO 172 TO 180 .TO 216 TO 218 TO 222 TO 2/40 TO__251___ fro. .TO ,To .TO. TO. Old Well Silty Gravel: occa/ional boulders Oemented Gravels small, ccc cobbles Silty Gravel Sandy Clay Sand: fine Small Gravel: Grav$11¥ Sand Sand __ Wate r _Ctraval Wayne E. Westberg ~/ 1 -- CUSTOMER