HomeMy WebLinkAboutALPINE WOODS BLK 6 LT 11Onsite File
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Municipality of Anchorage -y , —,
On -Site Water and Wastewater Section • (907) 343-7904 "d --Page 1-----,0f 2
ON-SITE WASTEWATER INSPECTION REPORT
2-3y AUG
OSP191247 U
015->4:i-52 52019
Permit Number: PID Number:
Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑Q Upgrade
Name
Dere Family Trust
ABSORPTION FIELD
El Deep Trench El Wide Trench El Bed ❑Mound
Site Address
6550 Downey Finch Drive
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
Alpine Woods 6 11
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
Tol
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft2
Ft.
Well
200'+
I
TANK ❑Q Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Infiltrator
Capacity
1537 Gal.
Surface Water
100'+
Material
Number of compartments
Lot Line
5'+
NA
plastic
2
FoundationI
�' {-
I
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 drainfield Tank to
3034
Reed Pamraining
Drainfield Co/MT3034
Inspector Pannone Engineering Services
BENCH MARK (Assumed elevation) 835.0 ft
Inspection 1s ' 6/27/19
Location and description
2nd7/25/19
3'd 4,h
Bottom Trim @ A
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date��,��JF
A�S��4
....
i` ;err F:• Pnnnoi:
Septic System ��ln q { q
Approved /'V( 9, �.€r Date �
�`
Note: this approval does not include well permit requirements.��'��
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10' TELEPHONE ELECTRIC & DRAINAGE EASEMENT
NOTES: '
PANNONE ENG SVC, LLC
,����\\\`
REVISIONS
DATE
RECORD DRAWING
PHONE (907) 745 807 PALMER, AK 99645
—82 0 FAX (907) 745-8201
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8/2/2019
REV1: 9/5/19
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ALPINE WOODS B6 L11
DERE FAMILY TRUST
6550 DOWNEY FINCH
P.I.D. NO
015-234-52
DRAWN ACP
NO
247
SITE PLAN
ANCHHORAGE, A—PERMIT
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MUNICIPALITY (]FANCHORAGE
On -Site Water & Wastewater Program
pDBox «96650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax. (907) 343-7997
Permit Number: OSP191247
Work Type: SepticTank Upgrade
Tax Code Number: 01523452000
Site Legal Address: ALPINE WOODS BLK 6 L 11 G:2738
Site Mailing Address: 8550DOWNEYFINCH DR, Anchorage
Owner: DERE FAMILY TRUST
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Dote:
Lot Size in Sq Ft:
Total Bedrooms:
6/21/2019
0/2O/2O20
El Disposal Field P] Septic Tank n Holding Tank 0 Privy 11 Private Well 0 Water Storage
All construction shall heinaccordance with:
1, Theattached 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 Rmgu|ebona(18AAC80)
l The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Deparlmen1per AMC 15.S5,Provide notification hycalling (9O7)343'7yO4(24/7).
4. From October 15 to April 15, a subsurface soil absorption system inder construction during freezing weather
shall boeither:
u. Opened and Closed onthe same day, or
Covered, sealed, and heated to prevent freezing
Special Provisions: Contractor shall locate water service one prior to mutaUmy the tank, to oonlinn minimum 10
ft separation to between water service line and septic tank. |f'tank has bzmove from permitted |ooebontomeet
this separation,construction shall stop pending review of proposed location to ensure tank is not being installed
in Class cwetlands that are mapped onthis lot,
4
4Adk J1
%-
��f�/
UNMO LITY ANCHORAGE
G A Amf
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. 015-234-52
Property owner(s) Dere Family Trust Day phone
Mailina address 6550 Downey Finch Drive, Anchorage, AK 99516
Site address Same
Legal description (Sub'd., Block & Lot) Alpine Woods, Block 6, Lot 11
Legal description (Township, Range & Section)
Lot Size 90,383 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(E) all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
❑X
(w/wo AD U)
Septic Tank
MUpgrade
0
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 . I
2 -
(Signature of property owner or authorized agent)
Permit/Rush Fees: 9Q&5 -
Date of Payment: (A42 1 d9
Receipt Number:
Permit No. I6zp�9la��
Permit App_:- : :-'.,'c
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191247, Rebecca Carroll, 06/21/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191247, Rebecca Carroll, 06/21/19
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
t
NAME
MAILING ADDRESS
LOCATION Fi C h
ell Absorption area Dwelling PERMIT NO.
~ ~ DISTANCE TO: ~O ~ ~ '~
~Z Manufacturer Material &~ I No. ofc~partments
kiq. capacity in flaHons IF HOM[MADfi: Inside length ~idth kiquid depth
I
~ ~ ~ DISTANCE TO: Welt Dwelling PERMIT NO.
~ -- ~ Manufacturer Material Liquid capacity in gallons
~ Well Foundation Nearest lot line PERMIT
~ ~ ~ No. of lines Length of each I~e _ Total leng~h~f lines Trench Distance between lines
~ ~ ~ ~ J~l I~) JY inches
~ Top of tile to finish grade Material beneath tile Total effec
O ~ 3{ inches
Length ~ Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to tot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PiPE MATERIALS
SOILTESTRATING j~ .O i/~ .
REMARKS ~5 ~ ·
t¢
/~~ MUf~ICIFALIT OF AN(;HO~AGE
. _, EN~ /IRC qMEI qTAL ;';.L,,: l ECl
,] 1.] :~/:,, ' -,
72-013 (Rev. 3/78)
NAME
~AILING ADDRES~
LEGAL DE$CRIPTI'
LOC AT I 0 N 1
~-- :~ l ,Manufact~
DISTA
Manufact~
DtST/
No, of tit
Top of
Length
Type of
DIST/
:lass
DIST/
MATERIAL
'"~0'~ L TEST RATI
NSTALLER
REMARKS
~1 I&II~IP~I IT¥ I')l: ANCHORAGE
APPROVED
'/2-013 (Rev. 3~78)
DATE LEGAL
IPll MI ~-4i ][ C: ~.E F" IF:::~ IL. 'I[ -IF' "-,-" C, F F-t ~'-.~ L--.: ~,-~ ,2-., F~-." F# ,.~ E
[:,EF'ARTMENT OF HEALTH AN[:, ENVIF.:ONMENTRL PR. OTECTION
825 L STREET., RNCNORRGE., RK 995¢'~i
264-472E~
C, ~'-,i --- :5; Z 'T E: :~:-; E It..[ E F.: F' E R i"1 :i: T
PERM.T. T NO:
DATE ISSUED:
RPPI_ I CANT:
ADDRESS:
C:ONTFICT PHONE:
CFIRRLES E DERE
4-3:7 FREDF.:ICKS DRIVE
ANCHORAGE, FtI< 995E~4
]: ' .]: ]: - :18 El?
L. EGRI .... [:,ESCRIF': SUE:DIVISION: ALPINE' HOODS
$¢'/,/:-SEC:]"ION: 2_3: TOHNSHIP:
LOT SIZE:: 2. 07R (SI;!. FT. OR ACRE:i;)
P1R;:'-'; BE. DROOMS: 4
LOT:
RANGE:
BLOCK: 6
LISTED BELOH FIRE THE OPTIONS AVAIl_ABLE TO YOLI IN DESIGNING YOUR SEPTIC
SYSTEM. CHOOSE THE OF'TION THAT BEST FITS YOUR SITE.
DEPTH T.O F'IPE BOTTI]M (FT. ;:,
GRAVEL DEPTH ,:;FT..':,
TOTF'IL DEPTH ,::FT. )
GRAVEL. ~,.I I [:,TH ,:'. FT. )
GRAVEl_ LENGTH ,::FI". )
G'F.':RVEL. VOLUME (CU. '¢[:,S. :)
T A N K S I ZE < GR L.S ::,
SOIL RATING ,::SQ. FT. ,-'"E',R)
:+::+: GRFIVE;L LENG"I"H ."::' 75 FT.
.a.: TANK MUST HAVE F:IT 'L. FRST THO COMPARTMENTS
4. E4
2.~3
6.8
84. E'~
_.5::8. 8
ERCN)
I CERTIFY THFI'T':
:t.. I RM FAMILIAR WITH ]'HE REQUIREMENTS FOR ON-SITE SEWERS AN[:, HELLS RS SET
FORTH B'¢ THE. MUNICIPFILIT'¢ OF ANCHORAGE <MOA) AND THE '=-,TRTE OF ALASKA.
2. I HILL. INSTFIL. L THE S"r'STEM' IN RCCORC, ANCE HITH ALL MOA CODES AND REGIJLRTIONS.,
RN[:' IN COMPLIANCE 1.4ITH THE DESIGN CRITERIA OF THIS PERMIT.
_3:. I HILL ADHERE TO RL.L MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK
[:,tSTRNCES FROM RN'¢ E::'-':IS'I"ING HELL., HRSTEHRTER [:,ISPOSRL ':";'¢STEM OR PUBLIC
SEI.qEF.:RGE SYSTEM ON TN IS OR RN'¢ ADJACENT OR NERRB'¢ LOT.
4. I UN[:,EF.:STFIND THAT 'T'HIS F"ERMIT IS VALID FOR R MAXIMUM OF 4 BEDROOMS AND
FINY ENLFIF.':GEMENT I.,.I ILL F.:E6!U I F.:E FiN ADD I T I ONRL PERM I T.
-.' - BY MOR E:UIL. DING CODES.,
I F' Fi L I FT STFIT IiiiN I S I N'::;TFtLL. E[:, I N FIN HF..EF '-' D' 'ERE[:
' , ,_-,-,_,_ I LTS
]"t-1~1'.4 ,:: i ', FIN ELEC:TR I CFIL F'ERM I T FIN[:, I NSF'EC:T I fin Mt. JST BE OBTA I NED.= ,' 2 ':, '="- '-'l t
HILL. NO]" BE FIF'PRO',,,'E[:, I.,.IITHOUT RN ELECTRICFiL INL:;PECTION REPORT.= FIND (2:) THE
FIPPL. ICFINT: C:HRRL'.ES E DE:RE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOl LS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
DATE PERFORMED: "~ 2?- ~"~
LEGAL DESCRIPTION:
4
8
9
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
19
20
Reid, Jr..~
S
WAS GROUND WATER
L
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
COMMENTS
~1~,, Id
PERFORMED BY:
72-008 (6/79)
TEST RUN BETWEEN FT AND FT
~1o/,,~. ~ ~., ,.~/ .,.,t ~,,.r4L ~, a,,7
~'~i "~'2;/C.r [.~fk'-i fi CERTIFIED BY:
DATE: '~L~ L') ' (~7~
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF ~ALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information
Application Date
(a) Legal Description (include lot, block, subdivision, section, township, range)
Locatign (address or directions)_
Applicants A~dress ~/~=~ ~/;~
(c) Applicant is (check one) Lending Institution ~ ; ~er/butlder~
Buyer ~ ; Other ~ (explain);
(d) Lending Institution
Telephone
Address
(e) Real Estate Co. & Agent~
Address
Telephone
(f)
Mail the HAA to the following address:
..... ~'-~, ( ~'~i~ '-/13 - ~c,~.,,'.:,w'\,"~'~,~ , '
2. ~ype of Residence
Single-~amily.~
Number of Bedrooms
3. Water Supply
Individual Well[--'~"1
Multi-Family ~-~
Community
Other (describe)
Public~-~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. Sewage..Disposal
Onsite~ Public ~-~ Community ~ Holding Tank ~--~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2],
e
5. En$ineerin$ Firm Providing Inspections~ Tests~ File Search~ Data and Information
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 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 regula-
tions in effect on the date of this inspection.
Name of Firm /Z~. (t~ Telephone ~/~/'~
Approved for I ~~~8'~ By ~ ~ Date
Approved ~ D~sapproved ~ Condition~
Terms of Conditional Approval ~'
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE RW. PRESEb~r-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSYBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/eJ/D18
[Page 2 of 2]
7-19-84
A®
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Legal Description:
Well Classification
Well Log P~esent (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Sepa=ation Distances f~c~ Well:
To Septic/Holding Tank on Lot
To Nearest Edge of 'Absorption Field on Lot
To Nearest Public Sewe~ Line
C leanout/Manhole
Wate~ Sample Collected By
Water Sample Test Results
Date Completed Yield
Pump Set At
Depth of Grouting
Sanitary Seal on Casing (Y/N.)
Depression A~ound Wellhead (.Y/N)
; On Adjoining Lots
; On Adjoining. Lots
To Nea~est Public Sewer
To Nearest Sewer Service Line on Lot
; Date , ',
Ccm~ents
B. SEPTIC/HOLDING TANK DATA
Date Installed ~//~/f Size /2~-~ No. of Compartments
Standpipes~/N) ~-' ' Ai~-tight Caps ~'~N) Foundation Cleanout~'~N)
Depression ove~ Tank (Y~ Date Last Pumped
Contract on File (Y/N) ~//~, for
Pumping/Maintenance
- f
Tank High-Water Alarm (Y/N) ~//~ Temporary Holding Tank Permit (Y/N)///~--
Holding
Separation Distances f=om Septic/Hol.dSng Tank:
Well
Foundation
To Water-Supply ~-_~'__----Y~J'-~ .To Building
To Property Line ~.~O,~6_ t' ~ ~' To Disposal Field ~Z~/
To Water Main/Service Line 1~ /~ / To Stream, Pond, Lake, c~ Major Drainage.
course /
__--
/,
,, ..... '~,' __ Receipt 9
t~age ~ or zJ,,,,o~g;n~ 7% ~,~ ~.~4 7/,,.~ ,'~
2" '~u/~'~ ~ve~' ~-f. ~ z~ 2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
/~ ~ Type of System Design
Length of Field ~F~ ~
Depth of Field ~ ~
Gravel Bed Thickness· ~/
__ Standpipes Present~N)
Depression over Field (Y~ Date of Last Adequacy Test
Results of Last Adequacy Test ~/.~ '
Separation Distance from Absorption Field:
To Water-Supply Well ~/~d" ~ To P~operty Line .
To Building Foundation ~ ~// ~-- To Existing or Abandoned System cn
Lot /~//~' .~.... ~1; On Adjoining Lots ?~.~9/~
To Water Main/Service'Line ~D~/_~ ~ TO cU~bank(if present)
To Stream/Pond/Lake/c~ Majo~ Drainage Coup. se ~/~)~9 /
To Driveway, Parking Area, or Vehicle Storage Area
De
LIFT STATION
Date Installed __~. Di~ns i~:2 ~
Tested fc~ing Cycles du~ing Adequa~ Test. Meets MOA
E le ctr i ca~l Code s ( Y/N )
Con~ents
Check Permitted Bedroom Rating Against HAA Request
I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect
on the date of this inspection.
Company , _
KB1/d5/s
Date
No.
[Page 2 of 2]
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA <~9501
BILL SHEFFIELD, GOVERNOR
Telephone: (907)
Address:
274-~533
MUNICIPALITY OF ANCHORAGE
D~F'T, OF HEALTH &
ENVIRONMENTAL PROTECTION:
NOV 2
RECEIVED'
To Whom it May Concern:
According to records on file in this office the ~~
~/~~Y~ Water System is
Water Regulations
in compliance.with the State Drinking
Sincerely,