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ATELIER BLK 1 LT 2
Onsite File VII ,., rey.y�r` vrfi t} a �( (Rev 05/02/18) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221233 PID Number: 041-031-16 Dwelling: Q Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: FNI New ❑ Upgrade Name DAVID HOUSTON ABSORPTION FIELD EJ Deep Trench XWide Trench ❑Bed El Mound Site Address 9345 ATELIER ROAD ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 1.2 GPD/SF JTotal 8 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft.4 Gravel depth beneath pipe Ft. Subdivision Block Lot ATELIER 1 2 Fill added above original grade 1.0+ Ft. Gravel length 60 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines NA Distance between lines NA Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 600 Ftz 1 NA Ft. Well 100'+ 100'+ NA NA 25'+ TANK X Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1500 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 51+ 10'+ NA NA NA HDPE 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer A+ Home Services, Inc. Drainfield 3034 CO/MT3034 Inspector PES BENCH MARK (Assumed elevation) 108.76 ft Inspdectio 15' 06/09/22 06/17/22 Location and description 31d 09/28/22 2nd 411 09/29/22 See Site Plan, Bottom of Trim @ A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ,SOF•••• .... . . ....... "$seven annope Septic Syste '• CE 8149 •. Approved �' Z Date z7 -5 zo.os .s s.• •• Note: this appy -does not include well permit requirements.' (Rev 05/02/18) v cnc�0-5� co N £ < 0 rn- x � m < -v00cmFn D co 5�*zz"�-0- > D 2 O O ----IH C O m C= p- p m 0 z WMnZ (f) m� r 0 zm D Oz m z O M D r � LD z C7 C M U) "I N D nT�m G O z� �p �S�m -p o, DO rn n N Dx O om o .. _i `gym cno4, O N O r to -Tl O 00 o S co z o - rn Dko = U1 CD cn(14cq (D .4 -tA 4000cn W N N y Co 0) J C�j J C.,) .p J N (D co J cy) CI1 -J CD - 11c, (n-< D�(n -� z :70om1 Dr)m zcnMO TZ' • O cmn l � Fz � D ` _.- zr I \ Nm D nT�m G D" z� �p �S�m -p o, DO rn >O mz O gmOZm.0(n Dx S O•• Om om o .. _i `gym cno4, O O) O CP p O o O r to -Tl �'u m G� 00 o m D 0D0 to (� -Go 1, co z o - rn Dko = U1 - Z a o 41 ri ' X l � Fz � D ` _.- zr I \ Nm O m 0 -I M C g (n D (n -O -i z -00 Oocn-«70m>o;o Irm Z(nMF�uz• rD x o r D n D FTl U) z�DDy���Gi v \ O) O CP p O o t � n> Om . o Om N N 0 ^ U) 'u o r Ln U) Cf), � -TI a' < -1 0 0 � 0 O m 0 -I M C g (n D (n -O -i z -00 Oocn-«70m>o;o Irm Z(nMF�uz• rD x o r D n D FTl U) z�DDy���Gi DO.. D:E =moz��0�z .. O ' O m O) O CP p O o � n> Om . o Om N N 0 ^ U) 'u o r Ln U) Cf), � -TI a' < -1 0 0 � 0 D � co z o - rn fTl Q (TI O Cf) (Tl \ >x D zrnorn I000:�f0 1 x r - -I O o I D \ O D� Fl -1_ \ \ z�� W OJ = z � R m 2 \ -- rCn �m I�� \ m> _/moo I ) I i oz f I �o I 1 1 e O 0U)z I l /z 0 I mn 1 0- \ om �m \ SKr m - I / \ m to to r- U) 0 :::10 0 1-I=Ex a t I ' ODz r tJfm O b <D V PN A m y \ \ 1 I z -I Don\ I o \ \\ \ I R z =+ i N \ \ \ NOTES: PANQ ONE ENG SVG LLC C.I. 10$$) REVISIONS DATE RECORD DRAWINGS P.O. BOX 1807 PALLIER, AK 99645 .,, 11/21/2023 PHONE 907) 745-8200 FAX (907) 745--8201 " SCALE *epi;* 1" = 50' DRAWN EJC ATELIER BLOCK 1 LOT 2 "' P.I.D. NO CHECKED ACP DAVID HOUSTON lieu annoae 041-031-16 (E 8149 PERMIT NO. i /zi/2o23,: SITE: 9345 ATELIER ROAD OSP221233 SITE PLAN ANCHORAGE, AK 99507 SHEET 2 OF 2 Certified Drilling Log DOC CO dba LL & COLE ;%.'ULL1VA'1'M1 WATER WELLS r__P.O. Box 670269, Chugiak, AK 99567 685-2759 OWNER OF LAND: David Houston ADDRESS: 9345 Atelier Dr. Anchorage, AK 99507 LEGAL DESCRIPTION Atelier Block 1 Lot 2 DATE: 8-11-22 PERMIT NUMBER: OSP221233 DATE OF ISSUE: 7-6-22 TAX IDENTIFICATION NUMBER 04103116000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: ®air rotary Fcable tool Depth of Well: 85' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 84 feet Liner type Static Water Level: 27 feet Recovery Rate 7 ® gpm gph Method of Testing Air Well Intake Opening Type: ® open end Fopen hole Screened Start feet Stopped Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes F no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 2 4 4 21 21 64 64 79 79 85 Casing Stickup Overburden Silty Sand & Gravel Tight Silty Sand & Gravel Heaving Sand w/ Gravel Sand & Gravel Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation, Matsu Borough: Department of Environmental Conservation. Q DOC COdba ULL1 AE WATER WELLS P.O. Box 674269, Chugiak, AK 99567 6$$-2759 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: OSP OSP221233 Date of Issue 7/6/22 Parcel Identification Number: 04103116000 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. ill ATELIER SUBDIVISION N 89056'53"E 177.29' AS -BU I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS ?000 E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPS ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. SW2142 10/6/2022 ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NO. 2022-02 AS21 NOTE: NO CORNERS SET THIS DATE. OF A IV coq 49TH AV .. •.sa.... ..sf(.(/�.J....• .. . � . m Jeffery A. 6astoldi o AN . °. LS-6091��AV Nrm °•° 10/6/2022 ;• ' ArOfessioncl L� N 5, I A FOUNDATION 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 dater & Wastewater System Permit Permit Number: OSP221233 Work Type: WellSeptic Renewal Tax Code Number: 04103116000 Site Legal Address: ATELIER BLK 1 LT 2 G:2142 Site Mailing Address: 9345 ATELIER DR, Anchorage Owner: HOUSTON DAVID S Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: ��11�nr S ;f v v Department 7/6/2022 7/6/2023 97758 0 Disposal Field R1 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: Issued By: r'owi j wo t -e r mt- �}-rvt� X K' x 60, `� `%eta( dt� alzaI2-r_ Date: Date: 7//? !-- 11 a CHORAGE Community Development Department Phone. 907-343-/904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 041-031-16 Property owner(s) David Houston Mailing address 517 W. Northern Lights Blvd Site address 9331 Atelier Road Anchorage, AK Legal description (Sub'd., Block & Lot) Atelier 131 L2 Day phone Legal description (Township, Range & Section) Lot Size 97,758 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑x Septic Tank ❑X Upgrade❑ (w/wo AD U) Duplex (D) ❑ Holding Tank ❑ Renewal ❑x Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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 onroperty owner or authorized agent) Permit/Rush Fees: 15 Waiver Fees: Date of Payment:%/1 r20_2 Date of Payment: Receipt Number: 0 y,3 `7 �6 Receipt Number: Permit No. d S IPa 9 I � � 3 Waiver No. Permit App__- :_..:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221233, Deb Wockenfuss, 07/06/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191254, Rebecca Carroll, 07/02/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221233, Deb Wockenfuss, 07/06/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221233, Deb Wockenfuss, 07/06/22 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 196s50 4700 Elmore Road Anchorage, Alaska Sn519-OnoO Phone: (S07)343 -79o4 Fax: (8or)343'78S7 RZA Permit Number: OSP201220 Work Type: VVoUSeoticRenovva| Tax Code Number: 04103116000 Site Legal Address: ATEL|ER8LK 1 L 2 G2142 Site Mailing Address: 3345ATELIER DR, Anchorage Owner: HOUSTON DAVID S Design Engineer: PANNONEENGINEERING SERVICES This permit is for the construction of: Z Disposal Field Z Septic Tank 0 Holding Tank E-1 Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 7/10/2020 7/10/2021 0 Private Well 0 Water Storage All construction shall beinaccordance 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 (18A\C8O) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.85.Provide notification bycalling (SU7)343-7DO4(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: A test hole shall be provided prior to construction of the drainfield to confirm percolation rate, as well as separations to seasonal high groundwater and impermeables. If results require a designohange, construction shall stop pending On-site review and approval of a change order. Please submit results with the inspection report (or change order, Unoquinad). Received B) ' - M - Issued By: Date: INAUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section "� Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 04103116000 Property owner(s) Houston, David Day phone Mailing address 517 Northern Lights Blvd Site address 9331 Atelier Rd Anchorage, AK 995 Legal description (Sub'd.; Block & Lot) Atelier 131 L2 Legal description (Township, Range & Section) Lot Size 97758 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank El Upgrade ❑ (D) ❑ Holding Tank El Renewal Renewal Q Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ED Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that fhe 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: Date of Payment: l �fJ,2a Receipt Number: (j G Permit No. (iSPzO �2b Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\FormsUient Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201220, Deb Wockenfuss, 07/10/20 MUNICIPALITY OFANCHORAGE On -Site Water & Wastewater Program poBox 1yosoo 47un-9mvre Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 Work Type: WeUS*pho|nitio| ToxCndeMumber 04103116800 Site Legal Address: ATELIER BLK 1 LT 2 G:2142 Site Mailing Address: Owner: HOUSTON DAVID S Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date: Lot Size inSqR Total Bedrooms 7/2/2019 7/1/2020 2Disposal Field 9Septic Tank [] Holding Tank []Privy Z Private Well [] Water Storage All construction shall beinaccordance with: 1. The attached approved design, 2, All requirements apedfiadinAnchorage K8unidpa{code Chapters 15.55and 15.G5and the Sialeo[Alaska Wastewater Disposal ReAu|aUons(18AAC72)andDrinking Water Regulations (i8AAC8O) 3, The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.S5.Provide notification bycalling (0D7)843 -7B84(24/ ). 4. From October 15 to April 15. a subsurface soil absorption system under construction during freezing weather shall beeither: e. Opened and Closed onthe same day, or b. Cnvered^sealed, and heated toprevent freezing Special Provisions: A test hole shall be provided prior to construction of the drainfield 'to confirm percolation rate, as well as separations to seasonal high groundwater and impermeables, If results require a design change, construction shall stop pending On-site review and approval ofachange order. Please submit results with the inspection report (or change order, iYrequined), Received By: Issued By: 4 MUNICIPALITY OF ANCHORAGE Community Development Department' y 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. 041-031-16 Property owner(s) David Houston Mailing address 517 W. Northern Lights Blvd Site address 9331 Atelier Road Anchorage, AK Day phone Legal description (Sub'd., Block & Lot) Atelier 131 L2 Legal description (Township, Range & Section) Lot Size 97,758 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial FX_1 Single Family (SF) ❑ (w/wo ADU) Septic Tank ❑X Upgrade pg ❑ Duplex (D) El Holding Tank El Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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: Date of Payment: l2 g119 Receipt Number: Permit No. Permit App_'-'.:. ._.,:c IW500 _7/a/a0(� 0q3(QGc� ©S pl q(954 Waiver Fees: Date of Payment: Receipt Number: Waiver No. M_ Fayuk- flexmis Page 14 of 17 Municipality of Anchorage rprtltNE' r 1I Development Services Department it �`�13ok kg Maly OWislort On•SaeWaterordMolewNerProgram f,K,;�;..�. 4100 Soulh arnp�w St. St * 1 goa�T c cow P.O. MX WNW Anchors Ax 99519-156M !ww (407) 343-79N �` *� •+' Soils Log - Percolation Test Perter ned Fcr: A l -t -I SOA! tr Jsr4h SYd RJ IV I Loi 740-1 J We Ped*Tn,d: it J r } �0 Z. legalCesc6twon: LdT x BLDt.pc iT LrrtRTownsMp.Barge,Sec6ar 'r- /, S'1- # o l.- #- 4 / Szoe Vie Pian CPo+vrt+aTV •- wns-r) U.QC 4,1 c j t F -e-4 cW/Sw ra-o P, r- 44.4 C Sm r- -j 4 IRNA (3. o N . S:dS GIRKILWO V07E9 _I�� FSCCt:vrE=EJ7 YLFJ r S IF VeS.ATvhi4T DEPTN7 ;0 L Depth to Ybler Atter C rf I P Mon todngl %) 0. t Oak 1lfdl%o'7t. it Re.dtng Date Grossrune N41 Time Oepth to water Nell 0rco -I WR�r��2,. , � p�•z� Ind YJ r•��ti ! I IMretrv7"Id..._ I .-r-..uu•�ian. rn�_ N r a.-.-wca—j r�tu: t�OlE DloJ tc7E� _�_` '(EST PLN5Er,,jE,=)+ _FT AND L _FT Cor.U."VITs S w4 rs rv, TA/it-i Frei 4 f. ^70, J•t.q,L. PEPFOR)AEO 9l S i S ENGINEERING ( . FEP.FORIMEUIN wZrI li j-VL'13 glldXb).r.+ WI,'AL 58 a ver. 7t aska 99577 9-d set' L -69S ...! � CERTIFY THAT Tf .IS TEST Y:AS IPI EFFECT ON THIS OATE OATS: It b/ Aad RaTsuaH Ta4S dZEi10 SO 12 das http://www.flexm ls.com/cgi-binlmaininenu. cgi?cmd=url+reports/documents/viewcliecked.h... 8/9/2017 LeGal This 220~ Cleveland Anchorage, Ala~i:a 99503 For ........ T 9_m__ _.F E y_l_.o_: ...................................... Date Performed .... 7-30-77 ,~escrintion' L o t._2 .... B l-o c k_l___5 u b d i v i s i [J n _ A~.etie-r- ~bd iuision Percolation Test rorm Renorts Soils LoQ .......... Xe_s nenth Feet Soil Characteristics 16 .... Bottom of test hole. Was Ground Water Er, countered?._~ ...... ~/~ IF Yes, At what Denth? ......................... I rercola~,qn Rate Hip:ute ~rnpP~ed ,~nst'al"i.~tio-n-' S~-F-~oe Pit Drain Dec, th of Inlet Depth To :ottom Of Pit Or F:~"PFNiR' 125 ~- {~] ] a r e lC O O ~ y'equired per bedcoom from minus 6' to ]5' ~r~4 C~::,,'~'~ ~;~ ' ~'" " ' ' ' For 'Iota 'I'a ~¢ ] ~,,,,cri r,t i on' Lot 2 F'li~c k. 1 SuSdivisir~n -'- rerco~ation Test ~r~,,orts So~s ton .... YO.s ........... ho] e. E nc o w n te,-ed ?.__N.C~ ...... Denth? F,:' ~(','; Pq Date 't Grnss Time I r;et " ................ -~i~ nute ?ercola'-ion Rate FFr, rrs~'d ~nst'al'l'~'t~O~-' Seenaoe Pit ,r;3, th of Inlet D:-Dth '[o p~er~ th to (- Drain t:,m Of Pi t