HomeMy WebLinkAboutSUNDI LAKE BLK 2 LT 6A0 II 131
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
P0Box 18G05V 47OVElmore Road
Anchorage, Alaska 9951S'O05O Phone: 04 Fax: (9O7)a43-7887
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On -Site Water System Permit
Permit Number: {}GP221231
Effective Date: 7/14/2022
Work Type: Well Upgrade Expiration Date: 7/14/2023
Tax Code Number: 01113128000
Site Legal Address: SUND|LAKE BLN 2 L GA G:2224
Site Mailing Address: 821OSUNDIDR, Anchorage
Owner: MEYER ANT[)NJ&P|RKKOS Lot Size inSqFt: 25748
Design Engineer: PANN0NEENGINEERING SERVICES Total Bedrooms: 3
This permit iofor the construction of:
El Disposal Field 10 Septic Tank 0 Holding Tank 0 Privy 171 Private Well El Water Storage
All construction shall bein accordancevvith:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
VVaetevvahar Disposal Regulations (1 8AAC72) and Drinking Water Regulations (I 8AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.85.Provide notification bycalling (807)343-7Q04(24/7).
4. FrornOctober 16toAph/15,00ubeu�auesoil absorption system under construction during freezing weather
shall beeither:
a. Opened and Closed nnthe same day, or
b. Covered, sealed, and heated toprevent freezing
Special Provisions:
|oclose this permit please submit:
1.Well Log
2.Pump Install Log
3. Water sample results
� 4.Well Decommissioning Log
Received B,
Issued By:
Data
MUNICIPALITY OF ANCHORAGE
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. 011-131-28
Property owner(s) Patrick McCormick Day phone
Mailing address 8485 Mountain Song, Anchorage AK 99507
Site address 8210 Sundi Drive, Anchorage AK 99502
Legal description (Sub'd., Block & Lot) Sundi Lake B2 L6A
Legal description (Township, Range & Section)
Lot Size 25,746 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) X❑
Septic Tank
1:1Upgrade
X❑
(w/wo AD U)
Holding Tank
ElRenewal
E]Duplex
(D) El
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
X❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
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: 4 5 Waiver Fees:
Date of Payment: _ la'h ? bo.2 2 Date of Payment:
Receipt Number: N030 ) G Receipt Number:
Permit No. 051001 2.3 1 Waiver No.
Permit App__- : ._.:c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221231, Deb Wockenfuss, 07/14/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221231, Deb Wockenfuss, 07/14/22
GR~ ,~ ANCHORAGE AREA BOROL
D~=~MENT OF ENVIRONMENTAL 0.UALI~I
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
ADDRESS '~r~~tc~ ~/,'~./~//~'~-*~ PHONE
LEGAL DESCRIPTION ~.~/Jx.~. ~.,~ /_.~, ,,~_¢~._~,.~....
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
NUMBER OF ../
MATERIAJ C'~"~ /''V/L'~''~''~----' COMPARTMENTS.
LQUD
GALLONS. INSIDE LENGTH ~NSIDE WIDTH. ~ DEPTH
SEEPAGE SYSTEM:
NUMBER OF PiTS
LINING MATERIAL -
NEAREST LOT LINE
SEEPAGE PIT:
_OUTSIDE DIAMETER
~/~ ~/~' DISJANCE FROM WELL
/~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~ SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
.~ON NEAREST LO~ , OF LINES
DISTANCE FROM WELl ~ ' H~ '
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WiDT IN. TOTAL EFFECTIVE
ABSORPTI SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
WELL: TYPE "~/'Z//~/-"~ DEPTH ~-~"/~'~' ~- DISTANCE FROM WATER
, , BUILDING FOUNDATION /~ ~ SAMPLE~, NEAREST
OTH
NEAREST ~_~ SEPTIC / SEEPAGE
LOT LINE /~ ":~' . SEWER LINE /Z'J . TANK ~.x~2 SYSTEM__ /~//~ . CESSPOOL/U///~/-~/~,
DISTANCES:
DATE
DIAGRAM OF'SYSTEM
GrE:g~R ANCHORAGE AREA BO~3""cf)gh
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY TH
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
SEPTIC TANK tO seePAge PIT WALl - //~
SEEPAGE PIT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB 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,
GRAVEl. BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
· ~}~'.A LTN ~URTH ORITY
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE,
Depth
Feet
2--
8'"~
10~
12----
Gray fine sand (GP)
with well graded sand
seam 8.5 - 9.3
Was Ground Water Encou~,tered?
if Yes, At What Depth
Location
Depth Of Inlet ~-"'~ ......
.... ~ , ~o Sottom Of Pit ~ 'l'~enc~
,,OM: LN ~,>
140 s uare feet of dra~ a e re ' ' ~ ...........
Tes{: Performed ~'~'
Data Certified = ....
oY, National Test~n~ Servmces Inc.
Date: