HomeMy WebLinkAboutT12N R3W SEC 27 LT 53 REMOnsite File
T12N R3W
Section 27
Lot 53 REM
#018-092-49
if if lispj
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP201146
PID Number: 018-092-49
Dwelling: K Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family
Project: ❑ New K Upgrade
Name
Harold Siegmann
ABSORPTION FIELD
❑ Deep Trench F191 Wide
Trench El Bed El Mound
Site Address
13951 Elmore Road
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
6.0 GPD/SF
0.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original
+0.5
grade
Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
53
Fill added above original grade
--3.0
Ft.
Gravel length
20 Ft.
Township Range Section
12N 3W 27
Gravel width
5.0 Ft.
Beds:
n/a
Number of Lines
Distance between lines
n/a Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
100 FF
1
n/a Ft.
Well
100'+
1001+
100'+
25'+
TANK ❑ Septic M S.T.E.P.
❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1500 Gal.
Surface water
100'+
100'+
1001+
I
Material
Number of compartments
Lot Line
51+
51+
( 51+
NA
Steel
2
Foundation
10'+
I 10'+
10'+
LIFT STATION
Manufacturer
Capacity
Remarks
Orenco
250 Gal.
Alarm location
SW house
Electrical installed by
DRS Electric
PIPE MATERIAL House to tank 3034Tank to 3034
drainfield
Installer
Jr's Septic Services
Drainfield
3034 co/MT 3034
Inspector Pannone Engineering
BENCH MARK (Assumed elevation) 360.5 ft
Inspdection 15 7/29/20 7/29/20
Location and description
2nd
Td 7/30/20 4'h 8/13/201 Of
SW Bottom house trim
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
OF A. 0,
Conditional Approval:
Date
,�� 0
co TH
Steven R F�nnorie
Septic System
Approved
Date a3O2-?�¢�s���4��
��" CE A149
FI�UFESSIU
Note: this approval does not include well permit requirements.
(Kev ub/UL/16)
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NOTES: PANNONE ENG SVC LLC (C.t. ' 088) "`ININX"i REVISIONS DATE
RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645 ;'�6 OF.,ACq'h 11/5/2020
PHONE 907 745-8204 FAX (907) 745-8201 = �P '' .. s/r'4 REV 1: 2/1/2022 SCAEE
-0.' 9 h
1" = 50'
T12N R3W SEC 27 L53
P.I.D. NO
018-092-49
DRAWN ACP HAROLD SIEGMANN . Steven R. 149 P..-- '
13951 ELMORE ROAD "-8PERMIT 01
4,<t} OSP201146
SITE PLAN ,;
ANCHORAGE, AK 99516 SHEET2 OF 2
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NOTES: PANNONE ENG SVC LLC C.I. 1088) DATE
.�+�.��ittti REVISIONS
FOR CONSTRUCTION P.O. BOX 1807 PALA�ER, AK 9645 _ PSE OF q�gs'a REV 1:1 25 2022 5/29/2020
PHONE 907) 745-8200 FAX 907) 745--8201 __��.. �9 y / / SCALE
T12N R3W SEC 27 L53 =- P.I.D. NO
DRAWN ACP HAROLD SIEGMANN - 018-092-49
i Steven R. Pannone
13951 ELMORE ROAD CE -6749- PERMIT
DETAIL ANCHORAGE, AK 995164, RbPE55t
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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: OSP201146
Work Type: Septic Upgrade
Tax Code Number: 01809249000
Site Legal Address: T1 2N R3W SEC 27 LT 53 REM G:2936
Site Mailing Address: 13951 ELMORE RD, Anchorage
Owner: SIEGMANN HAROLD F
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date
Expiration Date
n
J r
' � l
DepaI-tn,ent
Lot Size in Sq Ft:
Total Bedrooms:
6/12/2020
6/12/2021
38609
Q 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
Special Provisions: The Engineer is to do an additional test hole prior to the construction of the septic field.
Construction may proceed at your own risk before the 7 day water monitoring is complete. Please submit
stamped and signed results with the As -built Inspection Report. If the results require a design change,
construction of the system will stop pending On -Site review and approval.
Received By:
Issued By:
Date:
Date:, Z�
4
UMCIPL• LITY 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. 018-092-49
Property owner(s) Harold Siegmann Day phone
Mailing address 13951 Elmore Rd Anchorage, AK 99516
Site address Same
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) TI 2N R3W SEC27 L53
Lot Size 39,609 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Fieldx❑
Initial ❑
Single Family (SF) ❑x
Septic Tank
❑x
Upgrade ❑x
(w/wo ADU)
Holding Tank
❑
RenewalDuplex
❑
(D) ❑
Privy
❑
Multiple Dwellings ❑
(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'i� in accordance with
applicable Municipal Codes. I
I
(S
rty owner or authorized agent)
Permit/Rush Fees: Eqs- l Ll'* •Q,5
Date of Payment: (a /A';kew
Receipt Number: 0,5-wI06 _
Permit No. JSP961144
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
COVID-1 9
Permit App__-: ; ..:c. 25% DISCOUNT APPLIED
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201146, Deb Wockenfuss, 06/12/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201146, Deb Wockenfuss, 06/12/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201146, Deb Wockenfuss, 06/12/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201146, Deb Wockenfuss, 06/12/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201146, Deb Wockenfuss, 06/12/20
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT S FS'ItM
NUINTENA ICE AND REPAIR AGREEMENT
THIS MARK-M--NANCE AND REPAIR AAGRE-EMEN I, herein the "AGREEMEYr" made and
entered into as of this Dai- ofiJ_of2C�� by and between.
tt t4� A.,/ herein the "01A'�7&R," vend h. e � r`F.
? • a. cul u 7 r/ %.)41Cad of
Anchorage, .herein the "1v INUCIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herei.a, the parties to this
Agreement agree as .fo.l loves:
I _ Advanced Wastewater Treatment a -sterns. The Municipality grants permission to the
Owner to utilize and.operate an Advanced Wastewater Treatment System (AINTJTS),
described as/
located at (legal description)
j39 LMb2C RD - GI K- Yrs/,
2- Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an A WWTS service and maintenance provider approved by tine Municipality or the
manufacturer's representative. The .A.WWTS. shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Ownerduring the terra of this Agreement to pay for All
repair(s), maintenaace, adjustmnt(s), replacement costs, and inspection. costs. This
includes an annual maintenance fee (typically $400 to $600).
11451
OAmer agrees that only maintenance and repair personnel approved by the .Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular mai.tifenance of an AWWTS reduces the potential
failure of the system, tiahich could include sewage backup and costly repairs or drainheld
replacement.
(rev. 05/18/2018) page 1 of 3
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's .representative or maintenance provider.
Owaec acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
t Ovmer agrees that any sale or transfer of title of the property wi.il not occur without a AteMT
Certificate of On -Site Systems .A.pproval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction; .maintenance and repair of the Owner's AWWTS.
P6_ Owner agrees to maintain remate monitoring of the AWWTS as required by the
AWWTS approval.
3. Terns.. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. � onwaiyer. The failure of the Municipality at any time to enforce a provision of this
Agreetxrent shall in no way constitute a waiver of the provisions; nor in. any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thercafter to enforce every provision hereof.
5.. Amendment_ This Agreement shall only be amended by authorizes! representatives of
the Owner and Mun icipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. jurisdiction: Choice of Law_ Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage_ The laws of the State of Alaska shalt govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
0VV NE :
By: 71,
(s.ignature) Date:
/� G✓ / (print name)
STATE OF ALASKA. )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoing 'nstrument was acknowledged before me this day of�I
20Zb , by r
N EARS'' PUBLIC FOR ALASK
My Commission expires: Notwy Pu
.1NOKE
State of Alamo
MY Cof= n tkim a May 39, 2023
M[Un�r XTY:
BY: •L11-� (signature) Date:
(ptint name) Title:
(rev. 05/1812018) Page 3 of 3.
,ER ANCHORAGE AREA BOk..UGH
Department of Environmental Oualitv
3330 C Street
Anchorage, Alaska 99503
IN..~vPECT._IoN REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION LEGAL DESCRIPTION. !~3
SEPTIC TANK:
DISTANCE /~/~--
FROM
INSIDE LENGTFI
MA N U F AC TU R E R ~'~t,/'~
iNSIDE WIDTH
,~.~ NUMBER OF
MATERIAL COMPARTMENTS
LIQUID DEPTH LIQUID CAPACITY/~(~'GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WEL~~ [/~FOUNDATION .~'/~ /NEAREST LOT LINE /'~/) !__OF TOTAL LINES LENGTHen? j
~o~,o~ ~ ,5-3~ ~. ~. ,_~, o~ ~CN ~,~ ._ _~5~7~ '
" DEPTH OF FILTER -- /
DEPTH: TOP OF TILE TO FINISH GRA E~ ~ ,MATERIAL BENEATH TILE ~,~ ~f~ABOVE TiLE
WELL: ~ 'r f ~"
TYPE CONST RUCTION
BUILDING
FOUNDATION
CESSPOOL
APPROVED
NEAREST
LOT LINE
OTNER SOURCES
_ DISAPPROVI-D
DEPTPl
NEARFST SEPTIC SEEPAGE
SEWER LINE TANK ___ SYSTEM
REMARKS
DIAGRAM OF SYSTEM
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTII:
PI PE MATE RIAL: ~. ~.~C[ ~'~-
LOT SLOPE:
REMARKS:
Form EQ-032
HI:Ii:: I l'!l..ll'i i',]i Il'ii;Ii:;:: ()l: I :l]))l:i:(3(:iH ; " ,I t:;l:3]l :;i:!:::i I I:]',l~; :{;(;! ~' ",-"l~:;I.~: ,::: 'i ;! ;::'
ilil :;' I:!1i)i;'~:', ~,'~:"I: Ii'ii: 'IFil ;~!]i ', F;'I::~I i-iq ,~:,!' I'i
i ',F:I(i;I(F :! i i I: [",!G ()i: I:::!1 ,i"l' ?l'", h ' i'.1 ii: ! ! IOi ii I:: i; t",I1::1! :I: Iq:;l:::'l (:1 I; (31",1 I:ll I1:) :: ::' ::' :,::I.~VF:II i?'t" !il
DI::I:'FII:~iI Hl:i",! i I,Ii;! I Iff '::;i i::: i::: i I(i F:'i:;i:(3:::;I (i;i.i i ii
i'Hliii:
oOILo ]],OG
]Legal
Description
_.~__.~_~en-bb (feet, .... _,~ ................
Total De'nth _eet; i~
Was gz'oundwaber encotmtere~..~ ? Wha~ depth
De.p-~h to bedrock
Respect£ully submit'bed
Gary ~o I'layer
Consulting Geologist