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HomeMy WebLinkAboutT12N R3W SEC 25 N2SE4NE4NW4NW4 .��" "`�r`�� MUNICIPALITY OF ANCHORAGE `Ment „ On-Site Water& Wastewater Program PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 �y $ _t' http://www.muni.org/onsite I) 'NCHORP/ :l II'I int On-Site Wastewater Disposal System Permit Permit Number: OSP191129 Effective Date: 5/21/2019 Work Type: SepticTank Upgrade Expiration Date: 5/20/2020 Tax Code Number: 01742116000 Site Legal Address: T12N R3W SEC 25 N2SE4NE4NW4NW4 G:2840 Site Mailing Address: 12520 TURKS TURN ST, Anchorage Owner: JOHNSON LELAND & JANE W Lot Size in Sq Ft: 54450 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 6 This permit is for the construction of: ❑ Disposal Field El Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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: Date: Issued By: Date: .5-N1 RtiSit r MUNICIPALITY OF ANCHORAGE ,, ,, Development Services Department (--; ` Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 RaSii ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-421-16 Property owner(s) LEE JOHNSON Day phone Mailing address PO BOX 110333 ANCH AK Site address 12520 TURKS TURN ST ANCH AK Legal description (Sub'd., Block & Lot) T12N R3W SEC 25 N2SE4NE4NW4NW4 Legal description (Township, Range & Section) Lot Size 54,450 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial 0 Single Family (SF) ❑ Septic Tank ❑ Upgrade x (w/wo ADU) x pg Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multil,i -,'u A ❑ Privy ❑ ,an. % 9) `9, Private Well ❑ � `• �\1- Water Storage ❑ �C�, THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: os +a 9' 9Si Dls . • ce: 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: 36,0 Waiver Fees: Date of Payment: 4123 /r7 Date of Payment: Receipt Number: etit1 lOS?1 Receipt Number: Permit No. 5 /g //P9 Waiver No. G.\Development Services\Building SafetylOn Site Water and Wastewater\Forms\Client Forms\Permit Application.doc r • April 22, 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage,Alaska 99519-6650 Fax 249-7847 Re: New septic tank permit Legal: T12N R3W SEC 25 N2SE4NE4NW4NW4 To Whom it may concern: This is a request for a septic tank permit on the above referenced lot. This tank replacement will not impact any of the neighbors or encroach on any wells, septic or open water issues. AASincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 ALASKA ENVIRONMENTAL . i SE N6 NW, NW 54.6 25, T/ZN, E55.14 CONTROL SERVI(` , INC. c';NO. OF 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 CALCULATED BY SF Co,E'D 5 DATE 3/9/4G, • (907) 561-5040 (,!/ z L CHECKED OY DATE - SCALE ✓10 - • . . . iib. % q i • / W j �. . .... ..... ..... • j _. � f / / 1 I ft, rvlas ,......... . ..;... . ...... ;. .. .. .............. .. ...go' : •• ! ' ' ' !. i ! i - ,p p Ny12- : i , , , , , . , : ; : . , : : , , ; ., ,t-a,.,,,,,,„„,v • N.,,,„..): 2.,,, .. „. .............. .i..... , , , ! , . : , , ; . _... , , •.••-•••-•::,:- . .-:,: - ..J-..----. --• 1i.!. .---'.;i!!;---1iI...-•1,i;•--i,.. . .L:• .........:7i:.., apiNoaf / !03 1 . • /.75O 7401 ' 6 7, ST�►ND 0 J S 4T/_c__..7 4Nk A-+ PIPE S5 WWW `-►%�*8.0. _NOT v�34C...O �'BG �-s ' 0 %V. (� ........._..I: .14 tt9 vO cj q//o n. 4+0 � .BLKI�IG Sil /�!49TH _,. . *. ..,_ ;k. ... /• ce• ' . _ • , i •.•••air.•. . te: 'CHAE NDERSON �r ' a. t24C/ U1ge�' � B1"' 4•' t+ f� • !•. .1� 1 .....:.._..; . _ ..‘4006.70,...",. t _ . • . .. ..._. .. 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 PHONE MAILING ADDRESS LOCATION NO. OF BEDROOMS ~ ~ Manufacturer Material ~ No. of compartments L[q. capacity in gallons Inside length Width Liquid depth ] ~ IF HOME,DE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons Q Well--/.~ ~ ~ Foundation--~ Nearest lot line._O/ PERM IT NO. Length of each llne Total length of lines Trench width Distance between lines -- ~ No. of lines ~ //~ dl~ ~ ~ inches Total effective absorption area ~~ Top of tile to finish grade--~ ~ Material beneath tile~ 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 lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING I NSTA b LER ~* APPROVED DATE LEGAL SEWAGE DISPOSAL Ons[te.[~[ 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 z2-o25 Ht. o4) ......................... ...... · .~ ........................ . ', ';~!i 27.,~':~J '-,q. 7 ?.0 A chorage P©Odiq 6-650 ANCHORAGE. ALASKA 99502-0650 (907) 264-4111 TONYKNOWLES DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit #: 840157 January 31, 1985 TO: Permit Applicant SUBJECT: T12N R3W Section 25 N½ SE¼ NE¼ NW¼ NW¼ A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log'needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, SupeYvisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 'HUNICIPRI_IT'.¢ OF RNCHORRGE DEPRRTHENT OF HEF:IL.TH RN[:, EN',/:[ROI'.IIr¢iENTRIL. F:'RO'TEC'T:ION 825 L E;TREET, F:iNCHORRGE., RK 9S¢50± 264-4.720 F'E:F::H I T ['-,!0: E:'RTE I :,=,UE[: RPPL. tCFINT: LEL. FIND R. JOHNSON RDDRES'.S: SRR E',O::':: E;±-'D FINE:H OI'.:.'.FtGE, Rii( '.ii:'~D 5 E~7 CONTRCT PHONE: ;.:::76-E1517 LEGRL DESCRIF': S;ii_tE',[>_f.'v'I:iSZON: NFl ~;ECTZON :. 25 TOP.!NSHIP: LOT SZZE: 66000 ,::LSL::L FT., (:if;'. RE:RES> f'l. RX BEC, ROOH5: 6 LOT: :L2N RI:INOE: '"::H L I L"7',TED E:EL.OH RF::E THE - PT T Ul'.~5 R'v'F-I Z LFIE:L.E TO ',rh~dJ I Iq E. E- I a~',l I N a ~'rh"iUR --,EF ¥ I _. .... r..., I EH. CHOOSE THE: .... OF"T' 1 ON THI:=FI' DE~T P T 7._, ''= "r'- R' .::,l'-' "FE.- -'ii" tiT: EL--: ,~"..J L-£: ~--.~ E~, E: E:, IL.J. E-, ~;,:. ~'~ :E l"-~ [:,EF'TH TO F IFm F-TT'I',I ,::FT. ':, 4-. 0 ';~RFI',,,'E_. [:,EF'TH ,::FT. ', 5. 5 TOYFtL DEF'TH ,::FT. ', 'a q GRRVEL HIE:,TH (FT..', 2. 5 L~R.H Et... L. ENGTH (FT." 2. t.%.'':. 0 ~'-'3N -",~ r.::.._ ~'::' ',,,'EILU~'IE ,:: I::l..I. ~'E"-%" ...... ', C",;~. }? 'IRNK '.~'!ZE. ...... ~--t1_.,':' ,::L, 750. 0 'qFITL RR-F!NG "'.E':'~ FT. ,-"'E,[,=t.., ;206 4.0 4.0 0.5 ----'.'.5 4.5 7.5 Z.:Z. 0 5.0 59. 0 :'L34.. 0 :+:* E;7. 7 99. 2 '?5EL 0 :+::+: i, 750. 0 :+::+: 201 206 :+::+: ORFI',,,'EL LENGTFI .:::' 'F'5 F:'T. F.:Eg!UiF. tES HL.ILTIF'LE R:UNS ,::NOT E;qE:EE~.:,~r'!G 7'5 FT. ERCH) _. :+::+: TRNK HI.JE;T HFI',,,'E IRT I...EFliiii;T '!"klE~ C:Of'IF'RF4:TMENTS ~ 7~~ ! C:EER]"!F'¢ THRT: · '_l..T. Rh'l F'Ri"!_TL.i[FIR F.!~TH THE REC!UIR. Ei~'IEENTS FOR C]N-~]iTE SEHERL~ RN£:, NELLS R)~ SET FOR'.TH B'¢ THE HII..tNI'C~PRL~TY OF FINCHORRGE (MOR> RND .THE 9.iTRTE OF RLRSKFI. ;2. .T. H~LL ~NL'--.,TRL.L THE SY?,TEH iN RCCCIRDRNCE HITH F-ILL HOR COL":,E:E~ RND R:EOIjLRT~ONS, RND'IN COHPL!RNCE HITH THE DEE;.T_GN CR.~TERIR OF THIS PER:MIT. 3. _T !.,.JILL R[:,HER:E -FO RLJ._ HOR F:)N[:' E;7'RTEE OF RLRSKR R'.ELT-!UIREHEHTE; FOR THE '---;ET BRCK [:'i{STRNCES FROH RNY E',:':Hi~T~NG HELL., HRSTEHFFFER D~SF'O'J6RL. E:'T"E, TEH OR. F'UE:L~C 5iEI4ERRGE L:;'WL:;TEH ON 'TH~.i OR. RI",I'T' FIDJRCENT OR NERRE:'¢ LOT. ~ ONDER'STRN[> THRT TH'~S FIpERhl~T ~ VRL. ID FOR FI MRX~HUM OF el E:EL~,R:OOM~ FINE:' RN'¢ ENLRR:CiE!"iENT HIL. L. R. EL.-.!UIRE iRN RE:,D~T~ONRL PER. MIT. IF:' FI LIFT tS]'F!'FIEfl'.,I :[E; Ii'..L:;TRLLE[:, ihl RI'.,I RREF! CO',,,'EF;:ED E,~ HOR E:_IIE,IN.3 Lu[E .... THEN ,::::L> RN ELEE:TRtICRL PERHIT F¢-,ID INS,'::'ECTION tllJ:T BE uEIHIHE[ .... ::2> hi_, E, UtLT_, I.,.I_T. LL NOT EE HFFR_ E[ HITHOUT RN ELEC-FRIC:RL ZN_FEL.,IJIq REFuR. I., FIN[:, ,'2~, THE ELECTR I CRL. HORtK i',ll_l~5/,T~ BE [:,ONE EFt' F:I L. I E:ENSED ELEC!'R I C I RN. C ........................ :SS,JEC, E:., ' · r:,m'E: /.~.-~-, .~-~ ~ SOILS'LOG . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENYAL PROTECTION ~ PERCOLATI0,N~/ TEST ^~,~' 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: O& II I 1,1,~1~ I/ II II1 10 11 13- 14-' I§- 16- 17- 18- 19- 20- COMMENTS Vet? PERFORMED BY: 72-008 (6/79) WAS GROUND WATER /~0 SL ENCOUNTERED? pC ~ YES, AT WHAT E! ~EPTH? Gross Net Depth to Net Reading Date Time Time Water Drop ~0 '~.'z~ ~ ,77 .~- fi-I(, ,f ,,_~ I0 , ~ ~ , Oq ~ ~.'~ ~ /0 , ~g ,~ ~.'0~ /0 ,~ ~ I0 ENGINEERING 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 flies 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 Address Date ' DHEP APPR OVAL' ~'~"~ ~ by .~.,,~,~ ~ Approvedfor :'W-' bedrooms Approved ~ Disapproved Gondition'ffl Terms ot Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmeatal Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations 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 requirements. Employees of DHEP 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. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) ~UNiC~pALtl~ OF ANCHORAGE CHECKLIST - FEBRUARY 1984 , DEPT. OE HEAL'IH & 264-4720 WELL DATA we,, R£ IV£D Classification C~!/,/~4Z"~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Y Date Completed ~,//~ fC/Z~'~;' Yield Total Depth ~- / Cased to '~' ~' / Depth of Grouting /t//~ Static Water Level /ZOr Pump Set At Casing Height. Above Ground 2~.~ / Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) ~ Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tahk on Lot ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Collected -5~f Sample by /'7~,4~) ; On Adjoining Lots ~"//O¢~) / To Nearest Public Sewer To Nearest Sewer Service Line on Lot /~,/~ Water Sample Test Results Comments ~ F/~'G~ J4/¢// // B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holdi.~g Tank: To Water-Supply Well To Property Line To Water Main/Service Line. ~' ~-' / Course Z Size /~"~--~ No. of Compartments Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N) ,~ Date Last Pumped /?/~ '4/.//'] ; for ////~' ~///¢) Temporary Holding Tank Permit (Y/N) ,4¢//A __ To Build?ng Foundation //z To Disposal Field /~' TM To Stream, Pond, Lake, or Major Drainage L Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test ,A//~ Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field Gravel Bed Thickness r'~"7, .~ Standpipes Present (Y/N) Date of Last Adequacy Test 7 To Property Line //~'~ To Existing or Abandoned System on ; On Adjoining Lots :> To Cutbank (il present) Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N),~''''''''~ "Pump O f f,~at /~//~ ,'""~Ve nt (Y/N) Pumping Cycles during Adequacy Test, Meets MOA ** Ch~epkd:rermitted Bedroom Rating Against HAA Request ** I certify that I ha. ye checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Si ned ../~'~"~/u"¢¢¢ ~, ~ Date Date of Payment ~4//~./~ Page 2 of 2 ' 72-026 (11184) CONTROL SERVI~, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 O0