HomeMy WebLinkAboutT12N R3W SEC 25 NW4SE4NW4NE4
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
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241290
Work Type: Septic Upgrade
Tax Code Number: 01741109000
Site Legal Address: T12N R3W SEC 25 NW4SE4NW4NE4 G:2841
Site Mailing Address: 12550 TOILSOME HILL DR, Anchorage
Owner: CAMINER JUDITH C REVOCABLE
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
N,
L)cliartti3��nt
9/24/2024
9/24/2025
108900
0 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
Received By: S S �� C� C Date:
Issued By: Date: �/ 2 2 Z
3
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-411-09
Property owner(s) JUDY CAMINER Day phone 907-227-4125
Mailing address 12550 TOILSOME HILL DRIVE *ANCHORAGE, AK
Site address 12550 TOILSOME HILL DRIVE *ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) T1 2N R3W SECTION 25 NW4SE4NW4NE4
Legal description (Township, Range & Section)
Lot Size
Sq. Ft.
Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
�
Initial ❑
Single Family (SF)
(w/wo ADU)
Septic Tank
Q
Upgrade 7X
Duplex (D) ❑
Holding Tank
7
Renewal ❑
Multiple Dwellings ❑
Privy
f❑-1
(SF and/or D)
Private Well
0
Water Storage
D
THIS APPLICATION
INCLUDES A 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: Waiver Fees:
Date of Payment: Z'- Date of Payment:
jj
Receipt Number:
Permit No. 05p2q12q0
Receipt Number:
Waiver No.
G:iDeveloprneni Services\Building Safety\On Site Water and WastewatehForms\Ciient Forms'Terrnit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241290, Curtis Townsend, 09/24/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241290, Curtis Townsend, 09/24/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241290, Curtis Townsend, 09/24/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241290, Curtis Townsend, 09/24/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241290, Curtis Townsend, 09/24/24
1.5 OH
ec
15.0
Q) 41.5
CP N-
8.7 0.6 3
3.0
ret. wall
Well
0
House Detail Scale: l"=50'
SCALE: 1 "= 100'
C)
co C� 33.0
Wooteer �StioJ Woolever Subd.
Lot 3, Bkonk I Lot 3, Block 2
_____N89.59'E 330,37 (R1)7,
LEGEND
(R) Record per Plat No. 68-141
(R1) Record per Plat No. 70-113
(C-R & RI) Computed from data per (R) & (Ri)
----108.00
30.0
NOTES:
1. The boundary of this parcel was computed
from data per adjacent plats of Woolever
Metal fence
Subd.(70-113) and Random Heights Subd.
06
ce)
(68-141)
X
Z The computed bearing and distance
05
between the SE comer of Lot 3, Block 2,
Woolever Subd. and the NE corner of Lot 4.
Random Heights Subd. is the westerly
boundary line of Toilsome Hill Drive. (Not
co
u')
dedicated) The easterly line is undefined.
4..
r-)
> -A
C0
0
2 Story Frame A
C5 0
N
House wih
Pell CD
Basement
D CD
Z
(See Detail
Lu
Chain linki,
Z
cr 1 fence (typ)
3:
CD
NW 1/4 SE 1/4 NW 1/41/4,
Z 0 NE
NE
114 SE 114 NW 1/4 NE 1/4
F5 S I SECTION 25, T12N
R3W S.M. AK
30.0 1—
— 11
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON
UNLESS OTHERWISE NOTED.
N89'58'30"E 330.15 (R)
Lot 4
Random Heights Subd
OF
AW A,
4 9 t h
00
00
4 X
#4 *.bizabeth L. Walatka mor
AO
8035 - LS -
§7 MW
AW
�A
SIONAl—
BE
Ff3 234, pg 34-36
Lot 2
Random Heights Subd.
REVISED 5-22-24 Added Septic Vents
AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described property: NW 1/4 SE 1/4 NW 1/4 NE 1/4
SECTION 25, T12N R3W S.M. AK
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this - 25th day of JANUARY , 2024.
907-248-1666
FRED WALATKA & ASSOCIATES, L.L.C.
Engineers and Surveyors
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law, Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
VIA NRAPALYrY OF ANCHORACE
ADV.-kNCED WASTAVATER TREATMEN'r SYSTEM
:�i.AINI-ENANCE ikpij) REPAIR AGREEAdENT
IS."
wacmd SO as of Dal of of 20 by and betv'ec-in
herein the "ONN'NER." and the
AncknugnKeU w nit 'dPAL EFY-.inaccordwweWith iMwhonlekhmi6pl(IO(�
ANIC) 15.65365. in conslorMion mr1he mKol co el coMained hmein, Me punK w A:,
Agreenw! agrec an MHow:
TI-eatment Svoem& The .70unicipality grants pernnission to the
Duner It ulAw and op,. ac an Advanced %Vastc\%ater freatiment S% si'nl { 'A'%\'V" i
describ',A
located at t1agal desurip6on.)
PAR TY
----------------
2. N LILaIld Altel-ations.
(O"ner is rawYA o mud- undemmnd and AS! each sec6on)
ThfOughoul lit, imn of Us Agmenwnt- the Owner shall enwr boo it savicu aymmw-:I
%vid, sul AS ""i A sm We and ni&nwnwwe provider cypmved by do NU-66phy or A,
.'cprcswaadyn Vie A�VAVT*S shall be maintained inusatisi`a,-tor,
condhim upaks of pevnwn
Ve cqtk mumt'sapproval for operation in the Municipalip.
A ShAl he Ne rwTonsibiiity of the Owner during the term ofthis Agrecinem to It s i. r ,d?
mpahin mArmancA AQUumemyL rplacernent costs. and inspection, costs, jfija
'n(2UQ- an WON t'(."e (tl 1pically S400 to S600).
andl. rei-)air personnel approvethe %'fiu1IiciimIit%
or lh'c' ropmona6ve NA inspm and nwke ai�
repArs or 1hymined Aw.10 1" ul the S; Sim.
(Aner acknovOadges Lhat wgAur nmHomwe of an A'Vv Vy i S
SYM A&W >I -Mr. Which 000d AM SM\age bac'kup Z!i-"i or
replace,rov-
(nev.
/Ytj- Ovvncr ackno"ludges thAt tho Municipaho may, ro(lUest records of ilia i n tenan cc 'and
repairs Beir the rep,�ve escill, ti or -
I maintenance provider.
Owncr n2Knj",jdI,,;ws KI to fine for hilinu to maintain and repair art A\I,,"V-,'T'S
assessed in u-'coi-dance t�Jth vNIC 1161030,
()` cwer agues to grant we N4% ajjicipality reasonable access to test and inspect the
A'%VV""'J' �. Th-N,lunicipality v;, ill give at least 14-hotu- notice.
ONvner agrows Wat an), sale or transfer of title of the property will not occuii!fiout %I
Corti Cicaz'c (d", S� �tcr'ls Approv,.-
hin Owner agrew Oun the AWW-ES installation and maintenance requirements as pawAm
by tWINTS venAwAnmidler and approved by the N/lUniCipality are the 2()NvnHn,
guyvins Ew thconst:tiction. maintenance and repAr of the Owner's A%VVVTS.
n-,,Lthinin ranote 1-nonikAng of die AWWTS as required by the
3. AM, Aw on, , of ink :vgrcwncnt AT begin on the date of zwproval by the
Municipal. to ,perate Aw i MARCI s,ywrn. or upm transfer of title, and shad cowtiml"
"'hiic t!'(2 ;A `t'VVJN v 00cryi d x Lai. i JS is transferred.
I Shwo N4unicipaiit.y at in), tirne to enforce a provision of I t h, i,�
Ag rew ien , Oak in no " :I co im It we a w i vcr o f the provisions. nor in an3 way a Ww,'
any pan QX01'. or the right ofthe ivfuniciptlil""
rhereaRcr to hereof,
5. Q ent. ', As Immni shall My be amended by authorized represcimim ot'
the (Knor and Municipal, Any atten-i7fi (c, amend this agreernent bcith"'r an
iiiiuuithori/ rcprcszm A e at InAMhulad wwo $01 be void.
JIMIjon: Chokv of Lou. ;to civil actior, eirising,• from this Agrcernent, 1w,
Wought in the Superior Com Ti- the Third Judicial District of the Statc, �1!,
Anchorago Fhr ia"s of the mate orAlaska shall `govern the tights and ohHgwbns of thic
parties ulc'L"C ell ,
7. A an unn won: or this Agreernem decreed MAW by a court oj emnponit
jOsdictican shoui not inw-lidate the renwining provisions of the Agreernunt.
Am 05i 18/201 S,, Wgc 2 to �,
NEW=
Byl
Date:
__(Print name)
STATE' (T
SS.
The 1"Oregoill- irls�runie-,,it v�,as acknu"Iedged WAre ine OR day of 1-1
by
DARIAN VANCE
Notary Public
State Of Alaska
MY Commission Expires Jul 2, 2028
MUNWIPALITY
Bv:Ilatal"eDate:
WT1SQdj,,,(print name) Tifle: tv( I tz—
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
Well ' Absorption area
~ Manufactu r
~' Liq capac ty n ga ons
/~ ~ 0 IF HOME--DE:
7
~ ~ ~ Manufacturer
~ DISTANCE TO: ]Well /OO
~ [ ~ No. of lin s Length of each line
Length ~ Width
~ ~ Type of crib Crib diameter
I DISTANCE TO: Building foundation
~ DISTANCE TO: Well
_ Class Depth
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
f l ~e:~,~.. .~'k ~ NEW
Total length of lines
Material beneath tile
Building foundation
OTHER
PIPE MATERIALS
SOIL TEST RATING
D~3 ~
INSTALLER
REMARKS
Inside length
Dwelling
Foundation
Depth
Crib depth
Driller
Sewer line
Dwelling
Material
Width
Materiai¢ ~'
Nearest lot llne
I Trench width
I
NO. OF BEDROOMS
PERMI NO.
Liquid depth
PERMIT NO,
Liquid capacity in gallons
PERMIT NO.
Distance between lines
inches
Total effective absorption area
/Zoo
PERMIT NO,
Total effective absorption area
Nearest lot line
Septic tank Absorption area(s)
Distance to lot line PERMIT NO,
I o-&%
APPROVED
DATE
LEGAL
72-013 (Rev, 3/78)
~OX ~{t~}}~ ISTAR ~OI~"YP- A AA'CRORA~E, ~LASKA
INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF ·
DRILLED AT THE RATE Of ;q23.00 Per FOOT.
LOCATION Of WELL SlTF 2. . ~J2~.
WELL LOG:
o?
MuNIcIPALITY OF ANCHORAOI~
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
OCT 1 fi lg84
.RECEIVED
Co,~ o-~ ;~U..J,.L~.. ~23.00 pe~ooz X 350 ~e~t:',)$O~O. O0
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING·
WRITE CHECK PAYABLE TO P~.MFART DRILLING WORKS FOR THE SUM OF
".;,!,'.'..~..: ...._:. , ........ ': '- .-ff-':':;,=i-~ ?)1~.~' ~.~-~,.!~ ~ ~-~ ~ ~ .~ .., .. ~.~ ~' ~ ~
--.- ':¥ ..?~ ~ ~;: .~- _ · :=c-, -~..
THANK YOU VER~, MUCH. ~, ,~fl;~:: ,,.;. ',
BERNIE CLAUS OF RAMPART DRILLING WORKS
~ , . ? Departmen~-~f Health and Environmenta' ~rotection/~ ;,~,~-~-~
. o,,'~,~ , , 825 ' ~' Street, knchorage, AK. ~9501
< ~ . · 264-4720
": ''~ .... * * * HANDWRITTEN PERMIT * *
WELL ANtrON-SITE SEWER PERMZT .... '
Legal Description: '~/~ ~ ~ ~ ~t~ ~ Lot Size:
Type of Soil ~sorption System Is: ~ ~q ~A ~%~ ~
Trench: ~' Drainfield: Seepage Bed] __ Holding Tank:
Maxim~ N~ber of Bedrooms: ~ Soil Ra%ing(sq.ft/br) ~ ~/~
The Required Size of the Soil ~sorption S~stem Is:
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the m~im~ depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
~ ~ ~ TWO(2) [NSPECTIONS ARE REQUIRED
Backfilling of any system without ~inal inspection and approval by this department
will be subject to prosecution.
Minim~ distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minim~ distance from a private well to a private sewer line
is 25 feet and to a co--unity sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
~ ~ ~ PERMIT EXPIRES DECEMBER 51~ 1 9
I certify that:
(!) I ~ f~iliar with the requirements for on-site sewers and wells as
set forth by the Municipality of ~chorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more_ ~Ct~ bedrooms.
Applicant Date:
SWP/024 (1/81)
MUNICIPALITY'OF ANCHORAGE ·
DEPARTMENT OF HEAL,TH AN6 ENVIRONMENTAL PROTECTION RCOLATION
TEST
825 L. Street, Anchorage. Ala~kl 99501 264-4720
SOILS LOG --PERCOLATION TEST
SLOPE SITE PLAN'
2
3
4
5
6
7
8
9
10
12
13
14
15
~7
18
20.
C, Reid, Jr.
2251-E
PERCOLATION RATE ~,~) ~'~ ,,..~ . · .... ,' ~m~mJte~/inchJ
COMMENTS
J'[HF(IliMED BY CERTIFIED BY: ..
: SOILS LOG "~
,, .... . ~, ~, ,..·. ~ . /~ ~
', ~ MUNICIPALITY OF ANCHORAGE
i~i'; 'x [~ PERCOLATION
· ~i'e ~.~, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST
' ~,~/1~ 825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
LEGAL DESCR,'~T,O.: T ;Z'r'.) ' ~ 3 U,J ..¢~,,,-~/ ,"'/,.",~..-..
1
2
3-
4-
5:
7
$
@
10
13-
SLOPE SITE PLAN
14;
17-
18-
19-
DEPTH
WAS G
PERCC
;GROUND WATER
OUNTERED?
AT WHAT
COMMENTS
PERFORMED
72-008 (6/79)
10C)
~,TION RATE ~ ~., ,~. ~, · · · * .'~(r~,ut~s/inch)
TEST RUN BETWEEN ~'"O. '~;o~T ~''*° AN~ ~ ' ~'.?~" '~'~
BY:~~ / ) CERTIFIED BY: .'~-y;" ' ' ', .' '' DATEO ~- O /
· ~' ". t JF .'.', .~':: :'" '
Gross Net Depth to Net
Reading Date Time Time Water Drop
~- ,, /o,'5-~ IO , ? ? , II
~3 ~, u.'~ ? IO ,7c~ , o ?
~4 i, /I,'1~/ i0 , ~/I , 0 ~
· .~¢" . //:,~?' /o ,,FF" ,,~
(,g.~'L£ 2,-- ],,0'~ , g£ o I~ ~ N)
U
'm, zZrr OZ>.o
Luo <0 ~ .
.~ : ~ APPLI¢ ~NT FILLS OUT UPPER HAr'-~,' ONLY
Buyer
Address Zip Code
Phone
Address Zip Code
Phone
Realty Co. & A~nt b~/~,
Type of R i~nce
~dividual A~ACH WELL LOG. A w~l Icg is required for all wells drilled since Ju~e 1975.
~ Community For wells drilled prior to that date, give well depth (attach 10g if available).
~ Public Utility
S~r Disposal
Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time
Date Date
Inspector Inspector
F i ..,~, Notes:
Date
Inspector
Time
MUNICIPALITY OF ANCHORAGE
DEPT. OF HFALTH &
ENVIRONMENTAL ~TION
oc'r
RECE! VED
APPROVED BEDROOMS
DISAPPROVED
CONDITIONAL APPROVAL*
'CONDITIONS OF APPROVAL
Well To Absorption Area / OG '~' '
we, toTa.* ] ~.~
Well Log Received 0(.(~ ~C l~0~
Septic Tank Size ,,/ ~ ~ ~
Soils Bating Date Sewer Installed
November 14, t9S3
Kevin and Judy Gottlieb
'?~i00 E. iTth Avenue
Anchoruge ~ AK 99504
Subject: %'12N, i~3W, ~'~ ' , ~,n
Approval for the i~'~dividual sewer a~d %~ater facilities
be gray,ted until the following items [~ve been
% 'fhe permit for the installation of the on-site se¥~e[ syste~n
/~s-builts o~ the installation in this o~lce. I~ a private
~ engineer inspected the system, please send us the report
for our files and review.
Please notify this Dei~artment for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions~ please oall this o~flce at 264-4720.
Sincerely,
CW22/ej/E1
Cory Willis,
Acting Sewer
Program ~iana get