HomeMy WebLinkAboutKNIK HEIGHTS BLK A LT 11
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: OSP241293
Work Type: SepticTank Upgrade
Tax Code Number: 01703229000
Site Legal Address: KNIK HEIGHTS BLK A LT 11 G:2836
Site Mailing Address: 12641 RIDGEWOOD RD, Anchorage
Owner: ANDERSON ALAN D & LANA E
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
9/11/2024
9/11/2025
43500
❑ 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
-Rece1V0-By: e r I tU IUA Date:
Issued By: Date: q11 I"_ 2-
4
MUNICIPALITY OF
Development Services Department
On -Site Water & Wastewater Section
Parcel I.D. 017-032-29
ANCHORAGE RU.5H
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Property owner(s) ANDERSON
Mailing address 12641 RIDGEWOOD RD
Site address SAME
Day phone
Legal description (Sub'd., Block & Lot) KNIK HEIGHTS BILK A LT 11
Legal description (Township, Range & Section)
Lot Size 43500 Sq. Ft. Number of Bedroomslx
Phone- 907-343-7904
Fax: 907-343-7997
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
❑
Initial El
Single Family (SF)
El
(w/wo ADU)
Septic Tank
Upgrade F�
Duplex (D)
D
Holding Tank
El
Renewal 1-1
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
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:
Date of Payment:
Receipt Number:
Permit No. 0_5 FZ 1�
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GAIDevelopment Services\Building Safety\On Site Water and WastewaterTo rms\C lie nt FormsTermit Application.doc
Aug. 28, 2024
Municipalities of Anchorage
On-Site Water and Waste Water Section
4700 Elmore Rd
Anchorage, Alaska
Phone 343-7904
Re: New septic tank permit
Legal: KNIK HEIGHTS BLK A LOT 11
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. The tank will be decommissioned per the Uniform Plumbing
Code (UPC).
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241293, Deb Wockenfuss, 09/11/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241293, Deb Wockenfuss, 09/11/24
Municipality of Anchorage Page i of :.7-
DEPARTMENT OF HEALTH AND FIUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION-
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~['~ q~-"O0 ~[f PIDUumber: C( 2~
Name:
~ L-A-N' ,~ £A~x~/~- A-/~/~/-~¢~/ Wastewater System: G'N~ew [] Upgrade
*~;e,.:l ?_~ ~ ~O~.o~,~' ~::~:~ABSORPTION FIELD
Phone: -'~ ~~ ' ~;0~ ~pTre~h ~ Shallow Trench ~Bed ~Mound '~Other
LEGAL DESCRIPTION ,so,,.~,.~,~GPD/Sq. Ft. TotalD~h~moriginalgrade:
Lot: Block: Subdiv~ion: Depth to pipe boltom from original grade: Gravel depth beneath pipe
Township: ~ Range: 'Section: Fill added above original grade: Gravel length:
I
Ft.
WELL: ~ New ~ Upgrade Gravel width: Number o[ lines: Dislance ~tween lines:
Classification (Private, A.B.C): Tot~,~e~th: Cas~ Tote, absorption area: Pipe materiel:
Oril{~ - Oate Dril. d: StaticWater Level: Installer: Date
Yield: ~t ~ GPM Pump Set at:[ ~ Ft. CasingHeightAboveGround:~ Ft. ~:~5-: t:5 TANK
SEPARATION DISTANCES ~ptic ~ Holding ~ S.T.E.P.
To Septic Absorption Lilt Holding 3ubl~c/PHvate Manufacturer: Capacity in gallons:
Fro~ Tank Field Station Tank SewerUnes ~N(~~ ~1~ /
Well' //+' J+¢ / ~ ~ ~/~ Mated"l:~ :~ ~ Number °f Compartment':
Sudace / /
wat~ /~ ~ /~ ¢ I~/~ ~/~ LIFT STATION
Lot / / / /~ , Size in gallons: Manufactu~r: ~
.,..
2 ¢//
Remarks: BENCH MARK
Location and Description:
I Assumed Elevation:
I00 ~.
ENGINe.S SEAL ·
Ins ections erformed b · ' Dates' lst~7 '.? ..~': ~ . ~ ~ ~,':': f
D
epartment Human Services approval ~ ~. ...... c~ 8~4~
~~ ~~ '~ ~" ., ,,:.,,,,,,
Reviewed and approved by: ~ Date: ~-~¢¢ ~;~?~*~ ....
72-0t3 trey. 9/91) MOA 25
Municipality of Anchorage Page 2- of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~:~ ~d q~ c'~O~-~, ~ PID Number: c~l ~ (~ ~ 'Z'~ ~
~~ ~ ~ A~A A ~12~5~ Wastewater System: ~New ~ Upgrade
Addres~ ~C~ ~l~ ~0~ ~' /~g~ABSORPTION FIELD
Phone: ~_~ No. of Be~ooms: ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other
LEGAL DESCRIPTION so, Rating:~ ~ GPD/Sq. Ft. Total~Depth ~m original grade:
Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel ~pth b~neath pipe
/ / ~ ~f~ ~,~/~ ~ ~ ~,. ~. ~ ~,.
Township: Range:~ - I~ti~ e
: Fill added above~gi~al grade: Grav~
Ft. Ft.
WELL: ~New D Upgrade Gravel wid~. ~ Numbe~oflines: Oistance between lines:
Ft. Ft.
Classifica~n (Private, A,B,C): Total Depth: Cas~o~ Total absorption~rea: Pipe materiah
Driller:~ ~ ~ D~4~ Date in,talle~:
Pump Set at: Casing Height Above Grou,id: TAN K
~'~'~:{( 7 ~ t~ 0 ~,. ~ ~,.
SEPARATION DISTANCES Cs~.ti~ ~ ,o~oi.. ~ s.~.~...
To Septic Absorption Lift Holding Public/Privat, Man~Gt~Yer: ,, ~'
From Tank Field Station Tank ~ewer Lines .,,'~ ~0 ~ I~ ~ ~ '~
Number of CompaAments:
su;;:: f ~ r~O~ ~ ~ LIFT STATION
Lot ~ Sizein gallons: Manufacturer: ~ J /
Line ~ ' "Pump on" Jevel at: ~p.,~l at: High water a a
Foundation Cf /00 ~ ~ ,,---- at:
C;:t~n /~* '~O+' ~ ~ ~ Pump~o~ Electricallnspectionspedormedb,:
Remarks: BENCH MARK
Location~nd Description: -- ~ ~ ~
~ ~ Assumed Elevation:
~o0 ~,
Inspections performed by:~~/~ ~ ~es: 1st ~/~ ' .... ' .....
2nd~?-~/~-~~~~._ JA~S h~: W,-~HT :~:..: ~.,
Department of Healt~ and Human Se~ices approval ~t~." .....
Reviewed and approved by' ~~ ~~ Date' ~-~-~
72-013 (Rev. 9/91) MOA 25
Permit No. ®¢ ~5'0o¢~/ Page ~-~ ·
Municipality of Anchorage ~ of :?~__
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 34.3-4744
On-Sit~Wast~water Disposal System and/or Well Inspection Report
Legal Descnpbon: ?,.HIIK H~l~r-~--~ ~oz~ ~)
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650*Anchorage, Alaska 99519-6650.Telephone: 5zi3-z1744
On-~ite.~Wast;4~water. Disposal System and/or Well Inspection Neport
Legal Descnpkon id.~.!.,~. #~/~-~ ~'M~LP PID No.
I
POINT CNR. A CNR. B ELEV. GRND. REMARKS
ELEV.
C1 88.7 79.0 91.6 95.3 INV. OF PIPE
C2 77.0 100,8 .ql.6 94.7 INV. OF PIPE
M1 77,7 83.0 85.5 95.0 MONITORING TUBE
C3 108.4 110.0 90,1 94.4 INV. OF PIPE
C4 104,0 176,0 cfi) 1 93,3 !NV, OF PIPE
M2 106.4 110.51 83.5I 94.5 MONITOR!iX!G TIJBE
DC2 39.0 52.5 96.3 99.7 INV. Ob PIPE
DC3 65.5 75.0 93.7 97,2 INV, OF PIPE
DC4 65.5 75.0 93.7 97.2 !NV. OF PIPE
T1 27.0 42.3 92.3 100.2 INV. OF TANK
T2 34.5 47.8 92.2 100 'NV. OF TANK
Mlmicipcllify ~,f Anc:horc~o~
.b~ of ~
~ Dh,, '1~"~'--~ - - ,:,~-p,,._~,n~. 543--4744
P ..... L ....... , :,,.,&_,0 · Anchorage, Alaska 995' 9-6F,~n ~ ',-~,~ ~ -
'/ I
, /
I
P.O. Box !9,,.&_.0 · Anchorage, ^'--" 99,~,,g-o ..... 0 · Te, eph,~,ne. ~,4.5-4,44
Legal Description: ~-~ ~L~l
Jl
I
~1 o
~ o
H~: t
I
'/.' .'i. ; '~-~_!'~'~'~ ~" '~' *; :: ~. ~/-?.~ '-:%:!':;?' * ~..,~"~'-~'~*:~:..' -.'~:,~i~? DEpART~'ENT ~F NAT~RAL.Rj~SoUR'~ES' ::,~ ~ ~-"~?' ~
~-. * '-*- .... ~ . ~, -;~- ..... ' ~ ~ '"'~-~-- ~-'~'~*~.',.~-' :~ DIVISIONOFMNNG-&WATERMGM~,~.~ .... .'-'~
. ~ ~ -..~ , .... ~. ~;:?; .' .~. ~ ~' . ~ c.~ ? ~:~,. · WATER WELL RECORD ' · -~. ~", .~ ~ ~
LO~ATiON'OFWELL : - _~.,~,~;-.- ... ~ . ~ ~ ;~.F.~,.......,-*~?;~.>.· . :.... ~ , . ~ '-"::?
BOROUGH
/~ SU BDIV'ISION
SECTION QTRS
SECTION
TOW~IsHIP
I--IN
[]S
~NGE
~E
MERIDIAN
,ATIONISKETCH: i ~-
DEPTHS MEASURED FROM:l-I'casing top (-]ground surface
RECEIVED
OOT 1 9 1995
Oept. Health & Human Servic,
Depth
From To
WELL OWNER:
WELL DEPTH: ' DATE OF COMPLETION
Depth of hole: /~'/ ft
Depth of casing: !?1 ft
DEP~I~O STATIC WT/~R LEVEL:
[~-~
ft below ~ top of casing [] ground surface
Date: _~'~ / .,~,~ / ~'_~
METHOD OF DRILLING: ~ air rotary [] cable tool
[] other
USE OF WELL: ~ domestic [] irrigation [] monitor
[] public supply [] ~)ther
CASING STICK-UP:
Casing type:
ft. Diam: ~ in. to/?/ ft
~ in. to/C/ ft
WELL INTAKE OPENING TYPE:~] ppen end [] screened
[] perforated [] open hole . ' '
Depths of openings: to ft
SCREEN TYPE: Diam: in.
Slot/Mesh ·Size: ..... ' Length: .... -
GRAVEL PACK TYPE:
Volume used:
Depth to top:
GROUT TYPE: Volume:
Depth: from ft to ft
DEVELOPMENT METHOD: ..
Duration: / ~ .
PUMPING LEVEL AND YIELD:
ft after ? hfs
pumping
PUMP INTAKE DEPTH: ft Horsepower:
WELL DISINFECTED UPON COMPLETION? ~YES
gpm
[] NO
CONTRACTOR INFORMATION:
egxi~ered' Business Name. / /'
~ ' pr~se ' Date
REMARKS:
PLEASE MAIL WHITE COPY OF LOG TO:
DNR/DIVISlON OF MINING & WATER MGMT
· PO BOX 107005
ANCHORAGE AK 99510-7005
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NLrMBER:SW950041
DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC.
OWNER NAME:ANDERSON ALAN D & LANA E
OWNER ADDRESS:12641 RIDGEWOOD RD
ANCHORAGE, ALASKA 99516
DATE ISSUED: 4/05/95
EXPIRATION DATE: 4/05/96
PARCEL ID:01703229
LEGAL DESCRIPTION:
KNIK HEIGHTS BLK
ALT 11
LOT SIZE: 43500 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4?44 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
SEPTIC
5
I I
I SEPTTC ]
! ~ I
i I
L J
I
WELL
I
J
\ I
-t- WEF.F L \l
"'ST HDLE
~:Y~T~'M 14~000 .~F
BITE PLAN DETAILS
i~I~01sOSED WATER AND ~T~A~ ~50~TION ~TEM
LOT 11 BLOCK A ~IK
PREP~D FOR~ ~ & ~A ~ERBON 844-8700
S~OO B~EY D~,
CONB~UCTION ENGINEERS 046-S000
9801 BUDDY ERER
ANCHOEAGE, ~.
3-12-95
P~OPOSED W~-~T~'W~kTER ~mmSOI~PTION SYSTEM -- ST~_I~LRD TI~NCH
LESS THAN 4'
(ALL COMPONENTS)
mymtem. Lot im ~o bm ~e~ered b~ a pHv~e well. ~he mxsem will be a m~andord
grovEy obsopUon system wi[h o deep trench.
ABSORPTION A~A CALCULI~ION$:
Minimum Required: · Bedrooms x 1~0 gpd/be~room ~ 500 gpd
Soils rotln~, proposed a~stem, 0,8 9pd/sf
~inlmum sizing: ~00 9pd - 0,8 9pd/sf - 750 af absorption oreo
U~e 3'W x 64'L x ~' O - 760 ~f mlnlmum for trench
Trench depth; Bottom : 10' Below gmd~, w/ 4' cover or 2' rain. cover, end 2" ND
~nmul~[[on per design dr:wlng
~AC~ O~ ~NACB~ [0~ There ore no pHwte wel!a within 100' and no public
wells within 200' of tibia absorption system, the proposed obmorptlon system
horn no impact upon ~ny :dj:c~nt ot~ ~ ~hown on o~t~ch~d ~ite
Pi~OPOSE]3 ~FASI' ~-' w.i,TER
LOT 11 BLOCK A
8~50 S~N~Y DH, ~50B
~CHO~E, ~S~ ~G507
CONSTRUCTOR' ENGINEERS 846-8000
~801 BL~DY ~HNE~ D~
844-8700
DRAWN BY
825 'L Street, Anchorage, Alaska 99502-0650
SEOPE SITE PLAN
(FEET)
1
2
3
4
6
7
8
9
10
11
12
13
14
15
16
17
18
19
WAS GROUND WATER /V*O
ENCOUNTERED? SL ~_~-!'
DEPTH~ ,
~o~ll~rln~? ~ Bale: ~ ,
Reading Date Time Time I Wa[er fl ,
/ .. $,~. %.¢ - .. z,~"
'~' j~ 7~ J,o" ,~_;
~ ~ -5:~.o~ , .~
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER
'[EST RUN BETWEEN '"~f~'- FT AND .~ FT¢.__
72-008 (Rev, 4/85)