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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)