HomeMy WebLinkAboutOLSON HEIGHTS BLK 2 LT 6Onsite File
S.a
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: OSP191135 Effective Date
Work Type: SepticTank Upgrade
Tax Code Number: 01823112000
Site Legal Address: OLSON HEIGHTS BLK 2 LT 6 G:2936
Site Mailing Address: 4450 E 135TH AVE, Anchorage
Owner: Jahnsen Petter
Design Engineer: C & M Engineering
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms:
lll�Ilr
~
sr v;
i_)elattl'Ct71C'IlC
4/26/2019
4/25/2020
49500
❑ 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: Date:
Issued By: �Date: Y/2
to /f'
3
Em P1 ANS RUSH
MUNICIPALITY,OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section -' Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 018 -231X -ID,
a
Property owner(s) Petter Jahnsen
Mailing address
Site address 4450 E 135th Ave
Day phone
Legal description (Sub'd., Block & Lot) Olson Heights Block 2 Lot 6
Legal description (Township, Range & Section)
Lot Size 49,500 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field ❑ Initial ❑
Single Family (SF) 0
Septic Tank 0 Upgrade 0
(w/wo AD U)
Holding Tank ElRenewal ❑
Duplex (D) El
Privy ❑
Multiple Dwellings ❑
(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.
C&M ENGINEERING
(Signature of property owner or authorized agent)
Permit/Rush Fees: 310o Waiver Fees:
Date of Payment: _ Wa 5 !l 9 Date of Payment:
Receipt Number: (1)L/ Receipt Number:
Permit No. 05P19 Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water & Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
04/25/2019
RE: Proposed Septic System Modification for Olson Heights Block 2 Lot 6
Dear Reviewer,
The above referenced property is currently served by an older 4 bedroom septic system. The 1000 gallon
tank has failed and is in need of immediate replacement.
We are proposing that the existing tank be replaced with a new 1000 gallon (minimum) tank constructed
and installed in accordance with MOA requirements. A polyethylene or advanced coated tank is
recommended.
As shown on the plan, the tank will be greater than 10’ from the house foundation.
The tank shall be covered with a minimum of 2” moa approved insulation and 3’ of cover.
The repair shall be performed by a moa certified installer in accordance with MOA requirements.
The engineer will inspect the tank before backfilling.
Repair of the proposed system will not negatively impact adjacent lots.
Upon completion of the installation, a record drawing will be submitted showing the location of the new
tank, leachfield, well, and other applicable features.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5558 or by email cgbalzarini@gmail.com with any questions or concerns.
Sincerely,
Charles Balzarini, PE (04/25/19)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191135, Rebecca Carroll, 04/26/19
�1� Qe�' tewater
LEGECLEANOUT
&
D A . ANC
• MONITOR TUBE C�SP191135, Re • C2r�b11 1
BLOCK 1
TEST HOLE LOT 6 / *� lli •* r/
(WELL MORE THAN 200'•• •••• •••
0.5%\ SLOPE INDICATOR FROM PROPOSED UPGRADE) t
ow
.. • . • • • • • .
CHARLESG BALZARIM
••``
j•.• CE -13854 •. ���
c
E 135TH /
I
EXISTING DRAINFIELD
TO REMAIN
LOT 5 LOT 6 LOT 7
I
Y14'
EW AFTER
NK COs
/EPLACE EXIST TANK
WITH NEW 1000
AL TANK. DEMOLISH
LD TANK PER MOA
EQUIREMENTS
EXIST FOUNDATION
CLEANOUT. REMOVE
DEBRIS AND INSPECT
PIPEFORDAMAGE
100' WELL RADIII \
3 BR HOME
THE PROPOSED SEPTIC TANK IS GREATER THAN:
100' FROM ANY PRIVATE WELLS
200' FROM ANY PUBLIC WELLS
100' FROM ANY SURFACE WATER
10' TO ANY PROPERTY LINE OR FOUNDATION
/ SCALE: 1" =_3Q'
LEGAL DESCRIPTION: OLSON HEIGHTS BLOCK 2 LOT 6
C&M ENGINEERING SERVICES OWNER: JAHNSEN DATE: 4/25/19 1 REV: I DR
907-854-5558
SITE PLAN
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH 86 ENVIIRONMENTAL PROTECTION
ENVfRONMENI'AL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEI~4 AND/OR WE!..L INSPECTION REPORT
I Liq. e~p~.city ~/ gallons
' Q Well '--
. ~"D~ c ,STA~-~O: Well
~ lCl~s Depth
Inside length
Dwel n9
Dwelling
Width
NO.O~,~EDROOMS
I PERI~tJ~T NO, ~
Liquid depth
Foundation ~ ,/ ~_Neares, lot tine~;;~.,~l ~' PERMIT
Total length of Ib]e,---/~~:------ Distance~.)tl~y~.~ :ina,
Ma t ~ i~ne n~e~ ti. o L_ ,~- * inch eL ~_otel e f fac t~l~..~ti on a rea
Depth
PERMIT NO.
I ~apacity .
Matorial in gallons
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot line PERMIT NO.
Sewel line Septic tank Absorption area(s)
OTHER
-PIPE MATERIALS _
....
-REMARKS
DATE LEGAL
C~ 0 0 0 0 0 0 0 0 0 0
F':'EFiJ"I I T NO.
FtF'F'L I CI:::II",I'T'
L,OCFI'T 101",1
MEGFIL.
I>EPF!F;YFHEiI,I'I" 0'":' t'IEI::ILTH f:tl",lD E';NVII:ROt"-IMEi",rI"F:IL. ~'"'='O'T'E'C'I'IOI',t
825
( 8q. 0_!:72 >
f,l[Ng% E E:EETER
HI...IF F H F:Ii'.,I F:IREFI
L..'T'6 E:L,~< LT..' OLSEiq Ir'Vr:i~;
S '1" Fi'. E IE "1"., FI ~.,J (2 H 0 F~:'. FI G E., FII<. 9:5 i
2 6 4 - 4 7 2 0
CJ ~'..,,11 ...... "_"-".~; I; '"F E; SF; E t.,,.~l IE{ F:
SRFI E:::-:,' :1..546-E
L 0 T S I Z E
'T'T'F'[i: OF' SOIL. I=IBSORPTION ."3'¢S'FE:H IS: TRENE:H
I"tF:i::-,:ll'lLIhl 1'.41...Ii'"I[!!~[EI',:: OF BEDROOHS ::=
SO i L RFI'I" I t',IG ( S~;:! FT,..'BF4: ::, = 8 5
TFIE REQI...I I REI:, S i ZE OF THE Slil;[ L. FISSORPT I 01'.,I S'¢S]"EI"I 1:5:
THE LENGTF! DIHEi'.,ISIOI'.,I IS THE L. ENGTH ,:lIN FEET> OF' THE TREI',ICH O1:~'. I)F::FIINF'IEI.~.[:,.
THE [)EPTH OF FI TREI'.4C:H OR F'IT IS THE.'". DIL:,TRNCE BE:TI.,.IEEt',I THE SURFFICE OF' ]"FIE
GF::OIJI'.4[.', FiI',t[:, TFIE [.:.",OTTOH OF THE EHCFIk,'I=ITZON < IN FEE]').
]q-'IEP;!E I:5 NO SET I.,.IZ[:,TH FOR TRENCHES.
'T'H[:=' GF4:R'v'EL. DEPTH IS THE I',lllqlr,ll...IH [:,EF'TH OF GRFI'v'E:L E',ETP.I[.iEN THE OtJTFRLL I:::'IF'Ei
FII',I[:, THE BO'[']"Ot',I OF' THE EHCI:I'v'FtT I ON ,:: I N FEET ::,.
[::'E:f~".H I 'T' FIF'PL. I CFII'.,IT Hl:::r3; THE RESt:)ON:.E; I E: I I... ]: 'l""r' "['O I HF'ORH "I"1.-I I S [:'EPRF:t'I'HENT ['.,L.II;i: I 1"4G 'THE
I I'.,I'.:];"FIZlLLtYT I O1'.,I ~ N~;F'IEE:"I" '[ Ot'.,I'S OF: F:li",l"r' HEELS FID,J'F!C:EI',tT 'T'O TI4 Z ~ F'f~]OPEF,;:T'¢ FIND 'T'H[C
t"4L.If'IEi:EF'. OF RE=";IDENCES q"FIFCI" 1"HE HEL. L HILL SER',,,'E.
............... 'IF ~..,.I1 {l~ ,:: 2 X::, % IN,It .".:.':.:..; F' EE C: 'T L[ C~ !',.!~ ..%.a; [:::;:11 IF;i;: E; F;?. IL:.E F=:L, L.II 31:: .'F~:'. El E3: .....................
E',I=IE:KF Z LL I I',IG OF:' Fl1'4'¢ S'¢L=;TEH t.,.I I THOUT F I I'.,tRL I NSF'ECT 101'-,t I=11'.,1[:, FIF'F'ROVFII... B'¢ 'TH I :i.:.;
[:,EPFIRTMEI',IT I.,.IIL. I... BE SUBJECT "1"O PROSECUTION.
MtNIHLli"I DiSTFII',ICE E:ETHEEN Ft HELL. FIND I::II",IY' ON-.-SITE S[{NI::IGE DISF'O'_:::;FIL ::i:;"r'9;'I"E:H I'i;
:1.00 FEET FOF..' R F'F..'I'v'FtTE HELL. OF.': :L50 TO 298 FEET F'ROH F:I F:'UBt_.IC HELl..
LIF'OIq ]"FIE' T'¢PE OF PUBLIC 14ELI ....
h'I].'I",IIHUH [:'ISTFINCE FREe1 F:i F"F.:I'v'FITE t.4ELL TO FI PR.f. VFITE :~;[Et,.IEF~'. LINE ];:;5 25 FEET
TO !:=1 COHHUf'ilT"r' SEI.,.IER I....INE IS 75 FEET.
I.,.IEL. L. LOGS Fff;.'~E F'.':Eg!IJIRIEI3' RN[:' I"ILIST BF RETUI;;:t,tED TO THE [:'EF'RRTHENT I.,.IZTI"I:I:f",I 30 I:::'FI"r'S
OF THE 14EL. L COI"IPLE:T 101",I.
O]q"'lEI;i: t;i'.E6!U :1; REP1EI'4T'::; MFI"r' FIF'PL'¢. SF'EC Z FI CFIT IONS FIN[:' COI",!STRUC]"~ LqN [:, Z RGRRHS RRE
FIVFI I L. FIEd_E TO I t',I::!;URE: PFi:Of::'ER t i",IS TRLLFIT ]: ON.
I CEF:T I F"r' TFIFI]'
i: I Rf'l FRI"IIL. IFIR HITH THE F::E:g!I.JIREHENTS FOR OI",t-'SITE !:=,EHERS FIND I.,.IELJ....S l::l'ii;
FOR'T'H B'¢ THE I'"IIJN I C I F'FIL I TY' OF RI",ICHORRCiE.
2: I I.,.IIL. L It',IL=.,'I"I::ILL. THE Sh"STEP! I1",1 F~CCORDRNCE t.4ITH TFIE C:O[:'E:5.
3: I LIIqDEF::STFtND 'T'HFIT THE ON-SITE :E;EI.,.IEI';.r S"r'STEH r,lFl't' RE(;!IJIRE EI'.,tLRF.:GEFIENT iF THE
RES 113,EIqC:E I S F.:~Ii1E~E:,ELIED TO :1: I',ICLUDE t"IORE THRI',I 3: DE[:,RE,3PI!iF,.
/..
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, A~charage, Alask,~ 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
1)
20
Z.c~T ~
SLOPE
~- _S' w.$ o,~OUN,:, WATER
ENOOUNTE,EO'
P
E
IF YES, AT WHAT
DEPTH?
DATE PERFORMED:,
SITE PLAN
I I I -
Re..~l~.~'! "%~'D~ .f~ Gross Net Depth to Net
.~:~, ~'tI: ,~,! ~h, Time Time Water Drop
~ ". C' -4d[;3 ."' ',' "~
PERCOLATION RATE
TEST RUN BETWEEN ~ FT AND / L¢':~ FT
~2-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description Blk 2,
Location (site address or directions)
4450 E. 135th Ave., Anchor:age
Propert¢ Owner ~so. Mere
Mailing address
Day phone
Agent ]~. l[oou,c Day phone 276-2001
Address 2600 Denali St. ~Ste 400, /~cho~a~;e, AK 99503-2740
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF FIEDROOMS: 3 ~
3. TYPE OF WATER SUPPLY:
Individual well X
Community well
Public water
NOTE:, If community well system, provide written confirmation from State ADEC attest-
lng to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site X
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
Lending agency
Mailing address
4450 E. 135th Ave., Anchorage
National Bar~k of Alaska Day phone
Ho~tgage Loan Dept.., 1500 W. Bensot~ Blvd.~ 4th
Attention: Shi~'lin Wells
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'sepoo e~elS pue led!ojunR lie qli~ @oUe!ldwoo u! s! LUm, SXS lesodsip JoleMa~se~ ~o/pue/,Iddns
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LUO4 pau!e~qo UOp, eLU~O,tU! aq~, uo peseq ~eq~,~,tpe^ ~equnj I 'u!e~eq poleo!pu! eJnlomls Jo ed,9, pue
swompeq ,to Jeqwnu eql ~o~ elenbepe pue leUO!~oun,t 'e,tes s! welsXs lesodsip Jele~elSeM ~o/pue
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Id:I:INIDN:I Alt NOIJ. O=IdSNI .-I0 .LN=IIN=I/V.I.S '~
Municipality of Anchorage
Department of Health and Human Services
HEALTH ,AUTHORITY APPROVAL CHECKLIST
Legal Description: Lot 6, Blk 2, Olson Height Parcel I.D.
A. Well Data
Well type PrivaLe If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) Y Date completed 6/2.8/81
Driller S),'ren Bros. Drill~_ng Inc.
1 f~. 5 Jrt. abovxLG.L.
Total depth ¢_5Z ft. Cased to drlkaown Casing height
Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
FROM WELL LOG AT INSPECTION
Date of test 6/28/81
--
Static water level 118 ft. 115 f.t
Well flow 8 g.p.m.
Pump level 1 Unkno~ca Unk~
SEPARATION DISTANCES FROM WELL TO:
O7-
~ rz
Septic/holding tank on lot 135 ft.
Absorption field on lot _ 141 ft.
Public sewer main N/A
Sewer service line N/A
;On adjacent lots 100+ ft.
; On adjacent lots __ i00+ ft.
Public sewer manhole/cleanout N/A
Petroleum tank N/A
WATER SAMPLE RESULTS:
Coliform 0 colifom/lO0
Date of sample: 9-i-93
Nitrate
1.31 rog/J_ Other bacteria
Collected by: D. Neo);J
FIoBe
B. SEPTIC/HOLDING TANK DATA
Date installed 5/30/8/_
Cleanouts (Y/N) Y
High water alarm (Y/N) N
Date of pumping 9-2-92
Tank size fO00 8a
Foundation cleanout (Y/N)
Compartments 2
Y Depression (Y/N) N
Alarm tested (Y/N) N
Pumper isaacs Pm~pin8 Service
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot 135 fi:.
To property line 50 ft.
Surface water/drainage
On adjacent lots i00+ ft.
Absorption field 31 It:.
i00+ fL,
Foundation i4 ft.
Water main/service line N/A
72-028 (~93)' Front CONTINUED ON BACK PAGE
C. LIFT STATION ~T/A
Date instal[ed
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" Level at
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Date installed 5/~0/~1
Length ~J- ~:'~.
Total absorption area
Date of adequacy test W1/93
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Soil rating (GPD/Ft
Width 3 L--. t, Gravel thickness
340 .sq L't_. Cleanout present (Y/N) ¥
Results (pass/fail) t'a~
System type r±l:e~)ch
4 ±'~. Total depth ~.'~
Depression over field (Y/N)
for ~ Bedrooms
Aftertest 7 :[:'L. 2 i~ ~-c:;~,~
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 135
To building foundation
On adjacent lots 100+ £L.
Surface water 100+
Curtain drain
On adjacent lots LO0+ ±'L. Property line 25 fi:.
To existing or abandoned system on lot
Cutbank [q/A Water main/service line
Driveway, parking/vehicle storage area 34
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or,conformed
Signature
Engineer's Name ¢-~/(,,~ , ,
Date ':
~o ali MOA and HAA guidelines
, of this inspection.
HAA Fee $ ~.~ 0~)
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number