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HomeMy WebLinkAboutROCKHILL BLK 2 LT 461oc1 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: OSP241323 Work Type: SepticTank Upgrade Tax Code Number: 01536209000 Site Legal Address: ROCKHILL BLK 2 LT 4 G:2438 Site Mailing Address: 6431 SHALE CIR, Anchorage Owner: LASHER WILLIAM J & PEGGY J Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: 9/25/2024 9/25/2025 55819 ❑ 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 Reo&dm8Y: Date: Issued By: Date: ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-362-09 Property owner(s) Peggy Lasher Mailing address 6431 Shale Circle, Anchorage, AK Site address 6431 Shale Circle, Anchorage, AK Day phone 907-205-2814 Legal description (Sub'd., Block & Lot) Rockhill Block 2, LOT 4 Legal description (Township, Range & Section) Lot Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (9 all that apply) Absorption Field ❑ Initial Fi Single Family (SF) nX (w/wo ADU) Septic Tank MR Upgrade IR Duplex (D) EJ Holding Tank ❑ Renewal E] Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 Water Storage R 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: 2 2S Waiver Fees: Date of Payment: Receipt Number: Permit No. 25 P2_91 323 Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTormsUient FormsWermit AppliGation.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241323, Deb Wockenfuss, 09/25/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241323, Deb Wockenfuss, 09/25/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241323, Deb Wockenfuss, 09/25/24 Lot 1 70 AS -BUILT wOCORNERS SET THIS DATE (oereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 4, BLOCK 2. ROCKMK1SUBDIVISKJN Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and oonot o,mriopnrencroach unthe property lying adjacent thereto, that ooimprovements oothe property lying adjacent thereto encroach uvthe premises inquestion and that there are noroadways, transmission lines n,other visible easements onsaid property except as indicated hereon. Dated at Anchorage, Alaska mm 19th"September mou -_ —�====__� 2.2 ,,. ~_~,, '"~""-- q MUNICIPALITY OF ANCHORAGE  t 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 NAME PHONE MA,L,NGADDR.SS£ /o Well ~ Absorption area ~ ~ Dwelling I PERMIT NO. ~ ~ DISTANCE TO: {~ ~ ~ ~ ~ ~ Manufacturer Material ~' No, of ~partments ~ ~ Liq. o,?~l,on, IF HOMEMADE: Inside length -- Width -- Liquid depth ~ ~ DIST~ Well Dwelling PERMIT NO. '/ /- Li~d.e~y in gallons ~ ~cturer ~'~ '~~ M~.~~ -- ~ 'Well Foundation t Nearest lot line [ PERMIT N~O ~ DISTANCE TO: ~O ~ ~ e '~O ~ ~ ~ No. of ~lines~ ~ Length of each li~ ~ Total length of lines.~ Trench width~ ~nches Distance between~/~lines Length Width Depth PERMIT NO, .~ T ype~4~ '~ Crib depth J Tota~ffect,ve a~ area " ~ISTANC~: Well ~ ~g foundation Ne~¢ line ~ Depth Driller Distance to lot line PERMIT NO. Absorption area(s) ~ DISTANCE TO: Building foundation Sewer line Septic tank ~ ~O ~1 ~ ~ SOIL TEST RATING i °11 PERMIT NO. APF'L I CANT LIDCRT I ON A' LE~HL t. ILI[4IC:I~LIT~" ,DF- DEPARTMENT O. HEALTH AND ENVIRONMENTAL , .OTECTION 825 'L' STREET, ANCHORAGE, AK. 9950t 264-4720 L. RRLE=,_N CONST. F:O NHN _HHLE E. IR.L. LE L4 B2 ROCKHILL PO BO,".,~ ~0-D05 LOT _ I~E ;30 a4.~-.~o57 j 60000 SQUARE FEET T"r'PE OF :,L IL HBzORFTI_I',I =,*-TEM TRENCH MA,:'~IMUI'I NLIMBER OF BE[.,RUUM=, = 4 ~UIL RATING "'-- FT,-"BF:)= :200 ~] ' ' ] 'q"~ IS: THE REQUIRED SIZE OF THE SOIL. AB=,LF..FTI_N _~_,TEM [:,EF'T'H: :Z. zl_ LE ~'-.~L~TH: ,,..~- '-=~. L~RR%.'EL DEF'TH--= 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 MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCBVATION (IN FEET). PERMIT APPLICANT HAS THE RE_,PON_~IBILIT~ TO INFORM THILq DEPARTMENT DURING THE · '~- ' -1. '~ ' -' -I '- IN_,THLLFITILhl IN=,FEL. TILN_-, OF Rl"4'..r' WELL5 AD..IACENT TO THI"=, PROPERTY AN[:, THE NJMBER OF RESI[:,ENCES THAT TNE WELL WILL '-- .... Bw~.KFILLING OF ANY _,b_,TEM WITHOUT FINAL INSPECTION AND RPPROVAL.BY THIS DEPARTMENT WILL E,E _,UB~EbT Ti] PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS :200 FEET FOR ~ PRIVATE WELL OR :250 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO ~ COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INST~LLATION. I CERTIFY THAT :2: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET' FORTH BY THE MUNICIPALITY OF ANCHOR8GE. 2: I WILL. INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~ I UNDERSTAND THBT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. APPLICANT CRRLESON CONST. CO MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99591 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: DESCRIPTION: DATEPERPORMED: 1 2 3 4 7 8 10 12 SLOPE ?f ?' WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT SITE PLAN 13 14- ¢------,15: '16- '17- '18- 20- COMMENTS DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop ,. ,::!~!:?PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) , FT AND FT 7"0 r P./ , CERTIFIED BY: DATE: Box 13(~9, S?AR I{OU?E A AI~CHORAGE, ALASKA 99502 SIX INCH WATER WELL DRILLED AND CASED OUt TO THE DEPTH OF DRILLED AT THE RATE OF ~20,00 PER FOOT. PrOPERtY OWNEr [~o Rob LOCATION OF WELL SITE DRILLER WELL LOG: 0 .... 15' $At4¢ ,~ar~d~ ~ t~ 45f~ ~ ~5---26' Co~e ~. , COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. g~622,.50 . WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF THANK YOU VERY MUCH. DATE. BERNIE ~LAUS OF RAMPART DRILLING WORKS Oc~. 26~/~, 1980 ; :~', ~ DATE RECEIVED ¢.. *INSPECTION APPOINTME~'? DATE DATE(~~ DATE INSPECTOR INSPECTOR I NSPECTOJ~.  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION MAR 1 $1981 Telephone 264-4720 .EouE$ .o.A...OVA' O. ,ND,V.OUA. WATE. AND SEwAI I U DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. P~I]OPERTY OWNER PHONE MA]J-lNG ADDRESS PROPERTY RESIDENT (If different from above) '/ PHONE MAl~igy ~S 3. LENDINGIN~TITUTION I PHONE MAI LING ADDRESS 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY COnnection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYS?EM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTI LITY 1 ( -- ~ Connection Verified INSTALLER []Septic Tank or [] Holding Tank TX,~2-~ Size', ) ~._~'O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER / TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5, COMMENTS ~ APPROVED FOR Z~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) I-~ DISAPPROVED i~~.~ ~ DATE BY