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