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ROVEL LT 1
Onsite File Rovel Lot 1 #012-153-47 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211284 PID Number: 012-153-47 Dwelling: W Single Family (SF) F-1 with ADU [I Duplex (D) El Two Single Family Project: n New W Upgrade Name WOODS FAMILY 2001 TRUST ABSORPTION FIELD F-1 Deep Trench F-1 Wide Trench n B�ed;Zou n d Site Address 3550 WEST 75TH AVENUE -ANCHORAGE, AK El Other Phone Number of Bedrooms Soil Rating Total depth original grade 907-227-5203 15 GPD/SF ; >1�4 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grad :��Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot ROVEL; LOT 1 Fill added above original gr a Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES TO! Septic Absorption I Lift Station Holding Sewer Total rption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well *55'+ TANK X Septic [3 S.T.E.P. El Holding 0 Other Manufacturer GREER TANK Capacity 1500 Gal, Surface Water 100'+ Material Number of compartments Lot Line 5'4 NA HDPE 2 Foundation 10'+ LIFT STATION , Manufacturer Capacity Remarks OLD TANK DECOMMISSIONED PER UPC Gal. PER CONTRACTOR *WR#OSV211045 Alarm location Electrical installed by PIPE MATERIAL House totank EXISTING/ Tank to EXISTING/ Installer A+ HOME SERVICES D3034 drainfield D034 Drainfield EXISTING CO/MT D3034 Inspector GEG AND MOA BENCH MARK (Assumed elevation) 99.37 ft Inspectes:tion 15t 9/30/2021 Location and description da2' TOP OF MH 3rd - 4th ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp Conditional Approval: Date C/) T ... .......... f A. Go 7 ness., Septic System Approved DateQuo Note: this approval does not include well permit requirements. 0 f S S #AECC884 DOpO krxt�v Uoluzi !0) PERMIT NUMBER: OSP211284 I A I B I DBLI 27.4 29.4 DBI -2 28.3 30.1 MH 29.8 31.2 ST1 33.7 34.5 DBI -3 35.3 34.9 DBI -4 35.9 34.4 RECORD DRAWING PARCEL ID NUMBER: 012-153-47 ISERVED BY PUBLIC WATER AND SEWER I WEST 75TH AVENUE - - - - - - -EL' RAV DRIVEWAY 4-4 A 01UTP9 W tffARNESS ENGINEERING GR Ltd ENGINEERING SALES, CONSULTING . ....... .. 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507' PHONE (907)337-6179- FAX (907)338-3246 - WEBSITE: —.g--g—.-g.cam PREPARED FOR: HONE NUMBER: PAGE NUMBER: WOODS FAMILY TRUST 2021 --7907-227-5203 20F3 LEGAL DESCRIPTION: DRAWN BY: ROVEL; LOT 1 D.J.G. TYPE OF WORK: DATE: SEPTIC TANK RECORD DRAWINGS 10/28/2021 it O Z m 0- m 0 w w co 0n, A.3 Hess . 0 ................ --, ....... # �e�ey A. �r ## LICENSE#44 #AECC884 GARAGE 55 2�AoA5 NEW 1500 GALLON HDPE GREER TANK ----\ I \ / EXISTING w HOUSE 2 w DBL3&4 04 U) B b APPROXIMATE LOCATION OF EXISTING EXISTING SEEPAGE PIT PER 1975 INSPECTION REPORT; PASSED A 5 BEDROOM ADEQUACY TEST ON 6/9/2021 HANSEN SAND LAKE; LOT 16A S / \ / / G 4-4 A 01UTP9 W tffARNESS ENGINEERING GR Ltd ENGINEERING SALES, CONSULTING . ....... .. 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507' PHONE (907)337-6179- FAX (907)338-3246 - WEBSITE: —.g--g—.-g.cam PREPARED FOR: HONE NUMBER: PAGE NUMBER: WOODS FAMILY TRUST 2021 --7907-227-5203 20F3 LEGAL DESCRIPTION: DRAWN BY: ROVEL; LOT 1 D.J.G. TYPE OF WORK: DATE: SEPTIC TANK RECORD DRAWINGS 10/28/2021 it O Z m 0- m 0 w w co 0n, A.3 Hess . 0 ................ --, ....... # �e�ey A. �r ## LICENSE#44 #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: ?SP211284 RECORD DRAWING 012-153-47 TOP OF MANHOLE = 99.37 98.8-98.9 MH1 ST1 left TOP OF TANK AT INTLET = 94.42 f TOP OF TANK AT OUTLET = 94.41 J INVERT OF BUNG AT INLET = 93.77 INVERT OF BUNG AT OUTLET = 93.58 NEW 1500 GALLON H.D.P.E. SEPTIC TANK F 44 O'W T; •�• T Ltd � �a .� ENGINEERING a. SALES -CONSULTING 91.Jx 'a.,v W �. r .......�. .......... ...... 00 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507' PHONE (907) 337-6179' FAX (907) 33&3246' WEBSITE: w w gamessengneenng,mm • ................ . . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0",•, , s. ffrey ..i WOODS FAMILY 2021 TRUST 907-227-5203 3 OF 3 ���'i'' _795 �! AV AV LEGAL DESCRIPTION: DRAWN BY: YAV ROVEL; LOT 1 D.J.G. F.. I �.'••••'���• :.4' E OF WORK: DATE: LICENSE'11 "'1 TYPESS` ! SEPTIC TANK PROFILE 10/27/2021 #AECC884 �������� ------------- SHIPPING CONTAINER N -------------------- WEST 75TH AVENUE --------------------------- �n = GRAVEL 3 7' DRIVEWAY EAST 117.98' 24.2' ----- 28.0' LU ATTACHED SHED z' U. LOT 2 GARAGE I 0 0 I ~ IW SHED W Iw IQ w 28.0' Z O WELL I LL7 OI N CHIMNEY'"\ I o to co 26. ,50, gp 'T LOT 1I o 15,957 sq. ft. 8.00' I 04 cs, 8.°o, o 01 rn I 31.5' 2 -STORY 4.00' I o O FRAME � HOUSE LOT 17 SEPTIC i,',j-� ` p 0 I O STANDPIPES=� SEPTIC Cp M MANHOLE co I I LOT 3 10.00, DECK 47.5' 20.50' CANTILEVER I I I x x x x x x x x x x x x FENCE WEST 117.44' I� LOT 16A i *: 49 L . ; ... .; i �'• Buku S t o 0 10' 20' 1 J LS -14837 �J - �I�4F'•. AS -BUILT 1��8�202�.•' �,� ���t����FESSIONP 0� I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE LOT 1, ROVEL SUBDIVISION RECORDED SUBDIVISION PLAT (72-192) ARE NOT SHOWN HEREON. ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY AND THE IMPROVEMENTS AS DEPICTED HEREON EXIST AS IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SHOWN IN RELATION TO THE PROPERTY LINES. SURVEY MAY DISCLOSE. DATED THIS 8th DAY OF NOVEMBER, 2021, AT UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE ANCHORAGE, ALASKA. USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR ESTABLISHING PROPERTY BOUNDARIES. HEIGHT, FIXED HEIGHT LLC C.O. A. 122554 Land Surveying Services 907.290.8949 JOB # 21094B NO CORNERS SET THIS DATE SCALE 1 "= 20' 225 W 23rd Ave., Anchorage, AK 99503 WWW. FIXEDHEIGHT COM MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 1yO6o0 ^n0Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 Permit Number: OSP211284 Work Type: SepticTank Upgrade Tax Code Number: O1215347OOO Site Legal Address: ROVELLf 1 G:2126 Site Mailing Address: 35G0VV75THAVE, Anchorage Owner: WOODS FAMILY 2UO1TRUST Effective Date Expiration Date 7MS/2O21 7/16/2022 Lot Size in Sq Ft: 15920 Design Engineer: GARNESSENGINEERING GROUP LTD Total Bedrooms: 5 This permit iefor the construction of: L] Disposal Field Septic Tank [] Holding Tank El Privy [] Private Well [1 Water Storage All construction shall bainaccordance 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 (i3AAC8U) J. The wastewater code requires inspections during the installation. The engineer shallnotifythe Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Municipality ®f Anchorage ur'rt I 1 %. P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 a (907) 343-7904 ® Fax (907) 343-7997 http://www.riiuni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV211045 COSA#: Permit#:OSP211284 PID#: 012-153-47 Legal Description: Rove[ Lt 1 Engineer: Garness Engineering Group Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 55.0 feet. This waiver approval applies to the proposed septic tank only. Any fixture upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: /� Z I Approved by: Name of Review **** VARIAN C E/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Development Services Department K„ Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 012-153-47 Property owner(s) WOODS FAMILY 2001 TRUST (Catherine) Day phone 907-227-5203 Mailing address Site address 3550 WEST 75TH AVE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) ROVEL; LOT 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank E Upgrade M (D) El Holding Tank ❑ Renewal F-1Duplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: WELL TO SEPTIC TANK Distance: 55 FEET 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 22 Waiver Fees: - 18 U Date of Payment: `� r)_0 �L Date of Payment: Receipt Number: 09115 co Receipt Number: Permit No. 0,f) P Z 1128c -j Waiver No. _ 0.5U Z I I ouf .S G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211284, Deb Wockenfuss, 07/16/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211284, Deb Wockenfuss, 07/16/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211284, Deb Wockenfuss, 07/16/21 .9Z N N _ < LLi,99'9C AA ,OOZOoOO S ] I r C) -. 6Co LIJ W �0 cv !-- W r.: w x Q n cs u_ 1N3 3 V3 .kinun m t3 p a. " U?L ui >UJ a- ujLO w -ru� o < 00- O H U) • .'. o U- �""i "'*w i 0 (} iV LIJ IM 0 — 0 (L) 0 a £L D W W 0) W c ui 0w_ Di Z—) :E w m0 0 ZZZ e � �� tD 16.5 _ — U- -j < U) D < L J C,4 ,,• CN l -e111 Q LLuiW CV 0 ,.'313UON '00>,00 ui CO UJ UJ UJ U— cei 1 46.{x' W- • '.-'UJ . 19Z N < :4 0 -r t ---i %.0' #00 p 444 >LQ 3: LU W c6 o6 x �� ��. .► (1) F- D t t > c`+1 CC ,r ,-� to i F- > uj LL' t � • Qty .: L1J 0 0U- 0 F- 0 t �- - . . • a -= 0 W < < CL n > U) UJ W wz w00 W u N U � U) civ CL 00 0t� n CL 00 0 a. z Q ct3 x 0{ W Z W F- U W wa z 0 0 W 0 F- QW 0D W0� w © n N 99 199 W 135.56, a W0 co n> w®co w _n z U) 0 W t F- U) U) D W GREAT ANCHORAGE AREA BOROI' H Department3330°f EnvironmentaIc Street Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM PHONE LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL ~)~ ~ ~ NUMBER OF MANUFACTURER ~ V'~'~K' MATERIAL ~ '~(C E~ / COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~'O ~ GALLONS. SEEPAGE PIT: NUMBER OF PITS J DIAMETER __ LIN,NG MATERIAL c~'/~t3~ I BUILDING FOUNDATION ~t~~, ADDITIONAL ABSORPTION .OR WIDTH ~'0~. LENGTH'~'0~', DEPTH IN' CRIB SIZE: DIAMETER (0 DEPTH ~ DISTANCE FROM: WELL ~ ~ ~ TOTAL EFFECTIVE NEAREST LOT LINE ~ ABSORPTION AREA (WALL AREA) ~7 ~/. C) SQ. FT. WELL: TYPE AY" )1 e<:~ CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED ~k/)/')~'~) ~2 ~C~ DEPTH DISTANCE FROM: NEAREST SEPTIC ~ SEEPAGE SEWER LINE TANK ~'¢ SYSTEM q0' REMARKS DISTANCES: ~ 0/'/"' HNST~LLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. ED-031 DIAGRAM Of SYSTEM I~, DATE GREATer ANCHOrAGe AREA Borough DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT iNSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIELD OTHER COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTIDE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SiZE ,//' ~'~ r ' ·' . ' SEEPAGE AREA SIZE TYPE /"'~ ...... -- DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~0 SEPTIC TANK TO SE AGE PIT WALL J , SEEPAGE PIT TO NEAREST LOT LINE· DRAIN ~IELD DRAIN FIELD ., DRAIN F~ELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, /~ ~ , SEEPAGE PIT TO RIVER, LAKE. STREAM~ SEEPAGE PIT J~)~ , DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND into CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 inCH DIAMETER CAST irON SIPHON PIPES ON EPTIC TANK AND SEEPAGEt/PIT I CERTIFY THAt,Am FAMILIAR WITH THE REQUIREMENTS Of GREATER AN~ORAGE Al OROUGH~O~A(~DD~NZNN~NO~/~'~//8/~ AND~HA~/T T2 T~T~HIg ABOVE Performed For Leaal Descrintion: LotJ3.__Block This form Re~orts Soils LoQ ¥E$ "On~ te~ is worth a th~sand o~Jn'ons ' Mr. Roger Woods Date Performed 3/3/75 Subdivision Rovel Subdivision Percolation Test oe~th Feet Soil Characteristics 5-- 7 . 8 9-- lO-- Foundation Grade Sand, well graded Clean Moist SW - 125 (Sand continuous through out depth'of test hole) /~;~i;.Bottom of test hole If Yes, At what De~th? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate t~inute Pronosed Installation: Seepage Pit YES Drain Field Deoth of Inlet Depth To Bottom Of Pit Or CNMgENTS: 125 square feet drainaqe area required per bedroom - No bedrock or water table encountered. Trench Sest Performed B¥CONSTRUCTTON TES~ T,nn Data Certified By:CONSTRUCTION ~T LAB OSOgoOIlO