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HomeMy WebLinkAboutKASILOF HILLS BLK 8 LT 1213Z 03 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: OSP231319 Work Type: Septic Upgrade Tax Code Number: 01513203000 Site Legal Address: KASILOF HILLS BLK 8 LT 12 G:2541 Site Mailing Address: 10701 GLAZANOF DR, Anchorage Owner: BADER GARY P Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 10/2/2023 10/1/2024 28500 Q 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 Received By: f SS U�D T" Issued By: Date: Date: t J 2 2! 2-3 4 UNUCIPAUTY0FANCHORUAGE Development Services Departments Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 015-132-03 Property owner(s) GARY BADER Day phone 907-529-7675 Mailing address 10701 GLAZANOF DRIVE *ANCHORAGE, AK Site address 10701 GLAZANOF DRIVE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) KASILOF HILLS; BLOCK 8, LOT 12 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field E] Initial 0 Single Family (SF) Septic Tank 0 Upgrade pg ❑ (w/wo ADU) Holding Tank ElRenewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: DRAINFIELD TO LOT LINE; , Distance: j + 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: Waiver Fees: C_ 2 S Date of Payment: 2v 1-3 Date of Payment: Receipt Number: Lj Receipt Number: Permit No. �) S Z 3 i Waiver No. O's tl 2 , 0'� C GADevelopment ServiceslBuilding Safetyl0n Site Water and WastewaterTormsOient FormsTermit Application.doc 0A Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231319, Curtis Townsend, 10/02/23 Municipality ®f Anchorage P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * *' Waiver#: OSV231050 COSA#: Permit#:OSP231319 PID#: 015-132-03 Legal Description: KASILOF HILLS BILK 8 LT 12 Engineer: Jeff Garness Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1 feet. This waiver approval applies to the proposed absorption field. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: ' 2 Z 3 Approved by: C� Name of Reviewer ................ 0 M M 0 K M ...... 0 M M 0 x M ............. ■ ..................... t ....... ■ **** VARIAN C E/WAIVER REVIEW **** Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231319, Curtis Townsend, 10/02/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231319, Curtis Townsend, 10/02/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231319, Curtis Townsend, 10/02/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231319, Curtis Townsend, 10/02/23 T-4 0 N�r LM 00 E' E 0 0 AM l6w Q I 00 1*% 0 z LM M ccl LM LM 4NO c 4) 0 LM LAa 0 Mg N C\i V - (hr) 00,09t -4,00,00 coos W W'M M,OP,,LO oOOS tZ in M ,. --- -73 A VY,9 -40 9003 r� 1�1 0 00 E' E 0 AM Ov E 0 Q ECL 0 :& ID CL 6'99 E (D ID C 0 CD M ;p5s. . - 0 ' a 'j.ns3,71.Ln.ot C*A CL 0 (D CL M fD 2 Cc: cn -73 A VY,9 -40 9003 r� 1�1 CC E' E 0 AM Ov E 0 Q ECL 0 :& ID CL 6'99 E ID C 0 CD M ;p5s. . - 0 ' a It C*A CL LL M CL (D CL M fD 2 Cc: CL a '- " 0 2:W ? 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Z, a CL :3 (A (/) A E M M = .— to C3. °'' 0 4% 4) u L > E 0 8� M 0 :3 00 4- 'v 4) 0 0 vw N CI -4 4-J V) >- E L- CO V-4 c a) Ln 2: cu: 4-J C: 0) U C: 0.0 0 Cil 4-J jw (:) 4) CL "D 0 L- Ln C) 8 Cc: LL w (7) ANCHORAGE AREA BOk. 8H ......,~ Department of Environmental Quality ~"~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS '-~'lT' LEGAL DESCRIPTION SF-PTI C TANK: DISTANCE ~ FROM WELL ~"b6~bo~-~ INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY GALLONS, TILE [:)RAIN FIELD: ¢'~/t.~m~L DISTANCE FROM WELLVPO~)o'-~FOUNDATION TOTAL LENGTH NEAREST LOT LINE .... OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA <~'~'~-~-~ SQ. F'F. LENGTN OF EACH LINE DEPTN OF FILTER r DEPTH: TOP OF TILE TO FINISH GRADE. ~'~ MATERIAL BENEATH TILE ~"'~ IN. ABOVE TILE IN, WELL: TYPE _CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE__, SEWER LINE__ TANK SYSTEM CESSPOOL OTIdER SOURCES APPROVED __ DISAPPROVE[) REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: S, SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: G.A.A.B. I,'II::fX]:I"'II..IH I'.,II...IHE:E:I:~: ElF: li!i',ILI~:,Fi:OCIH'.i~; .... t"l..lliiil t:~:[iD::!l...I :[ I:;ihSl::, ::ii; ]: ;:i!'.liil IDl:::' 'I"t. IE: SILl ]i I.. FIF ':> FIFi'F'"I' ]i EIi'.~ '.:.i;YS"f'I:.H ]: S: , ~f' 'l'i.l~iil Lli:::I'.,IG'f'H I::, ]i I'"ll!ii:l'.,IS i[ OH :[ /~::1'1..11~: I:::,l~:l:::"l'f"l O1:::' f::l "I'I:~:ENmZ:H I~IF~: [::'J[T [[:~; 'f'"E: I::, :[ ?I"i:::INC:I::: I::E:"i'HI~:I::H THE ~};I..1[;~::1:::11:::~}~ OF TI-II: ~ ~ i:~iF~:()l...ll'.,l[) FIND TI-"IE~ 1~31:)T'['()H i:iF: TI'-II~: IZXC:t:::I ,,, F:I"I' ]~ i:11'.,I ,{ :!: ~.,I F;EI:'f' ::,. ~ TI...IF'F~'F;' ]":::; I'.,t1"1 '::;I:::T H'[I':,TH 'I'HI: i:il:~:Fl',,,'EI. 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(~'0 N Y; Il J i fl' :% N T.~, !N(L May 3, 1976 R & M No. 656218 Mr. Gary Bader SRA Box 15875 Anchorage, Alaska RE: Test Hole and Soil Log Report for Sanitary System Lot 12 B~3c~"~Kisilof Hills Subdivision Dear Mr. Bader: We are submitting herewith the boring logs, percolation results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of April 19, 1976, and those procedures outlined in a letter dated July 15, 1976 by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the Lot 12 area for the purpose of defining general subsurface soil conditions and conducting percolation tests for the proposed sanitary system. Excavation was accomplished with a tractor-mounted auger type drilling rig and the test hole was extended to a total depth of 18.5 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appriciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Roone~) Vice President JWR/WED/pe xc: Municipality of Anchorage T.H.1 4-29-76 SANDY SILT W/SOF~E GRAVEL SANDY GP~%VEL - G P~AVE LLY SAND (SW-GW) (115) SANDY GRAVEL W/TRACE SILT (GW GM) (160) 0.0T 6.53 SANDY GRAVEL W/SO~,[E SILT (GM) SILTY StaND W/SO~ GRAVEL (SM) SANDY GI~RVE I,- GRAVELLY SAND W/TP~ACE SILT (SM GM) (190) No Water Table !7.0' ~8.5' T.D. Log represents location of Test Hole Lot 12 Block 8 Kisilof Hills Subdivision tOWN: DLS [ c~?_L P_i~ DAli: 4-2~,-7~ [SCALE: 1 =3' I:1 ~. M C~N~.iL,ILTANT~, INC. Ga~/ Bader ~st Hole Log of ~ - Anchorage, Alaska .NO, 656218 Time 11:00 11:01 11:02 11:03 11:04 11:05 11:10 11:15 11:20 11:25 11:30 11:35 11: 40 11: 45 11: 50 11:55 12:00 P E RCOLAT ION rl~ S T GARY BADER R & M NO. 656218 Elapsed Time 60 Minutes Drop Inches 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 37 inches Total Drop //~'~ DEPARTMEI OF HEALTH AND ENVIRONMENT. PROTECTION [~.~i~[T,~2/] 825 L Street, Anchorage, Alaska 99501 ~.'~7/ /~ ,. ., 229-251~, ex~. 224 o~ 225 ~ ~. , ~ ~ ~ _~'_ ~ , . ~?[.~.~ I~ pp "~q ~~ Date ReceJ. ved: April 12, 1977 Time ~)~ ~2: Time :3: Time Insp :~3~ ~ Insp Insp REQUE~ FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Mailing Address: 535 D Street 99501 Home Federal Savinqs and Loan Phone: 272-1451 Property Owner: Gary/Shelia Bader Mailing Address: Star Route A Box 98-B 99507 Phone -' 278-2519 i~g~J~ f. ~ 3. Legal Descriptmon: Lot 12 Block 8 Kasilof Hills Subdivision 4: Single Family Residence: kx) Multiple Family Residence: ( ) Number of Bedrooms: 2 Number of Bedrooms: Well System: Permit # Construction Public/Conm~unity System: ) Individual Well: (x) Depth of Well Well. Log on File Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System x) Public Utility ( Installed Installez Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Sewer Line to Nearest Lot Line Nearest _Lot ilne to Absorption Area Absorption Area MUNICIPALITY OF ANCHORAGE I)EPARTMENT OF HEALTI4 AND ENVIRONMENTAL PROTECTIOi~ 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL. OF INDIVIDUAL SEWER and WATER FACILITIES 1 Type of Inspection: VA ~ Gary & Shelia Bader 2.Property uw~er: ........................................................................................ Mailing Address:. SRA Box 98--B Anchorage 99507 Day Phone: 2'78-2519 Refinance--Bader ' s own Name of Buyer: Mailing Address:· Day Phone: Home Federal Savings & Loan 4. Name of I_ending Institution: ......................................................... Mailing Address:_. 535 D Street ~ 2'72-1451 ___ [ ~one: None 5. Name of Realtor or' Agent:_ Mailing Address: Legal Description:__. Phone: Lot 12, Block 8, Kasilof Hills Location: NHN Glazanof Drive 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Single Family Public Utility No. Bdrms 2 Individual XXX If Individual, number of dwellings presently served If Individual, depth of well unknown Sewage Disposal System Type of System: Public Utility 'LlP. k~own Individual (on-site) XXX If Individual, date of installation unknown PT.EASE CO}~LLTE %]lis AS SOON AS POSSIBLE AN, D CALL P~2~l AT 272~1451 AS SOON AS IT IS READY FOR OUR COURIER TO CO~ AND PICK IT UP!! 72 003(3/?G) Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 12 Block 8 Kasilof Hills Subdivision Comments: Affadavit Attached: (') Approved:~~~_~~~ Letter Attached: ( ) Disapproved: Date: Date: 'Department Worksheet: ADHW*LAB-2W DATE I' ~ARTMENT OF HEALTH AND WE' \RE DIVISION OF PUBLIC HEALTH BACTERIOLOGICAL WATER ANALYSIS Lab. No.. OFFICE PUBLIC F~ SEMI-PUBLIC [~] NAME INDIVIDUAL [] REPORT RESULTS T'O OTHER ADDRESS CITY ADO RESS OF SOURCE Records in this office indicate Ihls WATER SUPPLY to be of: Selisfaclory [] QuesHonnbJe [] UnsaBstoclory Sanilory Status. Analysis shows Ihis Woter SAMPLE to be: [] Satisfactory [] Questionable [] Unsafislaclory. If an 'Unsallsfactory" or "Queslionable" stulus is indicated above you should take immedlale action as recommended below. __1. Nolify consumers waler is polluted. Boil or chemically treat Ihis water as outlined h~ the enclosed JeaJJet "DrinJ~ It Pure," SAMPLE COLLECTED BY. DATE COLLECTED Sample Collected From [~ Olhelr fLisl) [] Kilchen Tap em TIME COLLECTED !;m [] Bathroom Tap [] Basement Tap Well- [] Dug [] Driven [~ Drilled [] Bored SOURC[: [] Spring [] Cislern [~ Other. Dug Well or Cislern Construclion: Brick or Wells - [] Wood [] Concrete [] Metal [] Tile [~ Concrete Top - [] Wood [] Concrete [] Metal E] Open Top LOCATION: [] In g~semenf ~] Bosenlent ORset [] Under House ~ Ih Yard [] Olher Building Sewer Seplic DISTANCE TO: or Olher Drainage Pipe Feel. lank Feet. Tile Seepage Cess- Field Feel. pit Feel. Pool Feel, Privy--, Feel Oiher Possible Sources al Contamination- Asbestos MATERIAL: Building Sewer - []IronCaSl [] Wood [] Tile [] Fibre [] Cement ~ Plastic Joinl Material -- Type GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No Diameler of Well Depth Feet Well Casing Materiel Diameter Deplh Lenglh of Waler Deplh PUMP LOCATION: [] In Well [~']BosementORsef hi [] In Basement [] Room [] OI Well [] Other PURPOSE OF EXAMINATION: lib]ess Suspected? [] Yes [] No New Source of Supply? [] Yes [] No Repairs Io 5yslem? [] Yes [] No 2. Increase chlorinatlon sufflciently to meel recommended residual standards. Determine source at contamination and take action necessary to maintain a sa~e water supply ~! all times. 3. Check chlorinalinn and otber mechanical equipmenl. Make cerlain it is luncfioning Rroperly. 4. Il afler checJ~ing equipment o disinfecling residual is not ohlained, please wire Ibis oJfice for emergency assistance or advisory services. 5. This is a suHace water source and subject Io polluBon by man and animals. An approved water supply source should be developed. 6. Improve your [] spring [] dug well [] driven well [] drilled well [] cislern. 7. Relocate your well to a safe IocaBon in relalionship to your sewage disposal system. [] see enclosure 8. Star, pie Ioo long in Iransih sample should not be over 4B hours old at examinaBon to indlcate rellab~e results, please send new sample. [] Botffe Broken in Iransit, please send new sample. 9. Contacl your nearest [] Local Heallh Department or J~ Alaska Division of Public Health, sanilaBon office Ior bulletins, consultation and SANITARIAN'S REMARKS READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE I BACTERIOLOGICAL WATER ANALYSIS RECORD ?] '~ Date Received Time Received ____Lab. No.__ 48 hours Brilliant Green 24 hours 48 hours EMB AGAR Lactose Broth, 24 hrs. 48 brs. -Groin's stain Coliform Densily .(Mosi probable No. per 100cc.] MF r~sulls , , Reported by / ~" __ Date~'"/' This analysis indicales Colilorm Organisms Io be: r Absent ? Present