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HomeMy WebLinkAboutKIMBALL LT 86BKimball Lot 86 018-251 -31 Permit Number: Tax Code Number: Work Type: Permit Effective Dates: Design Engineer: Subdivision: Site Legal Address: Owner/Address: On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 OSPl11105 01825131000 Septic Upgrade June 15, 2011 to June 14, 2012 ANDERSON CONSTRUCTION & ENGIN KIMBALL KIMBALL LT 86B G:3034 KIMBALL RICHARD P LIVING TRUST KIMBALL RICHARD P TRUSTEE PO BOX 110088 ANCHORAGE AK 995110088 Site Mailing Address: 3101 NUGGET LN, Anchorage Lot Size in Sq Ft: 53514 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must 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 must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Rece ved B ' /'~//?~ Date: Date: UNICIPALITY Community Development Department Development Services Division On-Site Water & Wastewater Program Mayor Dan SuNvan OF ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. (.,gt ~" Property owner(s) Mailing address Day phone Site address Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) LotSize Number of Bedrooms THIS APPLICATION IS FOR: ([~ all that apply) Absorption Field [] Septic Tank 1~ Holding Tank [] Privy [] Private Well [] THIS APPLICATION IS AN: Initial [] Upgrade ~ Renewal [] Water Storage [] THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent~ Permit/Rush Fees: '7- O0 ~e's:'""~'''--'''~ Date of Payment: ~/f~t,fl/ Date of Payment: Receipt Number: i ~/-.-; E! i ~ Receipt Number: PermitNo. ~-/D.i' /II ~- WaiverNo. G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11 ) Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 June 6, 2011 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Kimball Subd. To Whom it may concern: This is a request for a tank replacement permit on the above referenced lot. The attached site plan has the existing layout for the installation of a new tank. The existing tank has started to fail and needs replacing quickly. None of the neighboring properties will be impacted by this upgrade. Please call me if you have any questions. Sincerely Michael N. Anderson, P.E. / t,,, ~ SEPTIC ~, * ~ SEPTIC~ EXISTING WELL ' 'l / 100' RADIUS~ ~ ,,~  0PERTY LINE LOT 75 LOT 76 ~E'~ REP~OE EXISTING 1250 ~OT 86B / ~ANK PER MOA SPECIFICAITONS~ 87A ISTING SEPTIC f ~ LOT 108 Septic Design Prepared For RICHARD KIMBALL ......... KIMBALL S/D LOT gOB ,~x"""~ ~ '"'U~*.. A~e~ota~e, Alaska MICHAEL N. ANDERSON, P.E. 4661 NATRONA AVE. (907) 345-3377 / F~ (907) 345-1391 SCAL~: l"=~00' JUNE ",. / MUNICIPALITY OF ANCHORAGE ~-. ~'~ 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 P.ONE [] UPGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION Well I C) v DISTANCE TO: , ~- ~ Manufacturer I Manufacturor ~ Well / ~ ~ DISTANCE TO: I ~m~ J Nc. of hnes . J Length of each line  Top of tile to finish grade / ~ J Length Width ~ J Type of crib Crib diameter ~ ~ ~ell ~ J DISTANCE T?: ~ I DISTANCE TO: Budding foundation AbsorlStion area Inside length Dwelling Width NO. OF BE~OOMS No. of compartm,~t~ Liquid depth Dwelling PERMIT NO. Material Liquid capacity in gallons Foundation Nearest lot line. PERMIT NO. /0f ,30 Trench wid~ ~_~ inches Totallength ofJ~n,~. I Material beneath tile Depth Crib depth Building foundation Driller Distance be~?/(~nes Total effective absorption area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO, Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING NSTALLER REMARKS APPR.~ -- / ~ DATE LEGAL 0 0 0 0 0 0 0 0 0 © 0 0 ' ':'":'~ "L~..j. STREET., RNCHORRGE, RI-,'.'. """ LC. LC....,. .~. PERM'f'"'f' N;]. ( 80E~4'£.~5 ::, 264-4}'"'2R , '" :, PO " .... ' '"'"" - ...... RF'F'L I CRNT F:. I uFIRF..E I.::: I MBRLL LC, C:R]"ION NUGGET LRNE ~/~'/~ ~./~ L~.~,_ .r,' LEGRL Tt2N F.'._,~N SEC 752: LOT 86-B L. -',I~.E T'¢F'E ElF c] -,,--' ;'l '-'"-- IS ' -' _,L I L HE, z, J'F..P'f 'f _ N :, '~_ TEi'I: TF. EN _.Fi /I;/5- ~'..44._,J~-'q':'I 'RRE~ i"IRXIMUM I'.,II_tME:ER OF BEDR¢IOi',IS = 4. SOIL RRTING ,:'q:~ .... FT,.E,R .... '],"HE REQUIRED _,I~.E OF THE_'-';niL_ HE,.=,URFTI_N SYSTEM Ic'-,. [:, E F' -IF H =.=."-" L. E t'-.~ ,_3 'T' H = 7 5_ ,3 F-: F-~ '..." E L [:, E P T H = ~--"; THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF TFIE EXCRVRTION (IN FEET). THERE IS NO SE]" WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRYRTION (IN FEET). .F.:E L--a.. b~ 1:: F.,:F][:. SEF"T I ~3 TFtl'4F::; S I ZE= t2-'~] ~---r~ F'EF.:MIT ttFFLI_.HNT FiRS THE RE.=,F_N.=,IE, ILIT~- TO INFORM THIS DEPRRTMENT [:,UF.:ING THE :'4 I~' INSTRLLRTION INzFE..TIONS OF RNY WELLS RDJ'RCENT Tf] THIS PROPERT'¢ fiN[:, THE NLIME:ER OF RESIDENCES THRT THE WELL WILL SERYE. T l.-.~,Z, .:'. ~---- ::.. ]: [~SF':,Z:T I C,~-~S ~F~:E REt;.-.! L! ~ RE[:. BRC:KFILLINR OF RNY SYSTEM WITHOUT FINRL IN:,FE_.TION RN[:, RPPP. O'v'F~L BY TFIIS r , ,, , ' SLIE:.IECT TO FRUz, E_.LITION. _EFRF..Tf1EN] WILL BE ''-'- P MINIMUM DISTRNCE BETWEEN F:I NELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS J.E~] FEET FOR R PRI'v'RTE 14ELL OR t5t-'-~ TO 20¢4 FEET FROM R PUBLIC NELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM [:,I':',TRNCE FROM FI PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REC..!UIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 75k'~ DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MR'¢ RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE R'v'RILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIFY THRT UN _,ITE .=,E!.-IEF...~ RND WELL=, RS t: I RM FRMILIRR WITH THE REQUIREMENTS FEF. '- ' "- FORTH B'T' THE MLII"IICIF'FILITY OF RNCHORRGE. · -': I WILL INSTRLL THE SYSTEM IN HL. UURDHN-.E I.,.lIl'H THE CODES. -'":: I LINDERSTRI"~[:' THRT THE ON-'=;ITE SEWER S"r'STEM MRY F..E~:~JIF. E ENLRRGEMENT IF THE RESI[:'ENC:E IS REMO[:'ELE[:' TO INCLU[:'E MORE THFIN 4 E,E[.F.U.M::,. S I GNE[:: ~ ~77 RI C:HFIRD I.:::IME:RLL MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-2221 SOILS LOG - PERCOLATION TEST PERCOLATION 'TEST DATE PERFORMED: ~-- ~'~ ~ LEGAL DESCRIPTION: LC;~ \ 1 3 4 5 6 7 9-~ 10 11 13 '~ "~.._ 14 15 16 17 18 19- 20 8 SLOPE was GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop 4:4~ PERCOLATION RATE ~4~ (minutes/inch) TEST RUN BETWEEN ~ · FT AND ~ FT 72 008 (7/76} · D A~I- E RECEIVED ~ -. ". iNSPECTiON APPOINTMENTS ~..~1 · ~'~~, TIME TIME TIME }ATE DATE DAT~ NSPECTOR I NSPEGT~ I NSPECTO MUN~CIPALI~ OF ANCHORAGE MUNIOIPALITY OF ANOHORAGE DEPT. OF HEALTH & DEPARTMENT O~ HEALTH ~ ENVIRONMENTAL PROTE0~RONMENTAL P~OTECTJON  825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION ~AR 2 4 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE I DIRECTIONS: Complete ail parts on page 1. Incomplete requests will not be proce~ed. Please allow ten (10) days for processing. ~ROPERTY RESIDENT (If different from ~bove) ~ PHONE ~ '~ ' PHONE 2. BUYER MAILING ADDRESS ,. I  PHONE 4, REALTOR/AGENT MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCA 6. TYPE OF RESIDL~C~ NUMBER OF~BEDROOMS [] One ~[ Four [] Other~ J~ SINGLE FAMILY [] Two [] Five ~j~ MULTIPLE FAMILY [] Three [] Six 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 J~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE [~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS E] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified E~Septic Tank or E~Holding Tank Size:./,"%.'.~?~-3 If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER INSTALLER SOILS RATING MANUFACTURER .~5_-~._.~'!!~ ~_~ MATERIAL '-i . Septic/Holding Tank [Absorption Area /00¢ I JSewer Line I Nearest Lot Line 5. COMMENTS DATE Ej~]./"App R OV E D FOR LT~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79)