HomeMy WebLinkAboutHIDEAWAY LAKE BLK 2 LT 4
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: OSP221347
Work Type: SepticTank Upgrade
Tax Code Number: 01547115000
Site Legal Address: HIDEAWAY LAKE BLK 2 LT 4 G:2640
Site Mailing Address: 11061 HIDEAWAY LAKE CIR, Anchorage
Owner: PERRAULT LEWIS C & SHIRLEY B
Design Engineer: C&M ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
- Expiration Date:
X,o %l»ent
Sl.
n.vq
DeI)artine lit
Lot Size in Sq Ft
Total Bedrooms:
8/31/2022
8/3172023
45228
❑ 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
Special Provisions:
1. The water line is to be moved in order to meet the required 10' separation to the tank.
2. Show the water line on the Record Drawing.
Received By:
Issued By:
Date:
Date:
Oz'
l Z Z
4
MUHMPAUTY OF ANCHORAGE
Development Services Department - Phone: 907-343-7904
On -Site Water & Wastewater Section QFax: 907-343-7997
ON=S.1_T_E_SEP_T_IC/WELL PERM I_T_ARPLICAT-I.ON
Parcel I. D. 015 471 15
Property owner(s) Perrault
Mailing address 11061 HIDEAWAY LAKE CIR
Site address 11061 HIDEAWAY LAKE CIR
Legal description (Sub'd., Block & Lot) HIDEAWAY LAKE
Legal description (Township, Range & Section)
Lot Size 45,228 Sq. Ft. Number of Bedrooms 4
Day phone
BLK 2 LT 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) Q
(w/wo AD U)
Septic Tank
❑
El
Upgrade R
Duplex (D) ❑
Holding Tank
ElRenewal
❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
NONE
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
C&M ENGINEERING
(Signature of property owner or authorized agent)
Permit/Rush Fees: - Z ('; ('
Date of Payment: 01_�OIZ7_
Receipt Number: C-S�0zZl3 V 7
Permit No. 0SP22/3147
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water & Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System for Hideaway Lakes Block 2 Lot 4
Dear Reviewer,
The above referenced property is currently served by an older septic system with a leaking tank that
needs to be replaced immediately. We are requesting an expedited review of this application.
Our review of available documentation and field investigation show that this project will not adversely
impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing
onto and off of the subject property.
As shown on the plan, the tank will be greater than 10’ from the house foundation.
The tank will be of MOA approved construction.
The tank shall be covered with a minimum of 2” moa approved insulation and 3’ of cover or a minimum of
4’ of cover without insulation.
The repair must be performed by a moa certified installer (or approved homeowner) in accordance with
MOA requirements.
Repair of the proposed system will not negatively impact adjacent lots.
Upon completion of the installation, a record drawing will be submitted showing the location of the new
tank, leach field, well, and other applicable features.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5558 or by email cgbalzarini@gmail.com with any questions or concerns.
Sincerely,
Charles Balzarini, PE
8/27/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221347, Deb Wockenfuss, 08/31/22
CHARLES G BALZARINI
CE-13854R
EGISTEREDPROFE S S IO N ALENGINEER8/5/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221347, Deb Wockenfuss, 08/31/22
Lot 3
�O
�cb .
0
3�
Lot 4
E
Shed Co M
O
Septic vent o
Water Valve
A
Septic vent o
'cp
c9�
tp
Asphalt
25
1.8 OH
1
o W deck 1
� COO 7f"�
.s t'6'
-< 0 . >.
� 00,�
O p
� O
C�
0
co
a2 0
¢� o
0 40 deck
o
ry rye.
40
32 0 Cb*
\k 74.
Well o
4.
M
Tract A
Lot 2
7816A
SCALE: 1"= 54'
cn
Q �1
OF q� 1
•• �' . 49th
00 00
Lot 1 to�� ; lizabeth L. Walatka : ,o00
�s� • - 8036 - LS • • e� A10
��O A • • . . • • - �O _
ROF�
£SSI OW
RECERTIFIED 7-12-2
AS -BUILT NO CO NERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described property: LOT 4, BLOCK 2,
HIDEAWAY LAKE SUBDIVISION
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
10' Utility Easement and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
N89059'24"W 115.96 adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
Lot 5 hereon.
Dated at Anchorage, Alaska
this 8th day of APRIL , 1981.
EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C.
THOSE SHOWN ON THE RECORDED FB 22-2, pg 39-40 Engineers and Surveyors
PLAT ARE NOT SHOWN HEREON FB 80-2, pg 51 BE 907-248-1666
UNLESS OTHERWISE NOTED.
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
MUNICIPALITY OF ANCHORAGE
DI-'PARTMENT OF HEALTH & ENVIRONMENTAL PROYECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L. Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
L. C Perrault
TP;H-t~?6642
NEW
UPGRADE
blAI LING ADDRESS
1657 Dowiing Rd.
LEGAL DESCRIPTION
Lot 4, Block 2, Hideaway Lake Subdv.
LOCATION
Hideaway Lake Drive
DISTANCE TO: 130
1Absorption area
I080 sq. ft.
Anchoraqe Tank & Welding Inc.
Inside length
Dwelling 50
Material Stee]
Wdt~
NO. OFBEDROOMS
4
PERMIT NO.
800621
No. of compartments 2
Liquid depth
Dwelling PERMIT NO.
Manufacturer / Material Liquid capacity in gallons
1
t Well Foundation Nearest lot line PERMIT NO. 80062l
DISTANCE TO: 130 65 20
Nt, of lines Length ofc~(~ch line Total leng~bof lines IT'ench widtl~6inches Distance between lines N/A
Top of tile to finish grade Materiat beneath tile
qrave I 72" inches
Length
Width
Depth
24"
Total effective absorption area
1080 sq. ft.
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line
DISTANCE TO: Building foundation Sewer line Septic tank
PERMIT NO.
Absorption area(s)
OTHER
PIPE MATER]ALS
Cast iron and P.V,C.
SOILTEST RATING
200 sq. ~t. / B.P.
INSTALLER
Schachle Excavating
REMARKS
Henry W.
terfield
4/16/81
LEGAL
Lot 4, Block 2, Hideaway Lake Subdv.
[)EF'F~R'['ttENT r ..... HEFILTH FIND EN","IRONI'tENTRL r'"~OTECTION ~
825 '". STREET., FtNCHOFIFIGE, FtK. :% .,t
F:IF'P L ] C:RNT
L.i.[i[:RT I ON
L. I] F'EF.:RRULI"
I.-IIDE. FIHA'¢ LK. E.F...
L 4 B 2 HIDERHR¥ LRKE S/D
LOT_,_':: T ZE
1" FE FIF S0]:1 .... ' .... I*" ' '" F"
"E,.:,_F:FT].0N S"r'STEM ILS;.,. 1EEN_.H
MFI;:':i.IhlLIM I'.~UI'llEER OF E:E[:'Fd:001'"IS .... ~.
:[ ,. dE.:l~ '.~,I;!IJFIRE F'EE'I"
THF REZ&I]:F..:ED SIZE I]F TNE SI]]:L RE,.~CIF..FTION S'¢STEi't I.S:
......... "' - ¢:"; "=" [:" "- "" ~ ....
L-,E::..b 'lt Ib~ .....t E:, IL..EEF.I[-~-FH=: ._. r .,~--..[¢-I ,- EEl._ [)EE ]FI[.~=::
TNE I_ENI]iTH [:, I MENS I ON IS THE: I_ENGTH (IN F"EET) OF 1'NE 'FF.:ENC:H OR DRFIINFIELD.
1"NE DEF'TII OF R TF.'.ENCN OR PIT IS THE DISTFINC:E BETHEEN ]"HE'." SURFFIC.:E OF' THE
GFIOUND RND TNE BOTTOM OF TNE EXCFIVFITION (]:N FEET).
'T'HERE IS NEI SET !.,.IIDTH FOR TREN(.':I'dES.
THE GRRVEL DEF'TH IS TNE MII",IIMLII"I DEPTH OF GRR',,,'EL BET['EEN TNE OLITFRLL F'IF'E
FIND THE ECITTOM OF THEE E:-'::CR",,'RT]:ON (]:N FEET).
...... ,~-~ EE.. .... "~ I~ L_ IL._.
F. El: .i' I]: T FIPF'I_ I [:RI'.TT HFIS "FFIE RESPI.]NS I E: I L I T¥ TI] I i",IF'CiRI'"I TH I S DEFIFIF.:TMENT [:,t. JR I NG '/'FIE:
IN':-;I"FILLFII"IL-IN II'.,tSF'E. CTIONS OF FII",I"r' [,.IEEE:---; FIDJFIL-:ENT TO THIS PROF'ERT"r' FIND T'HE
NIIi"IE:ER I]F I"4.:ESI['EN',]E'5 THFIT THE HELL HILL .... EE,",E.
I'iINIMUM DISTRNCE BETHEEN R 1.4ELL RN[.':., ANY ON-SITE SEHRGE DISPOSRL. S'~ISTEI','I ]:S
:I..EIE~ FEEl" F'OR FI PF..'%',/FFFE [dELL OF..' t50 TO 200 FEET FRON F'I PUBLIC HELL DEPENDING
UPON 1"t4E." TYPE OF' PUBL.]:C HELL.
M]:I'.,IIHLII',I [:,]:STF~NCE F:F.:OM R PR]:VFITE HELL TO R F'RI',,,'RTE SEHER LINE ]:2.; 25 FEET FIND
TO Fi C:OMMLIN]:T'¢ SEHER L. INE ZS 75 FEET.
HEL..L. LOGS FIRE REI:-:!tJIRED RND I',IUST BE RETLIRNED TO THE DEPFIRTMENT H]:I"t-IIN ]:0 C,F/"r'S
OF l'l-iE HELL E:OMPLETION.
OTNER REL:-!U]:FIEi"IENI"S I'tR'¢ FIPPL'¢. SPEC:]:FICFtTIONS FIND CONSTRUCT]:ON E:']:I::IGRRi"IS FIRE
FIVFIILRBLE TO INSURE PFIOF'ER INSTRLLFITION.
F' E: F;:: I'd ][ 'l- E .--. F ]: F..: E !:"; E:. El [: E I'.1 El EE F~ Z.': ::It ..... ] ............ El
BEFIT I F'¢ THRT
: I FIM FFII'"I]:LIRR !.,.II'f'H THE F.:D..::!IJ]:REMEN1]S, FOFI OI",I-SITE SEHEFIS FIND HELLS FIS SET
':¢:TH B'¢ THE NUi',IICIPFILIT'¢ OF' RNCHOF::F1GE
]: 1.4ILL II',!STF~LL THE S'¢ST'Er,'I I1'.,I RCCOF..'DRNCE HITH THE CODES.
I UNI.".:,EFISTF;N[:, TNRT THE ON-SITE SEI.qER S'¢STEI'I MRY F...'EL:.!UIRE ENLRRGEMENI" IF' THE
;II)EN(':E IS FIEI"IO[::,EL.E[:, TO INCLUDE fIORE I'HRN 4 BE[:,F..'OOMS.
FIPF'L:[C:FINT L.C. PERFIFILILT
SOIL F..PITIN4 ,::Si:.:.! FT,. E,F. .... 21ZlO
E/,o_..:N1
\
\
\
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON,
I hereby certify that I have performed a Mor~.agge's in-
Anchorage Recording Precinct, Alaska, and that the improve-
ments situated thereon are within the property lines and do
not overlap or encroach on the property lying adjacent there-
· to; that no improvements on property lying adjacent thereto
encroach on the premises in question and that there are no
roadways, transmission lines or other visible easements on
said property except as indicated hereon.
Dated at Anchorage, Alaska
tht .d.yo _/XC'FiP 19 PI
FRED WALATKA & ASSOCIATES
Engineers and Surveyors
· SHEET 12 .OF___
so,ts
PROJECT Hidden Lake Subd,
TEST HOLE NO. 12
CLIENT Bob Sparks
ELEV. TOP OF HOLE ~c~¢.~ --
W.O. 77897 DATE 11/30/77
Peat~ PT
Organic, sandy silt, OL
Damp, brown, sandy silty gravel, GM .. __
Damp, brown, silty sandy gravel, GM
~ Grab sample __
Damp, brown, silty gravely sand, SM
~7. Water table __
Bottom of Hole
NOTE: __
1. Ground water table at 14.0'.
2. Field perculation test results - 15.0 min/inch..
15
/p'l.?7
! :,,~'"
-
):"Is-
7
Date SOILS LOG CASING LOG
Total
Time Depta Materials and Remarks Length Length
(
~, . , , , . ,) ,'~ '
No. Depth Sample Description
633 EAST 815T AVENUE
ANCHORAGE, ALASKA 9950Z
SUBSURFACE EXPLORATION
Shift Report of Operations
~,ddress
C i t 'i
Project
Static Level it::.GpM.YiELD Size
Depth-Begin Shift
Depth-End Shift
Depth Drilled
TIME DISTRIBUTION FLOURS
Drilling Pull Casing
Pumping Standby
Surging
LABOR EQUIPMENT
Name Hours Item Size Hours
Crane
Drill-Rig
Flatbed
Pickup
Boon] Truck
Welder
Co represser
Generator
Pump
DRILLER INSPECTOR
D~-~'E RECEIVED
I~SPECTOR INSPE R INSPECTO~
DEPARTMENT OF HEALTH & ~NVlRONMENTAL PROTECTION
( ) 825 L Street- Anchora.e, Ala.ka 99501 [NWRONMEN~AL P~(OTECTION
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND 8E~~
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing.
MAILING ADDRESS
PROPERTY R~SIDENT (If different from above) PHONE
2, BUYER ~ ~ PHONE
MAILING ADDRESS
3, ~DI~6 I~STITUTIO~ ~ PHONE
4,MAiREA~TCR/AGENTL~/A~SS ~ ~HONE'
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE
[~SING LE FAMILY
[] MULTIPLF FAMILY
NUMBER OF~BEDROOMS.--
[] One ~""/Fou r
[] Two [] Five
[] Three I-] Six
[] Other
7, WATER SU~LY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
*ATTACH WELL LOG, A well log is required for all wells drilled
since June 1975. FOr wells drilled prior to that date, give welt
depth (attach log if available,)
SEWAGE DISPOSAL SYSTEM
[~"/' I N DIVI DUAL/ON-SITE**
[] PUBLIC UTILITY
/?,~O YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCE881NG 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 SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
~]PUBLIC UTILITY
Connection Verified iNSTALLER
[]Septic Tank or E~Holding Tank
Size:. If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[~-APPROVED FOR ,~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED