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Home My WebLink AboutLAVANDA LT 2 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: OSP231091 Work Type: SepticTank Upgrade Tax Code Number: 05119143000 Site Legal Address: LAVANDA LT 2 G:1159 Site Mailing Address: 23025 SUMAC DR, Chugiak Owner: GOULET JOHN A & ANNA M Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: S' 1. Gy � r, De hat•tment 5/15/2023 5/14/2024 45973 ❑ 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: l S, vl-rD -/-o F w Date: Issued By: �� Date: 5 2 3 3 ON-SITE SEPTICMELL PERMIT APPLICATION Parcel I.D. 051-191-43 Property owner(s) JOHN & ANNA GOULET Mailing address PO BOX 671688, CHUGIAK, AK 99567 Site address 23025 SUMAC DRIVE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) LAVANDA LOT 2 Day phone Legal description (Township, Range & Section) Lot Size 45,973 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (0 all that apply) Absorption Field E] Initial ❑ Single Family (SF) El Septic Tank Upgrade (w/wo ADU) Holding Tank ❑ Renewal El Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well El Water Storage ❑ 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. (Sighb.ture..of1."prpperty owner or authorized agent) Permit/Rush Fees: 2 2-5- Waiver Fees: Date of Payment: Stf/ 7,9 -1, 3 Date of Payment: 'Receipt Number: T9 0 9 ()'I/ Receipt Number: Permit No. Waiver No. GADevelopment ServicesNBuilding Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! May 6, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: EMERGENCY SEPTIC TANK UPGRADE PERMIT – EXPEDITED REQUEST LEGAL: LAVANDA LOT 2 The existing septic tank has collapsed and although there is no public health issues, the owner has requested that we obtain an expedited septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence. We would recommend a 1500-gallon HDPE tank be installed for future consideration or flexibility. Groundwater was noted however in the MOA on-site file at 10’ and if groundwater is encountered during installation an epoxy coated steel septic tank may be required. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231091, Curtis Townsend, 05/15/23 FIRST WATER CONSULTING NO PRIVATE WELLS WITHIN 100' OF PROPOSED SEPTIC TANK DESIGN DETAILS: LAVANDA LOT 2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231091, Curtis Townsend, 05/15/23 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION TANKS SEPTIC ~] HOLDING Capacity in gallons No. of Comparlments TYPE OF SYSTIEM [] TRENCH [~ BED ~r~,,,W. DRAIN L~ OTHER or,ginal grade Z~ I~:~ 1! FT 77' FT el h~'~q Sod rabng WELLS IcIP^u or AN o __ [; PRIV~ DEPT. OF HEALT~fi~~)~r~n {Identify) [-TI Cased to DISTANCES SEPTIC ^B$OflPTION 'rANK FIELD I'~ o ~ 5'o WELL WELL LOT LINE FOUNDATION AS-BUILT DIAGRAM (Show moo(mo, o~ we~m, septmc system, property hnes. Ioundabon driveway, Wtflef bodies, etc.) FT Scale: IInspections Performed Health Depa,ment Approval: ~/~~~'' : Date: ~~ 72-013 (3/85) D. R. DAYTON, P.E., R.L,S. HC78Box 1026 Chugiak, Alaska 99567 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "[." Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Na,,e DISTANCES Address ~,~2', ~ox ~ G'Z o~5o -- TANK FIELD WELL Phone(s,~ ~<' '' '~ ~*~. ~ ~ Permit No.~o.~. No, o, Bedrooms~ WELL M]~ ~ L~GALDESC"IP~ION LOT LINE ~ ~ Subdivision FOUNBATION Township, Range, Secbon AS;BUILT DIAGRAM (Show location gl well, septic system, property lines, foundation, ?'1 ~ ~ ~ ~ /~ driveway, water bodies, elc.) Manulaclurer "'"~ Capaciiy m galio.s /~ TYPE OF SYSTEM 7' .. - origin,I grade ~ L ~ ~ FT ~ ? FI ~. Fill added above original grade Gravel depth beneath p,pe ~ 'l ~ PRIVATE ~ OTHER (Identify) /, Classification (A.B.C) Total Depth Cased to Installer Dale Installed: Inspections Performed by: ~.~ I cedify Ihat this inspe~lon was pedormed accordino to all Municipal and State guidelines in ellecI on this date: ' Health Depadmenl Approval: Date: " 72-013 (3/85) Anchorage P.O. BO,, 196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 '/3:~X'~(X'~O~, Tom Fink, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 12, 1988 Lavanda Lou Young PO Box 670330 Chugiak, Alaska 99567 Subject: Lot 5 Block 4 Skyline View Subdivision Permit #870097, On-site Sewer Permit A permit issued by this Department for an individual well and/or on-site s~wer system has expired as of December 31, 1987. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. Effective January 1, 1988, a new fee schedule is in effect. When re-applying for a new permit, the new fees are; $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. Sincerely, Robert W. Robinson Program Manager On-site Services RWR/ljw eric: Copy of Permit !.%HUi":~ i!i ¢."d'::: ~, i"ii'::i ,(:,ii} E~ ..- .q :i!;.'.J :5 i I-'ll]i:;l",l ( ~ ~;,:I1".I li!!;l,..i!iX;;'l'R .!. ~..,~.~ F:'lii]i:;:H :t; I ~.'.fi'.l;i) !. I,I, ~ .... I . {.)~1 l"lU!ii"l I}lZ ii¥'1' "NF' ) ~ (..:,.:., ~.h!:: '"" I I f' :: v,., t. ,. ,. i'.IE) !' id!. Wd:::'I:::'I':&iVIiX} I~ , ~ r'.~[., I (,)~1'.1 :..,I: .... 1t. I, ~..~...d... '1 I'.4F¥>.:::' ........ "1 Ixl r'd:::.l" !,~l',.. I ..~: Pfl',tD ~.':'..:, .' TI'II::: .... Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3 4 5 6 7 8 Z--I9 10 11 12 PERFORMED FOR: '~/~'¢~"¢ /~,~t.,*J ~;!~'VC, V,~f~ (~ ~'~-' / LEGAL DESCRiPTiON: ~ ~1 ~x¢ ~/,t ~ ~/~ ¢ / Township, Range, Section: SLOPE 13 5,q-~ p~,e- 14 15 16 17 18 19 2O COMMENTS WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT DEPTH? )(;~ ~ 0 E (]eplh to Water Alter ~ 4-/1~/8'1 Moniloriflg? ) ~. I Date: SITE PLAN ¢, ¢. Reading Date Gross Net Depth to Net Time Time Water Drop _4Y~" ¢/¢/s,~_ ~z-4o -~-~ o .~Y~" 4Y~" ~_~ 4'z~ co ~-~ ~Y~." /" .__ (minutes/inch) PERC HOLE DIAMETER __ FT AND ~ FT /2- PERCOLATION RATE '~' '/ TEST RUN BETWEEN ~;' ? ~ PERFORMED BY: /~·'"T~./~. ~_.~/~47'T'~^.,) I "~M~'-,¢ ;"/"-~/f~' CER] IFY TRAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 {Rev. 4/85) /r .t -- / ~ _~, DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST /~~ Xo~ ~ LEGAL DESCRIPTION: ¢% ~¢/ ~ ¢/ Township, Range, Section: 1 2 3 4 5 6 7 8 z.-I9 10 11 12 13 5~ P-~' 14 15 16 17 18 19 2O SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT ~ O DEPTH? ) ~ p E Depth to Water Alter , 4-/ / monitoring? ) ~- ~ Date: I~ 17 COMMENTS Gross Net Depth to Net Reading Date Time Time Water Drop 4Y~ .... r t. - 4-'Z- o'.-, ?_ ',..'~. ~?z." /' lY~" ,' ~.~-~o ~ ~o~ ~" ~Y~" PERCOLATION RATE ~" '/ (minutes/tach) PERC HOLE DIAMETER TEST RUN BETWEEN ~' . FT AND '~ FT PERFORMED BY: 1~-~2 /~/V ,~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCOR'DANCE WITH ALL STATE AND MUNiCiPAL GUIDELiNES iN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) B U I L~ T: ~o~ -.TERRY R. NAW, PLS PFIOP'~SSI'ONAL LAND SURVEYOR! DA1 E./z¢/? ¢g BOOK:! PO BOX 87~~P--.f. HAS'r'LLA (907) 376-7796 ..T I"tEREBY CEFIT. EFY THAT .~ HAVE SURVEYEd7 TIlE FOLLOPIZNt9 DE$C,R.T~E~ PROPERTY:. LOT ~ BLOCK :" ~;~-R~OI~TZN~ O~TRI~ AK, AND THAT NO ENCROAC, t'-~ENT~ EX.TST EXCEPT AS NOTED. DATED THZ$ ~ DAY OF [:;',¢E.~_~,~E/C.. ', ~95~ I~A~ZLLA, ALASKA. .TT Z$ 'T~t~ RESPONSZB.TLZTY OF' THE OklNER TO DETERMINE THE EX3~$TANCE OF ANY EASENEN?',.q, CONVENANTS. OR RE$TR~TOT,~ON$ ICHZCH DO NOT APPEAR ON THE RECORDED SUBDZV.TSZON PLAT. UNDER NO C~RCUI~ISTANCE'~ SHOULD ANY DATA HEREON BE t.I~ED FOR CON$TRUCTZON OR FOR E73TABLZSH.TN8 BOUNDARY OR FENCE L.TNE~. I', ,I .... t,... [. ~E. : 95 '" L.. '" ::;"I"F;:EET., ~ ..... J:: "2~ El"l.. t:::'[EF::f"l:'t" NO. '"'"'IF'::':' ~,1~ L.~ .. i41: ~:,.., . , TI.i",IG E:NCiI:~:::; ~ ~'~..~,~:: CHUG ]FII.:::., I':11::: ':')'::~:::::;',::' ,,, ,..,.,.f,,...,, NI...IHE:E:I:;:: OF' [.,L~i .UL,,,., =: 2:: L. F::f'iTZl'.,It:i = ]..~:._ :].;::~5 .L,=.._ F'T.. :.F... I....:[ ........... ' ...... " '"'~" '- "-" ~ .,-. ...... L. V-I. _ I'IF'_ :: ,:;'""'*t.,. ,~. C:I_I, "r~l:::,:::. "FOTI::IL.. I:::'CF'TH ::": ....,.':' ~;::.. F'T'. ~. ' L-.~ ..L~,......"'""' "~, ....... .... ,~......,*'""' ~"'"'...... f3 .iL Il ,~I F:::' Z: ..... ~ ...... : ,...., 1 t .... ._,.=:' ~:i. I'::"T. GF:FIVE:L. DCF'TJI = 2, ::* PT, F::'C[I:::TH b"r' THE I"llJN:[C:]:F'FIL.:T',' '": ........'"'"'-'"'" '~"'""' " 2. ]: I.,I:I_.L. :t',IZTI:::tLL. TI'Ii:: :::"r':::;Tl3'1 :[P,I ........ ~. -.- ,.~' ""'-'" '". . ...... I.,.IITH THE: F'EF:ff'I ]: 'T'. .: .... [ ~..I: l"11':l"r~ ...... '..~.. ::~ ,~.r'~r.. ~;.~ ..~..: ~ .. ~-'""'""['"'"'~",....,..., ,.,. , ~I11 I_- '" ~ .ilhll-' .... f"IFIZ TILE: ~[: ~,' "-~'"UP.L~,:I:::,.I.L.]. F'~' ': -' ................... TO INF'OI:~:["I 'T'H[:: I~.J t..l:.l, OF:' [ ............. [..EI,I_.E.= Tl tf'IT TIIE NE:LL FI]:LI.. I:3E: ~ ..... t,t.[t,tL.I ............. L..I,h,,,..., DC ~h, ,...,..,.,~ ...... ~..:TIt_LIr I:::ll',t EI...[EC'I"F::]:C:I::IL ZN:E;F:'EX::TZOhl J .,.::.rL.h..~. 'I"ItE: [:::L [: :::TF:'. :[ CFIL I.,.IO[;::1':: '.~,...,,:"T', [3[: DONIE I:~:":" MUNICIPALITY OF ANCHORAGE Department -~ Health and Environmenta] ~rotection ~099t ~ 825 . Street,264-4720 Anchorage, AK. .3501 Permit WELL AND/~'ON-SITE SEWER PERMIT Location: Legal Description: Phone Number: ~'~ ' ~~ ~,~! Lot Size: Type of Soil _Absor.9~n ~ 'French: ~ ~rainfield:'~ ~eepage Bed: Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) /D O DEPTH The Required Size of the Soil Absorption System Is: ' GRAVEL DEPTH ,~ ' WIDTH:~ ~-~--/ 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 excavation(in feet). * * REQUIRED SEPTIC(N~3L-D-tW~G) TANK SIZE = /~O GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED ~ * ~ Backfilling of any system without final inspection and approval by this departmen~ will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee~ for a private well or 150 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 a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if ~the~idence is remodeled to include more tha~ 3 bedroo~s/ ~ Signe~: -/-~ ' --j~a~ .~--~c~-~ ~:_~=~_ _ -- Issued by: /~ icant ' ' -' ~ ~&F~~/~ Date: ~/~/~ SWP/024(1/81) '1~,,,~OI LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99S01 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: EXCelan/)~::~'7~' I ~J~ LEGAL DESCRIPTION: ~...Z~"~' %~ ~-_-~ L.~. 1 2 3 4 5 6 7 8 9 1 _0 ,.D .~ "'T 11 1 2 13 [-3fO L-Fr._ 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: 72-008 (6/79) SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED7 IF YES, AT WHAT DEPTH? R Gross Net Depth to Net eading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) BETWEEN FT David R. Dayton P.E.,R.L$. SR 1 Box 1028 Chugiak, AK 99567 // } ) - '- i'_ II I . .,~,. ~. .:/:: ,.(} ? · ' ~ ~ ./// , ,tl ( I [ "~.. //' _/: , ,I, ', , ~ / ~ . ,.,.. 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