HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 3 LT 8Onsite File
PIO# 05Imw3'13mmOI
Engineer that the field per 2017
upgrade has
`V a11fl1 1 1 A�
V DEC 202018
Municipality of Anchorage
Community Development Department Page 1 of 2
On -Site Water and Wastewater Program
4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171160 PID Number: 051-313-01 ❑ New ✓❑ Upgrade
Name:
CAROLYN WEHR
ABSORPTION FIELD
❑ Deep Trench F-1 Shallow Trench ❑Bed F-1 Mound
Address
17650 JAMES WAY
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
LAKE RIDGE TERRACE 3 8
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft'
Ft.
Well
145.9
N/A
N/A
N/A
139.8
TANK ❑ Septic El S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCHORAGE TANK
Capacity
1500Gal.
Surface Water
100+
N/A
N/A
N/A
Material
Number of compartments
I
Lot Line
33.4
N/A
N/A
I N/A
STEEL
2
NA
Foundation
6.4
N/A
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
50+
N/A
N/A
N/A
ORENCO
500 Gal.
Remarks ONLY INSTALLED NEW S.T.E.P. TANK
Pump on level at
TIMED in.
Pump off level at
in.
High water alarm at
45in.
CONNECTED TO EXISITNG DRY SYSTEM
Pump make and model
P2005
Electrical Inspections performed by
fv�OA�l71
Installer
PIPE MATERIAL House to lank 3034 Tank to 3034
drainfield
JR'S SEPTIC SERVICES
Drainfield 3034 CO/MT 3034
Inspector PANNONE ENGINEERING SERVICES
BENCH MARK (Assumed elevation) 100.0 ft
Inspection
tes: 8/23/17 2"' 12/18/18
Location and description
3' 4'h
BOTTOM TRIM AT HOUSE POINT B
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
- INV
'k
Conditional Conditional Approval: Date
��G
Steven annome
'
�¢c . CE 81 9
's'•Ij?.1,.,
r DateAw
Approved
FESS A •e
inspectionmepon_i- i- iz.00c (,JCS NV I b �u I
� 'Ack,.
JAMES WAY
�CONNECTED TO EXISTING
�DRAIN FIELD
S.T.E,P. TANK
1 A' Q I
A
B
1
26,3
TH-1983(SHALEE)
T2
ABANDONED 1250c1
15.5
PER MOA
1 33.3
CODE(E)
DRAWN f ACP
PERMIT NO.
OSP11 711160
SITE PLAN
JAMES WAY
�CONNECTED TO EXISTING
�DRAIN FIELD
S.T.E,P. TANK
1 A' Q I
Li I
2 F D
<
7
Ld
CE
�WELL'E
-Z
___ _____(___
L - — — — — — — — — — —
'V J"" Esrnt
W L
— w — V; — WATER LINE
WELL RADIUS
— SS — Ss — NEW SEPTIC
ABBREVIATIONS
TH
A
B
1
26,3
EXISTING
T2
31.6
15.5
LS
1 33.3
17.H
DRAWN f ACP
PERMIT NO.
OSP11 711160
SITE PLAN
Li I
2 F D
<
7
Ld
CE
�WELL'E
-Z
___ _____(___
L - — — — — — — — — — —
'V J"" Esrnt
W L
— w — V; — WATER LINE
WELL RADIUS
— SS — Ss — NEW SEPTIC
ABBREVIATIONS
TH
TEST HOLE
(P)
PROPOSED
(E)
EXISTING
CO
CLEAN OUT NO.
MT
MONITOR TUBE NO
TYP
TYPICAL
NOTES:
PAMONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
•
onnoe
CE 8149
Date
12/19/2018
RECORD DRAWING
Scale
1" = 50'
LAKE RIDGE TERRACE B3 LB
SITE: 17650 JAMES WAY051-313-01
'CAROLYN WEHR
PO BOX 670607
CHUGIAK, AK 99567
P.I.D. NO
DRAWN f ACP
PERMIT NO.
OSP11 711160
SITE PLAN
2 OF 2
�JN(II PALI!yO,� MUNICIPALITY OF ANCHORAGE
� �\\\l 1l f.
-', On-Site Water &Wastewater Program ' 'S.;
PO Box 196650 4700 Elmore Road _ f.
Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax: (907)343-7997
http://www.muni.orglonsite
i
I)L partntcnt
4 NCMO_Aa,s
On-Site Wastewater Disposal System Permit
Permit Number: OSP171160 Effective Date: 7/10/2017
Work Type: Septic Initial Expiration Date: 7/10/2018
Tax Code Number: 05131301000
Site Legal Address: LAKE RIDGE TERRACE BLK 3 LT 8 G:0653
Site Mailing Address: 17650 JAMES WAY, Eagle River
Owner: WEHR 2008 FAMILY TRUST Lot Size in Sq Ft: 26500
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4
This permit is for the construction of:
0 Disposal Field El Septic Tank D Holding Tank ❑ Privy ❑ Private Well 0 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: The Engineer needs to do a percolation test prior to construction of the septic field. Please
submit stamped and signed results with the As-built Inspection Report. If the results require a design change,
construction of the system will stop pending On-Site review and approval.
10111As Ae
1
Received B . dI1. mior ��f . . Date: 74///Issued By: i t � f_ Date: 7
MUNICIPALITY OF ANCHORAGE
rrCommunity Development Department % Phon- a.) �- ••,•
Development Services Division . •• -•' -0
On-Site Water& Wastewater Program '
ON-SITE SEWER/WELL PERMIT APPLICATION a
JUN 262017
t Q(n
Parcel I.D. 051-313-01 r << OL 68
Property owner(s) CAROLYN WEHR Day phone
Mailing address PO BOX 670607, CHUGIAK AK 99567
Site address 17650 JAMES WAY
Legal description (Sub'd., Block& Lot) LAKE RIDGE TERRACE B3 L8
Legal description (Township, Range & Section)
Lot Size 26500 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑x Initial Single Family (SF)
(w/wo ADU)
Septic Tank ❑X Upgrade ❑ Duplex (D)
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well n
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
SEPARATION DISTANCE TO GROUNDWATER Distance: 3.0
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: �a(o0 Waiver Fees: 2-15-
Date of Payment: b-a1-I"1 Date of Payment: (.0- 1-11
Receipt Number: 0te1'laSr% Receipt Number: 01 tAnCh
Permit No. 04-)9 11 tic,0 Waiver No. O V l 1 I o(v Z
Permit App_ - :..c
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail:steve@panenRak.com
July 5, 2017
Subject: LAKE RIDGE TERRACE B3 L8
Septic System Permit Request
Design Narrative
This is a design narrative for a permit to install an upgrade septic system and well to be issued for this
property. The proposed system will serve an existing four (4) bedroom duplex. Currently the lot is
developed. The system will utilize a new 1500g STEP tank system. This lot and the surrounding lots are
developed and served by private wells. There are no wells or surface water within 100' of the proposed
septic system.
1. Soils. One test hole was performed in the vicinity of this system by Shafer in 1983, and groundwater
was encountered at 8'. Following water monitoring in July 1983 water level was found to be at 6'.
Bedrock was not encountered in the test hole. There are established test holes throughout the
subdivision that exhibit a similar soil profile, groundwater and perc rate for those soils.
Based on the results of the previous soils log; an application rate of 1.2 gallons/day/square (0.8 GPD/SF
for a bed type system) was used for a conventional wastewater system in the area of the system.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field.
The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage
ditches.
4. Topography: The existing topography on the lot gently slopes from east to west, with a slope of
approximately 0%-1% in the area of the drain field. There are no steep slopes within 50' of the proposed
drain field.
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that
the review is complete and that there are no further comments is received from MoA On-Site Department,
the note will be removed and "Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of this or the surrounding lots.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
A
DESIGN PARAMETERS w w WATER LINE /
. - _ PRIMARY SEPTIC SYSTEM _ WELL RADIUS
NO. BEDROOM: 4(600 gpd)
of
TANK SIZE: 1500g STEP
A....
* TARCNK SATE: 1 MPI(150SF/BR) — — NEW SEPTIC
1Nip, + .• �� • SOIL RATING: 1.2 GPD/SF \ ABBREVIATIONS
(0.8 GPD/SF for BED) 4 TH TEST HOLE
AREA ROD: 750 SF
f SYS. TYPE: BED 0.5'ED N-...„.,,,,,. (P} PROPOSED
TRUE NORTH SCALE : 1'- 50 (E) EXISTING
r! MIN LENGTH: 50x15 LF
- - IN CO CLEAN OUT N0.
USE: ` - -' -MT MONITOR TUBE NO.
1500g STEP TANK TYP TYPICAL
— � 40LFx20'Wx05' E.D., 0.0' TD — — —
TOTAL AREA: 800 SF
REMOVE ABSORPTION FIELD JAMES WAY
REMOVE ALL BIOMATTED MATERIAL EXTENT OF FILL
REPLACE AREA UNDER NEW BED
W/ 2.0' SAND & 2.0' MOA TYPE II, INSTALL ABSORPTION FIELD(P)
REMAINING AREA BACK FILLED WITH• 40LFx20.O'Wx0.5'E.D„+0.0'T.D.
WITH NATIVE MATERIAL(E) o USE 1.25"O PIPE W/ 0.125"
DRILLED HOLES 18"D.C. W/
8 r'1 • _� 2.0' SAND UNDERLAIN BY 2.0'
OF MOA TYPE II. 2" R.I. &
�'Q ABANDON 1250. TANK
.._\
• I - IV CORNERS
W�<v PER MOA CODE E 1
j�,� w 11� TH-1983(SHAFER)I Q�Q
QINSTA 1 00. STEP P / Q
J % 41 It W/ FC BEFORE IF NOT
0 2FD PRESENT M
QI
2FD 4BR
— ,� 7 tA`
cr M
W 1` ' ----44- 4',1 X.s.
� I t..1\ I
47
/ �i
�� I I MI
v \
I I �
4 / 7•
• / \ \ 1 .. ,
1.25"a DRAIN PIPE W 0.125" " R I. DRAIN ROCK 6" ABOVE PIPE INV
HOLES DRILLED O.C. TYP
FILTER FABRIC 2M
-0. 7;8-_.1.
07/8 _.I. ��1Val i
—AAFE4
1.0 °R =S
2.0
..0
6. II=
6.0 v 07/15/1993ik
7.0 SM/ 'SHAFER _
M —
L .1' ANI FILTER
8.0
0:0— . MIA TYP II
;0.0 B.O.1.
SECTION
NOTES: PANNONE ENG SVC, LLC OFDote
O6/24/2017
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 ••'
PHONE (907) 272-8218 FAX (907) 272-8211 4p'••• �4,".. Scale
*•. - * ; /tN. --I•* 1" = 50'
LAKE RIDGE TERRACE B3 L8 ��4';�; ''" P.I.D. NO
SITE: 17650 JAMES WAY _ 051T NO O1
v� ..�iwri•-••�onno�e
DRAWN JRL CAROLYN WEHR f E 8149,- PERMIT 11
••.REv:o7/07/1 OSP171160
SITE PLAN PO BOX 670607 Sheet
CHUGIAK, AK 99567 '`� 1 OF 7
I t�..
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55.
2. SCOPE OF WORK: INSTALL NEW 1500g STEP TANK, AND SOIL ABSORPTION SYSTEM.
3. GROUNDWATER WAS ENCOUNTERED TO A DEPTH OF 6 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST
HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 6 FEET BELOW EXISTING
GRADE NOTIFY THE ENGINEER IMMEDIATELY.
4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC
LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED
SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK.
5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED.
6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES.
7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING
AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER.
8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE
CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN.
9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE
ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND
TANK ELEVATIONS.
10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION,
TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING.
11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE
PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER
(OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE
CONTRACTOR.
12. THE CONTRACTOR SHALL SIGN THE FOLLOWING:
I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE
ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS
CONSTRUCTED.
CONTRACTOR:
BY: . TITLE:
DATE:
NOTES: PANNONE ENG SVC, LLC OF Dote
06/24/201/
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 P•�.•"'
PHONE (907) 272-8218 FAX (907) 272-8211 �•''� 1 • Scole
*• • Ir, - %\ * NTS
LAKE RIDGE TERRACE B3 L8 . •• 11/4;a4•&:•• P.I.D. NO
13-01
SITE: 17650 JAMES WAY : "fiZeven ','�onriave' 05�
PERMIT NO.N0.
DRAWN JRL CAROLYN WEHR ,i••�REcE al4 ,Z,..,'• OSP171160
PO BOX 670607 •.,,, ,.•'
DESIGN NOTES Sheet
CHUGIAK, AK 99567 2 of 2
ortoci"""rMUNICIPALITY OF ANCHORAGE cncnr
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
•
partmutt t
iry,HQR pVE
On-Site Wastewater Disposal System Permit
Permit Number: OSP171129 Effective Date: 6/12/2017
Work Type: SepticTank Upgrade Expiration Date: 6/12/2018
Tax Code Number: 05131301000
Site Legal Address: LAKE RIDGE TERRACE BLK 3 LT 8 G:0653
Site Mailing Address: 17650 JAMES WAY, Eagle River
Owner: WEHR 2008 FAMILY TRUST Lot Size in Sq Ft: 26500
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 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: If a foundation cleanout and double cleanouts are not present, they shall be provided in
accordance with code.
Received By:
A tre�,�ALeDate:
Issued By: /ale c C a CAA,uc C.f' Date: Co1 L 0'70/
MUNICIPALITY OF ANCHORAGE
,7-."----:(1 -...
Community Development Department `\ or,../ Phone: 907-343-7904
Development Services Division Fa • •: •3-7997
On-Site Water & Wastewater Programvc, �.- 4 Jp ,7
ON-SITE SEWERNVELL PERMIT APPLICATI• .``l
JUN 072017 �
051-313-01 r
Parcell.D. \a u•�,,,,,,��ti
Property owner(s) Wehr 2008 Family Trust Day pho�x`�ee 'h�
Mailing address PO Box 670607 Chugiak, AK 99567 • 6 8 L '
Site address 17650 James Way
Legal description (Sub'd., Block & Lot) Lake Ridge Terrace Block 3 Lot 8
Legal description (Township, Range & Section)
Lot Size 26,500 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑ Initial ❑
Single Family (SF) U
(w/wo ADU)
Septic Tank E Upgrade ❑X
Duplex (D) NI
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
_ . \V)\4R-- --
'Signature of property owner or authorized agent)
Permit/Rush Fees: At5 Waiver Fees:
Date of Payment: COM" Date of Payment:
Receipt Number: 020444 Receipt Number:
Permit No. 0SPriii2q Waiver No.
Permit App_.-'• ::..c;
Pannone Engineering Services u.c
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
June 7, 2017
Subject: Lake Ridge Terrace Block 3 Lot 8
Tank Replace Permit Request
Design Narrative
This is a design narrative for a permit to install an upgrade 1,500g Septic Tank to replace an existing
1,250g tank to be issued for this property. The existing tank is failing. It will be decommissioned per code.
Currently the lot is developed. The proposed system will utilize a replacement 1,500g Septic tank that will
be connected to the existing drain field. The existing tank is located approximately 100'+ from the well.
The proposed tank will be placed outside the existing well radius. All required separation distances will be
met.
1. Upgrade Tank Design.
A foundation clean out installed if needed.
The tank will be located: 5'+ from any property line or building foundation
10'+ from any water line
100'+ from any surface water
100'+ from any private wells
200'+ from any public wells
The proposed installation will not affect the future development of the surrounding or existing lots.
If you have any questions or concerns, please contact me at 907.272.8218.
Sincerely,
T
•
Steven R Pannone ? =
CE 8149
1 : . .57�
Steven R. Pannone, P.E.
Owner/Civil Engineer
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
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
LOCAT ON
PHONE
DISTANCE TO:
M a n u fact u ~"~_~ .~___~/.
Lic
IF HOMEMADE:
Well
DISTANCE TO:
Wel I
DISTANCE TO:
No. of lines
Top of tile to finish grade
Type of crib
DISTANCE TO:
Dwellin ~/,._~~ [~
W dth
Dwelling
Material
Foundation Nearest lot line
length of lines Trench w dth inches
Material beneath tile
DISTANCE TO:
Building foundation
Crib depth
Building fo,u ndation
NO. OF BEDR.~
No. of compartment~.-..-..-..-..-..-.~_
Liquid depth
PERMIT NO,
Liquid capacity in gallons
PERMIT NO.
Distance between lines
Total effective absorption area
~ ~,,~4~' - ~v~/~ ~ERMIT NO~
Total effectiv~on~ .~
Nearest ,o~ ~.~
Distance to lot line PERMIT NO.
Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST RATi~~ ~
INSTALLER /~-~ ~
R EMAR KS
DATE
LEGAL
:. ,~UNICIPALITY OF ANCHORAGE~
~ Department' ~ Health and Environmenta ~?rotection
825 L Street, Anchorage, AK. 9'9501
~ ~ 264-4720
~ , ~ ,T~-~ * * * HANDWRITTEN PERMIT * * *
Permit ~ '~---- WELL AND/OR ON-SITE SEWER PERMIT/~'~}/_%=~~'
Applicant: 0~ ~~o~-/ Mailing Address: ~m~/
Location: Phone Number:
Legal Description: ~~ ~~//~,/~-' ' ~ ~'/ Lot Size:
Type of Soil Absorption System Is:.
Trench: __ Drainfield: Seepage Bed: ~, Holding Tank: ,~7~___~
Maximum Number of Bedrooms: ~__ Soil Rating (sq. ft/br) '
The Required Size of the Soil Absorption System Is: '
DEPTH LENGTH ~/ GRAVEL DEPTH m~ 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(HOLDING) TANK SIZE = /~'~-~ 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 feet
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 31, 1 9 8 3 * * *
I certify that:
(!) 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 rep, idence is ~emodeled to
APplicant
SWP/024 (1/81)
include more that 3 be~t~ooms.
MUNICIPALITY OF ANCHORAGE
DEPARTIViEI\IT OF HEALTH AND ENVl RONMENTAL PROTECTION
PERFORMED FOR:
LEGAL DESCRIPTION: ~'-
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
~/ ~. ~ ~.,.~/~'~'~*.J DATE PERFORMED:
>
SLOPE
[] SOILS LOG
[] PERCOLATION
TEST
SITE PLAN
10
13
14-
1§-
17,
18 ,~=.
19
20
,,,,ASGRO.NDWA'"ER y'"~d" [
ENCOUNTERED? / P O
IF YES. AT WHAT & / E
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE J~ /~ (minutes/inch)
..~., "TEST/RUN BETWEEN / ._~__.~__~FT AND FT
-COMMENTS /I/0/ ,/ ,:
CONSTRUCTION AND OPERATION CERTIFICATE
ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION.
PUBLIC WATER SYSTEM
APPROVAL TO CONSTRUCT
Plans for the construction of /-~OT ~j ~'~L(JC lc' '~ ~-i~lr IlC~ ~
~&~ ~ ~¢ ~- ~.~ ~ ( - ~ ~ ~ ,~ ~ r~. ~ ( ~g.~ ~public water system located
~ ~ (~ Alaska, submitted in accordance with ]8 AAC 80.]00
J~
by )~- o ~ ~ ~(I h q~+$el~ have been reviewed and are
approved.
conditionally approved (s/e~,, attached conditions).
DATE
If construction has not started within two years of the approval date, this certificate is void and new
plans and specifications must be submitted for review and approval before construction.
APPROVED CHANGE ORDERS
Change (contract order no. Approved by Date
or descriptive reference)
The "APPROVAL TO OPERATE" section must be completed before any water is made available to
the public.
APPROVAL TO OPERATE
The construction of the
water system was completed on /.2. - Z)'7 -- c~' ~ (date). The system is hereby
granted interim approval to operate for 90 days following the cpmpletion date.
BY TITLE ~ . DATE
~ co~,'~7'o,~.d o~ /C0~ ~ '~' ?--~,r~.o - ~-~-& ~".¢~,,~rr- Lq~ ~.~_~.,1 l~r~r ,
As-built plans submitted during [he interim approval period, or an inspectidn by the Depar~nent has
confirmed the system was constructed according to the approved plans. The system is hereby granted
final approval to operate.
BY TITLE DATE
APPLIC IT FILLS OUT UPPER HAL: ONLY
Property O~'ner ~/~'~ r'~'/'/~~ ](.~......~
Phone
Mailing Addre~ -?)(, ) :_)(%~, ~ / /~2 2~,¢p :~_¢ ~" (~ .~.¢ / ) [ (?.//( Zip Code
Address Zip Code
Lending Institution - ~_¢ Phone
~_._:, . .. . .~ '~ - # _?., , ~ Y -- . ' .
"I l- , ,
Type 0f R~sidence ¢
: Sidle Family
~ultiple Family No. of Bedroo~~
~ Other
Water Supply
dividual ~ A~ACH WELL LOG. A wall Icg is required for all wells drilled since June 1975.
mmunity ~ ~O~ For wells drilled prior to that date, give well depth (attach Icg if available).
blic Utility
Sewer Disposal
~ Individual Year Individual Installed:
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
( ~,~,u~q~:~/E[~BE ~M S
) DISAPPROVED
) CONDITIONAL APPROVAL*
DATE ! ~- ~ ¢'"-~-~ .~-'~ ~
Time
Inspector
~. MuNICIPALiTY OF ANCHORAGE
i!EPT. OF ~!C/',LTil C,
~.~ ~,' ..~NViRON;.A2NfAL P~.OTFCTIO~
/
: EIVED.
*CONDITIONS OF APPROVAL
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well to Tank.%/l
Well Log Received
Septic Tank Size ( '~__,.,~