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Home My WebLink AboutBIRCH HILLS TERRACE #2 BLK 1 LT 1Onsite File #050-141-24 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: OSP191417 Work Type: SepticTank Upgrade Tax Code Number: 05014124000 Site Legal Address: BIRCH HILLS TERRACE #2 BLK 1 LT 1 G:0153 Site Mailing Address: 17937 LACEY DR, Eagle River Owner: WOOD RUSSELL W & MARY ANN E Design Engineer: CREWDSON ENGINEERING, LLC This permit is for the construction of: ❑ Disposal Field 21 Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: DepartmClit 9/23/2019 9/22/2020 48276 ❑ 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: Issued By: Date: Date: 07 3 19 4 M UMCPQUTi Y OF ANCHORAGE Development Services Department f`' ; p p Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-141-24 Royce Martin Property owner(s) Wood, Russell & Mary Ann Revocable Trust Wood R W & A Efrrustees Day phone 907-229-8660 Mailing address 17937 Lacey Dr., Eagle River, AK 99577 Site address Same Legal description (Sub'd., Block & Lot) Birch HIIIS Terrace #2, Bock 1, Lot 1 Legal description (Township, Range & Section) Lot Size 48,276 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank El Upgrade 0 Duplex (D) ❑ Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: '�Z�ZJ' Date of Payment: qi % 1 q l!9 Receipt Number: i1a 11 C16 Permit No. ®sptgjul,�, Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191417, Rebecca Carroll, 09/23/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191417, Rebecca Carroll, 09/23/19 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~' ~/,// ~ E)~c¢.._'.'.5 PID Number: (~"O/~/c2 ~ Name: ~,~ ~.-L L ~~ Wastewater System: ~ New ~ Upgrade Address: /~;~? '7~/)~-'~~ /~ ~/~ ~:~ ABSORPTION FIELD Phone: ~,~_ ~j?~ ]No. of Be~oms: ~ Deep Trench ~ Shallow Trench OBed ~Mound BOther Total Depth from original grade: LEGAL DESCRIPTION soi~ ,a~in~:/ ~ ~,~/S,..t. /~ ¢ Subdiv~ion: ,~ ~ Depth to pipe bottom from grade: Gravel depth pipe~ Lot: / Block: / ~/~',~ /~1~ 7~ ~/ original beneath Ft. Ft. Township: ~ ~ Range: ~ Section: ~ Fill added~ ab~,,e~_oriqinal~t '~grade:/ Ft. Gravel length: ~ / Ft. WELL: U New ~ Upgrade Grave~ width: ~. ,.~ / Number of lines: [ Distance between lines: ~ Ft. / ~ Ft. Classification (Private, A,B,C): Total Depth: ~o~- Total absorption area: Pipe material: Driller: t ~ Date Drilled: Static Water Level: Installer: Date installed: / GPM Ft. Ft. TANK SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P. To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Unes ~r'/, '7~J~ t Material: Number of Compa~ments: Sudace *,¢' LIFT STATION Water /~O /~Cz f ~ ~ ~ Lot , ~ Size in gallons: ~ Manufacturer: Line ~0.~ Z ~ '~ -- -- -- _ Foundation ~ ~ ~ .~ ~ ~ O~aiRD~ain ~.~/~1 ~(,~/ _ ~Mod~l ~Electrica[Inspection~pedormedby: Remarks: BENCH MARK Location and Description: Assumed Elevation: /~. 0 ~. ' s ........... Inspections pedormed by: 17034 ~=;,= .~-;r L~ ~ N~s: 1st Eagle River, Alaska 99577 2nd )0/~(~/C17 rf,%_~ ROB~ ....... Department of Health and Huaan Se~ices approva~ ,, ¢ ......... Reviewed and approved b ~ Date: ~ 'N' ¢~ '~._.5.;cr;;~~._ 72-013 (Rev. 9/91) MOA 25 PEIUflT No. SW970225 PAGE 2 oF 2 DEPARTMENT OF HEALTH AND HUIVFAN SERVICES ENVIRONMENTAL SERVICES DIVISION p. FI. ]]ox 196650 ~_Anchorage, A~ask~ 99519-6650 · Tetephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT t~GAf., L1 BK1, BIRCH HILLS TERR S/D ADDN ~2 P.I.D. NO. 05014124 A B FCO 34.5' 8' ST1 43' 1 0.5' ST2 49.5' 17.5' DBL1 55.5' 21.5' DBL2 55.5' 23.5' C01 61 ' 29' C02 97.5 70' MT 95' 67' LOo,° LOT 2 ALT. DBL #2 DBL #1-- 1250 GAL. SEPTIC TANK TBM = TOP OF ( WATER LINE SITE '--"/i! IJ KEY BOX C02 MT ~TH C01 ST2 ST1 FCO STI 99.2' NRW 1000 GAL SEPTIC TANK MT MT = 9g.3'% ST2 FINAL GRADE ~ 95.7 -- CO1 C02 = 99.3' 99.3' CO1 = 95.4'j CO2 95.2'l : MT = 89,1'/ TH· B0H 83.1' NO WATER FOUND TRENCH ./~OT ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WAT ER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING S[UDIES AND REPORTS WELL INSPECTION & FLOW TEST SIT E PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN Date: Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SERVICES (907) 694-2979 FAX (907) 694-121 RECEIVED OCT 30 1997 Municipality ot Anchorage Oept, Health & Human Services REFERENCE: The septic inspgct%ons for th~ ~eferenc~d property were performed on JO/Z~/~w and Io/~.. Prior to submitting the On-site Wastewater Disposal SYstem and/or Well Inspection Report we are waiting for the ~o~D&Tlo~ to be completed. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA99577 PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970225 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:WOOD RUSSELL & MARYA~NN OWNER ADDRESS:iT937 LACEY DR EAGLE RIVER, AK 999577 DATE ISSUED: 7/30/97 EXPIRATION DATE: 7/30/98 PARCEL ID:05014124 LEGAL DESCRIPTION: BIRCH HILLS TERRACE #2 BLK 1 LT 1 LOT SIZE: 48276 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ISSUED BY: DATE: DATE: ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. July 18, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORri'Y APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL iNSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHO1L~GE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1, Block 1, Birch Hills Terrace Subdivision Addition No. 2 Request you issue a permit to install a septic system to serve the proposed four bedroom house on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the test hole has been checked and found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mg MUN~CJPALJT"i' OF ANCHOI~b~'GE ~.NV i~,ONMF-N~AL S~.~,VtCE$ DiVIBtON JUL ?-2 1997 p., C E t rr- D Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 1"=60' SCALE O0 SITE-PLAN / / / PROPos ~,o2~ ,.-, / D R I V £ CV~A EYD I DESIGN 0 ~"~ o ~ 0 mo ;~o I I I ('b / 0 /I '--I IT1 NO WELLS/SEPTIC WITHIN 200'+ OF PROPOSED SEPTIC AREA? ~ o =,-r, I 0~ ~ Zz Zo O~ PERFORMED FOR: LEGAL DESCRIPTION:/.~' Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES $25 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3 7 8 10 12 14 ~o~ , 17 18 19 2O ~ ~ ROBERT C. COWAN ~,'~ ~. ,.. ,.. .~-~ DATE PERFORMED: ~,~ ~ ~wnship, Range. Section: ~'"~_,~ · SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? DEPT.?'F YES, AT W.AT Depth to Waler Monitoring? .~'r--~"~ f Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE 3 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~"~" ~FT AND COMMENTS ACCORDANCE WI~'~L~~Ir~I~i~AL GUIDELINES IN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: 7/~-~, / ~ 72-008 (Rev. 4/85)