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HomeMy WebLinkAboutSOUTH LAKEWOOD HILLS #1 BLK 1 LT 10 MUNICIPALITY OF ANCHORAGE On-Site Water & Wastewater Program PO Box 196650 4700 Elmore Road 'i r Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 ^ f http://www.muni.org/onsite :f llehartnient On-Site Water & Wastewater System Permit Permit Number: OSP231107 Effective Date: 6/1/2023 Work Type: WellSeptic Renewal Expiration Date: 5/31/2024 Tax Code Number: 01515113000 Site Legal Address: SOUTH LAKEWOOD HILLS #1 BLK 1 LT 10 G:2638 Site Mailing Address: 6501 MICHIGAN BLVD, Anchorage Owner: MCBAIN LARRY & BECKY Lot Size in Sq Ft: 27500 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 5 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q 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: Engineer to establish the original grade after the fill (placed during the foundation excavation) is removed from the drainfield site to ensure vertical separation is maintained to groundwater. Received By: Issued By: Date: Date: ! Zo -2- MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 01515113 Property owner(s) Larry McBain Day phone 223-3725 Mailing address Site address 6501 Michigan Blvd, Anchorage Legal description (Sub'd., Block & Lot) South Lakewood Hills #1 131 L10 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: (© all that apply) Absorption Field Initial ❑ Septic Tank Upgrade ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Private Well Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) ❑ (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Tarn (t Ui 1 tl l C r (Signature of property oer or authorzlAd ac -ent) ` Permit/Rush Fees: 4 / ys Waiver Fees: Date of Payment: S��s�Z3 Date of Payment: Receipt Number: C)2gg7G Receipt Number: Permit No. 0.5 P 21-31107 Waiver No. G:Uevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231107, Curtis Townsend, 06/01/23 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program - Anchorage, Alaska 995f9-V65nPhone: rax: (907)m-rgV7' mttp://www.moniorg/onsite epartment On -Site Water & Wastewater System Permit Permit Number: O8P221205 Effective Date: 6/23/2022 Work Type: WellSeptic Renewal Expiration Date: 6/23/2023 Tax Code Number: 01515113000 Site Legal Address: SOUTH LAKEWOOD HILLS #1 BLK 1 LT 10 G:2838 Site Mailing Address: 6501 MICHIGAN BLVD, Anchorage Owner: K4CBA|NLARRY &BECKY Lot Size inSqFt: 27500 Design Engineer: GARNE8SENGINEERING GROUP LTD Total Bedrooms: 5 This permit isfor the construction of: 0Disposal Field 0Septic Tank [lHolding Tank 0Phvy 21Private Well [] Water Storage All construction shall 6einaccordance 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 (18/V\C72)and Drinking Water Regulations (18/V\C80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.O5.Provide notification bycalling (OD7)343-7804(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: e. Opened and Closed onthe same day, or Received By: Issued By: Date: �Zz_ 34 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. Property owner(s) Larry McBain Day phone 223-3725 Mailing address Site address Michigan Blvd Anchorage K Legal description (Sub'd., Block & Lot) South Lakewood Hills #1 B1 L10 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field {] Initial ❑ Single Family (SF) ❑ Septic Tank j Upgrade ❑ (w/wo ADU) Holding Tank ❑ Renewal Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well R 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 authWized agent) Permit/Rush Fees: 4 J1 q 5 Waiver Fees: Date of Payment: 1 / 5202 2 Date of Payment: Receipt Number: o 3G Receipt Number: Permit No. 0 S P12 rJ Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc NESS ENGINEERING GROUP, r I v, ENGINEERING, SALES CONSULTING June 14th 2022 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: South Lakewood Hills #1; Block 1, Lot 10 — Reissuance of expired permit OSP211050 To whom it may concern: A permit was issued for the subject lot on 4/12/2021 and the permit expired on 4/12/2022. Per conversations with the owner, they would like to move forward with the installation and would like the permit to be reissued. On 6/14/2022 a site visit was performed by GEG to confirm groundwater monitoring and site conditions. Only testhole one was present (other testhole was buried during foundation/driveway excavation) and was dry. We are requesting that your department reissue the permit for the subject property and allow the drainfield and tank to be installed as designed. It should also be noted that the homeowner and/or well driller was not aware that the permit had expired. It is my understanding that the well has been drilled, however, I do not have the date this was completed. In short, the well may have been drilled after the permit had expired. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Website: www.garnessengineering.com MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 1388oU 47OVElmore Road Anchorage, Alaska S8s10-605O Phone: Fax: (9Vr)343-798r On -Site Wastewater Disposal System Permit Permit Number: OSP211050 Work Type: Septic Initial Tax Code Number: 01515113000 Effective Date Expiration Date: Site Legal Address: SOUTH LAKEWOOD HILLS #1 BLK 1 LT 10 G:2638 Site Mailing Address: Owner: MCAROLELAURA K Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: 0Disposal Field Z Septic Tank [] Holding Tank- [] Privy 4/12/2021 4/12/2022 Lot Size inGqFt: 27500 Total Bedrooms: 5 El Private Well 13 Water Storage All construction shall beinaccordance 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 VVaebewobar Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify theDove}opment Services Department per AMC 15.G5 Provide notification bycalling (Q07)343-7QU4(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received Issued By: MUNICIPALITY OF ANCHORAGE s Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Austin Quinn -Davidson On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-151-13 Property owner(s) LARRY MCBAIN Day phone 907-223-3725 Mailing address NHN MICHIGAN BLVD *ANCHORAGE, AK Site address NHN MICHIGAN BLVD *ANCHORAGE, AK Legal description (Sub'd, Block & Lot) SOUTH LAKEWOOD HILLS #1: BLOCK 1, LOT 10 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: ( ® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Sq.Ft. Number of Bedrooms APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ 4 THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: DRAINFIELD TO LOT LINE TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: 5 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: $595 + $ Z2 5 Waiver Fees: $225 Date of Payment: 2-21 `-Z1 *L(bI Date of Payment: a a Receipt Number: � Z� a90,63,! �- Receipt Number: C a Io y G Permit No. OSP211050 Waiver No. OSV211012 (Rev. 01/11) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211050, Deb Wockenfuss, 04/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211050, Deb Wockenfuss, 04/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211050, Deb Wockenfuss, 04/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211050, Deb Wockenfuss, 04/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211050, Deb Wockenfuss, 04/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211050, Deb Wockenfuss, 04/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211050, Deb Wockenfuss, 04/12/21 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this j 2 Day of n of 20 Z( , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as (i Uo,n 'I r S located at (legal description) 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) L-0,1 Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shalt be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality, (,ol It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). t,1,0 Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. L 1'1 Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 ;,vyt Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 1,�Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. 2� Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. _L�j Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: �L ? Uz— (signature) r � / (print name) ,J STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) Date: O ``11-2- /� �? ( The foregoing instrument was acknoyvledged before me this 207(, by'���%0�n�-�r� NOTARY PUBLIC -FOR. ALASKA My Commission expires: MUNICIPALITY: By: _ (signature) (print name) day of CHRISTIANNO-LUC R. LOPEZ Notary Public State of Alaska My Commission Expires Dec 1, 2024 Date: Z Title: (rev. 05/18/2018) Page 3 of 3 oi Anchorage P.O. B 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264--xtt~k 4 7 4 4 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 9, 1987 Ivan Auten PO Box 110168 Anchorage, Alaska 99511 Subject: Lot 10 BLock t On-site Sewer South Lakewood Hills Subdivision & Well Permit %860166 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1986. 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. If there are any further questions~ please call this office at 264-4744. Sincerely, R.W. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit Di!ii:PAF,;THE:N'I ,JF: HEAL'TH AND lii]',IV]:I::~'.[:)NHENTAL~ PR'OT1E[ZFI']:[)N S;:':'5 I. STREET ~, 121NC:HC)I:;¥:1GE :, Al< 99~'.50 ]. 2'./:~4""4 7;:20 E:ONT AcYr I:::I.IE)NE ~,, LJs1:.ced below are 'Lite q::!'L:[orl!s ava:i.:l, ak*].e 'Lc:, you :i.n de!ili:i, grl:i, ng your' !Sel::rL:i.c: s}./s1:.¢.z)m, Cl'll::*c)~e 'Lhe c:,p'L:ion 'LhavL bis!st f':i,l:.!~, your 'T" ti:::;;:: lEE: ~'",,.Jl C;: 1F ...II x.~,~. 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I:::'IEf:~HI T AND :[ NSPEZ]'T :[ lIN Mt.!S f' BIE OBTA]:NED~[ (2) AS'""[~;d.I:[I...TS t4]iLL NC]T f3E #q:::'F:'F(E}VED t,*~]:'i HOUT AN EL.E[:;TF~I E:AL. i NSPE[C'TION F~EI:::'[]RTiI AND (:3) THE [EL..!ECT'FR ]; CAL. ~k~!',:: MUST :Ed:L~E BY A L,. :!: CENSED IELtECTF~: ........................................... A1:::1:::I. :I: C, AN"I'~' t: VAN ALFf'E:N Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 8 9 10 11 12 13 14 15 16 17 18 19- DATE PERFORI Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth lo Water After ,, Monitoring? ~ H?(~) Dote: SITE PLAN 20- PERCOLATION RATE / ~ (minutes/inch) PERC HOLE DIAMETER ~z) If , ' TEST RUN BETWEE ~ E'T AND ~'~, 0 FT 72-~8 (Rev, 4t~) Reading Date Gross Net Depth to Net Time Time Water Drop ' 7 ~/, I,c//z~ /o- ,~-~ / .~ .z~ ~ z,¢ /z~c - ,~o /,~ .Iff /~'~ ~CCURACY OF LOCATION OF EXISTING . ' '?.SYST~ X~XCATE~ IS NOT E~CT. ' %.::~DI~NSIONS INDICTED ~VE BEEN DETER- ' ~ ~D BY USE OF CLOTH T~E ~ NOT BY ' S~VEYING TEC~IQUES.. N J. Co~wln SEWER SYSTEM LOCATION PLAN Block: