HomeMy WebLinkAboutT15N R1W SEC 9 LT 110T15N R1W
Sec. 9
Lot 110
#051-144--25
EXPIRED PERMIT
Not Eligible for COSA
Mark Begich
Mayor
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragow Street
P.O. Box 196650
Anchorage, AK 99519-6650
www mono ora/onsite
(907)343.7904
Pump Installation Log
Well Drilling Permit Number: SW_
Parcel Identification Number:651- 1111-4-a5
Date of Issue:
Legal Description
TISN W5e-c-
1-110
t;c.
LIlU
Property Owner Name S Address:
Ao A/ eei'v<
_ZO3zS IA'PE.R ,'Gci-.,s✓'r <n.va
CM CtAC /J .C'. `3' 7,54 ?
Pump Installation Date: 5 3c,_ o
Pump Intake Depth Below Top of Well Casing: ? 'et feet
Pump Manufacturer's Name: firer) r ne(cc'r
Pump Model: /Vo F-3)/ c/VS 2/i'6'
Pump Size / hp
Pitless Adapter Burial Depth: / O feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? ®,Yes 0 No
Method of Disinfection:
Comments:
Pump Installer Nam.
ANCHORAGE WELL & PUMP SERVICE, INC
'.30 EAST 76TH AVE. ANCHORAGE, ALASKA 99518
(907)243-0740 - FAX:(907)243-0742
E-MAIL: pumpmanjim@att.net
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Mayor ,dark Ilegich
Municipality of Anchorage
P.O. Box I90r„S0 • Anchorage, Alaska 99519-6650 • Telephone (907) 343-&301 • Fax (907) 343,1Q00
4700 Brngam- Street • Anchorage, Alaska 99507
www.munl.org
Building Safety Division
October 20, 2005
Don & Jennifer Brink
P.O. Box 671327
Chugiak, AK 99567
Subject: On -Site Water and/or Wastewater Permit.
Permit Number: SW040475
Legal Description: T15N R1W Sec 9 Lot 110
Dear Mr. & Mrs. Brink:
An On -Site Water/Wastewater Permit, number S\V040475, issued by this office for a single-family
system, will expire on November 15, 2005. The permit is valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to
this office for review, approval and documentation. This as -built inspection report must be signed by
the licensed Professional Engineer who inspected the installation of the system. As -built inspection
reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A new permit for a second year may
be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of
the original permit.
When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well
permit.
If you have any questions, please call this office at 343-7904.
Sincerely,
4,1.-LeNzaa„
Julie Makela
Acting Program Manager
On -Site \Vater and Wastewater Program
Enc: Copy of permit
Community, Security, Prosperity
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW040475
Legal Description: T15N R1W SEC 9 LT 110
Design Engineer: 0848 Eagle River Engineering Services
Owner Name: DON & JENNIFER BRINK
Owner Address: 20325 UPPER BOWERY LANE
CHUGIAK , AK 99567-
���� aper\
Date Issued: Nov 15, 2004
Expiration Date: Nov 15, 2005
Parcel ID: 051-144-25
Site Address: 020325 UPPER BOWERY LN
Lot Size: 108900 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit Is for the construction of:
0 Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received B
Date• ,A76,
Issued By: h� Date: 1//! S/ y
09/03/07 11:27 FAX.907343 437 XOALASI USE ENFORCEMENT
•.
Municipality of Anchorage
Development Services Department
Building Safety Division
Onsite Water end Wastewater Program
4700 South Bragaw SL
P.O. Box 196050 Anchorage, AK 99519-6650
www.cI.anchorage;ak.us .
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 651 -1/-114-„PS
eioot
Permit Number SW
Property owners) b o N G j tun11 f'L-l2 f RIiir • Day phone ( 7c•
I
Mailing address (11 Zo3 ZS IAPPCQ. 3PW6•1Z`/ L.4,JE
Mailing address (2) C Oft 6pit. 4tc 9 9 St 7 Zip Code
Legal descrlpfon (Lot, Block & Sub'd.) T ISN MO I Cec `t LOT- / / 0
Legal description (Section, Township & Range) T 1 SN 121 cn) St L `) Lor //
Lot Size MI qbD Acre
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Number of Bedrooms 1-1
❑
Well Only,
❑ i Water Storage
0.
Jacuzzi
Water Softening Unit
0
0
I certify that the above Information Is correct I further certify that this application Is being made for a
Single Family9wellinnd Is Inccordance with applicabte MunIcipal Codes.
(Signature of property owner or authorized agent)
" •
Permit Fees: S £4(ti) .90
Date of Payment .
Receipt Number. (tLTY �t
(Rte. 12100) j
Waiver Fees:
Date of Payment
(.{nth Receipt Number
v
Eagle River Engineering Services
Christopher R. Wood, P.E.
10421 VFW Road Suite 201
Eagle River, AK 99577
(907) 694-5195 tel
(907) 694-3297 fax
November 9, 2004
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
•
Re: T15N R1W Sec 9 Lot 110
Narrative & Permit Application
Dear Mr. Roth:
The proposed septic tank replacement will have very limited impact on adjacent properties for
the following reasons:
1. The surrounding lots are all large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance, and wells +200'.
3. This permit is for replacement of the septic tank only.
4. Drainage will not be affected and is not a major consideration in our design.
The existing septic tank is corroded, has settled, and needs to be replaced. Drainage will not be
affected, and is not a consideration in our design.
This work will not affect the reserve area on adjacent lots. If you have any questions please call
our office at 694-5195.
Sincerely,
EAGLE
ER ENG
G ' RVIC
Christopher R. Wood, P.E.
Principal
12003\04.121 SE• M7CNARRATI VE.DOC
Eagle River Engineering Services
Christopher R. Woorl, P.E.
10421 VFW Rd. Suite 201
Eagle River, AK 99577
(907) 694-5195 tel
(907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: T15N R1 W Lot 110
November 9, 2004
A. GENERAL
1. The septic tank replacement plan is for a 4 bedroom single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State Department
of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
13. SEPTIC TANK
1. The sewer piping from the house shall be 4" PVC 3034 laid at 2% grade maximum — 1% minimum
and insulated with 2" of burial foam if shallower than 3 It., with 2 ft. minimum.
2. Septic Tank shall be a minimum of 1,500 gallon tank of MOA approved construction, insulated, or
place with 4' of soil cover, min.
3. Install opposing 4"double cleanouts between septic tank and leachfield.
4. Connect tank effluent line into leachfield. No 90 -degree bends shall be used. Double 45 degree
elbows shall be used in lieu of 90 degree elbows.
Twenty-four (24) boars notice required for all inspections.
\\Eres\DOCS\WPDOCS\2004\04-121 tankonly- spec.doc
EAGLE RIVER ENGINEERING
10421 VFW Rd., Suite 201
Eagle River, Alaska 99577
(907) 694-5195
- • • Fax (907) 694-3297
,O9 % !SN I j taJ SECI Goat 110
SHEET HO OF
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CHECKED BY
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
4:74r) ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
Walter Scott
PHONE j '(NEW
694-3489 ■ UPGRADE
MAILING ADDRESS
SRA BOX 921 Chugiak, Ak. 99567
LEGAL DESCRIPTION
Lot 110, Sec. 9, T15N, R1W, S.M., Ak.
LOCATION
Same (Birchwood Loop )
NO. OF BEDROOMS
4
U Y
Ha 2Manufacturer
W F
y
DISTANCE TO:
Well
1041
Absorption area
13'
Dwelling
24'
PERMIT NO.
780349
GREER
Material
Coated Steel
No. of compartments
2
Liq. capla�tyOn gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
a Y
= z F
DISTANCE TO:
Well
Dwelling
PERMIT NO.
Manufacturer
Material
Liquid capacity in gallons
TILE
DRAINFIELD
TRENCH
DISTANCE TO:
Well 141'
Foundation 37'
Nearest lot line 45,
PERMIT NO. 780349
No. of lines1
Length of each line �
Total length of lines i
Trench width 6
inches
Distance between lines _--
Top of tile to finish grade
5
Material beneath tile
72 inches
Total yffefp{tive absptption area
41U sq i
SEEPAGE
NT
Length
Width
Depth
PERMIT NO.
Type of crib
Crib diameter
Crib depth
Total effective absorption area
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
W
Class
Depth
Driller
Distance to lot line
PERMIT NO.
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption arealsl
OTHER
WELL
1 ,T
if,
-
PIPE MATERIALS
orated Plastic & cast iron tightline
SOIL TEST RATING
85 sq.ft./br = 340 sq. ft. required
/11
q-
5
r
X r-
T,
INSTALLER
Dick Wright - Builder
/
REMARKS
Rappe Excavating installed system
lg'
V
N
PIPE
45°--„I
•3
o
IJ-'ul
4)
«
�3
t
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a'
i
LJ'il
2.11
usctn.,t;
i
�A PROVE
0Jot
DATE LEGAL
., ; C/ZzJ��
72-013 (Rev.3/i8)
Nil Lir-,4I c I FL"' II I Tar* 0E- Ft-4EC: I-1Int Is int 0f
DEPARn1E n C HEALTH FIND EMI IRONMENTfIL JTECTION
025 'L'' STREET, ANCHORAGE, AK. 99501
264-4720
awtr4 I T'c SIE-.1.41EEa." El I -11-
PERM I T
PERMIT P40. t 700349 )
RF'PL.ICANT WALTER SCOTT
LOCATION OFF BOWERY LANE
LEGAL LOT1.14 SEC9 T15N R:tW
5 R COX 921 CHUGIAK 9956?
/raA-,
rnz cr./
LOT SIZE 108000 SQUARE FEET
TYPE OF SOIL ABSORLT I ON SYSTEM I S : TRENCH
mAxIMUM NUMBER OF BEDROOMS = 4 SOIL RATING CSO FT/BR)= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
l )Q"»r.-.-rF...l= :LZ L_ .r•NO -17H= raflC.r•ii--t=
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAIP1FIELD.
THE DEPTH OF R 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
IND THE BOTTOM OF THE EXCAVATION t IN FEET).
RIECa J I RIED ": 6 rT I C Tnt.aic 775127.0 _ fit_ ;t eat__OtinS.
PERMIT APPLICANT HAS TIIE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLf1TION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
__.
Irk! 0 c 2 > I r•.l' :P' .IC iLtiri FSIK IE IR E GL+1J I F IE IG —
BACKEILLING OF ANY SYSTEM WITHOUT FINAL INSPECT ION AND APPROVAL T11IS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON SITE =SWAGE DISPOSAL.. SYSTEM I
100 FEET FOR A PRIVATE WELL; OR
150 TO 200 rEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
OTHER REQUIREMENTS P10'? APPLY. srECIFICRTIONS AND CONSTRUCTION DIAGRAMS ARE
IAVA I L.RBLE TO INSURE PROPER INSTALLATION.
'E?_IF.:PI x -r rzr» I m is Enlar ic:cE .._ asr
T
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 THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM M0? REQUIRE ENLARGEMENT Ir THE
RESIDENCE Ic 'EMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
SIGNED
.ai_ULg...aaa/ __
ANT WALTER SCOT
ISSUED BY
a DATE._ ._ 9r• 2U
V3.2
Performed For
Legal Descrintion: Lot 40
This Form Renorts Soils Lon
OC.LtOn it ._%'av
"One it!1 is worth a thnesand opinions"
2204 0 evel-nd Anchorage, Alaska 99503 _ r
9flate'�Glisg Date Performed 5 -// -7d,
Subdivision
2
Perth
Feet I
P-440. Characteristics
' Sk,
4 ---
6 .v47talc/ Trott/Lee
8 0 0
10--
12-
14 --- .
16--
6----
18._
18._-
20_
20-_
r— -
tF
rcdwut, 0,.Let
Was (?round Water Encountered?
If Yes, At what Denth?
Reading
Date
OQ
e
Percolation Test
Grass Time I Net Time
N
Percolation Rate Minute
Proposed Installation: Seeoaoe Pit
Depth of Inlet "D_u thh_ T Bottom Of Pit Or Trench__
r n u F N T S dz ,A2VA '
Drain Field
Test Performed By
Pata Certified By
Date: ,5--7?
_76y
7
4
-t
I
c,o.
I
N
Percolation Rate Minute
Proposed Installation: Seeoaoe Pit
Depth of Inlet "D_u thh_ T Bottom Of Pit Or Trench__
r n u F N T S dz ,A2VA '
Drain Field
Test Performed By
Pata Certified By
Date: ,5--7?
_76y
t .0..
t ; .
This well is producing gallons
MOON „ DRILLING
511-410X 668, BOGARD RD.
PALMER, ALASKA 99645
TELEPHONE 7454071
Lot / 117.# lk. eittC
L
7:47t74751.4,1.1./...2,,,,t,...IY
11"
7/1
of water per hour. . ' Eel Pump @
INVOICE
INVOICE NO
ki:E/P
'trt?„2,9 / :77'„?://
A er- .1412'
,
ELL LOG
DATE
1 7.... 2 • 7
YOUR P. 0. NUMBER
TERMS
SALESMAN
DEPTH
IN FT,
'
CABIN
FORMATION
' r ,-, , '1,,,
IN PIA%
101
t r ,
CASIN tr
FORMATION
1'
DEPTH
IN FT.
201
CABIN
4
FORMATION
1
1
8
.... 4
P— 6
6
7
6..... 2
,„.. 9
11
Z-12
14
16
1....10
.......17
18
19
...JO
......23
24
26
26
—27
....311
29-
,„..80
—ai
,
102
'
201
108
‘
209
104
204
I'
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106
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206
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106
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107
207
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100
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208
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109
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218
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1
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NBCA
--_ MUNICIPALITY OP AN'CHORAGE
DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTEMNICIPALITY dF--ANCHORAGE -- `
L Street Anchorae, Alaska 99601 DEPT. OF,HEALTH `&
ENVIRONMENTAL PROTECTION
ENVI RONMENTAL ENGINEERING DIVISION
NGINEERING"DIVISION
Te eph,one:264.4720 --_ DEC 8 1978
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVI h1 If
sI Jut)/Jt
DiREOTIONS:_Completeall parts on page 1: Incomplete requests wlll=riot be procenadrPlease allow ten (10) Heys -for processing. -
Mi1LL GWADDRESS
PHONE
/J`d;f":CC)
=PROPERTY REST D T (Il different frcm above)
R_ ER
Zdet-
°MA LING -ADDRESS -
v GL
MAIIJNO=ADDR ESE- 2
4 REALTOR/AO ENT= --- -
PHONE::. -
PHONE-
PHONE:;
GLA. g9:Jv3:
PHONE'
MAILING ADDRESS
S 1Et1AL DESCRIPTION
/JO) d�t2c
S i3 TLOCATIN
L
▪ T ,E -O IDE CE
I SINOLE FAMILY
0 MULTIPLE FAMILY --
1- _WATER 3UPPLY
j- S( INDIVIDUAL"
COMMUNITY
- - NUMBER OF BEDROOMS
❑ One 90 Four ❑ Other '
❑ : Two ❑ Five
❑ Three ❑ Six
-
"ATTACH WELL LOG, A well log is required for all wells drilled
❑ -- _since June 1976. For wells drilled' prior to that -date, give well
❑ PUBLIC UTILITY depth,(attach log if available.)
S. SEWAGE DISPOSAL SYSTEM - - - t
l INDIVIDUAL/ON-SITE"" m
""Ifdividual/on-site, give installation date
r:RUBGIC UTILITY If system is over two (2) years old an ade acy est is required
-by this, Department.
NOTE -THE INSPECTION FEE MUSTACCOMPANV_EACH-REQUEST-BEFORE PROCESSING; GAN BE INITIATED
1�IIS
$10E -FOR OFFICIAL USE ONLY
DATER�EIV
C�O
I NSPECTI QN APPOI NTMEMYS
.-.DATE== -r _
T)ME--- =---
INSPECTOR-_:
DIA
-'INSPECTOR
-INSPECTOR
1 T=YPE OP' RESIDENCE -_-
❑ _- SING -LI FAMILY
Q MULTIP-LE FAMILY
2. WATER SUPPLY
❑-__ INDIVIDUAL
0 COMMUNITY
PUBLIC UTILITY
onneetiion Veri fled
NUMBER OF_BEDROOM$ - -
❑ =ONE ❑ _- THREE-
C7 TWO ❑ FOUR
PERMIT NUMBER --- -
DEPTHOF. WELL
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
COP_USLIC-UTILITY
-Connection Verified
❑8atz_ o Tank or In Holding Tank
-Sizer}.. If Tank is homemade
give dimensions':=
TYPE_OFTANK ---
70TAL:ABSORPTION AREA ---_-
4. `DI$7ANCES'
WELL TO:
-=Akieorptlan Area to -nearest Lot_Line"-
-S.-COMMENTS
LOGRECEI_VED--
PERMIT -NUMBER
-DATEINSTALLED
INSTALLER
:SOILS RATING:.
MANUFACTURO_
_MATERIAL
Se ptic/Hdl g'---
Teek
Absorption Area -
Sewer Line _
-Nearest Lot Line.'- -
APPROVED FORT- BEDROOMS
❑ CONDITIOItAL APPROVAL (letter must accompany Gertiflca
DISAPPROVED -
1
_DAT
-- -- JY-=1TItl
=LEGAL-DESDRIPTIdN--
1;41Q1Rev. 3/781