HomeMy WebLinkAboutT15N R1W SEC 9 LT 42TI
N RIW
eC.
Lot
051 - 105
-05
On-Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 EImore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP111181
Tax Code Number: 05110505000
Work Type: Septic Upgrade
Permit Effective Dates: August 02,2011 to
Design Engineer: SPURKLAND ENGINEERING
Subdivision: T15N R1W SEC 9
Site Legal Address: T15N R1W SEC 9 LT 42 G:1358
Owner/Address: PERKINS CAROL J
22012 VALLEY AVE CHUGIAK AK 995676172
Site Mailing Address:
August01,2012
22012 VALLEY AVE, Chugiak
Lot Size in Sq Ft:
Total Bedrooms:
108900
3
This permit is for the construction of:
N Disposal Field Y Septic Tank
N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Date:
Community Development Department
Development Services Division
On-Site Water & Wastewater Prog.ram
IVIUNICIPALITY OF ANCHORAGE
Phone: @07-343-7~04
Fax: 907-343-7~7
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. CSi
Property owner(s)
Mailing address
Site address
Day phone
Legal description (Sub'd., Block & Lot) -7-[~'/w' l%t ~¢ _~,~-.
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
(1~ all that apply)
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
THIS APPLICATION IS AN:
Initial []
Upgrade
Renewal []
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
I certify that the above information is correct. I further certify that this application is being made
for a Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature 4property owner or authorized agent)
Permit/Rush Fees: ,;~,¢'~:3 - :~,..;~,t*~,~'~t-L~-~'~:L ,-'-- Waiver Fees:
Date of Payment: '~ ~ ;~* ~ ~ Date of Payment:
Receipt Number: ,~:' ~.~.~ 'h~ ~ Receipt Number:
Permit No.~,~.,'"' ~,.~ ~ Waiver No.
G :\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11 )
Environmental Consulting and Design
Municipality of Anchorage
Development Services Department
Building Services Division
On-site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
I
July 25,2011
Subject:
SEPTIC TANK PERMIT APPLICATION
T15N R1W SEC 9 LOT 42
Ladies and Gentlemen:
We are submitting an application to upgrade the septic tank for this lot. The existing septic tank serving
the above referenced property is 34 years old and the owner would like to replace it. The submittal
consists of one (1) drawing showing the present improvements on the lot and the proposed improvements
of the lot, of which only the septic tank is subject to this permit application.
There are no wells within one hundred feet of the proposed replacement site. The installation of this
septic tank will not prevent wells and septic systems from being installed on the adjacent lots. There are
no developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank
location. The proposed septic tank will not change the general slope of the area. Ponding and/or
concentration of surface runoff will not result from this installation.
If you have any questions or are in need of additional information please contact me at 279-3916.
Sincerely,
~ars ~phrkland, P.E.
203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng~gci. net
~ INSTALL 1250 GAI. LON SEPTIC TANK
ITANK PER UPC REOU/RE~ENTS I
I ' '
NOTE: THIS IS NOT A SURVEYED PLAT. WEll ~ SEPTIC 50 0 50 .100 .150 coO0 c°50 300
LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE PLATEN
DEPARTMENT DOCUMENTATION. All LOCATIONS SHOWN ARE ,.~CALE: ]' = ]00 F~
APPROXIMATE.
4 fEET COVER
D£UBLE /
aEA~OUrs ~. ..
ELEV. =~-~ FOUN~gA TION
CONNECT TO t '~i 49~ ~,~
I I EXISTING LINE m .
CONNEC
.1£50 GALLON SEPTIC TANK
· ~ ~:.... '~ . ...:~;~
eENC# MARK XrXXXXXXXXX
ASSUMED ELEVATION I00'
SPURKLAND ENGINEERING T15N Rlr/ SEC 9 LOT 42 SEPTIC SYSTEkl DESIGN
205 PI 15TH. AVENUE
ANCN. AK. 99.501 CAROL PERK/NS DA)E: JULY 25, 2011
(~o?) £75-35te ZZOlZ VALLEY AYE., CHUG/AK, AK ~7 SHEET: 1/$ GRID:
P£~HIT # DSPlllXXX PID # 05]-105-05 TISNI~lP/SgL 42DI, DP/G
Subject Property:
Date:
Environmental Consulting and Design
I
Single Family On-site Wastewater Disposal System
Construction and Material Specifications
T15N RIW SEC 9 LOT 42
JULY 25, 2011
General:
1.
The owner shall contract with a contractor to perform the work outlined in these
specifications and plans in accordance with the attached MOA permit. There is not
contractual arrangement between the contractor and the Engineer. The Engineer shall
be the owner's representative and will inspect the work to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the MOA.
The scope of the work includes the installation of a new 1250 gallon septic tank. The
location of the drain field is shown on the attached site plan drawings. All components of
the proposed septic system must be constructed a minimum of 100 feet from any surface
water or water wells in the area. A minimum of 4 feet of earthen cover is required over
the septic tank. [f less than 4 feet of cover is available, 2-inch thick, 40 psi, direct bury
board foam shall be installed directly over the septic tank and all installed piping.
Construction shall be in accordance with the approved site plan and design drawings and
any special provisions noted on the Municipal well and/or septic permit. All materials,
components, workmanship and construction practices shall comply with the Municipality
of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA,
Development Services Department, On-site Water and Wastewater Program (DSD)
policies.
The contractor is responsible for obtaining all underground utility locates, layout of the
proposed system, and verifying and maintaining all required separation distances to lot
lines, surface water, wells, steep slopes, etc.
The property owner shall be responsible for final grading any depressions formed from
settlement of backfill material. The property owner is also responsible for vegetation of
all areas disturbed by septic system installation activities.
Contractors installing wastewater disposal systems must be certified to do so by the MOA
DSD, On-site Water Wastewater Program. Property owners installing their own systems
must receive advanced approval from MOA DSD prior to system installation activities.
The contractor shall ensure that ALL materials being used are in compliance with the
most current guidelines established by the Municipality of Anchorage. Refer to
"Standards and Specifications for Component Parts and Materials Used in the
Construction of On-site Wastewater Disposal Systems", Dated December 2000, as
provided by MOA DSD, On-site Water and Wastewater Program.
203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland~gci.net
Environmental Consulting and Design
I
Septic Tank Installation:
3.
4.
5.
6.
9.
10.
11.
12.
13.
14.
15.
16.
A new septic tank, of the size specified in the design drawings, shall be procured from a
qualified manufacture/supplier. Construction shall include two 4" diameter cleanouts for
pumping access.
The burial rating of the tank shall be adequate for the actual burial depth encountered.
The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank.
All standpipes on the tank shall extend a minimum of 12inches above the final grade.
Tanks installed with less than 4 feet of cover shall be insulated.
The sewer service line from the house to the tank shall have a minimum slope of 2%
unless prior approval is obtained from the engineer.
The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be
sufficiently compacted to prevent future settlement of the soil.
Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings.
A cleanout shall be installed i to 4 feet from the foundation one does not currently exist.
Post tank cleanouts shall be installed per MOA requirements. Does not apply to
pressurized lines.
Tn areas with high ground water, the septic tank shall be sufficiently anchored to resist
buoyancy forces when there is not adequate soil cover to resist uplift force. The
contractor shall refer to the engineer for direction regarding this matter.
The tank backfill shall be graded sufficiently to ensure positive drainage away from the
tank.
All holding tank and lift stations shall have an audible and visible alarm inside the
residence being served.
All lift stations shall be wired in compliance with all MOA guidelines and the Uniform
Electrical Code. A municipal electrical permit and inspections must be obtained where
required by the MOA.
The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from
any residential water well, 150' from any class 'C' well and 200 feet from any community
water wells. Additional separation distances must also be maintained.
The contractor shall remove or abandon the existing tank in compliance with the Unform
Plumbing Code.
Inspections:
A minimum of one inspection is required by the Municipality of Anchorage. These
inspections must be conducted under the supervision of a Professional Engineer licensed
to practice in the State of Alaska.
The septic tank may be set in place, but may not be backfilled.
The contractor shall provide a legible copy of all field notes relating to system layout and
construction to the engineer for the use in preparing the record drawings.
203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland~gci.net
Environmental Consulting and Design
I
The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours
notice is required prior to the start of construction. Tf necessary, a preconstruction
meeting will be held on-site.
203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland~gci. net
Sep 27 11 09:59a
Carol J Perkins
22012 Valley Avenue
Chugiak, Alaska 99567
Home: 688-9246 Work: 376-0402 Cell: 232-5574
September 27, 2011
On site Water and Wastewater Services
Reference Permit # OSPI 1.1181
T15NRIWSec9 Lot 42
I, as owner of the house, wish to install the tank with the help of my nephew Gary
Perkins. I helped fi~stall the first tank. Gary was m~ approved DEC installer for t 5 years
in the past. I will be onsite and doing hands on work. The equipment belongs to Gms'
Perkins. I will be paying for the cost of gas only.
Carol. J Perkins
Ak Hin # 26
ICC 856446.R5
Cell 232-5574
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
NAME
LEGAL DESCRIPTION
PHONE [~IEW
;~-J g--?bt3 []Um.ADE
DISTANCE TO: [ [ ~ J Absorption area
Manufacturer
Liq. capacity in gallons IF HOMEMADE:
Well Dwelling
Dwelling
Width
NO. OF BEDROOMS
PERMIT NO~/.Z~O~
No. of compartments
~2
Liquid dapth
PERMIT NO.
allons
DISTANCE TO:
No. oflines Length of each
Top of tile to finish grade
Length Width
Foundation Nearest lot line PERMIT NO.
Material beneath tile
Distance bet e n lines
Total effective rea
Depth
PERMIT NO.
Type of crib diameter
DISTANCE TO:
Depth
DISTANCE TO: Building foundation
OTHER
PIPE MATERIALS
SOl L TEST RA'¢I
INSTALLER
REMARKS
Driller
Sewer line
· est lot line
Distance to lot line PERMIT NO,
Septic tank I f ~) Absorption area(s)
DATE LEGAL
MUNICIPALITY OF ANCHORAGE
~ and Environmental Pro%E
Fourth Floor West
825 L Street
Anchorage, Alaska 9950I
264-4720
on
INSPECTION REPORT ON-SITE oEWA(',E t)iSPOaAL
SEPTIC 'lANK:
I)IS'I/\NCh NUMBER OF
FROM Wi LL MAI,JUl AC IUI/EH .~_[~ _ MAIKRIAt. ~L ..... COMPARFMENTS,.~ ......
llt_E I]H/',IN FIELD:
FO'fAL LENGTlt
Il of Lines
TO[AL EFF}~CI'IVE
SEEPAGE PI'l:
Log Crib ...... Rings .... Crib Size: DIAME] Eli L)E ~ ' . I)IS'IANCE FROM: WELt .......................
'IOI/~L EFf:[CTIVR
~ ] Z1
tass: ............ Depth:
~1]_ Distance TO: Lot Line
i(19: Sower Line:
[pe Materials:
}marks:
\N%9 ouu,t.
] '=
F:IF:'F:' L.. I CF:INT
L..() C:I:::IT I 01",1
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THE:
"/::ii:. ID
0 ~ E GEC.
F. CHNICAL ~ DEVEL..PMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl El~is
694-2774 SOIL LOG
Soils ~ Foundations Land Development
Perfomled for:
Sotl Characterls~Ic~
Depth (feet)
0
2
t
3
lO
1]
. 12,.,
1~,
16
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments'.
No ~'If yes, what depth ,
Drain Field
perfol-med by: Date:
WE SERVE
VJ I L 114"4,
ALLALASKA
CO."I'l;KILLING
CHUGIAK, AK
P.O. BOX 670042--CHUGIAK,ALASKA99567
WASILLA, AK
688-3199
376-3199
OWNER OF LAND...'........:...... ............................................................, DEPTH OF WELL ........ ........
......... .................. .......:. .
ADDRESS ... .............. STATIC LEVEL OF WATER FT
.... ..............................
WELL - SITE
... DRAW DOWN FT...
........................... ...............
DATE - STARTED .. ......
................ .. GALS. PER HR. ....
.................................................
DATE - ENDED.........................................................
......................... KIND OF CASING .......... ........
.................... ........: ......................
KIND OF FORMATION:''
FROM
FT. TO ..
FT..... ................. FROM .......................
FT. TO
.. FT. .
FROM
FT. TO
FT. FROM ........
FT. TO
.............. FT...
FROM.......:.........
FT. TO ........................
FT....... ...................... FROM .......................
FT. TO
........................ FT.................................
FROM
FT. TO
FT. FROM ...............
FT. TO
.. FT.. .
FROM
FT. TO .....
FT. ... FROM ..............
FT. TO
........................ FT. ..
FROM
FT. TO
FT. . r ... ... FROM ........ ... .
FT. TO
.. FT.
FROM
FT. TO ......................
FT... ..... FROM .... . .
FT. TO
... FT. ...
FROM
FT. TO ..
FT. FROM .......................
FT. TO
..... FT.
FROM......................
FT. TO ..................
FT.................................... FROM ....................
FT. TO
...................... FT.................................
FROM .......
FT. TO ........
FT. ................................... FROM .....
FT. TO
........................ FT.. ..
FROM ..................
FT. TO ..................
FT................................ FROM .....................
FT. TO
..................... FT................ ............
FROM
FT. TO
FT. FROM
FT. TO
........................ FT. ................................
MISCL. INFORMATION:
DRILLER'S NAME ... .................:. ........ .................. .................,. ......................
Rick Mystrom,
Mayor
Mtmicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
October 5, 1995
Billy Joe Perkins
Carol Jane Perkins
HC 78 Box 2714
Chugiak, Alaska 99567
9613
Subject: T15N R1W Section 9 Lot 42
Permit ~SW940382, PID 9051-105-05
The subject permit, issued October 4, 1994 by this office for a
single family well and/or on-site wastewater system, has
expired as of October 4, 1995.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this
Si?rely, ~
pJ~om~;amCr~aSns 'a;~E% ''
On-site Serv'ices
office at 343-4744.
enc: Copy of Permit
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM
PERMIT NUMBER:SW940382
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:PERKINS BILLY JOE & CAROL JANE
OWNER ADDRESS:22012 VALLEY AVE
CHUGIAK, ALASKA 99567
(UPGP~ADE) PERMIT
DATE ISSUED:10/04/94
EXPIRATION DATE:10/04/95
PARCEL ID:05110505
LEGAL DESCRIPTION: T15N R1W SEC 9 LT 42
LOT SIZE: 108900 (SQ. FT.)
NLrMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL 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).
3o THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
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:
{, '~'~ ~ S V. h 't ° 7
C
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