HomeMy WebLinkAboutWOODRIDGE BLK 2 LT 7Onsite File
Woodridge
Block 2
Lot 7
#020-093-15
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: OSP211026
Work Type: SepticTank Upgrade
Tax Code Number: 02009315000
Site Legal Address: WOODRIDGE BLK 2 LT 7 G:3337
Site Mailing Address: 16430 VIRGO AVE, Anchorage
owner: HANLEY REVOCABLE TRUST
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date
n Sftoiltr
n t
NPv
Department
Lot Size in Sq Ft:
Total Bedrooms
2/8/2021
2/8/2022
44540
❑ 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 (2417).
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: A minimum 20 inch manway riser is required to the first compartment of the septic tank.
Received By:
Q2
Issued By:
Date: 1
Date: ()
11�
Lu .lfl 1111"I
INA
0 �
Community Development Department Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On -Site Water & Wastewater Program
Mayor Austin Quinn -Davidson
On -Site SewerMell Permit Application
For A Single Family Dwelling
Parcel I.D. 020-093-15
Property owner(s) HANLEY REVOCABLE TRUST HANLEY PETER THOMAS & EUNICE OLIVIA
Mailing address 16430 VIRGO AVE *ANCHORAGE, AK
Site address 16430 VIRGO AVE "ANCHORAGE, AK
Legal description (Sub'd, Block & Lot) WOODRIDGE; BLOCK 2, LOT 7
Legal description (Township, Section & Range)
Lot Size Sq.Ft.
APPLICATION IS FOR:
( ® all that apply)
Absorption Field
❑
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Day phone 907-688-9433
Number of Bedrooms 3
APPLICATION IS AN: TYPE OF DEWELLING:
Initial ❑ Single Family (SF)
Upgrade ® (w/wo ADU)
Renewal
Duplex (D) F]❑
Multiple Dwellings ❑
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
N/A
Distance:
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: $225 Waiver Fees:
Date of Payment: 9 a I Date of Payment:
Receipt Number: 0 15'q O(S Receint Numher
Permit No. OSP211026
Waiver No
(Rev. 01 /11)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211026, Rebecca Carroll, 02/08/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211026, Rebecca Carroll, 02/08/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211026, Rebecca Carroll, 02/08/21
~,~.~ IV1UNICIPALITY OF ANCHORAGE
i.~ _ ~L,= ,_~,,~ DEPARTMENT OF HEAl.TN & ENVIRONMENTAL PROTECTION
ENVIRONMENTAl. ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WEI.L INSPECTION REPORT
.......................................................... PHONE ~NEW
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
Abso~pdon are~ Dwallhlg
DISTANCE TO:
Manufacturer Material
Liq, capacity ir
DISTANCE TO:
IF HOMEMADE:
Well Dwelling
Material
DISTANCE TO: IVO"~"
Length of each line
Top of tile to finish grade
Length Width
Type of crib Crib diameter
Well
PERMIT NO.
No, of compartments
Nearest lot line
'7o
Total len( th of lines
,~/~
Materi¢ beneath tile
'~ ~) inches
Depth
PERMIT NO,
Licluid capacity in gaUons
RE IT NO.
Total effective abso ption area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest Io( fine
DISTANCE TO:
Class Depth Driller Oistance to lot line PERMIT NO,
DISTANCE TO: Building foundation Sewel line Septic tanl<
OTHER
PIPE MATERIALS
pvc
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED
DATE
72-013 {Rev. 3/78)
?rji[l:i;lF~l?'j;f ..: I.,,I IlL. I:::'EET
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B-lIE [.':'EF:'TH OF F:I 'T'I,~'.E:NC,~"I (;)[;]: F'J:T ;I::E; THE; E:,]::'_-'.;'rFINCEi: E:ETI,.IE[:~;Iq TH[E '.'51..II:;~:FFKZE O1:: TI.II-};
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]: (]: IE I:;~ '1" :[ F' I1'1 "1' FI I::1 '1'"
::l.: :[ [IH F'F:]H:I:I....:[Fff~: P.I]:'f'H THE: 1,;~:E:I:;!I..I:[1,;~:E1.,'IEHT:E; 1::'O1"4'. i::;i1..,~....E;:[TE
[:;'E)[;~:'I'F.I [3~¢ THE 1.,'II..IF,1]: C: :[ F:'FIL. J:T'¢ C~[:' I::I1..,!C:HCI[~tFIGIF:.
2: :t: I.,.I Z L..L. :[ N:E;TFII.J... THE :E;'¢:STEH Z f..! FICCOF;:E)F~NC:E: b.I Z TH THE CODE:E;.
:)~:: :[ LI1..,~[)EI:~::STFi1.,!D TH[IT THE: O1..,!-.-~;]:T[~: E;EI.4EF~: '.~;M:~;TEI',i !',11::1'¢ I:~'.E6~UZRE: EI'.,IL.F:II:~'.(3E:I','IE:F,F[' ]:F' THE:
I:~:!~::E;~I::,!EI'..E:L~: :[.'~; I:;~:EHODEL.EI)'1'O ~I'.,!C:I...UI:::,[~: 1.,'IOR[~: 'FHFIN
Fff:'F'L. :[ I::::F[IqT 14'" CI:~EH F"....[..E.,.I~, .:'~, ..... ' .... 1,4.:, I
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF IIEALTH AND ENVIRONMENTAl.. PROTECTION
825 L, Stroet, A~mhorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
DAYE PEREORMED:
SLOPE SITE PLAN
4
5
6-
7
9-
10-
11
12
13
WAS GROUND WATER
NCOUNTERED?
DEPTH?
14
15
16
17
18
19~t.
20-
Reading Date
PERCOLATION RATE
TEST RUN BETWEEN
Not
Depth to
Water
Not
Drop
o, ¢,~)
,ch)
0,/o
PERFORMED BY:
72-008 (6/79)
CERTIEIED BY:
· ~1~/V/~]t,~iI~jY OF ANCkl6RAGE
I~dllhg ~ealr~rler
Mailing Address_
Mailing Address
[o~tlen or well
Depth In F~tu~e
II.meier e! ~SlBf
ll~_/20 o dJot. d~e
44--200~ Bext~oc.b.. fl ,oaxt~o. n2~W loci._,
t2o t~o~e~ B.co~n .~h~o,r.b~q u.'vt]~ 165 ~o 170 ~ee.6.
Under ~erflflc~flon thl Thb Le~ b True nd Corre~
Date_ ~ttf~;t 13,/~,~ 1982
Loll Service Fee
~I~E~]~ER OF THE ,/~l~4~f~l[& WA, TEl/ '~?E!.lr. jI[fi. ISJI3~CIAT/OI~
! ~'' MUNICIPALITY OF ANCHORAGE
~ DIVISION OF ENVIRONb~i'AL HEALTH
DEPAR%!4ENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICAT%ON FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
l, C~'~eral In~o~na~ti~on_ Application Date __~ ~-//~ ~'-'~
fa% Legal/Description (include lo~, b~lock, subdivision, section, township} range)
.' Location (addr~a or df~eetions) - .
(h) Applicants [lam~/'zg2~g~5~dy~ Tel%~hone ~ Home Business
Applicants ~ldress~/?.~? ..f~'~'~,jL_~/~- ~/__ ~ _~{*
(C) Applicant is (check one)Leading Institntion [:L: ; ~mer/builder ~[ ;
(d) Lending Institution TeleRhone
Address
(e) Real Estate Co. & Agent
Address
Telephone
(f) Mail the II~A to the foliowing oJdress:
~f Residence
' Single-Famil~ Multi-Famiiy ~[ Oi:he r (describe)
Number of Bedrooms ~Y
3. Water
Individual Well/~-/~ Commonity~_~] Puhlic~
Note: If community well system, must have writtea confirmation from the State
Department of Environmental Conservation attesting to the legality add status°
4. S e__~wa g__~_e D i__~sj~ o s a 1
Onsite ~. Public ~ Community ~___[ Holding Tank ~
Note: If community well. system, must have written confirmation from the State
Department of Enviromnental Conservation attesting to the legality and status~
[Page 1 of 2]
~n~g. ineerin~ Firm Provijin~I__ns ~eJ!~i_on__~s~._Fi__l_.e Search~z_, pate and Information
As certified by my seal affixed hereto and as of the validation date shown below, I
verify that my investigation of this Health Authority Approval shows that the on-site
water supply and/or wastewater disposal system is safe, functional and adequate for
the number of bedrooms and type of structure indicated herein° I further verify that,
based oa the information ohtained from the Municipality ef Anchorage files and from my
investigation and inspection, the on-site water supply and/or was~ewater disposal
system is in compliance ~th ~[1 Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
" = ~rm >'~ ~ ~5 ~ ~ -~ c Telephone '~ ~ ~
~.~a~e o~ =~ _ ~_~z~-=~~_~_~- .... -~--~
(ENGINEER SEAL)
DHEP A_~) r o___v~_l_
Approved for ~_i2(~.~ bedrooms
Approved ~q,~__ Disapproved
Terms of Conditional Approval
Conditional
CAUTION
THE ~ONICIPALITY OF ANCHORAGE DEPARTMENT OF t~ALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TI~ REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN Tt~ STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PI~CHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERfd~ AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS IN TI~ PROFESSIONAL ENGINEER'S WORK~
RR4/eJ/D18
[Page 2 of 21
7-19-84
MUNICIPALITY OF ANCHORAGE (MOA)
HEALS~ AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Well LO~ ~P~essnt
Total Depth
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (~/N)
Separation Distano~s f~om Well:
Pump Set At /~b~
Sanitary Seal on Casing .(~N)
Depression Around Wellhead ~_
/
; On Adjoining Lots /~
To Septic/Holding Tank cn Lot //_5-- ~_
To Nearest Edge.of Absorption Fle~/~. Lot/y.9' '-z~-- ; On Adjoining Lots. __/~_~_
To Nearest Public Sewer Lj~ne . z~////F _ To Nearest Public Se~r
C leanout/Ma~hole /~///~ / To Nearest Sew~ Service Line On Lo~t
Wate~ Sample Collected By /~//~///~/?~/~// ; Date /.-~/~-- ~-- ~' '-
Water Sample Test 9esults
Cc~,~ents
B. SEPTIC/HOLDING TANK DATA
Date Installed__~-/:? --~--'~ Size //.:f~cfP No, of Compartments
Standpipes~/N) Ai~-tight Caps{~TN) Foundatioh Cleanout~/N) .
Depression ove~ Tank (Y~ Date Last Pumped ~
Pumping/Maintenanoe Contract on File (Y/N). ; for
Holding Tank High-Wate~ Alarm (Y~_~//~ Temporary Holding Tank Permit (Y_Y_Y_Y_Y_Y_Y_Y_Y_~
Separation Distances f~cm Septic//H~olding Tank: /
To Water-Supply Well ///~ To ~uilding Fcundation
To Property Line. ~/m
To Water Main/Service Line
Cours~ / ~ ~
Comnents
To Disposal Field 2/ /
'To Stream, Pond, Lake, o~ Major D~ainage
[Page 1 of 2] 2-15-84
C. ABSORPTION FIELD E~TA
Soils ~ating in Absorption Strata
Date Installed
Width of Field
Type of System. Desigh
Length of Field
Depth of Field 7/
Gravel Bed Thickness
Square Feet of Absorption A~ea ._-rP~/y ~ Standpipes P~esent
Depression ove~ Field (~ Date of Last ~Adeqq~ac7, Test
. , ....
Separation Distano~ f~om Absorption Field:
To ~ate~-Supply Wall--//f_~f~/-z
To Building Foundation ~7//
:~/~ ; ~joining
Lot
To ~te~ Main/~vi~ Line
To St~e~ond~ke/~ Majo~ ~aina~ C~
To ~i~way, Pa~ki~ ~ea, ~ Vehicle St~a~ ~ea
/
To P~operty Line
To Existing or Abandoned System
/ .
Lots /~ d3
TO Cutbank(if present)
C~ents
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Wate~ Alarm Level at
Tested fo~
Electrical Codes(Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumpin~ Cycles du~ing Adequacy Test.
M~ets MOA
Cc~m~nts
** Check Permitted Bedroom Rating Against HAA R~quest
I ~rtify that I have checked, verified, o~ conformed to all MOA HAA
on the date of this inspection.
Signed~ ~.--.-w_--wf' Date ~~/
Company./.'~.~z-c<~. ~_%- ~' /~<./>_< MOA No.
[Page 2 of 2]
in effect
2-15-84
BESSE, EPPS & PC~l'l'S
2220 EAST 88
ANCItO~AGE, AK 99507
(907) 349-6451
WATER ~ELL TES~
Location:
Client's Name:
Address:
Initial Reading c~ Meter:
GALLONS GALLONS
TIME GPM
Production Rate: ~..0'~_~1 24-Hour Capacity
APPLI ~ ~,NT FILLS OUT UPPER HA. : ONLY
Address ~) ,~C;~2
Lending Institution /~/~ ~:~ ~ ~) ] L:. /2,/ ~/ 2{~ Phone
Street Locati~
~ Multiple Family No. of Bedroon~
~. Individual ~}j~,~ ~(C ~-C A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~ CommunllYPubllc UIIlity ~ [~L~C~ For wells drilled prior to that date, give well depth (attach log if available).
Sewer Disposal
~ Individual ~ ~j Year Individual Installed:
Time l'ime Time Time
/'/~.,d~) ENVIR
~ -- ~ ~ Well to Tank Septic T~k Size