HomeMy WebLinkAboutHENKINS BLK 5 LT 2E
Municipality of Anchorageq a„
�04age
Community Development Department 1 of 2
On-Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
791
Permit Number: OSP181054 PID Number: 051-.2@4-09 ❑ New ❑✓ Upgrade
Name:
LIV A FROHOLM
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
PO BOX 773011, EAGLE RIVER, AK 99577
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
2
GPD/SF11
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
HENKINS 5 2
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
I Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft
Ft.
Well
111.8
N/A
N/A
I N/A
N/A
TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCHORAGE TANK
Capacity
1 1000Ga1.
Surface water
100+
N/A
NA
I N/A
Material
Number of compartments
Lot Line
19.0
N/A
NA
N/A
STEEL
2
NA
Foundation
8.3
N/A
_ NA
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
50+
I N/A
NA
N/A
Gal.
RemarksTANK REPLACEMENT ONLY
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
JRs Septic Pumping LLC
Drainfield CO/MT 3034
Inspector Pannone Engineering Services
BENCHMARK (Assumed elevation) 100f
Inspection �s1 04/25/19 d
dates: 2^ 04/25/19
Location and description
d �
3 a
NE Corner of House
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
�0�V
OF.A��4S�k�
Conditional Approval: Date
��G
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Steven •f�. annone• ?
CE 814 ,
Approved Date j ,2 5
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NOTES:
PANNONE ENG SVC LLC
P.O. BOX 1807 PALMER, AK 9645
pF
REVISIONS
DATE
20191115
RECORD DRAWING
PHONE 907) 745-8200 FAX 907) 745-8201
REV: 20191125
SCALE
HENKINS B5 L2
SITE: 15839 ALDERBERRY LN
*:'97H:*
1" = 50'
P.I.D. NO
051-291-09
DRAWN
LIV A FROHOLM
Po Box 773011
onnone
CE 8149
PERMIT N0.
OSP181054
SHEET
SITE PLAN
a
EAGLE RIVER, AK 99577
2 of 2
17tlVKlNS SU&Z)IVI,�;IUN
BLOCK 5
f....................
Clark E. Kinney o
e. IS -117 0 �'Aw+
Aw
��a °fessiar��
LErLFM
NOTES —x— CHAIN LINK FENCE
1. SURVEY CERTIFICATION: RODNEY P. KINNEY
ASSOCIATES INC. HAS CONDUCTED A PHYSICAL
SURVEY OF THIS PROPERTY AS SHOWN ON THIS
DRAWING AND THAT THE IMPROVEMENTS
SITUATED THEREON ARE WITHIN THE PROPERTY
LINES AND NO ENCROACHMENTS EXIST OTHER
THAN NOTED.
2. EXCLUSION NOTES: IT IS THE OWNERS
RESPONSIBILITY TO DETERMINE THE EXISTENCE
OF ANY EASEMENTS, COVENANTS, OR
RESTRICTIONS WHICH DO NOT APPEAR ON THE
RECORDED SUBDIVISION PLAT. NOTE: UNDER NO
CIRCUMSTANCES SHOULD ANY DATA HEREON BE
USED FOR THE CONSTRUCTION OR FOR THE
ESTABLISHING OF PROPERTY LINES.
LOT 2, BLOCK 5,
HENKINS SUBDIVISION
(PLAT P-387)
ANCHORAGE RECORDING DISTRICT
— — — OVERHANG ROOF
-- ) GUY WIRE
OPP POWER POLE
&' SEWER VENT
—0— WELL
GRAPHIC SCALE
30 0 15
<�x5-0
I inch = 30 feet
��® s
10/24/191 FIGURE 1
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: OSP181054
Work Type: SepticTank Upgrade
Tax Code Number: 05129109000
Site Legal Address: HENKINS BLK 5 LT 2 G:0755
Site Mailing Address: 15839 ALDERBERRY LN, Eagle River
Owner: FROHOLM LIV A
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
rnt
'
1)rhartmcnt
4/23/2018
4/23/2019
17860
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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:
GIA
Issued By: i4��7es
Date:
Date: � 2 3
4
C I
iity Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
91
Parcel I.D. 051 90-09
Property owner(s) LIV FROHOLM Day phone
Mailing address PO BOX 773011, EAGLE RIVER, AK 99577
Site address 15839 ALDERBERRY LANE
Legal description (Sub'd., Block & Lot) HENKINS B5 L2
Legal description (Township, Range & Section)
Lot Size 17,860 Sq. Ft. Number of Bedrooms 2
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(N all that apply)
Date of Payment:
Absorption Field ❑
Initial ❑ Single Family (SF) ❑X
Septic Tank ❑X
Upgrade ❑X (w/wo ADU)
Holding Tank ❑
Renewal ❑ Duplex (D) ❑
Privy ❑
Multiple Dwellings ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES
A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information
is correct. I further certify that this is in accordance with
applicable Municipal Codes.
r-,
(Signature of property owner or authorized agent)
Permit/Rush Fees: �.l/jr
Waiver Fees:
Date of Payment:
Date of Payment:
Receipt Number: a 53A %A 61
Receipt Number:
Permit No. L15 P l,R) 65q'
Waiver No.
Permit App__-:• ._.,:c:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181054, Rebecca Carroll, 04/23/18
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181054, Rebecca Carroll, 04/23/18
,''~ ?-~ MUNICIPALITY OF ANCHORAGE
~ i DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~:TION
iENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 'Telephone 264-4720
O~-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ UPGRADE
.~= Manufacturer ~nm¢~. Materia~/ No. of compartments2
~ * L iq.7~n gallons iF E~DE: Inside length ~/~ Width ~/~ Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O
Manufacturer
Material Liquid capacity in gallons
Q Well
~ DISTANCE TO, *¢+~ Foundat,o, Nearest lot lin= /
~ ~ ~ Top of tile to finish grade ~ / -- ~ / Material beneath die Total effective ~bsorption
D__ ~. ~ inches
area
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effecti~ absorption area
m Well Building foundation Nearest lot line
m DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation .% Sewer line Septic tank ~ Absorption area(s)
OTHER
I
I
I
R EMAR KS
ST95-O
,
APPROVED DATE LEGAL . ~
72-013 (Rev. 3~78)
MUNICIPALITY OF ANCHORAGE
Department~ Health and Environmenta~,rotection
825 ",_ ' Street, Anchorage, AK. .~501 '
264-4720
* * * HANDWRITTEN PERMIT * * *
WELL AND/OR ON-SITE SEWER PERMIT
Location:
Legal Description':
Typ. e of Soil Absorption System Is:
Trench: Drainfield: Seepage Bed: ~-"~Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
DEPTH LENGTH /~ GRAVEL DEPTH WIDTH'
Mailing Address: ~',~,.¥/-Z~:~ 0 C~
.umber: 3
~~Y~Z~ LOt Size: ~
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a 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 and
the-bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE : ,i/~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
ihstallation inspections of any wells adjacent to this property and the number
offresidences that the well will serve. '
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Ba'ckfilling of any system without final inspection.and approval by this departme]
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fe,
for'~a private well or 150 to 200 feet from a public well depending upon the type
of:public well. Minimum distance from a private well to a private sewer line
is'25 feet and to a community sewer line is 75 feet. Well logs are required
end'.must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper.installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * *
I~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 ~he system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more tha~/~.bedrooms
Signed:
~iican~ L.- ~'"// '
SWP/024(1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
LEGAL DESCRIPTION:
1
2
-,~.. 4
,,~..-5
6
7
8
9
10
11
12
13
14
15
16
17
18
19.
20
L_o"r z
SLOPE
SITE PLAN
/.ML)
15o SOFr I~.
15-0 S(~ ~rl~D~.
ENCOUNTERED?
DEPTH?
I
I
I
I
i-~
I
i /ot-h44
I
Reading Date Gross Net Depth to Net
Time Time Water Drop.
COMMENTS
PERCOLATION RATE
TEST RUN BETWEEN
72-008 (6/79)
CERTIFIED BY:
(minutes/inch)
FT AND FT
(907) 243-2282
KEN JOHNSON
KEN'S COMPANY
WATER WELL DRILLING
PUMP SALES & SERVICE
30 YEARS ALASKA DRILLING
John Moore
P.O. BOX .4-604
AnchoraEe, A~aska 99505
Roi Water. well Lot 2 Blk.
3163 LINDEN DRIVE
.ANcHoRAGE, ALASKA 99502
'" sopl~e=ber· 24; .:-! 983
.DEPT. OF HEALTH &
ENVIRONMENTAL
PROTECTION~
0 ft to 2 ft
Fill
2 ft ~to 6 ft
Organics ( peat )
6 ft to 20 ft
Brown silt and med. gray.
20 ft to 25 ft
Loose gray. & BRN silt
25 ft to 32 ft
Brn silt with med gray
32 ft to 49 ft
Med. gravel and gray silt
49 ft to '50 ft
Clean Med. Sand and gray water'bearing
Static 23 ft. ( 27 ft head'.)
Test bailed at6 ~P~
Drawdown to 35 ft
Bottom stable
Casing Log;
50 ft. 6½ in.
..~: APPLI'C'-'NT FILLS OUT UPPER, HAI"~.;ONLY
Lending Institution i'St- /~0../~. '~/~k Phone
Address 0 :~'~ ¥ . Zip Code
. Phone
Type of Residence
[] Multiple Family No. of Bedrooms
[] Other /
W~e~SuPP~Y
I~"lndividual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975.
I-1 Community For wells drilled prior to that date, give well depth (attach log If available).
[] Public Utility
Sewer Disposal ;
{~l-~divldual Year Individual Installed:
[] Public Utility When Connected to Public Utility:
[2 Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date "~
Inspector Inspector Inspector Inspector
MI,JNIC PALITY OF
~ ~X ~ ~q ~ .gE_CEIVED
~ APPROVED BEBROOMS 'CONDITIONS OF APPROVAL
( I DISAPPROVED
( ) CONDITIONAL APPROVAL'
Soils Rating Date Sewer Installed Well To Absorption Area / ~,,J~ Well Log Received
~ f~ - ~> we,, to~ank /~ ~ ~ Sept,c T~k S,ze