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HomeMy WebLinkAboutDRAKE BLK 4 LT 8AOnsite File 17�462�26  Municipality of Anchorage :,."til~ Department of Health and Human Services . Building Safety Division ~-~ On-Site Water end WastewMer Program. 4700 ~ou~ EIregaw Sheet P.O. Box196650 Anchorage. AK 99519-6650 Page1 of 4 www.ct.anchorage.ek.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWSW010242 PID Number:. 017-462-01 ~.,,.: Wastewater System: [] New [] Upgrade .Inhn ~ I::dnn .Inhn,~nn ~'*'": ABSORPTION FIELD 127131 I nk~ ()tin Pt~o~e: Numt~B~dm~s: r'll~?nmch r'lSh~m~T~d~ r"ll~d ~Mou,d a~IDSF 345-t 979 LEGAL DESCRIPTION 0.6 o.~F 4 8 Dri~k~ -1.5 ~, 0.5 Well: [] New [] Upgrade c..~,.,~: .,,,,~,..: i 10 ". 5 2 Private 152 n. t52 n 360 ~ 3034 PVC Alpine Drillim 7124/2001 43 ,, Beek Construction 713012001 20 s,~ 150 ~ 2 ~ TANK SEPARATION DISTANCES [] septic [] Holding [~ S.T.E.P. l-I Other:. ~ Septic AbsorptionLift Holding Public/Prtv~ I~...,.~..:~.~, " Tank Field StaUon Tank S,.,~U.. IRnch Tank 1000~.~ w.. 107 143 118 ~ 99 Steel 2 ~.,-..w.~ t00+ 100+ 100+ _. ~ / LIFT STATION ~,u.. 30 15 30 250 ~ Anch. Tank · ~----~10 13 10 43 ~ 33 ~] 45 c~. ' 100+ 100+ 100+ 20 OS105HH MOA ,,,~-: BENCH MARK IDSF Drain Field. 2" R.I. over entire field. Pressure gauge located In laundry room. Initial reading 6.0 psi. Back Door Threshhold 100.0 Engineer's Stamp ,:. ........ ,,- c~:~.- ~t -'"..~7 ,,. ... '.. Inspections performed by: Pannone En.q. Svc Dates: 1'~7/30/2001 ~' "~.~ 49TM~ \~' 2'~0713112001 ~.~'~-. ....... .:..-_ ,. ..____.. ?~ royal ' ' ' ~ ¢~_'..$[even R. Ponnone.,~*. Department of Health an~d H~an Se sap~ -. Reviewed and approved by: ~ '/ /c~)~Dat.: .7,....~._ 0..~ ~O./~....,,~,u/~...~,,,~D~C:>g......~,~,~No. CE 8149 (,...,nn~ ~ ~'/ ~ -ee.~0 ,.~ .......... ~.~ PERMIT NO, SWO10242 AS -BUILT PlD, NO, 017-452-01 WASTEWATER ABSORPTION SYSTEM LOT SA, BLOCK 4 DRAKE S/D LOT UNDEVELOPED NO WELLS OR SEPTIC NEW DRAIN FIELD WITHIN 100 FEET 10'x36'x3' ID SAND F�h_,TER OTTOMLESS- SEE DETAILS TH4 EXIST'G 1000g E XIST.G SEPTICTANK.. BANDONED SEPTIC_ ABAN"nnNF*n T . .... .. 'EXI F 4 ABANDOINE Fl C 3 LS T2 A _.,XIST' --3-eR HOUSE L -J *4zQp4mCZL ;/l 4A �Uot 8 r;� N EW WELL ............. EXIST 2 15 E' NEW 1250 I.D, S,T,E,P, TANK > Lot zLD < Co 6A.1 18, 19 LOT UNDEVEL'OPEl-, 99 L T2LS 63.3 112 NO WELt,,-S OR SEPTICS a LS ClC1 6 12-2 WITHIN 100 FEET l 49,9 C2 2 2 .6 53.1 DESIGNS C3 33,5 25,6 3 BEDROOM HOUSE ..... r ....OF C4 38,0 29,8 PERC RATE 34 MIN/IN 0 g... Fl 15.6 51.3 SOIL RATING 333 SF/BR F2 18.1 51,5 1000 SF RQD AV F3 21.2 52,6 JE TH 5 -WIDE TRENCH, 2' EFF. 1! F4 23.5 53,5 RF= 0,70, 140' LONG ..... ...... . .. I ................. F5 25.7 54.2 TOTAL AREA=700 SF . .. .. ..................... . PREPARED FOR; tSteven R. Pannone:'. PANNONE ENG. SVC, LLC Op my Mr. John Johnson 0, No. CE 8149 P. 0. BOX 102954 12701Lake Otis Parkway ... ........ Anchorage, AK 99515 ANCHORAGE, ALASKA 99510 %far, (907) 349-0809 272-8218 Phone —& Fax I'-----� AS—BUILTSC&E, 1'=5a, I PERMIT NAS-BUILT DETAILSGv SWO10242 WASTEWATERON ABSORPTISYSTEMND 017-462-01 LOT 8, BLOCK 4 DRAKE S/D o vs 00 C) .,\Work\DRAWING\NE4NE4NE4S33Tl2NR3W,DWG 01 49 TH fen R. Pannor No. CE 8 149 ms,S 6t'l �-40 N PREPARED O. Mr, John B Johnson 12701 Lake Dtls PKWY ..- ,. (07) 345-1979 I z CL m; w z Z Ld _j ry < z w PANNONE ENG, SVC., LLC P, 0, BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX - AS -BUILT Municipality of Anchorage Z�PGE e4'�O Development Services Department Building Safety Division - On -Site Water and Wastewater Program a 4700 Bragaw Street SA E r r P.O. Box 196650 Anchorage, AK 99519-6650 www.ci-anchorage.ak.us (907)343-7904 PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, datedis _ Development Serviceskep*i_en�'W(DSD)�and �the m o pertYwnren op(h) s o f nlcipality of Anchorage p P This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. ,t ( gnature) (Signature) (Printed Name) (Printed Name) The Foregoing Instrument was acknowledged before me by int,n� �� on this �)/ `' day of 2002 ness my pal. ��Q4 o ry Public ( ign e) (Notary's printed name) / My Commission Expires - f b ...J lC. t 34c~c~ TYPO CDP YF~ C:OMIGH~: (PO~INIPL~TOIq ~ ONt.Y) '- ~=k Myseom Permit Number:. #SW 010242 Date of Issue: T-16-01 Date Started: 7-2301 Date Completed: T-24-01' Legnl Dese~ptiom Drake Blk 4' l.t 8 Parcel Identification Number:. 017-462-01 Is well lOCated at approved permit location? [~ Ye~ [] No Proper~y Owner Nn-~ & Addre~: Borehole Data: Soil Type, Thickness & Water SI[mn stick-up o~ganic & silt gravelly silt water sand & gravel-silty gravelly sandy silt silt water sand & gravel John &~Edn= Johnson 127O1 Lake OUs Pkwy Anchorage, Ak 99516 Depth (ft) From.. To : :. '~ ..... -. 7--~ 0 2 2 13 13 57 " 57 62 62 111 111 147 147 152 Method of Drilling [~] air rotary [] cable tool C~slngtype: steel 'Wall Tl~clmess: .025 inches Dhm=ter: _6 inch~ Depth: 152 fc~t LiuerType: Dhmeter. __ inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 43 feet Pumping level: 152 fcct after _2 hours pumping 20 gpm Recovery Rate: 20gpm Method of Testing: airlift Well Intake Opening Type: [~ Open End [] Ol~n Hole [] Screened Start__ feet Stopped feet [] Perforations Start ~ feet Stopped feet Grout Type: Bentonite # 8 Volume: 1 Depth: St~t _0 feet Stopped _+ feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Clorfne Tablets Alpine Dtflling & Enteq~dses P 0 Box 110496 Anchorage AK 99511 Comments: Well Driller: Attention: The well driller shall provide n well log to the proper~ owner within 30 days ofcompletlon and the property MUNICIPALITY OF ANCHORAGE Development Sen/ices Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Upgrade Date Issued: Jul 16, 2001 Expiration Date: Jul 16, 2002 Permit Number: SW010242 Legal Description: DRAKE BLK 4 LT 8 Design Engineer: 0062 Pannone Engineering Services Owner Name: John & Edna Johnson Owner Address: 12701 Lake Otis Parkway Anchorage, AK 99516- Parcel ID: 017-462-01 Site Address: Lot Size: 89621 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] 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. 5. The following special previsions. THE WASTEWATER ABSORPTION SYSTEM SHALL NOT BE CONSTRUCTED UNTIL THE EXISTING WATER WELL IS DECOMMISSIONED PURSUANT TO A.M.C. 15.55. Received By~ Issued By: ~ Date: MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O, Box 196650, Anchorage, AK 99519-6650 (907) 343.7904 ON.SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 16, 2001 Expiration Date: Jul 16, 2002 Permit Number: SW010242 Legal Descriptioni DRAKE BLK 4 LT 8 Design Engineer: 0062 Pannone Engineering Sen/ices Owner Name: John & Edna Johnson Owner Address: 12701 Lake Otis Parkway Anchorage, AK 99516- Parcel ID: 017-462-01 Site Address: Lot Size: 89621 SQ. FT, Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ~ Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ail 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, 5. The following special provisions. THE WASTEWATER ABSORPTION SYSTEM SHALL NOT BE CONSTRUCTED UNTIL THE EXISTING WATER WELL IS DECOMMISSIONED PURSUANT TO A.M.C. 15,55. Received By: Issued By: NOTE:Ap~ica'~o~ must be filled out c~npletety Mailing Address / ~' Legal Description Department of Health & Human Services On-Site Sewer/Well Permit Application SINGLE FAMILY DWELLING MUNICIPALITY OF ANCHORAGE -w -o l Day Phon~ Zip Code Lot Size '. Ac~re,~, Number of Bedrooms '-~ (-~?~ ~. ~[ Approved Engineering Firm I-I Municipality (permit fee Included) Inspecti oni:lucted by: Does your house contain any of the following: [] Hot Tub [] Swimming Pool [] Therapy Pool [] Jacuzzi [] Water Softener Unit This application Is for:, -~ Sewer Only [] Sewer and Well ~.~,Sewer Upgrade [] Well Only [] Water Storage I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and in accordance with ap~nlic~hle Municipal Codes. /..~¢4,~ - II;open'y Owner/Well Dflller Receipt Receipt Waiver Fees: 72-012 (Rev. 4/98)' WaNer# '[K' Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak, us (907) 343-7904 ON-SITE SEWER/W'ELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-462.01 Permit Number~ Property owner(s) John & Edna Johnson Day phone 345-1979 Mailing address (1) '127010 Lake Otise Pkwy Mailing address (2) Anchoraqe, AK Legal description (Lot, Block & Sub'd.) Lot 8, Block 4 Drake S/D Legal description (Section, Township & Range) Lot Size 89621 Acras/Sq.Ft. Zip Code 99516 Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool [] Well Only [] [] Water Storage [] [] [] Jacuzzi [] [] Water Softening Unit [] 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 of property owner or authorized agent) Permit Fees: Oate of Payme.t: Receipt Numbe~ (Rev. 1 ~0) Waiver Fees: Date of Payment: Receipt Number: Pannone Engineering Services, LLC Consulting Engineers 1907) 227-3522 P.O. Ba~ 102954 Anchorage, Alaska, 99510 (907)272-8218 Fax May 20, 2001 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 8, Block 4 Drake S/D Septic Upgrade Permit Gentlemen: After your department rejected my last proposal due to the presence of organics below the proposed system, we located an alternate site for the drain field. This location is adjacent to the existing well. We excavated two testholes in the northwest portion of the lot. We discovered poorly graded sands and gravels to a depth of ten feet. Water was monitored through the spring high water. The water stabilized at a depth of three feet below the ground surface. I proposed installing an intermittent dosing ,sand filter with a 1250 S.T.E.P. tank. The existing well will be abandoned and relocated to the eastern portion of the lot. Please see the attached soil logs and revised design. The proposed installation will not affect the surrounding lots, most of which are either undeveloped or served by public water and sewer. Please contact me at 272-8218 or 227-3522 ifyou have any questions. ,~,ss~3~%,_ Since~ly, ' * Steven R. P~none, P.E. $ ~$teven R. Ponnon~l~ ~%. No. CE 8149 Attachments: C:\WORK\LE'rrER$\8-4 DRAKE.OO3.DO~ PERMIT ND, ]DESIGN P,i,D, ND,  WASTEWATER ABSORPTION SYSTEM ~ LOT BA, BLrlCK 4 I)RAKE ~ LOT UNDEVELOPED :.-' ~ -. NO ~ELLS DR SEPTICS ~'! PROPOSE~ DRAIN ~E~D VITHIN 100 FEET / ~O'x36'x3 ID SAND FILTER / ~ ~BDTTDMLESS- SEE DET~.ILS ,' ', ~ ~TH4 , ~. EXIST'G lO00g ~ ~EXIST G ~ELL ~ ~SERIIC TANK / ?Z~ ~i //%o 'BE'-ABANDONCK'Yn '"~ 'X'.~66'~'F'~ ................................ ................ , EXIST'~~' .~ ~/ ~ GARA{;~L..L~c~Z.7~~ .... -, /'~ / ~ / '. ,~ I,D, S,T,E,P, TANK ~ 0 , ~, LDT U~DEVEUOPE~'*~'-... ~ ~ NO WELLS BR~SEPTICS ~ / ~ WITHIN 100 FEET c.w. 'R~DRAVI~ m~4D~G ~ S / DESmN. __~ --~~ ~ SOIL RATING~ 333 SF/~R RF= 0.7D, 140' LONG ~~~ TOTAL AREA=70D SF ~~ PREPARED FOR, PANNONE ENG. SVC, LLC Mr, John Johnson P. 0, BOX 102954 .,,~~~,~. AnchoP:oe,lE701 L:ke O~,s P~AK 99516PR''Y A NCHDRAGE, ALASKA 99510 (9~ 348-0809 E78-8~18 Phone & F:x DATE. 6-25-00 ~ DESIGN P~RMIT NO' DESIGN DETAILS WASTE~ATER ABSnRPTIDN SYSTEM LOT 8, ]BLOCK 4 I)RAKE p.I.ll. NO' ) ;,%Work%~RAWINGXNE4NE4NE4S33Tl~NR3~.g~ ~ ~ ~ ~ ~~~~1 PREPARE9 FaR, PANNDNE ENG. SVC., LLC m~~ '_]']'2-"7~ i Mr. John ~ Johnson P, D. ~DX 108954 m ANCHDRAGE, ALASKA 99510m DATE, 5-19-01 I ...... m NDT TD ~CALEI ~R~lbN 8OIL8 LOG - PERCOLATION TEST PANNONE ENGINEERING SERVICES P.O. BOX 1011954 ANCHORAGE, AK 99510 (907) 272-8218 PERFORMED FOR: Mr. John LEOALDESCRIPTION;, I~t 8/% Bilk 4 Drake ~o1~ POORLY 8AND Lo~ 8B WAS GROUND WATER ENCOUNII~RED? .NO 1~ YES, AT WHAT DEFII~ DEFI'H TO WATER AFTER MONITORING? 3' DATE: PEROLATION RATE .S (rain/inch) PERC HOLE DIAMETER 6 Inches TEST RUN BEWTEEN 3.5 FT ind 4.5 lIT COMMENTS: Test hole -v,,-vated by Owner. Test Hole w~s preao~l,pd before pere test. PERFOI~D BY: Steven R. Pannone, P.E. I CEKll~¥ THAT THIS TEST WAS PERFOI~t~-r~ IN ACCORDANCE : IYi'i'H ALL STATE AND MUNICIPAL OUIDLINES IN EFFECT ON THE DATE OF THIS TEST. APPL , NT F LLS OUT UPPER HA 'ONLY Property Owner 9/'~: "' >~/// >> M ~.4/~ F,~ Phone Buyer Address {-~ ~ --2~,,.~ ~/ ~? ~/~ Zip Code Lending Institution / Phone Address Zip Code Realty Co. & A~ni Phone Address Zip Code Type of Rest~nce  Single Family Multiple Family No. of Bedrooms ./. _ _ [3 Other Water Supply ~ Individual A~ACH WELL LOG. A w~l Icg 18 required for all wells drilled since June 1975. ~ Community For wells drilled prio~ to that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ~ Individual Year Indiv~ual installed: ~ Public Utility When Connected to Public Utility: ~ Holding NOTE: THE INSPECTION ~EE MUST ACCOMPANY EACH ~E~EGT BEFORE ~OCE$GING CAN BE INITIATED, Time Time Time Time Insp~tor Insp~to~ Insp~tor Insp~tor ~UNIC Field Notes: ~ ~ ~N~_) ~td. ~ >... ;.,0, :CT~ON ;:. ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ~0 DISAPPROVED DATE ____:~ ~___ BY: SoiI~ ~Iing P~te ~wer Inst~lled Well To Absorption Are~ qq Well Log Well 1o T~nk (~ ~epllc T~k 8Jze .... ALASKA b, llUlROllmeF1TAL COF1TROL IFIC. ~.~lin~rinq $ ~nuironm~nloJ Sluc]ics 2/2/83 HENRY BUEGE SRA BOX 1515 A ANCHORAGE AK 99507 SELLER - HENRY BUEGE BUYERm SUBDIVISION-DRAKE BLOCK-4 LOT-8 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 1 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 68 GALLONS° THE SYSTEM IS UNACCEPTABLE BECAUSE THE SURGE CAPACITY IS LESS THAN 75 GALLONS. THE SYSTEM IS NOT CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SEPTIC TANK WAS PUMPED ON 2/2/83 o SEPTIC TANK ADEQUACY THE EXISTING SEPTIC 'rANK VOLUME OF THIS 3 BEDROOM HOUSE° 1250 IS ADEQUATE FOR 1200 LUest 33rc[ J~uenue, ~uit¢ [~ · Anchoro§¢. Alosk, 99503 ~ (907) 276-1361