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
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00
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.,\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
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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