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HomeMy WebLinkAboutTONJESS ESTATES BLK 3 LT 24 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: OSP231277 Work Type: SepticTank Upgrade Tax Code Number: 05153210000 Site Legal Address: TONJESS ESTATES BLK 3 LT 24 G:1462 Site Mailing Address: 25255 HOMESTEAD RD, Chugiak Owner: BERNAUER THOMAS A & KATHLEEN L Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: o��»cnC De•I)artIII ell t 9/14/2023 9/13/2024 85023 ❑ 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 Special Provisions: f Prior to placing the tank, locate the field in order to ensure that the 5' separation is met. r Reesivet!713y: 75sso erj Act rc rR Date: Issued By: Date: % 2 3 MUNICIPALITY OF ANCHORAGE t�� Development Services Department �� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 051-532-10 Property owner(s) ON-SITE SEPTIC/WELL PERMIT APPLICATION Thomas & Kathleen Bernauer Mailing address 25255 Homestead Rd. Chuaiak, AK Site address 25255 Homestead Rd. Chugiak, AK Legal description (Sub'd., Block & Lot) Tonjess Est Block 3 Lot 24 Legal description (Township, Range & Section) Day phone Lot Size 85,023 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) x❑ (w/wo AD U) Septic Tank ❑R Upgrade IN (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Adjacent well to septic Distance: 80 I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees:.A22 Waiver Fees: Date of Payment: V-2-3/23 Date of Payment: Receipt Number: Qgq(,_4G Receipt Number: Permit No. 0-5P23 1277 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\C lie nt Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231277, Deb Wockenfuss, 09/14/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231277, Deb Wockenfuss, 09/14/23 �11AhA0 N DRiVE`NAY EASEMENT L U'IVifY� v x2-6- 72' � SC O a 0. on 0)� � ti w l 'J J o� 24.0' 0 0 NLOT 24 BLK 3 7.3' o 9.3' �., z W 00 : Ln LLJ X= W L 2.0' Li r E a C0 Lij `^16.5' 0.5 00 •` 50.3' a O 0 11.0' Z roe 0 LLJ A\ CIO LJ o Z P 1 �a ANCHORAGE RECORDING DISTRICT, ALASKA AS-BUILT OF: TONJESS SUBDIVISION LOT 24 BLOCK 3 PLAT 82-59 1400- ►v��®,4 AvOs� S CT TVNI�V 0PV'T'T1'Tf-ATF_ • T T.,1,r, T r•1,,, lar !]T7A i�.�tQ.a n ^ [ 1 i' !'Alu_ t �t t a �: VPt V 111\ Y L 1 L.ilrl\ 1 it i\/1 1 1 L. lj J Vllll L. �V11 t.1i1L1, Hii Y S✓ �o11Li 1.11�iVLt CA� ' "�, • • • • e • • • � J physical survey of this property as shown on this draining and that the AW �, • •• . � � ��� ° `s��� improvements situated hereon are within the property tines and no enchroachments exist other than noted. tinder no circumstance shout / � .• � +�'j'j-� '.'� � � � .4 any information on this draining be used for construction of fences, � � structures, improvements, or for establishing bound lines. �� .... i i .. .... ... .. p g ! �- t ..... . . EXCLUSION NOTES: It is the owners responsibility to determine A -10 .. the existence of an easements covenants or restrictions which C° . OHN L. SCHULLER, o y ' 100 ` do nota ear on the recorded subdivision lat. �e LS--10408 �; ,,M,•„�. ,, • pp P � . • i 4 0 �> / 1831 Talkeetna Street VEIl�RK C1RC�FR Nt It�d�tFR; f�A7F. S�Ai F: f3 F-UAII : n �, '� eu.siuor ai � � ivaaTir 0M �MW v 9 v v JULY 24 2023 1 =40 schullerOok.net k �A r te`' '� �p / DRAWN eY: CHECKED BY GRID NUMBER: BOOK/PACE: r0fe o� �-t (907) 227-1455 office S S 1 O Cl .eo. 23-076 JLS NW1255 230231 \Z�.�•,�.��"'0� (907) 274-4992 fax r - (' 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 P ONE _ NEW C "�—�/ -7❑UPGRADE MAILING AD6RESS LEGAL D RIPTION L- 2 ,E3 LOCATION ' NO. OF BEDROOMS UY DISTANCE TO: Well Absorption area _ V Dwelling 1-3PE I i Z] ,7 F- 2 a.FQ- Manufacturer �� �� M�Ceri �� % No. of comp�nients C� Lignfit�t,i gal Ions C(11 IF HOMEMADE: Inside length Width Liquid depth 0 z DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons = DISTANCE TO: Well 12 / Foundatio t� ^ L>'V Nearest lot lines LO L') PERMITfI� l L`3' `� l zNo. of lines Length o h Ike Total len f lilies 6 Trench •dth �/ Distance between lines 1- inches F- Top of tile to fipjsll made Material beneath tile 41 Total eff ctive absgr bn ar inches W Length Width Depth PERM NO. C7 nQ H W Type of crib Crib diameter Crib pth Total effective absorption area in DISTANCE TO: Well Building f undation Nearest lot line Cla s Depth Driller Distance to lot line PERMIT NO. _J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS V F�> SOI L TEST RATING 117 c INSTALLER CoCo ' "i REMARKS fj % S s • /la '• /'• X91•• • V e � a� zr R�bvr► A. Sheler No. 1457-E �d F APPROVED r `s:`14oifiZte-"6f�'a�� DATE LEG Se U018-31. RIVER /V cV 1J �riev. cq/,/al " DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 ` 'I:ZJ1 II'A 11 -IF L 'F_3IE- [LoJl EZ 001 8, WECEA L_ �IE_-_hF,'!IP1 I� PERMIT NO: 840711 DATE ISSUED: 08/21/84 APPLICANT: C/O S & S ENG'G. EARL CHAPPELL ADDRESS: SRB 196X EAGLE RIVER, AK 99577 CONTACT PHONE: 694-2979 LEGAL DESCRIP: SUBDIVISION: TONJESS ESTATES LOT: 24 SECTION: 2 TOWNSHIP: 15N RANGE: 1W LOT SIZE: 50000 (SQ.FT. OR ACRES) MAX BEDROOMS: 3 Listed ** below are the options available to you in designing system. Choose the option that best fits your site. 45.0 1,000.0 0-14z 107 DNA 17K-8 DEPTH TO PIPE BOTTOM (FT.) 3.5 ** 4.0 GRAVEL DEPTH (FTA 4.5 0.5 TOTAL DEPTH (FT.) 8.0 4.5 GRAVEL WIDTH (FT.) 2.5 18.0 GRAVEL LENGTH (FT.) 46.0 35.0 GRAVEL VOLUME (CU.YDS.) 21.2 23.3 TANK SIZE (GALS) 1,000.0 ** 1,000.0 ** SOIL RATING (SQ.FT./BR) 138 138 DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS _________________________ BLOCK: 3 your septic RAJ� 4.0 ` 3.5 7.5 5.0 45.0 1,000.0 33.3 ** 138 LIFT STATION I certify that: I. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set ba& distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit js valid for a maximum of 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, ' THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN.` SIGNED DATE: APPLICANT: C/O`S & S ENG'G. EARL CHAPPELL ISSUED BY DATE: u/� ------------------------------------- ___�___z'__��'___ SOILS LOG MUNICIPALITY OF ANCHORAGE s �.e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: %� Y/�I S / DATE PERFORMED: LEGAL DESCRIPTION: Z -<, Z % BL--l.<l 7 6,1/-7�S LOCATION OF WELL (Please complete either to, Ib or Ic.) la. Borough Subdivision Lot Block Ib. V4gtrs. _ —of— ot—of _ Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS Street Address and Area of Wall Location 2. WELL LOG Material Type C "ATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological & Geophysical Surveys Drilling Permit No. A.D.L. No. Section No. TownshipNC3 RangeE❑ Meridian S W❑ 3. OWNER OF WELL: •L Address: 4. WELL DEPTH: (final) 5. DATE OF COMPLETION P r_� 0 /ft. — 8, ❑ Cable tool ID'Rotary ❑ Driven ❑ Dug f� ❑ Auger Jetted ❑ Bored 0 Othor e {{ d 7. USE: 0 Domestic 0 Public Supply Ej Industry Irrigation Recharge Commerical Test Wolf � Other: 0. CASING: ❑ Throadl Welded r. lion. fit In. to ,4t) ft. Depth Weight lbs. dlam, in, to ft. Depth Stickup ft. 9. FINISH OF WELL: �a,( Typo: Dlomatw Slot/Mosh Slza: Length: Set between ft. and ft. Bac ItfIIIIng Grovel pack 10. STATIC WATER LEVEL: ft. �L Above or ❑ Below land surfaco Dote Equipment used: Feet Below Surface Top Bolton f,� !r,7 0 ft. b©� I I . PUMPING LEVEL below land surfaco and YIELD ft. after hrs. pumping g.p.m. ft. after : hrs, pumping g. p.m. 12.GROUTING Wall Grouted: ❑ Yes '0 No Material: ❑ Neat: Cement ❑ Other: 13. PUMP: ( if available) HP \ Length of Drop Pipe ft. capacity g.p.m. 0 Subm. Jet 0 Centrifical E3 Other Ia.REMARK s: IG. WATER WELL CONTRACTORS CERTIFICATION: 15. Water Temperature 0 F C This v{,ell was drilled under my�1 risdiction and his report is true to the best of my knowledge and belief; ��e°!�"E�:f',.: �_.:.�-,ci�..•it,nc^ > ii_ c... -f �w ��tt.rJ.y�':ir.?�'�.,, .r� / � !^ �! ,—, Registered Business Nanta Controct License Number Address: Signed f ,f r=,?J.. J`.S� A.}`F'�1__ Date: Authorized Representative Form 02_WWR (11/81) Copy Distribution: WHITE, State OGGS, PINK -Driller, CANARY -Customer MUNICIPALITY QFANCHORAGE DEPARTMENT QFHEALTH AND ENVIRONMENTAL PROTECTION DIVISION QFENVIRONMENTAL HEALTH CERTIFICATE UFINSPECTION FOR HEALTH AUTHORITY APPROVAL OFON-SITE SEWER AND WATER FACILITY 264-4720 Application Date lime] 4Z I 4117-A 0 11001-a (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name App|iountAdd 12-.6 hone: Home Business (c) Applicant is-icheck one): Lending Institution Owner/builder 0 ; Buyer 0 ; Othe;,Iir (explain); en a (d) Lending Institution Telephone Address (e) Real Estate Company and Agent e53 1-?oGif Address T919 p hop e V0 -*TMNhe HAA to the following address: P11011 196K -�iVER, ALAS KA W537F PEL 62.4-24229 2. TYPE OFRESIDENCE 11 Single-Fami|"�� Ivlubi-[] Other Numberof Bedrooms' ~` 3. WATER SUPPLY Individual WeIU�. Community[] Public / Note: Ucommunity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Public Community Holding Tank Note: Kcommunity well system, must have written confirmation from the State Department ofEnvironmental Conservation A 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 on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm _ - .. Telephone Addre Si nD IRCC17s1 Date E3l'11=P APPROVAL II Approved for bedrooms by ate Approved _, �° Disappro d Conditional Terms of Conditional Approval fT7 The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. 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 the professional engineer's work. Page 2 of 2 72-025 (11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 13 Type of System Design Date Installed f�� ci `r Length of Field �� f ►� i Width of Field �C) Depth of Field Gravel Bed Thickness SL Square Feet of Absorption Area _I Standpipes Present ON) - Depression over Field ( Results of Last Adequacy Test Separation Distance from Absorption Field: Date of La Adequacy Test 1<-f ZPF�KV To Water -Supply Well To Property Line z% To Building Foundation To Existing or Abandoned System on Lot ; On Adjoining Lots ,� /c' /'1— To Water Main/Service Line `T To Cutbank (if presee t) To Stream/Pond/Lake/or Major Drainage Course � To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments ,3.0 / .r Dimensions Manhple/Access (Y/N) ** Check Permitted Bedroom Rating Against HAA Request ** p Off'. Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA uidelines in effect on the date of this inspection. Signed aFsrr;9E3's Date vlaa �a OCA Com 'an. �, r3'Sr�= ^TAS°M 1"MU f p y,.�.., s MOA No. Receipt No. Y Date of Payment - % ` Amount al s :�o� -� y '._ • Page 2 of 2 72-026 (11/84) Robert A. ^Y*oheder W ,Y Y�Pe 1.%` A3w sae e(.1 �• AOR o�„.a mow