HomeMy WebLinkAboutTUNDRA JEWEL RANCH LT 21
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: OSP201227 Effective Date:
Work Type: Septic Renewal
Tax Code Number: 05119330000
Site Legal Address: TUNDRA JEWEL RANCH LT 21 G:1159
Site Mailing Address: 19625 WILDWOOD DR, Chugiak
Owner: NELSON TIMOTHY J
Design Engineer: NORTH RIM ENGINEERING
This permit is for the construction of:
Z Disposal Field R1 Septic Tank ❑ Holding Tank ❑ Privy
Expiration Date
Lot Size in Sq Ft
Total Bedrooms:
DepaI-tinen t
7/17/2020
7/17/2021
108900
❑ 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:
Issued By:
7 0
Date: /
Date: Z�
V
ON-SITE SEPTICMELL PERMIT APPLICATION
Parcel I.D. 051-193-30
Property owner(s) Tim Nelson Day phone 694-1941
Mailing address 11345 Fireball St. Eagle River, AK 99577
Site address 19625 Wildwood Drive
Legal description (Sub'd., Block & Lot) Tundra Jewel Ranch Lot 21
Legal description (Township, Range & Section)
Lot Size 108,900 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
[]
Initial ❑
Single Family (SF) []
Septic Tank
Upgrade
pg ❑
(w/wo ADU)
Holding Tank
❑
Renewal []
Duplex (D) ❑
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
re of
agent)
Permit/Rush Fees: # fa, 75
Date of Payment: 7 ZO
Receipt Number: & #5159 8
Permit No. 0SP201 22'7
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Wockenfuss, Deborah M.
From: Steve Eng <steveengpe@gmail.com>
Sent: Friday, July 17, 2020 9:44 AM
To: Wockenfuss, Deborah M.
Subject: Re: TUNDRA JEWEL RANCH LT 21 permit renewal
Deb,
Owner contacted me. Construction is being planned. No changes for Permit.
Thanks -Steve
On Tue, Jul 14, 2020 at 2:19 PM Steve Eng <steveengpe(cDgmail.com> wrote:
Deb,
Received your voicemail. I have not been involved with this. Owner has not consulted me.
Thanks -Steve
On Tue, Jul 14, 2020 at 2:13 PM Wockenfuss, Deborah M.<deborah.wocl<enfuss(@anchorageal<.gov> wrote:
1
N`tP - MUNICIPALITY OF ANCHORAGE
7 • On-Site Water& Wastewater Program
PO Box 196650 4700 Elmore Road •L
1 i Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.orglonsite "9 f
Department
*NC/IO0.pGf
On-Site Wastewater Disposal System Permit
Permit Number: OSP191232 Effective Date: 7/9/2019
Work Type: Septic Upgrade Expiration Date: 7/8/2020
Tax Code Number: 05119330000
Site Legal Address: TUNDRA JEWEL RANCH LT 21 G:1159
Site Mailing Address: 19625 WILDWOOD DR, Chugiak
Owner: NELSON TIMOTHY J Lot Size in Sq Ft: 108900
Design Engineer: NORTH RIM ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
I Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 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:
1. Per the survey, the well is in the driveway. The casing is to be protected prior to COSA approval.
2. The mobile home is to be removed prior to Inspection Report approval.
Received By: Date: 7 /O /7
Issued By: �/l/ / � Date:
MUNICIPALITY OF ANCHORAGE
Development Services Department `i �/ Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 05119330
Property owner(s) TJN Day phone 229-0159 7 8 9
19625 Wildwood Drive
Mailing address �v 1,�
�.,
Site address Same
Legal description (Sub'd., Block & Lot) Tundra Jewel Ranch Lot 21 a":2/ JUN 1 1 2 .0119 .1-3>
Legal description (Township, Range & Section) -0-A. ti
Lot Size 108,900 Sq. Ft. Number of Bedrooms 4 <<o� ��
16RL9
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field H Initial n Single Family (SF) 0
(w/wo ADU)
Septic Tank ❑ Upgrade H Duplex (D)
Holding Tank ❑ Renewal ❑ —
Multiple Dwellings
Privy n (SF and/or D)
Private Well ❑
Water Storage I
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 1G Waiver Fees:
h aa!
Date of Payment: (o IQ Date of Payment:
Receipt Number: 10ar311 Receipt Number:
Permit No. O55lP/QlA3,1 Waiver No.
G\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
THIIV
NC
EI- z,INEERING SteveEng.com Tundra Jewel Ranch Lot 21
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is an existing 4-bedroom, single family home. This is a
developed subdivision. This is a large lot. The existing septic system to be
decommissioned. No adverse impacts are expected from tank/trench upgrade. No conflicts
to the other lots will take place by this septic system construction upgrade. A new soil test
reveals silty sand w/gravel&cobbles. An application rate of 1.2 GPD/FT2. Length =500
FT2/6'x 2 =42' trench (6' effective); Say 1 trench @ 42'. Water wells are drawn.
Additional data supports this design:
The well log on the subject property lists a depth @ 262',no bedrock.This well log lists the
static water level @ 235'.
Two test holes were completed on the neighbor lot directly across the street, Sky Manor
Lot 7A. This TH#9 has a soils log @ 17'depth- multiple monitor dates with no
groundwater. TH#10 is a similar test hole with no groundwater indicated.
Lot 48 to the north lists a previous test hole @ 10'depth with no groundwater.
Little Peters Creek is located in a deep chasm directly to the east as indicated on drawing.
The depth of the surface water is over 40'. No sign of elevated groundwater levels seeping
from steep slope.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• Two compartment, New 1250 gallon septic tank. Install Double Cleanouts.
• Install new foundation cleanout/sewer service if required.
• 10' minimum between the tank trench,tank to house. 10' to property lines,
• 3' of cover or insulation is required for trench; 2" Minimum thickness for insulation
can substitute for I' cover.
• Tank& solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation
wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two
adjacent opposing cleanouts between the tank and the absorption field,not more than
10' from the tank positioned to provide cleanout access towards the tank and towards
the absorption field.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from
drain-rock.
•
NIFTRIM
MNEERING SteveEng.com Tundra Jewel Ranch Lot 21
• Drain rock to be 1/2 inch to 2 inch screened. Drain rock to be distributed uniformly •
throughout the trench.
• Perforated pipe to be installed level with perforations down.
• Silt barrier(filter fabric) to be installed above the drain rock.
• Smeared trench sides must be raked or scarified before drain rock placement.
• The finish grade must be mounded to promote drainage away from trench.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron,PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal)
•
ar :% 9TH ,kl�j
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♦•. CE-6256 (tor
141 4® 7/.8 /19 �
DESIGN NOTES:
1. New Trench Depth At 10'.
2. New 1250 Gallon Septic Tank.
3. 3' Cover Or Insulate.
4. Lots Served by Private Water Wells.
5. No Conflicts Within 200'.
6. Check Well Separation Prior To Construction.
7. Septic Tank NOT Under Driveway.
8. Decommission Existing Tank/Bed Per UPC.
9. Mobile Home To Be Removed.
Septic
L48 Well>100' \
New 1250 Gallon
Septic Tank w/DC❑'s
35%
Flat Slope
New Trench
MT
YH
\i°
0
0 bed
/ <4,
0
Flat Slope 02c
10. 35% P
s
Community
Well>200' DrI °
IDe,omission Old
S=ptic Tank Per UPC Co /
4 Bdrro
35%
�� Qy Well
ka /
0 2% Slope
R100.P
NOR THRIM TUNDRA JEWEL RANCH i = 60'
ENGINEERING c' PLAN
SteveEng.com '' "' LOT 21
•
PO Box 770724 "'? LAYOUT
Eagle R1 Alaska 99577 ca-ass WASTEWATER UPGRADE
'6/25/°19br
907.694. 7028 NEW TANK/TRENCH 6/25/19 12 of 3
Foundation Cleanout ./ .
Tank Cleanouts
Fin ^amide Opposing Cleanouts Between Septic Tank & Trench
4'Cover
or Equal
1250 Gallon /
Mounded Cover To Match Terrain
MOA-Approved
Septic Tank Monitor Tube
Solid Pipe leanout
DESIGN NOTES: I
1. Depth of New Trench is 10'.
2. Septic Tank & Solid Pipe to be Placed on Compacted, , ,
Stable Soil, Free from Boulders. Filter Fabric — '
3. Sewer Service Line is Minimum 2% Slope & 3' Cover. '- ..=
4. Water-Tight Couplings. %i
S. See Specification Sheet. != P-0 !=+ 111P
N 6. All Work To Conform to Municipality of Anchorage (AMC) !, '`•`•`•`•`•'
Requirements & Specifications. 6' r r . . .
7. Maintain 3' Cover Over Trench Or Insulate. ' '=•�•=•"•"
Drain Rock ! ! f:+=•= !
M i. i! •.• • •.
.:. ..fe
!: PSth .::.•.
3'
I NOR T H R I M ;-'.c*���MM
-' ' TRENCH END VIEW TUNDRA JEWEL RANCH
ENGINEERING ��.
SteveEng. comf' 49 *f SEPTIC TANK PROFILE LOT 21
icl
PO Box 770724 °q ,... '' SEPTIC SYSTEM
Eagle River. Alaska 99577 .•
907 694.7028 ' 6%� /19' UPGRADE Date:
6/25/19 rrawn BY: le:is- 1. = 5 ' I 3 of 3 '
•
S❑ILS LOG — PERC❑LATI❑N TEST
I\ERT M Date Performed: 5/29/19
E.N INEERING
Performed For: Owner
Legal Description: Tundra Jewel Ranch Lot 21
DEPTH
(FEET)
T,H, Location: See Attached Test
1 - Organic
4,i4 gi, Boring Location Map
2 - {_ `'? SM Silty Sand
3 - YL;,'s;;M
Y ti:'•
4 _ i' �r4tw. 7
�"':^ = W/ Groundwater? No
`•'`"': Depth
6 - ;y<= w GM Gravel
n`��,-==••7Y" Water Depth
7 - =t-a4, Cobbles After Monitoring.None Date: 6/10/19
8 - t M;▪ _:--> # Date Gross Time Net Time Depth Net Drop
9 - : ;''S;V 1 6/5 0 -- 6" --
10 - <:::F4---''',.?:'.. 2 6/5 10 10 min. 2" 4
'`;•t;fVia,
11 - >(.T �,: �='P 3 6/5 10 -- 6" --
12 - w;>� 4 6/5 20 10 min. 2" 4"
13 - �• `�'< 5 6/5 20 -- 6' --
14 - '=.,���•4 b- 6 6/5 30 10 min, 2' 4"
max;.
15 - 'ice; tag 7 6/5 30 -- 6' --
16 - `'":`.,,. .r" 8 6/5 40 10 min, 2" 4"
17 - 9 6/5 40 -- 6" --
18 - 10 6/5 50 10 min, 2' 4'
19 - 11 6/5 50 -- 6" --
20 - 12 6/5 60 10 min. 2' 4"
21 - Percolation Rate 2.5 min/in Perc Hole Diameter 6"
Test Run Between 4' & 5'
2omments: Measured To The Nearest 1/16",
'erf orned By NorthRirn Fng, I CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
JN THIS DATE. DATE:
NOR THRIM - e
rr: %
ENGINEERING ��v. •... .. TUNDRA JEWEL RANCH TH
SteveEng. com * .49Ili * LOT 21
PO Box 770724 sb�
Eagle River. Alaska 99577a- TESTH❑LE LOG
907.694.7028 467'25 .19 Dote,
GE❑TECHNICAL 6/25/19 I
N
\
\
\
\ _
\ Lot 5
Lot 48 \ N
\ 33.0' ( N
N
\ N
\
\
S 89'59'00"E 330.00' \
_ _ _ _ _ T
7,
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Z Lot 21
o SEPTIC PIPES
q 108,900 s.f.
0
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d 7,,,j,
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w 33.8' _ tivGE.., 12.2'x16.2' SHED 0 q Lot 1
oQs0
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c0 G SEPTIC PIPES m
C GRAVEL DRIVEWAY w
I •— WOODEN PATIO o
I \ o
MOBILE HOME
Q rr) I 69.6' \
0 o 40.4
\PORCH n 1 STORY rn
C) 'RESIDENCE'''
X 10•q.RAVCL " • • • N 8.3' `a 165.7'
ORIVEWgY: 26.6
im . ...005 :•. . .t•... WELL
•
1pp P
Rp�EC�\� •
80.4' ;,)
ri /
12.4'x26.2' CARPORT 12.1'x24.1' SHED
N
\ L_
/ 89'59'00"W 330.00'
— —
30.0',
Lot 2 I
33.0'
Tract B
I
I
NOTE: DUE TO SNOW & ICE COVER; THE LOCATION
OF THE GRAVEL DRIVEWAYS IS APPROXIMATE.
PLOT PLAN AS BUILT X SCALE 1" = 50' GRID NW 1259 Project No. 19-004/A1 _
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates , inc . (907) 522-6476 Phone ooppp� O
(907) 522-4625 Fax o� 0 F A (OpN
Professional Land Surveyors kenOlangsurvey.com • S 40
•. -Qp
JonathanOlangsurvey.com ,:9', C. '
I hereby certify that I have surveyed the following described property: 49TH /\ ;3 (OD
LOT 21, TUNDRA JEWEL RANCH SUBDIVISION (PLAT No. P-581)
Anchorage Recording District, Alaska, and that the improvements situated thereon areat a Q
within the property lines and do not encroach onto the property adjacent thereto, Q
no improvements on the property lying adjacent thereto encroach on the surveyed 4.. KENNETH AG. • o
premises and that there are no roadways, transmission lines or other visible G , f 1�H�1
easements on said property except as indicated hereon. V ..'W
J
O �P�, •••.LS-5202.•'• 5 O
Dated this the Day of �p u�c= "�� at Anchorage, Alaska �4°RO�SSIONA-
It is the responsibility of the owner to determine the existence of any easements, �'DODOo"`='a
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
~ MUNICIPALITY OF ANCHORAGE
DEr- rMENT OF HEALTH AND HUMAN SERV, S
: Environmental Health Division
~' 825 "L" Street, Anchorage. Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name ~ (--/~, -~ '"'$ DISTANCES
/"~ ~V/.~/u ~ ~='"~/W L' ~ Tn SEPTIC ADSORPTION
^~,essFDO M -'"'"'"~ TANK FIELD WELL
LOt J BI~
Zl, ~,)~ ~EW~ ~c~ FOUNDATION - ~/~
Township. Range, ~echon
/ AS-BUILT DIAGRAM (Show location OI Well. Sephc System. prope~y hnes. loundatlO~.
/ ,~. ~,~, 5~ ?
·
~PTIC ~ HOLDING ~' X :
ol Compa.ments q~'
gTRENCH ~BED g W. DRAIN gOTHER / ~X · /
~pth tO p~pe bottom Irom 1oral aepth lrom original grade ~ , ~~
WELLS ~, :o, ~
~ PRIVATE ~[1~-I~ ~HER Ildentifvl ~',~ ~
~ FTI FT
[ 5~z % . '. ,.
~-I~- ~ ."~ " ~ ' .
~glel l~Rwer~leAl~kaR~ L~5~R~d No. ~ ce~y Ihat th~inspe~ion~ was peflormed ac~rding to all
I
~//~ /
): ...,
~ ' '' ' ''~OFE'5'~:''
Health Depa~menl Approval: ~ Date;
72-013 (3/85)
PERMIT NO:
DATE ISSUED:
APF'LICANT:
ADDRESS:
CONTACT PFIONE:
LEGAL DESCRIP:.
LO]' SIZE:
l~Ul~l ]: C I F'AL I -fY Ol=' AblCI~IOR~GE
OEPAR'[MENT OF HEALT'H AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
264-47Z0
ON--S I-[E SEWFR
870078 UPGRADE
05/12/87
RALPH HENDERSON C/O S&S ENGINEERING
17054 EAGLE RIVER LOOP ROAD NO.
EAGLE RIVER, AK 99577
694-~979
SUBDIVISION: TUNDRA JEWEL RANCH LOT:
SECTION: 9 TOWNSHIP: 15N RANGE: 1W
2.5A (SQ.FT. OR ACRES)
BLOCK: -
I certify that:
1. I am (amiliar with the requirements For on-site sewers and wells as set
~orth by the Municipality oF Anchorage (MOA) and the State oF Alaska.
2.. I wil.1 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 o'( Alaska requirements ~or thc, set back
distances £rom any existing well, wastewater disposal sysEem or public
sewerage system on this or any adjacent or nearby lot.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN EL~CTRI~ PERMI) AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOr BE APFR~D~ITHOUT AN ELECTRICAL INSPECTIO~ REPORT; AND (5) THE
ELECTR I C~L WO~/~J7~ ~E D~ ~Y ~ I CEN~JD ~LECT~I AN. ' .
, ...... ~ ........ ¢¢ .... %~ ........................ ~
APPL I CANT~--~;~;RSON C~;;;-ENGI NEER, NG .
Ar unicipaiity,, o¥
Anchorage
PO b,..;'t 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
TONY KNOIA'LrS;
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Permit ~: 840542
January 31, 1985
TO: Permit Applicant
SUBJECT: Lot 21 Tundra Jewel Ranch Subdivision
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1984.
Permits are issued on a calendar year basis by authority
of Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be sent
to this Department for documentation of the installation
and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the original as-built inspection report
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
DEPARTMENT OF. HEALTH AND ENVIRONMENTAL PROTECTION~ W
825 L STREET~
ANCHORAGEs. AK 99501
264,4720
ON--S I TE SEI~JER · ~ PERM I T
PERMIT NO:
DATE ISSUED:
APPLICANT:
ADDRESS:'.
CONTACT PHONE:
LEGAL DESCRIp:I
840542
07/05/84·
RALPH & LINDA HENDERSON
P.O. BOX &7012
CHUGIAK, AK ~567
&88-2~92
SUBDIVISIONt TUNDRA JEWEL RANCH
SECTION: l& TOWNSHIP: 15N
LOT: 21
RANGE: 1W
· BLOCKt
LOT SIZE: 2.5A (SQ.FT. OR ACRES)
MAX BEDROOMS: 5
Listed below are the options available to .you in designing your'septic.
system. Choose the option that best fits your site.
DEPTH TO PIPE BOTTOM
GRAVEL DEPTHs(FT.)
TOTAL DEPTH(FT.)
GRAVEL WIDTH (FT.)
GRAVEL LENGTH (FT.) .
GRAVEL VOLUME (CU.YDS.')
TANK SIZE i(SALS)
SOIL RATING (SQ.FT./BR)
(FT.
TRENCH BED W. DRAIN
4.0 4.0 4.0
4.0 0.5 5.5
8.0 4.5 7.5
2.5 17.0 5.0
47.0 54.0 41.0
19.5 21.4
1,000.0 **' 1,000.0 ** 1~000.0 **
125 125 125
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
I'certify,that~
1. I am familiar with the requirements~for onTsite 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;
5. I will adhere to all MOA and State of Alaska requirements, for the set back
distances ~rom any e>:isting well~ wastewaterdisposal system or public
sewerage system on this or any adjacent or nearby lot..
4. I understand that this permit is valid ~or a maximum o~ 5 bedrooms and
any enlargement ~ill require an additional.permit.
IF~A LIFT STATION iS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES~
THEN (1) AN ELECTRICAL PERMIT AND INSPEGTION MUST BE.OBTAINED;. (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORTi AND (5) THE
ELECTRIC~L.WOS~'MUST BE DONE-BY A LICENSED ELECTRICIAN.
SIGNED" ~ 'DATE.
........
APPLICANT.' RALP'/~!NDA HENDERSON. . ' ~
ISSUED By ' 'TE:
. MUNICIPALITY OF ANCHORAGE
Department~ Health and Environmenta]'~.rotection
825"'""-' Street, Anchorage, AK.
264-4720
* * * HANDWRITTEN PERMIT * *
Permit ~ ~%1 WC-EE-AN-B-/OR ON-SITE SEWER PERMIT
Location: Phone Number: ~--2~7Z,
Legal Description: 107-2/ T~ ~-'~0~ Lot Size:
Type 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:
· GRAVEL DEPTH ~j;' WIDTH '
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(~G) TANK SIZE = /OOO GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO'(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection.and approval by this departmen
will be subject to prosecution. /
Minimum distance between a well ,and any on-site sewage disposal system is 100 fee
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
and 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 the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
~ide~s remodel include more that ~drooms
- Issued by: _
Date:
SWP/024 (1/81) fX¢~7~ IS/ ~ t3~ To LQap'fH ~F~ ' "
P/ace rmo f
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
5
6
7
8
9
10
11
12
13-
14-
15-
16-
17-
18-
19-
20-
DAT~
Township, Range, Section:
SLOPE
WAS GROUND WATER . I
0
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
..~. Depth lo Water After
ktoailoring? "'-'""
Dale: ~/~/~ ?
SITE PLAN
PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER ~
TEST RUN BETWEEN __ FT AND FT
5 & 5 ENGINEERING
PERFORMED BY; 17~ ~!. D~ ~ ~
- - ....... r ~ ~G. ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
72~8 (R~.
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ n PERCOLATION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
SLOPE
ENCOUNTERED? .
D
P
12 E
IF YES, AT WHAT
DEPTH?
13-
DATE P ERFORME.=
ITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
14-
15 *
16
17,
18-
19
20 ·
PERCOLATION RATE v/~ (minutes/inch)
COMMENTS TEST RUN BETWEEN ?~--.- ~,,? ~FW
72-008 (6/79)
ANCHORAGE AREA BOROJlG..H
HEALTH DEPARTMENT -- ~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 2..9-2511
.. INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILINGADDRESS
SEPTIC TANK:
DISTANCE FROM WELl
LIQUID CAPACITY '~
GALLONS.
MATERIAL .~/'~---~, NUMBER OF
COMPARTMENTS
~Z/~ 5F~-L. /~/~'. /?(~' uOU,D
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
OR WIDTH , LENGTH
, DEPTH
DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
BUILDING FOUNDATION
so. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL.
FOUNDATION
.o NEAREST LOT LINE
NUMBER OF LINES DISI'AN_C~[;; L:N~.$ '
ABSORPTION"~REA .SQ. FT. LENGTH OF EACH LINE
TRENCH WIDTH
TOTAL LENGTH
, OF LINES.
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE..
IN. ABOVE TILE
WELL:
LOT LINE
TYPE
DISTANCE FROM . WATER
, DEPTH ,BUILDING FOUNDATION SAMPLE , NEAREST
NEAREST SEPIIC SEEPAGE OTHER
SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
OAAB-H D-,"
GREATE('~NCHORAGE AREA ~%ROUGH C~eNo.
HEALTH DEPARTMENT '~
327 Eagle St. Anchorage, Aiask~ 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
'T~A
/J
.AME oF APPUCA.T ?-
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
SEEPAGE PIT ~ ,DRAIN FIELD ,OTHER
MAILING ADDRESS ~0 '~7'~,~'~'~,HONE NO.
LOCATION OF INSTALLATION
FINANCED THROUGH ~/I,~/'' TO BE INSTALLED BY
PERCOLATION TEST RESULTS /,.%-0 ~7'/~Z:)~'~/ ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
DISTANCES:
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DATE APPLI CANTS SI G NATU RI ~ ,~
AS DESCRIBED BELOW. SIZE OF_UNIT TO BE SERVED
. SEPTIC TANK SIZE75-DTYPE,g'/~[ SEEPAGE AREA ~='~)~/' TYPE
DIAGRAM OF SYSTEM /~/~/~"'
i[
unicipality of Anchorage
Department of Health and Human Services
Torn Fink. 825 "L" Street
Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650
343-4744
March 17, 1993
Ralph Henderson
PO Box 670127
Chugiak, Alaska
99567-0127
Subject: Lot 21 Tundra Jewel Ranch Subdivision
Permit %SW920031, PID %051-193-30
The subject permit, issued March 17, 1992 by this office for a
single family well and/or on-site wastewater system, has
expired as of March 17, 1993.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. Ail inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $200.00 for an
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
~ogram M~ager
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
1 OF
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW920031
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:HENDERSON RALPH &
OWNER ADDRESS:PO BOX 670127
CHUGIAK, AK 99567-0127
DATE ISSUED: 3/17/92
EXPIRATION DATE: 3/17/93
PARCEL ID:05119330
LEGAL DESCRIPTION: TUNDRA JEWEL RANCH LT 21
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
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 (iSAACS0).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: ~ ..~~~
DATE