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HomeMy WebLinkAboutLEWIS & CLARK LT 5Onsite File Lewis & Clark Lot 5 #017-074-69 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221484 PID Number: 017-074-69 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑® New ❑ Upgrade Name Jefferey & Annie Brace ABSORPTION FIELD ❑ Deep Trench ❑® Wide Trench ❑ Bed ❑ Mound Site Address 8331 Pathfinder Cir, Anchorage AK 99516 ❑ Other Phone 907-632-8730 Number of Bedrooms 6 Soil Rating Total depth from original grade 5.0 GPD/SFJ 2.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Lewis and Clark 1 5 Fill added above original grade 6.0 Gravel length 3 6. 0 Township Range Section Ft. Ft. Gravel width 5 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Lift Station Septic Absorption Holding Sewer p p Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 180Fi2 1 N/A Ft. Well X50' >50' N/A N/A >25 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding lE Other Manufacturer Capacity Surface Water >50' >50' N/A N/A Advantex 3000 Gal. Material Number of compartments Lot Line >5' >10' N/A N/A NA Steel 2 Foundation >10' >10' N/A N/A TATION Manufacturer Capacity Remarks Advanced treatment system Gal. Alarm location Electri " talled by Installer PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Brownson Brothers Drainfield D3034 CO/MTD3034 Inspector L.Tidwell BENCH MARK (Assumed elevation) 100 ft Inspdection 15` 12/1/222 2 d 12/14/22 Location and description 3`d 12/14/2fi 4`h Bottom of Siding ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ®F`qcQ��� Conditional Approval: Date ©�Q' 49 TH �¢ ...: :5-:.I........�: 4 Septic System BenjamLrrySchiller CE 92 ¢¢Q�'s� Approved 5/10123 •''������� Date l2 2Dz3 ' • . '��� F�pROFESFESS10Nt`V0_ Note: this approval does not include well permit requirements. ��O CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FD - FLOW DIVERTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND PERMIT # OSP211287 PID # 017-074-69 1"=50' 4-BD R M H O M E 3,000 GALLON STEEL RECIRCULATION TANK w/ 2-AX20 PODS LEWIS & CLARK SUBDIVISION, LOT 5 FEET 0 50 100 Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A L E N G INEER 10' T&E EASEMENT 1 0 ' T & E E A S E M E N T TH#20 GEG MT2 MT1 CO1 CO2 36' LONG x 5' WIDE x 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH 50' WELL RADIUS 1 2 1 0 1 2 0 0 1 1 9 0 1 1 7 0 116 0 EXISTING WELLS 2 - B D R M A D U 4" INSULATION OVER SEPTIC LINE IN DRIVEWAY 6/19/23 PLAN AS-BUILT A B 2CO1 54.0 MH1 60.6 MH2 63.0 2CO2 62.4 CO1 114.6 MT1 113.5 CO2 125.5 12.3 29.2 41.9 44.4 109.6 108.8 135.9 MT2 126.9136.7 A B 2CO1 MH1MH2 2CO2 TH#1 ALTERNATE SITE 2CO3 D C 27.830.2 C D 2CO3 BENCHMARK: BOT SIDING PROFILE AS-BUILT (NO SCALE) AX-20 POD AND MANHOLES 91.5 FINISH GRADE 36' DRAINFIELD ROCK MT 1 TH # 2 0 GROUNDWATER 79.5 83.5 84.0 CO 1 CO 2 74.5 83.5 84.0 85.5 ORIGINAL GRADE MT 2 Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A L E N GINEER PERMIT # OSP211287 PID # 017-074-69 LEWIS & CLARK SUBDIVISION, LOT 5 5/10/23 86.1 92.2 96.7 3,000 GAL TANK MH 1 2C O 1 MH 2 2C O 2 91.6 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME(minutes)NET TIME(minutes) DEPTH toWATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) m. jakubisin DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH?n/a 1.03 6 4 5 11/23/22 1 2 3 4 5 6 GM (SILTY SANDY GRAVEL) Professional Engineers Stamp: no 11/30/22 10.9 LEWIS AND CLARK B1 L5 11/23/22 017-074-69 jeffrey and annie brace 11:551 2 3 4 5 6 0-6 12:01 12:06 12:10 12:15 12:21 OB 3:30 Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A L E N GINEER 5/9/23 FILL MATERIAL 6 4:19 6 4:52 6 5:02 6 5:50 6 6:10 6 PERC TEST LOCATION 0-6 0-6 0-6 0-6 0-6 bN114190 Inc. 4 P•O, Box 110389 0 Anchorage, A K 99511 s 907'-345-4000 a 90'7_345-3.287 Fax Job Na, 16-x,27 Wei) Owner: Big Countnj EnierprisEs, LLC Legal Description: - ----- Use of Well: gomestic Eaeforation Lewis & Clark Subdivision, U ----- - w _ Ager be Armaun Rc�d, Anchorage, t�lsska `-- --- ---- _ ___ L�W-2. 1490 43' C3.8,?' W - 61°6' 2_�2" N ----._____ Eteuation 1202' S.L __. Lo7- Drill Method: Air Rotary iNSTR Casing Size: —6` —- --ed :- .i5Hole Size: g 7tii _ Material: A53B Stere—` j Hole Depth.. 257' Well CompleL'on: --� _ Wail: Screen/Perforation de5C P on: d Naas Meth©d: Grout Notes: (3 } Sack(s} Weil Developmerit V Well Disinfected: Yield test at 20 ` GPM �,r 2� (}--- Method; Submersible Pump hourS wfth 51_ $' of drawd.oI (DD- spa Start Date,' 12-12-16 -- StatIa Water level {SWL}: 9.3,3' Test Pump Date: 1/225/17 -Completion Date: 12-15-16 ----� -----_ Pinai —. PUMP Install Date: depth in feet ro om # p t--- - - �- WELL LOG -__- -- -- -- - _ U f_ easing. 3 Details of formations peneila#er�, size of material, ooiar and mieHa.,saus details ... ... a Casing Sticdt U - -------- 2 TO �. I TOf3 OrganiCS Froze -- S - .... "Sandy Grave! -- !_.. 5t T�} 55 Smaii •Grave(, C. _ vlity Sandy, Hardpan... 00 bedrock -Grey 104 TE3 oreirglllle, _,,.ail Seap in Sporadcraci�are � 78 ` Frae�ures CPM 1T8Q ,257 __....... � _.... 8edroC i ................ p WATER QUALITY TESTiNG CoNorm r✓ /J�0 Ca . /90 Nt les P V MgtN Pump Installation L.® Well Drilling Permit Number: Date of Issue: - - Parcel Identification Number: 017 _ 074 _ 69 Legal Description Block Lot Property Owner Name & Address: BRACE JEFFREY D & ANNIE M LEWIS & CLARK 1 5 2510 LAIRD CIRCLE ANCHORAGE, AK 99516 Pump Installation Date: 02 - 02 - 2023 Pump Intake Depth Below Top of Well Casing: 210 Pump Manufacturer's Name: RED JACKET Model: 8S25 Pump Size: 1.50 hp Pitless Adapter Burial Depth: 10 11 Pitless Adapter Manufacturer's Name: (I Pitless Adapter Installer: feet feet MARTINSON I) Well Disinfected Upon Completion? XX Yes No Method of Disinfection: PELLETS II Comments: Pump Installer Name: Company: ANCHORAGE WELL & PUMP SERVICE Mailing Address: 7640 KING STREET City: ANCHORAGE State: AK zip: 99518 Pump Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221484 Work Type: Septic Renewal Tax Code Number: 01707469000 Site Legal Address: LEWIS & CLARK LT 5 G:2941 Site Mailing Address: 8833 PATHFINDER CIR, ADU ADU, Anchorage Owner: BRACE JEFFREY D & ANNIE M Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: Cllt Depai-tin ent 12/2/2022 12/2/2023 94777 Q 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: 1. A confirmation test hole is required prior to construction of the drainfield, in location shown on site plan. If results require a design change, construction shall stop pending Onsite review and approval of a change order. Please submit results with the inspection report (or change order, if required). 2. To close out this permit, the pump log and water samples for the well shall be submitted. c Received By: I , Vr Q Issued By: Date: Date: / Z- Z- 20 i Z MUHJU AN UTY OF A HCHOIA\ G Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-074-69 Property owner(s) Jeffrey & Annie Brace Day phone 907-632-8730 Mailing address 2510 Laird Circle, Anchorage, AK 99516 Site address 8331 Pathfinder Circle Legal description (Sub'd., Block & Lot) Lewis & Clark Sub, Lot 5 Legal description (Township, Range & Section) Lot Size 94,777 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X Septic Tank 0Upgrade El(w/wo ADU) Holding Tank ElRenewal RX Duplex (D) F] Multiple Dwellings ❑ Privy ❑ (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. 1 U I , (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. 0 S p 2 2 Permit App__- : ,_.,:c Waiver Fees: Date of Payment: Receipt Number: Waiver No. December 2, 2022 UYE E E R I N G PO BOX 240773 ANCHORAGE, AK 99524 522.7773 677-7766 (FAX) FORGECIVIL.COM MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Lewis & Clark Lot 5 Septic System Permit Renewal Dear On -Site Services Engineer: The permit for the construction of a well and septic system on Lot 5, Lewis & Clark Sub, has expired. A site visit was conducted and there have been no substantial changes to this lot or to the surrounding area since the permit was originally issued. The current design and permit conditions meet all code requirements. We therefore request the renewal of the permit for the well and septic system on this lot. Sincerely, Benjamin Schiller, PE �a July 12, 2021 MOA Development Services On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 7/12/21 Subject: Lewis & Clark Sub, Lot 5 Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to build a 3-bedroom home with a 2-bedroom ADU on the subject property. We are submitting this permit application for the construction of a new septic system. The owner would like to utilize the existing well on the property. There is a subdivision plat note that requires an advanced treatment septic system if the existing well is to be used. The attached site plan identifies the location of the home and the existing well, advanced septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes toward the southwest between 15-20%. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from all wells and surface water, and more than 5’ away from the septic tank. The alternate site is located more than 6’ away. Please refer to the attached test hole log, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211287, Rebecca Carroll, 07/26/21 i rt r'• '' t - t O w W < WLU / r O m r �p Q U �' w I— �- iJOS C7F- il�wQj LEWIS & CLARK SUB, LQT 5 DESIGN FACTORS: 900 GPD PEAK FLOW PERK RATE: 7.5 MIN/IN APPLICATION RATE: 5.0 GPD/SF SYSTEM REQUIREMENTS: SHALLOW TRENCH SYSTEM 3,000 -GAL STEEL RECIRCULATION TANK w/ 2-AX20 PODS & 2-20" MANWAYS 900 GPD / 5.0 GPD/SF /5' WIDE /* 1.0 RED FACTOR = 36 LF TRENCH REQUIRED (36 LF SPECIFIED) BOTTOM OF TRENCH: 2' BELOW GRADE FLOW LINE ELEVATION: 1'6" BELOW GRADE TOP OF TRENCH: V ABOVE GRADE a 1 6" N* 3 311 2" INSULATION 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY I "" E N G I NE ER I N G. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211287, Rebecca Carroll, 07/26/21 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 2-2 r,o Day of :'Wr! of 2021 , by and between �t^G�F ��LJ?s-' , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex Waste Water Treatment System located at (legal description) Lewis & Clark Sub, Lot 5 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of Owner acknowledges that the Municipality may request records of maintenance and / repairs from the manufacturer's representative or maintenance provider. 4- Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: (signature) Date: !. 0'r. z-2-- Gk -2 cc (Print name) STATE OF ALASKA ) ) Ss. THIRD JiJDICIAL DISTRICT ) The foregoing instrument «vas ack-nowiedged belore me this - 7 day of � 20'-' d : by t t t0\- k0 -w a� NOTARY Pt IC FOR ALASKA � Utj�, My Coinn fission expires: MUNICIPALITY: B : dau§ (signature) y Retie CC ti. arre a (Print name) ,._a— Date: Title: (rev. 05/18/2018) Page 3 of 3 M- rillitig" Inc. •P -O, l ox 110389#Ancfsar�e, AK 99511♦ 4907-34,9-4000a j(}� 345-3.287 Fax Job No, 16.127 Weil Owner: Big Country Enterprises LLC T Legal Description; _ Ilse of Well. Dom tfc [,cpforation Lewis & Clark Subdivision, upper pe Armours RaaB Anc ~!~ LCW-2: 149° 43' tJ.82' yit _ horage, Alaska --- _� _ 61°6' 2.x2" N Elevation --_ ..._ .__ 1202' S.L ., Drill Method: Air Rotary -CON TRWjj_0rq Casing size: jgA "--- -- - HoleSize-' g -------____._ _ Cssed io: 55.9' Material' A588 St" e� Hole Depth: 257' Well Campietion: µ Wali: en/Pergore;;— Sore desedption: d None ------ --_- ___. _ _,__ Perforated d: Grout Notes: ( fl - Sic -11 -Well Develo me Well Dlsinf p +t;_~Air Su g 5 fig-- - _- `__� _._---- acted: N ` Method ""----------._._. Yield test at -- 10_ _ GAM r - - - --- Method: Submersible Purnp —_R! ho ru (S) with - 51,.4' Start Date.-- --- _ of c{rawdown (pD) front Ste 10 --- -- . _-_.-____ - static Water Level (5WL): Test Pump Date:25/mpletioh date: 1.1 Fina( Pump install Date. ` & 15 pth inin feet"" -from at "''_' -- _- -G V __.__ Of easing ^ 3 Details of to - -- _ r1atlons penetrated, size of material, color and mf ._...._.. Casing Sti�dt -�' �"" ------ scella„eous data ..._......_. 2� ... _-s. t T©n -- Frflzen.. _ _---------__ 2 0 San darg�mcs yGraVe- _. . _ Srrlall raval: SittySarlci -—...._.... .. . 55 1t3Q Tb Y, Hardpan io0 8adrock: Grey 131ac, Sl€tst6rfiiarillite, Tf3 �Srnll 1p in - -: - _. p radre l"racttarea .-.-_. 7$ F'ractta res -p . ...... 257 Bedro�K Aj .... _ _ ...... _. TC1 ` --. .... '44'w"3{tif, ��,�i!tl�. �l i$1?.71�i Sri;4- -NJ•1}�ar:•:S.''rj}.fiS�� ....._. _. _.... ... ._.._ ..__. -.. _..........___, _. _ tt l,i U�n�+N57tITT^i.'�i:1__ .. _.,... _... __..., i _ ..._._..._.._.. _. _...w_,._..._......._._. Permit Number: OSP161273 Tax Code Number: 01707306000 On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Well Initial Permit Effective Dates: September 29, 2016 to September 29, 2017 Design Engineer: Subdivision: T12N R3W SEC 25 Site Legal Address: T12N R3W SEC 25 S2W2NW4SE4 & E2NW4SE4 & NE4SE4 G:2941 L,ewt`s and Cln,k G. Zp Owner/Address: BIG COUNTRY ENTERPRISES LLC 4700 E 147TH AVENUE ANCHORAGE AK 995160000 Site Mailing Address: Lot Size in Sq Ft.Total Bedrooms: This permit is for the construction of: 2954675 1 N Disposal Field N Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: When well testing is complete, the well driller shall place an approved sanitary seal on the well head and no pitless adapter or pump shall be installed until an approved wastewater disposal system has been constructed. Received By: Issued By: Date: f/'7.010 Date: ZC( MUNICIPALITY OF ANCHORAG " 177i u Community Development Department d nes�D7`3j3Z7�,, 4 Development Services Division ax: 07-343-A 7 On -Site Water & Wastewater Program �6 rfi1Wf tq ON-SITE SEWER/WELL PERMIT APPLICATION `` o� /�� I 6 8 Parcel I.D. 1707306000 i Property owner(s) Big Country Enterprises, LLC Day phone 14066986969 Mailing address 4700 E. 147th Avenue. Anchorage, AK 99516 Site address No address assigned Legal description (Sub'd., Block & Lot) Proposed Lewis and Clark Subdivision Lot 20 Legal description (Township, Range & Section) T12N R3W SEC 25 S2W2NW4SE4 & E2NW4SE4 & NE4SE4 Lot Size 52448 Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑X Water Storage ❑ Number of Bedrooms N/A APPLICATION IS AN: TYPE OF DWELLING: Initial ❑X Single Family (SF) ❑X (w/wo ADU) Upgrade ❑ Duplex (D) ❑ Renewal ❑ Multiple Dwellings ❑ (SF and/or D) 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. Permit/Rush Fees: �3�� Waiver Fees: Date of Payment: Date of Payment: Receipt Number: G 41M 9" Receipt Number: Permit No. 8S10110197. Permit App__-: Waiver No. P TERRASAT, INC. Memo To: Ms. Deborah Wockenfuss From: Jeremy Stariwat Date: Wednesday, September 21, 2016 Re: Well Permit Applications for the Proposed Lewis and Clark Subdivision Ms. Wockenfuss, On behalf of Big Country Enterprises, LLC. attached are three permit applications and a map showing the well locations and other pertinent application requirements for three wells at the proposed Lewis and Clark Subdivision for your review. If you have questions or comments you can contact me at 907-344-9370 or by email at i erenry(terrasalenvironmental.COm. Thankyou, Jeremy Stariwat Project Geologist TERRASAT, Inc. 0 Page 1 0-0 Z D j O O jp N 0 N a0 N N / 5• N N O 0. OL) m / A 3 D �'•aTmm m O CD N fU D o io N 6 O O Cp N N / CD l / n CL QQo a - r m0 3ao. m CD–� vaoca :;CD Qa0O�, -CD ==00OCD /. N 0. y. C. 0 ; N o CL — (D n) o CD � CL 3°c-Ep = n �CDCv�CD o ® Dm O N 00 D mom,• O 3 N n-Dz� Z Ti F,o m r A TCD v a' 0 o _ v o cwc 0 N G co d a O °s m CL �. o N) m o C' m _ a F3 N c O n a v O �z D :D 3 rt a o 0 m CD W Z T_ 1"h °' A m a <D a z r m O co Canyon Road r -r 001 0 o' (D O �� in V, N 3 CD N r y1 N o �• o ° A� y� rn MUNICIPALITY OF ANCHORAGE tl�cnt On -Site Water & Wastewater Program Xo PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite y Department On -Site Wastewater Disposal System Permit Permit Number: OSP211287 Effective Date: 7/26/2021 Work Type: Septic Initial Expiration Date: 7/26/2022 Tax Code Number: 01707469000 Site Legal Address: LEWIS & CLARK LT 5 G:2941 Site Mailing Address: Owner: BRACE JEFFREY D & ANNIE M Lot Size in Sq Ft: 94777 Design Engineer: FORGE ENGINEERING Total Bedrooms: This permit is for the construction of: Q Disposal Field R1 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 �/ �✓✓/✓ v " j Special Provisions: 1. A confirmation test hole is required prior to construction of the drainfield, in location shown on site plan. If results require a design change, construction shall stop pending Onsite review and approval of a change order. Please submit results with the inspection report (or change order, if required). 2. To close out this permit, the pump log and water samples for the well shall be submitted. Received By: Date: Issued By: P"juDate: 71/2 & MUNIMPALITY OF ANCHORAGE tin Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I. D. 017-074-69 Property owner(s) Jeffrey & Annie Brace Day phone 632-8730 Mailina address 2510 Laird Circle, Anchorage, AK 99516 Site address NHN Pathfinder Circle Legal description (Sub'd., Block & Lot) Lewis & Clark Sub, Lot 5 Legal description (Township, Range & Section) Lot Size 94,777 Sq. Ft. Number of Bedrooms 10 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X (w/wo ADU) Septic Tank 1K Upgrade El (D) El Holding Tank 1-1Renewal ElDuplex Multiple Dwellings ❑ Privy ❑ (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. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: q h � � 02 1 Date of Payment: Receipt Number: 0g 'lo, Receipt Number: Permit No. 12S`% Waiver No. Permit App__- : .,:c HOUSE DETAIL Scale: 1"=30' I I I I I I — y PATHFINDER at CIRCLE 0 20 50 100 200 SCALE: 1"=60' T&E EASEMENTS 10' T&E EASEMENT � \ Lot 6 �I I II PLOT PLAN ___ AS Lang & Associates, inc. Professional Land Surveyors GRID _ SW 2941 __ Proiect No. 11500 Daryl Avenue, Anchorage, Alaska (907) 522-6476 Phone kenOlongsurvey.com .� j o n o t h a n O l o n g s u rvey. c o m trovisOlangsurvey.com AW%k;.. - PIC 49TH *� .9 ; • KENNETH G. LANG o 524.'JF�� ,1�1\�ROr_FIIEZ�✓ip` r 99515-3049 I hereby certify that I have surveyed the following described property: LOT 5, LEWIS & CLARK SUBDIVISION (PLAT No. 2020-56) Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. "h Dated this the Day of ___ IV1______, E T at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963