HomeMy WebLinkAboutTUSTAMENA TERRACE LT 15AMUNICIPALITY 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.arglonsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191146
Work Type: SepticTank Upgrade
Tax Code Number: 01738119000
Site Legal Address: TUSTAMENA TERRACE LT 15A G:2837
Site Mailing Address: 5600 NAKNEK LN, Anchorage
Owner: LOUVIER JASON M & MARIA A
Design Engineer: KbEASW; Ct,I cTP\UCTIb1J + E'r1GIntEERIN6
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
')jr e n t
De pa rt III eitt
512!2019
511/2020
54246
❑ 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 (2417).
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:
Date: sZ // I
Date: 512111�
4
fc� IL / A-1 w VS
o[F
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-381-19
Property owner(s) JASON & MARIA LOUVIER Day phone 9078303235
Mailinq address 5600 NAKNEK LANE, ANCHORAGE, AK 99516
Site address 5600 NAKNEK LANE, ANCHORAGE, AK 99516
Legal description (Sub'd., Block & Lot) TUSTAMENA TERRACE LOT 15A
Legal description (Township, Range & Section)
Lot Size 54246 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(E all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) Ps
(w/wo AD U)
Septic Tank
®
Upgrade ®
Duplex (D) ❑
Holding Tank
❑
Renewal El
Multiple Dwellings ❑
Privy
❑
(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.
FWC S e Bent Western
(Signature of property owner or authorized agent)
Permit/Rush Fees: '� oZ S Waiver Fees:
Date of Payment: q�andl 1 Date of Payment:
Receipt Number:
Permit No. 6-51019 1146
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Michael N. Anderson, P.E.
Civil/Structural Engineering and Construction
4661 Natrona Ave. Anchorage, Alaska 99516
Phone 345 -3377 / Fax 345 -1391
Support Services
Brent M. Western
907-440-4601
April 29, 2019
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: TUSTAMENA TERRACE LOT 15A
To whom it may concern:
The owner has requested we proceed forward to obtain a septic permit to upgrade the
aged septic tank on the subject lot. The proposed upgrade will serve the existing 4-
bedroom house.
The lot and area is served by a private water and will not impact any of the neighboring
properties due to the lot layout. Please contact Brent M. Western or me if you have any
questions.
Sincerely,
Michael N. Anderson, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191146, Rebecca Carroll, 05/02/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191146, Rebecca Carroll, 05/02/19
I"~'NICIPALITY OF ANCHORAGE
~ DEPT. OF HEALTH &
/ "? MUNICIPALITY OF ANCHORAGE "[!4VIRONMENTAL F~OT~CTION
· DEPARTNIENT OF HEALTH & I~NvIRONIvIENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL DESCRIPTION
NO, OF BEDRO M8
~ ~ Manufaaturer ~ ~ Ma~r~a])T~ / ~ No. of compartments
Li~y in gallons IF HOME.DE: Inside length Width Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
D Well Foundation Nearest lot line PERMIT NO.
~ ~ Z No. of lines Length of each line Total length of lines Trench width Distance between lines
~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area
Length Width Depth PERMIT NO,
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
DISTANCE TO:
A~ Class Dept~ ~/~ e Driller~ ~j~ Distance to lot line PE
OTHER
8OIL TESt RATING / ~ ~ ~ ~
72-013 (Rev. 3/78)
PERMIT NO.
MLlr~ I mS I. .~L I T'¢ OF 8r4C:HL-RAGE
DEPARTMENT OF HEALTH 8ND ENVIRONMENTAL PROTECTION
825 'L' STREET, ANCHORAGE, BK. 9950±
264-4720
Or4--SITE 'SE~4ER F'ERf4IT
( 790~46 )
APPLICANT
LOCATION
LEGAL
STEVE OYLER
NAKNEK ST.
LOT i5 A TUSTEMENA
6058 MORE LANE
LOT SIZE
gg3520B
54246 SQUARE FEE'r
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RATING (SQ FT/BR)= 228
THE REQUIRED SIZE OF THE SOIL BBSORPTION SYSTEM IS:
L-~EPTH---- l~ LEr46TH= 6]: m]RA~/EL [)EF"TH= ~
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF R 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 GRBVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCBVRTION (IN FEET).
F."EQL: I RE~;B SEPT I C TAf-tk'. S I ZE= 125£~ GF4LLOf-~S
PERMIT APPLICANT HBS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
'INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
I '
N_IMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TI40 (2) I ~tSPECTIO[4S F~RE REQL~IRE[:,
BRCKFILLING OF ANY SYSTEM wITHOUT FINAL INSPECTION BND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL. AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
t00 FEET FOR R PRIVATE WELb OR
i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
RVAILBBLE TO INSURE PROPER INSTRLLATION.
F'E~'~-~ I T E×F" I RES PECEF18ER ~l.. 1L~- 7--q-
I
i:
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTRND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
SIGNED:~---__~ ......................
CERTIFY THAT
I 8M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
PERFORMED FOR:
LEGAL DESCRIPTION:
[] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-222'~
" " SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
1
2
3
4
5
6
7
8
9-
11
14-
15
16
17
18
19
2o
COMMENTS
72-000 {7/76)
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Reading Date Gross Net Depth to Net .
Time Time Water Drop
/~' I
PERCOLATION RATE
TEST RUN BETWEEN ~ ~ ~ J '~ ~
FT AND FT
CERTIFIED BY:
(minutes/inch)
DATE:
MUNICIPALITY OF ^NCHOR',
DLPT. O? ' ' "~" °
~NVIRO~?,',ZNTAL , q ~CTION
~RECFI~t~D
PERMIT NO.
~ ~ IUl ~ .~ .[ L.. ¢:~ P-.il ~.~Z: ~-~ ~ .: l::112~ E
DEPRRTMENT OF HERLTH Rr',ID ENVIRONMENTRL Pk,.~TECTION
825 "L" STREE% RNCHORFIGE, RK.
264-4720
( 790E~52 )
; PF'L I CRt'iT
,OCRT I ON
~ _EGRL
THOMRS E. PRICE JR.
FINCHORRGE
L±SR TLISTFIMENFI TERRRCE
BO~ 8t
LOT SIZE
349-i:~02
54246 SQURRE FEET
· '=" - -' ' , -.-':'' ' '--,--'- . _,T_TLM IS
, M ]:N I MLtN D I_, FI3NL. E E ETHEEN Ft WELL RN[) FINer' uN _, 17 E .=,EHMbE [:'I SF:'OSRL '=' ,c; =
±00 PEET FOR FI PRIVFITE NELL; OR
±50 TO 200 FEET FROM R PUBLIC WELL. DEPENDING UPON THE T'T'PE OF PUBL. IC NELL
WELL LOGS FIRE REC-.It.IIRED RND MUST BE RETURNED TO THE DEPFIRTMENT NITHIN S0 DR*'r'S
OF THE WELL COMPLETION.
GTHER REQUIREMENTS NI=I'T' I=tPF'L."r'. SPECIFICFtTIONS RND CONSTRUC'r'IGN DIFIGRRMS FIRE
FtVRILRBLE TO INSURE PROPER INSTFILL.FITION
I
±;
FORTN B'¢ ]'HE MUNICIPRLIT'¢ OF RNCHORFIGE.
2: I NILL "¢~]"r'STE' IN~RDFtNC:E NITH THE CODES.
s i: NEr..: .....
C:ERTIF~" THFiT
I hIM FRM!I~IRR NITI~I THE REQUIREMENTS FOR ON-SITE SENERS RND NEI..LS FiS SET
VS. 2
'~ DATE RECEIVED
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR I NSPECTOP~,
MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~IRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
( ENVIRONMENTAL SANITATION DIVISION APR g 1981
Telephone 264-4720 RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DI RE~TIONS: Complete all parts on page 1. Incomplete requests will ,ot be processed. Please allow ten {10) days for processing.
MAILING ADDRESS
P~OPE~Y RESIDENT (If different from above) j J PHONE
MAILING ADDRESS
4. ~EALTO~/AGENT I PHONE
I
MAI LING AD DR ESS
STREET LOCATION
6. TYPE OF RESIDENCE ~ NUMBER OF~BEDROOMS
[] One ~ Four
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY E] Three [] Six
[] Other
7. WATER SUPPLY
.~ INDIVIDUAL* ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE** /O['"[c~. YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTI LITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) //~.,1~ r~{/-~2~
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[~ SINGLE FAMILY [] ONE [] /THREE [] FIVE
OTHER
[] MULTIPLE FAMILY [] TWO ~ FOUR [] SIX
PERMIT NUMBER
2. ~ER SUPPLY
[SJ INDIVIDUAL DEPTH OF WELL
[] OOMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM ,ERMIT NUMBER
[]INDIVIDUAL/ON -8lTL DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: I~'~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER (~_~ ~2.~_~
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
FOR Z~- BEDROOMS
[~-~APPROV ED
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/79)