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HomeMy WebLinkAboutTIMBERLINE LT 13Onsite File Timberline Lot 13 #015-164-14 UBMITTA - _J111 9- )n, Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191317 PID Number: 015-164-14 Dwelling: N Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New K Upgrade Name Klymko Eugene Revocable Living Trust ABSORPTION FIELD ❑ Deep Trench El Wide Trench ❑Bed Zound Site Address 11060 Vosikof Place ❑ Other Phone Number of Bedrooms Soil Rating Total depth fofn original grade 2 GPD/SF IZ Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Loi Timberline 13 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Liion it Stat Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 100'+ I 25 .�- TANK ❑® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1000 Gal. Surface water 100'+ Material Number of compartments Lot Line 5'+ NA Plastic 2 Foundation 10'+ I LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Installer A+ Home Services Drainfield CO/MT 3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 1195 ft Inspdection v, 6/4/2020 7/20/20 Location and description 2nd 3rd 41" NW Bottom house trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF AL,jk�� H--� 4, Steven R. Pannone P' E 8140 P' Septic System Approved fil" LO& Date % 13 1 Note: this approval does not include well permit requirements. 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PY J`<Hosa�` Drp artment On-Site Wastewater Disposal System Permit Permit Number: OSP191317 Effective Date: 7/25/2019 Work Type: SepticTank Upgrade Expiration Date: 7/24/2020 Tax Code Number: 01516414000 Site Legal Address: TIMBERLINE LT 13 G:2641 Site Mailing Address: 11060 VOSIKOF PL, Anchorage Owner: KLYMKO EUGENE REVOCABLE LIVING Lot Size in Sq Ft: 49541 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field El Septic Tank 0 Holding Tank ❑ 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 Received t: .4 L/ �J/ Date: 7 ,/ Issued By: /I Date: � / E MUNICIPALITY OF ANCHORAGE 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. 015-164-14 Property owner(s) Klymko Eugene Revocable Living Trust Day phone Mailing address 11060 Vosikof PI Site address Same Legal description (Sub'd., Block & Lot) Timberline L13 Legal description (Township, Range & Section) Lot Size 49,541 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial (i Single Family (SF) n (w/wo ADU) Septic Tank ❑x Upgrade 0 Duplex (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings 1 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. 411. 11111W (Signature of property owner or authorized agent) Permit/Rush Fees: .225 Waiver Fees: Date of Payment: V2,3/6 Date of Payment: Receipt Number: OV.336 Receipt Number: Permit No. 05p/7n13/9. Waiver No. Permit App_:-: ::..,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191317, Deb Wockenfuss, 07/25/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191317, Deb Wockenfuss, 07/25/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191317, Deb Wockenfuss, 07/25/19 I '-ieo 2�• 19 ul: .3"P .0%nofio! � e Viell & F-Iunlp be!, �U i24 -u f 4 P.; e"'Opmelftf Services Departinent Building safety bivIsjor, Water & WCstewater program X700 Ot'nore Pood �-C% 'OX 156650 ^mayor AK 99507 (907) 3437904 well DrilknErp,,,.i. Pump Installation Log fAfPVC'x-' SRI, Oa Nwnjjej-:_.. I(OLf - ILI Lema3 Des — ft T 1 ly, Intake 1fePth .Be01v Top of Vti;en Casjlty: J/.O PumpAl;iallfactaree.�: - � 7 '; efeet pinup modej. Pump size tp ritless Adapter Burial Depth.. feet PftlleS3 Adapter fustillier- �Vell bisinfecLr�d U , Wet of J)isl' Poll Cor-11ple-tiol, yes Ej No ffectior: 20"Iment8. Date nf 1.jsue. Pro- 7 Addmss- K rd iwa�C� until 'Nam e.- -10 Pump pw;idt. a the DSD Witmir 30Cay Ofp�jjrlp j- ,.{ . ?~'t~ MUNICIPALITY OF ANCHORAGE · ': DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT/ILONCIPALITY OF ANCHORAGE t ENVIRONMENTAL ENGINEERING DIVISION DEPT. OF H::~LLI & ' 825 L Street - Anchorage, Alaska 99501 Telephone 264-47~VI~ONME~AL ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPOR~ c/o CSM, 902 West International Ai~ort Rd., ~, AK 99502 EEGAL DESCRIPTION ~t 13, Tract B, Ti~erline ' LOCATION NO. O~ BSDROOMS J Well J Absorption area Dwelling PERMIT NO. DISTANCE TO: ~00t 2746?53 ~ Z Manufactur r ~teel . No. of c~mpartments ~< · ~o~ge ~a~ ' · ';" Ma erial Liq. capacity in gallons inside length Width Liquid depth ' 1000 IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling , PERMIT NO. O z ~ Manufacturer Material Liquid capacity in gallons ~ Well Found~ion Nearest lot llne PERMIT NO. ~ $ DISTANCE TO; ' ' ~_ ~ No. of ~nes Length of each line58 feet Total len th of ,ines5~ feet Trench width36 inches Distance between lines ~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area D~ 4~ -- 0" 60 inches 754 sq. f~. Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. m Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: . PIPEMATERIALS 4" Cast iron from house to trench. 4" Perforated PVC ~or seepage trencn. SOIL TEST RATING 150 sq. ft. / bedroom ' ~' ~ Cl~o Construction Co. ~ ~ R~ARKS ~ As-Built Inspection perfo~ed by R&M ~5~ ~--<~ Consult~ts, Inc. on July 21, 1980 by: r ~.~[L~ ~, ~chard S. Giessel, Staff Engineer. ~ ' --~ I ~ ' ~ APPROVED '~-~ "',, · ' '-~X~ DATE LEGAL ~o~ PERM I T i',!0, ,., ,DEP~IRTMENT .... HEALTH aND ENVIRONMENTAL', ,<OTECTION 825 "L'" '=;TREET., RNCHORRGE., AK. 9950i 264-4728 ( ,_=,'98288 ) RF F L I ,_.,~NT LOE:BT I ON LEGAL ELIGENE KL'-,-'MKO VO'-'; t KOF L .1~ TIME:ERLINE S05S LOIS PLACE LOT SIZE 40000 SQUARE FEET T'¢PE GF SOIL RBSORF'TION _-,?=,TEM T~EN_.H ftP~.,,Ifl_M Nt.IHEER OF BEDROOMS = '~: SOIL RATING (SQ FT/BR)= i50 ": '~- '--- - "-- ' ' I. '- '~,, IS THE RE-T. LIRED -",I~E OF ]'HE _,uIL HB_,ORFTIEN =,~_TEM : [> E F" T ~-~--- 8. 5 LE~'-~GTH = 57 GF~:RVE L [)EPTH= 4 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFRCE OF THE GROUND aND THE BOTTOM OF THE ENCRVBTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFBLL PIPE RND THE BOTTOM OF THE EXCaVaTION (IN FEET). SEPT I C: PERMIT HFFLI_.MNTHH_, THE RESPONSIBILIT~ TO INFORM THIS DEF'RRTMENT DURING THE INSTaLLRTION IN_PEL.] ION_, OF BN'¢ WELLS aDJRCENT TO THIS PROPERTb' aND THE NLIMBER OF RESIDENCES THRT THE WELL WILL SERVE. ON---. RI~:E REIaLI I RE, E) EaL. KFILLIH~J OF ANY ~¢_-,TEU WITHOUT FINAL IN'SPECTInN AND aPPROVaL BY T~I_, DEF-'BRTMENT WILL BE ~LIE, JEC] TO PROSECUTION. MINIMUM DISTANCE BETWEEN a WELL RND aN9 ON-SITE SEWAGE DISPOSAL S?STEM IS ±00 FEET FOR a PRIVATE WELL OR ±50 TO 200 FEET PROM R PUBLIC WELL DEPENDING UPON 'THE T~PE OF PUBLIC WELL. MINIMUM DISTANCE FROM a PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET aND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DB~S OF THE WELL COMPLETION. OTHER REQUIREMENTS MR~' BPPL~. SPECIFICATIONS aND CONSTRUCTION DIaGRaMS aRE aVaILaBLE TO INSURE PROPER INSTaLLaTION. F"ER~"~ 'ir T E,~4F' I RE~.; [>E£:Ef~IBER '~.:.1 .. q'--- -- I i: FrC;tRTH 8'¢ THE MLINICIPRLIT'¢ OF RNCHORRGE. 2/: I WILL INSTALL THE SN'STEM IN RCF_:ORDRNCE WITH TH~ CODES. 3/: I UNDERSTAND THRT THE ON-SITE SEWER BN'STEM MRY REQUIRE ENLRRGEMENT IF THE -~"RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. / ~ ..... ;----------------RF'PL I C:~NT '~NE KL'¢MKO _.E~TIFY THaT '- ' , '-- aS I al,1 FaMILIaR WITH THE REQUIREMENTS FOR ON-SITE =,EWERS aN[) HELL_, SET MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99602 276-222'~ SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: Eugene Klymko DATE PERFORMED: 7-7-80 LEGAL DESCRIPTION: T,c)~- ]3: Timber[ine Subdv. ~ Vos±kof Place 1 2 3- 4- 6- 7- 8- 9- 10- 11 SLOPE 14- 15- 16- 17- 18- 19- 20- Organics and organic silt contains roots and trace of sand (PT-OL) Silt and sandy-silt, firm (ML-SM) Sandy-gravel, w~ll-graded with minor amounts of fines, rounded to sub- rounded particles, pebbles and random cobbles medium dense, dry to moist, no ground water encountered. (GW-GM) O O O O O SITE PLAN See Attached Sheet WAS GROUND WATER ENCOUNTERED? NO IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time .rime Water Drop COMMENTS Consistent material from 3 feet, ground water. · PERFORMED BY: Patxick S~idman C'=R'r,E, ED Howard Grey & Associates, Inc. PERCOLA.rION RATE 6 , 7 (minutes/inch) DA.rE: 7--7--80 'OWNER: Eugene K1ymko PERCOLATION DATA DATE: July 10, 1980 LEGAL DESCRIPTION: Lot 13, Timberline Subdv. TIME OF INITIAL READING: 1:00 p.m. Depth To Water Net Drop Reading No. Gross Time Net Time #1 #2 #3 #1 #2 #3 Initial 48 394 51~ #1 10 Min. 10 Min. 464* 43~ 3~"~ 4"' #2 10 Min. 20 Min. 49 3/4 46 3~ 2~ 524 #3 10 Min. 30 Min. 46* 48'3~ 2 3/4 2 3/4 !46 3~ #4 10 Min. 40 Min. 48~ !39' 3 2 #5 10 Min. 50 Min. 504 41¼ 2 2¼ #6 10 Min. 60 Min. 52 43~ 1~ 2¼ Percolatiod Rate 6.7 (Minutes/Inch) Based on slowest rate- hole #1 *Hole refilled with water HOWARD GREY & ASSOCIATES, INC. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6.1~50, Anchorage, Alaska 99502 276-2221 SOILS LOG - PERCOLATION TEST ~] SOILS LOG [] PERCOLATION TEST PERFORMED FOR: Euqene Klymko LEGAL DESCRIPTION: Lot 13: Organics and organic silt contains roots and trace of sand (PT-OL) DATE PERFORMED: 7-7-80 1 2 3 Timberline Subdv.. 10 11 12 linc' 14- 15- 16- 17- 18- 19- 20 silt and sandy-silt, firm (ML-SM) Sandy-gravel, well-graded with minor amounts of fines, rounded to sub- rounded particles, Vosikof Place SLOPE SITE PLAN pebbles and random cobble! medium dense, dry to moist, no ground water encountered. 0 ° ° ° AS GROUND WATER NO IF YES, AT WHAT DEPTH;' ~ot #12 te~t ~i~ ¢ S L O P E --- 0 ~30 ~40 Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN , FTAND , FT COMMENTS Consistent material from 3 feet, low moisture and no ground water. PERFORMED BY: /~ ~ ~// O//w,~o/~'' CERTIFIED BY: DATE: 7-7-8 0 Howard Grey & Associates, Inc. 72-008 (7/76) DATE RECEIVED INSPECTION APPel NTM ENTS TIME TIME TIME DATE DATE DATE MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF H~,qLTH 825 L Street - Anchorage, Alaska 99501 PNVIRONMENTAL ~R©TECTION ( ENVI RONMENTAL SANITATION DIVISION Telephone 264-4720 .EouEsT A.D DIRECTIONS: Complete all parts ou page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT ~ [ PHONE MAILING ADDRESS 6, TYPE OF REsiDENCE Z~ SINGLE FAMILY NUMBER OF~BEDROOMS [~] One [] Four [] Other__ ~.~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATERiR SU. PPSU LY · J~' 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;SE W A GE D ISP OS ALS Y STE M /~ ~' INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED, [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. B/79} '~ ~"~'~L~t 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, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade, SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~-'~ROVED FOR ~-~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79)