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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)