HomeMy WebLinkAboutMYSTICAL RAVEN TR AMystical Raven
Tract A
#052-081-08
Municipality of Anchorage
Development Services Department
_ Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.d.anchorage.ak.us (907) 3417904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. U PID Number. - Oil - OR
Nemo .,�"/
)e01.2t'L_-t Wastewater System: ❑ New [Upgrade
Address:
ABSORPTION FIELD
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LEGAL DESCRIPTION
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Development Services Department Approval
i MfR1Si0PNERRIM00D q
Reviewed and approved by: 1AJDate:+.,,
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(Rom. 12=l
"�EssrotU�
Permit No. SW050138
Page 2 of 3
Municipality of Anchorage
DEVELOPMENT SERVICES DEPARTMENT
ON—SITE WATER & WASTEWATER PROGRAM
4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:
MYSTICAL RAVEN TRACT A
SWING TIES
E37'
(3) 5'X30' DRAINFIELDS
0 —
CLEANOUT
-
WELL
• -
MONITOR TUBE
052-081-08
EDGE. OF GRAVEL PAD
WELL
In FUEL
TANKS
4000 GAL.
SEPTIC TANK
TH-1
SCALE 1'-40'
08-04-05
ENGINEER'S SEAL
... ............ ....
c••..OHRISTOPHER R. WOOD
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EAGLE RIVER ENGINEERIN
10421 VFW Rd., Suite 201
Eagle River, Alaska 99577
(907) 694-5195
Fax (907) 694-3297
SHEET "0.OF
CALCULATED BY t'J DATE
CHECKED BY DATE
J
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907)694-5195
ERES Project No.: 05-050
Calculated By: CW
Date: 8/4/2005
Legal: Mystical Raven TEST HOLE 2
Single Family 3 Bedroom Dwelling
Primary System
Shallow Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 450 gallons
Percolation rate = 1 minutes per Inch
Wastewater application rate = 1.2 gallons per day per square foot
Required absorption area = 375 square feet
�""'"Tnnoliiiild0�(W)= 6�rfeet �
' QMM depth (D) = 3 feet
Required length = Shallow trench factor • Required absorption area / W
Shallow trench factor = (W + 2) / (W + 1 +2 D)
Shallow trench factor = 0.58
Total Excavation Depth = 5.5 feet
q-UkW length = X44 —feet —1 9 o r
CRs5W IM U t>
Fs aro R GD 6,01"v
CHRISMPHER R
C:IM7
05-050dralnfleldSCalc 4:08 PM8/4/2005
Permit Number: SWO50138
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water B Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: May 25, 2005
Expiration Date: May 25, 2006
Parcel ID: 052-081-08
Legal Description: MYSTICAL RAVEN SUBDIVISION TRACT A
Design Engineer: 0848 Eagle River Engineering Services Site Address: 28100 EKLUTNA LAKE ROAD
Owner Name: BOB WILDE Lot Size: 186670 SO. FT.
Owner Address: P.O. BOX 671886 Total Bedrooms: 3 Permit Bedrooms: 3
CHUGIAK . AK 99567 -
This permit is for the construction of:
❑✓ Disposal Field ❑,/ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date:
Issued By. Mr' r' Date: S I LZ
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 05"02 — OF/ - 08 Permit Number SW
Property owner(s) G(%i /dam Day phone (08Y- OS -7 If
Mailing address (1)00
4da mg address (2) oZ8 /(ln ��'�u �!*ev ��t�1 k�' Zip Code
Legal description (Lot, Block & Sub'd.) c'/9fqg_ aA.F uy
Legal description (Section, Township & Range) Tra&�!t
Lot Size /9'C&, 670 Acre Number of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only
[f
Well Only
❑
Sewer and Well
❑
Water Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
certify that the above information is correct. I further certify that this application is being made for a
Single FamijDweliing and i� in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees: 140 Waiver Fees:
Date of Payment: sIZJ jor Date of Payment:
Receipt Number: _ j(/j Receipt Number:
(Rev. 12/00)
Eagle River Engineering Services
Christopher R Wood, P.E
10421 VFW Rd., Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694-3297 fax
May 23, 2005
Dan Roth, P.E.
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519-6650
Re: Lot TI 6N RIE Sec 19
Narrative & Permit Application
Dear Mr. Cross:
The proposed septic upgrade will have very limited impact on adjacent properties for the
following reasons:
The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely,
Christopher R. Wood, P.E.
\1997\05 -050 -NAR
I
/11II1DH •M
cT
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TRACT A 45, T,�
4.28 ACRES M
�eoas
ase.19
io
8
usT
® — TEST HOLE
• — MONITOR TUBE
o — SEWER CLEANOUT
NO WELLS OR SEPTICS +200' 4 — — WELL
— EASEMENT
NO SURFACE WATER — —
NO KNOWN CURTAIN DRAINS — EXISTING LEA HFlELD
WELL/SEPTIC SITE PLAN
LEGAL: LOT 6 T16N RIE SEC 19
OWNER: WILDE
CONTRACTOR: N A
JOB# 05-050 1 DATE: 05/23/051 SCALE 1"=100'
EAGLE RIVER ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX. • (907) 694-3295
Eagle River Engineering Services
Christopher R. Wood, P.E.
10421 VFW Rd., Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Lot 6 T16N RIE Sec 19
05/23/05
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of health and State Department
of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
9. Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK
1. The existing tank is to be pumped, crushed, and buried on-site.
2. The septic tank shall have a minimum size of 1000 gallons and be of MOA approved design.
3. A foundation cleanout is to be installed.
C. TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 10' at any point..
4. The effluent line within the trench shall be laid level within 0.03'.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the leachfield.
7. The area over the trench is to be finish graded to prevent ponding of surface water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTII = 10' GRAVEL DEPTH = 5' under pipe, 2" over pipe
TRENCH LENGTH = 45' TRENCH WIDTH = 3'
SOIL RATING= 1.0 GPD/112 BEDROOM CAPACITY= 3
SEPTIC TANK = 1000
Twenty-four (24) hours notice required for all Inspections.
N1997W-050-spc
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River. Alaska 99577
(907) 694.5195
ERES Project No.: 05-050
Calculated By: CW
Date: 5/23/2005
Legal: Lot 6 T16N ME SEC 19 TEST HOLE 1
Single Family 3 Bedroom Dwelling
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 450 gallons
Percolation rate = 0.33 minutes per inch
Wastewater application rate = 1 gallons per day per square foot C!n-- AAZ�X:
Required absorption area = 450 square feet AOL 4PP 24ho7
Trench width (W) = 3 feet 1
Gravel depth (D) = 5 feet _ �,2 g P "lee
Required length = Required absorption area / 2 / D
Required length= 450 / 2 / 5
Required length - 45 feet C.0 C rn/
Total Excavation Depth = 10.0 feet
NOTE: natural sand layer to be used as filter sand
Bottom of trench to be 10' below surface
CHRISTOPHER R WOOD
a Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: \A Id,e J -e,, Pt A-- 4LF104A of DATE PERFORMED: 10 -
LEGAL DESCRIPTION: 11Y4 it a�
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COMMENTS
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11.c-1 ATownship, Range, Section:
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
LUPE
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Depth to W? AD'DCY Der M -r07
Manitorinp7 9
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Reading Date Gross
Time
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Time
Depth to
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Drop
1 r¢i a kQe
�
6
3�t
PERCOLATION RATE (mmutes/incn) PERC HOLE DIAMETER
TEST RUN BETWEEN 5 FT AND G FT
PERFORMED BY: 6'c r 1 ..!/�yV/�!nt!��CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4185)
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CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. i;s�- OA/ - op,
HAA #_ D 50 38,
Expiration Date: . I / — L25—Z _VO
GENERAL INFORMATION
Complete legal des6riptipn
Location, (site address or directions) -21200 SkLKTN•fr t AKL- /ZoJ
Current Property owners) �y,Fi G iQ t p�L L„(�Day phone G P$- 0S7H
Mailing address _Q�. G'Ox 6718 %�LirsQrir t= , 1fK. 17957,7 — IG
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Municipality of Anchorage
Individual On-site
Development Services Department
❑
Individual Holding tank
Building Safety Division
❑
Community On-site
On -Site Water and Wastewater Program
❑
'
4700 South Bragaw St.''
P.O. Box 196650 Anchorage, AK 99519-6650
}
"'
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. i;s�- OA/ - op,
HAA #_ D 50 38,
Expiration Date: . I / — L25—Z _VO
GENERAL INFORMATION
Complete legal des6riptipn
Location, (site address or directions) -21200 SkLKTN•fr t AKL- /ZoJ
Current Property owners) �y,Fi G iQ t p�L L„(�Day phone G P$- 0S7H
Mailing address _Q�. G'Ox 6718 %�LirsQrir t= , 1fK. 17957,7 — IG
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
[�
❑
Individual Holding tank
❑
❑
Community On-site
❑
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-
site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
Name of Firm Eagle River Engineering SerACOS Phone lo9'i - 5 ! 9s'
10421 VFW Fid., butte 201
Address Eagle River-, AK 995=
Engineer's Printed Name 'rN-tzi r01W£Fn- /,--i4XYVD Date
�1
5. DSD SIGNATURE
_1z Approved for 3 bedrooms.
M 1'1� �' �• I � I
h I
Disapproved. '99M
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By. L(/ Original Certificate Date:
(Rev. 01002)
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
A. WELL DATA
Well type gi✓A76? _ If A, B, or C provide PWSID #
Date completed tAt7k - Sanitary seal (CY)N) jd�ta'_
Total depth —7(ft. Cased to -f-,W-ft.
FROM WELL LOG
Dale of test , n.,G. &u,
Well Log
Wires properly protected &N) //lei-
Casing height (above ground) [min.
AT INSPECTION
Static water level u.n" c ,1_ ft. a3 ft.
Well production W-tkixOi._h�t- g.p.m. +S g.p,m,
WATER SAMPLE RESULTS:
Coliform colonies/100 ml. Nitrate L 0.1 mg./I. Other bacteria _0 colonies/100 ml.
Arsenic: It t mg./I. Date of sample: g I OS Collected by: JJJn e-z�r�ic
B. SEPTIC/HOLDING TANK DATA
TankType/Material '4s�dic 1.2 -Ft -G Date installed_/sf /LAS
Tank size =� gal. Number of Compartments a- Cleanouts &)
Foundation cleanout OI) Lldj_ Depression over tank (YQ�: 'High water alarm (Y( E—
Date of pumping /+tirL iWumper _ ,:X
C. ABSORPTION FIELD DATA.
Date installed Soil rating p.d./ft ori) System type T a L
Length �/D ft. Width ft. Gravel below pipe ft.
Total depth Z ft. Eff. absorption area Lifej? Monitoring tube O Depression over field y -
Date of adequacy test %%u4) COnSirc'tAt ResultsFail)_7gg For 9 bedrooms
Fluid depth in absorption field before test�rr� in. Water added k gal. New depth in.
Elapsed Time:4/A min. Final fluid depth aA in. Absorption rate >= Y50 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) _ t_+16t e C b L_ If yes, give date LM/a—,
D. LIFT STATION
Date installed Size in gallons j_�
'Pump on' level at _ in. %Pump off" level I in.
natum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot + 1 LSU r
Absorption field on lot 'r' / 00 r
Public sewer main f 75
Sewer /septic service line 02`�
Mannhole/Access (Y/Nl
FHigh water alarm level at in.
Meets alarm 8 circuit requirements?
On adjacent lots /00,
On adjacent lots
Public sewer manhole/cleanout --Hoo,
Holding tank ';" 75
SEPARATION DISTANCES FROM SEPTIC ON LOT TO:
Building foundation �i Property line 4-� Absorption field
Water main f /D Water service line +10 Surface water * 1(b r
Wells on adjacent lots +-100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line + 1 U Building foundation +10' Water main +-/o,
Water Service line + Iy, Surface water +IOU Driveway, parking/vehicle storage 1501
Curtain drain r 50 r Wells on adjacent lots t ICO
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name 2 /NGkl1)
Date
HAA Fee $ `T 36 � � 7 S Rai aS
Date of Payment
Receipt Number
(Rev. 12/01) /
Waiver Fee $
Date of Payment
Receipt Number
STf
AUG-05-2005(FRI) 09:27
08-04-05;15:24
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(FAX)907 694 3297
;907 661 5301
r
P. 001 /003
# 2/ 4
SGS Re"
1054794001
AU Dottsftlmea are Alaska Standard Time
C1entNome
E*c River En6wering
Printed DateMme
08/04/2005 15:12
ProJoctNamol#
CUentSomplew
MystiealltaveaTradA
Mystical Raven Tract
ColketedDotelrme
08/01200510:30
hintru
Dri"x Water
RMivedDaUMIne
08/01/200514:05
T<ehakalDircctor
StephenGEde
Satatic R=mrkx
Allowable prep Andyslt
pawnctcr Raulu PQL Was Method CantaiaerlD Llmhs Date Doz inh
Waters Department
Nimme-N 0.100 U 0.100 mp/L EPA 300.0 8 (o-10) 0&G7/0S JEM
"'��E' ,re
NB�:S6 Zy+li/ sos-B�
ASBUILT
II I
I HEREBY CERTIFY -THAT I HAVE SURVEYED THE
5EWARD &
SCALE=
FOLLOWING DESCRIBED PROPERTY=="ioo
,
.
AND THAT NO ENCROACHMEIfTS EXIST EXCEPT
DATE=
AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
�p
OWNER TO DETERMINE THE EXISTENCE OF ANY
, COVENANTS OR
GRID:,y ,rme
WHICH DOTNOT APPEAR ON .THE RECORDEDIONS SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
B.
OFFENCE LINES, OR FOR ESTABLISHING BOUND-
!off SZ
ARY LINES.
DRAWN=
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