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RAVENCREST LT 1
Ravencrest Lot 1 #015-232-36 y1 Municipality of Anchorage Development Services Department 0, Building Safety Division • On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 Page of www.ci.anchorage.ak.us (907) 3417904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number. SW OI;O4gs PID Number: 015713Z- 36 Name ToEiM %r Wastewater System: W New El Upgrade W1 Aatrasa O. Box Cj2SLI3 ABSORPTION FIELD Pian. NunEer of aeaoama q o D.p r,allm Vshalor TnaxYl o Sac! o Mould o olh.r LEGAL DESCRIPTION Sal Ral'ng O.$ Taal Dapol eom engmal grade S GpoXt' Ft. Blaet La SOdnlean 1 R' Depth to pPe tXxIM horrl orlga pace Graval dwh Eawalh qpe 3. n i I Ft. Ft To mp Rape sedan FA added above mg,nal grace Graval Lenpm 2 Fi. 87- Ft. Well: E New ❑ Upgrade Graval h 5 Nw 0Ims 2 D41ame WIW1M IMa 1 Ft. 10 FI cusedraiwl (Prrvale. A a. C) Taal Depm 2(4q cased toss 2.44 4„( �S Taal aDsarptan red �{ P,I» wlanel (� d Pvc k riV Ft. Ft FIs Sjit b3 J to DNW Dale DNwd I sMla Wal. Leval hsMlle, Data Installed AIP01C 1 10-246- 04 1 tog Ft -rCon I' ly o Y,aa Pump s” at camp N Vx Aoovne Glc C' /O b O �� G•T TANK 20 GPM p p Fl. f— Ft SEPARATION DISTANCES IB septic ❑ Holding ❑ S.T.E.P. ❑ Other. To From Septic Tank Absorption Field Lift Station Holding Tank ubhUPnvate Sewer Line aa'aIar ItChof k pav'Y IZ50 WON SOt ISO, +150, +Z5 Malerlal S}et I I Nun a compalm,ems 2 Sudacawalar N•0. JV. 0. At. 0. LIFT STATION La L" 4_g5a +101 +to• — 3e 500 GW MIVM AN�.e. Tc."k. FouMalan `I.V\I 1410, loa +10' f-10 10 Puny 25 I al w r/I1 N"h Z /mal nPulnD`, al n C__ D_. /U.o. N.o, Pump M . a Model 0i ti Electivai,nsp.1 pMamed 1 1"iNNI Ram s BENCH MARK Lmat.. a w Desa,puon - f To f •o,.Y M4 ;lam o Aswmed wvasan .s 100 Ft... Engin`��\\mp OF A4 �✓ • ��9 Low Inspections performed by: LVfS Spu kl ,X Dates: 1" ly of of 49TH .. .....� 2nd VIA � :. . V2, : TO C_ d £FURKLAN0 Development Services Department Approval ;10 CE2225 2-2 �•i Reviewed and approved by: Date: n - (1�` fRm I:Ad) ---------------- 1 I1 -� hell V 11111 1 LOT 1 RAVEN ROOST CIRCLE Anl C IZ01 23 0 D 22.51 17.0 E 25.01 15.0 F 0 H A36.014.0 1 I I TH I 1 I •:;.:• 0 H 11 1 . �. I 1 I WAU" 500 CALLOH GFT STAMV 1 ' 5 -WIDE TRUCH I I 2 x 41 FT Lowe 5 FT DrEp is FT EFFEcmE ,v mm mvm 4 a rmr RW"m 5 FT COVER --------------------------- 'r ' 49th I s �.„^fes...................... «....�. :• TO BEN SPUHKLA �� f No. CE -2223 �• 25 0 25 50 75 100 125 150 • LOT SCALE? 1' = 50 FT. M ITOWN SPURKLAND P.E. LOT 1 RAVEN CREST I I SEPTIC SYSTEM ASBUILT I 103 W 157H. AVENUE DATE. DECEMBER 19, 2005 ANCH. AK. 99501 RAVEN ROOST CIRCLE ,, CH. ,,5 � TOM HUMPHREY SHEET, 2/3 CRIO: 2738 PERMIT M SV050445 PID k 015-232-36 RAC00012.DVG Standard Trench 5' Vide 1250 Gallon Septic Tank 41' Long 5 Deep 3.5' Sewer rock O O O 4' Insulation 2' Cover {' 500 Gal Lift Station o c d d awvan TrWWh s a 3 r-- Monitor Rt Barrer M. Iot' r••mn �P'NE. 4' HSl"Wm ` 49th 14BBEN SPURKLAND REV. = 9t.1. �No. CE -2223 3.5 4 Ft of' Septic Rock , u •���5 Effective NO SCALEr ZI u cuv. = azr Monitor 3' Cover Silt Barrier = lot,_ of Septic Rock 500 Gal. Lift Station 1250 gal. septic tank Sec Effective NO SCALE M, = a27' BENCH MARK TOP Of LIFT STATION MANHOLE ASSUMED ELEVATm = 100' TOBBEN SPURKLAND P.E. LOT I RRENCREST SEPTIC SYSTEM ASBUILT 203 W15th Ave RAVENROOST CIRCLE DATE, DECEMBER 19, 2005 Anchorage Ak 99501 ray hrWiffr SHEET, 5/3 GRID, 2733 279-3916 PERMIT I SWO50445 PARCEL i0 1015-232-36 RAC00013 DWG Municipality of Anchorage Department of Health and Human Services .y- 825 "L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom http:rhw ci.anchorage.ak.us Mayor Permit Number. #SW 040261 Date of Issue: 7-12-04 Date Started: 12-26-04 Date Completed: 10-28-04 Legal Description: Ravencrest Lot 1 Property Owner Name & Address: Tom Humphrey PO Box 92543 Anchors e, Alaska Parcel Identification Number. 015-232-36 Is well located at approved permit location? ® Yes ❑ No Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness d: Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: 250 inches silt 2 7 Diameter;E inches Depth: 244 feet gravelly silt silt 7 20 Y0 35 Liner Type: Diameter. inches Depth: feet Casing stickup above ground: 2 feet gravelly silt sandy silt 35 62 62 90 Static water level (from ground level): 205 feet Pumping level: 244 feet after gravelly silt 90 155 2 hours pumping 20 gpm silty gravel 155 198 Recovery Rate: 20 gpm silt 198 228 Method of Testing: airlift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet sandy silt 228 237 water sand & gravel 237 244 ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: I Depth: Start 0 feet Stopped 1 feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller. Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property .L ..11 J.!"._.L... ..111.....1.. T...• .f1•..1.1. O f.. .. .'.1.!.. 1. A.- -! ._1.".- MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Permit Number: SWO50445 Legal Description: RAVENCREST LOT 1 Date Issued: Dec 05, 2005 Expiration Date: Dec 05, 2006 Parcel ID: 015-232-36 Design Engineer: 0007 Tobben Spurkland, PE Site Address: 5851 RAVEN ROOST Owner Name: TOM HUMPHREY Lot Size: 45262 SO. FT. Owner Address: P.O. BOX 92543 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. A 99509 - 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 specked 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. 0 Date:7 o I Issued B I Date: x ( It -� Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. OIS - 23 2 - 3 (o Permit Number SW ZD Property owners) long �i ,.., 0�1re.l Day phone J!79 -70)'q Mailing address +'0. go)< 12.5V -i Alk 9950'� Zip Code Site address 5,051 t�ur c to Tntax'l Zip Code Legal description (Lot, Block & Sub'd.) Lot I (Zaom Cry s+ Legal description (Section, Township & Range) Lot Size 4512(oz Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: L1 Sewer Only ❑ Well Only ❑ Sewer and Well © Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. SOU r0 V% (-\ (Signature of property owner or authorized agent) Permit/Rush Fees: I S Waiver Fees: Date of Payment: tl lzI165 Date of Payment: Receipt Number: 3� 3 Receipt Number. (Rev. 09104) T.SPURKLAIM P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 1 RAVENCREST SID TOM HUMPHREY Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street Anchorage, Alaska 99519-6650 May 16, 2005 We are submitting a septic permit revision for the installation of a well and septic system for this lot. Ground water had surcharged the trench that was constructed in November 2004. The revision includes the installation of a 500 gal lift station and construction of 81 feet of 5 -wide trench. This submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable test holes are also enclosed. The septic system design is based on the following: Ground Water at 14.5 feet Use 5 -wide trench Soil Rating. From Testhole 04/25/03 9 min/in - 0.8 gal per sq.ft/day No. of Bedrooms Required Area per Bedroom: Total area required: Testhole depth 16.5 feet Bottom Rock Top Rock Rock Depth Minimum Trench Length SYSTEM CONFIGURATION STANDARD TRENCII TOTAL LENGTH TOTAL WIDTH TOTAL DEPTH ROCK DEPTH INSULATION COVER SEPTIC ANK 4 150/ 0.8 - 187.5 sq.ft. 187.5 x4-750 sgft At 4 feet At .5 feet 3.5 feet 750/50.54 = 81 ft. 81 FT 5 FT 4 FT 3.5 FT 2 INCH 2 FT 1250 GAL +500 GAL LIFT STATION The installation of this well and septic system will not prevent wells and septic systems from being installed on the adjacent los. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. 0 0 a — — — — — — — — — — 1 1 ¢ Well I 1 1 LOT 1rF RA VT 49DOST CIRCLE -- — — —— — — — — —— 1 I I I -- - - - - -- ---� r gWEXWVTALUL500=ONW STAWN I I 5 -WWW TRENCH I I t t 40.5 !T LONG 4 TT DLZP .LS FT ERECAVE .0 jvw MACH 2 K AVSLAA WN t FT COVEN 49th � t TO EEN SPURKL ; �•'• No. CE-zzn � � UNDEVELOPED P5 0 25 50 75 100 125 150 crer r-, v = 50 FT. LOT 4 I TOBBEN SPURKLAND P.E. LOT 1 RAVEN CREST I I SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DATE: MAY 16, 2005 ANCH AK. 99501 RAVEN ROOST CIRCLE TOM HUMPHR£Y SHEET 2/3 GRID: 2738 PERMIT # SVO40261 PID # 015-232-36 RAC00012.DVG Standard Trench 5' Vide 4a5' Long 55' Deep 35' Sewer rock 2' Insula tion 2' Cover km" Trwsch NO SCALE Monitor 2' Cover flt Barrier I3.5Ftof ' Septic Rock Effective NO SCALE 1250 Gallon Septic Tank 0 500 Gal Lift Station o c a m t 0 a Ly i .3 49th I SPURKLAND CE -2223 500 Gat. LIN Station 1250 gat septic tank TUBBEN SPURKLAND P.E. LOT 1 RAVENCREST SEPTIC SYSTEM SCHEMATIC 203 W15th Ave RAVENR00ST CIRCLE DATE, May 16, 1005 Anchorage Ak 99501 Tay HL4"oLY SMEETs 313 GRID, 2733 279-3916 11 PERMIT SWO40261 PARCEL 1D / 015-231-36 RIC00013.0WG 'ti gENGi EEia BrTi 7Y 'iq Municipality of Anchorage ;y Development Services Department y ' -Y^^ Building Safety Division-ae.�=�^���"""•"O� r. On•Site Water and Wastewater Program _ •+ Y 4700 South Bragaw St. a+•�°1 ° Y u. ti - I1 P.O. Box 19665-0 Mchorage, AK 99514•6650 y ° T:' ci r�,,,•rF'a:d i'. % �moo. Wn Ci anchcraoe ak.US (907)013.7904 Li+i h:�•• �v*wK�,i p :: '`'%•mss; ^' - Soils Log - Percolation Test '43 "Date Performed: �itojz00N ce''cr. ed For: 1r'('% "MT ls_a Descrplicn ;zd'viont,Fe6L L>` 2 Township, Range. Section: Dep.h (Feet) Ve6e TATCnIOR6A"lCS •.-.t�L QIZOUr-. Lopm_ 2 - �s;o 3 - It, a , i• i Siw w1 &va $ Vavi �3%!% cN i S Y:AS GROUND vrA7ER A ENCCC::T11_-3D'I S IF YES. AT YMAT DEPTH? --' l 0 D<Dlhto Y4trr Aher „)_ P Gloniloring? E tl Data: '1 Z(O DI{ RtaEing Dale Gross Time I Net Time I Depth to Wale.- Net DIC: Ito ZM4 to I to ;n � � " q'/e' I l o I '!z " 311 io'IL'' 40 to Kitir; a� SO MIA ID Mlrs ! Q(/'I' GO &, . I ID m-.. '/a" I 2 " FERCCLAiICHPATE J' 1•+xutvtV FERCCCECI:r.IETER I! TEST RUN SMISEHJ'1.5 FT ANO q.S FT C=FOR!,IED BY. I'aK SQif�l aA� I CERTIFY THAT THIS TEST'.%+5 of?=O?>.IED IN ACCORDANCE V,ITH ALl S TATE AtiD A:UNICIPAL GUIOELWES IM EFF:CT DN Tr!S OAT.. DAT:: R 10 Z Municipality of Anchorage . , {tN VINttFtJ'J tyA Development Services Department Building Safety Division O On -Site Water and wastewater Program• ••• 4700 South Bngaw SL , P.O. Box 196650 Anchorage. AK 99519.6650 F y`• www d anchorage air.us ^i T (907)14}7904 +`:r % W soils Log - Percolation Test 2 �i�;'Y" Pe - formed ti,,,r—c Date Perform13ed: stZOO ,,armed Fcr. Le,aiDescr.rn pbCn: PnteeresL Lo+ 1 _Township. Range. Section: Silo Plan Depth (Feel �,1, ✓ 1. O 2 3• �oul Si�%1�an0� Gi GC4JL� 2 r' IATER was oMUND =:-.-Y1t01 CSnSJ? EsCCI;: s L IF YES. AT 1'MAT DEPTH? say s0_ D D#pjh to Plater After monitoring? f4.5 E WI �� Dau: Sf3 2D4?5 CO`.:': E ITS sk FE?CCLATIorI PATE V+auiv<+1 a en�rt.:a"...l_ I=mo TEST FU: 9ETYlSErI -FT AND FT PE=FOAMZD BY. L -ars SourC&fl\ I 4R7-� CERTIFY TM..T T'IS Tc"T �•':.S P--?'OR::IED IN ACCORDANCE WITH A! L $TATE AND is U`l1CIPAu GUIOELIN SIN EFFECT Ort THS OAT--. DATE: 5/113/1005. Municipality of Anchorage • Development Services Department Building Safety Division / Onsite 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 SUBMITTAL COMMENT SHEET To: SPURKLAND ENGINEERING Legal description: RAVEN CREST LOT 1 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ Calculation error in design. _ ❑ Additional soils information needed. ❑ Water monitoring results inadequate. ❑ Discrepancy in information submitted. ❑ Topographic information missing or inadequate. ❑ Incomplete; missing ❑ Incomplete; missing ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. _ ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. _ ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ® Other. MISSING TESTHOLES Name of reviewer. JOE GOODALL Date: 11129/2005 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality of Anchorage Development Services Department Building Safety Division i' 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 SUBMITTAL COMMENT SHEET To: Tobben Spurkland Legal description: Ravencrest Lot 1 The attached paperwork has been reviewed and Is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ Calculation error in design. _ ❑ Additional soils information needed. ❑ Water monitoring results inadequate. ❑ Discrepancy in information submitted. ❑ Topographic information missing or inadequate. _ ❑ Incomplete; missing ❑ Incomplete; missing ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils Information submitted. ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field.— [D Other. Gray water pit on property must be permanently abandoned. Found trench on Property Inundated with water Septic tank pipes Not exposed Well area has flowing water and needs grading Name of reviewer: Jeff Date: 5/2/2005 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK kp 3— Ij. nle kp 3— Ij. �(w i�tll'1 \ 1`.� ♦ L / Y ai rlj SIL.%` -\x �\t, \'� Y�ti I ` � \ t \�V:. �FFie. � �e _ Ai?• / ♦ a� ♦. ' � ♦.41i .( /�1i `,FFa `?. i, A�ia � ` tl �•1`� _ I •r.\ �.\ \\ I 4 �� � / 1 rrs '\�tr�^'1r }J:�•� L � �e R k '. . . �k,2> �Y- 'Lti r . ".�'�`n' tt_�H`�`►'a' `S 't `"a'�f ;t' \ky,L + ftA�1•'' t l +/+ `4, :/ / '�,�C=.�y�*j��. `�:44 i'4 b 3-y; i•�' Z�'�!y'.J;t t •.�y `�i r �1ti�� `, -�L.ie Y `. ♦". s�i/`1 SA^� }'c (`i. �j,•i.'�'��, '\F ;.;✓/s; ,.7, <, Srl. ln 1 1 j.�.l L•4�y aLe:• r •'ii .y N.Mr `k v~���F4 1v :� \:.e, ♦ ", ��%, s hT + t r v LIl'�11_�� 1 .� • � v ,kfl� �j ' _%a�J. }. . f. 11'•D ` _ \3�'- 1. _ `�+\^ �" a` ` a tn rI. Y'�.r y.' en��wi••Y``, ��. � � :��r�y�l� I� �F, �,\,a'4• �1�+`�Ti"t���'�� a �. j♦ ' � a( a �., t �'Ja' +.t j'•�{`� � w•r • , �. � �1k+14a; J� 'i'i�, r . ��'h��' � i ;; •�2 .yi�`ya tt�►,. �\� 1����1=��♦'may{y � ,"' �t� . `��.`5�` `� ��}i `\' � � - 'y'�����a 4.Mj �P�a�'�)'��( • I',jl `�tyj r e!j7� r\ ie t. /~ l` `e a" "`\ \• w r,1��TT 'S�t y` yi11 , ..�� :'1'. • "1�,\ •t1 �' � �tw(ii •I. r ��,�\\ �� � \� :. 4'���}i Al �1. 1"o a'Ct i.�' /\� Zvi '�tti •L —� Municipality of Anchorage Development Services Department Building Safety DMsion `• ' On -Sao Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.danchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SVj10L4v2,(0I PID Number. Na"" __ Wastewater System: FVrNew ❑Upgrade n NLA WL �E T• -e. Aft ess PO 0 94 q3 ABSORPTION FIELD Pn Nwroa of ee& a &/0aa0 Tune+ 0 ShOw Tw.il 0 9.d 0 Mann 0 o"r. Iq {44 Rallrq Tar DaPal eem a" pw.. LEGAL DESCRIPTION 0, P F+ 5 F ead� La: &AdMaldle '5'/r> OapTbpp eonom edm agirW V GnM apa aaram Pbe: L.° r e v r4 2C 14 FI, FL TwnNp' Ravga' 6awac Fa addw aewa eigrrr paav Gravy Lapec Fl. (i o FI. DnvN•ldekNwMaa Mc ptlana WdaM YMa: Well: New ❑ Upgrade a FI, t -� FI - - - - ^---..-. i P "~ Inspections performed by: JS Dates: 1i1 e►.N�,we...... aa•r 2"d 11_13—c 'y"Z T w1 Development Services Department Approval �4 �eaRe Reviewed and approved by: Date:yLq��y!pa.,���.r in . FL Dmr -.. — Daly D~ SudpWalrlavat awew �-r ...�. T�)s-"li c AL -n oSFL Yra Pwrp so K Cn V H.09 AE Cmn TANK GPM GOTTOtj FI. Z Ft SEPARATION DISTANCES [/Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption LIR Holding PubrkRdvai M'"""a"` GapaalF From Tank Field Station Tank I sewerune —ArIV t —D Ga'. MYarNI: Nw aCaprN wo 160 1$O J s4eeLz N )o t410 LIFT STATION swlrtawal« 1,410 o ua, M Www La Ln• 45 Gal. 'Pw v owlaw rt ." ar at Hph avala Nam at Fandnam IO I?' � h h_ Nlo ►ump MYa { Ma1N E awpaCPMa Padamad pY Loom Drwn ' N J Ft~w BENCH MARK Inspections performed by: JS Dates: 1i1 e►.N�,we...... aa•r 2"d 11_13—c 'y"Z T w1 Development Services Department Approval �4 �eaRe Reviewed and approved by: Date:yLq��y!pa.,���.r in . FL - ---------- - - - - - - - - - - - - - - - - - - - -- AC ia DC 22.6 R I 1 I 1 At 80 75 K s%5 LOT 1 I I 1 c REPLACEMENT TRENCH 1 I MARK STAAWRO / BEDROOM SEPW ST& ® ►250 GAL SEPTA: TAW I I D STAARURO TRENCH I 1 B 60 " LONG IFI 10.3 iT DEEP a5 ET MUM SEWER ROCK I 1 1 1 Well 4 COVERL m � � m . � . � m m m .o/ 1 1 I I I RA Vq f1717ST CIRCLE 4L f 49th ° ».i...»..o. »»«...»......»......». ... �— • 9.s TDHHE SPURKLAND Ct i J'.•,. No. CE -2223 :t'.�- UNDEVELOPED BENCH MARK.' W EOUNWAV Is, ASSIMED EIrmnoN. !00.00 rT 25 0 25 50 n 100 125 150 LOT 4 I A + '_ 50 rT. TOWN SPURKLAND P.E. LOT 1 RAVEN CREST SEPTIC SYSTEM AS BUILT 103 W 15TH. AVENUE DATE: NDV. 17, 2004 ANCH. AK. 99501 RAVEN ROOST CIRCLE 11 ,,,., TOM HUMPHREY SHEET.' 2/3 GRID: 2738 PERMIT A SV040261 PID # 015-232-36 RAC00012.DVG 0 0 0 0 s` +. 1250 got Septic tank a c O Double Clean Outs Standard Trenchr 2' Wide 60' Long 10.5' Beep 6.5' Sewer rock 4 Cover �r,w�,'.♦♦♦ •..�P� .i :y...49th............. .. 1..... i... „:.f..... . i n , TOB N SPURKLAND NO SCALE♦♦♦♦ 1,,� Cleanout Monitor 4' Cover set 9J. 91.I Silt Barrier ez 6.5 ft of Septic Rock 1250 gal. septic tank Effective NO SCALE at.o AS BUILT TOBBEN SPURKLAND P.E. LOT I RAVENCREST SYSTEM SCHEMATIC 203 W15th Ave RAVENROOST CIRCLE DATE, NOV. 17, 2004 JISEPTIC Anchorage Ak 99501 tam Huwwff SHEETi 3/3 GRID, 2738 P£RMIT SWO40261 PARCEL ID / 015-232-36 RAC000I3.DW0 0 Municipality of .A.nchorage c : N1 Department of Health and Human Services - 825't.' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrorn httplhw manchorage.ak.us Mayor Permit Number. #SW 040261 Date of Issue: 7-12-04 Date Started: 12-26-04 Date Completed: 10-28-04 Legal Description: Ravencrest Lot 1 Property Owner Name & Address: Tom Humphrey PO Box 92543 Anchoraae. Alaska Parcel Identification Number: 015-232-36 Is well located at approved permit location? ® Yes ❑ No � Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .250 inches sift 2 7 Diameter. 5 inches Depth: 244 feet gravelly silt silt gravelly silt sandy silt 7 20 35 62 Y0 35 62 90 Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 205 feet Pumping level: 244 feet after gravelly silt 90 155 2 hours pumping 20 gpm silty gravel 155 198 Recovery Rate: 20 gpm silt 198 228 Method of Testing: airlift Well Intake Opening Type: sandy silt 228 237 water sand & gravel 237 244 ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 1 Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller. Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property ........... AL....... J.:.,.. .L _., 'J. .....__ ...1 T...• _!\l. -.�1. O \\........ \.. _.•... _..•,t'_ II, J.-.. .1.. \..` MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SW040261 Date Issued: Jul 12, 2004 Expiration Date: Jul 12, 2005 Parcel ID: 015-232-36 Legal Description:11RAVENCREST LOT -1 Design Engineer. 0007 Tobben Spurkland, PE Site Address: 5851 RAVEN ROOST Owner Name: TOM HUMPHREY Lot Size: 45262 SO. FT. Owner Address: P.O. BOX 92543 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. A 99509 - This permit is for the construction of: Disposal Field Q✓ 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: x A.A Date: V Issued By: Date: rz 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.enchorage.ek.us (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O/ S' :E z -3 b Permit Number SW s•� Property owner(s) I O M H 0 t-Vp 14 R.e �I Day phone 976- 9 0 A q Mailing address (1) 0 B0X q2 34?3 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) LOT- t Z A Vg r l C rL k sr Legal description (Section, Township & Range) Lot Size J/'s-/ ZO'L Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well Q� Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or suthdrized agent) Permit Fees: $b eyD Date of Payment:. -1/7 Waiver Fees: Date of Payment: Receipt Number: r7 `f 6 Ll(�_ Receipt Number: (Rev. 12100) -� T.SPURELAFD P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 1 RAVENCREST SID TOM HUMPHREY Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street Anchorage, Alaska 99519-6650 June 11, 2004 We are submitting an application for the installation of a well and septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: No Ground Water or Impervious Layer to 16.5 Ft. Use Standard Trench Soil Rating. From Testhole 0425/03 9 min/in - 0.8 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 15010.8 - 187.5 sq.ft. Total area required: 187.5 x 4 a 750 sqft Testhole depth 16.5 feet Bottom Rock At 10.5 feet Top Rock At 4 feet Rock Depth 6.5 feet Minimum Trench Length 750/13 - 58 ft. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 60 FT TOTAL WIDTH 2 FT TOTAL DEPTH 10.5 FT ROCK DEPTH 6.5 FT COVER 4 FT SEPTIC ANK 1250 GAL The installation of this well and septic system will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. I 1 I UNDEVELOPED I 1 =-7-7 -7 I LOT 1 I I ItnT B UNDEVELOPED I RAVEN ROOST CIRCLE _ R UNDEVELOPED __ ____ ___ —LOT 4� _ ISI Up I I I UNDEVELOPED I IV:4 I • .,� I DEVELOPED I OF 7 49th `•�� I TOWN SPURKLAND P.E. I I LOT 1 RAVEN CREST I I SEPTIC SYSTEM DESIGN I 203 If 1571/. AVENUE RAVEN ROOST CIRCLE DA Tr. JUNE 11, 2004 ANCH. AK. 99501 BUTT eve_ m f t TOM HUMPHREY SHEET • 1/3 GRID: 2738 I PERMIT 8 SV040XXX PID M XXX RAC00011.DV6 1 UNDEVELOPED RAV DOST CIRCLE ■ 1 I I I UNDEVELOPED th IGEN SPURKLAND No. CE -2225 25 0 25 50 75 101 125 150 CrAl r, V = sn rT I41iti1 0 BEN SPURKLAND P..I I LOT 1 RAVEN CREST I I SEP77C SYSTEM DESIGN I 203 W 157H. AVENUE DATE' JUNE 11, 2004 ANCH. AX 99501 RAVEN ROOST CIRCLE TOM HUMPHREY SHEET.•AC/3 GRID: 2738 PERMIT R SV040XXX PID M XXX RAC00012.DVG --------------1 IZcpl•cew.s..'�' r IMV I I LDT 1 10N ro st mm SE w nw61250 CAL � ENtrr I 60 FT LW I I las Fr Dap CMV SEW R= i 1 `S�� I 1 I RAV DOST CIRCLE ■ 1 I I I UNDEVELOPED th IGEN SPURKLAND No. CE -2225 25 0 25 50 75 101 125 150 CrAl r, V = sn rT I41iti1 0 BEN SPURKLAND P..I I LOT 1 RAVEN CREST I I SEP77C SYSTEM DESIGN I 203 W 157H. AVENUE DATE' JUNE 11, 2004 ANCH. AX 99501 RAVEN ROOST CIRCLE TOM HUMPHREY SHEET.•AC/3 GRID: 2738 PERMIT R SV040XXX PID M XXX RAC00012.DVG Standard Trench, 2' Wide 60' Long 10.5' Deep 6.5' Sewer 4' Cover ND SCALE Sit t 6.5 ft of Septic Rock ENCtive O 1250 gat Septic tank c c, m d 3 a 4 3 Monitor NO SCALE 49th °chi i*N SPURKLAND No. CE -2225 1250 gat. septic tank TOBBEN SPURKLAND P.E. LOT I R4VENCREST SEPTIC SYSTEM SCHEMATIC 203 W15th Ave RAVENROOST CIRCLE DATE- JUNE 11, 2004 Anchorage Ak 99501 Tay y SHEET. j $ GRID, 2738 PERMIT SWO40OXX PARCEL ID / XX RAC00013.DWG PrA 11444 e ��•OF.Atgs�oi Municipality of Anchorage o y. 49� Development Services Department v sr t Building Safety "!on 0 on -Site Water and WaatewalerProgram �,N N .. •.•I 4700 South &affdw Sl a OO t+q% 00" T. IWif W a P.o.Box196650Anch=ge.AK995l"M oA4�,• CE 10068 •��o --•w d ncheraee.ak.us 0 `�. •.. . '' A, o (907)34 T3 9aa 1141111 pA0rE551a�a�o�o Solis Log - Percolation Test°°nceoo�o Performed For. ttt 5 - ` Townwup.Range.Secaon: 712-4 ?-'Sul S',13 Legal DescdpUon: �T I >� F �' ecu— Smee ��'` 01e gDepthgLaaatcbLyAM2 8• I GN/HC. O• 5arx- wj Saur`f 13- 14-1 15- 16- 314- 15- 16- Is- 18- WAS WAS C.RoU.40 WATER ExCCUNT:Pz07 No S IFYES.ATWMATDEPTHT D Depth to Water After P Ilonnorinyt a1� E lr' s�) FERC HOLE D=IETER FcRCOlATION RATE �.Q �•FT TEST RUN eSTWEEt1 r O FT h�0 s. s —CERTIFY THAT THIS TEST N�A_ S PERFORMED BY: r� PERFORA.IED IN ACCORDANCE WITH ALL S I ATEA` O MUrlICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Reading Date Gross Time NelTime Dept f0 -Water Net Drop 314" i a1g" S" 41 o3 16 N.a , S'/4 S/4 35/4 h u Sal l� 'r 11�g rr 6114,. A6 a ..1 ID t,. , A }/s 3� 61/4 r. t,.a 10 14,.1 4'T/1 rI 1 3/ 611 �o M. 10 t+•a 4 3/a " 1 II- I. lr' s�) FERC HOLE D=IETER FcRCOlATION RATE �.Q �•FT TEST RUN eSTWEEt1 r O FT h�0 s. s —CERTIFY THAT THIS TEST N�A_ S PERFORMED BY: r� PERFORA.IED IN ACCORDANCE WITH ALL S I ATEA` O MUrlICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: MUHMG AWTY OF HCHOR%AOE: Development Services Department I_4 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-232-36 Expiration Date: -Z-4 ZJ ZJ 2 5 Legal description RAVENCREST LT 1 Site address 5851 RAVEN ROOST CIR Anchorage AK 99516 Current property owner(s) HANIFEN X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-232-36 Complete legal description Ravencrest Lot 1 Location (Site address) 5851 Raven Roost Circle, Anchorage, AK 99516 Current property owner(s) Michael & Paula Hanifen Day phone 907-519-3400 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 19 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $^ Waiver Fee $ Date of Payment 2 2C Z Date of Payment COSA # C_ ` 0 y ,Z Waiver # COSA Application —June 2022 5.77 3/1/24* *A+ Home Services N/A N/A N/A Benjamin Schiller, P.E. (907) 522-7773 MUNICIPALITY OF ANCHORAGE Development Services Department �` Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log Owne l Street Addressj�J(�NtS y�� 05A' Ci _Ca Septic Tank: -Sludge level" inches -Pumping: required yek� -Pumping completed es o Lift station: ( Nl o-� re�� •� -Pump basket cleaned e` no -Effluent filter cleaned Cyr no -Control floats cleaned e� no -Proper float settings confirmed(p -Operation satisfactory a no Alarm System: -Dedicated electrical alarm circui a no -Audible and visual alarm inside dwelling es no -Alarm system operatio sa isfacto not satisfactory Manhole Riser *Ground water intrusion at riser to tank connection KqLfno *Ground water intrusion around pipe penetrations e no -Weep hole functiona es no -Manhole lid: Functiona a no Insulate no Properly Secured a no Other -All manufacturer required inspections and maintenance completed no t i• - . �, • QLdlifi -• Maintenance . .- Technician �. - .maintenance0y.4 Company/LI �. ' 5_XWC-05 Signature, —Z — Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.rn ni.org S 00°11'05" E 115.06' 0 +Poo FS 'r 14, > I 0' 0 32.9' 0 20 40 I ' ;�; 28.5' y;<: US SURVEY o x X 00 FEET I LM 14 4 1:ti� = 3 2.3 'o pF l I r4 �Q'�'•••'�106 5.5. 7 I U l �. ►M�1 Ail • .•a • • • �� • • • • I N 4 _�%fix `%`4 ti ryJ' m I Ln O N Ste` N m I"� Y' 30.6 w r rr. � I I -re-my A. Hurst"** � 2nd Story Deck_: _" r, LS-11796 .• �� z I I Z lFOP • .• . o00 1 l-ESSIORN� -� I z w l I 50' w I ROW Cn NOTES I w -All dimensions shown are grid bearings I IL(o) �� it o) and ground distances, record boundaries I o are per Plat No. 2003-128 I can -49th Star has conducted a physical survey of the property and all details shown on I o this Asbuilt Survey are correct. Under no I U) circumstances should any data hereon be I -U-) used for construction or the establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions; no title research performed. N 00°16'02" W 120.22' �� • �O o BIRCH RD o AS BUILT SURVEY LEGEND 49th Star Surveying LLC Lot 1, 0 Clean Out Q Septic Tank Lid PO BOX 738 G i rdwood, AK 99587-0738 Ravencrest Subdivision, OW Well 0 Transformer (907)891-6111 Anchorage, AK Jeremy@49thStarSurveying.com Fence W.O. 2406 DATE: 3/12/24 SCALE: 1 "=40' Municipality of Anchorage • Development Services Department °G Building Safety Division < On -Site Water and Wastewater Program sA F E r y 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-232-36 COSA # Expiration Date: (— i 1. GENERAL INFORMATION Complete legal description RAVENCREST LOT 1 Location (site address) 5851 RAVEN ROOST CIR., ANCHORAGE, AK 99516 Current Property owner(s) TOM HUMPHREY Mailing address Lending agency Mailing address Real Estate Agent Mailing Address PO BOX 9243, ANCHORAGE, AK 99509 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone 278-8029 Day phone Day phone Individual Well 0 Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 Certificate of On -Site Systems 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 onsite 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 Spurkland Enginneering Address 203 W. 15th Ave., Ste 202, Anchorage, AK 99501 Phone 279-3916 Engineer's Printed Name Lars Spurkland Date JUNE 21, 2012 5. DSD SIGNATURE 115 D ;'Na [� Approved for _ 1 bedrooms. �)�FQ.Z� Disapproved. ��,,��t��`� Conditional approval for bedrooms, with the following stipulations: Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate (Rev. 71105) 6 -,21 -12 - (Rev. -02/'12- Municipality of Anchorage xot�s= 8` to • '� Development Services Department Building Safety Division On -Site Water& Wastewater Program 4700 Elmore Road P.O. Box 196650 ..Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343=7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: kAyer%cee5T Cot I Parcel ID: 015 Z3Z- 3� A. WELL DATA Well type kt If A B, or C provide PWSID # = Well Log (Y/N) y _ Date completed 164 04 Sanitary seal (Y/N)%t Wires properly protected (Y/N) . Total depth -IHS—ft. Cased to z_ Weft. Casing height (above ground) '2g* (n. FROM WELL LOG. AT INSPECTION Date of test 1o2 o4 319 Zo17- Static water level 205 ft. Zo(o ft. Well production 20 g.p.m. 5.10 g.p.m. WATER SAMPLE RESULTS: Coliform A%_colonies/100 mL Nitrate ND mg/L Collected by: C4 s ki4nj Arsenic: 7o ug/L date of sample: _4Q157_012 - B. SEPTICIHOLDING TANK DATA L Tank Type/Material T ! ` nk a Date installed li 12 0 Tank size 1250 gal. I Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) A. L High water alarm (YM) If Date of pumping 14iolZ Pumper T SAa2 s PDQ �erJrceo C. ABSORPTION FIELD DATA _ ff Date installed 1x Soil rating p.d./ft2 orftz/bdrm) 0,g System type ,Sh4w genic Length 81 ft. Width 5 ft. Gravel below pipe 35 ft. Total depth 6_8 ft. Eff. absorption area -15-LW Monitoring tube- i Depression over field N Date of adequacy test 31111-2&12- Results (Pass/Fail) PAY, For `} bedrooms Fluid depth in absorption field before test1r_ in. Water added_(0_0 gal. New depth 16 in. Elapsed Time: IINO min. Final fluid depth q in. Absorption rate >= (DOD g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed to 1K 2005 °Pump on° level at t 5 in. Datum. T0Q E. SEPARATION DISTANCES Size in gallons r Manhole/Access (YM) "Pump off" level at 2O in. High water alarm level at in. Cycles. tested 3+ Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot 100`4' On adjacent lots loor+ Absorption field on lot 100,+ 1 On adjacent lots IOD + Public sewer main N�A Public sewer manhole/cleanout N A Sewer/septic service line 10 L5 " 251 , Holding tank NIA 0f4 Animal containment areas C 2&Yt7aea, Manure/animal excrete storage areas IQO r{ V SD SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: r Building foundation 51+ Property line � �' St Absorption field + Water main 6V 8 Water service line 10+Surface water h i N,O, Wells on adjacent lots )00 r� SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line )Or+ Building foundation Iyrk Water main NIA r r � Water Service line 10+ Surface water . 1V0+N,D, Driveway, parking/vehide storage 10+ Curtain drain 50 + Wells on adjacent lots ltbr+ 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 COSA guidelines tt in teffect on this date. JD Engineer's.Printed Name LAK ua. J -J Date_ 3%7e 20I7 - COSAFee $. 91,`j 4 Com• Date of Payment - Receipt Number (Rev. 4110) T 10 SPURKI.AND, Waiver Fee $ Date of Payment Receipt Number Birch Road d 1 4 C EDGE OF PAVEMENT O U) 25' ( � Vent I I I w I I ( I ( � I 1 I j I a o I vi (W j I I3 I I0 1 I j I 30.7' I av, �( o I 0 ( .°'5 I� I Driveway II b CW I � I I� I r` 2'Septic.. Manhole O O I l� V3. I r I I N 0 O O Q R = 50 10' T & E Easement N 0'03'16" W 115.02' Lot 2 A6&5ENTEC, Inc. LAND SURVEYING * MAPPING * PLANNING SURVEY CERTIFICATION: SENTEC Inc. has conducted 2102 CLEVELAND AVENUE TEL.# 90 a physical survey of this property as shown on this drawing and ( 7) 243-9966 that the improvements shouted thereon are within the property ANCHORAGE, ALASKA FAX.# (907) 243-9967 lines and no encroachments exist other than noted. ASBUILT SURVEY OF: LEGAL DESCRIPTION LOT 1 EXCLUSION NOTES:lt is the owners responsibility to detenn n< RAVENCREST SUBDIVISION - PLAT 2003-128.. the existence of any easements, covenants, or restrictions which WORK ORD r ogrE - - segte ,yr; do nm. appear on the recorded sabdivisloa plat. Note: It is the Dec 14, 2005 1'=30. sen a go -net. contracoes responsibility o check top offoandation grade and 2 '� 0 4 RAM ar. aRca®.e UM0 Rratean eoaa/PAoa: and building setbacks m relation o lot line and easements. lAJH MF .. _. N M W i R®AR— Q Vent Up -Dated 6-13-12 TH MICHAEL J.,>WNE »r A No r Ar AV \.�R11'4t Municipality of Anchorage • '� Development Services Department Building Safety Division t �_ On -Site Water and Wastewater Program a 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onske (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING ParcelLD. &S -Q32 -3(p COSA# 05Cl911301 -� 7. GENERAL INFORMATION Expiration Date: Complete legal descriptions RAven CeE5T Lor d. Location (site address) 5851 RAVE., [Zoos} t^ird nctioraae Ak `1951(- Current 9516Current Property .owner(s)+_ —low, Humpl,re v Day phone 248- So29 Mailing address PO Box '72543 AncLora c Ak 9950 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Untess otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage❑ Individual Holding Tank ❑ Community Class Well ❑ Community On -site -- Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well andmaybe 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 Certificate of On -Site Systems 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�oua�Fn inee,-i Address 703 t , (5t" Ave, fir. 20 A Anc6ruae AK 9957( Engineer's Printed Name LA99 4u/Lk1,&v3 5. DSD SIGNATURE Approved for bedrooms. Phone -M-3N, Date3-2�� QF ACgs.4(rOWi 00 Of ; . / .SPURKLAND; 1f 5000 Disapproved: Conditional approval for _hL_ bedrooms, with the following stipulations: Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: Ll' P (Rev. 11N5) Municipality of Anchorage • '� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: QAVEnG E5i Lot 1 Parcel ID: O(S Z3Z-3�o A. WELL DATA Well type Pat If A, B, or C provide PWSID #= Well Log (Y/N) Date completed 1 2.33 °y Sanitary seal (Y/N) Wires properly protected (YM) Total depth -L4-4ft. Cased to � ft. Casing height (above ground) -211 t in. 24 FROM WELL LOG AT INSPECTION Date of test Static water level 205 ft. 206 ft. Well production 20 g.p.m. 5'tO 9 -P.M. WATER SAMPLE RESULTS: f, 4 Coliform Nes. colonies/100mL Nitrate ND mg/L Collectedby: Lca st2K�nJ Arsenic: AID ug/L date of sample: 3 l5 Zot2_ B. SEPTICIHOLDING TANK DATA Tank Type/Material AnkS Date installed 11 112 10 11 Tank size 1250 gal. Number of Compartments Z Cleanouts (Y/N) Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) A/ Date of pumping 4WA 1017- Pumper 15AAe%5 _&/M4 ,SerVkeia , C. ABSORPTION FIELD DATA Date installed 12 Soil rating .p.d./ftz or ft2/bdrm) System type Sew low l rerA Length SL ft. Width 5 ft. Gravel below pipe Total depth `• 8 ft. Eff. absorption area Monitoring tube Y Depression over field N Date of adequacy test 31y ?SIL Results (Pass/Fail) P65 For Ll bedrooms Fluid depth in absorption field before testl— in. Water added Vo gal. New depth -L6 in. Elapsed Time: I�l`I() min. Final fluid depth q in. Absorption rate >= -00 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NAP- known If yes, give date — D. LIFT STATION Date installed I1 iy Zoos "Pump on" level at tt 5 in. Size in gallons 5CO Manhole/Access (YM) "Pump off level at 701n. High water alarm level at j y, 5 in. Datum. Top Cycles tested 34' Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot foo ri- Absorption field on lot 100 f Public sewer main A(LA Sewer/septic service line Z51 t.5, Animal containment areas i On adjacent lots 100+ i On adjacent lots 100 f Public sewer manhole/cleanout IJVA Holding tank /V 1A Manure/animal excrete storage areas jA0 i+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation S + Property line 5+ Absorption Feld S Water main 4A Water service tine jD �+ Surface water /Do + ( /t/,0, r Wells on adjacent lots )On + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line j[) + Building foundation lOr+ Water main LVA Water Service line jv r+ Surfacewater 100V N,0, Driveway, parking/vehicle storage l0'+ i Curtain drain 50 + (A/.0, Wells on adjacent lots �� + F. COMMENTS G. ENGINEER'S CERTIFICATION ,a -CFrQF Acgsi;i 1 certify that t have determined through field inspections and O A�r-' review of Municipal records that the above systems are in i �' T conformance with MOA COSA guidelines tt in ``effect on this date. ; Engineer's Printed Name LABS S94P J TA j // 9PURKLAND`P Date 3j<2& 2b IZ I)' 16 D COSA Fee $%D'I a' nC i- Waiver Fee $ Date of Payment 31i a -I ! a C' Y b Date of Payment Receipt Number Receipt Number (Rev. ano) spurWaimd E[Ng'imeero�g Environmental Consulting and Design Municipality of Anchorage March 27, 2012 Development Services Department On Site Water and Wastewater Program 4700 Elmore Rd. Anchorage, Alaska 99519 Subject: Conditional COSA Application Raven Crest Lot 1 Ladies and Gentlemen: I am writing to request a conditional COSA be issued. The well and septic system at the above referenced property were tested on March 19a', 2012 and meet the operational requirements on Onsite Water and Wastewater Program. A fenced horse training area is located approximately 3 feet from the existing well head. The new owners do not intend to have horses and the horse arena will be removed following break up. The survey will also be recertified after the snow has melted and all the septic stand pipes can be located. If you have any questions or concerns, please contact me at 279-3916. Sincerely, L��, Lars Spur land, P.E. Civil Engineer 203 West 15`h Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net SGS Ref.# 1120820001 Client Name Spurkland Engineering Project Name/# Raven Crest Lot 1 Client Sample ID Raven Crest Lot 1 Matrix Drinking Water Sample Remarks: Printed DateMme 03/21/2012 14:46 Collected Date/Time 03/15/2012 17:45 Received Date/Time 03/16/2012 9:40 Technical Director Stephen C. Ede Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (40) 03/19/12 03/20/12 ACF Waters Department Total Nitmte/Nitite-N ND 0.100 mg/L SM214500NO3-F B (<10) 03/20/12 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 03/16/12 MEM Total Coliform Negative I 100mL SM21 9223B A 03/16/12 MEM 2 of Birch Road EDGE OF PAVEMENT O N I I N 0"08'13" W 120.22' I. 1 25' I � I I I I I I � I I p � I I� I 1 a I� o iW I Q) I I I I� I o p I f I 30.7' p� � I .saves I N Z M ~DO Do I I tO IM N I CO i � ,9�zz w I I I N 4N I E t Driveway I o W LU t I. Lad I Ia I CA I co I d XX I I n � ko N R = so' 10' T & E Easement N 0'03'16" W 115.02' t Lot 2 LEGEND: FND. RWAR-.0 TFCw Inc. O {�,+(A ,T-• ����`A•4,L:�±,.t �C !•••• - Septic Vent LAND SURVEYING *MAPPING *PLANNING suxvEy CERTIFICATION: sENTEC Inc. has s drawing r «'`� 9Tk*•'�, aphysical surveyof enthis property as reshown it rids drawing and Wall 00••. ••• • • 01 � 2102 CLEVELAND AVENUE TEL.# (907) 243-9966 that the improvements situated thereon are vdthinthe property � Y!M •IIM• !!••!!•!!!� ANCHORAGE, ALASKA FAX.# (90 7) 243-9967 lines and no encroachmexents st other than noted. •Mi4• PAVEMENT- 0 2 MiCH J. HORNE r [AASBUILT SURVEY OF: LEGAL DESCRIPTION r!No, LS-5378�T I EXCLUSION NOTES:lt is the owners ! ! responsibility m determin � b•• °+VENCREST SUBDIVISION — PLAT 2003-128 the existence of any casements, covenants, orrestrictions which �4.' Nt1M8ER: oArs:scats:aMut: donot appear on the recorded subdivision plat.Note: Itis theI �,yP1.+IFt2005 i"=30' sentee®gcl.net contractor's responsibility to check top of foundation grade and AM2 O 4 ANN BY: Q Eon 01 n U NUMBE t 6oeK PAGE and building setbacks in relation to lot line and easements. MJH ME -