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RAVEN MOUNTAIN ESTATES #1 BLK 1 LT 2
Raven Mountain Estates #1 Block 1 Lot 2 #076 - 032 - 16 MUNICIPALITY OF ANCHORAGE trent On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 Q http://www.muni.org/onsite0i Liu A' v Depa rtiii ent On -Site Water System Permit Permit Number: OSP201153 Effective Date: 6/8/2020 Work Type: Well Renewal Expiration Date: 6/8/2021 Tax Code Number: 07603216000 Site Legal Address: RAVEN MOUNTAIN ESTATES #1 BLK 1 LT 2 GA018 Site Mailing Address: 165 ANNEX CIR, Girdwood Owner: HALLAS JILL MARIE Lot Size in Sq Ft: 50246 Design Engineer: Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q 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 Special Provisions: To close out this permit, please submit the following: 1. Well log 2. Pump install log i' 3. Water sample results for total coliform, nitrates and arsenic. Received By: ,?gyp Date: Issued By: / �G Date: �� -.'WN,1!C[PAU-fY OF ANCHORAGE Cli-)7- Ye-vlo'p-n—ient Sep�ices Deoa:rtment Phnno; 343-7'" On -'Site Water & Wastewateto Section Fax: 907-3,13-7— QN-S ITE SEPT] C.IVVELL PERMIT APPLIGATI ON, Parcel l.D. 076-032-16 Propedyowner(s) All Hallas Day phone 907 301 9017 Mailing address P-0- BOX, 1360 Site address 165 Annem Cirde Legal desc6ptlon (Sub'd., Block. & L01) Raven Mountain Est,'Block:j Lot 2, Legal descir[ption (Township, Range & Ser;tlon) LGt &ze 50,246 - Sq, Ft. Number of Bedrooms 3 APPLICATION IS FOR - 0 all that apply[ Absorpfion Field E] Septic Tank Z - Holding Tan.k. D Prh7 17 Private Well Water Storage ❑ APPLICATION M AN; TYPE OF DWELLING: Single Far nl�y iSF) (%ldwo AD U, Duplex (0) . ❑ Rene Renxal Mu Itiple Dwell[ings (SF andlor D) THIS APPLICATION INCLUDES A WAIVER REQUE=ST. T FOIA. Distanca: I,*r-ti11'y t the above inf� nation is correct, Ifurther r,,ertify that this Is in accaTdance with 913pbs0blOvIunicipal Codos, ySignature of propety mtmor or authorized agent.' ParriniVRusli Fees: N151 101-V5- VVaiver Fees:, Date of Paym.ent,,. Receipt Number: Permit No- o -e 6 5-A0F Date of Payment: Reueiot N urriber Waiver No, COVID-19 `5% DISCOUNT APPLIED r moi'Y�Yh Ott IWO t 1t M CD s"`,i CL Q 4• ti 'v h In t fa V 4 ' Municipality Anchorage NAY Ct• _ of =LL' �, t> Development Services Department // Building Safety Division 13 On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSP111216 PID Number: 076-032-16 Name: Jill Marie Hellas Wastewater System: ✓ New ❑ Upgrade Address: P.O. Box 1360 Girdwood, AK 99587 ABSORPTION FIELD Phone: Number of Bedrooms: 1 0 Deep Trench Q] Shallow Trench 0 Bed 0 Mound 0 Other. LEGAL DESCRIPTION Soil Rating: s GPD/F9 Total Depth from original grade: 6.0 Ft. Block:1 Lot:2 Subdivision: Raven Mtn. Est. No. 1 Depth to pipe bottom from original grade: 2.0 Ft. Gravel depth beneath pipe: 4.0 Ft Township: Range: Section: Fill added above original grade: 2-3 Ft. Gravel Length: . 76 Ft. Well: ❑ New ❑ Upgrade Gravel width: 5 Ft. Number of lines: 2 Distance between lines: >10 FL Classification (Private. A. B. C): None Total Depth: Ft. Cased to: Ft. Total absorption area: 760 Ft2 Pipe Material: ASTM D3034 PVC Driller - Date Drilled: Static Water Level: F< Installer. PCN, Inc. Date Installed: 10113-15/2011 Yield: GPM Pump Set at: Ft. Casing Height Above Ground: FL TANK SEPARATION DISTANCES rA Septic ❑ Holding • S.T.E.P. ❑ Other. To From Septic Tank Absorption Field Lift Station Holding Tank 'ublic/Pdvate sewer Line Manufacturer. Anchorage Tank Capacity: 1,000 Gal. Wert N/A N/A N/A N/A N/A Material: Steel Number of Compartments: Two Surface Water >100' >100' N/A N/A LIFT STATION Lot Line >51 >10' N/A N/A Size: Gal. Manufacturer. Foundation >5' >10' N/A N/A "Pump on" level at "Pump or level at: High water alarm at: Curtain Dram None Noted Pump Make & Model Electrical inspections performed by: Remarks: BENCH MARK Location and Description: Top of Foundation. Assumed Elevation: 100.00 Ft. MEA at 1 0/1 312 0 1 1 Inspections performed by: Dates: 1 Eva �°' L. 1., ... 2nd 10/14/2011 :� • ��P,.• ,5'--# Development Services Department Approval P p PP Conditional Approval Date: :*:•e "7 49 Thr �q.. e ti...0 Cn.... ., - - $ en M1CHA8 E. ANDERSON ,� / Reviewed and approved b Litt, ilt%/,IA Date: S4o7 V/ %3 / , ♦s•�.• a-4381 , 4 • +h� PROPESSt�n'• �♦� I.ti (Rev. 04106) 11 iki'" NeIt A 0 RAVEN MOUNTAIN ESTATES NO. CO N r a co 7O N O Q E o. Z O ,"", 0 E w 0 t W Cc„ 0 £ J U El s H w coa t y ft r T) 3 y "" c N a W X p 0 VI IL W w°°>°CN t° Qo o Q - I-XW< U O LL J h CO m 1 O J LQ 7 1f1 H Ci V1 O N t") tc0 h V N W Lri N O O r rn n d N 0=0 O a 1- O J 5.5 H 124 VJ Q z Q 0_ 8 0 LJ -J Q U N Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP111216 l� 100.1 Finished 96.3 y 99.0040„ U folU co rInsulation 111 1111] , 000 Gallon Septic Tank Finished Grade 96.1 97.75 Page 3 of 3 PID No. 076-032-16 to U Original Ground Geotextile Fabric 91.75 co Drainfield Rock 2 38' (Trench Length) EAST TRENCH 1 96.75 99.0 fFinished Grade U Original Ground Geotextile Fabric Drainfield Rock 90.75 86.75 2 f/ 10!14/2011 86.75 83.75 38' (Trench Length) WEST TRENCH PROFILE AS -BUILT No Scale 95.8 94.8 ?MICHAEL E. ANBERSON; W• v- .• No. CE -438t 'ti*� .�10O ESS\•. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 DEPTH (feet) 1 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: PERFORMED FOR: DATE: 10/13/11 PARCEL ID#: LOT 2, BLOCK I, RAVEN MOUNTAIN ESTATES SUB. JILL HALAS OB/OG PROJECT No • TECHNICIAN: M. ANDERSON TEST HOLE 1 SILTY SAND WITH GRAVEL 4 • SW/GW a BOH @ 13' SLOPE WAS GROUND WATER ENCOUNTERED9 NO IF YES ® WH DEPTH OF WATER AFTER MOl DATE OF MO Professional Engineers Stamp: SITE PLAN SEE SITE PLAN \T DEPTH? IITORING: NONE gITORING 10/20/11 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 10/13 1 10:35 3.38" 2 11:05 30 5.38" 2.00" 3 11:06 3.25" 4 11:36 30 5.00" 1.75" 5 11:37 3.50" 6 12:07 30 5.25" 1.75" PERCOLATION RATE: 18 (MIN/INCH) PERC. HOLE DIA. 10" (INCHES) TEST RUN BETWEEN: 4.0 FT. and 5.0 FT. COMMENTS' TEST HOLE PRE SOAKED PRIOR TO TEST. TEST HOLE DEEPENED TO VERIFY LACK OF BEDROCK. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE• 10/20/2011 On -Site Water & Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111216 Tax Code Number: 07603216000 Work Type: WellSeptic Initial Permit Effective Dates: September 14, 2011 Design Engineer: Subdivision: RAVEN MOUNTAIN ESTATES #1 Site Legal Address: RAVEN MOUNTAIN ESTATES #1 BLK 1 LT 2 G:4018 to September 13, 2012 ANDERSON ENGINEERING Owner/Address: HALLAS JILL MARIE PO BOX 1360 GIRDWOOD AK 995871360 Site Mailing Address: 165 ANNEX CIR, Girdwood Lot Size in Sq Ft: 50246 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: Prior To Construction: A test hole shall be excavated to verify no bedrock or impermeable soil is within 6 vertical feet of the bottom of the drainfield. The results shall be submitted with the final inspection report. Special Provisions: Change Order 1: New design by Anderson Engineering. Received By: Date: —/ —,/ Issued By: l ��.,� �1�1 i ��'? Date: c / f ;`%% • • Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 076-032-16 Property owner(s)JILL MARIE HALLAS Day phone Mailing address PO BOX 1360 GIRDWOOD, AK Zip Code 99587 Site address 165 ANNEX CIRCLE, GIRDWOOD Zip Code 99587 Legal description (Sub'd., Block & Lot) RAVEN MOUNTAIN ESTATES #1 BLOCK 1, LOT 2 Legal description (Township, Range & Section) Lot Size50,246 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field © Initial Septic Tank ❑X Upgrade Holding Tank ❑ Renewal Privy ❑ Private Well ❑X Water Storage ❑ 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. Pyr Cpi __AQGTEQpp ,gvt,tk svv► F keer (Signature of property owner or authorized agent) /Permit/)=2ush Fees: Date Payment: Receipt Number: (Rev. 11/05) Waiyer Fees: ate of Payment: l, ) 1 Receipt Number: �� t ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) October 9, 2011 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Block 1, Raven Mountain Estates Subdivision No. 1 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 2, Block 1, Raven Mountain Estates Subdivision has constructed a new three-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed septic system along with the alternate site. Also identified on the plans are the existing wells and septic systems on surrounding lots. No conflicts exist between the proposed septic system and well or septic systems and wells on adjacent Tots. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. A test hole was recently placed on the lot in the area of the absorption trench and alternate site. The log indicates well graded sand and gravel (SW/GW) in the zone specified for the absorption trench. The percolation rate of the soil was determined to be 16 minutes per inch. No groundwater was found during the placement of the test holes and was recently noted at 10' below the surface during the monitoring period. An application rate of .6 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1,000 -gallon septic tank and 2- 38' long by 5' wide by 4' effective depth absorption trenches to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 2' below the surface and the total depth will be 6'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. A flow splitter valve will be placed to insure even flow to each trench. The ground surface on the lot in the area of the septic system slopes to the southwest. The new trench will be constructed parallel with the contours of the slope as much as Lot 2, Block 1, Raven Mountain Estates Subdivision No. 1 October 9, 2011 Page Two possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any Tots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, 7'1-t 1 Michael E. Anderson, P.E. Attachments LOT 2, BLOCK 1, RAVEN MOUNTAIN ESTATES NO. 1 DESIGN FACTORS: Three Bedroom Home Perc. Rate: 16 Min./Inch Application Rate: .6 GPD/SF SYSTEM REQUIREMENTS: 5' Wide Trench System 1,000 Gallon Septic Tank 4' Drainfield Rock 3 Bedrooms * 150 GPD/Bedroom = 450 SF Absorption Area 450 SF/.6 GPD/SF/5 SF (Width) *.5 (Red. Factor)= 75 LF Trench Length THEREFORE: Construct 2-36' Long x 5' Wide x 4' Effective Depth Absorption Trenches at the Location Shown. Flow Line Elevation in Trench to be 2' Below Original Ground Surface. Total Depth to be 6' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. Place Flow Splitter Valve to Insure Even Flow to Each Trench. 1'6" 6" 4' 5' I I Geotextile Fabric 4" Perforated PVC (Holes Down) Drainfield Rock TYPICAL 5' WIDE TRENCH SECTION NOTE: 4,0016117111104 (NO SCALE) • •••;-s 0 '�.q b 49th Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Private Wells in the Area. Minimum 100' Separation From Surface Water or Streams MICHAEL E. ANDERSON /5: • •G2'•: ,. 444,•uisI No se • AK. Yien CIERRItt AfiiIR C T ERRA CONSULTING, INC 212 E. 51st Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Performed for: Till Hallas Project: Depth (Feet) 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19 - SOILS PERCOLATION TEST Raven Mountain Est. #1 B1, L2 • ! P •• . S�• I. 0 CO ••• ,� •� • se woe's•• •••s• •••• j • • $ 13•14 • t NM• 44;4.•% CE • 711 •• Z4d • 1 •• 1 1`pROFESSIO`ur Date Performed: O�I%te TEST HOLE # TH 11-1 ORG/OL GW/SW — dense w/ sand increasing with depth B.O.H. HOLE PRESOAKED 20- PRIOR TO TESTING SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? DRY Date? 8/ 3/ 11 Reading Date Gross Time Net Time Depth to Water Net Drop 1 7/27/11 1:00 - 6" - 2 1:30 30 min 4" 2" 3 * 1:31 - 6" - 4 2:01 30 min 4 2/16" 1 14/16" 5 * 2:02 - 6" - 6 2:32 30 min 4 2/16" 1 14/16" 7 8 9 10 11 12 * Water Added Percolation Rate 16 (min/in) Perc Hole Diameter 6" Test Run Between 5 feet and 6 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date.