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Home My WebLink AboutRAVEN WOODS BLK 1 LT 8Raven Wood Block I Lot 8 #015-232-08 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221014 PID Number: 015-232-08 Dwelling: 7 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 9 Upgrade Name p9 BETTY KIRK ABSORPTION FIELD Site Address 6100 TRAPPER TRAIL RD, ANCH AK V Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Phone ❑ Other Number of Bedrooms Soil Rating Total depth from original grade 4 0.8 GPD/sF 8.5 LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Ft Subdivision Block Lot 2.0 RAVEN WOODS BLK 1, LOT 8 Ft. 8.5 Ft. Townshi Fill added above original grade Gravel length p Range Section 1-2'+ Ft. 59 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 2.0 Ft. _ To Se tic Abso tion Total absorption area Number of trenches Dist. between trenches t p rp Holding Sewer P From Tank Field Lift Station Tank Line 75 Ft2 1 Ft. Well 100'+ ��' 1 501+ TANK 9Septic ElS.T.E.P. ❑ Holding ElOther Manufacturer Capacity Surface Water 1001+ 100'+ GREER TANK 1250 Gal. Material Number of compartments Lot Line 1 0'+ **g'+ NA PLASTIC 2 Foundation *91+ 101..E LIFT STATION Manufacturer Capacity Remarks * TANK OUTSIDE BEARING PRISM Gal. LOT LINE WAIVER REQUESTED Alarmlocation Electrical installed by Installer PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 MIKE N ANDERSON, P.E. Dratnfield 3034 CO/MT 804 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 104.5 ft Inspection .Is, 2/14/22 2nd 2/16/22 Location and description 3rd 41h TOP OF TANK MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval:`�= <' =; r Date .. .. `$9TTi Septic S fr�rcr ' ' • • . , Approved Z _Z Z -Z . Date .. CE - 94 9 Note: this a v ''l ' . •' pproval does not include well permit requirements. � `� t��,",",.�,l.' � • - (Rev 05/02/18) NI- Permit No. OSP221014 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: RAVEN WOODS BLK 1 LT 8 MA K A / B c0'1-4 18 48 TCO 15/ 55/ TCO 18 66 COC 19 62 CO2 63 VVAVE 27 64/ C c 4 20 6S C 51 43/ / 8,7 C 6 93 92/ NEW 1250 GALLON PLASTIC TANK DRIVE (D I WELL SBA4ILT--.; /SCALE: 1 50" PID No.: 015-232-08 5 .0 co BENCH, TOP OF MH SEPTIC SECTION DRY FEB 2022 N.T.S. a OF 114 tit OG 100 ............. IW ff . 49 LH - I 118 '\-*.MICHAEL N. ANDERSON:', •No. CE 9469 %*%.2-17-22 Feb. 21, 2022 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: 8' Lot line waiver Legal: RAVEN WOODS BLK 1 LT 8 To whom it may concern: This is a request for an 8 foot lot line waiver on the above referenced lot. Due to - heavy snow conditions the survey markers were -slightly off which caused the trench to be too close to the property line. The granting of this waiver will not impact any of the neighboring properties in any way. Sincerely /�7w' Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage n n�sn Ucp;u nncnt P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV221015 COSA Permit#:OSP221014 PID#: 015-232-08 Legal Description: Raven Woods BLK 1 Lot 8 Engineer: Mike N Anderson Applicant: Betty Kirk Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the lot line has been approved. The approved separation distance is 8. This waiver approval applies to the Existing Error! Reference source not found. only. Any future upgrade to the on-site wastewater disposal: system will require all separation distances be met or another approval from this department ❑The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. QQAdjacent properties are not affected by this waiver. ............................................... ■ .................. 0 R E X E E a 0 N a E 1 Waiver is Granted: X Waiver is not Granted: Date: G Z Z 7 Approved by: Name of Reviewer **** VARIANCE/WAIVER REVIEW **** A. I 49 TH D O SHANE A. HOLT .' a 1p P LS -6914 4��i Iessiona� �oo iR EAST 312 D'4 AS-BUILTSURVEY 1" =40' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 8, BLOCK 1, RAVEN WOODS SUB. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS THE/NFORMAT/ONHEREON /SFORTHE USE OFLENDING/NST/TUT/ONSSPECIFICALLYTOSHOWANY EXIST OTHER THAN NOTED. CONFLICTSBETWEEN EXISTINGSTRUCTURESAND PLATTED LOTLINESAND/OR EASEMENTS.AND IS DATED AT ANCHORAGE ALASKA THIS 17 TH DAY OF NOT TOBEUSEDFORPOS/TION/NGADDITIONAL STRUCTURES. IMPROVEMENTS. ORFENCEL/NES. _ EASEMENTS OFRECORD, OTHER THAN THOSEAPPEAR/NG ON THERECORD PLAT, ARENOT5HOWN FEBRUARY , 2622. HEREON ( UNLESS INDICATED) NOTE' FENCELINES THAT MAYAPPEAR ON TRIS DRAW/NGARE NOT TO BE USED TO DETERMNE PROPERTYL/NES OR POSITION ADDITIONAL IMPROVEMENTS HOL 7 LAND SURVEYG'VG ANYPAVINGSHOWNHEREONMAYBEAPPROX/MATEDUETO EXCESSIVESNOWAND/OR/CE. 930.9 CROVER DRIVE ANCHORAGEAK 99507 15255, FB 217-66 220-46 2238615 MUNICIPALITY 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.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221014 Work Type: Septic Upgrade Tax Code Number: 01523208000 Site Legal Address: RAVEN WOODS BLK 1 LT 8 G:2738 Site Mailing Address: 6100 TRAPPERS TRAIL RD, Anchorage Owner: KIRK BETTY J Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Effective Date: Expiration Date �renr X01' S, IJ o Department Lot Size in Sq Ft: Total Bedrooms: 2/8/2022 2/8/2023 68825 This permit is for the construction of: Q 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.(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 rchange Provisions: The edge of the existing seepage pit nearest to the proposed field shall be located prior to ction of field to confirm minimum 13 ft separation between fields. If proposed field needs to move, a order shall be submitted so that all required separations can be confirmed. Received By: _ _� n Date: Issued By: GurV ��l' Date: a 2 0,� 2 4 MUNICIPALITY OF ANCHORAGE Development Services Department' r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-232-08 Property owner(s) BETTY KIRK Day phone Mailing address 6100 TRAPPERS TRAIL RD, ANCH AK Site address 6100 TRAPPERS TRAIL RD ANCH AK Legal description (Sub'd., Block & Lot) RAVEN WOODS BLK 1 LT 8 Legal description (Township, Range & Section) Lot Size 68,825 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field [1 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank . 0 Upgrade � Duplex (D) ❑ Holding Tank E-1 Renewal ❑Multiple Dwellings ❑ Privy El(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. (Signature of property owner or authorized agent) Permit/Rush Fees: $.5`l S Date of Payment: f� 7 ('-'ZZ' -Z- Receipt Number: fLHtiSZ Permit No. 05 P2?_ 101 Ll Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Feb. 8, 2022 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Septic Permit Legal: RAVEN WOODS BLK 1 LT 8 To whom it may concern: This is a request for a septic permit on the above referenced lot. A test hole was excavated and found poorly graded gravels mixed with sands (GM/SM) for the entire depth with no water during or after 3 days of monitoring. The existing 3 bedroom concrete tank and the 500 gallon steel tank will be decommissioned per the MOA guidelines but the old seepage pit will be used for a secondary system. From the MOA design file its difficult to determine where the seepage pit is located, therefore it will be excavated to determine its exact location. Once the pit is located the new trench might move slightly. A new 1250 gallon plastic tank and deep trench has been designed for this new system, see the drawing. The lot slopes to the southwest very gently at about 5 to 6 percent into a small bowl area. This new system will not impact any of the surrounding neighbors due to the large lots size. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221014, Rebecca Carroll, 02/08/22 SEPTIC FIELD SECTION DESIGN CRITERIA: 6.5' EFFECTIVE 4 BDRM X 150 = 600 GPD SOILS = 600/0.8 = 750 SQ FT REQ'D 750/2(6.5) = 57.7', USE 58' 2.0' WIDE 58' LONG (1) TRENCH 8.5' DEEP -17' (TH#1) -1' SM/GM OR 2.0'2.0' -8.5' -2.0 MOUND OVER FILTER FABRIC SEWER ROCK 3,3( GRADE 1"=200' PROPERTY LINE PROPOSED DRAINAGE FIELD6.5'EXISTING WELL 100' RADIUS -TRAPPERS TRAIL ROAD-BUNNYSLOPE-GRIZZLY AVE- SCALE: DJRDRAWN: DATE: RAVEN WOODS, BLOCK 1, LOT 8 Anchorage, Alaska BETTY KIRK 1/15/2022CIRCLE -TRAPPERS TRAIL ROAD-EXISTING HOUSE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221014, Rebecca Carroll, 02/08/22 PROPOSED DRAINAGE FIELD PROPOSED 1,250 GALLON PLASTIC SEPTIC TANK 1"=50' TH#1 EXISTING SEPTIC TANK PROPERTY LINE EXISTING HOUSE EXISTING CARPORT EXISTING WELL 100' RADIUS WELL RAVEN WOODS BLOCK 1, LOT 7 SCALE: DJRDRAWN: DATE: RAVEN WOODS, BLOCK 1, LOT 8 Anchorage, Alaska BETTY KIRK 1/15/2022 D R I V E W A Y DRIV E W A Y RAVEN WOODS BLOCK 1, LOT 8 RAVEN WOODS BLOCK 1, LOT 9 RAVEN WOODSBLOCK 1, LOT 5-TRAPPERS TRAIL ROAD-CO CO DCOTCO TCO CO CO WELL MT 10' OFFSET TO BE STAKED BY SURVEYOR5-6% SLOPE5-6% SLOPECONTOUR LOW POINT 1' CONTOURS TYP Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221014, Rebecca Carroll, 02/08/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221014, Rebecca Carroll, 02/08/22 Q 49 TH Y 0 s SHANE A. HOLT m c LS -6914 O'essions� �aoo EAST 312 64 ASBUILTSURVEY I" =40' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 8, BLOCK 1, RAVEN WOODS SUB. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS THEINFORMATIONHEREONISFORTHEUSEOFLEND/NGINSTITUTIONSSPECIFICALLYTOSHOWANY EXIST OTHER THAN NOTED. CONFLICTSBETWEENEXISTINGSTRUCTURESANDPLATTEDLOTLINESAND/OREASEMENTS, AND/S DATED AT ANCHORAGE, ALASKA THIS 7 TH DAY OF NOT TO BE USED FOR POS/TION/NGADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES — EASEMENTSOFRECORD, OTHER THAN THOSEAPPEARING ON THERECORD PLAT, ARENOTSHOWN _OCTOBER , 2021. HEREON ( UNLESS INDICATED) NOTEFENCELINES THAT MAYAPPEAR ON THIS DR4 W/NGARENOT TO BE USED TO DETERMNE PROPERTYLINESORPOSIT/ONADDIT/ONAL/MPROVEMENTS HOLT LAND SURVEYING ANYPAVING SHOWN HEREON MAYBEAPPROXIMATEDUE TO EXCESSIVESNOWAND/OR ICE. 15255, FB 217-66 9309 GROVER DRIVE ANCHORAGE,AK 99507 345-5513 MUN CI.ALIT¥ Or ANC.ORAGE DE.ARTMENT Or .EA'T. · E.WRONME.TAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 826 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS LEGAL DESCRIPTION ~ Well t Absor&tion area /~g ~ Manufacturer ~ ~Liq. capacity in gallons ~ IF HOME,D" Inside length ~Z ~~ ~ DISTANCETO'. IWell ~ Manufacturer Well Foundation ~ ~ DISTANCE TO: ~ · ~ No. of lines Length of each line ~ Top Of tile to finish grade ~ ~m Length Width Depth ~ ~ Type of crib Crib diameter Crib depth Well c,a; ~ Class Depth Driller ~ ISTANcE TO: Building f~undation Sewer line Dwellin~ Mater a Width ~ PHONE OTHER PiPE MATERIALS SOl L TEST RATING , INSTALLER REMARKS NO. OF BEDROOMS No. of compartment~d~ Liquid depth PERMIT NO. Material Liquid capacity in galrons Nearest ~ot line PERMIT NO. Total length of lines Trench width Distance between lines inches Material beneath tile Total effective absorption area inches PERMIT NO, Total effective absorption area Building foundation Nearest lot line Distance to lot tine PERMIT NO. Septic tank Absorption area(s) ~f-013 (R~v. 3/7~) ~ DATE LEGAL GI~TER ANCHORAGE AREA BOROI~H DEPARTMENT OF ENVIRONMENTAL OUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME .,~/~-'- ~'~/""~/(~ ~/',,~, ~/~...,, ) MAILING ADDRESS ~'~"~).~ -""~'-"~.~-/J/--'f~5~' PHONE //~'/' LOCATION ~'"~'~,~"f.,~.,,~'~_.C' 7,~(.."'~/~ ~:"~J~.~' LEGAL DESCRIPTION ~'7" SEPTIC TANK: DISTANCE FROM WELl ,/,::~ O LIQUID CAPACITY ./,.~'~) ~2 ,~ GALLONS. NUMBER OF / MATERIAL ~,~::"~?-'(~'~ ~C'~'~/J'/'~'¢'~'~-- CO.~PARTMENTS iNSIDE LENGTH ~ INSIDE WIDTH ~ DEPTH~ SEEPAGE SYSTEM: SEEPAGE PIT: c~'~'~'c'~-~c~ ~ NUMBER OF PITS / OUTSIDE D~AMETER ~ OR WIDTH LINING MATERIAI('~/r¢/-~'-~' //-~ "-~'~'t~'''~'' . DISTANCE FROM WELl NEAREST LOT LINE ~ ~-~' '" ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH '~'~...'~'(' / , DEPTH BUILDING FOUNDATION ~ ,:~,~' SQ. FT. TILE DRAIN FIELD: NUMBER OF LINES TANCE BETWEEN LINES __ DEPTH: TOP OF TILE TO FINISH GRADE .DEPTH OF FILTER MATERIAL BENEATH TILE LOT LINE /~4 '" ~ NEAREST .-, SEPTIC . , SEWER LINE ,/f'2 7* :lANK TOTAL LENGTH , OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE __ WATER ~'- SAMPLE ,/~/~'K-'/'~:'~ , NEAREST SEEPAGE '~ OTHER SYSTEM /'~'~ , CESSP~DO[ ,/~/~./~'~, SOURCES~/I/~Z~'/~ DISTANCES: DATE DIAGRAM OF SYSTEM PERMIT NO. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 ~L~ STREET., AN~HORRGE., AK. 264-4720 6,[-4 25 I TE 5EF~EF~ LIF"C-JRR[~E P EF~4 IT 79009? ) RPPLICRNT LOCATION LEGAL JAMES KIRK TRAPPERS TRAIL L8 B1RRVENWOOD S/D SRR BOX 1624-R 344 9±52 LOT SIZE 40000 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: DRBINFIELD MAXIMUM NUMBER OF BEDROOMS = 5 SOIL RATING THE REQUIRED SIZE OF THE SOIL 8BSORF'TION SYSTEM IS: B, EPTH= £1 I_E[-~GTH= 0 ,.3 F~ R'..¢ E L ["- EF'TH= 0 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 EXCRVRTION (IN FEET). THE TE:E~4~}~ bJI[)TH IS El. EdEIEl FEET THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRL. L PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F-:E L---~LJ I F.:E [:, SEF'T I C TR~-~F--: S I ZE--- 5E40 G F~L_ L C) ~-~'--=. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE] INSTRLLRTION INSPECTIONS OF ANY WELLS ADJ8CENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE l'~O (2) I~SPECTIC~f-~S ARE BACKFILLING OF 8NY SYSTEM WITHOUT FINAL INSPECTION RND DEPARTMENT WILL BE SUBJECT TO PROSECUTION. RE~]L~I APPROVAL BY THIS MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVATE WELL; OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WEU OTHER REQUIREMENTS M8Y ~PPLY. SPECIFIC8TIONS BND CONSTRUCTION DIAGRAMS ARE 8V~IL~BLE TO INSURE PROPER INSTBLL8TION. F"EF~I'-I I T E.'~:P I RES [:,E(-:E~"IBEF~ 3:.t.., I ~.ERTIF¢ THAT i: I BM FAMILIAR WITH THE FORTH BY THE MUNICIPBLITY OF ANCHORAGE. 2: I WILL INST8LL THE SYSTEM IN AC:CORD8NCE WITH THE CODES. _R~ I UNDERSTAND THaT THE ON-SITE SEWER SYSTEM M8'Y REQUIRE ENLBRGEMENT RESIDENCE IS R~OD~D.iTO INCLUDE flORE THAN 5 BEDROOMS. //Jj S I GNED ' ~. ~ .............. -- _ REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS RS SE]' IF THE V3:. 2 GreaTer ANCHOrAgE AreA BorougH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT LEGAL DESCR,PT,ON INSTALLATION OF: SEPTIC TANK TYPE AND ~IZE Of FAGILITY TO BE ~eRVED FINANCgD THROUGH COMPLETION DATE ANTICIPATED SEEPAGE PIT ~ DRAIN FIELD PRONE OTHER NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL IN~ECTION BY THE SEPTIC TANK S[:ZE I~[~) MINIMUM DISTANCES, REQUIREMENTB FOiJNDAT[ON TO SEPTIC TANK FOUNDATION TO seePAGE PIT ~ ., DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK ~ SEEPAGE Pit -, DRAIN FIELD to NEAREST LOT LINE. W~'LL TO SEPTIC TANK '~ _, SEEPAGE Pit DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC T~NK DRAIN FIELD ~EPTtC TANK, '~ , SEEPAGE PIT DRAIN FIELD TO riVER, LAKE, ~TREAM. CAST [~_RO~N [NTO~AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WiTH AirtigHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHO~NE~YROR LICENSED I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED-SYSTEM IS IN ACCORDANCE WITH SAiD CODE. DATE DIAGRAM OF SYSTEM GRE~ER ANCHORAGE AREA DEPA~ENT OF ENVIRON~4E~TAL QUALIJm~m~. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For Hills Excavating Legal Description Lot8 Block 1 This Form Reports Soils Log. Date Performed 9/15/71 Subdivision~~(~//zq~//~.~x~/s~. Percolation Test Depth Feet Soil Characteristics Tan silt (CL) Gray sand (SW) Gray silty sand (SM) Gray sand (SP) W~s Ground Water Encountered? no If Yes, At What Depth? iN Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit x Drain Field Depth Of Inlet .Depth To Bottom Of Pit Or Trench__ COMMENTS: 175 square feet of drainage area is required per bedroom with the cri-b set from a de~th of 41 to 10'. Test Performed By R. E. Carlisle Data Certified By: Date: John M. Lambe, P.E. .- - ._ Anchorage, Alaska, ggS$,~- ,~OY.,2,7.~-$g~-- ~"/Z.C~ I$.,l_w~e~'~¢~t. NEW PHONE NUMBER 276-4113 SOIL ABSORPTION SYSTEM TEST PERFORMED FOR: . _ __ ~ · . TELEPHONE: DATE OF TESTS:~ LE~ DESCRIPTION: ~ rS,._. . ) NO. OF FI~E: ' BED~00MS: ~ R~C~DS ON CRIB DRAINFIELD ~I~ OTHER ~ TEST PERFORMED IN ACCORDANCE WITH JML STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ANCHORAGE, DEPT. OF ENVIRONMENTAL QUALITY ON WITH THE FOLLOWING MODIFICATIONS: SURGE CAPACITY: SOIL ABSORPTION SYSTEM (SAS) ABSORPTION RATE-.~ AVERAGE 24 hrs STEADY STATE @,, RIS2 OBSERVATIONS: /~SGor'~ l"&.~ ~ · ' NOTES: SUPERVISED BY: ~ ~ ' . ~ TEST DATA ATTIC ~_ ~ ~/~ ~ /~, / JML John M. Lambe, P.E. LEGAL DESCRIPTION: L.. . . DEPTH BELOW METER READING GALLONS PUMPED TIME J John M. Lambe, P.E. 4303 Norl~ Star Street Anchorage, Alaska, 99503 907-279-8056 DEPTH BELOW-~ METER READING GALLONS PUMPED TIME .rEF~SE~CE ( GA~LOUS ) ( rE~ ) JML John M. I_aml:m, P.E. 4303 North Star Strut.. REFERENCE: Anchorage, Alaska, 99503 907-279-8056 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~6~~e~:' 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 O ~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10) days for processing. PROPERTY R ESI ~NT ~lf different~rom above) PHONE MAILINGADDRE 3, LENDING INSTITUTIQfl MAILING ADDRESS PHONE PHONE 6. TYPE OF RESIDENCE [~SING LE FAMILY [] MULTIPLE FAMILY []Two [~1~.~ ~_.~ [] Three [] Six 7. WATER SUPPLY []~INDIVIDUAL* / *ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY ~0~ since June 1975. For wells drilled prior to that date, give well [] P U B LI C UTI LI TY ~,-;'//~d ,/~ ?d depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM D~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date-~'/~;< ~"-1/~' ~! !f :;':tom !: cv~r twe {2) v~r: eld ~ ~dequ~c? t~tt i: req'~r:'J NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72~H 0(3/78) THIS SIDE FOR OFFICIAL USE ONLY ~ DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED [~PUBLIC UTILITY (:~il~-- -~ [ Connection Verified []Septic Tank or [] Holding Tank Size: /OF-)/,.)IfTank. ishomemacle SOILS RATING [~Q~ give dimensi°ns~'-'~ [ -~ 5--~'- TOTAL ABSORPTION AREA MATERIAL wer~)~ --..4' DISTANCES WELL TO: Septic/Holding Tank[~ Absorption~ ~'-~Area Se Nearest Lot Line Absorption Area to nearest Lot Line COMMENTS [~CONDITIONAL APPRO-VAL (letter must accompany certificate) 72-010 (Rev, 3/78) )RU'5H MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of. On -Site Systems Approval Parcel I.D. 015-232-08 1. GENERAL INFORMATION Expiration Date: -�'` ZS 2 Z Complete legal description RAVEN WOODS BLK 1 LT 8 Location (site address) 6100 TRAPPERS TRAIL RD, ANCH AK Current property owner(s) Betty Kirk Day phone Mailing address Same Real estate agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ . Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2gO 4 ),6,g Date of Payment Receipt Number COSA # 05C12 -2-106r) Waiver Fee $ 2_2,5- t / 3 Date of Payment Receipt Number Waiver # 05 z?_) d 15 5. 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm MIKE N ANDERSON, P. E. Phone 727-8864 Address 4661 NATRONA AVE ANCH AK Engineer's Printed Name MIKE N ANDERSON, P.E. Date 2/12/22 6. DSD SIGNATURE System #1 Approved for 4 _ System #2 Approved for Disapproved Conditional approval for ,/_g9 OF 4 9 r .- 4 bedrooms MICHAEL. N. • 7* ANDifi5CN - , •ar: bedrooms j`%�••• vis bedrooms, with the following stipulations: NNCHp J v �\0\\� Llww pMENT By: Original Certificate Date: Z ^ 2 -Z The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet LRI Legal Description: RAVEN WOODS BLK 1 LT 8 If more than 1 septic system on lot: COSA Checklist # A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UN Total depth 200+ ft Cased to >40'+ ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 1/30122 Parcel ID: 015-232-08 of Structure served by this system Well production at time of test 1.2+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by MNA Date of Sample 11'30/2' Static water level at beginning of test 176 ft. Comments Hefty Drilling did the well flow test but didn't find the bottom B. TANK DATA Age of tank(s) new years Tank type/material Measured operating fluid level in septic tank new ❑ Standpipes/foundation cleanout per record drawing Date of pumping new D. ABSORPTION FIELD DATA new 4 bedroom system Which system tested (date installed) 2/16122 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.6 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date NEW Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) _ date of test) Gallons introduced 0 gallons If yes, enter date Com ments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ✓Q Yes Community Sewer Manhole/Cleanout > 100' ✓❑ Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' Yes if No ft Private Sewer/Septic Line > 25' ❑✓ Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No ft ❑✓ Yes if No ft if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft ❑✓ Yes if No ft From Septic/Holding Tanis on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *9 ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5' ✓Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10'- 0 Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' Q Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 8 ft Wells on Adjacent Lots-- ots:Water WaterMain > 10'✓❑ Yes if No ft Private Wells? 100' ❑✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS *new tank is < than 10' from foundation, not in the foundation bearing prism ** lot line waiver requested G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet