HomeMy WebLinkAboutRAVEN WOODS #1 BLK 4 LT 2Raven Woods
Block 4
Lot 2
#015-232-31
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE .~"(_~O
FROM WELL' '
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
MATERIAL
NUMBER OF 2~
COM PA RTMENTS
LIQUID DEPTH
LIQUID CAPACITY ~/~:;) GALLONS.
TILE DRAIN FIELD~""F.,'t,~w~
DISTANCE FROM WELL ,,.~,o FOUNDATION
(
NUMBER OF LINES DISTANCE BETWEEN LINES
ABSORPTION AREA ~'~-~ SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE~~ (1~'MATERIAL DEPTH OF FILTER BENEATH TILE
.NEAREST LOT LINE
OF LINES
TRENCH WlDTFI-~ IN. TOTAL EFFECTIVE
IN. ABOVE TILE ~'~ ~! IN.
WELL:
TYPE_~ CONSTRUCTION
BUILDING ~.~ ¢NEAREST NEAREST
FOUNDATION ~ , LOT LINE__, SEWER LINE
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH
SEPTIC SEEPAGE
, TANK . SYSTEM
-DISTANCE FROM:
DISTANCES:
INSTALLED BY:~~
SEWER LINE DEPTH:
PIPE MATERIAL'
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE
APPROVED ~
G.A.A.B.
PERblI T NO.
RPPLICBNT
LOCRTION
LEGRL
R~LPH KRLENKB, 4001 COPE ST
TRBPPERS TRBIL RD
L2 84 RRVEN WOODS SUBD RDDN ~l
LOT SIZE
98010 SQURRE FEET
T~'PE OF SOIL RBSORBTION SYSTEbl IS: TRENCH
MB~IMUM NUMBER OF BEDROOMS = ~~SOIL RBTING (SQ FT?BR)=
THE REQUIRED SI~E OF THE SOIL 8BSORPTtON SYSTEM IS:
i25
DEPTH= -1 8 LENGTH= -.~_GRRVEL [)EPTH= 6
THE LENGTH DIMENSION IS THE LEN~ EET)-OF THE TRENCH OR DRBINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE 80TTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRYEL BETWEEN THE OUTFRLL PIPE
8ND THE 80TTOM OF THE EXCBVRTION (IN FEET).
REQUIRED SEPTIC TRNK SI ZE: B ,GRLLONS
-I"WO ( 2 ) I I'-.~SPEI~-T IONS FIRE REI~-~.U I RInD
8RCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPBRTMENT WILL BE SUBJECT TO PROSECUTION·
MINIMUM DISTRNCE BETWEEN 8 WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
~i00 FEET FOR R PRIVBTE WELL OR 200 FEET FOR R PUBLIC WELL.
WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
SPECIFICRTIONS RND CONSTRUCTION DIBGRBMS 8RE 8VRILRBLE TO INSURE PROPER
INSTRLLRTION
PERI'-11 T ~-'RL I D FIDR OF. IE YERR FROI~! ISSUE
I CERTIFY THRT
i: I RM FRMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF BNCHORRGE.
2: t WILL INSTBLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES.
~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MBY REQUIRE ENLBRGEMENT IF THE
RESIDENCE~ODELED TO INCLUDE MORE TH~N ~ BEDROOMS.
...............
,~ JA(ME~ B. ROBER'I~ P.E.
CON~ULTI NG ENGINEER AND SURVEYOR
745-3949
PHONE;
Star Rt. Box S-1006
~almer, Alaska 99645
CERTIFICATION OF PERCOLATION TEST
I, the undersigned registered professional civil engineer, hereby
certify that I have made a percolation test on Lot 2 Block 4 of
Raven Woods Subdivision Addition No. 4 at the location of the proposed
leach pit shown on t~e attached proposed plot plan of subject lot,
that the soil observed to a depth of 12 feet below the surface is a
silty sandy gravel of 6 inch m~nus gradation and that the rate of
percolation observed is 4.6 minutes per inch.
October 6, 1976
LOCATION
WATEH WELL LOG
FOSS DRILLING
1336 Ingra Street
Anchorage, Alaska 99501
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
J~,N 1 0 1977
SIZE OF CA~ING ~ # DEPTH OF EOLE~To CASED
FEET OF DRAWl)OWN.
REMARKS
DATE COMPLETED.~~_~__PU~ TO BE SET AT~
~t oL~
to__
tO.__.
___to
tO_._.
tO
to
to
to
tO.___
__to
MUNICIPALITY OF ANCHORAGE
DEPARTMEIOF HEALTH AND ENVIRONMENI~ PROTECTION
8~5~ Street, ~chorage, A].a~ 99501
279-2511, ext. 224 or 225
Date Received: May 2, 1977
~1: Time #2: Time #3: Time
Date Date Date
Insp Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: First National Bank of Anchorage
Mailing Address:Post Office Box 4-2090 99509 Phone: 274-1521
2. Property Owner: Ralf Kalenka Phone: 274-5181
Mailing Address: 4001 Cope Street
Legal Description: Lot 2 Block 4 Ravenwoods Subdivision
Single Family Residence: (x) Number of B~drooms:
Multiple Family Residence: ( ) Number of Bedrooms:
Well System:
Permit ~
Construction
Individual well (x) Community/Public System ( )
Depth of Well Well Log on File
Bacterial Analysis
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System ~x) Public Utility (
Installed Installer
Manufacturer
Soils Rate Material
Distances: Well to Septic
to Sewer Line
to Nearest Lot Line
Tank
Nearest Lot line
to Absorption Area
Absorption Area
P~ge Two
o Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 2 Block~4 Ravenwoods sUbdivision #1
Affadavit Attached: :(i ) Letter Attached: ( )
Approved:
Disapproved:
Date:
Date:
Department Worksheet:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH ANO ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
Type of Inspectioi~;
/',~UNICJPALITY OF ANCHOr' C,2
DEPT, or; HEAl rH L
EHVI[-:.0N ~;:! ;,~L PROTLCi
R[CEIVED
VA
__._FHA ......... C O N V×_~L~__.X_~_
Property Own er: __ _~al~_~_a_~-_e_nk~ ..................................................
Mailing Address:_.. 4_O._O_A_C_°pe_..~=
3, Name of Buyer:___ R~.~_~ Ka_~e_ n~..a ....................................
Mailing Address: .... s_¢~_a ........................... Day Phone:
4. Name of Lending Institution: ~__~_Tst Na_t_iona_%
Mailing Address:. !.,~¢~o~_
5. Name of Realtor or Agent:
Mailing Address: ~one Phone: ~o~e
6. Legal Description:_._ ~i_~___~.g~_.%~Zg~_~g~ds #1
Location: ..... NHN_.~E~P_~_¢_%.~_ T_!a_ il~ga_~
7. 'Type of Facility to be Inspected:
8. Water Supply
Type of Supply: Public Utility Individual xxxx
1
If Individual, numbel of dwellings presently served
If Individual, depth of well ...................
9. Sewage Disposal System
Type of System: Public Utility
I,' Individual, (;ate of installation ..
single family dwellins~ __No. Bdrms.____4
___Individual (on-site) xxxx
72-OO3(3/76)