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Home My WebLink AboutRAVEN WOODS BLK 1 LT 6P-avenwoods Block 1 Lot 6 #015-232-30 Municipality of Anchorage Development Services Department . + afety Division ram. 4700 South B Building Sragaw SL ' Onsite Water 8 Wastewater program, AK 99519-8850 Page 1 of 3 P.O. Box 198850 Anchorage, www.ci.anchorage.ak.us (907) 343-7904 Onsite Wastewater Disposal System andlor Well Inspection RReport 2 2rt 10 PID Number. SW010308 Upgrade Permit Number. ❑New ■ P9 Wastewater System: STEPHEN & DIANE ELLIS ABSORPTION FIELD Address: ■ BIocyc 1007 W 3RD AVE. " ANCHORAGE . of AK 99501 aDeep Trench DShollow Trench 0Bed DAlound Phone: 4 (907) 345-4418 LEGAL DESCRIPTION Subdrvlelon: Bock: Lot:s 1 RAVENWOOD Range: Section: — Township: — — WELL: ❑ New O SEPARATION DISTANCES ToSe ba AbsorpGon Field Utt Holding Station Tank Tank 'rom 1 00'+ 100'+ 100'+ — Well Surface Water 100'+ 100•+ 1000+ — Lot Una 5'+ 10'+ 5'+ — 5'+ 10'+ 5'+ — Foundation NONE KNOW curtain Drain d RAky. j0' MAXIMUM R 0.5 cpo/Sa R Npth a OP. ►man' awn argNd a cra+d depth boram Opc 8 M1 2' MAXIMUM n caedk FN added ae" a adp�nd • VM 90 (2 ® 45) n SEE DWG. R "char of snm Neame b t~ seer oi°.d dauc 2.5 2 1St a n T"tal a'olptl n e.a 1440 so. it 034/F-810/SCH 40 PVC ad. Y kr'A HOME SERVICES TANK ■ Septic D Holding D S.T.E.P. a ■ Other WESTERN UTILITIES 1500 k Ra.Mer d ewaparkne^b: 25'+ FIBERGLASS 4 _ LIFT STATION -"d-sw 1500 WESTERN UTILITIES k..d d: wvh eats abrin d: :n 19.5' 45" A BIOCYCLE TREATMENT UNIT. marks: "THIS IS —OLD SEPTIC TANK ABANDONED PER THE UPC. I.'a Yee. s Roaee ..••,•••.•. - M.oA. RS ME 40 BENCH MARK kn and o..adpuon: TOP OF CEMENT SLAB ®GARAGE D00 100.00 Inspections performed by'. AWWC, INC Dates: 1st 8 31 2001 2nd 9 s 2001 3rd g 7 2001 Department of Health an Truman oar - "'" Date: Reviewed and approved by: (pay. 12/00) PERMIT NUMBER SWO10308 PARCEL ID NUMBER: AS -BUILT DRAWING 015-232-10 EXISTING DRAINFIELD ` R TO BE USED AS A ppF S rRq�\ RESERVE SPIE. RO NEW B '1 I UNR BALL WITH BALL VALVES AND DUAL OUTLETS. I I LID 1 I � I � MT \\ +THII I \ \WT2 M EXISTING 4 BEDROOM HOUSE A NEW DUNFIELDS I \1 i 100' WELL RADIUS I I I I A B MT4 LID 89.32 84.28 93.1 MT1 72.92 85.69 64.7 / MT2 69.75 107.05 21.845 / MT3 107.35 136.31 40.70 MT4 84.01 126.39 — .dant. - 1 10/2/2001 C.J.G. ALASKA ,MATER & WASTEWATER SCALE 6401 DESARR ROAD. 3UTE ZB • ANCHORA 0 999001 SPIIOHE INCL. 07677-6179 • i4lt (407)3363266 1 = 40 PHONE NUMBER: PACE NUMBER: PREPARED FOR 345-4418 2 OF 3 907 STEPHEN & DIANE ELLIS ) LEGAL DESCRIPTION: LOT 6. BLOCK 1• RAVENWOODS SUBDIVISION; TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE FA / / PERMR NUMBER: SW010308 AS -BUILT DRAWING 810CYCLE TREATMENT UNIT INVERT OF BUNG AT INLET - 89.51 - FAS] ERR FINAL CRADE 95.5+ FINAL GRADE - ORIGINAL GRADE 95.33+ 1 94.00-94.04 1.25' PVC WITH 5/16' HOLES EVERY 3 FEET FABRIC 94VERT OF PIPE 9206 (AVC.) 16' • BOTT014 OF TRENCH - 84.06 (AVO.) A�' to 97 1 1 a DRAWN BY: C.J.G. ALASKA WATE4 R R WASTI;W 4 R SCALE CONSULTANTS. INC. N.T.S. 6901 tf8ARR ROAD. SUITE 29 • A 4CHORAGE AK 99504 • N10.IEPHONE NE' -6179 ER� 9071536-3246 PAGE NUMBER: RESTS FOR: 907 345-4418 3 OF 3 STEPHEN do DIANE ELLIS i EGAL DESCRIPTION: LOT 6. BLOCK 1. RAVENWOODS SUBDIVISION; TIRE OF WORK: PROFILE AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PARCEL ID NUI 015-232— GRADE —INVERT OF 4' PIPE AT OUTLET 90.04 DRIGINAL GRADE - 94.04-94.82 FABRIC —INVERT OF PIPE - 92.90 (AVC.) 1.25' PVC WITH 5/16' HOLES EVERY 3 FEET BOTTOM OF TRENCH - 84.87 (AVO.) 6• IOtiy. Or- OMALU i� 4L61' ("nfj. 6uNhN-.Har- CARPEL ELFCTRIC FAX ND. : 3464032 Sep. 03 2a01 03:25PM PS INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION , 3500 EAST TUDOR ROAD PERMR C0/;. 86Sf S - ADDRESS _&:Wo T RAAr�RSTP L Q PNONEax�Q6_4o30 LO—&VQ4A �OATE T `� BLOCK ! SUBDIVISION .r COMMENTS or DIRECTIONS: d1r' Pvsr-,' Il I4O NONCOMPLIANCE OBSERVED If CORRECTIONS ESSENTIAL AS EXPLAINED BELOW "WILL RE-E71AIMp M AT N=JXSPECTION I I DO NOT CONCEAL UNTIL REINSPEcM COMMENTS: (FDR INSPECTOR USE ONLY) SSI , c, t2YY�M Route H F10A-L� A -C4-) 0Vn% L + k 1 INSPECTOR DAM • `1 , l; � � 4EN CORRECTIONS ARE MADE PLEASE CALL FOR REINSPECTION ' DO NOT REMOVE TM NOTICE Id WdSS:ZO S00Z 6S '300 ZM79I'£ : 'ON Xtl3 u 012110313 -M&,O : W083 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 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 09, 2001 Expiration Date: Aug 09, 2002 Permit Number: SW010308 Parcel ID: 015-232-10 Legal Description: RAVEN WOODS BLK 1 LT 6 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 006200 TRAPPERS TRAIL RD Owner Name: Stephen &Diane Ellis Lot Size: 75359 SO. FT. Owner Address: 1007 W 3RD AVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99501-1936 This permit is for the construction of: El Well Water Storage 0 Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ 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: Issued By: Date: $U d Date: V Lo Municipality of Anchorage • Development Services Department Building Safety DMsion Onsite Water & Wastewater Program 4700 South Bragaw SL P.O. Box 190050 Anchorage. AK 99519.66W www.d.anahorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. / J a - ID — Permit Number'S W � 0 3Qs Property owners) STEPHEN do DIANNE FLLIS Day phone 522-5538 Mailing address (1) 1007 W 3rd AVENUE Mailing address (2) ANCHORAGE, AKg Zip Code 99501 Legal description (Lot, Block & Sub'd.) �`/E' /'oODS LOT 6 R1 OCK 1 Legal description (Section. Township & Range) N/A Lot Size 7 5 3 5 `j Acres/Sq.FL Number of Bedrooms 4 THIS APPLICATION IS FOR: 0 Sewer Only ❑ Well Only 11 Sewer and Well ❑ Water Storage Sewer Upgrade THIS PROPERTY CONTAINS: ❑ Hot Tub ❑ Jaaral E3Water Swimming Pod 0 Softening Unit Therapy Pod 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. ALASKA WATER k WASTEWATER CONSULTANTS INC. Permit Fees: q 3320- oo Date of Payment: 'E / a.10( Receipt Number. 8 199 - Waiver Fees' Date of Payment: Receipt Number. ALASKA WATER & WASTEWAI'r�l< CONSULTANTS, INC. July 31, 2001 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519-6650 Ref: Septic Design for Ravenwoods Subdivision; Lot 6, Block 1 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The existing septic system is in a state of failure and needs to be upgraded. The proposed septic system will be designed around the 30 foot radius of test hole #1. We are proposing that a BioCycle unit and two, deep trench type drainfields be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that, due to the overall appearance of the soils, an application rate of 0.5 gallons/day/R2 should be used with a BioCycle system. 2. TRENCH DESIGN: a. Percolation Rate: 80 minutes/inch b. Allowable Application Rate: 0.5 gallons/day/i,2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1200 R2 f. Total Depth: 10 feet (max.) g. Effective Depth: 8 feet h. Width: 2.5 feet i. Reduction Factor: N/A i. Minimum Length: 90 feet long (2 x 45 feet) fl2 i Effective absorption area = 1440 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPIiY: As can be seen on the attached topography site plan, the average topography of this property is generally flat with an average slope in the area of the proposed 6901 Debarr Road, Suite 213 * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwe.com upgrade of 10 to 20 percent from southwest to northeast; and there are no slope concerns. The trenches are to be installed parallel to slope contours. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your ncciMnnce_ :., M.S. NOTE. Attached is a site plan drawing, a design drawing, a topography site plan, a soils log, and a 7 page construction specification letter which are all part of the design package for this septic systeni. 6901 Debar• Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwe.com e 2slp �pEN �ppIDS NO ENCROACHMENT CONCERNS ev� 1, p RppEN wppps sl +riACANTD � ARFA� appEHgwppps 51 tl RAVEN%Jo S Slp 10D' WELL RADIUS I I I Wt>l vROr__TF (oa7aH I I I I I I I I I _`ocNyilga s'slQ EXISTING SEPTIC SYSTEM -PROPOSED SEPTIC SYSTEM UPGRADE (SEE PAGE 2 OF 2) APPROX WELL LOCATION 2WO� sASlp 3W66DS too• wEu tUDI I RAVEN Rp40A "00O S,SIp ----------------------------- ----------------------------- 0 0 'slp E0 Awp S / RAVEN i / j 100' WELL RADIUS _ will. �SErnC ARFA� ! 7/23/2001 ALASKA NVATrR & WASTLNATERJ'W'M' CONSULTANTS. INC. Ste' 9901 OEBARR ROAD. SUTE to • ANCHORAGE, AK 99501 • RHONE (907)3374179 • FAX 907"3"" I" = 100' REPARED FOR PHONE NUMBER: PAGE NUMBER: STEPHEN & DIANNE ELLIS 345-4418 1 OF 2 EGAL DESCRIPTION: RAVEN WOODS LOT 6, BLOCK 1 YPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE (BIOCYCLE) 4. GOmess; [7953 ;'` 1TRACTOR SHALL HAVE THE NORTH L THE 100' WELL RADIUS FLAGGED BY RED LAND SURVEYOR PRIOR TO / / EXISTING GRAINFIELD T7Sn '^I/( 11010I USED AS A RESERVE t35`'210PE I EXISTING SEPTIC TANK TO * \ wr BE COMPLETELY ABANDONED MT THII Fco PROPOSED DRAINFlELDS: EXCAVATE TWO TRENCHES THAT ARE 10 FEET I I PROPOSED BlacrcLE \ DEEPLE45 FEET LONG EACH (90 FEET ' UNIT WITH BALL VALVES TOTAL LENGTH). ADD 0 FEET OF AND DUAL OUTLETS. 1 CLEW. WASHED. SEWER DRNNROCK. I/ 100' WELL RADIUS I / I I I I I \ I I I I 7/23/2001 DRAWN BY: ALASKA MI TER R WASTEWATER SCALE' J.W.M. CONSULTANTS. INC. 1 ^ = 6901 DESARR ROAD. SUTE 29 • ANCHORAGE. AK 99504' PHONE (907)137! 40'179' FAX 907)336-3246 $ ••••• REPARED FOR: PHONE NUMBER: PAGE NUMBER: O STEVE ELLIS 345-4418 2 OF 2 QA LOT 6. BLOCK 1 RAVEN WOODS S/D OF WORK: DESIGN DRAWING FOR SEPTIC SYSTEM UPGRADE ALASKA WAZ'L'R �'► �N NTE-1IN ER gr'.CONSULTANTS, INC.. • . ........ IJUIL lVb — rcrt�.v Lroiw�. awn 1170.3 LEGAL DESCRIPTION• RAVENWOODS LOT 6. BLOCK 1 f •STEVE k DIANE ELLIS DATE• 7-9-01Q�/'• E-7953 ♦� PERFORMED FOR: Qn.e_ ,x (feet am» ORG 1 2- 3- 4- 5- 6- 7- 8— 345s78 ML 9- 1011 10- 11 12- 13- 14- 15- 16- 17- 1 8 213141516 1718 19 LEST HOLE #1 DEPTH TO DATE GROUNDWATER DRY 7/9/01 DRY 7 16 01 , � I I I 1 1 I \ ♦ 100' WELL RADIUS I I / 1 I / I / / 1 / 1 / I SITE PLAN t DATE READING CLOCK IME (MINUTES) WAREADING TER EVEL NET (INCHES) 7/16/01 1 1:07 - 6. - 1Homo111111 �I� Hull • 5 1/20 1/2 3 1:37 mm 6. - 4 2:07 30 5 5180 3/8 DEPTH TO DATE GROUNDWATER DRY 7/9/01 DRY 7 16 01 , � I I I 1 1 I \ ♦ 100' WELL RADIUS I I / 1 I / I / / 1 / 1 / I SITE PLAN t DATE READING CLOCK IME (MINUTES) WAREADING TER EVEL NET (INCHES) 7/16/01 1 1:07 - 6. - 2 1:37 30 5 1/20 1/2 3 1:37 - 6. - 4 2:07 30 5 5180 3/8 5 2:07 6- - 6 2:37 30 5 5/8- 3/8 PERCOLATION RATE 80 (MIN./INCH) PERC. HOLE DIA. 6' (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. zoo Ey COMMENTS: TESTHOLE WAS PRESOAKED FOR 4+ HOURS. PEJ2.� WA -S PE -P -r- -,eG Nr�tT t,�LLi"t-i PERFORMED BY ALASKA WATER do WASTEWATER 1, JEFFREY A. GARNESS, CERTIFY THAT THIS W9 ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 IT/ 10� Sent By: Alaska Water and Wastewater Con; 807 338 3248; Jul -31-01 13:34; Page 2/2 PROPERTY OWNER MAINTENANCE AGREEMENT ON-SITE WASTEWATER DISPOSAL SYSTEM sf This agreement, dated 3� i. rf .200 /_ is made between the Municipality of Anchorage Departmen�qf Health and_H Servi/ces (DHHS a)d the property owner(s) of G Zoo Jro ' J�4 /Gid ' �J� ` ,J�AC le- This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owner(s) agree to the following: The property owner(s) will have an annual inspection of the system performed by a registered professional engineer. This inspection shall verify that all effluent and air pumps, timers, and alarms are functioning as designed. Any deficiencies shall be corrected and the engineer's statement that the system is functioning as designed shall be filed annually with the DHHS. LTeI In /-). L//,'l PropertyOwner Name (Notarize Here) . Property Owner Name State of 0411x1 C%. Judiclat District'T[_4_h SS. _ _ 1 On this 1 a day of in the year.:oo tt , before rne, undersigned notary A public. personally appeared: S+tgt e -h Akl E 11',4 Imown tome to be the person(,) whose name(s) Ware subscribed to the within instrument and aclmowled;ed that he/she/they executed the um for the purposes therein contained. fitness whereof, I hereunto set my hand and off No Public ((a�ignaarre7) ,0.h a. F )_, (Notary's printed name) My commission expires: �i-3.G—OL MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT -NAME Q � L Qi PHONE EW ❑UPGRADE MAILINGA RESS R• Pa LEGAL DESCRIP I ION�� lJ�ei dS LOCATION �� NO. OF BEDROOMS v Y DISTANCE TO: Well / Absorption area Dwelling PERMIT NO vC Jd re M Q f- Manufacturer fLe , Mate �')� i No, of compartments y Liq. capacity in a Ions IF HOMEMADE: Insidelen th g Width Liquid depth JO U, z - DISTANCE TO: Well Dwelling PERMIT NO. _ H Manufacturer Material Liquid capacity in gallons 0 m U DISTANCE TO: Well / - Foundation / Nearest lot line PERMIT NO. AA�_ J W z 1-=¢ No. of lines / Length a line Total le t Hines ® Trenc i h inches Distance betwee i ' F Top of tile to finish grade Material beheath tile inches Total effective abs p '� area W Length Width Depth PERMIT NO. n H Wa Type of crib Crib diameter Crib depth Total effective absorption area y DISTANCE TO: Well Building foundation Nearest lot line J J W Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption areals) _ OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS A 41 AP VED DATE LEGAL Ze6 Imo. 1.,—. ,Ior C__� V MIJ" I 0 I Pf=iL_ I TV OF FINCH Rf�GE 3� DEPARTMENT HEALTH AND ENYIRONMENTALOTECTION 7 825 STREET, ANCHORAGE, AK. 9 264-4720 l�ccs, 1 / WELL faINC? K3 "—So I T fCEWER U[:c PERM I T PERMIT NO. C 800232 ) nE /pac,(0/� APPLICANT HARRY MACKEY J S. R. BOX 1175 E. R. 68$2$ LOCATION TRAPPERS TRAIL Rea LEGAL L6 B 1 RAVEN WOODS LOT SIZE 68000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 5 SOIL RATING CSO FT/BR)= 115 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: L►EPTH� 1�2 LEttitGTH= 3:S G1:;tf=lVE1_ E?EPTH— E3 THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). ME_=QU I RE[} SEPTI G —rFINK :S I ;—ME- 151010 • iG1=4LLOP4S; PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. _rL40 C -�2 } I Nn3F='ECT I IDMS FiMa RE:QU I REE? BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON–SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN30DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT .EXPIRES E7E0EME3ER 3:::L. :jL 9$10 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON–SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS. lll 1� SIGNED:----------------------------------------`��` APPLICANTY MACKEY R ISSUED o.- 1 'L V4. 0 C�re'v 8 "4w -I- w 1-ry cw TAT, m gm a-4?20 S. rr Box U75 E. R. LOT SIZE #a'EfRtys I T 6esw#.3 TYPE OF SOIL ABSORPTION SYSTEM IS: TREprM MAX Inum mit OF BEDROOM= 3 SOIL RATING CSG FT/BR)>- i!3 THE RETIRED SIZE Or THE SOIL R8SGRPTf0N SYSM IS: THE LEMM 0I1404SION IS THE LENOTH CIH FEET) OF THE TRENCN.OR EWIEL.Ix. TLS [STH o ATR H oR PIT IS niE DismhcE sErAEEm THE sLwncE OF THE i-5 w�� M40 114C SOTTr}IL OF IM EXCAVATION CIN FEET)_ TOM IS NO SET 14IDTH FOR TRENCHES. ram MAYEL, Our" IS nx mfhLm-" OEPTm of GRAVEL aErmeEm THE ourro-L. PIPE AM T7 -{E GOTTIM OF Tti EXUMTIOH CIN FEET). SIT FWPL.IC8Nr: HAS ;THE RESPOWIGILITY TO IWORM THIS rmmr I INN THE ENStALL€tT ON INSPECTIONS OF ANY SLS r#),It T TQ THIS pRamfAry AM TW OF ResioancEs TmAr THE , WELL: m ru_ SERVE _ '1" wo <;z> LLLtNG, OF ANY SYSTEM WITHWr FINAL. IH tfGN #Y THIS' b&wwYFcMr !#IL.L. €3E awECF TO I rC�ITIGK OI IMUM @fSnV# E OETI&EN R WELL AW fes" ON-SITE SB4RM DISPOSAL SYSTEM is IPA`FEET FIOR A PRIVATE WELL ORi-5W TO 290 FEET FRION R PLJMtic WELL DING upm THE TYpc az Pr LIG we -L. t IMMUM DISTANCE: FROM _R PRIVATE WELL TO A PRIVAT€ SEWER LINE IS 25 SET AM COMMITY S$" LIAR IS 75 FEET. WELL Lam'ARE REQuIRE-0 AND MIST LE RETuRNw TA THE T? "tT minum 39" DAYS OF rHe WELL CL ETIOr! t)It-KR REWLREmENTS nAY,'APPLY. SPECIFtcArt #S Am cousTRwTIcw&IFmvqs FOE WISE TO Irk DOPER IN STRLLATIOR I CERTIFY THAT is i Ml FAMILIAR WITH THE REQUIREMENTS FoR oN-SITE ScwERs ANS WELLS AS !SET 2: 1 WILL INSTRLL THE SYSTEM IN #flTw THE COW& 3: f UNDERSTRW TWr THE ON-SITE M4ER SYSTEM My REWIRET IF THE RESIDENCEl j" j t.ED Tn /n '/MORE TW 3 AIiT wam f N6E` a — Water -°table.. ADII G" DATE-- "GROSS TttviE " df�T VME r•$ DEPT€i TO H 2tD E NET CfRAINAGE MMENTS iT P€RFOPMED BY -4 -R Peters DATA CERT h ONS TRAWION ACJ ANGHtE, -ALASKA 19503 TEST LAB'-..-24B 4333 ERFORMED FOR: _ HAL2RY MACKEY `DATE PERFORMED: 6/27/8.0 EGAL DESCRIPTION: Lot Block Subdivision RAVEN$WOOD HIS 'FORM R-EPORTS:, G tsuai"Soils Examination O Percol-ation`Jest' --PTH SOIL NOTES, .ET DESCRIPTION - , '4_ .... - I TOPSOIL14 o TAS? GRAVELLY SAND/SANDY..GRA EL-_ O _ i- _ CORSE, VERY CLEAN- DRY, ', a `&` AlGVVAR. Aq'Rs EGATES GP/SP - 115 sq. ft //bedroomzLU : Brown- _ SANII SIli C WIfiH _SOMELL �r-I 16' _ BOTTOM OF HOLE — Water -°table.. ADII G" DATE-- "GROSS TttviE " df�T VME r•$ DEPT€i TO H 2tD E NET CfRAINAGE MMENTS iT P€RFOPMED BY -4 -R Peters DATA CERT 0 WE Li CPir:rgW.'1 - e /' ,, sgt�.ttgr, lC�cr._._.�[�.�.G.-ih.._.L'dr �i.�CT.-��cs._._.__�.__.__. i)5$S na. orlller LCL1.l13n-. i9c.�t Lam.__Tv cl -iP tiv:l Z51/1S ..__._.._.pp____.r__--_.—n<ar.. :an+un`.t.�./-c. oorec.. V:c Well focstLoc (oddrsss & lagsf If Locstlo6 aivtch or reaarlis Do pth of we I1 OL'L_/9'1. Casing: dl an._�__�+. Staff to voter level L9.�-_!t. (above, be loo) )sot furlato. oeto-ZZ-/& Rinisr, a, Poll: (ePen-and, action, Perforated, opon•hoif, 6olerlhe intervals and size: 44'p Lf'e Sw.✓_-f._"__.. q� _ Well livid lasted by (P+1®11111111. batltaL, air) 1a•.,;_.7,. ---- hours with 24__J;. of drawdown from static [oval. DRILLER'; dATEIIIAL Loo aotq-. ba lag land v_`--_-- fil we da s ct iPti on of aI ii IA :rt[d sults-.> feet (a i, .1 of eislerlal, _el f, herdnesc content) 1 :Q4..-- . to_�3- fJ }_ta.l� S Iii to [o --to --to to to ;o to to 3.11 L!IL�— __. .._ _ /_. ...._._ ... _... .. ..... .... .. ... .... ..__. _—..— ...�.__� s �1Y _ e.i:-- a r • 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS ',ubd v ia2 rIME TIME TIME 6. TYPE OF RESIDENCE NUMBER OF<BEDROOMS DATE D TE DATE ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six INSPECT - INS C O INSPECTO ATTACH WELL LOG. A well log is required for all wells drilled MUNICIPALITY OF ANCHORAGE DEPT. OF DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC41M[40NNE\-(`CTION 825 L Street - Anchorage, Alaska 99501 „2 '980 ENVIRONMENTAL ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not he processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE Har-nv 11. a(ha i'ledeline Hi. :'1I`+C1:C1 5'u-2 '1 7 MAILING ADDRESS Star Route, Box j" 1175 ��1zg a :alas a 95'557 , PROPERTY RESIDENT (If different from above) PHONE g..:_ ER PHONE te'v e and Diane 7.h_. S MAILING ADDRESS 3. LENDING INSTITUTION PHONE i.)_a !7a Nutua1 tib. avi-_' gs - Min So t2, r3riC�� 2711T�_'S1 -r MAILING ADDRESS ( .T_ wi7-I :)isle uo enO deliver to tP er,l - ?7zrueline ) 4. REALTOR/AGENT PHONE Target Realty 77-05 1 MAILING ADDRESS l02125 t;tv2. rn '.^..Oraooe, 1 85-l, ^ 0' 5. LEGAL DESCRIPTION Lot 6 Blk_ 1 Reye iwoor! ',ubd v ia2 STREET LOCATION Tra ,z, is Trail 6. TYPE OF RESIDENCE NUMBER OF<BEDROOMS C SINGLE FAMILY ❑ One .C-1 Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY ❑T- INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE'- YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) L t4 ; � l "..0 72-010 ( Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ six 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED LY ` /Y1 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE Ell PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 1-_+-50 If Tank is homemade give dimensions: SOILS RATING t TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line - Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Z, --APPROVED FOR - BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED f"1 DATE __[ BY }� Jr 72-010 ( Rev. 6/79)