HomeMy WebLinkAboutRAVEN WOODS BLK 2 LT 1
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Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP231070
PID Number: 015-232-19
Dwelling: ❑® Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade
Name
Barbara Matlack
ABSORPTION FIELD
E] Deep Trench M Wide Trench E] Bed E] Mound
Site Address
6021 Trappers Trail Road
❑ Other
Phone7Number
of Bedrooms
Soil Rating
Total depth from original grade
3
0.8 GPD/SF
7.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.0 Ft.
Gravel depth beneath pipe
4.0 Ft.
Subdivision
Block Lot
Raven Woods
2 1
Fill added above original grade
0.5 Ft.
Gravel length
60 Ft.
Township Range Section
Gravel width
5.0 Ft,
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
600 Ftz
1
n/a Ft.
Well
100'+
100'+
NA
NA
25'+
TANK N Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1000 Gal.
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
Lot Line
5'+
10'+
NA
NA
NA
HDPE
2
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to3034
drainfield
Deans Construction & Development
Drainfield 3034 CO/MT3034
Inspector PES
BENCH MARK (Assumed elevation) 100.0 ft
Inspection 1-ectio` 05/29/23
06/01/23
Location and description
3'd 06/02/23
2nd
4" 06/07/23
CAR PORT CONCRETE PAD / SEE SITE PLAN
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
�G•••.
TH
... .....
" $even A. a ***ie
*ie
Septic SysteD
CE 8149**
Approved
Date z Z
2023.07.21.•
••. .•
Note: this approv�does not include well permit requirements.
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NOTES: PANNONE ENG SVC LLC (C.1. 1088)
RECORD DRAWINGS P.O. BOX 1807 PALMER, AK 99645
PHONE 907 745-8200 FAX 907 745-8201
DRAWN L,1C RAVEN WOOD B2 L1
CHECKED ACP BARBARA MATLACK
SITE: 6021 TRAPPERS TRAIL
SITE PLAN ANCHORAGE, AK 99511
REVISIONS
.�f�...
X.
* 49If1 : r
CIIIIORe
CE 8149 _-:9,
07/13/2023
CALE
1" = 50'
I.D. NO
015-232-19
ERMIT NO.
OSP231070
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NOTES: PANNONE ENG SVC LLC (C.1. 1088)
RECORD DRAWINGS P.O. BOX 1807 PALMER, AK 99645
PHONE 907 745-8200 FAX 907 745-8201
DRAWN L,1C RAVEN WOOD B2 L1
CHECKED ACP BARBARA MATLACK
SITE: 6021 TRAPPERS TRAIL
SITE PLAN ANCHORAGE, AK 99511
REVISIONS
.�f�...
X.
* 49If1 : r
CIIIIORe
CE 8149 _-:9,
07/13/2023
CALE
1" = 50'
I.D. NO
015-232-19
ERMIT NO.
OSP231070
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NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE
RECORD DRAWINGS P.O. BOX 102954 ANCHORAGE, ASC 99510 ,�,OF 07/13/2023
PHONE 907) 272-8218 FAX 9'07) 272-8211 �P• SCALE NTS
DRAWN LJC RAVEN WOOD B2 L1 P.I.D. NO
"£even anrio�e 015-232-19
CHECKED ACP BARBARA MATLACK CE 8149 ; PERMIT N0.
S1TE:6021 TRAPPERS TRAIL 2023.07.21 OSP231070
SOIL LOG ANCHORAGE, AK 99511 ' SHEET
3 OF 3
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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: OSP231070
Work Type: Septic Upgrade
Tax Code Number: 01523219000
Site Legal Address: RAVEN WOODS BLK 2 LT 1 G:2738
Site Mailing Address: 6021 TRAPPERS TRAIL RD, Anchorage
Owner: MATLACK BARBARA
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date
Expiration Date:
��Z�cnr Is,
r
. a
n
Department
Lot Size in Sq Ft:
Total Bedrooms:
4/28/2023
4/27/2024
73181
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
3
Special Provisions:
• A test hole is required prior to construction of the absorption field, in the location shown on the
site plan, to confirm minimum separation to impermeable soil and seasonal high groundwater, as
well as percolation rate. Construction may proceed at your own risk prior to 7 -day groundwater
monitoring. If results require a design change, construction shall stop pending approval of a
change order. Please submit results with the inspection report (or change order, if required).
Date:
Issued By: �r ��� Date:
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 015-232-19
Property owner(s) Barabara Matlack
Mailing address PO Box 111874 Ancho
e, AK 99511
Day phone
--Site address 6021 Trappers Trail Road
Legal description (Sub'd., Block & Lot) Raven woods Block 2 Lot 1
Legal description (Township, Range & Section)
Lot Size 73,181
Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
0
Initial ❑
Single Family (SF) x❑
Septic Tank
Q
Upgrade �
(w/wo ADU)
Holding Tank
❑
Renewal ❑
Duplex (D) ❑
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / 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: Waiver Fees:
Date of Payment: l g Date of Payment:
Receipt Number: d �� �i C? Receipt Number:
Permit No. ()S PZ 3tp-+-,a Waiver No.
Permit App_:- :- ::...:c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231070, Deb Wockenfuss, 04/28/23
PANNONE ENG SVC, LLC (C.I. 1088)N
S
EW
SCALE:
1"=50'
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231070, Deb Wockenfuss, 04/28/23
PA
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SOILS LOG
INSTALLED NEW 1000gal SEPTIC TANK, AND SOIL ABSORPTION SYSTEM. RELOCATED
BUILDING DRAIN LINE. 15 FEET
15 FEET
COMMENTS: Test hole excavated by Dean Construction & Development.
PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECTON THE DATE OF THIS TEST.
·2.46 (min/inch)
·6"·3 FT AND 4 FT·
PANNONE ENG SVC, LLC (C.I. 1088)SOILS LOG
INSTALL NEW 1000g SEPTIC TANK, AND SOIL ABSORPTION SYSTEM. RELOCATE BUILDING
DRAIN LINE.-- FEET
-- FEET
COMMENTS: SEE ATTACHED SURROUNDING SOILS LOGS.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231070, Deb Wockenfuss, 04/28/23
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~,~I~kTER ANCHORAGE AREA
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-251
N°. 152
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ~
ADDRESS ~'/~/~'
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELl 7
LIQUID CAPACITY /~-"~ GALLONS.
MATERIAL
INSIDE LENGTH
NUMBER OF
COMPARTMENTS
INSIDE WIDTH ~ / LIQUID
. DEPTH
SEEPAGE SYSTEM: SEEPAGE PiT:
NUMBER OF PtTS / OUTSIDE DIAMETER / ~OR WIDTH ,/'~- /, LENGTH / Y '/, DEPTH
/
LINING MATERIAl ~ O ~'ZJ~ DISTANCE FROM WEL~~- ~c:~' , BUILDING FOUNDATION
NEAREST LOT LINE '~-~P-'4~' ~c~ / . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~7~'~ SQ. FT.
TILE DRAIN FIELD:
O ACH [l~~[ TOTAL LENGTH
N NEAREST LOT LINE OF LINES
DISTANCE FROM WELL , ,
I~PTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__
WELL: TYPE ./x~/~ DEPTH ,//~ / DISTANCE FROM WATER /j,/~
, , BUILDING FOUNDATION.. --~' / SAMPLE , NEAREST
, SEWER LINE ~.. TANK , SYSTEM , CESSPOOL ~ SOURCES.__
DISTANCES:
DIAGRAM OF SYSTEM
HEALTH AUTHORITY
GAAB-HD-2
GREATF~,~tNCHORAGE AREAWaY)ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Ala~a 99501 279-2511
Case No.
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
RES,DENCE ADDRESS ~,~,-~ ": LOCAT,ON OF ,m'ALLAT, ON ,'¢,'~,¢ ,'~'~
'APPLICATION To INS~ALL:"sE~.I~ TAN~ .7' ~'., SEEPAGE ~IT ~
,~ ~.~ . ~ ,DRAIN FIELD , OTHER
FINANCED THROUGH ~*~-~ ': ;' '" . T0 BE IN'ST~bE'O BY
~ ~NTIC~ATE9 DATE OF COMPLETION ~~'
BELOW ~0 BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS , ~w-~'~:"~' `.`%
AS DESCRIBED BELOW.
· SEPTIC TANK
SIZE OF UNIT TO BE'sERVED -~ ~(~-7.. ~,~2.
BIAGRAM OF SYSTEM
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
DATEab°ve described system is in accordance with said code.<~¢~.~/~ APPLICANTS SIGNATURE ~~/4
Approval r~ues~d by:
Mailing Address:
2. Proper~y Owner:
3330 "C" Street, Anchorage, C~s~a 92503 27~-q. 55!
Time
D~: of Insoection
4.
REQUEST FOR APPROVAL OF
FOR
'~d'
Mailing A dress:
Legal Description:
Location:
Type of facility to be insoected
Phone:
of bedrooms
~te!l Data:
A. Type~-
Disposal System:
Septic Tank:
D. S~?age
£. Disposal Field:
Size /O.~o
Abssrpticn Are~
Total length of lines
8. Distances:
A. ~iell to: Septic tank~- ~/ , Absorotion area ~-~ ~m' , Sewer Lines
!
N_~ne~ '!st ll~e , Other contamination
~. Foundation to septic tank /~ , Absorption area ~0
C. Absorption area ~o nearest lot line ~0 '
._L-03.~ (i/7~) Page I of 'cwo ::ages
'GREATER ANCHORAGE AR''L, BOROUGH
Department of Environmental Quality
3330 "C" St.~ Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
Type of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer:
Mailing Address:
CMRO VA
Orville Gilbert
FHA CONV xxx
,B,ox 1619 _ SRA_-
Same as Above
Home i~-4-4-Z-9-4-50''- :'~
Da.~ Phone Business 344-2561,
Same As Above 9a$~ Phone
Name of Lending Institution:
Mailing Address: P.O. Box 1120
Name of Realtor or Agent: 1~
Mailing Address
Alaska Mutual Savings Bank
?hone 274-3561
Phone
Lot 1 Blk 2 Raven Woods Subd.
Trappers Trail Rd.
6. Legal Description
Location:
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of welt
9. Sewage Disposal System
Type of S~stem: Public Utility
If Individual, date of installation
No. Bdrmso
~x
Individual (on-site)
MUHMPAUTY OF AHCHORAGE
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. 015-232-19-000
Legal description RAVEN WOODS BLK 2 LT 1
Expiration Date:
Site address 6021 TRAPPERS TRAIL RD Anchorage AK 99516
Current property owner(s) MATLACK BARBARA
11/25/2023
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
M
Original Certificate Date: 8/25/2023
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
Absorption Field Advisory
Tank Age Advisory
Other
X Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
COSA Approval_June 2022
MUNICIPALITY OF ANCHORAGE
o
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 015-232-19
Complete legal description Raven Woods Block 2 Lot 1
Location (site address) 6021 Trappers Trail Road
Current property owner(s) Barbara Matlack
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone _
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: n Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel X Plastic ❑ Concrete ❑ Fiberglass
Age < 1 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench X 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 $ 2_ 50
Date of Payment / 2 2
COSA 269
Waiver Fee $
Date of Payment
Waiver #
COSA Application—June 2022
Legal Description: Raven Woods Block 2 Lot 1
Parcel ID: 015-232-19
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
❑ Well log is filed with Onsite (or attached)
Date drilled Unk. Total depth 137 ft
Cased to Unk. ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 18 in.
Date of flow test for COSA 07/12/2023
Static water level at beginning of test 165.5 ft.
Comments
Measured operating fluid level in septic tank New
Date of pumping New
❑ Required maintenance completed, if AWWTS
Comments: New System
D. ABSORPTION FIELD DATA
Which system tested (date installed) 06/02/23
❑ ALL standpipes present per record drawing
Total measured depth from grade 7.5 ft (max)
Measured depth to pipe invert from grade 4.0 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
❑ Monitor tubes go to bottom of effective.
If not, state depth into effective
❑ Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) no
If yes, enter date
Comments/Deficiencies:
COSA Checklist June 2022
Well production at time of test 5.03 Qpm
Water storage tank volume n/a gallons
Well disinfected for coliform test? ❑ Yes WE No
❑ Coliform bacteria is Negative
Nitrate 1.29 mg/L E]Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by r-cO
Date 07/13/2023
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date New
Results ❑ Pass
Fluid depth prior to test _
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate 450+ gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 48 in
Effective depth used 0 in
Effective depth remaining 48 in
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100'
❑ Yes
if No
Community Sewer Manhole/Cleanout > 100'
Yes
if No
ft
® Yes
if No
Neighboring Tank > 100' ❑ Yes
if No
ft
Private Sewer/Septic Line > 25' FNI Yes
if No
Absorption Field on Lot > 100' ® Yes
if No
ft
Holding Tank > 100' MIN Yes
if No
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' Yes
if No
® Yes
if No
ft
ft
If tank or field is under driveway comment below
Manure/Anima! Excreta Storage > 100'
Community Sewer Main ? 75' ME Yes
if No
ft
❑ Yes
if No
❑ N/A — Served by Community Well (not on lot) or Public Water
From Septic/Holding Tante and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No
ft
Surface Water > 100'
❑ Yes if No
Tank to Property Line > 5'
0 Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
❑ Yes
if No
ft
Private Wells > 100'
ro-1 Yes if No _
Water Main > 10'
❑ Yes
if No
ft
Community Wells > 200'
❑ Yes if No _
Water Service Line > 10'
0 Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
ft
ft
ft
ft
ft
ft
ft
ft
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm Pannone Engineering Services
Engineer's Printed Name Steven R Pannone P. E., F. ASCE
COSA Checklist—June 2022
Phone 907-745-82 000
Date --Z-30:72-0
F' Ponnoiie
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