HomeMy WebLinkAboutRAVEN WOODS BLK 1 LT 11Ravenwoods
Block :1
Lo1' 11
#015-232-05
Municipality of Anchorage :.j"'
Department of Health and Human Services '
Building Safety Division "~ ~
On-Site Water and Wastewater Program, 4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 2
www.cLanchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: sWSW030047 PID Number: 012-320-5
Mr Pntd R, Knfh~.ln~bnnn Wastewater System: [] New [] Upgrade
Address:
'I'1~(~t Rill~ff~ an~_h AK .q.q.~IR ABSORPTION FIELD
Phone: Number of Bedrooms:
(.qgR.~ 474-,'{fi14 4 ri Deep Trancfl ri Shallow Tmncfl ri Bed I-I Mound O 0~: Ex isrg
Soil Rating: Total Depth from 0ttginal grade:
LEGAL DESCRIPTION n~'n~'
Block: Lei: ~ubdiv~s~on: Depth to pipe bottom from original grade: Gravel depth beneath I~pe:
I 11 Ravenw~ods r~.
Township: Range: Se~on: Fill added above odglnal grade: Gravel Length:
Well: [] New [] Upgrade C.~,a,~dth: ~:t,Numberofllnea: I as~ancebet~,~-nlines:FI.
ClassJflc~tion (Pr/vale, A. B. C): To{al Depth: Cased lo: Tolal abso~tJo~ area: I ~pe Matertal:
Private - Exisrg fl, [I,
I
F~, Beek's Contractina 3128/2003
Yield: ~ Se{ el: I Casing Height Above Ground: TAN K
SEPARATION DISTANCES I~ Septic I-I Holding ri S.T.E.P. I-~ Other:
T~ Septic Absorption Uft Holding ~ublIc/Pdvate Menufacturar. Capaaly:
Tank Field Station Tank Se~erUne Anch Tank 1250
w~, 126 160+ 105 Steel 2
Su~aceWm,er 100+ 100+ X / LIFT STATION
Cu~n I~n 100+ 1004' Pump I~e t, Uo~el £1ec~l Inspectors ~rSom,e~ b~.
Replaced Septic Tank Only BENCH MARK
Garage Slab
~$0.0 ~.
Engineer's Stamp
Inspections performed by: Pannono Eng. Svc Dates: 1"3/28/2003 .' ~.-" '49TH ~
~.....;. ...... ~ ...;....; ......... ;~.....~
2~0312912003 ~
Department of Health and I~{man Services approval
~'~.Steven R. Ponnone:k~
Reviewed and approved by: ~" ~ Date: 6/A~'/u3 ! e~..c,.'.. No. CE 8149 .. ~:-~_~,~
PERMIT NO' 8V030047 AS-BUILT
WASTEWATER A]~SORPTION SYSTEM
LOT 11 BLOCK 1 RAVEN WOODS S/D
NOTE,
1) ALLWDRK/SHALL ]~E PERFORMED /d ) ~'
IN ACCDR])ANCE ~/ITH, & ALL METERIALS ~ ~ ~ ~ ~
SHALL CDNF~RM mD AMC15.65. ~ ~ ~
TANK. · ~ X '
3~T~j~R~ERIFY ~IMENSIDN~/ ~
FROM EXIST G VELLS. INSTALL,NE~ T~ '
OUTSIDE EXIST'G VE~
P.LD. NO, 01-232-05
INSTALLED DOUBLE
CLE
AFTER TANK.
NEW 1250
TIC TANK
EXIST'G CRIB
"-'""~10 %
EXIST'G 12509 SETIC
, CDLLAPSEDI
REMOVED AND DISPOSED DF.
5
],0
EXIST'G 4 BR
EXIST'G
~-WELL~ ~'
101'31
/
/
/
/
/
BEDROOH HOUSE
1250G SEPTIC TANK REOUIRED
TANK REPLACEHENT ONLY
CO A B
TI 24.1 26.5
T2 32.6 32.7
9C1 35.1 34.9
N£V 12509
SEPTIC TANK
PREPARED FOR,
Mr. Paut & Ka%hy Jackson
11901 Gillette Road
Anchorage, AK 99516
(928) 474-3614
PANNDNE ENG. SVC,LLC
P. D, BOX 102954
ANCHORAGE, ALASKA 99510
272-8218 Phone & FQx
DATE, 4-4-05 J AS-BUILT
SCALE, 1'=60'I
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
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Mar 17, 2003
Expiration Date: Mar 16, 2004
Permit Number: SW030047
i';Legal Description: RAVEN WO°DS BLK 1 LT 11
Design Engineer: 0062 Pannone Engineering Services
Owner Name: Paul & Cathy Jackson
Owner Address: 11901 Gillete Dr.
ANCHORAGE, AK 99516-0000
Parcel ID: 015-232-05
Site Address: 011901 GILLETTE DR
Lot Size: 77537 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] 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 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.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number SW O~OO~ 7
Property owner(s) Mr. Paul & Kathy Jackson
Mailing address (1)11901 Gillete Drive
Day phone (928) 474.3614
Mailing address (2) Anchorage, AK
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size 1.8 77,~-57 Acre~<'~'~
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade _.,
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Zip Code 99516
Lot 11, Block I Raven Woods S/D
Number of Bedrooms 4
[] Well Only []
[] Water Storage []
[] Jacuzzi []
[] Water Softening Unit []
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.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
/~annone Engineering Services, I, LC
Consulting Engineers
(9o?~ ~7~-~2~
March 9, 2003
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject:
Lot 11, Block 1 Raven Woods S/d
Septic Tank Replacement Peauit
P.O. Box 102954
Anchorage, Alaska, 99510
(907) 272-8218 Fax
Gentlemen:
My fim~ was contacted to investigate a collapsed tank serving this lot. When we mdved
on site, the ground over the tanks had sunk and there was evidence of sewage in the
hole. I informed the owner that the tank needed replacement. This permit is requesting
a permit to replace the existing septic tank only.
The lot is approximately 1.8 acres in size. Lot 11 slopes to the northwest at
approximately 1 percent around the field, but is steeper to the southeast. The proposed
installation will be located in the northwestern portion of the lot. The existing tank will
be abandoned. The proposed septic tank will be installed outside the well radius. The
proposed location is greater than 100 feet away from the existing well serving this
property and 25 feet from the water service lines. The surrounding wells are located
greater than 100 feet from the proposed installation. The proposed installation will not
affect the future development of the surrounding or existing lots. See the attached
design.
If you have any questions or concerns, please contact me at 227-3522 or 272-8218.
Sincerely,
~one, P.E.
Attachments:
PE..IT No, svo DDESIGN
~/ASTE~/ATER ABSnRPTIBN SYSTEM
LnT 11 BLOCK I RAVEN ~/BnDs
1) ALL~/DRKJSHALL DE PERFORHEI) ~"
IN ACCORDANCE ~/ITH, & ALL HETERIALS // ~ ~
SMALL CONFI~RH Tn AHC15.65. / ~
E) ADD A NI~IINUH OF' 1' OF FILER ? ~ /~
TANK. _/ .X '
3; CONT-RAOT~CL~ERIFY DINENSIONS/ \
FRDH EXIST'G WELLS. INSTALL NE~,/ T~K'~
OUTSIDE EXIST'G
P.I.I). NO~ 01-232-05
INSTALL DOUBLE
AFTER TANK,
1250g__
'TIC TANK X
LL NEW
1,' 1.7
EXIST'G CRIB
"~/'-.T. O REMAIN,
.- / ~-.-1%
~'~lOX
EXIST'G 1250~ SETIC
, CBLLAPSEDI
ABANDON IN PLACE
""--10z
EXIST'G 4 BR
gE
EXIST'G
C,\~/ork\])RA~/:
4 ~E~ROOM HOUSE
1250g SEPTIC TANK REQUIRED
TANK REPLACEMENT ONLY
PREPARED FOR~
Mr. P~ut & K~*hy J~ckson
11901 Gllie**e Ro~d
Anchorage, AK 99516
(9~8> 474-3614
N£~,/ 12509
SEPTIC TANK
PANNDNE ENG, SVC,LLC
P, O. BOX 102954
ANCHORAGE, ALASKA 99510
272-8218 Phone & F:x
DATE, 3-8-03 J DESIGN
SCALE, 1°=60,
~'~'"'~TER ANCHORAGE AREA BOR~"~!
u£rAF{TMENT OF ENVIFIONMENTAL.I~UALIi, '
-' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
° '- INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ,~/:, ~n.4/ o,J ~'~ 7~'~ -
ADDRESS ~'(~'" ~ '~_~r({, PHONE ~-0~
LEGAL DESCRIPTION ./~,7" /[ ,~,IC / '~ ~,,~lg I.,(/I'~J).S ,.'~,,, ~
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY /2
NUMBER OF
MATERIAl ~-.lC!JQ ..~'~',~ j... COMPARIMENIS ~
LIQUID
GALLONS. INSIDE LENGTH ~ .INSIDE WIDTH ~ DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER ~ OR WIDTH/~' ''~''. j~ t , LENGTH .,~(~ I . DEPTH ~// "
/~ C~/~ DISTANCE FROM WELL /~O / + '
. BUILDING FOUNDATION ~[~ ~ ~
. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~7~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF IILE TO T~ISH GRADE
TOTAL LENGTH
. FOUNDATION ~ 'j OF LINES
.DIS~tt~l~S TRENCH WIDTH IN. TOTAL EFFECTIVE
,-"'"-SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER MATERIAL BENEATH TILE.
IN. ABOVE TILE
WELL:
LOT LINE
TYPEJ~L~I~/' blZiLLE~) DEPTH .~2~) ! DISTANCE FROM ,.~,~...~ WATER ~
, . BUILDING FOUNDATION, /~'/:~9/% SAMPLE
NEAREST SEPTIC /M- SEEPAGE ~.f.
/'0 t ~ ., SEWER LINE ., TANK ~-~, . SYSTEM //LCY~ , CESSPOOL )L/',~ A/~'
. NEAREST
· OTHER
, SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
T£3T: 250'~'
DATE
GRLATEr ANCHORAGE ArEA BorOugh
DEPARTMENT O~ ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
PERM,T NO.~O/~5'
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
(
NAME Of MAILING ADDRESS
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PiT ~ ~
I DRAIN FIELD ,
SOIL TEST RESULTS
OTHER
COMPLETION DATE ANTICIPATED
PHONE
NOT~"~ THIS PERMIT I$ NOT YAMD WITHOtJT ~,OIL TE:BT
FINAL INSPECTION: 24 HOUR NOTICE: RE:QUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPE:CTION BY THE:
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SE",,C TA.K S,Z, /00 0 TYPE
MINIMUM DISTANCE:S, REQUIREME:NT$
FOUNDATION TO SEPTIC TANK
SEEPAGE AREA SIZE
DIAGRAM OF S¥~TE:M
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
/0'
TO.EA.EST LOT L,.E. b'-O /
DRAIN FIELD/OO/
/
DRAIN FIELD
~0' D.A,. ,",ELD.
S EEPAGEP,T /0~
ALSO CONSIDER AREA WELLS.
, SEEPAGE P,T ~0
DRAIN
CAST IRON INTO AND OUT OF' SEPTIC TANK ANO INTO CRIB CROSSING GAP
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEl. BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
· / ?'
Tan Silt, Sand & Gravel
Tan Silt with Occasional
Mixture of Sand & Light
Gravel - S~me Boulders - Ail Dry
Brown Silty Sand
Brown Sand Silt
Brown Silty Sand - Wet
Dry Brown Till
Water Sand & Gravel on
Top of Bedrock,. Cased
to 205 Ft. & Perferated
Water Strata
From To
0 32
32 159
159 174
174 188
188 196
196 199
199 199h
~;tif' thd a~ove-trhe and correct
?~L .~.~'. ~.~ '
.......... b'O~TEN" m '' ' '
' ' .DRILLIN(
.~:~'.~,~.;. "'..:....:-~....~...........~ :.:,..'. '.. ~ ',..~..:.;....::~x.;?~..:~>~ ~?.,.. =-.....:~
, . '-c,~,,'~; . -..... ...... .:. ~,..;. .Jo~, s Road .. ?.,::... :, .?
.. ~:~ .::.? --::.> :....~ '.'-.~S~N,~D. ,~,~z~.:;~.:?;~'~?. .... ....,.: '.. : ...: . -
>;~. ' "'..-. ''. ~ ..'~ "'" ' ' ". ' "'~':" .~.,". . .::.';, .'.':C" ~ .
L/ "' GREATER ANgHORAGB AREA BOROUGH'
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-868~ ,
Date o~ Inspection
e
REQUEST FOR APPROVAL OF
INDIVIDUAL SE~ER & WATER FACILITIES
FOR
Address: ~ ~ Phone
Type of Facility to be Inspected:
Number of Bedrooms: 3
Well Data:
C. Construction ~ II
7. Sewage Disgosal System:
B. Depth ~2~ /
·
D. Bacterial Analysis .
A. Installed B. Installer
C. Septic Tank: 1. Size 2. ~anufacturer
D. Seepage Pit: 1. Size 2. Material
E. Disposal Field: Tota] Length of Lines
Distances:
A. Well To: Septic Tank ~-o~ , Absorption Area /oo/'~ , Sewer Lines
, Nearest Lot Line ~ , Other Contamination
B. Foundation to Septic.Tank ") Absorption Area
C. Absorption Area to Nearest Lot Line ~ /~-
Rec~Je-~t for Approval ~'~"~dtvtdual Sewer & Water
Page Two
9. Comments:
~.~__.~'~t s a p p rov e d Date ~/-/ -~-? ~
~pp.ova] Val[d for One Year 'From Date Signed
Greater Anchorage Area Borough, DeF~rtment of Environmental Quality
DIASRAU OF SYSTEF,
I certify that the information contained in this request for approval to be a true
and accurate representation of the sub.iect sewer and water facilities located at:
Signed Date