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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