HomeMy WebLinkAboutCRESTWOOD LT 4Crestwood
Lo1- 4
#015-361-12
Municipality of Anchorage i
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 Elmore Road ~ ~
P.O. Box 196650 Anchorage, AK 99507 Paget"* of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ~r,,~ E) ,5¢~ taf ~ PID Number: Ol~" - ~ &( -[ ~
Address:
~( ~¢¢~ ~ ABSORPTION FIELD
Phone: Number of B~om$:
' DeepTrench ~ Shallow Trench ~ Bed ~ Mound ~ Other:
Total Depth from original grade:
LEGAL DESCRIPTION soilRating: ~, ~ GPD/Ft2 ~ ~Ft.
Block: ~L°t: ~ ¢ ~ ~ ~ ~ ~Subdivisi°n: Depth to pipe bottom from odginal,~t ~ Ft.grade: Gravel depth beneath pipe: .~ Ft.
Township: Range: Section: Fill added above original grade: Gravel Length:
Classification (Private, A, B, C): To~l ~p~ Cased to: Total absorption area: Pipe Material:
~ Ft. Ft. 7 ~ Ft~ ~3 ~
DrilleF: ~ Cate Ddlle~: Static Water Level: Ft. Install~:~l~ ~ ~40~ Date Installe~ ~~/_~
~' : GPM Pump Set at: Ft. Casing Height Above Ground:Ft. TANK
SEPARATION DISTANCES ~ s,ptic ~ Holding ~ S.T.E.~. E Other:
Septic Absorption Li~ Ho]ding ~rivate Manufacturer: Capacity:
T~n~ Fi~ St~tion~ T~nk S~"~'~ A~ k'**e~ ~. ~00 ~"
Material:
Well
,
Size: Man~acturer:
Lot Une ~ ~'Z Gal
Foundation ~ ~0~ 7~% "Pump on' level at: ~gh water alarm at:
in in.
Pump Make ~ Electrical Inspections pedormed by:
Cu~ain Drain ~ ~ .
Remarks:
BENCH MARK
Location and Description:
Assumed Elevation:
Inspections pe¢ormed by: ~ '~4.(~~ Dates: 1st f/~¢~¢ Engineer's Stamp
Development Se~ices Department Approval X,~" ~
Conditional Approval Date: ~ w. 4~~
' '"~ Ii ~'.. CS. 9469
(Rev 04/06) / ~~' ~ ~ · · ·
Permit No. SW080197 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 543-4744
On-Site W(]stew(~ter Dispos(]l System (]nd/or Well Inspection Report
Legal Description: T12N,RSW, SEC55 LOT 128, PID No.' 015-.361-12
I
GRND, F PE
MARK A B
ELEV. E .['Vt
C01 4,3 12 99.7 9i.1
TC02 53 18 99.7
C02 58 24 99.6 c~ ~.6 I
C03 59 24 99.6 c~ ~.6
C04 66 25 99.2 9 i.1
C05 116 80 99.,3 9 i.1 I
MT 105 65 99.3
-
, '~5 ~ ~ ~ ~ ~ SECONDARY TRENCH
~ -ORIGINAL SYSTEM
-- '~ ~ _ ~C02
~ ~ ~ -----~ ~C01~ ~ ....
/ /
/ /
/ ~, /
'II/
/ /
/ A /
/
/
I ' ~ BENCH, TOP 0 S~B
/
/ I ~ X /
/I ~ X /
/I ~ N /
/ '
X / /
k / /
~ / AgRUlLT /
~ / SCALE: 1"=5~/
~ ~.~~4..~..~.,.. ~
1,000STEEL TANKGALLON ~,1 ~ ...... ~.~ MICHAEL N, ANDERSON/~
N,T.S.
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water 8, 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: Sep 16, 2008
Expiration Date: Sep 16, 2009
Permit Number: SW080197
Legal Description: CRESTWOOD LT 4
Design Engineer: 0088 ANDERSON CONSTRUCTION & E
Owner Name: ANGELIA GUSTAFSON
Owner Address: 6001 BARRY AVENUE
ANCHORAGE, AK 99516-
Parcel ID: 015-361-12
Site Address: 006001 BARRY AVE
Lot Size: 49500 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. Ail 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:. ~/.,~/~
Municipality of Anchorage
Development Se~i_c_es-Oepartment
Building Safety Division
On-Site Water end Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
Parcel I.D.
Mailing address
S te address
Legal description (Sub'd, Block & Lot) ~O
Legal descHption (To.ship, Section & Range)
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Day phone
Zip Code
Zip Code
Number of Bedrooms
LotSize L~, ~-~'~)O Sq. Ft.
THIS APPLICATION IS FOR (~]all that ap~ly):
~Al~sorption Field {~,
S..ptic Tank ~
Holding Tank
Privy
Private Well
Water Storage
THIS APPLICATION IS AN:
Initial I'"l
Upgrade ~
Renewal
I certify that the above information is correct. I fudher cedify that this application is being made for a
Single Fam~ and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
PermitJRush Fees:
Date of Payment:
Receipt Number.
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
August7,2008
Municipalities of Anchorage
Departments of llealth and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Lot 4, Crestxvood Subd.
Tax Id. 015-361-12
To Whom it may concern:
This is a request for a new septic permit on the above referenced lot. A single test holes was excavated
along the north side of the driveway, which showed silty sandy gravel for the full test hole depth of 17
feet, with no water observed after the 7 day monitoring. The pete rate from the test hole was 6 minutes
per inch. This existing system is the original design, so it has lasted a long time due to the good soils.
The owner has requested a 4 bedroom system, therefore I have shown a reserve system for future
development. The lot is large so upgrading is not a problem.
The lot has a gentle slope at the septic area of about I to 2 percent from the driveway facing north, as
shown on the plan. There are no cut banks within 100 feet of the existing or proposed systems. The
neighboring lots to the north are served by community water and will not be impacted by the new
addition. The other neighboring lots to the east and west will not be impacted or affected by this upgrade
due to the large lot size.
If you have any question please call me at 345-3377
Mich'a~l N. Add&son, P.E.
Michael N. Anderson, P.E.
CiviVStructural Engineering & Construction
4661 Natrona Avenue
Anchorage, Alaska 995 ! 6
Phone 345-3377
Fax 345-1391
Sept 4, 2008
Municipalities of Anchoruge
Departments of Ilealth and ! luman Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Lot 4, Crestwood Subd.
Tax Id. 015-36142, Revisions
To Whom it may concern:
Soils Log - Dates: The soils log appears to be indicating that the test hole was dug in August 2007, while
the percolation test appears to have been done in August 2008. Is the soils log dated correctly?
The soils test was Iogged last year but the owner didn't have the money, so it ss,as delayed for 12 montl~.
I did the soils last)'ear so the date is correct.
Note: It is difficult to tell when the soils log was sealed. Per the State the date is required to be included
whenever a document is sealed and signed, and the date is required to be within 2 inches of the seal if not
within the seal, although it does not have to be wet ink like the signature. For the soils log, the date
nearest the seal is approximately one year prior to the percolation test date.
The date will be added to the stamp.
Reserve Absorption Field - Location: The 1"=30' plan view appears to be calling out the same drain
field as the primary and reserve. Please revise the design as needed to be indicating where the reserve
absorption field is located.
The primary and reserve system have been clarified
Design Requirements/Specifications: The design appears to be lacking some ofthe design requirements,
i.e.; valve type, gravel gradation, gravel cover over the perforated drain pipe, general specifications, etc.
Please revise the design as needed to include complete design requirements in accordance with the code.
The owner has requested a 4 bedroom system so no valve ~vill be used to tile old 3 bedroom. I have
explained this to the owner attd she agrees.
If you have any question please call me at 345-3377
Michael N. Anderson, P.E.
I
I
~ /,~ .... ''-..--PROPOSED RESE"V~
I // *' ~ x ~-:~-~ DRAINFIELD
~ k '~ ~l A~EXISTING SHED
-. I / -''._~ ~ / ? taLON SEPTIC )ANK
..- /
.-'~ ',/ / "~ V ~o 9~ A~DON[O
// OUBLE C.O.
~ -L~T 3-
m , -LOT 4-
-LOT 5- ~
z -BARRY AVENUE-
RICtIARD AND ANGE~ GUSTAFSON
LOT 4, CRESTWOOD SUBDIVISION
Anchorage.A]aska
~,~,,~ ,y ~ ..~.~..~ ........................ .,.....~
,~dd~ ........................ ~-..~
MlCllAEL N. ANDERSON, P.E. ~m'~u~CU~[[ u. ~[~SO'''~[~'
~o~o suos}mm ~v~
(007) a4~-aa77 / F~ (007) a4~-~aol
}~--...¢/~
SCALE: l"=gO' SEPT 4, gO0~
OVER~e~ I '
SOILS = 600/0.8 = 750 GPD o.5'~ FILTER F~RIC
'~ ~4'~ PIPE/
750 GA/14 = 54' 3o ~
(1) TRENCH ~M ~UOA~N ROCK
10.0' DEEP
-'°.°1 i
2.0' WIB[ ,2.0'.
54' LONG -~7'
_ _ -~u~ou ~o~ ....
3
s~
-LOT ~- -lO~ ~- ~ -lOT ~- -LOT ~- -LOT 2-
~ SECONDLY S ]P[I~.
~ I .L~PROP0sED SEPT,C
I ~ ~EXISTING lC T0
I x~ ~N~O
.....- - _ _-.---;~' ~ - _ _ - ~ ~,~?-, ~o~ ~, ~
iI ii ~EXISTINO WELL,
4 I ' ,WE L I ,
/ ~ _ ~__ -LOT 3- m
) ~ ~ / i -BA RY AVENUE- /
EICIIAED AND ANGS~ GUSTAFSON ~x~ ............
LOT 4, CE~STWOOD SgBDIVISION ~.-'
Anchorage, Alaska ~- / ~
Prepared By ~ .............. / .......................... '~""'~
,.~ ......................... ~.~..:
MICHAEL N. ANDERSON, P.E. ~U~CHA~L ~
4640 SHOSHONI DRIVE ,.~ · '~ .'
(90v) 345-33vv / tax (~ov) 34~-~39~ ~ .. · -~ ..,-~
**;~....~.....'
SCALE: 1"=100' SEPT 4, 2008
PeHormed For:
Legal Description:
2.
3-
4-
5-
6-
7-
8.
9-
10-
11-
12-
13-
14-
15-
16-
17.
18-
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Municipality of Anchorage
Development Services Department
Building Safely Divisic n
On-Site Walef and Wastewater Program
4700 S~Jth Bragaw SL
P,O. Box 196650 A~chorage. AK 99519-6650
www.ci,anchoraqe.ak
(SO7) 343-7-c04
Soils Log - Percolation Test
SIo~e
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT W~*~T DEPTH?
D e P ~ o~"W°i'altnl ?A ff e '
COMMENTS ~'~'~ ~ ~.~'
PERCOLAllON RATE ~/~:~ ~a~le,~c~) PERC EOLE DIA~,IETER ~F _
TEST RUN EET,~iEEN ~-~ FT ~.~qO ~ FT
Reading Date Gross TimeNet TimeDepths WaterNet Drop
/,~,,,,;, ~, ,, /, ;,-~"
~- /, ~-',
O," ~
~"
PERFORMEO BY; ~lt ~ <.~1 ~ '~,~,~,~ ,- I CERTIFY THAT THIS TEST.WA~
PERFORMED IN ACCORDANCE WITH ALL STAT~:'~ND ~,,UNICIPAL GUIOELINES IN EFFECT ON THIS DATE. DATE:
GREA R ANCHORAGE AREA BORC:TTiGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL F~ MANUFACTURER
~ ~'~ATE R ~AL
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS 2_~
LIQUID CAPACITY~__~GALLONS.
'r4L,. DT, A;N Fir_Lu:
TOTAL LENGTH ~, /
DISTANCE FROM WELL /~,~'7'-FOUNDATION ~'~CF/~NEAREST LOT LINE ,~/~' OF LINES ~
NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDTH~IN." TOTAL EFFECTIVE
ABSORPTION AREA ~ SQ. FT. LENGTH OF EACH LINE ~ ~
DEPTH: TOPOFTILE TO FINISH GRADE ~ MATERIAL BENEATH TILE IN. ABOVE TILE ~ IN.
WELL:
TYPE _
CONSTRUCTION DEPTH
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE__, SEWER LINE__, TANK__, SYSTEM
OTHER SOURCES
DISAPPROVED REMARKS
BUILDING
FOUNDATION
CESSPOOL
APPROVED
DISTANCE FROM:
SEWER LINE DEPTH:
PIPE MATERIAL: ~-"-'~--'~
LOT SLOPE:
r~IAGRAM OF_ c~Y&TF'M
DATE
-I
Form LQ-032
PERNIT NO.
MUNICIPALITY OF ANCHORAGE
DEPRRT~NT ~ HEALTH AND ENVIRONMENTAL PROTECTION
25t8 E. TUD~ RD., ANCHORAGE, AK. 99507
276-222i
ON--SITE SEWER PERMIT
?~i93 )
RPPL I C~T
LOCRT I ON
LEGAL
D_I~_ 8NTHON~_
B-RRR~ A ~IflN STS
L4 ~EST~ SU6~
2523: B~OK DR
LOT SIZE
278-3644
49500 SQUARE FEET
TYPE OF SOIL ~S~BTION SYSTEM IS: TRENCH
HRXIMUM ~R ~ BE~S = 3
SOIL RATING (SQ FT?BR)= 100
THE REQUI~D SIZE ~ THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 7 LENGTH= 3:1 GRAVEL DEPTH= 5
THE LENGTH DI~ION IS THE LENGTH (IN FEET) OF THE TRE~H ~ DRRINFIELD.
THE DEPTH ~ R ~H OR PIT IS THE DISTANCE BET~EN T~ SURF~E~OF THE
GR~ ~ THE ~TT~ ~ THE EXCRETION (IN FEET). F
THERE IS NO ~T WIDTH FOR T~NCHES.
THE G~EL ~PTH IS THE MINIM~ DEPTH OF GRAVEL ~TWEEN THE OUTFRLL PIPE
~ THE BOTT~ ~ THE EXCRVRTI~ (IN FEET).
REQU I RED SEPT I C TANK $ I ZE= ieee GRLLC~I'-.IS
BACKFILLI~ ~ ~ S~TEM WITHOUT FINAL I~PECTION AND APPROVAL BY THIS
DEP~T~NT WILL BE S~JECT TO PROSECUTION.
MINIMUM DIST~E ~TWE~ R WELL AND ~¥ ON-SITE SEWAGE DISP~AL S~TEM IS
180 FEET F~ A ~I~TE WELL OR ~0 FEET F~ A PUBLIC ~LL.
SPECIFICATIONS ~ C~STRUCTION DIAGRAMS ~E AVAIL~E TO INSU~ PROPER
INSTALLATI~.
PERM I T VRL I D FOR ONE YEAR FROM I$$UE
I CERTIFY THAT
1' I AM FAMILI~ WITH THE ~IREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE ~iCI~IT¥ OF A~RAGE.
2' I WILL I~T~L ~ S~TEM IN ~COR~E WITH THE CODES.
3' I ~RST~ T~T THE ~-SITE SE~R SYSTEM MAY REQUIRE ENL~GEMENT IF THE
RESIDUE IS ~~ED TO INCL~ M~E THAN 3 BED~S.
SIGNED
_DATE
P~d fo.r
L~gal [~escrlption:
This fora reports:
Deuth
I)Li'Ati. TMENT DJ." tiEALTH AN,~ ENV IliON MENTAL Pi{il I'I'.CTION
Pouc' 9-650, 99502' - 2518 E. Tudor Re* k-~~ Anchorage, Alaska
Soils 10g - ~ Percolation test
I' o,L-
Feet
5-
6-
7---
,m
g-
lO-
11-
12-
13-
I
Was'ground water encountered? ~0 If yes, at what depth?
Reading Date { GroSs Time Net Time Depth to fl20 Net Drop
Percolation r~ te minute, ·
Proposed installation: Seepage Pit ..... Drain Field "
~epth of Inlet . Depth to bottom of pit qr trench _ .
zs' 7, o"
.y_ ./_~
Perforraed By: .. ,~" !/~ !~q,q C ~ Certified By: ~__~ .-r-(_._., Date.'' ~-,/'~./7.~g,,
/--
MUN I ¢ I PAL I T~,~ OF ANCHORAGE
DEPBRTMENT OF HEBLTH RND ENVIRONMENTBL PROTECTION
25i0 E. TUDOR RD. , RNCHORRGE~ PK. 99587
276-222i
~ELL F~ERM ~ T
PERMIT NO. ( 7633i )
~OREMOST S__E_RVICES
BERRY RVE
L4 CRESTWOOD SUBD
RPPLICRNT
LOCRTION
LEGRL
2523 BROOK DRIVE
LOT SIZE 49000 SQURRE FEET
M I N I MUM D I STBNCE BETWEEN R WELL RND RNY ON-S I TE SEWRGE D I SPOSRL SYSTEM I S
100 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL.
WELL LOGS PRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30 DR'T'S
OF THE WELL COMPLETION.
SPECIFICRTIONS RND CONSTRUCTION DIRGRBMS PRE RVRILRBLE TO INSURE PROPER
I NSTRLLRT I ON.
PERM I T VAL I D FOR ONE YEAR FROM ISSUE
I CERTIFY THRT
l' I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLIT¥ OF RNCHORRGE.
2: I WILL IN RCCORDRNCE WITH THE CODES.
SIGNED'
~PLIC~qT FOREMOST SEI;L~CES
ISSUED B~~--~---DSTE
>?
..9. (: i'",r
)-) )~.>~ )~
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received January 18~ 1977
Time of Inspection
Dateof Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES .~
FOR
COF~V ·
Approval reqUeSted by: &la_~)~& .Bank of commerce
)Jail tng Address: 712. Wast 4th Ave~nue
2. Property. Owner: .. Hmwar4 M. S~mith
Mai 1 tng AddreSs: .. 2.523 ~ro~ke Drive
Legal Oeser~ pt~lon::-
Phone: 27ga'B64[
Phone: 27~-- 3644
A. Installed
C. Septic Tank: 1.
D. Seepage Pit: 1.
B. :nstaller
Size _~ 2. Manufacturer
Absorption Area ~ 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
, Absorption area
, Sewer Lines .,
Nearest lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO.
2. Property Owner: , _~'V__L~__Lc~_-'
Mailing Address:
4. Name of Lending Institution:
Mailing Address: ? ] c~
5. Name of Realtor or Agent:-)~/~.
Mailing Address:
Legal Description: ~
Location~d,'
.FHA
MUNICIPALtTY OF ANCH
c~IAL PROTECTION
JAN 2 8 1977
RECEIVED
CON V
· Day Phone:
Type of Facility to be Inspected:
No. Bdrms. ~-~_.
o
Water Supply
Type of Supply: Public Utility.
If Individual, number of dwellings presently served /
If Individual, depth of well
Sewage Disposal System
Type of System:
Public Utility
If Individual, date of installation
,Individual
Individual (on-site)
72-003(3/76)
· Page ~ of two pages - Re~ st for Approval of Individual :
Legal Description Lot 4 Crestwood
ar & Water Facilities
Comments
Approv~~ ~%~y~_4~~ Disapproved
Approval ,Valid for one year from date signed
Greater AnChorage Area Borough, Department of Environmental
Quality
DIAGRAM OF SYSTEM
I certify that the infomation contained in this request for approval to be a true and
accurate representation of the subject sewerand water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)