HomeMy WebLinkAboutRATCLIFFE LT 40
Rntcliff e
Lot 4
#011- 122-73
1
Municipality of Anchorage'"t �•.;
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 S. Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650 Page I of 3
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: S VI/iD3 0 J PID Number.
Name:
is
Wastewater System: EfNew ❑ Upgrade
Address:
t 61 le
ABSORPTION FIELD
Phone: Number of Bedrooms:
(f 11beep Trench ❑ Shallow Trench ❑ Bed Cl Mound ❑ Other,
LEGAL DESCRIPTION
Sol Rating /
Total Depth from original gr*7 -
GPD1Fs
1'D Fl
Block: Lot Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
'kA -T C L i if F S S
—.51 Ft.
15 FL
Township: Range: Section:
Fill added above original grade:
Gravel Length:
LI Fl.
J Fl.
Well: ❑ New ❑ Upgrade
Gravel width:
Number of lines:
II
Distance between lines:
Ft.
Ft.
Classification (Private, A B, C):
Total Depth:
Cased to:
Total absorption area:
1J CSD
Pipe Material:
Ft.
Ft.
Fl=
811D [ 3d
Driller. J _f i
NV
Date Drilled:
Static Water Level:
Installer.
Date Installed:
1Y
Ft.
Cc 1 M
^ +J ^D 3
Yield:
Pump Set at
Casing Height Above Ground:
TANK
GPM
FL
FL
SEPARATION DISTANCES
[�(Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lift
Holding
PubliclPrivat
Manufacturer.
Capacity.
From
Tank
Field
Station
Tank
Sewer Line
AML�H- —,&N
I X L)Gal.
Well
A �
L)
� GTA CE
Material:
S7 i_ k I —
Number of Compartments;
!--
SurfaceWater
nLIFT
ST TION
Lot Line
i
+�
f7
Size:
Gat,
Manufacturer.
'Pump on' level at:
'Pump off'le I at
High water alarm at:
Foundation
7
t d
1n,
in.
In.
Curtain Drain
Pump Make S Model
Electrl Inspections performed by:
Remark;
BENCH MARK
Location and Description:
Bc)T1ur-4 S1DfNH
Assumed Elevation:
IAC-- FL
�Er�ginee. �
:;� 0oe90o non i ?'L
oo hr
°•o r YJ -
Inspections performed by: Dates: 1't 9!510
000icoc"ae��osr _'— c
do
2nd 9
°poo uw wJWwO N �•
Development Sehices Department Approval
TO
Reviewed and approved by: Date: to
���j4FF°°tee
V
(Rev. 12/00)
G7
-------------- -----------I-- -- -- --- - -- -- --- /-- �r- - W-- -/- - - �/-
-
SYSIE�I
► MARK
RS
BENCH%K.
SEPTIC AREA BOTT017 SlDI1
ASSUMED ELEV. L.00 FT
TOBBEN SPURKLAND P.E. L0T 4 RATCMFFE SID SEPTIC SYSTEM AS BUILT
203 W 15TH. AVENUE DA 7E.- OCT. 10, 2003
ANCH. AK. 99501 TIMBERLINE HOMES
,,,,,.,, AK. 950 6961 WEST K£NDALE CIRCLE SHEET. 2/3 GRID: 2222
I PERMIT #SW030221 PID # 011-122-73 RAT00042.DWG
V.
.m
Standard Trench,
2' Wide
50' Long
8' Beep
5.0' Sewer rock
3' Cover
S1l t Ba
NO SCALE
0
Monl for
Cleanouts
- 3' Cover
96t
z
Cs
Qi
V
n,
I
1250 gal Septic tank
90.8
85.6
V
0
5.0 Ft of Septic Rock
Effective 1250 gal, septic tank
81 H2O 6-10-03
NO SCALE 79 RENCH MAN
B07TOM SIDING
AS BUILT ASSUMED ELEV 100.00 FT
TOBBEN SPURKLAND P.E. LOT 4 RATCLIFFE SID SEPTIC SYSTEM SCHEMATIC
203 W15th Ave DATE
TIMBERLINE HOMES OCT. 10, 2003
Anchorage Ak 99501
P79 -191A 11 6961KST KFNDALE CIRCLE SHEETi 313 GRID 2,022
PERMIT SWO30221 PARCEL ID / 011-122-73 RAT00043.DWG
g�s)D3
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
Initial
Permit Number: SW030221
Legal Descriptiorl"Ratdliffe7Lot 04—
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Justin Ripley II
Owner Address: PO Box 221893
Anchorage , AK 99522 -
This permit is for the construction of:
]✓ Disposal Field F✓ Septic Tank
�toY-V\
3Pryv
Date Issued: Jun 25, 2003
Expiration Date: Jun 24, 2004
Parcel ID: 011-122-73
Site Address: unknown
Lot Size: 43305 SQ. FT.
Total Bedrooms: 4
Permit Bedrooms: 4
0 Holding Tank E] 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.
Received By:
Date: ! d 3
Issued By: I�. ��� Date: 6-257-0-7
Municipality of Anchorage
**6[ eb♦
• Development Services. Department j
Building Safety Division _:
On -Site Water and Wastewater Program s A IT.
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage:ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. -�) Z� . '—� Permit Number SW
Property owner(s) 1� 1--� y Day phone
Mailing address (1) F6 `sby, ZZi Req
Mailing address (2) 1 Zip Code
Legal description (Lot, Block & Sub'd.) LO 1 4, V_A_t C L
Legal description (Section, Township & Range)
Lot Size q S. 3 fl_5 Acres/Sq.Ft. . Number of Bedrooms L4
THIS APPLICATION IS FOR:
Sewer Only
[J
Well Only.
❑
Sewer and Well
❑
Water. Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
I certify that the above information is correct. 1 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 authoriled agent)
Permit Fees: -�' y� Waiver Fees:
Date of Payment: bb -3k3 Date of Payment:
Receipt Number: '3 % q5 '-/ Receipt Number:
(Rev. 12/00)
T o0.YP 6 lld VD P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 4 RATCLIFFE S/D
TIMBERLINE HOMES
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
Anchorage, Alaska 99519-6650
June 21, 2003
We are submitting an application for the installation of a septic system for this lot. The submittal
consists of three (3) drawings showing the present improvements on the lot and the adjoining
properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is
subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil
logs and percolation tests of applicable testholes are also enclosed. This subdivision is served with
public water. (AWVAJ) The septicsystem design is based on the following:
Ground Water at 14 feet on June 10, 2003
Running, unstable sand. .
Use Standard Trench
Soil Rating. From Testhole 05/20/03
<1 min/in =1.2 gal per sq.ft/day
No. of Bedrooms 4
Required Area per Bedroom: 15011.2 = 125 sq.ft.
Total area required: 125 x 4 = 500 sgft
Ground water at 14 feet
Bottom Rock At 8 feet
Top Rock At 3 feet
Rock Depth 5 feet
Minimum Trench Length 500 /10 = 50 ft.
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH
50 FT
TOTAL WIDTH
2 FT
TOTAL DEPTH
8 FT
ROCK DEPTH
5 FT
COVER
3 FT
SEPTIC ANK
1250 GAL
The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation.
UNBEVEL17PED
—
--------------------------
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VEST KENDALE CIRCLE
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I I I I �•,¢j'�,
L- - - - -- -- - -----���•,
A cf�$
50 0 50 l00 150 200 250 300
SCALE, I' = 100 FT,
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TOBSEN SPURKL4ND P.E. LOT 4 RA MFFE SID SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE TIMBERLINE HOMES WE: JUNE 20, 2003
ANCH. AK. 99501 6961 WEST KENDALE CIRCLESHEET- 1/3 GRID: 2222
/ons) 970_;Wa
PERMIT #SV03OXXX PID # XXX RAT00041,DV5 I
TOBBEN SPURKLAND P.E. LOT 4 RAMMME S/D SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE DATE: JUNE 20, 2003
ANCH. AK. 99501 TIMBERLINE HOMES
6961 WEST K£NDALE CIRCLE SHEET 2/3 GRID: 2222
I PERMIT #SV03OXXX PID # XXX 1./0//SF //AInF"R rnNISTR!lrTl&T00042,DWG
Standard Trench.
Sil t Ba
5.0 ft or Se
Effective
0-0do O _O
O � �
0 1250 gal Septic tank o
C
a
A
t2
2' Wide
50' Long
8' Beep
30' Cover rock Sewer
. +'v%W'
�G OF
'• 49th
s . TCHBEtJ SPURKLAND
I fJnj 11: No. CE -2225
NO SCALE �1••''........
4i -PR6
ITU >L.HLG
SPURKLAND P.E.
203 W15th Ave LOT 4 RATCLIFFE SID SEPTIC SYSTEM SCHEMATIC
203 W1
Anchorage Ak 99501 TIMBERLINE HOMES DATE, JUNE 21, 2003
6961WEST KENDAIE aRCLE SHEETS 3 3 GRID 2222
PERMIT I SW0300XX PARCEL ID / XX RAT00043.DWG
O •�
Performed For:
Legal Description:
Arucy
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw Sl.
P.O. Box 196650 Anchorage, AK 99519-6650
www ci.anchorage.ak.us
(907) 343-7904
Soils Log - Percolation rest
' t' Date.Performed: �f4Zp/o 3
Township, Range, Section:
Site Plan
4- _ (-OUese rd�
`e,1�
10. -�
i1- f
t
12- 4
t
1 I. -
1A.
i�• `% � �lz.o�a�
16
BeiTcCA a (�
,7-
V
1�-
20-
CCi`."MENTS
PEc,"CLATION PATE L lr. cnaei5rtl) FERC FCL E CIA.MUER (p "
TEST RUN 9ETPIEEN �j FT PUD FT
PER FCRI IED BY: S I �i CERT IFY THAT THS TEST "':.c
PERFORMED ISI ACCORDANCE WITH ALL STATE AND ..UN1CIPAL GUIDELINES IN EFFECT ON I T'i!S DATE. DATE; to 'to O
E?:CCS`: T E=E7?
ys
IF YES. AT WHAT DEPTH?
! L
0
Depth to vla:er AfterJ
P
14
Monitoring?
E
G1r0103
Dale:
PEc,"CLATION PATE L lr. cnaei5rtl) FERC FCL E CIA.MUER (p "
TEST RUN 9ETPIEEN �j FT PUD FT
PER FCRI IED BY: S I �i CERT IFY THAT THS TEST "':.c
PERFORMED ISI ACCORDANCE WITH ALL STATE AND ..UN1CIPAL GUIDELINES IN EFFECT ON I T'i!S DATE. DATE; to 'to O
lk4unicipality of Anchorage
Development Services Department
• / Building Safety Division p r4•
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650(�
Anchorage, AK 99519519-6650 �`-
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. V I' Io�o�— COSA# Oq 09 43�
1. GENERAL INFORMATION Expiration Date:
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
RATCLIFFE LOT 4
6961 WEST KENDALE CIRCLE *ANCHORAGE, AK
JUSTIN RIPLEY Day phone 240-7565
6961 WEST KENDALE CIRCLE 'ANCHORAGE, AK_
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
Day phone
Day phone
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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 for this application,
shows that the on-siie water supply and/or wastewater disposal systen is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineers Printed Name JEFFREY A. GARNESS, P.E. Date -7]2 � 09
Engineers Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identirrable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report Is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
S. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
�y04.........
); g 9�
e
.� .. A.....ness.:
E-7953
Conditional approval for bedrooms, with the fllowing stipulations:
Attachments: /
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineers Report
Other
.�;y,
' ••,.o
ON-SITE
WATER AND
WASTEWATER
PROGRAM '
By; Original Certificate Date: 7-2) ` o
(Rev 11105(
D. LIFT STATION
Date Installed Size in gallons Manhole/Access (YIN)
"Pump on" level at in. "Pump off" leve High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot On adjacent
Absorption field on lot
Public sewer main
Sewer /septic service line
On adjacent lots
Holding tank
manhole/cleanout
Animal ent areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water service line 100+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that l have determined through field Inspections and
review of Municipal records that the above systems are in
contormance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date :2 1Y4/o9
COS A Fee S 1 q o
Date of Payment % 1-7 f u ry
Receipt Number 0.L l g 9 3
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: RATCLIFFE LOT 4 ParcelID: %3
A. WELL DATA PUBLIC WATER
Well type If A, B, or C provide PWSID# _ Well Log (YIN)
Date completed Sanitary seal (YIN)_ Wires prop>(abo
ted (YIN
Total depth ft. Cased to ft. Casing heiround) in.
FROMWELL LOG ATI CTION
Date of test
Static water level
Well production g.P.m. 9•p•m-
WATER SAMPLE RESU
Coliform colonies/100 ml. Nitrate mg./L. Other bacteria colonies/100 ml.
ic: ug./L. Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 9/5/03
Tank size 1250 gal. Number of Compartments E Cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A
Date of pumping 4/30/09 Pumper NORTHLAND PUMPING
C. ABSORPTION FIELD DATA
Date installed 9/5/03 Soil rating (g.p.d./ft2o /bd 1.2 System type TRENCH
Length 50 ft. Width 2 ft. Gravel below pipe 5 ft.
Total depth * 10.58 ft. Eff. absorption area 500 ft' Monitoring tube YES Depression over field NO
Date of adequacy test 7/23/09 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test? in. Water added 790 gal. New depth? in.
Elapsed Time: 0 min. Final fluid depth? in. Absorption rate >= 600+ g.p,d-
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date —
Q00000000
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0 �. �______________________________
-"""---'e ________________________i __
KENDALE
LA.
p.0 f0 20' UTILITY AND PUBLIC TRAIL EASEMENT
CIRCLE
0 Path
589'49'56"W 227.22
/
Lot 5
NOTE: THIS DRAWING IS NOT TO BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH.
Legal Description:
Ordered By,. Justin Ripley
AS -BUILT
Legend:
Lot 4 s
Ratcliffe Subdivision
Septic Standpipe QS
Water Well
AsDhdl
!i!ii Centrals
,,,.,,fDseh°^g.,'.:
Fence—X—X°
Wood Deck G-
SURVEY CERTIFICATION: LANTECH has conducted o physicalof s
property s shown on We dro*ing and certifies that the improvements
shoaled therem we within the property lines and no encroachments exist
other than noted.
LAND & CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS
EXCLUSIONARY NOTE: It Is the owners' responsibility to determine the
existence of any easements, covenants, restrmions or right-of—way
440 West Benson
Anchorage. Alaska
Boulevard, Suite 200 Phone:
99503
562-5291
takings which do not appear an the recorded subdivision plot. Under
no clrcumstonces should any data hereon be used for construction,
Fax:
561-6626
far establishing property Ivies, or for plot-pton purposes.
Plot: 2002-131
arld: SW 2222
Dale: July 22, 2009 Drown By. CB
Werk Order: 2003•—L-214 fb/Pg: 749/10-11
seole: 1'-40' lChecked By. JMZ