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HomeMy WebLinkAboutSKY RANCH ESTATES #1 BLK 5 LT 2Sky Panch #1 Block 5 Lot 2 #015-301-36 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OPS171333 PID Number: 015-301-36 Dwelling: ❑■ Single Family (SF) ❑ Duplex(D) ❑ Multiple(SF and/or D) Project: ❑ New El Upgrade Name: ANDY THICKSTUN ABSORPTION FIELD Address ❑ Deep Trench ❑■ Shallow Trench ❑ Bed ❑ Mound ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.8 GPD/SF 6.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 2.0 Ft.4.0 Ft. SKY RANCH ESTATES #1, BLK 5, LOT 2 Fill added above original grade Gravel length Township Range Section 1+ Ft. 56 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 5.0 Ft. Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches Tank Field Lift Station Tank Line From 562 Ft' 1.0 Ft. Well 100'+ 100'+ 100'+ 50'+ TANK El Septic ❑� S.T.E.P. ❑ Holding ❑Other I Manufacturer Capacity Surface Water 100'+ 100'+ 1001+ ANCH TANK 1250 Gal. Material Number of compartments Lot Line 10'+ *Cr 10'+ STEEL 2 NA ' LIFT STATION Foundation 1 1 Q+ 10+ 5+ Manufacturer Capacity Curtain Drain I UN UN UN ANCH TANK 1250 Gal. Remarks *SEE MOA LOT LINE WAIVER Pump on level at Pump off level at High water alarm at 36 in. 24 in. 40 in. Pump make and model Electrical Inspections performed by STANDARD MOA, RETROE 181300 PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield MIKE ANDERSON, P.E. Drainfield 3034 CO/MTao34 Inspector MIKE ANDERSON, P.E. BENCH MARK (Assumed elevation)95.1 ft Inspectetion 15i 5/24/18 2od 5/24/18 Location and description da3rd 4°h Garage slab COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL I . - c,v OF At '''k 14. . Conditional Approval: Date wy•- '�" 1, x: 49TTL1 ;I :'r F," #A.A..... (44 i -n.MICHAEL N. ANDERSON ; 0' ?`-i. CE-9469 (/. • ' `-' i / Approved ‘klitte,a Cvu- 9 Date i211(1/18 lid il0i- StT A.- ANN.-oma Inspection Report_9-1-12.doc Permit No. OSP171333 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: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: SKY RANCH ESTATES #1, BLK 5, LOT 2 PID No.: 015-301-36 MARK /,!. __� �/ \\ 201 833 CO 14 3 ------- / \ \ 01 15 36 / \ 1 TCO2 1 351 \/ 1 MT2 53 __.74----- 1 ..:>. I 1 1 1 4 1 I 0 1 1 I I DRIVEWAY I } I I 0 EXISTING WELL } I 1 I 1 1 I I , r 1 \ / / x \ / 1111I111IE NEW 1250 STEEL STEP TANK x \ i / OLD TANK/TRENCH DECOMMISSIONED I / / x iI MI • x i// co . \ L,,, //;/, TCT O. >( \I • l 1 1 � � N } I TH#1 i 1 — �--- � —� �i MTV— , _ - ---____ ��� \` / \\ �i / -----/ Lf- -------- / �I ASBUILT -- ,'�— / SCALE: 1"=30' rcot IrCO2 TC01 .4.6�\S\I14 8 r^TCG2 ri [MT2 100 44,- OF . �♦, ' RtRrr .F-- '3=5 0 100. �' .�•,1\/_ ,Y /'-FILTER WIC 9 d601A110N . '4 9 -II yl • ;;. \ 922 1.250 GALLON `\\ SC.POO, \ Gu , /�///w Val STEP TANK 9B `�98 / /`4. V' • 9<___/' 9i/ .-'s MICHAEL N. ANDERSONi al SEPTIC SECTION 87 rv. /`��{�}- OP N.T.S. H20887.5,MAY 2018 44 "1L4 FESS �• 1111111alo• .`�a�rmo‘� Municipality of Anchorage ( '•I" •4ISV`�- ;: // - --- Development Services Department 01%°4\.• .4 ^'+ t t On-Site Water and Wastewater Section ,�9TPi '(( •• ••,9 �j1 • • 4700 Elmore St. , — �i •%�r ? P.O.Box 196650 Anchorage,AK 99519-6650 / ? % www.muni.org/onsite / d (907)343-7904 -o• MICHAEL N. ANDLRSCN ;�.e• --__� fl rt i••. CE-9469 ,1 Soils Log - Percolation Test ,i4'FpPR�•..'�,+.��`'�..�' l �� �� / Performed For rJ�v1 p y 1 t T fit,S�.v1 Date Performed: Li Legal Description: 47 �t7 po",t(,) 1,.,1-i(ket L / Township,Range,Section: 13 .� Slope Site Plan ✓f -4-- Depth (Feet) d✓c1 . 1- _ 1 2- '7' .- 3- 6/ - '7 - 3 6r ti7rU^ t 4- l 5- e7 N( 6- 4, )/`h 7- C't v vire 8- WAS GROUND WATER 9- ENCOUNTERED? `r S 10 IF YES.AT WHAT DEPTH? /2/ 1 Depth to Water After /' 11- Monitoring? /2 r t; EP 12- Date -,l7v1t i 13- 14- e>0 q Ove Reading Date Gross Time Net Time Depth to Water Net Drop 15 57ti/it/ 30iv%irt v a, S-rr 16- t., -4 S- 17- /i ?. 6--- 18- G rr ?, 5' 19 ti " 71 < 20- PERCOLATION RATE / _ ,..n,•; -,<r, PERC HOLE DIAMETER TEST RUN BETWEEN FT AND -( FT COMMENTS PERFORMED BY: /.l1 rJ.IL I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4 ‘:>/ ��4 vi \v NG ©BFB SPRUCE DR nS \SIP 370 V `.�'J -'R O Y14) O WELL* ' WELL WELL' O 0 O ~2-- - to cip • bei-•-55 a w a C-4. 25.2 25.2. O c 1- O • SEPTIC sl 0•00 •p0-,p0 S 89'59 33 ' E. 70.06 S CURVE DATA NO. RADIUS DELTA LENGTH 1D 340.00 23'30'29" 139.50 Bobby F. Burnett GRAPHIC SCALE: 1 Inch = 30 Feet 2941 'Carriage Drive Anchorage, Alaska 99507 I I I (907) 350-5541 15 0 15 30 60 ��\�\ Date Scale Legal Description L�" OF' Az \ 11-29-2018 1" = 30' Lot 2 Block 5 Ar 4. 9. Grid <' ''' sef- SW 2737 AS-BUILT SKY RANCH ESTATES SUBDIVISION j'C � , Drawn by Field Book ADDITION #1 ei * 4��-'BFB ASB-2018 PLAT # 71-166I hereby certify that the property described hereon has been surveyed G / by me, or at my direction, and that the improvements situated thereon ` ,., -. BOBBY F. BURNETT :ff,/ are within the property lines and do not overlap or encroach on the N • �'S4g4 • property lying adjacent thereto unless otherwise shown. That no , 4 r� Z7 -/ Ai improvements on the p property lying adjacent thereto encroach on the �` - ........•--ti� Air 4,, premises in question and that there are no roadways, transmission PtSSIONM lines or other easements on said property except as shown. 1. / �J„cIP.,t.,T,,_ MUNICIPALITY OF ANCHORAGE ,,,,c,,, On-Site Water&Wastewater Program r PO Box 196650 4700 Elmore Road ', �� ® � Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 w� 1•c http://www.muni.orglonsite 1)clartntcnt CHORR On-Site Wastewater Disposal System Permit Permit Number: OSP171333 Effective Date: 5/24/2018 Work Type: Septic Upgrade Expiration Date: 5/24/2019 Tax Code Number: 01530136000 Site Legal Address: SKY RANCH ESTATES #1 BLK 5 LT 2 G:2737 Site Mailing Address: 5700 WHISPERING SPRUCE DR, Anchorage Owner: THICKSTUN ANDREW J & SHANNON M Lot Size in Sq Ft: 14190 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 3 This permit is for the construction of: 0 Disposal Field Q Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 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 Special Provisions: A test hole is to be provided prior to construction of the drainfield to verify separations to groundwater and impermeables, as well as percolation rate. Construction may proceed at your own risk before 1141. the 7-day groundwater monitoring is complete. If results require a design change, construction of the drainfield shall stop pending On-site review and approval. Please submit stamped and signed results with the inspection report. Received By: IAAL (flJV1.c'(/ Date: /Y�Issued B 1' ' Ck Date: 51 .nicht Municipality of Anchorage• Dcpiim men t P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 e (907) 343-7904 te Fax (907) 343-7997 http://www.muni.orq/Onsite Development Services Department On-Site Water and Wastewater Section **** VARIANCE/WAIVER REVIEW ** Waiver#: OSV171136 COSA#: Permit#: OSP171333 PID#: 015-301-36 Legal Description: Sky Ranch Estates Block 5 Lot 2 Engineer: Mike N. Anderson Applicant: Andrew & Shannon Thickstun Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 0.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 5y 1`/ /� Approvedby: (!...21Z/ZX/ Name of Reviewer **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE • Community Development Department i Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-301-36 Property owner(s) ANDY THICKSTUN Day phone Mailing address 5700 WHISPERING SPRUCE DR ANCH AK Site address SAME Legal description (Sub'd., Block & Lot) SKY RANCH ESTATES #1 BLK 5 LT 2 Legal description (Township, Range & Section) Lot Size 14190 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 (w/wo ADU) Septic Tank ❑X Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: 3' LOT LINE WAIVER _ Distance:'' 5 (, 78_9 I certify that the above information is correct. I further certify th hi r". cc ace with applicable Municipal Codes. • c „ "(Signature of property owner or authorized agent) s 6 cg Permit/Rush Fees: 509 Waiver Fees: gt lo Date of Payment: fbi2f j 1r� Date of Payment: to/�1�� Receipt Number: /�� W I fJ3`�1p Receipt Number: 44 jO&11 Permit No. " Pr-j s35 Waiver No. COV/11 13.1, Permit App__-.• Oct. 24,2017 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage,Alaska 99519-6650 Fax 249-7847 Re: New Septic Permit and lot-line waiver Legal: SKY RANCH ESTATES #1 BLK 5 LT 2 To Whom it may concern: This is a request for a septic permit on the above referenced lot,the old system has failed. A test hole has not been done due to the frozen ground and utilities located near the area. Per the neighboring system done by Garness Engineering the soils consist of gravels, GM and ML layers and the perc rate was 8-9 minutes per inch. This has been used to design the system with a 5-wide and a lift station. Under the proposed new MOA code neighboring test hole data is allowed which we are requesting due to the buried utilities and the neighboring system. The two existing wells have been located by a surveyor and show we do have a small space to install this new system,see the plan. The new system will need a 7 foot lot line waiver also on the east property line, see the plan. No water was observed in the test hole by Garness and this new system will only be a maximum of 6 feet. The slope around the site is fairly flat 4-5 percent, with no cut banks within 100 feet. This system will not impact any of the neighboring properties see the site plan. Please call me if you have any questions. Sincerely 404_ Michael N. Anderson, P.E. 4661 Natrona Anch,Ak 99516 Ph 727-8864 DESIGN CRITERIA: MOUND OVER (TH#1) in 11 GRADE 3 BDRM X 150 =450 GPD .ORG ' SOILS =450/0.8 = 562 GPD 1 0 FILTER FABRIC 562 GA/5* 0.5 = 56' GM Z.o 1.25"0 PIPE (1) TRENCH SEWER ROCK 6.0' DEEP 4.0' EFFECTIVE s.o 5.0' WIDE I 5.0' 56' LONG 12 SEPTIC FIELD SECTION 1 I I if r a 0 Q1 U x I o0 J L 11 1 EXISTING WELL EXISTING WELL 100'RADIUS 100'RADIUS / PROP: RTY LIN: OR�vi . - r vi \% NISp R//yG SPRUCE I 1 4 �- I ) i I, i I ---;-. _ 7 I " -�) ` I -TRAPPER'S TRAIL ROAD- EXISTING HOUSE i \ - - - - - I 1I I \ /// \ \\ \/// I PROPOSED \"�� DRAINAGE FIELD I _ 2 . 1 -.- / I \ I I 1 `, l9TF — - Septic Design Prepared for '.,,,�*S1.11%N ANDREW AND SHANNON THICKSTUN .•'P�. CF q...r.y i. SKY RANCH ESTATES #1, BLOCK 5, LOT 2 49TH /\ Y- �, Anchorage, Alaska , , nAk •:MICHAEL N. ANDERSON; 11 Michael N. Anderson/ P.E. DATE: 5/25/2018 . No. C 9459 4601 NATRONA AVE DRAWN: DJR ..j r; �� .V...e ANCHORAGE,ALASKA 99516 ♦♦ •. .........��.40 (907) 345-3377/FAX: (907) 345-1391 SCALE: 1"=200' 4.0. x;is- • . • , \ , . . . • . 1 , . . . . , . , . , . . , SKY RANCH ESTATES 41 BLOCK 4 LOT 9 ' , ,, • , . / ; SKY RANCH ESTATES 01 / SKY RANCH ESTATES#1 BLOCK 4.LOT 10 / BLOCK 4.LOT 11 • , I , • ' EXISTING WELL EXISTING WELL , , 100'RADIUS , 100'RADIUS ; . -...... .......--- ....- . , . . 1 . ....- • . . . . „,/ , ‘ • . .- .......-- . . / \ \ / - \ • \ \ -WHISPERING SPRUCE DRIVE- \ _ - ------ \ ‘ .. i - ,------' • ›.4. 1 o 1 SKYRANCH ESTATES#1 • . WELL ,c, !Row,L,OT 2 . - -. ar , • 1 : 1 '• i !WELL , i ,SKY RANCH ESTATES#11 1 0 WELL 1 EXISTING [ \ BLOCK 5,LOT 1 i i ce HOUSE 1, I i ' , ,/ I \ i / X \ I / • \ / 1, PROPOSED 1,250 GALLON STEP TANK, • —\ \ my. OLD TANK DECOMMISSIONED PERIUPCI ., i \ / SKY RANCH ESTATES#1 , i ).. , mi NEW TH REQUIRED PRIOR TO EXCAVATION TO BLOCK 5.LOT 3 /I -15%.---..... VERIFY SOILS , I I/ - ,„,. .... 1 . . x , • 1--X—X— ir.1 fr 0 < \ \ PROPERTY LINE r 7 i ,,- -, , 0'LOT LINE . . ' I • -/ \ I '• • '•2—WAIVER REQUEST ....-'' • . i \ " , --;"1,--- -___1._ _.,._ __, 2...-_--- -._----- __- --..-.. \ \ 1/UTILITY EASEMENT ., -,.-!---' MT - - 7Z--, _ _ ......- .... • --- ! , / __,.v-•,s, /„........"- EXISTING TRENCH E TJC-- I \t ----• / 1' --- ' ----- „ , .--- i 1 ' .,\ - Min '--- ---- 1 A'''' l''- • 'WHERE NEW SYSTEM OVERLAPS OLD ------ / i -- ' "./ / SYSTEM,OLD DRAIN ROCK WILL BE ,- / . \ ...-- . / REMOVED WITHIN 10'AND FILLED WITH MOA -- \ / /, , / FfL- ER,SN&. 't ...„...s6 RANCH ESTATES 1$i -7--- BLOCK 5,LOT 6 / \ I Septic Design Prepared for 4.47 OF 44'4. ANDREW AND SHANNON THICKSTUN 4,,,,,c\ .....................".C.4s .. 1 ..% -• SKY RANCH ESTATES #1 , BLOCK 5, LOT 2 . • -'..71 49TH ilk Anchorage, Alaska • : •• : sr: /AA— • • • • • Michael N. Anderson, P E P. • DATE: 5/25/2018 0. 3\c_AMICHAEL N. ANDERSON:•:k.: sg • -Cs)\ No. CE 9469 ..:' afr 4601 NATRONA AVE DRAWN: DJR • .. ......5.bir(,..,,....e.: ANCHORAGE, ALASKA 99516 e4) 4. (907) 345-3377/FAX: (907) 345-1391 SCALE: 1"=50' tki :FE„. SSVC\\1 .-44 "II sums** ~---- MUNICIPALITY OF ANCHORAGE ,///~x_~~ DEPARTMENT OF 14EALTH IA ENVIRONMENTAl- PROTECTION  ENVIRONMENTAL ENGINEERING DIVISION ;' 825 L Street- Anchorage, Alaska 99501 Telephone 264-4'720 - ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT .... NAME NO. OF BEDROOMS -- / We ~ - / Absorption area ~ ~ ~anuIacturer ~ --~ ~ ~ ,~,ater,~/ compar~)onts ~ h Inside length Width Liquid depth Liq. c~allons IF HOMEMADE: ~ ~ DISTANCE TO: W~-II Dwelling PERMIT NO. O ~ ~ Manufacturer Material . LiquM capacity in gallons Q Well ~ / Foundation ~are~ne ~RMITNO.~/~¢~ ¢ % DISTANCE TO: '~ No'of ,ines~ Leng'~°f~line'/oi~p, ~ ~ , T°ta~'~s Trenci~idth~ inches Distancebet~n~ne~ -- ~ Top of tile to finish gradeLength ---~ ~ ~l /' Materialbeneath tile~epth ~y inches Totaleffecti~s~ptionareapERMiT NO. ~ Total effective absorption area < ~ Type of crib Crib diameter Crib depth ~ Well Building foundation Nearest lot line m DISTANCE TO: ~ -- Dlass Depth Driller Distance to ~ot line PERMIT NO, ~ Building foundation Sewer lin~ Septic tank Absorption area(s) ~ DISTANCE TO: OTHER SOI~ TEST ~ATI~G ..... _ ..... , DATE LEGAL 72-013 (Rev. 3~78) BOx J[8(~9~ STAR ]]{OUTE A AS'GIslORAGE~ ALASKA 99502 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF DRILLED AT THE RATE OF $'Q.~o00 PER FOOT. la. C. C. Buc_.L 333-24'12 ,~'141 ~Z~i,~ood. PROPERTY OWNER 275 LOCATION OF WELL SITE DRILLER WELL LOG: 7oo~e 2~ ~z~ 0--140 ~ b~ ~ ~~. 0 .... 37' 73---~o~' 70~--740~ 75~--7~5~ R~p~. ~ ceg~ ~. 185--,273~ ~ ~ 40~ ~d.. S~ ~ bou~. 273--275~ L:a~Le_~ bew~2rr9 7~.~e~..30 .fie. eL o~ taa;Le~ o.Larodgr~7. .~h~o~a~. a tj..Le-Ld o~ 8~71,7. 3/4 Ho.'~e. ?~u~p ,~h. ou.~ ,be~ .;~r~.~vl_Zez~ 5 ~.e~e~ o~ ~bo,t.tom.. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. 5473 o. O0 WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF' THANK YOU VERY MUCH, BERNIE CLAUS OF RAMPART DRILLING WORKS DATE JzJ4z~ 27.o,t., 1987 SERVICE CHARGEOF 1V2% PER MONTH WILL BE ASSESSED ON PA T DUEACCO S. r^ a rJ I C I �Fi 1- I IF ke p F= nr-J c H� FS F4 G E +! DEPARTMENT w HEALTH AND ENVIRONMENTAL OTECTION r 825 'L STREET, ANCHOP,AGE, AK. 99..x1 MY& r 264-4720 WELL Fir4E> Oro -n3 I TE SEWEFS F}FEE FSM I IF ola PERMIT NO. ( 51029E APPLICANT C. C. BUCK CONST. 6605 EAST 12TH. 338-!Q2 LOCATION WHISPERING SPRUCE IlohotvSj LEGAL LOT 2 BLK 5 SKYP.ANCH EST. LOT SIZE 14190 SQUAWFEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH 176 -� J V MAXIMUM NUMBER OF BEDROOMS = 043 D SOIL RATING <SO FT/SR)= 125 -J THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E9 E>EF}TH= . ED. to LEr4aIFw4 to to C3 FT Fl NAEL_ F?EF"IFV4 4. Z THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE ..AND THE BOTTOM OF THE EXCAVATION <IN FEET). FSFE: 1D.0 I FSE[> SEF=N T I G IFnNF< S I ZE= 12! E3 C-3 n L_L_ID!-= PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWCC1 <2 ] I MSF='EC:�T I or,Jn3 FiFtE FSE+hu I FcELP BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. P'EFSM I T E>{F" I FSES F]ECEMF= EFS 31. 2&ED1 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED APPLICANT C. C. BUCK CONST. ISSUED BY -- -_- -------- -_DATE_ a-���,� l_� V4. 0 Y soca V" -Inlkl. Sp.ttfA �'3a 4ii�1 i . _-•..,..+•-..... _�.,� �! M.1 .• � aw— wr FOe►l V'/M �LiCt'�i1 T 0-02. AMP I,' �-+Lit^TY!*a/.'\..fiOTM••• a cjF`Pfy�i�— 'C7�P'7C1"1� �r• i , ME LEN 3TN o0oMtol t5 TME L MTM CtH FEEfl al' THE TRf Ku OR DRAIw'6L& ' niE r*pn# or i1 TRF2M OR PIT IS TW DiSTROX 9ET1:EE7! THE 9JRt:1cE OF TM j. Cymm No THE 001fC>eT QF THE E wn"rtOh (Em Purr). ! nr3r- IS FMO S" 1Isam .mo TricicHes n;C jjjitiGL VE7r" tS, THE t1INIM ll STK OF GftR4'Ct EEnW-" THE OUTFALL PU4C -;, Fi?ao TiiFVOTTOM CF 1" INK"TIOM ittn FtEEr>. j f2E�7�t 16t t> S1ExF"T i f' *rlml"FC t5I ?E =m M-Z45w3 f3. i1 _Lt�T tS, i Fr:.%itr t ppLtL-Mr Ma .IM Rg5pi0WIGILM? TO INFc." THIS DEPMTMENT CAJRIM THE �... UIST1 ULnriom'ii+Fspectio"S QF*mw `a.1.'S ADJA�JiT TO THIS f'R��TY MV THE PAS fr F@8' folalws Dw THE WELL NICD` SER Si?� ILL1Tir or Iq'td S1►STEP NtT"c)t)r Ftwc INSAECTtom f" repp %pa- 8Y THrS =� I?E22"Gtti"i Ntu- 9E $E.[FLT TO Pfb0 X1T�Oil ..: -L�a_V1 DISTf*XC OETIdOM A WELL FM rM ON -SI CE SO4HIX DISi'0:'+Tl. SY;TE]I 1eo IS , }N t'£ET FOR R PFttVATE /iii. 02 S�1 TD no FMr FRt171 H PLFY IC - 00000 NQ LF%)14 ME TVPC OF PUBLIC MEU- tilNCiillil O1Si1iiCE F"'tT PRIVATE NUA. TO A FitCVATE SesIER L[NE IS 23 MT MO �T17 n taOrtXi ITY SeMM LIPS IS M F=f. -#E15;-•BG-ii6�E0-.m-ii�E-DfiAiiiAi�'..LIi�Iitli.�-'��--I--- aF}iFR !t>�ItF2Fi7E:ZTt1'S !$iM APPt_V. sr::c[�t rtONs Am GaNSmxTion t%IA[lRv" ,mE a m f uv; E TO "Mm Amgen INSta-untrrx f3ew" X T aRES OSCET�IQER 31. ?,9$1 I . SRT IFY T4iKn i -f-: I fits FAMILIAR MITH THE §CMflZG* TS f•'M. of"S' f SEARS ANC+ N[tJ.S tis SET ;. t',)R T.i 8Y THE "tctPFu ry ov f4i;r ; 2:_ 1 MILL INFiTML TtM 'S"TEJ1 I!1 AQZ7RCd OX WITH TW GOM 3: [ fJ'�'"Tvwv TMNT THE OM �iT£ 3fe7 eR SYSTEM TWN F2E9Uw EtojvwEFTEtFi IF TME F'ESIDQi 15 RCMOVG CID Tb ttjojjoE HOAC T%Vl 4 SEUROMS. s ----------- f;f'PLt C 9Jt7[ CONS-T� rrJ a-71 . IATI.V °61 PERFORMED FOR: LEGAL DESCRIPTION: DEPTH (FEET) 1 2 -- 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 19 2O COMMENTS PERFORMED BY: 72-008 (6/79) [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST [] PERCOLATION TEST ('~¢.,t,' ~'7'j) (~('TI,;- ¢',.' DATE PERFORMED: ~--,//4'/~~' I SLOPE SITE PLAN L>E.C,¢ -- CP t '~,'7 s*'/'¢+/b..l,-,,~ WAS GROUND WATER ENCOUNTERED? 'PPi'", S O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop ."";':q4 PERCOLATION RATE TEST RUN BETWEEN FT AND CERTIFIED BY: ,..' ~ ~ [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST DATE PERFORMED: .~'"~- SLOPE SITE PLAN 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE / ~ ' ~ (minutes/inch) TEST RUN .ETWEEN ~7~ FT AND PERFORMED BY: /~'-~',,'~ t .~'"' CERTIFIED BY: ~~'~ ' 72-008 (6/79) ac-:�rj, Lcd- cy-\ :4v 04 lo ,.4 Q D, ,: RECEIVED ' INSPECTION APPOINTMENTS q~'//~._xL~.,~ ]"- TIME / / DATE DATE' / / ._ tNSPECTOB~ I NSP ECTO;~k/ ~ I NSP ECTO~/~ / 'DEPT, OF HEALYH & MUNICIPALITY OF ANCHORAGE ~N¥iRONMENTAI. PRO~ECTION OE.ARTMENT O. HEALTR · ENVIRONMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing I, PROPErTY OWNER ~ ,PHONE MAI-LING .A.~D~D R ESS PROPERTY RESIDENT (If different 'o I : ~ PHONE 2, BUYER PHONE MAI LING ADDRESS 3", ~_ENDING INSTITUTION_ MAILING ADDRESS PHONE 4, REALTOR/AGENT MAILING ADDRESS 5, LEGAL DESCRIPTION /-,or I STREET LOCATION ' (.~ B. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ One ~3 Four ~ SINGLE FAMILY ~ Two [] Five ~ MULTIPLE FAMILY ~ Three [] Six Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG, A well log is required for all wells drilled since June 1975. For wells drilled ~rior to that date, give well deeth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM (;~ NDIVIDUAL/ON-SITE** /~'~,~./' YEAR Ox, I-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-01 0 (Rev, 6/79)-tdlJ~)--q") THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY ❑ ONE ❑ THREE. ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: JD, s-0 If Tank is homemade give dimensions: SOILS RATING l ! (p TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL _ 0. DISTANCES 77:[Septic/Holding WELL TO: Tenk Aborption Area r Line rest Lot Line Aborption Arm to nmrmt Lot Line 5. COMMENTS [b,"*'APPROVEDFOR J BEDROOMS ❑ CONDITIONAL APPROVAL (lette must accompany certificate) ❑ DISAPPROVED DATE BY • 06C �L • -�-f Municipality of Anchorage °n .0 On-Site Water and Wastewater Program '. .c (907) 343-7904 'oil,Y S A f f T Y CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-301-36 Expiration Date: / 7 Lt'tC 1 LI/ ) 01 C1 1. GENERAL INFORMATION Complete legal description _SKY RANCH ESTATES #1 BLK 5 LT 2 Location (site address) 5700 WHISPERING SPRUCE DR ANCH.AK Current Property owner(s) ANDY THICKSTUN Day phone Mailing address _SAME Real Estate Agent . o- •3p o 2. TYPE OF DWELLING: der : ® Single Family (w/wo ADU) -r ❑ Duplex J`'O ❑ Multiple Dwellings (Single Family and/or Duplex) 9S7 £ Z ‘, 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: \ Date: ( ) / COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 419 . G 0 Waiver Fee $ Date of Payment tat 3 /a 0 I (b Date of Payment Receipt Number B 01- Receipt Number COSA# OCG nQ3T er# 5. 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-site water supply and/or wastewater disposal system 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 files 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 MIKE N ANDERSON,P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON,PE Date 12/10/18 itI .`t ;‘ ,r-' • ' LC • F l Dorf'i: iJ r.O . f•�r•u. C O•>f 4 0 V G O G . r o}•. 6. DSD/SIGNATURE System #1 Approved for bedrooms. CF-9.19 ` System #2 Approved for bedrooms. ( • Disapproved. Conditional approval for bedrooms, with the following stipulations: vi 'it, r" r- 014^ ,N� \N P j t1 `rte. NJp,RpGRAM P - 00, IN‘ S - '1 ()I By: la,�,C(ty, .K-' -� Original Certificate Date: ��C .9 t .0W16 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other • COSA blue sheet 10.10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system _ Certificate of On-Site Systems Approval Checklist Legal Description: SKY RANCH ESTATES #1 BLK 5 LT 2 Parcel ID:_015-301-36 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N)Y Date completed 6-21-81 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y Total depth 215 ft. Cased to 215 ft. Casing height(above ground) 18"+ FROM WELL LOG AT INSPECTION Date of test 6.21-81 11115/2018 Static water level unknkown ft. 161 ft. Well production 8 g.p.m. 4+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate fie3 mg/L Arsenic: 10 ug/L Date of sample: 11.15.18 Collected by: Mike Anderson B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL STEP Date installed orzLI8 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N)Y Depression over tank (YIN) N High water alarm (YIN) MAY Date of pumping NEW Pumper NEW C. ABSORPTION IATA–1985 SYSTEM TESTED �/ Date installed5/228' Soil rating (sf/bedroom) 0.8 System type 5-wide Length 56 ft. Width 5 ft. Gravel below pipe 4.0 ft. Total depth 7.2 ft. Eff. absorption area 562 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) NEW For 3 bedrooms Fluid depth in absorption field before test_ in. Water added gal. New depth in. Elapsed Time:—min. Final fluid depth _in. Absorption rate >= g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) UNKNOWN If yes. give date D. LIFT STATION__ TATION / Z `� Date installed d� HfSize in gallons 1250 Manhole/Access (YIN) Y "Pump on" level at 243 Lain. "Pump off level at 24 in. High water alarm level at 8 . in. Datum BOTTOM Cycles tested NEW Meets alarm&circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 100'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 50'+ Holding tank 100'+ Animal containment areas 100'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 10'+ Absorption field 11` S Water main 100'+ Water service line 50'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line _*04(waiver) Building foundation 10 Water main 100'+ Water Service line 50'+ Surface water_100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(None Known) Wells on adjacent lots 100'+ F. COMMENTS *SEE MOA WAIVER G. ENGINEER'S CERTIFICATION OF A zli I certify that I have determined through field inspections and .1"°(1.• •• review of Municipal records that the above systems are in e '* 49TH ?1'" �.:57 Ir conformance with MOA COSA guidelines in effect on this date. ,'•••.. / ..;• .* • Engineer's Printed Name MIKE N. ANDERSON, PE �,..... "••••••••.... . / �• Of �MICHAEL N. ANDERSON ;Q.: Date 12112/2018 / ;rf•. CE 9 q e Vla;,E`�;1�4E..' COSA canary sheet_2-6-15.doc