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Home My WebLink AboutSKY RANCH ESTATES #1 BLK 5 LT 15kyranch Estates #1 Block 5 Lot 15 #015-301-23 Municipality of Anchorage Page 1 of 3 Development Services Department Onsite Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW030418 PID Number. 015-301-23 D Dave S oho Wastewater System: New Am . 5520 Whispering Spruce Anch. AK 99516 ABSORPTION FIELD 349-9602 Three 3 5' Wide Trench LEGAL DESCRIPTION sa Reap TAW Dopa from wqr vasa 2 cinwr 5 Ft. Blodt Lr 6rEdmeta Depen b p9e W" kam orWO Wa Garr Capra brwel pge 5 15 Skyranch Estates 1 Ft. 4 Ft 70.ww Rarge sadta I Fe cooed aowa anprrl pada Gert Lenpm: 2-3 Ft. 26 Ft. Well: New Geer r,an 5 ra.roarar.. 1 Gare n«w.a w. Ft. - Fl Cloarratan (Priya, A, B. CF low Depen, Cased to 7olr aEeupem «ae Pp Mwa Private 1 261 F 261 FL 260 Fe ASTM 3034 PVC D~ Dry DmedStaet Wear Ler« kw Y Dra Melted AI ine Drilling13/20/2004 176 FL xcavat Glacier Excavating 5/3-12/2004 Yta 50 Pury Barr Ceug More Go"m 2 TANK CPM FI. Ft SEPARATION DISTANCES Advantex Treatment System To Septic Absorption Lift Holding hibioPrivaft ef°e'r ''^ From Tank Field Station Tank sewerune AnchorageTank/Orenco 1,500 w" >100' >100' >100' N/A >25' "Fiberglass 2 Two � &w"wr« >100' >100' >100' N/A LIFT STATION Lot lit >5' >10' >5' N/A 1500 oat Orenco Systems Fourdetm > 5' > 10' > 5' N/A .P"'g or lawl a Timer •Pure Qtr tart aL Timer rtgn.r« rrm r 48 ti k K Cr.Le, orae. None Noted ptaw M"a Moen Orenco E"arval frupedana °"'tart° er Municipality of Anchorage rravity BENCH MARK Flow From Tank to Field, Garage Slab Nano Elw0m 100.0 FL Engineer's Stamp �p��asaaa oo #0 � 0 49th t;� � Inspections performed by: A. Harala Dates: 1" 5/3/ /04 2nd 5/12/04 i y aiCHaEL •E ANDERSON j W '•, Department of Health and Human Services approval s,� No CE-438111 ti �s r,J •��Of Reviewed and approved by: s .� �L n Q Date: 1011gl Es :+•�� wo. Municipality of Anchorage -DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SW030416 Lo. GA S,3?,rDRIVE threw Mome 89.92 PLAN AS—BUILT SCALE V - 30' Page 2 of 3 PID No. 015-301-23 LLI ri LOT 15, BLOCK 5, SKYRANCH ESTATES SUBDIVISION Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site "ci e%i3t:r Disposal System or Well Inspection Report Permit Number. SW030418 n r T PID No. 015-301-23 26, PROFILE AS -BUILT Scale: None 87.2 o — Municipality of Anchorage AL �tl! Department of Health and Human Services AiEm -- 825 OV Street P.O. Box 196650 Anchorage, Alaska 99519-6650 am dick Myslrom ht4JM.tix�.ei.anenoragsak.us Mayor Permit Number. WSW 030418 Date of Issue: l_ 0.8-03 Parcel Identification Number. 015.301.23 Date Started: 3-20-04 Date Completed:8-25-04 Is well located at approved permit location? ® Yes ❑ No Legal Description: Sky Ranch Estates rte 1 Block 5 Lot 15 Property Owner Name do Address: David Spohn 3520E 67'Ave. Anchorage, Alaska 99507 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: ,M inches organics & silt 2 3 Diameter: 5 inches Depth: 261 feet gravelly silt 3 41 Liner Type: silty gravel! 41 123 Diameter inches Depth: feet Casing stickup above ground: 3 feet sin 123 144 gravelly silt 144 170 Static water level (from ground level): Lfeet Pumping level: 261 feet after silty water sand & gravel 170 175 2 hours pumping 50- gpm gravelly cobbly silt 175 220 Recovery Rate: 50 gpm sity water sand & gravel 220 226 Method of Testing: ALM sin 226 244 Well Intake Opening Type: silty watersand & gravel 244 247 ® Open End ❑ Open Hole gravelly sin 247 256 ❑ Screened Start feet Stopped feet water sand &gravel 256 261 ❑ Perforations Start feet Stopped feet Grout Type: bentonite # 8 Volume: I Depth: SW!Q feet Stopped 2 feet Pump: Intake Depth feet Pump size hp, Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller. Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property .........L.... AI J 111.. .t.'s J. --got.. .. J.. t\... .f tt..tJ. . I.-- P..: ... ..d.L •. 1n L_.. .t.. .. .1.✓._ 09/15/2004 17:58 FAX 907 343 8214 BUILDING SAFETY INSPECTION REPORT MUNICIPALIT Y OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW [a ODI. INSPECTION: VOICE 343-8300 INSPECTION. FAX (907)249-7777 INFO: 343-7992 NAME-YY'1`J t-rtlM E1P [- PERM 1T „ ADDRESS �() (iJFjIS(Je�fY1G� rvo E)r-. PHONE;r LN S11 ci 'LOT fS BLOCK COMMENTS or DIRECTIONS: S SUBDIVISION S Kt(r a nc h SFE�71 N / ` • . - DATE TYPE OF INSPECTION: REINSPECTION: YES NO jJ NO NONCOMPLLANCE OBSERVED O C.O. AFPROVED t J CORRECTIONS ESSENTIAL AS EXPLAINED BELOW O C.C.O. APPROVED (see comments) I I WILL RE-EXAMINE AT NEXT INSPECTION [ J DO NOT CONCEAL UNTIL REINSPECTED COMMENTS: (FOR INSFECTOR USE ONLY) p I �E�.,` cJ Flit" l c� — I •S — D I-4- l NS � i=LT l ol�l _ Lo ��l��.L""1"Et7, FI ISI 4.l_ 41:2f;�R0v ED INSPECTORMICN/aEL L • 6, IZFFnI DATE: cn� 1 l . WHEN CORRECTIONS ARE MADE PLEASE CALL.- FOR REINSPECTION DO NOT REMOVE THIS NOTICE ANDERSON ENGINEERING P.O. Box 240773 ANCHORAGE, AK 99524 (907) 522-7773 Cell (907) 441-4000 SOILS LOG - PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: ANXKl ' LEGAL DESCRIPTION: /S/S S�4/r21.IG� ,Ebfc Township, Range, Section: D'_ M hr �d ( 2- 3-, 3 , �Jj Gb 1 S' '�J • I �2 . 4 s 6- 7- 8- to- 12- 13 - 14, ,o121314 is- 16- 17- Is!. 516T718. 19 20 WAS GROUND WATER SLOPE. PLAN ENCOUNTERED? S IF VES, AT WHAT L DEPTH? O P E Dep b Water , r-H+H Nonitaring7 A104JC Oatc S 3 o Y Reading Date Gross Time Net Time Depth to Water Net Drop 20 .7 o /I,. Sir 6 S3 2� yy r• PERCOLATION RATEL (minutesrmch) PERC HOLE DIAMETER . r I • - TEST RUN BETWEEN g �^ FT ANO 4' - FT COMMENTS I Ya •r_ _^^' PERFORMED si: A. -Il 1 ' MUNICIPALITY OFANCHORAGE 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 / WATER SUPPLY PERMIT Initial Permit Number: SW030418 Legal Description:ISky Ranch Estates #1 Block 5 Lot_ -1-51 Design Engineer: 0014 Anderson Engineering Owner Name: Dave Spohn Owner Address: 3520 E 67th Avenue Anchorage , AK 99507- Date Issued: Oct 08, 2003 Expiration Date: Oct 07, 2004 ParcelID: 015-301-23 Site Address: 5520 Whispering Spruce Drive Lot Size: 15094 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: Q 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. Received By. Issued By 744v"_J Date: / P y _ D3 t ja -LZ �- Date: Gi G3 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.ek.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW6301/8 Property owners) Dave Saohn Day phone 230.1344 Mailing address (1) 3520E 671h Avenue Anchorage AK 99507 Mailing address Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size I a I I rA L Acrese) THIS APPLICATION IS FOR: Code CS -i'6 i11 Number of Bedrooms Three (3) Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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: F SO Date of Payment: Receipt Number. —I L I lJ[) (Rev. 72f00) J ,') Waiver Fees: Date of Payment: Receipt Number. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX September 17, 2003 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 15, Block 5, Skyranch Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 15, Block 5, Skyranch Estates Subdivision intends to construct a three-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to serve the new home. The attached Site Plan and backup documentation identify the location and configuration of the new well and proposed septic system. Also identified on the plans are the locations of the well and septic systems on the adjacent properties. The adjacent wells restrict the location for a septic system to a very small area. We have therefore designed a biocycle septic treatment system, which allows for an absorption area half the size of a standard septic system. Drainage arrows are shown indicating the current patterns. The drainage patterns will be maintained after construction. The test holes placed on the lot indicated silty sand with varying amounts of gravel in the area of the new absorption trench and alternate site. The percolation rate for this material is between 5 and 20 minutes per inch. Soils underlying this material are much tighter with a percolation rate between 100 and 120 minutes per inch. No groundwater was found during placement of the test holes and none was noted during the monitoring period. We are therefore proposing to place a new biocycle septic tank and a 50' long by 5' wide by 3' effective depth absorption trench to treat the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 1' below the surface and the total depth will be 4'. Sufficient fill will be placed over the trenches and septic tank to prevent frost penetration and possible freezing. The ground surface on the lot slopes at shallow grades from north to south off the Lot 15, Block 5, Skyranch Estates Subdivision September 17, 2003 Page Two existing road. The trenches will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from the proposed well on the lot and the existing wells on the adjacent lots. It will also be constructed a minimum of 100' from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. '1� ") Sincerely, 0"el Michael E. Anderson, P.E. Attachments MICHAEL E. ANDERSON No. EE -4381 .00 4 WISP IN 149:76 SpR�c %efDPosed lll Well• • Well N, N 14 16 ® TH 1 TH 2 89.92 S78 S>?I00'22-E S86128'24'W 189.00 146.81 17 13 590 m Well 10 3 E A3' 18 ISP SITE PLAN SCALE 1" = 40' � e0\9 \Nh`sp Proposed Well 15 \ o\ Z � \ \ Three 1 iocycleModel 00 o tic Treatme t System i 13 TH1 b 50' Long x 5' Wide x ®TH2 Effective Depth Ab tion Trench Altemate Site e 10' Utility Ea w 89.98 ent SITE PLAN SCALE 1' = 30' LOT 15, BLOCK 2, SKYRANCH ESTATES 0 MICHAEL G nroa+SEN `s No. CE -4M j LOT 15, BLOCK 2, SKYRANCH ESTATES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom House 5' Wide Trench System Perc. Rate: 20 MinAnch Biocycle Septic Treatment System Application Rate: .6 GPD/SF 3' Drainfield Rock 3 Bedrooms X 150 GPD/.6 GPD/SF (Application Rate) = 750 SF Absorption Area 750 SF/5 LF (Wdth)- .58 (Red. Factor) = 87 LF Trench Length/2 (Bioaycle Factor) = 44 LF Trench Required THEREFORE: Construct a 50' Long x 5' Wde x 3' Effective Depth Absorption Trench. Flow Line Elevation in Trench to be 1' Below Original Ground Surface. Total Depth to be 4' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Backfill 6" 2" Insulation & Geotextile 1.25".PVC o .125" holes @ 30" 3'0d Drainfield Rock 5' F—=—i TYPICAL 5' WIDE TRENCH SECTION .�� (NO SCALE) +�•tQf ..�.- NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. 49v Minimum 4' Separation From Groundwater. G;T r. Minimum 10' Separation From Water Service Line. ��_ Na�Le.,aEavw Minimum 100' Separation From Surface Water or Streams. • V%+ NO. ce.bt 1 2 3 4 5 6 7 8 9 R I I li I; 17 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, ALASKA 99519-6650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Dave Spohn DATE PERFORMED: 7/3/2003 LEGAL DESCRIPTION: Lot 15. Block 5• Skyranch Estates Subdivision j'jjj TEST HOLE # 1 SLOPE SITE PLAN II I I I I I II OG/OLPROJECT # �I a' Silty Gravel NET TIME DEPTH OF WATER NET DROP . • : VV/Sand Clusters 10.63' • GM 30 2% 1.5' Recharge 2:51 10.5' 2 3:21 30 9' 1.5" Recharge 1 1 3:22 1 1 10.5' a: 3:52 30 9' 1.5' Nearly Impermeable Silt Perc.- 120 Min.Anch WAS GROUNDWATER ENCOUNTERED? NO S L IF YES, WHAT DEPTH? 0 P DEPTH OF WATER None AFTER MONITORING: E DATE: 5/21/2003 COMMENTS: V 49th MICHAELE.ANOEN • No. CE4MI >a 0-3% READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 7/3 2:20 10.63' 1 2:50 30 9.13' 1.5' Recharge 2:51 10.5' 2 3:21 30 9' 1.5" Recharge 1 1 3:22 1 1 10.5' 3 3:52 30 9' 1.5' PERC RATE: 20 MIN./INCH PERC. HOLE DIAMETER: 6_ TEST RUN BETWEEN 4.5 FT. AND 5.5 T. Test Hole Pre Soaked Prior to Test. Material Below 6' Percolates at 120 Min.Anch. TEST PERFORMED BY: MEA I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 7/7/2003 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, ALASKA 99519-6650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Dave Spohn DATE PERFORMED: 7/32003 LEGAL DESCRIPTION: Lot 15, Block 5, Skyranch Estates Subdivision �Tj TEST HOLE # 2 SLOPE SITE PLAN III I"I II OG/OLPROJECT # 1 2 3 4 5 6 7 8 9 K 11 K I; It I`. 17 A. Silty Gravel NET TIME DEPTH OF WATER NET DROP Start 713 VV/Sand Clusters 6.62" • GM 30 2% 6.12' Recharge 2:56 9.25" 2 3:26 30 3.16" 6.12" Recharge 3:27 9" 3 3:57 30 3" 6" Nearly Impermeable Sift Perc. -120 MinAnch WAS GROUNDWATER ENCOUNTERED') NO S L IF YES, WHAT DEPTH) 0 DEPTH OF WATER None P AFTER MONITORING: E DATE: 5212003 WC LEMOEP9pN NO. CEJM, 0-3% READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 713 225 6.62" 1 2:55 30 2.5" 6.12' Recharge 2:56 9.25" 2 3:26 30 3.16" 6.12" Recharge 3:27 9" 3 3:57 30 3" 6" PERC RATE: 5 MIN./INCH PERC. HOLE DIAMETER: 6_ TEST RUN BETWEEN 4.0 FT, AND 5.0 T. COMMENTS: Test Hole Pre Soaked Prior to Test Material Below 6' Percolates at 120 MinAnch. TEST PERFORMED BY: MEA I, MICHAEL E. ANDERSON,. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 7/72003 Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995195650 www.muni.org/onsite (907)343-7904 Fc- CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 015-301-23 1. GENERAL INFORMATION COSA# Expiration Date: 0 7 Complete legal description Lat 15, Block 5, Sky Ranch Estates Subdivision 41' I Location (site address) 5520 Whispering Sp ice Dtve Anchorage, AIC 99516 Current Property owner(s) Dae sponn Day phone 349-9602 Mailing address 5520 Whispxtng Spuce Dive Mhdwrage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Three til 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 0 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 Onsite 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 Onsite 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 sample results. (Certificates may be reissued for a period of up to one year with valid water __._.._._samples.) _Certificates are valid for Dne yearsor.properties served by Class A or B wells ora public.water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t verify that my investigation, based on procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application, shows that the on-sfte 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 -she 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE __z Approved for _3 bedrooms. Disapproved. Date W=07 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: 1/ Original Certificate Date: — L 5`0 % (R w. 11M) Municipality of Anchorage ., • Development Services Department Building Safety Division On-site water 6 wastewater Program • • ", 47M Bragaw Street P.O. Bout 198850 Anchorage, AK 995198850 www.muni.ory/onste (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Demon: let is, sb* & sky PAnch EsUdes $uDdrhim#1 Parcel ID: 015.301-23 A. WELL DATA wen typo M�s If A, B, or C provide PWSID It _ wee Log (YM) Y Dere completed 3r EA04 Sanitary seat (r" Y Wires property prod (YM) Y Total depth Al -fl. Cased to 281 R Casing height (above ground) >24 in. FROM WELL LOG AT INSPECTION Date of test 3r2or2004 715RW7 Static water level 176 it. Its R Well production 50 g.p.m. 4.2 g.p.m. WATER SAMPLE RESULTS: Coliform 0 oolonlesH00ml. Nitrate NM ng1L Arsenic: Sm mgA Date of sample: sC�— S. SEPt7CIHOLDING TANK DATA Other bacteria 0 colonies/I00 mL Tank TypslMaterfatSeOW684M-Aftudex Date installed 5ld120M Tank Dae +.500 gat. Number of CompartrnerdsTWO Cleanouts (YM) Y Foundation cleanout (YM) y Depression aver tank (YM) N High water alarm (YIN) Y Date of pumping lonWI= Pumper A Plus Hans sarvbes C. ABSORPTION FIELD DATA Date installed 5H2rMN Son rating (g.p.dAe or fe/bdnn) 2 aPDlSF System type S Wlde Trench Length 2e R Width 5 R. Gravel below pipe 4 fl. Total depth 5 R Elf. absorption area 2� fe Monitoring; tube Y Depression over field N Date of adequacy test 715= Results (Pass/Fog) Pon For 3 bedrooms Fluid depth in absorption field before test V5 in. Water added U gat. New depth 15 in. Elapsed Tine: 1440 min. Final fluid depth –M—in. in. Absorptlon rate >= 450 g.p.d. Any refuvenation tiestawd (past 12 ma.) (YIN b type) N If yes, ghre date D. LIFT STATION Date iratsfiao &=ob4 'Pump on' level st Tkner in. Dahan aemom a rant E. SEPARATION DISTANCES size in gaoons Loco Manhola/Access (Y" Y 'Pump or level at mer in. High water alarm level at 48 in. Cycles " 410 , S Meats alarm 6 cVast mm*w erga9 Y SEPARATION DISTANCES FROM WELL ON LOT TO: Septle tankJfilt station on lot >10m' Absorption field on lot Public sewer main WA )-1W On adjacent lots alar On adjacent lots >1W Public sewer maNwle/dearaut WA Sewer /septic service tine '25' Holding tank WA Anknal containment amass Nom Manurelanknal aztxete storage areas Nom SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation W Property line W Absorption Heid ?s Water main WA Water service line '117 Surface water "W Wells on adjacent bb yloa SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property one >10' Building foundation X10' Water main r•1a Water Service one y101 Surface water i10[r 00MA y, paftWvaNde sWmpe �24 Curtain drain Nom Mood Wells on adjacent lots r10T F. COMMENTS: G ENGINEER'S CERTIFICATION y�PZElxaz l car* that I ham determined dmough field inspections and review of Munidpal records drat the above systems are in # 49th confan ance w!!h MOA COSA guidelines In eBact on 06 date. Engineers PdnW Name Michael E. Anderson, P.E O min "NOOr� COSA FeeS G Waiver Fee $ _ Date of Payment 'a Date of Payment Receipt Number Receipt Number, lit". 11m 0 LOT 15, BLOCK 6 IIAS 15,095.43 SQ.FT. OF AREA P.ecert of 9-21-01 # 240011625 14 13 Q-APW: SCA_E I MCI - 40 Feet 23 0 .. 4) 83 FOR: DAVE SPOIL Dale 62-22-07 Scale 1" = 40' Legal llescri lion Lot 15 Block 5 Lan Mark tngnneering a sumging. Inc. 9330 Vanguard Drive. Suite 209 Anchorage. Alaska 99507 (907) 502-8050 Grid 2737 As-Dullt 270119 SKY R:t\CII ESTATES SUBDIVISION N1 Drawn by CEF/JIRA' Field Book 210/230 I hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto unless otherwise shown. That no improvements on the properly lying adjacent thereto encroach on the premises in question and that there are no roadways. transmission lines or other easements on said property except as shown. It is the responsibility of the owner or builder, prior to construction. to verify proposed building grade relative to finish grade and utility connections and to determine the existence of anv easements. covenants. or restrictions which do not appear on the recorded subdivision plat. Listed distances prevail over scaling. Reproduction may cause distortion. CHARLES E. FORBES : �0 j,•. LS -7326 • Z °d••••.....••••n�S r X41 rofessiono� �� AM -09-2007 1653 PRUDENTIAL VISTA REALEST 907 562 5485 PA2 K3. cljh Y. I ADVANCED WASTEWATER TREATMENT SYSTEM WJNTE.YANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN�T, 7CIPALTIY OF ANCHORAGE AND toe 4- $rec r— THIS -IZ ORANDUM OF UlvI STANDING nude and erttred into as of this /q.t Day of_ Ig LC%13 of20o?,byaudbetwoen�Ffnr /;Roel, heroin the "MME31t," and the Municipality of Anchorage, hereir. the :NfUNiCIPALITY." In consideration of the mumu covenants Contained herein, the Varies to this Mcmonndum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. \junicipaL.ty grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW "M. described as k 4 A47M�FkusnJ OiMied loT' l5 J s a' 8 � �^�',��` � � Anchorage. A1uka. 2. Definitions. Ok— 5510 G.WspOUOL SPtZ cX bo_tVC A. Alteration. Any change to the design or fur:ctien of an AWWTS that Includes the Installation or removal of any parts, eotnpOnerts Or pieces not included in the original cOnstructionpamit and design. Prior to performing any attentions to as AWR7S *..e owner must obtain a Wastewater Disposal System Coaatruction Permit from the Miuticipality pursuant to Anchorage bfunieipal Code (hereinafter, "AMC) 15.65. B. Certificate of 02 -Site Systems Approval. Aa approval by the Municipality of existing water and wastewater disposal sys:cros given at the time of property "lo and title transfer in accordance with AMC 15.65. PJJC-0 2007 16:53 PRUDENTIAL VISTA REAL EST 907 562 5465 P.W These approvals certify that the systems arc adequate for tet bona that they suppor,. and meet the codes that were in place at the time 0! System construction. C. Damage. Any man-made or natural charge in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The aehedaled and as needed replacement of esisthtg par3, components and pieces of an AWWTS that were included In the original dotign which would allow the A WR"rS to continue to perform as designed. E Perrrtlt (Construction) An On -Site Wastewater Disposal System Construction Permit as dermed by A -MC 15.65. F. Permit (Operating) An Advanced WastewaterTrt.atrnent System Operating Permit An annus! per WT. issued by the Municipality, that allows the Owner to operate an AWPM, open meeting all the requirements of this agreement, the conditions of Operating Permit, the requL-ements of the On -Site WastewCer System Cotucuction Persit and all relevant provisions of AMC 15.65 I F-qL- Owcer shall pay to Municipality an annual fee of A)a C (S 4-0-00), payable on or before the issuance of the operating permit and annually thcMf'er. The annual fee is due on or before the acniversary date of the approval by the btunleipality of installed system. 4. Term. The term of this Mranor..ndum of Understanding shall be for the life of tl:e AWWTS. AL* -09-2W7 1654 PRUDENTIAL VISTA REAL EST 9n? 562 54G5 P. The term begin on the due of approval by the Municipality of the icstalled system and Shall continue while the AN% WTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to The new owner or transferee of the property. 5. Ah#ratfoas. lashllation and •moval of Additional r,yigment. Owncr agrees not to make any alterations, removal of Pam or additions to the AWWTS without a CCnstruction Permit from the Municipality, 6. A ubtteaencc and Repairs. A. Througkout the ham of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibilicy of the Owner during the tern. of this Memomdum of Understanding, and try extensions or renewals thereof at the owner's sole expense, to pay for any and all. (1) repair(s). (2) maintenance, (3) adausment(s), (3) replacement costs, and (S) inspection Coss Further, Owner agates to Comply will al; applicable ordLunce, laws, regulations, rules and orders for the AW WTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system purstmnt to the terms and conditions contained in the Owner's AWWTS Operating Permit. This Schedule shall be sLbm;tmd to the Afunicipality annually upon the renewal of the permit The schedule of maintenance and repair contained in the Owners AU'WTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AIVWTS are codified in AMC 14.60. AUCr09-20k77 16:54 PFUI[EMiFL VISTA REAL EST 9Xr 562 5495 P. C5 D. Owner agrees that orJy tnaintcr:ana, repair personnel certified by the Municipality will inspect and make any necessary tttsintensnee, repairs or pemtitted alterations to the system. F. Owner &grecs to grant the Municipality reasonable access to test and inspect the AWW'TS upon 24 hours written notice. F. O%' to agrees that any sale or transfer of title of the property will not occur without new Certificate OfOr._Site Systems Approval. G. C mier agrees that the relevantprovisioas of the standard specification guidebook for A%VTS is the gOveming p=rofessional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failura of either party at any time to enforce a prevision of this McmOrandurn Of Understandinj shall in no way constitute It waiver of the provisions, not In any way et3eet the validity of the Mrnimidum of Understanding or any pert hereet, or the right of such party thereafter to enforce each and ever provision he•.eot &. Amendment. A. This Memorandum of tnderstand:ng shalt only be amended, modified or changed by a writing, eseeuted by authorized representatives of 6u parties, with the same forrcaiity of this Memorandum of Understanding was executed tend such wrung shall be anached to this Memorardum of Undetstartd:ng a: an amendment. g. For the purposes of any tureadment modification or change to the ternis end conditions of this contract, the only aii6orized representatives of the parties are: RUG -09-2037 16:55 PRUDENTIPL VISTA REAL EST 907 562 5485 P.06 Owner: /Z 0 3 Uz-r �t V -- Anchorage: Purc�y}I gin Offietc C. Any attempt to amend, mxrify, or change this contract by either an unauthorized representative of unauthorized means thaq be void. 9. T4risdietion, Cboiee of Law, Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Com for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall Covet the tights and obligations of the paries under this Memorandum of understanding. 10. Soo abillty. Any provisions of this Memora:tdtun of Understanding decreed invalid by s court of competent jurisdiction sha:l not invalidate the remaining provisions of the Mcmar .m: By: of Uiderstanding. R. 0 k"�- Date' VA, f e7 STATE OF ALASKA THIRD JUDICIAL DISTRICT By: T@!e: Date: _ ) ) as. The foregoing instnrnaat was acknowledged before me thWlt- day of 6 %l cgS ,-'� 200.7 by /ZosrzT B2a/}e NOTARY�I,IGpO1tA1„Ag(CA My Commission ezplres: 11 122AQ, TOTAL P.06 i�l rcua�•- �'�e �,� o J 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1 Parcel I.D. 15-301-23 HAA# IN D 38 Expiration Date: 1119 I r�— 1. GENERAL INFORMATION Complete legal description Lot 15 Block 5 Skyranch Estates Subdivision Location (site address or directions) 5520 Whispering Spruce Drive Current Property owner(s) Dave Spohn Day phone 349-9602 Mailing address Lending agency Mailing address 5520 Whispering Spruce Drive Anchorage, AK 9951 Day phone Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Three (3) TYPE OF WASTEWATER DISPOSAL: ® Individual On-site ED ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 sample results less than 30 days old. (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 Health Authority 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. 1 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date .10/13/2004 5. DSD SIGNATURE Approved for bedrooms. AEL E. ANDUSM NO. CE- 39! 11 Disapproved. _Ieff Conditional approval for bedrooms, with the following stipulations: ".t—th"ima--of title—transfer, the new property owner shall sign the attached maintenance agreement which shall be returned to this office before an unconditional approval is issued. Conditional approval expires 10/31/2004' Additional Comments ��`� �?`•: • • • • • . ;'�O"'% ��; WATERA ER•: :• pp, DGRAh1 _ Attachments: -''li �nn*Vll`" HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: r 1 � ,Q�a O. Original Certificate Date: rn/r9 d4 (Rev. IZW) Municipality of Anchorage Development Services Department Budding Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Boor 19WW Anchorage, AK 99519-650 www.d.anchorage.ak.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 31204 San" seal (YM) Y Total depth 261 ft. Cased to 261 ft FROM WELL LOG Date of test &W004 Static water level ITS ft Wed production ISO g.p.m. WATER SAMPLE RESULTS: Well Log (YIN) Y Wires property protected (YIN) Y Casing height (above ground) _24 in. AT INSPECTION ft. g.p.m. Coliform _Q_oolonkW100 mi. Nitrate 1,1_ mg.A. Other bacteria 0 0okmies/100 ml. a. SEPTIGtHOLDING TANK DATA Tank size 1.b00 gal. Foundation deanout (YIN) X Date of pumping Number of Compartments g Depression over tank (Y" H Cleanouts (YIN) Y High water alarm (YIN) Y C. ABSORPTION FIELD DATA Deta installed 5/12/0 Soil rating (g.p.dJe or teAtdnn) 2 GPD1S System type S Wide Trench Length 26 ft. Width 5 ft. Gravel below pipe 4 ft Total depth g ft Eff. absorption area Lf LOftr Monitoring tube X Depression over field N Date of adequacy test Results (PasslFam For _ 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. Arty rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. UFT STATION Date installed 5/3/2004 Size in gallons 1.600 Manhole/Access (Y/N) Y 'Pump on' level at Timer in. 'Pump ofr level at Timer in. High water alarm level at 4e In. Datum _ Bottom of Tank Cycles tested New Const. Meets alarm & circuit requiremems? i_ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot >1W Public sewer main N/A On adjacent lots >10C On adjacent kits >J00' Public sewer manhole/cleanout N/A Sewer /septic service line >217 Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation >S Property line >V Absorption field >S Water main N/A Water service Ane >10' Surfacewater >1W Wells on adjacent kits >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10, Building foundation >10' Water main >17 Water Service line >I0' Surface water >11W Driveway. parkingIvehide sWrage >217 Curtain drain >2W Wells on adjacent kris >100' F. COMMENTS G. ENGINEER'S CERTIFICATION ► certify that I have determined through A%V inspections and review of Municipal records that the above systems are in conformance with MOA NAA guideftnes in effect on this date. Engineer's Printed Name Michael E. Anderson. P.E. ,V k J Na a-ua Date 10/13/2004 HAA Fee $ 57.tP ; /(5 m any N.rw.. n. Waiver Fee $ _ Date of Payment Date of Payment Receipt Number-��95 _ Span Receipt Number (Rev. 12(00) LOT 15, BLOCK 6 HAS 15,095.43 SQ.FT. OF AREA C1 FOP.: DAVE SPOHN LanMarL dnrneering A Survepng, roe. 9330 vanguard Drive, Suite 207 Anchorage, Alaska 99507 (907) 582-8050 1 20 b zo w so Date Scale 9-21-04 1". = 40' Grid . As—Built 3 2400865 Drawn by Field Book LOT 15, BLOCK 6 HAS 15,095.43 SQ.FT. OF AREA C1 FOP.: DAVE SPOHN LanMarL dnrneering A Survepng, roe. 9330 vanguard Drive, Suite 207 Anchorage, Alaska 99507 (907) 582-8050 1 20 b zo w so Date Scale 9-21-04 1". = 40' Grid . As—Built 2737 2400865 Drawn by Field Book CEF 210 I hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the improvements situated thereon are within the property lines anddonot overlap or encroach on the property lying adjacent thereto unless otherwise shown. That no improvements on the property lying adjacent thereto encroach on the premises In question and that there are no roadways, transmission lines or other easements on said property except as shown. It is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to finish grade and utility connections and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Listed distances prevail over scaling. Reproduction may cause distortion. n Lot 15 1 Block 5 1 SKY RANCH ESTATES SUBDIVISION ��•aF •q�;9S�+t 00 FORSES '4 s • LS -7326 >` c'•. - •' o`er