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Home My WebLink AboutSKY RANCH ESTATES #1 BLK 5 LT 20Sky Ranch Estates #1 Block 5 Lot 20 #015-301-18 \ Municipality of Anchorage Development Services Department Jw Building Safety DivisionOn-Site Water 8 Wastewater Program. 4700 Bragaw St. P.O. Box 196650 Anchorage. AK 99519.6650 www.ci.anchorage.ek.us (907) 343-7904 Page 1 of 3 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO80128 PID Number: 015-301-18 Nome: DAVID NEWMAN Wastewater System: ❑ New ■ Upgrade Address:11930 WHISPERING SPRUCE CIRCLE "ANCHORAGE. AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 503-853-1537 3 ■ Deep Trench O Shallow Trench O Bed OMound 0Other LEGAL DESCRIPTION sow it": 1.2 Tad D.pth frdwl erlon ,rode: Gpa/se. R 9.99 R Block: Lot: Subdivision: 5 20 SKY RANCH ESTATES #1 Depth b pip. °Doom from orlwind °roe.: 4.75 G,wel d.pU bometh pp.: 5.24 R R Township: Range: Section: rA sikee eeov. wlpind pw.: Gw.l I.rge. _ — — SEE DWG. R 39 R WELL: ❑ New ❑ Upgrade Grwrel width: 3 Numpw of Yrs: 1 Dwtoiwe bs1 wi Yrs: — R R Ckraf'c.han pri.el., AB.C: Total ppih: Ca.w To' Total ob.orptkn a Pipe metwlal: R j 408 so. D 3034/ F-810 MCWr. MONTE ACHESON Dote lwt.s.d: 7/22-24/08 oiww: �^,\\I kl.d: stdio wdw 1.0,01: R Prep set u: ca.ing Nolo t Aba.e Gr u : TANK GPY R R SEPARATION DISTANCES ■Septic OHolding OS.T.E.P. 0Other* io Septic Absorption Lift Holding ublk/PrWote MO1Odat1 ' GREER Ga dy In 1000 rrom Tank Field station Tank Lines...r Lks Well 100'+ 100'+ — — 25'+ wt.at STEEL d � 2 Surface water 10o'+ 100'+ — — — LIFT STATION Lot Line 5'+ '2' — — — 9t. ti ,filar: Naaaf«turw: Foundation 5'+ 10'+ 1 — I — I — M leY.l d: V111p OH l.Y.l d: O M ebml d: Curtain Drain NONE KNOWN P'""p Y011 t"C01 trwp«lra. pMam.d 1.7 Remarks: 'WAIVER #080049 BENCH MARK laoveon end D..Apeon: OLD TANK WAS ABANDONED PER THE UPC. SW CORNER OF DECKING ® HOUSE A.wwo.a Ft..aeon: 100.00 R r-�+ GLV Ltd• Inspections performed by: r Dates: 1st 7/22/08 ENGINEER.. l 090�o O� 7 2nd /22/08 0 3rd 7/24/08gS��Oo Development Services Department Approval •: - - .• Conditional approval: Date:•• •• ••••• ••••p Q....' f A. G nes. �QO� •., CE— 53 epi 4��df'rofessianao� Reviewed e?JDalte: and approved by: 4000000 /" / PERMIT NUMBER: SWO80128 AS -BUILT DRAWING SKY RANCH ESTATES /1; BLOCK 5 LOT 17 \ \ ♦ EXISTING CRIB ABANDONED IN PLACE FOR FUTURE USE CO 2 FA 100' '�, 1 I SKY RANCH ESTATES 11; I BLOCK 5 LOT 21 1 / TH/1+ 1 I I I 1 100' EXISTING 3 't�� 1, ; .. � • .••; BEDROOM \ �.i•• .:�%:: .i, HOUSE BL 3-1 DBL 1 ----_- i PARCEL ID NUMBER: 015-301-18 / i � 1 \ 1 SKY RANCH ESTATES /1; BLOCK 5 L0T 1 I 1 I 1 I � 1 / 1 � CO 1 --- 5T2 ST1 0 1 NEW 1000 OALLON TANK NEW DRAINFIELD S E: 1• - An' ®l GARNL•'SS ENGINEERING GROUP, Ltd. 4 -• CONSULTANTS 3 GENERAL CONTRACTOR •••.••• Ml L 111CN1 OLQ }Mlr 101 • MKILNM{ M FM (001)}4-SiM • �O91C •w.p•rWwYy.-n Q PREPARED FOR: PHONE NUMBER: PACE NUMBER: ••••• •• • •••••• •••••••• DAVID NEWMAN 503-853-1537 2 OF 3 .•.Je r A. arness: LEGAL DESCRIPTION: DRAWN BY: oO4eo�• ' • 9 3 ' ♦ Q SKY RANCH ESTATES #1; BLOCK 5. LOT 20 P.N.B l7 P 6°Qd TYPE OF WORK: DATE: 404O4OProf es lon o ASBUILT DRAWING 8/1/08 A B C ST1 76.23 42.14 89.10 ST2 81.89 47.40 82.85 DBL1 73.96 39.54 92.20 DBL2 74.89 40.64 90.95 DBL3 83.76 49.30 80.71 DBL4 84.56 50.56 79.89 C01 105.67 73.56 55.28 MT1 106.50 74.07 55.00 CO2 139.20 112.72 18.04 MT2 139.23 111.97 17.5 \ \ ♦ EXISTING CRIB ABANDONED IN PLACE FOR FUTURE USE CO 2 FA 100' '�, 1 I SKY RANCH ESTATES 11; I BLOCK 5 LOT 21 1 / TH/1+ 1 I I I 1 100' EXISTING 3 't�� 1, ; .. � • .••; BEDROOM \ �.i•• .:�%:: .i, HOUSE BL 3-1 DBL 1 ----_- i PARCEL ID NUMBER: 015-301-18 / i � 1 \ 1 SKY RANCH ESTATES /1; BLOCK 5 L0T 1 I 1 I 1 I � 1 / 1 � CO 1 --- 5T2 ST1 0 1 NEW 1000 OALLON TANK NEW DRAINFIELD S E: 1• - An' ®l GARNL•'SS ENGINEERING GROUP, Ltd. 4 -• CONSULTANTS 3 GENERAL CONTRACTOR •••.••• Ml L 111CN1 OLQ }Mlr 101 • MKILNM{ M FM (001)}4-SiM • �O91C •w.p•rWwYy.-n Q PREPARED FOR: PHONE NUMBER: PACE NUMBER: ••••• •• • •••••• •••••••• DAVID NEWMAN 503-853-1537 2 OF 3 .•.Je r A. arness: LEGAL DESCRIPTION: DRAWN BY: oO4eo�• ' • 9 3 ' ♦ Q SKY RANCH ESTATES #1; BLOCK 5. LOT 20 P.N.B l7 P 6°Qd TYPE OF WORK: DATE: 404O4OProf es lon o ASBUILT DRAWING 8/1/08 PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SW080128 015-301-18 flNAL GRADE 98.56+ 1 ST2 TOP OF TANK TOP OF TANK AT INLET AT OUTLET 94.45 - 94.48 INVERT OF BU AT INLET 94.01 NEW 1000 GALLON SEPTIC TANK T FINAL GRADE ORIGINAL GRADE 97.13+ 1 HIGHEST POINT 0 97.80 FILTER FABRIC INVERT OF PIPE 93.05 BOTTOM OF TRENCH - 87.81 RELATIVE ELEVATION OF BOTTOM OF TEST HOLE - 81.80 (DRY) GARNESS ENGINEERING GROUP, Ltd. • --. - • -• CONSULTANTS 6 GENERAL CONTRACTORS �•-s�+•-•--..•.•- ]]01 L TDCO AOM. ]WE 101 • ML1gIUCL M 1 ' 7 • A (007)M�Rn • rM (On}Y-J]N • \091L w�.p�rytirppn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DAVID NEWMAN 503-853-1537 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: SKY RANCH ESTATES #1; BLOCK 5. LOT 20 P.N.B TYPE OF WORK: DATE: PROFILE DRAWING 8/1/08 (R.. elm) T OF BUNG OUTLET 93.73 P '•.J f A. rness: 0� " E-79 3 :G �0---'�gll ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 17, 2008 Expiration Date: Jul 17, 2009 Permit Number: SWO80128 Parcel ID: 015-301-18 Legal Description: SKY RANCH ESTATES #1 BLK 5 LT 20 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 011930 WHISPERING SPRUCE CIR Owner Name: DAVID NEWMAN Lot Size: 18527 SO. FT. Owner Address: 11930 WHISPERING SPRUCE CIRCLE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-2320 This permit is for the construction of: ❑✓ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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: Issued B G .l Vakilr111111 Date: 1� jqrD MUNICIPALITY OFANCHORAGE Development Services Department 9 O On -Silo Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 17, 2008 Expiration Date: Jul 17, 2009 Permit Number: SWO80128 Parcel ID: 015-301-18 Legal Description: SKY RANCH ESTATES #1 BLK 5 LT 20 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 011930 WHISPERING SPRUCE CIR Owner Name: DAVID NEWMAN Lot Size: 18527 SO. FT. Owner Address: 11930 WHISPERING SPRUCE CIRCLE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-2320 This permit is for the construction of: ❑✓ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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: Issued B G .l Vakilr111111 Date: 1� Municipality of Anchorage --1 Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650519 Anchorage, AKrage.a 6650 lost, .us www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-wl- I% Property owner(s) DAVID NEWMAN Day phone 345-4089 Mailing address 11930 WHISPFRING SPRUCE *ANCHORAGE, AK Site address Zip Code 99516 Legal description (Sub'd, Block & Lot ) SKY RANCH ESTATES 11 . BLOCK a 1 OT 90 Legal description (Township, Section & Range) N/A Lot Size I$r 5 a-4Sq.Ft. THIS APPLICATION IS FOR (Hall that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ I certify that the above information is correct. 1 further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. ed agen!) PermiURush Fee Lj , Q +- I —7 S Date of Payment: -71 i^—I1 0? Receipt Number:` (Rev. 11/05) Waiver Fees i _! S. a U Date of Payment: T� 0 Receipt Number: Miuiicipanty of Anchorage NO. Nix 111(i(a) • .4a$umgc,.Unsk, !kFill .(Wil) • 37(X1 Elmore MHO (Mlirc: (!X)71 33:5)iYll • 15i<: (!X17) 3:3li:NM) hup://��r.mm,i.ury; Mayor Mark Begich Developiniont Services Department July 17, 2008 Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Waiver Request for Sky Ranch Estates 1, Block 5, Lot 20 Waiver Request WR#: 080049 Parcel ID 0 015-301-18 Permit NSW080128 Dear Jeffrey Garness, P.E.: Rxcnt 1or�.. C+O Department 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 2 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Since ly, 4117 21� 11tt-7 ames "Jay' Crewdson Civil Engineer On -Site Water A Wastewater Program Community, Security, Prosperity GARNESS ENGINEERING GROUP, Ltd. 1. CONSULTANTS & GENERAL CONTRACTORS' July 17, 2008 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Sky Ranch Estates #1; Lot 20, Block 5, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to install a new 1000 gallon septic tank and a deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the — drainfield is 5% percent slope running approximately east to west. In short, there are no slope concerns. 5. LOT LINE WAIVER: We arc requesting a 2 foot lot line waiver to the west lot line. There is no septic system within 10 feet of the lot line on Lot 21. We are unaware of any adverse impacts with the granting of this waiver. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have apy questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. TE: Attached is a sire plan drawing, a design drawing, one soil log, which are all part of the design package for septic system. (Contact G. E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 -' Ph: (907) 337-6179 • Fax: (907) 338-3246' Wcbsitc: www.gamcsscngincering.com I I �A% I \I SKY RANCH ESTATES I1; BLOCK 5 LAT 23 ;\ I / I / SKY RANCH ESTATES /1t BLOCK 5 LOT 22 1 \\ SKY BI.00KH5ELOT �21�\ 2, 1 SKY RANCH ESTATES I ' \ \ BLOCK 5 LOT 15 SKY RANCH ESTATES I1;\ \ BLOCK 5 LOT 16 SKY RANCH ESTATES /1; BLOCK 5 LOT 14 SKY Y5TT7 RANCH EST T 1 +1; / / / \\ BLOCK\5 ESTLOTATES BLOCK 3 SKY ISANCH ESTATES I1\ \ BLOCK 5 LOT IS \ SKY CH ESTAT /1; SKY RANCH ESTATES I ` \ SUJCK 5 BLOCK 5 LOT 19 \ \ WT 12 / / LL LOTS ARE PROP05LD, I-LtAbLi FIELD VERIFY TO SEE IF THIS AREA WAS EVER DEVELOPED. / HERITAGE HILLS TRACT D Z GARNESS ENGINEERING GROUP, Ltd. -,Cl?.-*!T • • CONSULTANTS 3 GENERAL CONTRACTORS — -- ^' " 0 1 L TiOae ede, iI1F 101 • YLIaMGL r eNe1 • ndL 00»JJ)-el» • N% (Mrillr-uM .Rest w. •.^• a PAGE NUMBER: •••• ... . . .. .••.. •••..•• iEPARED FOR: PHONE NUMBER: '. ,J (r GCT ss.: DAVID NEWMAN 345-4089 1 OF 1 F`i :GAL DESCRIPTION:DRAWN BY: O •, I SKY RANCH ESTATES #1; BLOCK 5, LOT 20 P.N.6 �0��°^° 7�1•�• , 0\ ma DATE: �Q4d ProTe001OI a PE OF WORK: 7/2/08 SITE PLAN (Re• 0105) DIZIGNCRITERIA: NUMBER OF BEDROOMS: 3 GALLONS PER DAY (GPD): 450+ PERCOLATION RATES: 3.83 PROPOSED APPUCATION RATE: 1.2 MINIMUM DRAINFIELD SO.FT.: 375 DRAINFIELD DESIGN: MAXIMUM DEPTH: 10 FEET WIDTH: 2' LENGTH: 38' M.OA APPROVED SAND FILTER: N/A EFFECTIVE: 5' REDUCTION FACTOR: N/A ACTUAL SO.FT.: 380 LETTER TENT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY Of THE LETTER CONTACT GEC. BY PROCEEDING FORWARD WITH THIS INSTALLATION. THE ENGINEER. WELL DRILLER. CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY WIVE READ THESE SPECIFICATIONS ANO AGREE TO ACCEPT THE TERMS AN CONDITIONS OUTLINED. 100' i SKY RANCH ESTATES 01; BLOCK S LOT 21 �1 \ EXISTING CRIB \ \ TO BE\ �ABANDONE `` PIA A EXISTING TANK TO 8 PUMPED. CRUSHED. LOT UNE WAIVER REOUEST s _ ~ TH11 TANK 7R•7Lii• fF.T:Ci SKY RANCH ESTATES 11; BLOCK S LOT 17 EXISTING 3 BEDROOM HOUSE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS E GENERAL CONTRACTORS ••-•--^-•��"�"""'^°""' poi i nna wow. wrt .o. • w C"DpML M wam • na[ lw0anwin • rui fooYM�s-uw • �us2 ....a.•�•�d^••�++�• PREPARED FOR: PHONE NUMBER: PAG E NUMBER: DAVID NEWMAN 345-4089 2 of 2 DRAWN BY: LEGAL DESCRIPTION: P.N.B SKY RANCH #1; BLOCK 5. LOT 20 OF WORK: DESIGN U 7/15/08 NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH do WEST LOT LINES. AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOf PRIOR TO CONSTRUCTION. \ I � n I I\\ I SKY RANCH ESTATE$ /1; \ I BLOCK S LOT 1999 I � 1 \ GARNESS ENGINEERING GROUP, Ltd. --CONSULTANTS& GENERAL CONTRACTORS-- --�-- """`""""' „ ... ..... .......... 3701 L TIOOII 60.0, S E 101 • AKWMM.0 A 66907 • PM 607 7-6176 • I/a 607 u • Y[&50e yom•••MP^••:^F•^"' SOIL LOG — PERCOLATION TEST ;••• SKY RANCH ESTATES 1; BLOCK 5, LOT 20 ••.Jiff ey A. ness.• LEGAL DESCRIPTION: PERFORMED FOR: 11930 WHISPERING SPRUCE CIRCLE DATE: 7 10 08 DEPTH-- dpFo/esslol\ o� (feet) J_! oacANlcs ITEST HOLE #11 7 8 SM 9 10 11 12 s WEEPS 13 14 15 16 13.0.11. 17- 18— DEPTH 718 DEPTH TO DATE GROUNDWATER 0 STANDING H2 7/10/08 DRY 7/17/08 ri I r ; I 6\au 6101 6: ` ii SCALE: DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/10/08 1 1SOIL CLASSI ICATIONS 6" — 2 GW •R 10 2 1/8- 3 7/8- 8"3 111111111ML 3:09 — 6' 1GM H,NH�CIL 10 �+GC OL i 3 1/4" SWI 6" — s IIMH 10 2 3 4" 3 1 4"— SID CH If I 2 2:1c D'.6.� I;111;��; • Z410 10 ��<s! SC 2 3/4" — 7 8 SM 9 10 11 12 s WEEPS 13 14 15 16 13.0.11. 17- 18— DEPTH 718 DEPTH TO DATE GROUNDWATER 0 STANDING H2 7/10/08 DRY 7/17/08 ri I r ; I 6\au 6101 6: ` ii SCALE: DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/10/08 1 2;50 — 6" — 2 3:00 10 2 1/8- 3 7/8- 8"3 3 3:09 — 6' — 10 2 3 4" 3 1/4" — 6" — 10 2 3 4" 3 1 4"— 6' Z410 10 3 1 4" 2 3/4" — 6'— 10 3 1 4" 2 3/4 — 6" 10 3 1 4" 2 3/4" PERCOLATION RATE 3.63 (MIN./INCH) PERC. HOLE DIA. o klNl,ntZ0 19 TEST RUN BETWEEN 5 FT. AND 6 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: DAVID GARNESS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS 1PE5FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 r r GREAjER N ANCHORAGE AREA BOR JGH Department of Environmental Quality ' 1 3330 C Street Anchorage, Alaska 99503 i INSPECTION REPORT ON-SITE SEWAGE DISPOSAL ST5TEM NAMEI „m %%%14'2 7 MAILING ADDRESS PHONE G[k.Mr.lr Sr�orT LOCATION- /iiUiimp�' LEGAL DESCRIPTION /er 20 SEPTIC TANK: I DISTANCE r.tpc" �� r NUMBER OF FROM WELL l25 MANUFACTURER FjA21NOS0MATERIAL t-�ePere COMPARTMENTS INSIDE LENGTH INSIDE WIDTH —_ LIQUID DEPTH �LIQUID CAPACITY 100 O GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER — OR WIDTH 7_'1,3 LENGEIH•� 127 DEPTH !z LINING MATERIAL crib CRIB SIZE: DIAMETERP -DEPTH - II DISTANCE FROM: WELL !00 I TOTAL EFFECTIVE p BUILDING FOUNDATION!RO—i ; NEAREST LOT LINE_ . ABSORPTION AREA (WALL AREA) ARE SQ. FT. ADDITIONAL ABSORPTION WELL: PfVPC3c0L' TYPE _rAIb1V1bUR1- .—CONSTRUCTION- BUILDING ONSTRUCTION_BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL , OTHERSOURCES APPROVED DISAPPROVED DISTANCES: 05 sNOWN INSTALLED BY: DOXI %ISi'Og PIPE MATERIALXasTlP'O#-) Qn01 D LOT SLOPE: Alit ST 3 O REMARKS:o—byL �nd7�31�v Zfllyf 13a urr eyl I) ane, Form No. ED -031 DEPTH DISTANCE FROM: NEAREST SEPTIC A'C"' SEEPAGE e SEWER LINE , TANK J'0e>1 ♦ , SYSTEM !OO REMA DIAGRAM OF SYSTEM 3 W- 7/, Room / P Noc"r �, e R �U 7 Al P �CC DATLtiifp3�; Q. /4775/ APPROVED G.A.A.B. 17, NAME LOCATION GRE►, ER ANCHORAGE AREA Wr�'UGFI k'"',3� Department of Environmental Quality .•� IWC%� 3.'.30 C Street Anchorage, Alaska 99503 PECT16N REPORT ON-SITE SEWAGE DISPOSAL SYSTE/A ?II.9-t MAILING ADDRESS PHONE LEGAL DESCRIPTION L 20 15;- SEPTIC s SEPTIC TAN DISTANCE �G��'�Gllt�r �+ NUMBER OF FROM WELL MANUFACTURER i40.$ -MATERIAL le a COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH L IQUID CAPACITY / OD GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER _DEPTH_ DISTANCE FROM: WELL . TOTAL EFFECTIVE BUILDING FOUNDA,TION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE _ CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM. CESSPOOL , OTHERSOURCES APPROVED DISAPPROVED . DISTANCES: INSTALLED BY: 1-1'5O71 PIPE MATERIAL: CZV1;z"$t-�e LOT SLOPE: REMARKS: Form No. EQ -031 REMARKS DIAGRAM OF SYSTEM cr 3V 7ru+19,'f? k -3-X k-7-3- C�O/ a� �sf;Imo•, ;., t�sem brl J, r y OK rO Gdoce 1pJjP 4/ Io co 5/+ DATE APPROVED G.A.A.B. NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3310 "C'• STREET ANCHORAGE, ALASKA 99303 TELEPHONE 274.4361 ' PERMIT NO. r Y SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK del L�ef-A.j al MAILING ADDRESS PHONE PIT c— DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED f FINANCED THROUGH TO BE INSTALLED By SOIL TEST RESULTS NOTE. THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICI ATED ( ' FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK S' 1 FOUNDATION TO SEEPAGE PIT aQ} / DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL _I SEPTIC TANK SEEPAGE PIT v'' DRAIN FIELD TO NEAREST LOT LINE. SEEPAGE AREA SIZE WELL TO SEPTIC TANK �y.-. O �. SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. .I WATER MAIN TO SEPTIC TANK tol SEEPAGE PIT DRAIN FIELD SEPTIC TANK, 04 SEEPAGE PIT 09 DRAIN FIELD TO RIVER, LAKE. STREAM, CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 3 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REG UULAATT DNS \DREGARDI STALLATION. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE T ^a. - 14- APPLICANT'S SIGNATURE"?� FORM NO. 90-016 TYPE DIAGRAM OF SYSTEM E AREA BOROUGH ORDINANCE NO. ;o�.88 AND THAT THE ABOVE GREATER ANCHORAGE MA7BOROU.^.H..'• HEALTH DE1:A11.T1!ZNT iL` r11AFEii • 327 EAGLE ETREET ANCHORAGE, ALA -KA 99501 �� 2 197A AM .^ GREATER ANCHOR ,GE AREA ROR U Performed For JIM !' IOU? bray Date Ferlormet' " LCYy�a�� 17•74 Legal Description: Lot ! pock ,' Subdivision Z)K-y �C7 FSI PS This Fcrm Reports a: Soils Lop, t/' Perrolfition "lest Depth Feet Soil Characteristics Location Sketch _ _ I ]-oPsor/— S+11 and 2 p►-c�a+��CS (ML -Pt) S� Icy sck-ICI 9ravcl CGf''1) grdding +v 8 st ! y sit q d (SM) 10 ":`� (Very do.-Isc, M04c-;et s Was Ground Water Encountered?. %o If Yes, At What Depth Reading Date Gross Time Net -Trr,e Depth To H2O Net Drop ereo a inn a o Froposed Installation: Seepage Pit Drain.rield Depth Of Inlet Depth To b tom Of Pit Or Trench NTS: A - _ �' Test Performed Bl: Alctsket hec10Q1Caj COVISuii'atiAi.-x-xc. Data Certified By: t ' Date: ` MUNICIPALITY OF ANCHORAGE DEPT. OF I'.""' LT'rl & ENVIRONMENTAL PROTECTION ENVIQO,N`yTA_ ' "` iLCTION \ DEPARTMENT OF HEALTH C 1 825 L Street - Anchorage, Alaska 99501 Un�n AUG 25 , 7 6. TYP OF RESIDENCE ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 RECEIVED p, 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. 1. PROPER;OWNER 7. WATER SUPPLY PHONE �s Wb� -g�9s MAILING ADDHESS ❑ PUBLIC UTILITY PROPERTY RESIDENT (It different from above) H NE 1 %(,YAC S INDIVIDUAL/ON•SITEee 2. BUYER s. a h H rONE 5 1' NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MAILING ADDRESS 3. LENDING INSTITUTION Lt 1 PHONE (LING ADDRESS c7. 412V \k —120 c. 9S q. EtALLTOR/AGENT,(,, PHONE r MAILING ADDRESS S. LEGAL DESCRIPTION � D y \ 20 STREET LOCATION 6. TYP OF RESIDENCE NUMBER OF BEDROOMS ❑ One C3 Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY }4 Three ❑ Six 7. WATER SUPPLY tK INDIVIDUAL- *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON•SITEee "If individual/on-site, give installation date If system Is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY -� INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ 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 ❑INDIVIDUAUON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER p _ ❑Septic Tank or ❑ Holding Tank Size: 10VL1 If Tank is homemade give dimensions: SOILS RATING S� TYPE OF TANK MANUFACTURER - -� - TOTAL ABSORPTION AREA MATERIAL Z 7 � C„L�.r✓. 4. DISTANCES WELL T0: SeptIC/Holding Tank Absorption Area w Seer Line - es Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS �PPROVEDFOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompan c tificate) DISAPPROVED HJT Xl DATE �a �/� BY Title) LEGAL DESCRIPTION 7Z-016 (Rev. 3/76) RM -- Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 s Certificate of On -Site Systems ApprovalII Parcel I.D. 015-301-18 Expiration Date: IVoy 1. GENERAL INFORMATION: Complete legal description SKY RANCH ESTATES #1: BLOCK 5. LOT 20 Location (site address) 11930 Whispering Spruce Circle 'Anchorage. AK 99516 Current Property owner(s) Chad Schnell Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3- 3. NUMBER OF BEDROOMS: 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 ❑ Waiver/Variance request for: Distance: Received by: !/ Date: COSA to be rei.a..d to the engineer, unless otherwise requested by the engineer. COSA Fee $ 52k. oo Waiver Fee $ n Date of Payment 91�Ia Date of Payment Receipt Number Receipt Number COSA# QS�IBI�2ra Waiver# 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: Gayness Enoineerino Group. Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road. Suite 101 -Anchorage. Alaska 99507 Engineer's Printed Name: Jeffrey A. Gayness Date: 15 1 27-110 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the dale/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden detects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, sail conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the wntrol of GEG. Satisfactory test results do not guarantee future performance of the systemis; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the persordparty, that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE V System #1 Approved for .3 bedrooms #AECC884 System #2 Approved for bedrooms-AlvC6 Disapproved G Conditional approval for bedrooms, with the following stipulatiprr pN-St�EG�, D By: �/oc Ti'rn £cklund Original Certificate Date:,rwt ay�a�g 0 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 engineers work. 7. ATTACHMENTS COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheel 10-ID-12.mc P_9�_vtif--o 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; BLOCK5, LOT20 Parcel ID: 015-30148 A. WELL DATA 'PER GEG INSPECTION Well type PRIVATE If A, B, or C provide PWSID#NSA Well Log (YIN) NO Dale completed 1874 (?) Sanitary seal (YIN) YES Wires properly protected (YIN) YES Total depth `171.8* ft. Cased to UNK ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 8/7118 G Static water level k. 170.5 Well production >Q0 9-P M. 7+ WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 0.188 mg./L. Collected by: GES, Ltd. Arsenic: mug./L. Date of sample: 8/Bn8 B. SEPTIC/HOLDING TANK DATA 'DOUBLE C/O'S BEFORE TANK Tank Type/Material SEPTIC/STEEL Date Installed 7/24/08 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) *NO Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping 8/10/18 Pumper ONE STOP PUMPING C. ABSORPTION FIELD DATA TELOWEXISTING GRADE ATMONITORING TUB Date installed 7/24/88 Soil rating (g.p.d./ft'o /bdr 12 System type DEEP TRENCH Length 39 ft. Width 3 ft. Gravel below pipe 5.25 ft. Total depth '8.1+ ft. Eff. absorption area 408 ft' Monitoring tube YES Depression over field NO Date of adequacy test 8/7/18 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 6 in. Water added 737 gal. New depth 41 in. Elapsed Time: 1350 min. Final fluid depth 28 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN 8 type) NONE KNOWN If yes, give date - D. LIFT STATION Date installed Size in gallons Manhole/Access(YIN) "Pump on" level at in. "Pump off' level at a er 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 too,- On adjacent lots 1001+ Absorption field on lot 1oo'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas loo'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation `5'+ Property line 5'+ Absorption field 51+ Water main 101+ Water service line to'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line "2 Building foundation 10'+ Water main 101+ Water service line 101+ Surface water 1oo'+ Driveway, parking/vehicle storage 101+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 'MET CODE AT TIME OF INSTALL "WRp080049 G. ENGINEER'S CERTIFICATION I certify that 1 have determined through held inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Nam/e, JEFFREY A. GARNESS Date Gfo lift".na (Rev. 10112112) 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 w (907) 343-7 D4 to (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FORA A SINGLE FAMILY DWELLING G Parcel I.D. o «' � i- ► 9 COSA# (�S 1. GENERAL INFORMATION Expiration Date: w --t--5 Complete legal description SKY RANCH H1: BLOCK 5 LOT 20 Location (site address) 11930 WHISPERING SPRUCE CIRCLE 'ANCHORAGE. AK 99516 Current Property owner(s) DAVID NEWMAN Day phone 503-853-1537 Mailing address 11930 WHISPERING SPRUCE CIRCLE 'ANCHORAGE. 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: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Weil ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ 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-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 riles and from my investigation and inspection, the on-site water supply and/orwastewater 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 Address 3701 E. TUDOR ROAD. SUITE 101 * ANCHORAGE. AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, UD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines d 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 identifiable features. The operational life of &H 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. 5. DSD SIGNATURE Approved for __,� bedrooms. Disapproved. Conditional approval for bedrooms, with the flowing 337-6179 Date 6 t 2 t7Pj Attachments: V COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Reort Nitrate Advisory Other By, Original Certificate Date: M. I'M ...:... .Jet A. Carnes.• `•. E-79$3 •`i ON-SITE • ; WATER AND WASTEWATER PROGRAM Municipality of Anchorage • yl Development Services Department Building Safety Division On -Site Water 8 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: SKY RANCH ESTATES #1; BLOCK 5, LOT 20 Parcel ID: D /.7 — 3 0 1— /S A. WELL DATA *BASED UPON NEIGHBORING WELL LOGS Well type MATE If A. B, or C provide PWSID# N/A Well Log (Y/N) NO Date complete(TRE DEC. 1974 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 166+ ft. Cased to •40'+ ft, FROM WELL LOG Date of test UKN Static water level UKN ft, Well production UKN g,p,m, WATER SAMPLE RESULTS: Coliform 0 ' colonies/100 ml. Nitrate 9.29 mg./L. Casing height (above ground) 12+ in. AT INSPECTION 6/25/08 165 g, 3.96 g.p.m. Other bacteria _0 colonies/100 ml. Arsenic: NO ug./L. Date of sample: 6/25/08 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA 'DOUBLE C/O'S PRIOR TO TANK Tank Type/Material SEPTIC/STEEL Date installed 7/22-24/08 Tank size 1000 gal. Number of Compartments E Foundation cleanout (YIN)Y Depression over tank (YIN) NO Date of pumping NEW Pumper_ Cleanouts (Y/N) YES High water alarm (Y/N) N/A C. ABSORPTION FIELD DATA I -BELOW EXISTING GRADE Date installed 7/22-24/08 Soil rating (g.p.d./ft'o /bd 1-2 System, type TRENCH Length 39 ft. Width 3 ft. Gravel below pipe 5.25 ft. Total depth 10 ft. Eff. absorption area 408 ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail)' PASS For E bedrooms Fluid depth in absorption field before test = in. Water added=gal. Now depth =in. Elapsed Time: = min. Final fluid depth= In. Absorption rate >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons Manhole/Access "Pump off" leveHigh water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM 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 N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 50+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *2' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS •WR# 080049 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 6 b jog COSA Fee S_ '1 ?!k-) - t: %--) Date of Payment 9/�08 Receipt Number 9 8 tog (Rev. 11/05) Waiver Fee S Date of Payment Receipt Number H Ir 8 qOq� :6g( N CN l olln 42.2 O sr J A - E70571NG HOUSE I M 04. a 20.6 I N I 1 280 ,Y Y co ^� 21.8 1140 I t ;:;.p......:. N I O o W a.•.•.• i mZ u Lo :;:< ::::• Z w 3 -+ G WC -) < N aW � N C H Ir 8 qOq� :6g( N CN l olln 42.2 O sr J A - E70571NG HOUSE I M 04. a 20.6 I N I 1 280 ,Y Y co ^� 21.8 1140 I t ;:;.p......:. N I O o W a.•.•.• i mZ u Lo :;:< ::::• I rn I J N��° N 1B I5 03 z 10 m O �. O b J N ® i o Q J o � I N A I Y I � p f AN O I I oas J 2nn I z rc Ment MUNICIPALITY OF ANCHORAGE r^ C` Development Services Department r Right of Way Division Phone: (907) 343-8240 Fax: (907) 343-8250 Department APPLICATION FOR LETTER OF NON -OBJECTION TO ENCROACIIAIENT (PLEASE PRINT) ` J fit. cJ (� 00 '. Building/Land Use Permit #: ROR' Permit #: Owner Name: C)OUJ r /14 a r i c r� �i .n a ✓7 Mailing Address: 11.71&1hi5 r,nn Snr rd City/ST An ha,ge A Zip 91So3 Physical Address: �/ '4 (a City/ST Zip Phone (home/offic e ,/mobile): So 3— 2(S 3- 15 3 7 Facsimile: Subdivision: k u kaeg `t _E< t . # I Block: �_ Lot: a O Grid: Describe encroachm t: I he well i 5 'e✓trroac kino Q(2!2zoVie"CfIe1l� Type of drawings famished: As -built survey _� Site Plan Other Submitted by: Sorlat� (IckrneS5 3�7-LI-79 K rnt55 nyin�r�i"✓`• Please Print Phone Number i Email r ° Application must include $115.00 application fee and a copy of the as-built/site showing and dimensioning the existing and/or proposed encroachment(s). if Is the applicant's responsitibility (upon notification) to obtain letters of non- objection from utility companies and provide documentation to Right of Way Division. Upon final review and there being no objections, a formal letter of nonobjection will be provided to the applicant forpermittee's permanent records. Letter of nonobjection is void without permittee's acceptance and signature on file with Development Services, Right of Way Division. Costs associated with any removal and/or repair associated with the encroachment are borne by the Permittee. Initial: FOR USE BY TILE RIGHT OF NVAY PERMIT OFFICE Date Received: By: Approved/dcnied by Zoning Plan Review: Comments: Right of Way Plan Review: Comments: APPLICATION FEE Transaction # Check No.: Cash: ❑ CC: ❑ Amt: Un M Date: Date: Approved / Denied / Resubmit Action Required: Jack L. Frost, Jr., Right of Way Supervisor Date Notified: ❑AWWU ❑CG []MMA ❑ENSTAR ❑TELALASKA ❑MLLP ❑ACs ❑GCI ❑MTA 0 D Y_ Revised 8129/2007 )Oe y A v Ya ✓ � = � � 7 � � T n Cl �e LA} s11210f; July 14, 2008 David & Marjorie Newman 11930 Whispering Spruce Circle Anchorage AK 99503 Dear David & Marjorie Newman, Subject to your agreement to indemnify the company as set forth below, GCI Cable Inc. of Alaska has no objection to the well encroaching approximately 5' into the ROW easemtent located at Lot 20 Block 5 Sky Ranch Estates #1 Subdivision (known as 11930 Whispering Spruce Circle) located in City Grid 2737. This letter of non -objection in no way precludes GCI Cable from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of- way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to myself at the address below. Sincerely, �J(� Acceptancki Date David Brown MDU Specialist 5151 Fairbanks St Anchorage AK 99503 907-868-6950 Office 907-868-8580 Fax July 17, 2008 David and Maijorie Newman 11930 Whispering Spruce Circle Anchorage, Alaska 99516 Gamess Engineering Group, Ltd. Jeffrey Gamess, P.E., M.S. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Re: Letter of Non -Objection Grid: 1428 To whom it may concern: ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY Engineering Department Right of Way Section 401 E. International Airport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907) 334-7743 FAX (907) 334-7798 ENSTAR Natural Gas Company has no objection to well and related improvements into the Trotters Way Right of Way, lying adjacent to Lot 20, Block 5, Sky Ranch Estates No. 1 Subdivision, according to Plat No. 71-166, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. Acceptance and use of this letter of nonobjection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: • Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Digline, Inc., (907) 278-3121, for line locating two (2) business days prior to excavation or high pressure standby. • ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. • Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR. • Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the property owner. • All applicable safety code regulations will be observed and maintained. • This letter of nonobjection will in noway preclude ENSTAR from full use and enjoyment of its rights within any portign of its nghtof--way. Sincerely, \\ I .�0 \\ \ Manny Lopcz"SR�W, \ Right -of -Way Agent/Su r 1 ENSTAR Natural Gas Compa y ACS Alaska Communications Systems July 11, 2008 David & Marjorie Newman C/O Gamess Engineering Group, Ltd 3701 E. Tudor Rd., Suite 101 Anchorage, Alaska 99507 907-337-6179 ACS has no objection to the encroachment of the well in the platted easement on Lot 20, Block 5, Sky Ranch Estates Number 1 Subdivision, otherwise known as 11930 Whispering Spruce Circle as depicted on the as -built drawing submitted. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: 1. ACS will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any ACS facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ACS. 3. Any costs incurred by ACS for special construction necessitated by this encroachment will be bome by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non -objection will in no way preclude ACS from full use and enjoyment of its rights within any portion of its right-of-way. Please sign both copies, retain one copy for your use and return the other to ACS. Sincerely, Gerry Snow, Acting Foreman Outside Plant Engineering ACCEPTANCE SIGNATURE: DATE: )LY« % Aru. ftuilnnunn Grid # RCW 2737 600 Telephone Avenue Anchorage, Alaska 99503-6091 tel 907.297.3000 www.aaalaska.com r. POWERM ALASKA'S FUTURE July 9, 2008 Gamess Engineering Group, Ltd. 3701 East Tudor Road, Suite 101 Anchorage, Alaska 99507 Attention: Jeffrey A. Gamess, P.E., M.S. Subject: Letter of Non -objection for Existing Well in Road ROW Lot 20, Block 5, Sky Ranch Estates Subdivision Unit No. I SE'/. of Section 22, T12N, R3W, S.M., Alaska Grid 2737, OB08016, PID #015-301-18 Dear Mr. Gamess: Chugach Electric Association, Inc. (Chugach) provides its non -objection to the existing well within the Trotters Way right of way on the north side of Lot 20, Block 5, Sky Ranch Estates Subdivision Unit No. 1, as shown on the attached as built by Lantech dated July 2, 2008. It must be your understanding that the location of the existing well in the road right of way is at your risk, and that this non -objection is given without prejudice to Chugach's full enjoyment of any and all rights it may have in the road right of way. Enclosed for your use are Chugach's Electrical Facility Clearance Requirements, What is an Easement? handout, and the Dig Safely utility locate call card. If you have any questions, please call Susan Truskett, Right of Way Agent, at 7624735. Sincerely, Jim K. Topolski Manager of Land Services Enclosure CC: David and Marjorie Newman, 11930 Vgdspering Spruce Circle, Anch, AK 99516 Chugach Electric Association, Inc. 5601 .e ;o• :F.e PC. 8crNe-300 a„cho,age.AbskaQv^5196300 • 10071563-74C4 Fa 10071562-002"• 18001 476 7474 ...�. t+ogachelevnc cer miabcA;.00: F2%Pdn: cc, Q�_ Municipality of Anchorage 04Fi� I Anchorage Water & Wastewater Utility Engineering Division hitpl/wvw.ewwv.biz 3000 Arctic Boulevard- Anchorage. Alaska 99503-3898 • Fac (907) 562.0824 Mayor Mark Begich June 25, 2008 David & Marjorie Newman 11930 Whispering Spruce Circle Anchorage, AK 99516 Re: SKY RANCH ESTATES # 1 BLK 5 LT 20(Grid SW2737) Request for Letter of Non -objection to Encroachment The Anchorage Water & Wastewater Utility received a request from your representative Gamess Engineering Group, Ltd on July 8, 2008 in regards to an existing well head encroaching into Whispering Spruce Circle ROW along the north property line of SKY RANCH ESTATES # 1 BLK 5 LT 20. AWWU is not currently using this ROW, and has no objection to the encroachment AWWU hereby issues this letter with stipulations to allow the encroachment of an existing well head, and by using the ROW the property owner(s) agrees to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachment; 2. All applicable codes and regulations will be observed and maintained within the ROW; 3. This letter will in no way preclude AWWU from full use and enjoyment of its rights within any portion of the ROW; 4. The property owner shall pay any additional and/or extraordinary costs incurred to accommodate the encroachment during any future required construction or reconstruction of AWWU facilities; 5. AWWU's non -objection does not imply other approvals that may be required for this encroachment; and, 6. AWWU does not provide a position for any other parcel or utility impacted by the encroachment. Should you have any questions, please call the AWWU Planning Section at 564-2739. S*aticherl P'� Engineering Technician GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330;"C" Street, Anchorage, Alaska 99503 274-4561 Date Received iz/mss 17,E Time of Inspection lJw Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & 14ATER FACILITIES FOR 1. Approval requested by: Mailing Address: Phone:-�7Y-7G.37 )e 4s 2. Property Owner: )7C..- �� Phone: 763 9 Mailing Address: Lt 3. Legal Description: ,%.to 15 5- 4. 4. Location: ,vHN 5. Type of facility to be inspected ( No. of bedrooms 6. Well Data: A. Type-%,t.�' c .,.—�.. B. Depth 2,,)6 C. Construction (.i��„�„S ��t�rrcQ, D. Bacterial Analysis 7. Sewage Disposal System: A. Installed yAy /7 V= B. Installer j C. Septic Tank: 1. Size loo v �. 2. Manufacturer t' -�'1u� o25OD7 D. Seepage Pit: 1. Absorption Area hOSrit 2. Material E. Disposal Field 8. Distances: Total length of lines v A. Well to: Septic tank 106 �� Absorption area Ion / Sewer Lines id oe-' Nearest lot line /0 Other contamination B. Foundation to septic tank % / , , Absorption area 5-0 f C. Absorption area to nearest lot line /.S I EQ -034 (1/74) Page 1 of two pages rN GREATER ANCHORAGE ARIL BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: E Mailing Address: T. Day Phone D79 -?859 3. Name of Buyer: _CCL- ¢_ n,6 „G�„� Mailing Address: 1.- Day Phone 4. Name of Lending Institution: aea_yl. /, i Mailing Address: 3io 6. ✓1 5. Name of Realtor or Agent:yfrnte Mailing Address: Phone 6. Legal Description: Location: /1'M /4. AI)c/ TU Owl / Cil iuS 7. Type of Facility to be inspected: B. Water Supply - -71,x-7 , No. Bdrms. Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal -System Type -of System: Public Utility Individual (on-site) _ If Individual, date of installation fFS �P