HomeMy WebLinkAboutSKY RANCH ESTATES #1 BLK 5 LT 4Sky Panch #1
Block 5
Lot 4
#015-301-34
Municipality of Anchorage
Community Development Department Page 1 of 3
On -Site Water & Wastewater Program 140? fi n po
4700 Elmore St. • P.O.
Box 196650 Anchorage, AK 99519-6650 e http://www.muni.org/on • (907)343-7
ON-SITE WASTEWATER INSPECTION REPORT
!123
Permit Number: OSP141328
PID Number: 015-301-34 ❑ New Upgrade
Name' DANIEL RICE
ABSORPTION FIELD
❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound
Address:
11901 STEEPLE CHASE DR,
ANCHORAGE, AK, 99507
❑ Other
Soil Rating:
Total Depth from original grade:
Phone:
No. of Bedrooms:
(907) 345-8128
4
0.8 GPD/Sq. Ft.
8.33 MAX Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade:
Gravel depth beneath pipe:
SEE DWG. Ft.
4.08 Ft.
Subdivision:
Block: Lot:
Fill added above original grade:
Gravel length:
SKY RANCH ESTATES #1
5 4
SEE DWG. Ft.
(31 & 12 & 39) 82 TOTAL Ft.
Township: Range:
Section:
Gravel width:
Beds Number of lines:
Distance between lines:
5 Ft.
Ft.
SEPARATION DISTANCES
Total absorption area:Number
820
of trenches:
1
Dist. between trenches:
—
TO
Septic
Absorption
Lift
Holding
Public/Private
From
Tank
Field
Station
Tank
Sewer Lines
So. Ft.
Ft.
Well
85'+
too'+
—
—
25'+
TANK ® Septic ❑ S.T. E. P. Oldolding El Other
Manufacturer:
capacity:
Surface Water
100'+
100'+
—
—
GREER
1250 cal.
Lot Line
5'+
*5'+
-
-
N/A
Material:
Number of comportments:
HDPE
2
Foundation
5'+
10'+
—
—
LIFT STATION
Curtain Drain
NONE KNOWN
Monufacturer:
° 'Y
col.
"Pump ori level at:
Pump off" lev
High water alarm at:
Remarks:
OLD TANK WAS REMOVED AND
DISPOSED OFF SITE
Pump Make &
Electrical Inspections performed by:
*PER WAIVER #OSP141328
PIPE MATERIAL
House to tank EXISTING Tank to D3034
dralnfield
Installer
Drainfield D3034 CO/MT D3034
WILCO CONTRACTORS
Inspector GEG, Ltd.
BENCH MARK (Assumed elevation)
103.23 Ft.
Inspection
Dates: 1st 8/19/2014
2nd 8/20/2014
Location and Description:
3rd 8/21/2014 4th
BOTTOM OF SIDING, POINT 'A' (SEE PLAN DWG)
ENGINEER'S SEAL
Community Development
Department Approval
00600000
o �F poi
Conditional approval:
Date:
a .
Q........ .. ...... ........ �
.J y Gar ess:
C-79 e p
O�p4fP^e 9.[t1) (... dodo
Approved:
Date: f o2'��
�4Od Profess no,
�40000�a
osP;41328 AS -BUILT DRAWING
f, WHISPERING SPRUCE OR
I '
U) o
Q GN
I �
LLITION
TH#2
a
d -__ -CO2
C'-��___
w MT2
° c n
I REBUILT TRENCHESC7
DR-NEWTRENCH
I- NEWA.Y - --J
(n a ..CI n.---------- ------
FCO
GALLON \ `
TANK
PARCEL ID NUMBER:
015-301-34
11
A
I B
C
ST1
52.19
28.13
46.23
ST2
57.43
29.91
43.55
DBL1
58.90
30.26
42.61
DBL2
59.95
30.43
41.88
TMT
59.94
27.77
39.74
C01
73.35
58.92
63.45
MT1
73.85
56.43
59.96
CO2
81.99
42.35
33.59
MT2
81.68
41.37
32.50
203
86.20
28.02
10.47
MT3
82.89
24.66
11.26
\� US\Vj �pS��ENT
,a
//
/ ,moo /
-. - � 100' WELL RADIUS
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS=* - i
39 E TUDOR MAO SUITE 101' ANCPCP E,A 93507' PHONE 19911 3J7A179'EA UOD W8U4fi-WEBSITE: WxY/gemes5epliee,Bpmm ._m .
TREPARED FOR PHONE NUMBER: PAGE NUMBER:
DANIEL RICE (907) 345.8128 2 OF 3
.EGAL DESCRIPTION: DRAWN BY:
SKY RANCH ESTATES SID #1; BLOCK 5, LOT 4 A.J.G.
TYPE OF WORK: DATE:
AS -BUILT DRAWING OF SEPTIC UPGRADE 9/11/2014
?ROFESSO' I$
PERMIT NUMBER:
OSP141328 AS -BUILT DRAWING
TOP OF TANK ® INLET = 94.95
INVERT OF BUNG ® INLET = 94.23
FINAL GRADE = 97.19-97.29
2" INSULATION
NEW 1250
GALLON H.D.P.E.
SEPTIC TANK
FILTER
FABRIC
T
4.08
RELATIVE ELEVATION OF BOTTOM
OF TESTHOLES = 77.57 (DRY)
PARCEL ID NUMBER:
015-301-34
TOP OF TANK ® OUTLET = 94.95
INVERT OF BUNG ® INLET = 94.04
FINAL GRADE _
94.49-96.83
ORIGINAL GRADE _
93.57 ® HIGHEST
POINT
INVERT OF PIPE
= 89.34
J � BOTTOM OF
TRENCH = 85.24
TRENCH SECTIONS 'B' & 'C' WERE EXCAVATED TO
REMOVE ALL CONTAMINATED MATERIAL AND FILLED
WITH M.O.A. SAND TO THE SAME ELEVATION AS
THE BOTTOM OF TRENCH SECTION 'A'.
GARNESS ENGINEERING GROUP, Ltd
a CIVIL & ENVIRONMENTAL ENGINEERS
=1 E. WWR ROM, SURE 101 M 99697 • PHONE (997) 337-61)9 " FM (967) 336-3446 � WE95RE: m m=9en91neefii
'REPAIRED FOR: PHONE NUMBER: PAGE NUMBER:
DANIEL RICE (907) 345-8128 3 OF 3
.EGAL DESCRIPTION: DRAWN BY:
SKY RANCH ESTATES #1; BLOCK 5, LOT 4 A.J.G.
YPE OF WORK: DATE:
. PROFILE AS BUILT OF SEPTIC UPGRADE 9/11/2014
F—
U) U)
w
D
0
w
ry
V
1
I1
1 1
1
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS�-
Ml E. TUWRRO SNIIE 101 'AN KOR E.AK9 07' PHONE (8 337b1"'FAXP07)33 46'MSSHE:wxn'g SeryineeM wm
CLOCK
TIME
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION:
SKY RANCH ESTATES SID #1; BLOCK 5, LOT
PERFORMED FOR:
DANIEL RICE DATE: 8/14/2014
DEPTH
(feet)
2—
6"
ADDITIONAL PERK SITE
1
2
9:20
10
2 3/8"
3 5/8"
PERK HOLE WAS
7 PRE-SOAKED FOR 4+
HOURS ON 8114/2014
8
9
10
11
12
13
14
15
16
17
18
DEPTH TO DATE
GROUNDWATER
DATE
READING
CLOCK
TIME
SOIL
CLASSIFICATIONS
NET DROP
(INCHES)
8/15/2014
1
9:10
2—
6"
"
2
9:20
10
2 3/8"
3 5/8"
GW
3
ORG
-
6""
a` c+
GP
9:30
ML
3
3 1/4"
5
9:30
-
6"
6
9:40
GM
23/4"
CL
7
9:40
GC
-
OL
q
9:50
10
2 314"
3 114"
00.0 a
10:00
6"
SW
MH
10:00
10
2 3/4"
': . :
SP
11
CH
5
6"
-
SM
OH
� "
2 314"
3714"
SC
6
PERK HOLE WAS
7 PRE-SOAKED FOR 4+
HOURS ON 8114/2014
8
9
10
11
12
13
14
15
16
17
18
DEPTH TO DATE
GROUNDWATER
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
8/15/2014
1
9:10
-
6"
"
2
9:20
10
2 3/8"
3 5/8"
3
9:20
-
6""
4
9:30
10
2 314"
3 1/4"
5
9:30
-
6"
6
9:40
10
23/4"
31/4"
7
9:40
6"
-
8
9:50
10
2 314"
3 114"
9
10:00
6"
-
10
10:00
10
2 3/4"
3 114"
11
10:10
6"
-
12
10:10
10
2 314"
3714"
19 PERCOLATION RATE 3.07 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 6.5 FT. AND 7.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO
SOILS LOGGED BY:--- PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS: PERCOLATION READINGS ARE WITHIN 1116 OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FO MED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: i% ly
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP141328
Tax Code Number: 01530134000
Work Type: Septic Upgrade
Permit Effective Dates: August 14, 2014 to August 14, 2015
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: SKY RANCH ESTATES #1
Site Legal Address: SKY RANCH ESTATES #1 BLK 5 LT 4 G:2737
Owner/Address: RICE DANIEL T & KASANDRA K
11901 STEEPLE CHASE CIR ANCHORAGE AK 995162321
Site Mailing Address: 11901 STEEPLE CHASE CIR, Anchorage Lot Size in Sq Ft: 18183
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions:
The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation
test. The Engineer needs to do an additional percolation test prior to the construction of the septic
field. Please submit stamped and signed results with the As -built Inspection Report. If the results
require a design change, construction of the system will stop pending On -Site review and
approval. AMC 15.65.060.B.3
Received By:4 G e�-
Issued By:
Date:
6, AZ
Date: g Y /
Municipality of Anchorage &Depitme"nt
P.O. Box 196650 • 4700 Elmore RoadAnchorage Alaska 99519-6650 * (907) 343-7904 • Fax (907) 343-7997
http://www.mu ni.oM/Onsite
Development Services Division
On -Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSP141329 COSA#:
PID#: 015-301-34
Permit#: OSP141328
Legal Description: Sky Ranch Estates #1 Block 5 Lot 4
Engineer: Garness Engineering Group
Applicant: Daniel Rice
Your request for a waiver of the required 100 feet horizontal separation from the alternate
absorption field and septic tank to the private well has been approved. The approved separation
distance is 85 feet to the tank and 95 feet to the field. The primary field is approved to be up to 5
feet from the property line. Additionally, the alternate site is approved to be 10 feet from the
primary.
This waiver approval applies to the proposed absorption field and septic tank only. Any future
upgrade to the on-site wastewater disposal system will require all separation distances be met or
another approval from this department.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
® No letter sent. The existing field is being rebuilt in the same location.
...............................................................................
Waiver is Granted: X Waiver is not Granted:
Date: Approved by:
Name of eviewer
............................. 0................. 0............ ......... 0........
**** VARIANCEMAIVER REVIEW ****
Sky Ranch Estates #1 Block 5 Lot 4
Parcel ID: 015-301-34
Waiver for 85 feet from well to tank
and 95 feet from well to alternate field
8/13/2014
General
1. The tank and alternate site are downhill from the well.
2. The house is between the proposed system and well.
3. The alternate site will be a Cat III Nitrate Reducing system.
ADEC Criteria Points
Water Table
Depth of water 204 feet
Depth of field 10 feet
194 feet 7.5
Soil Sorption
Soil descriptions
DEC PTS Depth From Depth To Thickness Calc. Pts
Predominant soil
type is clay per the
well log. Point
value is 6.0. 0 #DIV/0!
0 #DIV/0! 6.0
Permeability
Soil descriptions
Total Points 16.4
As per ADEC waiver guidelines, with a point value of 16.4, Almost sure to be free from any form of
contamination from household sewage.
DEC PTS
Depth From
Depth To
Thickness
Calc. Pts
gravel & clay
0
10
31
21
0.00
gravel/clay/boulders
0
31
61
30
0.00
silty clay
2
61
84
23
0.24
silty clay & sand
2
84
98
14
0.14
gravel & clay
0
98
105
7
0.00
gravelly clay/bldrs
0
105
163
58
0.00
clay
0
163
174
11
0.00
silty clay & gravel
1
174
204
30
0.15
194
0.54 0.5
Water Table Gradient -
Not calculated
Horizontal Separation
85 feet between tank
and well
2.4
Total Points 16.4
As per ADEC waiver guidelines, with a point value of 16.4, Almost sure to be free from any form of
contamination from household sewage.
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services, Fax: 907- 343-7997
On -Site Water & Wastewater Program
Mayor Dan Sullivan
On -Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 015-301-34
Property owner(s) DANIEL RICE Day phone 345-8128
Mailing address 11901 STEEPLE CHASE CIRCLE, ANCHORAGE, AK, 99516
Site address 11901 STEEPLE CHASE CIRCLE, ANCHORAGE, AK, 99516
Legal description (Sub'd, Block & Lot) SKY RANCH ESTATES
Legal description (Township, Section & Range)
Lot Size Sq. Ft. Number of Bedrooms
1: BLOCK 5. LOT 4
0
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DEWELLING:
(®all that apply)
Initial ❑
Single Family (SF)
Absorption Field
®
Z
(w/wo ADU)
Septic Tank
®
Upgrade
Duplex (D)
F]❑
Holding Tank
❑
Renewal
Multiple Dwellings
❑
Privy
❑
IV
UIRMITTA'
(SF and/or D)
Private Well
❑
p I G
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
WELL TO SEPTIC TANK Distance: 85 FEET
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: -41-3114
,, t -t- 9.� VJD = Riu'ioWaiver Fees: 112 t +l ( 40 = t9600
Date of Payment: Date of Payment: S'11-$11 { (12EQ
Receipt Number: 02'12-7 Receipt Number: 62-'27 6
Permit No. D5w1y 1 zi( Waiver No. 05?114 132-9
(Rev. 01/11)
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
August 14, 2014
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road,
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Septic Design for Sky Ranch Estates S/D #1; Block 5, Lot 4.
To whom it may concern:
uan c .
tOvsnced r'eat"'cw S'stc..r
1001,
D w
The existing 4 bedroom house is served by a private well and a private septic system. The septic system is in a
state of failure and needs to be upgraded. Two testholes were excavated on the property and logged by GEG,
Ltd. We are proposing to excavate the existing trench to remove all contaminated material and use it as a portion
of the drainfield upgrade. The septic system will be designed within the 30 foot radius of these testholes.
Comments regarding the proposed design are summarized as follows:
1. SOILS: Attached are two logs which shows the soil classifications, groundwater monitoring, and the
percolation test results.
NOTE: Two percolation tests were performed in the same bench of testhole #1. For the reserve site, the
application rate is based upon the average of the two percolation rates.
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 topography site plan, the topography in the area is 5-10%
running from southeast to northwest. In short, there are no slope concerns.
5. LOT LINE WAIVER: Due to site constraints, we are requesting a 5 foot lot line waiver to the northeast lot
line. The adjacent drainfield is over 10 feet from the proposed location of the subject drainfield. The existing
drainfield is currently 5 feet from the lot line.
6. WELL TO TANK/RESERVE SITE WAIVER: We are requesting a waiver from the well to the proposed
tank and reserve site. The current tank is only 81 feet from the existing well. Due to site constraints, we request
that you waive the distance from the well to the proposed tank to 85 feet and the distance from the well to the
reserve site to 95 feet. The following items are justification for this waiver:
• The tank will be downhill from the well. If effluent were to daylight, it would not flow toward the well
head.
• The house is in between the tank and the well. The actual surface path of travel from the well to the
septic tank is over 100 feet.
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
Page 2 0%2
• The upgrade would be an improvement from the current configuration.
• The reserve site will be a Category III advanced treatment system which will greatly reduce the risk of
contamination to the well.
7. NEW DRAINFIELD TO RESERVE SITE WAIVER: We request your department issue a 10 foot waiver
from the new drainfield to the proposed reserve site. The reserve site is proposed to have 7 feet of effective
requiring a 14 foot (twice the effective depth) separation to any other drainfield, however, due to site constraints,
the drainfields require a separation distance of 10 feet. In short, we are requesting a 10 foot waiver between
drainfields. The following items are justifications for this waiver:
• The reserve drainfield (if installed) will require the addition of a CAT III nitrogen removal system.
• The two drainfields will not be used simultaneously.
Based upon the aforementioned facts, I believe there is minimal risk associated in granting this waiver.
I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you
have any questions, please contact me at 337-6179. Thank you for your assistance.
S.
NOTE: Attached is a site plan drawing, a design drawing, a detail drawing, a topography site plan, two soil
logs and an 8 page construction specification letter which are all part of the design package for this septic
system.
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com
I I
I I
----- --- -------- ------1
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\SKY RANCH EST; ,SKY RANCH EST;
\\
/ BLOCK 4, LOT 7 BLOBK-4 LOT B \
/ SKY RANCH EST;
BLOCK 4, LOT 6
wHisp A l/ 1 a / l
\\
p'?
o'
o• WEu MMus j
SKY RANCH EST #1;
BLOCK 5, LOT 14 / O /x\ SKY RANCH EST #1;
�BltOCK 5, LOT 3 J 1----------�
--
SKY
SKY RANCH EST #1;
\ BLOCK 5. LOT 113OP
PROPOSED SEP IC UPGRADE
RWIIUS \
SKYIRANCH ST #1;
\\BLOCK 5, LO 5
/100- WELL RADIUS I
\ \ \ SKY CH EST #1;
B K 5 LOT 12 `" \ Oo W
:. _
I TEE/PtE CHASE DR
I
\ / I
\ I
\ SKY RANCH EST #1; SKY RANCH EST #1;
--BLOCK 5, LOT 11 BLOCK 5, L07 10---------�
I
SCALE:
1" = 100
I
11
a
GARNESS ENGINEERING GROUP, Ltd � l.. T...... .......*..
CIVIL & ENVIRONMENTAL ENGINEERS ♦ /
3701 E. %DOR ROAD, SURE 101 • ANCHORAGE. AN 99507 a PHONE (907) 351-6179 a FA% (907) 330-3246 a WERSU: www gomeaaenginee 3::C-(
PREPARED FOR: PHONE NUMBER: PAGE NUMBER C J r A. G�rness e �,jA
DANIEL RICE (907) 345-8128 1 OF 3 �j J ?, CE -7 53 :' ���
LEGAL DESCRIPTION: DRAWN BY: #SKY ♦♦T�P y.t 1,�j
Pe OF wRDAT RANCH EST S/D #1; BLOCK 5 LOT 4 D.J.G./A.J.G. P'?OFESSI(3�'P���•
11 SITE PLAN FOR PROPOSED SEPTIC UPGRADE 8/6/2014 ,4%%%xlk'a �
NUMBER OF BEDROOMS: 4
GALLONS PER DAY (GPD): 600
PERCOLATION RATE/S: 7.38 MIN/IN
PROPOSED APPLICATION RATE: 0.8 GPD/FT`
MINIMUM DRAINFIELD SQ.FT.: 750
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COPY OF THE LETTER
CONTACT GEG. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER,
WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAJ THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AMD 41
Opus / N
�SCALE:
—� BLOCK 5, LOT 3
1"= 40'
ANDON NORTH 8' OF TRENCH BY EXCAVATING
DRAINROCK AND FILLING WITH NATIVE SOIL
EXCAVATE 5' WIDE TRENCH TO
REMQVE CONTAMINATED MATERIAL
EXISTING TANK TO BE REMOVED AND
REPLACED WITH A NEW 1250 GALLON
/ SEPTIC TANK WITH POST -TANK DOUBLE
(, CLEANOUTS. TANK TO BE MOVED TO
\p�
MAINTAIN 85' SEPARATION FROM WELL.
1
i
i I PRUO�_ OR\VE
15PER1NG Ilbb
MAXIMUM DEPTH: 10' OR REMOVAL OF I CONDITION
CONTAMINATED MATERIAL
WIDTH: 5'
LENGTH: 31', 10' & 39+
M.O.A. APPROVED SAND FILTER: AS NEEDED,
TOP OF SAND SHALL BE 10' BELOW O.G.
EFFECTIVE: 4'
REDUCTION FACTOR: 0.5
ACTUAL SO.FT.: 800
\ O
I/ DRIVEWAY TO BE S�
m ABANONDED AS NEEDED o °j
TH#2
vDi PARKING-;;— 39'
m AREA
A
PROPOSED SECTION i
m OF NEW TRENCH
O
i A
,pp
RESERVE SITE CRITERIA:
CATEGORY III ADVANCED /
TREATMENT, 2.0 GPD/FT,
25' LENGTH, 10' DEPTH,
2.5' WIDTH, 7' EFFECTIVE,
350 SQ. FT.
/ 100' WELL RADIUS
r /
\
/
NOTE: CONTRACTOR SHALL
HAVE 100' WELL RADIUS,
85' WAIVED RADIUS, EAST
LOT LINE AND 100' 100'
RADII OF WELLS ON BLOCK
4 LOT 7 & BLOCK 5, LOT
5 FLAGGED BY A
REGISTERED PROFESSIONAL
LAND SURVEYOR PRIOR TO
CONSTRUCTION
\� \\ BLOCK 5, LOT 5
/ r
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
3701 E. TUDOR ROAD. SME 101 • ANCHORAGE. AN 99507 • PHONE (907) 337-6179 • FM (907) 338-3248 1 W5ME: www.game nginW
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
DANIEL RICE (907)345-8128 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
SKY RANCH ESTATES #1; BLOCK 5, LOT 4 A.J.G.
TYPE OF WORK: DATE:
11 DESIGN OF PROPOSED SEPTIC UPGRADE 8/14/2014
. n�iWlr�c.:-
fROFESS �NPi
TRENCH SECTION'A': 10' MAX DEPTH, 39'+ LENGTH, 5' WIDTH, 4' EFFECTIVE DEPTH, NO SAND FILTER NEEDED.
TRENCH SECTION'B': MAX DEPTH = REMOVAL OF ALL CONTAMINATED MATERIAL, ADD FILTER SAND AS NECESSARY 50 THAT BOTTOM OF EFFECTIVE
DEPTH IS AT 10' BELOW GRADE, 5' WIDTH, 10' LENGTH, 4' EFFECTIVE DEPTH.
TRENCH SECTION'C' MAX DEPTH - REMOVAL OF ALL CONTAMINATED MATERIAL, ADD FILTER SAND AS NECESSARY SO THAT BOTTOM OF EFFECTIVE
DEPTH IS AT 10' BELOW GRADE, T WIDTH, 31' LENGTH, 4' EFFECTIVE DEPTH.
RESERVE SITE APPLICATION RATE IS BASED UPON THE ALLOWABLE APPLICATION RATE OF THE AVERAGE OF THE TWO PERCOLATION RATES.
PROPOSED NEW
`,SECTION OF 5' W IDE TRENCH
SyFO
n d
a d. -
MT
e COI
d.
d
TH#2
ABANDON NORTH 8' OF
MT
EXISTING TRENCH
1111,:11, 1::. .....11.11111111..,1 11__._._ - -.__..._.
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS _
/
3101E. TISI ROTO, SUITE 101'PNNCHORAGE, AF 99507 PHONE (907) 3376179' F 007)339-3246' WEESITE:wmv.Aamesseylnoeiug
/
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
DANIEL RICE
(90n 345-8128
3 OF 3
LEGAL DESCRIPTION:
DRAWN BY:
SKY RANCH ESTATES SID #1; BLOCK 5, LOT 4
A.J.G.
TYPE OF WORK:
DATE:
� DETAIL DRAWING OF PROPOSED SEPTIC UPGRADE
8/14/2014
REQUEST VH LOT LINE WAIVER
11 \ENF,
T
A.
PROFESS\ i
/
/ o
/
/
A.
PROFESS\ i
ILTER: AS NEEDED,
10' BELOW O.G.
4 10
Eo ABANDON NORTH 8' OF
DRIVEWAY TO 113f"
\IONDEDAT"-NEEDED EXCAVATE 5.
REMOVE --CON
E° TH#2
v EXIS_
_ REPL
_J SEPTI(
CLE/
MAINT
ED SECTI9.N ~ i BLOCK — S
� R
� SP1
/ TH#1 \ y
�F0`� PT �
W T �
c, l-
` FCO
.g..d /
d a
HY
\ O ` °
8
via
FL,
/ 1 _A� \
GARNESS ENGINEERING GROUP, Ltd
CIVIL&ENVIRONMENTAL ENGINEERS -
3701E.rUI R ROAD. SHITE 101 'ANCHOM E. AN%J 7'PHONE (HM 3311119-. (.0 ..IM - WEBSI TE'wxw.Bamessenglneenng vom
LEGAL DESCRIPTION: SKY RANCH ESTATES S/D #1; BLOCK 5, LOT 4
PERFORMED FOR: DANIEL RICE DATE: 7/17/2014
DEPTH
(feet)
ORGANICS
& FILL
2
15
16
B.O.H.
SECOND PERK
SITE IN SAME
y BENCH
NET TIME
(MINUTES)
1111191
NET DROP
(INCHES)
�r
1
2:25
-
6"
�r
r
255
30
rr
1/2"
3
2:55
-
6"
r
4
3:25
30
r
r
3/8"
rr
3:25
6"
"
rr
6
3:55
30
55/81,
Nr
8/1/2014
r
3:27
1 -
yr
2
3:57
�r
2 1/2"
r
r
3
r�
-
6"
4
4:27
30
2 1/2"
15
16
B.O.H.
SECOND PERK
SITE IN SAME
y BENCH
NET TIME
(MINUTES)
EVA
18
TEST HOLE #1
SOIL CLASSIFICATIONS
DEPTH TO DATE
GROUNDWATER
16' 7/17/2014
DRY 7 /2 812 01 4
DATE
READING
VIII 1111
NET TIME
(MINUTES)
1111191
NET DROP
(INCHES)
N/NN
1
2:25
-
6"
DEPTH TO DATE
GROUNDWATER
16' 7/17/2014
DRY 7 /2 812 01 4
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/22/2014
1
2:25
-
6"
2
255
30
5 1/2"
1/2"
3
2:55
-
6"
-
4
3:25
30
55/81,
3/8"
5
3:25
6"
"
6
3:55
30
55/81,
3/8"
8/1/2014
1
3:27
1 -
6"
2
3:57
30
2 1/2"
3 1/2"
3
3:57
-
6"
4
4:27
30
2 1/2"
3 1/2"
5
4:27
-
6"
"
6
4:57
3D
2 1/2"
3 1/2"
19 PERCOLATION RATE 80&8.57 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
�— JIII TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL
COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF q RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
GARNESS ENGINEERING GROUP, Ltd
--- CIVIL & ENVIRONMENTAL ENGINEERS -
3701E.EU1 E HOAO, SUI I E 101' AA'CHOHA E, AK 99507' PHO HE (907) 337111E'. (.0 339319 -' Eg IHE.www.gamecsengrneenngsom
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: SKY RANCH ESTATES S/D #1; BLOCK 5. LOT 4
PERFORMED FOR: DANIEL RICE DATE: 7/17/2014
DEPTH ----
fee p TEST HOLE #2
1 ORGANICS
2
3
4
6
6
7
8
9
10
11
12
13
14
15
16
17
18
SOIL CLASSIFICATIONS
DEPTH TO DATE
GROUNDWATER
16' 7/17/2014
DRY 7/28/2014
DATE READING
m
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/22/2014 1
225
-
�I"II
0
101191
2:55
30
"
4 1/16"
3
2:55
-
6"
-
Imp,���o
3:25
30
115116"
41/16"
5
3:25
-
6"
-
6
3:55
30
115/16"
41/16"
DEPTH TO DATE
GROUNDWATER
16' 7/17/2014
DRY 7/28/2014
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/22/2014 1
225
-
61.
2
2:55
30
115/161,
4 1/16"
3
2:55
-
6"
-
4
3:25
30
115116"
41/16"
5
3:25
-
6"
-
6
3:55
30
115/16"
41/16"
19 PERCOLATION RATE —7.38 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS: PERCOLATION READINGS ARE WITHIN 1116 OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMID IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 4.
! / ENVIRONMENTAl. ENGINEERING DIVIglON
.... ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR ~EI.I_ INRPECTION RE~ORT
LEGAL DESCRIPTION
LOC~TION NO, OE ~EDROOM8
~ ~~-- I /;t;sorBt%n area FDwelling
~ ~ Manufacturer ~ IMaterial / / No, of compartments .
DISTANCE TO JWell Dwelling PERMIT NO.
Manufacturer
DISTANCE TO:
No. of lines
Well
//?'
Foundation~ }* /Nearest lot line
Total length of line~ I TrencTv~,idth
"~ - ~ _3 ~* inches
Material beneath
Length of each line, ¢
Top of tile to finish grade
4 .¢/-
Longth
Type of crib
DISTANCE TO:
Width
Crib diamet¢l
Wel~
Depth
Crib depth
Liquid capacity in gallons
Building foundation
Class Depth Drillef
DISTANCE TO: Building foundation Sewer line
OTHER
PERMIT NO,
Distance between lines
Tota~ effective absorption area
PERMIT NO.
Total effective absorption area
PIPE MATERIALS / '~ _~"'
SOIL TEST RATING
21o
INSTALLER
PPROVED
LEGAL
~3 (Rev, 3/78)
Well Log
.~0~ ............ ~~ ....... ~,~,!~ ..........................................................................
Location. /_.45 7' ./ C~ ~/~
Date completed ....... ~.~. ~...?~.~./..,,~. f .................................................................
Depth of well ............... ~.~..~,( ...........................................................................
Size of casing ............... !P ........................................................................................
Distance to water ......... ..7.._..~.~? ............................................................................
.
Distance to water while pumping ........................................................ at rate
of ................. ~.9..--.~.). .................. gallons per hour. /(,,~ ~/O/f/f,
Formation
from
.3/
to
/ 7~.
/
Driller
DELTA DRILLING COMPANY
SRA BOX 394 B
ANCHORAGE, ALASKA 99507
J'""ll ILJ~ [','..,[ % ~2:: Z F" ,~':]1L...'[ ]'* %-° (.'.)l If..-.-'" iC--'-'~ fP41 Cf: ~'-II *"':"' If:;6: ~::.':~ C:5~ ECl
[:,EF'F:IRTMENT
8;25 '" L" S'T',~'.EET., FINCI:4ORF:IGE, RK.
( :F.?r ;1L I~.jl .~.'": :.'.Z.I 7'
RPPL I CFfNT
L. OE:F;IT I ON
L..EGRL
RODNE'¢ CREI.4 GE1,,I CCd",ITRF:tE: PO E:O'X :'I.E~..-.22Ek;L
P.tHI:SPER tNEi SF'RUCE:,.."STEEF'LE: E:HRSE
L.4 B5 '-:-';K"r'RRNC:H E:ST L. OT :SI ZI:.":
::1..8::1..8]: '.;SC!L.IE:IRI:'Z FEET
OF' SOIL FIBSCIRP'I:'ION '.S"r"_'STF.'i]"I IS: TRENCH
i"IR::';',IMUi'q 1,',tUMBEF4: OF'" BEE:'ROOM.S; ."-': L.".':
S.;OIL. Rfa'T'ING ,::Sh;! FT,.."BR)=
"('HE REL::!LIIRE[:, SIZE OF' THE SOIL RBSORPTIOIq S'.r'STEM IS:
'THE LENG'TH DIME:I'.,IE;II3i'.,! IS; TI:-IE LI:!i:NGTH (IN FEET:) OF' THE TRENCH OR DRFII1,..IFIEL.[:,.
THE DEPTH OF' FI TI:E:EI'.,ICH OR F:'IT IS; THE DIS;TFINCE BET,WEE1,.,I TI:-IE 'SI:JRFfaCE OF:' THE:
GROLIND R1,.4E) THE E:OTTOM OF THE EXCFIVFITION ,:: IN i::'EET).
THERE IS.; 1,-,I0 SI:."'.:T I.,.II[:,TH FOF.: 'TREI'-,ICHES:,.
'T'HE GRFI',,,'EL [:,EF'TH IS.; THE MII'.,IIi',~UM [:,I::'F'TH OF GRfa'¢EL. 8ETP.IEEN TI:..IE ot.rTFfaL. L. PIPE
[al'.,!() THE BOTTOM OF THE EXCW,,,'FITIC~N (I1,.,I FEET).
F'ERM I 'T FII::'F,L I C:Fff.,Kf' HR'.-T., THE I:.'~:ES;PO1,.4S; I E: I L I-I"'¢ TO INFORM TH I S [:,EPRRTMEI'.,IT [.',LlI:~: I NG THE
I NS'I"RLLF:IT I I:.]N 11,.,I'.SPEO'r ]:. O1,45 OF Ri'-,l'-r' !.,.IELLS FI[:,JFIC:EI'.,IT "f'O TH I S PROI::'ERT'T' FIND THE
I'.,tUMI:r:~EF.: OF RESII}ENCE:'S TtfFI'I' THE .[,.IEL. L I.,.I!L.L. SEF.'.',,,'E.
......................... · 'tr" [.,..11 c) ,,:: ;~;,:~ ::.:, :If: if,ql ~; F' E: C:: -r .](: c~ Ip,I :~; [r.:~ I~;-:: EE ~'-:E,., E (.:::~ L~ % I~:;..'. E: E::
I:~i:F:ICI:::;F ILL. I t'.,IG OF I::llq'¢ 'S'¢.'."STI:~:]','I p,i I THOI:.IT F 11,4F:IL I I'.,15;PEC T 101,.,1 R1,.,l[:, RF'PRC¢,,,'FIL E?¢ TH I '.ii;
[::,EI:::'I::r-IR"FI'di::~:i'.4"i' I:,.! ILL BF..': S;LIE,'JECT TO PROSECUT 1 OI'4.
I"l:!~i'.,IIML,li'd [::,ISTFff.4CE BETI.,.tEEI'.,I FI P.IELL faNi';:, FIN'-? CI1,.,I-SI"['E S;EI.,.IRGE (:,IS;POS[aL S"r'STEM IS
:b.3E~ FEI:?[' FOR fa PF..'IVFITE 1.4EL. L. OR d. SEl TO 2E~E~ FEET FROM FI PUBL. IC I.,.IELL DEPEI",!E:,II",IG
UPON TF1E T'¢PE OF PUBLIC': I.,.II:!:LI. ....
MII'.,IIMUM [:,IS;TFIIqE:E FROM F:I F:'RI',,,'RTE HI:F.'I...L 'TO R F'RI',/F'-I'I~E SE.WER L...T. NE I'.S 25 FEET fal'.,ID
TO R COMI'dUNIT'-? '.'SE!.,.IER LINE I5 75 FEE'I:'.
I.,.IEL. L I...L")I.3L:.:, F:IRE RE~i:!UIRED FIN(:, MUST BE RETUR1'',IED 'TO THE [.':,EF'faR'i"I'"IENT t.,.IITHIN i'.':8 [:,R'¢S
OF THE P.IELL COMF'L.I:i[TION.
OTHER REL.:;!UIREME1,.4T::S, MF'I"r' FIF'F'L"r'. 5';F'ECIFIE:RTIONS FI1,',I[:' CO1'',tSTRUE:'f'ION [:'IRGRRMS; RF.'.E
Ft',,"F"I t LFIBLE TO INSURE F'I?.I:.'.~F'EI:~: I NSTRLL.RT I OIq.
I CER'TIF"¢ THR]'
:1..: I F.'IM FRMILIFIR I.,.IITH THE REL.':!UIREMENT'.'S FOR ON-SITE 5EI.,.IERS R1,.,II:) P.IELLS; faS:; :SET'
I:..-ORTH B'.r' THE MUI'.,II C I I::"Ri:.. I ]"'¢ OF RNCHORFIGE.
2: I P.IILL. Z1,.4:'.:::TI::~LL TI:.IE '-2'.r'5;TEM II'.,I faC:CORDFII'.,ICE I.,.tITH THE CODES;.
]:: I UNI:)Ei:~;:S;TF:I1,.,I[:, THF:IT TI:-.IE ON-SITE S;E,WER S.;?STEM I'"IF:I'-? F.:E6!LIIRE Ei'.,ILFIRGEMENT II:::' THE
RE'.::;![:,ENCE: IS REMODELE[:, 'TO INCLUDE MORE THR1,.,! ]: BEL":,ROOMS;.
, ,
.CONSTRJCTION
·-I-EST LAB
:1800 W. 4. STH' AVE~.:SYE.-'C'
/ANCRORAGE, _~ALASKA '99503
,24,8-1:535 ~':
PERFORMED FOR! Monte Acheson Enterprises
LEGAL DESCRIPTION: Lot 4 ~ , Block
THIS 'FORM REPORTS: [] Visual Soils 'Examination
: DATE 'P, Et~FORMED: 4/12/78
Subdivision Sky R~n);h Estates.#1 ..(:.
~ Percolation Test
DEPTH SOIL
FEET " DESCRIPTION NOTES
0.5 '
w Overburden
=~ ~, ·
__
,<~,,j~, Silty Sand w/gravel
~ (brown)
BOTTOM OF HOLE
WAS GROUND WATER ENCOUNTERED
IF YES, WHAT DEPTH
LEGEND
® -- Perc zone
~S - Sample loken
~ -- Frozen zone
~ -- Water table
GENERAL SITE SLOPE
READING
DATE
_ 4/12/78
4/13/78
GROSS TIME
NET :TIME
24 hr. Sat,
DEPTH TO H20
42M'
65"
17"
NET DRAINAGE
22½"
0 0
3 - 0
3.5 61" 44"
4.0 62~" 1.5"
PERCOLATION RATE: 1" ~r 20 mJ~3., DRAINAGE REQUIREMENTS: 210 ¢f/br
PROPOSED INSTALLATION: O SEEPAGE PIT ~ DRAIN FIELD [] OTHER
COMMENTS: This test was recertified since original was lost and apparently_ the first test
had not been approved by a registered engineer.
TESI' PERFORMED BY: D.P.
DATA CERTIFIED BY: Kinney R. Baxter
DATE:~ __.4~22/81
0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
(b)
(c)
Location (address or directions)
Applicant Name _~?:Y.i. '~, .l-¢rc--~ ?.~
Telephone: Home ,~OrC~-8~O¢o Business
Applicant Address c~?~,=/ j ~E~_H~&% ¢ A~;.~._~..~;~ ;¢¥~_ c~c/~16
Applicant is (check one): Lending Institution []; Owner/builder,~; Buyer [] Other [] (explain):
(d) Lending Institution
Address
(e) Real Estate Company and Agent
Address
Telephone
Telephone
(f) Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family]~ Multi-Family []
Number of Bedrooms ~
Other
WATER SUPPLY
Individual WellJ~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite~' Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality andstatus.
Page 1 of 2 n-025 m,84)
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aql u! 9uo!ss!Luo JO sJOJJa JOj elq!auodseJ 1au s! aaeJoqouv ,to Al!led!o!unJN eq/'panss! 9! aleo!j!Ueo e aJojeq e~ep @zAleue
JO suogoadsu! lonpuo3 1au ap d:lHa jo seaXOldLU~] '91uaLueJ!nbeJ ale:is pue leJepej u!elJaO Ajs!:les o~ rap Jo u! suo!lnl!lsu!
8u!puel J!eq:l pue seLuoq jo sJeseqoJnd o:l Aaaunoo e se 9!q~, seop d3Hd aqJ. 'e~selV jo me:iS eq:l u! peJels!baJ JaeU!aUe
leUO!SSejOJd :luapuedepu! ue Aq e^oqe g qdeJl~eJed u! ua^!8 suo!~,e:luasaJdeJ aql uodn/~lalO9 paseq se:leo!J!peo le^oJddV
X:ipoqlnv qlleaH sen99! (cI=IHQ) uo!loa:lOJd le:lueLuuoJ!^Uq pue qHeaH jo luaLupedaC] aaeJoqouv jo &!led!ounR eqJ.
NOlin¥o
'9
: , ' u ' 'i / !
ua :loejje u! suo!:lelnOaJ pu~ 'sooueu!pJo 'sepoo e:lelS pue ledlo!un!Ai lie qHM OoUe!ldLuoo
Jo/pue Afddn9 Je~eM ol!9-uo eq~ 'uoi:loadsu! pue uoi:lea!~SeAU! ALU LUOJJ pue 9alii @aeJoqou¥' Jo ,q!led!o!unJ~ eql LUOJJ
pou!elqo UO!:IeLUJOJU! Oq] UO paseq 1eq:l Ajpe^ Joq~nj i 'u!eJeq po:leo!pu! aJnlonJ19 jo odA:l pue suJooJpeq jo JequJnu
elenbope pue leuo!:lounj 'eje9 9! LUalaAs leaOds!p Je:leMelaeM Jo/pue 41ddns Je~eM e:l!s-uo oq:l :leq~ SMOqS leAmddv AIpoqlnv
q~meH 9[LIj JO uof:lel~!:laeAu! ALU leq:l AJpo^ I 'MOleq uMoq9 e:lep uo!:lep!leA eq:l jo se pue olmoq poxijJe lea9 ALU Aq pe!j!pao sV
NO.I.L¥1N~IO4NI ON~' ~'J.¥a 'H3~l¥~$ ~ll:J 'aJ.$~I.L '$NOIJ. O3dSNI DNlalAOkid Ihll~l:i
MUNICIPALITY OF ANCHORAGE (MOA)
MUNICiP^LHY OF ANCHORAGFHEALTH AUTHORITY APPROVAL (HAA)
ENVfl~ONMEN~AL SERVICES DiViSiON CHECKLIST- FEBRUARY 1984
264-4720
,,~:'o ' 1988 Legal Description: L~:sT
RECEIVED
WELL DATA
Well Classification '~,~.'OJ'C:~-T'~-- If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) ".~'T~ Date Completed
Total Depth Z~t.,~>" Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by ¢'~'""'~
Water Sample Test Results
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N) '~--"~
Depression Around Wellhead (Y/N) t',.~,
; On Adjoining Lots
~ ~ / ; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
'~ ,'~%4-JGYL- ;Date _ ¢~f/zL'~
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes (Y/N) '1'¢::~ Air-tight Caps (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N) ~"~/~
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ~Z--/
To Property Line i~
To Water Main/Service Line Course ~ ~
Size [ ~ .~'~k.'.'.'.'~ NO. of Compartments
Foundation Cleanout (Y/N)
Date Last Pumped
;for
Temporary Holding Tank Permit (Y/N)
__ To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-026111/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~ ~'~'~ I
Width of Field ~
Square Feet of Absorption Area '7
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comment~~4 ~ ~z'~",)~
Type of System Design
Length of Field .
Depth of Field ~ ~
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line __ ~/
To Existing or Abandoned System on
; On Adjoining Lots ~6'.b! --{--
( Z_..~..~ Id- ) _ To Cutbank (if present) i~/ok-
D. LIFT STATION
[:)ate Installed ¢ ~-~ :Dimensions
Size in Gallons ,~ Man~
~ cie/Access (Y/N) ~,~*~-~ '
High Water Alarm Level at ~
Tested for~ *¢--~i.g Adequacy ~ ~ets MOA
Electrical Codes (Y/~
Comment~
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have che~v~d, or conformed to all MOA and HAA guidelines in effect on the
date
of
this
inspection.
Signed~ ~~----~ Date ~~
Company ~%~ ~C~A No.
Date of Payment
Amount; $
Page 2 of 2
72-026 (11/84)
Engineer's Seal
Tom Fink,
Mayor
V unicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
October 4, 1988
Thom Fischer
PO Box 110770
Anchorage, Alaska 99511
Subject: Waiver Request for Lot 4 Block 5 Sky Ranch Estates S/D
Waiver Request ~WR88-060, ~H88-0422
Dear Mr. Fischer:
Your request for waiver of the required 100 foot separation of
a septic system to a private well has been approved. The
approved separation distance is well to septic tank, 82 feet;
well to field, 95 feet.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Services
DJR/ljw~6
WHITEWATER ENGINEERING CONSTRUCTOR
MUNICIPALITY OF ANCHORAGE
MEMORANDUM
DATE:
TO:
FROM:
October 4, 1988
File; Lot 4 Blk. 5 Sky Ranch Est.
D.N.Bolles, On-site
On 9/27/88 it was observed that a septic system upgrade was being
performed on the subject lot. Upon investigation it was determined
that no permit had been issued for the upgrade.
On 9/30/88 a site visit revealed the residence had been vacated. On
10/4/88 1 called Mr. Thom Fischer about a Iq_AA issued on 9/29/88 by
Dan Roth. Mr. Fischer said he discussed the problem with Mr. Roth
and that only the piping needed replacing since it was plugged. Mr.
Roth said no permit was needed and to proceed with the repair. The
field dementions, therefore, have not changed and the system should
perform adequately.
I DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME ~/,/.~/~ TIME
DATE DATE ~ I C'(~A /~)_ DATE
INSPECTOR INSPECTOR INSPEO'F}~t
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH ~ ENVIRONMENTAL PROTECTION~NVIRONMENfAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION AU[~ 2 8 1981
Telephone 264-4720
REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWERI~*CVL~&
~DIRECTIONS: Complete all parts on page 1. Incomplete requssts will not be processed. Please allow ten (10) days for processing.
~. PROPERTY OWNER ~ PHONE ~'~
PROPERTY RESIDENT {If different from ab:~/~/ PHONE
MAILING ADDRESS
3, LENDING INSTITUTION PHONE
MAILING ADDRESS
4, REALTOR/A~ENT
MAILING ADDRESS
5, LEGAL DESCRIPTION
/... ,--/ ,Cs-
STREET LOCATION
6, TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] Four
SINGLE
FAMILY
[] Two [] Five
[] MULTIPLE FAMILY '~ Three' [] Six
[] Other
7, WATER SUPPLY
INDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
-¢. ,ND,V,DUAL/ON-S,TE*" /¢ t
BI PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
TYPE OF RESIDENCE
[] SINGLE FAMILY
MULTIPLE FAMILY
2, WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified_
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or []Holding Tank
Size:_ If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
THIS SIDE FOR OFFICIAL USE ONLY
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE [] OTHER
[] TWO [] FOUR [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
iNSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
Septic/Holding Tank IAbsorption Area
l.Sewer Line
INearest Lot Line
§. COMMENTS
DATE
I~"'~PROVED FOR _ 3
BEDROOMS
CONDITIONAL APPROVAL (letter must accompany certificate)
DISAPPROVED
72~010 (Rev, 6/79)