HomeMy WebLinkAboutSKY RANCH ESTATES #1 BLK 5 LT 21
Municipality of Anchorage Page ~ of~
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: --%L,O q=F(:~ 1"~":7-- PID Number: C~l,..~-
Na~.: Wastewater System: ~New D Upgrade
A ress:
~o,%o~ ~ ~ ~ ~ ~ ABSORPTION FIELD
Pho~ -- ~ ~ ~No.o~edrooms: ~DeepTrench ~ Shallow Trench Died ~Mound DOther
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION ~* ~ ~sq.a.
Lot: Block: Subdiv~ion:~ ~ Depth to pipe bottom from original grade: Gravel depth beneath pipe
Township: ] Range: [ Section: Fill added above original grade: Gravel length:
WELL: D New D Upgrade ~rave~ width~ ~Ft. Number of lines:[ 0islancebetweenli~es:~ Ft.
Classification (Private, A,~,C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: Da e Drilled: StalicWater Level: Installer: ~Y~
; Date instal ed:
Yield: Casing Height Above Ground
~ GPM[Pump set at: Ft.] ~ Ft. TANK
SEPARATION DISTANCES ~s~ptio ~ Holding ~ S.T.E.P.
To Septic Absorption LiS Holding Pubfic/PrNat( Manufacturer: Capacityin gallons:
From Tank Field Station Tank Sewer Lines ~ ,~ ~
Mated I: Number of Compadments:
Sudace fi I
w.t~ t~+ /~+ ~/A LIFT STATION
LineL°t ~ * /~t Size in gallons: Manufacturer:/
~~ ~ High water alarm at:
Foundation ~. ~ ~'~ "Pump on' level at: ~ , , ~ ,
Cu~ain I
Remarks: BENCH MARK
Location and Description:
Assurned Elevation:
Inspections pedormed by: &c.~c~o~¢,~. , Dates: 1si ~/'~/** ~
Department of Hea~ an~ ~uman~erv~ces approval :~:
72-013 (Rev. 9/91) MOA 25
F:h~ ~o- ok~,-3~-II~,/ASTEWATER
LOT 21, BLOCK 5
100' WELL
RADIUS -
'\
]3N SYSTEM
RANCH \,
EX]ST,
WELL
WELL
THIS AREA UNDEVELOPED,
NO WELLS OR SEPTIC
WITHIN 200' OF PROPOSED
SYSTEM
SWING-TIES
CD A D
T1 13,6 99,2
T2 12,6 98,1
DO 12,7 36.9
C1 12.8 24,2
MT 34,B 13,6
02 52,5 28,5
TANK ELEVATIBN
NEW
1,000
NC 10' UTIL,
THIS AREA UNDEVELOPED,
ND WELLS DR SEPTIC
WITHIN 200' DF PROPOSED
SYSTEM
REPLACEMENT SYSTEM
- TYP. SEPTIU
o ~
Deep Trench 45,7' Long, 3' WINe,
TRENCH PRDF[LE
])ruwlng C,\Work\81-SSKYR,DWG
TRENCH SECTIDN
9%4
PREPARED FDR~
Ken Rupper~
11920 Whispering Spruce CIr,
Anchorage, AK 99516
(907) 349-3618
PANNDNE ENG, SVC
P, 0, BOX 142025
ANCHORAGE, ALASKA 99514
227-3522, 272-8218 F~x
DATE, 9-6-97 IAS-BUILT
gCAL~!_ 1'=60'
LOCATtOfl: OF WELL
ri
BOROUOH [.~ SUe~I¥ISIC)jN I LOT BLOCK
SECTION QTRS
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
WATER WELL RECORD
SECTION
TOWNSHip I RANGE
[]N F~E
E]s E]w
MERIDIAN
WELL OWNER:
DERT ,H~,k~ASURED FROM:[_-Jcasing trip []ground surface
BOREHOLE DATA: Depth
Material Type end Color From To
Dept Health
WELL DEPTH:
D.pth of ho e:.
Depth of casing:
DATE OF COMPLETION
ft I /
DEPTH T~ STATIC WATER LEVEL:
/~.1 ftbelow ~[,top of casng [] ground surlace
Date: '7 , Z5 / C~'~
METHOD OF DRILLING: '~ mr rotary [] cable tool
[] other
USE OF WELL: ,~ domestic [] irrigation [] monitor
I'"l public supply [] other
CASING STICK-J,[P: ~'~ ft. Diem: ~, m. to. tt
Casing type: _~__4.~
WELL INTAKE OPENING 'TYPE: '1~ open end ~ screened
[] perforated [] open hnle
to f~
Depths of openings:
SCREEN TYPE: Diam: ,n
Slot/Mesh Size: Length: fr
GRAVEL PACK TYPE:
Volume used: Depth to top:
Depth: from ~ ft to
ft
DEVELOPMENT METHOD: ,'..¢
Duration:
PUMPING LEVEL AND YIELD:
ft after '~ hfs pumping ~ (~) gpm
PUMP INTAKE DEPTH: ft Horsepower:
WELL DISINFECTED UPON COMPLETION? [~,YES [] NO
CONTRACTOR INFORMATION:
egis./~l~ ~lisiness Name . ~J
S'~t~re of Aut~dzed Re~presentat~
REMARKS:
PLEASE MAIL WHITE COPY OF LOG TO:
DNR/DIVISION OF MINING & WATER MGMT
3601C St, Suite 800
Anchorage, Ak 99503-5935
Ph(907)762-2538,Fax(907)562-1384
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
1 OF 1
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970177
DESIGN ENGINEER:STEVEN R. PANNONE
OWNER N~24E:NEWF~AN DAVID S & MARJORIE G
OWNER ADDRESS:Il920 WHISPERING SPRUCE CIR
ANCHORAGE, ALASKA 99516
DATE ISSUED: 7/08/97
EXPIRATION DATE: 7/08/98
PARCEL ID:01530117
LEGAL DESCRIPTION:
SKY RANCH ESTATES #1 BLK
5 LT 21
LOT SIZE: 33317 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SANE DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY..'__
ISSUED BY:
DATE:
~teven R. ?annone, P.E.
Consulling Engineer
(907) 272-8218
P.O. Box 142025
Anchorago, Alaska, 99514
(907)272-8218 Fax
June 22,1997
Municipality of 3aichorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519
Subject:
Lot 21, Block 5 Sky Ranch Subdivision
Well and Septic Permit
Gentlemen:
My firm was contacted to investigate the possibility of installing of a new system at the above referenced
property. Currently the lot is undeveloped. A single test hole was excavated on March 8, 1997. The soils
report and percolation test results are attached. Ground water was initially monitored for seven days. No
ground water was encountered or monitored. The test hole was dry during a site investigation on June 14,
1997. No bedrock was encountered in either test holes.
The lot is approximately 1.4 acres in size. Lot 21 slopes to the northeast at a rate of approximately 1 to 2
percent on the western portion, then steepens to approximately 6 or 7 percent. The proposed installation will
be located on the southwestern portion of the lot. The proposed location will be greater than 100 feet away
from the proposed well serving this property and 25 feet from the water service lines. The surrounding
systems are located greater than 100 feet from the proposed installation. The proposed installation will not
impact the future development of the surrounding lots. See the attached design.
If you have any questions about the proposed installation, please contact me at 272-8218
Sh~cerely,
Steven R. Pannone, P.E.
Attachments:
t DESIGN
WASTEWATER A]]SnRPTIIqN SYSTEM
LOT 21, :BLOCK 5 SKY RANCH SUB]],
I [ I ! /" ?--'---, ',, % \ ".. \
I z ? / \
I I ~/[ WELL
~ ~~ .....~ ........... ~2':::.:=~:~2'2 _ _.
TU~ EASEMENT - TYP, /
NB ~ELLS DR ~EPT~C
~ITH]N ~00' BF PRDPUSg9 TH~S ~REA UN~EVELDPE9,
gY~T~N ND ~ELL~ BR SEPTIC
~ITH~N E~O' BF PRBPD~E9
SYSTE~ 9ES~GN~
Pe~ R~e = 8 NIn/I~ch
SoKs= 18B s?/br
~._ ~ 3 Bedroom House
~' OF 27~%-~ 563 SF Rqd
-~' "~ 5' Deslgml 5' E?Pectlve
~/ 49~ ~ %~% 3' Wide, 60' Lon9
~ '"~'~ ....... ~ ~6~lnD C,~o~k~t-SSKYR,9~G To~6t
I~~ PREPARED FOR'
~'~ PQnnone EnD, Svc,
,~Steven R. Ponnorle~
&'~/~ ...... : ~ Ken Rupper'~ P, 0, BOX 142025
· ~-.. CE 8149
· %~b ............. C',~.~e Anchorage, AK 99511
"%~-~%~ (907) 349-3618 lATE, 6-8a-97 ~ DESIGN
m~m~%~ ;CALE, 1'=60'
DESIGN DETAILS
WASTEWATER ABSDRPTt~N SYSTEN
LOT PL ])LOCK 5 SKY RANCH
Z
Ld
I5
))r(iwlmg C~\Work\81-5SKYR,I)WG
PREPARED FBR'
Ken Rupper¢
Anchorage, AK 99511
(907) 349-3618
ino NV393
Pantone EnD, Svc,
P, 0, BOX 142025
ANCHDRAGE, ALASKA 99514
272-8218, PHONE & FAX
DATEI 6-21-97
DT TD SCALE DESIGN
Municipality of ARchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ~'/L'~.- [/~--.~J '~,..~"~--~r~.~--
DATE
LEGAL DESCRIPTION:
1
2
3
4-
5-
6-
7
8
9-
10-
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED? /t~ O
SITE PLAN
11
13
14
15
16
17
18
19
2O
COMMENTS
S
IF YES, AT WHAT ~)
DEPTH7 p
E
Deplh l0 Waler After
I~onitoring7 ~ Dale: ¢ --/~ ~Y ~
Gross Net Depth ~ o~ Net
Reading Date Time Time Water Drop
~'/~/?? ¥.' ~ t ,~ ¢ '/z .
~ .. ~ ~ '/~ '/~
~., ~ ~ ~ ~/~
PERCOLATION RATE ._
TEST RUN BETWEEN
(m~nutes/mch) PERC HOLE DIAMETER ~'(~
FTAND ~ FT
PERFORMED BY:
ACCORDANGE WITH ALL STATE AND MUNIGIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 (Rev. 4/851
CERTIFY THAT THIS TEST WAS PERFORMED IN