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HomeMy WebLinkAboutSKY RANCH ESTATES #2 BLK 1 LT 25 ky Ranch Estates #2 Block 1 Lot 2 #015-302-23 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite Permit Number: OSP201308 Work Type: SepticTank Upgrade Tax Code Number: 01530223000 Site Legal Address: SKY RANCH ESTATES #2 SLK 1 LT 2 G:2737 Site Mailing Address: 5025 WHISPERING SPRUCE DR, Anchorage Owner: BROWN CHRISTOPHER D & AIMEE C Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: 8/11/2020 8/11/2021 16307 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing ;Special Provisions: ** Prior to installation, locate the extent of each absorption field to confirm that the 5' separation between the tank and fields will be met. Received By: Issued By: Date: , /10 d-0 Date: 4�U_o 3 MUNUPALITY-OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-302-23 Property owner(s) Christopher Brown Day phone Mailing address 5025 Whispering Spruce Drive, Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Sky Ranch Estates #2, Block 1, Lot 2 Legal description (Township, Range & Section) Lot Size 16,307 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade 0 Duplex (D) ❑ Holding Tank ❑ Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 165.7-6' CC) V1 Waiver Fees: Date of Payment: S0(,/ZU Date of Payment: �l L Receipt Number: O �l 3y oG Receipt Number: Permit No. DSeW 1323 Waiver No. Permit App__- :- Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201308, Deb Wockenfuss, 08/11/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201308, Deb Wockenfuss, 08/11/20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 2644720 �— ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE mNEW /kUPGRADE MAILING ADDRESS �+�/�/ '7 / c,/Ai(-4 LEGAL DESCI PTI ON -LC LOCATION ` C iLJ NO. OF BE OOMS n U Y DISTANCE TO - Wall __ Absorption area �_—_ Dwelling PER T^O^ 62n i z ~ Manufacturer. .� (5 Material No. of compartments rn Liq. capacity in gallons IF HOMEMADE: Inside length _ Width Liquid depth O Y DISTANCE TO: Well Dwelling PERMIT NO. = Z H Manufacturer Material Liquid capacity in gallons = a w F z w cc DISTANCE TO: No. of linea s Well Length qf�arh, lira ") � li � Foundation t--� Total lengj cyf Ihygs V e7 Nearest lot line r Trench jfit (O inches PERMIT - Distance bejrwpe Vnes /l/ F ❑ Top of tile to finish grade �- _ Material beneath the inches Total eff, absorption area to 7_ Length Width Depth PERMIT NO. a a Type of crib Crib diameter Crib depth _-_ Total effective absorption area w DISTANCE TO: Well Building foundation Nearest lot line J J Class® Depth-- Driller Distance to lot line I PERMIT NO. W � DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER LEGAL PIPE MATERIALS �VN' 'f SOIL TEST RATING INSTALLER /j - ��� REMARKS h r I - Of -r Of I -- (o I I - APPRO DATE � --- 72-013 (Rev. 3/78) V r°-1 LJ r--0 I #r-: I F-• 1"l I I -r ^-r° 10 F -r FA t-41 -1-11 ,1 F-'=� 1:3 EZ DEPARTMENT i HEALTH AND ENVIRONMENTAL_ ' `OTECT'InN � 825 'L STREET: ANCHORAGE: AES::. 969._,•1 264-4720 � sf p.1 B' 1- " .1..1 w 1,•.11' 1�, R_i F-`` �a PERMIT NO. i. S 800_ 5 � p_ S' f-_ET '- n�luQ,3�n� �X���1�YAPPLICANT TEF:R'r DOSE 5071. VANCE DR ,>s:^�1LOCATION WHI'SPERIN 'Sd-RUC:E [:RLEGAL_ 0,B:L 'SKY RANCH ESTATES LCAT SIZE 1.i'4l00 SQUARE ,9,n P,o 1 TYPE:. OF =OIL. ABSORPTION SYSTEM IS.: TRENCH L Da q M MAXIMUM NUMBER OF BEDROOMS = m SOIL RATING CSC? FT/BR)= 250 �J . THE REQUIRED SIZE OF THE: SOIL_ ABSORPTION SYSTEM IS: C'n EE r-"" -r 1-41 = J_; 1_ E: r-41-3 "f-1-1-= 15. a. 13 F e Ate % ° IK II _ r'41; F* -1' 1--1:- e2: THE LENGTH DIMENSION 15 THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS. THE DISTANCE BETWEEN THE: SURFACE OF THE GROUND AND THE BO'T'TOM OF THE EXCAVATION :IN FEET:. THERE IS NO 'SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE:: AND THE BOTTOM OF THE EXCAVATION (IN FEET). PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS, OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RES;IDENC:E'S THAT THE WELL WILL SERVE. �. _I-14 0 . :� I r",y =- Fes„ E=1----1"- I P-1 IA _15 1=i 1:;P.' F- FZ" F:.-1� 1_1 I E: I~.1='+ _... _... BACKFILL..ING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM I: 100 FEET FOf':`. A PRIVATE WELL OR 1.50 TO 200 F'EE'T FROM A PUBLIC WELL DEFENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE 15 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS Hf=",'E AVAILABLE TO INSURE PROPER INSTALLATION. F`• F IvC r^"1 I -T- EE 1__" 11*;' F--':� C.s F:1:- c r•10 FE� F4 : fL..: I CERTIFY THAT 1.: 1 FIM FAMILIAR WITH THE REQUIREMENTS, FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENp:E. IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED APPLICANT TERRY GOSE fI_ *.;n'E" 1e-1 AND WELLS AS SET' ENLARGEMENT IF THE ISSUED IEC, BY------------------------------ DATE --------------- V4.0 I'•1 11 i'A I ::: I F=• A L- I T 'r' . I i t "VA 1_ " 11 r-: " 1� c DEPARTMENT 05 HEALTH AND ENVIRONMENTAL PROTECTION STREET, ANCHORAGE, AK. 93 825&I ,jV / '� p �^�,:• '264-4720 Com/'/ �G=. F--t_'e L_� � f~ -� F a— _• I T E E 4•.1 FE f=•� F' E F: M I T PERMIT NO, C i APPLICANT c���' ''�� ✓J LOCATION L eJLr ie- LEGAL / LOT I ZE / 7�yU CJ SQUARE FEET TYPE OF SOIL ABSORPTION S .TEM IS: -7 -Re x,4 MAXIMUM NUMBER OF BEDROOM= L� SOIL RATING <SO FT/SR?= 000 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I=.: ClEF'TH= / ';�' LEt-J 13TH== -6 0FR,F1'•:'EL_. C,EF=l THS THE LENGTH DIMENSION I'S THE LENGTH CIN FEET? OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET?. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET?. F—'E:0-I F I F? FEE C:s = EF•T I r TAP -4k:: I .=E_ C-) CF)(�- .3 0ALLI=)tJ PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCIES THAT THE WELL WILL SERVE. --- TL•Jr=i r. ` 7 2 p.J=•F'Ei_ T 2 ��t F=• ARE F:E: I Y F:EC} --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PRO_ECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A CIMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRtED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAM_ ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=`ERrl I T E: -:F- I FSE- C -El_ EfYIE:EF: =--:Y.. 1._ ID I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET FORTH BY THE MUNIC_.IPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE I5REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED ISSUED BY V4 0 fc��Q GRE, ER ANCHORAGE AREA BOf UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME //C1d (� �� MAILING ADDRESS SPO lana ��YJ 7 PHONEC 7 LOCATION LEGAL DESCRIPTION 10r ,2 SEPTIC TANK: DISTANCE NUMBER FROM WELL �h97?/Y12� MANUFACTURER 54204 S'�Uee.-. MATERIAL U�ff IX'oy'y � COMPARTMENTS, INSIDE LENGTH _ INSIDE WIDTH - LIQUID DEPTH _— LIQUID CAPACITY -/do 6 GALLONS, SEEPAGE PIT NUMBER OF PITS DIAMETER ` OR WIDTH �.5 , LENGTHcLS, DEPTH LINING MATERIAL�(� CRIB SIZE: DIAMETERIP��DEPTH� DISTANCE FROM: TOTAL EFFECTIVE BUILDING FOUNDATIONAL, NEAREST LOT LINE 20 ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION WELL: nq TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION—,LOT LINE CESSPOOL OTHER SOURCES APPROVED-_ DISAPPROVED DISTANCES: 0 INSTALLEDBY: f- 2(1L0A. LXQ1, PIPE MATERIAL: CGU 0AA-6 LOT SLOPE: REMARKS: I)o- l SSC A'l Form No. EO -031 NEAREST SEWER LINE DEPTH SEPTIC TANK_ DIAGRAM OF SYSTEM '�JR p u [,cb,A Cd vt of DATE APPROVED W E L L &)'i1'l�7yL.,. 70 0 SQ. FT. DISTANCE FROM: SEEPAGE SYSTEM GREATER ANCHORAGE AREA BOROUGH DD DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 27A-4561 .,, SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT PERMIT NO NAME OF APPLICANT LLLQ-/ 1 ✓ GU' MAILING ADDRESS PHONE INSTALLATION LOCAT LEGAL DESCRIPTION INSTALLATION OF: TYPE AND SIZE OF FACILITY TO BE SERVED • (�'�" T•-2J27-on�1G FINANCED THROUGH TO BE INSTALLED BY SOIL 'f EST RESULTSz NOTE. THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED y- l/7v 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 /✓ ✓ o TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK LJ i SEEPAGE AREA S FOUNDATION TO SEEPAGE PIT //-Il /J DRAIN FIELD /0 / SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT ld�o DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK /✓ y SEEPAGE PIT DRAIN FIELD ���) J ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTI �4/ YANK ,SEEPAGE PIT V , DRAIN FIELD SEPTIC TANK.SEEPAGE PIT, DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL EIACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. / DATE SIGNATURE\ FORM NO. EO -016 Performed for G Legal Description: This form reports: Department of Environmental Qu ity 3330 "C" Street.j Anchorage, Alaska 99503 ��� . GREATER HORAGNRLUO BOROUGH SOILS LOG PBRO�MON 'TEST DEPT. OF FNAEQ V% 7 u n Date Performed `i S log_ Percolation Depth Feet 1 - 2- 3 a7 7 5�0t;cl 6- Q. 7 - -r12' 13 - 1 ks ground water encountered? _ L�4-__-_ If yes, at what depth? Reading Date Gross Time Net Time Depth to W iter Net Drop percolation rate minute. — -'� Drain Field Proposed installation: Seepage Pit Depth of Inlet _ _ Depth t bettom of pit or trench COMMENTS: ,._d5l Performed by:� CerOfied Cay: �N _ EQ -040 (6/74) A AA. _ ,,L cap sp&' 0900 �-/ - - - L. . f -_RECEIVED - INSPECTION APPOINTMENTS TIME -. - - TIME - TIME - \ /0Ah-3L�Pk C%\j_ DATE - DATE - DATE - INSPECTOR .INSPECTOR INSPECT - - - - MUNICIPALITY OF ANCHORAGE - - MUNICIPALITY OF ANCHORAGE - -- DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT.. OF HI:ALTI I & - - _ - - 825 L Street - Anchorage, Alaska 99501 - ENVIRONMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION AUG 24 1y81 0* - -Telephone 264-4720 - - REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND MAW IITIW) DIRECTIONS: Complete all parts on page, 1. Incomplete requests will not be processed. Please allow ten (10) days: for processing. 1. PROPERTYOWNER- /'- 77+Dr1--72 MAILING ADD+DRESS - - - -. cV .j0&, 3 33. PROPERTY RESIDENT different from above) - - PHONE g�i"Ua 2. BUYER(�O - - - PHONE - /\� _ - MAILING S MQ -- INFLODRE � �� qj 3LENDING INSTITUTION MAILING AD DRESS- - DRESS 4. REALTOR/AGENT_ �� PHONE - T Floe Q_ MAILING ADDRESS - - - - - - - �_ f n� X 1 _12 9., l c --e) 5. LEGALDESCRIPTION - - STREET. LOCATION. - 6. TYPE OF RESIDE ICE V NUMBER OF BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other__ ❑ Two - - ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY - - - - - - - - El INDIVIDUAL* 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 UTJLITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM — - - INDIVIDUAL/ON-SITE**_YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010.(Rev. 6/79) --- - 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLEFAMILY 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 ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED pp O g tl % r7 INSTALLER ❑Septic Tank or Ell Holding Tank Size: 1©0(9 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: eptic/HoldiSng Tank Absorption Area Sewer Line Nearest L t Line Absorption Area to nearest Lot Line - 5. COMMENTS 14 ---APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE 72-010 (Rev. 6/79) Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 a e CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-302-23 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: Expiration Date: !Ly SKY RANCH ESTATES #2• BLOCK 1 LOT 2 5025 WHISPERING SPRUCE DRIVE *ANCHORAGE AK 99516 MICHAEL ANDERSON Day phone 868-3872 5025 WHISPERING SPRUCE DRIVE *ANCHORAGE AK 99516 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Day phone TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class °A" Well 0 Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: / Date: L, COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ �q D Waiver Fee $ Date of Payment t (!�U Date of Payment Receipt Number Receipt Number COSA # 05`13101 A Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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 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 GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 all 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. 6. DSD SIGNATURE stem #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. 337-6179 Date 1 21 )3 Conditional approval for bedrooms, with the following stipulations: ON-SITE WATER AND WASTEWATER PROGRAM The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist t/ Nitrate Advisory Septic System Advisory Arsenic Advisory+. Well Flow Advisoryer /TU PrF� • f gy, Original Certific�tc E "ate:' (Rev.1V05) 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 #2; BLOCK 1, LOT 2 Parcel ID: 015-302-23 A. WELL DATA Well type A„ Date completed Total depth ft. Date of test Static water level Well production WATER SAMPLE Coliform PUBLIC WATER If A, B, or C provide PWSID# 212916 Well Log (Y/N) Sanitary seal (Y/N) Cased to ft. FROM WELL LOG colonies/100 ml. ug./L. B. SEPTIC/HOLDING TANK DATA ft. Nitrate mg./L. Date of sample: Wires properly protect�rou�nd)-_=--in. Casing height (abo AT IN CTION Collected by: ft. Tank Type/Material SEPTIC/STEEL Date installed 7/30/1974 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 1111111 a- Pumper Af v.. "'d 4 kfC I 0c (c" C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE 7/30/1974 Date installed 8/28/1980 Soil rating (g.p.d./Worflbdrm 250 System type CRIB/TRENCH Length 35/66 ft. Width 15/3 ft. Gravel below pipe 7/8 ft. 700/ Total depth*1 1.33/*8.50 ft. Eff. absorption area 900 ft2Monitoring tube***YES Depression over field NO Date of adequacy test 11/16/12 Results (Pass/Fail) **PASS For 3 bedrooms Fluid depth in absorption field before test*** 1 1 in. Water added 1560 gal. New depth ***48 in. Elapsed Time: 148 min. Final fluid depth ***43 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date **TESTED TRENCH ONLY ***SUMP EXTENDS ONLY 69 INCHES BELOW THE INVERT OF THE DISTRIBUTION LINE. SEE ATTACHED LETTER DATED 12/18/12 D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off level ' . High water alar level Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanklltft station on lot Absorption field on lot Public sewer main Sewer/septic service line_ On adjacent On adjacent lots manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption Water main 10'+ 5'+ Water service fine 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through freld 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 Na/me JEFFREY A. GARNESS Date 1/701) (Rev. 11105) OF 'C —7 53 1 Z1q ' < F,° !'�o f e seio�°o64 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS December 18, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, AK 99519-6650 (907)343-7904 Ref: Request for COSA for Sky Ranch Estates #2; Block 1, Lot 2 To whom it may concern: The referenced property is served by an onsite septic system. This system is composed of an original crib type absorption system, and an upgraded trench. The documentation is not clear, but it appears that the trench was intended to be a spill-over from the crib. GEG completed an adequacy test on the crib system on 9/9/12, during which the crib was determined to be technically failed. The sump at the end of the trench had been compromised and needed to be repaired before an adequacy test could be performed on the trench. The owner proceeded to have the sump repaired. Shortly after, Anchorage experienced an unusual relentless rain event. During this event, the owner experienced water sheeting across his back yard, which temporarily ponded in a small depression around the top of the crib. Per the owner, the water appeared to be absorbing into the ground. The owner (principle scientist with Alaska Environmental) observed flooding of the crib, tank, and trench. The system however did not overflow or discharge any sewage onto the ground surface. After the rain event, the home owner closely monitored the system, and several other septic systems in the neighborhood that had also experienced surcharging, while communicating with GEG. The liquid levels subsided to normal operating levels over the next few weeks. At that time, the decision was made by the homeowner to give the system more time to recover from the overloading before GEG was to run an adequacy test. GEG returned on 11/16/12 to run an adequacy test. The drainfield passed the adequacy test at that time. The problem area around the crib standpipe, that held the ponded water, is a 5'x5' area that appears to be approximately 3" lower in elevation than the surrounding grade. With the exception of this area, the yard appears to have fairly decent drainage. The owner was able to obtain soil which was thawed out in his garage, mixed with top soil, and mounded in the problematic location around the stand pipe. It appears that this fill will sufficiently prevent water from ponding around the crib area. It is unknown whether the system was influenced solely from water intrusion from the surface, or whether a temporary, higher than usual, groundwater table was also a factor. Please contact myself or Rob Campbell with any questions P.t., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com SI',VGLE . AAWLY F.RAM'E HOUSE N 89 59' 44" E 85.03 44.,78 ___VUHISPERINSSPPUCEDRIVE THE INFORMATION HEREON 15 FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS. AND I5 NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCEUNES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN HEREON( UNLE55 INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THI5 DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PA VI46 SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCE551VE SNOW AND/OR ICE. OF U° e .49T—H* s—Azsr,�' 0 SA 'SHANE A. HOLT,'] ' N` '.LS -6914, 4'O 4n° _. „moo A5 -BUILT SURVEY P =30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 2, BLOCK 1, SKY RANCH ESTATES UNIT NO. 2 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED, DATED AT ANCHORAGE,ALASKA THIS _10TH_ DAY OF _JANUARY , 2013. HOLT LAND SURVEYING 600 HIGHVIEW DRIVE ANCHORAGE,AK 99515 12091, FO '5' 11 345-5513 Municipality of Anchorage .z Development Services Department : f - Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ,1 Parcel I.D. 015-302-23 HAA# 1444 Y)-z;Dvaln r--- 1. GENERAL INFORMATION Expiration Date: 5--/3 — Complete legal description SKY RANCH ESTATES SUBDIVISION #2; LOT 2, BLOCK 1 Individual On-site 0 Individual Water Storage ❑ Location (site address or directions) 5000 WHISPERING SPRUCE DRIVE * ANCHORAGE. AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address GARY LAROSE Day phone 345-6321 5000 WHISPERING SPRUCE DRIVE • ANCHORAGE. AK 99516 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class "A" Well N Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of -title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or. water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. , Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: in conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 all 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. AKWWC, Inc. 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 Z Approved for Disapproved. 3 bedrooms. 337-6179 Date I d Conditional approval for bedrooms, with the slowing stipulations: Attachments: HAA Checklist Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: �• Original Certificate Date: (Rev. 12M) Municipality of Anchorage Development Services Department Building Safety Division On-site Water & Wastewater Program 4700 South SragaW St P.O. Sox 196660 Anchorage, AK 99519-6650 www.d.onchorage ak us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: SKY RANCH ESTATES S/D #2; LOT 2. BLOCK 1 Parcel ID: 015-302-23 A. WELL DATA COMMUNITY WATER Well type ANNRY If A. S. or 0 provide PWSID# 212916 Well Log (YM) Date :completed —.,— Sanitaryseal (WIN) ope y protected (Y/N) To Cased to fL Casing height (above ground) in. ' FROM WELL LOG AT INSPECTION Date of test Static water level it tt. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate – mgJL. Other – m. Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 7/30/1974 Tank size 1000 gal. Number of Compartments 5 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (Y/N) NO Date of pumping 3/27/2003 Pumper DENALI PUMPING !C. ABSORPTION FIELD DATA 10RELOW WIVING aRADr. HL FOR TRENU" ONLY EXTENDS 5.0 FEEF INTO GRAVEL] 7/30/1974 CRIB/TRENCH Date installed s�eVt980 Solt rating (g,p.dJftb 250 System type Length 35/66 �R Width 15 3 nni ft. Gravel below pipe , 7/8 fl, 00 Total depth *11.t *8.3fL Eff. absorption area 790 fe Monitoring tube YES Depression over field NO Date of adequacy test 3/27/2003 Results (Pass/Fall) **PAS For.3 bedrooms Fluid depth in absorption field before test «; 0 im Water addedS2.3gal. New depth9,_5 in. Elapsed Time:1. �,� min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date ***SUMP EXTENDS ONLY 70 INCH **TESTED THE ONLY OF THE DISTRIBUTION UNE. ,fir i' D. LIFT STATION Date installed "Pump on" level at in. .. Dates E. SEPARATION DISTANCES Size in gallons Manhole/Access (YIN) "Pump off" level at We alarm level at in. Cycles tested Meets alarm & circuit requirements? a— SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent to Public sewer main Public sewer manhole/deanout S ervice line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 59+ Water main 10'+ Water service line 101+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 100+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION v ... I certify that 1 have determined through field inspections and y review of Municipal records that the above systems are in ' • ""' .. ' ' • "" • • ' ..•' "' conformance with MOA HAA guidelines in effect on this date. Engineers Prinrro ame JEFFREY A. GARNESS Y�„� j¢E-79Y .•``�.` Sl ! vDate Protessioo� HAA Fee $ . 375. Waiver Fee $ Date of Payment J5.19.0:; Date of Payment Receipt Number Receipt Number (Rev.12ro1) .. a�sgjY !adnioyacry 1+ pa38Q �ntcttogsan ' u'a aa�slPt bAil Asia uf.t�aaoGv XD .0is lou op pua saun dada >� tyuautano.{duq Liv aeeloyauV � . ... ... tadoad M133sap Agaiay I , 1� i.• ' LZ :� i � •, N to /, f S z�{ I I UM a o� r • ,•T M �d'd STZb Zb£ 406 37IANBS mainD 9S0MH1