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HomeMy WebLinkAboutSKY RANCH ESTATES #2 BLK 1 LT 5 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SI'rE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N~,.~ DISTANCES D/..%'- Z~o~, - Address TANK FIELD WELL Phone(si Permil NO. No. el e o.,~ WELL / L.GAL ~SC"~O" LOT LINE Township, Range, Secl~on Aa-DUILT DIAGRAM (Shew tocation of well, septic sys[em, properly hnes, Ioundation. '~/,~ I~ ]/~ ~ ~ 2_ ¢/J~- ~0 Z -- Z 0 dr,veway, water bodies, etc. J TANKS i ~ 8~11C ~ HOLDING C~paclty in gallons TYPE OF ~ TRENCH ~ BED ~ W, DRAIN ~ OTHER F~II added ~bove original grade Grave~ depg~ benealh p~pe Gravel length ~ravel width Total absorptio, area Di,~ance betwee, lines ) ~ ~ PRIVATE ~ OTHER (Ident~.~ _.~11 ~. ~'A- 47,~ REMARKS: ~,¢ ~¢TJt), O~le- ~Z~ ~ff~J ~u¢ ~'~ yl-2~{. InspectionsPedormedby: 72-013 (3/85) / DEPT. OF ENVIRONMENTAL CONSERVATION/ / ANCH©RAGE WESTERN DISTRTCT ©FFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 Leroy C. Reid, Jr. Alaska Environmental 1412 West 33rd Ave. Anchorage, AK 99503 Control STEVE COWPER, GOVERNOR MUNICIP^LIT',' OF AN~]~775 DEPT, OF HEALTH & EN\qRONMENTAL PROTECTION November 8, 1989 Services RECEIVED SUBJECT: Lot 5, Block 1, Sky Ranch Estates Anchorage Dear Mr. Reid: In reference to your October 25, 1989 letter on the subject property, we have found the Sky Ranch Estates I water system to meet separation requirements at time of construction in 1973. This finding however, does not constitute an approval under 18 AAC 80.100 (Plan Review) of the Drinking Water Regulations. If you have any questions, please contact me at our Anchorage Western District Office. Sincerely, Michael P. Lewis, P.E. Environmental Engineer MPL: bas CC: Dan Roth, DHHS ALASKA F1UIROFIFII [1TAL COrITROL $ i UIC S, IF C. ~nqineeriaq $ ~nvironmenlel $1u~ics P. O. Box 240668 Anchorage, Al( 99524-0668 (907) 279-5553 Municipality of Anchorage Department of Health & Human 825 L Street, 5th Floor Anchorage, AK 99501 ATTN: Dan Roth October Services 25, 1989 Alaska Department of Environmental Anchorage/Western District 3601 C Street, Suite 322 Anchorage, Ag 99503 ATTN: Mike Lewis Conservation RE: Lot 5, Block 1, Sky Ranch Estates 5125 Whispering Spruce Gentlemen: On October 13, 1989, when I talked to Mike Lewis (ADEC) about the sewer system on Lot 5, Sky Ranch Estates, that needs to be enlarged, we did not have tile as-built drawings. On Monday, October 23, 1989, I was able to obtain a copy of the as-built drawing this well. The as-built was dated November 1973. It is quite obvious from the number of connects, that at this time it was not considered to be a Class C well, but was considered a semi-public Class A well which showed a radius of ~20 feet for a protective zone arouad tile well. See attached copy of plat and regulations. 1412 ~VGsl; 331}0 ,),venue · &ncho~qe, &Jask~ 99503 · (907) 379-5553 The bank which is financing the sale of this property has determined tbat this house is a 4 bedroom house, and therefore 'the sewer system for the subject house should be built for a 4 bedroom. The enclosed MOA records iadicate · that this house has a 3 bedroom sewer system. In 1975 the house was shown as a 4 bedroom [louse with a 3 bedroom sewer system. Since the owners did not want to upgrade the system the 6AAB-DEQ allowed it to be sold as a 3 bedroom. Prior to 1976 it was a favorite ploy of the builders to request a permit for a 2 or 3 bedroom house. They would finish the upstairs of the house and sell it with the idea that the homeowner could finish the "roughed in" daylight basement and through "sweat equity" have a 4 or more bedroom house. They didn't bother to tell the buyer that the sewer system wouldn't be large enough. Only upon sale would reality be known. It appears that in this house, the salae accurred. In this case, the sellers and agents were able to convince hoth tile Borough and the buyer that it could he called a 3 bedroom house. The same occurred in 1976 and 1980. In reality, it appears to have always been a 4 bedroom house. I believe that it has been a 4 bedroom since 1975 or 1976. The ADEC regulations were cbanged in 1977 after this house was built. Therefore, the 120 foot radius would still apply, The 120 foot radius barely impacts tile lot, and essentially does not affect the areas for a future sewer system upgrade. The area in which 'the proposed system is to be installed is at a radius of approximately 174 feet from the well. The number of people in the house is 6: 2 adul[s and 4 children. If it were to increase to the full useage of tile bedrooms which wonld be 8 people, it is doubtful that the additional 40-80 gallons of water per day would significantly affect the water quality in the well. The well is upslope of tile sewer system aad so any drainage from the sewer system would be away from tile well and ko the aorthwest. The soils in the vicinity of the on-site sands and silt which bare a permeability 150-190 sq ft per bedroom. Therefore. I small amounts of water no'k allow contaminants system are fine rate of between believe [hat the that the new trench would add would to enter the well. I bare enclosed copies of past documentation that implies the house to have been a 4 bedroom house in 1975 when the semi-public Class A rules were in effect. The additional trench and the larger tank that I have proposed is to correct an iacorrect action made itl 1975. I would therefore recommend that approval be g~ven for '[he sewer system for this 4 bedroom house. If you have any questions, LCR/sr Enclosures please let me know. Sincerely yours, PhD-,~ PE, DEE President ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. [200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 S.EET.O / o~ ¢ CALCULATED BY /, ~' ~ DATE /~/~/. CHECKED BY DATE SCALE ~ D f") 0 X ~ 0 Il. H H Z H O60cPoO Oz I:I:H 17,or PERFORMED FOR: LEGAL DESCRIPTION: ,~' ~/ ~,-/Fa,,,c/, ZS/~£Township, Range, Section: ~'-/~/,~ ,~ I, _,L %', Mun,cipalltyo! Anchorage I; ~..'49.~7~ ';2~ t I DEPARTMENT OF HEALTH & HUMAN SERVICES ~' 'f~,~..o~'.'~,/,~ I 825 L Street, Anchorage, Alaska 99502-0650 ~_ -/"'~-,_. ~¢' / l SO,LS LO6 -- PE.COLAT,O. TEST ~ '.?¢'¢'~.';;.~.,g.°~ I DEPTH 'l ~ E~T)! 1 · -. L.~,~., 4 I 6 6 8 9 u, q~ i0 11 12 - ,, 13 14 15 16 17 18 19 20 COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ~o IF YES, AT WHAT ~' E Oeplh to Water Alter Monilaring? j3 r,~ O~le: /O/Y/~ ¢ I N Reading Date Gross Net Depth to Net Time Time Water Drop /~ ~/o 2_~.~-~:: , , ~_ PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __-~ FT AND ~' . FT PERFORMED BY: ~ ' /~'~ ' ~ I CERTIFY THAT THIS TEST WAS PERFORMED IN ^CCOROANCE W,TH ALL STAT~ AND MUN~C~PA, eU,D~UNES ,N EFPECT ON T,,S DATE. DATE: /¢,,// 'C/ ~ ? 72-008 (Rev. 4/85) MIJNIC)PALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAl. PROTECTION ENVIRONMF. NTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Tet0phone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION DISTANCE TO: '~ '~--- O CO Lich capacity in gallons IF HOMEMADE: Inside length Dwelling NO. OF BEDROOMS PERMIT NO, No, of compartments Liquid depth DISTANCE TO: Well Dwelling PERMIT NO, DISTANCE TO: No. of II~o..~s~ Top of tile to finish grade Foundation Nearest lot line Total length of I Trench wid% ~inches Material tile PERMIT NO' JL) ,/O --.~ effectlveabsorp ' n area PERMIT NO. DISTANCE TO: Building foundat Class Depth DISTANCE TO: Building foundation OTHER Drifter Sewerline PiPE MATERIALS SOl Lk'-'~ I N S T A~lR(~,.~l~ REMARKS Total effective absorption alea Distance to lot line /PERMIT NO1 Septic tank J Absorption area(s) 72-013 (F~v, 3/78) DATE LEGAL r:'ERM ]: T i',,I 0. FIF'FI_ ]: C:FINT I...OCFIT ]: 0 I",l LECiFIL RCHESON ESTERPR ISES NH I.SF'ER I NG SF'RUCE L. SBi. SK"? RRNC:I-[ E:E,T. LOT STZIE :1.628E; SQI.JI:II;~:E FEET "['?F'E OF SOIL. RB':SORF'TION S'¢S"FEH IS: TF,'ENC:H MRX]:MLIM I II...IIILEf, OF EEF>F?3CMS= ¢' ~1.. .::,_IL.. F'[:ITING. ,": ::~ F. "' ."'"f EF.." ..... - d...'a¢'~_ '['I-.liE REIT,~UII~:ED SIZE ElF' THE L:;OIL FIE:SORF'TIOI'.,I SYSTEM THE' LENGTH [:'IMENSION IS THE LENGTH <IN FEET) Of: THE TF.:EhlCH OR DFRRII'.,fF'IEEL..D. THE [:,EPTH OF FI TRENCH OR PIT IS; THE; DIS;'T'RNCE DETHEEN THE SIJRFI=ICE OF THE: GF;'.OUNE:, RND THE BOT'f'OM OF THE EXCR',,,'RTION (IN FEET>. TI-'IEfRE IS; NCI SET HIDTH F'OF4'. TRENCHES. THE GF:.'FI',,,'EL. E:,EPTH IS}; THE HIN:[MI_IM DEPTH OF GRR',,,'EL BETHEEIq THE CIUTFF:II....L. F:'IPE FINE:, TFIE BO'T'TEIf"I OF THE E',:.:',CFIYFITIOI"I (:IN FEET). F'E[;:M I'T RPF'L I CRN-F FIRS THE RE:'.:_;F'ONS I F..,'I L I T'¢ TO I IqFOF:.'M TI-'I I S [:,EI::'RRTP'IEI"4T DI_IFR I I'.,IG 'THE INSTRL. I.J:ITIOhl :[i'.,IE;PECT]~ON~; OF' RN'.r' HELLS RD.J'RCEi'..IT TO THIS F:'ROPE~'.T"¢ Rf.,ID TI.4E NUMBER OF F:ESIDENCELu-', TFtFiT THE I.,.IEL. L. HILL 5;ER',,,'E. BFICKI::':[L. LZNG OF RN~r' SYSTEM 14ITHOUT FINRL INSPECTION FtND RPF'[RO'v'RL E:,EF'FIIq:TI"IEI"tT HZI....L BE SUB..;rECT TO F'F4:OSECUT];ON. I'dII'.,IIMUM DIL:;]"RNC:E E:E'['HEEI'.4 FI HELL FtND RN'¢ ON-SITE SEP.IFIGE D:[SPOSFII... S'.,.".F:,TEM I'.::; J..i.,.30 FEET F:OI('. ~ F'Iq:i[',/FI"f'E 14EI...L OR :;i..~]Ei TO 2~:iEi FEET FROH R F'LIBI...IC HELL DEPEN[:,ING UF'ON TH[:E T'¢PE OF F'UP.,I_II"_': 1.4ELI. .... h'lINIMIJf'l DI'.:.;TFtNCE FROM FI F'F(:I',/FITE HELL TO Ft PD.I'v'FITE :SEI,.IEF:'. LINE IS 2.5 FEE'r FIND TO I--~ CCIMMUNIT"r' SE!iI,.IER LINE :IS 75 FEET. OTHEF?. REQUIREMENTS h]l=l"r' F:IPF'L'T'. 2;PECII=IC[:ITIOh,IS FIN[:' E:ON:.-s-rRLICTIOI'4 E:,IRI][~:RMS FIRE FIVRILFI[31...E 1"O INSURE PROF'ER IN~TRL. LFfTION. :[ CER'f'IF"¢ THFI'T ::L: I Rf,1 FRI',III_.IRR P.l:["['14 THE REI2UIREP1ENTS [:OR ON-SITE SI.:.'I,.IER:Si RND HELLS. i laS; SET FORTH BY THE HUNIE:IF'FILZT'.r' I."iF' ~3NCHORRGE. 2: I I.,.IIL. L. INSTRLL. THE S'.?STEf,'I ]:N RCCO[RDRNCE 14ITH THE COE:,ES;. Z-.':: I UNDE[;;:'Z. iTFiND TFI[:IT THE: ON-STTE SEI.,.IER S"r"STEM I"IR'T' F.'EQUZRE ENL. RF:'.GE:MF='NT Z F' THE RESIr.:,ENC:E ]:S REMODELED TO INCLUE:,E FIOIRE THRN 3: BEDF..'oor,'IS. GRE' ANCHORAGE AREA BO" 'IGlt Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME. ~/~'~'~' LOCATION MAILING ADDRESS ~/2/) ~¢2( //-0~-? PHONE LEGAL DESCRIPTION /--~27~ ~-, i~o~.~ I ,~K~/m~'~g/~,..~_~,, SEPTIC TANK: DISTANCE ~r~/,oq FROM WELL INSIDE LENGTH MANUFACTURER ~'~-,~LI~ ~'7Z:-~-~ MATERIAL INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS __ LIQUID CAPACITY / O'-g~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER __ OR WIDTH .-X ~, 5Z~ ~' ~ LENGTH DEPTH LINING MATERIAL~5 ¥-~/2~_~CRIB SIZE: DIAMETER O' BUILDING FOUNDATION ~ /-H NEAREST LOT LINE Zo I DEPTH ~/ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ J?-~ SQ, FT. ADDITIONAL ABSORPTION WELL: TYPE ~ ~)/~/~l. CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL ., OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC¢.~ ~d- SEEPAGE /z~ TANK ~-C]', SYSTEM DISTANCES: INSTALLED BY: ~/~y.~;N:~/~7/2_ PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE }-- /~ ~/ __ APPROVED /~®~'~ ~- ~c/2g/~-~ G.A.A.B, Fo~m No. EQ-033 Performed For Legal This Glacier Excvabing Date Performed ~-17-7LI- Oescription: Lot ~ Block I Subdivision Skz~_anch Percolation Test ~:orm Re~orts Soils Loq. Perth ,eec Soil Characteristics l~__Inleb to Seepage Pit Mixbumes of Silty Sands ,Sandy Gravels (12~) (SM) & Fine Average. of 190 Bottom of Seepage Was ~round Water tncountere(~ I¢ Yes, At what Depth? Readinq Date Grnss Time Net Time Depth to H20 Percolation Rate Proposed Depth CnMMENTS: Minute Net Dro Inst~]lation: Seename Pit yes Drain Field of Inlet Depth 'Fo Bottom Of Pit Or Trench sq. ± t No Bedrock or wabor taD±e q- It. De±ow m~F~ ~ Tes~. Performed 8V._ Jim Mack Data Certified BY: Const. Test Lab h;,/'r!: d,_,.'~..~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650' 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner __'~ Mailing address Lending agency Day phone Day phone Mailing address Agent Address Unless otherwise requested, HAA will be h, eld for pickup. NUMBER OF BEDROOMS: /'7/ TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water Day phone If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community or~-site Public sewer ' NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. '. 72-025 (Rev. 1/95) Front MOA #21 s~uewwoo leUO!~!PPV :suop, elndgs I~U!MOIIOJ eql qllM 'suJooJpeq / JoJ leAOJdde teuo!fHpuoo · suJooJpeq ~ 'peAoJddes!O ~oj, peAoJdd¥ ~ · uop, oedsu! siq~ j,o ejep eLlj uo Joejje u! suop, elnSeJ pue 'seSul~u!pJo 'sepoo e~,elS pue ledlo!un~N lie qJ!M eoue!ldLUoO u! s! uJm, s~s leSOds!p Je~,eMe~S~M Jo/pue ~lddns ~eleM el!s-uo eq~ 'uo!~oedsu! puc uo!~e6!lseAu! Xm moji pue sel!l eSeJoqouv ~o ~J!led!o!unR eq~ moji peu!elqo uo!lem~ojul eql uo peseq ~q~ Xj!JeA Jeqpnj I 'u!eJeq pe~o!pu! eJn~onJ~s jo ed~1 pu~ s~ooJpeq ¢o Jeq~nu eq~ Joj el~nbape pue leUOl~ounj 'e~es s! ~e~g~9 lesods!p Je~eMelSeM Jo/pue ~lddns Je~eM el!s-uo eq~ leql SMOqS uo!l~o!ldde leAOJddv ~!Joqlnv q~l~eH s!ql jo uo!~6RseAu! X~ 1~q1 ~JpeA I 'MOleq UMOqS elep uo!~ep!leA eql Jo se pue oleJeq pex!jJe lees ~ Xq pe!J!Meo sV "9 I:FI:aNI~N:I A8 NOIIO~IdSNI dO J. NglBI::I.LV.LS 'g Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L~'?¢ ~' B ~'.~ I Parcel I.D. 1,~ ~::~'.~ A. Well Data Well type ,~ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed '¢~./ Cleanouts (Y/N) High water alarm (Y/N) Tank size J ~'~ ~ 0 Compar[rnents Fouedation cleanout (Y/N) ~'/ Depression (Y/N) Alarm tested (Y/N) Pumper Date of pumping SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot t~/~x~- To property line c~-O Sudace water/drainage On adjacent lots 1'~/'"/_~ Foundation Absorption field / ~ Water main/service line I~oN~ 72-026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) "Pump on" level at Manhole/Access (Y/N) "Pump off" Level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Dateinstalled I~. 1~¢[I I~ Soilrating(SPD/Ft~) ]~/ ~0 Length Width Gravel thickness Surface water System type Total depth Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Cleanout present (Y/N) for Results (pass/fail) Depression over field (Y/N) . After test ~¢. Y Bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~'t//~:~ On adjacent lots ~7 ~ 6) Property line To building foundation ~:~ ~ To existing or abandoned system on lot On adjacent lots ~ ,5'"O Cutbank X ¢ /"/'¢-- Water main/service line Surface water ~ ¢ ~ ,¢~ Driveway, parking/vehicle storage area l E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the ¢ate of this inspection. Signature ~ ~ . Engineer's Name Date ~'~ HAA Fee $ /?~) .(,~-63 Date of Payment Receipt Number 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number 203 WEST J5¥H. AUEWI}E SUITE 20b AWCHORAGE~ ALASKA 99502-~VU4 (907) 279-5916 LEGAL: LOCAl ION: OWNER: RES I DEN[:E: WELL_: SEPTIC SYSTEM: f:: I:~( IM I;II!N I{] I F'AI . A~gSEH:WPE i:E)lq AREA: Cr SO ]:I. I;;:A }' ~ NG ~ INS IAI.I.A] ION DA'IH:: DATE OF LAST PUMPING: F::I:' }"lay' 25? :i9',;'.:; DATE OF -rEST: JtLl'~c:, .q :t9':73 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY I--OR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Locatio'r~ (address. or.d?,ecti?ns) (b)Property .......... .owne~' ~::~g¢~',¢"~' ~eT-,~/&~¢7' Telephone: (home) ,~/,<"-¢2'o Business · .L. ~ ,-. ,: ~ - Ma ng'~,a;dress._.~''/¢'¢'''/'0/W)''p~'E/''J4' .¢pk~t&~ /~, ,/~ ¢~'57G (c) Lending Ins(itution" Telephone Mailing Address (d) Real Estate Company and Agent Address .~¢m-o ,~ f7'; ,,,~-~/ ~ ' Telephone ~'"'~, Z--- ~ ?&~ : (e) Mail the HAA to the following address: (or check heretiC, if hold for pick up,) List contact person and day phone number below: 2. TYPE OF RESIDENCE 5 Single-Family'C!~ Number of bedrooms 3. WATER SUPPLY Individual Well [] Community'),Af. Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th is Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 a~nd inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Fi rm /'~'~ Telephone Z- ? ¢-- :.'¢.-~'"-~".~ Address /fZ'/Z~ .~) ~},,1~ /¢~/~ ~ ~'f~'3} Date 6. DHHS APpROvAL Approved for ¢ Approved ~ bedrooms by Disapproved Terms of Conditional Approval Conditional Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The M u n icipality of Anchorage is not responsible for errors or om issions in the professional engineer's work. 72-025 (ney 7/88)Back Page 2 of 2 A. WELL DATA MUNICIPAL TY OF ANCHORAGE (MOA) H~'~'l'~.~Authority Approval (HAA) u ;>"':~'{~LIST - FEBRUARY 1984 343-4744 · , Legal Description: ~ ~/ Well Classification ge'/'/ C~ ,~'~B, C, D.E.C. Approvedi~N) ~J~ Present (Y/N) Date Completed Yield Total De'~,,,,. Cased to Depth of Grouting __ Static Water Lev~ Pump Set At __ Casing Height Above Gh'eg~nd --__ Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y~'/~....~ Depression Around Wellhead (Y/N) SEPAF1ATION DISTANCES FROM WEL'L.~..~ To Septic/Holding Tank on Lot _.. ~ ;On Adjoining Lots __ To Nearest Edge of Absorp. tion Field on Lot ~ _; On Adjoining Lots _ To Nearest Public Sewer Line~ To Nearest ~ewer Cleanout/Manhole Water~mN;la~e~tollSeecV~;;~y ; DaerVice Line on Lot Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~'-/~'-?¢ Size Standpipes CN) Depression over Tank (YN~ Pumping/Maintenance Contact on File (Y/N) x)/4 ' for ~.~ Holding Tank High~Water Alarm~ (Y/N) Temporary Holding Tank Permit (Y/N) SEPARATION DIST~,~NCES FROMSEPTIC/HOLDINC~A~K: To Water-Supply Welt;, ,,::,,,'~:/c/, 7,/,.20 ~ f~okSuilding Foundation /,Of. re No. of Compartments ~ Air-tight Caps~N) Foundation Cleanout (~IN) Date Last Pumped ~'.-/.~<,,¢'~' /~/¢',,~,r~ /~A,~g¢. ? To Disposal Field ~'~ To Property,Line, ..... /O .¢,~ To WaterMhh/ServceLne -;,4/~ 7~ To Stream, Pond,,:Lak~ or..Maj'or Drainage Course Comments 72-026 (Rev. 7/88) Fronl Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design E,~/,/~ Datelnstalled ,¢£I~ ~-1'¢'7¢'/7';¢~x'/4¢ ~;'~'~"¢1 Length of Field ~,~/J Width of Field ~ ~-~~ ~ / Depth of Field ~/~ / Gravel Bed Thickness g~/g Square Feet of Absortion Area //~ Statndpipes Present,N) Depression over Field (Y~ Date of Last Adequacy Test Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD:~?/'? TO Water-Supply Well ~¢/¢/'¢, "~-¢'¢ /.'7~' L~ Property Line To Building Foundation /¢ ¢' To Existing or Abandoned System on Lot ,'0 /¢ ; On Adjoining Lots /¢/'~' To Water Main/Service Line /m/~ To Cutback (if present) ."J/'~ To Stream, Pond, Lake, or Major Drainage Course /¢¢'6 ~-~ To Driveway, Parking Area, or Vehicle Storage Area /,¢, Comments D. LIFT STATION Da~ Dimensions Size in Gallons %. Manhole/Access (Y/N) "Pump On" Level at ~"~_ "Pump Off Level at High Water Alarm Level at ~~ Vent (Y/N) _ Tested for ~ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guide~ i n s peet i° n' '¢~¢~ '/'L///~ .~,,~ Signed Company ~'rl~e~J~t~t~n the date of this ~~.~"~'" 'Engineer's Seal ~RbY C. REID/JR, .~ · . Date MOA No. Receipt No. Date of Payment 7~./~..> ~./~.-'//o Amount: $ ~ J~ 72-026 (Rev 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 DAI~E RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE/~Td},~iPALiTY OF ANCHORAGE  825 L Street - Anchorage, Alaska 99501 DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 MAY 2 9 1981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEt~FDR/~;ilU~ ~,§ DI REDTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. ~-. PROPERTYOWNER PHONE ~/ ~OPERTY RESIDENT (If different from above) PHONE ~'. BUYER PHONE MAILING ADDRESS 3. LENDING iNSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION ' ~ TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [] Other J~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [:~ Three [] Six ~7. WATER SUPPLY [] 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 UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVI DUAL/ON-SITE~' [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATER~AL 4, DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS ~" APPROVED FOR ~.~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~ 72-010 (Rev. 6/79) 82~ L · If [:El" ANCIIORAGE, ALASKA 99501 (907) 264 4111 DEPAR'IM[!N i OF HEAt TII AND ENVIRObJMEN i'At_ PRo'rI!crlON December 18, 1980 Samuel R./Thelma Stewart % Jo Thorson Area Inc., Realtors 5437 East Northern Lights Boulevard Anchorage, Alaska 99504 Subject: Lot 5 Block 1 Sky Ranch Estates Subdivision ~2 Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The septic tank pumped with a receipt submitted to this office for review. (2) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the 'test is enclosed. This report needs to be submitted to this office for review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CC: National Bank of Alaska % Ruth La Barr Pouch 7-025 99510 ALASKA ~nuIRoIlm~nTAL CO[1TBOL ~n§in¢¢rin(I ,~ ~nuiPonmenNll ~lu~li~s RECEIVED N~'I':I:CIN~:II... I:,]', Ell::' ~:'ll'(/l:;:tJ"i'l"l I...I.I ?J(I;I. t'l NI]I~IlII.I~N ~ NI,I'I(.)I'~ fl(:~l, hi'( 1220 ~¢sl 25t}~ Avenue ,~ Anchor~(l~, Al~sl~. 99503 * [907] 276-1361 -- DA~E RECEIVED ~SPECTOR / INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEP1. ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT~NMF:Ni,:,,[ ;; )I~:CTION 825 L Street - A~mhorage, A[aska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 DIRECTIONS: Complete all parts ou page I. Incomplete requests will no~ be p~ocessed. Please allow ten 110) d~ys for processing. ~G ~DDRESS ~OPERTY RESIDENT (If ~ifferent from above) PHONE ~'LENDING INSTITUTION~ /~ ~ PRONE  R~ 'LTOR/AGENT f ~HONE STREET LOCATION ~ , , z~ 7 / 6. TYPE OF RESIDENCE ! / ~' NUMBER OF~BEDROOMS [~'""SING LE FAMILY [] One [] Four [] Other [] ~Two [] Five [] MULTIPLE FAMILY [];~'~ Three [] Six 7. WATER SUPPLY [] ,INDIVIDUAL* *ATTACH WELL LOG. A well Icg is required for all wells drilled [~" COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTi LITY depth (attach Icg if available.) 8, SEWAGE DISPOSAL SYSTEM {~INDIVIDUAL/0N-SI'['E** 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) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG REOEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~INDIVIDUAL/ON -SITE DATE INSTALLED [Z~PUBLIC UTILITY (O - -~ ~'f Connection Verified INSTALLER []Septic Tank or [] Holding Tank ,)~'l~--)~f~.~ ~ Size: / ~)~ If Tank is homemade SOILS RATING give dimensions: TYPEOFTANK MANUFACTURER /~.~..~)~ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line iOsP ROV ED FOR ~ BEDROOMS NDITIONAL APPROVAL {letter must accompany certificate} APPROVED DATE BY 72-010 (Rev, 6/79) GREATEP~A~NCHORAGE AREA BOROUGH I~])' 3~(] ~ Depa~t~f Environmental Quality ~- '~ 3330 "C" Str~Anchorage, Alaska 99503 274-4561 ~.~-~ .~ ~U~ Date Received November 2~ 1976 Date of Inspection t/~-~, ~ REQUEST FOR APPROVAL OF 0%~/~. INDIVIDUAL SEWER & WATER FACILITIES , n., ~tn% 1. Approval requested by: Security Pacific Mortgage Corporation Mailing Address:~.~9.-.wes~t~5th Avenue Phone: 272-9501 2. property Ow r'.~. ~I~dg_~e~ ..... Phone: 349-1244 Mailing Address: 5121 Whispering Spruce 3. Legal Description: Lot 5.Block 1 Sky Ranch Estate~ 4. Location: 5121. Whispering Spruce~ ¢%~O 1%% ~_, ~_~.~.~ 5. Type of facility to be inspected _Single Family No. of bedrooms' ~_' 6, Well Data: ~~~_4~rX ~-~ .~ A. Type ~.i<~%~f~ B. Depth '~ C. Construct ion ~ _l,t~,~j~' D. Bacterial Analysis _~ 7. Sewage Disposal System: On-site system A. Installed 1973 B. Installer C. Septic Tank: 1. Size /f)O~? 2. Manufacture~3/ _~ D. Seepage Pit: l. Absorption Area ~. ma~er~al E. Disposal Field: Total length of lines Distances: ' lAbsorption A. Well to: Septic tank_ t _~ area , Sewer bines __, Nearest lot line , Other contamination B. Foundation to septic tank ., Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re it for Approval of Individual ~ ~r & Water Facilities Legal Description Lot 5 Block 1 Sky Ranch Estates ~/'/?' 7~ Appro~ ~Valid for one year from date slgne~) Greater'Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) IviONIClPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WAI'ER FACILITIES 1. Type o'f Inspection: CMRO __ VA. 2, Property Owner:__ lynn Pldge Mailing Address:_5121 J~h4~sce-c~ng Sprucc 3. Name of Buyer: Samuel Stewart FItA____CONV_ Day Phone: 349 1244 MaiiingAddress: 5702 Arcti Blvd Day Phone: 272 004~; 4. Name of Lending lnstitution: Security Pacific Mortgaqe Corp MailingAddres~19 W, 5th Anchorage Ak 99501 Phone:. 272 9501 5. Name of Realtor or Agen't'. Yukon Realty Mailing Address:. Phone: 276 6__454 6. Legal IJescription: Lot 5 Blk 1 Skyranch Estates S/D Location: 5121 Whispering Spruce 7. Type of Facility 'to be Inspected: 8. Water Supply Type of Supply: sfr Public Utility. If Individual, number of dwellings presently served No. Bdrms.__~L ,Individual~'~~- 1 If Individual, depth of welI Sewage Disposal System Type of System: unknown Public Utility If Individual, date of installation 1973 Individual (on-site) xx 72-003(3/7G) SECURITY PACIFIC MORTGAGE 319 WEST 5TH AVENUE, ANCHORAGE, ALAS~(A 99501 TELEPHONE (907) 279-9501 CORPORATION November 16, 1976 Mr. Les N. Bucholz Municipality of Anchorage Dept of Environmental Quality Pouch 6-650 Anchorage, Alaska 99507 RE: Lot 5, Blk 1 SKY RANCH ESTATES Dear Mr. Bucholz; Please amend our request of Department of Envi~or~nental Quality approval on the above referenced property to a request for a 2 bedroom house in lieu of 4 bedroom. The purchaser is aware the property will be approved only for a 2 bedroom home and accepts it as such. At the present time, only two bedrooms are finished, and our appraisal reflects on a two bedroom home. Purchasers have 1 child, 2 years old. RWF:k Sincerely, S EC~I~AC IF I~ORTGAGE CORPORATION lcc Formerly kassler & co. SUE]S[DIARY SECURITY PACIEIC CORPORATION ~ov~mb~r 10~ Sa, nft~r;tan LNB/lJh GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Dec 15, 1975 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR FHA 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Lomas and Nettleton Company 4449 Business Park Boulevard Robert & Shelia Jones 5121 Whispering Pines Phone: 274-7661 Phone: 349-1244 3. Legal Description: Lot 5 Block 1 Skyranch Estates Subdivision #2 4. Location: 5. Type of facility to be inspected 6. Well Data: Public Utility Single Family No. of bedroomsi~ 4 A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line __ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages.- Rec Legal Description Lot 5 it for Approval of Individual S :r & Water Facilities Block 1 Skyranch Estates Subdivision #2 Approved~ ~~ Di sa pprove~~~. ~pproval Valid for one year from date ~gned Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ~034 (1/74) 3330 MUNICIPALII¥ OF ANCHORAGB DEPARTMENT OF HEALTH & GREATER ANCHORAGE AREA BOROUGH I~NVIRONMENI'ALPROTECTION Department of Environmental Quality "C" St,, Anchorage, Alaska 99503 274-q]q_rq] ~51§75 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES RECEIVED 1. Type of Inspection: CMRO VA FHA × CONV 2. Property Owner: Robert & She11__a Jones. Mailing Address: 5121 W~_perinq Pines Da_~ Phone 349-]244 3. Name of Buyer: __L~ygn & Kathleen Pidqe Mailing Address: .239! E. 47th. Ave. Da_~. Phone 279-2942 4. Name of Lending Institution: The Lomas & Nettleton Comp_~_n~ Mailing Address: 4449 Business Park Blvd. Phone 274-7661 5. Name of Realtor or Agent: Selective & Marston Realty Mailing Address: 1515 Tudor Rd. Phone 279-8624 Legal Description: Lot 5, Bk. 1~ Skyranch Estates ~2 Location: Anchorage 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility ~ If Individual, date of installation Residence NO. Bdrms x Individual presently served Individual (on-site) EQ-037 (1/74)