HomeMy WebLinkAboutSKY RANCH ESTATES #2 BLK 2 LT 3Ip
ky Ranch
Estates #2
Block 2
Lot 3
#015-302-27
03/31/2014 03:03 907-345-0202 ALPINE DRILLING PAGE 01/61
Pump Intake Depth ;Below Top of Well Casing: 118 feet
Pump Manufacturer's Name: Guaa o9
Pump Model: 10ine-07.230
Pump Size 314 hp
Pitless Adapter Burial Depth: HIA feet
Pitless Adapter Manufacturer's Name: Nil.
Pitless Adapter Installer; WA
Well Disinfected Upon Completion? Z Yes �! No
Method of Disinfection:
Comments:
rtease save for your engineer.
Pump Installer Name: AVOW Pump & well satvlce. LLC This is needed for your COSA.
P.O. box 110406
Anchorage. AK 59611-0496
004.64 UC�ori
Attention: The pump installer shall provi: e a pump installation log to the DSD within 30 days of pump installation,
M
bevelopment Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Pond
P.C. Box 196650
MarkBegkh
Anchorage, AK 99507
Mayor
wtvw.niunLERr �
(907) 343-7904
Pump Installation Log
Well Drilling Permit Nulmber: SW 131048 Date of Issue; 5-7-13
Puree[ Identiixcation Nunliber• 0"514236000
Legal Description
Property Owner Names&',�II .
T12/NN R3W SEC 222 Lt 39Eoarsteln
�anlel& Keratin
—� ' 1
1
SK Y RA/d c-
L S T. �2. 11710 a, Al.. ,Nay
Z. 3 Anchorage, Al..',, 99813
Pump Installation Dat£: 7;18f14
Pump Intake Depth ;Below Top of Well Casing: 118 feet
Pump Manufacturer's Name: Guaa o9
Pump Model: 10ine-07.230
Pump Size 314 hp
Pitless Adapter Burial Depth: HIA feet
Pitless Adapter Manufacturer's Name: Nil.
Pitless Adapter Installer; WA
Well Disinfected Upon Completion? Z Yes �! No
Method of Disinfection:
Comments:
rtease save for your engineer.
Pump Installer Name: AVOW Pump & well satvlce. LLC This is needed for your COSA.
P.O. box 110406
Anchorage. AK 59611-0496
004.64 UC�ori
Attention: The pump installer shall provi: e a pump installation log to the DSD within 30 days of pump installation,
M
�— Municipality of Anchorage Page of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: eZVqq Z 034'4– — PID Number: 0�� – �� –
X27
Name: Wastewater System: ❑ New upgrade
Address: q 51(e ABSORPTION FIELD
I I-110 W ���
Phone:
346 -53 4 !21N,
. of aedroo e:
�ou�
Th ❑ Shallow Trench ❑ ead ❑ Mound O Other
'eeprenc
�—
—
LEGAL DESCRIPTION
Soil Rating:: O'$
-7 �'
Total Depthm original grade:
15
I G o GPD/Sg. Fl.
Gravel depth beneath pipe
'7 . o_ Ft.
_
Lot: Block:Subdivislon:
3 2 stay # 2
Depth to pipe bottom from original grade:
15
pmeW
a - Ft.
Gravel length: 3
Ft.
Township:
Range:
Section:t' vt
,V 4
FIII added above original grade:
V,4 P1 Es O— t Ft.
Gravel depth: IN i 07"1 —
—G
Number of lines: Dislence Iwaen lines:
• -
L' ❑ New ElD-i
.-_n Ft.
1 N A Ft.
Classification ate. A,B,C): To plh: Cased To:
Total absorption area:
o2.
Pipe motorial:
�3b1- FF>ib
Ft. Ft.
so. Ft,
Drlller: Date D7l1led:
Sialic Water Leval:
Installer:
Ac t-a� S C n
Date Installed:
/D / 9 Z
FL
Yield:
Pump Set at:
'BSIng11 ht Above Ground:
TANK
GPM
Ft.
.
_
SEPARATION
DISTANCES
`48eptle ❑ Holding ❑ S.T.E.P.
Manufacturer: 1/ Capacity In gallon-s::D
t 2.5
To
Septic
Absorption
Lift
Holding
Publlo/Prlvate
From
Tank
Field
Station
Tank
Sowar Lines
G��
N/'A
h1�A
>200
Material:
Number of Compartments:
Well
>'Zvo
�2n0
•
Surface
NfA
N/fk
N�A
LIFT STATION
Water
Water
_
Lot
,L Z�
/��
Size In gallons: turer:
Line
"Pump on" level at: "Pump o W Hlgh water alarm at:
Pump Meka�maa Electrical Inspections performed by:
Foundation.
/
bN
ZZ/
IJ
Curtain.,
1
N
Drain
Remarks: 1417' InA�5'
BENCH MARK
Gt- Af[!_ O� 0 2 , O otJ
Location and Description:
�� pF &aQA6E M A
10/15-/C) 7- ExCa4VA-TrONJ -M d1•D .
ONNit> I—II alp6 aF
�Psoit (L�=sFF�iN�b_wi�
Assumed Elevation:
/ha•on
,- -.EI GINEER'S SEAL
111'A�rS
���•�.oa�VdLV
Inspections performed by: Dates; is
' d
l
f?� of coy A. Ogrn
Department of Health and Human Services approval
���TFA^.,�. `E=7958
/dam .�
Reviewed and approved by: �Q'`"O7�t Date: �
•,...A
; %pRQFESS�..o�t►•..
72-013 (1/91) MOA 25
7
Page_
f
Permit No. SW 9
Municipality of.Andhorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 i Anchorage, Alaska 99519-6650 e Telephone: 343-4744
On -Site Wastewater Disposal Systeihn-wAWMmMNW'!nsoectlbnljlLdlYart-
.......... ....
TO
MIT—
a:zvz* ewam
Em
tdorE t -rCeOr_14. IS PAQALLF-L
ro -re- Noa-M4- 14-'
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ELBOW.
�OJNUAT Ohl d/O IS �-0CP'_Tr=D 00DE9
P'u_ f=t:>R - '50CID p1pa
OF SLSO't'15 15,A6145
-Trr,�JckA SLBOW GLSO1j
OF Ak
Aw
0.-ef iayA Darnel.
'y -A Waw.
"j!.. It,
got.
2.0 0 F r
Permit No.. 'SW 9 ?-014 \' Pagee�_.ot 3
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 o Telephone: 343-4744
On -Site Wastewater Disposal System 'lnsoeationriR#•Fort
---
9 4-- 21 Cd
PIPE= INV,
pN\J. Env.
GRDvrjD ki.EV• = 97.94- IMFL-VF--T= c14.52
._961.62
-
INV
56vrt� -tYa-sK-
ovTt.e r= 94.34 —`
4
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IS gl • 00 �-I•Zo Ei��ov��•rE�E=-D @- . SZ.,.bO_ owl
CLECva-ou`rS Q�rwti 5> PT1G 1rv�� Pesch A OF A4 I
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P.REPA1 E D r-09,: -t-0N`1 W I LSonl � 1. :L.:• ..
.__ /��Ct• ey A. Gayness
T2EPAED (3Y Al 45KA Wp=� ER WFks7EWAT�R SF�`�IGEs e� CE.7953 ••
PATS✓.% 10/18��T� ._: L7P�.1NN
EA
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Bo
Municipality ®f Anchorage
Department of Health and Human Services CfhhS
Tom Fink. 825 " L' Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
October 21, 1992
Jeff Garness, P. E.
Alaska Water & Wastewater Services
8471 Brookridge Drive
Anchorage, Alaska 99504
Subject: Waiver Request for Lot 3 Block 2 Sky Ranch Estates #2
Waiver Request #WR920057, PID #015-302-27, SW920344
Dear Mr. Garness:
Your request for waiver of the required 10 foot separation
between a septic system and a lot line has been approved. The
waived distance is 9 feet to the .lot line.
This approval applies to the existing septic system lot line
separation only. Any future upgrade to the septic system will
require all separations be met or another approval from this
department.
Sincerely,
Susan Oswalt
On-site Services
ljm #7
I
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Date Received: 90 - /e- 9 s_
Legal Description: 'ems-
Engineer: ti )e— Iva
Applicant:
G xxxxxx
,7 A
Waiver Requested: / tD , . ;tt • &_ e- a, Q-ZZZ:Zd .
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: y_ Waiver is NOT Granted:
List Reasons for above: 7'(0 21:L =czzz c_,.� .—
Date: I o - A By:
oY Reviewer
Rec #: Amount: $ 1C.CU Date Paid: \O -\9-`1l L
Waiver Review
Worksheet
WR# WA9�-O067PID#
o/S-3o2.-.I.7 HA#
^%A
Permit # 11�q�o3�y
Date Received: 90 - /e- 9 s_
Legal Description: 'ems-
Engineer: ti )e— Iva
Applicant:
G xxxxxx
,7 A
Waiver Requested: / tD , . ;tt • &_ e- a, Q-ZZZ:Zd .
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: y_ Waiver is NOT Granted:
List Reasons for above: 7'(0 21:L =czzz c_,.� .—
Date: I o - A By:
oY Reviewer
Rec #: Amount: $ 1C.CU Date Paid: \O -\9-`1l L
Alaska Water 8c Wastewater Services
"Preserving the Last Frontier"
October 18, 1992
Municipality at Anchorage
Department of Health and Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650 10 /-S-- 3 0,;t - S, 7
Attn: John Smith IXJ✓L. 97-0�CA7
Ref: Request for waiver of separation distance (Absorption
field to lot :line) for lot 3, block 2, Sky Ranch
estates No.2
Dear John:
During a site visit, I noted that the trench was being
installed only 9 feet from the property line and 1 foot into
the utility easement. This was done inadvertently in an
attempt to maintain a maximum separation distance from the
old crib to the new trench. As per your verbal approval, on
10/16/92, the installation was completed with the intent of
applying for a waiver "after the fact". Attached is a
letter of non -objection from Chugach Electric. I am unaware
of any impacts that this installation would impose on the
adjoining properties; therefore, I am requesting that the
waiver be approved. if you have any question, please call
me a 337-6179.
Sincerely,
Je Prey A. Garness, P.E., M.S.
Own r/Consultant;
JAG/jag
wilson3.WPS
Telephone - Fax 3380246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504
C
xg
V .Z
z
("1
0
V�
c)
7
Ref: Request for waiver of separation distance (Absorption
field to lot :line) for lot 3, block 2, Sky Ranch
estates No.2
Dear John:
During a site visit, I noted that the trench was being
installed only 9 feet from the property line and 1 foot into
the utility easement. This was done inadvertently in an
attempt to maintain a maximum separation distance from the
old crib to the new trench. As per your verbal approval, on
10/16/92, the installation was completed with the intent of
applying for a waiver "after the fact". Attached is a
letter of non -objection from Chugach Electric. I am unaware
of any impacts that this installation would impose on the
adjoining properties; therefore, I am requesting that the
waiver be approved. if you have any question, please call
me a 337-6179.
Sincerely,
Je Prey A. Garness, P.E., M.S.
Own r/Consultant;
JAG/jag
wilson3.WPS
Telephone - Fax 3380246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504
V"10411
hrlc
PCu, INC.
October 16, 1992
nv au Vv . L'V'1, 111 1 VUIVVLVULI V7.V LUI11R L/ U
CHUGACH ELEURIC
ASSOCIATION, INC.,
Subject: Letter of Non -Objection
Lot 31 Stock 21 Sky Ranch Estates Subdivision ,#2
SEh of Section 22, T12N,R3W,S.M.,Alaska
Grid 2737
bear Mr. Wilson:
Chugach Electric Aasoaiation, Inc. (Chugach) does not object to
the Septic drain field encroachment into the utility easement
on the north side of your property, Lot 3, Block 2, Sky Ranch
Estates Subdivision Unit No. 2. It is understood that the pipe
for the septic system is outside of the easement, as shown
drawn on the attached as -built: by Fred walatka dated May 28,
1974.
This; non -objection is given without prejudice to Chugach's full
enjoyment of any and all rights it may have in and to such
easement.
sincerely,
zrim Topolski
Manager, Land Services
JT/kjt
LETTERS/WILSON
Enclosure
5601 Mlnnesolo Drive v P.O. Box 196300 • Anchorage, Alaska 99519.6300 .
Phone 907 5637494 • FAX 907.562•0027
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW920344 DATE ISSUED:10/13/92
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE:10/13/93
OWNER NAME:WILSON JAMES A &
OWNER ADDRESS:11710 WRANGLERS WAY
ANCHORAGE AK 99516
PARCEL ID:01530227
LEGAL DESCRIPTION: SKY RANCH ESTATES #2 BLK 2 L
T 3
LOT SIZE: 15236 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH
INSPECTION. THE SIDE WALL OF THE TRENCH MUST BE AT LEAST
10 FEET FROM THE NORTH PROPERTY LINE. ENGINEER MUST VERIFY
SOILS TO A DEPTH OF 18 FEET BELOW GRADE. OWNER INSTALLATION
TS APPROVED FOA-uHIS SYSTEM.
RECEIVED BY:
DATE: 1/0-/V-(jz
ISSUED BY: JOIiN Z���f __ DATE:(7 3 v
'17
Alaska Water. k Wastewater Services
"Preserving the Last Frontier"
September 28, 1992
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On -Site Services Section
P.Q. Box 196650
Anchorage, Alaska 9951.9-6650
Ref: Septic System Replacement for Lot 3, Block 2, Sky Ranch
Estates #2
To whom it may concern. -
Attached
is the application, site
plan, and design
drawings
'For the
subject septic system
replacement.
Comments
regarding
the proposed system are
as follows:
installer will have to dig
1. SEPTIC SYSTEM. As can be soon From reviewing the
attached percolation test results, the soil "parked" at 10
minutes/inch at; the location proposed For the system. For a
trench system, this corresponds to an application rate of „£:;
gpd/ft2. Since the existing home has four bedrooms, the
total, design flow is 600 gpd. Based upon this, the minimum
amount of absorption area is 750 ft?. The proposed system
provides 840 ft2. of absorption area.
2. TOPOGRAPHY: The differential elevation of the ground
was "shot" within 100 feet of the proposed "trench". There
were no slopes in excess of 25% within this area that would
have an impact on the subject system. See the attached
drawing showing slope information.
3. As can
be seen in the design
drawings, the bottom of
the
trench will
be at a relative
elevation of 87.0 feet. Since
the bottom
of the test hole was only at 83.04 feet
the
installer will have to dig
a test hole to 81.00 foot
to
verify the
6 foot separation
distance to bedrock. I will
be
present to
verify this.
Telephone - Fax 338-3246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504
4. Because the boundary of the existing crib is unknown,
and the location of the trench is restricted by a 10' wide
utility easement along the north property line, it may not
be possible to maintain the 10 toot separation distance From
the new trench to the old crib. The system will be
"crowded" against the utility easement.
1 am unaware of any impacts that this installation would
impose on adjacent wells, or septic systems. Df you have
any question, please call me a 337-6179.
Sincerely,
, P.E.
OwnWhAsultant
;JAG/jAM
WilsonI WPS
'�'/7
et�'r��,�Y5'�"aM upoPLACO- 2
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DISPOSAL 15�Y.STIEJ•6.
dbmc,7-ame,--ej> AS PEIR
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z NATIVE Sall.a(Z
w
'=4�� PE�.F02PRE�
V DP,.Fi1rJ PIPE, wrrH
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°A WALLS MUST'• as PA)4 �
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_= 240 F: rZ a
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�.��?- IN Ci-{ SC��✓=NSD �GK��..��� A�P•'�•�•.••..o•• lS
-r�.>✓nt��+ �-r7a�L : VOT 3, IIK. z� SK.y P�LV.)<-l�` � 2 a *, e� �•, 1
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S
Municipality of Anchorage
DEPARTMENT 01= HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: TO fey W C LSo IJ DATE
LnT •3j (:3lACK 2
LEGAL ^^ '� Township. Rance. Secliow
99.0 —
1•
2-
3-
9
10
11
12
13-
14
3 14
a .
15
16
17
it:]
19
oa&6 Jtc.
6t-Ev = Q$-.6-
st4TY Sa,.,D
- ELEV = q7•o
Story Sa�D wl-n-I
sora- o(2L-a++tc S
HLEV = 915.5
e,11 -7't' -SOIL: weal
Sp IE ca661.�> • f'-ew
CD'BBI.E-S BELOW '? -0"
D6PT'H1 , So.AaD g�coti4E
FINES v.11i?+ DGPIaa .
C p� SILT I� Vw4g0WN,
SIcawALLS of 'TI
DID
ND -q— WAS GROUND WATER
SM EFl-iZ . ENCOUNTERED?
I'D I eA^110%
SILT 01-`l IF YES, AT WHAT
11, ?aoT- DEPTH?
NIG4•
=
to Water Alle
Monitoring?
q 77 ?
Msnilorinp7 N A Bale:
s4
SITE PLAN
Sa �DY
Data
Gross
Time
Not
Time
Depth to
Water
Net
Drop
�/ zo
30
RD
L41-4
.3 16//
Z
ef 20
60
30
3+ 1 u
3
9 zo
■
__�
kn
No
Reading
Data
Gross
Time
Not
Time
Depth to
Water
Net
Drop
�/ zo
30
RD
L41-4
.3 16//
Z
ef 20
60
30
3+ 1 u
3
9 zo
3 7
kn
0
120
20
3o
/o
q/�n
l i3p
3D
3 t 1
¢S7—it-h
201 1 It
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN 117_ FT AND ILS' FT
OMMENTS S.S�� 4r7QIF 11 _121_-0rr'ro 121=�-" Da -r)4 —TO 1=\1ALJ.4A--12r--
-ri &, -1LrF_S"r lA°-1 E.- OF Scw D 15 I u -r ..� 7 �,5T� CIS Sra[ 42F- CaNSf--ZV.47 VF_
PERFORMED BY: J5Fe GwzL-)f S _ I _�—"! �.. CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _ 2'fl 9 Z-
72-008
72-008 (Rev. 4/85)
/7
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10-01-92
Municipality of Anchorage
Dept. of Health and Human Services
On -Site Services Section
P,O. Dox 196650
Anchorage, Alaska 99519-6650
Sentlemen:
This is to inform your department that I will be
installing my own septic system replacement on lot 3, 81"
2 Sky Ranch Estates 02.
I will provide all labor man power and equipment for this
project. The tank and drain rock will be furnished by
separate companies.,
If I can answer any questions please let me know
Sincerely;
Tony Wilsun
10
72-013 (Rev. 3/78) /
MUNICIPALITY OF ANCHORAGE
• DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 2644720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME \, -- —___—
ANEW
R -
,r
,�i L�j ••i V L _�.i (71�J l)�A� rtiZ=�L� -.— J /_9 5'b .UPGRADE
MAILING ADDRESS_ -_
WAV -
LEGAL DESCRIPTION
C9 1��octc 2 ��< C Gn(�� �-{�cS i�-r� <�I✓Lf( v CFfG�la�C
LOCATION
Well / Ab orp ion area Dwelling
DISTANCE TO: /
p > 200 ,,��„ ,r, , -�
NO. OF BEDROOMS
PERMIT NO.
Y _
2 ManufacturerMaterial
No. of compartments
Lice. capacity in gallons IF HOMEMADE: Inside length Width
Liquid depth
—
DISTANCE TO: WeII Dwelling
PERMIT NO.
2?F
Manufacturer ivy;,-�� Material
Liquid capacity in gallons
Lh
❑
w2
m u p
w
-- WeII /
DISTANCE TO: f:2.Gp
No. of lines Length of f�t Ime
/
Fid io /
j
Total � c�(lI of lilies
�(/1
Nearest I�� li e
Trenclj ryid[h
Distance between lines
FJ- Z
I V
_�(� _/_inches
� F
Toa of file to finish grade
--
t nal beneath.ti e.
�i . t r E}t •J.-, `��
Tota,
eff ctive ab sor t on area
—
Length
Width
Depth
PERMITT NO. I1
w
/
C7
Type of crib
Crib diameter
—-
Crib depth
abso'
Total effective rption area
p�p
r ,�(N1
DISTANCE TO:
Well
X700
Building foundation
Nearest 10 11 yne
Z -F'
J
Class
Depth
Driller
Distance to lot line
PERMIT N0.
w
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
--
OTHER
PIPE MATERIALS
SOIL TEST RATING`
Ta
INSTALLER
-REMARKS
V �t-l. J(2 Ul/-r(2.
s<
•(/K/.f'ir9/r
r
�
t-
14,
"'
1,
K
(^!N't �/l iJ� r ��•e
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�� 16 I'KI -14") k)
r
.1=113S
U,
/t
1
Pti=t-V
( 4'j
fwlryl
V6, Ile
APPROVED > d I r i DATE
LEGAL
, r
—
—
72-013 (Rev. 3/78) /
PSP F._6 P*F I C=, I F" ►-II L_ :C T' "•d' 119 F"- F=B rA C 1-110 F—C I=l 0i FF
DEPARTMENT C- HEALTH AND ENVIRONMENTAL ' 'OTECTION 1 '
825 'L. STREET, ANCHORAGE., AK:. 9
264-4720
C� rtF-�-'::.* 7E "1-' �: �� � P -•.P � F� ►,JI F'" ►aii P=': H=F E� �.: 6=-" E� �. fn^: Y'1 :� '7" �
PERMIT NO. ! 7803.74
AP'P'LICANT MCCOY CONSTRUCTION
LOCATION WRANGLERS WAY
LEGAL.. L'3 B2 SKYRANCH ESTATES
TYPE OF SOIL ABSORRBTION SYSTEM IS
MAXIMUM NUMBER OF BEDROOMS = 3
P.O. BOX 3-4024 FINCH 99501 349-4205
LOT SIZE 15256 SQUARE FEET
TRENCH
SOIL. RATING; (SO FTrBR)= 250
THE REQUIRED SIZE OF THE 'SOIL ABSORPTION .. TEN IS:
,
C:, lE" E =` "9� tl-E _- :.9_ �:L !_.IE e Pdi►�'T' Fi = = ,r.' ►.a �: t=1 a� �: Y-_. [:-+� E-' `T" F• -F = :�"
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 <_URFACE. 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: C_3UTFAI_L PIPE,
AND THE BOTTOM OF THE. EXCAVATION (IN FEET').
IFR-r..ncou TC IF an n Pz m'"r TE If^: -rnmo M T: E = _f SM I ►.�F SF.._F.._...e sP'A"
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
---rw_- iPA az to :7 TE PAQ;F"aco"r Tn covAs; F=iutIEE" FoEnaF.w :L' F-7 FElzP
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION FINE:; APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON" -SITE rEWHGE DISPOSAL SYSTEM I'
100 0 F'E ET FOR A PRIVATE WELL..: OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE. OF PUBLIC WELL.
OTHER REQUIREMENTS MAY APPLY. '_SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F"EKFTPlT:'"r ENKF='JI:FOF`=,; raKC2E PlF3F=':FT :TAL
I CERTIFY THAT
1: I AM FAMILIAR: WITH THE: REQUIREMENTS FOR ON-SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL. INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDER TAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE
RES I DENC:E; I S REMODELED TO INCLUDE UDE MORE THAN 3 BEDROOMS.
------------------
rlGtdFD M�-----------
APPLICANT MCC:O4C INSTRUCTION
I
K0
AND WELLS AS SET
ENLARGEMENT I1= THE.
ISSIIEE+I3y(--'Ld�d:l14'-- _� 1, �.! ._fr _'. }'I.% j��.."D FIT E11 - 11.'. ',_ V3. 2
JL.1 UI 1V 1V VL 1 IIUV1111 VVIVVLVVLI V -1J -,I l 1/, V. V
tTo
`bd¢ I • rYwr : 0 t
�S . � g ""' + � dQ ; a X� •tea, r ' �' I
i Ir 'fit
qtr ; elb4■o �~
I
fav ' ..F
IF
... , .' bza-." '_ j .. , n.. _ — _, �.� • ' n % mss.' p_'.' ; ,." :..i. '•i. 1
•r 1 I �"'�u1Q[r •r-�.�N'r—�� y'. :l..i l.� ' i.. , '-i �Iy /r�. i..�_ ... _• "';.
xx_LLnohtoenia—.� _ —j -7 I e C.:-•-.;_ y_ �.! r.'
�Atc.Of-SuYie
�,.. ..( ..,:..;. I �-•Y`•"'� P_.,,-_. ,. y%::.1..•.i i. �l_•}'•I' ('ir�,.l r i
4• �. j -1-y ijT.1.qj
-,:i ; •i� 4r 1 fT. I _ _%_.r.^^^ P i..l••�-: .y __i.,..�� I .i
' ..�! ».a..:,'.._'t-,��r"'F" y ��I','� �-' L;,. ie:rf!{.'ed .i)0•�14-77�� Wil.. �y'�! ,"_
? -`I
•I �•� I'1 I"�'j.�.� n•' iT.� j..r.T, urruia{�'� fiei•. i? •�'`Q=20+15I7'•
7
' j .� W � i.:�..�=r ._!� i..T�j..,,. 1•' -Tr. '�' �• �.,'I. hereby certtfy that zh■ve sveye_ye.d._the LaAow.i
ng1-If
i,j_�,...i � A►n►ti��y�� I� daalbed property. �.' 4P 7" ea'� BLS c^
OF gC,4nisl - i I .s,�'v .Z14iVCo7
_�.�. ... ` �sr res
4W 42
IV
j,.y;�,,•fjka }I ��I � Anchorage Recording Frednet, Alaska, and That the
. ' t :,'- 'I•;'_:' � , Improvements sltuatarl thereon are within the property
,i �� •q� -Ll linea and do not overlap or engroach on the property
�' '"' 1 •• ' •g•"1/ lying adjacent thereto, that no lmpprovernents on pro
�+•� Fred Walotka 0 % j'";'!' arty lying adjacent thereto encroach on the promises in
r 8f •.• No. 52535�� 7 question and that there are no roadways, transmission I
a-,
7��r• li!_ �� j �9F .tip �•.• ��T+ lanes or other visible easements on said property except i
�V. .•I ,a pp ••..••.••• �,p° ;_;..L _ as indicated hereon.
���`�S3toNA �`„r•*'' I .:.t 1 I Dated at Ancharagq Alaska
'y'T .1.1- thl• � d■q o1_� •qy 192!f
11 ' Z. I i : - HED WALATI{A & ASSOCIATES
-1414 71"-'��ci•.f¢__ Engineers ryand Surveyors
l���Q GREI- ER ANCHORAGE AREA BOP 1JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME t^-yg0/L C,E' 1-110eo MAILING ADDRESS S44 1gy)C ry-OJ _ PHONE
LOCATION �C� 6112 LEGAL DESCRIPTION -T 2__ Set i2 An/cN F%
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELL J MANUFACTURER S7�10X-6n=e_- MATERIAL U"1/B1141 . COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH_ LIQUID DEPTH _LIQUID CAPACITY /0-" GALLONS.
SEEPAGE PIT:-/a/x'{o / x 2 1,,x /b/
/
NUMBER OF PITS DIAMETER --OR WIDTH—, LENGTH_, DEPTH
LINING MATERIALL0,/s_ RIB SIZE: DIAMETER —DEPTH. 7 / DISTANCE FROM: WELL
/„A TOTAL EFFECTIVE
BUILDING FOUNDATION 2-O NEAREST LOT LINE �70 . ABSORPTION AREA (WALL AREA) —SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE eDM m —CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE_
CESSPOOL
APPROVED
DISTANCES:
OTHER SOURCES
D/�/kern
NEAREST
SEWER LINE
DISAPPROVED REMA
INSTALLED BY:
PIPE MATERIAL O&ST L"20nI
LOT SLOPE:
REMARKS: �Nyk.'T 0A/
i7/9Sb20v7/o�%
Form No. EQ -031
DEPTH
SEPTIC
TANK_
DISTANCE FROM:
SEEPAGE
SYSTEM .
DIAGRAM OF SYSI"ENi9l� 2SO
y `Ids,
DATE 0- 10-%ri APPROVED
C'MEATFF� ANC1'IORACS11 ARM HAMIMH
A,it I'I Hr.riiwrw.-_tq'r of.- rNvjUorj%jrm-m, PERMIT No.
V�R\ 3330 -C- S I RL C L 1vN 11C HAC l AI II !)!rS03
AV V I NOT V 4 1
L) SAluo Ana/
AZ,117. OF ALIFIE-IC, ANT
WWAH ND
IG ADR;S
INSTALLATION LOCATION i,(Jkzz�) wlem.v fy IV C -I
IXGA1_ DFSCRIPTION - :' � - . ) - z
IMMAUAADN in SEP1161W SKEPACr PIT- lj!.AIN Fill 1) H❑I
TYPE AND YZF OF FACH-i ry io BE ;,ERVFD_
FINANCED IHMOUGH lu 13F INSIALI ED Ly
SOIL TEST RESULIS 7 7,:,
Cole,! _,IIR;N DARE
FINAL, INSPECTION, 24 IMUI? hHATICA: ITHOULIVEn. BACKFILI IPTG OF ANV 07ficiAl WITIMUC I In: W.11 11 FROF! Hy II W
DEPARTMF AT OF FWVHQnNM2NTAL CILIALLTY AUTHORITY tHILL DE SUMEXT TO PRU" I H„ -U-::..
EHPFlK_ rANr SJ 7 f, _(F() 5 (YPILC ASIA
1MUNDAMON 10 50 rit rANK
zc
FOUND&NONTOSEUPAck
SEPI C I ANIK' l0 SEVPAGr 1 -ii WA.Li.
sLpric TANKS
EEPAGE I'll DRAIN I HLLU
PO NEAULS1 1-01 LINF_
WELt, rO 5EPi IC I AN. SEEPAGE PIT
DRAIN III L.D ALSO CONSIDER AREA VIELI .S.
WXMIT MAIN TO SEPTIC fANK sl EPAGE PI I
S1,11TIC, -1 ANK, /GCSFEPAGE PIT DRAIN FIELD
10 RIVER, I-AKE, STREAM.
CAST IRON HIM AND OUT OF SEPTIC TANK AND INTO CBIS CNOSSING CAP Or
EXCAVATION 5 FEET HMO UNDISTURUTO SOIL.
4 INCH DIAMETER CASI MON SIPHON PIPES 014 SEMIC TANK AND SEEPAGE FIT
FJ I LED WITH AH?HGNT REHOVABLE CAPS.
GIRAvri- 1/11,CKFILL,
Cow oRmyo BOROUGH RCOULAI IONS REGARDING INSIALIATION.
OH
LIZEN51113 DESIGNER
II II_LII
IF
j
.0
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCIPURAME AREA WwWMI WATil Vr.V NNW wvuTNF. Amw�
DESCIIIIIED SYSTEM IS IN ACCOROANCU. WITH SAID CE)DIL.
DATE
APPLICANT'S SIGNATURE
j
.0
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCIPURAME AREA WwWMI WATil Vr.V NNW wvuTNF. Amw�
DESCIIIIIED SYSTEM IS IN ACCOROANCU. WITH SAID CE)DIL.
DATE
APPLICANT'S SIGNATURE
li f i. ; v ';= Y)
120nstzur-Ron gzit, -fag - IM W
"One test is worth a thousand opinions" IGe,F ry
to NCHOFA,rE A3FA pogo-J1F1
o:,r:.. cnVnrrat �IGAL!1
0029 TUDOR ROAD. ANOn ONAOE, ALAOKA 00007 0 TKL[PNONC 333.0472
Performed For Glacier Excavating_ Date Performed 5-17-74____
Legal Oescrintion: Lot 3�B1ocE: 2 Subdivision Sky --C
This Form Renorts Soils Loq_ yes Percolation Test_
Peoth
Feet
Soil Characteristics
?� INLET TO SEEPAGE PIT
2 _-
3 -_ Silty Sand with some cobbles
4 SM -250
5 —
6 --
-7-1&�Bottom of Seepage Pit
R --
10-
11w-Bottom of Test Hole
Was Ground Water Encountered? No_
I.f ves, At what Depth?
%P/
Read inq
Date
Gross Time Net Time
Depth to H2O Net Dr
Percolation Rate rnnULe
Proposed Installation: Seenaae Pit yes Drain Field_
Oeoth of Inlet Depth To Bottom Of Pit Or Trench —
CMAENTS: 250 sq. T• rainage area required per bedroom__
No Bedrock or water table 4 ft below seepage pit �-
Data Certified By:Const. Tes, L
Test Performed By Jim Mack ""—
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904 sa c==
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 015-302-27
1. GENERAL INFORMATION
Complete legal description
Expiration Date: _C- t 'T
Location (site address) 11710 Wranglers Way, Anchorage AK 99516
Current Property owner(s) Daniel & Kierstin Boorstein Day phone
Mailing address 11337 Our Road Anchorage AK 99516
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual
Individual Water Storage
❑
Holding Tank
❑
Community Class A Well
®
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for: Distance:
Received by: 'f-, Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 5 -24 -
Date of Payment 5-12,1115 C &
Receipt Number 6l V4 �.
COSA# 031211512
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING INC. Phone 868-3791
Address _20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 5/20/15
Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,ArcTer` d(A/
ra can not w II functione any satisfactory for current t oow rn
g a
system future \�,\1Y OFAV,
\Q�
occupants or can ArcTerra guarantee that no unseen ��
encroachments, deficiencies or discrepancies exist, j=� ON-SITE
WATER AND m = OF A \S
�O WASTEWATER Z Ar t
PROGRAMS` / Ttt y*
%�O,o�
Of --
��, NTSER\I\
Jll!l11111)19 ENE`PH M. DUH
6. DSD SIGNATURE I, Kvns
tl System #1 Approved for bedrooms. a vs'" G�
�bFESS1U3�`' E
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
By: Original Certificate Date: (0
The ,ty f horage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA bNe sheet_10.10.12.dac
If more than 1 septic system is on the lot:
COSA Checklist # of _
Structure served by this sys—tem _
Certificate of On -Site Systems Approval Checklist
i�
Legal Description: SKY RANCH #2 BLOCK 2. LOT 3 Parcel ID: 015-302-27
A. WELL DATA
Well type A If A, B, or C provide PWSID # 212916 Well Log (Y/N)
Date completed Sanitary seal (Y/N) y Wires properly protected (Y/N) Y
Total depth ft. Cased to ft. Casing height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
.=
Coliform colonies/100 mL Nitrate mg/L
Arsenic: ug/L Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC I STEEL
Tank size 1250 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
Date of pumping 5-14.2015 Pumper Around the Clock Pumuing
FN
.=
Collected
Date installed 10.17.1882
Cleanouts (YIN) Y
High water alarm (Y/N) N
C. ABSORPTION FIELD DATA
Date installed 10.174992 Soil rating (g.p.d./ftz or fta/bdrm) 0.8 System type DEEP TRENCH
Length 63 ft. Width 2 ft. Gravel below pipe 7 ft.
Total depth 11 ft. (Measured 5/14/15) Eff. absorption -area 882 fta Monitoring tube Y Depression over field N
Date of adequacy test 5/1412 0 11$ Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 60 in. Water added 1050 gal. New depth 73 in.
Elapsed Time: 900 min. Final fluid depth 49 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES — CLASS A WATER SYSTEM
WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer /septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 104 Water service line 101+ Surface water 100'+
Wells on adjacent lots 2004
ABSORPTION FIELD ON LOT TO:
Properly line 9' (MOA Waiver) Building foundation 10'+ Water main
Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 104
Curtain drain 50'+(Nonerrnownt Wells on adjacent lots 1001+
F. COMMENTS
Vacant house therefore system was surcharged prior tatesting. NOTICE: System is operating in the top half of the effective depth due
to its age which is normal. therefore 50% of the system is full
G. ENGINEER°S CERTIFICATION
I certify that I have determined through field inspections and review of
Municipal records that the above systems are in conformance with MOA
COSA guidelines in effect on this date.
Engineer's Printed Name
COSA canary sheeL_2-6-15.doc
OF A
Ar
Ale
I�'%, 7f 18 q/
1 �FE33f8�� �
v�\�E
Municipality of Anchorage
Development Services Department
Building Safety Division,
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343.7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-- 3o2 - 27 COSA# CSC It, 1 01
Expiration Date: S- % 3 - �!
1. GENERAL INFORMATION
Complete legal description C—,91-3 f3(,_xcV 2 Shy Ru115h 1-sA:4& itZ
Location (site address) 11-710 W fOr>q l ers wary
Current Property owner(s) Tn Ff Ci-rltr Day phone 2YU - r36�
Mailing address
Lending agency
Mailing address
Real Estate Agent
It 710 LV✓gng1err Wad, hnch. A -L— 99SId
Day phone
'reres C�t 13e1I- ✓eIter -W.11#ufntrDayphone 2No-2ZY�
Mailing Address_,..
Unless otherwise requested, COSA will be held by DSD for pickup. PI ecu e w It Terse -r o [; ell
�J zv o - ZZvb w►+e•, Cosh
2. NUMBER OF BEDROOMS: �_ ready FL - fp
3. TYPE OF WATER SUPPLY:
Individual Well ❑
Individual Water Storage ❑
Community Class A _ Well
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding Tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. 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 _ r(uf /fir
T,,chn. ca/
E e r✓. c o/
Phone 3 `/S - 13 ss
Address I yS�3 o Echo
ecr nyo_
A-^cA005 v
A -1c 99S l(,
Engineer's Printed Name 77i4oaf0
ip
f=. hRao ve
Date H / Z> / zoite
•ur;w
5. DSD SIGNATURE J
✓ Approved for '7�
Disapproved. �T�
Conditional approval for
bedrooms.
+.moi?t�(ra.r..•s
F. uc( ORE
bedrooms, with the following stipulations:
h
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
BY Original Certificate Date: 3'
(Rw 11105)
Municipality of Anchorage
Development Services Department ;
i Building Safety Division
__ .. On -Site Water & Wastewater Program 4.21111
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: t -o f 3 , S toe k 2 S /'y Aq ne 6 Gaf /x'Z Parcel ID: Q'S- ' 30 0 17
A. WELL DATA
Well type �If A, B, or C provide PWSID # 212916 Well Log (YIN)
Date completed _ Sanitary seal (YIN) _ Wires properly protected (YIN)
Total depth ft. Cased to ft. Casing height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
Well production g.p.m. 9 -p.m -
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL
Arsenic: _ ug/L date of sample: _ Collected by:
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Sin 6'c / SI��P / Date installed 10117192,
Tank size 1260 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Al. A,
Dale of pumping Pumper ArilUA,( a C ite „u.•,/.%+�n
C. ABSORPTION FIELD DATA
Date installed 10117 : / 2. Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8,70Z System type Titn c h
Length 63 ft. Width 2 ft. Gravel below pipe 7.n ft.
Total depth W. T ft. Eff. absorption area4 BZ ft? Monitoring tube Y Depression over field IV
Date of adequacy test 3 /31 / 26*0 Results (Pass/Fail) FcW For Aif bedrooms
Fluid depth in absorption field before test 6E in. Water added I&W gal. New depthb"z in.
Elapsed Time: i's d min. Final fluid depth M9 in. Absorption rate >= 600 g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) None k n s �- If yes, give date /•1. /4
D. LIFT STATION t4.4.
Date installed
"Pump on" level at _ in.
Datum
E. SEPARATION DISTANCES
Size In gallons
'Pump off" level at_ in.
Cycles tested
Manhole/Access (Y/N)
High water alarm level at
Meets alar & circuit requirements?
in.
SEPARATION DISTANCES FROM WELL ON LOT TO: N. A. C (orf
Septic tank/lift station on lot On adjacent lots
Absorption field on lot
Public sewer main
Sewer /septic service line
Animal containment areas
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 6 Property line ZZ' Absorption field It,
Water main > SO' Water service line > t o Surface water foe✓,
Welts on adjacent lots �> 2c1'i'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 9 Building foundation 2Z Water main I
Water Service line '>10' Surface water -> t0o Driveway, parking/vehicte storage -> Suo
Curtain drain "o4e gaon Welts on adjacent lots 2-00'
F. COMMENTS
G. ENGINEER'S CERTIFICATION !,.° • • ° `"?4y
certify that I have determined through field inspections and
. l ( +, ,> '•'i'' f'
f, f. •.: W y • d. •y.
review of Municipal records that the above systems are in r......................:...t
conformance with MOA COSA guidelines in effect on this date. '.
.,Engineer's Printed Name 7 )7doc?6 re F. t`7uO.Zo _'°'' y''4` r• III( ' r ;F
Y. Ca-3'3E9r'�r•sr
Date y /27/ 2G/b
COSA Fee $ `1t 90 Waiver Fee $
Date of Payment S-IY120/a
Receipt Number ()_5 5 ti 8 C
(Rev. 11105)
Date of Payment
Receipt Number
M
Municipality of Anchorage
. Development Services Department
Building Safety Division
On -Site Water and Wastewater Program „ T.
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. o r5-- _ so 2 - 2 7 COSA # QjDaJ$
Expiration Date:
1. GENERAL INFORMATION
Complete legal description Let -3. 8/oc 4 2S / -X Rock F's fo;Vz 02
Location (site address) 11 -710 t t�"q f e r^s
Current Property owner(s) XeE 42e r f r Day phone 2 fO —r36f
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
it 710 leirtir�gle�r l�o7y,�'�' Ak 995-1r;
Day phone
Da,r
Gindroe' Rtr`rax
Dayphone
72-7 3.300
Community On-site
❑
Public Sewer
fro
CZ,. 36r"A&�' #t Go
�n P �k
99503
Unless otherwise requested, COSA will be held by DSD for pickup. Pirare en /r Paw L.Y•nefroe 4e
7 27 -3300 when r!OJA "Way A' -'A u.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well ❑
Individual Water Storage ❑
Community Class A Well
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding Tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Onsite Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also Issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (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 engineers work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation,
based on procedures outlined In the Certificate of Onsite Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Nameof Firm Ffaf-161! Technr«rf Se, -vee, Phone 3y-f--13sSr
Address E•cAo �or�yo.. Ro// An Aey-crgy ¢cc 9Qsyd,
Engineers Printed Name i-�oo alo,p F•. rro�o •-ev Date Sfjf y 2<007
gypp•.: 11v...•... �-a�
VD'
5. DSD SIGNATURE �'" �'•'� """"""
R,.IHEODORF F. MOORE
G Approved for �, Vis. CE -3529
—1
PP � bedrooms. � �•�'•., q�o7•,.�
r,
Disapproved. R��f
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By. Original Certificate Date:/ 7
paar. 1os)
h
Municipality of Anchorage
�
Development Services Department _
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: I-Ot3.o 0/0C k 2 S Ic, RaAe/i Esk. 2 Parcel ID: O is- -3,0 Z- 27
A. WELL DATA
Well typecL•acr %4 If A, B, or C provide PWSID # � r 291 e Well Log (YIN)
Date completed _ Sanitary seal (YIN) _ Wires properly protected (YIN)
Total depth ft. Cased to ft. Casing height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
Well production g.p.m. 9 -
p.m -WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mglL Other bacteria colonies/100 mL
Arsenic: _ ppb date of sample: _ Collected by:
B. SEPTICIHOLDING TANK DATA
Tank Type/Material 5t0> -(c / Sl4e/ Date installed to / 17 / 9 7 -
Tank size 125-0 gal. Number of Compartments _� Cleanouts (YIN) Y
Foundation cleanout (YIN) *r Depression Depression over tank (YIN) fJ High water alarm (YIN) N• A.
Date of pumping 8/20/0'7 Pumper Ar-91�� �•� G(�c4 1�uMp;n�—
C. ABSORPTION FIELD DATA
Date installed Io //7 2- Soil rating (g.p.d./ftZ orft2/bdrm) 0.94110d System type T�e�eS
Length �_ ft.
'Width 2 ft. ft Gravel below pipe 7.0 ft.
Total depth w!; ft. Eff. absorption area862 ftZ Monitoring tube Y Depression over field V
Date of adequacy testB / 16 / 0 7 Results (Pass/Fail) Pori For _' _ bedrooms
Fluid depth in absorption field before test6 I in. Water added I00c' gal. New depth7S:2 in.
Elapsed Time: tt oe, min. Final fluid depth 6sl in. Absorption rate >= e06 g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) Nd+e un O -- If yes, give date
D. LIFTSTATION N.A.
Date installed
I
"Pump on' level at _ in.
Datum
E. SEPARATION DISTANCES
Size in gallons
"Pump oft" level at _ in.
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO: N• A.
Septic tank/lift station on lot
Absorption field on lot
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
C fats,( "q ^' t x�v Irr Cyt kr°
On adjacent lots
On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer /septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation �' Property line 2.2•' Absorption field it '
Water main > Se,, Water service line > to Surface water > r cvoe
Wells on adjacent lots > 2cuo '
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 9 ' Building foundation 2• Z ' Water main > S'a '
Water Service line > t6 a Surface water _> luo ' Driveway parking/vehicle storage >.5101
Curtain drain Nmns Spon Wells on adjacent lots > Z.� '
F. COMMENTS
kc,t lent p. ti ` (?': r:�•;; E'E.
G. ENGINEER'S CERTIFICATION °' C 99 Tk I
a
I certify that I have determined through field inspections and
conformance with MOA COSA guidelines in effect on this date.
review of Municipal records that the above systems are in r
�.T''E°ncr.,: F. N Does
Engineer's Printed Name 'Thooe-&.e != Mc.o�t' , '�`�y�7.'•�L<^l4f
Date Sent y 2ao
COSA Fee $---,Y-?o =dC Waiver Fee $
Date of Payment _ l� Date of Payment
Receipt Number 99J I0 Receipt Number
(Rev. 11105)
in.
o\§>}X§
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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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # 015-302-27\, - HAA If c
1. GENERAL INFORMATION �C
Complete legal description Lot 3; Block 2. Sky Ranc4A#2
Location (site address or directions) 1 1 71 0 Wrangler
Property owner Tony Wilson _ Day phone
345-5324
Mailing address 11710 Wrangler Way Anchorage, AK 99516
Lending agency Day phone
Mailing address
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: _ `1
3. TYPE OF WATER SUPPLY:
Individual well
Community well XX
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
XX
Individual on-site
Holding tank
Community on-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.1/91) Front MOAe21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application 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 furtherverify 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 in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection. `
Name of Firm Alaska Water & Wastewater Phone 337—
Cons-idtants, Me.
Address
Engineer's signature
6. DHHS SIGNATURE
0
,Anchorage, Alaska 99504
X_ Approved for 4 bedrooms.
Disapproved.
Conditional approval for
Additional Comments
I
Date
bedrooms, with the following stipulations:
Date i-29 - 29
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineers work.
72-M(RW.1/91) Back MOAN21
F It
*0�
Municipality of Anchorage SEP I DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division tour.'"
ENVIRONMENIAL6N liae: -.:
41
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Legal Description: L- :� i D
A. WELL DATA (�OlkiLA 11tH%
Health Authority Approval Checklist
S rT �4NCS EJ' -- Parcel I.D.:—O/5 - 302 -02 -�-
Well type NAA S A If(& B, or C, attach ADEC letter. ADEC water system number _
Log present (Y/N) N/A- Date completed _ A//) --p
Total depth _ Cased to _ N �%} Casing height (above ground)
Sanitary seal (Y/N) _ Wires properly protected (Y/N)
FROM WELL LOG
AT INSPECTION
Date of test
Static water level
Well production g.p,m.
WATER SAMPLE RESULTS:
Coliform (J/4 Nitrate IN %/4 Other bacteria
Date of sample: __ ZVLA --Collected by:-- NIA
N/A
B. SEPTIC/MOLDING TANK DATA
�s� CoanP• C/o
ek
Date installed �� �� _ Tank size IaS66k- Number of Compartments �` _ Cleanouts �Yf�l) - cf e pFa<
Foundation cleanout (Y)N) UNKf 5741AS Depression (Y �° High water alarm (Y/N) _ i'//i-
Date of Pumping _ -_ 0013 Pumper {�C�Ty �7�r
C. ABSORPTION FIELD DATA
�!7 ! Z %
Date installed. Soil rating (g.p.d,/ffz r itz/bdrm) System type _ t�P 12ri_
t Ei
Length _ �� _Width _ Gravel thickness below pipe __Total depth 10,S
Effective absorption area gra SS r Monitoring Tube present(YY%) Y _ Depression over field (Y/Q W
CD ` )
Date of adequacy test o Results (Pass/Fail) —C �S ^ For °U L bedrooms
Fluid depth in absorption field before test (in.); >I r Immediately afterl. 56 gal. water added (in.): 6� 6
Fluid depth _ S3'5 (ins) Minutes later: M1 Absorption rate =__ 600 _g.p.d.
Peroxide treatment (past 12 months) If yes, give date
14UtD L_F_uE.t_ IN D2AimFtEt_n r"aSE orgy a'r
72-026 (Rev. 3/96)' AF7EJL '! lffz LF+S7 SSS 6FtU_0"5 LAIH&Jw C. "060.
D. LIFT STATION
Date installed Size in gallons --
Manhole/Access (Y/N) "Pump on" level at* "Pump oft" level at* `
High water alarm level at* *Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot On adjacent to
Absorption field on lot On adjacent to
Public sewer main Public sewer manh(
Sewer /septic service line Lift station
SEPARATION DISTANCES FROM SEPTIC/1-160DIG TANK ON LOTTO:
Foundation S Property line S t Absorption field S
Water main/service line 1 Surface water/drainage 100 ,+ Wells on adjacent lots ) oo '
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
� (iJRIVE IO'1�'S2
Property line Building foundation to / Water main/service line
Surface water 106 d- Driveway, parking/vehicle storage area 1 D
Curtain drain oWE Kti°wN Wells on adj
F. ENGINEER'S CERTIFICATION /
1 certify that 1
in conformer)
Engineer's Nam
Date Z? cl
HAA Fee
Date of Payment /
Receipt Number
72-026 (Rev. 3/96)*
inspections and review of
?s in effect on this date.
oo Waiver Fee $
O Date of Payment
`��a Receipt Number
MUNICIPALITY OF ANCHORAGE
j=-- DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
4! Alaska 99501 Tolephono 204-4720
4 825 L Street • Anchorage,
\^ CERTIFICATE OF INSPECTION
SEWER AND WATER FACILITIES
1, PROPERTY OWNER
L7 /I/
MAILING A DRESS
2. LEGAL DESCRIPTION '
oA
3. TYPE DWELLING
X- SINGLE FAMILY RESIDENCE 0 OTHER (Describe)
0 MULTIPLE FAMILY RESIDENCE
--
-----------------------------
4. WATER SUPPLY
0 INDIVIDUAL
COMMUNITY/PUBLIC
�-__s
G. SEWAGE DISPOSAL --_--- --- ---
J, INDIVIDUAL/ON-:i ITE
-J PUBLIC UTILITY
O HOLDING TANK (Maintenance Required)
_ APPROVED FOR __ BEDROOMS
EE
O CONDITIONAL APPROVAL (See Attached)
O DISAPPROVED
DATE ��
BY (TITLE)—
�
72-014 (3/78) /
i\ /
'ILIN I C I PAL I TY OF ANCHORAGE
DEPARTMEi r HEALTH,AND-!=NVIRCINMCN'I RbTECTION T
�r /II 825 L Street, Anchorage, Alaska -995 1 e� '
�4 \ 2.79-2511, ext. 224 or 2.25 �i(Y
L �� I � �� Date Received: April 2.2, 1977 —11L
��
#1: Time Hyl_ # 2.: Time i( t S 3!� It 3 : Time _Lo�U —
Date -�)) I_ J os nate _[ =LZ r Date
Insp 1Lav Insp c..� Ins �
IQ,—
REQUEST FOR APPROVAI, OF INDIVIDUAL SEWER AND WA'11ER FACILITIES
1. Lending Institution Request:
Mailing Address:
Phone,
2. Property Owner: _ Virgil/Judy Henke Phone, 344-9661
Mailing Address; Star Route A Box 1630E 99507__0%> Q
3. Legal Description: Lot 3 Block 2 Sky Ranch Estates
4: Single Family Residence: (x) Number of Bedrooms: 3
Multiple Family Residence: ( ) Number of. Bedrooms:
5. Well System: Pub'I.ic/Community System: (k) -individual Well: ( )
Permit II
Depth of Well
Well. Log on File ( )
Construction � _—� ,-- _^ — Bacterial Analysis
6. Sewage Disposal System: On-site System (x) Publ-Lc Utility ( )
Permit # Installed 1974'_ Installer (p/& __' LCt_t
Septic Tank Size Manufacturer�Q
c/o ygix,�6X /S�' —
Absorption Area_ ,— Soils Rate Material be � `%
7. Distances: Well to Septic Tank to Absorption Area
to Sewer_Line
to Nearest Lot Line
Nearest Lot line Absorption Area
Page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Wager Facilities
Legal Description: Lot 3 Block 2 Sky Ranch Estates
Comments:
Affadavit Attached: `..(') Letter Attached: ( )
Approved: _ Date: --
Disapproved: Date: j` �(�J _Z
Z7 --
Department Work eet:
I
W
3
n
5
6
7
8
AUNICIM.ITY of ANCHORAG,
Department of IIealth and Environmental Protection
825 L SLreel, Anchorage, Alaska 99501
279 25].l, ext. 224, 225
Request for Approval of :Lndi.vidual Sewer and Water Facilities
Property Owner: Virgil_L_-&_Jud_F�II�r�]�._
Mailing Address:SRA Box 16_4_E -------..--Phone: 3-44
Anchorage, Alaska 99507
Name of Buyer:
Mailing Address: _-------_-,_-- Phone:
Lending Institution:
Mailing Address:-----^,-----------�_---- Phone: _A
Please contact agent for entry».
Realtor/Agent : Polar Realty Inc hv_Moses _or Disk
Mailing Address:101 E. International_ Airport _Road Phone: 272-15
Anchorage, Alaska 99502
Legal. Description: Lot-3,__Block 2,-Skyranch Estates_-_-
Stre-L- LocatJon: Wrangler's Way (NHN)
Single Family Res.idenco: (X) Number of Bedrooms: Has three -•-please
indicate if approved for four bdrms.
Multiple Family Residence: ( ) Number of Bedrooms:
[^later Supply: *Individual Wel].
If Individual Well, well depth
( ) Public/Community System (X)
If Community System, name of system Sk_ranch Estates
Sewage Disposal System: On-si-te System (X) Public System ( )
If On --site System, date* of instal:Lation: Ju111974___, _
" h�l(IPAL117 �, 11i)RA�%f
*NOTE: A well log is required on ALL wells d4-i.l. eplrf�d G 7'?t1ohf'
Ir I
3/77
�. e,\ -
MuhgClPgU
lb
FNv ikc>nPTr�°oy�
GREATER ANCHORAGE ARL',
BOROUGH
Department of Environmental
Quality
�"w,
3330 "C" St. , Anchorage, Alaska.
99503 - 274-4561 i"y.
r7,.•••
���/��
REQUEST FOR APPROVAL
OF
INDIVIDUAL SEWER & WATER
FACILITIES
1.
Type of Inspection: CMRO VA
FHA
CONV _X
2.
Property Owner: Virgil and Judy Henke
Mailing Address: _SRA Box 1630 E
Day Phone
344-9661
3.
Name of Buyer: _
Mailing Address:
Day Phone
4.
Name of Lending Institution:
Mailing Address:
Phone
5.
Name of Realtor or Agent: Irene Smith
Mailing Address: 3300 "C" Street
Phone 278-2525
6. Legal Description: Lot 3, Block 2, Sky Ranch Estates
Location: Attached
7. Type of Facility to be inspected: Single Family ResNo. Bdrms. 3
8. Water Supply
Type of Supply: Public Utility _ Individual X
If Individual, number of dwellings presently served Apx_12
If Individual, depth of well Unknown
9. Sewage Disposal System
Type.of System: Public Utility ^_ Individual (on-site) X
If Individual, date of installation 1974
11 _
---y -c
P,eOC
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October 21., 1977
Virgil Henko
Star Route: A Box 16301;
Anchorage;, Alaska 99507
1
0,
Subjnctz hot 3 Block. 2 Sky Ranch Eotaboo Su1.�d.i.AW.6 !.
Tho percolation foot performed on the aubjedt property
failed to pass the adegoaoy teat.
Therefore, beforo we can appdoan approval to the lending
agency an upgrade of your ;system will be required.
The upgraae would include forty(40) feet of: additional
trench off of your existing seepage pit, seven(7) feet of
x to 20 inc:hoscreoned rock will bo required bulcrd the
drainpipe.
Monies nay be escrowed to complete the project c:t tat a later.
date.
T I)crm t must: be obtained kefore any construction can begin.
if there are any ,.ether quest:icnnp please contact this
office at 264-9720.
Sincerely,
Robert. C. Pratt, A.S.
sanitorian
RCP/I jh
ac:' Nick :lain
I
olar Realty
101 fast. Intorn ational Airport: Road 99502