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SKY RANCH ESTATES #2 BLK 2 LT 7
ky anch states lock 2 Lot 7 015-302 -3! Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251202 PID Number: 015-302-31 Dwelling: 0 Single Family (SF) M with ADU F71 Duplex (D) ❑ Two Single Family Project: R New OR Upgrade Name SUSANNE RODMAN A ORPTION FIELD rh 171 El Wide Trench ❑Bed ound E01 D TTrencc Site Address 11721 WRANGLER WAY, ANCHORAGE, AK Other Z,;Z Phone Number of Bedrooms Soil Rating_N�ISF depth ftpKoriginal grade 907-317-7236 3 JTotal Ft, LEGAL DESCRIPTION Depth to pipe invert from original Gravel depth beneath pipe -,- Ft. Subdivision Block Lot SKY RANCH ESTATES #2 2 7 Fill added above orig GNI length �Px Ft. 'N� Ft. Township Range Section Gravel width Ft. Beds: Number of Lines DisNue between lines Ft. SEPARATION DISTANCES To Septic Absorption LA Station Holding Sewer Total orption area Number of trenches Dist. between-ttVches From Tank Field Tank I Ft' Well comm. COMM._ _*+ ,25 ANK s El Septic S.T.E.P. El Holding E] Other Tno FILTRATOR SYSTEMS Capacity 1060 Gal. Surface Water 100'+ EXIST. lOUtanufacturer A—, Material Number of compartments Lot Line 5'+ EXIST, NA PLASTIC 2 LIFT-4VATION FoundationEXIST. 10'+ Manufacturer Capacity Gal. Remarks Alarm location Elec r tailed by PIPE MATERIAL House to tank EXIST. Tank to D3034 drainfield Installer WILCO EXCAVATION Drainfield EXIST. CO/MT D3034 inspector GARNESS ENGINEERING GROUP, LTD, BENCH MARK (Assumed elevation) 100.00 ft Inspdates:ection 1"7/21/2025 cation and description location 2 3rd nd 4th FRONT DOOR THRESHOLD ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF A Conditional Approval: Date s`��pQp .... .. .......... ... ........ Septic System / Z_'0'0_e� Approved Dat e ey A. arness., At C E-7913 NXO' this approval does not include well permit requireme ts. r 0 of e S S10 # ECC884 (Rev 05/02/18) PEkmIT NUMBER: PARCEL ID NUMBER: OSP251202 RECORD D RAW I N G 015-302-31 KEY BOX- ��\ _ ! PER OWNER, ONE STOP-- \ �('IV SERVICES COULD NOT \ v PROVIDE ACCURATE LOCATES \ \ A FROM KEY BOX TO LAST `� \ EXISTING 1992 LOCATE MARK DUE TO DEPTH ' /BENCH GRAINFIELD.PER 1992 HAA, THE WATER RECENTLY PASSED c CLINE IS 10'+ TO DRAINFIELD) SKY RANCH EST. #2; ` ADEQUACY TEST BLOCK 2, LOT 8 , END OF WATER LINE PROFESSIONALLY LOCATED BY ONE STOP SERVICES FROM HOUSE TO THIS POINT. LOCATE MARKS • . sG c INSTALLED \ SHOT WITH DISTO LASER DISTANCE METER • �'0 DOUBLE INTO HOUSE CORNER AND ARE AS SHOWN. , CLEANOUTS >. (DBL1 & DBL2) , NEW CM -1060 A B ` INFILTRATOR MH1 24.5 21.0 SEPTIC TANK r. ST1 31,6 21.$ DBLI 31.7 19.2 • r �, DBL2 31.9 18.3 •ti ' + ` COI 26.4 9.1 '. ° n�� 1 10.0 EXISTING 1981 MT1 26.3 r �� TRENCH r ' y ... G� NOTE: PIPE LOCATIONS ARE DRAINFIELDSHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. EXISTING 3 -BEDROOM HOUSE NOTE: 6 -FOOT WAIVER GRANTED FORM FOUNDATION TO 1981 TRENCH (WAIVER #OSV251024) SKY RANCH EST. #2; BLOCK 2,LOT 6 NOTE: PER CONTRACTOR, OLD STEEL SEPTIC TANK WAS DECOMMISSIONED IN PLACE PER UPC SyF� N SCALE: 1"=30' 10' UTILITY EASEMENT 10' WALKWAY -------------------------------r-------- IVA TA OF > 1� NU49r Al ... ................ ENGINEERING SALES CONSULTING -ANCHORAGE, -PHONE • '00 r r 3701 E. TUDOR ROAD, SUITE 101 ALASKA 1907) 337-6179 WEBSITE: w .games,engG,eedng.mm ..... r ............:... � J �barness rr PREPARED FOR: PHONE NUMBER: PAGE NUMBER: f . reyA. ' =fir SUSANNE RODMAN 907-317-7236 2 OF 3 #�% E-7 53 PROJECTIEGAL DESCRIPTION: SKY RANCH ESTATES #2; BLOCK 2, LOT 7 DRAWN BY: J.L.M.♦1 Rf % i �► FQ � •••• +•►� ...1 P� ,0 TYPE OF WORK: RECORD DRAWING OF SEPTIC TANK UPGRADE DATE: 7/29/2025# OFES ' ®. 1 ENSE �� PEMIiiT NUMBER: PARCEL ID NUMBER: OSP251202 RECORD DRAWING 015-302-31 TOP OF MANHOLE LID = 96.45 FINAL GRADE = 96.07-96.18 SSTT1( MH1 TOP OF TANK @ 2" OF INSULATION INLET = 93.58 TOP OF TANK @ PER CONTRACTOR) /- OUTLET = 93.51 INLET INVERT OF PIPE @ INLET= 92.97 — CM -1060 2-COMPART INFILTRATOR SEPTIC INVERT OF PIPE @ OUTLET = 92.66 ' : �:• •. AF L �T of 0 ENGINEERING SALES CONSULTING 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKAPHONE (907) 337-6179' WEBSITE: vr«w.gamessungSneering wm M •• • • •• • • ........................ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ♦ e ey . arness c Aff SUSANNE RODMAN 907-317-7236 3 OF 3 fj �, CE -7953 PROJECT/LEGAL DESCRIPTION: DRAWN BY: F •'•. SKY RANCH ESTATES 42; BLOCK 2, LOT 7 J.L.M. 1�' Q R ••... •••�yP� + TYPE OF WORK: DATE: +✓1 ��SS\ RECORD DRAWING OF SEPTIC TANK UPGRADE 7/29/2025 #AECC88a r� + MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP251202 Work Type: SepticTank Upgrade Tax Code Number: 01530231000 Site Legal Address: SKY RANCH ESTATES #2 BLK 2 LT 7 G:2737 Site Mailing Address: 11721 WRANGLERS WAY, Anchorage Owner: RODMAN SUSANNE U DECLARATION O Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: 6/23/2025 6/23/2026 18641 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: G Date: 20 Zs' Issued By: Date: Z 3 Parcel I.D. 015-302-31 Property owner(s) Mailing address ON -SITE SEPTIC/WELL PERMIT APPLICATION SUSANNE RODMAN Day phone 11721 WRANGLER WAY, ANCHORAGE, AK Site address 11721 WRANGLER WAY, ANCHORAGE, AK Legal description SKY RANCH ESTATES #2; BLOCK 2, LOT 7 Number of Bedrooms 3 Engineering Firm GARNESS ENGINEERING GROUP, LTD. Building Permit Number APPLICATION IS FOR: 0 all that apply) Absorption Field ❑ Septic Tank Holding Tank Privy Well Not Applicable MR 907-317-7236 APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: DRAINFIELD TO FOUNDATION Permit/Rush Fees: 0 Date of Payment: Permit No. Osu n201 Distance: 61 Waiver Fees: Date of Payment: Waiver No. -2- Q 0 2- J Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251202, Curtis Townsend, 06/23/25 Municipality \J T IlL S y Uep:n'tmant P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite DevelopmentiDivision On -Site Water and Wastewater Program x * * x VARIANCEIWAIVER REVIEW x x Waiver#: OSV251024 COSA#: Permit#:OSP251202 PID#: 015-302-31 Legal Description: SKY RANCH ESTATES #2 BILK 2 LT 7 Engineer: Garness Engineering Group Your request for a waiver of the required 10 feet horizontal separation from the disposal field to the foundation has been approved. The approved separation distance is 6.0 feet. This waiver approval applies to the existing disposal field only. Any future upgrade to the on - site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: ,) , Date:61 2 7—Approved by: Name of Reviewer **** VARIANCE/WAIVER REVIEW **** Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251202, Curtis Townsend, 06/23/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251202, Curtis Townsend, 06/23/25 55F T" .......... efemy A. Hurst f. <. LS-1 1796 AV 4Z� AM� T 14, 0 is 30 EMMEMEM1111---i US SURVEY FEET 4S1zed JL(o) t 71 Block, '2 10' Walkway N 89*52'00" E 120.75' -All dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. 71-290 -49th Star has conducted a physical survey of the property and all details shown On this Asbuilt Survey are correct. Under NO circumstances should any data hereon be used for construction or the establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions; no title research performed. Lot 7, Block 2, Sky Ranch Estates, Unit 2, Anchorage, AK Power Pole Well OP Mailbox 0 Clean Out X Water Valve PO Box 738 Girdwood, AK 99587-0738 (907)891-6111 Jeremy@49thSta rSu rveying.corr W.O. 2534 1 DATE; 5/17/25 SCALE: 1"-30' Municipality of Anchorage Page _t of DEPARTMENT OF HFALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~V~ °/r~ QI~ -'~ PID Number: Ol~ I .~me: bO~ L, 7~'~ Wastewater System: ~ New ~Upgrade Address: ~O, ~ 1~ ~ A~, ~ ~S~l ABSORPTION FIELD I Nc. of Bedrooms: Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGALDESCRIPTION so,, Rating: Q, 6 GPD/Sq. Ft. // Lot: ~. Block: ~ ~Subdivision:~ ~ ~ Depth to pipe bottom from odginal grade:~ Ft. G ravel depth beneath pipe~ Ft. WELL: B New ~ Upgrade Gravel depth: ~ ( Ft. I Number of lines:o~¢ ]Distance betweenlfnes:~ Fi. 31assific~ion (Private. A,B,C): Total Depth: Cased To: Total absorption area: P~pe material: Driller: Date Drilled: Static Water Level: Installer: Date installed: Yield: GPM IPump Sot at: Ft. Icasing Ho'ghtAb°v° Gr°uno:F.. TANK SEPARATION DISTANCES ~Septio u Holding O S.T.E.P. To Septic Absorption LiH Holding Public/Private Ma ufacturer: Capacity in gallons: From Tank Fie,d Station Tank Sewer Lines ~ T~I* /000 Material: Number of Compartments: Surface Water /~; 100'* ) ) LIFT STATION LineL°t ~ ~ ¢ 0 ~¢ Size in gaffons: Manufacturer: Location and Description: Inspections performed by: [Dates: 1st ~-~-9~-~_ ~~""" Department of Heal~d Hu~n~erwces approval ~aF~ ..,. .~ Reviewed and approved Date: 72-013 {1/91) MOA 25 Permit No. ~c'.~V~ ~ ~r'.l J ~ Page ~ of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: ..,,.~-'~ KYI'~A.~JCH ~,Tf~tes ~u~13. J~Lr,.~.:Lol' ~ PIDNo,: I I I 72-013 A (2/91) MOA 25 Permit No. ~d'c~'~61~'~' __ Page ~____ of Z Municip~li~¥ of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription:_~.V['~<~JCH ~-%Tr+~'~& ~'~i3Di/-~L.Y,,ACLoT~- PIDNo.:.~zl 99~ 72-013 A (2/91) MOA 25 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:SW920187 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:TEMPLIN DON L & OWNER ADDRESS:il721 WRANGLERS WAY ANCHORAGE, AK 99516 DATE ISSUED: 7/16/92 EXPIRATION DATE: 7/16/93 PARCEL ID:01530231 LEGAL DESCRIPTION: SKY RANCH ESTATES #2 BLK T 7 2 L LOT SIZE: 18641 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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 (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS UPGRADE SYSTEM MUST BE APPROVED ENGINEER'S DESIGN DATED 7/6/92. THE EXISTING MUST BE PROPERLY ABANDONED. RECEIVED BY: ~OO / INSTALLED IN ACCORDANCE WITH THE CRIB HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILEEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT SHAFER, P E ROGER SHAFER, P.E July 6, 1992 CIVIL ENGINEERS (907) 694-2979 FAX 694 1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Skyranch Estates Subdivision, Block 2, Lot 7 Request you issue a permit to upgrade the septic system serving the 3 bedroom house on the referenced property. An adequacy test was performed on the existing system and the absorption capacity of the system was found to be inadequate. A test hole was excavated and percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is shown on the attached site plan. The ground water monitoring tube has been checked and found to be dry. This property is served by a Community water system. There are no protective well radii which encroach upon the property. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic upgrade. If you have any questions or require additional information for your review, please contact us. Sincerely, RJS/LSU/lsu 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 /" = $0' SCALE UPGRA DE Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION~L~'[/~ ~. ~ ~ '~- Township, Range Section: SLOPE SITE PLAN 4 5- 6- 7- 8- 9- 10 11 12 13 14 15 16 ~7 ~.~.H, 18 19 WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ~ ~) DEPTH? p Depth to Wa[~.~tler~ Monitoring? Gross Net Depth to Net Reading Date Time Time Water Drop 2~ ~'.l~'. IO~l ~' 17~' ~- - " I~" ~'/¢ ~ERCOLATION RATE ~ __ (minutes/tach) PERC FIOLE DIAMETER PERFORMEDBY' ~--~ ~i{'~ ~IIA~L-: : ~H CERTIFY THAT THIS TEST WAS PERFORMED IN UIDELIN S IS DATE DATE: ACCORDANCE WITH ALL STATE AND MUN C . 72-008 (Rev. 4/85) ) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'r)ON ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ NO. OF BEDROOMS ~ Well I A6sorption area Dwelling PERMIT NO. ~ ~ Liq, capaciW in g~llon$ Inside length Width Liquid depth /~0 ~ IF HOMEMADE; , ~ Well Dwelling PERMIT NO, O ~ Manufacturer - ~- Material Liquid capacity in gallons Wel ,~m..,'~¥ Fou~dation~ PERMITN~/ ~ DISTANCE :0: ~ Nearest Io; line ~ ~ ~ No. of lines Length of each line Total length of lines Trench widtl~ Distance between lines ~ ~ ~ Top of~l%to__ fini~ ~raa~...... Mate~io~eneat h~ -- jotile ' --~__ Total effective~ ~.,OO_absor )tion area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorpti~ ~ Well Building foundation Nearest lot line ~ DISTANCE ~ Class Depth Driller Distance to lot llne PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS _L 72-013 (Rev, 3/71 L EGF~L. F.![R F:tF,!G L. EF::'. HFI"r' L..OT 7' E:L.K ;;ir ~:2d'C'r'f;,'FI[',IC:H E:'Z, TF:I'T'E:E; t..OT TRENCH TF'I[E RE(;¢.J ! RE;E) ~ :[ 2% Ol=' 'TFllE :i.'q O ! L F'IE',.E;OfRF'T Z C$f '.:i;¥% TE:P1 :[ E;: THt_.'~: LEfqC'FFH [) I M[:.'i",!E; I ON ! E; f'HE L.ENG'T'H ':: I hl F:'E:E-I' ;:, OF THE 'I"REf',!C:H OIR C,i:'?.F1:1_' NF[ El.E:,. "FH[E bEF'TH ElF [::I 'r'F~'.[ENI;.'.H i.':iR PIT :r.:~ THE:: D Z['=':;I"FII'4CE._- GFi:OLli'.,ID FIND "FHE E_:~EFi"TOI-,'I OF:' TFIE EY, C:FI',,,'I::ITIOI'.,! ,::ZN I:=EET'., TFIE[;?.E: _r.:~; NO :E;E:T HIE:,TH FOF~: T'HE C~F~'.FCv'EL. [::,E:F:'I"H I::E; THE I',IIF,IZI,11JI','i E)E:F'-fH OF' GRFI'v'EL ELf. EI'.E, IE:EN !aND T'HE [-%YI"TOP1 OF' THE: E?:;C:I=Ik,'I':ITION ,:: Z tq f:'EEFI"). F'IEF-:I'q i T F:IF'F'L. I C:PIF,FI' HFdS THE RE:E;F'OI'.,I% I!'.,Ii~F'I"FILLFFT'~.Of.,I ]:F,I:SF'EE:T'IOI'.,IrE; OF' FII'..I? PlEt. LE:; RD.LrF'IC:E:N-I" TO TH'_.r.~, i=~ROPEFRTk' F:liqP THE. f.,ll..ll',l[_:..,'[ii:[;: OF' I:;:E:SZE)E:f.,ICI)};E; 't"HF:IT' THE: I,.IE:L..L.. P. IZL. L BFIE:I<.F' ]; LL I t",IG OF F:li'.,l'.d ~:T,"r'E;-FE!'"I !,11 TFIOUT F' :[ NRL J: I',I:-SF:'['::.'CT ]: 0!"] RIq[) F:IF'PF~:E¢¢F:IL. B'¢ '!"1~t 1[ 'ii; DE:I:::'FI?.TI'"I[!i:NT I.,IILL BE: :E;I..IEL]'I:EC'T 'T'O I¥1:1; I'.,! I P'i!..ll','! I:) I :E;'T'I::Ii'qC:E: BET'!.4EEf,I FI !.,.IEL..L.. FII"..!E:, l::llq? OI',I-~Fi; I TE E;EHF!(3[E C, :[ E;F'O~E;F:It~ :E&"E;TEF! I :J..OO FEET I=OR FI F'F?.?v'F¢"E: k~[EL.L. OR :!.!:~.;0 T'CI ;;~:OE] F'E[ET f::'~:Of'! FI PIJ[~",LtC: HELL L.IF>Cd",! THE: T'¥PE OF F'U[:.:d..IC: PtI?',III"ILIFI C,~'_.'~;'r'FII'.,ICE F'ROPI I=1 P[~::['v'FI-I'[='.i !.,.!EX_.t.. TO R F'r4'Z'v'I::ITE :~:;EI4ER [_.Zi'.,IE t:5 ~i!5 !=EET F~,I'..IE:, ']'OFf COIqHLIN;[I"¢ :SEI,.IE:R: L.:[F,!E IE.; 7~3 F!EE-F. O'TH[ZR RE%R..I :[ F[[E:i',IE:I'.,I-r'.:~; MFI"r' FIF'PL'¢. :.:;F'EC: I F' :[ C:FI'T :[ ONE; I'::I!",IE:, [::ON:!¥TIRUC:T Z Oi',l D I FtGfRRI'tE!; Ft'v'FIILF'IEid...E: TO Z!qE;Uf;::E F'ROI='EF~: :i: CERT:I:I="d 'I'F'IFI-I' ::1.: I FIPI F'FIH:[I...:[FII';'. !-,IITH THE F~:EE:!t_IIREi"IEbI'T'?i; F'OF:~ ON-E:ITE F'OF~:TH E:~,.' 'I"H[:.' Pll...INIC:;[t'::'FIL. I'T"¢ OF FIF,IC:HOF;?.FIGEii:. 2: ]: I,~.T..L.L. II",t~=';TFII.J... '['lq[E': .?.,"?E;TEi"I IIq F:IC:C:[:~F.;Di::INI::::E: H:(TH THE ::!:: I L1NDEI;?.ST'F:IN[) 'THFI'F THE Oi",FdSITEE ~SEF.!EFR ~4;'¢:!!;TIEi'"I I"IFI? F;:E;E;II::,EI',ICE :IS I'REFIODELE:E:, 'T'O I F,!CL.I_IE:,E: MORF.' THFIF,I :i!: BE;DROOfqr!~;. RtqE:, !.,!Et.._L.:Ei; I::!:iE; :iE;EET' ii:;I',fl...F1RGEfflENT !F THE GRE' .R ANCHORAGE AREA BO[ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl.. SYSTEM NAME //0~ LOCATION ~J~dJ -I SFPTIC TANK: INSIDE LENGTH INSIDE WIDTN MAILING ADDRESS 5~A ~.¢)X~'/~0~'~' PHONE LEGAL DESCRIPTION ~7' '~' ~;L_)/_~<,~ ~.~)~JI/ NUMBER OF MATERIAL-~[ ~¢JA /2~-~bCOMPARTMENTS - LIQUID DEPTH ~~ .LIQUID CAPACITY /00© .GALLONS. SEEPAGE Pit: NUMBER OF PITS I DIAMETI:R '~ OR WIDTH ~'6 , LENGTH ..~0, DEPTH LINING MATERIAL~_ CRIB SIZE: DIAMETER~- DEPTH~7 DISTANCE FROM: WELL i ~ TOTAL EFFECTIVE BUILDING FOUNDATION~)D^'- NEAREST LOT LINE----~)-C) ABSORPTION AREA (WALL AREA) OD~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ~"/I~&A4.X-~ r / ~'~ CONSTRUCTION DEPTH BUILDING l~ NEAREST NEAREST SEPTIC FOUNDATION LOT LINE SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED l//* DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: ~GOle~. ~;~'O.~, PIPE MATERIAL: ~ LDT SLOPE: REMARKS: Form No. LQ-031 DIAGRAM OF SYSTEM DATE ¢/7//' G,A,A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 II~'l STREET ANCHORAGE~ ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCAT ION ~'~ ~ / ~" C f~ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEEPAGE PIT tO BE INST L~LED BY -, DRAIN FIELD ., OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SGIL TEST PINAI. INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL ~3E SUBJECT TO PROSECUTION. / FOUNDATION TO SEEPAGE PIT '%'~ ~ DRAIN FIELD SEPTIC TANK TO SEEPAGE PiT WALL / ~ / ~EPTIC TANK SEEPAGE PIT ~J f , DrAiN F,ELD TO NEAREST LOT LINE. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD_ SEPTIC TANK. ~//~' ~ .. SEEPAGE PIT -~/~/~) C~DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOil. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER AN HORACe AREA BOROUGH ORDINANCE NO. E8-S8 AND THAT THE ABOVE DATE ' '~ 7~'~ APPLICANT'S SIGNATURE ~__ Performed For Lenal This "One lesl ts worth a thousand op , o s r~Pt, o~ ~Nv,,,c~ ^~^ ~O~ou GlaD±er Ex¢~avb±ng Date Performed 6-q5 - 74 Bescrintion: Lot ~ Block 2 Subdivision Skyr. anoh Form Renorts Soils Loq ,ye8 Percolation Test Deoth Feet Soil Characteristics Pit Entrance 2-- 3-- 4---~ Seepage 5-- Silty Sahd ~w/8" 6-- ._. SM- .50 layer of Gravelly Sand lO-- Was Ground Water Encountered? It Yes, At what Depth? No Readinq Date Gross Time Net Time Depth to H20 Net Dron Percolation Rate ~linute ProPosed Installation: SeePaQe Pit yes __Drain Field Deoth of Inlet___z]~_-£b. Depth To Bottom Of Pit Or Trench cnM~ENTS: 2~0 sq, ft., 4raingge area reqlzlre~._~ h~d~nnm no bedrock or water table 4- ft, below seepa_gg_~pit Test Performed By. Jim Mack Data Certified B~:Oonst, Test Lab MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251507 Parcel ID 015 -302-31 Expiration Date: 10/20/2026 Legal description SKY RANCH ESTATES #2 BLK 2 LT 7 Site address 11721 WRANGLERS WAY Current property owner(s) RODMAN SUSANNE U DECLARATION O X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: By: /,/- ,,� �� 1 Original Certificate Date: 11/5/2025 This Cer ' nate of On -Site Systems Approval (COSA) is intended to demonstrate the subject syste (s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Delopment Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 on -Site Wafer &Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel LD, 015-302-31 Complete legal descriptionSKY RANCH ESTATES #2; BLOCK 2, LOT 7 Location (site address) 11721 WRANGLER WAY, ANCHORAGE AK Current property owner(s) SUSANNE RODMAN Day phone 907-317-7236 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well serving # dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage Q Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: MN Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel Ful Plastic ❑ Concrete ❑ Fiberglass Age N EW See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑ AWWT'S ❑ Bed no Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Distance: Expedited review requested: 0 By applying for this entitlement, this Property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. C©SA Fee $ Waiver Fee $ Date of Payment ( r�"r Date of Payment COSA# 6S 0`2�Waiver# COSA Appl!=Uor Apr2025,doc COSA Checklist Legal Description: SKY RANCH ESTATES #2; BLOCK 2, LOT 7 Parcel ID: 015-302-31 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 LL DATA I pcmcv ❑ Well log is ' with Onsite (or attached) Date drilled depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) Date of flow test for COS Static water B. TANK DATA of test ft. Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) 7/25/1992 FM ALL standpipes present per record drawing Total measured depth from grade *12.5 ft (max) Measured depth to pipe invert from grade *3.6 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 7.5' ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Well production at time of test Water storage tank volum gallons Well disinfec coliform test? ❑ Yes ❑ No form bacteria is Negative mg/L ❑ Nitrate less than MRL (ND) ug/L ❑ Arsenic less than MRL (ND) Collected by Date STATION ❑ Require Age of lift station Lift station com Adequacy test date 6/10/2025 Results ✓❑ Pass Fluid depth prior to test 0 in Water added 710 gal New fluid depth 23.75 in Elapsed time 160 min Final fluid depth 17.25 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) **96 in Effective depth used *'23'25 in Effective depth remaining *'72.75 in Comments/Deficiencies: *FOR 1992 TRENCH. DID NOT TEST 1981 TRENCH. NO CHANGE IN LIQUID LEVEL (70.25") IN 1981 SUMP DURING TEST. **BASED UPON ELEVATIONS, MT IS 6" Td SHALLOW. COSA Checklist_May2025.docx E. SEPARATION DISTANCES ROM ell on Lot to: (Please enter distances if less than required) Septic Tank/Li on Lot > 100' Yes if No ft Neighboring Tank > 100' ❑ Yes i _ ft Um Disposal Field on Lot > 100' ❑ Yes if No Neighboring Disposal Fields > ❑ Yes S Ine/Main > 100' ❑Yes if No ft Sewer Manhole/Cleanout > [--]Yes if No ft �ervice/SepticLine > 25'❑ Yes if No ft Tank > 100' ❑ Yes if No ft Animal Containm , _ E] Yes if No ft Manure/Animal Excreta Storage > if No ft ❑ Yes if ft Q N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10' Q Yes if No ft Surface Water > 100' 0 Yes if No ft Field to Foundation > 10' ❑ Yes if No *6 ft Wells on Adjacent Lots: Tank to Property Line > 5' Q Yes if No ft Wells > 100' ❑✓ Yes if No ft Field to Property Line > 10' ❑✓ Yes if No ft Community Wells > 200' Q Yes if No ft Water Main/Service Line > 10' ❑✓ Yes if No ** ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS "WAIVER GRANTED - SEE WAIVER# OSV251024. "PER 1992 HAA, THE WATER LINE IS 10'+ TO DRAINFIELD. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Garness Engineering Group, LTD. (GEG) Engineer's Printed Name Jeffrey A. Garness, P.E. In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist_May2025.docx Phone 907-337-6179 Date M Lot 6 E=A�ORIZI House Lot 8 Shed:: 11�<� Lot 7 B110(c]k '2 T 49thN StaIr y`l sm veyalag I 0 is 30 US SURVEY FEEr ------------------- 10' Utility Ease. 10' Walkway I N 89*52'00"E 120.75' -Ali dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. 71-290 -49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under NO circumstances should any data hereon be used for construction or the establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions, no title research performed AS BUILT SURVEY LEGEND 49th St-ar Surveying LLC Lot 7, Block 2, 10-, Power Pole PO Box 738 (5) Septic Tank Lid Girdwood, AK 99587-0738 Sky Ranch Estates, Unit 2, 9 Mafflaox 0 Clean Out (907)891-6111 Anchorage, AK JeremyLW49thStarSurveyin8coni X Water Valve iV.O. 2533 ,DATE: 9122/25 SCALE. 1-30' Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 Parcel I.D. oxE-3o2-3z CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Expiration Date: ~- ~ ~- ././ 1. GENERAL INFORMATION Complete legal description Sky Ranch Estates #:z Block :z, Lot 7 Location (site add~ess) ~7:z~ Wranglers Way Current Property owner(s) Michael & Jennifer Pentangelo Mailing address Lending agency Mailing address Real Estate Agent Keller Williams Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: TypE OF WATER SUPPLY: Individual Well IndiVidual Water Storage Community Class _A Well Public Water System Day phone Day phone Day phone 865-65~.2 TyPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank r-I [] Community On-site I--] [] Public Sewer I--] 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 Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box 100217, Anchorage, AK 995~o Engineer's Printed Name Steven R. Pannone, P.E. Date 9/27/201o Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future ~,,,,,i,~;;7~,,1~'~,,,; performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it '~'?./~'.~-. ~o. CE 8 ~ 4~ .-'~ -~ confer any legal right whatsoever. ~----' 5. DSD SIGNATURE t"~ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: · ' '. .~: ON-SITE ~; WATER AND . ~ : ~ASTFW~T;R · -~2))) ~ }~ ~V~'~ Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~ -c-~-.. ~i - / 0 MuniCipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewatar Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE O'F ON-SITE SYSTEMS APPROVAL CHECKLIST Sky Ranch Estates #2 BloCk ~, Lot 7 Legal Description: A. WELL DATA Well type Class A Date completed ~ Total depth ~ Parcel ID: IfA, B, or C prOvide PWSID # Well Log (Y/N) Sanitary seal (Y/N) __ Wires properly protected (Y/N) Cased to __ft. Casing height (above ground) FROM WELL LOG AT INSPECTION Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform __.colonies/lO0 mL Arsenic: ~ ug/I B. SEPTIC/HOLDING TANK DATA g.p.m, g.p.m. C= Nitrate ~ mg/L Other bacteria __ Date of sample: ~ Collected by: Tank Type/Material ....Anchorage Tan:k/Steel Tank size ~ooo gal. Number of Compartments Foundation cleanout (Y/N) Y Date of pumping ~/~7/~) ABSORPTION FIELD DATA Date installed ?f,,.1~99~, Soil rating (g.p.d./ft2 or ft21bdrm) 0.6 GPDISF Length 47 ft. Width Total depth ~=.m ft. Eft. absorption area Date of'adequacy test e~l',a_l:zo',o Results (Pass/Fail) __ Fluid depth in absorption field before test _o in. Elapsed Time: .=.oo min. Final fluid depth _= in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N Date installed Cleanouts (Y/N) Y Depression over tank (Y/N) N .High water alarm (Y/N) N Pumper .~. ~ 55~--V~ System tyPe Deep Trench ft.' Gravel below pipe 8 Monitoring tube Y Depression over field N Pass For 3 bedrooms in. colonies/100 mL Water added,.F~ gal. New depth~_~ in. Absorption rate >= 450+ g.p.d. If yes, give date LIFT STATION Date installed "Pump on" level at~ Datum Size in gallons in. "Pump off" level at ~ in. Cycles tested E. SEPARATION DISTANCES Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NIA On adjacent lots Absorption field on lot On adjacent lots Public sewer main Sewer/septic service line Animal containment areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Property line zo+ Water service line 25+ Public sewer manhole/cleanout Holding tank Manure/animal excrete Storage areas Building foundation ~.o+ Water main ~.o+ Wells on adjacent lots zoo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field 5+ Surface water ~.oo+ Water main 75+ Driveway, parking/vehicle storage Property line 7.5 Water Service line Curtain drain 50+ COMMENTS 25+ Building foundation ~o+ Surface water ~.oo+ Wells on adjacent lots 200+ in. lO+ 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, Date Steven R. Pannone~ P.E. COSA Fee $ Date of Payment Receipt Number,, (Rev. 11/05) c'/' -- .,2 o-/o o $ Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 · Fax (907) 343-7997 http:llwww.muni.or.qlOnsite Development Services De~)artment On-Site Water and Wastewater Pro.qram VARIANCE/WAIVER REVIEW WR#: 101217 HA#: 101215 Permit~: PID#: 015-302-31 Legal Description: Sky ranch Estates #2 Engineer: PES B-2 L-7 Applicant: Micheal & Jennifer Pentan.qelo Your reqUest for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 7.5 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Add comments / explanations or DELETE Waiver is Granted: X Waiver is not Granted: Rec#: 041056 Amount: $200.00 Date Paid: 9-27-10 **** VARIANCE/WAIVER REVIEW **** Pannone Engineering Services LLC Steven R. Pannone, P.E., Principal Licensed & Registered in Alaska and Florida E-maih steve@panengak.com September 27, 2010 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 995:19 Re: Sky Ranch Estates #2 BIk 2 Lt 7 Drain Field to Property Line Waiver I am writing to request a separation distance waiver between the existing drain field and the existing Property Line on the above referenced lot. I request that the separation distance be reduced from 10 feet to 5 feet. Granting this waiver will not affect the public health or future development of this or surrounding lots. If you have any questions or concerns, please contact me at 272-82:18. Attachments: Sincerely, oo~.%~ .......... ~.%, .' ~o'..:-'" A '""...'~'**, ~/2~/~o Steven R. Pannone, Principal East oz ~u ~.e B6 ,~ ~e~epnone: (907} 272-~82~8 FAX: Municipality of Anchorage P.O Box 196550 4700 EImore Road Anchorage, Alaska 99519-6650 (907) 343-7904 Fax (907) 343-7997 http:llwww.muni.orqlonsite Planning and Development Services Department On-Site Water and Wastewater Program Engineer: Legal Description: Permit: Report Type: On-Site Sewer/Well Submittal Comment Sheet PANNONE ENGINEERING SERVICE Sky Ranch Estates #2 BIk 2 Lt 7 OSC101215 Septic Completed By: COSA The attached paperwork has been reviewed and is being returned for the following reasons: J. Poet 9/2 3/2 010 1. If the baffle in the tank is bad the tank does not meet code..~.~,'/j¢,~ 2. Septic pipe scales less than 10 feet to property ' ~ ' ' hne. If the t~ ~s less than 10 feet a lot line waiver is required. 3. Are there any class A wells within 200 feet of septic system? 4. Adequacy test is not complete. ,~.LTI:I(S:'A...S~,JlLT I.S NOT TO.BE USED I~OR ANY SUBMITTAL TQ THE MUN[CTPALI~ 0 ~'~f ~y e~em~nm, covcnanls o¢ restrictives · which ~o Mt appe~ oa t~t ~cordcd subdMsio, pl~;. - ( '~ ' 'Under no =irc~stan;~ shou'ld ~ny d~m hereon ~:~ ' ~ · ' t I ~ . ' ' ~ed for'~nslmcti(. ~rf0r establishing boun~a~ oF ~nm lines.* ~e suweyor mk~s ~spons~bility Ibr i~e .- ~OS;~ ;aldaJ ~'a~saction.only. 7 BLOCK ,~- tLECORDING DISTRICT (PLAT NO.: ~.) LOT " . AR~NOTSHOWNI41D:LEON. ~- BRASS CAP MONUMENT .('~. IRON PIPE ~BA~ CO~ER FO~D' ~ ['IUD AND TACK JWORK OROEI~. BY: ~ DOWLING ~ ASSOCIATES 149_6 I-lyder Street ANCI-IOKAGE, AK 99501 REVISIONS- FIELD BOOK: GRID NO;: ,j.. DATE Municipality' Of Anchorage Development SerViCes Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. 1. CERTIFICATE FOR A SINGLE FAMILY 015-302~3i GENERAL INFORMATION ..Complete legal descriptiOn SKY LoCation (sit~ a~ld~s or directions) Cui'rent ProPerty 0wnei'(§) Mailing address Lending agency Mailing address Real Estate Agent ,Oi=' HEALTH AU¢FIORITY APPi~OVAL DWELLING Expiration Date: ~hbH EStk~E~S sb~b~hSibN #2; LbT 7, ~LOCK ~2~ ~~S' WAY * ~CHO~[, GE~ ~Hi~ · ~b~ *~D~L Day phone ~45-9~64 11721 W'~LE~S WAY * '~bH0~GE, AK 9~16 Day PhOne Day phone Mailing address Un/ess otherwise r~'quested, HAA ~ill J~ [~el~l by D'SD for pickup. 2..NUMBER oF BEDRbO~: 5 3. TYpE OF WAT~ SUPPLY: ~Y'PE b~= WA~;I'i~WA'I'i~, DISP~)SAL: Individual Well [-1 Individual On-site ' Individual wat~l' Sto¢~ige F-~ Individual Holding tank BI Community Class "A" .Well ;1~ cbmmunity On-site Public Water System [--~ Public Sewer r-~ The Municipality of Anchorage Development Services Depadment (DSD) Issues Certificates of Health Authority Approval (HAft.) based only upon the representations given ir~ pad, graph 4 by an independent professional civil engineer registered in the State of Alaska. 'Certificates of Health Auttiority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewatbr disposal and/or water supply system. DSD also issues HAAS upon request to hon~eOwners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Cedificates are valid for one year for properties sei'ved 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. ...... evelo ment Serwces,uep , _ ~[ ~ ~ ,~ ~ 7 On-Site Water & Wastewater Program ~ ~ , ~ PO Box 196650~chorage, AK 99519-6650 ' ' ' '~ ~ ' ' ,~ .... ~c anchorage ak us ,, ~ , ~ ~2L'n~;;,~t~nn. :i sKY ~NCH?ESTATES"S~D~ ~LOTh7~?BLOCK 2 "1 Parcel)D:_ 015-302-31 WELL DATA ....... NO WATER SAMPLE RESULTS ................ Cohform"_ COlOn es/1u ~1 .~N ~ra ...... JULY, 1992 II ( I ~ L NO H~ h~ater alarm ~/N) N/A . ' ' : ........ YES '~ D6-re~si6n 69ertan~(Y/N),: ~ ' g Foundat on cleanout (Y/N) P ' Date ot aaequacy tes~ ~ ~ ~ , ~. . ¢ . . ...... ' ....... ~ n Absorpt on rate - ~. _g.P. · e' 1095mn ." Fnalfuddepth~ . lapsedTm ........ . . . .. ,.. nyrejuvenatmontreatment(~,~l~m~.)(Yl~&~YPP). '~ =~ ~r:~ Y g ~ ~ , ~ ~ ~ , , , 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. # CEFITIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # 1. GENERAl. INFORMATION Complete legal description L-o :,- 7 /9 ~-¢ ( cc -~_ Location (site address or directions) ~;Property owner · Maili.ng address ) f '~ ;'- / t,,-¢ /¢4,~¢,L4,,t j v..¢,¢ y Day phone '~', Lending agency ":.Mailing address Day phone A~eBt '- Address Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well ~ Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL.: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Fronl MOA#21 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Name of Firm i70~4 ~ ,-,~',=" ............. Address Eagle EiYer, Alaska 99577 Engineer's signature Phone Date DHHS SIGNATURE [,"/ Approved for 'T'H/~ F_ ~' bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 DH HS 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 Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage S£P 'l ~i~ 1~/~ -RVIC NIcIPALI'[¥ DEPARTMENT OF HEALTH & HUMAN SI= ~ ~ ~ o~NCHo~ Environmental Se~ices Division ~ N , ~ v~:~-~ ~ 825 L Street, Room 502 · Anchorage, Alaska 99501 * (907) 343-4744 Health Authority Approval Checklist Legal Description: L..~ 7- 7 ~;~oo~ ~ S~¥/,~g.~¢,~l ,~7. It '~ , Parcel I,D.: A. WELL DATA Welltype C'~/~-~5 /~ IfA, B, orC, attach ADEO letter, ADEC water system number ~);~-"~)6 Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production WATER SAMPLE~S: Coliform ,/ Nitrate D~ ore'sample: B. SEPTIC/HOLDING TANK DATA Date installed ~/'] ~' 5~/~ ~ Tank size / ~ ~ Date completed Cased to Ca~beigh'~ (above ground) _____ /...~V'~properly protected (Y/N). FROM WELL LO,~~ AT INSPECTION g.p.m. Collected by:. Foundatior~ cteanout~/N) ¥£ 5 ~-- Depression (Y/I~ /'J Date o:[ ~umping ~, /;~ / ff~' Pumper Ro C. ABSORPTION FIELD DATA Datelnstalled '7 [~5~/~1 '~- Length W '-~ Width Effective'absorption area '7 ~'~ ;[ >r Dateof adequacy test "7 ! ~3 Iq ~ Other bacteria Number of Compartments "7_ Cleanouts(~N)___ High water alarm (Y~) ~ O rating ~/ft~ {~r ft~/bdrm) g.p.m, Fluid depth in absorption field before test (in,); ~ / ~/2'' "mmed ate y after~ ~ / gal. water added (in,): Fluid depth (~ / 7 (ins) Minutes later: -/;..3 AbsOrption rate = ? ~-0 -) .g,p.d. Peroxide treatment (past 12 months) (Y/N) ~ ~' '~ ~ ~/o,~/~J If yes, give date ~ 0, (, System type 7/~ r~,.. ,.- H Gravel thickness below pipe _ ~ Total depth / :~ '~Monitoring Tube present ~'IN) ~'/~-? Depress on over field (Y~) ~" o Result (P,~Fail) /)~kS ..g For ~ bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons ..-----~-- Manhole/Access (Y/N) "P~ff" level at* High water alarm level at* / *Datum E. S~[PARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main On adjacent lots .J3~ad~s ~ Public sewer manhole/cleanout Sew_.~er.J, sept~e line Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~' ~ ~- Property line ;3,3 ,¢- Absorption field. Water main/service line /o *~- Surface water/drainage /,~ o ~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / o ¢~ Building foundation 5-0 Water main/service line Surface water / O o -/- Driveway, parking/vehicle storage area. Curtain drain ~v ~ ,,/,'~ /¢ ~' ~ ~ ~'J Wells on adjacent lots ~ 0 d -/- F. ENGINEER'S CERTIFICATION I ce~i~ that I have determined thru field inspections and review of Municipal recor~t~.~ a~ve,~s are in conformance with MOA~ guidelines in effect on th~s date. Signature -' ' ~. ~{,~ ~.. Waiver Fee $ Date of Payment Receipt Number 72-026, Rev. 3/96)* 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 CEFITIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLF- FAMILY DWELLING Parcel I.D. # ~'~/-4'~- n-¢'!.~ ~ ~ \ NAA# __~ ¢~o~ ~L~, '-~ 1, GENERAL INFORMATION Complete legal description Lot 7; Block 2; skyranch Estates Subdivision Location (site address or directions) 11721 Wranglers Way, Anchorage, Alaska . 345-5943 hm Property owner Don Templ±n Day pnone~22_~200 wk Mailing address · 11721 Wranglers Way, Anchorage, Alaska 99516 or P. O. Box 11244; Anchora96, Alaska 99511-2441 [_ending agency Day phone Mailing address Agent Day phone Address 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 3 'v NOTE: Individual well Community well xxX Public water If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. 4, TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on--site XXX Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fronl MOA #21 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eagle Riveh Alaska 99577 Phone Name of Firm Address Engineer's signature bedrooms. DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 order to 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 engineer's work. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAl. CHECKLIST Legal Description: ..~KV/?R~CH- ~'S7,'~7~;~, ~o~,,~/~L.r--.~ Parcel I.D, A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter, /~'/~ [)ate completed ~/'~ Driller /t///~ Cased to /¢//~, Casing height U'//¢- Wires properly protected (Y/N) ,~/,// ADEC water system number FROM WELl. LOG AT INSPECTION Static water level Well flow g,p,m, Pump level SPPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot ~ ~- Public sewer main ~') Sewer service line ; On adjacent lots _ ; On adjacent lots Public sewer manhole/cleanout Petroleum tank ,/b~,/~ · -.~ATER SAMPLE RESULTS: Coliform ~~ ac eria B. SEPTIC/t~ TANK DATA Date installed I '~--"¢~..t'l-~ 2. Tank size /0OO (~1-(._ _ Compartments Cleanouts (~fN): L~WO Foundation cleanout (~N) }/~---~' Depression (Y/~_)~ High water alarm (Y/f~ '/~//~-.__ Alarm tested (Y/~[,~ /~J/"~' Date of pumping /~l~ 8~/ ~ Pumper /%/'~' SEPARATION DISTANCE8 FROM SEPTIG/~tC4G TANK TO: Well(s) on lot A)//~ ' On adjacent lots (-~00 '/- Foundation ~' r To property line ~/~ t,/. Absorption field ?~ ~ Water ~ain/service line /0 ~ Surface water/drainage /0~ t, fi 721026 (Rev. 7/9~) Fronl CONTINUED ON BACK PAGE C. LIFT STATION ~ ~-.~//~ Manufacturer Size in gallons ~ Manhole/Access Vent(Y/N) "Pump o~ High water alarm level Meets MOA electrical codes (Y/~b.9~ SEPARATION~:)~-ST~NCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length L/':~ ~ Width Total absorption area Depression over field (Y/~__~ Results (pass/fell) Peroxide treatment (past 12 months) (Y/~.~ Soilrating O,~, ~'I-~D//$F Systemtype Gravel thickness 8 ~ Total depth Clea~outs present ~N) Date of adequacy test ~r ~A~ for ~ bedrooms ~O If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. $ & S ENGINEERING Signature 17034 Eagle River Loop Road No, 204 Engineer's Name Date ~ -~ ~ ~-~O~ '*'-***'.,k~~ Date of Payment ,~- ~ ~ ~ ~..~ ~/~ Receipt Number ~_~ C//cZ- '~ 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CO NSERVATION ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 Au2Jst 27, 1991 WALTER J. HICKEL, GOVERNOR 563-6775 FOR: S & S Engineering P,',SID 212916 My review of the records on file in this c'-~ce reveals that the Sky Ranch Estates #2 Class A Public Water System, is in compliar.:~ with the provisions of 18 AAC 80.200, State of Alaska Drinking Water Regulations. Sincerely, Keven K. Kleweno Lead Engineer --- INSPECTION APPOINTMENTS ~ '~, RECEIVED T}ME -TIME TiME DATE [)ATE , ~, ~ / (~. OATE MUNICIPALITY OF ANCRORAGE MUN[CIPAL[~ OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION D~PT. OF H~LTH & 825 L Street- Anchorage Alaska 99501 ~NVIRONM~NTAL P~O[ECTION ENVIRONMErNTAL SANITATION DIVISION JUL ~ 9 ~gSJ Telephone 264-4720 P~)PER~ESIDENT {If different from above) ~ PHONE 4, ~AL'TOR/AG~N3>) '~m ~ ~ ~ J ~ONE [] MULTIPLE FAMILY 7, WATER SUPPLY [] INDIVIDUAL' ~ COMMUNITY [] PUBLIC UTILITY S. SEWAGE DISPOSAL SYSTEM [~]-'~' INDiViDUAL/ON.SITE~' NUMBER OF BEDROOMS [] One [] Four [] Two E] Five [~- Tnree I~] Six Other ATTACH WELL LOG, A well Icg is required for all wells drilled since June 1975, For wells drilled r~rior to tl~at date, give wel aepm (attach Icg if availebleJ .YEAR ON-SITE SYSTEM WAS INoTALLED [] PUBLIC UTILITY (~xLC~L~\-~ ~.~' ~v~ ~'~, NO'I' E', THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST RE 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 [] FtVE [] 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 MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVEDFOR BEDROOMS CONDiTiONAL APPROVAL (letter m~t/~ccompany certificate) [] DISAPPROVED ,~ (_.) 72-010 (Rev. 6/79) ALASKA E rlUIROFlmE FITAL CONTROL SeRUlCeS, IrlC. ~nqineerincI 6 ~nuironmenld $1ttdies 6/12/81 JANE AND JERALD PARK S oR.A. BOX 1621 H ANCHORAGE AK 99807 SEr,T.ER - JANE AND JERALD PARK SUBDIVISION-SKY RANCH ~TATES ~ 2 BLOCK-2 IDT-7 THE 'UfPE OF ABSORPTION SYST~4 IS A PIT/CRIB WITH AN ARF. A OF 896 SQFT. ~E SYSTEM IS CA~ABLE OF ACCEPTIN~ 150 GALLONS OF WATER PER DAY. THE SOILS RATING OF THE~ SYSTEM 'AT CONSTRUCI'ION WAS 250 AND NOW IS >300 SQFT PER BEDROOM. BASEl) UPON 5/{E ~ST DATA ~{E SYSTEM IS NOT ACCEPTABLE FOR A }K)ME OF 3 BEDROOMS. THE SEPTIC TANK W~%$ PUMPED ON 6/12/81 . 1220 ~Jcst 25Ih Aueml¢ · Anc~orcl(]¢, Alaska 99503 · (907) 276-1361