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Home My WebLink AboutSKY RANCH ESTATES #2 BLK 2 LT 8Sky Ranc. . h Estates #2 Block Lot 8 2 #015-302-32 GREA,~R ANCHORAGE AREA BORL, ,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION LEGALDESCR,PT,ON_C'O-~-- ~ ~/1 )-- SEPTIC TANK: DISTANCE p ~] /L../ FROM WELL INSIDE LENGTH. INSIDE WIDTH ~-,. ~. ~ NUMBER OF MATERIAL ~,7~]~,~. _ __COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY.I~0_ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES_ ABSORPTION AREA ~LIo DEPTH: TOP OF TILE TO FINISH GRADE ~-' FOUNDATION _NEAREST LOT LINE TOTAL LENGTH OF LINES ..... DISTANCE BETWEEN LINES TRENCH WlDTH-]JFY~ IN. TOTAL EFFECTIVE SQ. FF. LENGTH OF EACH LINE DEPTFI OF FILTER MATERIAL BENEA'FH TILE,,/'/,~¢~__.__ iN. ABOVE TILE WELL/),1 .~ , ,. TYPE L,'~/N/~.Z.'OL"-'L'L'A.A-'---~/'~ ~ CONSTRUCTION BUILDING FOUNDATION CESSPOOL APPROVED .. NEAREST NEAREST LO1 LINE SEWER LINE OTNER SOURCES DISAPPROVED .__REMARKS DEPTH SEPTIC SEEPAGE TANK ____, SYSTEM DISTANCE FROM: DISTANCES: PIPE MATERIAL: L~-~'""b (I~._~L_ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE ~= APPROVED '-~](1 g G.A,A.B. GREA R ANCHORAGE ARFA BOR DEPARTMENT O1" ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 1GM PERMIT NO.. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE I {~-~ O TYPE ~Jl"~'~4~/'-~ AREA SIZE. '/ MINIMUM DISTANCES, NEQUIREM~ZNTB FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO seePAGE PIT WALL SEPTIC TANK . , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK _ DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD 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 Air'right REMOVABLe CAPS. V/:. .,. ,,: '/. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH O 28-68 AND YHAT THE AB( Department of Environmental ()ua]ity 3330 "C" Street Anchorage, Alaska 99503 SOihS I,OG -- I'I~I{()I,ATION TI:;ST , .,0. /.. ! ~ Legal Descr~p~on:_.~~.~_~ ..... ~rcblatioh' ~sg ..... ~ lids form reports: Soils log ..... ~ ......... Depth Feet 8- 9- 1e- l1 L Was ground water encountered? .jf~(~__ If yes, at what depth? Readin~ Da~e Gross Time Net Time Depth to ~ate~ Net Urop - ~-, ~ ............................... Proposed i~lsgal la~lo~ ,uup~ Depgh ~ ~o[t~-of pi[ or trench ./ -9- -//- ] hereby certify that I have surveyad the following L/,(ttT //'~, £ Anchorage Recording Precinct Alaska and that the improvements sitnated thereon are within the property lines and do not overlap oc encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises m ~uestlon and that there are no roadways transmission hnes or other vis bio easements on sa d property except as Indicated hereon, Dated at Anchorage, Alaska this .... ~.da7 ot ~ --., lO_ ~ngineor~ and 8urveTora MUNICIPALITY OF ANCHORAGE MUNICIPALFrY OP \NCHORAGE DEPARTMENT OP HEALTH & ENVIRONMENTAL PROTECTION DEPT. L3~ & ENVIRONMEN'rAL ENGINEERING DIVISION ~~g Telephone 264-4720 REQUEST FO. APPROVAL OF INDIVIDUAL WAT£. AND SEWI~t/fcFgl. Jl'I~I~D DIRECTIONS: Complete all Darts on page 1. Incomplete requests will not be processed. Please allow ten (10) davs for processing. 1. PROPERTY OWNEFI PHONE MAILINE ADDRESS PROPERTY RESIDENT (If d fferent from above) 2. 13UYER MAILING ADDRESS PHONE PHONE o 43 q q PHONE MAILING ADDRESS 4. REALTOR/AGENT MAILING ADORES8 PHONE 5, LEGAl. DESCRIPTION 6. rYPE OF RE~ENCE ']~L SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY [] NDiVIDUAL° /)~ COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM iNDiViDUAL/ON.SiTE.~ [] PUBLIC UTI LITY NUMBER OF BEDROOMS [] One [] Four I--] Other [] Two [] Five ~ Three [] Six ATTACH WI:LL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give wel depth lattach log if available.) ........., I ctq- If mdwMual/on-s~te, gwe installation date , If system is over ~wo (2) years old an adeouacy test is required Dy this DePartment. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PRGCE$SING CAN BE INITIATED. 72-010(3/7B) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR INSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [~] THREE [] 'FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL []' COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER (~]Sepl~i Tank or [] Holding Tank Size: .,43-L,,~bJ If Tank is homemade SOILS RATING give dimensions: l 0 43 o ~ ~_~ ..~.~ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ~I'"~APPROV ED FOR ~'~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) t f;60 r y Municipality &A'6 horage V�J bevelopment Services Department y Building Safety Division On -Site Water 8 Wastewater Prograin 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 9951"650 www.d.anchorage.ek.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 32HAAftn��„r-„ 1. GENERAL INFORMATION Expiration Date: - / 7- D G Complete legal description SKY RANCH ESTATES SUBDIVISION 12• LOT 8 BLOCK 2 Location (site address or directions) 11711 WRANGLERS WAY * ANCHORAGE AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent ESTATE OF ROBERT HOWELL C/o RICK Day phone 345-0387 11711 WRANGLERS WAY • ANCHORAGE AK 99516 CYNDIE PARTCH w/ PRUDENTIAL J.W. Day phone Day phone 440-7775 Mailing address 3801 CENTERPOINT DRIVE • ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System 0 Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water samples. " (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown belowGuidelines torthls application, my investigation, based on procedures outlined In the Health Authority App shows that the onsite water supply and/or wastewater disposal system 1s(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 riles 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 Finn CARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 0 ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. CARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines d Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may tiuctuate during the year, and the water usage of the family being served by the system. These results do oaf guarana future performance of theevaluatorditions am outside the control of the system, nor do they guaranteeetthat lost there are no hidden defects or encroachments. GEG, Ltd can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole reliance upon or use of this report by any other person listednefit of the owner on or party is of authorized, nor wi l It confer anlegal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Phone 337-6179 Date i 1200 Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineers Report Well Flow Advisory Other ON -S ? WASTEWATER NS By: ilii Original Certificate Date: a / —57 (Rw. 7iAI) Municipality of Anchorage Development Services Department �' a Building Safety Division On.Ske Water & Wastewater Program a • • , , 4700 South Bragaw SL P.O. Box 19M Anchorage, AK 9951"eW wwwxUMchorsge.ak.ua (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: SKY RANCH ESTATES S/O 12• LOT 8 BLOCK 2. Parcel ID: 015-302-32 A. WELL DATA COMMUNITY WATER If A, B. or C provide pWSIDtt 212916 Date completed Sanitary seat Cased to fl. FROM WELL LOG Date of test Static water level fi Well production g.p.m. WATER SAMPLE RESULTS: Coliform colonlesHOpMI. Nitrate Wen Log irises Properly Protected (Y/N) Casing height (above ground) in. AT INSPECTION Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA fL g.p.m. ml. Tank Type/Material STEEL Date installed - 1115/1975 Tank size 1000 gal. Number of Compartments UNK Cleanouts (YM) YES Fourndation cleanout (Y/N) YES Depression over tank (YM) NO High water alarm (Y/N) N/A Date of pumping 1/25/2005 Purr MCDONALD'S PUMPING C. ABSORPTION FIELD DATA MUM Date installed —tys/1tr7S Bon rating (gp.dJR'br6%;;;;b 225 System type TRENCH Length 42 ft. Width 3 tL Gravel below pipe 10 R. 1A Total depth •1 R• Eft. absorption area 840 It' Monitoring tube 'YES Deprosslon over field NO Data of adequacy test j /17/2005 Results (Pass/Fan) PASS For 2 bedrooms Fluid depth In absorption field before test 2 in. Water added 760 gal. Naw depth 28 in, Elapsed Time: 1440 min. Final fluid depth 4 In, Ab 450+ Absorption rate >: g.p.d. Any re)uvenatlon treatment (past 12 mo.) (YIN 6 type) NONE KNOWN if yes, give date "MONITORING TUBE ONLY EXTENDS 9 FEET INTO ORAINROCK. D. LIFT STATION Date installed -Pump on" level at �in- E. SEPARATION DISTANCES Size In gallons— • " " _ - -- High water alar level at — Meets alar & circuit requirements?, Cycles equirements?— Cydes testeds COMMUNITY WATER SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tonkflffl station on lot Absorption field on lot Public sewer main service line On adjacent Public sewer menholaldeanout Holding tank SEPARATION DISTANCES FROM SEPTtCIHOLDING TANK ON LOT TO: tion field S'+ Building foundation 5_--+— Property line 5�— Absorption 10'+ Water service line 10 •'+ Surface water Water main 100'+ Wells on adjacent lots --922:—+— SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 0'+ Property line � O+ 1O Building foundation '+ Water main 1 OO'+ Driveway. parci^�hide storage 5-+_ Water service line •10'+ Surface water �— Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. CnmmENTS G. E Waiver Fee $ HAA Fee $ Date of Payment Date of Payment C) (e Receipt Number Receipt Number (ftv. 1201) T 70:3383246 P:2 PLOT PLAN As BUILT X sCAU Lang & Associates, Inc. Registered Land Surveyors TRACT C 10' WALKWAY 1 40GRlO 7 Pro jod 11300 Do M A wnw. Anchorage, Alaska (907) 322-6478 Phone (907) 522-4625 F.X _ _ _.__ ., � .nr.piangeurvoyors.com 1 hsr.by coAHy thal 1 hove surveyed the fo8owlnp deser(p.d Anehona LOCK 2. SKY RANCH Ala k ES SUBDMSION. U M 2 (PLAT Within the propery Un net do hof and thatach Mo Imryrowmonf. elt.lod fMroon °n Premiss and thatno bnoroverrftft othth PropertynoWng adj°e.nf nth. to to the en ��ch nt'fh that on sold Property escepf os Indta� ;; h4. mtaaton Bns or otter vbm1. psemsnt Dated fhb the 1�5' pay of _ :�ztlea., N b fh. �• at Anchorage. Alaska aownants�sro� ofthe owner to determine the exlslence of anyor irl ^eMetlans Which do not appear on the recorded subdlsion Plus, .�-vy �..M_\� 491V '; KENNEiIf g._ LS -5202 ME ami