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Home My WebLink AboutSKY RANCH ESTATES #2 BLK 2 LT 10 MUNICIPALITY OF ANCFIORAGE DE ~TMENT OF HEALTH AND HUMAN SER', £8 Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION Township, Range, Section TANKS SEPTIC [] HOLDING WELL DISTANCES SEPTIG TANK LOT LINE FOUNDATION ABSORPTION FIELD WELL /~ TYPE OF SYSTEM WELLS E} PRIVATE [] OTHEFI (Identify) FTl · FI REMARKS: Municipal and Slate guidl,, in ellecl on this date: __ Health Department Approval: __ 72-013 (3/85) that this inspection was periormed according to all ~ ANCHORAGE ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O.BOX 6-6650 ANCHORAGE, ALASKA 99502-0650 JUNE 6, 1986 Subject: Up grade of septic system Lot 10, Block 2, Skyranch Estate Gentlemen; The replacement system fo]: this lot was connected to the ex~sting system. I first mnspected that system mn January, 1985. The adequacy test I performed showed that the sysEem did not have the desired surge capacity causing water 5o back up mn the tank and in the sewer servmce line. The resmdence was in use at that time and is still in use. There was no signs mn January and there was no signs in May that the existing system was not able co handle the daily flow. During the winter and spring two persons resided continuously in the house. This is 30 per cenL of the total occupancy load. It is generally accepted that the water usage rate of 75 gallons per person per day is probably 50 5o 75 per cent higher than the accrual rate. Accepting these ~wo assumptions the existing system continuously accepted a daily water flow of 2x75x.50 = 75 gallons per day. This zs 75x1~0/450 16 per cent of the design flow. The absorption area of the existing trench is 750 sq. ft. 16 percent of that is 125 sq. ft. Adding this area to the 7].2 sq. ft. of the replacement area gives a total of 837 sq. ft. You.r s_a~ ~ __ obben Spurkland~.E. \ \ LOT 10 1ooo G^~ '\ ~. ~'~ \ I EXIST, I . -C~q~} ~ ~ ~ i~ ~ SUMPS L_~T 11 N ~0 ~0 120 GRAPHIC SCALE A ": ~'~' S[-]PTIC SYSTEM AS BUILT LOT 10, BLOCK SKYRANCH ESTATE TIllS:BEN SPURKLAN]] P,E, J[]N ANI)ERS MAY qn l<~c)~ ANCH[]RAGE, ALASKA, 99501 DATI!E ],..,.d.fl.1). L]]ii:[]~ll., ])E.,.,I{.[~ J.I . I-..EFI' ~i} :1: Z I!ii: ~: l*i (:': X )-3ES;I)IROEIHS ~ E.I ,LI[,I.. 2 · x"l~' (iFF~b[.I_. I...l:::.llE~lll :::. ?",:5 I:::'T',, RI:DLI:I:FREEi IIiJI..II[L.I. I:?lllxl!3 (NUT IEXE;Ei:E1)]:NF3 I::'T. IE(ll~CH) fC)l"'Lh by 'LIgc~, I"lUli:i.c::i.p,~I:L'Ly cH' P~m::hc)rag~ (PI[](~) ar'id '[..hG) ~'~.~'~t.E) of (~].~'.~E~I.::~. arid :i. rl cramp ].ianc(.? ~td,'Lh 'Ll"le de,:,~J, gn ~:l':i.t. er~:[a of 'Lb i~ p~:?rm:t'L,, any :.~r'l ] a v g ~,~m~::e: rL i1= (!r I...:[F:T ~;"I'(.YF:[C)N ]..:~ II'~IE;T(-~II..I..,I!i::0 :IN (41xl {-~RE(-~ I,OL)I:=f~E:,I,) ~3Y I'~1[:)(.~ [:lJJI BENI.u 'IHEhl (:1,) ~/1~1 L,I..,I.C I I~],l,,~l.. "'~:,[~PI] I AND ,I,I lot I1. ].L N I~IIJEFI' ~3E O~{~'I'~IIxlI=_Z); (2) IA]:!.J,_ iq[Y[' ~31E (~1 I hi ~[ ~.) ~'I'I-'II31JT (~1',1 I:.LE:.[,iF~.J.(~(~I.,. ].N,,~[ L..E,I ].i3N I:~[~:F'[:)I::~']'~ AND I~:I.I~[YJ'J::~]:(:~I.. ~JO[~J<: I'~ll,~l' ]3~: DE}NE ~ry ~,~ LJ.(,.L{I.i,::d:=].) Ed..l=,(.,, , ]. [~l,th:.].) D A ]Ei: ,I, ,. ~,,~ U E,I), CJI]I',.I'I ACI F:'IIOI',II~i: ~ i.EGAI. DE]iii[iRIF:':: SUBI) I VIEiION: SI<YRANCH ES'i .tl:~:! LD"I: 10 9L,OCI:::~ i:! SECI'II3N: 22 'IONNSHII::"~ 12lq RANGE::~ MAX ~EJ}F~E)E)ME:;: ~y~t(,DiJ'l. [];hoosc'~ tl'le Opt ~ oil th T~' I:]~.)St f :i.'~:.S ~c,~.,~l .,~ LI O · ~"~'~' (.I*¢~VE.I,. I.,F:.IIblH > 7!.5 F'I ,, I::;:E:C!UII:;tES MUI,..TIF:'I-.E F:;tiNE~ (N(]'f' E:X£.,E:.k"~:0.1,11.:~ 7t:5 F'T,, 'x'-'~ 'I'ANK h'ltHE;T I'IAVE A'T I.,.E::A,C;T TWI3 []OMPARFMlii::N'FS :[ .... [ aln ~ ami ]. it]i, ;.,iJ.'Lh ti'p:? r, eqL~:i.r'(y~me~Yl'.!!; ~'ol' on',,.~il;:[.4'.,&? sew<-:.ms and we1 ls a~; s;~.,~t ~c:)Pl:.l~ by L]~c~ I"h.tn:i. cipa] :i.'Ly o~ Ar~chor'ag~:~ (ME}A) ariel tile Sta'~',e o~' Alaska. 2. ] ~,~il] ills'la].] t,h(~ sys'Lem :i,n ~cccH-darlce w:i. th all MOA codes alld 3,, i will aclhePe to ,'~t],]. MOA El'l[:l E~i'tl.a'~'{~ i]~ Alaska PE~qL{iLP~.'~Ille~r'I'~..ii~ {'E)P d ~,~SL~lll:](..)~ ~ I"O~II ~Al'ly (.:)~,~ ~.E~, J IIf.~ N~:?]. 1 ~ P~I~t~'~LCS~W~'~].(~I' disposal, sys'tL~:~m or' pub 1 :i.c I I::: A I.. I F:: T <~:; I AT t ON ]: S ]: NE~'I"AL.L.ED I N APl AREA COVERE:D BY MOA BU :I:I...D:£ NG CODE!:;!, I'HEi]:I (1) AN E:LI:!:CTR:I:CAI. I:"Ei:RMIT :~l:JI:) IN,fi;F:'E:C]ION I~IU~FI' BE OB'I'AINP.'I); (:..~) AE;'"'BUIL1S WII..I. NOr BE AF:'I'"ROVEI) WITI'II3U'I AI',I ELEC'H:~:I. CAL INSF)I::CTIOI',I I::iEF'ORT; AND (3) TI-IE E:LI:::CIRICAt. WORK M'II,'-JT bi:: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82.5 L. Street, Anchorage, Alaska 99501 2-64-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERFORMED FOR: _~ ~) I~ LEGAL DESCRIPTION: PERCOLATION TEST SLOPE DATE PERFORMED:__ ~ITE PLAN 14 18 19 2 2 2 5-[i'. JN~: ~5, ,L97L ..~ 20 WAS GROUND WATER S ENCODNTERED? NIO L O P E IF YES, AT WHAT DEPTH? PER, ,, o~, ~ (minutes/inch) TEST F~UN BETWEEN ',,~..~. FT AND ~ FT Gross Net Depth to Net ReadingDate Time Time Water Drop '//.,/.,...-o_ -,, 72-008 (6/79) N 0 100 ~.00 3OO SC , F: SE?]~C SYSTEM LET ~0, BLOCK SKYP. ANCH FC';ATE JBN AllDERS ~iZO0 P~NT~ C~RCL. E 245 -n~8 'FObDEN SPUPKLAND PC 203 'WEST !STH. AVEf~UC SUITE BO3, JBL. DGC ANCHE]RAC:E, ALASKA I1/," 5, IS-~2b ,ER ANCHORAGE AREA BOR , Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION __ MAILING ADDRESS PHONE SEPTIC TANK: DISTANCE FROM WELt (~*~4~"~ INSIDE LENGTH MANUFACTURER INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY /g2F)O GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL ~-'~4,'V~ FOUNDATION .~ NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA ~(~ SQ. FT. LENGTH OF EACH LINE DEPTN: TOP OF TILE TO FINISH GRADE k~. I DEPTH OF FILTER _~MATERIAL- BENEATH TILE. NEAREST LOT LINE /0 ! TOTALOF LINES LENGTH,~/.,¢%_../ ,~?/,~_ TRENCH WIDTH.~' IN. TOTAL EFFECTIVE ABOVE TILE IN, WELL: TYPE _ CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION__ LOT LINE , SEWER LINE .... TANK____, SYSTEM_____ CESSPOOL OTHER SOURCES APPROVED . DISAPPROVED-- ____REMARKS DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL: '~¢~"~.-45'1~~'-~'''~ LOT SLOPE: _ REMARKS: '~'5 l:') '~ DIAGRAM OF SYSTEM Form EQ-032 SEWAGE DISPOSAl- SYSTEM -- APPLICATION AND PERMIT FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION ]BY THE DEPARTMFNT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCES, BE"GUIREMENTS -, DRAIN FIELD , DRAIN FIELD , SEEPAGE PIT ALSO CONSIDER AREA WELLS. · SEEPAGE PIT DRAIN FIELD GRAVEL BACKFILl. t,\ [ CERTIFY THAT I AM FAMILIAR WITH THE REQU[REMENTS OF GREATER NO. 28-68 AND THAT THE ABOVE GREATER ANCUORAGE AREA BOROU~'' Department of Environmental Qu, ~ty 3330 "C" Street Anchorage, Alaska 99503 SOILS LO(l - PEROLATION TEST Performed for ~'- ~--,~-~_~-~_ :~6~M~-*-7~/~t~t~ Date Performed Legal Descrlpt~ on: ~_5~__~__~¢~'~ ..... ~~___~0~ This form reports: Soils log_~_. Percolation test Depth Feet '1 '1 W~'Tgroun w~ateCr encou~n ~ered? ___/{/~]) ___ If yes, at what depth? .................... Reading Date Gross Time Net Time ?e~.th~}?__W.~t~ep Net Drop Proposed i ns ta] 1 at~>h-:- - '~bbpa~le Pi t Urai n Fi el d - :.--~--~.~ ........ : "- :----(z=F~: ........... P~ rformed By Y MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVIOES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 C~ERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # GENERAL INFORMATION Complete'legal descripti~ Location (site address or directions) ProPerty owner ,~-~,~-.¢~,,~z & ~',~"z,-=~,,~.,~-.,-/~',~. Day phone Mailing address //~ ~ ~ ~-~, Lending agency ~~/~' ~~ Day phone Mailin. g address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ,~ 'N TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community 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 MOA#21 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. Name of Firm ~;~'~'~'-~ 2'~""/~'/~=~"cJz-~Y Phoneg/'~'~,-j 2'P/~ ~/~/%-¢ Engineecs signature'~ ~'¢'~ -~'~g~ Date DHHS SIGNATURE ~ Approved for "7-/7//~bedrooms. Disapproved. Conditional approval for bedrooms, with th-e 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. MAY 1999 Municipality of Anchorage MUN C P^U V OF DEPARTMENT OF HEALTH & HUMAN S~-R~Cli~E~AL s~Rvl¢~$ DIVISION Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: Health Authority Approval Checklist /..: ,~ r'/~ .~'/Z ~, ,¢',¢~//¢'.¢,~-',¢.e" ,¢¢rr..~,;,"~¢' Parcel I,D,: A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date cempleted Total depth Cased to Casing height (above ground) Sanitary seal (Y/N) _ _ Wires properly protected (Y/N) FROM WELL LOG AT INSPE~ Static water level Well production g.p.m, wA'r R SAMP'E Coliform ~ Nitrate Other bacteria Collected by:_ B= SEPTIC/HOLDING TANK DATA Date installed /~'/?~"'_Tanksize ?~,~d ~'/~-. Number of Compartments '~ Cleanouts (Y/N)_ Foundation cleanout (Y/N) _ ,,v' _ Depression (Y/N) /J High water alarm (Y/N) C= ABSORPTION FIELD DATA Date installed /?¢,~ x'¢,~¢~ Soilrating (g.p.d./ft~ or. fF/bdrm.) ,~'~oyutem ..... ~ype'~/'~;¢~- ?--.~,;-,u,, Length ¢~/'~'¢'/ 'Width b~/ GraVel thickness below pipe .-.~-~,/ _ Total depth Effectiv~ absorption area ~'5, 7/-~ ¢' Monitoring Tube present (Y/N) ,Y' _ Depression over field (Y/N) Date of adequacy test /,~"¢'"X~'4;¢ __ Results (Pass/Fail) _ ..">/-¢ ~'..¢ For .~ bedrooms Fluid depth in absorption field before test (in.); . Immediately affer.¢qc'~gal. Water added (in,): Fluid depth ~';//~z/'~ (ins) Minutes later: .~.,c d'.~' . Absorption rate = 4,'.¢'£~ _g.p.d. Peroxide treatment (past 12 months) (Y/N) /u/ If yes, give date '"'-- 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons "Pump on" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main ~line /~/~ On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTiC/HOLDING TANK ON LOTTO: Foundation ///~ Property line ~' Y','~/. Absorption field. Water main/service line ,~'~',~ Sudace water/drainage ~/~'~ Wells on adjacent lots /~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ///'/~ / Building foundation "~ ~'"~/ Water main/service line Surface water Curtain drain Driveway, parking/vehicle storage area Wells on adjacent lots /~ F. ENGINEER'S CERTIFICATION I certify that I have determined thru in conformance with MOA HAA,guidelines in effect on this date. Signatur~ '{ ('~ ~ Engineer s Name [~oV~ ~l~.~ Date I' ~"~' ~ HAA Fee $ Date of Payment ~=~F/~L~ ./'/~ ? Receipt Number ~:~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 GENERAL INFORMATION (a) (b) (c) Application Date ~ '2~01 l~1~"~::~ Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name__ ~"~'~_~_~,~¢-,f,, _ Telephone: Home ~-' ~)~ ~ Business Applicant Address/ ~1 ~ ~ ~;~O ~ f Applicant is (check one): Lending Institution ~; Owner/builder ~; Buyer []; Other ~ (explain); (e) Real Estate Company and A~ent Address Telephone Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms "~ Other WATER SUPPLY Individual WelJ~ Community~ Public [] Note: If community well system, must have written confirmation from the State Department ol Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL OnsiteK Public [] Community [] Holding Tank [] Note: If community well system, musl have written confirmation from the State Department of Environmental Conservation attesting to the legality arrd status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDINg, ~NSPEC'rlONS, TESTS, FILE SEARCH, I)A ~ ~ AND INFORMATION' As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authodty Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtai~ed 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, ordinaRces, and regulations i~ effect on the date of this inspection. AOOrees ~ ~l~' ~ Engineer's Seal DHEP APPROVAL Approved for 7~t~.~ ('~/bedrooms by _ Disapproved Terms of Conditional Approval Conditional Date CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered irr the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requiremenls. Employees of DHEP (Jo 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. Page 2 of 2 72.025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHE;CKLIST- FEBRUARY 1984 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Legal Description: WELL DATA Well Classification ~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) . Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots __ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date · Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding 'Yank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line __ Cleanout/Manhole Water Sample Collected by Water Sample ]'est Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~ l~7~''_ Size 1~ No. of Compartments _ ,~ Standpipes (Y/N) _~)J~LI~: Air-tight Caps (Y/N) _~V' Foundation Cleanout (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~ Separation Distances from Septic/Holding Tank: To Water-Supply Well TO Property Line ~"'.~ Y Date Last Pumped ;for _ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Water Main/Service Line Course NoNE To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/8'1) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field ~O 't Square Feet of Absorption Area ~ Oi"~ Depression over Field (Y/N) I~ Results of Last Adequacy Test Separation Distance from Absorption Field: TO Water-Supply Well ~,~ ~ To Building Foundation ~. ~ Lot I ~) To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area ~_.¢ ~ (~.~..l,~.~¢3 Type of System Design V Length of Field ~ ~ Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Y Date of Last Adequacy Test To Property Line ~ D To Existing or Abandoned System on ; On Adjoining Lots TO Cutbank (if present) No N Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test, Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify tha. LI have checked.verified/er conformed to all M. OA an¢ HAA guidelines in effect on the date of this inspection. S gned _~'~.~ ~ Date ~""'"/'~ ~/~ / Company MOA No, Date of Payment ~ - ~ ~,. ~F~ %? ,(, , w..49 ~'-'.~ ~,':~ Engineer's Seal Amount: $ ~ ~,,.~ .... GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received _January 27, 1977 Time of Inspection Date of Inspection .~;-77 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR ~/u Cony. 1. Approval requested by: Alaska Mutual Savings Bank % Betty Dayton Mailing Address: Post Office Box 1120 99510 Phone: 274-3561 2. Property Owner: , Marshall/Kim Darby Phone: 349-3669 Mailing Address: 10700 Pinto circle 3. Legal Description: Lot 10 Block 2 Sky Ranch Estates #2 4. Location: 10700 Pinto Circle 5. Type of facility to be inspected 6. Well Data: A. Type Community Single Family B. Depth No. of bedrooms 3 C. Construction~ ~s D. Bacterial Analysis Sewage Disposal ite system A. Installed C.~Septic Tank: D. Seepage Pit: E. Disposal Field: 1975 B. Installer 1. Size ,,EbL_mL] 2. Manufacturer ~(~,~,.~ 1. Absorption Area ~22~{22~__~=4]__~. Total length of lines , Absorption area , Other contamination , Absorption area Distances: A. Well to: Septic tank Nearest 'lot line B. Foundation to septic tank C. Absorption area to nearest lot line ., sewer Lines __., EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re( ~t for Approval of Individual ~ ~r & Water Facilities Legal Description Lot 10 Block 2 Sky Ranch Estates ~2 Comments Approved ~~ .~.~ Disapproved Date .~-/--Z~ Appr~lld for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality ~IAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of' Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 7- Time of Inspection Date of Inspection 1. 4. 5. 6. REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested Mailing Address: ~. Property Owner: Mailing Address: Phone: Phone: Type of facility to be inspected C. Construction No. of bedrooms B. Depth D. Bacterial Analysis Sewage Disposal System: A. Installed~ /m, ~.~' C. Septic Tank: D. Seepage Pit: B. Installer / /I~' :~ ~,,4 1. Size //t]~ d(~'~', I 2. Manufacturer ,/~i~ 1. Absorption Area 2. Material E. Disposal Field: Total length of lines: ., ~ . , Distances: . . ~. .. _. / ¢ ' A. Well to: Septic tank ~(0 , Absorpt]o'd area _ 12~: '--, Se~e~L~nes ., Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION DEPI'. OF H~At.TH & 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 ENVIRONMENTA~ PROTECTION; REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA_ FHA JAN 2 7 1977 CONV X _'LX_~ '~'- 2. Property Owner: He, rsha11 ~, Klm Darby Mailing Address: 1o7oo P~nto c~-nl, Day Phone:_'~9-'~66g ~***~ 3. Name of Buyer: Jon D. & Nuket Anders Mailing Address: C/0 Alaska Mutual Savings Bank Day Phone:_ 27)~-3561 (Nuket) 4. Name of Lending institution: Alaska Mutual Savinss Bank Mailing Address: P. 0. Box 1120 Phone: 274-3~61 5. Name of Realtor or Agent:_ Dynm~zic Realty---Valda Drake Mailing Address: 501 W. Northern Lights Blvd. Phone: 3J~-3400 or 279-7611 6. Legal Description: Lot 10 Blk 2 Sky Ranch Estates Unit ~/2 Location: 10700 Pinto Circle~ Anchorage 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility Community If individual, number of dwellings presently served _ If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility__ if Individual, date of installation 3-75 sinMle fsmzily No, Bdrms. 3 Individual Individual (on-site) ****if unable to reach at this phone please call me. Please rush if possible and call me ~en ready. Thank you. 37~.-3561 X238 Alaska Mutual Savings Bank Betty C. Dayton P. O. Box 1120 Anchorage, Alaska 99510 72-003(3/76) Dep nent o'f Envirom,n::ntdl Qu .7 3330 "C" St., Anc, orage, Alaska 99503 27~-4561 , ~ ./ REQOEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type oF Inspection: CMRD VI/ PliA ....... CONV ._~ Property Owner: ( .~d/~/2_~.. Maili.ng Address: ~x' /~. ,7¢~_~,~L~.__.J[~ Phone . _~.~ Name of Buyer: /~ ~ Hailing Address: .,~ c>C~%~ ~--~ .......... ~am~ of Lending InstiEution: ~2~'.~¢2"~;~f:/:'/1z ~:)~z- Hailing Address' ~ ~¢m~ ~?~? ~SS'L) Phun ~~ Name of Real,or or Agent: Hai 1 in9 Address: Pholle 6 Legal Description: .~o_x' z~(21 ~q:' ' ~ '-~'~'~ ..... Location: _/;F~x~.~. __~:c:z: ~ .2%."~x~"~,~'' be inspected: /-~,~:':~:.2~ Ho. Public U[:'ility ___'C.__ ( individual 7. Type of Facility to 8. Water Supply Type of Snpply: If Individual , number of dwel lings I)resen~ly served If Individual, (lei, Lb of 9. Sewage Disposal. System l'ype o'F S~ysl~ern: Publfc 1F In~Jividual, (late of Utility ......... [nd';v idual (on-siLo) J-'~'/ Pa§e 2 of two pages - Requ for Approval of Individual Se, & Water Facilities Legal Description Comments Approval ,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) First ~tattOnal Bank P.O. Box 720 Anchorage AK 99510 of ^nchorage SU[k]£gT: Lot 10 Block 2 Sky Ranch Subdivision Gent lem~)en; Ti)is office must disapprove the sewer aed eater facilities on the subject lot. Albhough this subdivision is served by a commu()tty water system, we )lave not been receivt))g routine water samples from 'the owners of the wello Once Ibis problem is resolved, I would be glad to reconsider your request. If yuu have any, questions con?rning this matter, pleaso contact me ~t ~14..4§61 extension 136. Sincerely, Susan E. Oswalt Sanitarian SEO/sr