HomeMy WebLinkAboutSKY RANCH ESTATES #2 BLK 2 LT 16 Municipality of Anchorage Page J__of
DEPARTMENT OF HFALTH AND HUMAN SERVICES
ENVIRONMENTAL SEF::IVlCES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343~4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW c~JO2.,..,c'8 PIDNumber: C?l,~,.,3(::2
Name:
$' Y/-. f/P, N R, ,5 ~ ~?-r Wastewater System: [] New ~'Upgrade
Address:
I 1'7OI PINTO CIRCLE ABSORPTION FIELD
I No. of ~.i~edrooms:
Phone: ~ L~ . 2 ~ ~'~ [] Deep Trench [] Shallow Trench [] Bed [] Mound [] Other
LEGAL DESCRIPTION Soil Rating: Total Depth from original grade:
GPD/Sq. Ft.
Lot: Block: Subdivision: '~' 3eplh to pipe bolt0m Item original grade: Gravel depth beneath pipe
Towaship: I Range: Section: Fill added above original grade: Gravel length:
t2 N] ~ W' 22 Ft. .iFt.
WELL; [] New [] Upgrade Graveldepth: Number of lines: DistsncebehYeenlines:
Ft. Ft.
Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material:
Ft. Fi. SQ Ft.
Driller: Date Drilled: SlalicWater Level: Installer: Date inslalled:
SEPARATION DISTANCES '~septic [] Holding [] S.T.E.P.
TO Septic Absorption Lift Holding =ublic/Private Manufacturer: Capacity in gallons:
From Tank Field Stafion Tank Sewer Lines /~ ~C ['~, "~'/~ ~'~ ~ [ '~.,. ~O
Number of Compartments:
Well ~,~0OI Material: ¢TEE L.
Surface
WataF ~/~O LIFT STATION
LIneL°t ~ /.~o/ Size in gallons: I Manufacturer:
I
Foundation. ~o i 'Pump on" level at: "Pump off" level at: High water alarm at:
Curtain =urnp Make & Model Electrical Inspections perlermed by:
Drain
Remarks: ' BENCH MARK
Location and Description:
Assumed Elevation:
~]o[to~ ~ec~n~c~] ~e~vice8 ~NaINEER'S SEAL
~c~o~qe, ~]~s](~ 995]8 ~% .......
Department of He pproval ¢,~,.,., c~.358~
Reviewed and approved by: _ : n~ ~R.-., .
72K)13 (1/91) MOA 25
Permit"Jo. SW °11o25S Page :2. of 3
Municipality of Anchorage
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
Legal Description: L IG., B2 5Ky RANC.~ E,5'F. ¢: 2 PID No.:
M/~i~pER lNG % PI~ t./CE
II-
72-013 A (2/9t) MOA 25
Pkdtop Technica! Services
14530 Echo Street'
Anchorc~ge, Alaska 99518
PermltNo. ,~W cJlo2-C~ Page -~ of ~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O, Box 196650 · Anchorage, Alaska 995'19-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal DescrJption: L IG,, B2 SKy R/~N¢~/ ~:,~7'.
PID No.: ~
O0~ 4 ELEV '~ Io0.0~ C~ou~4'b E~EV'
NEW 12. Eo GA(. [~
t NLE T'~ (~ ~'t.(~~
OUTLE'T: ¢JUt~O' J
bls'Tl~ 1 H,JTIo N 'P I'PE
SCALE:
NORt'Z. oN"I'.~L'. HoT To 5CAI. E
V~RTIC.~/.. ; I""=- S~
~latt0-15 T~cl~h[cal Service~
14530 Echo Street
Anchorage, ~lask(x 99516
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:SW910258
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:SWETT SYLVAN R &
OWNER ADDRESS:il701 PINTO CIR
ANCHORAGE AK 99516
DATE ISSUED: 8/28/91
EXPIRATION DATE: 8/28/92
PARCEL ID:01530240
LEGAL DESCRIPTION: SKY RANCH ESTATES #2 BLK 2 L
T 16
LOT SIZE: 20351 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE liN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND TNE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THIS PERMIT IS ISSUED FOR THE REPLACEMENT OF A COLLAPSED
TANK ONLY.
RECEIVED BY: ~-~ ~
ISSUED BY: ~ (D [-+~q ~,4 1 Iq4
DATE:
DATE:
GREh,ER ANCHORAGE AREA BOR, JGH
Department of Environmental Qualitv
3330 C Street
Anchorage, Alaska 99503
ON-SITE SEWAGE DISPOSAL SYSTEM~
INSPECTION
REPORT
SEPT]C TANK:
DISTANCE ~ ,*¢'~//~ ' ~ '~/
INSIDE LENGTH /~) INSIDE WIDTFt
MATERI .) COMPARTMENTS
LIQUID DEPTH L,QUID CAPACITY_/J/5~'LCALLONS.
TILE [:)RAIN FIELD:
~'~J '~/ /¢~ ~ ~ /)~.~__ / TOTAL LENGTH
DISTANCE
FROM
WELL
.~_I~=~ FOUNDATION NEAREST LOT LINE OF LINES
NUMBER OF LINFS / DISTANCE BE WEEN LINES TRENCH WIDTI4
..... IN. TOTAL EFFECTIVE
ABSORPTION AREA / U .U_ SQ. FT. LENGTH OF EACH LINE
DEPTH
OF
FILTER
DEPTH: TOP OF TILE TO FINISH GRADE
MATERIAL BENEATH TILE /~¢ IN. ABOVE TILE ~ // IN.
WELL:
TYPE .. d~¢' ~ ~_.CONSTRUCTION_ DEPTH
BUILDING NEARESF NEAREST SEPTIC SEEPAGE
FOUNDATION___ LOT LINE SEWER LINE , TANK____, SYSTEM
CESSPOOL
APPROVED
DTHER SOURCES
DISAPPROVEO
REMARKS
DISTANCE FROM:
DISTANCES:
_ _ DIAGRAM OF SYSTEM
SEWER LINE DEPTH:
LOT SLOPE:
REMARKS:
Form EQ-032
GREA :R ANCHORAGE AREA BOF JGH
PERMfT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
BYFINANCED THROUGH
FINAL INSPECTION: Z4 NOUR NOTICE REQUIRED. BACKFILLING OF' ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
GREATER ANCHORAGE AREA BORO
Department o'f Environmental Qu~.,~ty
3330 "C" Street
Anchorage, Alaska 99503
. . SOILS LOG - PEROL/~fI'ION TEST
,>erformed for ~__~/~,,~}C:/e'/'- ~Z~'~",~h'///~2,~ld.; . ~ Performed
Depth
Feet
2 -
S,
DS
A,,I
10-
1 'l
12-
13--
Was ground water encoun~erea? .... 7j~/_(]) If yes, at what depth?
Gross l'ime Net Time
Net Drop
Proposed i ns tal 1 a~-n-: ' -S~l~)a~-~.le Pi t Dra i il I:i e 1 d
. ' ..... r ....... , -I I
)erfor[ od By~ (eri 1 fle b~ DaLe
EQ 040 (6/74)
~das Gpound ~!atar gncoun-i:e~,~:d? ...... t.i,~ .......... ~,cGe
FieLd
~1: Time
Date
Insp
MUNICIPALITY OF ANCHORA~
DEPARTM~T OF HEALTH AND ENVIRONMEIN,ML PROTECTION
825 L Street, Anchorage. Alaska 99501
264-4720
3:15 p.m.
1-27-78 Friday
Date Received: January 23, 1978
42: Time a3: Time
Date ]Date
Pratt Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: Alaska Statebank % Shirley Ellstrom
Mailing Address:
Property Owner:
Mailing Address:
310 East Northern Lights Blvd,
Ted Veal
Star Route A Box 1620Y 99507
Phone: 279-.7637
Phone: 344-~9974
Legal Description: Lot 16 Block 2 Sky Ranch Estates Subdivision ~2
Single Family Residence: (x) Number of Bedrooms: Four
Multiple Family Residence: ( ) Number of Bedrooms:
Well System:
Permit ~
Construction
Individual Well
Depth of
( ) Co~mnuni~y/Public System (xk
Well Well Log on File
Bacterial Analysls
( )
Sewage Disposal System: On-site System (x) Public Utility
Permit :~ Installed 1975 Installe~ ~1 ~ ~.
Septic Tank Size _~,Qa~ Ar~,~[tnx~ Manufacture=' _~m~%sc~
Absorption Area k~fh(h~q~~_ Soils Rate _~. _ Material
Distances: Well
to Sewer Line
to Septic Tank
Nearest Lot line
1;o Absorption Area
Absorption
Area
to Nearest Lot Line
Page Two
Department of Health and Environmental Proteckion
Request for Approval of Individual Sewer and Wa%er Facilities
Legal Description: Lot 16 Block 2 Sky Ranch
Comments:
Af fadavi% At~ached:
Approved:
Disapproved
Letter Attached: )
Date:
Department Worksheet:
Iop!~ ~.,l~o .o~) --O]fl]lAOUd ]BVU3AOD ]ONVUflSNI O~i OOBg .uo=q $~
(o3elsod mqd) ~)Og'--qlV~ fJ}llJlllt~tO IIQ,.t .Ldl~tg~iU
MUNICIPALITY OF ANCHORAGE
Department of Health and Environmental Protection
825 L Street, Anchorage, Alaska 99501
~uest for Approval of Individual Sewer and Water
Facilities:3
Property Owner:
Mailing Address:
Phone
Name of Buyer: %~' V/_ ~z3 ~d%:~~
Mailing Address: ~'~ //~?%-~!E?/- ~%~% ~z¥~ Phone:
Lending Institution:
Mailing Address: 3/b
~ ~3:b?:>~c:~,C3 < /~ >/T'~ Phone:
o
Realtor/Agent:
Mailing Address:
Phone:
Legal Description:
Street Location: ~_)~/~,~p~m(~
Single Family Residence: (~) Number of
Multiple Family Residence: ( )
Bedrooms:
Number of Bedrooms:
Water Supply: *Individual Well ( ) Public/Co~nunity System (~)
If Individual Well, well depth
If Community System, name of system %~?~.~/ ~9~:~
Sewage Disposal System: *~n-site System (~) Public System ( )
If On-site System, date of installation:
*NOTE: A well log is required on ALL wells drilled since 6/75.
** If on-site sewer system is over two(2) years old, an adequacy
test is required by this department.
A fee of $25.00 must accompany each request before processing
can be initiated.
3/77
G. L. Hood Construction, linc.
101 E. INTERNATIONAL AIRPORT RD. ~ ANCHORAGE, ALASKA 99502 - (907) 274-5014
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received January 5f
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
1. Approval requested by:
Mailing Address: 705 West 6th Avenue
2. Property Owner: . Georqe L. Hood
Mailing Address: % Ted Veal 344-9974
Amfac Mortqaqe_ Corporation % Ann
Phone: 277-8588
Phone:
3. Legal Description: Lot 16 Block 2 Sky Ranch Estates ~2
4. Location: 11701 Pinto circle
5. Type of facility to be inspected Sinqle Family
'6. Well Data:
A. Type Community
C. Construction
7. Sewage Disposal System: On-site
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
I. Size
1. Absorption Area
Total length of lines
No. of bedrooms 2
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
B. Depth
D. Bacterial Analysis
system
B. Installer
2. Manufacturer
2. Material
., Absorption area
, Other contamination
, Absorption area
Sewer Lines __
C. Absorption area to nearest lot line __
EQ-034 (1/74) Page 1 of two pages
Paqe 2 of two pages - Reyest for Approval ~of Individual S~wer ~. ~ater Facilities
Legal Description Lot ].6 Block 2 Sky Ranch Estates #2 ____~
Comments
Approved
Disapproved
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)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99.503 - 274-4561
REQUEST FOR APPROVAl_ OF
INDIVIDUAL SEWER and WATER FACILITIES
~UNIcIPALiTY OF ANC~(o
..... r~AL PROTECTION
JA~ ~ ~977
RECEIVED
December 30, 1976
1. Type of Inspection: CMRO VA FHA CONY __
2. Property Owner: George L, Hood(contact purchaser -. Ted Veal)
XX
Mailing Address:
3. Name of Buyer: Ted Veal
Day Phone
Mailing Address: ll701 Pinto Circle, Anchorage
4. Name of Lending Institution: Amfac Mortgage Corporation
Mailing Address: 705 W, Sixth Ave,~ Anchorage 99501 Phone
5. Name o'f Realtor or Agent:
Mailing Address: Phone
Day Phone 344-9974
277-8588 (Ann)
Legal Description:
Location:
Lot 16, Block 2, Sky Ranch Estates Unit No. 2
ll701 Pinto Circle
7. Type of Facility to be inspected: Single Family Residence
8. Water Supply Community
Type of Supply: Public Utility
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
No. Bdrms.
Inclividual
individual (on-site) XXX
EQ-037 (1/74)
DATE
ALA~,,A DEPARTMENT OF HEALTH AND SOCIAL SE;,dCES
DIVISION OF PUBLIC HEALTH
INI:)IVIOIJAL AND SEMI,PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
Lab No.
OFEICE
INDIVIDUAL[]
NAME
SEMI-PUBLIC ~ CEtLORINE RESIDUAL PPM
REPORT RESULTS TO
ADDRESS
CITY
ZIP CODE
ADDRESS
OF SOURCE
Analysis shows this Waler SAMPLE to be:
send new sample.
SANITARIAN'S REMARKS
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY
[)ATE COLLECTED
Samule Collected From
[] Other (List)
TIME COLLECTED · ~
~ Iqfchen Tap [~] Bathroom Tar~ [] Basement Tar~
Walls--~ Wood [] Concrete ~ r~elal
Diameter of Well
Well Cash~g
Mcslerial Diameter
Lenglh of
Drop PJpe
Offset in
PUMP LOCATION: [~ In Well [] Basement
On Top
[] OE Well [] Olher
PURPOSE OF EXAMINATION: Illness Suspecled?
[] Yes [] No
[] hl Basement [] Room
[] Yes [] No
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
o6.12~o lb) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1973
Lactose Broth ~ 1Otc lOcc 1Oct IOcc 1Otc T.Occ T.Occ
R4 Hours
Brilliant Green
24 Hours
48 Hours :,