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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 :,