The URL can be used to link to this page

Home My WebLink AboutSKY RANCH ESTATES #2 BLK 2 LT 5Sky Ranch Estates #2 Block 2 Lot 5 #015-302-29 Municipality of Anchorage Page 1 of 2 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 Permit Number SW990270 PID Number: 015-302-29 ---------� —�---�—� Name:RON COLLINS Wastewater System: ❑ New ■ Upgrade Address: 1730 WRANGLERS WAY ABSORPTION FIELD Phone: (907) 345-4051 No. of Bedrooms; 3— ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Dt LEGAL DESCRIPTIONC Sall Rating— Total Depth from original Fl. GPD/Sq. Ft. Lot: Block: SubdiviJ� Depth to pipe bottom from original grade: Gravel depth oath pipe: 5 2 SKYRANCHA#2 Ft. Ft. TOWnahip—�-- Ra=ge:-- Section:-- Fill added above original grade: el length: Grovel width: �"C)��NG Number of Ilnee: Dietonee between Iln e: WELL: E] New ❑ Upgrade FL Ft. Claselflcation (fdvate, e.B,C): Total Dept - Cased Tel Total sheorpllon or Pip. material: Ft. FL SQ. Ft. Griller. MMM C" Date Drilled: Static Water Level: Inetolls Dole Installed: --- Yleld: Pump sat At: Caeing Height Above Ground: -- TANK GPM Ft. Ft. — -- SEPARATION -- DISTANCES 0 Septic ❑ Holding 17 S.T.E.P. TO Septic Absorption Lift Holding Public/Private Sewer Unes Manufacturer. ANCHORAGE TANK capacity R gallons: 1000 From Tank Field Station Tank — 200'+ — - — — Material: STEEL Number of compartments: 2 Well Surface 100'+ -- - LIFT STATION Water owle Lotsire In gallon.: Manufaawrer. ,N'P Line 5'+ — — — — — 'Pump an level al: Pump off at: High water alarm ab Foundation 5'+ — — — — Curtain NO KNOW Pump Moke e: Electrical Inspections performed by: Drain ------- Remarks: CZ ' �(P Cb 0/lZ(�(� f7/ BENCH MARK ix on and Descriptlan: MAIN DOOR THRESHOLD IN REAR OF GARAGE. -- — ^— /ueumad Elevation: 100 O ft. —`--- n -- - -- ENGINEES'SSEAL o%P• • - '•:app AWWC, INC. Inspections performed by:-- * : ... ............ 9*.�� Dates: 1st . 8 11 99 p ••• •• 0 2nd 8/13/98 � ... fry Gc`` ..; ... Department of Health and Human Services approval pAL1Ps ., c 7953 ;'`e o4��Daprofeasto�ooGvO Reviewed and approved by: Date: 01- 33� O4Op��O 72-013 Re, 9/91) hl0A 25 PERMIT NUMBER: —s S -BUILT DRAWING PARCEL ID NUMBER: SW990270 015-302-29 INN. GKiJTc - 9831 5fl Sit fop Or TANK'S F /� fOP OF fMK AT INLif —I / Af OJ Ef - 92.7 Af IW - 92,22 EXISTING - DRAINFIELDS NM 11000 GAI.I.ON I I WflC TANK NUERrOf plp� Af OIWf - 92.00 APPROXIMATE LOCATION OF BED. IF NEW CLEANOUT (CO) / CONNECTEDD TO SOYSTE . I I / A B �6 I L J °°�� DBL1 29.9 19.1 DBL2 29.7 19.8 ST1 29.0 21.3 ST2 DBL3 27.0 26.8 27.6 29.6 DBL4 26.7 31.0 CO 146.6170.7 1 NEW GALLON SEPTIC TANK ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 213. ANCHORAGE, AK. 99504 PHONE: (907) 337-8179/FAX: (907) 338-3248 %L DESCRIPTION: SKYRANCH SUBDIVISION #2; LOT 5, BLOCK 2 OF WORK: AS -BUILT OF SEPTIC SYSTEM UPGRADE PARED FOR: PHONE NUMBER: RON COLLINS (907) 345-4051 6/17 99— DRAWN BY:SCALE:1�40 PAGE:2 OF 2 Rff . arness7953a4ko ��ea \ ��o ��n�pro f es slog o yIn I D 1 F� DBL3 I DBL4 o DBLi DBL2 1 NEW GALLON SEPTIC TANK ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 213. ANCHORAGE, AK. 99504 PHONE: (907) 337-8179/FAX: (907) 338-3248 %L DESCRIPTION: SKYRANCH SUBDIVISION #2; LOT 5, BLOCK 2 OF WORK: AS -BUILT OF SEPTIC SYSTEM UPGRADE PARED FOR: PHONE NUMBER: RON COLLINS (907) 345-4051 6/17 99— DRAWN BY:SCALE:1�40 PAGE:2 OF 2 Rff . arness7953a4ko ��ea \ ��o ��n�pro f es slog o MUNICIPALITY OF ANCHORAGE Department of Health and Human Services Ply) On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 10, 1999 Expiration Date: Aug 09, 2000 Permit Number: SW990270 Parcel ID: 015-302-29 Legal Description: SKY RANCH ESTATES #2 BLK 2 LT 5 Design Engineer: 0041 AK Water & Wastewater Consults Site Address: 011730 WRANGLERS WAY Owner Name: Ron Collins Lot Size: 19341 SQ. FT. Owner Address: 11730 WRANGLERS WAY Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE , AK 99516-2315 This permit is for the construction of: ❑ Disposal Field [✓] Septic Tank [] Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage 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 ( 1 BAAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: _ �QQ�P��-1/�Q Date: Issued By: Date: 3'. 10 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Rd. Suite 2B — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers August 10, 1999 Municipality of Anchorage Department of Health and Human Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Tank Upgrade for Lot 5, Block 2; Skyranch Subdivision #2 To whom it may concern: The existing 3 bedroom house is served by a community well and a private septic system that consists of a 1000 gallon septic tank and two drainfields. The existing septic tank has collapsed and needs to be replaced immediately. We propose to abandon the existing septic tank in place. It will be replaced with a new 1000 gallon steel septic tank. Double clean -outs are to be installed before and after the new tank. We request that you issue a permit to upgrade the septic tank as soon as possible. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have�ny questions, please contact us at 337-6179. Thank you for your assistance. / M.S. LOT 19 LOT 20 S/D FROM BOREALIS S/D. BOREALIS S/D BOREALIS S/D GENERAL LOCATION OF' EXISTING SEPTIC SYSTEM _ OMEGA CIRCLE O I LOT 9 LOT 11 BOREALIS S/D LOT 12 BOREALIS S/D BOREALIS S/D NO WELLS WITHIN 200' OF LOT 5, BLOCK 2, SKYRANCH S/D FROM BOREALIS S/D. 7 O I LOT 9 LOT 10 BOREALIS S/D BOREALIS S/D I ALPHA CIRCLE _ WHISPERING SPRUCE DRIVE LOT 1, BLOCK 2 \ SKYRANCH S/D LOT 2, BLOCK 2 SKYRANCH S/D LOT 3, BLOCK 2 / SKvanuru c/n i LOT 4, BLOCK 2 SKYRANCH S/D /-/[SKYRANCH BLOCK 2 S/D - 3KYRANCH S/D \ L- J LOT 7, BLOCK 2 SKYRANCH S/D LOT 6, BLOCK 2 SKYRANCH S/D F - PROPOSED SEPTIC TANK UPGRADE: 1000 GALLON SEPTIC TANK. (SEE DESIGNPAGE 2 OF 2). TRACT C NO YlELLS WITHIN 200' OF LOT 5, BLOCK 2, SKYRANCH S/D. ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SURE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 SKYRANCH #2 SUBDIVISION; LOT 5, BLOCK 2 OF WORK: SITE PLAN FOR SEPTIC TANK DESIGN PARED FOR: --� PHONE NUMI3ER: RON COLLINS (907) 345-4051 8/10/99 K.D.W. 1 = 100' 1 OF 2 f.7....1.:* , V-A. G -a S; 7953 pro f e s sto0ooc> LOT 4, BLOCK 2 SKYRANCH S/D Q ly 0 0 NOTES: LOT 5, BLOCK 2, SKYRANCH #2 AND SURROUNDING LOTS ARE SERVED BY A COMMUNITY WELL. EXISTING SEPTIC SYSTEM LOCATIONS ARE GENERAL PER M.O.A. RECORDS. -- -- (7/30/74) AND (5/22/81) ---I -PROPOSED 1000 GALLON SEPTIC TANK EXISTING THREE BEDROOM HOUSE �— COLLAPSED SEPTIC TANK TO BE COMPLETELY ABANDONED / —INSTALL TWO SETS OF DOUBLE CLEANOUTS. (ONE SIT BEFORE SEPTIC TANK AND ONE SET AFTER). YiiLCac•: ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) :537-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: � -- SKYRANCH #2 SUBDIVISION; LOT 5, BLOCK 2 TYPE OF WORK: DESIGN FOR SEPTIC TANK UPGRADE PREPAIRED FOR: -- PHONE NUM13ER: RON COLLINS (907)345-4051 --_ DATE: DRAWN BY: SCALE: PAGE: 8/10/99 e�vK.D.W.� 1 =-30' 2 OF 2 _ LOT 2, BLOCK 2 SKYRANCH S/D J f A. Garness;• E-7953 �°OOO -- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 3 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME NEW i lel/ l..(J L..L� lt✓ ..�—_�_._�r.�.��/ 1 C— WUPGRADE `/'-'•" MAILING ADDRESSS� � � �� (� � � ��`%�=lf-, C LEGDESCRIPTION L�1 LOCATION NO.OF BEDROOMS Wcll O DISTANCE To. Absorption area Dwelling Y a nufactureZ Mar ,1 _.� r , Material PERMIT NO. No, of compartments v /tC�/ B(J Liy. capacity in gallons Inside lengtl Width IF HOMEMADE: Liquid depth Y. DISTANCE TO: Well Dwelling 4� PERMIT' NO. 02< Z F- Manufacturer Material Liquid capacity in gallons O m 7 a. 1 w Well Cl DISTANCG TO: '- v"r"0% No. of lines Leniath o� c1) Une J ,�7 Foundation I Nearest lot lineal 7 - Total len_ 1}, lines TrencIkIdl inches PERMIT NO. �� ^ -t/',� (,, Distance bett�eef nes f't-� /ia'Top _ of tile to finish grade � � Material beneath tile inches Total effectivpgb� on area �/J� jp (� ui Length Width Depth PERMIT NO. Q f- Type of crib Crib diameter Crib depth Total effective absorption area m DISTANCE TO: Well Building foundation Nearest lat line J Class Depth Driller Distance To lot line PERMIT NO. an � DISTANCE TO: foundation Sewer line Septic tank Absorption area lsl OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER CF— \� DATE APPR:: ��-I/K�!/✓aia_C2.� LEGAL 72-013 (Rev. 3/78) �� • g'^l N__9 g°•.g 1 s:: 1: p=' Fa g_.:1 " 0 ke-° Cl' F'= FA 8".,,g C g - ..g P '.1 g =: IF=t w__o E_: (I DEPARTMENT NT HE::AL TH AND ENVIRONMENTAL GTECT l:OE+I �l 825 'L..' STREET, F1P,bChU:iRAGEi:, AK. :r9501 VV 264-4 720 R: a g^-.# - _=;, T: '1" gam' EE 14 E- F ,.-' F ° U.- Fm] I'l .g._ ....g... PERMIT NO. 810291 i11 Iu I(S.•5 1 I I)r APPLICANT CANT NANCY COLLINS SRA BOX :L631 B SR::YRANCH E:='STATE. 345•--4051. Vj LOCATION LEGAL L5 E2: SSKYRANCH ESTATES #k:_ LOT SIZE: 19000 SQUARE FEET TYPE: OF ''SOIL. ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SQ FT/BR)-250 ..- _ THE REQUIRED SIZE OF THE SOIL. ABSORPTION SYSTEM IS: rr `i E. fl - 12 g_.... E: P-4 K7m -T' g --g m-= 157wv: y Fa g g °ti F g _ r.° E. F: ^ 1F" g g .,:: C: . THE: LENGTH DIMENSION ISi THE LENGTH (IN FEET) OF THE TRENCH OR E,RRINF"IELD. TETE: DEPTH OF A TRENCH OR PIT 15 THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET). THERE 15 NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH 15 THE MINIMUM DEPTH OF GRAVEL. BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION ION CIN FEET). g:;„:° g:_: a T k j X g° E=: A=> L g=° _F o:.: '7-1. 104 AN ry T: " E_: — I E a e. A e_ x PERMIT APPLICANT HAS THE: RESPONSIBILITY TO INFORM THI'S DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THI'_, PROPERTY AND .1..E -1E L'gf_fMBER OF RESIDENCES THAT THE WELL WILL SERVE. -.g... g.^.g a_:a r.:: C ' : 11 4."2-3 F g w,.::' -I_ :C p_a" I-- m F=: E__. FR", E f_:i ._n 1 r-" g= BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND AF'E'''ROVAL BY THIS, DEPARTMENT" WILL. BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL. AND ANY ON-SITE 'SEWAGE DISPOSAL SYSTEM I' 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL. DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL. TO A PRIVATE SEWER LINE IS 25 FEET AN[;, TO A COMMUNITY SEWER LINE IS S'S FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAIL..ABLE. TO INSURE PROPER INSTALLATION. 9=4=' g 1'.11 '1- 6:= _ .:1-° :1 g� E.: En E> EE CT EE PI E3 Em F;_ 311. _, : A- _T 1=01L I CERTIFY THAT 1: 1 AM FAMIL..IRF: WITH THE REQUIREMENTS FOR ON--SSITE SEWERS AND WELLS AS SET' FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INST"ALL. THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE: ON-SITE SEWER :SYSTEM MAY REQUIRE ENLARGEMENT IF THE. RESIDENCE I'_ F.' . °.`DE:L.ED TO INCLUDE MORE THAN z BEDROOM'S. APPC I CFffW -NANCY COLLINS S 9 ISSUED l��-_._.___.�S.S•.�1�%�.....-_E>f=ITE ��J� .../_.__..__...._ ';+4. 0 0 GRE" :R ANCHORAGE AREA B0'' IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME e3Od ) iwi - f� MAILING ADDRESS �� i�<X ��G % _ PHONE LOCATION— �- h litCVl� �LEGAL DESCRIPTION laP5131X 71/ SEPTIC TANK: DISTANCE n" ( p _ / NUMBER OF FROM WELL l_LLzi2 MANUFACTURER ��' QP IS -Le -C C- MATERIALZI/t"4 BOJ �7Y✓ COMPARTMENTS. INSIDE LENGTH _��^ _ INSIDE WIDTH_ LIQUID DEPTH --"--LIQUID CAPACITYMI) GALLONS. SEEPAGE PIT: NUMBER OF PITS —(—. DIAMETER .OR WIDTHLy LENGTH'9. DEPTH /Lo -- _-.— LINING MATERIAL _ CRIB SIZE: DIAMETER pxO_DEPTH_L_ DISTANCE FROM: WELL L 'Al'4, 5( L TOTAEFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ,Sri' _SQ. FT. ADDITIONAL ABSORPTION WELL: //yy TYPE l��ii�LM'li _CONSTRUCTION___ BUILDING NEAREST NEAREST FOUNDATION LOT LINE SE=WER LINE CESSPOOL OTHER SOURCES APPROVED _ DISAPPROVED _ _REMA DISTANCES:Z0 A )%,',u/ INSTALLED BY:-Y4lPJ'y�_ PIPE MATERIAL: LOT SLOPE: REMARKS: -sot-�. VJrLI' 6/1461 Form No. ED -031 DEPTH __ SEPTIC TANK_ DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM 0v1 29' DATE -/1,2011 APPROVED G.A.A.B. „D 44 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL. QUALITY PERMIT NO. _ 3330 "C” STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 �I4R[D 1[M14 , SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT�G7 MAILING ADDR ESSJ//4 -- �PHONE _ INSTALLATION LOCATION LEGAL DESCRIPTION / C> ` �` L'> L'�'^' y-5`(74�� INSTALLATION OF: SEPTIC TANK SEEPAGE PIT ,DRAIN FIELD ,OTHER , TYPE AND SIZE OF FACILITY T"O BE SERVED ? ✓ '/1 �( J?G`-�� FINANCED 'fH RO UGH- TO BE INSTALLED BY C�- SOIL TEST RESULTS-��-�j_ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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_ /�O`,�Cv" TYPE MINIMUM DISTANCES, REQUIREMENTS i FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL / _/ SEPTIC TANK SEEPAGE PIT 2 5) -, DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK EEeAVPIT Gam' DRAIN FIELD ALS; -OO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, "� SEEPAGE PIT/ DRAIN FIELD �C , 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, G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM NO. EQ -016 SIZE I TYPE DIAGRAM OF SYSTEM rT_ AREA BOROUGH ORDINANCE NO. 28-66 AND THAT THE ABOVE 13"licEYsYli7� /1 ? ANI F�DYl2�`GidG'�LOl2 J£:S� ..LCL u;>�' '%r� "One test is worth a thousand opinions" GREATER ANCHORAGE AREA 60R000YI OEM OF ENVI1011MCNiAL QUALITY 5629 Ru DOH ROAD. ANCHORAGE, ALAOKA 99507 i TKLKPHONi 333.0472 Performed For Glacier Excavating Performed 6 -j5 -,7h Legal Oescrintion: Lot_5 Bloc4: 2 Subdivision Skyri�nch— _--_ This Form Renorts Soils Loci Yes — --Percolation Test_ —_ Denth Feet Soil Characteristics 1 — 2 — Mostly Silty Sand with pockets of 3 — Silty Sandy Gravel (235) 4 — 5 — 6 — 7 — R- 9 — 10 — //// , 16 ' ,C3o 'tl� ) 0—p /Ta- ' Was Ground Water Encountered? No If Yes, At what Depth? Readinq — Date Gross Time Net Time Depth to H2O Net Dron Percolation (tate !nnuce Proposed Installation: Seenaae Pit _yes Drain Field th _- Deoth of Inlet___---.DepTo Botfom Of Pit Or Trench-- CnMt"EN TS: 23.5—sg• ft. rain arQa requJrP.d_g.er bo r-o4m ---- No bedrock or water table 1 ft. below see�a�e pig Test Performed B t Const. 'Pest Lab Y Ji— Data Certified By: -- FROM G I o Vit th r"loor. SUBJECT fjot 5 Klock 2 Sky Ranch 1.11states #2 DATE 1 22,/79 MESSAGE The attached needs to have, a refund on it. We do not have to do a physical inspection in the field. Thank you. D. William Receipt 468829 501 West Northern 1,1( .)-hts Boulevard $25.00 Anchorage, Alaska 99503 SIGNED Lanra J. Ward -30190rani C� 311/5- 3-W-/ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEfiDIMIPALITY OF ANCHORAGE 825 L Street - Anchorage, Alaska 99501 DEPT. OF 1!` ALTH & ENVIRONMENTAL 1101ECTI0N- .I ENVIRONMENTAL ENGINEERING DIVISION L J Telephone 264-4720 JAN 1719/9 Ind REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEI''Jy1l/TtfL9, — DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOIWINER PHONE MAI�l3 PROPEL RT R Slf§ENT (If different from hove) PHONE 2. BUYER - - PHONE _c1_10 VX t. MAI�LI NG ADDRESS - 3, _LSEENND�ING I( O,�^^ (� — TTPjjH7O�NJE D MAILING AD ESS /J/--------�lL�"O•.— 4.REALTOR/AGE T U e( 1kj , 'k `ci..wt...t— s.1 MAILING ADDRESSl- _I,� ,� - V v V T 1, r vi.� '.13 ' :T --- 5, LEGA�-{LL—t STREETraa ,,LOCATION—r.J`—• J.. G. TYPE OF REEDOCE NUMBEROU BEDROOMS SINGLE FAMILY ❑ One E] Four ❑ Other- ❑ Two E9 Five ❑ MULTIPLE FAMILY_--_ Three El Six 7. WATER SUPPLY �— ❑ INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior 1.). that date, give well ❑ PUBLIC UTI LITY (attach log if available.) —_—_ 8. SEWAGE DISPOSAL SYSTEM _depth **If individual/on-site, installation dateJ�_-. INDIVIDUAL/ON-SITE**— give If system is over two (2) years old an adequacy test is required - ❑ PUBLIC UTILITY by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCE15SINC-1 CAN BE INITIATED. 72-010(3/78) �� I, " 'i CA�4 - -t�w - u� d THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED - TIME TIME TIME DATE _ DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED / -1 %-( -f INSTALLER ❑Septic rapk or ❑ Holding Tank Size: / If Tank is homemade give dimensions: SOILS RATING �- TYPE OF TANK MANUFACTURER (1 _ TOTAL ABSORPTION AREA MATERIAL-J.4Y'/f�-, 1 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS �YAPPROVED FOR g BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE 1-31-19 BY (Title) �p C, LEGAL DESCRIPTION 72-010 (Rev. 3/78) Fi t.IVl CONSLI LTA NTS, IIV L'. sozn CO HNOVN I] 110% 608] H nNCHORH(i E, gLM151(M1 99>01 C ['l1. 90%-2%9'0403 U TL%. 090'2]340 tiIN CORS nNN C! S uRVEY�RJanuary 30, 1979 R&M No. 951032 Dynamic Realty 501 West Northern Lights Anchorage, Alaska Attention: Dave Williams Subject: Adequacy Test on Existing Sanitary Sewer System; Lot 5, Block 2, Sky Ranch Estates, No. 2, Anchorage, Alaska Gentlemen: At your request of. January 17, 1979, we conducted a test of the septic system on the above described property. The upgraded systems reportedly consists of a septic tank, seepage pit and drainfield. During the test the liquid level in the seepage pit was monitored as water was added to the system. The measurements are summarized in the following table: The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. If the 3 bedroom residence on the property is to house 6 people, the average load on the system can be expected to be 450 gallons per day or .31 gallons per minute. The average effluent acceptance rate determined during this test is approximately .56 gallons per minute. 111IIORP.41 FAIRBANKS JUNEAU V/ILOCL WNSILLH Liquid Level Below Top Total Gallons Time of Standpipe Added 10:33 a.m. 7.50 ft. 0 10:51 7.42 ft. 75 11:09 7.23 ft. 149 11:29 6.98 ft. 249 12:01 p.m. 5.30 ft. 319 12:32 3.50 ft. 349 1:7.3 5.30 ft. 359 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. If the 3 bedroom residence on the property is to house 6 people, the average load on the system can be expected to be 450 gallons per day or .31 gallons per minute. The average effluent acceptance rate determined during this test is approximately .56 gallons per minute. 111IIORP.41 FAIRBANKS JUNEAU V/ILOCL WNSILLH January 30, 1979 Dynamic Realty R&M No. 951032 Page -2- Because the house on the lot is occupied, we assume that the leach field was at its normal degree of: saturation. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 3 bedroom residence. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M ONSULTANTS, INC. Gar Smith Y Sen r Geologist GAS/dib/ATSI-E • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 015-302-29 Expiration Date: 1. GENERAL INFORMATION Complete legal description Sky Ranch Estates #2, Block 2, Lot 5 Location (Site address) 11730 Wranglers Way Anchorage, AK 99516 Current Property owner(s) Secretary of Veterans Affairs Day phone Mailing address 2375 N. Glenville Drive Richardson, TX 75082 Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Three 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL':' Individual Well ❑ Individual FX71 Individual Water Storage ❑ Holding Tank ❑ Community Class A Well 0 Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ A 6 •41 Date of Payment�1.M2 1:7, Receipt Number COSA # DSC/31 t<Or�' Date: - r L- 4— 1j Waiver Fee $ Date of Payment Receipt Number Waiver # 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, 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE y/ System #1 Approved for bedrooms System #2 Approved for _ bedrooms Phone 522-7773 Date 11/20/2013 Disapproved Conditional approval for bedrooms, with the following NVIL AFTiEP. OR e CE -4381 a�eeooa�..,.E c5 By: Original Certificate Date: /j_- 9` 1 3 i The unrcipality of nchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory. Well Flow Advisory Other COSA blue sheet_: 1 c If more than 1 septic system is on the lot: COSA Checklist # _of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Sky Ranch Estates #2, Block 2, Lot 5 A. WELL DATA 16 Parcel ID: 015-302-29 Well type Class A If A, B, or C provide PWSID # 2129 Well Log (Y/N) Date completed Sanitary seal (Y/N) _ . Wires properly protected (YIN) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test -- Static water level - -- - -- ft. Well production 9 -P -m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample:_ Collected by: ft. g.p.m. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Seotic/Steel Date installed 8111199 Tank size 11000 gal. Number of Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Date of pumping Pumper See Memo C. ABSORPTION FIELD DATA Y N Date installed 5122181 Soil rating (g.p.d./ft2 or ft2/bdrm) 250 SF/BORM System type Deep Trench Length 52 ft. Width 3 ft. Gravel below pipe 9 ft. Total depth 14 ft. Eff. absorption area 750 ft Monitoring tube Y . Depression over field N Date of adequacy test 11/15/13 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 2,200 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. ,Pump off" level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer manhole/cleanout Public sewer main Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: >5' >5 Building foundation Property line Absorption field >5 Water main NIA Water service line >10' Surfacewater >100' >100' Wells on adjacent lots ABSORPTION FIELD ON LOT TO: >10' >10' Water main NIA Property line Building foundation > 100' >10' Water Service line >25 Surface water Driveway, parking/vehicle storage None Noted Wells on adjacent lots Curtain drain 1 >100' F. COMMENTS G. ENGINEER'S CERTIFICATION i certify that t 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 Michael E. Anderson, P.E. Date 11/20/2013 COSA brown sheet_10-10-12.doc ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX MEMORANDUM DATE: December 4, 2013 TO: Jay Crewdson, P.E. FROM: Mike Anderson, P.E SUBJECT: Sky Ranch Estates #2, Block 2, Lot 5 Certificate of On Site System Approval (COSA) The property on the subject lot is a foreclosure and is transferring title to the new owner. No records are available as to when the septic tank was last pumped. The new owner is paying all of the fees required to obtain the COSA. He is satisfied at this time that the septic tank does not require pumping. We have probed the tank and found few solids. Pumping the tank now would only remove water and not improve the interior condition of the tank. We therefore request the COSA be approved with record of the tank being pumped within the last year. The as built for the property is to scale. It was originally completed in July of 1974 and recertified in January of 1979. The most recent septic system as built was completed in 1999 and shows no encroachments at any location on the lot. This as built was completed based on swing ties from the house which was accurately located by the land surveyor. The septic system as built is therefore accurate. No further changes to the property have been made since that time. We reiterate our request based on the circumstances mentioned above that the requirement for a new as built be waived. The buyer is aware that when he sells the property a new as built will be required. 49th MICHAEL E. ANDERSON No. CE -4381 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) MEMORANDUM DATE: November 20, 2013 TO: Jeff Poet FROM: Mike Anderson, P.E. SUBJECT: Sky Ranch Estates #2, Block 2, Lot 5 Certificate of On Site System Approval (COSA) The property on the subject lot is a foreclosure and is transferring title to the new owner. No records are available as to when the septic tank was last pumped. The new owner is paying all of the fees required to obtain the COSA. He is satisfied at this time that the septic tank does not require pumping. We have probed the tank and found few solids. Pumping the tank now would only remove water and not improve the interior condition of the tank. We therefore request the COSA be approved with record of the tank being pumped within the last year. . .. ..__._... ....^.6YA �h NJ;U,•Li4L,..:.l..,'.i, vahP„ .. !•Y4La•Wi1,KFwti�]1.. :.y lr .r.--�.._�-�� ... _- .- _..._ i �s .I i Q , Is I + u ' � • • �c�ti�l� s-a�•-r9 • ��t7 i - —,• Qr ilk rt.l ';•` T� 's, �J i 1 hereby, rditry that i have curvcycd the lettawlni; I propccly' �f .. } ;t fist.:.:./...�..•,t: dd r DrJ Vlnlatkn e ,� •,' NO. WAS Meh taRe Tlecordlng PtoclncS, Alsaka an that the shunted thereon era within the nrepcny j% Jt+� r �,, " ! "� JJimgprovrmonts edlacont tbcrcLr,, lmm�aiovcmcnix on pro - j� ......'�r"'py iy rip that Ab pp pp arty lying adinceni thara o encroach ort the pro f4ca in � S \`p`,,,�o , '•• qquecllon and that there no Taadweyc, trarumWien- '+-, •' '. ' • 1 vlslbta essomenta on said propy except !!nps or othai erl harem, SG Ac ,� 1 = 30 I �� ea tnditmcd Dattd at Anchorage, Alaska thli-�� day at YeLI Y 1D 'i lRZD WAT,ATKA tc ASSOCIATES ' i� Enitnrers and Surveyors— • — — —