Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
SKY RANCH ESTATES #2 BLK 1 LT 18
kyranch Estates #2 Block 1 Lot 18 #015-302-07 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211090 PID Number: 015-302-70 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name MATTHEW KELLY ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11600 PADDOCK LANE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Fill added above original grade Ft. Gravel length Ft. SKY RANCH ESTATES #2 1 18 Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line FtZ Ft. Well 100'+ __ 25'+. TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ __ NA Foundation *51+ __ M LIFT STATION Manufacturer Capacity Gal. — Remarks *Per permit — outside soil bearing prism. Orig field to tank was 3.5'— New tank 3.5'+ to field Alarm location Electrical installed by w/ no impact. PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Installer PCN Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1l' 6/1/2021Location dates: 2^' 6/1/2021 and description 3rd 4th BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVALOF 4 Al le Conditional Approval: Date i .. ....•..�.�r ' ' ' ' ' ' • • • • • • • / Septic System A J1 '• Curtis Huffman pp roved - rfl�i• CE 128991 �V Date 5 (� ire -. 7/1/2021 . •���W PROFESS104� Note: this approval does not include well p q permit requirements. kRuv OJ/04/ 10) PID: 015-302-70 PERMIT: OSP211090 A -C=13.5' B -C=26.3' A -D=17.4' B -D=26,7' A -E=20.9' B -E=24,8' N89°59'44 "W 138.93' (140.00' R) 46.8' MT NOTE: ORIGINAL TANK WAS INSTALLED 5'+/- TO FOUNDATION & 3.5' TO FIELD. NEW TANK INSTALLED 3.5'+ TO FIELD W/ NO IMPACT OR COMPROMISE TO FIELD INTEGRITY OR FUNCTION SKY RANCH ESTATES #2 BLOCK 1, LOT 18 PREPARED FOR: MATTHEW KELLY 11600 PADDOCK LANE ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK@gmail.com ME SEPTIC SECTION SCALE: NTS SUPPORT SERVICES: OF A4� .5 C 9 TH DATE: 7/7/2021 SURVEY: JLS tis Huffman DRAWN: FWCS cP CE 128991 SCALE: 1" = 20' 7/7/2021e� PAGE: 1 OF 1 '�?o1vssio'0 LOT 18 BLK 1 w r—x x x X1 >Ix x � ( J � x 31.0' ( PAVED O x w DEW x i b EXISTING DECK AS o HOUSE 4.5 STA (x Y M U N H X p A m 35.5' B Z Q 0 Lx—x BW CANT FCO m X X X DCO C DECOMMISSIONED EXISTING MH D CO c� EXISTING S.T. & INSTALLED NEW ® CO FIELD 1000—GAL HDPE SEPTIC TANK DCO E WITH NEW DECO & DCO. A -C=13.5' B -C=26.3' A -D=17.4' B -D=26,7' A -E=20.9' B -E=24,8' N89°59'44 "W 138.93' (140.00' R) 46.8' MT NOTE: ORIGINAL TANK WAS INSTALLED 5'+/- TO FOUNDATION & 3.5' TO FIELD. NEW TANK INSTALLED 3.5'+ TO FIELD W/ NO IMPACT OR COMPROMISE TO FIELD INTEGRITY OR FUNCTION SKY RANCH ESTATES #2 BLOCK 1, LOT 18 PREPARED FOR: MATTHEW KELLY 11600 PADDOCK LANE ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK@gmail.com ME SEPTIC SECTION SCALE: NTS SUPPORT SERVICES: OF A4� .5 C 9 TH DATE: 7/7/2021 SURVEY: JLS tis Huffman DRAWN: FWCS cP CE 128991 SCALE: 1" = 20' 7/7/2021e� PAGE: 1 OF 1 '�?o1vssio'0 M UNICIPAL17Y OF ANCHORAGE 0n -Site Water & Wastewater Program Pi) 5W 14QQ50 4?00 Elmore Road Anchmp, Alaska OE61X6654 Phorta: (907):34 3-7906 Fax: ({307) 3.4-3-7-497 h1tp!?A hw. r unl_orglons le Gn-Site Wastewater Disposal System Permit Permit Number. -OBP211 g90 Work Type, SepticTa nk Up -grade Tax C odin N u mbar= 01530207000 S ito Legal Ad -dress. SKY RANCH ESTATES #l- SLK 1 LT 18 G:$737 Site Mailing Address: 11600 PADDOCK LN, Anchorage Owner: {E LLY MATTHEW Design Engineer: FIRST WATER CONSULTING Th i s perm It I s for th 0 Carl struati on of; Effective Date; Expiration Dates � aCnr o �S{, f 1 r'11i31'II�St'llt Lo#51nin SQF#: Total Bedrooms; x,+12021 411212022 18178 ❑ Di Sposol Field 0 Se p0v Tank ❑ Holding Tank ❑ Privy CJ Private Wel l ❑ Waller Storage All construction shall he in ascordan-re with: 1. The attached appraved design_ 2. All requirements specified in Anchorage Municipal bode Chapters 15.65 and 15.65 and Ma Skate of Alaska Wastewater Disposal RagulationB (181 072) and Drinking VV2tar Rnulations (18AA 50) 3. The w:9 9Eewater code req ui res in speations d uring the installation. The eng inear sha II notify tho DevEileprrlorlt Servicos Department per AMC 15.65. Provide noliflCatiorw by calling (-907) 343.7904 (24�7). 4. From October 15 to April 15, a wbsrjrface sail absorptlon system u rider construction during freezing weathor shall be either: a. Opened and Uose-d on the same day, or h- CcvereCl, sealed, and heated to prevent freezing 4/1212021 Received By, Date - Issued By; �� _ Date= 3 MUNICIPALITY OF ANCHORAGE t4 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-302-07 Property owner(s) MATTHEW KELLY Day phone Mailing address 11600 PADDOCK LANE, ANCHORAGE, AK 99516 Site address 11600 PADDOCK LANE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) SKY RANCH EST. #2 B1, L18 Legal description (Township, Range & Section) Lot Size 18178 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank 0 Upgrade Q Duplex (D) ElHolding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 0-,7 -2-5— Date ZSDate of Payment: 2 Receipt Number: 00,�__ Permit No. 05)92 f 1090 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com April 3, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: SKY RANCH ESTATES #2 BLOCK 1, LOT 18 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence. The existing tank is within 3.5 of the existing field and 5 to the foundation per MOA records and field observations. The existing tank, which is 6 from grade will be removed and decommissioned per code and the new tank placed in the same location The lot and area are served by private and community wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211090, Deb Wockenfuss, 04/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211090, Deb Wockenfuss, 04/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211090, Deb Wockenfuss, 04/12/21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH &ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ^^ PHONE r]NEI Western Enterprises 76-7725 ❑UPGRADB _ _ MAILING ADDRESS 4101 Arctic Business Park LEGAL DESCRIPTION LOT 18, BLOCK �11 SKY RANCH ESTATES LOCATION NO. OF BEDROOMS Paddock Street, O'Malley Area Well Absorlition area Dwelling PERMIT NO. DISTANCE TO: U Y F- Z Manufacturer Material No. of compartments 0-a w t. v) Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth ❑Y DISTANCE TO: Well Dwelling �p PERMIT NO. J U'Z = Z h Manufacturer Material Liquid capacity in gallons ❑ w= DISTANCE TO: W0" 9 Ft. Foundation L�F Nearest lot line 7.5 F74 PERMIT NO. J W Z No. of lines Length of each line Total length of lines Trench width Distance between lines P: Z W _1-- 4—F �4_�': i- Z aches F- Top of file to finish grade Material beneath file Total effective absorption area ❑ - Screened Graayel inches 48 Sq. Ft Length Width Depth PERMIT NO. at U F Type of crib Crib diameter Crib depth Total effective absorption area I ui c- vi Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. p J790274 W DI STANCETO: Building foundation Sewer line Septic tank Absorption area OTHER P:?IO >01'.L 57 PIPE MATERIALS Plastic -- SOI L TEST RATING I-I INSTALLER L S & A Excavating— IM REMARKS 1 Our inspection limited to re- location of upper 35 Ft. of seepage trench. Relocated to increase the dis,t,9`a_' r en the well and D �89e enekir ee Sketch) . Upper '�XXr` �o r. ginal. &ench sealed off � Inpsections LLL�Q10NAL �vj APPROVE —� DATE LEGAL MOENING-GREY & ASSOC., INC. 6-23-79 Alvin R. Zeman, P.E. By: Alvin ----e� 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE / • e DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL. SYSTEM AND/OR WELL INSPECTION REPORT NAME w Ee,TvzyA �t`1 -r--- ,5vS � •�/�• �•�U JF ----_ ._ PHONE XNEW 'LIG'%JZJ ❑UPGRADE MAILING ADDRESS Oto /aggme- F3ue Ira0fs rzu- - — LEGAL DESCRIPTION l-0-r• 711 �K� r�A rtc 6 l � 2 LOCATION r�3prac � e>q=1" \\Zk4LIS PFLZW!h1 Sf'1ZUGr� NO. OF BEDROOMS Well f Absorption area Dwelling DISTANCE TO: 1C7U -H r4.�� V'JUK- ItA Uy PERMIT NO. _796 Z7 P Manufacturer /� Materia No, of compartments � ,_ Lin. capacity in gallons HOMEMADE: Inside length Width ..._ Liquid depth A DISTANCE TO: Well D ailing PERMIT NO. 2 z F Manufacturer Material Liquid capacity in gallons ❑ w= DISTANCE TO: Well / ! �'• Foundation W47- W Nearest lot line PERMIT NO. 790 Z 74- w LL U w No. of lines Length of aacb I' to ' v -total lent of ii es �, 7 Trench width Distance between 'nes F z J •.- inches N FTop of rile to finish grade Material beneath the Total eff/ectiv absorp . n area ❑ 9i `TTJ'C,v __% inchesuj CP Length Width Depth PERMIT NO. �— O o H Type of crib Crib d in ter Crib depth „-_ 9 Total effective absorption area �^ uj in DISTANCE TO: _ Well Building foundation -•-^�'--• Nearest lot line JClass ,r---- Depth Drillers Distance to lot line PERMIT NO. J DISTANCE Buildin fo 1r Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TESTRAT NG36 7Q& S --q_ `2I 07`t"(OpRM v.l Crl1 r-i'l7iL- �olr_ �crNprTtoN' - - - IN$TALLER r + ` -!!��� - H REMARKS0 €Sti 1a11,14 QFaulrde ItMNp \VtL-l_YZI t2�— hell FST{ ,DPPr7 -/6 0. R 'rWtS t(-'t!, t 5'rT.nset@ffJ ..:,'pIF ``•"-.eocr,°3 ^•c lzvm�a1- Jngra M �M643' �`�ii '"y ':3d - to • _ern. Sc'T.j L'@rrLTl R6_ ONI., 1m r'Ja° css„ti•,•. ox .K,r°4 Pot 6 til�� too .e.a ,dtr aoa .o H. . c 1117 -TIAm '5 `wmtA3 jo •0e4 !!t/'%'�ev° — b x.116 tTS /e f 9 t �� APPROVED DATE LEGAL 72-013 (Rev. 3178) 2701 -',.a5 S:rcct \I F) liS I U ![\!I- Anchorage, Aias::a 99503 27:-6.37 DEPTH _.._ STATIC LIi ✓r.L O mam:rZ cm _. •,).' "OL:::'.� DRAWDOL'✓N FT ... ................ ...._............................ .....__.............._........_.__.. _. .. GALS. PER Pit .... _._:. i iiIND OF CASING KIND O0. Fvi?i.•ATiON: F G.Vz —F'T.T^v ..-.._�.... ri. �- ......... : �.:.:�' �''��'- P'RO';= - .....FT. TO— ..... ..... ...FT..... .....__..... ..... _._.. . .. T>.. ... ....FT. TO... �•^ FRO _ .....�,............. FT. ^O ...... . FT:..: ___: -. i.__.... FRO -NI.. Fr. TO---- .......... . FT ...... ._._. .. 10. ......... CA:_.. .-. .__.: ::z-.,. a. L.G.u. ... ..... ..F'a. .-.r, .... FT— ....I''T. 14i ..'__.:.... ...9'A..... .. r. ..-. 'I. S'iiGv: ___............_i'T. 14) _.I"a. TO .. _:. ..�T....: __ .�:.i.,.. .• f'hO ..__.. ..__._'T. TO _._... _.....I''1 _..__.. FT. TO _.. ..__ _ _...F"T..... FItG -�.'. ._FT. TO _ FT. ..... .. .., ,.: �.>:- Fi:O',I ....... _. _.. FT. TO-___. ..... . .... FT. _.._ ..... __. _.. FROG .. `..._ ... .IT. TO .•... :..- .,I :: ..:. ...... ...___. FROM, .__..... ... ..__ FT. TO FRO''--. ...... -FT. TO--- .. .. r'l... �. .>._.... -... :; '. .-=:0'` ._......._ _. _...Fr. TO _...__. __.h?'. ......... ra+ FT. TO ..F'a ..... _FT. TO.. MISCL. MHXIMUM N�MBER DF BEDROoMS � ] SOIL RHTING (SQ FT/BR)= 210 THE REQUIRED SIZE OF THE SOIL MBSnRPTION SYSTEM {S� TME LENGTH DIMENST�� IS THE LENGTH (lN 1ET> OF THE TRENCH OR DR! INFIELD TME DEPTH UF H TRENCH �R PIT lS TH2 DISTHNCE BETHEEN THE SURFHCE �F THE GROUND HND THE 8OTTOM OF THE EXCH;RTION (IN FEE[) THE�E I� HU SET HIDTH FOR TRENCHES THE GRHVEL DEPTH IS THE MINlMxM DEPTH OF 1 1, 8VBRETWEEN THE DyTF9LL PIPE RND THE 8DTTOM F THE EXCHVHTIDN ���� ����= �-� : fl�� PERMIT HPPLICHNT HRS THE RESPONSIBlLITY TD INFORM THIS DEPId, RTMENT F:IURING THE INST�LLHTIOH IN�PECT(ONS OF HNY WELL� 8DJHCEHT TO THIS FR�PERTY HND THE NUMBER OF RESIDEHCES TMHT THE WELL WILL SERVE BHCKFI.1. 1, HND HPPRDVHL BY THIS DEPHRTMEHT WILL 8E SUBJECT lD PROSECUTION ����-�� ��������� CONSTRUCTION TEST LAB "One Test is worth a Thousand Opinions" 2204 Cleveland Anchorage, Alaska 99503 277-0231 Performed for W Legal. Description: This Form reports: Lot 18 __:131ock SOILS TEST Yes Depth Soil Characteristics Feet _ 1/2' Organics 2' Brownish orange organics & silt 4' Light Brown Silty Sand to 6r Perc Sandy silt 7 Silty Sand -SM- �t Tr 16r i Sand -SP- I �r Sand with some silty pockets Bottom of Test Hole Was Ground Water Encountered No If YES, What depth? I Date Performed- 5/?, /70 _ Subdivision Sky Ranch Estates _ PERCOLATION TEST M EMMEN MEN mo Vmmmi7mmmmmm ■■Y■■ ■■■■ .■■ Reading Date Gross Time :Net Time Depth to H2O Net Drainage _ _ Sat. Pr. ] 6 ] 2" 6-6-79 13 hr `_ oTATa1-Pr 6-6-79 " " 40 min_ 2 3/411 " 50 min 19 .3-4 r2" If 6 0 min 20 1/4 " Percolation Rate 1'/ 20 Minute Proposed Installation: SEEPAGE PIT DRAIN FIELD Depth of Inlet Depth to Bottom of Pit or Trench_ CO_-NMENTS: - - — -_. -150 Square Feet of trench required per bedroom in SP materia: run on to 71 level. 6-6--79 210 sq. ft. drainage area recnxirec �rnm -7T- i -n R' nPr hPArnnm e-2�� Data Certitiea By: Construction TPCY rat, _. _:a7. Date : _5L_2317q MUNICIPALITY F ANCHORAGE Development Services Department - ' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-302.07 Expiration Date: 1. GENERAL INFORMATION Complete legal description SKY RANCH ESTATES #2 BLOCK 1, LOT 18 Location (site address) 11600 PADDOCK LANE, ANCHORAGE, AK 99516 Current property owner(s) MATTHEW KELLY Mailing address Real estate agent Day phone 11600 PADDOCK LANE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 45y Date of Payment 7�/Z J Receipt Number 2_1100L COSA# 05c-211363 Date: 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 6/3012021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory /�g�Q: • • • • •,9 �� for current or future occupants or guarantee that no unseen encroachments, deficiencies or / r discrepancies exist can be given by First Water Consulting & FWES *•. il-I ....•.* �r .. .... ...�::- 6. DSD SIGNATURE iuff Curts Hman System #1 Approved for bedrooms r�+�63" • .CE 128991A1312 �l PROFESS0NA1���-� System #2 Approved for bedrooms ll Disapproved Conditional approval for bedrooms, with the following stipulations: OF eN SITE Y i WATER AND 6 J WAST` v1'ATER 0 1 A'_r.SER\1\0��1�,� By: Original Certificate Date: 7 The Municipality of Anchorage 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. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other r Legal Description: SKY RANCH ESTATES #2 BLOCK 1 LOT 18 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 1979 Total depth 175 ft Cased to 175 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 3/24/2021 Static water level at beginning of test 143 ft. Well production at time of test 3.3 gpm Comments B. TANK DATA Age of tank(s) NA — NEW TANK years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA Parcel ID: 015-302-07 Structure served by this system Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 0.499 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FWCS Date of Sample 6/2/2021, C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Which system tested (date installed) 6/23/1979 Adequacy test date 3/24/2021 ® ALL standpipes present per record drawing Results f g Pass For 3 bedrooms Total measured depth from grade 12.9 ft (max) Fluid depth prior to test 5 in Measured depth to pipe invert from grade 8_9 ft (min) Water added 450gal ❑ N/A — pressurized field New depth 23 in. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 4' OF THE 6' ED Elapsed time 1400 min ® Code -required soil cover over field Final fluid depth 5 in. ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Fes= Comments/Deficiencies: DROPPED 13" THE FIRST 35 MINUTES AFTER INJECTING THE 450 GAL. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ❑ Yes if No ***98 ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5+ ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No **3.5+ ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No ***7.5 ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No _ ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *PER PERMIT & OUTSIDE SOIL BEARING PRISM. **PER ORIGINAL APPROVED IR — NO IMPACT TO FIELD. ***PREVIOUS WAIVERS / APPROVAL IN MOA RECORD DOCS. G. ENGINEER'S CERTIFICATION,�SMl`k 1 certify that I have determined through field inspections and review �,,�Q ' •�.��� of Municipal records that the above systems are in conformance �J • •;� J with MOA COSA guidelines in effect on this date. • .. • •': r� • Curtis Huffman CE 128991 ..• �`��� ROFESS\ON®Aw W ft 0 KLATT ROAD (COLORADO AVE) %C) BASIS OF BEARING N89°59'44"W 138.93' (140.00' R) =�k=X— WELL T1 x I LOT 18 ¢ � BILK 1 1� N N w r---x—x—x—x Z N Q � x i x _j i 3:~ x U ({ 31.0' 00 z i X Y PAVED 00 z it w 0/W O a N! Cv a <L P x Q ( EXISTING DECK o o n :7 z STRRS HOUSE AL 4.5 Z Z _ u Y. N Z 4 35.5' DO LX—X—X—X—X-lSW CANT o MH o cMv s @ SEPTIC N 1 VENT ®® @@ ttYP) 46.8' i N89°59'44"W 138.93' (140.00' R) 30' 30' I � ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: SKI' RANCH ES'TAT'ES UNIT Mm2 O = FND 5/8" REBAR LOT 18 BLOCK 1 FLAT 71-290 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted aO F A p y �1, LAND � physical survey of this property as shown on this drawing and that the `S . • CZ �O S improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should 9TH any information on this drawing he used for construction of fences, fr structures, improvements, or for establishing boundary lines. z ; . . . . . . .� t-' tI1 C) EXCLUSION NOTES: It is the owners responsibility to determine� � ' ' ' " •` � ' • •'• � the existence of any easemenu covenants, or restrictions which JOHN L. SCHULLER �0 do not appear on the recorded subdivision plat. LS -10408 WORK ORDER NUMBER:DATE <cuE E—tAPL• ^�, ? ••' c5J�� 1831 Talkeetna Street JULY 6, 2021 1"=30' schutlerftk.net ap -""' b Anchorage, Alaska 99508 21-09/ DRAM 91: ICHECKED BY GRID HUME— F55R/PA0E rofeSSiono� �4 (907) 227-1455 office JLS SW2737 210225 v -a (907) 274-4992 fax Parcel I.D. 015-302-07 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: R _':2— a — 1 3 Complete legal description SKY RANCH ESTATES #2 BLOCK 1 LOT 18 Location (site address) 11600 PADDOCK LN., ANCHORAGE, AK 99516 Current Property owner(s) GEORGE PAGE Mailing address Real Estate Agent PEGGY FRENCH 2. TYPE OF DWELLING: rx-1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 229-7771 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well (] Individual F-1 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: NONE Distance: --- Received b i Ln � tiU`t t!s�Y�` Date: � 'z h Y_ COSA to be released to the'ehginper, unless otherwise requested by the engineer. COSA Fee $ qqL) CO Waiver Fee $ Date of Payment 5I /U3 Date of Payment Receipt Number/� Receipt Number COSA # QSCl3llg78 Waiver# 6. 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 SPURKLAND ENGINEERING Address 203 W. 25TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND 6. DSD SIGNATURE '7 _z System #1 Approved for J bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Phone 279-3916 Date 5/16/13 bedrooms, with the following stipulations: By: (/U Original Certificate Date: 6-- r— `3 Th uniciartyf Anchorage 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 f - C If more than 1 septic system is on the lot: COSAChecklist# 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: SKY RANCH ESTATES #2 BLOCK 1 LT 18 A. WELL DATA Well type PRIVATE Date completed 1979 Total depth 175 ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 175 ft FROM WELL LOG 1979 9 10 WATER SAMPLE RESULTS Parcel ID: 015-302-07 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 12 in. AT INSPECTION 5/15/13 ft 136 ft g.p.m. 5.7 9 - p.m - Coliform NEG colonies/100 mL Nitrate 0.513 mg/L Arsenic ND ug/L Date of sample: 519113 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Date of pumping MARCH 20133 Collected by: ANSON MOXNESS Date installed 6/23/79 Cleanouts (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) N Pumper NORTHLAND PUMPING SERVICE C. ABSORPTION FIELD DATA Date installed 6123/79 Soil rating (g.p.d./f:2 or ftz/bdrm) 210 System type TRENCH Length 54 ft. Width 2 ft. Gravel below pipe 6 ft. Total depth 12'7 ft. Eff. absorption area 680 fl? Monitoring tube Y Depression over field N Date of adequacy test 5115/13 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 22 in. Water added 480 gal. New depth 32 in. Elapsed Time: 165 min. Final fluid depth 28 in. Absorption rate >= 450 g p d NONE KNOWN Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons - "Pump on" level at — in. "Pump off' level at - Datum Cycles tested _ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot '100' Absorption field on lot 981* Public sewer main NA Sewer /septic service line 25 Animal containment areas '50' Manhole/Access (Y/N) - in. High water alarm level at - in. Meets alarm & circuit requirements? - On adjacent lots '100' On adjacent lots '100' Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas '100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5 Property line >5 Water main NA Water service line '10' Wells on adjacent lots '100' ABSORPTION FIELD ON LOT TO: Property line 7.5 Building foundation '10' Water Service line >10' Surface water '100'(N.O.) Curtain drain '50' (N.O.) Wells on adjacent lots '100' F. COMMENTS *WAIVER ON FILE G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems an: in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKAND Date 10/16/12 COSA brown sheet_10-10-12.doc Absorption field >5 Surface water '100' (N.O.) Water main NA gNehide storage Driveway, arkin >10' p .OF Al 1 P 1 0-_Z'47tivt 11 00 COL O- AD o N 89'59'44" W (UNIMPROVED) RE�� T 1/5 tn mPJ � C.T.V RISER qa —P; t0' ESMT. 3D 4' OWN 100' IsaL 0 PROTECTION UNK FENCE I a RADIUS LOT 78 WELL . 18,178 °4 �f — Jt.4 DRNE LTo S cu Y O DECMS Q!.U- 4.7 0 ..........58.Z...........Lc J6o .......45.8. ......... Z 10 vn........... M: T60G7 W J 40. ��. N C O N 89'59'44" W 3 I �Y, - DISTLg2RE0 �{ f V j WOOD FRAME DOUSE Q) 1.5 STORY W/3' RF. 0.11. o NOTE! STRUCTURES SHOWN LOT 17 WERLE AT THE TIME VISMEOr HE SURVEY. OTHER IMPROVEMENTS MAY BE COVERED BY SNOW. ZONE' R-6 NOTE: ALL BEARINGS AND DISTANCES SHOWN ARE RECORD, UNLESS NOTED OTHERWISE. EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTANCE OF ANY EASEMENTS, COVENANTS, OR RESTRICIIO14S WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. " AS -BUILT CERTIFICATE: I HEREBY CERTIFY TIIAT I HAVE SURVEYED TIIE FOLLOWING DESCRIBED PROPERTY: LOT >8, YLOCAf 1, UNIT NO. 2 S" RANCH ESTATES AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. -.&:nwrF Al b- LOT: U eLacK: iln o e Air G2Zz,;r9�� sueolvlsrorT: ErA7T No. z ME=CORPORATION 49th �� ♦ SICY J4 4NCH EST.4T.&'S 4900 PALMER-WASIM Run.: 6011E J WASILL& AR 09054 (607) me -6000 rAX (907) 376-9dZ9 s, ,....r",,.....,w, ,M ,.wmr�,w, _ � SECTIDN22 TOWNSHIP 12 N RANr.E 3 W OAIE: a0R Nut�RER: P.R. NUMBER: "..°""""� Z� 93-04.21 9309.2 �• SEWARD MERmWJ /Z ,3 Eric P. •Fuglestod ' PIAT Nu. -- 0 sem: DRAWN: dIECNED �0 No.7zie—+& ANCHORAGE RECORDI14GDIS70ICT 1'"=50' EPF jpti)? ♦♦� oklics.5lONP ;:+;� tri GRID 2'737 n ;(:� - R T TIT, / MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. 1). # (_)t�)- -'N-) 2, - f_)`1 1. 2. 3. 59 GENERAL INFORMATION Complete legal description Lot 18; Block 1; HAA # Ranch Estates .}1 Location (site address or directions) 11600 Paddock Lan Anchorage, Alaska 99516 345-5382 Property owner r -i l in r.Pnry _ Day phone 349-8413 Mailing address 11600 Paddock Lane, Anchorage, Ak. 99516 Lending agency Mailing address Agent -- Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water XXX Day phone Day phone 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 XXX 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 (Roy. 1191) Front MOA #21 5. Q 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 furtherverify 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 S & S ENGINEERING Address Engineer's signatt5v le River, Alaska 99577 DHHS SIGNATURE Approved for ��'���,L bedrooms. Disapproved. Conditional approval for Additional Comments Phone G9�!' 2�7 Date 1D bedrooms, with the following stipulations: By, �'&,�, „_ Date //'f— /0- C? D atITle, The Munirloality 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 DHHS 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. 72-025 (Rev. 1191) Bock MOA Q1 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L.oi IF /3C -K ( SKK [ qA qq Parcel I.D. / �- �s r r+ S 5b A. Well Data Well type _2&lI/A 7r If A, B, or C, attach ADEC letter. ADEC water system number tl� Log present &N) DDate completed / `(r? 9 Total depth Cased to Driller S62EL) Mus, 1�,2(LL/N6, AJc, Casing height Sanitary sealol /N) y S Wires properly protected(ON) YES KILCEGI✓SLE-GHEct�M ✓1Lcr'✓tt]S, FROM WELL LOG AT INSPECTION Date of test 10171 O.41211 7S Static water level 40 x&01 GRAOC" Well flow g.p.m. Pump levell UGC SEPARATION DISTANCES FROM WELL TO: SepticL4@WW#%-tank on lot _(va %3�C(_DGJ 7(✓ (-)!- 4. S a. D. M. F"? c>; 4� rn N 7 c r n Z r y .K C fll �4 cn G O n On adjacent lots _4U) -E Absorption field on lot 00 ` ;K ; On adjacent lots Public sewer main t/vL/rs .oil w -Aft— Public sewer manhole/cleanout /Lb,cLr �iCF SCrO r% Sewer service line /() fi Petroleum tank -*;k-ma,aSVK6L )/N)=JeLJ> WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria No�� Date of sample:�f —Collected2, % 3 by: B. SEPTIC/HftgOWTANK DATA Dateinstalled 6&31—Tank size SAL Compartments Cleanouts(iV) L-1 Foundation cleano (Y/) Depression (Y�9-<1� High water alarm (Y(V ,/� Alarm tested (Y/N) 61A Date of pumping lo/9 / C_. Pumper fiNc-IO✓1l4(, CESste° L_ )PUMP,(/ -)6 _ SEPARATION DISTANCES FROM SEPTIC/1019k!BI MS TANK TO: Well(s) on lot /O0 r-/_ On adjacent lots /C.Y��� Foundation .S'r rI To property line / h Absorption field _5�f Water main/service line zQ _ Surface water/drainage NOIJ PMNT 72-026(3/93)'Front CONTINUED ON BACK PAGE C. LIFT STATION Np Aj /�SE�0�,1q- Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTAWaff-FROM LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA Manufacturer Manhole/Access Date installed Q Z3/ 9 ( Soil rating (GPD/Ft2) tested off" Level at water Z �% System type l26AX-H Length 55 ( Width Z Gravel thickness Total depth ,14-1- / 3 ( Total absorption area 610pUZ�r Cleanout presentbY N) Depression over field (Y/ Jim Date of adequacy test 41Z-03 Results as fail) X!�4SS for Bedrooms Water level in absorption field before test 40 r/ After test Z(�, r/ Peroxide treatment (past 12 months) (Y/N) /f bx KpiocJ71i If yes, give date X4 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /DU /,* On adjacent lots /Cad 14- Property line To building foundation /0 /'f_ /O f To existing or abandoned system on lot On adjacent lots Z o `--/- Cutbank NO.vc> iO/Zt5 (Water main/service line /0 a - Surface water / Civ /-7� Driveway, parking/vehicle storage area Zo /-l- Curtain drain N 1--'6 Kf Lit,! M�145VS D / J ZU E. NGINEER'CERTIFICATION I certify that I have checked, verified onformed to all MOA and HAA guidelines in effect on the date of this inspection. .a Signature ) , Engineer's Na N NEERING 13 aq a rver Loop Road No. 204Minx Date e River, Alast(a 99573 No 4 g4".: iNIw. HAA Fee $ Do, nr) Waiver Fee $ Date of Payment // J` Date of Payment Receipt Number c2 J��o7/ L? Receipt Number 72-026(3/93)' Back land�teeiti' C uY —e_ -- DATE RECEIVED INSPECTION APPOINTMENTS - TIME TIME TIME�� DATE n DATE DATE J Two ❑ Five ❑ MULTIPLE FAMILY \ — ---- 7. WATER SUPPLY ----- INSPECT:j��� INSPECTOR INSPEC OR / since June 1975. For wells drilled prior to that date, give well D . OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVI NMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION • 825 L Street - Anchorage, Alaska 99501 �1 I� r'r (� NOV 2 7 1919 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 RECEIVED NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPE:RTYOWNER PHONE Wr-.SiE=7FA/ .E/Y 7_4!W PRl;.�� 276-77;7-5 MAILING ADDRESS yi0 i ,9��.r�r� l3ly� vw, fe 203 A.aG�or� e 99s03 PROPERTY RESIDENT (If different from above PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE /� 2 j, Ra .7 /'c Q /'Ct C r' Y 7' G bl�l -1 A r V� MAILING ADDRESS U � 4. REALTOR/AGENT PHONES—�— ha -7 8- GADDRESS 5. LEGAL DESCRIPTION STREET LOCATION / Xf_La - //600 RciCo tag- 6. TYPE OF RESIDENCE _ NUMBER OF,BEDROOMS --- SINGLE FAMILY El One ❑ Four ❑ Other. Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six — ---- 7. WATER SUPPLY ----- >9t INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well PUBLIC UTILITY depth (attach log if available.) _❑ 8. SEWAGE DISPOSAL SYSTEM — INDIVIDUAL/ON-SITE** i% YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) mi-nti ' L., n - 17VLR_1 4X" cv e 0f1 u"� p_ THIS SIDE FOR OFFICIAL USE ONLY 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 PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Sep�tiQ Tank or ❑Holding Tank Size: U-! � If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL n „Absorpt/ion 4. DISTANCES WELL TO: Septic/Holding Tan Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR _ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE _3 C� BY O C 72-010 (Rev. 6/79) 0'1t 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 254-4111 GLORGf_ M. SULLIVAN, MAYOR DEPARTMLNT OF: HEALTH AND ENVIRONMENTAL P110FLCTION November 29, 1979 Western Enterprises, Inc. 4101 Arctic Boulevard - Suite 203 Anchorage, Alaska 99503 Subject: Lot 18 Block 1 Sky Ranch Estates Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (1) A well log submitted to this department. (2) The water analysis report be delivered to this office I rom Chem Lab, 5633 I3 Street, for our review. If there are any further questions, please contact this office at 264-472.0. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Pacific Bank Post Office Box 420 99510 Robert S./Renee R. Faiks Star Route A Box 1628E 99507 Municipality of Anchorage 0 • Development Services Department Building Safely Division OnZle Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ok.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-302-07 HAA# #fi6`I l `7 Expiration Date: l - 3 - D 3 1. GENERAL INFORMATION Complete legal description Lor 18; Alnrrk 1 � Slryrannll Vgrntps fl7 Location (site address or directions) 11600 Paddock Lane Anchoragd Current Propertyowner(s) Steve Wilson Mailing address same Lending agency Mailing address Real Estate Agent Wendip Fowerd / Repay Mailing Address Unless otherwise requested, NAA will be held by DSD for pickup. Day phone 345-3656 Day phone Day phone 757-010q -2UYZ 4-�r, 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Ea Individual On-site R Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 5 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 sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certifictates 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 below, I verify that my Investigation, based on procedures outlined in the Health Authority 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. 1 further verify that based on the Information obtained from the Municipality of Anchorage rites 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 S & S Engineering Phone 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robert C. Cowan Date °(�j.S-/o� c1r71r1o...4c #Nh- 9!f(Z�Efr'Coj (,,Nhc.e_ W.4/vt2 h4cr4w4_ 1J iGrG PpsPfrtto e�OPnnn�ti[�. 714f,9( IJ ba dtn,nc..T' 0i=��/ �n Hie Lr F+ l/Az9ao ea�wrao 0.2 rrze..,,-r-co/ ,vo ovtaa..,,,�a ,�P!'�••w•• S£.ncj o.a v.-Jtnce>..x i of �•.e /}Ovk.��L JERGtc; yNGiNEr'�77�f t 6y TA.r,.a of T/Fit C••.r a, ri. g� #4A. /Tj�g%.rgi1 ....f 5. DSD SIGNATURE r��ehatr G CtTlJAN p/flP `E-88011;` Approved for bedrooms. q Disapproved. t•>»i�v.� XX Conditional approval for 3 bedrooms, with the following stipulations: 1.5 time4the amount of the excavator's bid shall he plarrri in ngrrnv. Mnney wilt not be released until final approval is Riven by this office no later thin.June 15. 2003. Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: V/ 1 . W, IR . h2M) Work shall be completed X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Dale: / v p ON-SITE WATER AND •'m. WASTFhNATER PROGRAM Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.enchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lo 7' / Jr 0 c •-- K / Su Y,f4f cN sT_ a 2 Parcel ID: 137 -TO ;;k —07 A. WELL DATA Wen type PR, V4 rt If A, B, or C provide PWSID S = Well Log®/N) y� Date completed Iq 79 Sanitary'seW&N) —Ltj- Wires property protected®N) _tr4 J Total depth ► fL Cased to f i'(. R Casing height (above ground) I X in. FROM WELL LOG AT INSPECTION Date of test 10179 q // K /0 -L Static water level `Ja R /3Y fL t Well production IO g.p.m.. 0 g,p,m. F WATER SAMPLE RESULTS: Conor j colonlesNOO ml. Nitrate 0•'4'12 mgA. Other bacteria i colonies/100 ml. Arsenio mgA. Date of sample: 9�4��c �` CotlectA SIR ]ENGINEERING 17034 Eels River Loop Road No. 204 B. SEPTICIHOLDING 7AI�K DATA Eapla River, Alaska 99577 rr Tank Typp4&'ft I S(iA1 iG_/ S Tt f 4 Data instafied C /-79 Tank sic 1D a0 • gal. Lumber of Compartments Cleanouts (9N) YE J Foundation deanout 49/N)YLJ Ir epression over tank (Y4 ^=0 High water alar (YQ O Date of pumping 'It/ 4'0 Z Pumper f Ngon 4 j tai v c41 C. ABSORPTION FIELD DATA Date installed(%_ Soli rating (g.p.d./fe o &r -j10 '7 A 4~ c N System type i Length Sly ft. Width ft. Gravel below pipe � fL j Total depth 0— R Eft. absorption area P o fe Monitoring tube Ya tt Depression over field N V Date of adequacy test q �r 4�0 Results PKjs Fail) (Ns f For -�L bedrooms " it Fluid depth in absorption field before testa 3 ~in. Water added vq7 gal. New depth 3 / in. Ns Elapsed Time. min. Final fluid depths) in. Absorption rate >= v g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N rr r' t a; N o N r If yes, give date D. UFT STATION Date installed Size in gallons Manhole/Access_"Y--- - 'Pump on' level at _ in. 'Pump oft' level at ligh �wat�ee. ala��nn level at Datum Cgoes bested Meets alarm 6 dreult requirements? _ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 1C 0 '* On adjacent lots Absorption field on lot cl S ° J - On adjacent lots Public sewer main Public sewer manhoie/deanout ~ 14 Sewer /septic service line a S 1F Holding tank Al 14 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation S Property One S �t Absorption field S / Water main K �� Water service line !D Surfacewater / d o t Web on adjacent lots /© 0 �4 SEPARATION DISTANCE FROM ABSORLMON FIELD ON LOTTO: I ( 104P. Rtrw.r ) _ / Property One 7W Building foundation /0 f Water main / A Water Service line /0 1' Surface water / dd f Driveway. parkinglvehide storage _ Curtain drainPau"6 Welts on adjacent lots / O F. COMMENTS � bvH/Yt/2 in 8E R1iuV�cflEp, G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and mWew of Municipal records that the above systems are in conformance with MOA HAAuidelines in effect on this date. Engineer's Printed Name ��Bk2; C, �p a�4.✓ Date et/3- / 3- S-/ o -a- HAA HAA Fee $ 3 7 S Data of Payment 9 /a s/o -z- Receipt Receipt Number O a G o G I� s (Rev. 12101) T1 .1.0 =f Waiver Fee $ Date of Payment Receipt Number OCT -03-2002 11132 S&S ENGINEERING 907 694 1211 P.05i05 TWEED EXCAVATING AND CONSTRUCTION 17094 EAGLE RIVER LOOP RO., SUITE 202 a EAGLE RIVER, ALASKA 99377' PHONE (907) 6941973 • FAX 694.1250 Page No. ISTIMATI o To rievP aTRIET zt /vls0 n CITY, STATE AND ZIP CODE ARCHITECT T DATE OF PUNS -5-f.-s Z'•� ,�• We hereby submit specifiediiams and estimates for. lv �w i1/Qw �6svr��ivh PHONE JOB FAME Y y of Pages wri 0/,2vei'p, SP,po1�r r�t �ys �st� `aIic/uo4l 7� XV // ,ret,PC% 46 We propose hereby to furnish material and labor--ramplete in attordance with above soedfications, for the sum f: dollars (S AS's%e.10 � ). Payment to be made as follows: All mHMial is awrenteed to ho ae sp"fltd, An Sera to a wMpleted In a "A. PNnliaa manner acwrdina to atanderd Aratticee, Ay aRention a• dwAseloo lvp Authorized / a:iend„r� n COL OIRA.UO N 89'59'44" W to Ix 4' OWN- LWK TENCE y i W 0 R C o N ` b ti C) � I J b �Y RECOKRED 5 ON Nt ca r C.T.V RISER _Tto' E5UT. 140.6b _ IDo' KIL wfus LION LOT 18 ""EQ ' 18,178 " DRNE 5 e al DELI " Rw I'a..n ......58.1...........E ° G!D ......45.8 °VlTi1S .,, In 140.00 N N 89'59'44" W C FOUND /S Pray. DI STURUED WOOD FRAME HOUSE 1.5 STORY W/3• RF. 0. 11. LOT 17 (UNIMPROVED) h h 0 30 v�iJwim, G .0 A VE'NU.E STRUCTURES SHOWN WERE VISIBLE AT TILE TIME OF THE SURVEY. OTHER IMPROVEMENTS MAY BE COVERED BY SNOW. NOTE: ALL BEARINGS AND DISTANCES SHOWN ARE RECORD. UNLESS NOTED OTHERWISE. EXCLUSION NOTE: R IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTANCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON TIIE RECORDED SUBDIVISION PIAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. AS -BUILT CERTIFICATE: I' HEREBY CERTIFY TILAT 1 HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT 18, 9LOCIl 1, UNIT NO. 2 --SAT RANCH ESTATES _ AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. ' Municipality of Anchorage r Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bag3w SL F.O. Pox 196650 Anchorage, AK 99519 650 www.ci.anchorage.ek.us (907)343-7904 CERTIFICATE Or- HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. OFT --30>• —0-7 HAA n VAOa0gq Expiration Date: 1. GENERAL &IF16 iiAATION Complete legal description Lo7- )S 134.oc� I Sx y RA�CN Location (site address or directions) h G 0 0 ISA DDoC rc I—A",6 Current Property owner(s) S %6Z 4 i W r L.S c r✓ Mailing address SH.He Lending agency Cr 4 w,4A7, r e r L C Mailing address Real Estate Agent W �^ J1z Nawrao �R6n�x Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 1110103 j; S,—.4 76 S & Z Aq vc/AIA4Cif Dayphone 3y•--3CS G Day phone Day phone a 5`7 -0Io 9 ? 2 .;y,4, / 0 / yr103, 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY:' TYPE OF WASTEWATER DISPOSAL: Individual Well 9 Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ J 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 reissudd with new water sample results. (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 below, I verity that try investigation, based on procedures outlined in the Health Authority 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 wifii all applicable Municipal and State codes, ordinances. and regulations in effect at the time of installation. Name of Firm 5 8 5 ENGINEERING Phone '7q –� 9 J uu34 Eagle R;.., Loop Road No. 204 - Address Eagle River, Alaska 99577 Engineer's Printed Name ft: 0ef,t7- C. CJ WA,.,. Date /0. UN Go.o,Tla.A� R/AAdvA� rJ REGrEJTcO. F�IV�-1� L-jA jv f iZ P4c.,c4GE 5v6M.rr1i,4 l:.+n AA,^AcvAL -ro ALLOW q q 01 t-rA••�•(. /i ETl..d..� Wrc �� �� „'�ft�^sIt!_' /i"i0 L/cA GN f!(c L(7. /.........} ,y�....::..... +i = ROBERT G COWAN 5. DSD SIGNATURE f'"c�'•.� CE -8801 Approved for 3 bedrooms. yli 1� ., Disapproved. t':h�;�"_z�� Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow` Advisory By: (R. DIM) \`�tettSYfOF4 ��ii,� J ON-51iE WATER AND,� " WASTEWATER PROG o RA Al/f—•• Jam•.• i Maintenance Agreements Supplemental Engineer's Report Other — Original Certificate Anchorage Municipality of Anchorage k - A - g All -America City Buildin(F Sodety Ditisim 1 lei U III George I'. 115tercA, Mayor 2002 10/10/2002 Robert Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road, Suite 204 Eagle River, AK 99577 rt Subject: Waiver Request for Skyranch Estates #2 Block 1 Lot 18 Waiver Request #WR020078 Parcel ID 4015-302-07 HAA# HA020494 Dear Mr. Cowan: Your request for a waiver of the required 100 feet horizontal separation from the absorption field to private well has been approved. The approved separation distance is 98.0 feet. Your request for a waiver of the required 10 feet horizontal separation from the absorption field to lot line has also been approved. The approved separation distance is 7.5 feet. This waiver approval applies to the existing absorption field to private well and lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, &4 W. �- Vit -74 - Daniel ,Daniel J. Roth Civil Engineer On -Site Water & Wastewater Program P.O. Dox 106650 • Anchorage, Alaska 09519-6650 • Telephone: (007) 343-&i01 • Fax: (907) 343-8200 4700 South Ilragaw Street • Anchorage, Alaska 919507 ld tpJl��1t1�•.Ci.anChorn�!e.nlaus Municipality of Anchorage Development Services Department • Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343.7904 Waiver Review Worksheet WR#: WR020078 PID#: 018-302-07 HA#: HA020494 Permit#: Date Received: 10/7102 Legal Description: Skvronch Estates #2 Block 1 Lot 18 Engineer. Bob Cowan. PE S & S Enaineerino Applicant: Steve Wilson Waiver Requested: 88 feet from Well to leachfleld and 7.8 feet from leachfleld to lot line Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: 7- Waiver is not Granted. List Conditions or Reasons for above: aE A%I 14i14Et9. Date: l0%O/o2 By: P1 Aj Name of Reviewer Rec#: !0620,!0033 Amount Date Paid: 101812002 /2 WAIVER REQuF-Sr fol SKYRavcH ESTA7F I '*Z BLOZR WR,vea RFgLAC57, #VUHBER wRo20078 L✓I¢/vE,Q /;EQIIFST FoR 4pLD7' WAT>;K WELL To +eSvMP>7bN FIELD or 99 FE E r. - SE/0T76- """ T14E /-l9$PXjvno 1 F,Ft o WMr CoA.SrJ`c,.Crev 1W Tu.41F Ir M-p-tcv.vrntCc7-F_o 97.E 'fRo.•~ Tref wEtL.. r/fEN luN6 "g" 23,/979' /rw.tr dove ry 99 's,evm nrE t-ELt. rke S'o/Ls 1x9 ArH rRF_,vCN &-Mr evvr7leuc7zp /�/ PtKCOG�sTeO /➢% �/O k/�KrE AAA ®AND /oleE CL/�S3�F/Ftp AS /9 s1'/SM. T�{/t j"YP,E of to is i> 6xcELL.FA/r .4r Tler-gr1At,- SEpr�c 7-.9-n./c EFPLuEar v6KY I-ELc. / 4 tkoRr D/Sr4wcc Tl{�KE ARE WELL Lo6.S IN 7Kit n/ee,4 /iVA/LAl7Gt' rwe, 7-/40'C.su6Jrcr WCLL � SuKRau�vD/1v(� �/goA�rth'tS. TKi` 4-E(,L LO 6 $ /,VO/C/4)'F_ �u Elra LAYCKS of SILr % Cbl3Y ' TWAT b.. ILL A -CT i7? ACo�v/`/aYE . ,,wAWIMAf OTACKIC GAYf27 op ,S4wQ f CL,p+y A ILL 11C7 -•+S bYCeLlAFAv F/ j.T,c A-r'.-tr t,,4 y'ERS TO 1xrgr 7X E SE.✓r.c 77+PAe E FPL k 6�.T. 14,*reK SAhtir'LFf IA vic,+rE rV/7RA771!f ARE AIF&RLY UNP&MCMR1E 19A.00 ,vp pkcTER,A peESFwr, rn� w S of A. 0. E. G. S. D. !N• Cr for S. HvATER TABLE Is -0 " - is- 'YsT-W,4PEPTN= 133- I Solt- fOmerioN C� 1.ft(,3/�Srri�>S:1S C, R. O. PDINT.r 7.2 ( I r 3,# Ar ;;V:- `1361 ,33 ,3"'/l/ olYS Ivi$rE4 7A OLE GR*VIEtiT" {vr}� k,�TEte SYS TEn HvRIZVNri4L S� P�Ie�Y�'N l ' �s _ 2 X= . 88t Z cop (Lks/oov (r)CAiv7' k.POVEIZ 4e;1e,*MV Tv 7-4L 2./ A2 MUNICIPALITY OF ANCHORAGE K&THMingitlTYAPPRONALS Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWERSWATER LWINEMENSIONS ROBERT C. COWAN. P.E. ROBERTA. SHAFER P.E. October 4, 2002 CIVILENGINEERS (907)694.2979 FAX(907)694-1211 REFERENCE. Lot 18; Block I; Skyranch Estates, It 2 Subdivision SEWER TI WATEq Request you grant the following waivers for the referenced property: A waiver for the INSPECTION separation distance from an existing private well to an existing Icachficld trench at 98 feet, and a waiver for the separation distance from an existing leachf?eld trench to the south property line at 7%, feet, all located on the referenced property (sec attached site plan). ENa1EERINGS7WFS 1YiDREPGRTS The mitigating factors involved, which support the issuance of the waiver, are as follows: 1. The topography of the referenced property slopes from south to north. This slopes WELL INSPECTXW toward the well. However, a driveway would divert any surface effluent toward S FLOW ?EST the street to the east. 2. It is not possible for effluent to surface since a backup would pour into the house. SREPLANS 3. The well log (attached) for the referenced property shows clay and gravel/sand layers which would confine any released sewage from this well's water bearing sand and gravel at 112 feet to 150 feet. ROAD DESIGN 4. Water samples taken from the well located on the referenced property indicated 0.442 mg/I for nitrate and colonics/100 ml for other bacteria. 5. Various combinations of sand and silt exist down to 112 feet. This material SOILTEST would treat the effluent before reaching the water preceding interval. 6. The attached well logs from surrounding properties show static water levels of 70 feet and 82 feet. With a static water level of 40 feet for the subkct well, the TESTwaterwater table slopes to the west at approximately 7%, which would+:arry effluent toward the well. 7. 98% of the required separation is provided with the existing separation and STR a providing 2 more feet of separation would have no measurable beneficial effect. LNECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSWSTEAT DESIGN 17034 NORTH EAGLE RIVER LOOP • SUrTE 204 • EAGLE RIVER ALASKA 99577 Lot /8; Block /; Skyranch Estates, # 2 October 4,1002 We therefore recommend a waiver for the 98 feet separation distance between the existing private well and the leachfield trench, and the 7%: feet of separation distance between the trench and lot line. We do not anticipate any adverse effects on the neighboring properties by granting of these waivers. If you have any questions, please contact us. Sincerely, "RPrtCowan,P.E. RCC/glc EAGLE RIVER, ALASKA 99377 PHONE/ (907)694-7979 EAX/ (907)694-1111 LOT 18, BLOCK 1, SKYRANCH ESTATES iNUwx 9,: -KCK[O W.GAIL.S.W. B.J.J. I R.C.C. I 10-4-02 I 1 #2 OF 1 -------y---------------- KLATT ROAD r— -------------- 1 WELL RADIUS I 100 I z I �� LJ m LI 0 <V)Li I �D \� DRIVEWAY A Cm 01 nj 4p �Io I FCO EXISTING 1 1000 GALLON .MT I SEPTIC TANK C EXISTING TRENCH CO I I LOT 17 +;G Of '?f ROBERT G COWAN �? j `c CE -8801 }•�� 4 N I,tl• St„+1 _ And...l•t•,. At -1 91491 Iti'i.l)i ,t ill' 1.1!:11 _._;._ .,. . • Itl.l•1 it tor 1:1.1.1. I:II:R.....� •�.•. • 1 1 ; '..' •'. f'1MW 1.1 %#.1. M* WA'li.tt IT. YO L-f17t7tb F J QCLK S'<Y A4104 'J� ZUtN"'v 11OtfK 1'f....... . !.rAlrrl:11 .. VAIR. rr.$: fill. -t-ph tJ '0).,941 'pQ/�iiit�:•i �'•' • I ._.1•!:111 n __. _ __.._.._...... _.. _._.___..�_ 1 tin 111 r,tetxll 6tt ��tit & I ilG' • Y? Sat coo' 1 tit' l Itt:r.tA7lrrtt /1 �_ IItUa IT. -Ill "Z5 11% �j�A-onhmS4,p' �„�( Il:clt: ST. 10 IT..... Iltlllt Z� it. -Ill 43 . 1T.6- ,qi� 11:11}t IT. To IT.. _.. . flow -I 113 1T. tiu JcU tT. ' 4{ o PiC 11 r►�t 1'r. Tu IT. I I:rl'•t Gil 1 r. -sit 7 4e t f. s`Y''��` 0•�� e� �d"'+'^"A�O�f Iti►:t IT. 110 IT.. ... . 1 I:o 7 IP 1 1, 9rl $O 1 r. n+rct.Xa �r..c /c+io rCc.rt , 12a- 1l IT. -I it IT. .. .. I Its r: to I r. Tu (t 2 11•, RA" � � I rira IT. 111 1-r. Itr, • 1 12 1 r. Tu 1 i 5 1 I. e Qa nu I I. Tn IT. I 1.1'.111 150 1 1•. CLGf lac � d I MOM Ur. 'Ill /7.,... .' I;n .: j so 1 r.1 is 4144 I . Tit ttllsl Ito 11'.1 a 173 1 r. / I wv%t T 4444.. _...:..._ }. It11•r IT. TuIt............ ..:.::...... ! 1 Ith�l 1'I% 111 - I'r. / / I Itn51 1't. Tel ......... IT... .1 F! f 117:11.11 it'tt 4.:111: �.. ... .....i ... ........ ... rf I ZOOZ/Z/OI •••£4£9Y=oopi,unq'Zlina32pM llgam/axa•xutZgoA\IlmduasNn'•02e,1og3ue•13•0usuo//:duq £ jo Z aged uogeuuolul imm WELL CONSTRUCTION LOS Drilling Co. 14 A Z%✓/N9 /� VSCS no. orl list lT tiu "IVv Al -y type Jof rig j�vAiY Due well completed Well owner fT // F:nd/uele Y)/ /fNNearestcommunity Well location: (address g legal description) zt'7�� n % / /AC/"/a3 Location sketch or remarks .Sl% /iAlli A Z .S7A TSS �,J %i Z v MUNICIPALITY OF ANCHORAOC Depth of well Z O.� It. Citing: depth �It. dlam._f In. DEPT. OF I*ALI'.1 d Static water levell _,[.;L.6 ft. (above, below) land surface. Date///� �7- 7k- EWIRONMENTA.I. %OY CTION Finish of well:open-end across, perforated, open -hole, other) JAN 9 1979 Deteribe Intervals end size: RECEIVED Well yield toiled by (pumping, belling, sit) at .70 gel/min. for hours with It. of drawdown from alalic level. DRILLER1 MATERIAL LOG Depth below land Give dnorlpllon of strele penetrated surface In feet (size of material, color, hardness of drilling, and meter oonlent) to .;Z, .SA AJel 4-* e'1A y Z9AeWAY /A, el /C Y IZ.6-to 67D .SAveld�Clef iy .,ZY-'to 200 13-0 to % /v 54 a eiiCIA /v rr If 7/ to /00 SA Aid d Cw/.t y i. zr /09 to 1.26 6 Y A 0 e / 5; A)4 `.,z ,t�e' 1A y vrdW lrte /60 C, -AI e l -�_ S /I Gke /A/ 611 16-0 to_f_!_st_C YA SIC-/ el rir,l % r, rP/ /N 6 Ao Y .,ZY-'to 200 �r'vr/�.4//%t �rt•r /,V Cn�d ) Zoalo 1700 `//,.f TrY �O'u%/-Pr [7rGWN �rPr'�t1 to to to to to le to to to to to to to to S: Ir lUATrr �eo? /.v !o/d A— L LOG ULT -'-DRILLING CO 4. SM Seward Mgbwzy P. O. max rs Anchorage, Alaska 9M2 Tt!erbaze 3445939 Anebor.-Ze, Alztk-- PORL OWNER OF LL -m- DM -,'H OF ADDRESSO....._75.t ... __.19 ...... .. ... ... STATIC LEVEL OF WATT_R pT. 10�- WELL—SITE Yc - . ..... DRAW DOWN FT. .... ..... .. . .. . DATE: -STARTED. 114.. GALS. PER Hr-.. DATE-ENDED.._.,.*../__.e KIND OF CASING. �O "X .. .... :e7 rig '0q4 KIND OF FORMATION: F r OX FT. FROM_. ITO TO. Jr PT .0, FROM...... ._.....FT. FT. TO.O.Z?e ... . .. PT -Q10. FROM.. ........ F-1. TO . FT............. ............ . .......... FROM .....FT. T*...';F.. _FT FROM ...FT. TO .. ............FT_.._._._.._.__........_ FROM ...FT. TOIA.:_... imom ...... . F ROVt. ....PT.TOJ;7 ..M.C%.:�2. ........ . . FROM Fr. TO . . . ........ ..... .. ....... . .... ...... FROIM M TO—— '4 (R FROM.. .FT. TO... FT ... ... ... 1.0 ......... ..... MOM/*7- .-..Fr. TOO.A ...... .. CIA4cwFROM..FROM TO ritomg..U.02-.. . FT. To FROM .....FT. TO .. ............. FROM__ TO . ..... ............ . FT . . . .. ........ . ....... FROM _XT. TO..... ... .... ... ..... . ..... FROM. ....FT.TO --- 0 ...... ...... 0 ....... . FROM. . ......0 .. FT. TO ...... .. FRONL . ...... .... .... FT. TO........_......... __.PT_.__._._._. _ _..... FROM......._.... YT. TO. ........ .. . . ..... ..... FROX.0 ......... ... .IV . . ... ......... 0 .. . ... FT. TO ......_...FL........ .......... MIRCL. INFORMATION: DRrLLE?'S