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Home My WebLink AboutSEA TURN BLK 2 LT 3A 0n- tai -31 .t u. nidi -L, _ity - P.O. Q 196650 ��. ANOHORAGI=, ALASKA 99519-6650 ®f jr ;, (907) 343-4200 Anchorage I TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES August 18, 1987 Mr. James Allison 59440 Azalea Anchorage, Alaska 99516 Subject: Lot 3 Block 2 Seaturn Subdivision Dear Mr. Allison: We have received confirmation from your engineer that final grading has been done around the well casing on the subject lot. This satisfies the condition imposed on your Health Authority Approval dated February 3, 1986. Sincerely, /,,,. ll "_'Lt - Susan E. Oswalt On-site Services SEO/ljw CIVEL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 August 12, 1987 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & M.O.A. Dept, of Health and Human Services ENVIRONMENTAL PROTECTION P.O. Box 6650 Anchorage, AK 99519 AUG 17 1987 Dear Sirs: RECEIVED At the request- of Mr. Jim Allison, on August 11, 1987 I inspected the final. grading around the well serving his residence on Lot 3, Block 2, of Sea Turn S/D, located at 59440 Azalea in South Anchorage. The final grading has now been done in conformance with Municipal requirements. Accordingly, please issue Mr. Allison a letter stating that the terms of the conditional approval dated 2/3/86 have now been met. Thank you for your assistance. Sincerely, 1:4 Ted Moore, P.E. \ MUNICIPALITY OF ANCHORAGE \ L DEPART OF HEALTH & ENVIRONMENTAL PRC ON l ri4VIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW ^ J`�mes a�,Sv1) 34yO�O% ❑UPGRADE MAILING AD KESS �I OC oar tell hn4, A IaSka_ qq� [� LEGAL DESCRIPTION SecTlurn I -or 3 814CK 2 t 1 wr-3w LOCATION NO. OF BEDROOMS `f Well Absorption area Dwelling PERMIT NO. Uy DISTANCE TO: t yI pT' r n 3 �, j Q, S' O t/ EZ W F Manufacturer Material No, of compartments rn Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth I ys� CI �'DISTANCE TO: Well Dwelling PERMIT NO. _j 0 7 F Manufacturer Material Liquid capacity in gallons D DISTANCE TO/\ O'�'e�O Foundation Nearestlotline PERMIT NO.T Q$ C I lw LL U No. of lines TLegthof each line Total length f lines Trench width Distance between lines Z w I $G Com. '{ inches Q Top finish Material beneath rile Total eff dive absorption Fes- Cr of rile to grade 3 - S � �reavr Q � (i inches '-91 Length Width Depth PERMIT NO. W QF Type of crib Crib diameter Crib depth Total effective absorption area wa Lu w DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J W � Building foundation Sewer line Septic tank Absorption areas) DISTANCE T0: OTHER A al Io - PIPE MATERIALS SOIL TEST RATING I10tit b de,wt) 30 [7'/6 a4k-,4-kA �aL�vtl INSTALLER . N i i%'Be-rkt 1 i v REMARKS S.,sicr, fe—deS Iv d 6 I� `they were Puii-t-tq `aC� "ly ` jort,,t 11 ✓ Tla.rn 2n he • R a 9 4 S5 A! h at,,,�s�- P��4 l--�ysic in sh�<.�d Hl„� 1'� -£ur cl tc.i♦ 3 1 I hSPc L Icd lo� 7�>r r y Molt —o c V APPROVED DATE LEGAL g L SE, i trn �Lt 3 P 10 2 t li t,, P- 3W S<. 3 r Cis January 10, 1986 TO: Permit Applicant ?PN \ ANCHORAGE, A_ASkA 09502-i],35,0 (�0%` 264-4111 DEPARTMENT OF HEALTH R HUMAN SERVICES Subject: Permit # 850112 Lot 3 Block 2 Sea Turn Subdivision A permit issued by this Department for an individual well and/or on—site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: LOT LOCATION: MAX BEDROOMS: 850112 04/22/85 d9 8400 HARTZELL ROAD ANCHORAGE, AK 99507 344^0501 SUBDIVISION: SEA TURN LOT: 3 �LOCK:'2 13"1CTI0N: 35 TOWNSHIP: 12N RANGE: 3W 1A (SQ`FIT ^ OR ACRES) AZALEA AT PLATINUM 4 Listed below are the options ^ system. Choose the option that best {its your site" ��II;,.J JIL L I: :�IIF: I! -f'`� I! �Jl! ii� DEPARTMENT OF HEALT!| AND ENVIRONMFNTAL PROTECTION GRAVEL WIDTH (FT") 825 L STREM , ANCHORASE, AK 1 GRAVEL VOLUME (CU,YDS.) 24"7 21,4 264-4720 1,250.0 ** 1�250,0 ** 1:311411—E3 1 WIPE sit TE A TH M TR Ps WAH E 1. . L. wWw"El"PUYR Z -T PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: LOT LOCATION: MAX BEDROOMS: 850112 04/22/85 d9 8400 HARTZELL ROAD ANCHORAGE, AK 99507 344^0501 SUBDIVISION: SEA TURN LOT: 3 �LOCK:'2 13"1CTI0N: 35 TOWNSHIP: 12N RANGE: 3W 1A (SQ`FIT ^ OR ACRES) AZALEA AT PLATINUM 4 Listed below are the options available to you in designing your septic system. Choose the option that best {its your site" DEPTH TO PIPE BOTTOM (FT,) GRAVEL DEPTH (FT,) 0.5 1.0 TOTAL DEPTH <FT,) 5.0 510 GRAVEL WIDTH (FT") 19.0 5'0 GRAVEL LENGTH (FT,) 35,0 770 ** GRAVEL VOLUME (CU,YDS.) 24"7 21,4 TANK SIZE (GALS> 1,250.0 ** 1�250,0 ** SOIL RATING (SQ.FT./8R) 110 110 ** GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT I&CEEDING 75 FT, EACH) ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certify that: , 1. I am { aunt liar with and wells as set Forth by the Municipality, of Anchorage (MOA) and the State o[ Alaska` 2" I will inst.-all the system in accordance with all MOA codzs and regulations� and in compliance with the dcrsign criteria of this permit. 3" I will adhere to all MOA and State o[ Alaska requirements or the set back distances {rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot, 4^ I understand that this permit is valid 1or a maximum o[ 4 bed�ooms and any permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CDDES/ THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) ASPBUILTS WILL NOT 8E APPROVED WITHOUT AN ELECTRICAL INSPECTION R�PORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. Mame 1pa -6.7 ®.a POI. -650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 0 — TONYKNOWLES, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit 4: 840490 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 3 Block 2 Sea Turn Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer_ inspected the installation of -the on-site sewer system, the original as -built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. if there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Ban t, Supevisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 MUNICIPALITY OF ANC:H._.,HGE p DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION � S 825 L- STREET: ANCHORAGE, AK .519501 264-4720 PERMIT NO: 840490 GATE ISSUED,: 06;:'20rr W;4 APPLICANT: NAMES. F ALLISON ADDRESS: 13820 VENUE WAY ANCHORAGE Ak:: 99515 CONTACT PHONE: 344-9551 LEGAL DESC:R I F : SUBDIVISION: EEA TURN LOT: µ BLOCK: SECTION: 35 TOWNSHIP: I nd ... RANGE: _'bd LCAT SIZE: 1A ::Sn•... F=T. OR ACRES,, LOT LOCATION: AZALEA AT PLATINUM MAX BEDROOMS: 4 LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSE THE OPTICeta THAT BEST FITS YOUR SITE. _T : 1_="b_- ID3 EF C.), A_,.A _ �� F: Fl a r-4 DEPTH TO F'IF'E BOTTOM (FT.) 4.0 4.0 4.0 (:;RAVEL DEPTH (FT. > 2. 0 Ci. 5 1. 0 TOTAL C>EPTH (FT. *) 6. " 4. 5 5. 0 GRAVEL WIDTH (FT. ) "' 5 �. 19. Fri 5. 0 'GRAVEL LENGTH f::FT. :: 1' 0 :+:+: -:5. O 77. 0 + �: GRAVEL VOLUME f*. CU. YDS. 4 24. 6 21. r IHtak; SIZE (GAL`') J_:.-_50. - J.: 250. 41 :}::t: 1: 250. 0 SOIL RATING FT. /8R) 11— 110 110 GRAVEL LENGTH 75 FT. PEf!UIF:ES MULTIPLE RUNS r'NOT EXCEEDING 75 FT. EACH? TANK MUST HAVE AT LEAST TWO COMPARTMENTS I CERTIFY THAT: 1. I AN FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWER_, AND WELLS A_1 'SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MC.)A? AND THE STATE. OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODEC AND REGULATIONS: AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF' THIS PERMIT. _. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE _SET BACK DISTANCES FROM ANY EXISTING WELL, WASTEWATER D I ` POSAE,. SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I I_Ip,IDERSTAt'aD THAT THIS PERMIT IS VALID FOR A MAXIMUM OF 4 BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE AN Al.)DITIONAL. PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES... THEN (I') AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED.; ? AS—BU I LTS WILL NOT BE APPR—WED WITHOUT AN EC:TRIC:AL I 4SPEC:TION REPORT; AND r.3) THE ELECTRICAL t10RF t U'=T BE DONE BY A LIQEN ED F .E( TRIC:IAN. ]: GNED DATE: APPLICANT 1'AIS,ON ISSUED BY v DATE: � �—v S & ENGINEERS, INC. IN S \ \ / 7125 OLD SEWAR�D HIGHWAY ANCHORAGE, ALASKA 99502 SOIL L.00 PERCOLATION TEST gL/u490 SOIL LOG PERCOLATION TEST �o O_ SR (907) 3496561 //jj -II JOB NUMBER:_ PERFORMED FOR: ._._J�T II_ -_Qur_. Co��L"ICAJC W .--DATE PERFORMED: __s LEGAL --� SLOPE SIT_.�PLAN Ape- 2 pe 2 G /Yl 3 SP -4 s� 6 G/rl 7 8 9 10 o Gro, y {io ze u .Sc �f" r`'�'Q Dale SaaoQ.� :5;H IF YES, AT WHAT tis ``v ant Qxidize� 0 Or A GruJ4 S4JrA1I n Grc.y) Sl, /llois+) $co �, Co00I 0' �� ' b'• C��'OT e Drava ii v. /ac,,_ o Soscte 5�/f' Gra � S/, ry'(I'�o rS�, (1 Coa�sc 5o..�Y( ` Sa;/C.Wes ,[ 5 SI IT eb' uaSL s Grave I wJSomr kd t FIRM 0 '°d$� �r b/�/na �� a...l Scai• Cob/e3 12 13- 14— IF 3 14 b GGss Si%f- A.re /%loia?< —S/. /401 P' -&j , Grave Q)�s e�.!;dy, Sea-d.C6LLle-L 0 WAS GROUND WATER S ENCOUNTERED? _.__ _— L 15 �s os�gs Dale Gross Time IF YES, AT WHAT tis ``v ant DEPTH? rF;y dnanoccoa d� n AyS eco^.�oacocoaa�aooaco 15— O le" William C m r a t;'i'! 16 4 C• °c CE it 6266 17 < o . V,� �� P�0 r G U� 18- 19 20 O P E Sears *_ L a.t'e Oi'�A a'& zyOrute adin0 Dale Gross Time Net Depth to Net Time Water Drop 23 AyS ;a FIRM 0 iIt �r •��■�■ I Sears *_ L a.t'e Oi'�A a'& zyOrute adin0 Dale Gross Time Net Depth to Net Time Water Drop 23 AyS ;a !,'Z8 I PERCOLATION RATE____ (minutes/inch) (FEET) TE/ST RUN BETWEEN FT AND ___ FT PERFORMED BY:/c.. /l c¢.r�lR�yK.f en4<_5=�� s/CERTIFIED BY: 72 W819183, DATE F )/ LOCATION OF WELL (Please complete either to, Ib or Ic.) la]Borough Sudtlivision Lot 81ock Ibh] I/q qt rs. ' I I ,4 i,,. ... i (:!I. � —of—.of—of— II DISTANCE AND DIRECTION _ FROM ROAD INTERSECTIONS Street Address and Area of Well Location WATER WELL RECORD STATE OF ALASKA DEPARTMENTOF NATURAL RESOURES Division of Geological Ek Geophysical Surveys Drilling Permit No. A.D.L. No. Section No. Township N❑ Flange EE) Meridian SC3 WE] Z. OWNER OF WELL: I Address: 'L. WELL I_OG M atorlal Type Feet Below Surface 4. WELL DEPTH: (final) 5. DATE OF COMPLETION Top Bottom ' I I ,4 i,,. ... i (:!I. 6, Q Cable fool Cj Rotary Driven 0 Dug E]Auger n Jetted 0 Bored ❑ Other: �= f '_•�':. i'__ .'- p 7. USE: 0 Domestic E] Public Supply ❑ Industry Irrigation Recharge ❑ Commerical Test Well E) Other: y 0 z „� ua _.'r' Ti 8. CASING Threaded 0 Welded diom. In. to _f1. Depth Weight lbs./ft. diam. In. to ft. Depth Stickup 1t. .0 ii -Ira ' --------- -- 9. FINISH OF WELL: _ _- Type: Diameter: Sloi/Mesh Size: Length: Set between _ ft. and ft. Backfilling _ Gravel pack - ---------------- 10, STATIC WATER LEVEL: 1 -. ft._ Above or 11 Below land surface Date Equipment used: — P/atf7 OP Ate— --�jRQNM NTAL-PQ O,�ECi�� I I . PUMPING LEVEL below land surface and YIELD }t. after � hrs, pumping 9 -P.M. ft. after hrs, pumping g.p.m. 12. GROUTING Well Grouled: Q Yes F] No Material: O Neat Cement Ej Other:`-- 13. PUMP: (if available) HP Length of Drop Pipe ft. capacity g.p.m. Subm. Jet ❑ Centrifical Other -___—_— 14. REMARKS: 16. WATER WELL CONTRACTOR'S CERTIFICATION: This well was drilied under my jurisdiction and this report is true to the best Geuislered Business Name _ Contract Signed: �•�-_ -- 15. Wafer Temperature —° Ej F El C of my knowledge and belief; License Number Date: Authorized Representative Form 02-WWR (11/81) Copy Distribution; WHITE -State DGGS, PINK -Driller, CANARY -Customer MUPIIC 'ALITY OF At;Cf 1c 1AGE DEPARTMENT' CSF HEALTH 6�FIUMAN SERVICES r Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alelska '_0519-6650 343-4744 ,.TIFIc;:',. Of: HEALTf 'iY . f ;'C)VAL F=, 'JINGLE I. , !.Y L. 7LLINC Parcel I.D. # % I of HAA # 1. GENERAL INFORMATION Complete : gal description J:AA 3, W.cck 2; Seat= Subdivision C 5940 A _ off Goa�_nview of Rabbit :_octagon i...�c addr � c; :♦�rectio; w; _ — Property o .rer C;;)i_ :.-- iary L:;rf. a-leicon_----------- Day n icne Mailing address594._ _.alea ?ric_zo_a Lending agency--_..- _ Day phone Mailing address__ -_— gent flay phone Address Unless cihorwise requested, MAA will be held for pi•;rrup. 2. NUMBER OF BEDROOMS 4 `_ 3. ,..la'PE Oi .:ATF'1 Individual well X _ Community well Public water _ NOTE: if community well system, provide written contirrnation from State ADEC attest- ing to the legality and status of system. 4. ;. TYPE OF WASTEWATER DISPOSAL: Individual on-site X Hok: ng tank Community on-site Public sewer NOTE: If community wastewater system, provide writ =on confirmation from State ADEC attesting to the legality and status of system. 72.025(i11ov. 1/C11) Front MQA 21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Fmvironmental. Management, Inc. Phone' 272-9336 Address 206 E. Firewe ne, ite 20�, Anchorage, 21K 99503 / Engineer's signature Date 6. DHHS SIGNATURE X Approved for 44 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: Date CAUTION The Municipality.of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certifiates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska, The DHHS doesthis as a courtesyto purchasersof homes and their lending institutions in orderto 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.1/91)- Back MOAX21 MUNICIPALITY OP ANGMORAUI; ENVIRONMENTAL SERVICES DIVISION Municipality of Anchorage APF 15 1997 1§ 0*_ DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 349 I V E Health Authority Approval Checklist Legal Description: Lot 3, Block 2, Seaturn Subdivision parcel I A. WELL DATA Well type Private Log present(Y/N) Total depth 89' Sanitary seal (Y/N) _ Date of test Static water level Yes If A, B, or C, attach ADEC letter. ADEG water system number Date completed_May 9, 1985 Cased to 89' Casing height (above ground) Yes Wires properly protected (Y/N) Yes FROM WELL LOG AT INSPECTION May 9, 1985 April 9, 1997 26' 58' Well production _ 12 WATER SAMPLE RESULTS: Coliform O c b 1/ / L Nitrate _ Date of sample: April 9, 1997 B. SEPTIC/HOLDING TANK DATA Date installed May 2, 1985 Tank size 1250 < O. I ry"91L_ 0 g.p.m. Other bacteria 0 cot i 00 rw1 L Collected by: Simon Schroeder Number of Compartments 2 Cleanouts (Y/N) Yes Foundation cleanout (Y/N) _ Yes Depression (Y/N) No High water alarm (Y/N) N/A Date of Pumping April_ 2, 1997 Pumper Isaac's Pumping C. ABSORPT10N FIELD DMA 306 Date installedl"faTJ_2 r 1 ,�35 Soil rating (g.p.d./ft2 or ft2/bdrm) (20' @ 851 System type wrench Length 80 --Width t' Gravel thickness below pipe 6.25' Total depth 11 Effective absorption area 1000 sf Monitoring Tube present (Y/N) Yes Depression over field (Y/N) No Date of adequacy"test April 9, 1997 Results (Pass/Fail) Pass For _ 4 bedrooms Fluid depth in absorption field before test (in.); 14" Immediately after 600 gal. water added (in.): 34 Fluid depth 20" (ins) Minutes later: 180 Absorption rate = > 600 _g.p.d. Peroxide treatment (past 12 months) (Y/N) _ No If yes, give date N/A 72-026 (Rev. 3/96)` * See inspection Report of 5/2/85 and ENiI letter 7/13/95 D. LIFT STATION N/A Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 115' On adjacent lots Absorption field on lot 1001+ On adjacent lots "Pump off" level at* 100'+ 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line N/A Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 15' Property line 20'+ Absorption field 5' Water main/service line N/A Surface water/drainage 1001+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 201+ Building foundation 30' Water main/service line N/A Surface water None Observed within 100Driveway, parking/vehicle storage area 19' Curtain drain N/A Wells on adjacent lots 1001+ F. ENGINEER'S CERTIFICATION I certify that I have d termined thru field ' spections and review of Municipal records that th op �'yt e B► re in conformance wi MO H uidel' es in effect on Phis date.�0�' .• "°"°""' �►p` 4 m f cts,1 Signature ,:' i �'; 0p Engineer's me John E. Simpson Date HAA Fee $�� >� Waiver Fee $ Date of Payment / `� 7 Date of Payment Receipt Number ! - Receipt Number 72-026 (Rev. 3/96)* APR -11-1997 17: U7-T:'_.E ESI H ICHORH[;E CT&E Ref.N Client Name Project Name/# Client Sample 1'17 Matrix Ordered By PWSJD CT&E Environmental Services Inc. 971712001 Environmental Mgmt. Inc (EMI) 5940 Azalea Drive Water Drinking Water 907 �r 1 SLil P.02 11_ Client POI/ 57213 Printed Date/Time 04/11/97 15:54 Collected Date/Time 04/09/97 13:05 Received Date/Time 04/09/97 14:25 Technical Director: Stephen C. Ede Released By C L+le,-" Sample Remarks: Sample collected by: SHS CT&E certification status is provisional as of 4/8/97. Allowabtc Prep Analysis Parameter Results POL Units Method Limits Date Date Init Nitrate -N 0.100 U 0.100 mg/L EPA 300.0 04/09/97 SPH Total Coliform 0 col/100mL SM18 92228 04/09/97 RAM Municipality of Anchorage IaL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 3 Bloch 2 Sea Turn Subd. _Parcel I.D. A. Well Data Well type Private if A, B, or C, attach ADEC letter. ADEC water system number N/A _ Log present (Y/N) y Date completed 5/9/05 —Driller_ Hc0 r-:illln�,, _ Total depth 69 1ILL. Cased to 89 ft. Casing height 3. ft. Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y _ FROM WELL LOG AT INSPECTION Date of test 5/9/65 6/23/95 Static water level 26 ft. 26 ft. Well flow 12 g.p,m, 5 __g.p.m. (\ Pump levell _ 84 ft. 8 ft. SEPARATION DISTANCES FROM WELL TO: Septiclholding tank on lot 115 ft. ; On adja1cent lots _100 ft. Absorption field on lot On adjadent lots s 106 ft. _ Public sewer main N/1'� Public sewer manhole/cleanout N/A Sewer service line NIA _ Petrol4um tank WATER SAMPLE RESULTS: Coliform C Colifo;-m/100 ml Nitrate 10 ma/l Other bacteria 0 Colonies/100ml-_ Date of sample: 6/23/95 Collected by: Chad Helaeson B. SEPTIC/HOLDING TANK DATA Date installed 5/2/85 Tank size 1250 gal.. Compartments_ 2 Cleanouts (Y/N) y Foundation cleanout (Y/N) y _Depression (Y/N) N High water alarm (YIN) . N Date of pumping 27 June 1995 tested (Y/N) Pumper Isaac's Puiur-,inq Service SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 115 ft- On adjacent lots 1201- ft. To property line 20+ ft. Absorption field 31 ft. Surface water/drainage Ione Observed Foundation _ 16 ft. Water main/service line N/zj 72-026(3W)•Front CONTINUED ON BACK PAGE C. LIFT STATION N/A Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) High water alarm level "Pump on" level at "Pump off" Level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed 5/2/85 Soil rating (GPD/Ft') 306 (220_f -t -._PSS) System type trr nrh Length 80 ft. Width 4 ft. Gravel thiclerf ss 6.25 ft. Total depth 11 ft. Total absorption area 1000 sq. ft. Cleanout present (Y/N) Y Depression over field (Y/N) N Date of adequacy test 6-23-95 Results (pass/fail) Pass for 4 Bedrooms q, Water level in absorption field before test 58 inches After test 65 inches 'Ll-, , /" Peroxide treatment (past 12 months) (Y/N) N If yes, give date 5C. 05 V.1" C- , n re(gc v-} tYJ/r 5-/Z/Y5 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1 1 1 ft. On adjacent lots 110+ ft. Property line 10 ft. To building foundation 30+ ft. To existing or abandoned system on lot N/A On adjacent lots N/A Cutbank None Observed Water main/service line N/A Surface water None Observed Driveway, parking/vehicle storage area 20+ ft. Curtain drain None Observed ' E. ENGINEER'S CERTIFICATION t certify that I have checked, verified, or conformed to all MOA and HAA guidelines in Date C -( / - vs HAA Fee $ Waiver Fee $ Date of Payment Receipt Number 72.026 (3193)' Back Date of Payment Receipt Number this inspection. CT&E Environmental Services Inc. AZORtilk Laboratory Division iwwiiwiwwiiiwiwwwiwiiww® Laborator Anal sic Re ort CT&E Ref.# 95.2575-1 7 7 M Matrix WATER Client Sample ID 5940 AZALEA DR Client Name ENVIRONMENTAL MGMT INC (EMI) WORK Order 15735 Ordered By SIMON Printed Date 06/27/95 @ 14:46 hrs. Project Name Collected Date 06/23/95 @ 14:00 hrs. Project# Received Date 06/23/95 @ 15:00 hrs. PWSID UA Technical Director STEPHEN C. EDE Released By_�'�„�„__- Sample Remarks: SAMPLE COLLECTED BY: CHAD HELGESON M * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed U-= Undetected, Reported value is the practical quantification limit. LT = Less Than D"= Secondary dilution. GT = Greater Than 200 W. Potter Drive, Anchorage, AK 99518-1605 — Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA QC Allowable Ext. Anal Parameter ------------------------------------------------------------------------------------------------------------------- Results Qual Units Method Limits Date Date Init Nitrate-N 0.10 U mg/L EPA 353.2 10. 06/26/95 CMR M * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed U-= Undetected, Reported value is the practical quantification limit. LT = Less Than D"= Secondary dilution. GT = Greater Than 200 W. Potter Drive, Anchorage, AK 99518-1605 — Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA E\17ROWE\IAL MANAGE\ IE\ f _ INCORPORATED July 13, 1995 Mr. Robert Robinson On-site services Department of Health and Human Services Municipality of Anchorage Mr. Robert Robinson The Health Authority Approval for a single family dwelling at Lot 3, Block 2, Sea Turn Subdivision was returned to us for review. There were two things of concern to you. The first concern was the absorption area was not adequate for a 4 bedroom house. The second concern was the trench was 94.2% full. To address your first concern, on the HAA checklist, the soil rating is recorded at 306 sf/Bdr. The On-site inspection report states the system was redesigned in the field, and says that 20 feet of trench has a soil rating of 85 sf/Bdr, and the rest of the field has a soil rating of 306 sf/Bdr. The modified absorption rate has also been shown on the HAA checklist. With these two absorption rates the absorption field calculates to be adequate for 5.39 bedrooms. Secondly, the trench was close to 90% full, however in our field test EMI added 1.5 times the required amount of water. In addition, the absorption rate was also determined by observing the absorption recovery predicted by the log -log method to be more than 1000 gallons in twenty-four hours. To assist your evaluation of this resubmittal we have attached our field notes for your review. We hope that this helps you with your concerns about this property, and if you have any questions about the tests run or methods used on testing this system, call us at 272-9336. Environmental Man gement, Inc. n E. son, P. E. Vice President 206 E. FIREWEED LANE, SUITE 201 • ANCHORAGE, AK 99503-2703 CONSULTING (907) 272-9336 • FAX (907) 272-4159 • TRAINING (907) 272-8852 • FAX (907) 272-0319 ABSORBTION FILL DATA SHEET PROJECT DATE: (,. _ Z-, PAGE I OF 5' JOB NO.: G % DESCRIPTION:. LEGAL LCCATCN OF TEST C .. ,. �� 4 - PHYSICAL LOCATION OF TEST TOTAL DEPTH: DEPTH TO I / GRAVELDEPTH: n / 5 PIPE BOTTOM: 5-1 GRAVELWIDTH: L/.51' NUMEEROFLINES: J TOTAL ABSORBTION AREA: L Q 01Z) S NOTES: TIMEOFDAY TOTAL ELAPSEDTIME (MIN) DEPTH FROM BOTTOM OF MONITORING TUBE AD D FUv1PIN� RATE (GPM) AG G 11A G/d D COMMENTS c, D I I� IC II ,C 2 3610 _ I CL• i 'S I � S I�. 7 I C-� � c.. ��- C i i. r� I (U O I TI. 7,7 CD 17 ,t �7,7� I I 1 I I I i � I I ABSORBTION RECOVERY DATA SHEET JOB NO.:, " 3 % Z (PROJECT DESCRIPTION: "" _ DATE: 7 7 _ -. PAGE ,, OF LEGAL LOCATION OF TEST sem^ ,�. `•, .�. v f is �� O PHYSICAL LOCATION OF TEST TOTAL DEPTH: DEPTH TO I I GRAVEL DEPTH: ,7 -S J PIPE BOTTOM: S I r I GRAVEL WIDTH: y NUMEERCFUNES: i TOTAL ABSORBTION AREA: 1 OC C) tsill NOTES: TIME OF DAY TOTAL ELAPSED TIME (MIN) DEPTH FROM BOTTOM OF MONITORING TUBE 0 D GALLONS A8SORBED = (GAL/INCH)' D 0 Q COMMENTS 1 Irl I D I IF5- I D 33 n ai ;n�;. < p I —•1 X 0 I '✓ r' Cl 33, IIr q7�7i1 z � I j ,� 13_ I ��, � 7,� ,7S 'S3r,�a.'�"�ct.x-.rir::• = 2`�'r/5 `�3r311S1 IZ,315 Z ;" jq `" � I IZ I �S•� �,81Z:13Jy.,1��-�.�� x .$ �iS,n=2G,SIZ gZ.� �R L I I _' I - -� .1-0 �� k� I I I I I I I I I I EM Fmm mi9s m WELL FLOW DATA SHEET JOB NO.: PROJECT PAGE 1I OF S DESCRIPTION: LEGAL LOCATION OF TEST q PHYSICAL LOCATION OF TEST C CASED TO: / SCREENED TO: WELL DEPTH: r_q _ DRILLING COMPANY: WELL LOG PRESENT? DATE DRILLING COMPLETED: 7 _ DATE MEASURED: — Z 3 — S METHOD OF MEASURED STATIC WATER LEVEL FROM TOP OF CASING: Z MEASUREMENT: NAME OF TECHNICIAN: I ' %'r HEIGHT OF CASING ABOVE GROUND LEVEL: i mrj ..t S .• r' TOTAL ELAPSED TIME DEPTH TO STATIC PUMPING RATE TIME OF DAY (MIN) WATER LEVEL DRAWDOWN (GPM) CCMMENTS p p START TEST C) I� • r / / / U ;- II z.zs 1,-2 S-' -z u rr co," -/ Z �, G� � 1 Z 2 •s ' '7 i .. . EMI FORM WS19"l Separation Distances Well at Inspection Minimum Distance Required Data from Field Date of test G - z 3 - S Static water level Well flow Pump level 1 Separation Distances from Well to: Septic/holding tank on lot A 100 ft. A&B(200 ft)C(150 ft) Septic/holdingSeptic/hoiding tank on adjacent lot 9 . Absorption field on lot 100 ft. Absorption on adjacent lot B Public sewer line Public sewer manhole/cleanout +• is _ Sewer service line 100 ft. Petroleum tank Separation Distances from Se tic/Holding Tank to: Wells on lot (A Wells on adjacent lots z<-� Foundation 5 ft. Property Line 5 ft. z� i r•i . Absorption Field 5 ft. 3 i rk Water main/service line 10 ft. Surface water/drainage 100 ft. Separation Distance from Lift Station to: Well on lot B Well on adjacent lots Surface water 100 ft. Separation distance from abs or tion field to: Well on lot _ !; Well on adjacent lots Property line 10 ft. Building foundation 10 ft. �_c = , Existing or abandoned s stem on Existing or abandoned system on adjacent lot Cutbank Water main/service line 10 ft. Surface water 100 ft. Driveway, parking/vehicle storage 10 ft. Curtain drain MOM v 8S^/sar ;CX, J ceY '7$"(7 5�6• T, 3aG c�'y�'j,^soc = 2 yS <3 < Jf- cc'( a0 Yn MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date IZ-'//Y<' 1. GENERAL INFORMATION (a) Legal Description (include lot, /block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name __TawtP5 Allrl LK Telev0one: Home Business Applicant Address R (c) Applicant is .(chock one): Lending Institution El; Owner/builder. f� Buyer [I ;Other ❑ (explain); - (d) Lending Institution &LIL-124 14 `�. Telephone Address �J (e) Real Estate Company and Agent Address Telephone Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms - 3. WATER SUPPLY Individual WeII�Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite) Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11184) / 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information 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 Aa—CC' Sc� I / Telephone Address (90O 611�1 7_2s Date �Q•\'��..of.#s�ao�l��4�V 0 s�ry�s-� �P � �• .,� .� �p et. ,gyp // /-,� / r o,a•ourtd'` ��llcasiu� ,9'ti�'4 „_ �;"' ; . �. P(�f/((Gt� �If('VCLIVrR�Q ��.• ...a• 40869994 ry.i.Q egg., 01000 «IIIICCC• r �. Ler C. Reid Jr. r,tltl�aY251•E 6. DHEP APPROVAL (() 1 Approved for jeoeel& bedrooms by Date 3/ Approved Disapproved Conditional Terms of Conditional Approval If n C�_,,,•_U -1 qj CAUTION The Muncipal(ty of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/04) LITY OF MUNI pIFPT, OF HEALTH H&RAGE MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 �Iv 264-4720 Legal Description: — tp>?{MIEVVI" W /v, 3 "7' A. WELL DATA Well Classification _ /rPrf (la If A, B, C, D.E.C. Approved (Y/N) NA Well Log PresentN) — Date Completed `�` �� Yield Total Depth lnc� Cased to Depth of Grouting Static Water Level r, z9 f Pump Set At Gtor�o o�c vt Casing Height Above Ground a, 14 Sanitary Seal on Casing'N) Electrical Wiring in Conduit/N) Depression Around Wellhea '(Y ) (� Separation Distances from Well: To Septic/Holding Tank on Lot ��r4 ; On Adjoining Lots � r To Nearest Edge of Absorption Field on Lot _(_ ; On Adjoining Lots — To Nearest Public Sewer Line f✓ To Nearest Public Sewer r Cleanout/Manhole To Nearest Sewer Service Line on Lot? Water Sample Collected by o;Date / —` 7 5 Water Sample Test Results s ac vv y Comments f ` d5-4 ,'f�ii»Crl2(� /X(�OGCGci� cr.�-SII /G't B. SEPTIC/HOLDING TANK DATA Date Installed ''�� 5 -,2 -SS Size L06,O No. of Compartments — Standpipe$ (Y,/yl) Air -tight Caps(Y N) Foundation Cleano ( )/N) Depression over Tank (yQ'_ Date Last Pumped AA- Pumping/Maintenance Contract on File (Y/N) ivr-t ; for /u'/- Holding Tank High -Water Alarm (Y/N) kA _ Temporary Holding Tank Permit (Y/N)_— Separation Distances from Septic/Holding Tank: / r � To Water -Supply Well To Building Foundation To Property Line To Disposal Field _3 7 To Water Main/Service Line Course G Ce' Comments Page 1 of 2 72-026(11/84) To Stream, Pond, Lake, or Major Drainage L C. ABSORPTION FIELD DATA Soils Rating in Absorption StrataType of System Design 7U'Pv(G� Date Installed S';2 Length of Field �� r Width of Field Square Feet of Absorptions Area Depression over Field (Yff Results of Last Adequacy Test NA Depth of Field 0�u, 5„ �v /_ , A e Gravel Bed Thickness Standpipes Present 1lY,/TV) Date of Last Adequacy Test /_A Separation Distance from Absorption Field: To Water -Supply Well C9 To Property Line To Building Foundation r27 Lot ti4 On Adjoining Lots — To Existing or Abandoned System on _7 To Water Main/Service Line dT /0 To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /Oc) To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Ag.c�s (Y/N) ** Check Permitted Bedroom Rating Against HAA Request ** mp Off' Level at Vent (Y/N) i(/ A Pumping Cycles during Adequacy Test. Meets MOA I certify that I ave checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date 1,;2- /0 -SS Company G« MOA No.�'��u Receipt No. —a2 C)�� Date of Payment I - Z 0 "'�; � io5 Amount: $ Q SGw,-f CiiV'U'uoi Page 2 of 2 72-026 (11/84) G (� 0 ANCHCHAGF, ALASKA 99502-0650 (907) 26a -4I I i in!. ra ION ANO VIt ES -esti% MA YO1? DEPARTMENT OF VIEALT FI AND ENVIRONMENTAL PROs CION November 22, 1.983 Alaska Environmental Control Services 1200 W. 33 -rd Avenue, Suite B Anchorage, Alaska 99503 Subject: On-site As-builts Dear Dr. Reid: This department needs the discrepancies cleared up on the following as-builts before they can be accepted: Lot 1, Block 5, Alpine Woods (Bolin Const.) The total depth of the system is listed as 14.5 feet. The soils test was done 8-2--83 with a total depth of 14 feet; so a new log is needed to show the new con- ditions, also the total effective absorption area appears to be wrong. Lot 16, Block F, Knik Heights (Jay's Exc.) The soils test was done to 9 feet and the permit called for 5 feet of trench depth; however, the total depth on the as -built is 6 feet. Lot 3, Block 1.3, Northwoods #3 (Skaggs) The bed should have been insulated in the areas where the top cover was 3 feet or. less. Was this done? Lot 4, Block 2, Seaturn (ATC Ent.) The as -built shows 40 feet of gravel being installed and a total depth of 44 to 45 feet; this may have been a transposed figure. ifs