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Home My WebLink AboutSIEFKER TR 13A2-`O� -4 �r- � '? ',-) CC- 0� 0 posom000 wo troLcoovll IXt SOILS LOG MUNICIPALITY OF ANCHORAGE 11 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 \ — SOILS LOG — PERCOLATION TEST PERFORMED FOR: 0AYNA W LaG 51 5P -L -eq DATE PERFORMED: 6/5/46 LEGAL DESCRIPTION: SA . ./ � �. i' k � i�, �..�'' �-- I,_ 1 j 2W , s w _ CI IIDC CITE DI ANI 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS M •!R S0004y S" 1-b M WAS GROUND WATER S ENCOUNTERED? ��I u L 0 P E IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN O Lt.l FT AND (minutes/inch) — FT PERFORMED BY: CERTIFIED BY: 7 <^ DATE: 72008 (6/79) �f s�)u_s Loc P,iUiJlCW/Al.ITY OF ANCIIOIiAGE I.t ,JT OF HLaI.I H AND ENVIRONNIENI AL PROTFCI IUN Pi IPCUI.A[ON 5i kiZ6 L S„mn, 1\11dior;19e, Alaska 99501 264 4720 SUIS 1_uG — PERCOLAT ION TEST r A DATE PFI{1 UH LIi. U_ 'TION:_ -Ir- 1, i.; •�_ ( ..__ "i� ` I L: -j-- l-.��__-.-i (,.-T-11-�e (. I- -- i SLOPL SI1(_ PLAN �I 4 5/ --gib ��, o p- P Ai WHAT E [Al, 1 n' - I-- u- -� --�-- -- 1 I I I f...-hny Date --- —GrossNei Tune Time -- i - T -- �I 4 5/ --gib ��, o p- P Ai WHAT E [Al, 1 n' - I-- u- -� --�-- -- f...-hny Date --- —GrossNei Tune Time Dims �I 5/ --gib ��, o p- PERCULATION RATE 4- _ (III inutes/i rich) f FFSI RUN I''ETIVVEEN ,� _ FT AND FT IS—I - - �. t ., , k,_t i=-3 1pCI `> =f t0FDtsw--- " ----- CERTIFIED BY: ---L, � q- /kap DATE: &/f M -w DRILLING, Inc. P. O. Box 4-1224 • 1310C International Airport Road (907) 274-4611 ANCHORAGE, ALASKA 99509 DRILLING LOG _ Well Owner - - '" Use of Well Location (address of: Township, Range, Section, if known; or distance main Size of casing Depth of Hole 260 feet Cased to 2150 feet Static water level - ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ). Describe screen or perforation 12 Well pumping test at—! -��Ogallons per (];our") of drawdown from static level. Date of completionc-°'='e-r 197`5 (minute) for -5 hours with cO well w/r'{.� NE4 Sw4-SwY-'rE Sec 2) T-12.1vI R 3w, Sryl N 09 - 0610638, 2. WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO -- Casing Sticicuo 217 TO Sandy Gravel: slichtly _silty �--�$ 6205 1.7 TO 35 Sand: medium Cc: D(5G5 �n Caret Gravel NMI 49986 1 _ cc" '. Jllun; of Anc�oror9e =. Sandv Gravel TO 212 T m Water Gravel _ 0 TO 53 Water Gravel: S1_-331 ' TO 78 Silty Clay mumeiPALIfYE)Fi4lGlIGRAGIR DEPT. OF HEALTH & 7'z TO 11-"7 Bandy/Silty Gravel ENVIRONMENTAL PROTECTION 1.1.2 TO 11 Caret Gravel NMI 49986 1 _ TO 205 C3t:cly Gravel _ 5 TO 212 T m Water Gravel _ 212 TO 228 28 TO 235 Gravelly Sand: `Net 5 TO 260 San,:ly Gravel: Waterbeartng. z c.s,, s�x4P T 2 P16 3—CONTRACTOR I 71,_ E. Clomonson�'F�� - T1, _E._C7emenson �-503. 5?Denard,_A7gsLL_1�a____pp__� Use of (we1J. Hcuwa _{ f1n0i'in 016 r; • :ce i n i �r �' Lot 13- er �ubdiy� ��on-_:a...1/2 MP3. � -- Huffman Road--Suward depth Of a_: �ap(i 1iE11__51f bbt iattom of ct+eing et 51 flet Size of ;r,;sh (CheCK one) Open; end (x) Screen ( ) Perforated �c.rite screen or perforutions,_---- t,]1 �e�eiopme.,t (Ur.iked)or (P�? r..e)7f? g.ellcrns pex;hsaur) f,+aut.E i for � hours) (;Aib'ut fee'.4; Lt,etic wLiler 1eveI_I neet (above€ (below) land F�ux•r.�aa I;eserip*an of formation (type or N f.teriE;I, nerd o: soft) beE:riing,,� s 'Pill E 16 Sand Till 16 Sand and Gravel v:/H-0(Pum-oed3'1/2 g.p.m. ,4_ 2 r c F Continue log on ~ever se r'r. om t.c i 0,-26 --- 16-3_�_.._ i 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 Tune 16, 19$6 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 12200 Avion Street (b) Applicant Name Wayne Westburg Telephone: Home Business 349-13535 Applicant Address 12200 Avion Street (c) Applicant is (check one): Lending Institution ❑ ; Owner/builderU; Buyer EI ; Other ❑ (explain); (d) Lending Institution First National Telephone Address Sjnny Mooremnn (e) Real Estate Company and Agent NONE Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family ® Multi -Family ❑ Other Number of Bedrooms Four (4) 3. WATER SUPPLY Individual Well M 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 0 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 (11/84) 5. ENGINEERING FIRM PROVIDINU rNSPECTIONS, TESTS, FILE SEARCH, DA. . 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 Address Date Telephone ORIGINAL STAMP AND SIGNATURE OF IS ON FILE WITH THE DEPARTMENT AND HUMAN SERVICES.A d, 6. DHEP APPROVAL /�� Approved for A (( „ ��SSbedrooms by _ Approved XXX —�N Disapproved Terms of Conditional Approval ENGINEER OF HEALTH Conditional CAUTION Engineer's Seal Date Tune 25, 1986 The Muncipality 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 riot responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) N e 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 — �.-{--1--+-- 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) ieaCTjA& SIEFKF-�g�C-Zt C- A1,T-'jP--Mt��►.�/ Location (address or directions) 12 2.D -C:> %A•t/taN sT-r2-tErt-1_ (b) Applicant Name 4 1Y/ca•+�o.�o� Telephone: Horne Business 3 t7 � Applicant Address (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution' 1125. T N CICE o NA -t_ Telephone _-- - -- - Address.i.h_kt-- (e) Real Estate Company and Agent `�� Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family 'A Multi -Family Number of.Bedrooms 3. WATER -SUPPLY Individual Well �( Community ❑ Public ❑ Note: If community well system, must have written confirmation from the Stale 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(11,44) 5. ENGINEERING FIRM PROVIDING., INSPECTIONS, TESTS, FILE SEARCH, DA 1 A 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 —Telephone 9,76 �iGb Address Date 1 .... , �" . • �ngineer's Seal r"... r. .. .... e o. 2225-L ;0- r�$7 JUIJE 25. .197k "I T# } 6. DHEP APPROVAL '� 7 �L-Z 1 ! ( Approved forL'_L.� bedrooms by Date (��— Approved Disapprove Conditigrial Terms of Conditional Approval CAUTION The Muncipality 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 (11/84) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) t)LtA 1 J �9AU CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: wr A. WELL DATA Well Classification Rig % If A, B, C,, D.E.C. Approved (Y/N) W/A Well Log Present (Y/N) _y_Date Completed �/ i �✓ [ — Yield5.61P►_1a 4` Total Depth _>_i58- Cased to _)_Jr6 Depth of Grouting 7`_1t1i6: Static Water Level 41' — Pump Set At > .6 / Casing Height Above Ground �"11 �Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) _--_r Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/W*Mg Tank on Lot I # ; On Adjoining Lots *> To Nearest Edge of Absorption Field on Lot ISS ; On Adjoining Lots > r( To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole _ hit'J� {� To Nearest Sewer Service Line on Lot Water Sample Collected by 77 ; Date (0I/3 h4o Wntar Samnla Tact Rastilts Is B. SEPTIC/HOLDING TANK DATA Date Installed 1 q 76 Size No. of Compartments O Ar Standpipes (Y/N) _ Air -tight Caps (Y/N) Foundation Cleanout ((Y//N) Depression over Tank (Y/N) "LLh_o/'N Date Last Pumped "8i, Pumping/Maintenance Contract on File (Y/N) �/� _ ; for ' t -A Holding Tank High -Water Alarm (Y/N) hVA Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank To Water -Supply Well Cid _ To Building Foundation To Property Line 164 _ ToDisposalField g To Water Main/Service Line —> 40 To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11/84) CONSULTING ENGINEER R E S I D E N T I A L W E L L I_,EGAL: TRACT 13A SIEFKER LOCATION: 12200 AVION STREET OWNER: WAYNE WESTBERG 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE. (907) 279-3916 I N S P E C T I O N TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 3.5 GPM. DATE OF INSPECTION: JUNE 13, 1986 `.PEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 3.0 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. STATIC WATER LEVEL WAS FOUND AT 48 FEET BELOW TOP OF CASING. AFTER10 MINUTES OF PUMPING AT 3 GALLONS PER MINUTE, THE DRAWDOWN WAS 10 FEET TO 58 FEET. WELL WAS PUMPED FOR 30 MORE MINUTES WITH OUT ANY FURTHER DROP IN WATER LEVEL. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON JUNE 14, 1986. TEST WAS NEGATIVE. `PEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. 03 W. 15th AV"C" SUITE 203 T)Q11�® 2 A CHORAGEEALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 S E P T I C LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM: SEPTIC SYSTEM: DATE OF' PUMPING: DATE OF TEST: S Y S T E M TRACT 13A, SIEFKER 12200 AVION STREET WAYNE WESTBERG A D E Q U A C Y T E S T SINGLE FAMILY, THREE BEDROOMS ON SITE WELL NO MUNICIPAL RECORDS: TANK: STEEL TANK 1500 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 910 SQ. P'T. SOIL RATING: UNKNOWN INSTALLATION DATE: 1976 JUNE 13, 1986 JUNE 13, 1986 `PEST PROCEDURE: ON JUNE 5, 1986, A TEST HOLE WAS DUG 10 FEET FROM THE TRENCH. TEST HOLE WAS 15 FEET DEEP AND SHOWED ML MATERIAL FOR THE FULL DEPTH. NO GROUNDWATER WAS OBSERVED. A MONITOR TUBE WAS INSTALLED. ON JUNE 13 THE TUBE WAS CHECKED FOR WATER. NO WATER WAS OBSERVED. WATER WAS ADDED TO THE ABSORPTION FIELD AT A CONSTANT RATE OF 9.5 GALLONS PER MINUTE. A TOTAL OF 500 GALLONS WERE ADDED WHILE THE WATER LEVELS IN THE TANK AND THE SUMP WERE MONITORED. WATER LEVEL IN TANK DID NOT CHANGE WHILE THE WATER LEVEL IN THE SUMP ROSE 1 INCH PER 50 GALLONS. TANK WAS THEN PUMPED. AFTER 18 HOURS THE WATER LEVEL IN THE SUMP WAS BACCC TO THE SAME LEVEL AS AT THE BEGINNING OF THE TEST. (0,o�7 F. _ �� j TEST RESULT:THIS SYSTEM MEETS THE OPERATIONAL REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. n A a � r. • •g� � P e e o +)�-•. I °• 2225-H ��Pg 1 4 0. JUNE 25, 1971, 1 w J C. ABSORPTION FIELD DATA f rn YZ Y� T s� ep Soils Rating in Absorption Strata �� — YpeofS Y Date Installed 1976 Length of Field — Width of Field 5 eo Depth of Field Gravel Bed Thickness Square Feet of Absorption Area 910 _ Standpipes Present (Y/N) y Depression over Field (Y/N) _ N Date of Last Adequacy Test Results of Last Adequacy Test _ I Q.'U T -M r Separation Distance from Absorption Field: T"-` - To Water -Supply Well g-$�eronarry I__u ne ,_— 1 C/ . To Building Foundation as To Existing or Abandoned System on Lot NUNS ; On Adjoining Lots >I at> To Water Main/Service Line —_ , %1p To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course NN a To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION N O N IZ Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at — Tested for Electrical Codes (Y/N) Comments — Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent (Y/N) Pumping Cycles during Adequacy Test, Meets MOA I certify that I have checked, verified, or onformed tooall �MO�A and HAA guidelines in effect on the date of this inspection. Signed Date Company Receipt No. '3 (3 0�s ):1 Date of Payment to n_ Vo Amount: $ .- ( 0- O -D Page 2 of 2 72-026 (11184) MOA No. Engineer's Seal