HomeMy WebLinkAboutARVESON LT 2Averson
Lot 2
#015-273-07
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received /.d :3 5-e
Time of Inspection /: 3 0
Date of Inspection /1/112-17V
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by: -4:4-,e
Mailing Address: /J.i 4-/-ao90 rf9so9 Phone:
p ('>�- 077
2. Property Owner: Phone: A 7 g- 4 48i a v q-47;
Mailing Address: -S A• i 77 y95� 7
3. Legal Description: n 7 d
4. Location: wNA/
5. Type of facility to be inspected No. of bedrooms_
6. Well Data: /J
A. Type B. Depth jft/7&
C. Construction C{ 2n^rA F'��cs,�D. Bacterial Analysis /yrn
7. Sewage Disposal System:
_`("�
A. Installed 6 /G9 B. Installer ,ee',Pw l
C. Septic Tank: 1. Size 135b 2.VManufacturer
D. Seepage Pit: 1. Absorption Area,3�r)2. Material 2 A,cnp , lnl 'cu -4
J
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank x . tl Absorption area /LM Sewer Lines /0 /
Nearest lot line /I . Other contamination
B. Foundation to septic tank /�O / , Absorption area a0 --
C. Absorption area to nearest lot line
EQ -034 (1/74) Page 1 of two pages
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Page 2 of two pages - t for:Approval'of Individua'i. r & Water Facilities
Legal Description r.2
Comments
Approved &02,,u is wjtat� Disapproved Date
Approval,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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I certify that the information contained in this request for approval to oe a true ana
accurate repres tation of the subject sewer and water facilities and these facilities
are operating1X tisfactori y. i
i
SIGNED t �� �'� '� Date 1 -`c' 67
EQ -034 (1/74)
GREATEi< ANCHORAGE ARL-!, BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
December 4, 1974
1. Type of Inspection: CMRO VA FHA CONV xx
2. Property Owner: INGERSOLL, Ronald D. & Sally'A.
1
Mailing Address: SRA Box 1776 99507 Day Phone 279-4481 (Hers),,.
3. Name of Buyer: NONE
!tailing Address: Day Phone
4. Name of Lending Institution: First National Bank of'Anchorage/South Center Br.
Mailing Address: —Box 4-2090 99509 Phone 274-1521
5. Name of Realtor or Agent: NONE
Nailing Address: Phone
6. Legal Description: Lot 2 Averson Subdivision
Location: NHN Jerome Road
Anchorage, Alaska 99507
7. Type of Facility to be inspected: SFD No. Bdrms. 4
8. Water Supply
Type of Supply: Public Utility Individual xx
If Individual, number of dwellings presently served One
If Individual, depth of well
9. Sewage Disposal•System
Type -o-1 System: Public Utility Individual (on-site) xx
If Individual, date of installation
E
c.ltrda..-
Municipality of Anchorage
Development Services Department
Building Safety Division
` Onsite Water and Wastewater Program r
., ...
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. _015-273-07 COSA# U00 g
Expiration Date: R — 19 - 0 6
1. GENERAL INFORMATION
Current Property owner(s) SUSAN R_ NIMNO Day phone
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: -4
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
❑
Community Class Well'
❑
Public Water System
❑
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding Tank ❑
Community On-site ❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional
civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site
Systems 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. (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.
Cm&rllfA14a:15told Cb9»111141Z1l'A411C1111##:7
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.
F30=71TWUl M''
Engineer's Printed Name KENNETH M_ IN IFFI IS Date 5/15/06
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations.
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 inland use, local soil characteristics, groundwater levels that may fluctuate during the
year and the water usage of the family being served by the system. 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,
KND can not give any estimate of how long a1
system will function satisfactory for current or future S �� OF •• •91 1
A� 1
occupants or can KND guarantee that no unseen �.�P••'• s'••• .s,� 11
encroachments, deficiencies or discrepancies exist. i* •:;9
5. DSD SIGNATURE
✓ Approved for-3—bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
_ WATER AND
• PROGRAM
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date:
(R". I1
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
A. WELL DATA
Well type PRIVATE
Date completed 1969
*fel Wks) llc�Dlklkw**11141A
If A, B, or C provide PWSID #
Sanitary seal (Y/N) Y
Total depth 176 ft. Cased to >40 ft.
FROM WELL LOG
Date of test UNAVAILABLE
Static water level
Well production
11
_ Well Log (Y/N) N
Wires properly protected (Y/N) Y
Casing height (above ground) 24 in
AT INSPECTION
g.p.m. 3.65 g.p.m.
WATER SAMPLE RESULTS:
Coliform _Qcolonies/100m1 Nitrate 2.49 mg/L Other bacteria _0 colonies/100 mL
Arsenic: —0 mg11 Date of sample: 5/4/06 Collected br KND Engineering, Inc
B. SEPTIGfHOLDING TANK DATA
Tank Type/Material Septic/Concrete Date installed 6/1969 Tank size 1350 gal.
Number of Compartments 1 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
High water alarm (YM) 1N_Date of pumping 2/27/06 Pumper McDonalds
C. ABSORPTION FIELD DATA
Date installed 6/1969 Soil rating (g.p.d.e or felbdrm) �unknown System type c r i b
Length -&'ft. - Width 2Q R. Gravel below pipe est. 8 ft. Total depth j2 ft.
Eff. absorption area 502 fe Monitoring tube.Y Depression over field jY
Date of adequacy test 5/2/06 Results (Pass/Fail) Pass For 3_ bedrooms
Fluid depth in absorption field before testes in. Water added 1000+ gal. New depth 54 in.
Elapsed Time: 1440 min. Final fluid depth 27.6 in. Absorption rate >= 489 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) Y ACID If yes, give date 3/31 /O6
D. LIFT STATION
Date installed
"Pump on' level at—in.
E. SEPARATION DISTANCES
Size in gallons Manhole/Access (YIN)
'Pump off" level at_in. High water alarm level at_in.
Cycles tested Meets alarm 8 circuit requirements?_
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 50'+
Absorption field on lot 100'+
Public sewer main 75'+
Sewer /septic service line 25'+
Animal containment areas 50'+
On adjacent lots 100'+
On adjacent tots 10 0'+
Public sewer manhole/cleanout 100'+
Holding tank 10 0'+
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5 ' +
Water main 10'+ Water service line 10'+ Surfacewater 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 1' Building foundation _10'+ Water main 10'+
Water Service line 10'+ Surfacewater 100'+ Driveway, parking/vehide storage 10 ' +
Curtain drain 50'+ (none known) Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I car* that I have determined through field inspections and t► I,4
review of Municipal records that the above systems are in ...i «. ... .... .•
conformance
f f rmance with MOA COSA guidelines in effect on this•.
Engineer's Printed Name KENNETH M. DUFFUS
A�A'
Date 5/15/06 ,��OFESSO�����
COSA Fee $430.00 I
Date of Payment 61Gj(DI
Receipt Number
(Rev. 1 trot)
Waiver Fee $
Date of Payment
Receipt Number
A..
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Pa rit
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p, orge AK -99519
:~ ora a Us a ,.
CERTIFICATE OF'HEALTH AUTHORITY APPROVAL
I FORA SINGLESrFAMILY,DINELLING
Parcel I.D.015-Z73-07
i
Expiratron Date 4^ 1 P(o' � 3
A.' �4ENEitAl'INFO ON'�.
ti
"Complete legal dA c. nption ARVE$0 Ltn2
,Location (site address or directions) 11716JEROME ST ANCHORAGE. AK 99516
Current Property owners) SARAH ESPELIN Day phone X907 2246241 z
Meiling address 11110 `JEROME ST .'ANCHORAGE: AK 99516
' Lending agency #s t 4 Day phone =
Ma!lmg address ,
Real Estate Agent, DEAN W' PARKER (PRUDENTIAL) - Day phone 563-5500
P' k.
Mailing Address, X201-"C" ST.' SUITE 200.-ANCHOR AGE AK 99503
:-
Unless otherwise requested HAA will be held"by DSD for pickup
2. NUMBER OF BEDROOMS:3
3 TYPE OF WATER SUPPLY TYPE OF WASTEWATER DISPOSAL
'Individual Well ®` Individual On-site
_
Individual Water Storage , ❑ , Indnri;dual Holding tank' " ❑
Community Class Well ❑ Community:On'site ,9 "❑ "f' ''
Public Water System ❑ Public Sewer ❑ ,
The Municipality of Anchorage Developmert Services Department (DSD) Issues Certificates of�Health Authority
Approval (HAA) based,oinly, upon„ the' rep resentatioris given in-paragraph;4` by an •.rndependerit I professional i•
civil engineer registered in the:State'of'Alaska:"Certifiicates of Health Authority Approvalcare_required for the; ;•
transfer of title (except between spouses) for properties:served by.a single -family on-site wastewater disposal s.
and/or water supplysystefn.,DSD•also issues:HAAs upon request to homeowners: Certificates *of 'H6ilth�,
Authority Approval are valid for 90 days from the date of Issue for properties served by a pri iate'or Class C well : .
and may be reissued 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 . i's not 'responsible for, errors or, omission§
professional engineers work.
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A. WELL DATA
Wen type IImCM
Date completed JIM?
Total depth 176 ft.
Date of test
Static water level
Wen production
Municipality of Anchorage
Development Services Department
Building Safety Division '
Onsite Water & Wastewater Program
474 South Bragaw St.
P.O. Box 1966%Q0 Anchorage, AK 99519.6650
www.cLanchorege.ak us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
If A. B, or C provide PWSID #
Sanitary seal (YIN) Y—
Cased to eft.
FROM WELL LOG
WATER SAMPLE RESULTS:
Conform 0 colonies/100 ml.
Arsenic: AA mg.A.
B. SEPTICIHOLDING TANK DATA
ft.
9 -p.m
Nitrate 2.33 mgA.
Date of sample: 01108103
Tank Type/Material Septic 1 Concrete Date installed 811969
Well Log (YM) N
Wires Properly protected (YIN) Y
Casing height (above ground) 2'
AT INSPECTION
148' ft.
3.23 g.p.m.
Other bacteria 0 colonies/100 ml.
1,- ,,, „•
Tank size 1350 gal. Number of Compartments 1— Cteanouts (YM) Y
Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (04 N
Date of pumping 1213112002 Pumper McDONALDS
C. ABSORPTION FIELD DATA
Date installed 6M969 Son rating (g.p.dAY or fe/bdrn) UNKN System type CRIB
Length 20 _ ft. Width 20 ft. Gravel below pipe 8' EST. ft.
Total depth u, fL Eff. absorption area ,J,ftr Monitoring tube Y Depression over field j9
Date of adequacy test 0110812003 Results (Pass/Fail) PASS For L__ bedrooms
Fluid depth in absorption field before test 0 roan in. Water added 480 gal. New depth jg in.
Elapsed Time: J12 min. Final fluid depth 0 (DRYI in. Absorption rate >= 450 g.p.d.
Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date
D.- LIFT STATION
Date installed
Pump on level at — In.
Size in gallons Manhole/Access (Y/N)
Pump off level at _ in.High water alarm level
Datum Cycles tested Meets alarm & circuit requiremenis7
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 50'+
Absorption field on lot _140'
Public sewer main 751+
On adjacent lots 501+
On adjacent lots 1001+
Public sewer manhole/cleanout 1001+
Sewer /septic service line 25'+ Holding tank _100'+
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation _5'+ Property line 51+ Absorption field 51+
Water main 101+ Water service line 101+ Surface water 1001+
Walls on adjacent lots 50'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 1' Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway, parkirlg/veNcle storage '+
Curtain drain 50'+ Wells on adjacent lots '+
F. COMMENTS
44
G. ENGINEERS CERTIFICATION 'Iii' 4 71l �'� *4
I certlly that 1 have determined through field inspections and
•y • �w•ww•• .....t
review of Municipal records that the above systems are in •�•«•
conformance with MOA MAA guidelines in effect on this date. i iiftrlq 'i as 2
Engineers Printed Name Kenneth M. Dufhrs fi .. bd1I __,.•''4��
Date 111412003 `\\���;:•��'
HAA Fee $375.00 Waiver Fee $
Date of Payment 1/14/2003
Receipt Number
(Rev. 12001)
Date of Payment
Receipt Number
in.
I'� ),cJ ES T —•.� 133.4 I � r
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It is the responsibility of the owner to determine the•
!Owes Kort Dowling..
ISS
existence of any euements, covenants or restrictions
' whiclt.do not appear on the recorded subdivision
SBUILT
GRID NO.:
= .30)
X098
bfi9ler1>
e+ Fp •••.;,w�...••� �
a �0Eu,.��
plat.A
Under no,eircumstanees should any data hereon be
.
NCYrFC• t4l,
used for construction or for establishing boundary- r tines.
[citta The surveyor takes responsibility the
EASEMENTS OF RECORD• OTHER THAN
inidat'transactiononty.
THOSE SHOWN ON THE RECORDED PLAT.
,.
ARE NOT SHOWN HEREON.
LEGEND
LOT, z BLOCK
BRASS CAP MONUMENT
AR)/ESON aSU�DIYI S/�/�(PLATNO.:_)
O IRON PIPE
ANCHORAGE RECORDING DISTRICT'
• REBAR CORNER FOUND
M
HUBANDTACK
DATE:
2.:oC•/98
BY:
SCALE:.
WORK ORDER:
FIELD BOOK:
GRID NO.:
= .30)
X098
bfi9ler1>
2�35�
EPAREDBY:
DOWLING & ASSOCIATES
P.O. BOX 110029
ANCHORAGE, AK 99511-0029
DATE
BY
REVISIONS
MUNICIPALITY OF ANCHORAGE ARL
• 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 I.D. # 015-273-07
1. GENERAL INFORMATION
Complete legal description
HAA # 11 1121SC0 t
Lot 2, Arveson Subdivision
Location (site address or directions)
11110 Jerome Street
Property owner Ronald & Sally Ingersoll Day phone
Mailing address 108 Taylor 1Street Muscatine, IA 52761
Lending agency
Mailing address.
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: Three (3 )
3. TYPE OF WATER SUPPLY:
Individual well XX
Community well
Public water
Day phone
Day phone
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
XX
Individual on-site
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.
72-025CRW. "l) From r OA m
S. 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 Anderson Engineering phone 522-7773
Address P.O. Box 240773
Engineer's signature r � f A` m
6. DHHS SIGNATURE
By:
Anchorage, AK 99524
Approved for THREE bedrooms.
Disapproved.
Conditional approval for
Additional Comments
Date 11/2/98
�g
OF At
TH
7.
K'+�A _ 4381 d
bedrooms, with the following stipulations:
—"�/ w. �- Date
The Municipality 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 courtesyto purchasers of homes
and theirlending 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.
rroa m... uan Bark MOA m
.. ri
e Municipality of Anchorage Nov
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division "'NhA,N'AL ,,'KV,(_ts rovr
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Health Authority Approval Checklist
Legal Description: Lot 2, Arveson Subdivision Parcel I.D.: 015-273-07
A. WELL DATA
Well type Private If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N)
Total depth 176' Cased to >40' Casing height (above ground) > 2'
Sanitary seal (YM)
Date of test
Y
FROM WELL LOG
Not Available
Static water level
Well production
WATER SAMPLE RESULTS:
Cell
0
Nitrate
Wires property protected (YM) Y
AT INSPECTION
g.p.m.
2.26 mg/L
Date of sample: 10/28/98 Collected by:
B. SEPT11WHOLDING TANK DATA
8/4/98
>64'
5.2 g.p.m.
_ Other bacteria 0
MEA
Date installed 6 / 6 9 Tank size 1 .3 5 0 Number of Compartments 1 Cleanouts (Y/N)--X—
Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (YM)
C. ABSORPTION FIELD DATA
Date installed 6/69 Sollrating (g.p.dJtt'orfWbdnn) Unknown System type Crib
Length 20' Dia. Widih 20' Dia. Gravelthickness below pipe 8' Est.Totaldepth 12'
Effectim absonptlon area 502 SF Monitoring Tube present (YM) Y Depression Quer field (YM) N
Date of adequacy test 10/8/98 Results (PamdFalq Pass For 3 bedrooms
Fluid depth in absorption field before test (in.); 5 6 " Immediately after 4�4gal. water added pn.): 74"
FkAddepth 57" (fns)Minutes later. 20 Hrs. Absorption rate : >450 a.p.d.
Peroxide treatment (past 12 nronttms) (Y/N) N It yes, give date
72-029 (Rev. 3198)•
D. LIFT STATION - None on Lot
Date installed
Manhds/Access (YM)
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:
Septiclholding tank on lot 60'
Absorption field on lot 100'
"Pump off" level at'
On adjacent lots >50'
On adjacent lots >100'
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer/septic service fine >25' LHtstation N/A
SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO:
Foundation >5'
Property line > 5' Absorption field >5'
Water main/service line > 25' Surface water/drainage > 10 0 1 Wells on adjacentbts >50'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property fine 1 ' Building foundation > 10' Water maintservice line > 2 5'
Surface water >100, Driveway, parking/vehide storage area >1Q'
Curtain drain None on Lot Wells on adjacent lots > 1 nn'
F. ENGINEER'S CERTIFICATION
I comity that / have detemdned dutr Held 8tspecHans end review of Munkipal A7901 JdtYstems are
in conformance wd6 MOA HAA guidelines in effect on Mis data
iR.'t • • • • ��►99y�t,
Signature fin✓ C- %.i£i ;, "`.''��
Ertgineer'sName Michael E. Anderson. P -E_
Data 11/2/98
�+ 1981-Ei
09
HAA Fee $ 3 e9P'
Date of Payment
Receipt Number / 6 �z
72-025 (Rev. 3/96)•
Walver Fee $
Date of Payment
Receipt Number
ANDERSON ENGINEERING
P:O. BOX 240773
ANCHORAGE, AK 99524
622-7773 622.6779 FAX
MEMORANDUM
DATE: November 2, 1998
TO: Onsite Services Engineer
FROM: Mike Anderson, P.E.—
SUBJECT: Lot 2, Arveson Subdivision
Certificate of health Authority Approval
RECEIVED
Nov 3 ina
m tj •.cipality of Anchorage
Dept. Health & Human Services
The well on the subject lot was apparently completed in June of 1969. No log could be
found, but previous documentation indicates the total depth is 176'. During our probe of
the well we were unable to pass a blockage at 64'. We were therefore unable to determine
the static water level other than it is greater than 64' below the surface.
During the 4 hour flow test completed on the well a total of 1,123 gallons of water was
measured. If we assume the casing was completely full of water from the 64' depth to the
bottom of the well at 176' a total of 165 gallons would be stored. Deducting this amount
from 1,123 gallons leaves 958 gallons produced by the well or 4 gallons per minute. This
production far exceeds the Municipal requirement of .324 gallons per minute. We therefore
requrest that the requirement to determine the static water level of the well be waived in this
instance.
INVOICE
120767
Sdtl To
AENese
Gty, State, Zip
Shp To
Addmw
Cay, State, Zip
Cus7aner Omer No.
SM By
Terms
F.O.S.
Date