Loading...
HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 7 LT 8Walter G. P IPP el Addn Block 7 Lot 8 #050-124-17 Municipality of Anchorage '01 • .• Development Services Department ' % Building Safety Dmslon '—" Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 2 www.cl.anchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO60292 PID Number, 050-12417 Nr - JONES Wastewater System: ❑ New ® Upgrade fees: 16922 HANSON DRIVE ABSORPTION FIELD Pima Nu berg 9.droane. O Deep Torch ® SleYow Twcn O ab 13 Mouq O Dow LEGAL DESCRIPTION SalRaun T""Oipe eaTon "grade 1.2 GPD/F1• 8.3 Fl. 810A La Dpin to pipe boeae edmlnY drip 7.d. Gmel deplll Ovwth pipe'. T S WALTER G. PIPPEL 6.2 Ff. 2.1 FL 70www: FwW: secom FM added ZZ wonat Wed, Greets L&Vft 14N 1W 23 0.5 Fl. 55 Fl. Well: New ❑Upgrade cr«wdd: NM Wtier oel.p.e•W..r».: 5 Fl. 1 1 0 FL DM.uec�om (Pinel., A B, Ck EXISTING PRIVATE TOM Dpi". Geed 4 Tom ebeoq l re, Pp MM.nle FL Ft 375 Ft ASTM 3034 O'Mr DMI Oniled stats WMI Leeel: MMer Dele k gaed. FL FLINSTONE 9/02006 res: Pup aM a DPM Ft. Ft TANK SEPARATION DISTANCES ®Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Hokling ublkFlod"te W.. lr From Tankn Tank Sewer Line ANCHORAGE TANK 1000 G.(. War +100' - +25M TE NumbwaCamprlm.nl.STEEL p Suhwwelr +100' rhl'o — LIFT STATION La Um +5' — NO LIFTFouNelbn +5' — 'Pump an'rwl M:upee N. Hgh welv.lerm M. CuboDon +50' — Pump Melu a Model ENarc.l hopeo a pe b t or rteeede: 7-4-41)'r 60 ' b ^tp Gp 7D BENCH MARK Looupn uq D.Ml�pl,a1: 11WE uE Toj tP �v , SIDEWALK SLAB NEAR HOUSE Aslunwd ev.00n: 100 FL ,E C > Inspections performed by: CHRISTOPHER R WOOD Dates: 1' 9/7/2006 '* 2nd 9/8/2006 �` cTDPHERR W°°°;'y�r CE:10387 ` Development Services Department Approval Reviewed and approved by: (% `1-2-41-06 Date: � r.l7N0) �O y SSIotdN'G, Permit No. SWO60292 Page 2 of 2 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT ON—SITE WATER & WASTEWATER PROGRAM 4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: WALTER G. PIPPLE LOT 8 BLOCK 7 050-124-17 100.00' SWING TIES WELLI ' C 45.6' 49.5' -O D 56.5 49.5 I 1 LOT 8 • SCALE 1'-30' 0 OHOUSE n R O A •'. Uri w AB.M. .— OLD TANK ABANDONED ER APP LOCATION M� REQUIRE EN OF PERF PIPE TYPE NEW 1000 GAL. ryoSORPTION SYSTEM SEPTIC TANK O REMOVED WHERE IN CONFLICT TH 1 WITH NEW DRAINFIELD) HE 17.5' 37.5'-1 o — CLEAN 100.00' —�- — .LL ELEVATIONS • - MONfiOR TUB W0T TO SCALE) LI SLAB NEXT TO HOUSE ASSUMED ELEVAT113N . 100, 9/22/2QQ6 ORIGINAL GROUND LEVEL AT4 99.9 ENGINEER'S SEAL oQ000�4p00 MT -1 FILL MT .5' H � O °oi • AO Q 5.9'94.0 YPATANK 1,000 GAL 0 93.7 ��OO • •'.• 21' GRAVELNO V.T. ••�•••. •�T•O .• 94.3 CPoS PFM.•q..V.. . o 1.6 84.9 Q J, ,• CE -10 7 O 89.8 89.8 93.7-jBOTTOM OF T.H. 00��'•...... ••�'`e� c� 91.6 0004PRQFE "e MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Wafer 8 Wastewater Program UI 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ` ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 05, 2006 Expiration Date: Sep 05, 2007 Permit Number: SWO60292 Parcel ID: 050-124-17 Legal Description: WALTER G PIPPEL ADDITION BLK 7 LT 8 Design Engineer: 0848 EAGLE RIVER ENGINEERING SEI Site Address: 016922 HANSON DR Owner Name: BEN DIEN Lot Size: 13500 SQ. FT. Owner Address: 13135 OLD GLEN N HWY #207 Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - This permit Is for the construction of: 0 Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: O 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.muni.org/onsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. nsn-l' 4- 1'l Property owner(s) ]3L r) 1.L til Day phone V1 q - 0SO-1 Mailing Code °lei S-1 Site address I(P Haknso✓) D Zip Code Cfcl:�1_I -'IVlQ 14 Legal description (Sub'd, Block & Lot) t& int (4-e r C �onQ,l A'DD,2 (3 Legal description (Township, Section & Range) T 1 4 tj l2a tti SEG I Lot Size I S/ 500 Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank [� Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single F milellin/g and iaccordance with applicable Municipal Codes. 'z (Signature of property owner or authorized agent) Permit/RushFees: *0--.1Waiver Fees: p Date of Payment: o A Date of Payment: Receipt Number: h �J �J �i I Receipt Number: (Rev. 11/05) Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD. Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax August 24, 2006 Dan Roth Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Walter G. Pippel Lot 8 Block 7 Narrative & Permit Application Dear Mr. Roth: Eagle River Engineering Services (ERES) was contracted to design a replacement 3 bedroom septic system at the above referenced property. A test hole and soils percolation test has yielded excellent, well graded sand a trace of gravel and silt with a percolation rate of 1.2 minutes per inch, and no water table. The soil type appears adequate to support a replacement 3 bedroom septic system. We wish to deepen the test hole by 3 feet during construction to check for the presence of a water table and bedrock. The existing septic system consists of a single chamber 1000 gallon septic tank, followed by a perforated pipe with no sewer rock. The perforated pipe is plugged up, and there is very little contaminated sand/soil below the perforated pipe. During installation of the new leachfield, all o�he existing contaminated sewer piping and soil that is encountered shall be removed within 2'//of the new leachfield. This contaminated material shall be disposed of on site. EUtR i tFwt'i TV Ptmcw4, I6L cc -6 PPP;W-K �u., lr►tS,UhTcn sv [ t,,/pv !D' c r rq6 N&+�s bR4zwr.. e6D C'Ru.. 9C 1�tfte.•<su:tp ThHTS S of f- 6C b7Frr- r.%Cr q5 Mo yck .Ve1� zz� t.�'t s u st; b +%b v Q 1fC.r CV1vT f n,TiN1 e propose 3 bedroom septic 1;ySten upgrade wt 1 have very limited impact oh adjacent p properties for the following reasons: 1. Lots are laid out to allow room for wells and septic sites. 2. Immediate neighboring septic systems are all +20' distance, and no private (or community) wells within 100' of the proposed septic system. 3. Drainage will not be affected and is not a major consideration in our design. 4. The nature of the subsurface soils allow properly designed and installed septic systems to be of minimal size and maximum life expectancy. sort. is Pe�,t�r &,too 7H6 ocb 5rs7icM— \2003\06-070SEPTICNARRATI V E Installation of this 3 bedroom septic system upgrade will not adversely affect the wells or septic systems or reserve areas on adjacent lots. If you have any questions please call our office at 6945195. Sincerely, EAGLE RIVER E INEERING SERVICES Christopher R. Wood, Principal \2003106-070S EPTICNARRATI VE LOT 9 O O ` r 'C WELL +100' SEPTIC AREA LOT SEPTIC AREA\ i-, HANSON DR. 100.00' 00' WELL RADIUS LOT 8 HOUSE r. N EXISTING DEEPEN TAN PER MOA i APPR TESTHOLE REQ IREMENTS 2.5' DURING T �rABSO CONSTRUCTION INSTA L NEW 11000 GAL HE 5' MI EPTI(t TANK I'm =- -i INSTALL 10' LAT NEW 5'X55' -� LOT 7 1CLASSAPC"B WELL+150' r i ® - TEST HOLE • - MONITOR TUBE ¢ _ SELLER CLEAN OUT EASEMENT C] - PROPOSED LEACH FlELD �� - EXISTING LEACH FlELD Ln ^ " - DRIVEWAY SEPTIC 130' { LOCATION DRAINFIELD 100.00 SEPTIC AREA\ SEPTIC AREAS LOT .5_ _ LOT 6 100 WEEL,,RADII WELL/SEPTIC SITE PLAN LEGAL: WALTER G. PIPPLE LOT 8 BLOCK 7 OWNER: ADRA JONES CONTRACTOR: UNKNOWN JOB 06-070 1 DATE: 8/24/2 '=30' EAGLE RIVER ENGINEERING SERVICES 10421 VFW RD. SUITE#201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX. • (907) 694-3297 OF .... v. r.,. ti Y. Y.V C , A'.CHRISTOPHER R. WOOD.' Qr s CE -10387 i N EXISTING DEEPEN TAN PER MOA i APPR TESTHOLE REQ IREMENTS 2.5' DURING T �rABSO CONSTRUCTION INSTA L NEW 11000 GAL HE 5' MI EPTI(t TANK I'm =- -i INSTALL 10' LAT NEW 5'X55' -� LOT 7 1CLASSAPC"B WELL+150' r i ® - TEST HOLE • - MONITOR TUBE ¢ _ SELLER CLEAN OUT EASEMENT C] - PROPOSED LEACH FlELD �� - EXISTING LEACH FlELD Ln ^ " - DRIVEWAY SEPTIC 130' { LOCATION DRAINFIELD 100.00 SEPTIC AREA\ SEPTIC AREAS LOT .5_ _ LOT 6 100 WEEL,,RADII WELL/SEPTIC SITE PLAN LEGAL: WALTER G. PIPPLE LOT 8 BLOCK 7 OWNER: ADRA JONES CONTRACTOR: UNKNOWN JOB 06-070 1 DATE: 8/24/2 '=30' EAGLE RIVER ENGINEERING SERVICES 10421 VFW RD. SUITE#201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX. • (907) 694-3297 OF .... v. r.,. ti Y. Y.V C , A'.CHRISTOPHER R. WOOD.' Qr s CE -10387 Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW Rd. Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Walter C. Pippel Lot 8 Block 7 October 27, 2005 A. GENERAL I. The septic upgrade plan is for a 3 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed. B. SEPTIC TANK 1. The sewer piping from the house shall be 4" PVC 3034 laid at 2% grade maximum — 1% minimum and insulated with 2" of burial foam if shallower than 3 R., with 2 ft. minimum. 2. Septic Tank shall be a minimum of 1,000 gallon tank of MOA approved construction, insulated, or place with 4' of soil cover, min. C. DRAINFIELD 1. The drainfield is to be placed as shown on the site plan. Contractor shall take extreme care ensure that 10'separtation distance is maintained between the house and leachfield, and from the lot line. 2. Any old sewer piping and contaminated earth shall be removed within 2' of the new drainfield. This contaminated mater can be buried on site, or disposed of at a State or Municapal approved bio - hazardous waste disposal site. 3. The bottom of the drainfield excavation shall be level, plus or minus 1.5", prior to placing sewer rock. 4. The total depth of the drainfield excavation shall not exceed 8.5 ft. at any point in relation to natural ground surface, prior to placement of the sewer rock. The test hole shall be deepened to 15'during the construction of the new septic system. 5. The drainfield gravel shall be covered with typar fabric material. 6. Soil or a combination of soil and extruded board insulation to at depth of 3' or equivalent is to be placed over the leachfield. 7. The area over the drainfield is to be finish graded or mounded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. %T-rcs\DOCS\WPDOCS12006\06.070drainfield- spce.doc Eagle River Engineering Services Christopher R. Wood, P.E. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 8.5' GRAVEL DEPTH = 2' under pipe, 2" over pipe (2.5' total) DRAINFIELD LENGTH =55' DRAINFIELD WIDTH = 5' SOIL RATING = 1.2 GPD/Ii2 /1.0 for filter layer BEDROOM CAPACITY = 3 total SEPTIC TANK = 1000 gallons min Twenty-four (24) hours notice required for all inspections \\rres\DOCS\WPDOCS\2006\06-070drainrield- spec.doc EAGLE RIVER SENGINEERING 10421 VFW RD, 201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 SOILS LOG - PERCOLATION TEST PERFORMED FOR: BEN DIEN DATE PERFORMED 8/15/2006 LEGAL DESCRIPTION: WALTER G. PIPPEL LOT 8 BLOCK 7 TEST HOLE N 1 SLOPE DEPTH T 1 2 9 11 12 13 14 15 16 19 21 22 COMM CLAYEY WAS GROUND WATER ENCOUNTERED? NONE WATER TABLE DATA DATE WATER LEVEL UB/15120061 NONE .08/24120061 NONE .�� OF '.CHRISTOPHER R. MOOD. CE -10387 TOWNSHIP RANGE SECTION T14N. R2W SEC.1 SITC PI AMJAInT Tn CnAl C% _ _ __ 3o' 100.00' 30r T 9 o..� SM ••�.� SLIGHTLY SILTY sH� SAND 1:58 0:00 D 0 0 :OR 08/15/2006 M D•• 3' ' 6 6 3 08/15/2006 205 �1 3' 0 0 4 • o• 212 WAS GROUND WATER ENCOUNTERED? NONE WATER TABLE DATA DATE WATER LEVEL UB/15120061 NONE .08/24120061 NONE .�� OF '.CHRISTOPHER R. MOOD. CE -10387 TOWNSHIP RANGE SECTION T14N. R2W SEC.1 SITC PI AMJAInT Tn CnAl C% _ _ __ 3o' 100.00' 30r T 9 LOT 8 NET TIME DEPTH TO WATER LO sH� 08/15/2006 1:58 0:00 8 0 0 :OR 08/15/2006 M 0:06 3' 6 6 3 08/15/2006 205 �1 3' 0 0 4 PERC TEST RESULTS READING DATE GROSS TIME NET TIME DEPTH TO WATER NETDROP 1 08/15/2006 1:58 0:00 3' 0 0 2 08/15/2006 204 0:06 3' 6 6 3 08/15/2006 205 0:00 3' 0 0 4 08/15/2006 212 0:07 3' 6 6 5 08/15/2006 2:13 0:00 3' 0 0 6 08/15/2006 220 0:07 3' 6 6 7 08/15/2006 221 0:00 3' 0 0 8 08/15/2006 2:28 1 0:07 3' 6 6 PERCOLATION RATE- 1.2 (MW/INCH) PERC HOLE DIAMETER•E• SOILS LOGG BY: !LES BALZARINI PERCOLATION TEST BY: CHARLES BALZARINI CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: VWy 6 EAGLE RIVER ENGINEERING SERVICES P.O. Boz 773294 Eagle River, Alaska 99577 (907)694-5195 ERES Project No.: 06.070 Calculated By: CB Date: 8/24/2006 Legal: WALTER G. PIPPLE TEST HOLE Single Family 3 Bedroom Dwelling Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 450 gallons Percolation rate = 1.2 minutes per Inch Wastewater application rate = 1.2 gallons per day per square foot Required absorption area = 375 square feet Trench width (W) = 5 feet Gravel depth (D) = 2 feet Required length = Shallow trench factor • Required absorption area / W Shallow trench factor= (W+2)/(W+1+2 D) Shallow trench factor = 0.70 Total Excavation Depth = 8.5 feet Required length = 53 feet 06.070 3:44 PM8124/2006 Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: ERES Legal description: Walter G. Pippel. 87 L8 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ Calculation error in design. ❑ Additional soils information needed. _ ❑ Water monitoring results inadequate. ❑ Discrepancy In Information submitted. _ ❑ Topographic information missing or inadequate. ❑ Incomplete; missing _ ❑ Incomplete; missing _ ❑ Additional adequacy test information needed. _ ❑ Water sample unacceptable. ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. _ ❑ Proposed system too deep for soils information submitted. _ ❑ Well log required. ❑ Omission in narrative. _ ❑ Insufficient fill over tank or field. Name of reviewer: beb Wockenfuss Date: 8/31/06 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality of Anchorage • Development Services Department y •''' Building Safety Division On -Site Water and Wastewater Program 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. 056-1,9q-17 COSA # (1 LpL} ,- Expiration Date: /;Z- 2 el D r 1. GENERAL INFORMATION Complete legal description IV4-0-E)2 C... PiPPt:Z. Location (site address) 164 2Z 1i4+t/5va.l PR - Current Property owner(s) 4biZ/r 'nAl6's Day phone Mailing address 1 6Z2 Z I�,g,y Soe✓t)t?, Lending agency Day phone Mailing address . Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: J 3. TYPE OF WATER SUPPLY: / TYPE OF WASTEWATER DISPOSAL: Individual Well [E}/ Individual On-site [K 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 On -Site 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 Onsite 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. 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 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. 1 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 c�IL2i✓t1R Address 1097-1 VE0 (Zoi 211TIz!7 moo! Engineer's Printed Name ChVDG 7edtR R 11%v' --Q 5. DSD SIGNATURE _x- Approved for 3 bedrooms. Disapproved. Phone 0�_ Conditional approval for bedrooms, with the following stipulations: •_,. _..i.. �..l re nnr availahle at this time. Buyer should contact this office concerning arsenic results and information. Additional Comments Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory ON-SITE WATER AND ; —WPAST€WAT€R Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: V" Original Certificate Date: Q (Rev. 111051 Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 1913850 Anchorage, AK 99519-8850 www.muni.org/onske (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: tA/a t.Tt7Z (;, PfMA.7, Parcel ID: D /;L �F / A. WELL DATA Well type pI217V 4 If A. B, or C provide PWSID # _ Well Log Date completed fBL (0(757 Sanitary seal gn-.Yk:S Wires properlyprotec(ed&l) x/43 Total depth _ Z t. Cased to 4 1 ft. Casing height (above ground)�iJ n. FROM WELL LOG Date of test (n e)K Static water level uAAK ft. Well production to "K g.p.m. AT INSPECTION 3y ft. WATER SAMPLE RESULTS: Coliform _9Lcolonies/100 mL Nitrate mg/L Other bacteria _29�colonies/100 mL Arsenic: _ mg/I Dale of sample: V_VZ10I Collected by. C#,4R FC &4a fRT�jT B. SEPTIC/HOLDING TANK DATA Tank Type/MaterialS% �� Date installed Vol/106 Tank size (i v,&V gal. Number of Compartments 2 CleanoutsON) YE5 Foundation cleanout 61) JW Depression over tank (Yo Avo High water alarm (Y/19 Al0 Date of pumping A/14- Pumper A10 AJ C. ABSORPTION FIELD DATA Date installed US 42 6 Soil rating (0(,p.t . . fe/bdrm /• 2 System type _ DR 4I•y i t`E[ D Length s S ft. Width S ft. Gravel below pipe 7. Total depth 3 ft. Eff. absorption area 32.Cft2 Monitoring tube y :S Depression over field Date of adequacy test N /i- Results (Pass/Feil) P.1 -SS For 3 bedrooms Fluid depth in absorption field before test _AA74n. Water added gal. New depth Ad ¢in. Elapsed Time: min. Final fluid depth &k in. Absorption rate >= 45.0 g.p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) N(A If yes, give date Va D. LIFT STATION Date installed Size in gallons "Pump on' level at _In. 'PurPp off" Datum Cycclles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: r Septic tank/lift-�n on lot 110 0 Absorption field on lot + 1 r,0 r Public sewer main + too r Sewer /septic service line 4 - Animal Animal containment areas + Z S Manhole/Access water alarm level at in. Meets alar & circuit requirements? On adjacent lots + /00 On adjacent lots d 1 coo r r Public sewer manhole/cleanout + le 0 r Holding tank + i s Manure/animal excrete storage areas 41-o 1 SEPARATION DISTANCES FROM SEPTIC/NetefNG TANK ON LOT TO: r Building foundation fi $ r Property line +1b t Absorption field 4- S Water main 4-1y Water service line 1/) r Surface water t 1ov r r Wells on adjacent lots f 100 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line +!D r-10 foundation X10 1 r Water Service line } I p Surface water +100 Water main Curtain drain +-52� r Wells on adjacent lots F /00 f F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name GtfR17STaP461t f/7,7 1 � Date �Z 7 �D G COSA Fee $ ?06 - / 15, Date of Payment q at' Receipt Number 90ST) (Rev. 11105) +-1v 1 Driveway, parking/vehicle storage4 7 5- Waiver Fee $ Dale of Payment Receipt Number Ri Vtr.x_d vpa.r.d 9 -+_i -u6 1r- 14C) Ba41S �;*G/ aye SLR'j£ ,45--,Pv/i. r 2 hereby certify that t have surveyed the following described property: LS*�1 G _C_ N�F ze.e�s.�� Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission Imes or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska this �r.8'r day of{•- lg_ ROBERT C. JOHNSON✓ Registered Land Surveyor No. 880 -LS Box 456,Eagle River, Alaska Phone 884-2543. ' ' 1 `1 1 : 1 1 � 1 1 ra . to covER4O •: �- ---'� -- r—_...... 0 0 t— rI ?j f_o 1.•_..r' /p, . k S ` Ri Vtr.x_d vpa.r.d 9 -+_i -u6 1r- 14C) Ba41S �;*G/ aye SLR'j£ ,45--,Pv/i. r 2 hereby certify that t have surveyed the following described property: LS*�1 G _C_ N�F ze.e�s.�� Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission Imes or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska this �r.8'r day of{•- lg_ ROBERT C. JOHNSON✓ Registered Land Surveyor No. 880 -LS Box 456,Eagle River, Alaska Phone 884-2543. ' ' Municipality of Anchorage w , ' 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 Nater Well Advisory Health Authority Approval # 060473 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 7, Lot 8 of Walter G. Pippel subdivision, the well's productivity was determined to be 0.8 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.3 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. PWSID Sample Released Old Allowable Prep Analysis Parameter Results POL Units Method Limits Dale Date Init Bacteria 0.00 9222B 09/07106 09107/06 of Nitrate 3.98 0.10 mg/L EPA 300.0 10.00 09/07106 09107/06 air SGS Environmental Services Inc t _ 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 SGS Ref. M 1065323 All dates/Umes are Alaska Standard Time Client Name: Eagle River Engineering Services Printed DateMme: 09/26/06 16:30 Project Name: Walter G. Pippel, L8, B7 Collected DateTme: 09/07/06 15:15 Client Sample ID: Walter G. Pippel, L8, B7 Received DateMme: 09/07/06 16:45 Matrix: Drinking Water Technical Director. Stephen Ede/% PWSID Sample Released Old Allowable Prep Analysis Parameter Results POL Units Method Limits Dale Date Init Bacteria 0.00 9222B 09/07106 09107/06 of Nitrate 3.98 0.10 mg/L EPA 300.0 10.00 09/07106 09107/06 air r INSPECTION APPOINTMENTS DATE RED[I D STREET LOCATION ' TIME TIME TIME I 1v, DATE DATE DA / � c-wc.� • y1 2 INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & ENVIRONMENTAL P."•OTECTION 825 L Street• Anchorege,Al"k&99501 ENVIRONMENTAL SAN ITATION DIVISION APR 161981 Telephone 2944720 pp�(('``J/ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW!`f1 fA6 I111ILD DIRECTIONS: Complete all pans on page 1. Incomplete requests will not be processed. Please snow ten (101 days for processing. 1. PROPERTY OWNER :�7911G/+2D kr-Ytio L 05 PHONE �9y-3s�S MAILIf� G ADDRESS Yo•(3ox 99510 PROPERTY RESIDENT fit diffo ant from above);PHONE ❑ PUBLICUTILITY 2. BUYER 5 Lves�« oltes MAILING ADDRESS 3. LENDING INSTITUTION � PHONE�� so MAILING ADDRESS 4. REALTOR/AGENT MAILINGADDRESS 3 5. LEGAL DESCRIPTION Lo7` 8 BLOGk % (an�Le. P1 peZ S26 STREET LOCATION ' 6. TYPE__OFR SIDENCE UMBER s E -DR &IS ❑ Ono ❑ Four ❑ Other SINGLE FAMILY ❑r Two ❑ Five ❑ MULTIPLE FAMILY Three' ❑ Six 7. WATER 5 PPLY INDIVIDUAL' 'ATTACH WELL LOG. Awell log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drillRdprI to llat date, give wall ❑ PUBLIC UTILITY depth (attach log If available.) ,2 Q 8. SEWAGE DISPOSAL SYSTEM / / IO ® INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 7 1 r a �.�. - — .'7. —� 'YY THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE O SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE O THREE O FIVE O OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY O PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM OINDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING OSc tic Tank or O Holding Tank Sizer If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ADSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Savver Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS d APPROVED FOR 3 BEDROOMS O CONDITIONAL APPROVAL Iletter must accompany certificate) O DISAPPROVED DATE t -�IN4-5 BY`Yncr \ 72010 (Ray. 6179) ' � u AAT+.aw',k1oii wge. . 81.5 "L" STREET ANCHORAGE, ALASKA 99601 (907) 264-4111 CFORCE M SUI.I. /VAN. MAYOR D SPAR VA FNT OF HPALTn AND ENVIRONWEN IAL PROTECTION April 21, 1981 Irmgard R. Reynolds Post Office Box 2018 Anchorage, Alaska 99510 0 Subject: Lot 8 Block 7 Walter G. Pipple Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street., for our review. (2) The septic tank pumped with a receipt submitted to this office. (3) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is -adequate according to National. Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Rainier Mortgage 4797 Business Park Boulevard 99503 ALASKA MUIRO UnTAL COnTROL SRUcl% Enyinceriny 6 61ronmental Studies �NtDEPTITY OF ANCHORAGE EM,IRONMEOF f1EALr'1 g NTAL NOTECTfON MAY 4 198, RECEIVED APRIL 30 1961 RANIER MORTGAGE/HOTCHKISS BOX 1200 ANCHORAGE AK 99510 SELLER — HOTCHKISS SUBDIVISION—WALTER PIPPEL BLOCK -7 LOT -8 THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 950 GALLONS OF WATER PER DAY. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 6-11-79 1220 West 251h Auenue • Anchorage, Alaska 09503 • (907) 276-1361 M ZEA BOROUGH :ental Quality iska 99503 274-4561 Date Received October 14, 1976 Time of Inspection 1,0;/3e0 AM Date of Inspection iVAL OF +L3rlchh�a R FACILITIES FOR V.A. .1. Approval requested by: Coast Mortgage Company Mailing Address: Post Office Box 1200 Phone: 279-0665 2. Property Owner: Warren G. Tidwell Phone: 694-2245 Mailing Address: Post Office Box 1093 Eagle River 99577 3. .Legal Description: Lot 8 Block 7 Walter G. Pipple i#1 - 4. Location: Off Old Glen Highway on.Lacoy Drive (AKA Lazy ���riv,) wishing wel; ron se !v S rIV , . . .5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data:c� = ividual A. Type rl'� B. Depth %00 ? C.•Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. Size D. Bacterial Analysis On-site system B. Installer 6Z Z. Manufacturer -7 V. D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. 'Distances: A. Well to: Septic tank Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages .,Page 2 of two pages;- Req,for.Approval of Individual S.r & Water Facilities Legal:D_ssCription Lot 8 Block.7.Walter G. Pipple 41 Comments Approve Disapproved '' i Date -70-17' ••ApprovalkVaiid for one year from date signed' :Greater Anchorage Area.Dorough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information.contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities.and these facilities are;operating satisfactorily. SIGNED Date ;EQ=034.(1'/74) ITY OF MUNICIPALITY OF ANCHORAGE MUNICI EPT. OF HEA TCHORAGII r DEPARTMENT OF ENVIRONMENTAL QUALITY ENVIRONMENTAL PROTECTION aB1 2516 E. Tudor Road, Anchorage, AX OCT 141916 REQUEST FOR APPROVAL OF RECEIVED' I INDIVIDUAL SEWER and WATER FACILITIES R L "C Y LD 1. Type of Inspection: CMRO VA XXX FHA CONV 2. Property Owner: Warren G. Tidwell Mailing Address: P.O. Dox 1093 Eag1e River Day Phone 694-2245 3. Name of Buyer: William R. Bookhout Mailing Address: P.O. box 550 biome, AIC Day Phone 443-5211 4. Name of Lending Institution: Coast Mortgage Co. Mailing Address: . P.O. Box 1200 Anchorage Phone 279-0665 5. Name of Realtor or Agent: Margaret Ward Homestate Realty Mailing Address: 517 West Northern Lights Blvd Phone 276-3513 A 7. RM Ell Legal Description: Lot 8 Block 7 1:°;:Walte£�.G.:''Pippel B/D Addition til Location: Off the old Glenn Ewv on Lacey Drive (AKA Lazy Drive) Wishing Well 1z Type of Facility to be inspected: Sontio Tank and Well No. Bdrms. 9 Water Supply Type of Supply: Public Utility Individual XXX If Individual, number of dwellings presently served unknown If Individual, depth of well unknown Sewage Disposal System Type of System: Public Utility Individual (on-site) XRxx If Individual, date of installation unknown EO -037 (1/74) . IW '� r. :06.12206) ,Rw.1973 ALAI DEPARTMENT OF HEALTH AND SOCIAL•SE,_,.ieES.' I DIVISION OF PUBLIC HEALTH Lab Na. INDIVIDUAL ANP SEMI-PUBLIC'. DATE lir_ -L DACTERIOLOGICAL-11VATER .ANACYSIS OFFICE ON REVERSE SIDE + BEFORE COLLECTING SAMPLE EMB AGAR Lactose Br«h, 24 be.. M his. Ore.'s stain Cellist. DNdty (Ab.t probabl. W.'e, 100ccl Mf it ... lb 1. --1 Reported by % Dos. �(i •' ?O ' I�� p:m. This analysis Ind1coles Collfam Org,onisms to bre ,• Absent ..7 'Pressor, AnolyA. shows Ibis Water SAMPLE N be, ' -;Q.Satisfaclory ' INDIYIDUAL ❑ SEMI-PUBLIC Q CHLORINE RESIDUAL PPM REPORTS RESULTS TO .. �❑ Unsatisfactory ' ��/y�., %i//C dueslionoble ' NAME i2ibQ:�C+/ f/L%L�i //J�Q/ /� ' ' / Sampl..(oo Long in fnouifl'semplo should -not be ewe 48 bran l�1 (i ��� Z ADDRFSSf ' aid at exe.ination to Indicate reliable results, PleaN tend new sampl.. / , +�, CITY T('?^ .00 1" ��/`re"` ZIP CODE` ••' O dOH+< bIOLIn to IIOMif, plbN NId .nM binpl0. ADDRESS�' .—.,, of soulrcE , ; "SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY �l�n— SAMPLE COIAECTED BY' n f DATE COLLECTED Y "T 7 -)(,TIME COLLECTED -�' ?��?�'�� '�'• Sample Collected Pee., 13 it,here T.P ❑ Bathroom Top . 0 Bmenent'Top 13 Other (13-9 ' I ' W.0 — 9 Dug 8 Drawn D Drilled O Bored Spiny Cin or. SOURCE, Due Wdl fir, Cist.ra =1rurllone ' wX1.—L1 Wood 8 connote 8 )Asia[ 8 Tile Bri,h ar Top — l❑J Wood Concrete Meld Opel lop 0 Concrete . . LOCATION:.' E3 In BowmNt O looseness Off.4; • p Under Hous ' - Qin Yond ❑ 01h., Belldfng S.we, S.Plle ... - DISTANCE TO, er OIMr Drclnaye PIs. e0s1. Tans Too. .az TII. S.eroye C... F1.1d Feet. PII feel. Peel Get. Pdw poet. .: O,hK Possible Source. of Conlownallon MATERIAL, Bdld•.y few« S.Q Cast Irani [3 Wo.d O Ill. 0 Fr.. O Asbestos •• L] Pia,rt< Pelnt Mesrtel • Type .1 C...M GENERAL, Dos Water S.coM Mvddy en Discolored? ❑ yet Q No When? �.. DIonNK of Well Depth Fut. W.11 Ca'Ing • . .. Mm«iel Diameter Depth L.,,Wh f ' Water Depth a. Drop Polpe Fleur Bonom F.N. ' Olfset Into Utility PUMP LOCATION, O In Well E] Do... $ Q In 4a.ereent 0 Ream ' On Trp Q Of wetl I] Olh« PURPOSE OF EXAMINATION, Illness Suspected? I] Ys ❑ No' ,( New S.Kce of Svppw O Y., ❑ No R.Pabe N Systee? O Ys O No Sgnacun_• , e 064520 fbl BACTERIOLOGICAL WATER ANALYSIS RECORD R.,. 1973 I `g' READ INSTRUCTIONS got. RKebod �n/? �! �`� LM RKeINd �/•-••• "LFS Qbb No.f lac1oN Bolls .. Ton 10c<I 1kc Vice lace 1.0n 1.0,< ON REVERSE SIDE + BEFORE COLLECTING SAMPLE EMB AGAR Lactose Br«h, 24 be.. M his. Ore.'s stain Cellist. DNdty (Ab.t probabl. W.'e, 100ccl Mf it ... lb 1. --1 Reported by % Dos. �(i •' ?O ' I�� p:m. This analysis Ind1coles Collfam Org,onisms to bre ,• Absent ..7 'Pressor, R6:M CONSUITANT9,IN C. Me awet tR eT wva. moa •o es wNewewwoe, wt0. tueo� n.,.. ees•we•ewa t.w. tteo-uvo ' November 1, 1976 Mrs. Tidwell P.O. Box 1093 Eagle River, Alaska 99577 R & M No. 653137 RE: Percolation Test on Existing Disposal System; Lot 8, Blk. 7, Walter G. Pippel Subdivision Dear Mrs. Tidwell: On October 29, 1976, at your request, our office conducted a percolation test on the septic system located on the above doscribed'lot. The following table represents the level of the liquid in the septic tank. The depth of the tank was 9.15 feet below the top of the vent. The tank had been pumped.two days prior to the test, and the depth of liquid in the tank was initially 0.75' above the bottom of the tank. For the test, the liquid level was measured from the bottom of the tank. Summary of Measurements To fill the storage in'the tank, and assure normal saturation, 817.8 gallons of water were added to the septic tank before beginning the Percolation test. ANCMORAGS FAIRBANKS JUNCAU Level -o£ Liquid Meter Reading Time In Septic Tank In Gallons Remarks 10:15 0.75' 1636.8 Fill*Storage 2:05 3.95' 2454.6 Begin Test .2:47 4.601. 2503.7 49.1 Gallons 3:27 4.00' 2503.7 •49.1 Gallons/ 82 Minutes e 0.6 gpm . ' End Test The meter used during the test was a Neptune 5/8" standard water meter which was borrowed.from the Anchorage Water Utility. The meter had previously been calibrated and approved for installation by the utility company. To fill the storage in'the tank, and assure normal saturation, 817.8 gallons of water were added to the septic tank before beginning the Percolation test. ANCMORAGS FAIRBANKS JUNCAU t� If it is assumed that the existing three-bedroom residence will house six people, the average daily load on the disposal system can be expected to be 450 gallons per day, or 0.31 gpm. 'Since the existing disposal . syAem accepted 49.1 gallons in 1.37 hours, or 0.6 gallons per minute, I would conclude that.the leach field is presently performing in a satis- factory manner for a private residence. If you should have any questions concerning this test or this letter,. please'do not hesitate to call. Very truly yours, R & M CONSULTANTS, INC. .-C:lKL911E ✓ �� .. . Jamas W. Rooney Vice President JWR:mh xc: Department of Environmental Quality Attn. Les Buchholz e M 'GREATER ANCHORAGE AREA BOROUGH Department of•Environmental Quality 3500 Tudor Road.' Anchorage, Alaska 99507 279-8686 Date Received 5'/ 7_ Z Time of Inspection 3 V /Z Date of Inspection %. REQUEST FOR APPROVAL OF . INDIVIDUAL SMNER & WATER FACILITIES FOR y 79 l.. Approval Requested By: f 7 ..Address: 2. • Property Owner: 3.. Legal Description: 4. Location: N//N• ..I 5. Type of Facility to.be Inspected: Number of Bedrooms: .6. Well Data:. D y/� / A., Type CT �/ /Il rja.ZCB. Depth �Z / C. Construction D. Bacterial Analysis' "7. Sewage Disnosal System: A. Installed' � J� B. Installer C. Septic Tank: •1.• Siie OUd Manufacturer D. Seepage Pits 1. Size 2. .Material //�� E.., Disposal Field: 'Total Length of Lines 2� V roe /7O"L'. 4 �Q 8. Distances: _ 1 A ?', .Well To: Septic Tank n� Absorption Area / 0 0 Sewer Lines Nearest Lot Line sW, Other. Contamination B. Foundation to Septic Tank '> Abhorption Area L/,d C. Absorption Area to Nearest Lot Line " ,.~quest for Approval of I4� ual Sewer S Water Facilities%..,) age Two 9. Comments: approved Date �f / Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Departmentof Environmental Quality DIAGRAM OF SYSTEM' I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities located at: Signed Date DEPAR"� IT OF "AND SOCIAL -SEW!"' i' .ITEALTH - 'DIVISION OF PUBLIC Icb Na HEALTH IBACTERIOLOGICAG`WATER�ANALYSIS DATE �. r— CITICE ..'_ 8eoards 1n We eltlu hAeate Ihis WATER SUPPLY to be ol:. .Pt)ntl0 BDMPU= 1'XDnMUAL a Cn= .. . •3tahic:: . . Q Ba!!a 0a0.f,j .p QuwtlonabL . Q Uasallslaetmy S®Itmy lt�ohT atnsul.TS TO •, �'� •. :1! :.. •14nafy.4.Lo...IbLWat.{SAMPLEb6.i., . ✓:. . .. .. ... 4�1 S(t4lacory :Q Queetba'cWe Q Umsat41ac1ory. / .. ADDRMS r .. / . � f,3 ;... 'D m'Uowwactorr' or'Quwaoaable'status Is tndtooted above ...., you should lake bomedlate action a'sreoommeadd below. 'jt'. Nolay wmsumen weer Is Polluted Solt w chemically ON souxCe ;. f . !'• '.: i.+: I' .r• tree! the .mer as oulum to fhe snelmd leaaet "Dank • It Pure." - SAMPLE COL.ECT'D BY "'Tti•' .•.• . �� '!. ehtodna0of ndlidea0y meat teaommendd residual daiainta : .ma Vii'.' •).7. c. Dcrwu a of oontmmlmaUoa sad lake salon asossemy Wnwmtafm ,�i •. DATE COLECTE•) --TOME �LLEC[®_••�C� txi" cmdow t sup :a ealewotw suPPIT?lall limes. leads Coawtedflaa ' p Dchem Top . i]/BmNoemyay Q 1lmewatTq ' �� L Check chloanotlon 'mid other mech—lwl equipment. bfaice'oaaotn N Is p Other 0.40 / Iucalotaug Property. , C If cher ihwkln9 wqulpmsml a &Infoalnq reddual to hot obiclaed. pleuro �. erin Ih4 eWw lot emergency m.r4lmae w advWq wrvlom% , Well Q Deq - Q Ddw Q Dated . Q Bond ATbtrtsa awf awmerwurceondeublodtopolfu0onbymeaamd®tmals:.. -SOURCE: Q Bpd -9 '.Q. Cm— 17 cihw :. An approved woler'supply wuroe should be .developed ' .. . .. ' Dae WAlaGdan Convaucdoer .. .',. Brtokw p •ria . .��Q.ImproYou[ ❑>R 4Q.duq weB ••. r ,p davem .eR :: ':.. Wat4• p Weed ❑ Coaereb❑u.wt T1I:❑ Conrnt....; • • - Tap • Q :Wood p Cmcrea p Wet 'Q QpwToP .. .. d&ld weB - ; Q a4tem LOCATION: - E3 hr ll v vt .• ',.17 bewmeat Oftwt : ❑Uedwflaw....' �7. RelocctaYout..11 toe elocmionmreimtoashtpbjoui uwoge dYpaeol . •. Q Imymd. . Q Olhn M4m•.. . Q w encloeun • . ... . BWldnatiewr .. S•Wo.: •. DISTCE Tor aOIWr D0e lie 7M. Took .. fix. . �� a'!S®Dia leo loaQ In tr®etU"camps 'sh6vild not to ovii ee !Dori old of .: Grr T«LN �paq*e TeN..Pool 'PwC.Pd.y .. Pe.i. . axaminatbn b IadlanenlroLle ryeu14. Pleme send sew smvpe. • ,�:. , -' : orhw PeelN.. .. .... • . • , _ .. p Bottle R olmm Io � mtraadt, ploo iend'asw sam. pls• . Baaroencbamumdwr 34ATENAL"uIldinq Sewer. Q k�w ` Q -Wood •:.'p m : •43 mre,.. • ❑ C�kmta • • ., . �,:.9. contact your nemeit ' . ❑•Iaml Hkatth DeyMmaal ei p'Aloika '. Dlvddml of Puhllc Healtlr,'s®ItaUoa ,ollta im bulUthm oomullodoh cad Q Flan!*- .Joel mw -4d - 'T" • owlrt acw ,' - .. •••c. •""�� CALi Dow Wmar BewoocHuddrorDboolordT. •{1 Yw' <: -Q':No:.... '... ENES .:: ,• .. IiANMARUWrS REMARKS ''.. ..-... ,, � c•':.i .]flmedwM WellDsPrh • Wvetabq 1%amder . ' Dp .' • • yr,P pia . •PUMP LOCATION- -0 J. WeB� 'Q'�a •Q:I(Barowl �:"Q.aaom. a.• •• •. •• pjOiWU :, QOdei .. ... .. ... PURPOSEOPpCAMINATION:BinteSu.peetdT... ..' :Q'y« ` E3 )r*'! ••i ,:... • Q Tn •Q Ne HPa6."Yd.el'' p. Yw•., p go'- '. :' 1...-.. �' •. .. .. 'Nurw.0fluwy? : - � M1220 .(b) . • BACTERIOLOGICAL WATER'ANALYSIS AECORD.:.,' READ INSTRUCTIONS .. ..'poteR.Wwd '� •^.Ifl-• ") •) Time B.o.ivd t.x � 1e6 No. .�.�i��%�...:. . '. .ON "Lrae»BrorA .. shod we .lace'. l0ei to. IBaa .•.aloe .. moms .. REVERSE SIDE dwiraee - - .• • Mallon Orwe .• •�•'. ,• .. Le taw .: 48 how's .. .:.BEFORE Ism AG" r ',COLLECTING SAMPLE..:.: rie9aP�Ptii�lur —«'—'. .O vase al's 0(od prebowsIrm pdrlwcot: .. •._:.... ... .v:.: .. .. ... .. .. .-Hewed by rr ..Dwe. .'.. •. ,. .:..._.. '.TLY wwtyWNdIMIr Cealem Oroovkaibbea.•:'••"•.: •:r ': •....:--.}CAtaenl. . REQUEST FOR APPROVAL OF ' •INDIVIDUAL SENACE AND WATER FACILITIES (Fill out in Triplicate) 1: Name of person requesting approval,//4 R n /CJ' /V_ 14i,j Jr, Z ; 2. Name of property owner_ S 3. Legal description % I/UR�7F 4.. Number of bedrooms in house, 5, Water Analysis: a. Bacterial1� b: Detergent / pts C A. Well data: ti a. TypeIt Ned i b. Depth. C. Casing Size f d. Distance from well to'cloaest existing or.proposed: 1. Sewer linew 2. Septic tank , 3. Seepage Are Q q,. Cesspool' �0�0 5. Property Line_, 6. Other sources of possible contamination, i.e., crdeks, lakes; houses, barn, drainage ditch, etc.1X0c` 7. Sewage disposal system. a. ,Age of.systero, b. Septic tank'capacity in gallons_1/� tlj e. Name of septic tank manufacturgr 1. If "home made" show diagram on reverse side of this form., d. Disposal field or seepage pit size'and type ' Y�Ofi. /,9'/n_ /.2� �E �'y); �5�� L✓ -n ni T, ����rPre,��/l ra!/.�. 1. Distance to -pr operty line �./ -to house foundation—at 9. The information on this form is true and correct to the best'of my knowledge. � Signature of Date :S gne� � -TO BE rILLr.D OUT BY HEALTH DEPARTMENT PERSONNEL The above described sanitary facilities are hereby approved, subject to the �ollowinQ condifions: 0 The above described sanitary -facilities are disapproved for the following reasons: igna o F • e 'l.r v LCIGeQoet� l �l / lv Approval is valid for one year following the date pf-approval. CM cw e.' Percolation Teat results el f.. Percolation Tett perfo Dy 19A5�� 8. Use the reverse side -of this form to'show diagram. Diagram should include the following information: ppoperty lines; -Veil location, house location, septic -tank location, disposal area location, location of percolation test., and direction of ground slope, 9. The information on this form is true and correct to the best'of my knowledge. � Signature of Date :S gne� � -TO BE rILLr.D OUT BY HEALTH DEPARTMENT PERSONNEL The above described sanitary facilities are hereby approved, subject to the �ollowinQ condifions: 0 The above described sanitary -facilities are disapproved for the following reasons: igna o F • e 'l.r v LCIGeQoet� l �l / lv Approval is valid for one year following the date pf-approval. CM cw ADAMS • CORTHELL • LEE • WINCE 8c ASSOCIATES CONSULTING E=NGINEERS AFFILIATED WITH Aue1<A TZGTLAY 1040 POST ROAD - ANCHORAGE. ALASKA. 902501 TCL OR 7-3773 OR 6.2403 BR 7-0746 Mr. Harold Hutchison Box 96 Eagle River, Alaska Subject: Percolation Test, Lot 8, Block 7, Walter G. Pippel Subdivision. Dear Mr. Hutchison: March 9, 1966 Work Order No. 6955 In accordance with your request, a percolation test has been performed on the subject lot. Because of the frost in the ground, the test was made in a test hole in the basement excavation. The approxi- mate location and test data are shown on the attabhed sheet. The rapid seepage rate prevented accurate measurement, but the determined rate was 1 -inch per less than 1 minute. Very truly yours, ADAMS, CORTHELL, LEE, WINCE & ASSOCIATES cJ� Gtr, uo (' L Frank W. Wince, P.E. FWW:sc Enc. RICHARD S. ADAMS. P. E. ALAN N. CORTHELL. P. E. HARRY R. LEE. P. E. FRANK W. WINCE. P. E. I TEST HOLE N0.- ARC7V ALASKA TESTING LADORATORI a W.0. NO. ---?-_`�S'.5' 1940 POST ROADDDO'",04.3 TECHNICIAN. ��• -S. ANCHORAGE . S AIRSANKS PERCOLATION TEST DATA LOCATION LOT A BLOCK- SUBDIVISION - Fl1A NUMBER CLIENT f/a�.%✓ ��.:�/iicnn -��r 9sio%RiYer *SOIL CLASS —VISUAL—UNIFIED LOCATION SX7CH LE Z rr,(;rdvP// .Si/r,r r� �rriy-tgrd7C//vMe/I�••r/�P� 'TEST HOLE LOG READING JEATE I GROSS III�INN_■_W "II .m■■m. UNION 0 III ■W■■ ■ ISI ■■■.■. IIII IIII ■■■ 0 ■■N NE 0 4 GRAVEL i Quo SAND t 1141¢ /j SILT CLAY a vv ORGANIC v / CONTENT y `1 IPCA7 APP. TOPOG. FROST MC IDEPTH TO HZO NCT DROP - 5 WATER TABLE WATER TABLE