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