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Home My WebLink AboutTHE VILLAGES TR 8BThe Villages Pine Ridge Tract 8B #020-291-36 Development Services Department Building Safety Division y On -Site Water & Wastewater Program r O ` 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 S A E T Y Mayor www.muni.ora/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: 0 9 a ,• Z 91 - 3 % Legal Description Property Owner Name & Address: CAP oi- _0ATrAtj 1930v�«qG€s 5u�t, C. PtcwY Pump Installation Date: JTi p..i As G 1- 01Z CC ' /A K 9 5 f 6 , (o ZdU Pump Intake Depth Below Top of Well Casing: 309 feet Pump Manufacturer's Name: Ce44" p^q Pump Model: $ S 16 Pump Size )+ hp Pitless Adapter Burial Depth: l I feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? %Yes ❑ No Method of Disinfection: Ts ltd, Comments: Pump Installer Name: !wP 7 ANCHORAGE WELL & PUMP SERV. 330 EAST 76TH AVENUE ANCHORAGE, AK 99518 PHONE: 907-243-0740 AWPS.COM Attention: The pump installer shall provide a pu np installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264.4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE .AME 6z;lw , J A to ES � ) %�1ft L L F%� C/ �ijll OC -1,07-00i T/o� � � /C�X • y AILINGfjDi�.SS T(.G y ( s /7 �'�/r 1 '7l YIO EGAL DESCRIPTION /78S i(fE vlccr��ES ❑ UPGRADE L NO, OF BEDF.v�....� 5 OCATION {�' �/ r 1(N ' \ S �m v J �/ _Well BPERMIT NO. AbsorPUon;ea Dlhf yC D Gs 0 DISTANCETO: of `.y� f compartments DY MaterNo. o EQManufacturer Ti N� h W f Inside length Width Liquid tlepth H l0q. �apsaci!Y ingallons IF HOMEMADE: 3: DISTANCE TO: OTHER PIPE M TERIALS ex- -row) Fu 9• 1 0 ae SOIL TEST RATING (9ISIrVT INSTALLER EW O If'j> M % I NO.1nI.1 f 1(, 1?8SL--6 g DATE g.q -a �- !-013 (Rev. 3l lJ Z inches I -L, PEF Tntnl aflociive absorption area tlotline :e to lot tank (//C-4 A- 'LA1J 1 Well / V i IG raw TANCE TO: f lines Length offash line Total lengtiCGS //bef lila to fi ish gradeDepth Material Width th S4�0 of crib Crib diameter Crib tlepth Well ISTANCE TO:Depth Driller Building foundation Sewer line 3: DISTANCE TO: OTHER PIPE M TERIALS ex- -row) Fu 9• 1 0 ae SOIL TEST RATING (9ISIrVT INSTALLER EW O If'j> M % I NO.1nI.1 f 1(, 1?8SL--6 g DATE g.q -a �- !-013 (Rev. 3l lJ Z inches I -L, PEF Tntnl aflociive absorption area tlotline :e to lot tank (//C-4 A- 'LA1J 1 I certify that: 1. 1 am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. 1 will adhere to all MDA and State of Alaska requirements i'or the set back: distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 5 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORE: MUST BE DONE BY A LICENSED ELECTRICIAN. / SIGNED ------ DATE: APPLICANTY JAMES E. TALLE�' ISSUED BY � DATE: -'7/30 � ----------------------- 1 ff M1J N I C I P A L I T Y O F DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 (3 E3 I TE SEWER S< WELL PERM I T PERMIT NO: 850460 DATE ISSUED: 07/30/85 APPLICANT: JAMES E. TALLEY ADDRESS: 4105 BRANTLEY PLACE ANCHORAGE, AY 99508 CONTACT PHONE: 561-1874 LEGAL DESCRIP: : THEVILLAGES ILLAE11N 89 BLOCK: N/A SUBDDIVISIONTOWNSHIP:ON: 14 RANGE:T. LOT SIZE: 2.22A (SQ.FT. OR ACRES) MAX BEDROOMS: 5 Listed below are the options available to you in designing your septic system. Choose the option that best -fits your site.- - - - - - - - - - - - - - -------- - - - - -- T R E N C H D E D W_ D I N DEPTH TO PIPE BOTTOM (FT.) 10.0 6.5 0.5 4 0 3,016.0 GRAVEL DEPTH (FT.) 6.0 7.0 7.0 TOTAL DEPTH (FT.) 180' .36.0 5.0 GRAVEL WIDTH (FT.) 630 68..0 GRAVEL LENGTH (FT.) 38.0 24.0 44.1 GRAVEL VOLUME (CU.YDS.) 10500.0 * 1,500.0 ** 1,50015 ** TANK•SIZE (GALS) 150 85 SOIL RATING (SQ.FT./BR) - ** TANK MUST HAVE AT LEAST TWO -COMPARTMENTS - - - - - - - - - - - - - - - - - I certify that: 1. 1 am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. 1 will adhere to all MDA and State of Alaska requirements i'or the set back: distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 5 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORE: MUST BE DONE BY A LICENSED ELECTRICIAN. / SIGNED ------ DATE: APPLICANTY JAMES E. TALLE�' ISSUED BY � DATE: -'7/30 � ----------------------- 1 ff January 10, 1986 TO: Permit Applicant r� P.O. Box 6650 ANCHORAGE. ALASKA 99502-0550 (907) 264-4111 'Or!I FPX IWLEP. .. A'r C.4 DEPARTMENT OF HEALTH 6 HUMAN SERVICES Subject: Permit G 850460 Tract 8B.The Villages Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: copy of Permit SOILS LOG -PERCOLATION TEST gC'o / • __ //ei� DATE PERFORMED: /�}" Io4 PERFORMED FOR: L/ / � i� LEGAL DESCRIPTION: -/ /' 1 216W 3Brn -1 Dr 4 y s Sh/y 13rn 7 8 s C?M ' 10 ESri1 11 17Py 12 lA/� 13 L3rA 14 15 1IJ5 200 :5 �.d2'lCf i sa 5F/Fee plu�'SiC4rJ Cobb/c3 16 . 17 2iry 18 B5 5F/c3E 19 20 AI,,0 r.,O wa SITE WAS GROUND WATER Alb ENCOUNTERED? w IF YES, AT WHAT DEPTH? Groff Reading Oafe, Tirne [; vv! CE -1516 Ni�y I' DW tar OroP PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT _ -p4 1 ^ CERTIFIED BY: DATE:¢, PERFORMED 8 , n- '13�:\fin: E:CJ .;.. JAMES B. ROBERTS PE, RLS SOILS LOG ENGINEER a SURVEYOR 360 W. BENSON ALtd BLVD. SUITE 20T ANCHORAGE , AX. 99503(90T)563-1863 p PERCOLATION TEST V SOILS LOG -PERCOLATION TEST gC'o / • __ //ei� DATE PERFORMED: /�}" Io4 PERFORMED FOR: L/ / � i� LEGAL DESCRIPTION: -/ /' 1 216W 3Brn -1 Dr 4 y s Sh/y 13rn 7 8 s C?M ' 10 ESri1 11 17Py 12 lA/� 13 L3rA 14 15 1IJ5 200 :5 �.d2'lCf i sa 5F/Fee plu�'SiC4rJ Cobb/c3 16 . 17 2iry 18 B5 5F/c3E 19 20 AI,,0 r.,O wa SITE WAS GROUND WATER Alb ENCOUNTERED? w IF YES, AT WHAT DEPTH? Groff Reading Oafe, Tirne [; vv! CE -1516 Ni�y I' DW tar OroP PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT _ -p4 1 ^ CERTIFIED BY: DATE:¢, PERFORMED 8 , "One Tem is Korth a Thousand Opi�o.27?-0231 220A Cleve -,ncliorager Alaska 9 Date Pe-r-fO e e / �fonned for Steve Chronn (CPSS 1Tract 15 The village �1A.Z.:Blocl._� ubdivision gal Description: _• PERCOLATION. 'ST is l orn reports: SOILS TEST Yes iepth 'eet soil -Characteristics a Brown sandy silty gravel -wet- hole IIottom of test Bedrock V,as ground water Encountered no_ If YES, Miat depth? Reading Date I Gross Time s -Vet Tine Depth to H2O' Net Drainage ?S inu to D�1Zt1' r- IELD�— Percolation Rate SEEPAGE PIT Proposed'Installation' Depth to Bottom of Pit or Trench�— Depth of Inlet e_Jrock encountered. at 5'. A second of to conzirn a roc,: at avi a L'au Data Certi_iBy- C 8 z��Y9' Test..Yer ormed by . • • -pate _ 0 1 (1 N \, l WATER WELL RECORD STATE OF ALASKA IDEPARTMENT OF NATURAL RESOURES -- •' Division of Geological a Geophysical Surveys 4s144/wg -Pwsh40 'No. ..� ..r.• se,..... ..e. .I... A. an .! Sr I 1.D.1.1re. la. Sarawak Subdivision Lot Bloc■ action No. Township N Ranea E❑ Morldl°n /INLfJ C 30 W❑ Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS S. OWNER OF WELL: JAO-VLj> 71ZAtr g- a Address: 4101; L31ZANMEY PL Street Address and Area of Well Location ANtM AK ggS07 . 2. WELL l00 Feet Solon d, WELL DEPTH: (final) S. DATE OF COMPLETION Sur foes Material Type Top Bott e, 6. ❑Cable tool Rolary QOriven ❑Dub ' ❑ Auger ❑Jettad ❑ Bared ❑ Other ?.USE: ® Domestic ❑ Poblle Supply ❑ Industry Irrigatlon ❑ Recharge ❑ Commerical rlZA _a 72711417 fig,❑ ❑ Test Well ❑ Other: ♦I Ig 110 lmgE Y B. CASING: ❑ Threaded ®Welded diam. I In. to ,j it. Depth Weight 4i lbs./a. dlem, In. a_n, Depth Sllctupit. ' .4 Am r"f1reur JrtHr, D9 60rY :1 4„ (j 1 / j t. FINISH OF WELL: Type: T)iomater: Slat/was slew: L : Set 9er.ew It. and it. to/e'Yflllin6 Gravel poet nor — /MITE 1-11114Ej2hS 1 t.1'EY 10 STAT CI WATER'LEVE L• O r AI ft. Cl 1,1A ❑ Above or ❑ Below land surface Date Equipment used: MUNICIP II. PUMPING LEVEL below land surface and YIELD DEPT, OF a RAGF rl 11. after pumping;Z a. P. M. /t. oiler hn, pumping—e.P.m. 12.GROUTING Wen Grouted: ❑ Yes ON a . Material: ❑ Neat Cement ❑ Other:' ' 13. PUMP: fit available) NP Length of Drop Pipe 11. capacity —9 -P.M. ❑ Subm, ❑ Jet ❑ Centrifieal ❑ Other Id. REMARKS: Ali? l.frT Pv11/701h 16. WATER WELL CONTRACTORS CERTIFICATION: IS. Water Ta mpe ra tore ❑ F ❑ C This well was drilled under my )urlsdlclloe and Ibis report is true to the esu of my knowledge and esker _ In1F41 TR D171� A- ID17hD Rag.steren Business Name Contract License Number o . Date:4fpT Aulhorlsea Repwunteliw aGL "r form 02-wwo h./n.1 Coss Distribution: WHITE -Stale OGGS. PINK -Driller, CANARY -Customer -- Municipality of Anchorage Department of Environmental Quality Dcar Sir(s); On 10/10/85 Newton excavating installed a n 1 (73AI3.)3U f'o�' _, c avyi MIJ03108e 1YtN3 Rov-d Y -f4y t dO 1 3Q if (i 4v _404117ydloltov 1" copper waterline to the new reStdence of Jim Talley 16cated on Tract 88, The Villages Subdivision. The waterline was of 1" type K copper tubing and was free of unions, joints, or connections under the slab and footing area. The only joints in the waterline are where the waterline conne[i.5to the pitless adapter.% I hope this will clear up the matter concerning this water line. If you have any further questions please call me, Matt Newton, at my office. The telephone number is 333-7563 or 349-3926. Stcerely yours, Alaska State Business License AA327 Employer I.D. 0 92-004-3099 - MUNICIPALITY OF ANCHORAGE J DEPARTMENT OF HEALTH 4 HUMAN SERVICES AiML �> Division of Environmental Services ' On-Site Se7vices Section . P.O. Box 196650 'Anchorage, Alaska -99519.6650 - _ : ;: .."CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # — ---._ v •a Lac ! r 1. GENERAL INFORMATION' Complete legal description Taact_8B; The V.i.Lfagea Subdivision Location (site address or directions) 19301 V.i_LPage o,( Scenic Pkwy Anchokage. AK Property owner Anna Wand Day phone 264-0315 Mailing address 19301 l/Utage ob Scenic Pluau Anchortage, AK 99503 Lending agency _ Day phone Mailing address ' - Agent`-`'-Deb)ia BeJ q#/ 1111STA REAL ESTATE ` Day phone 562-:6464_7--_-*- Address 4241B"'Street Anchortage, • AK 99503 Unless otherwise requested, HAA will be held for pickup _,2 NUMBER OF BEDROOMS. S .. y- _ 3. !--TYPE OF-WATER SUPPLY: -Individual well XXX , --- Community well ti Public water _NOTE .If community well system, provide written confirmation from State ADEC attest- Ing to the legality and status of system Q1,; I..-_..'..•:.. c.t_:i .. . _ .... _. �._. �,11�,�/1' 17 4 . TYPE OF WASTEWATER DISPOSAL. ` Individual on-site F XXX , j tit — , Holding tank , .r ?� Sr7� (q • r( (>:jnp t (Gn �. 7 .'.3 '......' t. , t.. �. 1 r: \1 v Y� )t�� I t u Y."t P u Community on-site.. ' -. ,p i .w.:,InL"P{`�i•fe '1 'ry rt. �� t. ft. ��'�n 1 .'y �'�/ ,11.L15� �. `I R.Y2. Public sewer,,.-. •: '.:. .j .. .. . ...w ;•... m.. •u?i [t n'�-'.' , .. •.J_.w •1....,y S +•.) NOTEco ',. If munity wastewater system; J. provide writtKen• confirmation from State ADEC.; attesting to the legality and status of system. Hass ptw.tM) Font tai 621 .. " . g, STATEMENT OF INSPECTION BY ENGINEER - As certified by my seal affixed hereto and as of the validation date shown below,) venfy that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verity that based on the information obtained f rom the Municipality of Anchorage files and from my invest!qation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances. and regulations in effect on the date of this inspection. S R 5 ENGINEERINGPhone V? .. . Name of Firm Eagle River, Alpami Address __- __-Engineers signature - -' Date CE-8801co B. DHHS SIGNATURE _ ili��p`Ssto++'� bedrooms. ---'Approved for Conditional approval for bedrooms; with the following'stipulations. Additional Comments - c Date - y�- ,NrAUTION ei - r... ThefMurVapality pt;Anchorage DepartMain of Health and Human Services (DHHS) issues Health in Authority Approval 'Certifl6tgs.based only upon the representations given in paragraph 5 above by an independent arofessional@iatj�neet registered In the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and ttiei� lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct,lnspections or analyze data before a certificate is Iasued..The Municipality iof Anchorage Is not responsible for errors or omissions in the professional englneer's work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: I RA—a 03 i 1fr-ccp -S �/�Parcel I.D. (12 O -1�9 1 -36 A. Well Datal E It A, B, or C, attach ADEC letter. ADEC water system number NIA Well typelw- -1 -Log present (�/N) YFs Date completed 4 8S _DrillerN WNnE ' rr Total depth 32S 1 Cased to 2LL.Casing height Sanitary seal 01N) yCS Wires properly protected (Y/N) FROMWELLLOG Date of test `TIayIBS Static water levet I I Well flow -9 -P.M. Pump levell8 , SEPARATION DISTANCES FROM WELL TO: AT INSPECTION ,l2 S 9 -P.M. + I 00 � ; On adjacent lots IOd ,1 Septic/hok iaq tank on lot 1 Absorption field on lot 100 • ; On adjacent lots i0U 014 Public sewer manhole/cleanout N/A Public sewer main Sewer service line 9 5 �4 Petroleum tank �"�W�' WATER SAMPLE RESULTS: Coiitor Nitrate Other bacteria Date of sample: 9S Collected by: S S �NGir�ESR'^:r B. SEPTIC191310ING TANK DATA Date installed 5 -aa e6 Tank size 1►0 614c Compartments � Cleanouts (YM) Foundation cleanoutON) YEs. Depression (Y6 High water alar (Yl� NIA Alarm tested (Y/N) N4 Date of pumping //a�9S Pumper POT() - 2o076t. SEPARATION DISTANCES FROM SEPTICrrAWOMdG TANK TO: Well(s) on lot 105,+ On adjacent lots 100 �� Foundation To property line lo.� Absorption field f0 Water main/service line 10A Surface water/drainage IL)b 4 CONTINUED ON BACK PAGE 72-M 0?(A' Fran /Zi r O Z m rrn w z .�. <c _ z; 0 :5 rn e �C R 0 2 00 � ; On adjacent lots IOd ,1 Septic/hok iaq tank on lot 1 Absorption field on lot 100 • ; On adjacent lots i0U 014 Public sewer manhole/cleanout N/A Public sewer main Sewer service line 9 5 �4 Petroleum tank �"�W�' WATER SAMPLE RESULTS: Coiitor Nitrate Other bacteria Date of sample: 9S Collected by: S S �NGir�ESR'^:r B. SEPTIC191310ING TANK DATA Date installed 5 -aa e6 Tank size 1►0 614c Compartments � Cleanouts (YM) Foundation cleanoutON) YEs. Depression (Y6 High water alar (Yl� NIA Alarm tested (Y/N) N4 Date of pumping //a�9S Pumper POT() - 2o076t. SEPARATION DISTANCES FROM SEPTICrrAWOMdG TANK TO: Well(s) on lot 105,+ On adjacent lots 100 �� Foundation To property line lo.� Absorption field f0 Water main/service line 10A Surface water/drainage IL)b 4 CONTINUED ON BACK PAGE 72-M 0?(A' Fran LIFT STATION Date install �lT Manufacturer Size in gallons Manhole/Access M Vent (YM) *Pump on vQ t "Pump off" Level at High water alarm level les tested Meets MOA electrical codes (YM FROM LIFT STATION TO: on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed 5—o2A0 -S6 Soil rating (GPD/Ft2)�Ssrlg/z System type gED Length YO Width �$ Gravel thickness le� ! Total depth 5 Total absorptlonarea / 0 $j- Cleanout present (Y/N) YFS Depression over field (Y/() Na Date of adequacy test 9S Results (pass/fail) P4SS for S Bedrooms Water level in absorption field before test (7zY After test Uzi Peroxide treatment (past 12 months) (Yly)I fANKrvownr If yes, give date M114 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot_ /OD fi On adjacent lots loo `f property line 10 ,� To building foundation /0 � To existing or abandoned system on lot NIA On adjacent lots -25 %i Cutbank_ NI watermaintservice tine 16'/- Surface 0�Surface water 100 + Driveway, parking/vehicle storage area S t Curtain drain 6" F: Lmowr E. ENGINEERS CERTIFICATION I certiy that /have checked, verified, orconlormed to all MOA and HAA guidelines in eHpcf�iilhetl t 1 this inspecbbn. Signature r�L� tin Engineer's Name IAC GBS.! T C. 60 ,4"/ Date_ ► 130 Cl iCE -snot HAA Fee $ Waiver Fee $ Date of Payment /- c3/- %S Date of Payment Receipt Number 10-5 7 �� ,z/ % Receipt Number 72asa rysM• Bad, r.: C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 815, BED Type of System Design Date Installed 0�Length of Field q0, Width of Field Zg Depth of Field s Gravel Bed Thickness 17 - Square Feet of Absorption Area 112-6 Standpipes Present ION) Depression over Field (Y49 Date Of Last Adequacy Test J_N�19 Results of Last Adequacy Test /V A Separation Distance from Absorption Field: To Water -Supply Well 16011 "i - To Property Line To Building Foundation Ion �f Lot g N / To Existing or Abandoned System on ; On Adjoining Lots too / 7t' To Water Main/Service Line _d 1 To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course 100 '-f- To Driveway. Parking Area. or Vehicle Storage Area to If Comments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Acte N) "Pump On" Level at "Pu If" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments Check Permitted Bedroom Rating Against HAA Request •• Icertify that lha ecked, erilie ,orconformedt0all M Aa dHAAguidelinesineffectonthedateofthisinspection. Signed r Date 8 Company MOA No. �61",%14% • Receipt No. 100\ 0 0 o q i •( ,0 �q .:4,� l# Date of Payment B to AV • .��% Amount:$ �••• •• is at •••�A ••p AT7"4CHMEivrs/ xJ�LL GOG ;. ."•5�•:s %..s if LE C REID, A / Page 2 or 22 G/14TER S/}MPL6 �� CE -2251 •cam g •• �••• �''` 3 SITFS PGS 72-026 (11,84)ha.u'� 01/26/95 13:25 COPTERCIAL TESTING • 9076941211 • . CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING dt ENGlNEERAVG CO. •p,T'lcrly-:mac TELEPNONE(907) $82.23,13 �NAnudroraye A4s:a 9931E . g5_C=I-,- prinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM LD.lt PRIVATE WATER SYSTEM s k SAMPLE DATE: F0-1 -n Mo. Day Year SAMPLE TYPE: Routine ❑ Check Sample (for routine sample with lab ref. no. ------------ ❑ Treated Water ❑ Spacial Purpose ❑ Untreated Water TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: a0Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit: sample should not be over 30 hours old at examination to indicate reliable res0s. Please send now sample via special delivery mal Date Received a i Time Received /435 Analytical Method: Membrane Filter No. of coloniesr100 ml. SAMPLE Time med Collected II Lab Ref. No. Resuh• Analyst Co No. LOCATION I /_,, ` 1 I1PGT "'LC�4G E S �j —Ins All ® J1�—. g5.o3cU 2 -3 I i 4 I —� sl I L I m BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS .; Mer^pranePiner.Di,edCount K� C CotiranrJ,00MI Verification: LSD ca �wlfr: OT BEFORE ;. Fecal 'DMaormCena.matien 1..: cn11 Oyi IV COLLECTING SAMPLE F'nal Membtene Filter Re.ulte caerumdloo nl Reported Bye (y)��- Dt1e rxl ? 5? t�— Time: TNTC = Too Numerous To Count . . OB = Other Bacteria 61/26i95 13;25 COMERCIFi TESTING - 9076941211 NO.5% 094 JAIL Mk ••.ea ,ea CT6E ReI.N Client sample ID Matrix Commercial Testing & Engineering Co. .aa� Environmental Laboratory Services 95.0700-2 LABORATORY ANALYSIS REPORT MCI 6B THE VILLAGES s/D NATER Released Sample Remarks: EAHPLE COLLECTED BY: J.N. Allowable Ext. AnalOC _ Parameter Results Quel Units Method Limits Date - Date----_ rilt-- _.. 01/25/95 CMR Nitrate -N 1.22 eg/L EPA 757.2 30. ................«.................................................._................................................ UA . Unavailable • See Special Inetructions Above RA • Not Analyzed •• Be(. Sample Remarks Above IT • Leas Than �*U . Undetected, Reported value in the practical quantification limit. CT . Greater Than RD . secondary dilution. 5633 B Street Anchore9e, AK 99518.1800 —Tel: (907) 562.2343 Fox: (907) 581-5301 ENVIRONMENTAL FACILITIES IN ALASKA. COLORADO. FLORIDA, ILLINOIS. MARYLAND. NEW JERSEY, OmIO. UTAH, WEST VIRGINIA WORK Order 12176 Client Name S i S ENGINEERINO printed Data 01/26/95 a 12:25 bra. ordered By RAY Collected Date 01124/95 a 12:15 hra. Project Name Received Date 01/24/95 O 11:15 bra. projecty MID UA Technical Director STEPHEN C. EVE Released Sample Remarks: EAHPLE COLLECTED BY: J.N. Allowable Ext. AnalOC _ Parameter Results Quel Units Method Limits Date - Date----_ rilt-- _.. 01/25/95 CMR Nitrate -N 1.22 eg/L EPA 757.2 30. ................«.................................................._................................................ UA . Unavailable • See Special Inetructions Above RA • Not Analyzed •• Be(. Sample Remarks Above IT • Leas Than �*U . Undetected, Reported value in the practical quantification limit. CT . Greater Than RD . secondary dilution. 5633 B Street Anchore9e, AK 99518.1800 —Tel: (907) 562.2343 Fox: (907) 581-5301 ENVIRONMENTAL FACILITIES IN ALASKA. COLORADO. FLORIDA, ILLINOIS. MARYLAND. NEW JERSEY, OmIO. UTAH, WEST VIRGINIA n ^ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) T R45 114L II(I «cam TIJAI Raw srcw Location (address or directions) ON 4EF7ENOOF P&MMENT ON VILGAG£5 SGENtG (b) Applicant Name ��lll/i TALLE ti Telephone: Home Business ApplicantAddress 109 OLn SEwfigt7 #W AKIN f}K 9�So3 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builderO; Buyer ❑ : Other ❑ (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: I 2. TYPE OF RESIDENCE Single -Family Ul Multi-Fami❑ Other Number of Bedrooms J 3. WATER SUPPLY Individual Well g Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. t. , 4. SEWAGE DISPOSAL Onsite$ Public 13Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 111154) Page 1 of 2 5. I ENGINEERING FIRM PROVIDINv INSPECTIONS, I tr' ,... TESTS, FILE SEARCH, DA fA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the informationobtained and/or from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supp y wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S6�� S� C/o of Firm A� 5 (NCr Telephone Address/�� w 3-5'� AUE #13 A N G H AK 9950 � Date 6 6. DHEP APPROVAL J Approved for Approved Disapproved Terms of Con itional Approval Conditional fH� ...�...p tOY G raID, A t Q CE -2251 �....... •'ESB - � r Prafrs}nn3� ,.e. CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP doeslhis as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct Inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. Page 2 of 2 72.025 (11/84) I 96 SEWAW HIGHWAY. ; E, IkLASKA '"5.18 VZ ERIOLOGICAL WATER ANALYSIS N DAY I. -p. NO.'(PUBLIC-SYSTEMS) NAME OF S,Tkos SYXrEM ADDRESS rf CITY 'LEiED BY WATER SUPPLIER TINE COLS PA14N l E3 TYPE OF SYSI PUBLI9W"1 CIRCLE CLASS //� J A B C ids TELEPHONE NUMBER STATE ZIP CODE LOCATION WHERE SAMPLE WAS COLLECTED 'COLLECTED BY:(SIGRATU TYPE OF SAMPLE (CHECK ONLY ONE THIS COLUMN) DRINKING WATER ❑ CHLORINATED ✓CHECK TREATMENT ❑ FILTERED NONTREATED OR OTHER ❑ RAW SOURCE WATER ❑ NEW CONSTRUCTION OR REPAIRS ❑ OTHER(Specify) IS THIS SAMPLE A CHECK SAMPLE TO A PREVIOUS NON -CONFORMING SAMPLE? ❑ TES �NO PREVIOUS COLLECTION DATE ANALYSIS RtOOESTED (IF OTHER THAN TOTAL COLIFORM) SEND REPORT 70:(PRINT FULL NAME.ADDRESS AND ZIP CODE NAME Q // ADDRESS � (ZDD M 33 " CITY tm+Nr STATE AL _ZIP 1076 BACTERIOLOGICAL WATER ANALYSIS RECORD FOR LAB USE ONLY ❑ RESUBMIT SAMPLE Sample rejected because: CHECK ONE OR MORE ❑ Sample too long In transit. Sample should not be over 30 hours. ❑ Sample received too late in week ❑ Not in proper container ❑ Leaked out ❑ Insufficient information provided. Please read instructions on form. ❑ Other (Specify) RECEIVED FROM RECEIVED PY METHOD: Q•MEMiBRANE FILTER ❑ FERMENTATION TUBE Date B Time Started i5 y�6G OL, M Date & Time Completed ,P6 Tijz, em Amalyst .,AZ6Z f Ezra. vi may_ ❑ Other Bacteria ❑ Test unsuitable because: ❑ Confluent Growth ❑ TNTC �/ SATISFACTORY Q =SATISFACTORY ❑ 1 READ SAMPLE COLLECTION INSTRUCTIONS ON BACK OF FORM Membrane Filter: Direct Count 0 Coliform/100ml TOTAL COLIFORMS BGB Verification: LTB MFECAL COLIFORMS Final Membrane Filter Results Coliform/100ml E OTHER Reported By Date Time A.M. P.M. 1 READ SAMPLE COLLECTION INSTRUCTIONS ON BACK OF FORM Municipality of Anchorage May 6, 1986 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH i HUMAN SERVICES Mr. Daryl Kvasager, President Lounsbury and Associates, Inc. 723 W. 6th Ave. Anchorage, AK 99501 Dear Mr. Kvasager: At your request I will clarify the regulation concerning separa- tion distances from on-site sewer system components to adjacent surface waters. As you may be aware, approximately one year ago the State Department of Environmental Conservation (ADEC) provided our department with an interpretation of state law regarding the definition of surface waters. Although the municipality has been granted health powers by the state, we must always enforce state laws where they are more stringent than local ordinances. To that end we have specific separation distances which are enforced. The minimum separation from sewer system component to any nersistent surface water is 100 fee -7. Any'exceptions to this firm standard must be evaluated through a waiver procedure. At the present time waivers for single family systems are being eva- luated through our department. I might add here that we are most reluctant to grant waivers to surface waters. In no case are "blanket" waivers ever granted. We rely almost entirely on the judgement offnrotessiona.L en for the determination of the presence of sur ace waters. Normally a platted drainage easement is sufficient reason to suspect a natural drainage; however, this is not always the case and the designing/inspecting engineer must evaluate conditions. We make every effort to properly enforce all provisions of both state and municipal laws, but we realize errors do occur. As errors are brought to the attention of the department we attem ill cotiue too so in the f to rectify them, and roenalnactiondwill be takenutorensure Where necessary, appropriate leg compliance. 1^ May 6, 1986 Mr. Daryl Kvasager Page 2 If you have any other questions, please contact me at 264-4720. Sincerely, Susan E. Oswalt Program Manager On -Site Services SO2/dEfi9 enclosures cc: John Kennedy ALASKA ENVIRONMSNTAL CONTROL SERVIC" "INC I 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 276-1361 JOBTRBB F__VIUALjE.t — O.S SHEET NO. OF %YrK CALCULATED BY DATE� CHECKED By- , ff p 7 3j, 2f, 37 -47 I gm jjq C/o 7-7 WELL i 21' 00 ffel Us I k 7 3j, 2f, 37 -47 I gm jjq C/o 7-7 W LOUNSBURY & ASSOCIATES, INC. ENGINEERS PLANNERS SURVEYORS March 4, 1986 Department of Health & Human Services Pouch 6-650 Anchorage, AR 99510 n 721 w. 6th Avenue. Anchorage, Ak. 99501 Tel. (907) 272-5451 Attention: Susan E. oswaldr Program Manager On Site Systems Dear Susan: This letter is being written to request verification of location of test holes and septic systems for the following lots within The Villages Subdivision, Pineridge Subdivision and Village Parkway Estates Addition No. 1. The individual parcels are Tract B, the Villages Subdivision; Lot 8, Pinere Subdivision; 'and Lot'2r Village Parkway Estates Addition No. 1.' As~you are aware, there are streams and drainages throughout the Hillside and my concern iff that the records (copies attached) indicate that the 100 -foot setback from water courses may have been overlooked during the review process. If, however, the department has waivered the 100 -foot setback I would request that Yourideration be response will beven all the lotappreciated and rwithin the Villages remain Sincerely, IDUNSBURY & ASSOCIATES, INC. Darl W. Rvasagerr P.E. President DWR/sw Attachments: As noted cc: Bob Maier Steve Hagadorn Gary Ide �� t*r J MUNICIPALITY OF ANCHORAGE I•. ...e DEPART. JT OF HEALTH & ENVIRONMENTAL PR :CTION �I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 2944720 —� REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ANDMR WELL INSPECTION PHONE � tgt, / /- 3J E 06"I-v%eI r AZAC GAL DESCRIPTION i n�CT I (� i LoT t (CATION 4EC'vfC bsorl Absori G c Well ' V1144 DISTANCE TO: Use `4 Manufacturer W r- l.• Inside w Loc. Caoacity in gallons IF HOMEMADE: ST RATING •/; >j 7E KS Sewer Jn f ase ll 1: V ILL11GC•S S f DATE LEGAL to NO. OF ❑ UPGRAD E No. of compartments L Liouid depth PERMIT NO. / QOO'At- p Y V VJell DIST �.N TO: O? Hmanufacturer i `J= VJell DISTANCETO: yW w No. of lines n Lang Etc Top of the to knish grade Length ` Wrdt W C F Type of crib Crib �a w� Well DI5TANCETO: J Cuss Dep .NJ�•VI w.. W a Bull DISTANCETO: . OTHER ST RATING •/; >j 7E KS Sewer Jn f ase ll 1: V ILL11GC•S S f DATE LEGAL to NO. OF ❑ UPGRAD E No. of compartments L Liouid depth PERMIT NO. 11?ACT 78 n 30 z Z 9 1' ' ABOVE. UND`; 109 SLATER jr�v FAIRBANKS, J,IENH z , CHEL-EL C CORPORATI TRACT 8C �l to T \ _ 92 258 SF U) Ul J f r \ 50 .I 1 \T \2 - S 87°3702°E A �\ 361.38 o-\ �D n p \� :TRACT 88 96 639 SFam. r ; ; -F-FLUSH WITH N/ VI \ Benson 9 Z�9 +KI.. •.. ABOVE. UND`; 109 SLATER jr�v 9 JET '^ 22.42 N N N 5303745 87°3635"C 285.51(NR) 1 2S1DR At AGE qy •EASEMENT 80.65 GFMH EA OJ OF Tn A N5303745" p CT 8A WO J 42 027 SF __�_ 10' UTILITY EASEMENT 50 — —----------i N 89*6T •�5-IV 266.19(NR)MSR ov i VILLA -,'--SN TRBC' 3745-5 1979 FOUND 5/8' REPLACEDI RONALD EAGLE RIVER 40NA�LDUI 109 SLATER jr�v FAIRBANKS, J,IENH , CHEL-EL C CORPORATI ROBERT U( 4664 BUS _ ANCHORAG U) v' •l J f r �.> 50 .I 1 JET '^ 22.42 N N N 5303745 87°3635"C 285.51(NR) 1 2S1DR At AGE qy •EASEMENT 80.65 GFMH EA OJ OF Tn A N5303745" p CT 8A WO J 42 027 SF __�_ 10' UTILITY EASEMENT 50 — —----------i N 89*6T •�5-IV 266.19(NR)MSR ov i VILLA -,'--SN TRBC' 3745-5 1979 FOUND 5/8' REPLACEDI TR 8 RONALD EAGLE RIVER 40NA�LDUI 109 SLATER FAIRBANKS, J,IENH CHEL-EL C CORPORATI ROBERT U( 4664 BUS _ ANCHORAG U) TR 8 SOUTtCEHTRAL REGIONAL OFFICE 437 'E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 February 4, 1985 Mr. Robbie Robinson Municipality of Anchorage Department of Health and Environmental Protection Pouch 6-650 Anchorage, Alaska 99502-0650 RE: Surface Nater Definition Dear Hnl,ss�. 274-2533 Over the. past several months, several discussions have focused on the criteria used to define surface waters as identified in the States Wastewater Disposal Regulations. To understand the following,, definition it is helpful to remember the importance for protecting the quality of surface waters in an urbanized community.such as Anchorage. Realizing that any persistent surface %rater has direct public contact, it is imperative we protect these waters from contamination. Consequently, we consider that any surface water either manmade or natural, which is not directly attributable to a rainfall or snow melt event will be considered a surface water for purposes of prescribing set back distances from sources of contamination. Considering the problems with stream pollution in Anchorage, it is important to protect all surface water sources feeding the larger streams (Ship, Chester. Campbell, Fish Creeks) to the levels identified for water contact recreation. Public contact with these smaller streams is often unavoidable and therefore their protection is just as important as the major streams. Please contact me if you have any questions on this subject. Sincerely. ✓JG�I Bill Lacmreaux Regional Supervisor 1b BL/lmc cc: Bruce Erickson, ADEC Jim Hayden, A/ti District Office .�. ALASKA ENVIRO^ENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 phone 561.5040 JOB XZA Y A 1p� I/zer Z 9 r.C.4 nvE ;'14 Z SHEET NO. t ... CALCULATED By C�QoJ DATE /0{ M, CHECKED IIMOQ•1 AfK9 <4YYNU1. i IIMOQ•1 AfK9 <4YYNU1. ALASKA ENVIROL FNTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue Suite 8 ANCHORAGE. ALASKA 99503 Phone 561-5040 AA 1 ef"%<�&z nc,41 ;V*F 40, $MEET NO. Of -� CALCULATED Gy SFGO,eDS DATE /0 '!�6 le if CHECKED .DATE� 4 -A-4,!6 T-1- ez iz� wlWs t r111-5 ff, Vc ell r-7 64 ,T /3 TO_aE , '(-_CAYA �-Id;V-r .,4110 T%/4 _Jwz62 f WIV. j0. //V- v rx11-5 - -7 e H�5_ 40 -11712 /7;� r&Z77/ -- 4VOcr. .6 4 5 reed E, m A Moll— Ahlwlf r. 171C zb rIVA" Ag5jaeV-11 V. 'cl-EZ IAC`774111. 7Z:) 7d/ 11E411& .I 7 rvP O'Cr- r -Z -. 4,44 C A. S1,10W 0,V- -:W4 -7 xrle ro Li Iry Tl/AN_ lf. I ZyZ4 V'!cz. d4rlc 1-745 BEP -r114 44 �/V EX7�?!/p__�/it._. w fe •&M A,46 --B A,;l -- AVFFV� � VIM flat ALASKA ENVIROI . FNTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue Suite B ANCHORAGE. ALASKA 99503 Phone 361.5040 n JOB SHEET MO. Z of� CALCULATED SV CHECKED SV DATE DATE o..ww i T: LESS Ft,O_.� I . rHRN..._.4f--OFl.EAPTtL-TCov ___ ER -- i4_...Z_.�f _M/N//lU�l._COYER. /5 ._.PECON.�f/DED ON THS_ - �-- - I I I 4 Z. (o:_. ENG/NEE.elillCf_FAB.P/C� SHrfLL 1.8E !USED _ TD TIfE__—'�— — NSULRT./DN_1N�COvE�1-G.�AY�Z i / i 1 _ Z.7_; _TWO OSSERI/i9f/O�L.P/PES.. S114LL:.Bc' PLs10ED.As sNDKrN_/N_� T-- TH. _ , SyE�"T ,5 OFr> . MAY.: HA ✓� _O. Sin _ ,ypE 'HOLES :. �Dt7A/L ._ fl, -- 1p_..303A :...__E sEGT/O AT..: ahit -- •,--.�._–.CEx/��---ON_dPiCSlT�.__S/DE5-.OF._; .lf1E,._P/FE_...O.P_A_-EGT/oN! I � � ...----- cT/o./__v/ilif.'A._;NoH14/B:.�uPL/.Y�� elf- SOLVENT_ Jd/NT - -- —_ - - • ��E7A/G, _ B>.--_ ,� . ;�riBSElz .XA/N z�Ap_CJii�.. CAP tae .EOUAL� :... - _ I. M Z.b ____ .THE. Tam AND ri/E S/DES. of -Tr/E. - --: W/ff/.--./4.;_ eaNsre4/cTiaN Kmas.l nen I�.orrH.rt , _.._ Kmas.l nen I�.orrH.rt • �' /`ELAN n!O/Y ALASKA ENVIRONMENTAL JOB 7 CONTROL SERVICES, INC. SHEET 140. of 1200 West 33rd Avenue Suite 8 CALCULATED BY s�'�o cnS DATE ANCHORAGE. ALASKA 99503 Phone 861.5040 CHECKED BY DATE SCALE - 1 }_.If_.3! eK__ -- I _i I II _I I [or 2 so' 1 ,'- ALASKA ENVIRONMENTAL JOB ALA/v /LIDO? CONTROL SERVICES, INC. SHEET NO OF S 1200 West 33rd Avenue Suite B CALCULATED SY -S% COLDS GATE ANCHORAGE. ALASKA 99503 phone 561.5040 CHECKED SV GATE SCALE I RA I SEPT/� T�i✓C i !... 37 L/n�E5. PEif. PVC P/PE ! . D/31X 8UT/ N /.1/&3 G " ¢AALI,� . 6E7M455� I I IPET/'. p/pEs � Z• o SPEGT/ON. z � _ AgSaPPfioN A,PEt (vB9 I -- - I ! , , I i Ta K&PeleE MAIVelALS USED FD/t-. Xla:41 /DN /S �fEQU/eED i�R Zi "-eCA0kb ekA)'EL ... o.:. o.. o.. _ CGP ALASKA ENVIRO�ENTAL ' CONTROL SERVICES, INC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 561.5040 - , - - - _ apr JOB ALAN SHEET NO. OF CALCULATED SY DATE � CHECKED SV DATE Ivs' _ALLOiVED I I llisutAn, _ _i-_,_,__�-Y -- -'•�r=1111=--�- + + 1 _ r . , i I f _ G�PA1/ELO Dol o 1 � 1— P..� O- --0— 0O f 0 1 i �.�TY-'l"�+'�—• 2.x_ .n Yw.+..aa�_ ..aaa _ _ �—i... ___ _ _T T'I___.. ....�,-+ _ - �D 1 I I _ : I Orloc- �..broy . Midrk. - �A PaoFES ION -- 1 , ff _ FmOAH Nnr `c e..ran