HomeMy WebLinkAboutWHALEY #5 BLK 1B LT 2Whaley #5
Block 1 B
Lot 2
#051-111-22
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Prone: (907) 343-7904 Fax: (907) 343-7997
http:flwvAv.muni.org/on$ite
On -Site Wastewater Disposal System Permit
Permit Number: OSP211296
Work Type: Septic Initial
Tax Code Number: 05111122000
Site Legal Address: WHALEY #5 BLK 1B LT 2 G:1361
Site Mailing Address: 24215 TEMPLE DR, Chugiak
Owner: JONES CRISTINE K
Design Engineer: EKLUTNA ENGINEERING, LLC*
This permit is for the construction of:
0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
_ f
Ucl)a rrmenr
812!2021
8/2/2022
59242
❑ Private Well ❑ Water Storage
Ail construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received B)
Issued By:
Date: S'/ Z 2
Date: /to" f
1
ON-SITE SEPTIC/WELL PERMIT APPLICATION
��1 111-��
Paroe|iD. -
j(}NES{�RIST|NEP{
Property ��
Mailing address pOBox O71153ChUgi8k
Site address 24215 Temple Chugiak
Legal description /Gub'd,Block & Lot) VVH/\LEY#5 BiK
Day phone
1B LT 2
Legal description (7ovvnehip. Range &Section)
Lot Size 59,242 Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
APPLICATION |3AN:
TYPE OFDWELLING:
(Zall that apply)
Absorption Field
Fxj|ni�e|
��
Single Family (SF) 171--
--
kx�vvoAOU\
Septic
�I
Upgrade ��
` '
�
--
--
Duplex (D) | |
Holding Tank
| |
Renewal �l
� ' --
--
--
Multiple Dwellings | |
Privy
0
(SF and/or D\ �—
Private Well
El
Water Storage
[71
THIS APPLICATION INCLUDES AWAIVER REQUEST FOR:
| certify that the above information is correct. | further certify that this is in accordance with
applicable Municipal Codes. /,I, r I
(Signature ofproperty
or authorized agent)
Permit/Rush Fees: Xt 57 5, Waiver Fees:
Date of Payment: r7l III W1 Date of Payment:
Receipt Number: al � 9 sb Receipt Number:
PermitNo. 0SP'21f2q4 Waiver No.
GAoo,nmpmomSmwcev\Bvnuinoawfety�OnSite Water and WaotewotenponnoVClmm/Funnx\PemuApp caUon.doo
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211296, Rebecca Carroll, 08/02/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211296, Rebecca Carroll, 08/02/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211296, Rebecca Carroll, 08/02/21
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section - Fax: 907-343-7997
Septic System Owner -installer Agreement
The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner
to perform work on an on-site wastewater disposal system to serve that individual's owner -
occupied, single-family or duplex home if the homeowner meets and agrees to the following
requirements:
1. The property owner and excavation equipment operator may perform work on no more
than one owner -installation project in a 12 -month period.
2. Owner's projected active involvement with the installation:
t( o F i4-,
3. The name of the excavation equipment operator:
W16-v_� .41."Jas
4. 1 agree that there will be no monetary compensation for installation services rendered.
5. The name of the inspecting engineer:
6. 1 agree to discuss the following items with the inspecting engineer:
a. Permit design criteria and specifications.
b. Inspection requirements set forth in AMC 15.65.070.
c. Advance notice given to the On-site Water & Wastewater Section for all required
municipal inspections (AMC 15.65.070A).
7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will
obtain additional installation instructions and approval from the equipment distributor.
As owner of (legal description)
1 agree that the information above is true and accurate. g 5'Sd 7
Owner's printed name:
Owner's signat Date:
Mailing ' • • • Box 196650 • ' Alaska 99519-6650 • •
Municipality of Anchorage<.
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 Elmore St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.cl.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL
INSPECTION REPORT
Permit Number: SWOgOot33
PID Number: 051-/1/-22
Name
Jr..•t Brtce Wastewater System: ❑ New ($ Upgrade
Address
/ 11 LL
Po Box 61231l ^4 ;Ak 5b} ABSORPTION FIELD
�� C
Numear of Bedrooms
4
O Deal) TlolWl P(Snallow TrenN O Bed O Mound O Dow
LEGAL DESCRIPTION
Soil Re4ng
Total Dope, km w9rlal prat
81W* LN SuedmNOn
113 2. 1.1 L �
rK•
0•8 GPD/?
ope, to ppa W"M eom on i.a rade
Dp 0
5-S FI.
GravN dspN parraN pp.
To.nsNp Rargs Secaw,
For added scow mPnal ,w �, FI.
Ula NLanpin .j FI
Ft.
-1
Well: ❑New
Xis in ❑Upgrade
Gr .inn
Fl.
Numw, of Inas D-sism, t,&« nln.a
CMsNLrawn (PnwN. B, C) Total Dspm Cased to
FL
Twat apsorpuon also
Fl
I L1 N,
Ft. FI
Unusr
c5
-75D Ft'
'w 3oto
F$lo 34
Dale DousdShut Wataslarsl
Ft
—at
In.Maer
VC-An �a'TM.�rrc lcn
ONa alNe iM
b 30-�Of
Ymd Pump yetCaslnp Magnt Aoow Wound
GPM Ft. FL
TANK,,
P.
SEPARATION DISTANCES
RI Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To Septic Absorption Litt
From Tank Field Station
Holding ualUPMate
Tank Sewer Line
waaus.r .p.a,F
Anc4lora TAnEL
Gr. 1 150
woo71- IDot* N,
I W A,
N. 1+
A. as
M.t.nol, Numeer a C-T.nmam.
SJet,
Ic�p t
2
Susan Waterf
N.D. N.A.
N, A.
LIFT STATION
Lot Uno
514-
IDI}
il/
N /�
hit
as
.aura,
s
Gal
PFLOn
1+
I� t
A ,, A,
NA.
P�nlp an Nwl at
•Pump olf law N
N.gh —Ior MYm aL'V
^
nq10I
im
Dn'n
N, O.
/V, o .
N. A.
I!. A.
Pump M.k. 8 Model
�eancal aup.coona pMmnd by,
Remarks
F i 'n S }
BENCH MARK
0 '
ltrs.on w Dasrnpuon
rtvn.
ao $irl;n /YE VoLom Corner-
rMdMNraLpl.
IDD
FL
f� 1
Inspections performed by: LgrS Jotr h� .r,� Dates: 1M_
-4
��•QF A....10
2nd G
Development Services Department Approval' PProval
� �'•• `'' 11
Conditional Approval Date:
:49TH
i 5+..
LAPS . SPURK_A' D; /
Reviewed �V,
�1 ?•. 115^0 ;F� /
(11F�F^'
and approved by:
(Rw W.9a) Date: 3' / 0
1� FE.,�'tJ`��� —
v, 1.1 V(! v
1_ N 68.0' 25'
LOT 1 1 59.5' 20'
'Y ✓ 825' 60.0' I
ralINSTALLED 50 SO FLOW SPL/1TE
__..... ..--.. ...�- e ..--
'c ABANDONED EXISTING TANS
MSTALLED 1.OUNDA7WN C
I J,
fLTZEMPLE
�------------ DRIVE l
N01E.• TN/5 111101 A SURVEYED PUI. KU d SEPTK
LOCATIONS TAKEN f" ON-STTE WATER AND WASTE WATER
DEPARTMENT DOCIA(MARON. ALL LOCATMS SHOW ARE
APPROXLMAIE.
25 0 25 50 75 100 125 150
SCALD I' = 50 FT
\\
)ore
1
`
1 LOT 3
I
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Pt
1
1
i
(�
I
1
1
INSTALLED 4 -BEDROOM SEPTIC SYSTEM
I
�
1
CALLON STEEL TANKTRENCH
1
LENGTH 2 X 45'J1250
WIDTH 5 fEITTOTAL
DEPTH 5.5 flETROCK
DEPTH .11 FEETw\COVER
/
3 fE£T
-----...--SwiNC n
_._
- ---_ -
A
8
SeQ¢�
c Ts'
4.0'
P
i ' LOT 2
D eo.o'
s'
(�
f 38.0
9.0'
1
C 11A
..A
v, 1.1 V(! v
1_ N 68.0' 25'
LOT 1 1 59.5' 20'
'Y ✓ 825' 60.0' I
ralINSTALLED 50 SO FLOW SPL/1TE
__..... ..--.. ...�- e ..--
'c ABANDONED EXISTING TANS
MSTALLED 1.OUNDA7WN C
I J,
fLTZEMPLE
�------------ DRIVE l
N01E.• TN/5 111101 A SURVEYED PUI. KU d SEPTK
LOCATIONS TAKEN f" ON-STTE WATER AND WASTE WATER
DEPARTMENT DOCIA(MARON. ALL LOCATMS SHOW ARE
APPROXLMAIE.
25 0 25 50 75 100 125 150
SCALD I' = 50 FT
0
SPURKLAND
JI'UKRLANU LNUINUKINUI I SHEET 23 CRID:NW1361 MALL'Y #5 BLOCK IH LOY' Z I I SEPTIC SYSTEM ASBUILT
203 W X. 99501 TH. AVENUE
ANCH. AK. JIM BRICf DATE.' JUNE 27, 2009
(907) 279-3916 24215 TEMPLE DRIVE, CHUG/AK, AK 99567 1
PERMIT # SVO90083 PID # 051-111-22 WHAL£Y#IBIBL2D2.dwg
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1 LOT 3
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SPURKLAND
JI'UKRLANU LNUINUKINUI I SHEET 23 CRID:NW1361 MALL'Y #5 BLOCK IH LOY' Z I I SEPTIC SYSTEM ASBUILT
203 W X. 99501 TH. AVENUE
ANCH. AK. JIM BRICf DATE.' JUNE 27, 2009
(907) 279-3916 24215 TEMPLE DRIVE, CHUG/AK, AK 99567 1
PERMIT # SVO90083 PID # 051-111-22 WHAL£Y#IBIBL2D2.dwg
a
0
c
0 oy
0
v
S �Q e
o Trench #1 0 4
0
GpL
5' Vide a
1250
45' Long
t2
55' Beepo
°
3.1' Sewer Rock ZZ
�
w
3' Cover
Q
d
d
PRIMARY TRENCH
N. T'S
NO SCALE Trench #2
5' Vide
45' Long
5.5' Beep
31' Sewer Rock
3' Cover
0 0
Tren1h#, ' 2' Insulatio
TEST HOLE
E.C. ELLE= 919'
J,'I"Cor3
EUEY.= Ems= 912
ElEV.= 9J.2'
Vt
EUY.= M..3.1
Ft of Septic Rock
1250
GAL SEPTIC TANK
H20 = 829' Effective
M nitor
T
OF
�1�♦
B.O.N. ELEv.= 78.9' NO SCALE
•'�gP(E,.....„,,,
�' ••
3' Cover
C •
Trench #2 IIEV.= 948'
W
49th '•'� ••
�..... �..... .. .... ...... .
91.8
_.. F
LARS SPUiKLAND
•� f'. '�� :
Silt Barrier
No. CE-11500
M:- e8.
3.1 ft of Septic Rock
SS
Effective
Bench
Mark NE Comer of Nouse
Assumed Elevation of 100 feet
SPURKLAND ENGINEERING
203 Ave
xmmy o BLOCK !B LOT 2
SEPTIC SYSTEM AS-BUILT
crag
Anchorage Ak 99501
JIM BRICE
DATEo .tpY 27, 209
24215 TEMPLE DRIV& al"K, AK 99567
SHEETe J/J GRID, NV 1361
PERMIT / SW090083 PID / 051-111-21
WHALE4581BL2DJ.DWC
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 10, 2009
Expiration Date: Jun 10, 2010
Permit Number: SWO90083 Parcel ID: 051-111-22
Legal Description: WHALEY #5 BLK 1 B LT 2
Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 024215 TEMPLE DR
Owner Name: JIM BRICE Lot Size: 0 SQ. FT.
Owner Address: PO BOX 672311 Total Bedrooms: 4 Permit Bedrooms: 4
CHUGIAK , AK 99567-2311
This permit is for the construction of:
❑Q Disposal Field Q 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
Issued
By: Date: b ti 0
By 0 Date:
e Municipality of Anchorage
:Development Services Department
2f 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. 05 I' I I I 1a �
Propertyowner(s) Tn Price Dayphone 6P8-04ZR
Mailing address PD VoX 011311 i C6jirk Ak 995V+ Zip Code 195(el-
Siteaddress d'1d15 lertinle LR1ve, _I!1L9i3
Legal description (Sub'd, Block & Lot) Wvv.\el
Legal description (Township, Section & Range)
Lot Size Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
❑
Septic Tank
�(
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
3
Code 995V1
Number of Bedrooms
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 Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature o) property owner or authorized agent)
Permit/Rush Fees: �'OJ Waiver Fees:
Date of Payment: —7 — R Date of Payment:
Receipt Number: O S_/ gyp' 7 Receipt Number:
(Rev. 11/05)
'r~'••C �. r
�..� Environmental Consulting and Design
SEPTIC SYSTEM DESIGN
WHALEY q5 BLOCK IB LOT 2
Municipality of Anchorage June 2, 2009
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
Subject: Septic System Upgrade Permit
24215 Temple Drive
Ladies and Gentlemen:
1 am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system
will serve a 3 -bedroom single-family residence. The lot was developed in the early 1980's and the existing septic system
did not meet COSA operational requirements. The existing septic tank will be abandoned per MOA code requirements.
The existing drain field will be left in place.
System: A 1250 gallon septic tank with a shallow trench absorption field. The absorption field will consist of two 45
foot long trenches with 3 feet of sewer rock. A 50150 clow splitter will be installed
Soils: A test hole was excavated on May 8, 2009. See the attached soil logs. Ground water was monitored through May
19, 2009. Ground water was observed I I feet below the ground surface.
Surface Water: No surface waters were observed within 100 feet of the proposed septic system.
Topography: The average topography in the area of the septic system is generally level.
Waivers: No waivers are required.
The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots. The proposed septic system will not change the general slope of the arca. Ponding and/or concentration of
surface runoff will not result from this installation.
If you have any questions or concerns, please contact me at 279-3916.
Sincerely,
bs��t �
rs Sp Aland, P.E.
Civil Engineer
203 West 15"Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, LspurklandCaa�gci.net
6PUT and Elmuhmaerkma
Environmental Consulting and Design
SEPTIC SYSTEM DESIGN
Whaley 45 Block l It Lot 2
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
May 15, 2009
We are submitting an application for a septic system upgrade for the above referenced property. The submittal
consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3),
the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet
2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable test holes are
also enclosed. The septic system design is based on the following:
Ground water observed at I 1 feet below ground surface
Use 1250 gallon septic tank and shallow trench
Soil Rating. From Testhole 5/8/09
13 min/in = 0.8 gal per sq.ft/day
No. of Bedrooms 4
Required Area per Bedroom: 15010.8 =187.5 sq.ft.
Total area required: 187.5 x 4=750 sqft
Bottom Rock At 6.5 feet
Top Rock At 3.5 foot
Rock Depth 3 feet
Total Bed Length 750/50.58 -87 feet
USE 90 FEET
SYSTEM CONFIGURATION
1250 GALLON STEEL TANK NV/ SHALLOW TRENCH
TOTAL LENGTH
2x45 FT
TOTAL WIDTH
5 FT
TOTAL DEPTH
6.5 FT
ROCK DEPTH
3 FT
COVER
3 FT(MIN)
203 West 15'" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurklandl✓gci.net
well
1C
1�
LOT 2
1
LOT 1 �.
MPL /VE
LOT 5
G I
LOT 3
I. -P I
G I
I
ROMA
• THIS LS NOT A SURVEYED PLAT. WELL trSE00
PIIC •F.•••. s��WKS TAKEN TROM ON -SAC WATLR AND WASTE WATERRTLCM DOCIlYEMAIKkI. ALL LOCATA7N5 SNOWN ARE••••••••••••••••/L.L •S SPURKLAND J_�
,•� f' NO. CC-IIS00 ••��=
50 0 50 100 = 150
100 FT. zoD aso Sao ♦i� 14% `S � ��•••
SSCALE:1 '
SPURKLAND ENGINEER/NCiYHALEY 5 BLOCK 1B LOT 2 SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE JIM BRICE DAT£.• JUNE 1, 2009
ANON. AK. —3916 99501 14215 TEMPLE DR/V£, CHUG/AK, AK 99567 SN£ET./
• 1 3 CR/D: NW1361
907 279
PERMIT #SV090XXX PID # XXX -XX -XX VHALEr#1BIBL2Dl.dwg
1�
0
INSTALL 4 -BEDROOM SEP17C SYSTEM
1150 GALLON STEEL TANK
TRENCH LENGTH 1 X 45'
WIDTH 5 fE£T
TOTAL DEPTH 6.5 fEET
ROCK DEPTH 3 fEET
\� COVER 3 fEET
�. -
seQee
Pt
LOT 2
hl }
}
LOT i
}
�I.
y
,9
c �s
' I
t '
AvsuLL so so aow SPUTTE 1
LOT 3 `�'
SeQQa
1
ABANDON [XLSTINC LANK t
INSTALL FOUNDANON CLEANO I
t
. t
--------- r----- - -t- ---
TEMPLE DR/V£
,49th '.
NOIL:• TNK IS NOT A SURVEYED PUT. IYCIL t SEPTIC
LOCAlI0N5 TAKEN iROL ON-SITE WRIER AND WAST£ WATER
DLPARTMENT DOCUMLM AWN.. ALL LOCATIONS SHOWN ARE
APPROXIMATE.
25 0 25 50 75 KY/ 125 150
SCALE, 1' = 50 FT.
203 W 15TH. AVENUE I I IflIALE l )YD HLUGK I d LUT • Z SEPT/C SYSTEM DESIGN
ANCH. AK. 99501 JIM BRIC£ DATE., JUNE Z 1009
(907) 279-3916 14215 TEMPLE DRIVE CHUGIAK AK 99567 SHEET. • 2/3 GRID•NW1361
PERMIT # PIB # VHALEY#IB1BL2B2.dwg
0
0
o �
o S1G SP�� v
EP
0 Trench #1 0
5' Wide
45' Long ti4 c
6.5' Deep ; a
°3'3.0' Sewer Rock Z,-
3'
Cover o
H
PRIMARY TRENCH
w
N.T.S
NO SCALE Trench #2
5' Vide
95' Long
6.5' Deep
3.0' Sewer Rock
3' Cover
o a
M n/tor
Trench #1 3' Cover
Silt Barrier
3.0 ft of' Septic Rock 1250 64L SEPTIC TANK
Effective
NO SCALE
M nitor W�������q
+++.��,OF �♦1♦♦
3' Cover ++�P,.• ""
Trench #2 �:' ♦♦
' 49th `♦�♦
......._.........rc..-. ;.....,
Silt Barrier = LA s sPURKLAHD
1♦ s •. No. Llsoo • �, �
3.0 ft of' Septic Rock ♦♦♦♦•',�," `�1 �:•• +
AND ENGINEERING
203 W1Sth Ave
WHALBY 15 BLOCK 1B LOT 2 SEPTIC SYSTEM AS -BUILT
203 WI
Anchorage Ak 99501 ✓im BR/CE DATE, .AM P, ?009
279 291,; 14115 TEMPLE DRAT, CNUGIAX, AK 99567 SHEET, 3/3 GRID- NV 1361
PERMIT f SWO90069 WNAL£Y1581BUD3 DWG
Municipallty of Anchorage :t� , 1 R
Development Services Department
Building Safety Division
ye On -Site Water and Wastewater Program 49TH
4700 South Bragaw St.�
P.O. Box 196650 Anchorage. AK 99519-6650
www.muni.orglonshe•YYr��, LAFG t
(907) 340-7904 / SPiJRK_
Soils Log - Percolation Test II `�Fo' •._...
r J,r'
Performed For. .�1� Bnh-e- Date Performed: Q4��
Legal Description:lA% wS fiiK 16 l -T a Township, Range, Section
Depth
1
8-
ORbnAticS
S;ILY
sang (SM)
11-
12 ilt OAL)
13- (WiNon
14- Fri4l-Ie)
16-
n-
18-
19-
COMMENTS
WAS GROUND WATER
ENCOUNTERED? /VO
-
Date
IF YES. AT WHAT DEPTH? YeS
a
Depth to Water After
o
P
Monitoring? �L_
E
Dale4g 0
O rn
13.0.11
man
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
5 6 LO
Itcopm
O rn
ID -1/8"
6 5/41
11
2.30 rn
W n;�
1 "
2'/y n
It
300ORM
6D
It "
2'/1
5! Co m
90 nus.
"""^^"'• ^^' t--) rLKU MULE DIAMETER Lo
TEST RUN BETWEEN 4 FT AND 5 FT
Ar, r. "' _1
PERFORMED BY: (01M Jf14f A+t1 I (i 14 CERTIFY THAT THIS TEST W S
PERFORMED IN ACCORDANCE TH ALLSTATE AND MUNICIPAL GUIDEfLINES IN EFFECT ON THIS DATE. DATE: —qw-02 0
Environmental Consulting and Design
Single Family On-site Wastewater Disposal System
Construction and Material Specifications
Subject Property: Whaley #5 Block 16 Lot 2
Date: June 2, 2009
General:
1. The owner shall contract with a contractor to perform the work outlined in these
specifications and plans in accordance with the attached MOA permit. There is not
contractual arrangement between the contractor and the Engineer. The Engineer shall
be the owner's representative and will Inspect the work to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the MOA.
2. The scope of the project Includes the procurement and Installation of a 4 -bedroom on-
site wastewater disposal system at the location depicted on the attached site plan
drawings. The scope of the work also Includes the installation of a new 1250 gallon
septic tank, a drain field comprised of 2 trenches, 5 -feet wide x 45 -feet long, 6.5 feet
deep, with 3 feet of septic rock below the distribution piping. The location of the drain
field is shown on the attached site plan drawings. The total depth of the field will be 6.5
feet below the existing ground surface. All components of the proposed septic system
must be constructed a minimum of 100 feet from any surface water or water wells in the
area. A minimum of 4 feet of earthen cover Is required over the septic tank and a
minimum of two feet of cover is required over the drain field. In addition to the required
earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be Installed directly over
all installed piping.
3. Construction shall be in accordance with the approved site plan and design drawings and
any special provisions noted on the Municipal well and/or septic permit. All materials,
components, workmanship and construction practices shall comply with the Municipality
of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA,
Development Services Department, On-site Water and Wastewater Program (DSD)
policies.
4. The contractor is responsible for obtaining all underground utility locates, layout of the
proposed system, and verifying and maintaining all required separation distances to lot
lines, surface water, wells, steep slopes, etc.
S. The property owner shall be responsible for final grading any depressions fonned from
settlement of backfill material. The property owner is also responsible for vegetation of
all areas disturbed by septic system Installation activities.
6. Contractors Installing wastewater disposal systems must be certified to do so by the MOA
DSD, On-site Water Wastewater Program. Property owners installing their own systems
must receive advanced approval from MOA DSD prior to system installation activities.
7. The contractor shall ensure that ALL materials being used are in compliance with the
most current guidelines established by the Municipality of Anchorage. Refer to
"Standards and Specifications for Component Parts and Materials Used in the
203 West 15f° Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, LspurklandCagci.net
Environmental Consulting and Design
Construction of On-site Wastewater Disposal Systems", Dated December 2000, as
provided by MOA DSD, On-site Water and Wastewater Program.
Septic Tank Installation:
1. A new septic tank, of the size specified in the design drawings, shall be procured from a
qualified manufacture/supplier if the existing septic tank is found to be defective.
Construction shall include two 4" diameter cleanouts for pumping access.
2. The burial rating of the tank shall be adequate for the actual burial depth encountered.
3. The tank shall be level and suffidently bedded to prevent settling of shifting of the tank.
4. All standpipes on the tank shalt extend a minimum of 12inches above the final grade.
S. Tanks installed with less than 4 feet of cover shall be Insulated.
6. The sewer service line from the house to the tank shall have a minimum slope of 2%
unless prior approval is obtained from the engineer.
7. The Inlet and outlet lines from the tank shall be bedded in drain rock or the sots shall be
sufficiently compacted to prevent future settlement of the soil.
8. Septic tank inlets, outlets and deanouts shall be fitted with water tight couplings.
9. A cleanout shall be installed 1 to 4 feet from the foundation.
10. Post tank cleanouts shall be installed per MOA requirements. Does not apply to
pressurized lines.
11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist
buoyancy forces when there is not adequate soil cover to resist uplift force. The
contractor shall refer to the engineer for direction regarding this matter.
12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the
tank.
13. All holding tank and lift stations shall have an audible and visible alarm Inside the
residence being served.
14. All lift stations shall be wired In compliance with all MOA guidelines and the Uniform
Electrical Code. A municipal electrical permit and inspections must be obtained where
required by the MOA.
15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from
any residential water well, 150' from any dass'C' well and 200 feet from any community
water wells. Additional separation distances must also be maintained.
16. The contractor shall remove or abandon the existing tank in compliance with the Uniform
Plumbing Code.
Drainfield Construction:
1. The drain field shall be excavated to the dimensions outlined in the design drawings. If
any discrepancies are noted, contact the engineer Immediately for clarification.
2. The drain field shall be installed parallel to slope contours.
3. The bottom of the drain field shall be within 2" of level. If the sidewalls or bottom of the
excavation become smeared, they must be raked or scarified prior to the placement of
filter sand or drain rock.
203 Nest 15"' Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, LspurklandCagci.net
''`�-�• Environmental Consulting and Design
4. The drain field must be a minimum of 5 feet from the test hole excavation.
S. Distribution pipe Is to be installed level with perforations facing downward, atop a level
bed of drain field rock. Septic rock shall then be placed atop the distribution piping to
provide a minimum of 2" of cover, level across the entire width and length of the trench,
above the piping.
6. A silt barrier must be installed at between the final drain rock and the native soil backfill.
The silt barrier shall cover the entire drain rock surface.
7. Monitor tubes must be 4" In diameter, Installed in the locations depicted on the design
drawings, and extend a minimum of 12" above final grade. The portion of the monitoring
tube below the septic rock must be perforated and the portion above the drain rock shall
be solid.
8. Backfill over the final gravel layer must not be less than 2 feet. Insulation must be
Installed when the backfill depth is less than 3 feet.
9. Drain field back fill shall be mounded to prevent depressions from forming due to
subsequent settlement of backfill material.
10. The contractor shall verify that the drain field is a minimum of 100 feet from any
residential water well, 150' from any dass'C well and 200 feet from any community
Inspections:water wells. Additional separation distances must also be maintained.
1. A minimum of two inspections are required by the Municipality of Anchorage. These
Inspections must be conducted under the supervision of a Professional Engineer licensed
to practice in the State of Alaska.
2. The first Inspection must be conducted after the excavation of the drain field and before
the placement of any gravel. The septic tank may be set in place, but may not be
backfilled.
3. The second Inspection must be conducted after the placement of the silt barrier, gravel,
distribution lines, stand pipes, deanouts, and Insulation, but before the placement of any
backfill.
4. The contractor shall provide a legible copy of all field notes relating to system layout and
construction to the engineer for the use In preparing the record drawings.
S. The contractor shall coordinate all Inspections with the Engineer. A minimum of 24 hours
notice is required prior to the start of construction. If necessary, a preconstruction
meeting will be held on-site.
203 West 15'" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, LspurklandCagci.net
\ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
I' ENVIRONMENTAL ENGINEERING DIVISION
825 L Street. Anchorage, Alaska 99501 Telephone 264-4720
/ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME f—
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LEGAL DESCRIPTION pp
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LOCATIONAA __
( AF
NO.OF BEDROOMS
O Y
DISTANCE TO:
Well
Absorption area
Q/
Dwelling,
Z
PERMIT NO.
Dois
HZ
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Manufacturer
Material V
L
No. of compartments
Z
h
Liq. capacity in gallons
125-0
IF HOMEMADE:
Insitle length
Width
Liquid depth
DISTANCE TO:
Well
Dwelling
PERMIT NO.
IF
Manufacturer
Material
Liquid capacity in gallons
W =
DISTANCE TO:
Well 41'
f ��
Foundation if
Nearest lot line
41
PERMIT O.
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No, of line
LerLmhh of each line
V �
Total ten of lines
Y7
Trench width
Distance between lines
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Top of tile to finish grade i
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Material beneath tile
inchess
Total effective absorption area
w
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Length
Width
Depth
PERMIT NO.
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Type of crib
Crib diameter
Crib depth
Total effective absorption area
f"
DISTANCE TO:
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Building foundation
Nearest lot line
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Depth ZOO
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Distance to lot line
PERMIT NO.
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Sewe�ne
Septic tank .O ,'
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Absorption
OTHER
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PIPE MATERIALS
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SOIL TEST RATING
INSTALLER
Is'
REMARKS
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APPROVED DATE LEGAL
. w c I%'r/�y
72-013 (Rev. 3178V U
.MUNICIPALITY OF ANCHORAGE,
Department E Health and Environmenta ?rotection
825 L Street, Anchorage, AK. 99501 �"�" `310��
264-4720
Permit # R a * * * HANDW%R�ITTEN PERMIT * * * �I:CY)
J�E� LCL �_�7 N -SITE SEWER PERMIT
a �U. S�•a •Rud
Applicant: l/ it i s/tQii Mailing Address:
o/ G
Location: T46 C[EE�_ .n �L Phone N/u7er:
Legal Description: SOT .� [.vlC /.6 �i�i�l�ry Lot Size:
Type of Soil Absorption System Is:
Trench: Drainfield: _Y Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: _ It— Soil Rating(sq.ft/br) JA
The Required Size of the Soil Absorption System Is: Q
DEPTH LENGTH 1_—. GRAVEL DQPTH WIDTH
C4,Y P6 C ,AW -
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation (in feet) . 12.E �. L._ -k -z/,&4.
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* *.* TWO(2) INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection and approval by this departmen
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 3 2 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the res/i'odence 'remodeled to include more that 3 bedroom .
Signe3: XN' _ >✓� Issued by:
Applicant 8'� / / - 8z
D te))•
�e%E: Due %'o A;;;/o 40 f%El,�%N o 4c
SWP/024 (1/81) A„Cj s7WToN R%9,Y BE me ' c/t60,
1 NSal iey /Ct1uI.e60 ova” Syf7E'r%,
r
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OFe HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 2644720
SOILS LOG - PERCOLATION TEST
o' SOILS LOG`.
❑ PERCOLATION 3
TEST
>. Q L C
PERFORMED FOR W I C $W R DfTrB Ik C- J DEP- t�/) DATE PERFORMED: e*uL� 17 r' L
LEGAL DESCRIPTION: L 7- , 8 '�'� ` 7 :;c•D a ✓-#t>p�
DEPTH w SLOPE SITE PLAN
(FEET) O—/ Ok�j6,ul
2 /.S— ¢.S'
3-
4 4 ,
5-
6-
7 67
e eW S i/� �erJ
9 � I / 4vin, Aej� `�v
10-
11
12-
13-
14-
15-
16-
17-
18
2131415161718 Y
WAS ,/! GROUND WATER LS
�. ENCOUNTERED? O
P
IFYES,ATWHAT E
j' DEPTH? j e
19 v` - 1 NO. 1732-E
�I&Ii•,_ Juno 22,1968
Pill
C
* Y,
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
r
PERCOLATION RATE (minutes/inch)
s
"•TEST RUN BETWEEN. FT AND. FT
PERFORMED
72-006 (6/79)
MLJVJ I C I (_4 LL I TY CD F= FYfACVJ'F:F1CzE
DEPARTMENT Or HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STREET, ANCHORAGE, AY.. 99501
254-4720
14ELL F•EF401 I T
PERMIT NO. ( 820068 )
APPLICANT GLORIA DITTE:RENDER SR.2 BOX 412
LOCATION SKI RD
LEGAL L261B NHALEY LOT SIZE
68S-3319
59182 SQUARE FEET
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEFENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F'EF?rl I -- Eo>lF' I FRE"n E>EGEPlE3E=FQ -=1, 1 <0 ED 2'
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
IGNED
APPLICANT
ISSUED BY
IA DITTBRENDER
V4. 0
6369 /0 77
• Municipality of Anch r, 1 0 •
•
_ On-Site Water&Wastewater Pr• m ,A� �, II ;
(907)343-7904 °- 5• �'
N
A
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-111-22 Expiration Date: at---`1 (gU I S
1. GENERAL INFORMATION
Complete legal description Whaley#5; BLOCK 1B,LOT 2
Location (site address) 24215 Temple Drive*Chugiak,AK 99567
Current Property owner(s) Lauren McGrain Day phone 726-7454
Mailing address 24215 Temple Drive'Chugiak,AK 99567
Real Estate Agent Day phone
2. TYPE OF DWELLING:
• Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well U Individual On-site U
• Individual Water Storage ❑ Individual Holding tank ❑
Community Class Well ❑ Community On-site 0
Public Water System ❑ Public Sewer 0
WaiverNadance request for o t / Distance: -
Received by:( , Date: � / l ie
COSA to be released t•the mg',*'r,unless otherwise requested by the engineer.
COSA Fee$ 59h Waiver Fee$
Date of Payment I[i2.`t' Date of Payment
Receipt Number 0045 (? Receipt Number
COSA# a c rg i o tt Waiver#
•
•
5. 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. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP,Ltd. Phone 337-6179
Address 3701 E.TUDOR ROAD,SUITE 101 `ANCHORAGE,AK,99507
Engineer's Printed Name JEFFREY A. GARNESS,P.E. Date ` 1 t Z/f 5
Engineer's Comments:
In conducing this evaluation,GEG prodded an engineering evaluation of the well and/or septic system in accordance with the . **sat% ...,
guidelines and regulations established by the Mun ripalAy of Anchorage and industry practices.The reported results describe the 4�.( � 44
condition of the system/sonthe dates ofthe evaluation.Separation distanceswere measured toreadiyidentifiablefeatures. vA\ .•••••• `•..•.• ��•
Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic .' 1; •/'I
systems depend on a varietyof variables including,but not limited to,sod conditions,groundwater levels(that may fluctuate during ��•
the year),quality of construction(materials and workmanship),and the water usage of the family uaTizing the system's.These *�'f:- A lil %',*•I`
conations can vary,and are outside the control of GEG.Satisfactory fest results do not guarantee future performance of the `
system's therefore,GEG makes no warranty(express or impfied)regarding the future performance of the well or septic system. _
GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the 1 /
current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the ', ,J fames$ i
information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not ♦ I(� �_ J/
authorized.In short,GEG disawws an legal dutyto anyone other than the person/party t 7
r es von P party who paid for this report ��S E-79 3 �
6. DSD SIGNATURE �*1 SS\-,:„b..\,4
LICENSE ��tA„``���
t1AECC884
System#1 Approved for I bedrooms.
System#2 Approved for bedrooms.
OF ANch •
Disapproved. `-'''s\( H�
Conditional approval for bedrooms,with the following stipulations: V•
� _SASE ���•;
• ON p
�s �A� 'PER o=
;a WAS
PROGRAM
0
(lcA�F ERS\&
MTS
By: 1MW,60 q Original Certificate Date: 1 cl 1 8
The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only
upon the represenata(ions given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist /\ Nitrate Advisory X
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
(Rev.10112/12) '
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: WHALEY#5; BLOCK 1 B, LOT 2 Parcel ID: 051-111-22
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 3/1982 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 221 ft. Cased to UNK ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 3/1982 1/2/2018
Static water level 175 ft. 190.2 ft.
Well production 20 g.p.m. 4.0+ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 ml. Nitrate 7.74 mg./L. Collected by: GEG, Ltd.
Arsenic: `5 ug./L. Date of sample: 1/2/2018
B. SEPTIC/HOLDING TANK DATA *FCO LOCATED 5.5 FEET FROM FOUNDATION
Tank Type/Material SEPTIC/STEEL Date installed 6/30-7/1/2009
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout(Y/N) *YES Depression over tank(Y/N) NO High water alarm (Y/N) N/A
Date of pumping 9/21/2017 Pumper A FULL MOON SEPTIC
C. ABSORPTION FIELD DATA BELOW EXISTING GRADE I NORTH/SOUTH
Date installed 6/30-7/1/09 Soil ratingc(�.p.d./f or fe/bdrm) 0.8 System type DUAL SHALLOW TRENCHES
Length 45/45 ft. Width 5/5 ft. Gravel below pipe 3.1/3.1 ft.
Total depth""'6.12+/6.67+ft.Eff. absorption area 750 ft2 Monitoring tube—YES/YES Depression over field NO
Date of adequacy test 1/2/2018 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test *'21.5/***36.5 in. Water added ""752 gal. New depth 32.5 in.
Elapsed Time: 120 min. Final fluid depth ******29 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date -
**EAST MT OF NORTH TRENCH EXTENDS APPROXIMATELY 3.09 FEET INTO THE EFFECTIVE
***SOUTH DRAINFIELD WAS SURCHARGED(3" INTO THE LATERAL) UPON ARRIVAL AND COULD NOT BE TESTED. LIQUID
LEVEL REMAINED THE SAME THROUGHOUT THE TEST
""TESTED NORTH TRENCH ONLY;ALL WATER WAS INTRODUCED INTO THE WEST CLEANOUT OF THE NORTH TRENCH
" 'WEST END OF NORTH TRENCH IS APPROXIMATELY 3"SHY ON SOIL COVER
--THE SYSTEM ABSORBED APPROXIMATELY 240 GALLONS IN 120 MINUTES. IT IS ASSUMED THAT IT CAN BE
EXTRAPOLATED OVER A 24 HOURS PERIOD TO EQUATE TO 600+GPD
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on"level at in. "Pump off" level at '• a er alarm level at in.
9 - - •• Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+_ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'4-
Water
0'+Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
THE FLOW SPLITTER IS NOT SHOWN ON 40 SCALE,BUT IT IS SHOWN ON THE PROFILE DRAWING ON THE 2009
INSPECTION REPORT.IT WAS NOT LOCATED DURING OUR SITE VISIT.IT MAY NOT HAVE BEEN EXTENDED ABOVE GRADE
.��e,ss,1.l 11
G. ENGINEER'S CERTIFICATION :.` ...........
certify that I have determined through field inspections and *
/, i 4 I•• ' * •0.
review of Municipal records that the above systems are in II/ • •
confor •
mance with MOA COSA guidelines in effect on this I / ;
date. f A. Ga rn ss.:i/
�1���• PE 7 • ?�
Engineer's Printed Name JEFFREY A.GARNESS ♦ •4. �,
Date l l q 1 �i•1 p �..... •\�P:�.
4.
I LICENSE ,,II 11%,.%****S4
#AECCB84
(Rev.10/12/12)
Municipality of Anchorage
•, Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Nitrate Advisory
Certificate of On-Site Systems Approval # OSC 181016
A Certificate of On-Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block 1B, Lot 2
of Whaley #5 subdivision. This inspection revealed a nitrate concentration of
7.74 milligrams per liter (mg/L) was reported for the property's well water
sample. The Environmental Protection Agency (EPA) has established a
maximum contaminant level (MCL) of 10.0 mg/L for public drinking water
systems. While private wells are not subject to this regulation, EPA
standards are based on existing health information and can therefore be used
to gauge the relative quality of water from private wells. Please see the
attached "Nitrate Fact Sheet" for important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
\ Paul Dee Subd. \ 8467W
Lot 1 \ Lot 2 \
N89°56'27"E 233.00 \
0
It°
9Cle
°, Septic vent(typ)
° °°
0 8 m
0
N Lot 3
—
24.3 �s.o—
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D 80.8 CO Barn
26'.o Lot 2 OD od
> 0 2 St v v
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N89°57'16"E 233.00
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TEMPLE DRIVE
AS-BUILT NO CORNERS SET THIS DATE
��` NXN I,14I hereby certify that I have performed a Mortgagee's inspection
OF A ' 1 of the following described property: LOT 2, BLOCK 1 B,
_- -,�, • • • • • �,9 WHALEY SUBDIVISION
j • 49th jc. ••9 , Anchorage Recording District,Alaska,and that the
+ _• improvements situated thereon are within the property lines
/�•,••_ • •J;' ,J/%C�— and do not overlap or encroach on the property lying
I t/i(/`Y IX v adjacent thereto,that no improvements on the property lying
p adjacent thereto encroach on thepremises in question and
/ ?, '.Fred Walatka. ao
• that there are no roadways,transmission lines or other
sr�,• 3255 — S •• Je- ,� visible easements on said property except as indicated
1 tF • y �• hereon.
:. 1"= 40' ,1 i oFfssIONAa-•�`� Dated at Anchorage,Alas
S OF RECORD,OTHER THAN R 1 N.‘‘,:%• • day of December ,2017.
)WN ON THE RECORDED FRED WALATKA&ASSOCIATES,L.L.C.
JOT SHOWN HEREON Engineers and Surveyors
HERWISE NOTED. FB 17-10, pg 66 BE 907-248-1666
(grtifirb Er7j ;1by
5
DOC Co.db l{� �J) �� , r
SULLIVAN WA7 1 c Q
P.O.BOX 272,CHUGIAK,ALASKA 995
OWNER OF LAND/L&( R 1)/77-SAEJ�/-bER DEPTH OF WELL �� 1
ADDRESS -7-2R c- 1' 7 tI—. AL:A•i i /9/y� STATIC LEVEL OF WATER FT. /75 '
LEGAL DESCRIPTION d &i t I +' iJ/i4/. *5 DRAW DOWN FT. h
3f g. GALS.PER HR i�Q{l L
DDATE-Started ---i�l ,7,:,i'' .
Ended 7 a
PERMIT NUMBER KIND OF CASING
O.1..
KIND OF FORMATION:
From_ .L—Ft. to Ft. tVVp/ ..bsim /E/� I From Ft.to Ft.
From a Ft.toFt.Ft. //4R 7' PAA/ From Ft.to Ft.
From f Ft.toxo f Ft.,V J/•/•i.I iit'4 v-E-L- 3 From Ft.to Ft. � S.
1 �
From Ft.to Ft. -.. ` CZ-4/ From Ft.to Ft y Z
'/ / • m0
From u . Ft.to 95 Ft. / •4.'* /-1/Jr '' I '/ From Ft.to Ft •
From 95 Ft.to/35 Ft..S4Al l`2/ %A/JVVL , From Ft.to Ft. 0 CI
From Ft. to Ft:/( Y eGU1rh��,` From Ft.to Ft. Q
1
From 17:`,5 Ft. to/85— Ft..41 5 (7A/Q�% (e From Ft.to Ft. .....t. V'I
From/745 Ft. to0/ Ft (-1 )y c7'./Q/i(/..1-1` 1 From Ft.to Ft. U
1
From;-,0/ Ft.tos /Z Ft.i-77/JE c.i i9/f 1 -Vg From Ft.to Ft. SZN I
N.
From Ft.to Ft.(7,f4 VE L. From Ft.to Ft. °'
From 21 5r Ft.toPR/ Ft.4A.l 2.‘),(/ /'L - 1 From Ft.to Ft. 1 P
r L/9TEf From Ft.to Ft.
From Ft.to Ft. -t,
From Ft.to Ft. From Ft.to Ft. n
From Ft.to Ft. From Ft.to Ft. 1
From Ft.to Ft._ —
From Ft.to Ft.
From Ft.to Ft. From Ft.to Ft N
MISCL.INFORMATION: 65 t5-(- ( C A,
DRILLER'S NAME
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. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm
Address
Engineer's Printed Name
5. DSD SIGNATURE
Approved for A— bedrooms.
Disapproved.
Phone %_"-31I(,
Date 121100-1
0
OFi�iil
ri C",j:Q��7: 4uj
Conditional approval for bedrooms, with the following stipulations:
ONSITE
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory 2C
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date: 1 - l 3 - / 0
(Rev. 11105)
Municipality of Anchorage
' Development Services Department
— / Building Safety Division
' On -Site Water & Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage. AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: In16114 15 2 Parcel ID: 061 -111 -ZZ
A. WELL DATA
Well type Peva}t, If A, B, or C provide PWSID # = Well Log (Y/N) y
Date completed $ " $t Sanitary seat (YIN) y Wires properly protected (Y/N) it
Total depth 2_ 'ZI ft. Cased to YO ft: Casing height (above ground) +I2 in.
FROM WELL LOG AT INSPECTION
Date of test $ Z -f 9Z ID13 0 cl
Static water level I7S ft.
Well production 20 g.p.m, >3,2, g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate 6.5(- mg/L Other bacteria --O--colonies/100 mL
Arsenic: 5 ug/L date of sample: of Collected by: _Lars .SO!.rhi
B. SEPTIC/HOLDING TANK DATA 1
Tank Type/Materiai Ando e. T0,T0,11-„Skte,l
Tank size gal. Number of Compartments
Foundation cleanout (Y/N) Depression over tank (Y/N) N
Dale of pumping N” Pumper "'—
C
ABSORPTION FIELD DATA
Date installed 01 09 Soil rating (.p.d./f or ft=/bdrm) 0.g
Length '2x45 ft. Width S ft.
Date Installed -? f o►( o9
Cleanouts (YIN) -1
High water alarm (YIN) Al
System type S W10,0 T/tncIN
Gravel below pipe 3.1 ft.
Total depth (o ft. Eff. absorption area -+50 ft= Monitoring lube y Depression over field IV
Date of adequacy test Alev Results (Pass/Fail) — For — bedrooms
Fluid depth in absorption field before test = in. Water added= gal. New depth— in.
Elapsed Time: = min. Final fluid depth _ in. Absorption rate >= — g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date .
D. LIFT STATION
Date installed
'Pump on' level atin.
Datum
E. SEPARATION DISTANCES
Size in gallons
'Pump off" levet at n.
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 1001+
Absorption field on lot too +
Public sewer main
Sewer /septic service line 251 4-
8
Animal containment areas 50+
Manhole/Access (YIN)
High water alarm level at in.
Meets alar ti circuit r irements7
On adjacent lots 1001 4r
On adjacent lots 100 i
Public sewer manhole/cleanout AIA _
Holding tank N/A
Manure/animal excrete storage areas (0D F
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: t
Building foundation 51 t Property line 5 r} Absorption field 5 't
Water main /VIA Water service line to { Surface water IODI +
I
Wells on adjacent lots 100 F -
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line I, o' 4- Building foundation to i- Water main v'/A
I
Water Service line 10 t" Surface water ><0D ,+ Driveway, parking/vehicle storage Ip }
Curtain drain 50 Wells on adjacent lots (00� +
F. COMMENTS
-., v, ,.
G. ENGINEER'S CERTIFICATION
C).•'
�T
1 certify that I have determined through field inspections and i 4' _
review of Municipal records that the above systems are in i
conformance with MOA COSA guidelines in effect on this date. %;�.'1~
Engineer's Printed Name WS Jp�weklt d �j �� • �=
1c \ ��
Date J �16/09
COSA Fee $ Waiver Fee $
Date of Payment Q Date of Payment
Receipt Number Receipt Number
(Rev. 11/05)
Municipality of Anchorage
' Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Nitrate Advisory
Certificate of On -Site Systems Approval # 100005
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block 1B, Lot 2
of Whaley #5 subdivision. This inspection revealed a nitrate concentration of
6.56 milligrams per liter (mg/L) was reported for the property's well water
sample. The Environmental Protection Agency (EPA) has established a
maximum contaminant level (MCL) of 10.0 mg/L for public drinking water
systems. While private wells are not subject to this regulation, EPA
standards are based on existing health information and can therefore be used
to gauge the relative quality of water from private wells. Please see the
attached "Nitrate Fact Sheet" for important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
N81" -56.27E —, 233rso
WOOD FENCE
Ito 1-
I A
91
e,
--IOItJ.Er --- —
S*I- 1(o E ^ Z33,o0
i EMP LE -DRIUE
I hereby certify that a survey of Lot Z . Block __)----,
_._—._ Subdivision was made on _FEa-.J.1 $3._— 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 property lying adjacent thereto encroach on the premises
in question and that there are no roadways, transmission lines or other
visible easements on said property except as Indicated hereon. It is the
responsibility of the owner to determine the existence of any easements,
covenants. or restrictions which do not appear on the recorded subdivision
plat. Under no circumstances should any data hereon be used for
construction or for establishing bounddfarryyLor fence lines.
Dated at Anchorage. Alaska, this =_J.— day Of JJ_—__,
CONSTRUCTING ENGINEERS.=.
9601 Buddy Warner Dr.
Anchorage, Alaska
a<es000 e9s>aWa I r
ADD ED 0 E tl l S Er -7 I C.
3
r"�
MUNICIPALITY OF ANCHORAGE
DEPART161ENT 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
I GENERALIPJFOR61ATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location((address or directions)
In�'f]r�> �{ I
1 �K�l�� 1 S✓ Oji 1'��
(b) Applicant Name (—t £. ��htpp 6A e- Telephone: Home Business
Applicant Address %^ A_ '
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; OtherJZ (explain);
(d) Lending Institution
Address
(e) Real Estate Company and Agent
Telephone
Address
Telephone
1
(f) _.tart the HAA to the following address:
2. TYPE OF RESIDENCE
Single -Family Multi -Family ❑ Other
Number of Bedrooms 1"
3. WATER SUPPLY
Individual Wello Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation -
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 7I-025111. 841
e"-,
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by rnyseaf affixed hereto and as of the validation date shown below. I verify that my investigation of this Hea!t.-k
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the numter cf bedrooms and type of structure indicated herein. l further verify that based on the information obtained
from the Murnapality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater d:s;.sal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm
Addre
Date
6. DHEP APPROVAL ////�� ����,..
Approved for Yu /C bedrooms by ira- X'r''^' Date
/t
Approved ' Disapproved Conditional
Terms of Conditional Approval
CAUTION
8- 9' -Ys -
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy Certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
Professional engineer's work.
Page 2 of 2
N ,rf OF ANCHORAGE
• riEALTH 6
tc.•,-„•vMLNiAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA)
),905* HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
R ►- y'^F I ED
D Legal Description: Lam2 V511_ -K. 1-7,
A. WELL DATA
1.1
Well Classification S If A. B, C. D.E.C. Approved (Y/N) a/a
Well Log PresentON) Date Completed 3 I g =- Yield - 5 G, P.L +
Total Depth ?�-t t Cased to <i� �"(' -Depth of Grouting
Static Water Level 1-1 S Pump Set At L) 4 K.
N
Casing Height Above Ground 30 Sanitary Seal on Casing4?N)
Electrical Wiring in Conduit O/N) Depression Around Wellhead (Yds
Separation Distances from Well: f �N v .
To Septic/Htyf x,�Tank on Lot i ; On Adjoining Lots �Q7
To Nearest Edge of Absorption Field on Lot -1 ; On Adjoining Lots t oto .),
To Nearest Public Sewer Line — a h To Nearest Public Sewer
Cleanout/Manhole r To Nearest Sewer Service Line on Lot Vn r{
Water Sample Collected by
Water Sample Test Results
; Date
Comments•P W cgs pg -�--
S� tVJ f S
SEPTIC/HetMMC'TANK DATA
Date installed 0-2'7-5Z Size 1Z-6-72 No. of Compartments
Standpipes (PN) Air -tight CapsON) Foundation Cleanout (YtO
Depression over Tank (YAG Date Last Pumped —e5
Pumping/Maintenance Contract on File (Y/N) for
Holding Tank High -Water Alarm (Y/N) N % Temporary Holding Tank Permit (Y/N) r.3 1A
Separation Distances from Septic/He+d 1`ank:
To Water -Supply Well 13`7 t ��” To Building Foundation
To Property Line To Disposal Field
t
To Water Main/Service Line } To Stream, Pond, take, or Major Drainage
Course
Comments
Page 1 of 2
72-026( 11,84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata I Z 5^� kType of System Design
Date Installed 43-Zr1 - SZ— Length of Field
Width of Field Lro Depth of Field
1 � 3
� � h
Gravel Bed Thickness
Square Feet of Absorption Area (`�� Standpipes Present 09N)
J
Depression over Field (Ya Date of Last Adequacy Test
Results of Last Adequacy Test
Separation Distance from Absorption Field
2
q -Ns -SS
r
To Water -Supply Well �t� t To Property Line t u -k-
To
To Building Foundation 3Z• To Existing or Abandoned System on
t
Lot P ; On Adjoining Lots 3'fl "t"
To Water Main/Service Line t r� t t To Cutbank (if present) IJ �f7
t.
To Stream/Pond/Lake/or Major Drainage Course ' oma
t
To Driveway, Parking Area, or Vehicle Storage Area 3 o t
Comments
D. LIFT STATION
Date Installed
Dimensions
Size in Gallons MA nhole/Access (Y/N)
"Pump On" Level at "Pump Off' Level at
High Water Alarm Level at Vent (Y/N)
Tested for
Electrical Codes (Y/N)
Comments
" Check Permitted Bedroom Rating Against HAA Request '•
Pumping Cycles during Adequacy Test. Meets MOA
Icertify that Ihave checked, verified, orconformed toall MPA an HAA guidelines in effect on the date of this inspection
Signed Date Lb-
SRQ l9SX
Comp�RKE PH 6`J4-2`j78-S"�577— MOA No. S- 00-,-
PH.
£7 O A�qs�
ReceiptNo.--'— Q (,���'1(c8
�'� 1' �.J
Date of Payment ��• �L• " ""'
Amount: $
isf`C%c '"'.......r••y�-�'�'
Page 2 of 2 �QI�L��FES51=
72-026 (11.84)
it4,
IA57-1
72-026 (11.84)
APPLIC~,NT FILLS OUT UPPER HAC-ONLY
Time
Prpperty Owner -:Dl T-1-'8 kt N
Phone
Mailing ,Address- Zip Code
�� y `J 20
BSyer r ✓ ,1 G (t 1 /v3 b ,
Address Zip Code
Date
Lending Institution 1 O r^' r l`;r _ \ ./ , r'/ ,'� - �.:/ /✓
Phone '
272—
C 1
Address / ) J_-f-i/r'\ f� CU � ' �:. (%`; �../� i%" -r Zip Code
Inspector
Realty Co. d Agent -1 0 r\ti+ cl P/i
Pnone
Address : :;) r] X Zip Code? "S7
Z
Legal Descriplion LT, 2- 8(- K.. l3 �%f �ILL`•� / �D7�"5 '
/
Street Location Prti 1211f o j is i
Type of Residence
(E --'APPROVED BEDROOMS
Single Family i7�yi
(� Multiple Family No. Bedrooms`^—
( ) DISAPPROVED
of
( ) CONDITIONAL APPROVAL'
DATE 1-.=====Y3•".1
❑ Other
Water Supply
;K Individual
ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975.
❑ Community
For wells drilled prior to that date, give well depth (attach log
if available).
❑ Public Utility
JV - 7' 7 — O` y
Sewer Disposal / % Z
;. Individual Year Individual Installed:
❑ Public Utility When Connected to Public Utility:
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time 11
CSL-L`4SLnb C\c�
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector
Field Notes:
MUNICIPALITY OF ANCHORAGE
Nva
r.r.t .- .
/
ENVIR J, f:...
RECEIVED
(E --'APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE 1-.=====Y3•".1
Soils Ratlnp
Date Sewer Installed
Well To Absorption Area 1042'
Well Log Received
Septic Tank Size Z D
JV - 7' 7 — O` y
Well to Tank Lf 71
rzam mm
'- D n7
Municipality
of
Anchorage
August 9, 1985
/ POUCH 6-650
ANCHORAGE, ALASKA 99502-0650
-lime (907) 264-E 111
TONY MLUY.(TS
,trAVC/+
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Robert A. Shafer, P.E.
S b S ENGINEERING
SRB 196-X
Eagle River, Alaska 99577
Subject: Lot 2 Block 1B Whaley Subdivision #5
A waiver of 87 feet from the septic tank to the well is hereby granted.
This waiver applies to a four(4) bedroom single family dwelling only.
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Acting Program Manager
On-site Services
SEO/ljw
3
it.
F9^I F NIV(R \M1�
N EALTH AUTHORITY
APPROVALS
SEWER S WATER
MAIN EXTENSIONS
SEWER{ WATER
INSPECTION
SYSTEM DESIGN
WELL INSPECTION
A FLOW TEST
SITE PLANS
ROAO DESIGN
SOIL TEST
PERCOLATION
7 EST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
T
of ANOµ�RAGE
HEAETH �n10N
July 28, 1985
Municipality of Anchorage
Department of Health and Environmental Protection
825 L Street
Anchorage, Alaska 99501
REFERENCE: Lot 2; Block 1B; Whaley Subdivision #5
ROBERTA.SHAFER
crva tNUIN
6942979
Request you issue the attached Health Authority Approval
and approve a waiver for the existing septic tank
located 87 feet from the private well on the referenced
property.
The existing on-site waste water disposal system
was installed in October 1982 under MOA permit #820829.
The system was inspected by L.D. Montgomery and a
waiver of 87 feet was approved by the MOA at that
time.
It is our opinion that the horizontal separation
distances prescribed by 18AAC72.021 are not required
in this case. The existing well is 221 feet in depth
and extends through several layers of clay, hardpan,
etc. The static water level is approximately 175
feet from the surface. The topography in the area
is such that surface flows and the tilt of bedrock,
if any, would not be in the direction of the well.
Included for your review in addition to the Health
Authority Reports are the following documents:
A. A copy of your approval dated August 27,
1982
B. Copy of the well log
C. Copy of inspection report and permit
D. A recent coliform bacteria analysis showing
satisfactory results
If you require additional information, please contact
us.
Si
ss
A.- SHAFER,P.E.
SRB 196X EAGLE RIVER. ALASKA 99577