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HomeMy WebLinkAboutHAMPTON HILLS #1 BLK 3 LT 6Hampton Hills #1 Block 3 Lot 6 #015-134-71 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191321 PID Number: 015-134-71 Dwelling: I=1 Single Family(SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑� Upgrade Name ABSORPTION FIELD TERRY KEITH SURVIVORS TRUSK Site Address ❑ Deep Trench El Wide Trench El Bed El Mound 7501 WHIST RD ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. HAMPTON HILLS #1 BLK 3 LT 6 Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To'' Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Tank I Line Ft' Ft. Well 100'+ 50y+ TANK OSeptic ❑S.T.E.P. ❑Holding 1=1 Other Manufacturer Capacity GREER TANK _ 1000 Gal. Surface Water 100'+ Material Number of compartments Lot Line 10'+ 1 NA PLASTIC 2 Foundation 18 5'* LIFT STATION Manufacturer Capacity Remarks * No loading of septic tank from Gal. foundation pressure due to depth of footing. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034Tank to 3034 Installer drainfield MIKE N ANDERSON, P.E. Drainfield CO/MT 3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 100 ft Inspection 1s' 11/4/19 Location and description d3rd 4'h GARAGE SLAB ON-SITE WATER AND WASTEWATER SECTION APPROVAL �` ittr kr ,c Qr 6dtqd@ Conditional Approval: Date .•,4\. • ••'•1rtv *. 49TH 4 1 •.. *,4 fiti',A kijk 0 --- - ir;r.MICHAEL N. ANDERSON .4r. Septic Syste i� / rt�.•.• CE-9469 ,•',.` s Approved i Gt/ / .C.. Date / �9 �1%416••t;I it•t.IF,„.: Note: this appr al does of include well permit requirements. i�tV•N,vg�1� (Rev 05/02/18) Permit No. OSP191321 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: HAMPTON HILLS #1, BLK 3 LT 6 PID No.: 015-134-71 \ MARK A B \ \ C01 5 32 \\ / TC01 15 28 TCO2 20 27 CO3 27 25 I \ �� C04 28 25 —.. '- � �� / / - ' � - - -- - I \ / I / i I / \ SEPTIC AREA r ( ) \ / i \ n — / - - -'— _\ / — � \ / --,`I / \ I CO3 — i TCO2„4CO2 SEPTIC AREA ( II TC01/Q/ 1__ 1 BEINCH A CO1 , _ —— _ _ / \ / I NEW 1000 PLASTIC,TANK \ Nn /-- I / N \ _ ..--„s \\ / 11tii�ilh////IIIr N N I \ / �,.,:, \ / \ I ` \ \ / in'IIIIIIIIIIIIIIIII \ \ I / \ / \ / DECOMMISSIONED\WELL / l / \ // I II \ / / I I I I I ( • 1 WEU\® . 1i I I' / � I I_____. \ / \ I / / \ 1 / / _- / 1 \ : _ ASBUILT / / / SCALE =50' col TCO1 CO2 rCO3 *WM%�1 Tc02 + X44 nr 4 .I I!III i Ilr '•49 TH ••...1-V••♦ I, — GV 9 PUS1.nCSrREER00 aTANK / �����• l • • BUILDING FOUNDATION •1 11 • ' ♦ :MICHAEL N. ANDERSON/ - _ ss' r ♦1�n'•. No. E 9469 '• Ar roOnNG 8(4•1N PRESSURE � SEPTIC SECTION ♦ 'J\, 4. N.T.S. 444 »1C�•4 • Development Services Department • K,, „; Building Safety Division Ar Arne ePG` 8 ,, On-Site Water & Wastewater Program ', 4700 Elmore Road . IA I i P.O. Box 196650 Anchorage, AK 99507 SA ETY Mark Begich www.muni.org/onsite Mayor (907)343-7904 Well Log Permit Number: #SW OSP1913:Date of Issue: Parcel Identification Number: Date Started: 8-19-19 Date Completed:8-22-19 Is well located at approved permit location?iqj Yes U No Legal Description:Hampton Hills#1 blk3 It6 Property Owner Name& Address:Terry Keith Borehole Data: Depth (ft) Method of Drilling LJ air rotary U cable tool Soil Type, Thickness& Water Strata From To Casing h'P •e•steel Stick up 0 2 Wall Thickness: .250 inches Diameter: 6 inches Depth: 229 feet overburden 2 4 Liner Type: dry silt&gravel 4 60 Diameter: inches Depth: feet silty sand 60 145 Casing stickup above ground: 2 feet clay 145 182 Static water level(from ground level): 195 feet wet clay&gravel 182 184 Pumping level: feet after hours pumping gpm clay&gravel 184 195 Recovery Rate: 2 gpm moist sand&gravel 195 222 Method of Testing: airlift wet clay&gravel 222 229 Well Intake Opening Type: bedrock 229 400 n Open End WI Open Hole ❑ Screened Start feet Stopped feet El Perforations Start feet Stopped feet ' Grout Type: bentonite Volume:2 bags Depth: 20' Start 0 feet Stopped 20 feet Pump: Intake Depth 370 feet Pump size 1 hp Brand Name Myers Well Disinfected Upon Completion?n Yes n No Method of Disinfection: chorine tabs Comments: Well Driller: Hefty Drilling, Inc. Water Sample Results: Arsenic: MD ug/L 1`IIy\\t1 Nitrates: T11 mg/L Total Coliform Bacteria: N colonies/100mL Other Bacteria: col/IOOmL Attention: The well driller shall provide a well log to DSD within 30 days of completion. Development Services Department ' Building Safety Division � k s On-Site Water & Wastewater Program 'Gc SG'`a f I 4700 Elmore Road s P.O. Box 196650 'NA 12 Mark Begich Anchorage, AK 99507 SA TY Mayor www.muni.orq/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Numberre*05f III )'‘ Date of Issue: Parcel Identification Number: Legal Description ?a VI) tan , Property Owner Name&Address: (5I k 3 t.u4 L Ti V.6 G'.9.510 Pump Installation Date: 0i.-r, 101 Pump Intake Depth Below Top of Well Casing:370 feet Pump Manufacturer's Name: My Pump Model: 5 5f'1"--) ))O✓. Pump Size 1 hp Pitless Adapter Burial Depth: I L feet Pitless Adapter Manufacturer's Name: CA.A1104 It l/3^1 0 Pitless Adapter Installer: An dtir56 Well Disinfected Upon Completion?Itk Yes n No Method of Disinfection: CA I, k b5 Comments: Pump Installer Name: 1 V � ,n.,;�/;„„ Cbifi ,YV Jf Anchorage,AIC99511 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. -... i , N89'07'30"W 244.90 1 i i • 30 I b. _4 I g I v I ©'v BFBp I I j 0 Q I 47.5 35.0 0• _ — - --- I p Q vs_i N' en V 6 TWO STORY I ZZ / . �'1%SIU/U! r WOODO FRAME N. O D O Q 53.E r,�' \ 0 I ()CO. O I-`J / N 411 24.0 `-1.8' CANT —{ 6 -- . / Ail it 11111 INI'', \ O 0 o v co O o —7 I-7: / * ' I po - v rill F----1 / � \--1 Q0' SELL RAD' l� I p N Ui D C 7----.. ‘ OD _ O_ v Ch X s:::. /' \ 'co I I �Tl w xi fri co v / NCP opDn I , / s.° -x i yy p Oa Cr D 0 ' v, O w w 1 h`i. Is io \ `�' y I, .WELL I w m ' r ,I I (QW 01 Z I / ` v rn N --I-I I _ o - - 30 s• WHIST �OAD _ -..., / I `, ,�1 - - — N89'S6'�00 E - �- _ / 0 I '* .4 ! -A •*f No property corners were found or set during ODRY F. su ell , BobbF. Burnett GRAPHIC SCALE: 1 Inch = 40 Feet this survey. House placement is based on an is-6t64 2941 'Carriage Drive As-built survey dated 11/15/1991 by Robert E. ' I 6 �I/ Anchorage, Alaska 99507 1 Johns do Assoc. Improvements from previous N\` ssios i le (907) 350-5541 20 0 20 40 80 survey have been Re-Certified during this f survey, and are as shown. �Ni.:+ Date Scale Legal Description 10/6/2019 1' = 40' 1 hereby certify that the property described hereon has been surveyed Lot 6 Block 3 by me, or at my direction, and that the improvements situated thereon Grid are within the property lines and do not overlap or encroach on the SW 2540 AS-BUILT property lying adjacent thereto unless otherwise shown. That no Drawn by Field Book HAMPTON HILLS SUBDIVISION #1 improvements on the property lying adjacent thereto encroach on the PLAT # 74 233 premises in question and that there are no roadways, transmission BFB ASB 2019 lines or other easements on said property except as shown. MUNICIPALITY OF ANCHORAGE • DEVELOPMENT SERVICES DEPARTMENT -'"°1 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Well Decommissioning Log Legal Address: Subdivision HAMPTON HILLS#1 BLK 3 LT 6 Block Lot T R Section Lot On-site Water&Wastewater Section certified contractor performing the well decommissioning: Name: MIKE N ANDERSON,P.E. Signature: Company: MIKE N ANDERSON,P.E. Well decommissioning date 10-15-19 Method of decommissioning: AMC 15.55.060L1 a. ❑ b. ❑ c. t♦❑ Location: Use the space below to provide a drawing of the property showing the following items: • North arrow • Decommissioned well location • Location of other water wells on the property • Two separate swing-tie distances for each well shown on the drawing Note:The swing-tie distances shall be measured from either permanent structures or the property corners. c G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Well Decommisioning form.doc MUNICIPALITY OF ANCHORAGE N _ On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road ' Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite OR ASE On -Site Water System Permit Permit Number: OSP191321 Effective Date: o-ir\ d S_'P-H C_ T" Work Type: Well'Upgrade - Cm# j Expiration Date Tax Code Number: 01513471000 Site Legal Address: HAMPTON HILLS #1 BLK 3 LT 6 G:2540 Site Mailing Address: 7501 WHIST RD, Anchorage Owner: KEITH TERRY SURVIVORS TRUST Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: ❑ Disposal Field E6 Septic Tank ❑ Holding Tank ❑ Privy ti. A ter e Depa rtrnent 7/31/2019 7/30/2020 Lot Size in Sq Ft: 40091 Total Bedrooms: 3 Q Private Well ❑ Water Storage All 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 (24/7). 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 Special Provisions: To close this permit please submit: 1. Well Log 2. Pump Install Log 3. Water sample results 4. Well Decommissioning Log Coll Gtdd ''.,mer Received By: Issued By: —Rp/v P' ►0/1%/1� Date: Date: "[ MUNICIPALITY O F M. Development Services Department `M, On -Site Water & Wastewater Section l r.1 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-134-71 Property owner(s) KEITH TERRY SURVIVORS TRUST Mailing address PO BOX 110822 ANCH AK Site address 7501 WHIST RD ANCH AK Day phone Legal description (Sub'd., Block & Lot) HAMPTON HILLS #1 BLK 3 LT 6 Legal description (Township, Range & Section) Lot Size 40,091 Sq. Ft. Number of Bedrooms 3 Phone: 907-343-7904 Fax: 907-343-7997 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank Upgrade ElDuplex ElHolding (D) Tank ❑ Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ��� �z� Waiver Fees: _ Date of Payment:�'o�5/I g IDate of Payment: Receipt Number: CK 7EI��7�J� 2�y�2 Receipt Number: Permit No. 05eel M Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Oct. 2, 2019 Municipalities of Anchorage Departments of Health and HUnlan Services P.O. Bos 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Change Order Legal: HAMPTON HILLS #1 BLK 3 LT 6 To Whom it may concern: This is a request for a septic tank permit on the above referenced lot. The new well has been installed and all of the well data will be submitted for a COSA after this tank is replaced. This permit will not impact any of the neighboring lots due to the size and good soils. Sincerely 4fA— Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 � I July 24, 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Well Permit Legal: HAMPTON HILLS #1 BLK 3 LT 6 To Whom it may concern: This is a request for a/well permit on the above referenced lot. The existing well has gone dry and need to be replaced. This permit will not impact any of the neighboring lots due to the size and good soils. Sincerely � Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 II I / , -McLURE CIR-_ \ WELL' EXISTING I WELL SEPTIC (SEPTIP pl EPT1y� Q o i PROPERTY LINE EXISTING HOUSE / p WELL 1 J —-VV\HIST ROAD- i ` _ I 'SEPTA _ \ \ WELL /��„� EXISTING WELL 100' RADIUS TO BE RE -DRILLED �\ ,�__\ / `(SEPTI I ELL ( ( (,�� (SEPTI \ I I I � / Septic Design Prepared for ®®®®www®®4 KEITH TERRY SURVIVORS TRUST ®�®®�E OF ®®® HAMPTON HILLS #1, BLOCK 3, LOT 6 ®® Anchorage Alaska o 49TH :' 00 .......:............. • ® .......... ... v Michael N. Anderson, P.E. .........RSO . DATE: 10/2/2019 �'� ':MICHAEL N. ANDERSON: e 4601 NATRONA AVEDRAWN: DJR ®®®®® ; CE y� t'9469 ANCHORAGE, ALASKA 99516 ®� �-( ./.... • ®o (907) 727-8864 / FAX: (907) 345-1391 SCALE: 1 ”=200' Septic Design Prepared for KEITH TERRY SURVIVORS TRUST HAMPTON HILLS #1, BLOCK 3, LOT 6 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4601 NATRONA AVE DRAWN: ANCHORAGE, ALASKA 99516 (907) 727-8864 / FAX: (907) 345-1391 SCALE: q�... AN 49 TH e.................. 0 ® . . . i o......... ... . ...... 10/2/2019 V8—". MICHAEL N. ANDERSON: Aw ®AF 0 '•. No. CEAw 469 DJR 1w MUNICIPALITY OF ANCHORAGE F® �@1 DEPARTMENT OF HEAI.71I & ENVIRONMENTAL. PROTECTION ll ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 REPORT ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR VUEI-l_ INSPECTION _ NEW NAMEAl Al12 1/ MAILING ADDRESS o l / j /2 C ! / G Zit!-- LEGAL DESCRIPTION LOCATION / �o V4_ ' -/ NO. OF BEDROOMS Well / Absorption area/ Dwelling _ / PERMIT NO.�y. f� DISTANCE TO: U � U 7ta c5 O 00( a �S� -- — U Y _40 h Z Manufacturer Mat r' No. of compartments cf; Llq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth Well Dwelling PERMIT NO. ®0 z DISTANCE TO: 0 Q Manufacturer Material Liquid capacity in gallons 0 U w ���``jj��Well �Te Lengtach line TO�-w No.oflines Foundationf Nearestlotline Total lengt of lines Trench width PERMITrDISTANCE Distance between lines /n u. rZw / / ��i .l �% inches �/17i F.. _��. — Top of rile to finish grades @ ! Material beneath rile Gy ! inr+res'/ Total effective absorption area Z 0� _ Length Width Depth PERMIT N0. w Q H Type of crib Crib diameter Crib depth Total effective absorption area Lu a Lu w — - Well Building foundation Nearest lot line DISTANCE TO: Class Depth s Driller Distance io lot line PERMIT NO. w r W — Building foundation — Sewer line Septic tank Absorption area(sl DISTANCE TO: OTHER PIPE MATERIALS ?Ms SOIL TEST RATING INSTALLER s REMARKS I 1 t. APPROVED DAJTE�J pLEGAL fj AIR z -P w: cd A (D: c): cv, o: of w w w W u. W. w [J. fLl (J. w fl, a P E O O O O 0 0 (D 0 0 0 0 C a) F- > 0 to r� .� 0 0 0 0 0 0 0 0 0 0 0 C4 C4 W 1:4 w w C4 G w w 0.0 Cd 'Ei 4� 10 �4. 0. e! (1): rj: 41 � r- QC co (v, ("I (7N: +3: Lu o"! o o OSA U) 111 F`3: uj: \o: W ate: W: r -A r.: ri W: 5'r-1: U)7 c;: 0 tr r (6H U,: o Zvi lo: (i,: U) cl): U) U;: F. H H h h H 1-4 LT. Lt. U. w LLI V. 4. 4. w Ll. al w r -q. rcl, r1 i C\) t C".: \,O i C) � : co: oc): CO co 0: Oj 03: 1 0 o o 0 co: -q:: U); CD: 0: 1 1 . . . . . . . . . . W. w w LL, c1. u w LT. ID p O: Flo va . N. . r . N . . . . co: Z 00 N )X): rA (A rA w CD AIR z CLIENT TEST HOLE `�/ BREL LOG PROJECT -L-L2ef �,_ Lf 4V. 0. R O 5- _ WATER LEVEL HOLE NO. ------o ELEV FRO ST' -TL -,,II-,- -- PIEZOMETER / IN FEET 0�wLu vpr:30vinK0 503 EAST SIXTH AVENUE ANCHORAGE, ALASKA QRBOI P"//s - =11-w", DATE 2-IL—STATION AD DRILL TIME ST...._ FN. _ GR. COVER.--, 2_4 hr. CASING._, SIZE,- TECH YES NO DRILL USED-�� DRILLER_ Jr OZ�'y STD. PEN. p$' QO �0 ALC�YS/g 1 GRAVELS NFS, F1 WELL GRADED ,FRACTION COARSE MED. F1NE GM GR9\VELS F3 _ WELL GRADED GRAVEL13 to I I"to 3/8" 3/8"tell GP GRAVELS NFS, F POORrYZP71`DRD — SAND _e _ 4310 to"30 030 to' }60 " EO to''200 Sy,T SANDS NFS , F2 V i -SM SANDS F2 , F WELL GRADED -- - Sp SANDS NF_S, F2 POORLY GRADED MG SILT F1_ — �� �, � .I;i1�� sl Ill'✓ IJi`��lr / f ;: -,; �.., �;r�,� V ¢� GW GRAVELS NFS, F1 WELL GRADED ,FRACTION COARSE MED. F1NE GM GR9\VELS F3 _ WELL GRADED GRAVEL13 to I I"to 3/8" 3/8"tell GP GRAVELS NFS, F POORrYZP71`DRD — SAND _e _ 4310 to"30 030 to' }60 " EO to''200 Sy,T SANDS NFS , F2 WELL GRADED SILTS 8 CLAYS -"200 COB LES -3 -_7EJ0U1_OERS-12+ -SM SANDS F2 , F WELL GRADED -- - Sp SANDS NF_S, F2 POORLY GRADED MG SILT F1_ — MUNICIPALITY OF ANCHORAGE Development Services Department t Phone: 907-343-7904 On-Site Water & Wastewater Section / Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 015-134-71 Expiration Date: 3,f/Z 1. GENERAL INFORMATION Complete legal description HAMPTON HILLS #1 BLK 3 LT 6 Location (site address) 7501 WHIST RD, ANCH AK Current property owner(s) KEITH TERRY SURVIVORS TRUST Day phone ����-c: �tOF tlivei(/�� Mailing address SAME ON- SI(E Real estate agent Day phoneZ WATFR AND WASTEWATER 2. TYPE OF DWELLING: pROGRAM El SDunpglecFamily (w/wo ADU) )i S/T SER\1\6' ))))))))111 ❑ Multiple Dwellings (Single Family and/or Duplex) u 6 7 8 9 70 3. NUMBER OF BEDROOMS: 3 a NOV I42019 4. TYPE OF WATER SUPPLY: "E OF WASTEW T R DISPOSAL: Private Well ❑ CF to Septic Water Storage ❑ H. �•�e gj��� ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment T t 11611q Date of Payment Receipt Number 111 IS Receipt Number COSA# V.�Ctt/n1 I6ZP 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. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864 Address 4661 NATRONA AVE ANCH AK Engineer's Printed Name MIKE N ANDERSON, P.E. Date 11-12-19e��e® OF Alq• �\� P. sfidt *'•• fo 49TH • 6. DSD S GNATURE o 7�•• MICHAEL N. ANDERSON ���/// System #1 Approved for 3 bedrooms �r�••. CE-2469 System #2 Approved for bedrooms �' �,�F•./��( ��I.�c•• �`��• .••:' Disapproved `‘�\"OF" ��� Conditional approval for bedrooms, with the following stipulations: \Qp \`YtOFr((1/4 ON-sirE ��; WATER AND rr,- PR TFWATCR o CR AM 66313:::� //i11 V FSERV\ By: 191)7t, 'ff, C Original Certificate Date:tz-Mq The Municipality of Agorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA)based only upon the representations 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: HAMPTON HILLS #1 BLK 3 LT 6 Parcel ID: 015-134-71 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Well production at time of test 2+ gpm Date drilled 8/22/19 Water storage tank volume 0 gallons Total depth 400 ft Well disinfected for coliform test? ■❑ Yes ❑ No Cased to 229 ft ❑■ Coliform bacteria is Negative ❑■ Sanitary seal is functioning correctly Nitrate 7. F1 mg/L ❑ Nitrate less than MRL (ND) ❑■ Wires are properly protected Arsenic ug/L ❑■ Arsenic less than MRL (ND) Casing height (above ground) 24+ in. Collected by MNA Date of flow test for COSA NEW Date of Sample 1112119 Static water level at beginning of test 195 ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) 11'4119 years ❑ Required maintenance completed Tank type/material PLASTIC Age of lift station years Measured operating fluid level in septic tank NEW Lift station material ❑■ Standpipes/foundation cleanout per record drawing Comments: Date of pumping NEW tank installed 11/4/19 D. ABSORPTION FIELD DATA Which system tested (date installed) 11121)80 Adequacy test date 10/31119 MALL standpipes present per record drawing Results p✓ Pass For 3 bedrooms Total measured depth from grade 11.5 ft(max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 3.5 ft(min) Water added 500+ gal ❑ N/A—pressurized field New depth 3 in ❑■ Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective ElCode-requiredsoil cover over field Final fluid depth 0 in System presoaked Absorption rate 500 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) Gallons introduced 2000 gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' —❑✓ Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' E Yes if No ft Private Sewer/Septic Line >25' M Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑✓ Yes if No ft ✓❑Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' l] Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' IAYes` krf No if.''ft Surface Water> 100' ❑✓ Yes if No ft Property Line > 5' ✓❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' l] Yes if No ft Private Wells > 100' ✓l Yes if No ft Water Main > 10' ✓❑ Yes if No ft Community Wells >200' ❑✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' l=1Yes if No <61* ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water> 100' ✓❑ Yes if No ft F. ENGINEER'S COMMENTS * Lot line waiver in the file..9/27/91 424— 'to„ t.,_, odd (- 4,, I G tv„ to n$., P•l sS ,._► G_ 4 �"s..d®yq OF Al tt G. ENGINEER'S CERTIFICATION •""'Acc.. .. ei , kt 4\. .' rr Sr iy �•?V 1-* I certify that I have determined through field inspections and review �.}r:•49tH • '4 �1 of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. / ER'4 to miCHA 1714 'A, DERSCN .`t' /I CGI,..*. C -9469 ..... COSA Checklist yellow sheet MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT .! 907-343-7904 On-Site Water and Wastewater Section ���.; Fax:343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # 0SC191549 Subdivision: Hampton Hills #1, Block: 3, Lot: 6 A water sample revealed a nitrate concentration of 7.77 milligrams per liter (mg/L). 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. Since nitrates are known to slowly increase, we recommend you monitor the water quality. 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. Mailing Address:P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES j Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 1. GENERAL INFORMATION HAA#����I�(^ Complete legal description L b 3 NAMPToN ii ILLS\ Location (site address or directions) 7Sol W HIS'r 6KcN, A fz� 9cl516 Property owner j tN1 R I E HL E Day phone 786 - 17�i—�--- Mailing address — BOX It 44�2 ^Nr_N 99511 Lending agency a 1AJ9 A • Day phone -2S7-3434 Mailing address— 1500 V, RF ANCH 99503 — Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 of this Health Authority Approval application shows that the on-site water supply -_ and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm FLATTOP TECH SVCS Phone 3'4S - 13,56 - Address 14:5 30 ECH. S-r,IIKC`H ,,�k g9s16 - Engineer's signature Date -fir.tom .Q� 49TH • -P THEODORE P. AAOORE d� ��,. •, CE - 3539 .' ti� 0 qc; Q _ _ �Rvma►a.� -6. - DHHS-SIGNATURE r . Approved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments By: UITIC bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. t/Bi) Beck MOA #21 Municipality of Anchorage C*_3 Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L 6, B3 HAMPTok �IGI S Parcel LD A. WELL DATA Well type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N.A • Log present (Y/N)— y Date completed 11111180 Driller SYREN PROS. _ Total depth 1& Cased to 186 Casing height 27 — Sanitary seal (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG x1111180 �6$ �z 8 SEPARATION DISTANCES FROM WELL TO Wires properly protected (Y/N) —x AT INSPECTION �127��1 1y3 g. p. > 1-7ti Z w0 c� 0 00 w ►�� O ? L.J_J 9•p• Q-) to ce. ZO a LU Septic/holding tank on lot 12S ; On adjacent lots 7 /D0 — Absorption field on lot _ 1 3.5" T° C•o. ; On adjacent lots -7100 Public sewer main > /oo r Public sewer manhole/cleanout —�7 /°O — Public sewer service line —>/'0 Petroleum tank _No ME 085EkV6,A WATER SAMPLE RESULTS: Coliform O cul / too.,e Nitrate hi! l-( — Other bacteria d w/ /�UG>M Date of sample: R 1271 `fir . 9 1 /9/ Collected by: F14TToP TFC8 SC ds B. SEPTIC/H9t0# 4G TANK DATA Date installed _II 121 /So Tank size 12 Sti Compartments 2 Cleanouts (Y/N) —Y — Foundation cleanout (Y/N) y Depression (Y/N) N High water alarm (Y/N) _ N.A • Alarm tested (Y/N) N /L Date of pumping L' I w ANCy CEsspooc P✓M f w6 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 1 2 S On adjacent lots -,7,/00 Foundation 8 FRorti C, O. To property line? 5 Absorption field R PEe 4s FL1 • Water main/service line ti 60 Surface water/drainage 7100 72-026 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA Date installed 1(21180 Length 32 Width. Total absorption area 12 Depression over field (Y/N) Results (pass/fail) _ 4s On adjacent lots "Pump off' level at Cycles tested Surface water _ Soil rating iso "ZBORM System type rREn(CN Gravel thickness Cleanouts present (Y/N) Total depth /o Date of adequacy test 81 :27l91 for 3 Peroxide treatment (past 12 months) (Y/N) _NoNf KNowA1 o F If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: bedrooms Well on lot 135 F wl C.O. On adjacent lots /01D Property line_ 5 FRDm C.D. To building foundation To existing or abandoned system on lot N•A On adjacent lots � 7S Cutbank N.A • Water main/service line ti S0 Surface water 7r00' Driveway, parking/vehicle storage area 6D Curtain drain NOKIE OBSERVED E. ENGINEER'S CERTIFICATION I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelin�,egyn`6% e date of this inspection. raw_ i Signature �-•-t_ ,� " " '°'e,`rt � ; ;t fs BBBeea aBeee aee°Basso ec'-,.„q //-- Engineer's Name T eeo,(oy F �`7tiC7✓L � BeeBeBB •Boa aBBB Bf.>p.• 9 . THEODORE r. Date 9 / 16” /V / w °� 3509 ° qi ol/pPii`; HAA Fee $ /20, OU Waiver Fee: $ _ (94 U D Date of Payment - �%/ Date of Payment Receipt Number % ��7 �� C���y Receipt Number(J(1�� 72-026 (Rev. 3/91) Back MOA 21 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS REPORT BY SAMPLE for WORKorder# 37684 Date Report Printed: AUG 2.9 91 @ 15:30 Client Sample ID:L6 B3 HAMPTON HILLS PWSID :UA Collected AUG 27 91 @ 09:30 hrs. Received AUG 27 91 @ 12:45 hrs. Preserved with :AS REQUIRED Client Name :FLATTOP TECHNICAL SRV Client Acct :FLATTOT BPO I PO # NONE RECEIVED Req 6 Ordered By :TED MOORE Analysis Completed :AUG 28 91 Send Reports to: Laboratory Super is r F N C. EDE 1)FLATTOP TECHNICAL SRV Released By 417 �Z,/� / 2) Chemlab Ref N: 914401 Lab Smpl ID: 1 Matrix: WATER Allowable Paxametex Tested Result Units Method Limits ----------------------------------------------------------------------------------------------------------------- NITRATE-N 4.1 mg/1 EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: CHRIS. Remarks: ......................... 1 ......... Tests Performed ........................................ See _...................... .............. Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT -Greater Than v�S�f� f Member of the SGS Group (Soci6t6 G6n6rale de Surveillance) Y14 I IST- auik/� C:L. propamd by DaM: Ott/ I 4o Municipality of Anchorage 0�4r Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 27, 1991 Ted Moore, P. E. Flattop Technical Services = __ 14530 Echo Street Anchorage, Alaska 99516 -- _- Subject: Waiver Request for Lot 6 Block 3 Hampton -Hills -S/D #1 Waiver Request #WR910044, PID #015-134-71, HA910426 Dear Mr. Moore: Your request for waiver of the required 10 foot_ separation between a septic system and a lot line has been._approved. The waived distance is 1 foot to the north proper-ty-_line.. This approval applies to the existing septic system lot line separation only. Any future upgrade to the sept_ic_system will require all separations be met or another approval -from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljw#7 Concur:__ John Sm __,, P. E. Program--Manacger On -site --Services- -- MUNICIPALITY OF ANCHORA Department of Health and Human Services ' On-site Services Section Waiver Review Worksheet WR# WR910044 PID# 015-134-71 HA# HA910426 Permit # Date Received: September 17, 1991 Legal Description: Lot 6 Block 3 Hampton Hillsil Engineer: Ted Moore, P. E., Flattop Technical Services 14530 Echo Street, Anchorage, Alaska 99516 Applicant: Jim Riehle Waiver Requested: Lot line waiver = field to lot line 1 foot Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: _.14e Waiver is NOT Granted: List Conditions or Reasons for above: f YJTEn E,vCRoACffES NCIl KBORIA6 'w C I N F r0 THE EQ$TN TX/f Lor To !•Kf 4,0i2rd if ADE Pu nTCi y SIZED Folt NUM auJ ►.A STFi nTFR D/SIOIAL SY5Tf,4rf IA1a Jtolf LI�7r6r,,h Date: 9-94-911 By: 0 Rec #: 23082/8344 Amount: $ 70.00 Date Paid: 9-17-91 CMI, & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 September 16, 1991 ANCHORAGE, ALASKA 99516 M.O.A. DHHS RECEIVED P.O. Box 19-6650 Anchorage, AK 99519 1991 Municipality of Anchorage Dear Sus: dept. Health & Human Services By means of this letter we are requesting a lot line waiver, down from the normally required 10', allowing the existing soil absorption trench serving Lot 6, Block 3, Hampton Hills S/D, located at 7501 Whist Road to be within 1 foot of the north property line abutting Lot 5. To assist you in your evaluation, I am enclosing copies of as -built surveys of each lot (on which I have marked the locations of the wells and septic systems). According to the as -built inspection report prepared by the Municipal inspector at the time of construction, the soil absorption trench is 10 feet from the property line, however measurements made at the time of our recent adequacy test, when plotted on the survey as -built of the lot, indicate the cleanout at the end of the trench is approximately 5 feet from the property line. This waiver request is for 1 foot from the property line to allow for survey error and/or underground projection of the sewer gravel closer to the lot line. The present septic system on Lot 5 is 75 feet away from the trench cleanout on Lot 6. As can be seen, there is ample room on Lot 5 for future replacement of the septic system, so there should be no adverse impact associated with granting the requested waiver. The topography is gently rolling with slopes of up to 10%. There will be no impact on any wells on either lot, Please feel free to give me a call if you have any questions on this waiver request. A Health Authority Approval certificate request is also enclosed. Thank you for your assistance. cc: Jim Riehle Sincerely, Ted Moore, P.E. f—v 0 `) 1 (0 &L I J-1 x T'UP ANICAL TECJa SERV, CMI, & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 September 16, 1991 ANCHORAGE, ALASKA 99516 M.O.A. DHHS RECEIVED P.O. Box 19-6650 Anchorage, AK 99519 1991 Municipality of Anchorage Dear Sus: dept. Health & Human Services By means of this letter we are requesting a lot line waiver, down from the normally required 10', allowing the existing soil absorption trench serving Lot 6, Block 3, Hampton Hills S/D, located at 7501 Whist Road to be within 1 foot of the north property line abutting Lot 5. To assist you in your evaluation, I am enclosing copies of as -built surveys of each lot (on which I have marked the locations of the wells and septic systems). According to the as -built inspection report prepared by the Municipal inspector at the time of construction, the soil absorption trench is 10 feet from the property line, however measurements made at the time of our recent adequacy test, when plotted on the survey as -built of the lot, indicate the cleanout at the end of the trench is approximately 5 feet from the property line. This waiver request is for 1 foot from the property line to allow for survey error and/or underground projection of the sewer gravel closer to the lot line. The present septic system on Lot 5 is 75 feet away from the trench cleanout on Lot 6. As can be seen, there is ample room on Lot 5 for future replacement of the septic system, so there should be no adverse impact associated with granting the requested waiver. The topography is gently rolling with slopes of up to 10%. There will be no impact on any wells on either lot, Please feel free to give me a call if you have any questions on this waiver request. A Health Authority Approval certificate request is also enclosed. Thank you for your assistance. cc: Jim Riehle Sincerely, Ted Moore, P.E. f—v 0 `) 1 (0 &L I J-1 ` - v DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME J TIME DATE DATE DATE NUMBER OF,BEDROOMS EKF SINGLE FAMILY `- INSPECTOR _ INSPECTOR INSPECTOR c ❑ Three ❑ Six MUNEfly UF MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC' WIgRONVENTAL PFlU3ECTION - 825 L Street - Anchorage, Alaska 99501 - • �7 7 Al�)i ENVI RONMENTAL SANITATION DIVISION Telephone 264.4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER_ _ GES 1�� � � _ �, �. , PHONE 26 22a MAILING. ADDRESS - /fl C) I 4,+ZC77/C: &j 6 PROPERTY RESIDENT (if different from above) PHONE -t - 2, BUYER - - J 1 VV\ q,*-, rz/� PHONE MAI LING AD/DRESS - Lt) eL8 y r ��q�. ,7 Dot r �5 3: LENDING INSTITUTION PHONE MAILING ADDRESS - 4. REALTOR/AGENT _ PHONE MAI LING ADDRESS 6. M , LTALJ?ESCRIPC/1J� 14 ((/��t... CV f �_� 1$-avt�✓ / D �-i - STREET %LOCATION 6. TYPE OF RESIDENCE- NUMBER OF,BEDROOMS EKF SINGLE FAMILY ❑ One ❑ Four ❑ Other EIR'Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY- Ll--- INDIVIDUAL* * ATTACH WELL LOG. A well lag is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 13. SEWAGE DISPOSAL SYSTEM IV INDIVIDUAL/ON-SITE** I5-0 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) f yrs 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE El PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED p� INSTALLER ❑Septic Tank or ❑ Holding Tank Size: /)-S-" If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER / -v— TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS UY APPROVED FOR ~�s' BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) a T Prl�iva j� 23s 1978 #77652 Royal, Kuhl 5114 gest 42nd Avenue Anchorage, J%Iaska. 99544 cJji3 j f';#ot s p1jh. Expiration A permit ins ed by tt►is department for well and/or ren -site Hills Subdivision sewer installation on lot 6 islock 3 Hampton hzjs �)xpirecj sinoe the inane data exceeds one(1) year. Xn the errant YOU. still plan to install, the well and/oz: on - new is required. The original alto sewer system, a permit sail teat taay be ilsed to obtain a current 1 armit. if the well has been dri.lied, a well loci should be sent to this de-partment to docsumont the installation elate'k if you have any quentious ragarding the above Matter# please contact this office immediately at 264-4720. s Sincerely, Lee 11. }luchholo, P.S, - Senior Environmental S ciz�li.st y 1 S ON 0 1 . % N ° e N ]iC•J. 2i'i*. r. r55F A: Ep ?^R , 5 m ' m ? w "Ahl' TOM .�\�. [� VE [ bi m =f:k m Q^�$" z ' j D b � IX�io no�cm W+nolo n i ` E t E Q O .— i � r � e nycz �lo>zo Izzw e v F u; yea [ ELIES DR. `...._. e:'. 1q... r' F I �.._ ♦I OZ r -m 2 2!� uLnz= . t� O 0 1 . % N ° e N ]iC•J. 2i'i*. r. r55F A: Ep ?^R , 5 m ' m ? w "Ahl' TOM .�\�. 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