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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 8 LT 1Mountain Park Estates Block 8 Lot 1 017-391-41 EXPIRED PERMIT Permit Number:OSP261218 Tax Code Number:01739141000 Work Type:Septic Upgrade Effective Date: Design Engineer: Site Legal Address:MOUNTAIN PARK ESTATES BLK 8 LT 1 G:2838 Owner:STOLTENBERG ROBERT L Site Mailing Address:5800 BRISTOL DR, Anchorage Lot Size in Sq Ft:20600 Total Bedrooms:3 This permit is for the construction of: Disposal Field Septic Tank Holding Tank Privy Non-Public Water 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. Coodinate with On-Site staff regarding preferred method. 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 7/23/2026 7/23/2027 FIRST WATER CONSULTING Special Provisions: Seek a ROW encroachment permit for the well in Bristol Drive in order to close out this permit.  Expiration Date: þ þ ¨¨¨¨ Issued To: Issued By: Date: Date: 7/23/2026 7/23/2026 FIRST WATER CONSULTING Curtis Townsend MUNICIPALITY OF ANCHORAGE 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 On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section May 2025 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. _____________________ Property owner(s) ______________________________________ Day phone Mailing address Site address Legal description Number of Bedrooms ________ Engineering Firm _______________________________________________________________ Building Permit Number ___________________________ Not Applicable APPLICATION IS FOR: ( all that apply) Disposal Field Septic Tank Holding Tank Privy Well Water Storage APPLICATION IS AN: Initial Upgrade Renewal THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: ________________________________________________________ Distance: ______ Permit/Rush Fees: Waiver Fees: Date of Payment: Date of Payment: Permit No. Waiver No. 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com ! !! July 14, 2026 Municipality of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: MOUNTAIN PARK ESTATES BLOCK 8, LOT 1 The property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. We propose to install one deep trench and 1 500-gallon HDEP STEP deep- tank to serve the existing 3-bedroom residence. The design is based on the recent test hole conducted on June 30, 2026. No groundwater was observed at test hole excavation or monitoring. The slopes are moderate at 3-8% at the proposed upgrade location and the trench will be installed at the toe of the slope, 10’+ from foundation with positive grade away from the foundation. The lot and area are served by private water. The design will not impact any of the neighboring properties. The owner will obtain a MOA ROW permit for the well in off property. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261218, Curtis Townsend, 07/23/26 FIRST WATER CONSULTING MOUNTAIN PARK ESTATES BLOCK 8, LOT 1 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM. NO SLOPES >25% WITHIN 50'OF PROPOSED FIELD. STAKE PROPERTY LINES, WELL RADII, ESMTS, OR OTHER SEPARATIONS... PRIOR TO CONST. PROPOSED TRENCH HAS LESS THAN A 1' DIFFERENCE IN ELEVATION FROM END TO END. TRENCH ALIGNMENT CAN BE SLIGHTLY ADJUSTED, THE UPPER LAYER IS LESS THAN 2', THE FIELD CAN BE INSTALLED TO 11', BUT KEEP AS HIGH AS POSSIBLE & IN THE RECEIVING SOILS. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261218, Curtis Townsend, 07/23/26 FIRST WATER CONSULTING DESIGN DETAILS: MOUNTAIN PARK ESTATES BLOCK 8, LOT 1 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261218, Curtis Townsend, 07/23/26 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES B8, L1 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7/10/2026 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 SM/ml w/ gm pockets 9 10 11 12 13 14 15 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 7/10/26 30 min 6” 1 14/16” 30 min 6” 1 14/16” 30 min 6” 1 13/16” PERCOLATION RATE 17 (MIN / INCH) TEST RUN BEWTWEEN 4 & 5 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 7/10/2026 TESTHOLE # 26-1 DATE PERFORMED: 6/30/2026 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: ROBERT STOLTENBERG & HELENE BEATTY 07/10/26 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261218, Curtis Townsend, 07/23/26 ;0 1 D v BRISTOL DRI \ _ VET WELL �0 R-1100.28 0 30.0' Pi Lot 1 20,465 s.f. PATH GRAVEL / CONCRETE 3.0' CANT DECK WITH-r_� ENCLOSED STORAGE BELOW L211-2 STORY -" l io.oSIDENCE , DAYLIGHT NSEMENT 7.' IN ai W 0 N Lot 2 O Z WOODEN FENCE S 81'42'40" 10 4.12' � _ — _ 7 — 20' UTILITY Lot 23 — i EASEMENT ' NOTES: GROUND LEVEL IMPROVEMENTS SHOWN ARE APPROXIMATE. THE WELL ENCROACHES INTO THE RIGHT—OF—WAY AS SHOWN. DATE OF SURVEY: 12 MAY 2026 PLOT PLAN AS BUILT —X SCALE 1 " = 30' GRID SW 2838 Project No J26-087 Al P.OLan & Associates inc Anchorage, oraBox e, Alas Q g � • Anchorage, Alaska 99521-0005 p� Q95 Professional Land Surveyors `90v 0a64surve Qom oo�� OF q surve g y. 0 I hereby certify that I have surveyed the following described property: 0�� �V LOT 1, BLOCK 8, MOUNTAIN PARK ESTATES SUBDIVISION (Plat No. P-501) . Anchorage Recording District, ....... ..... 9 9 Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that Q no improvements on the property lying adjacent thereto encroach on the surveyed o premises and that there are no roadways, transmission lines or other visible �^ AT N LANG .. 0 easements on said property except as Indicated hereon. LS-9944 . • •' JO Dated this the -g- Day of P1 A-y 0 F _ at Anchorage, Alaska �D�ORaFESsioNA%- moo 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. State of Alaska AECC963 Maricle, Kathleen R. From: RI -Stoltenberg [rlstolt@acsalaska.net] Sent: Tuesday, January 23, 200712:07 PM To: Maricle, Kathleen R. Subject: Well Permit Status Kathy, further to our telecon this date, please be advised that no new well was drilled pursuant to my outstanding well permit for the residence at 5800 Bristol Drive, Anch AK 99516 (Mountain Park Estates Blk 8 Lt 1). Thank you, Robert L Stoltenberg Mtmicipality of Anchorage C ,�'^!-.h_1 1:0. D)x IT,(Z0 • .Vlchomgc, Alnslm!M.)519 (iN) • Tcicllhunc (!X)7) 313 fi301 • Fxx (007) 313.82( ) 470011mgaw Sired • Anchumge, Ahislui M517 Mayor Mark Begich 12 December 05 Robert Stoltenbert 5800 Bristol Anchorage, AK 99516-3104 "I""1uml.org Building Safety Di-tislon Subject: Expired On -Site Water and/or Wastewater Permit Permit Number: SWO50006 Legal Description: Mountain Park Estates Block 8 Lot 1 Dear Mr. Stoltenberg: An On -Site Water/Wastewater Permit, number sw050006, issued by this office for a single-family system, will expire on 7 Jan 05. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely, &C-111-4- P_ 011 -VII Daniel J. Roth Program Manager On -Site Water and Wastewater Program Enc: Copy of permit C0771 11unity, Security, Prosperity MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Upgrade Permit Number: SWO50006 Legal Description: MOUNTAIN PARK ESTATES BLK 8 LT 1 Design Engineer: 0000 None Required Owner Name: ROBERT STOLTENBERG Owner Address: 5800 BRISTOL ANCHORAGE. AK 99516-3104 Date Issued: Jan 07, 2005 Expiration Date: Jan 07, 2006 Parcel ID: 017-391-41 Site Address: 005800 BRISTOL DR Lot Size: 20600 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked 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. 5. The following special provisions. The existing well, located in right-of-way of Bristol Drive/Birch Road, shall be permanently decommissioned in accordance with AMC 15.55. Decommissioning must be completed within 14 days of installation of the new well, Including installation of the pitiess adapter and connection to the dwelling, and determination of adaquate water supply. Received By. Issued By. Date: 1-7 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D.C)11�(may I Permit Number SW Property owner(s) z 3e4 I-.. "6A. 14 r23 Day phone(S07_)zgS-.-W1 � Mailing addressTCQ c>'Or,,,-4e1 -Z:>- rye Zip Code 99,571 a Site address Code Legal description (Lot, Block & Sub'd.) �_.V I P-1? Io ck % r'iftw%% -a'c�� C%�� e' Legal description (Section, Township & Range) Lot Size '; (n I Acres q.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ' R Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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 of property owner or authorized Permit/Rush Fees: 01 I -10S !fD Waiver Fees: Date of Payment: _ Date of Payment: Receipt Number. L*W cJN.(�C\ Receipt Number. (Rev. 09/04) 1 eccl � weld R�H1o0.2 = 7.7 O L I 1 0 - �o- so' A w L: r 0 S¢p+.� I S.O' Cia.4 o t, � S' I Mce -0 45. g• 1110 Dc[X w N V s.o 6.0:7 i po.cti .O w p�� — ccla.s `6 w'Ji S¢pfi.�� N to 40 m - U 36.6 O 8.0 eon wr D • N � � � � _ _ N 5O' NO' U+,1,4- m I 6 �' • 42 ' a Y o' E 104, Nom• �� �' - • JOB No..-- S5L3:7 ZONED : f4- 6 FIELD BOOK: 6 - ALE: 14= 40' PLOT PLAN AS -BUIL -P X GRID: DRAWN BY:MCGL CHECKED BY -Dr -M &S ENGINEERS, INC. HEFEBY CERTIFY T1UT 3 HAYS THE FOLLOWING DESCRIBED PROPERTY, MO NT•. OT 1 MX.6 Er. -F. -re -s bucc. ANCHORAGE RECORDING DISTRI AO THAT THE IMPIOVEMENTS SITUATED 7HEREON ARE WITHIN THE PROPERTY LINES AD DO NOT ENCROACH ON THE PROPERTY LYING ADJACENT THERETO. THAT NO MFROVEIENTS ON PROPERTY LYING ADJACENT.THFAETO 04MUCH ON THE PREMISES 'N OUFSTION AND TWIT THERE ARE NO ROADWAYS• TRANSMISSION LINES OR OTHER 'ISIBLE EASEMENTS ON SAID PROPERTY EXCEPT AS INDICATED HEREON. 1ATED THIS te;b"DAY OF FEC.. 10 O4: ANCHORAGE ALILSKA. T IS THE RE"ISIBILITY OF THE OWNER OR BUADER PRION TO CONSTR)CTIOK .0 VERIFY pNOpOSEO BUILDING GRADE RELATIVE TO FINISH SUM AND UTILITY MNMECTIONS AND TO OETEANINE THE EXISTENCE OF ANY EASEMENTS. COVENANTS .e. neHeTlRIeYG wvf m u T .owso m K KI cm "MTVTclI d AT 7125 OLD SEWARD HWY. ANCHORAGE. ALASKA 99502 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTcCTION`��ENVIRONMENTAL ENGINEERING DIVISION �'11�.,� T�, .� (n*) 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 - IeoneAI evcTr:M AMID/OR WELL INSPECTION REPORT PHONE NEW NAME �`�"` �'%�, OUPGRADE Ahr I _. II MAILINGADD(SS LEGAL DE'S\C(RyIPTIO j' - / + 1 `t _ _s 1 -ca LQ ( l I � o'I' ` `'=.i NO.OF BEDROOMS - LOCATION 3 Well Absorption area j Well Dwelling PERMIT N pa DISTANCE TO: I'�f-, ((,%I U y Materi i No. of compartments _ aQ Manufacturer -t' w h\ Y l Inside length v' Liu. capaC'tyjn alions IFHOMEM E: Width Liquid depth E_ Well Dwelling PERMIT NO. 9 z DISTANCE TO: O? Material Liquid capacity in gallons Q Manufacturer x r Welles ��, Foundation f Nearest lot line / I /CEJ PERMI O ;. -I y- DISTANCE TO: ;� 1 " - T — 1 j� Total length of Iine�J � No. of lines -� Lengtt )of ch lyn�j Trench widtl (finches Distance between lines Z w t �Y I y/ Material beneath the finish \finches Total effective ab 9rption arta / % / i a Top of tile to grade Length Width Depth PERMIT NO. Lu Q H as Type of crib Crib diameter Crib depth Total effective absorption area LU Well Building foundation Nearest lot line y DISTANCE TO: Driller Distance to lot line PERMIT NO. Class r Depth Lu Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS SOI L TEST RATIN INSTALLER REMAR U r r.= li DATE APPROVED LEGAL _ ��K �� l(; -1 �l 11 - ._..� ����� �I.::::- ����� DEP�R1"11EI'AT HEHLT1-1 HND ENVIpi: ONMENTHL FTECTION 8�5 'L' ST�EET/ HNCHORHGE/ HK� 99501 « 264~4720 � ���� ������ PERMIT NO ( 8]046] ) HPPLICHNT GORDON WOLFE 1241 FRIP.IDLY LHI%IE #1 99504 ]]7~4884 LOCHTION L�GHL MTPHRK �STHTES B8L1 LOT SIZE 999999 SQUHRE FEET TYPE OF SOIL H�SORPTION SYSTEM IS� TRENCH MHXIMUM NUMBER OF SOIL RATING (SQ FT/BR)� 265 THE REQUIRED SIZE OF THE SO f!.... HBSORPTION SYSTEM IS� q������ ��� ����� H- E` THE LENGTH DIMENSIClN IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVHTION (IN FEET). j����� ����� PERMIT HPPLICHNT HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTHLLHTION I�SPECTIONS OF HNY WELLS ADJACENT TO THIS PROPERTY HND THE NUMBER OF RESID�NCES THA -I" THE WELL WILL SERVE �P_.R T lot Fe E.--. _11 3E IFR E� LLING OF HNY SYSTEM WiT���T FINAL.IDEPARTN�P�CT��N HND HPPROVHL Ur' THIS ~^~^~MENT WfLL BE SUBJECT TO PRO�ECUTION MINIMUM DI�THNCE BETWEEN H WELL H-11'.) ANY ON-SITE SEWHGE DI5POSHL SYSTEMI'S 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WL ELbEPENV1 UPON THE TYPE OF PUBLIC WELLTE WELL TO H pRIyHT� SEWER LINE IS 25 FEET HND MINIMUM DISTHNCE FROM H PRI ;M TO H COMMUNITY SEWER LINE IS 75 FEET�TURNED TO THE DEpHRTMENT WITHIN ]0 DAYS WELL LOGS HRE REQUIRED HND MUST BE KE OF THE WELL COMPLETION�HppLy� SpECIFICHTIONS HND CONSTRUCTION DIHGRHMS HRE OTHER REQUIREMENTS MHY RVHILHBLE TO INSURE PROPER INSTHLLHTION � ��������� ������� ���������� I CERTIFYATHHT�R WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS HS SET �1�} FORTH BY THE MUNICIPHLITY OF HNCHORHGE� 2 I WILL INSTRLL THE SYSTEM IN HCCORDHNCE WITH T�E CODES ]� I UNDERSTHND THHT THE ON-SITE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RSIDENCE IS REMODELED TO I@CLUDE MORE THHN ] BEDROOMS. HICHNTGORDON WOLFE^ ' � �� U�/ ''''4 0 � / ��-�~~V�' ����"� D|�l[E ~�--�_~�_~�_-^-`' I��U�D BY.~__^��-L4~~�~~`~~~~���^��~� ^ ~^~~^ -~^^^~� n,o��C. ; �_. y /vtrrAsct�rc mow, b � F �i.�. o b�E �5 h �..—# WteaSu,kS,rru��' t.4r1� � r _ es• s�17� �„_I��...::Li+l"�"�`�4'�.5�..!�^j,.pl��F/iti ' � �.... _l�n .n._a jr- ❑ SOILS LOG —_ MUNICIPALITY OF ANCHORAGE ❑ PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 1 / 825 L. Street, Anchorage, Alaska 99501 264-4720 \' SOILS LOG — PERCOLATION TEST PERFORMED FOR: I!�.1� �JJ —DATE PERFORMED: Z)C `J LEGAL DESCRIPTION: G' 4� X—k L01 l SLOPESITE PLAN y�� 1l 1 2 3 4 5 6 7 s 9" 10 11 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: 72-008 (6/79) C11V 2L'C&k ✓t' PC WAS GROUND WATER 7 S ENCOUNTERED? t-/ L 0 P E IF YES, AT WHAT DEPTH? PERCOLATION RATE TEST RUN BETWEEN CERTIFIED BY; 4j •— (;minutes/inch) FT AND FT DATE: /_f—? Reading Date Gross Time Net Time Depth to Water Net Drop tl 3 30 z 9, 39 /0 70 0'7 9 Al 10 toy 043 r 2 9'SP L8 /0"tyn /b �d5' 1065 /0: ?0 PERCOLATION RATE TEST RUN BETWEEN CERTIFIED BY; 4j •— (;minutes/inch) FT AND FT DATE: /_f—? Box 1369, STAR ]lOlo'TE A A.N'CHORAGI~ ALASKA 99502 8~-7714 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 3 e'n ""' '~'' DRILLED AT THE RATE OF ' "'~ PER FOOT. ~_~,~.~ PROPERTY OWNER ~'"~'~- y' "n]'~ ~''~ ~. 7~7 ~'~ ~' LOCATION OF ~KLL SITF ~' ......... v DRILLER ~:'~ Ct~'" ~' ~''' ..... .~.. ~).t.I.I.I.~- WELL LOG: ~. .... ~. ...e~l'*. ..... ,,,.~. . ,~'~.... .~'; ~.CU. -.- '- ' ~:~.Lf.~ 75:; cLc7. 7~---13!~ Co ~: ~ -,, ..~.,--~ .... ~-~.~J_. ar~.'. 727--7~.-~'~'~2"--- .. ,.'~ c~.~ ~c~ -.~['ct.. . COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~£0, f~q THANK YOU VERY MUCH. DATF BERNIE ~C.J=~US OF RAMPART D WORKS SERVICE CHARGEOP 1~% PER MOtH WILL BE ASSESSED ON PAST DUE ACCOUNTS. MUNICIPALITY OF ANCHORAOE DEPT, OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) MAR 8 10PA CHECKLIST - FEBRUARY 1984 n RECEIVED A. WELL DATA Well Classification i,J^1e, If A, B. or C, D.E.C. Approved(Y/N) 'k"�A Well Log Present (Y/N) Y{_S Date Completed ' lh'3 Yield, Total Depth 7<�' Cased to �c) Depth of Grouting tai � _ __ Static Water Level Pump Set At-- 3. (2O Casing Height Above Ground /.S Sanitary Seal on Casing (Y/N)N4 _ Electrical. Wiring in Conduit (IN) ids Depression Around Wellhead (Y/N)I.10 l Separation Distances from 4b11: r To Septic/Holding Tank on Lot ;7ic �` 7 On Adjoining Lots ?/oo To Nearest Edge of Absorption Field on Lot_2��_�: On Adjoining Lots�>toCr _ To Nearest Public Sewer Line �/4- — To Nearest Public Sewer Cleanout/Manhole ro/. Water Sample Collected By Water Sample Test Results Commnts B. SEPTIC/HOLDING TANK DATA To Nearest Sewer Service Line on Lot A�/A_ _ Date Installed c/'3113 Size LLS L7 No. of Compartments -- Standpipes (Y/N) ;�zJ Air -tight Caps (Y/N),ES Foundation Cleanout (Y/N) Depression over Tank (Y/N) - -_ Date Last Pumped _ /J/;4 Pumping/Maintenance Contract on File (Y/N) /` i4 I for Holding Tank High -Water Alarm Temporary Holding Tank Permit (Y/N) ^!/f Separation Distances from Septic/Holding Tank: To Water --Supply W✓11 yioo ` _ _ To Building Foundation /.5 To Property Line _ _--- —IC) To Disposal Field ,)U'_ To Water Main/Service Lire �J To Stream, Pond, Lake, or. Major Drainage Course N Comments [Page 1 of 21 2--15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata �fil�d;,;,,, Type of System Design?s`,� Date Installed 3 J Length of Field Width of Fields �' Depth of Field / Gravel Bed Thickness�) Square Feet of Absorption Area r >o Standpipes Present &N) Depression over Field (YIN) (00 Date of Last Adequacy Test N/gyp. Results of Last Adequacy Test N(,4 - Separation Distance from Absorption Field: To Water -Supply Wall To Property Lire - I (V_>.1 _ To Building Foundation �2�� To Existing or Abandoned System cn Lot IV A On Adjoining Lots To Water Main/Service Line A To Cutbank(if present) 0_1,4 To Stream/Pond/Lake/or Major Drainage Course YV/A To Driveway, Parking Area, or Vehicle Storage Area 1,`r D. LIE"T STATION Date Installed � F Dimensions I A _ Size in Gallons Manhole/Access (YIN) 11)1A_ "Pump On" Level at N)A "Pump Off" Level at N( High Water Alarm Level at tie Vent (Y/N) Tested for A/,A Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes(Y/N) Comments -� *' Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to a7.1 MOA HAA Guidelines in effect on the date of this inspection. Signed /. . //.< �. Date / Company r ' MOA No. 'til,: KB1/d5/s (Page 2 of 21 2-15-84 YIC ° 3 6.%TEERS AL .r.y C. R^id, J iL,9 d' �A 'Rnrc'90\1'\ - '> 2-15-84 ALASKA it OROWnTRL COnTnOL ShUINS, InC. engineerinq & Enuironmental Studies March 6, 1984 Mr. Robert- Robinson Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Mr. Robinson: aaA13D3N NOIZ9108d 1H1N7WNO81AN3 '8 H11b3H d0 '1d3U 20"OHONd d0 )J-11ydQ1NnV4 I am writing you concerning Lot 1, Block 8, Mountain Park Estates #1. The septic system was originally installed on September 13, 1983, and inspected by AECS. At that time, no well had been drilled on the lot. The well was subsequently drilled on September 25, 1983. In conducting a Health Authority inspection for this property on February 28, 1984, a measurement from the well to the nearest portion of the drainfield yielded a distance of 94 feet, as shown in the attached drawing. It appears that the siting of the well may have been constrained by a road easement fronting Bristol Drive and a possible power utility easement along Birch Road. The well is located at the furthest lot corner from the septic system. Additionally, the well was drilled through silty gravel with 40% clay binder from 0-24 feet, as noted in the well log, and showed no water yield down to 360 feet. Water production was confined to an area extending from 360 to 380 feet below ground surface. As such, the water supply should be quite protected from potential contamination by the septic system. In order to expedite the completion of our work concerning the Health Authority Authorization, it would appear that the granting of a waiver of distance would greatly clarify the situation. I would appreciate your assistance in resolving this matter. Should you have any questions concerning this site, please contact me. HRE/caj Sincerely, C f,GL Harald R. Ehlers Environmental Engineer 1200 West 33rd Auenue. Suite B • Anchoraqe, Alaska 99503 • (907) 561-5040