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Home My WebLink AboutMOUNTAIN PARK ESTATES BLK 8 LT 9 Ke /07, / 201. 9 ba:' -,8 9 07 - 3i 1. 5-113 11 0 ".1,PT(-1E DRILLING PAGE O1; 02 Alpine Drilling & EnterpriseS parcel Idelitification Njunber: 01739133000 P,err.aitNnmber*.,4SW,-- located at z1f),proved pertilit locatiOn x I)-,jje Started -.?0.t8 Pate COWI)Ieted,� Q--, -; Is s• ell Legal DescliptiOW A40U17taip par!,(E-.stafes 3lock 8 Lot 9 propel-ty Ow uer Name & Address'. Jefic ReYer-; 6060 f3risfol Drive Anchorace, Alaska 99511 r Totary cable, tool -�—Or—ehole Daf a: Depth (ft) Method of Drilling x air From To Soil 1"Nrpe, Tbi(�"ess & waW'r StrataCasing t3pe•. Ote-61 mall Thickauss:niches well Devilu. 2P-1 feet existing Diameter: 6 inc-hes sawl). sdjh) gravel I DiaintteM jil,rlies Depth: --feet �T(TVCI1y silt Casing Stiey,(jp,,jLOVe ground. 2 feet Silt 211 219 -- 3 fee tai iC -,vatey level (froth ground levet)): H )� t gravelly S1,11 219 226 PUMP-jilig level: -: 00 feet after poutspian tying 11 PIR 6 239 silt239 250 Recovery Rate* -_�-5 gprn grave !ly silt ___Nleth boidder "jo 252 Well Intak-e Opening Type. 252' 258 F1 )pen End x OptV, Rol+. grave,1411 silt feet Start-— fit Stopped bedrock 355 306 scr--eriej —Li—I Start SAWL I Volatile.; Grout Tyl)e'. start -".'ect Str,)Ppzd -' feet Depth', Pump: Intake Deptb feet NO L WenDrffler- POBox 110496 jnch.(�rqge K995!1 LF 14J.: j I MUNICIPALITY OF ANCHORAGE �b 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 �'''CN OR AGE On -Site Water System Permit Permit Number: OSP191470 Effective Date Work Type: Well Upgrade Tax Code Number: 01739133000 Site Legal Address: MOUNTAIN PARK ESTATES BLK 8 LT 9 G:2838 Site Mailing Address: 6060 BRISTOL DR, Anchorage Owner: REYERS JELLE A & Design Engineer: This permit is for the construction of: Expiration Date: ANA h n C� llet�<rt•tnc.nt Lot Size in Sq Ft Total Bedrooms: 10/16/2019 10/15/2020 22000 ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy 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: 1) If the existing well is not to remain in service, as defined in AMC15.55, it shall be decommissioned in accordance with code. 2) To close out this permit, please submit the following: a) Well log b) Pump install log c) Water sample results for total coliform, nitrates and arsenic d) Decommissioning log for original well, if not remaining in service. Received B) Issued By: Date: / Gate: 3 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. Property owner(s) si',�='l fes'/ /i�Day phone �'/ 5— ?<?J3 F � / Mailing address ZiaQ,� Site addressx1D`1� Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) A J_�U Lot Size 7.--7 ®p,0' Sq. Ft. Number of Bedrooms y APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption,. Field ❑ Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank ❑ Upgrade Duplex (p) ❑ Holding Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Wellj 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 prop caner or authorized agent) Permi Rus ' ees: f 300 -DO Date of Payment: Receipt Number:., Cv� Permit No. 05 e jgj to j 0 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 1960 /0 196 ' Ij IO G j� W E -� sir�lvatx � j 0Z� 0.0 r,E� je l 50 U06 F T ly t1be / \ aura "z '� -�.�� Z� ', yI R6� 5 Y (gyp �5cs,�¢P G, Dr D }1j r 9 3,76 _ n ./ f \/may/�/•, • • . C\ . R 1i 23 It 1s the responsibility of the owner or b uilder, prior to construction, to verity D hr Peed building grade relstive to fin. ]shed grade and utiLt� connections and CD to determine the exL-�nce of any ease- --k N� O� ✓ 5 o not covenants, or restrictions which EzL r / don plat laPlzear on the recorded snbdivi- PRopus Xl Sl A -S BUI 0 966 G* y��f �� •�S4- RECEATfFiCAT10{V ti 49" ..�.... .... .. zlD rr4 ' �lddii k� 0 SLI D+::�~0 LOT SURVEY CERTIFICATi' c ��®� LEGEND: 4, Brass Cap Monument Lot nf , Block � Area Sq. Ft. ' "`-i S eelIron Plpe Pin 5297- F.S o Survey Hub Ek Tack Plat File No. Zoning District - A;!.chorage Recording District, Alaska - r. - - � REVISION DATE BY REET �Nl - C WkLD- WMCH - L E Residence of: RJ AHCHO A4E4.040 TALASKA Dote: A FBy: SCO/e: w.0.;#F. B. F rid: ER ANCHORAGE AREA BOK~dGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL ~7' / cF INSIDE LENGTH MANUFACTURER ~ INSIDE WIDTH MATERIAL COMPARTMENTS _ LIQUID DEPTH LIQUID CAPAC TY~'~C}~CC~)GALLON$. TILE DRAIN FIELD: DISTANCE FROM WELL_/~/~''~ FOUNDATION NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH ___NEAREST LOT LINE DISTANCE BETWEEN LINES /,~///~L TRENCH WIDTH~ IN. TOTAL EFFECTIVE "~ SC). FT. L~I~,GTH OF EACH LINE / DEPTH OF FILTER // MATERIAL BENEATH TILE ,f'¢~. ABOVE TILE Y IN. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED ..... CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE__ OTHER SOURCES DISAPPROVED DEPTH SEPTIC SEEPAGE TANK SYSTEM REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: SEWER LINE DEPTH: ~t~-,~'! ___ PIPE MATERIAL: LOT SLOPE: REMARKS: Form LQ-032 '1 I..IIE L. liii:I:.,tGTH [::, :[ I"lE:l'.,lt[:; :~: (3N ): Z ']'l..lli!:: I..I!.~I.,IGTH ,:: :1: N F'I!!!:IZ'I' ::, OF' THE: 'I'I:~i'.~[t'.,!CI.I E:[I:;i: [)[:;i:1:::1 :[ NF' :i: E:L.b 'l'Hlili: [::,E.F:'TH O1:::' I::.t "l'l:;itl.:::l'.,!l::::l..I O1::i: F:':!:T GI:;i:OL.tI'.,II:) I'-'11'.,11:::, "FF-Ili~: li!iu:Tr"i'OH Oi:: '1HI:ii: 'l'Hl:ii:l:;i:l!!i: :[:5 I~.,IO :!i;E:T I,.l~[::,"rH I::'OF'. TI...II~ (::iF?.FiVI'ii:L.. [::,1~:1::"I"1'-I :[: :::'~; THE!: ["'i i:::iNI:::, THE: E~OTTCIH OF' 'THE: E:::.~:CFi',,,'t:.:iT~ i:i)['.,I ,:: ]: I",l I':'li(:t~:~'l' ::,. -~ ,, ,, ........... ....., ,,~ ~ ........ ~ ~I~ ] I lii!::[THli~':Fi: I:::1 ('::k.l':l:ii;:i~': i[ OI41: [[ :1: N'.!!i;F' F:lt::'l::'l:;?.O'v'[~:l:::, F'I...FII",IT hlFl"r' E',E: :l:l",t'.E;Tl:::ll...L.[iii:[::'. I:::1 CONT :1: NI...IOI...l'.ii:; I'i1::1 :( I",!'I"IF:I",IFINC[E I::ll::iit:~il!![lii!:r"lli!:t",t'l' .1: '.!i; I:~?.1!!:(i:!1_t :[ RI::!:[::'. :[ F 1'4 I'IFI ~[ N"t'E:Nt:::INCEi: I:::ff!il:;i:E:l!ii:HliL"N-I" :l:ii!!; NOT I';::lii':F'T I:::l...l~;~:~:E:l",l'I' "r'OU HFI"r' I:~i~l!!: I':i:li:~:g!iJ:i:l:~:E.'ll)TO li!!:l',tl....l::ll41'.l:::ilii!: Tl'"ll~i: ZO/[! !:::llii',:!i;Ol:i'.l::'T:[Ol'4 :E';'T".!~;TE:['1 FIN[::,,.'"OI:;i: '.r'Oi..I I'"1:1: I~',1:1: HUH t::' ::[.(!![li!:.t t::' [i!: [!i: "l" I:::OFi'. I':t F:'f;~::t:',/l:::lTt!!i: I.,.ll!i:l...I.. Cfi;i: ;ii!:EI.EI I:::'li!i:E:T F'OI:,i: i::'1 i::'UE~t...:[C I.,.IE[I...I_.. kllilil..l... LOG:ii!; OF' 'i"Hl!i!: 14E:I....I.. :E; F' El:(::: :I: I::: :t: C:I::i T :[ ['4 t!~; T I:;:ll...I.l:::l '/' ]: I:i:11'-,I. April 24, 1977 R&M No. 751144 Mr. Jim Marshall 300 1/2 East Manor Anchorage, Alaska 99501 Re: Test Hole and Soil Log Report for Sanitary System Lot 9, Block 8, Mountain Park Estates Subdivision, Anchorage, Alaska Dear Mr. Marshall: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This in- vestigation was performed in accordance with your request of April 15, 1977 and those procedures outlined in a letter dated July 10, 1975, by Mr. Rolf Strickland of the Muncipality of Anchorage Department of Environmental Quality. A single test hole was drilled within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Drilling was accomplished with an auger type rig and the test hole was extended to a total depth of 20 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling. A percolation test was performed from a depth indicated on the attached table and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R&M CONSULTANTS, INC J. Michael Stanley Geological Engineer JMS/gld xc: Muncipality of Anchorage The Test Hole location is approximate and has not been located by survey methods. T.H. 1 Ail Samples A 0.0' ORGANIC ~.~TERIAL, Brown~ Fibrous (0) 0.5' SILTY GRAVEL (GM) Brown, Slightly Moist, Medium Dense SILT W./Trac~ to Some Gravel (ML) Slightly Moist} Firm . 7.0' 20.0'T.D. Ground Water Table Not Encountered DW N~: O: JMS ~NSULTANTS, INC. SANITARY SEWER TEST HOLE JIM MARSHALL ANCHORAGE, ALASKA IO RID: 2838 /FROJ'NO 75]]44 JlOWO-~o, ALii, SOILS CLASSIFICATION~ CONSISTENCY AND SYMBOLS CLASSIFICATION: Identification and classification of the soil {s accomplished in accordgmce with the Unified Soil Classification System. Normally, the grain size distribution determines classification of the soil. The soil is defined according to major and minor constituents with the m~or elements serving as modifiers of the major elements. For cohesive so{is, the clay becomes the principal noun with the other major soil constituents used as modifier; i.e. silty clay, when the clay particles are such that the clay dominates soil properties. Minor soil constituents may be added to the classification breakdown in accordance with the particle size proportion listed below; i.e. sandy silt w/some gravel, trace clayo no c~] - 0 - 3% trace - 3 - 12% some - 13 - 30% SOIL CONSISTENCY- CRITERIA: Soil consistency as defined below and determined by normal field and laboratory methods applies only to non-frozen material. For these materials, the infhence of such factors as soil structure, i.e. fissure systems, shrinkage cracks, sl{ckensides, etc., must be raj<eh into consideration in making any correlation with the consistency values l{stedbelow. In permafrost zones, the consistency and strength of frozen soils may vary significantly and unexpla{nably with ice content, thermal z'%ime and soil type. Cohesionless N*0~lows/ft) Relative DensiLy Loose 0 ~ ]0 0 to 40% Medium Dense 10 ~ 30 40 ~o Y0% Dense 30 - 60 70 to 90% Very Dense ~ 60 90 to 100% *Standard l~eneLrat~on "N": Blows per foot of a 140-pound hammer [~a].ling 30 inches on a 2-inch OD split=spoon except where noted° Cote sive T ~ (tsf) Very Soft Soft Stiff Firm Very Firm Hazd 0 ~ 0°25 0.25 ~ 0.5 0.5 .~ 1.0 1o0 = 2.0 2.0 ~.4o0 ~4.0 DRILLING SYMBOLS WO: Wash Out WD: WL: Water Level BCR: WCI: Wet Cave In ACR: DCI: Dry Cave In AB: WS: While Sampling TD: YV} ~. :{]_e Drilling Before Casing Removal After Casing Removal After Boring Total Depth Note: Water levels indicated on the boring logs are the levels measured in the boring at the times indicated. In pervious unfrozen soils, the indicated elevations are cons{tiered to represent actual ground water conditions. In impervious and frozen soils, accurate determinatinns of ground water elevations cannot be obtained within a limited period of observation and other evidence on ground water elevations and conditions are required. F7 L.D.$. : G.L.B. : 3- I-7Z ~&NI Ii~I[:~NBULTAINITB, INI~, GENERAL NOTES STANDARO SYMBOLS ORGANIC MATERIAL CLAY SILT SAND GRAVEL COBBLES & BOULDERS CONGLOMERATE SANDSTONE MUDSTONE LIMESTONE IGNEOUS ROCK ~ METAMORPHIC ROCK ~ ICE, MASSIVE ~ ICE -SILT ~ ORGANIC SILT ~. SANDY SILT SILT GRADING TO SANDY SILT SANDY GRAVEL, SCATTERED COBBLES (ROCK FRAGMENTS) INTERLAYERED SAND & SANDY GRAVEL SILTY CLAY w/TR. SAND SAMPLER TYPE SYMBOLS St ..... 1.4" SPLIT SPOON Ss ..... 1.4" SPLIT SPOON SI ..... 2.5" SPLIT SPOON Sh ..... ;'.5" SPLIT SPOON Sx ..... 2.0" SPLIT SPOON Sz ..... 1.4" SPLIT SPOON Sp ..... 2.5" SPLIT SPOON, Hs ..... 1.4" SPLIT SPOON WITH 47~ HAMMER WITH 140~ HAMMER WITH 140-// HAMMER WITH 340¢~ HAMMER WITH 140# HAMMER WITH 340~ HAMMER PUSHED DRIVEN WITH AIR HAMMER Ts .... SHELBY TUBE Tm .... MODIFIED SHELBY TUBE Pb .... PITCHER BARREL Cs .... CORE BARREL WITH SINGLE TUBE Cd .... CORE BARREL WITH DOUBLE TUBE Bs .... BULK SAMPLE A ..... AUGER SAMPLE G ..... GRAB SAMPLE HI ..... 2.5" SPLIT SPOON DRIVEN WITH AIR HAMMER NOTE', SAMPLER TYPES ARE EITHER NOTED ABOVE THE BORING LOG OR ADJACENT TO IT AT THE RESPECTIVE SAMPLE DEPTH. TYPICAL. BORING LOG BORING NUMBER--.~.T H. 30-15 DM TE D~ILLED-.-~.. I 0 - 21 - 70 SAMPLER TYPE.,~. Ss GRA D,4TIONAL Ss F/COZEN Cd Elev. 274.6 .,.~-ELEFAT/OA/ IN FEET All Scruples Ss,"~'~$'4MPLER TYPE O' ORGANIC MATERIAL__ I' Consid Visible Ice ICE+ML ICE -SILT Estimote 65% Visible Ice 90, 56.2% /srR,4rA 7q/-,,,a, GE SANDY SI LT a~r../ APPROXIMATE STRATA CHANGE Little to NoVisib[e Ice [3'-30' Vx ..~---ICE, DESCRIPTION 8 CLASS/F/CATION (~72,571 °/o, 85 9 pcf, 28°, 6P (CORPS OF ENGINEERS METHOD) ~ '~ ' ~., ~.. ~m<'UN/F/ED OR FAA CLASS/F/CAr/ON ~ ~ ~ --TEMPERATURE, °F ~ % -- DRY DENS/FY ~-- WATER CONTENT BLOWS/FOOT SAMPLE NUMBER SANDY GRAVEL 26' 95 SCHIST ~ GENERAL/ZED SOIL OR ROCK DESCRIPTION LOCAT/O/V 50' ~ L)R/LL DEPTH ~ W D.- WHILE DRILLING~ A.~-AFTER BORING Ii W N: L:D'S' KD O,L,B, CONSULTANTS, IN~. EXPLANATION OF SELECTED SYMBOLS /f~ B N/A Gl GR~D N/A JLO,',,G. NO. PERCOLATION TEST Jim Marshall Lot 9, Block 8 Mountain Park Estates Anchorage, Alaska R & M NO. 751144 ELAPSED TIME TIME INCHES DROP IN INCHES 11:21 0 4.75 0.00 11:22 1 5.25 0.50 11:23 2 5.50 0.75 11:24 3 5.75 1.00 11:25 4 6.00 1.25 11:26 5 6.00 1.25 11:27 6 6.25 1.50 11:28 7 6.50 1 75 11:29 8 6.50 1 75 11:30 9 6.75 2 00 11:31 10 7.00 2 25 11:36 15 7.75 3 00 11:41 20 8.50 3 75 11:46 25 9.00 4.25 11:51 30 9.75 5.00 12:01 40 11.00 6.25 12:11 50 12.00 7.25 12:21 60 12.75 8.00 8:00 Inches Total Drop or 7.50 Minutes per Inch Parcel I.D. # MUNICIPALITY OF ANCHORAGE ~ ~ ':,.' '! ' 't1~/~'~' ' '' :' DEPARTMENT OF HEALTH & HUMAN SERVICES 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 ol7- :5~11- '.'.'5:5 · GENERAL INFORMATION Complete legal description LoT o, ~ Location (site address or directions) ProP~)rty owner Mailing address Lending agency Mailing address '" Agent Day phone 77&- Day phone Day phone · Address .... Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: lng to the legafity and status of system. TYPE OF WASTEWATER DISPOSAL: / NOTE: If community well system, provide written confirmation from State ADEC attest- ?' ~:h', ~. ..... ,, '.~,,',~ Individual on-site Holding tank . · ' , -, ,, , community on-site " Public sewer :' : ' :': · " ~",' .... 72-025 (Rev. 1/91) Front MOA #21 If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. ~ ' ~ ..... ~ So 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. phOne. ~.",)c/_~c~l ~ Name of Firm "T'~ ~ Address Engineer's signature DHHS SIGNATURE Approved for ~ bedroom s. Disapproved. --...COnditional approval for "b~lrd~r~s, 'with '~' foll'oWing ~tipulations: Additional Comments *.The M~niciCia ity of,'~ncliorage Department of Health and Human Services (DHHS) issues Health Authority ~, ~A~proval Ce'rtifica'tle~E'ba~ed on y upon the representations given in paragraph 5 above by an nde endent "' r ": .. . .'.,x',, . . _ P p ofess~onal engineer reg stered in the State of A aska The DHHS does this as a courtes to urchas an'"'"'~>u · y p ersofhomes a [ne~r lenamg mstttutions 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 p?ofeesional engineer's work. 72-025 (Rev, 1/~1) Back MOA~21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type Log present (Y/N) Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~//-¢/77 Driller A~cL~¢ '~--;~/~"~.~. Total depth I ~ / Cased to Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow '~ ~ .~,.¢, ~L s ,~'-- / g.p.m. Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ~ ~ / Casing height Wires properly protected (Y/N) AT INSPECTION O¢ .~ g.p.m. ; On adjacent lots /~ lO ~ ;On adjacent lots ~, I 10 Public sewer manhole/cleanout t"////'k- Petroleum tank r,,J ) D WATER SAMPLE RESULTS: Coliform ~ Date of sample: ,~ 7/~;/ Nitrate ~. ,¢,¢ m/C//' Other bacteria ~/~ Collected by: '~.~ B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) y High water alarm (Y/N) Date of pumping Tank size Foundation cleanout (Y/N) ~ Compartments ¢,~ ",/' Depression (Y/N) Alarm tested (Y/N) t',///~, Pumper ~~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Sudace water/drainage 72-026 (3/93)° Front On adjacent lots Absorption field Foundation Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION ~,,~/~ Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N). "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Sudace water. D. ABSORPTION FIELD DATA Date installed '7/~ /?,-/ Length ~ ~ Width Total absorption area z; E ? ! ~/'~ ~,%~,o~l~anout present (Y/N) Date of adequacy test_ $'/,l/9;5- Results (pass/fail) Water level in absorption field before test ~ Peroxide treatment (past 12 months) (Y/N) ¥"~, Soil rating (GPD/FF) / ~ Gravel thickness System type '~-,~-~'~TVc//'¢' ... Total depth / ,2- Depression over field (Y/N) ~ _ for L~, Bedrooms Aftertest ,-,2,~"c"r~'¢' /ccc ~,~/, ~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot [0 To building foundation On adjacent lots Surface water Curtain drain On adjacent lots '~ / ~ Property line To existing or abandoned system on lot Cutbank ~J~ ~ ~ eL_ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effecton th~ date of this.inspection. Engineer's Name Date /~--~ ¢1 1 ~) ? --~ HAA Fee $ _ Date of Payment Receipt Number 72-026 (3,'93)' Back Waiver Fee $ Date of Payment Rece pt Number MUNICIPALITY OF ANCHORAGE M E M 0 R A N D U M WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot ~ Block 8 of ~O~r~ PPr~q~ ~$?~7'~I Subdivision, the well's productivity was determined to be 0~ gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a ~ bedroom residence is .~/ gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. T.SPURKLAND P.E. WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99502-3904 (907) 279-3916 Fax (907)-276-6013 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: Lot 9, Block 8, Mountain Park Estate #1 6060 Bristol drive Patty Wright TYPE OF WELL: Private, Single Family WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET: Yes WAIVERS GRANTED: None Required WELL YIELD FROM WELL LOG: Not Given PUMP YIELD FROM TEST: 0.5 Gallons per Minute DATE OF INSPECTION: June 29, 1995 TEST PROCEDURE: Static water level was found at 169 feet. Well pump was found to cavitate at 180.5 feet. Pump control was wh'ed to shut the pump off at 180 feet. A timer started the pump eve~?¢ 15 minutes with automatic shutoff at 180,feet. During fo)~n' hours, 121 gallons wed'e pumped, giv, ing~gn ~ver?tge wellflow of .5 gallons p, er mi,nute. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and total nitrogeo on July 31, 1995 E.Coli 0. Other Bacteria 0 TotalNitrogen mg/I. Max. allowable Total Nitrogen 10 mg/1. No Bacteria Allowed TEST RESULTS: This well meets the requirements of the Municipality of Anchorage. The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. MUNICIPALITY OF ANCHORA~B ENVIRONMENTAL S~:RVICES DIVISION T.SPURKLAND P.E. WEST 15TH. AVENUE SUITE 203 ANCltOP~GE, ALASKA 99502-3904 (907) 279-3916 Fax (907)-276-6013 .':UC- 0 ? ~!995 RECEIVED RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: Lot 9, Block 8, Moontain Park Estate #1 6060 Bristol drive Patty Wright TYPE OF WELL: Private, Single Family WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET: WAIVERS GRANTED: None Required WELL YIELD FROM WELL LOG: Not Given PUMP YIELD FROM TEST: Yes 0.5 Gallons per Minute DATE OF INSPECTION: June 29, 1995 TEST PROCEDURE: Static water level was found at 169 feet. Well pump was found to cavitate at 180.5 feet. Pump control was wired to shut the pump offat 180 feet. A timer started the pump every 15 minutes with automatic shutoff at 180 feet. Recovery was to 178 feet. Well was pumped down to 180 feet before test started. During four hours 121 gallons were pumped, giving an average wellflow of .5 gallons per minute. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and total nitrogen on July 31, 1995 E.Coli 0. Other Bacteria 126 Total Nitrogen 2.44 mg/l. Max. allowable Total Nitrogen 10 mg/l. No Bacteria Allowed Resampled on August 4, 1995 TEST RESULTS: This well meets the requirements of the Municipality of Anchorage. The Mmficipal requirement for well flow is 150 gallons of water per bedroom per clay. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface cooditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. 08/02,'95 11:55 '~907 776 8997 GII.I. & ~H{I;HT ............... _. __~,~l)01 :" .WATE~WELL. TEST PUMP; RE :" ' C~lng Slz~ ~ Scr~anDl~m_ ~ ...... ~roon Slot ~: ........... ~ ~ St~llcWaterL~yel_~ ~ . A~.Otsch~e__.~ ...... G~M, Mnx,Dr'wdown WATER PIE[C- FLOW R[MAR /rE .EVEL. 'TU~E GPM _ ,:,. REMARKS , I ~t~/~/~, CT&E Environmental Services {nc, CT&E Ref,~ 95.3220-1 Matrix WATER Client Sample ID 6060 BRISTOL Client Name TOBBEN SPURKLA/~D, P.E. WORK Order 16762 Printed Date 08/04/95 ~ 10:49 hrs, Ordered By Collected Date 07/31/95 ~ 18:00 hrs. project Name Project~ Received Date 08/01/95 ~ 08:20 hrs. PWSID UA Technical Director STEPHEN C. EDE Sample Remarks: SAMPLE COLLECTED BY: T.S. QC Allowable Ext, Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N 2.44 mg/L EPA 353.2 10. 08/02/95 O~ UA = Unavailable See Special Instructions kbove NA = Not A/~alyzed See Sample Remarks A]3ove Undetected, Reported value is the practical quantification limit. LT = L~ss Than GT = Greater Than Secondary dilution. CT&E Environmental Services Inc. Laboratory Division ~-~-¢~'-~-¢~'~-~'~-¢-~J'~ Drinking Water Analysis Report for Total Coliform Bacteria 2oo w. :o::er O.ve Anchorage, AK 99518-1605 READ I.VSTRUCTIO),'S ON REVERSE S[DE BEFORE COLLECTLYG SAMPLE Tel: (907) 562-2343 Fax: (907) 561-5301 NfL'ST BE CO.X, PPLETED Bxi'' WATER SUPPLIER PUBLIC WATER SYSTEM I.D. # I i ! I I "~PRIVATE WATER SYSTEM Send Results iD Send in voice Send Results ~ Send Invoice Ii Month Da.',' Year SAMPLE TYPE: Routine [] Treated \Voter Repeat Sample (for routine sample Cv/ Untreated Water with lab ref. no. ) ,~ Special Purpose Time Collected SAMPLE LOCATION Collected By TO BE COMPLETED BY LABORATORY inalysis shows this \\'a~er SAMPLE to be: Satisfactory Unsatisfactory Sample over 30 hours old, results may be unreliable O Sample too long in transit: sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample v[a special delivep:' mail. Date Received ~//0 / Time Receb ed Analysis Began # Analytical Method: ~' Membrane Filter U MMO-MUG ~ Number of colonies/J00 mi. Result* 95.3220 ~] ~__~_~ Fbks Date~//~ Time: Analyst/ · Jun [] Foxed Client notified of unsatisfactow results: Phoned Spoke ,~ith Foxed Date: Time: BACTERIOLOGIC~.auL WATER ANALYSIS RECORD MblO-MUG Result: Total Coliform .Membrane Filter: Direct Count Verification: LTB BGB Fecal Coliform Confirmation Final Memhr?n~Filte~ ~ CT&.E Environmental Selwices inc. ),?_/:3T SE ~"r'~x to, z=,: ........ .{C ',5 ATER SlyST{:; ),1' I.D. ~; '- .ATE · .: t /. ?.... Da?' ]:eaF · S ,Treated ;t~ b'n :.r2at~d BACTERIOLOGICAL WAT£R ANAJ_\'5i'3 R.Z,:7 ,}i:iZ~ )X. MQ-),ILG R~_sui;: ',."eta! Coliform >[,~morane Fiiter: Dir¢¢',.C0unt COLW[R?. //~'~T]-~,~X DEPARTM F OF HEALTH AND ENVIRONMEI L PROTECTION ~ ~ O~ ¢ ~ X,X ~0- Date Received: January 12, #1: TJ_me ~q;L/-% PM ~2: Time #3: Time Date ;-~at-U~ ~, ~0~ Date Date Insp /~a~/ Insp Insp 1978 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Lomas and Nettleton Company Mailing Address: 4449 Business Park Boulevard Phone: 274-7661 2. Property Owner: Robert Lincoln Phone: '~ Mailing Address: NHN Bristol Drive 3. Legal Description: :Lot 9 Block 8 Mountain Park Estates Subdivision 4: Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: Three Number of Bedrooms: Se Well System: Individual Well (x) Community/Public System ( ) Permit # __].'\T~.~.~ _ Depth of Well /~q~ Well Log on File ( ) Construction Bacterial Analysis Sewage Disposal System: On-site System (x) Public Utility ( ) Permit ~ _~.~?.~. z '~ _ Installed _IQ~'-] Installe~ ~O~ ~e_fa~.,~. Septic Tank Size ~5~(3~ ~ ~a~ Manufacturer Absorption Area ]v~,~] ~ Soils Rate ........ Material ~v9 ~C~%, _ Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 9 Block 8 Mountain Park Estates Subdivision Comments: Letter Attached: ( ) Department Worksheet: ]IYPl 3VNOIJ. VNII]INI [10.~ lOi~l z~6[ (op!~ ~mlto oos,; '--O~l~llAOUd ]~JVtl]AO0 ~t~NV~IflSi'II OilO08E tu~o~ ~d ~uw~soa ol (o~]e~,sod snld ~iOt~-~llViAl fLl~l.~ll~,q ~OA i~ .... I MUNICIPALITY OF' ANCliORAG <~= ~%<equesL for Approval of Individual Sewer and Water Facilities 1. ProperLy Owner: Robert Lincoln Mailing Address: NHN Bristol Drive Phone: 279-6538 Name o:f Buyer: Douglas Schaefer - -~ _, .... 4211 Grape Street Anchorage, AK Ma:[ling Ad~).e .... : Phone: 279-1876 Lending Ins-Li-LuLion: The Lomas & Nettleton Company Mail. lng Address: 4449 Business Park Blvd., A.A. Phone: 274-7661 4. Rea 1 t:o]:/Agen [-.: none Mailing Address: Legal Description: Streei:: Location: Phone: Lot 9, Block 8, Mt. Park Estates NHN Bristol Drive S:i. ngle Family Residence: ( ) Multiple FamJ.ly Residence: ( ) Number of Led~eoms: Number of Bedrooms: o Water Supply: If Individual Nell, well c ,~}? hh *Individual Well {X ) Public/Communihy SysLem ( ) Sewage ' ])~.~o:~a]. Syshem: On-site SysLem If On--site System, da'Lo of insLa!lahion: ( ~ Public Sys%em ) *NOTE: A we].l log zs ..e.iu].}.ed on ALL we].ls drill, ed since 6~75. FILmlI(:!PAI..I'FY OF ANCHORAGr OF:~HEAt. i'It Al,ID ENVIRONMI!~ I. PROTE(:TION~ ], 3treeL, Anchorage, A]asi{a 99501 ') ~ ' ~-' ' .... )24 ..7)'"2}11, .... ~c. ,_ Or 225 il.ne Date Insp il 3: .t j.mO Date Insp ~I~2OLSi FOR APPROVAL O'l;' INDIVID[IAi, SEWER AND WATER FACILITIES 3~ '/. Lend.big Insi"ikution Reque.gl:: Alaska State Veteran's Administration biailing AdFh:ess: 907 West Northern Lights Blvd. Phone: Prope]:'ky Owner: Robert/Cheryl Lincoln Phone: Mail. lng Address: Leg,iii Description: Lot 9 Block 8 Mountain Park Estates sJllgJn Pami]y ]~c'.'s'id~mc(}: ( :~ Mil]_l.i})ie i,'amJ]y Rei~.idence: ( ) System: individual Wel] (x) Con,mLmii:y/I:'u[bl.i.c Syskem ( ) Permii: ~ - c .._LO=~e~ ..... D,~p~ o~ ~e:~.~ ........................ ~,~:~_,. Log o= Fn,.~ ( ) ConslxucL:i. on .................................................. Bar :e F'ial Analysis Sewag_ Dispo::;a] SysJtem: On--site System ~ Pub].ic Permit ~} ......................... Insl:a'iled 1977 install, er Soptii. c ']'ank ~' ','~ ,~.) ..... Manu {ac'~ urer A)sor~)i-.'jon Area _ .................... Soi].e~ Rate Mal.:eria]. .... o'-,~,-..~,..(..~" ,~': We.l.]. ko So]:~i:ic Tank ......................... t'o AbsorpkJ.on Area Sewer Line ............................ Noares",: Lei: ]_Jne ............................. Abso]?pt.ion Area [<] O; ~ 11" (~ :-1 {- ]l,O t: MUNICIPALITY OF ANCHORAGE ~-:'~-~':~ Department of Iiealth and Environmental Prot'ection Ire ~i~ ' 825 L Street, Anchorage, Alaska 99501 '[~'-{~i 3~S~;!r 279--2511,ext. 224, 225 " ~l{equest for Approval of Individual Sewer and Water Facilities Mailing Address: Phone: o Name of Buyer: Mailing Address Phone: Lending Institution: Mailing Address: Phone: o Realtor/Agent: Mailing Address: Legal Description: Street Location: Phone: 6 o Single Family Residence: (P~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7 0 o Water Supply: *Individual Well ~ Public/Con, unity System ( ) If Individual ~[el]_, well depth / If Community System, name of system Sewage Disposal System: On-site System (~ Public System ( ) If On-site System, date of installation: ~./~./,M/ /_~ *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 Pace. Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Pacilities Legal Description: Comments: ~/~ Lot 9 Block 8 Mountain Park Estates Subdivision Affadavit Attached: ( ) Letter Attached: ( ) Approved: /~ Date: Disapproved:~.,.~~'~A/~ ~_~/~_~ Date: Department Worksheet: