HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 9 LT 19
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Enviro.mental Health Division ~-~ ~C~.
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Address
TANKS
SEPTIC (~-~%lg~') F~ HOLDING
TYPE OF SYSTEM
~,~'¥RENCH E3 BED ~ W. DRAIN ~ OTHER
p. FT ~ FT
~ F'r
WELL
LOT LINE
FOUNDATION
DISTANCES
SEPTIC
TANK
AS-BUILT DIAGRAM
ABSORPTION
FIELB
WELL
FTJ
WELLS
PRIVATE
REMARKS:
OTHER {Identitv~
FT
I ~ ~ .~]~~ ...... cedily thai this inspectien was fledormed according Io all
Mtlnicipal and 8ta~ guidehCes in effect e~at: ~- ~
72-013 [3~85)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
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5
6
7
8
9
10
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2O
COMMENTS
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~ :(ENGINEER'S'SEAL)'.
;,*~, .,.1, . , ,,,,.~..,.! '.i ~ /
: :./, . ~" ,-..,
DATE PERFORMED:' ~ "'-'
Township, Range, Section: _~C,,,~_. ,2 (¢,. 'F'I,~.NI ~ r~ ',~ ~
SLOPE SITE PLAN
tf
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? P
E
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE --
TEST RUN BETWEEN --
(mmutesl~nch) PERC HOLE DIAMETER __
2. FT AND 2 I/'~" FT
PERFORMED BY: ]' ' '~ I CERTIFY THAT..~THIS TEST WAS PERFORMED IN
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:__
f?
(ENGINEER'S SEAL)
Township, Range, Section:
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
20-
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, ATWHAT O
DEPTH? P
E
0epth Io Wag Aller
Monitoring? Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~-7 (mmutesnnch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND '~ '/7.~ FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~' ~'~'"",...
72-008 (Rev, 4t85)
MunicipaLity of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
(ENGINEER'S SEAL)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
12
13
14
15
16
17
18
19-
20-
DATE PERFORMED:
Township, Range, Section: ~--6_2(~ t
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTIq? p
E
Deplh to Waler Alter
Monitoring? Date: _
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~ O (mmutesiinch) PERC HOLE DIAMETER ~ tI
COMMENTS
PERFORMED BY: "~.7 ,~ I '"~T~(~ ~ ~ ~/) CERTIFY THAT THIS TEST WAS PERFORMED
IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4t85)
CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
L~& /g
Tobben Spurkland P.E.
."i'obben Spurkland P.E.
KNIEFEL ENGINEERING
8441 Miles Ct,, Anchorage AK. 99504
(907) 337-1121 · Fax (907) 338-1874
October 4, 1990
Acreage Systems. Znc.
605 East Northern Lights Boulevard, ~343
Anchorage, Alaska 99503
SUBJECT: LOT 19, BLOCK 9, MO'UNTAZN PARK ESTATES
Dear Ms. Sanderson:
Acreage Systems contracted with Kniefel Engineering to perform
testing of the septic and well systems at the above address, In
order to clarify the current misunderstanding about the Health
Authority test results for the above, we are requesting that you
send this letter and the attached results to all parties involved
in this project.
At the time of testing, Mr. Jerry Kress, an employee of Kniefel
Engineering, performed the testing of the septic system and well.
Based upon a request from Vista Real Estate to have the numbers
immediately, the initial results were sent to you on the morning
of August 23, 1990. These results were based upon a telephone
conversation with Mr. Kress and myself. When the written results
were received at noon of that day, the well flow data was
different then the telephoned results. I immediately sent you
the revised results and asked that you forward them to the
affected parties, telling them this was the final information.
The revision in the results affected a change to the well flow
rate with no change to the septic system adequacy results.
It appears both set of results are being circulated at this time
and causing much confusion. The attached results are the set
which represents the conditions we found during the testing,
Please insure that all parties have a copy of this letter and the
attached results All other copies should be destroyed. The
only valid copy has the wording "Final Report 8/23/90" on the top
of the form,
We appreciate your speedy response in this matter and if you have
any questions, please don't hesitate to 'contact us.
Respectfully Submitted,
Kniefel Engineering
Robert Kniefel(~E.
(.'IV[.I, & ENViRONh.~NTAL ENGINEERING ,., ENERGY CONSERVATION & ANAI,¥SLS
THEODORE F. MOORE, P,E,
PH: (907) 345-1355
Bonnie Pischke
Vista Real Estate
621 West Dimond Blvd,
Anchorage. AK 99515
September 7, 1990
14530 ECHO $T,
ANCHORAGE) ALAS KA 99516
MUNICIPALITY OF ANCHORAOJ~
DEPT. OF HEALTH
ENVIRONMENTAL PROTECTION
1990
RECEIVED
Dear Ms. Pischke:
Per your request, on September 4 we conducted adequacy tests of the water supply
and wastewater disposal systems serving the Reaney residence on Lot 19, Block 9, of
Mountain Park Estates, located at 5821 Bristol Drive, The following is a report of our
findings,
There is no driller's log at the Municipal Health Department, but other records on file
there indicate that the well was probably completed in 1974, and that it has a total depth
of approximately 362 feet. On tl~e date of our test the static water level stood at 155 feet
below the top of the casin~. Steady pumping of 408 gallons of water from the well at the
maximum pump output of 5,6 gpm caused the water level to,be drawn down to the pump
intake, which registered on our acoustic sounder as being at 365 feet below the top of the
casing. After the pump was turned off we measured a very uniform recovery rate of
1,45 gpm for more titan m~ hour, which we confirmed by pumping 'the well down to the
pump intake again and measuring the total number of gallons which had accrued, I
believe this measurement is quite accurate, although it does not agree with either of tile
very different recovery rates which you showed to me, based on an earlier test by others,
The measured recovery rate exceeds the Municipal requirement of 0,32 gpm for
approval of a three bedroom residence by a comfortable margin, however the well does
not meet the FHA criteria of being able to supply water at the rate of 3,0 gpm over a four
hour period. When the actual well'production of 3't8 gaIlons over a four hour period is
combined with the 307 gallons of water stored in the bore hole between the static water
level and the pump intake, the total available amount of water is only 65 gallons short of
the FHA criteria. If the ?HA were unwilling to waive this small shortfall, it would be
possible, but not inexpensive, to make up the difference with a storage tank inside the
residence equiped with a separate booster pump. A new sanitary seal and conduit will
also be needed for the well head,
The well is located 98 feet from the closest standpipe of the septic sy,~tem serving Lot
20, immediately to the west. Because this distance is less than the required 1 O0 foot
separatior~, it will be necessary to prepare an engineering analysis and apply for a waiver
from the Health Department, before an approval certificate could be issued, Contrary to
the conflicting information reported in conjunction with the abovomeritioned earlier test,
we did not find the septic tank on the sub)ect lot to be within 100 feet of the well.
The wastewater disposal system was installed in July of 1974 and consists of a 1000
gallon, single compartment concrete septic tank, followed by a 9 foot deep seepage pit,
with an effective absorption area of 2t24 square feet, Although the septic tank was
appropriately sized for up to three bedrooms, the seepage pit was sized large enough for
only two bedrooms, The implication of this is that the Health Department will not issue a
certificate of approval for more than two bedrooms, no matter how well it does in an
adequacy test, until the absorption area is upgraded,
To test the adequacy of the system, we ran a total of 573 gallons of water directly into
the seepage pit, while monitoring fluid levels there and in the septic tank, before, during
and after the flow of water was stopped, The initial fluid depth in the seepage pit was 33
inches, and the addition of 408 gallons of water caused the fluid level to rise 16.5 inches,
At no time did the fluid back up into the septic tank, and once the flow of water was
slopped, the fluid level receded at a more than adequate rate for a 3 bedroom residence,
Based on this test, it is my opinion that the system is ~till in good condition from a
functional viewpoint, however as noted above, it would require enlargement before it
could be approved for more than two bedrooms,
Please give me a call if you have any questions on this report, or ff you would like me
tO proceed with the engineering analysis for ~he waiver and ~he soils engineering
necessary to design an upgrade to the septic system.
Sincerely,
Ted Moore, P,I~,
FZNAL REPORT 8/23/90
Date of Testing: August 21, 1990
Legal Description: Lot 19, Block 9, Mountain Park Estates
Street Address: 5821 Bristol Place
Number of Bedrooms: Three (3) to Five (5)
Well Flow Test: Static Leve]: 157'(start), 315'(lowest at te~t)
Total Water: 460 gals. Recovery Rate: 2.2 gpm
Results of Water Quality Analysis: Total Coliform -- 0 colonies
Nitrate-N -- <2,5 mg/1 (10 mg/1 allowable)
Testing Laboratory: Northern Testing Laboratory
The well is 106 feet from the standpipe for the septic tank on
this lot, This puts the well within about 99 feet of the septic
tank, The well is 98 feet from the clean-out 'for the septic
system on the lot to the west. The well is a very deep well
(360'+) and has a recovery rate of 2.2 gpm. The well is not
capable of providing the three gallons per minute for four hours
to meet the FHA criteria, The septic system is a crib design for
two - three bedrooms and its recovery took almost all of the 24
hour period to handle the 460 gallons of wa%er input to it. The
septic system is marginal at this time with only two occupants of
the house. It would not be capable of handling a three bedroom
occupancy load without the system failing.
The house is now constructed to at least a three bedroom design.
The past paperwork shows the house could be converted to a total
of five bedrooms which would make the current system undersized
even if it operated at peak efficiency.
,Og,B,G,],,.~,~,J.9.Q,8,,;,, The well is capable of providing ,3 gpm to meet the
HOA criteria. Zt will not meet the FHA criteria. The septic
system is marginal at this time and would be failing with a full
three bedroom occupancy load. The well distance to the septic
tank does not meets HOA cri'beria and at a minimum will need a
waiver for tank to well distance for both the on lot and
neighboring systems.
KNIEFEL ENGINEERING
844;t Miles Ct,, Anchorage AK, 99504
(907) 337-1121, Fax (907) 338-1874
MU~NICIPALITY OF ANCHORAOI~
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
HEM',TH AUTHORITY RE~UL'I'8 AND A.Ai.,¥siI ECEIVED
Date of'Testing: August 21, 1990
Legal Description: Lot 19, Blo~k 9, Mountain Park Estates
Street Address: 582% Bristol Place
Number of Bedrooms: Three (3) to Five (5)
Well Flow Test: Static Level: le?'(start), 3it'(lowest at test)
Total Water: 460 gals. Recovery Rate: 2,2 gpm
Results of Water Quality Analysis: Total Coliform -- 0 colonies
Nitrate-N -- <2,5 mC/1 (10 mc/1 allowable)
Testing Laboratory: .Northern Testing Laboratory
Corrcnents:
The well is 106 feet from th~ ~tandpipe for the septic tank on
this lot, Th~s put~ the well w~thin about 99 feet of the septic
tank, The well is 98 feet from clean-out for the septic system
on the lot to,.the west. The well is a very deep well (360'+) and
ha~ a recovery rate of 2,2 gpm, The well ~s not capable of
prov~din¢ the three gallon8 per minute for four hours to meet the
FHA criteria, The ~eptic system ~s a er~b design for two - three
bedrooms and its .recovery took almost all of the 24 hour period
to handle %he 460 gallons of 'water input to ~t, The septic
system ¢8 marginal at this time with only two occupants of the
house, St would not be capable of handling a th~'ee bedroom
occupancy load without the systen% fa~ling,
The house is now constrh¢~ed to at least a three bedroom design,
The past paperwork shows %he house could be converted to a total
of five bedrooms which would make the current system undersized
even if ~t operated at pea]< efficiency,
Conclu~ions~ The well. is capable of providing ,3 gpm tO meet the
MOA criteria, It will not meet the FHA criteria, The septic
system is marginal at this time and would be failing with a ~ull
three bedroom occupancy load, The well distance to the septic
dank does not meet
waiver for tank to
neighboring systems,
MOA criteria and at a minimum will need
wel 1 distance [or both the on lot and
GRE .... ER ANCHORAGE AREA B6
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
UGH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N A M E ~"~/¢' '"' ../~./?¢'?d'-¢'? g/
LOC A-F i 0 N/,/~..~'~ / ~ ~'4 .~
MAILING A D D R E S 'S/</~' ,/'~2"//¢'-~'~?Y
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE /~"/) //~//~' //~:' NUMBER OF
FROM WELL/y//: MANUFACTURER ~.__~c.~,~/~/¢_/'//~ MATERiAL/-~_, Z~/~/~/~.~-~-~MPARTMENTS _~-~
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~,'~/.'.,2g~') GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER__
LINING MATERIAL c/~--/Z//~/~/'~--'~-- CRIB SIZE:
/
BUILDING FOUNDATION_
OR WIDTH LENGTH , DEPTH ~ -- /'
DIAMETER~ DEPTH ~ DISTANCE FROM: WELL/~[~ ,
~:~. TOTAL EFFECTIVE
NEAREST LOT LINE-?~2 ~ ABSORPTION AREA (WALL AREA) -~/ .SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION -- LOT LINE
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY: .~"Z~
LOT SLOPE:
REMARKS: ~//~L, J'"'///Z-,)//[./¢~-'
DATE ~/~,,-'~ ,~ .~/~/ APPROVED
G.A.A.B.
Form No, EQ-031
S~-WAGE
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
:3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4~6I
DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME Op AppLiCANT _k~ m¢¢/0"¢~
MA,L'NG AODRESS/¢~'""X f*~za7
PERMIT NO.
PHONE
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIELD , OTHER
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING Of ANY SYSTEM WITHOU'r FINAL. INSPECTION BY THE
DEPARTMENT Of ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT '¥O PROSECUTION,
SEPTIC
TANK
-~- -
MINIMUM DISTANCES, REQUIREMENTS
7_.cc /
DRAIN FIELD _
SEEPAGE PIT '
ALSO CONSIDER AREA WELLS.
[)RAIN PIELD
SEPT'O TANI<, /¢¢ o" SEEPAGE PI',- _/,~'¢ ', DRA,N FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION 5 FEET INTO UNDISTURBED SOIL,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL. BACKFILL
CONFORM TO [3CROUCH REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITN THE REQUIREMENTS OF GREA~/;E~t~NCHORAGE AREA [3CROUCH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE ~--
GREATER ANCHORAGE ARIilA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street
ANCHORAGE, ALASKA 99503
Case #
Performed For ~TJ,~-~7. c'.~',. Dated Performed
Legal Description: Lot -~,o Block ~ Subdivisionc~,~.~
This Form Reports Soils l_og___~i~ ......................... Percolation Test
Soil Test Must Be l.ogged To 4' Below Proposed Seepage System -
Depth
Feet
Soil Charac~:eristicq
/~_s~Ground Water Encountered? fo d',
If Yes, At What Depth?
Reading
Date I Gross T-ime Net 'rime [lepth to H20 Net Drnp
I
I I
Percolation Rate M
Proposed Ins~'~-T~'~-'~'~r{: Se~pagq Pit ~ ])rain Field
Depth_of Inlet . Depth .to Bot,to]~l of Pit or Trench '
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
f(-"l\--~ - ~.-~t\ \- L_\ L.t HAA#
(b) Property owner
Mailing Address .
(c) Lending Institution
Location (address or directions)
Telephone: (home)
Business
Telephone
Mailing Address
(d) Real Estate Company and Agent
Address
Telephone
(e) Mail the HAA to the following address: (or check here~ if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE
Single-Family~:/~ Number of bedrooms '~
3. WATER SUPPLY
Individual WelI'~Z/ Community [] Public []
Note: Ifcomm0nity/X' well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-sitel;~ Public [] Community [] Holding Tank []
Note:/',4 If'community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
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Jeeu!Sue leuoisseto~d ~uapuedapu! up Xq a^oqe g qde~§e~ed u! ua^lB suo!te~uesaJde~ eqt uodn ~lUO peseq peleo!tpao
le^o~ddv/qpoq~n¥ qtleaH senss! (SHHC]) saa!^~es ueuJnH pue q~leaH jo ~uaLu~edeQ e6eJoqouv jo Xl!led!o!unR eqj.
la^ruddy leUOR!puoo jo SLUJa_L
leUO!~!puoo pe^oJddes!Q
- pe^oJddv
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IPaS s,Jeau!Su3
~ ,~.r.~U~ICIPALITY OF ANCHORAGE (MOA)
{,~o~,q\%\O~lealth Authority Approval (HAA) f/~,~%
t~4111IJ~sm CHECKLIST- FEBRUARY 1984
~ ~ 343-4744
A. WELL DATA ~ %. ¥'
Well Classificatio"n ~ "' ~ ~ % If A, B, C, D.E.C. Approved (Y/N) ...
Well Log Present (Y/N) ~ Date Completed _ [~ Yield _
Total Depth ~ Cased to ~J ~ ~- Depth of Grouting
Static Water Level / ~ Pump Set At _
Sanitary Seal on Casing (Y/N) _
Casing Height Above Ground_
Electrical Wiring in Conduit (Y/N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot I
Depression Around Wellhead (Y/N)
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by '~' '~
Water Sample Test Results
Comments
To Nearest Public Sewer Cleanout/Manhole
; On Adjoining Lots
; On Adjoining Lots_
;Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ! ~ 7 Y Size _ /"C,~2 No. of Compartments
Standpipes (Y/N) _ (~)Vt~ Air-tight Caps (Y/N)
Depression over Tank (Y/N) _ Jx"t/-
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N) ~ Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well
To Property Line
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
Comments
1
Foundation C!,ean, out (Y/N) .
Date Last Pumped 1, 2.../~,/~ A
; for
To Building Foundation
To Disposal Field
£
72-028 (Rev 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed (~V~ 1¢9%
Width of Field .~ /
Square Feet of Absortion Area
Depression over Field (Y/N)
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
i¢~/~t(2 Length of Field
Depth of Field I O
Gravel Bed Thickness
Statndpipes Present (Y/N)
~','l/¢,'~. lo,¢~ Date of Last Adequacy Test
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
Type of System Design
To Property Line
To Existing ~.,~aaa4~¢,~ System on
; On Adjoining Lots / ~'O
To Cutback (if present)
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments ~ 'JC:~¢t.,t,~/,'~,~, ~ /~, ./¢
D. UFa'STATiON W AL-
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
Company__ / /~ ,~--%/8,_,,.~.(~,~,L~'~ l~'~/
Date [O · /'2 · ~ 0
MOA No.
**Check Permitted Bedroom Rating Against HAA Request**
~ certify that I have checked, verified, or conformed to all MOA and HAA..gu, i~'etJ~es in effect on the date of this
inspection .... .,~ ... · .~..
,,, ~ ~ .~- ,: -, ~...
re- ....................... , Engineer's Seal
~': ~ ' ..~
¢,¢' ' ., :. ' ,'.'?
Receipt No. ' ,,,~,,~-,~,z~z~ '
Waiver Fee: $ ~
Date of Payment
72-026 (Rev. 7/88) Back Page 2 of 2
N H NG LA glRATORIES, INC,
2805 FAIR~V~NV~ ~'i'~l~l[¥ ANCHORA~,'~ ~07-277~37~ · F~ ~45
~ UNIVERSI~ P~ W~ SUITe A PAIhBA~ 'A~ 9~709 ~07~7~-3t 1~ ~ F~ 478,0~47
...... :.. .~. ---;:;;__~ .' , , .... :.. ....
.Bdn'king. Water. Analysis Repo~,,for"Total: Coliform Bacteria
SAMPLE TYPE:
pur~has~ Ord.¢r ,No,., ..
E] Untreated W~ter
6
7
B
*No, of Total Coliform Colonies pat 100 rnl~
...................
Dat~
Ti~
Next Sample Due ~
COMMENTS;
'SATISFACTORY
UNSATISFACTORY
RESAMPLE ·
OTHER BACTERIA
OB
TOO NUMEgOUS
TO COUNT
TNT(;
TO BE GOMPL, ETED BY CUENT,'
PUBLIC WATER SYSTEM, I:D, . , ',
PRIVATI~ WATER SYSTEM ,, ," ,,.,,,, ,
~ t.~b" .... "
NAM~ · ~ ~ ~' ' ' ' . ,
... ,~,,,,m.~ . ..... ~ , _...
NORTHERN TES i , INC.
~30 IN~UST~IA~ WAY
Kniefe[ Engineering
8441 Miles Court
Anchorage AK 99504
Attnl Robert Kniefe%
our Lab #:
Loca~ion/ProJee%l
You~ SampLe ID:
Sample Matrix:
Report Date: 08/23/90
Date Arrived: 08/z0/90
Date Sampled: 08/10/~0
Time Sampled: 0820
collected ~y: RE
A103686
5821 Bristol
FlaU Definitions
Below Detection Limit
DL Statmd in Rasult
Below Regulatory Min.
Above Regulatory Max.
Below Detection Limit
Estimated Value
Method Parameter Units Result Flag
EPA ~00.0
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LO"
58~1 I~RISTOI_ DRIVE
PiT, PAF{H~ E:BTA'I'E~
"I'~'~E: SEP[II:: E~YB'TEM HA~; FAILED ]'t4E ADE¢I,JAC;Y T~:ST
MARGIN¢~LLY pA~BED '[FIE idllqlldt.lhl
'1' [;' ~;~;'I¥' ~:]N TP.IE MATE:F( HAS PASSED, J
THE f,IEXT 9TEP IE~ TI3 O(] ~ (J:,,:f HOLE TO DE'I'ER~IIN
ElY'$"fF;l'fl t,,JF' 6f~A[)[NG IB bIECE:SSAI~Y.
, THE WEL, L, I'Jt'i':ll.-'i
;~AC'f'ER I OLOt.ilY
TyF'E
AwraDe Flow
T~%al Coliform -.. 0
.:
Tes~n~ Laborato~'¥: Northern T~stln~
Th~ well '~s 99 fe~ from ~he standpip~ ~o~ ~h~ ~p~i~ tank on
thl~ 1o~, The w~l i~ 98 fe~ from th~ ~ta'nd~;,~ for th~ ~ptic
360 ~ · ~ .~, , -'
~~R~It--~'%~Tt~-%~ .... . ~Ym~nu%e for
~$~u ~or $w~ - three bcdroom~ ~nd ~te reclov~r¥~took ~lmo~
¢¢¢up~nts ef the house. I~ w~'uld not be ical able of handling
three bedroom occupah~¥ l~ad w~thout the sy~te~
The house ~ ~w constructed to at ~east a ,th~ ~e bedroom
Th~ pa~t paperwork shows ~he house could be ¢~nv~rted to · t~ta!
sf ~Ve b~droom~ wh~¢,h would make th~ ~urr~en~ ~m%em undeceived
even if it operated a~, peak ~f~ciencM, t '
system ~m n',ar~tnal at, th~.~ t~me and would ~e with ~
n~i~hbor~n~
GREATER ANCHORAGE AREA BOROUGH '~-~.~~
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-45~[
Date Received
Time of Inspection
Date of Inspection
Approval requested by:
Mailing Address:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
~ ~-~_.~_~ 7- ~ x o Phone:
Mailing Address: ~ :~ x~-/~ ~/- '~-~?:/
5. Type of facility to be inspected,~x~.~~,~No., of bedrooms
6. Well Data:
A. Type ~~-~-~]~ B. Depth ~/~m--/
C. Construction D. Bacterial Analysis
7. Sewage Disposal System:
A. Installed . ::.7~ B.
C. Septic Tank:~. Size
D. Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
8. Distances:
A.Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
Installer
2. Manufacturer
2. Material
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line __
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re¢ t for APproval of Individual S r & Water Facilities
Legal Descri pti on ~-_.--~..~¥T--- _~r-~--~-=~r~~ ~ '~ "~"
Approved X~,x~-~ ~.o4]~.~/24,~Oisapprove~ Oate~~~
Approval.Valid for one year from date gned
Greater Anchorage Ar~a Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily,
Date
SIGNED
EQ-034 (1/74)
'GREATER ANCHORAGE ARb. i, BOROUGH
Department o'F Environmental Quality
3330 "C" SL., Anci~orage, Alaska 99503 -- 274-4561
R,QUr~SI FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
Type of Inspection: CMRO
Property Owner: James A. Brown
P.O. I~ox
Mailing Address:
Name of Buyer: Ronald F. Rean.~y
VA [:HA CONV x .._
Anchora¢!e
Da2/- Phone344-1320
Hailing Address: 4~.,~4 Forest Rd., Anchorefle D~,y Phone 272-6571
Name of Lending Institution: Alaska National
Mailing Address: Pouch 7-010, fi~SlO Phone277-5511
Name of Realtor or Agent: Star Realty(William Jo Lucas)
Mail, lng Address: 6JO W. 36th, Anchorage Phone 27~-2~1
6. Legal Description: Lot 19, ,P, lock 9, Mountain Park Estates
Location: NHN Bristol Drive, Anchorage, Alaska
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility
Home
No, Bdrms. 5
Individual x
If Individual, number of dwellings presently served
If Individual, depth of well 362 ft.
SeNage Disposal-System
.Type,of S~stem: Public Utility
If Individual, date of installation
Individual
July 1974
(on-site) x
Alaska Natlonal Bank
!>ouch 7~010
Anchora§e ~ Alaska
ggSlO
SUBJECT: l~eque~ted health .approval fo~ Lot 19, Block 9, l~. Park
Dear
The request for health approval on the subject' property is disapprovedt
The builder has Installed a se~,~er System deslgne~ for a
residence, in order for ~he s~wer system to function pro.fly a larger
septic i;ank and absorpt, ion a~ea designed for a ftve-bedro~ ho~ must
be installed and tnspec~d by this Paper:merit.
Occupancy of the sub&eot residence will place ~he p~perty tn vColation
of Borough Ordinances,
Please don'% hesitate tm call ~ tf you have m~y questions.
Sincerely,
Les L~uci~holx, ILS..
Sanl tarian
LB/ko
cc: Building
April ~, 1975
File: 4-1
gonald F. Re(my
4404 Fore, st Road
~i~chorage, Alaska
99503
Lot 19, Block 9. Pit. Park Estates
lhls depar~mnt ~as been ~quested to make a sewer and water t~spectton
on the subject lot. The wator samplo t~ken was satisf(~ctory.
The sewer system ~as ill,tailed in ~ccord~nce with Dorough lads but is
ad~q~Jate only for a 2~?dro(~, single family dwelling. Ad,trig bedrom~Js
~dtt~out upgradir~g the ~euer system will be a violation of Borough law.
Should you desire to u~erade the existing system, you mst first obtain
a p~mit from this office.
This latter shall s~rve as official notice to the above, if you h~ve
mty quest!oF~s please co))tact m.
Slam,rely,
~. Dickers011~
SEPlko
Alaska N~tional Bank
Building Safety (Pat February)
FOR BERTIFIED iViAIL~.31}f, (plus
SENT 're
STREET AND NO,
P.O., STATE AND ZIP CODE
~m[~ r~ With delivery to addressee only ........
~J]g~R =1'0 ADdReSSEE ONLY
POSTMARK
OR DATE
~ PS Form NO INSURANCE COVERAGE PROVIDED-- ($*~ ofl~o~ ~iao)
Am-, 1~)?~ 3800 NO¥ FOR INTERNATIONAL f',)AIL ~ 0~o: le?e 0- 4e0-742