HomeMy WebLinkAboutPRATOR BLK 5 LT 2A
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
cc: Michael Anderson, P.E.
November 14, 1994
Mr. Bruce Owens
14220 Rabbit Creek Road
Anchorage, AK 99516
Subject: Lot #2A Block #5 Prator Subdivision
Permit #SW930389, Parcel ID ff017-091-58
Dear Mr. Owens:
The subject permit, issued September 22, 1993 by this office for a single family well and/or on-
site wastewater system, has expired as of September 22, 1994.
A new permit must be obtained from this office for a well and/or on-site wastewater system NOT
installed by the expiration date.
If you have drilled the well, a well log must be sent to this office for documentation of the
installation and to close the permit.
If the on-site wastewater system has been completed and a licensed Professional Engineer has
inspected the installation of the on-site wastewater system, the original as-built inspection report
must be sent to this office for review, approval and documentation. All inspection reports must
be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00
for a well permit and $440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
James Cross, P.E.
Program Manager
On-Site Services
JC/kb
PAGE 1 OF ~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW930389
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER NAME:OWENS BRUCE BAXTER &
OWNER ADDRESS:14220 RABBIT CREEK RD
ANCHORAGE, AK 99516
DATE ISSUED: 9/22/93
EXPIRATION DATE: 9/22/94
PARCEL ID:01709158
LEGAL DESCRIPTION: PRATOR BLK 5 LT 2A
LOT SIZE: 54607 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
1. THE SAND USED IN THE FILTER LAYER MUST BE A COARSE CLEAN
SAND WITH 4% OR LESS PASSING A #100 SIEVE AND 2% OR LESS
PASSING A #200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED
TO THIS DEPARTMENT ON THE SAND USED.
PAGE 2 OF 2
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
TOTAL AREA OF 1080 SQ. FT.
ISSUED BY: .... {
THE BED FOR THIS SYSTEM SHALL BE 27 FT. X 40 FT., FOR A
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
September 15, 1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 3A, Block 6, Prator Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
The septic system on the subject property has failed and the owner intends to
construct a new system to serve a five bedroom house. Although groundwater
was not encountered during the testhole excavation process, past history
indicates seasonal groundwater will be found during the spring and fall of the
year. For that reason and the elevation of the sewerline exiting the house we are
proposing the attached design. The ground surface where the bed will be
installed is fairly flat. Final grading over the finished system will prevent any
ponding. The existing system will be abandoned in place in accordance with the
Municipal Ordinance.
If the system is constructed in accordance with the attached design the following
statements can be made:
o
o
The system, if constructed as designed, will have no adverse impact on the
wells currently in use or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on
existing septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on
reserved space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on
drainage patterns in the area.
Sincerely,
Michael E. Anderson, P.E.
SHEET NO,
CALCULATED BY
CHECKED BY.
DATE
SHEET NO..
CALCULATED BY
CHECKED BY
DATE
CALCU~A'TEO %~' DATE
CHECKED BY. DATE
SCALE
i
SHEET NO. OF
CHECKED BY DA~.
SCALE
AnC]erso~
~-i3L97 !1:?_2 A'.'q ;Al' 'H~AgE T.-.:Y.'] ?~ ".'ELDI2:Q llJC 907 277 3715 ~ i !
100.00
0.00
0,00 5.00 10.00 15.00 20.00 25.00 30.00
40.00 45.00 50,00
NET DISCHARGE, GPM
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: L ~,~, ~,,~ '~[Tl¢~;~ ~[~21~ Township, Range, Section:
-' ! / ' ' I SLOPE
SITE PLAN
9
10
11
12
13-
14-
17
'18
2O
WAS GROUND WATER I !
ENCOUNTERED? N
L
IF YES, AT WHAT ~ O
DEPTH? p
E
Depth to Water After
I~onitoring? -/ Date: '~
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ ,:~ 1:~ ~ ib.l~lIc,~ ~.~
~ , 1o ~.~'~ ~.~
PERCOLATION RATE r~ (minutes/inch¢ PERC MOLE DIAMETER
TESTRUN BETWEE.
COMMENTS ' '7~--/~ ~{'=~ ~_J'/~ 5 P/I/E-.5;O/'~/~ pf~ ~ ,~/_ "f**~
PERFORMED BY: . ,'~_. I~"~- ~~. - (~ERI'TI~ THAT TJrllS T/EST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
4
5
6
8
15
'16
17,
20-
COMMENTS
DATEF
Township, Range, Section:
SLOPE
WAS GROUND WATER ~
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
MonilorinD? Oate: "~ ~
SITE PLAN
,'I ¢ ! fi/~
/i
Reading Date Gross Net Depth to Net
Time Time Water Drop
__ (minutes/inch) PERC HOLE DIAMETER
PERCOLATION RATE
__ FT AND __ FT
TEST RUN BETWEEN
PERFORMED BY: .~.~ I ~/~L~ d/~/~_Z~;_Ed=Fi~C'Y~THAT THiS TEST WAS p ER F O R M ED iN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4185)
LOCATION
GRE,i , ' R ANCHORAGE AREA
Department of Environmental Quality
3330 C Street ~),
Anchorage, Alaska 99503
--INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK: NUMBER OF .~
FROM WEL~ MANUFACTURER
INSIDE LENGTH-- INSIDE WIDTH_ LIQUID DEPTH _ LIQUID CAPACITY /g:2~- GALLONS'
I TOTAL LENGTH ~ I
TILE DRAIN FIELD:
,~ /~'-/-" NEAREST LOT LINE '~ O _OF LINES
DISTANCE FROM WELL FOUNDATION~
NUMBER OF LINES / DISTANCE BETWEEN LINES - /~//./~ .TRENCH WIDTH-- IN. TOTAL EFFECTIVE
__ SQ. FT. LENGTH OF EACH LINE
ABSORPTION AREA DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE_ MATERIAL BENEATH TILE_ _IN. ABOVE TILE_ -- _IN.
WELL: AJ¢/"' / '¥
CONSTRUCTION
TYPE
BUILDING NEAREST NEAREST
FOUNDATION~, LOT LINE_~, SEWER LINE_~,
CESSPOOL ~~ OTHER SOURCES
APPROVED-- _ DISAPPROVED
DEPTH -
SEPTIC SEEPAGE
TANK-- .-, SYSTEM-
REMARKS -
_ DISTANCE FROM:
DISTANCES:
INSTALLED BY; ~O~J('
sEWER LINE DEPTH:-
PIPE MATERIAL:~'
LOT SLOPE:-
REMARKS:
DIAGRAM OF SYSTEM
DATE F'-- -75 APPROVED
Form EQ-O32
· , ' MIJl'-d I C I PAL I TY I_--lF RI~tCHORRGE:
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
25i0 E. TUDOR RD., ANCHORAGE, RK. 99507
276-222i
biBLE i~C¢ Or4----.~-; I TE SEWE~:
PERMIT NO. ( 761,6 ) ~' 7.~
~PPLICANT P.%%~¢~LI¢~~ A BOX Z94C
LOCATION RABBI T CREEK RD
LEGAL L28 B5 PRRTOR SUBD LOT SIZE
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS
F'ERf4 ! T
344-994?
4~000 SQURRE FEET'
SOIL RATING (SQ FT.-"BR>= 85
THE REQUIRE[:' SIZE OF THE SOIL RBSORPTION =.zSTEM IS:
[:'EF'TH= '10 LElslGTH= g2 GRA'-.~EL [,:"EP TH~ 4-
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND RND THE BOTTOM OF THE EXCAVATION (IN FEET>.
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
R EG'/~.IJ I F.' Eig', SFPT I C Ti:II'II-:-'. $ I ZE= 100~-)
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPARTMENT WILL .BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND ANY ON-SITE SEWRGE DISPOSRL SYSTEM IS
!00 FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL,
WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DAYS
OF THE WELL COMPLETION.
SPECIFICATIONS AND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER
INSTRLLRTtON.
PERi'-1 I T "-.-'AL ! D FOR ONE "'r'ERR FROI"I I
I CERTIFY THRT
i: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTALL THE SYSTEM iN RCCORDRNCE WITH THE CODES.
~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS.
SIGNED:- . -- ~-- -
ISSUED BY_ .... DATE .......
OWNER OF RECORD
Required for R/W
Remaining in Parcel
Existing R/W
B
.PARCEL
S.ec:
TI2_N
S
35
R3W
· R ='900.Od
L=I
T=779.12'
SIGNATUR El DATE
ATTACHED TO ~D
PAGE 3 OF 3
DATEQ
STAVE OF ALASKA
DEPARTMENT OF HIGHWAYS
RABBIT CBEEK ROAD
PLAT SHOWING RIGHT OF WAY R£OL'IRED
~),STma-r CENTRAL
.SCAL~ I00' _ __
o;,,~,'d C DAT~[r~
44A'
~ O, o '-~ · · 914 East 78th Avenue
~.~.,o~.'~,yo~° "Y ~..-/ ANCHO RAG E, ALASKA
~ ~. , 344-9242
~, ~ START COMPLETE -':~
/ DATE
ADDRESS S~/') ,~Z Z./)F
-'TIME'~' WELL LOG ' DEPTH ': WELL LOG
STATIC LEVEL ~ t GPM - YIELD
~ · ~,, ~ 914 East 78th Avenue
~ 2 ~.O / gr?~~ r ~/ ANCHORAGE, ALASKA
~ ~ &~ ' 344-9242
~.o'~
~ ~ ~ . START COMPLETE · "'."
f ADDRESS
CITY /; ' '
--TIME-' WELL LOG ' DEPTH >' WELL LOG
STATIC LEVEL /' GPM - YIELD
\'~ MUNICIPALITY OF ANCHORAGE L~
·DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date J L~'~ ~'
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
(b)
Location (address'or 'd,i[.eb,ti~?s)
' ~ ,. '¢¢ Telephone: Home
APplicant.Name ~-. ~.~J I't~r~./I~.~ l Al F; F_.v~-~f'~'
~pplicant Address 2~ ' ~, ~O~T~ gl ~
Business
(c) A'pplicant S (check one):.E~iding Institution [] · Owner/builder [] ' Buyer [] · Other [~ (explain);
(d) Lending Instit_utior~ ' ~'//~ Telephone
Address
(e) Real Estate Company and Agent ~d~ /~R~
Address ~¢~ ~, ~g~ ~/~ A~¢
Telephone ~
(f) Mail the HAA to the following address:
? ?,¢'17
TYPE OF RESIDENCE
Single-Family ~ Multi-Family []
Number of Bedrooms ~"'
Other
WATER SUPPLY
Individual Well[~ Community [] Public []
Note: If corn munity well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
4. SEWAGE DispOSAL
Onsite ~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (11/84)
Name of Firm
Address
Date
5. . ENGINEERING FIRM PROVIDI¼'~INSPECTIONS, TESTS, FILE SEARCH, D~-~'~ AND I ,NFORMATION
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 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, ordi.nances, and regulations in effect on
the date of this inspection.
Telephone ,.~,~'-~/? ~2 4/'0
'./,/) .. :
Approved ~' Disapproveg Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and.state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description:
T't2N
ENVIRONMENTAL PROTECTION
RECEIVED
WELL DATA
Well Classification
Well 'Log Present
Total Depth ~ ,~:~5' /
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit f~N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line N/
Cleanout/Manhole
Cased to
,4--
t IVDI ill DOY+L. ~f A, B,C, D.E.C. Approved (Y/N) /'V/~
Date Completed O'Nk 'oUJN' Yield
Depth of Grouting N/~
Pump Set At
Sanitary Seal on Casing (~}/N)
Depression Around Wellhead (Y~
5//2 ;On Adjoining Lots 100
l I / ; On Adjoining Lots /¢O/''~'-
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
Water Sample Collected by ,,~, /~'~-f 7"(¢~('¢/~/~' ; Date
Water Sample Test Results %4¢1~ F~ ¢
SEPTIC/HOLDING TANK DATA
Date Installed o~/~,-'~f~/z~ Size . [00 O No. of Compartments
Standpipes C/N) Air-tight Caps ~/N) Foundation Cleanout
Depression over Tank (Y~ Date Last Pumped ;/O/F/o~2p
Pumping/Maintenance Contract on File (Y/N) /~'.//~ ;for ' ~///~
Holding Tank High-Water Alarm (Y/N) ,J~[/]'~. Temporary Holding Tank Permit (Y/N) /rV'//~
Separation Distances from Septic/Holding Tank:
To Water-Supply Well //,~/ F/¢¢)/~4
To Property Line ~-0
To Water Main/Service Line ~////~
Course /00
To Building Foundation ~0 //¢~0~// --~//¢
To Disposal Field ~ /
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
72-026(11/84]
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field '
Square Feet of Absorption Area
Depression over Field (Y,(~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
I17/
Type of System Design
Length of Field ,-~ /
Depth of Field
Gravel Bed Thickness '~°
Standpipes Present (~N)
Date of Last Adequacy Test
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
E/Cc//
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ~ O~)
To Cutbank (if present)
lg)o"7
LIFT STATION
Date' '1 nsl~.lied
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Dimensions ..-~"-'~¢"~
Manhole/Access (Y/~/~'
"Pu~.Jf~'Eevel at
j~/ ,, ,~¢~.-¢- Vent(Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Electrical Codes (Y/N) jj
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I h~fe.~hecked, verJCied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ('~J _~Z//~e-~' Date 7/
Company ~E~ /~r MOA No.
Receipt No, ~ ~
Date of Payment ~"~ ~~~ ~ ~
Amount: $ ~ ~
Page 2 of 2 _ .
,ALASKA h-dlROrlmerlTAL CO[1TROL Seh lCe$, I[1C.
~n(lineerin§ $ ~noironmcntaJ $1ucJics
Municipality of Anchorage
Department of Health &
Human Services
825 L. Street
Anchorage, Alaska 99501
Attn: 3ohn Kennedy
,July 31, 1986
.MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
tgUL 3 1 1986
.RECEIVED
Re: Lot 2A, Block 5, Prator Subdivision
Dear John:
As requested by your office we installed a monitor tube on the subject
lot to verify that the current water table is 4 feet or more below
absorption area. The depth to the bottoJn of the trench stand pipe is
9.4 feet. A monitor tube was installed to a depth of 18 feet. After ?
days no water was encountered in the monitor tube.
If you have any questions please feel free to call me at 561-5040.
Sincerely,
Jeff Kaitchuck
Engineering Technician
1200 Wcsl 33rd Auenu¢, ,%iI¢ J~,J~nchora§¢, Alaska 99503.(907) 561-50/40
~~~ ....... :/ · Sa~le ~Jected ~cause:
~ ....... - u ~U~E~t,~ ~ Sable too long ~n translt.
SYSTEH ADD~ -
C]TY STATE ZIP CODE
LOCATION WHERI~ SAMPLE WAS ¢OLLEC'rE[}
· COLLECTED BY:~SIGNATURE ,~,
1;YPE OF SAMPLIE
(CHECK ONLY ~ THIS COLUI~)
~DRINKIN~; IIIATER
/CHEI3K TREATMENT
1-1 RAW SOUIIL~E WATER
r-) NEW CONDUCTION OR REPAIRS
~-10THER(SpBci fy)
I-1 CHLORINATED
I-]FILTERED
~[~NTREATED OR OTHER
IS THIS SAMPLIE A CHECK SAMPLE TO A PREVIOUS NON-CONFORMINGSAMPLE?
~-I YES ~mllO PREVIOUS COLLECTION DATE
I~E(~TED (IF OTHER THAN TOTAL COLIFORM}
ANALYSIS
'~E~O REPORT I~:(PRINT FULL NAI~,ADDRESS AND ZIP CODE
RAME
ADDRESS FZ~ ~.G,/~.~'T,~"~¢~/4~/"-~"/~'-'_
D Sample received too late in week
I-INot in proper container
[:]Leaked out
r-1 Insufficient information provided.
Please read instructions on form.
I-] Other (Specify)
RECEIVED BY "'
ANS~L ~OO:
~MB~NE F]LTER
~ FE~RTRT~ON TUBE
Oate &TI~ Started
Date & Tt~ Completed
LABORATORY RESULTS
Analyst ~
I-1 Other Bacteria
r'] Test unsuitable because:
l") Confluent Growth
[] TNTC ~
SATZSFRCTORY TZSFACTORY []
BACTERIOLIBG[CAL WATER ANALYSIS RECORD
/~ FOR LAB USE ONLY
TOTAL COLIFOR)tS
FECAL COLIFOR~
r-~ eTHER
Membrane Filter: Direct Count
Verification: LTB
Final Membrane Filter Results
Reported By
BGB
Date
Coliform/lOOml
Coliform/lOOml
Time A.M.
P.M.
READ SAMPLE COLLECTION INSTRUCTIONS ON BACK OF FORM
, CONTROL SERVIC~.~, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
SHEET NO.
CALCULATED BY d TK
CHECKED BY
OF
~oo3~
ALASKA [¥UIROFImeF1TAL COFITROL IFIC.
JEAN HOHMSTEIN
2804 W NORTHERN LIGHTS BLVD
ANCHORAGE ALASKA 99503
10/17/85
SELLER-MARSTON REAL ESTATE JEAN HOHMSTEIN
2804 W NORTHERN LIGHTS BLVD
ANCHORAGE ALASKA 99503
50688
LEGAL:PRATOR SUBDIVISION BLOCK 5 LOT 2A
ADEQUACY TEST FOR SEWER SYSTEM
ADEQUACY TEST DATE-10/7/85
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 256 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 846 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
2 BEDROOM HOME.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME~ .DF 1000 IS ADEQUATE FOR
THIS 2 BEDROOM HOUSE.
THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 10/9/85 .
FLOW TEST ON WELL
WELL FLOW DATE-10/7/85
A FLOW TEST WAS PERFORMED ON THE WELL. 846 GALLONS OF WATER WAS
PUMPED AT A RATE OF 6 GPM OVER A DURATION OF 3 HOURS.
THE DRAWDOWN WAS 66 ' WITH A RECOVERY TIME OF 120 MINUTES
AND THE STATIC WATER LEVEL WAS 35 FEET.
THE WELL IS ADEQUATE FOR THIS 2 BEDROOM HOME.
1200 JJJcsl 33rd AuenL~¢, StlJl¢ J~ ,, Anchora§¢. Alaska 99503-[907) 561-5040
1. C~neral Information
MUNICIPALITY OF ANCHORAGE
DMSION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH ALrfHORITY APPROVAL CERTIFICATE
Application Date ~/
(a)
(b)
Legal D~sc~iptio_n ( include ~ot~ block, subdivision,, section, township, range )
Location (add=ess or directions)
Applicants N~
Applicants Ad~ess
(c) Applicant is (check or~) Lending Institution ~-~ ; Owner/builder ~;
Buyer ~--~; Other ~ (explain); .~/'/~-~ '
(d) lending Institution ~/~/7~F~/~ ~//~ //~r~F'/}~ Telephone
(e) Rsal Estate Co. & Agent
Address
Te le phone
2. Type of F~sidence
Single-Family
Number of Bedrooms
Multi-Family
Other (describe)
3. Water Supply
Note: If c~,~nity ~11 system, must have written ccnfirmatien from the State
Department of Environmental Conservation attesting to the legality and status.
Is the ~11 adequate fo~ the numker of bedrccras specified in this HAA~
4. Sewage Disposal
Onsit~.~ Public ~--~ Co~,,,~nity ~-~ Holding Tank ~
Is the wastewater disposal system adequate fc~ the number of b~drocms ~-
[Page 1 of 2]
2-15-84
5. E~gineering Firm Providin~ Inspections, Tests, Data and Information
I certify ti%a. {f'I~ve~ checked~ verified~ or conformed to all MOA HAA Guid~!inss in
S i g ~n~/C/~)~..-(.~ ~-~ --" Date~j
Address
Si d by
Date
( ENGINEER SEAL)
6. DHEP Approval
Approved for ~Ck bedrcoms'
Approved/~ DisDpprove d ~-~
Temps of Conditional Approval
Conditional F--~
Date
The Municipality of ~chorage Dapa~tment of Health and Environmental P~otection does
not guarantee the continued satisfactory performance of the water supply and/or t~
wastewater disposal system. This approval indicates that, as of the. validation date
shown above, based on the data and information furnished by an engineer registered in
the State of Alaska, the water supply and wastewater disposal system is safe and func~
tional for the number of bedrooms and type of structure indicated.
(DHEP SEAL)
t~/~f~llcwing address:
KB2/d5/s
[Page 2 of 2]
2-15-84
MUNICIPALITY OF ANCHORAGE (MOA~UNIClPAU~Y OF ANCMO~AGE
DEPT. OF HEALTH
[-]EALT[.-I AUR~ORITY APPROVAL (BAA)ENVIRONMENTAL PROTECTIOI~
- 2
Well Classification ~' ~
Well LoG P~esent ~
Total Depth F/~'-~- ''~
- Cased to
Static Water Level ~ )
RECEIVED
If A, B, O~ C, D.E.C. Approved(Y/N) ~///~
Date Completed ~ ~ Yield ~'/-~'
Pump Set At
Casing Height Above Ground i~ ~ /( ~
Electrical Wiring in Condui~
Separation Distances f~c~ Well:
Depth of G~outinu_
Sanitary Seal on Cas~ng~_~ '
Depression A~ound Wellhead
To Septic/~l~ T~k on Lot /~3~ ~ ; On AdjoiniJg
To Nearest Edge of ~Abso~ption Field on LotJ/~ F ; On Adjoining Lots
To Nearest Public Sewer Line /%3( /'/~ To Nearest Public Sewer
Cleancut/Manhole /O' //~ To Nearest Sewer Service Line on Lot
Water Sample Collected By ~ ~<~ ~te
Water Sample Test Results ~- ~ ~ ~ ' ×'~-~'
B. SEPTIC/4~I~ANK DATA
Date Installe.~ Size ~ NO, of Ccmpa~t~nts _
Stan~i~s ~Y~ / ~Ai~-tight Caps~ ~_ Foundation Cleanout
~pression o~ Ta~ ~ ~te ~st g~ ____
P~ing~intenan~ ~n~a~ ~ ~ile (Y~)~ ; 7~[ ~/~ '
Holding Ta~ High-Ware= ~a~ !Y~)~/~ ~=a~y ~oldi~ Tank ~t (Y~)~
Separation Distances f~cm Septic/Holding Tar~k:
To Water-Supply Well /~ ~z
TO Property Line ~Z~ b , ~
TO Water Main/Se~vice Line _' /~.~1~
Comments
To Building Foundaticn ~ t
To Disposal Field_ . i_~'--Zzt
To Stream; Pond~ Lake, c~ Major fk, ainage
[Page 1 of 2]
HEMIcAL & GE'O~OGICAL LABORATORIES O~'~4LASKA, INC.
TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER
5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY'~WATER SUPPLIER
WATER SYSTEM:
i I.D. NO.
Phone No.
: State
City
· Day Year
S^M.LE PE.' Z Z/9
[] Routine
[] Check Sample (for routine sample
with lab ref. no._ )
,,~9~peclal Purpose
Zip Code
[] Treated Water
I~/~ntreated Water
SAMPLE
NO. LOCATION
Time Collecte~
' Collected
I
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
[~ Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination to
indicate reliable results. Please send new
sample via special delivery mail.
Date Received
Time Received
Analytical Method;
Fermentation Tube
~Membrane Filter
Lab Ref. No.
I
[ I
Result* Analyst
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
O6-~.220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1978
Date Collect ed Source
EMB. Broth 24 houri=_ Broth 48 hours;
Multiple Tube ReDort;
Membrane Filter: Direct Count
Verification: LTB
Reported ~Y. ~ ~r~--
ZOml Tubes po~tlve/'rotal 1Omi po~'tlons
CollformJ100~l--- '
,(./' -- Collfo~.rr~/1 COral
T~me~
1.131.
~ ~ ' .~ INSPECTION APPOINTMENTS
TIME TIME
DATE DATE DATE
NSPECTOR,,NSPECTOR ,NSPECTOR
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HE;,,LTiI &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL F:~iC'TECTION
ENV RONMENTAL SANITATION DIVISION.
Telephone 264-4720
REQUEST FOR APPROVAL OF INdiVIDUAL WATER AND SEW~1 ii~gl~E[ D
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
PHONE
1. PROPERTY, OWNER ,~q~' 1338
MAILING ADDRESS
PHONE
PRQPERTY RESIDENT (If different from above)
· PHONE
2, BUYER
MAILING ADDRESS
I PHONE
3, LENDING INSTITUTION
VIAl LING ADDRESS
I PHONE
4. REALTOR/AGENT
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATIQN
NUMBER OF BEDROOMS
6. TYPE OF RESIDENCE [] One [] Four [] Other~
[~SINGLE FAMILY [~ Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
7. WATER SU/PPLY
E~/ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTI LITY
*ATTACH WELL LOG. Awell log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available,)
8. SEWAGE DISPOSAL SYSTEM
,[~/I N DIVI DUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
~"~1 NG LE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
~f~lVl DUAL/ON -SITE
E~PUBLIC UTIt. ITY
Connection Verified
[Z~.Septic Tank or E~] Holding Tank
Size: /¢~ ~ _ lf Tank is homemade
give dimensions:
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE [] OTHER
~-~TWO [] FOUR [] SIX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RE CE IV ED ~.~'
PERMIT NUMBER
DATEINSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL ~;~ ~:i'
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line [ Nearest Lot Line
I
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
DATE
[1~"~'APP ROVE D FOR ~. BEDROOMS
[] CONDITIONAL APPROVAL (Petter must accompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/79)
CHEMICAL & G~JLOGICAL LABORATORIES'~,F ALASKA, INC.~
~- TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER
/ ~_~ 274-3364 5633' 8 Street
~ Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
I.D. NO.
Water System Name Phone No.
Mailing Address
City State Zip Code
MO. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
2
LOCATION
Time Collected
Collected ,~ By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
',~,,.Satisfactory
~l Unsatisfactory
[] Sample too long ~n transit; sample should
not be over 48 nours old at examination
to indicate reliable results. Please send
new sample· j .
Date Received ') -'- i ;: - --'
Time Received '_. ~..
Analytical Method:
[] Fermentation Tube
[]~ Membrane Filter
Lab Ref. No~ Result* Analyst
I I
I
*No. pi colonies/100 mi or No. of Positive ~orttons,
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
o6-122o Ih) BACTERIOLOGICAL WATER ANALYSIS RECORD
Re¥. 1978
Date Collected. Source
Date Received Time Received ).m. Lab. N
Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mi 0.1mt
24 Hours
48 Hours
Confirmatory
24 Hours
48 Hours
£MB Broth 24 hours:
Multiple Tube Report:
Membrane Filter: Olrect Count
Verification: LTB
Final Membrane FlJter Results
Broth 48 hours:
30mi Tubes Positive/Total 10mi Portions
Collform/100ml
BGB
CoUform/100ml
David Prediger
SRA Box 418
Anchorage, alaska 99507
Tob en Spur land P.F_.
8155 Cranberry St.
Anchorage, Alaska 99502
Phone (907) 243-5302
MUNICIPALITY OF ANCHORAGE
DEPT. OF ;'.LZ.LTii J~
~N'¢IRONMENT,:~!. ~; ,:;,'~ ECTION
RECEIVED
Sept. 28,1981
Legal:
Location:
O~er:
~esldence:
Water:
Sewer System:
Date of Test:
Teat Procedure:
Test Result:
SEWER ADEQUACY TEST
Lot 2A, Block 5, Prator S/D
On Old Rabbit Creek Road
David Prediger
Two bedroom log House
On Site well
~¥om Municipal Recor ds:
Tank 1000 gal. Sunset Plastic
&bsorpt ion System:
&bsorpt ion Area
Soil R~t ing
Installation Date
Trench, 32 feet long with
four fe~t of gravel
256 sq. fto
85
1974, with upgrade in 1976
Sept. 22-24, 1951
System was inspected on Sept. 224 1981. SwAp is 10 feet
deep with a liquid depth of 18 inches. No liquid in clean out.
Tank is 10'-5" deep with a liquid depth of 51 inches°
Tank was pumped on ~ept. 23 with approximately 1000 gal removed°
On Sept° 24 the trench was charged with water in increments
of 300 galo The follQwing readings of the water depth in the
sump were taken:
Water Volume Depth
o 18
3oo 56
600 56
9oo 56
After 24 hours 18
This system absorbed in excess of 900 gal during a 24 hour
period. The Municipal Code requires an absorption rate of
~50 gal for a two or three bed room house°
82!, "L" S'I'Rk~ t
ANC'ItOR/\(;I , Al /",SKA 99b{,~I
(907) 264 411t
DEPART MEN r OF HEALTIt AND ENVIp~i)N~,iEN f Al Iff{O rEC'f ION
September 18, 1981
David A. Predeger
Star Route A Box 418
Anchorage, Alaska 99507
Subject: Lot 2A Block 5 Prator Subdivision
Approval for 'the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(2)
The water analysis report needs to be submitted to
this office from Chem Lab, 5633 B Street, for our
review.
The septic tank pumped with a receipt subraitted to
this office.
(3)
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
review.
If there are any further questions, please call this office
at 264-.4720.
Sincerely,
James S. Roberts
Associate Environmental Specialist
JSR/ljw
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "c" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
Appr^val'requestedu by: Alaska Bank of Corm~erce
Mailing Address:
Property Owner:
Mailing Address:
Pouch 7-012
Elizabeth/David Pedeger
Star Route A Box 418
Phone: 279-5641
Phone: 344-3720
Legal Description: Lot 2A Block 5 Prator Subdivision
Location:
Rabbitt Creek /Rd
5. Type of facility to be inspected
6. Well Data:
A. Type Individual
C. Construction Approved
7. Sewage Disposal System:
Single Family
No. of bedrooms i
B. Depth 151'
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
D. Bacterial Analysis Satisfactory
On-site system
1976 B. Installer
1. Size 2. Manufacturer
1. Absorption Area 2. Material
Total length of lines
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer:
Mailing Address:
4. Name of Lending Institution:
Mailing Address:
CM RO ,VA ~ F~x~HA CONY ~ ....
Da~ Phone:~
~ '~ Phone:
§. Name of Realtor or Agent:
Mailing Address:
Legal Description:
Location:
Phone:
Type of Facility to be Inspected: ~ ~-/~'~/~ ,7~/d)2~x/No. Bdrms. ) ~:/"~
Water Supply
Type of Supply: Public Utility. Individual
If Individual, number of dwelling~ presently served
If Individual, depth of well /~'~/ /
Sewage Disposal System
Type of System: Public Utility /
If Individual, date of installation /~:/I L/J./
Individual (on-site)
72-003(3/76)
Page'2 of two pages - Req. t for Approval of Individua!
Legal' Description Lot 2A Block 5 Prator Subdivision
r a water
Comments
Approved ~_ ~ _J~ Disapproved Date
Appr~al Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this reouest for approval to be a true .nd
' ies
accurate representation of the subject sewer and water facilities and these facili
are operating satisfactorily.
Date
SIGNED
EQ-034 (1/74)