HomeMy WebLinkAboutPREUSS #2 BLK 4 LT 6Preuss #2 Block 4 Lot 6 #050-571-39 MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L- Street - Anchorage, Alaska 99501 Telephone 264-4720 f ,.✓/ ON-SITE SEWAGE DISPOSAL SYSTEM AND/®R WELL INSPECTION REPORT NAM a PHONE NEW UPGRADE MAILING ADDRV�S LEGAL DESCRIPTION LOCATION / t� NO. OF BEDaMS DISTANCE TO: Well ((9or Absorption area! Dwelling ! PERMIT NO. �,00 f� w2 Manufacturer /� �r Materia I �� No. of comport ents N~ Liq. cagae?eIlons IF HOMEMADE: Inside length Width Liquid depth ANCE TO: Well elling PERMIT NO. 0- Manufacturer Material -- - _Liquid capacit '" gallons O = L DISTANCE TO: Well ©% Foundation Nearest lot line PERMIT NO. u. Z H Z w No. of lineg, p( Length f each line b Total lengt f li s Trench wi r 6 inches Distance be�,wp n ines !(„/ ccF p Top of tile to finish grade f Material beneath rile �j 15 inches Total effective ab rr3rea LU 0 L th Width Depth MIT NO. Q 1- as w Type of cri Crib diameter rib depth Total effective ab ption area LU DISTANCE TO: ell Building foundation est to n Ne e J J Class Depth Driller Distance to lot linePERMIT NO. IL DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MAT IALS SOIL TEST RATIN INSTALLER REMARKS f APPR DATE LEGAL 72-013 (Rev. af-M hj �U t-4 I C- I 1 -r'r" AD F-_ n P-4 1:-.- 1-49D�� � . DEPARTMENT O^/HEALTH AND ENVIRONMENTAL k,,0TECTION 825 /�.' STREET ANCHORAGE, HK 99501 ' / � / ^/ ^ , 264-4720 `-- / 1-4 F= 1— 9 n P 4 ED f--# PA I _1F FE �E="kl #= r -R F-� E' F."17.1 I _r PERMIT NO ( 800456 ) - \ � PERMIT �~� ~~~ �-~ � uJ APPLICANT DON ZIMMERMHN JR BOX 596 EAGLE RIVER 6 -4-9268 ! LOCATION LUCAS, EAGLE RIVER � LEGAL L6 84 PREUSS LOrJISIZE 22000 SQUARE FEET � TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH � MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= I65 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: L-- F-- F� -r H �- C5 I E- P-4 1:3 -r H — ��;a' �F--'n FEE I �EF_ F"T H� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELC\ THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND 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 AND THE BOTTOM OF THE EXCAVATION (IN FEET). ���u I I--" F__ LIS �a I— _r 1 0 �n IP -4 lK. ��:::-' 1= = ���E-# ������:F. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -T 14 �_-1 < 2f -a I P4"—=. F- E- 17- -F I Cl 1`4 <_3 f --t Ri! F= ����1 F? F= C.o � BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET FIND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I=* FE��M I -F FEE :--* r� I r-;,:! E= 0=-. Cu FEE 17-- E- Irl E3 r-_ F R �-1L� -1 S=4 LD - I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND 14ELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IM ACCORDANCE WITH THE CODES. I� I UND T8ND THAT HE ON-SITE ER SYSTEM MAY REQUIRE ENLARGEMENT IF THE SIGNED ISSUED BY - - - - - - - - - - - - - - - uu.v ZInnon JR " Y4i 0 s Russell Oyster 694-2774 Performed for: O & E EN(A, VEERING & DEVELO�,,�,iVIENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Dna SOIL LOG Tel. N Mailing Address: Sd L tq /p, n li V r % T- Legal Description: Ze,7- 6 , .Sz 0 Depth (feet) Soil Characteristics 0 1 ' 2 3 114 4 5 6/2,-1 AA -L5 8 9 10 V 11 12 13 14 15 16 Earl Ellis 688-2280 PLOT PLAN )Ja '�CALf�-, PERC.TEST t Q tyl ii'l /l lit r 7' r Ground Water Encountered: Yes L�- No If yes, what depth I D Proposed Installation: Seepage Pit- Drain Field Performed by: ®I ®F AC�/]®9�9 ® 1� ®p+°lBe eOpp 7-s1 V0 o ®g 8 °a� s ,3 ` ! °49 SI o Cos. 86604./!J/0e/pgo 91 (//•a`ev++ e � Ear R Ellis 3 s°°! NO. 1745-E �° eI so S ;9, aeleelaeaa°e���, 5kk_J'R0FF-S10� 96 �L) �1 r I o0uc). 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D. # C\, �sI) — �1-) � — _�; 1� HAA # �A I:V� aL�'_ Ln 1. GENERAL INFORMATION Complete legal description Lot 6• Block 4; Preuss Subdivisionr-ta Location (site address or directions) 20114 Lucas Avenue, Eagle River, Alaska Property owner Richard A. Morris Day phone 694-3826 Mailing address 20114 Lucas Avenue, Eagle River, Alaska 99577 Lending agency NORTHLAND MORTGAGE Day phone Mailing address Eagle River, Alaska Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 v 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1191) Front MOA #21 5. C:3 0 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. Name of Firm Phone Address 17034 Eagle River Loop Road No, 204 age River, as a YY577 Engineer's signature DHHS SIGNATURE Approved for bedrooms. Disapproved. Date 2� -� X� FER .l- '. Ca .,oo JdO� +naanw Dap 4C � ?0FES51Vt� � approval for bedrooms, with the following stipulations: ^Conditional ti Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev.1/91) Back MOA#21 Municipality of Anchorage Department of Health & Human Services _ HEALTH AUTHORITY APPROVAL CHECKLIST �L 42 Legal Description: �L-� i �'�ss Parcel I.D. A. WELL DATA Well type�k�-� If A, B, or C, attach ADEC letter. ADEC water system number Log presentON) Total depth Sanitary seal&y N) Date of test Static water level Well flow Pump level Y Date completed 1 l ��' g, Driller A Cased to --t) .Casing height 2 Wires properly protected (WN) FROM W LL LOG \ 8 0 g.p.m. AT INSPECTION g.p.m. cc, SEPARATION DISTANCES FROM LL TO: r � Septic/hrrldh, tank on lot `%o ; On adjacent lots 1 Oo t ( Absorption field on lot _; On adjacent lots k n � o Public sewer main — Y Ip Public sewer manhole/cleano t jt�' t Sewer service line k Petroleum tank o(/ "PwrJ WATER SAMPLE RESULTS: Coliform � Nitrate Date of sample: '�'D - \ lP_ `l1�_ B. SEPTIC/HOLDING TANK DATA N • y Other bacteria —Collected by: Date installed �' i 0 r eO Tank size k Compartments Z GSA NL Cleanouts ('N) T— Foundation cleanoutdA) Depression (Y/erp KA High water alarm (Y/N) Date of pumping "J' \1-9"L_ Alarm tested ((YY/N) l Pumper \1�`S �u�1�) 46 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Wells) on lot 4_7�A I-> On adjacent lots \ mot X ( t To property line ib Absorption field i Surface water/drainage � '�- Foundation Watermain/service line lb(k n, oz_ 3 n m D -Z-I r P o Z ti s 0 <_T V3 G) O nn Z 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water _ Date installed Soil rating h System type — e a� i t E � Length v I Width Gravel thickness 4 Total depth Total absorption area (0 Cleanouts presenkfVN) �r Depression over field (Ykv rJ Date of adequacy test D —'I ?-- Resultss /fail) �/S�.�i for Peroxide treatment (Past 12 months) (Y( jE.ta�lt, If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: 4 - Wei I -Well on lot On adjacent lots �Z I Property line To building foundation To exi ting or abandoned system on lot On adjacent lots Cutbank Water main/service line_ bedrooms Surface water II` �i Driveway, parking/vehicle storage area Curtain drain IVIG Y-I�yu� E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. it 1 5 & 5 ENGINEERING > Signature 17034 Eagle Diver Loop Road No. 204 Eagle River, Alaska 99577 Engineer's Name E� Date HAA Fee $ " Waiver Fee: $ °0V / Date of Payment JO ,-q7// Date of Payment Receipt Number Receipt Number 72-026 (Rev. 3/91) Back MOA 21 n I" = 40' SITE PLAN L/p y SCALE r �m pv 71 � V ANT-> VACANT I m r > m D L7 : D Z r r � m w o �� c r C c o � SEPTIC ARE k m n r cz cl o r D m i o I I N `I 0\ti k ~ O D Q V ~ m m i � � V l0 Q I N y GEORGE PLACE I 0 I r� 41 S "°� n b -f . p� C'i a; -on v p0 v, 6•ii' I 1z 17034 Eagle River Loop Road Eagle River, Alaska 99577 ## WELL FLOW TEST DATA SHEET ## ROBERT A.SHAFER CIVIL ENGINEER 694-2979 PROJECT: C__-_1L4z_t S DATE OF TEST: LOCATION OF WELL (Legal Description): Iro c t�yL-Ic ��LE-yS.5 S b WELLDEPTH: �g� FIT. CASING: ' FT. SCREEN: , l DATE DRILLING COMPLETED: \ 24 _ 8 DRILLER: �^r LA_ 1 A'`'I S STATIC WATER LEVEL (Top of Casing): 1 FT. DATE: 11 Z TIMEK I ELAPSED TIME PUMPING E T MRNEDE I WATER, FDEPTH T. I DRE OVERY I I RA PUMEPG ING M I REMARKS STOPP ikOlk (SWI) 0 0 Start On, L' L' 1 5 "771 b C> 10 '27 --'12 15 20 25 to 30 t 35 40 45 50 '7 55 ��i, o . 60 (1 hour) 90 120 (2 hours) 150 yn 180 (3 hours) 3� 210 0 240 (4 hours) t RECOVERY 0 0 5 25 30 35 Comments: \ / YF 1 Cep /N M 4 �, �a j�� FIc-,w is not Guaranteed l �iW 1 " Subsequent Variations_ Can Occur. vs I && **nRILLING co. q. WE SERVE ALL ALASKA POST OFFICE BOX 42 -CHUGIAK, ALASKA 99567 OINNER'OF'LAND Dan,.Zlmmerman ................................................. DEPTH OF WELL ..... .................... . . .. ............ ADORESS., a r, I e... 113U.Y-Or ................. ........ STATIC LEVEL OF WATER FT.....32... SITE. ... 4,...Rt -.0 -p- a s .......... I ....................................... DRA�'J T_'-. ­,N FT....- ...................... ........... DATt- STARTED."_." ............................................................................... GALS. PER FIR I ..... 1.5Q.Q..ZZ.T.p .......... i».. . .... DATE ENDED1............1.m2_4.-$1........................................................... KIND OF CASING .... in., .... U. h ... . . ..... h. IND OF FORMATION: FROM ::3:» ......... FT. TO ........... ......... FT..QY;?.r.WrAq)1 ....... FROM ....................... FT. TO ....................... F FROM ......... FT. TO ........Q6......... FT. 2aad .... Gray.el.... FROM ....................... FT. TO ......................... FT.... FROM..g.6....... FT. TO ........9.7........ ......... ... ... FT. BQU-Ider ............... FROM ....................... FT. TO ........................ FT,;— FROM ...... .. . �7 ....... FT. TO ..... 324D ......... FT-Sand ...&.. &...G.ra val FROM ....................... FT. TO .............. . . ....... FT .... FT. TO .....3.2.2......... FT. AQU.Iedex ............ FROM ....................... FT. TO ........................ FT....... FROM .......::.3. z .... FT. To .....3.72......... FT. HAKiIPM ............... FROM ....................... FT. TO ........««........... FT. FROM ........3.7..2.... FT. TO ....3.5.0......... FT. Qr.ayp. FROM ....................... FT. TO .............«. FROM_...� .............. FT. TO ...................... FT FROM_,..� .............. FT. TO ...................... FT PROM .............. FT. TO ...................... FT FROM ...................... FT. TO ...................... FT FROM .d..... , ..... ­­ FT. TO ...................... FT ML)CL, INFORMATION: ................................... FROM .......»»............ 17T. TO ...................» FT. ............................... FROM ....................... FT. TO .................»..... FT...... ............................... FROM ...... . ........ . . ... FT. TO ................. FT. ............. I ..................... FROM ....................... FT. TO .............«. ........ FROM ....................... FT. TO ........ Fl. DRILLER'S NAM F ... ................ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH! et M —W DRILLING, Inc. ENVIRONMENTAL PROIECT;ON P. O. Box 4-1224 . 1310C International Airport Road (907) 274-4611 MAY 20 ANCHORAGE, ALASKA 99509 DRILLING LOG RECEIVED Well Owner Lar_ir �hooshaniail Use of Well Location (address of: Township, Range, Section, if known; or distance main road _•7, 34, F-euss Subrliv. Size of casing___!Depth of Hole 376 feet Cased to 37.5. 5 feet Static water level ° `0 ft. (abbVd) (below) land surface. Finish of well (check one) open end ( ) Screen ( ); Perforated ( ). Describe screen or perforation =FonP Well pumping test at 10 gallons per (Hoiif)= (minute) for - hours with iCt%" -ft: of drawdown from static level. Date of completion `'-ti '2'1r zh 1C)7+5 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness TO 114 - 4 sting Y47e11 TO Cobble *-.a.y.-_ TO 3, 7 ' TO boa.:^s' �_Anel TO =7n ?nriV '4.at ar Gr;" - im TO TO TO— O TO- TO r:- . • %- "`l. =� 814 ;x973 2 2 — STATE M CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS fox INVOICE # 52139 Chemlab Ref.# 92.1140 Sample # 3 Matrix: WATER Client Sample ID L7 B4 PREUSS S/D PWSID UA Collected NAR 23 92 0 14:05 his. Received MAR 24 92 0 15:15 his. Preserved with : AS REQUIRED Analysis Completed MAR 25 92 Laboratory Supervisor STEPHEN C. EDE Released By Parameter Results Units ------------------------------------------------------------------------- NITRATE-N ND(0.10) mg/1 Client Name :S & S ENGINEERING Client Acct :SNSENGP BPO# PO# :NONE RECEIVED Req# Ordered By Send Reports to: 1)S & S ENGINEERING 2) Method Allowable Limits -------------------------------------- EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: R.J.S. Remarks: 1 Tests Perfoxmed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Leas Than, GT -Greater Than I r*20 SE3S Member of the SGS Group (Societe Gen4rale de Surveillance) LABORATORY CIVE ICAL & GEOLOGICAL LAR®I,4TORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY / UBLIC WATER SYSTEM I.D. # FTI PRIVATE WATER SYSTEM �Annalysis shows this Water SAMPLE to be: 5 5 ENGlNE6PING dSatisfactory Name Phone No. 17034 Eagle River Loop Road No, 204 ❑ Unsatisfactory Eagle River, Alaska 99577 Mailing Address ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send car s a;e Zip Code new sample via special delivery mail. SAMPLE DATE: 3 ® 3 2 Mo. Day Year Date Received SAMPLE TYPE: Time Received 1 �2 6 -Routine Analytical Method: Membrane Filter ❑ Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water ❑ Special Purpose ❑ Untreated Water` No. of colonies/100 ml. SAMPLE Time Collected No. LOCATION Collected By Lab Ref. No. Result* Anallyyst /'/ 5 5 j t 92.1140 r 2 tom'"/ to _ m 3 I I i T 4 � 1 m 5 m i r}� A.®.g.C` U J 25 /4?z BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter: Direct Count V Coliform/100 ml Verification: LSB BGB BEFORE Fecal Coliform Confirmation COLLECTING SAMPLE Final Membrane Filter ults/ Reported By _/ ✓ ` , TNTC = Too Numerous To Count OB = Other Bacteria Coliform/100 ml Date In PART ONE OF TWO REMAINDER TO FOLLOW p.m. CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS fox INVOICE # 51965 Chemlab Ref.# 92.1013 Sample # 1 Matrix: WATER Client Sample ID L6 B4 PREUSS S/D PWSID UA Collected MAR 16 92 6 11:30 his. Received MAR 17 92 A 15:15 his. Preserved with AS REQUIRED Analysis Completed MAR 18 92 Laboratory Supervisor STEPHEN C. EDE Released By :rXjvl--� Parameter ------------------- NITRATE-N Client Name :S & S ENGINEERING Client Acct :SNSENGP BPO# Req# Ordered By :R. SHAFER Send Reports to: 1)S & S ENGINEERING 2) POI :NONE RECEIVED Results Tests Performed Units Method Allowable Limits --------------------------------------------------------------------------------------------------------------- ND(0.10) See mg/l EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: RAY. Remarks: 1 Tests Performed See Special Instructions Above UA -Unavailable ND= None Detected See Sample Remarks Above NA= Not Analyzed LT -Less Than, GT=Greater Than `rea?SE3S Member of the SGS Group (Societe Generale de Surveillance) CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. ,!,sopa„pr' TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D. # t PRIVATE WATER SYSTEM Analysis shows this Water SAMPLE to be: (9°i 41 5 Name Phone No. S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Mailing Address Eagle River, Alaska 99577 state Zip Code SAMPLE DATE: 3 L y lP Mo. Day Year SAMPLE TYPE: XRoutine ❑ Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected No. LOCATION Collected By 1 1 L"T l.o� 3 5 Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received % // 2 Time Received 5l,” Analytical Method: Membrane Filter * No. of colonies/100 ml. Lab Ref. No. Result* Analyst 92.1013 2 ETC —y/ F ET -1 u m m BACTERIOLOGICAL WATER ANALYSIS RECORD A.D.E.C. READ INSTRUCTIONS Membrane Filter: Direct Count ('� Coliform/100 ml Verification: LSB BGB BEFORE Fecal Coliform Confirmation COLLECTING SAMPLE Final Membrane Filter Results 4 Coliform/100 ml Reported By Date 3 • % % 9 Z TNTC = Too Numerous To Count a.m. PART ONE OF TWO p.m. OB = Other Bacteria i REMAINDER TO FOLLOW " Municipality of Anchorage l Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 April 7, 1992 Roger A. Shafer, P. E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 6 Block 4 Preuss Subdivision #2 Waiver Request #WR920016, PID #050-571-29, HA920206 Dear Mr. Shafer: Your request for waiver of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance is septic tank to the well on the lot - 90 feet; leachfield on lot to the private well on Lot 7 - 92 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Robert W. Robinson Civil Engineer On-site Services ljm:#6 Concur: n 'I q_ V� ohn Smi Program Manager On-site Services MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR920016 PID# 050-571-29 HA# BA920206 Permit # Date Received: March 31, 1992 Legal Description: Lot 6 Block 4 Preuss #2 Engineer: Roger A Shafer P E S& S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River 99577 Applicant: Richard A. Morris Waiver Requested: 1) Septic tank to well on lot - 90 feet 2) leachfield on lot of the private well on Lot 7 - 92 feet Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Y o f � 9 0 a•90 �•q° �,�tl a•io 18.1E Waiver is Granted: Waiver is NOT Granted: List Conditions or Re sons for above: Date: Rec #: 23566 7 - By Amount: Amount: $ 590.00 Date Paid: March 31, 1992 LoT •d'loexc. g4c4wff �-7��' zl— l/ al t/ -k cs t vr, ear 7 /k e/f cw�� Z� J/,2-6 /4,g/ le -Al Vol 9'/�'c • f �l j m �.��� ss ,4 15W/- e S40 ,Dian,•, � S, o � �ss�efY,�o_� �`.��� � �a ���,=r� .� 1'i C � l�u' l �" d�: c� Ir Lo % 11"e- 6�d Zo S- W l i i, I� We,:;. I La �tS7'�•�t- � � J �, a`i a a,o =jr�j+ G 4, o = �3 $ fi,ie„ap ,nO Gd J Xyze, 15.X7 C—v QI h;Y= Val $ fi,ie„ap ,nO Gd J Xyze, 15.X7 0 ROBERT SHAFER, P.E ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 Manch 30, 1992 FAX 694-1211 il-�kq P'L-b!Lo HEALTH AUTHORITY Munic.i.patity o6 Anchorage APPROVALS DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.U. Box 196650 Anchorage, Ataska 99519-6650 SEWER&WATER p L, MAIN EXTENSIONS REFERENCE: Lot 6; B -tock 4; Preuss Subdivision #2, Request you issue the attached Hea.P.th Authot,i-ty Approvat and grant waivers 6or the bot towing horizontat zeparation distances: SEWER & WATER INSPECTION 1. The distance between the septic tank and the private wW on the re4ereneed property at 90 gt. 2. The distance between the septic teaehg.ietd on the ne6enenced ENGINEERING STUDIES property and the p&ivate welt on the adjacent Lot 7 at 92 4t. AND REPORTS According to .in4ormation {pound on 4ite, the welt on the adjacent Lot 7 was deepened to a depth o4 376 4t. on Manch 26, 1976. The septic system on the negereneed property was .installed .in September, 1980 and WELL INSPECTION the we.0 was dniUed on the regereneed property on January 24, 1981. & FLOW TEST Fon the 4o.ttowing reasons we 4ee2 waivers bo& the separation distances .tilted above may be .issued: SITE PLANS 1. Both weM ane deep at 376 /6t. and 380 {fit. This is a deep aqui6er with tittte chance o4 contamination 4rnJtl the ne4ereneed septic system. ROAD DESIGN 2. Both we.tt .togs show severa,t tayers o6 zo.Lt eneountened white d&iU,ing. These soit .tayens consist of sands, gravets, sitt6, and hand pan. The tayers with the Einer sands and zitti , would detour (and Aieten) the migration o6 septic e66tuent SOIL TEST toward the agwt6er. 3. Both welt togs show a targe production capacity. This is indicative o4 target aqu i-Uens with a high votume o4 water.. PERCOLATION This targe volume aqu.iger would help di.tute any septic TEST e44tuent which might migrate into the aqui4er. 4. From the blow test perbormed on the wW serving the re4ereneed propehty on March 17, 1992 we bound the static STRUCTURAL& water tevet .in the welt to be deep. we atso {round that with MECHANICAL tyleAtow on Au,tt, there was no meazurabte drop in the static INSPECTIONS tevet. This means there is tittte to no hydrau.Uc gradient created by use ob the welt. Thete6ore, use og the well would not draw e44tuent toward the we_tt.. ON SITE WASTEWATER DISPOSAL SYSTEM - DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 I " Page Two Lot G; Mock 4; Pneu6a Subdivision #2; Manch 30, 1992 5. There is tittle grade di. 6enence between the septic system and the wens, however, any su&baee ove'Waw 06 septic is e2 fi6tue 2 owand the t avec toward either wW• Snamac ewgeeP2s. 4snont o{ the house and away 4 G. platen zampti.ng 6nom both weU,6 found no baeten.ia on nitAatn detected. This mean that o6ten 10 years q use, ne-ithen wet is being e{y{ye cted by any septic e44tuent. Fon the above mentioned reason we Beet the 3enanafiion distances pnescni.bed by 18AAC72 ane not tequixed .in this case. i� you have any questions on nequ,ine additi.onat .in{yanmati.on. {yon yauh review, please contact us. Sinceh.et y, ROGER J. SH R, P.F. RJS/gm V 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME : `� u - TIME TIME o NUMBER OF,BEDROOMS DATE OLU DAT DATE 11-1t1—i5\ r ❑ MULTIPLE FAMILY INSPECT R - INSPECTOR INSPECTOf}— �f MUNICIPALITY OF ANCHORAGE //yy����JJNN & ENVIRONMENTAL PROTECTI O'CIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH 825 L Street - Anchorage, Alaska 99501 DEPT. OF HEALTH & ENVIRONPI ENTAL PROTECTION - ENVIRONMENTAL SANITATION DIVISION MAR Telephone 264-4720 1 8 1,981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW E AffVl� DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) dayTTss for processing. 1. PROPERTYO)�ER ;✓ HONE � � ❑ PUBLIC UTILITY MAILING ADDRES,S PROPERTY RESIDENT (If differen /` - PHONE (fro/rymabove) 2. BUYER -` I @ /1 �._/ PHONE MAILING ADDRESS 3. LENDING INSTUTIO�Iy J f %, PHONE MAILING ADDRESS 4. REALTOR/AGENT /f-) {f PH NE f MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION�.p,.,/ r 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY [:51, Three ❑ Six 7. WATER SUPPLY V, INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 99, INDIVIDUAL/ON-SITE**` YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED /u-k-z- INSTALLER ❑Septic Tank or ❑ Holding Tank Size: -100 0 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER Q i TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line COMMENTS 5. COMMENTS C APPROVED FOR ­3 BEDROOMS ELI, CONDITIONAL APPROVAL (letter mu company certificate) ❑ DISAPPROVED DATE �/ ..,.. 'Ok BY & 72-010 (Rev. 6/79) CHEMICAL & GL-,,,IOGICAL LABORATORIES `.z ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER A�MORA�RIES 274-3364 5633 B Street Irin1ring,.Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: Analysis shows this Water SAMPLE to be: I.D. NO. 1 ❑ Satisfactory Water System Name Phone No. Mailing Address r` city --... .._..State - -; Zip Code ._ _.... SAMPLE DATE: Mo. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample ❑ Treated Water with lab ref. ElUntreated Water ❑ Special Purposee SAMPLE Time Collected NO. LOCATION Collected By 1 2 3 4I 5 READ INSTRUCTIONS BEFORE 06-1220 (b) Rev. 1978 Data Collected ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: ❑ Fermentation Tube O Membrane Filter Lab Ref. No. Result* Analyst ETJ' I EE I I m I I TmII I W *No. of colonies/ 100 net or No. of Positive portions. BACTERIOLOGICAL WATER ANALYSIS RECORD a.m. Date Received Time Received p.m. Lab. No. n._......... I„e ldml I loml I loml I 10ml I loml I 1.0ml I 0.1mi 48 Hours l 1 1 I I EMB Broth 24 hours: Broth 48 hours: COLLECTING SAMPLE Multiple Tube Report: 10ml Tubes Positive/Total 10ml Portions Membrane Filter: Direct Count Coliform/100m1 Verification: LTB BGB Final Membrane Filter Results Collform/100mi Reported By Date A.M. p.m. o� 0. air my; Ono 1 ,/.y4 1 0) oil 01 A In A q, Andly 00 4 A Y Awn W ow E 0 i I I oil oily 1A Vvy ni! !t; Jo , �_*! Viv it, „t., tt nf 'A wy idh I W to I! P5.,9$69 TwA a nwilum: hi w0jubly :� A. 114"faswup p"002m �0! ! S Sm WAsavull ;nI qw,001su yn)stiolto SWAN W; 1& 000,110010111 walph to 6"41051 010 sawny"p1hul? VAH 110 vials WY: 111� 0_ir" &K. P ij A E MY 1 z ur I NOW wr"�; '�' ltfflor J a it W. 0010 4AWn i into ka"! 'YQj; P0qjj'"3j" qjj? 1,0 WAV zoo: r� owsh Q too im"j, ONTO & WWWWAY "P, Oil VIA! Pli AM ! KV K&WIMA" A�:vv Ak 0, aqwWwom qK 'iQu" ck nut Numinsw A; W'n.n m Awn; m 4Y) to no! VAIN fit Q'Slisly i0v "Wh W; Turusn' "U WAIRA , In jol0c wyalm wwwrala Ar lljjlj 41UHT(mm ea uturb ma 00100c; hs sku fly k J 525 „L." STREET ANCHORAGE, ALASKA 99501 (907)264-4111 GEORGE M. SULLIVAN, MAYOR EPARTW LNT OF HFALTH AND ENVIRONPAENTAL PROTFUION March 19, 1981 Zimmerman Post Office Box 596 Eagle River, Alaska 99577 Subject: Lot 6 Block 4 Preuss Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water- analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. 1 (pp2) A well log submitted to this office for our review. Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit and buried. This will need to be reinspected by this office. p � ( �L4Yie exposed water line needs to be buried and i�G reinspected by this office. b-0' 3� if there are any further questions, please call this office at 264--4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Audrey Mason `NAlaska Mutual Savings Bank Totem Realty 101 Benson Boulevard 99503 Post Office Box 911 99577 a: k J 525 „L." STREET ANCHORAGE, ALASKA 99501 (907)264-4111 GEORGE M. SULLIVAN, MAYOR EPARTW LNT OF HFALTH AND ENVIRONPAENTAL PROTFUION March 19, 1981 Zimmerman Post Office Box 596 Eagle River, Alaska 99577 Subject: Lot 6 Block 4 Preuss Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water- analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. 1 (pp2) A well log submitted to this office for our review. Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit and buried. This will need to be reinspected by this office. p � ( �L4Yie exposed water line needs to be buried and i�G reinspected by this office. b-0' 3� if there are any further questions, please call this office at 264--4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Audrey Mason `NAlaska Mutual Savings Bank Totem Realty 101 Benson Boulevard 99503 Post Office Box 911 99577