The URL can be used to link to this page

Home My WebLink AboutPROSPECT HEIGHTS BLK 2 LT 12BApr 22 22 12:52a Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section \ 4 Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Parcel Identification Number: 015-091 -50 Date of Issue: - - Legal Description Block Lot Property Owner Name & Address: BOSSARD KERRIE R & WHEELER DONALD F PROSPECT HEIGHTS 2 12B 9850 PROSPECT DRIVE ANCHORAGE, AK 99507 Pump Installation Date: 04 - 19 - 2022 Pump Intake Depth Below Top of Well Casing: 110 Pump Manufacturer's Name: RED ,JACKET Pump Model: 8S 1 2 IPump Size: '50 hp Pitless Adapter Burial Depth: 10 feet IPitless Adapter Manufacturer's Name: MARTINSSON Pitless Adapter Installer - Well Disinfected Upon Completion?Yes 11No Method of Disinfection: PELLETS Comments: feet Pump Installer Name: _ ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET Company: ANCHORAGE, AK 99518 907-243-0740 Mailing Address - State: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION { ' ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT /~'~7~/' D UPG~XDE ~LEGAL DESCRIPTION LOCAT,ON ~~ ~ . NO, O~BEDSOOMS ~ Z Manufacturer " Liq' 7~all°ns IF HOMEMADE: Inside length Width Liquid depth ~ ~ Well Dwelling PERMIT NO. DISTANCE TO: ~ Manufacturer 'Material Liquid capacity ,n gal,ohs ~ W~ Foundation ~; DISTANCE TO: /~/ ~[ Nearest lot ,inetd ( ~ PERMIT NO. _~.~ No. oflines t Length 6, e~7 ' " Totalgngth~flines Trenchwig~ Distancebetwe~FD ~ ~ ~ Top of tile to finish grade Material~eath tile inches ' Total effec~ve absbrpdon area ~ Widthq( ¢ inches Length Depth PERMIT NO. ~ ~ TvPe of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER SOILTESTRATING ~-- ~ ~ % I ~ST*~,. Z, I I REMARKS r-lL~r-~ J~ L: ~ F'k]L I T%-' L-tF ;:,:' 'l-I.... l DEF'RRTMENT I-~ HEALTH ~ND EN, IR_NMENIHL ~qDTEC:TIEIN ...... , "L STREET., ANCHORAGE, AK. 99., _,Z ~1, .... 264-4~2~1 PERMIT ~'~0. ( 800598 ) APPLICANT BILL EMPIE 8tt 0 ST LOCATION PROSPECT DR LEGAL LOT t28 8LK 2 PROSPECT HTS LOT SIZE 2 ," ,-_4.-.].~o_1 4000E'~ SQLtRRE FEET 'TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [)EF'TH= E: LEf'-~3 TH = iR2 ~3 F-: ~-4"-.-' E L [)EPTH= 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 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 OUTFRLL PIPE AND THE BOTTOM OF THE EXCRVRTION (IN FEET), F~-.:EBZ~LI Z F.'.EC. SEPT ]] C: PERMIT APPL!CRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY NELLS ADJACENT TO THIS PROPERTY AND THE N(JMBER OF RESIDENCES THAT THE NELL WILL SERVE. T~40 (2) I~-~SPE~]TIn]~-~S ARE ~]EC4LIIRE[) BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND BPPROV~L BY THIS DEP~RTMENT NILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS ±00 FEET FOR R PRIVATE WELL OR t50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER'LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF 7'HE NELL COMPLETION. OTHER REQUIREMENTS MRY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'E[4:f-11 T E::<:P I RE:=-; [:.EC:E~"IE:EF~: __~::"ZL.., I CERTIFY THAT 1: I RM FAMILIAR HITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MLINICIPRLITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. SIGNED: .... APPLICANT BILL EMPIE V4. 0 V~L 9 '~ PENINSULA ENGINEERING October 16, 1980 Bill Empie 811 "O" Street Anchorage, Alaska Re: Soils Investigation Lot 12B Block 2 Prospect Heights Subdivision 80-E-18 Dear Bill: As per your request I have inspected the test hole excavated on the above legally described lot and prepared a test hole log and locational map enclosed. The soil in the typical absorption area between 2~' and 12~' has been visually classified as well graded sandy gravel (GW) in accordance with the Unified Classification System. In accordance with the Municipality of Anchorage requirements, a perculation test will not be required if the system is~ in~talled in this location or in adjacent locations with similar soils stratification. If the system is designed, installed and maintained in accordance with Municipality of Anchorage specifications it should function adequately. A design valve of 85 square feet per bedroom should be used to size the seepage system. Ail required separation limits· should be maintained during design and care should be taken to avoid placement of the system in the western side of the lot where slopes are excessive. If you require any further services please don"t hesitate to call. Sincerely, Attachments WH:sa 2820 "C" Street, Suite #3, Anchorage, Ak 99503 PENINsuLA ENGINEERIING TEST HOLE LOG 0 SOIL DESCRIPTION PROJECT, '~c,,,p ~, ~, .,:::J LOCATION, '"P,..- o ~.? ,- ¢'t /'/"/~ TEST HOLE #~. 2O /o.,1 0 LOT SURVEY CERTIFICATION: I HEREBY CERTIFY THAT I ]-lAVE SURVEYED THE PROPERTY SHOWN AND DESCRIBED NEREON AND 7.: '-[ f~lE IMPROVEMENTS SITUATED THEREON AHE WIfHIN THE PROPERTY LINES AND NO ENCROACRMENTS EXIST. Prepmeciby: GERALD V. RANDALt_. JR. Reg. Land Surveyor 2820 "C" STREET., SUITE 5 Phonu: 279 7414 ANCHOHAGE, ALASKA 99503 IT IS THE CONTRACTOR'S RESPONSIBILITY TO CRECK TOP OF FOUNDATION IN RELA- TION TO FINISH GRADE AND BUILDING SE]' BACKS IN RELATION TO LOT LINES AND EASEMENTS. LEGEND: · 5/8 REBAR RECOVERED o 5/8 REBAR SET TI-tiS SURVEY [] 2'~<2" RUB & 'rACK SET [] EXISTING ELEVATIONS DATUM ASSUMED SCA L E: ///=_ .~'O / MUNICIPALITY OF ANCHORAGE . 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 Parcel I.D. # OI5---ec~[-5-0 1. GENERAL INFORMATION Complete legal description Lot 12B; Block 2; Prospect H~i.qhts Location (site address or directions) 9850 Prospect Drive Anchoraqe, AK Prope~y owner Robert Schacht C/O RE.q_q Day phone 242-8608 (Mrs.) Mailing address 8200 Humboldt Ave. South Suite 204 Minneapolis, MN 55431 Lending agency Mailing ad,dress Day phone Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: lng to the legality and status of SYstem. 4. TYPE OF WASTEWATER DISPOSAL: MUNiCiPALi'[Y OF ANCHOF, AGE ENVIRONMENTAL SERVICES DIVISION OCT 0 4 1996 RECEIVED NOTE: If community well system, provide written confirmation from State ADEC attest- XXX Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5: 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. S & S ENGINEERING Phone 6 ~ ¥ - · ~7 '7 ~/ Name of Firm i70~,~ ~.agle Eiver Loop Road No. 204 Address Eagle River, Alaska 99577 ,cf DHHS SIGNATURE 't~ Approved for -~ Disapproved, Conditional approval for bedrooms. ~..~ .o.~r c. cow~ '/.~ bedrooms, with the following stipulations: 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.O25(Rev, 1/91) Back MOA#~Z1 MUNICIPALITY OF ANCHOI{AG~ Municipality of Anchorage ENVIRONMENTAL SERVICES DI~ DEPARTMENT OF HEALTH & HUMAN... SERVICES OCT {)4" 1996 [aMpul Environmental Services D~vls~on ~ V Health Authority Approval Checklist Legal Description:Z o 7" /Z ,'~ z3¢/o ~:,Zr,Z / /~¢5/~ ~ A. WELL DATA Parcel I.D.: If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~' 0 -/' Log present (Y~ Total depth '7% + Sanitary seal Casing height (above ground) Wires properly protected ~.~N) AT INSPECTION / FROM WELL LOG Date of test Static water level u / ~< Well production u J ~, WATER SAMPLE RESULTS: Coliform O Nitrate Date of sample: °i / ~ jcl (~ B. ~OLDING TANK DATA Collected by: Other bacteria ~r D. co,-/i~o ,,,- Date installed /'O -~PZ--~'O Tank size /~.¢-¢ -~',.~,d. Number of Compartments ~-, Cleanou/tC'~N). Foundation cleanout (y~O /UO Depression (Y/~ /u/O High water alarm (Y/(~j::~. Date of Pumping 1o/~/~1(, Pumper ~o~-o C, ABSORPTION FIELD DATA Date installed /0 .-~2_.--~0 '. Soilrating (g.p.d./ft~~ ~,~ System type,~'~~ Length ,~, / Width ,.~'" Gravel thickness below pipe ~// /Total depth ~:~ Effective absorption area ~3'~"/4~' Monitoring Tube present ~N).Y~5' Depression over field (Y/~./M Date of adequacy test ~- ~'"~ ¢~/ Results q(P'~/Fail) /~/¢~-~ For ~ bedrooms Fluid depth in absorption field before test (in.); ~ '~ Immediately after ~'~'/gal. water ~dded (in.): Fluid depth "~ (ins) Minutes later: ~,~r'-" Absorption rate = ' ~'~/~-~ '/'' .g.p.d. Peroxide treatment (past 12 months) (Y/I~.~'¢-~- .w/¢¢....~ If yes, give date' ./~'/- 72-026 (Rev. 3/96)* Manhole/Access (Y/N) High water alarm level at~a~-~ Size in ga~g~''~¢ ~e~l a~tt*~ "Pump off" level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ~holding tank lot on Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout /'" 2,~ /-/- Lift station SEPARATION DISTANCES FROM ~TIC./-FROLDING TANK ON LOT TO: Foundation ~ /'~ Property line ~ / ~ Water main/service line/~ /~-~ Surface water/drainage/~0 ~f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: ,,, Property line /~? Building foundation /~ ~ Absorption field Wells on adjacent lots Water main/service line /¢? '",~ Surface water /~c? /- Driveway, parking/vehicle storage area Wells on adjacent lots {/ Curtain drain ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal record~4~b~J~¢'~tems are in conforman A effect on this date. Signature ' ~¢/ u ,' -/~ Engineer's Name ~0~ ¢4 ~ ~ ~0~ Date /o /~// 9G ·; HAA Fee $ ~ ' ~ Date of Payment 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number CT&E ESI RNCHORRGE N0.081 P03 CT&E Environmental Services Inc, Laboratory Division r~,~,~ear~e'~rJf~ffj~.-j~e'~-~-,e-~e-~e-~e~-f~~ 2.00 W. Potter Drive Anchorage, AK 99518-1605 Tel: {907) 562-2343 Fax: (907) 561-5301 CT&E Ref.# Client Name Project Nme/// Client Sample ID Matrix Ocde~ed By PWSID 964372001 $ & S Engineering L12B, 02 Prospect Heighb $/D L12B, 02 ?rnspect Heights $/D Drinking Water Client PO// Printed Date/Time 09/10/96 10:25 Collected Date/Time 09/06/96 t4:15 Received Date/Time 09/06/96 ~4:50 Ter. bnical Director: S[ephen C. Erie Resuita PqL Units Method ALLoaabLe Prep AnaLysis LJmfts Oo~e Oate Init 0.t00u 0.~00 mg/L EPA ~.2 0.1Z? 0,100 m~/L EPA 355.2 0 ~/ 0 co[/10gmL $H18 ~2228 ~ oB ~/o COL] Hitrite-~ 09/08/9& EMB ~itrate-~ 09/09/96 E$¢ Total CoLiform 09/0~/96 TAV ~g Member of the SG$ Group (8o~iet& G&q&rale de Surveillance) L;NVIRONMENTAL FACrLITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI. NEW JERSEY, OHIO, WEST VIRGINIA ' I DATE RECEIVED INSPECTION APPOINTMENTS TI~E TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I,SPECTO' MUNICIPALITY OF ANCHORACE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALT;I & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENfAL PRO'fECTIOhl ENWRONMENTALSAN TAT ONmV,S,ON JUL ? i981 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be proce~ed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ~ PHONE ~obe=t Spa=Es~ 279-~578 MAILING ADDRESS c/o ~[evat&o~ 92, ~007 ~ 3~d Ave, A~cho=¢~e, ~ 9950~ PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE ~=. and ~=s. ~au~ ~Ctm~ (503)585-7[07 MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE [st ~at&o~[ ~E of Ancho=ase~ 276-6300 MAILING ADDRESS 646 ~ 4th Ave, Ancho=ase, ~ 9950~ 4. REALTOR/AGENT I PHONE ~oun&e Hehne=~ 3ace ~te Co,~ 277-[553 MAILING ADDRESS 320[ C St, A~cho=a~e, AE 99503 5. LEGALDESCRIPTION Lot 12B. Block 2, Prospect Hts Subd STREET LOCATION NHN Prospect Drive 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY *ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 80-81 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH BEQUEST BEFORE PROCESSING CAN BE INITIATED, YEAR ON-SITE SYSTEM WAS INSTALLED. THIS SIDE FOR OFFICIAL USE ONLY "~ 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS , ' ____ i-~.~1 NG LE FAMi Ly [] ONE [::~'~ R E E [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [:] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED PERMIT NUMBER 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTI LITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: / "-~ ~" ~ If Tank is homemade SO~LS RATING give dimensions: ~? TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Uine ~ APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 82.5 "L" S'/Rt:ET ANCHORAGE, ALASKA 99501 (907) 264-41 i I GEORGi~ M. SULLiVA~, MAYOR [)Li',q~ t'M;!N-f OF ,~! EAI,.TH AND ENVIFUONM[!BH AL. PiiO'[ July 10~ 1981 Robert Sparks % Bonnie Mehner Jack White Company 3201 C Street, Suite 100 Anchorage, Alaska 99503 Subject: Lot !2B Block 2 Prospect Heights 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 submitted f! ~ to this office from the Chem Lab~ 5633. B Street, 6~ ~[/ for our rewi. ew. (2) The well log submitted to this office for our files ~f there are any further questions, please call this office at 264-4720. Sincerely, James ~ o. Roberts Environmental ~pecx. a~lst Js~/1 jw cc: First National Bank of Anchorage Mortgage Loan Department Post Office Box 720 99510