HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 2 LT 20
;=,/' ". Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
"ENVIRONMENTAL SERVICES DIVISION
P.Oi Bo~'i96650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site WasteWater Disposal System and/or Well InSpection Report
Permit Number: '~¢~qZF 043'7(o' PIDNumber:
Name:
~~ ~l~ Wastewater System: ~New ~ ~Upgrade
Address:~1 ~ ~, ~"
~ ABSORPTION FIELD
T¢,taJ Depth frpm ordinal grade:
LEGAL DESCRIPTION so~,,,~,: ~'% e,D/S,.~. ~ ,.,- .,=
Block: ' Subdivision: De~[h o pipe bCt~ f[o~ original grade: Gravel depth beneath pipe
:[ , Range: / ~/ Filladdedaboveorlginalgrade: Gravellength: ~
WELL: ~New ~ ¢~avel width: Number of :i~es: I OisU.c: between Ii.es'
Classification {Private, A.8.C): Total Deplh: Cased To: Total absorption area; ¢~V¢ Pipe material:
D~le~rJiJed: Static Waler I.evek JnslaileF:
Date i~st~lled: / / /
J Pump Sel at: Casing Heighl Above G~ound:
SEPARATION DISTANCES ~s~¢i~ u ,o~d~n~ U S.T.~.~.
TO Septic Absorption Lift Holding ~PrJva[e Manufaclurer: Capacity in gallons:
/ Materi~~ Number of Compartments:
~'~,~" ~J~ '~ ~ LIFT STATION
kocation an~
I Assumed Elevatiom
B/./~ ~ ~'' ' ~"-'~
Inspections performed by: ~ ~ ~~ Dates: 1st g//$/~ ~,/.fj,~.~.. .,~. .,
~epartment o, .ealth and.uman Services approval
Rewewedandapprovedb¢: ~¢ ~Date:/¢-2~-*
72-013 (Rev. 9/91) MOA 25
ro ~.
Permit No.
~ v,/qa¢0o -7 (o .... Page
· ' M'UnicipaNty of Anchorage
" -" DEPAR;I'Mr:NT OF HI:ALTH AND HUMAN SERVICES
" I:NVlRONMI=NTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 ~,Telei~hOne 343-474~
On-Site Wastewater Disposal System and/or Well.' !.nspectionReport
LegalDescription: ~m~ 5 ~-~4. ~: I PIDN0.:.
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~ .
Well Owner._$_t:eve Rei.qe..r...
M"¥V DRILLING, Inc,
P.O, Box 110378 * 40330 Old Seward Highway
(907) 349,8535
~' ,, . ANCHORAGE, ALASKA g9511
DRILLIN{3 LOG
Uae o~
Loeation (address off Township, Range, Section, if known; or distance main road
.,. Iq; 20 Blk 2 Pro_spect Hcs Add. ~b, 1, Anchoz, age, ..AK ......................
Size of casing.. ~ . Depth of Hole ~4~,! ....... -feet Cased'~ 43,85_ .~eet
Static water level 100 .. ft. ~i~5~.~) 'ibelow) land surface. Finish of well (check cae)
Screen ( ); Perforated (:.~, .~.~)~'?., ~/"'~
Describe, ~cr~n or perforatio~-.~"'
Well pumping test~ at 3r~ _.~aUdhs pe~ (~ (minute) for~ours with 100~
of draw~own from static level.
'. ~ built ~ote: Well d~ ~ou~ed ~th. one
Date of Oompl~tion.. _J~y.6/- %9.94 '" sack of bent~te,
~round surface Give d~tafls of formations penetrated, size of material, color and hardness
~TO- 405 ;'~r~k: ~ey silts~one ~Eilite, s~radic q~tz filled
~_~o~ %.~ ' '" " " "' .' '~ .......
open end ( M
.TO¸
.TO.
.R_ E!VED
ept. Health & Human ~ervi~7 · ~- ' Io~.
1 -- CUSTOME
Alaska Water & Wa teWater Services
"Preserving The Last Frontier"
October
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: As-built drawings for well and septic system at Lot 20,
Block 2, Prospect Heights S/D, Addn ~1.
To whom it may concern:
Attached is the septic as-built drawings, well log, sand
filter sieve analysis, as-built survey, and miscellaneous
photographs for the subject installation. Comments
regarding the system are as follows:
A. GENERAL: The installation of this system was
complicated by the fact that the house/driveway was
relocated (from the original plot plan) so as to encroach
upon the area originally proposed for the septic system
(near TH ~2, where a 6 foot layer of coarse sand was [)resent
from a depth of 9.5'-15.5'). In addition, several large
spruce trees, ad3acent to TH ~2 turned out to be "sacred"
(for esthetic reasons, we could not cut them down), which
further limited utilization of the area. Furthermore, the
location of the water line and the well (relocated, per-
direction of the property owner, based upon recommendations
from a water witcher) prohibited us from placing the trench
to tile northeast of TH ~2. Because of the aforementioned
restrictions, a ma3or portion of tile system was shifted to
the southwest, where poorer soils were encountered. ]'his
forced us to make 'field design changes which are summarized
as fol!ows.
8. TRENCH ~1 iNSTALLATION: Initially the contractor failed
to excavate (only) as required to reach sandy/gravelly soils
(1,-5 minutes/inch), throughout the trench length, in some
cases (portions on the east half of the trench) he
excavated deeper than necessary~ passing through excellent
gravel/sand layers. On the west end of the trench he
excavated only to a depth of around 5 feet, entirely in GM
soils. I directed him to deepen the western end of the
trench, so as to reach ~uitable soils, and then level the
trench with "Lake Otis" gravel. This resulted in a sand
Telephone: (907) 337-6179 · Fax: (907) 338-3246 · 8471 Brookridee Drive · Anehnr. oo alael~ aa~n~
filter depth of 1~7 - 5~7 feet~ Throughout the trench
length, the filter is either over gravelly/sandy soils, or
passing through 2 foot (or greater) layers of sand/gravelx
In short, efforts were made to ensure that suitable soils
can be reached thru the sand filter over the entire surface
area of the trench (500 ft2). Nastewater was introduced
into the end of the 100 foot trench, rather than the middle,
per' phone approval from Robby Robinson on 8/11/94. /his
decision was made because it was unclear as to what clean-
out arrangement ~ould be required. Later
clarification/discuss~.ons with Dan Roth resulted in the
middle connection used for trench ~2 (see drawing).
C. SAND ANO ORAINROCK FOR 'FRENCH ~1: According to the
excavator, the sand used for trench ~ ~as "Lake Otis"
~rave~; however, based upon the sieve analysis (copy
attached) of a ~rab sample I pulled during the installation,
it is apparent that the material is actually "Lake Otis'"
sand ( 13~ passing the 100 sieve, and $.6% passing the 200
sieve)~ The excessive quantity of fines will probably
shorten the useful life of this trench. To compound the
problem, the contractor installed drainrock which contained,
in my opinion, an excessive amount of fines. I rejected the
initial load, prior to it being placed, and returned the
next morning after the contractor had hauled/placed new
material. Iii my determination the drainrock installed was
no better than the material rejected the previous day.
Attached are pictures which represent many of the areas
~ithin the trench. ! requested that the material be
removed, and replaced. After meeting with the general
contractor- (Robert Palmer), the excavator (Renegade
Equipment), and the homeowner (Steve Rieger) it was agreed
that drainrock Mould remain in place, and that Renegade
Equipment would warranty the adequacy of the septic system
for 5 years. A copy of this warranty is attached. The
source for the drainrock and filter sand were changed for
trench #2.
D. TRENCH ~2 !NST~LLATION: In this case, as we moved away
from TH ~2, the soils deteriorated rapidly to a GM/~L type
soil. We excavated to a depth of around 16 feet in hopes of
finding good soils, but to no avail. It took an overall
trench length of 14~ feet (including the 15 foot side leg)
to ensure that 100 feet of the trench provided access, thru
the sand filter, to sandy/gravelly soils (faster than 5
minutes/inch). In 'the GM/ML soils area (45 feet long) the
sand filter is as thick as !1.3 feet. /his portion of the
trench, which was not counted, will undoubtedly provide some
absorptioR area, and a factor of safety to the design~ For
this trench the contractor provided a concrete sand from
"Quality Sand" (Wasilla). I have a sample of this sand if
you would like to see it. /he drainrock was clean material
from Alaska Sand & Gravel. In short, the drainrock and sand
filter material appeared to be good in trench ~.
Wastewater was introduced into the middle of the trench from
the septic tank (see drawing). The clean-out configuration
is based upon prior discussions with Dan Roth. Video
footage showing (some of) the installation of trench ~2 is
available should you desire to see it.
E. NEW WELL LOCATION: The well was relocated per direction
of the property owner (see the attached as-built survey).
The well radius does not encroach upon the septic system
located on Lot .18, Block 2, Prospect Heights, nor the
reserve septic system area. In short, there are no
encroachment concerns with the new well location~
F. SEWER LINE FROM HOUSE TO SEPTIC TANK: The sewer line
from the foundation to the septic tank was mostly covered
upon my arrival for the first inspection. Only thC last 5
feet to the tank was exposed. This portion of the line was
sloped at less than 3/~2" per foot, which is below minimum
grade (1/8" per foot). Should problems occur, they will be
covered under the 5 year warranty provided by Renegade
Equipment.
G. CLEAN-OUT BACK TO SEPTIC TANK FROM ALTERNATOR VALVE:
The original design showed a olean-out back from trench
to the septic tank thru the alternator valve. This design
was based upon the assumption that the contractor would use
a National Diversified Sales, Inc. (NOS) diverter valve
which would allow a cleaning "snake" to pass thru it back to
the tank. However, in for this installation, the contractor
opted to use a "Bull Run"' type valve which probably will not
allow a "snake'" to pass from the clean-out at trench
back to the septic tank; therefore, I asked the contractor
to install a double clean-out between the septic tank and
the alternator valve to ensure that there would be no "dead"
spots. Unfortunately, the contractor only installed a
clean-out prior to/thru the alternator valve, leaving a
"dead" spot between the tank and the one clean-out.
Problems with this would be covered under Renegade
Equipment's 5 year warranty.
H_ PROPERTY OWNER OPTED AGAINST PRESSURE DISTRIBUTION;
Against the recommendation of municipality (see comments on
sewer permit) and this engineer, the property owner opted
against using pressure distribution.
I= CONCt_USION: Clearly, many aspects of this installation
were beyond my control, including, but not limited
house/drive,ay encroachment into septic location, well and
water line relocation, changing soil conditions,
drainrock/sand filtel~ material problems, inability to cut
down specific trees so as to accommodate the septic system,
ect.. In the face of these obstacles I have made every
attempt to provide a septic system which will meet the needs
of the property owners. Based upon my engineering
judgement, this objective has been achieved, short of the
material pi-oblems associated with trench 51, and the
concerns expressed in paragraphs F~, & G~ of this letter.
If you have any question, please call me a 3J7-6179~
Sincerely,
R ie,2e ro. ~JPS
MUNICIPALITY OF ANCHOR_AGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
,O,3o
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940076
DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES
OWNER NAME:RIEGER STEVEN A
OWNER ADDRESS:9251 SLALOM DR
ANCHORAGE, AK
PARCEL ID:01509125
DATE ISSUED: 4/18/94
EXPIRATION DATE: 4/18/95
LEGAL DESCRIPTION: PROSPECT HEIGHTS #1 BLK
20
2 LT
LOT SIZE: 83635 (SQ. FT.)
AK/MBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL 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 A_ND 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:
IT IS STRONGLY RECOMMENDED THAT A PRESSURE DISTRIBUTION
SYSTEM'BE~INSTALLED'SO~AS~TO~:F~CILITATEINTERMITTENT DOSING
OF THE EFFLbENT~T~ROUGHOUT THE ENTIRE DRAINFIELD.
i v
DATE:
DATE:
e 907~8~246 04/1g/g4 18:51 P.02
Alaska Water A Wastewater Services
"Preserving The Last Frontier"
April 10, 1994
MuniciPality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
RECEIVED
APR 2 o 1994
O Mumcipal~ty 0t Anchorage
ept, Health & Human Services
Ref: New well and septic system for Lot 20, Block
Prospect Heights S/D, Addn #1.
To ~hom it may concern:
Attached is the site plan, and design dra~ings for
sub,eot ~eil and septic system, The design is for
bedroom house:
As can be seen from reviewing tho at~ached percolation test
results, the sci! "~erked" faster than 1 minute/inch at the
general location proposed for the systems. Normal[y, a sand
filter would be required, however, a steve analysis was run
on the insitu soil and ~t was determined to be a poorly
graded sand. Consequently, ! am requesting that the
requirement for a sand f£iter be waived. Based upon the
pePcolat[on rate I am proposing to use an application rate
of' 2.2 gpd/ft~ and a shallow ~rench system. Since the
~home has 4 bedrooms, ~he to,at design flow is 600
gpd, and the minimum amount of absorption area is 500
The proposed system ts a 5' wide trench which is 6 inches
deep.and [00 feet ~ong. The instaIler ~i2[ excavate as
required to reach the "SP" so~Z, and fil! (~f necessary) the
trench wi~h "lake otis gravei" to the specified elevation
for the drain rock. The trenches wilI be installed on an
area which is relatively fla~, consequent[y, there are no
slope concerns.
! am unaware of any adverse impacts that this installation
would impose on ad,scent wells, or septic systems. If you
have any question, please call me a 5~7-6179.
$~ncerely,
O~de~/C~sui tent --
RJsger2.NPS
.E., M.S.
lephone: (907) 337~179 · Fax: (907) 338-3246 . 8471 Brookridge Drive · Anchorage, Alaska 99504
Alaska Water &'Wfistewater Services
"Preserving The Last Frontier"
April 10, 1994
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: New well and septic system for Lot 20, Block
Prospect Heights S/D, Addn
To whom it may concern:
Attached is the site plan, and design drawings for the
subject well and septic system. The design is for a
bedroom house:
As can be seen from reviewing the attached percolation test
results, the soil '"perked" faster than i minute/inch at the
general location proposed for the systems. Normally, a sand
filter would be required, however, a sieve analysis was run
on the insitu soil and it was determined to be a poorly
graded sand. Consequently, I am requesting that the
requirement for a sand filter be waived. Based upon the
percolation rate I am proposing to use an application rate
of 1.2 gpd/ft2 and a shallow trench system. Since the
existing home has 4 bedrooms, the total design flow is 600
gpd, and the minimum amount of absorption area is 500 ft2.
/he proposed system is a 5' wide trench which is 6 inches
deep.and 100 feet long. /he installer will excavate as
required to reach the "SP" soil, and fill (if necessary) the
trench with "lake otis gravel" to tbs specified elevation
for the drain rock. The trenches will be installed on an
area which is relatively flat, consequently, there are no
slope concerns.
Sincerely,
I am unaware of any adverse impacts that this installation
would impose on adjacent wells, or septic systems. If you
have any question, please call me a 3S7-6179.
Rieger2.WPS
Telephone: (907) 337-6179 · Fax:
t~oT z~
.LOT.
L.o"T' C-/a
--/
~,'ns: +/10/~4 :'~,:,w~: ~-A'~'~=----~ sc,~-:.~"= 4o'
,' A. Garness
E-7~53
pC_.F__.PAC...F__--.b ~",/: ALA&F_A ',/CAT'E.P,. if W.,&..S,-'('~_W,~-FE,~
::~PERFORMED FOR:
"':~'J' L,~T ,7_o~ ~,~ '2_.
LEGAL DESCRIPTION; ~:~,[2.t3~"P~_.&_'"C ~5
Mu.nlclpalit¥ of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchor;age, AlasRa 99502-0650
S0'i[~'~-O'G 'PERCOLATION TEST
14
15
16
19-
.. ::.-:~ -.
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
I
. [' ×
DEPTH? P ',~ '
Reading Dale Time Time Waler
~ ~ ,,i,~h~ ~o ~,~ ,.,~
PERCOLATION RATE ~''*° ~-' (minutes/inch) PERC HOLE DIAMETER
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
t.~T 'z,o ,~ ~ '7_
LEGAL DESCRIPTION: .~:~12.~P~__.~_T '~-~r'~'l"$ ·
I
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
=
Township, Range, 8~ction:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH~
Gross Net Depth to Net
Reading Date Time Time Water Drop
17
:18
19¸
PERCOLATION RATE < ! (r~inute$/inch) PERC HOLE DIAMETER ~ ''! ' ' ""~ ~
TEST RUN BETWEEN (:~','~- FT AND ''ID F'~ ' . .... .'
EBR.ENGINEERING ID :9075617071 JRN 05'94 16:39 No,O02 P.02
GRAIN SIZE ANALYSIS (ASTM D422)
PROJECT NAME: SEPTIC SYSTEM
PROJECT NO,: M311-5t 0~
CLIENT: MR. S. RIEGER
BOREHOLE/LOCATION: N.A.
SAMPLE NO.: 94-8-1
DEPTH; N.A.
DATE TESTED: 1/5/94
TESTED BY: RJPC
REVIEWED BY:
DESCRIPTION; Poorly ~raded sahd with gravel
EBA Engineering Inc.
Pho_~_?.!_.~9_07).~t?_085 ~ O0~ East Dowllnrl Roacl. Sulte £7. gnchora~Te. Alasga ~9518
Fax: (907) $8t-707f 1
SIEVE ANALYSIS TEST
$[EVE DIAMETER TOTAL %
81ZE _..~m_n~) PASSING
6" 152,4
4" 100
3" 76.2
2" 50.~ 100
3/8" ~.6 83
# 4 4,75 74
#t0 2 64
# 20 0,85 61
# 40 0.425 22
# 60 0.25
#100 0,1§
#200 0.076 ~.4
HYDROMETER TEST
ELAPSED DIAMETER TOTAL %
TIME {mm} PASSING
0
0,6
1
2
4
16
30
60
1440
% GRAVEL:
% SAND;
% SILT/CLAY:
26,9
70.7
3.4
DSo: 1,64
D30. 0.64
D10- 0,26
Cu,, 6,4
Co., 0,7
M.O,= 5.0%
USO:
FO:
% .02 mm
SP
r~0,0
70.0
O0,O
% FINER BY
WEIGHT
100
#4
4/I/I I_J_L_.....j
I1.11 LIJ..J ...... i
lO
GRAVEL _!
GRAIN IBIZE DISTRIBUTION
U.$, STANDAR0 :B[EVE OPENIN¢S8
rill I J/__.l ....
LIIII I/ I
].l.IJl I I I
II/111 I I
IIIIII I I
Il.l!! I I !~
]JUI
JJHI
/11111
H-t _I.J.J_
IIIII I
0.1 0,01
GRNN ~ilZE IN MIU..IMETF.'RS
~-~Nh I_ SILT AND OLAY
0,001
DA'[E PRINTED '11~94 RFV6/93
MUNICIPALITY OF ANCHORAGE '
- '-_ · :. - -~ DEPARTMENT OF HEALTH & HUMAN SERVICES
..... - .... Division of Environmental Services
- APPROVAL FOR A SINGLE FAMILY DWELLING
. bocttion (ste ~d~ress or di'rections/ ; ¢ ~~ · ~
:p "'" ............. (:~2./' : :¢(:~- '- :'Day phone"
. ..'- address::--::~oO (~X I. I O~Z~'. ~'~. ~, ~/ '';
': .... Lending agency . ::- '''~ M/~ " " ": - Dayphone "
...... ....,.,...:.. .-
_: - '-- .:--'-': '- -, - ' . ":,:.-?, · U,- ",' ---' '.,- --' ': - /, ..'...-..,:; .-:- . _ . ";'¢'i¢ :~?!'4..~..d-~Y;~:~':.2
."' '-,:"::::::'-: ' ': .... ; '" dividuai well ~-~:.7-:~':;:;-:".:~,:?
' : "' v:' -.:- 'commd',i '-':-
' .--.: .,- .. ~ubicwater .'- ': ;_ ,.: - ' ' - · :,:., .'r.':';
NOTE. If COmmUn/~ weft ~ystem, prowde wn~en confir~at/on fro~ State
· .' ': ' lng to the legali~ and status of system. -
4. ~PE OF WASTEWATER DISPOSAL: - -':'-" ....... ~ "-' ...... :~ ~-.'
'; Holding tank.:.,_.: ,,: ,. ......;..-~fi"-- -. ¢ ;::.' :' ;;;~"?'1;~
- Public sewer. ~.¥;... .., ..... -
NOTE: /f
a~esting to the le~ali~ and status of syste~. '
72-025(Ray. I/gl) Front MOA#21
sTATEMENT~I~F.,INSPECTION BY ENGINEER ........ ..~:.__ ..
~ _--.._ ~..-..._. :.&~;~.~ .~,_., ,,~ ..._ _ ? ~- -~ ~ ....... ~ ,~;
As ~e~tifieg ~}~YsA~ff[~ed'hereto and as of the validation date show~ below; I veri~ that. my
nvestigatiOn:~his'Health~Utho~ Approval application-shows that',t~e on-site wat~rsupply '
and/or w~teWater disPosal system is ~fe, functional and adequate for the number of b~rooms ~: '
Address
and type of structui:e ~i~ted here n. :further verify that based on the information obtained from
the Municipality of Anchorage files and from my inves.ti_gation and inspection, the.on-site water _
supply and/or wa~tewa~ei:'~iisposal system is in corn pliance with all Municipal and State codes, :.
ordinances, and reg~ation~'in effect on the date of this inspection. ":: :i, :~.~-,- i~'. ,:'i¥}:!, ?. ?L..~_~,~-~- ~
- .---.'.,; ~,':;-:;, ~:;_'-,?.'{,-Alasl~a Water & . bne..' i;:i-~'.2,7.:L(~-/..7¢~ ;; -, '.
~ ....... rservices -;;" ' ' ' ' Ph " ;,,.-u,:
Municipality of Anchorage z,~,'
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
L.OT 7__O ) t~ K-- z /
Legal Description: ~-~--~/-~--~ ~,~,-r-~,~,,~ ~=~ I Parcel I.D.
A. Well Data ~-~ ~..~
Well type ~ P---~,J ~. ~,E_ If A, B, or C, attach ADEc letter. ADEC water system number
Log present (Y/N) ~___..~ Date completed '7/(~/c/'~- Driller
Total depth
Sanitary seal (Y/N)
Cased to
Date of test
Static water level
- Well flow
Pump level1
FROM WELL LOG
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot [ { ~/+
Absorption field on lot tO ~f ~
Public sewer main /'~ /~
Sewer service line ~oo '~
WATER SAMPLE RESULTS:
Coliform ~ Nitrate
Date of sample: ~_./'
B. SEPTIC/HOLDING TANK DATA
Date installed
Cleanouts (Y/N)
High water alarm (Y/N)
~ ~° ~'/ Casing height
Wires properly protected (Y/N)
Date of pumping
g.p.m.
AT INSPECTION
. .m.
<
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
Collected by:
Other bacteria
Tank size [ '2-~E;~:) Compartments
Foundation cleanout (Y/N) ~ ~--~-~ Depression (Y/N)
~/A- Alarm tested (Y/N) r,J
~t'~) Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot I [z¥-/_+ On adjacent lots
To property line ~
-- Absorption field
Sudace water/drainage > [OOr ~._t4c~¢_-~ o
Foundation I ~
Water main/service line
72-026 (3/93)* Front CONTINUED ON BACK PAGE
Manufacturer
Size in gallons ~ Manhole/Acc~
Vent(Y/N) ~ ~'-...~'- "P u mp off" Level at
High water alarm level ~ Cycles tested
Meets MOA electrical codes (Y/N)
SEPARA~FT STATION TO:
We.~JJ.erCFot On adjacent lots
¢ -
D. ABSORPTION FIELD DATA ~._~
Date installed ~//"/~4)- ("~/'f"/~'t) Soilrating (GPD/Ft2)
-~.1 -. ~o '
Length ~ ~_ = 14-3' Width
~'O~ r--r.z E-.~¢/~ Cleanout present (Y/N)
~/~- ~-,.'J Results (pass/fail)
Total absorption area
Date of adequacy test
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N) r.J/~-
Surface water
System type
~/ 4.~'- 5'.,~',
Total depth
Depression over field (Y/N)
for
},3O
Bedrooms
After test
If yes; give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot t O ~r f +--
To building foundation
On adjacent lets '> > l O
On adjacent lots ~. t o~ Property line
I ~ / To existing or abandoned system on lot
/
Cutbank . ]543 Water main/service line
Surface water
Curtain drain
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or~
Signature ~ ~-~__~~
Engineer's N~-r~/~ ~
~onformed to afl MOA and HAA guidelines in effec~~:~tof~s inspection.
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
CT&E Ref.~
Client Sample ID
Matrix
CT&E Environmental Services Inc.
Laboratory Division ~'~"~'~"~'~'~'~'~"J~J'~'~'~'~'J.~l,'.~,-.~.,i-jj~fj~jfj~f~fj~j~~
95.0695-1
~2o E~2 PROSPECT H~7, I~r~ory Analysis Report
WATER
Client Name RIEGER, STEVE WOP~K Order 12794
Ordered By Printed Date 02/22/95 ~ 12:38 hrs.
Project Name
Project# Collected Date 02/20/95 @ 12:00 hrs.
Received Date 02/20/95 @ 13:45 hrs.
PWSID UA
Sample Remarks: ROUTINE SAMPLE COLLECTED BY: JEFF GARNESS.
Technical Director STEPHEN C. EDE
Released By ~~- ~/
QC Allowable Ext. Anal
Parameter Results Qual Units Method Limits Date Date Init
Nitrate-N ......................................................
0.25 mg/L EPA 353.2 10. 02/20/95 CblR
* See Spec%al Inst~n/ctlons ~-bove
NA = Not Analyzed
q~= Undetected, Reported value is the practical quantification limit. LT = Less Than
~= Secondary dilution.
GT = Greater Than
200 W. Potter Drive, Anchorage, AK 9951 8-1605 -- Tel: (907) 562-2343 Fax: (907) 561-5301
Commercial Testing & Engineering Co.
Environmental Laboratory Services
5633 B Stree[
Anchorage, AK 99518~1600
Drinking Water _Analysis Report for Total Coliform Bacteria re,: (9o?> 5B2-2343
Fax: (907) 561-5301
READ ZNSTR UCTIONS 0,5: REVERSE SZDE BEFORE COL£ECTZ~v'G SA.3ZPLE
NCC;ST BE CO,.X/_mLETED ~Y WATER SUPPLER
~,mv_~T~ w.~azR sYs'rm
II
~ SendR~uZt~ [] Sendfn~.oire
D SendRe3ulzs ,~ Send[rwoice
?.~ goK 1/o4z-~
A~c4J. /'J~., '7,v5-//
S A~N,~LE DATE:
Month
SAMPLE TYPE:
Routine
,2 Repeat Sample (for routine sample
wi~h {ab ref. no.
D Specia/Purpose
Day
Time
Collected
Treated Water
Untreated Water
Collected
By
TO BE CoN~LETED BY LKBORATORY
An~,,'sis snoWS tm: ~X a:~ SAxYfPLz. ~o be:
Sat/~acro~'
Unsafis/actoo'
,'2_ Samvls over 30 hours old, resets ma}'
be u&~diable
m S ,a~nle too long ia u-ansit; sample should
not ~e over 48 hours etd at exmm&nadon
to Lndicate rekiable reda!rs. Please send
new sample ~4a ~ecial ds!ireW mail·
Date Received 2//?/- o
/
Time Receb'ed /_~
Analysis Began
Anab~ical:Method:
[]
~ N'mmb~ Of colones/I O0 .~L
Lab Ref. No. Result* Analyst
95.0695
Sent to A.D.E.C. ~ Fb~s Jun
Da:e: ~ Time:
Client notified of unsatisfacto ~' results:
[]
Spoke w~th
Dais: Time:
Faxed
F~ed
BACTER[OLOGIC.4J~ WATER .4aN.4,I_,YSIS RECORD
BGB
FEB 2 i ~995
MMO-YIIJG Resuk: Total Co[ii'om
Nlembcane Filter: Direct Count
Verification: LTB
Final Membrane Filter Results
Reported By--re
E. Coli
CO LlY I..~'VI
Coliform/lO0 ml
-. ~,,~,-~ ,,t--~,-.., x -,-.. ~---
T.
oneg? t~t ; hfs
T~J,O TO FOLLOW
~ DRAINAGE
' ~ ' EXCLUSION NOTES: It is the owners' responsibility to determine LEGEND: SET FND
o~DE~Eo BY: the existence of ony eosements, covenonts, or restrictions 5/8"~B W/OAP~
S TE VE ~ I E G ~ ~ which do not oppeor on the recorded subdivision plot. NOTE: It 3.25" AL.MON. ~MONUMENT
is the controctor's responsibility to check top of foundotion HUB & TACK
~~ grode ond building setbocks in relotion to Iotlines Grid esm'ts. FENCE- X X
SURLY CERTIFICA~ON: LANTECH hos conducted o O~RHAN~--
physicol survey of this property os shown on this WOOD DECKS- I I
drowing end ~o the best of our knowledge ond CONCR~-
PLOT PLAN OF: LEGAL DESCRIP~ON: ELEV.(NO pAlM)-
LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGINEERS
440 WEST BENSON BLVD. ~ 103
APRIL 1, 1004 1"=~0'(fox) 5~1-~2~
PROSPECT HEIGHTS ADD. No. 1
~D. . 2441
LOT 21
R 013 E f,l 'T' F-, A LM F i-'~
wH.h R.G. PALMER ,~ AS-c;Oc.
Ttt J~- !
L.O'I
./
20
LAND 8~ C;ONS:I~0'E'TION SU~/["YoRS-I''LANNERS- ENOINE-"--~J;'~
440 W~ST I:t~NSON BLVD, ~ 103
ANCHORAGE. ALA,c;KA 9950.~ (907) 562-,5291
~^~r: ~c* ~ ~ox) 561-6026
kU6 18, 1994 1"~-60'
.... ~-~"
HUFI & TAOK .l[~:: : i
conStrUCtion of I? o~t.bllnl'llng propOdY IlneB.
men[~ cxM other than no[ed. S~PllO ~IANDPIP~S;
LOT 20, BLOCK' 2,~
PROSPECT. HEIGHTM