Loading...
HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 4V LT 7A/~ 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 . . M A [.l.J~! G ADDRESS LEGALaDESCRIPTIO~ /:~ ~ Absorption ~rea Dwelli~ ~ PERMI~O ~ ~ Inside length Width Liquid depth Liq' 7~gall°ns IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. 0 Z ~ Manufacturer ~aterial Liquid capacity in gallons O Welp~ Foundationf¢ , Nearest lot ,in~ / j PERMIT NO.q ~ D,STANCETO: ofX~e/~' Totallengtho~, Trenchr~ DistancebetwZ~}~ ~ ~ ~ No. of lines Length ~ [ inches ef fe~ti~n area ~ Top of tile to finish grade~ ~ i, Material beneath t, lo ~ inches Total Length Width Depth PERMIT NO. ~ ~ Type 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. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIAL~ ' REMARKS I AP~~ ~ DATE LEGAL DEPfiRTMENT OF HEFIL. TH FIND EbP,/IRON1`IENTRL FR..TECTION ,~,._, "L.' STREET., RNCHORRGE, BK. S~,50'1 , ~.O_~:00 ) PERMIT NO~ ( .~? '~ ~ RPPLICFINT TOM HEflLEY B!t' J. RUSSELL _~0~2 W. =.OTH ,LEGRL L., B4 R~BBIT URK ~'IE.W TYPE OF SOIL RBS?RBTIOHC S¥ TRENCH MAXIMUM NUMBER OF BEDROOMS~-'~ :? SOIL '" I G RRT N. FT/BR)= L, OT SIZE 4,0000 SQURRE FEET THE REQUIRED SIZE OF THE SOIL HB$ORPrI~4~,TEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRflINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DIS'r~NcE BETWEEN THE SLRFRCE OF THE GROUND RND THE BOTTOM OF THE EXC:R'./RTION (IN FEET), THERE I5 NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH I5 THE MINIMUM DEPTH OF ?RRVEL 8ETHEEN T,~FFILL. PIPE RND 'rile BOTTOM OF THE EXCRVRTION (IN F'EET.~. /~ FERMI"[ RPPLICRNT HRS THE RESF'OHSIBILIT9 TO INFORH THIS DEPRRTMENT DURIN~ THE INSTRt_LRTION INSPECTIONS OF 8NY WELLS~.RDJ8CENT 1"O THIS PROPERTY RND THE NUME:ER (."IF F..E.,IDENL. ES THRT THE WELL WIL. I: SERVE. ........ 'Tbl() ,c: :;~ ], I ~ .... F E:i::] I O1'-4-¢-'; RRE RE~.7,~J I B~CKFII..LING OF 8N9 SYSTEM WITHOUT FINRL INSPECTION RND 8PPROVRI. B'Y' THIS DEPRRTMENT WILL BE SUBJECT TO PROSEL, U~ION. MINIMUM DISTRNCE E,'ETNEEN R WEL. L RND RNY ON-SITE SENRGE DISPOSRL SY?.,TEM IS 1OO FEET FOR R PRIVRTE WELL; OR ~1.50 TO ~-~OO FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER RE~7!UIREMENTS MR¥ RPPL¥. SPECIFIC8TIONS RND CONSTRUCTION DIRGRRMS FIRE f-]VFtIL8BLE TO IN.SURE PROPER INSTRLLRTION. .I CERTIF'Y' THRT t: I 81'1 FRMILIRR WITH THE REL,~LIREMENT., FOR ON-_,ITE SEWERS FIND WELLS RS SE'T' ' - I ':'~ ' FORTH B'¢ TFIE ML. NICiPRLITM OF' ;?,: I HILL INSTRLL THE SYSTEM IN RCCORDRNCE WI'TH THE CODES. 3: Z UNDERSTRND THRT THE ON-S~TE 5EWER SYSTEM f'IRY REQUIRE ENLRRGEMENT .~F,T~4E , RESIDENCE IS REMODEL. ED TO INCLUDE 1`lORE THRN 4 BEDROOMS. ~;,~,}~(~':' :~; .... V3:. 2 ARCTIC - SUBARCTI(} · Ge( technical l{nqineering · Pt, t,oleumGeology · Engiq~,erin[i ~ooloq~, · DrillingManafl~'rnent MICHAEL. B. BERGMANN G[OCONSULTANT BOX gl STAR ROUTE ~p~l~l~, (9077 34~-~00i''l ' ',LY~ ~ ,IVIRONM. ENEAL -~,Oi ~CTIO~ 1 5 i -79 Ms. Jackie Russel June 13, 1979 3012 W. 30th Ave. Anchorage, AK 99503 RECEIVED Subject: Soils investigation for sanitary sewer system on Lot 7, Block 4, Rabbit Creek View Subdivision, Anchorage, Alaska. Dear Ms. Russel: At your request of June 11, 1979, I conducted a soils investigation at the proposed location of a sanitary sewer system on the subject lot. This investigation, which was accomplished on June 13, 1979, consisted of the inspection of soils removed during the drilling of a 12.0 foot deep test hole, using 6 inch diameter solid flight augers powered by a Nodwell mounted CME 45 drill rig. After completion of drilling of Test Hole No. 1, a second hole was drilled to a depth of 4.5 feet. This hole was located 3 feet to the east of the first hole. It was then filled with water and a percolation test performed. The results of this test are tabulated on an accompanying sheet. The soil.s encountered are graphically shown on the accompanying test hole boring log. The soils consisted of a surficial layer of peat and organics 1.5 feet thick, overlying a silt with a trace gravel and organics 0.5 feet thick, in turn overlying silty gravel with a trace to some sand (gravel is subrounded) 5.0 feet thick, underlain by a silty gravel with some sand (gravel is subangular) 5.0 feet thick. At the total depth of 12.0 feet auger refusal was encountered on probable ~e~rock~ No water table was encountered. The topography of the lot shows a moderate slope in a westerly direction. Vegetation present on the lot consists of scattered large spruce trees, with abundant alders and some willows, and a low ground cover of mosses and grasses An accompanying sheet contains the graphic test hole boring log, a profile sketch of the topography, and a sketch showing the subject lot with the approximate location of the test hole in relation to the property lines. I appreciate the opportunity to be of service to you. Please contact me if you have any questions regarding this soils investigation. Consulting/~ologist Attachments: Drawing of test hole boring log, profile sketch, location sketch, and tabulation of percolation test results. xc: Department of Health and Environmental Protection Z A 187.50' S0°19'E 10' Utility Easement ~____ Lot 7, Block 4, Subdivision, Rabbit Creek. View Anchorage, Alaska. 187.50' 30' S0Ol9'E A' 30' Nickleen Street NOT TO SCALE Distances are approximate and have not been measured by surveying methods as to location of test hole. A , %0°~q~~/ . Approximate lot topography prof±le along llne A - A'. NOT TO SCALE Profile is approximate and was not defined by surveying methods T.H. No. 1 6-13-79 0.0' Organics and Peat: sl moist, loose, grn to it brn, trc silt at base. ...... 1.5' Sil~: w/trc gravel and Org- -% anics, vy moist to moist, ~ loose, it brn to brn. ~ (MA) ~---- -- 2.0' Bilty Gravel: w/trc to some Sand, occ cobble, med dense, sl moist, brn. (GM) 70' Silty Gravel: w/some Sand, gravel is subangular, occ cobble', ~ense to med dense, sl moist, brn to dk brn. (GM) ,12.0'TD Auger refusal on probable bedrock. Test hole boring log represents soils encOuntered on Lot 7, Block 4, Rabbit Creek View Subdivision, Anchorage, Alaska. Michael B. Bergmann Consulting Geologist Box 191, Star Route A, Anchorage, Alaska 99502 (907)344-9150 ARCTIC - SUBARC'TIC U · Geotechnic~fl Engineering · Pel'oleure Geology · Engineering Geology · E)rllhr~gManagement MICHAEL B. BERGMANN GEOCONS 'LTANT BOX 191, STAR RouTE A, ANCHOFIAGE, ALASKA 99502 (907) 344-9150 June 13, 1979 Lot 7, Block 4, Rabbit Creek View Subdivision, Anchorage, Alaska. Percolation test performed in a 4.5 foot deep hole (Caved to 3.5 feet) drilled 3 feet to the east of Test Hole No. 1. This 6 inch diameter hole was filled with .water and the water level drop measured periodically for one hour. TABULATION OF PERCOLATION TEST RESULTS TIME LEVEL(inches) DROP(Lnches) ET(min) 1525 5.5" start start start 1535 7.75" 2.25" 10 4.4 1555 9.5" 0.%5" 10 13.0 1605 10.25" 0.75" 10 13.0 1625 11.75" 0.75" 10 13.0 RATE(min per inch) Average percOlation rate for entire hour = 9.6 minutes per inch. Average percOlation rate for last one half hour = 13.0 minutes per inch. Michael B. Bergmann Consulting Geologist Parcel I.D. # 0~..~ - ~.,2. - I~ 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent I ,.-..t )h6ne Address · Unless otherwise requested, HAA will be held for 72-025 (Rew 1/91) Front MOA ~21 ' ,thatbased On the information obtained from the Municipality of An'chorag~ files and from mY investigation and inspection, the on-site water supply and/or wastewaterdisposal system is in' compliance'with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm I ~J~,<. ~ u'~ I'c [~~¢'~¢' ~-/-'- Phone Address ~3 ~'' ¢ 1, ~ ¢ ~ ~ ~ A Engineer's sig Date ~'/'7//¢g DHHS SIGNATURE .... ApProved for i,.? bedrooms. ': Conditional approval' for bedrooms, with the following stipulations: By: The MuniciPality of AnChorag~ Approval Cerbflcates based only upon the '~ S professional engineer registeredin t and their lending institutions in ~rderto:~ti~ ~ir~ conduct inspections or analyze data before a certificate i~ i~u~ '~e MUnicipality of' Anchorage is not responsible for errors or omissions in the professional engineer's' Work. 72-07JS(Rev. 1/91) Back MOA#21 FROM WELL LOG res Public sewer manhole/cleanout Wells on, adjacent lots MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR980020 PID~ 020-032-16 Date Received: May 8, 1998 Legal Description: Lot 7 Block 4 Rabbit Creek View Engineer: Tobben Spurkland, P.E. HA% · HA980111 Permit 203 West 15th Avenue, Suite 203, Anchorage, Alaska 99501 Applicant: William Morse, Cynthia Strout Waiver Requested: Well to the drainfield - 92 feet; septic tank and drainfield to posSible surface water (road ditch) - 85 feet; beginning of trench to foundation Criteria: 1o Geology: A~ Water Table B. Soil Sorption C~ Permeability Do Water Table Gradient E~ Horizontal Separation TOTAL: Special Conditions: Points: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: Date: Rec ~: 03837/9995 By: Amount: $ 920.00 Name of Reviewer Date Paid: May 8. 1998 ~IL $flt~STl~,U RECEIVED T.SPURKLAND P.E. 6751 W. DIMOND BLVD. ANCHORAGE, ALASKA 99502-3904 (907) 248-5095 Municipality of Anchorage Division of Enviromnental Health Department of Health and Social Services 820 L Street Anchorage, Alaska 99501 hlA¥ 0 8 1998 MUNICIPALITY OF ANCHORAGI~ I:NVIRON/~NTAL SERVICF. S gl¥1$10N May 8, 1998 Subject: Gentlemen; REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR PRIVATE WELLS TO DRAINFIELD, SURFACE WATER TO DRAINFIELD LOT 7 BLOCK 4 RABBIT CREEK VIEW S/D We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code, Chapter 80.020. During a HAA inspection of this properW it was found that the septic system conflicted with several provisions of both State and Municipal regulations. This system was installed in 1979 and inspected by a Municipal inspector at that time. The well was not in at the time of inspection, but the house foundation and the road with the associated road ditch were. The observed conflicts are: i. Separation distance well- drainfie!d 92 feet, required I00 feet. 2. Surface water in road ditch. The presence of water may be seasonal. It is prudent to assume that water will be present most of the year. Separation distance septic tank and drainfield-road ditch 85 feet, required 100 feet. 3. The beginning of the trench appears to be less than 10 feet from the foundation of the house. 4. At the time of installation 2 feet of cover was placed on top of the drainfield. This amount was approved by the Municipal inspector. Some of this cover has been removed. The area of the drainfield has been used as a parking area. If the first 3 items can be resolved additional fill will be place over the drainfield, and parking restricted. 5. Due to access difficulties the tank has not been pumped. As soon as the driveway dries out sufficient to handle a pumper, the tank will be pumped. To assist in the evaluation of this waiver request a site plan has been prepared. Well logs from adjoining properties are also included, as have the lab results ora recent water test. All available data shows that contamination of the well and the water in the road ditch is not happening. Tob~en St~hrkland P.E. xNN N 6O 20 i 40 I I i I L:T S 100 1000 GAL TANK UNDER DECK LET 3 VACANT 2-BEDROOM HOUSE GREEN HOUSE / ~T VA£A/V ? TOBBEN SPURKZAND P.E. 20,} W' 15TH. ,4VENUE ANCH. AK. 99501 (907) 279-5916 IlABBIT WILL/AW WO£SE 16201 NICKLEEN STt?EE? 4, LOT SITE PLAN DATE: WAY 6, 1995 SHEET: 1/1 O£ID: 52~ 1 ?OBBEN SPU£t(LAND P.E, 203 ~V 15TfL AVENUE ANCH. AK. 99501 ~ 279- 39 ~ 6 RABBIT Ci~I( I~IEIGfl~' I?I( 'L LOT ~' VILLIAIvf ~O£SE i 620! N/CJ(LEEN SEP?/C SYSTEM DESIGN 0A?£; JUNE 5, 1995 SNEEF: 2/2 O£1D: 5241 17' Oz..~ ~ ~,.~ T. SPURKLAND P.E. WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99502-3904 (907) 279-3916 Fax (907)-276-6013 RESIDENTIAL WELL INSPECTION LEGAL: OWNER: LOCATION: Lot 7, Block 4, Rabbit Creek View Bill Morse 16201 Nickleen Street TYPE OF WELL: Private, Single Family WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET: Yes WAIVERS GRANTED: No, Waiver required to drainfield ( 92 feet) WELL YIELD FROM WELL LOG: Gallons per Minute WELL YIELD FROM TEST: 7 Gallons per Minute DATE OF INSPECTION: April 27, 1998 TEST PROCEDURE: Well does not have a pitless adapter. Water line is laying on top of ground, inside an insulated jacket. (Arctic pipe) Static water level can not be monitored without substantial replumbing. On April 23, 1998 the well was pumped for 2 hours and 30 minutes. A total of i000 gallons were delivered. The next day 600 gallons were pumped over 80 minutes. On April 27, 850 gallons were pumped at a rate of 7 gallons per minute. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and total nitrogen on April 24, 1998 E.Coli 0. Other Bacteria ND Total Nitrate-N 0.667 mg/l. Max. allowable Total Nitrate-N 10 mg/L 10 Colonies of Bacteria Allowed TEST RESULTS: This well meets the requirements of the Municipality of Anchorage. Waiver must be obtained. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceeds this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. 203 WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99502-3904 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: Lot 7, Block 4, Rabbit Creek View 16201 Nickteen Street Bill Morse Single Family, Three Bedrooms On Site Single Family FROM MUNICIPAL RECORDS: TANK: Greer Tank ABSORPTION SYSTEM: ABSORPTION AREA: SOIL RATING: 190 INSTALLATION DATE: WA/VERS GRANTED: 1000 Trench, 656 Sq. Ft. 7/27/79 None 3 Bedroom System~.. - ..... ~::' ~ Gal. 2 Compart: DATE OF LAST PUMPING: Not done DATE OF TEST: April 27, 1998 TEST PROCEDURE: 2450 gallons of water was added to the trench monitor over 4 days. There was no water in the monitor at the start o£the test and no water was observed at the end of the test. The well was measured to be 92 feet from the monitor ( 100 is required). There is water flowing in the road ditch 85 feet from the drainfield. A waiver will be required for the well, at the same time a waiver should be requested to the road ditch. Fill should be placed over the drainfield to provide at least two feet of cover. The Municipal inspection report from 1979 shows two feet of cover. The regulation requires a minimum of 3 feet. It can be argued that this requirement was waived by the municipal inspector. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage if the well to trench waiver is obtained. NOTE The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long this system will function satisfactorily for current or future occupants. All septic systems ultimately fail. Some systems last 15-20 years, others fail after less than five years. PO,J'~ H 6-650 ANCHORAGE, ALASKA99502-0650 (907) 264-4111 7()NY KNL)WL ES. tvlA YOH DEPAE31MENTOF HEALTH AND ENVIRONMENTAL PROTECI'ION April 21, 1983 E. Lee Browning, Municipal Engineer Public Works Department Engineering Division 3500 East Tudor Road Anchorage, Alaska 99507 Subject: Rabbit Creek Heights Subdivision, and; Rabbit Creek View Subdivision It wastrecently brought to our attention that many of the lot lines, lot corners, streets, right-of-ways, etc., as shown on the subdivision plats for the Rabbit Creek Heights Subdivision and Rabbit Creek View Subdivision may be incorrect. In an attempt to confirm this information, this office contacted the Municipal Surveyor, Mr. Jack Stanley, and Mr. Jerry Weaver of the Plan~ing and Zoning Department. Mr. Stanley confirmed that several survey closure checks made by his office, on these subdivisions, did not close satisfactory. Mr. Stanley further indicated that several other subdivisions surveyed by the same registered surveyor(Mr. William Johnson, whose stamp ~14825 appears on the subdivision plats) are also in error. Numerous other professional surveyors have refused to conduct as-built surveys in these areas, due to the discrepancies in the original surveys and the related subdivision plats. According to :Mr. Weaver, Mr. Johnson received a registered letter but did not respond, and the matter has since been turned over to the Municipal attorney. In view of the confirmed fact that there are many known discrepancies on the lot lines, lot corners, streets, right-of- ways, etc., in the Rabbit Creek Heights Subdivision and Rabbit Creek View Subdivision; this department will discontinue the issuance of on-site water and sewer permits or health authority approvals for bank financing in both subdivisions. We will E. Lee Browning, Municipal Engineer April 21, 1983 Page Two lift this discontinuance at such time that we have some form of acceptable assurance that lot lines and configurations are correctly shown on an approved subdivision plat. If there are any further questions, please call this office at 264-4720. Robert W. Robinson Environmental Engineering Manager RWR/ljw cc: Public Works Department Bob Daniel, Permit Office John Bishop, Building Official Jack Stanley, Municipal Surveyor Frank Huber, Construction Engineer ~Michael Kerr, Zoning Enforcement Officer Planning Department Don Atspach, Manager of Zoning and Platting Jerry Weaver, Platting Officer Health and Environmental Protection LynnlLindquist John Kennedy Robert Pratt John W. Lynn MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES On-Site Services Transmittal Sheet TO: ToF~Ex/ SP~~ LEGAL: L 7 ~ ~ ~E~r (~Fr~ The attached paperwork has been reviewed and is being returned for the following reason(s): __Discrepancy in legal description and/or owner name. __Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. __Replacement disposal site not shown and/or tested. Calculation error in design. Show locations of all soils, percolation or water table tests. Proposed system too deep for soil test submitted. ~ Topographic information missing or inadequate. Fo~ $-~Y~r £or Narrative missing or inadequate. ~$a~,~& ~. __ Additional soil/perc test needed. __ Sand filter requirements not satisfied. __Water monitoring results missing or inadequate because __ Incomplete; missing.  Well log reqUired. __Water sample unacceptable because. Other ~uHE~/ ~;IAL SEPTIc Please supply the necessary information and re-submit your request. Your cooperation is appreciated. Reviewer LEA VE THIS FORM ATTACHED TO PAPERWORK /203-rev. 4/93 posal ~sit ~r tested. Calculation error in design .... ocations of all soils, percolation~or water table submitted. or-~inade¢ .needed. ,r 'uate because missing STANLEY BRUST & ASSOCIATES Engineers - Planners - Surveyors Anchorage, Alaska 99507 (907) 349-~%7 ...<.-d ~--?ZTf ~dPTIC ADEQUACY SYSTEM REPORT JO~ .o. ,/'..7 LEGAL DESCRIPTION ° LOT __7 _, OR_ SECTION , T N , Fi W S.M. ALASKA PHot,,' S NO ___~7.¢'___7_dY_C_Z ....... ~ ........ REOUESTED BY: F: HONE NO ................................... TYPE OF SYSTEM ' NUMBER OF BEDROOMS SEPTIC TANK WAS PUMPED [] [] ~ LEACH FIELD I~YES [] NO SEPTIC TANK - SIZE --/--~)~-~--~f)-- GALLONS TEST PERFORMED BY: ./~,,,%t~'~__ REPORI PRE. PARED B'I".' __,,¢~_~.:¢_7-~__ APPROVED STANLEY BRUST & ASSOCIATES Engineers - Planner~ - 3'urveyor.~ Project No. ~ ~ Adequacy Test Log Legal Description No of Bedrooms Date - Time~ Level Reading~ Remarks~ ' ' septic tank September 12, 1983 Trusten Peery SIL% i3ox 439-P Anchorage, AK 99507 Subject: Lot 7, Block 4, l~abbit Creek View Subdivision Approval for the individual sewer and water facilities canrlot be granted until the ~oltowin(~ iten~s have been completed: A well log submitted to this office for our files and beview. The water facilities ~.~ere not turned on at the time of. the scheduled inspection. Please call this office ~or another appointment. The septic tank pumped with a receipt submitted to this department. Locate and expose the cleanout to the seepage pit and/or leaching area for our inspection, This is to insure the minimum distance requirements are met bet%,;een the ~ett and sewer system. o 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. o Does this well serve more than a single family dwelling? Who o%;us adjacent block house? Please notify this .Depart~.'~cnt for a reinspection when the noted discrepancies have been corrected. If there are any further ~iuestions, please call this office at 264-4720. Sincerely, Jil~ Roberts .-- APPLIC--',qT FILLS OUT UPPER HAL !ONLY Property Owne[, T'Z'l/;~te~ Peary Phone Mailing Address eRA Box 439-P Anchorage, -Alaska Zip Code 99507 none Buyer CFnthia L. Strout Address Slq3~ BOX 439--P Anchorage, Alaska Zip Code 99507 Phone Lending Institution Alaska Bank of Commerce POUCH 7012 ~Anchorag~, Alaska Zip Code 99510 264-5448 Address Phone Realty Co. & Agent 'None Zip Code Address Legal Description LOt 7 Blc~.k. 4 Rabbit C~eek. View Subdivision Street Location N['{N Nic~leerr Street Anchorage, Alaska 99507 Type of Residence [~Single Family [] Multiple Family No. of Bedrdbms 1 [] Other Water Supply []Xlndividual ATTACH WELL LOG. A well log is required for all wells drilled s. ince June 1975. [] Community ('~' ) For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sewer Disposal ~lndividual Year Individual Installed: [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PB~)OE'~G CA~-~I~'I~INLT~TED. Time Time Time Date Date Date Date ?~(~_ ~)L5%_.~ Inspector ~7~/ (.~ ,. F ~ Insp~tor Insp~tor Insp~tor Field Notes: , ~,~ ~,~,~ l~. , ~. ~~ ~ MuNICIPALiTY OF ANCHO~GE /'~'> ' DEPT. OF HEALTH & .. ENVIRONMENTAL PROTECTION ( / ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) COND~IONA~ APPROVAL* Soils Rating Date ~wer Installed Well TO Absorption Area Well Log Received ~ ./ ~ ~$ ~ ~ ~ ?~ WelltoTank Septic T~k Size / ~