HomeMy WebLinkAboutEKLUTNA HEIGHTS BLK 2 LT 7B
· Municipality of Anchorage Page I of ~--
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: :~'('~ c~~ O ~'"''/(~ PID Number: ~i -~1
Name: LO~Ai~ [~ ~m~oc~ Wastewater System: ~ New ~'Upgrade
Address:
~o ~L~ ~ k~,, k~ ~ ABSORPTION FIELD
Phone: ~S--~ ,o. of~drooms:~ ~ Deep Trench ~ShallowTre~ch ~Bed ~Mound DOther
LEGAL DESCRIPTION so~ Rating: O. ~ GPD/Sq. Ft. Total Depth fro~o~iginal grade:
Lot: ~ ~ Block: ~ ~Subdivbi°n: ~ ~l~ Depth to pipe bo~om~, ~fr°m~ odginal grade: Ft. Gravel depth ~,beneath~ l pipe Ft.
Township: Range:~ I Section: Fill added abovel, ~l°rigin~l_ ~grade: Ft. G r~ve]~ ~length:~l~ ,~ ~1 Ft.
Number of lines: Distance ~n lines:
WELL: EKI~New ~ Upgr~' Gra~e, width: Z.~I Ft. ~ {~' Ft.
Classification~ ~(Private'~u~i~A'B'C): ~ ~Ft. Cased To: Ft. Total absorption~oarea: SQ. Ft. Pipe~material: O
Driller:~ Date Drilled; Static Water Level: Installer: Date installed:
~ GPM Pump Set at: Ft. Casing Height Above Ground:Ft. TANK
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P.
To Septic Absorption Lift Holding )ublic/Pdvate Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~ ~ C ~ ~GE ~ I 00
Number of Compa~ments:
Wel~ ~t~ i~ ~ __ Z~l~ Material:~e~
Sudace
Water IOOl.+ iool+ ~ -- _ LIFT STATION
Lot ~t Sizein gallons: Manufacturer:
Line ~ + I0 I~
Cu~ainDrain ~ ' ~" ~ ~ ~ ~ P~lectrical Inspections pedormed by:
Remarks: BENCH MARK
,Location and Description:
E N~~AL
.... ~,.~,~:~,N~ Dates: 1st Iz-zo-'lG ~ ,~~._~:._
Inspections pedormed by: ~ ~ '; '%' ' ' ~""~'~'"~'/'"~
E~e [~tver, AlaSka 99577 *i,~ CE-8~01
Depa~ment of He approval ',," ..." ....
Reviewed and approved by: ~~ ~' / ~ ~ Date: /-2~-~ ~<~,~'-".-~"~-~,<~<.~.~
72-913 (Rev. 9/91) MOA 25
SW960579 2 2
Permit No. Page of
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: LOT 7B, BLOCK 2, EKLUTNA HEIGHTS S/D PIDNo.: 051-061-69
I k B
~ INSTALLED rL W .T~ ST1 1 .0' 15.5'
~/p)' ~ DIVIDER COZ ~_ DDmO~ ST2 2: .0' 1 9.0'
ER(;. TEST
o.s'
s~. 001 2( .0' 30.0'
~%NEW I000 GAL C02 5~ .0' 57.0'
SEPtiC TANK MT1 5; .0' 40.0'
~W~ ' ~- . C03 21 .0' 54.0'
% . ATH I
% ~' .g' ~.g'
3 BDRM ~w~
GtRAOE H ~USE ~w~
WAT R LINE~
(APPE)X, LOC,)
8G~ 1" = 40'
ST1
~INS[ ~TION
6~~ N~W
' 1000 GAL ~4'TAN~SEP~[C ' ~ = ~ ~ ~ = ~'
96
MT2 C03
~, CO1
"' I1~~-- ~
co~ = 5.a' cos = a~.l'
~T1 = 8!)4' MT2 = 89.2L
NC WATER FOUND
83.2' B.O.H.
72-O13 A (Rev. 9/91) MOA 25
PERFORMED FOR:
LEGAL DESCRIPTION'.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
c, ,~,,.,.-
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7
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17,
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~jS~'"C'zttv~OCJ~.~'- DATE PERFORMED: I -~m"O ,..~'~ o
~/.~/~,'[~wnship, Range, Section:
- ~.-~ , SLOPE SITE PLAN
WAS GROUND WATER ~ l~)
ENCOUNTERED?
DEPTH? ~. pO
E
Depth to Water Alter
Monitoring? --'"'-- Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN "~
COMMENTS ~0 .~13) TlO~ ,,CZ.. P~,'~¢~, ~L,4 7/~' 7'~ $' 7-
(minutes/inch) PERC HOLE DIAMETER __
FT AND (.~ FT
/
72-008 (Rev. 4/85)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX.196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW960379
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:HAMMOCK LORAINE J
OWNER ADDRESS:21635 SETTLERS DR
CHUGIAK, ALASKA 99567
PAGE 1 OF 1
PARCEL ID:05106169
DATE ISSUED:12/18/96
EXPIRATION DATE:12/18/97
LEGAL DESCRIPTION:
EKLUTNA HEIGHTS BLK
2 LT 7B
LOT SIZE: 71748 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
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:
ISSUED BY: ~'~/
DATE: /~-// ~ /~/~
DAT .: / :Z --
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
CIVIL ENGINEERS
December 2, 1996
(907) 694-2979
FAX (907) 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOWTEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 7B, Block 2, Eklutna Heights Subdivision
Request you issue of a permit to upgrade the septic system
serving the three bedroom house on the referenced property.
Due to high nitrate levels, the existing well is to be
permanently abandoned according to water well ordinance
AO N0.96-98(S) (amended and approved S-13-96) and the
existing house will be connected to a Community Water
System.
A test hole was excavated and percolation test performed in
the area of the proposed upgrade. The approximate location
of the test hole is located on the attached site plan.
At the time of excavation no water was encountered and
after seven day ground water monitoring, the monitoring
tube was found to be dry.
Attached is the proposed upgrade design.
We do not anticipate any adverse effects on neighboring
wells, septic systems or drainage patterns by the
installation of the proposed septic system.
If you require additional information, please contact us.
Sincerely,
Cowan,
RCC/gk
PoEo
Enclosure
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
LOT 9A
PIONEER STREET ~
~ ~ ~ ~ 0 ~ ~ ~ ~T~~ ' AS PER OCCUPANT
az Z
~ / ~ ~
/
/
PERFORMED FOR:
LEGAL DESCRIPTION: Uq
1
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3
4
5
6
7
8
9
10
11
12
13-
14-
15-
16
17
18
19
20
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~ '~ ~ [~T..ownship, Range, Section:
SLOPE
WAS GROUND WATER . [~
ENCOUNTERED?
L
DEPTH?IF YES, AT WHAT ,A' pO
E
SITE PLAN
Deplh tO Water,~.r), I
MonitorinD? ~ Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
~1 " ~ '1'~ 1,"
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER ~
TEST RUN BETWEEN ~'~ FT AND ~ '~ FT
COMMENTS
PERFORMED BY: .~A.~.~ ~..I.m.' .... ] .._..~ D...I kl. et~l I/----- CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE W~I~L~ff~I~PAL GUIDELiNES IN EFFECT ON THIS DATE, DATE: / ~ /~ q ~
72-008 (Rev. 4/85)
G£;-'~TER ANCHORAGE AREA BOROI)~H
D~.,RRTMEBIT OF ENVIRONMENTAL QUAL /
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
ADDRESS //~'~
LOCATION ,/~//':~/~ ~U/~ ~'~=: ~'-'~Z~z~' ~=~LEGAL DESCRIPTION ~'~ '7//
SEPTIC TANK:
DISTANCE FROM WELl
LIQUID CAPACITY
MATERIAl ,,,~'''/~= Z:-z/~ NUMBER OF ~
COMPARTMENTS
~2Z~(.l//(~'~-j'~=~ /~ ~('~/ //' //'¢'{{']/J'/'/~J~'- LIQUID
GALLONS. INSIDE LENOTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
, DEPTH '
NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH , LENGTH
NEAREST LOT LINT
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
TILE DRAIN FIELD:
~ , F- NDATION NEAREST LOT LINE
DISTANCE FROM WELL O~ ,
NUMBER OF LINES // DISTANCE BETWEEN~ TRENCH WIDTH
DEPTH: TOP OF TILE TO FINISH GRADE DEPIH OF RIAL-B,EI~EATH-IIEE~
TOTAL LENGTH
, OF LINES
/
I~TOIAL EFFECIIVE
IN. ABOVE TILE --
DISTANCE FROM / WATER j~.,/~/~/~:- , NEAREST
WELL: [ypEz~.~/J/ DEPTH , BUILDING FOUNDATION._ ,~2~)'- SAMPLE
NEARES1 ~ SEPTIC / SEEPAGE . ,' OTHER
LOT LINE (~>-~'//.. -' ~'~ ~'~ SEWER LINE TANK ))~'-~ . SYSTEM ./'~6 . CESSPOOl -~ . SOURCES
DISTANCES:
_~<,,' ~ -/~/
B AGRAM OF SYSTEM
APPROVED ' G~.A.B.
GREATER ANCHORAGE AREA BONOUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCh 6-650
ANCHORAGE. ALASKA 99502
TELEPHONE 279~8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION Of: SEPTIC TANK ~ SEEPAGE P1T.~ ., DRAIN ~IELD OTHER
FINAL INSPEC:TION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJEC:T TO pI~OSECUTION.
DIAGRAM OF SYSTEM
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK .,SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN fIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK SEEPAGE PIT
TO RIVER, LAKE, STREAM.
DRAIN FIELD
DRAIN FIELD
· SEEPAGE PIT
, ALSO CONSIDER AREA WELLS.
, SEEPAGE PIT
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING (~AP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTight REMOVABLE CAPS.
.//v - ~ HE.~,L/Th aUthOhITY ~/
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICA"T'SS'G"AT"RE
.(~ ' 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
Parcel I.D. #
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
]'.ot 7]3; Block 2; Eklutna Be'iqht~
LocatiOn (site address or directions)
21635 Settlers Drive
Chuqiak, AK
Property owner
Mailing address
LOrraine Hammock
8660 Williwa Avenue Anchorage,
Day phone
AK
338-1811
Lending agency
Mailing address
Day phone
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:
Individual well
Community well
NOTE:
Public water
if community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system. ~. .
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
NOTE:
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
m
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 in. dicated 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 wastawater 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 S & S ENGINEERING
17034 Eagle River I. oop Road NO. 2~
Address Ea~lle River, ~Ala,ska 99577
Engineer's signature ~,~Z_
Phone
Date / /~; / ~ 7
DHHS SIGNATURE
'X
Approved for ~,D
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments Note: The well for this property meets existing
State and Municipal Co'des. There are nitrates present. It is
~,,~d f'hnt ,,:J .nartnd~c testin~ be performed to insure the Wells
continued suitability. Nitrate concentration is 5.1 mg/1. EPA
· ~;.~--..~ ........ -~^. ~ Inn ~g/]
--. : . ? ' .~ ::
'. Th~ Uunici~ll~ of ~nchomge Dep~ment of Health ~nd Human Se~ice~ (DHHS) I~ues Health Authori~
ApproVal. ~... C~ifi~t~"b~S~,,,. only upon the mpre~en~tions g ven n p~mgmph 5 ~bove by ~n nde~ndent
prof~mnal engin~r reglster~ In the State of Alaska. The DHHS does this ~ ~ cou~esyto purch~m of hom~
~nd their lending In~titutlon~ in order to ~tls~ ceftin f~eml ~nd ~Mte r~ulmmen~. Employ~ of DHHS do not
conduct tn~pe~ion~ or ~n~l~e d~t~ before a oe~ifi~te i~ i~uM. The Uunicipali~ of Anchorage is not
r~ponsible for errom or Omi~ion8 in the pr°fe~ional engin~ wo~.
72-(~6(Rev, 1/91) Back MOAiY21
D. LIFT STATION
Date installed Size in gallons ~
Manhole/Access (Y/N) "Pump~'Pump off" level at*
High water alarm level at*..._~'~'/*Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
S~ Lift station
SEPARATION DISTANCES FRO~OLDING TANK ON LOT TO: I
FoUndation ~ Property line . ~ol..,+ Absorption field
Water main/service line I o I.f..Surface water/drainage ! co14' Wells on adjacent lots
On adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line - I O Building foundation I o I-I' Water main/service line
Surface water . I o ~ ! -f-~ Driveway. parking/vehicle storage area
Curtain drain I~ /~ ,, Wells on adjacent lots I 6'o
R ENGINEER'S CERTIFICATION *..~
I certify that I have determined thru field inspections and review of Municipal records
,n conformance w~O~_ HAA g~el~ ln_ effect on thls date.
Signature
Engineer's Name ~z~,e~ ' ~".
Date
Waiver Fee $
Date of Payn~ent
Receipt Number
HAA Fee $ t7~z~' ~)
Date of Payment C)//C)'7/~'~
Receipt Number '~ ~-4 7
72-026 (Rev. 3/96)*
16:1G CT&E ESI ANCHORAGE ~ 907G941211 N0.8~4,
Drir~king Water Analysis Report for Total Coliform Barter-ia ~oo w, ~o,,,~
: Am;horag*. AK 99518.1605
READilNSTRUCTION$ 0.~I ~VE~E SIDE BEFO~ COLLECTING 5AMPLE ~rel: (9071 562.2343
, ~F~x: {go7} 5~1-530~
PUBLIC WATER SY$TEM I.D.~ [ l' J I [ I Analysis shows~i$ WaterS~PLg to
k ~*~'~ul~ 0 $~ In.ice UnsatiSfacto~
to indicate reliabl~ resal~.
...... new samp~ via special d¢liv~ mail.
Analytical M.thod: ~ Membran. Filter
~,? s~, z,~c~i · j · Number ofc~lonie//100 m),
I Month Day Year
s.~ wm 96. 7085.
J
O { ~epeat Sample (for routine $ample O Untreated Water
[ with lab ref, no. ) Date: .... Time:
i Time Collected Client notified of unsatlsfac~o~' results:
S~LE LOCATION ColJected By ~ ~.
BACTE~OLOGIC~ WATER ~ALYSIS ~CO~
MM0-MUG Rc$ok: To~l Coliform E, Coil
Membrane ~her: Direct Count . ~ Coloni~lO0 mi
' Vcrification: LTB _._ BGB COLIFIRM r.~Tc'- r,.,
Fecal Colirorm Con firmafio~ o~
Finml Membrane Filter Result~ __ , ' Co,form/lO0 mi
Comma
.... FART ONE OF
D07
CT&E Environmental Services Inc.
Laboratory Division -~,~-~,~.t~-~,~,~,j.a.~e~.~,~..~,,a.~.~,,~~~t/mjjj/t~
01×0~/97 16:15 CT&E ESI ANCHORAGE ~ 90769~1211 NO. 82~
,~ CT&E Environmental Services Inc.
CT&E ReL# 967085003
Client Name S & S Bngilt¢~fing
Project Name/#
Client Sample ~ L7B B2 Eklut~ Hts
Matrix D~.i~ Water
Ordered B~
Sianpl~ Remarlcs:
Sanple collected by: Ray.
2'13750
Client PO#
Printed Date/Time 0l/02/97 16:05
Collect~At DatdTimc 12/30/96 12:15
Received Dat~/Tlme 12/30/96 / 4:25
Technical Director: Stephen C. F. de
Nitrote-N
Total Cot iform
Results
5.10
0
POL Units
Atlowable Prep Analysis
Method Limits Date Date Inlt
0.500 mg/L
0 col/lOOmL
SM18 ~500-NO3F 10 max
$M18 92ggB
12/31/96 WBP
lg/30/96 TRY
EXCAVATION
ROBERT A. SHAFER
WORK CIVIL ENGINEER
694-2979
March 26, 1983
James Christian
4101Wispen Circle ~A
Anchorage, Alaska 99503
Dear Mr. christian,
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMFNTAL PROTECTION
APR lg83
RECEIVED
Reference: Lot 7B: Block 2: Eklutna Heights Subdivision
A sewer system adequacy test was performed on the system located
on the referenced property, as you requested.
The septic tank had been v~ to have a capacity of 1.~LS~ gallons
during a previous adequacy test performed by this office. At the
time of this test the septic tank was empty and did not require
pumping. The seepage pit was tested by charging the system with
approximately~_SQQ gallons of water and after a period of 24 hours
all the water which had been added to the crib had percolated out.
It can be concluded from this test that the waste water disposal
system serving the four bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed against subsequent failures.
The standpipe in the seepage pit needs to h~ ~w~nd~ until it
extends above the surrounding soil. It should also be noted that
a water sample was taken from the hose bib on the back of the house
and an analysis performed by Chemical and Geological Laboratories
of Alaska. The results of this test indicated that the water sample
was satisfactory.
If we may be of further service, please do not hesitate to contact
US.
Si
(....-ff'/RO~E, RT A. SHAFJZR, P.E.
sZss
'cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
CHEMICAL & G,.~LOGICAL LABORATORIE~'~)F ALASKA, INC.~.,
(907)-279-4014 ANCHORAGE INDUSTRIAL CENTER ~d_,/'/~s/~l~i
TELEPHONE
274-3364 5633 B Street
Drinking Water An§lysis Repol~t for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM: I II I I Ii
,....o.
c~ ///) " sm~ zip Code
SAMPLE DATE: ~ ~ ~
~/ Mo. Day Year
SAMPLE TYPE:
I-1 Routine
[3 Check Sample (for routine sample I 13 Treated Water
~ /with lab ref. no,
~/EPSpeclel Purpose ,~ntreated Water
SAMPLE
NO./~)CATION
, I,h~,:,~ ,~1~- ~ ,,J
~I ,l
~I I
Collected
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
[~Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
I-I Fermentation Tube
~(,Membrane Filter
Lab Ref. No. Result* Analyst
F-I-I
FT-I
r-r-I
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
O6-1220 (~))
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
~te CG41ictld Source
EMB Broth 24 hourlf BrMh 48 houll;
Multiple Tube Rlportf 1Omi Tubes polltlv~/Tot~l 1Omi podlMtl
Membr&M FHter~ Direct Count Collform/10Ontl
Verification: LTB BGB
Flnel Membrane Filter' Results ~,~ .~/1~.~rrn/lOOnll
...,,.., --"~'....~/~-.2-_~ ..-~_o.,. ?-2.~
' O~
~.. ~ RECEIVED
' ' ,NSPECTIONAPPOINTMENTS' T~
TiMi=' TIME
DATE DATE DATE
INSPECTOR
MUNICIPALITY OF ANCHORAGE ,MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTEC:TtOI'~
t~I [~i~) ENVIRONMENTAL SANITATION DIVISION FEll P, 4 1981
.~ Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER .
-~o~c~(c~ .;c/~t~/cL(/ P.O.E
P.~IP.".qT'. n.o~u=~ I ~1~ olrterent trom abovel PHONE
2. ~'-u'~ ~.;~ ~ PHONE
MAILING ADDR ES/~
M/~LI NG ADDRESS
4. REALTOR/AGENT PHONE
MAILING ADDRESS
LLEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE ~UMBER OF~EDROOMS '
~ One ~ Four ~ Other
~ SINGLE FAMILY ~ Two ~ Five
~ MULTIPLE FAMILY ~ Three ~ Six
7. WATER SUPPLY
~ INDIVIDUAL*
[] COMMUNITY
~1 PUBLIC UTI LITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
,..v. ,,,
~ .. THIS SIDE FOR. OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
· : PERMIT NUMBER
2. WATER SUPPLY
[--I ~INDIVIDUAL : .~ . . .- DEPTH OF WELL
[] COMI~UNITY
' ..: DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. sEwAG~E DI~OSAL 8Y6T, EM PERMIT NUMBER
[] iNDIVIDUAL/ON -SITE DATE INSTALLED
[] PUBLIC UTI LITY
Connection Verified INSTALLER
[]Septic Tank or []Holding Tank
Size:, If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
Absorption Area to, nearest Lot Line
5. C(~MMENTS
I~APPRoVED FOR ~EDROOM$ '
[] CONDITIONAL APPROVAL (letter mu~"~cco~npan2rE6~ificate)
72-010 (Rev. 6/79)
Fobruat:y 27, "~
Rona]d Sc:hu].dt:
3301 Gl. cnn Don
Anchor:aqe~ A]a~:dca 99501
Subject: Lo{: 7B B](cx 2 Eklutna NeighLs Subdivi ~ion
Approval for your J. ndividual sewor and wat:e.]: fac~l]_Ll-.
cannot be granted until the [ollowing :items have been
2' completed:
~~(]) The war. er analysis report: needs {:o be del [,./ered [:o
"~.',~' this office from l:he Chem Lab, 5633 B .~...~.ec.L,
/ O~lr review.
(2)
LocaLe and expose f-he well for our inspection lhz,
is Lo det:ormine proper cons[:.r~lo[:J, oI1, al. so
W(..
min:imum distance roqllJ.r(llR(lrlils are llletl bel. tw(~en
Locat:e an~ expose t:hc st:andpipes t.o l:]lc ~(:w..].
for our j. nspecl:.:ion.
Please nok.ify t:his del)arLmenh :flor a reinsp(:ction when the
noted descrepancies have been correct/.ed~ ~f there are any
further questions pt=a .... call this office at 264-4720
Sincerely,
ReP / ]. j w
c e:
A].aska PacJ fic Narlk
Mort:gage Ix>an Deparl:menb
Post Office Box 420 995].()
DAVID A. SLENKAMP
ROBERT A, SHAFER
MECHANICAL ENGINEER
694-9055
February 1, 1981
CIVIL ENGINEER
694-2979
MUNICiPADTY Of: ,.~,NCHORAGE.
DEPT. (ct: i: ~ ~ c~
ENVIRONiv'~ ,i: , ,:CT/ON
James Christian
SRB 70
Pioneer Street
Chugiak, Alaska 9956?
Dear Mr. Christian,
Reference:' Lot 7B; Block 2; ~lutna }{eights Subdivision
RECEIVED
A sewer system adequacy test was performed on the system located
on the referenced property as you requested. The seotic tank was
pumped and verified to have s capacity of approxilm~tely 1250 gallons.
The seepage pit was charged with 1000 gallons of fresh water and
after a period oD 2~ hours all the ~mter added to the crib had
percolated out.
It can be concluded from this test that the sewage system located
on the referenced property is currently functioning adequately
for the four bedroom residence.
If we may be of further assistance, please do not hesitate to call.
Sincerely,
,// ? / / ,¥
t 4~ '~' ~- ~_C.~' ' / ~ Z -
~RDBERT A. ~FER,
~,,~S/s s ,,
cc: ~nioipali%y of Anoho~a~e
Depar%men~ of Heal%h and Envio~nmen%al Pro%cc}ion
&lasks Pacific B~nk
ATTENTION: Betty High
Ronald Schuldt
SRB 196X EAGLE RIVER, ALASKA
· . CHEMICAL & G~.~LoGICAL LABORATORIES ~.? ALASKA, INC. (~~
/~~ 274-3364 B633SSt re et
~/~~ Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
I.D. NO.
Water System Name Phone No.
Mailing Address
City State ~ Zip Code
MO. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO. LOCATION
2[ I
4I I
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
[] Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
[] Membrane Filter
Lab Ref. No. Result* Analyst
r
I
*NO ot colonles/lOOml, or NO of Positive Dortlons
READ INSTRUCTIONS
BEFORE
COLLECTING SAM PLE
06-1220 (b)
Rev. 1978
BACTER I0 LOG ICAL WATER ANALYSIS RECORD
Date Collectecl Source.
a.m.
NO,
Presumptive 1Omi 10mi 10mi 10mi 1Omi 1,0mi 0.1mi
24 Hours
48 HOURS
Confirmatory
24 Hours
48 Hours
EMS. Broth 24 hours:
Multiple Tube Rebort:
Membrane Filter: Direct Count
ratification: LTl]
Final Membrane Filter Results
ReDor t~l By
Broth 48 houri:
1Omi Tubes Positive/Total 1Omi Portions
Collform/100ml
BGB _
Date
Collform/10oml
Time: a.m,
EAGLE RIVER AREA
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
"C" Street, Anchorage, Alaska 99503 274-456i
Date Received March 7, 1977
Time of Inspection
Date of Inspection 3-9
~ /
REQUEST FOR APPROVAL OF ~-Ke~n
INDIVIDUAL SEWER & WATER FACILITIES ' - '
FOR
):t0 a.m.
7 Wednesday
4.
5.
6.
1. Approval requested by: First National Bank of Anchorage
Mailing Address: Post office Box 720 Phone: 276-6300
2. Property Owner: Ronald J, Schuldt Phone: 688-2569
Mailing Address: DQ~ .20 Pioneer Street, Chugiak 99567
Legal Description: Lot 7B Block 2 Eklutna Heights
e
Location: See map
Type of facility to be inspected Sinqle Family
Well Data:
A. Type Individual
C. Construction
Sewage Disposal System: On-site system
A. Installed B. Installer
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
e
No. of bedrooms 3
B. Depth 80'
D. Bacterial Analysis
2. Manufacturer
, Absorption area
, Other contamination
2. Material
, Sewer Lines ...,
, Absorption area
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
I~NVFC, ONMr~H h \L
L4AR 7 -
1. Type of Inspection: CMRO VA FHA CONV
2. Property Ow.er:
Mailing Address:-~0
3. Name of Buyer:
Mailing Address: Day Phone:
Name of Lending Institution: F~'7- /'-/~'-)' [ 0 ~ ~ ~' ~r ~l<
Mailing Address: ~/~r-! ~J (~/~/c~¢ ~ Phone:_
5. Name of Realtor or Agent:
Mailing Address:
6. Legal Description: ~- O 1-
Location:
Phone:
.r
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Public Utility
No. Bdrms. 3'
,Individual
If Individual, number of dwellings presently served
If Individual, depth of well ~-0 ~
Sewage Disposal System
Type of System: Public Utility
Individual (on-site)
If Individual, date of installation
72-003(3/76)
Pag~ 2-of two pages - R .~st for Approval of Individual
~egal Description Lot 7B Block 2 Eklutna Heiqhts
er & Water Facilities
Comments
Approved~. ~A~o~ Disapproved
Date ~--~ I ~,77
Approvals}al id for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a l~rue and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)