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Home My WebLink AboutCONIFER HEIGHTS BLK 1 LT 10MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 254-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION LOCAT,ON OD GT NO. OFBEDROOMS lWel' I Absorption a~rea Dwelling PERMIT ~ Liq' croci~___ Din gallons iF HOMEMADE: Inside length -- Width -- Liquid depth DISTANCE TO: Well Foundation Nearest lot line , PERMIT NO~o ~Zz m No. of Hneso OI ~ Leith of e'ach line~o ' Total length of lin~, Trench width~ ~ inches Distance betw~o~ I~es~o.i ~ ~ ~ Top of tile to finish g[a~e Material beneath tile ~ ~ ~ ~ ~es Total effect,ye abs~p~o~rea Length Width Depth PERMIT NO. ~TANCE TO: Building foundation Nearest lo.ne ~ Class Depth Driller Distance to lot line PERMIT NO. ~m ~ DISTANCEI TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS . ~ REMARKS APPROVED DATE LEGAL 72-013 (Rev, 3/78) STAR SIX iNCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 420 7~e~t.. DRILLED AT THE RATE OF ~.~.0_,0 ........ PER FOOT. PROPERTY OWNER LOCATION OF WELL SITE. ~L, /-~/~ ~. / ~{~ /.,d_/ ,~ ~' /~. . DRILLER ~eYIJ'~,~ WELL LOG: 0 ...... 23 ~ t55-'224' 224--2,44 ' 244--4.20 287--291' 3,55"359' 390--394 ' . COST INCLUDES ALL LABO~ AND MATERIAL FOR COMPL~ION OF SAID DRILLING. WRITE CHECK PAYABLE TO ~MPART DRILLING WORKS FOR THE SUM OF $7980.00 DATE_. THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS I"11_'1".1 I C I F L I T"~' O,.F. i=INCHC ~I=IC~iE DEPARTMENT OF HEALTH AND EN~IRONME~TA~"' PROTECTION /~-~/~-~f~Y~-,~/~ ~ ..... "~ 825 '"L'~ STREET, ANCHORAGE.. Ak,. 9950i 264-4720 CmN--S ITE SEL4ER PER[~ I T × ,~ () '~ "- ~ .~?_..__~t~_?_~ WILL ORY PO B0~-712 ~ D~' PORT ORFORD [)RIVE ~~~ LOT 5ZZE 2~e 5QURRE FEET WELL PERMIT NO. < 800157 APPLICANT LOCATION LEGAL TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= :1.2 LEI'-IGTH= 29 GRAVEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REQU I RED SEPT I C TANK S I ZE= 12§0 GALLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TL~O <2) Ir-JSPECTIONS ARE REQUIRED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 20 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I t E×P I RES DECEMBER I CERTIFY THAT t: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED' APPLICANT WILL GAY DATE ....... V4.0 ISSUED BY ..... PERMIT NO. RPPL I CRhq' ~L~ [ L L LOCRT I ON LEOAL t~ t C> r.lLIl'-.I I i~ I PI:IL I T'"r' C)F I--INC:HCm~?.F:IGE DEPRRTMENT OF ERLTH RND ENVIRONMENTFL PF"-'"ECTION 825 'L" _.FREET, RNCHORRGE, RK. 995~_ 264-4720 I-.JELL RND ON--5 I TE SEL4ER PERM I l" LOT SIZE ~'~oo SQLIRRE FEET TYPE OF SOIL 8BSORBTION SYSTEM IS' MR×IMUM NLIfqBER OF BEDROOMS = ~ SOIL RRTING (SQ FT/BR)= ~ ~ THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: DEPTH= /'~..~ LENGTH= l~ GRt==IVEL C~EPTH= ~- THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTF~LL PIPE ~ND THE BOTTOM OF THE EXCRV~TION (IN FEET). E:E~,.'~.U I REC. SEPT I C TRNK _q I ZE= ( )_~'-0 m]RLLONS PERMIT RPPLIC:RNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. T~4C~ (2) I r4SPECTIOr4S RRE REQLIIREB, BRCKFILLING OF RNY SYSTEM WITHOUT FINGL INSPECTION RND 8F'PROVRL BY THIS DEPGRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RN¥ ON-SITE SEWRGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE WELb OR i50 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPGRTMENT WITHIN'*~O DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MGY 8PPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE 8VGILRBLE TO INSURE PROPER INSTRLLRTION. PERD1 I T E×P I RES DECEMBER 3:-1 .. ~1.5~ 80 I CERTIFY THRT ~' I 8M FRMILIGR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPGLITY OF RNCHORRGE. 2' I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. IF THE V_l. 2 ~4~ril 29, 1977 #76071 Lar=y ~ale 5306 Aroti= Boulevard Anohorage, AlaSka 99502 Dear Mr. Dale= A permit issued by this department for well and/or on-site sewer installation on Lot 10 Block i Ce~ifer ~eights S~tviston I~as expired sines the issue date exceeds one (1) year. , In the event you still plan to install the well and/or on- site sewer system, a new permit is r~ired. The original ~oil test may be used to obtain a current permit. If the well has be~n drille~, a well log. should be sent to this department to document the ~n$~all&tion date. If you have any questions regarding ~he above matter, please do not hesitate ~o ~ont~t- this o£fice ~me~ediately at 279- 2511, ext~nsion 224 or 225. Les '~ '*;:' F2 -.. '*;' '":' %' '1 PEF;'.I*"~ 1 I' NCL ,' ;::'Gf:%::'::t. ::, L.)EiCF~'T' ! ON F:'OR"i" C.)EE:F'OR[) E:,I:?. L.E[]iFIL L..:~Et DfL ': r"lN t FEEt ....... ' T'¢F'E OF SO);L. ' "" ;' ' ....... '" ......... "' . . NLffdE:EF~: 0 .: E:~EE:,RC~Ot"iS; 4. SO I L RR~ ! N(3., S~]:!F'"f'/E~R ,:, ."'" ~ '... 'THE F::E.(;:¢.JIRE[:, 5;i ZE OF: THE c;f~I L. RE:~;OF(:F'T] ON : r: J El J i.:, ' [)EF'TH= t2 LEN(3'I'H= ;7::EL ::::::::::::::::::::::::::::::::::::::::: 'THE M Z N Z ML.tP'i E;,EF"FH CIF ..... ""~" ............ ' ......... ' :m:.r,,,,~.. BETHEEN THE ~1_.[... F II"E ~f'4[:' THE ~F::C:RVRTZCIN BO] IUfl ]:';; 6; FT ~' , ~ THE:RE IS; NO S;E'T H!E:,TH FOR TRENCHES;. F'OR L:,~:RZNFBE%DfS., THE HZE:,TH ~:F"f'. , THE' [',F'P'H.-I 01::' 'FI.(.EiHCH OR F ~T :[:S 'iHE SURF'RCE RND E:O'i"'T'EIH OF' THE: E:XCR v Fl'f' ]: ON. ~ "% / I E; THE LENGTH OF ~:~:::H 2;~:,E 1:::'(:~ R ~;EEF'FIGE F'Z 'T' OR THE L. ENG'f H [::, i HEN:E; ]: ON L, EN(:~TH Cfi:= 'file "t"F::E:NE:H, 01:~: [::,RFI Z NFI E:L..D. ~ /' "['FIE; REQU Z ~E~[::, S;E:t::"I'Z C TFINt<: E; ~ ZE ~ S; Z25~ C~[..t~NE; E:;HC:KF' I L.L ~ NC:i OF- RN t .S 'r.b'T'Et 1 H L THOU'i F Z NRL. Z N~;F'EC 'F ~ ON E~'r '/H ~ E, E: EF'RYt'T'HENT H ~ LL E:E: :E;UE:.J'EC:'I' TO F'F:OS;E:C:UT I ON. H Z N I MLtH [::, ]: E;'i¥:IN[:::E F'F;'.OH HE;L.L. TO Rf.,I¥ ~:F'"[' Z C TRNK,.."PFtCKF~GE F'LRNT OR 2;0 Z L RBSO~:PT Z ON ::; :::~ I::'T F'O[~: FI F'RI',,¢Ft"I'tSHFLLL ~f',t[:, 2¢~~ F'T FOR FI F'IJE~LIC: HELL. ]',=; ""P.t~'L ['" [ r':l;::'~<:, "~ll"l':::;T BE F;~'.tE'f'f. Jk:NE[)r'i'()T~aE [~EEEF'F:I~:"t"I"t~:F4'I"X [tjiTH iN ]~:lZ~ [::'FIYE; OF' 'f'HE HELL ' "x , ,, ...... S;PEC: :1: F' t C:F¥1" :i: ON'.E; RND CCff.,f2;TRLIC T ]: 0N'%;, I RGR~; ~'.E R ,,, R I LRBLE TO I NSTFILLFIT Z ON. ~,~,. 'THE F ...... L [..;' 3N-'E; Z 'I"E ¢'.=,EHER_"~ RND HELLS ~.E.k. I I F:"r' THFI'I' I RH F'FIM :[ L)~ FI~: [ TH REQU I REI~!E:N"[':5 ~ ' FI:E; '.E ETFC FCFH Bh" THE: h't JN ~ E: Z !~'FIL ! T"r' OF' Rr~t: HOR'RGE RND P.I ~ EL. ~ NS"f'RLL. I N FIC:C:[3F;:DRNC:E H I TH 'THE: C:OE:'E. . ;/: ........... ~ SS;UED B'¢ ~ ~ CONSULTANTS, INC. ANCHORAGE FAIRBANKS JUNEAU 249 EAST 51ST AVENUE * P.O. BOX 6087 ° ANCHORAGE, ALASKA 99503 · TELEPHONE 907-279-0483 · TELEX 090-354!1g~ April 8, 1976 R & M No. 656214 Mr. Larry Dale Rainbow Enterprises Arctic Road Anchorage, Alaska RE; Test Hole and Soil Log Report for Sanitary System Lot 10 Block 1 Conifer Heights Subdivision Dear Mr. Dale: We are submitting herewith the boring logs, percolation results and our comments regarding soil conditions encountered at the subject site. This investigation was performed'in accordance with your request of April 2, 1976, and those procedures outlined in a letter dated July 15, 1976 by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the Lot 10 area for the purpose of defining general subsurface soil conditions and conducting percolation tests for the proposed sanitary system. Excavation was accomplished with a tractor-mounted auger type drflling rig and the test hole was ex- tended to a total depth of 18 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. J~mes W. Rooney~ ) Vice President JWR/pe xc: Municipality of Anchorage T,H,1 4-7-76 Test Hole locatiohs are approximate only and have not been located by survey methods. OWN: D~s '! CKD: PJ DATE: 4-7-76 SCALE: 1" = 3' R & M C('t,NllULTANTB, INC. ORGANICS (PT) SANDY GRAVEL W/TRACE TO SOME SILT MANY COBBLES (GM) 3,5' SANDY GRAVEL W/TRACE TO SOME SILT (GM) SILTY SAND W/TRACE GRAVEL (SM) . 7,5' SANDY GRAVEL-GRAVELLY SAND W/SOME SILT INTERLAYERED (SM GM) 240' GRAVELLY SAND (SP) 11,0' --12,0' SILTY SAND W/SO~ GRAVEL OCCASIONAL COBBLES (SM) 15,0' SILTY GRA%~LLY SAND (SM) 18,0' T,D, Rainbow'Enterprises I .8. Location Diagram & ~GRID: Log of Test Holes . ~PROJ. NO. Conifer Heights Subdivision~DWG. NO. TIME 5:30 5:31 5:32 5:33 5:34 5:35 5:40 5:45 5:50 5:55 6:00 6:05 6:10 6:15 6:20 6:25 6:30 PERCOLATION TESTS RAINBOW ENTERPRISES R & M No. 656214 ELAPSED TIME 0 1 1 1 1 1 5 5 5 5 5 5 5 5 5 5 5 60 Minutes DROP INCHES 0 I 1/2 i 1/2 1 1/2 1 4 1/4 4 3 1/2 2 1/2 2 2 1 1/2 1 1/2 1 1/4 1 1/4 1 31 1/4" 'rotal Drop M-W DRILLING INC. INVOICE N° 2 9 1 8 / DATE I".U. lIMA ilU~ /1:! UNIT ANCHORAGE, ALASKA 99511 QTY. MATERIALS PRICE AMOUNT PHONE 349'8535 iNAME ADDRESS ~.LEGAL DESCRIPTION · '~4~GAL OWNERS )'~L',~.)BANK OR LENDING INSTI'fUTION~ CURRENTLY H~)LDING DEED OF TRUST ~'- up', - ,J..~ H'OM'R¥'HO~E ' ELL NUMBER DIAMETER DEPTH STATIC LEVEL GPM DRAW~OWN PUMP MAKE HP SETTING VOL~S PHASE AMP RATE SERIAL NUMBER MODEL SCREEN LENGTH SLOT SIZE LINER/SCREEN DESCRIPTION ~)F WORK DATES t J RATE WORKMAN DA/TH IN OUT HOURS ' All charges shall be paid in full within ten (~-,r_/ ~/-~ /.')' ''`) f~.~:/~) LA.O,--, .~ ~' days un/ess other arrange,ments are made prior to drilling. The customer shall pay in- MATERIALS IFROM ABOVEI terest at the rate of ~ ~ % per month on any OTHER CHARGES amount not paid within ten days. Failure to pay may result in a lien against the property. CUSTOMER SIGNATURE PAY THIS AMOUNT -~-~- ...) 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. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location!~??~:ddressOr.directions) d_~/ P~4, Prope~{y oWner ~~/~' ¢{ d~/k~ DO~/X~ Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ ¢¢ TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: 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 Public sewer NOTE: 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 sa[e, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ,~.,)/'~.lTIT'i Y ~Of" ~/',~/"'/~1~1~,/~ Phone ..~?~ Address /'//~)t/~"~ p~//,)x)~,~ff /.4,3/~/~//~ ,//OJl/ '-~"~, Engineer's signa-ture ~~--z~("~/~"/~ / ~ Date . bedrooms. DHHS SIGNATURE ~//' //~ Approved for / Disapproved. , Conditional approval for 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. 72.025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~--//0 ~ / Cr~/'.~"- >/~i/~h~rcel I.D. A. WELL DATA Well type P~ ~J('~-'~ Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level If A, B, or C, attach ADEC letter. Date completed Cased to Wires properly protected (Y/N) ADEC water system number Casing height //~ "/ FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /r.,~0 ' 7/'~) ,~¢~-'-/~__ 'On adjacent lots Absorption f,e,d on,et /c>/~ ~ ~g&~ /; o. adiaoe.t ~ots Public sewer main /V/1t Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: _ B. SEPTIC/HOLDING TANK DATA ,~... Tan*,,z. Com,ar, m nt, Cleanouts (Y/N)~?,, ~?'~ ' ' Fbundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) . ;,',: ;.~7~., Alarm tested (Y/N) Date of pumpin; ...... ~/~/~ ': Pumper ~~Jl' Well(s) on lot 'f tDD/ ~:' ':'Onadjacentlots ~W/~' Foundation To property line '¢/~ / Absorption field Water main/service line Sudace water/drainage ~/~ / 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE :3. L!F? STATION D~ Manufacturer Size in gallons-'"'-.~_ Manhole/Access (Y/N) Vent (Y/N) High water alarm level Meets MOA electrical codel (Y/N) .,. //'~~ ...... D. ABSORPTION FIELD DATA Date installed ~T/~. ~//~) Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating ~/~t~ System type Gravel thickness ~-~! Total depth /2! Cleanouts present (Y/N) I Date of adequacy test .... for d bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot '/"/(~.,')I'TL~ ~_~'~,/~l~l~-~-Onadjacentlots ¢'/(~)~)/ Propertyline To building foundation ~' ~) I ,,, TO existing or abandoned system on lot On adjacent lots 'f.~(~ / Cutbank /~,///~ 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 conformed to all MOA and HAA guidelines in effect on the date of this inspection. HAAFee$ /}~0 ~ Waiver Fee: $ Date of Payment ~ ~ ?--~ ~ Date of Payment Receipt Number ~ ~ ~ ~ ~? ~TA) Receipt Number 72-026 (Rev. 3/91) Back MOA 21 COMMERCIAL TESTING & ENGINEERING CO. AK DIV CHEMICAL & GEOLOGICAL LABORATORY Anchorage, Alaska 99518. Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER [] PUBLIC WATER SYSTEM I.D. # [] PRIVATE WATER SYSTEM ~/ ?o o Phone No. Mailing Address City State 'Mo. Day Year SAMPLE TYPE: ,~ Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose Zip Code [] Treated Water [] Untreated Water SAMPLE No. LOCATION ~ I Z./O,dl ~,~-,-- J/~./:-, I 3 41 51 TO BE COMPLETED BY LABORATORY Analysis Shows this Water SAMPLE to be: //~Satisiactory [] Unsatisfactory [] Saml~le too long in transit; sample should not I~_ over 30 hours old at examination to indicate reliable results. Please send new ~ample via special delivery mail. Time Received ~ ~, ~ AnalytiCal Method: Membrane Filter No. o?olonies/100 mi. Time Collected Collected By Lab Ref. Ne. Result* Ana~ly/~t 93.1272 - ~ ~-~ !7. ~.C. ~-~-:~ ~ BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter: Direct Count (~ Coliform/100 mi BEFORE Verification: I_Sa BGB Fecal Coliform Confirmation COLL____EC_TIN_~G SAMPL_____.~E 'i Final Membrane Fllte~_B. eaul,$ TNTC = TOO Numerous ~o Count ~ / Time= Bacteria OB = Other ~S~S Member of the SGS Grc coliform/lO0 mi a.m. PART ONE OF TWO REPIAINDER TO FOLLOW CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 Chemlab Ref.t :93.1272-1 Client Sample ID :LIO Matrix : REPORT of ANALYSIS FAX: (907) 561-5301 Client Name :ACU~TRIZ CORPORATION Collected :03/29/93 e 08:45 hrs. Ordered By : Received :03/29/93 e 16:00 hrs, Project Name : W0~K Order :64397 Project# : ~eport Completed :03/31/93 PWSlD :UA Technical Director ~eleased B7 : ' Sample EOUTINE SAMPLE COLLECTED BY: R. ~USHRALL. QC Allowable Extract Analysis Parameter Results Qual. Unite Method Limits Date Date Init NITRATE-N O.lO U ~/1 EPA 353.2/300.0 10 03/31/93 LLH ' See Special Instructions Above UA - Unavailable '* See Sample Remarks Above NA - Hot AnalTzed U - Undetected, Reported value is the practical quantification llmit. LT - Less Than D · Secondary dilution. GT - Greater Than ~SGS Member of the SGS Group (Soc,~t~ G~n~rale de Surveillance) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 10 Block 1 Conifer Heights Subdivision, TI2N R3W Section 13 Location(addressordirections) 7801 Port 0rford Drive. (b) Applicant Name Home Equity Telephone: Home Business Applicant Address P.O. Box 8026 Walnut Creek, CA 94996 (c) Applicant is (check one): Lending Institution [] ' Owner/builder []; Buyer[]~', Other [] (explain); (d) Lending Institution Telephone Address (e) RealEstate Company and Agent Elliot C, Lawson. Jack White Company Address 3201 C Street, Suite 100 Anchorage~ Alaska 99503 Telephone 563-5500 (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family J~x Multi-Family [] Number of Bedrooms Four('4) Other WATER SUPPLY Individual Well Ij~:x Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite E~× Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the state Department of Environmental Conservation attesting to the legality and status. ~ Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING ,,~SPECTIONS, TESTS, FILE SEARCH, DAT~, AND INFORMATION 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 shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone Address Date Engineer's Seal This department has received written confirmation from the engineer, Tobben Spurkland, regarding the conditional approval of December 12, 1985: the property has been brought into compliance and been re-inspected. Therefore, a full approval has been issued. DHEP APPROVAL Approved for four(4) Approved xxxxxxxx bed rooms by ~'~.- '~ ~~Y Disapprove~ ' ' J Conditional 28, 1986 Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/84) CONSULTING ENGINEER 203 W. 15th AVE 'C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION MAY 23, 1985 Re: Conditional Health Authority Approval Lot 10, Block ~, Conifer Heights. Madame; On lot. The conditions for the approval have been met. depression around the well casing has been filled in topsoil. Please furnish this office with an unconditioned approval. December 12,1985 a conditional approval was given for subject The with MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECrlON MAY 2 2 Yours RECEIVED F.%.' CC El~~~on~k White Co () . · MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ___~_,?' ~' ~' ~'~ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) /_-3 Location (address or directions) _.~ ,~ . (b) .~p~(~N'a~~'*e ~e,( '/~ Telephone: Home .~ Business (~ ~--~~~.,n~ Inst,tut,o.~; Owner/buddor~; Buy.r,~ ; Other ~ (explain); ,d) .~in ~j~¢u~'~ .~.,S~ ~ Telephone ....... Address Telephone ~* *% -~ ~' (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family E]/"~ulti-Family Number of Bedrooms Other WATER SUPPLY / Individual Well.J~' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite/~ Public [] Community [] Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDIh,~ INSPECTIONS, TESTS, FILE SEARCH, DA rA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this He~,th Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm , /~'J~'-'~--"¢~ ,~{~" ~? Telephone Date 6. DHEPAPPROVAL /'~ , _ ~ Approved for ,,~-OZ,¢,~...' bedrooms by ~ ~ Date /~_ --/~--~--~ Approved ' Disapproved ' C°nditi°n"a~"~ 7 - '- ~ ~ Terms of C~~pro~al ~'~-- {~3 ~/~~ ~ ~~ ~ ~ ~~ CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/84) Bo WELL DATA Well Classification MUNICIPALITY OF ANCHORAGE (MO~) HEALTH AUTHORITY APPROVAL (HAA) H~[TH~~KLIST- FEBRUARY 1984 ~I~NT~- p~O~ & 264-4720 Legal Description: ~/~, If A, B, C, D.E.C. Approved (Y/N) RECEIVED Well Log PresentC[t~N) Date Corn plated [~o '7 - ~1~ Total Depth 4/~-~m,O Cased to ~,¢67 Depth of Grouting I Static Water Level ,-,3C/cT/- Casing Height Above Ground ~ / Electrical Wiring in CondUit~(~)/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge o.f Absorption Field on Lot /5'[ To Nearest Public Sewer Line Cleanout/Manhole ~',/'~ Yield Pump Set At Sanitary Seal on Casing ~-'~N) Depression Around Wellhead~N) ; On Adjoining Lots ' ~ ~, ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot Water Sample Collected by ~.~' ~ ; Date Water Sample Test Results , ~ ' SEPTIC/HOLDING TANK DATA Date Installed ,~'0,?-~0 Size Standpipes~.N) ('~) Air-tight Caps ~) Depression over Tank (Y~)) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Su pply Well /-?'-~( ¢'d ~'~ To Property Line /O To Water.. fvl~,in/,Service Line CourSe .. ~ No. of Compartments Foundation Cleanout gN) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) ! To Building Foundation _-~-~ To Disposal Fiel0 5" To Stream, Pond, Lake, or Major Drainage Comments 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /'(~/ To Building Foundation Lot /~/~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present~q) Date of Last Adequacy Test /- To Property Line /~ To Existing or Abandoned System on / ; On Adjoining Lots ~/'~ ~d"~ To Cutbank (if present) '~f / Comments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole~N) "Pump On" Level at High Water Alarm Level at J~.,~f Vent (Y/N) Tested for J Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify th~?.~have,: cho~rified, or conformed to ail MOA and HAA· guidelines in effect on the date of this inspection. Signed Date ! -.~ -/,,~ ~ ~- Company ~(~::~ ~ ~--t-'tv'~ MOA No. ~"'---(~ C/ Receipt No. ~ ~ ~ ~ ~ Date of Payment [~ -- ~--~ Amount: $ ~ ~ Page 2 of 2 72-026 (11/84) ALASKA [1UI[ O[lm IqTAL CO[1T[ OL IrIC. ~nqin¢¢rinq ~- ~nuironmcntal HOME EQUITY POST OFFICE BOX 8026 WALNUT CREEK CALIFORNIA 94596 SELLER-SAME SEPT 13 1985 JACK WHITE CO-ELLIOT C LAWSON ANCHORAGE ALASKA 99503 CASE NO #200-1066 50563A LEGAL:CONIFER HEIGHTS SUBD/BLOCK i/LOT 10 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-SEPT 11 1985 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 480 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 889 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON DEC 12 1985 . ADDITIONAL COMMENTS : THIS IS AN ORIGINAL DUPLICATE OF THE PREVIOUS ADEQUACY TEST DONE EARLIER. 1200 U Jest 33rcm Auenu¢, Suil¢ B · Anchorage, Alaska 99503 °(907) 561-5040 , APPLIC-~NT FILLS OUT UPPER HA' '; ONLY , Phone Pr°°ertyOwner ~'~' G~/ Address Zip Code Lending Institution ) ,~4! d~/ ~'x L Phone Type of Resi~nce ~Slngle Family ~ Other Water Supply Individual A~ACH WELL LOG. A wall log is required for ali wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log If available). ~ Public Utility Sewer Disposal ~ Individual Individual installed: Year ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector SEP 2, 8 ~983 RECEIVED ( ~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE ~ BY: ~~~Jmm~~ .'~ Soils Rating Date Sower Installed Well To Absorption Area / ~ / Well Log Received Well to Tank / ~) ~ Septic Tank Size ~ ~ ~ 72-023 (3182t ALASKA e ,dlROIqmerlTAL COFITROL S RuIC S, IFIC. I~.qineerinq $ I~nuironmental Studies September 22, 1983 Municipality of Anchorage Department of Health & Environmental Protection 825 L. Street Anchorage, Ak. 99501 Re: Health Authority On September 21, 1983 our company collected a water sample from the house located on Lot 10 Block 1 Conifer Heights Subdivision. The property owner is Will and Mary Gay. The water ana_~j~s was satisfactory. A copy of the report is attached. The well is located 101 feet from the septic tank and 101 feet from the leach field. The electrical wires are encased in conduit. Ail the The well casing stands 3 feet above ground and standpipes are capped. has a sanitary seal. MUNICIPALITY OF ANCHORAGE DEPT. OF HEt',LT!t ~'. ENViRONM2. NTAL pROTECTiON RECEIVED 1200 LUcsJ 33rcl Aucnu¢, Suite B · Ancbraq¢, Alaska 99503 · [907) 276-1361 ALASKA eiidlROFImeFITAL COF1TROL SeRuICe$, IFIC. I~nqineerinq $ ~nuironmenl~l Studies SEPTEMBER 15 1983 RAINIER MORTGAGE COMPANY 4797 BUSINESS PARK BLVD. ANCHORAGE AK 99503 SELLER - WILL & MARY GAY BUYER - SUBDIVISION - CONIFER HEIGHTS BLOCK - 1 LOT - 10 MUNICIPALII'Y OF ANCHORAGE F'E?T. OF HR''?'-~'i'l 2~ F..NVii~O,'~hAE~'~ [AL pF.o~ECTION, R[CEi /[D ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 480 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 600 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. ' THE SEPTIC TANK WAS p_.~L~m~n o~ 6/10/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. 1200 UJesl 33rd Au'enue, Suite ~ · Anchoraqe, Alaska 99503 · (907) 276-1361 Da'l~: RECEIVED INSPECTION APPOINTMENTS 'i ~ME ~ TIME TIME c '.Z DATE DATE DATE INSPECTOR INSPECTOR I NSPECTOR~ MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEPT' 825 L Street - Anchorage, Alaska 99501 ENVIrONmENTAL ENVIRONMENTAL SANITATION DIVISION JUL 1 5 1981 Telephone 264-4720 DIRECTIONS: Complete all parts oll page 1. Incompl~t~ r~qu~s~ will ,ot b~ processed. Please allow ten (10) days for processing. I. PRO~E~TYOWNER ~ MAILING ADDRESS Po Box i PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE 3. LEN~G INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT [ PHONE' M~lkl~G 5. LEGAL DESCRIPTION STREEfLOCATION 6. TYPE OF RESIDENCE SINGLE FAMILY MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [~ Four [] Two F-I' Five [] Three [] Six [] Other 7. WATER~ ~UPPLY ~ INDIVIDUAL* [] COMMUNITY [] 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. SEWAG~ETISPOSAL 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. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE i-]PUBLIC UTILITY Connection Verified F-ISeptic Tank or [] Holding Tank Size: I'~---~ If Tank is homemade give dimensions: 'TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL Septic/Holding Tank ]Absorption Area ISewer Line [] OTHER Nearest Lot Line 5. COMMENTS [~;~'~APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE I BY v~ v~O 72-010 (Rev, 6/79)