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HomeMy WebLinkAboutCONIFER HEIGHTS BLK 3 LT 2Conifer Heights Lot 2 Block 3 #015-093-21 G -as --/Z Inspection epo _ -t- .d c Ll Municipality of Anchorage Community Development Department Page I of Z On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/Avww.muni.org/onsite • (907) 343-7904 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSPIZIOSS PID Number: 015-013-Z) ❑ New ® Upgrade Name: Dsvei< WeLTon ABSORPTION FIELD ❑ Deep Trench EI Shallow Trench El Bed F1 Mound Address -Mz(p PORT bgFoxv Dr. AnL6rA(�E AV El Other Phone Number of Bedrooms Soil Rating Total depth from original grade .J GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision L'1 (CON BlockLotLot 3 2 Fill added above original grade Ft. Gravel length Ft. R IFr &HTS Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftp Ft. Well (00,fTANK Septic El El Holding E] Other Manufacturer Manufacturer &zE&rZ Capacity I 150D Gal. Surface Water Material .5fe-9-1 Number of compartments 1 Z NV Lot Line 51f NA Foundation 51{ LIFT STATION Manufacturer Capacity Curtain Drain A(A Gal. _ Remarks �x15TlN(, n 4 Pump on level at Pump off level at High water alarm at IAr1K ^1�„tion PER in. I in. in. MOA Qrc(S', Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL Housetotank Tankto drainfield ( I5AAe5 CMAVATIN& Drainfield CO/MT Inspector Anson l mcpie55 BENCHMARK (Assumed elevation) (pp ft Inspection , �� lP Location and description dates: Z 3`°0 2"a r U6TfOrv1 Slofrv(r ® R-Ot COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL En OF. At S`1j1 Conditional Approval: Date !f9 1 ��/ Co. 'd T SPURKLANO. O�l� �+ itc�i Approved Date $� /� S10�P�-,~ Inspection epo _ -t- .d c Ll ONIFERyy ABANDONED EXISTING SEPTIC TANK PER MOA CODE REQUIREMENTS HEI G H T S B L O C K 3 / f / Lot 25 0 25 50 75 100 125 150 SCALE., I' = 50 FT, NOT£.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. DOUBLE CL£ANT"'"" CONNEI EXIST DRA.,., .— SWING 17ES A 9 S.T. C.O. C 26.0' 17.5' ST. C.O. D 1&6' 18.6' DBL C.O. E 17.6' 37.6' DBL C.O. f 18.7' 41.4' nXWBATIM CL£ANOUr BENCH MARK ASSUMED ELEVATION 100 FEET SPURKLAND ENGINEERING CONIFER HEIGHTS Bm 3 LOT2 SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE ANCH. AK. 99501 DEREK WEL TON DATE: JUNE 22, 2012 907 279-3916 7926 PORT ORiORD DR., ANCHORAGE, A!C 99516 SHEET. 1 1 GRID: 2440 PERMIT # OSP 121088 PID # 015-093-21 CL7NIFERHEIGHTSB3L2D1-osbuilt.DWG On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121088 Tax Code Number: 01509321000 Work Type: Septic Upgrade Permit Effective Dates: May 25, 2012 to May 25, 2013 Design Engineer: SPURKLAND ENGINEERING Subdivision: CONIFER HEIGHTS Site Legal Address: CONIFER HEIGHTS BLK 3 LT 2 G:2440 Owner/Address: WELTON DEREK L & FREEMAN LYNDA WELTON 7926 PORT ORFORD DR ANCHORAGE AK 995076023 Site Mailing Address: 7926 PORT ORFORD DR, Anchorage Lot Size in Sq Ft: 54238 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Receive Issued MUNICIPALITY OF ANCHORAGE s � Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. 015-013- 21 Property owner(s) DEQEK WeL-Con Day phone 3'{q- 554 5 Mailing address '7926 Po SS OZFotp DR Site address — 5AMC-- — Legal description (Sub'd., Block & Lot) Cogi:Fey, k'LUTA-rS " BLOCCK 3 Lo Z Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: - (0 all that apply) - - Absorption Field ❑ Initial ❑ Septic Tank Upgrade ®.- Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made ford SingAFamiy pwelli g and is in accordance with applicable Municipal Codes. of property owner or Permit/Rush Fees: aex • Waiver Fees: Date of Payment: 5���(2 Date of Payment: Receipt Number: G. lq Q BReceipfNumber: GcS Permit No. Al2IO� Waiver No. GABuildinglOn SiteTorms\Client FormsTermit App_010411.doc (Rev. 1/11) SpUrMalmd EIMU' orhmu Environmental Consulting and Design May 17, 2012 Municipality of Anchorage Development Services Department Building Services Division On-site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Subject: SEPTIC TANK PERMIT APPLICATION Conifer Heights Block 3 Lot 2 Ladies and Gentlemen: We are submitting an application to upgrade the septic tank for this lot. The existing septic tank serving the above referenced property is 32 years old and the owner would like to replace it. The submittal consists of one (1) drawing showing the present improvements on the lot and the proposed improvements of the lot, of which only the septic tank is subject to this permit application. The installation of this septic tank will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank location. The proposed septic tank will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or are in need of additional information please contact me at 279-3916. Sincerely, tears Spurrkland, P.E. 203 West 15t" Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurktandEng@gci.net A/ G H T S CGNIFER B�GGK 3 �� INSTALL NEW 1500 GALLON STEEL SEPTIC CONNECT TO DRAIN fl£LD / ABANDON EXISTING / SEPTIC TANK PER MOA J / CODE REQUIREMENTS / \ \ Lot 2 \ /Nei 25 0 25 50 75 100 125 150 SCALE 1' = 50 FT. NOTE. THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON—SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION, ALL LOCATIONS SHOWN ARE APPROXIMATE. DOUBLE CLEAN 4 FEET COVER CIINN£CT£B TD , EXIST DRAINFIELB 1500 GALLON SEPTIC TANK FOUNDATION CLEANOUT BENCH MARK ASSUMED ELEVATION 100 FEET SPURKLAND ENGINEERING CONIFER HEIGHTS BLK 3 LOT 2 SEPTIC SYSTEM 203 W TH. AVENUE ANCN. AK.K.99501 DEREK WEL TON DATE. MAY 17, 2012 (907) 279-3916 7926 PORT ORFORD DR., ANCHORAGE, AK 99516 SHEET.• 1/1 GRID: 2440 PERMIT # OSP 111XXXX PID # 015-093-21 CLINIFERHEIGHT9B3L2DI,DW 21%Ak Sparkknd Eimgo sarong Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: Conifer Heights Block 3 Lot 2 Date: May 17, 2012 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans in accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the work includes the installation of a new 1500 gallon septic tank. The location of the drain field is shown on the attached site plan drawings. All components of the proposed septic system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover is required over the septic tank. If less than 4 feet of cover is available, 2 -inch thick, 40 psi, direct bury board foam shall be installed directly over the septic tank and all installed piping. 3. Construction shall be in accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, On-site Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. S. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner is also responsible for vegetation of all areas disturbed by septic system installation activities. 6. Contractors installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are in compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. 203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net spwMand Engffic a ong Environmental Consulting and Design Septic Tank Installation: 1. A new septic tank, of the size specified in the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank is found to be defective. Construction shall include two 4" diameter cleanouts for pumping access. 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shall extend a minimum of 12inches above the final grade. S. Tanks installed with less than 4 feet of cover shall be insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be sufficiently compacted to prevent future settlement of the soil. 8. Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings. 9. A cleanout shall be installed 1 to 4 feet from the foundation. 10. Post tank cleanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm inside the residence being served. 14. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from any residential water well, 150' from any class'C well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Unform Plumbing Code. Inspections: 1. A minimum of one inspection is required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice in the State of Alaska. 2. The septic tank may be set in place, but may not be backfilled. 3. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. 203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Environmental Consulting and Design 4. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours notice is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net 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 NAME PHONE NEW N op— OLt S+0 3q4-1 ❑ UPGRADE MAILING ADDRESS (3 3 LEGAL DESCRIPTION LOCATON NO. OF BEDROOMS � t D WellAbsorption area Dwelling PERMIT NO. UY DISTANCE TO: �. ~a ZQ Manufacturer Material No. of compartments wF � ti Liq. capacity in gallons IF HOMEMADE: Inside length s--'-' Width �,� Liquid depth •^ OCDZ DISTANCE TO: Well Dwelling PERMIT NO. z Material Liquid in = F Manufacturer capacity gallons O Well Foundatio Nearest lot line P RMIT NO. w = DISTANCE TO: 3 ' r wit J LL Z No. of lines Length of each Jine Total length of Ines Trench width Distance between I' es H z W inches Top finish Material beneath tile Total effective absorption area(,,, of tile to grade C7 0 , inches " Length Width Depth PERMIT NO. w C7 < H Type of crib Crib diameter Crib depth Total effective absorption area 0. wa W Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J W 3:DISTANCE Building foundation Sewer Zine Septic tank Absorption areas) TO: OTHER PIPE MATERIALS p a' " f T' (� 1} SOIL TEST RATI N VAA S INSTAL ER V� REMARKS r ea4� ` •n gases • !< • e e • P w APPROVED DATE LEGAL 2-� 8D L a f 72-013 (rv. 3/78) TV c:t f= nNC:"OF?"OF-E DEPARTMENT r HEALTH AND ENVIRONMENTAL "OTECTION 825 "L STREET.- ANCHORAGE, AK 95, ,,j- 264-4720 WELL_ F:-EZV--M I _T PERMIT NO. ( oo�.j 0 (3') FIPPLICANT /Or2M LOCATION -P, LEGAL 11 LOT SIZE 4-1r,11 aOd SQUARE FEET -wow .01- A ;N jNs& Jim* - 0 , - . TYPE OF SOIL. ABSORBTION SYSTEM IS: Tl,�. MAXIMUM NUMBER OF BEDROOMS = 9 SOIL RATING (SQ FT/BR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: c. EF_ F=:,, -r " - 10 L_ E: rj c-3 -r tA - --SG c3 F;z tz4 v F=L_ rN e F=- -r THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD THE DEPTH OFA TRENCH OR PIT 15 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). Fz? F-7 Q U I F;---* EF r> :S E: F=p -r I IZ: _r F=1 r4 K SS 1 2!E:- 160d 1:3 F=l t- L- C-' PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY 14ELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- -rWCI < � > I N -=3 F="E-= 0 -r I ID r4!S F4 F? E: F? E: 0 U I FRED ------- BACKFILLING --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 SE14AGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL) OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=> a FR M I -r a X F=, I FZ a� D a r-- e M EFI I=- FZ a::L.- :lL l_=l 80 I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REM DELED TO INCLWE MORE THAN 3 BEDROOMS. REM Mci/A SIGNED: t- w___ -51 --M/------- -------- APPLICANT ISSUED BY-(&'r-­� --------------------- DATE__X_,,_ V3, 2 December 29, 1978 #780483 Don Tummonds 9430 Dundee Circle Anchorage, Alaska 99502 Subject: Lot 2 Block 3 Conifer Heights Subdivision A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Specialist LNB/ljw enc: copy of permit 100 82 "ESE10N 'L STREET, ANCHORAGE, AK 99. 264-4720 v PERMIT NO. 780453 APPLICANT DON TUMMONDS 9430 DUNDEE CIRCLE 243-5625 LOCATION PORT OXFORD DRIVE LEGAL L2 83 CONIFER HEIGHTS LOT SIZE 44000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SO FT. -IBR)= 140 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C?,EEF1'-F"— ALO =<05 OF;F4VE:L_ E3lFEF:l"-r"= *E=- THELLENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. 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). F;;?.EQUXFRE:r__* '_Sel=`rll= -rFl"K �L101010 OF41L_L_10"�F- 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. --- -r'L4t-_l <;2> l=lr-e.EE 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 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F="eK*_Ml"r F=_XF='lFRES 31,11L_- :lL � 7_ ' f_=.1 I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESI NCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. ILI G N E D,. =_L_ afI^:c�..,.. ------------ PLICANT DON TUMMONDS -- V 3. 2 ISSUED BY- . ... --.-DAT--- E-6 GY SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST j Pouch 6.650, Anchorage, Alaska 99602 276-2221 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 1`3,e1S ro « DATE PERFORMED: LEGAL DESCRIPTION: L 3 U ��+ f �� ✓ f`T 7'� . SLOPE N IfE PLA fZ;U `i DEPTHT- (FEET) 1 2- 3- 4- 5 6 .� _ � f / bier ' ('c�, i�`c•i !- --- ---- - _--�— __ --_ - ,_ 1 to 8 9 10 11 WAS GROUND WATER S ENCOUNTERED? rJ �' L O 12 IF YES, AT WHAT E . tt i f i- `• DEPTH? 13- 14- -5) 15- L ------ 16- 17 --1617 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE (minutes/inch) pq TEST RUN BETWEEN FT AND FT COMMENTSIL\Ly.�L Z r PERFORMED BY: co � N�� � S CERTIFIED 8Y: L DATE: 72.008 (7/76) RETURN TO: Division of Geological and iysicai Surveys (DGGS) STATE OF ALASKA 3001 Porcupine Drive (Telepione: 277-6615) DEPARTMENT OF NATURAL RESOURCES Anchorage, Alaska 99501 W A T E R W E L L R E C O R D Drilling Company Name 11 -1 1 ` - 1 : - Wit. U.S.G.S. Local 110. 1,, Drilling Permit No. LOCATION OF WELL Please complete either la, lb, or ic. A.D.L. No. Ia. Borough Subdivision Lot Block ib. Fraction Section No. Township N/S Range E/W Meridian Ic• Distance and Direction from Road Intersections Street Address and Area of Well Location 3. OWNER OF WELL: Address: 2. WELL LOG Feet Below Surface Material Type Top Bottom 4• WELL DEPTH: (completed) j ,- ft. Surface Elevation IDate of Completion 5, C] Cab ie tool Rotary Driven Dug ❑ Auger ❑ Jetted ❑ Bored ❑ Other: n, ; ' ; C i ` i 6. USE: ❑ Domestic Public Supply Industry []Irrigation ❑ Recharge ❑ Commercial Test Well Other: _I c + -,1 '7 r 7. CASING: Threaded Welded in. to ft. Depth Weight lbs/ft. in. to ft. Depth t r 8. FINISH OF WELL: Type: Diameter: Slot/Mesh Size: Length: Set between ft. and ft. � FlttIngs: f1 « 9, STATIC WATER LEVEL: ft. Above riBelow land surface Type of Measurement: 10. PUMPING LEVEL below land surface ft. after hrs. pumping 9 -P -m• ft. after hrs. pumping 9 -P -m- i1. WELL HEAD COMPLETION: In Approved Pit C]Pltiess Adapter inches above grade 12. GROUTING: Well Grouted: Yes 0 No Material: ❑ Neat Cement ❑ Other: 13• PUMP: (if available) HP Length of Drop Pipe ft. capacity MI g•P• Type: (3 Submersible ❑ Reciprocating ❑ Jet ❑ Other: 14. REMARKS: 1t'.• 15, WATER WELL CONTRACTOR'S CERTIFICATION: This well was drilled under my jurisdiction and this report Is true to the best of my knowledge and belief: eglstere Business -Name Contract censo u er Address: Signed: Data: Authorized Representative Form 02-WWR Copy Distribution: WHITE - State OGGS, PiNK - Driller, CANARY - Customer i3ON;Yi'i—JCT ION PLAN it i�; iho of the ownfcr, prior to c0nsl,i proposed batt ing, IOcntiOl o:i lot, Grildo, i,, L:/ conncctinns, to GeterMino, il':' oxistonce o-1 ,lrl/ riiont:>, covGr',:;nt3, qr rC. u'tCtloil i ',.,,,Cil do not r�wvru,u f11�:1,. eri 50 D 3rorz Cop Rionurr OM o troll i ipo \ r ui'cul Pin Survoy Hub Q 'rock -� f= 0 V f i n, I hereby certify that I have surveyed Lot 7� Block •�? Subdivision, Anchorage Recording Precinct, Alaska, ,no nave replaced all lost corners with 5/8" X 30" rebar. It is the responsibility of the owner, prior to construction, to verify proposed building location on lot, grade, and utility connections, also to cetermine the existence of any easements, covenants, or restrictions ,.-Ahich do not appear on the recorded plat. Dated at Anchorage, AI ska day of_ \�' r.. _ , 19,. unstrucYing Er{11iine­-s, SRA lox 60, Anchorage, Alaska. 444•x$17 344.7960 ^�cS MUNICIPALITY OF ANCHORAGE • ' ° DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907)34311744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D.# 015-093-21 HAA# 4DOCO14 D Mailing address. Lending agency Day phone Mailing address Agent DAVE WINDSOR w/REMAX Day phone _(9077) 744-5333 Address' 2600 CORDOVA STREET ANCHORAGE AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. V91) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $1800.00 at, or prior to, closing for the engineering services ,provided. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on thinformation obtained from the Municipality of Anchorage files and from my investigation and inspectio the on-site water supply and/or wastewater . disposal system is in compliance with all Municipal and to codes, ordinances, and regulations in effect on the date of this inspection. /% Name of Firm Phone (907) 337-6179 Engineer's Signature rA 61Ldlelines DIn conducting this evaluation, AWWClnc. pivide a thorough; conscientious engineering anatysis of the system in accordance with ADEC and MO D HS 6 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water 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 the system. Satisfactory test results do not guarantee future performance o of the system, nor do theyguarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty for future estimate of how long the �P system will continue to meet the operational requirements of the ADEC or MOA DHHS. * ' The content of this report is for the sole benefit of the owner listed above. Any Q reliance upon or use of this report by any other person or party is not authorized, nor Wil it confer any legal right whatsoever. V fr A, ss., 6. DHHS SIGNATURE �Q� —7953 ?( .......• ' Approved for .� �Qf°tee pP bedrooms �� dProfessiono, Disapproved Conditional approval for bedrooms, with the following stipulations: 0 Additional Comments.SFE ATJ' cyED WATER WELL ApLllsag e Date 4 - 2S -,00 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 Computer Version RECEIVFt Municipality of Anchorage�p� ry 7 2000 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division Mumcipnu,r - 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (96RiYS4AffA4sEr Health Authority Approval Checklist Legal Description: CONIFER HEIGHTS; LOT 2, BLOCK 3 Parcel I.D.: 015-093-21 A. WELL DATA Well Type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N/A Log present (Y/N) YES Date completed 9/17/80 Total depth 275' Cased to 203' Casing height (above ground) 3.3' Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Date of test Static water level Well production FROM WELL LOG 9/17/80 190' AT INSPECTION 3/22/2000 WATER SAMPLE RESULTS: Coliform Nitrate �y rng�L Other bacteria Date of sample: T�O 0 Collected by: A.W.W.C., INC. 9— p.m- B. SEPTIC/HOLDING TANK DATA Date installed 9/80 Tank size 1000 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) N/A Date of Pumping 3/20/2000 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA * NONE VISIBLE DUE TO SNOW COVER Date installed 9/80 Soil rating (.g p d./ft2 or ft2/bdrm) 140 System type TRENCH Length 36' Width 3' Gravel thickness below pipe 6' Total depth 10' Effective absorption area 432 SQ FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) *NO Date of adequacy test 3/24/2000 Results (Pass/Fail) PASS For 3 Bedrooms Fluid depth in absorption field before test (in.); **35 Immediately after 1200 gal. water added (in.): **72 Fluid depth 47.5 (ins) Minutes later: 1380 Absorption rate = 450+ Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date ----- 72-026(Rev.3/96)• Computer Version **SUMP EXTENDS DOWN 65" INTO TRENCH NOT ATO BOTTOM pR>;SoA-Kr..d o -i 3/?o)DO /Svo bgiwa5 y aov9' 1,1 7 r gv)s /a ., Ns j 7-a7l"L D. LIFT STATION Date installedSize in Aert� Manhole/Access (Y/N) on" level at* "Pump off' level at* High water alarm level *Datum - High E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septio/holding tank on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer/septic service line 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5+ Property ftY ' a line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main/service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage area 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. ENGINEER'S I certify that I of Municipal n with MOA HA, Engineer's 3 HAA Fee Date of Payment F3 Jdd inspections and review ams are in conformance is date. 04-1 i7—oo• Waiver Fee Date of Payment Receipt Number �1( d, 3� Receipt Number 72-026 (Rev. 3ig6p Computer version - A. lSacR'�ss;. —7953 a MUNICIPALITY OF ANCHORAGE M E M O R A N D U M WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO. 000146 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot -2- Block 3 of GOm ag NE/GHTS Subdivision, the well's productivity was determined to be .78 gallons per minute. The mir_imum well productivity required by this Department (AMC 15.55) for a bedroom residence is ,31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. MUNICIPALITY OF ANCHORAGE AL • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section cam P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # HAA # �IQgt n LS 1 1. GENERAL INFORMATION Complete legal description's Z- �> �C�C /� LL►�i►- �-2 c-'�L+,� Location (site address or directions) 761 Z& Pc.,)Zr 017-i=o 12.-D 1)Q_i\ JC Property owner�`a�=O2L�= ��=1`� ^'� '�` Day phone Mailing address Lending agency Day phone Mailing address Agent I\IA-tJ L j /44=-U Day phone Z-1 3- 7 7 54 Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well XAxX. Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X X x k 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) From MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below,'I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm 4Ai DC'2 S o�jANG ��%c= v�21n1 G Phone !;1,3- V 5 5 Address 5c)k Z-407 7 Engineer's signature _u�l.cX. �'��`�'��' Date 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments y�IA J .F., /. 7 Y�yye A^ ��•�M1� ��yo �69raY.--'� .- ���OAAIDff R �'�iis�teitZe� bedrooms, with the following stipulations: 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-M (Rev. 1/91) Back MOA #21 STATION l p,�l t„= ant LOT - Date installed Size in all g ons Manhole/Access (Y/N) "Pump on" level at* "Pump off' level at* High water alarm level at**Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot >/,00 f ; On adjacent lots 1> /DO r Absorption field on lot }/DD On adjacent lots > /00 Public sewer main _ /V1144;3 Public sewer manhole/cleanout A ws, Sewer /septic service line � S'D / Lift station AJIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation "> 5' 1 Property line >/O / - Absorption field /d � Water main/service line > 3 0 r Surface water/drainage /DO' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation > /5 Water main/service line i Surface water W00 Driveway, parking/vehicle storage area > Curtain drain /VOAI U7 47AJ Wells on adjacent lots >/Od r Property line 2.0 r F. ENGINEER'S CERTIFICATION I certify that have determined thru field inspections and review of Municipal records.,, 1! flr )$%%tems are in conformance with MOA HAA guidelines in effect on this date. 4o...°.® Signature �1 �•�s. •°° gq� Apt 0® yea `Ner a.... Engineer's Name . K44Ca C 4M.01.'71.f0� •»! g. Datekn+ctaaa(� A»d.rsfln �. �JR HAA Fee $ 0c) ,O(D Waiver Fee $ Date of Payment — $-9 to Date of Payment Receipt Number © dco Receipt Number Rev. 8/95 OSS: haawk.doc July 5, 1996 Municipality of Anchorage Department of Health and Human Services Onsite Services Section P.O. Box 196650 Anchorage, AK 99519-6650 Attention: On -Site Services Engineer Subject: Lot 2, Block 3, Conifer Heights Subdivision Well Flow Test Dear Reviewer: The water system serving the three bedroom home on Lot 3, Block 2, Conifer Heights Subdivision consists of 3 - 100 gallon storage tanks along with a 40 gallon Ex-Trol pressure tank. The storage capacity was apparently added due to the low production of the well which was completed in 1980 with a production rate of 1.5 gallons per minute. The flow test on the well was performed by depleting the water storage capacity entirely and forcing the system to run completely off well production. Drawdown in the well was then measured over an approximate one hour period wherein approximately 335 gallons was pumped from the well. Recovery was then measured over the next 3-1/2 hour period. The well ran continuously over this time first filling the storage tanks and then filling the casing. Over this time the well produced in excess of 300 gallons of water or nearly 1.4 gallons per minute. The well appears to be producing sufficient water to meet the minimum required amount of 450 gallons per day. Sincerely, "�� E a"I'— Michael E. Anderson, P.E. RATURN, Tat 11twelve" of tool"Isel and Qyniqd.,:'-I,—.- loco tonveloo ItIve IIIII9715not 177-4615). AqvIlograves. Alaska 99101 v A T t 4 V oplIlInve company 01484_jt�,­ 1 rt D r i I I I n e Itt P1 t:'." I*.ry t.4.26,U"l ft. .8 .111mg Permitted. OCCATION Of WtLt COMIGIA attar la. lb. at It. 14, bere"h I Subdivision con Lot I Al!cv, 11S. Frectio" I S"tion ft.•x 77 Wp 49.W knees I 141 It. 011tane, ane DireCtIon from Road IAt#T%4KtI0R% «t street Address and Area of wall L640110M l VACR Of 14LLo "I o .4 2. WM L04 Fast solve face material Tye* Too lattom A. WILL 19""I'l eased) 275 wto!ev television Date 11 '. 3 L O 1 S. E3Cblo test [311stary [30fl"" [3%M1 0 A101144, Oi-tted 0soped" 06t'bari 77 1. 7,77 t (..I;.v 1 p f. 1311 -xq 6. Usti 000"Itle; C]Pwbllt%WOOII 131#wntrYA' Cirri ' E3 Amehartive Nest wall 130thefs C Ilotion I 1115 CAsIR61 [] Threaded [3W41404 6 in. to t. Depth ht Volt lbsI.ft. a. -4. to ft. Depth ;_1 17 5 FINISH Of VCLLI perforated stet/Hash Steel — Le"thl Sot below@ _ ft. SOW fIttIA11119416" t. 195169 S. STATIC WATtR L[VM ft. Abe" Elleale. food Surface Type of Mosevromenta 10. PUMPING LEVC1. below land surface —ft. afto, Owl. pumping It. after bpi. pummInee O.P.M. 11. WELL HILAO COMPLETION, in Approved P I t EC]Pltlo§ Adaptor Inches above trade 12. GROUTING1 Well Grooteds 0 via ©Ne Matertall 1301"t Cement 0 @the" 11. PURPI (it available) NP V 4 1 Le"th of Drop I, E�� ft. capacity RVOL V.P.m Typos [3svbosrslblo cleteelproccitne 0 J.t 00ther, 14. AlmAmRs, W(jil 1) 11.1.01.1 '­J,qA1 and rcuvry ;1, WO gptl IS. VATtM Wt%L CONTRACTOR'S CtATIVICATIOMI This .011 .66 spilled under my jurlsdictIoA and this report Is true to the belt of my krApwlodf* and bellott 1 1. r - ' - *1 '. , -.. I r 7 ')" Aolistor*d I.S1.41s Md."Contrast License Number Address: Xk.. 99507 Octal Authorized Representative Fare 03 -VA Copy lelstrIbVitlone WHITIE •State INS. Plim Z*erlitsp'.. CAMANT - Customer JUL-16-96 TUE UU 6 C ISHHl:S VUMeINU StKV I Vt. 7f0 (.7bGZ3..+.+ 1 r L 2 II "� c' ,•�.. _ � �p, L..E (ill M 3 ,\N 1�� :vA r', ❑ .r P) v j •D • ❑ v �Qi� 5. LEGAL DESCRIPTION e' o DATE RECEIVED INSPECTION APPOINTMENTS 1��� IME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 • ENVIRONMENTAL SANITATION DIVISION SEP 2 5 1980 Telephone 264-4720 (� REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW CiF �li'�� IL DIRECTIONS: Complete all parts on page 1. Incomplete requests not be processed. Please allow ten (10) days for processing. `will 1. PRQ,P j WN \� 1 t _ V� k (J �/�J 7 C/ PHONE LPO 71 MAILING DDRE3S�`,� ,� C �-0 ep� C' f PROPERTY RESIDENT (If different from above) PHONE ?(-(Sr - 2 2. BUYER Cl N + C i -t v iL t_.. r;r t- L:Eyz_ PHONE 24S - z 60 Cir MAILING ADDRESS 3. LENDING INSTITUTION (-"\ ' m ° F - ' G—pr ;'rc C'v t_ L t c! 1J PHONE 12-77 MAILING ADDRESS 4. REALTOR/AGENT PHONE Z,C{4s,245vCx ILING ADDRESS l..__ r 5. LEGAL DESCRIPTION e' o L STREET LOCATION N.\-l-r� 1��� 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY IR INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 1 i A INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON -SITE EJ PUBLIC UTILITY,,, Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 110400 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer LineNearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS L —PPROVED FOR — BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE / �)-gg BY �. 72-010 (Rev. 6/79) Municipality of 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Bristow/Gallagher Property October 6, 1980 Norm Bristo % Graham Young 2804 West Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 2 Block 3 Conifer Heights Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) A well log submitted to this department for our review. (2) The water analysis report be delivered to this department from Chem Lb, 5633 B Street, for our review. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Amfac Mortgage Corporation 401 East Northern Lights Suite 212 - 99503 % Colleen