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Home My WebLink AboutALPINE TERRACE BLK 4 LT 2 MUNICIPALITY OF ANCHORAGE DEl TMENT OF HEALTH AND HUMAN SER~ .S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES .~C'LOL]ISJ~ ~¢_...~/C/'/~""? /~/'.,~/T"~'~E ~~ ~ SEPTIC ABSORPTION Address ~7 ~ Nm~,~ ~~ ~ TANK FIELD WELL Phone(s) Permit No.' I No. of Bedrooms WELL ~...c.,..,o. LOT LINE Township, Ra~e, ~ect~on T/~H, ~ ~ ~~ ~ AS-BUlLTDlAGRAM(Showlocat,onofwell. septic system, propertyhnes, foundat,on, dnveway, water bodms, etc.) ~ SEPTIC ~ HOLDING -~'anufacturer Capac,ty m gallons ~atenal ~o. ol Compa~menls ~ ~r r~ -~-_ _,% TYPE OF SYSTEM ~ RENCH ~ BED ¢ W. DRAIN ~ OTHER - ~ ~eptht°p'peb°tt°mff°m~ T°taldepthfr°m°nglnalgrade ~~ '~ ~. ~ !~ ~.. original grade FT q FT - Fdl added above onginal grade Gravel depth beneath p~pe T°tal ab~rptl°n area ~ ¢~' Distance betweeR 'Inesso F' " F, installer Date Install~ ~4~ '°h~ l~- /0¢' /I w~s / / /¢ B/ g PRIVATE g OTHER (Identify) / ~( - Inst~le~ Date Installed: ".,., ~.' REMARKS: , .,.,..... ..... ' . ~NGI~EER'S SEAL ,,':~ ' , "'~ Inspechons Pedormed by: ' l~Yl~h ,, , ~~'~/~ cedily that this inspecli0n was ped0rmed a~c0rding t0 all ~:~" ,' municipa~andSa g' ' '~mm~ . . . . 72-013 (3/85) DEP(::~R"H"tEI',IT [), HEAL. TH AND ENV IRONMIEI',ITAL. F'~-(' I. j1 ~.:.L,' .... 1 ION. ,. .................. , ....... , ....... :f.,~:.,..~ I .... AK A N L, ~ '1 (..) F'~ A b E::., ........, · :., t I ',E .I :. l , :~:,~5(") 'I '%, :., ( .. ~. %" ~'.~ ..... ,L ..I. 4, API:::'L I CAhlT: A D D R lie !'3 S; C 0 N'T' A C'T' F:'HONE; HERITAGE HOMES / SF:'URI<L..AND 203 W. 15 AVE. AN[:I'4ORAGE,, AK 995C'.1. 279-39 ',1.6 1....EGAt .... DESCR Il:::': SUBD I V I S I ON: AI...P I NE 'TERRACE L. OT: 2 BL. OCI-'::: 4 SECTION," 24 T[JWI',JSH IF': I::.?N RANGE: 3W L. OT SI Zliii:: 450()(.~ (SQ,, I::'T, OR PCF:;,ES) ]: c(.:.~"t:.:L ~:'y that: :[,, :[ aifi Cami].:i. an with the r'ec:luir'emer'~t!.=.i {C'.,F- on--site sewer's and wells as .set ~'or'th by the Municipal:i.'Ly of Anchc:,nage (MOA) and the State o~' Alaska,, 2, I will :i. ns'Lall the system :i.n acco~-dance t,~i'l:..h all MOA c::c.~de~ and pegu:l, ations, and in cC, ml::.~].iar'~ce wi. th the design cr'iter':i.a of th:i.s per'mit, 3,, I w:Lll ac:lher'e t.c:t all MOA and Sta'Le of Alaska r'equinemer'vLs eof the set back ,'.:.~.i. star~ces ~'r'c,m any e;..' is'Ling wel 1, wast. e~,¢at, er. disposal sys'f, em c,r' pu. bl :i.c:: sewepage system on th:Ls or. any adjacent c.~n near'by lot,, IF A t....!I::'T S'f'ATIC)I',I ]:S II".ISTAI...L. ED IN AN AREA [;DVERIED BY MOA BUII...DING CODIES, THE:N ( :1. ) AN E:L. EC]"F, I [:~L F:'ERM I T ~h, ID ...........'t: NSF'F:T:T' I (31",1 MIJ~::~" ...... I BE OBTA I NED; NII....I .... NOT BE AI:::'F:'ROVED NI'T'HOUT AN EI....ECTRICAL II',ISF'ECT];ON REF'OF~T; AND (3) THIE EI....EC'T'I::;:ICAL. WE)I::;..'K MtJST BIE DONE BY A I....ICIENSED EL. EC'T'RIC:!;AN,, :,: ,::: ,.,, ..,.. ., i::;;; ;;';':i: ;;;;: .................................................................................... PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: L~',~ :B~. ALI~Ikl¢- 'FIF. Q,1l~_T°wnship, Range, Section: .-~ ¢-,~/, TI'¢/~I~ P-., &¢./ SLOPE SITE PLAN 11 12 13 WAS GROUND WATER ENCOUNTERED? F YES, AT WHAT DEPTH? pth to Water Alter Monitoring? PERCOLATION RATE __ S l O P E Dale: Reading Date Gross Net Depth to Net Time Time Water Drop 14 15 16 17 18 19 20 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN I FT AND __ FT . ! ' ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFLT ON THIS DATE. DATE: ~Z~ /~ 72-008 (Rev. 4/85) SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: · 'l .... 1' ' ' LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O iL 'Y S ,vo M WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT /~¢_.,p"~To ~ ~ ~ DEPTH? · IJr0 t_~ S L 0 P E Gross Net Depth to Net Reading Date Time Time Water Drop TEST RUN BETWEEN FT AND ~ FT COMMENTS CERTIFIED BY: DATE: 72-008 (6/79) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PE.FORMEDFOR: IObin ~OurKlOnd I LEGA' DESC.,PT,ON: /N I o i n cTe_~rro~ce. ! 1 ~ ~nd~j 6r~v~l 3 5 6 7 8 9I 10 11 12 13 14 15 16 17 18 19 ~ndq ~r~vct. HOLE 20 (ENGINEER'S SEAL) DA.E PER.ORMED: ~]nc ,30, IqS~ Township, Range, Section: "i~l~k q, L-~'~ c~ SLOPE SITE PLAN WAS GROUND WATER I'~tl~ ENCOUNTERED? S L IF YES, AT WHAT -- , O DEPTH? p E Depth to Water Alter Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop ~ r,, 6-so.~ ,~:~ ,t~ .... ,¢5 ,--_.~ II ,-., c~;qS- IA..,..,:._ o(.C~ DN RATE 3: ~ )PERC HOLE DI/~ER ' ~ ] TEST RUN BETWEEN __ FT AND __ FT COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) JULY 1 1986 ASPEN TERRACE BLOCK 4 TESTHOLE - SAMPLE DEPTH = 5.5 PERCENT PASSING #200 SIEVE 1.3 PERCENT PASSING #100 SIEVE 3.2 PERCENT PASSING # 60 SIEVE 5.5 PERCENT PASSING # 40 SIEVE 10.2 PERCENT PASSING # 20 SIEVE 17.1 PERCENT PASSING # 10 SIEVE 27.3 PERCENT PASSING # 4 SIEVE 39.5 PERCENT PASSING 1/2 IN SIEVE 70.0 PERCENT PASSING 3/4 IN SIEVE 82.8 PERCENT PASSING 1 INCH SIEVE 93.2 PERCENT PASSING 2 INCH SIEVE 100.0 PERCENT PASSING 8 INCH SIEVE 100.0 { 51'r.f. pLAk/ Iq'Z, ol,,/1 /~-~UlL."ff I I ~1%~iN6 l'kl'rd'~7~-" WEJ..P Cap~,W GRE/'-ER ANCHORAGE AREA BOP^UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS C.~ A )q /-~ H qC~O c9,. PHONE SEPTIC TA/~K: FROM WELL /~ '* MANUFACTURER ~--/~-~]c~-/~- MATERIAL --~-~ ~- / NUMBER OF COMPARTMENTS / INSIDE LENGTH INSIDE WIDTH ~ LIQUID DEPTH -'--- LIQUID CAPACITY/~'O 0 GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER ~-- OR WIDTH LENGTH ~- DEPTH v / /_ ~ ' ~'/ LINING MATERIAL~/~ /(-J/~. CRIB SIZE: DIAMETER~DEPTH~ DISTANCE FROM: WELL ~ ~ '.~.. I ~~/~/~-~ ~ . TOTAL EFFECTIVE //[~ A BUILDING FOUNDATION~ -, NEAREST LOT LINE :~ ~. ABSORPTION AREA (WALL AREA) ~~ SQ. FT. ADDITIONAL ABSORPTION /-~ ~ / WELL: - TYP CONSTRUCTION DEPTH DISTANCE FROM: / BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION , LOT LINE , SEWER LINE , TANK__, SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: t~/~/~ PIPE MATERIAL:[~,'~'/---)'~ ~/~, O/V/ LOT SLOPE: :0 ~._./L~ h GReATEr ANCHORAGe AReA BOROGgH PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM -- APPLICATION Al,ID PERMIT INSTALLATION Of: SEPTIC TANK / SEEPAGE PiT ~ . DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED ~/~ FINANCED THROUGH TO BE INSTALLED BY NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMFLETION DATE ANTICIPATED .~' ~.t...~..~t ---~ ..J~ "' 7'"'~. FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /~'O TYPE ff ~~ ' < - E AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAge PIT WaLl /-~ SEPTIC TANK . SEEPAGE PIT . DRAIN FIELD TO NEAREST LOT LINE. Drain FIELD ~ . ALSO CONSIDEr AREA WELLS. WATEr MaIN TO SEPTIC TaNK ---- , SEEPAGE PiT DRAIN ~EED DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP 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. GRAVEL BACKPILL CONFORM TO BOROUGH REGULATIONS REGARDING iNSTALLATiON. OR DIAGRAM OF sYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE,o NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE ,1, ~ APPLICANT'S SIGNATUR FORM NO. EQ-0I 6 / GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case # Performed For &e~q-.~ [/]A~ ~.~¢~/ Dated Performed ~'~tl-] Legal Description: Lot ~ Block ~ Subdivision /~/~;~e. This Form Reports Soils Log /~ Percolation Test - Soil Test Must Be Logged To 4' Below Proposed Seepage System Depth Feet 1-- Soil Characteristics m lOm llm 12m 13-- 14-- Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of Pit Or Trench COMMENTS: ~.S~ 7z"~// Test Performed BY /~2~:~ Date Certified BY: Date: 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 ~o~/ GENERALINFORMATION (a) (b) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name A,~7 F~lck: Applicant Address //~'-'~ Telephone: Home ~/-J~-~'b.~ Business O//~£.~ Z)~I~/~: (c) Applicant is (check one): Lending Institution []; Owner/b~tder~; Buyer []; Other I-I (explain); (d) Lending Institution Address 'T'~rc~-- '~..~-J4 (e) Real Estate Company and Agent Address ~ ~ ~ Telephone ~ - ~ (f) Mail the HAA to the following address: Telephone TYPE OF RESIDENCE Single-Family [~ Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY Individual Well~l~' 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. 72-025 (11/84) Page 1 of 2 ENGINEERING FIRM PROVIDING ,NSPECTIONS, TESTS, FILE SEARCH, DA'I M 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 theNamedate of this inspection. ~,.,,/J of Firm ~'-'~'~.¢~,-1 ~'~,,p~j ~ Address ;/ ~'~0~'~' ~'/~'~'~ Date Telephone Seal DHEP APPROVAL Approved for /7"'~..~ ~/bedrooms by Approved ~ Disapproved Terms of Conditional Approval Conditional Date 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) WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal DescrJption:_..~O T ~-, ~. ?'/, A'L IN¢ Well Classification ~[~ ~..--~ Well Log Present (Y/N) J~ . Total Depth ~,~:) ~ Cased to. Static Water Level ~"~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) If' A, B, C, D.E.C. Approved (Y/N) Date Completed 1~7_~ Yield J~. '~ Depth of Grouting Pump Set At' ~,~) Sanitary Seal on Casing (Y/N) Depresmon Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot /.0'~ /./~ /e~.?/~; On Adjqining Lots - To Nearest Edge of Absorption Field on Lot '~/IO /,-/ ; On Adjoining Lots To Nearest Public Sewer Line /~/'~/~' To Nearest Public Sewer Cleanout/Manhole /Vof~'~~' To Nearest Sewer Service Line on Lot Water Sam pie Collected by "7~.._~ ; Date ~//~ ~'/,~' Water Sam pie Test Results Comments ~ ~,74,,~-~-/ ~/~.s ;~~" / / SEPTIC/HOLDING TANK DATA Date Installed ,~,¢)'r;l/~7-'-'-'~ Size I Standpipes (Y/N) '7'I,~G Air-tight Caps (Y/N) Depression over Tank (Y/N) ~/ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) No, of Compartments ~/~/',~ Foundation Cleanou. t (Y/N) Date Last Pure peal ~'/~'~' ; for Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ...... To Building Foundation To Property Line To Water Main/Service Line Course To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) 'C. ABsoRPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ Width of Field /,~ ~_~' ~ Type of System Design Length of Field Depth of Field Gravel Bed Thickness ~ ,~ ? Square Feet of Absorption Area ~ ~,~ ~::~' ~' Standpipes Present (Y/N) ¢DJ~,/~- ~.~ Depression over Field (Y/N) ~ Date of Last Adequacy Test Results of Last Adequacy Test ~. ~_q,~.-c,~?,v.,~, ~ ? (~)QO~./d~, I[,J ,,~ ~JO. Separation Distance from Absorption Field: To Water-Supply Well ~ //O To Property Line .~ To Building Foundation ' '-~7 To Existing or Abandoned System on Lot /'~/./")/~ ; On Adjoining Lots ~ / To Water Main/Service Line _~' / I~ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /~/0_/~. ~-~' To Driveway, Parking Area, or Vehicle Storage Area Comments ,~--- .,~ ¢~//~.A'-'~ ,,5'/.,.. ~..3'",~.~ ~ ~'~ /~, ,.4~/.-~.,~/ _./~/'/~,~. D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date Company MOA No. Receipt No. '~("'~ Date of Payment Amount: $ Page 2 of 2 72-026.(11/84) Engineer's Seal CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOT 2, BLOCK 4, ALPINE TERRACE LOCATION: 11925 CIRCLE DRIVE OWNER: ARTHUR F. FREDRICK RESIDENCE: SINGLE FAMILY, FIVE BEDROOMS WATER SYSTEM: ON SITE WELL SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, ONE COMP. 1500 GAL. ABSORPTION SYSTEM: LOG CRIB ABSORPTION AREA: 492 SQ. FT. SOIL RATING: 85 INSTALLATION DATE: APRIL 1973 DATE OF PUMPING: JUNE 3, 1986 ROTO ROOTER DATE OF TEST: JUNE 24, 1986 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 3.5 FEET OF COVER. LIQUID DEPTH IN TANK WAS 48 INCHES. LOG CRIB WAS FOUND 10 FEET DEEP AND WITH 55 INCHES OF WATER. WATER WAS ADDED TO THE CRIB AT A CONSTANT RATE OF 5 GALLONS PER MINUTE. THE WATER LE- VELS IN TANK AND CRIB MONITORED. THE ADDITION OF 3~0 GALLONS CAUSED THE WATER LEVEL IN THE CRIB TO RISE TWO FEET AND THE LEVEL IN ~ANK TO RISE .5 INCHES. AN ADDITIONAL 130 GALLONS CAUSED THE LEVELS TO RISE 3 INCHES MORE. THE INFILTRATION RATE WAS NOW MONITORED FOR 60 MINUTES BY TAKING LEVEL READINGS EVERY 10 MINUTES. THE LEVELS DROPPED AT A CONSTANT RATE OF 1/4 INCH EVERY 10 MINUTES. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THE SYSTEM DOES NOT HAVE A SUFFI- CIENT SURCHARGE CAPACITY FOR A RESIDENCE OF THIS SIZE. HEAVY WATER USAGE ASSOCIATED WITH SHOWERING AND LAUNDRY WILL CAUSE WASTEWATER TO SURCHARGE THE SEPTIC TANK AND WATER BACKING UP INTO THE HOUSE PLUMBING. IT IS RECOMMENDED THAT ADDITIONAL INFILTRA- TION AREA BE PROVIDED. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. L, ONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE. ALASKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: LOT 2, BLOCK 4, ALPINE TERRACE 11925 CIRCLE DRIVE ARTHUR F. FREDRICK TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: NO INSTALLATION REQUIREMENTS MET: YES WELL YIELD: 5 GALLONS PER MINUTE PUMP YIELD: 5 GALLONS PER MINUTE DATE OF INSPECTION: JUNE 24, 1986 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. STATIC WATER LEVEL WAS FOUND AT 37 FEET BELOW TOP OF CASING. THE WELL CASING WAS FOUND PERFORATED AT 60 FEET WITH WATER ENTERING AT THAT LEVEL. THE INFLOW WAS MEASURED TO BE 5 GALLONS PER MINUTE. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON JUNE 25, 1986. TEST WAS NEGATIVE.. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. -- ~.' ~ '.~'5 .... ~ ..... ~ /~o. 2225-E ,'. "~. r,;~ (';: · JUNE 2a. t971 ~ ~.,~. " . '~ DA'I~E RECEIVED INSPECTION APPOINTMENTS _\ D DEPT. OF H~ALTH MUNICIPALITY OF ANCHORAGE -. -..~ ~ ~M NTAL ~R TSC ~W ON,ENteL ~O~ON ~~ DEPARTMENT OF HEALTH & ENV RO E _ O T /~ ;~ 825 L Strut - Anchora~, Alaska 99501 JAN 1 7 1980 o,v,s,o. ~ Telephone 2~-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts o~t page 1. Incomplete requ~ will not ~ pr~. Please allow ten (10) days for processing. 1. PROPERTYOWNE~ . ~ PHONE ~O~TY~figI~fi~T {If dill,font from 8bov~} ~ / ~O~fi '-~ ~ ~ P ONE 3. L~DING INSTITUTION I ~HONE ~, ~O~A~T ' / ~ ~ PHONE ~AI EING AbDRESS -- ' . ' 6, TYPE OF RESIDENCE I]~-/'~G LE FAMILY [] MULTIPLE FAMILY 7, WATER SUPPLY [~'"'~bl VI DUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGEDISPOSAL SYSTEM ~INDIVI DUAL/ON'SITE** [] PUBLIC UTILITY NUMBER OF~BEDROOMS [] One [] Four [] Other [] Two [~e [] Three [] Six * ATTACH WELL LOG. A well log is required f.o. Lall wells drilled since June 19,75, For wells drilled prior to that date, give wel depth (attach log if available.) .//~::~"-~ YEAR ON-SITE SYSTEM WAS INSTALLED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SlX [] OTHER 2. WATER SUPPLY [] NDIVIDUAL [] COMMUNITY PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: ./5'O¢3 If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOl LS RATING MANUFACTURER MATERIAL Septic/Holding Tank i~O IAbsorption Areal - ISewer Line I/to I , Nearest Lot Line 5. COMMENTS DATE APPROVED FOR __~ BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED t 72-010 (Rev. 6/79) Tobben Spurldand P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 SEWER ADEQACY TEST LOT 2, BLOCK 4, AIPINE TERRACE Mr. Gene McGill $~A ~x 23~6 M Anche~e, Ala~ka~ 99507 Re sidence: 5 bedrooms, Finished, constructed in 1973 Water System: On 8ire Well Sewer System: 15o0 gal tank LoS Crib 8xSx6 A~ssrption Area 492 sq. ft. Date of Test: January 24, 1980 Test Procedure. On inspection, 12 inches of water was found in the crib. After charging with 500 gal. depth was 28 inches After charging with 1500 gal depth was 48 inches. After 24 hours, depth was 20 inches. Absorption: 1500x~:--~1~-------_ . = 1166gal/24hro Rate of This system is adequate for this size buildi~. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ,~/~/ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Approval'requested by:)t~. ~,.~-,~.,....~.~.~ ~, ~ ,.'l~/bL '1. Mailing Address: ~, ~.K 7~ a~} f~>Phone: 2. Property Owner: ~..~._~,.~.~.~ Phone: Mailing Address: 5. Type of facility____., _ __t° be inspected ~'q~~,~ No. of bedrooms A. Type ~e~ ~~ B. Depth ~f..._ C. Construction ~/~ D. Bacterial Analysis Sewage Disposal System: ~~L~ ~~'~"~ 7. A.C. Septic Installed Tank:~' ~%~]. S~ze ~m~Z 2. ~an~fact~rer D. Seepage Pit: 1. Absorption Area ~ 2. Material E. Disposal Field: Total length of lines e ,f Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area /JO , Sewer Line~" , C. Absorption area to nearest lot line , Other contamination ( /~-// , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req~_$t for Approval of Individual S~..ar & Water Facilities Legal Description Comments Approved [~~~ Disapproved Date ~q'/°l~/~ t~ Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ~brch 21, 1975. l~r. E. F. Star Rte. P~x 1464 Anchorage, Alastxa 99502 SlJ[OE, CT: Lot 2, Block 4 --Alpine Terrace Dear }Ir. }{cGill: A~ your lot is in c~xcess oF. one acre the lot size req~ire~nts of 18 AAC 72.030 is not applicable in y~ar ca.se and it is only necessary to meet local borough requirements. Yours trulY, -. Ey!e $. Cherry Regiona. 1 £n¥iro~ental Engin~r cc: C~-DEQ /