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Home My WebLink AboutT12N R3W SEC 15 LT 6 Municipality of Anchorage pa,e / of :"- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well ~nspection Report Permit Number: ~',/- ~,~-g,'.~ PIDNumber: c9/5~$''~3 //~ Name: Wastewater System: I~'New [] Upgrade Address: , ABSORPTION FIELD Phone: I No. o~edrooms: ~"~ ~-r' -,;.~ ~"~ '~ O~ Deep Trench [] Shallow Trench ~Bed [] Mound [] Other Total Depth from original grade: LEGAL DESCRIPTION ~F,~,~ ,~.~ GPD/G~.Fb Block: Subdivision: Beplh to pipe hottora from original grade: Gravei depth beneath pipe I Fill added above original grsde; Gravel length: Township: Ra,~: Section: ./''- o Gravel del~lt: Number of lines: 0ismce b~tween lines: WELL: 'l~New [] Upgrade ~'"'"'"~ /nc Et, ~ ,~ '¢b~/ ;lassilicalion (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Slatic Water Level: Installer: Date installed: Yield: Pump Set al: Casing Height Above Ground: ~ ~ GPM ~'r ~ .~. ~ ,:~ __ TANK SEPARATION DISTANCES ~Septic 0 Holding ~ S,T.E.P. To Sepllc Absorption Lilt Holding ~/Private Manufaclurer: Capacityin gallons: ' ~ Maleriah Number ~Compsrtments: Sudace I ~ W,t~r //~ ~ ~ - LIFT STATION Line /~ ~ ~s- / ~ / Size in g~llons: Foundation Remarks: ~/~/ ~,~ ~ ~.~ BENCH MARK b~ ~1. ~1~ ~ ~ ~ ~ ~ ~ ~// x~l Department of Health and Human Services approval ' PermltNo, ~/- c,D-~'~ Page ,~z of .2 Municipality of Anchorage DEPARTMENI' OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Z Ld Z B TEST NOLE · - MONITOR TUBE o - SEWER CLEANOUT ~,- - WELL ELEVATIONS (NET TEl SCALE) 72q)13 A (2191) MOA 25 DETAIL LEACHBED~. 1'=50' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910280 DESIGN ENGINEER:EAGLE RIVER ENGINEERING OWNER NAME:GADBERRY ETHEL P OWNER ADDRESS:1536 W. 9TH AVENUE ANCHORAGE, ALASKA 99501 SERVICES DATE ISSUED: 9/10/91 EXPIRATION DATE: 9/10/92 PARCEL ID:01550110 LEGAL DESCRIPTION: T12N R3W SEC 15 LT 6 LOT SIZE: 206704 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: THE ATTACHED APPROVED DESIGN. 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). THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ~ DATE: DATE: E 104th AVENUE d d Z W Z NO I<NOWN CURTAIN DRAINS WELl_ AND SEPTIC SITE PLA LEGAL: LOT 6, SE 1/4, SEC. 15, T12N, R..3W, S.M. OWNER: DONOHUE CONTRACTOR: EAGLE VEN1URES · JOB // 91-o59[ DATE: 09/06/911 SCALE 1" --100' EAGLE RIVER ENGINEERING SERWCES A P.O. Bo~c 97o°294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 DETAIL LEACHBED~ /~'/ lEST HOLE · MONIfOR TUBE o - SEWER CLEANOUI - WELL EAGLE RIVE~' ENGINEERING SE, .ICES P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 CHECKED BY SCALE OF o^~ 09/03_/91 DAIE '~ Bedroom = Soil Rating = < 1 rain/inch Design Based on Sand Filter Soil Rating 600 GPD Design Rate 600 = 85'7 S.F. Area Required 0.7 Bed Size = 18' X 48' ~' 0.7 GPD/ft2 -" SPECIFICATIONS ]FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 6, T12N R3W SEC.15 GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. BED 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. Bed is to be over excavated 2' below gravel level and backfilled with 2' of material meeting filter sand specifications. 4. The total depth of gravel is not to exceed 4' at any point. 5. The bed gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 7. Tile area over tile bed is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leacbfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 4' GRAVEL DEPTH = 6" under pipe BED LENGTH = 48' BED WIDTH -- 18' SOIL RATING = 0.7 GPD/ft2 BEDROOM CAPACITY = 4 SEPTIC TANK SIZE = 1,250 gallons Twenty-four (24) hours nntice required for all i~tspections. MUNICIPALITY OF ANCI-IORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 826 L. Street, Anchora§o, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST ,J~ SOILS LOG PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 6 7- 8 9 SLOPE SITE PLAN 10 11 12 13 14 15 16- 17- 18- 19- 20- WAS GROUND WATER S ENCOUNTERED? ~] b OL P E Gross Net Depth to Net Reading Date Time Time Water Drop ~- ~/~ ~, ~/z' ~,~ ~ /~" PERCOLATION RATE ~, / minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY: 72-008 (6/79) P. O, Rex 773294 EaOlo River, AK 99577 69-¢5195 CERTIFIED BY:__~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82S L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: SLOPE SITE PLAN 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20- COMMENTS PERFORMED BY: 72-008 (6/79) Eagle River Enghm0rleg Services P. O. 8ox 77~204 Eagle River, AK 99577 69~5195 WAS GROUND WATER Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE %/ / (minutes/inch) TEST RUN BETWEEN ~' . FT AND x'/,, ~ FT SULLIVAN WATER WELLS" P.O. BOX 6702?2, CHUGIAK, ALASKA §9G$7, TELEPHO"E 88812789 OWNER OF LAND LEGAL DESCRIP1'ION-~, DATE · Started PERMIT NUMBER KIND OF FORMATION: LEVEL ¢)E' WAT S'['ATIC ~R F'£. DRAW 0OWN FT, ~ . .--~ GAL~, PER.HR '~LO KIND OFCASING ~ , From _~Ft, tt~_~. Ft · -"--'--- · Fro,X___---Ft', to~.~_...Ft, ,.-----------~. Fromm_ Ft, to ~Ft ..... ~ · From .~Ft, to_ ~Ft,. ~ From--- Ft to..~, Ft .... · ---. - : '-- From ~Ft. to~. Ft, F,om ~Ft. lo ~Ft, Fromm. _Ft-to .Ft, From ._Ft. to~__ Ft.__ From. ~Ft, to__~Ft, MISCL, INFORMATION: From'-='-=--Ft, tO.__..._._..Ft ..... , :. , . , - From_ ,Fi, to''"-'~-~' F t ..... : '-~ From__~Ft, 10-----~--Ft' '~--'----'~--"~ ,-'-'~ From ,.Ft, to:__..-~ Ft, -.-~- ...... ..Ft. to i..~Ft. "' ' DRILLER'S NAMI~,.t~ Ft to ~Ft. ~ RECEIYE.D. 'JAN 319 ,2.' Munic;palay c.[ Anchorage D ' ept, Hea th & Human Serwces MUNiCiPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & H[JMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage. Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D, # ~/~/,5 -,) ~'~/-//,~ HAA # __/¢'-/X¢,~- ~)~f/~ 1. GENERAL INFORMATION Complete legal description Lot 6; Section 15, T12N; R3W~ S.M. Location (site address or directions) 99516-6641 10424 Loudermilk Circle., Anchorage, Alaska Property owner Mailing address DONOHUE, JOHN T. AND SANDRA T. Day phone Lending agency Mailing address Day phone. Agent Barbara Park~.~ / JACK WHITE COMPANY Day phone .. Address 3201 "C" StAeet, Suite I00, Anchorage, A~aska 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: NO-D'E: 563-5500 Individual well XXX Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. XXX 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. s~uewwoo IBUO[),!ppv :suo!)elnd!)s 8U!MOIIOJ eq) qJ!M 'swooJpeq JoJ IBAoJddB IBuo!~lpuo0 'peAoJddBsK:] 'SLUOOJpeq 5-- JOJ peAoJdd',¢ ~ =11::1N.J.'VN ~15 sNNa ZZ~66 e~SelV 'Je^!~ al8~3 eJn)BuB!s s,Jaeu!Bu3 "9 euoqd ~07. 'ON paoa doo'1 Je^!~t elBe:~ fz~:0Z I. sseJppv w J!,4 jo eWBN 'uoi),oedsu! s!ql jo e),ep eq) uo 3oejje u! suo!3BIn6e~ pue 'seouBu!pJo · 'sepoo elelS pue ledfolun~ lib q)!M eOUBfldLUo0 U! S! Wm, S,~S IBsodsip JeiBMeiSBM Jo/puB ~lddns Ja1BM e~!s-uo eq~ 'uo!),oadsu! pub uo!~eS!lseAu! ,~LU LUOJ~ pUB sel!J el~BJoqouv Jo LUOJJ peu!Biqo UO!IBLUJOJU! eLI), UO pasBq ),Bq), ,~Jp@A JeqlJnJ I 'uleJeq pe~o!pu! eJ n~,onJls Jo @d,q pu~ suuooJpaq jo JaqLunu eq~ JO,L e3BnbepB pub iBuo!3ounj 'eJBS S! uJe3s,~s lesods!p Je)BMe~SBM Jo/puB ,qddns Je)eM e),!s-uo eq), ~,Bq), SMOqS uoi),Bo!lddB IBAoJddv ,~),poqln¥ qilBaH siq), Jo UORBS!~seAu! ,~UJ ),BLIi ,~J!JeA [ 'MOieq UMOqS e~p UOp, Bp!IB^ aq), jo sB pub o~eJaq pexwB leas ,~LU ,~q pewpeo sv a::I=INI~DN=I All NOIJ. O~dSNI dO J.N=IIN=I/y/S '~ Municipality of Anchorage /~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL. CHECKLIST LegalDescription: LOT¢3 ,S-~'.'c.l.~., T/Z/J, [~.~lg, ,S.~I, ParcelhD. ~Z~-- A. WELL DATA Well type ~f41v~TE Log present Y~N) Total depth Sanitary seal If A, B, or C, attach ADEC letter. ti'Gl 5 [}ate completed Cased to / ..?7~ / ADEC water system number 10[ ~ I Driller ~u~.LIf/4lJ Casing height Wires properly protected (~'N) FROM WELl. LOG Date of test IO/ql Static water level °¢r~ / Zo Well flow g.p.m. Pump level SEPARATION DISTANCES FROM WELL TO: Septic/t~,jt~l~,eJ tank on lot /00 Absorption field on lot 100/+ Public sewer main ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Sewer service line. WATER SAMPLE RESULTS: Coliform _~/~TIS,CACTt~Y' Nitrate_ ~.'~'~ m~/.~ Other bacteria Date of sample: II/[./qZ- __ Collected by: B. SEPTIC/HOLDING TANK DATA Date installed /J/~/ Cleanouts ~y~N) __~ g' High water alarm (Y~ Date of pumping __Tank size_ /Z. 5"O Compartments _ Foundation cleanout ~N) ~'d' Depression Alarm tested (V.~ _ Pumper A'f A JO SEPARATION DISTANCES FROM SEPTIC/.faI~ TANK TO: Well(s) on lot ~()(2/'/' On adjacent lots To property line /6>0'~' _Absorption field _ Surface water/drainage .4JLA Foundation I_O/ Watermain/serviceline /O 72-026 (Rev 7191) Fronl CONTINUED ON BACK PAGE Manufacturer Size in gallons ~ Manhole/Acces~ Vent (Y/N) ~velat /.---/''''''''''~ '"Pu~p off" level at High water alarm level ~ Cycles tested Meets MOA e lectr~ _~ ,.,..,,..~eH~on lot __ __ On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed II/¢1 Length ~'~ Width re" Total absorption area Depression over field (Y~I~ /~Jo Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating O'r) GP¢/~;¢.F~ System type Gravel th ickness O. ~' / Total depth Cleanouts present (~N) ~ Date of adequacy test for U/U~dO(.JfJ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /¢(2/+ On adjacent lots /~0/+ Property line To building foundation E,~ro <¢~' ~z.~d To existing or abandoned system on lot On adjacent lots $O~- Cutbank ,x.//A Watere*~m,r/serviceline Surface water i(~0% Driveway, parking/vehicle storage area Curtain drain 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. $ & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eagle River, Alaska ~511 Signature Engineer's Name HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72 026 (Rev 3/91) Back MOA 21 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 015-501-10 1. GENERAL INFORMATION Complete legal description Lot 6, T12N R3W Section 15 Location(siteaddressordirections) 5220 E. 104th Ave., Anchorage Property owner Eaqle Ventures Day phone 694-2529 Mailing address ?.0. Box ?71822, Eagle River, AK 99577 Lending agency N/A Mailing address~ Day phone Agent t',TCA Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: x Individual well Community well Public water NOTE: Day phone 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: x If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1191) Front MOA #21 s~ueLuLuoo IBUO!~!pp¥' :suo!~elndp, s 8U!MOllOJ eq~ q)!M 'SLUOOJpaq JoJ. IB^oJddB IBUOilipuoo 'peAoJddBsia 'sLuoo~peq JoJ pe^o.tdd'v ~- ':I~rlJ.YN!DIS SHHa e~mBue!s s,Jeeuleu3 · o' d sse~ppv '9 g6Ig-~69 eUOLId saOTAZaS :6UT,ZaauTburq zaZ'.T~] alf6g2 tt!J!zlJ, oeuJeN 'uo!]oedsu! s!q) jo e~Bp eq~ uo ~oejje u! suo!)Blnee~ pub 'seouBu!pJo 'sepoo e~B]S pub IBd!e!un~ lib ql!M eOUB!IdLUo0 U! S! LUe]S,~S IBsods!p Je]BMe~SB~ Jo/puB Alddns ~e~B~ e~!s-uo eq], 'uo!~oedsu! pub uo!~e6!~se^u! ALU uJoJj pUB Sel!~ e6BJoqou¥ LUOJ~ peu!B~qo UO!]BLU~OJU! eq~ uo pesBq ]Bq~,~pe^ Jeq~nl I 'u!e~eq pe~Bo!pu! eJn],onJ~s jo edA] pub SLUOOJpeq JO JequJnu eq~ JoJ e],Bnbepe pub IBUO!]ounj 'ejBs s! LUe~S/~S IBsods!p Je~B~e~sB~ Jo/puB ,qddns Je]BM e~!s-uo eq~ ]Bq] s~oqs uo!~eo!lddB IB^o~ddv ,~]poq~nv q~leeH slq], jo uo!~eb!~se^u! ALU )Bq) ,~JMe^ I 'MOleq UMOqS e)ep UO!)Bp!IBA eql Jo sB pub o)eJeq pexujB IBeS/(uJ Aq pe!~!peo sV t:I33NION=1 AB NOIJ. O:IdSNI 40 IN=I~/~'J.S Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 2,~'~,/ 7"/Z,,x/ /~3/0 5~--(', /,~ Parcel I.D. ~/~, - ~'~/ -//2 A. WELL DATA Well type /~/~/'/'/' ~'~ If A, B. or C, attach ADEC letter. ADEC water system number _ -/'//'//~ Log present (Y/N) /v' Date completed /~//~ / Driller '~¢"/?"¢'~"~ . Total depth /3'3~ Cased to /,~3' Casing height Sanitary seal (Y/N) Y wires properly protected (Y/N) '~' Date of test Static water level Well flow Pump level FROM WELl. LOG g.p.m. SEPARATION DISTANCES FROM WELL TQ: Septic/hekti~g tank on lot Absorption field on lot /¢)/ ' Public sewer main Sewer service line AT INSPECTION/ //~UNiCipALITY OF ANCHORAG~ ~.~// ENV,~ONM~NTA~ SERVICES DIV'SiON ~' JAN 0 3 i992 ,// g.p.m. / RECEIVE[) / / ; On adjacent lots ?,-ca / ; On adjacent lots /- /,~ Public sewer manhole/cleanout Petroleum tank. ,/t//,,'~ WATER SAMPLF RESULTS: Coliform Date of sample: / ~'/1~'/'~ / Nitrate B. S E PT I C/HOEi~rNG-TA'NK'DATA Date installed Cleanouts (Y/N) Y High water alarrn (Y/N) Date of pumping Tank size / ~'~'¢ Compartments ,~¢ Foundation cleanout (Y/N) ~' Depression (Y/N) Alarm tested (Y/N) /'F/~ '~ /',/~7/'~ Pumper _ /'~//// /V SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot / '~ b- On adjacent lots To property line. //~ ¢ ' Absorption field Surface water/drainage _ _Foundation _Water m.aic~/service Ii n e __z~.Z~_/ 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at /~'"'/ "Pump off" level at High water alarm level t r/~"'~/~'" Cycles tested Meets MOA electrical codes (.'Y:/N) SEPARATION DI~qT~qCE FROM LIFT STATION TO: Well on~Jet' On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed /f/~ / Soil rating ~,¢ ~'~?/2.//r//' Z System type Length Z/~ ¢ Width / ,~ / " ' / Gravel thickness [ ""~'~-/',,,~ Total depth Total absorption area ~d' z/ ¢;~ Cleanouts present (Y/N) Depression over field (Y/N) /~¢ Date of adequacy test /~',/¢ Results (pass/fail) /~/~ 5'E for '/-/ bedrooms Peroxide treatment (past 12 months) (Y/N) ¢&/¢7 If yes, give date To building foundation On adjacent lots ¢ -~¢/ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot /~/ / On adjacent lots /- /'¢ ~ ¢ Property line -~'- /'~ ~-"-~ --¢/~&To existing or abandoned system on lot Cutbank /t//~ Water ma~Ceervice 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 th¢ da, te of this inspection. Engineer's Name ,~.~,~ ;.r '¢ Date ././~//,~ .L HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72 026 (Rev. 3/91 ) Back MOA 21 Knight 5-11331-1 EXPIRED r Please fill In the Information asked for below. epat peunoners of disclose other rwowners an supplemental form. Failure to divuige oNer terest owners may processmiof this app' - PETITIONER" PETITIONER REPRESENTATIVE (IF ANY) Name(last namefirst) A.tt .tl..ir Nat name st tC;J4A0-. ACKUM tC) Lz4 Uvtz-P-f 7(c.K Crec-t-t. . 4(�( is S`0-7 c t= Contact Phone: Day: .j ; CW76Night 3 litpq Contact Phone: Day. Night FAX SW — FAX: 3 472157 E-mail: E-mail. epat peunoners of disclose other rwowners an supplemental form. Failure to divuige oNer terest owners may processmiof this app' - 1 hereby certify that (I am)(1 have been authorized to ad for) owner of the property described above and that I petition to subdivide it in confonna ce with Title 21 of the Anchorage Municipal, Code of Ordinances. I understand that payment of the application fee Is nonrefundable and Is to cover the costs associated with processing this application, and that A does not assure approval of the subdivision. I also understand that assigned hearing dates are tentative and may have to be postponed by Planning Department staff or the Platting Board. Plannina and (use addidonal sheet In necessary) Accepted by: I Poster d Afridavlt I Fee I Case Number PROPERTY INFORMATION Property Tax if{tbaooaaaaoo): (7t 01 IC)Onn Site Street Address: tD L Lv0 'CP- tiK C-Ei; Current legal description: (use additonal sheet o necessary) L rt- !o S Gc..r t -O A Is:, 't' L2K i i a id f TC I,04e u Yilt (,�-Lb (A l d Zoning: .. Acreage: 7s Grid # 5 - Zt' # Lots: 2- 1 # Tracts: Total #parcels: 1 hereby certify that (I am)(1 have been authorized to ad for) owner of the property described above and that I petition to subdivide it in confonna ce with Title 21 of the Anchorage Municipal, Code of Ordinances. I understand that payment of the application fee Is nonrefundable and Is to cover the costs associated with processing this application, and that A does not assure approval of the subdivision. I also understand that assigned hearing dates are tentative and may have to be postponed by Planning Department staff or the Platting Board. Plannina and (use addidonal sheet In necessary) Accepted by: I Poster d Afridavlt I Fee I Case Number Ar J. 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S11332 --1 Short Subdivision No objection Watkins Engineering, Inc. RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net June 6, 2006 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Attention: Mr. Dan Roth RE: Proposed Knight Subdivision Potential Well Development Dear Dan, Mr. Ken Knight is proposing a subdivision of the existing Lot 6 of T12N R3W Sec 15, into lots 1 and 2 of Knight Subdivision. The plat number is S-11331. This area is served by private wells and septic systems. I have investigated the potential for well and septic development on the proposed Lot 2 Knight S/D. The potential for septic development was previously proved up with a test hole on November 16, 2004. This letter will provide information for the potential well development. I believe that the property can be served by a private well, based upon data from adjacent properties. Mr. Knight currently lives on the existing Lot 6, which is developed with a well and septic system. The well flow was tested on November 25, 1992 at 5.6 gallons per minute (gpm). The nitrates were determined to be 0.49 mg/l on November 6, 1992. There is no well log available. Other properties in the area have well depths ranging from 69 ft to 74 ft. These are detailed below. Well flows for neighboring properties range from 5.6 gpm to 7 gpm. Nitrate levels range from 1.2 to 3.3 mg/l. This information was obtained from Health Authority Approval data forms and well logs in the Onsite Water and Wastewater Program files. A compilation of the data follows: Watkins Engineering, Inc.; June 6, 2006 Well Potential for Proposed Knight SM Lot 2; page 2 Property Date Well Depth, ft Well Flow, Nitrate level, Description 9pm m /I T12N R3W Sec 11-25-92 5.6 (HAA) 0.49 15 Lot 6 T12N R3W Sec 4-14-77 72 40 (well log) 15 Lot 28C 1 T12N R3W Sec 10-23-90 69 12 (well log) 15 Lot 28C 2 Loudermilk Lot 9-4-83 70 9 (well log) 1 Loudermilk Lot 10-4-82 74 40+ (well log) 2 T12N R3W Sec 11-8-94 7 (HAA) 3.3 15 Lot 28C 2 Loudermilk Lot 7-5-97 5.6 (HAA) 2.31 1 Loudermilk Lot 4-9-04 6.1+ (HAA 2.74 2 T12N R3W Sec 10-31-90 2.3 15 Lot 28C 2 Loudermilk Lot 10-20-89 1.2 1 Loudermilk Lot 7-16-92 2.0 2 The attached site plan shows the locations of these properties. It is also apparent that there is a well site on the proposed Knight Lot 2 with appropriate separation distances to adjacent septic systems. In summary, I believe that the proposed Knight S/D, Lot 2 can be served by a private well, meeting Municipality of Anchorage code requirements. If you need further information, please call me at 349-1851. Yours truly, Cindy Ellis, P.E. cc: Ken Knight PO Box 112687 Anchorage, AK 99511-2687 Lot 7 I ° co septic fWELLarea I Lot 6 } a.. r O septic . WELL I / Private Wells shown area with 100 ft radii. Proposed Lot Line, -I No well or septic system wfin 100 ft of o l Te septic area ` WELL Hole #1 I Proposed Lot 2 potential Well I I I I T12 q R3W Sec 15 ( Undeveloped Undeveloped Lot 26 Lot 27 I I 29 ?3a I �P� A 2 �I � v II 200ftradius O 15n WELL �/ r2W0Assumed `rLL`)Class A w II I WELLI �- I \ j O'I,!ALLEY ROAD An AdvanTex septic system could serve the proposed Knight SID Lot 2, with both the primary and reserve drainfields proved up by Test Hole #1 dug on 11/16/04. T12N RM Sec 15 Lot 6_ OF A. •:,. Proposed Knight Subdivision Watkins Engineering, Inc = ��' "�s •;. Ken Knight 49 TH ��: y; r' n `� : :, a Y w. ELLIS Cindy W. Ellis, P.E. P.O. Box 110443 10577 November 29,' Anchorage, AK 99511-0443 Scale 1' - 200' Phone: (907) 349-1851 Fax: (907) 349-1934 °ng r,', ••........... ' " `-`" private Wells shown with 100 tt radii. 2 25A �4 Op Lot? septic WELL cn J area g 3 Ct- d � Lot h No well or septic system TeDo o wfin 100 tt of Hole #1potential proposed Lot 2 T12� R3W jec 15 Lot 26 I Lot 27 It 0 ume is A 0 WELL OVALLEY ROAD An AdvanTex septic system could serve the proposed Knight S/D Lot 2, with both the primaryand rese o1!16!045 infield proved up by Test Hole #1 dug on 1 11331 JAN 2 42005 T12N R3W Sec 15 Lot 6 Proposed Knight Subdivision Ken Knight Cindy W Ellis, P.E. November 29, 2004 scale 1' - 200' WELL septic 2 area MI -,e septic area Watkins Engineering, Inc. P.O. Box 110443 Anchorage, AK 99511-0443 Phone: (907) 349-1851 Fax: (907) 349-1934 288 Undeveloped I 28A o�Crl P cl Y W. ELLIS E - 10577 �• . •�= 328C 28D / I ov, o�Crl P cl Y W. ELLIS E - 10577 �• . •�= S 1 13 31 JAN 2 42005 ' E. 104th Ave. Lot 7 C-0 WELL septic J area 0 W J J Lot 6 d G WELL septic 2 � area ZZ C- > C:) Proposed Lot Line 4.jo No well or0 septic septic system Tes 0 area I Win 100 ft of Hole #1 WELL Proposed Lot 2 potential Well = T12N R3W Sec 15 Lot 26 Lot 27 Undeveloped Undeveloped T12N R3W Sec 15 Lot 6� OF Proposed Knight Subdivision'........ Watkins Engineering, Inc. .' gsflU� Well & Septic Site Plan 49 fit.................Vj Ken Knight ..... Cind W. Ellis, RE P.O. Box 110443 O • CIN W. ELLIS 10 T oO�U11,9 Anchorage, AK 99511-0443 November Phone: (907) 349-1851 Fax: (907) 349-1934 Scale 1' =1000'' ••.. got.,__ •moo S 1 13 31 JAN 2 42005 0 Municipality of Anchorage Development Services Department Building Sarety Division Onsite Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 995198850 wwwmunl.org/onsite (907) 341.7004 Soils Log - Percolation Test Performed For. Ken Knight Date Performed; 11-16-04 Legal Description: T12N R1W Sec 15 Lot 6 (Proposed Knight SID. Lot 2) Township, Range, Section: Depth OfAQM1iC.S (Feet) .JJ 0.25 SYr1 1004y r5 ffil SP 11- 12- 13- NA 14- 15- 18- n- 18- 19- 2 - WAS GROUND WATER ENCOUNTERED? NO a IF YES. ATWMT DEPTH — L Depth to Water After O P Monitoring? E Date: 11-113-104 PERCOLATION RATE At (mYuevawr) . PERC HOLE DIAMETER e TESTRUN ETWEEN AS FT AND 5.0 FT COMMENTS ewantm.rwr S 2nd ;� �t�i%io /AdPt� PERFORMED BY: Cindy W. E9ia. Mice O. 1 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL QUID LINESIN EFFECT ON THIS DATE. 'DATE: J/ 26-a4 S 1 13 3I JA 14 2 4 2005