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MAJESTIC VALLEY ESTATES BLK 1 LT 3
Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES : ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telept~one: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report ,. Permit Number: s-wq?o~o~ PID Number: ~,~,~w~- ~. ? ~v~,,~y ~. y~ ~ Wastewater System: D New ~Upgrade Address: Phone: No. o~ BedroOms: ~ ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION s°" Rating: ~, ~ GPO/Sq, Ft, Total Depth from original grade: ~ot: Block: Subdiv~ion: Depth to pipe bottom [rom original grade: Gravel depth beneath pipe Township: Range: Section: Fill added above original grade: t Gravel length: Number of lines: Distance between ~ines: WELL: ~ New D Upgrade Gravel width: ~¢Ft. / ' Ft. ~lassification (Private, A,B,C); Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level: Installer: Date installed: Yield: GPM Pump Set at: Ft. Casing Height Above Ground:Ft. TAN K SEPARATION DISTANCES ~Septi~ ~/~ Holding ~ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ ~ WaIF /~ i //~ ~ ~/~ Material: NumberofCompartments: Sudace Water /~O /~~ IFT STATION Lot Size in gallons: Manufact~ Cudain - ~Og ~ ~O I u~ Pump Make & Model ~ Electrical Inspections performed by: Drain Remarks: ~ DoT ~ ~ ~¢~ J z BENCH MARK ~/. Assumed Elevation: ENGINEER'S SEAL Inspections performed by' ~.¢e River, Alaska 99577 Dates' 1st ~ -X~ - ~/ 72-013 (Rev. 9/91) MOA 25 P~IArt~IN q, lo. SW930503 ~ 2 OFof 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal Systenl and/or Well Inspection Report Legal Descri~: MAJESTIC VALLEY ESTATES, BLOCK 1, LOT 5 F.~lD.~Od.: 05075114 95.8~ · 80,0' NO WATER FOUND A B C 4~ D.V. i8.0' - 30.0' ~/O/X C0i 89,0' 84.5' GREEN I CO2 81.0' 91.5' - HOU$~ I MT 188,0' 85.0' - 100' WELL RADIUS FUEL TANK VENTS ,?~)J' ' , , 72-013 A (2191) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMuAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930503 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:VAN BAVEL GRANT L & BEVERLY A OWNER ADDRESS:HC 83 BOX 1771 EAGLE RIVER, AL 99577-9503 DATE ISSUED:12/27/93 EXPIRATION DATE:12/27/94 PARCEL ID:05073114 LEGAL DESCRIPTION: MAJESTIC VALLEY ESTATES BLK 1 LT 3 LOT SIZE: 50088 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~ ROBERT SHAFER, P.E, ROGER SHAFER, P.E. December 13, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEAL TH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99519-6650 REFERENCE: Majestic Vafley Estates Subdivision, Block 1, Lot 3 We request you issue a permit to upgrade the septic system serving the three bedroom house on the referenced property. An adequacy test performed on the existing system for Health Authority Approval purposes found the absorption capacity of the ex/sting system to be inadequate. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the test hole has been checked and found to be dry. Attached it the proposed upgrade design. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. Attached are letters of 'Non-Objection' from the utility companies for the service line to pass through the 25' utility easement. If you have any questions, or require additional infom~ation for your review, please contact us. /RAS/LSU/Isu 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 , Inc. P.O. Box 2929 Palmer, Alaska 99645 Telephone: (907) 745-3231 Fax: (907) 745-9328 December 15, 1993 Ms. Lynda S. Ulsher Community Planner S & S Engineering 17034 N. Eagle River Loop Eagle River, Alaska 99577 Dear Ms. Ulsher: Subject: Letter of Nonobjection Lot 3, Block 1, Majestic Valley Estates Matanuska Electric Association, Inc. (MEA) has no objection to the construction of an effluent line for a septic system across the MEA easement on the subject lot, hereinafter called the "encroachment", as described and shown on your letter of December 13, 1993 and attachments thereto, copy of which is attached to this letter for reference. This nonobjection is conditioned on MEA not being responsible for any damage to the encroachment that may occur by MEA's use of the easement in the future. As an additional condition of this nonobjection, MEA is to be indemnified and held harmless from liability for any damage to property, or death or injury to persons that may result from the construction and future maintenance of the encroachment. Sincerely, Robert G. Ylvisak~r Right of Way Administrator BY.438 ENSTAR Natural Gas Company A DIVISION OF SEAGULL ENERGY CORPORATION 3000 Spenard Road P.O, Box 190288 Anchorage, Alaska 99519-0288 (907) 277-5551 S & S Engineering Attention Lynda Ulsher 17034 N. Eagle River Loop Eagle River, Alaska 99577 Dear Lynda: Enstar Natural Gas Company has no objection to the utilization of the M.E.A. and M.T.A. Telephone Cable utility easement on Lot 3 Block 1 Majestic Valley Estates Subdivision for a sewer system° This easement is not needed by "ENSTAR". If you have any questions please call me at 264-3743. Very Truly Yours, Dan Westervelt Right-of-Way Agent dw © o o / / / / / / ~]'1¥08 ,OCS ,,I. ON-SITE WASTEWA TER DISPOSAL SYSTEM CONS TRUC TION PRA C TICE$ and MA TERIAL SPEClFICATION$ REFERENCE: Majestic Valley Estates Subdivision, Block 1, Lot 3 GENERAL: 1. The scope of this project includes the installation of a leachfield trench to serve the three bedroom residence located on the referenced property and excavation of the existing 1000 gal septic tank to verify its integrity. If the integrity of the ex/sting septic tank is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1000 gal septic tank installed. Construction shall be in accordance with the approved site plan and design dra wings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Afl standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Page Two Majestic Valley Estates Subdivision, Block 1, Lot 3 December 13, 1993 Septic tanks installed with less than 4 ft. of cover shaft be insulated. A foundation cleanout shaft be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soft not more than 10 ft. from the tank. The first cleanout, in line, shaft be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shaft be such that a positive slope exists a way from the septic tank. AB$ORPTIOIV TREIV¢I-I/DRAIAIFIE£D IAISTAI.£A TIOAI: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shaft be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soft backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shaft be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shaft be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Majestic Valley Estates Subdivision, Block 1, Lot 3 December 13, 1993 MINIMUM MA TERIAL SPECIFICATIONS: Any septic tank proposed for installation must be Municipally approved septic tank manufacturer. constructed by a The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Afl leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, it's gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Majestic Valley Estates Subdivision, Block 1, Lot 3 December 13, 1993 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before Ibis inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O (EN,~I~IEi~:S SEAL) Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplh lo Water Aller Monitoring? SLOPE SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop ~ ~o ~ ~?1~" l~ PERCOLATION RATE / O (m~nute$/inch) PERC HOLE DIAMETER ~' ~ TEST RUN BETWEEN ~ ~F:P-AND '~'~ FT COMMENTS ~/.~ ~'~/ PERFORMED BY: '~Tt~t I::a,,.l~ pi .... i .... ,.. ....... I /// J-/"'---"'""~ ~., ..... Y THAT THIS TEST WAS PERFORMED IN ACCORDANCE W~L~ff~'X~!~J~i~AL ~U.DEL.N,~-~'~'-/T ON T.,S DATE. ~ATE: 72-008 (Rev. 4/85) -- / hone Association, In // MatanusKa p . . .. // ~ALMER, ALASKA 99645-3550 PHONE (907) 745-9510 Real Estate and Properttes Section / ........... FAX (907) 745-6090 Thomas R. Minnich President/C,E.O. RECEIVED OE.G 0 199 Municipality ol Anchorage Dept. Health & Human $~-~BJECTION TO EASEMENT ENCROACHMENT DOCUMENT By this document, Matanuska Telephone Association, Inc(MTA)., declares that it has no objection to thc placement of thc following encroachment within thc X Private Platted utili .ty casement(s) located on property described as Lot Three (3), Block One (1), Maje~r4c V~l],~y Estates Subdqvi~ion ,Township__14N _, Range 1W , Section 23 ., Seward . Meridian Alaska., Third Judicial District. Anchorage , Recording District, Alaska: a. Well and Underground Water System, b. X , Under or Above Ground Septic System, c. Fence, d. Structure, f. , Other Please be advised that Matanuska Telephone Association, Inc., through the issuance of this document does not forfeit any of its rights to the use of the utility easement(s) cited. In the exercise of these rights the utility will, if needed, upgrade, maintain, repair, and/or replace buried or aerial telecommunications facilities within the easement(s). Any repairs that may be required to the encroachment as a result of utility construction will be borne by the property owner of record. This document does not authorize the placement of any additional encroachments within the easement area(s). PLEASE NOTE: This docmnent is, in no way, an agreement to vacate any portion of the platted utility easement(s), and should not be interpreted as such by buyers, sellers, governmental agencies, lenders, Realtors, title companies, and/or underwriters. SPECIAL CONDITIONS: MTA has an existing BFC 150-24 and BJ 25-24 cable running across the South Boundary. and toward the gW bo,,nd~ry ~f the above property from the pedegtal located on ~n the F,~gl- hmmdary . corner area of the property. A CALL FOR A CABLE LOCATE IS MANDATORY.. PRIOR TO CONSTRUCTION. The original of this document is retained and recorded by Matanuska Telephone Association, Inc. Copies will be provided to the customer. Upon the return of the original document from the Recorder's Office, a copy reflecting the Book and Page of the recording will be sent to the last known address of the requesting party. Future copies may be obtained from the Real Estate and Properties Supervisor, MTA Plant Services Building, Palmer, Alaska. Page One of Two Page(s) MTA Easement Encroachment Document Issued for Matanuska Telephone Associatiou, Inc., this 17th of December 199 3 , by THIS IS TO CERTIFY, that on this 17th day of December. , 19 93 ., before me the undersigned, a Notary Public in and for the State of Alaska, personally appeared Bernadette Zimmerman to me personally known and to me known to be the individual described in and who executed the foregoing and acknowledged to me that she signed and sealed the same freely and voluntarily for the uses and purposes therein mentioned. IN WITNESS WHERE OF. I have hereunto set my hand and affixed my official seal the day and year in this certificate first above written. My Commission Expires: ¢~//~ ~' GRANTOR(S)ADDRESS: ~atanuska Telephone Associatin. Inc. Post Office Box 3550 Palmer, Alaska 99645-3550 GRANTEE(S) ADDRESS: Grant L. and Beverly A. Van Bavel HC 33 Box 1771 ~agle River, Alaska 99577 PLEASE RETURN TO: Bernadette Zimmerman Real Estate and Properties Supervisor Matanuska Telephone Association, Inc. Post Office Box 3550 Palmer, Alaska 99645-3550 BZ/C:~Forms~EDNOFOR.N03 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. December 13, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEER[NG STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Bernadette Zimmerman Real Estate and Properties Supervisor Matanuska Telephone Association, Inc., P.O. Box 3550 Palmer, AK 99645-3550 RECEIVEB DEC 14 MTA ' "HT-OF-WAY 8EOTIO~T REFERENCE: Majestic Valley Estates Subdivision, Block 1, Lot 3 Dear Bernie, We request you issue a letter of 'Non-Objection' for the proposed encroachment of the effluent line from the septic tank to the absorption area which crosses the 25 foot utility easement for M.E.A Power Line and M.T.A. 'Telephone Cable on the referenced property. Attached is a copy of an as-built survey and septic upgrade design showing the location of the proposed absorption field and effluent line from the septic tank to the proposed absorption field. Our clients, Grant L. and Beverly A. Van Bavel, are currently trying to sefl their home. Due to the limited area available to upgrade the septic system the only feasible area to instafl a new absorption area is South of the existing 25 foot utility easement. Without the proposed upgrade the sefl of the home cannot proceed. Therefore, we request your non-objection to cross the 25 foot utility easement with the effluent line. If you have any questions or require any additional information, please contact us at 694-2979. Sinc¢ely, Community Planner cc: Grant L. and Beverly A. Van Bavel, HC83 box 1771, Eagle River, AK99577 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 o ~-0 (3--0 O~ O~ , --~_~ w~~z ~z O~ oz~oo~ ~z~ . ~w~o ~ om~O oo~ ~O~ ~ ~ mw _ z 0~0 .. / I I I I I 3aV~Odf] o u Z r~ U 0 O 0 U u z o ROBERT SHAFER, P.E. ROGER SHAFER, P.E. December 13, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINE-ERING STUDIES AND REPORTS WELL INSPECT[ON & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST Bernadette Zimmerman Real Estate and Properties Supervisor Matanuska Telephone Association, Inc., P.O. Box 3550 Palmer, AK 99645-3550 RECEIVED t)£C 1 4 MTA · "HT-OF-WAY REFERENCE: Majestic Valley Estates Subdivision, Block 1, Lot 3 Dear Bernie, We request you issue a letter of 'Non-Objection' for the proposed encroachment of the effluent line from the septic tank to the absorption area which crosses the 25 foot utility easement for M.E.A Power Line and M.T.A. Telephone Cable on the referenced property. Attached is a copy of an as~built survey and septic upgrade design showing the location of the proposed absorption field and effluent line from the septic tank to the proposed absorption field. Our clients, Grant L. and Beverly A. Van Bavel, are currently trying to sell their home. Due to the limited area available to upgrade the septic system the only feasible area to instafl a new absorption area is South of the ex/sting 25 foot utility easement. Without the proposed upgrade the sell of the home cannot proceed. Therefore, we request your non-objection to cross the 25 foot utility easement with the effluent line· If you have any questions or require any additional information, please contact us at 694-2979. PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN I Since/rely, ¢~,nda S. uIs_hor community Planner cc: Grant L. and Beverly A. Van Ba vel, HC83 box 1771, Eagle River, AK 99577 17034 NORTH EAGLE RIVER LOOP . SUITE 204 · EAGLE RIVER, ALASKA 99577 F~F~ ~ T GREAIER ANCHORAGE AREA BORudGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME J-~f.//¢,0'('- {'t'//i~/~/¢:-~' MAILING ADDRESS /~0 tr~"O~/ ~"~'C,'~'/G:/Cj~)]~/~'~d£ PHONE SEPTIC TANK: OISTANCE //? FROM WELL INSIDE LENGTH ' ....¢~ //./~:./.¢./~.i.~, MANUFACTURER __///~/~'/;>. Z¢/(// MATERIAL _. INSIDE WIDTH LIQUID DEPTH .... LIQUID CAPACITYJ~ t, ul)~l¢ Z ~. " /~'u,c'/--': SEEPAGE"Plff: NUMBER OF PITS -,/~//'/¢' . DIAMETER -- LINING MATERIAL(-~//~V~/' CRIB SIZE: BUILDING FOUNDATION ~'~¢/. · .Z¢/ /. ~ ~?' OR WIDTH DIAMETER NEAREST LOT LINE /~- / LENGTH DEPTH NUMBER OF , COMPARTMENTS GALLONS. DEPTH_ DISTANCE FROM: WELL /':~"~ TOTAL EFFECTI V E "Z-.~//_/' '7." ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: BUILDING --¢ / FOUNDATION ~ ~'"'~ CESSPOOL APPROVED CONSTRUCTION NEAREST ~? ,(.2 / LOT LINE_ ~,} / OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS. DEPTH DISTANCE FROM: SEPTIC / "";'~' SEEPAGE ~ ~' TANK_J//_, SYSTEM /~ DISTANCES: INSTALLED BY://~""~' PiPE MATERIAL:///// ('4:?-- LOT SLOPE: REMARKS: (:.;.-('/,.,.//_ DIAGRAM OF SYSTEM GRE .'ER ANCHORAGE AREA BO. )UGh ~-- ~,'~'~$ PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE~ ALASKA 99503 TELEPHONE 274-4S61 SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION OF: SEPTID TANK - TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH J :/f~f SOIL 'rEST RESULTS __~/~ SEEPAGE PIT ~-~ , DRAIN FIELD. ., OTHER TO BE INSTALLED BY 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 MINIMUM DISTANCE.~, REQUIFIEMENT5 FOUNDATION TO SEPTIC TANK · FOUNDATION TO SEEPAGE PIT , DRAIN /¢' SEPTIC TANK TO SEEPAGE PIT WALL . SEPTIC TANK ~" / '~ / DRAI' , SEEPAGE PIT TO NEAREST LOT LINL DRAIN FIELD , ALSO CONSIDER ARea WELLS. //, WATER MAIN TO SEPTIC TANK DRAIN Field SEPTIC TANK, /~/~ , SEEPAGE PIT tO RIVER, LAKE, STREAM. SEEPAGE Pit /0o O.A,N ~,ELD /0'?/ DIAGRAM OF ~Y.~TEM CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 PEET INTO UNDISTURBED SOil. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS~z~ /// ~ GRAVEL BACKFiLL~_,/I "/g~~ ~ CONFORM TO ~OROUGH R/IEGULATIONS REGARDING ~NSTALLATION. CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2S-6S AND THAT THE ABOVE DA 7 / ~7~APPLICaNT'S SIgNAtURE O~E CO. Russe# Oyster 694-2774 Soils ~ Foundations GEOTECHNICAL I~ DEVELOPMENT Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 Earl Ellis 688-2280 Land Development SOIL LOG Performed for: Name: ,' : Tel. No. Mailing Address: Legal Description:..:, ;'. :- Depth (feet) 0 Sol1Ch~racterlstlc~ 6 11 12 Ground Water Encountered: Yes No Pr'oposed Installation: Seepage Pit If yes, what depth Drain Fte~d__~_. CoIllF~ell t S: Performed by: Date: OWNER OF LAND / ;~/?~-L ~t; ~ (,~ ,- LOG OF DRI ',lNG by A & L DRILL! COMPANY DEPTH OF WELL ._..~...:i;[_JL__.,..'i[./ ....................................... STATIC LEVEL OF WATER FT ....... (~_..i~. ...................... DRAW DOWN FT .......... ,~..~: ................................................. GAI.S, PER HR ......... :~...::..: ............................................... KIND OF CASING ....... ::~, ......... _~>_ ................................... KIND OF FORMATION: ~ROM .......... -_<.?_ ......... FT. ....... ' T~ ~ FT "' ~ ~ ~ ....... FROM .... ' ............. ~' ................ ' .... K .............. ~ .... :'ju':.v': .................. ................. : ......... TO ~: '~ FTC''/''/~; ~ ' ~ :'v~: .... 'FROM ........................ FT. TO ........................ FT ............................... FROM ....... '~' ................. FT ..................................................... ~o~ ....... L(l:'~ ........... ~. ~o....:.:~.: ............ ~._.._:~: ...................... ~o~ ........................ ~. ,"~ ~ ,,' . . ,-' , , .~, TO ....... ~t.:~Z .......... FT ....... :_.~ ..~ ................ ~ROM ........................ FROM ........ ~ ............. FT, TO ....... :~ ........... FT ...... ::(_.,~ ...... ~h'. ...... ~ROM ........................ ~o~ ...... ,~_:~_ .......... ~'~. ~o__..~ ................. ~..__..~..:..~ ................. ~o~ ........................ ~. t,' / ~f'~':~ FT ( t ,Y f ~:.-.;'~'~'(~ FROM ........................ FT. FROM._%f...t ............... FT. TO._.: ....................... :f-: ........... TO ........................ FT ............................... TO ................. ::_.._FT .............................. TO ........................ FT ............................... TO ........................ FT ............................... TO ........................ FT ............................... TO ........................ FT ............................... MISCL. INFORMATION: 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 HAA # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Bev VanBav~ Luinda Circlg Eagle River~ AK HC83 Box 1771 Eagle River, AK Dayphone 99577 Day phone 696-3366 Agent Address Day phone J J Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: XXX Public water If community well system, provide written confirmation from State AD£C attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Flolding tank Community on-site NOTE: XXX Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-02§ (Rev. 1/91) Front MOA 1121 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/orwastewaterdisposalsystem 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 inves!i~gation 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 .,O3q Eagle River Loo,, Ro-~ Phone Address ~le f~ signature Date Engineer's DHHS SIGNATURE "Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date By: 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(Be¥.1/91) Beck MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /~'] ~J~5'T-/~_.~ ~/'/z:}/---./--/-~Y~--~lJ~rcelI.D. O6'~7..}'--¢---~// ¢ A. Well Data I Well type ~' ¢~ ~ If A, B, or C, attach ADEC letter. ADEC water system number *teco..*d r,.,er * Total depth Sanitary se /N) Cased to FROM WELL LOG Date of test Static water level "-~' / Well flow [ (.9. ~Z~ g.p.m, Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot / Absorption field on lot Public sewer main Sewer service tine / '~'2~ / Casing height Wires properly protecte%f/~N) AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed Cleanout .~'J), ,c'7/ '~-/ High water alarm (Y~_~ Date of pumping Collected by: Other bacteria 4:~ $ & S ENGINEERING i7034 Eagle River Loop Road, No. 204 E~gle River, Alaska 99577 Tank size t O¢-~-~7--~ Compartments Foundation cleanoL~N) / Depression (Y~) /'~ Alarm tested (Y/N) /,.D/~ ;:~ Pumper SEPARATION DISTANCES FROM SEPTIC/t"/¢c. LD~a TANK TO: Well(s) on lot [ O~;) ¢ T~- On adjacent lots f To property line I O -¢ Absorption field Surface water/drainage I ~T-~ i.~ l ~Z~ ~-~ Foundation ~ I q___ I0 'H- Water main/service line 72-026(3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level ~,,,-/~Cycles Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access ~ //~"Pump off" Level at tested Surface water D, ABSORPTION FIELD DATA Date installed ~ - '~ -~"¢¢ Soil rating (GPD/Ft2) Length ~'~'~. ~ / Width Total absorption area /--/)'¢~ ~ r~ Cleanout prese N) Date of adequacy test /L)/-/-(- Results (pass/fail) Water level in absorption field before test Peroxide treatment (past 12 months)(Y/_././~ /',.7/ 4:~. ~:~ System type 'Z~ Gravel thickness Total depth '¢)'. <!~ / ~/ Depression over field (Y/~ /,-,/~'~..2 ~ ~or ~ Bedrooms After test ~ //%' If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain / ~ /~/~ On adjacent lots / / 4:2 / Property line / To existing or abandoned system on lot Cutbank ~-/2 Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION DateEngineer's Nam~o3', ~ ~'"~S//EN Gl N BE R IN 6E~e River,l~n AlaskaRivc'r Lnr, p HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back 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 S NGLE FAMILY DWELLING Parcel I.D. # ("~Z'~L--'~ - 1, GENERAL INFORMATION Complete legal description Lot Block I~ Majestic Valley Estates Location (site address or directions) Luinda Circle Property owner Mailing address Lending agency B~v VanBavel HC83 Box 1771 Day phone Eaqle Rive~, AK 99577 Day phone 696-3366 Mailing address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup, 2, NU.,MB, ER OF BEDROOMS: 3. '.: 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, -_. XXX TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fronl 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 ane from my inves.t~ation and ins pection,' 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 dj.ate-OTY~is inspection. /- / Name of Firm S & S ENGINEERING // / Phone - ~70-~4 E.gle I~iver/LO~)~ Road NO/204 . , Address Eagle River, Alas~/a ~577 / ,- ~ / Engineer's signature /~7~----~ "~ Date ~'//~' / ~'/-'/ 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for '-~ bedrooms, with the following stipulations: Co~fP~T£ T/CE U?GNRLTE OF - Date "'i:The Municipality of Ahc'h~rage Department of Hea'lth and Human Services (DHHS) issues Health Authority .,'Approval Ce'rtifioates~ ~ased only upon the representations given in paragraph 5 above by an independent engi~(~e~:iegistered in the State of Alaskal The DHHS does this as a courtesy to purohasers of homes professional and their legding 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~2! Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A, Well Data Well type ~¢-,,,~tcr'Yc-- Log present {~N) _If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~c,-~/~' Driller ~ '~ U ~.,L,~,~, Total depth Sanitary seal {~N) Date of test Static water level Well flow Pump level1 Cased to Wires properly protected ~N) FROM WELL LOG AT INSPECTION /O, C~ g.p.m. ~ &, Casing height I ?..J ~- g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ;On adjacent lots ~¢~(~, Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Date of sample: -?~ ~- c~ ..-~/_~ B. SEPTIC/HOLDING TANK DATA Date installed \ ~'J ~ Cleanouts ~'~N) ',./ High water alarm (Y~ Date of pumping Nitrate Collected by: Other bacteria ~ S & $ ENGINEERING Ea!~lle River, Alaska 99577 Tank size \ ~, c~ o Compar[ments Foundation cleanout C/N) ~/ Uepressi~ (Y~j) Alarm tested (Y/N) ~.\.~c~ ~ Pumper :::~_¢- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot \ ~ On adjacent lots To property line /¢' Absorption field Surface wateddrainage / ~ c> \ c>o ~ ~ Foundation r~ Water main/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrica~ S~NCE FROM LIFT STATIOwell on lot On adjacNeni~its .~~Cyo es tested D. ABSORPTION FIELD DATA Manufacturer Manhole/Access (Y/N) ~ ~vel at Date installed Soil rating (GPD/Ft2) Length '?-"~ ~ Width O~~ Gravel thickness Total absorption area "~ ,l? Cleanout present(~N~) ~.. Date of adequacy test ~ ~' ?--"/.- ~Cl "5 Results Water level in absorption field before test Surface water _Peroxide tr~,atment (past 12 months) 0r¢__[~ ~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: System type '"¢1~¢_~ ~ ¢~ Total depth '~ \ ~ ~ Depression over field (Y/~ ~ for ~,¢ [ After test If yes, give date Well on lot To building foundation On adjacent lots On adjacent lots \ c, ~ Property line To existing or/~bandoned system on lot Cutbank /4- Water main/service line Surface water / o ~ ~ ~' Driveway, parking/vehicle storage area Curtain drain CE.T,..C^T.O. '~. ENGINEER S id- I certify that l have checked, verified,.or Conf~rmed to all MOA and HAA guidelines in effect on the date'of this inspection. Signature Engineer's Name Date 1~4 ;. ' -- ' ' ~ ""-U~e I(Iver Loop Road NO/2~ / ' ~ugle River, Alas~ca 99577 HAAFee$ ~¢--)~--~ "~ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number Bedrooms 72-026 (3~93)* Back MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I,D, #. 1, GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot. 3, Block 1, Majestic Valley Subdivision CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING (-")~("/ -'1,--,~ I I M/ 'HAA # L-'~, ~-'~. °~L--") (~(Z. ~.~ Location (address or directions) Louinda Circle (b) T.C. Wilson 688-4101 Property owner Telephone: (home) P.O. Box ~71245; Chugiak, Alaska 99567 Mailing Address Business 561-5829 (c) N/A Telephone N/A Lending Institution N/A Mailing Address ReMax of Eagle River Real Estate Company and Agent 16600 Centerfield Drive #201, Eagle 'River, Alaska 99577 Address Telephone 694-4200 Mail the HAA to the following address: (or check here I-i,.if hold for pick up.) List contact person and day phone number below: Remax ATTN: Darlene (d) (e) 2. TYPE OF RESIDENCE Number of bedrooms __.3 Single-FamilyY¢[ 3. WATER SUPPLY Individual WellZ]( Community [] Public [] Note: If community well system, must have written confirmation from the State Depa[tment of Environmental Conservation attesting to 'th legality and status. 4, SEWAGE DISPOSAL On-site [~XX Public [] Community[] Holding Tank [] Note: If community welt system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88} Page 1 of 2 ~ jo ~ @a~d 'NJOM s,JeeulBue leUO!SSelOJd CHi u! SUO!SS]LUO JO S JO J JO JoJ olq!Suods@J lou s! oBeJoqouv ~o 41!led!o!unR eq.L 'penss! s! eleolt!lJeO e eJojeq elep OZXleUe Jo suoRoedsu! ),onpuoo lou op SHHG jo see/,Old LU3 'SlUOLUeJ!nboJ 01m, S pUB leJope~ u!m, Jeo X~s!les ol JepJo u! suop, nl!lsu! 6ulpuot Jioql pue setuoq Jo sJoseqoJnd ol XselJnoo e se s!ql seop SHHG eqJ. 'mtselV jo elelS eql u! peJo~s!l~eJ jeembue leUO!SSelOJd luepuedepu! ue Xq eAoqe B qdeJl~eJed u! ua^!6 suo!leluesoJdeJ eql uodn ~lUO poseq peleolj!Jeo leAO~'ddv X~!Joqlnv qlleeH senss! (SH HQ) seo!^JoS UeLUnH pue qlleeH to lueuJ1J~dea el~eJoqouv to Xl!led!o!unl~ eqL leUOll!puoo leAoJddv leUO!:l.!puoo ~o SLUJO/ poAoJddes!G' ~ poAoJddV Xq BLUOOJpOq~JO~. pe^oJddv "IYAO~ddV SHHa '9 .._ 066I 'OE Az~nue[ sseJppv /~'~oi~NICIPALITY OF ANCHORAGE (MOA) MUNICIPALfW-"~IT~-,'"'¢" Health Authority Approval (HAA) ',;~,~,..~¢¢,OTECriON CHECKLIST - FEBRUARY 1984 ENVIRONME~ ~ 343-4744 RECEIVE, D WELl. DATA Well Classification Private Well Log Present (Y/N) yes Total Depth. 122' Cased to __ Static Water. Level 81,3' 2.3' Casing Height Above Ground Electrical Wiring in Conduit (Y/N) yes SEPARATION DISTANCES FROM WELL: Lot 3, Block 1, Legal Description: Majestic Valley SubdivisiOn If A, B, C, D.E.C. Approved (Y/N) __ Date Completed 8/30/75 Yield 10 GPM 122' Depth of Grouting Unknown Pump Set At Unknown Sanitary Seal on'Casing (Y/N) yes Depression Around Wellhead (Y/N) no To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest PUblic Sewer Line over lO'' To Nearest Sewer Service Line on Lot Water Sample Collected by Gilfilian Engineering, Water Sample Test Results O ColOnies/lOOm] Comments Recommend Approval over 100' ; On Adjoining Lots over 100' over 100' over 100' ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole over 100' over 10' Inc. ; Date lanuary 10, 1990 B.. SEPTIC/HOLDING TAI~K DATA Date Installed June 1975Size 1000 gal. No. of Compartments Standpipes (Y/N) yes Air-tight Caps (Y/N) no Depression over Tank (Y/N) no · Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: .. To Water-Supply Well over i00' To Property Line over 25' To Water Main/Service Line over 10' To Stream, Pond, Lake or Major Drainage Course one yes Foundation Cleanout (Y/N) yes Date Last Pumped 1/15/90 ; for Temporary Holding Tank Permit (Y/N) N/A To Building Foundation To Disposal Field over 100' over 5 ' over 10' Comments Recommend Approval 72-026 (Rev. 7/88) Fronl Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed June 1975 Width of Field unknown IO0 ' sf/bedroom 312 Square Feet of Absortion Area no Depression over Field (Y/N) Results of Last Adequacy Test Passed - Type of System Design Deep 'Trench Length of Field 29' :~ Depth of Field 11' Gravel Bed Thickness 6' Statndpipes Present (Y/N) ..:',yes 1/10/90 Date of Last Adequacy Test Adequate for a 3 bedroom home SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot over 100' over 10' over 10' To Water Main/Service Line To Stream, Pond. Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line over 10' . .To Existing or Ab~tndoned System on ; On Adjoining Lots over 100' To Cutback (if present) over 7.5' over 100' over 25' Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Recommend Approval -NONE- Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test, **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA gui~L~l~i~,[ect on the date of this inspection, ,~J _.~ ,., -./ /. ~ .- OF' ~1/~ Company GIL~ILIAN ~IN~ERING, INC. [*f¢.q~,47;~ Date January 20, '1990 ~'"~;¢¢';~;~'"'~00"~""¢" MOA No. ~)~ ,obeaE. G~l{ili/n Receipt No. ~ ~¢ ] ~¢~ ~ Receipt No. Date of Payment ~-~-~O Waiver Fee: $ Amount: $ ~O,~ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 January 19, 1990 T. C. Wilson P.O. Box 671245 Chugiak, Alaska Gilfilian Engineering, Inc. Mail: P.O. Box 871868, Wasilla, Alaska 99687 (907) 376-3005 FAX (907) 373-,5686 3111 'C' Street, Suite 200, Anchorage, Alaska 99503 (907) 562-2021 99567 MUNICIPALITY OF ANCHORAGD DEPT. OF HEALTtf & ENVIRONMENTAL PROTECTION RECEIVED SUBJECT: Well Pump Flow Test Lot 3, Block 1, Majestic Valley Subdivision GEI Project Number 190006 Dear Mr. Wilson: On January 10, 1990, Gilfilian Engineering, Inc. performed an inspection and pump test of the domestic water well serving the 3-bedroom single family dwelling on the referenced property. This report provides a summary of our findings. Our inspection revealed that the well consists of a six inch diameter steel casing which is covered with a suitable well cap. The casing extends 28 inches above the ground surface, and the drainage appears to be adequate within a 10 foot radius around the well. According to the attached well log the well has a total depth of approximately 122 .feet. The static water level was measured at 81.3 feet below the top of the casing at the time of the well flow test. ~- To evaluate the well's yield and pumping conditions, a pump test was conducted utilizing the existing well pump (size and type are unknown). During the test, we measured the pump discharge rate and monitored the drawdown of the water level in the well. The recovery of the water level in the well was also monitored after the pump test was completed. The pump test indicated a stabilized drawdown was reached at 91.5 f'eet below the top of the casing during the test. The results of the pump test indicate the well, as equipped with the existing well pump, is capable of producing greater than 3 gallons per minute for a minimum of 4 hours and at least 5.0 gallons per minute for a minimum of 2.1 hours° Please call if you have information. Sincerely, GILFILIAN ENGINEERING, INC. Bob Gil~i~ian, P.E. any questions or need additional ~*~"~'"*" ~~F~:~ FLOWTEST: 7 AT-SU TEST LAB, ][NC. Soils - Concrete - Water - Asphalt Field m~d Laboratory Testing Service8 P.O. Box 871868 · Was#la, Alaska 99887 ? (907) 376.3005 DRINKING WATER ANALYSIS FOR ~OTAL COLIFORM BACTERIA APPLICANT INFORMATION; Mailing Address: Somple Inf~mation~ Legal Description~ ~-o~ ~'! Date Collected; Sample Type: ~tine Phone: 'rime Collected:,tqq~ Collected By:-~'~jj) *'[ [] Check Sample [] Treated [] Untreated [] Fecal TttlS SECTION TO BE COMPLETED BY LAB ANALYSIS .RESULTS ~ Satisfactory [--] Unsatisfactory [---] Sample Rejected:~-~--]Over 30 Hours In Transi/[~]TNTC'.Colonies Too Numerous To Co(m! [----] Confluent Growth ~COMMEND RESAMPL~ Final Membrane Filter Results: ~) Colonies/10Oml 'No. of Positive Tubes f~.om five 10 ml Portions; ~/'z~ ;MPN~__~__per 100 ml Date Analysis Completed: /-//~Reported By: //_/~,///~//~ MICROBIOLOGY LABORATORY RECORD-COLIFORM/ANALYSIS Date Received: /~/(J)~q(~) Time Received: %~)/Q/~/~2 __Lab Number: f~~~./,~ Date Test Started: /~(/-) drime Test S arted: /~qf _Analyst: TEST METHOD TEST RESULTS ~ATE/TIME½ANALYST Membrane Filter Direct Count: ~.Colonies/100 ml /~/~ /~/'~ ~ (MF) Verification: LTB __,BGB__ Presumptive Tube # (LTB) 24 Hr, 48 Hr. Confirmatory Tube # (BGB) 24 ltr. 48 Hr. Completed Plate # Tested EMB 24 Hr. Tube # LTB 48 Hr. REFER TO BACK SIDE FOR INSTRUCTIONS Gilfilian Engineering, Inc. Bob GilfiHn,. P.E. P.O. Box 871868. Wasilla. Alaska 99687 (907) 376-3005 ADEQUACY TEST FORM SEPTIC TANK SIZE: Iooo TYPE OF S.A.S. ~e~ ~ ..... c ~ ~[ O' ~,~, pKOJEGT NO.: %~0oo~ ~cum. s . Eank volume liq. lvl ' o i NO. OF BEDROOMS: NO. OF BATIIROOMS: CALC. PEAK LOAD*: C.ALC. PEAK TIHE**:. CALC. PEAK FLOW RATE: HEAs. AVE. FLOW RATE: s.a.s. ~ comments level s.a.s. ~O¢' 0 0 _ gq" *peak load = 75 gallons x (~ bedrooms) **peak time : 25 minutes x (~ bedrooms ~ ~ bathrooms) =q-:, .'-~ .. ,Job Address ROTC-ROOTER SERVICE CALL H RS. @ INVOICE SEWER AND DRAIN "~/~ ~* '7~ CLEANING SERVICE ~ ~:i~:~;!~:i: ~i~ !:~ ? ~: i, ~:.:.~.:'. :!5~:i~;~::,.~:~.:'.:.~.~':' ~(: ~ ~: ~::~ ~.:. · ~t~ .~ - ~.~O~2688 PHONE3~.2513 ~NOHORA "' 2~ .. . ~ . GE ALASKA 99511-____ STEAM THAWING HRS. @ TRIPCHARGE HRS. @ LINEOLEANED [] ~OS NOT GUARANTEED FO FI FOLI.OWI NG REASON WORK ACCEPTED BY HYDRO.J ET SERVICE HRS. @ ~/.~,~TERIALS ..~/...~ P FROM THIS INVOICE :' TOTA ~' TOTAL FOOTAGE CLEANED OR THAWED.~;~.~ AS-BUILT ] hereby certiL',~ that [ have survoyed the following described properly:.~-~? 3 t ~'~ ¢ }~ Arlchorag¢ Recording lh'acincl, Alas{ct, and tthat inlprovotnenls situated thereon arc withia the propciqy lyi!~g adjacent Umreto, that no inlprovemm~t~ m~ ~rty lying adjace.t thm'cto c~lct-oach oa the preflliuc, s in lines or other visible easements on said property as indicatcd hereon Dated at '3lagle River. Alaska this. /~X_ ~(~_.day of ~! q:_'t',-f ~5 It .:,. . 197"- ~._ ~OBEI(T C. JOHNSON -~"" ~) SCAL~]:, Rcgistei'cd I,and Sm'veyor No. t" =: q~ Box 45({, Eagle River, Alaska Phone 6944~543 P. O, BOX 8'71868 WA$ILLA, ALASKA 99687 (90~300~ REPLY ®DAY-TIMEI~$ [IE-O[1DEI~ No 23600 Printed in USA SENDER - KEEP YELLOW COPY FOR YOUR FILE. MAIL WHITE AND PINK COPIES, ~ CHEMICAL & GEOLOGICA L LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518' TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92-0040440 ~1~ ~-~1 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ~,,_~ 3330 "C" Street, Anchorage, Alaska 99503 274-4561 6pO~~dm Date Received _ ~V~V~ ~ L Time of Inspection ~- ,~ ., X~,~*' Date of Inspection ~ ~--REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: ~~,~ ~ ~ Mailing Address: ~ [~-~ ~.~ Phone: 2. Property Owner: ~~,w ~ ~,~mP~,~ Phone: , Mailing Address: ~m~ ~- ~~q~ 3. Legal Description: ~ ~ ~~ ~~,~. 5. Type of facility to be inspected ~,~Jo ~,~, No. of bedrooms 6. Well Data: C. Construction D~///~,~). //-/2 -7~, 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: 1. E. Disposal Field: B. Depth D. Bacterial Analysi .~//~//~' B. Installer __ .~/2 1. Size /.~ 2, Manufacturer ~or~o. ~re~ .~/Z ~' ~. ~e~a~ ~o~a~ ~en~ o~ ~ne~ ~_ / ~ ~ Distances: A. Well to: Septic tank_~7 , Absorption area Nearest lot line __~, Other contamination B. Foundation to septic tank ~ C. Absorption area to nearest lot line .__/ ~_~, Sewer Lines ~_~_], , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re, Legal Description ~r~ ~ st for Approval of Individual ? er & Water Facilities Comments Approved ~ Disapproved Date ~/~'"~ Approval ~,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in 'this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 1. Type of Inspection: 2. Property Owner: Charles - Pogany Development Mailing Address: Box 323 - Eagle River, Ak. o. Name of Buyer: Theron C & Joann F. Wilson REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES November 5, 1975 CMRO VA FHA CONV X Day Phone 694-2334 Mailing Address: PSC 2, Box 4584 - APO Seattle 4. Name of [.ending Institution: _T,~e First National Bank of Anchorage Mailing Address: _~to~x 4-2990 Anchorage, Ak, 99509 Phone 5. Name of Realtor or Agent: N/A Mailing Address: Phone Day Phone 752-5151 274-1521 Legal Description: Lot 3~ Blk. 1~ Majestic Vall.ey Subdivision Location: NHM Louinda Circle, Eagle River, Alaska 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. Individual X Single Family Dwelling Individual (on-site) X EQ-037 (1/74)