HomeMy WebLinkAboutMCKINLEY HEIGHTS #1 BLK 4 LT 8 Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 ," :TT ' 'Page '1:••of 2
ON-SITE WASTEWATER INSPECTION REPORT i:". :TT
" ""'i
Permit Number: OSP181162 PID Number: 051-212-46 AUG 142018
Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade
Name:
Nick Stout ABSORPTION FIELD
Address ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
PO Box 672616, Chugiak, AK 99567 ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
3 GPD/SF Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot Ft. Ft.
McKinley Heights #1 4 8 Fill added above original grade Gravel length
Township Range Section Ft. Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES Ft. Ft.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line Ft2 Ft.
Well 100+ TANK It Septic ❑S.T.E.P. ❑Holding 0 Other
1 Manufacturer Capacity
Surface Water 100+ Infiltrator 1060 Gal.
Material Number of compartments
Lot Line 5+ I NA HDPE 2
Foundation E It7+ LIFT STATION
I Manufacturer Capacity
Curtain Drain None Known1
Gal.
Pump on level at Pump off level at High water alarm at
Remarks
in. in. in.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tankD3O34 Tank to P3034
Installer __ drainfield
ARM Services Drainfield CO/MT D3034
Inspector Crewdson Engineering LLC BENCH MARK (Assumed elevation) 100 ft
Inspections, Location and description
daces: 1 7-13 -18 2nd 7-18-18
3m --- 4th Bottom of siding at "B" (see record drawing)
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL �''+me $ap
Conditional Approval: Date %y�P•• _� ..i. la
% *:4'; TH ' /
/ ,/
1 "James A.Crewdson
ii,,, C11527 • i
Approved I -
&JPDate 8 1_518 'I1� OFESS1 le ,
ALLC# 112279
Inspection Report_9-1-12.doc
7 I
WELL I
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SEPTIC TANK
S2 DC
\ S1
WATER SERVICE LINE /
SWING TIES
102 FC: A 9.2',B 29.8'
/ S1:A 52.1',B 70.8'
\ S2:A 53.7',B 69.8'
/\ DC:A 55.6',B 69.2'
N
BENCH MARK / DECK B
ASSUMED ELEV 100'
BOTTOM OF SIDING ABOVE Fc'
BENCH MARK,
DAYLIGHT BASEMENT AT"B" • SEE PROFILE
ELEV 3 BR SFH
EG 78.1'
FG 78.3' WEo
S,
ELEV
EG 78.0' DRIVEWAY
` FG 78.3'
I______ I I I i 'IS
Ip2"INSUL. PLAN
DC SCALE: 1"=30'
SEPTIC TANK LEGEND FG-finish grade
Infiltrator IM-1060 PROFILE BR-BEDROOM INV-invert
CO-cleanout S#-septic tank cleanout
ELEV NOT TO SCALE DC-double cleanout SFH-single family home
TOT 74.5' EG-existing ground TOT-top of tank
INLET INV 73.8' ELEV-elevation
OUTLET INV 73.5' FC foundation cleanout
Crew/cif/on Engineering], LLC McKinley Heights #1, Block 4, Lot 8 ��••
Septic Tank Upgrade *:49,i .•.*
Record Drawing
i1 `
mes A.Crewdson
virt ,c,., -1114C111
Plan & Profile Views ��F•�. �,
Cl1527 ,`,
Civil&Environmental Engineering Prepared for: Nick Stout Date: 8-14-18 9F-pR FEssie `��
PO Box 671389 Chugiak AK 99567 • cellc.l@outlook corn Permit: OSP 181162 Page: 2 of 2
Cell/Text:907-280-9493 • Fax:907-688-2295
AI i.int OPMATION SHOWN ON TR S DiXt/IATNT IS WE PROPERTY OF CREWDSON ENGINE ERiNG i EC AEiD SEMI L NOT OF USED FOR ALLC#112279
ENGINEERW7 OR CONSTRUCTION PURPOSES WITHOUT WRITTEN DE[MISSION FROM CREW::'JN ENGINEERING.ICC
CVALTY MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program S.;
.
.%'z g Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 �ebise
� r.
httpa/www.muni.org/onsite
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On-Site Wastewater Disposal System Permit 77/,4]
Permit Number: OSP181162 Effective Date: 6/28/2018
Work Type: SepticTank Upgrade Expiration Date: 6/28/2019
Tax Code Number: 05121246000
Site Legal Address: MCKINLEY HEIGHTS #1 BLK 4 LT 8 G:1058
Site Mailing Address: 22017 SPRING CREEK LN, Chugiak
Owner: STOUT NICHOLAS A& Lot Size in Sq Ft: 42689
Design Engineer: CREWDSON ENGINEERING, LLC Total Bedrooms: 3
This permit is for the construction of:
El Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: Confirm minimum 10 ft separation between tank and water service line at time of
construction.
Received By: Date: / - / .�
Issued By:
eajt,tztfiDate: 6/28/1g
MUNICIPALITY OF ANCHORAGE
.�
. . fry
Development Services Department Phone* !$ . -7904
On-Site Water & Wastewater Section r.; • 's : "
. a '97
JUN 2 6 2018 3
ON-SITE SEPTIC/WELL PERMIT APPLICATION
cu
Parcel I.D.
051-212-46 1106
Property owner(s) Nick Stout Day phone
Mailing address PO Box 672616, Chugiak, AK 99567
Site address 22017 Spring Creek Ln
Legal description (Sub'd., Block & Lot) McKinley Heights #1 , Block 4, Lot 8
Legal description (Township, Range & Section)
Lot Size 42,689 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) 0
(w/wo ADU)
Septic Tank [ Upgrade Duplex (D) n
Holding Tank n Renewal ❑
Multiple Dwellings n
Privy n (SF and/or D)
Private Well n
Water Storage
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
Si re f property owner or authorized agent)
(Sig P P Y 9 )
Permit/Rush Fees: G9J5 Waiver Fees:
Date of Payment: (a/ J( Date of Payment:
Receipt Number: 5591) Receipt Number:
Permit No. aopf 711( �, Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Crewdson Engineering, LLC
•General Contactor James"Jay" Crewdson, P.E.
Email: CELLC.1@outlook.com
Cell/Text: (907) 280-9493
Fax: (907) 688-2295
Civil&Environmental Engineering
June 25, 2018
Plan Reviewer
On-site Water&Wastewater Program
Municipality of Anchorage
4700 Elmore Road
Anchorage, AK 99519-6650
Reference: McKinley Heights#1, Block 4, Lot 8
Septic Tank Upgrade
Crewdson Engineering LLC is requesting a septic tank upgrade permit be issued for the three-bedroom
home. The scope of work for the project is:
1. Remove the existing septic tank in accordance with the code.
2. Install an Infiltrator IM-1060 2-chamber septic tank with new post tank double-cleanouts.
a. Maintain 100 feet minimum separation from the two private wells on the property.
3. Replace foundation cleanout if found not to be in working condition.
Please feel free to contact me if you have any questions.
Thanks, OF ,Q `\i
•
.. .9 . .
Jana s"Jay" Crewdson, P.E. r: .
, S Cre
/, wdson
t
)(5, C11527 '�
(l k 1\� -OFESS100
PO Box 671389 • 18368 Amonson Road • Chugiak, Alaska 99567
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�� J ,t• I hereby certify that I have surveyed tl;e•followinK described
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`,/ w. 1 property: .L' '/ / '
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- -I- F►+4,4 ► T,'i ;r Vim, x - y�•. ' Anchorage Recording Precinct.Alaska.and that the improve-
.. ?�S -p,4 menta situated thereon are within the property lines and do
�j r ':�Yti. • as not overlap or encroach on the property lying adjacent there •
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e.; •', to, that no improvements on property lying adjacent thereto
Q fir • encroach on the premises in question and that there are no
73,:p..46.,,Vi••••••.....�...` rte.• 1s - . roadways. transmission lines or other visible easements on•
•"r:;'.I. , y c� �� ri said property exce• pt as Indicated hereon.
' •r' ...': ,•c.)•':.; 6.4.#,,,, Dated at Eagle River, Alaska .
f:a,T.:,,•; -'v this /2• day of_.4-;C' ._,_�� '�
ROBERT C. JOHNSON . '7'c'-: .
. s
SCALE. Registered Land Sutvey or:Vo. 88 -LS.
• 1" = II e: Box 451;.*Eagle River,Alaska . ,
•'f- Phone f 907)691-2543
NAME
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMIENTAL PROTECTION
ENVlRONIVlENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
PHONE
E~] UPGRADE
NO. OF BEDROOMS
Well ,A/~/, Absorption area ~ Dwelling /~./ PERMIT NO.
I D,STANCE TO'. I ' V'/'~ , ,~"? '~ /~1
[ Manufacturer ~ I Material No. of compartments ~..
[Lq capacty riga OhS ~ Inside ength JWidth
/ ~, IF HOMEMADE: ~-- ~ I ~ Liquid
To: Iw"'' .//BweHing PERMIT NO.
~atarial Liquid capaciw in
~ We ~/ Foundation ~/ Nearest ot ne ,,~ I¢ PERMITNO.
No. of lines .~ I Length of each line¢ Total length 9f I[D~s~ Trench width Distance between lines
~ngth Width / Depth PERMIT NO.
~ ITypeoforib Crib diameter f/~ Crib depth I Total effective absorption area
DISTANCE TO' Well Building foundation ~ Nearest lot line
Class F~, ~ Depth ¢ Driller Distance to lot line PERMIT NO.
tN[~ i~ --- t:~k' I~'TY¢~ 6 - Absorptonarea(s)
DISTANCE TO: Bu~ing foundation Sewer kine Septic tank
OTHER
PIPE MATERIALS
p
SOIL TEST RATING
/
ALLER
REMARKS
DATE
LEG
:~ev. 3/78)
NAME
tmen MUNICIPALITY OF ANCHORA~ei'Y"
DEPAR'! ,.~ENT OF HEALTH & ENVIRONMENTAl- PA~. ,EcTION
ENVI RONMEN3~N~3I NEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SiTE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE [ ~'NEW
~ '/' [] UPGRADE
' ~ , ~ ....
MAI LING ADDRESS
LEGAL DESCRIPTION
NO. OF BEDROOMS
LOCATION
~"T ~ i ~ ~J Absorpt on area
J DISTANCE TO: J ~¢.,¢? 33' ' I '
~ rLiq. capacity in gallonsI M M.MAn. JInside length
I ~," IF HOM ....... :
~ ~Vn o¢ e~c? Jine~ Total length o~i~'
~~5~_~, ~ Crib depth
¢ IClass ,. Depth ~ . Driller
~~ Sewer line
> ~ DI~ANCE TO:
Dwelling
Material
Width
P-'E'~I~I I T NO. .,
No, of compartments
Liquid depth
PERMIT NO.
Material Liquid capacity in gallons
Nearest lot line .-, * PERMIT NO.
Trench width
~ : inches
inches
Distance between lines i*' ' /
Total effective absorption area
PERMIT NO.
Total effective absorption area
Nearest ]o~ line
Distance to lot line ~[_P_ERMIT NO,
Septic tank ,~/~ b s~r p ~ o~aa r e a ( s )
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED :'
'. ,' , i:: '
DATE
LEGAL
72-013 (Rev. 3/78)
MUNICIPALITY OF ANCHORAGE
Department f Health and Environmenta Protection
825 ~ Street, ~chorage, AK. ~9501 ~
264-4720 ~ ~
(~j'~ * * * HANDWRITTEN PERMIT * * *
Perm~tApp ~ ~ WELL AND/~ ON-SITE SEWER PERMIT ~
licant: ~.~-~'~ ~~ Mailing Address: -'~, ~ ~ ~f ~. ~,-
Location: Phone Nuraber: .~ ~
~ ~ ' ~ot
Legal Description: J~~ ~/~ ~/~/ ~ Size:
Type of Soil Absorption System Is:
Trench: .%/ _ Drainfield: Seepage Bed: __ Holding Tank:
Maximum Nu/nber of Bedrooms: ~ Soil Rating(sq.ft/br) /~
The Required Size of the Soil Absorption System Is:
DEPTH ,& LENGTH ~3 z
GRAVEL DEPTH ' ~-- WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
· * REQUIRED SEPTIC(~$'~-~G) TANK SIZE = //_~2F2~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
· * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
· * * PERMIT EXPIRES DECEMBER 1 9 3 * * *
I certify that:
(1) I ara familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I undersea-nd that thereon-site sewer system may require enlargement if
the~de~Ce is~rem~deled to include more t~t 3 bedT~.~s~
Applican~.tL''' ~ ' % 0
, ate: ?- ?-
~.7; W [] PERCOLATION
TEST
MUNICIPALITY OF Ai'dCHORAGE
DEPARTIViENT OF HEALTH AND ENVIRONMENTAL PROTECTION
. . 825 L. Street, Anchorage, A~askg: 99501 264-4720
SOILS LOG - PERCOLATION TEST
~EGAL DESCRIPTION:
(FEI:T)
t0-
id,-
SLOPE
·
l
ENCOUNTERED? ..
IF YES, AT WHA
DEPTH?
] Reading ~ Date Tim~
PERCOLATION RAFE
/i :./' / , ,,.'
DATE PERFORMED: /'l',''''~17¢' L / ./,- i;'
SITE PLAN
Net
Time
Net
· Drop
(minutes/inch)
TEST RUN BETWEEN FT AND
Drtlliug
by
DOC Co. ada
SULLIVAN WATER WELLS
P. O. BOX 272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND DEPTH OF WELL ~l~ ~
ADDRESS STATIC LEVEL OF WATER FT. _ [~ I
LEGAL DESCRIPTION
DATE-Started ?/] ~/~..~
PERMIT NUMBER
Ended
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From /~ Ft. to ~ Ft._ C~sq~$1~'a6 ~'~'t"gO'~ From_
From ~ _Ft. to ~ Pt. ~1~4 From
From ~ Ft. to ~ Ft. O~o~~ From
Fmm~Ft. to l~ Ft. ~ ~ ~o~~ From
F=m j q Ft. to ~ Ft. ~ ~/C&~ y From
From ..~i Ft. to o~ FL ~'~-a~l' ~"/ ~n~Z From
Fr~Ft. to~Ft. ~a ~ ~ 6~ From
~,~~t. to~t. Co~ ~ ~W~6~om
~Ft. to , Ft. ~o~ ~ ~~ From
From
From ~, Ft. to4~_ Ft.
From Ft. to Ft.
From Ft. t~Ft.
From,'g~, ~ Ft. to Ft.
From
From
__ Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to.
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft.
Ft
Ft
Ft
Ft
.Ft.
Ft.
_
FL
Ft.
Ft
Ft.
From Ft. to. Ft From Ft. to Ft.
From Ft. to_ Ft. , From Ft. to Ft.
From Ft. to Ft. , From__Ft. to Ft.
From Ft. to Ft, From_ Ft. to Ft
DRILLER'S NAME
DOC Co. ooa
P.O, BOX 272, CHUGIAK ALASKA 99561 * TELEPHON~688"2759
]OWNER OF, LAND ;, ~.,~' ," .~ :'( ,.),~,~_-
,~ ~
,~, Ended _
KIND OF CASING
From ..... Ft. to-----~- Ft
From _Ft, to Ft
From_ __ Ft. to Ft. ~ ":
(":~(~'/,:~T~'d¥'rom___ Ft. to Ft
From ..~ '-.- Ft. to
From
From __ F~,
From..~ Ft.'
Ft.
~O~_ Ft.
_et
~O~_'.,_Ft. _~
Ft. to . · Ft.~_ ,
From--4 __Ft. to_.. ' _Ft .... ' - · ~-..
' :' ] ' 'F t ..' ,, ,.', - '
llrom / Ft. to __ t. £.~-~&~-~-~7 .....
From Ft. to .Ft~ : .... ,, ~ ~' ,~- ':
0
0
Alas[~a
Distributor
NWWA CERTIFIED PUMP iNSTALLER
WELL RECOVERY TEST
VERBAl-()
WELLLOG()
PUMPSET
CHECKEO()
VERBAL,
DRAW DOWN
CO~vIMENTS:
CHECKED(,)'-'
VERBAL(
WELLLOG( )
STATIC LEVEL
CHECKED(.,)
VERBAL()
WELL LOG ( )
· ~'.;,~1._~
CHECKED()
VERBAL
WELLLOG()
PUMPHP
CHECKED()
VERBAL()
WELLLOG()
B~REENED()
OPEN '
PERFORATED(
.INED()
MUNiCI?~I,iTY OF ANCHOR,_%GE
DIVISION OF' ENVIRONMEN'I.'gL HEALTH
DN?~f~MENT O~? t'.~k%~UI?H D~ID ENVIRC~NMEN'fA[~ PROTECTI()~51
API~LICATICN ~)~DR HJ:Y,~LTH ~TffJTftO!6[T~f APPROVAL CERTIFI(Pf[~E
(a) Le '4a L [:~scriotion ( ~ n( !ude lot ~ blod~ ~ subdiv~sion ~ aectJ,on ~ t~nship ~ range)
L::ca{ion.ladd:'ess o~r directions)
(c) Applicant is :c.ne:,i or::) ~naing Institution
[:::[ .......
Bu?er : Other ~.~_. (explain); ·
:.: ':h,
(d) lending Instit:ution '~22~:3~ .:~ L :: ¥/7?: / / ~ i' Tel~phorm
x": .:7 :- , 11/ :-'t / /
(e) ,,,~:~1 Estate 0% & Agent
Num,,~,,_ of Dedroc~
Individual i~i~ll ,.; ....
No..( .... ....A system, m:~R. have vmittkn confJ~m~tion fr6n't the State
legality
]~.pa..b~n~. of Environt'¢ental Conservation attesting to t:f~
t5s me. well adequate for the nu~r~r of, [~f}uom-m~s s~cified in ,this }Le/(y,yN)
4 ~waqa Dis osa]
Is hbo ~4nstewater dis~esai system adequate for the n~ra~r of k~dr %!)
[Page 1 of 2J
2-15-84
5. Etw~ineerin~ Fimm~ Pcov:i..di~ Instructions ~ ql~s'ts, Paha and Inforn~tion
I ~.:cc~.?y that' I ~have chec,.ed~ ver:~,f~ed~ a~~ confor~ed to all ~A [~A Guidelines in
ef~ct ~n t~ da't~f~J/'~!s ins~ct~on~
Sigmd by
Date
(~.~INEER S~L)
6~DHEPApproval
Conditional
YI~e Munici~)alitv of ,N':cho~age L~,pa~zt~:mt of ~alth and Environ~enta! ~:otection dces'
not ~aran~ee t~:x~ continued satisfactory ~rfo~mce of the water supply and/or the
wastewat:e:~ dis~w:sal system~ This app,'oval indicai:es that, as of the valLidation d~.t-.e
sh~ a~, t~sed on the d::~ta a~o.d info~mation furnished I~ e~ e~:l~er regist~red in
the State of ~.,aska, the water supply and wast.e~eater disposal system is safe and func-~
tional for t.~e n~mlher of ~d?~w~; ~md tyc~ of structure indicated.
Mail the klAA te the f~o,llc~aing ad(%ress:
~ ' / ~ '
.
KB2/GS/s
[Page. 2 of 2]
MUNICIPALITY OF ANCHORAGE (MOA)
HEAL~ AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
MUNICIPALITY OF ANCHORA(~E
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTIO~J
APR 2 0 '~
IV E
RECE D
Well Classificatio~ c])~_'/~_~__ If A, B, c~t C, D.E.C; ~p~ove~(Y~) 7~ ,
Well ~ ~esent~Y,~) DatD ~leted (3 /~: ]~ Yield
~p~ation Distan~s f~ ~11:
To ~ptic~oldi~g Ta~ on ~t ~'<3 ~ ~ ~ ~joini~g Lots
To ~a~est Edge of ~so~ption Field/o~ ~/~]C~ ~ ; ~. Adjoining ~t~
Clea~t/Ma~ole j.d ~ J To ~est ~ ~vi~ Li~ on ~t
~a~ s~ ~t ~ts -:~/?N~-~'
~te Installed ~ ~/D~L ~ ~ Sl~ ~~ No. of C leanou~N)
Standpi~s ~~ Aid-tight Caps ~) Foundation
~pression ove~ Ta~ ~ ~te ~s~ P~d ~'~
P~ing~intenan~ Con~ract ~ File ~ ~) ;for ~/_ (y~~
Holding Tark High-Wate~ Ala~ ~/'~ ~ra~y Holding Tank ~t
Separation Distances f~om Septic/Holding Tank:
To Water-Supply Well /~.}~' 5-
To Property Line /~'3 ~
To Water Main/Service Line/O /-
Cou~ /~
Con~ents
(
TO ~:ilding Foundation ]/
To Disposal Field ~--- (
To Stream, Pond, Lake, c~ Major Drainage
[Page ! of 2] 2~.~15=84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~' <.:~ ~ ~k i~
~--~ .-~ I6
Width of Field -:~-~
Square Feet of Absorption .,A~ea ..:~7,
Depression over Field (Y~)~) Date of Last Adequacy Test
Results of Last Adequacy Test LJ'/
/
Separation Distance from Absorption Field:
To Water-Supply Wall //~17~> ~ To P~operty Line
~! Type of System Des ign t{>~/~i
Length of Field
Depth of Field
Gravel Bed Thickness
To Building Foundation :/?~'- (
Lot /"J / Pq ; On Adjoining Lots
To Water Main/Service Line /~:) ~ To Cutbank(if present)
To Stream/Pond/Lake/c~ Major Drainage Course
To D~iveway, Parking Area, or Vehicle Storage Area
Co~ae~ts
To Existing or Abandoned System cn
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)
t. /~ Off" Level at
~V /:~ump Vent (Y/N)
Pump{~g Cycles during Adequacy Test.
~ets MOA
Co~nts
Check Perml-t~ Bedroc~ Rating Agalnst HAA P~quest
I ~rtlfy t~atI ~ve checked~, ~rlfled, or ~nfor~d to all-~ ~i~ n effect
. .
on t~ dat~of t~W/~c~.
[Pa~ 2 of 2]
2-15-84
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
A. WELL DATA
Well ClassificationS/-- if A~ B, or C~ D.E.~, Approved(Y/N)
Well Log Prescott ~) Da'~e Completed
Total De p ~ased to ~:~:' . ~tt~
TO ~ptic~-Ta~ on ~ /~:::~': 'j- ~
TO ~arest Edge of ~so~tion Field o~ ~: ' /[
TO Newest Public ~r Line ~/[/'~jJ-- __ TO
~blic
~r
Clean~t/Ma~ole ," //:-~ .To ~est ~r ~rvi~ Li~ on
Wate~ Sample Collected By ~:> > ~~?~:/ ; ~te
Water S~le Test ~sults : /
S tandpi~s~¢~~). :>'-' A~'-tight Cap<~) Foundat. . ion C. leanou~2~)'
~p~ession o~ ~a~ ~.~ Date
P~ing~intenan~ ~n~a~ ~ File % _; fo~
Holding
Ta~
High-Wate~
Sep~ation Distan~s ~ ~ptic/~olding Tank:
TO Water-S~pply Well
To Property Line ____~.:
TO Water Main/Servi~ Line
Course
Comnents
To Building Foundation~'
To Disposal Field
To St~eam~ Pond, Lake, r~ Major D~ainage
[Page 1 of 2] 2-!5-84
C. ABSORPTION FIELD DATA
Soils Rating in
Date Installed
Width of Field
': · Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness ~- ·
Square Feet of Absorption A~ea ~ ~ ~ Standpipes P~esent
Depression over Field ( / ~ Date of Last Adequacy Test
Results of Last Adequacy Test ~?/
Separation Distance from Absorption Field:
,...:,.
To Wa'ter-Supply Well ./~ _ jl To P~operty Line
To Building Found.ation :i-"~<)' '- / To Existing or Abandoned System cn
Lot /~"? / /:]- ; On Adjoining Lots ~::: ' i/
To Water Main/Service Line //%'> -~ To Cutbank(if p/resent)
To Stream/Pond/Lake/o~ Majo~ Drainage Storage A~ea /. /
¢o se / 1
TO D~iveway, Parking A~ea, or Vehicle
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at >'
High Water Alarm Level
Tested fo~
Dim~ ns ions
~anhole/Access (y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles du~ing Adequacy Test.
Electrical Codes(Y/N)
~eets ~VOA
Comments
** Check Permitted Bedroom Rating A~ainst HAA Request
tha~'~I ~ave checked, verified, om conforn~d to all MOA HAA C~idelines in effect
I
certify
on the dat~ of ~...~ inspection. ---- .~..,, .,~,- ~
Co~a~y. ~- ~OA No. "~ .........
, ~, '~',. .~. ~,.
2-Z5-84
,PO U(}H 6.-650
ANGHORAGIi, ALASKA 99502-06b0
(907) 264-..411 i
7 0 N Y K NE) WI t:S,
MA YOR
DEPAF~TI¥1ENY OF klEA _YH AFl[) ENVIF~ON~I -: ~ "A PROTECTION
October 14, 1983
Mr~ Roy Schrekhise
Box 772062
Eagle River~ Alaska 9957'7
RE: Substandard Water Wells Lot 8s Block
McKinley Heights Subdivision
Dear Mro Schrekhise:
We haves for some times been attempting to find a solution to
your problem of a substandard productivity of fresh water from
the two wells on the referenced property, The latest production
tests (taken on August 29~ 1983) indicated that well No, I had a
productivity of 5 GPH with a static water level at 29' and' total
depth of 460' Well No. 2 tested 7 GPH with a static water level
at 6~ and hotat depth of 500~ According to the Water Well
Standards~ Chapter 15.55 of the Anchorage Municipal Codes a well
serving a private residence must have a yield of 150 gallons per
day per bedroom~ The combined total yield of both wells on Lot
8~ Block 4, is 1.2 gallons per hour or 288 gallons per (]ay. This
office will issue a Health Authority Approval subject to the
following conditions:
A 500 gallon volume reserve tank must be installed so as to
provide at least 1 day supply~ This reserve tank coupled
with the volume capacity of both wells (approximately 900' of
6" casing) should assure that sufficient water will be
available for any normal usage.
You install a microflush or monomatic type toilets and water-
save shower heads in each bathroom. This water saving equip-
ment should reduce your daily water use by approximately 75
gallons per day. The average amount of water used in a pti
rate residence is approximately 75 gallons per day pet' person
which would be 300 GPD for your family of four° By utilizing
the above mentioned water sawings devicess your total family
water consumption should be approximately 225 GPD. This
complies favorably to your combined well production of 288
GPD ~
Mr~ Roy Schrekhise
October 14, 1983
Page 2
Any lending institution involved in financing the subject
property must be apprised of the substandard volume of fresh
water available from the two existing water supply wells on
the subject lot.
a
The Municipality of Anchorage is held harmless from any
liabilities and/or future legal action which might arise from
the substandard volume of fresh water available from the two
existing water supply wells on the subject lot~
We trust that this letter and our proposed conditional Health
Authority Approval will be sufficient for your lending agency to
finalize your loan agreement,
Very truly yours~
Robbie Robinson, Manager
Environmental Health Division
RR1/ej/D7
/ &-,:::: ;