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HomeMy WebLinkAboutSKY RANCH ESTATES #2 BLK 2 LT 11 Municipality of Anchorage Page i---L---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 Inspection Report Permit Number: :$wRqO061 PIDNumber: O "~ame~-,4,¢,, ~ M~S~e~ Wastewater System: U New ~Upgrade ~d~,: ABSORPTION FIELD ~HO~ ~ ~ ~/(P ~ Deep Trench ~ Shallow Trench ~Bed OMound ~Other LEGAL DESCRIPTION so, Rating: ~. ZwCGPO/Sq. Ft. Total Depth from original/dgrade: ~ot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: Range: Section: Fill added above original grade: Gravel length: .... / Ft. 7[ Ft. WELL: D New ~ Upgrade Gravelwldth: % Ft. Numberof Iines:~ Obtancebelweenfines:/~ Ft. Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: ~dller: Date Drilled: Static Wster Level: Installer: Date installed: Yield: GPM Pump Set at: Casing HeigM Above Gro,nd: TANK SEPARATION DISTANCES ~Septic eX/~ ~ Holding O S.T.E.P. To Septic Absorpllon Lilt Holdelg Publlc/PrNate Manufacturer: Capacity in gallons: Material: Number of Compa~ments: Su~ao~ ,~ ,+ LIFT STATION Water /00 lO0 ~ ~ ~~nuf~cturer:" ~- Lot Line m ~" High water alarm at: Remarks: BENCH MARK Location and Description: / Assumed Elevation: /OO, OD Ft. ENGINE~B~SEAL 17034 Eagle River Loop Road, No. 2~ ' ' ~ " ' ' Inspections performed by: Bade River, Alaska 99~ Dates: 1st ~ -7-gel ? ~/' ~ -~ Department of Health and Human Services approval/ ~' ",'::::'<::/%'"'~ Reviewed and approved by: Date'. 7-//-~ 72-013 (Rev. 9/91) MOA 25 Permit No.Sw940061 2 2 Page of 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 System and/or Well hlspection Report SKY RANCH ESTATES BLOCK 2, LOT 11 01530235 Legal Description: PID No.: EXIST. 1250 GA[; S.T. A B CO1 43.0 1S.O COg 43.5 19.5 D'.V. 44.0 20.5 C03 59.0 C05 58.0 55,5 C06 80.5 83.0 MT1 82.0 76.0 MT2 76.5 76.0 LOT 1 1 72-013 A (1/93) ' FINAL GRADE ~ -96.7' ISULA'riON 1250 GAIL. SEPTIC TANK INTEGPJTY YER~E[ED ............ 6-?-94 TI~F, NCH 86.9' 87.0' A 75.9' NO WATE[~ FOUND :: LINE TRENCHES EN~tlN EBR~G. §EAL '~ PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940061 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:WAISANEN ALAN G OWNER ADDRESS:il710 PINTO CIR ANCHORAGE, ALASKA 995].6 DATE ISSUED: 4/01/94 EXPIRATION DATE: 4/01/95 PARCEL ID:01530235 LEGAL DESCRIPTION: SKY RANCH ESTATES #2 BLK 2 L T 11 LOT SIZE: 17570 (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 (18AAC80). 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: ~~~ unic p lity chora e Department of Health and Human Services 825 "L" Street P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 11, 1994 Robert Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 11 Waiver Request ~WR940033, Block 2 Sky Ranch Estates PID #015-302-35, SW940061 #2 Dear Mr. Shafer: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. waived distance is 3 feet from property line to absorption field. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljw#7 WR# WR940033 MUNICIPALITY OF ANCHORAGE Department of Health and Human ervlces S On-site Services Section Waiver Review Worksheet PID# 015-302-35 HA# Date Received: June 20, 1994 Legal Description: Lot 11 Block 2 Sky Ranch Estates Engineer: Robert Shafer, P.E., S & S Engineering Permit # SW940061 #2 17034 Eagle River Loop Road, ulte 204, Eagle River 99577 S ' Applicant: Alan G, ~ais~aneD Waiver Requested: Lot line waiver of 3 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeabil'ity D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: .... 3. Other: Waiver is Granted: _ ~ List Conditions or Reasons __ Waiver is NOT Granted: for above: .~_~_~ _~ ~ ~ ~__ Date Rec #: ~D~&~ Amount: Name Of Reviewer ROBERT SHAFER, P.E. ROGER SHAFER, P.E. March 21, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APEROVALS 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 DISPOSALSYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 9951946650 REFERENCE: SKY RANCH ESTATES: Lot 11; Block 2 Request yo~ a ~sue Conditional Health Authorit~ Approval and p~rmit to fermented prop~. The existing septic system apparently backs up through the floor drain in the laundry room during heavy discharges from laundry use. Th~ may be a result of problems with the lines b~tween the house and the tank however it also appea~ that the absorption area is heavily saturated. A couple without children w~ be moving into the house therefore use will be minimal. Request you issue a cond~onal approval so that the work can be accomplished in the Spring. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole ~ located on the attached site p~n. The test hole was checked for ground water on 3/18/94 and was found to be dry. We request a 3' property line waiv~ from the nearest edges of the proposed septic trenches to ensure a maximum separation from the existing system. We do not anticipate any adverse effe~s on neighboring properties by the installation of the proposed septic system. If you have any questions, or requ~re addition~ informa~on for your review~e ¢onta~ us. I 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SF-RVICES 825 'L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR:~--'~(J~,.~L./~.~ /~b /~/-~,/~ ~//~"/,~/~*~) DATE PE~ / (ENGINEER'S SEAL SLOPE SITE PLAN 1 8 ENCOUNTERED? 13- ~oniloring? ~/~ Dale: Gross Net Depth to Net Reading Date Time Time Water Drop 14- 15- 16 17 18 19 20 __ PERCOLATION RATE ~) Immutes/mchl PERC HOLE DIAMETER COMMENTS ~¢~ & ~ ENGINEERING TEST RUN BETWEEN ~FT~ FT 17034 Eagle [,liver Loop Roa~ NO. ~104 ~/ ~ ACCORDANCE WITH ALL STATE AND ~1~[~ ON THIS DATE. DATE: 72-008 (Rev. 4/85) / O._j ~// / \ \ \ © // F 31¥05 ,OS : ,,I HEALTR AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL ~NSPECTION & FLOW TEST ROAD DESIGN SO/LTEST PERCOLATION TEST STRUCTURAL MECHANICAL INSPECTIONS REFERenCE: GENEPJtL: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. ON-SITE WAST~NATER DISPOSAL ~YSTEM CONSTRUC't'ION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX 694 1211 SKY RANCH ESTATES: Lot 11; Block 2 SEPTIC 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 1250 gallon septic tank to verify its integrity. If the integrity of the existing septic tank is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1000 gallon septic tank installed. Construction shall be in accordance with the approved site plan and design drawings, 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. TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pt~ping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 o EAGLE RIVER, ALASKA 99577 Page Two Lot 11; Block 2~ Sky Ranch Estates Septic tanks installed with less than 4' of cover shall be insulated. A foundation cleanout shall 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 soil not more than 10' from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRF/qCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched {roughed-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 soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall 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 shall 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. Page Three Lot 11; Block 2; Sky Ranch Estates 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. MINIMUM 1. 2. MATERI3~L SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 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, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 11; Block 2; Sky Ranch Estates 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: 1. 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 this inspection. 2. 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. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.O.A. Page Five Lot 11; Block 2~ Sky Ranch Estates S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER  -~ MUNICIPALITY OF ANCHORAGE i O, ~-~ DEPARTMENT OF REAl.TH & ENVIRONMENTAl. PROTECTION ENViRONMENTAl. ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DiSPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT ~AME .............................................................. ~PHONE MAILING ADDRESS LEGAL DESCRIPTION LOCATION iAJ]sor ption 8 DISTANCE TO: f '~ ~/~ 3~¢7 ~' Manufacturer ~1~- ~¢-~-~--' Materia~ ~_ ~ L capacity in gallons IF HOMEMADE: Inside }en9th th DISTANCE TO: Well Dwelling DISTANCE TO: No. of lines Length of each line Top of til~ to finish grade Length Width Foundation Total length of lines Material beneath tile IMaterial Nearest lot line Trench width [] NEW NO. OF SEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO, Total effective absolption area i PERMIT NO. ,e of crib Clib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO, DISTANCE TO: Bu Iding foundation Sewer line ea(s) OTHER PIPE MATERIALS SOIL TEST RATING NSTALLER REMARKS APPROVED DATE LEGAL 72-013 (Rov, 3/'78) U C7 Departmeat ~rmit ~ ~Oto~O Applicant: ~Lf/~ 5olcation: ~/O~ d~,'~[~ Phone Number: ~ g 'aO~>~~ T~pe of Soil ~sorption System Is: Trench: Drainfield: Seepage Bed: __ Holding Tank: Maxim~ N~ber of Bedrooms: ~ Soil Rating(sq.ft/br) MUNICIPALITY OF ANCHORAGE Health and Environmental rotection 825 L Street, Anchorage, AK. ~.~501 264-4720 * * * HANDWRITTEN PERMIT * * * WCj:~==CC4'-D¢OR ON-SITE SEWER PERMIT ~/~-/~/ ~-Lg~ Mailing Address: ~he Required Size of the Soil Absorption System Is: D'EPTH /k,,,, .LENG]'H '~ -~.GR~¥EE~-'OEPTH ' ~WID~H~ 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(HOLDING) TANK SIZE = / ~0 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. * * * T'We-(-2~NSPECTIONS 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 $ 2 * * * I certify that: (1) I am 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 understand that the on-site sewer system may require enlargement if residence is remodeled to include more that 3 bedrooms. Signe~: ~ ~_~-~2~--_ Issued by, Applicant Date: A1 Waisanen EH;ar Route A Box 162tl--J MUNICIPALITY dF ANCHORAGE .UNICIPALITY OF ANCHORAGE . j-, ~i: };:,^,LTFI & DEPARTV1ENTOFHI:AI-TH&ENV RONM_NTA P[OTE~ ENVIRONMENTAL ENGINEERING DIVISIO~V[RON~N1AL h;OrECTION 825 L Street - Anchorage, Alaska 99[;01 ~olophono 264-4720 ..... R ( E ~NEW Anehorar~e ,_ Alaska / NO, OF BEDROOMS DISTANCE TO: DISTANCE TO: Absorption area Dwelling PERMIT NO. Width IF ROMEMADE: Welt Owelrln9 PERMIT NO. Material Liquid capacity in g~llons Well N.arest lot line DISTANCE TO: No, of lin0s I_ength of each line length of lines Trench width inches 'roi) al tile to finish grade Material beneath tile PERMIT NO, Total effective absorption area PERMIT NO. DISTANCE TO: ._~_Z'2_~'~:¢ ('!]../. ~ ....... Building foundation Nearest lot line OTHER LEGAL. F'ERMIT NO. ( 79~t.0~? ) FIPPL. I C:RNT LEE R. I*1'¢1=1]" T LOCRTI ON Fli'.,ICH ORFIGE LEGRL L.-J..l 82 SI<'.rq:;'::RNC:H EST ~-l:2 LO'r SIZE 24~Z~;:ae SL-]LIRI;?.E:. FEE'I" T'¢PE OF SOIl. RBSORBTION S'¢5TEH IS: ]"RENCI4 HF:IF~IMUM NUMBER Of= BEDROOi"IS TM 3 SOIL. RRTING <SQ ;::T/E:R)= ~) ]"HE REQUIRE[:~ SIZE OF THE SOIL RBSOF.e.f:"FII]N $"¢2!,'l'EM IS: .... ~.=~ IF~. Ir II ... E,.~ [ .... 1iTZ. E~2. IF-, IF !1 I1 - - ~':::::,, FZ-, t3. I1[ Ir-! .... ]... ,_IL. L. [~': ~-,.l ~3~ "IF I'-'~ :-=.: .?-:3 * ]"HE LENGTH DIMENSION IS; THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL.D. THE DEPTH OF' FI TRENCH OR PIT IS TFE DIE;TRNE:E BETWEEN THE SURFRCE OF ]"HE GROUN[:' ;::IN[." THE BOTTOM OF THE EXCP,",,'FII'ION <IN FEET). THERE IS NO 2.;ET WIDTH FOR TRENCt4ES. THE GRRVEL DEF'TH IS THE f'IINIMUH DEP"fFI OF CiRF:f',"EL BETWEEN THE OUI'F'FIIJ... F'I;::'E Ri",lP THE BOTTOM OF' THE EXC'FIVRTION (IN FEET). F'EI:;.:M i T RF'PL I C'RNT F'IRS THE RESPONS I B I L. I T"r' TO I NF'ORr'I TH I S F.)EPRRTMENT [:,LIR I NG THE INSTI=IL. LFITION INSPECI'ICli'.4S OF FiN"r' WELLS £:Ir.:,JflCENT TO THIS.; i':'RoPr:~RT'¢ lIN0, THE NUME:ER OF' RESIDENCES THRT THE !-4EL. L .b. IILL SERVE. E:FICKFILLII',~G OF FIN'¢ 2.;'¢2.;TEH N~THOLIT FINFIL INSPECTION Fli',40 FIPPROVFIL B"r' THIS [:,EF'I~tRTHENT WILL 8E 2.',U[~IJ'EI::]" TO PROSECUTION. MINIMUM DI2.;TRi",ICE BET!4EEN R WELL. AND FINY ON-SITE SEI.4ROE DISPOSRL SYSTEM IS ::Lr..!~O F:EET FOR R I='RI',,,';:¥1'E I^IELL..~ OR ':I. SE~ TO 200 F::EEr FROi',I FI PUE,'LIC 1.4EL~L [:,EPEi'.~r.:,ING UF'ON THE ]'"T'PE OF' F'UE:LIC I-,.IEL.I... Err'HER RE6!UIREHENTS MFI¥ FII:'Pt..."r'. S;F'ECIF:ICFITIONS f:IND C:ONS]"RUCT][ON DIRGF.'.FII"I!~; FIF;'.E ;::IVFIILFIBLE TO INSURE PROPER IN%TRLI..RTIOi"',I. I CERTIFY THRT :L: I I':~M FRMIL..IFIR !.4I]'H 'FHE REQUIREHENTS FOR ON-2.;ITE SEI.,.IER:E; RND 1.4ELL.S t=OI:.¥FH BY THE I'ILINICIPRLIT"r' OF iaI"ICHORRGE. 2: I. !.'.I!LL. INS'roLL THE S'¢?]TEM IN FIC:CORDFINCE !.4ITH THE CODES. :~:: ~ UNDERSTRND ]"HFrf' ]"PIE ON-SITE SEI4ER S'.~'S"rEM i','lFt'¢ REL:~L.IZRE ENLFIRGEMEI'.,IT IF' ]"HE RESI[:,ENCE IS INCLODE HORE TF.IRi'.,I 2". BEE:,F;:'.OOI,'IS. S I GNED: .. RPPL I C NT LE R. .t,l'.r'Fll']" ISSUED GRE ER ANCHORAGE AREA BOr JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM LOCATION MAILING ADDRESS /~'J~¢~ z/¢2-¢ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE NUMBER OF FROM WELl__ MANUFACTURER ~'7'-/~/~* '~'TZ-:Z~MATERIAL ~-~'=--~ COMPARTMENTS INSIDE LENGTH , _INSIDE WIDTH LIQUID DEPTH __LIQUID CAPACITY /¢-~9~ , GALLONS. SEEPAGE PIT: NUMBER OP PITS / DIAMETER ___ OR WIDTH LENGTH DEPTH // / LINING MATERIAL~}~ ¢~¢-~/2_~CRIB SIZE: DIAMETER DEPTH ~ / DISTANCE FROM: WELL (/ BUILDING FOUNDATION ~o ! ¢' NEAREST LOT LINE ~/f) [~ TOTAL EFFECTIVE __ ABSORPTION AREA (WALL AREA) ~ ~¢ SQ. FT, ADDITIONAL ABSORPTION WELL: TYPE ~7 t~] CONSTRUCTION ~/z_ t~ ~-Z;> DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGF FOUNDATION_ -, LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED ~/ DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: ~"'~/~/¢~'/~/2 ,tL~d.. PIPE MATERIAL: LOT SLOPE: REMARKS: Form No, EQ-031 DATE G.A.A.B. GREATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO.. --, OTHER-- NOTI"~ THIS PERMIT 18 NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED -- FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SY~,~TEM WITHOUT FINAL INSPECTION ~3Y THE DEPARTMENT O~' ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK TO NEARES'T 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC 'rANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BAC:~{FI LL CONFORM TO ~OROUGH REGULATIONS REGARDING INSTALLATION. OR I CERTIFY THAT [ AM FAMILIAR WFrH THE REQUIREMENTS OF GREATER ANCHORAGE A~EA E~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE )eSI a GR~^'r~R ANCHCRAgE AREA J~O~Ou H Performed For Glaoi~r~,avatig~.~Oo. Date Performed ~-2~-74 ~ Leaal ~escr~nt~on: Lo 1 Subdivision Sk~_.Ranch This Form Re~orts Soils Lo(~ yes()~~;-~ Percolation Test Perth Feet Soil Characteristics Inlet to seepage pit Silty Sand SM-2~O La'er of Silty Sandy Gravel 22~ Silty Sand SM-2~O w , 14 fi, bottom of test pit Was Ground Water Encountered?_No ~?o~ I¢ Yes, At what Depth? Readinq Date Gross Time Net Time Depth to H20 Net Dron Percolatio Rate Hinute Proposed Insta-~-lation: Seepaae Pit yes Drain Field Deoth of Inlet Depth To Bottom Of Pit Or Trench Cm~ENTS:___2_~ sq. fb,,,.d~a~n_Age area r~P-~ be.d~2_CLOm No bedrock or water table 4 ft. below intended see_p_Ag_e pit Te.~,s ,P,e~f~,rr~ed 8y Jim Mack Data Certified. ~" ~' - ~'Tv~T-~ ~7. b~-, n DeJ)th '"' H2O POUCII 6 650 ANCHORAGE, AL. ASKA 99502 {907) 279.251 I February 21, 1979 Lee Wyatt Star Route A Box 1629-W Anchorage, Alaska 9950'7 Subject: Lot 11 Block 2 Sky. Ranch Estates Subdivision) {~2 Conditional approval may be granted if the existing s~epage area is enlarged so that it meets the requirements fo~ a three(3) bedroom, single family dwelling. Monies should be escrowed to cover the cost of the upgrade. The upgrade will include: , (1) Thirty-three(33) feet of trench, two to four(2 -14) feet wide, with six(6) feet of gravel below the drainpipe. (2) The new leaching area should come off of the existing seepage pit. There should be a ten(10) foot sol~_d pipe separating the existing seepage pit and the~new trench · If there are any further questions, office at 264-4720. please contact th~s Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CC: National Bank of Alaska, Pouch 7-025 99510 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.# .-~\~',~ l,,(",~ 1, GENERAL INFORMATION Complete legal description Lot 11: Block 27 Sky Ranch Estates Subdivision Location (site address or directions) 11710 Pinto Circle, Anchorage Property owner Mailing address Lending agency. Mailing address Alan & Susan Waisanen 11710 Pinto Circle, Anchorage, Day phone 345-4840 Alaska 99516 Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPI= OF WATER SUPPLY: NOTE: Three (3) Individual well Community well Public water xxx 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: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. xxx ?2-025(Rev, I/91) Fror~l MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from. the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~ Phone ~'~ ~¢-~"2 ~ Address Engineer's signature S &$ ENGINE.ERING/ / 17034 Eaol. ~.,.~,. ~ ~p ~., ./. -_ Eagle River, A~77~_~ DHHS 'SIGNATURE -)<' Approved for bedrooms. Date Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Ar,chorage 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 DH HS does th is 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 th(. professional engineer's work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: -~-~--y ~/~/~c~ ~-&'T.'Or)-e% Parcel I.D. A. Well Data Well type ~'¢~¢~ ~,,u,Fy .if A, B, or C, attach ADEC letter. ADEC water system number L~g~_ Date completed -- .~Qdller~--~-' ~ Casing height Total depth ~-~-~-~-~ Sanitary seal (Y/N.),~---~"~'~' Wires properly protected FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 2od Absorption field on lot 2_00 Public sewer main ,'J /~ Sewer service line 2.s- ' ~ ; On adjacent Jots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample:~ Nitrate Collected by: I:~. SEPTIC/H~c,~'--'/NG-TANK DATA Date installed ~/-/(~ - ?z. Tank size i~-¢o ~.~-u. Compartments 2_ Cleanouts (Y/N) Y~$ Foundation cleanout (Y/N) NO Depression (Y/N) High water alarm (Y/N) ~o ~,/,o, Alarm tested (Y/N) /'4 ./~ Date of pumping ;~-~ ~- ~q~,% Pumper No SEPARATION DISTANCES FROM SEPTIC/FJ~;DC~G TANK TO: Well(s) on lot FI/A On adjacent lots To property line //0 -? Absorption field Surface water/drainage /0 P -/' Foundation 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 Meets MOA electrical codes (Y/N) Manufacturer h~anhole/Access (Y/N) / ~//~ "Pump off" E;ycle-s tested Level at SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot ~ On adjacent lots D. ABSORPTION FIELD DATA Surface water ~-' Date installed ¢ - / ~' "-¢ ~ Soil rating (GPD/Ft2) ~:~' ~Tz'-~- System type ~¢¢~- ~-/ Length ~ / Width 2, % Gravel thickness ~ Total depth //~/~ Total absorption area /¢¢~ Cleanout present~) .Depression over field (Y/~_ Date of adequacy test ~/ Results (pass/fail) / for ~ Bedrooms Water level in absorption field before test ~ / ~ After test ~/~ Peroxide treatment (past 12 months) (Y/N) ~ ~ ~ If yes, give date / SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /4-']/ To building foundation On adjacent lots Surface water Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to al~ MOA and HAA < Signature $ & S ENGINEE 'B~/~ Engineer's Name t,.7_Q,3_4.E,~.g_l_e ~/,~ ~.~.,~,.o~ No, 204 ¢?f this inspection. HAA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number 72-026 (3/93)' Back ROBERT SHAFER, P.E. ROGER SHAFER, P.E. June 11, 1994 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 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMA/q SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SOIL TEST RECEIVED dUN 2 7 1994 Municipality of Anchorage Dept, Health & Human Services REFERENCE: Sky Ranch Estates Subdivision; Block 2; Lot 11 A Conditional Health Authority Approval (HAA) was issued on April 1, 1994, for the referenced property. All work required for the Conditional HAA has been completed. Attached is the On-Site Wastewater Disposal System and/or Well Inspection Report for your approval. We request you issue a Final Health Authority Approval for the referenced property. If you have any questions or require any additional information, please contact us. S/LSU/jk PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 )RMATION ,' ,, ~ ,. ,:., .:....~)4!~.,.~,,,..~... ~.... ~ - site address or dlre'ctions)! .. ' ' ' DayPhone _ haling agency ailing address t kup. T~YPE OF WATER SUPPLY ....... Individual Well '~ ...... Community well XXX... '. .... .~-. . . Public water.,, .... NOTE: lng to the legality and status of system, If community well system, provide written confirmation from State ADEC attest- · TYPE:OF WASTEWATER DISPOSAL: Individual on-siter X×X Holding tank , , Public sewer If commumty wastewater system: pro~/idb;Wr/tten conhrmation attesting to the legality and status~ of System; NOTE: from State ADEC,;..;,,:, ....:ii~i i' 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 adeq L~ate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my.investigation and inspection, the on-site water supply and/or wastewater ct isposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ,~ ,~ S ENGINEERING ~'"'~' ' Phone _~ ~'Y':~ ~' Address. ".--.~,~ ~-..~. 'gl2~C;~'~: .'/'. · . ' EngineeFs signature ' ':~ ~" ' ' Date ' 6.'. , DHHS. SIGNATURE Approved :for bedrooms. Disapproved. .. Conditional approval for 3' bedrooms, with the following stipulations: J~ ~l~nL~ ~' ~£/~oh~"To C~TR~¢T Tu£ I~/~/Y~o~- ~.~$r£~n~'£R' Date 4 The Municips~ity 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 professiona! engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes~ ~ ~. :. and their lending institutions in °rdertO satisfycertain federal an.d state requirements. Employees of DHHS do nO't" · . ~ :: conduct inspections or analyze data before a certificate is issued. The Mun!cipalify of Anchorage is not . responsible for errurs or omissions in the professional engineeFs work. '::· · ;. ~ . .'" Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ..__~y._y[LAr&L~ ~-~'7, ~--I/I ~:~,~- Parcel I.D. A. Well Data Well type _('~..CvV~(~I7' ~' If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) /~/,,~- Date completed /k)/,/~ Driller Total depth ,/%)/~- Cased to /~//~ Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) ~//~ FROM WELL LOG AT INSPECTION Date of test /~/~ /"b// Static water level ~ lr Well flow g.p.m. Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main /~//¢J' Sewer service line MUNICIPAU'IY OF ANCHOP-C, GE ,~NVIRONMENI'AL SERVICES DIVISION g.p.rhJAR ~ ~ 1994 RECEIVED ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank ¢%J/4 WATER SAMPLE RESULTS: Coliform ¢J/~Or Date of sample: ~//3~ Nitrate /~,/'~ Other bacteria ,'%/,'~ Collected by: /'U///¢ B. SEPTIC/HOLDING TANK DATA Date installed -~-- l0- 6°3-. Tank size I¢'~-.~ C) 6fq-(.- Cleanouts Y~_~) F~--~ Foundation cleanout (Y/(~ ¢' ~© High water alarm (Y/~)~ Date of pumping Compartments Depression (Y ~/,~. Alarm tested (Y/~ /~///~ Pumper SEPARATION DISTANCES FROM SEPTIC/I-~;];~-6 TANK TO: Well(s) on lot /"-)//~ On adjacent lots ¢-,o r4, Foundation /¢ ' '~' To property line j~, / + Absorption field /O / ~- Water main/service line /~ / ~ Sudace water/drainage (00 i jo ! 72-026(3/93)*Front ;~' ~,C,O, To ~- ~r4ST,~u~E¢ ,4-~r TIA4~ o~: CONTINUED ON BACK PAGE  ¢~d'//~ Manufacturer Size in gallons ~ Manhole/Access (Y/N) Vent (Y/N) ~ ~ ~i:~t sW a~eor;le~ refit i ~cVa~ lc o d e s (y/N )~-- W~jacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~%¢ / ' 2~/~ ~ Length .~C¢ ' ! Width Soil rating (GPB/Ft2) Gravel thickness Total absorption area Cleanout present ¢~f~-~C.~wate of ad e qu acy te~st .~/¢/¢ /~ Results(pass/fail) ater level in absorption field before test _~.~ ~ Peroxide treatment (past 12 months) (Y/~j.2 System type Total depth Depression over field (Y/r~ ~-~ ~,~-~ for ,-~ Bedrooms After test yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /"~],,"~ On adjacent lots To building foundation On adjacent lots Surface water Curtain drain /"~//~r / , / E. ENGINEER'S CERTIFICATION ~ --/~,/¢C/4-C-~,¢'¢. ¢;;O"Or~ ~ Property line / b ~L To existing or abandoned system on lot /(~ · Cutbank Water main/De.ice line Driveway, parking/vehicle storage area ~ ¢¢  the this inspection. I certify that I have check onformed to al~ MOA and HAA guidelines in effect Date ~ .Ncr, Alaska 9957Z ~ ~ ~/ ' HAA Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back / Waiver Fee $ Date of Payment Receipt Number NV, RON ENTA, ENG,NEER,N ,V,S,ON RECEIVED Telephone 264,4720 REQUEST FOR APPROVAL C)F INDIVIDUAL WATER AND SF. WER FACILITIES MUNJ~A.,LJTY OF MUNICIPALITY OF ANCHORAGE EI',IVIR-~N~ENTAL ?ROTr~:~_...~_ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Str.et-Anchoraoe, Alaska 99501 00T I ~ 1978 DIRECTIONS: Comolete al parts on page t, Incomplete requests will not be processed. Please allow ten (10) days for processing, MAILING ADDRESS SRA 1629-W, Anohoxage, Al~sk~ 99507 1. PROPERTY OWNER t~_~ I~ee A. ~nd Ssmdr~ L, W3r~t PHONE n/a 2' 9541/o PHONE ~4- £o. 274--7J 07 PROPERTY RESIDENT if different from above) same 2, BUYER Walte~ B, ~nd K~thleen I,. S~sse~ III MAILING ADDRESS 2411 Bentzen Cizole B-16, Ancho.v~ge, Al~sk~ 3, LENDING INSTITUTION STREET LOCATION 6, TYPE {:IF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other ~ SINGI_E FAMILY [] Two [] Five [] MULTIPLE FAMILY ~] Three [] Six 7. WATEFI SUPPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY 8, SEWAGE DISPOSAl. SYSTEM NDIVIDUAL/ON-SITE** [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all walls drilled since June 1975, For wells dril ed~rior to that date, give well deoth (attach log if avail ible ) ~lf individual/on-site, give installation date If system is over two (2) years old an adequacy tes~ ~s required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE.'. PROCESSING CAN BE INITIATED, 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSP ECTOR I NSP ECTOR INSPECTOR D[RECTIONS; I. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY (_~ - I ~ --) ('/' Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size:~-F', ]0¢° If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line Absorption Area to nearest Lot Line 3 'v't ~APPROVED FOR ~ BEDROOMS 72-010 (Rev, 3/78) Lee A. Wyatt Stf;r Rout(~ A ~ox 1629~W Auchora~e ~ A].a~k,a 99507 Lot 11 Blo~k 2 Sky Ranch }~.~ta~,'/~ Subdivi.~d.on ![2 ~he adoqu~'tcy tu~t p~rfor~:%,!;d on the property has 3.eac~h line {'lJth slx(6) f¢~t of g'ravel b~]o~'; crib ~houlcL be ~1~_~o(1 inconjuction ;~i"~h th~ ne~,~ by ~y 31, 1979. If there a~:c, any further qu~.st±ons, please contac'~ this office at 264-4720° cai Coast ~ortgag¢ Co:~tpany Post offl~e l]oX 1200 99510 Octob~%r 18~ 197~ Auchorag~.~ ~ Ala~ka 99507 o. pproval aay be grai!ta.q op. the individual you ~¢i]..~. na~,a(l to glo the (2) pit. A list o~ tile fi~}~a porforming the atrtached. Sinc er~.! ly ~ Assooiato. ~Ipc, c ;l~al ta't. 1200 99510 JML John M. Lambe, P,E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 NEW PHONE NUMBER, SOIL ABSORPTION SYSTEM, TEStaT PERFOI~[ED FOR: TEST PERFORMED IN ACCORDANCE WITH JML STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ANCHORAGE~ DEPT. OF ENVIRO~dENTAL QUALITY ON ~ WITH THE FOLLOWING MODIFICATIONS: SURGE CAPACITY: SOIL ABSORPTION SYST~ (SAS) SEPTIC TANK PLUS SAS AVERAGE 2~ hfs ~.P~ ~e / ~,,~ ~T~A-~ ;.~ ..... RISE OBSE~V %TIONS · NOTES: T~S~ DATA ATTACHmD - _ SHEET OF I John M. Lambe, P.E. 4303 Narlb Star Street . Anchorage, Alaska, 99503 907-279-8056 REFERENCE: DATE._I~,/z~,/,~ ~ PERFORMED BY: LEGAL DESCRIPTION: /~o ~' // DEPTH BELOW METER READING GALLONS PUMPED TIME RE~-~CE (, GALLONS ) ( ~ ) __ ~ '-ix" ~ ~o ~oo ~ :3 7  ~ ~" .~-~ ~ ~o ~o ? ..~ 8 r.~ ~" ,,~Y ~ ~o ~o ~ .'~ ~.,~" ~ "~ ~"- - John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 DATE //~'/,~'D PERFORMED BY: ~ / ~4/-~ ~,-~.~,~-~,~,~ LEGAL ~SC'~IPTION: Z~r // ~'~/~/~' ~ -~'~,,~'.~/~ ~ DEPTH BELOW METER READING GALLONS PUMPED TIME REFERENCE ( GALLONS ) (NET) I John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907.279-8056 DATE /O/e. Jl~,~ PERFORMED BY: ~ ~/~ LEGAL DESCRIPTION: L~?~ // y. fy?~ 9 ~y~,~-~ ~ DEPTH BELOW METER READING GALLONS PUMPED TIME REFERENCE ( GALLONS ) ( NET ) 7~' ~1 ~./ /,, /'-~'~" $o ~, 7 zoo, 7 //: / cw~4~ ~84,~ 2~,~ /I 1:~'/ 5o ~4~. 7 z~-~, 7 lZ:~ John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-27941056 DEPTH BELOW METER READING GALLONS PUMPED TIME ~,EFERENCE ( GALLONS ) ( NET ~ ... ~ £/I ~.. o ~ z~ I .',..~ '~ "'~ " c,o~7¢,~ /, El l/