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Home My WebLink AboutPARADISE VALLEY BLK 8 LT 16: DEPARTMENT OF HEALT" & ENVIRONMENTAL PROTECTION ' ,".~ ~,'~ ~"~,1t ENVIRONMENTAL ENGINEERING DIVISION , ~: :~~' "~ ON~ITE S~AGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REaR MAILING A6DRE~- ~GAL DESCRI~ION ' r ' .... ~ i~: C~n ~'lom IF. HOME'DE: Inside ,enFh W,dth Liquid d.th ~ ~ OISTANCE TO: Well ~elling PERMIT NO. O ~< ~ufaclu~ Material Li~id cap.ltv in ~ll0nl Leith W~dth ~pth PERMIT ~ ~ Ty~ of uib, ~ib diamet~ Crib d~th To~al eff~tiw a~tion area ~ : ~ ' ' DISTANCE TO~ Well Building f~ndat,on ~e~r~t iot line . ~ O~ t ~th D~dler O~stance to lot line PERMIT NO. OlSTANCE TO: Building foundatio~ S~r line S~tic ta~k A~rpti~ PIPE MATERIA~ , REMARKS ~ ' Ivs, le~ WATER WELL RF..CORD STATE OF ALASKA DEPARTMENT OF NATURAL. RESOURF..S DivisiOn Of GloloJIco! 6 Glophl/llc(ll Sufl~p j ;.: O,'llllPl pie,mi! Ne. ' n.O.L. Ne. .[] wO 4. ~ft. · OAfS OP cOilPLiflO__lt...- ,. ~c.1),. ,..' O"""' Oo'l"" C) pi" O'""" 0~'"" O'"d 0 o,~.,' Oemeeile 0 pit)lie I~I~Y O I#d,llfl [~ I,Ilellel ~] lille/Il I"'1 '"' °'"' '"'" diem.___,,,,ii' tt,.,,,,_,.,fl, Dill1) I. PINIIH OF I[LLI " "1'),i e '. ~ _ ft. lid ~ , --. let bet ,~M~ ·eekflllle· I0. ITATla W&T[I Piti( · -_. pING LEVEl. 1belie IMM cliffell ,e~ yISL -~..~. , ~1~. -~'"' ~ Materiel: Neet PUMP' · , ' :=~ .~,~.--.~ · , ' MIJNICIPi' [ iTY OF ANCHORAGE : :~:e~'i~ ~ DEPARTMEN"[ OF HEAL~. & ENVIRONMFNTAL PROTECTION ~ "~,~,~ ~y 825 L Street- ~Anch°ra~' Alaska 99501 Telephone 2~7~ , ~ REPOR~ ::.~ ,'~- ON~ITE SEWAGE DISPO~ AL SYSTEM AND/OR WELL INSPECTION ' ~MAILING ADDRESS LEGAL DESCRIPTION LOCATfON r NO. OF BEDROOMS ' Well Ahs;)r )~0', ar,'~ Dwellin~ PEFi~IT NO, ~;:~ a ul~turer Mater,~l N~. of : '~ ': L.(. cavity in gallons - ns,~ - I.n~th W~Oth -- ' L,'q~d depth ~' ~ ~ I~--~ IFHOME~DE: ~ ' [ ~--~ r~O Z ~ Manufacturer. ................. ~1~te;ia~ ............ Liquid capacity in gallons ~ I , Well . ] Fo~r,,Iar~on Nr,~'st lot hne P[~MIT NO. :[E~ iI .- ~~ ~ ~ [No. of lin~. Ler,~hl][ ~ ~°l each Ine · ~Totq[l ~/~_[Pnr:lh of Fines Trench w~th~. :' - ' i, Length [W,(l~h O~'.~ PERMIT NO. - .... ~; ~ --~ TV~ of crib Crib d,ameter Crib d,,;qh Total ef f~tlve ab'iorpl~o~ are3 I~,. 'OlSTANC~ TO: ~ . Ciasl D~th I Driller D~stancn to Io[ hne [ PERMIT NO. r , ' 1 :: OTHER ...... ~..~::":~ ..~5~:.. r_ ~ ..... ~., ::::: ,: · MLJNICIPALITY OF A NC HOR.'~.GI:- DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRO'rECTION B25 L STREET, ANCHORAGE, AK ~501 · ~64-4, ~) ' ~ DA~E · ISSUED: 09/t2/84 -APPLICANT': ~= BRUCE MACPHERSON ADDRESS:i'~ ~ 15550 RIDGEWOOD CIRCLE ~ ~ ~ ANCHORAGE~ AK 99516 CONTACT'? PHONE-: 345- ~ 1 lV . LEGAL DESCRIP.: SEWER & Wl:.LL . .. LOT: 16 · : ' ' RANGE: 3N LOT SIZE:' MAX BEDROOMS: SUBDIVISION: PARADISE VALLEY SECTION: 11 TONNSHIP: llN 20645 (SO.FT. OR ACRES) BLOCK: 8' .Li~tBd'rbelo~ ap~ the Jptions available to you in designing your septic tsystem'. Choose the optionthat best ~its your site. EPTH'~¥OiPIP BOTTOM 4.0 (FT.) iTOTA:L .DEPTH '(FT. ) iGRAVEI..:i:WIDTH (FT.) GRAVEL~LENGTH (FT.) GRAVEL:::~VOLIiME. (CU. YDS. ) iTANK sIZE (GALS) !SOIL- RATING (SQ. FT./BR) ~;5 167.0 ** 69.6 1,000.0 ** 445 W. DRAIN 4.0 5.5 7.5 5.0 144.0 ** 106.7 1,000.0 ** 445 i." *~-GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) '~ ** TANK MUST HAVE AT LEAST TWO [:OMF'AR'[MENTS i~ C~:~i'7;',h~ : ......................................... ~' 1.'I:am ~am~liar with the requ~rem~qts For on-site sewers a~d ~ells as set ~ -~-~0pth by the Municipality o~ Anchorage (MOA) and the Stat~ oF Alaska. ~ -~- I'will instmll the sy~.Lem in accordanc~ with all MOA codes and regulation~, ~::-' ' and in compliance with the design ~ ri[epia o~ this p~r'mit. ~. ~. I~will:.~dhepe to all MOA ~nd ~* ~ .... a~e o~ Alaska requirements ~o~ the set bac~ : distances r~om .any existing ~ol], waste~ate~ disposal system op public . ~.":;se~e~age ~ystem on this or any adjacent ~p nearby l~t. ~ 4, I understand {hat this permit is valid ~p a maximum o~ 5 bed~ooms and ' . '. any enlargement ~ii1 require An additional permit IF A~.LIFT STATION IS INSTALLED IN ~N AREA COVERED BY MOA BUILDING CODES~ THEN-(1) AN ELECTRICAL PERMIT AND IN~.F'ECTION MUST BE OBTAINED= (2) AS-GUILTS WILL NOT B~ APPROVEO WITHOUT AN [LEC'IS(ICAL INSPECTION ~EF'O~T; AND (~) THE ELEC?RICAL WORK~UST B~ DO~~ LICENSED ELECTRICIAN. SIGNED ' ~ DATE: ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage. Ala'~ke ggS01 264*4720 SOILS LOG - PERCOLATION TEST OATE PEREO,RMED: so, cs PERCOI~Ti0N TEST ------.2!- - :*3 17 18 88 ..~ IF YES. AT WHAT DEPTH? SLOPE SI' PLAN Time 19 20 PERCOLATION RATE ' i!.~,~_~//~'~-~: -~ ~ DEPARTMENI=.OF HEALTH ANO ENVIRONMENTAL --'~OTECTION ~%.--..~:~. ~'?:~i..L: 8~J L STREET, ANCHORAGE~ AK ~501 :,;~5-~..-'~. / ._ ' · ON--S I TE I,JEZL_.L F'EF<M I T A~RLiC~NT: "" BRUCE M~CPHERSON ADDRESS:',~ : ' ' 13350 RIDGEWODD CIRCLE -'- ,~ ' ' ANCHOKAGE~ AK 9~516 CONTACT PHONE: 545-6116 'LEGAL_.DESCRIP: SUBDIVISION: PARADISE VAtLEY LOT: 16 BLOCK: 8 ~ '" SECTION: 11 TOWNS~iIP:' [1N ,o~P~h.~,:E'O-: 3W :LOT SIZE: . 20646 (S~.FT. OR .r ce~tiry that: , ~, I am familiar with the requirements {or on-site sewers and wells as ':.~ ,.] .~oPth by,the Municipality og~ Anchorag,) {MOA) and the State o~ ',Alaska. '- 2~ I will. install the system in accordance with ~ll MOA codes and pegula~ion~, [, ? ~nd in'cOmpliance.wi~h the design criteria o~ this permit. ~ ' [.,-~.5~ I wi'Il adhere to all MOA and StaLe c;~ Alaska requirements ~o~ the set! b~icL P.~ { distance~' from any existing ~,m?ll, wastewa~.~r disposal system ~ public · .~ , sewerage system 'on this or any adjac~nt or n~arby lot. ~ACPH[ Et,'VIIIONMt~ i'AL PROT,,EC~ DEC 3 0 '198'~ RECEIVED ~/4qlre. Section Melerlol Tyne DEPT. CF HEALTH & WATER WELl. CON TRACTOI~'S CE R?IFICATION: ( WATER WELL ~iRECORD , '- STATE OF ALASKA ~:: DEPARTMENT OF NATURAL RESOURES Divleion of GeOlogicol~ & iGeophyglcol Surveys Drilling Permit Ne, 3. OWNE~ OF WELL: 4. WEL~ DEPTH; (flAil :~:lCoble fool r'~l~otoq, []Driven Auger [] doffed ~ Bored ~ Irrltellen ~ Neeheqe ~'1 DINer t I. Ca/,tING: [] Threaded ~ Welded dl,,..? ,.. ,o//G ,,. o,p,, w.,,b,./_.;~,g,./,,. diem... In. fa., I. FINISH OF WELL: Set betee~ Boekfllllng - GrOvel leek ,. JO. gTATIC WATER LEVEL: //4~:~ ff. Equipment used: ~ C~ '* "~"-' "'" ff. offer ~h~e. la,GROUTING Well Oroufe~: MOle¢IOI: ~Nee, Cement la. PUMP: (If evellokle) Hp~~ Length ef Oto~ PI~ ft. ee~ee;l~ _ ~.p,m. /~ s'" ~ "' ~ ~"'""-, ~ o,~., 14. i i9, We/et Tnmpereture · 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 Par(~elI.D.# 0 90 ~ ~-} 1. GENERAL INFORMATION Complete legal description HAA # Lot 16; Block 8; Paradise Valley Location..(site address or directions) 6001 Romania Drive Anchorage, AK 344-6001 Pro'perty'owne ;Steve Thompson Day phone :.. . . ,, ?,, .'- ~ 'M'~iling addreSS ......~.'600:1 Romania Drive Anchoraqe, AK 99516 l"~nding agency, Day phone 'Mailing address"' ' '-~ Agent · ,-:- Day phone Address Unless otherwise requested, HAA will be held for pickup. 'NUMBER OF BEDROOMS: 3 ¥ TYPE OF WATER SUPPLY: . Individual well ××× NOTE: Community well Public water 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. 72-025{Rev. 1/91) Front MOA#21 '~ 5. sTATEMENT OF INSPECTI°N 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 a~d/or wastewater disposal system is safe functional and adequate for the number of bedrooms and type of structure indicated herein. I further verifythat 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 n effect on the date of this inspection. Engineer's signature S & $ ENGINEERING Name of Firm 17034 Eagle Kiver Loop Road ~io, 204 Address Eagle River, Alaska 99577 bedrooms. DHHS SIGNATURE {// Approved for Date Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of AnChorage Department~6~ Health and Human Services (DHHS) i~ues Health Authority Approval Certificates~ based only uPon the i'ePresen~ations given in paragraph 5 above by an independent professional engineer registered in the state of Alaska· The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order ~0satisfy 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· 72-025tRey. I/91) B~ck MOA~21 KEL[:I VI'D M,mi¢ipality of Anchorage MAY 2 6 DEPARTMENT OF HEALTH & HUMAN SEF~.~u.r¥ of Environmental Services DivisionENVlRONMENTAL SE~VI¢I~S DIVI$10 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: Health Authority Approval Checklist A. WELL DATA Lo~- t(~ &L,~c~ ¢' ParcelI.D.: 0~-0 "-z-//3 - 3' G Well type /~/'¢~ v,~ ;-~L If A, B, or C, attach ADEC letter. ADEC water system number Log present e/N) Y~ J" Date completed ;~ /t / ~ 3-- Total depth % 5~'~ Cased to M ~ Casing height (above ground) Sanitary seal Wires properly protected ,(.~/N) ~' ~ $ FROM WELL LOG AT INSPECTION Static water level Well productien g.p.m. g.p.m. WATER SAMPLE RESULTS: O Coliform Date of sample: ~f/~-6 / o~ ¢ Nitrate t4. ~' ( Other bacteria 0 Collected by: S&S ENGINEERING B. SEPTIC/HOLDING TANK DATA Date installed ct /I ~/~ ~ Tank size Foundation cleanout Date of Pumping Depression Pumper /~ ~ ~ 17034 Eagle River Loop Road No. 204 Eagle River, Alaska ~9577 Number of Compartments 2 Cleanouts ~/N) Y'CJ J~ High water alarm (Y/~) ,~, O C. ABSORPTION FIELD DATA Date installed ~/' y / ~ V Soil rating (g.p.d./ff2 o~-~ "i / Length I ~- ~ %- ~ Width ~ Gravel thickness below pipe Effective absorption area I 5¢ (¢ .% Monitoring Tube present ~N). Yc-J Depression over field (Y~ Date of adequacy test -3 /'{ O / ¢) ~/ Results (Pass/Fail) fl/) S J' For ~ bedrooms Fluid depth in absorption field before test (in.); ¢/ ~' Immediately after ] ;3 gal. water added (in.): Fluid depth ¥ "~" (ins) Minutes later: '~?O Absorption rate = ¥ g"O q .g.p.d. Peroxide treatment (past 12 months) (Y/N) ~4~e ¢,,/o,¢~.. If yes, give date System type 7,4¢,.- c/4 Total depth /~ ;/~ '~. I~ 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) . "Pump on" level a *...~---~'~"~ "Pump off" level at* High water alarm level at* ~r~~tum E' SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line J D O '-b On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~ /'Property line :~'- ~- Absorption field Water main/service line" ?o & Surlace water/drainage. /oo .¢ Wells on adjacent lots Water main/service line SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line )O Building foundation / Surface water .* O o / -~ Driveway, parking/vehicle storage area Wells on adjacent lots / Curtain drain p ,~ ,,~.. /4 ,~ ~ ~,~ ¢'~ ENGINEER'S CERTIFICATION / certify that I have determined thru field inspections and review of Municipal in conformance with A guidelines in effect on this date. Signature Engineer,S Name Date HAA Fee $ ~0~(~ 0 Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* M E M 0 ~ A N D U M HEALTH AUTHORITY APPROVAL NO. IL-'J ~ ':7 q ~) / '~ Y During a recent Health Authority Approval on-site inseection and test of the potable water supply well on Lot /~ Block 9 of P~]~O/S~ ~kA~/Subdivision, the well's productivity was determined to be O~_ gallons per minute. The minimum well productivity required by this Department (~v:C 15.55) for a ~~ bedroom residence is /,O gallons per minute. Although the subject well currently exceeds this minimum requirement, al!_ parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as wasklng cars and watering lawns and gardens may ~3e required. This advisory must be attached to all copies of the subject Health Authority Approve!. ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. HEN.TH AUTHORflY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOWTEST SiTE PLJ~NS ROAO OESIGN SOiL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS · ON SITE WASTEWATER D~SPOSAL SYSTEM DESIGN WELL FLOW TEST DATA CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 · / CLIENT: ~ T'~£,~'~ ~-qc~,/~s*,~,,,, DATE: ~. ~,~ LEGALDESCRIPTION: Z-OT- ~ 8~ocJc ~ ~o,~ WELL DEPTH: ~ ~-0 ' CASING DEPTH: ~ ~ ' DATE DRILLING COMPLETED: ~ j I / ~ DRILLER: ~ c~, ~ ~ MISC. DATA: ! CASING HEIGHT: I '/- SANITARY SEAL: WIRES IN CONDUIT: 3,~, $ GRADING O.K.: BACTERIA AND NITRATE SAMPLES COLLECTED (date): TEST DATA: METER PUMPING DEPTH TO CLOCK READING RATE WATER REMARKS TIME (GAL) (GPM) (FT) ! RESULTS: WELL CURRENTLY PRODUCES [~, ~ GPM WITH A 7 ,")' "J DRAWDOWN TESTED BY: .~ ~ ,,~ (~ FLOW RATE NOT GUARANTEED--SUBSEQUENT VARIATIONS CAN OCCUR. 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 ° EAGLE RIVER. ALASKA 99577 CT&E ReL# CHeat Name Project Name/# Client Sample ID Ordered By 982456001 S & $ Euginecrhzg Lt 16 Blk 8 Par~ise Valley Lt 16 Blk 8 Paradise Valley Drinking Water CHeat Printed Date/Time 06/02/98 08:27 Collected Datefl'ime 05/26/98 Received Dateflqme 05/26/98 13:00 Techuica! D/rector: Stephen C, Ir, de PW$1D 0 Ro3~as~l By " l([o~able Pre~ ~neiys;; ~arameter Res~utt$ ~L ._ Uni.~t$ ~..eth~t ?mits _ ~ate Oate lnft Tot,~ Co(fform ~Jtra~e-~ 0 co~/?OOmL $M1§ 92~2o 6.81 0.100 mg/L EPA 300 * ~ 05/26/~8 r~ .u 10 max 0~/27/98 o5/2~/~a RMV 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.# 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner "~:~ ~ Mailing address Lending agency Mailing address Agent Address Day phone Day Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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. 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. 72-025 (Rev. 1/91) Front MOA #21 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 flies 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. Address ~0 Engineer's signature DHHS SIGNATURE ~/~'~: Approved for ~ Disappro-~'ed. Conditional approval for Phone bedrooms. Date / ~/5/,~/! bedrooms, with the following stipulations: Additional Comments 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 D H HS 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 (Rev, I/91) Back MOA#21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~o~-lf¢ '~,~ ,¢- ~,/~c/_4'.~_~..*c&¢~ Parcel I.D. A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number 7' ~/~ Date completed ~/~ ~ ~ ~r~,~er A-/? ~ ~ ~ Cased to /"/~ Casing height ~/~. /t Wires properly protected (Y/N) .Y Date of test Static water level Well flow Pump level FROM WELL LOG AT INSPECTIO~uNiCiPALiTY OF ANCHORAGE //'- ./~' ~' ~NVIRONMENTAL SERVICES DIVISION 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: i Ij~.O ~ Nitrate ~. ~ Other bacteria 'llml~( Collected by: ~'~-.-~ B. SEPTIC/HOLDING TANK DATA Date installed ~/~ ~'' / ,.~ q Cleanouts (Y/N) ~¢- High water alarm (Y/N) Date of pumping Tank size I ~--~ O Compartments Foundation cleanout (Y/N) '~/ Depression (Y/N) J'~/~-'-~ Alarm tested (Y/N) Il/icj, el( Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot li..~-+ ' On adjacent lots !¢[ f'~ ~ To property line Surface water/drainage Absorption field Foundation Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION ~'J,~31/ Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length /'~, .~ Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating /7/'///~-'~- System type Gravel thickness /~.~ / Total depth / Cleanouts present (Y/N) '~' Date of adequacy test ~ for ~-~;~%~ bedrooms /'~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / '~ 6) ;~ To building foundation _ ¢,%~3_.(~ On adjacent lots Surface water Curtain drain On adjacent lots ~' iO,;;~. Propertyline J (~ To existing or abandoned system on lot t'q///~ Cutbank i~///~ Water main/service line ~> '~¢ Driveway, parking/vehicle storage area ~ 7,.~_, E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the, d¢t¢, of this inspection Signature ¢ . ,~c~L.~ . .C.¢ ~>~ ;.,. ",:: , %:.,,S' ', '~, Date HAA Fee $ /¢~, 0 0 Waiver Fee: $ Date of Payment /~' %- ¢ / Date of Payment ~- ~ Receipt Number Receipt Number 72-026 (Rev. 3/91) Back MOA 21 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING a ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS for I}IVOICE ~ 4044? Chemlab Ref,~ 91.6262 Sample ¢ J Mat~:ix: WATER Client Se~',~plc~ ii) : I6/B PARADISE' VALLEY PWSID ColLec? ~d ~ i5:00 Received : NOV 20 91 ~ [6:30 hrs. Clxent Name :TOBBEN SPI~KLAND, P.E. Client Acct :TOBBENS BPO~ : PO~ :NONE RECEIVED Ordered ~.y hnalys~s Colsplelsd NOV 22 9! Send Reports to: Laboratory Supervisor : STEPHEtI CEDE 1)TOEBEN SPORKLAND, P.E. Parameter ~csult~ Units ~etho~ Allowable Limits ............................................................................................ L ................................................................................. NITRATE-N 3.8 m~/1 EPA 353.2 10 Sar pie ROUTINE SAMPLE COLLECTED BY: STUART rAG NARKED COLLECTION DATE AS Remarks: 11/21/9J: SA~LE ?]AS ~ECEIVED 1.1/20/9].. 1 Tests Per£ox~ed ' See Special lnstruct~on~ Above UA~Unavoi!able ND= Non~ Detected '~ See Sampl~ R~mark~ ~how Ill= Not Analyzud LT,,Less Then GT,Greater Than ~,~'~ SGS Member of the SGS Group (Sociot~ G~n~rale de Su~vei,a~ce) LEGAL: LOCATION: OWNER: RESIDENCE: 205 WEST 15¥N. AVENUE SUITE ANCHORAGE, ALASKA 99502-3904 (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST Lot 16, Block' 8 Paradise Valley 6001 Rumania Vicky Rancourt Single Family, L:; Bedrooms WELL: Private, On Site SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 3 Bedroom System 'I'ANK: Anchor'age Tank 1250 Gal. Two Comparts. ABSORPTION SYSTEM: Trench ABSGRF'TION AREA: 1482 Sq. Ft. SOIL RATING: 445 I NSTALLAT 101'~ DATE: 9/18/84 DATE OF LAST PUMPING: 11/18/91 Isaacs DATE OF TEST: 11118/91 TEST PROCEDURE: System was inspected and measured. Tank was ~(]L~r]d with 3 feet of cover' and with a liquid level of 48 inches. Trench clean outs were 6.5 ~eet deep and contained 2" o¥ liquid. Trench monitor tubes were 11 feet deep with 45 to 50 inches o~ water. 450 gallons of clean water was added to the trench over' a 5 hour period while the water levels in the tank and the monitor tubes were monitored. The water level in the tank did not change~ while the level in the monitors rose 5.5~ 5.5~ and 0 inches. ]"he next day the water' level in the monitor tubes were chec:ked. The water level had dropped to the pre test levels. TEST RESULT: This system meets the code requirements the Health and Social .~3ervices Department o{: the Municipality o~ Anchorage. NOTE The operational life of all septic systems depends on the local soil conditions~ greundwater levels that may fluctuate during the year,~ and the water usage o.~ the family being served by the system. These conditions are outside the contr'ol o.~ the evaluator of this septic system. We can therefore not give any estimate o~ how long this system will ~unction satis.factory ~or current or ~uture occupants. 203 ~EST 15TH. AVENUE SUITE 206 ANCHORAGE~ ALASKA 99502-3~04 (907) 279-3916 RESIDENTIAL WELL INSPECTION. LEGAL: Lot .1.6~ Block 8 Paradise Valle/ LOCATION: 6001 Rumania ~/.~' .~ ..?,. ..... -- ., .~ '~ TYPE OF WELL: F:'rivatte~ Single F'amily WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET: Yes ~ELL YIELD FROM ~ELL LOB: 2.5 Gallon~ pe~ MirlLl~e PUMP YIELD FROM TEST: 4.8 Gallons per Minute DATE OF INSPECTION: November 18~ 1991 TEST PROCEDURE: Well was pumped at a constant rate while the dr'awdown was monitored with an ac:oustic probe. At the beginning o~ the test water level was ~ound at 148 Yeet below top o~ casing. At a pumping rate o~ 1.25 gallons per minut:e the water level dropped to 248 ~eet a~ter 130 minutes o~ pumping. At this time 35(]) gallons had been pumped. 'l'he well recharged ~,or 30 minutes then 50 gallons were drawn~ then the well recharged .For 45 minutes and another 50 gall. ohS were drawn. At this time the water' level was at 244. A total o¥ gallons 450 were pumped. The next day~ aYter 2-4. hours the water level was at 118 ~eet. The well had complet:ely recharged. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested ~or' E.Coli and total nitrogen on 11/20 and 11/27. E.Coli 0. T~otal Nitrogen 3.8 rog/1. Max. allowable Total Nitrogen 10 mg/1. TEST RESULTS: This wel]. meets the requirements o~ 'the Municipa].:i. ty o.F Anchorage. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS The Municipal requirement ~or well. ~low is 15() gal].ons o~ water' per bedroom per day. This well exceed this requirement. The assessment o~ the condit:ion o¥ the well applies only to the conditions as o.F the day tested. The ~low rate may change due to subsurYace conditior~s that may not be observed ~r'om the sur'~ace~ and changes in the land use and other ~:actors that may impact the aquiYer Yeeding the well. 203 ~EST 151H. AVENUE SUITE 206 ANCHDRAGE~ ALASKA 99501 (907) 279-3916 Dan Bol 1 es Munic:ipal ity ('.)~ Ancl')c)r age Division o'F Environmental Health Depar"~:ment o.F Health and Social Services 820 I !~treet Anchorage~ Alaska 99501 Subject: 16/8 F:'aradise Valley December 19~ :t99.t Gentlemen; Per your I'"eqLiI~:.~st ~;e went bact< to SL.)bl~ie~=t lot il'] an e-F¥ort to establish the total amc~unt o.F rock in the various trenches. The attached sketch shows the relat:i, ve elevations at the standp:i, pes we were able to locate. "Top o~ rock" was .i. denti~ied by I:)r'ebing ~or the 'L~ee il') the sumps. The elevation re-Fleet the tc)p o~ the distribution pipe. From oLtr measurement ther'e appears to be 6 ~:eet o.F gravel in the tr'enches. ~ · Legal Serving/~laska Engineers wih Well and Septic Tests , and Soil Percs since 1986 Client P~O. BOX 771747, EAGLE RIVER, ALASKA 99577 TELEPHONE (907) 694-7112 Date MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY [:'' .'~;: '_~ '". '" Application Date April 14, 1986 . , ': ~'~ ~ ~. i ~' ' '}' :: .(a) Legal Descriplion (include lot block subdivision section township, range) :'. ~ .. , T~3t 16: Block 8: Parad3.ae Vall_ey , ' · Locatfon (address or d~rectmns) I :' /.'!' r '" '... On Romalna off' Golden View - 300 vds (left.) , ' ~ i.~.F · (b) Applicant Name Jcuc~~o~ Telephone: Home 345-61J,L Business 345-6118 .... :. - ,. Applicant Addres$ 13350 Ridge.WOO~_Cj, CCle, An~:h~cage, Alaska ~ , (C) Applicant is (check one): Lending Institulion r'l; Owner/builder ~; Buyer f-I; Other r'l (explain); '..i.~ = (d) . Lending Institulion A[a~,.a_J-]Ot, l~iilg Telephone · ~' !..'!" i. Address ' Anchor~gez_Ala.-ka · ' ' · (e) Real Eslale Company and Agent i1013~ /(t) :~ll~e HAA Io the following address: i: ~ S & S Engineering :~ ,: i. SRB 196X ' Eagle River, Alaska 99577 2~ 'TYPE OF RESIDENCE Single-Family:~ Multi-Family I-I Olher Number of'Bedrooms ~Three (3) ~ Individual Well El . Community r"l Public F1 -? Note: If ¢onimfinlly well system, must have written confirmation item Ihe Stale Departmenl of Environmental Conservation '}':, - altesting Ia the legalily and status. ' . · ,4" $EWAGEDISpOSAL ': J ;:; r i' ' Or~sile ~ Public FI Community r'l Holding Tank FI !' . ~ ,. Note: If communily well system, must have written confirmation from the Sta'e Deparlmenl of Environmental Conservation -~. '- ' "::,. attesting to the legality and status. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ' [ Aa ~ertifled by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health · r~Authorlty Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for lhe number of bedrooms and type of structure indicated herein. I further verify thai based onlhe information Obtained from· lite Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or westewaler disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name O! Firm Address _ : ~ . , . ,~ · A~prOv~ 2: X Disapproved __ Terms of Conditional Approval Telephone Condilional CAUTION The Muncipality of Anchorage Department of Health and Environmenlal Protection (DHEP) issues Health Authority Approval certificates based solely upon the representat..~ns given in paragraph 5 above by an independent professional engineer registered in the Slate ol Alaska.~The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees.of DHEP do not conducl inspections or analyze data before a certificate is'issued. The Municipalily of Anchorage is not responsible for errors or omissions in the proles$1onal engineer's work. Well Classification[./~_1 ~//¥["~ MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) APE 2 ] ~ CHECKLIST - FEBRUARY 1984 264-4720 /bJ],,,.EC'g'EIvED If A. B. C. D.E.C. Approved (Y/N) ~ Well Log Present~/J~ Tolal Depth ,,,~'S" Cased Static Waie L~el / c%ng Height A~ve Ground ~ ~rallon Dtata~ces from Well:· :To ~pttC/Holding Tank o~ Lot Depth of Grouting Pump 5et Al Sanitary Seal on Camng Del;less,on Around Wellhead ; On Adjoining Lots / ~'~ c3 /+' "ii: ' TO Near.al Edge of Ab$o;ptlon Field on Lo/l /Oo '' ; On Adjoining Lots / O /.//,,. .' ' ' : ~.To Nearer Public ~wer Line To Nearest Public ~wer , . .-. . _. ~,~ ~ ~ -.-. - ~;: ,. Cleanou~Manhole ~ . _ To Nearest ~wer ~rwce Line on Lot , _ ,, :_... ... . .,De,. r -- ''~ W, te~~mpte Collected by ~ & ~/'/~ ' ~& .: '~-:: ~ Water ~mple Teat Results ..... ~ ~ ~ ~ ~ / ~: -- .:~:~ ~mmenti . ': ~ ' B, 8E~IC/HOLDING TANK DATA :~Pumping/Malntenance Contract :on File (Y/Ni HOlding Tank High-Water Alarm (Y/N). Separation Distances from Septic/Holding Tank: ~To Water-Supply Well ~ o ~ t ¥ ' :'To Property Line To Water'Ma~/Servlce Line Course' Page 1 of 2 TO D,sposal Field ~, ~" ' To Stream. Pond. Lake, or Major Drainage __ Temporary Holding Tank Permit (Y/N) ,., "'"" TO Building Foundation . . ,~t,..{ ~ S,ze .~/_~.~O, . No. of Compartments ~" Air-tighl Ca p s6~"~,/.~) _ Foundation ABSORPTION FIELD DATA .a"n0 ,. Absorpt,on Strata' (%' of Absorption Area /f~' Z ~ R~ul~ of ~t Ad~uacy Test ~ralion Distance from Absorption Field: , Water-Supply Well. /~ 0 /~ ig Foundation ~ :. LOt: To'Wate~/~lce Line J o ~ ~ To Stream/Pond/Lake/or Major Drainage Course ::::T0 DrlveWa Parkin Area or Vehicle Stora e Area Type of System Design Length of Field /.~' :~. Depth of Field /O Gravel Bed Thickness Standpipes Pr·sentry'S.N) Date Of Last Adequacy Teal To Property Line /0 ' /' To Existing or Abandoned System oil On Adjoining Lots ,5-0 t ~- __ To Cutbank (ir present) ..~ ,-,/1 :Date Inslalled . Slze. In.. Gallons. t'Pump On, Level at Alarm Level at 'TeatedHigh:'Water for Commenta ........... Dimensions ,; ..... r/Manhole/Access (Y/N)' , ....... -_/~./+ "Pump olr' Level at . :. ._L .... _.].~:7~,_.~~ ._ Vent (Y/N). . : ..... ~/-' Pumping Cycles during Ad~uacy Teal. M~I~ MOA ,~ . _,' ,_ .: *· Check Permitted Bedroom Rahng Against HAA Request '* ~i .~, ' '~ Icertfythal~l~e~l~rfed, or conformed lo a MOAandHAAgu~delinesineflectonlhe~aleofthialnspeclion. ':"'i ~ -,Signed - -. Company - .. MOA ~o. Date Of Payment _~/':~/-,~(~ Amount: $ ~,, :!Puge 2 of 2 ROBERT A. 8HAFER. P E. 8G4.~979 Block 85 paradise Valley Subdivisiou ! ! 'e