HomeMy WebLinkAboutROLLING HILLS ESTATES BLK D LT 16Onsite File
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MUNICIPALITY OF ANCHORAGE
DEPA.TME.T Or HEA' TH AND .UMA. SE.V,CES 0 It-- 0'7 -- 40
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name DISTANCES
/4/t~/~_.,. ~ SEPTIC TANK ADSORPTION FIELD
WELL
Address
Ph°ne(s~/. ~ LEGALPOrm't Ne'er,DESCRiPTiON/~ ~ iN°' °f Be~r°°ms~ WELLLoT LINE
~ot /~ l.,ock~ Sub~'~'~'°~O~* ~ ~ FOUNDATION
Township, Range, Section
Aa-BUILT DIAGRAM (Show location of well septic system, prope~y nee, ounda ion,
~d ~ gd ~ ~ driveway, water bodies, etc.)
TANKS A' > ~/
Material No. of Compa~ments ~' ~ ~/~
TYPE OF SYSTEM
~TRENCH ~ BED ~ W. DRAIN ~ OTHER
Depth to pipe bottom from Total depth from original grade ~ ~
Fill added above original grade Gravel depth'beneath pipe ~
Gravel length --~ ~ravel width
FT ~ FT
SQFT - '~r
Number/of lines ~ Soil rating~ SQ FI Pipe~material~ T~
Installer~ ~~.~ ~ate ,nst~¢~ ~.
WELLS
~ PRIVATE ~ OTHER (Identify}
FTI FT
Installer ~ate Installed:
REMARKS: ~ ~~
~ale: ~
Inspections Pedormed by~/
Municipal and State 0uidelin~ in ellecl 0~date:
Health Depa.men, Approval: ~~ ~ ~' Date:
Date Issued: ()!ii) /18 /89
M U N I C ]: P A L I "f' Y C) F A Iq C I'"! 0 R A G E
DepaPtment o~' I...lealCh & Human SePv:i. ces
8;~?.5 L S'LPeet, Anchopage, Alaska 99501
0 N ..... S t T E S E W E R P E R M t T
[,lpg ~" ade
[:i:r'~('_,:/i neer :(:)e~; :i. gned
995:[0
Owner. Name: A H 1:::' C
Owner' Adc:lr'c,,~s-!~!~: F' 0 BOX
AN[:HORAGli!.: !, AK
1:':~aPc:el Id: ()11-.() 72-40
Lot !....eg~',~l:~ Subd:i.v:i.s:i. on: ROL. LINID HILL8 E~TA]"E Lot~ 16
SeC:'~,, :~. or] ~ :]~', "t"owin sh :i. p: 12:1~.1 Ran g e ~ 4W
L. cd:. Size 49766 (sq. ~"~:., (:m ac:pes)
Max Bedr'ooms~ 'This Per'mit: 3 'Total Capacity~ 3
Block: D
SEPTI[: TANK: Minimum t.o't, al septic tank c:apac:ity: :1.,000 gallons,, Each sept:i.c:
tank must h,sw~ at ].e~st ;~ compartments. Depth 't..o top o~' sel::)tic tank(s) < 4.,,()
~'eet P(~quiPes irlsula'[:.ion over' rani.:: (~) ,,
I:::'EF['.MI'T' EXF:'IFIES DECEMB[.:.:R 3:1., :[989,,
NOT]:t'"':'¥ Df-IHS 01:::' INSPEC)TIC)NS Al" ::;43-4744 (IR
I NSTAL..L SIii..]:.'.'ARATE (]I...I~i:AN OU"I" AT bEG INN I NG OF 'fRi!ii]q[]H.
f'o)'~'l'..h by the lqun:i, cipal:i, ty of' Ar'ichor'age (MOA) and the State oF Ala~il<a~
2, I w:i. ll :i~nstatl the system ~n accoPctance wi{h a].l MOA c:odes and r, egulaticir'is,
and in coml::)t:i, anc:e ~j.'l::h the design c::pi'Eer, ia (:)¢ this
3. I ~,,~ill adhe:,Pe to al. 1 MOA and State (::)f' Alaska pei::luirements for' the set back
se~4el"a~:.:V.:.? sy~v[.~m or] this op ar'iI ad.jacerY~, oP neapby ].ot,
4, I undei".stand that 't. his pei"mit is w~[~lid {'or' a maximum
any enlar'~-:ent w:~.:t.:l, r'equiPe an addit:i, onal per'mi'L,,
ALASKA EnuIRonmEI1TAL CONTROL Inc.
~nyneer'incI ~, ~nuironmental ~tudJes
SPECIFICATIONS FOR A TRENCH-TYPE WASTEWATER DISPOSAL SYSTEM
LEGAL DESCRIPTION: LOT 16, BLOCK D, ROLLING HILLS ESTATES
1.0 GENERAL
The Drawings, sheets 1 thru 4, shall be a part of this
specification.
I 2
1 8
All materials and workmanship shall meet the
requirements of the Municipality of Anchorage,
Department of Health & Human Services (DHHS), the
conditions of the permit, and all applicable rules
and regulations currently in effect.
All elevatioas and depths are advisory, and are to
be verified or modified in the field hy the
engineer or inspecting agency.
1.4 It is the responsibility of the property owner or
installer to adhere to approved designs for
installation, maintain the specified separation
distances, and have the appropriate inspections.
1.5
1.6
It is the responsibility of the property owner or
installer to report to the engineer any observed
conditions which wonld put tile sytem in violation
of state or Municipal regulations.
If the installation is not inspected by an AECS
engiaeer. AECS will not be responsible for the
installed system. An engineer at AECS should be
consulted prior to construction to determine the
number of inspections that will be required and to
explain what these inspections will involve.
2.0 SEPTIC TANK
2.1
If there is an existing septic tank, it may be
used Jt if meets the capacity requirement for the
residence and the approval of the MOA.
2.2
The septic tank shall be a UPC-approved
two-compartment tank, constructed of 12 gauge
steel with bitumastic coating and set level on
undisturbed soil. If the tank is buried at a
depth of 4 feet or less, it must be insulated with
an overlying layer of 2 inch burial type
polystyrene rigid board insulation.
2.3 The septic tank and trench shall be a minimum of
2.4
2.5
2.6
2.7
i00 feet from any private well or body of water,
150 feet from Class 'C" wells, and 200 feet from
Class "A" or "B" wells, unless otherwise
specified. Less than the required separation distance
must have prior approval or waiver by ADEC or MOA.
The septic tank shall be a minimum of 5 feet from
the house foundation, and a minimum of 5 feet from
the absorption area.
Piping shall be fitted with a mechanical
watertight calder coupling on the outlet and inlet
of the septic tank. Piping shall be 4 inch solid
PVC ASTM D-3034 or cast iron, sloped a minimum of
1/4 inch per lineal foot. If the piping is buried
at a depth of 4 feet or less, it must be insulated
with an overlying layer of 2 inch burial type
polystyrene rigid board insulation.
Cleanouts shall be installed as designated and
capped with air-tight rain caps (Jim Caps or
equivalent), and extended a minimum of 1 foot
above ground level.
If a lift station is required it shall be a
combination lift station septic tank per Anchorage
Tank and Welding, Inc. design. Specifications and
design drawings are on file with the Municipality
and the engineer.
3.0 ABSORPTION AREA
3.1
The gravel for the trench shall be 0.5 to 2.5
inch, screened reck with less than 3 percent
passing the No. 200 sieve. All substitutes must
have prior DHHS approval.
3.2
The bottom and sides of the excavation shall be
raked with the backhoe blade to ensure that it has
not been compacted during excavation. The bottom
elevation shall be level.
3.,9
Monitor standpipe(s) shall be placed as shown in
the drawings, and shall be 4 inch rigid PVC ASTM
D-8034, or cast iron. The section shown with
holes may be 0.5 inch holes drilled on 6 inch
centers on opposing sides of the pipe, or a
regular section of perforated sewer pipe clamped
to a solid section with either a no hub coupling
or a solvent joint. A rubber rain cap (Jim Cap or
3.4
3.5
3.6
3.7
equivalent) shall be installed over the top of the
pipe,
The distribution pipe shall be perforated 4 inch
PVC with a minimum crush strength of ~500 pounds
and shall meet the approval of DHHS for use as
drainfield pipe. All distribution pipes shall be laid
level.
Trenches may be paralleled, but must have a
minimum separation distance between the trenches
of 10 feet or 2 times the gravel depth (which ever
is greater). 75 feet is the maximum allowed
linear length of any trench.
If the final grade over the trench is less than 4
feet above gravel, insulation is required, using
burial type polystyrene rigid board insulation.
There shall be 1 inch of insulation for every foot
of soil less than the required 4 feet of cover,
but there must be at least 24 inches of soil cover
even though insulation is used. The solid pipe
extending from the septic tank to the drainfield
shall also have a minimum of 4 feet of cover or an
equivalent layer of insulation to prevent freezing
of the tine.
If insalation is not necessary, the gravel shall
be covered with a layer of nonwoven Geotextile
fabric (such as Mirafai, Fibretex 200 grade, Poly
Filter X or equivalent).
4.0 INSPECTIONS
4.1
A minimum of two inspections are required for the
installation of the trench. The first inspection
will be of the open excavation to assure that 'the
system is installed in the proper soil strata,
correct depth and meet minimum specified design
parameters.
4.2
The second inspection will be after placement of
tile gravel, monitor standpipe and distribution
pipe to verify proper installation and position
prior to backfill.
4.3
The inspection of the septic tank installation can
be incorporated with any one of tile above listed
inspections.
4.4
The lift station will require either an MOA
electrical inspection or certification by a
licensed electrician, depending on whether the
building code applies to this part of the city.
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rcl Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
CALCULATED BY ~ ' "'~ ' ~ DATE ~' ~ o ..
CHECKED BY DATE
SCALE
Municipality of Anchorage ~';-'~ o I
DEPARTMENT OF HEALTH & HUMAN SERVICES
so~s ~o~ - ,E.CO~,~O. ~ES~ ~~~X.~
LEGAL DESCRIPTION: ~/¢ ~ ~¢}J~%, ~///S ~'~ Township, Range, Section:
SLOPE SITE PLAN
aA,
~.,-~ (/
10-
11
12
13
14
15
16
17
18
19
20-
COMMENTS
WAS GROUND WATER
/-..,
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Deplh to Water After_ ~
,.o.,to.,... ~.'~7 ga,e:
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~/' ~- (minutes/inch} PERC HOLE DIAMETER ~ ¢''
TEST RUN BETWEEN "~ /~¢- FT AND .~-, ~ FT
PERFORMED BY: I
CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THIS DATE. DATE:
72-008 fRev. 4/flEI
3
/,,,
NOTES ~
PO~ITIONIN~ ADOITIONAL ~t~UOTUR[~ OR
I BESSE~ EPP8' ~ POTTS
,: J 2~20 E. 88*th AVE,
' J349.~6~ . ANCHORAGE ~ ALASKa, 99507 34~1352
:~UR~£YOR'$ (~ERTIFICATION
I HJRJJY GERTIPY THAT I HAVE 8URVI[YIED T. HJ
..... ...... ,.
'~ . .' . ..cH .~. :,: *, /
~ w~'/,/~//,,'~ , ~
~ ................. --
,,. ~/4~~:~
0 ',LOT~O"N"'
~ DRAINAGE ARROWS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
- ~ PHONE [ ~,NEW
NAME
LOCATION NO. OF BEDROOMS
Well .. Absorpt on area Dwelling PE~RMIT NO.
~ Z J Manufacturer Material , No. of compartments
~' Liq capacity in ga Ions
~ DISTANCE TO: Well ~ DweHinglnSide length ~f~ ]Width ,~% PERMITLiquid depth ~, ~
~ ' ~ '~,;M~ ' IF HOMEMADE: ~ NO.
~ -- ~ Manufacturer Material Liquid capacity in gallons
O I IWeli .-- ~ ~ Foundation .., ~ I I Nearestlotline ~fi~ PERMITNO.
~ ~ l I No. of lines t I Length of each line Total length of lines Trench width D stance between lines
~ ~ ~ ' ' ' ' ~ ~_ ~: Mater al beneath tile Total effective absorption area
~ Top of t le to flmsh grade . i~ ~,(.~ inches [~ )( ;~
~ ~ Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
DISTANCE
TO:
~ lClass Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO Building,o..d.,io. S.~.,'~n~ I Septic tank I Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER
REMARKS
DATE LEGAL
D, EPFIR':T'MENT . HEFIL]"H FIND EN'¢7 RONMENTFtL , r~Z]TECTI ON
c ........ '" L "' 'E T~'EE T. FIN C HORI:::IGE., t::~K. 995 E~:I.
264 - 472
7 Hf~t:~'L E'5; HFILL 67']:Z ' ~
LJ..6 E~LOC:K[) R"; L_ ]'N~ H ~LLS EST LOT S I 2E
FtPF'L I C:FIIq T
!. CCI::~,T ]: fi
L.E:C-iF!L..
i't~ ...... ..t'"!L..H' I',!LIHE:EF: OF' EE'r:,F'r~r'$'-~c': ....... = 2
:50:[L. RFITING ,'Si! FT,.."SR)= ~
......... P~:"; IRED '.:...;]:;CE OF "f'HE SOIL :IE,:,_f,F]~'" - ;'"' ' ION ':.:]'.?STEM
'T'HE L.ENGTH DIMENSION IS THE LENGTH ,::Ih! i¢:EET) Of: THE TRENCH OR DRFiINFIE:Lr.).
THE [:,EPT'H OF Ft TRENCH OF,'. PIT l'S THE DIS;TFINCE BETNEEN THE S;URFFICE OF THE
GROUND FINE) "['FIE 80]"TC'H OF THE E'XC:Ft'¢F:KI"ION ,:.'IN FEET).
THE EiF:R',,,'EL. DEF:'TH :l:S THE MINIMUH [:,EP'T'H OF C:iF:FtVEL E:ETNEEN THE OUTI::'FiLL. PIPE
FINE:, THE BOTTOH ()F THE E;:.,;CR',,,'F!TION ,:.'IN FEET).
F'EF:M l T FIF'F'L I CRNT HFr.:5 THE REE;F'ON':S I B l L I 'T'~' TO :[ NFORH ]]."t I S E:,EF'FIRTMEh!T '} _ F.' 't: I'.,1G THE
iNSTFILL~:~TION I NSF'ECTION'.'E; OF' f::t,~.,!'~' k!ELL.:E: FiP.IFI"~'EHT "FO 'T'HI:.::i F'ROF:'ERT"¢ FiND THE:
N HEER OF' RESIDE:NCEE; "FHFIT THE P~.EL.L.
"' ~ . -- "''"' ' 'F",~F F' '
:,-l._.k.[ .T. LL..[t'!,..~ OF FIN"¢ S"r'~i.~;TEM i.,.!ITP1C~U]" F'INFIL !NSF'EC.:TIOI',! FIND NFFRJ,'.:IL~:, ~ "FPiI:~:.;
D, EF"RRTHEi',FF !.,.t:[ L.L. P '"'
.... E. '_:;UE',..tECT TO F'F'C ~ Eli:liT :[
HINIHLIM DISTFtNCE: BET!,.IEEht !::I !.,.IE.:LL AND FIN? ON-SITE SENRGE DISPOSFIL. SY:!:.:,'T'EM
:!..i~3E~ FEET FOR F! PRI'?'F!'TE P.IEL. L OR J..5(:."~ TCi 2E'~0 FEET F'ROM F-i PUBLIC NELL [)EF'ENDING
UPON THE "tYPE ,..':if:' PLiBLIC: P.IEL. L
HINtMIjH [:,.T. STFINCE FROM Ft PF:I',/FiTE WE:LL. ]'0 FI PRIVFtTE S;EP.!ER LINE IS; ;:.;.:5 F'EET FIHD
TCt Ft C:OI'dHU!',!IT'¢ SEWER LINE ]:S ';:'D FEET.
WELL LOG?; FIRE RE(;!UIRED FIND i'?IUST BE RETUR'NE[:, TO THE E)EPFIRTi"tENT t.,.!ITHIN
OF THE I.,IELX.. COMF'L. ETION.
OTFtER F'EQUIF,'EHENT!:S HFth.' RF'PL'¢. SPECiFICFIT:,r. ONS FIND' C:OI',ISTRUCTIO!~4 DIFIGF:FIMS FIRE
FI',,,'Ff Z LRE,'LE TO I t',ISURE PROPER Z NSTRL. L. Fi]" I ON.
I C:EEF:T I F'"r' 'THFfT
:i.: l' RM FF'~HILIFIF.: P.!ITH THE REQUIREMENT:'S FOR Otq-S:I'TE ~SEFIER:~.:; FINE> P.fELL.'S: RS SET
FOF'.TH E?¢ THE MUN t C l F'F1L. I T~r' OF F!NCHOF':FIC-~E.
;2.: I WIL. L lf',iSTF!L.L. THE': S'¢S;TEM IN FtC:CORDRNCE !4ITH '['HE C:ODE'.S.
2: I UNDERSTFIN[:' THRT THE ON-::.i;ITE SEP.iER S'¢STEH rdFl? RE6.!LtlRE ENL. FIFff:3EHENT IF' THE'
.REE;IDE':NCE I:!.~; REMODEL. ED 'T'C,' INCLU[:'E HORE THFIN ]i~. E;EDF:OOM!S.
.:, .. u.~E[ ..........................................................................................................................
Fff::'F'L ]' "Rf. Ff' CHFiRLE:E; F.IF~Lt ....
~:~Tf~ ~ ~:~C~ ~=~' I ~.~2: "f-l=~:-~ '~: E '-/~"- :I_~=~=~ ~! _t_~L~&~E~=
-- - J-'~-t~ ,:: ~-~ ? ~ r.~'=;~-E~l-' ~' ~ ~:L~'~'.~ '- '--<~ ~Z ~..~t ~ }Z ~C~
STANLEY BRUST AHD ASSOCIA~ ,.~
BGIIC2RS,' SURVEYORS PLANiFF_RS
1616 Dimond Drive,
Phone, 344-681~'-~
Anchorage, Alaska 99507
SOILS LOG - PERCOLATION TEST
[~ SOILS LOG
PERCOLATION
TEST
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
I1
12
13
15
16
17
18-
19--
20
SLOPE
ENCOUNTERED?
'O
P
E
IF YES, AT WHAT
DEPTH?
SITE PLAN
PERFORMED BY: '"~° ~F'~'4',,,~ '/
Gross Net Depth to Net
Reading Date Time Time Water Drop
/' yz:,'o o
2 ~ ,, ~:ol i/ I
.E.CO'AT,ON.ATE /Y/"'"
(minutes/inch)
Z
Z
rORAGE
CTION
D
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (addres~0r d r~cti~ns) ~ ', -
(b)
Property owner · ~ /~'P-" ~:: Telephone: (home)
Mailing Address
(c) Telephone
Business ~"~'/- / ?~
(d)
Lending Institution
Mailing Address
Real Estate Company and Agent
Telephone ' ~ ~TG /
Mail the HAA to the following address: (or check here~if hold for pick up.)
List contact person and day phone number below:
(e)
TYPE OF RESIDENCE
Single-Family"~ Number of bedrooms
WATER SUPPLY
Individual Well"[~!~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
SEWAGE DISPOSAL
On-site'i~. Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
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MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
f- ~CHECKLIST - FEBRUARY 1984
A. WELL DATA
Well ClassifiCation
Well LogPresent Y~N)
Legal Description:
If A, B, C, D.E.C. Approved (Y/N)
Date Completed
Total Depth /~'~ Cased to /,~'~ Depth of Grouting
Pump Set A.t /-)//~
Sanitary Seal on Casingi~N)
Depression Around Wellhead (Y~
!
; On Adjoining Lots
!
/Z.-) ; On Adjoining Lots
To NeareSt Public Sewer Cleanout/Manhole
;Date
£
Static Water Level ¢'-~"
Casing Height Above Ground
Electrical Wiring in Conduit (~N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
Comments /.J£z.~ ~2,-,.J
B. SEPTIC/HOLDING TANK DATA
Date Installed ~'-Z--~'~') Size
Standpipes ~iN)
Depression over Tank (y~l
/~'¢ No. of Compartments ~
Air-tight Caps (~) Foundation Cleanout Y~N)
Date Last Pumped "']/'~
Pumping/Maintenance Contact on File (Y/N) /J/)~- ; for
Holding...Tq~k~Hlg~f~4~a~e1~Alarm (Y/N)~/~ Temporary Holding Tank Permit (Y/N)
SEPARA~[ON.DJ~TANO~OM SEPTIC/HOLDING TANK:
To Wcter-~,p~;'.~l~F :: :~; :://0 To Building Foundation /~'
To Disposal Field
72-026 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absortion Area ~'r/'~'"°
Depression over Field (Y,~
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation .38
Lot
To Water Main/Service Line /o ¢
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field
Depth of Field 7
Gravel Bed Thickness
Statndpipes Present (~N)
Date of Last Adequacy Test
To Property Line.
To Existing or Abandoned System on
; On Adjoining Lots
To Cutback (if present)
Comments
D. LIFT STATION
"Pump On" Level at"'"'"'"'~_
High Water Alarm Level at ~
Tested for ~
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines '
inspection.
Signed
Company
Date
MOA No.
Receipt No. c~
Date of Payment
Amount: $
72-026 (Rev, 7~88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
es Lr~e~f~Zhe date of this
AZ
Seal
ALASKA [ UIROIlm I1TAL CONTROL SERUIC S,
~nqineerioq ~ ~nui~onmen~al $1udies
REMAX
2600 CORDOVA STREET
ANCHORAGE AK 99503
ATTN LEONA
SELLER-LEONA
InC.
07/11/89
REMAX
2600 CORDOVA STREET
ANCHORAGE AK 99503
ATTN LEONA
90115
LEGAL:LOT 16 BLOCK D ROLLING HILLS ESTATES
FLOW TEST ON WELL
WELL FLOW DATE-07/iO/89
A FLOW TEST WAS PERFORMED ON THE WELL. 1321 GALLONS OF WATER WAS
PUMPED AT A RATE OF 5.5 GPM OVER A DURATION OF 4 HOURS.
THE DRAWDOWN WAS 102 ' WITH A RECOVERY TIME OF 15 MINUTES
AND THE STATIC WATER LEVEL WAS 95 FEET.
THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME.
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
~"x 5053 B SI[lEE* ANCHORAGE, AkASKA 00518 I£L£PHONE {007)$62.2343
g-"~~.~ ~A, ~-^x ,~ # o~.oo~o~o
ANALYSIS REPORT BY SAMPLE for Work Order $ 16229
Date Report Printed: SEP 1 89 @ 02:53
Client Sample ID:L16 BS ROLLING HILLS EST O/S TAP
PWSID :UA
Collected AUG 28 89 @ hrs.
Received AUG 28 89 @ 16:12 hrs.
Preserved with :AS REQUIRED
Client Name : A E C S
Client Acct: AKECSRP
P.O.$ NONE RECEIVED
Req ~
Ordered By
Analysis Completed :AUG 30 89
Laboratory Superviso~ :STEPHEN C. EDE
Send Reports to:
1)A E c s
2)
Special
Instruct:
Chemlab Ref #: 7223 Lab Smpl ID: 1 Matrix: WATER
Allowable
Parameter Tested Result/Units Method Limits
NITRATE-N ND(O.iO) ms/1 EPA 353.2 10
Sample 5Ai~LE COLLECTED BY A. WEIN
Remarks:
i Tests Performed * See Special Instructions Above UA=Unavailable
ND= None Detected ** See Sample Remarks Above
NA= Not Analyzed LT=Less Than, GT=Greater Than
Time ~Time je ~.'~
Date Date Date
Inspector Inspector Inspector
Comments Conditional Approval MUNICIPALITY OF ANCHORAGE
DEP% O';
/,// ENVIROi,IM,:i',,A.- ' '~ Z~T ON
RECEIVED
Date Sewer Installed Permit No. Septic Tank Size
I0 ~1J~'~ Holding Tank Size
Soils Rating Well To Absorption Area ~ ~O Well Log Received
~M~T FIL~80HT LO~ ~LF O~L~
Buyer
Address
Lending Institution ~ -'~ 5 ~1 ~ ~F~¢ ~o¢~r~/ Phone
Realty Co. & Agent Phone
Address ¢~ ~ .
Legal Description ~ /~ ~/~ ~ ~O//i~ ~}'//~
Street Location ~}7 ~~
Type~f Residence
~ Single Family
B Multiple Family No. of Bedrooms --
~ Other
Wate~upply
~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June
~ Community 1975. For wells drilled prior to that date, give well depth (attach log if
~ Public Utility available.)
Sewa~ Disposal ~ ~
~ Individual Year Individual Installed:
~ Public Utility When Connected to Public Utility:.
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,