Loading...
HomeMy WebLinkAboutSILVER CREST BLK 1 LT 2 Municipality of Anchorage Page I o! 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'..~t~ ~ ~ ~ PID Number:_OI.50~,"L ~ Name: Wastewater System: ~ New ~ Upgrade ~: ABSORPTION FIELD Phone: NO olBedrooms: ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION SoilRating: ~ GPD/Sq. Ft. J~J ~ Lol: Block: Subdivision: Depth to pipe bottom from original 9rede: Gravel depth beneath pipe Township: Range: Sect[on: Fill added above original grade: Gravel length: Number of lines: Distance beh,zeen ~ELL: D New D Upgrade Gravelwidth: ~ R. / ~ Ft. Classification (Private, A,B,C): Tatal Depth: Cased To: Tolal absorption area: Pipe material: Driller: Date Drilled: Static Water Level: Installer: Date installed; Yield: I Pump Set at: Casing ..,~,*ho* ~,o.,~: TAN K ,?MI Ft. SEPARATION DISTANCES ~Septic ~ Holding [3 S.T.E.P. To Septic Abso/plion Lifl Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank S ...... Lines ~,C~* I 0 ~ blaterial: Number of Compartments: Su~aoe LIFT gTATION Water ~ Lot Size in gallons: Manufaolurer: Line ~O "Pump on" level at: "Pump off" level at: High water alarm at: Foundation ~ 50 , . . Curtain Pump Make & Model Electrical Inspections performed by: Drain N0 ~ Remarks: BE~C~ Location and Description: Assumed Elevation: ENGINEER'S SEAL Inspections performed by: ~ Dates: ~st ~/m ~q~ Deparlment of Health and Human Ser~ioe~ approval 72-013 (Rev. 9/91) MOA 25 N £S SCALE: 1" : SO FT. TOBBEN SPURKLAND P.E. 20,5 W 15TH. AVENUE ANCH. AK. 9950'~ (907'~ 2_79-3916 [ LOT 2 BLOCK i SILVER CREST S/D 9520 GROVER D£1VE WILLIA,V LUTES II SEPTIC SYSTEM ASBUILT DATE: OCI'OBER 9, 1994 SHEET: 2/5 GRID: 2459 I000 GAL ARCH. 76 75 Ft 7~ta/ Length 12 F! To!Gl Dep!h 5 Ff. Effective Rock Depth 96.2 Mina P/ 90.~ 5 Pt o£ Septic Rock Cleonouts Monlto: SCALE 90.9 84 101.6 1000 9ol, :epf, ic ~onk BENCH MARK; GARAGE FLOOR ELEK = 100.00 TOBBEN SPURKLAND P.E, 205 W15fh Ave Ak 99501 LOT 2 BLOCK 1 SILVER CREST 9520 GROVER DRIVE WILL/AW LUTES SEPTIC SYSTEM ASBUILT DATE: OCTOBER 9, 1995 SHEET: GRID: 2459 PERFORMED FOR: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST /,.' (E'NGINEEF~'S ~EAL~) LEGAL DESCRIPTION: LC "~ ~[q. I~ [/'--- ~ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS Township, Range, Section: WAS GROUND WATER ENCOUNTERED? SLOPE SITE PLAN s L IF YES, AT WHAT O DEPTH? p E Depth to Waler After Moniloring? Dale: Gross Net Depth to Net Reading Date Time Time Water Drop 7,° PERCOLATION RATE ~ (minutes/tach) PERC HOLE DIAMETER FT , TEST RUN BETWEEN /'---"~----~ ~'~T AND /~' ~ PERFORMED BY; , I CERTIFY THAT THiS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~) ~.~._ ,¢:~, /. o[ ~ ~( 72-008 (Rev. 4/85) PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 0N-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940354 DESIGN ENGINEER:TOBBEN SPURKLAb-D, P.E. OWNER NAME:LUTES WILLIAM M & OWNER ADDRESS:9520 GROVER DR ANCHOR_AGE, ALASKA 99516 PARCEL ID:01506224 1 OF DATE ISSUED: 9/21/94 EXPIRATION DATE: 9/21/95 / LEGAL DESCRIPTION: SILVER CREST BLK 1 LT 2 LOT SIZE: 49449 (SQ. FT.) ~ER 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 (18AACS0). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 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: AT THE TIME OF CONSTRUCTION THE ENGINEER SHALL RE-PERFORM THE SOILS TEST IN THE AREA OF THE PROPOSED ABSORPTION FIELD. A PERCOLATION TEST SHALL ALSO BE PERFORMED NINE (9) FEET BELOW GROUND SURFACE. THE PERCOLATION TEST HOLE SHALL BE PRESOAKED FOR A MINIMUM OF FOUR (4) HOURS PRIOR TO BEGINNING THE PERCOLATION TT.~-% RECEIVED BY: ~ ~~/~ DATE: T.SPURKLAND P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 2, BLOCK 1 SILVER CREST S/D WILLIAM LUTES No Ground Water or hnpervious Layer to 17 ft. Use Standard Trench Soil Rating. From test August 19, 1994 10 min/in = .8 gal / sq. ft. Use 16-30 rain/in = .6 gal / sq. ft. No. of Bedrooms 3 Required Area per Bedroom: 150/. = 250 sq.ft.. Total area required: 750 sq. ft. Existing tank 5 feet deep. Ground Elevation at Absorption Field 2 feet higher Testhole Total Depth 17 ft. Less 7 feet cover Use 5 feet of rock Length of Trench 75 [FT.] SYSTEM CONFIGURATION STANDARD 'FRENCH TOTAL LENGTH 75 FT. TOTAL WIDTH 2 FT. TOTAL DEPTH 12 FT. ROCK DEPTH 5 FT. COVER 7 FT, SEPTIC TANK 1000 GAL. CHECK INTEGRITY ABANDON EXISTING SYSTEM The installation of this septic system will not prevent wells from be installed on tile adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change tile general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. Septic System Design Lot 2 Block I Silver Crest S/D PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS Township, Range, Section: SLOPE SITE PLAN WASGROUNDWATER ~%%,l ENCOUNTERED? CO IF YES, AT WHAT DEPTH? Oepth lo Water Afte~ Monitering? .~-_'~{/.~ Date: C:) l ;;~d' ( ~ Gross Net Depth to Net Reading Date Time Time Water Drop 9~ ~: sz I~ 7 '/~ I '/~ PERCOLATION RATE J O (minutes/tach) PERC HOLE DIAMETER __ TE~TR.N.ETWEEN /~ ~TAND ~'/~ F~ 1~o-~o ~.~ /,'~ / ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 3,4 / / 100 S£AL£? lT 150 200 LOT ~ L/TT ]~ \ \ LI~T ~o TOBBEN SPURKLAND P.E. 203 W 15TH, AVENUE ANCH. AK. 99.501 (907'~ 279-3gl 6 BLOCK 1 SILVER CREST S/I) 9520 GROVER D£1VE WILLIAM I_UTES I I SEPTIC SYSTEM DESIGN DATE: AUOUSf 20, 1994 SHEET: l/Z, GRID: 2439 N % Exist / 75 g. Long I ~, I / '~ ~, ~ (, ~- £5 0 £5 ~ 75 10~ 1c°5 150 " ~~ .... SCALE; 1' - 50 FL TOBBEN %PURKLAND P.E. 205 W 15TH, AVENUE ANCH. AK, 99501 (9o7/ 279-5916 J J LOT 2 B].OCI( 1 57£VER CREST S/D 9520 GROVER DRIVE WILLIAk,I LUTES J J SEPTIC SYSTEM DESIGN DATE: AUGUST 20, 1994 SHEET: 2/5 GRID: 2439 Tom Fink, Mayor Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196850 Anchorage, Alaska 99519-6650 ENGINEER BULLETIN 91-6 September 12, 1991 To: Ail Engineers Performing Percolation Tests for the Design of On-site Wastewater Disposal Systems Subject: Depth of Percolation Tests Density and permeability for a given soil type typically fluctuate with depth. Specifically, density usually increases and permeability usually decreases. To account for this variability and to ensure that percolation test results are indicative of the overall absorption capacity of the accepting soil stratum, we request that all tests'b~ performed at the approximate mid-point depth of the accepting soil stratum. Please contact our office at 343-4744 if you have any questions. Sincerely,~ ith cvrogram Manager, On-site Services cc: Lee Browning, P.E., Manager, Environmental Services IV1UNiCII~A!.I'i V OF DEI]AR'['ME[\!I' OF HF:AI.TH g~ ENVIHONk/IFHqTAI Pr~o'rEcTION ENVIRONNiEIqTAL IENGINEERiN(; 825 l. Stree( - Anchm'~fle, Alaska 99501 {'dephOrle 284-4TZ0 ON-SITE SEWAGE DISPOSAL SYSTL;M AIXID/OH V~f[~i.l. tNSPLC'~'iON REPORT LOCATION NO, OF BEDR~,.~ViS I DISTANCE TO: I /~¢ ¢ ~ Absorption :~' Inside j W dth 2¢Cj2 I Material Liquid capacity m gallons t~ E ~ r~°, of line,~ / J LenC~a¢, line q ot~ll~rlines / -F,enoh~.*h I Distance b~twe*n lines  ~ Crib depth Total effective al)sorptio,~ area Crib diameter ~ ~ Well -- Building fo,,ndation Nearest lot line ~' ~ DISTANCE TO: ~ J DI S~A~C~ ~O~ -~ui~i,~-fo~,'~d~}i~n-----Sewerline Septic tank ~ ~}sorption area!s) OTI4ER PIPE MATERIALS SOl L TEST RATING ,NSTAL'E. REMARKS DATE LEGAl_ - , - FIEFtt. TH RN[:, EI'.,I',/IF:Z~I'.4HEt.! I'::, E F'I::I F;: 'T'!','I E ~l'r' ,' T R L ' "] T E C T I i"iN ,-325 '"L S]'I:,::EET., F¢..M..E~RF,:~:E., l:::lt .... %* 't .... i ~ (() /,V ,= ,-.,. C:HILk:OT E'f'. BO,,..', 2,..,:L'1 E.F.:. -~ ,~:'.;~:;b?:',':J. . , ,-. ,, .-..., . . U.-,k. L.E[~il::lL. L=~t~.~. :=,ILvEF;L. RE=T t~;LIB LOT SI,"E 5'.I. OO8 SG'.!LIFtF.:E FEET T'¢PE 01:"- SOIL FIE~:~;ORF'TIOI'.,I S't'STEt"I IS: TRENCH i'"II::]F, IHLII"I I",ILIf"IBER (:iF' E:EDRCIOHS = Z.': SOIL. RRTING (s_.iQ FT,.'"E:F.:)= :1..51.:'~ 'f'HE ~'.E6!UIREE:, :.:;;IZE OF THE: SOIL RBSORPTION S¥"-YrEH IS: 'rile I._ENG'f'H blHEi'.,ISIOlq IS ]"HE LENGTH (IN FEET::, OF: THE TRENCH OR [)RFIINFIELD. THE DEPTH OF Ft TREI'.,IC:H OR PIT I5 THE [:,ISTRNCE BETI.,.IEEN THE SUF.:FRCE OF 'file GF.:OUI'.,If~ FIND ]'HE BO'T"i`Oiq OF THE E:=..':CFI',,,'RTIOt'4 ,:.IN FEET). 'T'FIEI:;.".E IS 1'.10 SET I.,.I ]: [:,TH FOR TRENOHES. TFIE GRR'v'E/... [)EPTH IS THE HINIHUI',I [:,EF'TH OF GRR',,,'EL BE'r[4EEN THE OUTFRLL PIPE RI'.,ID THE BOTTOH OF ]"HE EXCRVRTIOI'.4 4II'4 FEE]"). F'ERHI'T' RPI::'LIC:RNT HRS :"FIE RESPONSIBILIT't' TO INFORI','I THIS [:,EF'RRTHENT DURING THE IUSTRLLFtTION INSPECTIONS OF RI'.&' .~.4ELLS R[:,..IROENT TO THIS PROPE:'RT'¢ RI'4B, THE NJHBER OF RESI[.',EI'4CES THRT THE 1.4ELL ~,.IILL SERVE. BFICt.(F'ILLIN(:!i OF FIN'.? S'¢$]"EM 1.4i"I"HOLr'I, F'II',!FIL I NSPEC"I"ICII'4 RN[:, FIF:'PF?.O',/RL BY THIS E:,EF'I,~F4::Ti'"IE"NT HILL. BE: SLIB.TEL-:T TO I"lll",lIl'"lLIl'fl [:,ISTRI",I[::E E':ETHEEN FI I.'.IELL FINE.', i-'~tl'.~'.r' ON-SITE 'SEI.,IFIGE DISPOSAL 5'¢STEM IS :LO0 FEE'r F'Ot? ¢~ PRIVRTE [4EI_L (:iR :L50 TO 200 FEET FROH R PUBLIC I.,.IELL [.~EPENDII'.,IEi UPON THE ']"¥PE OF' PLI[3LIC P.IELL. I"IINII',lUH [:,ISTFINCE F'F;.'tE~I'4 I::1 F'RI'¢FITE' !.4ELL TO R PRIVRTE SB4ER LINE IS 2.'.=.; FEE]' Ri'.,I[:, TO R E:OI','II','IL~NII"'¢ SEI.,IER LINE I::.:.; 75 FEET. O"I"HE~'. t:.:.'EG).U:KREHENT2; I"lR't' FtPPL"r'. SPEE:IFICRTIOI'4S RI"4D CONSTRLICTION DIRGRFIH5 F:IF;:E R',,,'FIILRBLE ]'O INSLIF.:E PROF'EI:~: :[NS'I"RLLRTION. I CERTIF'¢ THFIT '-'L: I RH FFII"IILIFtF':: ~4I]"FI THE REQLIIREHENTS FOR ON-SITE SB4EF.:S t']ND !-4ELLS RS SE]" FORTH B'¢ ]"HE I~DI'4ICIF:'RLIT'.r' OF FII",ICHORRGE. ;.:.it: I 1.4ILL INSTRLL ]"HE S"r'S]"EI'"I Iiq FI(%;OR[.~RNCE I'-IITH ]"HE E:ODES. 3:: I IJNDERSTFIND THR"F THE OI",F"'SITE SEI.4ER L--;.,'¢STEI"I I"IRY REC.:!UIRE ENLRD3EHENT Il:"' THE RESt[:'EI",IE:IE IS REHOE:'ELE[) TO II",ICLU[:,E IqORE TFIRN _'2.': E:EDROOHS. S I GI",IIE[:.~: ............................................................ RPPL I IZ:FINT ..TRK CONSTF.'tUCT 1 01"4 1 21:E;t_IE'.[) E --' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-2221' SOILS LOG- PERCOLATION TEST ,,~ SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: i-'~ ~'~ g2' ~''/'~ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O z.-¢ SLOPE [ I Il ~'i- COMMENTS C/L~ /~ ~ ! DATE PERFORMED: WAS GROUND WATER ENCOUN'FERED? IF YES, AT WHAT DEPTH? SITE PLAN 'j ["- [ ] i .r~'n I , o : e. c? , : : P E~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) PERFORMED BY: TEST RUN BETWEEN FT AND __ FT , DATE: 72-008 (7/76) II, ox 11~6¢~, STAR ]~{OUTE A ANCHORAGE; ALASKA ~94-3181 SIX INCH WATER WeLL DRILLED AND CASED OUT TO THE DEPTH OF DRILLED At THE RATE OF ~79.00 PER FOOT. prOPErtY OWNER . ~. j ~z~ / s~. :;, /u(,~c?.~.¢ ~..~. LOCATION OF WELL SITE DRILLER WELL LOG: Co~L of. ~q.: i~19 p~ ~ooZ X 1Od .fie~L: ~2014.00 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLINg. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS for THE SUM OF ~~ DATE THANK YOU VERY MUCH. BERNIE C~/~U~S OF RAMPART DRILLINg WORKS SERVICE CHARGEOF 1Va% PER MONTH WILL B~-~SSESSED ON MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I,D, # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 01 5-062-24 1. GENERAL INFORMATION Complete legal description Lot 2; Block 1; Silvercrest Subdivision Location (site address or directions) Property owner Mailing address Lending agency Maiiin. g address 9520 Grover Drive Anchorage~ AK George & Moira Finefrock Day phone 346-8000 952D ~Rov~r Drive Anchorage, AK 99516 Day phone Agent Address Clair Ramsey/Jack White REal Estate Day phone 563-5500 NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Unless otherwise requested, HAA will be held for pickup. 3 NOTE: xx Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: XX Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOAtt21 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 Address - Engineer's signature AI.A~KA WATER & WAS'rEWATER CONSULTANT8 6[~0_! nFRARR ROAD: SUITE 2B ANCHORAGE, ALASKA 99504 Phone Date A~proved for ~¢ bedrooms. Disapproved. Conditional approval for bedrooms, with th~ 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 ragistered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work, 72-025(Rev. 1/91) B~ck MOA~I Municipality of Anchorage MAR b 0 1999~X DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUNICIPALI'[¥ OF ANCH(J 825 L Street, Room 502. Anchorage, Alaska 99501. (9~1~~ Legal Description: A. WELL DATA Health Authority Approval Checklist L~J.e/t~--~e~-t' ,.-~//~ -~ Lo1' ~' ,, Parcel I.D.: Well type Log present Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to I O(,:, Casing height (above ground) Date of test Static water level Well production Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION I0 Nitrate g.p.m. WATER SAMPLE RESULTS: Coliform ~ Date of sample: ~/~?--/~q B, SEPTIC/J,~ TANK DATA Date installed ~I/?_'7/ff"L Tank size Foundation cleanout ~)'N) Date of Pumping ~, ~ ~' ~ ~ //-- Other bacteria COllected by: ~. ~d. u J, /': · ~i I g.p.m. bedrooms J oo¢ Number of Compartments Depression (Y/~ /'~o High water alarm (Y/~ i~ o C. ABSORPTION FIELD DATA Length -'7~1 Width 7--I Total depth I~ '{'' Gravel thickness below pipe ._~ I Effective absorption area '7~50 ~' Monitoring Tube present (~N) '?'~, Depression over field (Y/~J) Date of adequacy test :~/-z?. ~.~/~'3 Results t(~)'Fail) PP, s.s For Immediately after J/5'Z gal. water added (in.): Absorption rate = /-/-~o+ g.p.d. ~¢ ,J' If yes, give date Fluid depth in absorption field before test (in.); ~'e'~ Fluid depth Ur(ct~ (ins) Minutes later: I~,~' Peroxide treatment (past 12 months) (¥~ ¥'~ 72-026 (Rev, 3/96)* Date installed Size in gallons M anhol e/~~ '~~ E. SEPARATION DISTANCES "Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot On adjacent lots On adjacent lots Public sewer main I',J //~ Public sewer manhole/cleanout Sewer/septic service line '~' It , Lift station I,,J' SEPARATION DISTANCES FROM SEPTIC/I,~TANK ON LOTTO: Foundation .~l+ Property line ~5,1~ Water main/service line I o~'~ Surface wateddrainage Joo I.y SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line -2.5, ~_t7_ Building foundation ~o J+--- Absorption field ~_~ Wells on adjacent lots Water main/service line Surface water I o ott Driveway, parking/vehicle storage area Curtain drain ~ o¢~' I~ ,~u~ ~ Wells on adjacent lots I ENGINEER'S CERTIFICATION ~ I cedify that l havened ~¢~ld ins )ections and reviaw, of Municipal reco~~'~~ fare inconformanc~t~~~,effectonthis date. Signature ~ ~~%~ ' ~' ~ HAA Fee $ Date of Payment Receipt Number 72-026 (Rev, 3/96)* Waiver Fee $ Date of Payment Receipt Number ~AR-2?-9(I 22:$7 ~ROg-CT~ .~NVIRONUENTAL ,~ CT&E Envlronmemal ~ervi,~o~ Inc 5615501 T=BB4 P.02/03 F-Zee CT&E Ref.~ 991090001 Projc~ Name/~ CIi~u~ S~mple ~ Silverers[ Log 2 Big 1 Ord:m~ ~y S~mple Remarks: Parameter R~su[~ PQL Client pOtt Printed Da(etTime 03;26199 [3:13 Coll~ed Date/Tim~ 03/24/,09 12:00 R~el¥~'t Dste/Timo 03124!99 14:00 Teelmical Directnr: Stephen C. Ed. MA~-2?-gg 2Z:67 F~OM-CTE ENVIRONMENTAL $815301 T~654 P.03/O@ F-22g CT&E Environmental Services thc, ~g I,~ST~'CTION$ ON RE~E~E SIDE ~gFOgg ¢O~LE~I~Y~ ~IPLE ~el: (~7} ~61.~343 ;~x: 1~7} ~51,5301 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 ParceiI.D.# C91,¢'-0(~- ~,"'/ NI 1..,GENERAL INFORMATION Complete legal description Lot 2: Block 1: Silver Crest Subdivision Location (site address or directions) , ~ .... --' Anchorage, AK P.,r'o~):ert'~'owner' Rick & Jennifer Cramer ~'M~iling address 9~'20~ Grover Drive Lending agency 'Mailing address · Agent Merci Bouchard/Dynamic Properties 9520 Grover Drive Day phone Anchorage, AK 99516 Day phone Day phone 346-3830 261-7612 Address ' ' Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: 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 NOTE: Xxx Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~25 (Rev. 1/91) Front 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 r~y investigation of th'is 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 Address Engineer's signature S & S ENGINEERING t/034 Ea~le River Loop Road No. 204 Eagle River, Alaska 99577 Phone._ Date )1 /~-~ /~"/-7 DHHS SIGNATURE v/'/ Approved for '~/"//~: ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additionr:~ .omments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Au.?~:. ity Approval Certificates based only upon the representations given in paragraph 5 above by an indep-?~L, ent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage D ~ DEPARTMENT OF HEALTH & HUMAN SERVICE,.~ [ C [ IV E D Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 3~¥49-4(~ 1997 Municipality of Anchorage Health Authority Approval Checklist Uept, Health & Human SerVices LegalDescription: LeT' ,% f&c.o¢~ I g~,-v,~ ¢~,¢~7' ParcelI.D.: 01' ~-06 ~-,.3.,f A. WELL DATA Well type Log present(.~/N) Total depth Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ! 0 ~ Casing height (above ground) Wires properly protected (~N) Date of test Static water level FROM WELL LOG /o AT INSPECTION Well production WATER SAMPLE RESULTS: .,g.p.m. Coliform ¢ Nitrate Date of sample: )1 /~ ~/ / ~ 7 B,~HOLDING TANK DA'rA Date installed oj / ~ ~ . Tank size ~ O o O Collected by: g.p.m. Other bacteria ¢~ $ & S ENGINEERING 37034 I=a~ie River Loop Road No. 204 Eagle River, Alaska 99577 Number of Compartments ~ Cleanouts ~N) ~'[-$ Foundation cleanout ~) V ~.J- Depress,on (Y~. ,~¢ o High water alarm (Y/~L~ Date of Pui'nping i)/,3-o/ d -/ Pumper /~-'1- C. ABSORPTION FIELD DATA Date installed c~ } ~ ~ Soil rating~or fF/bdrm) C0. 6 System type '7' ~-~ cH ~ / Length ~ ~ ~ Width ~ Gravel thickness below pipe ~ Total depth I ~ '/~ Effective absorption area "7 $-0 F?- Monitoring Tube present ~/N)¥~' ~' Depression over field (Y(.~ /¢ o ';~-' /n/l' ~ '~ For 3 Date of adequacy test Il /~ $" /~t 7 Results((~s/~ail) bedrooms Fluid depth in absorption field before test (in.); 3/c~ ¢' Immediately afterL/,~'~ gal. water added (in.): ~ */o /' Fluid depth ~ ~ I ~/~- ~' (ins) Minutes later: c~ ~lO Absorption rate = z¢,(,-0 '-¢- g.p.d. Peroxide treatment (past 12 months) (Y/N) No r~r~, /('"~"" If yes, give date 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons "Pump on" I~mp off" level at* *Datum Cycle~ te~te~,. E. SEPARATION DISTANCES F. SEPARATION DISTANCES FROM WELL ON LOT TO: ~-p~holding tank on lot ) O O ~ I Absorption field on lot ) 0 0 4-- On adjacent lots On adjacent lots Ioo ¢- / Public sewer main ,hJ / ~- Public sewer manhole/cleanout Sewer/septic service line ~ ~ d- Lift station SEPARATION DISTANCES FRoM[s~]sTI--~HOLDING TANK ON LOTTO: Foundation ,~ Property line ~ O Absorption field Water main/service line / O Surface water/drainage I 0 O d-- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ,"~o Building foundation ~O Water main/service line Surface water ~ ©0 } Driveway, parking/vehicle storage area Curtain drain N o,,~ ~ too ~ ~ Wells on adiacent lots / )o ~ 10 + ENGINEER'S CERTIFICATION .,.~.,~..,~,~.~,~, .. , '; :~.?..,:;. OF .4 ,~ . I ceRify that I have determined thru field inspections and review of Municipal rec¢~B,¢~e.e~ ~¢~¢ms are in conformance with MOA HAA ~uideli~es in effect on this date. Si nature ' /~/ ~ /~ Date l ~o ~fl / 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Parcel I.D. # 1. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES_ :.. Division of Environmental Services , On-Site Services Section ,. P.O. Box 196650 i Anch°rage'.Alaska 99519-6650 343-4744 -' ~ ,~ CERTIFICATE OF HEALTH AUTHORITY .... APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Completelegai de~cription J-'°'T' o~ ~/'-( i ~ [t-~--c-~--~"-'~ Location (site address or directions) Proper~y owner ~/(L~-~,~- L~Jr~% Day phone Mailihgaddress ~ ~O~ ~ ~[~ ... .... ,... .... . Lending agency ~ ~ ,~c~ Day phone ~.. - ; , .. ; · ~ ,. ~ -.- Mailing.address N~¢o ~ ~-.~¢~¢ ~¢bs~'~," 1~ 77'0V ~'"~ ~0~-~'~ Address ~ Co~d¢¢~,.~:_..: ._.... ...... - ..... ....,-L,,. ....... :,:'.. Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: -~ 3. TYPE OF WATER SUPPLY: I'i'! Individual well ~/ .... i"'rl~ Community well ~ Public water If community well system, provide written confirmation from NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank lng to the legality and status of system. .Z Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of_sYstem ...... 72-025 (Rev. 1191) Front MOA~I 5. STATEMENT OF INSPECTION BY ENGINEER As certifiedby my seal affixed hereto and as of the validation date shown below, I verify that my investigatio[i 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 an d type of structure indicated herein. I further verify that basea 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 Munici pal and State codes, ordinances, and regulations in effect on the date of this inspection. Address ~o~ ~ /~ ~ ~ ~ Oonditional approval for bedrooms, with the ~ollowing 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 DHHS does this as a courtesy to pu rchesers 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. 1/91) Beck MOA ~1 ' Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~.oJ¢:'~,~)4-1, ~ ~u<¢-c r-¢-.¢-.'~ Parcel I.D. A. Well Data Log present (Y/N) y Total depth i O ~ If A, B, or C, attach ADEC letter. ADEC water system number Date completed '~//'~.~5//¢~'0 Driller Cased to JO ~ Casing height Sanitary seal (Y/N) / Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION "70 Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service tine ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ¢ Date of sample'. ¢/¢~-. ~/¢ ~'- Nitrate ,~-~/ Other bacteria Collected by: ~ -¢ r Date of pumping B. SEPTIC/HOLDING TANK DATA Date installed ~//~7/~?' Tank size /~¢-6;2 Compartments ~ Cleanouts (Y/N) '"'/ Foundation cteanout (Y/N) 'Y Depression (Y/N) High water alarm (Y/N) T'///L~ Alarm tested (Y/N) /"¢'//~-- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot i¢ ¢ On adjacent lots /~.~ Foundation To property line ~,-C.~ Absorption field .-~ .~'- Water main/service line ~- Surface water/drainage 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~/,2~ 7/~ b// Length 'TJ Width Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) ~ ~' .System type Gravel thickness .~ Total depth Cleanout present (Y/N) '~/ Depression over field (Y/N) Results (pass/fail) ~ for ~ Bedrooms ~ After test ~ ¢ If yes. give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ) 0 To building foundation On adjacent lots ~ Sudace water '~"-~ (2 i/1 (.2 Curtain drain NO On adjacent lots ] (.) -¢ Property line To existing or abandoned system on lot Cutbank ~ ¢ ~4 ~ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Engineer's Name Date HAA Fee $ Date of Payment ,'z.7//?¢/,,~;~ ""-- Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number Single-Family I_~),;, [ Number of Bedroo'as 3o Walle): St~plf!.y Note= If comt~ut~ity well ~,';p;ltem, mu,'3!: }'lave w.eitte~l c:onfirumtion frota tile SI:ate Del)art'~uenl: of Eu.v:l.:,:orunenta! ~. --~ ~-~ .... ~ atte,~;ting to the ],egal:Lt:y m',c~ ..... t,t,o Sewaf~e Disposal Noteg if community xoeli ~lyfJt;,:mt~ must h. atre written confirmation f't'om the Department: of Environmental (:om;er'gation ati':esting to the J.eg~liP} and sl:a/:uflo [Page I of 2] as of the valldation data sho~.ai beiow~ A~ii: ho ~:i ty Approval and Staile ccdas~ SEAL) MUNICIPALITY OF ANCHORAGE DF.PT. OF HEALTH & ENVIRONMENTAL PROTF. CTION RECEIVED WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: /..~T ~ ~/..o~ p._ t Well Classification I¢¢-\ '¢/'~-T%. Well Log Present (fY)N) Total Depth / ()~ / Cased to I0~ ! Static Water Level ~/, ?-~ ~') Casing Height Above Ground .. 2_,o / Electrical Wiring in Conduit~N) Separation Distances from Well: To Septic/Ho'lding Tank on Lot ___ If A, B, C, D.E.C. Approved (Y/N) Date Completed ~/-2-?.~/¢'O Yield _ Depth of Grouting Pump Set At Sanitary Seal on Casing~l) Depression Around Wellhead (Y/~ //¢ z¢_ To Nearest Edge of Absorption Field on Lot /D ¢ /~¢' To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer / Nearest Sewer Service Line on Lot //--///~'-~-- ; Date B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes ~4~//~/¢f~ Depression over Tank (Y,~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~t/~. Separation Distances from Septic/Holding Tank: To Water-Supply Well / j To Property Line ..~ ~¢ To Water Main/Service Line Size ,/~¢~0 Air-tight Caps (~'~N) No. of Compartments Foundation Cleanout~) Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) Course Comments To Building Foundation To Disposal Field ~' To Stream, Pond, Lake, or Major Drainage 1- I~ Page 1 of 2 ~2-026(11/84) .C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field /- Square Feet of Absorption Area Depression over Field (Y(~.~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line Type of System Design Length of Field ~.~/' Depth of Field // / Gravel Bed Thickness ~ ? Standpipes Present~/N) Date of Last Adequacy Test d To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage A[ea ~.:;~ Comments 5C','14.¢~';~4.6~L¢.~ ~ .~¢/'.~'/¢~'/~ ) To Property Line ./-¢~4) /~ To Existing or Abandoned System on ; On Adjoining Lots 7~/¢¢- To Cutbank (if present) /..J//1-' D. LIFT STATION Date Installed Dimensions Size in Gallons '~ /'~la_~. ole/Acce~~ High Water Alarm Level at ~.~~~ Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y~.....~ ~ ** Check Permitted Bedroom Rating Against HAA Request ** I certify that Lhave checke¢, verified, or conformed to ail M CA and HAA guidelines in effect on Signed ~ ~ Date ~/~//¢~"'- thedateofthisinspection. Company _~ //'~-~C~ ~.~¢t.c:~- MOA No. Receipt No.~ Date of Payment %-([.,- Amount: $ ~-~-). 6'~ Engineer's Seal Page 2 of 2 72-026 (11/84) ALASKA ~r,tir,¢~r,i,~q $ ~uir, onm¢~l~l $lu,:li~$ 1ST NAT. BANK BARTLSVILLE P.O. BOX 2248 BARTLESVILLE OAKLAHOMA SELLER-NELDA ANDERSON JULY 30 1985 1ST NAT. BANK BARTLSVILLE P.O. BOX 2248 BARTLESVILLE OAKLAHOMA 50426 LEGAL:SILVERCREST BLOCK 1 I~T 2 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-JULY 29 1985 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 462 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 423 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC 'rANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON JULY 30 1985 . FLOW TEST ON WELL WELL FLOW DATE-JULY 30 1985 A FLOW TEST WAS PERFORMED ON ~{E WELL. 370 GALLONS OF WATER WAS PUMPED AT A RATE OF 4.3 GPM OVER A DURATION OF 2 HOURS. THE DRAWDOWN WAS 4.5 ' WITH A RECOVERY TIME OF 40 MINUTES AND THE STATIC WATER LEVEL WAS 68 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. 1200 ~¢$l 33rd /~u~nu~, $~i1~ B./~nchoroqe, ~l~sk~ 99503.{907) 561-5040 : INSPECTION APPOINTMENTS ~M.-~J~',.~ Z_ ..~_~' ~. _ TIME TIME DATE DATE DATE INSPECTOR INSPECTOA INSPECTOR MUNICIPALITY OF ANCHORAG~ MUNICIPALITY OF ANCHORAGE DEPT. OF  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~IRONMENTAL ~ OJ-~CTiON 825 L Street - Anchorage, Alaske 99501 ! 61981 ~ ) ENVIRONMENTAL SANITATION DIVISION Telephone ~..-.~0 R E C E 1 V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES 91RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE MA'I LING ADDRESS PROPERTY RESIDEN~ (If differen(from above) '/ PHONE 2, BUYER PHONE ~C 3, LENDIN~ INSTITUTION PHONE MAILING ADDRESS 4, REALTO~/AGENT ~ PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION z. ~ V- ;L /~./r' .I STREET LOCATION 6, TYPE OF RESIDENCE [~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five I~ Three [] Six [] Other 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OFBEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING 3. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified [~]Septic Tank or []Holding Tank Size: /(~4~3~:) If Tank is homemad( give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: MATERIAL Septic/Holding Tank Absorption Area Sewer Line INearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS DATE [~APPROVED FOR .~ BEDROOMS [] CONDITIONAL APPROVAL (letter m~accompany I~"~DISAPPROV ED certificate) 72-01o (Rev. 6/79) 825 "L" S-FF1EET AlxJCIIORA(~E, AI_ASI(A 99501 (907) 264-4111 GEORGE M. SULI_IVAN, MAYOR DI;Pi, N I'.'../E N I OF ILEAL ! II AND ENVIH(.~NMENTAL PI:IOTEC'I'IOISl January 29, 1981 JAK Construction 2511 Chilkat CourL: Eagle River, Alaska 995'77 Subject: Lot 2 Block t Silver Crest; Subdivision Approval for your individnal sewer and water faci].ities cannot, be granted unt~il the L-'ollowing i'hems have. been completed: (].) A well leg submitted te this department for our review. (2) 'Pile water analys:is report needs to be delivered to this depar{m~ent from the ~hem ]:,ab, 5633 B Street, for our review. (3) The depression or pit around the we].]_ casing needs to be filled with impervious type soil so that it slopes away from the well casing. This will need to be reinspected by this department when it has been corrected. If there are any further questions, please call this office at 264.~4720. Sincerely, Robert C. l:xatu, Il S Associate Specialist RCP/ljw cc: PeoN]es Bank and Trust Pouch 7-007 9953_0