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HomeMy WebLinkAboutOLSON HEIGHTS BLK 1 LT 2 Permit Number:OSP211073 Tax Code Number:01823103000 Work Type:SepticTank Upgrade Effective Date: Design Engineer: Site Legal Address:OLSON HEIGHTS BLK 1 LT 2 G:2936 Owner:MANDSAGER RICHARD D & RUTH E Site Mailing Address:4251 E 135TH AVE, Anchorage Lot Size in Sq Ft:49517 Total Bedrooms:4 This permit is for the construction of: Disposal Field Septic Tank Holding Tank Privy Private Well Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing 3/26/2021 3/26/2022 ANDERSON CONSTRUCTION & ENGINEERING Expiration Date: ¨þ ¨¨¨¨ Received By: Issued By: Date: Date: MUNICIPALITY OF ANCHORAGE On-Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On-Site Wastewater Disposal System Permit Deb Wockenfuss 3/26/21 ON-SITE SEPTICM/ELL PERMIT APPLICATION Parcel I.D. 018-231-03 Property owner(s) RICHARD & RUTH MANDSAGER Mailing address 4251 E 135TH AVE, ANCH AK Site address SAME Day phone Legal description (Sub'd., Block & Lot) OLSON HEIGHTS BLK 1 LT 2 Legal description (Township, Range & Section) Lot Size 49,517 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank El Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: $225 Waiver Fees: Date of Payment: '"22 -2t Receipt Number: (72 ]� Iia Permit No. OSP211073 Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc March 18, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic tank permit Legal: OLSON HEIGHTS BLK 1 LT 2 To Whom it may concern: This is a request for a septic tank permit on the above referenced lot. This tank replacement will not impact any of the neighbors or encroach on any wells, septic or open water issues. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211073, Deb Wockenfuss, 03/26/21 1"=50' PROPERTY LINE PROPERTY LINE EXISTING WELL 100' RADIUS WELL EXISTING HOUSE SHED -ELMORE ROAD-NEW 1,250 GALLON PLASTIC SEPTIC TANK W/ 20" RISER, 5' FROM ALL DECK SUPPORTS TYP. EXISTING TANK TO BE DECOMMISSIONED PER UPC -E 135TH AVE-DRIVEWAYOLSON HEIGHTS BLOCK 1, LOT 2 SCALE: DJRDRAWN: DATE: OLSON HEIGHTS, BLOCK 1, LOT 2 Anchorage, Alaska RICHARD & RUTH MANDSAGER 2/12/2021 OLSON HEIGHTS BLOCK 1, LOT 3 OLSON HEIGHTS BLOCK 1, LOT 1 MCCABE WEST LOT 4 OLSON HEIGHTS BLOCK 2, LOT 2 WELL DCO DCO VACANT LOT NO EXISTING WELLS WITHIN 100' OF THE SYSTEM EXISTING CO Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211073, Deb Wockenfuss, 03/26/21 9 N8954'31"E 16500 10' CEA & ATU EASEMENT -------------------------------------------------------------------------------------------------------------------------------- SNE° 3 I� Ig W Q I� IW Iv DECK I �n •_ _ - -a DECK col/ fit6 SINGLE FAMILY HOUSE e 462 399 °ECK _ cOVERED -_ -- _ PLK�Py ti •WFLL A T v N 89 53'E 16500 EAST 135TH OF.'A CO.' 4g TH N SHANE A. HOLT ' • THESURVEYDATA AND MEASUREMENTS HEREONARE PREPARED FOR THE pLS -6914 0`O OWNER OFRECORD AS OF THEDA TE OF THIS SURVEY. �Qa o ANYUSEOF THIS DRAW/NG BYTH/RD PART/ES IS PROHIB/TED UNLESS fessiona% \'Qo WRITTEN PERMISSION IS PROVIDED. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT ARE NOT SHOWN HEREON, UNLESS NOTED. NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAYBE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. AVENUE AS-BUILTSURVEY I" =301 NO CORNERS SET THIS DATE 6I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT2, BLOCKI, OLSON HEIGHTS (PLA T79-68) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS -5- DAY OF FEBRUARY ,2021 14933, FB211-10 HOLT LAND SURVEYING 9309 DROVER DRIVE ANCHORAGE,AK 99507 .UNICIPALITY OF ANCHORAGE DEPARTMENT OF HEAI.TFI & ENVIRONIVIENTAL PROTECTION ENVIRONMENI'AL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT 1PH°NE UPGRADE LEGAL DESCRIPTION LQCATIQN IF FIOMEMAD E: DISTANCE -FO: Tw%~T7 DISTANCE TO: /''~ ~aT' No, of lines 1Length of each line Top of tile to finish grad~% ( Dwelling Length Width Type of crib :rib diameter Crib depth  Material FoundatioQ~I '[N~ot line _2¢ No Total_~,,..~oJgn~hl..) of~._~ ' 'J¢ lines ¢ .,: '., '~;. ~ll width Mat~d~l beneath tile Depth IN~ OF BEDROOMS BRMIT NO. NF., ~cornpartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. DISTANCE TO: Well Depth Building foundation DISTANCE TO: OTHER PIPE MATERIALS P,V,o, + SOIL TEST RATING ,-) REMARKS Building foundation Driller Sewel line -APPROVE DAZE / LEGAL PERMIT NO. RPPLICANT LOCRTION LEGRL HRNK TRMBLgN E.±]:STH L 2 B & OLSON HTS [:,EF'RRTNENT,OF ' '_TH RN[:, EN',/IRONI"IENTFIL F'r ~ -:TIOF,I///~ .-. ~ ~ 825 ' L" :,] NEET., RNCHORRGE., AK. :~95b~ / /c~. '~ ~} ( 80B248 ) / - P. O. BOX t~-687 RNCH 24~5899 LOT SIZE 49000 SQUARE FEE']' TYPE OF SOIL 8B$ORPTION SM_STEM IS: TRENCH MFI',:.::II"'IUM NUMBER OF BEDROOMS = 4 SOIL RRTING (SQ FT,"BR)= ±00 THE REQUIRED SIZE OF THIS SOIL RBSORPTION SYSTEM IS: [:, E F"]- H = 7-' LEN~iTH= 5~-Z~ GRPJ'¢EL [:, E I:"'~ T' H:= ':~ THE LENGTH DIMENSION IS THE: LENGTH (IN F"EET) OF THE TRENCH OR DRRINF'IELD. THE PEPTH OF' R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF' THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRR',/EL DEPTH IS THE MINIMUM DEPTH OF GRR',/EL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THIS EXCRVRTION (IN FEET). RED SEF'~T Im'-: F'ERMIT RPPLICRNT HRS THE RFSPONSIBILIT¥ TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF"" RNY WELLS RDJRCEN]' TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TII--IIC~ ( 2 ;) ][ li'-~:E;P'E']C:T I 0l'~$ l-'-t R I}Z F.a. IF_ t;~ I_1 :[ RE-]E.:. BRCKFILLING OF RN¥ SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BV THIS DEPFgRTI',IENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RN"r' ON-SITE SEWRGE DISF'OSRL SVSTEM IS ik90 FEE]' FOR R PRIVRTE WELt. OR i5£'~ TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON 'THE TYPE OF PUBLIC WEt. L. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET FiND TO R COMMUNITV SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO ]'HE DEPRRTMENT WITHIN OF THE WELL COMPLETION. OTHER REQUIREMENTS MR'T' FtPPL"r'. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS FIRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F' E I;.: r.1 I T g ::--: P I R E S F-:, E C: E I"1 B E: R __T_~: 1 .. :1 _c.., 8 ~ I CERTIF9 THRT l: I RM FAMILIRR WITH THE REQUIREMENTS FOR ON--SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITV OF RNCFIORRGE. 2: I WILL INSTRLL THE SVSTEM IN RCCORDRNCE WITH THE COL':,ES. ]¢: I UN[:,ERSTRND THRT THE ON-SITE SEWER S'T'STEM MR'¢ REQUIRE ENLFIRGEMENT IF THE RESIDENCE IS; REMO[:,ELED TO INCLUDE MORE THRN 4 BEDROOMS. ,:.r, I GNED: ............................................... RPPLICRNT HRNK TRMBL'¢N V4. 0 : V4. 01 .i LEGAL DESCRIPTION: 15 16 17 18 19 2O COMMENTS Cc / D~. 5'/ 5'4 CONTRACTING ENGINJ EI S & ASSOC. AN CH©~.,AG E, ALASKA~99502 P~.ON E ~Z,.~ ~ DATE PERFORMED; SLOPE 51 ~A SOILS LOG PERCOLATION TEST SITE PLAN WAS GROUND'WATER ENCOUNTERED? y' G.~ IF YES, ATWHAT DEPTH? /3~'~ Gross Net Oepth to . Net Reading Date Time Time Water ' Drop ~ ~ ~?,~9 F~'SE~9~R CO LATIO N RATE (minutes/inch) T~ST RUN BETWEEN ~ FT AND FT MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~;:~"~-~'~ OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date A"~IL- ['2...] GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions), (b) Property Owner i~r/""c""c"/t"[~tC-~'''r'p Telephone: Home "~fJc,~-~.________________2~oCf..- Business Mailing AddresslJC'Z.,~~, ~-~-'[- ~'~'~" ~.~ ~¢_~..-~r~J'~/ ~_., (c) Lending Institution~"~~T t""'~u~C/-'T~f~="~--i"~- e'lephone :~----'~( ~.-¢~'"~C2, _ MailingAddressL~t~ ~..4~¢~) ~-.~,..~.~ ~,u.~ ~,,..~~ (d) Real Estate Company and Agent ~f-t~.~ ~L..-~.',,,.( ~ t..~"-~ (._'~.~,.~ \"'~ Address (..o"'Tc.ol ~5~.V,~-~ ~-l~E-~ L~c~~, /~r-*....V-JcJfo,~l¢-.~- ~'~'\(-'-. C~o~S~:~ Telephone '(e) Mail the HAA to the followino address: or: Check here [], if hold for pick up. List contact person and day phone number below, TYPE OF RESIDENCE Single-Family ~i~. 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 the legality and status, SEWAGE DISPOSAL Onsite ]~, 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. Page 1 of 2 z?-025 fRev 8¢86~ Fropl ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 verity 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 inspect[on. Address ~// O~l'~r]'~/ ~~&~/ ~ ~ Date ~1 ~/~ ]~ ~ Approved for / Approved Disapproved Conditional Terms of Conditional Approval Engineer's Seal "~ ~, ....... , ~,?~ . ~", , CAUTION 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 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. Page 2 of 2 72 025 rRev 8881 8ack MUNICIPALI'TY OF ANCHORAQL ENVIRONMENTAL SERVICES DIVISION APR 2 0.1987 RECE'IVED WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Well Classification ~''~ [)t~JI O~Rc..-. %.',~'fJ~- If A, B, C, [).E.G. Approved (Y/N) Well Log Present (Y/N) ~ Date Completed '~'4~ (~' ~ Yield Total Depth ,2.~C&sred to Static Water Level I, Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Depth of Grouting ~ / ~ Pump Set At Sanitary Seal on Casing (Y/N) ""1" Depression Around Wellhead (Y/N) t'~ ~ [ °°¢ ; On Adjoining Lots ~' ~¢::~2~/ To Nearest Edge of Absorption Held on Lot On Adjoining Lots To Nearest Public Sewer Line ~ L/~ To Nearest Public Sewer ~.j - Cleanout/Manhole ~ [¢3~ To Nearest Sewer Service Line on Lot /'~ Water Sample Collected by ~-'~, "~,'W'~.~'~t~--O ;Date q ~.4. b, ~'"'J l .... Water Sample Test Results "~ ~'-.o,--~-~ '~ ~_~f~.~ ~¢...~""~ ~_~- Comments '~,~,(~EJ,(_. %.~,,]~f,~'~ ~-'¢~.~----~_ ~--~'~/T_., r,,.~o'~-' ~.)E..O'~Z~.O¢:;""7¢~' ~ Date Last Pumped '~Pumping/Maintenance Contract on File (Y/N) SEPTIC/HOLDING TANK DATA Date Installed 3~'~'"''( ~'q~ Size'~)'~'~;~ No. of Compartments _b~'~7~"-~-~ Standpipes (Y/N) ~ Air-tight Caps (Y/N) '""~ Foundation Cleanout (Y/N) Depression over Tank (Y/N) ; for Holding Tank High-Water Alarm (Y/N) ~,.,.~[/'4 Temporary Holding Tank Permit (Y/N) [~ Separation Distances from Septic/Holding Tank: To Water-Supply Well ~' To Property Line To Water Main/Service Line To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Course Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 3~,..~ I_,',1' Length of Field Width of Field :;~ I Depth of Field ,z, __ ~',';,~' Gravel Bed Thickness (-Jr- //'-' Square Feet of Absorption Area'~''(~'°?-~ [::~-'~ ~¢-"~t, "¢C::~¢¢lCta~ndpipes Present (Y/N) Depression over Field (Y/N) ~ Date of Last Adequacy Test Results of Last Adequacy Test '~'-/ I'~¢~- Type of System Design T ,~, , Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot TO Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments/" ~/~ ~ ~- '~r'~.¢. To Property Line To Existing or Abandoned System on ; On Adjoining Lots \ ~ To Cutbank (if present) D.- L:FT STAT;ON' Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have chec~4;~ ve~fied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Sig ned/(~_-~"o~_ ~. ~ ~Date Compa y~ ' MOA No, Receipt No. ~ - ~ © / ~ ~ ~/ ~ Date of Payment ~'~ ~ ~ ~ 7 Amount: $ /~ ?~ Page 2 of 2 72-026 (11/84) cy NORTHERN TE TING LABORATORIES, INC. Drinkin Water Anal sis Re~'ort forff°tal Cohform BaCteria T° BE coMPLE'rF.D BY CUENT PRIVATE WATER SYSTEM ' Purchase Order No. r SAMPLE TYPE: [] Routine [] Special Purpose [] Check Sample (for original contaminated lemple with lab reference no, [] Treated Water ~ Untreated Water Received at: z'~ Anch. [::J Fbke. Date Received Time Received ~ Next Sample Due SATISFACTORY (~ UNSATISFACTORY U RESAMPLE R OTHER BACTERIA OB TOO NUMEROUS TNTC TO COUNT 2 4 $ 6 ? 8 9 Signature of Represent rm ~olonieg per 100 mil DATE RECEIVED INSPECTION APPOINTMENTS TIME TI M F~-~. ~ TIME . DATE DATE DATE INSPECTOR INSPECTO~ tNSPECTO~ DEPT ~UNIglPALITY OF ANCHOfiAGE  DEPAfiTMENT OF HEALTH ~ ENVl fiON~E~TAL 82~ L Street - A~chorage, Alaska  OCT ~ 7 I980 ( ) ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEwER'¢ACILIT~- DIR[OTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. ~..~O~R~VOW~ I .HON~ MAILING ADDRESS PROPERTY RESIDENT (If dJfferen~ from above) PHONE 2, BUYER PHONE MAI LI~ ADDHE88 3. LE~DI~ INSTITUTION ' PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One .1~. Four ~ SINGLE FAMILY [] Two [Z] Five [] MULTIPLE FAMILY [] 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 (attacli log if availablel) 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. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I NDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY '-~ -- .~:~ ~ Connection Verified INSTALLER [~]Septic Tank or [] Holding Tank Size: (~. ~--z~r~ If Tank is homemade SOILS RATING give dimensions: / (~ 0 TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [~'~"APP R OV E D FOR ~ BEDR~)OMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (-%,, 79-f}10 ~Rev, 6/79) ANCHORAGE, AK 99501 "~: ' PHONE 34~-3;92 26 C~tobor 19~:0 D R I L L E R'S W E L L L'O G CUSTOMER ~!. ~. H~dk±ns Constn~otion ~,.,"'r' "!}ox 10~6~7 Anohors.~,o~ .,~ 99511 LOCATION ]o't 2, ~S. ock 1, ('[1. s o~ Heights kSubdv SIZE 6. DEPTH 20~' CASING DEPTH 20]' GROUTING DEPTH YIELD ~-lO ~pm STATIC WATER L~EL '~ HOW TEST~ PUMP INSTALL~ 2o ~;~ot ~0 ~PE 75~L-16A~ Ro~ Jaokot FO~TIONS ENCOUNTER~ ~ APPROPRIATE DEPTHS kA l' TO ~'L TO __ 82 TO 9? TO____ 201 TO 203 TO TO TO TO TO TO TO Course sand and cravel 2~own clay 9~_ 5and, black silt Water about !; ~pm -Sand heave(~ in pipe. 201 Gray olay w/gravel Course sand w/small grave], water a'i: ?,~.10 gpm 207 Gray clay