HomeMy WebLinkAboutPARK PLACE #1 BLK 2 LT 3
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231255
PID Number: 020-092-63
Dwelling: ❑■ Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade
Name
Jill Lerner
ABSORPTION FIELD
El Trench El Wide Trench El Bed ound
A Site Ad
Ad dress
1te
Stone
Stone Ridge Road
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth fr original grade
3
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft,
Gravel depth beneath pipe
Ft.
Subdivision
Park Place #1
Block Lot
2 3
Fill added above original gra
Ft,
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
a r
Total ption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ftz
Ft.
Well
101.6
NA
NA
NA
25'+
TANK Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer Tank
Capacity
1,000 Gal.
Surface Water
100'+
NA
NA
NA
Material
Number of compartments
Lot Line
5'+
NA
NA
NA
NA
Plastic
2
Foundation
101+
NA
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks Tank Only
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to
drainfield 3034
Owner
Drainfield CO/MT 3034
Inspector PES
BENCH MARK (Assumed elevation) 100 ft
Inspdection vt 10/7/23
10/9/23
Location and description
31d
2nd
4th
Garage FF
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date••...
*:40 7H :
"$3even annoNa
CE 8149
Septic System
Approved
Date -2_9z_
11/15/2023
Note: this approval does not include well permit requirements.
krcev uuiuu ia)
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X
X X
X
X
30'30'
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X
X
WORK ORDER No:DATE:SCALE:
DRAWN:
HE
CHECKED:
ME/RL
ZONING:
1"=60'Nov. 29, 2023 R6
GRID No:FB BOOK/PAGE:
3337 164/76
SURVEY CERTIFICATION: FARPOINT has conducted a physical
survey of the subject property, the improvements situated
thereon are within the property lines as shown.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions
which do not appear on the Plat used for this survey. NOTE:
Under no circumstances should any data hereon be used for
construction or for the establishing of property lines.
PREPARED FOR:
Jill
ASBUILT SURVEY OF:
Lot 3, Block 2, Park Place Subdivision,
Anchorage, Alaska (Plat 82-244)
Found Rebar
Cleanout
Electric Trans
Tele. Pedestal
Robert O. Lumpkin
No. 10459
SERVI N G A L A SKA SI
N
C
E
1
9
8
2
1.Bearings and distances are record per referenced plat unless otherwise noted.
2.Not all monumentation for this survey may be shown on this document.
3.Excepting for gross negligence, the liability for this survey shall not exceed the
cost of preparing this survey.
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NOTES:
PANNONE
P.O.
ENG SVC LLC (C.1. 1088)
BOX 1807 PALMER, AK 99645
QF
REVISIONS
DATE
11 /14/2023
RECORD DRAWING
PHONE (907) 745-8200 FAX (907) 745-8201
SCALE1
4oI!!
= 50'
DRAWN
LJC
PARK PLACE #1 BLOCK 2 LOT 3
"'*
Polo 092-63
CHECKED
ACP/JRL
JILL � LERNER
I'maym, an"ome
�'•. `
PERMIT N0.
16811 STONE RIDGE ROAD
8149
�c�s ii i�•
OSP231255
SITE PLAN
ANCHORAGE, AK 99516
SHEET
2 OF 2
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
Permit Number: OSP231255
Work Type: SepticTank Upgrade
Tax Code Number: 02009263000
Site Legal Address: PARK PLACE#1 BLK 2 LT 3 G:3337
Site Mailing Address: 16811 STONE RIDGE RD, Anchorage
Owner: LERNER JILL J
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date:
tl�cnt .S'
Q,
Department
Lot Size in Sq Ft:
Total Bedrooms:
8/28/2023
8/27/2024
58717
❑ Disposal Field Q 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
Issued By:
Date:
Date: 0 Z�
3
FUIUHMPAUTY OF HCHORQGE
�f
Community Development DepartmentPhone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWERIWELL PERMIT APPLICATION
Parcel I.D. 020-092-63
Property owner(s) Jill J. Lerner
Mailing address
Site address 16811 Stone Ridge Road
Day phone
Legal description (Sub'd., Block & Lot) Park Place #1 Block 2 Lot 3
Legal description (Township, Range & Section)
Lot Size 58,717 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) ❑X
(w/wo ADU)
Septic Tank
MUpgrade
❑X
Duplex (D) El
Tank
El
Renewal El
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
�Zee
(Signature of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number: (�265,606:" Receipt Number:
Permit No. 0c, P 2.7-) I z5_. Waiver No.
Permit App_::- ::'-..:c
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
Mailing: P.O. Box 1807 Palmer, AK 99645
Telephone: (907) 745-8200 FAX: (907) 745-8201
10 August 2023
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Park Place #1 Block 2 Lot 3
Septic System Upgrade Permit Request
This is a design narrative for a permit to install a 1000-gallon septic tank to replace an existing 1000-gallon septic
tank to be issued for this property. The existing tank is 40 years old and is likely perforated and leaking, it will be
abandoned per code. Currently the lot is developed. The proposed replacement will be connected to the existing
drain field. This lot and the surrounding lots are served by private wells. There are currently no wells within 100’ of
this upgrade.
1. Upgrade Tank Design.
A foundation clean out installed if needed.
The tank will be located: 5’+ from any property line.
5’+ from any deck/stair support.
10’+ from building foundation.
10’+ from any water line.
100’+ from any surface water.
100’+ from any private wells.
200’+ from any public wells.
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions or concerns, pleas e contact me at (907) 745-8200.
Sincerely,
Steven R. Pannone, PE, F. ASCE
Owner/Civil Engineer
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231255, Deb Wockenfuss, 08/28/23
PANNONE ENG SVC, LLC (C.I. 1088)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231255, Deb Wockenfuss, 08/28/23
PANNONE ENG SVC, LLC (C.I. 1088)
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Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231255, Deb Wockenfuss, 08/28/23
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Sax: 907-343-7997
Septic System Owner -installer Agreement
The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner
to perform work on an on-site wastewater disposal system to serve that individual's owner -
occupied, single-family or duplex home if the homeowner meets and agrees to the following
requirements:
1. The property owner and excavation equipment operator may perform work on no more
than one owner -installation project in a 12 -month period.
2. Owner's projected active involvement with the installation:
3. The name of the excavation equipment operator: /r/ ip
4. 1 agree that there will be no monetary compensation for installation services rendered.
5. The name of the'inspecting engineer: ®���®�� �AJ �Vcrd Iwi
6. 1 agree to discuss the`following items with the inspecting engineer:
a. Permit design criteria and specifications.
b. Inspection requirements set forth in AMC 15.65.070.
c. Advance notice given to the On-site Water &Wastewater Section for all required
municipal inspections (AMC 15.65.070A).
7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available
at the construction site for the duration of all related work.
8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will
obtain additional installation instructions and approval from the equipment distributor.
As owner of (legal description) 43 4�Z_ /94tPC Cg�F ,.) Lt ,
I agree that the information above is true and accurate.
Owner's printed name: a, .7;(< LeeAjee-_
Owner's signature: Wit;> Date:
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519.6650 * www.muni.org
,..,./ 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
LEGALI DESCRIPTIO~
LOCATION NO, OF BEDROOMS
Liq'F~gall°ns IF HOMEMADE: Inside length Width Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O Z ~ Manufacturer
; -- ~ Material Liquid capacity in gallons
Length o~eack~ TotalJer~th ofjines
~ ~ Top o~ tile to finish grad~ ~ ~ /" ' ' ' MateHa beneath tile
~/ ~G inches ' ,
~ Total effe~tion area
Length Width Depth PERMI%NO,
< ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ DISTANCE TO: Well Building foundation Nearest lot line
~ Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area{s)
OTHER
PIPE MA~RIALS ~/ ~, ~
( , ,/
AP~ D~TE LEGAL
F'ERHIT NO.
AF'F'L i CAN]~
LOC:AT I ON
LEGAL
BOB CRh'tF'E:ELL
L3'. AK2 F'RRK F'LRC:E NO. i
TYF'E OF SOIL ABSORPTION SYSTEM IS: DRRINFIELD
MAXIMLIM NUME:EF.: OF E:EDROOHS = '~: SOIL RATING ,::SQ FT/BR)= 29.5
THE F.:EQUIF.:ED SIZE OF THE SOIL ABSORPTION'-'_-, -r =, . Et t"-T '" IS:
E.:, EF" ]- Fl = 6 L E{-~,3 T~-~ = :..I_24 "3 ~..: A %." E L E]:~ E F' T H--'
THE LENGTH DIMENSION IS THE LENGTH (IN FEET.'.', OF THE TRENCH OR DRAINFIELD.
THE'~DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETHEEN THE '=]LIRFFtCE OF THE
GROUND AN[) THE BOTTOM OF THE EXCAVATION (IN. FEET).
THE TE~-:Ef-~_C:H [--] I [:,T]--~ I ~; 5.. ~:~2-,l----,~-Z~ FEE]-..
THE GF.'.RVEL DEPTH IS THE i'"IINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOH OF THE EXCAVATION ,::IN FEET).
PERMIT RF'F'LIC:RNT HRS THE F.E F'uN'=;T _
.'.~S - _~BILITY '1]] iNFORPl THIS [:,EPARTMENT DURING THE
It'-,tSTALLATION INSPECTIONS OF FtNY HELLS ADJAC:ENT TO THiS F'I~']PERTY AND THE
NUMBER OF' RESIDENCES THAT THE WELL HILL SERVE.
Ti-~,_-, .:'; 2 ::, I [-.tI_:. F' · ...... ' E' ,-"_.~T i C, l'-.~ '_---; RF-:E F-: E.,:.c~ Ltl I F-: E [:,
BFICKFiLLING OF RI'.,IY _-,~:,TEIt.LIITHCILIT FINAL _TNSF'ECTIFd'..I RI'.,ID HFFF.' ' _- ,HL- BY THIS
C, EF'RF.:Ti'"iENT WII_L BE SUB._TECT TO PROSECUTION.
"fINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SI'FE SEWAGE DISPOSRL SYSTEM IS
.00 FEET FOR R PRI'.,.'RTE WELL OR :L5L.] TO 200 FEET FROI"i R PUBLIC HELL DEPENDING
~PON THE TYPE OF PUBLIC WELL.
INIMUM DISTANCE FROM R F'RIVRTE WELL TO R F'RIVRTE SEHER LINE iS 25 FEET AND
0 R COMMUNITY SEWER LiNE IS 75 FEET.
ELL LOGS ARE REQUIRED AN[:, MUST BE RETURNED TO THE DEPARTMENT WITHIN 3:0 DRYS
= THE WELL COMPLETION.
I'HER REQUIREMENTS MFIY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS RRE
VRILRBLE TO INSURE PROPER INSTRLLRT!ON.
C:EF.:T I FY THAT
· ' I RM FAMILIAR .WITH THE REL.':!UIREMENTS FOR ON-SITE :,EHER:,'-- "- RND F-~ELL'--., RS SE]'
'ORTH BY THE MLINiC:IPRLI TY OF ANCHORAGE.
!: I t-4ILL INSTALL THE :,'-Y'-:,lrEl"l' iN ACC:OF.:[:,RNCE 1.4ITH ]''HE F:nDE'g_ ~ _.
i.: i UIqDEF.:STRN[:, THAT THE ON-':;ITE SEWER :,'rc, FEi'l HAY F.:EL.-.!UIRE ENLFIF-:GEMENT IF' THE
~:ESI[:'ENCE IS REMODELE[:' TO INCLLI[:'E MORE THAN Z; BE[:'F.:OOMS.
RF F'L I E'.'A~_~T-~ BOE: CRMF'E}EL~./'
ANCHORAGE. Al ,'-',~-}K.A
(907) 264--41 I~
TONY KNO.YL~.7
MA YOR
DEPAR F!,iENTOF IIEALTH AND :NVh]ONMENTAL PROTECTIOil
<Permit #: 820984
.January 31, 1983
TO: Permit Applicant
Subject: Lot 3 Block 2 Park Place Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
PERMIT NO.
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STREET, ANCHORAGE, RK. 99501
264-4720
( 8~0~84 )
APPLICANT
LOCATION
LEGAL
BOB CAMPBELL
L~ 82 PARK PLACE
PO BOX
LOT SIZE
27~-4688
99~999 SQURRE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD
MAXIMUM NUMBER OF BEDROOMS
SOIL RRTING (SQ FT?BR)= 295
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
C. FF'TH-- E; LE~'-~GTH= 2[24 GF-: R'-/E L C. EF'TH= _---::
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCAVATION (IN FEET).
THE T~:E~-~E:H 14IDTH I~5 5. E~E~O FEET.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE 80TTOM OF THE EXCAVATION (IN FEET).
F-:EL-].L! I F-:E[:, L~EF'T I C TI]I'-~K: S I ZE-- 2[ELF30 ,-3FtLLL]i'4S
PERMIT RPPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE HELL WILL SERVE.
T~4u] (;~) I ~SPECTIEu~-~] I~RE ~Eg!~J IRE[:.
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROMRL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVRTE WELL OR t50 TO 200 FEET FROM A PUBLIC HELL DEPENDING
UPON THE TYPE OF PUBLIC HELL
MINIMUM DISTANCE FROM R PRIVRTE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY RPPLY. SPECtFICRTIONS RND CONSTRUCTION DIAGRAMS ARE
RVRILRBLE TO INSURE PROPER INSTRLLATION.
I CERTIFY THRT
t: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEHERS AND WELLS AS SET
FORTH BY THE MUNICIPRL. ITY OF ANCHORAGE.
2: I WILL INSTRLL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THRT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS.
SIGNED:__
APPLICANT BOB (~PBELL
/
LOT ~2~
~ ~P.!.'FORME~-, FOR:
L'~ GAL DESCRIPTION:
6
7
9
12
1.~
1',
1[
2O
OMMENT5
~ ~U~lL:-Ir',kLI I 'Y UP ANL;H, UHAGI:
DEP~,RTME?~JOF HEALTH AND ENVIRONMENTAL PRO'i'ECTION
825; L Stria'J, ~-,nchorage, Alaski 99501 26.4-4720
S0,.~ LOG - PERCOLATION TEST
· [~/ PERCOLATION
TEST
.DATE PERFORMEDr,-' Zj_/ !.j /~;~ 7 ~"
SITE PLAN
· 2. ' ~OTH
~ ~ ~ ~:~',:,,:~ ee '~ ~-
/ .'~
~RNOH ~' -~~S GROUND WATER
I
S
L
0
P
E
IF YES. AT WHAT
DEPTH?
r Gross Net Depth to I Net
Reading Date Time Time Yvater Drop
X, ~: ~ ~o ~,~ 34'/~ .5/~
i
PERCOLATION RATE ~_Z~- fmlnu~ m/'inch) -
TEST RUN BE'I~',/EEN Z. ~ FT AND G- O FT
RFCRMED BY:_('lnb, ROL Fl~,~ ~
CERTIFIED BY:
DATE:
x~. ~-.~'2;.'
~-,
IPERFORMED FOR:
DESCRIPTION:
I 2:
3
5
6
I !D
1.1
12
I 13
I14
15
i17
18
19
2O
DEPAR-~ME'!,._j. )~rRE=AI'TI']"ANDrENVIRONMENTALi ~ , , . . _ .. ?~.~-JTECTION ................ TEST i~::~-
825 L S;,~; A~chor~gt, A~sk= 99501'' 2~720 ~. -,
SOILS L~G'~ PERCOLATION TEST ';~
I'
I I
,~o. 4254 -I~
GROUND
ENCOUNTEREDT-'
IF YES. AT WHAT
DEPTH?
~.g. · ~., PI:RCOLATION RATE
S_
L
0
P
E
Gross- Nat l Depth to Net
Reading., Date Time - Time Water Drop
TEST RUN BE'I~'EEN FT AND FT
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
1. GENERAL INFORMATION
Complete'legal description ?ark Place
Location (site address or directions 16811 StoneR±dge Road
Property owner Kelly and Sherron Perz7
Mailing address 16811 Stone Riage Road
Day phone 345-1876
Lending agency
Mailin_g address
Day phone
Agent Kathi Johnson Day phone
Address '3201 c Street, Suite 200 Anchoraqe, AK 99503
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:
NOTE:
762-3123
Individual well x
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
lng to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:'
Individual on-site
Holding tank
Community on-site
Public sewer
x
If cOmmunity wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
NOTE:
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 wastew~er 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 Environmental Manaqement Inc. Phone 272-9336
Address 206 E. Fireweed Lane, Suite 201 Anchorage, AK 99503
Engineer's signature ~ .~¢¢~~ Date
DHHS SIGNATURE
~ Approved for 3
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with th-e following stipulations:
Additional Comments
Date ///-/¢/- ¢~'
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 DFtHS do not
conduct inspections or analyze data before a certificate is issued. The lvlunicipality 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
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (9~~
Legal Description:
A. WELL DATA
Well type Private
Log present (Y/N)
Total depth 145 Ft.
Sanitary seal (Y/N) ¥
Health Authority Approval Checklist
Park Place ~1, ~ 2, Lot 3 Parcel l. D.:
If A, B, or C, attach ADEC tetter. ADEC water system number
Y Date completed 8/24/83
Cased to 60 Ft. Casing height (above ground)
Wires properly protected (Y/N)
FROM WELL LOG
8/24/83
Date of test
Static water level 80 Ft.~
Well production 12
WATER SAMPLE RESULTS:
Coliform 0
Date of sample: 9/30/98
B. SEPTIC/NOLDING TANK DATA
Date installed 8/10/83
Foundation cleanout (Y/N)
Date of Pumping 6/2/98
C. ABSORPTION FIELD DATA
Date installed 8/10/83
Tank size
Y
1 Ft.
Y
Nitrate
AT INSPECTION
9/30/98
54.5
g.p.m. 2 g.p.m.
· lm9/1 Other bacteria lob/100 ml
Collected by: Chad Helqeson
1000 gal. Number of Compartments 2 Cleanouts (Y/N).__
Depression (Y/N) N High water alarm (Y/N) N
Pumper Isaacs Pumping Services
Length 124 Ft. Width 5 Ft.
Effective absorption area 1062 FtC,z-
Date of adequacy test 6/30/98
Fluid depth in absorption field before test (in.);
Fluid depth 1 (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
Y
Soil rating (g.p.d./fF or fF/bdrm)
Gravel thickness below pipe
Monitoring Tube present (Y/N). ¥
Results (Pass/Fail) Pass
0
9O
295 ft~/beSystem type ~ld
3 Ft. Total depth 6 Ft.
-- Depression over field (Y/N) N
For 3 bedrooms
Immediately after 458 gal. water added (in.): 5
Absorption rate = 800+ g.p.d.
If yes, give date
D. LIFT STATION N/A
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
SePtic/holding tank on lot *95 Ft.
Absorption field on lot 112 Ft.
Public sewer main None Observed
Sewer/septic service line N/A
SFPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 8 Ft. Property line 20 + Ft.
Water main/service line N/A Surface water/drainage 220 Ft.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Propertyline 20 + Ft. Building foundation 22 Ft.
Surface water 198 Ft.
Curtain drain None Observed
'~ Waiver request attached to health
F. ENGINEER'S CERTIFICATION
"Pump off" level at* __
On adjacent lots 150 + Ft.
On adjacent lots 150 + Ft.
Public sewer manhole/cleanout None Observed
Lift station N/A
Absorption field 7 Ft.
Wells on adjacent lots 150
Water main/service line N/A .
Driveway, parking/vehicle storage area **0 Ft.
Wells on adjacent lots 150 + Ft.
authority approval
** Driveway lays over corner of east line of abso.r.~tion field. (No waiver req.. )
I certify that I have determined thru field inspections and review of Municipal records that the above systems are
in conformance with MOA HAA guideli. O..es~ in effect on this date.
/_
HAA Fee $.
Date of Payment
Rece,pt um,er
72-026 (Rev. 3/96)*
Date of Payment
Receipt Number
Waiver Fee $
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage .ak. us
November 17, 1998
Larry A Helgeson, PE
Environmental Management, Inc.
206 East Fireweed Lane, Suite 201
Anchorage, Alaska 99503 2703
Subject:
Waiver Request for Lot 3 Block 2 Park Place #1
Waiver Request #WR980081-
Parcel ID #020 092 63
HA# HA980381
Dear Mr. Helgeson::
Your request for a waiver of the required 100 feet horizontal separation from the
septic tank to private well has been approved. The approved separation distance is 94.6
feet.
This waiver approval applies to the existing septic tank to private well separation only.
Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-4744.
Sincerely,
Civil Engineer
On-Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR~ WR980081 PID# 020-092-63 HA~ Ha980381
Date Received: October 22, 1998
Legal Description: Lot 3 Block 2 Park Place Subdivision
Permit
Engineer: Larry A. Helgeson, P.E., Environmental Management, Inc. ~
206 East Fireweed Lane, Suite 201, Anchorage, Alaska 99503 2703
Applicant: Kelley & Sherron Perry
Waiver Requested: Private well on prpperty to the septic tank of 94.6 feet
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorp~ion
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: X
List Conditions or Reasons for abov
Date:
Rec ~: 04251/6425
Amount: $ 62.
1
I
W//?ER
)Etf ~E~I) I L I T'T'
r
I~1~ tZOu 'r/~L ~ £PARA t't dw
2,7
2,0
2.8
ENVIRONMENTAL
N'~NAGEM~N7
INCORPORATED
October 22, 1998
Mr. Dan Roth
On-Site Services Section
Department of Health & Human Services
P.O. Box 196650
Anchorage, AK 99519-6650
RE: Waiver for Well to Tank Separation Distances for the Property Located at
Lot 3, Block 2, Park Place #1, 16811 Stone Ridge Rd.
Dear Mr. Roth,
Environmental Management, Inc. (EMI) is requesting a waiver for the separation distance
of 100 feet, required by the Alaska Administrative Code 18 AAC 72 and the Anchorage
Municipal Code 15.65.050.A.4, between a private well and a septic tank. The well was
put in 94.6 feet from the existing septic tank at 16811 Stone Ridge Road. All other
separation distances for the Health Authority Approval meet state and municipal codes.
From inspection and research of the property the separation distance between the well
and the septic tank should not cause any health problems. A section view drawing of the
well and septic system is attached to this letter, depicting key features considered in our
analysis of the systems. The well logs from the adjacent lots are consistent with the
limited well log from the subject property.
The items that were considered for this waiver are as follows. The well logs from the
surrounding lots show that there are layers of silt and clay soils in the area. The soil in the
area of the septic tank has a moderate perk rate consistent with a silty sand. The well is
cased to 60 feet (more than 40 feet below the bottom of the septic tank), the static water
level is 54 feet (approximately 40 feet from the top of the septic tank), and the septic tank
is downslope of the well.
From the information collected, this system appears to be adequate and has no potential
health hazards to the occupants of the home. If there is any more information that is
required for the processing of this waiver request, please let us know as soon as possible
at 272-9336.
Sincerely,
ENVIRONMENTAL MANAGEMENT, INC.
Larry A. Helgeson, P.E.
Senior Engineer
Attachments: 1. Elevation Drawing
2. Adjacent Properties Well Logs
206 E. F1REWEED LANE, SUITE 201 · ANCHORAGE, AK 99503-2703
CONSULTING (907) 272-9336 · FAX (907) 272-4159 * TRAINING (907) 272-8852 · FAX (907) 272-0319
MUNICIPALITY OF ANCHORAGE
Development Services Department ; Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 020-092-63
Certificate of On -Site Systems Approval
Expiration Date: 20 2 y
Legal description PARK PLACE#1 BLK 2 LT 3
Site address 16811 STONE RIDGE RD Anchorage AK
Current property owner(s) LERNER
X The On -site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
M
Original Certificate Date: 12/5/2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist
Absorption Field Advisory
Tank Age Advisory
Other
X Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
COSA ApprovNjune 2022
MUNICIPALITY OF ANCHORAGE
Development Services Department p p Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 020-092-63
Complete legal description Park Place #1 Block'a Lot 3
Location (site address) 16811 Stone Ridge Road
Current property owner(s) Jill J. Lerner
2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: ■❑ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑M Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age < 1 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On -site staff
to verify the accuracy of the information provided.
COSA Fee 570 Waiver Fee $
Date of Payment A404 3 Date of Payment
COSA # ®SG7,3 ) y �, Q Waiver #
COSA Application —June 2022
Legal Description: Park Place #1 Block 2 Lot 3
Parcel ID: 020-092-63
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 08/24/83 Total depth 145 ft
Cased to 60 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 12 in.
Date of flow test for COSA 07/31 /2023
Static water level at beginning of test 50.9 ft.
Comments
Measured operating fluid level in septic tank New
Date of pumping New
❑ Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 08/10/1983
❑ ALL standpipes present per record drawing
Total measured depth from grade 5•6** ft (max)
Measured depth to pipe invert from grade 3.5 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
❑ Monitor tubes go to bottom of effective.
If not, state depth into effective 2.1
❑ Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) no
If yes, enter date
Well production at time of test 3.4 gpm
Water storage tank volume n/a gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by
Date 11 /05/2023
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
.. ii
Adequacy test date 07/31/2023
Results ❑ Pass
Fluid depth prior to test _
Water added 450 gal
New fluid depth 0 it
Elapsed time 100* min
0 in
Final fluid depth 0 in
Absorption rate 450 gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 36 in
Effective depth used /t7Ein
Effective depth remaining in
Comments/Deficiencies: *Water added at an average of 5.0+ GPM
** Based on elevation of measured invert, total depth = 6.5'.
COSA Checklist June 2022
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100'
Community Sewer Manhole/Cleanout > 100'
Q Yes
if No
ft
0 Yes
if No ft
Neighboring Tank > 100' [E Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' 0 Yes
if No
ft
Holding Tank > 100' QYes
if No ft
Neighboring Absorption Fields > 100'
Animal Containment > 50' ❑ Yes
if No ft
Q Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' W Yes
if No
ft
Q Yes
if No ft
❑ N/A — Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
0 Yes
if No
ft
Surface Water > 100'
❑ Yes if No ft
Tank to Property Line > 5'
Fm� Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
Q Yes
if No
ft
Private Wells > 100'
Yes if No ft
Water Main > 10'
Fm] Yes
if No
ft
Community Wells > 200'
FE] Yes if No ft
Water Service Line > 10'
0 Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
G. CERTIFICATION & 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, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on -site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm Pannone Engineering Services
Engineer's Printed Name Steven R Pannone P.E., F. ASCE
COSA Checklist —June 2022
Phone 907-745-8200
Date //12.-912-DZ3
,W�P,��
` ........ ...
.
.. .......Stevone CE 8149
��kF, ftF ss,,ONE
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~.-~(") - ("')°~ ,t~ - I~,-~
1. GENERAL INFORMATION
Complete legal description
HAA#
Location (site address or directions)
Property owner ~v
· ' '~ ' 10~'.~7(¢, ~,7~'-~/u -
Mailing address
Lending agency
Mailing address
Day phone
Day phone
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~ "~
TYPE OF WATER SUPPLY:
Individual well X
Community well
NOTE:
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:
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 MOA ~2t
5. STATEMENT OF INSPECTION BY ENGINEER
Address ..,col A ,'~
Engineer's signature
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.
NameofFirm A.SCG Z-,~_ Phone --~'~' ¢'- ~/~/~
Date ~ / ~ '/ ~
1
DHHS SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for
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 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.
72~25 (Rev 1/91) Back MOA #21
Legal Description:
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
LD~" ~ / ~ ~ ~,, D/~f~j~{,/~ Parcel I.D.
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 ~'/ Z ~'~ / ~' ~ Driller o4
Cased to 6 0 ~ Casing height
Wires properly protected ((~/N) ~
Date of test
Static water level
Well flow
Pump level
FROM WELL LOG
g.p.m.
AT INSPECTIOI~uNICiPALiTY OF ANCHORAGE
~// ~ // ~ ZNVIRONMENTAL SERVICES DIVISION
EE'EEIVED a.°
I ~
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot / 00 /¢ ~
Absorption field on lot /(262 c-
Public sewer main k~ ~ ~ &
Sewer service line /4 c, ~4 L
; On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
/dO ~- FF
WATER SAMPLE RESULTS:
Date of sample:
Nitrate
B. SEPTIC/HOLDING TANK DATA
Date installed ~/I~ / ~'_~
Tank size /~ ~,dr) /e~/ Compartments
Cleanouts (~/N) ~'~ _5 Foundation cleanout (~/N) ~'~_s Depression (Y/~) /b/~)
High water alarm (Y/~I:~ /'~ Alarm tested (Y/~ /~/O
Date of pumping ~ / ~ / ~ ~- Pumper /~ /-/~6 5¢~,4
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot /~0 ~- On adjacent lots I0~ ;- f"t- Foundation
ToprOpertyline /~ ~- ~4 Absorption field ~' (¢' Water main/service line ..
Surface water/drainage /3 ¢ ¢I c
72-026 (Rev. 7/91) 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)
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 / ?- ~-I ('f- Width
Soil rating ~. ~ ,~'
Gravel thickness
System type
Total absorption area I d ¢ Z.
Depression over field (Y/~ /V' f?
Results (pass/fail) ¢0~ 5 9
Peroxide treatment (past 12 months) (Y/~)
Total depth
Cleanouts present (~/N)
Date of adequacy test
for
/~ 42 If yes, give date
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot / ¢'
To building foundation
On adjacent lots
Surface water v~
On adjacent lots Iud ~' ~¢~ Propertyline
/¢ 'P To existing or abandoned system on lot
Cutbank ~ ~(J ~' ¢t Water main/serviceline
Driveway, parking/vehicle storage area
Curtain drain
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.
Signature
Engineer's Name
Date
HAA Fee $
Date of Payment
Receipt Number
k
Waiver Fee: $
Date of Payment
Receipt Number
ARCTIC SLOPE CONSULTING GROUP, INC.
Engineers · ~a'chRects · Scientists · Surveyors
WELL LOG
LOCATION:
Subdivision:
Lot:
Block:
Client's Name:
DATE:
Address:
TESTER:
L
Initial Reading on Meter: "/ cd (2 5-
I
DRAW TIME GPM GALLONS GALLONS FIELD MONKfOR I
METER
D OWN VOLUME TOTAL LEVELI READING
Z~ O0 ~ I ~
NOTES:
Production Rate: 2, I ~ OPM L' 24-Hour Capacity ~ O ~.CO Gallons
APPLIC ~IT FILLS OUT UPPER HAL ONLY
Property Owner O&- '7' ~-, (~ I/
Address Zip Code
Address Z~p Code
Realty Co. & Agsnt Phons
Address Zip Code
Type of Residence
t Single Family
Multiple Family No. of Bedrooms
[] Other
Water Supply
'~,~,_ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
[] Community For wells drilled prior to that date, give well depth (attach log if available}.
[] Public Utility
Sewer Disposal
'~_: Individual Year Individual installed:
[] Public Utility When Connected to Public Utility:
[] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEEORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes: ~
' DEPT. OF II~ALTH
· ENVIRONMENTAL PROTECflO~
( ) APPflOVED BEDrOOmS *GONDITION8 OF APPROVAL
~ISAPP~OVED
( ) OONDITIONAL APPflOVAL*
Soils Rating Date ~wer Installed W;ll To Absorption Area /~} Well Log Received
~ ~ ~/a--~ 3 WelltoTank /~ Septic T~k Size
72-023 (3182)
ALASKA eFI "RO[lmeFITAL COFITROL SeRUICe$, IFIL
I~n§i~¢~ri~§ 6 I~nuiro~m¢~l(~l $l~dics
January 17, 1984
Department of Health & Environmental Protection
825 L. Street
Anchorage, Alaska 99501
Attn: Robbie Robinson
Dear Robbie:
On January 16, 1984 our company inspected the sewer system and well
located on Lot 3, Block 2, Park Place Subdivision.
Ail the standpipes were above ground and capped.
The well is located 100' from the system and is 1.5' above the ground
surface. There is a sanitary seal and the wire are encased in conduit.
Attached is the results of the water sample taken. It was satisfactory.
Sincerely,
Laura Ogar
Environmental Health Specialist
1200 LU~,s! 33r(I Aucnu¢, Suil~' I~ · Anchorr~9¢, Alasb 99503 · [907) 276-1361