The URL can be used to link to this page

Home My WebLink AboutROCKHILL BLK 3 LT 8 · Municipality of Anchorage Page I of -7_- 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 Inspectidn Report Permit Number: ~) ''~ ~' ~,o~,_~ PID Number: ~/~ - o~ - O~ Name: ~ ~ ~ ~o~ Wastewater System: D New ~ Upgrade Address: ~S~ r~l~,E' $~ ~,~'~ ABSORPTION FIELD Phone: Z~~ -- H~C~ ~No. of Be~ooms: ~DeepTrench D Shallow Trench ~Bed ~Mound ~Other LEGAL DESCRIPTIONI / Soil Rating: Total Depth from original gr~ ~. ~ GPO/Sq. Ft. I o. S ' Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Lot: ~ Bmock: ~ ~H~c~ I -- ~ R. Ft. Township:~ Range: ~ ~ Section: ~ Fill added above original/. ~-grade:~ Ft. Gravel ~ength: ~ .~ I Gravel width: Number of lines: Distance between lines: WELL: Ex~s~/~ New D Up ~ F~. I ~ - ~. Classification (Private, A,B,C): ~: Cased To: Total absorption area: Pipe material: A~T~ O Date installed: Driller: Date Drilled: Static Water Level: Installer: ~ ~1c~5 Ft. ' : ,~mp S.~ a~: Casi., H.~,~*bo~e ~,ound: TAN K ~ GPM Ft, Ft. SEPARATION DISTANCES ~Septic a Ho~ding ~ S.T.E.,. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~C~O~A~ ~ I Number of Compadments: Waif idol idol~ ~ ~ ~ ~1~ Material:~ su,~c, ~ ~ -- LIFT STATION Water leo 14 tool4~ Lot ~ m ~ Size in gallons: I Manufacturer: Line ~ j 3 ~ I Foundation I ~ ~ [ l ~~ ~ ~ ~ "Pump on" level at:~." levet at: High water alarm at: CaSein Drain ' ~0~'~ [ ~ ~ ~ IElectrical mnspecti°ns pad°reed by: Remarks: ~.F ' ~ ~ 're~-~ BENCH MARK Location and Description: I As*umod Elevation: Dates: 1st Inspections performed bY:s [ s ~,mG : ~~.... 17034 Eagle Rl~er L~ Road No, 20~. 2nd C -/~- e4 lw_~ ~OSE.T c. COWA. Eagle River, Alaska 99S77 ~r~ ~ - z ~-w~ ~'~% CE - 8801 Healt d Hp~ Se~ices approval _ ~,~, .'~%~ Department of ~a~d H~ ,t ~. ......... Reviewed and approved b --~ Date: ~~ Permit No. SW96006,3 Page 2 of 2 Municipality of Anchorage 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 LOT 8, BLOCK 3, ROCKHILL S/D 01506306 Legal Description: PID No · ST1 118.5 127' ~ NEW T~ENCH~ ~ /~% DBL1 ' ' NE 1250 GAL CO ' ~ co~ C05 126' 162' ~ ~ ~ SCA~~ , ~ ~ BOTTOM O~ T(ENCH. , = , 72-013 A (Rev. 9/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650~ 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PAGE 1 OF 1 PERMIT NUMBER:SW960063 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:STRODE ROBERT P & JANETTE K OWNER ADDRESS:6230 PETRIFIED TREE CIR ANCHORAGE, ALASKA 99516 PARCEL ID:01506306 DATE ISSUED: 5/01/96 EXPIRATION DATE: 5/01/97 LEGAL DESCRIPTION: ROCKHILL BLK 3 LT LOT SIZE: 42694 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15o55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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: RECOMMEND ADDING ADDITIONAL CLEANOUT TO SEWER C O>. ISSUED BY: ~[~31 [ ~Q~ ' DATE: DATE: ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCO[~,TION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN April 22, 1996 (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 8, Block 3, Rockhill S/D Request you issue a permit to upgrade the septic system serving the existing Fo~ bedroom house on %he referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation water no was encountered. The monitoring tube has been checked and found to be dry. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. The proposed 1250 gallon septic tank is to be placed outside the well protective radius. Attached is a site plan which depicts the location of the proposed tank. If you require additional information, please contact us. Sinc.erely, ~ 'Ro~ber~t ~C~ C(owan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA99577 'i" = 50' SCALE 35009 SiTE PLAN gftI(IVt[ '-Iq[~l ,O0!E .r- DESIGN r'- ° b b~ U' L-z'J F" '"q ~ os 0 z_~ o~0 z~ Z~ - 0~ Cm~F~' d ~o~z ~o~ O~z ~ 0 Z PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST $7~o 0 ~ LEGAL DESCRIPTION:LoT ~OC~C~/~*c ~7~ Township, Range,iSection: ' i 17- 18- 19- 20- SLOPE WAS GROUND WATER ENCOUNTERED? , SITE PLAN IF YES, AT WHAT ~ ~) DEPTH? p E Depth to Water After,._ ~/~(~/~C ~. ~), I'-~ Monitoring? P/~"/ Date: J· t Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~)~ ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ '/~ FT AND -J '/,,X FT COMMENTS PERFORMED BY: ~.~,~ ~,a~l~ ~¥~i' Lo,~i~ ~,~,~ ~,~. =C-~ ...... CERTIFY THAT THiS TEST WAS PERFORMED IN ACCORDANCE WI3~,I~: ~FE ~I~L GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/;;L ~ / ~ ~ 72-008 (Rev. 4/85) ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 8, Block 3, Rockhill S/D April 22, 1996 ]ENERAL: 1. e e The scope of this project includes the installation of a 1250 gallon septic tank and a leachfield trench to serve the four bedroom residence located on the referenced property. The existing trench and 1250 gal septic tank is to be excavated, pumped, crushed, and abandoned completely. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wast.water Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 8, Block 3, Rockhill S/D April 22, 1996 e Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DI~AINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. 2~ Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. Se A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. e Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 8, Block 3, Rockhill S/D April 22, 1996 Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: TyDe of PiDe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 8, Block 3, Rockhill S/D April 22, 1996 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: me The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. ® The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 30 The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 8, Block 3, Rockhill S/D April 22, 1996 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. $ & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE [] UPGRADE MAILING ADDRESS p~,~. LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS Manufacturer ~ e~l.~' Liq. capacity in gallons DISTANCE TO: IWell Manufacturer Top of tile to finish grade Length Width Type of crib Well IAbsorption.are, a Inside length Dwelling Foundation ,, / Total length of lines Material beneath tile Depth Crib depth Building foundation Dwellin/§06 ( LMaterial Width Material Nearest lot li~_ ( /Trench width ~ ~¥, inches PERMIT No, of comp~tments Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO. Distance between lines PERMIT NO, Total effective absorption area Nearest lot line DISTANCE TO: Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorpt on area(s) OTHER PIPE MATERIALS -S 01L'(~S~T~A T', N G INSTALLER REMARKS DATE LEGAL HELl. AND PERMIT NO. ( 820772 > APPLICRNT ROBERT D CARLESON LOCAT I ON ~U~ICIP~LIT~' CmF ~NCI~IORF;O~ DEPARTMENT ~'"',,HE~LTH ~ND ENVIRONMENTAL~OTECTION 825 ~L STREET., ANCHORAGE~ AK. 264-4720 ON ....... SZTF ~ , PO B~X le-9~5 LEGAL LAB~ ROCKHILL LOT SIZE TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING <SQ FT?BR>= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [~EPTH= I ~3 LF~-JGTI i-- ~-'-9 GRR~'EL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCRVATION (IN FEET>. RFC-4JJ I ~:F[:, SFF'T I C TR~IK S I ZE= -1 258 GRLLCm~4S PERMIT APPLICANT HAS THE RE~FON=,IBILIT~ TO INFORM THIS DEPARTMENT DURING THE INSTALLATION IN~FEUTION_, OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TL~O ~2> I t-4SPEC:TIm3N--c- RRE REQLII E~E[) BflCKFILLING OF AINY SYSTEM WITHOUT FINAL INSPECTION AIND flPPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND RNY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR t50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRI~ATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS 8RE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE AVAILABLE TO INSURE PROPER INSTALLATION. PER. P1 I T E~<P I RES C'~ECE~IBER 3i.- 1982 I CERTIFY THRT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED: ...................... APPLICRNT ROE~RT~D CARLESON rHF. D~PTTt OF ft ~ OR PIT ~E~IJ I RED ~PT I ~ T~NK ~ ~ ~[~ ~T ~ ~L WILL January 4, 1982 Robert Carlenson P.O. Box 10-905 Anchorage, AK 99511 Permit ~ 811111 Subject: Lot 8 Blk 3 Rock Hill Sub A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. 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 should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, ?reoSg~mB~aChnha~elZr~' Sewer and Water Program Enclosure: Copy of Permit PERMIT FtPF:'L I CFIN"f' LOCFIT I ON LEGFIL [:,EPFaRTMENT ?% HE:FILTH RN[:, ENVIRONMEt'.-J. TFIL.,/-'RC'rT'ECT!ON 825" :?:;TREE'T., RNCHORf~GE., RK. 9~. 264-4720 ROBERT I:::HRLENSON P.O. BOk.', 349-2E~57 L. OT 8 BLK 3: ROCK HILL. SUB L. OT SIZE 42C:'~Eu2i SC!URRE FEET "tYPE OF' SOIL RBSORF'TION SYSTEM IS: TRENCH MRXIMUM NtjME:ER OF' BEDROOMS = 4 SOIL RRTING <sr.;:! FT,,"E',F.:)= 85 'T'HE REQUIRED SIZE OF THE SOIL FIBSORPTtON SYSTEM IS: THE LENGTH C, IMENSION !~-:; TH .Eh < N T) OF THE TRENC:H OR DRRINFIEL. D. THE [,EF'T'- ]F R TF4'EN':H CR F'I% '[~ THE [~I'ST~N:E EETHEEN THE¢".~;URFFtC:E OF 'T'HE GROUN[:, RND THE BOTTOM OF THE EXE:~VRTION (IN FEET). THERE IS NO SET HZDTFt FOR TRENCHES. ]"HE GRFiVEL [:,EPTH i~ THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTF'RLL PIPE FIN[:, THE BOTTOM OF THE EXCFIVFITION (IN FEET). PERMIT FIF'F'L! C'FfNT HR.S TH[::: RESPONSIBILI]"'¢ 'TO tNFORH THIS t::,EPF~RTMENT DURING THE INSTRLL. f~TION INSF'Er.":TIONS OF FtNY f.4ELLS RDJF~CENT TO THIS F'ROPERT"¢ FIN[:, THE NUMBER OF RESIDENCES: 'T'HRT THE HELL. HIL. L SERVE. E:F~CKF:IL..LING .OF RN'T' S'¢STEM I.,.flTHOUT F!NFtL. INSPECTION FIN[:' FtPF'ROVRL B"r' THIS DEPF!RTMENT t.,.II[.L. 8E SUEL:rECT 'T'O P.RO~.;EC:UTION. MINI'MLIM DISTFtNC:E BETHEEN R HEL. L RND RN~r' ON-SITE SEt.,.IRGE D:[SPOSRL SYSTEM IS :!.EiEI FEET FOR R .f.-F..I,,P rE.. HEL.[.. "~' '" ' ~" '" .... U.-.. ':t .~ 0 TO ':':"¢',..~ ¢'EEf~i?'~[':"ROM R PUBL I C HELL [:,EPEND I NG UF'ON T!-.IE 'T'¢F'E OF PL E:L. I C WELL. ~, MINIMUM [,I'..-_qTRNFE FROM F! PR'.r.',,'FITE't~i:[L~ F! PRI',,,'RTE :.-:..;EI.,.tER LINE i'.~; 25 FEET RN[:, 'T'O FI COMMUNITN.' SEI.,.IER LINE I:'_-.1 '?~ F~:T. HELL I..CK:~S: .FIRE .REC.!LItREL:', RN[:, MUST BE..': RETURNED TO THE DEPF~R"t"MENT HITHIN ]:0 OF THE I.,.IEL. L. COMPL. ET tON. OTHER REQUIREMENTS MR? t:-]PPL¥. SPEC:IFiCRTZONS RN[:' CONSTRUCTION DIFIGRPJ"tS FIRE RVRIL. RE:L_E TO INSURE PROPER !NSTRLLRTION. I CERTIF'¢ THFtT i: I RM FRMILIFIR f.,.IITH THE REC.!UIREMENTS FOR O.N-LSITE .'.:.:';EHER:E; RND HELLS RS FORTH E:'T' THE f"tUNICIPR[..I T'¢ OF F!NCHORFtGE. ;2:: I HILL INSTRLL. THE S"r'STEM IN RCC':ORDRNCE 14ITH ]"HE CODEC;. ~:: I UN[)ERS'TF~.N[:' ]"HRT THE ON-SITE SEHER S?::'.:;TEr,I MR'.r' REC!UIRE ENLRRGEMENT IF THE RE.SI[:,ENC:E IS REMODEL. E[:, TO INCLUDE MORE TFIRN 4 BEDROOMS. S I GNE[:,: .................................................................................................................................. FIPPL I CFIN/T~ ROE[ER'T CF!RL.E'N2'~;ON I ':: c;t let", (-~. Y4. 0 ~* PERFORatED FOR: LEGAL DESCRIPTION: 1 2 3 4- 5- 6- 7 8 = ~S LOPE TEST COMMENTS .._~ ~' ] WAS GROUND WATER ENCOUNTERED? ~_~ O, IS. O P E IF YES, AT WHAT DEPTH? Depth to ' Net Reedi I I Gro. 1 Net ' . Water Drop WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological & GeophysicolSurveys Drilling Permit No. LOCATION OF WELL (Please complete either la, [b or lc.} A.D.L. No. la~. Borough Subdivision Lot Block ~ I/4qlrs. Section No. TownshiPNE~ Range EF~ Meridian DISTANCE AND O[RECTIO" PROM ROAD ~"TERSECTIONS 3. OWNER DE WELLL~~ Street Address and Area of Well Location Feet Below 4. WELL D PTH: (final) 5, DATE OF COMPLETION 2. WELL LOG Surface ~ ~ ft. , 15. PUMP: (if available) r 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.# ~ 1.:, GENERALINFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING · HAA # . ~:~ ~ Lot 8; ~oc~ ~; Koc~ ~S~6~v~ion ............. L0c~tion (site address or directions) .......... 6230 P~rified Tre.e. Minnt~po~s, ~N 55431 Day phone :)hone NOTE: If cOm~nun ity wastewater system, proitide Writt :'~:~ "~?auestin~:,~*x the legality and status of ~ystem, 72~25(Rev. 1~1) 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 my investigation of ~his 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. S & S ENGINEERING Name of Firm .-..~. - ,., __.~__ .._: ........ · -~ ~;-= .--':::' r "' '~ ~'- e~. Phone ~ Address . Eagle River, Alas. ka 99577 Engineer's signature '~/"~/-- J _~-E~,~ Date ~//7 bedrooms, with the following stipulations: Note: Th~'wel[ for this property rne~t~"eXiS~±i~g Codes. There are nitrates presen%. ~~odi~testing be performed to insure the wells c~ration is 10.0. mg/1 ..... . The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations g~ven in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchases 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 ~s issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer'swork. MUINI~.IPALII~ OF ANCHOP-J~GE ENVIRON/VlENTAL SERVICES DIVISION JUL ~7 I~B~ ~ ~unicipaliW of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICE,~ E C El V E D f~l~ Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: A. WELL DATA Well type Log present ~lN) I Total depth Sanitary seal ~N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~/ - '7 - ~ 7-- Cased to ~;~J Casing height (above ground) O.'~ Wires properly protected (~N) AT INSPECTION Date of test FROM WELL LOG ?1 Static water level Well production WATER SAMPLE RESULTS: g.p.m. g.p.m. Coliform .~ Nitrate Other bacteria Date of sample: ~, - 17-- ftc.. Number of Compartments ~- /' Cleanouts (:~N) "r' B.~HOLDING TANK DA?, Date installed ~, - I :~ - ~ c Tank size High water alarm (Y/{~) ~ Foundation clean°Ut(~)'N) ¥ Depression (Y/~) /~ Date of/Pumping t'~ E.u-~ Pumper O.~, Gravel thickness below pipe Monitoring Tube present ~N) ¥ Results (Pass/Fail) System type "T'~e4¢H 8.5 ~ Total depth / ~ ~ Depression over field (Y~__ For bedrooms C. ABSORPTION FIELD DATA Date installed ~ - ~- ~1 (. ;r Soil rating (g.p.d./fF or ft~/bdrm) LengtIi,, ~, C.. ~ Width Effective absorption area Z o ~O ~ Date of adequacy test ~ ~ ~ Immediately after -- gal. water added (in.): Fluid depth in absorption field before test (in.); Absorption rate = ~ .g.p.d. Fluid depth -- (ins) Minutes later: If yes, give date Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* D, LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) ~ High wate~ *Datum, C~ted "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ~holding tank on lot 1 oo Absorption field on lot I°ol +' Public sewer main ~/A Sewer/septic service line ?. ~ ' ~c On adjacent lots I oo ' On adjacent lots Public sewer manhole/cleanout Lift station t~/~, SEPARATION DISTANCES FRO~HOLDING TANK ON LOT TO: '~ Foundation ~oo ~ Propertyline ~, Absorption field Water main/service line / o14- Surface water/drainage / oo~ + Wells on adjacent lots /oo~ + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: t ~'W Property line l'5 Building foundation I ./~ -- Water main/service line Surface water /oc> I -(- Curtain drain ~/A Driveway, parking/vehicle storage area Wells on adjacent lots ! ENGINEER'S CERTIFICATION ~ncecH~infy~hmata ~ncheavw~tdhe~e~in~d/ thgru~dfiee~dn ie~sipn eec~ie~cnts~nt~irs~iaet~ ~f Municip~ re~ S nature Engineer's Name Date HAA Fee $ ~ Date of Payment ~.~ Receipt Number '~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 06×14/98 15:24 CT&E ESI ANCHORAGE CT&E Environmental Services Inc. LabOratory Division .... Laboratory Analysis Report CT&E Ref.# Client Sample ID Matrix PWSID 0 962307.962307001 Lot 8 Block 3 Rockhill $/D Dtialdng Water Sample Remarks: Collected Date 06112196 Technical Director: Stephen C. Ede Released gy..~----.~' ~ .... ~..~.._ Parameter ResuLts ~C P~L ~itrete-N 5,08 Total Cottform 0 Units Nethod At[owabte Prep Aha[yale Init Limits Date Date 1.00 m~/L EPA ~.2 u - undetected LT - Less then OT - Greeter then O - Secondary D{Lution J - Betow the calibration ran 200 W. Potter Drive, Anohorage. AK 99618-1605 -- Tel: 1907) 562-2343 Fax: (907) 561-5301 3180 Pager Road, Felrbanks, AK 99709-5471 -- Tel: (907) 474-8656 Fax: (907) 474-9685 ENVIRONMENTAL FACILITIES" I'N ALASKA, CALIFORNIa, FLORIDA, tLLINOIS, MARYLAND. MICHIGAN, MISSOURI. NEW JERSEY, OHIO, wEST VIRGINIA MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, A~laska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 0~- {~)~ NAA# 1. GENERAL INFORMATION Completelegal description /~'~-' ~ ~'~ ~ Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone ~/~ - ~?~' / Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system., TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Pbblic sewer ~' NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 structu re 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 J '~/~'~" Address' ~'-~) ~' EngineeFs signature / Phone Date lcd~ DHHS SIGNATURE ,/~ Approved for ~77~,~ (4//) Disapproved. Conditional approval for bedrooms. bedrooms, with the 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 DHHS do not conduct inspections or analyze data before a certificate is issued. The Munic. ipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L~,'~ ~ ~k' .~, A, Well Data Well type ~ Log present (Y/N) ~,/ / Total depth ~'~ Sanitary seal (Y/N) Date of test Static water level Well flow Pump level1 If A, B, or C, attach ADEC letter. ADEC water system number ~//"~ Date completed 7- 7~c~,~ Driller ,AF//,,D/'~'/~ Cased to '~ .-~ Casing height '7 ~J Septic/holding tank on lot Absorption field on lot Public sewer main Wires properly protected (Y/N) 7 FROM WELL LOG AT INSPECTION 71 J C) g.p.m. ~=' .g.p.m. SEPARATION DISTANCES FROM WELL TO: ~..~ (/~¢~,~'u~_~) ;On adjacent lots > /~'"' D ~ ~ ~' J,~.,~ ~4..~} ; On adjacent lots ~, 1o'" ~ Public sewer manhole/cleanout Sewer service line ITl Petroleum tank WATER SAMPLE RESULTS: Coliform ~/ Date of sample:/ '~/~- ~/'~ ~ Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) 7 High water alarm (Y/N) Date of pumping Tank size /,~ L.~ Compartments Foundation cleanout (Y/N) y Depression (Y/N) /"///ac Alarm tested (Y/N) ~//~/~ ~ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ,~"3'"' On adjacent lots ~ /J-C) Foundation To property line IO Absorption field ~ Water main/service line Surface water/drainage N~ ~ CONTINUED ON BACK PAGE 72-026 (3/93)* Front Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~t/~ /~ Length ~--~' 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/Ft2) Gravel thickness Cleanout present (Y/N) y Results (pass/fail) /, Total depth Depression over field (Y/N) for After test ~(~ If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~ ~- To building foundation On adjacent lots '~ Surface water N Curtain drain ,'X~ E. ENGINEER'S CERTIFICATION On adjacent lots ~ I I l~ Property line To existing or abandoned system on lot Cutbank J"~ Water main/service line Driveway, parking/vehicle storage area 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 -~ [,~ P ~-~ Date (~r~ c~ r2~-.-O/ ~ ~ ~--~ HAA Fee $ vqO~ ~ ~2'P Date of Payment ./~ --,'2z~ - ~..~ Receipt Number ~ ¢,~'~- ~ ~--.~--- ~ '~r~)---"/.~ Waiver Fee $ Date of Payment Receipt Number Zf _ COMMERCIALTESTING & ENGINEERING CO. IRONMENTAL LABORATORY SERVICES Chemlab Ref.~ : 9J. 507,ri-1 Client Sample I'D :8/3 ROCI{ I~ILL Matt ix : WATER REPORT of ANALYSIS 5633 B STREET ANCHORAGE AK 99518 TEL f907) 562-2343 FAX: t907) 561-5301 Clrien~ Name :TOBBEN Ordered By :TOBBEN SP~K[.,AND Project Name : Project~ PWSID WORK Order =71437 Report Completed :09/29/'93 Collected :09/24/93 @ 15:00 hrs. Received :09/24/93 @ 17:00 hrs. Technical Director:STePHEN C. EDE Sampl~ Remarks: ROUTINE SAMPLE COLLECTED BY: ,~TUAR%, QC A].].owable Ext. A~ ,al Paramet(~::c Results Qual Uni'us Method Limits Date Date fnit Nitrate-N 4.4 mg/L EPA 353.2/300 ~ 0 .~ 0 09/27 CMR See Specia[i. Instructions Above UA = Unavailsble See Sample Remarks Above NA = Not Analyze¢~ Undetected, ReporterJ vslue is the practical quantification ].i~M't. LT := Less Than Secon~ary dilution, GT = G~eat('r Than Member of t~e SGS Group (Soci~t~ G~n~rale de Surveillance, :-%~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY GENERAL INFORMATION (a) 264-4720 Legal Description (include lot, block, subdivision, section, township, range) Location (addreSs o~"directions) (c) Applicant i§ (~heck one): Le'nding Institution []; Owner/builder~; Buyer []; Other [] (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address (f) Telephone Mail the HAA to the following address: Telephone 2. TYPE OF RESIDENCE Single-Family~ Multi-Fami. ly [] Other 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. 4. SEWAGE DISPOSAL Onsite~i~ Public [] Community[] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDIN~ i~NSPECTIONS, TESTS, FILE SEARCH, DA ,A 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 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 /~"'/~g Telephone / Address /~-~0 ~)..,~,~/~-,-- ~/~ ~ ~ ~ ~o~ Date DHEP APPROVAL Approved for l~°~'~'~'~bedroomsby~ ~4~' ~'¢ Date Approved ~ Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not 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 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION', RECEIVED Legal Description: WELL DATA Well Classification ~/~//'/"~'~-~'" If A, B, C, D.E.C. Approved (Y/N) Well Log Present~) Date Completed '~-~-~Z~- Yield Total Depth '~'3~ ~ / Depth of Grouting /./'/,,4 Cased t9 Static Water Level Casing Height Above Ground Electrical Wiring in ConduitS)N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~) Pump Set At /J/~ ~'~' ! Sanitary Seal on Casingt~N) Depression Around Wellhead (Y~ ! , ; on Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~' ~t~ ;Date ~ ~-~ '70 B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes~)N) Air-tight Caps(~N) Depression over Tank (Y~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /"///~ Separation Distances from Septic/Holding Tank: To Water-Supply Well ~"~'"/ To Property Line Ct/ :~ ! Size /~-.~*"O No. of Compartments Foundation Cleanout ~N) Date Last Pumped ,or Temporary Holding Tank Permit (Y/N) To Water Main/Service Line Course To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design Length of Field Depth of Field ~"~" Gravel Bed Thickness ~' Standpipes Presently)N) Date of Last Adequacy Test 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 To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on ; On Adjoining Lots .~r..) To Cutbank (if present) /do Comments LIFT STATION ,/ ~?iisD~iiini~l' °L-ri;vet at //~ Man!~/um~i!i~ile!~t _ Tested for ____ ' Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ~- ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I h av..~.,¢,~ ecJ~d, ver~ie..d, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~;~-( ~ ~~ Date ~"/~-~f'~ Company /~¢'~,~ MOA No. ~'~'-~ ~ Receipt No, Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) Municipality of Anchorage P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES July 24, 1986 Alan Wien Alaska Environmental Control Services, Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 8 Block 3 Rockhill Subdivision Waiver Request, WR86-102 Dear Mr. Wien: Your request for waivers of the 100 foot separation required between the well and septic system components on the subject lot has been granted. The distance between the septic tank and well has been waived to 85 feet and the well to absorption trench has been waived to 95 feet. This waiver is valid for the existing four bedroom single family dwelling only. Any modifications of the existing septic system will invalidate this waiver. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/lJw ALASKA ,,UIROFImeFITAL COIqTF OL (~rlqJneerJll§ 6 ~nuiro~mental $1udies DEPT. OF HEALTlt & .[NVIRONMENTAL PROTECTION RECEIV&L/s6 HOME EQUITY SELLER-DAN JONES HOME EQUITY ATTN ANN LANDON 1300 POST OAR BLVD SUITE 950 HOUSTON TEXAS 77056 CASE # 4230-892 60361 LEGAL:ROCKHILL SUBDIVISION BLOCK $ LOT 8 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-O?/09/86 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 348 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 965 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 10/07/85 THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE-07/09/86 A FLOW TEST WAS PERFORMED ON THE WELL. 965 PUMPED AT A RATE OF 8 GPM OVER A DURATION OF THE DRAWDOWN!WAS .5 ' WITH A RECOVERY TIME OF AND THE STATIC WATER LEVEL WAS ?0.8 FEET. THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. GALLONS OF WATER WAS 2 HOURS. ! MINUTES 1200 LUcst 33rd Aumue. $ui1¢ [~ · bchora~¢. ~losko 99503,[907] 561-5040 ALASKA ,,dlROrlmEFITAL ¢OF1TROL $6hJICE$, IFIC. July 15, 1986 Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, Alaska 99501 Re: Rockhill Subdivision Block 3 Lot 8 MUNICIPALITY OF ANC'HORA~E DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION ,IUL 2 lg86 RECEIVED The above referenced lot consists of a 4 bedroom single family dwelling served with a private well and on-site sewage disposal system. The sewer system was installed on 8/16/82 and the well was drilled on 9/7/82. The as-built of the sewer system has a hand written waiver stating that 85 feet from the well to septic tank is OK. No mention of less than 100 feet from well to absorption area is made. On 7/9/86, I performed a Health Authority Inspection and found that the well is approximately 95 feet from the beginning of the absorption area. According to the as-built, the cleanout after the septic tank is at the beginning of the trench. Prom the well log, we see that gravelly clay was encountered from 45 to 67 feet. A water sample taken on 7/9/86 is free of coliform bacteria. We are requesting that you grant a waiver of the required separation distance from well to absorption area to 95 feet. If you have any questions, please call. Sincerely, Alan C. Wien Engineering Technician Approved by: 19nn JJJ~,~t :~3rd A,,~n,m S,iI~ [~- AncJmraoe AI.sk. 99503 orgo7/ 561-5040 ALASKA ENVIRON M~_F~N, TAL JoB CONTROL SERVIC ' INC. SH~T 1200 West 33rd Avenue Suite B ANCHORAGE ALASKA 99503 CALCULATED Phone 561-5040 C.~CKED APPLICanT FILLS OUT UPPER HAL "oNLy r~'?perty Ow'ncr; ,l~_~Ob~~ r~+ C~W J~. ~0 ~ Phone Buyer Address Zip Code Realty Co. & A~nt Phone Address ~ Zip Code Type of Resi~nce ~ngle Family ~ Multiple Family NO. of Bedroo~ ~ Other ~lndividual A~ACH WELL LOG. A w~l 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 ~dividual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: t~ ~ ~ ~ ~ C, 0-- ~ ~ ~UNICIPAL~ ~ ,,,,. ECEI ED (~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAP~OVED ( ) CONDITI~AL APP~VA~* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received ~ --9 ~ Well to Tank Septic T.k Size September 15, 1982 Robert Carleson P.O. Box 10-905 Anchorage, AK 99511 Subject: Lot 8 Block 3 Rockhill S/D Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: A well log submitted to this office for our files and review. The.water analysis report needs to be submitted to this offlce from the Chem Lab, 5633 B Street, for our review. " A four (4)inch cast iron cleanout needs to be installed to the septic tank and/or leaching area. ° The depression over the sewer system will need to be fille~ so that surface water drains away from the sewer system. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, RP182/p/EH Robert C. Pratt Associate Environmental Specialist