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Home My WebLink AboutRANSOM RIDGE LT 7 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 NAME MAILING ADDRESS LEGAL DESCRIPTION PHONE I [] NEW '~4-J-~~ ~/-~j [~-UPGRADE LOCATION NO. OF BEDROOJ~ Well , Absorption area Dwelling PERMIT NO. u I DISTANCE TO: I [~' ~-- ~ Manufacturer ~ -- Material No. of compartments ~ ILiq. capacity in gallons F H MEMADE' Inside ength Liquid depth [ ~ I 0 . Width DISTANCE TO:IWa,, pXIDwe,,,ng PERM,TNO. ~O--~ Manufacturer //~ Material Liquid capacity in gallons I~1 I Well / Foundation Nearest Iot~ line ~ 3: I DISTANCE TO= I I1~ ]l'~c~'~ ! ~ J¢ Distance bett~.~e~/~ines ~ tNo of ines Length of each ne Total'~engthoflines Trench width :- ~ ~ I ~0' ~¢'~ ' '~1.~ i riches effecti~r~on area -~1- Fop 9f ti~e~to finish grade __ I Material beneath tile Total uJ ]Length Width : D~pth PERMIT NO. ~: I- IType of crib Crib diameter J~ CliA depth Tota] effective absorption area ~m Wall Building foundation Nearest lot line DISTANCE TO: . [Class Depth Driller Distance to lot line PERMIT NO. .~ ! B~uilding foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: , / OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS DATE LEGAL DEF:'AR'TME]qT' OF' FIEALTH AN)::) ENVIRONMEIqTAL F:'RO'I"ECTIC.IN 8;2.5 L.. STREET~, ANCHORAI:~E, Al< 99501 264-47220 APF:'L ! CAN'T' ,", A 1} D R IS ,'-.;..; S: CON'T~C'!' F:'HC)NI~:: GEORGE BL. INE C/O E; & S ENG'G SRB 196X EAGLE RIVli:.;:R~, AK 99577 694-2979 LEGAl.... DESCRIP: SUBDIVISION." RANSOM RIDGE I_OT: 7 BI....OCI<." NA SECTIGN: Z:; 'TC)WNSHIF': llN RANGE: 3W L..O'T SIZtE: /L 88485 (SQ.F']". OR ACRES) MAX BEDRGOMS :~ 2 .~ ~ L.i~Ced below ar'e Che c~ptic)n~ avai~abZe Co you in des:i, gnir~g Wc]ub s~pt:[c sys'Lem,. Choose the option that best Fits youp site, DEF']"H TO PIPE BO]""FOI~ (F"I".) 2.5 '~"~ E.3I::;'.AVE:L DEPTH (F'T,) 4., 0 TOl"AL DEF:'TH (F'T,) 6. E~RAVIEL WIDTH (F:]".) GRAVEl_ L.ENG"FI'~ (F'I",) GRAVIEL.. VOL. UME: (CU. YDS. ) 1:3. 'f'ANI< SIZIE (GAL.S) 1,000.0 .~.'~ SO]:I.._ 'RA'I ING (SQ.Fr"F., /BR) 125 ~'~' DEI::'TH 1"0 PIF"E BOT'T'OM < :5.5 F'T, RE:[;!UIRES :[NSUL. ATION · ~-~ DEP]'H TO F'II::'E BOT]"OM <. 4.0 FT. MAY REQUIRE A L. IF:T STA'FION · ,~"~" "f'ANK MUS'I" HAVE AT LEAS~VF TWC] COMPAR'T'ME:N'T'S I c e P 'k :i f' y t.. h a'L '.' 1, ][ am Fami ]. iai', w:Ltt"l the ~"equi Pements ~'t::~P on--.site sewePs arid we1 ].s as set Fop[.I"t by the MLu"I:[c:i. pa].J, ty o[' Anchorage (MOA) and the State o~ Alaska. ~2. I will. ir'lstall the system in accoPl::lance with ali. M[)A codes aod Pegulat:Lons, and ].n compl:i, ance ~J. tht. lne desJ. gD cr'iter':i.a of this per'mit, 3. [ will adhePe to ali MOA and State ot Alaska r'equipements For' the set bacl< (:Jistar]ces Fpc)l~l any ex:Ls't..ing well, waste~ater' disposal system of public se~,~(E.H"age system on this c:m any ad.jacervL oP neaPby ].ot, 4. ][ y.i'~dePstand tha{ thJ. s pePmi'L :i.s raj. id lop ~. ma~x~mL.~m c:)[ ;;;] bedpl]onls and any enlaPgement wf]l.] PRCtL.~iP(.~ an additic)nal per, mit. IF:' A L. IF::T STATION IS INSTAL. LED IN AN ~AREA COVERED BY MOA BUILDING [:ODES, 'T'HEIq (J.) AN EI....ECTIRICAI.... PERMIT AND INSF'EE]TION MUST BE OBTA]:NE~:D; (:2) AS--.BUII..TS WIL. L. NO]" BE APPI::~OVED WITH[JUT AN ELECTRICAL. INSF:'ECTIOIq REPOF(T; AND (3) "['HIE '1 ' IE:LEC;TRICAL. WORK MIJS]' BE DOI\tE E k A L. ICEI\ISISD EI....ECTF~ICIAI\I, S I G NE D A 1:::' I:::'1.... I C:: A N I": PERFORMED FOR: LEGAL DESCRIPTION: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST L~rl DATE PERFORMED:, ~fl,.~.~..~ '~H~(~..Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER · ENCOUNTERED? ~1 ~ S I L IF YES, AT WHAT DEPTH? ~.~ O P E Deplh to Water After Monitoring? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~_~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN -- FT AND -- FT COMMENTS ,,,~ ~/~ .~,./ / ,)UNICIPALIT¥ 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 NAME George Bline MAILING ADDRESS 1705 McKinley Anchorage, AK PHONE J F-~NEW 276--2228 r--l UPGRADE LEGAL DESCRIPTION Lot 7 Ransom.Ridge Subdivision LOCATION Golden Avenue I DISTANCE TO: I 108 ' I- Z I Manufacturer I Greer f~ Liq. capacity in gallons I 0~11~I F HOMEMADE: I~. zO ~ DISTANCE TO: Well O ~ ( Manufacturer ~ ] ] Well ~ ] DISTANCE TO: · I No. of I Length of each line ~ I 1 I 52' ~ ~ ~ Top of tile to finish grade I 2' ~ ~ Width ~ ~ I Type of crib d Ic'~ Depth ~ ~ ~ TO: Building foundation Absorption area 16' NO. OP BED]O0 I PERMIT NO. 78O439 No. of compa,~tments Inside length Liquid depth Dwelling PERMIT NO. Liquid capacity in gallons Dwelling 80 ' W dth Material Nearest lot line 15' ITrench widths/4, inches Foundation 104' Total length of lines 52' Material beneath tile PERMIT NO. 780439 Distance between lines 48 inches Depth PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line Sewer line Septic tank Total effective absorption area 416 Sq. Ft. PERMIT NO. Absorpt on area(s) OTHER PIPE MATERIALS Castiron & mlastic perforated SOl h TEST RATI NC 175 ~,v:/a~, INSTALLER Glacier Excavating REMARKS Perforated pipe was covered with insulation. ~ DEPARTMENT O.F~M?-'~LTH AND ENVIRONMENTAL 825 ~L ~<EET., ANCHORAGE., AK. 264~,~4720 ON--$ I TE SEWER PEF(~q I T PER~IT NO. ( ~884~9 ) ~PPLICANT LOCATION LEGAL GEORGE 8LINE RANSON RIDGE DR. L? RANSON RIDGE SUB i705 MCKINLEY LOT SIZE 276'-2228 83485 SQURRE FEET I'~'PE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [::EPTIq: 8 LEt46T[4= 47 6RR"~'EL ~¢ E~'-~ T I-~: 4- THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF 8 TRENCH OR PIT I5 THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E~CAVATION (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 E~CRVATION (IN FEET). RE~_~L! I RED SEPT PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF 8NY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TWO BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL DY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR A PRIVATE WELL~ OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICRTIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ER~I ! T E,~{P I RES DECEf"IBER I CERTIFY THAT t: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE E$IDENOE~~CLUDE MORE THAN 3 BEDROOMS, I GNED: _ _ APPLICANT GEORGE BLINE ISSUED ___DATE ~ '¢~.2 January 5, 1978 George Bline 1705 Mc Kinley Anchoaage, Alaska 99503 Subject: Lot 7 Ranson Ridge Subdivision Permit ~77632 A permit issued by this department for well and/or sewer system has expired. 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 there are any further questions, please contact this office at 264-4720. Sincerely, Health and Environmental Protection Sewer and Water Section FERH1 r NO. F F L. I _.HN1 I_OCRT'I ON t_EGRL ~--1Lil'-,I I. C: ][ F'F-:li_ ]C -F"-,r' CHF' £. EF H[4. ] HEN] '"'--~. HEFlLTH RN[:, EN~,,,' I RONMENTRL '~ OTECT' I ON E,'::,F, S'TREET, FINC:HORRGE, FIK. '~':-. .G,.E, ORGE E,L. I NE RRNc:]N RIDbE [..R. LI]IT' ,' RFINSON [4: I F:`GE .:,U[. B '17'[;'17 flL. K I NLE¥ LOT' SIZE ,,.-,_'.4,-,...~ c~'JUFIRE FEE']" T'YPE OF' SOIL FIBSORBTION SYSTEM IS: TRENCH MFIXII"tUM NUMBER OF BEE:~ROOMS = 2; SOIL. RFITING (SQ FT,.."BR)= 125 THE RE[.:!UIRE[.', SIZE OF T'HE ,,=;OIL FIBSORPTION S'T'STEM IS: [)F. SPT'H= E: b. El ~"-.~ 121 'T' H = 4'~' Ci I~." R"-.." E L- [:, El F"'¥ H = THE LENG]"H DIHENStON IS THE LENGTH ,.':IN FEET) OF THE TRENCH OR D, RFIINFIELF:,. THE DEPTH OF ~ TRENCH OR PIT IS THE [:,ISTFINCE BETNEEN "f'HE SURFRCE OF THE GROUND RNE:, 'THE BOTT'OH OF THE EXCFI',/RT'ION ,::IN FEET'). THERE IS NO SET NI£:,T'H FO[4'. TRENCHES. THE 6RRVEL DEPTH IS 'THE MINIMUM DEPTH OF GRFIVEL_ BETNEEN THE OU'TF~LL PIPE FIND THE BOT'TOH OF' THE ENCFI',,,'RTION ,:.'IN FEET). F~tE:,::L4Lt ][ ~::E]IE:, _;E':F'"T 2[ L--: -IFRi"-.Ii-=:: "__.=; ]2 ZE= ~_~:Z~¢.Z,,;~ PR C: 1-4 R,DiE F' L. R r'-,l'T C, F"T :1: R PRCKRGE PLRNT MR'-r' BE INSTFILLE[:' RT THE PERMIT'TEE"S OPT'ION SUBJECT T'O T'HE FOLLOWING CONE:` I ]"IONS: i. EITHER A CLFISS I OR II NSF APPRO',/E[:' PLFINT MFI¥ BE INSTFILLEI). 2. A CONTINUOUS f, lRINTENRNCE AGREEMENT IS REC4LtlRED. IF FI f, IFIINTENRNCE FIGREEMENT IS NOT KEPT CURRENT YOU MFlY BE REQUIRE[:` TO ENLRRGE 'THE SOIL FIBSORPTION S'¢S'TEM FIND,."OR YOU MR¥ BE SUBJECT' "1"O PROSECUTION. "FL.I,], ( 2 ) I. !'-.11_'~.; F'E:C:'T 1; C,l'-.t ~.-3 PRE BRCKFIL. LIN6 OF RN'T' SYSTEM WITHOUT FINRL INSPECTION RNB RPPROVRL- B"r' THIS DEPFIRTMENT WILL BE SUBJECT TO PROSECUTION. MINIML1M DIS]-RNCE BET'WEEN R WEL. L RND RN¥ ON-SITE SEL4R~3E DiSPOSRL S¥ST'EM :1.88 FEET FOR FI PRI","RTE DIEI.L_ OR 200 FEET FOR R PUBLIC WELL WELL LOGS ARE RE[:~UIRE[:' AN[." MUST BE RETURNEL) TO THE DEPFIR'¥MENT WITHIN :~O [:'A'¢S OF' THE WELL COMPLETION. OTHER REQUIREMENTS MA"r' APPL'¢. SPECIFICFITIONS AN[:" CONSTRUCTION DIAGRAMS PRE FIVRILFIBLE TO iNSURE PROPER INSTFILLFITION. F" E F~". i'-1 I '"r E: ...s.~ F" I F.~." E: ".]~; [--', E C: E #"-1 E: F: i~". I £:ERT I F'¢ THFI]" :1.: I RM F'FIMILIFIR L4ITH ]"HE REQUIREMENTS FOR ON-SlT'E S;EWERS RND WELLS RS SET' FOR. TH E:'"r' THE MUNiCIPRLIT¥ OF HNUHLRHaE. 2: I WILl-. INST'RLL T'HE S","STEM IN RCCO[4.'DRNCE WITH THE CO[:`ES. .- , ...... ,- ....., ,-,,c ..... , RE~) IRE ENLFIRGEMENT IF;' THE 2.:: I UNDER. S"f'RN[:, T'HRT THE UN-=,I 1E. :-,E. L4E[4..:,'r _, I Ell MFI"¢ . ..... [4'.ES I E:`ENCE 125 RE:MOC, ELE[:` TO i NCLU[:`E MORE ]"HRN 2-": BEE:,RC OMS. RPF L I CFINOI' GEI.JRLiE BLINE ................. ..... "," 2;. 0 .. C~e-~arid Ar~chorage, Alaska 99503 rer',cr~,~ed For P B & J Co. Date ?~rforr:ed June 2~ 1975 Lee, a I r, escri ption: Lot7 ~iock .... S u b d i v i s i ~ n _Ran~s_Om__~ j~tge~ Su~b~di~isLon -- This ~orm Rer>orts Soils Loq Y'es Percolation Test .... Soil Characteristics Water Bottom of test hole. I %!a~ ~CrObnd s~ ~r Fncounte,-ed? Yes "z~ ...... ~--"~ .... ~ ..... n ...... ; ......... }~ Yes, At what Der, th? 12' ~]j]Fiii!JTi]~:ZLV.! : : ........................ , _J. J .z 4 ...... : ._i : ile.t Time ' ~ R~ac:i r,q Bate Gross Ti-r)~nth- to ~0~ Let ................ q ................. q' i .........J ...................... I ........ ?erco~at~n Rate f~nute Frnr. osed ins"ch-'i-~{~-: S~n~ce Pit Drain F~eld ,,~eo~h of :n~et Be~h To Bottom Of P~t Or '[ .... ~' ....... ,'.~ ~ Jim Mack b~ ~a Cer ~-~ ~r,or~ ..... ~y .................. [;a~ ~: ~/~/~ _ _ f , y 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. # ¢"),~"~'- (Oc~,'~- \ ~ HAA# ~ ~,~,c~ GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Address Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well 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 #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 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 /:~J.,'~-~,,~ "~l~ ~l,~::~--.l~ Phone '-'/',~-~Z'Z.'Z- Address ~' ~ ~]~ ~~ ~~ ~~ Engineer's signature~~~ ~ Date DHHS SIGNATURE '7-~P-..~ ~ /~ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: ~ ~ 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 DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS do not conduct inspections or analyze data before a certificate is issued, The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91 ) Back MOA #21 (~ Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~..'T'"'/,~ ~l~,A::~'~-~t~ ~[~::>~,~ Parcel I.D. A. WELL DATA Well type ~.lgkC'~ Log present ~N) Total depth (~"2~ ~ Sanitary seal ~1) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Icl"/~ (z~T~) Driller ~-~ ~,O ~ Casing height Wires properly protected (~N) Date of test Static water level Well flow Pump level Cased to FROM WELL LOG I g.p.m. AT INSPECTION 17 itz. SEPARATION DISTANCES FROM WELL TO: ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line Petroleum tank ~'~ ~ WATER SAMPLE RESULTS: Coliform ~//~! Nitrate Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed Cleano, uts ~N) High water alarm (Y~) Collected by: Other bacteria /~'/~::r'~,~ / Tank size l~:)O0 ~__~/k-1.... Compartments Foundation cleanout(~N) Depression (Y~) Alarm tested (Y~D Date-0f p~mping J- ~:-:-~ - 5"~ Pumper ~ ~ --'~,c:OT&~'f'' sEPARATION DISTANCES' F~OM SEPTIC/HOLDING TANK TO: "" ~ On adjacent lots. ~l~ ~ _Foundation Well(s) on'lo, t,.; ~l Topropertyline ~ ~T Absorption field ~ j~ ~ ,Water main/service line Surface water/drainage ~ I~ ~ 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION 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 7'f7~'..0 ~ ¢/~:~'u.~cSoil rating I~-~=~ ~/~ Length, ~ ~ Width ~¢~ ~ff~ Gravel thickness Total absorption area -7:~ ~,P'. Depression over field (Y/~) Results~ffail) -J~A,~-~ H~¢~ Peroxide treatment (past 12 months) (Y/(~ System type ~ Total depth Cleanouts present Date of adequacy test for '-~ Ir-~ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot ~"1~'o~'~'' Onadjacentlots ~> I.o'E>Pt' Propertyline To building foundation "~--7~--~ PI- To existing or abandoned system on lot On adjacent lots Surface water Curtain drain Cutbank ~4/,~ Water main/service line ~ ~_._~ Pr- Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION / certify that / have checked, verified, or conformed to a//MOA and HAA guidelines in effect o~.~._~.~( this inspection. Signature ~ '~ 49,~h ~ Engineer's Name Date ~- ¢~ ~ [~ THO~S ". FRANK HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number Phone (907) 745-0222 Fax (907) 746-3299 P.O. Box 2749 Palmer, Alaska 99645 RESIDENTIAL WELL INSPECTION LEGAL: Lot 7, Ransom Ridge LOCATION: 16645 Ransom Ridge Road OWNER: Nancy Gilbert TYPE OF WELL: Residential, WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET: Yes WELL YIELD FROM WELL LOG: 1.5 gpm WELL YIELD FROM TEST: 1.8 gpm PUMP YIELD: 6.5 gpm DATE OF INSPECTION: 1/21/93 Single Family TEST PROCEDURE: The well pump was used for the flow test. A Badger Model 25 flow meter was used. A total of 456.8 gallons were pumped over a period of 4 hours and 20 minutes. The well was monitored for recovery to original static level. Flow test notes are included. TEST FOR COLIFORMS: Negative test on 2-4-93 TEST FOR NITRATE NITROGEN: Negative test on 1-27-93 TEST RESULTS: The well exceeds the requirement of the DHHS of the Municipality of Anchorage for a three bedroom home. The flow test produced over 450 which is the minimum 24 hour requirement. The recovery rate was determined to be 1 hour and 26 minutes or at an approximate rate of 1.5 gpm. I::nninnnrn · Plnnnc. m · .qlJrvGvors Phone (907) 745-0222 Fax (907) 746-3299 P.O, Box 2749 Palmer, Alaska 99645 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 7, Ransom Ridge LOCATION: 16645 Ransom Ridge Road OWNER: Nancy Gilbert REDSIDENCE: Single Family, Three Bedroom WATER SYSTEM: On Site Well SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: Greer Steel 1000 gal. two compartment ABSORPTION SYSTEM: Deep Trench ABSORPTION AREA: 736 SF total SOIL RATING: 125 SF/BR INSTALLATION DATE: 7/78 original and 9/85 upgrade DATE OF PUMPING: 1-25-93 DATE OF TEST: 1-21-93 TEST PROCEDURE: 456 gallons of water was added to the septic system through the septic tank monitor tube. The water depth in the tank and S.A.S. were monitored throughout the coarse of the test. The level in the tank remained constant at 48 inches and there was no liquid level measured in the monitor tube of the S.A.S. The test took place over a time period of 4 hours and 20 minutes. During this time period, over 450 gallons were absorbed by the system. The field notes of the test are included. TEST RESULT: The system passes the requirement of the DHHS of the Municipality of Anchorage for a three bedroom home. --~ O. ~ ' I0 ~ ~/2"1/_ . ~,.~,,'1A 7~ ' _. L z4~ aa . -- . .__~_. ,, -~- ~.~ ~ ~o~ 7 ,~,ock ' '' Anchorage Recording ~ecinct~aska LOT SURVEY CERTIFICATION ' LEeEND r b ~ni thetlhevesurve edlhe r~ shown end de~rlbed' ~'Bressc~p~dmonumentmc°~~~ he~:~ t~he Improveme~s ~itu~ther~n ore w~h~n th~ ~ro? o= ~o~p~p~n~ rear ~ve~ eHy lines and do ~ overlap or encroach ~ adjace~ property and znm. no o = Z~,, hUD m,, T~ re.wry. improveme~sonadj~e~opertyoverlapor encr~chonthepremmes · =5/8 x~ rebar~tthmsurvey in qu~lon and th~there are no roadways, utility Ii~s ~ ~her visible ea~nts on said property exce~ as indicated hereon, se= Prepared ~: I/ ~ ~,glstered ~ond Surveyor Scale // ~ ~0 ' ' Dat~. ' ~ (907)279-S~00 ~/9 . Eighth ~v. Anch.oge, Al~sko 9950/ Fa. No. Property of: - ~A~Y ~/~T PO. Box 2749 Palmer, Alaska 9964,5 ADEQUACY TEST FORM Phone (907) 74§-022.2 Fax (907) 746-022P- LOCATION :/'~c,.~,o,~ /q,'cdo¢ Z,~-/ 7 DATE' INSPECTOR: TANK SIZE: /~.~/. WORK ORDER ¢q~-¢~¢2~ TEST RESUU[S NO. of BEDROOMS: NO. of BATHROOMSt CALC, PEAK LOAD: CALC. PEAK TIME; CALC. PEAK FLOW RATE MEAS. AVE, FLOW RATE PASSEDi /%. FAILED; ,TE: MEASUREMENTS ARE IN INCHES SEPTIC TANK LIOUID LEVEL= RELATIVE RELATIVE TIME METER CUMULATIVE FLOW SEPTIC TANK ~ S.A,S, COMMENTS READING VOLUME RATE LIQUID LEVEl. SEPTIC TANK LEVEL S.A. S ' o o TOTALS REVIEWED BY:~'~'~ ~' DATE: //--~Z-q~ LC)AD = 150 GALLONS X NO. OF BEDROOMS TIME = 25 MINUTES X NO. OF BEDRMS + NO. · TEST RESULTS ARE INDICATIVE OF CONDITION OF BATHROOMS OF SYSTEM AT TIME TEST WAS PERFORMED. ALASKA RIM ENGINEERING MAKES NO REPRESENTATION REGARDING FUTURE LIFE OF SYSTEM. Palmer, Alaska 99645 Fax (907) 746-3299 WELL FLOW TEST. Location:,~o,'~,o,-,~ A,',.lo,.. L,~- ",, //~/9~ Date Work Order: ~-~D,?I Well Depth: /~'~ ~P~p Z~I //~) (ft.) ~ Inspector Static Water Level: /7- (ft.) Casing Above Ground: /~ .(ft) Time Meter Volume Cum Flow Water Comments .... Reading (gal.) Volume (gpm) Level (gal) Ave. (ft.) /~ X Static 17-- 6 ~ ~/~ ~q ~ 7,~ - / - ~ ~ - /~-- ~ :'30 ~t~'~ ~ /11 - I'- ~ ~ z 5q~ ~ ~ /~:/~ ~-- ~ - -- / 7 '~ This Well Produces On The Averoge /,~ For Tot~[ Volume of Flow: ~db ~ (g~l.). Torsi Time of Flow: ~ (min.) Average Flow Rote: , / ~ (gpm) REVIEWED BY:~-- [~~ ~ . NoIe: Aquifer is ~ubject to change over time in some cases. ...... ~ , SHEET / of ~ ~ JRN 26 '93 1~:16 ROTO ROOTER P01 )23875 P.O. BOX I ~,ea8 ROTO -ROOTER SERVICE CALL HRS. STEA. M_ TH.AWIN G HR$, ?RiP CHARGE HRS. OVERTIME CHARGE FROM THIS INVOICE TOTAL TOTAL FOOTAGF CLEANE,O OR THAWED PROl!IABLE CAUSE OF STOPPAGE ___ 8kADEt; U,':SED . ~ LINE CLEANE0 ..... [] JOB NOT GHARANTEED FOR FOLLOWING REASON WORK A~C;.,EPTFf') RY ~_. CHEMICAL & GEOLOGICAL LABORATORY 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-3~43 FAX: {907) 56~-~301 Completed ~01/27/95 ~mple ~o~IN~ $A~PLE COLLECTED BI; P. EITRA~-N 0.10 O mg/1 BPI 3~3.2/300,0 10 01/27/93 01/27/93 IMUNICIPAMTY 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 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~.~, t~u.4~ Telephone: Home '~- ~,U,~ Business l~, ~7~ Applicant Address ~:~,'c~. ~0~ ~ - ~ (c) Applicant is (check one): Lending Institution ~; Owner/builder~; Buyer ~; Other ~ (explain); (d} Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone I~r'the HAA to the following.address: P~. 6~297~ TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms ;~ Other WATER SUPPLY Individual Well ~' Community [] Publici-] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 5. ENGINEERING FIRM PROVIDING ,,~SPECTIONS, TESTS, FILE SEARCH, DAT~. AND INFORMATION · ~' As certified by myseal affixed hereto and as of the validation date shown below, I verify that my investigation of Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and ade, 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 ~, ~ ~ t~q~i[4F.~[~l~I~ Telephone Address ~ ,,, ~ ~ AL~K,~ ~ ?/// Approved for bedrooms e Approved ~' Disapprov d~// 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 (MOAj HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION '. 0 5 1985 WELL DATA Well Classification Well Log Present ~:~N) Total Depth Static Water Level '~,~', If A, B, C, D.E.C. Approved (Y/N) Date Completed ~¢.c:~. 1~7~~' Yield Cased to ~ Depth of Grouting '-'--' ~ ~::~'~ Pump Set At ~ t~ Casing Height Above Ground Electrical Wiring in ConduitS/N) Separation Distances from Well: To Septic/Ho!d!rcj Tank on Lot Sanitary Seal on Casing~:~N) Depression Around Wellhead (Y/~ ; On Adjoining Lots [V~--t ; On Adjoining Lots To Nearest Public Sewer To Nearest Edge of Absorption Field on Lot . I To Nearest Public Sewer Line Cleanout/Manhole ~,,-- To Nearest Sewer Service Line on Lot Water Sample Collected by '"'~~--'.'~-~~ ; Date ~- ~ ~ f~t~ Water Sample Test Results Comments /~"~4-~ ~J~l...~. :~~ .~'7-'~' '~"/'~"- "~"j-_~.~.-~-¢..~---o t~,~? B. SEPTIC~ANK DATA Date Installed Standpipes ¢~'N) Depression over Tank (Y/.~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~J/~/ Separation Distances from Septic/4-.l~N~j, Tank: To Water-Supply Well ~ O ~;)~ To Property Line t ~ ~ 4¢ To Water Main/Service Line Course '~ d~..~ ~"'~ Size ~ ¢4;) No. of Compartments Air-tight Caps ~)'N) Foundation Cleanout ~N) Date Last Pumped ; for ~ ' Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field [L~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /'~ '=;~'1I¥)_.~ Type of System Design Date Installed "~-~,-'~ ' o~l~./~1- Ed=. ~¢'¢,¢..,o~.~ Length of Field c:~-Z.. / Width of Field "~C:~ * Depth of Field ~' ~ Square Feet of Absorption Area Depression over Field "~lesutts of Last Adequacy Test Gravel Bed Thickness ~ ~-~L~, ~ Standpipes Present"~N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot ~/~- To Water Main/Service Line ~,c=. I-4- To Stream/Pond/Lake/or Major Drainage Course To Dri;zeway, Parking Area, or Vehicle Storage Area Comments ~ ."~2~¢~,-~.~=, ~.._~iLu~,~,,,~'~ ~ ~_~, To Property Line t To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) D. LIFT STATION 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 checked, verified, or conformed to all M/0A a.~d HAA guidelines in effect on the date of this inspection. Signed Q,,.e. ~ ~,.~Ii~E~R[NI~ Date ¢//¢/~¢" Compa~;~'~!~ A~ ~l¢ MOA No. ~,~ ~ ~ Receipt No. ~ Date of Paymentff/r/ ¢ * ount:, Page 2 of 2 72-026 (11/84) CONSULTING ENGINEER ;-03 W. 15th AVE "C'° SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 LEGAL: · LOT 7. RANSOM RIDGE SUBDIVISION. LOCATION: ' '""~ 16645 RANSOM RIDGE OWNER: GEORGE BLINE . TYPE OF WELL: RESIDENTIAL, SINGLE FAMILY WELL LOG AVAILABLE: YES , INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 1.5 GPM WELL YIELD FROM TEST~ 1.0 GPM PUMP YIELD: ~. 6.5 GPM DATE OF INSPECTION:-.' ~ AUGUST 8, 1985 TEST PROCEDURE: TEST FOR COLIFORMS: WELL WAS TESTED ON AUGUST 7, WELL wAS-PU~PED WITH WELL PUMP. DRAW DOWN AND WATER QUANTITY WERE MONITORED. AFTER PUMPING 130 GALLONS DRAWDOWN WAS CLOSE TO PUMPLEVEL AND PUMPING WAS STOPPED. RECOVERY RATE WAS MONITORED FOR TWENTY MINUTES. RECOVERY RATE WAS 1 GPM. ~'~ "~ ~ ~ .' -' 1985, TEST WAS TEST RESULT: NEGATIVE. . : THIS WELL MEETS THE FLOW REQUIREMENT OF THE MUNICIPALITY BASED ON A 2'4 HOURS TIME PERIOD. THE WELL FLOW AND THE STOREAGE PROVIDED BY THE W'ELL CASING IS NOT SUFFICIENT TO MEET THE SHORT TERM DEMAND OF LAWN WATERING OR HEAVY DOMESTIC USE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours. This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not .be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. · CONSULTING ENGINEER '--'~203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: 1907) 279-3916 LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM: SEPTIC SYSTEM: SEPTIC SYSTEM.' "ADEQUACY TEST , ~.:-~. .o.,~o-:: ~ .~. 16645 RANSOM RIDGE- -' ~ . - ' ¥~:'. JUN; 2a. ~9~1 .~;'"2 ..... GEORGE BLINE ~ '~' - "-'- SINGLE FAMILY. THREE BEDROOMS ~,,-,~,~%_~ ON SITE WELL ~ FROM MUNICIPAL RECORDS: . -' TANK: GREER STEEL, 1000 GAL. TWO COMP. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 416 SQ.FT. SOIL RATING: '125 INSTALLATION DATE: JULY 1978 DATE OF PUMPING:- ~ DATE OF TEST: AUGUST 8, AUGUST 12, AUGUST 14, 1985. TEST PROCEDURE: WATER WAS ADDED TO THE TRENCH THROUGH THE 4 INCH CLEAN OUT WHILE THE WATER DEPTH IN THE TANK AND THE SUMP WERE MONITORED. ON AUGUST 8 THE LIQUID DEPTH IN THE SUMP WAS 14 INCHES PRIOR TO THE TEST. AFTER ADDING 130 GALLONS THE DEPTH WAS 58 INCHES. THIS DEPTH WAS REDUCED TO 24 INCHES AFTER 15 MINUTES. ON AUGUST 12, 200 GALLONS WAS ADDED TO THE SYSTEM. AGAIN THE LEVEL IN THE SUMP WAS 14 INCHES AT THE START AND 49 IN THE TANK. AFTER ADDING 200 GALLONS THE SUMP LEVEL WAS 64 AND THE TANK LEVEL 54. ~ ON AUGUST 14 WATER WAS AGAIN ADDED TO THE TRENCH IN INCREMENTS OF 25 GALLONS. WATER WAS ADDED UNTILL THE WATER LEVEL IN THE TANK STARTED TO RISE. 125 GALLONS WAS NEEDED. THE ABSORPTION WAS THEN MONITOTED FOR THREE HOURS. DURING THIS PERIOD ASPPROXIMATELY 25 GALLONS WAS ABSORBED. THIS IS EQUIVALENT TO 200 GALLONS PER 24 HOURS. THE REQUIREMENT FOR A THREE BEDROOM HOUSE IS 450 GALLONS PER 24 HOURS. TEST RESULT: THIS SYSTEM DOES NOT MEET THE REQUIREMENT OF THE CODE. A UP GRADE OF THE SYSTEM IS NECESSARY . MUNICIPAL