Loading...
HomeMy WebLinkAboutKRAMP BLK 1 LT 10]]OX ]~9~ S'~AR I~.OUTE A ANCHORAGE~ ALASKA 9~0~ SIX iNCH WATER WELL driLLEd AND CASED OUT TO THE DEPTh OF DRILLED AT The RATE OF ~!i'Q0~00 PER FOOT. PROPERTY OWNER. //?)~,. LOCATION Of WELL SITE DRILLER .. Jrj.#~.r?~ 700 WELL. LOG: 55---58 CLCql. o~,D'U~. 4 0Fg .fArm qa~c~e2.. 344-708'1 MUNICIPALITY OF ANCHORAGE DEP?, OF H~ALIH & ENVIRONMENTAL PROTECTION MAR 6 1981 58 ....62 $.LZ;t¥ ,[dt~e 72 ....75 B.&~z c. Loaj. cm.d 30,% ~co, o'ed., 7/2 tlo;~e Co.~.L o.fi D;zdJ. Z.hz¢: ,,3_0.00 p.e;, f_oo.L v 100 Tee'c: ~2000o00 Ilo 4(,Az ~1)- Co~;L~ 11o ~ct~l~o;~o~on. Co~. COST INCLUDES ALL LA~O~ AND MATERIAL ~O~ GOMPL~ION O~ ~AID D~ILLING. WRITE CHECK PAYABL~ TO RAMPART DRILLING WORKS FOR TH~ SUM OF ~2000~00 THANK YOU VERY MUCH. BERNIE ~S OF RAMPART DRILLING WORKS 7,9~ DATE SERVICe CHArGEOF IVa% PER MONTH WILL ~-e A~SESSED ON PAST DUEACC~/:~~ IRF'I:'L. 71: CFINT L..EuZ:FIT Z DEF'RRt~I"i',IEI'.,IT . ,;' HEFIL. TH FIND EN',,,' l F'.ONHEi:I'.,H"FIL fi;tOTEi:E:"I" ): ON ,"E:;2:5 "L" STREET., I.':IHCHOF::FtEiE., II.,.11 ~_." b. L If::" E~. ~:;: ['"1 3:: 'T ,.': E:ZOO;;-Z'? ::, HHI...E:I',I C(.~b::, :.:.:6~217' F:OF.:E:EN E:,F? ]: ',,,'E .7. ~1. $- 67 .:'~.,::.; L.EGFIL /."10 ,,~ I',':RRi"IP L.O'f' :, Z ~.E '": 4- ;Z~ ;:l ::, .~.... HRI::: FEET I"I]:N]:HUI'4D):.STI":INCE BETFIEEN I::1 I.,.IEL, L RND Ri",l'¢ ON-SZTE SEFIFIGE D~:SF'O"2;FIL S"r'STEH :t. OO F'EET FOR R PF.:]:',,,'FITE NELL OF.". :'i.~¢-"l TO 280 FEET FROi"I R F'UBL.~C !.,.IEL. I... DEF'EI"4D]:NG UPON THE': 'I"'¢PE OF PUBL:[C !-,.IE:[...L. t"IZN]:I'"IUfl E:,]:STRNCE FROH FI PI-~:::I['¢FITE I-'-IEL. L TO R PF..' ]: ',/FrYE SEI.,.tEF.: L:[NE ~S 2t5 FEE:T FiND TO FI L':OHHUNZT"r' SE!-,,IE[4'. [_:[hle .1:S '?5 FEET. I.,.IEL. L LOGS RRE REC!I...IZ,~:E:E:' FIND, I"ll...IST BE: RETURNED TO THE DEF'FIF.:THENT I,.I;[I'H):N :~:EI r...',Ft'.¢~; E~F' THE HELL. COi',IPLET:f. ON. O1-HEF;: RE6!U :[ F::E:I',IE:i'.4't"S i'"lR'.r' FIPPL.'¢. SPEC ;[ F :[ F:WI" Z ONS FiND CONSTRUCT ]: ON [:, :[ RGI:;i:Ri'"IS FIRE R',,,'FI ]: L. FIBLE TO :1: NSURE PF.~OF'EF.'. :1: NSTFItJ....RT ]: 01",t. I CERTZF"r' 'THRT d..: ]: F:IM F'FIH:I.'I...:f. FIR P.IITH THE I;i:E6!U:I:F:EHENTS FOR ON-'SITE SE:I.qEF.':S I::INf':' [,.IELLS RS; SET F'Oi:~:TH [:3'¢ THE HUN ;i: C I F'FIL I T'¢ OF FINCHORFIGE. ;2:: I £,-!~l...L II'.,ISTI::IL.L THE S'¢STEH I1'4 FICCOF.:DFINE:E 14I]"1-.I THE CODES. December 31, 1,980 Malen Combs 360'? Corbin Drive /\ne'.borage, Alaska 99507 Permit I~ 800523 tn~.jeoc: Lot 10 Block l. lramp Subdivis~.on A permit issued by this department for well and/or sewer system has expired as of this date. Pemuits are issued on a calendar year basJ. s, as otate~ on the permit, by authority of Municipal Ordinance. If you have drilled the welL1, a we].l log shouJ, d be sent to this department to document the ins-tal, la'tion date. If art engineer inspected the installation of the on-site sewer system, please have them send us the as--builts for our files. T.f there are any further questions pleao= call this office at 264-4720. st LNB/ljw eric: Copy of Permit SWP/05 7 F'ERt'"I I T NO. [:,EPRRTMENT . HEFILTH FIN[:, EN',,,'IRONMENTRL .:O]'EC:TION 825 '"L."' STREET., RNCHORRGE, AK. L~950i 264-4728 ,:: 890523 ::, FIF'F'L. I CRN'r L.F~CRT I ON LEGRL. I"IFtL EN C I:] M LS'5 NOTHERN RFtVEN LOT i0 BLK 2L KF..PtMF =,LIB 8607 CORBIN DRI'¢E LOT SIZE 8400 SF.:!URF.:E F'EE:]" MINIMLIM DIS.TFtaNC:E BETNEEN FI WELL AND, RNY ON-SITE SEI.,.IRGE [:,IS;POSRL S"r'STEFI iS i00 FEET FOR FI F'RI',,,'RTE WELl... OR 150 TO 200 FEET FROM R F'I.JBLZC 14ELL. [:,EPENB, ING UPOI'.,I THE 'T'¢F'E OF PUBLIC 1.4ELL. ['IINIMUFI DIS'TRNCE FROhl R PRIVFITE WELL TO R PRIVRTE ~EP.IER LINE IE; 25 FEET FIND "FO R COf'IMUNIT'.? SEI.,.IER LINE :1:5 75 FEET. NELi. t_OG5; RRE REQUZRED RND MUST BE RETURNED TO THE DEPFIRTP1ENT 1.4ZTHZN ~:0 DRYS OF THE HELL COMF'LETION. OTHER [~:E:QUIREP'IEN"['S P1R'T' RPF'L.'¢. SPECiFICFITIONS RND C:ONSTF'.UC:"I"ZON [:,IRGIRRPtS RRE IR',?RILRBt_E TO INSURE PR:OF'ER INSTRLLRT ION. I CERTIF'¢ THRT ±: I Al'd FAMILIRR I.,.II'TH TNE REQUIREMENTS FOR ON-SITE SEWERS AND WELL. 5; las 5;E"F F:'ORTH B%' THE MUNIC:IF'RLIT'¢ OF RNCFIORRGE. 2: I P.IILL INSTFILL THE S"r'STEM IN RCCOI~:DRNC:E NITFI THE CODES. i~- ! moderate to high molstuza~ [ were highly conp cted. ~ There were some sand layers but these were Sp ~ of minor importance. 6 Ch 10 , L;3CATI ~.- .'~ ¢ ANCIIORAGE  FAIRBANKS CONSULTANTS, INC. JUNEAU 249 EAST 5tST AVENUE · P, O. BOX 6087 · ANCHORAGE, ALASKA 99503 · TELEPHONE 907-279-0483 · TELEX 090-35419 June 18, 1975 R & M No. 562041 Mr. Harold Kalve Star Rt. Box 1539K Anchorage, Alaska 99507 RE: Test Hole and Soil Log Report for Sanitary System Lot 10 Block 1 Kramp Subdivision Dear Mr o Kalve: We are submitting herewith the percolation results and our comments regarding soil conditions encountered at the subject site. This inves- tigation was performed in accordance with your request of June 10, 1975, and those procedures outlined in a letter dated December 19, 1974, by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 10 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 10.0 feet below ground surface. The material encountered from 6.0 to 10.0 feet was found to consist of sandy silt grading to a silty sand grading back to a sandy silt. It was at this location that the percolation test was performed. The materials from 6.0 to 10.0 feet were saturated with water for a period of eight hours before the percolation test was started. The results of the test are enclosed. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS,~ INC. Vice President Encl. PERCOLATION TEST RESULTS Lot 10 Block 1 Kramp Subdivision ELASPE TIME IN MINUTES 2:10 0 2:12 2 2:15 5 2:19 9 2:25 15 2:30 20 2:37 27 2:43 33 2:51 41 2:59 49 3:15 65 4:10 120 DROP IN INCHES 0 1 7 ~'/" 8 11 16 The above information was recorded after eight hours of saturation. I~&M CONSULTANTS, INC. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Comptete legal description Location(siteaddressordirections) //Z¢ 3 ~ Wof~ F'/./ ¢/z/J /7,~t,i¢,~/ Property owner Mailing address Lending agency Mailing address Agent Address Day phone_ Day phone Day phone 4 Unless otherwise requested, HAA will be held for pickup. 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 Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. · 72-025 (Rev. 1/91) Fronl 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 this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature DHHS SIGNATURE '__~. Approved for .//~;/¢- ~2'5~2 Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: 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 abovu oy 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. Em ployees 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.  Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: Z/O z~/_,/ /Vo,,~T///~,'8',o' /'~,¢¢~ Parcell.D. A. WELL DATA Well type ?/~/L/,g 7-g_ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) ? Date completed .~.//2,¢/'z¢/ Driller Total depth /g)O / Cased to //pO ' Casing height ,2 ~'" Sanitary seat (Y/N) ,Y' Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test '2'//2~,/'~/ ~.//9/'¢_g Static water level .< 3 ?' .~ /' /0" Well flow /E) g.p.m. /4, ¢ /_¢4 t/e,) Pump level /'JOT ~ET~I'4 ~,u¢~.~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot kl~l & ¢ ~J Lo T' Absorption field on lot f,1¢~! (. o~ L~>q~ Public sewer main ¢¢~' Sewer service line E, ~' ' ; On adjacent lots ; On adjacent lots Public sewer manhole/cieanout Petroleum tank ;, /¢¢/ WATER SAMPLE RESULTS: Coliform .~' Nitrate Date of sample: <~io, / Collected by: Other bacteria LDING TANK DATA Date installe-'d--. ... Tank size Compartments Cleanouts (Y/N)~''~-- Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) ~ Alarm tested (Y/N) Date of pumping ~ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO ~""-'~ Well(s) on lot On adjacent lots Foundation To property line Absorption field .Water main/service line Surface water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE s STATION lied Manufacturer Manhole/Access (Y/N) Vent (Y/N) %.~ "Pump on" level at __"Pump off" level at High water alarm le% ..... Cycles tested .... Meets MOA electrical co~N) _____ SEPARATION DISTANCE FRO%FT STATION TO: Well on lot ____ %acent lots __ Surface water _ D. ABSORPTION FIELD DATA ~ Date installed _____ Soil rafi~~System type Length ____Width Gravelth%ess___ Total depth Total absorption area __ Cleano'a,%resent (Y/N) _ Peroxide treatment (past 12 months) (Y/N) If yes, give~e SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots Property line %. To building foundation To existing or abandoned system on lot ~ On adjacent lots Cutbank Water main/service line "~ Surface water Driveway, parking/vehicle storage area ~ Curtain drain ~ bedrooms 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 $ ( 72C~ ¢(C/2 Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number Well Inspection Report Legal Description Location Type of Well Well Log Available Date of Test Well Depth Static Level Quantity determination Quality determination Results Lot 10, Block 1, Kramp Subd. 11835 Northern Raven Drive Residential Yes, Installed in 1981 by Rampart 5/9/93 100 feet 31'10" The well was pumped at a rate of 6 GPM for 80 minutes and a drawdown of approximately 55 feet was measured. The flow was then reduced to 3 GPM for an additional 105 minutes and the drawdown leveled off at approximately 66 feet below the top of casing. Approximately 800 gallons were pumped from the well during the test period. The water was tested for coliform bacteria and nitrates with the following results: Coliform: satisfactory and Nitrate: 0.1 mg/L Well meets flow and water quality requirements COIVIMERCIALTESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES REPORT of ;LNALYSIS Chemlab Ref.~f :93.2039-1 Client Sample ID :W~.L WATER L10 B1 KRAMP Matrix : WAT~ 5633 B STRE[ '1 ANCHORAGE. AK 99h 11% TEL: (907i 562-?:{43 FAX: (907) 561-5301 Client Name :MCFADDEN, WAYNE WORK Order :65792 Ordered By :WANYE MCFADDEN Report Completed :05/10/93 Project Name : Collected :05/05/93 @ 17:00 hrs. ProJect~ : Received :05/07/93 @ 08:15 hrs. PWSID :UA TecbJ~ical Director :STE?~N C. ~]DE Released By : ~~ ~ Sample Remarks: ROUTINE SAMPLE COLLECTED BY: MCFADDEN. QC Allowable Ext. Anal Parameter Results Qual. Units Method Limits Date Date Init HI?RATE-N 0.10 U mg/L F~A 353.2/300.0 10 05/07 LLH * See Special Instructions Above UA = Unavailable ** See Sample Remarks Akx~ve NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT = Greater Than ~ S~S Member ol the $G$ Group (Socibt~ Gbnbrale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS. OHIO. MARYLAND, WEST VIRGINIA, NEW JERSEY. SOUTH CAROLINA MUNICIPALITY OF ANCttORAGE DIVISION OF ENVIRObR~ENTAL HEALTH DEPARTMENT OF HEM~TH AND ENVIRONbIENTAL PROTF. CTION APPI, ICATION FOR }~JALTH AUTHORITY APPROV~ CERTIFICATE 1, General Info~ation Application Date ..... (a) Legal Description (i~ude lot~ block, subdivision, section, township, range) Location (address or directions) (b) Applicauts Name kti~>~ ~t'Et~ Telephone - Ho~e Business Applicants Address 118~i__~_j~~_.~_~_jbf{i~JJ~j]_ (c) Applicant is (check one) Lending Inst:itution El.E; (d) Lending Institution ~ (f) Telephone ;:~ ''" o ..~ ~ . ~z f Mail the HAA to the following address: ~'tlllll])el' of Bedrooms 3. Water Su~f[~:' Individual Well ~z~] l'lult:i"'F amily [~__~ Note: If community well. system, must: haw: written coafirmation from the State Department of Environmental Conservation attesting to the legality and status. Note: If community well ~ystam~ must have wr:[tten confirmation from the State Department of Environmental Conservation attestJ~ag to the legality and status~ [Page 1 of 2] 5. Eng_ineerin~. Firm Providin_8 I__~n_s~ections, Tests~_~F.!.J~_e_~.9_r.fl_~L=D_at~a an~l.._I.~j~fo___rj?_~t.J_:~_n. As certified by my sea]. affixed hereto and as of the validation date shown be].ow, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, function&l and adequote for the number of bedrooms and type of structure indicated herein. I further verify that~ based on the information obtained from the Mcmicipa.].Ity of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance vrith ali_ Municipal and State cedes, ordinances, and regula- tions in effect on the date of this inspection. Date Approved for'-[TH'~{.,~, bedroo,~a Approved _p,~._~_ Disapproved ..... Terms of CorMit:ional Approval CAUTION THE M6rNICIPALITY OF ANCItORAGE DEPARTMENT OF ilEAl, TH AND E,~IVIRONME;'ITAI, PROTECTION (DHEP) ISSUES HEALTII AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TIU, i REPRESENT.: ATIONS GIVEN IN PARAGRAPH 5 ABOVE, BY AN iNDEPENDF. NT PRO[,'ESS[ONAL ENGINEER REGISTERED IN TILE, STATE OF ALASKA. THE DHEP DOES 'i~.IZS AS A COURTESY TO PURCHASERS OF HOMES /~ND THEIR LENDINC, INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND ST]{TE REQUIRE-- MENTS. F~iPLOYE]",S OF DHEP DO }lOT 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. (DI'IEP SEAL ) RR4/eJ/D18 [Page 2 of 2] 7 -..L 9 -. 8 4 ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 WELL DATA Well Classification.. ]~JD~HT. Well Log P~esent (Y/N) V Total Depth ~00 Cased to Static Water ]Level ~ ' Casing Height Above Ground Electrical Wiring.in Conduit (Y/N) y Sepazation Distances f~cm Well: To Septic/Holding Tank on Lot ~'/~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewe~ Line ~.~)~ C leancut/Manhole I O O .% Wate~ Sample Collected By Wate~ Sample Test Results Cc~a~ents MUNJCIPALIT'¢ OF ANCHORAC~ DEPT, OF HL~AL'I'II A ENVIRONMENTAL P;:C F['Cf',oH '1984 · RECEIVED, Legal Descrip%ion: LOT I O~ ~?" ~_ If A, B, ~ C, D.E.C. ~p~o~d(Y~) ~/~. Date Completed Pump Set At Depth of Grouting NON ~ Sanitary Seal on Casing (Y/N)~ Depression A~ound Wellhead .(Y/N) ; On Adjoining Lots ~4/~ ~//~. ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot B. SEPTIC/HOLDING TANK DATA Date Installed Standpip~ s (Y/N) Depression over Tank .(.Y/N) Size Air-tight Caps (_Y/N) Date Last Pumped No. of Compartments Foundation Cleanout (Y/N) Pumping/Maintenanc~ Contract, on File (Y/N) ; for Holding Tank High'Water Alarm ..(.Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances f~om Septic/Holding Tank: To Building Foundation To Disposal Field To Stream, Pond, Lake, c~.Major D~ainage To Water-SupplyWell To P~operty Line To Water Main/Service Line Course Comments [Page 1 of 2] 2-],5-84 Ce ABSORPTION FIELD DATA '/A Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorpti.on A~ea Depression ove~ Field (y/N) Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes P~esent _(Y/N) Date of Last Ad~¢tuacy Test Separation Distance f~omAbsorption Field: To~ter-SupplyWell To Building Foundation Lot To Water Main/Service Line To P~operty Line To Existing or Abandoned System cn ; On AdjoiningLots To Cutbank(if [~esent) To Stream/Pond/Lake/o~ Major Drainage Course To Driveway, Pa~king A~ea, o~ Vehicle Sto~age Area Contents D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Dir~ens ions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. y.~. N,¢. 2 :Z 7. b- !:~ ..'? Cu~pany MOA No. ~fS~ KB1/dS/s [Page 2 of 2] 2-15-84