HomeMy WebLinkAboutKASILOF HILLS BLK 9 LT 2
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
!~ ,VIUNIClPALITY 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 "[PRONE ~J NEW --
Dr. Newton/ 344-1329 [] UPGRADE
MAILING ADDRESS
SRA Box 64 Anchorage, AK 99507
LEGAL DESCRIPTION
Lot 2 Block 9 Kasilof Hills Subdivision
~-OCATION -- NO. OF BEDROOMS
~ Prospect & Vosikof 4
Well Absorption area Dwelling PEFtMIT NO,
~"' DISTANCE TO: 94' 16~ 29' 780607
I- ~ Manufacturer Material No, of compartments
~ Anchorage Tank Steel 2
Liq, capacity in gallons Inside length Width Liquid depth
1250 IF HOMEMADE:
~ v DISTANCE TO: Well Dwelling PERMIT NO.
0 :P ~ Manufacturer --
~ -- I- Material Liquid capacity in gallons
~ Well Foundation Nearest Jot line PERMIT NO.
~ DISTANCE TO: 140' 130' 40' 780607
~ ~ ~ No. of lines Length of each line Total length of lines Trench width Distance between lines
- 1 143 ' 143 ' 60 inches ........
~- ~ ~-- Top of tile to finish grade Material beneath tile Total effective absorption area
~ 2' 12 inches 8?2
Length Width Depth PERMIT NO.
~-"~ :- Type of crib Crib diameter Crib depth Total effective absorption area
~ DISTANCE TO: Well Building foundation Nearest lot line
.j Class Depth Driller I Distance to lot line PERMIT NO.
LU
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(si
OTHER
PIPE MATERIALS
P.V.C. tight & drain line
SOIL TEST RA~NG --
20(] R._F./B.R.
rNSTALLER
Schakle
REMARKS I
New tank placed between building ~,o. ~¥ ,
and existing seepage pit
(metal tank of approximately
500 gallon, s.
APP : . ' --'" T~!;t:'*' DATE LEGAL
F'ERM I T [.,Il:).
FII:::'F'L. I I]:F:IhlT
L.OCFIT I ON
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[:'F;'.. I",IEklTON
I<I:::IS I I._OF H I L..L.S
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T?PE OF:' :ii!;O I L. FtE:::~;C)RE:T I ON S"r'STEM :t: :E;: [."F,'FI I NFI El...[:,
f"li::l;:.:;Zt:l"ll..lf"t I',II...IHE:ER OF: I.E:Ei:[:,Fi:OCIFIS .... t.
THE I:;;:E('..:!IJ I RED S I ZE OF THE SO I I... FIE:SORI::'T I C)J'.,I '}];'.r'S'FEM I :~!!;:
THE L. EI'.4G]'T'I [) I f"l[:_::H'.:i:l I ON I 'Z.i; '['I.'IE: L..[Ji:NEiTH ,:: I f',l I:::EET ) (]I':' TH[ii: TREi:NCH OR [:,!:;i:1::1 Il IqF I fELE:,.
THE [:,EI:::'TH OF la TRENCH OR F'IT IS THIE [:,I:E;]'FINC[!: E:ETI.,.IEEI",! THE 'J:i;I_.IRF:'FI(::E OF "!"l'.ll!!i:
GROIJN[:, FtN[:, THE EIO'f'TOM OF TH[.~
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THE GRR',,,'EL [:,IEPTH ]:'.'5 THE HIhlIMI..IM DEF:'TH OF GRFI',,,'E[.. E~[!!:TklEl:ii:l'.,l THE:: OUTF¥:ILI.. I:::'IPE
FtI",II} 'T'HE E':OTTOM OF TFIE E ',>=: C: FI',,,' FI ]" i'
F:'ERM I '/" FIF'I':'L I C:F:INT HFl'Jii; 'THE f~'.E:]ii;f::'Of',l'.'E; I E,' I L I '1"'¢ 'TO .'[ NFORM 'f'H I S DI:EF'FIR-I'P'IEI",I'T' E:,IJI:~: :I: I'.,11] 'I"HE
I NSTF:IL.I..F-ITI ON I hI'.iE;PEC'[' IONS OF FIW'r' I.'.IELL. S FI[:'JF:IC[EI",I'f' TO TH I :iT, PROF'ERT"r' FII",ID THE
I",IUME:ER OF RESI[:,ENI]:[:?.:~; THFfF THE HEL. L I, IIL. L SER'v'E.
E:FIC:I'(F I L.L I NG OF FIN"r' S"r".:i;TEM H I THOUT F ].' I".II::IL I I'.,ISF:'E:E:T I O1",1 IZll",l[:, FIf::'PI:;i%I',,,'I:::IL [ii:"r' TH !
[)E:F'F:II:¥1"MENT I.,.I:[LI... BE ~!;I...II~?,..]'[:.!]:::T '1"(} PF?.C)'.:.;ECUTZC)N.
b'l I N t f'11..li"t ['.:, '.[ STf:ll",ll]:[!i: E:E'T'I4EEN F:I I.,.1[:.::1....I... F:II"4D FIN"r' ON'"'S I 'f'E SEI.,H::IGE [:' ]: ::J;POSFIL. :!!!;'T'S Trill'"! I :ii;
'j. Ell;EI F"-EE[T FOR FI F'F;~I',,,'FITE HEL..I.....~ OR
::1.50 TO ;;::':E~(!l FI.'-:iET FRCIM I:::1 F:'LIE:L..IC I.,.IEL..L [:,EPEN[:'ING LIPOI'.,I 'T'HE T"r'F:'E CIF F"I..I[?,L.1.'(;:: I.,.IELI ....
I]'TI'I[ER ,r;i:E. QU ;[ REME:I",IT.':J; Ml:::l"r' FIF'[:'I...'¢.
F:I',/Ft.I:LF:If".:',L.E TEl ];l",l'.':j;I..ll';;'.l!!:
I CIER'T'IF'¢ ]'HFIT
:L: ]: I:::IM [:F:II"I:t:I.~I:I[;.: HITH THE REIgiIJII:~:EEHEhlTS F(]R C)I",I"'"'J!;IT[i:
FORTH [3'¢ THE MI...II",I]:I]:II:::'I::IL. iT'¢ OF F:If',IC.T'IORI::fl3E.
;:2: I H I L.L I 'N?i!;TFI[...I.... THE S'¢STEM ]: i".1 FIC:I]:I}F::[:,f::II",ICI~! H I TH THE COE:'ES.
'_ii:: I L.INDEI:~::~;TFIN[:' 'I"HFI'F THE OI",I-SITEi: SEHER '.:E;"r".ii;TEH MF:I"r'
Rlii:2!i!; I [:,Ei:NCE ~'IO[:,i!FJl._E[:, £TCI I 1"4CL.U[:'E MI]IRE THF:IN 4 [i',E[:,ROOf'lS.
I .1'4~
~..-Z~::FII",IT"[: R. NIEHTEII'.,I
· ."7
....................... ~. ,,.. _,/ .............................................
2204.]~~Cleveland Anchorage, BateD'l as}%ap~rf0rmed99503
Per fo-~v, ed For ~
te.al qescri~tion: Lot ~Bloc~t ? Subdivision
This ~orm Renorts Soils-Lon ~ perc~-lation Test_~~
net, th
Fe~t Soil Characteristics
12
20-~
,adinq Date Grnss Time Net Time Depth to H20 Net Drol
-
· ~.' 3o _ '- ' . .... I'z~' ~Y~ __
~o ~ ._l,~'~ ,, /
~.'Oos '. iP ~ :~<" S~-
I"'~''~ p~"-ff~'~'
'
Percolation Rate rli nute
Proposed Installation: Seenaoe Pit Drain Field
?,eoth of Inlet , .Qeoth To Bottom Of Pit Or Trench
L ,Va~.' :O~-~~~z.~_'.~. ~,~. ~-~~ z-s ~ .__
~ ~ormed Bg~~~¢¢~~ Data Certified
2204 Cleveland Anchorage, Alaska 99503
Leaal ~escrintion:
This
Lo t_ _~B1 ocl:k? .Subdivision
form Re~orts Soils Loq _ Percolation Test
neath
Feet Soil Characteristics
12---
14---.
16---
18---
2O
Was ¢round Water
I¢ Yes, At what
Encountered?~)f42..
Denth?
L_LJ"~-I '-, J_LJ
Readinq
Date
Gross Time
; '.,o q
Net Time
Depth to H20
'~~ .
((,,.~ .
Net
Dr°ni
Percolation Rate Hinute
Proposed Installation: Seenaoe Pit Drain Field
Deoth mf Imle~ . ~ ~.,. Depth To Bottom Of Pit Or Trench
Parcel I.D, #
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
UoNICIPALITY OF ANCHORAGE
NMENTAL .SFRviCi~$ DIVISION
oCT 2 ~ 1991
RECEIVED
1, GENERAL INFORMATION
Complete legal description
Location (site address or directions)
/O~oo
Property owner
Mailing address
Day phone
Lending agency
Mailing address
Agent
Address
Day phone
Day phone
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. 1191) F~or, t MOA ~21
'>lJO/~ s~Jeau!bu@ leUO!SSe~oJd eq~ u! sue!ss!u JO Jo s JO J J@ JO~ elq!suodsaJ
~ou s! eBeJoqouv Jo ~Hed!o!unlAI eqj_ 'panss! s! a~eo!~!~eo e eJojeq e~ep ez~leue ao suo!),oedsu! ~onpuoo
~ou op SHHQ jo see,~oldLu3 's~ueLueJ!nbeJ e~e~s pue leJepe¢ u!eMeo/~sBes o~ JepJo u! suoBn),Bsu! 8u!pu@l ~!eql pue
seLuoq jo sJeSeqoJnd o~/~seMno3 e se siq~ seep SHHQ @q J- '~selV jo elelS eq~ u! p@Je),s!be~ JeaU!13ue leuo!ssajo~d
~uepuedepu! ua ~q e^oqe ¢ qdeJbeJed u! ue^!6 suoBe~ueseJdeJ eq~ uodn ~luo peseq se~a!J!MeO le^oJddv
/qpoq~nv q),leeH senss! ($HHQ) seoFues ueuunH pua q],leeH jo lueLupedeQ el3eJoqouv jo A~!led!o!unR eq.L
:suoBelndBs 6UpAOlIOl eq~ LI~]~ 'sLuoo~peq
'sLuoo~peq
ao; le^o~dde leUOB!puoo /~
'pe^o~ddes!O
~oj pe^o~dd¥
Bid R.I.¥NDIS SHHO
'9
0/1~ ~ ,¢L~ ouoqd '7 P'~"zc¢C7 P'/O~7 ~o$'~1~¢r4~ LuJH to eLUeN
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: /--,2 z¢/_ q .Z/~5//--¢/~ ///////~ Parcel I.D. ~>'/~5
A, WELL DATA
Well type ,~',z~/~,,,¢
Log present (Y/N)
Total depth _(.,)¢J
Sanitary seal (Y/N)
Date of test
Static water level
Well flow
Pump level
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed C)~c¢J0 ~.~ ~ Driller
Cased to ~. 4//0 1 Casing height
Wires properly protected (Y/N)
FROM WELL LOG
g.p.m.
MUNICIPALITY OF ANCHORAQE
AT INSPFOTION ENVIRONMENTAL SERVICEs DIVISION
, OCT 2 4 1991
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Public sewer service Hne
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ,-~ e4,~-P'r¢~ c(
Date of sample: /~.,,/~,/9/
Nitrate ,,~ c..¢.~t) -rA-~ ~,¢'
Collected by:
Other bacteria
/2'/~'/-~¢'~
B, SEPTIC/HOLDING TANK DATA
Date installed /~
Tank size /£ ¢',~
Cleanouts (Y/N) )/ Foundation cteanout (Y/N)
High water alarm (Y/N) //'/~
_/ ;
Date of pumping
Compartments
Depression (Y/N)
.Alarm tested (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ~2z/" On adjacent lots /6~ //~
To property line /,¢~ ~' Absorption field /~--~
Foundation
.Water main/service line
Surface water/drainage
72-026 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE
Size in gallons ~
Vent (Y/N) "Pure--on"
High water alarm level ~les tested
Meets MOA electrical codes (Y/N) ~
SEPARATION DISTANCE FROM LIFT STATION TO:
On adjacent lots Surface water
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
Depression over field (Y/N)
Results (pass/fail) ,z:~A ~ 5
Peroxide treatment (past 12 months) (Y/N)
bedrooms
Well on lot
ABSORPTION FIELD DATA
Date installed /q?¢~ Soil rating ~-~ System type
Length ///,-z/ Width '~'~ Gravel thickness / ' Total depth
Total absorption area ~Z.~,E//c~ Cleanouts present (Y/N)
~ Date of adequacy test
for
/,4 If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots /dC / '/- Property line
I?- ~'/ To existing or abandoned system on lot
Cutbank ,qo/4~. ~r¢~,_~ Water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect o_n..t~e date of this inspection.
'b~k~ ~47n,-,-,, mg'~TM -** ~
NAA Fees / ~ *'¢
' ~ Waiver Fee: $
Date of Payment /~¢ - ~ ~__-- ¢ / Date of Payment
Receipt Number ~ ~ / ~ ~ ~¢ ~ /) Receipt Number
March 10, 1992
Municipality of Anchorage
Department of Health & Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Attention: Daniel J. Roth
Reference: Lot 2, Block 9, Kasilof Hills Subdivision
Subject: Conditional Health Authority Approval
Dear Mr. Roth:
When conditions permit tile property owner of the referenced lot intends to
perform the following operations to bring the onsite septic system into
conformance with existing Municipal codes:
Excavate a test pit near the abandoned seepage pit to determine the
separation distance from the bottom of the pit to bedrock, if the
separation distance is not sufficient the existing septic tank will be
moved to provide the required 100' separation distance from the well.
If the tank is found unsuitable for use it will be replaced.
Excavate a test hole near the wide drain type absorption field located
after the seepage pit to verify the 6' required separation distance from
the bottom of the system to bedrock.
Once these operations are complete, the system will be in conformance with
Municipal codes. We hereby reqaest a conditional Health Authority Approval be
issued on this property based on these activities taking place when weather
permits.
Since the waiver request will not be reviewed we ask the $410 waiver fee be
refunded. Please deduct $90 from the amount as the permit fee required to
upgrade the existing system as mentioned above. Thank you for your assistance
with this matter.
Sincerely,
Michael E. Anderson, P.E.
CITY MORTGAGE
C O R P O R A T I O N
March 19, 1992
Municipality of Anchorage
P. O. Box 196650
Anchorage, AK 99519
Subject:
Betsy Randall Property
Lot 2, Block 9, Kasilof Hills Subdivision
Conditional Health Authority Approval
To Whom It May Concern,
City Mortgage Corporation hereby agrees to hold in escrow the sum
of $7,650 (1 1~2 times the highest bid) for improvements to the
septic system located at the above mentioned property. City
Mortgage Corporation also agrees not to release these funds until
we receive a copy of the final Health Authority Approval for this
property.
' ' e
Slnq~r ly,
?
~/____~T~mmy Neterer
Underwriter
P.O. Box 92810 · ANCHORAGE, ALASKA 99509-2810 ' (907) 277-0700 "FAX 277-0804
CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301
ANALYSIS REPORT BY SAi~PLE for WORKorder~ 39484
Date Ropozt Printed: OCT 23 91 @ 08:49
Client Sample ID:WELL WATER 10600 VASlKOE
PWStD :UA
Collested OCT 20 91 @ 12:00 h~s.
Received OCT 21 91 @ 10:~5 hrs.
Preserved with :AS REQUIRED
Client Name :MCFADDEN, WAYNE
Client Acer :MCFAWCS
BPO 8 PO U NONE RECEIVED
Roq {
Ordered By :
Analysis Completed :OCT 21 91
Labomory Supo P?N EDE
Send Reports to:
1)MCFADDEN, WAYNE
2)
Chemlab Rof #: 915616 Lab Smpl ID: I Matrix: WATER
Allowable
Parameter Tested Result Units Method Limits
NITRATE-N 5.7 hz3/1 EPA 353.2
Sample ROUTINE SABLE COLLECTED BY: MCFADDEN.
Remarks:
Tests Performed ' See Special Instructions Above UA-Unavailable
None Detected "See Sample Remarks Above
Not Analyzed LT-Loss Than, GT~Greater Than
~SGS Member of the SGS Group <Soci~t* G~n~rale de Surveillance)
OC:T .--'4 '_ 1 CITY 140RTGF~GE F~!',ICH
INVOICE '"'
SEWER AND DRAIN
".~z,~/~'~ ~',~,/z~ CLEANING SERVICE
RO, ~OX 11Z~8~ PHON~ 34~.251B ANOHORAO ~, A~BKA 00~11
Job Address
R~.ROOTER ~ERVIOE CALL H RS. ~
STEAM THAWING HRg, .~.
TRIPOHARGE NRS, ~
OVERTIME OHARGE HR6, ~
ADDITIONAL LABOR OHAR~E HRg, ...~
TOTAL FOOTAGE CLEANED OR THAWED. B~=AD~$ USED
PROBABLE CA~UB E OF,~TO PPAG E
/
P,1/1
1
Tom Fink,
Mayor
Ntunicipality oW Anchorage
Department of Health and Human Services
625 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
February 28, 1992
Michael E. Anderson, P.E.
Anderson Engineering
P.O. Box 240773
Anchorage, Alaska 99524
Re: Waiver Request For Lot 2 Block 9 Kasilof Hills Subdivision,
Waiver Request Number WR920004, PID 015-131-04
Dear Mr. Anderson:
Your request for waiver of the required 100 feet separation
distance between the septic tank and well on the subject
property has been denied. The distance requested to be waived
is 94 feet.
Review of the file for this lob indicates that the seepage pit
immediately following the septic tank in question is most likely
constructed on bedrock. The soil logs performed near the
seepage pit on this lot indicat~ fractured bedrock begins at 7
feet and becomes solid bedrock at 8 feet. Seepage pits and
cesspools were typically constructed a minimum of 10 feet into
the ground.
This lot will not be eligible to receive an unconditional Health
Authority Approval until the following deficiencies are resolved:
The seepage pit.in question needs to be either verified
that it has the required 6 feet of separation from
bedrock or abandoned properly.
Move or replace the existing septic tank so it has the
required 100 feet separation from the well.
Verify by test hole that the wide drain type absorption
field located after the seepage pit has the 6 feet
required separation from the bottom of the system to
bedrock.
Call me if you have any questions concerning this denial.
Sincerely,
Civil Engineer
On-Site Services
Concurrenceo /
~/John Smfth, P,E/.
Program Manager
On-Site Services
OSS#101
February 1, 1992
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Reference: Lot 2, Block 9, Kasilof Hills Snbdivision
Subject: Separation Distance Waiver
Deal' On-Site Services Engineer:
We are hereby applying for a separation distance waiver between the private
well and the septic tank located on the referenced lot. The drainfield exiting the
tank is located more than 100' from the well and is therefore in compliance with
Municipal regulations.
The septic system was upgraded in 1978 when a 1,250 gallon, 2 compartment
septic tank and drainfield were installed to an existing seepage pit system (500
gallon perforated tank). The new tank was placed between the house and
seepage pit thereby reducing the separation distance from the well to 94'. The
drainfield recently passed an adequacy test. The well water sample results for
coliform and nitrates were also acceptable (Nitrates: 5.7mg/l, Coliform: 0, Other
Bacteria: 0). An exhaustive effort has been made to locate a well log to no avail.
Logs of several other wells in the area are attached.
Soil conditions in the area indicate a bedrock depth at or near the static water
level of 42'. Tile well is cased to this depth and probably to an estimated depth
of 200'. The presence of the bedrock and the well casing make it highly unlikely
any contamination from the tank could seep into the water system. The tank
appears soand and no evidence of leaking is evident.
Nitrate tests were run oll several wells in the area. They indicated a higher level
of Nitrates than normally found, but none were out of the acceptable range. This
indicates the higher level of Nitrates found in the well on Lot 2, Block 9, Kasilof
Hills is not unusual for this area and certainly not attributable to the proximity of
the septic tank. Test results are attached fol' your review.
The lots in tile area range in size from 52,000 to 85,000 square feet with a low
population density. The lots directly north and east of this property are
currently vacant. The topography of the area slopes at approximately 18% from
west to east. Tile hydraulic gradient appears to be on nearly the same slope.
The attached drawings indicate the topography of the area with the locations of
o
%
Lot 2, Block 9, Kasilof Hills
Separation Distance Waiver
February 1, 1992
Page Two
adjacent wells and septic systems indicated. A cross section showing the west to
east slope is also shown.
The separation distance between the well and the septic tank is only 6' short of
being acceptable. This fact coupled with the presence of bedrock at shallow
depths and no current evidence of water contamination from any source indicate
that a separation distance waiver between the well and septic tank is justified in
this instauce. Please advise if you need further information.
Sincerely,
Michael E. Anderson, P.E.
Enclosures
JOB
SHEET NO.
CALCULATED BY
CHECKED BY
SCALE
OF
DATE
DATE
- ¥/~ ~s _~'
/7/
CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA99518 TELEPHONE (907) 562-2343 FAX:(907) 561-5301
ANALYSIS RESULTS for INVOICE { 50564
Chemlab Re£.# 92.0265 Sample ~ 1 Matrix: WATER
Client Sample ID : PRIVATE WELL L2 B9 KASILOE HILLS SUB,
PWSID : UA
Collected : JAN 23 92 8 09:20 hrs.
Received : 3AN 23 92 0 10:40 hre.
Preserved with : AS REQUIRED
Client Name :ANDERSON ENGINEERING
Client Aoet :ANDENGR
BPO{ : PO% :NONE RECEIVED
Req{ :
Ordered By :
Analyeie Completed : JAN 24 92 Send Reporte to:
Laboratory 5upervieor : HTEPHEN C. EDE I)ANDERSON ENGINEERING
Released By : ~ 2)
Parameter Reeult8 Un~te Method Allowable Limit a
NITRATE-N 7.1 mg/1 EPA 353.2 10
Sample ROUTINE SAMPLE COLLECTED BY: UA.
Remarks:
I Toot8 Performed ' See Special Inetructione Above UA-Unavailable
ND- None Detected "See Sample Rerna~ke Above
NA- Not Analyzed LT-Leee Than, GT-G~eater Than
Member of the SGS Group (SociOt~ G~n~rale de Surveillance)
SiX INCH WATER WELl. DRILLED AND CA~ED OUT TO THE DE~H OF ~40
~19.00
DRILLED AT THE RATE OF PER FOOT.
~ To~ ~o~ 3~J-956~ 279-~6~
PROPE~ OWNER
WELL LOG:
~e* ,Mt't ~lm~ Al I ! A[1OR AND MATERIAL FOIl COMPLETION OF SAID DRILLING,
I
I
?
I
I
I
I
APPLIC ,IT FILLS OUT UPPER HAL' '3NLY
Lending
Institution
Phone
street Locati~
Type of Residence
(Single Family
Multiple Family No. of Bedrooms
[] Other
Water Supply
/~.~ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
Community For wells drilled prior lo that date, give well depth (altech log if available).
[] Public Utility
Sewer D,sposa, /
J~]~ Individual Year Individual Installed: r
[] Public Utility When Connected to Public Utility:
[] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
~ime Time Time Time
Date Date Date .~-,, Date
Insp~tor Insp~tor Insp~tor
Field Notes: ~
( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
DATE .
Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received
ALASKA eliUIROFIITI I]TAL COF]TROL $ RuIC $, IFlC.
~nqir,¢¢mq 8 ~nuironm~lol Studies
12/15/82
MUNICIPALI [Y OF AF,'CtIORAG~
D~:~r C" ' '' ' ~'
RECEiVeD
BURRITT W. NEWTON
3730 RHONE CIRCLE
ANCHORAGE AK 99504
SELLER - BURRITT W, NEWTON BUYER-RANDALL
SUBDIVISION-KASILLOF BLOCK-9 LOT-2
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 822 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 350 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
4 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 7/82 .
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 4 BEDROOM HOUSE.
5~'' "? ,? ~d~F ", % ~. ~ ~*
f~ ~% · Lero . ' ~",
~ ~ · Y/ Reid, Jr. Z ,?.~
1250 IS ADEQUATE FOR
1200 LUesl 33rd Auenue. $ui1¢ ~ · Anchoreqe, Alosb 99503 · (907) 276 1361