HomeMy WebLinkAboutLITTLE BEAR BLK 2 LT 8A
PERMIT N0.
DEF'RRTMENT 0~- HERLTH FIND EN',/IRONMEN'f'FIL ~-,j.)TE:CT:rON
25::LCJ E. TU[:,OF.'. RI:,., RNCt40F.:RGE, FIK. 995~.~7
276-222i
I].~.! F2 L_ b. P E ~.;: i',1 LE ~'tr-'
,:.' 763:22 >
RF'PL.I CFINT El::, RINNER
LOE:RTION BHBr 8E~R FLH.-E
LEGBL LE: E:2 LITTLE BERR _,UB_
A?:IA WELLSLEg' COURT
LOT .:, I ~E
Z:44-4J....TJ..
8400 S£:~ ~RRE FEET
MINIMUM DISTRNCE BETWEEN R WELL RND RN~¢ ON-SITE SEWRGE DIE]POSRL S"r'$TEM IS
J. E10 FEET FOR R PRI'¢RTE WELL OR 200 FEET FOR R PUBLIC WELL,
WELL LOGS RRE REQUIRED RND MLIST BE RETURNED TO THE DEPRRTMENT WITHIN
OF THE WELL COMPLETION.
SPECIFICt~TIONS RND CONSTRUCTION DIRGRRMS RRE RVt-]ILRBLE TO INE;URE PROPER
INSTRLLRTION.
F'EiRf-1 I T "-.-'RI...... I ~, F',]~ ~-: Cihl E] "¢E~--~F: FF.'C~ f-1 )Z
I CERTIFY TH8T
±: IRM F8MILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS ~E"I"
FOR]'H B9 THE MUNICIPRI_IT9 OF RNCHORRGE.
2: I WILL INSTBLL THE SgSTEM IN ~CCORDRNCE HITH "[HE CODES.
8PPLIC~NT ED RINNER
Da~e compleCed .........................................................................................................
Depth of well ...........................................................................................................
Distance to water ....................................................................................................
Distax),ce to water while pumping ........................................................ at rate
of ................................................ gallons per hour°
~,Formation ~-:;_../::.. ~/ from to
,~._~..:~_t~:~%_~'~':''~'~ / ,.
~e.<. I ,f // ' .-' /' ' ....
-, ~:~ /df / .L.
Jf
/
. / 'Z i" '~ ' ~"/ " ':" ..... '
7--2~-_ ". ,, f ff ~. ,~
'"),- ,_ ,,"', b' ~-~ '0'-,_.." '~ ( ' f)/¢ ..... - /' ' ".' "-.~ '~1 .*']",. %
¢-- // . /I . i !.:,.' .-,'~ ~-,~, ,' .' .) , .
> ' ; '' '- ' ~,.h__.~L:2~ ........... % .......... ' % . _."L~____ "1: :L .... ' ...........
~ ~2 "' /' . , .' 17'-., .': "' -. / ~"' ' ' ~t"
~ ., .... / , .,..:../
852! GOLDEN
ANCHORAGE, ALASKA 99502
PHONE 344-0651
For ................................................................................................................................
..... f. /2 ,-.-'.?, ..............................................................
'Da~e completecl. /~x-,..,.. : ,, ,, '.
Size oi casing ....... la.: ............................................................. ~ .................................
Distance ~o · '~ ' ''~ ~ "
wamr wmm pumpin~ ........................................................ at ra~,e
of. ...................... gallons }?e:~: horn'.
I ~rom
8521 GOLDEN
ANCHO,~AGE, AL.A$f(A 99502
PHONE 344.055{
: ~ MUNICIPALITY OF ANCHORAGE ' ~ :" :_______
~. . . :~ Department of Health & Human services
DIVISION OF ENVIRONMENTAL SERVICES
~ ' ~: CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D. # ~')lq--' ~-')[o\ ~'"~--~ HAA#
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
Location (address or directions)
(b) PrOperty owner ~Z/L/L/..~__ Telephone :(hOme) Business
Mailing Address .....
(c) L~ending Institution Telephone
z ~Maiiing Address - :::.: 'i ................
{d) Real Estate Company and Agent ~' I/'~ /~'f.~ ,
: -- ,, . . , ¢\0
Address ',:~,~f.') ~'. ~ ,/. ~._L-¢ :~,..~ /O,¢._,':~:": '
::'Telephone ~ ~ ~ I ' ,,
· (e) Mail the HAA to the following address: (or check here f hold for pick up.)
.. List contact ,erson and day phone number below: '
.......... ~:TYPEOF RESIDENCE
Single:Family'~ Number of bedrooms
3. WATER SUPPLY
Individual Well ¢ Community [] Public []
Note:If.community well system~ must have written confirmation f[om the State Department of Environmental
' COr~r~ation attesting to th legalitY and statusl
4. SEWAGE DISPOSAL
-' : :
::7 :On-siteD. · Pub!i COmmunityF1 HoldingTankF1
Note;, If community well system, must have written confirmation from the State Department of Environmental
· conservation attesting to the legality and status,
72-025 (Rev. 7/88) Page 1 of 2
5~ ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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/er 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 flies 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.
Engineer's Seal
6. DHHS APPROVAL'
' bedrooms by Date /Z.. /
ApProved.
fo, r
APproved C Disapproved Conditional
Terms of Conditional Approval
The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval
cerificated 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. TheMunicipalityofAnchorageisnot responsible for errors or omissions
in the professional engineer's work.
72-025 (Rev. 7/88)Back Page 2 of 2
A. WEL~&TA
Well Classification
MUNICIPALITY OF ANCHORAGE (MOA) ~
Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
343-4744
Legal Description: LOT g~ i ~/4,3.,
Well Log Present (Y/N) .
Total Depth ~Z. Cased to ~ 2_
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N) y
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot /"//'~,
To Nearest Public Sewer Line ~.~7-~
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Date Completed
If A, B, C. D.E.C. Approved (Y/N) .
Yield J
Depth of Grouting /"/~'~//---
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
;On AdjOining Lots J~,,/,~
; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
IO
; Date o ,-///e //~i'
Water Sample Test Results ~' ~. (~o///
Comments
SEPTIC/HOLDING TANK DATA
Date Installed Size
Standpipes (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
No. of Compartments
Air-tight Caps (Y/N)
To Water-Supply Well
To Property Line
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
Comments
Foundation Cleanout (Y/N)
Date Last Pumped
; for
Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Building Foundation
To Disposal Field
72-026 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absortion Area
Depression over Field (Y/N)
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
Comments
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Statndpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutback (if present)
D. LIFT STATION /"//J,.Z~z/
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA'guidelines in effect on the date of this
inspection.
Signed
Company "~'¢
Date
MOA No.
Receipt No.
Date of Payment
Amount: $ /
Receipt No.
Waiver Fee: $
Date of Payment
Engineer's Seal
72-026 (Rev. 7/88)Back Page 2 of 2
We I/
-'7-
EASEMENTS OF RECORD OTHER THAN
THOSE SHOWN ON THE RECORDED
-NOTE'
This As-buitt sh~ll not be used f~f'
Should a:Lv ~, ; ::~r:tod b~ used for
~enstruction ur for esl:ablish'ln~
AS-BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Moriagee's in-
spection of the following described property: /~ ~ ~ ~;
Anchorage tlecording Precinct, Alaska, and that the improve-
ments situated thereon are within the property lines and do
-'not overlap or encroach on the property lying adjacent there-
:-~o, that no improvements on property lying adjacent thereto
~encroach on the premises in question and that there are no
!roadways, transmission lines or other visible easements on
said property except as indicai, ed hereon.
Dated at Anchorage, Alaska
this 21 ~:' dayo~ /)~cem/~er' ~ ?0 .
FRED WALATKA & ASSOCIATES
Engineers and Surveyors
6751 ~. DI~O~B BLVD.
(907) 248-5095
RESIDENTIAL WELL INSPECTION
LEGAL:
LOCATION:
OWNER:
TYPE OF WELL:
Lot 8, Block 2~ Little Bear
6600 Baby b~;,ar
AHFC
Pr'iva'be~ Sir)g].e F'amily
WELL LOG AVAILABLE: Yes
I NSTALLAT I ON REQUIREMENTS MET: Yes
WELL YIELD FROM WELL LOG:
10 Gal Ions [)er' Minute
PUMP YIELD FROM TEST:
i0 Gallons per' Minute
DATE OF INSPECTION:
January 4, 1991
TEST PROCEDURE: Well was pumped at a censt:ant rate while the
drmawd c)wn was moni tor'ed wi th an acoust i c:
probe, At t. he beginning o¥ the test wat:er level was -[:ouncl at less
than 24 .feet below top o~: casing. At: a i]tzriipir'lg rate (:)t: :LC) ga].]m(:)r'~s
per' minu'[e ~:he war. er 1E, vel dropped to the pump intake at 71
a.¢ter 15 minutes o.f pumping. ':'he puml-) continued t:o del:i, ver at a
rate o.f ~J (jall(:)l"is [~er' f~)ir]l..l'Ee ~(:)r ~l['~ additiof')ai ~0 m:i. nut:es without
-fur'[her dr'awdot,~q-i,, A '{:oral (:)¢ 500 gal].or~s were pt,.trr~ped.
'l"he well r'ecoverecl I:o 47 fee'[ wit::hin 10 minu'~es a~t:er' [)umpiF~g
stol) peal ,,
TEST FOR E.COLI AND TOTAL NITROGEN: Water' was tested .For'
anti total nitregen on Jac~ 5, 1991.
E.Col:i. O. 'f'c)tal Ni'Er(-sgen 0. 15mg/i.
Max. allowable :"cd:al Nitrogen 10 mg/1.
TEST RESULTS: This welI meets the requiremen'Es o~:
M u n i c i p a 1 :i. t y e ¥ A n c h o r a g e.
THIS WELL WILL PRODUCE MORE THAN ! GALLONS PER ~INUTE FOR
THAN FOUR HOURS
Col i
MORE
The Municipal r'equiremer-'~t 4:or we].]. ¥1ow is 150 gallons o~: water
per bedroom per' day. ]"his ~¢.:,tl I excleed tzhis requirement:,, The
assessmen'[ c)f the c:c)ndition o~c t:he well appl:i, es enly to
cor'lditior]s as o~: the day tested. The .flow rate may change due
¢6(.Ll[:)EBt.tr-[;¢&cecor)ditior)s t.l")at ma',/ nc)'[ be observect Yrc)rl) t:he sur'{;aEe~
and c:hanges in the ],ar'id use ar'id o'El-ler 4:act:of's tl'3at may j. fi¥]act the
aqui¢6-:,r -Feeding the well.
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343
FEDERAL TAX I.D. #92-0040440
ANALYSIS REPORT BY SAMPLE for Work Order ~ 31142
Date Report Printed: JAN 15 91@ 09:11
Client Sample ID:L8 B2 LITTLE BEAR, POTABLE WATER
PWSID :UA
Collected JAN 4 91 @ 11:30 hrs.
Received JAN 4 91 @ 15:23
Preserved with :AS REQUIRED
Client Name : TOBBEN SPURKLAND, P.E.
Client Acct :TOBBENS
BPO ~
Req ~
Ordered By : UA
PO ~ NONE RECEIVED
Analysis Completed :JAN 8 91 Send Reports to:
Laboratory Supe~ylsor :STEPHEN C. EDE 1)TOBBEN SPb~KLAND, P.E.
Released By :.~~ ~ 2)
Chemlab Ref $: 910038 Lab Smpl ID: 1 Matrix: WATER
Allowable
Parameter Tested Result Units Method Limits
NITRATE-N 0.15 mg/1 EPA 353.2 10
Sample ROUTINE SAMPLE.
Remarks: SAMPLE COLLECTED BY T. SPURKLAND
1 Tests Performed ' See Special Instructions Above UA~Unavailable
ND= None Detected ** See Sample Remarks Above
NA= Not Analyzed LT=Less Than, GT=Greater Than
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
TELEPHONE (907) 562-2343 5633 B Street
Anchorage, Alaska 99518
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
[] PUBLIC WATER SYSTEM I.D.#
/~ PRI_~VATE WATER SYSTEM
/.
Name
Mailing Address
City
SAMPLE DATE:
Phone No.
State
Mo. Day Year
Zip Code
SAMPLE TYPE:
~t~Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
.) .~. Treated Water
Untreated Water
SAMPLE
NO.
2
4 I
5 I
LOCATION
Time
Collected
I
I1.'~"
I
I
I
Collected
By
TO BE COMPLETED BY LABORATORY
Date Received
Time Received
Analytical Method:
Analysis shows this Water SAMPLE to be:
/~isfactory
LI' Unsatisfactory
[] Sample too long m transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
Membrane Filter
* No. of colonies/100 mi.
Lab Ref. No. Result*
I I r-i-]
Analyst
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Membrane Filter: Direct Count
Verification: LTB BGB
Final Membrane Filter Results
Resorted Sv
Time:
.Coliform/100 mi
.Coliform/100 mi
TNTC = Too Nurnberous To Count
OB - Other Bacteria
PART ONE OF TWO
REMAINDER TO FOLLOW
APPLIC '~IT FILLS OUT UPPER HAL ONLY
Property Owner X~..~ ~.~),, ~.~). '~'x.,(~ '~'~"'~,~X: ~'~"~ ~~3. ', ~ Phone
Buyer
Address Zip Code
Lending Institution Phone
Zip Code
Address
Realty Co. & Agent -:'
Address Zip OoZe
Type
Residence
~ngle Family
~ Multiple Family No. of Bedrooms
~ Other
Water Supply
odiVidual A~ACH WELL LOG. A well log is required for all wells drilled since June 1975,
mmunity For wells drilled prior to that date, give well depth (attach log if available).
~ Public Utility
Sewer Disposal
~ Individual Year Individual Installed:
~Public When Connected to Public Utility:
Utility
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE PROCESSING CAN BE INITIATED.
~ ] Time
Time Time Time
Date Date Date Date
~, - ~Cb- ~,3 ~"~-'~.
Inspector Inspector Inspector Inspector
Field Notes: ~ (.>: MUNICIPALITY OF ANCHORAGE
( RECEIVED
:~) At'PROVED BEDROOMS 'CONDITIONS OF APPROVAL
(
( ) DISAPPROVED
( ) CONDITION,~.L APP.~IOVAL'
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
Well to Tank Septic Ta~k Size
CHEMICAL & GI:. LOGICAL LABORATORIES t,,~ ALASKA, INC~
TELEPHONE (907) 562-2343 ANCHORAGE56331NDUSTRIALB Street CENTER
Z/ .... ~,-'-,~ Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYS'I:[~i
· I.D. NO.
Water System Name
Mailing Address
City State
MO. Day Year
Zip Code
SAMPLE TYPE:
~r. Routine
[] Check Sample (for routine sample
with lab ref, no,
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
LOCATION
Time Collected
Collected By.
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE'to be:
/6 Satisfactory-
[] Unsatisfactory
[] Sample too long in transit; sample should
not De over 48 hours old at examination
to indicate reliable results. Please send
new sample. '
Date Reoelved
Time Received
Analytical Method:
[] Fermentation Tube
~[~ Membrane Filter
Lab Ref. No. Result* A.na!Ypt
/
r-'r-1
FT-i
*NO ~)? colonrl;/100 m[.~'~);' No. oi Pos,tive
READINSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collectecl Source
a.m.
Presumptive lOml 1Omi lOml 1Omi 1Omi Z.Oml O.lml
EMB Broth 24 hours:
Multiple Tube Report:
Membrane Filter: Direct Count
verification: LTB
Final Membrane Filter R~S~t:S/ .r /-- ,~
Reported By ._5~5 .......... ;'~' ~ ,--L-~ ,, ( .....
Broth 48 hours:
lOml Tubes Positive/Total lOml Portions
Collform/~OOml
BGB
1. Approval requested by:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 'C" Street, Anchorage, Alaska 99503 274-4561
Date Received January ll, 1977
Time of ~Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
kmfac Mortgage Corporation
e
4.
5.
6.
o
Mailing Address:
Property Owner:
Mailing Address:
Legal Description:
705 West 6th Avenue
Lawrence Sebring
Phone:
Phone:
4041 Truro
Lot 8 Block 2 Little Bear Subdivision
277-8588
344-7474
Location: Baby Bear Place
Type of facility to be inspected Single Family
Well Data: Permit ~76322 ~ /06-
A. Type__~
C. Construction~~J-~-~
Sewage Disposal System:
No. of bedrooms
B. Depth
D. Bacterial Analysis
A. Installed Public B. Installer
¢. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Req t for Approval of Individual S. ~ & Water Facilities
.Legal Description Lot 8 Block 2 Little Bear Subdiviszon
Comments "
Approve 3 Disapproved Date /-
) Approval~Valid for one year from date signed
~.,/Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIOi~rlliQ~I~AL
2510 Ea~ Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA FHA
Mailing Address: 9/~ r~/ ~'~ ~L~ ¢~ ~'~'..C~ ~ Day Phone:
3.Name of Buyer.~'/~7~,'~/~---
Mailing Address:
4. Name of Lending Institution: '~--~/~'- ~'~-~c. ~ o ~- ~,,~-~
Mailing Address: 70 ~ ~ ~ --~' ~-_~. Phone:.
5. Name of Realtor or Agent: ~'~'/'~"~"~ ~.~,,,//-Z'~,--
CONV
Day Phone:
Mailing Address:
Lega Descr pt on:
Location: ~ ~ ~ ~
Type of Facility to be Inspected:
Water Supply
Type of Supply: Public Utility ~ _V~'~lu~Fal'
If Individual, number of dwellings presently served Y/
If Individual, depth of well ~Z- !
Sewage Disposal System
Type of System: lic Uti
If Individual, date of installation
Individual (on-site)
72-003(3/76)
06-1220['a) Rev. 1973
DATE
ALAS~-' !EPARTMENT OF HEALTH AND SOCIAL SEI.- :.S ·
' DIVISION OF PUBLIC HEALTH Lab No.
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS oFF,CE
INDIVIDUAL []
NAME
SEMI-PUBLIC [] · CHLORINE RESIDUAL PPM
REPORT RESULTS TO
ADDRESS
CITY
ZIP CODE
ADDRESS
OF SOURCE
Analysis shows this Water SAMPLE to be:
[]'"Satisfactory
[] Unsatisfactory
[] Questionabl~
[] Sample too long in transit; sample should not be over 48
hours old at examination to indlcate reliable results. P/ease
send new sample.
[] Bottle broken in transit, plebse send new sample.
SANITARIAN'S REMARKS
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY
DATE COLLECTED
Sample Collected From
[] Other (List)
TIME COLLECTED
[] Kitchen Tap [] Bathroom Tap
Well- [] Dug [] Driven [] Drilled
SOURCE: [] Spring [] Cistern [] Other
Dug Well or Cistern Construction:
Walls--[~ Wood [] Concrete [] Metal
Top -- [] Wood [] Concrete [] Metal
LOCATION:
[] In Basement [] Basement Offset
[]ln Yard [] Other
Building Sewer
DISTANCE TO: or Other Drainage Pipe Feet.
Tile Seepage Cess-
Field_ Feet. Pit- Feet. Pood
Other Possible
Sources of Contamination
MATERIAL: Building Sewer - [] Cast Iron [] Wood [] Tile
[] Plastic Joint Material - Type
GENERAL: Does Wafer Become Muddy or Discolored?
When?
[] Tile Brick or
[] Open Top [] Concrete
[] Under House
Septic
Tank Feet,
Feet. Privy Feet.
[] Fibre [] Asbestos
Diameter of Well
Well Casing
Material Diameter
Length of
Drop Pipe
Offset in
PUMP LOCATION: [] In Well [] Basement
On Top
[] OF Well [] Other
PURPOSE OF EXAMINATION: Illness Suspected?
New Source of Supply? [] Yes
Depth Feet.
Depth
Water Deplh
__ From Bottom Feet;
In UtlJTty
[] In Basement [] Room
[] Yes [] No
[] No Repairs to System? [] Yes [] No Signature
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1973
Date Received i I~ '; ,,: Time Received t pm Lab. No.
Lactose Broth 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0cc
24 Hours
BriBiant Green
24 Hours
48 Hours
EMB AGAR
Lactose Broth, 24- hrs. 48 hrs. Gram's stain ,
Coliform Density (Mosl probable No. per 100cc)
MF Results
Reported by
This analysis indicates Coliform Organisms to be:
".~bsent k~
N O0e 09' 54" W 100. 75
NORTH 100.75
BABY BEAR __ D R_~IV_E -- ~ /
4840
76-27
,3625'
//
alt ~a~-ofrea1 tnt~rasi in" that r~l
att~d-~ and tn~ted.~n-~l
oi --** ~:-- ~' ' :'-'"" ~"" .v ~ !ity in ~cc~ce .~.the pr~lgons and
>5'-
~n~ sp~.~nd~ "CS a~ch~ ~reto'~, ...... '
. ~d~s~- t~at ~'
:' tn nO event-~hall the pm'tod c~ completion excee~ three'.:(3) years
.-:data ~f !~ecution o]~;thie AIlr~ment;' H ~ ~b~d~ is delay~-bY i
oth~l~ ~d~,~me ts of the ...... . ............ . ....
"not eourply
dl~volvin~ ..the
,"be :~vo~-b
sibllity of the Subdivider,
-~-,~L21 of the GAAB
~ .agents ~ ~e Su~eion ~O~'~'~'~(fl)-:, ..~ ~"~'-d~6 ~
-"ance ~ the lmpr~enL~ ~p~:ln'A~e~ ~ .. '~e
":"ehn~l-~ ~! eo~t~ ~ ~'.-~ r~lac~t ~d 'sh~ t~e any
~eat~ by ~s'.e~on a~ n~ ~t~d-to ~y d~t
- - tn~ the '~l~ r~he~ 'b~ ~ ~iCiPa~ ~.~i' Muni~paR~.
.-: o~ ~e ~~ by ~e ~tct~ty. 'It is ~r~ ~ ~e p~. h°w;
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hereto and suc~
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r~moval of ~y sW~t t~t Is nec~'~ ~vide ~s ~ ~y-~t tn.~e P~v. ' '... .....:
'~ct~lt~. If ~e.neces~
thief t~a~ ~ ~as~le
S~l~d~ may c~t
which c~ the S~vid~ .s~l ~y .~e pr~aged charges ~y and n~ ~e ..
~sAg~ent. "...:... :- . >:?;:-~-:~'/[::/_j . ._j. ).? .~_~ _.:. ~..?...-- ... ;.: -, .
men~.-.~1 plG~ s~l ~ the ~p~ ~ ~e Mugci~i~ wh~ ~'~h~,
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~bv The. ~,lUniotpality in *he cost et troy wor~ :..,:~lu~..~,..,,z --?_ .'~?_':.~.": ,.._,~. '
complete release of all Bens arising from wow.~ p~..o~...~d .p~s. U~..~_
ts in full for all l~boF ann ma~rlal ~urnzs.n.e~.,
Agreement or receip ed ·
the Subdivid~r shall submit an affidavit stating, to the best oZ his knowl
smd inf°rma6~n', the releases nnd receipts includes nil tho cos~s
(b) A c~y of ~s.A~r~m~t ts ~ ~e ~ ~e:~chora~
paltry fr~ any ~bffi~ for 'r~d~g s~h '~flce .~ f~ tai!i~ .~ r~d su~ '
a~nst any Icflon ~ht a~alnst ~'Municl~ll~ by~y ~r~ r~ul~
agency as well aa & natural person;
dut7 under this A~-eement ~ or ~ny, pa~t of this 'Agreement wtthou~
consent Of the ot~er, pm~y~.,~or ,Shall
'tO become due to him imaei~
Sh~B be .c~menc~ tu ~o appr~r~ cO~ ~ ~:'~'~ka ~t Syst~.,
.-promises ,-under~tandings, .,sflpulationis and.~ag~-eemente of the parties herein
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i' sar~lee:to-eds:la~ent properties Ja:'i~'i~e~el~?de~?'- ::.:' '".' :-"-"-..; 'J
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- ch~e ~or use of ~e ~nk ~11 '. :~in three ~H ~ ~fd at such flme. la-~'
1~ ~ ~e 8ub~v~lon Is ~old ~d ~shtp ~soes f~m ~e Subdivld~
- "'" ~ ' -,:.' /.~ - .' ;. ",=£ .'.~i ~.?:,a~/';.~ ~iJ'",~' :~-~=-~ ':~ ,- ' ~'~. ,-~'~
and hereinafter referr~ ~ ~' ~o ,~e~' ~ ~.~ .- ' ~'" .~ ~;'Y;. ~'.: '~'1~. ..,.~ ~.~.~
...... . : .'----'.' {,:: . -- .:- .. -... :':- .~.:.-'-~: .... -.: . : ..:: ~[:~ .~.':
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s~tta~ s~:~e~cen~eeS~'.~.a~e'~'~e~t and-:' ': _.
LITTLE BEAR SUBDIVISION
FROM
DATE
~UNICIPAUTY OF ANC[-IOL'..V
DEPAE-ff4:Ji~T OF i-iEAi_lii e~
ENVIRONMENTAL PROTECTION
OCT ::~:4 1976
RECE!VED
DATE
SIGNI
SEND PARTS.1 AND 3 WITH CARBON INTACT r 3 WILL BE RETURNED WITH REPLY
"ONE TEST Js WORTH ATHOUSAND OPINIONS"
2204 CLEVELanD AVENUE · ANCHORAGE, ALASKA ggDo3 · 277-O231'
March 29, 1976
Edwin Rinner
101 East International Airport Road
Anchorage, Alaska 99502
Project:
Re:
68th & Lake Otis Parkway
W 1/2, SE 1/4, SE 1/4, NW 1/4, Section 4, T12N,
R3W, Seward Meridian. (5 Acre Parcel)
A Subsurface Soils Investigation for Underground
Utility Design
Gentlemen:
Transmitted herewith are the results of our subsurface
soils investigation on the referenced Project.
The test holes were drilled with a Mobile B-50 track mounted
drill using solid flight augers. Representative soil
samples were taken from the various soil'types encountered
during drilling.
Silty sandy gravels were encountered below the peat layer
in test borings #1 and #2. Ground water occurred in the
gravels at five feet below the existing ground surface.
In test boring #3'we encountered Clayey silts to a depth of
eleven (11) feet below the ground surface. In order to
determine the extent of the deep silt deposit, we drilled
an additional test hole (test hole #4) 90 feet North of
test hole #3. Sandy gravels and gravelly sands were encount-
ered in test hole #4.
Conclusions
The typical soil types which occur on this property are
silty sandy gravels, sandy gravels and gravelly sands.
The land area adjacent to the small creek, located in the
southwestern corner of the property, consists of clayey silts
to a depth of eleven feet below the ground surface. It
appears that the deep silt deposit is not extensive and only
occurs adjacent to the creek area.
Edwin Rinner
3/29/76
Page 2.
Ground water may be expected to occur generally about five
feet below the existing ground surface in the gravelly
areas of this property.
If y~u have any questions, please contact our office.
Very truly yours,
CONSTRUCTION TEST LAB
James D. Mack
Laboratory Manager
JDM/dt
enclosures
TH2
TH4
TH5
'68 TH, AVE,
3,50'
· TEST' HOLE.'
5 ACRE
EDWIN
LOCATIONS
TRACT
RINNER
2204 Cleveland 'Anchorage, Alaska 99503 - 277-0231
· 1 '
E01e No. .... ~
Location.S~ W~-of the East
Propert~~n~%U~ of'the
D~PTH
Ground
Water
Level
@-5
9
~0
16'
17
19
20
21
22
23
24.
25~
- ' CLASSIFICATION
SYSTB~
She et of
M~ZZ~-~' 25, 1976
p~.e ~8th & Lake O~
5 Acre Tract
S~XlpLB
DATA
LEGEND
Peat
Wet Silty sandy Gravel
Brown, NFS-Fi
Occasional Layers of Silty
Sands
Grey,·Gravelly~Sands
NFS
Bottom of te~t hole~1 .---r----
Gravel
Sand
Clay
Ozganic
Conten~
Pea~
TabIe
2204 Cleveland Anchorage, Alaska 99503 - 277-0231
Water
Level
@-6'
No. 2
[oc a ~ i 0 n~~ o~--i'~ ~ d .
D~P~H CLASSIP ICATION
Fray SYST~4 .. _ ..
l'lTY-- ea.
3~1 . .~
Ground Silty Gravel
4
Silty Sandy Gravel
9
10
11
1
NFS,F1
Wet
14
15
16
17
18
19,
20
22-
23-
24-
25-
Bottom of test hoie~
Sheet of
e~--'~-~. Edwin Rinner
Clt ~__
Projec~ 6Bt_h& Lake ofis-~
5 Acre Tract
DATA
r.EG~ND
G~avei
Sand
Silt
Clay
Organic
Con~ent
Table
2204 Cleveland ·Anchorage, Alaska 99503 - 277-0231
}role No. 3
Location 70' N of S Pro~er_~ 1.ine
5' W of E Property Line
165, W os ~ ~ .............
DBPTH CLASSIP IC~TiON
Sheet of
¥' 0 No--~- --6~erator J. Mack
Dg~e March 25_~19 ~76 _
pro3ec~68th a Lake otis =_.
5 Acre Tract
DATA . . .....
Peat
2
3
4
§
'7
Sround
Water 9
Leve 1
@-11'
21'
22'
23,
24
2§4
Clayey Silt
(F4)
Moist to We~
Silty Sandy Gravel (Fi)
wet
Gravelly Silt, Moist (F4)
Bottom of tes~ hole~
Sand
Silt
Clay
Organic
Con2en~
Pea~
Wa~er
Table
2204 Cleveland Anchorage, Alaska 99503 - 277-0231
?Iole hbo 4 ."
LO c a ~ i0 n~O-~~p~y line
' W of the E Property line
& 16_51 .... ~ ....
Yop ~l~v-~i~
--DBPTH ~~SSIP I~T iON
Ground
Water
Level _
20
~2.
2~.
Peat
Sandy Gravel.- DrY
Moist
NFS
Grey Gravelly Sands
Wet
Bottom of test h01e
Shee¢ of
w.o. ~';---b~PPe~at°r-
~ win Rlnner
Client Mr. Ed _
_ . ~----'~-~w~
pro3ec~__ oo~
"-~5--A~re Tracn
S~4PLB
DATA
LEGBND
Gravel
Sand
Clay
Organic
Con~en~
Pea~
.¥ta*er
Table
DEPARTMENT OF ENVIRONMENTAL QUALITY
'PLATTING OR PLANNING & ZONING CASE REVIEW
Date Case Received
Suspense Date Comments to Planning Department
For Planning & Zoning Commission Meeting Date
ROUTING
By
Environmental Engineering
Air Pollution
ironmental Sanitation