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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; '- '"". .~ , ~.¥~ess~'.l ~~e ~u~ Bty, ....... ~= ......... ~,- ' -, ..-- -,-: -..,./:,~: ..... , ..... '- ..... :. ' .... . - :./. - . .<~. :~:,-. : ,,:~_.-~:: ~::__~.:', . ~. -.~:,~?'.:~:,~:.... , ,, .' ../~':,,._ ,.. =:'_/... '-~.:~:(~, .:~.<:~:~.= hereto and suc~ ! I ~ ~ ~l~p and r~po~ib~'s~ a~d The M~ity, .;: _-. ..~.' -~':; ;'/, "-:'::~' *" '~'- ~ ":- ~ "' ~; ' .... :" .... ~'"d~' '~:' ? - ., .- ;. . .... ~.i~:~C'-':.~ :-. (...;-.~ , .- ~ -~... ....:-~.~ pait~ ~_ T~es ~n~t~_~,~ .,~ss .'~d ~m~s,.-'-:::'~?.:?:.C':'/".'.'.:.L-':' ::; :.--:~f.~,,.-:/,~..' .~ ~ =- -./,-"~ .... ..... , ..... ... 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~, . ' ......... ' --- ;-- -- ,~t · ~~-. . or m~::~'~ll-en~ " I~ ~ sot ~t ~ ~.tu l~ ~D", ~Mch ....... ~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 ' j~'-' .f'/ .~__:'-:: '' .. ~.,. -. 'k..Z.~:,/ - ''.,..' -_'' ' ."'. '' '- '. .' .'- ,Contained, :it t~ hereby mutUnlly a~read 'as' f6llowe: '-" --. - ~ ..... .~ .... ,,- .._~. :.. .~ :.J. .. . , ...: - . . ... . . , - -. ~. " '' '.. _.,.: · . ~-:)': ~=. .'.p':":'~..~.~.(.-..., ,, ,-. . , .... .: .. i' sar~lee:to-eds:la~ent properties Ja:'i~'i~e~el~?de~?'- ::.:' '".' :-"-"-..; 'J ' :.:,-:~-: A ' chi~r~e.~fo~..the.;t~e..'~f.trunk .~t~fall. aewe~: ~Sh~;ii i)~. jevied · ?..:.~.::., '.:--"?.- .~:F,'.. :,:.: ~-'f::.:;;k~:,~,:,-:--:::i~.... ': .-~ ."".':-: '& .... - ::'Y: ., :'?/=::,~..~-..-'~.-:.:..-._: :": .- · '-~ ~"~' .... ' '~"" :' ':::-: ~/'?:/'"' ~' -' ~'::' ~'!~ ~ ' ' ~:~;~"~'-"?~;: :'~ -'"-':~"::-"'""" ':': ' ': -'~:ff£'?~'"? :'" · .. -v. · - -~- .-,~/ :-~, ~ z.- '-~'"'' ' ' ~ ...... - ' ' "-~: : - 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~. ..,.~ ~.~.~ ...... . : .'----'.' {,:: . -- .:- .. -... :':- .~.:.-'-~: .... -.: . : ..:: ~[:~ .~.': . ... ~.,... .'.. , . .. .=-; :::.. -. ....- . .. .< ..... :~. .....:' . · · '~"~:' :. 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