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HomeMy WebLinkAboutLOMA ESTATES BLK 3 LT 7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERV,CES Environmenlal Heallh Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-;4720 · ' ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~,m~ ~.04~c.~ 66/~1[[~r' DISTANCES ._~.-~. TO SEPTIC ABSORPTION TANK FIELD WELL Tow~hip, ~0e, ~lion ' ~ C ~ I T/¢ ~/ R ~ ~ AS-BUILT DIAGRAM (Show location gl well septic system, prope~y line,, ~oundation, ~ SEPTIC ~ HOLDING C.~ eM" 7E' TYPE OF SYSTEM ~ TRENCH ~ BED ~ W. DRAIN ~ OTHER C ~pth to pi~ ~ttom from Total depth Irom original grade TO~ a~rplion ares Oisiance ~tween lines J ~ ~ ~ ~ / PRIVATE' OTHER fldentifv) Q~fi~tion (A,B.C) Total Depth{I Cased to ~ MunMpal~ndSlateouldelln~lnelleclo~date: II / /~ / 9¢ _Fl~atfop Technical Services 14530 Echo Street Anchorage, ~Alaska 99516 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG'm PERCOLATION TEST PERFORMED FOR: LEGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14- 15- 16- 17 18 19 20 Township, Range, Section: ~'~ SLOPE WAS GROUND WATER ENCOUNTERED? N S L IF YES, AT WHAT O DEPTH? p E ~,~. Deplh lo Water Alter Monitoring? Date: 7,/1.5'/~ / SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: ~/~ r-~ C~ I ~~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 IRav. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division C 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES j- o 4~_( (X/,~/'(~ ~ ~ SEPTIC ABSORPTION WELL ~d~ TANK FIELD ~C ~, Tit ~/ R g~ driveway, water bodies, eJc.) % N Manulaclu~er Capacity in gallons Material No. of Compad~ents TYPE OF SYSTEM Depth to pipe bottom from Total depth from original grade or~¢.a~ grade I, ~-- FT ~. O ET Fill added above original grade Gravel deplh beneath pipe Gravel length Gravel width / I ~ ~ ET ~ FT Total absorption area Distance between lines J ~ ~0 ~ ~~ Number of lines J Sol, r.ti.g PiPe mmeria' ~-~,~ ~ ~ 17~ SQFT O-303y Non-pert c'°'~e'j Classification (A.B,C) Total Depth J Cased ~o ~ _ _. FT FT ~7 73 ~ t~. 4 Scale: I1~ = ~ ' ENGINEER'S SEAL , ¢~ ~~ ce.ilythatlhisinspe,ionwaspedormedaccordingtoat' Municipal and Slate guidelin~ in efle~ on this date: J~ / /~ / ¢¢ Health Depadment Approval: Date: '~ ' cu, C'/-;;',~:~ ~~ ..~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: SW90D ;lq Date Issued: ~-~/~0 Design Engineer:~T~F Owner Name: L~4t/~ ~O~t~7'L Owner Address: ~/ ~r~ ~ Permit Type: ~/~%7 Expiration Date: /D~/~ ~o Day Phone: ~-~ Parcel ID: 0~o~ 092-~ Lot Legal: Subdivision: ~ ~r~r~ Lot: ~ Block:~ Section: ~ Township: //,-~ Range: ~/ Lot Size: 7/,g~ (sq.ft. or acres) Max Bedrooms: This Permit: ~ To%al Capacity:~ SEPTIC TANK: Minimum septi~c tank capacity: /~ gallons. Each septic tank must have at least 2 compartments, insulation is required if depth to hop of septic tank(s) is less hhan 4.0' Lifh stations require an appropriate electrical inspection. WELL LOG: A copy of the well log must be sent to DHHS within 30 days of the well's completion. CERTIFY THAT: 1. I will install the on-site sewer system and/or well in accordance with all codes and regulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system, or surface water on this or any adjacent or nearby lot. 3. I understand that .this permit is va~id for a single family dwelling with a maximum of ~/- bedrooms. I also understand that any enlargement will require an additional permit. · ~. I understand this permit is issued for the calendar year and expires on December 31 of the year issued. 5. I will notify DHHS prior to all inspections by the engineer or well driller. (owner/designee) IssuED BY:~~--~ ~' db/ll5 LLI- L~ ~w/E. L L BLUFF LINE "To 13E "T.~472 VACANT' ~attop Technical Service~ 14530 Echo Street Anchorage, Alaska 99516 DRIVE 'TAURUS..' C_.~ RC LE BOuNDARy OF SEPTtC RE££RvE ARE:P, LB V,~C,,~ N T .SLOPE ANAL/SIS: T~IE ToPO~.R, A PH¥ ltl. Tile ~/ICINITY oF Tt{E PROPOSED S¥$TEFt RESERVE AREA: THE DESIGNATEb RESERVE AREA ENCoMPAE, SE~ hFFRoX 7700 r't AS REC)uIRED L 7, B-%, L OMA E S'l-. ~ELL ~- SEPTIC S'/STEN1 ,SITE" PLAN SCALE ' 1"=5o' DATE' 5/90 NOTE' Tlqt~ is NoT A £URVE'I£b PLA] ALL LOCATIONS L~ 'ELL - F}attop TechnicaI Service, : 14530 Echo Street Anchorage, Alaska 9951f SLUFF LtNE [ EXtSTING (..To -FA U R.US :' CIRCLE BOuNBARy oF SEPTIC RE£ERVE' AREA LoT 7 SLOPE ANA~'fSI5: THE ToPO6R, A?H¥ IN THE I/ICINITY. oF THE PROPOSED SYSTEM RESERVE AR~A SLoPeS ~0 T~E 50UT~ ~T RESERVE ARE~: THE DE~IGNATEb RESERVE AREA ENCoHPASSES ~PPRoX 7700 ~ LT, B3., LOMA ES¥. WELL ~-.SEPTIC 5'/5TEIVl LS ITC PLAN SCRLE' I"= 50' DATE' S/rio NOTE' Tt-/I~ 1~ No' A £uRVE'/£~ PLa] ALL LOCATIONS ~'/NON -'P~R F pIPE D-3o3~ NOTE A~chorage, Alaska O I4.'T. ~_lattop Technical Services 14530 Echo Street 995].6 '4 ~EE NoTE SO' 0 H.T. 0 P1,T. C,O,] q*" PERF I:qP£ F- PLAN VIEW SEALE --~ % ...... /INC. ~ , , , ~CT ION A-A NOTE ~1~ INSTALL SCALE TO UPPER LT, B3, LONAA EST. .SEPTIC S~5'l'E M PLAN ~u X- SECTION SCALE' AS No-rED DATE: Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Lot 7. Block 3. Loma Estates 5240 Taurus Circle WATER SUPPLY & WASTEWATER DISPOSAL SYSTEMS SPECIFICATIONS 1. The scope of the work to be done includes the drilling of a well and the construe%ion of a wastewater disposal system consisting of a 1250 gallon septic tank followed by three parallel soil absorption drainfields, with the distribution piping configured to direct the flow into the upper fields before the lower ones. ']'he size of the soil absorption drainfield is based on a measured perc rate of 10 minutes per inch which was adjusted to yield a size requirement of !75 square feet per bedroom. This. 4 bedroom residence requires 4 x !75 = 700 square feet of absorption area which is to be accomplist}ed by means of ] 40 lineal feet of 5' wide drainfield. The septic reserve area designated on the site plan contains approximately 7700 square feet, which is in,excess of the 6000 square feet required by the wastewater ordinance. 2. The well and septic system components are to be located and configured as shown on the site plan except that minor modifications may be allowed or required by the engineer conducting ~he inspections. 3. Tl~e well is to be drilled at a location ~djacent to the top of the bluff as far to the north as it is feasible to get a drilling rig on the property. 4. All material specifications and construction practices shall conform to Municipal requirements. 5. The septic tank is to be a 1250 gallon, two compartment tank. Care shall be taken to ensure that any fill material under the waste line is thoroughly compacted. 6. The drainfield shall be constructed in three parallel segments as shown on the site plan. For each drainfield segment the surficial peat and sandy loam strata shall be carefully stripped off to expose the top of the silty sandy gravel stratum. In this stratum a 5' wide level bench shall be constructed with the bottom 2 feet below original ground level. A total of 12 inches of approved sewer gravel is to be placed in each drainfield, with the bottom of the perforated distribution pipes set level at no less than 6 inches above the bottom of the gravel. The 4" diameter non-perforated pipes feeding each of the lower draim'ield segmen'ts shall incorporate a 1" high bump directing the efHue~t to the uppermost drainfields until they are full, before allowing effluent to pass on to the lower drainfields. Filter fabric shall be placed over the top of the sewer gravel in addition to 2" of approved rigid, burial type insulation (35 psi), prior to backfill with 2 I'~et of soft cover. The top four inches of soil cover material shall consist of topsoil to allow rapid revegetation. Side slopes shall not exceed 3:1. Monitor tubes and cleanouts .~hal! be installed in the locations indicated. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 7. A total of 4 inspections will be required: ~ 1 .) initial stakeout, i2) after the draim'ield segments are excavated, but before placement of sewer gravel, (3) after the gravel is placed, the pipes are laid and connected up to the septic tank, but before final backfilll and (4) after final backfill. ~Jattop Technica! Services ~- ..... 14530 Echo Street ~nchorage, Alaska 99S~e Munlclpallly ol Anchorago DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LC)U WALLER LEGAL DESCRIPTION: PT 2 3 4 5 6 7 8 9, 10 11'- 12- 13 14 '15 16 17 18 19 20- T.I-I. ~j COMMENTS <~T R A. TuM SILT~ SANDY GRAVEL LOOSE, D R~ ~O~E COS~LE~ ~OULDER~ DEN~IT~ ~ COfl~glo~ Township, Range, Section: SEC 3,~ T H N, R 3W', ~. M. SLOPE · SITE PLAN WAS GROUND WATER ENCOUNTERED? CLE S L IF YES, AT WHAT O DEPTH? ,P E ~oniloring? DK'~ Date: 0 Reading Date Gross ~et M~I Depth to Net Time Time ~!... Water Drop ~:39 2G° ~ : u 2 ~ Sl~ PERCOLATION RATE ~O (minutes/inch) PERC HOLE DIAMETER T~STaU. B~TWEE. q.2~ ~TAND ~4.?g' FT PER~ TEST ~T~ oN cog FoR T.~,~2 WHICH Ig APPLICABLE To THE PERFORMEDBY: ,FLA~O~ TECU. 5ERVICE~ ~ ~~ CERT~FYTHATTHISTESTWASPERFORMED~N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS~ATE. DATE: ~/~/ /~ 72~08(Rev. 4/~) ~oRTIoN oF THE G~ ~TRATO~ IN ~. ~l /TU~ <C~k~ ~ ....... ~ ~]attop Technical Services 14530 Echo Street -~nchorage, Alaska 995]6 DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST T.N. ¢2. LEGAL DESCRIPTION: 2 4 7 13- 14 '15 16 17 18 19 20 T.g, i~2 COMMENTS THIS _ol= -I'. IL $~LT¥ SANb"/ LO,~ SIL'f¥ SANDY GRAVEL LOO-<;E~ DRY SA. ND'/ .SILTY (~RAVEL 'T I G.I..i T L"/ F'/i c_ K £ b CRA"/- BRow'N Township, Range, Section: ,~EC. 3¢ Tll N, RSW' ~.H. SLOPE SITE PLAN WA:;(;IItJUNI) WA II II ENCOUN I LIILI)7 ~k[O s L IF YES. AT WHAT 0 DEPTH? PF Oeplh to Waler Afler /,~/ Monitoring? J)R~ Dale: ~ ~0 Reading Date Gross Net Depth to Net / Time Time (~v'l j N] Water Drop(kiN) 5T4RT ~:3~ 22 ~ ~ 2 5:a7 ~o 2~ '~6 ~0 6:1o 22 ~/~ PERCOLATION RA1E IO~ (minutes/inch) PERC HOLE DIAMETER TES'F RUN BETWEEN ~..0 Fl' AND '~ '"~ FT NoT ~T T.N.~2 3 cLE PERFORMED.y: .FL/t'rFoF -FEcI-I. 5E'RVtCE~ i. CERTIFY THAT TRIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ,.~/ ~'/ 72-008 (Rev. 4/85) !20i ~smona St. 99515 A, NCHORAGE~ ~LA~KA SIX INCH WATER WELL DRILLED ......... OUT TO THE DEPTH OF 62~ Feet. DRILLED AT THE RATE OF ~20,00 PERFOOT. Steel casing seated to i25 feet. PROPERTY OWNER '.!r. ~ ~,irs. (LQuis ~ Sonic) ~Valler. 549-2350 746-'565? LOCATION OF WELL SITE Lt~ '~ Elk.~ Sub. ZO~/~ ~z~z~' DRILLER WELL LOG: O- 16' Bernie Claus of Rampart Drilling Works. 48 - 92' A silty sand hard clay with I0% fine ~ravel. r .vel R£C.[WE, D ~6 - 45' A damp silt}' clay. ''~" . . _ Uardpan. B cemented gravel. i~UNJCIPAI-ITY OF ANCHOI~G~ DEPT. O~ ~'~ .... ENvIRONMENTAt PROTECTION. OCT ' 8 990 92 - i}3' A brown weathered conglomerate. (Broken bedrock.) ii) - 12~' A slightly harder brown bedrock, going into ~ very hard rock for- :nation. ~o water or even wet material present in the footage just before rock. i25 - 625' A sedimentary bedrock. Some thin areas of porous & granular bedrock. Although water recovery (Sept. 20, '9©) was 4~ feet from surface, this Well, at its present best, produces 500gpd with probability of a higher yield dur- ing the spring & fall. It is possible that this Well could imProve greatly with use. Although I balked at sending out a bill for this Well, for any foot- age beyond 400 feet, ~ cut that cost to $20.00 per ft, I'did not intend to leave The Wallers with a virtually dry water well. (There was several feet of good porous type bedrock between 605 - 609' , but the water was not coming thru as I'd hoped. A slightly wet area from 16q - I67' was not very satis- i'actory, ~ several other wet areas were not yielding.) Lou, it is extremely rare that I'm this generous, but I felt I had no choice. fb.500.O0 paid on this account as o~' this date. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~ , 5~0.00 THAN YOU VERY MUCH. B RILUN WOR S DATE September 20, '990 P January 5, 1978 Charles Townsend 3745 Mountain View Drive Anchorage, Alaska 99504 Subject: Lot 7 Block 3 Loma Estates Subdivision Permit #77469 A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, LNN/ljh Health and Environmental Protection Sewer and Water Section 8i:::'F'!.. ]] Ii: F~H'i' I.. OCF!]" ]' OH i. ii:{ EiF:!L. C H A i'~: L i!:{ 5 T 0 !.4 H 5 E !;,i[) I..7 iE'ii: L.O["iFI [EFT' ]i:7,::~,5 H'T' '¢iEH DF.;: THE ..... :-': ~ ...... :.[~" !n nF r~ 'i"RF]HCH C~R PIT ];:5 THE i]:: 'i] 5]'!::II':E:E [~E-fi.,iEEI:-] "fl"~E 'SLiF~'.FA(]:E OF THE' (}!~?.O!li~':E) Fill!) THE I~]Ed"T'O!':t r)F THE E::.::(':F3:,:Fi'T'];I]}H (iH I::'EET). 'MiE2E i5 i:.,i0 S!E]' HiO]'i.~ FOR THE GI::?.F!:,/EL !],EF:TH ~5 ]"HIE i':i]]~']~i{[']ill.i[:l! il) Ep]I'H l~iq!) ']'HE [(:Ol'fT{l$i OF 'T'HE F]:.:;CFIVFr'fiON ( ];i'.,i FEE'!")I FI ["!I::1 t I',!T!Ei'4FI.H(]:E E:!E I;]'.E(;!i.Ii'[!:;i:E[) '' [ ' C ) EHt...FIi:,:I61;~i: 'THin-i] HFt"r' !.:'_'~E :!::;i..tE;,:rEc"f TO i],EF:'i::~I:;i:TI','ii!MT !.,.!)5i..L. !~:lii!Z ':'~.;I.j[~L]]:~](7i' TO ;i; CEF;;:T i F:'Y 'T'HI::fI" i: 7i; FII"] i::'FIi'"i];L]ZF:!i?. I.,!iTH TH!-:; i~5:OL.I]:~,~'.iEi'"iEiqT:~-; !:::'O1:-;: (}H-'-.'.~;;¢TE 5EHEF.'.'.iii; FILS)!.,.!iEL..L.::~; I:1'.:.'~ FOi:;~:TH ?,'¢ TH.,!i:.'. f"!Lfiq]]('Z:];F:!::i!..]'T'r~ OF: 2: 1; i.,.!;{ i.L ;(I'.,iSTF!!...(. THE 5'¢:5'T'!i:'.i',1 Z H FE:E:Ot~;I(:,I::iHE:!.Z H ;!;'Ti-~, THE COi],E'..':.:;. ;'~:: ;(iJ?.41;)EF.:5-;"r'F:!Hi;) ]']"hq'l' i-HiE (]h!.--Sii;Z]'E 5E].,.t!!~;R 5!;75!;]"i~]"i i'"iFlS' I:;;'.!E(;¢J]:I:;;:E E?.~I.F!!;?.6Ei"'IfS~;i'.4T :iF ]'HE i;iE5)'!)!::~]$]!::; :('i::; REI"](]E:,!iE!..i:!:-E:, ]'(] ;i:?.,!E:[.J.ii},F; i"iO!:;~:E ']'Hi:.:!!'.,! 4 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 GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent N- ,~, Ad dress Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well v,' Community well NOTE: Public water If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEE~ 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 verifythat 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 (~l~l't'o? T~c~n~¢~[ ~¢~"~';c~' Phone Address /ff'~-3~ ~A~ ~ ~c~% ~ ~-'~ Engineer's signature ~~ ~ ~ Date DHHS SIGNATURE X' Approved for/~' ~- (/z~L,/) Disapproved. Conditional approval for bed rooms. bedrooms, with the following stipulations: Additional Comments By: ~ ~,~-r~-/-~ Date / / - ~ - ;¢ / The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The 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. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 724:)25 (Rev. 1/91) Back MOA ~21 Legal Description: Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Parcel I.D. ~ ~ o ~_ Well type ,Pc-~u~/-~ If A, B, or C, attach ADEC letter. Log present (Y/N) Total depth. Sanitary seal (Y/N) ADEC water system number Y Y Date completed 9/~-o/9~' Driller Cased to I ~5" Casing height Wires properly protected (Y/N) 1:3" 't~atebf test ' ' Static water level Well flow PumPlevel FROM WELL LOG --~' 5'00,,~¢~1/~*',k' g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot t '75' Public sewer main ' Public sewer serVice line N, AT INSPECTION lO / Z¢ /~ I ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank MUNICIPALITY OF ANCHORAGE ,EI~f:iROtqMENTAL SERVICES DIVISION NOV ~0'6 1991 g' CEIVED WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ,~ O,* ~ /~-,~ Other bacteria If /'q/9 ! Collected by: B. SEPTIC/HOLDING TANK DATA Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Foundation cleanout (Y/N) ~' /V,A., Alarm tested (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Onadjacentlots ~, too' Absorption field ,5-0' lO0' Well(s) on lot i 35-' To property line I O~-~ Surface water/drainage Compartments ~' Depression (Y/N) N'4-. Foundation Water main/service line 72-0?6 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA {~t1~o Width Date installed Length I~O' ~' Total absorption area ,'TOO Depression over field (Y/N) h¢ Results (pass/fail) /~,~. Peroxide treatment (past 12 months) (Y/N) Soil rating Gravel thickness O, ,5-' Cleanouts present (Y/N) Date of adequacy test for If yes, give date 42'/¢'~r~,, System type Total depth Y bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots ~' Ioo' Surface water ~ fo, O' Curtain drain On adjacent lots ;~ ~oo' Propertyline tO' To existing or abandoned system on lot N,~. Cutbank -¢'~' Water main/service line ;=. too' Driveway. parking/vehicle storage area 5'"~ ' 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 Date HAA Fee $ Date of Payment Receipt Number ~',~,~. ,~% CE-3582 Waiver Fee: $ Date of Payment Receipt Number . , ~"..~ m ..l~;'~ CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. October 1991 PH: (907) 345-1355 M.O.A. DHHS P.O. Box 196650 Anchorage, AK 99519 14530 ECHO ST. ANCHORAGE, ALASKA 99516 Dear Sirs: We are providing this description of our recent test of the yield of the well serving the 4 bedroom residence on Lot 7, Block 3, Loma Estates, located at 5240 Taurus Circle. The property owner, Louis Waller, had discussed the driller's logwith John Smith last January, and was told that, since the driller's log indicated the well yield is quite low, a flow test would be required by DHHS before issuance 6f a HAA certificate. According to the driller's log the well was completed in September of 1990 and has a total depth of 625 feet, a static water level of 45' and a yield of approximately 500 gal/day. At the start of our test on October 29, 1991 the initial water level stood at 134 feet below the top of the casing. Steady pumping of 587 gallons of water from the well at the average pump output of 5.5 gpm caused the water inside the casing to be drawn down to the level of the pump intake at approximately 560 feet below the top of the casing, at which time the pump was shut off. To establish steady state conditions, we let the water recharge for a couple of hours and then drew it down to the pump intake again. After another 129 minutes of recharge we were able to pump an additional 63 gallons of water from the well. This translates into a well production of 63 gal./129 min. = 0.48 gpm, which is equivalent to approximately 700 gal./day. Based on these test results we determined that the well yield does now qualify for a Municipal Health Authority Approval certificate for a 4 bedroom residence. The owners would appreciate your prompt 'approval of the enclosed HAA application and certificate so that they can f'mally get out from under,th~eir current high interest construction financing and convert over to conventional f'mancing. Please feel tree to give me a call if you have any questions. Sincerely, Ted Moore, P.E. cc: Lou and Sonia Waller CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE. ALASKA 99518 TELEPHONE I907) 562-2343 ANALYSIS EEPORT BY EA~LE fez ?[O~Kozder~ 39637 Date Report Printed: OCT 28 91 ~ i1:50 FAX: (907) 561-5301 PWSID :UA Collected OC~ 24 91 ~ 15:00 hrs. l%aoeivod 0C91 24 91 ~ i6:45 hrs Client Nome :FLATTOP TECtINICAL SRV Client Aeet :FLMfOT BPO ~ PO ~ NO}IE RECEIVEO Raq $ O~oxod By £ED ~ORE Analysis Completed :OCT 25 91 Send Repoxts 1)FLATTOP TECHNICAL [,abo~ato~y Supo?:vi~/~_3STEPltEIt C. Chemlab Eof ~' 915713 Lab Smpl ID: 1 Matrix: Allowable Par_mr, o;;e~ Tested Result Units Method NITBATE-N ND(O. i0) ~/1 EPA 353.2 Sample ROUTIN~ ,%At6~LE COLLEC'£}iD BY: T.F. I~OORE. R~m~'ks: I. To,ts ?e~£orlaod ' Soo Special Instrucl;],on~ hbove U~=Unavailab].e ND~ None Ootactod ' 3e~ Sample ~raarK~ ~bovo NA,~ Not Analyzed LT~Le;~8 Than, gT~greatez Than ~'~-~'~-~ Member of the SGS Group (Soci~t~ G~n~rale de Surveillance)