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HomeMy WebLinkAboutHIGHLAND HILLS #1 BLK 1 LT 12Highland Hills lock I Lot 12 050- 382 -19  Municipality of Anchorage Development Building Services Safety Division Department On-Site Water & Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 05P101085 PID Number: 050-582-19 Nome: JOHN COLOGGI WastewaterSystem: [] New · Upgrade Address: 6420 HILAND ROAD, EAGLE RIVER, AK, 99577 ABSORPTION FIELD Phone: No. of Bedrooms: N/A 3 · Deep Trench [] Shallow Trench [3 Bed [] Mound [] Other LEGAL DESCRIPTION so,, Rating: 1.0 GPD/Sq. Ft. Total Depth from8 oHginalMAXgrade: Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Grovel depth beneath pipe: 1 12 HIGHLAND HILLS #1 3.96 Ft. 4.04 rt, Township: Range: Section: Fill added above original grade: Gravel length: SEE DWG. rt. 46 rt, / Gravel width: Number of lines: Distance between lines: WELL: [] New [] Upgrade 5 rt. 1 - rt. Classification (Private, A,B,C): Total Dept~/ Cased TO:(BEDROCK) Total absorption area: Pipe material: / rt. Ft. 450 SQ. Ft. D 5054/ F-810 Driller: .,~.~\~,~_.~ / Date Drilled: Static Water Level: Installer: Date installed: rt. SOUTHFORK CONST. 8/10-11/2010 Yield Pump Set At: Casing Height Above Ground: ~GP. rt. rt. TANK SEPARATION DISTANCES ~ Septic [] Holding [] S.T.E.P. [] Other* T~o Septic Absorption Lift Holding Public/Private Manufacturer.' Capacity .in gallons: Tank Field Station Tank Sewer Lines ANCHORAGE TANK 1000 Material: Number of compartments: Well 100'+ 100'+ - - 25'+ STEEL 2 Surface Water 100'+ 100'+ - - - LIFT STATION Lot Line 5'+ 10'-{- _ _ _ Size in gallons:IJ~Manufacturer: / Foundation 5'+ 10'+ -- -- -- "Pump on" level at: ~at: High water alarm at: Curtain Drain - NONE KNOWN ~ Pump~ Electrical Inspections per~ormed by: Remarks: BENCH MARK Location and Description: NOTE: OLD TANK ABANDONED PER CODE. BOTTOM OF WINDOW SILL ON NW WALL OF SHED As .... d mvatio.: 105.25 rt. ENGINEER'S $ Inspections performed by: CEO, Ltd. Dates: 1st 8/10/2010 ~.~~,, Development Services Department Approval ~ 4J~-T¢~ "-..-~ Conditional approval: D a ~ e: ~.. ./// .~.~ ........ PERMIT NUMBER: 0SP101085 A B C D ST1 97.21 79.07 16.12 13.59 ST2 101.23 80.29 20.81 13.58 DBL1 102.88 81.01 22.76 14..35 DBL2 104-.77 81.77 25.06 15.4-5 C01 100.65 71.65 27.84- 12.86 MT1 100.83 73.36 26.02 11.56 C02 128.79 111.36 4-8.06 4-4-.67 MT2 128.35 110.01 4-7.4-4- 4-3.34- qLACE. OLD ;EPTIC PER IPC. CHUGACH STATE PARK AS-BUILT DRAWING DRAIN FIELD NEW GALLON I SEPTIC TANK I ,, J /' IiII EXISTING 3 BEDROOM HOUSE \ \ \ X \ \ \ WAIVER GRANTED PRIOr TO CONSTRUCTION PARCEL ID NUMBER: 050-$82-19 SCALE: I I 1" = 40' GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AN 99507 * PHONE (907)'~37-6179 * FAX (907)558-3246 * WEBSITE: www.gamessengineedng.com PREPARED FOR: I PHONE NUMBER: JOHN COLOGG I N/A LEGAL DESCRIPTION: HIGHLAND HILLS #1; BLOCK 1, LOT 12 PAGE NUMBER: 20F3 DRAWN BY: A.J.G. DATE: 12/21/2010 TYPE OF WORK: AS BUILT DRAWING OF NEW SEPTIC SYSTEM (Rev. 01/05) PERMIT NUMBER: OSP 101085 AS-BUILT DRAWING PARCEL ID NUMBER: 050-382-19 F INSULATION St1 / /-FINA;~ADE = 100.93-100.96 TOP OF TANK ~ r~ / I r=l /-- TOP OF TANK AT INLET = 97.25 '~ / -- ~ AT OUTLET = 97.15 TH# 1 MT CO r- FINAL GRADE = / 98.7o-99.o3 II II / /-ORIGINAL GRADE II II / / @ HIGHEST 11 II / /=POINT_ ~§~ ~-iNVErt OF PiPE ~--BOTTOM OF TRENCH = 91.06 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 85.06 (DRY) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8, GENERAL CONTRACTORS E. TUDOR ROAD, SUII~ 101 * ANCHORAGE, AK 99507 * PHONE (907)337-8179 * FAX (907)535-32~-6 * WEBSITE: www.gomesse~glneerlng.com PREPARED FOR: PHONE NUMBER: I PAGE NUMBER: JOHN COLOGGI N/A I LEGAL DESCRIPTION: HIGHLAND HILLS #1; BLOCK 1, LOT 12 TYPE Of WORK: PROFILE AS BUILT DRAWING OF NEW SEPTIC SYSTEM (Rev. 01/05) 30F3 DRAWN BY: A.J.G. DATE: 12/21/2010 On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 EImore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101085 Tax Code Number: 05038219000 Work Type: Septic Upgrade Permit Effective Dates: July 07, 2010 to July 07, 2011 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: HIGHLAND HILLS #1 Site Legal Address: HIGHLAND HILLS #1 BLK 1 LT 12 G:0458 Owner/Address: COLOGGI JOHN R & DEBORAH A 6420 HILAND ROAD EAGLE RIVER AK 995770000 Site Mailing Address: 6420 HILAND RD, Eagle River Lot Size in Sq Ft: 99412 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: Permit includes waiver OSP101110 allowing the drainfield to be 10 feet from a slope greater than 25 percent. Received By: ~'_ /~~,.~ ~ ,( .~.~¢~~-7.~ Issued By: ~~..~i//~i~'~-~- M 'i "' ~-- - ~' um-c ~panty o~ Ancnorage ~ -------- .------~.....~-... P.O. Box 196650 · 4700 Elmore Road Anchorafle, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 '..h.t. tp:llwww.muni.or.qlOnsite Development 'Services Department 'On-Site Water and Wastewater Pro,qram ~ep~trtment **** VAlANCE/WAIVER REVIEW **** WR#: OSP101110 HA#: Permit~: OSP101085 PID#: 050-382-19. Legal Descdption: Highland Hills #1, Block 1~ Lot12 Engineer: GEG Applicant: John Colo.q.qi Your request for a waiver of the reqaired 50 feet horizontal separation from the absorption field to a slope greater than, 25 percent has been approved. The approved separation distance is 10 feet. This waiver approval applies to the existing absorption field to a slope greater than 25 percent separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: (.2~lame of I~evie~er Rec#: 044203r Amount: $200.00. Date Paid: 7/7/10. **** VARIANCE/VVAIVER REVIEW **** Municipality of Anchorage Development Services Department ON-SITE ~'~,~,.'~ 6~#tl)1110 FOR ~, , ~- /olo¢~ ,,,',,~', O~P ~c~ ~.~. O~O - G %Z- Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 SEWER/WELL PERHIT APPLICATION SINGLE FAHILY DWELLING Property owner(s) JOHN COLOGGI Day phone Mailing address 6420 HILAND ROAD *EAGLE RIVER, AK Site address Zip Code 99577 Legal description (Sub'd, Block & Lot ) HIGHLAND HILLS #1, BLOCK 1, LOT 12 Legal description (Township, Section & Range) Lot Size 9 C~, L-I I'~ Sq. Ft. N/A Number of Bedrooms THIS APPLICATION IS FOR ( [] all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. 11/05) Waiver Fees: ~,_¢0 0 Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, CONSULTANTS & GENERAL CONTRACTORS Ltd. June 15,2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Highland Hills #1; Block 1, Lot 12, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. Per the homeowner the septic system is in a state of failure and needs to be upgraded. We are proposing to install a 1000 gallon septic tank and a 5-wide trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the drainfield is 10-20% for approximately the first 42 feet and then goes to a 25-30% slope. The system will not daylight out prior to 50 feet, please see attached profile drawing. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any_qu~5,, please contact us at337-6179. Thank you for your assistance. -'"J~frey ~[ (/~,,~, P.E], M.S. Preside~l/ u ~ NOTE: ~AMached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E. G. Ltd. for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS July2, 2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Comment Sheet for Highland Hills #1; Block 1, Lot 12, To whom it may concern: We have revised the design and profile drawing to more accurately show the slopes at the north end of the proposed drainfield. The slope at the north end of the drainfield is a 10 to 20 percent slope that increase to a 25 to 30 percent slope just downhill from the drainfield. As can be seen on the attached profile drawing, at 25 percent slope starting 2 feet above the top of the drainfield, the slope does not daylight 50 feet downhill from the drainfield. The area is heavily vegetated and the existing drainfield has similar slope conditions with no indication of daylighting. In short, there are no concerns in regards to effluent daylighting downhill from the proposed drainfield. Attached is the waiver fee you have requested. ~Sil~cerely, Pre~Ye~! .., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com ~ ~ x ' \ ol I HIGH.ND HILLS ~1, 1 ~ SCALE: I I BLOCK 1, LOT 11 [ ~ ~ I I 3701 g ~R RO~, ~ 101 * ~C , - , -~ .. ~ gE. .- ~/ LEGAL DESCRIPTIOH: D~WN BY: HIGH'ND HILkS ~1, BkOCK 1, LOT ~PE OF WORK: DATE: ~k~rofessiO~~ S~TE P~N ~ 0/7/2009 (Rev. 01/05) DESIGN CRITERIA: NUMBER OF BEDROOMS: 3 /\ ~LONS PER DAY (GPD): 4so+ ~ ~ PERCOLATION RATE/S: 5.0 m ~MINIMUM D~INFIELD SO.~.: 450 DRAINFIELD DESIGN: WIDTH' 5 FEET EFFECTIVE: 4 FEET REDUCTmON FACTOR- 0 50 / I TH~I POSSIBLE FUTURE USE~ EXISTING T~K TO BE / PUMPED, CRUSHED, AND INSTALL DOUBLE CL~NOUTS~ , NOTE: THE CONTRACTOR SHALL HAVE THE WEST LOT LINE, AND ALL WELL ~DII 1~~/ F~GGED BY A REGISTERED ~ND SURVEYOR P.,OR TO CONSTRUCTION. ~ ",, CONTACT GE~. BY PROCEEDING FORWARD z ~ ~. ~ WITH THIS INSTAL~TION, THE ENGINEER, PROPER~ OWNER AGREE THAT TH~ ~ ~ R~D THESE SPECIFICATIONS AND . I I SEPTIC' DESIGN DRAWING 7/2/201 (Rev. 01/05) NOTE: SYSTEM DOES NOT DAYLIGHT 50 FEET DOWNHILLI 50 FEET 25% SLOPE AT 2 FEET ABOVE TOP OF DRAINFILE/ PROFILE ON NORTH END OF DRAINFIELD LEGAL DESCRIPTION: I DRAWN BY: HIGHLAND HILLS #1; BLOCK 1, LOT 12 J PNB/JLM TYPE OF WORK: J DATE: REVISED PROFILE DRAWING J )1 0 (Rev. 01/05) -- S ENGIN ~I:RING ~ )UP, Ltt CONSULTANTS & ~S" -:RAL CONT~ :TO ~. ~. :'....V~..ltT...'.. 2. ..... ':kS. ;61 3 .' ~ [TEST --~1 ~~'!~ oa~A.~CS HOLE ~ GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. llJDOR ROAD, SUITE 101 * ANCHORAGE, AK. 99507 * PHONE: (907)337-6179 * F~(: (907)558-3246 * WEBSITE: gomessengineeHng.co [S01L LOG - PERCOLATION TESTI LEGAL DESCRIPTION: PERFORMED FOR: SOILS LOGGED BY: COP1NENTS: GP TO GM SOIL CLASSIFICATIONS GW ~ ORG GP NL GN CL GC OL SW NH SP CH SM OH SC DEPTH TO DATE GROUNDWATER DRY 6/8/2010 DRY 6/11/2010 DRY 6/15/2010 SEE ATTACHED SITE PLAN SCALE: I 1" = 100' DATE READING CLOCK NET TINE WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 6/11/2010 1 12:40 - 6- - 2 12:50 10 5 1/2" 2 1/2' 5 12:50 - 6- - 4 1:00 10 5 5/4" 2 1/4" 5 1:00 - 6- - 6 1:10 10 5 5/4" 2 1/4" 7 1:10 - 6,, _ 8 1:20 10 4" 2" 9 1:20 - 6,, _ 10 1:50 10 4" 2" 11 1:30 - 6- _ 12 1:40 10 4" 2" PERCOLATION RATE 5 (MIN./INCH) PERC. HOLE DIA. 6 TEST RUN BETWEEN 4 FT. AND 5 FT. A FOUR HOUR PRESOAK WAS PERFORHED: · YES [] NO JODY MAUS PERCOLATION TEST PERFORHED BY: JODY MAUS (INCHES) WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: NAME MAI LING A~D~R//E~S / LEGAL DESCRIPTION / o- X? / xc , LOCATION I Well I Absorption area Dwe ng Manufacturer I Material /' Lin. cai: ] EMADE: Inside length~- M ar~.u~t u¢87 No. of lines / Length of ~ Total length of lines I Trench wi~ - ~,; ~,, I ,¢ Top of tile to finish grade Length Width MUNICIPALITY OFANCNORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENI'AL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT -~:ON E (? ~ 2/~_~ ~ UPGRADE Material beneath tile ~ inches Depth NO. OFBEDROOMS PERMIT NO, No, of cor:lpartmeRt$ Liquid depth PERMIT NO. Liquid capa~ib/i in gallon~ ~ PERMIT NO, ~IO '?.,~ o_ Distance betwee~ lines _ Total effective' abspj:ptio~ area PERMIT NO. Type of crib '~-TAN C E TO: Crib diameter' Well - -' Depth DISTANCE TO: Building foundation OTHER PIPE MATERIALS C~]b d~pth . .. LTotal ~ffective absorption area . . Building foundation 1 Nearest lot line . -- Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorption area(s) SOIL TEST RATING INSTALLER REMARKS tPPROVED // DATE 72-013 (Re/v ':~I7R) /I LEGAL !::IF'PL I C FII',IT L Q C FI'!" I 0 I"~ LE6FII... C'EF:'F![~:Tf'!EI',IT OF' HEFIL. TH FIND [ZN',,,'IIq:OI',!HEI",Ff'F~L. F'!'4:OTEE:".r'I"i~h~, - I"IELI:.'i;:'SFI 15TROH,.."BILL. l:li~:E~l'.,! SF:: '3:~:Ek'J. EF: r'! 14. H if. LFIN[) L. Z2 E',LI. FIIGHL. FtN[)I"IILI....S LOT SIZE hlFI::.:;IHI...IH N~IHEEF' F.:::' E:E£:,REIOH% = .T.:': SOIL RFFT'ING ,:: :.:-:, 6! FI",..'E$1::: .... :1.4!5 "FHE 1:4:EI:;.!I_I I Fi:ED E; I .ZEE OF' THE: '.:..i;131 L FIE:S()RF'T :[ O1'4 E;'.,.'I:_"".."I"EH I S ' THE L.!ENG"FH !;::, I HEiNg.; ]101',! I E; THE LEiNGTH ,:1 ]1N FEET ::, OF' THE TI:~:EI'..IE:H i.':lR [)RFI I NFI EL.[). 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E~FIE:I':::I::' I L.L :[ NG OF I:~N"r' :':i;'¢:E;TEH f,.I I THOLI'I" F :[ h,IRL I f',l'JE F'EE:T I (id'.,I FIN[) FIF'F'fE:O',/FIL EFt' "['H I :E; DEF:'FII;i:"I"HEN'f' H :I: L.L. E~E '!!;UEL.:rEC T TO .:::'F' 'i '/E ': _. T t ON. t',1'_1'[.,!11',11..1I',1 r.':,ISTFINCE BE'T'I,.IEE!'.,I FI 14ELL F~N[:, F:IN'¢ ON..-.:E;Z'TE: SE:t,.IFIGE [::,!SF'OSFIL S'¢:STE:H :t.E,~!) FEET F:'OF: iq F'RZ',,,'FFFE I.,~ELL. OR :t. 58 TO ;2Ei~;~l F'EET F'RQH F:I F'UEd_IC i.,.IEL. L. UF'ON 'THE T'¢F'E OF' PUBL. ZC b.IEL. L.. H Z I'.,I ~ I'1L$1 E:, ]: 2;'f'RNCE Fl:;;rOf,1 Fl F'F;: ]: ',/FFFE; 1.4EL. L. TO R F'R I ',/FFFE SE:HER L. Z NE I S 25 FEE:T FIND TO R COhtHI...IH~T'.r' :~;EP.IER LINE ]:S 75 F'EET. I.,.tELL LOGS F~RE RECK.I IF:E!::, Rt'.,!D 1','ll..l~5'T E:E F;'.ETL.IRNE[) TO 'I"HE E:,E:F'RF~:Tr'IEI',IT HI THIN 1i:8 OF THE I,llIELLI E:OHF'LETION. OTHER REX;!LI~REMEHT6 PIFI"r' FIF'F'L.?. :SF'E:C ZF I CFIT:[OI",I:5 FINE:, E:ON:STRUCT I ON E:,ZFIGF'.FIFIS FIRE FI',,/F:~ ! L..FIE:L.E 'TO I I",I~;LI!q'.E F'ROF'ER Z [,I9'T'FILLF:IT I I CEF'.'T I F:"¢ FOF'.TH B"r' THE: HUNICIF'FILI ~"~" OF FINE:HOfq:FIGE. ;2: ~ HILL INSTFILL. 'THE S'¢:STEH I1',1 F!CCORE:'FINCE Hi[TH THIE CODES. 3: I UNC'ERSTFIND TI'IRT THE: E$,t'"':5ITE ~i;EI.,.!ER S;'¢:E;TEH PIFPr' R:!E~;d_.ItF:E EblI...FIRGEHENT ]:F' THE RESIDENCE :IS REMODELED TO INCLLIDE HORE TFtRN ~: FIF:'F'L. X CFIh,F[' HEL. I SSR S'FREIH,-'"E', ILL. F!I:a:ONSOt",I O & E EN~,NEERING & DEVELO, MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Performed for: Legal Description: Earl Ellis SOIL LOG 688-2280 Name: /'~,/Z./L /~/~OA/",~/,z' d /1'//~L*/~-%/¢ ~7-~ Tel. No. Depth (feet) 0 Soil Characteristics 11__ PLOT PI.AN PERC, TEST 14__ 15__ 16 ____ Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: No ~ If yes, what depth _ Drain Field Performed by: ..~ by DOC Co. dba SULLIVAN WATER WELLS P,O. BOX272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 OWNER OF LAND ";'~: ~ ADDRESS /~ '::,' "?: ~' ~ ' ;' ~-:, ~ LEGAL DESCRIPTION .F, / ..:': ,: i DATE - Started ~/ -~ ~ ' / ~r ~/ Ended PERMIT NUMBER ,~:~;~r }~,~ ' DEPTH OF WELL ~ ~ *~ STATIC LEVEL OF WATER FT. FT. ~'(//· ":/ GALS. PER HR · j ~ KIND OF CASING ~:~ : ~"' KIND OF FORMATION: From '~ Ft. to Ft From , i :Ft. to =; ; Ft. From__.Ft, to From From Ft. to , From.. From From From Ft. to From / © Ft. to' ' c Ft. From .: ) Ft. to /:: ? Ft ;' L~.,'. ,'i, ':~ '. ~ ? From From Ft. From Ft. ~ :,~,' ' ;'~ :~ ': '~ <'/=''~:~ ': From Ft ":' ' ' ~ ~ '" ~' : '~:; ' ':.~ i ,~';' ' :=: ~ ~ .,' From _ Ft. "" ' ;~' ;' ' " Ft. ,< ' 4: L ' > : = = ~l'om Ft. ,~)~: ',v: '~ '~ ,' :;".; -: "-' :~: ? From Ft. ":> ~ ~',' From From Ft. to Ft From ~ ' Ft. to r, g Ft. From ' /, Ft. to /' -~' Ft. From__Ft. to Ft. From /:' ? Ft, to : : ~ Ft, Ft. to___ __Ft. to__ __ Ft. to_ Ft. to.___ Ft. to__ Ft. to_ Ft. to __ Ft. to _ Ft. to___ Ft. to____ Ft. to_ From Ft. to From_____Ft. to : From Ft. to_ From Ft. to From ~ Ft. to From.--Ft,x~o Ft __Ft. .Ft. Ft. Ft _Ft. _Ft. ___Ft. Ft. Ft Ft Ft Ft Ft. Ft. Ft, MISCL. INFORMATION: DRILLER'S NAME (gerlifie rilling hy SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759 OWNER OF LAND ADDRESS ~fl'~ 5~ LEGAL DESCRIPTION ZO''~~ /:~ (~ C, d"O (.-~,~ / DEl'TH OF WELL Z/~ /'~ /~ .- STATIC LEyEI_ OF WATER F'r. [ ~ ?'-~4 DRAW DOWN FT. Ended DATE - Started PERMIT NUMBER KIND OF FORMATION: From ~ .Ft. to..~x~OO Ft. -, ._ .-, to,_,..~/ From7?- ~ q) .Ft. From '~/ ~Ft. to ~ ~D Ft. From,.~ ~ .Ft. to ~ Ft. From ~/~.Ft. to ~ /~Ft. ~,om ~ ~ V.~t. to Y~g ~t. ~om.~9 ~ .~t ~o~r~F~. From ~ Ft. to Ft. From~& .Ft. to ~c~¢ Ft. From Ft. to ~ Ft From ....... 71 Ft.' to From Ft. to Ft. From Ft. to Ft From Ft. to Ft. From ~ Ft. to Ft. From Ft. to Ft ~ ~<) ,~. L,'( t~L~JQ/¢' From__Ft. to___ Ft. '.L/< "~ 7 From __ Ft. to Fl ~;~'~',4 Or, lC From__Ft. to --Ft Ft~ W~, c.. '7'k3 t'2g .g~ From Ft. to___Ft From Ft. to _Ft '"From ~-F(.;?C, [ From Ft. to_ From Ft. to From Fi. to From__.Ft. to__ _Ft. Al J6 1 1996 hr~io~mr~litu t)l /,MicF~ofage DeJ~J: Health & Human Services From Ft. to_ _Ft. MISCL. INFORMATION: DRILLER'S NAME NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE 8005 SCHOON STREET FAIRBANI<,S. ALASI<,A 99701 ANCHORAGE. ALASI<A 99518 !907) 456-2'16 · FA< 456 3125 1907) 349 '900 · ~A;,t $~'9-1016 John R. Cologgi 9852 Hiland Road Eagle River AK 99577 Attn: - Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: F162977 L 12 B 1 Hiland Hills #1 Kitchen Water Report Date: 07/18/96 Date Arrived: 07/09/96 Date Sampled: 07/08/96 Time Sampled: 0500 Collected By: JRC MDL = Method Detection Limit * Flag Definitions B = Below Regulatory Min. H = Above Regulatory Max. Date Date Lab# Method Parameter Units Resu].ts ~ MDL Prepared Analyzed F162977 EPA 150.1 pH Unit 7.9 07/09/96 EPA 160.1 Total Dissolved Solids mg/L 201 20 07/12/96 EPA 200.7 Calcium mg/L Copper mg/L Hardness as CaC03 mg/L Iron mg/L Manganese mg/L Sodium mg/L 53.7 0 272 1.62 0 1.15 0 1.06 H 6.84 0.016 07/12/96 0.008 07/16/96 0.1 07/12/96 0.010 07/15/96 0.003 07/15/96 0.120 07/12/96 EPA 200.9 Arsenic mg/L 0.331 H Lead mg/L 0.010 0.030 07/11/96 0.002 07/12/96 EPA 300.0 Nitrate-N Nitrite-N mg/L mg/L <MDL <MDL 0.03 07/09/96 o.03 o7/09/96 EPA 310.1 Alkalinity as CaCO3 mg/L 107 07/o9/96 SM 203 Langelier Index Unit 0.1 07/13/96 Rep~ed~hnso~ Vice~PT~=~id~-nt NORTHERN TESTING LABORATORIES NC. 3330 INDUSTRI:,L ~, ENUE 8005 SCHQON STREE~ FA',FE z,r'lk.S. ,ALASKA 99701 z~, C'-ORAGE ALASKA' 9 ,I 1907'~,15ti, S~'6 · FAX 456-3125 ~9071~349-'~,_~' · FAX 349-1016 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA John R. Cologgi 9852 Hiland Rd. Eagle River, AK 99577 Phone No. Purchase Order No. Collected by: JRC Sample Type: Routine Untreated Method of Analysis: MMO-MUG (Colilert) Comments: Public Water System I.D.# Date Received: Date Analyzed: Date Reported: Next Sample Due: 07/08/96 Time Received: 11:25 07/08/96 Time Analyzed: 14:30 07/09/96 Time Reported: 15:58 Comments: S U POS ND TNTC CG HSM SA = Old = Satisfactory Unsatisfactory Positive Test Result None Detected Too Numerous To Count (>200 Colonies) Confluent Growth Heavy Sediment Masking, Results May Not Be Reliable Sample Age >30 Hours But <48 Hours, Results May Not Be Reliable Sample Age >48 Hours, Too Old For Analysis Resample Required No Test * # Colonies/lO0 ml ** # Colonies/mi Sample Sample Total* Fecal* Other* HPC** Date l'ime Coliform Coliform Bacteria Result Lab# Location Comments I 07/08/96 05:00 ND ND NT NT AC1651 Kitchen Satisfactory Ju 1~/~ ~Schae~fer - ,/~ " Env~fronmental Aha lyst~/ 7/19/96 well test '~ell test done 7/19/96, Closed pressure switch and filled tank. Killed power and emptied I '~nk through meter. Tank held 23,5 gallons when charged to 60 psig. Turned power back on' and noted meter reading and water level every 5 minutes for one hour, Initial tank fill (run o_ut a__~fter turning power' off at the end) is added to the first volume of water pumped. Turned! ol"~ power and noted water level ~s the well refilled.] -- I ~me water level meter readin¢ water' wellbore net well _ from top pumped de-inventory production (ft) (gal) (gal) (gal) (gal per min)I 11:02 83.5 23.5 11:07 106i 60 46.5 31,5 3.0 ] 11,.12 120! ~0~ 4~ ~9.6 4.3 11:17 130 144 431 14 5.81 _ 11:22 140 187,5 43,5 141 5.9i 11:27 147] 231 43.5 9.8 6.7I I 1:32 154 274 43i 9.8 6.61 -_ ,,..37 ,60 43t 8.4 6.9i _ 11:42 165 359 42 7 7.0, _ 11:47 170, 402 43 7 7,: _ 11'.52 175 443.5 41.5 7 6.9 11:57 179 485.5 42 5.6 7,31 12'.02 180 528 42.5 1,4 8,2t _ 12:131 143 528 0 -51.8 4.7t 12:18 127 528 0 -22.4 4.5 12'.23 119 528 0 -11,2 2.2 12:28 112 5261 0 -96 2.0 12:33 107 528! 0 -7 1,4 12'.38 104 528 0 -4.2 0.8 12:43 102 5281 o ' -2.8 0.6 12:48 100 528 0 -2.8 0.6 _ 12:58 98 528 0 -2.8 0,3 _ 13:08 96 528 0 -2.8 0.3i _ 13'.23 951 528 Oi -1.41 O, 11 Page l MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEAl_TH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY Application Date~J' Gr~NERAL INFORMATION (a) Legal D..~scription (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Address ~-/~ ~ ~~¢~ (c) Applicant is (check one): Lending Institution ~; Owner/builder ~; Buyer ~; Other~ (explain); (d) Lending Institution ~¢~ ~~ Telephone Address ~,2 ~~1- (e) Real Estate Company and Agent Address Telephone (f) Mail tl~e,HAA to.the fpllowing address: SRB 196~ Ea~le ~iver, Alnsl~n TYPE OF RESIDENCE Single-Family,J~ Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAl.. Onsite~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legalily and status. Page 1 of 2 72-025 (11/84) Address Date Authority Approval shows thai for the number o! bedrooms ~nd fi'om the Municipality o! Anct~ wastewater disposal system is in comPiia~c~ ~it~ the date of this inspection. Name of Firm 2 & S SRB 196x Telephone Approved for ] (~-~ %' bedrooms by ~// .... ~ Approved ~."~ Disapproved Terms of Conditional Approval Conditional CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 Casing Height Above Ground Electrical Wiring in Conduit ~)/.N~' Separation Distances from Well: MUNICIPALITY OF ANCHORAGE (MOAi HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALITY OF ANCHORAG~ DEPT. OF HEALTH & J~NVIRONMENTAL PROTECTION 264-4720 Legal Description: ~,'¢~/Z; EI IVED WELL DATA Well Classifioation -~ {.~¢k'~C~-'- If A, B, C, D.E.C. Approved (Y/N) Well Log Present ~/..~) Date Completed c/~ z.//~ ~ ! Yield Total Depth ~O ~ Cased to Depth of Grouting Static Water Level (¢¢¢ Pump Set At /'¢/~ /~ n ¢' Sanitary Seal on Casing~N'~ Depression Around Wellhead (R~ /06 i.A To Septic/Holding Tank on Lot J O L~ I ~ To Nearest Edge of Absorption Field on Lot j¢¢_.,I t~ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~:~-~ ~C~l ~ ~¢-~¢~-~-~! C' ;Date B. SEPTIC/HOLDING TANK DATA Size ~O°''=' No. of Compartments Air-tight Caps ~) Foundation Cleanout(~/N'} Date Last Pumped _ A//; ; for Temporary Holdin9 Tank Permit (Y/N) Date installed Standpipes ON)". Depression over Tank ,(.Y'~ Pumping/Maintenance Contract on File (Y/N) Holding Tank kligh-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well /¢' o ~ .r"' To Property Line To Water k~4~/Service Line Course To Building Foundation ~ ~' [ To Disposal Field ~O '/ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026111/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~J ~'~l ~\ Width of Field ~ t Square Feet of Absorption Area Depression over Field ¢('~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /O~ / To Building Foundation ~O ' ~- Lot ,/v,' .~ Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y~N) Date of Last Adequacy Test To Property Line ]¢ To Existing or Abandoned System on On Adjoining Lots ;'",~ To Water Ma,~EService Line To Stream/Pond/Lake/or Major Drainage Course To Driveway. Parking Area. or Vehicle Storage Area Comments To Cutbank (if presen/t) D, LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request** I certify thabt I,h~ve~,,,_ ~, ~,.ngmeerm~ch'ecked' verified, or conformed to all ,~OA anC/HAA guidelines in effect on the date of this inspection. Signed Si~.P, 1~¢,x Date //:;2 ¢/,,¢~ Company Receipt No. Date of Payment Amount: $ MOA No. Page 2 of 2 72-026 (11/84) DATE RECEIVED INSPECTI()N APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR MUNICIPALIFY OF ANCHORAGE MUNICIPALITY OF ANGHORAG~ DEPT. OI' ~7_T,~ &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~V ,RONM~NI,',L 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DI VISION REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomp{~{o requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYpWBER MAI LING ADDRESS ' P~OPERTY ~ESIDENT {ff different ~rom ~bow} PHONE 2, BUYER PHONE MAILING ADDRESS 3',' LENDING INSTITUTION " ] PHONE MAILING ADDRESS 4, REALTOR/AGENT ~ PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION ST R E ET LO CATI 0;.} ~&..(~. ~ 4 6. TYPE OF RESIDENCE NUMBEROF~BEDRO~MS ~ One ~1 Four ~ Other ~ SINGLE FAMILY ~' Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six 7, WATER SUPPLY ~;~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~. INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED, [] PUBLIC UTILITY NOTI": THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) . / THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE iNSTALLED []PUBLIC UTILITY Connection Verified __ INSTALLER []Septic Tank or [] Holding Tank Size: /~-~_)tF_~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/HMdin§ Tank IAbsorption Area Sewer Line I Nearest Lot Line WELL TO: I Absorption Area to nearest Lot Line 5. COMMENTS ~PROVED FOR. ~ BEDROOMS ~ CONDITIONAL APPROVAL (letter must accompany certificate) ~ DISAPPROVED