HomeMy WebLinkAboutLENNIE HEIGHTS LT 3
MUNICIPALITY OF ANCFIORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME~ . ]~HONE · ~NEW
LEGAL DESCRIPTION
~OATION ~1~ NO. OF BEDROOM8
Well Absorption a~a Dwelling P EFIM~ ~
~ ~ Manufacture. _, Material, 1
~ Liq. 7~ gallons ~Cm'r/L N°' °f c°m4artments
__ I, HOME.DE: Inside length ~/~ -Wid~ ~d ~ - Liquid
~ . DiSTANCETO; Well ~ i/. DwelHng PERMITNO.
~ ~ ¢ Manufacturer/V//~ Material/ Liquid capacity in gallons
¢ Well Foundation¢~' / Nearest lot lin~ [~
m -- Leng~h.~f eachAine
,.. No. of ,ine~ Total ,e~f~nes Tron3~th Distance be~7~es
~ ~ ~ Top of tile to i~de Materia] bedeatb tile
Length Width Depth PERMIT NO.
~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
m DISTANCE TO:
~ Class~/~ Depth Driller Distance to lot line PERMIT NO.
~ ~ DISTANCE TO: Building foundation Sewer line Septic tank Absg~tion area(s)
OTHER 4'~
PIPE MATER~LS
SOIL TEST RA~) ¢ ~ ~,~
~NSTA[LL~R
REMARKS
3 (Rev. 3/78)
r
.�
UNI IPALITY CP ANCHORAGE
PT. GSI i • _ . i i' &
N1J.C.MAL �+CCTION
by
A & L DRILLING COMPANY MAY 3 '19-19
BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 694.2588 RECEIVED.
OWNER OF LAND v s DEPTH OF WELL ov
ADDRESS ( STATIC LEVEL OF WATER FT.
LEGAL DESCRIPTION4- v ! ���� Tv DRAW DOWN FT.
DATE, - Started ��/r {> Ended GALS. PER HR *?0
PERMIT NUMBER 79 d `0 KIND OF CASING _
KIND OF FORMATION:
From Ft. to Ft.01"'�COol�A24C'A)
From
FL to -
Ft.
FromC� Ft. to Ft.
1440V
p ;)
From
Ft. to—
_Ft.
Frmn_4__�_Ft. to v2 Ft.
4f4."4 i From
Ft. to
_Ft.
From r� Ft. to SDeFt.
zr From
Ft, to
Ft.
From Ft. to Ft.
< /�7 �'� S From —Ft.
to
Ft
From / S Y Ft. to_IL5. Ft.
/34:^1QRo /� From
Ft. to_
From_ r�Ft. to-/ _7 v4 Ft.
/= CJ 2 D G �C� f ���q G%'`� o)m Q
Ft. to_
Ft.
From Ft. to Ft.
_ 6 r' / From
Ft. to
Ft.
From 17`-A Ft. to� 7 5 Ft.
/-?r'.DIt -o < From
Pt. to—
Ft.
From 27 �Ft. to
R FQ
.4 From
Ft. to
Ft.
From Ft. to Ft.
v Rk I Z �GFrom-Ft.
to --Ft.
From Ft. top_Ft.
< From
Ft. to
Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From Ft. to _Ft.
From
Ft. to --Ft.
From Ft. to Ft.
From_
Ft. to --Ft.
From Ft. to Ft.
From
Ft. to_Ft.
From Ft. to Ft. —
MISCL, INFORMATION:
S
/
91 a7' %'orW<. �WfisU�
From Ft.
DRILLER'S NAME-� . �.f �•�»
F'EF.:H I T NO.
HF F L..[ ~.Fihll
!.~ lEI I.E: FI T l O N
LECiF-IL
,:::Z~i; '"L.'" STREET, ,FiblC:l,'.lOF.!f:lgiE., FII.::L
[.4 ET L_ L.. FI f,-! []::, C., i%11 ........ ~":=.; 11[ '"IF' lEE ~E;; E-.'.: k-..lt E: IFC". F" ~'?Z F,];: ~-~ ]1 "l ....
( ?Z,O'.30:~: .'.,
PETER SHAN 24,"? 12iF.:fZlN [:,.. I...FIF.:I~:'¢ _'Z ~'i:~.. ........ ,::. ¢.: J.." -:',
F E rEE .....E
L.7:: LEI'.,INZE FITS %/[) I..C'F SIZE
TYPE OF SOIL. FIP.,.:,JF. BT.[Cff't z,~'.:,TEH IS: [fi. EN..H
'j..:~;~tSC. IC"l SI]:!..I::II.T.'I::2 F'EE'f'
I'IFP':iIItLItl i",ILI/IBEF:: OF E:E[::'F.c. OOHS = 3: SOIl,..
THE RE'.."'&.II[~ED .... ':IZE OF THE E;OIL. HEzURFT.[..N z,t.z,[Erl'-'"""'~, Z=,:
E:" EE F" l" H == ::L [E~ L_ E: I"ql (]~ -T" HI == E
THE LENGTH DII'IEt'.ISION IS THE LENGTH '::Ihl FEET) OF THE TF.".ENCH OF..' [::'I:~:FIINFIEI...[::,.
THE DEPTH OF FI TF.'.ENOH OF.). PIT IS TIdE DI~.';TFIHE:E EIETFIEEH THE SL.II~:I:::'FIC:Er. OF THE
CiI:;~OUND IRN[.', THE BOTTOM OF THE E',:':tCFtVFITION '::IN FEE]"::,.
THERE IS NO SET !-'.t:(DTFI I':';OR TF.'.E'NCHES.
THE GRFI',/EI~ DEPTH .IS THE H.'INZtfll..IP1 DEPTH OF' GRFIVEL [3[}:"f'I-'.IEEI"4 THE OLrFFFIL. L..
FIND THE BOTTOH OF THE E,'.-:,E:F.~VFIT]:.OI'.~ (IN FEET).
' - '"' -" '-' N _ F..'1 TH Z ~;
F'IENH.'(T FIF'F'LICFINT HI=IS 'l'Hi,.:: REz.,FL)I'.,I.~,](E:IL:[T'¢ TO :[ F-'i' [:,EPFIF.:"FHENT E:,I~.IF..:II'.,tG Tl'l[ii:
~ '~ I H_ z, PF..:UPEf,.. I I:::IN[:, 'fkllE
II,IS"ITIL!._FITION INSPIEC:TIJr.,Iz:., OF FII'.,I"r' 1.4F.:LLS FIE:,.ZrFIC:ENT TO" 'r"
NUI'tE:EF.: OF RF..:,.I[.,ENL. E:::, TklFCF I"HE 1.4EI,~L. !,.III_L.
............. "f" Ib41 C! ,:" -z:, ::, ]: !' 4t .:.., F' E~ _- 'f '.f. ,-u !'-41 '=:; FI ~: E: IF.?. [E 6;! L, ]: ~'~:.". IETC lC:,
~,,~ ~' ,
BFIC:KFILLINI3 OF FIN"r' ..'rz, TEI1 klITHOt..IT F.T. NRL IHSF'EC:TIL31",I FIND ltFFF.._ ,HI...
[:'EF'FIFZTt'IENT HILL BE '- "' T .... 7,-,-,~-."- ' -.
.:,UE,.~ ECf TO f F. L .,E~.I FI ! UN
i"l:l:tqlHUi"l [:'](STANCE BE'T'HEEN FI 1.4ELL FII",ID FIN'T' ON-SITE SEI4FI(iiE DI'.:~;F'OSF:IL S'¢$TEH
:t. E4g FEET FOR R PRI',,,'RTE 1.4ELL.~ OF.:
::L!SC.'I "fO 288 FEET FF:',OH fl PI..IBLIO HELL DEPENDING UPON THE 'f'"'/PE OF' F'UI31...:IC .L,.IELI ....
14ELL. l~OGS RRE REL::!.UIF:'.ED RN[.', rIUST BE RETURNED TO THE [:,EF'FIRTftENT t.4ITI4:[N 3:0 ['."F:I"r'S
OF' THE HELL cortPLETION.
OTHER REQUIREI"IENTS /IFI'¢ FIF'PL'?'. SPECIFICR'TIONS FIND CONSTRUCTION D]:flGRflf'IS FIRE
FIVFIILFIBLE TO INSLIRE PROPER INSTFILI..FITION.
F" ~% IRa'.' !-.1 3[.. 'T~ E. ,---. tF-. ][. R E:..=:. E:, EE ,%: EE I?1 E: [~E [:~ Z:~: 21l .... ::L :~¢ '~;" :E:"
I CERTIF"r' THFI'F
t: I FII'I FFIMILIRR HII"H THE REQUIf;~EI"IEHTS FOR ON-SITE SEHEP.':S FIND I.,IEI,...I_E; f"':l:"~!;
FOF.:TH B'¢ THE I'IUN.Tr':.f. PFIL~I""r' OF FINC:HOF.'.RGE.
?'.: I HILL TNSTFILL THE.': S¥STEH IN FICC:OF.'.DFIHCE l.,.lll"l,-I THE CO[:,ES.
:~:: I UNE:,ERSTFIND THFfF THE ON--SI'rE SEHEF.'. ::];"r°L3TEtl r,'IFI'¢ F.'.E.g!UIF. tE-.' ENL. FIf;:6EHE!:NI' :IF THE
RE'.E;IE.',ENCE I5; REHODEI,~ED TO INCLIJDE ftOF?.E THFIN 3: E,'EDF.:OOHS.
FIPF'L:[CFINT~ PETER '..:.;kirin
/;:'". --/' /' Z /. "-~.
:[;:,.::,LIE:,[.':, B"¢%:~:~,L~(.. 0_~.~/'~_ ............................ DFITE...~.....::2._,.,:~../. 'v'q '~"
December 29, 1978
9780451
Phil Swan
Box 87
Chugiak, Alaska
99567
Subject: Lot 3 Lennie Heights Subdivision
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 centact
this office at 264-4720.
Sincerely,
Les N. Buchholz~ R.S.
Senior Environmental Specialist
enc: copy of permit
F"ERM I T NO.
F:IPPL I CRN T
L. OCFITION
L. EGFIL
PHIL SHAN
L2; LENNIE HEIGHTS SUBD
BOX 8~' CHtJGIflK
LO'T' SIZE
694.-.9:'L 4Z:
20000 SQUI:IRE FLEET
TYPE OF SOIl.. ABSORBTION SYSTEM IS: TRENCH
MFI;'Z, IMUM NUHBER OF BEDROOMS = 4
SOIL REITING '::Sf.:~ F:]",.-"BR)= 2.65
THE: REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
TFIE LENGTH DIMENSION IS THE LENGTH (IN FEEl') OF' THE TRENCH OR DRFilNF;'IEL[:,.
THE DEPTH OF FI TRENCH OR PIT IS THE DIS"rFINCE E:ETI,.IEEN THE SURFRCE OF' 'FFIE
GROUND Rt.,ID THE BOTTOM OF THE EXCRVRTION (IN FEET).
'THERE IS NO SE'r L,.IIE:,TH FOR ]"RENCIiES.
TtiE GRA',,,'EL. DEPTH IS "f'klE MINIMUM DEPTFI OF" GRRYEL BETI41EEN THE OUI"Fi=ILL. F'IPE
RND THE BOTTOM OF THE E;qCFIVRTION (IN FEET).
F'ERMIT I=IPPLICFINT PIFIS THE RESPONSIBILITY TO INFORM THIS DEPFIRTMENT DURING THE
INSTFILLI:ITION INSPECTIONS OF ANY 1.4ELLS ADJFtCENT TO THIS I-"'ROPEF:TY FIND THE
NUI"IBER OF' RESIDENCES THRT THE 14ELL NILE SERVE.
BflC:KF"II._LINCi OF RNY SYSTEM NITFIOUT F:[NRL INSPECTION RNE:, RPPROVFIL BY T'HIS
DEPFIRTMENT HILL BE SUBJECT TO PROSECUTION
MINIMUM DISTFtt'.,ICE BETNEEN R NELL FIND RI'.,IY ON-SITE SEIdRGE DISF'OSRL S'T'STIEM
J. O0 FEET FOR FI PRI',/PtTE 14EL.L.~ OR
:;U.~iO TO 200 FEET FROM R PUBLIC I.,.IE/.I. [)EPEi",IDING UPON TFIE TYPE OF F'UBL. IC klELL
14ELL LOGS RRE RE6'~UIRED FIN[:, MUST BE RETURNED TO THE DEPRRTMENT NITHIN '2:0 [:,RYS
OF THE NELL. COMPLETION.
OTHER RE6I. UIREMENTS MRY F:IPPLY. SPECIFICRTIONS FIND CONSTRUCTION DIRGRRMS FIRE
I::I'¢FIILRBL. E 'fO INSIJRE PROF'ER INSTRLLRT ION.
I CERTIFY TNFIT
~t.: I RM FRMILIRR WITH THE RELT,~UIREMENTS FOR ON-SITE SENERS FIND WELLS RS SET
FORTIq BY THE MUNICIPRLITY OF RNCHORRGE.
2: I NILL INSTRLL THE SYSTEM IN RC:CORDRNCE WITH THE CODES.
]~: I UNDERSTAND THRT THE ON-SITE SEWER SYSTEM MRY RE~LIIRE ENLF~RGEMENT IF' THE
R.E'.SII}ENCE IS REMODELLED TO INCLIJ~ MORE THAN 4 8EDROOHS. . , ~ .
SI,]NED:_ FtFFLIC~N'F/PH~L SNRN .......... Q i ' L ~'"~'~,'~
~".
Steven A. Johnson
P.O. Box 76
Chugiak, AK 99567
Phone: 907-688-3085
SOILS LOG- PERCOLATION TEST
[] SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: Peter Swan
LEGAL DESCRIPTION: no't ] %ennie Heights Sub,
DATE PERFORMED:. .1. 2/24,/?(t _
1
2
3
4
5
6
7
8
9
---~- 10-
11
12
13
14
15
16
17
18
19
20
COMMENTS
0'to 1' red brown gravell
silt (i'4L) 275
1'to 16' red brown silty
sandy gravel(GM)
med. dense,moist
with subrounded
cobbles and boul-
ders to 18in.
250 ft2/bm
perc tested from
S'to 7'
total, depth=].6'
PERFORMED BY: Steven &. Johnson
SLOPE
PERCOLATION RATE ~(') · 0 (minutes/inch)
TEST RUN BETWEEN ~ FT AND ~ FT
/LV~RAGE ABSORiE~I0Y AR~A REQUIRE])FRO]),~ ~' ~' =
oOILo LOG 252 FT2/BDR['~
Gross Net Depth to Net
Reading Date Time 'rime Water Drop
:l. 2/24, I ' '.~ . ·
· ~[], 0 min. 6.0 .tn 0.0 ].'.CL.
:t. 232 '?? 9' 0
o,o 1 .o
14.02 30 J. 2,0
WAS GROUND WATER
ENCOUNTERED? -- ~0 ,
IF YES, AT WHAT
DEPTH?
O Er E GEC. ECHNICAL Er DEVEL,,PMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774 S0IL LOG
Soils 6~ Foundations
Performed for: Name
Matltng Address: _Z<.~/~x F; '7,,
D_.epth (feet)
Earl Ellis
688.2280
Land Developn~nt
Tel. No._~ ,~ ¢" ?tz,
. ~ ~
Soll ~haracteristtc)
4
.... ~10__.~.~
12~
16
Ground Water F-ncountered'. Yes No ~ If yes, what depth.
Proposed Installation: Seepage Pit__Drain Field
Co~)ents: .................
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
0~- ~_.~ NAA#
1. GENERAL INFORMATION
Complete legal description L, oJ[-
Location (site address or directions)
Property owner ."~
Mailing address
Day phone
agency I%~.o,c'¢'- '¢W,.~.-'x_~ ~(.o.¢"~,~'1 ~ ~_ ('~_ Day phone
Lending
Mailing address
Agent ."~_ ac,/¢-_
Address /,~ ~'~O
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF" BEDROOMS:
Day phone ('_o ¢~' ~/~'__~/'
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing. to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev, 1/91) Front MOA #21
5. STATEMENT OF INSPECTION BY ENGINEER
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 appli.cation 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 furtherverify that 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.
-I ~'~).e ~1 ~,o-cI,~,,.L~ v,c~ '~.~ Phone ~7~-%~l&
Name of Firm
Address ~O ~ ~ /~ ~ ~
Engineer's signature ~ ~~
DHHS SIGNATURE
/~/ Approved for
bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
The Munici'paiity 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 engineeCs work.
72-025 (Rev. 1/91) Back MOA ~21
/_3
Legal Description:
Municipality of Anchorage /~
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
A. WELL DATA
Well type '~
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter.
Date completed
~ ~ Cased to /SC
ADEC water system number
¢~'/~'7/'7~ Driller A-
FROM WELL LOG
Date of test ~'~0'~/_':,0-'~ / 7 ~
Static water level J~ C~
Well flow · ~
Pump level
Casing height
Wires properly protected (Y/N)
y,
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main ]'")//A
Sewer service line ~' It'")
g.p.m.
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed
Cleanouts (Y/N) y
High water alarm (Y/N)
Nitrate ~ /,.'-~,~ Other bacteria
~ ?,,~ Collected by: / ~ ~ ~
Tank size J o-~_.o.~ Compartments _
Foundation cleanout (Y/N) y Depression (Y/N)
Alarm tested (Y/N)
Date of pumping / Z'//~ ~//~ Z- Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot [ O ~'
To property line ~> '~O
Surface water/drainage
On adjacent tots ?/~,'~ Foundation
Absorption field ~ Water main/service line
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
Meets MOA electrical codes (Y/N)
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent tots
Surface water
Date installed
Length 7
D. ABSORPTION FIELD DATA
Width ~o '1
Total absorption area ~'¢¢--- ¢
Depression over field (Y/N) ~'/
Results (pass/fail) ~
~'~U- ,~? ~-~.U,"--~: 1Fm;n~3)(Y/N)
~eroxiae treatment (past
Soil rating
Gravel thickness
~~-' t'~ ~?'' System type
Total depth
Cleanouts present (Y/N) ~/'
Date of adequacy test l ~'//~-/
for
c..[~/ If yes, give date
bedrooms
On adjacent lots
Surface water _
Curtain drain
,SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot II ~
To building foundation ~ I
Onadjacentlots '~ /15"' Propertyline
To existing or abandoned system on lot
Cutbank ~%~ ~ ~4 ~_. Water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect 'on' the ~ate' df this inspection.
Engineer's Name $'~ ~2~ ~ ~,,~ ~.-~ ~¢ ¢'J~ ~ J ~, ~'--'
Date ~-'¢"" ¢;~1' ~_..~
HAA Fee $ ~O~
Date of Payment '/~ ~ L~ --~-~_~*
Receipt Number ¢~2 .~ ¢ .~-- ~' /4¢~ i¢~) /
72-026 (Rev. 3/91) Back MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
., S~F'L~FR~:~L-~'~~ F'- ~£ ..
203 NEST 15TH. AVENUE SUITE 206
ANCHORAGE, ALASKA 99501
(907) 279-1916
Dave Seltie
Herita~je Real Estate
185',50 Eagle River Road
Eagle River~ Ak. 99577
September 5~ 1993
Sub..~c,.: Retest of Well~ Lot -~ Lennie Heights.
Dear Dave;
Per your request ~.,~e retested the we. il at 23809 Lennie Circle on
August 16~ 1993.
We originally tested this well on December 14; 1992~ and deter-
mined that the well yield was 10 gallons per hour. subsequently
the well was hydro~fracted i~ an attempt to increase water ¥1ow.
The purpose o~ the test on August 16 was to determine if this
e.~for't was successful.
On August 16th. the well was pumped -For 33 minutes. The water
level was found at 138.5 feet below top o-f casing. Af'~-er 38
minutes of pumpir~g the water level had dropped to 290.8 feet~
which is the level o.F the pump intake. The recovery was moni-.-
toted f~r 60 minutes. During this time khe well recovered
277.8 -~eet. The well was pumped agaln until the water level was
at 290.8 feet. A total of 17 gallons was recovered.
Now the well was allowed to recover for four hours. The water
level rose -~rom 290.8 to 242.1 Yeet. The well was then pump~.~d
dry again. This time a total o¥ 68 gallons were recovered.
Based on these measureme~ts we conclude that the well produces 17
gallons per hour~ or 0.28 gallons per minute. This is suff:~-
cient to meet the Municipal r-equirements of 150 gallons per
bedroom per clay. (0.21 gpm for a two bedroom
~, _.:,_. J.~ H-I. J.?? E82
12/29/93 [3: 4S ,:_-:T:~E EHU I RObiHEI-.ITAL L¢IE 'E;ERU IC:ES ~' -,'~q~':l. '- _
COMMERCIAL TESTING & ENGINilEIRING CO.
ENVlF;IONMIEN"fAL LABORATORY E;ERVICE,~
REPORT of ANALYSTS
Chemlab Ref.~ :93,6798-.i
Client Sample ID :POT&BLE/LOT 3 LENNIB HBICHTS
Matrix ,' WATF~
5633 B STREET
ANCHORAGE, AK 89518
I'Et.: (907) 582-23.~3
FAX: (907) 561-5301
Cllent Name :TOBBEN SPURt{LAND, P.E.
Ordered By :TOBBE~ SPU~RL~ND
Project Name
Pro~ect~
PW$ID :UA
WORK Order :74336
Report Completed :12/28/93
Co],lecte~ :12/~0/93 @ 11:30 hrs.
Received :12/20/93 @ i[4:40 hrs.
Techr~lcal Director:aT.HEN C. EDE
Sample Remarks: SAMPL,~ COLLECTED BY: T.S.
QC Allo~;able Ext.. Anal
Para~a~,~.r _ ResUlts Qual Units M~hod .Li~i~.~ P.a~c.e, .D~t.e Init
Ni~rate-N 1.~2 mg/L ~A 353.2/300.0 l0 i2/22 ~¢}-1
* See Special Instructions Above UA = Unavailable
** See Sample Remarks Above NA = Not Analyze~J
U -- Undetected, Reported value is the practical quantification limit. LT = Less Th~nn
D = Secondary dl].utJon. GT ~ Greater Than
ENVIRONMENTAL SERVICES IN ALASKA, COLORADO. UTAH, ILLINOIS, OHIO. MARYLAND, WEST VIRGINIA, NEW JERSEY. SoU'rlt CAROLINA
CItEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301
<Dent Sa~¢~pl o
Col ] entcd
Samp).e _~OUTD~F, SAIIP!,~ CO[,[~]CT~;h t~¥: STUM}T,
] %ast~ t'orfozm':d ' So:, SI,aeAal [nnt~.uc~ti,m~: Above
Member of the SGS Group (Soci6t¢ G6nCrale de Surveillance
Tom Fink,
Mayor
fi&uni,.._. pality of Anc )rage
Department of Health and Human Services
825 "U' Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
January 20, 1994
Tobben Spurkland, P.E.
203 West 15th Avenue #206
Anchorage, Alaska 99501
Subject: Waiver Request for Lot 3 Lennie Heights Subdivision
Waiver Request ~WR930079, PID #051-063-55, HA930793
Dear Mr. Spurkland:
Your request for waiver(s) of the required 100 foot horizontal
separation of a septic system to a private well has been approved.
The approved separation distance(s) are a private well on Lot 3
to the drainfield on Lot 4 Lennie Heights of 83 feet.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Services
Concur: /j~ /
Program Manager
On-site Services
ljm:#6
MUNICIPALITY OF ANCHORAG~
Department of Health and Human Services
On-site Services Section
Waiw~r Review Worksheet
WR~ WR930079 PID# 051-063-55 HA# HA930793
Date Received: December 30, 1993
Legal Description: Lot 3 Lennie Heiqhts Subdivision
Engineer: Tobben Spurkland, P.E.
Applicant:
Permit
203 West 15th Avenue %206, Anchorage, Alaska
Pat Ann Stoneman
99501
Waiver Requested: Private well on Lot 3 Lennie Heights to the
drainfield on Lot 4 Lennie Heiqhts of 83 feet.
Criteria: i. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: ~ Waiver is NOT Granted:
List Conditions or Reasons for above: ~ ~-C/~z~
Date:
Rec ~: 25545/1680
~ame of Reviewer
Amount: $ 920.00
Date Paid: 12--30-93
Pl~tP ~ILL..NOT R~IV To~,rn~yet2.y TI-IV ~L.L 2Clz ~W5'T'/r_.,z../'.
~L,O
~V A TER T~ ~ £
C ONCL U£10~l
7.3
4,5-
2.8
2.3
6751W. DIMOND BLV~,
ANCHORAGE, ALASKA 99502-5~04
(907) 248-5095
MUNICIPALITY OF ANCHORAGE
[NVIRONMENTAL SERVICES
RECEIVED
:1. C:)(:::atr(aC:]J [:)()'?'J':l~,~(~?('i'i?)'l 't:l~c'~ !~'e:'~l:)~.::i. C:: S:,¥S~L(am arid
(::y,/(.a~"f: 1 (::)~..'J -{-¥',::)m 'I:1"~ 1 ~:.~,:~(:::l~'f: J. ~.~]. (::1 wi. L ]. n(::rk. -[: 1 (::~(,~ ~.:(::)w~{.'-(::l~. [.'.1"~(~ ~..~;::,:l ! . J"~l(::~
a'!: i?" (;:l.:~i].].or'~% 1:)(=~'~-' ti(::mu, c:n"~ f:luqu~i'l: :1.4:~
(= C) I i 't,'. ci'l III :i. t -I ~?:'1 ....
LOT 3
LgF 4
N
$I
I
I
\
\
\
LOT 4
CHANDELLE ACRES
1.58
25 $0 75
SCALD Y -- $0 FT,
LDT 2
VACANT
/
/
LEF I
TDBBEN SPURKLAND P,E,
203 W 15TH, AVENUE
ANCH, AK, 99~01
LOT 3 LENNIE HEIGHTS
£3~09 LENNIE CIR.
CHUG1AK
SEPTIC SYSTEM DESIGN
DATE. DEC, 2,2, 1993
SHEET~ Iff. GRID,
'VDEj./,
~°23745
23717
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21643
21631
21636 "RADD~TS"
21624
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TLR
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPAR'I~ENT OF [~LTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information
(a) Legal Description (include lot, block,
Let 3, ~nnie Heif~ Sut~J. visicft_.
Location (address or directions)
(b)
c)
Application
subdivision, section, township, range)
l ennie Height.s CJ-F-cO-e~.z~ic~f~%.~ka_._~
Applicants Name Br~ce & Shari [&~r~zb~i Te].e~hone - Home~Businese~
Applicants Address S~ 3, ~x 1~7, Old Glenn ~, Chu~~(
Applicant is (check one) 'Lending Institution
Buyer ~ ; Other ~ (explain);
d) Lending Institution Rainier Mortgage
Tele_~hone '- '~o
Address P.O. Box 7007, Anchorage, N< 99510
e)
Real Estate Co. & Agent Alaska Associated Realty Inc.
Address 3600 Minnesota Dc, Suite D, Anck~r%~e, AK 99503
Telephone 274-3556
(f) Mail the HAA to the following address:
Rain~er
_P.O. BOx 7007.
Anchora?~, Alaska. 99510
2. T_lpe of Residence
Single-Family ~[
Number of Bedrooms
3. Water Supplji
Individual Well ~
blulti-Family~
Other (describe)
Community ~ Public ~-~
Note: If community well system, must have written confirmation from the State
Department of Env. ironmental Conservation attesting to the legality and statns.
4. Sewage Disposa~
Onsite ~-~ Public
Holding Tank~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
0
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/or 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 files and from my
investigation and inspection, the on-site water supply and/or w~astewater disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm CRW ENGINEERIJqG 6]ROUP
Telephone
Address
Date
3900 Arctic Blvd., #203, AncP~r~AK 99503
October, 1984
DHEP Approval
Approved for~:~_ Bedrooms
Approved ~ Disapproved
Conditions~l
Terms of Conditional'Approval
CAUTION
THE ~'fONICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONb~NTAL PROTECTION
(DHEP) ISSUES }~LTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGILiPH 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 REQUIRE-
MENTS. 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.
(DHEP SEAL)
RR4/ej/Di8
[Page 2 of 2]
7-19-84
WELL DATA
Well Classification Prlvsf~
Well Lcg P~esent (Y/N)
Total Depth 300' Cased to
Static Water Level l~
Casing Height Above Ground 24"
Electrical Wiring in Conduit (Y/N) YES
Separation Distances from Well:
To Septic/Holding Tank c~ Lot 104
To Nearest Edge of Absorption Field on Lot
To Nearest Public Se~r Line N/A
Cleancut/Manhole N/A
Water Sample Collected By D. Yanoshek
Water Sample Test Results Satisfactory
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Legal Description: Lot 3, bernie Heights Sub-
division: Pei-~t',~ Creek:
If A, B, C~ C, D.E.C. Approved(Y/N)
Date C~,~leted
15g'2."
Pump set At
. ?-27-79 Yield 90
Depth of Grouting UNKNCWN
Sanitary seal on Casing (Y/N)
Depression A~ound Wellhead (Y/N) NO
; On Adjoining LotsGreate~ than 100'
114 ; On Adjoining LotsGreate~ than 100'
TO Nearest Public sewer
To Nearest Sewer Service Line on Lot
; Date 10-12-8~
C~l~nts System has a 300 ~Dllon storsge tank which is necessary to sssure water availibility
at all times. Well has a timer to prevent prelo~Ded running without water.
B. SEPTIC/HOLDING TANK DATA
Date Installed 3-27-79 Size 1,000 g~l No. of Compartments 2
Standpipes (Y/N) YF.~ Air-tight Caps !Y/N) YFS Foundation Cleanout (Y/N) YES
Depression ove~ Tank (Y/N) Nfl Date Last P~amped 1fl-~% ,
Pumping/Maintenance Contract on File (Y/N) N/^ ; for
Holding Tank High-Water Alarm (Y/N) N/~ Temporary Holding Tank Permit (Y/N)N/A
Separation Distances f~om Septic/Holding Tank:
To Water-Supply Well 104
To P~operty Line 6~'
To Water Main/Service Line 75'
Course N/A
To Building Foundation ~4,
To Disposal Field 5'
To Stream, Pond, Lake, c~ Major D~ainage
Comments
[Page 1 of 2]
2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed 3-27-79
Width of Field 36"
252
Square Feet of Absorption A~ea 756
Depression over Field (Y/N) NO Date of Last Adsquacy Test
Results of Last Adequacy Test Adequate for 2 B.R.
Separation Distance from Absorption Field:
To Water-Supply Wall 100'+ To I>eoperty Line 10'+
To Building Foundation ~9' To Existing or Abandoned System cn
Lot N/A ; On Adjoining Lots 100'+
To Water Main/Service Line N/A To Cutbank(if present)
To Stream/Pond/Lake/o~ Major D~ainage Course
To D~iveway, Parking A~ea, ce Vehicle Storage A~ea 50'
Corc~ents Sy. sram absorbed 13 times average daily flow with no water rise in trench
Type of System Design trench
Length of Field 4' - 7' (sloped yard)
Depth of Field 6'
Gravel Bed Thickness
Standpipes Present (Y/N) YES
10-12-86,
D. LIFT STATION
Date Installed N/^
Size in Gallons
"Pump On" Level at
High Water Alar~ Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles du~ing Adequacy Test.
Meets MOA
Comments
** Check Permitted Bedrcc~ Rating Against HAA Request
I certify that I have checked, verified, or confcTerted to all MOA HAA Guidelines in effect
on the date of thisr inspection.
Signed Date
Company CRW ENGINEERING GR(I]P MOA No.
KB1/d5/s
~ ...~0~.,.,.., ........ .#.;..~ ~.
.......
[Pa~ 2 of 2]
2-15-84
' MONICIPALITY C)F ANCHOI~,OE
MUNICIPALITY OF ANCHORAGE DEPT. O,'; "/-L]:I
U DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONEN~/IRONI.,',~;xtTAL
825 L Street- Anchorage Alaska 99501_,~
ENVIRONMENTAL ENGINEERING DIVISION APR
Telephone 264-4720 RECEIV-- -- - L_
EST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILI"~gS
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed;'P/e~sealloW f~-(~,0)'d~ysfor prbcessing.
1. PROPERTY OWNER - I'pHONE
MAILING ADDRESS ,
PROPERTY RESIDENT (If different from '~ove) ' PHONE
MAILING ADDRESS
3, LENDING INSTITUTION · ' ,~ ...~/ PHONE
MAILING ADDRESS
PHONE'
4.
REALTOR/AGENT
MAILING ADDRESS
!
5, LEGAL DESCRIPTION
;TREET LOCATION
Old OE ED OOM*
6. TYPE OF RESIDENCE
· ,...--~. [] One ~ Four
SINGLE
FAMILY
Two E~] Five
[] MULTIPLE FAMILY Three [] Six
[] Other
7. WATER SUPPLY
~ INDIVIDUAL* * ATTACH WELL LOG A well [og ~s required for alI wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY deptl] (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~_. iNDiVIDUAL/ON.SiTE~ **If individual/on-site, give installation date /~f- 7.~ .
If system is over two (2) years old an adequacy test is reouired
[] PUBLIC UTILITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR ]NSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL 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 ~,( j~
Size:. If Tank is homemade SOILS RATING
give dimensions: ~" ~' -
TYPE OF TANK MANUFACTURER ~, , . . ~_
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
I
WELL TO:
Absorption Area to nearest Lot Line
PP V L Itt t ~~~ ~
~ DISAPPROVED .~ l/ ~ ~ ~'~ .
DATE ~ ~ ~-J-- 'BY (Title} ' ~ ~- ~
72-010 (Rev. 3/78)
PO[3CH 6 650 '
ANCHORAGL:, AI.ASKA 99502
(907) 279 2511
GEORGE M SULLIVAi~
/via ;' Of¢
DEPARTMENT OF 14EALTH AND ENVIRONMENTAL PROIECIION
{825 "L" Street}
April 11, 1979
Peter L. Swan
General Delivery
Eagle River, Alaska
99577
Subject: Lot 3 Lennie Heights Subdivision
Approval for your individual sewer and water facilities
will not be granted until the following items have been
.,completed:
(1) The depression or pit around the well casing
should
.~) be filled with impervious type soil so that it slopes
a~'~'%/~,~l~ away from the well casing
'[ (2) The top of the well casing is sealed with a sanitary
k .... seal so that it is water tight.
(3) The water analysis report be delivered to this offJ. ce
from Chem Lab, 5633 B Street, for our review.
Notify this department for a re-inspection when descrepancies
have been corrected. If there are any further questions,
please contact this office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
CC:
National Bank of Alaska
Mortgage Loan Department
Pouch 7-025 99510