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LAKE OTIS HEIGHTS BLK 2 LT 3
!Am Municipality of Anchorage Anchorage Water & Wastewater Utility Customer Service Division Field Service Section 3000 Arctic Boulevard • Anchorage, Alaska 99503-3813 Mayor Dan Sullivan Telephone (907) 564-2762 • Fax (907) 786-5001 • Toll Free (866) 650-2700 v .awwu.biz • w .muni.org October 10, 2011 Samuel Cunard 7138 Stella Place Anchorage, AK 99507-2458 RE: Decommissioning of Water Well at 7138 Stella Place Lake Otis Heights, Blk 2, Lot 3 Dear Mr. Cunard: io �P z Board Chair Tim Sullivan According to my conversation with Dave Johnson with Municipality of Anchorage's Project Management and Engineering Division who is in charge of the road improvements on E 72"d Avenue, the well located on your property has not been decommissioned by a certified well driller or a certified pump installer to date. Now that you've connected to Anchorage Water and Wastewater Utility's water system it is necessary for you to have the well decommissioned as required by AWWU Water Tariff 6.16B and by Anchorage Municipal Code Title 15.55, Section 0601. 1 have attached a copy to this letter for your information. This letter is just a reminder of the Municipality's requirements concerning abandoned private wells. Sincerely, Sandra Parr Permit Office Supervisor Field Services AWWU cc: Dave Johnson, MOA PM&E ,teff Poet, MOA On -Site Services Community, Security, Prosperity MUN1C1PALi'TY OF ANCHORA(�B s He .h and Environmental Prot( V `ion Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPEC)ION RIL-AlORT ON-SITE. S4:WfX;k DIS11fl) AL SYSTEA NAME �'-�Pl_t/------- MAILING ADDRESS7T_- -- ---_i-. .. PHONE Pk-1CNE/y.,_..�...�...._._..._.. LOCATION LEGAL DESCRIPTION /-1..-__ / FV- ftt ]_ A N I DISTANCE i FP( -)M WLLL-1", P.4AfJUFACilJRER ---- .___ P:IATERIAL _ .------.--_----_____._._COMPARTMENTS NUMBER OF INS) DL LLNGTIIINSIDE `NIDTH.—___--.�_. LIQUID DEPT -FI LIQUID CAPACITY,1_1&MGALLONS. G fe7.1 `lass: �, / Depth: !ell Eristance To: Lot Line 4I ldg: Sewer Line: I � � �ipe Materials: of Bedrooms: y I nstaller:��- :emarks : I i -1 TOTAL LENGTH INE__ ___------____OF LINE —_--- NCH 4^;iD"fF!____ IN. TOTAL EFFECTIVE _E__ .______IN. ABOVE TILE nLPTH DIS T AINCr- rRom: WELL ECT I V E. N ARI -:A (MALL AI2LA) SQ. FT. D.aTF _-_7-7 _7 APPRov �w.. NC ORAGE RZ U -GH'- Ll. �J 0 °o T-NiE-N• NVIR LI PERMIT NO, IIn(\ S 3330 "C, BEET A - E 99503 UTE ONE SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT������`'p �/�`�g�L� h/✓/I'������C,-j C''� MAILING ADDRESS -'T �'" �^ /-� LPHONE!JtZ!� ' INSTALLATION LOCATION qy y LEGAL DESCRIPTION X c) INSTALLATION OF: SEPTIC TANK f SEEPAGE PIT DRAIN FIELD , OTHER iii. TYPE AND SIZE OF FACILITY TO BE SERVED�-- FINANCED THROUGH SOIL TEST RESULTS TO BE INSTALLED BY COMPLETION DATE ANTI CIPAT EDC- Lf -t'/' Yi;r NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE AREA SIZE DRAIN FIELD DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. A 1 G.A.A.B. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM 1 CERTIFY THAT i AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. -- r� -��i 7 - - _T_- 1 CERTIFY THAT i AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. -- r� -��i 7 Fairview Enterprises 926 E. 13th Avenue Anchorage, AK 99501 4040 "8" STREET, ANCHORAGE-, ALASKA 99503 PHONE: 907-279-2581 August 26, 1977 W.O. #A18185 Subject: Subsurface Investigation for Suitability of On -Site Sewer, Lot 3, Block 2, Lake Otis Heights Subdivision Gentlemen: Transmitted herein in accordance with your instructions are the results of the above referenced investigation as performed by us on August 24, and 25, 1977. The scope of this project is investigation for suitability of an on-site sewerage system. Included in this transmittal are: Test Hole Location Sketch Figure 1 Test Hole Log Table A Explanatory Information Sheets 1-3 The exploration was conducted using a Nodwell mounted Mobile Drill B-50 rig with a continuous flight solid stem auger. The rig is owned and operated by Denali Drilling, Inc. Drilling was supervised, the test holes logged and percola- tion test performed by Mr. Terry L. Barber Geologist with Alaska Testlab. The log of the test hole is included as Table A of this report. In interpreting the log it would be helpful to utilize the explanatory information contained in Sheets 1 to 3 of this report. Due to the water encountered while drilling, no percolation test was run on hole #1. when drilling was completed a 3/4" slotted PVC pipe was inserted in hole #2 to aid in deter- mining the free water level. For the percolation test, the test hole was filled with water_ and left overnight to saturate. On returning the next day, the hole was refilled with water and the drop in the water level carefully monitored over the next 60 minutes. This This procedure is not a standardized percolation test, however, we understand that the Municipality of Anchorage, Department of Public Health and Environmental Protection Fairview Enterpr.. August 26, 1977 Page 2 prefers tests performed in this manner to evaluate a site for a proposed on --site sewerage system. Using the above test, the observed minimum percolation rate was 480 minutes per inch, or 1/8 inch in -one hour. . -Jime No water table was observed during drilling in hole #2. It should be noted though, that the free water level normally fluctuates seasonally and with precipitation. - We hope the above meets your present needs. If we can be of further service, please feel free to contact us. Sincerely, ALASKA TESTLAB I�fiifff���JJ ✓ at1"9-v' R. Mark Hansen RMH:r_b Enclosures ���`J') Lab)u 41 -PIA, Test Hole #1 Depth in Feet From To 0.0' - 2.0' 2.0' - 3.0' 3.0' - 6.0' 1 : 1 8.0' - 10.0' Bottom of Test Hole: Frost Line: Free Water Level: Table A WO #A18185 Logged By: T.L. Barber Date: 8-24-77 Soil Description Brown Peat, Pt, damp to wet, soft. F-4, brown Sandy Silt, ML, fine and medium grained sand, damp, soft, NP. F-4, brown Gravelly very Sandy Silt, SM, stiff, NP, subrounded and rounded particles to 3/4". F-1, brown Silty Sandy Gravel, GM, damp, medium density. F-4, grey Gravelly Sandy Silt, ML, saturated, stiff, subrounded and rounded particles to 3/4" 10.0' None Observed 10.0' while drilling Type of Dry Sample Depth Blows/6" M% Sample Strength Grou Unified 1 2.5' G ML 2 5.0' G SM 3 10.0' G ML Remarks: 1. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. 2. Dry Strength, N=None, L=Low, M=Medium, H=High. 3. Group refers to similar material, this study only. 4. General Information, see Sheet 1. 5. Frost and Textural Classification, see Sheet 2. 6. Unified Classification, see Sheet 3. P I Test Hole #2 Table A WO #A18185 Logged By: T.L. Barber Date: 8-24-77 Depth in Feet Prom To Soil Description Group Unified 0.0' - 1.5' Brown Peat, Pt, damp, soft. SM SM 1.5' - 9.0' F-4, brown Gravelly very Sandy Silt, SM, 14.0' damp, stiff to hard, NP, rounded and sub - 4 16.0' rounded particles to 3/4". 9.0' - 10.0' F-4, grey Gravelly very Sandy Silt, SM, 2. damp, stiff to hard, NP, rounded and sub - 3. rounded particles to 2". study only. 10.0' - 16.0' F-1, grey very Silty Sandy Gravel, GM, damp, medium to high density, subrounded and rounded particles 2"+. Bottom of Test Hole: 16.0' Frost Line: None Observed Free Water Level: None Observed Sample Depth Type of Dry Blows/6" M% Sample Strewth Group Unified 1 4.0' G SM SM 2 9. 0 ' � GM 14.0' GM 4 16.0' G Remarks: 1. Type of Sample, G=Grab, SP = Standard Penetration, 2. U = Undisturbed. Dry Strength, N=None; L=Low, M-Iiedthi H=High. 3. Group refers to similar material, this study only. 4. General Information, see Sheet 1. 2.. 5. Frost and Textural Classification, see Sheet 6. Unified Classification, see Sheet 3. 299. L oicA—i') b1v .5 kF -I& �ap IAO ry f. 15 1.1 4t, 7 14 9F.'rP1j_"W je 7 ai —00 L oicA—i') b1v .5 kF -I& I z5- I 2s L_ 2 Ail. E. SEVENTY cs'.. 35 G. 15 1.1 4t, 7 14 9F.'rP1j_"W I z5- I 2s L_ 2 Ail. E. SEVENTY cs'.. 35 G. Test Holm Log — Description Guide The soil descriptions shown on the logs arc the best estimate of the soil's characteristics at the time of field examination and as such do not achieve the precision of a laboratory testing procedure. If the log includes soils samples, those sartrples receive an independent textural classification in the laboratory to verify the field examination. The logs often include the following items: Depth interval — usually shown to 0.1 foot, within that zone no significant change in soil type was observed through drill action, direct observation or sampling. Frost Classification — NFS, F1, F2, F3, F4, see "Soil Classification. Chart" Texture of Soil — An engineering classification of the soils by particle size and proportion, see "Soil Classification Chart", note the proportions are approximate and modifications to the soil group due to stratification, inclusions and changes in properties are included. Moisture Content — this is a qualitative measure: dam, no or little apparent surface moisture, damp, moisture forms portion of color, less than plastic limit, wet, no free water, often soft, if cohesive soil, saturated, free water may be squeezed out, if a free draining soil; dilatent at natural moisture content, if a non -plastic silt or fine sand. (The moisture content is further defined by reference to PI, LW, NP, M%or dilatency.) Density — refers to more -or -less non -cohesive soils, such as sand gravel mixtures with or without a fine fraction, derived from drilling action and/or sample data; usually described as: very loose, loose, medium dense, very dense. General intent is to portray earthwork characteristics. Stiffness — refers to. more -or -less cohesive soils and fine grained silts of t e>1 clay -silt groups. Derived from drill action and/or sample data. Very soft, soft, stiff, very stiff and hard are commonly used terms. Particle size — The largest particle recovered by the split spoon is 1-3/8", Shelby tube 3", auger Flights (minute -man) 2", Auger flights (B-50 hollow stem) 6"-8". Larger particles are described indirectly by action of the drilling and are referred to as cobbles, 3" to 8", or boulders 8"+. Therefore when reviewing.the gradation sheets, if any, the description on the hole log must be considered for anindication of larger particles. Unified Soil Classification -- This is a two letter code. See Unified Classification sheet for further definition. In some cases AASHO and/or FAA soil classifications may be shown as well as the unified. Atterberg Limits-- useful for fine grained and other plastic soils. PI; natural moisture content believed to be less than plastic limit PI+; natural moisture content believed to be between plastic and liquid limits Lw+; natural moisture content believed to be greater than liquid limit NP; non -plastic, useful as a modifying description of some silty materials. Dilatetey — is the ability of water to migrate to the surface of a saturated or nearly saturated soil sample when vibrated or jolted -- used as an aid to determine if a fine grained soil is a slightly or noarplastie silt or a volcanic ash. Rock flour -- finely ground soil that is not plastic but otherwise appears sem ate r to a clayey silt. Organic Content — usually described as Peat, PT, sometimes includes discrete particles such as wood, coal, etc. as a modifier to an inorganic soil. Quantity described as; trace, or an estimate of volume. or, in case of all organic, — as Peat. This may include tundra, muskeg and bog material. Muck — a modifier used to describe very soft, semi -organic deposits usually occuring below a peat deposit. Amorphus peat — organic particles nearly or fully disintegrated. Fibrous Peat — organic particles more -or -less intact. Bottom of Testhole — includes last sample interval. Frost Line — seasonal frost depth as described by drilling action and/or samples at the time of drilling. - - Frozen Ground — other than frost line, described by samples, usually includes description of ice content, often will include modified Uniticd Classification for frozen soils — this is a special case related to permafrost studies. Free Water Level — The free water level noted during drilling. This is not necessarily the static water table at the time of drilling or at other seasons. Static water table determination in other than very permeable soils requires observation wells or piezometer installations, used only in special cases. Blow/6" — The number of blows of a 140 weight free falling 30" to advance a 2" split spoon 6"; the number of blows for a 12" advance is, by definition, the standard penetration. M% — natural moisture content of the soil sample, usually not . performed on clean sands or gravels below the water table. jylje of Sam — SP, refers to 2" split spoon driven into the soil by 140 pound weight, a disturbed sample, S, thin wall tube, "Shelby" used to obtain undisturbed samples of fine grained soil, ,Q, "grab" disturbed sample from auger flights or will of trench, ,Q, cut sample, undisturbed sample from wall of trench. Dry Strength -- a useful indicator of a soil's clayey fraction, N=None, L=Low, M -Medium, H=High Group — The samples are placed into apparently similar groups based Oil color and texture and are arbitrarily assigned a group letter. Further disturbed tests including Atterberg Limits, grain size, moisture -density relationship, etc, may be performed on the group and are assmned Eo reflect the general distrubed characteristics of the soils assigned to the group. This is an important phase of the soil analysis and is used to standardize the various qualitative determinations and to reduce the number of quantitative tests necessary to describe the soil mass. Y SOIL CLASS 16 ICATIO N CHART O SILT o OR � I CLAY n 2 A oo o CLAYEY ) CLAYEY v��1 CLAYEY\, 1 �:. CLAYEY OR\ ij OR v vo\F i * O \�OR 7 OR / y I! -_TY SILTY o SILTY"' \ fay SILTY 0 SAND / \ /a\ \: GRAVEL. GRAVELLY SAND SANDY GRAVEL \, O 01 SAND GRAVELLY SAND / SANDY GRAVEL /�- GRAVEL. 0 10 20 30 40 50 60 70 80 90 100 GRAVEL (+=t4 SCREEN) % BY WEI G HT NONFROST SUSCEPTIBLE SOILS ARE INORGANIC SOILS CONTAINING LESS THAN 3% FINER THAN 0.02 mm. GROUPS OF FROST -SUSCEPTIBLE SOILS: Fl GRAVELLY SOILS CONTAINING BETWEEN 3 AND 20% FINER THAN 0.02 mm. F2 SANDY SOILS CONTAINING BETWEEN 3 AND 15% FINER THAN 0.02 mm. F3 a. GRAVELLY SOILS CONTAINING MORE THAN 20% FINER THAN 0.02 mm. AND SANDY SOILS (EXCEPT FINE SILTY, SANDS) CONTAINING MORE THAN 15% FINER THAN 0.02 mm. b. CLAYS WITH PLASTICITY INDEXES OF MORE THAN 12. EXCEPT VARVED CLAYS. F4 a. ALL SILTS INCLUDING SANDY SILTS. . b. FINE SILTY SANDS CONTAINING MORE -THAN 15% FINER THAN 0.02 mm. c. LEAN CLAYS WITH PLASTICITY INDEXES OF LESS THAN 12. d. VARVED CLAYS. spy 7/....,Y u F 3 {I '- s)oyw <s lenp )o asn 8mnnbn s'sea anq:op+off ^,dZr o, ^.'S o d S'PAVd?'A[> cue:p vs'T xzpur R,pimid ..xnpo) s. pzp�sseio ve spoz pauie:9 avem (axr'All' OOZ op uey, +'pews unn>u)) said) )n a9muvnd uo Ampuadla !e+8 wor) pues pue 1-1,'8 )o s'9r,u'wad o:nuu'�a�I . aa,,puap: pp!) :apun u'.qY sc sumvv) ay, au:.ap,u.,p: w anry airs lea's, -- --_ - -- -_Al w W' J a to - _ CL Ij r_ OC — - __ ro Z. in F - ,u� ry - aiyr: ua'IJ s,u� spon+U-ea1,p ,ug _ pc p zai ul LIS uap+a,o:s I`.nbl 11111 f, ` llil 01b, ly = ze p,ea ay mu I', (.I irrs .,od) sSI>Ppr zi "I I IXI - r -;I 4purg [C _ „<, p.yl,: n:,ly:,:.. 11,1l,d I'll om:'-m•y0 ,hssa - "IF r.r I ,9,ri I,F oy ury, si lr : 19'InI. ,•I\. I "II I.u)n qey, up 1'." 7/....,Y July 6, 1978 Carolyn TipPie Senior rnvironntental Specialist sewer and water Section -1 lan .-olding T jr, Denied Lot 3 Block 2 make Otis Heights Subdivision t }pis letter r ay exple1jyj 141ay a holding; tank was installed in the neighborhood. Senior Enviromentai Sppeicalist f,'1n:, jl jh F DEPT. OF Elili`�'AIQ11 MEQ' TAL CONSERVATION DEPT. ov HEALTH ENVIRONMENTAL PRC �4 10',,4 SOUTRCENTRAL REGIONAL OFFICE Dept. of Health & Environmental Protection Anchorage Municipality 825 L Street Anchorage, AK 99501 JAYS. RAMMOND, GOVERNOR 339 DENALI STREET MeeKAY BU/LO/NG, ROOM 1199 ANCHORAGE 99591 September 16, 1977 Subject: Lot 3, Block 2, Lake Otis Heights Subdivision Gentlemen: As the owners began this project prior to the effective date of the holding tank restrictions contained in 18 AAC 72.020(L) This department has no objection to the use of a holding tank on the subject property. Sincerely, Kyle J. Cherry Regional Environmental Supervisor cc: Fairview Enterprises Alaska Test Lab sv MUNICIPALITY OF ANCHORAGE Aik • DEPARTMENT OF HEALTH & HUMAN SERVICES R "' A `�y Division of Environmental Serviceslow 411.1On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. # 011-1 —10)L ` q5- HAA # 1. GENERAL INFORMATION Complete legal descriptionIBI c)cK Lake- C)+;:s Ue_�S Location (site address or directions) Propert owner L pAn Mellor Day phone a)Q-V933 Mailing addres� I y () W. 3enS2-)n 2.,r\ A7-\ oar-Y)C'h o foc te' gso3 Lending agency Day phone Mailing.address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. 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. 4. 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 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 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. Name of Firm S & S ENGINEERING Phone �► y - a17 7 `1 17034 Eagle River Loop Road No. 204 Address Fagle River,/ ��ca 493 Engineer's signature Z--�:,i Date x-97 c �j 6. DHHS SIGNATURE (/ Approved for TIY8EEbedrooms. Disapproved. Conditional approval for bedro^�r - with the following stipulations: Additional Comments 0 111Th Dateq- � -- q ,? 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 courtesyto purchasers of homes and theirlending institutions in order to satisfy certain federal and state requirements. Employeesof 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 engineers work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage C E I E ® a DEPARTMENT OF HEALTH & HUMAN SERVIC VEnvironmental Services Division 825 L Street; Room 502 • Anchorage, Alaska 99501 • (907% yb-494 99 Municipality of Anchorage JJ �/�Health Authority Approval Checklia9pt. Health & Human Services L-- Legal Description: ar ; &tyok 2; LAA:f6 Ort S Parcel I.D.: I y - )o -)kA. WELL DATA Well type /Z-1 VA f If A, B, or C, attach ADEC letter. ADEC water system numbed Log present (Y/�1 ^X/© Date completed LIAI K t /-'' 1 `l -7 7 / Total depth ---A—�- '4- Cased toC_t -_ Casing height (above ground) Sanitary seal -'N) Wires properly protected &N) - S FROM WELL LOG Date of test Static water level Li 14 Well production g.p.m. WATER SAMPLE RESULTS: AT INSPECTION 2-11711? 9 36 So Coliform Nitrate 00 S Other bacteria Date of sample: Collected by: -71 JC�G S & S ENGINEERING B. SEPTIC/HOLDING TANK DATA 17034 Eagle River Loop Road No. 204 E=agle River, Alaska 99577 Date installed / Z41 UG Tank size --Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N l''- Depression (Y/N) High water alarm (Y/N) Date of Pumper C. ABSORPTION FIELD DATA Date installed Pa BUG Soil rating (g.p.d./ft2 or ft2/bdrm) System type Length Width Gravel thickness -below pipe Total depth Effective absorption area Monitori . ube present (Y/N) Depression over field (Y/N) Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth =(ins) Id before test (in.); Immediately after_ gal. water added (in.): Fluid depth Minutes later: Absorption rate = g.p.d. (past 12 months) (Y/N) 72-026 (Rev. 3/96)* If yes, give date D. LIFT STATION Date installed tv Manhole/Access (Y/N) High water alarm level on" level at* *Datum "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: �,gwCH-60A>OG14M&ry7-;qTION Septic/holding tank on lot /V 44 On adjacent lots N//f Absorption field on lot N 1A On adjacent lots Public sewer main / E/ (,WA)V`4) Public sewer manhole/cleanout i i1 — /*1 Sewer /septic service line f `%'a Lift station / X YT I" STA)-i,I£-4 1'�lV/Z 'r0 t c1 $3 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation / 14- Proga�in2 Absorption field Water mainn/�jce-lin€ Surface water/drainage Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Al � Building foundation-- Water main/service line Surface water Driveway, parking/vehicle storage area Curtain Wells on adjacent lots F. ENGINEER'S CERTIFICATION l certify that / have determined thru field inspections and review of Municipal in conformance with MOA HAA guideli s in effect on this date. Signature ��& z`f'""-- Engineer's Name J 2 % C • C06,141-1 Date ,.t ( )-CA f °i HAA Fee $ 3C0,00 Waiver Fee $ Date of Payment -a`l -`C-�` Receipt Number- CDYk.kA I - ---) 1b 72-026 (Rev. 3/96)* Date of Payment Receipt Number 4( f ;o •ROBERT C. COWAN f•2 �E 8801 rr� a �f JTF: AV are /l CT&E Environmental Services Inc. CT&E Ref.# 993717001 Client PO# Client Name S & S Engineering Printed Date/Time 07/28/99 21:53 Project Name/# 7138 Stella L, a r 3 13Lac,,e '2 Collected Date/Time 07/26/99 12:40 Client Sample ID 7138 Stella L 4Kr, o 7-1 S if S Received Date/Time 07/26/99 13:01 Matrix Drinking Water Technical Direct r:.Sttepphen C. Ed'�e Ordered By PWSID 0 Release Sample Remarks: Parameter Results PDL Units Method Total Coliform 0 col/100mL SM18 9222B Nitrate -N 0.500 U 0.500 mg/L EPA 300.0 Allowable Prep Analysis Limits Date Date Init 07/26/99 RMV 10 max 07/26/99 07/26/99 SCL '�kYa dlf�like o0t56 is a Subdivisionivand Heightbetween I on proposed sewer r line. 3. Separation elk t of45 feet Heights between bdivisionivate a d p oposed sever line. .�- .. �. .�..+ r"�K a--y'1•W1ht� .4"',q4w cr 47. FNYna<V�. ♦ .��. a-y�( •... r , ASK j r, OF ENVIR0NMENTAI, C0r4NERVATI0N ,, 4 'A. I L_ May 28, 1982 •Kross sAdministrator rage'Water and Wastewater Utilities Arctic Boulevard rage, Alaska 99503 Plans and Specifications Request of a Well Regulation Waiver Stella LID No. 1330 SBI -22 4s. Kross: 4, w, TMyou for the plans, specifications and engineer's report in request a of .a regulation waiver for the referenced project under your letter of nl 11 229 1982. The construction of the referenced project will include rK` t installetion of 1696 feet of 8 -inch ductile iron pipe, 3 type 'A" `%`tapholes, 3 type "B' special manholes, 1 cleanout and other appurtenant .•.,'rites. The plans and specifications are approved for matters of concern �` to' this Department? In: accordance with Title 18 of the Alaska Administrative Code Chapter 80 (18 AAC 80.020.dI, Mr. Alfred E. Sundquist,, P. E., submitted a report for .'s review and consideration to wa ve established separation distances :t0"Oonstrpct, maintain and operate Portions of Stella LID No. 133.closer dfinking water sources. Fiore partularly, construction of the refer - `sed project will require a waiver to encroach upon the well radius of k 7. ,yZ..:Olde,�+e11s adjacent to this project, In recognition of the report, the pllns and tM specifications for the proposed sewer line, the following 1�+ s separation distances are approved instead of that required in Table A of le AAC BD* i 1. Separation distance of 18 feet between a private well on Lot 39 elk 20 Lake Otis Heights Subdivision and proposed sewer line. 2. Lopa�at elk dlf�like o0t56 is a Subdivisionivand Heightbetween I on proposed sewer r line. 3. Separation elk distance1Lake of45 feet Heights between bdivisionivate a d p oposed sever line. ,r :k- Linda Kross Page 2 May 28, 1982 4. Sepparation distance of 27 feet between a private well on Lot 5, Blk 1, McCaughy Subdivision and proposed sewer line. 5. Separation distances of 114 feet and 118 feet between a Class "CO well on Lot 6, Blk 2, McCaughy Subdivision and proposed sewer + line and Manhole /6 respectively. s `. 6. Separation distances of 112 feet and 117 feet between a Class "C" well on Lot S. Blk 2, McCaughy Subdivision and proposed sewer line and Manhole #6 respectively. 7. Sepparation distance of 31 feet between a private well on Lot 18, ; Blk 3, Alpine Village Subdivision and ifroposed sewer line. 8. Sepparation distance of 30 feet between a private well on Lot 1, Blk 2, Alpine Village Subdivision and proposed sewer line. 9. Sepparation distance of 65 feet between a private well on Lot 4, Blk 1, Galatea Estates Subdivision and proposed sewer line. Your request for a waiver for manhole -to -well distances of less than 100 Water Regulations (Specifically feet is forbidden under the Drinking 18 AAC 80.020.d). In reference to the most critical case, the proximity of Manhole fl and a private well on Lot 18, Blk 3, Alpine Village Subdivision causes this department some considerable concern. It seems possible that any exfiltration, no matter how unlikely it may seem, would fall within the radius of influence of the private well. However, the department finds that the special manholes detailed in the plans and specifications as the most feasible solution to the problem. Within these special manholess the sewer tine's flanged pipe 1s mechanically into the manhole. } sealed and gasketed to prevent leakage of any sewage Without difficult implications for sewer line maintenance (not within the standard manhole description depicted in the State adopted Ten State Stan- R dards) and some knowledge of geologic conditions, this department will approve the following separation distances. 1. sepparation distance of 94 feet between a private well on Lot 5, Blk 1. McCaughy Subdivision and Manhole #6- 2. Separation distance of 31 feet between a private well on Lot 18, Bik 3, Alpine Village Subdivision and Manhole 01. ¢Pagea3Kross ' P N4y 28, 1982 'a 4 K Y, t r. 3. Separation distance of 79 Poet between a private well on Lot 1, �'... 'y Blk 20 Alpine Village Subdivision and Manhole CM3 x:. . 4. Separation distance of 90 feet between a private well on Lot 4, f Blk 1, Galatea Estates Subdivision and Manhole 03. ile request one item of the project's specifications under Special Provisions be corrected. Under the title Bid Award, please add the word responsive" after "lowest". The approval of the project's plans and specifications is no assurance for the grant offer will be given in the future. Sincerely, Greg M' ee�//f Construction Grants Engineer GM/rw/m is RECEIVED JUN -2`W'. Anch()TD%e «'ater and 54_w:.t utility ! 4 r' 4 !� T0. { �' �f �i•s ,ro � � 1 --ij +yl Time APPLIC _ NT FILLS OUT UPPER Hi ONLY Prop? ty Owner .�`__ff-QkkZ1 s ( I- % Phone '/�/' �7 7 Mailing Address /� fZi Code P �- li Buyer Inspector Inspector _ Inspector Inspector Address Zip Code Lending Institution S"ti1c ��..ez �a 1-. i- n1 fv� C2- �C�� Phone n '9.(y)A", S.ENVIROttPJ,cf:iA-. Lu Zip Code Address Realty Co. & Agent _ Phone Address _) O,FIITIONS OF APPROVAL �. ���- Zip Code Legal Description y,412 Z1: DATE S n- BY: Street Location 72 _/_G G-7 Type of Residence Date Sewer Installed Well To Absorption Area PK Single Family Septic Tank Size ❑ Multiple Family No. of Bedrooms - ❑ Other Water Supply IR Individual - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal - ❑ Individual Year Individual Installed: Public Utility When Connected to Public Utility: ❑ Holding Tank - - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Tir��g) r, l C� i Time Date Date - Date Date ' - Inspector Inspector _ Inspector Inspector \\ Field Notes: �4�01' MUNI DI P PO° ;;O =CTIO n '9.(y)A", S.ENVIROttPJ,cf:iA-. Lu �'•�' ( )APPROVED BEDROOMS _) O,FIITIONS OF APPROVAL �. ���- ( ) DISAPPROVED ( ) CONDITIONALPPROVAL` - - 6� DATE S n- BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank