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Y- a Q w w z 2 t� O O Q = tJ=wUQ w m pNa E- pi-�o< a� t-rz LL wZL>u w~awZO �> v w Q > > }�app �Z mQ N�iw w w w w o8UmccO oQm Q- Sg 00>ZO °"''i wwwM r �0, S c J N �ZO E Q 0 vQ _ w y O Z V LL ut Q�Oz'0" �a moo r-I w z z ro o r cO V m �'` 2 'n Q w � Q r�om= 0OF= Op0 V) Q� zjw o ED 2" p J �> t- O rn �J o W 2: H 2w�w c U H w 0 aoa =-4� MI Ii U La I— 0 0 L6 N_ W 0 0 F- 0 0 0 0 o �7z 0 N W 0 O 0 0 0 0 8296 KL I Lot 9 N89049'00"W 211.97 30 well ---------------------"�' o `�_3 LOT 8 I Gravel Driveway 2_00H \ ss.s Nts► N89049'00"W 251.84 SCALE: 1"= 40' 03 2 story Frame House o deck I~1O.V co of A m shed r f? Proposed Easement 66.8A LOT 7 N89049'00"W 318.81 Unsubdivided EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Fb06-1, pg 5455 S 2wacrd f J, h n 5 .�mew T o,1�. 3-6 —06 BE o_ —80.T O O �M� O pn. � 30 shed \ N Gravel Driveway 4.0 ---7 // 11 loe mIg co o� / N 20.0 'L� i ' �R�6Q lea. 600 0 weu 0 w Cn i''UBWT-_- _QJN 0 1- 2017 .a 121-Icno � MELISSA DAVIDSON AS -BUILT & Proposed Easement NO CORNERS SET THIS DATE � e Missiles. ra Inspeclion Report _1-,r1-12doc Municipality of Anchorage (j Community Development Department pa 1 of 1s On -Site Water & Wastewater Program DEC 2 y N 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • hftp:/Avww.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141 198 PID Number: 051-323-29 ❑ New ® Upgrade Name: TAD & JAN GILBERT ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ound Address: 14444 DON CIRCLE ❑ Other Phone: (907) 602-8993 No. of Bedrooms: 3 She Rating: GPD/Sq. Ft. Total Depth from eal grade: 1 FI. LEGAL DESCRIPTION Depth to pipe invert from original grade: F Gmv depth beneath pipe: Ft. Subdivision: LAKE RIDGE TERRACE Block: Lot: 11 8 Fill added above original grade: �\ Ft. Grovel length: Fl. township: — Onge: — eo Ion: — Gravel width: Beds Number of lines: Distance between linea: Ft SEPARATION DISTANCESFt. Total ab Ion oreo: SO. Ft. Numther of trenches: Dial. between trenches: Ft_ To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Saver Linea Well 100'+ — — 25'+ TANK ® Septic ❑ S.T.E.P. CHolding ❑Other Surface voter 100'+ z — — — Manufacturer. ANCHORAGE TANK capacity: 1250 Gal. Lot Line rj } W _ — N/A Malarial: STEEL Number of compodments: 2 Foundation 5'+ - - LIFT STATION Curtain DrainNONE KNOWN Manufacturer: C .y: N/A col. Remarks: PER CONTRACTOR, THE OLD TANK WAS 'Pump on' level at: Pump off lev High water alarm at: DECOMMISSIONED PER UPC. Pump Moke k Electrical Inspections pedormed by: PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer GREEN GENERAL Drainfield EXISTING CO/MT D3034 Inspector GEC, Ltd. BENCHMARK (Assumed elevation) 100.00 Ft. Inspection Dates: 1 st 10/25/2014 2nd Location and Description: 3rd 4th BOTTOM OF SIDING AT NW CORNER Community Development Department Approval ENDINEER'S SEAL a�OF Conditional approval: Date: 4T 0 ............ .... ............ D� A. rness.- Approved: Date: -A O 9 CE_ 5 �(J��el0• ..j2�26�i�'�cAoo 04 aprofessionoo ��O0000�� Inspeclion Report _1-,r1-12doc PERMIT NUMBER: OSP 141198 A B ST1 11.05 28.70 ST2 18.84 32.69 DBL1 5.79 31.08 DBL2 6.42 29.87 DBL3 20.97 33.41 DBL4 21.25 32.33 C01 15.57 24.98 SUMP 40.97 1 16.69 AS -BUILT DRAWING / LAKE RIDGE TERRACE SID / I / BLOCK 11, LOT 9 A loo, Wsu RAI) IUS N / \ It / OUTFALL OF DRAIN WITH BONEROCK- 20 FEET AT END OF PIPE. WATER MAY BE l 1pp' RUNNING IN PIPE. NO VISIBLE WATER W ( ELL RADIUS FLOWING NEAR OUTFALL ON 6/10/2014 1� OR DOWNHILL FROM END OF DRAIN I� - ---- — PARCEL ID NUMBER: 051-323-29 � \II / 2 ( / � I a SUMP EXISTING DRAINFIELD_ T \ EXISTING \ 3BEDROOM D131_384,,� C07 \HOUSE NEW L. LARGE TANKSEPTIHANK. D8L 182 AN REQUIRED INSTALLED REQUIRE INSTALLED \ PER OWNERS REQUEST \ NOTE: 5+ FOOT SEPARATION BETWEEN NEW SEPTIC TANK AND DRAINFIELD. GREEN GENERAL EXCAVATED AREA BETWEEN TANK AND DRAINFEILD AND {h NO DRAINROCK WAS FOUND WITHIN 5 FEET. INSPECTED BY JODY MAUS. LAKE RIDGE TERRACE SID BLOCK 11, LOT 7 — — i GARNESS ENGINEERING GROUP, Ltd " �` 9 .....: .....::..... .......... : CIVIL & ENVIRONMENTAL ENGINEERS 3]41ETH10.4flQ4U.8U1iE 101•PNCNOFNiE. PHSB'v0]•%IONE (80]J S1]81]9•FP%(Poi18883'�81M1'E88RE:xxxge�reaae�gl,ge�Fp.mm ••.•. ••.•••.•• •.•••••. 'REPAIRED FOR: PHONE NUMBER: PAGE NUMBER: .�� TAD & JAN GILBERT 602-8995 2 OF 3 ��� J rCE-7953finess �4 EGAL DESCRIPTION: DRAWN BY: �.S/F• ILJnl.I-.. 4W LAKE RIDGE TERRACE; BLOCK 11, LOT 8 D.J.G. �jh'FQ'... I, . 4ib. YPDATE: AS --BUILT DRAWING ♦ 414 R/i 12/26/2014 INN % PERMIT -NUMBER: PARCEL ID NUMBER: OSP141198 AS -BUILT DRAWING 051-323-29 TOP OF TANK AT INLET= 96.5 INVERT OF BUNG AT INLET = 95.93. ST1 2" OF INSULATION ( PER COTRACTOR) FINAL GRADE = 98.84-99.34 ST2 NEW 1250 GALLON SEPTIC TANK STOP OF TANK AT OUTLET = 96.56 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS PREPARED FOR: TAD & JAN GILBERT PHONE NUMBER: ( 907) 602-8993 PAGE NUMBER: 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: LAKE RIDGE TERRACE; BLOCK 11, LOT 8 D.J.G. TYPE OF WORK: DATE: �_ PROFILE AS -BUILT 1 212 612 01 4 INVERT OF BUNG I AT OUTLET = 95.81 Q 4 C 79 3 Iztib1'ly fw6FESS0t'l On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141198 Tax Code Number: 05132329000 Work Type: SepticTank Upgrade Permit Effective Dates: June 23, 2014 to June 23, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: LAKE RIDGE TERRACE Site Legal Address: LAKE RIDGE TERRACE BLK 11 LT 8 G:0553 Owner/Address: GILBERT CLYDE A & BERYL E 50% & GILBERT TAD K 50% 14444 DON CIRCLE EAGLE RIVER AK 995779205 Site Mailing Address: 14444 DON CIR, Eagle River This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 28989 Total Bedrooms: 3 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. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel 1. D. _O'S Zai Property owner(s) TAD AND JAN GILBERT Day phone 602-8993 Mailing address 14444 DON CIRCLE, EAGLE RIVER, AK 99577 Site address 14444 DON CIRCLE, EAGLE RIVER, AK 99577 Legal description (Sub'd, Block & Lot) LAKE RIDGE TERRACE S/D; BLOCK 1 1 L0T 8 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: ❑ (®allthatapply) Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings _ (SF and/or D) kA L JUN 13 2014 THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: of 15 Date of Payment: Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. 0 (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS June 11, 2014 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Tank Upgrade for Lake Ridge Terrace S/D; Block 11, Lot 8 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system consists of a 1000 gallon septic tank and a trench type drainfield. According to the owner, the tank had to be excavated this past winter and was found to be of poor integrity. The owner would like to replace the tank with a new 1000 gallon septic tank. During our site visit, we found the standpipe at the end of the drainfield is a 4" perforated (F-810) pipe which does not comply with MOA requirements. We are proposing that the contractor who installs the tank, also installs a new monitoring tube and cleanout at the end of the drainfield as part of this upgrade. We would also like to note that a newly installed storm drain has been installed by the MOA on this property (with the owner's permission) and ends approximately 40 feet North of the drainfield. According to the owner, the storm drain is a 18" solid ADS pipe that is buried in bone rock. The outfall ends in bone rock and no visible water was found at the outfall pipe or downhill form the outfall within 100 feet on 6/10/2014. Water may be running in the solid pipe, but it is unclear if the water will ever be visible at the outfall. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your a,5gistance. P.E., M.S. NOTE: Attached is a site plan drawing and a design drawing, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 8 page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengincering.com \\ \ LAKE RIDGE TERRACE SID TRACT Al, LOT 6 \\ \• / /// // /X\\\ LAKE RIDGE BLOCK 11, LOT 11 S/D LAKE RIDGE TERRACE SID / \ TRACT Al, LOT LAKE RIDGE TERRACE SID BLOCK II, LOT 10 y/ j 'yy / LAKE RIDGE'TERRACE SID \ \y/ Z'�j // I . /�\ BLOCK II, LOT LAKE RIDGE TERRACE SID \ / \`l� \ BLOCK 11, LOT 9 NEW STORM DRAIN IIIRan„._ 1 / 1 / / 11 1 1 FIRE N I (APPROX 1� 1 1= 11 �I 'SII 1 y� II 1 I 1 EXISTING SEPTIC SYSTEM CREEK . LOCATION) J i I SEPTIC TANK SETTLING POND WITH SURFACE WATER (APPROX. LOCATION) LAKE RIDGE TERRACE SID BLOCK 11, LOT 7 � t / e�0°oFT �r _'0 O�OF.X' <F- 'CO _y_aG�OP� ' 1 I _ I DI 11 GARNESS ENGINEERING GROUP, Ltd I*: CIVIL & ENVIRONMENTAL ENGINEERS VWE. WRR D,,SUITE101'P HO E.A(89507•PI NE(80'0 33181i9'FA%(90T 3393?AB•WE331t[�wuu.nemrsrnnnr..n ��.�. _ PREPARED FOR: TAD AND JAN GILBERT LEGAL DESCRIPTION: LAKE RIDGE TERRACE PHONE NUMBER: (907) 602-8993 BLOCK 11, LOT 8 SITE PLAN FOR SEPTIC TANK UPGRADE PAGE NUMBER: 1 OF 2 DRAWN BY: J.L.M. DATE: 6/11/2014 RIDGE TERRACE SID BLOCK 11, LOT 6 "ROFESSI��i♦♦ 1 t —EXISTING 3 8EDR HOUSE 1 691, LAKE RIDGE TERRACE SID BLOCK 11, LOT 7 � t / e�0°oFT �r _'0 O�OF.X' <F- 'CO _y_aG�OP� ' 1 I _ I DI 11 GARNESS ENGINEERING GROUP, Ltd I*: CIVIL & ENVIRONMENTAL ENGINEERS VWE. WRR D,,SUITE101'P HO E.A(89507•PI NE(80'0 33181i9'FA%(90T 3393?AB•WE331t[�wuu.nemrsrnnnr..n ��.�. _ PREPARED FOR: TAD AND JAN GILBERT LEGAL DESCRIPTION: LAKE RIDGE TERRACE PHONE NUMBER: (907) 602-8993 BLOCK 11, LOT 8 SITE PLAN FOR SEPTIC TANK UPGRADE PAGE NUMBER: 1 OF 2 DRAWN BY: J.L.M. DATE: 6/11/2014 RIDGE TERRACE SID BLOCK 11, LOT 6 "ROFESSI��i♦♦ APPROXIMATE LOCATION OF SETTLING POND WITH SURFACED WATER. NO GEG, Ltd. HAS ARPAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. OUTFALL OF DRAIN WITH BONEROCK-20 FEET AT END OF PIPE. WATER MAY BE RUNNING IN PIPE. NO VISIBLE WATER FLOWING NEAR OUTFALL ON Oil 012014 OR DOWNHILL FROM END OF DRAIN.— INSTALL NEW CLEANOUT AND MONITORING TUBE AT END OF DRAINFIELD. EXISTING STANDPIPE IS 4" PERFRORATED F-810 PIPE PROPOSED 1000 GALLON INSTALL DOUBLE CLEANOUTS NOTE: THE CONTRACTOR OR HOMEOWNER SHALL HAVE THE SOUTH PROPERTY LINE FLAGGED BY REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 1 I 1 I 11 11 11 I� NEWLY INSTALLED STORM DRAIN (BURIED) BYMOA. 18" SOLID PIPE BURIED IN BONEROCK PER OWNER. EXISTING SEPTIC TANK TO BE ABANDONED PER UPC CODE INSTALL DOUBLE CLEANOUTS GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TAD AND JAN GILBERT I 602-8993 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: LAKE RIDGE TERRACE S/D; BLOCK 11, LOT 8 J.L.M. TYPE OF WORK: DATE: � DESIGN FOR PROPOSED SEPTIC TANK UPGRADE 6/11/2014 EXISTING 3 BEDROOM HOUSE �E . . ............6 ess i ,�- SUBJECT DATE MESSAGE REPLY SIGNED DATE MUNICIPALITY OF ANCHORAGE ay DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION i ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE PffNEW �Ialhl .,�--,�-ILS-:j� ❑UPGRADE MAILING ADDRESS �rZa acv e L "-!I/ �D%% LEGAL DESCRIPTION i i i I Ln- Pu r__c of c,tk, ltj- d_ac° LOCATION -� j NO. OF BEDROOMS IJL� I l C 1, Y-Z� I e .3 DISTANCE TO: Well i Absorption area 1 Dwelling I f-- PERMIT NO. Uy v 67 _�) F Z Manufacturer Materi l_ No. of compartments W w Liq. capacity in gallons IF HOMHOMEMADE:length Inside ._._ Width -- Liquid.depth Y DISTANCE TO: Well Dwelling PERMIT NO. _j 02 z Q Manufacturer Material Liquid capacity in gallons ❑ DISTANCE TO: Well Foundation Nearest lot line - lC. PERMIT NO. `- w= {- (�)(] J LL Z of lines NoCC Length of each Ii e Total length of lines Trench width— �T Distance between lines Z w ~ �. 1 1 C, __ _� 7 _ '�j a r-J �nehes /Q//j —. Top finish Material beneath tile Total a ective absorption area of tile to grade -3;c5- imehes Length Width Depth PERMIT NO, LU O Q F Type of crib Cri diameter C 'b depth tal effective absor n area wa LUwew_ N BuilldirrgToundation Nearest of line DI TANCE TO: _j Depth Driller Distance to lot line PERMIT NO. --� W � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE � V MATERIALS r SOIL TEST RATING INSTALLER )�` Y REMARKS (7) L 4k � er c)'7 v'�l L 7Lc �CClQ .'HCl �{ 1L,✓ L -/�1 -C%_ ZL. L � F-- A`PPPPRROOVEDe DATE LEGAL �y /1 l t�� Il (,1'4 J��i;( {i ���`7 / I _�C IQ 11 /_ft Ii, t A c. :E -F °'A e CIF=- F=- DEPARTMENT HEALTH AND ENVIRONMENTAL , N?OTE TION 825 `L`' STREET: ANCHORAGE, AFS::. 99501 264-4720 WF=l I s='ra�_. A_Ara— �-� =.�r•a� ���-r>t r PERMIT NO. ( 82104-: APPLICANT DAVID BATT SR:2 BOX :=166 CHUG I RK 99567 -15=1 LOCATION LE13AL L8Bi1 LAKERIDOE TERRACE LOT SIZE _=19-=999 _QUARE FEET TYPE i IF SOIL ABSORPTION SYSTEM I S : TRENCH MAXIMUM NUMBER OF' BEDROOMS = _ SOIL RATING Q FT/BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION 'SYSTEM IS: E-° F F=" -F H o.E.4i a r -a A:Ej -r" _' i. A -i F> F=1 °•.•` a L- -° F= F=` -r F-1-- "4 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR C:RAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL FIFE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FR FE Ada !_I I F=, E= C:°. '3 FE F"• T I A== _r n"K '� 1 .= F= = f C-1 A21 A_ -A 0 n I L_ A7A r -a PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIC NS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER: OF RESIDENCES THAT THE WELL WILL SERVE. — — — -i-- r•a IL's <;22 > T r a F=" E r- -r a 93 r -a FA Fr~• F=' F__ E 09 o_s l F:P-.'F= C:° --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO i PROSECT (TION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIMATE SEWER LINE IS 25 FEET AND T± + A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAY_ OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F✓ aF; M I -F a.- aF=' i F= a=. C_°aA- aM0aF'. -J_ -_-A __. I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. %: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. APPLICANT D ``IG BATT i V4. 0 ISSUED F�r__�/ �C.-f _L_ /_C:�ATE__ �L" �'_` _ -== .. � 1. - i) SOILS LOG MUNICIPALITY OF ANCHORAGE �e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION I] PERCOLATION TEST '�.• 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS "LOO`/GJ— PERCOLATION TEST PERFORMED FOR: ��/ae �[� ! / DATE PERFORMED: LEGAL DESCRIPTION: /+ C7 / J 2 3 d 6 f 5 e i L 6 e 4C, q 7 d r4 10 � v 11 �` WAS GROUND WATER rJ ENCOUNTERED? 12 s IF YES, AT WHAT DEPTH? 13 14- CAI- 15- 16- 17 4CAw15 16 17 Tl, � i�� ,� •-lLL.x 1 . r Q y� 19 ��Ysep�iid��a SLOPE MR, MENEM M! ■IA.E�IN■■■■ ■UM■■.■.■■■ ■■■■■■■■■ NIMMERNMEME ■■NIENNIMM■M! ■■.IG__U®M■■■ ■■NN�■M■■■■ ■ ■,12M■■■.■ ■■MEMOM■■■ ■■EW41 11R■®■■ INEEMENNEEN /� /0 S !� L O P E Reading Date Gross Time Net Time Depth to Water Net Drop n i; 20 PERCOLATION RATE TEST RUN BETWEEN COMME S � PERFORMEDBY: -5-" � 15yJG-Iv¢'"BP-/1•v�,, CERTIFIED FT AND (minutes/inch) FT DA _ z 0 ^nm m-1 ^n n O-0 O O O 0 O O O O 0 O Z-) Q i Ut N O :O o> ID CJS ;PN Z 071 0 0 0 0 0 0 0' Mi Cc% iri 13 il) tb Si fJ CT it I�j o G1 m e e a Y m> C:r c� r D to z � rn vcni M O N o a m m • m J La �{ w n r i* F• 'N• IL Ca �l In �71 In �11 m Oil o o o o O O O o o 0 0 -q -3 -q .4 .-"i a a .-4 a -R' 73 r e a Y m> C:r c� r D to z � rn vcni M O N o a m m • m J La �{ w n r i* F• 'N• IL Ca z � a a C7 Ln o ro r -o m o r 0 i v n v; ila � i 1 � D IF s C:r c� r D Z= n )>> c/)r N > D a • m J CJ MUNICIPALITY OF ANCHORAGE • t DEPARTMENT OF HEALTH & HUMAN SERVICES M Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. # l - I) ! -'q°I HAA # 1. GENERAL INFORMATION Complete legal description Lot 8; Btock 11; Lakettidge TeA&ace. Location (site address or directions) 14444 Don Cin.c2e Property owner AHFC #57091 Day phone Mailing address WA #103382 Lending agency Day phone Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 N 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water Day phone 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 XXX 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 921 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 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 wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. s a 5 ENGINEERING Name of Firm 47034 %40, :1vrr i oop Road No. 204 Phone a7ie River, Aiaska 99577 Address Engineer's signature 6. DHHS SIGNATURE ti Approved for Zi�Llr bedrooms. Disapproved. Conditional approval for Additional Comments TCIITfC 1\-\2 iI- .v0. n � ' %A. bedrooms, with the following stipulations: 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. 72-025 (Rev. 1/91) Back MOA U21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 1c�a Parcel I.D. % �— 3Z 21/ A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number �� 1 t B3 � t S Log present;{MN) �� Date completed Driller a`-� u Total depth ` Cased to %:�;4t Casing height I% Sanitary sealVN) �f Wires properly protected(CLN) Date of test Static water level Well flow Pump level FROM WELL LOG 1�5 - 11 _ 0"5 U iL- g.p.m LJ1c:_. SEPARATION DISTANCES FROM WELL TO: AT INSPECTION xA (� 1 c:>— 92`1 , V t �!� MUNICIPALITY O? jG� LSERVICL iIr( . 2 9 -p -m,.1 , �J RECEIVED Septic/holding tank on lot l��r ; On adjacent lots I ( Absorption field on lot On adjacent lots ao A Public sewer main Public sewer manhole/cleanout t Sewer service line -2-S k Petroleum tank tl� (� WATER SAMPLE RESULTS: N Coliform 'd' Nitrate `111'Other bacteria Date of sample: Collected by: A S qnJ4 B. SEPTIC/HOLDING TA19K DATA ? ? «_ Date installed 1 �Z Tank size Compartments Cleanouts V(?N) High water alarm (Y/N) Date of pumping .Z_ Foundation cleanout (e*N) -f Depression (YATp ^� r t o-�A 2/ Alarm tested (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot k'yC k On adjacent lots t tDc l k Foundation To property line Int �- Absorption field Surface water/drainage � C:'�� A- 72-026 (Rev. 7/91) Front Water main/service line \-" t— CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off' level at High water alarm level 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 Date installed 8 y ti Soil rating _� System types •�s%� i r� ' �' �i Length �jL Width Gravel thickness Total depth -71 Total absorption area 4 Cleanouts present (V/N) `-f Depression over field (Ytq ''a Date of adequacy test o_q Results ( sRfail) for 3 bedrooms Peroxide treatment (past 12 months) (Y/N� If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1 ! On adjacent lots ` t Property line L t To building foundation l„o` To existing or abandoned system on lot /,A I rk I� On adjacent lots �J%'`' I-\-Cutbank �� Water main/service line b Surface water ( Al —`- I i Driveway, parking/vehicle storage area — Zn Curtain drain `5�` 4 - IE. ENGINEER'S CERTIFICATION I a1�• '�� a(L� I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & S ENGINEERING '' `° / -��° � Signature o ��:� -f�cr' _�u�4 i acgla Rivor', Alaska 99577 Engineer's Name s�^ [ Date 12 Z— d;t, w)Gtr; J. fl ase o AI IF:.+J'�t,\, is HAA Fee $ (7b, / Date of Payment Receipt Number l Waiver Fee: $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE • T DEPARTMENT OF HEALTH & HUMAN SERVICES Mei Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 0S1 - _'_� HAA # 1� W� Q Q II DS 1. GENERAL INFORMATION Complete legal description Lot 8; Block 11; Lakeridge Terrace Subdivision Location (site address or directions) 14444 Don Circle Property owner AHFC #57091 Day phone Mailing address WA 4103382 Lending agency Day phone KAailinn ari rlreec _ Agent Shari Baker/JACK WHITE COMPANY Day phone 694-5500 Address 10928 Eagle River Road, Eagle River, Alaska 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX 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 XXX 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. 1191) 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 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 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 — s5 Phone Address 17034 Ragle River Loop Road No. 208 aq e x (ver, Alas Engineer's signature 6. DHHS SIGNATURE Approved for ��r=� 3 bedrooms. Disapproved. Conditional approval for Additional Comments It ITIC Date (v - 1 (4-` "5 C)r,� pC.0U3aaa9P a°o6a0 e. ROGc11 J. MAt-t:" o ilio. G i5 �Opno�ssioea�i bedrooms, with the following stipulations: 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 orderto 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. 72-025 (Rev. 1/91) Back MOA 421 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST 44 Legal Description:Parcel LD . % A. WELL DATA m SEPARATION DISTANCES FROM WELL TO: Z Septic/holding tank on lot ��o ; On adjacent lots i Absorption field on lot t+ ; On adjacent lots \ C�', + Public sewer main Public sewer manhole/cleanout rJ 1A I Sewer service line Petroleum tank NC>r-,q_5 14 W i`" 'a WATER SAMPLE RESULTS:�AIJ � � l�/k5 ��� �f 9r��F�o�Jr;cti Coliform g Nitrate �' Other bacteria �P Date of sample: �' b-�Z Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ( a / bZ Cleanoutso/N) High water alarm (Y/N) Date of pumping Tank size \ Compartments 2— Foundation Foundation cleanout¢Y�'N) y Depression (YA1D r, (_,2 - l o - `['L Alarm tested (Y/N) Pumper e*,�, Fit-IF1,A6 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: I� Well(s) on lot I� On adjacent lots I� Foundation f To property line �t� + Absorption field Water main/service line j Surface water/drainage \t_ 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE Well type-- If If A, B, or C, attach ADEC letter. ADEC water system number Log present ON) � Date completed J '22� �- 8�7 Driller ^ N wJbw" Total depth �� I Cased to 4 u eight Casing height— Sanitary seal ON) `� Sanitary Wires properly protected4Y7N) FROM WELL LOG AT INSPECTION Z Oz Date of test - Static water level`—. C1 m0 rT',p.m.� Well flow 9.p.m.+2 y Pump level N m SEPARATION DISTANCES FROM WELL TO: Z Septic/holding tank on lot ��o ; On adjacent lots i Absorption field on lot t+ ; On adjacent lots \ C�', + Public sewer main Public sewer manhole/cleanout rJ 1A I Sewer service line Petroleum tank NC>r-,q_5 14 W i`" 'a WATER SAMPLE RESULTS:�AIJ � � l�/k5 ��� �f 9r��F�o�Jr;cti Coliform g Nitrate �' Other bacteria �P Date of sample: �' b-�Z Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ( a / bZ Cleanoutso/N) High water alarm (Y/N) Date of pumping Tank size \ Compartments 2— Foundation Foundation cleanout¢Y�'N) y Depression (YA1D r, (_,2 - l o - `['L Alarm tested (Y/N) Pumper e*,�, Fit-IF1,A6 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: I� Well(s) on lot I� On adjacent lots I� Foundation f To property line �t� + Absorption field Water main/service line j Surface water/drainage \t_ 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 "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA "Pump off' level at Cycles tested Surface water _ Date installed /�Z Soil rating 4/ v'v System type 6X_Jc� I Length Width Gravel thickness 5.S _Total depth Total absorption area ��`�� Cleanouts present a/N) Depression over field (Yo Date of adequacy test 0 —12— Results "IZResults k ams /fail) for 3 bedrooms Peroxide treatment (past iz months) (YM �� If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot \ I� On adjacent lots __I L-_ "'- 14 - To building foundation I t On adjacent lots '3 d Cutbank Surface water cwt Curtain drain E. ENGINEER'S CERTIFICATION Property line—_ o exis ing or abandoned system on lot �� IX Water main/service line. Driveway, parking/vehicle storage area x I afro. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. 0. � S & S ENGINEERING i3'4 1� Signature 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 = ab seo foo Engineer's Name �,i` y C Date 4 .a HAA Fee $ l© ,c -o Date of Paymenty 1� �} 71 Receipt Number Waiver Fee: $ Date of Payment Receipt Number HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT A. SHAFER CIVIL ENGINEER 694-2979 May 3,']989 RECEIVED JUIN 18 1992 N Municipall iiyctAnchorage Mb. Kathy Otmstead Dept. Health & Human Services JACK WHITE COMPANY 10928 Eagte R.iveA Road Eagte Riven, Ataska 99577 REFERENCE: Lot 8; Bloch 11; Lake Ridge Tennace Subdivision 14444 Don C.i&cte, Eagte RiveA, ALabka AHFC #51091 Dean Kathy, At youk request we have kepai,%ed .the broken septic cleanout pipe and .instatted a monito, i.ng tube within the teaeh4ietd on the ke4eAenced pnopehty. An adequacy test was pen.4okmed on the septic system on May 2, 1989. water was added to the system white wa-te& tevet measun.ements weAe .taken within .the newly .instaUed moni tot ing tube. From this test .it was concluded that system is cuxnentty 4unction.ing adequateCy 4on a three bedroom house. HoweveA, the system .i4 not guaranteed against subsequent 4aiture. The septic tank was pumped on May 3, 1989 by JR'S CESSPOOL PUMPING. 14 we my y—b o6 4un.then s eAv.ice, please contact us. �T A. SHAFER, P.E. 44 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 February 13, 1989 HEALTH AUTHORITY ROBERT A. SHAFER_ CIVIL ENGINEER 694-2979 ,i( Ii APPROVALS - Ms. Kathy Olmstead - - JACK WHITE COMPANY 10928 Eagle River Road Eagle Rives, Alaska 99577 SEWER & WATER MAIN EXTENSIONS L, REFERENCE: Lotl, Block 11; Lake Ridge Tearaee subdivision - 14444 Don C kcte, Eagte Riven, Ata4ka AHFC 057091 SEWER & WATER Dean Kathy, INSPECTION We have completed oua .in.itiat assessment a4 .the nesexenced property jar Health Authority Appravat (HAA) purposes. ENGINEERING STUDIES These ane two: weals "on" .the Le4ekenced pnopenty. Cunaentty the AND REPORTS east welt, located nearea to Don Ci,%cte, .is .in use. A 4low test was per4orme& on this wet). The static water levet was meabured at 1F0 fleet and .the watex .levee was drawn down to .the pump - 205 fleet. Faom the test it was conctuded that the weft eunrentty produces WELL INSPECTION &FLOW TEST approx.imatety: 10 gph. This 4low nate .is only acceptable 4aa a one - bedroom house!aecoad.tng to Munici.pat%ty o4 Anchorage (MOA), Department o4 Heatth and Human Senv.iees (DHHS) gu,ideUnes. We also observed the water coming .into the welt at a depth between 20-25 fleet. At .this shattow depth it .is considered to be sur4aee waters and tis unacceptable SITE PLANS 4or obtaining an HAA 4rom the MOA and, measuring 4nom an as-buizt survey done on the proprety, it appears that the we•tt is not aetuaZty on the property but loeated.within the Woad easement. Fon these reasons we per6aumed_a 4.2ow _test on the west welt located 4urthen.- - --- ROAD DESIGN J 4rom Don Circee. A'pump was placed in the west wW on February 7, 1989. The static. level was meabured at 14 beet. The water level was drawn down to . SOIL TEST the pump where the 4low was vatved down and allowed to &un-- 4or jour hours. From this test it was eonetuded that the well curn.entty produces approx.i.matety 1 gpm. This 4low nate is not guaranteed, subsequent variations can occurs. This 4.tow rate is acceptable Oat PERCOLATION the three bedroom nes.idence located on the prapeaty. TEST Water samples were taken 4aom the welt and tested Oar nitrates and •, coP.i4onm 6actWa. The results were satis4acton.y, however, the water has an odor and appeaas turbid. To use this weft 4o% domestic' . STRUCTURAL &... pu)tposes we recommend .instaUing a water treatment system estimated - - MECHANICAL INSPECTIONS ��tt at 41500.00. ON SITE - WASTE WATER - DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 J Febnuan.y 13, 1989 We recommend Keconnecti.ng the west well to the %esidence and abandoning the k east wett which cuanent2y aenvea the pnopenty. We ea.iimate the wo,%k at $1500.00, however, .it may be leas tib the existing waters tine can be used. s Aa bon the aepti.c system, there .is a cteanout pipe which has been bhohen o66 at ground level and needy nepa.it. We could not bind the moni.toking tube r within the leaeh6ie2d.. It appears that the area was, at one time, plowed, blooded and used as an` .ice n i.nk. Pi i.oh to pen5ohm.ing an adequacy teat on the system th.ia monitoring tube needs to be bound on a new one .installed. We estimate the aeptie.%epaiu at $300.00. Ib you have any quea.tions oK .ig we may be o4 6uxthex se,%v.ice, please contact ua. " R FRT A. SHAFER, P.E. AS/as ,s lip 7 �' •l� Y e Y .CW N Olt �'1 'v if r4flrr O0 w It� w t/, iR pr I .x I �2 { I lam. 3 i =.w J 1f rf Op ` 47 3 =.w J 1f rf Op ` y 901-W 3 1 a' :, ''" r �. � m -tet +ti I: " � Q, �, '•` rr •r, :e O Q ,� � �' � r�i 1 � H O ryt i s '+ C•i "% «y Sw ro w *i it V 1 M J r m s-ima"a N m r3 N 0 - g r. m £ 1 jao*°tr. fU n m rt O �oor� b= m.c W N 'C w : H � r+ M •, o W � t+ r. r' t 4 ?f6 .. ; r• �• Wi G4 w ?� VA +a- N Ii r. 'a C W W tQ• ry !a I � N. {Y �• r n W � '� II y 901-W Il 0 N O 0 T m m ON X a m m < X r N I x = m D r r _ a a /A� M7 rX r y a so D 04x e m V z i —i m r ® C7 � Z -nom^ •n n m m n -n -n -n m .,� 0 m m r m � O A O 0 O O O O O O —3 3r\ 9 Z n ' to 0 w W W N ri' i b p :i j4 is Eln N O n co m oll Co w O O '.0 O O O O O O 0.. O O : :J • � iw iLc. OD 57 :ln W (j t:.1 w or) ITI : h1 a Z a r, E r � t� r. a 41 y�-� ( r) :h tr .0 rr e T C rc r Il 0 N O 0 T m m ON X a m m < X r N I x = m D r r _ C a r D /A� M7 rX r y a so D 04x e m V M L3 3 c yfO�� C. / (&Cj, 8 P Or Z c a no m :lb :l :t 1 ;j :Pc) c!� i • t• :n� ih : y °m 'T� t17 r O H Z m r r - n :r :S cs Eo 8 o T T m�v wm 0 Ch X m r N I m P D = c rr A n D Yv x r r- A O •sem H D x 4# e o, V r APPLY lNT FILLS OUT UPPER HAL ONLY liruperty Owner David E. Batt - Phone Mailing Address SR Box 2879 Wasilla AK Zip Code 99687 NUNS Date Buyer TOM RICHERSON Date Addres." 200 W. 34th. Ave. Anchorage, AK Zip Code 99503 Lending Institution AK Bank of The North Phone Address Calais Building Zip Code _ Realty Co. & Agent Commonwealth AREA, Inc., Myrna Johnston Phone Address P.O.Box 770249,Ea le River AK Zip Code 995 77 MUNICIPALITY OF ANCHORAGE Legal Description Lot 8, Block Il, Lake Ridge -Terrace Subd. - Street Location NHN Don Circle DEPT. OF F'EP.LTII i'. Type of Residence - lR Single Family ENVIRO\ •A--ivTAL PROTECTION ❑ Multiple Family No. of Bedrooms - ❑ Other PIEC 2 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 'CONDITIONS OF APPROVAL ( ) DISAPPROVED Sewer Disposal - [A Individual 83 Year Individual Installed: -1-9A ❑ Public Utility When Connected to Public Utility ❑ Holding Tank - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE DEPT. OF F'EP.LTII i'. ENVIRO\ •A--ivTAL PROTECTION PIEC 2 RECEIVED (2) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE IZ2inn C, `�� I�CXh^, r BY: Soils Rating Date Sewer Installed r Well To Absorption Area ® � Well Lo 9 Received (/ '92—. 6 — Well to Tank Septic Tank Size D0 0 E ADEQUACYTEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLO`.V TEST SITE PLANS ROAD DESIGN SOL. TEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK Commonwealth Area Realty ATTENTION: Myrna Johnstone P.O. Box 249 Eagle River, Alaska 99577 0 ROBERT A.SHAFER CIVILENGINEER 694-2979 December 19, 1.983 MUNICIPALITY OF ANCHORAGE CEPT. OF fNVIR0Pv:,4-NTAL PROiICfION RECEIVED Dear Ms. Johnstone, Reference: Lot 89 Block 11; Lakeridge Terrace Subdivision A well inspection was performed on the well located on the referenced property. It was determined that two wells actually serve this residence; one located in the front yard and the second one located adjacent to the road right of way in the front of the house. Both of these wells were connected and in operation at the time of the test. Each well casing was equipped with an adequate sanitary seal and the wires leading from the top of the well casing to the ground were in conduit. However, the well wires for one of the wells was laying on top of the ground to the house. It will be necessary for these well wires to be buried a minimum of 24 inches as soon as possible. Also, both sets of well wires need to be placed in conduit where they leave the ground and enter the side of the residence. At the same time that this well inspection was performed a water sample was taken and submitted to Chemical and Geological Laboratories of Alaska for coliform bacterial analysis. The results of this test were satisfactory. If we may be of further service, please do not hesitate to contact us. Sincea`e1 y>> r P ,k fC� X% `v 2OBERT A. SHAFER, P.E. RAS/ss cc: Municipality of Anchorage Department of Health and Environmental Protection �� z .`� _�Q6 `CHEMICAL & GEOL GICAL LABORATORIES OF/{1. t* P� V lAIOnAIOm[e TELEPHONE (907) 562.2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street INC. ° Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I' TO BE COMPLETED BY LABORATORY WATER SYSTEM: V) See h on back I.D. NO. Waters � One No. Mailing Address City State Zip Code SAMPLE DATE: l/ I'— I l l E I Mo. Day Year /� (I �J SAMPLE TYPE: z y L- � � r { ❑ Routine ❑ Check Sample (for routine sample X$with lab ref. no. t ❑ Treated Water peclal Purpose Untreated Water SAMPLE Time Collec ad NO. L CATION f� Collected ,�jy�/� 2-- 3 1 1 5 READ INSTRUCTIONS BEFORE Analysis shows this Water SAMPLE to be: .Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Recelved Time Recelved Analytical Method: ❑ Fermentation Tube ffinembrane Filter Lab Ref. No. Result* Analyst 6 a -Cp I I Cl7 I I m I I m I I m *No. of colonies/ 100 ml. or No. of Positive portions. 06.12201b1 - _ BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected Source a.m. Date Received Time Received p.m. Lab. No. Prow mptive 10ml l oml l oml l oml l oml l Aml 0.111,111 24 Hours 24 Hours COLLECTING SAMPLE Multiple Tube Report:_ Membrane Filter: Direct Verification: LTB_ Final Membrane Fll ter Reported By Broth 24 hours: Broth 48 hours: I0ml Tubes Positive/Total loml Portions Collform/100ml Date =_! /�•Lf OOMI