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BLUEBERRY HILL BLK 4 LT 7
.~.~ %. MUNICIPALITY OF ANCHORAGE _ ' 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 LOCATION / NO. OF BEDROOMS ~[ Absorp~ar~ Dwelling DISTANCE TO: ~ / ~ I ~ ~ . Liquid depth Liq. capacit~ in gallons Inside length Width /~ ~ ~ IF HOMEMADE: ~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. m--~OZ~ Manufacturer /~ ~ ~ Material Liquid capacity in gallons O Well Foundation Nearest lot line PER~T NO. ~ Z ~ No. of lines Length~°f each line~ Total le Trench inches Distance bet~en~ ~es ~[~ Top of tile to fi~ g~d; /~S~ ~. Material beneatht, lo /2 '/ Tota~~~narea Q inches Length Width Depth PERMIT NO. ( ~ Type of crib Crib diameter Total effective absorption area ~ Well B~ding foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot tine PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank ~ Absorption area(s) INSTALLER /~ REMARKS APPROVED . 8RB 1961 DATE ~/ LEGAL 72-013 (Rev. 3/78) I'"'JlUIi'"',J Z ILl: :'ir F'P~L. T "'r'"'J' C_]IF' DEPAR'T'MENT I. HEAl_TH AND ENVTRONMENTAL D'T'ECT ION 825 L STREET., ANCHORAGE., AK 99501 ~64-4720 ON'--~J I TF_~ SEWER F'ERM I PERM I T NO: DATE ISSUED: 850552 06/25/85 AF'PI_ I [;ANT: ADDRESS: CONTACT PHONE: ~OHN MUCHA P.O. BOX 4-151~=. ANCHORAGE., AK 99509 272-7088 LEGAL DESCRIP: SUBDIVISION: BLU~BEI~SY HILL LOTi 7 BLOCK~ 4 SECTION: 9 TOWNSHI'P~ 14N RANGE: 1W MAx,LOT SIZE:BEDROOMS: y~A (SQ. FT. OR ACRES) Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. DEPTH l'O PIPe BOTTOM (FT. ) GRAVEL DEPTH (FT. ) TOTAL DEPTH (FT. ) I.'~RAVEL. WIDTH (ET.) GRAVEL I_ENSTH (FT.) GRAVEL VOLUME (CU. YDS. ) TANK SIZE (GALS) SOIL. RATING (SQ. FT./BR) BE1) W. DRAIN 5.0 ** ~,."~ 0 ** O. 5 1.0 5.5 4.0 19.0 ~5.0 ~6.0 ...._ ~5.4 ~. o 1,000.0 ** 1,000.0 ** 150 150 ** DEPTH TO PIPE BOTTOM < 5.5 FT. REQUIRES INSULATION ** DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION' ** GRAVEL. LENGTH > 75 FT'. REQUIRES MULTIPLE RUNS (NOT' EXCEEDING 75 FT. EACH) ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS I Certify that: 1. I am ~'amiliar with the requirements for on-site sewers and wells as set forth by the Municipality o~ Anchorage (MQA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations., and in compliance with the design criteria of this permit. 5. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well~ wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand thai. this permit is valid for a maximum of 5 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION I8 INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES., THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REF'ORT; AND (5) 1"HE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SI GNED DATE: ~ ur cipality Anchorage PC) U I._,,-t 6-650 ANCHORAGE, ALASKA 99502.-0650 (907) 264-411 '1 IONY KNOWli MA DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit #: 840897 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 7 Block 4 Blueberry Hill Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, rKeith E. Bandt, SupeYviso Environmental Engineering Program KEB/ljw enc: Copy of Permit swP/o 5 7 ~ L3 INI ]E El.T; ][ IF=" ~.":~ IL.._ ]E "'1- %"' I[.T.]t F: ~A I1'",,.1t E.-',: E'"~ ~] IF~,: ~..o., E:D E-":" DEP(.'t'RTMENT OF HEAL.TFt AND ENVIRONMENTAL PF;.'OTE[..]TION f'%:,.~ L STREEET, ANCI-~[]RAGE.~ AK 99501 ,::.E. Zl.~..47,:.U PEF~M I T NC]: DATE ISSUED: 840897 1(:) 122/1.34. APPL.. I CANT: ADDRESS: CONTAC'T' PHONIE: LEGAL DESCRIP: LO'l" SIZE:: LOT LOCATION: MAX BEDROOMS: JOHN MUCHA F:' 0 B 0 X 4-. 151.~ '''~ ANCHORAGE':, At'::: 995()9 SLIBDIVISION: BLUEBERRY HII_L SECTION: 9 TOWNSHIP: 14N 4.78A (SQ.FT. OR ACRES) BARCL. AY DRIVE 3 LOT: '7 BL. OCK: 4. RANGE: 1W I...isted be].ow are the opt. zc)ns available to you in designinc, t youn sept:i.c system. Choose the option that best ¢its youp site. .......................... . .............. ] (~?AVEL, WIDTH (FT.) c~.() ~.~ ,x~)/~ ~~ ~ GRAVEL VOLUME (L,U.YDS.) ~ 2'~.0 ~A~ ~- ~' ~ ~~' ~/ ~..~ DEF:'TH TO F:'IF'E BOTTOM < 3.5 FT,. REQUIRES II~ISLJL. ATIOIq '~*." ' 'r ,. , ~* DEPTFI TO PIPE; BOTTOM < 4.0 FT. MAY REQLIIREE A LIF'T' STATION F'~'~." ~.~' GRAVEl.. LENGTH > 75 FT. REQUIRES MLfl...TIPL. E RUNS' (NOT EXCEEDIIqG 75 EACH) · ~'~' TANK MUST HAVE AT I_EAST TWO COMPAF~TMENTS I certify that: .1.,, ;[ am familiar with the r, equirements for on-site sewers anti we].ls as set foPth by the Municipality o¢ Anchorage (MOA) and the Stat. e o¢ Alaska. 2. I wi].l install the system in accordance with a].l MOA codes and regulations, and in compliance with the design cr'itenia o¢ 'Lh].s pepmit. 3. I will adhene 'Eo all MOA and State of Alaska nequirements for the set back distarlces fr'om any existing well, wastewatep disposal system or' pub].ic sewerage system on this or any adjacent or near'by ].cfi... 4.. I under's{and that this permit is va].id for' a maximg~m o¢ 3 bedrooms arid any enlargement will require an additional per'mit, IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES~ THEN (1) AN ELECTRICAL. PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUII_TS WIL. L NOT BE APPROVED WITHOLIT AN ELECTRICAL INSF'ECTION RE;PORT; AND (3) THE APF'L.. I []ANT: . D~ &~¢ ISSUED BY DATE: / PERFORMED FOR: LEGAL DESCRIPTION: /~ SOl LS LOG 1 2 3 5 6 7 9 11 12 13 14 15 16 17 18 19 20 COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST / ~ebert A. Shaker No. 1~7-E 72-008 (6/79) SITE PLAN ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) ~ FT CERTIFIED B~~' PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW930415 DESIGN ENGINEER:c n ~ rr~r~z~r~ OWNER NAME:MUCHA JOHN R OWNER ADDRESS:BOX 771131 EAGLE RIVER, ALASKA 99577-1131 DATE ISSUED:10/06/93 EXPIRATION DATE:10/06/94 PARCEL ID:05020207 LEGAL DESCRIPTION: BLUEBERRY HILL BLK 4 LT 7 LOT SIZE: 208216 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~W ~ DATE: DATE: MUNICIPALITY OF ANCHORAGE 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 LOCATION DISTANCE TO: ~Z Manufacture~ ~e*~ ~C / .o. of comp~ents Liq. capacity in gallons Inside length Width Liquid depth , ~ Well ,Dwelling PERMIT NO. ~ O Z DISTANCE TO: O Z ~ Manufacturer ~~ ~ Material Liquid capacity in gallons Well Foundation Nearest lot line PER~T ~ · DISTANCE TO: width Distance bergen ~es Trench ' Top of tile to Material beneath tile Tot ~ inches Length Width Depth PERMIT NO, ~ Type of crib Crib diameter ~~/ Total effective absorption area m Well B~ding foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ Buildi'ng foundation Sewer line Septic tank Absorption area(s) . .... SOIL TEST RA INSTALLER 1201 Ramona St,. 99515 ANCHORAGE, ,~J.,ASKA SIX INCH WATER WELL DRILLED .......... OUT TO THE DEPTH OF ~3© Ft. DRILLED AT THE RATE OF ........... PER FOOT. Steel casing seated to 29 ft. PROPERTY OWNER M~. J hn R. Mucha 696-4042 LOCATION OF WELL SITE Lt. 7 Blk. 4 Blueberry Hills SubE.NVIRONI~ENTAL SERVICES DIVISION DRILLER Bernie Claus of RA~P~RT DRZLr,'rNa WO~S. ,'LPR 2 2 1994 WELL LOG: 0 - 12' 12 - 29' 29 - 330' RECEIVED Conglomerate of bedrock. A broken weaSher~d rock material. Bedrock. A fairly hard material but with the casing driven hard. Bedrock of a sedimentary type & sedi-metamorphic type rock. No water production showing until about 181 to 186 feet with very thin fissures of wet material. This ar~a may oroduce a measurable ~mount of water, in we~ seasons. From 24~ ~o 252 fee~ water yield of about 1/2 was indicated. From ~00 to 27~ f~ water ,yield of another 1/2 gpm was encountered. All the ~ay from 285 to ,~.16 fe~t wa~er pz, odu~tion impz. oved an additional 2 gpm coming out of bo~h granular ~ porous ~'ock material. This wa~- wel~ shou±d p~o~uce ~.s mu~h as 3,5 gpm duri~g wet pez-iods t~e year ~ may mrop down to about 2.5 gpm during arid seasons. ~atez- z-~covery (static recovery) com,s back up to only 165 to 175 feet of sub. face. In the spr£ng of ~he year, wate~- recovery ~hould be 25 to 35 fee~ higher up in the casing. Nonetheless, a 1 1/2 horsepower pump should be installed down to at least 300 ft. # 10 wire will be required, This Water ~'ell has been paid for in full by John Mucha, at $25.00 per ft. No mob or demob charge. ~o setup charge. The Municipality of Anchorage (9th & L) has a copy of ~nis well log. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ............. DATE Decemb~ 2~h~ 1993 SERVICE CHARGEOF I'/,% PER MONTH WILL BE ASSESSED ON PAST DUEACCOUNT~,