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Home My WebLink AboutTIMBERLUX #3 BLK G LT 2 LEGAL DESCRIPTION LOCATION ~.~/ 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 PHONE Depth Material beneath tile Well Absorption area Manufacturer ~1~ ~/~..~ ' t~ ~O , IF HOMEMADE: Well Dwelling DISTANCE TO: Manufacturer DISTANCE TO: IWell I O ~ Foundation~ No. oflines Lengtbofe c line I Total length of lines ~ ITopoftiletofinishgrade~ ~. Materialbeneathtil~ Type of crib Crib diameter Crib depth Well Building foundation /~ ,~ Class Depth DISTANCE TO: [] NEW ~JJPGRADE Material ~-- Nearest lotion) Trenchj~.~l~width inches NO. OF BEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO, Distance~.~t~.l~n lines Total effective absorption area PERMIT NO. OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS Septic tank # APPROVED{~/~t¢~-~,~/'~ DATE~.~/CC/~../?~LEGAL 72-033 IRev. 3/78) SUBDIVISION: I'IMBERLUX LOT: 2 BLOCK~' G SI~]CT!ON~ 34 TOWNSH]:P: 12N RANG~]~ 3W MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9- SLOPE SITE PLAN 10- 11 13- 14- 15 16 17 18 19 20 WAS GROUND WATER S ENCOUNTERED? ~ ~ P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop IH[INIt" ~ALITY OF ENVIRc ~MENTAL PROTEc '~AGE '~ON PERCOLATION RATE (minutes/inch) ~ EST RUN BETWEEN , FT AND ET ~ 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST '~ SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 2 3 4 5 7 8 DATE PERFORMED: SLOPE SITE PLAN 10- 11 13- 14- 15 16 17 18 19 20 CE 5130 WAS GROUND WATER ENCOUNTERED? IF ¥E$, AT WHAT DEPTH? S Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) , ' 0 . .'0 .' . u . BARTER & ASSOCIATES 10461 HAMPTON DRIVE, ANCHORAGEi ALASKA 99516 PHONE (907) 346-1170, TONY D. BARTER, P.E. Mu~c~^urr oF RECEIVED March ! 5, ! 986 To: Mr. Stephen Morris Municipality Of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Ref: Lot 2, Block G Timberlux Subdivision Dear Mr. Morris, As required by permit number 860067 for the above referenced location, I om submitting the results of ground water monitoring. On the seventh day of installation ground water was recorded at the same elevation as submitted on the soils log dated March 8, 1986. This elevation is -8.5 feet to the original ground on the date installed. Sincerely, Tony D~. Barter P.E. C~D: ~ ~' ' DATE: ~-/~- ~/ ~uc OR~ ~ ~so~ Robert M. Schweltzer,~ NO. 2240-S 195- · Zof E~ _ GRID: .~/.~(:, PROd. NO.: DWG. /-/ ~unicipa~tYof ~ Anchorage p.o.~'~'~196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONYKNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES MUNICIPALITY OF ANCHORAGE and Environmental Protec >n Hea<,j_.~ Fourth Floor West ~J 825 L Street Anchorage, Alaska 99501 279-2511, x 224, 225 INSPECTION REPORT ON..SITE SEWAGE DISPOSAL SYSYEM SEPTIC TANK: DISTANCE~ O0 J ' ~ NUMBER OF INSIDE LENGTH ~ INSIDE WIOTt4 ~. LIQUID DEPTH ~ LIQUID CAPACITY TILE DRAIN FIELD: idol ~ FOUNDATION {~- ~ TOTAL LENGTH ; DISTANCE FROM WEL_( .......... ~ NEARLST LOF LINE:. /O._ ~'~__~OF LINE __~_~ .... ~/~ N It WIDTHs ~ ~ of Lines I DISTANCE BETWEEN LINES .... ~ ..... 'FREi C _._ IN. TOTAL EFFEC}IVE ABSORPTION AREA ...... ~_.~- ...... SQ. FT. LENGTH OF EACH LINE ~ DEPTH OF' FILTER DEPTIh TOP OF TILE TO FINISII GRAF)E _~ .... MATERIAL BENEATH TIL~: ~ ~ N. ABOVE TILE ~ IN, SEEPAGE PIT: Log Crib __Rings__. BUILDING FOUNDATION ..... DIAMETER .... OR WIDTH--, LENGTH--, DEPTH Crib Size: DIAMETER .... DEPYH -- DISTANCE FROM: WELL ......... ~OTAL EFFECTIVE NEAREST LOT LINE ..... ABSORPTION AREA (WALL AREA) SQ. FT. Class: '~v-.~,. Well Distance TO: Lot Line Bldg: Sewer Line: __ Pipe Materials: .I~¢ # of Bedrooms: Installer: Remarks: ~ E_RIilT BPPLICRNT ~RIAN CHRONISTE~'. LOC:t~TION MF~N~'TEI-L LEGFIL L2 E'4~TIMBERLUX SUBD TYPE OF SOIL. RBSORE:TtON SYSTEP't ILS,: c-":,.:' 59('];;~Z4 SQiJE!I:~:E E'EET L.L-I ]`' . [:, R F~ I IqF I El_I:, IdR;,.,; I Il, Lli'q' I~UI IE, ER',' ' -" OF BEE:,ROOPI.S = .4. --,_It.- RFITING ,::Sg! FT,-,'I3R)= := =,I,¢.E OF THE x, uIL. F~BSORPTiON =~=~:-'~ ' '=' THE RE(;:~LIIRE[:, "' -~"' '-- - THE LENGTH DIMENSION IS THE LEHG]`'H (IH FE:ET) OF ]''HE TRENCH OR DRFtlHFIEL. b. THE DEPTH OF' R TRE:NCH OR PIT IS THE DISTtaNCE BETWEEN "EH[-:: SLtRFFICE OF ]`'HE GROUN[:, F:INI} THE F_:CrTTOId OF THE Ei,.,:CFIVFtTION (IN FEET). THE TRENC'H WID]`'H FOR DRRINFIEL[>5 IL:..: ~: FEE]'. THE GRRVEL DEPTH IS THE MINIfdUH DEPTH OF' GRR'¢EL. BETWEEN THE O[.ITFRLL PIPE: RND THE BOTTOM OF THE EXCRVFtTION (IN PEET). BRCKFZL_LZHG OF FIN'¢ SYSTEM PJZTHOLIT F~NRI_ ~NE;PEE:T~ON RN[:, I~F'PROMRL B'¢ TH't::~; DEPRRTMENT klZLL BE :~UBJ'ECT TO PROSECUTZOH. M~NZMIJM E:,ZSTFIHCE BETWEEN FI WEELL RHD RNM ON-SZTE SEWRGE [:,~SPOSRL t88 FEET POR FI PRiVaTE 14El_!_ I]R 288 F'EET FOR I:~ PUBi_IC WELl .... WEL.L LOGS EIRE REQUIRED RNE MUST BE RETURNED TO THE EEPFIRTMENT WI"f'H~N OF ]`'HE WELL COMPLETZOH. SPECZFICRTIOHS RN[:, COH'.~TRLICTZOW [:,ZI:~GRRI"'IS RRE FI',,,'t~Z[_FIBL. E TO ZN'.SURE PROPER I 1'.4'.STRLLRT I ON. I CERTtF'¢ THRT f: I RH FEIMILtRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS RS SET FORTH B"r' THE i"IUNICIPRI-IT~r' OF' RNCI'fORREiE. 2: I t4IL. I_ INSTRI..I_ THE S'.?STEH IN RCCOR[:,FINC'E 14ITH THE CODES. 3:: i LINDERE;TRND THAT THE ON-:E;ITE SEHER S'¢STEi'd i','lFt'¢ REQUIRE ENLF:IRGEHENT RES;IE:,ENCE IS; REf,'IODEEED TO INCt._I._IDE MORE THFIN 4 BEDROOMS. S i GNE[:,: __~__~.~~ .............. F~PPL t E:I-~NT BR IFIN E:HROH 15;TER ,,, ................. do - ........... t F' THE SOILS LOG Performed for Legal Desarip'bion -Fen-t; ~,p:~,~ (~ ..... Soil De scri~-bion, -10- -20- Total Depth Was gro~mdwa'ber encountered~$ Depth to bedrock ~OI ? What depth How determined N~ Respectfully s~mitted ~ ry o yet Consulting Geologist Certified ~Ve~! For Bz~l.~n._L ~ .._Qh ~o.n L~.t...e.~...._: 5ozaUon Date ~omp]eted Depth of well ...~.~.~..._~.~.~.~. .................................... Size of casing ...~.~,X...~ELQ.h ............ f ............. ?.:. ............................................................ Dls~nee to water ....!~6..'..~?,,..e~ ......................... : ................................................. '4986 · ' - crV, of ........ ~...~.o.. .. . _,.,., Desci, l~tion o5 Formation'~ ? t -~'' ' ' from ' '- to Driller FOSS DRILLING 1336 INGR,~ PH. 279~2~49 ~.~.HORAGB. ALASI~A 99501 We advise you to attach this certificate to your deed. WATER WELL LOG FOSS DRILLING 1336 Ingra ~treet A~lchorage, Alaska 99501 SIZE OF CASING DEPTH OF HOL · PEET OF DRAWDOWN. FT. REMARKS DATE COMPLETED PUMP TO BE SET AT ~t 0 , mt o tom to~ NOIJD3J. O~d 'IVJ, NgV~NO~IIAN:I mt o to ___.to MUNICIP:ALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2; Block G; Timberlux Subdivision ~ Location (address or directions) 4901 Many'tell Avenue, Anchorage, Alaska (b) Property owner Maria Grebe Telephone: (home) Mailing Address 4901 Manytell Dr~ve, Ancho~ag~-', AI~A~a (c) Lending Institution ~.. ' Telephone 345-]754 Business ?TQ-67R6 _ 995] 6 Mailing Address (d) Real Estate Company and Agent Address Telephone Mailthe HAAtothefollowing address:(orcheck here ~,ifholdforpick up.) Listcontactperson and day phone numberbelow: S & S ENGINEERING/694-2979 17034 Eagle River Loop Road, Suite 201 Eagle River, Alaska 99577 (e) 2. TYPE OF RESIDENCE Single-Family [~ Number of bedrooms 3. WATER SUPPLY Individual Well [~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site t~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72025(Rev. 7/88) Page 1 of 2 5. 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 th is 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 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 $ & $ ENGINEER~;;,:; Address 17~)3~- ~:ngte. J~iv(~ ..~op Road ,~v:, Eagle River, AI~,.- ~577 Date Telephone Approved for ~// bedrooms by _ Approved //~ - __ Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 7/88)Sack Page 2 of 2 jUN 1 R£C£1VED A. WELL DATA c . ifio tion Well Log Present (Y/N) ~ Date Completed Total Depth / MUNICIPALITY OF ANCHORAGE (MOA) ~ Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: Lo'~ 2. i ~[t'~ /~'~'f"~ ~ ~' Cased to/--/O~' Depth of Grouting If A, B. C, D.E.C. Approved (Y/N) Yield (~, .~- ~,.0,,~ . Static Water Level /-~ ~ ' Casing Height Above Ground / ~_" Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot / CO 4- To Nearest Edge of Absorption Field on Lot ! CO Pump Set At Sanitary Seal on Casing(Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots / ~ '/- ; On Adjoining Lots To Nearest Public Sewer Line /J/Y~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot Water Sample Collected by ~ ~ _~ ~ Water Sample Test Results ~ ~~f~ Comments B, SEPTIC/HOLDING TANK DATA Date Installed ~ -lC- ~-7 Size Standpipes (Y/N) ('1 Depression over Tank (Y/N) t 2'S-0 No. of Compartments Z Air-tight Caps (Y/N) u( Foundation Cleanout (Y/N) ~1 /~J Date Last~Pumped ~ ~,,~ ~ - ~' ~ P,umping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ^7/~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well [ O~ 'iL To Property Line To Water Main/Service Line / To Stream, Pond, Lake or Major Drainage Course Comments ., _~ c~ ~^^,/~ ~ , ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field ! / ~ ,~J ,/bD 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata / ~ '%- '¢~/~P Type of System Design Date Installed ~ - //-/ - ~G Length of Field ~-'-[ Width of Field [ (o ' '~ Depth of Field ,.~ Gravel Bed Thickness / Square Feet of Absortion Area ~) / ~ Statndpipes Present (Y/N) Depression over Field (Y/N) /~J Date of Last Adequacy Test Results of Last Adequacy Test _~.-'~ ~ -h'~ % -?,~ c~ "/-~,¢¥~~ z/ f SEPARATION DISTANCE FROM ABSORPTION FI'ELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Property Line '--CE) To Existing or Abandoned System on ; On Adjoining Lots / CO To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments / /d)O D. LIFT STATION Date Installed ~ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, vS~'ified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed $ & S ENGINF__I~I;~ING 17034 Eagle River Loop Road CompanyDate __ MOA No. Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7/88) 88ck Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order $ 21822 Date Report Printed: ~L%Y 2L 90 @ 16:24 Client Sample ID:L2 B"G" TIMBERLUX S/D PWSID :UA Collected MY 17 90 @ 15:40 b~s. Received MAY 17 90 @ 16:20 h~s. ?reserved mith :AS REQUIRED Client Name : S & S ENGR Client Acct: SNSENGP P.O.$ NONE RECEIVED Req % Ordered By : R. SHAFER Analysis Completed :}dAY 18 90 Send Reports to: Laboratory Supervi}~EPHEN C. EDE 1)S ~ S ENGR Special Instruct: Chemlab Ref #: 901415 Lab Smpl ID: I Matrix: WATER Allowable Parameter Tested Result Units Method Limits NITRATE-N ND(O.iO) ~g/l EPA 353.2 10 Sample ROUTINE SAMPLE. Remarks: SABLE COLLECTED BY EDJ. 1 Tests Performed * See Special Instructions Above UA=Unavailable ND= None Detected "See Sample Remazks Above NA= Not Analyzed LT=Less Than, GT=Gzeater Than MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner "¢~-x,4 ///~ Vt ~,]~OJ---kJ Telephone: Home '~ Mailing Address ! L./c~/I ¢~r.4~ ~ (c) Lending Institution ~ ~ ~..~rpt,~,;, ~.~,A Telephone Mailing Address % '~.~.~ 6¢~(~' ~ (d) Real Estate Company and Agent ,~, (~/I.~4'~r-~, Address Telephone /o--~ ~ -~~ ¢ ~ (e) Mail the HAA to the followina address: or: Check heretiC, if hold for pick up. day phone number below. List contact person and .,~_ __.,¢.~j~j? Business 2. TYPE OF RESIDENCE Single-Family~ Number of Bedrooms WATER SUPPLY Individual Wel~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~l~ Public [] Community [] Holding Tank [] f- Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 81861 Fronl 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· 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 Address / ~-~ '~ '~ /~-'~ Engineer's Seal DHHS APPROVAL Approved for '~"-~'¢- ~'"~.'~ bedrooms by ~ Approved ~ Disapproved Terms of Conditional Approval Conditional CAUTION 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 DH HS 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. Page 2 of 2 72 025 fRev 8/86) aack ~.~' '11 01: F,~ ~ ' ~i~IPALITY OP l~CSO~ ~O~ ..S~VIC~ O~ALTH AUTHORITY APPROVAL (HAA) ~0~'~ CHECKLIST - FEBRUARY i984 ~ ~21~ ~ '~- 1~7 264-4744 WELL DATA Well Classification Well Log Present (Y/N) _ x//. Total Depth ! ~-~ Cased Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N} Separation Distances from Well: To Septic/Holding Tank on Lot If A, B, C, D.E.C. Approved (Y/N) Date Completed 7-/'~' 77 Yield ID..~ Depth of Grouting i"Jro N ~ Pump Set At ~oTT'o Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results JO~'[ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ;Date Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~'° ,/I~' Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well I~ To Property Line To Water Main/Service Line Size /,~D No. of Compar[ments Air-tight Caps (Y/N) ~/' Foundation Cleanout (Y/N) Date Last Pumped ;.~-' /%'///e'~ ;for / Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field Course Oomments To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026 fRev 81861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line I ~) '~ To Existing or Abandoned System on ; On Adjoining Lots '~ ~ To Cutbank (if present) t'~O/,,/~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verifj~d, or conformed to all MOA and HAA g uidelines in effect on the date of this inspection. Signed ~ Date 111/¢¢'7 Company MOA No. Receipt No. //~--~ O //' (~'~ Date of Payment Amount: $ .//EJ ¢¢ ~.?// / Page 2 of 2 72 026 fRev 81861 Back Engineer's Seal ~ ~ r~ ~ ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 2, BLOCK G, TIMBERLUX LOCATION: 4901 MANYTELL OWNER: JOHN MONAKEY TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 7 GALLONS PER MINUTE PUMP YIELD: 5.5 GALLONS PER MINUTE MORE OR LESS DEPENDING ON STATUS OF SAND FILTER. DATE OF INSPECTION: SEPTEMBER 6, 1987 TEST PROCEDURE: WELL WAS PUMPED WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. AT THE BEGINNING OF THE TEST WATER LEVEL WAS AT 57 FEET BELOW TOP OF CASING. DELIVERY RATE WAS 5.5 GALLONS PER MINUTE BUT DECREASED TO 3 GALLONS PER MINUTE AFTER TWO HOURS OF PUMPING. WATER LEVEL DROPPED FROM 57 FEET TO 83 FEET, THEN SLOWLY ROSE TO 73 FEET AT 3 GPM. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA AND NITRATES ON SEPTEMBER 5, 1987. E.COLI 0, NITRATES~mg/1 TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of,.t.h~,~a~uifer feeding the well. ~ TELEPHONE: (907) 279-3916 CONSULTING ENGINEER SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOT 2, BLOCK G, TIMBERLUX LOCATION: 4901 MONYTELL DRIVE OWNER: JOHN MONAKEY RESIDENCE: SINGLE FAMILY, FOUR BEDROOMS WELL: SEPTIC SYSTEM: PRIVATE, ON SITE FROM MUNICIPAL RECORDS: TANK: SUNSET FIBERGLASS, TWO COMP. ABSORPTION SYSTEM: BED ABSORPTION AREA: 816 SQ. FT. SOIL RATING: 125 INSTALLATION DATE: MARCH 1986 1250 GAL. DATE OF PUMPING: SEPTEMBER 8, 1987. MARX ENTERPRISES DATE OF TEST: SEPTEMBER 6, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 2.5 FEET OF COVER AND 51 INCHES OF LIQUID. BOTH MONITORS TO BED WERE DRY WITH A TOTAL DEPTH OF 4 FEET. 400 GALLONS OF WATER WERE ADDED TO THE BED. NO WATER WERE OBSERVED IN THE MONITOR TUBES. THE WATER LEVEL IN THE TANK DID NOT CHANGE. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ,-~-l~8~, GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) , ' (b) Applicant Name ~,~'/J C-J~/ll'5'i~-~- Telephone; Home ~ Business Applicant Address ,_%,~,'f~f~E, (c) Applicant is (check ohe): Lending Institution [~; Owner/builder []; Buyer []; Other [] (explain); (d) Lending institution Telephone Address (e) .aa, Estate Oompanyand Agent Address ~/O/ ~P' ~ Telephone ~ (f) Mail ~he HAA to the following address: TYPE OF RESIDENCE Single-Family~l~ Multi-Family[] Other Number of Bedrooms WATER SUPPLY Individual Well [~ Community [] Public [] Note: If community well system, must have written confirmatio;q from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite'~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 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 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 ~,eR.fc...,~ ,~ Telephone ~4.- I!~lO Address Date Engineer's Seal Approved for /~,¢/~/~¢¢-- bedrooms b~/"..-~-'~( .~ r~-¢-~'~'~Date d-~'%~///~'/~::~ ~' ~:;rm~V:~o on d,¢c n2~al Ap p rova~iSa p p r~'~ d Conditional CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 o u841 MUNICIPALITY oF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: /..o~' 2~ WELL DATA Well Classification Well Log Present (Y/N) Total Depth I ~.~ Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot If~A, B, C, D.E.C. Approved (Y/N) Date Completed ~'.-I q- ~1 '"~ Yield ~ '~ Depth of Grouting ¥ ,/ Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots /{~r'~l~ To Nearest Edge of Absorption Field on Lot 'To Nearest Public Sewer Line .... Cleanout/Manhole Water Sample Collected by ¢~r~¢--.,~ Water Sample Test Res. Its ,/,t~"~' ; On Adjoining Lots ,/(~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~ ; Date ~ ' "~'~'"~=, B. SEPTIC/HOLDING TANK DATA Date Installed ~-I(.,o~? Size 1~,~ No. of Compartments Standpipes (Y/N) %/ Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N) Depression over Tank (Y/N) ~ Date Last Pumped ~ -I ~-* Pumping/Maintenance Contract on File (Y/N) ~ ; for Holding Tank High-Water Alarm (Y/N) - Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well Jo'S'O' ' To Building Foundation To Property Line To Water Main/Service Line Course ~ To Disposal Field ~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Water Main/Service Line ~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) Comments D. LIFT STATION Date Installed ~-~......... Dimensions /_...-~ Size in Gallons Manhole/Access (Y/N) "Pump On" Level at ~p~ High Water Alarm Level at J ...,..-'~-4,Le~t (Y/N) Tested for ~/ Pump~t. Meets MOA Electrical Codes (Y/N~ Corn ments.~~ ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have ch.e,c ked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~__~ Date Company ~/~-.~-~ ~)r65~o~¢4'~__ MOA No. . .¢ X ~. OO f¢[-~¢ ' ~"°~,'*~0~ ' Engneer'sSea Page 2 of 2 72 026 (11/84) ALASKA CIIROnmeI1TAL COFtTROL IiqC. ~nqi~eerinq 6 ~nuironmenlal Studies LEE CHRONISTER POLAR REALESTATE SELLER-BRIAN CHRONISTER 0 LEE CHRONISTER POLAR REALESTATE 60080 LEGAL:TIMBERLUX f~3 BLOCK G LOT 2 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-2/26/86 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 400 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 250 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 250 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 4 BEDROOMS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT HAS NOT BEEN PUMPED WITHIN THE PAST YEAR. THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE-2/25/86 A FLOW TEST WAS PERFORMED ON THE WELL. 405 PUMPED AT A RATE OF 5 GPM OVER A DURATION OF THE DRAWDOWN WAS 31 ' WITH A RECOVERY TIME OF AND THE STATIC WATER LEVEL WAS 54.5 FEET. THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. GALLONS OF. WATER WAS 2 HOURS. 60 MINUTES 1200 UJesl 33~:d Auenue, Suile [~ ,/~nchoro§¢, Alosko 99503,[907) 561-50~10