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HomeMy WebLinkAboutVANDENBERG LT 1Onsite File Vandenberg Lot 1 PID# 011-161-37 A recorded ingress/egress easement for the waterline will be required for a future COSA. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231357 Work Type: Septic Upgrade Tax Code Number: 01116137000 Site Legal Address: VANDENBERG LT 1 G:2324 Site Mailing Address: 4820 W 84TH AVE, DUPL, Anchorage Owner: BALLARD TRACY Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: cnt Department 11/15/2023 10/15/2024 10025 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. Submit a recorded ingress/egress easement for the septic system on the other lot. 2. An ingress/egress easement will be required for a COSA for the waterline and access to the well. ReGaPved=By: Date: Issued By: Date: ' Municipality of Anchorage — Ur.partment P.O. Box 196650 0 4700 Elmore Road _Anchorage, Alaska 99519-6650 • (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV231057 COSA#: Permit#:OSP231357 PID#: 011-161-37 Legal Description: Vandenberg Lot 1 Engineer: Garness Enqineerinq Group Your request for a waiver of the required 5 feet horizontal separation from the septic tank to the property line has been approved. The approved separation distance is 0.0 feet. This waiver approval applies to the proposed septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: / 5 Approved by: Name of Revi er ...................................................... 0 7114 ■ ...... 0 N 0 M 0 N 0 N 2 M M 1 **** VARIANCE/WAIVER REVIEW **** UMUPAUTY OF ANCHORAGE 0 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section -- Fax: 907-343-7997 ON-SITE SEPTICMELL PERMIT APPLICATION Parcel I.D. 011-161-37 Property owner(s) TRACY BALLARD Day phone 907-250-8132 Mailing address 4820 WEST 84TH AVENUE *ANCHORAGE, AK Site address 4820 WEST 84TH AVENUE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) VANDENBERG; LOT 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) ❑ Septic Tank 0 Upgrade 0 (w/`No ADU) (D) Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: P 22 5 Date of Payment: Date of Payment: Receipt Number: O 502.q� Receipt Number: Permit No. 05P 2_'5 13-x_ Waiver No. Q'A 23105 GADevelopment Services\Building Safety\On Site Water and Wastewatefforms\Clie nt FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231357, Deb Wockenfuss, 11/15/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231357, Deb Wockenfuss, 11/15/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231357, Deb Wockenfuss, 11/15/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231357, Deb Wockenfuss, 11/15/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231357, Deb Wockenfuss, 11/15/23 MOMMA Septic vent 0 0 0 —16. Z Septic vent___44_,*1 SCALP: 1"= 30' W. 84th Avenue (E 8015H S89055'E 135.47 1 N Asphalt Lot 1 2.0 OH r deck - 104.8 2 Story Frame Duplex 0 co 1.7 OH -70H 104.8 OH deck 15.3 f i S89055'E 135.32 E Lot 2 S89055'E 135.17 Lot 3 AW 49th 00I- $0 0 +>!O0 19- Elizabeth L Wo atka WM - LS A., 'j MW AVAr oj�Essl Asphalt Community Well co Cn CY) — 30 CD 7— W W W ) o Z Z 30 W 0 C) 0 Z I AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOTS I & 2, VANDENBERG SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon, Dated at Anchorage, Alaska this — 27th day of March 2014. EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED r"" - 14 BE PLAT ARE NOT SHOWN HEREON FIB 23-1, pg 43 Engineers and Surveyors 907-248-1666 UNLESS OTHERWISE NOTED. AF I This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Watatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer Is limited to the amount of fees collected for services in preparation of this product 3978[42 2022-031278-0 Recording Dist: 301 - Anchorage 8f24f2022 09:14 AM Pages: 1 of 5 WATER WELL USE AND NAi[�'�ZNAN[CJ& REQ T[ i3 WA7VK WJ L USE AND MAKT HNANCE AURtEmENT ("AgmmwntI) Ls usade and cntcra intra end niYncttue tltos s _. d�} oY _ 021. by nud bctw;m ERNE&T N IiA1.4lt1'sVOCA16LJE'iR4t5s {op][ctti^lely herpina[1ar "[xtanio,"}, srliosa e,ddmas is 473p W- L'4ih Avenue, Anchorage, Ali 99502, wed TRALY M. GALLA D, en uorn Od (3w- i {601k0ta"y Jtfesnatter 'Y'Jrantc& }, whose addraea is 4$20 W. frith Aw-aW, Aneho¢'egc AK 99507, fq1 JgXi T B. HALL RFVOCAMC TRUST Arid TRACY U. BA,Li ARDhErcutat3erx11Bariue3y referred qa Rs thar'Txties" WIBiRF.AR, ERNEST B-HALLE-VOCABLE TRU81 istht ovmer of vermin and property ide+cdifed a5 Lob 3, 3 mid A, ;IANDENBERO Si7BIiMSION, aacdr+9in9 lo- the CEI* J Oe¢ [hcroaf, fiW under Plat Nmbar 71-81, 1t6MdS athe Anchor'age RccordiigDistrict, Third JW 1041 Diarict, "AiOz kif plaskcry {"SeT{icnt cet'atr'% olid Irl MREAS, TRACY M- BALi.ARD in the QUOU o€certain roar ProPa"Y ider4fic"i na Loi i, VAND'=NBERO SLfgDNIS". aewrdirtg to the ofllrhd Plat tl,Qneof, filed lmdsr pini Nom bar 31-81, Records of dreil73ClI+Jll3gs1'xorcliog Disleict, Third?u[iaoLIL[ C.JM[c4, 5tax oFAINska, C T koruirtuil csfaa attd A1[ Jots Kis mQTu partivulariy kpic Md in LAW W attached hereto and irwirpoeated hcroiai by rakrcnca; o.nb WIMEAS, a Mnrturtity ❑4'#T9r VADA 4Tht iLg rMWaS Y OMM rasing and OM which Prov:dca wMer w all ul% ie above diwweTrsd TotZ, is [ocuicxf t;pno La4a 3 end .3 etthe ServioeH dxgshc; an+l Dalrymp[4! I aw, P -C- • 353 S. D?eoeli 9lreet, Nimm AV 99605' W7-745-6333 wl—.-HMIAC X. m Wrtcr Welt Usa y and }Aanntenang6 Agreamevl. Pop I oRecorded Ncurnant W�TSRHAS, flic pzd[,!sq2esLi eto ember imh6 awtliteO agraemaotfcWtIeeIlMffl li maintaoance ufsaid W -A and all sppurteneaus thereto, a5 berweeLt Aro pirtics; NoW.-rl*±',IEFORR, in armsidwAt lon pf the mubuil oYvuIh1IILt£ and coodkrona nuntained heroin. Mod Fpr Otl,rz gaud krid Walgablc c.onsiIIMIl M, the TZMiX val,ra And BUIL io[sur3+ Df whicb is humby acknvwle.aw, IILc Its ties hereby WVcMMA and qkw as fQTIOM.- AgBEWAFjqj i _ Use and Ml:a 134 n The Parties and t 3*ir swoemorz in inrcTr9L heirs and Amig, aball ba juvnoy Lgapnpaible &w4w maenLdunee. of I[}q� well and its naoessvl , pum N casing and pipe-, IoeaLed at tare wall sills, cis anOT MUM M r'Srantcc an acLx=s ¢#kmcu7crrt fm- the pvrpooa of seed maiialt.%4nne, iJtlring the MisM" pfthia Ag mcmera, {3ratitor afial] nrA UIJKM Lbe Weg MINUT 010 area afflOW the vM1I in any n►Mcc which will prevent (`rantre imll hwAag full, and unitrl�raW Mr, urbaiL WhUW Wel I. Narking lww, n oan�incd shmll be gon5tnnc� Lo hply any waLrciq by Grantor M to dm oondifion Dr swda of t R WAte+ yr and or tho well's alilk ro avntinunkr tniishwater, or linbltlty forany damages n, lee "crltthcwcLt cc&%s 0 iundkM. wring dLe'sxsrttrrn:a u IEtis Aprccimmt Grantotl GmDtee and &elf sucGM&Snra ih iderest, 136Fr and esaigns, shall be jointly rasparLEtbi42 for tdre mninieINrloe Of the appurtener,*M o4 the will whklt tuns from tlga NrAl to Lots J. 2, 3 and 4_ ❑ramLnr gMn�$ to GrA RW #n ZDCM el►scntcq; f9r tLra ptnpcx-4's of mo,[,ug, eepairipq and mwuaauSiag said appurtenan =r Nested m Loll 2 end 3 of the (jM*W's f L r peaty. 2. a i£Lcati6rt o -f Apraermertl. Any smmdrncnt to nr mrer[if wiem of this Agi wTievit &jU be Lind ing +mly if cvi kwcd in wnlatg sighed by cwA Awry rr an auLhariaed rapxascF=j,,< of 0Kh Part7. 1. 'gym of ftL% Ari InkieA3rccmenl s,'hall subprnntimily terminate in the uytw that OW wt1L 10M- M Ie nuncfioa ancWr avails to nioN minirmn apecLifeatiora for proAttvtion of sufficient waler o0 sec%xmnjadate a the pYoperriae_ In thin ov%t the( Elia wtlL ON.%& to rLn LLon ajrdlar Fails JU ryaei m inimum spac"imm lbr productical of sufilciepr water ee muWmModaata ail prap.Ltim, 61ch owner of 'heir rrApec-6ve prop wlx y ahnli drill a oew wall c,7t drat owner's 1060elivc pno-prAy. The 1: 7arl`rt. end bwdleTm of L773sAgccrnc,tt shall corrAiMM 6 CbvaM&rvLMnnang wilh tlkt= rcnprLties herr-LLL d6sr~ribcd attd shall lac binding upon the heirs. su :castes in 0111le end Assigns of the PML%it" [I '-FAD UnCT lermntatrUR q. Lkitr M Tn,, 71;o rights paittzd nndcr this Agmmicut ere webjeN to- 1111 pictwLbFaL ces, ]ions, mnnh, oorxtitioRS, oovenmm, rewvatkas eT0 reArkytiosts of Leuurd or chat oen bB pBGCIlaiw J by an ir4T'xdJ4n M survey OP Chin peop oily a5 ui' ft rffmriv* date of Liis P Vemrem_ Aasisj, . Fir k coveAjLtt and casrdittah MiliairKd in this Ajp*emnn4 shall inure [o the bena6t of and be binding an the Prlrties In Lhis AgraemmE. wad INOr KqwAive hoira, rmccn6ers, administatom. pets WI rcpleeeot%ivcr, GZMVAsattre arLd a�.ps, mc&Ttaa otherwi" provlded )crriFL 6. X4aof Uestnr , TiLne is afih+: %5*M 4 for em b oovenou pad onndillota t7lttlus A6mcvtlerLt, DnlgnLtple 1,aer, P.C. • 353 5. DMELlR 51MA. Palma AV ey645 • 90'7-745.6s3/ - uuu,mewulatw.oaro Wabcp WeD Uss xnd hr oLtidnwv,& Apt—e t. Papp a aRewrded Occurnew II IIIIIIIII IIIIII ILII 2 or 5 301-2022-031278-0 3. Gvucminle Lay. 31lis AV&--mam Aaill bt govcnied by and mm)Ved in 4tccavdmw will to ]s•hs of rhe $law of Al -lm. No wul-xr offmy y mach c:£any of tba W—IN . IN audlar aWx=renhs heram c'..laima shell he ciGn= and as, or uandilolo, a wsivcr of any athac Ims44 or a wai ex, acgn-sexeenue in ra commml LD ary furflsarorbroach of iba wmn Eq. jaq'#dm* aoymmm stOur Uremnent. 9_ Saoerehilily, If nuy telm nr lsrgygigR of this Apxffifflt steal, to arry extent, k hold RkWdld 0 uusnfvrcaabit, the remaining to mm mad provLsiow dlis AWmmmi eha€i nut ba affcg%d thcncby, but cads ranamirg term A.4 prowision mhall be valid nsid wfarood to tha tb3KA vxxem porm Idcd by law. TN WII• MS WFIEAEOF, Eha PRAlas hwato havo wLe lad ihis- Dalad: L? . 7 -a- -9 — r— ERNCSTZHALL P,EVOGA13� FRUST ER14 EST B. HALT, Timshm STATE 01; AL A2,KA ) j aa. TT)) D X ll-l10EAT. DISTRICT ) r The fxsjl ning inshumr rt way neknawledStd be6Dm ma on '� by FA ESS'E. HALE.. r4ugmorWe ERNEST 11 RAkArREV{1C4B TAUST. on WmPrufilRelrust, TC-mrwhi My Ixsh]n Pn4m: iL ' r:x_C.f Dmkymldn Low, P -C- • 353 S, Da -A SVect, fttmu Ay, 99645 , ffjL74W'U • wwwmabml.,a.-w wactr 'Nal Ux and ,P4.0g "ipm Apwwmk ?AO 3 eRecmrded Documew II��IIII III�II�I�I 3 ors 341-2022-03127M ii Dwbect d— TRACY M. ISALKU STATE OFALASKA )sr, -11URD RRIICJAT- DSSTRJCJ 'Phe C-Lmming instumcul WJU tj0kjjOWL9dW baOFU ME! oft TKA.CY 61. BALLA RD. Y/ NlAOFY Vul2l jo In and foi- AA&3ke My Rwzrd in A mlitruge ROGENding DiEtCdot. IZDtLIM fAX 'CRrym-Ballanj 4V.0 W, 94th Men ua Anchefop AK 99507. ek,corded Ncumew Du.jjykTkpk law, P.C. - 3S3 S. NwjL StmK Palmer AK99645 -91 445-6332 - wwL9JVW=Is'Y-00n WjtoLr Will Uk aA MObt4rkELTKm Agmmcn(. Pap 14 ZM. hy IIIIIIIIIIIIIIIIIIII 48r 5 301-2022-031278-0 4 kJ1 ii 4 V) 1 I � 1 �415Fi W. e4lh Avenue �! �epet Luk R eRecorded Ncumew 1 � l �(�Lc•••'+.�,t � aI6Vkr reseBPHeakTRf�68TH �hwr1+'��PNEwl7wo-dwdaM'ada1J4+EMWFw�i°n 01-k 4$1h -A oiPp az., Rei � ', rrEd 54aIG lka An�wN�A,aerelhlu�4'WaN�xpypnr4t•w► X N� h jyoAni GuneG? Fb ' d7+w�°ridepp rce.aaedrsa,o�r�v�Rra M". i ■gwwi �1.o-,+1n. 7+fl as h+pa+en's�r #� ��� acWxilha�Mo i.voraitfi MpiP peNixn 1M19�7u1 rW 4i i �"�rr:x hn r�c..,o- N.r+ 1hPypyraserorox uEdk.eik: �} TQIE011rG. .. Gnha GM7nu'Pq Am 40� NordT2V1L I MR6, 8THERIPM FRED roAt4T14V MlyJ 4f gawuR PhPh"'grhS Bur v/ora A..RS "— CU= kppp9+1.1C@r}—„ -- ... 11111111111111111111111 5ur5 301-2022-031278-0 �4 I ti� fitr'; L6L I pOFk hhphA lunfi r' LL1 x; 'N+n�Gupw r I{ $ ,701E ioal6 hA� � �pwMwd � c6o+5gk�SwF 136.32 �� � � 1 1 � l �(�Lc•••'+.�,t � aI6Vkr reseBPHeakTRf�68TH �hwr1+'��PNEwl7wo-dwdaM'ada1J4+EMWFw�i°n 01-k 4$1h -A oiPp az., Rei � ', rrEd 54aIG lka An�wN�A,aerelhlu�4'WaN�xpypnr4t•w► X N� h jyoAni GuneG? Fb ' d7+w�°ridepp rce.aaedrsa,o�r�v�Rra M". i ■gwwi �1.o-,+1n. 7+fl as h+pa+en's�r #� ��� acWxilha�Mo i.voraitfi MpiP peNixn 1M19�7u1 rW 4i i �"�rr:x hn r�c..,o- N.r+ 1hPypyraserorox uEdk.eik: �} TQIE011rG. .. Gnha GM7nu'Pq Am 40� NordT2V1L I MR6, 8THERIPM FRED roAt4T14V MlyJ 4f gawuR PhPh"'grhS Bur v/ora A..RS "— CU= kppp9+1.1C@r}—„ -- ... 11111111111111111111111 5ur5 301-2022-031278-0 BILL SHEFFIELD, GOVERNOR DEPT. OF EN¥1~RON~IENTAL CONSERYATION ANCHORAGE/WESTERN DIS~ICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 Spurkland Engineering 203 West 15th Avenue "C" Suite 203 Anchorage, Alaska 99501 Telephone: MIJNICIPALITY OF DEPT. OF HEALTH & ENVIRONMENTAL PROT£CTIOI'~ 274-2533 0EC 6 198zt 1984 December 3, RECEI_V_ED SUBJECT: Wastewater Plan Approval No. 8521-DA-091 Lot 1, Vanderberg S/D - Anchorage Dear Si r: We have reviewed the plans and specifications for the subject project. The plans are approved, conditioned on adherence to the following items. 1. Screened rock back fill in deep and wide trenches (3/4" 3"). 2. screened rock back fill in absorption bed (3/4" - 1 1/2"). 3. Sufficient area plotted on as-built for replacement system. This letter provides a record of sewerage~plan approval required by A.S. 46.03.720(a). Please note, final approval will necessitate the submission of engineered· as-built plans. Arrangement for the inspection and plan completion is the responsibility of the developer. Sincerely, JFH/dd Enclosure cc: Robbie Robinson (MOA) As Built Plans submitted by Approved by James F. Hayden Environmental Field Officer Tobben Spurkland Date 11-14-84 Date 11-30-84 MUNICIPALITY OF ANCHORAGE Hea/~> and Environmental Protef~-~Dn Fourth Floor West 825 L Street ~chorage, Alaska 9950]_ 279-2511, x 224, 225 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ~.~ ~ ~ " , fA' NUMBER OF FROM W~L.,__~.~'%~'"~_~'"~,..,~',NUFACT~,R~_ _G;¢~,. ---- ~F~,~ ~ ...... COM,~,*~*S INSIDE LENGTH__~ ___ INSIDE WIDTH ...... LIQUID DEPTH IIQUID CAPACITOr. S GALLONS. T..E DRAm [mLD:~~ DISYANCE EROM WELL ........ NDATION___~____~ NEAREST L. O1 LINE_ ..~ ~ __OF LIN. E ~ O~ ~DBS ' OISIANCE BETWEEN LINES _~TRENCIq WIDTH ...... IN. I OTAL EFFECTI ~ D[PTJl OF DCPTJ!: TOP OF TILE TO FINISH GRADE .~ ..... MATEnlAL [1[NEAIH 'FILE.. ~__IN AROVE TILE~IN. SEEPAGE PIT: LO9 Crib Rings BUILDING FOUNDATION__, DIAME'I ER __-- OR WIDTH ..... I ENGTH DEPTH Crib Size: DIAMETER ..... DEPTH.__ DISTANCE FROM: WELL .......... TOTAL EFFECTIVE NEAREST LO'r LINE_____ ABSORPTION AREA {WALL AREA) SQ. FT. Well Class: P~,. Depth: Well Distance TO: Lot Line Bldg: ~ Sewer Line: Pipe Materials: # of Bedr?oms: Installer. _~.c~ ~4¢ I':II':'P L :£ CFIN 'f I..ZICRT I [:IN L. EGF:IL SCHFICHLE W' :E:RTH LT. i VFINDENE:LIRG LOT SIZE ±001.~a SQLIRRE FEET OF' SOIL. FIE:SORB'f'ION SYSTEM IS: "f'RENI:::H i','IFt::-',Ii',IOI',I f,IIJt',IEIER OF E:E'E:,RI:)OI"!S 7' .:,uiL. ~.HI ]:N.~ FT/E:R)= f'HE RE(;:!IJIRED SiZE OF 'file SO:IL. RBSORPTION :.:.;YS]"EFt tS: 11:::. E: F:" -I1'"' H = ::L :'JL L E: i'-4t mS 'T H = :;L 4- ~; CII F:~ fl "-2 E: L. E:. E: F" -'F F-I = :--]: THE LENGTH DiI"IENSIOP,I IS ]"HE LENGTH (:~N FEET) OF 'THE TREi",!CH OR DRRtNFtEL[:,. THE DEPTH OF FI TRENCH OR PI]' IS; 'THE I:)ISTFINCE BE"I'I-,-IEEN THE SURFRCE (:IF' THE GROUND RI"~£) -t-HE BOTTOf'I O1=' TNE EXCR',,,'FITi[ON (:[i'4 F'EE'f'). THERE IS NO SET WIDTH FOR TRENCHES. THE GRFI',,,'EL I:::,EF"I'H IS THE i'"IZNZI'IUt'i DEPTH OF' GRFI',,,'EL BE'l-WEEN THE OUTFRLL P]:PE RND THE E:O-i-TOr't OF THE E:':',CFIVFIT]:ON '::]:N FEE'['::'. F:' R C: ~'::: IR 13 ~-S F" L_ FIt F,~ 11"' Cm Its" "-It- Z C~ FI PFICKRGE F'LRi',IT HFI'¢ BE ti'.4S'T'RL. LED RT THE F'ERi',IlTTEP. S'"S OP'T':[ON SUI3.TEI:::T TI:) THE FOLLOW I NG COND I "1" I ONS: t. EITHER R CL. FISS Z OM :(]: NSF fiPPRO',/ED PLFINT i',lR'¢ BE ZNSTRI_LED. 2. R C'ONTiNLIOUS I',IFIZi'.,ITENRNCE FIGREEf,IENT ]:S RE~g!U:I:RED. :IF FI f,IFIZP,I"I-ENRNCE RGREEfdENT i[S NOT KEPT CURRENT YOU I'IRY E[E RE6:~UZRED TO ENLFIRGE THE SOIL FIBSOR. PTION S'¢STEr,t RN[)/GR YOU I'1R'¢ BE: SLIB.JECT TO PROSECUT:[ON. E,'RCKFtLI._ING OF Ri'-,lY S'.rSTEM 1.4ITHOtJT F:INFIL INSPECTION FIN[) RPF:'RO',/FIL BY 'THIS I)EPFIR't'r, IEN]' Wit:LL BE SUBJ'ECT 'FI:) PROSECUTION. MINII',tOM DtS-f'FINCE BETI-,EEN FI WELl... FIND RN"r' Oi",I-'S~[I'E SEWFIGE [:,tSPOSFIL. S~'r'STEM IS :ti:.~lEt FE[ST FOR R PRiI:VRTE t.,.IELL OR 2¢¢ FEET FOR FI F'UBLIC WELL. OTHER RE6:¢.JIREf'IENTS i"/FIY RPPLY. SPEOIF'ICR"rIONS FIND CONSTf4:UE:'rION [:,IRGRFli','IS RRE FI',,,'FIILFIE:LE TO INSURE PI';'.OPER tNSTFILL. FI]-iON. I CERTIF"¢ THFIT fi.: I FII'"I FFII"IlLIFIR WITH THE REQIJ:[REMENTS FOR ON--SI'rE SEWERS FI~'4D I.,.IELLS FIS SET FORTH B"r' THE flUNICZPFIL:[TY OF RNCHORRGE. 2: I W:[LL INS'ri=II.& THE S't's"rEI"I ]:N FIC'I:;OR[)FINCE .~,.IZTH THE: CODES. ~:: ]: LII'.~DER'.FI-FIi'4[:, 'rHFiT ]'HE OI'.4-SITE '=':,EI.,.IER. S'¢S]"Ei',I f,!FIY I:,:tE~L.)LIIRE ENLRRGEf,EI'.fl" IF THE RESii::,E~.,I:_'.E ,:S R~:~',,::,,:,~-:',_ED '~-,::, ~..,,::,..'..'~::,E ~",,:,R~:-,','*~ '~' ~,EDR,:,,~':-';..~..._, .', ..... ;;~ ~~ .................... ........... ' o Performed For Legal ~escri~tion: This Form Renort~ 2204 Cleveland Anchorage~ Alaska 99503' Schachle Excavatinq~ O a t e P e r f o r m e d ..... 8 -2~-~1~.~ Lotl B]0ck Subdivision Vandenburq_ Subdi~ Soils Loq Yes Percolation Test Penth Brown Silt 8 12--- 16 _-'" Gravelly Sand Bottom of test hole '18-- Was Ground Water Encountered? no % Percolation Rate Minute Prnnosed Inst~q'J"~¥o~: See~aQe Pit Drain Field De~th of Inlet ................................ De~'h'fa~-6~'Tom Of Pit O~F C ~ ~ ~ E N T S: _ .~.~.. sq~__~_.~r_a~i.~g_~_~r_~a~.~_eq~ir.ed..~.er- bedr. o.om_~om_m~us 8 ' to 15 '_~ ......................... : ~-~¥Performed' By ...... ~]~ ~~ ...................................... ..................................................................... Data Certified Well Owner Evan Hall M-W DRILLING, INCJ .... ',." DRILLING LOG ~ ~/O Use of Well Location (address of: Township, Range, Section, if known; or distance main road Lot 1 ¥'e, nde:¢barg Subd. Size of casing_ 6" _Depth of Hole Static water level il0 ft. (~B~o~) Screen ( ); Perforated ( 275 feet Cased to 274.4 feet (below) land surface. Finish of well (check one) open end ( ). Describe screen or perforation N/A Well pumping test at ~00'{'gallons per (~o~u~) of drawdown from static level. Date of completion 9 / 12 / 77 (minute) for 1 hours with 100% WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 .TO. 2 Casing stickup 2 .TO. 4 Fill 4 .TO. 6 Organics 6 .TO. 15 Sandy gravel 15 TO_ 30 Loose gravel 30 TO. ~0 Sand 00 .TO_ 190 Sandy Clay !.30 .TO. 250 Heaving sand 250 .TO. 265 Silty sand 265 .TO. 275 Sandy war. er gravel .TO. __.TO_ TO_ ~WVA '~cl-fi'h ~ Certificate ~N$'s. ~14 & .TO. 2--STATE