HomeMy WebLinkAboutVALHALLA BLK 3 LT 1VAL444A LLA
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M -W Drilling, Inc.
*P.O. Box 110378#Anchorage, AK 99511•
♦907-345-4000 ♦ 907-345-3287 Fax*
Job No.: 05-139 Parcel No.: 0152121800014 Permit No. N/A
Groundwater Well As -Built & Lor- Deepening
♦ IVell Owner: Trevithick, Ron & Delberta ♦ Use of Well: Domcstic
*Legal Description: Valhalla Subdivision, Block 3, Lot 1
Construction
♦lloleDepth: 139' ♦ Casing Sle: 6" ♦cased To: 138.02' ♦Alaterial. A53Steel
♦Drill Alethod: Air Rotary
- — Perf.
♦ I{ ell Completion- Open end X Screen Perforated Method:
•Screen/Perforationdescription: None
♦GroulNotes: (1)Sack- No. 8bentonite granulcs
♦ A'oles.
♦ 1Vell Development. Method. Air surge /Voles.
♦ Static water level (SWL) 65' (above) (behrn f lop of casing (TOC).
♦ I {'ell yield test at 10 gallons per mlrture (GP3I)/ga11ons-per-honr{GPl1) for 24 lour
Willi of drawdown (DD) front static level (SWL).
♦Alethod: Submersible Pump
♦ Date of completion: 15 July 2005 ♦ Pump Install.
Wpll i.no
Depth in feet from
top orcasin .
Details of formations penetrated, size of material color and hardness.
0
TO 96
Existing well
96
TO 103
Water ravel: silty/sandy, dirty
103
TO 131
Hardpan silt: gravel)
131
TO 138
Water ravel: slightly sandy, clean
TO
- -
-To ---
TO
--- - -- -- - -- ------
- - - ---
TO
TO
TO
TO
- - ---- --
_--- --
—
--- - --
--WAYNE'E. WESTBERG
President; M - W Drilling; Irm
NQWA Certified Contractor -#
CertMcste_Ros,1qq4)�
Contractors License No. 1000
—
TO
- TO _
TO—
TO
TO
TO
MUNICIPALITY OF ANCHORAGE
DE. .TMENT OF HEALTH AND HUMAN SER\ SS
Environmental Health Division
825 "C Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE; SEWAGE. DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
��r��/-�Irl�--7-'®`jI)✓���-
DISTANCES
TO
FROM
SEPTIC
TANK
ABSORPTION
FIELD
WELL
AOOres5
tL0—I �' � e n.-I� �-�� C C U
Phone(s) Penult No. No of pedrooms
WELL
LOT LINE
LEGAL DESCRIPTION
Lot
Block
�
Suems,on
-=
FOUNDATION
Tovmshl p.Bange Section
_
AS BUILT DIAGRAM
OuYcway. water hooms.
t5how location on of w,
etal
septic sysmm-property
tines, loundabon.
TANKS
SEPTIC ❑ HOLDING
Manutac¢aer Capacity in gallons
Materna , No "f Companmenrs
/ TYPE OF SYSTEM
_XTRENCH L 1 BED ❑ W. DRAIN F1 OTHER
Depot to pipe noaom Iron, I Total el n born ongmal 91.11,
ongmal glade
T FT _ ._ ��_ FT
Fol added above ongmal gra", G,.v„ o,pth b,n,am pipe
FT FT
Gravel lenga� Gravel width
r•• F7 it
FT
Total absorption arc. Distance hdlween tines
SQ F7 FT
Nmnber o, Imee Sol. rating �Pipe matenal
r SO FT A -_',`I l Jo O
Installer Date mstalletl
WELLS
❑ PRIVATE ❑ OTHER (Identify)
GIDSsiLcahOn �A,B.Ct Tota, Depth Case" to
FT FT
InStalf, DAte Inst AllCtl.
REMARKS:
ticale. 1, z;6P_"� ENGINEEli$$EAL
r' [t __. .7C[-�r,u.1-i i[-C^(!CuJ -•r" inspections Perto need by. ( /1t
�}5
certify [hat this inspection was predurnied according to all
Jul
Municipal and State out ethics in ellect on this date: -7''� �k•% , "
V
Health Department Approval: Date.
'2-013 (3,85)
!I,:, I ,, � I, LI{! I L:, In 'li !,..i'•1 I I . I' I t.' "rd_ „I I „�l I. laid
I
r;�� :.c.�'v'r�.! o-=,- F l���/79-L. .s {• tee_,,..° -i -t
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
/IN SOILS LOG
XI� PERCOLATION
/ , TEST
PERFORMED FOR: DONALD 1' GCPYBEC,Y, DATE PEERFFORMIED�aL:
LEGAL DESCRIPTION: V AlL 7A SF---b1^PE CT
OKQAt4l C -S �T
l��� ►Jyf�
11 11
�
e
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
i11111z eSN TMAW`.
COMMENTS
WAS GROUND WATER I S
ENCOUNTERED? L
O
P
E
IF YES, AT WHAT
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
'aC)
�)
6%D
%6
PERCOLATION RATE A7 (minutes/inch)
// I
TEST RUN BETWEEN f`� FT AND 6 _ FT
PERFORMED BY: *T7S CERTIFIED BY: DATE:
72-008 (6/79)
[ID31 g[� �'�'' ANCHOJRAGL IALASK� 9950
CONSULTING ENGINEER TELEPHONE (907)279-3916
MUNICIPALITY OF ANCHORAGE JUL Pk4,, 1986
DivrsrON OF ENVIRONMENTAL HEALTH SNF/POep" Yo/•�ryc
DEPARTMENT OF HEALTH AND HUMAN SERVICES N,yF NE,) Nop `
ANCHORAGE, ALASKA 99501 ! NT�P.O. BOX -6650( "Ro7R ION
" C
SUBJECT: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR IC®
PRIVATE WELL. LOT 1, BLOCK 3, VALHALLA
Gentlemen;
We are resubmitting a request for waivers from the separation
distances stated in Title 18, Alaska Administrative Code Chapter
80.020
This system was upgraded by installing a new drainfield and an
additional 500 gallon tank. The existing tank was a one
compartment 1000 gallon tank. Since this lot is small and a second
replacement system will be very difficult to install on this lot,
it was suggested to the owner that he install a 500 gallon tank
in series with the existing 1000 gallon tank to enhance the
operation of the system and extend its probable life. Because of
the slope of the line between the house and the existing tank the
location where the additional tank would fit is 98 feet distant
from the well. To minimize the posibility for contamination
coulder couplings were used. The existing line is cast iron.
The inclusion of this 500 gallon tank make this upgrade better
than whAt is required my the Health Department.
I request that a waiver be issued for this property.
Yours
Tobbe Spurkland P.E.
ear
Anchorage
August 21, 1986
P.O. BOX 6650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
ION KNOVJLES.
A'AYOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
Tobben Spurkland, P.E.
203 West 15th Avenue C Suite 203
Anchorage, Alaska 99501
Subject: Lot 1 BLock 3 Valhalla Subdivision
Waiver Request, WR86-099
Dear Mr. Spurkland:
Your request for a waiver of the 100 foot separation required between
the well and septic tank on the subject lot has been granted. This
requirement has been waived to 98 feet.
Sincerely,
Stephen S. Morris
Civil Engineer
On-site Services
SSM/ljco
GRE aR ANCHORAGE AREA B0. `IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME I)d YN �/` (J0 cde/ ADDRESS// � / �
B
995��7'
� �g�'�
PHONE
IMAILING
LOCATION �1j(; j '✓eleO h)i1 A1YI US EGAL DESCRIPTION
Z—
�J
I��
�C{l AIq& 1'�;Irl
SEPTIC TA/ I"e�I/i>'HL� /"1
DISTANCE l��y e•e ✓• MATERIAL s5A- l COMPARTMENTS /
NUMBER OF
FROM WELL MANUFACTURER
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY kz St> GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER OR WIDTH /, LENGTHZ� DEPTH
LINING MATERIAL/'P-P / CRIB SIZE: DIAMETER DEPTH C? DISTANCE FROM: WELL
-�� TOTAL EFFECTIVE
BUILDING FOUNDATI IN NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) SQ. FT.
G
ADDITIONAL ABSORPTION Z !/ tom'% M
WELL: /��� C' % I�pc/%%»I ✓
�7/ /h S��I�C��i
TYPE V �(f CONST UCTION
BUILDING NEAREST
FOUNDATION—,LOT LINE ,
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY: C�av
PIPE MATERIAL: r�Q
LOT SLOPE:
REMARKS:
Forin No. EQ -031
NEAREST
SEWER LINE
REMARKS
DIAD
�tu
CZM C(e(? 101'1 )1af-
1 n q -t /'; me O -P
114vcc1(10)1
�//
4v
DATE
070121:
SEPTIC
TANK_
OF SYSTEM
35'
APPROV
DISTANCE FROM:
SEEPAGE
SYSTEM _
((t�t7
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3330 "C" STREET ANCHORAGE, ALASKA 99503
I���/( TELEPHONE 274-4567
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT /+��✓�, �J �Lj�C/L` MAILING ADDRESS -SSV/O� PHONE' ^��3
INSTALLATION LOCATION-r��2/��G��� ✓���'�l� �����
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK l ' SEEPAGE PIT . DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED �✓ "� ��✓��L��� �-�✓���-� ��������✓���G� ��������
c- moo:>E �sc��� ✓ j 65GLr/ 4 ��e z -�4 �ll
FINANCED THROUGH TO BE INSTALLED BY.
so1L TEST RESULT ,�+�+�1��✓� NOYEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED�—
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE 3 TYPE �� SEEPAGE AREA SIZE «CLLTYPE
MINIMUM DISTANCES, REQUIREMENTS / DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK /
FOUNDATION TO SEEPAGE PIT cx G� + GRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /
�`
SEPTIC TANK �G+ SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK ✓�✓� / SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA //WELLS.
WATER MAIN TO SEPTIC TANK✓l / SEEPAGE PIT
DRAIN FIELD --
SEPTIC TAMC _��, SEEPAGE PIT G, DRAIN FIELD --'
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE �� APPLICANT'S SIGNATURE
G.A.A.B.
OR
LICENSED DESIGNER
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE �� APPLICANT'S SIGNATURE
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
%5 gb
1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
L.oT 1, SIC 3 VALHALLA S E c "2 TI'PNN e3 I�
Location (address or directions)
HNA! Not-FPAN
(b) Property Owner DONALD 6RAyrAhFC <- Telephone: Home .3�ti- hf9�9 Business
Mailing Address LjgP l I-JoPGMAN
ALAWA
(c) Lending Institu ion1),Sf-1 rD • GQ.£, UN IONS Telephone
Mailing Address
(d) Real Estate Company and Agent
Address
(e)
Telephone
Mail the HAA to the followino address: or: Check herexl, if hold for pick up.
List contact person and day phone number below. n
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 Stale 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 (Rev 8186) From
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 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. o
Name of Firm •�A��Q Telephone A7 R—Sq l b
Address o t-41
Date
•.4ort.
:*49 EL
o• 2225-E Engineer's Seal
JUNE 25. 1971 •:�®p
6. DHHS APPROVAL
Approved for •4b e� ° edrooms by B•^ Date
Approved 11_� Disapproved Conditional
Terms of Conditional Approval
CAUTION
/Z-9�Zv
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.
Page 2 of 2 72-025 rRev W8M Rack
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1904
264-4720
Legal Description: LO1 1 t 3 1/AL4AL_1_A
SF_G2a' Tll2h)r iZSW/
A. WELL DATA
Well Classification S If A, B, C, D.E.C. Approved (Y/N) "W -V
Well Log Present (Y/N) —1x Date Completed ?A 11 7 Yield 6?2P V"
Total Depth 14W �* Cased to Depth of Grouting N 0 N I= -
Static Water Level l9 L7 Pump Set At -70 a'
Casing Height Above Ground mil Sanitary Seal on Casing (Y/N) y
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well
Depression Around Wellhead (Y/N) N1
To Septic/Holding Tank on Lot q B ; On Adjoining Lots /Llro h
To Nearest Edge of Absorption Field on Lot L 0 1 ; On Adjoining Lots ( pa +
To Nearest Public Sewer Line IN 0 N C—::- To Nearest Public Sewer
Cleanout/Manhole No N L=_ To Nearest Sewer Service Line on Lot
Water Sample Collected by ;Date
Water Sample Test Results
CommentsU^ 9ti
B. SEPTIC/HOLDING TANK DATA
7.IV. rr, 5O -e3
Date Installed 7 Q/ Size 100C) L-) No. of Compartments r
Standpipes (Y/N) _ Z Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) y
Depression over Tank (Y/N) N Date Last Pumped * us-('
Pumping/Maintenance Contract on File (Y/N) Nle ; for %A
Holding Tank High -Water Alarm (Y/N) h A Temporary Holding Tank Permit (Y/N) W/A
Separation Distances from Septic/Holding Tank:
To Water -Supply Well
To Building Foundation
To Property Line VTo Disposal Field
To Water Main/Service Line ID To Stream, Pond, Lake, or Major Drainage
Course NON C
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata .2b8 Type of System Design 7R -i N ( 14 -
Date Installed !WL -L4 t 14 Length of Field 5<3
Width of Field 31 Depth of Field I I
Gravel Bed Thickness
Square Feet of Absorption Area %62- Standpipes Present (Y/N)
Depression over Field (Y/N) tY
Results of Last Adequacy Test N
Separation Distance from Absorption Field:
To Water -Supply Well ) o
To Building Foundation r+
Lot l�
To Water Main/Service Line > 10
To Stream/Pond/Lake/or Major Drainage Course _
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION NON rE
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
Date of Last Adequacy Test WA C 1`!F—t✓/,
To Property Line ) D
To Existing or Abandoned System on
On Adjoining Lots �7 -6 C>
— To Cutbank (if present) N oNl;
Dimensions
Manhole/Access (Y/N)
_ 'Pump Off' Level at
** Check Permitted Bedroom Rating Against HAA Request **
Vent(Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Icertify that Ihave checked, verifie or conformed toall MOA and HAAguidelines in effecton the date of this inspection.
Signed Date IVsZR
CMOA N
ompany
o.
Receipt No.
/
Date of Payment
Amount: $
C 7
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
Page 2 of 2
F r B 1886
72-026 (11,84)
RECEIVED
�._
�1971.i 3'-',� • pis .� Engineer's Seal
0... /.,S•• ...,.�
Th --d 2225.E :•,?`,w
JUNE 25. 1971
vO D 2A tp"PALIAMV pQgu
CONSULTING ENGINEER
203 W. 151h AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 2793916
R E S I D E N T
— — — — — — — —
I
—
A L
— —
W
—
E L L I N S P E C T I O N
— — — — — — — — — — — — —
LEGAL: LOT
1,
BLOCK
3,
VALHALLA
LOCATION: 4421 HUFFMAN
OWNER: DONALD GRAYBECK
TYPE OF WELL: SINGLE FAMILY
WELL LOG AVAILABLE: NO
INSTALLATION REQUIREMENTS MET: YES
PUMP YIELD: 6 GALLONS PER MINUTE PLUS
flt7:l�Y�iTa�lli�7 J�[�11fi�il�i7
DECEMBER 4, 1986
TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6
GALLONS PER MINUTE WHILE THE DRAWDOWN WAS
MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE
DRAWDOWN STABILIZED. STATIC WATER LEVEL WAS FOUND AT 60 FEET
BELOW TOP OF CASING. AFTER 5 MINUTES OF PUMPING THE WATER LEVEL
WAS 70 FEET AND REMAINED AT THAT LEVEL FOR 80 MINUTES. A TOTAL
OF 300 GALLONS WERE REMOVED.
TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON
DECEMBER 5, 1986. TEST WAS NEGATIVE.
TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE
MUNICIPALITY OF ANCHORAGE.
THIS WELL CAN PRODUCE 3 GALLONS PER MINUTE
FOR FOUR HOURS
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 the aquifer feeding the well.
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
TELEPHONE (907) 562-2343 5633 B Street
A�w
t
Anchorage, Alaska 99518
+y Y
4
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
❑ PUBLIC WATER SYSTEM I.D.#
I� PRIVATE WATER SYSTEM
SPUrzKN
Name Phone No.
Mailing Address
City
SAMPLE DATE: ® D
Slate
Mo. Day Year
Zip Code
SAMPLE TYPE:
Routine
❑ Check Sample (for routine sample
with lab ref. no. Treated Water
❑ Special Purpose )Q Untreated Water
SAMPLE Time Collected
NO. LOCATION Collected By
1 Lo -r 13 K3V�PIPP�� Ia=° 1 S
2
3
4
5
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
N Satisfactory
❑ Unsatisfactory
❑ Sample too long in transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
Date Received
Time Received
o
15—�Lo
Analytical Method: Membrane Filter
No. of colonies/100 ml.
Lab Ref. No. Result' Analyst
M ?L6
u m
u m
U m .
U m
BACTERIOLOGICAL WATER ANALYSIS RECORD
i
Membrane Filter: Direct Count
Verification:
Coilform/t00m1
Final Membrane Filte Re Its C Coilform/100ml
Reported By Dale �A5 :��
Time: -/5-'PO �� - a.m.
p.m.
TNTC = Too Numberous To Count c1��1�
OB = Other Bacteria /