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HomeMy WebLinkAboutVALHALLA BLK 3 LT 3Valhalla Block 3 Lot 3 #015-212-16 - MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 LStreet -Anchorage, Alaska 99501 Telephone 2644720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 1 ,/—��-------�--- PIHONE / NEW UPGRADE MAILING ADD 3ESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS Well (I> r Absorption arel f Dwelling PERMIT NO. U Y DISTANCE TO: U a Z Manufacturer i Material No. of compartments ILiq. capacity in gallons IF HOME MAbB n id ength Width Liquid depth DISTANCE T0: Well Dwelling PERMIT NO. —:_ � Z h Manufacture - . _ � Material - - __ ll- on -Liquid capacity in ga O DISTANCE TO: Well . ^� r r "� Foundation t -f- U Nearest lot Ijne PERMIT NO. w y - ! k) `/n c' J LL Z No. of lines /I Length of each line Total length of lines Trench width Distance between lines P Z w - c-G_ /U / r) - ,J O 3.G inches tifl o H Top of rile to finish grade Matarial beneath tier 477-Total of ec]yve absorption area c�y aches Length Width Depth PERMIT NO. w Q H Type of cr — Crib diameter Crib depth Toflleffe n e absotion area \ -- w_ � W DISTANCE TO: A101 _ - wilding foundation Nearest lot line Depth Driller Distance to lot line PERMIT NO. w � DISTANCE 70: Building foundation Sewer line Septic tank Absorptio ar a(s), � OTHER PIPE MATERIALS C L ® SOIL TEST RATING- �c INSTAL/LEER REMARKSox _ �r v )Ian- HT ea i � I APPROVED ., DATE LEGAL 72-013 1 v. 3/781 JNICIPALITY OF ANCHORAGE Department c,_ Health and Environmental --otection _l2, 825 L Street, Anchorage, AK. 99501 264-4720 # # HANDWRITTEN PERMIT WEbL-=A-nJ�-OR ON-SITE SEWER PERMIT Applicant:Cr\I�-S�J� Mailing Address: �(�A Location: Lc) k-� Phone Number: 7,D)' -_f S /` Legal Description: L � �� ' / 3 A L 11ALLA SYb Lot Size: /C0 4 Type of Soil Absorption System Is: Trench: K_- Drainfield: _ _Seepage Bed: Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) Q �D � The Required Size of the Soil Absorption System Is: DEPTH 3 tee LENGTH GRAVEL DEPTH P WIDTH The length dimension is the length(in feet) of the trench or drainfield. 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 pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ Permit applicant has the responsibility to inform installation inspections of any wells adjacent to of residences that the well will serve. this this GALLONS * department during the property and the number * # * TWO(2) INSPECTIONS ARE REQUIRED * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. 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 a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 u 1 * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlar t if th residency is remodeled to include more that 3 bedrooms. Signed: wJ { jp Issued by: pplicant Date: SWP / 0 2 4 (1 / 81)- l'0 V 0 l �O t,' Municipality of Anchorage Uj+:a►9 U DATE: May 14, 1981 To: Al Carson, SRA Box 1581C, Anchorage, AK 99507 FROM: Division Manager, Environmental Health Division, Department of Health and Environmental Protection SUBJECT: Waiver Request and Sewer System Upgrade Lot 3, BLK 3, VALHALLA S/D After having looked at all the data submitted and considering all options available, it is my decision that the best current choice is: InZstall the additional drain trench as recommended by your engineer. The data would tend to support this decision in that: 1. The soils are very tight and have for the past eleven (11) years prevented any contamination of the well. 2. This is the apparent final on-site upgrade available to this property without drilling a new water supply. Ro,�' Af .3trickland RS/pas ins4 �(VO pu � (�- 91 -(4/76) C Lij 6 P&d s3 �- S aye ssa tr a a v / • � Vl i� L L. L l VJ_e_ L 1 Y�(gO t1 ( 4J/�a b� 1�'� / ins4 �(VO pu � (�- 91 -(4/76) SOILS LOG -° MUNICIPALITY OF ANCHORAGE • +�! DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: At ` r�r So P•/ DATE PERFORMED: �� LEGAL DESCRIPTION: �^`� � � `cat-* � � VL%�.� —��' SP„/'D r'ri— I i SI nPF CITF PI AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 /'&C'lr M r9 f., C�L�.SiJll ttil C� rt;w 2�i „ GAA COMMENTS L01& '1 ,N PERFORMED BY: 72-008 (6/79) WAS GROUND WATER / S ENCOUNTERED? _ /U U L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 3 er 1.41 .e. 2. /:Z3 ID 1, z,YS` / 76- l33 3 10 1,115- .13Y3 Y -3 10 /'OS .07 6- /;5- 3 E� v Z<(')_s to PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN �)✓ FT AND FT ,.t,.,.:.. / ",.'.SSC -tE /..t . F z .i CERTIFIED BY: DATE: A N N 0 0 I EGEND 0 5/8 z 30`* REBAR RECOVERED THIS SURVEY 5/8 z 30' REBAR SET THIS SURVEY w ta ita co OF N0. 3245 Rnp,er L. Sn,,der r 1 hereby certify that I have made a survey of the to+iowi,n.g described property: LOT 3, BLK. 3, VALHALLA SUBDIVISION and that the imnrovements situated thereon are wit'7'n the Dounoanes at ;ala "a -i and do not over iao k)r encroach on the propertv lying adjacent thereto, :hat the improvements on the property lying adjacent thereto do not encroach on the premises in question and that there are no roadway3, transmisslon Eines or other ,;sibl:e ea3ements on said property, except as indicated hereon. SURVEYOR'S CERTIFICATE I, the undersigned registered surveyor, hereby certify that a land survey has been completed by me or under my direct supervision and that corners and mon- uments have been located and established and that the dimensions shown hereon are true and correct. Date:` 1981 A. E. a S., INC. 274-6667 621 E. 484h AVENUE ANCHORAGE, ALASKA 99503 LOT SURVEY for LOT 3 , BLOCK 3 VALHALLA SUBDIVISION ANCHORAGE, ALASKA WRVEYED BY: DATE: R. L Snyder April 24, 1981 DRAW:d BY: SCALE: CHECKED BY: P, Clark I" = 30. R.L.S. Of 1TER ANCHORAGE AREA BOROI' 'H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 No ° 150 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING/ NAME L ADDRESSZ�Z/IF%L'.l' PHONE 21 LOCATION �'-i_=, .-!G� /T/_,.r/ LEGAL DESCRIPTION SEPTIC TANK _ NUMBER OF DISTANCE FROM WELL•>� /lz-GG%/=�IA MATERIAL L_'/y�'C_'/'i°7/= COMPARTMENTS '// S _'' <- / %'�) L _ LIQUID LIQUID CAPACITY %-�' GALLONS. INSIDE LENGTH L INSIDE WIDTH `- _.- DEPTH ---- SEEPAGE SYSTEM: SEEPAGE PIT NUMBER OF PITS_ LINING MATERIAL NEAREST LOT LINE_ TILE DRAIN FIELD: DISTANCE FROM WFII NUMBER OFLINES_ ABSORPTION AREA OUTSIDE DIAMETER L� OR WIDTH v LENGTHDEPTH , i A-��,4 G � . DISTANCE FROM WELL �Z_ C'6' ='�i• � BUILDING FOUNDATION - I TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �- ' G' SQ. FT. FOUNDATIO CE BETWEEN LINES SQ. FT. LENGTH OF NEAREST LOT LI TRENCH WIDTH TOTAL LENGTH 10 i. 11c - -__ IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEP"" OF FILTER MATEJAL'BENEATH TILE IN. ABOVE TILE WELL,/ 11' DISTANCE FROM ,_ WATER TYPE ��% DEPTH � , BUILDING FOUNDATION. SAMPLE, NEAREST NEAREST , SEPTIC '__ SEEPAGE _- __ OTHER - LOT LINE SEWER LINE—, TANK , SYSTEM , CESSPOOL , SOURCES— DISTANCES: UTAUKyM OF 3131CM DATE. ('J%-�1 APPROVED -`, .-c_HEAL�jHnuTHoalTv i 1- ✓V ski < � lt..✓ ,Sv �l", r il+c DATE. ('J%-�1 APPROVED -`, .-c_HEAL�jHnuTHoalTv i cnn$.nn-z GREATEE ANCHORAGE AREA . )ROUGH Case No.111_;5. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT N r ru _ �'- !I_r ) MAILING ADDRESS%7_-� ( Y PHONE NO. �— S/J1L0// ''D el'r--r RESIDENCE ADDRESS LviZ,7/& LOCATION OF INSTALLATION_ A/o%'rMdn/ LEGAL DESCRIPTION L A/ E3 APPLICATION TO INSTALL: SEPTIC TANK �� , SEEPAGE PIT DRAIN FIELDI , OTHER TO SERVE THE FOLLOWING FACILITY el -to ua �. FINANCED THROUGH<<'0`�TO BE INSTALLED BY'ce(� c' "'-c PERCOLATION TEST RESULTS J- -,)L 5 B 13F)PMANTICIPATED DATE OF COMPLETION r� 4 h 1y0176£L BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS '7 k -L 17) / PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED-� SEPTIC TANK SIZE _ 22) TYPE C-fLF_sEEPAGE AREA ����/ TYPE DISTANCES: (10 c ith the re�u cements Of Greater Anchorage Area Borough Ordinance No. 28-68 and that th accordance with said code, yam= — APPLICANTS SIGNATURE"` FEAD'QPKM7 CARL OeyU Leet: �d�vrie„15w care Oc t& Was Ground slater Encuuntere:d? e—/V. � --- t Drain Men o ...... ............0 ...-._..,_ Teat. Perforw d By: bare ter_;;.:acct F F.:a 1L U• L 7t _ t- � 7 ..(Jr L+d 7Y -_.-s Fnrm�?e�.n t.. .,. mac.,- �''.� �._.u.>. .Per,,,��_- .,- OeyU Leet: �d�vrie„15w care Oc t& Was Ground slater Encuuntere:d? e—/V. � --- t Drain Men o ...... ............0 ...-._..,_ Teat. Perforw d By: tA 11� (Irv- Time APPLICP 'r FILLS OUT UPPER HALE IIVLY P1oFerty Owner 141 l ,_ I I - �' .1 by .� I� 11 _ I Phone Mailing Addre,'s , 1 2 A 1 - — I ( . _"�-�L Zip Code Buyer Date J' Address Zip Code Lending Institution Phone Address I _J , (r_.�2 _lam _ L _ ,- oj 0- Zip Code � Realty Co. & Agent _ a_ �. I. 1- , ,; i- k _. 'l, r- r I-� ._ ., Phone i; f 1 ,.) 1-, E- - C. .. Address _. ci 1 :.1�� r Zip Code Legal Description V�_,I It. _ ` 1.�c1 �...._ 1, L-C�1- _= .i'.i I— ( ) DISAPPROVED 4v1-�i-� Street Location =�,. �._r. b=_. .c� .,( =_ Type of Residence Soils Rating mingle Family Well To Absorption Area Fl Multiple Family No. of Bedrooms y C Other Septic Tank Size •-Z L7 _ __ Water Supply (1 [yAndividual Cl ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Fl Community 11` For wells drilled prior to that date, give well depth (attach log if available). !, Public Utility 1 Sewer Disposal L7kIndivldual Year Individual Installed: _ — ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. tA 11� (Irv- Time Time Time ., Time Date Date Date Date I0 Inspector Inspector Inspector Inspector /\ Field Notes: t �NVIkf7 Fli✓tSNIAL PRO'I E:.IIOi`1 8�CE�.� ( I APPROVED BEDROOMS 'CONDITIONS OF APPROVAL. ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY: Soils Rating Dale Sewer Installed Well To Absorption Area Well Log Received y Well to Tank Septic Tank Size •-Z L7 _ __ 720291182) CA I i2 a� dam. October 25,193 Michael 8. Killer Kathy G Miller KRA Dox 1551 c amG«< e, q g g, SGw;c Valhalla:ayQame cot3 Block Approval for the individual never and water facilities cannot he granted until mefollowing w»n have been m7ywm • The ,w the well casing should he maw so that it 6 water 99 . • Exposed electrical wires to Jewell yon areb SoGSm of the Municipality of < 6orago «u and must he encased In conduit. The septic,wA A ,wuareceipt submitted to this department. G req,«y toot weds to he mw«+u on the m intim lam:W area. This wet will determine if the system is equate «maim to National uGwams AlwGm of private firs performing the testis enclosed. This meat needs to :e suhmitted to this office for our mwm. Please notify thin department for awm ectaaAa the noted discrepancies have been corrected. IZG,a area7 further questions, plse call this office at 264-4720. Sincerely, Cory Willis, G:. Acting sower and water Program Manager ev Z ZZ m :«zue S t r' T I L, , DEQUACY REPORT I I ngi,wer. Pia!, :: ck ms ins r 16 10 Lim •._ E -r_ _ 4:�l ,ATE OF TE£T 7EG4.I __.. L>�G.IFTIC.L_-_____ r I__ � -: !i:.> %-,/ c .;UK li SR 11N I 1 I I i...._ N , F -. _A S P Al ASCA PER'34 KA D FOE: RF : V Ez EY: I TYFE OF .STFN - Z. _. 1 C 7A4LC-;5 !c Lr S <`1 _ FIT IV' LFACK F;E� � u o qc.�s ao It "* 49TH— � ¢ SEFT IC TA NK ASS F..FaM 1 Y 5. —. No 00. ..... •aY' ..... •� �AFGISYE�F�•��``�AV �O�S/ONA\, e�Q' i NOTES 6 OBSERVATIONS' __ /'e!'°-_ �� z-%�6✓. aJ.j _ /"_� "Jt-!O� 7p ,J,;/ �2cy: c TE5T PERFC =.LEL BY: / �`'/P / A:-PJ'2i FRL; f EY. 2 "f / AF 7 F,0 F D BY STANLEY BRUST & ASSOCIATES Engineer - Planners - Sjjriejors Legal Description No of Bedrooms Adequacy Test Log Project N o Date Time Level Readin s Remarks septic tank A Jae be_ (14 0 '):00P"11. 5, LE AL ESCRIPTION n j(yl /i/ 1 DATE RECEIVED - INSPECTION APPOINTMENTS TIME TIME TIME ❑ One ❑ Four ❑ Other [ SINGLE FAMILY ❑ Two ❑ Five DATE Three ❑ Six DATE DATE M INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY k - - INSPECTOR depth (attach log if available.) INSPECTOR INSPECT �h INDIVIDUAL/ON-SITE**YEAR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC7'I dEPT. OF HEALTH & Ef`1VIRONMENTAL • 825 L Street - Anchorage, Alaska 99501 PROTECTION ENVIRONMENTAL SANITATION DIVISION MAR 31 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL ((.. //`` [[,,�IFAdiIL��// 1I3Q WATER AND SE�R DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE -5577 MAILING AD/S (-7 1 (SD�R 9 s (f. 9 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE 01 J MAILING ADDRESS CJt�� 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. E}.EALT /AG N PHONE '! ) MAI NGDDRESS C�M 5, LE AL ESCRIPTION n j(yl /i/ 1 - STREE O TI N � i 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other [ SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY M INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM "_ �h INDIVIDUAL/ON-SITE**YEAR 12 ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev, 6/79) L,j-dl' iYA)'/Cl-tt'' Tier '- 70 R O M SUBJECT MF-ssAGE a C. - SIGNED _ --\ <. ,�1V �� p �q,,�n p• „Atm �j F%EPLY D WID 3 WILH CARBON S urv�,.... .. ?ARL 3 LL B ROUP.NID WRH Rmy- RmIFORM 45 472 n fY� `l I l R 8 i '�4 (f 3ivick-(C). c� vi vi s i o h igav%a � &tnc, �h�u i /DVS me v Fa � 1Yo � 4eCL [) 1 i � ✓� �vh«(Yal(L� Ot �\V)Olhova�e � UY �oSe O 5 .4D ue-s a wc- i Vey tjL , Mon ci po j �oYd it laYkce P1p vil : � -1 n /00 4 d;s[nti ac b�-�Weevc� �u��l Ctnol self%C -{�6 t0 7% i e s n ce �oca LPA on /off 3 .f3ln--k 3 �u (�a�i nisi e� Gv�s bvi / oyc- Y" - ?;70 r970 • �f� z�s7, 7 to wel( waw .Loi` cu'l/ed . / zall,� w/io !Zo%✓s `ydv�y�ye os� ��� ✓ �y �/2✓�// atit� /v�eD� Cc� lGtsiaw`ionsy � derma. 7Gce / (lF SYCrs.•�%!'G- ��fGU2�Y(� "<'Gc S�f/G eS �/-G'/�Yl Q/����'C� LIJEi� Ames l%tu i /i 7 �l�//ere u/as �2a ;IaAe-Ll cL %Yeerl ,/, ///- le-" W `h 14-17 fi �Gc�.. � V'e ri fr i 7/r r rV ti d ZYiG zapie 94W1lp114 1-- 601'1 e. awarve o4 ��6/est o2j 2r� 3 /ydl nI ilii �is j�e be, {z+ie-e A zYu Lu�l� Irl sem fi'� �ja0 an as- bvi/f 5vraeL/ o,( the �roz° c/o4 e ILI M&OV % dc'evaz�CL, eSf�6ls12 Lie /oc�`�'m a>< s�D7`.'c/ 710-WAd- 611 Dor Ova�J y ell' lP jim- de ve-/oi0ed /o�s /are- rYi svr lL ZX/k, 0�1 � wcv- 709 Me /Arse- u/eU S /_/ , iZlt b"1l-2 .Se�i7`iG {�vc%Q S�[tivlCL�/ -2 ll�,/OT�II� OUY 1021 d 4 d //a de- f✓cLG�a( l0-o , ,&v as-,/poi/f 'sorve% C�zfQ�Glc� 5 �n he- sena �Yd?v. i¢ CLS /riil terve �, crlc �v�r� .�i'o�n fi�yr we�� GJ��i._ezc� e�zCrQa.cGz7y� y eon 0i's �§4/04 �t,01<- d,11 nwC� Is dam4OZ l0o -Q7 �/oyamuju/`-y- -SeeJoetC C /P���S i�zoVYac 7* /.U(%l/ V12 h,l/ i h 01/de v 7�_ X71 -a in 7%e A9 ��7f a�pRra�i'o-rz �r��� ovr G[/�([ a�� 5eeioage- sc�sr��. r�°4Soz7s Gcn�- ra��-a.�c. �r a rvQ;✓�� arm �;su.�sr��2 7k wa/e✓ s�+nl9(�_. d arc Yja0m to; �( on ,[gyp„/ 19fl ✓ 0zas , Q Co /i �prs� ��zG�az %2 4? -r Iao 7:5 non was 4 le,�er7 11-d o� ,e ✓� rn; ciiOcz/>�. (Sce �cffaGGiPcc' /a,6 sys m6-h�-wced— w< �)roivlems sl-�,re ade� ua e�K 4s74 "s r{orsh�� e & 91 f%zca- 1,c2e-7- 4�a.�, �r2 �l6xi . �i72 C� tLe �az� e.2d o7 4�� �12A rL° C� �i'! ViYdvc `vt.�vc � (B /� l�✓'e � �✓7'i <e s lil t�7`' �; y �es-71 leve- o5�rnc�� iu n o t� o�dl�/�S,P�/ t l UesT fDY Gr a),-Cre 611,00 I&e—I ���JCbY2�i iS Y�/pves,�eo( sU c-74 � C .SF/.S�feryt %i%e�f g or ceed�e //�sf • �� oz`�ev /ti/o rcl.S � f�Le. Gi/ /a�, ✓e.i' is v�� of ✓"(a v o�jrl e eOYt su /x, a bh -7�1�4 11Si a/,- �/LS /'emoVe 75ie �C1ZLJoye�J Cc�2Gf�/! i�y ,e�'ver��s �i'em � pra�e��y �r/or•L'i�c Se�j��-9e S�//shire Laic /,/ n _cen c%.� s; (here .s " a�s� � y& '16Ks Cove y1 ePd ed fo Q rsare add / c �Qlz /mese 1-g p/re�nds� prPdt �a� �� GGj �OCa sU6 d,611J1 >-z / ave Ineel �C� �l2Af/f`lP „s�sf� �f�i_S GL/O✓l�'�%l. �d / n ✓eY i2sa// /21 -odes Gsvrc/vs%ve�r� C�i�lS ih a `1'/rin vet ti/ls'c�j �rofetes �/ze �cz e Q 4ea-- ! 61 tk le—vil c . Z Yes�C�fi�%� e/�veS �6Ja7 7`L f fiu icr�2lr "o- G' G✓cZi`V-e- �-ec-4 5elva i -a /2¢u��Y2yw1z✓�/ s. �'%�<e � cLre r`7z Elie ,oror�ss caf s�D/.� y�s: o%�i ce/ y rP ra est ari exaeC[r��C �,2d ojfi c,'�� e� c�D ave" ed �,16 iyc ate_ /mss de c /,S ��� yon dre��rL/theY . h {v r>r. ami e1L j�/Paste 71a cf 4A� yy�o� ALASKA RUIROWWAL COnTROL SRRUICCS, IX Cngineerinq f 6nuironmental Studies May 12, 1981 Mr, Les Bucholz DHEP 825 L. Street Anchorage, Ak. 99501 Dear Les: MUNICIPALITY OF ANCHORAGE DEPT, OF P. -..:%+Li. 3 ENVIRCivU(,JT-'-- -CTION IVii±�i A 1 iCiG RECHV ED Enclosed is the adequacy test and a soils test for lot 3, block 3, Valhalla Subdivision. The adequacy test shows the system capable of absorbing 360 gal/day. My advice is to install enough trench for one mo�ree earoom. our soils test indicates the soils at 264 sqft per bedroom. There is room between the existing pit and the lot line for a trench of 20 feet and still maintain the existing distance from all wells. The trench would be installed between 5 ft and 13 ft and be 20 feet in length. We would need a waiver of the lot line distance in order to install the system. Mr. Carson has asked me to handle this problem for him and to work out details with you in order to get the problems resolved. Please call me on this problem. Thank you. Sincerely, eroy Reid :, PhD, PE Presi nt 1220 West 25th Auenue a Anchoraqe, Alaska 99503 a 907) 276-1361 ALASKA CnUIR011ITI TAL C011TROL SMICCS, Inc. 6ngineerinq & enuironmental Studies MAY 1, 1981 AL CARSON SRA BOX 1581 C ANCHORAGE, ALASKA 99507 SELLER AL CARSON SUBDIVISION — VAL HALLA BLOCK -3 LOT -3 THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 456 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 360 GALLONS OF WATER PER DAY. BASED UPON THE `PEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 3 BEDROOMS, THE SEPTIC TANK WAS PUMPED ON 5-1-81 oY C. Roid, Jr, No aasr.e 1220 West 251h Auenue • Anchorage, Alaska 99503 0 (907) 276-1361 r =y .� r� ,�. a �� 5 � •� % �� ���i� �� ,� �� �` o!rt n t--t,� o. Cl.. t . � �i. .: � ,; ._,._ '�n 4�_,i 1.,:: I I, ._. „� i ,.... r-` -� � , �, ., _ �C r' April (, 198= J- 3 a /Jo inin Car t ShIr ROUic 1 BON 5310 Anchorage, Alaska 09507 S,ib t: lol 3 Clock ock 3 Valhalla Subdiv i.sion (l Approval for he idM dual :,c ,aer and water fa::i' i ti -s uannol hp granted ted ll,l'Al she following items En have been (ti, coiP.j:j c ted : , (:t) he water a -i a 1 ?sis report needs to be delivered to this office from om t h Chea Lab, 5633 it Si rwc.;, for our review. (l_) Thu soot is t ink punjod with a rc-ceipL Submitted to this oft, (3) Expose the cleanout to the seepage pit for our inspection. This; is to asurc the minimum distance requirements are mei: between the well and sewer system. (4) if the seepage pit is 100 feet from the well, you oi_l.l need to have an adequacy Lest performed. This test will det-e:rmi.ne if the system is adequate according to National S?_andards. n l.i5ving of private firms perform.inq the Lc is enclosed, This -report needs Co be submitted to thiq nQ ice for nor review. (5) If the seepage pit is lnsq vilan the 100 feet from the well, the sappaqc arca will need to be relocated. EF there are any furthar questions, please, call this offi-ce-, ai.- W-4720, S neerr.l-y, Roheort C. PraU, R,S. Associate Speci l -:is! RCP11. j %; • • 1)67 8'9 •� B�, • Municipality of Anchorage v On-Site Water and Wastewater Program (907) 343-7904 Q ti 1� S E P 1 i. r Certificate of On-Site Systems Approval Parcel I.D. 015-212-16 Expiration Date: more TF: 1. GENERAL INFORMATION Complete legal description Valhalla Block 3 Lot 3 Location (site address) 12303 Shiloh Road Current Property owner(s) Philippe & Natalie Janicka Day phone 907-250-0320 Mailing address 12303 Shiloh Road, Anchorage AK, 99516 Real Estate Agent Tami Taylor/REMAX Dynamic Day phone 907-244-3504 2. TYPE OF DWELLING: 1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: (j.,Q/i (3-4 / C. Date: # l COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 52L Waiver Fee $ Date of Payment q 11.211 g Date of Payment Receipt Number 063 //-0 Receipt Number COSA# 06C I /`1%o Waiver# 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, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Forge Engineering Phone (907) 522-7773 Address PO Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, PE Date 9/11/18 ,t OFA/,•gdl file: 49TH 4c..-.177,•* / 11, 6. DSD SIGNATURE #1 . > � System #1 Approved for , _) bedrooms •� Be Y pp �� Benjarri�Schiller 2 System#2 Approved for bedrooms r$a� s��slF9.,C• 9/11/18 •. �� Disapproved ll�FDpROFESSIO ‘�\®a®� a Conditional approval for bedrooms, with the following stipulations: = ON-SITE j WATI=R AND WASTEWATER z PROGRAM o: o�-F�'r ��a- SERV�G • By: — In/v\1 = Original Certificate Date: 99- 1 --(-1 . The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f • c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Valhalla Block 3 Lot 3 Parcel ID: 015-212-16 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) N Date completed C. 1 970 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth *55+ft. Cased to *40+ft. Casing height (above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test No well log 6/01/18 Static water level ft. 54 ft. Well production g.p.m. 5 6 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 1 .33 mg/L Arsenic ND ug/L Date of sample: 8/31/18 Collected by: Forge Engineering *Information taken from previous COSA paperwork B. SEPTIC/HOLDING TANK DATA Tank Type/Material Concrete Date installed 1970 Tank size 750 gal. Number of Compartments 1 Cleanouts (Y/N) Y Foundation cleanout (Y/N) N Depression over tank(Y/N) N High water alarm (Y/N) N Date of pumping 6/14/18 Pumper A+ Home Services C. ABSORPTION FIELD DATA 9/29/1970 UNKNOWN/ LOG CRIB/ Date installed 6/02/81 Soil rating (g.p.d./ft2 or ft2/bdrm) 264 sf/bdrm System type TRENCH Length 1 8 20 ft Width 20 3 ft. Gravel below pipe 6 / 8 ft. 456+ Total depth 13.5 ft. Eff. absorption area 320 ft2 Monitoring tube Y Depression over field N Date of adequacy test 6/01/18 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 16 in. Water added 616 gal. New depth 48.5 in. Elapsed Time: 1440 min. Final fluid depth 22 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) None If yes, give date FIELD CONSISTS OF OLDER CRIB THAT WITH A TRENCH ADDED LATER D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off level at in. High water alarm level at in. Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 62' On adjacent lots >100' Absorption field on lot 65/75' On adjacent lots >100' Public sewer main '75' Public sewer manhole/cleanout >100' Sewer/septic service line '25' Holding tank '75' Animal containment areas 'S0' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: 1 01Building foundation ' Property line 'S Absorption field 'S Water main >10' Water service line >10' Surface water >100' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: 0'Property line Building foundation >10Water main '10 Water Service line >10Surface water '100 Driveway, parking/vehicle storage >10' Curtain drain None Noted Wells on adjacent lots 90'/95' F. COMMENTS Waiver R030025 on file for separation distances G. ENGINEER'S CERTIFICATION _-��tix-VN\v �,�of q�gili I certify that I have determined through field inspections and ��Q. .• • .0+ a review of Municipal records that the above systems are in6•60.. `I�• .-9 �� conformance with MOA COSA guidelines in effect on this date. % *: 49 I! I\ • 19 9 Engineer's Printed Name Benjamin Schiller, PE d `i `": Date 9/11 /18 i/J • • •. •Benja•'ry chiller . • j r+ �'c6' CE 12592 •t`v�� �l�%f}F�.••9/11/18• •.' �! kkti PROFESSION.`' A\\\vim~-'- COSA brown sheet 10-10-12.doc ui I hereby certify that i have made a survey of the following described property: LOT 3, BLK. 3, VALHALLA SUBDIVISION tiii'-- l � f and that the improvements situated thereon are with ^ the { f LOT 4 t LOT 9 > councar:es et said . :.,i and ao not oVe:icp vi ncroach on _ the property Tying adjacent thereto, :hat the improvements S 89' 59' 00" E !60.001 I , J on the property lying adjacent thereto do not encroach on f LOT LO the premises in question and that there are no roadways, o 0 transmission lines or other "";sb'e eas,ements on said O property,except as indicated hereon. 0 4 - 1 49.77 f SURVEYOR'S CERTIFICATE 1 24.25 15.6' sc EWEt_L I, the undersigned registered surveyor, hereby certify �, } /� t i that a land survey has been completed by me or o o w I ( under my direct supervision and that corners and mon- us w '0.t 3 o ` umerts have been located and established and that o N/ o t the dimensions shown hereon are true and correct. T p -— -� 50.92` 11 �� ') - ( .f' 7Z l o { i c o Date: r 1981 i Cr) 7A Glx CHAIN LK. kY FENCE `o - ---- - .— N 89:25:.'l-9/ 9059 00" W 160.00` LOTS tt - TIC rs, LOT 2 , Ip Id I — A. E. S., INC. „...,.„,..- ..",,,z,,,, 274-6667 621 E. 48th AVENUE /��A OF 4/4 `a� A ANCHORAGE, ALASKA 99503 i� C_ se°• 00°° .1 Ji1`� V o Pc') :` rhe ,9 � I LOT SURVEY r for i$3f •Cur°° f°at %`� - - LOT 3 BLOCK 3 - ������ 4'c 7 VA NO. 3245•S V-7- • Rn.4,• LSr,der :-O.:::'. VALHALLA SUBDIVISION EY O 5/ x 30" REBAR RECOVERED THIS SURVEY '` :., ' '°��'�� e :. � -• -• . ANCHORAGE, ALASKA ,4:-.,,F,-.6-•:-.--:.;-:... _:t : S�.-- SURVEYED By: DATE: - • 5` x 30p REBAR SET THIS SURVEY "`- R. L Snyder April 24, 1981 B 1 DRAWN BY: SCALE: CHECKED BY: P.Clark I" = 30' R.L.S. r Municipality of Anchorage Development Services Department `' a ►'; Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-212-16 HAA#_ NA 0 1. GENERAL INFORMATION Expiration Date: Complete legal description VALHALLA SUBDIVISION: LOT 3, BLOCK 3 Location (site address or directions) __ 12303 SHILOH ROAD ' ANCHORAGE, AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address RODNEY 0. EVANS Day phone 345-2448 12303 SHILOH ROAD • ANCHORAGE. AK 99516 RANNA FEKRAT w/ PRUDENTIAL JACK WHITE Day phone Day phone 3201 "C" STREET « ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: 762-5815 TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. V. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid S at, or prior to closing for the engineering services provided. 4. 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, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) 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 riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal S and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 28 * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 3 3 103 Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, coo�4p 04 conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported described the the '` ' results performance of system under the conditions encountered at the time of the test, and separation . • Qap S1�0o0 distances measured to readily identifiable features. The operational life of all wells and © "� septic systems depend on the local soils condition, groundwaterlevels 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 the system. Satisfactory test . OO G results do not guarantee future performance of the system, nor do they guarantee that J f r y A. ess , o Q there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide future how long the E-7953 �� PSP any warranty or estimate of the system will continue to meet A�cPoO �o operational requirements of the ADEC or MOA DSD. The content of this report Is for c� 0�0°��000a�Q the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. , 5. DSD SIGNATURE Approved for _ 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Y � WATER AND • ��m" h ICV PROGRAM Attachments:07 HAA Checklist x Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: Original Certificate Date: I k/03 (Rev. 1901) _........._.._.....,_....�_.._.._... .._.._.....,.._..,._.........._..___.._........_..._._.. •...__... _......... _............. .. _...... ...... - Municipality of Anchorage • Development. Services Department Building Safety Dtvislon On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.cl.anchorageak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: VALHALLA SUBDIVISION; LOT 3. BLOCK 3, Parcel ID: 105-212-16 A. WELL DATA Welltype PRIVATE If A. B, or C provide PWSID# N/A Date completed _. 1970� Sanitary seal (YM) YES Total depth 55+ R Cased to 40+ ft FROM WELL LOG Date of test G O Static water level ���.� ft. Wen production WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate 0.898 mg./L. Well Log (YIN) NO Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 02/26/03 54 ft. 5.75 G.P.M. Other bacteria O colonies/100 ml. Arsenic: N/A m9JL. Date of sample: 2/26/2003 Collected by: AKWWC. INC. •FCO INSIDE FOUNDATION. SHOWER DRAIN SNAKED BY MCDONALDS B. SEPTICIHOLDING TANK DATA PUMPING. PROVIDING THAT THIS WILL ACT AS A FOUNDATION CLEANOUT. Tank Type/Material CONCRETE Date installed 9/29/70 Tank size***750 gal. Number of Compartments Foundation cleanout (Y/IV) "ESS Depression over tank (YM) NO Cleanouts (YIN) YES High water alarm (YIN) N -(A Date of pumping 2/2642003 Pumper CHUGACH PUMPING C. ABSORPTION FIELD DATA 10BELOW Exisn93M 9 9 UNKLOG CRIB—SEEPAGE PIT Date installed oV/3as1970 Soil rating (g,p.dJft�r( 5�d 26 System type /DEEP TRENCH Length 18/20 Width .. /20/3 ��ft. Gravel below pipe 6/8 ft. Total depth *14.92 ft. Eff. absorption area 4326 ft' Monitoring tube YES Depression over field NO Date of adequacy test 2/26/2003 Results (Pass/Fall) **PASS For 3 bedrooms Fluid depth in absorption field before test10 in. Water added 1225 gal. New depth 29.5 in. Elapsed Time: 15 min. Final fluid depth 24.5 in. Absorption rate >= 450+ g.p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date — **TESTED TRENCH ONLY. ***APPROVED AS A 3 BEDROOM SYSTEM ON 6/2/1981 D. LIFT STATION Date installed Size in gallons "Pump on" level at in. E. SEPARATION DISTANCES High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot *62' Absorption field on lot *65' & 75' Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *0' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 0' Curtain drain NONE KNOWN Wells on adjacent lots *90' & 95' F. COMMENTS G. ENGINEER'S CERTIFICATION JA v I certify that I have determined through field inspections and y review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. ........ Q f A. Engineer's Prin ame JEFFREY A. GARNESS �o�, •, —7953 fe p4 Date 1 �Qa��c f esaic�� HAA Fee $ 375. Date of Payment Receipt Number (Rev. 12101) Waiver Fee $ 1000 / Date of Payment 3'liii' 10 Receipt Number a� JrL� W U-bocd-�s 3- 3-03; 3:27PM; LMCUE Environmental Services Inc. CT&E Refit 1031064001 Client Name AK Water & Wastewater Consultants Inc. Project Name/# Valhalla L3 D3 Client Sample ID Valhalla L3 D3 Matrix Drinking Water Sample Remarks: ;907 5815301 # A- 2 All Dates/Times are Alaska Standard Time Printed Date/time 03/03/2003 14:20 Collected Date/rime 02/26/2003 17:20 Received Date/time 02/27/2003 16:15 Technical Director St phen C. Ed Released By Allowable Prep Analysis Parameter Results PQL Units Method Limits Date Date Init Waters Department Nitrate -N 0.898 0200 mg/L EPA300.0 (<-10) 02/27/03 JS Microbiology Laboratory Total Coliform 0 eol/100mL SM18 9222B (<-1) 02/27/03 SKW 3— 3-03; 3:27PM; ;907 5615301 a A- 3 CT&E .Environmental Services tnc: Laboratory Division ra.�e,sr�r©.testy-®�m�,a���,�o,�,r �z riot, � &7ZrA? vcW • �esrtit,'YtA►�?...Lt'L~c%J�Y�9.��ea�1 200 W. Potter Drive Drinking'VVater Analysis Report for Total Coliform Bacteria Anchorage, AK 99 51 8-1 605 READ INSTRUCTIONS ONREYERSE SIDE BEFORE COLLECTING SAMPLE Tei: (907) 562-2343 Fax: 907)561-5301 �( MUST BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY I�li� UBLIC WATER SYSTENT LD. h fy PRIVATE WATER SYSTEM SendResults, D Send Invoice T/J'�i�1/III� fy�y rw.c M"M AMP�G�17�r 33g'3a4 ti ono r ^ u u 901 tte/4ar-I 5,42ea6 ny zip 0 Send Results •A Send lnroke V• y N., w w.a 1 cily Y4 zip cQ& SAMPLE DATE: 7 (5 Month SAMPLE TYPE: mARoutine D Repeat Sample (for routine sample with lab ref. no. ) • Special Purpose SAMPLE LOCATION vQ) wig 1,3 63 r - Comments: Fo'U 03 Day Year OTreated Water VUntreated Water Time Collected Collected By _ mr Ylcrrc Prot Analysis shows this Water SAMPLE to be: +~% Satisfactory o Unsatisfactory O Sample over 30 hours old, results may be unreliable O Sample too long in transit; sample should not be over3;Vhours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received ^"'27 y Time Received �I Analysis Began G! S Analytical Rlethod;N • Membrane Filter 13 MMO-MUG 10 ml. 1031064 e -/A- Result* IN�IIIII�I�N�lll�il� �II�II � •. Sent to A.D.F C. Anch Fbks Jun i Analyst A `<� Faxed Date: Time: Client notified of unsatisfactory results:. ❑ ❑ Phoned Spoke with Faxed Date: Time: BACTERIOLOGICAL WATER ANALYSIS RECORD MNiO-MUG Result: Total Coliform rr� E Coli bfembraneFilter- Direct Codtlt r Colonies/100 ml Verification: LTB Fecal Coliform Confirmation . Final Membrane Filter Resul s Reported By ECB __ COLIFIRM_ Collform/100 ml Time &3 O -L.-_ hrs TNTC- Too Numaour To Count Oa-Other&ctcrio 8(#400 C) S -_ Member of the SGS Group (Socibtb G6n6rile de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA, CA ORMA, FLORIDA, ILLINOIS, MARYLAND. MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA 3-14-03; 8:09AM; SCS Ret.# 1031307001 Client Name AK Water & Wastewater Consultants Inc. Project Name/# Valhalla Neigh Well (North) Client Sample ID Valhalla Neigh Well (North) Matrix Drinking Water ;907 5615301 Ln -c 1\ 1 GLbcv- u 2/ 3 All Dates/Times are Alaska Standard Time Printed Date/Time 03/13/2003 13:13 Collected Date/time 03/11/2003 15:35 Received Date/time 03/11/2003 16:07 Technical Director r, /Step;C. .de _ Released / dpuij Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Method Limits Date Date Inil Waters Department Nitrate -N 0.841 0.200 mg/L EPA 300.0 (<°10) Microbiology Laboratory Total Coliform 0 coU100mL SM18 9222B (<=1) 03/11/03 JS 03/11/03 KAP 3-14-03; 8:09AM; ;907 5615301 n 3/ 3 ME Environmental Services Inc. Laboratory Division tiveo�Pso®t,.r®eo®oomosoo�ooioosve�.mage®.e►®®v�oo®row. 200 W. Potter Drive rinking Water Analysis Report for Total Coliform Bacteria Anchorage, AK 99618.1605 Tel: (907) 562-2343 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: (907) 561-5301 MUST BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY . Analysis shows this Water SAMPLE to be: O/ PUBLIC WATER SYSTEM I.D. # Satisfactory t7 PRIVATE WATER SYSTEM O Unsatisfactory Send Results O Send Invoice Cl Send Results O Send Invoice a. =Addax uw .0 coft dy SAMPLE DATE: FO -T-3-1 Month S, MPLE TYPE: V Routine O Repeat Sample (for routine sample with lab ref. no: ) . o Special Purpose SAMPLE LOCATION Comments: 11 , F - O3 pay Year o Treated Water t(. Untreated Water Time Collected Collected By • Pkaa Print O Sample over 30 hours old, results may be unreliable O Sample too long in transit; sample should not be over3tOttours old mit examination . to indicate reliable results. Please send new sample via special delivery mail. Date'Recclved t•�I Time Received Analysis Began �1Z� Analytical Method:. -Membrane Filter O: MMO-MUG 1031307•j>� R`5ttlt• 1 Sentlo A.D.E.C. Ar Date: Time: M I Fbks Analyst Jun ❑ Fared Client notified of unsatisfactory results:. ❑ ❑ phoned Spoke with Fazed Date: • Time: BACTERIOLQGICAL WATER ANALYSIS RECORD ' MMO-MUG Result: Total Coliform E. Coli blembrane Filter: Direct Count Colonies/100 ml BGB COLIFIRM ' 7NTC- Aa Nmnemua To Cnwt Verification: LTB OB Other BeNerld Fecal Coliform Confirmation Final Mcmbrane Filter Results Col9rnvi00 ml Reported ByDate 03 Time � hrs S r®�.7{�.GS 7 Member of the SGS Group lSoeiAtAGAnAraledeSurveillance) v Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Waiver Review Worksheet WR#: R030025 PID#:015-212-16 Date Received:l,3 24103 HAM HA030123 Permit#: Legal Description: Valhalla Subdivision Block 3 Lot 3 Engineer: Jeffrey A. Garness. PE Alaska Water & Wastewater Consultants Inc. Applicant: Rodney O. Evans Waiver Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: X Waiver is not Granted. List Conditions or Reasons for above:.5 FE ATTA o4 EAo Date: 9 hLo 3 By: t991V Name of Reviewer Rec#: 32856 Amount: $1,000.00 Date Paid: 3/24/03 George P. Il'ucrch, Magor April 9, 2003 Anchorage Municipality of Anchorage All -America City Bttildinct Safety Ditision ' 2002 343-7904 Jeffrey A. Garness, PE Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B Anchorage, Alaska 99504 Re: Waiver Request For Valhalla Subdivision Block 3 Lot 3 Waiver Request Number WR030025 Parcel Identification Number 015-212-16 Health Authority Approval Certificate Number HA030123 Dear Mr. Gamess: Your request for waiver of the required 100 feet separation between a water well on the subject property and the following wastewater disposal systems has been approved. The approved separations are as follows: • Subject well to the on -lot absorption field of 65 feet • Subject well to the Valhalla Block 2 Lot 11 absorption field of 90 feet • Subject well to the Valhalla Block 2 Lot 10 absorption field of 95 feet This waiver approval applies to the existing wastewater disposal systems only. Any upgrade to the on-site wastewater disposal system will require all separations be met or another waiver approval from this department. If you have questions please call me at 343-7907. S' cerely, Daniel J. oth Civil Engineer On -Site Water & Wastewater Program P.O. Box 100650 • Ancliornac, Alaska 99519-6650 • Tcicplione: (907) 343.8301 • P:Le: (907) 343-8200 4700 South Bra(lase Strcct • Anclioragc, rllaslut 99507 littp://AA-%%-%c.ci.anchorage.nlc.ns rl N N N N N N vAIVFR-2^ iQ5T FOR vAHgL A SuBO BL0 NAIVFg REQUFST /vi4A,48F_R WRO300 3 LO N 4 I v F IQ R F Q u E S r P 0/Q A/E LL ON Sw OJr CT L OT TO =jWMV /30SoRPT14v OF 6F FBET WELL eav LOi // eLOCk 2 OP .90 FEET RNO WELL oIN L oT l0 84 O C/< 2 OF 9s'jKEE r, R8SORPr/0n� FIELO 044 — Al lg70 rke6 S, -Pry TpaK %Z'fl 'F90A'Tse,r (r#rpt 6-E LL /J GxAivv Fig,r4cjecp IlawF✓art Tari_ SF6sos 6&~ PIr (6f) If vv r,. TKEIv pN ADO/TioAl 41. 7RFIvCI-! 20 F09t9AI Eurie/-f Hf/�/foo W*S NAPP,b IN 1981. OL -L- f1B5*oRP7-/ov F18Lpf h)?E Corosr/eac /A/ AL pureE SIL T r144 I PEIPCaLArEs /l r rH/f fOIL 7IPE#9.7-.f SSPrtc. FFFL14EAvT vERy 6v6LL /n! A SNomr Pi s r/3A/C F ".WALLS bJ�r�1 AW- T"c t..wTFR WELLS I" Tb{E ARu14 ARF Ca-vsrlekcron 7 ieou6H DfAr S E L YF Je OF PURE !L/4YS C L/� j' 6le p vF�Ls. AL-�• RSCP, As 4104rP,K S.9n4MCf1 TAKF_ Poe''" TMC i, -Ci TAK/J wk}/vFle JeEeQrtJFST HAVE NO 0/4GTEK/19 PRFSF_NT NIr•a,�r�s lmylf. TKASE bNCie &A slw���rs Ha v E E x I S MJ0 I`O IQ ? 0 YA 4 K s 4- +-i'• TLIC Ifl?t* 11 A v 104604 *1- sLaP v A 10°!v±. La r �•.1 . 1 ..; �;I . 1 I. �!_• 1 � 1= 1 .I•: ; ..I I .�1 ! • ! .I ! �1 �!_i , � .! ! � I � � .i r i J l i I A. A E. C. G. Po/uT5 Sa+� .sore r/ oa ,¢�/� I 111 T 4 7 • W W W ��� 1 / ./ I ,� � W W W /OO `\ xzz NN.1 O U U N U U � Cl N., PFR LT`' V a a rAr C4,^ (foo Zf( t (/ a 9 = 2, 9 w�rE�e rp9�F GIeAt�rE•v% . fr'SSN.IKE fo�vSxRvATrVE �s T�(<' (yl�0ua0 �aRFgtE SLa/f +S ±10 0/ (L4 -FUS 4¢E U *jeAn/6s.T % fNx.°i6RAA6rT> �. 2 NO�Izoar Iq rioN ZVO ze /s GRa rorL /7.4 �GvNCLits 4,o*v 2/ 44+ ILL Ll -E j- I ( 1-J JII I i J_J-_ 4- 77� - ----- LI 1+ 71 d- L Ltd --- Ll MUNICIPALITY OF ANCHORAGE \\ 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 NAMEHO�NF. .� NEW CZ( CGt.t,�-6z�/ --- - - -- - .�3`� 5- y�a7 JX� UPGRADE _.._._ MAILING ADD ESS A LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS / , WellAbsorption area f Dwelling PERMIT NO. D x DISTANCE T0: U ZQ Manufacturer � Material No. of compartments a wF Liq, capacity in gallons IF HOMEMADE: ttl ength Width Liquid depth Y DISTANCE T0: Well Dwelling _ PERMIT NO. - - S FQ- Manulactu�� _�= ^•...,^ Material " "Liquid cam pacitgellons O W= DISTANCE TO: Well p C r Foundation/ L9 Nearest lot tine PERMIT N0. LL Z No, of lines Length of each line Total length of lines Trench width Distance between lines H z w �U / /,_ J. L ..._...._ 3; inches ti A _) Top of tile to finish grade .q�� r H Material beneath 'a�y Total el ecJy, a absorption area O N as Length Length Width Depth PERMIT NO. w• aa Type of c . Crib diameter Crib depth To�ll.effectivo ebso tion area - " w_ � _ W rn r DISTANCE TO: __ c I riding foundation _ Nearest lot line J C Depth Driller Distance to lot line PERMIT NO. w 3 DISTANCE TO: Building foundation Sower line Septic tank Absorpto ` als1r-7— IK OTHER C PIPE MATERIALS • _ __. � IZZ ` LL TE SOIST RATING r (k Ile a INSTALLER REMARKS /' n rt I A -1-6 -CLQ u�-C.G(,<-� / I b. t I APPROVED s DATE LEGAL a^R- 6l a rP 72.013 IWev. 3/781 / / SOILS LOG y MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 00501 264.4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: At \irnN-St.'1 (4 DATEPERFORMED: 5+ - l — st LEGAL DESCRIPTION: E^ �� oyV� Vcx ` tln�j� S`Z) I';t1 / SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 M. Nor.( Ml'& M G 0 f-,C.0Z l o u a.( & t. , C, �tw fr` WAS GROUND WATER I / S ENCOUNTERED? /�!O _ L-- 0 • P G /V% IF YES, AT WHAT E DEPTH? Reading Dato Gross Time Net Time Depth to Water Net Drop Z /:Z3 10 lrZyS` �/ 6� 3 /:33 10 1rls 40115- 0113Y3 Y3 10 /•O$ .07 .i' 1a13 i to 1 J.03 to -.i I to 65' 1 0F5 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND _� FT ..w, r,.. �., 3ti , ?-', 6'G w. F, Z .fie/ PERFORMED BY: CERTIFIED BY:4/ n ' DATE: 72.008 (6/79) IN u ALASKA WATER :& WASTEWATER CONSULTANTS, INC. March 18, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver Request and Health Authority Approval for Lot 3, Block 3; Valhalla Subdivision WELL WAIVER REQUESTS: The existing 3 bedroom house is served by a private well and septic system. The well is believed to have been drilled in 1970. The septic system consists of 750 gallon concrete septic tank (installed in 1970), a log crib/seepage pit (installed in 1970), and a deep trench type drainfield (installed in 1981). The system was approved for 3 bedrooms on 6/2/1981 with an 85 feet separation distance from the septic tank and trench to the well. We recently performed a well flow test and a septic adequacy test on the property and found several separation distance encroachments. Attached is a site plan and detail drawings that show the separation distance encroachments. We request that the following separation distance waivers be granted for the septic system: 1.) A 62 feet waiver from the well on the referenced property to the 1970 concrete septic tank. Since both the well and the septic system were installed prior to October 1973, this separations distance should be grand fathered. 2.) A 65 feet waiver from the well on the referenced property to the 1970 log crib/seepage pit. 3.) A 75 feet waiver from the well on the referenced property to the 1981 deep trench type drainfield. 4.) A 90 feet waiver from the well located on Lot 11, Block 2; Valhalla S/D to the 1970 log crib/seepage pit and to the 1981 deep trench type drainfield. 5.) A 95 feet waiver from the well located on Lot 10, Block 2; Valhalla S/D to the 1970 log crib/seepage pit. The following items are justification for the waivers: • Topography: For the well located on the reference property, as can be seen on the attached topography site plan, the ground elevation for the well is higher than the ground elevation over the septic system. The house is also located between the septic system and the well. If 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com the septic system were to overflow, it would be impossible for the effluent to travel towards the well. For the wells located on Lot 10 & 11, as can be seen on the topography site plan, the ground elevation for the wells is slightly lower than the ground elevation over the septic system. Shiloh Road is between the wells and septic system and the road is well developed with a ditch line on each side of the road. If the septic system was to overflow, it appears that the effluent would not travel toward the well head because of these ditch lines. • The location of the septic system is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. The other path of contamination is subsurface migration wastewater. On the date of are test the static water level was at 54 feet below the top of the casing. As can be seen on the attached well logs, there are several feet of silty, clay soil above the aquifer that have served to inhibit the migration of untreated wastewater into the aquifer. Recent water samples from all three well have been taken and the results indicated nitrate levels and coliform bacteria results to be satisfactory (see attached). These separation distance encroachments have existed for over 20 years and, as can be seen from the attached water samples, the aquifer has not been adversely affected. Also, it should be noted that during are research we found several well waivers that have been granted in the neighborhood and it is our opinion that our request is consistent with these past waivers. Based upon the aforementioned facts, it appears that there is minimal risk associated with the granting of these separation distance waivers. LOT LINE WAIVER REQUEST: We request that a 0 feet lot line waiver be granted from the south lot line to the deep trench type drainfield. We are unaware of any adverse effects on the neighboring property with the granting of this waiver. We also request that your department issue a Health Authority Approval. If you have arty questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com , SHENANDOAH HILLS S/D; LOT 2 I I I I I I VALHALLA S/D; I I LOT 7, BLOCK 2 I I I I I I I I I I VALHALLA S/D; I I LOT B. BLOCK 2 I I i I 1 VALHALLA S/D; I I LOT 9. BLOCK 2 I I 4 I I 477 p -00, WFI I RADIUS.- I I LOT 1� CK 2 1 I L -1-Q4' v/ELL-liAQltli. 1 I /, 0 � / �`�-- I 1 I I I I I SHENANDOAH HILLS I I S/D; LOT 3 I I I I I I -----------J 1 VALHALLA S/D; LOT 13, BLOCK 3 I I VALHALLA S/D; I I VALHALLA S/D; LOT 6. BLOCK 3 I I LOT 7, BLOCK 3 1 I I I I I VALHALLA S/D; I I VALHALLA S/D; LOT S, BLOCK 3 I I LOT 8, BLOCK 3 I I \ $'r3/ j j \ VALHALLA S/D' \\ �0� 1 LOT 9, BLOCK 3 /4� VALHALLA S/D; j `II EXISTING LOT 4. BLOCK 3 I 3 I \ \f^ ytiopON A%PP x. l iI' BEDROOM \ I VALHALLA S/D; LOT 10, BLOCK 3 1 / tADIUS 10 VALHALLA S/D; I I VALHALLA S/D; LOT 2. BLOCK 3 I I LOT 11. BLOCK 3 I I CVJ'� VALHALLA S/D; I I LOT 11, BLOCK 2 I I 1 I I VALHALLA S/D; ( VALHALLA S/D; I I VALHALLA S/D; I I LOT 12, BLOCK 2 LOT 1. BLOCK 3 I I LOT 12. BLOCK 3 I I I I I I 1 I I I HUFFMAN ROAD ,�.�.... DATE: 3/12/2003 DRAWN BY: ' ALASKA WATER & WASTEWATER J.L.M. Q CONSULTANTS, INC. RGA !; 6901 DFRARR ROAD. SUITE 28 • ANCHORAGF. AK 00504. • PHONF (901)337-6170 • FAX (007)338-3766 1 — loo, ti A PREPARED FOR PHONE NUMBER: PAGE NUMBER: RODNEY EVANS 762-1568/345-24481 1 OF 2 y, e LEGAL DESCRIPTION: LOT 3, BLOCK 3; VALHALLA SUBDIVISION , TYPE OF WORK: SITE PLAN FOR WAIVER REQUEST , , , I , I , I , I , I , , I NQ0. (/ M Z , , I , I , ( , ( ....... A G ness:• --7953 N 1-01 QI �\ / O I \ \ / I / LOT 4, BLOCK 3; VALHALLA S/D O� _ I I -EXISTING WELL 100 FE WELL RADIUS/ EXISTING 3 H OUSE o 3e 40c I Al /—EXISTING b I ,♦ 'N / WELL I 10 � N /\` ,% `�� I i t ,,ll%_ ft� � � I � (olus r _ ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6001 OFRARR ROAD. SIIITF 28 • ANCHORACF. AK 99506 • PHONF (907)337.6170 • FAX (907)338-324 PREPARED FOR: PHONE NUMBER: RODNEY EVANS 762-1568/345-2448 LEGAL DESCRIPTION: LOT 3, BLOCK 3; VALHALLA SUBDIVISION TYPE OF WORK: DETAIL DRAWING OF WAIVERS REQUESTED LOT 2, BLOCK 3; VALHALLA S/D KISTING WELL 3/12/2003 ,o(-cs�- �F Q AWN BY: J.L.M. ALE. 4 I „E NUMBER: 2 OF 2 O eff y G rn ss.: C 795 �v nnlOc•' .,.•''�cA�G u4 �Pr essio�°oma �k'16 o4 Tnuun lm nox 1*01099 S irmi Mourn. A A'UlIl0ltAGl','V a1T.Al+{Ii„� :)iDxo`a :1411431071d 14 SIX INCH WATER WELL. DRILLED AND CASED OUT TO THE DEPTH OF 170 7W-9_ ti DRILLED AT THE RATE OF 818.50 PER FOOT. PROPERTY OWNER _ Jlt• Dom Dahl. 344-5120 LOCATION OF WELL SITE L,_._1SL___�__?•� DRILLER �P&VLte C.lau-3 04 � WELL LOG: 0----34' �Aava and 4tu cbzt .G.l,:cdat. 34---95' St,Lty.jaI±L_Aavr.L wet wLth 3 . --- --. --- 95--734' Wet etc#. 15% nand* xa teA-tat. Ito gaau" 134-169' HaAdpan. 769-170' food atoan 1JatAA 4eaAAn.g gRavel, wtth a ptoductt4n. of. 10 4PGf w4Ah 30 .deet o/. wat#A .stand Lt eaatng. 1/2 Ilotiee Swb pump 4hoOd 4e-lrwtadled ttve IxAt a". botttone. , 4 ./.oat exttnatoa..addeA to the 170 jeett: ChaAge: $28.00 no U=44e pt VeU Sea.L. m1 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THIS SUM or. $3173.00 THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS DAT__15th.,_ 1979 _ %—..)E.�"� • 1`",'~,.�,..! Y•R'�'V.:�AA�+.;��`J�C?rt" ��' d� V.'�:�.' y?+ea-�r!s',St;a<, •.'•v. ••.tti. 77.��,• �y �' �,j+dle.i,'.'.h♦ •C /�"Sl.� 1 ��`;y:R���- 1 .. • L '• '• :'f: i •� .y�{�iJ'rj�..•.���,♦.yy"•• .t l,'f+•i71�r � i'{:L�I3�/'• v�yy,,L<'/.t,r• .�• '!,."'.•r+. ,....• ' �?:+i!YJ.�!d.t1S11D_r•_�6''F•,t :.}i•_' •/n.i•71+i�..�•Uk_T..L�'•h 1H.•b'. •. '' Al Certified Well %�• fja For .. j.errs Goode .... ....... ... ... .......... . Location... .'rildemess.tAm . . Date completed....I.pril .25, ISO Description,ot Depth of Dell.. .....118.F.e:t~. to sal laN ci r 4t_��r.=a vr� Size of casing . .......6..Inct:. ........ _ —KardraTncrn .:;�::� =;� •=.� , ............... �—:....— _�E ::'• Distance to water. � } !' -...EO.'ee:.,.�J Distance to water while pcmpisig11A.F.ca;, rt rate t .... ;... ,i,%: .% ....... ga1lom4*rh?ur:IW ,•..� Description,ot from to sal laN ci r 4t_��r.=a vr� ^ _ —KardraTncrn .:;�::� =;� •=.� _ _�la _ �—:....— _�E ::'• � 1-12 t 'LL ;... ,i,%: Q Q 1►�1 MILLING ,•..� �`� •i,f,' 11MIn park 074aAey Road . 1. • 1 ' �� . ;; • . 1: iejitfy the above true. and 9=ect. ::'• .,�!Driller 'LL ;... ,i,%: Q Q 1►�1 MILLING ,•..� �`� •i,f,' 11MIn park 074aAey Road . 1. I $petard. Alaska t ' P.*. W4 W9 adtWo you to tatinch this eortlfientr to your decd ;r •+♦•mow.. '� •:i, •Ii ;'_�''_: •� ;;,•..�•'��,r�.-w •.r •�i I•J•,, . • .. •.wf�et'.1+'��{•y' .:r •i.tiY�y1, ,., •L.li �% •^. ,,1 t11 + y • � 'pti'�ri �, �afy.di`S.. t1j k��i%N �`J" ��/ b'," � .. t iIf For ... ............ ,1-. ............ ........... Location .....•<.Y'�..,� ........1.1�t;�`f� ...�..rl,l'r.C.ri� .....L �r<..c Date completed ...... �l,.G.f�.../.%/.%7%................ ............................... Depth of well......../1. ...... .......... Size of Easing.......1..!!��. Distance to water......Sx2...1w, ................ ............................... Distance to water while pumping.•::::•: r.A....1ae..................at rate of........rlv...40. ......... ...............gallons por hour. Formation I from I to mo bVe, ' .4 Diller DELTA DRtLL110tOMpANY ORA 004 $04 s ANCMOnAf C. ALASKA S*SOP •' ' P WeIN?1L For .......... Locatlon..4:��.-... Date completed ........... x, Depth of well, . . ......... Size of casing ..... 1)[stance• to water ......... .. ..... Distance to water while ptunpinga of....... ........... ................ 9 on Pe ee�ll . I ..................... .............................. ........ ................................. ............................................. ................... at rate ormatioa :' from to 2! 7 ee/ lit 't A. 4.4 DELTA DRILLINCCOMPAN ANGHO A I A V 4 19 Well Log �i r or ........y �•/.... q....rf .......� .u.� uH..J.. r ig.... •................ ................ Location." • %.....,{...... ' ''� l tf!-f)r!i ........'n:j�%i:.t..... Date completed ... /.lt,...'......:.:!:.��%�r................................................ Dep ` ' th of,well......�,1......,/:..:1..'............................................................. Size of casing..........°'( �, ..... . Distance to water...a.;;t�./............. ................... I. ..... ....... ....... . . Distance to water while pumping... " ........................at rate of...A:, Yx;?4 ...........................gallons per hour. Formation from Ito Jai '•.'. ! - Driller DELTA DRILLING COMPANY 95A OOY 094 • A:JCMOftAQ4. ALASKA 19501