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JUL 6 1~6
WELL LOG DEPTH WELL LO6
-- ~' DATE RECEIVED
INSPECTION APPOINTMENTS ~,~/L~._~._.~,/ .
TIME TIME ~ TIME
T~SPECTOR INSPECTOR I INSPECT~ C~,~4
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVlRONM~NTALPROTECTION ~EPT.
825 L Street - Anchorage, Alaska 99~01 ENVIRONMENTAL
( ENVIRONMENTALSANITATION DIVISION JUN $ 7/901
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~d
DIR~OTION~: Complete all parts on page 1. Incomplete reqLmsts will not be processed. Please allow ten (10) days for procesM~g.
1. PROPERTY OWNER ~ PHONE
~AILING ADDRESS ~ ~ .[~tJ~(rt'
PROPERTY RESIDENT (if di)ferent from above) PHONE
~ BUY R . PHONE
~AI LING ADDRESS.
3, LENDI GINSTITUTION PHONE
4, REAKTOR/AG E~ ~O~E
=~, LEGAL DESCRIPTION ,,,-~
STREET LOCATI N
~ TYPE OF RESIDENCE NUMBER OF~BEDROOMS
~ SINGLE ~ One [~ Four
FAMILY
~3 Two ~ Five
~ MULTIPLE FAMILY ~ Three [] Six
[] Other
7. WATER S~PPLY
~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
deptl~ (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE**
[~ PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
/J-> 0
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
~ INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
[] PUBLIC UTILITY DATE DRILLED
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tank or []Holding Tank
Size: If Tank is homemade I SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ASSORPTION AR EA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
I~-"~APPROVED FOR % BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
72-010 (Rev, 6/79)
CHEMICAL & G~,,_ ~OGICAL LABORATORIES ~._' ALASKA, INC. ~~
Drinldng Water Analysis Report for Total Coliform Batter a ~~~f~
TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY
WATER SYSTEM'. L [ [ [ [ I q Analysis shows this Water SAMPLE to be:
I.D. NO. [] Satisfactory
[] Unsatisfactory
Water System Name Phone No.
[] Sample too long in transit; sample should
not be over 48 hours old at examination
Mailing Address to indicate reliable results. Please send
, : new sample.
City State Zip Code
ET-) IZ--F'q .ateReBe,vod
SAMPLE DATE: ,
Mo. Bay Year Time Received
SAMPLE TYPE: Analytical Method:
[] Routine
[] Check Sample (for routine sample [] Femtentatlon 'rube
with lab ref. no. ) [] Treated Water E~,Membrane Filter
[] Special Purpose [] Untreated Water
LOCATION
SAMPLE
NO.
~. I
l
4 [
Time Collected Lab Ref. No. Result* Analyst
Cellected By ~
L~ i r-r-~
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
1. Approval
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4.
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C~' Street, Anchorage, Alaska 99503 274-4561
Date Received July
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
requested by: Coast Mortgage Company
9~ 1976
11:00 a.m.
7-12=76 Pratt
Monday
4450 Business Park Boulevard Phone:
Rainbow Enterprises Phone:
5306 Arctic Boulevard
274-9504
276-6242
Lot 2 Block 6 Zodiak Manor
Location: 2nd house on the left on Jupiter Drive just off of Abbott Loop
5. Type of facility to be inspected
6. Individual
Well Data:
A. Type
C. Construction
Sewage Disposal System:
Single Family
, Sewer Lines
No. of bedrooms
B. Depth 65'
D. Bacterial Analysis
Public Utility
A. Installed B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank , Absorption area
Nearest lot line , Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
Rd.
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages .- Re¢ ;t for Approval of Individual E ~r & Water Facilities
Legal Description Lot 2 Block 6 Zodiak Manor
Comments
Approved ~-~., ~-. Disapproved Date ,
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and 'these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENV RONMENTAL PROTECTIQ~vi~i
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF:
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO____VA J FHA
2. Property Owner: Bm. ,','~ ~"~
Mailing Address:~(J~ ~c~f~ ~/~ Day Phone:
3. Name of Buyer:_ ~-?,, ~// ,.~ ~ ~ /'
Mailing Address: ~%
4. Name of Lending Institution:
5. Name of Realtor or Agent:.
Mailing Address: ,~?~ ~/(' ~/~ Phone:_
6. Legal Description: ~' zZ
Location:~ ~'~
_DayPhone: ~O~, d('J¢)~
7. Type of Facility to be Inspected: ~, ~/"~ ~'~ //7~''~z~ No. Bdrms. ~
/
8. Water Supply
Type of Supply: Public Utility.
If Individual, number of dwellings presently served
If Individual, depth of well ,(~ ,~'~
Individual
/
9. Sewage Disposal System
Type of System: Public Utility
Individual (on-site)
If Individual, date of installation
72-003[3/76)
06-1220(a) Rev. 1973
DATE
ALAS-, ~IEPARTMENT OF HEALTH AND SOCIAL SEE ES
DIVISION OF PUBLIC ItEALTH
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
INDIVIDUAL []
SEMI-PUBLIC J~] CHLORINE RESIDUAl. PPM
REPORT RESULTS TO
~DDRE$S
CITY
ZIP CODE
ADDRESS
OF SOURCE
Lab No. ' '
OFFICE
Analysis shows lhJs Waler SAMPLE to be:
[] SalJsfa~lory
[] Unsallsfacfor¥
[] C!~esliona bio
[] Sample too long in transit; sample should not be over 48
hours oJd al examinc~fJon to indicate reJJable results. Please
send new sample.
[] Boltle broken in transit, please send new sample.
SANITARIAN'S REMARKS
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY
DATE COLLECTEO
SOURCE~ [] Spring ~ Cistern
Walls - J~ Wood [] Concrele (~] *Aelal
LOCATION~
GENERAb Does Wc~lor Become Muddy or Discolored?
When?
Under House
[] Yes [] NO
[] Of Well [~ Other .
PURPOSE OF EXAMINATION: Illness Suspecled? [] Yes [] No
[] Yes [~ No Signature
READ INSTRUCTIONS
ON
REVERSE SiDE
BEFORE
COLLECTING SAMPLE
06-1220Rev. 1973(1') / BACTERflOLOGICAL/ WATER ANALYSIS,. RECORD
/I ' ;~ , -,,
Lactose l~rolh 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0c¢
24 Hours
P.O. BOX 6650
ANCIdORAGE, ALASKA 99502-0650
(907) 264z4~:~ 4744
? ONY KNOWLES.
MA YOF?
DEPARTMENT OF HEALTH & HUMAN SERVICES
July 28, 1986
Mr. Dave Walsh Mr. Kevin "Pat Parnell
3104 Brookside Drive P.O. Box 10-1776
Anchorage, Alaska 99503 Anchorage, Alaska 99510
Subject:~Lot 2 BLock 6 Zodiak Manor Subdivision, Mr. Gary Lehnerz '---~ ~11%
k~equest for Waiver of Well to Sewer Trunk Setback Requirement 2 f
On Tuesday, July 22, 1986 under the Appearance Request portion of the Assembly
meeting, Mr. Gary Lehnerz spoke concerning the denial by the Department of
Health and Human Services (DHHS) of his request for waiver of the State and
Municipality setback requirements between an on-site well and sewer trunk line.
As I pointed out under questioning by Mr. Parnell, in 1985 the Alaska Department
of Environmental Conservation (ADEC) granted the authority to the Municipality
to waive certain setback requirements of on-site septic systems and potable
water wells under very stict guidelines provided by ADEC. Mr. Lehnerz's request
for setback requirement waiver was reviewed by Mr. Steve Morris, a civil
engineer in the On-site Services Program of DHHS, and Mr. Morris denied the request
based on his evaluation under the ADEC quidelines (see attached letter). In
my response to Mr. Parnell querries, I pointed out that Mr. Lehnerz was advised
that he could appeal Mr. Morris's denial to ADEC, and that I would be glad to
assist him in arranging a meeting between himself, ADEC and this office.
At 9:00 a.m., Friday, July 25, 1986 a meeting was held in the ADEC office which
was attended by Messrs Lameraux and Erickson from ADEC, Robby Robinson and
Susan Oswalt from DHHS, Mike Mills, Ombudsman, Gary Lehnerz and his real estate
agent Marian Lampman. At this meeting, Mr. Erickson explained the background
history of the transfer of waiver authority from ADEC to the Municipality, and
that the waivers granted by DHHS were subject to random rew[ew by ADEC. Mr.
Erickson further added that the guidelines for reviewing and granting (or denying)
waiver requests were inded very strict, and that he had no intention of over-
ruling the denial of Mr. Lehnerz's request. He further agreed (with Mr. Robinson)
that the best and most economic solution for Mr. Lehnerz's problem would be to
relocate his well outside of the 75' protective radius from the sewer trunk line.
It is estimated that the well relocation would cost approximately $3,800.00. Mr.
Erickson inquired as to the possibility of issuing a temporty waiver (up to
three year duration) pending the availability of public water services (WID) to
the subject lot. I told Mr. Erickson that AWWU had advised us that (1) a
proposed WID will still be 1,300 feet from the subject lot, (2) it is not feasible
to extend water service to the subject lot, (3) there are no plans in the
forseeable future for a water extension to the subject lot.
Mr. Dave Walsh
Mr. Kevin "Pat" Parnell
July 28, 1986
Page Two
With this, Mr. Erickson reiterated his previous statement that ADEC wouid not
over-rule the waiver request denial by DHHS, and he and Mr. Lameraux excused
themselves from the meeting.
After Messrs. Erickson and Lameraux left the meeting, Ms. Oswalt and I explained
to Mr. Lehnerz what we thought his alternatives were. These are as follows:
Request a "conditional" Health Authority Approval (1L~A) with money escrowed
to cover the cost of relocating the well. At the same time, initate a
claim with Risk Management to recover the cost (or part thereof) of
relocating the well.
Relocate the well at his own expense and then obtain the H~ without any
waiver request or conditional approval.
3. Initiate a petition to AWWU for the creation of a WID serving his area.
Arrange for alternative financing for the sale of his property such as
loan assumption or owner financing. We explained that the DHHS has no
intention of issuing a citation or notice of violation for the non-conforming
well.
We further explained to Mr. Lehnerz that we would assist him in every way
possibe one he decided on his course of action.
S inc~.r~y, ~
Robert W. Robinson
Environmental Engineer
On-site Services
RWR/lJw