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Home My WebLink AboutZODIAK MANOR ALASKA BLK 6 LT 4Zot) iA K Eof' MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONbiENTAL HEALTH DEPAR%~ENT OF HF~LTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE (a) Legal Description (include lot, block, subdivision, section, township, range~) ' Location (addrsss or directions) (b) Applicants Name ' Wa z'/l~f- Telepa?ne~om~~usznes~_ (C) Appl.ic~ is (check one) La,lng Institution ~] ; O=er/b~lder ~ ; (d) Le~J. ng' ~nstitution Tale~ Address (e) Real Esters Co. & Agent Address Telephone .... (f) Mai]. the tIAA to the following address: T~R.~s~dence Single-Family~ Multi'oFamily[.~_~,/ Number of Bedrooms ~%/ Other J.d~?_e rib e~) . %ndiTidual WeT. l ~l Communlty L~_I Public [~_~ Note. ~.f commun//ty well system~ must have written confirmation from the Stats Department of Environmental Conservation attesting to the legality and status° 0nsite ~ Public ~ Community l~ Holding Tank ~] Note.' /l'f community well system~ must have written confirmation from the State Department of Envirotmen~al Conservation attesting to the legality and status° [Page i of 2] 5o _E_98~ijleeli_~_ Firm ]?rovidin_g_.~In~q~j!ection~stsz~_Fil__e_J~a_~rch_~_D~ata and Information As certified by my seal affixed hereto and as of the validation date sho~ml below~ verify that my investigation of this Health Authority Approval shows that the on-sine wate. r supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and ~ype of structure indicatsd herein~- I further verify that, based on the info~ation obtain~ from the Ymnicipality of ~chorage fi].es and from my investigation m~d inspection, gha on-site water supply and/or wastewater disposal system is in compliance ~¢ith ~[1 Municipal and State codas, ordinances, a~ regula~ tions in effect on the date of this inspection. Name of Address Approved for A~proved /Nj Disapproved---- Co~ltion6 Terms of Conditionml Approval THE MONZCIPAL%TY OF ANCHORAGE DEPARTMENT OF t{EALTH AND ENVIRONi~ENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAl CERTIFICATES BASED SOLELY UPON THE REPRESENT~ IN THE, S~TE OF ALASKA° THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEI,R, LENDING INSTY. TUTIONS IN ORDER TO SATISFY CER%~IN F~]DERAL AND STATE REQUIRE~ MENTSo EMPLOYEES OF DHEP DO NOT~ CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE CERTIFICATE IS ISSUED° THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. / (DHEP S F~kL ) RRd/eJ/D18 [Page 2 of 2] 7-19-84 ae WELL DATA Well Classification Well Log P~esent (Y~!~_ Total Depth~ Cased to Static Water Level _ ~. ~' Casing Height Above G~"ound__ . Elect~ical Wiring in (k~nduit (Y~ Separation Distances fTom Well: To Septic/Holding Tank c~ Lot To Neaz~st Edge of Absc~ption Field on Lot._A3/~%- _ MUN ~JPALITY OF ANCHORAGE PEP,r, OF HEALTh1 MUNICIPALITY. OF ANCHORAGE (MOA) I~NVlRONMeNTA~ PROTECTION ~zAL~ ~z-~o~'~,z ,,U:,PROV.~ (:.-~) APR ~. 5 CHECKLIS]: - FEBRUARY 1984 Legal De s c rip tion .~ E ¢~V/~u3 If A, B,~c~, C, D.E.C. Agp~,oved(Y/N) __ ]~epth of G~outing~ .. Sanitary Seal on Casing Dsp~sssion A~ound Wellhead .(Y~ .. ; O~ Adjoining Lots ; On Ad]o~nlng Lots__ To Nearest Public Sewer Line ..5-'9''/' (~ TO Nearest Public Sewe~ Cleancut/Manhole ~-/~ To Nearest Sewe~ Service Line on ~t Water .qample Collected By ~ ; gate ~/~[ Water Sample Test P~sults > 6/2.~3. SEPTIC/~OLDING TANK E~TA gate Installed A3//_ Size ~3//~ No. of Compa~tmsnts Standpipes (Y/N) /~/~L. Air--tight Caps (Y/N) k)~. Foundation~/~_ Cleanout (Y/N) , o Tank :'"q> gat P d Dep~es,,ion ye= .( /~ . ,umpe _ Pumping/Maintenance Contract on File (y/N)/t)//.~..; for Holding Tank High-Water Ala~% (Y/N) t3//J~ Tempo~a=y Holding Tank Permit (Y/N)~L . Separation Distances f~cm Septic/Holding Tank: To Water-Sup.ply W~ll. To P~o.pe=ty Line To Water Main/Se~vic~ Line co~se PL4, To Building Foundation /t)/,~.... TO Disposal Field /t3/,~ To Stream, Pond, Lake, c~ Major D~ainage Counts ~-~ ~. ~/(.~~--, Receipt ~ . _~ ,.) ~.,_~ / Date Paid: L/--I,~'.-~,?~ k,'~ount: [Page ]. of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption St2rata Date .Installed ~/~ Width of Field Square Feet of Absorption A~ea Depression over Field (Y/N) Results of Last Adequac%; Test Type of System Design Length of Field ~/~------ Depth of Field Gravel Bed Thickness Standpipes P~esent (Y/N) Date of Last Adequacy Test ~//~ Separation Distance f~omA~so~ption Field: To Water-Supply Well ~L)/~ To P~operty Line ~/~ To Building Foundation ~J/A- To Existing or'Abandoned System cn Lot ~P/~- ; On Adjoining Lots . ~/~- To Water Main/Service Line ~/~- To Cutbank(if pre~nt) To St~eam/Pond/Lake/c~ Major D~ainage Cou0rse To D~iveway, Parking A~ea, o~Vehicle Stc0~age A~ea Con~nts D. LIFT STATION Date Installed Size in Gallons "PLump On" Level at High Water Alarm Level at Tested for /~/~ Electarical Codes(Y/N) Co~nents "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA ** Check Permitted Bed~ocmRating Against HAA Raquest I certify that I have checked, verified, or confc~rp~d to all MOA HAA C~idelines in effect on the date of this inspection. Signed ~~/~-~2~ Date Company /~-~ ~ ~ MOA No. [Pa~ 2 of 2] ~ 2-15-84 3-D PUMP & WIlL 8537 HAflTZELL STREET ANCHORAGE, ALASKA 99507 g07 -- 344-0732 May 17, 1985 Don Stoneburner P.O. Box 4-2310 Anchorage, Alaska 99509 Re: Well upgrade @ Lot 4 Block 6 Zodiac Manor Subdivision. Don: This letter is to verify well casing depth at the Baker residence. (legal description above) where we performed work for you last week. During our pumping of the well -to clear sediment- we stabilized at two ~2) levels in the casing. Our first stage of pumping drew the water level down to 57 feet - @ 5 gpm for 40 miuutes. The water was clear and free of sediment. At that point we increased pumping rate to get an indication of the well production. At 8½ gpm we drew down to 66' at which time we visually ~nspected the well casing to ensure minimal depth requirements. We could easily see that the casing extended at least to 66 feet and most certainly the well is cased to the ~ot~.d~tJ!~9_~_~5'.as it is finished in sand and gravel. if you or the Bakers have any questions on the well or the pamp in-- stalled please call at any time. Sincerely, Earl Dotten ED/de ALASKA' EhlUIROFIITI YDTAL COFI'FROL SERLIICI S, ~nqincefinq $ ~nuironmental $1udies MARCH 6, 1985 DON STONEBUNER P.O. BOX 4-2310 ANCHORAGE ALASKA 99509 SUBDIVISION - ZODIAK MANOR BLOCK - 6 LOT - 4 WELL FLOW TEST InC. APR ~ 5 1985' RECEIVED A FLOW TEST WAS PREFORMED ON ~-IE WELL. 728 GALLONS OF WATER WAS PUMPED AT A RATE OF 4.04 GPM OVER A DURATION OF 3.33 HOURS. THE DRAWDOWN W~S 7~.84'~WITH A RECOVERY TIME OF 30 MINUTES AND THE STATIFo~-~%Etg-L~VEL WAS 44.9 FEET. THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. C. Reid, ,Jr. , 1200 LUesl 33rd Aucnu¢, $ui1¢ ~ o Anchoraqe, Alaska 99503,(907) 561-5040 ALASKA er/uIROIqmerlTAL CO[1TROL April 12, 1985 SERUICI S, IrlC. MUNICIPALITy OF RECEIVED Department of Health and Environmental Protection 825 L Street 4th Floor Anchorage, Alaska 99501 Subject: Lot 4 Block 6 Zodiak Manor The well on the subject property has been in service prior to 1977. The well is reported as 75' in depth; however, a well log ]las not been located. Wells within the same subdivision extend at least 65': Block 6 Lots 1 & 2-65 foot depth Lot 6-95 foot depth Lot ]0-160 foot depth Lot 11-126 foot depth Lot 12-128 foot depth Block 4 Lot 17-i10 foot depth The conditional approval of the well is requested, such that the conduit on wiring, and extension of casing (above ground) may be performed when ~eather conditions are better. It is also requested that the casing verification (min. 40') be a conditional, so that all conditionals may be performed at the same time. This would economize for the client and complete the conditionals together. Sincerely, L. D. Montgomery, SaNitarian 1200 LUcsl 33rd Aucnu¢, Suil¢ [~ ,, Anchor~q¢, Alosk~ 99503 "(907] 276-1361 ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVEBNOI~ ENVIROnMEnTAL ~OTECTiOH /' PR 1985 RECEIVED 274~2533 March 28, 1985 My. L. g. Montgome~ Alaska Envir.onmental Control Services, Inc. 1200 West 33vd Avenue, Sui%e B Anchorage, Alaska 99503 SUBJECT: Waiver' Horizontal Separation between Well Lot 4, Block 6, Zodiak Manor Anchowage, Alaska (8521.-t4A-123) and Sewer/Manhole Dear ~lr'. Montgomery: The Department has reviewed the subject waiver r.equest and he~,eby waives the horizontal sepacation between the well and sewer/manhole tank to 54 feet and well to private sewer, line to 20 feet on the subject pr'opevty for' a 6 bedroom single family residence only. Sincerely, Steve Eng, P.E. District Engineer' SE/dd GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 p~?~I~ Date Received April 6, ~/'?b'~L' ~I~/~Q~ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR COI1V. ~976 1. Approval requested by: First National Bank of Anchorage % Paula Mailing Address: Post Office Box 720, 99510 Phone: 279-4481 2. Property Owner: Worth Douglas Graham Phone: Mailing Address: Kentucky 3. Legal Description: Lot 4 Block 6 Zodiak Manor Subdivision 4. Location: 8415 Jupiter Drive 5. Type of facility to be inspected 6. Well Data: Ind:Lvidual A. Type C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line I Single Family No. of bedrooms 3 B. Depth D. Bacterial Analysis Public Utility B. Installer 2. Manufacturer 1. Absorption Area Total length of lines 2. Material , Sewer Lines , Absorption area , Other contamination , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - R( ~st for Approval of Individual ~er & Water Facilities Legal Description Lot 4 Block 6 Zodiak Manor Subdivision Comments Appro~a~/alid for one year from date signed Greater Anchorage 'Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that tile 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) Mr. & Mrs. Worth Douglas Graham Mr. & Mrs. Richard Brown Main Brangh,.A~tn. Paula , ~,.~,,~ 279-4481 ~'. ~; Gene's:,Realty, Attn: Barbara Hill 815 W. 5th Ave., Anc. 99501 !~hoii~:~ 272-6494 Lot 4, Block 6 Zodiak Manor 8415 Jupiter Drive. (Jupiter Drive.has direct access off of Abbott Road) X 1 Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274--4561 Date Received _ Time of Inspection <~ O~q~ Date of Inspection ~ Approval requested by: ~.~,~_~ t3~2 r~ G Mailing Address: _~m~q~ ~,no ~a~ e~-~[~°Z. Phone: Mailing Address: ~ ~.x ~ ~ .~, Legal Description: ~ ~ (~o,n~_ ~ ~~ Type of facility to be inspected ~[,~o ~o~ ~_~ ~ No. of bedrooms Well Data: A. Type (_]_~][~. B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: 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 8. Distances: A. Well to: Septic: tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest-lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req ~t for Approval of Individual S Legal Description ~r & Water Facilities Approved _~~L~//_]~.~_~ Disapproved A oval ,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) 3330 GREA ,:R ANCHORAGE AR~:,', BOROUGH Department of Envirorn~leF, tal Quality "C" St., Anchorage, Alasl<a 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES l. Type of Znspection: 2. Property Owner: Mailing Address: ,~an,e of Buyer; Mailing Address: CNRO VA FHA CONV XX Ray_m_ond G. & Nan L. Howard (H oN -f2 aYe n/a _~.~_~. Phone Worth D. Graham and Patsy L. Graham n/a 841~5_Jupi ter Drive Davy_ Phone 274.-9531 4. Name of Lending Institution: . National Bank of Alaska Mailing Address: P.O. Hame of Realf. or or Agent: Mailing Address: Box 3-3859 Gene's Realt_~ 815 West 5th Avenue Phone 279-2506 ext. Attn: Barb Hill Phone 272-6494 19 6. Legal Descripl;ion: Lot 4, Block 6, Zodiak Manor Location: off Abbott Loo. p_ Drive on Jupiter 7. Type of Facility to be inspected: SFR No. Bdrms. 8. Water Supply Type of Supply: Public Utility individual X If .Tndividual, number of dwellings presently served If individual, depth of well 75" 9. Sewage Disposal- System Type oF S~ystem: Public Utility Individual (on-site) If Individual, date of installation' Please contact Deborah Helgeson at NBA 279-2506 ext. 19 for any problems. Contact Worth Graham for water sample appointment.