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Home My WebLink AboutZODIAK MANOR ALASKA BLK 6 LT 8Zot), iA K MUNICIPALITY OF ANCHORAGE MEMORANDUM DATE: TO: FROM: SUBJECT: September 17, 1985 Susan Oswalt - Program Manager/Onsite Services Department of Health & Human Services Wallace N. Cory, P.E. - Engineering Design Supervisor, Scheduling for Construction of Zodiak Manor LID 154 AWWU Pursuant to your request, this memorandum is being written to inform you of the status of the subject LID. The project was originally scheduled for construction this fall, but due to the desire of certain property owners to have a WID included with the LID, the bid opening was cancelled. We anticipate the creation of a WID by the end of the year, which will[ be designed and incorporated into the LID bid documents for advertisement early next spring. The project will most likely be built early next summer. Since there is much public pressure to complete the Zodiak LID, AWWU feels reasonably confident the schedule identified above will prevail. However, there is no guarantee. EngineerinL'J- Design supervisor Anchorage ~Water & W~te~ater Utility cc: John Rupert dwb2/lml WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL R[':SOURES Division of Geological ~, Geophysical Surveys _8 6 I--°'--°'--°t-- Zodiac Morner Sub. gravely-sanJy hard gravely., si~'t~ sand seep in h~r,. pan hard pan Top 0 52 60 52 65 gravel, tight with H20 65 ..... 2__t.o. ~ gpm . Z OWNER OF WELL: Bill Jefferson Addr..: Alpha Const. 4. WELL DEPTH; (llnal) 70 ' ,,. DATE OF COMPLETION OD°r. 7. USE~J~Dome.lic [] Public Supply [] Indu,lty [] Irrigation E] Recherge E]CommlHcol [] Ti~t Well [] Other: 8. CASING: [] Threaded ~f~] Welded 9. FINISH OF W£1_L: Type: ~.~-~1 ~,-~,~t~' ,__ O~omeler: fl. lO. STATIC WATER LEVEl.: fl. / / Dale 14.REMARKS: 15. WOI~ Temperature ___o ~] R '~LJ Alaska Now-Well/Vern's Drilling & gnt AA 552? 1.~,~1 Avi,)n et. Anchorage~ Al( 99~16 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMI"NTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, s~ction, township, range) Loc~tion (address or direction, s) (b) Applicant Name'~/~~ S.~/'~[~~elephone: Home ,_~'¢'¢~ <' ~'~-~" Business Applicant Address ~, ~/~ ~ ~ ~g ~, (c) Applicant is (check one): Lending Institution [] ;~eNbuilder ~; Buyer ~; Other ~ (explain); Address ~d~ A ~¢ ~~ Address X~ [~' ~ ~_, ~ ~,1~ / (f) Mail the HAA to the following address: ~ ¢ . TYPE OF RESIDENCE Single-Family~ Multi-Fa,~ly [] Other Number of Bedrooms__ . WATER SUPPLY Individual Well'~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation atteating to the legality and status. 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 Ul/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed herelo and es of the validation date shown below, I verify that my investigatio~ of'{his'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 aed type of structure indicated her~in. I further verify that based on the information obtained from the Municipality of Anchorage files and fi'om my investigation and inspection, the on-site water supply and/or wastewafer disposal system is in compliance with afl Municipal and State codes, ordinances, and regulations in eflect on the date of this inspection. Name of Firm _Frl'cf'~ '"/~.d~n~¢~! 5¢i~'r('~j Telephone Date _ l¢2/¢-~ ~/,~5.~' Fngineer's Seal Terms of Conditional Approval CAUTION ?''he Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Autbority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 t~lUN/OpA[l~ OF ANO, iO~,~G~ DEPT, OF kVE~L~ ~UNICiPALITY OF ANCHORAGE (MOA) E~O~ME~T~* PRO~E~t~ H~ALTH AUTHORITY APPROVAL (HAA) CHECKLIST-264.4720FEBRUARY 1984 '~C'~ 2 9 ~ WELL DATA Well Classification Well Log Present (Y/N) Total Depth 7~ ,;~J' __ Cased to Static Water Level ~n Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Welh To Septic/Holding Tank on Lot If A, B, C, D.E.C. Approved (Y/N) N,~ · Date Completed o'~/~-/~.~," Yield 70 J:~ Depih of Grouting ~,A , Pump Set At ~ Sanitary Seal on Casing (Y/N) '-t' Depression Around Wellhead (Y/N) ( ¢~ f-)/_$.¢~,e~'_'~ _; On Adjoining Lots To Nearest Edge of Absorption Field on Lot _.N,,~.. ; On Adjoining Lots H,/~ · To Nearest Public Sewer Line (f 8 ~ To Nearest Public Sewer Cleanout/Manhole ..~r I t5-' To Nearest Sewer Service Line on Lot Water Sample Collected by _ ~/"~'/"1 ; Date WaterSampleTestResults- "~C~,TLU'O~rZC]Z~-~/~-- ~/0 ~¢e-C-IL'ffrt'~ '/ Comments _t6/¢(( ~r~'~ ~ ~f~5~-C~c?,~- B. SEPTIC/HOLDING TANK DATA Date installed Standpipes (Y/N) _ Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Size No. of Compartments _ Air-tight Caps (Y/N) Foundation Cleanout (Y/N). Date Last Purnped ; for Temporary Nolding Tank Permit (Y/N) To Buildin9 Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Course Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distanc~ trom Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments .~'~ er Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) D. LIFT STATION .7d.,.,/~. Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ~ ~ Date Company ~(~t/Z'.'/~/¢ ')~c/f~ ,..,~¢r~-~¥¢- MOA No. Receipt NO. ~ t~-~ (0 ilL/ Date of Payment / ~ ~ c E6 :. A ou.,: Engineer's Seal Page 2 of 2 NORTHERN TESTING;LABORATORIES, INC, E00 UNIVERSITY PLAZA WEST, SUITE A FAIRRANI(S, ALASKA 99701 907-479-3116 0957 OLD SEWARD HIGHWAY, SUITE 101 ,,'~ ANCHORAGE, ALASKA 99602 909.349-9623 D~inking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY CLIENT PRIVATE WATER SYSTEM .~' ,:. SAMPLE DATE: /&' ~L.;'.-~.~ ~6',' Phone .-~ / '' '= / r"' ~ '~ ': ~' Purchase Order No. ,.: '. 4' ,T) " SAMPLE ~I~PE: .' [~ Routine [] Treated Woter ~ Spocial Purposo ~ Untreated Water ' ~ [] Check Sample (for original contaminated sample with lab reference no.. ) '" 3 .... .! ' ' Signature of Representative *No, of Total Coliform Colonies per/100 mis. ~(~'ported by ' ' /f..),~ , _'"' TO BE COMPI.ETED BY I.ABORATORY Received ar: [~ Anch. [] Fbks. ateRece,ved Time Received Next Sample Due - COMMENTS; SATISFACTORY S uNSATISFACTORY U RESAMPLE R O'FHER BACTERIA OB TOO NUMEROUS TNTC TO COUNT