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HomeMy WebLinkAboutGREAT LAND ESTATES #2 BLK 2 LT 9 6 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax. 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-131-27 Property owner(s) JOHN & DALE COPE Day phone Mailing address 23617 BIG SKY DRIVE, CHUGIAK, AK 99567 Site address 23617 BIG SKY DRIVE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) GREAT LAND ESTATES #2 B2, L9 Legal description (Township, Range & Section) Lot Size 91912 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field 0 Initial Single Family (SF) 0 Septic Tank 0 Upgrade �( (w/wo AD U) Duplex (D) El Holding Tank ElRenewal ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: -4_E2 .j Waiver Fees: Date of Payment: ZQLIA- I Date of Payment: Receipt Number:! 105 Receipt Number: Permit No., 0-5 02-11 y 22 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com October 1, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: NEW SEPTIC SYSTEM PERMIT – 3BR ADU LEGAL: GREAT LAND ESTATES #2 BLOCK 2, LOT 9 The property owner has requested we obtain a new septic permit for the above referenced lot. We propose to install one deep trench and 1000-gallon tank to serve the proposed 3-bedroom ADU residence. The design is based on the attached test holes conducted in September, 2021. The structure will be served by the existing well. The slopes are moderate at 3-9% at the proposed upgrade location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211422, Deb Wockenfuss, 10/26/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211422, Deb Wockenfuss, 10/26/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211422, Deb Wockenfuss, 10/26/21 4661 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: GREAT LAND EST. #2 B2, L9 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10/1/2021 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 GM/sm 9 10 11 12 13 14 15 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 9/28/21 30 min 6” 1 13/16” 30 min 6” 1 14/16” 30 min 6” 1 13/16” PERCOLATION RATE 17 (MIN / INCH) TEST RUN BEWTWEEN 6 & 7 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 9/28/2021 TESTHOLE # 21-1 DATE PERFORMED: 9/8/21 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: JOHN & DALE COPE 10/1/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211422, Deb Wockenfuss, 10/26/21 4661 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: GREAT LAND EST. #2 B2, L9 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10/1/2021 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 GM/sm 9 10 11 12 13 14 15 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 9/28/21 30 min 6” 1 9/16” 30 min 6” 1 9/16” 30 min 6” 1 9/16” PERCOLATION RATE 19 (MIN / INCH) TEST RUN BEWTWEEN 6 & 7 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 9/28/2021 TESTHOLE # 21-2 DATE PERFORMED: 9/8/21 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: JOHN & DALE COPE 10/1/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211422, Deb Wockenfuss, 10/26/21 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~uJ"'l~ ©2-/~' PID Number: 0~1 - i'~ ~ Name: O~t~ ~C~C~ Wastewater System: ~'New ~ Upgrade Address: ~.~, ~ ~'7'Z~zF CI~~ ~c ~s~'~ ABSORPTION FIELD INc. of Bedrooms: Trench ~ Shallow Trench D Bed ~ Mound ~ Other Phone: ~- 1~'1 LEGAL DESCRIPTION so..~..~: ~o~, ~. ~ro~ o~,n~. O~e: 0 · ~ G PD/Sq. Ft, I ~ ' Township: Range: I Section: Fill added above ~rigi,~l ~rade: Gravel length: ' Number of lines: Distance be~een lines: WELL: ~ ~,$.Tl~ew ~ Upgra~ IGmwiw'dm: Z-~' F,. I ~ Ft 'Classification (Private, A,B,C): Total ~ Cased To: Total absorption area: i Pipe material: ~}~ ~/ Ft. Ft. ~ 5~ SQ. Ft. ) I~ Driller: ~ Date Drilled: Static Water Level: Installer: Date installed: ~~ GPM' ' Pump Set at: Ft. Casing Height Above Gro.nd:Ft. TAN. K SEPARATION DISTANCES ~septic D Holding D S.T.E.P. To Septic Absorption Lift Holding ~ublic/Private Manufacturer: From Tank Field Station Tank Sewer Lines ~C 140&~6¢ ~ Capacity in gallons: Number of Compa~ments: Sudace Water iOol~ ioof+ -- -- -- LIFT STATION Lot Sizein gallons: Manufacturer: Line 5~ ~ 501 ~ ~ ~ ,~ "Pump on" level at: "Pump ~h water alarm at: Foundation CudainDrain ~ ~ ~0,~ , ~ - P~callnspectionspedormedby: Remarks: BENCH MARK Location and Description: J A~umed j OO Elevation: ~ -."' /" Inspectionspedormedb~&s,N,,..,.INe Dates: 1st to.-z-q~ ~;..~, 17034 Eagle River to~ Road, Ne, 2~ 2nd jC"~""I~ ~¢, ~ ROBERT C. COWAN ~,~ Department of He~th~ and~ ~n~ ~e~ces approval - ~'~ , ~'"',~.,,, ~.,... .,,,,,.,,,~ ... [~ '~ -~ ......... .....~ 72-013 (Rev. 9/91) MOA 25 $W960275 2 2 Permit No. Page of Municipality of Anchorage R _~ C E ! V E D DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION r'/l^R 2 5 1.997 P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone'343,-474.4 .. . '~; ~U~TiC, J:dalitV of. Ancnorage On-Site Wastewater Disposal System and/or Well Inspe~cl~e~lttP~t:~&man Services LOT 9, BLOCK 2, GREATLAND ESTATES #2 051-151-27 Legal Description: PID No.: AL1 NEW TF NEW 12S0 GAL. SEPTIC TANK C02 MT2 ST2 '4 BDRM HOUSE DRIVE SCALB 1" = 40' BIG SKY ST1 ST2 CO1 C02 MT1 MT2 90.8' N.T.S. CO1 C02 MT1 MT2 8~. 78.7' 78.7 NO 72-013 A (Rev. 9/91) MOA 25 72.7' 89.3' FOUND .O.H. WATER WELL RECORD' STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological & Geophysicol Survs LOCATION OF WELL (Pleose complete either lo, J.o.ough I Subd,v.on / Lc, s,o. mi '/e.,.. s.c,,o..o. Anch Greatlan~ ~ I ~ I ~.~..~ , , ~ , Street Address and Arel3 of Well Location 2. WELL LOG Materiel Type Gravel, eand~ silt Grey roc~ .... ' - '~Grey ~nd ~-ce~n rnnk Grey and green rock, water~ RECE!-V[ M--:~ r~pality ol Anct 16. WATER WELL CONTRACTOR'S CERTIFICATION: Feet 8Glow Gar face Top . Boltom o 10g 2oo 200 210 210 380 Drilling Permll No. A.D.L. NO. I TownehiPNr~ Range OWNER OF WELL: Meridian Mr. Dwayne Houck 6901 Foothill Dr. Anchorage, Ak. OF' CO ETIO 6, C]cobl. tool :~:l~"J~ota,¥ I'-]Dr[uen [1Dug I']Auger ~-l Jetled [:]Gored I'--! Other: [] Irrigation ~ Test Well [] Public Supply ~ Indumtry [] neaherg, ~] Camm.dual r'l Other: S. CASING: [] Threaded diem. 6 ,a. la 106 . ft. Depth Weight1.7, tide. in. to ft. Oeplh Sllckup 9. FINISH OF WELM Type: Diameter: Slot/Mesh Size: Length: Set belween fl. god DacHllllng Grovel peek . ft. 10. STATIC WATER LEVEL: 1 50 ft. 8 2/~ / Date [] Above or ]~j[d~w land surface Equlpmeal used: II.PUMPING LEVEL. below land lurfaoe and YIELD ft. ,~f far hrs. pumping g.p.m. ~ ft. ~ leer .~h~'s. 'pumping , g.p.m. 12.GROUTING Wl,I Grouted: [] Yes [] NO Material: [],,Iai Cemenl [] Other: IS. PUMP= (if ay dlable) HP Length of Drop Pipe ft. oapa;Ity -- [] Subm. [ ) Jet [] C.ntrifical [--] Other 14.REMARKS: Production.of 30 GPH 15. Water Tempera ute o ~1 F ~ C This well wo~ drilled under my Jurisdlolion and this report Is Hue to the best of my knowledge aaa beliefi Magnuson Drilling AA 5385 ~.°0t~.'s~°~r~7~504 Eagle River, Ak, c°~5"~T""" Numb,, Add,ess; Authorized fle p'r~se~t,3t Ivi~Y OoZe; Au~. }0, 1984 Form 02-WWR (11/81) Copy Distribution: WHITE-Stets DGGS, PINK-Driller, CANARY Cue:emir MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PAGE 1 OF PERMIT NUMBER:SW960275 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:DENNIS MCCORMICK OWNER ADDRESS:P.O. BOX 672025 CHUGIAK, AK. 99567 DATE ISSUED: 9/03/96 EXPIRATION DATE: 9/03/97 PARCEL ID:05113127 LEGAL DESCRIPTION: GREAT LAND ESTATES #2 BLK 2 LT 9 LOT SIZE: 91912 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS DATE: HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD OESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. August 15, 1996 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 9, Block 2, Great Land Estates Unit #11 Request you issue a permit to install a septic system to serve the proposed four bedroom house on the referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered in the test hole and after seven day ground water monitoring, the monitoring tube was found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577 = 60' ,SCALE SITE PLAN DESIGN Oq-i Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES , '~."' ~t.e, CJ~ /¢~ ~Tq .;~ · 825 "L" Street. Anchorage, Alaska 99502-0650 ,,~,.,~~~~,/ SOILS LOG-- PERCOLATION TEST PERFORMED ~.. . ..~-~ Township. Range. Section: ~.~. LEGAL DESCRIPTION: 9 10 11 12 13 WAS ~ROUND WA~ER -~,'~,,~ ENCOUNTERED? IF YES, AT WHAT ~DEPTH? Depth to Water After Monitoring? ~C~ SLOPE SiTE PLAN Date: .__~-Iq?j& 14 15 16 17 18 19 2O Gross Net Depth to Net Reading Date Time Time Water Drop '~ ', .r 0 Z ~' '7 ~.//' '~ ~ ~. ,, : D y " 7 Y~" PERCOLATION RATE ¢ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN K FT AND -7 FT COMMENTS ............ CERTIFY THAT T~IS TES/T WAS PERFORMED IN PERFORMED BY: 17i"1'~1 ~%~IA ~;VAP l_e~a ~Oad NO, ~ t~ , 72-008 (Rev. 4185) CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL iNSPECTION & PLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL iNSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 9, Block 2, Great Land Estates Unit %11 August 15, 1996 ~ENEI~U.L: 1. e De The scope of this project includes the installation of a 1250 gallon septic tank and a leachfield trench to serve the proposed four bedroom residence located on the referenced property. Construction shal~ be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. ;EPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Se Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 9, Block 2, Great Land Estates August 15, 1996 Unit ~11 e Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 9, Block 2, Great Land Estates August 15, 1996 Unit ~11 Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: me Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.0.A. or D.E.C. requirements. Page Four Lot 9, Block 2, Great Land Estates August 15, 1996 Unit #11 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2e The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. e The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 9, Block 2, Great Land Estates August 15, 1996 Unit ~11 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological & Geophysical Bury LOCAl',ON OF WELL (Pleoea complelg ellher Io~ lb or lc.) .oroagh I Sabdivieion / '~jDISTANCE AN~;Rq~O~ROM ROAD INTERSECTION8 Street Addres~ end Area of Well Location 2. WELL LO~ Malarial T~pe Gravel, s~d~ sil~ GraF Gte7 and ~een roc~, water RECEIVED ~,~^o ] i 1997 Municipality et Ancnorage~, Secllon Burfoce Top Bottom o 7~ 1 O6 200 200 210 210 ~80 Drilling Permll No. A.D.L. No, .o. T°""'h~P"E]I"ea"'SE]I wn :5. OWNER OF WELL= Mr. Dwayne Houck 6901 Foothill Dr. Anchorage, Ak. .. w~.~Crc~E.T., (.no,, e. ~,[ aP co;~-~_~,o~)4 o. I-Ico~,. ,Gal XEKRo,o.. ELD.-. E]o. [-J Auger ~] 4.trod IF1 Bored r']other: ~XEIoam..,lo [3 P.h.c sap,t, O ,od.my [] Irrlgollon [] Blehetgl [] Commerlc, [] Test Will [] Other: 8. OASING~ [] Threaded X~l/~:Welded diem. in. to fl, Depth $1[ckup__ Il. 9. FINISH OF WELL: ' Type: Diameter: Slol/Meeh Size; Length; Set between ft. end Back f,lling Grdv. I pe;k ft. IO. STATIC WATER LEVEL= 1 50 ft. 8 2~ / Dot, [] Above or :~:]~j~W lan<l lurfacl Equipment used: g.p.m. g.p.m. II. PUMPING LEVE~. b,,ow land surface and YIELD __ft. ~fler hre. pumping , __ft. ~fler .__hre. 'pumping IZ.GROUT,NG Will Grouted: [] YII [] No Material: [],,eat Cemenl [] Other:. IS. PUMP; (if ay Jllabte) HP Length of Drop Pipe fl. capocll¥ g.p [] Sabra. [ ] dl' [] CentHf,¢o, [] Other 14. REMARKS: Production .of 30 GPH o FIF i-lo 1984 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Water Tempera ure Thlt wall wol~ drilled under fry )lrisdlollo~ and this roport is Irue Io the besl of my knowledge aec bellef~ Magnuson Drtlllng AA 5585 ~.~0'~.r'~B~°°~TO~O4 E~gle River~ Ak. c°~J~7-~'~o N~mb.r s,g..,: · Aulhor~zed R~pre'se~fallv/ ' ' ' Form OZ-WWR (Il/It) Copy Dislribulion: WHITE'State OGG$~ PINK'Driller, CANARY Customer F'EF.:HIT NO. ( 83:071.6 ) F~F'F'L Z CRNT i_ 0 C Ft 7' Z ON LE.GFIL DEPRF:'.THENT C:-"'xHEFILTFI FIND EN',,,' t F.':FiNHENTFIL F"*..TEr::T i ON STREET., FINCHORFIGE., FIK. '99U._ 264-4720 [:,i.,.IOGNE HOVF:F: 690± FF~LqTHIL. L [,F'Z',,,:E 99504 .-. _...,=, -- ~ ~ :.g ,:. L9 E:2 .3REFtTLFIND E~TFITE9 9¢"'[:' LOT c;IZE '94550 SLT!UFIF.:E FEET T'¢PE OF SC, iL FiE`=;OF.'F'TIE4'-~ ::;¥STEH IS: TREblCFI i"tR;:.:;:[HL!H NUt'IBEF.: OF BE[:,F.:f-tOH9 = 4- SOIL F.:FtTING ,"S_.3 FT,.--'E:R::,= ±50 THE F'EP. UZ~:E[:; SZZE OF THE SOIL FIBSOF.:F'TTFd'.~ S'-r'STC. H IS: THE LENGTH [:,IHEi'.,iSiON IS THE LENGTH ,.:iN FEET::, OF THE TRENE:H OR DRFtlNFIELD. THE DEPTH OF FI TRENCH OR F'IT IS 'THE [.,t`=;TRNCE BETHEEN THE SURFFICE OF THE GROUND FIND THE BOTTOhl OF THE EXCFIVRTiON (iN FEET::,. ]'HERE I~ NO SET Ht[.,TH FOR TRENCHES. THE GRFIVEL DEPTH iS ]"HE HINIHUi't [:,EPTH OF GRFIVEL BETNEEN THE OUTFFILL, PIPE FIND THE E',OTTOH OF THE EXCR'v'FITION (IN FEET). I~ '~-T'~ TO iNFORH THIS [:,EF'RF.:THENT [:,UF.:ING THE PERHIT FIF'F'LiE. RNT HFIS TFiE F.:E`=;F'ZNStB.~-.Z ' I "c'~/'~- FIND THE Zi'.~STFIL. LFI]'i. ON TN:T,F'ECTZEii'..IS OF FIi"4'T' NELLS FID.YFIF;Ei"4T TO "FHI~ F'F.::F'E,- ': i'-4Ui'tBEF.: OF RESZDENCE':; THFIT THE NELL N'CLL SERVE. T B-.t ~2, ,:; ;.~: ::, X k-~1 S F" E: ~2: -f" :[ C~ i'-.~ '_:7 FIt F: E F.: E ,:-:; U I R E [::, E:FIf':KFILLZt'.,IG OF FIN"r' S"r'STEH I4ITHOIJT F-NFIL INSF'ECTTf'd",I FIND FIPPF.'.FCv'RL E:'T' THIS DEPRRTHEj"4T !-,.tILL E:E SL.iB..TECT TO PF.'ZSE-:UTIE4"L HINIhiUH DiSTF~NC:E BETWEEN Ft NELL F~F.ID FIN"r' ON--'SITE SENFIGE DtSPOSRL SYSTEi"I IS ±00 FEE]' FOR Fi PRiVFITE NELL OR ±50 TO 200 FEET FROi"i R PUBLIC 1.4ELL DEPENDING UPON THE TYPE OF' PUBLIC NELL i"IINIHUH D¥STRNCE FF.'OH FI PF:IVFiTE NELL TO R F'F:I',,"FITE SENEF..' LINE IS 25 FEET FINE:, TO R COF'It"IUNIT'¢ SENEF.: LINE IS 75 FEET. NELL L. OGS FIRE REC4UIF..'ED RhlD HUST E~E RETUF.:NED TO THE DEPFIF.:THENT NITHIN ~:O £:,FIYS OF THE NELL COh'IF'LETTOFL OTHER. R. EL--~UIF.:EHENT`=; HFI'¢ FIPPL'T'. SPECTF]:CFITIONS FIND CONSTF.'.UCTION DIFIGRFIHS FIRE FIVFt):LFIBLE TO iNSUF.'E PROPER INSTFiLLFtTTON. i CERTIFY THFtT ±: i Fii'fl FRHILIFIF.: NITH THE F~:EQUiREt"IENTS FOR ON-SITE SEI.,IERS FIN[:' NELLS FIS SET FORTH B:T: THE i,iUNICIPF~LiT¥ OF' flNCHORRGE. 2: i NiLL INSTFILL THE `=;¥STEH IN FIE:CORDFINCE ktITH THE CODE'=;. :.T.-'.: i UNDERSTflND 'FHRT THE ON-SITE SENER S"r'STEH HR"r' REQUIRE-ENLFIRGEFtENT IF THE RESIDENCE IS REHODELE[:, TO INCLU[:,E HORE THRN 4 BEDROOI"IS. S I GNEE:, ' ..................................................... FIF'F'L I I:.Ftt'.,IT B,!.,IOGNE HFi:,,,:E.k: .-f i :55i.jEB, E;:T: _ ..... [:,Ft'f'E ....... --'~_ .......... )'NE ~L.UER~O 5[~E O~ THE 50[~ THE O~FH OF ~ TRENCH OR {'~ ~'tO 5ET H ~&TM FOR T~EH~HES, RN& '~HE 80TTOM OF FH~ ~CRVRTIDN ~"-~ .... ~ INST~LLATION [N'~.tioN~. OF OEE'RRTMENf HILL 8~ SU~..tEC. T TO p~:OSECUfION. OF TME I.IELL CO/,~LE T [ CERTIFY THRT FORTH ~Y THE i'iUN[CIPRL[TY C~= RNCHORR~E, ~: [ HiLL [N~L_ THC 5YSTEN IN RC:OORORNC~ t'tiTH TH~ COBE~. V4, ~: GREA,ER ANCtlORAGE AREA BOROUGH DEPARTMENT OF ENVlRONM[~]TAL Q~AL~TY 3330 "C" Street ANCHORAGE, ALASKA 99503' Case # Performed For~ Leg~l Description: Lot ~ Block ~_. This Form Reports Soils Log_ 'F~ [~ ~: ~ercolation Test__ - Soil Tes{ Must Be Logged To 4' Below Proposed Seepage System - Depth Dated erformed Feet Soil Characteristics ' Ground Water Encountered? I~ I'f Yes, At What Depth? ',1 2~ 3~ 4~ 5~. 6~ 7~ 8-- 11~ 14'- Reading Date Gross Time Net Time De~th Percola Lion Rate Minul:e Proposed Installation: Seepage Pit Drain Field Depth of Inlet.._ _-.~i:,~ Depth to Bottom of IPit Or Trench' Test Perfor,,ed 'BY Date Cer~fied~_._.BY: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services - On-Site Services SeCtion P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Day phone Day phone Mailin. g address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ "' TYPE OF WATER SUPPLY:: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOAI¢21 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 of this Health Authority Approval application 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 alt Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signatur~~~ Phone ¢0"2- ¢¢¢ ¢///// 4//_ 2'~ g-7 ~ DHHS SIGNATURE ~ Approved for 4 bedrooms. Date Disapproved. Conditional approval for bedrooms, with the following stipulations: Addition~ Comments Date 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 DH HS 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, 72-0~5 (Re~. 1/91) Back MOA I¢Z1 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICESFFt3 Environmental Services Division MUNICIPALITY Ol: ANCHORA~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · Health Authority Approval Checklist Legal Description: ~y~-~a~ ~c]r,¢~ '~/~<~/ ~- ¢ Parcel I.D.: A. WELL DATA Well type P,~ ~ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) ~ Date completed Total depth ~'~¢ Cased to /~/~ / Sanitary seal (Y/N) ~// Date of test Static water level Well production FROM WELL LOG /~-~ Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION //~ ~ g.p.m. O' 7? 4- g.p.m. WATER SAMPLE RESULTS: co,form J/~e ~xd~-/~ Date of sample: ~';Z/O'q,/q B. SEPTIC/HOLDING TANK DATA Nitrate <:~, ¢ ~' Other bacteria O Collected by: ,~'~ Date installed Foundation cleanout (Y/N) Date of Pumping ~ ~/¢ ~/~) ¢ C. ABSORPTION FIELD DATA Date installed ! ¢/¢ ~/¢~ Length ~' ~ ! / Width Tank size //~ ~-~ Number of Compartments ~- Cleanouts (Y/N) "/ Depression (Y/N) /~ High water alarm (Y/N) Pumper 2~ Soil rating (g.p.d./fF or fF/bdrm) Gravel thickness below pipe Monitoring Tube present (Y/N) ~/ Results (Pass/Fail) /~/~$~' Effective absorption area Date of adequacy test ~/ Fluid depth in absorption field before test (in.); Fluid depth ]-~ (ins) Minutes later:. Peroxide treatment (past 12 months) (Y/N) Total depth Depression over field (Y/N) For ¢ Immediately after/~P0gal, water added (in.): Absorption rate = ~ ~ g.p.d. If yes, give date System type ~'~ bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested Size in gallons "Pump on" levol ~ ._~:-----'-~ "Pump off" level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station ~/~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation /0 /¢' Property line /c~ / '/- Absorption field Water main/service line 2 5~ /~ Surface water/drainage /CZ)/¢- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /~ /''/' Surface water /O~ /c- Curtain drain /~' "¢~ ! Building foundation /¢ /4L Water main/service line Driveway, parking/vehicle storage area ~ Wells on adjacent lots /O,~ tO_ F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review in conformance w~OA~ guidelines in effect on this date. Signature ~-_~'~"'"~) ~ HAAFee $ ~0' P-'--~ ' Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev, 3/96)* FEB 19 '99 03:55PM HTL AHCHORAGE P.l×l NORTHERN TESTING LABORATORIES, INC, 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA ~701 (~07) ~$6-3116, FAX 466-31~ $005 $CHOON STREET ANCHORAGE, ALASKA 89518 {907) 349-1000 · FAX 349-1016 POUCH 340043 PEUDHOE BAY, ALASKA 957~4 (907) 669-2145, FAX 659-2146 20441 Pox~igsa Bird, Eagle ~ver, AK 99577-37'46 Attn: Cli~t ID: Client Project #: Source: Outside Spigot NTL Lab#: A160032 Sample Matrix: Water Oteatlaad Bat,//2 / B2, L9 Report Date: 2/19/99 Date Arrived: 2/9/99 Ssmple Date: 2/9/99 Sample Time: 10:00 Collected By: ** Legend IVlRL-- M~odRepottL~vol MCL = Max. Conlami,~n~t Level B = E = ~s~ix~ed Value ~ .-. IV~n'ix In~ Fi = Above D ~. Lo~ To Diluthm Method Unlt~ Result Date Date MRL Prepared Analyzed SM 4500 NO3 E Nitra~e-N mg/h 2.68 1.25 2/19/99 Ch~gstry Supewi~or NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRDANK$, ALASKA 99701 (99~] 4.~6.-3116 . FAX 4;6-3125 8005 SCHOON STREET ANCHORAGE. ALAS~ 9~1e (907) 349-1000 · FAX 349-1016 POUCH 340043 PRUDHOE BAY, ALASKA 99734 (907} 659-2145 ' FAX 659-2146 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA KND Engineering 20441 Ptarmigan Blvd. Eagle River, AK 99577-3736 Date Received: 2/9/99 Time Received: 13:10 ' Date Analyzed: 2/10/99 Time Analyzed: 06:30 Date Reported: 2/11/99 Time Reported: 14:08 Next Sample Due: Comments Phone Number:. ( )696-6111 S = U = FaxNumbe~. ( )696-8tll POS = Collected by: BMW N.D = TNTC = Sample Type: Private water Systems CG = Method of Analysis: Membrane Filtration (SM 9222 HSM = SA B) Comments: Sample Sample Total* Fecal Other* Date Time Coliform Coliform Bacteda Old R, NT = No Test , -# Colonies/100 mi HPC~' Result Lab~ Satisfactory Unsatisfactopj Positive Test Result None Detected Too Numerous To Count (>200 Colonies) Confluent Growth Heavy Sedi,rnent Masking, Results May Not Be Reliable = Sample Age >30 Hours But <48 Hours, Results May Not Be Reliable = Sample Age >48 Hours, Too Old For Analysis = Resample Required Colonies/mi Location Comments 2/9/99 10:00 0 NT 0 NT AC11327 GREATLAND ESTATES ~ B2 Lg, OUTSIDE SPIGOT Northern Testing Laboratori~, [~¢ Anchorage, AK 2119199 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # 1. GENERAL INFORMATION Complete lega description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 05113127 - HAA # ~ ~r~C~--~ {~-~ L,{ Lot 9; Block 2; Greatiand Estates ~2 Location (site address or directions) ,,'~ ~ ~ .... ...... ,-,~, <,~.~ _ . ':?'iP'ropedy oWner; :'-,- uenn~_s NHN Big Sky Drive Chugiak, AK McCormick Day phone 688-1447 672025 Chugiak, AK 99567 .Maili'ng addres,,s._i. ?,~.o. Box Lend ng agency--.' <~'-.Mai'lihg-address :: Agent Day phone Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well Community well XXX Public water NOTE: If community well system, provide written confirmation from State A..D, EC attest- ing to the legality and status of system. ~ TYPE OF WASTEWATER DISPOSAL: - - ~,-- Individual on-site xxx % ~'- H°l~J~ng tank '-" ..>.', ~ ~ ,. COmmunity on-site _- -'- Public sewer . : NOTE: If community wastewater SYstem, provide written confirmation from State ADEC attesting to the legality'and status of system. 72-025 (Rev, 1/91) Front MOA ~V21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewate~' 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. Name of Firm S & S ENGINEERING 17034 Eagle tqver Loop koad No. -2C,4 Address E~gle River, Al.asEa 99577 Engineer's signature '~/~ ~ ~/~,~------~ Phone Date D ~?,,S SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments .... By: ~!I~",'[; ' Date (~/~-~/-~)-- · , The Municipali'~/of Anchorage Department of Health 8nd Human Services (DHHS) issues Health Authori~/ Approval Oef'tificate8 based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. Th.e DHH8 does this ~s 8 courtesy to purchasers of homes and their lending institutions in order Jo e~Uafy certain federal 8nd sta~e requirementa. Employeea of DHH8 do no~ conduct inspections or analyze data before a certificate is issued. The Munioipslity of Anchorage ia not responsible for errors or omissions in ~he professional engineer's work. 72-02~ (Rev. 1/91 ) Back MOA #21 Municipality of Anchorage ~v~O~^~SE~VlC~s ONtSlOti DEPARTMENT OF HEALTH & HUMAN SERVICE~R ~ '~ ~199~' /~ Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501' (907) 34~4~4~ ~ i~ ~D Legal Description: A. WELL DATA Well type Health Authority Approval Checklist ~ ~woc~. 2.x (.~ff.~h'r~.~tlD Parcell. D.: p~l qA"r~ If A B, or C, attach ADEC letter. ADEC water system number Log present {~/N) Total depth Sanitaw seal(~N) Date of test Static water level Well production FROM WELL LOG Date completed 8 ~ 2~, - Cased to I Oro I Casing height (above ground) Wires properly protected AT INSPECTION 0 .~' g.p.m. C)~ Gl g.p.m. WATER SAMPLE RESULTS: Coliform ~) Date of sample: :g/(o/9 7 SEPTIC/HOLDING TANK DATA Nitrate ,,,9,~25'-' p//~¢ Other bacteria ~ Collected by: $ & $ ENGINEERING 17034 Eagle River Loop l~oad, No. 204 Eagle River, Alaska 99577 Date installed Foundation cleanout Date of Pnmping '~.~ ' ABSORPTION FIELD DATA to-~-q(,. Tanksize IZ.~O Number of Compartments ~-- Cleanouts(~/N) Y'ar Depression (Y/~ ~']o Pumper High water alarm (Y~t) Soil rating ~ or R2/bdrm) O. , .~ Gravel thickness below pipe Date installed I O- g'-q fo Length ~q t Widih Effective absorption area Date of adequacy test System type -/ Total depth I 0 Monitoring Tube present~q) x]E~ Depression over field (Y~) Results ~ail) ~ For t,./ bedrooms Fluid depth in absorption field before test (in.); ~" Immediately after ~ gal. water added Fluid depth ~ (ins.) Minutes later: ~-- Absorption rate = ~' ~ g.p.d. Peroxide treatment (past 12 months) (Y/N) _ If yes, give date D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons "Pump off' level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding taltk on lot Absorption field on lot Public sewer main Sewer/septic sc~ice line : On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Lift station SFPARATION DISTANCES FROM E~S"~_~/IiGLDi?,!G TANK ON LOT TO: Building foundation "~ Property tine ~"'O ~4--. Absorption field ! Water main/service line [O + Surface water/drainage I oo1+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Fo Building foundation ~ ~ Surface water } oo ~ '~ Curtain drain lq J k~ ENGINEEWS CERTIFICATION Water main/service line I o ~ q' Driveway, parking/vehicle storage area .~'-O I ~ Wells on adjacent lots I o ot -{-- Property liue ~::~o I.f 1 certify that 1 have determined thru field inspections and review of Municipal record~stems .r~ in conJbrmanee with ~[~4 IJAA gui;eline~ in efJkct on this date. Engineer's Name ~ o o e/c~ ~ .- ~0 c4~t~ ............................................... :~;~.fi:;:.~v,e;;::e~_~ ........ HAA Fee $ ,~ ~ ~ ~ Waiwr Fee Receipt Number ~C4: : 3~ :: ~ Receipt Number / Rev. 8/95 OSS: haa,wk.doc ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS HEALTH ALff HORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WA, STEWATER DISPOSAL SYSTEM DESIGN WELL RECOVERY TEST DATA (907) 694-2979 FAX (907) 694-1211 CLIENT: T'~p~ ~ ,$ ~"~ L' ~.o~, c~ WELL LOCATION (legal): ~ ~ ~ ~ ~~ TEST DATE: ~ - 7 ~ ~ ? TESTED BY: WELL DEPTH: %~ ~ WELL DRILLER: CASING DEPTH: d ~ DATE DRILLED: TEST PROCEDURE: 1) Drawwater down to pump. 2) Shut pump off 15-60 min. -record time -record meter reading 3) Turn pump on. Drawdown. 4) Shut pump off. -record time -record meter reading 5) Calculate gal./min, recovery. MISC DATA: Casing Height: I'Z- Sanitary Seal? Wires in Conduit? Grading O.K.? Pump Depth: Samples Taken? ~'F~ Date: '~ TEST DATA: START TIME: ~ '. ~"" STATIC WATER LEVEL: TRIAL II PUMP II T ME II METER II GA'. M N. O, OFF '0 2 ON ~ ~ ~ O~ ~ / OFF OFF 3 ON OFF OFF 4 ON OFF OFF S ON ~F RESULTS: WELL CURRENTLY PRODUCES: , b! ~_~.//2/~ FLOW RATE NOT GUARANTEED--SUBSEQUENT VARIATIONS CAN OCCUR. 17034 NORTH EAGLE RIVER LOOP "SUITE 204 · EAGLE RIVER, ALASKA 99577 ~ ~l/~e, CT&E Environmental' Services Inc. CT&E Ref.# Client Name Project Name/# Client Sample ID Matrix Ordered By PWSID 971145001 S & S Engineering L9, B2, Greatland Est.//2 Kitchen Sink Drinking Water Sample Remarks: Client PO# Printed Date/Time 03/11/97 10:56 Collected Date/Time 03/06/97 14:30 Received Date/Time 03/07/97 09:00 Technical Director: Stephen C. Ede N~trate-N Total Coliform Results PQL Units 2.03 o 0.100.mg/L co[/lOOmL Method Allowable Prep Analysis Limits Date Date Init SM18 4500-NO3F 10 max SM18 9222B 03/07/97 EMB 03/07/97 BAH