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HomeMy WebLinkAboutDEER PARK #1 BLK 1 LT 3Deer Park #1 Block 1 Lot 3 #051-042-54 Municipality of Anchorage Development Services Department Building Safety Division > On-Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW090110 PID Number: 051-042-54 Name: James and Jacquelyn Briskey Wastewater System: ❑New ©Upgrade Address: 3605 Arctic Blvd. No. 954 Anchorage, AK 99503 ABSORPTION FIELD Phone: Number of Bedrooms: 3 la Deep Trench ❑ Shelley; Trench D Bed ❑ Mound ❑ Otiier LEGAL DESCRIPTION Soil Rating: Total Depth from original grace: .6 GPD(FF 5-5.5 Ft. Block. Lot Subdivision: 1 3 Depth to pipe bottom from arterial grade: Gravel depth beneath pipe: Deer Park No. 1 1-1.5 4 Ft. FL Township: Range: Section: Fill added above original grade: Gravel Lengtif: 1-2 Ft. 75 Ft. Well: ❑ New El Upgrade Greve)width: Numberoflines Distance between lines: 5 Ft. 1 Ft. Classification Finmte, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Existing Ft. Ft. 750 Pp ASTM D3034 PVC Duller: Data Drilled Static Water Level: Installer. Date Installed: Ft RPC (Richard Person) 6/5-10/10 Yield : Pump Set at Casing Heigh Above Ground: TANK GPM Ft. FL SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Pdvate Manufacturer. Capacity: From Tank Field Station Tank Sewer Line Anchorage Tank 1,000 Gal. Material: Number of compartments: Wen >100' >100' WA N/A >25' Steel Two (2) Sunacewater >100' >100' N/A NIA LIFT STATION Size: Manufacturer. Lot Line >g >10' N/A N/A Gat. 'Pumpon'levelat 'Pump pm level at: High water alarm at: Foundation >5' >10' NIA N/A in. Pump Make B Model Electrical Inspections performed by: ordain omen None Noted Remarks 2" Insulation Over Absorption Trench. BENCH MARK Location and Description: Garage Slab. Assumed! Elevation: 100.0 Ft. Inspections performed by: M. Anderson Dates: tat 6/5/2010�•4 QF "ej4 Z"d 6/9/2010 `is�,,t Development Services Department Approval9 y�Q;•• ' 4918 -.*0 ,t Conditional Approval Date: M• ». 1a ..i• . 6 MDBtSON ��� i :• CE-4381. i ��111, •�`�•• Reviewed and approved by: (kev. sari(,) g l%la Date:_ 0 ssc Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT Page 2 of 3 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Permit Number: SW090110 PID No. 051-042-54 DEER PARK SUBDIVISION NO. 1 BLOCK 1, LOT 3 Existing Well 0' Ut�asement DEER PARK DRIVE PLAN AS -BUILT SCALE V = 50' L ,-, 49th W MICHAEL E. ANDERSON U) co 91 00 M M to M C4 d� ?i ff4° A A B in S1 43.0' 18.3' O / �// /Sh°d 'LO S2 48.0' 23.1' o C474.2' 67.7' Z C5 98.0' 97.8' �/� S2 / Z M1 97.9' 99.9' 51 ALEGEND, C6 113.7' 135.1' % Fla s S1 — Septic Vent M1 — Monitor Tube Three Cl — Cleanout Bedroom FCO — Foundation Cleanout Hnma TH — Test Hole Existing Well 0' Ut�asement DEER PARK DRIVE PLAN AS -BUILT SCALE V = 50' L ,-, 49th W MICHAEL E. ANDERSON Permit Number: SWO90110 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report W U i 95.8 94.8 N UU y e) Finished sting 1,250 Gallon Septic Tank 95 9 .76 Page 3 of 3 PID No. 051-042-54 U 77.0—/ Lengm) F, PROFILE AS -BUILT - No Scale 81.0 77 0 Drainfield Rock I 81.0 77.0—/ Lengm) F, PROFILE AS -BUILT - No Scale Mianiciipafity of Anchorage WAS GROUND WATER Development Services Department Depth to Water Building Safety. DWision 15- : On -Site Water and Wastewater Program «e 4700 Elmore. Road P.O. Box 196650 Anchorage, AK99507Vol O P www.ci.anchorace.ak us Monitoring?' (907) 343=7904 12- -- Soils Log - Percolation: Test Perfomed. For: James and JacguilynBriskey - Date Pelfo"ad: Legal Desaipgan: Deer Park #1, Lot 3, Blk 1 Township, Range, Section: 18- S ape pwtrns TH 2 fTTI I 1 1. F-1 o�n 1' 49 IN L AM 4381 -wl— o t o d- 14- WAS GROUND WATER Net Time Depth to Water ENCOUNTERED? 15- : 1()'.- IF YES', AT WHAT DEPTH? L Depthfa Water Alter O P 11- Monitoring?' E 12- -- Dale: 49 IN L AM 4381 -wl— o t o d- 14- Reading Date Cross Time Net Time Depth to Water Net Drop 15- : t t 1.6- 30 VA -4(5 tt t2 17- 18- pwtrns 3$" o�n PERCOLATION RATES � (minuNSMcN PERC HOLE DIAMETER _ TEST RUN BETWEEN FT AND rO FT COMMENTS_ The percolation cavity was presoaked on A-/ -jb - P[atc_ T5,- ®,,w PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCO DANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: SWO90110 Tax Code Number: 05104254000 Work Type: Septic Upgrade Permit Effective Dates: July 10, 2009 to July 10, 2010 Design Engineer: ANDERSON ENGINEERING Subdivision: DEER PARK#1 Site Legal Address: DEER PARK #1 BLK 1 LT 3 GA558 Owner/Address: JAMES & JACQUILYN BRISKEY 3605 ARCTIC BLVD 954 ANCHORAGE AK 0000 Site Mailing Address: 22460 DEER PARK DR, Chugiak 0 if Lot Size in Sq Ft: 43038 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage 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 (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either. A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: The entire subsurface disposal field is not within the 30 foot radius of a percolation test. The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. *JAACJL&Aes 6VA`q'Idd 141` L'AVYC Oedtr • SVw x 7S -L. >< y'Er) • 70.10.1 atfP% 4.4' Received Issued By l Municipality of Anchorage `�`_Y,• 1 ONSITE WATER & WASTEWATER PROGRAM CIIANGE ORDER PERMIT # -5 WOT) I 0 PID OI S- 014 - itf SUBD TRACT BLOCK LOT CONTACT PERSON PHONE FAX PLEASE GIVE A DESCRIPTION OF THE CHANGE bscei-jeb,ot, Cerl Lr kgllt�rth1„ w,A4tr mArb.,; 4,1 CUSTOMER APPROVED (date) 8 TOTAL HOURS HOURLY RATE 5130 TOTAL TO BE PAID DATE PAID RECEIPT # On -Site Reviewer: B d Comments Issued (date) Review Time (hours) APPROVED (date) 8 TOTAL HOURS HOURLY RATE 5130 TOTAL TO BE PAID DATE PAID RECEIPT # Municipality of Anchorage ONSITE WATER & WASTEWATER PROGRAM qj CHANGE ORDER PERMIT # PID 015--044.-5_`t TRACT BLOCK / LOT 3 CONTACT PERSON) �1rC��2So.) PHONE 5Z?—Z'773 FAX (o 't 77GI+ PLEASE GIVE A DESCRIPTION OF THE CHANGE A S SOA4-n V�j E;Lb w hS t oo b To FLOa0 a'0, 4 A1=Lj /1 u&o&QTToej Tv_ -art{ wAs. P—soo .o D pi S F� 5C O (= SGTrrlc� G'FF�L-jE-- J r. CUSTOMER APPROVED (date) �[�7_I�TOTAL HOURS HOURLY RATE 5130 TOTAL TO 6 DATE PAID RECEIPT # On -Site Reviewer:/ Q ✓ i ell) �G` IM / V/9.,f��ed of r� Ae�` Comments Issued (date) Review Time (hours) APPROVED (date) �[�7_I�TOTAL HOURS HOURLY RATE 5130 TOTAL TO 6 DATE PAID RECEIPT # MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 10, 2009 Expiration Date: Jul 10, 2010 Permit Number: SWO90110 Parcel ID: 051-042-54 Legal Description: DEER PARK #1 BLK 1 LT 3 Design Engineer: 0014 ANDERSON ENGINEERING Site Address: 022460 DEER PARK DR Owner Name: JAMES & JACQUILYN BRISKEY Lot Size: 43038 SQ. FT. Owner Address: 3605 ARCTIC BLVD #954 Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE, AK 99503 - This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage 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 ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be eithet: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: Date: /0 O Municipality of Anchorage • Development Services Department Building Safety Division : r _ On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-042-54 Property owner(s) James & Jacquelyn Briskey Day phone Mailing address 3705 Arctic Boulevard #954 Anchorage, AK Zip Code 99503 Site address 22460 Deer Park Drive Chugiak, AK Zip Code 99567 Legal description (Sub'd., Block & Lot) Lot 3, Block 1, Deer Park Subdivision No. 1 Legal description (Township, Range & Section) Lot Size 43,038 Sq. Ft. Number of Bedrooms Three (3) THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field El Initial ❑ Septic Tank E Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Waiver Fees: Date of Payment: Receipt Number. Receipt Number. (Rev. 11105) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX June 4, 2010 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Block 1, Deer Park Subdivision No. 1 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: 64e � I 4 r,141A The septic tank on Lot 3, Block 1, Deer Park Subdivision N . 1 is failing and must be replaced. In addition, the absorption bed is nearing the a of its useful life. We are proposing to replace the tank with a new 1,000 -gallon -i tank to serve the three- bedroom home on the lot and a new absorption trench to dispose of the septic effluent. We are therefore requesting a permit be issued for the construction of a new septic system to serve the home. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new tank and absorption trench. Also identified on the plans is the existing well on the lot. The new tank and trench will be placed 100' from the well. It will also be located 100' from all wells in the area. The existing tank on the lot will be properly disposed on the property or removed from site. A flow diverter valve will be placed to allow connection to the existing bed in the future. The drainage patterns will be maintained after construction. The test hole recently placed on the lot indicated silty sand to sandy silt (SM/ML) with some gravel. The percolation rate was determined to be 30 minutes per inch. A previous test hole placed several years ago rated the soil at 150 square feet per bedroom. Groundwater was found in the test hole at 10.5' below the surface during the monitoring period. We have designed the new trench for an application rate of .6 gallons per date per square foot. We are proposing to place a 75' long trench by 5' wide with a 4' effective depth. The total depth of the system will be 5.5'. Additional fill will be placed over the completed trench to insure a minimum of 3' of cover and to direct drainage away from the trench. Lot 3, Block 1, Deer Park No.1 June 4, 2010 Page 2 of 2 The ground surface on the lot slopes at a grade of 10% to the northwest in the area of the absorption trench. The trench will be located at the base of a 20% fill slope. The new absorption trench will be constructed as parallel with the slope of the land as possible in conformance with Municipal requirements. If the tank is constructed in accordance with our design the following statements apply: 1. The tank, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The tank, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The tank, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The tank, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments LOT 2 BLOCK 1 LOT 6 Q P�� BLOCK 1 0F'P�Lor 1 BLOCK 1 S\O O\0\LOT 3 BLOCK 1 LOT 2 LOT 4 LOT 5 BLOCK 1 BLOCK 1 BLOCK 1 LOT 1 ; BLOCK 1 Y Q fYy M W fMy M � K DRIVE O d� CF AREA MAP ..4 rw• u... • .5... r.....:............. .....__ }MICHAEL L ANOERsoN SCALE V = 100' ••,4''���ESS1 . • DEER PARK SUBDIVISION NO. 1 BLOCK 1, LOT 3 N20.0p o o �y i 7S l • 6' =n • '. ` Mvq�en rw. Existing Absorption System ``a^ Location k Configuration m a Unknown SCOPE OF WORK: Pump, Crush and Backf 11 Existin4 Tank Place New 1,000 Gallon Septic Tank, Foundation 0 Cleanout & 2 Post Tank b0 11 ya ����— 00 Cleanouts. Z col / 0 Place Monitor Tube in 54 Existing Absorption Bed. LEGEND Construct New 75' Long �a a� SV — Septic Vent x 5' Wide x 4' Effective MT — Monitor Tube Depth Absorption Trench. Three CO — Cleanout Bedroom FCO — Foundation Cleanout Home TH — Test Hole Existing Well ew"SIS`IN,,, .� .�.............. •��1 10' Utilit Easement .;....49th :, •� DEER K 0 PAR DRIVE ;.�� 07 M.MICHAEL •E.�ANDERSON .� SITE PLAN ', s, No. cE-,aet .ee ,:� ��'••.10 SCALE V = 50' •♦��� ��ai� �•• LOT 3, BLOCK 1, DEER PARK SUBDIVISION NO. 1 DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home Perc. Rate: 16-30 Min./Inch Application Rate: .60 GPD/SF 5' Wide Trench System 1,000 Gallon Septic Tank 4' Drainfield Rock 3 Bedrooms X 150 GPD/.6 GPD/SF (Application Rate) = 750 SF Absorption Area 750 SF/5 SF/LF •.5 (Red. Factor) = 75 LF Trench Length THEREFORE: Construct a 75' Long x 5' Wide x 4' Effective Depth Absorption Trenche at the Location Shown. Flow Line Elevation in Trench to be 1.5' Below Original Ground Surface. Total Depth to be 5.5' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Maintain 100' Separation from Welts in the Area. Place Diverter Valve to Tie in Existing Absorption Bed for Future Use. 1.1 4-9- Natural Backfill 5. Geotextile Fabric 4" Perforated PVC (Holes Down) Drainfietd Rock TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Wells in the Area. Minimum 100' Separation From Surface Water or Streams. 49th MK L E MOERB No. OEa l 0 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 3, BLOCK 1, DEER PARK SUBDIVISION No. I PERFORMED FOR: JAMES AND JACQUELYN BRISKEY DATE: 6/2/2010 PROJECT No.: PARCEL ID#: TECHNICIAN: M. ANDERSON DEPTFI TEST HOLE (fcct) BOH @ 13.5' 1 1 1 SLOPE SITE PAN SEE SITE PLAN y WAS GROUND WATER ENCOUNTERED? NO IF YES @ WHAT DEPIH1 DEPTH OF WATER AFTER MONUORING: 10.5' S% DATE OF MONTIORINO:- 617110 DATE READING OB/OG 1 DEPTH To WATER (INCHES) NET DROP (INCHES) 2 0 6/02 3 G •.. 1.38" „• d. SILTY SAND/ 4 8:45 SANDY SILT 5 1.06" SM/ML 3 • d A. 6 G. SOME GRAVEL 7 v 30 2.25" 1.00" MORE DENSE W/DEPTH 8 9:17 BOH @ 13.5' 1 1 1 SLOPE SITE PAN SEE SITE PLAN y WAS GROUND WATER ENCOUNTERED? NO IF YES @ WHAT DEPIH1 DEPTH OF WATER AFTER MONUORING: 10.5' S% DATE OF MONTIORINO:- 617110 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 6/02 1 8:15 1.38" 2 8:45 30 2.44" 1.06" 3 8:46 1.2511 4 9:16 30 2.25" 1.00" 5 9:17 1.1311 6 9:47 30 2.1311 1.0011 PERCOLATION RATELLO—(MIN/INCII) PERC. HOLE DIA 6. " (INCHES) TEST RUN BETWEEN: 2.5 FT. and 3.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICIIAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 9/10/2007 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 3, BLOCK 1, DEER PARK SUBDIVISION NO.1 GENERAL: The scope of this project includes the pumping, crushing and backfill of the existing septic tank on the property and the procurement and placement of a new 1,000 -gallon septic tank at the location shown on the Site Plan. Work also includes the placement of two post tank cleanouts and connecting the new tank into the existing absorption system and the placement of a monitor tube in the existing absorption bed to allow an inspection of the existing trench, bed or pit. In addition, a new 75' long X 5' wide X 4' effective depth absorption trench must be constructed at the location also shown on the Site Plan. The distribution line in the trench will be placed at 1.5' below the existing ground surface. Total depth of the trench will be 5.5' below the existing ground surface. The new septic tank and trench must be placed 100' from the existing well on the lot and 100' from all private wells and any surface water in the area and 10' from the water service line from the well. A minimum of 4' of cover is required over the septic tank. The foundation cleanout must be replaced if one is not found on the property. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. The Contractor must also verify the location of wells in the area and assure that the separation distances are met. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Development Services Department Building Safety Division On -Site Water and Wastewater Program for system installations. Owners installing their own systems must receive prior approval from the On -Site Water and Wastewater Program before beginning system installation. Lot 3, Block 1, Deer Park No. 1 June 4, 2010 Page 2 of 3 SEPTIC TANK INSTALLATION A new 1,000 -gallon septic tank must be procured from an approved source and installed at the location shown. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below the distribution pipe must be perforated. 5. Contractor shall verify the septic tank and drainfield area minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. Lot 3, Block 1, Deer Park No.1 June 4, 2010 Page 3 of 3 7. Grade area surrounding the absorption trench to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: Septic tanks must be constructed by a municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A. B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections, These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. 72-013 Ifiay. 3178) S •+ �• MUNICIPALITY OF ANCHORAGE �) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION `\ 825 L Street - Anchorage, Alaska 99501 Telephone 264-1720 �- ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW O UPGRADE MAILIN ORES I LEGAL DESCRIPPTON LOCATION NO. OF BEDROOMS DISTANCE T0: Well ( Abs or non area �1 Dvuelling �„ PERMI O to Y � _ i z Q Manufacturer C Or M No, of compartments? w ~ G N 7 i al ons MA IF HOMEE: inside length Widt Liquid depth 6Y DISTANCE TO: Well Dwelling PERMIT NO. .+V2 _ z F Manufacturer Material Liquid capacity in gallons = DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. US u Z No. of lines Length of eaI ne Total length of lines Trench width Distance between lines f2W inches Top of the to finish grade J, Material beneath tile Total effective absorption area o1 inches W Length Width .� ^ ( Dept tc (.i h PERMIT N O C/V n Type of crib Cribdiamrog .r Critidii Total effective absorp eq W tJ !/ y DISTANCE T0: Well Q 8uildi�`ovrdat y ine Nearest lot line/,:,, /O J Clash—' ,7 LL Dh` Driller Distance to lot line PERMIT NO. J W i DISTANCE T0: Buildingfoundation Sewer line Se tic tank P Absorption areafs) P OTHER PIPE MATERIALS G' > U SOIL TEST RATI G INSTUC REMARKS 1 ') cid t s _ d- 3 v ."' r•. , ... •'�. ... Y S pviw� A Snaf•r• <� d a'n Ne. 1457.E a. sr APWVF//OKIIDATE LEGAL ` 5T7 ? R! N G� 2JTJ1-11' 72-013 Ifiay. 3178) S ,.- UNICIPALITY OF ANCHORAGE _ , t DepartmenHealth and Environmental otection 825 L Street, Anchorage, AK. 99501 264-4720 Permit n * * * HANDWRITTEN PERMIT /Jd _rec.' Wfit IjN� OR ON-SITE SEWER PERMIT Applicant: �L4,1C'-0_ J--C2-Qc4L,;�, �j`�,_Z rVailing Address: 16 5r- iSEk 7 Location: �• *� , Phone Number: 97�j Legal Description: L,_� R/ % Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: > Holding Tank: Maximum Number of Bedrooms: 3 Soil Rating(sq.ft/br) /,50 The Required'Size of the Soil Absorption System Is: IMS"( 'k-_ 6," Winder DEPTH LENGTH aD X 3+-/ GRAVEL DEPTH U" o ue< 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(HOLDI-NG) TANK SIZE _ lorc GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * *.* TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this departmen- will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee 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 3 3 * * * I certify that: (1) I am faril set foith (2) I will ins (3) I.lundersia �t re id Signe / / /5n icant SWP/024(1/81) with the requirements for on-site sewers and wells as the Municipality of Anchorage. 1 thsystem in accordance with codes. �hatAthe on-site sewer system may require enlargement if emodeled to include more that 3 bedrooms. i v Issued by: Date: 11 r X SOILS LOG �— MUNICIPALITY OF ANCHORAGE PERCOLATION ..., DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: - ym- �7 /�/CC�/►/f�) DATE PPERFOED: 6 'f LEGAL DESCRIPTION: ✓ I c1! E�'e(/L/ C/Cl ,R�}M- pEPTH C•n� G " L7/ SLOPE SITE P AN 2 LTr S -�7 Aj O a c i c /+7 5 0 C 6 6 7 Gt/ 9 c, CLH��I 10- 11 WAS GROUND WATER ` L ENCOUNTERED? O 12 P IF YES, AT WHAT / E 13 �� ,� ,Oti DEPTH? -. y•..��a �� 1176F. F3 s� 19 Reading ,1 Date Gross Time •''• 14 Net Drop 15 16 /'r, rob.n A. Lhusrr j s P.;' �• No. tl.•.• 1437.E17 ', s((� (.ice 18 19 Reading ,1 Date Gross Time Net Time Depth to Water Net Drop d; 1 20 I I PERCOLATION RATE (minutes/inch) II��JJ TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: 72-008 (6/79) CERTIF) u y..1 MUNICIPALITY OF ANCHORAGE e^ i DEPARTI.. 4T OF HEALTH AND ENVIRONMENTAL F. jTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 2644720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ar�rL tL l 1 o. t_T. pa s'T Cb- L (,c+Jct . (b) Applicant Name Q L -W6- r � — Telephone: Home fig$_ LiS Business 613 Applicant Address 5 -S /3Qx- Solos — G14Y4fASyL (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ :Buyer ❑ ;Other ❑ (explain); 2. TYPE i Singlc Numt 3. WATI Indivi ! 6i Note: !. attest 4. SEWI Onsit Note: attest Page 1 of -ending Institution Telephone lddress I i' ;eal Estate Company and Agent I, I, %ddress 4 ij 1 telephone q 1. Mail the HAA to the following address: S & S Enn*fn=4 ". SRB 196xragi }, e..)vcr, as a995" V OF RESIDENCE -Family Multi -Family ❑ Other I Bedrooms er of iR SUPPLY1� fual Well CE� Community ❑ Public ❑ If community well system, must have written confirmation from the State Department of Environmental Conservation ng to the legality and status. ; M' AGE DISPOSAL c �'11f Public ❑ Community ❑ Holding Tank ❑ If community well system, must have written confirmation from the State Department of Environmental Conservau @vIri ng to the legality and status. t { 2 72025 (11187), �IIII F^ ' 11111111F 5. ENGINEERING FIRM PROVIDING 1. ,PECTIONS, TESTS, FILE SEARCH, DATA ...gyp O As certified by my seal affixed hereto and as of the validation date shown below. I verify that my7the , m Authority Approval shows that the on-site water supply and/or wastewater disposal System tssal o ; 7- for the number of bedrooms and type of structure Indicated herein. I further verify that based ointorfrom the Municipality of Anchorage files and from my investigation and inspection, the onwaterwastewater disposal system is in compliance with all Municipal and State codes, ordinances, agulations in e, the date of this inspection. Name o1 Firm 5 g S Enginacsing Telephone Addre Date �E OF a�,q 1 ' y '•ti9 1 Eeb..+ A. 31 .s • W i •. No. W7 -E •+�"• 1 `rl' ••• f • cis! ;l9a�pRCFccC'C^�`���� DHEP APPROVAL Approved for_ '`ftR C5 bedrooms by p``� '� " Date Approved Disa�<ved ConXnal Terms of Conditional Approval CAUTION /— /6 —$/o The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. Page 2 of 2 72-025111,84) F i �E OF a�,q 1 ' y '•ti9 1 Eeb..+ A. 31 .s • W i •. No. W7 -E •+�"• 1 `rl' ••• f • cis! ;l9a�pRCFccC'C^�`���� DHEP APPROVAL Approved for_ '`ftR C5 bedrooms by p``� '� " Date Approved Disa�<ved ConXnal Terms of Conditional Approval CAUTION /— /6 —$/o The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority 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 engineers work. Page 2 of 2 72-025111,84) h„mrurnJiY OF ANOIORAGE �••., DEPT. OF HEALTH 3 MUNICIPALITY OF ANCHORAGE (MON) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 284-472D D Legal Description: L -,v s � E •per-G�2_ ?/s�L�L �-�r� I A. WELL DATA Well Classification S F • If A, B, C. D.E.C. Approved (Y/N) a� Well Log Present CqN) Date Completed Yield S •S�nt� Total Depth IZI t' Cased tor �t7r't Depth of Grouting Static Water Level lP7 Pump Set At J Casing Height Above Ground I y Seal on Casing c i) Electrical Wiring in ConduitON) Depression Around Wellhead IWO Separation Distances from Well: ✓ To Septic/yaldtnngg Tank on Lot q C:> ; On Adjoining Lots 1 C7 O E" I To Nearest Edge of Absorption Field o Lot 11 t2r : On Adjoining Lots To Nearest Public Sewer Line A To On Public Sewer 1 Cleanout/Manhole N To Nearest Sewer Service Line on Lot Water Sample Collected byS S �� +- -��r+ ("f d--vnir�NY' ; Date + I % (3 to Water Sample Test Results Comments N&� n�/-M&-V 5IAf7, � Tb �fZO�iJci ��J S o•Jz . S !�?M . B. SEPTIC/UOLDING-TANK DATA Date Installed I1' g rB3 Size 1 000 No. of Compartments 7— Standpipes &N) Standpipes&N) Air -tight Caps jTN) Foundation Cleanout(!PN) Depression over Tank (Yroµ Date Last Pumped 1 -'moi - 8 Pumping/Maintenance Contract on File (Y/N) a ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/iiet6ing-Tank: r WMVIIY To Water -Supply Well � � To Building Foundation S To Property Line 1 c7141 To Disposal Field 1 0 1 To Water Main/Service Lin�1�'� To Stream. Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11,84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata k Sop 611 Type of System Design C3t�fl Date Installed l 1— 8 31 Length of Field Width of Field %n7 Depth of Field I �� — Cf t r`)• u Gravel Bed Thickness v Square Feet of Absorption Area �� Standpipes Present4y7N) Depression over Field (Yv Date of Last Adequacy Test Results of Last Adequacy Test els rrtrl Separation Distance from Absorption Field: To Water -Supply Well o To Property Line br } To Building Foundation Lot To Existing or Abandoned System on On Adjoining Lots To Water Main/Service Line Vfl )'(' Tp Cutbank (if present) 15a To Stream/Pond/Lake/or Major Drainage Course P It To Driveway, Parking Area, or Vehicle Storage Area �o Comments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at N/A Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) 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 5 $ S Engineering —SR 64 Date �f �/ d AF e- - i Company Eaale River, Alaska 99577 MOA No. Receipt No. B-1 h Ll OCi . g '•• S� 1 •% Date of Payment ri s Amount: $ fe _ o ... Page 2 of 2 fit; p'CFFSSfO *�: 72026 01,841 Municipality P.O. BOX 6650 \I ANCHORAGE, ALASKA 99502-0650 of 1 Off' i (907) 264-4111 Anchorage' 1, TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 20, 1986 Robert A. Shafer, P.E. S & S Engineering SRB 196X Eagle River, Alaska 99577 Subject: Lot 3 Block 1 Deer Park Subdivision U1 Waiver Request, WR86-004 Dear Mr. Shafer: This Department concurs with your assertion that the minimum separation distances required by 18 AAC 072.21 are not needed in this case. The required separation distance between the well and septic tank on the subject lot are hereby waived to 90 feet. This waiver is valid for the existing three bedroom dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services /� Itllili.. 4� HEALTH AUTHORITY APPROVALS SEWER 6 WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION a:LOW TEST SITE PUNS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSALSYSTEM DESIGN Jr.nuary 11, 1986 Alunicipatity o6 Anchonage Department o6 Heatth and Human Services 825 L Street Anchonage, Ataska 99501 ATTENTION: Susan Oswatt REFERENCE: Lot 3; Btock 1; Deer Park Addition 81 ROBERTA.SHAFER CIVIL ENGINEER 6942979 A1UNICIPAUTy OF ANO.IORAG, DEPT. OF HEALTH 4 ENVIRONMENTAL PROTECTION SAN 14w6. RECEIVED Request you approve the attached Heatth Authority Approvat and grant a waiver bon the horizontat separation distances between the wetl and septic tank o6 90 beet. You .issued a Heatth Authority Approvat on the re6erenced ptopenty dated 3/1/84. At that time you accepted the 6act that you had approved a waiver at the time the system was instatted on November. 8, 1983. However, in accordance with our records, an o66i.ci.at written waiver has yet to be granted. The septic tank was inatatted with water .tight couplings and in accordance with the weft tog there does exist a hardpan .layer between the depth o6 17 and 33 beet. There is atso a Layer o6 .tight packed sand between the depth o6 55 and 79 beet with clay and gravel between 79 and 116 beet. The static water .levet in the vett casing is measured to be 67 beet. The ground topography between the weft and the on-site septic system is at a stope o6 approximately 10% away 6rom the wett. In accordance with our risk anatyais, bacteriatogicat pottution is not poasibte. The4e6ore, the horizontat separation distances preschibed by 18AAC072.21 are not required in this case. 16 we may be 06 6urther service, please contact us. K1 -C. :SRAnR, P.E. sa SRB 196X EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRCN11ENTAL PRO'T'ECTION APPLICATION FOR HEALTH AUTHORITY APPFZVAL CERTIFICATE 1. General Information (a) Legal Description (include lot, block, Location (address or directions) Applicaticn Date 2 - ;� y -Q1-1 6,i. '�c- ion, section, --T/.roc/ E range ) 4AP/170/j —4 (b) Applicants Name ������,�n Cir t.S• Telephone t "��:� Applicants Address ()c, CIn1,—1-10l..c�4 car,.; R „�R C,K c�ci--17 ' J (c) Applicant is (check one) Lending Institution Own-ar/builder PRT; Buyer r� ; Other f� (explain); (d) lording Institution Telephone �.qu _ c1 �— Address Z_0f. G RI"OR (e) Baal Estate Co. 6 Agent Address C'o P,o c : yr? �c c,o R ..Ne �z Telephone \,.c�V . 'A, c, 2. Type of Residence Single -Family F71 Multi -Family Q Number of Badroam 3, 3. Vbter Supply Individual 'AbIl M-71 Comunity Other (describe Public Note: If eca=nity well system, must have written confirmation from the State Department of Envircr=ental Conservation attesting to the legality and status. Is the well adequate for the number of bedrooms specified in this HAA (YIN) 4. Sewage Disposal Onsite = Public � Ccrrn:nity (-::I Holding Tark Is the wastewater disposal system adequate fcr the rimtnr of bedrooms (Y/N) (Page 1 of 21 2-15-84 .5. Engineering Firm Providing Insoections, Tests, Data and Information I certify tha checked, verified, or confcrmad to all M]A HAA Guidelines in effect on the date ,this. irsrAction. Date Z�Z�d7 Address iiAir- Signed c Signed by Date (ENGINEER SEAL)%; II'b• . R. 6.DHEP Approval Approved for 3 bedrooms By �u a .+� �a Cr+cLr Date I .PS/ Approved Disapproved f—I Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Ervircrmental Protection dons not guarantee the continued satisfactory performance of the water supply and/c= the wastewater disposal system. This approval indicates that, as of the validation: date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional for the number of bedroans pnd type of structure indicated. (DHEP SEAL) 7. Mail the HAA to the following address: V + KB2/d5/s 4yrral� (Page 2 of 21 A 7 2-15-84 A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Lot 3 Block 1 Deer Park S/D #2 Well Classificati If A, B, cr C, D.E.C. Ap roved(Y/N) A v. M -`'1 Well Log Present (Y Date Crnpleted 3 Aq 3 Yield 'o -e Total Depth Cased to q �7 Depth of Grouting - Static Water Level Ar] / Pump Set At G( l Casing Height Above Ground z Sanitary Seal on Casing((YPmq Electrical Wiring in Conduit Y , Depression Around Wallhead ) J Separation Distances from Well: le / To Septic/Holding Tank on Lot �n Cn Adjoining Lots �OC�. To Nearest Edge of Absorption Field on Lot/IO - ; Or. Adjoining Lots 00 To Nearest Public Sewer Lipe N �%� To Nearest Public Sewer Cleancut/Manhole V To Nearest Sewer Service Line on Lot" Water Sample Collectedy cs sS �i14 />Pee- ,; Date Z 2 6 —JY Water Sample Test Results Come nts /,/.Gi l/G/ e -1 C B. SEPTIC/HX)W94iG-TANK DATA b n Date Install d o .3 Size Ze9 No. of CrnQartmerts Standpipes Y Air -tight Caps (Y Foundation Cleanout Depression over Tank WC) Date Last d /(%P`� Pumping/Mainterance Contract cn File (Y L for Holding Tank High -Water Alarm (Y ) Temporary Holding Tank Permit (Y Separation Distances from Septic/Hol 1 irg Tank: To water -Supply Well To Building Foundation v� To Property Line To Disposal Field To Wa'servioe Lire Z3 — To Stream, fiordLake, or Major Drainage Course ' 7 Comments )a bez Gi Ga 7n eae d 1• [Page 1 of 21 !'roc J'� J -01q_ / 2-15-84 . l• 1 C. ABSORPTION FIELD DATA Soils Rating in t cn .tr t� X Type of System Design /� Date Irstalle 1 ��'v"pi Length of Field �• Width of Field Depth of Field dJSGIL/ TE/J Gravel Bed ThickFPss Square Feet of Absorption Area D Standpipes Presen (Y ) Depression over Field '4 N Date of Last Adequacy Test �/1 Results 'of Last Adequacy Test Separation Distance from Absorption Field: To water -Supply Well ' To Property Line 30 To BuildingFra/�n tii-or. Z �i -- To Existing or Abar.,d d System on �v�--`- On Adjoining Lots !� (f-� To F�r-M:ieservice Line= To Cutbark(iresert) To Stream/Pord/Lake/cr Major Drainage' Course AlA Z�j D. LIFT STATION , / MUNICIPALIT( OF ANCHORAGE DEPT. OF HEALTH & Date Installed / Dimensions Vpf+/ENTAL PROTECTION Size in Gallons Manhole/Access (YIN) "Pulp On" Level at "Pulp Off" Level at ttv High water Alarm Level at Cent (YM) R LCFI Tested for Pumping Cycles during Adequacy Test. gets MOA Electrical Codes(Y/N)' Comments *' Check Permitted Bedroom Rating Against HAA Bequest ** I certify th� �I h v�e checked, verified, or conformed to all MOA HAA on the dat�'of tty;sp�S KBl/d5/6 lI 2p [Page 2 of 2) C P r No. 6> v in effect � Nn, I IG RF •? � I ,&k / 2 t4,<-15-94 Slp ZVI R ADEQUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLOW TEST SITE PLANS ROAD DESIGN SOILTEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK ROBERTA.SHAFER CIVILENGINEER February 27, 1984 6942979 MUNICIPALITY OF ANCHORAGE Ct?T. OF HEALTH & ENVIRONMtNTAL PROTECTION FEB () C' ;SQA RECEIVED Municipality of Anchorage Department of Health and Environmental Protection 825 L. Street Anchorage, Alaska 99501 REFERENCE: Lot 37 Block 1: Deer Parkubdivision; Section 4; T15N; RlW Request a Health Authority Approval be provided for the residence located on the referenced property. The following documents are provided for your information. A. Application for Health Approval Certificate B. rHealth Authority Approval Checklist February 1984. C. Well log ,,.LA ✓^��jt D.. Drinking water analysis report for total coliform bacteria - A well inspection was performed on the well located on the referenced property and yield production test was performed to determine if the well can provide a minimum sustained yield in excess of 0.104 gallosn per minute per bedroom. The results of this test were satisfactory. However this well cannot be guaranteed against subsequent reduction in_yield or failure. If we may lie of further service or provide additional information please do not hesitate to contact us. Sincerely, ROBERT A. SHAFER, P.E. RAS/ss cc: William Crouse SAB 196X EAGLE RIVER. ALASKA 99577