HomeMy WebLinkAboutMOUNTAIN PARK ESTATES #2 BLK 2 LT 9Mountain Pa k
Estates
Block 2
Lot 9
#017-022-09
Municipality of Anchorage Page ! of
Deparlment of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 'L' Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak.us (907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: .~' I.~' o oO ~ 9 ~ PID Number,
Name: ~/¢::t.r-/I~/~ ~ I,~coC~nofer, Wastewater System: [] New ~ Upgrade
Address:
I~OyO I~11~ D~',uG' , ~acA. '~95'1~" ABSORPTION FIELD
Number ol Bedrooms: ~{ Deep Trench i-I Shallow Trench i-I Bed I-I Mc~nd i-I Other
LEGAL DESCRIPTION ~, Haling: iota, Oepm ITem ~g,na, graoe;
BIo¢~ LOt: Subchw$~on: Deplh Io p~be tX>llom hem Onginai grade: Gravel Oeplh benealh p~be:
Township: Range~ ,~lion: ;ill added above original grade: Gravel Length;
I. ~ Ft. Y ~"
Well: E~sf [] New [] Upgrade ~-,eve~w~*h: 3. ~:~ rt. NumberoILines:l Distance between lines:__ Ft.
Classd~cat~on (Private, A. B. C): Total Deptll: C~sed ~o: Total absorp{~on area: P~pe Material: D - ~.? ~
rt. Fl. ffb'O Fe $,c~,oe ~o pvc
DnIler; Date Drilled: Static Water Level: nsta~ler; Date Installed:
FI. A~' 8-=,,.~ Puc. r
v,e~: I Pump ~et al: I Cas,ng He,hi Abeve Grounrf:
o.m:l ~I F~ TANK
SEPARATION DISTANCES c~ m~o~m Ds.~$.P. ~C~r:
Septrc Absotplio~ Lilt HoMing Public,Private Manu~clut er; Capacity:
Tank Field Station Tank Sewer Line ~ I~ ~,'(~ ~ t~ I.,~-~3,~:~ Gal.
Material: Number of Ccxnpartments
s~"~wat">~Oo' >~o' >t,n~' _ ~ / LIFT STATION
$~ze: Manufacturer:
'Pump O~ ' level at: 'Pump off' level at: H~gh water alarm
Curtain Drain . . Pump Make & Model: Eiectncal Inspections performed by:
'~oey~h, " xy.cl'~., ,,.,./~1/,~ ~q,,_ BENCHMARK
l:ngineer's Stamp
V
· ". v. ;-' ; '..-'~'-~e~
Inspectionsperformedby: 6{~,/q~o/, 7~c~, $',,¢ Dates: 1st 0/~[o0 rI~;; ,';~--~ '~ .'~
Department of Health and Human Services approval ~ 52ttcoso~ ~. ,,~oo~ .-
Reviewed and approved by: ~..//=.. / b'] ,F:P.~Date: J..3_~c>/ · :.,., ..-..~.-,. ·
72-013 (Rev. 01/00)'
PERMIT NO: SW000293 .PAGE 2 OF 2
PID NO: 017-022-09 '"__ NEW#BIOCYCLE"
',, ~-~ AEROBIC
~ /~,, ~ TREATMENT UNIT
.i._ / ',,, ~. NEW46'LONG
C"
t l"
LOT g ~ -,~, '"~-."~ .
~ M.T. E
BLOCK 2 . ,o~
, ~ ~ EX ST NG~ ~: ', '
WELL .... ~,~ ............ ~ ~ ~; ~,,,
SW NG TIES: ~: ~:~:~:~ ~ ~,~'
FROM: CDR. "A" CDR. "B" =~:~
TO. , ,
BIOCYCLE "C" 35' 57' '
TR. M.T, "E" 89' 96'
V EW
SCALE: 1" = 30'
4" DIA. D-3034 ~..
INFLUENT LINE
FROM HOUSE BIOCYCLE CO~R ~. ; ~ ~ ;.~--
co .mso. 'SO=LCOW.
, ~ i,v. ~Oo. ' i~V~ ~o0., ,,
~ t;I ..................... ~ 5 0' DEEP S~ER G~vEL BELOW PIPE ....
~ ~ ~ 1 114" SCHEDULE 40 PVC
~ . ~ DISC~RGE LINE TO SOIL , ~ BO~OM ~CAVATION ELEV g5.3' ~ '
~ ~ ~ ~ ~ ~ ABSORPTION TRENCH ,,
~%~ ~ ~ ~ 46 LONG RESIDUAL DISPOSAL TRENCH
~- ~ ~SAND eACKFILL PROFILE VIEW T.H.
~ m ~ X FOAMINSU~TI
~ , ................... ~._,._,,,......... ~ ON ON NOT TO SCALE eOT. ELEV. ~7.~'~
8; ~ ~ ~TERIOROFBIOCYCLE
~ ~ v Z' BLUE BOARD INS LOT 9, BLK 2, MTN. PARK EST. ~2
~DISC~GE ~ ' SEPTIC SYSTEM UPG~DE
PUMP~S~D LE~LING COUSE AS-BUILT INSPECTION REPORT
"BIOCYCLE" TR~TMENT UNIT ~OP ~CI~[CAE S~E~CES SCALE: AS NOTED
14530 ECHO S~EET D~WN BY TFM
~CHO~OE.A~S~ ~516 DECEMBER, 2000
FF. C3~ : CI~L~C~L D. ECTRIC
£0~..
I
N"HEN CORRECIION~ AR~ MADE, Prr4~E CALL FOR INSP£C'fION
DO NOT REMOI'£ THIS NOTIClL
MUNICIPALITY OF ANCHORAGE
Department of Hea)~h end Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Aug 11, 2000
Expiration Date: Aug 11, 2001
Permit Number: SW000293
Legal Description: MOUNTAIN PARK ESTATES #2 ELK 2 LT 9
Design Engineer: 0019 Flattop Technical Services
Owner Name: Marilyn Klawunder
Owner Address: 13040 Hillside Dr.
Anchorage, AK 99516-3262
Parcel ID: 017-022-09
Site Address: 013040 RABBIT CREEK RD
Lot Size: 23760 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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 either: A. Open and closed on the same day.
B. Co~ered, sealed, and heated to prevent freezing.
Received By: G'~.
Issued By: /~.~..~,
Date:
Date:
TllEODORE F. MOORE, P.E.
PH: (907) 345-1355
TECHNICAL
C~ & EN~ON~NT~ ENG~EER~G · ENERGY CONSERYA~N
14S30 ECHO ST.
June 29, 2000 ~CHORAGE, ~KA 99~16
M.O.A. DHHS
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
The purpose ofthis letter is to provide the required design narrative in support ofour application for
a permit to upgrade the wastewater disposal facilities on Lot 9, Block 2, Mountain Park Estates, Unit//2,
located at 13040 Hillside Drive. The existing soil absorption system is no longer able to accept the
wastewater load generated within the residence. The proposed upgrade will include a "Biocycle"
advanced treatment unit discharging into a residual disposal trench. Soils logs, pete test results, a site
plan, design drawings and specifications are enclosed for your review.
The proposed residual disposal trench will be constructed in the vicinity of test hole # I. As can be
seen from the soil logs, the native material between 2.5 feet and 15 feet below ground level is a gravelly
silt with a measured pere rate of 40 minutes per inch. The overlying sandy loam has a considerably
higher percolation rate. Using a soil application rate of 1.0 gpd/sq, ft. as called for in currently accepted
guidelines for Category II Advanced Treatment Systems, this 3-bedroom residence requires an effective
absorption area of(3 x 150)/1.0 = 450 square feet. The proposed 45-foot long by 5-foot deep trench has
an effective sidewall area of 450 square feet.
The topography of the lot in the area of proposed construction slopes gently down towards the west
and south at approximately 3%. The proposed project will have no significant impact on present or
future water supply and wastewater disposal systems serving adjacent properties, nor will it have any
significant impact on reserved space-surface and subsurface, or on drainage.
The property owner, Marilyn Klawnnder has been informed of the need to come in to your office to
execute the required maintenance agreement prior to receipt of the permit. Please give me a call at 345-
1355 if you have any questions on this submittal.
Sincerely,
Ted Moore, P.E.
I LOT e :
I (VACANT) :
I ',
LOT 8 I INSTALL ABANDON
BLK. 3
I "BIOCYCLE" EXISTING ~ :
,,' ~ ABANDON I ', ] ~'_?;I ~
,,. EX~ST~N~ ---~ ' ~~ "
~ WELL ~ / ABS. TRENCH~
~ x , W. 5' G~VEL ,
',.I '
LOT 10 ~
LOT 10 '
BL~ 3 I (VAC~T) :
i '
I ,
i '
,
~ ~%.... ~ ..~.~.~ LOT 9, BLK. 2, MOUNT~N PARK EST.
~W - ~gttl t"~-~ ~ WELLANDSEP~CSYSTEM
~........ ........
~ ~-,.% CE - ~o~ ~ ,~ .~ 14530 ~Cl[O S~T D~WN BY
~,...*~..~,. * ~. NOTE: THIS IS NOTASURVEYED P~T.
~'~c~ ~L LOCATIONS SHOWN ARE ~PROXIMATE.
I 114" SCHEDULE 40 PVC 1.25" PVC
.._i ..a,, .PAOED30" //
/'"LET~OMI ~ I \ ~ "^"
"BIOCYCLE"
TREATMENT UNIT
4" DI~. D-3034
FROM HOUSE
PLAN VIEW
FINAL GROUND SURFACE
WITH 2' SOIL COVER
BIOCYCLE COVER / MONITOR TUBE
__ 3
1
ORIGINAL GROUND --
8
DISCHARGE
PUMP
L1 114' SCHEDULE 40 PVC
DISCHARGE LINE TO SOIL
ABSORPTION DRAINFIELD
~--SAND OR GR~VEL BACKFILL
FOAM INSULATION ON
EXIERIOR OF BIOCYCLE
SULATION
-- SAND LEVELING COUSE
D INSULATION
4ED. 40 PVC
W. 3/16" HOLES ~ 30"
I/2" - 2 lr2" GRAVEL
-- BOTTOM OF TRENCH
RESIDUAL DISPOSAL
TRENCH
LEGEND:
"BIOCYCLE"
TREATMENT UNIT
CROSS-SECTION
Q PRIMARY SETTLING CHAMBER
Q AERATION CHAMBER
Q CLARIFICATION CHAMBER
Q DISCHARGE CHAMBER
L9, BLK. 2, MTN. PARK EST.//2 S/D
SEPTIC SYSTEM UPGRADE
PLAN AND CROSS-SECTION
FLATTOP TECI INICAL SERVICES
14530 ECIIO STREET
ANCtlORAGE, AK, 99516
SCALE:I'-5'-0"
DRAWNBY:TFM
JULY, 2000
q:fattop Cfecfinicaf Services
14530 ~_xfio Street, ~qncfiorage, ~ 99516
tt'fione (907,) 345-1355
Lot 9, Block 2, Mountain Park Estates, Unit #2
13040 Ilillslde Drive
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists ofabandonment oran existing septic tank and seepage pit and
installation ora "Biocycle" aerobic treatment unit that discharges effluent into a 45-foot long soil
absorption trench with an effective gravel depth of 5 feet.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or required by the engineer conducting the inspections.
All construction procedures and material specifications shall conform to Municipal and State
requirements. All separation distances shall be in conformance with Municipal requirements, unless
specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around
any buried utilities.
1.4 The contractor shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherxvise, the homeowner shall be responsible for finish grading
at, er the soil is compacted, as well as placement &topsoil and reseeding all areas disturbed by the
construction.
2.0 Existing Septic Tank:
2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top
and backfilling with soil.
3.0 "Biocycle" Aerobic Treatment Unit
3. I The new 1500 gallon "Biocycle" aerobic treatment unit shall be manufactured, furnished and
equipped by Pegasus Engineering in accordance with the Municipal and State approved design.
3.2 The contractor shall be prepare a suitable site for the "Biocycle" unit and install it as follows:
The location &the unit shall be chosen to maintain a separation distance in excess of 100 feet from the
well serving this lot and all neighboring private wells. The depth of'the excavation for the "Biocycle'
treatment unit shall be sufficient to allow connection to the 4" waste line leaving the house at a
minimum slope of W' per foot, but no deeper than 8'-9" below finish grade in the vicinity ofthe unit. A
cleanout shall be installed within 5 feet ofthe building foundation. All pipe connections to the
"Bioeycle" shall be equipped with waterproof'mechanical couplings. The bottom ofthe excavation for
the "Biocycle" treatment unit shall be carefully leveled and smoothed by the placement ora layer of'
clean sand. Two inches &rigid, burial type, insulation with a minimum compressive strength of 30 psi
shall be placed on the sand prior to installation of the "Bioeycle" treatment unit. The space between the
sidewalls &the excavation and the "Bioeycle" unit shall be carefully backfilled with sand. The top of
the manhole riser shall extend 4" above finish grade, and the final ground surface graded as necessary to
provide surface drainage away from the "Biocycle unit.
3.3 The contractor shall be responsible to obtain the necessary electrical permit and inspections.
3.4 The control and alarm floats shall be set and their proper operation verified by the "Biocycle"
supplier. The high level alarm shall be installed inside the residence at a location selected by the owner.
3.5 The discharge line from the "Bioeycle" treatment unit to the soil absorption system shall be
1.25" dia. Sehed 40 PVC. All pipe connections in the distribution system shall be glued, and the ends of
all pipes capped.
4.0 Soil absorption system:
4.1 The soil absorption system shall be constructed by excavating a 45-foot long trench in the
general area shown on the site plan to a depth of 6.0 feet below existing ground level at test hole # 1. If
contaminated soil from previous soil absorption systems is encountered during excavation for the
proposed trench, the alignment of the new trench shall be modified accordingly.
4.2 The bottom ofthe excavation shall be level. Any compacted or smeared surfaces shall be raked
to allow proper infiltration. Sand for leveling or serving as filter material shall comply with Municipal
specifications.
4.3 A total of 5.3 feet of approved sewer gravel shall be placed in the bottom of the excavation with
the perforated distribution pipes laid level such that the pipe inverts are no less than 5.0 feet above the
bottom ofthe sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing
the #200 sieve.
4.4 Monitor tubes and cleanout pipes shall be of 4' diameter and installed in the locations shown on
the design drawings. The portion of the monitor tube extending through the sewer gravel shall be
perforated.
4.5 Approved filter fabric shall be placed over the entire top surface ofthe sewer gravel. A
minimum of 2 feet ofsoil cover is to be placed over the filter fabric. Ifthe soil cover thickness is less
than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the
gravel, in addition to the filter fabric.
4.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the
surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill
slopes shall be no steeper than 3:1.
4.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have
the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and
seed to promote rapid revegetation ofall areas disturbed by the construction.
5.0 Inspections:
5.1 A minimum of4 engineering inspections will be required during the course ofthe projeet: (I)
initial stakeout with the contractor to establish the location ofthe system and to discuss the plans,
specifications and construction procedures, (2) after the native material has been excavated to expose the
infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test
information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected
up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and
grading is complete. The "Bioeycle" unit requires one inspection after it is set level and the piping
connected, but prior to backfill. This inspection may be incorporated with any ofthe above inspections.
5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
TEST HOLE
LEGAL DESCRIPTION:
DATEPERFORMED:.
PERFORMED FOR:
DEPTH--
(feet) --
1
2
8-
9-
10-
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
Lot 9, Block 2, Mountain Park Estates, Unit #2
July 15, 1999
Mafilyr~ Klawunder
SM Reddish sandy loam
Dry, soft
ML Gray gravelly silt
Dense, hard digging
Many cobbles
Sidewalls do not smear
SLOPE
Depth to Groundwater Date
_No_gr~ndwater 7115/99
_Monitor tube dry 7/23]g9
MW. a_ t e r~__.~g t, 5/31/00
on,tot tube d~y 7/2~00
SITE PLAN
LOT 9
BLOCK 2
Date Reading Clock Net Time Percometer Net Drop
Time (minutes) Reading (inches)
7115 1Z' I~resoaK
7r23 12" Presoak
Add water & start 2:52 23 1/2
# 1 3~22 30 22=11116 1;~/lu
Aclcl water 3:22:15 23 1F2
#2 3:.52:-"I5 ;30 22-'3/4 314
Add water 3~2~5 23 5/8
#3 4~'22.:-45 30 22-718 ;314
PERCOLATION RATE 40 (minutes/inch) PERC HOLE DIAMETER 7
TESTRUN BETWEEN 6.25 FTAND 6.75 FT
COMMENTS: Parc rate applicable to soils between 0.5' and bottom of test hole; experience has shown ~at upper SM stratum
parc a higher May, was probably due to incompletely bac~lled test hole, not seasonal groundwater.
will
at
rate.
Water
level
measured
in
2000
\ PERFORMED FLA O. TECHNICALSER CES. ' CERT--T"ATTHISTESTWASPERFORMEOIN
--\ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
PROPERTY OWNER MAINTENANCE AGREEMENT
ON-SITE WASTEWATER DISPOSAL SYSTEM
~ agrc:mem, dat~ ..~,.~, .dg-~L,~ ,200_4 is made between the Maai¢ipaliv/of
Aochorage Dep.mmen.t of He~ an~. Hum~ Services (DHHS) amd the property owner(s) of
ires agreement is m.~de for the purlx,se of maintaimng aa on4itc wastcwatcr disposal system
on the subject property.
The property owner(s) agr~ to the following:
The property owner(s) will have aa annual Laspection of the system performed by a registered
professional eng~eer. This b:spection sl;dl verify that all effluent aad air pumps, timers,
alarms are functioning as designed. Any dcflci~cics shall be corrected a~d the cng;nccr's
s~ement that t~e system is function;ag as designed shalI bc flied annuaLly with the DHHS.
Proper~y Owner Name
Property C~ner N~m~,
(Notarizc Here)
Judicial Db~icc'~ ~ SS.
ye~r,..~, before m~,
wl~ ~em ~d ac~owlgdg~
cx~ut~ ~e s~ for ~c p~
coat.ed.
~ wimess whereof. I hereunto set my ha~d and
of ' seal.
Nq.-t~u~ic (sigmgrO ..
,~'TER ANCHORACE AREA ~' ,OUCH
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION.
MAILING
/
SEPTIC TANK:
DISTANCE /
FROM WELL ~ ~.L MANUFACTURER.
INSIDE LENGTH INSIDE WIDTH
NUMBER OF
MAT E R I AL ~-~/I-/~--~'~-~ COMPARTMENTS /
LIQUID DEPTH.__.LIQUID CAPACITY ~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS /~ DIAMETER _
LINING MATERIAL / /~ ~/~tB SIZE:
/ / ~//
OR WIDTH~?/, LENGTH--'~L OEPTH
DIAMETER DEPTH DISTANCE FROM:
WELL
BUILDING FOUNDATION
/
NEAREST LOT LINF ~-~
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED Y DISAPPROVED
CONSTRUCTION ~:~//
NEAREST ~.~¢ ~
LOT LINE
OTHER SOURCES
~¢/¢,,-<'/,/'/¢' DEPTH
NEAREST /~/~ SEPTIC
SEWER LINE , TANK __
REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY: ~/--//Z-// -~-/~'~ *
LOT SLOPE:
REMARKS: ~/~/~/./~-F.~ ~/~
Form PW-026
DIAGRAM OF SYSTEM
~q
DATE
APPROVED zx,-~,~.~~
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIEONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
~-~ ~ MAILING ADDRESS ............
PERMIT NO, ,--
~ 7 ~-~7
PHONE
I'lJlt[1C I~ISII!J!gEB.//~) ~ [.CAST IRON $lPIlOll PIPE
....... ' SOIL /~j ' ~SEEP/ ~
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE ,~REA BOfJ~'~'U'GH ORDINANCE NO. 28-68 AND T~'IAT THE ABOVE
FITTED WITH AIRTIGHT REMOVABLE CAPS.
ORAVEE BACKFII. L
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
BOIL TEST RESULTS NOTE.' THIS PERMIT IS NOT VALID WITHOUT ~OIL TEST
~/o ~d~m~:'~ PFRMTT VAI ID ONF YFAR
~INAL INSPECTION= J4 HOUR NOTI~ REQUIRED. BACKFILLING O~ ANY SYSTEM WITHOUT ~INAL INSPECTION
H~ALTH DEPARTMENT AUTHORI~ WILL B~ ~UBJ~CT TO
MINIMUM DISTANCES, ~EQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION T IT DRAIN FIELD 10
S~PT,C T*.K, 25 ft. SEEPAGE Pit 100 ft,, DRAIN FIELD 50 ft.-. ,hdC, drlve~'~¢.' TABLE)
ANCHORAGE, ALASKA 99501
· Depth
Feet Soil Chamacterlstics
Location Sketch
Readlng Date Gposs Time{ Net Time Depth To H20 Net D.~op
;
1
~ · ~' ,.~-' .' '" : :t ....... 4' ~ ~_ ,
Pmo?0sed Installation:' Seepage Pit . * Dpain Field
Depth Of In~e1:, . , Depth ~,o Bottom' Of -P-it O~' T~'ench ~=' ~ '"~.~
COMMEiiT$: .,~' ~.~:'~ -~' ~ '~ . ~ '~- ~ =~ ·
~ ,,/ .. ~ - -~- ,~ ~. :~ ~ ~ ~(=, .o~ . ~ ~.,.. ~ ~.~
~/~~-~ .~. _.~,~, <% .~_~ ~x~ ....... ,
Date: x
',~' '~."'~' ~EPT OF HEALTH
'~' 'Y~/, ~,?[~k~TAL pRoT~TIO~
RECEIVED
Well Owner
M-W DRILLING, INC.
DRILLING 'LOG
Use of Well
Location (address of: Township, Rang,e, Section, if know~; or distance main road
Size of casing
static water level 255 ft. (above)
Screen ( ); Perforated (
Describe screen or perforation
Well pumping test at 5 gallons per of drawdown from static level.
Date of completion 11/17/76
0-280 6" casznc3
5" liner bottom 2i '
6" Depth of Hole .~90 feet Casedto 233~290 feet ~ slotted
(%~. 1~) land surface. Finish of well (check one) open end ( ~O-.:);
. ).
(minute) for , 1, hours W~ith I00>o. : -' ft:<
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
0 Exls~ino Well
?, 3.5
_TO 260
.TO. 2{~5
.TO. 290
_TO
_TO
.TO
_TO.
.TO.
.TO
.TO.
.TO
.TO
_TO
.TO.
.TO
Silty
Water Gra've 1
NWX,VA Ce~ied ContractOr
Certificate No's. 814 & 973
2 ' STATE
GRSATSR ANCHORAGE AREA BOROUGH
Department of Environmental quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received
Time of Inspection
REQUHST FOR APPROVAL OF
iNDIVIDUAL SSWHR & WATER FACILITIES
A. Installed B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Size 2. Material
5. Disposal Field: Total Length of Lines
Distances:
A. Well To: Septic Tank-
, Nearest Lot Line
Foundation to Septic Tank
, Absorption Area , Sewer Lines
· O~her Contamination ·
'"~ Abl§Orption Area
Absorption Area to Nearest Lot Line
'. , Rt~qu~st f6r Approval of ~,..,ividue! Sewer & Water Facflitfe.
',' Page Two
Comments
~, ~lld for One Year Fro: Date SiGned
Greater Anchorage Area Borough, Depsrtment of Environmente] Quality
DIAGRAM OF SYSTEM.
I certify that the information contained in this request for approval to be a true
and accurate representation of %.he sllb.iect sewer and water facilities located at:
Signed Date
OFFICE
?
MOETGAGOR~O~ ~NSOR
B0~er: Larry Klawunder
Seller: John Gary
SU~IVISION NAME
TOTAL NU~ER:
WATER SUPPLY I~y:
.]~Public system
MORTGAGEE SE RIAt NO.
I First National Bank of An(
PROPERTY ADDRESS
(For any info° call
Totem Rea lt~ r~Ioanne NUjN~ills/de_
-- - - } BLO'~K NO- t v NO.
at 272-6547)
Mountain Park Estate #2
i SASE~E~'r i ~__~ New installation
I'
C]¥es I No
"]Community system
$~WAG! DISPOSAL
PART il.--?O gE CO~-~PLETED BY HEALTh4 DEPA~T~AEN¥
HEALTH DEPARTMENT INSPECTOR'S SKETCH
It is the opinion of the [__] State [] Coung' [] Local Department of Health that this individual water-supply system
[] is f'-] is not ~tisfactory as a domestic water supply for the subject properg'.
It is the opinion of the [] Stare [--] County [] Local Department of Health that this individual sewage.disposal sys-
tern with proper maintenance:
~ Can be expected to function satisfactorily, and
is not likety to create an insanitary condition
DATE j SIGNATURE., '/ / ~
-']Cannot be expected to function satisfactorily
TITLE
./~.-~.f~4./_,i Envirmq4me4V~Control 044. I
2-22-?..2
NOTE: The health authority should complete Jne appropriate opinion statement above and afi'.l~ ~at~., signature mhd t!tle in th~ ~
cpaces pro.ideal. -
Use of the above grid for Health Department Inspector's sketch om well os use of the back of this form Is at the option of the
healtg~ outhoriey. ~ ,.
PART Ill.--FOR USE OF ~:HA O~:FICE ~
TO THE CHIEF U~D~RWRITER:
I have reviewed the foregoing and the pertinent FHA Comp|lance Inspection Report, and recommend that the
Individual water-supply system be considered [~ Acceptable ir'-] Not Acceptable
I--I ....... ,_,_ r--I ,.~,a. , ...... ku- t, t~ h [ V ~ D