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HomeMy WebLinkAboutT12N R3W SEC 24 W2W2SW4SE4SW4 S PTNTI R3W
tion 24
W2 W2 $W4 $E4
$W4 $Ptn.
#015-242-08
Sep_20.2022 02:00 PM Anchorage Well & Pump Service Inc 9072430742 #0520 P 1/ 1
MUNICIPALITY OF ANCHORAGE
Development Services Department n_ 1 Phone: 907-343-7904
On -Site Water & Wastewater Section - Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number:
Parcel Identification Number: 015_242.08
Date of Issue: - -
Legal Description Block Lot Property Owner Name & Address:
T12N R3W SEC24 LOPE TRONE JOHN B & BARBARA R (TDD)
W2W2W4SE4SW4 S PTN 7805 UPPER HUFFMAN ROAD
ANCHORAGE, AK 99516
Pump Installation Date* 09 - 19 - 2022
Pump Intake Depth Below Top of Well Casing: 89 feet
Pump Manufacturer's Name: TA -RITE
Pump Model: 7P4H 05 1-Q
Pump Size: .50 hp
Pitless Adapter Burial Depth: 9 feet
Pitless Adapter Manufacturer's Name: MARTIN O N
Pitless ,Adapter Installer:
Well Disinfected Upon Completion? X Yes © No
Method of Disinfection: PELLETS
Comments:
Pump Installer Name: -
ANCHORAGE WELL & PUMP SERVICE
Company: 7540 ICING STREET
ANCHORAGE, AK 99518
Mailing Address: 907-243-0740
City; State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pomp installation.
Municipality of Anchorage
Development Services Department
Building Safely Division.::,~.,--" "= '
On-Site Water & Wastewater Program. 4700 South Bragaw 8L
P.O. Box 196650 Anchorage. AK 99519-6650
www.cLanchorage.ak.us (907) :M3-7904
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:. SW010391 PID Number:. 015-242-08
JOHN LOPETRONE Wastewater System: ri New · Upgrade
Address:
7805 UPPER HUFFMAN * ANCHORAGE, AK 99516 ABSORPTION FIELD
O'Uound
P~°ne:(907) 345--9566 3 · [~ep Trench 0 $hol/ow Trench 0 Bed OOther
LEGAL DESCRIPTION ~' ~ 0.7 ~o/~ r~ 9.02-10.93
w2. w2. SW4, SE4, SW4, Sl/2, - 1.92-5.85 ~. 7.1
0-0.5 n 31 22 ' = 53'
WELL: o New n Upgrade 3 r~ 1 -
.~.....~G.~ .. .. 753 ~ r~ D 3034/ F-810
r~ MONTE ATCHESON ~ 0/8-10/2001
SEPARATION DISTANCES =s, pu= ri Holing n $.T.F P. n Other
To SepUc AbsorpUon Lift Hold;ng ~ ANCHORAGE TANK
· rom TQnk lrmld S~o~ T.,k 1000
Wall 100'+ 100'+ - - 25% ~ STEEL ~ '~ ~ 2
s.,o=o Wore, 100'* ~00'* - - - LIFT STATION
Foundation 5'+ 10'+ -- -- -- '"P.mp ~' k,,M ~ J....~____..~.M~,(,: ~ ~ Mm.
t
~emarke: EXISTING SEPTIC TANK AND CRIB WERE BENCH MARK
ABANDONED COMPLETELY PER U.P.C. SOUTH END OF' MAN DOOR THRESHOLD
ON WEST SIDE OF HOUSE
I*.,,., e.,~ 116.94
.=.'~ nF/ A~~-
Inspections performed by: AWWC, INC. Dates:let lO/8/2OOl
/ ......... [,' :,h"~t ..... 4.....~)
.,,.,,=,,n, o, .p.rov,,, _
R~viewed and approved by:,/...../~ .,Y., /'tO"L'l'r Date://--I-~ ........
AS-BUILT DRAWING
SWO10591 O15-242-08
L
_ I ......
I ~ I
I
16.60 48.94
k~ 133.71 103.94
DBL4 134.50~104.90
/ -N~ D~Nn~ C02 120.49 99.08
~ / ~1 148.31 127.27
~ ~ / ~D8~ ~ ~ ~ ~ ~ C03 131.40 97.81
I~_' ~/ ~ -~ ~2 ,22.80
" ~ ~ 7~ s~c~ ./ ;~ /
X //N~ . ... ,..~..,:, .... ~ /
~ ,;'; ~,.- f- ...~.
· / I k ~ ~ ~;:'~'.:',;~,~
· 4 ~,.; ..... ·
~S~ WATER & ~STE~TER ~ ~/I 4 ~ ] ~ ~'~
JOHN LOPETRONE ~45-95662 OF 5 ~ ~trr.~y ~. ¢~sf
W ~/2. W ~/2. SW ~/4. SI ~/4. SW 1/4. S 1/2 = SICk, OS 24. ~2~. ~Wl ~ . I ~-7955 ..
~b~... · ............
AS-BUILT DRAWINO FOR SEPIIC SYSlE~ UPORADE
p[RId~T NUMBER: AS BUILT D~~G pARCEL IO NUMBER:
SWO 10:591 - 015-242- OB
INSULATION -'~
.~ [FINN. GRADE ,= 99.79+
TOP OF' TANK AT--~ : \ t -- /-'ToOP OUTLr.~ TAN9~ ~9T
~ , , .!
INVERT OF BUNG-/ SEPTIC TANK ~-INVZRT OF BUNG AT
~ ~ /--F1NAL CRAOE
rr11' /
O,.R~I LI ~/--lUSULA'nO.
ttRIC :~'.e[iCC~::i:~C~C~ ~-. I~ OF PIPE
NOTE: INSULATED THE
NORTH/SOUTH SEGMENT
OF TRENCH AND THE EAST
24' OF THE EAST/WEST
LEG
ALASKA WATERcousu,T^,,s. & ~,~STEWATER~uc. ~'~ , ~'l ........ ' '~ "~ ~t'''':':'~'
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ..~¥~T.j ~ ....
JOHN LOPETRONE (907) 545-9566 5 OF
W2, W2, SW4, SE4, SWa: T12N, R3W, SEC 24,
PROFILE AS-BUILT DRAWING FOR SEPTIC SYSTEM UPGRADE
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Sire Wafer & Wasfewafer Program
4700 South Bragaw Sfreet
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
r~ ~lE / ~ - / 0 . ~ /
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 25, 2001
Expiration Date: Sep 25, 2002
Permit Number: SW010391 Parcel ID: 015-242-08
;Legal Description: TI2N R3W SEC 24 W2W2SW4SE4SW4 S PTN
Design Engineer: 0041 AK Water & Wastewater Consultant Site Address:
Owner Name: JOHN & BARABARA LOPETRONE Lot Size: 45375 SQ. FT.
Owner Address: 7805 UPPER HUFFMAN ROAD Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE, AK 99516-2515
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. Ail requirements specified tn 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 either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: ~
Issued By: _ _
Date:
Date: ?-- -01
Municipality of Anchorage
DeVelopment Services DePartment
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.a nchorag e.ak,us
(907) 343-79O4
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR ~, SINGLE FAMILY DWELLING
016-242-08
Permit Number
Property owner(s)
Mailing address (1)
Mailing address (2)
JOHN & BARABARA LOPETRONE
7805 UPPER HUFFMAN. ANCHORAGE. ALASKA
Legal description (Lot, Block & Sub'd.) N/A
Legal description (Section, Township & Range)
Lot Size ~ Acres~
THIS APPLICATION IS FOR:
Sewer Only []
Sewer and Well []
Sewer Upgrade ·
THIS PROPERTY CONTAINS:
Hot Tub []
Swimming Pool []
Therapy Pool []
Day phone 345-9566
Zip Code 99516
T12N. R3w. SECTION 24: w2. w2. SW4. SF4. SW4
Number of Bedrooms 3
Well Only []
Water Storage []
Jacuzzi []
Water Softening Unit []
~ PT~
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.
ALASKA WATER & WASTE:WATER CONSULTANTS. I'NC.
--(Signetu~e-of-property-owner-or-authorized~gent )-
Permit Fees:
Date of Payment:
Receipt Number:
Waiver Fees;
Date of Payment:
Receipt Number:
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average
topography of this property is a 10 to 25 percent running from approximately southeast to
northwest; in short, there are no slope concerns. The trench is to be installed parallel to slope
contours.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
., M.S.
NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a soils log,
and a 7 page construction specification letter which are all part of the design package for this
septic system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
I I I I
I I I I
I I
r~ SE:CRON 24, T12N. R3W, I LOT I I
% 1%, ~ %?~) I
[XISllNG
B[:DROOM HOUS£
I
LOT 1, I ¢~£ L.T~HY
I WELl. AND S~110
ALASKA WATER & WASTEWATER
SITE PLAN DRAWING FOR SEPTIC SYST£M UPGRADE
i \
NOTE: THE CONTRACTOR SHALL HAVE THE WEST PROPERTY LINE
/ AND THE 100 FEET WELL RADII SHOWN FLAGGED BY A REGISTERE:C \
L LAND SURVEYOR PRIOR TO CONSTRUCTION.
' '
\\ II F,,~, ~.~- /
'"~ ///
___. - I! ,'F'~.~ zz -x, '
/ ". \ \ ?~;[~','..?. //
. I -- \ ~ l; .:
/ / ' % % V: :::-'.:-~.t,: :.'-. "A~
,.. t I .% .., h~ ,, :. . .,.. p.- z ,./
DATE:
s / 17/2oo ~
co,s,,,^,,s.,,c.~ 1- - ,,o. .....-..
,,~,~ to,: ,,o,~ ,u,~ P~ ,u,8~,: ~ ..... ~....~........
JOHN LOPETRONE 545-9566 2 OF 2
W 1/2. W 1/2. SW 1/4. SE 1/4. SW 1/4; SECTION 24. T12N. RSW ~ll~l~;.....~.~ ....~. ...... .....<~_~=.
DESIGN DRAWING FOR SEPTIC SYSTEM UPGRADE
CONSULTANTS, INC. J / fJ~ ~' .
~cs~m"c~s~`~.~c"c~`~.~"~o~m~.~"`~m~~.~`~`~-~ ~""'""J'"~; "~': '~'~
ISOIL LOG - PERCO~TION TESTJ ~.., ~.. ~.[...~ ...~:..
~ D~CRI~ON: T12N, R~, SEC 24 ~ '~ef ey
PERFORMED FOR: JOHN ~ ~ LOP.ONE DA~: 9/5/01 ~e~ .....
~~ o.~,~ ITEST HOLE ~1
~ GM CL ~ - ~
SW MH ~ / ~.
5 SM OH ~ ~ ~ _ ~
~ sc
7~[~]~ DEPTH TO DATE ~ ~~ ~) /
,,'-., ."
~ ~ i T/:.~ D~ 9/5/01 ~ / ~ ,.
10~ ~ DATE RE,lNG CLOCK NET TIME WATER LEVEL NET DROP
11--~,:~{5~. SV ~ TIME (MIN~ES) RE, lNG (INCHES)
~l]l:~j w~ so~ ~ 9~/2oo~ ~ ~:3o - 6- -
~l][~i .ochre = =:oo ~o ~ ~/~ ~ =/~'
v,..~ 4 2:31 50 2 1/4
~ ~.~ 6 ~:02 30 2 ~/4
19 ' PERC~TION ~TE 8 .(MIN./INCH) PERC. H~ DIA. 6' (INCHES)
TEST R~ BETWEEN 8.0 ~. ~D 8.5
2
COMMENTS: ~OLE W~ PR[SO~ED FOR 4+ HOURS
B~ ~NE~ ~ PERC. ~
PERFORMED ~ ~ WATER · W~A~R I, ~E~ ~ ~N~S, CER~ T~T THIS W~ PERFORMED
IN ACCORD~CE W~ ~ ~A~ ~D MUNICIP~ GUIDEUNES IN E~CT ON ~IS DA~:
DEPTH TO DATE
GROUNDWATER
DRY 9/5/01
DRY 9/7/01
M-W DRILLING, Inc.
P.O. Box 110378 · 10330 Old Seward Highway
(907) 349-8535 .
ANCHORAGE, ALASKA 99511
94-124
DRILLING LOG
Well Owner Kutlich, Lee J UseofWe]] Domestic
Location (address of: Tow~hip, Range, Section, if known;ordistance main road
T12N. R3W. Sec. 24. S.M. - W~,W~. SW~. SEk, SW~
7805 Upper Huffman Road
Finish of well (check one) open end ( IL~ );
Size of casing Depth of Hole 305 feet Cased to 23 5 feet
-".!i
Static water level 24~_ t%. ~. (below) land surface.
Screen ( ); Perforated ,(
Describe screen or perforation- !
Well pumping test at ,20,, gaiiOhs pei' (hour) of drawdown from static level,
Date of completion March .3~ ;19~ ,., -'!
, ~.~ WELL LOG
Depth in feet from i , ~-
hours with ] 00% ft.
ground surface
0 TO 2
--_Z--_TO 2
8 ~ 23.5
23.5To' 5O
50' TO. 80
80 ~ 110
110 TO 305
TO__
TO.
~O
T~
~O.
___TO
~OCTT Va C'TO I/
1 -- ~UST~.M E R
Give details of formations penetrated, size of material, color and hardness
RECEIVED
C. SG
~.,: : MAR 11 1994.
SlIty ,Gravel - Dry Municipalffy o~ Anchorage
B~drock:' Grey
~':a'd~sak~':~ orey ..... ;"': · :
Bad~ock: Bro~ - Small water seaps ~n Sporadic badrock
~isu~es. , : .
PAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW940029
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER NAME:KUTLICH LEE J
OWNER ADDRESS:7805 UPPER HUFFMAN RD
ANCHORAGE AK 99516
DATE ISSUED: 2/17/94
EXPIRATION DATE:
PARCEL ID:01524208
LEGAL DESCRIPTION: T12N R3W SEC 24 W2W2SW4SE4SW4
S PTN
LOT SIZE: 45375 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL 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 (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
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.
1 OF
2/17/95
SPECIAL PROVISIONS
ISSU .
W1/2,W1/2,SW1/4,SE1/4,SW1/4,S24,T12N,R3W
Well Layout Plan
LAYOUT PLAN
SCALE 1" = 50'
MUNiCIPALIIY OF
..... ENVIRONMENTAL SERVICES DIVISION
RECEIVED
1. Existing well to be abandoned in accordance with A.D.E.C.
Regulations.
2. New well must maintain a minimum separation of 100' from
existing septic tank and drainfield as well as all septic
and drainfields on adjacent lots.
CORWIN & ASSOCIATES, INC.
1000 E. Dimond Blvd. Suite 205
ANCHORAGE, ALASKA 99515
(907) 522-1311 FAX (907) 349-2236
CHECKED BY DATE
SCALE
.... . ...... ! ~ ,~ ~ ~,.;~: ~.
/ ;'"""; '"'~' ": · i ; .... i : i : ; :
.: ........ / :- · ...... ! ...-.! 4- . l '~=- ¢~..~o ~ .......... ;.- ! ....; -.....-i "-:'-- '"i'"'"'~,'"'"'";
....................... ~.~...~.~: .~.~...; ~.~ ~ ~. , .
..................... ~/:/::e~/~:~. ~~5'~' ~ ~ ~ ~-:;.,
' · " ; ' ; L ~ - :-~ ~.: L ,~%....:.c.:.::L:~.~ ' ................
........ ~ ' :'t: ' ' ~ ~ I~:~:~ ,~,, ' .,,,,' .................... .~ ..,,~,,; .: .......
, ~~ ....... ~ .......... ~ ......... ,...~ _,.~ .~.... ............ ~2~.,..........~ .........
..... :'"'""~ mx~']~ ~ ~ ' ~',~ : .,~ ~. ...........
....... : .............. ~.~,.~. , ~..........?.. : ,, , ~ ~: ~ ~
:t~ 1~ ~ ' .~ A~,,,.~--r~',~,":'~ ............. ~'-"-'"~ .....
........ ~,.,,~ .......... ~ ,,: ~,, :.-:--,- ~ ~ ~ ..... ~': .... , ,,
...... :.,,.. ;...,,.,: ~. :.D/~ m~ L ; ....... :,,,: ,,,.; ......................... '~'"'"'":"' ':' ........
: ~ :. ': :. : ~ ~ [ ::5 ........ ,........~ .................... L...:. .....
....... ~ ............. ~~A:::~:
....... ~, :,.,:,,,.,:.. : :,,,:, ~:~ :~: ~ ,.,,,~:.:.,,::.,~,,~ ...........
...... : : ........ ~ ~-'~ · ~ . ~ . ~
MUNICIPALITY OF ANCHORAI3E
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTIO~
SEP 2 ? 19~
RECEIVED
1577"C" STREET, SUITE 256 Mailing: P.O. BOX 9-2501
ANCHORAGE, ALASKA99501 ANCHORAGE, ALASKA99509
(907) 279-0514 3444715
OCTOBER 15~ 1990
MUNICIPALITY OF ANCHORAGE
632 W. 6th AVE
ANCHRORAGE~ AK.
RE: PROPERTY ACCOUNT # 015-242-08
(W1/2 W1/2 SW1/4 SE1/4 SWi/4~ S. 24~
BEDROOM COUNT ON SAME.
T12N R3W S.M.)
DEAR SIRS;
PLEASE BE ADVISED THAT AFTER AN INSPECTION ON ]'HE ABOVE
PROPERTY~ OCTOBER 12, 1990~ THE BEDROOMS WERE NOTED TO BE
THREE~ NOT FOUR~ AS MUNICIPAL RECORDS INDICATE. I HOPE
THIS INFORMATION WILL AID IN CORRECTING MUNICIPAL RECORDS
ON SAME.
IF THERE IS ANY FURTHER INFORMATION REQUIRED PLEASE DO
NOT HESITATE TO CALL.
', Parcel I.D,#
'1.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
"· ' D v s on Of Env~ronmenta Serv ces
-- On:Site services Section
P,O, Box 196650 Anchorage;Alaska 99519-6650
. · -
"CERTIFICATEOF HEALTH AUTHORITY
APPROVAL FORA'SINGLE FAMII~Y DWELLING
GENERAL INFORMATION '
.CprhpJete legal description
Location (site adUress or directions)
.prdpbrty owner'
Mailing address
re'nding agency
Mailing address
Agent
Address
=
Day phone;
Day phone
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 attds - --
lng to the legality and status of system. ~.~,.~-.
· 4. TYPE OFWASTEWATER DISPOSAL:
Individual on-site
.... ";' nity
.... Commu on-site
Public sewer
NOTE:
If community Wastewater system, provide' written confirmation from State ADEC
attesting to the legality and status of System.
Front MOA #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 b'ased 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 /~'~) EF~.~O'~ ~'-',,,J ~; i/~.'"E/TJ ~ ~ Phone
Address ~0. ~ Z~O~ff ~ ~. AI~
EngineeFs signature ~~'~ Date
MunlcipatitY o~ Anchorage
Dept. Health & Haman Services
DHHS' SIGNATURE
Approved for ~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additibnal Comments
(
· ":: The Municipality of AnCho?age DePart'rfi~nt'0f Hea ih and Human S~rv Ces (DRHS) issues Health Abth°r ty ' "i,
' ', Approval Certificates based only upon the representations given in paragraPh 5 above by an independent '~
;~i "; profess onal engineer registered in the State of Albska The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy'Certain federal and state requiFements. Employees of DHHS dO n0t
: ,, ,.' : condUct inspections or analyze.data befor, e a certificate is issued. The~MUnicipality of Anchorage js not ,,
: ': responsible for errors or omissions in the professional engineer's work. ' :
Municipality of Anchorage'"
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
A. Well Data
Well type
Log present (Y/N)
Total depth 7~/ ~'
Sanitary seal (Y/N)
OtS'z-'-/Z. o b
If A, B, or C, attach ADEC letter. ADEC water system number
D~p/J
Cased to Casing height
~ Wires properly protected (Y/N>
Date of test
Static water level
Well flow
Pump level1
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot ~jrJ
Absorption field on lot 7~/
Public sewer main
Sewer service line '~' '~ ~ /
FROM WELL LOG ~j0i~)--,/~,~
Z4.5'~
AT INSPECTION
/o t
/OO ; On adjacent lots
2/0t9 ; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
vkv_. do./
2)oo~
WATER SAMPLE RESULTS:
Coliform O Nitrate
Date of sample: ,~/i ~/c]¢
/' ~ Other bacteria (~)
Collected by: A. ,/-~ ~
B. SEPTIC/HOLDING TANK DATA
Date installed ./~//~ ~
Cleanouts (Y/N) 'Y
High water alarm (Y/N)
Date of pumping
Tank size ZO~O ~7~1.. Compartments ~,',J 14-,,JouJ/J
Foundation cleanout (Y/N) /NJ Depression (Y/N) /~
/L~/~ Alarm tested (Y/N) /X~ /~
~7/Z ~/-"'/~ Pumper ~'~'~/'~ ~; ~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot '¢J'/- ~'-~" ~Z)/00On adjacent lots ~'/0 0 ~
' Foundation
t .~ _5.b~ ~_ t
To property line "~'/- ~O '~'Z-.~Absorptionfield ~ 2~l~OWatermain/serviceline
Surface wateddrainage /~ / ~ 0 / : ~
72-026 (3/93)* Front CONTINUED ON BACK PAGE
Date installed
Manufacturer
Size in gallons
Vent (Y/N) "Pump on" level at
High water alarm level
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot On adjacent lots
Manhole/Access (Y/N).
"Pump off" Level at
Cycles tested /~/~' 1~ ~' I ~ ~' ,-.,
APR 4 1994
Municipality of AnChorage
Dept, Health & HUma~ Service,w
Su~ace water
D. ABSORPTION FIELD DATA
Date installed
Length /0
Width
Total absorption area, ~JcJ ~-~ 0 v-.J~J Cleanout present (~Y/N)
Date of adequacy test ~7/~-~/¢5 Results (pass/f~l),
Water level in absorption field before test ~- /- /0 ?~
/£~0 P~. z"//~ )'~.
Soil rating (GPD/Ft2) /'~) ~ Pb/P77,z' System type "~ t'7-'
/ / Gravelthickness / f Total depth .~ ~ ¢1
~ (~"~)Depression over field (Y/N, ~
~A~ for .~ Bedrooms
After test ~
Peroxide treatment (past 12 months) (Y/N) ~
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
On adjacent lots
If yes, give date
Properly line
Cutbank
To existing or abandoned system on lot
.,~ 0 A.I f~-- Water main/service line
Driveway, parking/vehic]e storage area
Wellonlot ¢¢'~--5'0~ f"~2 ~'/O01
I
To building foundation .~ /
On adjacent lots ~ ~-~'~ /
Surface water '~/0~) ~
Curtain drain /-JOA) ~'
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA gu/defines in e.E..e~t:¢~;(h~,c~a~te of this inspection.
Signature
,~:
Engineer's Name /~///C4~L-~[, ~
Date //~/~ /
HAA Fee $
Date of Payment /~/~/~,~
Receipt Number ~ 5-.~ ~ 7 (~ ~])
Waiver Fee $
Date of Payment
Receipt Number
72-026 (3/93)' Sack
Parcel I.D. #
1.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska g9519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description ~0. ~o~c~0~ L~ i/~., ~ ~/~, ~ ~ ~/~, ~ ~,
Location (site address or directions) 7~D~ ~ ~F~ ~
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Unless otherwise
2.' NUMBER OF
Day phone.
Day phone
Day phone
pickup.
IOMS:
3. TYPE OF WATER SI PLY:
Individu
Communi
Public
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site
Holding tank
Community on-site
Public sewer
If community Wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025(Rev. 1/91) Front MOAfr~I
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I ve~'if~, th~.t 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 all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm /~-O~,'TP--~.'O,O ~./~.-EYQ~/.. Phone
Address '~-O, J~'~o x ;~ ~/0 77-~ //~ ~4 op.~4 ~¢ L.~''
Engineer's signature
DHH8 S~pNrotTe?fEor _ :__~ be~
Disapproved.
Conditional approval for'~- bedr ms,
with the following stipulations:
Additional Comments
By: 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 federel 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 p.rofess[onal engineeCs work.
72-025 (R~,1/91) Back MOA~21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~5'~ ~or~1o~ COtJf., b-)Yz~eJ~/'~ Parcel I.D.
A. Well Data
Well
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number.
Date completed 4/~./~x/- Driller
Cased to ~:~, ~'- ~ Casing height
Wires properly protected (Y/N)
FROM WELL LOG
Date of test -~/~,/~ ~
Static water level ~ 5/
Well flow g.p.m.
Pump level1 /-/~ /;~ ~/?'/~'
SEPARATION DISTANCES FROM WELL TO:
Septic/ho~!d!.".g tank on lot
Absorption field on lot
Public sewer main
Sewer service line :~
ATINSPECTION
RECEIVED
gU. AA 11 t994
Muu c pa!;[y ot Anchorage
Heaith& Human Services
; On adjacent lots ~, /?~'/
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank /%/o pe~r~ /~,~,/~
WATER SAMPLE RESULTS:
Coliform
Date of sample:
B, SEPTIC/HOLDING TANK DATA
Date installed
Cleanouts (Y/N)
High water alarm (Y/N)
Nitrate
Other bacteria
Collected by: ~(//~,.&~-~ P~//~¢ZLz~
Tank size
Foundation cleanout (Y/N)
Date of pumping 7,/C/]/
?,~//~,-~x Compartments u/~/,~
~ Depression (Y/N) A/
Alarm tested (Y/N)
Pumper ~/s~_~
/
SEPARATION DISTANCES FROM SEPTIC/HO'ED1NG TANK TO:
Well(s) on lot ~ /,z,c, / On adjacent lots
To property line '~7/c~ ' Absorption field
Su r[ace water/drainage ~ /~"
Foundation Z C '/.,-~,.-
Water. ma~n/service line
72-026 (3/93)° Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm leveE
Meets MOA e,ec~ (es'~Y/N)
SEPA~TIO~..~ISTANCE FROM LIFT STATION TO:
~l.dn lot On adjacent lots
D. ABSORPTION FIELD DATA
Date installed / ? (~ '~
Length /,~5~/ Width /'
Total absorption area "/'/~ ~'., ',~.
Date of adequacy test
Water leveE in absorption field before test
Peroxide treatment (past 12 months) (Y/N) ,4/
Surface water
Gravel thickness
Cleanout present (Y/N)
Results (pass~feiPr .
System type
Total depth
Depression over field (Y/N) A'/
for ,S Bedrooms
After test
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot /~//z.-,~ '
To building foundation 31"
On adjacent lots > ~-'c~ '
Surface water -> /~'¢' '
Curtain drain /"///f-"-'
On adjacent lots >/'?/~', Property line /'~'
To existing or abandoned system on lot
Cutbank ,~/~/'~ Water, main/service line ,~ ~zo '
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I ce~'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in.effect on the,date of this inspection.
Signature
Engineer's Name
Date
HAA Fee $
Waiver Fee $
Date of Payment
Receipt Number
Date of Payment
Receipt Number
72-026 (3~93)* Back
WATER WELL ADVISQRY.
HEALTH AUTHORITY APPROVAL NO./~/~ ~ZA
During a recent Health Authority Approval on-site inspection and
test,of, the potable wRter, supply well on Lot ~11 Block
of ~J/~ ~c~-~$P%/ Subdivision, the 's productivity
was determined to be ~,~O gallons per minute. The minimum well
productivity required by this depprtment (AMC 15.55) for
a .~ bedroom residence is g3/ gallons per minute.
Although the subject well currently exceeds this minimum
requirement, all parties concerned are advised that the
production capacity of the well may fluctuate. Restriction of
noncritical water uses such as washing cars and watering lawns
and gardens may be required.
This advisory must be attached to all copies of t'he subject
Health Authority Approval.
Septic System Advisory
There is 5'10" of standing water in-this 30 year old seepage
pit observed during the recent adequacy test. This indicates
that approximately 90% of the absorption area is surcharged,
therefore, the remaining life of the seepage pit may be limited.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
April 4, 1994
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Attention: John Smith
Subject: South Portion of Wl/2,W1/2,SW1/4,SE1/4,SW1/~
Section 24, T12N, R3W (7805 Upper Huffman)
Health Authority Approval Certification
Dear John:
The attached letter from M-W Drilling indicates why the location of
the second well serving the subject property was placed in its
present location. It further states the well is drilled 282' into
bedrock with the casing dry grouted directly into the bedrock. It is
highly unlikely any contamination will find its way into the well.
Copies of the water test results for total choliform were previously
submitted to you. The results for Nitrate count are included with
this letter.
An inspection of the septic system completed in 1990 indicated a
french drain type seepage pit was found on the lot. According to the
as-built developed at that time the new well encroached within the
100' setback limit. Me, therefore, exposed the french drain and
demolished the segmen~ closer than 100' to the neTM Well. The drain
'was loCated 2' to 3' below the ground Surface and was composed of a
1,'by 1' section of drain rock. The drain was constructed in a very
impervious silt type material which severely limits its effectivness.
Our excavation revealed a very clean sandy material at a depth of 5'
below ground. The seepage pit is constructed within this sandy
lense.
The french drain was found to be completely clogged with no-
drhinage noted. Nevertheless, we demolished the section of trench
within the 100' radius and completely plugged the drain at a
distance 120' from the well. We then verified the adequacy of the
seepage pit after the drain had been abandoned.
Dept. of Health & Human Services
April 3, 1994
Page Two
The adequacy test completed by Ted Moore in July indicated the
seepage pit absorbed approximately 2,000 gallons of water in less
than 30 minutes. We found the water level in the seepage pit at the
same elevation as noted in July. We then injected water into the pit
and noted the water drop. Again, the water returned to its original
elevation within a short period of time. The removal of the portion
of french drain had no impact on the effectiveness of the seepage pit.
It is functioning adequately to serve the home. Since it was
constructed in 1962 it is difficult to determine how much longer it
will provide such service, but at the present time it meets all
Municipal requirements.
The new well and existing well are now plumbed in series. The
combined water supply is now in excess of the 450 gallons per day
required for a three bedroom home. We, therefore, request the
Certificate of Health Authority Approval for a Single Family Dwelling
be issued for this property.
Sincerely,
Michael E. Anderson, P.E.
M-W Drilling, Inc.
1LO. Box 110:178, Anchorage, Alaska 99[,11 (907) 345-4000 I"a~x~ 345-3287
03/21/94
Mike Anderson
Rockford Corp.
Fax ~344-2130
Lee Kutlich Well System
7805 Upper Huffman Road
Dear Mike:
I reviewed the locations on the property where the new well
could be placed and still maintain the necessary separation
distances from the observed septic tank and drainage crib
which are indicated on the plat dated 01 Oct 1995. The plat
of the lot sl~ows several utility and right of way easements
which restrict the usable area for the well. In addltton,
overhead powerltnes make placegent on the lot very dangerous.
It was and is my professional opinion the current location
the safest and most accessible area in which to drill the
well. Considering the contamination constraints for well
locations 0]3 this lot and the fact that the lots to the
south, across Huffman, have known histories of extremely low
yield wells,~thts location appeared to provide the greatest
chance of success for finding sufficient water. The well wa
drilled to a depth of 305' of which 282' is into bedrock,
The casing is driven into the bedrock and was dry grouted
with Bentonite Granules to prevent any conta~tnation by
annulus seepage.
I understand the current plan is to plumb the two wells in
series to provide sufficient water to serve the three bedroom
Sincerely,
*y~* ~. Westberg
Pres I den t
M-W DRILLING, Inc.
P.O. ~ox 110379 · 10330 Otd Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA 99511
94-124
DRILLING LOG
Well Owner Kv. tlieh, Lee .....J _. UseofWell Domestic. ,
Location (address of: Township, Range, Section, if known; or distance m~tn road
T]2M. R3W..S.~.,. 24. S,M, .~ Wo,W~__SW .... Sgk, SWP,
7805 Upper Huffman Road
6" 305 ~eet
S~e of e~g. ~ .Depth of Hole~feet Cased to ~3.
Static wa[er level_~4~ it,-- ~- ~low) land surface, Finish of well (check one) open end ( ~ );
Screen ( ); Perforated
Describe ser~n or perforatlo
Wen pmping test at
of drawdown from static ~Vel, (::::: ~/ . -
Dam o~ ~mpletio~
~ '. ;. WELL LOG
Dopth iu feet from
~o~d surface Give det~tl~ df formatio~ penetrated size of material, color and hardness
'~0 f, ~ . · .
S~%.t'Y. ~=avel - Dry
g~r0ck :" :'.Grey
e:drOek: .g~o~-. Sm.l~ ..water :~eap8 tn sporadic bedrock
0 TO__~. ....
.......
23:5TO' 50
50' TO 80
80 TO ]10
__!~1~.0._T0 305
.TO.
.TO.
~ TO_
~__~O
TO
TO
1 -- CUSTOMER
CT&ERef.#
Client Sample 1D
Matrix
Commercial Testing & Engineering Co.
Environmental Laboratory Services
LABORATORY ANALYS S REPORT .-.
94.1155-1
W2, W2, SW4, SFA, SW4, S24 T12N R3W ,, i
WATER
ClientName
Ordered By
Project Name
Project#
PWSID
ANDEP~ ON ENGINEERING
UA
Sample Remarks: ROUTINE SAIvlPLE COLLEC~II~D BY: A.H.
WORK Order 76714
PrintedDate 03/22/94 ~08:22 hrs.
CollectedDate. 03/18/94 ~13:45 hrs.
Received Date 03/18/94 ~ 14:25 hrs.
Technical Director STEPHEN C. EDE
Released By: ~~" ~
Nitrate-N
QC Allowable Ext. Anal
Results Qual Units Method ' Limits Date Date hilt
1.48 mg/L EPA 353.2/300.0 10 03/21/94 LLII
See Special Instructions Above
See Sample Remarks Above
Undetected, Reported value is the practical quantification limit.
Secondary dilution.
UA = 13n~vailable
NA = Not Analyzed
LT = Less Ihan
GT = C~eat er ',than
........ 5_6~_3. B stre?, Anchorag~, AK 99~18-1600 7_T~o_I! (907.) 562-23~53 Fax: (907) 561.5_30.1
ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILDNOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA
EASEMENTS OF
;TH'O's~,,~, ARE ON
HI
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, ,INC.
,.~
TEL[~PHONE (907) 562-2343 5633 S $1reet
Anchorage, Alaska 99518
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
PUBLIC WATER SYSTEM I.O.#
~ PRIVATE WATER S.S.S_~TE~M
City State Zip Code
SAMPLE DATE: ~ :
Mo. Day Year
SAMPLE TYPE:
~ Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
) [] Treated Water
[] Untreated Water
SAMPLE
NO. ~LOCAT~N
s
Time Collected
I,
READ INSTRUOTIONS Mem~,rsne F,ler: Dita¢l Cou~t
BEFORE Veriflcatlom LTB
Final Membrane FiP,*m~esults ,~ '~.
TNTC = Too Numerous To Count
OB = Other Bacteria
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
,..~:'Sat i s f act ory
.~. [] Unsatisfactory
· [] Sample too long in transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special deljvew mail·
/
Date Received '~/Lf-
'Time Received J
Analytical Method: Membrane Filter
· No. of colonies/100 mi.
Lab Ref. No. Result*
40~,.";47
I Fi]
I Ffq
BACTERIOLOGICAL WATER ANALYSIS RECORD
BG8_
, .'Collfe~m/lOOml
Time: / t'~0 a.m.
p.m.
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # (~ \/~ - ~).~-t ~- ~)~ HAA#
GENERAL INFORMATION
Complete legal description
~ 0 . ~o lLm t O t'3
Sz.9,
Location (site address or directions)
Property owner
Mailing address
Lending agency.
Mailing address
Agent
Address
T' /Z-ur oo4
Day phone
Day phone
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-
ing to the legality and status of system.
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 MOA
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 all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm ,/~./,,I ~ -&-)?_~;O/,J ~"/dO/~J ~'--~-/~ItJL~ Phone __ ~ ~/- "f'~/
Address
Engineer's signature '~~
DHHS SIGNATURE
Approve.d for bedrooms.
Disapproved.
Conditional approval for '~
bedrooms, with the following stipulations:
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~)25 (Rev, 1/95) Back MOA #21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: $~" Y"'/, S ~ Y~ ~. z~, '7"lZ~, ~[JParcel I.D.
A. WELL DATA
Well type r
Log present (Y/N)
Total depth ~' ~"
Sanitary seal (Y/N)
ADEC water system number
/~.Z ~- Driller
Cased to ~/./~/.p i Casing height
Wires properly protected (Y/N)
Date of test
Static water level
Well flow
Pump level
If A, B, or C, attach ADEC letter.
Date completed
FROM WELL LOG
MUNICIPALITY OF ANCHORAGE
AT 'NSPECTIOEI~iViRONMENTAL SERVICES DIVISION
OCT 1 8 199,~
,xzJ4rl .CEIVED
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot S"'O '
Public sewer main /~'J'//~
Sewer service line
~ .l~, ; On adjacent lots ',~100 ~
; On adjacent lots. ~'1 ~)~ I
Public sewer manhole/cleanout '~J//~
Petroleum tank ~/'
WATER SAMPLE RESULTS:
Coliform ~ Nitrate
Date of sample: ~/Z~t/~
Collected by:
Other bacteria
D
B. SEPTIC/HOLDING TANK DATA
Date installed l¥/~ Z.
Cleanouts (Y/N) ~
High water alarm (Y/N)
Date of pumping
Tank size ~O~O Compartments
Foundation cleanout (Y/N) /'J Depression (Y/N)
/'-J/,"~ Alarm teSted (Y/N)
I~.,? Pumper ~I-A £S
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ~ ~ I ~,~/~ ~, L3, On adjacent lots
TO property line CD / AbSorption field
Surface water/drainage ~/O~ '
~lOO ' Foundation
/~' / Water main/service line.
72-026 (Rev, 7/91) Front
CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Manufacturer
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manhole/Access (Y/N)
"Pump off" level at
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water
D, ABSORPTION FIELD DATA
Date installed /¢/~,
~'7~;~¢4¢ Length /~ ~ Width
Total absorption area
Depression over field (Y/N)
Results (pass/fail)
Soil rating
Gravel thickness /
Peroxide treatment (past 12 months) (Y/N)
Cleanouts present (Y/N)
Date of adequacy test
for ~
System type
Total depth
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot ~'"0 ¢
To building foundation
On adjacent lots
Surface water '~/bO
Curtain drain
If yes, give date
Driveway, parking/vehicle storage area
On adjacent lots '~/¢O ¢ Property line
To existing or abandoned system on lot
Cutbank /~/A water main/service line
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Engineer's Name
Date
HAA Fee $
Date of Payment
Receipt N u m b e r ~--~-~-5--3,~/'~
/2-026 (Rev. 3/91) Back MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
Tom Fink,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 %" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
December ~5, 1994
Michael E. Anderson,
Anderson Engineering
P.O. Box 240773
anchorage, AK 99524
P.E.
Re: W1/2,W1/2,SW1/4,SE1/4,SW1/4,SEC 24, T12N, R3W
Health Authority Approval HA930642
Dear Mr. Anderson:
Based on a thorough review of all pump test data for the water
well serving the subject property, it is apparent that the
production from the well is marginal and appears to fluctuate.
During the past 5 months four different flow tests have been
conducted with results ranging from 0.141 GPM to 0.375 GPM. A
sustained production capacity of 0.312 GPM (450 gallons per
day) is required for a 3 bedroom house.
This office will issue a conditional Health Authority Approval
(HAA), which stipulates that the well be retested in July,
1994. If that test indicates the well is capable of producing
450 gallons per day, an unconditional (HAA) will be issued. If
the well produces less than 450 gallons per day, a new well
must be drilled. The combined capacity of the existing well
and the new well must be at least 450 gallons per day prior to
issuance of an unconditional approval.
An escrow account must be established to cover the cost of
drilling a new well, installing a pump and plumbing the well to
the house. A depth of 200 feet for the new well should be used
as a cost basis for creating the escrow account.
Sincerely, ,~ ~
(~hn Smith,~P.E. ,
P~rogram Manager, 0n-site Services
NORTHERN TESTING LABORATORIES, INC.
3330 INDUSTRIAL AVENUE
2505 FAIRBANKS STREET
FAIRBANKS, ALASKA 99701
ANCHORAGE, ALASKA 99503
(907) 456-3116 - FAX 456-3125
(907) 277-8378 · FAX 274-9645
DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA
Flattop Technical Services
14530 Echo Street
Anchorage Ak 99516
Collected by: Ted Moore
Sample Type:
Routine
Method of Analysis:
Membrane Filtration
Sample Sample
Location Date Time Lab#
Public Water System I.D.#
Date Received:
Date Analyzed:
Date Reported:
Next Sample Due:
09/24/93 Time Received: 13:00
09/24/93 Time Analyzed: 17:00
10/06/93 Time Reported: 10:03
comments:
S =
U =
POS =
ND =
TNTC =
CG =
HSM =
SA =
Old =
Satisfactory
Unsatisfactory
Positive Test Result
None Detected
Too Numerous To Count (>200 Colonies)
Confluent Growth
Heavy Sediment 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
No Test
* # Colonies/100 ml
** # Colonies/mi
Total* Fecal* Other* HPC**
Coliform Coliform Bacteria Result Comments
1 7805 Upper Huffman 09/24/93 12:00 AB1841 0
NT 0 NT S
Susan C. Tifental~
Microbiology Supervisor
NORTHERN
3330 INDUSTRIAL AVENUE
2505 FAIRBANKS ST.
TESTING LABORATORIES,
FAIRBANKS, ALASKA 99701
ANCHORAGE, ALASKA 99503
INC.
907-456-3116
907-277-8378
Flattop Technical Services
14350 Echo Street
Anchorage AK 99516
Attn: -
Report Date:
10/05/93
Date Arrived: 09/25/93
Date Sampled: 09/24/93
Time Sampled: 1200
Collected By: TFM
MDL = Method Detection
Limit
Our Lab #:
Location/Project:
Your Sample ID:
Sample Matrix:
Comments:
F128893
7805 Upper Huffman
Water
* Flag Deflnitions
B = Below Regulatory Min.
H = Above Regulatory Max.
Date Date
Method Parameter Units Results * MDL Prepared Analyzed
EPA 353.3 Nitrate-N mg/1 0.51 0.05 10/04/93
Flattop Technfcal Services ..vo,~ .,:,.
AncL_a,~, £daskc~ 99516
SOLD TO
STREET&NO, P°O' ~OX ~1 I1~1
CITY STATE
ZIP CITY STATE ZiP
CUSTOMER'S ORDER SALESMAN TERMS
7L721/
01723
Tom Fink,
Mayor
Municip Hty of ' horage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
December 15, 1994
Michael E. Anderson,
Anderson Engineering
P.O. Box 240773
anchorage, AK 99524
Re: W1/2,W1/2,SW1/4,SE1/4,SW1/4,SEC 24, T12N, R3W
Health Authority Approval HA930642
Dear Mr. Anderson:
Based on a thorough review of all pump test data for the water
well serving the subject property, it is apparent that the
production from the well is marginal and appears to fluctuate.
During the past 5 months four different flow tests have been
conducted with results ranging from 0.141 GPM to 0.375 GPM. A
sustained production capacity of 0.312 GPM (450 gallons per
day) is required for a 3 bedroom house.
This office will issue a conditional Health Authority Approval
(HAA), which stipulates that the well be retested in July,
1994. If that test indicates the well is capable of producing
450 gallons per day, an unconditional (HAA) will be issued. If
the well produces less than 450 gallons per day, a new well
must be drilled. The combined capacity of the existing well
and the new well must be at least 450 gallons per day prior to
issuance of an unconditional approval.
An escrow account must be established to cover the cost of
drilling a new well, installing a pump and plumbing the well to
the house. A depth of 200 feet for the new well should be used
as a cost basis for creating the escrow account.
Sincerely, ~ ~
P/rogram Manager, On-site Services
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
November 23, 1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Attention: John Smith
RECEIVED
DEG 7 199,3
Municipality of Anchorage
Dept, Health & Human Services
Subject:
W 1/2,W 1/2,SW1/4,SE1/4,SW 1/4,S24,T12NR3W
Well Drawdown Test
Health Authority Approval Certification
Dear John:
During the past week we performed two drawdown tests on the subject lot.
These tests were completed at the request of the owner after another test was
performed by Wayne Westberg of M-W Drilling. Mr. Westberg stated that during
his test he noted the well recovered substantially faster at the lowest portion of
the well than at other levels. His information indicates the well is capable of
producing the minimum required .312 gallons per minute if it is allowed to
recover for 15 minutes and then immediately drawn down. Our test results
revealed similar results.
The static water level was initially measured at 31.2' below the surface. The well
was drawn down to the 97.4' level over a period of 31 minutes. The well
produced a total of 128.5 gallons of water over this time. We then allowed the
well to recover for 15 minutes and then immediately drew it down again. Over
this 16.5 minute period the well delivered 5.3 gallons of water or'~1.32_1 gallons
per minute. We repeated this procedure three additional times with similar
results. The second interval yielded ,364 gallons per minute, the third :34~ and
the fourth ~312. This information indicates the well is capable of meetin~ the
minimum prbduction required for a three bedroom house.
It should be noted, however, the aquifer serving this well is probably at or near
its highest levels of the year. Previous tests on the well were performed when
the aquifer was at lower levels. Please review the aforementioned information
and the attached flow test data. Although the well production is marginal it
appears to meet the minimums required at this particular the year.
Sincerely,
Michael E. Anderson, P.E.
WELL FLOW TEST
Dote
Inspector
Well Depth: (ft.) Costin9 Above Ground ~,,.~" (ft.)
Project #
Static Water Level: ~,/.~_, (f't.)
(Hea~ured from top el ¢a~lin9)
Wa t er Vol ume Cum. Heter
Level [gal ) Volume Reading FIo~
Time ~d (ft.) ' (gal.) gal/sec (~pm) Comments
I
I
I
I
Underground conditions are subject to change over t~e course of time
SHEET NO, OF
sc^~s
FAX MEMORANDUM
ANDERSON ENGINEERING
TO: John Smith
WITH: D.H.I-I.s.
FROM: Mike Anderson
DATE: December 8, 1993
SUBJECT: 7805 Upper Huffman
Well Drawdown Test
MESSAGE:
Attached is a memo from Wayne Westberg of M-W Drilling
concerning a flow test he completed on the well located on
the subject lot. Please review this information along with
that previously submitted.
I told Lee Kutlich you would have a decision by tomorrow
night. 1 will call you in tomorrow afternoon to see if you
have arrived at a decision. Thank you for the time and
effort you have put into reviewing this information.
pages being transmitted.
DRILLING
TEL ND.907-~45-5287
.01
M-W Drilling, Inc.
P.D. Box 1]037~,
2. 3.7~ 9milonm
FLATTOP TF. GKNTQAL SERViOES
14530 Echo $~,, Anmhorase~ AK 99516
Bb. (907) 3~5-1355 .~ .,.,:, ,., "~'
ADEQUACY T~ST DATA SHEET
Legal Description:
~ree~ Address:,
Initial Conditions
Float ~3 ~n_.l" ~.Tym~ ,, set
Wa=er added =hrou~hl
Tested By-' .....
pip, ,.. ,,
b.~.o pipe w, .....
ACTION 'T'rME' H20 METER NETj OAL WEL'L FLUTD L'EVE~
TAffEN ' ~ , ·
~ .A~ . ~,~ '.
, Jt q7 - ' '4
I.VO
Adequate for .,,~. Bdrms
Surge Capacity ,-'~gooo~.at
Average Abaorpcien Rat:e - anw Adequat:$ for ~ Bdrms
oos~,m~,, ~ ~,~? UNI' ~_RESlDENTIAL APPRAISAL REPORT ~, N&. 93;3T?TVA293011
'm~ 28 13 ' ~LENDERDISCR~TION~YUSE
~:~m.~ 7805 Upper Hudma~ Road c~s ,,.~ . -
Anchoraqe c~.~,? Anchorage (020~ 3~t. Ak z,pC~ 99~ ] s~.¢,~ ~ ~~
oe~,~¢:~. S Podbn W2W2SW4SE4SW4 S~ 24 TI2N RgW T~: 0!5-242-08J e.m ....
Map Refemn~ 2740 [ ~,~ A,,,~.n~ ~ ~
~' F ~4th ~UO qui~e ~00 Ancho-aqe, Ak 9603 ~Lopeb'oge)II J , '~ ---.. ~ ~--'
~*-- ..... , ,,e-. ' "~ ~ ..... (~ RU;a 'NEIGHBORHOOD~ALYStS Good Avg
BUIL~ UP ~ Over 75% ~ 2545% ~ Mi,der25% Employment
GROWTH R/~tE [] Rapid FV~ S,a~le ~ Slow
[]
Good View of thO!
Lelld~"eplng Lawn/Natural
D dvow-~y Extensive Paving
Rood H~zard yes' ~ X
F'" ! ^~l,;y None ~ ~ Fst~^* M=p'Z~.ne q_20005 03608; g-18-87; zone
or disclosed eucro~chment¢. Tl~e ensure well is rated just trader thai ~equire~ lot a 3 bedro~ residence. Please see n~ached
inee/s r~gort, --
Und~ ~ j Fouad~an ~oncfete
e~,hmoo ~/~'i*Good A~q~aw Avg .~Dish~She, ~ S~m,~o ~ C~.xsm,~Sxomg. ~ ~ [
~2 F..t.;~' Amenities inc]~8~' ~ masdn~ lir~Cee, vaulted T&~ ceiling, extensive ~8 decking, walk ~ ~d~
j~iumbing. 9 x i 1.5 iow cost greenhouse~ 8 x 16 shed.
residence. Ne~d% afl of the iatefior has been remodelled in the past few years;~ the Wtchen and mucl~ of the basement are:
igir~ial. Functional obsolescence reflects sabiect's domestic water supply which is rated for lust under 3
ovemuppl~ and declirdn9 rest estate values tot all markets hem 1986-1989. This condition was due to declining oi~rlces~
)ulation oase~'~lte~ experienc(gg appreciation from 1989 to 1991. the mar¢~ remained stable since mid 1991 but has
evidenced by tl~e conslruction of 600-800 new homes each year if om t990-1993,
2.00 ~ath(6); 1,520 $..qujreFeet~
None noted
eASEMENT
A~ Sq.F,. ] ,424
Gyp ?nit COB
Vinyl/Carpet
e~.,~ ~n~ YeS
iNSU!.ATION
kppaem OK
· · ,. · ' downtown Ancbora~[e_, Buildup is ~rimarily sin~ lamtly
¢O~,4,M6NTS The subject nelghbolhood is [oc~ted 8 redes southeas, of ...... '
residences QL aiJly, ,~p~e~, a/d a])peal'v~ries Irom average lo ~d. Large Jots with moderation 1o- o fa ~lluid
iew9o! tho inteI and mountains. ~e.ighborh0g~buundaries ~n~de; O'Malls~ Opsd to the nominee Pa~ I~
~, ~*~bi' C;'~ the southm ~ Hil~ Ofive to 'he we~t ~ _ ..
~ .... ~ectangul~r ..... . [lop~mphy RoUin to o m h
......... ~ ~ ~ ~ubu ban RCsidenta D sict) z~,irgc¢~t~n~ Yes sha~, ~ect~ngular
EBTiMATED I'IEPRO, dON COBT, NEW.OF IMPROVEM~NT$
...... ~ength Widlh SIoues Squme Feet
181 Floor Please ~ Sketch J 1 0 I 1,620.0
,-enot~ona~ obsolescence ~eJleot$ sublest s domeshc water
~?gp]y which i~ i~tad for j.ust under 3 bedJoOms (p].~ase see
attached 9n.q rmoring reporl:)
Dwo]hng 1 52.0 sq F~ eS 56,00
8smt. 1,424 sq. F~. ~
Ex~t~,* 2 FIr~lace8 Gdo 71200
Nell and Septic Systems
~r~g~,Oa~o~ 686 s~,m eS 24,00 16,464
T~¢ ~*~.,~ N~ : s ... 17~,624
L,~s~ 15.00 6,66 0
OoprOOlOtiO~ 26~494 10~000 -t, 96,494
'J eepreclated Value el Irrlprovemen~ = $ 140 1 ~0
] Site imp as is' (d~oway, I~l~d~¢aplhg.etc.) = $ ~1200
'J ESTIMATED she VA~uE = s . 52,009,
~0~ Upper Huffman RD&dj 3640 E 144th Aveue j 6116AustrlaDflv~ j .Ol4U blat/op ur
P;ISeo24T12NR3W J LoI71Seg_S3T12HR3W J ~.P~mdi~eValley ! _.4/~H~ck~[%
p ~ ,~ -~e~' Wes SW i 3 314 N les ~outh SW __J~ 2 Miles
~ Conventional
...... ~; ,.~;~'~' ~4 none
VA
J e6.9.93 c9-10-93
Average
~Ave+]108 900 SF/Ave -5]~00! 812 SF/Ave+
~n~ndAp~eal ~]de RanchiA:~lli~i~ R~nch/Ave i.5 SIO~
! 28 t 41a/2Je
SF/Good
Chalst/Ave
AveraJ~__. ~ Average
j -4,000 7 12
Co~d~Jion Avera~ Avers I +2,500
Room Cou,~t 3 ¢2,000 +2,00C
Q~os~Lb4hgA~ea 1,520 8q. Ft 107 e~ F~ 1,398 F* I
1424 T 1068 Fie 1!07 T 686 Fin I .5,240 1052 T 946 Fin +3,700 g00 T 900 Fin +6,l 9(
J 2-0-0.75 , 2-2-i J 2-0-0.75 2-0-1
i .... ~'---' ] Fair
,, Fair ! Average-
i HWDB-Gas ! CFA.G~s -5,00(
! 2 Ca~ Gar-686 s~ I none
Extensive Deck 'Deck C/Eni~y -1,001
i CiE Shed Gsa Cdr Sdg
Typical Typic&l
RVO¢,, VC T&G
Gdo
! Woodstove
VC Jacuzzi
-5,006
HWBB-GaB ._i. EBB
+ 12,00C Car Gar-480 si 3 Car Gar-720
Extensive Deck +500 Lg-Deck C/Entr
C/Entry
Typical J Typical
FP/1 Wdst~eJ I Woodstova
M VC 8aywindgw VC BI:~ 4S~,[ts
Gdo
18,500 2,140
-3,00
e.~.~t 187,001 182 193
C2 h~s & 3 bedroo~ie-- view bur steep (~rJvmwy and Inferior s;te appeal. 03 he, s
mole d,fficui! e, ccese, panmamic wow, detached Gear g~r~, electric heat~ 1 bedroom, and sim ar
S, 186,000
deck.
Final flo~undi!~m "~is based on limited data and not ~llte( s gnificsntly,_~e, lncome Approach is not
pedormed d{~e to a lack o! single fami[y renlat data. Direct Manet Comparison provides the best suppo~
value and ~S giver~ tl~e mo~{ welgh~=_~ch comparable has com~alison f~ct~rs similar to the sub,act and has been considered.
I (WE) ESTIMATE TH~ MARKET VALUE, AS D~FINED, OF THE SUBJECT PROPERTY AS OF ___ September 27 te ~ 3 ~o ~, s 1 8 6 0 0 0
~PPR~9~R(S) ~,ate 0f Ala~ ~el,ifJcation # ! 16 REVIEW APPRAISER
S~nalure 1Rappricable) Slgnatulo ~Otd ~OldNo
Nm~ Richard W. Shea¢le~L SRA, AAft116 Name I~sp~t Pronely
Fannie ~,o Form U:X~4 It
~,I{ICI:IARD W. SHEASLEY & AS, £1AT, ES, INC. -,
SU~
UPPEE HUFFMAN ROAO
BUILDING SKETCH
11600
2
204[ /
I
LOCATION MAP
LegalDescription: 5b,?,+, 5~z 2q, Ti2N
~ Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Parcel I.D.
A. Well Data
Well type
Log present (Y/N)
Total depth ~. /o I '
Sanitary seal (Y/N)
Date of test
Static water level
Well flow
Pump level1
Cased to
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed ~,2_ ? Driller L/N/C,/o~
Casing height
N
FROM WELL LOG
Wires properly protected (Y/N) ~'
AT INSPECTION
-//~,~/'~ ~
g.p.m, o.='75' .g.p.m.
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot CS' To C.O,
Absorptionfieldonlot Eo' ~E~ I'~o ~I.A./~ .
Public sewer main NI, ~.
Sewer service line ~o'
; On adjacent lots >/oo '
; On adjacent lots :=-/co
Public sewer manhole/cleanout N./~ · "~'~ '''?'' '~': ~:' ~''?:: '
Petroleum tank ~t
WATER SAMPLE RESULTS:
Coliform ~ cc~ /
Date of sample:
Nitrate o. ?¢' r~,¥/-~ Other bacteria
~j
Collected by: F'/-,~TToP 'T~¢I~
B. SEPTIC/HOLDING TANK DATA
Date installed
Cleanouts (Y/N)
High water alarm (Y/N)
Date of pumping
Tank size 2. ooo
Foundation cleanout (Y/N)
.Compartments
N Depression (Y/N)
Alarm tested (Y/N) N ,A ·
Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot /o$~ r~o~
To property line ~-o' Absorption field I~, ¢.o. ~c.D,
Sudace water/drainage
72-026 (3/93) ' Front
Foundation 26 F~o~ C.o,
Water main/service line ";- ~ o
CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
' Size in gallons
Vent (Y/N)
High water alarm level
Meets MOA electrical codes (Y/N)
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" Levet at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Date installed I%,:~ ~.?,. [9~o ~,A.A~ Soil rating (GPD/FF) I.o ~P~/F(' Sy~em~pe
Leah ~ 55' ~h ! ' Gravelthi~ness I ' Totaldepth
Total ab~tion area ~ ~ ~ ' Cleanout present (Y/N) ~ (p~
Date of adequa~ te~ ~/~ ~3 Results (pasCfail) P~ 55 for
Water level in ~ion field before test E' ~o" ~er test
Peroxide treatme~ (pa~ 12 months) (WN) No~ ~o~
SEPA~TION DISTANCE FROM ABSORPTION FIELD TO:
Depression over field (Y/N)
If yes, give date
'5 Bedrooms
~ ' /0"
Pmpertyline Io' P~ ~,/o ~/,/~./),
Wellonlot ,5-o'?z,'- /~(~' H'/k~- On adjacent lots ~ IOO
F~ ~ c.o, To existing or abandoned system on lot ~ .A.
Cutbank ~,/~. Water main/service line
Driveway, parking/vehicle storage area ~ '/5
To building foundation 31
On adjacent lots 50
Sudace water ;~ loc'
Curtain drain No~( o~, $~R,/~ b
E. ENGINEER'S CERTIFICATION
I cern'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in A~e. date of this inspection.
Signature ~'-~ ~ ~ ~,~.~ .~
~ i~;.J'~' .[~. · =.¥.- %. .'.,
Date
~ ?~..~ :..:-k
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (3~J3)' Back
WELL
Depth:.~ qsirt. )
FLOW TEST
Casting Above Ground ~ (ft.)
Stat ic Water Level: ~/-~./,,~
(rt.) ..~1. 7I I ~/~'
Dale
Inspector
Project
Water Volume Cum. Hater
Time ~ ~vel (gal.) Volume Reading Flow
t.) (gal.) 9°l/sec (gPm}
COi"~ENTS
9c',67
.5
Comments
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
October 16, .1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Attention: Onsite Services Engineer
Subject:
So. Portion W2,W2,SW4,SE4,SW4,S24,T12N,R3W
Well Flow Test
Health Authority Approval Certification
Dear Onsite Services Engineer:
On October 12, 1993, a flow test was run on the well located on the subject lot.
The static water level was measured at 45.67' below the ground surface. The
level was measured at 12:33 P.M. after the well had been in use most of the
morning. A later measurement of the static water level on October 15, at 7:00
P.M. showed the static water level at 31.7'.
Flow was initially measured at .72 GPM and slowly increased to 1.34 GPM after
nearly an hour of running. It was then scaled back to .5 GPM until the pump
shut off at 3 hours and 14 minutes into the test. A total of 158.5 gallons of water
flowed from the well during this period. Over a four hour period this averages to
.66 GPM.
Well recovery was monitored over the following three hour period. At 8:47 P.M.
the water level was at 65.83' below the ground surface. The well, therefore,
recovered at a rate of 24 gallons per hour.
Since the static water level had been reduced prior to the test by approximately
14' due to homeowner use, it is logical to assume the well would have continued
to flow past the four hour test period. At any rate, the average flow of the well
and the recovery rate indicate the well is capable of producing the required 450
gallons of water per day.
The buyer of the property is aware the well flows at
willing to accept the well as it now performs. Actual
during the well flow test are included for your review.
a rate and is
taken
Sincerely,
Michael E. Anderson, P.E.
le
_~_~_~_,~,~r-~rtifying the well for
__,,-,-~o~ur~e. The owner of the home, Mr. Lee Kutlich,
indicates he has an appraisal stating the home is only two bedrooms.
He will furnish this appraisal at your request. Thank you for the
extended amount of time yon have spent on this project. I
appreciate your assistance.
FLATTOP TECHNICAL SERVICES
Cl¥11, & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS
14530 ECHO ST.
THEODORE F. MOORE, P.E. August 13, 1993
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
Lee Kutlich
P.O. Box 241191
Anchorage, AK 99524
Dear Mr. Kutlich:
Per your request on July 29 we conducted adequacy tests of the water supply and wastewater disposal
systems serving your residence located on the Southerly Portion of the W 1/2, W 1/2, SW I/4, SE 1/4,
SW 1/4, Sec 24, T12N, R3W, S.M. While the septic system appears to be functioning adequately for a
three bedroom residence, the well production is adequate for a 2 bedroom residence only. The following
is a report of our test procedure and findings.
We were unable to locate a driller's log for the welt, but a 1990 Health Authority Approval (HAA)
certificate on file at the Municipal Health Department indicate that it may have been drilled in 1962. On the
date of our test the static water level stood at 33 feet below the top of the casing. Steady pumping of 137
gallons of water at an average pump rate of 4.5 gpm caused the water level to be drawn down to the
vicinity of the pump intake at 101 feet below the top of the casing. We then measured the rate of recovery
and number of gallons which could be pumped out again over three intervals of approximately 50 minutes
each. Based on our test data we determined that the yield of the well is 0.275 gpm. This yield translates
into a daily production of 396 gallons per day which is slightly under the Municipal requirement of 450
gallons per day for approval of a three bedroom residence. Water samples collected on July 29 were
satisfactory, showing 0 coliform or other bacteria per 100 mi., and 0.96 mg/1 of nitrate-N.
Well yields do vary throughout the year, and it is possible that if the well were retested at a later date it
might meet the minimum criteria for approval of a three bedroom residence. The installation of
aboveground storage would increase the amount of water available for use at any one time, but would not
change the long-term yield of the well, and thus would not make it adequate for a three bedroom residence.
Because the well is old and the fissures in the bech'ock may be silted in, it is poss~nle that a troller cored
increase the yield simply by surging the water up and down in the bore hole, without actually deepening it.
Deepening the well by another 100 or 200 feet could also increase the yield. According to John Smith at
the Health Depm'tment, the existing well could be deepened without a new permit being requh'ed, and
without jeopardizing the "grandfathered" separation distance to the existing septic system components.
The Health Department would want to receive a copy of the driller's log for the deepening, and would
accept the ddriller's estimate of the well yield. They would also require new water samples to be taken
after the well has been worked on. The last option would be to drill an entirely new well; this would
require obtaining a permit and the well site would have to be 100 feet away from the existing septic system
components. Here again, the chiller's log would be acceptable as proof of the new yield, but new water
samples would be required.
There are no as-built inspection records on ffe at the Health Department documenting the construction
of the wastewater disposal system either, but according to the 1990 HAA certificate the system was
installed in 1962 and consists of a 2000 gallon concrete septic tank followed by another 2000 gallon
perforated tank seepage pit with slotted holes; this is followed by approximately 155 feet of "french drain".
The engineer who tested the system in 1990 stated that the system is 50 feet away from the well, and the
Health Depm'tment has indicated they will not require reverification,of the construction or separation
distances at this time. Since there are no monitor robes in the french drain, to assess the adequacy of the
system we had a water truck add 2000 gallons of water into the perforated tank seepage pit while we
monitored fluid levels in the septic tank and in the soil perforated tank standpipes, before, during and after
the flow of water was stopped. The initial fluid depth in the seepage pit was 63 inches, and the maximum
depth achieved was 75 inches. Within a half hour after the 2000 gallons of water had been added to the
seepage pit the fluid had returned to its original level. We based our conclusion that the system is
functioning adequately for a three bedroom residence on the fact that the house was occupied prior to our
test and the system had a demonstrated surge capacity in excess of 2000 gallons, which is over 4 times the
design daily demand of a 3 bedroom residence.
In conducting an adequacy test we attempt to provide a thorough, conscientious engineering analysis
of the system. The reported resuks describe the performance of the system under the conditions
encountered at the time of the test, and the separation distances are measured to readily idenffiiable
features. Satisfactory test results do not guarantee future performance of the system under different
conditions, nor do they guarantee that there are no hidden defects or encroachments.
In addition to our testing fee and the water delivery and pumping charge, you also paid us $170 for the
Municipal HAA fee. As of next Monday that fee is going up to $300. Since we cannot proceed with
obtaining a HAA certificate until the well yield issue is resolved, I am returning the $170 fee at this time.
If you decide to have the existing well deepened and wish us to proceed with obtaining a HAA certificate,
you should send us a copy of the driller's log and $300 for the HAA fee plus $100 for reinspection and
collection of new water samples. If you decide to drill a new well and wish our assistance in obtaining .a
permit, we will have to charge another $150 plus the Municipal permit fee of $120. Please feel free to g~ve
me a call if you have any questions on this report.
Sincerely,
Ted Moore, P.E.
MEMORANDUM
Date: November 2, 1993
To: Jim Cross
Onsite Services
From: Mike Anderson
Subject:
W 1/2,W 1/2,SW 1/4,SE 1/4,SW 1/4,S24,T 12N,R3W
Well Production
Attached is a letter from Ted Moore concerning a drawdown test he
ran on the well located on the subject lot. He indicates a daily
production of 396 gallons per day. This rate is acceptable for a two
bedroom house.
His data indicates the static water level at the time of his test was 33
feet below the top of the casing. The static level at the time of our
test was 45.67' indicating the well had apparently been in
substantial use prior to our test. His test, therefore, may be more
representative of the well condition.
Our test indicates that at approximately 1:18 P.M. the water level
was at approximately 65.33'. The test further indicates the well
reached maximum drawdown at 3:47 P.M. At 8:47 P.M. the water in
the well was again measured at 65.83'. It took from 1:18 P.M. until
8:47 P.M. for the well to completely discharge and then recover to
the 65.83' level. The amount of water discharged during this period
was 87.9 gallons. The well therefore produced 11.72 gallons per
hour over this 7-1/2 hour period. Projecting this amount over 24
hours indicates a total volume of 281.28 gallons. Assuming that
some in house usage occurred over the 5 hour recovery period the
total volume is likely to be very close to 300 gallons per day.
Please review Ted Moore's report and consider certifying the well for
a two bedroom home. The owner of the home, Mr. Lee Kutlich,
indicates he has an appraisal stating the home is only two bedrooms.
He will furnish this appraisal at your request. Thank you for the
extended amount of time you have spent on this project. I
appreciate your assistance.
MUNICIPAEITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I,D, #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
Location (address or directions)
(b) Property owner ~/'~/"'~7~,'(,(.Q
Mailing Address
(c) Lending Institution ~ Telephone ~.~
Mailing Address
(d) Real Estate Company and Agent
Address /(~./,~
Telephone /~.,//~
(e) Mail the HAA to the following address: (or check here~if hold for pick up.)
List contact person and day phone number below' /
2. TYPE OF RESIDENCE
Single-Family~ Number of bedrooms ~
3. WATER SUPPLY
Individual Well.,J~ Community [] Public []
Note: If community welt system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
OmsiteX Public [] Community [] Holding Tank []
Note:/ -If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72,025 (Rev. 7/88) Page 1 of 2
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Well Classification /~/"~'/
MUNICIPALITY OF ANCHORAGE (MOA) ~
Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
343-4744
Legal Description: ~'0. /)~.,¢~-.f~-? ~/4 ~/~* ~'Z¢2/~
If A, B, C, D.E.C. Approved (Y/N} "'~/J/q'
Well Log Present (Y/N) ,/~ Date Completed /¢7~¢ ~
Total Depth /~(:2/~/Cased to '~-¢2/'/¢- Depth of Grouting /~//,'~
Static Water Level ,-~<~ /
Pump Set At
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Yield ~,, ~ Cp/h,,'¢
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot ~' ~/ ; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot ,~ / ; On Adjoining Lots
To Nearest PUblic Sewer Line //~,'~ To Nearest Public Sewer Cleanout/Manhole
To Nearest Sewer Service Line on Lot ~/0 /
Water Sample Collected by /~,~.-'/'~C ~¢'~/'Z.-C~ ~.
Water Sample Test Results
Comments /
B. SEPTIC/HOLDING TANK DATA
Date Installed //'~' ~' Size :~/~,z.4~)/r~., No. of Compartment~ ~~/~~
Standpipes (Y/N) 7 ~ Air-tight Caps (Y/N) ~_ Foundation Cleanout (Y/N) ~ . ~O~
Depression over Tank (Y/N) ~ Date Last Pumped /~¢¢d ~~~
Pumping/Maintenance Oontaot on File (Y/N) ~ ;for ~/~
Holdin~ Tank HiBh-Water Alarm (Y/N) ~Y~ Temporary Holdino Tank Permit (Y/N) ~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Wa'(er-Supply Well
To Property Line
To Water Main/Service Line
~ :~ / To Building Foundation ~/-/-/'-'
~'-~-------~'/ To Disposal Field
To Stream, Pond, Lake or Major Drainage Course
Comments
72-026 (Rev. 7/88)Front Page 1 of 2
Soils Rating in Absorption Strata ,/~<~) Type of System Design '~'~'~ '
Date Installed .,/~¢~ ~'~- Length of Field .~-~
Width of Field D ~__,,~¢_ ~/~ Depth of Field ~- -~' '¢'27~,'
Gravel Bed Thickness
Square Feet of Absortion Area '"¢~-:-~O Statndpipes Present (Y/N')~ ~/~
Depression over Field (Y/N) ,/~ ,/'Date of Last Adequacy Test
Results of Last Adequacy Test
/
SEPARATION DISTANCE FROMABSORPTION¢/~F~I~4~E.~7~D: .
To Water-Supply Well .~,~2 ¢'~ To Property Line /(~ / ~
To Building Foundation /~"~ / To Existing or Abandoned System on
Lot //U)'/,Z~- ; On Adjoining Lots ~:>,//_~2<¢) /
To Water Main/Service Line ~/'d:;) /
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Cutback (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Dimensions . ---
Manhole/Access (Y/N)..---
t/ ~.~;)ff" ~evel at
/\ / / Vent (Y/N) __
(y.~j.~)/~/.~'"~;'-/ ~ Pumping Cycles during Adequacy Test.
Meets
MOA
Electrical
Codes
Comments
**Check Permit~.Dd'~edroom Ra/t4/~ng Against HAA Request**
! certif.y, that pa)~b/ecked/~r~i/, ed, or conformed to all MOA an~d
.o, /¢
ect on the date of this
Engineer's Seal
Receipt No. -'~-'~-"*?L~L7
Date of Payment
Amount: $ ,/
.)
Receipt No.
Waiver Fee: $
Date of Payment
72-026 (Rev. 7/88) 8ack
Page 2 of 2