HomeMy WebLinkAboutELMORE #1 BLK 3 LT 9
Municipality of Anchorage Page / o f _.,~L.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:~C~,_~c~.~ ~-~:::~ PIDNumber: ~1 '7 I~
Name: ~,~ ~V~ ~ WastewaterSystem: DNew ~Upgrade
· d~..: ~. ~' ~ /~_ ~ ABSORPTION FIELD
Phone: ~ __~ ~ I"°°f~~°°ms: ~eepTrench ~ Shallow Trench ~Bed ~Mound ~Other
LEGAL DESCRIPTION so,,R.,,.~: ~t ~ GpO/sq Ft Total Depth from o~al grade:
Township: I Range: I S~lion: Fill added above o~iginal grade: Gravel length:
WELL: D New ~ Upgrade OravelwiUth: ~/Ft Num~r of lines:
Classd~cahon (Private, A.B.C): Tolal Dept~: Fl. Card TO: Ft Totalabsorption ~a~ SOFt Pi~ materia/:
SEPARATION DISTANCES ~Sep~ic D Holding ~ S.T.E.P.
· o ~,,~ ~..~,,o. ~,,,.o,.~ :.u~,,~.,,v.,. ~.~,u,.r:h ~
Well / 0 ~[0 ~ Material:~l Numar of~mpadmenls:
Surface /~0~ Io0* LIFT STATION
..am.o.',..,:
Remarks: ~ ~ ~e ~ BENCH MARK
Inspections performed.by: ~ .~o~ ~ . Dates: 1st
.. '- 2nd ~-~7
'"' ~qd Huma:~e~ices appr~va~
Department o~ Heal'~ ,.~ Date ~/'n ~
Reviewed and approved by: ~ ~ _ . : j
Psg, ~ of "~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
, /
LegalDescription: ~'l~,,r~. ~t~.,L~,4~p ~:;~{ LO'Jr' ~ I~"~ PIDNo.:
72413 A (2/9t) MOA 25
Permit No. ~ u..3 ct % 0 ~.~/~ Page ~) of. '-~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,O, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report'
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW930246
DESIGN ENGINEER:STEVEN R. PANNONE
OWNER NAME:EVANS RICHARD C &
OWNER ADDRESS:P.O. BOX 10-534
ANCHORAGE, AK 99511
DATE ISSUED: 7/23/93
EXPIRATION DATE: 7/23/94
PARCEL ID:01817135
LEGAL DESCRIPTION: ELMORE #1 BLK 3 LT 9
LOT SIZE: 31937 (SQ. FT.)
HUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD 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 343-4329 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.
SPECIAL PROVISIONS:
DATE:
DATE:
From : KEHh~'TH G. LJ:IHG, Land Sur',~9or Ce~07)
./--
PLOTPLAN ASBUILT SCALE 1%40' GRID .~0'5~, Project No. ,"~-I"/G,
· Anchorage. Alnksa 99515 {902) 345-6476
I H~rcby certify that I hsv~ surveyed the followln$ described l~topcrty: o
~L ~ecordins District, Alask.. smd that t~e lmtrovoments
It Is the rcsponglbllity.~f ~ owncr to determine thc existence
July 13, 1992
Department of Health and Human Services
Anchorage, Alaska
I~UNIClPAUIY OF ANC.~OlU, Gr:
.,~VI,ON~.S~WC~S DIV~SIO.
RE,C EIVED
Re: Onsite Sewer system design for the Rick Evans
Elmore Subdivision Addition #1 Lot 9, Block 3
Dear DHHS,
· This is a request for an onsite sewer permit for an existing residence
located at the above address. The existing system failed an adequacy test
done In May. Therefore a test pit was excavated near the old system. The
soil profile showed gravel (2 mlrdinch) to 8 feet, then it turned to silty sand
below that with a percolation rate of 56 mlrginch. The existing tank Invert
Is at 6 feet, therefore to use the good soil profile we must raise the tank to
its maximum height possible and still meet the drainage requirements from
the house plumbing system. The new tank Invert elevation will be 3.5 feet
and located In the same spot as it exists now only raised 2.5 feet. The
absorption field will be a 5 foot wide trench 2 feet above the silty sand
with a total length of 42 feet formed in a tee shape to avoid the well radius.
No Impacts to the surrounding properties are foreseen. All have
onsite systems already and appear to be performing adequately. The only
lot that Is built on next to this property is lot 10 which has the 100 foot
radius shown. The required set-backs and reserve areas are easily
obtained due to the large lot size and good soils.
The topography of the area is flat with Rabbit Creek on the North
Side across Shoshoni Avenue approx. 250 feet away. The lot footprint is
about 170 feet square, with the North side being the one with Rabbit Creek
on it
Sincerely
Steven R. Pannone P.E.
PERFORMED FOR:
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street. Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST'
DATE PERFORMED:
LEGAl. DESCRIPTION: ~ { r~ ~t-~_~ ~ I! ~'~' Township, Range. Section:
4-
5'
6-
7'
8
9
I0
GROU.D WATE.
ENCOUNTERED?
11
12
13
- 14
15
16.
18-
19-
20-
~OMMENTS
SITE PLAN
IF YES, AT WHAT
DEPTH?
GrOSlTime. ~ ~/~,~,~*' Net Der)th to Net ~,~,~/
PERCOLATION RATE ~ (~ (mmutes,'mcn) PERC HOLE DIAMETER ~.~
TEST RUN BETWEEN /-'~' ~' FT AND ~t ~" FT
Municipality o! Anchoraga
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
PERFORMED FOR:
'EGA' DESCR,PT,ON=
1
2
3
4
5
6
7
8
9.
10-
'11
13-
14-
15-
16-
17-
18-
19-
20-
:OMME.TS (_..~,,o& ~,=,;' (
DATEPERFORMED
Township, Range. Section:
SLOPE SITE PLAN
WASGROUNO WATER
ENCOUNTERED?
IF YES, ATWHAT . p~
DEPTH?
E
Gross/ ~ Net Del}th to Net
PERCOLATION RATE ~' (m,nutes,'mch) PERC HOLE DIAMETER -
TEST RUN BETWEEN ~-~ FT AND ~ FT
~ / -~,'
,
~0' h I~..A~km F. mt I
// t /0
~ ~ ~T o F~
PLOT P~S
~R~ ~n~ .
.~;~_ ~ ~7,. Robe~ E. Johns,~r. · Assoc.
~r ~ ~; ~.~ ............ ~e, Professional Land Surve~rs
,~
-~'~--~
"~ ' . . . ' .... .
,.,,~.. , . ~....~
....
,
J.I. .,. I rjr I
'!~ FF~[ FI~ h ~J~'fll~ i,*bl,I,
[..-,.,.,, ~...... . ,.,.,~
'GARY' PLAYER VENTURE,~
~caCton ~ ~ ~
2
&
&
/<' C.r. oUfldvit e r.
( ) Not
Depth.. l!
{ ) SI~ A~-lTsls
()
D~pth. ~
16
,?
-'~'Total~'De~th of cavatio~ te lax at. '?
~11.]~.'r-- Vat. er ?.eYel lauarJu8 : . . ~: ,-~,, ~. ·
· .- .**.. ....... ~ ..... . -,,,~. , ,~ 5,,:.,..,',
Department of Environmental Quality
3330 C Street
Anchorage. Alaska 99503
SEPTIC TANK=
DISTANCE
FROM WELL
MANUFACTURER
INSIDE V,'IDT H
, MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
L, u,o C^. CiTV/
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
^BSORPT,ON AREA
DEPTtl; TOPO~r TILE TO FINISH GRADE
WELL:
TYPE
BUILDING
FOUNDATION
CESSeOO= .
AIN:~ROVED
FOUNDATICN
DISTANCE BETWEEN LINES
SQ, FT. LENGTH OF EACH LINE
DEPTH OF' FILTER // /
MATERIAL BENEATH TILE
, CONST RUCTIO~J
NEAREST NEAREST
· LOT LINE__ , SEWER LINE
· OTHER SOURCES
, DISAPPROVE L,
DISTANCES:
INSTALLED BY: -~C---~'~ --
SEWER LINE DEPTH:
PIPE MATERIAL.'
LOT
REMARKS:
TOTAL t IrNGTH~.~ y
.NEAREST LOT LINE .OF LINF. S
TRENCH WIDTH--~ IN. TOTAL. EFFECTIVE
REMARKS
SEPTIC SEEPAGE
· TANK . SYSTEM
DEPTH ~ DISTANCE FROM:'
DIAGRAM OF SYSTEM
G.A.A.R.
GREA,ER ANCHORAGE AREA BOk,,JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCA/'ON J LEGALDESCR'PT'ON
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER~~'' MATERIAL
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS ~
LIQUID CAPACITY//~J GALLONS,
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF UNES
ABSORPTION AREA
FOUNDATION.
DISTANCE BETWEEN LINE5
DEPTH: TOP OF TILE TO FINISH GRADE
.NEAREST LOT LINE
TOTAL LENGTH
o~ L,NES
TRENCH WIDTH~[~ IN. TOTAL EFFECTIVE
SQ. FT. LENGTH Of EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE
..//I ·
,~. ABOVE TILE <'/'
IN.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST NEAREST SEPTIC
LOT LINE SEWER LINE , TANK
· OTHER SOURCES
DISAPPROVED REMARKS
DEPTH
SEEPAGE
. SYSTEM
DISTANCE FROM:
DISTANCES: .
INSTALLED BY: ~
SEWER LINE DEPTH:
PIPE MATERIAL'
LOT SLOPE=
DIAGRAM OF SYSTEM
REMARKS:
DATE ~'~--~ APPROVED I-~'-'~
G.A.A.B.
Fo~m EQ-O32
I J-il :H J
L01 SITE
IH..-' t I.--t.Ji~lH t.,IHCr.rgll:,r] 1S 1HF~ I t-HGfH ,:IN Fl:ET) LiF 1H~. TFiCNC. N reA'
tN( [)F-.PiH I-IF I~ YN't~i'-]i]:H D~: PI1 1S qHE: PJ.~:IF~NE:E E',[-:TL,JEFt'I 1HtC .c,t. II~:Fi':II~E (tN-
lJ'"lFN'~' ]'t-; ]'.Il') '~,F1 l,l[[)lH FI-I~-'
~.~F., 1 HE I~11 I l HH J IF: 1' NFl iC>0iI~',;Ft 1 II]lN ( I J"i F-FF]T ).
I:'l=ti::t::Tl=il%E: F'I_ I-=1 I-J-l- CIF'-I- ]~
H pHl:kk:lt}~ F'J.PIIdl H~'?' RF II'~'RTFq.I_[-£t) A1 THF: F'E~:i.llTIP:E"S OF'TIF*N _C,l.lgJECl lO 1H~E
Hrl'=.li~'F'¥'[ftt"] $'T'_~]'~--H ~.][:,/'r)~' y[lll [.1~¥ F'.I-] SI_IB._TECT TCI
ulTF,tfHtli'.l I.~I~-IHt,iE:F BK'I(...!~F:f-,I A L. JF.I.I. I~rb) Hf]Y [IN-_'~I'JE SF__L,.!~ISF. DISPOSAL _c, YSTEH
'le-I~*-I FF'F[' Flli~' 1.4 PN']VHI'F LdPl.l_ itU: 2~.lFI FFET F'('IJ~ H pIIRI_IC bJt~.LL.
OF 'IHF' bJF~I.L I':I-IIqF'I.F-] ](ill
I"ITHF~ ~'~f)IIIA'EI'iI~t. JJS l'lH't~ fiF'F'I._Y ~F'~)'~[F]~:fi'I'JI~IJ.]'~ fiND OClfIr~T[:LI[:T][IFI
· t : i' Afl FH,.'ltl.iFIkt I,II1H I'HE k'ICIJlJIh::EEI.1P'i'.]I'~ FLIN: O~'.i-SI1E SEHEI~:S Ai'.]l) blFTLI.S A?, SET
FI-I[!'IH H',r' iJ.-i~ l,lliraJf:)pJ~l.tT¥ I-If-
:5,: i bJ]l.I, j[.J'-',,ll~i I_ '¥HU' %'e?IF'H Ii'-] ~C. Ci3~'[.,F~NCE LIT'TH THE
'GARY PLAYER VENTURES
CONSULTING GEOLOGIST
SOILS LOG
0
2
6
8
lO
12
14
16
18
20
Soil Type Water Level Remarks
Total Depth Of Excavation
Groundwater
( ) Not Reach~
Depth, if Re~
Classification Method
~isual
( ) Sieve Analysis
()
}~terial at Total Depth
Bedrock
~ot Reached
Depth, if Reached
Gary F. Player, Consulting Geologist
Cc~t ~
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. #
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner · ~ ~ c(~ A ~:)
Mailingaddress ~. ~ ,~;>o '/- ~ o -- ~ ~ !
Lending agency.
Day phone
A/z. 9~)
Day phone
Mailing address
Agent
Address
Day phone
e
e
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
lng to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If cbmmunity wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
Se
ordinances, and regulations in effect on the date of this inspection.
Name of Firm '-;F:% ~J~'o~,-'r-- ~--~',,,,,~-~-~,~,, $~u,~ e~
Address "--J~. a,~%o~c /q"~o?~' A,,uc,// /3. t4.
Engineer's signature _ ~
STATEMENT OF INSPECTION BY ENGINEER ,.....
As certified b~ 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,
DHHS SIGNATURE
Approved for '~
Disapproved.
Conditional approval for
Phone
Date '~-
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employ~s 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.rofessional engineer's work.
Municipality of Anchorage
Department of Healt~ and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalDescrtptlon: ~.o*-z- cr :t~.~,cl4. _'~ GCrae,,~r~ SgParcelI.D. ~::)[~ [ ~* I~._~'*
A. Well Data
Well type ~ ~JA'~-~
Log present (Y/N) /-~
Total depth ;> / ~,o ~
Sanitary seal (Y/N) ~
.If A. B, or C. attach ADEC letter. ADEC water system number
Date completed ~'/.~'~ Driller ~
Cased to > ~o ~ ' Casing height
Wires properly protected (Y/N) ~'
FROM WELL LOG
Date of test *"
Static water level
Well flow
Pump leveil" "'
SEPARATION E~ISTANCES FROM WELL TO:
Septic/holding tank
Absorption, lield on
Public sewer'rnain
e
Sewer s rvl line
AT INSPECTION
; On adjacent lots
; On adjacent icts
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform '- ~ -
Date of sample: .5-/?
Nitrate
B. SEPTIC/HOLDING TANK DATA
Date installed ' ~ Tank size /~.,.~- o
Cleanouts (Y/N) ..... 'T'-'" ,' '* ' Foundation cleanout (Y/N) "~
High Water alarm (Y/N) , "' *>'~ Alarm tested (Y/N)
Date,of pumping "Z'cJ~,"rA ~ ~ .,~ ~ , pump~.r
SEPARATION DIS,TANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot * ' */o 2 ~ .:' On adjacent lots ~ / c~ o '
To property line / ,.~. -t · Absorption field
Sudace water/drainage ~ [/~
Compartments, ~
Depression (Y/N)
~/^
Foundation /
Water main/service line
CONTINUED ON BACK PAGE
/
C. UFT STATION /I./'///~
Date Installed
Size in gallons
Vent (YIN) '; '
· 'Pump on"_level at.
High water alarm level
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
.Manufacturer
Manhole/Access (Y/N)
"Pump off" Level al
.Cycles tested
Well on lot
D. ABSORPTION FIELD DATA
.On adjacent I~t~',
.Surface water.,
Date Installed
Length ~ I
Total absorption area
Date of adequacy test/-//~
Water level in absorpiion field before test
Peroxide treatment (past 12 months) (Y/N)
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
'~'- ~..,~r'.- ~3 Soil rating (GPD/FF) /o ~,
Width ~ f Gravel thickness
Cleanout present (Y/N)
Results (pass/taft)
Systemtype ~_F, --t-'~..~cl~
,'5"- ~ Total depth. ~ ¢
Depression over field (Y/N) /'~'
for .Bedrooms
Nter test
If yes, give date
Wellon lot /(~-!
To building Ioundation. '~ ,~"-'
On adjacent lots
.On adjacent lots ' r..% ~'o~) ' propertyline
.To existing or abandoned .system on lot
.Cutbank ,,v'/'~ .Water main/service line
Surface water
Curtain drain
E. ENGINEER'S CERTIFICATION
Driveway, parking/vehicle storage area
I cer~fy that I have checked, vedfied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
$'lqo
HAA Fee ~ O,O :" Waiver Fee $
Date of Payment '-I - ~°t o ~ r~, Date of Payment
Receipt Number o-':,Q~-t, °t L~O Receipt Number.
72-02~ (3~3)' 8ac~
NORTHERN TESTING LABORATORIES, INC.
3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 · FAX 456-3125
2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277.8378 * FAX 274-9645
DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA
Steve Pannone
2515 A Street
Anchorage Ak 99516
Public Water System I.D.~
Date Heceivedt
Date Analyzed~
Date Reportedt
Hext Sample Due=
08/02/93 Time Received= 15=00
08/02/93 Time Analyzedt 17~00
08/04/93 Time Reportedt 08t30
Collected by= Mike A
Sample Type=
Method of Analysis=
Hembrane Filtration
Commente=
S
POS
TNTC
CO
HSM m
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 mi
** # Colonies/mi
Sample Sample Total* Fecal* Other* HPC**
Location Date Time Labs Coliform Coliform Bacteria Result Comments
i Kitchen Faucet 08/02/93 ~4t00 AB1961 0 ND 0 NT S
Microbiology Supervisor
CIVIL & ENVIRONNIENTAL ENGLNEERING ,. ENERGY CONSERVATION & ANALYSk~
TIIEODORE F. MOORE, P.E. July 26, 1993 14530 ECHO ST.
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
Rick Evans
P.O. Box 110534
Anchorage, AK 99511
Dear Mr. Evans:
Per your request on May 27, 1993 we conducted adequacy tests of the water supply and wastewater
disposal systems serving your residence on Lot 9, Block 3, Elmore S/D, located at 4700 Shoshone
Avenue. The well yield was more than adequate for issuance of a Municipal Health Authority Approval
(HAA) certificate for a three bedroom residence, however the septic system accepted water at an adequate
rate for a two bedroom residence only. I understand you have since arranged to have the septic system
upgraded to a three bedroom capacity. The following is a repen of our test procedures and findings.
We were unable to locate a driller's log for the well, however the septic system inspection report dated
8/'/7 indicated that the well was in the process of being drilled at the same time. On the date of our test our
electxonie sounder indicated that the static water level was 160 feet below the top of the well casing.
During the course of our test we pumped? total of 776 gallons of water from the well at the.ma:x, imum
pump output of 7.3 gprm Pumping at thxs rate had no measurable effect on the water level m the well,
which remained at 160 feet throughout the test. Based on our test data we concluded that the total yield of
the well is in excess of 7.3 gpm, which exceeds the Municipal criteria for approval of a single family
residence, and also meets the FHA criteria that a well be able to supply 720 gallons of water within a 4
hour period. Water samples collected on May 27 were satisfactory, showing 0 coliform or other bacteria
per 100 ml., and 0.29 mg/1 of nitrate-N.
According to the as-built inspection report on file at the Municipal Health Department, the wastewater
disposal system was installed in August of 1977, and consisted of a I000 gallon septic tank followed by
39 lineal feet of soil absorption trench containing 4 feet of sewer gravel. To assess the adequacy of the
system we ran measured quantities of water into the system while monitoring fluid levels in the septic tank
and in the soil absorption system standpipes, before, during and after the flow of water was stopped. The
m~tml fluid depth m the sump at the end of the nench was 36, and when the trench was filled to ale el .
just below the otiflet of the septic tank we measured the reabsorption rate to be adequate for a two bedroom
residence only. I understand you have now had the septic system upgraded, so the enclosed HAA data
sheet pertains to our well test only.
In conducting an adequacy test we attempt to provide a thorough, conscientious engineering analysis
of the system. The reported results describe the performance of the system under the conditions
encountered at the time of the test, and the separation distances are measured to readily identifiable
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.
I apologize for the delay in submission of this final report. Call me if you have any questions.
Sincerely,
Ted Moore, P.E.
Municipality of Anchorage ,~
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~.~, {'
A. Well Data
Well type I~rl
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
It A, B, or C, attach ADEC letter. ADEC water system number
Date completed ~ / 77 Driller
Cased to ~ ¥C, ' Casing height
Wires properly protected (Y/N)
FROM WELL LOG
Date of test
Static water level
Well flow
Pump level1
SEPARATION DISTANCES FROM WELL'TO:
g.p.m.
A~ INSPECTION
5-/?-.71 9 ~
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
WATER SAMPLE RESULTS:
; On adjacent icts
; On adjacent lots
Public sewer manholelcleanout
.Petroleum tank
Coliform 0 ¢o! /Ioo~ Nitrate O. ~ ~,~,/.-'--
Other bacteria
Date of sample: .~/~7 / ~ 3 Colle~ by:
B~OLDING TANK DATA
Date Ins~ Tank size Compa~ments
High water ala~ ~/N) ~_ Alarm tested (Y~
Date of ~mping ' ' ' ;.~~
SEPARATION DISTANCES FROM SEPTI~~~
To pmpe~y line ~ Ab~d W~er mai~se~
ON
Size in gallo'n~
'Pump on" level at
Manufacturer
Manhole/Access {Y/N)
,"Pump off" Level at
Cycles tested
SEPARATION
.IFT STATION TO:
Well on lot
D. ABSORPTION FIELD DATA
adjacent lots
Date installed.
Length .W3clth
Total absorption area Cleanout
Date of adequacy test
Water level in absorption field before test
Peroxide treatment
SEPARATION
Well on lot.
thidmess
System type
.Total depth
Depression over field {Y/N)
.for
Nter test
Bedrooms
live date,
line
To building foundatio~
On adjacent
Curtai~
CERTIFICATION
.To existing
Cutbank Water main/service line
' ~O ,~ ,ew,aY' par~.ng/vehicle st°rage :rea
I ~r~'fy that I have checked, vedfled, or conformed to all MOA and HAA guidelines in effect on the dale of this inspecb'on.
C,~ '. CE. 35a~ ..
Signature
Engineer's Name
Date ~"J*'~f', ~,~, F??"~
HAA Fee $
Waiver Fee $
Date of Payment
Receipt Number
Date of Payment
Receipt Number.
72-026 (3~33)'
zt-
COMMERCIAL TESTING & ENGINEERING CO.
ENVIRONMENTAL LABORATORY SERVICES
Chemlab Ref.~ =93.2429-1
Client Sample ID =L9 B3 ELMORE
Matrix =WA't~.~
REPORT of ANALYSIS
NORTH HOSE BIB
5633 B STREET
ANCHORAGE. AK 99518
TEL: (90~ 562-2343
FAX: (90~ 561-530t
Client Name =FLATTOP ~ECHNICAL SRV
Ordered By :GELS
Project Name =
Pro~ectl =
PWSID :UA
WORK Order =66561
Report Completed =06/01/93
Collected =05/27/93 @ 10=00 hrs.
Received =05/27/93 @ 12=50 hrs.
Technical Director
Released By =
Sample Remarks= ROUTINE SAMPLE COr;~'C';I~ BY: CHRIS.
OC Allowable Ext. Anal
Parameter Results Qual. Units Method Limits Pate Pate Init
Nitrate-N 0.29 m~/L EPA 353.2/300.0 10 06/01 LLH
* See Special Instructions Above UA = Unavailable
** See Sample Remarks Above NA = Not Analyzed
U = Undetected, Reported value is the practical quantification limit. LT = Less Than
D = Secondary dilution. GT = Greater Than
~-I~I~S Member of the $G$ Group (Social6 G~ndrale cie Su~'eiIlance)
ENVIRONMENTAL SERVICES IN ALASKA. COLORADO. UTAH, ILLINOIS. OHIO, MARYLAND. WEST VIRGINIA. NEW JERSEY. SOUTH CAROLINA
