HomeMy WebLinkAboutTRAILS END BLK 4 LT 9 ~ .~NICIPALITY OF ANCHORAGE ~" mOJ¥ &T'B3 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME E] UPGRADE MAILING ADDRESS LEGAL DESCRIPTION q",..,,~Ls C,.,,t B' '4. L- ~ S '7.,./ ~ ~ '~ ~J 9-3 '-'J LOCATION/~o ~ ~, e. ~- NO. OF BEDROOMS~.~ PERMIT ~tO,~1¢~ DISTANCE TO: J Well DISTANCE TO: I Well DISTANCE TO: Top of tile to finish Length Type of crib WeJl Length of each line ¥idth Crib diameter jAbsorption area~_ Inside length Dwelling Total lengt h/(~f~es Material beneath lite Depth Crib depth JDwellir g~t ~. ~L ~-~ Mat er i~j~& t W dth JMaterial Nearest lot line Trench wldth inches Liquid depth PERMIT NO. Liquid capacity in gallons PER IT N . Total effective absorptipn area PERMIT NO. Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line DISTANCE TO: Building foundation Sewer line Septic tank OTHER PIPE MATERIALS Pl,~ s SOIL TEST RATING INSTALLER REMARKS APPROVED DATE LEGAL 72-013(Rev. 3/78) I~S~-kL t,,t. ~._e;'4~ ¢ ., _..MU.~JCIPALITY OF A. NCHORAGE.,~. ~ Department~.~ ~alth and Env~ronmenta~ :ect~on 825 ~ Street, ~chorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * * * Pe~it ~~ WELL AND/~ ON-SITE SEWER PERMIT Applic~t: ~5 ~ ~iling Address: Location: ~r? ~i ~ ~~ ~v.. Phone N~er: ~Ff-- Legal Description: ~c ~-- ~/2~- ~3~ Lot Size: T~e of Soil ~sorption System Is: Trench: Dra~field: _ Seepage Bedt / Holding Tank: Max~ N~er of Bedrooms: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: ' DEPTH -..,~"/ZLENGTH ~'~'- GRAVEL DEPTH ~ WIDTH The length dimension is the length(in feet) of the trench or drain~ield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /OOO GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection.and approval by this depart_men. will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee' for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER n, 1 9 8 3 * * * certify that: (1) I am familiar with the requirements for on-site sewers set forth by the Municipality of Anchorage. (2) (3) SigneR: and wells as I will install the system in accordance with codes. I understand that the on-site s. ewer system may .require enlargement if the residence is remodeled to include more ~/tbe~d~ ~~,~'~t~_~,~,~ Issued by~/~~' Applicant ~ Date: 7 SWP/024 (i/Si) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: I 2 3 4 5 6 7 8 9 ~o 11 12 13 14 15 16 17 18 19 20 SLOPE DATE PERFORMED: SITE PLAN WAS GROUND WATER S ENCOUNTERED? , //,.2,~ ~L E IF YES, AT WHAT DEPTH? Gross Nat Depth to Net Reading Date Time Time Water ~ Drop PERCOLATION RATE J?/' 4:' (minutes/inch) TEST RUN BETWEEN ~'~ FT AND ~" FT COMMENTS .~t~-~(~ tZC') ~/~ C '3 [84 '; I ,I 187.r5~, /4 8'7'56'z2 ~ :// A/ ~7".~-~'/2"kV ~ PLANNERS SURVEYORS l~O "C" STREET° SUITE NO. 3 ANCHORAGE. ALASKA 99503 PHONE (907) 272-9231 DESCRIPTION: lOT ~ ~/_oc~ 4 Test Hole Table A we ~A20729 Depth in Feet' From To 0.0 1.5 1.5 6.0 6.0 16.0 Soil Description F-4, Brown Organic Silt, damp, soft F-2, Brown Silty Gravelly Sand, damp, dense F-l, Brown silty Sandy Gravel, moist to saturated, dense Bottom of Test Pit: Frost Line: Free Water Level: 16.0' 6.0' Sample Type of Number Depth Sample Unified I 5.0' G SM 2 10.0' G GM 3 15.0' G GM Remarks: 1. 3. 4. 5. 6. Type of Sample, G=Orab, SPT = Standard Penetration, U = Undisturbed. Dry Strength, N=NOne, L=LOw, M=Medium, H=High- Group refers to similar material, this study only. General Information, see Sheet 1. Frost and Textural Classification, see Sheet 2. Unified Classification, see Sheet 3. Certified Well For......Z~e.J e~...~.~.~l~m~n~...I~c ............. ~ ........ ::.:.......L......'.. ........... ~.~ Location......~..o.~...~.,.._~.o..~...~....~.~.m.~M....~..~k: ......................... Date completed ......... ScFte.~be=..a ,....1.98.~ ............................................... · Description of Fo,~r~,tton-,., ,, from [ to · Clay~ Sailed and' GraveiV,,~Y;'f. ,,.., ,.."15 '; 51 Har~,rnok 51 21~ Water eomin~ ~fro~cr~c~Zi~, -~ , the rock ,~.-~-"~'~-'-~' ~ - ~" ~ ' · ." ' ,"', ,'/.~r>3.'-;',[.--, '. ' . I... ' 'I: fly th~' above true and correct 'We ad~ ~ou to attach ~ ced~icate to ~;~ d~d. RECEIVED MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVIC~ 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. # ~,, ~2,~_ \C~t~l., ~,~ HAA # ~.~.~-X,C~ir.~-~. ~"~c~ GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner ---~--'~ -'~"f~ Mailing address Lending 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 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. 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 Appro~,al 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 disposai system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. DHHS SIGNATURE · r~' Approved for 2 Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: AddRional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Ce~ificates 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 ~nstitutions 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 omi,sslons in the professional engineeds work. ' Legal Description: A. WELL DATA Municipality of Anchorage ~u~c~,,~u~ c~ ^~,.~.~,,,~ ~ DEPARTMENT OF HEALTH & HUMAN ~[~:MIE~L aavr.~ avalon En~mnmental Se~i~ Division RE EI ED Health A~hority Approwl Che~list Wcll type ~ IfA. B. or C. attach ADEC lelter. ADBC water ~,stem number Log present (Y/N) ~'~ Date completed ~ To~ d~p~ P*-I'2~ r Cased to ~ ~/~ Casiog height (above ground) wires p,w~y pm~ct~ (Yin) FROM WELL LOG AT INSPECTION Da,eo. - C'-I Coliform ~) Nitrate [~a,eors~pl=: 5'-'--t:~-- c)(._.., B. SEPTIC/HOLDING TANK DATA Date ise,lalled ~Tank size Foundation cleanout (Y/N) Collected by: gp.m. Other bacteria Number of Compamaenls ~ Cleanouts (Y/N) ~/Lr=:~ Depression(y/N'l l',JO Highwa~ralarm(Y/N) I,.]O D. LII~ STATION Date i~tall~d Manhole/Accc~s (Y/N) High water alnrm Icvcl at* .Cycl~ Siz~ in ~allons / '~~,,'el at' *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~: On adjacent lots Ab~oq~tion field on lot I ~ t Public scw~r main ~*,,~/A. Sewer/sgptic service lin~ ~ · : On adjacent lOtS / Public sex,mr manholc/cl~mout SEPARATION DISTANCES FROM SEPTIC/H,O'..~L';~ T,MNii ON LOT TO: Building foundation [ ~ t Pm{m~O' lin~ Absorption field ! SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Watch- main/service line Driveway. paflcing/vehicle storage ama ~ O ! Wells on adjacent lots IKY'~. ' Property. line F. ENGINi~-ER'S CERTIFICATION I certi~, that I have determ_ine~th~u.f{eld i~vpections and review of Mumct in confo~elines i'n effect on this date. Signature ~. ¥ Engineer s Name HAA Fee $ ~'~ - '~ Date of .Paymem ~ Rev~ 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment R~x~ip~ Number ,/ ~o/1~/~ 15:01 CT~E ESI ANCH~E N0.29~ DO3 CT&E Environmental Services Inc. L~boretory DlvMon ~-- I~ .... Laboratory Analysis Report CT&E Ref.# Client Sample 1D MatrLx 0 9617~0.~61740001 L9 ~4 TIL~L~ £h'Dj 01 D.H.~lng Wa[er Collected D~te 0.~/! 3196 T.hn;cnl D;rKtor: Stephen C. Ede Nltrate-~ Resutt~ GC PaL Units Method ALLowabLe Prep Anatyals init Ouet Limits Date__e..__Date 0.100 U 0,100 r~/L EPA 353.2 05/15/96 EK8 2.17 O.SO0 eg/k EPA 353.2 05/14/96 EHB 0 0 c©~/lOOmL SN1G 92228 (0~7 05/1&/96 TAV U * Undetscte~ LT - Leas than G? - Greater than J · Geto~ the catlbratfon range 200 W. Potter Drive, Anchorage, AK 99518-1605 -- Tel: (907) 562-2343 Fax: (907) 561.5301 3180 Peoer Road. Falrbonke. AK 99709-6471 -- Tel: (907) 474-865§ Fax: (907} 4?4-9685 Ilinchey & Associates Real Estate Appraisers and Consultants ~to ~o. 02z3~=9:~ APPRAISAL OF Single-Family Dwelling LOCATED AT: 11240 Doggie Avenue Anchorage, AK 99523 FOR: Fenton Young Mortgage Corporation 16300 Christcnsen Road #106 Seattle WA 98188 UNIt~M RESIDENTIAL APPRAISAL ~,~ORT -.~,,02qq-9~ Ceneue Tract 0028 Ow~er/Oocu~anl Tracyr James and PeJaun Sale Pdce$ Refinance pete of Sale Slate A~ ZlpCode 99523 Map Reference 2641 Properly Bights Appraised ,C~ Fee Slmpte ~,~ Leasehold ~ Condominium (HUD/VA) ~ De M[nlmls PUD Loan charges/concessions Io be paid by seller S Unkno'~l RE. Tlxes$ 1 t870.32 TaxYear 1~93 ROA$/MO, 0.00 Lender/Cflenl Fenton Young Hortaa_ge Corporation 16~00 Christensen Road #106 Seattler W^ 98188 LENDER DISCP, ETIONARy USE Sale Pdce $ Date Morlgage Amount $ Mortgage Type Dlscounl Polnls and Other Concesslone 'paid by Seller $ LOCATION BU1LT UP G~OWTtl BATE PROPERTY VALUES DE~AND/SUPPLy MABI~"TIN~ TIME Fp.t;bt. NT lAND USE X Siflgle pamIly . 85 2'4 Family Multi-fatuity Commercial Industrial Vecanl 15 Urtran Over 75% Rapid Increasing Shortage Under 3 Mos. LAND USE CHANGE Nol Ukety Ukety In process To: .Suburban ~_~SMble ~_J Stable ['~] 3- 6 Mos. PREDOMINANT OCCUPANCY Owner Tenant Vlcsnl (0-5%) Vacant (over I Rural Under 25% Slow Declining OverSupply Over 6 Moa. SINGLE FAMILY HOUSINO PRICE AGE X$C000) {)'rs) 170 Low 0 320 I§gh 12 Predomlnan! 240 - 7 Note: Pace or the racial cum ~oelllon of the neighborhood are nol considered reliable appraisal factors. COMMENTS: in the Neighborhood Comments section of the attached Addendum. NEIGIIBORI IOOD ANALYSIS Employment Stability Convenience 1o Employment Convenience to Shopping Convenience lo Schools Adequacy of Public Transportallon Recrestion Facilities Adequacy of Utilities Properly Compatibility Protection Imm Detrimental Cond. Police & Fire Protection :General Appearance of PmpedJes IAppesl lo Mad<et Please see expanded eomment: DlmeneloneSee 100 ,Scale Hap in the Addendum. [Topography SileAree 22800 Square Feet ComerLotNO laze Zonlng ClassificationR-9 Zoning Compfiance Yes --iShape HIGHEST & BEST USE Present Use Yes O~er Use No I Drainage UTILITIES Public Other SITE IMPROVEMENTS Type Pubflc Private View flollinE, DovmslopinR T~pical for area Rectangular Appears adequate GoodMntstCity,Inlet Gas .~ Curb/Gutter None 0rlveway ~aved Water ~.~ Well Sidewalk None Apparent Easements Typical $enilalySewer ~'~lO SlreelUghle None F~ARoodHazard Yes* ~X SIo~Sewer {J None Alley None FEMA' Map~one 020005 ~60B 9-87 /C ~MM~TS(APPamnta~ereeeasements. encmachments, epeclalassessmenta, alldeareas, et~.): See expanded eo~ents ~eGardtn~ the site and H[Ghes~ and Bee( Use tn the Stte Co~en[s section o~ the attached Addendum, GENERAL DESCRIPTION Units One StoRes TWO Type (Deb/AIL) Detached Design (Style) Chalet Exlsllng Yes Proposed NO Under Construction NO Age (Yrs.) 10 EXTERIOR I~SCRIPTION Foundation Cone BLOC{ Exterior Walls Cdr Sidin{ Paul Surface Cdp Shake Gutters & IX, vnspta. Plastic t~qndow Type Wood Csmt Storm Sash Thermo Screens Yes Maoofactored House NO FOUNDATION Slab NO Crawl Space Yes Basemen! None Sump Pump NO Damp.ese None noted Seltlemenl None noted lufeelaflon None noted BASEMENT AreaSq. FL 0 %Finished Ceiling Walls Floor Outside Entry. E,,ecUve AseiY,,.} '= I I ROOMS I Foyer I IJvlng I D'n,.g I .,ch,. I ~" IFemltyl~'q ~u.l~ I eed~om liB. the I "o"ryl O~ Finished area above ~rade contains: a Rouse: 2 Bedroom(s}; SUP, FACES Materlals/CondiUon IIEATIN(] qTCttEN EQUIP. IATTIC Floors _Carpet/Vinyl /~ Type I~B__ ~fllgereBir [~,[None Fuel C~S ~ange/Oven I~.[ Stairs Trim/Finish Wood /.~ Condition Averag_~ )lsposal ~]J Drop Stair AdequscyAveraR~ ~lshwaeher ~ Scuttle COOLING :an/Hood ,~ Floor Central None :ompaclor ~,,,.~ I Haste d Other None Naeher/Oryer L_.J ~ Finished Walls Sheetrock eathFioor .Vinyl ~thWalnsoot Ceramic Tile Wood fi'GULATION · ,of ApAdq Ceiling Wells ApAdq Root None None AdequacyApAdq Energy EBiclenl llama: 'dlFan IMPROVEMENT ANALYSTS ~,!lCondlUun of Improvements ~om Slzes~ayout ~lclosel~ and Storage Ener~ Efficient ~l~umblng-Adequa~ & ~fldlllon ~lElectdcal-Adequa~ & Condition r AreaSq, FL 0 e 928 2 Dethls}: 1 t 86 q Square Feet of Orose Uvln9 Area Avg. Fak Pee~ Mmaicipalit3T of Aa chorage Department of Hee~aJt~ ~,~n~tHuman Services Fhck Mystrom. P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor June26,1996 Brent Eaton, P.E. 3601-A W'dson Street Anchorage, Alaska 99503 c:~ ~,~,9~ Subject: Waiver Request for Lot 9 Block 4 Tn~ End Subdivision Waiver Request #WR960026, PID #015-192-12, HA960179 Dear Mr. Eaton: Your request for the waivers of the required 100 foot horizontal separation of a private septic tank(s) to a private well has been approved. The approved separation distances are the private well (#2) to the septic tank on the referenced property of 87 feet and the private well on Lot 10 Block 4 to the private septic tank on the reference property of 92 feet. This waiver approval applies to the existing septic tank to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are and questions or concerns regarding this waiver, please call our office at 343- 4744. Sincerely, ~---~'-- d Daniel J. Roth Civil Engineer On-site Services DJR/Ijm: Tracy MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#~PID# 015-192-12 Date Received: June 13t 1996 HA# HA960179 Permit Legal Description: Engineer: Lot 9 Block 4 Trails End Subdivision Brent Eatont P.E.r 3801-A Wilson Street~ Anchora~er Alaska 99503 Applicant: De~uan Loraine Tracy Waiver Requested: Private well #2 to septic tank 0f 87 feet Criteria: e 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: Points: 3. Other: Waiver is Granted: ~ List Conditions or Reasons Waiver is NOT Granted: for above: f~£ W~/F~ Date: ~-/~-?~ Rec #: %01952/9662 Amount: Name of Reviewer $ 625.00 Date Paid: 6-13-96 BRENT P. EATON, P.E. CIVIL ENCINEER 5801-A Wilson S[ree[ · Anchoroge, Alosko 99505 * Phone 229-5777 June 13,1996 Dan Roth On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 RECEIVED · JUN 1~ 1996 D Munlclpality of Ancho~ age ept. Health & Human Serwces Subject: Lot 9, Block 4, Trails End Subdivision Dear Mr. Roth: This letter is to request a that a separation distance waiver be issued for the subject property. The property has two wells in service at this time. The newer well is the primary, and the original is a backup. The secondary well was not needed to perform the recent adequacy test. The distance from the new well to the septic tank is less than the required 100 feet (see attached drawing). The new well was apparently drilled without a permit. The well and septic system was tested on May 13, 1996, and found adequate for two bedrooms. At this time a sample of water from the subject well was analyzed for coliform and nitrates by CT&E Environmental Services Inc. The result of this analysis was 0 colonies/100ml, and 2.17 mg/I Nitrate. The above results indicate no apparent health hazard associated with the current physical location of the well and septic tank; the newest of which has been installed since May, 1991. Also attached please find a copy of local topography information, well logs from several neighboring properties and the well log for the well in violation. If you have any questions please call me by phone at the number given above. Brent P. Eaton, P.E. v,..t b--"L..L i o~ / / / //10031 11001/3 10021 III0¢ I 8601 ~END ~o ~ J 11241,J 11240 11281 II;~0 I 11301 5 ! '11441 J 11440 I1~1 114~ ~ 7 11501 I1~0 KLATi I 11060 II101 II100 /6 / 8701 SHEBANOF AVE. .oo~ \ II101 !1100 `9 I 8901 RD. 4 7 11301 11300 5 11380 11400 I.d 114412' `9 g 6- 11440 § ,,~,~f,48o 11501 5 11581 11500 G WOODBOURNE 11301 . 11300 TRAIL ST. I1~30 11401/ I0 114412' __ 11440 $ 11481 11501 11500 9 11240 112~ I17.~0 XPLORATION SUPPLY AND EQUIPMENT, INC. DAILY DRILL SHIFT REPORT CLIENT: .:~;3,~w~ ! 7'-/~/~c ~/ . DATE:~Ir~./~i9 PROJECT LOCATION: //~-~;/~ (NO, ~/T~.-~ :~.j~-~:./_~.~, DRILL UNIT NO. ) eb/~e ~/~ /~-/4 ~ ~ ? . SHI~; DAY I NIGHT ROTARY CORE CASING NUMBER HOLE NO. FROM TO FORMATION FOOTAGE FOOTAGE FOOTAGE SAMPLES TIME DISTRIBUTION TRAVEL ROTARY CORE SAMPLING REAMING CASING RIG MOVE TOTAL HOURS STANDBY TIME (SPECIFY) //~ '~'~, ,I ~; T /. o¢- HOURS EXTRA LABOR (SPECIFY) ~OURS ROTARY BITS USED: CORE BITS USED: REAMING SHELLS: CASING SHOES: DRILL MUD: TYPFr ~'~d//~ OTHER DRILL ADDITIVES: TYPE: EXPENDABLES TYPE: SIZE: TYPE: SIZE: TYPE: SIZE: -.TYPE: /~ ~ .~'~' ~,el! SIZE: NO. OF BAGS: NO. OF LBS.,BAGS, GALB: SERIAL NO. SERIAL NO. SERIAL NO. SERIAL NO. Hr' SERIAL NO. DRILLER: HELPER: HELPER: REMARKS: START STOP TOTAL EXSCO FOREMAN APPROVED BY ZAUTH'~IZE% ~~ {=~u9.17.199~ Oc3:~3 PM F~t STAT~ OF AU~KA DImARTlUlB~r OF NATURAL RESOURCES DI~ISION OF WA~ WATER WEI, J.. ~r, CORD mN CIE .,~$' IOR~OL~ DATA: Depth M~ted~l TyI~ ~ ~ F~ To ./ DATE OF COMPLETION 0 p~o,a.,4 '~ om. horn Depths of opening~: D~am: I~. GRAVEL PACIC V~e u~ 0RO~ ~ V~ ,. ~ ~ ft ~n: Munic;pah[y ol A PUMP iNTAKE DEPTH: f~ Hor~pew~': ~ ~Sn~rU.,r. U~ON COMPLETION? ~B~Y~S ~'1 NO PLEASE MAIL WHITE COPY OF LOI3{.:TO: DNR/DIVISION OF WATER ~'~ PO BOX 772116 EAGLE RIVER AK 99677-2116 ,. -. .-.., tEEN,S COMP · '","',. ' '~' ,' · :: 30 YEARS ALASKA DRILLING :',~ ,~'' ~C~ & YE~ R~ ,' '- ....... "" 7 ft iD'.9 ~t ~ , /'S~aol~vater.';cour~e,'grav. 1~ ft te 20'ft ' '.Water ~e~g.~courae ~ ft to 7~'ft:' J Or~vel~A t, re~allt ;; ' '¥~'c1~ IMt'M WATt~ W~. ~ LLED AND ~SED O~,TO THE DE~H O~- ~'~", R~ . D TTH~RAT~ ~00" ~PERFOOT.' ~"' pROPER~ OWNER _ :.LOCATION OF WEL~ .......... . , .';*. '~.:.,~.* · ,,~ ~ :~,~ :; EL ~BOR AND MATERIA~'FOR CO~PL~ION OF ~ID DRIL ' ' ~-' bHEcK PAYABLE TO ~MPA~ DRILLING WORK* FOR THE SUM O~ "- ~THANK YOU V~RY. MUCH,~? '., ~, ~,~..'.'[ ~,, r"-,~'~. '~ .' ~ · ' ' ',' ' '''' , '~":,~',:'-.'-~' ~'---'.' <':~'.' "" L -". :- APPLIC'~','~FILLS OUT UPPER HAL.~-'("']LY Phone Type OI Resi~nce . ~ / ~ Other ~mm~lty For we~ls ~illed prior to thM date, give well depth (attach I~ If available). ~ Public Utility ' ~ HoldlngTank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Inspeclor Inspector Inspeclor Inspector I RECE.! ( ~ APPROVED BEDROOMS 'CONDITIONS ( ) DISAP~OVED ( ~ OONO~T~NAL APPROVe' November 17, 19~3 Fejes Development SKA Box 7-0 Anchorage, AK 99516 Subject: Lot 9, Block 4, Trails End Subdivision Approval for the individual sawer and water facilities cannot be uranted until the following items have been completeG: The depression or pit around the well casino needs to be ~/~illed with imp~rvious type soil so that it slopes away from the well casin~. Please notify this Department for a reinspection when the noted dfscrepancies have been corrected. It there are any further questions, please calk this office at 264-4720. Sincerely, Cory Willis, R.S. Acting Sewer & Water Program Manager