Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
DAWN VILLAGE BLK 1 LT 4
I)awn Village Block 1 Lot 4 #014-061-53 C1A'iE' C TEA n STATES p A� 2126 EAST WHO AVENUE ANCHORAGE. ALASKA 99507 SUBSURFACE EXPLORATION Shift Report of Operations 1. OWNER Elden Pederson PROJECT Daum Subdivision, Lot 4 - Block 11 , Domestic Water Well 2. TYPE OF EXPLORATION !. CONWESTERN STATES ASSOCIATES EQUIPMENT NAME 22V TRACTOR .. CONTRACT NO. HOLE NO. S. SURFACE ELEVATION WEATHER DEV TH•B EGIN SHIFT DEPTH -END SHIFT DEPTH DRILLED 86'111 6. PERMAFROST ENCOUNTERED: FROM TC1 T. WATER LEVEL DATE • SHIFT 6. I lo. SOILS LOG. TIME DISTRIBUTION HOURS TYPE RIG HOURS DEPTHS Herb MATERIALS AND REMARKS NO. LENGTH GRILLER FROM TO CHURN DRILL FISHING 10' 6" 0 NOTARY ORILL PULL CASING Sandy gravel. 2 Don BOOM TRUCK STANDBY 7 HELPER Silty sand and gravel. 3 71011 2418" TRUCK WELDING Sand gravel very hard packed. No water. 4 SURGING PUMPING 6• CASING LOG I lo. SOILS LOG. 612E TYPE SAMPLE NO. DEPTHS TYPE SAMPLE MATERIALS AND REMARKS NO. LENGTH TOTAL LENGTH FROM TO 1 10' 6" 0 7 Sandy gravel. 2 71211 17 r 811 7 12 Silty sand and gravel. 3 71011 2418" 12 26 Sand gravel very hard packed. No water. 4 5'4" 30'0" 2b 47 Sand and gravel. and pace Some small racks. 5 71011 37'011 47 6j Sandy gravel. Very hard with rocks inter- bedded. No water. 6 517" 42'711 65 76 Sandy clay, tight. 7 717" 5012" 76 89 Very tight hard packed sandy clay gravel with rocks interbedded. 8 818" 58'10 89 96 Coarse gravel, water bearing. 9 717" 66'511 1 Test ba' -2.-d 22 gpn:ior 640 minutes. No 10 '1"` 77'6" , drawdown.. Water clearing. Water level 28' f 11 419" 8213" surface elevation. Set pump and pumped 12 gF '2 5'0" o #7 Water clear in three hours. DRILLER INSPECTOR 13 8114' 9611" 9 rom m. 11 kJ N I r= I tom' IFi L. 2 T Y 0 F' !=11%1 r_;"r::.r Fes, (=4 0 E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 251E E. TUDOR. RD.. ANCHORAGE, At/. 59507 276-2221 L -J E L. L. P E F? 1"1 I -T- PERMIT PERMIT NO. C 77009 > APPLICANT PETERSON CONGTPtJC.TInN_ SRR BOX 171.SX 344-8538 LOCATION NTE5HCAR ST LEGAL L4 81 DAWN VILLAGE LOT SIZE 10000 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC !-JELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF.THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. Fl" EFZ1'•1 I T tirfiiL. I E> F=0F,,--: R"rNE YEF4Fr F'Fz:lL-) m I 'SEuE I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL I14STTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. S I GNED: _1__ __ __� =L� ____ - ---------------- APPLICANT ISSUED BY -,,W, • CONSTRUCTION 0 0 IN V�al_22_ 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. # _L1 10 -Mal -41 HAA # 0 X19 2C 9,Aq 1... GENERAL INFORMATION Complete legal description Lo—1 +.) B K S I DAWN V I LLMcEyD Location (site address or directions) 6-7 Z6 TES I4 LAP, Property owner BA-f-13AI4 A- ALL' S Day phone 5.6 3 - 6773 Mailing address 33:i I 5 ,)az/3D,42p L"j_= r`j 4S/6 Lending agency �� Day phone Mailing address '4 Agent P` Day phone N/A Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. 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. 4. 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(R".1/91) Front MOA e21 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 furtherverify 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 �4eA L /A:' � (�/'A �(W4'11 Svcs 33 �i�9 Phone �1! Address ZZA 1Bf?.0Ck(LfDL� ! �IQ (-�.k- . - 47750 q_ signature _ �,��u� Date-Z2�1-' 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for _:F bedrooms, with the following stipulations: �u Cnds -A cnV�'1' 4,4 111�A o0 /4, 4cl a n., 41 r Additional Comments /At esc.-cw irncrt& .l;cA,9,9eiey tfe cove- 4 :Zr4ee��— //,�l,,,a L'r�ttce�yle Au/>/.c w<4i— tyi��ri S0c. /alkrGv- 1t c [c�K•- 4'ekk74L 13' 4t lirI41e, ane✓ �i tc:eg'77 e 1-c4 /��tl�'/=rs �TDc�dc� ✓ *V//76 Ito By; J/!E� 'r2•iN r Date 2 fl y 1l1TIC 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. 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-M (Ae .1/91) Back MOA a21 Municipality of Anchorage Department of Health &Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT 4 Bk1 C)AvVn! Parcell.D. \41 Llai ti✓ tOAS "cT' A. WELL DATA Well type I , , f) 5 Or w �lr LoCr AD qwater system number N/4 - Compartments / - Log present (Y/N) YDS Date completed Iq�7 Driller Wf_S?62N Total depth Casedto UNI�O0"N Casingheight 3D�2 Sanitary seal (Y/N) MES Wires properly protected (Y/N) yes Im t -n C Z FROM WELL LOG AT INSPECTION CC Date of test �9 ( / Z — T rw C i c of w6u ;�5(J( OZ f3 Flo"+ 6Rov,+0 016\1- !}-' F2orr tiStatic water level 0 Well flow 12 g.p.m. Pump level U,,J"DWa NOT' S7)1 -i'0 SEPARATION DISTANCES FROM WELL TO: x'42 g.p.m. UNKrawN yHrnu.7�5 4-�9 6�aS Septic/holding tank on lot NA ; On adjacent lots A /OU r Absorption field on lot NIA ; On adjacent lots Nla' > > /00 Public sewer main b�-- SACr Public sewer manhole/cleanout 33" 6066 S45""be. HN COVE Sewer service line t�% BASED 0rJ Petroleum tank to ejwrlON OF F0J J D,*r11 Q WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: // /30 Z9 2 Collected by: 6A2"JFSS B. SEPTIC/HOLDING TANK DATA Date Cleanouts (Y/N) High water alarm.(Y/N) Tank size Foundation cleanout (Y/N) — Date of pumping SEPARATION DISTANCES FROM SEPT Well(s) on lot To property line Compartments Alarm tested (Y/N Depression Pu pef 'HO LK TO: cent lots Foundation— s field Water m service line 72.026 (Rev. 719 1) Front CONTINUED ON BACK PAGE C. LIFT STATION pu& C SF�W EP, Date fits ed Size in gallons Vent (Y/N) "Pump " evel at High water alarm levet Meets MOA electrical codes (Ya4�_ SEPARATIO lot Manufacturer Manhole/Access (Y/N) "Pump off" level at FROM LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA Date alled Length Total absorption area Width Depression over field (Y/N) Results (pass/fail) PU3L1 C. 56ur� Peroxide treatment (past 12 months) (Y/N) Cycles tested Soil rating —Gravel thickness SEPARATION DISTANCE FROM ABSORPTION Well on lot On To building foundation On adjacent lots Surface water Cu -drain E. ENGINEER'S CERTIFICATION tbank lots Surface water System type —Total d Cleanouts present (Y/N) _ Date of adequac I for If yes, give date line To existing or abandonedsystem on lot Water ma Driveway, parking/vehicle storage area bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. �1II d Q�{E.. .. •4s, i Signature Jor Engineer's Name �c--Y A (�arZ,.r�SS • Date ?_b Aq 2 c A. ays3� HAA Fee $ 170.- 4,rP Waiver Fee: $ /J / 6 coV Date of Payment 2 ' Z Date of Payment g Receipt Number Z=q -z-2;!- _ Receipt Number ,2-ff C 72-M (Rev. 3/91) Back MOA 21 y uniciaiy of Anchorage Department of Health and Human Services Tom Fink, Mayor November 24, 1992 i . • . 825 "l_" Street 'P.O.6ox 196650 Anchorage, Alaska 99519-6650 Max Gifford Administrative Assistant '-Senator Patrick M. Rodey Alaska State Legislature 3111 C Street, Suite 510 Anchorage�-Aliska 99503 Re: Lot 4, Block 1, Dawn Village Request for Health Authority Approval Dear Mr. Gifford: j L We have reviewed all available file information on the subject property. Based on our review we offer the following: 1. The subject property is served by a well that is located approximately 34 feet from a public sewer manhole or clean out. At the time the well was drilled,'the required separation distance was 50 feet. In 1983 the required distance was changed to 100 feet, 2. A permit to drill the well was issued by this office on January 18, 1977. The permit specified that the applicant, Peterson Construction, was responsible for constructing the well with adequate separation distance to the sewer line which was constructed in 1976. This office was not responsible for the -improper location.of the well. 3. A Health Authority Approval (HAA) was issued on May 9, 1977 for the well. There is no indication that the required Separation distance was waived. This HAA should not have. been approved until the separation distance inadequacy was resolved. 4. Subsequent -requests for HAA's were denied in 1981 and again in 1984. ' 'Max Gifford', November 24,-1992 Page 2 5. The issue regarding this separation distance problem was previously brought to our attention by Senator Jan Faiks and Assemblyman Larry Baker in 1985. Correspondence regarding that inquiry is attached for your information. 6. Lot 2, Block 1 and Lot 3, Block 2, Dawn Village did receive conditional waivers and HAA's providing that the property owners provide annual water sample test results and that they connect to public water within 3 years. Neither of these conditions have been met by either,property owner and both HAA's are considered void. _.._ Recoimendations The requirements and standards for review and issuance of HAA's and separation distance waivers have changed over the past several.years. Issuance of a HAA and separation distance waiver will require that the owners retain the services of a Professional civil Engineer to prepare and submit the necessary HAA and waiver applications. The current separation distance of 34 feet between the well and the sewer manhole or clean out is significantly less than the currently required 100 feet and can not be unconditionally waived. However, a conditional waiver maybe considered if the property owners agree to -contract with a third party to sample the well on an annual basis for bacteria and nitrate contamination until such time that public water is extended to the property. An escrow account would be required to fund the sampling and testing. Please contact me at 343-4360 if you have additional questions. Sincerely, Cohn Smh P.E. Program Manager, on-site Services cc: Lee Browning., P.E., Manager Environmental Services CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 8 STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561.5301 ANALISIS RESULTS for INVOICE i 61053 Chemlab Ref J 92.6559 Sample i 1 Matrix: WATER Client Sample ID : KITCHEN TAP L4 B1 DAWN VILLAGE PWSID : UA Collected : 11/30/92 ! 09:30 hrs. Received : 11/30/92 1 10:15 bra. Preserved with Analysis Completed : 11/30/92 Laboratory Suprvl or TEPAEN C. D� Released By G .......................................................................... Parameter Results Units NITRATE -N Client Name :AK WATER & WASTEWATER SERVICES Client Acct :AKWIRWS BPO# : P011 :NONE RECEIVED Regi : Ordered By :LISA Send Reports to: 1)AK WATER b WASTEWATER SERVICES 2) ................................................. Mothod Allowable Limits ND(0.10) mg/1 EPA 353.2/300.0 10 Sample ROUTINE SAMPLE COLLECTED BI: GARNESS. Remarks: .................................................................................................................................... 1 Tests Performed . See Special Instructions Above IIA -Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT -Greeter Than r��SGS Member of the SGS Group (Socidt6 GAnArale de Surveillance) Municipality of Anchora a Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 December 17, 1992 Barbara Collins 3221 Starboard Lane Anchorage, Alaska 99516 Subject: Lot 4 Block 1 Dawn Village Subdivision Waiver #WR920083, PID #014-016-53, HA920824 Dear Ms. Collins: You have asked me for a clarification about the waiver granted for the separation distance for the well serving the captioned lot and a public sewer manhole. The waiver is considered permanent and does not need to be renewed as long as the conditions outlined with the granting of the waiver continue to be met. Sincerely, hn Smit , P. E. rogram Manager On-site Services Municipality of Anchorage ,►��,� Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 December 110 1922 Jeff Garness, P. E. Alaska Water and Wastewater Services 8471 Brookridge Drive Anchorage, Alaska 99504 Subject: Lot 4 Block 1 Dawn village Subdivision (Amended) Waiver Request WR920083, PID #014-061-53, HA920824 Dear Mr. Garness: Your request for a waiver of the separation distance of 33 feet between the well serving the captioned lot and a public sewer manhole is hereby granted under the following conditions: 1. A contract be executed by the property owner with a registered civil engineer and a sample will be collected (by an engineer) and tested for nitrate and fecal coliform by a laboratory approved by this office once every year until public water is available to the lot. 2. The well will be abandoned and the residence connected to public water within thirty (30) days after public water service is available. 3. Sufficient funds will be placed in an escrow account to cover five (5) years of the sampling and testing described above. 4. After five (5) years, if the property is not served by public water, the owners of record will continue to provide third party sampling and testing of the well on an annual bases. Results will be forwarded to DHHS. The Health Authority Approval, HA920824l attendant to this waiver request will include the above conditions. If there are any questions, please call our office at 343-4329. Si ely, Robert W. Robinson Civil Engineer On-site Services RWR/ljm#173 Concur: John S h, P. , rogram Manager On-site Services CI � Municipality of Anchorage 0&:)_J Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 December 10, 1992 Jeff Garness, P. E. Alaska Water and Wastewater Services 8471 Brookridge Drive Anchorage, Alaska 99504 a Subject: Lot 4 Block 1 Dawn Village Subdivision Waiver Request #WR920082, PID #014-061-53, HA920824 Dear Mr. Garness: Your request for a waiver of the separation distance of 33 feet between the well serving the captioned lot and a public sewer manhole is hereby granted under the following conditions: 1. A contract be executed by the property owner with a registered civil engineer and a sample will be collected (by an engineer) and tested for nitrates and fecal coliform by a laboratory approved by this office once every year until public water is available to the lot. 2. The well will be abandoned and the residence connected to public water within thirty (30) days after public water service is available. 3. Sufficient funds will be placed in an escrow account to cover ten (10) years of the sampling and testing described above. The Health Authority Approval, HA920824, attendant to this waiver request will include the above conditions. If there are any questions, please call our office at 343-4329. S;inn"c e ly, ` Robert W. Robinson Civil Engineer On-site Services RWR/ljm Concur: ,/�ohn S tth, P. E. Program Manager On-site Services MUNICIPALITY OF ANCHORAGE, Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR920083 PID# 014-061-53 Date Received: December 7, 1992 HA# IIA920824 Permit # Legal Description: Lot 4 Block 1 Dawn Village Subdivision Engineer: Jeff Garness, P. E., Alaska water & Wastewater Services 8471 Brookridge Drive, Anchorage, Alaska 99504 Applicant: Barbara Collins Waiver Requested: Well to public sewer manhole - 33 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: �. Special Conditions: � JPC /6' 741-1 3. Other: Waiver is Granted: Waive is NOT �GraFited:'/ List conditions or Reasons for above: � a I rl hN:- c- Rec #: 24293 Amount: $_590.00 Date Paid: 12-7-92 • Alaska Water 8c Wastewater Services "Preserving the Last Frontier" Lv29nre December 2, 1992 MUNICIPALITY OF ANCHORAGE Municipality of Anchorage ENVIRONMENTAL SERVICESDIVISIOIY Department of Health and Human Services Division of Environmental Services r'FC 0 7 1992 On -Site Services Section P.O. Box 196650 RECEIVED Anchorage, Alaska 99519-6650 Ref: Health Authority Approval (HAA), Lot 4, Block 1, Dawn Village Subdivision, and Request to Waive Separation Distance (Well to Public Sewer). To whom it may concern: 1. Well Adequacy: The subject property, and the lots surrounding it are served by city sewer, therefore, an adequacy test was only performed on the well. The test was performed by pumping 6.42 gpm for a total of 76 minutes (488 gallons). During that time the drawdown on the well varied from 1.0-2.5 feet, and recovered completely within 5 minutes after stopping the test. Based upon these results, the well was deemed to be adequate for a 3 bedroom house (450 gpd). 2. Well is 33 Feet from Public Sewer MH: Attached is a copy of a letter written by John Smith, P.E. regarding the history of this well and previous attempts to obtain a waiver and/or a HAA. Per the conditions outlined in this letter, we are requesting a conditional waiver of the subject separation distance with the requirement that appropriate funds be escrowed so that water sampling can be performed on an annual basis until such time that the home is connected to public water. It is imperative the buyers understand that if the well becomes contaminated, they would have to pay to connect to public water. It is also recommended that a contract for the sampling be awarded prior to closing on the house, with the conditions of the contract established by DHHS under the conditional waiver. 3. Depth of Well Casing Unknown: The depth to which the well was cased is not stated on the well log. Since the static water level in the well was at 14 feet, and I was unable to draw it below 16.5 feet during the adequacy test, it was not possible to visually verify whether the well is cased to at least 40 feet. According to the HAA report filed in November of 1984 (CRW Group) the well was cased to %sgv.aa ; 2- 14 -05794) cZ-;xfz Telephone - Fax 338-3246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504 96 feet, and the pump was set at 90 feet. I was unable to find any information on file at DHHS to verify this. If you have any question, please call me a 337-6179. Sincerely, Jey A\G rness, P.E., M.S. Ow r/Consultant Municipality of Anchorage Department of Health and Human Services dh Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 November 24, 1992 Max Gifford Administrative Assistant Senator Patrick M. Rodey Alaska State Legislature 3111 C Street, Suite 510 Anchorage, Alaska 99503 Re: Lot 4, Block 1, Dawn Village Request for Health Authority Approval Dear Mr. Gifford: We have reviewed all available file information on the subject property. Based on our review we offer the following: 1. The subject property is served by a well that -is located approximately 34 feet from a public sewer manhole or clean out. At the time the well was drilled, the required separation distance was 50 feet.. In 1983 the required distance was changed to 100 feet., 2. A permit to drill the '.well was issued by this office on January 18, 1977. The permit specified that the applicant, Peterson Construction, was responsible for constructing the well with adequate separation distance to the sewer line which was constructed in 1976. This office was not responsible for the improper location of the well. 3. A Health Authority Approval (HAA) was issued on May 9, 1977 for the well. There is no indication that the required separation distance was waived. This HAA should not have been approved until the separation distance inadequacy was resolved. 4. Subsequent requests for HAA's were denied in 1981 and again in 1984. Max Gifford November 24, 1992 Page 2 5. The issue regarding this separation distance problem was previously brought to our attention by Senator Jan Faiks and Assemblyman Larry Baker in 1985. Correspondence regarding that inquiry is attached for your information. 6. Lot 2, Block 1 and Lot 3, Block 2, Dawn Village did receive conditional waivers and HAA's providing that the property owners provide annual water sample test results and that they connect to public water within 3 years. Neither of these conditions have been met by either property owner and both HAA's are considered void. Recommendation: The requirements and standards for review and issuance of HAA's and separation distance waivers have changed over the past several years. Issuance of a HAA and separation distance waiver will require that the owners retain the services of a Professional Civil Engineer to prepare and submit the necessary HAA and waiver applications. The current separation distance of 34 feet between the well and the sewer manhole or clean out is significantly less than the currently required 100 feet and can not be unconditionally waived. However, a conditional waiver may be considered if the property owners agree to contract with a third party to sample the well on an annual basis for bacteria and nitrate contamination until such time that public water is extended to the property. An escrow account would be required to fund the sampling and testing. Please contact me at 343-4360 if you have additional questions. Sincerely, a /hoP.E. ohn SM Program Manager, On-site Services cc: Lee Browning, P.E., Manager Environmental Services OFFICIAL BUSINESS CHAIRMAN RULES COMMITTEE Alttnka �tzftr Trgislaturt December 17, 1985 Tony Knowles, Mayor Municipality of Anchorage Pouch 6-650 Anchorage, Alaska 99502-0650 Dear Mayor Knowles: DSC 2 N1UN!!C:PA t.IANAC JAN FAIKS POUCH V CAPITOL BUILDING JUNEAU. ALASKA 99811 A constituent has shared with me a troublesome situation to which I turn to the Municipality for assistance and resolution. The VanAlphen's purchased a home on Teschler Drive (lot 4, block 1 of Dawn Village Subdivision) in 1982. Homes in the p,$)} 9-1). area were built in 1977. The VanAlphen's tell me the sewer line was put in by the Municipality in 1976 and wells con- structed in 1977. The well construction report was approved by the Municipality. The well is 34 feet from a manhole. The VanAlphen's are selling their home. AHFC will not approve the prospective buyers' loan because the well is located too close to a manhole. The state requires a distance of 100 feet. DEC has disapproved the waiver request as it fears any contam- ination at the manhole could easily infiltrate the water system due to the well and manhole's proximity. Several issues are raised. Since 1959, law has required distances of at least 50 feet -- considerably more than the 34 feet which the Municipality approved in 1977. Insufficient distance is not isolated to only the VanAlphen's property; I'm told all 20 wells on the street are located within similar proximity to the sewer line. As a result, I believe it is important the Municipality determine how this happened in the first place and if inaccurate well reports continue to be a problem. I believe it is also emtremely important the Munici- pality address this probler.•, i=ediately before additional families encounter similar problems as the VanAlphen's. One option, of course, is for the VanAlphen's to corer the expense or a new well which meets the 100 feet reeuirement. However, this does not seem fair given the distance recuire- ments have not changed since they purchased the home in 1982. What appears to be the base of the problem is the Municipality's original approval of the well permit when the houses were constructed. As a result, I would appreciate your reviewing the well permits for the homes located on Teschler Drive to determine hcw the permits were approved in the first place by the Municipality. At the same time, I am also inter- ested in learning what responsibility the Municipality will take in correcting the burden its error has placed on the VanAlphen's, as well as the potential impact the error will have on their neighbors should they decide to sell their home in the future. I look forward to learning what steps the Municipality will be taking to assist our mutual constituents. P rely, aiksor JF:cf cc: Gayle VanAlphen Bob Smith, Municipal Manager Chip Dernerlein, Office of Intergovernsental Affairs Municipality ©i Anchorage February 5, 1985 POUCH L ...i0 ANCHORAGE. ALASKA 99502-0650 (907) 264-4111 fC;fVY hNUtVl. i>: MA Yl;li DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Jan Faiks Alaska State Senate Pouch V Capitol Building Juneau, Alaska 99811 Dear Senator Faiks: This is in response to inquiries regarding the Van Alphen property well conflict. Mr. and Mrs. Van Alphen are attempting to sell their home but have been unable to obtain a Health Authority Approval (HAA) from this Department. The private well serving the property does not meet the state mandated separa- tion distance to the public sewer line, and in particular to a manhole. The well is located 34 feet from the manhole whereas the state standard is currently 100 feet. According to the Anchorage Water and Wastewater Utility (AWWU), public sewer was constructed mid -1976. Our files show that the majority of well permits issued for this subdivision by our Department were issued in 1977, and were issued to the well -drilling contractor or to the construction company. Our Department was not likely involved in the siting of any wells. Well permits are issued to the applicant without prior knowledge of the actual site for the well. Responsibil- ity for proper siting lies with the applicant and/or the drilling company. This is true even today. Our Department was involved with the subsequent HAA given for that property in 1977. There is no indication from our records that the inspector acknowledged the proximity of public sewer, and the inspector issued a full approval for the property. In investigating this situation we determined that a different separation distance was in effect in 1977, 50 feet to either the sewer line or manhole from a private well. This is in contrast to the present day standard of 75 feet to a sewer line and 100 feet to a manhole. The Van Alphen's well is obvjously still in non-conformance with the 1977 standard. We also determined that -at least nine other properties in that subdivision are faced with a similar situation, the exact number contingent upon an accurate survey to establish property boun- daries. ,-� Jan Faiks February 5, 1985 Page 2 The solution to the Van Alphen's problem and others within the subdivision is connection to public water and proper abandonment of private wells. Public water lines presently extend to each end of the subdivision. A Water Improvement District (WID) would need to be approved by the residents as a necessary first step to bringing this water line through the subdivision. There is also a remote possibility that ADEC may issue a waiver from the 1977 standard. However, each property will be treated on a case-by-case basis, and given the current more stringent standard, any waiver is doubtful. Our Department is currently evaluating the potential health risk to residents of this subdivision and our role in resolving this issue. Sincerely, Robert W. Robinson Environmental Health Division Manager RB3/ka/D4 cc: Assemblyman Larry Baker Municipality of Anchorage MEMORANDUM DATE: February 5, 1985 TO: Municipal Manager FROM: Environmental Health Division Manager SUBJECT: Well Conflict - Lot 4, Block 1, Dawn Village Subdivision This is in response to inquiries by Senator Jan Faiks and Assemblyman Larry Baker regarding the Van Alphen property well conflict. Mr. and Mrs. Van Alphen are attempting to sell their home but have been unable to obtain a Health Authority Approval (HAA) from this Department. The private well serving the property does not meet the state mandated separation distance to the public sewer line, and in particular to a manhole. The well is located 34 feet from the manhole whereas the state standard is currently 100 feet. According to the Anchorage Water and Wastewater Utility (AWWU), public sewer was constructed mid -1976. Our files show t r�r+Ajority _of well permits issued for this subdivision by our Department were issued in 1977, and were-d_.to the well-driescontractor or- to the construction company. Our Department was not like_ j' nvolvec� in the s, ting o , any.,We11s. Well Hermits are issued to the ap nt withgstt_prior kkgAw .d a of the actual site for the well. Responsibil- ity for proper siting lies with the a. ieant_arci.or_..the-drilling company This is true even today_. Our Department was involved with the subsequent HAA given for that property in 1977. There is no indication from our records that the inspector acknowledged the proximity of public sewer, and the inspector issued a full approval for the property. In investigating this situation we determined that a different separation distance was in effect in 1977, 50 feet to either the sewer line or manhole from a private well. This is in contrast to the present day standard of 75 feet to a sewer line and 100 feet to a manhole. The Van Alphen's well is obviousl)r still in non-conform4nr,e with the_1.9_j,L„standard. We also determined that at least nine other properties in that subdivision are faced with a similar situation, the exact number contingent upon an accurate survey to establish property boun- daries. The solution to the Van Alphen's problem and others within the subdivision is connection to public water and proper abandonment of private wells. Public water lines presently extend to each end of the subdivision. A Water Improvement District (WID) would need to be approved by the residents as a necessary first step to bringing this water line through the subdivision. There is also a remote possibility that ADEC may issue a waiver from the 1977 standard. However, each property will be treated on a case-by-case basis, and given the current more stringent standard, any waiver is doubtful. 91.010 1917H) Municipal Manager February 5, 1985 Page 2 Our Department is currently evaluating the potential health risk to residents of this subdivision and our role in resolving this issue. I Robert W. Robinson Environmental Health Division Manager KB2/ka/D4 cc: Engineering S Customer Service Manager — AWWU r,A ` Municipality of Anchorage MEMORANDUM DATE: January 7, 1985 MUN10PALITy DEPT OF ANc4o" ENVIRONMENT � ��R T}IOT,1 ECTION JAN 8 1985 RECEIVED TO:..Robby Robinson, Manager Environmental Health Division Health & Environmental Protection Department FROM: Brian I. Crewdson, Manager Engineering & Customer Service Anchorage Water & Wastewater Utility SUBJECT: WELL CONFLICT - LOT 4, BLOCK 1, DAWN VILLAGE SUBDIVISION Attached for your research and reply is a letter from Senator Jan Faiks concerning a conflict between a well and a sewer main for the subject property. The Municipal Manager's office has been informed that you will reply. According to the letter, the well in the subject property was constructed in 1977. Our investigation has confirmed that the sewer main was constructed in mid -1976. Please send me a copy of your response to Bob Smith. Thank you in advance for your research and reply on the subject matter. A r an I C.0 re •n, anager Engineering & Customer Service Anchorage Water & Wastewater Utility BIC/dwG19 Attachments cc: Municipal Manager Municipality of Anchorage MEMORANDUM DATE: January 7, 1985 TO: Robert E. Smith, Municipal Manager FROM: Brian I. Crewdson, Manager Engineering & Customer Service, AWWU SUBJECT: WELL CONFLICT - LOT 4, BLOCK 1, DAWN VILLAGE SUBDIVISION The Anchorage Water & Wastewater Utility has re- searched the letter from Senator Jan Faiks concerning Lot 4, Block 1, Dawn Village Subdivision. The problem concerns the issuance of well permits by the Health and Environmental Protection Department. In this specific case, a sewer main was constructed in 1976. Subsequently, in 1977, homes were built and wells constructed that conflicted with the sewer main. I have forwarded the letter from Senator Jan Faiks to Robby Robinson for response to your office. Please contact me if you have any further questions. ee aI. Cr son, anager Engineering & Customer Service Anchorage Water & Wastewater Utility BIC/dwG18 Attachments cc: Robby Robinson 0 ASSEMBLYMAN Larry Baker Section 4, Seat G, "PUDTOWN19 December 26, 1984 The Honorable Tony Knowles Mayor Municipality of Anchorage 632 West Sixth Avenue Anchorage, Alaska 99501 Dear Mayor Knowles: RECEIVED DEC 2 8 !984 MAYORS OFFIC= Enclosed please find a series of documents relating to a problem Mr. and Mrs. Van Alphen have experienced with the Municipality. I would appreciate the appropriate department head review- ing this issue thoroughly and attempting to reach an acceptable solution for the Van Alphens. Thank vnu in advance for' your assistance with this matter. enclosures 501 W. Potter Or.. Anchorage. AWka`950i Mont 563-290h r-) John and Gail Van Alphen 6720 Teshler Anchorage, Alaska 99507 Be: HAA for Water System John and Gail: 1^ 4 December, 1984 Attached is the completed application for a Health Authority Approval for your water well. Unfortunately, the application cannot be approved by the Municipality of Anchorage because of currently enforced seperation standards between water supply sources and sewage systems. That is not to say that your water system is inadequate, in fact the opposite is more indicative of your system. Our technical evaluation indicates the water system is satisfactory in construction and operational design and we anticipate it will provide years of adequate water supply in both quantity and quality. The contradiction between your well being technically adequate and yet not meeting HAA approval requires some explanation. The State of Alaska has always had seperation requirements between water supplies and potential sources of contamination. The standards were enforced whenever plans for new construction were reviewed by the State Department of Environmental Conservation. However, in the Municipality of Anchorage, the technical review of new systems was generally accomplished by an appropriate City agency, with on-site systems serving private residences being enforced under the Department of Health and Environmental Protection. Strict enforcement of State standards did not always occur and in fact the Municipality often gave waivers to these standards. In the past year, the State has become more involved in on-site system review and has determined that the Municipality of Anchorage never has had the legal authority to grant waivers from State standards and thus acted improperly in issuing waivers. The State will not honor MOA waivers. How does all this influence a system that has been functioning properly for a number of years? Legally there is little if any impact. Neither the State of Alaska nor the Municipality of Anchorage has any desire to have people relocate wells or sewage systems. However, in the late 7O's lending institutions began demanding some form of assurance that on-site water and sewage systems were adequately constructed and maintained. (Failure of on-site utilities is very expensive to correct. and often beyond the economic capabilities of the buyer.) 3900 Arctic Bivd•Suite 203!Anchorage, Alaska 99503•(907) 562-3252 w Page i2 - John and Gail Van Alphen 4 December, 1984• To provide the assurances being demanded both State and Muni- cipal agencies set up procedures to check new system construction and existing system operability ( i.e. Municipal HAA). The procedures have been useful in enhancing the overall qualilty of on-site utilities but they can not and never will be able to guarantee non failure. Therefore the question of liability has become a big issue recently. This issue has become further entangled by the recent determination that the Municipality has been acting beyond their limit of legal authority. It is this recent concern over liability that is the major reason for an HAA not being granted in this situation. We feel con- fident that if the State had not become involved in the Anchorage procedure for on-site utility approvals, the Municipality would have issued an HAA for this situation. 'This is supported by the fact that a similar approval was issued in 1977. It now becomes a question of the level of assurances required by the lending authority. If the well were located behind the house, the technical confidence level of system reliability would not be enhanced significantly. If the ground water is contaminated by the sewer system, the direction of contami- nation would most likely follow a downward gradient since the ground water level is approximately twenty feet below the sewer whereas the well is almost 40 feet horizontal from the sewer system. Likewise, almost every well in this particular sub- division is in violation of current standards and could serve as a source of contamination, if in fact the direction of contami- nation was horizontal. Therefore, moving one well will have negligable impact on water quality in the immediate area. This is a very unfortunate situation caused by a lack of en- forcement of State standards by a public agency. However, the actual risk imposed by the existing system is minimal and certainly no higher than that caused by the.general overall development in the Anchorage area. Relocation of the existing well would serve no technical purpose other than meeting an existing State regulation. No one could guarantee longer life or more reliable service from a new well opposed to the existing well. The years of satisfactory service of the existing well is evidence to that fact. We would be happy to discuss I uyers at your convenience. hesitate to call. Truly yours, CRY ENGINEERING GROUP Willem Van Hemert, P.E. WVH/bsl this situation with you or your If you have any questions do not —� CF A44%11 r,r *4 Wil:.rw Van t:mnert W ,, f'. Na. CE 450 �%�� NOV— 7-92 SAT 8:38 PATRICK M. RODEY SENATOR November 6,1992 TO: FROM: RE: 211aha btate 3U01 Cature of M n oetlate - 3 rs:- % JOHN SMITH Department of Health Municipality of Anchorage MAX GIFFORD Administrative Ass t / 5617618 P.01 31U C St.. Sults 510 AAclatam Alasla 99503 (907) 561-7618 Dem 5euiory State Capitol Juneau. Aleia 99801.1181 (907)163.3793 RECEIVED NOV 9 1992 Municipality of Anchorage Aapt. Health & Human Services Water Well Health Authority Approval (HAA) at Lot 4, Block 1, Teshlar Drive (Dawn Village) As we discussed recently by phone, the owners of the above referenced property on Teshlar Drive wish to sell their home. In order for potential buyers to obtain financing the lending institution requires an HAA of their well. So far they have not been able to acquire one because the well is not sufficient distance from the municipal sewer line. I've am forwarding a copy of the engineer's 1984 report on the well and the application for an HAA. I've included of three other dwellings on Teshlar Drive that have the same problem but were apparently to db something to meet the health certificate requirements. (We'd like to know they did to make the city happy?) Surely there must be a way the well at the 6720 Teshlar Drive propert} (Lot 4, Block 1) can be approved by the city so that the owners can -go forward. with the sale of this property? Digging a new well seems like.ari unreasonable expense (at least $5,000) and the application for waiver fee is': rather steep particularly with no guarantee that the waiver will be granted. Your attention and assistance with this matter would be gratefully appreciated. P.02 No V- 7-92 SAT 0:39 , . wR�vE� •3 Z co �+ J W -- Lua 1 �1 Ila -6773-W Cc uj tyn I YEQ.JI3 {s -5S87- ft -MM 111114680011111to Sol 11111112644 446420181 ISO 140092218284 fill JO' _E. 68th. _. Ave. _ _ _ DAWW VILLAGE. W.I.D. Ht 356 DISTRICT BOUNDARY PROPOSED WATER EXISTING WATER 11111441411191 logo l ori _ MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. Cenral Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4, Block 1, Dawn Village Subdivision Locatiod taddress or directions) 6720'Teshler Drive Join A Call Vag Al 49-5388 786-8477 (b) Applicants Name P� Telephone -Home Business Applicants Address 6720 Teshler Dr, -'Anchorage, AK 99507 (c) Applicant is (check one) Lending Institution Owner/builder ; Buyer E:J ; Other (explain); (d) Landing Institution 1st ,Federal Savings & Loan Tolephone274-6565 Ad�2rtps• 813 K. Northern Lights. Blvd. .(a) Real Estate Co. S Agent Sold by Owner Address 6720 Teshler. Tel 349-5388- (f) .Mail the HAA to the following address:..: 1st Federal Savings & Loan . 813 W. Northern Lights Blvd. Anchorage, AK 99503 2. Type of Residence single -Family X multi -Family Other (describe) �~ Humber, 'of 'Bedrooms 3 's .3 water 3app1)r 1-Indiv:aual isll•a 'Community =1 Public -Note: -If community well system, must have written.contirmation from ...Department of Environmental Conservation attesting .to the legality ;�`. SiieaRi Disposal ^_.OnsitePublic Community Q 'Holding Tank Note: *If cwmjinity well system, must have written confirmation from Dsparta sat of'Environental Conservation attesting to the legality y.,�* the State and status* om the State and status. 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation data shown below, I verify that my investigation of this Health Authority Approval 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 m investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal mad State codes, ordinances, and -regula- tions in effect on the date of this inspection. (SEE NOTE BELOW) Name of Firm CK'W ENGINEERING GROUP Telephone 562-3252 Address 3900 Arctic Blvd. #203, Anchorage, AK 99503 Date December. 4, 1984 OF A %111 (ENGIN�PsaL.) 'C•e'pt �on: Inadequate ej ;4 H eper.44on distance of 000.�:.oPewer main 6. DEEP ApprovalI y % •:�Q ,.. � �Ilom Von N.nn.rt � w •/ CE 1501 ?� Approved for bedrooms By Date ApprovedDisapproved\O S ional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION, (DEEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE LEEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF LEEP 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. (DEEP SEAL) RR4/ej/D18 (Page 2 of 21 7-19-84 I MUNICIPALITY OF ANCHORAGE (MCA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 A. WELL DATA Legal Description: Lot 4.•Dawn Sub ivisi Anchorage. AK Well Classification Private If A, Be or C, D.E.C. Approved(YIN) N/A Well Log Present (YM) YES Date Completed 1977 Yieldl2 GPM Total Depth 96' Cased to 96' Depth of Grcating U -K. Static Water Level 32' Rump Set At 90' Casing Height Above Ground 321" inches Sanitary Seal on Casing (Y )YES Electrical Wiring in Conduit (YM) YES Depression Around Wellhead (YM)NO Separation Distances from Wall: To Septic/Holding Tank on Lot N/A ; Cn Adjoining Lots N/A To Nearest Edge of Absorption Field on Lot N/A ; Cn Adjoining Lots N/A To Nearest Public Sewer Line 34 •1 .feet To Nearest Public Sewer Cleanout/Manhole 341 To -Nearest Sewer Service Line on Lot 26, 'Water Sample Collected By D. Yanoshek ; Date 11-16-84 Water Sample T1ast Results ACCEPTABLE Comments B. SEPTIC/HOLDING MM DATA N / A ! Date Installed Size No. of CaVartments .Standpipes (YM) Air -tight Caps (YM) Foundation Cleanout (YM) Depression over Tank (YM) Date Last Pumped Pumping/Maintenance Contract on File (YM) for Bolding Tank 'High -Water Alaaa (YM) Temporary Holding Tank Permit (YM) Separation Distances from Septic/Holding Tank: To Water -supply %11 To Building Foundation To Property Line To Disposal Field To Water Main/Service Line To Stream, Pond, Lake, or Major Drairnage course, Comments w'. Receipt # Date Paid: Amount: (Page 1 of 21 2-15-84 i Soils Rating in Absorption Strata Type of System Design Date ,Installed Length of Field Width of Field Depth of Field Gravel Bed Thickness Square Feet of Absorption Area Standpipes Present (Y/N) Depression over Field (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To hater -Supply Well To Property Line To Building Fcundation To Existing or Abandoned System on Lot ; On Adjoinicq Lots To Water Main/Service Line To Cutbank(if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway. Parking Area, or Vehicle Storage Area Comments D. LIFT STATICN N/A Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pulp On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles doing Adequacy Test. Meets MOA Electrical Codes(Y/N) Colic nts '* Check Permitted Bedroom Rating Against HAA Request *' . I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effec-. on the date of this inspection. Signed Willem S: Van Hemert Date 4 Dec. 1984 �.OF.A4•gs1 I Company CAW ENGINEERING GROUP MOA No. RC2: ;fq�� 0 . EN KBl /d5/s (Page 2 of 21 9R, Willem Von VemM 4W / 1 c No. CE 4509 ,•' j . A 2-15-84 29 November, 1984 17nglneedng group John Van Alphen 6720 Teshler Dr. Anchorage, AK 99507 Be: Lot 4, Block 1, Dawn Village Subdivision Dear Mr. Van Alphen: Enclosed are copies of documents pertaining to well/sewer sep- eration distances in Dawn Village Subdivision. Documents are as follows: 1. Waiver of seperation request letter to DEC with attachments Well Log M.O.A. Well Permit/ Sewer As Built'/ Water Lab Analysisv 2. Well Permits for lots neighboring Lot 4, Block 1, Dawn Village Subdivision including: Lot 2, Block 1✓ Lot 3, Block 1 Lot 5, Block 1✓ Lot 3, Block 2 Lot 4, Block 2 Lot 5, Block 2,/ 3. Subdivision Map Neighboring wells were installed in a straight line and are also in violation of current seperation distances. As you can see from the well permits all wells were approved since the Municipality was granting automatic seperation distance waivers, at that time, for private wells and public sewers. If you require any additional information pertaining to this matter, please do not hesitate to call. Sincerely, CRW ENGINEERING GROUP David Yanoshek, P.E. DY/bl 3900 Arctic Blvd.• Sulte 2O3•Anchorage, Alaska 99503•(907) 562-3252 (meas.) I 1319.52 I 1 1 11 v r om 1 n�to I` 20*'E 32986 10' UTILITY EASEMENT �i ' 12 10 I wW 9 ;.5k (- $K, L I o „ £ 11,810SOFT 4413.698 so F7 ; I - ✓ L 1Z 1d,590SOtT8 1OjOMso.FT "- * °yob 9b I DV _68.00-_ -4564•-36�A O S r 0 £� �•� .228 SO. FT. S-3203 E 1'r 07 DV �U IO1UTILITY 134.e1 31.39® 137 1� PT 1 5B 1 I EASEMENT a 6 N oo°oa mew' 2 27 y 8,994 SOFT. 1 5-3203 1A 1 10.705 60. FT. m ®® L 1 :9 0i.N69'18•8d'E R N 89°45'36"ENR / r^ ®�' SEE NOT80 , —7,� 11 �7 D� N 132.13 j 0.4 6 0) o P °T T30 SOFT_ I� ►� w C wr' / N 5 f 1 ��l a 'n N 896i�S'00" E I M E ', S-3203 w IQ290 s0.F \! }^ �I IS3.BS�( (v _,,,, 2 1 1 UFTIL1TV EASE. I 1tt rj i N 89939703' 0 N 1_41. LLPu O 8,230 O.FT. 1 ` j 1 IOTUTLLiTr EASE. 0>oc 89°52'24"E �I ` r` 0 8 4 $2 9,491 SO.FT$1t m$�4O E6 T. 89°1T 17 Zod 8'783 SO.F'•, s. DV 131.25 C / PT ` 889°62'14 �E NR PC 0 3 / la , 151.64 O k 6. uF V S-3203 . e,99a so.vT e ® 3 �1 S-3203 \� A �y4 �• (/.� '•••'• EAST 9,267 SO. FT. 1 (I 125.10 1 EAST AL,UM. CAP PON. O 1 '1• ALUM. CAP MON .,� 1 1 134.69 �y.. SET03 ABOVE // SET 02 ABOVE ' o •3 "`� 0 1 GROUND D GROUND(2 \o = p 2 ••., { USK SEF ,f USK 8,735 SO FT �� o $ t 9,282 SOFT. IN EAST,N. = 1 EAST= I PAWN " .ON PIPE I"DIA. W/NAIL SEC. DAWN 125.05 , 134.72 VILLAGE MUSKEG VILLAGE qSUB, BELOW PVM�T SURFACE LOT 14AS 17"J" ' 0LI,' 1 I : SE COR MSUB sw COR g! --% Y LOT 1 ��/ 1 416 SOT'. 4mr 2 2 =25 vL42 - 9,972,,, SQ.�T�• � S-3254 S-3254 ' —'IOS. ® •® �"'•"'134Ts 1976 WEST 329.76 , 150.00 79.76 � M. WE (Basis of -Be ring) BLM �_,,.,. M 13I9.08(meas) RASP6E Y ROAD 25 125 M ' 0 n ,17 rJ `�,�� _ I z' LEGEND I I Set this survey Found Description ® 5/81x30" Rebar w/ 'ION BY THE Alum cap set flush w/pvmt. SURVEYORS C '.HORAGE 1r EARL D 0RYNTA PROP. Proportion plat of DAWILLA� iblic uses and for sr septation of lands ac ,, • A., a1.1. 5/8 x 3d Rebar RM S. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME ❑ One Jff Four ❑ Other ae ❑ MULTIPLE FAMILY jam; Three ❑ Six rk DATE DATE DATE ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well a INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY ANCHORAGE MUNICIPALITY OF ANCHORAGE l- DEPT. OF ?=; L i ; �. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTICKY1RONMENTAL 1':.OTECTION 825 L Street . Anchorage, Alaska 99501 - SEP 2 v 9981 ENVIRONMENTALSANITATIONDIVISION Telephone 264-4720 R F F v F REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWEK FA�tL�rES D DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE S MAILING ADDRESS , GQ 2207 PROPERTY RESIDENT (If different from above) HONE l o 2. BUYER A7Yl E S MAILING ADDRESS p G N 3. LENDING INSTIT TIONPHONE B lei Nit) Zlo MAILING ADDRESS 4. REALT R/AGENT PH NE '\ V MAILINGAADDRE S I ! RM S. LEGAL DESCRIPTION STREET LOC9TION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One Jff Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY jam; Three ❑ Six 7. WATER SUPPLY INDIVIDUAL" ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON-SITE"" YEAR ON-SITE SYSTEM WAS INSTALLED. PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) , / THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE _ ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL — 4. DISTANCES WELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - 5. COMMENTS 1� 1 ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED DATE l I BY 72.010 (Rev. 6/79) 0 % Q \ MUNICIPALITY OF ANCHORAGE DEPARTMEfo�) OF HEALTH AND ENVIRONMEN'"*",. PROTECTION 825 L Street, Anchorage, Alasxa 99501 279-2511, ext. 224 or 225 Date Received: May 4. 1977 #1: Time 2.30 nym. #2: Time #3: Time Date 5-4-77 Tues Date Date Insp Pratt Insp Insp i REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Mutual Savings Bank Mailing Address: Post Office Box 1120 99510 Phone: 274-3561 2. Property Owner: Pederson Construction Mailing Address: Star Route A Box 1718X 99507 Phone: 344-8638 3. Legal Description: Lot 4 Block 1 Dawn Village Subdivision 4: Single Family Residence: (x) Multiple Family Residence: ( ) 5. Well System: Permit # 77009 Number of Bedrooms: Number of Bedrooms: 2 Individual Well (x) Community/Public System ( ) Construction Depth of Well 96' Well Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System ( ) Permit # Installed Septic Tank Size Absorption Area Public Utility fix) Installer Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line r Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 4 Block"1 Dawn Village Subdivision Comments: Affadavit Attached: (:) Letter Attached: ( ) Approved:, �(��� Date:( Disapproved: Date: Department Worksheet: i MUN''10PAurr Or- ANC-11OU.0Z MUNICIPALITY OF ANCHORAGE [)LPL OF F , !.;,1 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION;11O,\' ;!F.Ni,�L F,;r;l'ICTION 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 -- REQUEST FOR APPROVAL OF AY 4 99x7 INDIVIDUAL SEWER and WATER FACILITIESRECEIVED 1. Type of Inspection: CMRO VA FHA CONV� 2. Property Owner: r-RCLz Cbncfry ed rte. 'f'nQ- Mailing Address: S �� 60.1 71 f Y ,4Ac' l,ntt�-( Day Phone: kj�5 03 I SSSa 7 3. Name of Buver: Mailing Address: Day Phone: 4. Name of Lending Institution: 4 1 u t kc, ",Ault 1) 1' n;s Mailing Address: 90, Bo)( i is 0 ono ke��`,'<- Phone: {Ittn. Det3we zlo+nsee. 5. Name of Realtor or Agent: Mailing Address: Phone: 6. Legal Description:. 0004— 1 L5'.' W t\.- U. I l u Location: (?n P "I ec.K ol; s a i" 7. Type of Facility to be Inspected: )av,: hl No. Bdrms. .21 8. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation 72-003(3/76) r l�,JLOG� sS' S 3 41 liz&- tog/ 070 n/t 7v c /k -re "a -Z -L. u "c_ 73 7S' est. ' 5 6�