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Home My WebLink AboutDAWN VILLAGE BLK 2 LT 12 A~CHORAG~'. ALASK~ 99507 SUBSURFACE EXPLORATION Shift Report of Operations PEDERSON CONSTRUC~ON, INC. Dawn Subdivision, Lot 12, Block 2 6" Domestic Well ,. CO-'r.'ACTO. WESTERN STATES ASSOCIATES ,. CO,T,,CT -o. 22W TO ~. TIME DISTRIBUTION HOURS Herb Johnson RIG HOURS CASING LOG NO. 3 6 7 8 9 lO 11-0 17-o 2h. -1 32-3 37-0 42-6 .50-7 56-7 62-1 67-7 ~o. SOILS LOG. DEPTHS TO 12 gallons per miniute; NATERIALS AND RENARKS Sandy gravel and some rocks interbedded. No water. Sandy clay with gravel inbedded. Sand 4nd gravel Water DRILLER INSPECTOR PERM I T I'.lO. i'ILII'-,I 1' C I PFIL T TY I--,F R['-II~:HI--IE:'IZ'IISF DEPFIRTI"IEI"IT OF HEFtLTH FIr.ID EN',/IRONItENTFI/ PRI-ITECTIOf. I 25±6 E. TUDOR RD. 276-222'1 LIBEL PEF-"I"-I Z T RPPLICAHT ,PETE~'qnf. I: .... r:Of.J~TRI.ICTION, LOCATION TESHCAR ST LEGAL Li2 B2 DFIHN VILLAGE SRA BOX '17'18X LOT SIZE SQUARE FEET ItlI'-IIMUM DISTRNCE BETHEEN Ft WELL RND RN'¢ ON-SITE SEWAGE DISPOSRL S'r'STEM IS '100 FEET FOR Fi PRIVATE WELL OR 200 FEET FOR 8 PUBLIC WELL. WELL LOGS FiRE REC, IUIRED FiND MUST BE RETURNED TO THE DEPFiRTMEf. IT WITHIN ~0 DA~'S OF THE HELL COMPLETION. SPECIFICFiTIONS RND COHSTRUCTION DIFtGRRMS. FiRE FiVFiILFiE',LE TO INSURE PROPER I NSTFiLLRT 1074. PEF-:'I'-I I T '-.-'R L I D FI~)i:;: I_-'1 [-,.I E 'T'EI 'IF-: FP.~.I'-'I["I T __'~$1JE I CERTIFY' THRT · 1: I FiId FFiMILIFiR WITH THE REQUIREMENTS FOR ON-SITE SEHERS FiND HELLS FiS SET FORTH BY THE IdUNICIPFiLITY OF FiNCHORRGE. 2: I HILL INSTFiLL THE SYSTEM IN RCCORDRNCE HITH THE. CODES. ........... ./ S 89057'20"£ 32986 '- IO'UI'ILITY --, EASEMEI'~i -- PT ~Lu~ SIT O~ UC, T 7 SW C:~R LOT I 134. 3 · 8.9~4 SOFT I 8,416 .~:~. F T. ¸42 8 4 .'.'".. , ·.'.,?- 2 9.282 SOrT ~ ~,... _ __[*_st ';-; I 329 76 17976 5/6"x 30" Ret)ar w/ Alum cap s~t fk.'~h w/print. 5/8"x 3d' Rebor USK Man Alum Cop I0' UTILITY EASEMENT PC C,R OUN O S -32~4 ROAD SEE SURVEYOR'S CERTIFICAT I,_EARL D K_(~RYNTA plat of sentotlon of Ior~$ actually shown correctly 'and that all monurrents and lot corner~. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERT, ,CATE OF,NSPECT, ON FOR.EALTH AUTHOR,W APPROVAL N i?g 'DJJ 1 OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot. block, subdivision, section, township, range) Location (address or directions) tt /_,, o / l , i {b) Property Owner TelepEone: Home Business Mailing Address {c) [endin~ Institution. Telephone Mailin~ (d, Real Estate company and Agent Address Telephone (e) Mail the HAA to the followine address: or; Cheek here~ if hold for Pick up. List contact person and day phone~~number~l°w' ~ ', ~. TYPE OF RESIDENCE Singlo-Family~ Number of Bedrooms WATER SUPPLY Individual Well ~' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL .[] Public/~ Community [] Holding Tank [] r Onsite Note: If Community, well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 ??-025 (Rev 8/861 Front ~ Io ~ e§ed ')IJOM s,Jeau!§ua leUO!SSejoJd eq) u! suo!s$!uJo Jo sJo]Ja Jo,[ elq!$uodseJ lou s! e~eJoLiouv jo Al!led!o!un~ ell/'penss! s! ele3jj!tJa3 e eJojeq eiep eT.~leUe JO suo!loedsu! lonpuo3 )ou op SHHa jo SeeXOIdLU:1 'siua~ueJjnbeJ eleis pue leJapej u!elJe3 ~s!les ol JepJo u! suo!lnl!lsu! §u!puel J!eql pue sauJOLl jo sJeSeLloJnd ol AselJnoo e se s!qi seop SHHC] eLIJ. 'e)iselV Io e)elS aql u! pa~ais!§eJ Jeeu!§ue leUO!SSejoJd luapuadapu! ue Xq e^oqe S tideJ§eJed u! ue^!§ suolle~ueseJdeJ eLll uodn/~lUO peseq sele3!j!De3 le^oJdd¥/qUoLlinV LllleeH sanss! (SHHa) sa3!AJeS ueumH pue LllleaH jo lueLuDedaa e§eJoqouv lo/q!ledp!unl/~ eLlj. le^oJdd¥ leUOll!puoc) lo stuJei leUO!l!puoc) pe^oJddes!O ~.N(', pe^oJddv lees s. JeeU!§U~ i~f, li~Ag/IY Of ANO.iO~UNICIPALITY OF ANCHORAGE (MOA) j,j~AI,.SEm/IC~$ DIVt~LTH AUTHORITY APPROVAL (HAA) WELL DATA .JUL. 1 1.988 RECEIVED CHECKLIST o FEBRUARY 1984 264-4;'20 Legal Description: LoT 12: 2. Well Classification · ~'~.--~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) y Date Completed J ? '~' '~ Yield Total Depth ~ ~ Cased to ~ '~ Static Water Level ~ ~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot /~/~, To Nearest Edge of Absorption Field on Lot ~f~, Depth of Grouting J'~O/~' Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Nearest Public Sewer Line ~t/Manhole Water Sample Collected by Water Sample Test Results Comments ; On Adjoining Lots ; On Adjoining Lots ~ ~ TO Nearest Public Sewer ~ ~ _ To Nearest Sewer Service Line on Lot '"r~ ...~ ;Date ~ B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course Size Air-tight Caps (Y/N) No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) 'To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11184) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (WN) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA *' Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verifiecJ~ conformed to..~all,,MOA, and HAA guidelines in effect on ihe date of this inspection. Signed ~"~~ Date Company ~ ~ ~ MOA No. ~.~_ ~ ~-~.,. ~'~'.' Amount: $ / ~ ~ ~ ' ~ ........ ~' '~' ~' '~ Engin~r's ~al ,MUNICIPALITY OF ANCHORAGE Page 2 of 2ENVIRONMENTAL SERVICES DIVISION UJL 1 1988 72-026 (11;84) RECEIVED M. UNK~I~ALII'Y Oi: AlxlC~.~RAGE ENVIEOf4MENTAL SElf, ICES DIVISION 1 1988 RECEIVED Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 12, 1988 Tobben Spurkland, P.E. 203 West 15 Avenue "C" Suite 203 Anchorage, Alaska 99501 Subject: Waiver Request fen Lot 12 BLock 2 Dawn Village $/D Waiver Request ~WR88-0~4, ~H88-0251 Dear Mr. Spurkland: Your request for waiver of the required 75 foot separation of a private well to a public sewer line has been approved. The approved separation distance is 45 feet. The approved separation distance of a private well to public sewer manhole is 49 feet. This waiver approval applies to the existing well and public sewer line only. Any future upgrade will require all separation distances be met or another approval from this department. Sincerely, Daniel J. 'Roth Civil Engineer On-site Services DJR/ljw~8 oo ~ r3 ~"~03 W. 15th AVE "C" SUITE 203 ' CONSULTING ENGINEER 't'E_L_E_P?._O_NE: (907) 279-3916 MUNICIPALTTY OF A~~ DEFT, OF HEALTH & ENVIRON~AENTAL pI~OTECTIOI~ Munici~alit~ of Anchorage Division of Environmental Health JUL % ~B8 May 23, 1988 Department820 L Street of Health and Social Service%~l\l,. Anchorage, Alaska 99501 Subject: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR PRIVATE WELL TO PUBLIC SEWER LINE AND SEWER MANHOLE LOT 12, BLOCK 2, DAWN VILLAGE AHFC Gent lemen; We are submitting a request for waivers distances stated in Title 18, Alaska Chapter 80.020. from the separation Administrative Code, During an Health Authority Inspection on May 18, 1988~is was discovered that the distances between the well and the public sewer line and manhole were 45 and 49 respectively. At the time of well installation the required distances were 50 feet. By going through DEC's procedure of analyzing the potential for contamination I arrived at the following points. Ground Water Soil Sorbtion Permeability Gradient Separation (at 80 ft. ) . 6.0 ( Tight Sand ) 2.5 (and and Clay ) 4.5 ( 0 ) 2.0 (45) 1.0 Total 16.0 Conclusion: Chemical contamination possible but unlikely. Sewer line is cast iron pipe with water tight couplings. Line is 8-inch. DEC have given waivers for other properties in. Dawn facing identical separation distances. There is a 16-inch sewer'line located along the back lot line. The total distance between this line and the 8-inch located in Teshlar Circle is 180 feet. There is no place a new'well could be installed meeting to-days separation distances. for this well. qm ~E~FICATE of SU~.V£Yw ; OVal[! Of IECORD Nome Citl' Stole ' ~ LOT2. .LEGEND., I,L.J~. Broil Cop Cop - 30" hbo,, S,~,~.~ Se.*y Hvb & Toc~,Sft~,F-d.~ LoT_L~ B~OCK, ~ SUBDIVISION ' " ' :' ~,J~-~4, IECOIDIHO llECINCT~ALASKA ;: , :' ASRUILT SURVEY FOR ra~DE~L~OM ~ UNWIN.SCHEBEN.KORYNTA '/~'q'~., ~'~;--. · ~ ..... - ,-.*~ I-.,, ¢, .! ?~"~') I%..'n .~r ,~- ILl. '2'"? JGtlD CONSULTING ENGINEER ~.O3 W. 15th AVE "C" SUITE 203 ANCHORAGE. ALASKA 99501 TELEPHONE: (907) 279-3916 LEGAL: LOCATION: OWNER: TYPE OF WELL: WELL LOG AVAILABLE: Lot 12, Block 2, Dawn Village 6601 Teshlar AHFC Single Family, Residential Yes RESIDENTIAL WELL INSPEdTION t~(' JUN[ 2~. tOTt · INSTALLATION REQUIREMENTS MET: NO. Well is 45 feet distance from public sewer line and 48 feet away from sanitary sewer manhole. Minimum required distances at the time of well installation were· 50 feet. A waiver must be applied for. There is no location on lot were a well can be installed meeting the separation distances required. There is a sewer line both in front ,and in back of lot. WELL YIELD FROM WELL LOG: PUMP YIELD FROM TEST: DATE OF INSPECTION: 12 gallons per minute 7 gallons per minute · May 18, 1988 TEST PROCEDURE: Well was"pumped at a constant rate while the drawdown was monitored with an acoustic probe. At t~e' beginning of the test water level was found.at 28 feet below top of casing. At a pumping rate of 7 gallons per minute the water level dropped to 44 feet after 65 minutes of pdmping. Well recovered to 35 feet in five minutes. A 56% recovery in 5 minutes. A total of 500 gallons were pumped. - TEST FOR E.COLI AND TOTAL NITROGEN~' Water was tested for E.Coli and total nitrates on E.Coli 0. Total Nitrates. ND (None Detected) Max. allowable Total Nitrates 10mg/1. TEST RESULTS: This well meet~ the requirements of the Municipality of Anchorage, with the. exception of the'diStance to sewer line and 'manhole. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR THAN FOUR HOURS MORE The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may chan~e due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. ' APPLIC NT OUT uPPER HAl,-- ' ', ' ~:l;op~rty~0Wner Phone Address Zi~ Code Type of Resl~nce ~Ingle Family O Multiple Family No, of Bedroo~ o Other Water Supply ~ndivld~l A~ACH ~LL LOG. A w~l log Is required for all wells drl~ed since June 1975. ~ ~mmunlty For wells ~illed prior to that date, give well depth (attach log If avallab~ Sewer Disposal ~1 Year Indlv~ual Installed: ~bllc ~llity When ~nnected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION ~E MU~T ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INiTiATED. Time Time Time -~, ~7 "- ~" Time Date Date Date Date/__..... Inspector Inspector Inspector Inspector Field Notes: F'~ APPROVED BEDROOMS 'COND,T,ONS OF APPROVAL ( ) DiSA.".OVED ( ) CO~DiT,:NA' APPROVAl' DATE Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank SIze .-<~, DA INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE ,NSPECTO ,NSPECTOR ,NSPECTOR MUNICIPALITY OF ANCHORAGE ENVIRON,V.[NT .... DEPA.TME.T O~ .E^LT. & ~.V,RO.ME.T^L PROTECT,O. 825 LStreet-An~horege, Alask. g9501 SEp 2 8 1981 ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, I.¢omplete request~ will 1. PROPERTY OWNER MAltING ADDRESS PROPERTY RESIDENT (If dJtlerent from ebove) PHONE 2. BUYER PRON~E MAILING ADORESS ~. LENDING INSTITUTION I PHONE MAILING AxDDRESS 4.. REALTOR/AGENT J PHONE MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY '~. INDIVIDUAL' COMMUNITY [] PUBLIC UTILITY D~ NUMBER OF~BEDROOMS [] One [] Four [] Other [] Two [] Five ~] Three [] Six · ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE'; ~ PUBLIC UTILITY .YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10 (Rev. 6/79) . . ~ ~ .. THIS SIDE FOR OFFICIAL USE ONLY .......... 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS I--I SINGLE FAMILY [] ONE [] THREE [] FIVE r-I OTHER I--I MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL ~q COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER I-'IINDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [--IHolding Tank Size: · · If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL - 4. DISTANCESwELL TO: Septic/Holding Tank [Absorption Area ]Sewer Line [ Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~'"'"-APP R OV E D FOR "~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) ' MUNICIPALITY OF ANCHORAGE (_//~ ~( ~ ~ DEPARTMENT OF HEALTHAn~torage. & ENVIRONMENTAL PROTECTION ~U L S.m. AWe ~501 I ENVIRONMENTAL ENGINEERING DIVISION ':' Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS= Comple~ eli para on page 1. Incompletl mques~ w#l nat bi pTogl~ed. FReese allow ten (10) day1 for pr _oc~__~nO. 1. PROPERTY OWNER Z, BUYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION I PHONE MAILING ADDRESS / 14, REALTOR/AGENT " I PHONE STREET LOCATION ~., TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 7, WATER SUPPLY -,~ INDIVIDUAL· I--I COMMUNITY [] PUBLIC UTILITY 8, EEW~,GE OlSIN3SAL SYSTEM [] INDIVIDUAL/ON-SITE** ~ PUBLIC UTILITY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five ,,~ Three [] Six [] Other ATTACH WELL LOG. A well log is required for all wells ddlled since ,June 1975. For wells drilled prior to that date, give well depth (attach log if available.) '. · * If individual/on-~ite, give imtallation date If system is over two (2) years old an adequacy test is required by this Department. , NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 724)10(3/78) I THIS SIDE FOR OFFICIAL USE ONL _~ '; -' ' ' DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ~'~UMBER OF BEDROOMS [~// SINGLE FAMILY [] ONE [~ THREE [] FIVE [] OTHER [] MULTIPLE FAMILY I--I TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY d INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER puDI VI DUAL/ON -SITE DATE INSTALLED BLIC UTILITY Connection Verified _ INSTALLER I--ISeptic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER '~OTAL ABSORPTION AREA MATERIAL Absorptio~ Area to nearest Lot Line APPROVEDFOR $ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE 8Y {T~tle) LEGAL DESCRIPTION 72-010 (Rev. 3/78)