HomeMy WebLinkAboutTONJESS ESTATES BLK 2 LT 5
Municipality of Anchorage Page of
· ' ' DEPARTMENT OF HEALTH AND HUMAN SERVICES ".
· * ENVIRONMENTAL SERVICES DIVISION ~
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal .System and/or Well-Inspection Report
Permit Number: 5 14/~ ~ igO'~t-/' · PiD Number: .DS-/_ ~ ~ Z ._. 2. r../,
.ame: /--/'~4~ W'~-~,~ Wastewaler System: ~ New E] Upgrade
Phone: '~'~q'S~'~' IN°'°fBedr°°m':--'.'~ I~OeepTrench O Shallow Trench OBed r'lUound OOther
Total Depth from original grade: ·
LEGAL DESCRIPTION ~ so, Rail.g: /.2. G"D~F,. , ' 7'5'
Subdivi~ioJ;~. ~ Depth to plp~ bottom from original gna~e: G ravel depth beneath I~Pe
Township: IRan.: 1 Section: Fill adde~ abov'e original grade: Gravel length:
Number of lines: ~ O~stance between line~:
WELL: [3~New 0 Upgrade , Gravelwidth: ,~°~.,~-- Ft. I I ./t./t4 Ft.
Classification (Private. A.B,Ci:~[~t~l,i/~l~..' TotalDepth:¢~..~:~) Ft.CasedTo:,~.~Z, pt.____ Totalabsorption~a~..~ SO. Ft. Pipe material: ~:;:~10
Yield: ~., / Pump Set at: · ICa~llgHeigNAboveGround:
SEPARATION DISTANCES ~s~tt~ o .o~i.. o S.T.E...
To S~ptl¢ ~b~xptioe t~ ~ ~blie..~rt~ae Manufactuher~ ~ Capacity In gallons:
From Tank Field $,.,ion Tank S~er Une~ '"'~ ~,~ ~
Wate~ , lO0'* -- LIFT STATION
Curtain ~ ~., ~e~,~tode{ I Electrical Inspections performed
Department of Heallh and Human Services approvm
72-013 (Rev. 9/91} MOA 2~ ~b..q~b*q~l~
AS-BUILT SYSTEM DETAILS/SITE PLAN Per'nit $W990054
TBNJESS EST. S/D, LDT 5, BLDCK 2 PIl)ft051-832-24
V RURIXI I
~ ~ ~L000 GAL
3-E=144.6' g /I SEPTIC ~
~ ~¢ ~ ~ FINISHEI) GRADE
t000 GAL
TANK X SEWER RDCK
PREPARED FDR, SCALE, NTS ~ ~
LINI)A FRANK f ,, ,F' ~,
11420 DLI) GLENN HWYo #102 ,, .?:' ~. ,
EAGLE RIVER, AK 99577
(907)694-~5~5 ., .
eOUNOAR¥: $GWAR0 ~A~: KMD
STAKING: SEWARD ~[~[0: KMD 20441 PTARMIGAN BLVD..~
~'~: SEWA~ '~: 7/1~/99 EAGLE RIVER,.AK 99577:'8736
NWl 462 [ .......-...................v ..............:.....-..--.... ,.......:.....: ....-.....-....- ~
· c,o r,a: 99012.DWG ~ ,o.: 99012 (907)G96-6111/FAX (907}696-8111
JUL--l~--1999 10:5~ PM HORIZONV£NTURES 987 ~94 ~525 Po~I
by
5ULUVAN WATER WELLS
P.O. BOX 870272, GHUOI~, ALAG~ $9587 · TP. LEPHC)Nt' 888~27S0
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
PERMIT NUMBER q~. oQ $ ~ Date of I,,ue
TAX INDENTIFIOATION NUMBER /3_'~/ '.4~-~'~
Is well located at approved permit location? Cl~es I'1 No
Method of Drilling: I ~3,~r rotary I~ cable tool
Depth of welt: _ <~ ~, O
Casing Type: .~'"T~'E'/~ Wall Thickness , ~ ~ Inches
BORE HOLE DATA
DEPTH
Diameter .~ 4/ inches, depth ~.~i[ . feet
Liner Type: /Oa~
Casing Sti.ckup Above Ground: ~, feet'
Static Water Level (from ground level): ~.f) feet
Pumping level:, feet after .hrs. pumping gpm
Method of Testing: ~lf~, ',
Well Intake Opening Type: I'1 Open End ~3,~n Hole
C1 Screened; start .fee. t Stopped. feet
I'1 Perforations Start ....f.ept,,,.Stopped feet
feet
RECEIVED ....
,JUL I
Municipality ct A~cn_orage
Dept. Health & Human Services
Depth: from (~ feet, to.
Pump Intake Depth:
Pump Size .' hp Brand Name
Well Disinfected Upon Completion? ',1~"~ (~ No
MethOd of Disinfection: ~,~ )~ ,~JL~ .~'O /~/3~
ATTENTION: It is the responsibility of the property owner to submit a copy of the well Icg to the proper authority. Municipality
of Anchorage: Department of Health & Human Sen/~.,es and/or Department of Environmental Conservation. MatSu Borough:
Depa~[,,ent of Environmental Conservation.
EAGLE RIVER, AK 99577-8736 ~., '~/'~~"~":/ ......... ·
~ '~ ::::::::::::::::::::::: ;5'::-": --:-: -:::--::~" .:-:' : "~ ~ 'i ~'""-~,¥"-)'"'.~ ·
Performed for: Linda Frank Date rertormed: 5/18/~~''~''
Project: Lot 5 Blk 2 Tonjess Est TEST HOLE #
Depth I
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION .
Org- soft, brown, moist
9-
10-
11-
12-
13-
14
15-
16-
17-
18-
GP/GW- loose cobbles to 8"
SP/SW - minor silt
__ B.O.H.
NO PERC TEST PERFORMED
SAME AS HOLE 99-2
Was Ground water encountered? NO What depth? N/A
Depth to water after monitoring? Date? $/18/99
Reading Date Gross Net Depth to Net
Time Time Water Drop
19- Percolation Rate __ (rain/in) Perc Hole Diameter '-..' '~
20- Test Run Between ~ feet and -' "feet "J:
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Mur~cipal guidelines in
effect on this date. " ':
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage. AK 99519-6650
(907) 343.4744
ON-SITE WASTEWATER DISPOSAL SYSTEM ! WATER SUPPLY PERMIT
Initial
Date Issued: Apr 08, 1999
Expiration Date: Apr 07, 2000
Permit Number: SW990054
Legal Description: TON JESS ESTATES BLK 2 LT 5
Design Engineer: 0070 KND Engineering
Owner Name: Linda Frank
Owner Address: 11421 Old Glenn Hwy #102
Eagle River, AK 99577-0000
Parcel ID: 051-832-24
Site Address:
Lot Size: 86946 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
~ Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Ddnking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date:
~xq D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
March 24, 1999
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer/well penait - Tonjess Estates S/D, Lot 5, Block 2
Gentlemen:
The owner has requested we proceed forward to obtain a well and septic permit on
the subject lot. On March 15, 1999 we dug two testholes for the proposed system.
The results of these tests are attached. The general slope of this lot is from south to
the north at a grade of approximately 5 - 10%. We have designed our system
utilizing the testhole we excavated on the west side of the lot for the three-bedroom
house, which is proposed for this lot. The lot will be served by individual well.
We propose to install a 2' wide deep trench. Although the soil appears to percolated
faster than 1 min./inch in the upper gravel layer the lower sand layer percolated a
little less than I min./inch. Water was not encountered during the excavation or
monitoring.
There are no public or private wells within 200' of our proposed system location
except as noted. There is no surface water within 100' of the proposed system and
there are no known curtain drains within 50'. We do not expect there to be any
adverse effect on adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
~ittachments: On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL/WASTEWATER
TON JESS ESTATES S/I), LOT 5, BLOCK
:ZZZZZZZZZZZZZZZ__~-
DISPOSAL SYSTEM DETAILS/SITE
VACANT
K
SySTrN LOT 5
PLAN
D
#KND99-1
i S£PTIC ~
DESIGN DETAILS
3 BDRM X 150 GpI1 = 450 GPD
450 GPD/1.2 GPI) PER SQ, FT. (1.0 MIN/IN.)= 375 SQ. FT
375/(2'(W) X 6'(I])) (6' GRAVEL) = 31.25 FT, TRENCH
USE i TRENCH - 31,25(L) X 2' (W) X 6'(I))
Tot;at dep'th o¢ sys'tem Is 10' Crom original grade,
Totat depth oF gr'avet betow dls't:rlbu'l;Ion pipe Is G,O' ,
NBTES'
1. USE 1000 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER,
2. INSULATE TRENCHES WITH 2' HI) BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MAXIMUM 2Z SLOPE INTO SEPTIC TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TI] ADJACENT
WELLS & SEPTICS.
PREPARED FBR~
LINBA FRANK
]]ISCBVERY TRAVEL
11421 DL]3 GLENN HWY. #102
EAGLE RIVER, AK 99577
(907)694-8585
FIELD BOOKS
SEWARD
SEWARD
^mu,Lr: SEWARD
COMPUI~D:
O.^Ww: KMO
C.£CX£D: KMD
D,,,'~: 5/19/99
NW1462
Sc(lte: 1'= 100'
PAGE 1 OF 2
).~ ) .~[~j') D) ENGINEERING
20,141 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
^CA~ nL£: 99012.DWG .~e No.: 99012
WASTEWATER DISPOSAL SYSTEM DETAILS
TrlNJESS ESTATES S/D, LOT 5, BLOCK 8
K D
.~O.'MT iCO:
KND99- ~ ... ..,
POSED P
1000 GAIii,, S iT,
FCO,
~-~'"' ~""~F" ~ PREPAREDLiNDA FRANKFOR'
· '" '.~ '~,~ DISCOVERY TRAVEL
,~l ; ........ ,........_~ 11481 OLD GLENN HVY, ill08
(907)694-8585
~EkO BOOKS
·cm ~: 99012.DWG
3/19/99
NW1462
Scale: 1'= 20'
PAGE 2 DF 2
]EH]I)) E~,~EER,~O
20441 PTARMIGAN BLVD,
EAGLE RIVER, AK 99577-8736
(Op?)69B-6111/F~X (907)696-S111
~x~ ~ ENGINEERING
~'49~
EAGLE RWER, AK 995~-S7~
-~ ~... ..~
SOILS PERCOLA~ON TEST
P~formed for: L~nda Frank Date Perform~:~
Project: Tongess Est. Blk 2 Lot 5 TEST HOLE # 99-2
2-
3-
4-
5-
6-~
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
ORG- rootmat layer
SM- reddish brown, loose
GW/GP- looses cobbles to 8"
SW/SP- minor clumps of silt
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
WasGmund water encountered? NO
Depth to water after monitoring?
What depth? NA
Date?
Reading Date Gross Net Depth to Net
Time Time Water Drop
1 3/15/99 1:45 - 10"
2 1:55 10mtn 415/16' 5 1/16'
3 * 1-.56 - 10"
4 2.-06 10mtn 415/16" 5 1/16"
5 * 2.~7 lC)"
6 2:17 10 mtn 5" 5"
7 * 2:27 10"
8 2:28 10min 4 7/8" 5 1/8"
9 * 2:29 10"
10 2:39 10mtn 4 718' 5 1/8'
11 * 2:40 10"
12 2:50 10mtn 4 7/8" 5 1/8"
· Water Added
Percolation Rate 1.8 (mtn/in) Perc Hole Diameter. 6"
Test Run Between 6 feet and 7 feet
NOTE: Frozen material to 3.5 feel
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
Project: Tongess Est. BIk 2 Lot 5 TEST HOLE # 99-1
5-
6-
7-
10-
11-
12---
13-
14-
15-
16-
17-
18-
19-
20-
ORG- rootmat layer
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
GM- frozen, angular ] Was Ground water encountered? NO What depth? NA I
potentially good ] Depth to water after monitoring? Date?'
I
GP/SP-mixedin layers
SM
Tight at bottom
B.O.IL
Reading Date Gross Net Depth to Net
Time Time Water Drop
1 3/15/99 10-.45 - 117'
2 10:.55 10 min 4 9/16" 5 7/16"
3 * 10-.56 117'
4 11.'06 10mtn 413/16' 53/16"
5 * 11.'07 117'
6 11:17 10mtn 5" 5"
7 * 11:27 117'
8 11:28 lOmin 5" 5"
9 * 11'.29 117'
10 11:39 10 mtn 5" 5"
11 * 11:40 117'
12 11'.50 10mtn 5" 5"
· Water Added
Percolation Rate 2 (mtn/in) Perc Hole Diameter~ 6"
Test Run Between 4.5 feet and 5.5 feet
NOTE: Frozen material to 4 feel
], Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
A&unicipaiity
of
Anchorage
POL,~H 6-650
ANCHORAGE. ALASKA 99502-0650
(907) 264-4111
7'01'1
MA Y O.R
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Permit ~: 840131
January 31, 1985
TO: Permit Applicant
SUBJECT: Lot 5 Block 2 Tonjess Estates Subdivision
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1984.
Permits are issued on a calendar year basis by authority
of Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be sent
to this Department for documentation of the installation
and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the original as-built inspection report
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
~~E~. ~a~or
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
I,-Ib~l'-.I ~ ~- I F'RL I T'~' i..~1F RI'-,ICHI:IF:RGE
DEPRRTMENT OF HERLTH RND ENVIRONMENTRL' PROTECTION
825.L STREET, RNCHORRGE, RK 99501
· 264-4728
C~l'-l--$ T TF. _'Z-F..I--.IEIR ~:: . I-.-IELL PERF'I Z T
F'ERMIT NO:
DRTE ISSLIED:
8401~1
04?05/84
RF'PLICRNT:
RDDRESS:
CONTRCT PHONE:
C?O S & S ENGOG.
SRB 196×
ERGLE RIVER, Ri{
694-2979
R & S CONSTRUCTION
99577
LEGRL DESCRIF': .
LOT SIZE:
LOT LOCRTION:
MFIX BEDROOMS:
SUBDIVISION: TON JESS ESTRTES
SEQTION: 2 TOHNSHIP: 15N
86~46 (SQ. FT. OR RCRES)
F'RI NCE CIRCLE.
LOT: 5 BLOCK: 2
RRNGE: 1W
LISTED BELOH RRE THE OPTIONS RVRILRBLE TEl YOU IN DESIGNING YOUR SEPTIC
SYSTEM. CHOOSE THE OPTION THRT BEST FITS YOUR SITE.'
DEPTH TO PIPE BOTTOM (FT.)
GRR'...'EL DEPTH (FT.)
TOTRL DEPTH (FT.)
GRRVEL WIDTH (FT.) '
GRRVEL LENGTH (FT.)
GRR',,"EL VOLUME (CLI. "T [)c..,. .) .
TRNK SIZE (GRLS)
SOIL RRTING (SD.. FT. /BR)
T R E f4 m_~-14 BED
3.0 ** 4.0
4.0 8.5
7.0 4.5
.. 2. 5 14. 0
" 32. 0 28. Cd
1~:. ~ 14. 5
85 . 85
4.0
2.0
6.0 -.
5.0
36. 0
16. 6
000. 0
85
DEPTH TO PIPE E:OTTOM { ~. 5 FT, RED.UIF.:ES INSIJLRTION
DEF'TH TO PIPE E:OTTOM { 4. 0 FT. f'IR'¢ REQUIRE R LIFT STRTION
TRNK MUST HRVE RT LERST TWO COHPRRTMENTS
I CERTIFV THRT:
i. I RM FRMILIRR HITH THE REQUIREI'IENTS FOR ON-SITE SEWERS RND RELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE (t'lOR) RND THE STRTE OF RLRSKR.
2. I HILL INSTRLL THE SVSTEM IN RCCORDRNCE WITH RLL MOR CODES RND REGULRTIONS,
RND IN COMPLIRNCE WITH THE DESIGN CRITERIR OF THIS PERMIT.
3. I HILL RDHERE TO RLL MOB RND STRTE OF' RLRSKR RED.UIREMENTS FOR THE SET BRCK
DISTRNCES FF.:OM RN'¢ EXISTING NELL, NRSTENRTER DISPOSRL' S'¢$TEM OR PUBLIC
SEHERRGE Sb'STEM ON THIS OR RNY RDJRCENT OR NERRB'¢ LOT.
4. I UNDERSTRND THRT.THIS PERMIT IS.VRLID FOR R MRXIMUM OF '-~ BEDROOMS RND
8NY ENLRRGEMENT WILL REQUIRE RN RDDITIONRL PERMIT.
IF R
THEN
HILL
ELECTRICRL i,IORK MUST BE DONE BY R LICENSED ELECTRICIRN.
RPPLICRNT: C~/O _Si/&. S[E~J~G. ~ & S' CCm~TR~CTI~ .
ISSUED B',' ~ ~~ ' [:,RTE:
LIFT STRTION IS INSTRLLED IN RN RRER CO'¢ERED E:Y MOR BUILDING CODES,
(1) RN ELECTRICRL PERMIT· RND INSPECTION MUST BE OBTRINED~ (2) RS=BUILTS
HOT BE RPPROVED HITHOUT RN ELECTRICRL IHSPECTION REPORT; RND (~) THE
SOILS LO~
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6-
7
8,
9-
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
SLOPE
DATE PERFORMED:
[] PERCOLATION
TEST
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
WAS OROUNO WATER
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
/O
/
PERCOLATION RATE
(minutes/inch)
COMMENTS
TEST RUN BETWEEN
72-008 (6/79)
, FT AND ~ FT
CERT,F,EO 8 '~' '~///
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
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
051-832-24 '~' HAA #
1. GENERAL INFORMATION
Complete'legal description
Tonjess Estates S/D, Lot 5, Block 2
Location (site address or directions)
e
Property owner Linda Frank : Day phone
Mailing address 11420 Old Glenn Hwy, #102,.Eagle River, AK 99577
Lending agency Day p'hone
Mailin. g address '
Agent Day phone
Address
694-2525
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
If community well system, pro_v, ide 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 r-I
Public sewer []
NOTE: If community wastewater system, provide written .confirmation from State ADEC
attesting to the legality and status of system.
72-~25(Rev. 1/<J1) Front MOAe21
STATEMENT OF INSPECTION BY ENGINEER ..... * "
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
·inv. estigation of this Healtl-i Au~h0ri~/'App~)~[ applicati0n ~ho'~s'[h'~t '~fi[~'~i~*:Sit~'w~(er supply
and/or wastewater disposal system is safe, functional and. adequate fo; the number of bedrooms
and type of structure indicated herein. I further verify that based onthe 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 comphance w~th'all Municip_al and State codes,
· ordinances, and regulations in effect on the date of this inspection. ,·. ~ ..
KND Engineering · · ..: Phone.. 696-6111 ·,
Name of Firm ·
20441 Ptarmigan Blvd., Eagle River, AK 99577 .
Address ' ' ":
Engineer's signature ~ ~ ' "
DHHS SIGNATURE
Date
Ap. proved for
Disapproved.'
Conditional approval for
Additional Comments ......
Date
The M[Jnicipality of An'cho~age Department of.'H.ealth and Human Services (DH. HS) iSS6es. H_ealth 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.certit"mate is.issued.-.The Municipality of Anchorage isnot
responsible for errors or omissions in the professional'engine~i's work.
Legal Description:
A. WELL DATA
Well type
" x CEIVi-u
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERV~r~P,
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99S01
Ind.
Health Authority Approval Checklist
Tonjcss Est. S/Dp .l~tS~ B}ock 2 Parcel I D.: 051-832-24.
':,£,. ~ ,' ,.
IfA, B, or C, attach ADEC letter. ADEC water system number*'. ~* '
Log present (Y/N). Y
Total depth ~260'
San~my seal (Y/N)
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Y
Date completed
Cased to 52'
FROM WELL LOG
4/14/99
40'
0.56 gpm
g.p.m.
Date of sample: 7/14/99
B. SEPTIC/HOLDING TANK DATA
Date installed 5/I 8/99
Foundation cleanout (Y/N)
Date of Pumping N/A
C. ABSORPTION RELD DATA
Date installed 5/18/99
Length 32_4' Width
Collected b~.
4/14/99 ~.:: ::-?:.:-- ,.,
Casing height (above ~mund),. 4'
Wires properly protected ~)* ' ~' ~1 .Y '
AT INSPECTION
Other bacteria
_END Enlnlineerin~ (Dca)~ ......
g.p.m.
Tankalze 1000 Number of Compa~b~ents 2
Y Depression (y/N)
N/A
Pumper
8oil rating (g.p.d./~ or ~/txtnn)
Effective absorption area 388'
Date of adequacy test, N/A
Fluid depth in absorption field before test (in.); N/A
Fluid depth N/A (ins) Minutes later. N/A
Peroxide treatment (past 12 months) (Y/N) N
72-026 (Rev.
__ Cleanouts (Y/N) Y ..... : :?.,,
N
1.2 gpd/~'te~type:' ~. ,. D~p Trench
Gravel thiclmsss below pipe 6' Total depth q_~27'+
MonltoringTubepresent(Y/N) Y Depression6~tfleld(Y/N)?':*:' N, . ..
Results (Pass/Fall) P For ;,-,:3 c: r- ..... ?' 'bedrooms
Immediately after N/Agal. water added ;(in.):, ' :" N/A.,. _: . .
Absorption rote =
If yes, give date
N7A' ' ~ - g.p.d.
LIFT STATION
Date installed
N/A
Size in gallons
Manhole/Access (Y/N)
"Pump on" level at*
"Pump ofF. level at*
High water alarm level at'
*Datum .....
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
Septic/holding lank on lot On adjacent lots
100'+ ] 00'+
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer/septic service line 100% Lift station N/A
1 Off+
N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ,: .- ..- . ; . · · ..
Foundation 10'+ Property line I 0'+ Absorption field . 10'+
Water main/service line Iff+ .Surface Wale.r/drainage. 10ff+ Wells on adjacem !~ot~,. ~ 100%
SEPARATION DISTANCE FROMA~.$O~R .PTION FIELD ON LOT TO:
Water main/se .rv!ce... ,I,b .~....' Iff+
Iff+
Property line 10'+ Building foundation 10'+
lO0'+
Surface water ..... O~. e.~y. parkl, ng/vehlcle storage amg. ,~..
Curtain drain 1%1o Known .~e!!s o..n adjacent lots 100%?
i cer~ f/mt I have determined ~ru f/eld,tnspec~ons and review of Munlc/pa~ records ~
Engineers Name Kennerly. ~ffus, P.E. ~~ .............
HAA Fee $ ~ · Waiver Fee $ . : ....
Date of Payment ~ Date of paymem ..... ", .......
Reseipt Humber 7 Receipt Hum er· . . ·
72-026 (Rev. 3f96)' .,. · . .
MUNICIPALITY OF ANCHORAGE
M E M 0 R A N D U M
WATER WELL ADVISORY
During a recent Health Authority Approval on-site inspection
and test of the potable water supply well on Lot ~
Block ..3 of ~0/~7'~S f~Z Subdivision, the well's
productivity was determined to be ~,~'~ gallons per minute.
The minimum well productivity required by this Department
(AMC 15.55) for a ~ bedroom residence is ~o ~;Q~gallons
per minute. Although the subject well currently exceeds this
minimum requirement, all parties concerned are advised that the
production capacity of the well may fluctuate. Restriction
of non-critical water uses such as washing cars and watering
lawns and gardens may be required.
This advisory must be attached to all copies ~f the subject
Health Authority Approval.
JUL-I$-gg i?:53 FROI/rCT£ ENVIRON~NTAL S6~$301 T-8?g P.OI/02 F-484
CT&E Environmental Services Inc.
Laboratory Division
200 W. Pot[er Drive
Anclqorage, AK 99518
Tel: (907} 562-2343
Fax' (907) 561.5301
CT&E Ref ~:
Client Name:
Projecl Name;
Client Sample ID:
Mae-ix:
PWSID
Sample Reman(s:
Parameter
Total Coliform (Mi:)
N~tfate
99.3397
KND Eng~neenng
n/a
Tonjess (Frank)
~5'. C~IK ?...
DrinK, ng Water "~1¢$5 ~---'-~'~"
ResultS PQL Units
0 col/100 mi
3.47 0.5 mg/L
Client PO~: nla
P~inte0 Date/T~me: 7/15/99 17:45
Collected Date/Time: 7114/99 10,00
Received Dem/T~le: 7/14/99 13:35
Technical D~recmn Smphen Ede
Released B~~
Allowable Prep Ahab, sis
Method Limits Date Date In~t
SM9222B 7/14/99 KAP
EPA 300 10.0 7114199 SCL