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HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 6 LT 11Onsite File
r � s
1 �'s
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#0O'mm0==792=mO9
1983 drainf reconnected
because it encroaches in groundwater
(refer to soils log for OSP191124).
Municipality of Anchorage
On-Site Water and Wastewater Section - (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191124 PID Number: 050-792-09
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
JEFFREY ERICKSON
ABSORPTION FIELD -EXISTING
❑ Deep Trench ❑ Wide Trench ❑ Bed ® Mound
Site Address
7444 WATERFALL DRIVE, EAGLE RIVER
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
3
0.5 GPD/SF
JTotal
0+ Ft. ABOVE GRADE
LEGAL DESCRIPTION
Depth to pipe invert from original grade
0.5+ Ft. ABOVE GRADE
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
RIVER VIEW ESTATES 6 11
Fill added above original grade
VARIES 3.47 — 6.66 Ft.
Gravel length
65 Ft.
Township Range Section
Gravel width
15 Ft.
Beds: Number of Lines
3
Distance between lines
5 Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
975 Ft'
Ft.
Well
100'+
100'+
25'+
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1000 Gal.
Surface Water
100'+
100'+
Material
HDPE
Number of compartments
2
Lot Line
101+
10'+
NA
Foundation
10'+
10'+
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks Existing septic syst. decommissioned per code.
Deck supports 5'+ from tank. Mound topsoil / vegetated.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034 d a afield Tank to 3034
Installer SOUTH FORK CONST.
Drainfield 3034 CO/MT 3034
Inspector FWCS
BENCH MARK (Assumed elevation) 100 ft
Inspection 1S 10/20/19 10/21/19
Location and description
2�d
da
3`d 10/22/19 4'h 10/27/19 &
BOTTOM OF TRIM
10/6/2020
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
OF
Conditional Approval: Date•,•''
TH
" .' ` ' " "' ` ` " . `
Curtis Huffman
�4�1
0
��l •, •GE 128991 •.�\y��
Septic System
Approved - Date
FDPROFESSOP
Note: this approval does not include well permit requirements.
12/10/2020
(Rev 05/02/18)
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muhi.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191124
Work Type: Septic Upgrade
Tax Code Number: 05079209000
Site Legal Address: RIVER VIEW ESTATES BLK 6 LT 11 G:0357
Site Mailing Address: 7444 WATERFALL DR, Eagle River
Owner: ERICKSON JEFFREY D A &
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
9/10/2019
9/9/2020
40401
❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
�� t hili Sebe -�-� �r v t I� �e -? �'- ►o /III ► °�
Received By: Date:
Issued By:?11611 a Date: �6C
3
s k`
P.O. Box 196650 ® 4700 Elmore Road
Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Department
On -Site Water and Wastewater Section
V r t
L)cparuucnt
* * * * VARIANCE/WAIVER REVIEW * * * *
Waiver#: OSV191081 COSA#: Permit#:OSP191124
PID#: 050-792-09
Legal Description: River View Estates Block 6 Lot 11
Engineer: Mike N. Anderson
Applicant: Jeffrey & Allison Erickson
Your request for a waiver of the requirement that the absorption field be installed parallel to the
slope contours has been approved. See engineer's waiver request and slope profile drawing for
justifications and installation requirements.
This waiver approval applies to the proposed absorption field only. Any future upgrade to the
on-site wastewater disposal system will require all code requirements be met or another approval
from this department.
........................ a M a M M M ................. ■ .. \ t t .... \ ...... t t ...... a M a M M 1
Waiver is Granted: X Waiver is not Granted:
Date: ���� I Approved by: _ ./Z, ( �c
Name of Reviewer
.............................................. 19 ........... t .... t. t ........ t x 1
**** VARIAN C E/WAIVER REVIEW ****
MUNICIPALITY OF ANCHORAGE
*_bf
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-792-09
Property owner(s) JEFFREY & ALLISON ERICKSON Day phone 9072302604
Mailing address 7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577
Site address 7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot) RIVER VIEW ESTATES B6, L11
Legal description (Township, Range & Section)
Lot Size 40,401 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field ® Initial ❑
Single Family (SF)
Septic Tank ® Upgrade ®
(w/wo ADU)
Holding Tank El Renewal El
Duplex (D) ❑
Privy ❑
Multiple Dwellings ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
SL p2
Distance: to A
I certify that the above information is correct. I further certify that
this is in accordance with
applicable Municipal Codes.
Brent Western - FWCs
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number: 6q 574%
Permit No. 05P I R 117-4
Waiver Fees: 9 Q 5J
Date of Payment: 9' t, 1
Receipt Number: 01101 Q G
Waiver No. OSV 1910 81
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Michael N. Anderson, P.E.
Civil/Structural Engineering and Construction
4661 Natrona Ave. Anchorage, Alaska 99516
Phone 345 -3377 / Fax 345 -1391
Support Services
Brent M. Western
907-440-4601
April 22, 2019
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
RE: SEPTIC UPGRADE PERMIT
LEGAL: RIVER VIEW ESTATES BLOCK 6, LOT 11
To whom it may concern:
The owner has requested a septic permit to upgrade the existing septic on the above referenced
lot. A test hole was excavated and the results are attached for your review. It is proposed that an
absorption mound be installed 1 above original grade.
Water was measured in the test hole during excavation at 6 and 4.2 at monitoring. The slope at
the proposed trench location is flat or slightly running down hill at 1-5% and there are no cut
banks within 50 feet.
The lot and area is served by private water and this system will not impact any of the
neighboring properties due to the lot layout. Please contact Brent M. Western or me if you have
any questions.
Sincerely,
Michael N. Anderson, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191124, Rebecca Carroll, 09/10/19
W4t
Michael N. Anderson, P.E.
Civil/Structural Engineering and Construction
4661 Natrona Ave. Anchorage, Alaska 99516
Phone 345-3377 / Fax 345-1391
October 10, 2019
Municipalities of Anchorage
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: OSPI91124 — CHANGE ORDER TO GRAVITY -FED MOUND
LEGAL: RIVER VIEW ESTATES BLOCK 6, LOT 11
Elevations would allow the mound to be served by a gravity -fed tank. Attached is a slight
modification to the design without the STEP tank. The lot and area is served by private water
and this system will not impact any of the neighboring properties due to the lot layout. Please
contact Brent M. Western or me if you have any questions.
Sincerely,
9 � k
Michael N. Anderson, P.E.
Support Services
Brent M. Western
907-440-4601`
,< ;v rc ifs
Michael N. Anderson, P.E.
Civil/Structural Engineering and Construction
4661 Natrona Ave. Anchorage, Alaska 99516
Phone 345 -3377 / Fax 345 -1391
Support Services
Brent M. Western
907-440-4601
August 22, 2019
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC UPGRADE PERMIT SLOPE WAIVER
LEGAL: RIVER VIEW ESTATES BLOCK 6, LOT 11
Due to restraining lot conditions it is proposed that the mound will run perpendicular to the
gentle slope and we are therefore requesting a waiver. The maximum excavation design depth
will not be exceeded and additional MOA approved sand will be installed to maintain elevation
and separation requirements to groundwater. No surface water has been observed in the drainage
ditch along River Park Drive over the course of multiple site visits through the various seasons of
the past year.
Water was measured in the test hole during excavation at 6 and 4.2 at monitoring and at 6 in
August 2019. The lot and area is served by private water and this system will not impact any of
the neighboring properties due to the lot layout. Please contact Brent M. Western or me if you
have any questions.
Sincerely,
Michael N. Anderson, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191124, Rebecca Carroll, 09/10/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191124, Rebecca Carroll, 09/10/19
Cot 1
DESIGN CRITERIA:
DECOMMISSION EXISTING SEPTIC TANK & INSTALL NEW 1000 -GAL. HDPE TANK
MAINTAIN 10'+ FROM FOUNDATI❑N, 5'+ TO FIELD & 100' TO WELLS WITH 4' OF
COVER OR INSULAITON.
EXCAVATE 1' & ADD 1-3'+ MOA APPROVED SAND FOR GROUND WATER SEPARATION
& TO MAINTAIN ELEVATIONS (FIELD RUNS DOWN HILL SLIGHTLY).
3' OF COVER OR 2' W/ INSULAITON OVER ABSORPTION BED,
Septic Design Prepared for
JEFFREY & ALLISON ERICKSON
RIVER VIEW ESTATES BLOCK 6, LOT 11
7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577
Michael N. Anderson, P.E. DATE: 10/10/2019
4661 Natrona Ave. DRAWN: FWCS
Anchorage, Alaska 99516
(907)727 8864/FAX: (907)345 1391 SCALE: 1" = 50'
OF AL
49 THro*
.MICHAEL N. ANDERSON.
No. CE 9469
10/10/19 G`eAtf
�'0 p�FESSIO��'y
DESIGN CRITERIA:
3:1 SLOPE TYP
3 BDRM X 150 = 450 GPD MT CO CO
SOILS = 450/0.5 = 900 SF
900 / 15 = 60' ORIGINAL GRADE (TH19-1)+0.5
(1) BED 1.0 ORG -1.0
0' AT GRADE
0.5' EFFECTIVE 4.2' GRND. WTR.
4/18/19 15.0'
15' WIDE GM/gp
60' LONG
e•
SEPTIC FIELD SECTION
M / EXTENT OF MOUND
O
T MT
� e i
r7 CO �
I
VACANT
1
I
N
1
O
MAN FOLD TH19-1
AT MOUND
N
MIDF DINT
STAKE 13.5._
PL & WELL
RADIUS
PRIOR TOcD
I MT MT
CONST.
INSTALL NEW • CO
1000 -GAL
HDPE i
TANK• CO
CO
—TOPSOIL AND VEGATATE
FILTER FABRIC
MT 4' DISTB. PIPE
6' OF SEWER ROCK
MOA APPROVED FILTER
1'+ OF SAND TO MAINTAIN
ELEVATIONS / 4'+ TO GRND. WTR.
LOT 11
BLOCK 6
GRAVEL
D/W
WELL Q
Septic Design Prepared for®e\
JEFFREY & ALLISON ERICKSON �� OF.ALl 1111111�,
RIVER VIEW ESTATES BLOCK 6, LOT 11
* . 4.9 TH�
7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577
Michael N. Anderson, P.E. DATE: 10/10/2019 MICHAEL N. ANDERSON
No. CE 9469
4661 Natrona Ave.DRAwN: FwCS , � Af
Anchorage, Alaska 99516 40"0 10/10/19
\ p�'OfiESSlONP�' w
(907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' \s_��
0-1
v 0eCk
DUE TO GRND.
p�
WTR. DECOMM.
2.01
EXIST. SYST.
O
PER CODE
•
Co
� O
/
—TOPSOIL AND VEGATATE
FILTER FABRIC
MT 4' DISTB. PIPE
6' OF SEWER ROCK
MOA APPROVED FILTER
1'+ OF SAND TO MAINTAIN
ELEVATIONS / 4'+ TO GRND. WTR.
LOT 11
BLOCK 6
GRAVEL
D/W
WELL Q
Septic Design Prepared for®e\
JEFFREY & ALLISON ERICKSON �� OF.ALl 1111111�,
RIVER VIEW ESTATES BLOCK 6, LOT 11
* . 4.9 TH�
7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577
Michael N. Anderson, P.E. DATE: 10/10/2019 MICHAEL N. ANDERSON
No. CE 9469
4661 Natrona Ave.DRAwN: FwCS , � Af
Anchorage, Alaska 99516 40"0 10/10/19
\ p�'OfiESSlONP�' w
(907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' \s_��
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191124, Rebecca Carroll, 09/10/19
Michael N. Anderson, P.E.
Civil/Structural Engineering and Construction
4661 Natrona Ave. Anchorage, Alaska 99516
Phone 345 -3377 Fax 345 -1391
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: RIVER VIEW EST. B6, L11
PERFORMED BY: FWCS / MNA - I MIKE N. ANDERSON CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT
ON THIS DATE. DATE: 4/22/19
8/15/19
DEPTH
FEET
OG
SOILS
1
ORG/OL
2
3
4
GM-gp
5
6
7
8
9
BOH
10
11
12
13
14
15
16
17
18
19
20
Reading Date Gross
Time
Net
Time
Depth to
Water
Net Drop
4/18/19 30 min 6 2 15/16
30 min 6 2 14/16
30 min 6 2 14/16
PERCOLATION RATE 11 (MIN / INCH)
TEST RUN BEWTWEEN 2 & 3 FT
PERC HOLE DIAMETER 6
PRE-SOAKED PRIOR TO TEST & ALL READINGS TO
THE 1/16 TH.
GROUND WATER ENCOUNTERED: YES
IF YES, AT WHAT DEPTH: 6
DEPTH TO WATER AT MONITORING: 4.2
DATE: 4/18/19
TESTHOLE # 19-1 DATE PERFORMED: 4/10/2019
SEE SITE PLAN FOR SLOPE & LOCATION
COMMENTS:
GROUND WATER MONITORED:
@ 5.3 5/7/2019
@ 6 7/31/2019
VERIFY GROUNDWATER MT
AT TIME OF CONSTRUCTION
PERFORMED FOR: JEFFREY ERICKSON
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191124, Rebecca Carroll, 09/10/19
MUNICIPALITY OF ANCHORAGE
DEPAR1 MENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE
MAILING ADDRESS ~
LEGAL DESCRIPTION
[~NEW
[] UPGRADE
LOCATION
' Well ~ ! I Absorption area
_O~ DISTANCE TO: I
~ ~ I Manufacturer
~ Liq. capacity in galloqs l nsde ength
~,,~ ]DISTANCE TO' lWell Dwelling
~Z I' /
~ ~ ~ Ma..~.r~r
~ I i Well
~ · ~ No. of lines _ Length of each I ne Total length of lines
~1 / I ~ ~, ,~
~ Top of tile to finish grade ~ Material beneath tile
~ Length Width Depth
~ ~ I Type of crib Crib diameter Crib depth
~ I Well Buildin foundation
-' ~ DISTANCE TO: g
lClass Depth Driller
~ ~ DISTANCE TO: Building foundation Sewer line
OTHER
PIPE MATERIALS
SOl L TEST RATING ~;:,~
INSTALLER
Dwelling
Material
Wdtt
IMaterial
Nearest lot line
T rencht~,c~ inch es
inches
NO. OF BEDROOMS
PERMIT NO. ~/Or~,/P,,/r"2~¢~'¢/~. }
.~-~,,-~y.z.,~. ~,~,~n~ yI
No, of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO. //~'~'d W~i
Distance between lines
Total effective absorption area
¢80
PERMIT NO.
REMARKS
Total effective absorption area
Nearest lot line
Distance to lot line PERMIT NO.
Septic tank Absorption area(s)
Department
825
Permit
Applicant: _ ,'[/~/~
/
Location:
Legal Description:
Type of Soil Absorption System Is:
Trench: [/Drainfield:
Maximum Number of Bedrooms: __~
MUNICIPALITY 0F ANCHORAGE
' Health and Environmenta[ 'rotection
~ Street,264_4720Anchorage, AK. ~9501
* * * HANDWRITTEN PERMIT ~ * *
WELL AND/aA4~ ON-SITE SEWER PERMIT
~> ~ ~ ' Mailing Address:
Phone Number:
Seepage Bed: Holding Tank:
Soil Rating(sq.ft/br) ~L
DEPTH
The Required Size of the Soil Absorption System Is:
/ (/ LENGTH //J/ GRAVEL DEPTH ?' WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIO'(HSL-EvI~6-)-TANK SIZE = ./O~J GALLONS
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this departmen'
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system.is 100 fee-
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 1 9 g 3 * * *
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 install the system in accordance with codes.
sewer
(3) I unde~tand that the on-site system may require enlargement if
~_the.r~si~er~ is remodeled to include more that 3~bedrooms.
SWP/024(1/81) ./ , //> ~ , . .
/ ~,-/~- ~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, A~aska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: Lyons Construction, P.O. Box 1913, Eagle Rive~ATE PERFORMED:
Alaska 99507
LEGAL DE$CRIPIION: Lot 11 Blk 6~ Riverview Estates Subdivision
1
2
3
~-4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
1-29-83
Sandy Red Loam w/some
gravel, (Pt), 0-1.5 ft.
1.5 - 15.0 ft., NFS, brown
Sandy Gravel, GW, Cobbles to
10", No Water Encountered
SLOPE SITE PLAN
· :WAS GROUND WATER S
,.?~,~;~;~ E N CO U NT E R E D ? NO ~
IF YES, ATWHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND FT
Test pit was dug with a Case Backhoe to a depth of 15.0 feet; the frost
was present to a depth of 1.0 ft.;the ground cover consists of predominantly
natural gr%sses and birch trees lip to 8" in~iam~e~r. ~)
PERFORMED BY: Richard L. Boysen CERTIFIED BY~J~~~DATE:. 2-10-83
/' R~hard L'. Boys~¢
72-008 (6/79)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
~usH www.ci.anchorage.ak.us(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR SINGLE FAMILY DWELLING
Parcel I.D. 050-792-09
1. GENERAL INFORMATION
Expiration Date: I - ~'~ - O ~
Complete legaldescription LOT 11, BLOCK 6; RIVERVIEW ESTATES SUBDIVISION
Location (site address or directions) 7444 WATERFALL DRIVE * ANCHORAGE, AK 99577
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
CHUCK MAUER Day phone 862-7270
7444 WATERFALL 0RIVE EAGLE RIVER, AK
Day phone
Day phone
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OFWATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well [] Individual On-site []
Individual Water Storage [] Individual Holding tank []
Community Class Well [] Community On-site []
Public Water System [] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a pedod of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality cf Anchorage is not responsible for errors or omissions in the professional engineer's work.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $
to closing for the engineering sen/ices provided.
4. STATEMENT OF INSPECTION BY ENGINEER
at, orp~or I
As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my
investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(am) safe, functional and adequate
forthe number of bedrooms and b/pe of structure indicated hemin. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(am) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone
Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GAENESS, P.E. Date
337-6179
Engineer's Comments:
In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results desctfbed the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all welts and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being sewed by the system.
These conditions are outside the control of the evaluator oft he system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encreachments. AKWWC, Inc. can therefore not previde
any warranty or future estimate of how long the system w~ll continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Disapproved.
~ ' ~ %edmoms.
Conditional approval for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms, with the fllowing stipulations:
Manitenance Agreements
Supplemental Engineer's Reort
Other
......
..'
ON-SITE
WATER AND
WASTEWATER .
(Rev. 12~1)
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On. Site Water & Wastewster Program
4700 South Bragaw St.
P.O. BOX 196650 Anchorage. AK 99519-6650
www.cLanchomge.alcus
(90~ ~43-?~04
HEALTH ,UTHORITY APPROVAL CHECKLIST
Legal Description: RNERVlEW ESTATES SUBOMSION; LOT 11; BLOCK 6; Parcel ID:
WELL DATA
Well type PRN~,~
Date completed 3/9/83
Totalclepth 140 ft.
If A, B, or C provide PWSID#
Sanitary seal (Y/N) YES
Cased to INT0 BEDROCK
050-792-09
RD
Well LQg (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 12+
Date of test
Static water level 5
Well production 1.5
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi.
Arsenic: N/A mg.lL.
SEPTIC/HOLDING TANK DATA
FROM WELL LOG
g.p.m.
Nitrate 1.00 mgJL.
Date of sample: 7/15/02
Tank Type/Material STEEL
Tanksize 1000 gal. Number of Compartments 2
Foundation ctearmut (Y/N) YES Depression over tank (Y/N) NO
Date of pumping 7/I 7/02 Pumper
*TO BOTTOM OF MONITORING TUBES.
AT INSPECTION
7/15/02
2¢ lt.
2.0 g.p.m.
Other bacteria
Collected by:
in.
Date installed
0 colonies/100 nd.
AKWWC, INC.
Claanouts (Y/N)
High water alarm (Y/N)
JR'S PUMPING
5/6/63
N/A
C. ABSORPTION FIELD DATA BOTH MONITORING TUBES ONLY EXTEND 63"-67" BELOW THE INVF. Aq'.
Date installed s/s/~ Soil rating (g.p.d./lt~or(~ 65
Length 30 ff. Width 3 It. fl.
Total depth *7.g.-e.2 ff. Eft. absorption area 480 fl= Monitoring tuba YES Depression over field NO
Date of adequacy test 7/16/02 Results (PassJFeil) PASS For ,3 bedrooms
Fluid depth in absorption field before test '44.5,/4,5.5in. Water added 915 gal. New depth *56.25/54.75 in.
Elapsed Time: 240 min. Final fiuid depth '51,5/50 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (Past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -
System type TRENCH
Gravel below pipe
O, LIFT STATION
Date installed
'Pump on' level at
Datum
E.
Size in gallons Manhole/Acc~,=- (Y/N)
in. "Pump off' I~,,~1 et m. High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?.
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot100'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer/septic service line 25'+
Holding tank
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhola/cieanout
N/A
SEPARATION DISTANCES FROM BEPTIC_JHOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 10'+
Water main N/A Water service line 10'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Abso~tlon field 5'+
Surface water 100'+
Property line 10'+ Building foundation 10'+
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
rm4ew of Municipal mcorcla that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printec) NaTe
Date
Water main N/A
Driveway, parking/vehicte storage
~alver Fee $
Date of Payment ~0/I""Z / 0~,.~ Date of Payment
(Rev. 12/Ol)
10'+
Sent By: RElieD( OF EAGLE R[VER, /NC.; 9076960214; 0ct-17-02 12:44P~; Page 111
,7'
SEWARD & ASSOCIATES LAND SURVEYING
694-082q
I HEREBY CERTIFY .THAT I HAVE SURVEYED THE S~ALE'/,,.. ~/~.,
FOLLOWING DESCRIBED PROPERTY:
AND ~AT NO EN~HME~S EXIST ~CE~ AS
INDICA~. IT IS THE RES~SIBILI~ OF THE
~N~ ~ D~ERMI~ THE ~ISTENCE OF ANY
E~TS~ ~NANTS~ OR RESTRICTIONS
WHI~ ~ NOT ~EAR ~ THE RE~ ~I-
VISION P~T. U~ NO CIRCUMSTANCES S~ F~
~ DATA H~E~ BE US~ FOR CONS~U~ION
~ FENCE LIN~ OR FOR E~LISHING ~D- DRAWN~
ARY LINES. ~/~
Parcel I.D, # ['~L--% - ~0~. (~°
1. GENERAL INFORMATION
Complete legal description
MUNICIPALITY OF ANCHORA6 E
DEPARTMENT OF HEALTH & HU ~AN SERVICES
Division of Environmental Services
On-Site Services Section _
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-474~,
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR ASINGLE FAMILY DWELLING
£ot 11~ Block 6F Riv~rview Estates Subdivision
Location (site address or directions)
Water fall Driu~
'2,
Property owner J~odn~y and Be. cky Hanson Day phone ~94-~50[~ ~ ,~.
Mailing address HC 85, Box 9415, Ea~l~ River, Alaska 99577
Lending agency
Mailing address
Day phone
Agent
Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ,~ ..
9
TYPE OF WATER SUPPLY:
ndividual well
Community wel
NOTE:
NOTE:
,, Xx×
Public water
if community well system, provide written confirmation from State ADEC attest-.
lng to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site x×x .-
Holding tank '
Community on-Site ",-,~
Public sewer
If community wastewater system, provide'written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) :font MOA #21
By:
STATEMENT OF INSPECTION;BY ENGINEER
As certified by my ~eal affixed heret~'and~ of the Validati°n'date shown below, I verify that m~'
investigation of this Health AuthOrity Approval application 'Shows that the On-site water Supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based On the information obta ned from
the Municipality of Anchorage files and from: my .inVes.ti_gation and inspection, the on-site water :r 1
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 I;~0;~4 E.gle River/J.~lSp RoscJ. N'O. ;204
Address Eagie River, Ala~a ~577 / '
Engineer,ssignature ' : ~~
Phone
/~___.~S SIGNATURE
Approved for ~--¢ bedrooms.
DisaPprOved.
Conditional approval fOr ' :
bedrOoms, with the folloWing stiPUlations:
Additional Comments .' ,
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Appr0v~l,'Certificates based only upon the representations given in paragraph 5 above by an Independent
'~'professional enginee¢ 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.
72-025 [Rev. 1/91) Back MOA#21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITy APPROVAL CHECKLIST
Legal Description:~,-,~ \\ ~-¢-~1~ ¢-t~¢,-¢~,.I tf¢~0 ~-r Parcel I.D.
A. Well Data
Well type
Log present ~)
Total depth
Sanitary seal (~N)
If A, B, or C, attach ADEC letter. ADEC water system number ~,~[
Date completed "~ ~°1 ~"~ Driller ~ oL.,.~ ~/~
Cased to ~k-~o ~6..¢;, ¢.~o~c- Casing height
Wires properly protected (:~N)
AT INSPECTION
FROM WELL LOG
Date of test
Static water level
Well flow \
Pump level1 ~\L~
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot \
Absorption field on lot
Public sewer main
Sewer service line
MUNICIPALITY OF ANCHORAGE
~NVIRONMENTAL SERVICES DIVISION
g.p.m. '7.-,~' g.p[r~.,R '1 8 1994
RECEIVED
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~
Date of sample: _~//y/~
B. SEPTIC/HOLDING TANK DATA
Date installed 5"'~ L~ ~ ~
Cleanouts ~1) ~/
High water alarm (Y~
Date of pumping
Nitrate
Collected by:
Other bacteria E)
$ & S ENGINEERING
178,34 ~,,~le Rlve{%oop ~
Eagle River, Alaska 99577
Tank size \ ~,.~ LO Compartments
Foundation cleanout (Y/N) Depression (Y/~
t~k Alarm tested (Y/N) ~\b--'\
\\~ ~ ~ Pumper ~__~-~ ~..¢~..,..,..,..,..~,~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot \,~ o On adjacent lots
To property line ~, c> Absorption field
Surface water/drainage \ ~ ~
Foundation
Water main/service line tO
72-026 (3P23)' Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Manufacturer
Size in gallons Manhole/Access (Y/N)
~_-----
Vent (Y/N) "Pump on" level at "Pu~t-~-'~
High water alarm level ~
Meets MOA electrical codes (Y/N) . ~
SEPARATION DIST~4GE-I::R~OM LiFT STATION TO:
Weli~oon lot On adjacent lots Sudace water
D. ABSORPTION FIELD DATA
Date installed ~'.~ L. ~
Length '¢~' Width
Total absorption area ~,~o '-~
Date of adequacy test ~ r \ 4 ~-~ ~f
Water level in absorption field before test
Peroxide treatment (past 12 months) Y~N)
Soil rating (GPD/Ft2) ~,~*~/(¢ ¢-~ System type '¢-¢--¢~ Cr~
"~ Gravel thickness ~ Total depth
Cleanout present ~N) ¢ Depressbn over field
Result~fail) ~ for ~
/~ ) ~ After test /q ~ )
If yes, give date~ ~ ¢ %%
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Sudace water
Curtain drain
~.~-
On adjacent lots \ ~:~ ~ Property line
t © To (~xisting or abandoned system on lot
Cutbank ~'' ' ~ Water main/service line
~'~¢ Driveway, parking/vehicle storage area
E. ENGINEER's CERTIFICATION
Bedrooms
I cerb'fy that/have c~r conformed toall MOA and HAA guidelines ineffe~!onthedat.~¢~'' this inspection.
Date ¢/ ~//~/~ ~ '
H~ Fee $ ~00 ~
Waiver Fee $
Date of Payme~ ~ /~ '~ ~ Date of Payment
Receipt Numar ~5-*¢, .7 7 ¢~;'/dC) Receipt Num~,
72-026 (3/93)' Back
APPLIC NT FILLS OUT UPPER ONLY
Property Owner .,/. ,./'/.... . ~. , . , t , , .~
Phone
Address
Zip Code
Lending Institution
Phone
;:., ., ,,,,'/'/
Address ;: ' ' ' ': ' / ,1.' , . . Zip Code
Realty Co. & Agent
Phone
Address
Zip Code
Legal Description ' ', ,
Street Locatio~ ,! ~., , .
Type of Residence
£3 Single Family
~3 Multiple Family No. of Bedrooms '~
E~ Other
Water Supply [~ Individual
D Community
[] Public Utility
ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975.
For wells drilled prior to that date, give well depth (attach Icg if available).
Sewer Disposal E3 Individual
D Public Utility
~ 14olding Tank
Year Individual Installed: /' '
When Connected to Public UtilitY/:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Tirr~ -- Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
(~,~ APPROVED BEDROOMS_,~,'.~
) DISAPPROVED
) CONDITIONAL APPROVAL'
BY: ~~
'CONDITIONS OF APPROVAL
Soils Rating
tWell To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size
~ack Lyons Construction
Dear Mr. Lyons,
EXCAVATION
ROBERTA. SHAFER
WORK
CIVIL ENGINEER
694-2979
August 23, 1983
Reference: Lot 11: Block 6: Riverview Estate Subdivision
A water sample was taken at the residence located on the referenced
property on August 17, 1983. This sample was submitted to
Chemical and Geological Laboratories of Alaska for analysis for
totol coliform bacteria. The results of this test were
satisfactory and a copy of the report has been submitted to
the Municipality.
If we .m~Y ~be of~further service,
Sincere/,ly j / /?/
cc: Municipality of Anchorage
Department of Health and Environmental Protection
please do not hesitate to call.
SRB 196X EAGLE RIVER, ALASKA
Alaska Water '& Wastewater Services
"Preserving the Last Frontier"
Municipality ol Anchorage .i!ii ,.,
Dept. Health &
Rod and Becky Hansen
HC 85
P.O. Box 9413 "'
Eagle River, Alaska 99577 ..,., '
Dear Rod and Becky: ' '
Attached are the results of the percolation tests. ' ~'s yc
are aware only test holes 1 & 6 had soils "suitable'!
on-site septic system. I have attached a copy of a desig~
which I believe to be the most viable system for you
situation. Clearly, the munioipali, ty would have to approv,
it, and issue a permit, before the upgrades could be:.;made
Several of the system problems are .as follows: :. . ..
a. The trenches will need to run paralleif;to th
property line, rather than the slope contours.;, :This
require the design of tiered trenches. ':"
: . ~;:,..
b. The electric and telephone service lines;.will, ru
directly underneath a portion of the septic system!;.;.
c. A lift station will be required since it is
possible to obtain, gravity flow. Furthermore, a pressu
distribution system shouid be utiiized to obtain .7
flow throughout the trenches. The lift station_..
about $3500.00 to the system cost. . .
"At this time, the existing trench system shoUld"b~'~
with hydrogen peroxide in an attempt to rejuvenat~
Regardless of whether the "peroxide" treatment works,:.it
my recommendation that the old trench be saved when. the;!
upgrades are made. By allowing 'the old trench to. dry
for several years there is a good probability that' it
naturally recover. Once recovered, the old and new
should be operated alternately (via an alt~l
every six months. """":' ''¥
.In the event that the municipality will
recommended installation, your lot would be an
candidate for a new type of system presently
the municipality, called an "Intermi%tentJ
(IFS). Currently, the municipality is
installation of any additional IFS systems`
performance has been evaluated throughout th~'s .
Telephone - Fax 338-8246 · 8471 Brookridge Drive · Anchor~, , ,
If you have any further questions regarding the. p'ercol
tests, or your septic system options, please contact me
$,~7-7179. Yhank you for your business.
Sincerel~ '
Jef/C~/y A?'~'i~frness, P.E. , M.S.
OwrfeCfOonsul rant
JAG/jag
Hansen~.wps
· .,. Municipality of Anchorage
,- DEPARI, MENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
L::.:~ - .... SO LS LOG -- PERCOLATION TEST
.EGAL DESCRIPTION: ~.~_M'~. M'[~a~O ~t~"~'~r"'~ Township, Rango, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED;'
IF YES, AT WHAT /
DEPTH? , 1'4j' A , ,
SITE PLAN
k~Cb~B/N"~:WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
.. · :..~h: ;~.~¢,-': ~ }. V~:,
~, ' 72~8 Rev,
Grosl Net Depth 1o Net
Reading Date Time Time Water Drop
Monitoring? . Datm
b',
Municipality of Anchorage
D~PARTMENT OF HEALTH & HUMAN SERVICES
025'"L" Slreet, Anchorage, Alaska 99502-0650
· SOiLS LOG -- PERCOLATION TEST
10
11
12
13
DATE
Township, Range, Section: ~/A-,
SLOPE
SITE PLAN
CWAS GROUND WATER
/IF YES, ATWHAT
14
15
16
17
18
19
20
· ..
Gross Net Depth to
g Date Time Time Water
..... / _
PERCOLATION RA?~ minutes/Inch PERC HO~E DIAMETER
,
TEST RUN BETWEEN I FT AND F~ .'
PERFORMED BY: ~ ~ ~~S I '~ ~~ CSRT'iFY
ACCOROANC~ WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON T~IS DATE. DATE; ....
... Munlclpality gl Anchorage
DEPAR.TMENT OF HEALTH & HUMAN SERVICES
825 "L" S[reet, Anchorage, Alaska 99502-0650
...SOILS LOG -- PERCOLATION TEST
u~m- .l~ .~ B, V...:.~.
LEGAL DESCRIPTION:. [2.v..l~...J~ ",[t~=,4,AJ ~ ~"~.~ Township, Range, Section:
SLOPE
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH7
· ,. l,.~dT-
O~plh lO Wal~r Alt~r ~,
~onllor]ng? ~ ....
Dale:
SITE PLAN
O Gross Not Depth to Net
Dete Time Time Water Drop
PERCOLATION RATE . .. (minules/inch} PERC HOLE DIAMETER
TEST RUN BETWEEN .~ FT AND FT
PERPORMED SY: ~ ~ ~'-~'~ I ",.~\~--"~' _~'~2,'~ CERTIFY THAT THIS,TES'T WAS PERFORMED IN
,
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-~8 (Rev. 4/85)
... Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
,.. SOILS LOG -- PERCOLATION TEST
LEGAL O ESCR I PTION:_~-Vq ~.J2.
Township, Range, Section: t~/,Z~
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
SLOPE
WASGROUNDWATER
ENCOUNTERED?
IF YES, AT WHAT
OEPTH?
SITE PLAN
' ' N) o "v'
Oeplh Io Water Alter
Monllerlno? , N/~ , Date: /,///,:1
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FTAND , FT
Gross Net Depth to Net
"'~lng Date Time Time Water Drop
~OMMENTS ~.~1 ~
PERFORMED BY: ~ ~ ,~J'-E.-,,,-4~:~S I *...\F------~' ~'~-.~,~ CERTIFY THaT T~IS TE~ WAS PERFORMED IN
ACCO~DANOE WITH *LL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1]//~/?~ '
72-008 (Rev. 4/85)
" Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
· 825 "L" Street, Anchorage, Alaska 99502-0650
,,,SOILS LOG-- PERCOLATION TEST
LEGAL DESCRIPTION: ~..~',J~-...~ ",J't"~,~J ~::,~"T",~ Township, Range, Section:
SLOPE
10
WAS GROUND WATER /'~/~:~
ENCOUNTERED?
11
12
13
14
15
16
17
.18
19
2O
DATE P. ER FORM ED:.~.~
SITE PLAN
S
L
IF YES, AT WHAT
'' ~oo~/-
Ooplh Io Water ,filer . .
Monitoring? ~/~A.- Date: ./~/~3, :~:.'
Gros~ Nat Depth to Net : '
Date Time Time Water Oro~. :;..:~
PERCOLATION RA'rE ~ Iminules/inch) PERC HOLE DIAMETER
T~ST RUN BETWEEN -- FT AND
PERFORMED BY: ~ ~~ i~ ~5 CERTIFYTHATTHIS.TE~WA'~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE' DATE'
72-008 (Rev. 4/85)
-,- Municipality of Anchorage
DEPA~;I'MENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:
1
DATE PERFORMED:~ ~//J/,~
Township, Range, Section:
4
5
6
7 ~
8
9
10
2
3
11
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED;' N~:~
14
15
20
IF YES, AT ~HAT
DEPTH? /V
O~plh Io Waler Afl,r
Monitoring? ~ D~le.,
Reading Date Gross Net Depth to Nat
Time Time Water Drop
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER ~ //
TEST RUN BETWEEN ~
FTAND ,~"°~--' FT
PERFORMED BY: ~ ~ ~~S m ~ ~S CERTIFY THA~HIS~E~ WAS PERFORMED IN
72-~8 (Rev. 4/85}