HomeMy WebLinkAboutBEAR PARK LT 3Bear Park
Lot 3
#051-042-69
munlclpaltty of Anchorage
Development Services Department •;"
Building Safety Division E•,�
,-
\ On-Site Water 8 Wastewater Program, 4700 Bragaw St. °
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904
On-Site Wastewater Disposal System and/or Well Inspection Report Page 1 of 3
Permit Number. SWO80006 051-042-69
PID Number:
Name:
JOEL AND DEBBY WEBB Wastewater System: O New ■ Upgrade
Address:
22717 URSA MAJOR CR. a CHUGIAK, AK 99567 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 668-8620 3 ODeep Trench CIShollow Trench ■Bed ONound 0Other
LEGAL DESCRIPTION
'°" "°"° Told DepthInm °"°'°°l vim.:
Block: Lot: Subdivision:
0.4 wo/sa. rL 5' MAX n
— 3 BEAR PARK
Depth to pipe W" /rem "'na Woae: Gay.l dept, b.n.alh pip.:
SEE DWG.
Township: — Range: — Section: —
rt 0.52
ril erred .lwv. Clio" grade: (rowel 1"n; Et
SEE DWG. n 60 FL
WELL: ❑New ❑ Upgrade
GeN.dn Nw w. o/Enee a.tanc.
20
CW—fkawn Pdvale. A9.0 : Taa 0.p Ca.ed To: feEoeocq
FL 5 R
Taa a,eorptan area: Ro. maerbl:
n. FL
1200 so. rt D 3034/ F-810
Doe posed: slat° wet« L":
`
,L
Well~ Dae wta
GEG, LtD. 1%29-30/2008
n.a: punp Set AL: Ca.i^p N.ign1 Aeoe. Gond:
G°° R n
TANK
SEPARATION DISTANCES
■Septic 0Holding 0S.T.E.P. 0Other*
To
Septic
*ft
100'+
—
_
25'+
stpl.ai:
STEEL
NwM« a oomponm«re.
2
Surface Water
100'+
100'+
—
Mn100'+
—
—
LIFT STATION
Lot Line
5'+
10'+
—
_
_
Sue in 90sO"s'
Yanaraetw.r.
Foundation
5'+
10'+
_
_
_
°n I..a ot:
wnp err ol:
Nn wa.r 0. of.
Curtain Drain
NONE KNOWN
pV1Ap SOY' °
EMcuka Irwp.clipn. p.rl. t,r.
Remorks:OLD SEPTIC TANK WAS PUMPED, CRUSHED,
BENCH MARK
AND COMPLETELY ABANDONED
Laoau.n and llncdplion:
BOTTOM OF SIDING ® NORTH CORNER OF HOUSE
Ass a ved Elew4pn:
96.36 rL
Inspections performed by: GEG, Ltd. ENGINEER'S SEAL
Dates: 1st 1/29/08 oao
2nd_ 1/29/08
3rd _ 1/30/08
Development Services Department Approval 9 0
p
o...... ... .
Conditional approval: Date: 0. .. D
f ey arness:
CE-753 epi
Reviewed and approved by:—13-0
Date:� $ 40°d
(R... a/oe) Pro resstono,
�O0000��o
PERMIT NUMBER:
SWO80006 AS-B.U,ILT DRAWING
B
BULL RUN
i' //
W 1000 GALLON
SEPTIC TANK / ,
BEAR PARK. LOT 4
GARNESS ENGINEERING GROUP, Ltcl. p �� 4
- - CONSULTANTS b GENERAL CONTRACTORS • _-..-•..�....:.,........ �....:.. ..
nm L noon ROAA WX M • Aw GL wt ee50r .not (e01�V)�tnl . ru ponwarw • eu91c ew .qem.
PREPARED FOR: PHONE NUMBER: PACE NUMBER: 0
JOEL AND DEBBY WEBS 688-8820 2 OF 3 4.r% if
BEAR PARK, LOT 3
TYPE OF WORK:
AS -BUILT DRAWING
(Rev. 01,05)
K.D.M.
2/11/2008
PARCEL ID NUMBER:
051-042-69
A I R
ST1
36.32
41.64
ST2
40.32
47.39
DBL1
42.40
49.93
DBL2
44.59
50.30
BV
r
55.61
7
73.89
93.86
702
75.50
95.31
CO3
80.86
100.64
C04
84.04
103.70
701
88.08
107.83
MT2
103.42
95.00
COS
109.55
102.54
C06
112.
106.71
\\ / C Iv
)�
1129
0.69
C08
115.99
12.56
r
B
BULL RUN
i' //
W 1000 GALLON
SEPTIC TANK / ,
BEAR PARK. LOT 4
GARNESS ENGINEERING GROUP, Ltcl. p �� 4
- - CONSULTANTS b GENERAL CONTRACTORS • _-..-•..�....:.,........ �....:.. ..
nm L noon ROAA WX M • Aw GL wt ee50r .not (e01�V)�tnl . ru ponwarw • eu91c ew .qem.
PREPARED FOR: PHONE NUMBER: PACE NUMBER: 0
JOEL AND DEBBY WEBS 688-8820 2 OF 3 4.r% if
BEAR PARK, LOT 3
TYPE OF WORK:
AS -BUILT DRAWING
(Rev. 01,05)
K.D.M.
2/11/2008
PARCEL ID NUMBER:
051-042-69
A I R
ST1
36.32
41.64
ST2
40.32
47.39
DBL1
42.40
49.93
DBL2
44.59
50.30
BV
48.53
55.61
MT1
73.89
93.86
702
75.50
95.31
CO3
80.86
100.64
C04
84.04
103.70
701
88.08
107.83
MT2
103.42
95.00
COS
109.55
102.54
C06
112.
106.71
C07
15.16
1129
0.69
C08
115.99
12.56
NEW BED
............
A. ness:
r-7953
.Fa
TOP OF TANK
AT INLET - 95.67
INVERT OF BUNG
AT INLET = 94.24
BOTTOM OF BED
= 93.20 (AVG.)
O 89.20
INSULATION
FINAL GRADE = 97.75-98.04
ST2
`TOP OF TANK
�T OUTLET = 95.78
NEW 1000 GALLON
SEPTIC TANK
-FINAL GRADE
100.82-100.86
RELATIVE ELEVATION OF BOTTOM OF TEST HOLE = 82.20
INVERT OF BUNG
AT OUTLET - 94.00
TER FABRIC
GARINTESS ENGINEERING GROUP, Ltd
CONSULTANTS b GENERAL CONTRACTORS-��•=........
L T.q^M RMp. 9AR 101 • Ngp11,Y.( Mf K101 • �Ip( U)_"n • (Y iY01}LY-]3M • -••.
PREPARED FOR: �'" �•''�'"Mm" +
JOEL AND DEBBY WEBS PHONE NUMBER: PAGE NUMBER:
888-8820 3 OF 3
LEGAL DESCRIPTION;
BEAR PARK, LOT 3 DRAWN BY:
TYPE OF WORK; K.D.M.
AS -BUILT PROFILE DRAWING DATE:
(Rev. Olq$I
2/11/2008
;INAL GRADE
= 98.20
VERT OF DISTRIBUTION
LINE a 93.72 (AVG.)
wofijwa®�
Q.\2,
A""OR/ PU61p & WEII SERVjCEe LLC
P.O. Box 110496
AREMrago AK 93511
Office: (907) 9469355 • Fax (907) 3,3,3.8978
Eagle River: (907) 822.9335
r" UST � R'R
L
LABORI HOURS I RATE
0
N2 07945
JOB
r�}rkSITE
�t•F-3 i -
J L
� - ar►��'1'f� IL
AMOUNT I TOTAL MATERIAL
_FnI -TOTAL
PAY THIS AMOUNT
Thank You
O �•i,�,� SaetIGNATURE
wmy 04V0 nwYV Al*"A'0n 6,, nbt W Ww Fuld.po��wark. not peM MIn 90
PWVt WN Sw . LLC. e.'gn1br.nm. wc+a M ewwwa w rhAT*b Yew u.. db, tlW A)
M p"omgy t Yew n remove aq+e b ea.a'w'L1
TERMS: ACCOUNTS PAYAS LE AT LOTH OF MONTH FOLLOWING PURCHASE.
SERVICE CHARGE AT RATE OF 1.7`: PER NORM WILL SE CHARGED ON OVERDUE ACCOUNT&
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW080006
Legal Description: BEAR PARK LT 3
Design Engineer: 0855 GARNESS ENGINEERING GROUF
Owner Name: DEBBY W EBB
Owner Address: PO BOX 970658
WAIPAHU , HI 96797 -
Date Issued: Jan 28, 2008
Expiration Date: Jan 27, 2009
Parcel ID: 051-042-69
Site Address: 022717 URSA MAJOR CIR
Lot Size: 40296 SO. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
Q Disposal Field Z Septic Tank 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 Drinking Water Regulations (18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by catling
(907) 343-7904 ( 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 dosed on the same day.
B. Covered, seated, and heated to prevent freezing.
S. The following special provisions.
DECOMMISSION REPORT FOR 2ND WELL TO BE SUBMITTED WITH INSPECTION REPORT.
Received By
Date: 6
Issued By. 1 ztL Nf-tL;ihn✓ Date: 7—$ Od
Municipality of Anchorage
• Development Services Department P
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 05) - 0(-I A-) A
Property owner(s) DEBBY WEBFi Day phone 688-8820
g address 22717 URSA MAJOR CIRCLE • CHUGIAK. AK 9q5( -7
9Cog R a
�ddrdss N eF'o-( Q�oL'F)B 1J)p I tYf h 1 f al- Zip Code 4P)66 -7 -
Legal description (Sub'd, Block & Lot ) BEAR PARK SUBDIVISION, LOT 3
Legal description (Township, Section & Range)—N/A
Lot Size 40, aq� Sq. Ft. Number of Bedrooms 3
THIS APPLICATION IS FOR (® all that apply):
Absorption Field
❑
Septic Tank
ID
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
THIS APPLICATION IS AN:
Initial
❑
Upgrade
ID
Renewal
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
Permit/Rush Fees: �(� V. U 0 Wafer Fees: (75
Date of Payment: f�� U Date of Payment: v p
Receipt Number: -11 119966 Receipt Number:
(Rev. 11/05)��
V
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS=. - *-
January 23, 2008
Municipality of Anchorage
Development Service Department
On -Site Water R Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Proposed Septic Upgrade for Bear Park Subdivision; Lot 3,
To whom it may concern:
The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state
of failure and needs to be upgrade. Two test hole were excavated on the property by Robert A Shafer,
P.E. in 1991. The drainfield will be designed around the 30 foot radius of these two holes. Comments
regarding the design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the
percolation test results.
2. DRAIN FIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACEWATERS: There are no surface waters within 100 feet of the proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography within 50
feet of the drainfield is flat.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems.
If you have any questions, please contact us at 337-6179. Thank you for your assistance.
.E., M.S.
A'OtE: Attached is a sire plan drawing, a design drawing, one soil log, which are all part of the design package for
this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.)
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259
Ph: (907) 337-6179 • Fax: (907) 338-3246' Websitc: www.gamesscngincering.com
/ \
F� weZ< Div
LOT 13,
BEAR PARK S/D
\ A/
r
I
RANKIN
LOT 1,
BEAR PARK S/D
LOT 2,
BEAR PARK S/D
\4 (STING y
/ V \ 3 BEDROOM
HOUSE ♦ /
/ LOT {, I /
f BEAR PARK S/D
YSTEM /
/
/ LOT 6,
BEAR PARK S/D
(NO CONCERN)
5.
BEARLOT PARK S/D
GARNGSS ENC31NEERING GROUP, Ltd.
- CONSULTANTS 6 GENERAL CONTRACTORS-'-•«...«.-•«-•.••_•...
J01 [. nodl so o. [urt 101 • NIb10RICL. W "W7 . n )-elle • FM (W7"-32"
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
DEBBY WEB 688-8820 1 OF 2
LEGAL DESCRIPTION: DRAWN BY:
BEAR PARKM LOT 3 K.D.M,
TYPE nF WORK• DATE:
FOR PROPOSED SEPTIC UPGRADE
(Rev. 01105)
LOT 6, BLOCK 2, /-
DEER PARK S/D /
A
/
/
/
/ LOT {, BLOCK 2,
DEER PARK S/D
(NO CONCERN)
1/17/2008
1
\ P
7
CEC-CT�iAS
LETTER THAT PERTAINS TO THIS DESIGN. /
TO OBTAIN A COPY OF THE LETTER
:ONTACT GEG. BY PROCEEDING FORWARD /
WITH THIS INSTALLATION. THE ENGINEER,
WELL DRUM CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
\
UttOUN UMIt-KIA:
NUMBER OF BEDROOMS: 3
GALLONS PER DAY (GPO): 450
':�•:•'+•'lo
PERCOLATION RATES: 20 & 27
,, •, .•r •%••
4.
�\
PROPOSED APPLICATION RATE 0.4
••r �;�•:;�; ;•.;?'I.
MINIMUM DRAINFIELD SO.FT.: 1125
',•
•�:? .`�,•. \
DRAINFIELD DESIGN:
•s •%� : • : \
/
MAXIMUM DEPTH: 5 FEET
'r.::. •.:';•: �.
•;r: \
WIDTH: 20 FEET
. �'.'%:'
LENGTH: 60 FEET
\ M.O.A. APPROVED SAND FILTER: N/A
EFFECTIVE: 0.5
I REDUCTION FACTOR: N/A
ACTUAL SO.FT.: 1200
I /
o . -2i ,
ED
BEAR PARK, LOT 4 I
i
WILL BE COMPT ASAIVDbNED
Ile
NSTALL NEW
1000 GALLON
TANK
INSTALL DOUBLE
cLEwovTs
INSTALL RUN
BALL VALVE
BY A
THI
�TH/ /
k
i
PROPOSED
RNFIELD / n
T LINE FLAGGED
LAND SURVEYOR
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS 3 GENERAL CONTRACTORS ---------•- -- •- �""""' + S J.
'J)01 L TIDOR OpMl },R[ 101 • AND OMM Mt McOf • F10,[ (W)}V1-•In • Fu (Wn3 " • ALIC waF�N�Ma�
(PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •••• ••• •••••• "'••; •••
DEBBY WEB 688-8820 2 OF 2 Q e .def r nese:
LEGAL DESCRIPTION: DRAWN K.D.M.o4Qll �s� '•.I��r•c9pO�
BEAR PARK, LOT 3 V T
TYPE OF WORK: DATE: ���ODO000��60
PROPOSED SEPTIC SYSTEM UPGRADE DESIGN 1/17/2008
(R...olms)
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COPY OF THE LETTER
CONTACT GEG. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER,
WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
EXISTING 1000 GALLON SEPI
• WILL BE COMPLETE ABAND(
G
BEAR PARK, LOT 4
—
�1
1
I
I
I
I
NEW
INSTALL DOUBLE
CLEANOlJTS
INSTALL RUN
BALL VALVE
NUMBER OF BEDROOMS: 3
GALLONS PER DAY (CPD): 450
PERCOLATION RATE/S: 20 & 27
PROPOSED APPLICATION RATE: 0.4
MINIMUM DRAINFIELD SO.FT.: 1125
DRAINFIELD DESIGN:
MAXIMUM DEPTH: 5 FEET
WIDTH: 20 FEET
LENGTH: 60 FEET
M.O.A. APPROVED SAND FILTER: N/A
EFFECTIVE: 0.5
REDUCTION FACTOR: N/A
ACTUAL SO.FT.: 1200
r�
E
�THI /
/
PROPOSED /
DRAINFIELD / n
THE EAST EASMENT LINE FLAGGED
BY A REGISTERED LAND SURVEYOR
/
GARNGSS ENGINEERING GROUP, Ltd.:
CONSULTANTS & GENERAL CONTRACTORS+-�-•a•—»-e.=. ,., O �. ¢
Jnr L TiOM IrMO. ll R 101 • NIGORML Mt �7 • w,o.[ (fCY)UlMln • FM (�a»als-sia • rpLrt: w..y.n.rnrt..�aaein
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .••• ••• •••• ......••
DEBBY WEB 688-8820 2 OF 2'•.Jet r 11 Tien.
LEGAL DESCRIPTION: DRAWN BY: UP'. 79�5j�
BEAR PARK, LOT 3 K.D.M. pp440o'e.e •.1.�2SF��o
TYPE OF WORK: DATE: O4Op�PF'resslov,
PROPOSED SEPTIC SYSTEM UPGRADE DESIGN 1 1/17/2008
(R.. 01105)
/Y
z%
HEALTH AUTHORITY
APPROVALS
SEWERS WATER
MAIN EXTENSIONS
SEWER S WATER
INSPECTION
ENGINEERING STUDIES
ANDREPORTS
WELLMSPECT*N
• FLOW TEST
SITE PUNS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURALS
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
ROBERT SHAFER, P.E.
ROGERSHAFER
CIVILENGINEERS
(907) 8942979
FAX 8941211
June 3, 1991
Seoln:eS uewnN V 4119a)j jdop
e6B:og3UV 10 A;117dlolunN
lssi � r�nP
Municipality o6 Anchorage
DEPARTME11f OF HEALTH AND HUMAN SERVICES a7 A I7'13�
ATTN: Dan Bolles ]] /1 7 J
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Lot 3; Bean Park Subd.Lv.c6lon;
Dean Dan,
As peA our eonver6t.Lon o6 May 30, 1991, we are submitting a de6Egn
change to pe/mit 0910085.
Upon excavation o6 the or.Lginday bed txis
renches gaoundmteA a
encountered at approximat y 9 6t. betow the ground sur6ace..
Thene6oae, we now )xopoae a t leach6.letd ae depleted on the
a.tta ed sketch. You wilt also note that as pen .the owner's request,
the bedroom capacity o6 theproposed house has been /.educed to 3
bedrooms.
16 you have an questions, please contact us.
A. SHAFER, P.E.
seo)n:eS uewnH V 1ploeH Idoa
GBBJOyouy 10 t4l)sd;o;un;q
LOW t NnP
OMAN
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON—SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW910085
DESIGN ENGINEER:S & S ENGINEERS
OWNER NAME:RANKIN GORDON E & GLORIA J
OWNER ADDRESS:2200 CENTURY 0117
ANCHORAGE,AK. 99507
PARCEL ID:05109269
LEGAL DESCRIPTION: BEAR PARK LT 3
LOT SIZE: 110296 (SQ. FT.)
NUMBER OF BEDROOMS: X THIS PERMIT:
.JJad J71101l
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
DATE ISSUED: 5/07/91
EXPIRATION DATE: 5/07/92
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED
ISSUED BY
DATE • S % C1 1
DATE • `s
Ao — Cala ultrl.- Coe. -^m .-c4 .tY -e �44
/
—1/1
O/�C 2Y1► Y�/ //ZB
twill .4! . E7Cl�ira�i.�
w,/. c
A/EEp A 4 Isr sTg )"10A, ObT RODE? cF
S ` S, N It L OE' 12 J'O
/ t7-
•EMS SEAL)
Munlclpallty of Anchorage
DEPARTMENT OF HEALTH 3 HUMAN SERVICES ........
^.
825 "L" Street, Anchorage, Alaska 99502-0650 ..,w
SOILS LOG — PERCOLATION TEST "^ ^ A. 440 r•
r N7. I t;r/ 4 z
PERFORMED FOR: DATE PERFORIOt l7Z;4, <..Z* 1
LEGAL DESCRIPTION: Iia �21L.TOWnShlp, Range, Section:
SLOPE SITE PLAN
17
2
�/
3
id
4
: .
6
CA 1
�
�'
7
if
8
6i
.a/
J
10
� . 1
r
�•O
11
b! P
0
2
12-
13
13-
14
0
is -
6
17
18
19
20
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL
72-008 (Rev. UBS)
WAS GROUND WATER
ENCOUNTERED? �
s
IF YES, AT WHAT L
O
DEPTH? p
E
Dept Y Wna AA
YmBalllp7
=®m®m
M
PERCOLATION RATE 12iG uteeUneh) PERC HOLE DIAMETER
TEST RUN BETWEEN F AND —7—FT
ON THIS DATE DATE
THAT THIS TEST WAS PERFORMED IN
M
PERCOLATION RATE 12iG uteeUneh) PERC HOLE DIAMETER
TEST RUN BETWEEN F AND —7—FT
ON THIS DATE DATE
THAT THIS TEST WAS PERFORMED IN
PERFORMED
Municipality of Anchorage,
DEPARTMENT OF HEALTH 6 HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: y 3 T��— � Township, Range. Section:
rn� SLOPE SITE PLAN
2 'h
3 61
4 C,
6-
7 7-
8
F,
g o!
10 d
O
11 '
12-
13- -
2 13 0o/
14
15 0f
16
17
18
19
20
COMMENTS
M— 1
PERFORMED M!" ,Ivor, Alaska 99577
ACCORDANCE WITH ALL STATE AND MUNICIPAL
72-008 (Rsv. 4/83)
WASGROUND WATER
ENCOUNTERED? O
S
IF YES, AT WHAT L
DEPTH? 0
P
E
Oval r War
Mosaarlaa7 O+c � �� LI
A. Shaky
SEAL)
®®®®m�i
O�:�i:-�
Mmr_ mLyd�
PERCOLATION RATE -7
TEST RUN BETWEEN
M
AnCh) PERO HOLE DIAMETER
4—FT
K CERTIFY THAT THIS TEST WAS PERFORMED IN
ON THIS DATE. DATE _ _
F_ Municipality of Anchorage Page Of Z -
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: :�-,Wcl I PID Number: osl a�2 bq
Name:
G-1 ��j�l�-F-►
Wastewater System:New ❑ Upgrade
Address:
ABSORPTION FIELD
Phone:
No. of Bedrooms:
_/�
El Deep Trench ❑Shallow Trench Bed ❑Mound ❑Other
LEGAL DESCRIPTION
Soil Rating:��jj
Total Depth from original grade:,
V. GPD/Sq. Ft.
L t: Block: Sub n:
Depth to pipe bottom from original grade-
Gravel depth beneath pipe
SFt.
---.
✓ Ft.
Township:
Range:
Section:
Fill added above original grade: /+
Gravel length: Q
7
Ft.
` Ft.
WELL: ❑ New ❑ Upgrade
Gravel width:
Number (lines:
Distance betwe�nlines:
�
Ft.
Ft.
Clas ification (Privat A,B,C):
Total Depth:
Cased To:
Total absorption area: Q
I' 1Z
Pipe material: I^ !D
304 PVC-
VGDriFt.
Ft.
✓ SQ. Ft,
Driller,
ller,
Date Drilled:
Static Water Level:
I staller:
Date installed:
- I I
Ft.
-2-
Yield:
Pump Set at:
I
7Casin,Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION DISTANCES
KSeptic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
Lift
Holding
Public/Private
M nuf cturer: Capacity in gallons.
From
Tank
Field
Station
Tank
Sewer Lines
Well
Materia.1, Number of Compartments:
Watere
LIFT STATION
Lot
/
/
��
Size in gallons:
Manufact
Line
Foundation
"Pump on" level at:
"Pump off" level at:
h water alarm at:
Curtain+
}•j
/
Pump Make & Model
Electrical Inspections performed by:
Drain
V, h1
DW
Remarks:
BENCH MARK
Location and Description:
Assumed Elevation: C> w
Ft
EI� $j�4L
OF 44,
G
4�._ *� __
�
S & S ENGINEERING I�+
Inspections performed by: 17034 F -:-nip RiverLoop Ra Nae} 1st 5
e,aa*?re €eases A. r�r r «we e
Eagle River, Alaska 99577 2nd (a -'7A'9 I
"r� m a(b0011-HR J 'HAFER
Department of Health and Human Services approval
ev
Reviewed and approved by: Date:
�FIE:SQ
72-013 (Rev. 9/91) MOA 25
Permit No. e' -\N q 1 -0og5
Page 2' of Z'
Municipality of Anchorage
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
Leqal Description: ��3 z � ��' PID No.: Ir
'VI
72-013 A (Rev. 9/91) MOA 25
4j IV/
y
� N
_3 k ..r
or A
r 'na "11
o
*,�v
89'
4
RECEIVED
APR 2 7 1999
LOCATION OF WELL— Municipality of Anchorage
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
WATER WELL RECORD
BOROUGH
SUBDIVISION
LOT
BLOCK
SECTION QTRS
SECTION
TOWNSHIP
RANGE
MERIDIAN
�.
El
11
LOCATION/SKETCH:
WELL OWNER: (c)
S
-r- /
♦ f is `�� � '••�/' L. 1 � �.,�.
DEPTHS MEASURED FROM:❑casing top ❑ground surface
WELL DEPTH: DATE OF COMPLETION
Depth of hole: s!{� ft
BOREHOLE DATA: Depth
Depth of casing: , ft / 3
Material Type and Color From To
F
62
DEPTH TO STATIC WATER LEVEL:
.•�.f' ft below ❑ top of casing ❑ ground surface
Date: I /
METHOD OF DRILLING: Qrair rotary ❑ cable tool
❑other
USE OF WELL: domestic ❑ irrigation ❑ monitor
❑ ❑other
public supply
J v'
CASING STICK UP•Diam:
t. in, to s'i'r -it
`� �f f
Casing type: • f in. to rf'"ft
WELL INTAKE OPENING TYPE:open end El screened
,,O
❑perforated 0 open hole '�
Depths of openings: to ft
s 1F tl �7 p
�t--
SCREEN TYPE: Diam: in.
Slot/Mesh Size: Length: ft
GRAVEL PACK TYPE:
Volume used: Depth to top.
U
GROUT TY
Depth: froi
A to co U6-�o
DEVELOPM 'ToL
Duration:_
Y `a5 0 eel
PUMPING L
PUMP INTA _. —4 fV . l Cc V1n
WELL DI SIN n T
c c
Municipality of Anchorage
'W
_ r Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
May 7, 1992
Gordon E. & Gloria J. Rankin
2200 Century #227
Anchorage, Alaska 99507
Subject: Lot 3 Bear Park Subdivision
Permit #SW910085, PID #051-042-69
The subject permit, issued May 7, 1991 by this office for a
single family well and/or on-site wastewater system, has
expired as of May 7, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as -built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $200.00 for an
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
21"
n S m i , 4
P. E.
rogram Manager
On-site Services
enc: Copy of Permit
October 21, 1991
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS•
jj'^ gggg a`
Municipality o{ Anchokage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Stkeet OCT 2 2 1991
SEWER &WATER
MAIN EXTENSIONS
P.O. Box 196650
Anchoka e Alaska 99519-6650"r^,lth �,
rUial vC@CVICCu
REFERENCE: SEPTIC INSPECTION REPORTS:
NE %,SW %, SEC. 6, T14N, R1W, S.M.
SEWER&WATER
Lot 3� Beak Pakk Subd.iv.i,sion;
INSPECTION
�
Lot 6, Btock 4, South Fotk west Subd.iv,i,s ion;
Lot 16A, Sec. 15, T12N, R3W, S.M.
Lot 29, H.i t,side Pakk Subdiviz ion;
Lot 6, Block 8, Tkaiiz End Subdivi,s.ion;
ENGINEERING STUDIES
Lot 3, Btock 1, Gateway To The Pakk Subd.iv,i,s ion;
AND REPORTS
Ovek thi,6 summek we have pek�onmed tin-6pecfiions on .the ,insta talion oU
,septic 6y�stems toca.ted on the above ke6ekenced pkopet-tiu. Att o
thee sy,6tem.6 weAe instal2ed .in a sati.s6actoky mannek and in accokdance
WELL INSPECTION
&FLOW TEST
with the pekmits .i.sbued by your o66ice.
Howevek, to date these kemain v.iktu.atty undeveloped pkopek-tc m without
6oundati.on,s .in6-taUed. Once 6oundations ate .in,s taUed we WiU
compteted tinypectc.on kepok•ts with swing tie..s tied into .the cokneu o6
SITE PLANS
.the house. The appkopniate elevation data can then be tied ,into a
pkopVL benchmakk. Theke{oke, completed septic .i"pection kepokts 6ok
.these ptopektia ate bokthcoming.
ROAD DESIGN
Ib you have any quationz ok comments please contact us.
Sincetety,
SOIL TEST
�i /\
ROGER J. SHAFER, P.E.
RJS/gm
PERCOLATION
TEST
cc: REFERENCED PROPERTY OWNERS
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW910085
DESIGN ENGINEER:S & S ENGINEERS
OWNER NAME:RANKIN GORDON E & GLORIA J
OWNER ADDRESS:2200 CENTURY #117
ANCHORAGE,AK. 99507
PARCEL ID:05104269
LEGAL DESCRIPTION: BEAR PARK LT 3
LOT SIZE: 110296 (SQ. FT.)
NUMBER OF BEDROOMS: "3 THIS PERMIT:
THIS PERMIT IS FOR THE CO TRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
DATE ISSUED: 5/07/91
EXPIRATION DATE: 5/07/92
s/xj�//
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED
ISSUED BY
BY: 1. DATE: ='L_7_f
DATE: .7
8•'Yl)av if SG,,�,I, ,`a 61111 %v �vtCOtssZV,/ai le/
4�7� dc��st�'tat
eeloo`ns
t )1 6 A/ EFp �► C. psi ST4 �lPER R oG'ER OF
Ir ILL !�
S S, E /2 tU
A "A
June 3, 1991
ROBERT SHAFER, P.E.
ROGER SHAFER
CIVIL ENGINEERS
(907) 694.2979
FAX 694-1211
Q r'<f RIV ER, A�PS��
H Ya �!71�sr - do
aaain�a� ui?uJs��? � �.,, ., . � g 'i C�
q50)'0q0UV 10
HEALTH AUTHORITY
APPROVALS
;'�l P
I '6L t NAP
Mun-i.cipati..ty ob Anchonage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
-Ad
ATTN : Dan Bott e%
G
SEWER & WATER
825 L S-t%eet
MAIN EXTENSIONS
P.V. Box 196650
Anchonage, Ataska 99519-6650
REFERENCE: Lot 3; Bean Panfz Subdivision,-
ubdivision;SEWER
SEWER& WATER
INSPECTION
Dear Dan,
A,s pen ou% conveution o6 May 30, 1991, we
ane submitting a design
change to pewit #910085.
ENGINEERING STUDIES
AND REPORTS
upon excavation o6 the o%tiginatty pnopoIsed
-tnenchez gnoundwa.ten was
encoun.te%ed at appnox.i.matety 9 6-t. be.tow .the ground sut4ace.
Thenebore, we now p%opose a bed ,type teach4ietd as depicted on .the
attached sketch. you wit2 atso note .that a6
pen .the owner's request,
& FLOOWWTEST WELL INSPECTION
,the capacity D i� p bedroom ca act O[ the no osed hou,6e.
has been %educed to 3
bedrooms .
16 you have an questionz, ptease contact ups.
SITE PLANS
y,
ROAD DESIGN
4S1RSIgm
RT A. SHAFER, P.F.
SOILTEST seainaeS UirU. n { " Ifi!rej,-j '1d!')(.I
VCR • NnP
PERCOLATION •{p pp�� Qy
TEST Q ] /, I ] D 3 �j
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
N�
�u�*b
o
�S�J-�� tom. ►�T , " _ � Fn
AA-
P �
vF Goo-lTat'1 �,�/s•Ct � ' • � ,, nn
..
4-11
Cep r'
N
• , � • `tom + oar mat..
G'D 1
P, cEivF®
4191 - _
G► (\ u.1 s; , i��y c;t n an $eervices
\ oopt. We Ith &Num
�j'P��-- — ��✓ � Gs'�j �1Tzl�� 5 r115s� �r-� � ,
Sot t.5 � o,�I' faPO���--
/��, ,'^•'�'
:,'"••., ��S
~ ��,/
iii "' �► •
`' `.J i'"� A
1 t�'�� _x/ (o-� � o R-• �-� ,
q�'��1'��I Y��•ye ���Yti x'14••
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW910085
DESIGN ENGINEER:S & S ENGINEERS
OWNER NAME:RANKIN GORDON E & GLORIA J
OWNER ADDRESS:2200 CENTURY #117
ANCHORAGE,AK. 99507
PARCEL ID:05104269
LEGAL DESCRIPTION: BEAR PARK LT 3
LOT SIZE: 110296 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
DATE ISSUED: 5/07/91
EXPIRATION DATE: 5/07/92
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL P
RECEIVED
ISSUED BY
ROVIS S:
BY: DATE • 7
,�
DATE: `S �
f AA'�
ROBERT SHAFER, P.E.
ROGER SHAFER
CIVIL ENGINEERS
A A(2
FAXAX 694.94.121111
May 6, 1991
HEALTH AUTHORITY
APPROVALS
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN 1 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
Munic i.pat i..ty a4 Anchanage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L S-tkee-t
SEWER &WATER
P.O. Bax 196650
MAIN EXTENSIONS
AnchatLage, Ataska 99519-6650
REFERENCE: Lot 3; Bean Pa4k Subdivi6ion;
SEWER & WATER
PERMIT REQUEST NARRATIVE
INSPECTION
We pupvse a st aigh,t 4anwand design a.a .shown an the attached wett and
.6epti.c site plan.
ENGINEERING STUDIES
AND REPORTS
There ane no apparent drainage pubtems. The tots
ane .range. we
6anuee no adveue impact an neigh6an.ing 2at6 by .the
in,6ta tation a6
the pnv poo ed` weU and 6 ept i.c 6 y4.tem�s .
WELL INSPECTION
&FLOW TEST
It �shoutd be noted that the .sewer tine exiting the
0 D
hcu.6e watt. be
,sha ow and %equite insutati.an to maintain a dup in
excess a6 20 to
.the 6 ep is
Since& y,
SITE PLANS
ROAD DESIGN
R A. SHAFER, P.E.
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN 1 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
s � SCALE
of moi-�T/yr'1 ��-►/�l�• ,
�j •0 1 VS � o , (o f�PO�� 2-
� ` V
�.O �� �' o. is = 1 .301 � .� •
4fc-, ate•
N
c..
w
w
{.EN Ekt S)=AL)
a Municipality of Anchorage /
DEPARTMENT OF HEALTH & HUMAN SERVICES"
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: DATE PER FOR4Q,
LEGAL DESCRIPTION:Township, Range, Section:
DEPTH SLOPE SITE PLAN
10 c WAS GROUND WATER
r
ENCOUNTERED?
--jt\�)�
11 (' s
b' L
IF YES, AT WHAT
O
DEPTH?
P
12 E
Depth to Water Afte
13
�r, Monitoring? Date:
14 `/�9
15 /!' o
16
17
18
19
20
COMMENTS
S & S ci\ GINEERING
'�--
1
/
V
2
••;
OAC
3
4
�✓
6
p
7
7
8
ob s,' /
9�
10 c WAS GROUND WATER
r
ENCOUNTERED?
--jt\�)�
11 (' s
b' L
IF YES, AT WHAT
O
DEPTH?
P
12 E
Depth to Water Afte
13
�r, Monitoring? Date:
14 `/�9
15 /!' o
16
17
18
19
20
COMMENTS
S & S ci\ GINEERING
k
PERCOLATION RATE -L:27F7AND
utes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN I FT
17034 F;, --91e River Loop Road No. 204
PERFOFgt5PIWj:v -, is ka 99477
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUI
72-008 (Rev. 4/85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
ON THIS DATE. DATE:
DepthWater...
k
PERCOLATION RATE -L:27F7AND
utes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN I FT
17034 F;, --91e River Loop Road No. 204
PERFOFgt5PIWj:v -, is ka 99477
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUI
72-008 (Rev. 4/85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
ON THIS DATE. DATE:
10 WAS GROUND WATER
ENCOUNTERED? t7
11 %.C2 s
IF YES, AT WHAT OL
r DEPTH? P
12 /� E
13 ° Depth to Wate� 'rO-J )
Monitoring? Dale:
14
15 D�
17
81920 18-
19-
20
COMMENTS
®®Gross
C �L'T1�
FRCS SEAL)
Depth
..
1
e �
Municipality of Anchorage
�.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
Oro
2-
SOILS LOG — PERCOLATION TESTa'"
ij U,
PERFORMED FOR:�G/�-t-�
`L£.I�/�� D
t
P FOI�f�IJ�d;t4"
3
(7 C `
LEGAL DESCRIPTION:
�%-�L--- TOWrlShlp, Range, Section:
DEPTH
SLOPE
SITE PLAN
10 WAS GROUND WATER
ENCOUNTERED? t7
11 %.C2 s
IF YES, AT WHAT OL
r DEPTH? P
12 /� E
13 ° Depth to Wate� 'rO-J )
Monitoring? Dale:
14
15 D�
17
81920 18-
19-
20
COMMENTS
®®Gross
C �L'T1�
Depth
..
1
rr
2-
3
(7 C `
4
Cr CCC/»>-
Or
6
C.Z
8
9
�{
10 WAS GROUND WATER
ENCOUNTERED? t7
11 %.C2 s
IF YES, AT WHAT OL
r DEPTH? P
12 /� E
13 ° Depth to Wate� 'rO-J )
Monitoring? Dale:
14
15 D�
17
81920 18-
19-
20
COMMENTS
®®Gross
me
Depth
..
PERCOLATION RATE 21
TEST RUN BETWEEN
PERFORMED -PI€ div€r, Alaska 99577
ACCORDANCE WITH ALL STATE AND MUNICIPAL GU
72-008 (Rev. 4/85)
N
PERC HOLE DIAMETER
D FT
CERTIFY THAT THIS TEST WAS PERFORMED IN
ZIEFT70N THIS DATE. DATE:
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW960155 DATE ISSUED: 6/26/96
DESIGN ENGINEER:DUMMY COMPANY EXPIRATION DATE: 6/26/97
OWNER NAME:WEBB DEBBIE & JOEL
OWNER ADDRESS:1956 COMMADORE DRIVE
ANCHORAGE, ALASKA 99507
PARCEL ID:05104269
LEGAL DESCRIPTION:
BEAR PARK LT 3
LOT SIZE: 40296 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL SYSTEM
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 DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PR
RECEIVED B
ISSUED BY:
DATE • 7. '~
DATE: �- 2e� " %�
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zT �',,:,- R CEIVED
rTe
/ UN
�t 1931
t
,.: `„I L. j�t, H Anchorage
Dopt. lia ith & Henan Services
'.';`j;,Y I 3'�r — 4•S� G� i rZ/y.�sr-1t s��.�
•`��� . <joll�$ a O,�” &TVA- - - Pv �',''�`', :•.., ,��
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1125 oa �2 •••�••' �l
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t r o • �, ,� : kd
CA I
• i r ]
f. ` •
,`. Mitinicipality ®f Anchorage
Department of Health and Human Services
825 "L" Street
Rick Mysrrom, P.O. Box 196650 Anchorage, Alaska 99519-6650
Mayor
http://www.ci.anchorage.ak.us
343-4744
July 2, 1998
Joe M & Deborah S Webb
PO Box 770843
Eagle River, Alaska 99577 0843
Subject: Lot 3 Bear Park Subdivision
Permit #SW970165, PID #051-042-69
The subject permit, issued July 24 1997 by this office for a
single family well and/or on—site wastewater system, has
expired as of July 2, 1998.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as -built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
S' c el
y,,
Jtes Cross, P.E.
Program Manager
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970165
DESIGN ENGINEER:
OWNER NAME:JOEL WEBB
OWNER ADDRESS:P.O. BOX 770843
EAGLE RIVER, AK. 99577
PARCEL ID:05104269
LEGAL DESCRIPTION:
BEAR PARK LT 3
LOT SIZE: 40 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF I
DATE ISSUED: 7/02/97
EXPIRATION DATE: 7/02/98
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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED B
ISSUED BY:
DATE: /[ a/P I
DATE: V..0
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_ Municipality of Anchorage
Development Services Department i • p'°
Building Safety Division `ttfS(
On -Site Water 8 Wastewater Program "
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. I 'ai-I)AAcosaa d g00AS
1. GENERAL INFORMATION Expiration Date: Jr Liz z 0
Complete legal description BEAR PARK LOT 3
Location (site address) 22717 URSA MAJOR CIR. • CHUGIAK AK 99567
Current Property owner(s) JOEL AND DEBBY WEBS Day phone 688-8820
Mailing address 22717 URSA MAJOR CIR. + CHUGIAK AK 99567
Lending agency Day phone
Mailing address
Real Estate Agent RANEY HARDMAN w/REMAX PROPERTIES Day phone 694-4235
Mailing address 16600 CENTERRELD DR. * EAGLE RIVER AK 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER 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 On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period 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 of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, l verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Finn GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineers Comments:
In conducting this evaluation, GEG, LID. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described 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 wells 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 served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to moot 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.
S. DSD SIGNATURE
Approved for 3 bedrooms.
Disapproved.
Phone 337-6179
Date21Ir Vqa
4fss:
!
o :�*
�• (
oaf. �E-79)
3 •' FG
On���_ .'7i•�It.v'�EpQo
Conditional approval for bedrooms, with the fllowing stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineers Reort
Other
-�
Pi' • � ��
ON-SITE • ��G?;
• WATERAND
WASTEWATER ;
PROGRAM
By:
Original Certificate Date: ;2, ` 13 : O R
(Rev.I IM)
Municipality of Anchorage
Development Services Department °
Building Safety Division
On -Site Water & Wastewater Program `.
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: BEAR PARK LOT 3 Parcel lD:-05-/- 1) L}2-6CJ
A. WELL DATA
Well type PRIVATE If A. B, or C provide PWSID# N/A
Date completed 7/g/1996 Sanitary seal (YIN) YES
Total depth 308 ft. Cased to 308 ft,
FROM WELL LOG
Date of test
Static water level
7/9/1996
14
ft.
Well production 4.5 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml.
Arsenic: 13.1 ug./L.
B. SEPTIC/HOLDING TANK DATA
Well Log (Y/N) YES
Wires properly protected (YIN) YES
Casing height (above ground) 24 in.
AT INSPECTION
1/16/2008
37 ft.
0.44 g.p.m.
Nitrate ND mg./L. Other bacteria 0 colonies/100 ml.
Date of sample: 1/15/2008 Collected by: GEG Ltd.
Tank Type/Material _- SEPTIC/STEEL Date installed _ 1/29-30/2008
Tank size 1000 gal, Number of Compartments 3 Cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A
Date of pumping NEW pumper
C. ABSORPTION FIELD DATA eE�ow ExlsnNc cRAOE
1/29-30/06
Date installed 6/25/1991 Soil rating .p.d./ft r ft2/bdrm)0.4 0.4 System type BED
Length 60/47 ft, Width _ 20/24 ft, Gravel below pipe 0.52/0.5 ft,
depth Total de 1200/
p ';;(��ft. Eft.'absorption area 1138 ft' Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test= in. Water added =gal. New depth=in.
Elapsed Time: = min. Final fluid depth= in. Absorption rate >= 450+ g.p,d,
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date -
D. LIFT STATION
Date installed
"Pump on" level at in.
E. SEPARATION DISTANCES
Size in gallons
"Pump off"
Manhole/Access
water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main N/A
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas
50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
5'+ Property line 5'+ Absorption field 5'+
Building foundation P rtY
Water main
N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
10'+
Building
g foundation
10'+
Water main N/A
Water service line
10'+
Surface water
100'+
Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
1 certify that 1 have determined through field inspections and p n' `* '
review of Municipal records that the above systems are in 0
conformance with MOA COSA guidelines in effect on this ..... ................
date. •.J f A. Gorness.:
Engineers Printe Name JEFFREY A. GARNESS Q E-7 53 • ei
000�,e ��„1d6..c�P
'yl to I04 D�edP�olesat°^°\��
Date
COSA Fee $_�3 U • U U
Date of Payment 0
Receipt Number L/ N 3 I L
(Rev. 11105)
Waiver Fee $
Date of Payment
Receipt Number
Municipality of Anchorage
Development Services Department
Building Safety Division F
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.orglonsite
(907)343-7904
Arsenic Advisory
Certificate of On -Site Systems Approval # 080025
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block , Lot
3 of Bear Park Subdivision. This inspection revealed an arsenic
concentration of 13.1 micrograms per liter (ug/L) for the property's well
water sample. The Environmental Protection Agency (EPA) has established
a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water
systems. While private wells are not subject to this regulation, EPA
standards are based on existing health information and can therefore be used
to gauge the relative quality of water from private wells. Information on
arsenic is available from the On -Site Water and Wastewater Program
website (www.muni.org/onsite) or at 343-7904.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
Water Well Advisory
Health Authority Approval # 080025
During a recent Health Authority Approval on-site inspection and test of the
potable water supply well on Block , Lot 3 of Bear Park subdivision,
the well's productivity was determined to be 0.44 gallons per minute. The
minimum well productivity required by this Department (AMC 15.55) for a
3 -bedroom residence is 0.31 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 of the subject Health Authority
Approval.
SCS Ref.B
1080181001
Client Name
Gamcss Engineering Group, Ltd.
Project Name/N
Dear Park Lot 3
Client Sample ID
[sear Park Lot 3
Matrix
Drinking Water
PN'SID 0
Sample Remarks:
Parameter Results PQL
Metals by ICP/Ms
Arsenic 13.1 • 5.00
Waters Department
Total Nitratc/Nitritc-N ND 0.100
Microbiology Laborato
All Dates/Times are Alaska Standard Time
Printed Date/Time
01232008 14:53
Collected Date/Time
01/152008 17:20
Received Date/Time
01/162008 12:20
Technical Director
Stephen C. Ede
Units Method
ug/L EP200.8
Allowable Perp Analysis
Container ID Limits Date Date Init
C (<10)
mg/L SM200500NO3-F D (<to)
01/17/08 0122/08 Mli
01/17/08 1DS
Colony Count 0 COVIOOmL SM2092226
Total Coliform 0 A (I) 01/16/08 SDP
coUl00mL SM209222O A (<I) 01/16/08 SDP
Fecal Coliform 0 eoVI00mL SM20 92226
A (<I) 01/16108 SDP
MUNICIPALITY OF ANCHORAGE Ak
• 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. # �� % DZ�o % HAA # ��La
1. GENERAL INFORMATION
Complete legal description Bea -1- Fa_ ' a
Location (site address or directions) /INN /lrsa Ma iof' C<r�'lel
Property owner Ge- leQht2220�al Day phone 694 -6 3
Mailing address
Lending agency Day phone
Mailing address
Agent � i��inQ�� Day phone 733
Address V,���
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: z
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 (Rev. 1/91) Front MOA #21
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 KND Engineadna Phone
20441 Ptarmigan Blvd.
Address Eagle River, AK -9 n a!;* -
Engineer's signature
6. DHHS SIGNATURE
Approved for 2 bedrooms.
Disapproved.
Date is
OF A44%11
s : Y
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
By:
Date 12 12- -7
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 orderto 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
MUNI -11 ALI I'Y Ur AINl.hORAUt
INVIRONMENTAL SERVICES DIVISION
M, 001,99)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division ECEIVEDA
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Health Authority Approval Checklist
Legal Description: L3eae- Pczrki L v � 3 Parcel I.D.: 0:51 dq 2(o 7
A. WELL DATA
Well type h1)6 1 VtCru.a.I If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) Date completed 71q40
Total depth 308` Cased to .308' Casing height (above ground) 2
Sanitary seal (Y/N) Y Wires properly protected (Y/N) I
FROM
WELL LOG AT INSPECTION
Date of test 71 I w ! / L2
Static water level 5 �9
Well production 3 g.p.m. .Z • 8 g.p.m.
WATER SAMPLE RESULTS:
Coliform Nitrate 0 f L> V" 5j Other bacteria
Date of sample: !!/z%/V,/i Collected by: KIVO
B. SEPTIC/HOLDING TANK DATA -E-zro
(,.', inFvrmafimsi y
Date installed 5 �0 92 Tank sizer 10bO Number of Compartme'nts'' Z Cleanouts (Y/N)
Foundation cleanout (Y/N) "f- Depression (Y/N) High water alarm (Y/N) � Al
Date of Pumping AM Pumper
C. ABSORPTION FIELD DATA
Date installed-'- S�z Soil ratin (g.p.d./ or W4bdrm)- �• System type epi
Length ' hlZ � Width 241 Gravel thickness below pipe Total depth
Effective absorption area Monitoring Tube present (Y/N) Depression over field (Y/N) ��
Date of adequacy test V4 Results (Pass/Fail)
Fluid depth in absorption field ffefore test (in. Immediately after
Fluid depth ipsj'1Vlinutes later:
arnd a treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
For
gal. water—added (in.):
If yes, give date
g.p.d.
D. LIFT STATION
Date installed Size in
Manhole/Access (Y/N) "Pump evel at* _
High water alarm levellat*
`Datum
"Pump off" level at*
Cycles tested
E. SEPARATION DISTANCES
w.flr D,��S
SEPARATION DISTANCES FROM WELL ON LOT TO:vPil�i0
Septic/holding tank on' lot * /ad r -+ /A�r� On adjacent lots X
Absorption field on lot /b0 �1 On adjacent lots
F.
Public sewer main )r IVA
Public sewer manhole/cleanout N A
Sewer /septic service line �-5 /� 5 7 Lift station A/ A
SEPARATION DISTANT S FROM SEPTIC/HOLDING TANK ON LOT TO:
,`
Foundation S S t Property line D t Absorption, field
Water main/service line ZS ` Surface water/drainage UD Wells on adjacent Iota /oU l /�
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line /d B ilding foundation Water main/service line Z
Surface Ovate / bo Driveway, parking/vehicle storage area U r 4` 6)
Curtain drain 6V'oM5 A6NDu/Ni Wells on adjacent -lots 4"
ENGINEER'S CERTIFICATION
1 certify that I have determined thru field inspections and review of Municipal reco t e a8 VgNems are
in conformance with MOA HAA guidelines in effect on this date. �P •.•••*°•�°'°'•.•
Signature 1 .�� �•....�►r. .:404i—
Engineer's Name e,- -4-4 1;,7• ��k Is �`�'=•��N. •�*. * °;•r,+
rn • KE
4t�F9 •
,AFD
Date
HAA Fee
Date of Payment /
Receipt Number °Z 57°2 & )
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
NORTHERN TESTING LABORATORIES, INC.
3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (9 7) 456-3116 - FAX 456-3125
8005 SCHOON STREET ANCHORAGE, ALASKA 99518 (9 7) 349-1000 - FAX 349-1016
KND Engineering
20441 Ptarmigan Blvd.
Eagle River, AK 99577
Report Date: 12/03/96
Date Arrived: 11/27/96
Date Sampled: 11/27/96
Time Sampled: 0815
Collected By:
Attn:
** Definitions **
B
= Present in Blank
H
= Above Regulatory Max
Our Lab #:
A148312
E
= Estimated Value
Location/Project:
Bear Park, Lt 3
M
= Matrix Interference
Your Sample ID:
Pressure Tank
D
= Lost to Dilution
Sample Matrix:
Water
MDL = Method Detection Limit
Comments:
Lab
Date
Date
Number Method
------------------------------------------------------------------------------------------------
Parameter
Units
Result * MDL Prepared
Analyzed
A148312 SM 4500E
Nitrate -N
mg/L
<MDL 0.10
11/29/96
Reported By: Anthony J. Lange
Chemistry Supervisor
NORTHERN TESTING LABORATORIES, INC.
3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 • FAX 456-3125
8005 SCHOON STREET ANCHORAGE, ALASKA 99518 (907) 349-1000 • FAX 349-1016
DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA
KND Engineering Public Water System I.D.#
20441 Ptarmigan Blvd
Eagle River, AK 99877 Date Received: 11/27/96 Time Received: 09:00
Date Analyzed: 11/27/96 Time Analyzed: 13:00
Date Reported: 11/29/96 Time Reported: 09:55
Next Sample Due:
Phone No.
Purchase Order No.
Collected by:
Sample Type:
Routine Untreated
Method of Analysis:
Membrane Filtration
Comments:
Comments:
S = Satisfactory
U = Unsatisfactory
POS = Positive Test Result
ND = None Detected
TNTC = Too Numerous To Count (>200 Colonies)
CG = Confluent Growth
HSM = Heavy Sediment Masking, Results May
Not Be Reliable
SA = Sample Age >30 Hours But <48 Hours,
Results May Not Be Reliable
Old = Sample Age >48 Hours, Too Old For
Analysis
R = Resample Required
NT = No Test
* # Colonies/100 ml ** # Colonies/ml
Sample Sample Total* Fecal* Other* HPC**
Date Time Coliform Coliform Bacteria Result Lab# Location Comments
-----------------------------------------------------------------------------------------------
1 11/27/96 08:15 0 ND ND NT AC2893 Pressure Tank/Bear Satisfactory
Park Lt3
Julie Schaefer
Environmental Analyst
I_lRj
D —ILER,S NAME .......—M.,
SERVE
'i"".1 Uh 14 ALLALASKA
N
N
KILLING
C O
CHUGIAK, AK
P-0- 13OX670042 - CliUGIAV, ALASKA 99567
WASILLA, AK
688-3199
376-3199
OWNER OF LAM
Da ............... ........................
DEPTH OF WELL .210Z_f:!� .............
ADDRESS 0 cl 5..
ti r�,.Dz
STATIC LEVEL OF WATER Fr.
.5.4..J.t ...............................
'ATLJ- - SITE ...
DRAW DOWN FT.._
I t
DATE - STARTED
....... .....
GALS. PER HR.
DATE- EI D E D
.......................................................................
KIND OF CASING
KIND OF FORMATION:
FROM ..................Q.
FT. TO ........ ...........
FROM .............. 23-1.. FT. TO FT....,
............
FROM..................2
. FT. TO .................... 4 FT.
.......
FROM ..............y
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UY
z FROM ...................4_
FT. V
FROM ................... _.. FT. TO ...................
FROM
Alq.. FT. To ...... a2
FRO�M
W.................
............. ......... FT. TO ........................ FT . ................................
FROM....... ........
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FROM FT. To
....................... ........................ FT. ............ ...............
0
FT. To ............... . FT, ....
.."a
FROM ....................... FT. TO FT....................
0
........................ ...........
ziI
u FROM ............. wi-U- FT. TO ................. U`t 7
FROM ...................... FT. TO ........................ FT . ................................
�l FROM � .......
7. FT. To ............... LA FT� ..
_7 - gh
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FROM ....................... FT. TO ........................ FT. ................................
FROML .............=
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FROM ...... ................ F7. TO ........................ FT . ................................
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FROM ............... FT. TO _ ...................... FT. ..... ..........................
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FROM....................... FT- TO ....................... Fr . ................................
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MISCL. INFORMATION:
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D —ILER,S NAME .......—M.,
DEC -07-96 01:43 AM
__ I A TO ice' G-1 1 G_L
5,34-
15, :34-A�. N
Asbuilt of
Lot 3, Bearpaw Subd,
For
Joel Webb
I'F 60'
�TAp�Jr!J
.`
Alaska CombvcWn Swveys, LLC -
21436 Ginger Les Drive
Chmgiak, Alaska 99567
283.6138
1 hem► certly that I have surveyed the *Akm ng described prop]►.
Lata Beerpaw Subdhkion% voo goat no cae *8
exist except as d -
It is the resporsaMy of the owmar 1a deker mkw the 04stemw of OW
which da aotappes oh the regarded uhdvUlon pIA
tkaet no ckcumstanc9s. shmW any d fmwekl be IOW *w
cOnstn :Um ar Tor a 'arhing botvWx l arm tines.
P.04
DEC -07-96 01:42 AM
Pop of
4
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES.,
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 6 Anchorage, Alaska 99519-6650 9 Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection deport
Lenai Descriotion: PID N o..- •0-2- 1 C> 4-Z L-1
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DEC -07-96 01:46 AM
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PAR 69,1 12",
21 1991
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or , KLAL Ft? ANO
00 1 2 2 1931
'WI A I'a 31,
REPORTS:
SEC. 6, N4N, RIW, SJf-
3, Ak
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1
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