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HomeMy WebLinkAboutSKYVIEW ESTATES LT 1Onsite File ham r s' a, lwq ?015t=531 M-W DRILLING, Inc. P.O. Box 110378 · 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 Well Owner DRILLING LOG ___John Lop_e__t rone RECEIVE[) AU6 1 1992 Municipahty of Anchorage . Location (address of: Township, Range, Section, if known; or distance main road_ Lot 1 Skyview Estates Size of casing Static water level __ 20]L 201 Depth of Hole__ feet Cased to _ feet 50 ft. 0I[~,~) (below) land sur£ace. Finish of well (check one) open end ( X ); Perforated ( ). ); Describe screen or perforatiem_~ Well pumping test aL]'5 gallons per (t~h~) of drawdown from static level. Date of completion July 27, 1:992 (minute) for 1 _hours w/th_ 100% ft. Depth in feet from ground surface 0 2 ---__TO 2 17 .... TO. 17 48 _TO_ 48 TO ?0 70 TO 8.5 .TO 95 115 .TO. 115 .TO 121 121 ~O__140 140 160 160 180 __.TO,__ 180 201 _TO_ WELL LOG Give details of formations penetrated, size of material, color and hardness CSG Stickup Dry Silty Sand Wet Silty Sand Damp Grey Clay ~rav~,lly Clay G_rey Wet Gravel Dry Sandy Gravel S~ndy Grafe__l.,. Da~__p. Silty, Sandy Gravel, Wet Fine Sandy Gravel Water Bearing, Gravel: Dirty, Sandy Water Bearing Gravel with Sand _TO. _ _TO .TO I~'WWA Certified Contractor 1 -- CUSTOMER Certificate No's. 814 & 973 PAGE 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:SW920078 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:LOPETRONE JOHN & BARBARA OWNER ADDRESS:930 LIGHTHOUSE COURT ANCHORAGE, ALASKA 99515 DATE ISSUED: 5/08/92 EXPIRATION DATE: PARCEL ID:01527136 LEGAL DESCRIPTION: SKYVIEW ESTATES LT 1 1 OF 5/08/93 LOT SIZE: 15679 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CNAPTERS 15.55 AND 15.65 AND TNE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. OBSERVE SETBACKS AS FOLLOWS: 100 ' 75' 25' 2. SUBMIT WELL LO, WITHIN 30 DAYS OF COMPLETION. iSSUED BY: TO A SEWER MANHOLE TO SEWER MAIN TO SEWER SERVICE LINE DATE: DATE: r¢~, 6650 ANCHORAGE, ALASKA 99502-0650 (907~ 264-4111 DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850068 Lot 1Skyview Estates Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation° If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit Al I I.., .[ [.,Al ] ] , ~:~AI:/~!)AI::~f'~ ,q: ,, I .AF::'IiC'T'R[:)IqFZ F]~))])I::~ESS: I "6 ' 1 I IAI ..U, [., .I.,,I )3FLY' ANCI'IE)I~At'' F:', AK ';:? '::),. ~ , ,:,.:' CON"I'ACT' I IM,.II ...... !.,.EE)(:~I.. :(:)I!i:SC R" I:::': LOT ~ .... ,:1 .I, Z I!ii: ~: ["'1 "~ X BE:DF/E)OMS S U B D I V I S ]: 0 N :: SI':::Y V ]: I:E W E ST ,, L 0 T: SE:[::T):Ohh', 21 TOWNSI.IIF:': '12N I::;:AlxlF.)lli::i :::.!;W (S(;!,, F:'T',. OR ACI::~IME;) E.,I,,~ ICI ..... IXhA "¥' IF;i:', tiE:: 17',,II DIEI:::"I'II 'TO I:::' :t: F:;'IE BO'ITEIM (F:'T.) '7;,() ~%',::'; 7,,0 (,')Fi:AVIEI , DEPTH (F:']',.) 4,, 5 ();, ',~ :!. ,, 0 'I'EFf'AI.,., DEF"I"I'I (FT ,, ) :1. :1. ,, 5 '7 ,, () El ,, () GR(WIEI,.,. W]:D"t'H (F"f',,) ;~,, 5 21ih, 0 5. () GF,tAVIEI., LE:I",I(::'I'I"I'I (1:::"1' ,, ) :!,:]~;::!~;. 0 '):"x' 56. () 2 :I, 0. () ':,~'~ GRAVI~_I... VOI...fIMIE (CU. YDS,, ) 6 1 ,, 6 513,, :! ~F[~),, 4 't'ANI( I"; I ZIE (GALS) .I. ~ 2.',:i0 ;, 0 '~:"~' :!, ~, :?.~i(),, () ,;'~..;,~ I, ;::".5(). () ,;~'., x. 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MOA (:::I:IEIE~i ~.:tl'l(::l &lid J.l'l cc~ml::):!.:i, allc~?) ~,~J.'l:,l'l tl"l(:') di,.:~sifili cr':i, te~-:La c)t' th:i.s ¥. :t: w;i, lI a~::lil(;:~r'~:.~ 'l:.(::~,a].:l, MOA 6~-I(;;t S'l:,at',(e c)l' A:l. asl<a I'E~i:IL,ULI'EiiflI:H'y~',% t'i::iP '~',hF? 4 ,, I t,.ui(::!i:::,r' s'l:,arl d 'I: h ~]t'l' 'L h :i, s p (.:;,l'. m :i. t i E5 '¢d'~ ], J d ~' C:)l' .L~. max :i. fiILIiii C} I' Zl I:} ,:':)El I' E)i':lffiEi ~3,!'I d · Lilly (':Hi]~:~d"~E~fil(.211t I,,l:i, ]. :l, I"E~CILI;i.r'¢::) all ,':IEli::l:i,'t.J,i;llh').:l, ):I::: A L..:[I:r:'T STA'I"]:ON IS ]:I",ISTP, I.,,L,IED ]:Ixl Al",! ARE;A C.,OVI!:I:;'IE)]) 'r'IIEN ( i ) AN I :I...IEC'r'R :t: CAI. I:::'IEFi'.M I T (~lxlI) ]:IxlSI:::'!!:CT ]: EIN MUST BIZ EI):)TA ;1: NED ~; (~:?) ~]~i.-,i.::i!I:!:I/TS WIL.L NEll' BE AH:;:'FtOVED W:I:]"II[)IFI' AN EI..E~C-I't::i:I:CAI.., ]NS!::'EC]':!:Ohl RIEF:'(:)FIT; AN)-) (:5) rltl( .tEI._IEC't'F?:t:CAL, WORK MUST i:dE: DONE BY ~fi [..]:cIEr,,tSIED A :::' ::' "[ A' '" , ~::'~l::'tV~l~ ' ~ ..... ~lq '~ - ~ 'LM ......................................................... ~ ; .... . % ~,ep.¢,: ........ H[ZFIL. TH FINE:, EN',,,'IRCd'.~MENTFiL. F F. ~ l ECl 1 _ , .., f [4.[ .E ]., I::II'.,IL~:HI:IRI:iGE., I::ll-:::. 2):Sd::JEk3L 'T'T'F'E OF ': ~' .... t=,lE Z=,: TREN .H I[I..]I1UII I",IUHE:ER i-iF EE['F, rY-Hc = 3 =,ult.. :;~RTII'.JFi ,~SI;~ FT,.."ER'~= ....... - ~ ~,l~l THE I~:EC¢..I ~ RED, ': TM" .... Z~E. OF THE ': ..... :,,:~ . .... -,LIL HE,-,I. JRFIZuI.~ ,~',,~' ~,. :,~ :, ret .[:,: LCIT S:[ZE 999':~P='.,':;~ L::;L::!UI::II';.:E~: FEET THE LEi'.JGTH D];I"IENSION IE; ]"FIE L. ENGTFt ,'IN FEE:T> OF THE: TRENCFI rF' E:'RFIII'.,IFIELE:,. THE DEPTH O1= I=1 TF.:E'Nf':H FIR F'IT .[=, THE: E Z:,TMF,....E E, E Fi.Ii=Ei~, THE 2;L.IRFFIC:E I:F TFIE L3F:pDIIt'.JD, F]N[::, THE E, 3TTOi' OF THE E,,.,C. HvHFIUN ,::ZN FEET::,. FIEF:.E ]:S, NO '-:;E"I" !-41E:,TH F JR T~EN"HE'.::; THE ARFI',,,'EL. [:,EF'"I"I..t :[51 THE I¥1II'.~IHUH E:,EPTH OF GF,'FI'v'EL E,E. FP.IEEN THE OLrTFFILL F'IPE F41q[':, THE E,U F FJII OF THE E,'.':;CFt',,,'FITION ,:: IN FE:E'T:). PEF~PIZT - ' , ' ...... HFFL] ..HI, r HI-=, THE t?ESF'ONrSII~:ILIT'.r' l"O ]:~"JF'-~F'I"'I IH:L, [:'EPFIRTHEN]" I::,.R:rH3 THE II L I PI..._.i. I' 1 . ,! II L,I E... [ i JI.L:, r"lF I:IN'¢ .LIEL. I ..... RE:,/rFiCE:NT TO THIL:; F , =c ........ , ...... ~ ~:.~.~. ~ 'r FIN[:, THE NtJI"'IE;EI:~: CIF' F4. E.._,I[EN_.E= TFIFIT ]'*HE .L,.IELL ['.IILL ': "'= ..,ER,,, L. ............... T' [~lJ Cn "::" "*':" ':. :E ~" .~ =. IF- E: L. ~ ~ ¢'-~ II'-~ ":-: Ftl IF;.?.' .~IL..I..,F ILL.[NJ FF' FII",P'r' '=' "- .... ,' ,- , ..... - -,~=,FEII PJITHOUT F.1NFIL I '~=,FEL. I II N FIl"J[:, IdFFF4., *L E,r .... ,.- , -, - Till:, "EF'FIRTHENT .~'.II[..L BE =,UE, JE.T TO .:[NIHLIH [:'IF~;TFII",ICE E,[:.II~EEN Ft I.,.IEL. L. FIN[:, F~F,I'T' ON-S:I:TIZ -,E.q'"_~E D]._.,l: U=,H... :: : .... , ....... FEI1 I:, Cll~i FEET F'OR FI PRI'v'FITE t.,.II:ZLL =r~, :L5(~ TO ;:;,~.'~R FEET FR"H FI FUE, L:[C: P.IELL DEF'EN[:,ING F':N THE T"r'F'E OF I::'.EI I':: 1.4I:~LI .... IIqIl"lUH [:'I~TFINC:E F'f4:Of'l FI I::'Rt',,,'FITE 1.4ELL TI3 FI RI~HTE. :SE,L,.IER L):NE I.'{; ;-ZF, FEET FIN[:, 3 Fi COf'IHLINZT'T' SEI-,.IER L. II,IE ):'.5 ;:'!5 ".IELL L':3'E; tIRE REC!IJIREI) RI"JC, MUST BE ,LE~IUF..I~EL TO THE' [:'EF'FtRTHEN]" P.IITI"iIN )F THE I-4ELL COMPL. ETION. "" iTFIER RE'L::!UIREHENTS hlR'T' RF'PL'¢. F2, F'EC:IFIC:FI]"ION:5 FIN[:, C:OFk~TRUCTION D':[F:IGRFIH5 FIRE I hILHE, LI:£ TO IIL..I_ff~.E F'F,'OPER J: CFZF;t"I" I F'"? THI=JT :L: Z FtH F'=ti'" [LIFIR I-,.IITH THE: F::EC!UIRt=:i"IEN]'5 FCd~! Cd",?.=_;ZTE SEI.,.IEF..':S I::INE:, !-JE'LL.:, :':' ' :' "' I'1..., :SET F'C.~F~tTH B'T' ]'HE i"'fUl'.,lI C: I F'RL I T'¢ FfI:= Iti' IL.I- IUF;.P '=" I [,JILL IH=,THLL THE '~ "- .-, ~' :*] El I I N RCCOf;:tE:,RNE:;E .t,J I ]"H THE - :' 3:: I IJI"J[)ER'.STFII'.J[.':, *T'HFI"F ]"FIE OF,I'-'*¢.E, ITE ':- ', _,El IEP:. ': ....... ,' ~~, T .=, FEI I i'"lFCr' REC!U I RE Ei",ILFIRI3EIYIEi'-,IT I F THE ,K L., I [. EN_ E 1 =, REi'IOE:'ELEE:, 'TC[ I NC:L.U£:,E' I'dORE THI=II"J _=:..': .., I Ftl ,IT ..:rFff"IE:E; F'. I'IFIRTIi'.J ITS':'51 E[ E:", ~Permit #: 820762 January 31, 1983 TO: Permit Applicant Subject: Lot 1 Sky View Estates Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 198 2. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 t"IF!?,];I'I .H t'.]t..IHErE:F;i: OF E',EC, F:OCq','I:i!i; .:, THE !...EIqG'TI4 D ;£ I'11E!",!¢~]; Z[ EII',I ;[ S THF; [...Et"!GTH ,:: _T. t",! !:::'E~:E't' ;:, Cfi::' TF!IZ TF~:E;I",!C:FI OF;?. DI:i~FI ;1: F,ff:']; ELD. ?'FI!Z DEF'TH OF Ft TF;:E;I'-,tCH OF4r P;['T ZS THE DZSTFII'qE:IE BETPlEEi',! 't"I-![E :SLII:RF::'FIC:E Ot:;: THE Eit;i(]d.,,IN[:, FI[,I[)THE ~%)T'f'OH OF THE E2':X3F:IVRT]:OI'.,t '::ZI:N F'EET). THEF;;:E ;(S t',IO SET H:I:DTH FOIR 'FREhlCIIES. THE; (;~I:;~:FI'v'E:[. I)E;F'TH IS THE I'"1;f;i"411"11,,.11"1 DEI:::'-I-H 01::' (3~:F:l~,,,'t~;l.. ~)ETI41,{EI",I THE; Cll..r!'FFiLL P];FtE i:::I!",!D TI'IE 130'TI"OH OF "l"l'!l:~; [~:XC:FI'v'I:::I-I':ECff.~ (]:1",t I::'E:F;?.H]:I' 'F I-f CFII".t'T ,LIFl'Jii; I'FiE Fi:ESt::'Ot"~':7,:([~d[L.]:T'T' TO ]:BIt:'Cff~H TH;I:S DEF:'F:II;?I'HF::'t~-IT [:,L!!:;;: .~ F! '.:'i "t't"l!!: ]:I",lt}~;t'I:::ILLI::tT]:(:)I'..! ]:I'.ri~i~iF:'[D:::"I'J:()I',It~; r'l::' I::li",l"r' t'IE;I...I_'-:~; F:iC,..:rFic:E:i'-.Ir' t'o ']"H]:':i; F'I';~:()F'['~:[;:T'?' FI?',![:, T .~::' · , I,L. NI..IHE~E:F~: OF [~:ESZ!)E;NC:ES 'T'I~II-:IT THE l,.IEt...!~ I,.!]:LL .... ':'E.!';"'"*.., !:.. i"t:J:i".l:l:i'il...ll"l I')):?TF::ti"4CE E[ETI,.!t:~(Eiq I::1 i,lEt...l... FII",tD RN",-' OI",I'-S:['I'B: &eh2} F'[i%T I:::OFR ~:1 !::'F'.;[',,,~i::iTE NELl_. O[,? J.t::.il;~i TO 2~;.)(~1 I..IPOI,,! THE: T'¢I::'E Ot:::' I::'UBL:[C HELL. H]:t'.,!ZHLiI','! D]:STFtI'.,E:E: F:'t~:Ot','! F-I F'f~t:[VI::I"t'E N[EI..L -['0 F::! F:'F;'.I:',,,'FITE: SE1,.IEF;: L;[I'.,IE ]:'5 25 F:rEE! I:::It'.~D TEl FI C:OHHUt'.,! ;[ T'T' :~:i;El'.l[~[;'. L ;1: h,tE ]: E; 75 NELl. I..OG:5 F:IRE I~:E:(;:~U;[F:IZD FIND I"IUS'f" BE F~:E"I'UF4tI",IE~:I.) TO 't'1"I1~ OF: 1HtE F.!ELL. COt"IF:'L.E:T:[OH. Cq'I"tEF: !;?.E;(;:¢...I ]: Fi:EHI~:H'I':E; I¥iFi'./ FIF'F'L."r'. :E;F'EC: Z F i CRT Z (:ff'.tS FII",]D C:OI",tS'I"FUjC]' I::l',,,'l':l ]: I._FIE31..iE TO ]: I'.,t~;l...i[~'.[j: F'F;:CII:)E[;[: Z h]:}i"[I:)L.[..I:::IT :[ Cff',l. :i: F:01';i:'l't'l !.. 'Fir'l!E I'II._It',!J:C:[F'F:II....]:T'¥' OF ;;Z: :i: I,.I:[M.. }:t",I:i?TFILI.. TI'IE '" "' ..... ,' .... ¥ ._ I h:.t I :!: i'.,! :::ir C Z l;' ',Fff. t' E I,.! :[ "r'H 'T[IE: CCiDE:5. :Z: :[ I It'..IDERS"rF:iND !'I.IFiT' THE E~f'.,F~.S F:IE:~;:IZI:)iEI',ICI]~: ~S F?.!E;f"!()!?,EI~E:[:, ']'O ]:NCLU[)E h'l(:ff~:E: I'HFt!",! 3 E:E(I)I::?.OOI'I:i]~;. :5 ): Gi'.,!IED: ~tF't:'C :t:C~t!,!I ..q"ll'l[:,?:, h' !'!hll,,:! !.1",t - [.. I .I., -['1~!1::f"I' :t: Fff'l [ I II. L ~( - 1. l't J: TH THE [':.:[il)]:!U ]l] F:[~::r, IEI'.,ITS F:" F' L")I",I..-.S :[ TE SEI,IERS :::llq ', I,.ft::i: J~..:E FI:E; January 4, 1982 Merlyn Runestad 3810 Runestad Circle Anchorage, AK Permit ~ 811208 Subject: L1 SKYVIEW ESTATES A permit issued by this department for a well and/or sewer system has expired as of December 31, 198].. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Program ~anhha~le~' Sewer and Water Program Enclosure: Copy of Permit FIF'I':'I_ I C:I::INT L.OCRIT I (i]lJ",l LEGFII,. I"iEV:L.'¢N I;i:t..llq E: 'J~; T FII> Li:::IK EOT I ~i; !...:L k~: K './',,,' I EI,.I ::L (-~; 0 E~ E~ iiii; (;! t _1Ff [;~r t:i; -t"/!'::'E OF :!i;0 1L. FiE::~.i;OF::I::'T I Ol",l :~!;'¢STEPI )::~i;: TRENCH '1'HIE I;i:E(;!LI I REL':, :~; ]: ZE ,::,r::' THE !50 1 L. F:I[.3:5ORP'I" I Ol'.,I S'.r'~iTEP1 I I::];: 'THE: L[~;I",I(31'~--I [)]; f'1E:I",I:E;I Ob,l I E; THE: L..li:;I",II3-FH ,:: I N FEET ::, ElF THE: "!"I',i:E;NC:H OR [::'RI::'I ! NF:' I Ell -I'I'IE DEPTH OF' FI TF;'.IENC:I-I (::iF: PiT' t:::; I'HE [>~[?['[:I[",IlC:[i:; ?,ETI.,.!E[!i]f'.I THE; SU[;~:F:'FIC:[E OF' THE; 131:;~:OLIND F-II",![::, TH[ii: E',OTTE[H OF-' THE E','";CI::I',,,'I:rlTi'Ot",! <IN F'EE;T). Tl-ff3;l:i[{ I:~:; I",!O :E;rC'I" I.,.!I[>-f'H FOR TI..II~i; L~[;;:I::I',,,'[EL. t>EF'TH I:~ THE I"llN!!',lUI',l DE:F:'TH OF' t3F~:¢a',,,'EL. Ed!iiFI"I,!EEN TI-.I~:~ OUTt::'I::IL..L. PIPE f:'II'.,!D 'THE; EICi-F-I'CIP'! OF THE E',:<E:['XlVRTIOh,I (I1'.,I FEET>. F:'!EI:RHIT I::IF'F:'LIC:RNT HI;:1::!; 'THE I:;'.I:.::SF'ONSIBII. I. IT"r' "['O I h,I~?I'F:IL.I..I::I'T I Oh! Z 1'.I'.:~;,':'[.:3::;:T I ON'.:~; OF I::11'.,I'¢ I,.IE:LL.:T:; [:IE:,.:rFICE3",IT 'TO TI-I I :~; NI..Ih'IE~I:~:[;: OF:' F~:[E~E;I[>Ei",!C:E'Fi; 'T'HF:IT THE NELL. NIL. L [) !~::F'l:h IR' ['Iff!!:: N "!' 15UI:R I NG PF::13P['EI';C!"T' F:lf-,][> THE ['3FIC:I<F'ILI_It",II3 01';:' I:qf, l~'' S'¢.'."YI'EI'"I I.,II'rHOUT Fr!NfqL !II,I~;PE]C:TICIN I::11'.,1[> RF:'[::'B:O',,,'I:;II_. Ei:"r' TI'C['_:!; I.>!EF::'F:IF'.TI'"IE!:I",IT f.,.IILL. [.:L,r.'.: :~.;I..I[:;LJ'EC:T TO F'I:[:CI~%;EcLFrzEiN. P! ! I'.:! I P1UI'"I 151 E; 'f'I::!I'.,ICE: :LI.EI(:~I F:'EE21" F'OR F:I F'F.~I',,,'FITE: I,.IEZ. L Cfi;?. ::i.!3'?) 7'(3 ;~.'¢~i~I FEET I':'1-~:Oi',1 FI F'UE~LIC: NEI....L DI:.{F'I:~:J",E:,II'.,II3 I.JF'O!q THE 'r'"r'F'[~: OF' F'UBL. IC NE:LI FI ZNIf'IUI',I DI:E;TF:INCE F'I:;:[)I'I F:I PRI',,,'FI"I'E I.,.IELL TO FI F'[(:I'v'F:ITE :!i;ENE:I:;J: I..IIq[~: I:E; ;:_'[5 F'IJ!Z;T I::ff.,ll> ]'() t::1 C:Cd'"IFIUNIT'¥' LE',Elqli:_::V: LINE !:.:..1 7'~5 FEE:['. O'I'HICF~: [~:[i~6:!U I [(:EhlE;NTS I'"IR'./ F:ff:'F'L"r'. '-3;I::'EC I F I ('::FIT I OI",I:E; I:::INE.', E:OF,f'.E;TFi:UC'I" I ON B', Z FIGI';:F:ff,'I:~; F:IF~:E: I:B,,' F~ I L. F:I!3 L.[:: I E:EI-;~:T I [::'¢ 'I"HFIT ::1..: I F:If"I F'F:IF!II_IFII:[: I,.IITH I"H[~: Fi~E~;:!UII';:EP'IENT:~; F'O[;i: Ol'.,l.-:i.i;IT,~: :'~E~HE:I:;i:'i!; FIN[> I.,.IIEL. L.:E; F'O[;:"I"H [.~?¢ 'T'H[E FIUI',!ICZPRI...IT"r' CIF' ;2: I I4IL.L. IN:i:.Vf'FIL..L. 'THE ?¢:?_;;TEI"I IN FIC:CEIF:DFINE:L:: 14ITH 'I"HI:i 3:: Z LIN[>E:[;'.S"['I::IN[) 'T'I4FIT THE; ON'<Fi;Z'T[.:: S[i;I,.l[!:l~: '.E;"r':"~;TEi"I i"llq'T' I:RI:~Z&.IIR[~: E:NLJ::II:;:~3EP'IEi:NT IF: I"1'111 t:RE:SIDE:NC:[~; I:B RFif'IO.F.:,I:i~L.E[> 't"O II",IC:L.LJE)FZ i'"IORE; THRN 2: FII::"F'L. :t: E:RN'[¢I'%.'.I:;~:L 'r'f'.l I:U..Ii",~[E"_:';"I'F~[> 1_'. ,. ,U[.[.. E',~''~ ' :::' '[:' '~' December 16, 1981 No. 151001 Municipality of Anchorage Dept. of Health and Environmen'tal Protection 825 "L" Street Anchorage, AK 99501 Attention: Ms. Lynn Lindquist Re: Lot 1¢ Skyview Estates, R&M Letter of April 20, 1976 Dear Ms. Lindquist: This letter is to confirm our telephonic communication of December 7, 1981. As we discussed on the phone the "(260)" rating indicated for both the tan colored sandy silt from 2.0' to 7.0' and the gray colored sandy silt from 7.0' to 11.5~ in the boring log on Drawing No. A-01 of R&M Project No. 656217 refers to the square feet of absorption area required per bedroom. This area was determined from entering Figure 3 of the "Manual of Septic-Tank Practice", 1967, with a percolation rate of about 32 minutes per inch. This was R&M~s standard method of reporting "perk'tt~ results in 1976. you have further questions on this test, please contact me. Very truly yours~ R&M CONSULTANTS, INC. Richard S. Giessel, P.E. Senior 1-- ngineer RSG/kbr CONSU I,T~%NTS, INC. April 20, 1976~ R & M NO. 656217 Mr. Dave Williams 100 International Airport Rd. Anchorage, Alaska RE: Test Hole and Soil Log Report for Sanitary System Lot 1 Skyview Estates Dear Mr. Williams: We are submitting herewith the boring logs, percolation results and our .comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of April 15, 1976, and those procedures outlined in a letter dated July 15, 1976 by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the Lot 1 building area for the purpose of defining general subsurface soil conditions ~d conducting percolation tests for the proposed sanitary system. ' Excavation was ac- complished with a truck mounted auger type drilling rig and the test hole was extended to a total depth of 19 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was encountered in the test hole at a depth of 16 feet. We appreciate being given this opportunity to be of service to you. Should you have any questions wi-th regard to the above, please do not hesitate to contact us. Very 'truly yours, JWR/pe Enclosure xc: Municipality of Anchorage T.H.I SILTY SAND W/SOME GRAVEL (SM) SANDY SILT - SILTY SAND (SM ML) Tan (260) 2.0~ 7.0~ O' MALLEY ROAD No Scale 16.0 SANDY SILT - SILTY SAND W/TRACE GRAVEL Gray ( SM- ~lL ) (260) SILTY SAND Gray (SM) SAND Tan (SP) ]1.5' 16.0' 19.0' T.D. Log Represents Location of Test Hole Lot 1 Skyview Estahes OWN: MAM C <O: WED '~ 4-20-76 ?CA E_L_ Polar Realty Log of Test Holes Anchorage, Alaska MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # _~) \~3_ - ~'-t \ - %{~ HAA# ~(~'~ 1. GENERAL INFORMATION Complete legal description -- Lot I; S~vi~v Estat~ Location (site address or directions) 2600 East 112th Av~n~, Anchorag~ Property owner Mailing address Lending agency Mailing address Agent Address Bob Lop.one Norw~t Mortgage 2550 D~n~ S~, Day phone 349-3542 ¢146 An¢,fin~g¢., A2~A~ qq~o~ Day phone _276-4250 Su. it~ 1406, Anchorage, Alaska 99503 Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3,~ N TYPE OF WATER SUPPLY: Individual well XXX _ Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer XXX . 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 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, [ 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & $ ~.NGINEERING Name of Firm 1703~ Eagle ~'~lver Loop ~oad No. 204 Phone Address EagJe ,~iver, Alaska 99577 Engineer's signature DHHS SIGNATURE ~ '~"' Approved for Disapproved. __ Conditional approval for bedrooms, bedrooms, with the following stipulations: Additional Comments " ~ Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health & Human Services HEALTH AU'rHORITY APPROVAL CHECKLIST Legal Description: _l..o-r / ~'/O¢'f/~'E~/~'-~'~/'-EE ~/,¢'>Parcel I.D. A. WELL DATA Well type ~/~H/,~'~' If A, B, or C, attach ADEC letter. Log present(~N) ~/~c.~ Date completed Total depth ~O I ~ Cased to 2"0/ / Sanitary seal ¢.~N) '?E'5 FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main f7 Sewer service line ~" ADEC water system number 7/Z 9/¢/~- Driller ~-~,J* k Casing height ~.z'~ Wires properly protected ~¢/~N) AT INSPECTION(o,~c/ai ('[~- Iz/-.o, -'- g.p.m, g.p.m. ; On adjacent lots J°P"d'6.1f. ; On adjaceat lots ~urSC/¢., Public sewer manhole/cleanout /(1(') fO- Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria . Collected by: "--~'-~' ~ B..SI=PTIC/HOLDING TANK DATA '-~ J'~ ~ Tank size Compartments Cleanouts (Y/N) ~. ~,ndation~leanout (Y/N) High water alarm (Y/N) Date of pumping ~ Pumper ~ Woll(s) onlot ~ Foundatioa To proportylino ~ _~Dsorptlon 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE Vent (Y/N) __~ .//'/~"P~ff" level at __ High water alarm level j/ ~. __Cycles tested __ Meets MOA electr~ -- SEPAR~~ANCE FROM LIFT STATION TO: ' ~ ~.~n lot On adjacent lots Surface water -'-----. _.........~ __ __ _ ' ,g y YP~ - Width__ __Gravel thickness __Total d~j~c'h Total absorption area~'""~_ Cleanouts preaeni (Y/N~~ Depression over field (Y/N)'""~ Date ~st __ -- Results (pass/fail) '"'.. ~ bedrooms Peroxide treatment (past 12 months) (Y/N) ~ _ If yes, give date _ To building foundation To existing or aband~on lot On../adjacent lot / Cutbank Water~main/service~ Su~ Driveway, parking/vehicle storage area ytain drain E, ENGINEER'S CERTIFICATION '. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. $ & S ENGINEERING 170~4 Eagle River Loop Signature Eagle River, Alaska ~'577 Engineer's Name ¸,.4 ?,o, 8;~i5 HAA Fee $ / '7 Date of Payment Receipt Number 72-026 (Rev, 3/91) 8ack MOA 21 Waiver Fee: $ Date of Payment. Receipt Number