HomeMy WebLinkAboutNORTON PARK LT 31B-2,LoT
9521 I~ICKELL CIR.
ANCH, AK. 9950?
Movin On Construction
Box 10-2028
Anchor[ge Alaska 99511
Lot 51 B2
Norton Park Subdivision
0 to 10 ft. Sand
10 to 20 ft Sand
20 to 50 ft Sand
50 to 40 ft Sand
40 to 50 ft ~aud
50 to 60 ft Sand
68 to 60 ft 11 In.
60 ft 11 In.
~'~ATER WELL LOG
coarse)
Ooarse Sand & Fine gravel with water.
Clean coarse sand & fine gravel, water bearing.
41 ft. head
Test bailed for 1Hro ~ 5 GPM
Draw down to 15 ft. but stable head.
Bottom solid & stable.
Water cleared up during bailing & stayed clear.
Recomend set pump at 55 ft. (5 GPM pump)
Jerry ~derson
Anderson Drilling Co
General Information
M{INICiPAL!T? Ot" fuNCHORAGE
DIV!$ION OF ENVIRONMENTAL t~DJLTH
DEPBJTIf~E~I' OF [~'~<H AND E~VIRON'~YENTAL PROTECTION
APPLICATION FOR HbO, TH ADTilOR!TY APPROV~ CERT%FICATF,
la) Legai Description (i~mlude !ot~ ulocl,.~ subdivis:!.on~ section, tovrnship~ range)
Location (address o~· directions)
Applicants Name f'~,~
Applicants Address
'fe.le~horm ~- Homa
Busines~
(d) Lending Institct:lon ....................................................................... T~_~,}2J?½>:_ ......................
Address
Ileal Lstate Co & Agent
Address
(f) Ma:E1 the II~, to the :following
2, ?fyoe of Residence
[l~ Multi~'l?amily ~ ..... ~
Single~araily
Number of Bedrooms ~
3o Water SupjL~
Other (describe)
Mote: If community ~.m!l syster_a~ must have ,~)ritten confi:mation from the Stal;e
Department of Envirot~mnta! Conservation attesting te the legality and status~
Note: If community woll system~ must }lave written co~,~irmation from [;he State
Department of Enviromnental ConserCvation attesting to the legality and statuso
[Page l of 2]
o~-,,~, dJw, '¥osn~ctiorm 'I'ests, File Search~ Data and Information
As ce~.i~l.e~" :" ' by my aaa.! m.~l,~ed':':" .... hereto and as of the validation date sho~.m baiow~
..~ =. in've~tigation of this Health Authority Aopt'oval shines thai: the
ve~...zv that my
~ate~t supply and/or wastewater disposal system is safe~ fm~ctional and adequate
the number of 'be~lroom~,' o and type of st~nctuz'e indicated herein~ I ~fu'ethe~.. vez'ify Chat~
bated on the informatio~ obtain~i f~tom tlt~ }Mnicipalit:y of zMmho~=age files and from my
investigation m~d inspaetion~ the on--site ~l:e~: supply and/or wastewater disposal
system is in compliance ~igh aJ.A t&micipal and State codes~ ozd_,.imnces~ and uegula~
tious in effect o~ the date of this insl~ction.
-
A-gprovad for '(~/" bedi~ocms By ~'
(~'~ Conditional ~
Approved ........... Disapproved .~/~. .
Ter~s of Conditional Apozx~va,.~
CAIh
APPROVAL CERT%FICATES UPON TI'~ ~iPRESENT'~
N:LZ~_ ENDENE
ATZONS GIVEN iN PARAGiGtP~t 5 ~OVE BY BN '"'~=P ~' ~ PRO~E~:.[~'~ ENGI!{EER ~U~Gl~J.i~-t~,
-r,, 'tHE S'i~TE 0? AI~ASI(Ao '¥IiE EHEP DOES I'HIS AS A COURfEoY TO PfJRCNASERS OF '[{OMES AND
.,-~.,~, ~,~ ..... .,,~r:~,,, .~_ CER~iN FEDERAL AND
THEIR I}idDL,G Ld,OJ. AJ.U~.LJdo IN ORDER TO SATISFY .......
l'~,~.,o~ ~iPi, 0':ZEES OF DHEP D0 ~,OL C,)NDhC- lao~=~,-~u~o 0i{ ANALYZE I)ATA ~',, ,v
CEF~TYFiCATF I~; 7SSUED, THE HUNiCIPALiT% OF ~]CtlORAGE IS NOT [~SPONSiBLE FOR ERRORS
OR~ OMISSIONS !N T}~; PROFESSiOI~L ENGi~ER~S WORKo =~.
(D!IE? SEAL)
B~4/ej/Di8
[Page 2 of 2]
HEALTH ~mO~TY ~PROV~ (~
- 984
Legal Description: '%/.~ ~ ~.~/~
If A, B, ~ C, D.E.C. ~p=o~d(Y~) /~
Well Classification
Well Log P~esent (~f~) ~p~e Completed ,4,7¢/~'-¢~.¢.~.;'~.~'//0? Yield~/~c/~/~L.
Total ~p~ ~
Static ~ter ~1
Casing ~ight ~ Gr~nd /,~ Sanit~ ~al on Casing ~¢~)
Elec~ical Wiring in ~nduit ~ ~ession ~ound ~l~ead (Y~
SePaz~ation Distances f~cm Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
; On Adjoining Lots~J//~
IV¢~ ; On Adjoining Lots ~///~
To Nearest Public Sewer Line ~;~/ To Nearest Public Sewer
·
· Cleancu~/Manhole ~¢~/ To Nearest Sewer Service Line on Lot
Water Sample Col. lected By /~/~7 ~ Date
Wat~ sample Test Pesults ~~F~%2
B. SEPTIC/HOLDING TANK ~TA
Date Installed ~//~ Size /J/J No. of Ca,~a=tments
Standpipes (Y/N) .~./?' Air-tight Caps (Y/N) ~///P Foundation Cleanout (Y/N>~J/~-
Depression over Tank (Y/N) ~%)/7~ Date Last Pumped
Pumping/Maintenance Contract on File (Y/N) A]~ ; for
Holding Tank High-Water Alarm (Y/N) ~/~" Temporary Holding Tank Permit (.Y/N.)~/~
Separation Distances f~om Septic/Holding Tank:
To Water-Supply Well
To Property Line
To Water Main/Se=vice Line
Course ¢/~
To Building Foundaticn
To Disposal
Field '~/~ I~ / ~
TO Stream, Pond, Lake, c~ Major D~ainage
Co~,~ents
Receipt
Date Pal ,d:
[Page 1 of 2] 2-15-84
C. ABSORPTION FIELD r~TA
Soils Rating in Absorption Strata
Date .Installed
Width of Field ~/~
Square Feet of Absorption A~ea
Depression over Field (y/N)
Results of Last Adequacy. Test
~J/~-_ D~te of Last Adequacy Test
AJ//~ Ty~e of System Design
Length of Field
Depth of Field
Gravel Bed Thickness /~//~
Standpipes P~esent (Y./N) /~//~
_..
To Water-Supply Well
To Building Foundation
not,
To Wate~ Main/Servi¢~ Line
To Stream/Pond/Lake/c~ Major D~ainage Course
To D~iveway, Pa~kir~. A~ea, c~ Vehicle Storage A~ea
Separation Distance frcm A~so~ption Field:
/~/~ To P~operty Line ~/~
~/~ . To Existing o~'~ndo~d System
; ~ ~joining ~ts ~/~
To ~t~(if p~e~.nt)~/~~
D. LIFT STATION
Date Installed ~//~
Size in Gallons ~J//~---
"P[m~p On" Level at ~J~,,[/~--~
High Water Ai~ ~1 at
Tested fo~
Elec~ieal Co~s(Y~)
Dir~nsions ~//~
Manhole/Access (Y/N) ~//~
"Pump Off" Level' at ~///~
Vent (Y/N) i'/%Jl~'
f~//6 //~_ Pumping,~j Cycles ~ing Adequa~ ~st. ~ets ~A
Comments
Check Permitted Bedz, oom Rating Against HAA Request
I certify that I have checked, verified, or confo~ued to all MOA HAA Guidelines in effect
on the date of this inspection.
Signed ~~~~.~ Date
Co. any No.
KB1/d5/s
[Page 2 of 2]
2-15-84
ALASKA elILIIROIqlIleFITAL COFITROL SI RUICI $, I C.
~n§ineerin~ $ ~nuJronmcnl~l $1udics
DALE & SHARON FAIRCLOUGH
11720 MARY AVENUE
ANCHORAGE ALASKA
SELLER-DAVE GALLUP
MAY 13 1985
WILL PICK UP FROM OUR OFFICE
50042
LEGAL:NORTON PARK SUBD/BLOCK 2/LOT 31
FLOW TEST ON WELL
WELL FLOW DATE-FEB 18 1985
A FLOW TEST WAS PERFORMED ON THE WELL. 429 GALLONS OF WATER WAS
PUMPED AT A RATE OF 4.24 GPM OVER A DURATION OF 2 HOURS.
THE DRAWDOWN WAS 50.44 ' WITH A RECOVERY TIME OF 20 MINUTES
AND THE STATIC WATER LEVEL WAS 47.19 FEET.
THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME.
1200 1]Jest 33rd
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR iNSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE DEPT. OF HE^LTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~¥(~ONMENTAL P:::OTECTION
825 L Street - Anchorage, Alaska 99501
AF'R 1 ~ 199i
ENVIRONMENTAL SANITATION DIVISION
Te,e.ho.e 2..-.729 R E C }!1 V t.)
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing.
1. PROPERTY~IER , J PHOI~E
MAILING ADDRESS
PROPERTY RE$1DEJ~T'(If different from above) ~ PHONE
2, BUYER PHONE
MAILING ADDRESS
LEND,Ny T T,ON P.ONE
4. REALTOR/AGENT J PHONE
I
MAILING ADDRESS
5, LEGAL DESCRIPTION
STREET LOCATION
6, TYPE OF RESlDENCFg/
[] One I~L Four
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
7, WATER SUPPLY
15/-t- INDIVIDUAL~
[] COMMUNITY
[] PUBLIC UTI LFI'Y
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8, SEWAGE DISPOSAL SYSTEM
[~3 INDIVIDUAL/ON-SI'rE**
J~ PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
·
THIS SIDE FOR OFFICIAL USE ONLY
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] F~VE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified_ LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
E~]Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line
I
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
E~-~'~DISAPPROV ED
DATE BY
72-010 (Rev. 6/79)
'Aovin' On ConsLruchion, inc.
Posl: Oj{Fice }Box 10-2028
A~cno:ag~ , Alaska 99511
Subjech: ],ot: 31 B~S~N2 Norton Park Subdi,'~:sion
TJo[t 31 f~]_oc:k 1 Norhon Pa:k S~bdi'.:h: it~n
. _ 1 ac 1.Lt.,e~)
App:ovall For tho individual sewe: and ware: .... ~ ' : ¢'
on Lhe above properties canno{: be gr'ahhed unt ~'L the
~1o'1 low:~ng items have been ' ' ~'-e '
/kpei~( .L )
A well. ]09, ~{or each properly, submit'
off:ice for our review.
The wato: analysis reporlz needs to be de].:ivei:ed to
this ofi~ice !:rom the Chem iBab, 5633 ~ St~,oot, ~er
OtlF ':eviiew.
The flee fo: each hea.~Lh author:lLy appt:ovak is ~}25.00
'['he ameunt paid was $40.00, prJox' to a_pplreva~ the
$]0.00 t)a]ance off Lhe fee will need bo ~.~e paid.
(4)
!'}'o l~aw~' checked ~..l_~ khe Sewer LJLil. ih¥
oE connect: t.o t~,.~-, public s(~wolT. ~J?he~, do nob have
al-t~' :~cord of conneck:ion for ENo above properhies.
iff t-here ar'~: any J/urLher questJorts~ please cai] hhJ. s
ollfice aL 264-4720.
Sinceroiy,
Robo~:t Co P:c, tt:, R.S.
Associate Spocia] J.,q{
ltCP/1 jw
BILL SHEFFIELD, GOVERNOR
~o @I~ M~I~/~~T/~L CO~SERYAT~ION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA 99501
274-2533
May 8, 1985
Alaska Environmental Control
Services, Inc.
1200 W. 33rd Avenue, Suite B
Anchorage, Alaska 99503
SUBJECT: Waiver Horizontal Separation between Well and Sewer/Manhole
Lot 3lB, Norton Park Subdivision, Anchorage (8521-WA-150)
Dear Sir:
The Department has reviewed the subject waiver request and hereby waives
the horizontal separation between the well and sewer/manhole to 62 feet
on the subject property for a 4 bedroom single family residence only.
Sincerely,
-S~{even'W. Eng, ~.E.
District Engineer
SWE/msm