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Home My WebLink AboutCHANDELLE ACRES LT 19Chand II AcPes Lot 1c) #051-063-66 ' Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage. Alaska 99519-6650 · Telephone: 343-4744 On-Sile Wastewaler Disposal Syslem and/or Well Inspection Report Pe,ml! Number: ,~.~000~"~ ~' PID Number: O~J "~'~ ~A~//~ ~r;v~ &%~ ~7 ABSORPTION FIELD LEGAL DESCRIPTION s°""'""~ I.~ ~.o,s~ r,. WELL: D New D Upgrade ~,*~.~.~dm: ~ ~t. I SEPARATION DISTANCES ~s...~ ~ Holding 0 S.T.E.P. Remarks: ~j,~ ~.~ BENCH ~ARK I S & S ENGINEERING ~'~[ / 17034 Eagle Rl~r Loop Road, No. ~ ,; _ . F,'~I 4-1q~° ~,5~ CE-S~o] Deparlmenl of Heallh and Human ~erwces approvm ~, ~,.,. ........ Reviewed and approved by~ W ~/ /~ ~ ,ale.~-~ S-OS " PERMIT NO. SW000346 PACE 2 O~ 5 Municipo, ti't oF' Anchorage DEPARTMENT OF HEA~THAND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 IAnchoro. ge, A osko, 99519-6650eTetephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT L£CAL LOT 19, CHANDELLE ACRES / / / / / / / / P.I.D. NO. 051--063--66 LOT 18 10' OF EXISTING FIELD REMOVED & REPLACED WITH SILT MATERIAL PLUG / TRENCH / DOUBLE / NEW 1250 GALLON / SEPTIC TANK--~ Tn / / ., ~>-,. /: "2 ~R:,VEW,A? .:., ~//:,, / ., ., ~. (.,.//~" / / / 75' COMU0N / USE AREA / / / / / / / SCALE: I' = 40' ROBERT C. COWAN CE-8801 P£R~T N0. SW000346 Municip. alit oF Anchorage DEPARTHENT OF HEA~_TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION p.n. Box 196650 eAnchor~ge, At~sk~ 99519-6650mTetephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT L£CAL LOT 19, CHANDELLE ACRES P.I.D. NO. 051--065--66 ST1 FINAL GRADEj NEW 1250 GALLON SEPTIC TANK ST~ 99.7' ~.___._~//- 2" INSULATION C02=101.3' INSULATION FINAL GRA C02=93.4' A B FCO '3, 5.5' 5.0' ST1 27.5' 10.5' ST2 31.5' 18.0' DBL1 32.5' 20.0' DBL2 33.0' 21.0' C01 48.0' 38.5' MT1 25.5' 41.0' C02 51.0' 57,5' MT2 53.0' 58.0' Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR= LEGAL DESCRIPTION: ~-O~-/~ ~/-~/,~[~t~'~(fTownship, Range. Section: 1 2 3- 4- 5- 6- 7 8 10 11 1:3- 14- 15- 16- 17- 18- 19 COMMENTS ~.~ ~e.~ /'~ SLOPE WAS GROUND WATER /~ ~) ENCOUNTERED? IF YES. AT WHAT GL DEPTH? .---'-- pO E ~ t~ Waer After Z SITE PLAN Gross Net C~th to Net Reading Date Time Time Water Drop PERCOLATION RATE ~'v//'~,.~ Im,nutes/,nchj PERC HOLE DIAMETER TEST RUN BET/~EEN __ FT AND FT ~;q//'~,'~p,"/ "~"Df~.~-.~ "T'~ ¢ ' 6~,,-0~ S&S ENGINEERING PERFORMED BY: iif,~ ~lgie kiver Leap Keld NO. 2~ ACCORDANCE W~IL~ JYlI~IEILJ~dlIA~[~BAL GUIDELINES IN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~/I '2..,//~ ~ 72.-0~8 (Rev. 4;85) Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES '. ;.~, .#..../.,'P,,. 825 "L" Street, Anchorage, Alaska 99502~650 SOILS LOG -- PERCOLATION TEST ~q ~ ~ .oet~ LEGAL DESCRIPTION: Z~r/¢/~m~'U~T°wnship' Range. Section: SLOPE SITE PLAN 9 J 10 11 12 13 14 15 16- 17- 18- 19- 20- WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT .~. ~ DEPTH? P E Depth to Wa~r Gross Net Depth to Net Reading Date Time Time Water Drop -- PERFORMED BY: S & 17034 E~le ACCORDANCE 72-~ (Rev. PERCOLATION RATE ~ (minutes/tach} PERC HOLE DIAMETER TEST RUN BETWEEN d FTAND ~ F7 ERTIFY '[HAT Tt~S TEST WAS PERFORMED IN EFFECT ON THIS DATE. DATE: q//' I ~'//' '~ ROBERT C. COWAN, RE, ROBERTA. SHAFER, RE. February25,2002 CML ENGINEERS (~o7) 694-2~79 FAX (907) 694-1211 MUNICIPALITY OF ANCIIORAGE Department of Health and tluman Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 19; Chandelle Acres Subdivision Test hole Number One was deepened to 17 feet on September I I, 2000. No grin,nd water was encountered at tile time of excavation. It was checked again on September 19, 2000 and tile monitoring tube was found to be dry. Please see the attached soils log for further data. Ifyou require additional information, please contact us. Sincercly, R CC/ts/.XtOA/~ilg.cr. doc Encl. 17034 NORTH EAGLE FINER LOOP · SUITE 204 · EAGLE RNER, ALASKA 99577 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Waste'~,ater Program 4700 South Bragaw SL P.O. Box 196650 Ancflorage, AK 99519-6650 y~vw.~.~nqhgraoe.al<.us (907) 343-7904 Soils Log - Percolation Test Performed For:, ~"~----- Site Plan 2- 3- 4- 5- 6. 7. WAS GROUND WATER g. ENCOUNTEREO? M 0 $ L 10- IF YES, AT WHAT DEPTH? . ~' O Depth to Water After 12-113.1 - O~ Monitoring? Date: ~ PE Reading Date Gross Time Net Time Depth to Water Net Drop 14- 15- 16- 17- 18- 19- PERCOLAT~ON RATE ~. ~ (n,~u~) PERC HOLE DIAMETER TEST RUN BETWEEN ~,.* FT AND ~ FT ~ COMME~S ~'~-~ ~-'~::;J~m~,~ '~.,."~' ~'r'~ ~ ~ (,~.,,~./,,~,~ ~.,,-r'~) PERFORMED BY: J CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND ~',tUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: d),/~.- MUNICIPALITY OF ANCHORAGE Department of Health end Human Sen/ices On-Site Sen/ices P~ogram 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 31,2000 Expiration Date: Aug 31, 2001 Permit Number: SW000346 Legal Description: CHANDELLEACRES LT 19 Design Engineer: 0003 S & S Engineering Owner Name: Arthur & Joann Tilgner Owner Address: 23342 Chandelle Dr. Chugiak, AK 99567- Parcel ID: 051-063-66 Site Address: 023342 CHANDELLE DR Lot Size: 43000 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: [] Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail 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 (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. Received,y: Date: ~' - }/'OO Date:/ - O0 August 8, 2000 ROBERT C. COWANo P.E. CML ENGINEERS (907) 694-2979 FAX (907) 694-1211 FIOAD D~SIGH $O~L TEST MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 19, ChandelleAcres Subdivision It is requested that you issue a permit to upgrade a septic system to serve the existing txvo bedroom dwelling on the referenced property. One test hole was excavated and a percolation test was performed on 7-28-00. The approximate location of the test hole is located on the attached site plan. Ground water was monitored and after seven days the hole was dry as shown on the attached soils logs. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. Ifyou require additional information, please contact us. Sincerely, Ro'bdrt C. Cowan, P.E. } CC6hm Enclosure 17034 NORTH EAGLE RNER LOOP · SUITE 204 · EAGLE RJVER, ALASKA 99577 PHONC~ (907)694-2979 FAX~ (907)694--t211 BJ.J. DESIGN CRITERIA: 2 BDRM '* 300 GPD SOILS - 1.2 GPD/SQ.FT. 300/1.2 = 250 Sq. FT. REQ'D. TRENCH CRITERIA: 5' DEEP 4' EFFECTIVE 3' WIDE 32' LONG 'X / % LOT 20A O~' SYST~' bi THAN .3.5' OF / ~FOU~Rc ~N~ULA/ION R.C.C. 8-16-00 iNSTALL DOUBLE CLEN~OUT j~': I OF 2 10' or £XISTING LOT FIELD TO BE REMOVED & REPLACED WITH SILT MAT[RLAL PLUG NEW 3' X 32' INSTALL :,'"~ANK (TO BE PUMPED ASAN~NED k REPLACED WiTH NEW t000 CALl. ON SEPTIC TANK) CONTRACTOR IS OBTAIN UTILITY PRIOR TO ANY WOR/C // \/ ~' LOT DESIGN CRITERIA: :3 BDRM = :300 GPD sozLs = z.:3 GPD/SqrT. 300/i.:3 = :380 Sq.F'r. RE~'D. TRENCH CRITERIA: 8' DEEP 4' EFFECTIVE 3' WIDE / / / / / COVER REQUIRE INSULATION. 19, CHANDELLE ACRES S/D R.C.C. 8-16-00 INSTALL DOUBLE CLEANOUT F\ / / / / / / / / / / CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY £XCAVATION '*'ORK. TRENCH Fd~: ~o~ / .ow EXISTING ~O00GALLO% SEPT~ANK (TO BE VERIFIED, OR PUMPED ~USHED, ABANDONED & PER'CED WITH NEW 1000 GALLON SEPTIC TANK) tENGtNEER'S SEAL . ;~-.~ ....... ;.,._~.~. {J~[~D) DEPARTMENT OF HEALTH & HUMAN SERVICES ~/ · 825 "L" Street, Anchorage, Alaska 99502~650 sol s - LEGAL O~SCRmTION: ~/~; ~~~wnship Range, Section: 3 4 5 6 7 8 9- 10- 11- 12 13 14 15 16- 17- 18- 19- 20- ~/.~ SLOPE SITE PLAN WAS GROUND WATER /V 0 E.COUNTERED? IF YES, AT WHAT DEPTH? ~ pO E Depth to Waer ~er ]~Ay ~/~,~,/~ Maflil~riAo? P~? D~le: ~ I~lgo Gross Net Depth rD Net Reading Date Time Time Water Drop PERCOLATION RATE ~e ~ tm,nuteu',nch) PERC HOLE DIAMETER ~-, 17034 Eaqle Rlvm* Loop Road No. E~I, ~iver, Atask, 995~ PERFORMED BY; I ' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WI~H ALL STA~E AND MUNICIPAL GUIDELINES IN EFFECT ON 7HIS DATE. DAT~ 72~ (Rev. 4/85) ROBERT C, COWAN. P.E, ClWL ENGINEERS (907) 694-2979 FAX (907) 694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 19, Chandelle Acres Subdivision August 8, 2000 GENERAL: The scope of this project includes the installation of a 1000 gallon Premier polyethylene septic tank and a new trench to serve the existing two bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP ', SUITE 204 · EAGLE R1VER. ALASKA 99577 Page 2 Lot t9, Chandalle Acres August 8, 2000 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. ofcover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leaehfield. The second ¢leanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (rafted-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion ofthe monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 19, Chendelle Acre. Augult 8, 2000 MINIMUM MATERIAL SPECIFICATIONS: i. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pi~e Cast Iron ASTM D3034 (PVC) ASTM FSI0 (HDPE) ASTM D2662 (ABS) perforated Solid Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer· Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal)· Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill· All leachfield gravel (sewer rock) shall be 0·5"4.5" screened gravel with less than 3% passing the #200 sieve· When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: I Page 4 Lot t9, Chandelle Acrel $/D August 8, 2000 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading ofthe property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance ofthe contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER I~ MUNICIPALITY OF ANCHORAGE DEPARTMENT 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 NAME PHONE I t~i~NEW MAILING ADDRESS iLEGAL DESCRIPTION (.. lq t~ ! C't4..4-A/DF. LLE 'LOCAT'ON N°' °F BEDROOMS3 D,STANCETO: Iwe'' '-~ Abs°rPi~e~4. ~p'+_ ~57 ~l- Z~ Manufacturer ~ ~ E~'r~ Materia~c~.~ ~:::~,.. No. of compartments Liq. capacity in qallons Inside length Width Liquid depth /00'~ IF HOMEMADE: -- ~Z~ DISTANCE TO: Well W~ Dwelling PERMIT NO. ~O _ ~ Manufacturer Material Liquid capacity in gallons w' DISTANCE TO: Well / .~ ~ /~: Foundation -- ~ ~ ~ Ne. of lines / Length ofe~Sh~¢ Total lengt~,i~ Trench wid50 inches Distance betwe~es ~ ~ Top of tile to finish grade ~ ~ Material beneath tile Total effective absor~n area Length ~ Width Depth/ PERMIT NO. Type of crib Crib diameter h Total effective absorption area m Well B~lding foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. m Building fo~da¢~ ~ ~ rSe~l~ Septic tank Absorption area{s) ~ DISTANCE TO: OTH E R PIPE MATERIALS SOIL TEST RATING j ~ ~ ~.~ INSTALLER REMARKS 1 ,- ~ - APPROVED ; ~' ~ ~~ ....... .~ DATE LEGAL 72-013 (Rev. 3/78) F'EF:h! ! T ?.,lO C ',:7, 2:: E~ ,;~. ]: ';:' LEGFIL ..... !... H C Hi G ! RK :3'_: 567 LtgE:t CHRN[:,ELLE FIC:RES L. OT Sl ZE ,43:13E~ :5C!UF~RE FEET i'!F-!;.;th'"._'"! NJME:EF.' OF E;EDF:OOH'_'-::: = --'.': '£01 [_ RRT I NG :: 'SC:. F?-,.."E:R ::, = 24]: THE: F:EC.:!U I F.:E[) ::2 i ZE ]'~p' 'THE: :~E. :[ L RE::50RF'T ! LqN '?T"STE.h! i :.5 · 7'FIE L. EHGTH [:,!HEN:5ION !:5 THE LENGTH ,::iN FEET;) ("iF THE ?'.'F-:E!'-,ICH OF.: [::F.:RINF!EL[:,. THE DEF'TH OF fi TRENCH OR PI:" !$ THE [:,IL=,TFtNCE BETHEEN THE :5URFI:tCE~. OF THE i':iRC:U!'.~:E:, RN[:, THE E:OTTOM OF THE E::.:;CRVFI"f'ION <Ii'.~: FEET>. THEF.:E T.S F.!O :SET HtE:,T'H FOR TRENCHES. THE C:iRF%-'EL £:,EF'TH Z:5 'THE P!ZNz.r,tLii',! [:,EPTH OF GF.:RVEL E:ET'!4EEi'4 THE OUTFF!LL F'ZF'E FINE:, THE: E:OTTEd"I OF THE: EXC:F!VFi'TZO!'4 ,::IN FEET;:,. F'ERH I T RPF'L T ERNT HR% :?-tEE F.:E:~.i;PONS.T.E:!L I T'.¢ "FO I NFE~Rh! TH I:5 [,EF'RRTf,1ENT [:,UR !NG THE .T.i'.,I:b':TRLL. RT]:OH If.,L--.F'ECTION:5 OF R?-? HELL:5 R[,J'RCENT 'TO THIS F'F.':OPERT'-P ant':, THE ~ r~E'r:~;' OF F:E::::!DEi'.,iC:E:.E; 'THF!T THE HEll HILl .z,_F. ..... ........... T' !t.....~1C]') ,:::: ;;'Z ;:, Z .f-.! ~E; F' E; C:: T ::[ C, !'-,t E; R F: E F: E ,.]). U Z F-: E E:~E:KF t L.L I NG E,'F Ffi'.~Y 'S'¢:E;TE!'"! H ]; THOUT F I NRL I N'£F'EC:T I rtl'-4 RN[:' RF'F'RO'v'RL E::'?' TH i E; E: EF'~F;:TPIEF,FT i41 LL E:E '2 UE JEC:T TO F'R_]'E E ]:UT'[ Ol"~. !'i Z N ]: i'"!!Jl"! [:, T :ST,q. NCE E:ETI.4EEN R i.iF:i L AN[:, R,N'-¢ "' H-"-'; I "F¢: :5Ei.4RGE r' T ':;PF '--.,RI ..-: T -- TE,'I 19.; :LC~E! FEET FAF.: R F'F:!Y'R. TE HELL OR 15e~ 'FC~ 2¢)e~ FEET' FF.:O!"1 R PLE',LIC HEt_L ['EF'ENDiNG iF'ON THE TYPE OF Pi..IELTL-. HELL. NTf.,!ZHL!hi r"Z:STCNZ:E FR]q'"! R F'RZ',,"RTE .,IELL TO R PRiY'F1TE SE!.,JER L..INE TO Fi .L-:] f'!h!L.tH I -r".r' :SEHEF.: _. i NE I '2!; ';25 FEET. HELL L..OG:~: .R. RE RE(;!L IRED FI.NE:, HI...!%T E',E RETLiRNED 'TO THE [:,EF'F!RTMENT H ZTHi'N '2:E~ OF THE ,!ELL COMPLETI OTHER F:EC.¢...!IREMENTS .I"t~'T' RPF'L':". :5PECIFICRT!ON':5 ~I"4[:' ;ClN'S'TR'LiC"['ION [:'IRGRFhH:{": RF:E F.V~TLRF',LE TO ZN-SL!F:E F'F~:OF'EF: T F:Et:;i'T T c-,,., THAT '!' ! RI"! F'RMtLIFiR H'ITH THE REL:.'!UIREHENTS FOR ON-:SI-FE :SEHERS RN[:, !.,~ELL:5 F~S ::~ET Fc~,I"M E"' THE MUN]iC'rF'R~ T"I"'T' nF RNE:HO?.RGE 2' ! HILL. !H:E"r~L- THE ?¢S'TEr'! IN RF:CORE:,f~NCE !.,.!:[TH THE ~i' T ii'JF'[:';;'C:TR~' r'" THFhT THE CN'"-'~ZTE c:FLIF'~? .:,'"',~.:,,"""r'¢'~, ::.,.~ *~,',, ~ pc'c ~:;'F ENLFaRGEhIENT RE$i[E:EH"J:E ii:E; RE."!C[:E_E[': TO I~.h'" ~li'"d::' ~L,r,.E TH~N 3 EE[:,?OOr'!'~: SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264~t720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 ~ 2 3 ~ 4 SLOPE DATE PERFORMED: SITE PLAN 11 12 13 14 15 16 17 18 19 2o COMMENTS PERFORMED Y: gcu'-I r' e WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? O P E 7"d,a Pole Gross Net Depth to Net Reading Date Time Time ~ ~ N Water -~--~. Drop +Hzo ~-~ IO:l~:vo-0 .7~ - t IWI2~ lO . )q , b5 + HzO to: Wo · ~ PERCOLATION RATE TEST RUN BETWEEN CERTIFIED,BY: (minutes/inch) 72-008 (6/79) RETURN TO: Oivlst,on of Geological and r~'~yslcal Surveys (DGGS) 3001 Porcupine Drive (Tell ,~e: 277-6615) Anchorage, Alaska WATER WELL RECORD Drilling Company Name STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES U.S.G.S. Local liD. Drilling Permit No. LOCATION OF WELL 1 Please complete either la, lb, or lc. ~.U.L. / Range ~ter id lan la. Borough Subdivision Lot Block lb. Fraction Section No. Township / / / N/S E/W lc. Distance and Direction from Road Intersections 3. OWNER OF WELL: Add tess: Street Address and Area of Wel) Location 2. WELL LOG Feet BelOW Z+. WELL DEPTH: {completed) Surface Elevatlon Date of Surface Compl et ion ~4ater ia1 Type Top Bottom ft. [--]Auger ['-]Jetted [~ Bored F-1 Other: 6. USE: E]Oomestic E~]Public Supply E~tndustry , E] Irrigat ion E~ Recharge [] Conxnerc ia 1 [~] Test Well [--)Other: in. to ft. Depth Weight lbs/ft. in. to ft. Depth 8. FINISH OF WELL: Type: O i ama tar: I Slot/Mesh Size: Length: - Set between ft. and ft. - Fittings: ~. STATIC WATER LEVEL: ft. E~Above E]Selow land surface Type of Measurement: 10. PUMPING LEVEL below land surface ~ ft. after ~ hrs. pumping ~ g.p.m. ~n~'~t: ft. after hrs. pumping g.p.m. i~lj~.uK, iPALiTY OF Al'alit. ...... ~. · D.r_7~. Cw ~L ',.T' 11. WELL HEAD COMPLETION: [] In Approved Pit " ' E~Pitless Adapter ~ inches above grade 12. GROUTING: Wet1 Grouted: [] Yes []No Material: []Neat Cement [] Other: Length of Drop Pipe ~ ft. capacity -- g.p.m Type: []Submersible E] ReciProcat lng [] Jet []Other: 14. REMARKS: t5. WATER WELL CONTRACTOR'S gERTIFICATION: This well was drilled under my jurisdiction and this report is true ~o the best of my knowledge and belief: Registered Business Name Contract License Number Address: Signed: '" ~' ? ,- Date: Authorized Representative Form 02-WWR Copy Distribution: WHITE - State DGGS, PINK - Driller, CAI4ARY - Customer MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lOt, block, subdivision, section, township, range) Lot 19; ~; Chandelle Acres Subdivision Location (address or directions) 103 Chandelle Drive (b) Property owner Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone LeRoy Gardino Telephone'(home~608) Route ~1, Box 42, Kendall, W~scon~in 5463R NBA Telephone ATtENtION: P~l~la RE/MAX OF EAGLE RIVER - Audrey Mason 16600 Centerfield Drive, Suite 201, 694-4200 48 9-2 ~35u6s i ness Eagle River, Alaska 995~' (e) Mail the HAA to the following address: (or check here E~, if hold for pick up.) List contact person and day phone number below: S & S ENGINR. RRING/694-2979 17034 Eagle River Loop Road¢ Suite 204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms 3 -,,4 3. WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from. the State Department of Environmental Conservati0h attesting to th legality and status. 4. SEWAGE DISPOSAL On-site [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION- 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 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. Name of Firm 5 ~: "'~ .... :~,:.~:~ Telephone 17~..; ...... :.~i~ River Loop Road No. 204 Address Date 6. DHHS APPROVAL Approved for C) bedrooms by Approved ~, Disapproved Terms of Conditional Approval Conditional Date / .... ~ . The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELL DATA ,JAN 2 9 1931 Mu~!cip~i;ty o[ Anchorage Dept. Health & Human Services Well Classification Well Log Present.N) \J Date Completed Total Depth ~.~¢:~ ~ Cased to Depth of Grouting MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) I V E 343-4744 Legal Description: L..c:,~ L If A, B, C, D.E.C. Approved (Y/N) ~ Yield ~ .~[ (,~1~/~ ~ Static Water Level ~:~'~ Casing Height Above Ground ~--~ Electrical Wiring in Conduit (~N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot '\ To Nearest Edge of Absorption Field on Lot Pump Set At Sanitary Seal on Casing~N) Depression Around Wellhead (Y~I) ; On Adjoining Lots \ ~ '~' ; On Adjoining Lots \ Cx-~ ~ To Nearest Public Sewer Line ~'[1~ To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot "J--"~' ~ ~ Water Sample Collected by ~'~,~ _~.~1.~.5¢~..~z,1~.~ ;Date ~ ~ ~."Z. -~ ~ Water Sample Test Results ~c~-~:-,~¢-~¢~--,¢~.~.,~ - ~1~~ ~ ./~~-r-z.-~ Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~" ~-~-~ize Standpipes ~)'N) Depression over Tank (Y~) Pumping/Maintenance Contact on File (Y/N~_.~ Holding Tank High-Water Alarm (Y/N) \ c~oo No. of Compartments Air-tight Caps CD'N) "¢ Foundation Cleanout (Y~,// ~ Date Last Pumped ~ iA'"" ; for Temporary Holding Tank Permit (Y/N) t.-[~... SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments To Building Foundation To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA .L/ Soils Rating in Absorption Strata Date Installed ~)-- ~ - Width of Field "~ Square Feet of Absortion Area Depression over Field (Y~ Results of Last Adequacy Test Type of System Design Length of Field ~'~ Depth of Field ~C~t Gravel Bed Thickness ~ Statndpipes Present (~IN) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on ; On Adjoining Lots "~"'~ To Cutback (if present) t .DC>~ ..~ Comments D. LIFT STATION Date Installed S i ze"~rr~aJ~ "Pump On" Leve~ Dimensions .Manhole/Access (Y/N) "Pump Off" Level at High Water Alarm Level at ~~--,. Tested for ~ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes~ Comments ~ **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on.t inspection. 5 ~ 7034 E~3!® River Loop Eo~d No. 204 Signed Company Date MOA No. Receipt NO. ~;;)c'~/"'}~::2 ~"'""~/G[-~ ~ ~ Date of Payment ./' -'Ze 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 56.33 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-234;3 FEDERAL TAX I,D, #92-0040440 ANALYSIS REPORT BY SA]4PLE for Work 0~der I 31558 Date Report Printed: JAN 25 91 @ 13:54 Client Sample ID:L19 B1 CHANDELLE ACRES PWSID :UA Collected JAN 22 91 e 17:00 hrs. Received SAN 23 91 I 16:01 fas. Preserved with :AS RE@UIRED Client Name : S & S ENGINEERING Client Acct: SNSENGP BPO ! PO t NONE RECEIVED Req t Ordered By : R. SHIFE~ Analysis Completed : Send Reports to: Laboratory Supe~J. ls~r .~TEPHEN C. EDE. 1)5 & S EN6INEERINC Released,y : ~~-~----~-~C.-~ ~.~~ 2) Chemlab Ref t: 910246 Lab Smpl ID: 1 Nmtrlx: WATER Allowable Para~eter Tested Result Units Nethod Limits NITRATE-N ND(O.IO) mN/1 EPA 353.2 lO Sample ROUTINE S~PLE COLLECTED BY: RAY Remarks: I Tests Performed * See Special Instructions Above UA-Unavailable liD- None Detected "See Sample Re.arks Above NA- Not Analyzed LT-Less Than, GT-Greater Than MUNICIPALITY OF ANCHORAGE 0.~'/ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~.~ OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ,-~ -- GENERAL INFORMATION (a) Legals_Description (include lot, bl~ck, s~.di~n, section, township, range) Location (address or directions) (b) Applicant Name ~ ~-~-bWw2w/~'~O Telephone:Home~'¢~'(._~~'~'~'~ ~' Business (c) Applicant is (check one): Lending Institution [] ' Owner/builder/~; Buyer []; Other [] (explain); (d) Lending InstitUtion Address (e) Real Estate Company and Agent Address ~ ~ ~ ~' Telephone Maft~he H,~E~t~z:~.~:ldress: 17n34 ;:~_le Rh. er Loop Road No. 204 Eagle River, Alaska 99577 (f) TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms ,-~ Other WATER SUPPLY Individual Well,~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~{' Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 5o ENGINEERING FIRM PROVIDII~ ,NSPECTIONS, TESTS, FILE SEARCH, D~-. , AND INFORMATION 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 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 inspe~t~.ENGiNEERiNG Name of Firm 17~'~4 ~ia i~ivm- L~p g~ad Na. 204 Telephone Address Eagle River, Alaska 99577 Date DHEP APPROVAL Approved for ~A,,~ ~'-~ Bedrooms by Approved /~ Disapproved Conditional Date '~'/~' -~>'~'- Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/84) GI~UNICIPALITY OF ANCHORAGE (MOAt o~ Ak ~,~C'~ .,,&~L.TH AUTHORITY APPROVAL (HAA) .~.&~ u~So'''~' CHECKLIST- FEBRUARY 1984 Legal Description: L~ Well Classification ~' ~ Well Log Present (~) Total Depth ~,~5"' Cased to Static Water Level / (p =7' Casing Height Above Ground Electrical Wiring in Conduit(~N) Separation Distances from Well: To Septic/Holding Tank on Lot / To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole )"'///J, Water Sample Collected by ,_~d- Water Sample Test Results Comments ~//~.~ c. L_ .t// If A, B, C, D.E.C. Approved (Y/N) Date Completed ~ - ~_.'~ - ,c5~_. Yield ~ ~, ~- Depth of Grouting Pump Set At ~. ~ Sanitary Seal on Casing (~N) Depression Around Wellhead (Y/~),~ · On Adjoining Lots /35-/ ' On Adjoining Lots /D~/-'~- To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~-S' ?'~ ~::/,w ~..~ ,~,J, -', ~- / ,~,-J~ 'Date B. SEPTIC/HOLDING TANK DATA Date Installed r_~' ?~ Standpipes ~,1) Depression over Tank (Y/~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course Size /c::~.~O No. of Compartments ~ Air-tight Caps (~N) Foundation Cleanout (Y/(~ Date Last Pumped ~.~ --// -Z.~ ~7 ! Temporary Holding Tank Permit (Y/N) /W'//~ To Building Foundation ~ / ~ To Disposal Field 5' ~ -fi To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~-~'~ J~/)~. _ Date Installed ~:~ - / %/- ,-~ ~- Width of Field ~ O' / Square Feet of Absorption Area Depression over Field (Y/(~) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well / '~'~- / To Building Foundation ~../ / Lot Type of System Design Length of Field ~,/ Depth of Field /c~ Gravel Bed Thickness L.~ Standpipes Present ~N) Date of Last Adequacy Test To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on · On Adjoining Lots ..~c-hz'/' To Cutbank (if present) Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed S & SEN¢;~;~+'~'~;'' :' 17034 E:-,' CompanEa~ ~?.:_,,.' .-~.,; >~577 MOA No. Receipt No. / Date of Payment '~/,//~,--~-//¢'-/~-- Amount: $ Page 2 of 2 72-026 (11/84) APPLI¢ "'NT FILLS OUT UPPER HA[ ONLY ~ropertyowner L~,.,~d-Yy G~f''~t ~'~' '~ Phone MailingAddre, ,~ ~, ~ ~ ~ ~.., r-, i, Zip Cod Address Zip Code Lending Institution / ~ j~ ,:~ ~ '¢ ~z ;, ~ ~ f,~..~, . Phone , .... z,. Address Realty Co. & A~nt.~ Phone Address Zip Code Legal Descript~n Type of Resi~nce ~ Si~gl~ Family ~ ~ultiple Family No. of Bedroo~ ~ Other Water Supply ~ Individual ~ ~O~C ~'C~ ~. A~ACH ~LL LOG. A w~l log is required for all wells drilled ~ince June ~ Communily ~ ~ ~ .~ ~ For wells ~illed prior to that date. give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individual ~ ~ublic ~ility When Connected to ~ublic ~tility: ~ ~olding Tank ~OTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OOESSlN~ CA~ BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF AN(JHOP''A~F SE ? "~ 7 1982 RECEIVED ( -~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rating Date Sewer Installed Well To Absorption Area /' .~ '~," Well Log Received 72-023 (3182)