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Home My WebLink AboutBEVERLY HEIGHTS LT 3 /'elW 5','~ /..c TANKS SEPTIC .- ' · [] HOLDING MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Envtronmefltal Health Division 825 "L' Street. Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES LOT LINE TYPE OF SYSTEM TRENCH f-I BED [] W. DRAIN [] OTHER o,',g,.~ O,~oe ~ FT /&2 FT FT 6 FT ~ FT ~-~FT ~ ~ SQ ET ~ ET WELLS ~ PRIVATE ~ OTHER Pr~a~ ~ 7~ I FT f~o FT I FOUNDATION SEPTIC ABSORPTION TANK FIELD WELL N REMARKS: INs I~i0a wis pedm'med Icom'dino Io III MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska ~501 545-4720 Permit Number: Date Issued: O.N- S I T E 890002 Up g rade 01/10/89 Engineer SEWER PERMIT Designed Owner Name: Owner Address: SECRETARY OF H.U.D. 701 'G' STREET BOX 64 ANCHORAGE, AK 99515 Day Phone: 271-4665 Parcel Id: 051-252-50 Lot LeGal: Subdivision: BEVERLY HEIGHTS SUB. ~ot: Section: 18 Township: 15N Range: 1W Lot Size 29500 (sq. ft. or acres) Max Bedrooms: This Permit: 2 Total Capacity: 5 Block: - SEPTIC TANK: Minimum total septic tank capacity: 1,500 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). INFORM D.H.H.So PRIOR TO 1ST & 2ND INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS, CALL 545-4681 AND LEAVE A MESSAGE. CONSTRUCT PER ENGINEERS ATTACHED APPROVED DESIGN. THIS PERMIT EXPIRES 12/51/89 AND VALID FOR A SINGLE FAMILY HOME. I CERTIFY THAT: 1. I am ~amiliar with the requirements ~or on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State o~ Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. .. 5. I will adhere to all MOA and State o( Alaska requirements for the set' back distances from any existing well~ wastewater disposal system sewerage system on this or any adjacent op nearby l~t. · . ,.: 4. I undeestand that this permit is valid foe a maximum of also understand that the capacity of the total system is 5 bedeooms',,ahd any enlargement will require an ~dditional permit. . Signed: (Owner Issued By: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST SOILS LOG D PERCOLATION TEST PERFORMED FOR: ,/'7/ .l,.~ ,~) · LEGAL DESCRIPTION: 4 - .::,.'...'" 6- 11- 12-.. 13 - :- , 14~ I E*~.~,'. 7-/5"/~,'' SLOPE WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH:' Readm9 Dale DATE PERFORMED: .Sec l~ SITE PLAN S L O P E TEST RUN BETWEEI~ FT AND FT Net DrOD PERFORMED BY Eagle Rwer. AK .~9577 CERTIFIED BY: DATE LOT 4 LOT 2 100' R BEVERLY DRIVE WELL AN]] SEPTIC SITE LEGAL~ LOT 3, BEVERLY HEIGHTS OWNER, H.U.D. CONTRACTOR, N/A EAGLE RIVER ENGINEERING SERVICES PD BX 773294 EAGLE RIVER, AK. 99577 694-5195 PLAN EXIf:TING LEACH FIr'ID NE~,/ LEACH FIELD :t Ct. EANgUT - · ~.~ ~ touh A. eut,ra ~T AN ASBUILT SURVEY RELATIVE SEPTIC LOC. ONLY LEGAL: LOT ~, SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM BEVERLY HIEGHTS GENERAL l. The well.and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 5. All materials and workmanship shall meet the Anchorage Department , Health and State Department Of Environmental Conservation requir, merits. 4. All soil tests are advisory to the design and are to be verified , modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified , modified in the field by the contractor to meet Municipality , Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permi or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site pla any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot position and the location of any easements. TRENCH 1. The trench is to follow the natural land contour to maintain unifo total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 5. The total depth of the trench excavation is not to exceed 10' at a point. 4. The sewer line is to be connected into the existing leach lin, between tank and pit, to allow effluent overflow to the upgrad. leachfield. 5. The trench gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a dep of 4' or equivalent is to be placed over the leachfield. ?. The area over the trench is to be finish graded to prevent ponding . surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to a existing private well, 1SO' to any Class "C" well, or 200 feet to a community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = lO GRAVEL DEPTH Soil Rating = 150 Bedroom Capacity : 2 additional = 5 Septic Tank Size = Existing TRENCH LENGTH = 25 TRENCH WIDTH total~ 100 70 ~ 5O ~0 R~I~4 SIZE 3ISTRI~UTIOH TEST REPORT C C r',r' 10 .' : : : : : : · : : : : : : : 208 100 10.0 .' .' .. GR~IN SIZE - mm E:6.3 Teat .%+75m,~, Z GRAVEL 1 0.0 12.6 0.01 SILT 1.1 I LL PI ~ N/A tiP 3.76 0.74 { M~I~RIAL B~SCRIPTION ,O .:.Hrq.U. POORLY GRaf!Eli HiT~ D50 I50 0.57 O. ~::-; 1 LOT ~ B15 1310 t,:.Co SF' I ItIo HATEP. O.O01 { Z CLAY I ~ ·-'~Cu 0.85 3.1 A.qSHTO ~-l-b I t.l:I.J ! CATED zJ:~te:, i 1-19-8E; L:,RAItl SiZE BISTRIBLITION TEST REPORT -. GRAIN SIZE DISTRIBUTION TEST DATA Test No.: 1 Date: 11-19-88 Project No.: 88-053 Project: BEVERLY HEIGHTS, LOT 3 =============================================================================== Sample Data Location of Sample: TEST HOLE 1 Sample Description: SAND, POORLY GRADED WITH GRAVEL USOS Class: SP Liquid limit: N/A AASHTO Class: A-I-B Plasticity index: NP Notes Remarks: NO WATER INDICATED Fig. No.: I Mechanical Analysis Data Initial Dry sample and tare= 1711.90 Tare : 271.60 Dry sample weight = 1440.50 Tare for cumulative weight retained= 271.6 Sieve Cumul. Wt. Percent retained finer I inches 271.60 100.0 0.75 inches 28~.70 99.0 0.~75 inches ~55.40 94.5 ~ 4 455.20 87.4 ~ 10 584.20 78.5 ~ 20 786.~0 64.~ ~ 40 1208.50 55.0 ~ 60 1548.40 11.4 ~ 100 1658.60 5.7 ~ 200 1695.80 1.1 Fraotional Components + 3 in. = 0.0 ~ GRAVEL = 12.6 · SAND = 86.5 FINES = 1.1 D85= 5.76 D60= 0.7~7 DSO= 0.572 DSO= 0.~811 D15= 0.27606 DIO= 0.25768 Cc = 0.8289 CU = 5.1010 Tom Fink. Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 10, 1989 Lou Butera, P.E. PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 3 Beyerly Heights Subdivision Waiver Request %WR88-89-001, PID%051-232-50 Dear Mr. Butera: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 90 feet.for Lot 3; and, 95 feet from septic tank to well on Lot 4 Beverly Heights Subdivision. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services DJR/ljw#6 cc.' Judy Kleven HC 78 Box 2315 ~hugiak, Alaska 99567 EAGLE RIVER ENGINEERING SERVICES December 7, 1988 Lou Rutera, P~. ~ P.O. Box ~73294 Eagle River, Alaska 99577 Telephone (907) 694-5195 ENYL':,ONM~NTAL S[2, VICr$ ~:VI$1CN Mr. Daniel J. Roth Civil Engineer On-Site Services Municipality of Anchorage P.O. Box 196660 Anchorage, AK 99619-6650 q 1938 RECEIVED REF: Lot 3, Beverly Heights Dear Mr. Roth: On behalf of my client, H.U.D., I am submitting the information necessary for your determination of a waiver of separation distance, well to on lot septic tank, and neighbors septic tank to 90'and 95' respectively, for the above referenced lot. The separation is to a neighbors well to the west on Lot 4 as shown on the attached site. plan. The existing tank was installed in 1982 by Hamman Construction and was inspected and approved by the Municipality at that time, as per the Inspection Report enclosed. The request for final approval makes no reference to the neighbor well. Distance to the on lot well is shown as 95'. The original septic system was installed in 1973. Our field measurements confirm the tank inlet to be at 90' from the well on Lot 4. The owner of Lot 4 has granted us a letter of non-objection to the separation distance which is attached. The owner's Lot 4 well log (attached) shows that the well draws from a sandstone confined aquifer at a depth of 233'. The casing is continuous to 233' where it encountered water. The drill log shows several clay/gravel, hard pan and shale layers at depths of 62' - 143'. The sandstone was penetrated 88' to water entry level. The well on lot 3 does not have a well log but was tested with a static water level of 60', and water entry indicated at 75'-79' level during flow testing. The surface topography is such that any surface seepage would be directed away from both well locations toward a 20% slope to the North. The subsurface soil is a sand and gravel type with a perc. rating of 100. The area in question has a iow population density. The tank is a recent installation done to Municipal code. If there are any questions or concerns, or if additional information is needed, please feel free to call me at 694-5196. Sincerely, Lou Butera, P.E. I00' R LDT 3 __(~T.H. LOT 2 LOT 4 XISTZNG 100' R ~/ELL H.$.E / DR~Vr" ZLL ]~EVERL¥ ]]RIVE V/ELL AND SEPTIC SITE LEGAL, L~]T 3, BEVERLY HEIGHTS n~NER~ H.U.D. CDNTRACTDR~ N/A EAGLE RIVER ENGINEERING PD BX 773294 EAGLE RIVER, AK. 99577 694-5195 SERVICES PLAN 61' ..... Send and ,~.,mve~ 629" ..... ' ~-~,~d to ..'35 ..... S~r,c /,,'o. ~.,~. at 231 * '" ' c~.aff. Ao,. c.te_.anout_ and no June 20, 1988 Municipality of Anchorage Department of tlealth & Human Svcs. 825 "L" Street Anchorage, AK 99502 RE: Wavier Request Lot 3, Beverly Heights I have no ~bjection to the location of the septic tank serving lot 3 Beverly Heights, being 90' distance from a well that is temporarily abandoned on my lot 4 of Beverly Heights. While I am not presently utilizing this well, it is being kept as a backup should my primary well fail. Sin~Terely, Judy Kleven HO 78 Box 2315 Chugiak, Alaska 99567 Owner: Lot/~, Beverly lleights MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION ON-SITE WASTEWATER DISPOSAL SYSTEM INSPECTION ENGINEER FIELD AUDIT LEGAL DESCRIPTION: ENGINEER: EXCAVATOR: AUDITOR: COMMENTS: AUDITOR: .......... NAME MA'L'NGADDRL= : g 0 Z ~ Manufacturer ¢ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [ H~O N E J I~NEW Inside length Dwelling Foundation Total length of lines Material beneath tile Depth Crib depth Building foundation Driller Sewer line Well DISTANCE TO: NO. of lines Length of each line Top of tile to finish grade DISTANCE TO: Building foundation DISTANCE TO: NO. OF BEDROOMS Mat;~ ~, ~ No. of compartments Width Liqu~th PERMIT NO. Material Liquid capacity in gallons Nearest lot line PERMIT NO. Trench width inches inches PERMIT NO. Nearest lot line Distance to lot line Septic tank OTHER PIPE MATERIALS APPROVED DATE LEGAL PERMIT f,40. · APPLICANT LOCATIO~i LEGAL IRA KRUGER BEVERLY DRIVE LOT 2 BEVERLV HEIGHTS SR i BOX 2207 99567 LOT SIZE 688-2988 42080 SQUARE FEET TYPE Of SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUb'lEER OF BEDROOMS = 5 SOIL RATING (SO FT?BR)= ~ THE REOUIRE[~ SIZE OF THE SOIL ABSORPTION SYSTB'I IS: DEPTH= ~. LEf41]TH= 5 6RR'-.-'EL DEPTH= THE LENGTH DI~IENSION IS THE LENGTH (IN FEET> Of THE TRENCH OR DRRINFIELE THE DEPTH OF R TRENCH OR PIT IS THE DISTA~'~CE BETI,~EEN THE SURFACE OF THE GROUP,II> AND THE BOTTOM OF THE EXCAVATION (IN FEET>. THERE IS NO ~ET HIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE f4INI~IUM DEPTH OF GRAVEL BETI.EEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET>.__--~¢ ~~ REQIJIRED SEPTIC tRr4~( SIZE= 150e GR~Or4S PERMIT ApFILICA~.~T HAS THE RESPONSIBILITV TO INFORM THIS DEPART~IENT DURING THE INSTALLATIO~'~ INSPECTIONS OF A~'4'~' WELLS ADJACENT TO THIS PROPERTV AND THE ~Uf'IBER Of RESIDENCES THAT THE I,IELL HILL SERVE. ------ TI,lO (. 2,--, I I'-,ISPECT I Of,IS PRE REQLI I REP, BRCKFILLING OF Rf-lY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTIO[{ MINIMUM DISTANCE BETI,EEN A I4ELL AND Rt.4Y O[-;-SITE SEI4RGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC !,ELL DEPENDING UPO~I THE TYPE OF PUBLIC WELL ~IINI~!UM DISTANCE FROM A PRIVATE I,IELL TO R PRIVATE SEI,ER LINE~ IS 25 FEET AND TO R COMMU~.FFTV SB4ER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICRTIOf.~S RI.ID CONSTRUCTIO[.~ DIAGRAPlS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERPl I T E>'-': P I RES DEOEf4E:ER __?::.I .. '1982 I CERTIFY THAT l: I 8M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEI,IERS AND t4ELLS AS SET FORTH BY THE ~!UNICIPRLITY Of ANCHORAGE. 2: I I,IILL INSTALL THE SYSTEM IN RCCORDA,~ICE 44ITH THE CODES. 2: I UN[~ERSTAND THAT THE ON-SITE SEI'~ER SVSTEM £'IAY REOUIRE ENLARGEMENT IF THE RESIDENCE IS RE~IODELED TO INCLUDE MORE THRf'4 5 E:EDROOMS. SIGNED: ........................... ~ ............ RPF'LICANT IRA ~(RUGER V4. 0 MUNItIPALITY OF ANCHORAGE_ (:~O ~-(~-~,. '. Department'--f Health and Environmenta'~?rotection 825 ~ ~ Street, ~chorage, 264-4~20 Pe~it ~q~ WELL AND/OR ON-SITE SEWER PERMIT T~e of Soil ~so~tion System Is: ~[ot~e: ~ Trench: ~ Drainfield: ~ Seepage Bed~ Max~ N~er of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is:' DEPTH d~) .LENGTH ~ . GRAVEL DEPTH ~ WIDTH ~) The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between ,the.outfa~ll_pipe and the bottom of the excavation(in feet). ~,/~pS~/~_~/d4J d9~ 7~/U~ * * REQUIRED SEPTIC(IIO~.~,~) TANK-~IZE-j /~-~90 GALLONS * * -- Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. .. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 2 * * * I certify that: (1) I am familiar with the requ'irements for on-site sewers and wells as set forth by the Municipality of Anchorage. I will install the system in accordance with codes. (2) (3) Signer: I understand that the on-site t~iden~e is remodeled to Applicant~'~~-- SWP/024(1/81) ASunicipalit3r, Anchorage POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 26,1-4111 D[PA~TMfiNT OF HEALTH ANO £NVIIIONMENTAt PIIOTECTION January 4, 1982 Ira Kruger Star Route 1 Box 2307 Chugiak, Alaska 99567 Subject: Permit for Property on Beverly Drive A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. 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, Sewer and Water Program Enclosure: Copy of Permit /-"UNICIPALITY OF ANCHORAGE~ . Department ~Health and Environmenta. rotectzon 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * * * WELL AND/OR ON-SITE SEWER PERMIT ~ ~ ~ ~_ Mailing Address: Applicant: Location: "~,0~[ ~" Phone Number: ~.~'~' ~e~ Type of Soil Absorption System Is: Trench: ~ Drainfield: &---_Seepage Bed: ~ Holding Tank: Maximum Number of Bedrooms: .~' Soil Rating(sq.ft/br) ; The Required Size of the Soil Absorption System Is: DEPTH J LENGTH J J . GRAVEL DEPTH t. WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall Pipe and the bottom of the excavation(in feet). J~O~,~A~ * * REQUIRED SEPTIC(HOLDING) TANK SIZE =-~-~'~''-zS'i~ GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number, of residences that the well will serve. ~ * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is i00 fee~ for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * # PERMIT EXPIRES DECEMBER 31, i 9 8 1 * * * i certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Signe~ :~~CApplicant ~~c~'~ ~ Issued by: .~Q~/~ Date: / swp/024(i/81) GREA]" ANCHORAGE· AREA BOR,r' -H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99S03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME Ray En~ons MAILING ADORESS P.O. Box 88, Chugtak PHONE 688 2333 LOCATION Beveerly Drive LEGAL DESCRIPTION Lot 3, Beverly Heights Sub. SEPTIC TANK: . U.L.# 184927 DISTANCE FROMWELL 62' MANUFACTURER Stack Steel MATERIAL Steel NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I,IQUID CAPACITY 1000 SEEPAGE PiT; NUMBER OF P1TS 1 LINING MATERIAL Log BUILDING FOUNDATION__ DIAMETER 48 OR WIDTH 12', LENGTH12m, DEPTH 6m CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) 288 ADDITIONAL ABSORPTION 2 GALLONS. WELL: TYPE Dr'~11ed CONSTRUCTION BUILDING 101 NEAREST 34' FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES: standard 216' DEPTH DISTANCE FROM: NEAREST 10'+ SEPTIC 62~ SEEPAGE 95' SEWER LINE TANK SYSTEM REMARKS DIAGRAM OF SYSTEM INSTALLED BY: Ray Emmons Cast Iron PIPE MATERIAL: LOT SLOPE: REMARKS: Tm No, EQ-O31 [~IZA-A-B- I'1 LIl'-.I T C I PAL I T'-r' i)F Rt-ICHORRGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIOH 825 L STREET, ANCHORAGE, RK 99501 264-4720 PERMIT NO: DATE ISSUED: 8400~7 0~/09784 RPPLICRHT: ADDRESS: CONTACT PHONE: LEGAL ~ESCRIP: LOT SIZE: LOT LOCATION: IRA L. KRUGER . SRi, BOX 2~07 CHUGIAK, AK '99567 688-2988 ~LIBDIVISION: E:EVERLY HEIGHTS SECTION: iS TOHtISHIP: 43000 (SQ. FT. OR ACRES> BEVERLY STREET LOT: 3 BLOCK: 'NA RANGE:.IH SIGNE[., APPLICANT: ISSUED BY I CERTIFY THAT: · l. I RM FRHILIRR HITH THE REOUIRENENTS FOR ON-SITE SEHERS AND HELLS RS SET FORTH BY THE MUNICIPRLIT? Of ANCHORAGE (MOA> AND-THE STATE OF ALASKA. 2. I HILL INSTALL THE SYSTEN IN ACCORDANCE HITH ALL NOR CODES AND REGULATIONS, AND IN COMPLIANCE HITH THE DESIGN CRITERIA OF THIS PERMIT. I HILL ADHERE TO ALL NOR AND STATE OF RLRSKR REQUIREMENTS FOR THE SET BACK DI~TRNCE~ FROM ANY EXISTING HELL, WRSTEHRTER DISPOSAL SYSTEM OR PUBLIC SEHERRBE SYSTEH OH THIS OR ANY ADJACENT OR NEARBY LOT. ,~NICIPALITY OF 6NCHORAGE,...__. . Department .:Health and Envlronmenta ~otect~on 825 L Street, Anchorage, AK. 9~501 264-4720 "" # * HANDWRITTEN PERMIT * * * WELL"~/tm uN'fit IL Sff.~ PERMIT [-- kXW(~fi eF'- Mailing Address: Phone Number: Applicant: ~6k Location: Legal Description: ~3~f~ J~ ~/T5 Type of Soil Absorption System Is f Lot Size: Trench: ~ Dr~/~~--~'~ge Bed: Hol~ing~ Maximum Number of Bedrooms: ~ ~Q Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is:' DEPTH LENGTH "---- . GRAVEL DEPTH "---- WIDTH' The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall Pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the nLunber of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departme~ will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fe~ for a private 'well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. "* * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the~residence/is remodeled to include more that-3-bedrooms. Slgne~:~-~. ~'~_.~.~-~ / Issued by: ~ ~C/XL~~-~ Applicant / ~ ~ Date: ~- D - SWP/024(1/81) CHUGIAK, ALASKA 688-3199 '"° co. 4, WE SERVE ALI. ALASKA POST OFFICE BOX 42- CHUGIAK, At. ASKA 99567 KODIAK, ALASKA . 486-4826 O ........... ' Ira Kruger WDiI:.K Ut' I.d%l~LI ...................................................................................... ADDers'. ......... w~r[ :- srrE ....~....a...~Z~..r.~L~..i.~,.h.!S.......,'. ................. i .......... 3-g-84 - · - DATE - STARTED ,.-~ ................................................... ~ ............ ~.:.' ........ 3-9-84 · DATE - ENDED ......................................... ; ...................... ~ ......................... ' ' DEPTH OF WELL ........8...1..'. ........................................................ ~. .......... ~.. STATIC LEVEL OF WATER FT. ........3.O.:.....iD...,holR.~'e'S.t.. ............ DRAW DO~N FT.....8...Q..S.....e...9...~..:. ......................................... i ................ ~.. cats. ~'E~ .R..~.?....~?..~..'. ................................. .L...: ........... :..... KIND OF CAS~N~ ........ .6...-......s...c.h~.4...0...-..6..8.. ................................. : ......... ' KIND OF FORMATION: FROM ...i....0.....: ........ leT. TO ........... .5. ........ leT...O~'...e...fb..u...r.d...e.~ ...... FROM ..:.....5.7.. ......... leT. TO .......... 9..8.]..... FT. ]~.a.,.~...e. ,r.....s.a.~ ...... FROM ....... GS......i... FT. TO ........... 81 ...... Fr..C/a.y. ....................... FROM ..................... leT. TO ................. FI' ........ : ..................... 'FROM ..................... IT. TO .................... leT. ~;....: ....................... ;... ' FROM ...................... leT. TO ' FI' ........ L....;.:;. .................. FROM ................. ;~;.. Fr. TO .................... FI' .................................. FROM; ..................... leT. To ..................... FT ................................. FROM ....................... FT. TO ....~ .................. FT ........... ~ ................... FROM ...~ ................... FT. TO ........................ let ................. ; ............ ~.. ,./,,' · ' ' FROM ....................... FT. TO ........................ FI' ................................ FROM ....~ ............ ~.... FT. TO ...--~ ......... ~..... FT .......... L.....~...? ......... FROM ....................... leT. TO .................. .:-. FT ....................... :.._.L FRO.',! ...................... FT. TO ...................... ~ ............................... ~. FRO,',! ...................... leT. TO .... .................... FT ................................ FROM .....................leT. TO ...................... FT ........... ; .................... FROM ....................... FT. TO ........................ FI' ........... ~ .................. FRO.',! ................. ......'leT. TO ........................ let ....... ~ ......... ~ .............. · FRO.',{ ..................... ;. leT. TO .................... L. FT .......... '.......~....2 ........ ~. · FROM ...;...;....~.....h.. FI:. TO ........... ~ .......... 'FT ................................ MISCL. INFORMATION: lO'-of slot screen and should be set at 76'. 14" of 5" steel pipe in hole.' Pump..: No varranties Or no warranty '~mplied. o~27 ~?' - 2?½' 50'0" - 65' 65' - 71 '6" 71'6" - 126'1" 126'1" - 20~5' 207'5" - 210 '10" 216'0" ........................... .......................... .--$and, - ......................... - S~d aad ~. Sw~d uneoni, no Ll. a$&, S~oJ~d o~. S~d One ~ He,d el~y, boU:o~ oI~ Slopped d.,,_;!lgny, ct~ 216'0". D,U.L&d ~.~ ~ ¢l,.,y mai. wd.~. tge. l.Z dcveJ..oped I)etavee. n 210'10" ' ~ " ~af, Locw~on ................... szs~ o~ Cow-,~v ............. St_ai~c ~ &~ei .......... ~ .................... o~27 27' - ~1' ~1 - 5~'0" 50'0' - 65' 65' - ?t '6' 71 t~. - 12~tl" I~'l" - 20f5' 207'5' - 2tO 90': £16'6' ........................... 4~4 ........................... CZ,~, ........................... S~nd and wole~. off. Slopped dri. Z].i. ny. ag devduped bet. ween P/Il'lO" and Pl6'bY, o.~ taw 'ga]J, on,x a rniamte. 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.# 1. GENERAL INFORMATION Complete legal description Lot 3; Beverly Heights Subdivision Location (site address or directions) Property owner Mailing address Lending agency Mailing address Scott Olsen RR1 Box 171 18923' BeverlF Drive Chugiak, AK Day phone Beres Ford, South Dakota Day phone Agent Cindy Lindblcm/ Greatland Realty Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 5 TYPE OF WATER SUPPLY: Individual well xxx Community well Public water Day phone NOTE: 694-9125 MuNiCIPAUT~Of ANCHO,~GE ENVIRONIv~5b,II'ALSSRVICE$ DIVISION OCT 1 1 199 RECEIVED 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 NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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. $ & S ENGINEERING Name of Firm 17034 £.,,I. R;.., Lov~, R,~.d N~. 204 Address Eagle River, Alaska 99577 Engineer's signature Phone DHHS SIGNATURE · /,^ roved Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additiona! 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 registe red in the State of Alaska. The DH HS does this as a courtesy to p u rchasere of homes and their lending InstitutioNs in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct Inspections or analy~e data before a certificate Is issued. The Municipality of Anchorage is not rasponslble for eh'ors or omissions In the professional engineer's work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (90 Health Authority Approval Checklist LegalDescflption: Lc~' :~.~ I~Vf.;,~.'~ 1~'4;ic~l'S ~JO PamalI.D.: A. WELL DATA wal~ type Log present Total depth If A, B, or C, attach ADEC letter. ADEC water system number Date completed 3 - q - 8 q Cased to ~:)l"l' Casing height (above ground) Wires properly protected FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. WATER SAMPLE RESULTS: Nitrate Other bacteria Date of sample: B. SEPTIC/HOLDINGTANK DATA Date installed ~- ! q - ~Z Tank size Foundation cleanout ~ ~' /~/~ Date of Pumping tll/' 5-/o) (~ C. ABSORPTION fiELD DATA Date installed ' ' I ' H- 8'~ Effective absomtlon area ~'q~'l~ I~o Number of Compartments 7- Cleanoute ~1) Depression (Y~) ~ High water alarm (Y,~) Pumper ,~"/'/,u,?~.y ' ~.',','/P~,C 5 So~lmfing (g.p.d./fFor~adrm) " S~tem~e Date of adequacy test lo -' q -q G Fluid bepth in absorption field betem test (in.); Fluid depth ~1 (ins) Minutes later: Peraxide tmalment (past 12 months) (Y/N) ~d~ Grmml thickness below pipe Monitoring Tube present ~N) Results (~1) Immediately affer2~ c gal. water added (in.): Absorption rate = "':7:~o'e · g.p.d. /~l~u~ If yes, give date ~ Total depth lo Depression owrflald (Y~ No For ~ bedrooms 72~26 (Rev. 3me)- D. LIFT ~TATION Date installed Size in gallons Manhole/Access (Y/N) 'Pump on' levee 'Pump off' level at* High water alarm level at' *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ~olding tank on lot "~ ~so~flon field on Im I Pu,tc s.er .in S~r/~pfic se~ line SEPA~ON DIST~CES FRO~O~ING T~K ON L~: ~undafion ~ ~ ~ Pmpe~ line I o i + ~rpaon field Wa~r m~se~ llne On adjacent lots Public sewer manhole/cleanout Lift station Sur~cewater/dralnage loot+ Walls on adjacent lots ~0i ~. tlmlsq ~' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: I Property line Je Building foundation ~Jrtt + Water maln/sewice line lei 4, Surface water I Oo t + Drk. eway. parking/vehicle storage area Ioe ~ + Curtain drain I'~/~ Wells on adjacent lots IO0~'J' Date of Payment Receipt Number ~ ~ ~/' ~'/~J' Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* ~;~x96 17:d8 C?SE ESI P~CH~ ~ 9~T6941211 N0. a°~ 1~13 CT&E Environmental Services Inc. Laboratory Divieion ~,__ _a,~4ae .......... Laboratory Analysis Report CT&E Rd',// Client Name Project Name/# Client Sample I1) ~tatrlx Ord~ed By PWSID ,~ampl: Remarks: Collected By: ~y 964973001 Lot 3 Beverly X-Its Lot 3 Bcvedy Dtitddag Water Client PO// [~in~ed Date.~Time 09130196 15:27 Collected Date/Time 09/26196 14:20 Received Date/Time 09/26196 15:30 Technical Director: ~tephe~ C. 1Ede Parameter Reaultn PQL Units Method Limits Date Date Init toter cotito~ 0 0 ¢ol/lOOmL Sala 9~ZZ~ 097~6796 200 W. Potter Drive. Anchorage. AK 99518-1605 -- Tel: (907) 562-2343 Fax: (907) 561-5301 3180 Peoer Road, Fei,benkl, AK 99709-6471 -- Tel: {907) 474-8656 Fax: (907) 474-9685 ENVIRONMF. N]AL FACILITIES IN ALASKA- CAUFORNIA. FLORIDA, ILUNOI$, MARYLAND. MICHIOAN, MISSOURI, NEW JERSEY. OHI0. W~$? V~RGJNIA Pa~'cel I.D. # 1. GENERAL INFORMATION (Must be completed prior to submittal) · (a) Legal Description (include lot, block, subdivision, section, township, range) Beverly Hts. Lot 3 T15N, RlW. Sec.18 Location (address or directions) Beverly Street ..... (b) Property owner H.U.D. Telephone: (home) MaiLing Address 605 W. 4th Ave. Suite 081 Anchorage. AK (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent Address R040 C~I .~,~,~f' Anr'hc~*ac~, Telephone (e) Mail the HAA to the following address: (or check here r-I, if hold for pick up.) List contact person and day phone number below: MUNICIPALITY OF ANCHORAGE ~ Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 99501 Business 271-4665 2. TYPE OF RESIDENCE Single-Family 15t Number of bedrooms 3. 5 WATER SUPPLY Individual Well ~] Community I-I Public r~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL/' On-site CI Public r'l Community I-I Holding Tank I'1 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. Page I 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 dateshown 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 end 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 FirmEagle River Engineering Services Telephone 694-5195 Address P.O.B. 773294 Eaqle River, AK 99577 Date ~/~-~/~ 6. DHHS APPROVAL Approved for ~ bedrooms by Approved ~ Disapproved Terms of Conditional Approval Conditional Date The Municipalityof Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above byan 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. Page 2 of 2 A. WELL '.': ~ Well Classification ,~'"'~*"~" ~ MUNICIPALITY OF ANCHORAGE (MOA) Health Aulhorlty Approval (H. AA) CHECKLIST - FEBRUARY 1984 ' 343-4744 Legal Description: Well Log Present (Y/N) /'') Date Completed ~., ~'," Total Depth ~'77 / Cased to "'~/~ · Depth of Grouting Static Water Level ,4'~ / ,,'~./,,..,,, Casing Height Above Ground .~-~' Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~ / To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results If A, B, C, D.E.C. Approved (Y/N) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~-/,~o ; On Adjoining Lots To Nearest Public Sewer Cleanout~Manhole /..3j,.-~ ; Date ,7-,/',/4/~' ? B. SEPTIC/HOLDING TANK DATA Date Installed /~'g-.3.. Size Standpipes (Y/N) /~ Air-tight Caps (WN) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) ~/,/,'f Holding Tank High-Water Alarm (Y/N) No. of Compartments -.~ Foundation Cleanout (Y/N) Date Last Pumped· ,-~/~'¢'f ~'~r~. ; for .,'~'~,,~ Temporary Holding Tank Permit (Y/N) ~' 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-~26 (Rev. ?/88) F~onl Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata //////////~--,~ Square Feet of Absortion Area Depression over Field (Y/N) Length of Field ,/~./.A, ~ Depth of Field , ",,Gravel Bed Thickness .2.J~'/$ ~,p Statndpipes Present (Y/N) /~ Date of Last Adequacy Test Type of System Design J"~c,,~.,r~,~;/- //-,'-,,--,~,C Results of Last Adequacy Test 'SEPARATION DIST~,NCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation' ~'-,~'- / Lot /4, / ;~ 7,-.-<.~ ~ f'~,, To Water Main/Service Line ,'-x~ / To Stream. Pond, Lake, or Major Drainage Course To Driveway. Parking Area, or Vehicle Storage Area Comments To Property Li~e /~/' To Existing or Abandoned System on ; On Adjoining Lot~' *".~" / To Cutback (if present) D. LIFT STATION Date Installed Size in Gallons ' ' *' ' "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (WN) "Pump off" Level at * ' Vent (Y/N) Pumping Cycles during Adequacy Test. **;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 Ea~le Rivet Engfnecring Servlco$ Company P 0 Box Date ~/'Tta/'r'f Eaoto River. AK 99577 MOA No. ,~ ;-~ ¢ Receipt No. Date of Payment Amount: $ 72-026 (Re~. 7/~8) Beck ~ ~,,~,,~, ....... ·. A ~ngmeer s ~ea~ Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 MUNICIPALITY OF ANCHORAGE DMSION OF 5NVI~ H~_ALTH DEPARTMENT OF HEALTH AND ENVIRC~MENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL '~':i{TIFICATE (a) /~ggl Des~ipticn,(i~ldd~.'~fot, block, subdi~i, sicn~, segtion, tc~rmhip, range) ,'1 11 .S'l/ z _C i ;'-/..s-,c., Lcca~cn (addFess or directions) Applicants Adc~ess Ad.ess (e) ~al Estate Co.& Agent Applicant is (check o_q.~ Lendirg Ir~tikution ~-~; Owr~r/builder ~-~; Buyer ~; Other,~-(explain); -3~/'/~-~' Te le phone Ty~e cf Besidence Single-Famil~ Number of Bedrcc~ Multi-Family Other (cbscribe) 3. Water Supply 0 Individual Well ~;~ Cc~unity ~-~ . ~ublic Note: If ~,,,~nity ~i1 system, ~st ~ ~it~n ~f[~ti~ .~ ~ State ~nt cf ~rcr~ntal Cc~tion attesting to ~ ~Gality ~d s~tus. O~.it'~ 'blic ~ IS ~ ~s~wate~ dis~al sys~m ~ f~ ~ ~ of ) [Page 1 of 2] 2-15-84 5. Enqineering Firm Providirg Inspecticns, Tests, Dsta and Infc~mation Signed by ( ENGINEEK SEAL) The Municipalit9 of Anchorage Department of H~alth ar~] Envirc~rental Protection does not ~uarantee ~.~ cc~ti~,,ed satisfactory ~erfcrmance of the water supply and/ct the wastewater disposal system. This apu~oval indicates that, as of the validation date shown abo%~, based on the data and infc~-mation furnisl~d by an engirmer registered in the State ~f Alaska, the water supply and wastewater disposal system is safe and func- tional f~ th~ rnmber of bedrooms and type of structure indicated. (D~EP SEAL) 7. Mail the HAA to the follcwing address.' KB2/dS/s [Pa~e 2 of 2] 2-15-84 SEPTIC/HOLDING TA~ ~%TA Depression ~r Ta~/N) Size Ai~-tight Cairn (Y/N) Det~ Last Pumped No. cf C~tmsnts [Pa~e 1 of 2] 2-15-84 Soils Sting in Abso~pti~ St~ate ~ of System ~si~ Wid~ of F~91d ~p~ Of Field ~sul~ of ~t ~ ~st ,/ ~ati~ Dist~ ~ ~ti~ F~ld: / To ~te~ly ~11 % To ~ty Li~ To ~ildi~ F~ti~ ~ ~ ~ti~ .~ ~d S~m To ~= ~i~=vi~ Li~ ~ ~ ~t~(if ~t) '' [Page 2 of 2] .,..~.~..~,,.,~...,~ 2-15-84 Ae BJ MUNICIPALITY OF ANCHOP~GE (MOA) HEALTH 0THORITY A PROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNIClPAUTY O~ N,~HORAOE DEPT. Of HEALTH & ENVIRONMENTAL PROTEC110~ Static ~ater Leal ~ ! Pump Set At Casing F~igh.t ~/X~,~ G=.nd /~" Separation Distan~ss f~cm Wsll: To Septi¢/Holdin~ Tank c~ Lot gZ / Sanitary Seal on Ca_-ing~ Dsp~ession A~ound Wsllhsad ; On Adjoini~ Lots /OO -/- TO Nsaz~$t lkk3s of Absc=ption Field on L~t~-- ' ; On Adjoining Lots -//O ~ 4 TO Nsaxest Public Sew~= Line /~///~ TO Nearest Public Se~r . S~C~ ~ ~A Sta~i..~)' Ai~ti~t ~. ~) F.n.ti. C~a~.t (Y~ ~e~i~ ~= Ta~ (Y~ ~te ~a~t ~d ~--~ --~ ~ ~i~in~ ~a~ ~ Fi~ (Y~) ~ f~ Moldi~ Ta~ Hi~te= ~a~ (Y~) ~ra~ ~ldi~ Ta~ ~t (Y~)( ~ati. Dist--. %~tic~ldi~ Ta~: To ~te~u~ly ~11 To ~ildi~ F~n~ti~ ~ / To ~=ty ~ ~O ~ To Dis~al Field ~ ~ To ~ter ~i~i~ Li~ ~/~ To S~e~, ~, ~e, ~ ~j~ ~ai~ /tQ . ' ' C. ABSOR1DTION FIELD DATA Soils Rating in Absorption Stxata Width of Field / 2 Ty~e of System Length of Field ~p~ of Field Gravel Bed Thickness StandpiDes ~esent Square Feet of absorption Area ~ ~/ ~ati~ Dist~ ~ ~ti~ F~ld: To ~ildi~ F~n~ti~ ~ ~ ~ To ~isti~ ~ ~d S~ ~ ~t ~ / 1~ ; ~ ~oini~ To To ~i~y, ~kf~ ~ea, ~ Vehic~ St~ ~a /~ ~'~ D. LIFt STATION ** Check Permitted Bed~ocm Fating AGainst HAA l~squsst I ~s~tify ~~ve'~hecked, ~=ified, o~ ~onfcz~sd to all MOA HAA Guidelines in effect 2-15-84 AOEOUACY TEST WATER AND SEWER iNSPECTION WELL INSPECTIONS AND FLOW TEST SITE pLANS ROAD OESIGN ~arch 2l~ 198~ ROBERTA. SHAFER ClVlLENGINEER 694-2979 The Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 REFERENCEI, Lot 3; Beverly Subdivision; S%; Section 18; T15N; R1W Request a Health Authority Approval Certificate be provided for the residence located on the referenced property. Provided for your information are the following documents~ A. Application for Health Authority Approval Certificate B. Health Authority Approval Checklist dated February 1984 and supplement checklist C. A well log for the exisiting well located on the referenced property and a new well which was drilled March 9, 1984 D. ~ coliform bacteria analysis of the water for both the existing well and the new well A visual inspection made of the sewer system on this property and all the cleanouts are visible and equipped with adequate air tight seals. The existing well ~as tested for yield and after a period of two hours and twenty minutes of a flow of approximately O.10a gallons per bedroom per minute the well went dry. An adequacy test was performed on the sewer system on the property and found to be adequate at this time. A new well was drilled by Jay Williams Drilling and a temporary hook up was made between the house and the new well. It ~ill be necessary for the water line to be buried and a pitless ddapter installed and at this time the electrical wires need to be placed in conduit. This work should be able to be completed within the nex~ sixty to ninety days. The yield test from the new well was satisfactory. If we may be of further service, please do not hesitate to call. HEMIC,4L & GE LOGIC,IL L,4BOR,4TORIES OF AL,4$K,4, INC. TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER I '~ ; . 5633 B Street : f ,- Drinking Water Analysis'Report for Total Coliform Bacteria EAGLE RIVER ENGINEERING SER%,'S P.O. Box 773294 EAGLE RIVER, ALASKA 99577 · ' Phone 694-5195 To Susa~ Oswalt Municipality of Anchorage, Department of H%~an Services ~ LETTER Date 3une 20, 1988 Subject~:-:-- , Beve~:ly Heights 825 L Street . _- , - ~ -, --.... Anchnrage, Ala~km 99502 Regarding Bev6rl~ Heights Est."'Lot 3. ,In going over. the paper work, it_seems that t~ ~epti6 ' ' " ' system was up. ~raded in r1982, -'by adding a 1500 gallon septi6 tank. ~A health approval was granted in 1984, for 5 .... bedroom capacity utilizing existing seepage pit. The ,pit is adequate for. absorbtion :: despite-design size of 288 square feet. - : "/ [, {.,: · , i > '-, Question: Can I obtain 5 bedrocm capacity without modifying existing leachfield BEFORE COLLECTING SAMPLE Yerltlcellon: LTB BOB Final Membrane Filter Resulte Time: ~.. CollformllO0ml Property O~ner /.~--'/~,~ Mailing Addres~ Buyer Address Address Realty CO. & A~ent Address Legal Description Type of Residence {:] Multlpte Family r-I Other r-I Community r-I Public Utllily Sewer Disposal {::] Holding Tank APPLIC'"NT FILLS OUT UPPER HAI"~,ONLY Zip Code Phone Zip Code /~ Y~'/r ~, NO. of Bedrooms ATrACH WELL LOG. A wail log is required for ell wells drilled since June 1975. For wells drilled prior to fl~at date, give well depth (attach log If avallabte). When Connected 1o Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN SE INITIATED. Time Date Inspector Field Notes: Time Time Tlmq ~. ' Inspector Inspector Ins ector . APPROVED BEDROOMS DISAPPROVED CONDITIONAL APPROVAL' *CONDITIONS OF APPROVAL Well Log Received Septic Tank Size February 10, 1984 Ira Kruger SRI, Box 2307 Chugiak, AK 99567 Subject: Lot 3, Beverly Heights Approval for the individual sewer and water facilities cannot be granted until the followinG items have been completed: °,C~]xpose the well for our inspection to determine proper ~construction, also to insure minimum distance requirements ~./. are__ met between the well and sewer system. o The septic tank pumped with a receipt submitted to this department. An adequacy test needs to be performed on the existing leaching area. This test will determine it the system is adequate according to National Standards. A listing o~ private fi~ms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-472U. Sincerely, CW.12/eJ/E1 Enclosure Cory Willis, R.S. Associate Environmental Specialist