Loading...
HomeMy WebLinkAboutCALKINS LT 10 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( I"--RONE _ MAILING ADDRES~ LEGAL DESCRIPTION  PERMIT L~~a), o ns ,FHO ME~DE: inside ,e ngth Width Liquid depth O ~ Manufacturer Material Liquid capacity in gallons Well ~ /'~f Founda~n~ Z+ Near~tline~ PERMITNO. Q~ ~ Top of~e~ tt~ finish~ ~L~grade ~ t~ ~[~tedal~a~7~Z~[ ~tile ~- /finches Total effective absorption area Length Width 'Depth ~ ! PERMIT NO, ~ ~ Type of crib ~lib ~er Crib depth Total effective absorption area ~ Well, Building foundation Nearest lot line ~ DISTANCE TO: ~ Cla~[ ~ ~ Z ~pth ~ ~ Driller Distance to Jot line PERMIT NO. m Buildin~foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER ..... INSTALLER / i / ~ I REMARKS .... 72~ 13 (Rev, 3/7~8j~ _.MUNICIPALITY O~ ANCHORA(~,. Department~'~f Health and Environment~'~Protection ~ 825 ., Street, A~%chorage, AK. 39501 ~ ' '~ 264-4720 '" F'~" * * * HANDWRITTEN PERMIT * * * Permit 9~-- t WELL AND~R ON-SITE SEWER PERMIT Applicant: C~'~// C//r~/~2~ Mailing Address: Location: Phone Number: ~ 7'~-,~-~ ~-~ Legal Description: ~ r/O C~/~g ~/~ Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: Maximu/~ Number of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: EPTH LENGTH . GRAVEL DE tH · WIDTH Holding Tank: 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 number 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. Minimu3~ 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 ~ bedrooms. Applicant Issued by: S~TP/024 (1/el) PERFORMED FOR: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST LE A'DE5CRiPTION }lO SOILS LOG PERCOLATION TEST 5 6 7 8 9 10- 11 12 13 14 15 16 17 18 19 20 COMMENTS SLOPE ENCOUNTERED? IF YES, AT WHAT E DEPTH? SITE PLAi Reading Date Gross Net Depth to Net Time Time Water Drop PERFORMED 72-008 (6/79) PERCOLATION RATE ~f//~ ~ FT AND TEST RUN BETWEEN (minutes/inch) -- FT WATER.W.ELL. R~CORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of geologiccI ~ Geo~hysicotSurveys Lo. zw.~'/u -o,-o,--of-- sO wD .. "--- lc.DISTANCE AND D~RECTION FROM ROAD I~TER~ECTIONS 3. OWNER OF WE ,~ 3. WELL LOG Feet Below 4. WELL DEPTH. (.,,01} 5. DAT~OF COMPLETION Surface ~ Test Well ~ 0 her: di~m. ~ In. ~f*. Depth St[ckup. ft. 9. FINISH OF WELL: ~oZe Slot/Math Size; Le~gth Set between ft. and ft. BockfllHng Grovel p~ck I0. STATIC WATER LEVEL: ~ Above or ~ 8elow lend lutfoce Dele  Equipment used: ~;-~.,, ~,-, ..;~lX~ gO~~t' ] II.PUMPING LEVEL below lend surfooe ond YIELD ~'' ~,c~~ ft. otter bra. pdmplng g.p.m. ft. otter hfs. pumping g.p.m. 13. PUaP: {if ~wll~ble) HP. . Length ef Drap Pipe ft. cepeclty g.p.m. D Subm. D ~et D Centrific~l ~ 0,he~ 14. REMARKS: ,~. w~T~. w~ co.~.~c~o.'s o~.T,.,c~,o.: ~ 15. Water Temperoture o ~ F ~ C This welt~o~was drilled u~[~~urisdlctton end this report Is true Io t~e~y~/ know~edge and baiter; Registered Bus,ness ~ome Contract Llcens:.Number Authorized c PARCEL CONTAINS ~.~r_D? ~ ~' / ~..~ EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. ~0 zO PROPOSED CONSTRUCTION PLAN I hereby certify that I have surveyed the following described property: . ~/(") ~"~ Anchorage Recording District, Alaska, and that the im- provements situated theredn are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at An'chorage, Alaska this ~ L/7 day of 19 HEWITI~V. LOUNSBURY & ASSOCIATES Engineers, Surveyors & Planners GRID/U~,,/'©O,,~: FIELD BOOK No. ~"~- 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, # O50-- 1. GENERAL INFORMATION complete legal description Location (site address or directions) Property owner Mailing address Lending agency Hi.qb B£ccff 'Drive Ea~le River, AK Sandra ~ Dcn~ Ghorml~.y Day phone C/O JACK WHI~E C0. / EAGLE RIVER 118~.~ O~ ~,, Hmy ~l~ ~v~, AK pnone 99577 Mailing address Agent B~r6ar~z Crittend~n/JACK WHITE CO. E,R, Address 11823 0ld ~.~... H,~,j F~g.~o ~;.o~. AK Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: Day phone 99577 694~5500 3. TYPE OF WATER SUPPLY: - Individual well x.~ ~-~ -:~ Com'~ni'~ Well ....... NOTE: i~'c~mm'u~i~ well system, provide wri~en confirmation from ing to the legali~ and status of system. .... 4."- WPE OF WASTEWATE~ DISPOSAL: Individual on-site Public sewer ~.;~7-.~ .:;, NOTE: If community wastewater system, provide written confirmation from State ADEC a~.s,:ting to the legality and status of system .... .- 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verity that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verity 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 corn pliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERINg; 17034 Eagle River Loop Road No. 204 Address Phone Date J/// /q ~/ DHHS SIGNATURE ! Approved for- --~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: ~Additional Comments Date 1///~//~<- / -,. &. The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska, The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued, The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ' ::> .:<:~:,~::.; . /2.;~5(Pev. 1,'91) 8ac~ MOA#21 MunicipalitY of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~..~'~ \ A. Well Data Well type Log present (~1) Total depth ~-~ Sanitary seal ~N) FROM WELL LOG Date of test Static water level Well flow Pump level1 If A, B, or C, attach ADEC letter. ADEC water system number Date completed G ~9-1,~'~,~ Driller r~ ~ ~-~uasmg height Wires properly protemed ~) g.p.m. ~ ,~ * ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main 3~- Sewer sewict,~ine WATER SAMPLE RESULTS: Coliform ~) Date of sample: \,~ ~ t,$ Petroleum tank Nitrate q::), ~ \ Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping SEPARATION DISTANCE~TANK TO: Well(s) on lot ~ On adjacent lots ~ Absorption field Sudace water/drainage 72-026 (3/93)* Front Tank size Compartments Foundation cleanout (Y/N) Depression (Y/_~N) Alar~ Foundation Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump o~ High water alarm level Meets MOA electrical codes (Y/N) ,~ycl~q~ Well.nO--lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length Total absorption area Date of adequacy test Width Soil rating (GPD/Ft~) Gravel thickness Cleanout present (Y/N) Results (pass/fail) Water level in absorption field I~efore test Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPT Well on lot ~On?~n.~'~tj~cent lots Property line To building foundation ~ To existing or abandoned system on lot On adjacent lots ~ Cutbank Water main/service line  Driveway, parking/vehicle storage area --Curtain drain System type Total depth ~ J Depression ove~ for ~ Bedrooms After~e~~ f..~yes, give date E. ENGINEER'S CERTIFICATION I cer~fy that I have checked, verified, or conformed to all MOA and HAA guidelines in eff?,..~.~(a, te of this inspec#on. Signature Date )' /' // ~ V HAA Fee $ ~.~(.~. Date of Payment Receipt Number 72-026 (3~3)* Back Waiver Fee $. Date of Payme~ Recei~ Numar zt Commercial Testing & Engineering Co. CT&E Ref.9 Client Sample ID :LI0 CALKINS S/D Matrix .'~ ~. ,AI'~,.L~ Environmental Laboratory Services 5633 B Street RE~ of ANALYSIS Anchorage, AK 99518-1600 :94.5342-~ Tel: (907) 562-2343 Fax: (907) 561-5301 Client Name :S & S ENGINEERING WORK Order :10197 Ordered By :RAY Printed Date :10/20/94 @ 14~20 hrs. Project Name : Collected Date :10/17/94 @ 15:20 hrs. Project~ : Received Date :10/18/94 @ 14:28 hrs. PWSlD :UA Technical Director :STF~HEN C. EDE Released By Sample Remarks: ROUTINE SAMPLE COLLECTED BY: RAY. QC Parameter Results Qual Units Allowable Ext. Anal Method Limits Date Date Init Nitrate-N 0~9! mg/L EPA 353.2/300.0 10 10/19 MCE * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed = Undetected, ~eported value is the practical quantification limit. LT = Less Than ~ Secondary di~tion. GT = Greater Than ~ Member of the SGS Group (Soci~t~ G~n~rale de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA MUNICIPALITY OF ANCHORAGE __ '5356 "' DATE OF'APPLICATION ':' ""SCHEDULED COMPLETIO'~i'~"~:~:~ ,..BLOCK ..... SUBDIVISION '. ' '~ ........................... '-TAX CODE:.i<~ u'a -u~ ~GRID AS-BUILTNo..-' OWNER ~Ghomley, Dennis C &'~Sand~a-~a~? ' P~ON~'" ':..MAIL'~DDRESS P.O.' 'Box 633~f~SSldOtna'~u~A CONT~CTOR: CCC ........................ ....~., ASSESSMENTS ~ REPAIR EXISTING SERVICE " .. ';"~ ' 'X~VON PROPER~ ONLY , ~ :., ..... ; . .~'~; ', . . . ... 7~,~,- . ~ ,,. ~O be leWed upOn:~B.~ection'~. T~UE~ ' ~ MAIN TAP- TO PROPERTY LINE ONLY "'. ~,' ~ Main extension ag~ment .' .; Cha~oes (MOA.or Sta~e Row perm~ require) , ~, ::.~,-:,~' . ;~ ~ MAIN TAP:&'ON ~ROPER~ CON'NECT ~:,;~' :~,~ (MOA Or State Row Pe~it required) :' ._ O R-O-W NO.' :- ' '~'~;:' PERMIT ?:: ' ' FEE $ ' '" REIMBURS BLE ' DEPOSIT $ ~ INSPECTED. :-"~ ,t~/BY'~.,,,'. / APUC Charge ' REMARKS: No City Water Available PERMITTEE (Please Print) MAIL ADDRESS ~,PHONE HAVE READ THE CONDITIONS-- AND'REGULATIONS ON THE REVERSE SIDE OF THIS'PERM~' T ~AND AGREE TO COMPLY WITH THEM. ' ' -,~ ~' -, -' .: ~: ~' ,;. ,".-.:::!,.?,.,. PERMITTEE SIGNATURE . :, POST INA CONSPICUOUS PLACE AT:THE.JOBSITE 31-122 (Rev. ...... CUSTOMER ,..,NICIPALITY OF ~,NCHORAGE ~ · · .~.... 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 ' ' " (b) GENERAL INFORMATION (a) (c) Legal Description (include Jot, block, subdivision, section,_tqwnship, range) Location (address or directions) Applicant Name "J~'~. I'~,~ & 1~4,~1~, Telephone?.Home ~~ _ Business '.~ / ' ~:' :'" Applicant Address ¢,0,~ ~1~0~ ~ ~ i~, Applicant is (check one): Lending Institution ~; Owner/builder~ Buyer ~; Other D (explain); . (d) ,Lend!ng Institution i!'~' '" ":'i'Addre~s (e) Real Estate Corn ;)any and Agent Address Telephone (f) Mail the HAA~o~I~ 2. TYPE OF RESIDENCE · Single-Famil~ Multi-Family [] Other Number of Bedrooms 3. WATER SUPPLY 7;' i Individual wel~i?; Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation . attesting to the legality and status. · "" ' '" '~ ~ ..... ' ' ' ....' ' L':~' "' 4. SEWAGE DISPOSAL . . , '. :'...: ..' '~.'.:." · ~','~;:;,.',.'"~.,",' ,.:..". '~' '.~"r':.,./ ..... .'. "'"'"., ' Onsite/l~ Public [] Community [] Holding Tank [] ":'"" " .' '.." ' " '! "' .':. Note: If community well system, must have written confirmauon Item the State Depart merit of Environ mental Conservabon attesting [o the legality and status. : ' ~:~ page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING INSF..;TIONS, TESTS, FILE SEARCH, DATA AN~. ,NFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I Verify that my investigation qf 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 ray, investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with ali Municipa and State codes ordinances ulations in effect on Name of Firm ~ ~ J~6X Tale[ r.. Date 6.) DHEP APPROVAL Approved for/"~'~edr°°ms by Approved Disapproved Conditional Terms of Conditional Approval CAUT, O. The Muncipaiity of Anchorage Department of Health and Environmental Protection (DHEP)issues H.,ealth ,Authority Approval certificates based solely upon the representations giv~ in paragraph 5 above by ar~ ir~depen~'pr0fessi0nal engineer registered in the State of Alaska. The DHEP does this as a courtesy.to purchasers of homes ancO,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) MUNICIPALITY OF ANCHORAGE DECT. OF HEALTH & F.J~IYlRONMENTAL PROTECTION U N ,5 A. WELL DATA Well Classification Well Log ~'~ '~' I{A, B, C, D.E.C. Approvea (Y/N) Date Completed (~:-'7...'t, - ~,~ Yield Cased to "~'~c~ ~ Depth of Grouting ~ Casing Height Above Ground Electrical Wiring in Conduit ~'N) Separat,on Distances from Well: Sanitary Seal on Casing (~N) Depression Around Wellhead (Y/~) To Nearest Edge To Nearest Public Sewer Line Cleanout/Manhole Water Sam pie Collected by ~' ~.~'~ Water Sam Die Test Results On Adjoin ng Lots ~_-~ ~'~ ; On Adjoining Lots ~,~>c> t_t. To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~ ~"~' ; Date (~ - ! 1.-- ~.~' B. SEPTIClNOL:::I~i:~'TANK DATA Datelnstaled (.G-~,~'~''~ Size t ~ No. of Compartments '7.-- Air-tight Caps ~N) Foundation C eanout ~N) Depression over Tank (Y~D~ (~, '~ t~t - ~le Pumping/Maintenance Contract on F e (Y/N) ; for Ho ding Tank High-Water Alarm (Y/N) ~'~ Tempora~ry Ho d ng Tank Permit (Y/N) ~'~/.~ Separation Distances from Septic~ Tank: To Water-Supply Well To PrOPer~y Line To Water Main/Service Line ~ ~' 1'4' Course $ To Building Foundation ~' To Stream, Pond. Lake, or Major Drainage Comments Page I of 2 72-026(11/84) C, ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ ~ ~"~"'~'~ Length of Field Width of Field. 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 Foundatior ~-'"~ ~ Lot To Water Main/Service Line [.c:> t~ To Stream/Pond/Lake/or Major Drainage Course Type of System Design Depth of Field [ ~:~ ! Gravel Bed Thickness Stand pipes Present~i~/Nj Date of Last Adequacy Test ~To Property'Line 1.~ !4- To Existing or Abandoned System on : On Adjoining Lots ""~'~=' f't~' To Cutbank (if presentJ ~ I~ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pure p 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 Corn merits ** 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 & S ENGINEERING DateJUN SR B 196X Compan,,~------ MOA No. ,'~ ~ K~¥1~K~ Receipt No. .~_~. 0'~ 0 ~5 Date of Payment ~_~'1' '~ "~ ' ~ Amount: $ L~,-~ Page 2 of 2 72-026 (11/84) Municipality ®1 Anchorage November 25, 1985 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907)264-4111 T ON KNOWI ES. MAYOI i DEPARTMENT OF HEALTH & HUMAN SERVICES H.H. Wilson Constructing Engineers, Inc. 9601 Buddy Werner Drive Anchorage, Alaska 99516 Subject: Sewer Improvements, Lots 2A, 2B, 2C, 2D Finch Subdivision Waiver of Required Horizontal Separation Distances to Sewer Line Components Dear Mr. Wilson: We have reviewed your request for a waiver of the required horizontal separation distance between the private wells on Lots 9 and 10 of Calkins Subdivision and the proposed public sewer line referenced above. We have approved a waiver of the minimum required horizontal separation for the distance between Manhole #2(as noted in the submitted blueline) and the well on Lot 10 to 48 feet. This waiver is valid only if the construction details as specified in the blueline submitted to the Department are followed. A waiver to 25 feet for the separation distance between the wells on Lot 9 and 10 can be obtained only if special construction procedures are used to insure sewer line joints remain watertight. Each joint in the proposed sewer line shall be equipped with "Field Lok" gaskets(U.S. pipe or equivalent) and heat shrink sleeves(Raychem or equivalent). These waivers will be considered valid after an inspection report verifying required construction details is submitted by a registered civil engineer and approved by this Department. If you have questions regarding this matter, please call me at 264-4720. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw 907 562 .T.I~6 . lunicipa Ar. xr:.hora e ' M 'g kH.,J U- 3 0 0 C~ - ¢~ R C T I C. i' 0 D'C ,"C, A.NC~,C;'P,A&;E A[ ASKA 937, 26;-4 39502-0650: 02 l)eer Rr. Wi!son: specified i:~ tile l)ltieiina snbrMrted Co the i)apart~rent are :newer line. nha]] be eqnipperJ 9'Jri: "Fie{d !,ok'~ Ras{,:ct~;(, .5. pJl~e :~' and hea~ shrink sleaves(Relycheu: er rquiva~en~). 'these waivers will be conaide:-ed valid after an i~p~Jction report rifying required ccmntruction details i~: sub;i;ir~e<t bv a :eR!ntered civil en in,er and approved [~y Chis 9ap~rtmer:t, ' - 264- If vou have ~ ~ " ~IRCO%,ij y ~ Constru x HENRY WILSON Eng' eyors 9601 BUDDY WERNER DR. ANCHORAGE, AK 99516 (907) 346.2000 40 � November 18, 1985 ineers, Inc. Municipality of Anchorage CHARLES A. LANDERS SR BOX 192•A, MYRTLE DR. EAGLE RIVER, AK 99577 (907) 694.9096 Division of Environmental Health Re S 8249 Finch Subdivision 825 L Street - 4th Floor Waiver of separation dis- Anchorage, Alaska tance from private wells to proposed public sewer Gentlemen: One of the conditions of approval for subject subdivision is that Municipal sewer be extended to serve the property. ?�s shown on the attached blue line of the proposed sanitary sewer plans, the Municipal sewer now runs east -west on Bonnie Way. The existing sewer line is 32 feet from the existing private well serv- ing Lot 9 Calkins Subdivision. Extension of the sewer southerly on Highland Drive in the standard location required by AWWU will put the new sewer line 25 feet from the well on Lot 9 Calkins and 25 feet from the private well serving Lot 10 Calkins Subdivision. The logs of these wells indicate that the ground water in this lo- cation is very deep. Lot 9's well is 400 feet deep. Lot 10's well is 340 feet deep. The details of the proposed sewer extension require ductile iron pipe with sealed manholes. All connections within the manholes are to be mechanical. In view of the type of sewer construction proposed and the great depth of the groundwater in this location, we request waiver of separation distance from these wells to proposed sewer line be granted to allow construct the sewer line 25 feet from the existing wells. .. ""S A[ *1i Very truly yours, H. H. Wilson .........4.43,11 49--si �) � NO. 1732-E Jua* 22, 1196& APP'Li ' -')IT FILLS OUT UPPER HAt''ONLY Property Ow~,-;er ~--'~.~ './ S~ ~'~/d-~- ~ ' ~/~.~ Phone / Mailing Addre~ ///~(~ ~--," ',: 2 Buye~~, ~;-~'~2~/ ~ {;. ~-.~;,"~i~' d~.'~.~-~/~ ,'~/ Address :~'j].~:/'~, ~" ' ~/ Zip Code Lending Institution ~ ~ ..ff ~/~ / Phone ,. -.~ M.~- Phone Address ~ ~ ~' ~' ~'~ Zip Code Lega~ Description 4. C> ~ ~ /C: d:.:~'//~,-~: -..'- ~ Type of Resi~nce /1 ~ingle Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~dividual A~ACH WELL LOG. A wall log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ' '~ ':' ~lndividual Year Indiv~uat Installed: / ~,~ ~ ~ Public ~ility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time/") Date Date Date Date Inspirer Inspirer Insp~tor Inspirer Field Notes: ( ) DISAPPROVED ~ ~~ ~ Soils Rating Date ~wer Installed Well To Absorption Area ~ '[ Well Log Received ~ ~"~ I ~ 0 ~ ~ ~ ~ ~ WelltoTank /~¢¢ Septic T~k Size 72-023 ROBERT A, SHAFER January 30, 1984 CIVIL ENGINEER 694-2979 ADEQUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AN D PLOW TEST SITE PLANS ROAD DESIGN SOILTEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK Cecil Clemons 1100 Hollywood Anchorage, Alaska 99501 De~r Mr. Clemons, Reference: Lot 10: Caulkins SubdiviSion A well and septic inspection were performed on the referenced property, as you~quested. The horizontal distances maasured between the well and the septic system exceeded the minimum requirements of t00 feet. All the clean outs on the septic system were equipped with adequate seals. Well wires leading from the well were in conduit and the well casing was equipped with an adequate sanitary seal. The ground around the well casing was sloped away from the well. At the same time that this inspection was performed, a water sample was taken from the kitchen sink and submitted to Chemical and Geological Laboratories of Alaska.for coliform bacteria analysis. The results of this test were satisfactory. Included with this letter is a copy of the water well record for your files. ? If we may be of further service, please do not hesitate to contact us. Sin~'~ ly, cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 99577 PARCEL CONTAINS . 2-O, (.,,f.,, I '~-~. ~ EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN 14EREON. AStBUILT NO CORNERS SET THiS DATE I hereby certify that I have performed a Mort~agee's inspec- tion of the following'described property: Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the proper~y lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska d,y of. ge, P · HEWITT'~. LOUI~SBURY & ASSOCIATES Engineers, Surveyors & Planners GRID~,IW oo~; I:IELD BOOK No. ~-It~