Loading...
HomeMy WebLinkAboutSPENARD COURTS LT 5Anard Courts Lot §A #01 O- 115-48 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99510-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 010-115-48 1. GENERAL INFORMATION Complete legal description Spenard Courts, Lot 5A Expiration Date: /. /.~ . ~'3 ~ Location (site address or directions) 3808 Wilson Street, Anchorage Current ProperS7 owner(s) James Kammyer Mailing address Juneau Day phone Lending agency Day phone Mailing address Real Estate Agent Dixie Dixon Mailing Address 2600 Cordova Street, Anchorage Unless otherwfse requested, HAA wfll be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 2 Dayphone 257-'/0.2c~ 01~.'7 3. TYPE OF WATER SUPPLY: Individual Well []~ Individual Water Storage Community Class Well [] [] Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certficates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Ce~ficates of Health Authority Approval are required for the l~ansfer of t'Je (except between spouses) for properties served by a s~ngle-farr~ly on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Ce~ficates of Health Authority Approval am valid for 90 days from the date of issue for properties served by a pdvate or C~ass C well and may be reissued w~th new water sample results, (Cer~ficates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Ctass A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work, 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validaton date shown below, I verify that my investgaton, based on procedures outJined in the Health Authority Approval Guidalines for this application, shows that the on-sita water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and I~pe of structure indicated herein. I further verify that based on the informaton obtained from the Municipality of Anchorage files and fTom my investgaton and tnspec~on, the on-~te water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Address P.O. Box 110443, Anchorage, AK 99511 Engineer's Printed Name Cindy W. Ellis DSD SIGNATURE Approved for Disapproved. Conditional approval for Phone349-1851 Date October 1.2002 Clnd~ W. Ellis bedrooms ..... bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certf, cate Date: Municipality of Anchorage Development Services Department 8t~l~ng S~;,=~y Division On-SIt~ Water & Wastewater Program 4700 South Bragaw St. P.O. Box ~96650 Anctmrage, AK 99519-6650 www.muni.org/om~ (~0~) 343-t~04 HEALTH AUTHORITY APPROVAL CHECKLIST A. ~ DATA W~ type ..~v Tatal depth Date of test Sta~c water lev~ Welt ~,-c-~-Iicm WATER SAMPLE RESULT~ C~if~m o oalanies/100 mi. Ame~ NA mg.d. B. 6EPT1C/HOLDING TANK DATA 'Tank size , gal. ~ deanout (Y~N) Nitrate o mgjI. ~, ~f sample: 9-2.4 Depm~on over tank (Y~I) Parcel ID: 010-115-48 wa, Log (Y/N) N Wlms f:~ protected 0f/N) Y Casing height (above grou~) 72 AT INSPECTION 9-24-2002 24 fi. 44 g.p.m. aennouts (WN) water alarm (Y/N) Elamed Time: min. Final fluid ~ Any mjuvena~an treatment (pa~ 12 mo.) (Y/N & type) If y~s, giw dat~ 'Pump on' lev.t at in. 'F'~.p a~JP le~l .t Man~:~/A~ (Y~) High water ,,latin lev~ at F_ SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Sep~c ~ ~on on t~ NA Absoq~on fle~d on kX NA Public sew~ rnain 45 fl Waiver 1987 ,~/septic sewlce line 14 fi ia heuse SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: /~A I~,~ Wate~ Sen~ce line Curtain drain F. COMMENTS I~lld~,~g feund2~fo" I~q~ line Water main Water sen4ce line Wells on adjamnl I~s SEPARATION DISTANCE FROM ABSORI:q'N3N FIELD ON LOT TO: Wells on adJ~cem lots /vA Water main House built in 1952. Well is in basement. Waiver in 1987 for separation to sewer HAA Fee $ ~/~ Waiver Fee S Rmc~i~t Number O2~;-~,~g~ Receipt NumDer (1~. 12~01) SEP-ZZ-OZ D3:$1pu FI~I-CT~ ENVII~fl~ENTAL ~RV ~ ~I'&E Environmental ~ervlces Inc. 907~$15~01 T-8~8 P.DZ/D3 F-785 C~&E Ref.# Client Name Pro]eel Name/# Client Sample ID Matrix 1026292001 Watkins Enginnefing Snenard Couas LSA Spennrd Com~ LSA [hink/ng Waler 0 Sample R~mark.~ All Dates/TIn~'~ are Alaska Standard Time Printed Date/Time 09/26/2002 I2:29 Collected Date/Time 09/24/2002 11:15 Re~tlvt'd Dale/'rime 09/24/2002 12:00 Released Units Allowa'~l~ P~q~ Analysls Nitrate-N 0.200 U 0200 m~ EPA 300.0 (~lO) 09/~1/02 JI:Yl M:l.e rob:Lo ~og~ Labozratozy Total Coliform col/I OOmL SMI8 9222fl 09/24/02 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. # ~)\(~ ~ \ \~'~-'a - L'\ ~} HAA# 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Day phone Day phone 5'&/- 7$oet Mailing address Agent H,'*--'c~ ~ i~Azzcccod"~'- Address ~4,~z~ ~L~o-,~,g,,4~'[~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ¢<¢.. "'.4 Day phone TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER 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 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 J'~ ~/¢.~ ~t S ~ o ,r' ~.~.¢~ ~:~ ~1~ Phone L~-,,~ 7 ~ "'&~/~, Address ¢,~.0 '~ ~ ~. ~..~ ~.~ Engineer's signature Date DHHS SIGNATURE / Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~¢'~2, 5/-~ A, WELL DATA Well type -~ ~"~q Log present (Y/N) Total depth [ LJr ~ Sanitary seal (Y/N) Date of test Static water level Well flow Pump level -~.t~"~ (..~U~" Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed 'i~.¢... ~,~ ~. Driller Cased to FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Nitrate Tank size Foundation cleanout (Y/N) J ~:=' Casing height Wires properly protected (Y/N) Septic/holding tank on lot Absorption field on tot Public sewer main ~ 5C~ Sewer service line /% I ~ WATER SAMPLE RESULTS: Coliform Date of sample: B, SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) - Date of pumping AT INSPECTION g.p.m. ~ 2.. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: g.p.m. Other bacteria Compartments Depression (Y/N) Alarm tested (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Surface water/drainage On adjacent lots Absorption field Foundation Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION'FIELD DATA '~/,,~__ Date installed Length Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Manufacturer Manl~ole/Access (Y/N) "Pump off" level at Cycles tested Surface water Well on lot To building foundation On adjacent lots Surface water Curtain drain Soil rating Gravel thickness Cleanouts present (Y/N) Date of adequacy test for System type Total depth bedrooms If yes, give date On adjacent lots Property line To existing or abandoned system on lot Cutbank Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guide#des in effect on the date of this inspection. Signature Engineer's Name ' .~------~G~ ~-ea-'l HAA Fee $ ( '~tt')' ~9 Date of Payment t ~' ?')' ~I Receipt 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number EAGLE RI' R ENGINEERING ~..RVICES P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 JOB- SHEET NO. CALCULATED BY CHECKED BY. SCALE OF DATE DATE ~5'fH, ~ENUE ~UITE 206 ANCHOR~GE~ ALASK~ 99502-~0~ (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: TYPE OF WELL: WELL LOG AVAILABLE: INSTALLATION REQUIREMENTS MET: WELl_ YIELD FROH WELL LOG: Lot 5A Spenard []our'ks '.3808 W:i. 1 sc, J-'~ St. reet. V:Lcky Sr'eenewalt Pr"ivate,~ S:Lngle I:::am:J. ly N (::) PUMP YIELD FROM 'rEST: 5,, 2 Ga]. lons [:)er" Mi rH.lt~~. DATE OF INSPECTION: Iqovember 7 ,~ :1.99:L 'rEST' PROCEDURE: Nell was pumped at a cor~s'[:ant ra'l:e wh:i. le the pr'obe,, ~'[: th~) I::)egirlr"~:i. ng (:~ the test water ].eve1 Nas ~c)und at. 37 .F~,:x:,:!: below t(:)p o.F cas:Lng,, At a pump:Lng J'"ate o,F ~2 gat ]. (::)r)s per m:i.r')Lqte:, 't. he water l~,:,ve:[ dropped t.o 49 .Fe['.d: a-f ter 7C) m:i. nu'[:es o.~ I:)ump:[ng. T'he wa'k:~s,r' ].eve]. d:Ld I"lot c:hange during the next 3 hours,, h total, of 131Zl. (.:V:~].]ons wer"(~) pumped. ")"h(.?. recovery rat~:~) was mor'):itored for 26 minutes,, 'l:'.h[~? wc.?].'.L r!,~c::c)ver'ed to 37 ~:(.:i:.l.?,t~ a :/OO % r(.):.)c(::)ver-y. TEST FOR E.COLI AND TOTAL NITROGEN: war. er was tested {or' E.C(::)I:i. and total r'~:~trc:)gen orr Nc)v. 7,~ :1.991 E. Col i C),, T'ota]. N:i.'~:.rc)(;;len ND (None Detecte(::l) Nax. al].(::,wable~ ]"oral N:i. trocler~ iC) rog/1. ']'ES]' RESULTS: 'l'hi!!~ we] :L meets the rl.~qu:Lr"ement, s of the Munic:Lpatity o'f: Anclqorage,, THIS WELL WILL PRODUCE MORE 'THAN 3 GALLONS PER MINUTE FOR MORE THAN FOIJR HOURS The Mun:i,c:i. pal r'equ:i,]'"emer'r~.: .F(:)r we:t.:l. .f:l.c:w.~ :Ls :1.50 ga]. ]. or:~; o~ wa'l:.er" per" I::>edroom per" day. "f't'~:Ls we:Ll ex(:e(:~d this I'"C~qLci. i'"(~,n)l.::,,r')t. &tS~[~fi%lT~',21"}~:. C)'~: thee C:C3I]cJi t:i or1 c:)~ the we1 ]. app]. :J. (.:,ES c:)lq], y '~.~ the2 E~L~[:)~LU'-¥~?~IC:C) ~:(:]ncl:it:i.c)r'H:~ 'l':.h,:<d:: may not be,:, cfl::)served from the su~,{ac::(~,~ and c:har)ges ir') th0~ ],and use and c:d':he'~r -factors that may :[ml]a(::t tl"~e CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO, 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ANALYSIS REPORT BY SAMPLE fox WORKordott 40081 Date Report Printed: NOV Il 91 ~ 09:19 FAX: (907) 561-5301 Client Sample ID:LSA SPENARD COURTS 3808 WILSON PWSID :UA Collected NOV ? 9i @ 12:00 hrs. Received NOV 7 91 @ 13:30 hfs, Preserved with :AS REQUIRED Client Nams :TOBBE}I SPURKLAND, P.E. Client Acer :TOBBENS BPO{ PO ~ NONE RECEIVED Req t Ordered By : Anelysis Completed :NOV 8 91 Send Reports to: Laboratory Supervisor :S~,~/~PHEN C. EDE i)TOBBEN SPURKLAND, P.E. Chemlab Ref t: 916030 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Units ~othod Ltmit~ NITRATE-~ ND(O.IO) mg/1 EPA 353.2 Sample ROUTINE SAWLE COLLECTED BY: STUART. Remarks: Tests Performed ' See 3peclal Imtruction~ Above UA-Unavailable None Detected "Soo Sample Remarks Above Not Analyzed LT-Less Than, GT-Greater ~han ~SGS Member of the SGS Group (Soci~tO Gdndrale de Surveillance) MUNICIPALITY OF ANCHORAGE MUNiCIF/,LI~Y Of' ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIOI~qViR©!qh/'~NTAL SERVICES DJVISIO!,~ DIVISION OF ENVIRONMENTAL HEALTH O ~'D ~ ~ CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~)~J '~ OF ON-SITE SEWER AND WATER FACILITY ~q ~- D~[O 9 Application Date ~ '-~ / GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ,A~plicantN~me.'.~,¢? //~,/~; .,,/'~. ~.~'~4~rCl~ltCe. Home ~~¢~usiness (b) Applicant is (check one): Lending Institution []; Owner/builder~; Buyer []; Other [] (explain); (d) Lending Institut'ic~n Address ' " Telephone (e) (f) Real Estate ComPany and Agent Address ~___~r~_ Telephone ,~ ¢¢...' Mail the HAA ,o~,,~the Iio 'rig dd,~/..,/zress: ,/.//~.~/~/~,~ ~ /~ , TYPE OF RESIDENCE Single-Family'S.. Multi-Family [] Number of Bedrooms "~ Other WATER SUPPLY Individual Well~ Community [] Public f-i Note: If community well system, must have written confirmation from the State Departme'nt of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite [] Public'S,. 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) 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./,~_C,.~c 5 ~'"O/~.5-~~ Name of Firm Telephone Address /~ ~ ~ ~ ~¢'/~ Z ~ ~ ~ Date DHEP APPROVAL Appr°ved,f,°r i, ~ ApP;OV~d :' ,'~ '" ', Disapproved Terms of Conditional Approvel bed roo ms by .?~---~'"z~ /.~' '~te Conditional 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 (1 $/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ~-¢"T~"" ZC~'/-.~¢X ,,~ ~/~ WELL DATA Well Classification ~-~t¢//~'~'~ If A, B, C, D.E.C. Approved (Y/N) Well Log Pre, sent (V~),, Date Completed ~£E' /¢27.¢'- Yield Total Depth~ /'z/~,~ Cas/ed t¢ /~'~' Depth of Grouting Static Water Level (~..~Z--- Pump Set At CaSing Height Above Ground Electrical Wiring in Conduitl.~N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ¢¢ ¢O · Cleanout/Manhole ~-"~' Water Sample Collected by Water Sample Test Results To Nearest Public Sewer Sanitary Seal on CasingCN) Depression Around Wellhead (YI~ / ; On Adjoining Lots ; On Adjoining Lots Comments SEPTIC/HOLDING TANK DATA ~¢ ¢~/c~ S~7~J/~¢~ ~,,~talled .~, Size No. of Compartments Stand pip~ ~...J~.f Air-tight Caps (Y/N)_____ Foundation Cleanout (Y/N) Depression over ~i .... Date Last Pumped ____ P~ce Cont~a~t-4;t~File~.(Y/N) ____ ;for ___ Holding Tank High-Water Alarm (Y/N) -~"----,-.~ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank:~"'~~ To Water-Supply Well __ To'"¢~undation ___ To Property Line ____ To Disposal To W~toeurrsMeain/Service Line To Strea"h~P~e, or Major Drainage Comments Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA ing in Absorption Strata Type of System Design ,/ Len:~t ~f ;'~lideld~ ~ Suare '~~'"~ Gravel Bed Thickness ____ q Feet of Absorption A're%__ __ Standpipes Present (Y/N) Depression over Field (Y/N) %~ Date of Last Adequacy Test _ Results of Last Adequacy Test ~ Separation Distance from Absorption Field: ~ To Water-Supply Well ~ Property Line To Building Foundation ~ To Existing or Abandoned System on Lot ~; On Adjoining Lot~,,..~ To Water Main/Service Line To Cutbank (if pre~e~__ Comments ~ D. LIFT STATION "---Defiled Size in Gel~ "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) _.ring Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** ~ I certify t ha~~.~ed, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date ¢ ~"'¢ ~' ~' Company ~-¢ Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 01/84) Anchorage P.O. BO; 2,6650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES September 30, 1987 Alan Wien, Engineering Technician Alaska Environmental Control Services 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 Subject: Waiver Request for Lot 5 Block A Spenard Courts Waiver Request Number WR87-056 Dear Mr. Wien: Your request for waiver for the above mentioned parcel has been approved. The required separation of a well to public sewer trunk line in 1952 was 50 feet. This distance has been waived to 45 feet. The basis for the waiver approval is the well is 144 feet deep and cased to the bottom. The adequate depth of the well and the water analysis showing the well free of contaminants indicates that there should not be a problem with contamination in the future. Sincerely, Daniel J. Roth Civil Engineer On-Site Services cc: Gus Andress, P.E., Manager, On-Site Services/Water Quality Programs ALASKA IiUIROFlmeF1TAL COllTROL SeRuICeS, ~nqinemnq 8 Enuimmentd $1udJes InC. September 14, 1987 Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, Alaska 99501 Re: Lot 5, Block A, Spenard Courts The subject lot is served with a private well and public sewer. The house was built in 1952 and connected to public sewer in 1976. Tim drilling date of the well is unknown but would be close to the time the house was built. On 7/31/87, a Health Authority inspecton was performed. The wall is located in the basement of the house. The casing extends to 6 feet above the floor, all wires are enclosed in conduit and a sanitary seal is on the casing. A 4 hour well flow test was performed showing 5.9 GPM with 15 feet of total drawdown. The static water level was 32 feet. Attached is a well drillers report showing total depth to be 143.6 feet and cased to the bottom. Referring to the attached site plan diagram, we see the separation distances are: Well to: Sewer Manhole Sewer Main Line Sewer Service Line 85 feet 45 feet 14 feet When the public sewer was installed in 1962, the separation requirements were 50 feet to the main line and manhole, and 10 feet to the service line. Grandfather rights apply to all except the distance to the sewer main line. Tills main is constructed of 8 inch A.C. or C.P. pipe, buried at a depth of 10.9 feet. Water samples for coliform bacteria and nitrates are satisfactory. Tbe lot is on level ground. I have been unable to locate any waivers issued for this lot to allow the sewer main to be installed at less than the required distance from the well. Per AWWU, siuce the well is not shown an the sewer asbuilt, It was probably never located due to it being In the house and therefore, a waiver was never applied for. We request that you grant a waiver of the private well to sewer main line of 45 feet. If you have any questions, please call. Sincerely, Alan C. Wien Engineering Technician ALASKA ( IiLIIRODmE DTAL CODTROL ~Mineerinq 6 ~nuironmenl~l $1udies SE RuICE S, IF1C. CRAIG JONES VISTA REAL ESTATE 621W DIMOND BLVD ANCHORAGE AK 99502 SELLER- 09/23/87 CRAIG JONES VISTA REAL ESTATE 621 W DIMOND BLVD ANCHORAGE AK 99502 70172 LEGAL:SPENARD COURTS BLOCK A LOT 5 FLOW TEST ON WELL WELL FLOW DATE-07~31~87 A FLOW TEST WAS PERFORMED ON THE WELL. 1430 GALLONS OF WATER WAS PUMPED AT A RATE OF 5.9 GPM OVER A DURATION OF 4 HOURS. THE DRAWDOWN WAS 15 ' WITH A RECOVERY TIME OF 10 MINUTES AND THE STATIC WATER LEVEL WAS 32 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. 1200 LUesl 33rd Aucnue. Suile [~. Anchoraqe. Alaska 99503,(907) 561-50z]0 StarRouteA Box ~560 ~ ANCHORAGE, ALASKA 99507 Phone 345-44~7 QTY; DESCRIPTION PRICE AMOUNT ... ~.~.3......., ......... _, ........... _ ................. · ~ ................. I TAX ~c~wo ~ TOTAL MUST be accompanied by this bill. 4728 GEOLOGICAL LABORATORIES OF ALASI(A, INC. 5633BSTREET ANCHORAGE, ALASKA99518 TELEPHONE(907) 562-2343FEDERALTAXiD~92.0040440 ir't' lens ti h/, 37 EASE!,',ENTS OF RECORD, OTHER THAN '-' THOSE SHOWN ON THE RECORDED AS-BUILT NO CORNERS SET THIS DATE I hereby certify lhat 1 have performed a Morlagee's m- speetior, of the fo]lowh~g described p?perl3': - /Lnchora~e Recording Precinct. Alaska. and thai the improve- merits situated thereon are within the property lines and do nol overlap or encroach on the property ].x'ing adjacent there- to, that no improvements on property lying adjacent lherelo el, croach on the premises in question and flint there are no roadways, transmission lines ol other visible easements on said p~opurty except as indicaled hereon. Dated at ~chora~e, Alaska Date Inspector Time Date Inspector Date Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT F,J~L~S OUT LOWER HALF ONLY Property Owner ~ "- '- ~' ~ '~ ' '"' /\~ Mailing Address ~(~)0/g~ ~/-c.~'~ ~'~ ~/o,-~ Buyer Lending Institution Address Realty Co. & Agent Address ~' Legal Descripti~- ~/]~l~ ~ J'%~ Street Lbcation Phone Phone TypeAf Residence rD-Single Family [] Multiple Family [~ Other No. of Bedrooms_ Water Supply ~ Individual Community [] Public Otility~:~,_~T~,~ ~ Sewage Disposal ~ Individual F~ Public Utility [] Holding Tank ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For well~d;clle¢ prior to that date, give well depth (attach Icg if available.) Year Individual Installed: When Connected to Public Utility:. NOTE: THE INSPECTION FEE I~UST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.