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CORINNE LT 2
Corinne Lot 2 #051-302-55 us__ Nnrra Municipality of Anchorage DEC 1-$ 2012 Community Development Department Page 1 of 3 Onsite Water 8 Wastewater Program 4700 Elmore St. a P.O. Box 196650 Anchorage, AK 99519-6650 a http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121374 PID Number: 051-302-55 ❑ New ■ Upgrade Name` TOM & MAYE JOHNSON ABSORPTION FIELD ❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound Address: 18735 MONASTERY DRIVE *EAGLE RIVER, AK 99567 ❑ Other Phone: No. of BedrOOn13: Soil Rating: Total Depth from original grade: (907) 250-1319 4 1.2 GPD/sq. Ft. 10 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original grads: Grovel depth beneath pipe: SEE DWG. Ft. 3.07 Ft. Subdivision: Block: Lot: Fill added abave original grade: Gravel length: CORINNE — 2 SEE DWG. Ft. 62 Ft. township: anger section: — — — Gravel width: eda Number of lines: Distance between lines: 5 n. — — n. SEPARATION DISTANCES Total absorption am: 534 umber of trenches: 1 Met. between tranches: — Ta Septic Absorption Lifl Holding Public/Private From Tank Field Station Tank Sewer Lines 50. Ft. FI. Well 200'+ 200'+ — — 25'+ TANK ■ Septic ❑ S.T.E.P. ❑Holdin ❑Other Manufacturer: Capacity: Surface Water too'+ 100'+ — — ANCHORAGE TANK 1250 Gal. Lot Line 5'+ to'+ - - N/A Ablmial: Number of com«rlments: STEEL 2 Foundation 5'+ 10'+ - - LIFT STATION Curtain Drain NONE KNOWN Manufacturer: Capacity: Col. Remarks: OLD TANK WAS DECOMMISSIONED PER UPC. "Pump on" level at: "Pump off level at: Ni er alarm at: Pump Make &Moder elficol Inspections performed by: PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer GREEN GENERAL Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Dates: 1st 11/9/12 2nd 11/9/12 I.«anon and Description: 3rd 11/12/12 4th — BOTTOM OF SIDING ® POINT A ENGINEEa'S SEAL Community Development Department Approval aoOF �C�0�4 Conditional approval: Date: �o �....:... .... .............. 9 •J e A. Garness. 953 L� "��-I2 .•' .vOO �0440o Approved: Date: r fesslar'av PERMIT NUMBER: PARCEL ID NUMBER: OSP121374 -BUILT DRAWING -----051=302=55--1 B ST1 43.10 50.44 ST2 49.97 58.34 DBL1 39.30 45.79 DBL2 40.24 46.94 DBL3 52.31 60.62 DBL4 53.32 81.37 FD 61.99 67.45 MTI 46.51 38.97 C01 45.68 34,96 MT2 85.50 91.29 CO2 87.64 94.49 203 65.66 75.03 NOTE: HOUSE LOCATION SHOWN ON DESIGN WAS BASED UPON OLD SURVEY. PROPERTY CORNER AND PROPERTY LINE FLAGGED BY A REGISTERED LAND SURVEYOR DURING CONSTRUCTION AND ACTUAL HOUSE LOCATION WAS LOCATED USING THESE STAKES. 50' TOP OF SLOPE--\�// / / NEW 1250 / GALLON SEPTIC TANK DELI& DBL03s 4 ST25/M� EXISTING CRIB / F9./ / \ 200' WELL RADIUS — —� WATER SERVICE LINES (APPROX. LOCATION) PER TOM JOHNSON ? Ft ,yBEp/ST LI OR FOR CO MUNITY ATE S EN CO2 3 1� ALTERNATE SITE. WILL NEW DRAINFIELD REQUIRE ADVANCED WASTEWATER SYSTEM NEW WATER SERVICE LINED} TO T15N, R2W, SEC30, ..WATER SERVICE LINES N APPROX. LOCATION - NW4NE4NW4SW4 ( ) (APPROX. LOCATION PER TOM JOHNSON 1 PER TOM JOHNSON) ' SCALE: o��F q Opp 0 .�• =� / P.F.. A. nN GARNESS ENGINEERING GROUP, Lid. CONSULTANTS & GENERAL CONTRACTORS "• • • • • • ^ • • • • 3701 E. T9 RW. BORE 101 • MpI0 E. M 99307 • PWNE (907)33)-8179 • FM (907)MB-3448 • WIMM: wr.gorwow, it rinq,Mm a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• ••• ••••• TOM AND MAYE JOHNSON 250-1319 2 OF 3 � '•.Jeff y n s. LEGAL DESCRIPTION: DRAWN BY: OQ49S —79 3 cam CORINNE SUBDIVISION; LOT 2 J.L.M. ��f& 0 Z ao .P �•4Z 3••1• .acv TYPE OF WORK: DATE: 40Qd P, of esslo,o\ AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 12/3/2012 ��OO000a PERMIT NUMBER: PARCEL ID NUMBER: OSP121374 -BUILT DRAWING 051-302-55 I INSULATION CQ64- FINAL GRADE = 99.57-99.94 TOP OF TANK AT INLET = 94.27 INVERT OF BUNG AT INLET = 93.64 FILTER FABRIC NEW 1250 GALLON SEPTIC TANK - TOP OF TANK AT OUTLET = 94.27 INVERT OF BUNG AT OUTLET = 93.52 FINAL GRADE = 97.37-101.06 ORIGINAL GRADE ® HIGHEST POINT= 99.71 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 82.71 (GROUNDWATER AT 85.71 ON go GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GIENIERAL CONTRACTORS 3701 E. W01R R . S(TE 101 • MCHO E. 7m 99507 • PHONE (907)39-6179 • FM (907)339-3996 . WEWSWE:—..yoma n~,...m PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TOM AND MAYE JOHNSON 250-1319 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: CORINNE SUBDIVISION; LOT 2 J.L.M. TYPE OF WORK: DATE: PROFILE AS -BUILT OF SEPTIC SYSTEM UPGRADE 12/3/12 (3 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121374 Tax Code Number: 05130255000 Work Type: Septic Upgrade Permit Effective Dates: October 29, 2012 to October 29, 2013 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: CORINNE Site Legal Address: CORINNE LT 2 G:0654 Owner/Address: JOHNSON THOMAS A & MAYE L REVOCABLE TRUSTS 50% EACH JOHNSON T A & 18735 MONASTERY RD EAGLE RIVER AK 9957792, Site Mailing Address: 18735 MONASTERY DR, Eagle River Lot Size in Sq Ft: 49585 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: The permit includes a waiver allowing the drainfield to be a minimum of 5 feet from the south property line. Received Issued By: Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program 1� Department **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP121375 COSA#: Permit#:OSP121374 PID#: 051-302-55 Legal Description: Corinne, Lot 2 Engineer: Garness Engineering Group Applicant: Tom & May Johnson Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ® The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ......................................................................Rogow.... Waiver is Granted: X Waiver is not Grante Date: Approved by Name of Reviewer .............................................................................. Rec#: 05219G Amount: $200.00 Date Paid: 10/18/2012 **** VARIANCEIWAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department • Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcell.D. 0751— ba -557 Property owner(s) TOM & MAYE JOHNSON Day phone 250-1319 Mailing address 18735 MONASTERY ROAD * EAGLE RIVER, AK 99577 Site address 18735 MONASTERY ROAD * EAGLE RIVER, AK 99577 Legal description (Sub'd, Block & Lot) CORINNE SUBDIVISION; LOT 2 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: ( Pall that apply) Absorption Field ® Initial ❑ Single Family (SF) Upgrade ® (w/wo ADU) Septic Tank ® Duplex (D) El❑ Holding ❑ Renewal Tank Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: LOT LINE WAIVER Distance: 5 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 530 " Waiver Fees: kx�T Date of Payment: I (D 1 0 511 a Date of Payment: ioll0lol. Receipt Number: C)! �(o�al,Cii Receipt Number: b!�Ot 0j Permit No. (rz>(F \':51 G Waiver No. ®` 0 Z)13"1 5 - (Rev. 01/11) October 10, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Corinne Subdivision; Lot 2 To Whom It May Concern: The subject property is served by a community well and a private septic system. The property owner, Tom Johnson, of Corinne Lot 2 is the manager of the community water system. Mr. Jonson provided us information regarding the new water service lines to adjacent properties that are served by the community water system. The existing septic system consists of a 1000 gallon septic tank and a crib type drainfield. The crib is in a state of failure and needs to be upgrade. We are proposing that a new 1250 gallon septic tank and a 5 -wide trench type drainfield be installed. A test holes was excavated on the property and the drainfield will be designed around the 30 foot radius of this test hole. Since the original approval fro the system was only for 3 bedrooms and the house is currently a 4 bedroom residence, an alternate site is required to be shown. We have provided an alternate site on the site plan and design drawings that will require the use of an MOA approved advanced wastewater system. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the topography below the drainfield is relatively flat. The drainfield is to be installed at or near the base of a steep slope and there is a slope downhill from the drainfield that is greater than 25%. The drainfield will be installed 50 feet from this slope. In short, there are no slope concerns. 5. LOT LINE WAIVER REQUEST: We request that your department issue a 5 -foot lot line waiver from the south property line to the proposed drainfield and alternate site. The neighboring property water line runs near the south property line for Lot 2, but it is believed to be over 10+ feet from the lot line. We are requiring that the water service lines be located prior 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengincering.com to beginning construction. It is our opinion that there are no concerns with the granting of this lot line waiver. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, P. E., M.S. NOTE.' 'Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com T15N, R1W, SEC 30, NW4, NE4, NW4, SW4 LOT IS SERVED BY COMMUNITY WATER T15N, R1W, SEC NE4, NW4, SW4, 6 41 yPc T15N, R1W, SEC 30, PTN E2, W2, NW4, SOUTH OF GLENN HWY FOR WATER S EXISTING 4 BEDROOM PROPOSED SEPTIC 0 PROPOSED DRAINFIEL( CORINNE LOT 1 ❑ON OF DRAIN 13ARNESS ENGINEERING GROUP, Ltd .. .,,_. CONSULTANTS S,. GENERAL CONTRACTORS, --=- 3701 -._ 3701 E. TUDOR RM, SUNS 101 • ANCHORAGE, M 99507 • PHONE (907)337-6179 - FAX (907)338-3246 a µ SNE: ww .game engimenng,. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TOM AND MAYE JOHNSON 250-1319 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: CORINNE SUBDIVISION; LOT 2 J.L.M. TYPE OF WORK: DATE: SITE PLAN FOR SEPTIC SYSTEM UPGRADE 10/10/2 WATER SERVICE LINE (APPROX. LOCATION) LOT 668; MARANATHA NORTH SERVED BY COMMUNITY WATER AND PRIVATE SEPTIC WATER SERVICE LINE (APPROX. LOCATION) NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 1.25 PROPOSED APPLICATION RATE: 4.0 MINIMUM DRAINFIELD SQ.FT.: 150 MAXIMUM DEPTH: 10 FEET (FROM TOP OF TEST HOLE PIPE - AT GRADE) WIDTH: 5 FEET LENGTH: 15 FEET EFFECTIVE: 4 FEET REDUCTION FACTOR: 0.50 ACTUAL SQ.FT.: 150 NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH LOT LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. JOE: THE CONTRACTOR SHALT HAVE THE WATER LINES ON CORINNE LOT 1 PROFESSIONALLY LOCATED PRIOR TO ANY CONSTRUCTION TO INSURE SEPARATION DISTANCE TO NEW SEPTIC DRAINFIELD._J PROPOSED 1250 SEPTIC TAI 0-01 NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RAE/S: 1.25 PROPOSED APPLICATION RATE: 1.2 MINIMUM DRAINFIELD SQ.FT.: 500 DEPTH: 10 FEET (FROM TOP OF TEST HOLE PIPE - AT GRADE) SQ.FT.: TOP 50' ROAD & OF SLOPE �y / GALLON V / C INSTALL DOUBLE CLEANOUTS / N INSTALL FLOW DIRECTOR / / / EXISTING SEPTIC TANK TO BE �1 COMPLETELY `' / /ABANDONED PER EXISTING CRIB TO BE USED UPC CODE AS A RESERVE SITE. \ 00' CLASS "A" \ / WELL RADIUS LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND !LINE RIERVATION —4 WATER SERVICE LINES (APPROX. LOCATION) PER TOM JOHNSON I � ILIDOR TERMU / (h n \'�R`•� /q�7 e / INSTALL DOUBLE CLEANOUTS 1�1-419t ALTERNATE SITE. WI( WASTUEWATER SYS EI REQADVANCEC 5 FOOT LOT LINE WAIVER REOUESTFO N 1141 kA ------ ------ � ---- (—_---- GENERAL LOCATION OF OLD CLASS "C" WELL WHICH WAS NEW WATER SERVICE LINE SUPPOSEDLY ABANDONNED IN TO T15N, R2W, SEC30,NW4NE4NW4SW4 ( WATER SERVICE LINES T N APPROX. LOC)ATION r "'• � - •'':•: � � �P'�' ' (APPROX. LOCATION PER TOM JOHNSON+ % •,. �' PER TOM JOHNSON) '" •.:� SCALE: GARNESS ENGINEERING GROUP, Ltd. - CONSULTANTS & GENERAL CONTRACTORS. I E. NOOK R . WM 1D1 • MNORM'E. M 99507 • PHONE (807)331-8119 " FM (907)339-3246 • YIF8511E: Nvx.gortxeaerpineanngcam PREPARED FOR: IPI TOM AND MAYE JOHNSON LEGAL DESCRIPTION: CORINNE SUBDIVISION; LOT 2 E OF WORK: ESIGN OF PROPOSED SEPTIC NE NUMBER:PAGE NUMBER I 250-1319 2 OF 2 J.L.M. 10/10/2C._ ------- .._... GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTR.ACTORS:::. 701 E. IDOOR ROAD, SURE 101 v ANCHORADE. M. 99507 * PHONE: (907)337-6179 • FAX: (907)336-3246 - WEBSRE: gemeasengineenr SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: CORINNE SUBDIVISION: LOT 2 PERFORMED FOR: TOM 8 DEPTH r-^-^-�-^�I ORGANICS (feet) E 7 E 9 10 11 12 13 14 15 16 17 18 MAYE JOHNSON OVERBURDEN (GP -DISTURBED) GP`SP MORE SAND WITH DEPTH TEST HOLE #1 SOIL CLASSIFICATIONS GW ORG GP ML GM CL GC OL °• o SW MH �'• : SP CH SM ' ' ON SC DEPTH TO GROUNDWATER DATE SEEPS ® 14'-15' 9/27/2012 14' 10/5/2012 g" - 2 - 10 SEE ATTACHED SITE PLAN DATE READING CLOCK NET TIME TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/5/2012 1 - - g" - 2 - 10 0" 8" 3 - - 8" - 4 - 10 0" 8" 5 - - 8" - 6 - 10 O" 8" 7 - - 8" - 8 - 10 0" g" - 10 - 10 0" 8" 11 - - 8" - 12 - 10 p" 8" 19� PERCOLATION RATE 1.25 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6 FT. AND 7 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS FERfORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: /J 3 OF d WALTER J. NICKEL, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 563-6775 3601 C STREET, 322 ANCHORAGE, ALASKAIT99503 RECEIVED MAR 2 7 1991 March 20, 1991 Municipal .y +st A.tcnorage Mr. Lawrence C. Lockyer, P.E. Dept. Health & Human Services 18739 Monastery Drive Eagle River, Alaska 99577 RE: Lot 2 C Subdivision, Eagle River, Alaska, ADEC Project Number 9121 -DA -054; Review Dear Mr. Lockyer: This is in response to your submittal, received in this office on February 19, 1991, in which you requested approval for the on-site wastewater disposal system for a proposed Bed and Breakfast to be located on the above -referenced lot. I have completed my review of the submitted information, this office's written and computer files on the existing public water system and have the following comments. WASTEWATER DISPOSAL SYSTEM The submitted information it appears that the wastewater disposal system was installed substantially in accordance with State regulations and guidelines at the time. The result of the adequacy test also verifies that on the day the adequacy test was performed the wastewater disposal system was accepting the necessary flows. Therefore, the wastewater disposal system is approved for the concerns of this Department. The enclosed signed Approval of On - Site Residential Water and Sewer Systems, constituting this approval, is enclosed for the existing wastewater disposal system. DRINKING WATER SUPPLY SYSTEM The three bedroom single family residence is connected to Maranatha Water Utilities, Inc., Class A Public Water System (PWSID Number 216198). This public water system is in compliance with the provisions of the Alaska Drinking Water Regulations (18 AAC 80). ;�r,.�;ec or „ cy(,'eC :-"a. Thank you for your cooperation with this Department. If you have any questions, please do not hesitate to call. Sincerely, Keven K. Kleweno Environmental Engineer Enclosure: As Stated cc: John Smith, DHHS, w/o Enc. KKK/skpf X SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: JJe-N n I> Jj � K S '041 1 DATE PERFORMED: ? .101 LEGAL DESCRIPTION: f� �� gfe _f 1r1 ✓1 e 57 j d'', SLOPE SITE PLAN DEPTH 10 �-WAS GROUND WATER S 11 r ENCOUNTERED? �$ L 6 L � IF YES, AT WHAT / E 13 Lv+t DEPTH? / 14 15 16 17 18 19 Reading (FEET) /l Net Time 1 MX 2 4r 3 5 G'0 t �•�( 7 s f 9 10 �-WAS GROUND WATER S 11 r ENCOUNTERED? �$ L 6 L � IF YES, AT WHAT / E 13 Lv+t DEPTH? / 14 15 16 17 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: '� r��^'� S^ CERTIFIED B e DATE: 72.008 (6/79) M -W DRILLING, Inc. 87-128 P.O. Box 110378 • 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner Toni Johnsen Use of Well Dom./Semi.-.i Location (address of: Township, Range, Section, if known; or distance main road Lot 1 Birchwood South Size of casing k! Depth of Hole 47 feet Cased to 42.5 feet Static water level 10 ft. (sqpRp be land surface. Finish of well (check one) open end Screen ( ) ; Perforated O . Describe screen or perforation 4 4 E,c;_Slot Per it a / f t : 37-42 Well pumping test at 29 gall,otits 06 `A" (minute) for----L---hours with 1001 ft. of drawdown from static 1, i Date of completion 2 9 Lc WELL LOG M�Ni�ipgtt . Depth in feet from VlkoN of HF gA1py, ground surface Give details of formations penetrated, size of material, grb' irm Q—TOS_ ---_TO `� - TO 12 —12_ _TO 15 xl TO 31) 3 2 TO V --14—TO 3 2-5—TO 39 9 TO--42- O_ 42 -TO- TO -TO- -TO— TO TOTOTO —TO— ad O ed Contractor Certificate lvo-s. air 3 — CONTRACTOR 0-1 .I___ 0 Ong 1 k . 1 1 1_. V, 0 . T 0 4, d , I •L- YA 1 A0 � 9- 1 Cs i1.-.. 1 act E; F muip i m NR ! m wm i pi m u iv i fommi i i i oi ! w rp c: r c nsil 5,25 1 S I Pi Ed f5yj INA! 1, "K vq5G f VbA -410 � 1. p OR - 1.S k. R i 7, UT 11 L. II__ 0, " p K IN 1-1 1 0 1 ! I ;i ;; '.1 10 10 i V 1 Y, I LAO CAS 1 TO V 1) 1 V 1 WK ! h I M a -' sk 1 "m 1 [VAIWAY: k, 1 W EASEMENT This agreement entered into this ZLZday of""" December, 1986, between THE EVANGELICAL ORTHODOX CHURCH, ALASKA DIOCESE, hereinafter referred to as Grantor, and THOMAS A. JOHNSON and H.MAYE JOHNSON, husband & wife, hereinafter referred to as Grantee. WHEREAS, Grantor is the owner on the following des- cribed property, to -wit: Lot One(1), Birchwood South Subdivision, according to the official Plat thereof, in the Anchorage Recording District,Third Judicial District, State of Alaska. and Grantee is the owner of the following described property, to -wit: Lot Two(2), Corinne Subdivision,according to the official Plat thereof, in the Anch- orage Recording District, Third Judicial District, State of Alaska. and, WHEREAS, Grantor has agreed to convey an easement for water well purposes to Grantee. NOW THEREFORE, Grantor does hereby convey and set over unto Grantee --an easement for.ingress and egress purposes over said Lot One(1) Birchwood South Subdivision to Grantee, their heirs, successors and assigns for the purposes of drilling, operating and maintaining a water well and for running water or underground to benefit said Lot his easement is perpetual and shall sequently revoked in writing by the Its Bishop Acknowledgements Attached ....... GRANTEE: Thomas A. John/n i ze X H.Maye Joh on Grantee's Address: 18735 Monastery Drive Eagle River,Ak.99577 I Return- tq,: .Grant&e _ _ Mr, 1540 i ACKNOWLEDGEMENT ACKNOWLEDGEMENT STATE OF ALASKA i = ! ) STATE OF ALASKA CORDING' DISTRICT ) ss: Anc orage RECORDING DISTRICT ) ss Anchorac;��� hird. JUDICIAL -DISTRICT ) ' Ttird JUDICIAL DISTRICT - I, the undersigned, On is ._ 1 "r L '�I hereby certify that on this day of" -before me' ` 7 Der -ember. 19 g.6 , personally appeared. a Notary--Rubiiclin and:for the State of Alaska, Dersonally appeared ,,,,,,,nom �,. 7ohnson and,. lica�; before me, . — Harold Dunaway of the Evan H Mare 7ohnson Orthodox Chur( to me known and known to me to be the individual(s) described in known to me to be the ag a D10Ce8( 77 and who executed the within instrument , and acknowledged of the corporationrson wh at executed the within instrument and known to me 9 FJ,1 - t- _- t hey signed and sea a to b r p o executed the within instrument on behalf of the cor-'' freely and voluntarily as their poration therein named and acknowledged to me that such corp ationi act and deed, for the uses and purpose therein mentioned. executed the same pursuant to its b laws or resolution of i card of Ni Dated at Alaska, the direpublic day, mont ear herein I abov ritten.tCi5�4p rf Notary �u8`>ii� si a e cf fi State of Alaska V ~' � A, A. b Notary P 1 r All a - ri5 6 otary Public for Alaska' patrick A. lam a eo;:,;,,}.r}, r ion expires 6I2b�8 / L , com Commission Expires: 7� My Commission Expires: � M 1 y o€C zz 9 oe am lies - - - -- — - - - - . J t B `G' Grp •�G' /�`-! S 6'r 0 - - _ _ - MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES �A DIVISION OF ENVIRONMENTAL SERVICES - CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date January 1, 1987 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2 Corrine Sub., SWk,NW4fNEk,NE4,Section 30,R1W,T15N 2. Location (address or directions) 18735 Monastery Drive, Eagle River, AK 99577 (b) Property Owner Tom Johnson Telephone: Home 688-3326 Business Mailing Address 18735 Monastery Drive (c) z Lending Institution Mailing Address Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the followina address: or: Check here ❑, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single -Family 21 Number of Bedrooms _ 3 3. WATER SUPPLY Individual Well 13 Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/86) Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Larry Lockyer Telephone Address Date 6. DHHS APPROVAL 18739 Monastery Drive January 1, 1987 Approved for '74A`6 - '3 edrooms by Approved Disapproved Terms of Conditional Approval 688-3437 Eagle River, AK 99577 r X1 {rG�l� •�•, PY.f�Gi,Y� L(s,ise C. !oc',yer • 4�StJ tvo. C - i's35 J f� '�� rt% p eY"geereo .rte ®�0C'i ��Dw-JSP V Conditional CAUTION Date Engineer's Seal /— 172 "-S;r- 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. Page 2 of 2 72-025 (Rev 8/86) Back MunicipaYity of Anchorage January 7, 1987 P.O. _ JX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Lawrence C. Lockyer, P.E. 18739 Monastery Drive Eagle River, Alaska 99577 Subject: Lot 2 Corrine Subdivision Waiver Request WR87-006 Dear Mr. Lockyer: Your request for a waiver of the 40 foot minimum well casing depth required by municipal ordinance has been granted. This waiver will allow the existing well, which is perforated from 37 to 42 feet, to obtain Health Authority Approval from this Department. This waiver is valid for a private well serving a single family dwelling only. The Department has approved the undocumented serving the subject lot on the basis of the have submitted on the soils and water table your opinion the seasonal high water table i below the bottom of the crib. Based on your water table and a satisfactory adequacy test has been approved. Sincerely, Stephen S. Morris Civil Engineer On-site Services septic system information you in the area. In s located five feet assessment of the the septic system January 6, 1987 Mr. Steve Mori; Municipality of Anchorage Dept of Health & Environmental Protection 825 L Street Anchorage, Alaska 99501 Re: Health Authority Approval for Lot 2 Corrine Subdivision SW4fNW4,NE4,NE4,Section 30,R1W,T15N Dear Mr. Moris: Per our conversation on January 5, 1987 a follow-up site visit was made to the referenced site to determine the relative ground water table in relation to the bottom of the seepage pit. The soils log prepared by Dr. Reid on February 2, 1981 was performed at the same relative ground elevation as where the existing crib is situated. The soils log indicates that water was encountered at a depth of 13 feet below ground surface. The bottom of the crib was measured to be eight feet below the ground surface, and therefore, a separation of five feet exists between the bottom of the crib and the ground water. You had indicated concerns as to a seasonal variation in the ground water table. Seasonal variation in the ground water table is highly unlikely due to the slop- ing terrain that surrounds the septic system area. Enclosed is a topo map of Lot 2 which indicates relative elevations of the lot for your review. It is hoped that this additional information is adequate to proceed with the issu- ing of the Health Authority Approval for the referenced lot. If there are any further questions, please contact me at 688-3437. Enclosures Sincerely, ami n ocky r,P.E. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JAN 1 1987 RECEIVED „k ( n • tiL FRUTIECTION PERCOLgT10 825 L. St-aet, Anchorage, Alaska 99501 264-. TEST N, SOILS LOG — PERCOLATION TES n r f PERFORMED FOR: L/F A1 n ! S. S DATE PERFORMED: +�L LEGAL! DESCRIPTION: a I t?EPTH SLOPE SITE PLAN 5 WAS GROUND WATER r� 11 ENCOUNTERED? CS L 121 P s, E t'2r+� s•t.� IF YES, AT WHAT j DEPTH? 14 III � I FEET) Depth to Water Net Drop t f / 717 i I 2 16 `r '9 1 ; 3 �h.. . • �: I 19 I 5 � • GSI I I. + r WAS GROUND WATER r� 11 ENCOUNTERED? CS L 121 P s, E t'2r+� s•t.� IF YES, AT WHAT j DEPTH? 14 �f Gross Time Net Time Depth to Water Net Drop F i I 16 `r 17 1 ; a , 1$ 19 I COMMENTS Reading Date Gross Time Net Time Depth to Water Net Drop i PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY: '� ��' � �.r<.. �,- CERTIFIED BY 72.008 f6/7,9) DATE: Z —d C b I� II January 1, 1987 Mr. Steve Moris Municipality of Anchorage Dept. of Health & Environmental Protection 825 L Street Anchorage, AK 99501 RE: Health Authority Approval for Lot 2 Corrine Subdivision SW4fNWk,NE4,NE4,Section 30,R1W,T15N Dear Mr. Moris: Reference is made to application #H86-1025 dated September 3, 1986 which was disapproved due to being unable to obtain a Class C certificate to operate from Alaska D.E.C. On December 22, 1986 a new well was drilled by M -W Drilling, Inc. which yields 25 gpm. The new well was perforated at 37 to 42 feet below the ground surface. The DHEP staff has indicated that a waiver in meeting Municipality complubnce is required from you in which we are requesting. There are no known potential contaminants within a 200 foot radius of the well and the Total Coliform Bac- teria analysis which was submitted on December 29 was tested negative. Enclosed along with the new well log and bacteria analysis is a site plan show- ing the new location of the well and the easement agreement between Mr. Johnson and the Evangelical Orthodox Church who owns the property where the well is lo- cated for your review. Hopefully, the Municipality now has sufficient data to issue Mr. Johnson a Health Authority Approval for the above referenced lot. If you have any questions, please contact me at 688-3437. Sincerely, Enclosures c er, P.E. CHEMICAL & GEOLOGICAL LABORA TOM A, INC. TELEPHONE (907) 562-2343 563 v Anchorage, Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.# Analysis shows this Water SAMPLE to be: ❑ PRIVATE WATER�TEM ���✓��drt� Satisfactory ❑ Unsatisfactory Name one No. ❑ Sample too long in transit; sample should not be over 30 hours old at examination Mailing ZAdd�j�sto indicate reliable results. Please send new sample via special delivery mail. Date Received City State Zip Code DATE: FTM® © SAMPLE Mo. Day Year Time Received SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. / LOCATION Collected Bv 1 & &#�4/6 4 YO 00 21 3 4 5 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Analytical Method: Membrane Filter " No. of colonies/100 ml. Lab Ref. No. Result* Analyst FTI ETI EF] BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter: Direct Count Verification: LTB BGB Collform/100ml Final Membrane FlItV R sults Coilform/100ml Reported By Date Time: j5� 0 a.m. p.m. TNTC = Too Numberous To Count 0B = Other Bacteria , �l tA- Uk)'jY-, titl VI? ti O CIS U Z � � N W 0 O z C ti O LO Z C: O O t cJ O LO Z C: O O d 1540 EASEMENT This agreement entered into this day of December, 1986, between THE EVANGELICAL ORTHODOX CHURCH, ALASKA DIOCESE, hereinafter referred to as Grantor, and THOMAS A. JOHNSON.and H.MAYE JOHNSON, husband & wife, hereinafter referred to as Grantee. WHEREAS, Grantor is the owner on the following des- cribed property, to -wit: Lot One(1), Birchwood South Subdivision, according to the official Plat thereof, in'the Anchorage Recording District,Third Judicial District, State of Alaska. and Grantee is the owner of the following described property, to -wit: Lot Two(2), Corinne Subdivision,according to the official Plat thereof, in the Anch- orage Recording District, Third Judicial District, State of Alaska. and, WHEREAS, Grantor has agreed to convey an easement for water well purposes to Grantee. NOW THEREFORE, Grantor does hereby convey and set over unto Grantee _-_at easement for.ingress and egress purposes over said Lot One(1) Birchwood So4th Subdivision to Grantee, their heirs, successors and assigns for the purposes of drilling, operating and maintaining a water well and for running water or underground to benefit said Lot his easement is perpetual and shall sequently revoked in writing by the Its: Bishop Acknowledgements Attached ....... GRANTEE: r Thomas A. John n i H.Maye Joh on Grantee's Address: 18735 Monastery Drive Eagle River,Ak.99577 Return t(�j Granto-e 1540 EASEMENT This agreement entered into this day of December, 1986, between THE EVANGELICAL ORTHODOX CHURCH, ALASKA DIOCESE, hereinafter referred to as Grantor, and THOMAS A. JOHNSON.and H.MAYE JOHNSON, husband & wife, hereinafter referred to as Grantee. WHEREAS, Grantor is the owner on the following des- cribed property, to -wit: Lot One(1), Birchwood South Subdivision, according to the official Plat thereof, in'the Anchorage Recording District,Third Judicial District, State of Alaska. and Grantee is the owner of the following described property, to -wit: Lot Two(2), Corinne Subdivision,according to the official Plat thereof, in the Anch- orage Recording District, Third Judicial District, State of Alaska. and, WHEREAS, Grantor has agreed to convey an easement for water well purposes to Grantee. NOW THEREFORE, Grantor does hereby convey and set over unto Grantee _-_at easement for.ingress and egress purposes over said Lot One(1) Birchwood So4th Subdivision to Grantee, their heirs, successors and assigns for the purposes of drilling, operating and maintaining a water well and for running water or underground to benefit said Lot his easement is perpetual and shall sequently revoked in writing by the Its: Bishop Acknowledgements Attached ....... GRANTEE: r Thomas A. John n i H.Maye Joh on Grantee's Address: 18735 Monastery Drive Eagle River,Ak.99577 Return t(�j Granto-e 8qqr, 1 5 4 0 PACE 0 8 24 ACKNOWLEDGEMENT ACKNOWLEDGEMENT ; STATE OF ALASKA ) STATE OF ALASKA tinc orage RECORDING DISTRICT i' ss:' AnchoracfLECORDING DISTRICT ) ss: )'_ . Tird JUDICIAL DISTRICT ;) bird JUDICIAL"DISTRICT 2 Q I, the undersigned, _ �n �Z p hereby certify that on this day of before. me_ r,o..on, Pr 19 86 personally appeared. a Nota Publio in and'for the State of Alaska, personally appeared Harold Dunaway Of the EvangelicaY before me, H Ham Johnson Orthodox Chur( known to me to be the a lOCe$E to me known and known to me to be the individual(s) described in a and who executed the within instrument,,.and acknowledged that of the corporation that executed the within instrument and known to me y th P� J 1 signed and se ale d' the' same- ' 'to be the person who executed the within instrument on behalf of the cor- freely and voluntarily as their poration therein named and acknowledged to me that such corp ation ' executed the same pursuant to its b -laws or resolution of i pard act and deed, for the uses and purpose therein mentioned. l r� Y Dated at Alaska, the dire tR(�,. QttbiiC day, month%r,4ear herein I abov ritten. ��ag!sa�F Notary rY gta'�e cf r ka% state of Alas _ ..c Patrick %�. (,OM Notary P I r AI a otary Public for Alaska I+ t24/88 o expires StQ commil Cnommission Expires: My Commission Expires. �---093e37 • DEC ZZ 9 08 AM '86 l 73 5 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date September 3, 1986 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2, Corrink Sub., SWk, NWk,NE4fNEk, Section 30, R1W,T15N 2. Location (address or directions) 18735 MONASTERY DRIVE, EAGLE RIVER, AK 99577 (b) Applicant Name TOM JOHNSON Telephone: Home 688-3326 Business Applicant Address 18735 MONASTERY DRIVE (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder E] ; Buyer ❑ ; Other ❑ (explain); - (d) Lending Institution Address (e) Real Estate Company and Agent — Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single -Family Q Multi -Family ❑ Number of Bedrooms 3 Other Telephone 3. WATER SUPPLY Individual Well ❑ Community ® Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEE ATTACHED REPORT. 4. SEWAGE DISPOSAL Onsite}U Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEE ATTACHED REPORT. Page 1 of 2 72-025 (11/84) 5. ENGINEERING FIRM PROVIDINu INSPECTIONS, TESTS, FILE SEARCH, DA . A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm LARRY LOCKYER Telephone 688-3437 Address P.O. BOX 771302 EAGLE RIVER, AK 99577 Date 9/3/86 ..�' OF 411%1 Y' • v AW C-21 0 • �, RUFE55w'_+4 �1►�e®0�°AR Engineer's Seal I � 6. DHEP APPROVAL Approved for bedrooms by 044 `ff Date / ( lei' Approved Terms of Conditional Approval i Conditional The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) dF 1!~ CHECKLIST - FEBRUARY 1984 p op *00 264-4720 Lanai Description: Lot 2 CORRINE SUB. S Q p W-V,NW ,NEkNEk, :SEC 30, R1W,T15N A. WELL DATA Well Classification C If A, B, C, D.E.C. Approved (Y/N) YES Well Log Present (Y/N) YES Date Completed 1/17/86 Yield . 75GPM Total Depth 480' Cased to 42' Depth of Grouting-_1VONF Static Water Level 40' Pump Set At 470' Casing Height Above Ground 21 Sanitary Seal on Casing, (Y/N) YES Electrical Wiring in Conduit (Y/N) YES Depression Around Wellhead (Y/N) NO Separation Distances from Well: To Septic/Holding Tank on Lot 117' ; On Adjoining Lots 156' To Nearest Edge of Absorption Field on Lot 142' ; On Adjoining Lots 175' To Nearest Public Sewer Line N/A To Nearest Public Sewer Cleanout/Manhole N/A To Nearest Sewer Service Line on Lot 100+ Water Sample Collected by LAWRENCE C. LOCKYER Date 8/28/86 Water Sample Test Results 0 COILFORM/100ML Comments B. SEPTIC/HOLDING TANK DATA Date Installed UNKNOWN Size 1000 GAL No. of Compartments UNKNOWN _ Standpipes (Y/N) YES Air -tight Caps (Y/N) YES Foundation Cleanout (Y/N) YES Depression over Tank (Y/N) NO Date Last Pumped 8/14/86 Pumping/Maintenance Contract on File (Y/N) N/A ; for Holding Tank High -Water Alarm (Y/N) NO Temporary Holding Tank Permit (Y/N) NO stances from Septic/Holding Tank: ply Well 117 55' �fr!o ine 10+' 25' I i rvice Line �U� end, Lake, or Major Drainage /Se fid" N/A e 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata G IGP Type of System Design CRIB' Date Installed UNKNOWN Length of Field N/A Width of Field N/A Depth of Field UNKNOWN Gravel Bed Thickness UNKNQWN Square Feet of Absorption Area UNKNOWN Standpipes Present (Y/N) YES Depression over Field (Y/N) NO Date of Last Adequacy Test 8y115/86 Results of,Last Adequacy Test ADEQUATE, SEE ATTACHED LETTER Separation Distance from Absorption Field: To Water -Supply Well 142' To Property Line 10+' To Building Foundation 80' To Existing or Abandoned System on Lot N/A _ On Ad'oinin Lots N/A To Water Main/Service Line 60' To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed N/A Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments A J g To Cutbank (if present) 5+' 40' — Dimensions Manhole/Access (Y/N) — "Pump Off' Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have cliwked, rified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date 9/3/86 Company MOA No. Receipt No. — Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) IONY Vv O► ,�� �9 :. Engineer's Seal �f e o • L rence C. L yet �,r *% No. CE -$325 ��` 6eptember 3, 1986 Municipality of Anchorage Department of Health and Environmental Protection 825 L. Street Anchorage, Alaska 99501 RE: Health Authority Approval for Lot 2 Corrine Subdivision, SW4,NWk NEk,NEk, Section 30, R1W,T15N Dear Sirs: Enclosed are the Certificate of Inspection for Health Authority Approval of On -Site Sewer and Water Facility and checklists forms for the referenced lot for your re- view and approval. Also, enclosed are the well logs, verification of septic tank pumping, water sample analysis, and pertinent data related to the referenced lot which were found while researching your files. Our field investigation resulted in the following: WATER SYSTEM: The existing well is shared with the adjoining lot (Lot 1 Corrine Subdivision) which is classified as a Type C source. Approval of this source was granted through your office on April 14, 1981. (See attached data) The source was test pumped on August 30, 1986 for four hours which yielded approxi- mately 0.75 gpm. The source serves a total of six bedrooms for the two housing units and therefore, considered marginal. The source is pumped into a 500 gallon above- ground storage tank which is considered adequate to meet the instantaneous demand requirement of both housing units. The existing water system is adequate to serve both lots. ON-SITE SEWER SYSTEM: An adequacy test was performed on the existing 1000 gallon steel septic tank with pit system on Augustl"5, 1986 Water was injected directly into the pit at a rate of 20 gpm for a total of 500 gallons. This resulted in a total rise of seven inches of the existing liquid level of the pit. Within eight hours the liquid subsided to the original level. The existing septic system is therefore considered adequate for this three bedroom housing unit. If there are any questions concerning the request for the Health Authority Approval, please contact me at 688-3437. Attachment(s) cc: Thomas Johnson OF 44 %11 ••.�gyy...•i.. • A lawreece- C. Lock # : W (�j').� NO. CE -5325 Cew00 "ROM%wQa ��0►�► �� / j ■■utermw- lob it 00- mhl �JA i Ile A46 7r— it 4 1.0 I id :l t s. III,•, � ����9�a 1,J� � �� 1 I � { W1 The at 211 14 i Ile A46 7r— it 4 1.0 I id :l t s. III,•, � ����9�a 1,J� � �� 1 I � { W1 The t It 'Ni ; • 1, is "•�, 1 r - Ott + •± ry 11 I j 41 r �I •�L7h j p: w E". ;q cy i -•i HmOOCT � I i I +� l l�li ",i, I ti' -j C•I ''' W L1� V �. U �y��� H � 'Lf'. .. ' t•t j i 1 1 >i� �� �� h k r� r•I II , F. , _q CYC r 'i 1t� 111111 kk d f toy r , LD r. l cn oil ' � O u 5 NE�/4 NE11 NW 1/4 SW 1/4 SEC 30 DATE RECEIVED - INSPECTION APPOINTMENTS nU�� XA P� TIME — T "" -� -- ------ TIME p \ \ l st�,LJ�lT oA Yl DATE - DATE DATE- ❑ MULTIPLE FAMILY [g] Three ❑ Six / ❑ INDIVIDUAL' INSPECTOR INSPECTO INSPEC OR ❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE I :^.''.I_Ti %— DEPARTMENT OF HEALTH & ENVIRONMENTAL P 1 �< tNVT>7N1C/EOF // 825 L Street - Anchorage, Alaska 99501 N1AL ; ' )T ECTION • FEB�3 n g , ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RR FF�REQUEST FOR APPROVAL OF INDIVIDUAL WATER AN QSt'W NC�41ES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing. 1. PROPERTY OWNER PHONE DENNIS JOHNSON 694-9587 MAILING ADDRESS ` -----�-------------------------- PROPERTY RESIDENT (If different from above) BUYER BELA PHONE 2. BUYER PHONE Larry, and Donna Lockyer 688-3437 MAILING ADDRESS 3. LENDING INSTITUTION PHONE ALASKA USA FED. CR. UNION 264-2841 MAILING ADDRESS — 4. REALTOR/AGENT PHONE JOHN PARKER — TOTEM REALTY INC. 694-9494 MAILING ADDRESS 5 NE�/4 NE11 NW 1/4 SW 1/4 SEC 30 T 15N R1W // BEING SUB INTO CORINNE SUB. STREET LOCATION - ------ - NHN MARANATHA ROAD AKA MONASTERY DRIVE 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other [_J Two ❑ Five ❑ MULTIPLE FAMILY [g] Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled 13d COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM CN INDIVIDUAL/ON-SITE'" Dec. 1975 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. n -oto lies. _ 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS O ONE ❑ THREE ❑ FIVE ❑ OTHER C7 TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL -- DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING MANUFACTURER TYPE OF TANK TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line Septic/Holding TankAbsorption Area Sewer Line Nearest Lot Line 5. COMMENTS ga--Ai'PROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE- -------BY----- ----- ----- --- ----- 72-010 (Rev. 6/79) Well Owner— Dennis Johnson Use of Well Dom. Location (address of: Township, Range, Section, if known; or distance main road SW,- NWS NE 4 NES Sec 30 R1W T15N Size of casing 6 Depth of Hole 400 --feet Cased to 42 feet Static water level_ 80ft. (ifl A) (below) land surface. Finish of well (check one) open end ( xx ); Screen ( ) ; Perforated ( ). Describe screen or perforation N/A Well pumping test at_ 5 gallons per (iSbM) (minute) for—_l---hours with 100% trX_ of drawdown from static level. Date of completion—_ 8 02-4123- WELL 41 3 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 200 200 TO 400 — TO_— - TO TO _— .TO-- ___-___ .TO.------- TO------- -TO TO _ TO TO__ TO .TO -_._. Existing, well Bedrock, _ water-s-e-epsim;po-radjs fractures t-hroughaut C_ 1 — CUSTOMER M -W DRILLING, Inc. P. O. Box 4-1224 • 1310C International Airport Road (907) 274-4611 ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner Use of Well fan Location (address of: Township, Range, Section, if known; or distance main road Size of casing b Depth of Hole 200 feet Cased to 42 feet Static water level t. (P (below) land surface. Finish of well (check one) open end ( X ) ; Screen ( ) ; Perforated ( X ) . Describe screen or perforation ��Kn i f r der f or at i� 4 eo. 0" X /8 slot s' $t3 it. Well pumping test at 1-2 per (hour) (minute) for hours with^— 1ov� ft. of drawdown from static level. Date of completion 75 Feb 7 Depth in feet from ground surface TO 2 TO 18 ___18 TO Zf> - ?5 TO ?-7 27 _TO37- __32 __ 2 TO 33 -_�3__TO-3? 59__ -TO 2nD TO_ TO TO TO ---TO-- --TO- -TO— Give _TO --TOTO WELL LOG Give details of formations penetrated, size of material, color and hardness Frozen CiTQVel CraVC. t Silty Gra vel % occaIo aI roables ti Small GraveIt clegtL Silty Gravel Small Gra vel silty Gravel: wet ground 38-3Q; S.b: 22' (3edraC -Argiliitr hard 365 - fracture zone with S@ops 1 nr, _ If It n `. — 3 — CONTRACTOR