HomeMy WebLinkAboutHILDRETH LT 4Hl'oldreth
Lot 4
#050-331-18
Municipality of Anchorage Page / of 7 -
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: PID Number: OSo - S3 1 - g'
Nems:
Address: r,, Wastewater System: 11New JVUpgrade
,none: Zr-Q ABSORPTION FIELD
No. of Bedrooms:
- / ❑ Deep Trench PrShellow Trench O Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION Soil Rating: Total Depthlrom originelgrade:
Lot: Block: Subdivision: 1/1. Z GPD/S Ft. $; z v
Depth to pipe bottom 1101110691"1 grade: Gravel depth beneath pipe
f//kd .SET �..
Township: Range: Section: Fill added above original c.
WELL:'l
� .� 0 New ❑Upgrade Gavel septa: s✓.,o.-r
aaeslflgtlon (Pnvete,5_2: Total Depth: Cased
ivy�s Total absorption area:
)611 Ft.
rilled: Static Water Level: Installer.
'field: Pump Set at: Ft. `S
Ceeinp tM.pnt ADovs Glaurq:
GPM Ft.
FI.
SEPARATION DISTANCES VSeptic
To eapnc aor
Abpllon Lia
MITI- _ lbldinp brkJPrMb ManuleMunr
length:
I Ilnee: I DUwee between Ilea:
Date
TANK
❑ Holding ❑ S.T.E.P.
Capacity In gallon,:
I Number of Compartments:
2
LIFT STATION
eoturer.
mHigh water alarm at:
ctrical Inspections performed by:
---------------
BENCH MARK
;e
I Assumed Elevetlom
Inspections performed by: f o Dates: lst 2:/' / ,
2nds/.s ,
Department of Health and Human Services approval
Reviewed and approved by: t
71-013 (1/91) MOA 25
Date:
CE19-7
mron
Tankff'Pump
wen
/B�
230
terial:
SurfaceWater
f/00
Y lea
Lot
Line
120
/$o
ingallons: 1Foundation
Z/ q
0016
on- level at:CDrainn
I
1'.j-" r
'�,'fL7'
p Make a liN
length:
I Ilnee: I DUwee between Ilea:
Date
TANK
❑ Holding ❑ S.T.E.P.
Capacity In gallon,:
I Number of Compartments:
2
LIFT STATION
eoturer.
mHigh water alarm at:
ctrical Inspections performed by:
---------------
BENCH MARK
;e
I Assumed Elevetlom
Inspections performed by: f o Dates: lst 2:/' / ,
2nds/.s ,
Department of Health and Human Services approval
Reviewed and approved by: t
71-013 (1/91) MOA 25
Date:
CE19-7
Permit No. SWO40311
Page 2 of 2
Municipality of Anchorage
DEPARTMENT. OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: LOT 4 HILDRETH SUBDIVISION PID No.: 050-311-15
2.
S89'59'45'E
629.61'
LEGEND:
SCALE 1' - too'
® - WOOD DECKS
• - MONITOR TUBE
G - SEWER CLEAN oUT
- WELL
- LEACH FIELD
B - DIVERTER VALVE
IN - TEST HOLE
- EXISTING LEACH FIELD
GREENHOUSE
sw HG nEs
52.4. 21.4'
55.9. 30.3'
97.9' 90.9'�'"'�
�•�Ya.a_e�
riff
�I 1.' _ A
3
m
O
P
8
Z
ELEVATIONS
(NOT TO SCALE)
TOP ar RETAINING VALL
ASSUMED ELEV •100.0'
HOUSE
A�
MIDDLE ROAD
ORIGINAL GROUND TEST HOLE
EL AT,
90.3'
NO GVT
73.5'
9
3
12/27/04
ENGINEER'S�
CE -10387
n'_ .....
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW040311
Legal Description:fHILDRETH LT74 `
Design Engineer: 0024 Eagle River Engineering Services
Owner Name: STANLEY SMITH
Owner Address: 20321 MIDDLE ROAD
EAGLE RIVER. AK 99577-7931
Date Issued: Aug 02, 2004
Expiration Date: Aug 02, 2005
Parcel ID: 050-331-18
Site Address:
Lot Size: 396900 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of.
M Disposal Field E) Septic Tank Holding Tank [3 Privy E] Private Well 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by catling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and dosed on the same day.
Received
Issued
B. Covered, sealed, and heated to prevent freezing.
Date:
Municipality of Anchorage
(� Development Services Department
Building Safety Division
--- On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0,6_0 — 8 31 Permit Number SW
Property owner(s)_:n TA,jt FY Day phone
Mailing address (1) tea/ .A/,�.,1,► ,��,- F.�s� ► ��sr �4 e q� s3
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.)i�
Legal description (Section, Township & Range) 5.r,-- 20 sd iii /
Lot Size 9. // cre q.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms ;:L
Sewer Only ❑ Well Only ❑
Sewer and Well El Water Storage ElSewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Fam�y Dwe IJgg grid is in jaccordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees: 'rj�/_+O Waiver Fees:
Date of Payment: V2 % 0 Date of Payment:
Receipt Number: �5 `y�° Receipt Number:
(Rev. 12/00)
Eagle River Engineering ,Services
Christopher R. Wood, P.
10421 VFW Road Suite 201 (907) 694-5195 tel
Eagle River, NC 99577 (907) 694-3297 fax
July 27, 2004
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: IIildreth Lot 4
Narrative & Permit Application
Dear Mr. Roth:
The proposed septic tank and leachfield upgrade will have very limited impact on adjacent
properties for the following reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance, and wells +100'.
3. This permit is for replacement of the septic tank and leachfield upgrade.
4. Drainage will not be affected and is not a major consideration in our design.
The existing septic tank has corroded, and may collapse at any time. This permit is for
replacement of the septic tank, but the homeowner wants to add a replacement leachfield at this
time. Existing leachfield is functioning adequately, and will be kept on-line with a Bull Run
diverter valve. Drainage will no be affected, and is not a consideration in our design.
This work will not affect the reserve area on adjacent lots. If you have any questions please call
our office at 694-5195.
Sincerely,
EAGLE RI ENG EE G SERVICES
Christopher R. Wood, P.E.
Principal
\2003\04.043SEPncNARRAnVE.DOC
UNSUBDI VIDED
LEGEND:
® - WOOD DECKS
-X-- CHAIN-LINK FENCE NO WELLS
• - MONITOR TUBE NO SEPTIC
C - SEWER CLEAN OUT
'0- - WELL
® - TEST HOLE
----- PROPOSED LEACH FIELD
EXISTING LEACH FIELD
B - DIVERTER VALVE
SCALE 1' 100'
WELLS +200'
SEPTIC +30'
WELLS +200'
SEPTIC +30'
S' X SO' DRAIN F
INSTALL -
\- DIVERTER
VALVE
GREENHOUSE_
.D WELLS +200'_
NEW SEPTIC +30'
rANK 4;^
T .'....
WELL
t
4 R
OUSE
too' WELL
RADIUS
ABANDON EXISTING
TANK W PLACE OR
INSTALL NEW TANK
IN SAME LOCATION
& BURY OLD TANK
ON SITE
R
MIDDLE ROAD
WELL SEPTIC SITE PLAN
LEGAL: LOT 4, HILDRETH
OWNER: STAN SMITH
CONTRACTOR: MIDNIGHT SUN EXCAVATION
J013#04-043 DATE: 07/15/04 1" = 100'
EAGLE RIVER ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX.(907) 694-3295
�4�— OF
`P
I ........... ...:
G+ .CHRISTOPHER R. WOW.
%, CE -10387
Eagle River Engineering ,Services
Christopher R. Wood, P.n.
10421 VFW Rd. Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Hildreth Lot 4
July 23, 2004
A. GENERAL
1. The well and septic plan is for a 4 bedroom single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of health and State Department
of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is die responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
S. Any remaining open test hole excavations shall be filled and monitor tube removed.
B. SEPTIC TANK
I. The sewer piping from the house shall be 4" PVC 3034 laid at 2% grade maximum — 1% minimum
and insulated with 2" of burial foam if shallower than 311., with 2 ft. minimum.
2. Septic Tank shall be a minimum of 1,250 gallon tank of MOA approved construction, insulated, or
place with 4' of soil cover, min.
C. DRAINFIELD
1. The drainfield is to be placed as shown on the site plan. Contractor shall take extreme care ensure that
10'separtation distance is maintained between trenches, from the lot line, and from the house
foundation.
2. The bottom of the drainfield excavation shall be level, plus or minus 1.5", prior to placing gravel.
3. The total depth of the drainfield excavation shall not exceed 8 it. at any point in relation to natural
ground surface.
4. The drainfield gravel shall be covered with typar fabric material.
5. Soil or a combination of soil and extruded board insulation to at depth of 3' or equivalent is to be
placed over the leachfield.
6. The area over the drainfield is to be finish graded or mounded to prevent ponding of surface water
runoff.
7. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
8. Existing drainfield to be kept connected with a Bull Run diverter valve.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTII a 8.5'(9' allowable) GRAVEL DEPTH - 4' under pipe, 2" over pipe (4.5' total)
DRAINFIELD LENGTII - 50' DRAINFIELD WIDTH — 5'
SOIL RATING a 1.2 GPD/fe BEDROOM CAPACITY= 4 total
SEPTIC TANK a 1250 gallons min.
Twenty-four (24) hours notice required for all inspections.
X\rres\DOCS\WPDOCS\2004\04-043drainrield- spec.doc
EAGLE RIVER
ENGINEERING SERVICES
P.O. Boa 771294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 04-043
Calculated By: CW
Date: 07/22/2004
Legal: Hildreth, Lot 4 TEST HOLE 1
Single Family 4 Bedroom Dwelling
Shallow Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 600 gallons
Percolation rate = 1 minutes per Inch
Wastewater application rate = 1.2 gallons per day per square foot
Required absorption area = 500 square feet
Trench width (W) = 5 feet
Gravel depth (D) = 4 feet
Required length = Shallow trench factor • Requlred absorption area / W
Shallow trench factor = (W + 2) / (W + 1 +2 D)
Shallow trench factor= 0.50
Total Excavation Depth = 7.5 feet
Required length = 50 feet
04-043 drainfieldCalc.xls 3:59 PM07222004
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 9951M650
www.cf.anchorage.Am
(907) 343-7904
Soils Log - Percolation Test
Performed For. 757AAJ S,v, 7 N Date
Legal Description: A ,� ,-5 o F r // '�4 r y Township, Range, Section: 7'/-5-,o 7Z I i.✓ D FC .5—'
Depth
ML
j...t/ vs�v rro kr<
4-
l f
ENCOUNTERED? .{%O
5cC—/(
Depth to Water
s
IF YES• AT WHAT DEPTH?
'
&rcr Y
7-
;
E
e,
�� i
C-YALIFG
10-
11-
r.
12-
13-
14-'
.,'.
15-
W
— --- .—. -- -
16-
XnA N, v
1
1
WAS GROUND WATER
ENCOUNTERED? .{%O
Net Time
Depth to Water
s
IF YES• AT WHAT DEPTH?
L
Depth to WabrARer
0
1140neoring7 .11l'.t-r/
E
Date: 30
Reading
Tine
Net Time
Depth to Water
Net Drop
gDataGross
3 , �� u
�'p `/,.. �3
_
W
renuu�riummix S / tmn,al.n,rn) PERC HOLE DIAMETER ••
TEST RUN BETWEEN�FT AND CQ FT
COMMENTS_ /,4 ./7tT TL/!,/ SIA err lr-,
PERFORMED BY: ,n 1 i'Ze THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNIC LLINE9 IN EFFECT ON THIS DATE. DATE:
MUNICIPALITY OF ANCHORAGE
• DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264.4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME .^
PHONE
"-NEW -
/�C'�p 7"'T=�`"�
❑ UPGRADE:
MAILING ADDRESS.
'� /VC ce-//SLC
LEGAL DESCRIPTION r
&07_ 6-779 1W t---
LOCATION
NO. OF BEDROOMS
PERMIT NO. _
Well Absorption area /
DISTANCE T0:
Dwelling /t/
cJ
—x
—/
n
/v
/J
Z
Manufacturer
Material
No. of compartments
Liq, capacity in gallons
�
IF HOMEMADE:
Inside len th
�
Width _
Liquid depth
`
®� z
DISTANCE TO:
Well
welling
PERMIT NO.
OZ G
T f-
Manufacturer
Material
—
Liquid capacity in gallons
2
U
DISTANCE TO: Well -� �� Foundation "
Nearest lot line (�
PERMIT NO. r
No. of lines Length of each line',
Total length of Imps Trench width
- '%
Distance between lines
f-
Z-
_ inches
h
Top of the to finish grade
-2-1
Material beneath tile
Total effective absorpt n area
N_ ULIa7�
inches
LU
Length Width
Depth
PERMIT NO.
C7
t H
wa
Type of crib
Crib diameter
Crib depth
Total effective absorption area
Lu
N
DISTANCE TO:
Well
Building foundation
Nearest lot line
�j
Lu
Class
E_ _X/
Depth
l/✓f:
Driller
Distance to lot line
PERMIT NO.
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS
PYC--
SOIL TEST RATING f
C� - b /2
INSTALLER
if P �Gc�7T L YC-.
(r
G--
/
REMARKS
'S ,o
1V� F
.vh c�
1n, �
`t n
F. t
r'
Al 10V �y
APPROVED DATE -G
MUNICIPALITY OF ANCHORAGE
Department f Health and Fnvironmenta- Protection
825 Street, Anchorage, AK. ,9501
Permit #
Applicant: , ) Co
Location: \ L
264-4720
# ;E HANDWRITTEN PERMIT
.E.L AN'/DOO/ke
N-SITE SEWER PERMIT
-�lca6lk-Ma li g Address/
/ C / i rf/ one er :
1 Nu
Legal Description: --n3 Lot Size:
Type of Soil Absorption System Is:
Trench: —&- Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br)
The Required Size o he Soil Absorption System Is:
Q /
DEPTH �D L.ENGTH v RAVEL DEPTH U / _ WIDTH 37V /
The length dimension is the len (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 S-ERIC(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 department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feel
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 3 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 stall the system in accordance with codes.
(3) I un, rs and that the on-site sewer system may require er}largement if
the,,re i ce iS,�zemodeled to include more than 3,bedro s.
Signed:
icant
Issued by:
Date: / - 6 5__
SWP/024 (1/81) �s74)
�v
MUNICIPALITY OF ANCHORAGE
Department Health and E;nvironmenta' °rotection
825 Street, Anchorage, AK. 9501
264-4720�,/���'
Permit # HANDWRITTEN PERMIT
WE LiAND/OR ON-SITE SEWER PERMIT
Applicant:
�) �1 7 Mailing Address : ' _� '^
�^ /
Location: Phone Number: _
Legal Description: �j�fG�/�%-/`�� A/;')eS/67eV/Lot Size:
Type of Soil Absorption System Is:
Trench: -4— Drainfield: _ Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: L Soil Rating(sq.ft/br) ') 6 s
The Required Size of the Soil Absorption System Is:
DEPTH 20 LENGTH _ GRAVEL DEPTH 1 —WIDTH S
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 _ �C 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(Z) INSPECTIONS ARE REQUIRED #
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 u 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 enl rgement if
the residence is remodeled to include more tha edro
Signed:Issued by:
Applic nt -i�ye�
Date:
SWP/024(1/81)
K SOILS LOG
MUNICIPALITY OF ANCHORAGE
o DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ TESTOLATION
825 L. Street, Anchorage, Alaska 99501 264-4720
\ - SOILS LOG - PERCOLATION TEST
C r
PERFORMED FOR: `,O (J'iwEU�G (< Co&i ST � DATE PERFORMED: =5 --Is
LEGAL DESCRIPTION:_ - AAS L-haoi Mzpl csTr clqc�'
DEPTHa SLOPE SITE PLAN
(FEET) C[� C'26Afq Ic' - —
o G R -V- -T I tI '
•/':./•.i. SALTS' S 13111(1
2 —
"
m_ n o 6.8 1(3 e
6
7 CJ'
8
00 a vv
9 .0 z S- I
D.
10
.10G 1)
14 C3 u 0
�lT iN� 01�
1617
:yam )fi lA
18-19
'a
n. 9
20
COMMENTS
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE_ 1\ l (minutes/inch)
TEST RUN BETWEEN —. FT AND FT,,-/
ZI
PERFORMED RY:: .a ik'e t;';- CERTIFIED
i t I S„ i •
72-008 (6/79)
DATE:
11
/
'L�
WAS GROUND WATERS
ni
L
b
ENCOUNTERED?
O
12
D
P
U
E
1
IF YES, AT WHAT
C9 9
DEPTH?
13
v
.10G 1)
14 C3 u 0
�lT iN� 01�
1617
:yam )fi lA
18-19
'a
n. 9
20
COMMENTS
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE_ 1\ l (minutes/inch)
TEST RUN BETWEEN —. FT AND FT,,-/
ZI
PERFORMED RY:: .a ik'e t;';- CERTIFIED
i t I S„ i •
72-008 (6/79)
DATE:
COMMENTS
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE_ 1\ l (minutes/inch)
TEST RUN BETWEEN —. FT AND FT,,-/
ZI
PERFORMED RY:: .a ik'e t;';- CERTIFIED
i t I S„ i •
72-008 (6/79)
DATE:
PERCOLATION RATE_ 1\ l (minutes/inch)
TEST RUN BETWEEN —. FT AND FT,,-/
ZI
PERFORMED RY:: .a ik'e t;';- CERTIFIED
i t I S„ i •
72-008 (6/79)
DATE:
Trr..;1trb Drilling logk
by
DOC Co. dha
SULLIVAN WATER WELLS
P.O. BOX 272, CHUGIAK, ALASKA 99567 • TELEPHONE 688-2759
OWNER OF LAND !//9v /Q 54g /,r 7b
ADDRESS "-R d 6!o6 c267?1 9 4
LEGAL DESCRIPTION ��, /�� f"��eAdPE7y .f"�160•
DATE - Started =4z/ v.L._ Ended SAC 4P
PERMIT NUMBER
KIND OF FORMATION:
DEPTH OF WELL ,'! 5 "aO
STATIC LEVEL OF WATER FT. O
DRAW DOWN FT
GALS. PER HR c2 6"
KIND OF CASING 048A
From 0 Ft. to !F Ft._ X4..J:l i ',C4✓Qy From
Ft. to
Ft.
From Ft. to Ft.X z /QY From
Ft. to
Ft.
/ J EA40c.«
From_q _Ft. to_• 'q Ft,_ kfi�[d _ 6Ats W S ib .vim From
Ft. to
Ft.
From Ft. to Ft. _JV'D t: H.Q..16 From
Ft. to
Ft`
From_.�_L.����ss�� Ft, toAA�T_JFt, 6QEB^710 From
Ft. to—Ft
__ff"404,9
Ft. to
Ft
From Ft. to Ft.._ Q .-) /44 rZ StfginX From
Ft. to
Ft.
From_3_Ft. to Ft. !g4-fi�a►X%4 From
��
Ft. to
Ft.
From—&ILFt, to_2QV0_Ft. __A 400 i_ c C /-7 40- K 4f ^� From
Ft. to
Ft.
From Ft. to Ft. �' J.04 'i
Municipality of Anchorage
• Development Services Department
Building Safety Division
Onsite Water and Wastewater Program `
4700 Bragaw Street S °
P.O. Box 196650
Anchorage. AK 99519-6650
www.muni.orglonsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FORpA SINGLE FAMILY DWELLING
Parcel I.D.5331/-/d COSA# 61ab
1. GENERAL INFORMATION Expiration Date: :7- // - D 7
Complete legal description 11 -1 t-DP_E-rr4- t—o-r �}
Location (site address) J -a M I DDI C—3ZD
Current Property owner(s) S -r,4-rJ Day phone _ foil y - r I ;L -b
Mailing address
Lending agency
Mailing address
Real Estate Agent
Ko
Day phone 9-" :at
Day phone
Mailing Address
Unless otherwise requested, COSH will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates 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 Class 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 validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Eeg(e River Engineering Services
Name of Firm 10491VFLAt0,4 c "32Bt PhoneGgLl-15I°IS
Address Fa—le River, AK 99577
Engineer's Printed Name ('hri5ivnlner UyooC� Date 3/2B Z:
5. DSD SIGNATURE
V" Approved for _ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
CHRISTOPHER R
CE10387
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By. Original Certificate Date: 7 — ' a
(Wv 11105)
Municipality of Anchorage
' Development Services Department
Building Safety Division
On-Sde Water & Wastewater Program
4700 Bragaw, Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onske
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: ML -T>;? tT* LoT Parcel ID: 05-0 - 3 3 I - I
A. WELL DATA
Well type-EJ?LIC/T If A. B, or Covide PWSID #
Pr Well Log ON) 1k5
Date completed �(o/$ 3 Sanitary seal &N) _Etf> Wires properly protected (ON) eE,5
Total depth ��ft. Cased to eft. Casing height (above ground) I c) in.
FROM WELL LOG AT INSPECTION
Date of test (0 / U 3/ q / n3
Static water level a -O -O ft. I N } ft.
Well production 3t- O.4- g.p.m. I.S g.p,m,
WATER SAMPLE RESULTS:
Coliform _ colonies/100 mL Nitrate _ I • H q mg/L Other bacteria Z
colonies/100 mL
Arsenic: _ Z mgA Date of sample: &&O'T Collected bT.. C-->'IAPLFs p,Ac RtN L
B. SEPTICIHOLDING TANK DATA
Tank Type/Material sc-, �>TI (- 15--rT---t= L Date installed —9 O
Tank size IA SD gal. Number of Compartments D- Cleanouts 014) YC-
Foundation
CFoundation cleanout (SIN) 21ES Depression over tank (Yo L 0 High water alarm (Y A� OO
Date of pumping _ Z 1 L{ X 06 Pumper -Tie-' 5-PLAt-A P 1 o Cr
C. ABSORPTION FIELD DATA
Date installed 15 O 4 Soil rating toor ftz/bdrm) I . a- System type nF(!NL otAj `Tpint (Ff
Length 53 ft. Width 5 ft. Gravel below pipe + ft.
Total depth ,I— ft. Eff. absorption area 232W Monitoring tube 147 Depression over field M0
Date of adequacy test 3 19 / D} Results OFail)ids S For --4_ bedrooms
Fluid depth In absorption field before test _(2� in. Water added /OoCgal. New depthg in.
Elapsed Time: _10 min. Final fluid depth _Z_ in. Absorption rate > (0 00 g,p,d_
Any rejuvenation treatment (past 12 mo.) (YO& type) f�)nrJF- w to u 1 If yes, give date r, 1
D. LIFT STATION
Date installed Size in gallons
O
'Pump on' level at_ in. 'Pump off" level at
Datum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/iift station on lot r 100 r
Absorption field on lot i I n0 r
Public sewer main 100
Sewer /septic service line
Animal containment areas
Manhole/Access (YIN)
High water alarm level at in.
Meets alarm & circuit requirements?
On adjacent lots 'r Inc
On adjacent lots -t 100
Public sewer manhole/cleanout t I
Holding tank + 9-S '
Manure/animal excrete storage areas +100'
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation t 5 ' Property line -r r Absorption field -t-
Water
Water main 4-10 ' Water service line I �� ' Surface water t 100
Wells on adjacent lots 4100
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property lineice` Building foundation -1-10' Water main t 10'
+ I�� r Driveway, parking/vehicle '
Water Service line +10' Surface water Y. P 9/vehicle storage 14
r
Curtain drain t C'0 r Wells on adjacent lots
F. COMMENTS
r.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name (tw r t toe (tie r- )Uyed
Date 3 I / Z`6/0-4
COSA Fee $ I/3 0 Waiver Fee $ _
Date of Payment q. 107 Dale of Payment
Receipt Number ng -2-73< Qil�w Receipt Number
(Rev. 11105)
SCS Refl
1070963001
Client Name
Eagle River Engineering
Project Name/a
fiildreth Lot 4
Client Sample ID
I lildreth Lot 4
1llstria
Drinking Water
PWSID 0
Sample Remarks:
All Dates/rimes are Alaska Standard Time
Printed Datd ince 03212007 8:16
Collected Date/Time 03/092007 11:30
Received Datealme 03/092007 16:33
Technical Director Stephen G Ede
Parameter Allowable Prep Analysis
Roults PQL Units Method Container ID Limits Date Date
[nit
Metals by ICP/MS
Arsenic
Waters Department
Total Nitrate/Nilriie-N
Microbiology Laboratory
Total Coliform
ND 5.00 og/L EP200.8 C (<IO) 03/13/07 03/14/07 TK
1.44 0.100 mg/L EPA 353.2 B (<IO) 03/09/07 AZS
0 coi/100mL SM209222D A (<I) 03/09/07 DPT
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,!
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or -directions)
(uj ' Applicant Name f�� ' �� Telephone: Home Business
Business
Applicant Address.: i /'Pp1�%�7d �� s n{°r%� /�l� 9 Y507 --
(c), Applicant is (check.one)::Lending Institution ® ; Owner/builder ; Buyer 0 ; Other E] (explain);
(d) Lending Institution
Address
(e) Real Estate Company and Agent fes'
Address ' cko _ i�r% wzr A?))
Telephone
Mail the HAA to the following address
2. TYPE OF RESIDENCE
Single -Family Multi -Family Other
Number of Bedrooms _ t
3. WATER SUPPLY
Individual Well
Community 0 Public El
Telephone
Ci ft/ti`iJ1 € flGTi'1/` f.�C)fJf
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 E7
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Pagel Of 2 72.025 (M84)
5. ENGINEERING FIRM PROVIDINu INSPECTIONS, TESTS, FILE SEARCH, DAl <k 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 _ p G] _ Telephone __!5/Z /` :i e' O6 _
Address
Date
p0ib-A ✓a1 4. &1,0 -Ai
/ f/�N // f lP•!Ta, G r/V ril G -`rte Gs'%a xk, 0/,-.
6. DHEP APPROVAL
Approved for 'l' ":
Approved
/alllil"�'1J ("-/'r -Yb
bedrooms by Date
Disapproved
Terms of Conditional Approval
Conditional
CAUTION
s-&
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)
12
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
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
GvT 15Lor'!� ��A %/I•✓ 9//J Sic S
Location (address or directions)
(b) Applicant Name ZW%:5• '641- Telephone: Home �% - �09� _ Business
Applicant Addressob'
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder; Buyer El; Other El(explain);
i, ,
(d) Lending Institution Telephone
Address
(e) Real Estate Company and Agent Fe/lt7 ea7&W /J fd � �7k/<frS //Cir)GS G�,c ccrr�
Address _ gp70U /fi?PTizu t'l�. lbelli/
Telephone -3 UjO�
(f) Mail the HAA to the following address:
/zov GSI 33'-- ,.Sii iT� jj
2. TYPE OF RESIDENCE
Single -Family Multi-Famil ❑ Other
Number of Bedrooms
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.
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.
,
Pagel of 2 72-025 (11 /84)
5. ENGINEERING FIRM PROVID INSPECTIONS, TESTS, FILE SEARCH, C 1 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
Address
Date
OW 41f3i,1/7 /x/ 5AA-'- * ,
Telephone — _5-�i-504
9y'soj
6., DHEP GAvPw�1aNAL—
Approved for " _bedrooms by �' •"'''"Q' Date 3
Approved Disapproved
Terms of Conditional Approval '
9— ®`f
C0f
I Kir ¢►'O M1
Conditional
M
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORA(;6
DEPT. OF HEALTH &
MUNICIPALITY OF ANCHORAGE (MOH1 ENVIRONMENTAL PROTECTION
HEALTH AUTHORITY APPROVAL (HAA) NAR 07 g 186.
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description: �a�K MUM/ -
A.
M/
A. WELL DATA
Well Classification If A, B, C, D.E.C. Approved (Y/N) 1,14
Well Log PresentY N) _ Date Completed Yield>�
/ `�
Total Depth 0O Casedd to /7 -3 Depth of Grouting A/%}
Static Water Level L� /fig 5 _ Pump Set At e
i
Casing Height Above Ground Sanitary Seal on Casing&'V)
Electrical Wiring in Conduit(ON) Depression Around Wellhead (YN
Separation Distances from Well: i
To Septic/Holding Tank on Lot �%Z On Adjoining Lots
To Nearest Edge of Absorption Field on Lot ��'S _ ; On Adjoining Lots � fi
To Nearest Public Sewer line VIA To Nearest Public Sewer
Cleanout/Manhole To Nearest Sewer Service Line on Lot _ I)LI19—
Water Sample Collected by 5 r1. 106- —;Date
Water Sample Test Results f 7 0�
Comments GL F4or,) �5T /�%'��•
B. SEPTIC/HOLDING TANK DATA
Date Installed 7'9-�'3 Size IZ� 6& No. of Compartments 2�
Standpipes ON) — Air -tight Caps(Y N) Foundation Cleanout(Y N)
Depression over Tank (Y(N) — _ Date Last Pumped 04/f>AW7_5
Pumping/Maintenance Contract on File (Y/N)'14J/'4 ;for �14
Holding Tank High -Water Alarm (Y/N) l d Temporary Holding Tank Permit (Y/N) 'd /%
Separation Distances from Septic/Holding Tank:
To Water -Supply Well /7Z -
To
7L -To Property Line 0-0 't
To Water Main/Service Line — W/4
Course Aw
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments �°/M 44171 e.3 Akd'T / 0-J 7kHi)//I6 7_406k 'Tb 60T 'TO llm-$t= - eWAlTiox/ ,
Page 1 of 2
72-026(11/84)
4 �/ /1iu-v1Per`E/
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata //0 eIMPAI Type of System Design
Date Installed �- Length of Field
Width of Field �" ' Depth of Field
Gravel Bed Thickness
Square Feet of Absorption Area Standpipes Present 0N)
Depression over Field (Y N) Date of
Last Adequacy Test
Results of Last Adequacy Testb��luE-
Separation Distance from Absorption Field:
To Water -Supply Well SFS To Property Line /CIO �
i
To Building Foundation To Existing or Abandoned System on
Lot On Adjoining Lots Zj�7-0 1'2'" /
To Water Main/Service Line .�j/? To Cutbank (if present) N/�
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area SD / f
Comments
D. LIFT STATION N
f!
Date Installe
Size in Gallons
"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)
�pings during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I h�chj%ked, erified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed G _ �— Date L'7- 1f//
Com anCf MOA No. 8a OZ V��
Receipt No. e �% Sg c) Li Y �'ia 00o zri -sI Q^gyp d of f','
Date of Payment
Amount: $
a roy C. Rei t, Jr.04Q0 N 2251
Page 2 of 2 �4'``PQ(f S`
72-026 (11184) -
ALASKA �i01RO mCnTAL CO1ITROL
engineerinq & enutronmenlal Studies
JEANETTE GRIGGS
8400 HARTZELL ROAD
ANCHORAGE ALASKA
99507
semices, Inc.
SELLER—DAVIE ELLISTON
LEGAL:HILDRETH IAT 4
ADEQUACY TEST FOR SEWER SYSTEM
ADEQUACY TEST DATE -1/7/86
MUNICIPALITY OF ANCHORAGc
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
lY1aR 0
RECEIIJ0ED
2/27/86
JEANETTE GRIGGS
8400 HARTZELL ROAD
ANCHORAGE ALAS KA
99507
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 512 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 865 GALLONS,
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
4 BEDROOM HOME.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR
THIS 4 BEDROOM HOUSE.
THE SEPTIC TANK/PAC KAGE PLANT HAS NOT BEEN PUMPED WITHIN THE PAST YEAR.
THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER
SUPPLY OR WASTEWATER SYSTEM.
FLOW TEST ON WELL
WELL FLOW DATE -1/7/86
THE WELL FLOW RATE WAS 5.3 GPM FOR 4.9 HOURS.
THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME.
ADDITIONAL COMMENTS :
2 HOURS AFTER WATER OFF NO RECOVERY �, O�:�tb
PUMP RUNNING T�zO FILL APPROXIMATELY 1000 sV. agog an
• k a°p �0� d
•m
GALLON STORAGE TANK. ��{,.•° °0°° Ghd
��kkikkik. _°aea ®ek®k 0a°kaa8�®(�
9 S
ku aeas a •.. .ok .a r
lero C. Reid,
0°, No.
, 251 E• , "`��
• a
1200 West 33rd Auenue, Suite B • Anchorage. Alaska 99503 9 907) 561-5040
ALASKA ENVIRON""ENTAL SHEET NO
CONTROL SERVk , INC.
1200 West 33rd Avenue, Suite B CALCULATED BY
ANCHORAGE, ALASKA 99503 CHECKED BY
(907) 561•5040
SCALE
SEPriC �--
TAr1K
5/P �
M. W/moi/ DF /-
— DATE___ -
DATE-----
%3a
(/�a_
UVj
t DEP . 0 OF ANCHORAGE
ENVIRONMEP HEALTH &
NTAL PROTECTION
10/1"
REC iVED
Time
APPLK Ni FILLS OUTUPPER HAI ONLY
Property Owner
Phone
Mailing Address;'
"�L 4
%� i Zip Code
Buyer
Date
Address
Zip Code
I -ending Institution
J
Inspector
Phone
Address
Inspector
Zip Code
Realty Co. & Agent
Phone
Address
Zip Code
X-; A
Legal Description
t
HOV
";treat Location
Type of, Residence
OF APPROVAL
DISAPPROVED
VSlngle Family
CONDITIONAL APPROVAL'
F1 Multiple Family
No. of Bedrooms
BY: j Al
11 Other
SoilsRating Date Sewer Installed Well To Absorption Area
—lio
Well Log R�acejzwed
og
Water Supply
Septic Tank Size
Sept c Tan S e
1,114vidual
ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
El Community
For wells drilled prior to that date, give well depth (attach log if available).
F1 Public Utility
Sewer Disposal
11 "Individual
Year Individual Installed:
0 Public Utility
When Connected to Public Utility:
F-.1 Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
Time
lime
Time
Time
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector
Field Notes:"'I
NJ' '0 0
PAUTY F ANCHORAGE
X-; A
t
HOV
CA16 E C E I
I APPROVED BEDROO S *CONDITIONS
OF APPROVAL
DISAPPROVED
CONDITIONAL APPROVAL'
DATE
BY: j Al
SoilsRating Date Sewer Installed Well To Absorption Area
—lio
Well Log R�acejzwed
og
Well to Tank
Septic Tank Size
Sept c Tan S e
1�',1cia"Edh
ktA L
MUNICIPALITY OF ANCHORAGE
® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 4-J
Environmental Health Division '
CASE REVIEW WORKSHEET
CASE NUMBER:
S-8261
DATE RECEIVED:
August 6, 1985
COMMENTS DUE BY:
August 30, 1985
SUBDIVISION OR PROJECT TITLE:
Lot 4A & 4B Hildreth Subdivision <� f/_
A
( ) PUBLIC WATER AVAILABLE ( ) PUBLIC SEWER AVAILABLE
( ) COMMUNITY WATER AVAILABLE
COMMENTS:
etie - (. fJ C£_'h'E�-.�.
11�
• � C 2Y t� SOILS LOG
MUNICIPALITY OF JCHORAGE
e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99601 264.4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: —JV Lj--7-1 ��i< C �,d( DATE PERFORMED:— s—• /-5- — R _
LEGAL DESCRIPTION: /.ate 4 �G=Ln�'G-"7-7'� J1 'f5-jEiq-
DEPTH 0" OtZG4'1�1 Ir -SLOPE SITE PLAN
1
COMMENTS
WAS GROUND WATER
ENCOUNTERED'
IF YES, AT WHAT
DEPTH?
S
L L
O
P
E
Reading
i FEET)
Gross
Time
9
Depth to
Water
Net
Drop
10 _1
D
2
`moo.
3
o
0
GW
4
v .
I
•o.
5
v u
J c
6
7
e
15
COMMENTS
WAS GROUND WATER
ENCOUNTERED'
IF YES, AT WHAT
DEPTH?
S
L L
O
P
E
Reading
Date
Gross
Time
9
Depth to
Water
Net
Drop
10 _1
D
C..
11
I �
12
I
L1
13
14
15
Z t
16
w
17
� �-�•, imbort A. Shah
n.
,• No. 1657-E18
20
COMMENTS
WAS GROUND WATER
ENCOUNTERED'
IF YES, AT WHAT
DEPTH?
S
L L
O
P
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
I �
t.�
r
PERCOLATION RATEIminu(eslinch)
TEST RUN BETWEEN AND __e_ FT
n
PERFORMED BY: • Rp CERTIFIED
qtr
SRB 19o:iG A
r. ... LE �11>.;Ea ALASiC e Vw� ej (j ! €
DA
r