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HomeMy WebLinkAboutMOUNTAIN VALLEY ESTATES BLK 2 LT 4Onsite File Mountain Valley Estates Block 2 Lot 4 #050-631-12 trcev uaivu_i 0) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OS221043 PID Number: 050-631-12 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: X New ❑ Upgrade Name Michael Matey ABSORPTION FIELD El Deep Trench XWide Trench El Bed E] Mound ❑ Other Site Address 4830 Birdsong Drive Phone Number of Bedrooms Soil Rating depth from original grade 3 1.2 GPD/SF JTotal 7.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.0 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Mountain Valley Estates Block Lot 2 4 Fill added above original grade 3.0 Ft. Gravel length 45.0 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 450 FF Number of trenches 1 Dist. between trenches Ft. Well 98.6 112 100'+ NA 25+ TANK ❑i Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Tank Capacity 1250 Gal. Surface Water 100'+ 100'+ 100'+ NA Material Number of compartments Lot Line 10'+ 10'+ 10'+ NA NA Polyethylene 2 Foundation 10.2 10'+ 10'+ NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer Homeowner PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield 3034 Co/MT 3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 100 ft Inspect sn vt 8/19/22 Yd 8/23/22 2nd 8/22/22 4" 8/24/22 Location and description Garage FF ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF P'• • • •...• .... .. .. ....... • • $even annoRe CE 8149 .o Septic SysterA Approved pp Date 112- 2 Note: Note: this appro does not include well permit requirements. trcev uaivu_i 0) v \ RC2 DESIGN PARAMETERS I TH-1 PRIMARY/ RESERVE SEPTIC SYSTEM I 1 ANO. BEDROOM: 3(450 gpd) TANK SIZE: 1250g \ Jam) 1 PERC RATE: 1 MPI SOIL RATING: 1.2 GPD/SF \ 3BR 19.7 \AREA RQD: 375 SF \ SFD B SYS. TYPE: WIDE TRENCH 4.0'ED \ (N) MIN LENGTH: 37.5 LF \ M . USED: r� \ 45LFx5'Wx4.0' E.D., 7.0' TD �\ TOTAL AREA: 450 SF \ SEPTIC\n \ A AREA \ � \ L O T 4 I ABBREVIATIONS\� I WELL E l TH TEST HOLE (P) PROPOSED I (E) EXISTING 1 CO CLEAN OUT NO.0� I �660J MT MONITOR TUBE N0. r1665J TYP TYPICAL / I ET EXISTING TANK I 0 w > O O w 0 O z z X: m ¢ ¢ ¢ w U :2U 0 U 92.2] NEW 92.0------ --:=- 1250g 91.7 SEPTIC TANK 87.7• \ \7 777 FILL PLACED ONENTIRE AREA \ \ \ Y DOWNHILL OF HOUSE w\ W AND \ \ OT LINE DRIVEWAY TO \ I 8.0' AIN ozg U 26. \ \ I \ I \ PRIMARY(NEW)/RESERVE(P) ABSORPTION -M1 rltLIJ �C 1 45 LFx5.0'Wx4.0' E. D., 7.O'T. D. -DCO \ \1 T2 \ \ \ r T1J INSTALLED 1250c1al SEPTIC TANK INST 1 FOUNDATION CLEAN OUT BEFORE AND \ DOUBLE CLEAN OUT AFTER 98.6 I I L1 5J Fi-640J F1:6 -5 / 11650] / 55J O � F- I \ a_ --I-II o FILTER FABRIC m O z o DRAIN PIPE w z ¢ 0 DRAIN ROCK 6" v ABOVE PIPE IN FINISHED GRADE 97.7- Hi ORIGINAL GRADE NOTES: PANNONE ENG SVC, LLC RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DRAWN BY: DRM MOUNTAIN VALLEY ESTATES, BLOCK 2, LOT 4 MICHAEL MATEY - 4830 BIRDSONG DRIVE PLAN EAGLE RIVER, AK TEST HOLE 1 -1.0 OR 1.7 -3.0 SM/GM 7.7 GW/ GP -13.0 82.7 (DRY) 9/21/21 8/22/22 Date 1/13/2023 Scale 1"=40' P.I.D. NO 050-631-12 PERMIT NO. OSP221043 Sheet 2OF2 A B T1 18.2 29.9 T2 23.5 31.8 DCO 24.2 32.1 C1 30.5 31.9 M 1 34.0 1 30.4 C2 64.7 33.5 M2 57.4 27.2 v \ RC2 DESIGN PARAMETERS I TH-1 PRIMARY/ RESERVE SEPTIC SYSTEM I 1 ANO. BEDROOM: 3(450 gpd) TANK SIZE: 1250g \ Jam) 1 PERC RATE: 1 MPI SOIL RATING: 1.2 GPD/SF \ 3BR 19.7 \AREA RQD: 375 SF \ SFD B SYS. TYPE: WIDE TRENCH 4.0'ED \ (N) MIN LENGTH: 37.5 LF \ M . USED: r� \ 45LFx5'Wx4.0' E.D., 7.0' TD �\ TOTAL AREA: 450 SF \ SEPTIC\n \ A AREA \ � \ L O T 4 I ABBREVIATIONS\� I WELL E l TH TEST HOLE (P) PROPOSED I (E) EXISTING 1 CO CLEAN OUT NO.0� I �660J MT MONITOR TUBE N0. r1665J TYP TYPICAL / I ET EXISTING TANK I 0 w > O O w 0 O z z X: m ¢ ¢ ¢ w U :2U 0 U 92.2] NEW 92.0------ --:=- 1250g 91.7 SEPTIC TANK 87.7• \ \7 777 FILL PLACED ONENTIRE AREA \ \ \ Y DOWNHILL OF HOUSE w\ W AND \ \ OT LINE DRIVEWAY TO \ I 8.0' AIN ozg U 26. \ \ I \ I \ PRIMARY(NEW)/RESERVE(P) ABSORPTION -M1 rltLIJ �C 1 45 LFx5.0'Wx4.0' E. D., 7.O'T. D. -DCO \ \1 T2 \ \ \ r T1J INSTALLED 1250c1al SEPTIC TANK INST 1 FOUNDATION CLEAN OUT BEFORE AND \ DOUBLE CLEAN OUT AFTER 98.6 I I L1 5J Fi-640J F1:6 -5 / 11650] / 55J O � F- I \ a_ --I-II o FILTER FABRIC m O z o DRAIN PIPE w z ¢ 0 DRAIN ROCK 6" v ABOVE PIPE IN FINISHED GRADE 97.7- Hi ORIGINAL GRADE NOTES: PANNONE ENG SVC, LLC RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DRAWN BY: DRM MOUNTAIN VALLEY ESTATES, BLOCK 2, LOT 4 MICHAEL MATEY - 4830 BIRDSONG DRIVE PLAN EAGLE RIVER, AK TEST HOLE 1 -1.0 OR 1.7 -3.0 SM/GM 7.7 GW/ GP -13.0 82.7 (DRY) 9/21/21 8/22/22 Date 1/13/2023 Scale 1"=40' P.I.D. NO 050-631-12 PERMIT NO. OSP221043 Sheet 2OF2 j' ; ,, 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 * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV231000 COSA#: Permit#:OSP221043 PID#: 050-631-12 Legal Description: MOUNTAIN VALLEY ESTATES BILK 2 LT 4 Engineer: Pannone Engineering Services Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 98.6 feet. This waiver approval applies to the existing septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: /?72 Approved by: 1LZCG, Name of Review,e ............................ ■ ............................N;-/" ■ ■ ............... ■ 1 **** VARIAN C E/WAIVER REVIEW **** Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com January 13, 2023 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Mountain Valley Estates, Block 2, Lot 4 Septic System to Private Well Waiver Request Ladies and Gentlemen: I am writing to request a separation distance waiver down to 98.6 feet, between the existing well on the subject property and the new drain field on the same lot. The well radius to tank distance was staked at the time of installation, but the final survey as -built shows the tank just inside the 100' well offset distance. The groundwater in the area generally slopes from east to west in the area, with the wellhead ground surface elevation slightly higher than that at the septic system. The worst-case scenario is the separation distance between the absorption field and the private well as outlined under 18 AAC 80.020 and 18 AAC 72.021(a), I have calculated the following points: Mailing: P.O. Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Kasilof Hills, Block 5, Lot 11 Septic Svstem to Well: Distance from sewer system bottom to groundwater 7.5 Soil sorption below sewage system 2.25 Soil permeability below the system 0,9 Water table gradient 0 Horizontal separation 2.90 Total Points 13.55 The sum of the above values could equate to the following conditions: 12-16 No bacteriological pollution possible but chemical pollution possible but unlikely from household chemicals. Please contact me if you have any comments or concerns. Sincerely, 2023-01-13 Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer 0 7W D p v M Lot 3 mo I - > 4=3-U3 34 ' E 165.03 GRAVEL DRIVEWAY \ I �\ �I O YELLOW PLASTIC CAP -0 U77LITY POLE >---< E VOE OVERHEAD UTILITY LINE i D SEP 77C PIPE \ 211 F - PAVED ROAD EDGE GRAVEL GRAVEL DRIVEWAY 'o G9l sz \ \ M \o r 0 2 STORY HOUSE` ��� p� �\ \ A M 0� m 34 2 6.1' 64.5' 3 \ \ Lot 15 0 51.6 o g \ \\ \�0. Ov OsP ^j 1 \ w v+ \ \ \ N C° 6.1' 14.0' 34.2 v \ \ 54.4 �\ 30 '\ \ coo w N 153.01 FOU D REBAR S 26' N�Q'21'22"E P00US NST OF COMPUTED Lot 5 1 1 , x Byrd ,6-1 6;7 The Boutet Co. 601 East 57th Place Suite #102 Anchorage Alaska, 99518 PHONE (907) 522-6776 FAX (907) 522-6779 0 50 100 Feet DATE OF SURVEY: 10/16/2022 OF A k�°�4 49TH* ........... ... ................ .. . .. . m Anthony P. Hoffman a Q4in LS -9020 •• c �p eaA 1t/�,Z/,ZO;Z,.Z�a�ooO fessiono� �oo FLEGIEND O 5/8" REBAR ® 5/8" REBAR W77H YELLOW PLASTIC CAP -0 U77LITY POLE >---< 12" CMP OE OVERHEAD UTILITY LINE O SP SEP 77C PIPE ® WELL CASING F - PAVED ROAD EDGE GRAVEL , x Byrd ,6-1 6;7 The Boutet Co. 601 East 57th Place Suite #102 Anchorage Alaska, 99518 PHONE (907) 522-6776 FAX (907) 522-6779 0 50 100 Feet DATE OF SURVEY: 10/16/2022 OF A k�°�4 49TH* ........... ... ................ .. . .. . m Anthony P. Hoffman a Q4in LS -9020 •• c �p eaA 1t/�,Z/,ZO;Z,.Z�a�ooO fessiono� �oo MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://vnvw. muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221043 Effective Date: Work Type: Septic Initial Mn De partin en r 3/23/2022 Expiration Date: 3/23/2023 Tax Code Number: 05063112000 Site Legal Address: MOUNTAIN VALLEY ESTATES BLK 2 LT 4 G:0658 Site Mailing Address: Owner: MATEY MICHAEL J Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the. construction of Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Lot Size in Sq Ft: 45929 Total Bedrooms: 3 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: I. 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 requiresinspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: gF �ysr ', tvQ �ield moven, wo"Vcr re rntr�d. Date: Date: ��23�Z-7 MUNICIPALITY OF ANCHORAGE - Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-631-12 Property owner(s) Michael John Matey Mailing address 11177 Aberden Cricle #B Site address NHN Birdsong Drive Eagle River, AK Legal description (Sub'd., Block & Lot) Mountain Valley Estates Block 2 Lot 4 Day phone Legal description (Township, Range & Section) Lot Size 45,929 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption FieldX❑ Initial 0 Single Family (SF) X❑ Septic Tank EXI Upgrade ❑ (w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy F1 Multiple Multiple Dwellings ❑ and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 4-535 Waiver Fees: Date of Payment: 3��Z 2 Date of Payment: Receipt Number: 6)331_1; Z G Receipt Number: Permit No. O S Pa a 1 d y 3 Waiver No. Permit App__- :- :-.,:c Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com August 19, 2022 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. 0. Box 196650 Anchorage, Alaska 99519 Subject: Mountain Valley Estates, Block 2, Lot 4 Septic System to Steep Slope Waiver Request Ladies and Gentlemen: I am writing to request a separation distance waiver between the proposed septic system and a slope of greater than 25% to eight feet (8'). The soils in this area are typically Hydrologic Soils Group A which contains organics underlain by silty sand and silty gravel (sm/gm), with a well graded to poorly graded gravels below, as shown on the soils log. Due to the nature of and drainage capacity of the soils found in the area (HSG A) the designed infiltration line of 45% for septic system installation on steep slopes should be used instead of the assumed/worst case soil classification infiltration line of 25%. The slopes and soil types enable installation of any system without the system effluent "daylighting" at any distance of concern. Granting this waiver will not pose a threat to the safety of this lot or the surrounding lots. Please contact me if you have any comments or concerns. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer August 19, 2022 Attachments: -Site Plan Anchorage Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Palmer Mailing: P.O. Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage On-site water and wastewater REVIEWED FOR CODE C:OINPLIANC Pannone 1 n r I n e ry 6 C S LLC osp221o43, Deb m k 03,2, Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com 21 March 2022 Subject: Mountain Valley Estates Block 2 Lot 4 Septic System Permit Request Design Narrative This is a design narrative for a permit to install a septic system to be issued for this property. The proposed systems will serve a newly constructed three-bedroom (3) house. Currently the lot is undeveloped. This lot and few surrounding lots are served by private wells. Currently there is no septic systems within 100 feet of the proposed system. J. Soils. Located central on the subject lot is a pre-existing test hole at an approximate elevation of 1645'. At this test hole, ground water was not observed to a depth of 13.0' and bedrock was not encountered. Based on the - results of this test holes percolation test; an application rate of 1.2 gallons/day/square foot was used for conventional wastewater system placed west of the existing test hole. Additionally per AMC 15.65.210c all surrounding lots on this block (uphill of Birdsong Drive) have had test holes completed. The surrounding soils logs are attached. The test holes were all dry to the bottom, depths being 12'-17', and percolation rates were consistent with the subject lot, the only outlier being one hole at 20-mpi that is located over 300' away. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water. 4. Topography: See attached site plan for area topography. The lot slopes generally from west to east at approximately 30%. All provisions of AMC 15.65.210a will be met. No slope within 100' of the system exceeds 46%. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and no further comments are received from MoA On -Site Department, the note will be removed and "For Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at 745-8200. Sincerely, Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 "T7 0 m 0 -p i . yDr-OOv'S 8COo ..W ? rll< DDrn110m CO Oo ICCA O m D p '77 ZcnL m z CD D rl m—Z7Z �O O f r0 r DODrc�T�D(n DN 0 <� mx N C >CnmOpD r>00 C z zoc)0 _-I D = G7 0 iU) C� 0c: 0 m O I I Wx �� (�0 �I J� J� -i �rn Ut �oZ7 m -'z (n O O z O m r -I to -o ^ cn TI "T1 Gi - -< O m m m D *I _ m (V O m 01 U) r'-- m A v o 0 n \ Ln rrl to s m —i m a -i = n a fel U2 0 41 mCi uCi m o \ fTl 0 Div t -•z w ww, d CII --Io - --w /T— w i 'Q , i -0 1 �7-10 / J// / t J(O 77 Ln F— Ln -I-I CC) �� m 1 m...... .... .. ...... .. IV Z 760' L5 SEPTIC\ __moi =7 V ��. J �� \:: 1 AREA� � ,i' Z/ 1 m m z �r cam 0� rv` o 00 _ -k/co m �_7' co J/' __ M M !rr / xRD i 1 m O r- a I ::Ec{ _i r x rTt r Z ;u w ODUJ O DODO' �t -I m D ED OZ -1 O 0p Z N� C _ _ cc) ijn 0 I r OC rry Ln / - NOTES: PANNONE ENG SVC LLC C.O. 1088) ".... REVISIONS DATE CHANGE ORDER P.O. BOX 1807 PALMER, AK 59645_'p(E. �F AtgS'4 REV 03/16/2022 08/19/2022 PHONE (907) 745-8200 FAX 907) 745-8201 _ ��.. !ry',SCALE 49 MOUNTAIN VALLEY ESTATES, BLOCK 2, LOT 4P.I.D. NO DRAWN LSC MICHAEL JOHN MATEY Steven R. Pannone 050-631-12 ce-et,s : ��= PERMIT N0. NHN BIRDSONG DRIVE '�,;��. ..��;_ osPxxxxxx SITE PLAN EAGLE RIVER, AKssta'P SHEET '' �� .,...." 1 OF 2 Im lz !c' > fh C ;o O X rn z z > rn U) i X ;o — > z 0 rri > m >< 0 0 F, (n Z > -n ;u 0;0 > O O"1 0 LOT LINE NOTES: PANNONE ENG SVC, LLC (C.O. 1088) REVISIONS DATE P.O. BOX 1807 CHANGE ORDER PALMER, AK 99645 . . . . . . . 08/19/2022 PHONE (907) 745-8200 FAX (907) 745-8201 SCALE P.I.D. NO MOUNTAIN VALLEY ESTATES, BLOCK 2, LOT 4 ....... q - ... ............. L,-. - - -4 050-631-12 DRAWN MICHAEL JOHN MATEY �o% Steven R. Ponnono CE -11149F PERMIT NO. . 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A M N _ M '-i >> A O O O O A 4 W J ,,, 4 ,�, R. m 0 V1 [) Z � m fTl m m N- O A to t11 N N 0 0 p N O 0 Jc O MM 4 1 4 1 N = I E I K I K 1; 1 1 K 1 E 1; 1 T y m z 0 Z Z 2 Z 2 Z Z 2 Z ME m Z S J b G b W tO i b G �D U b W ID G IO W t� U Q '-I 11D A S 2 -i an 1 m 1 m 1 m I m I I m I m 1 m 1 0 1 0 l o f o f o o f o f o f o f O I o o f o f 0 1 0 l o f o f o f o f 0 1 0 NOTES: PANNONE ENG SVC, LLC (C.1. 1088) """"t11 REVISIONS DATE FOR CONSTRUCTION P.PHO�E (907102�2482A$CHOXA(90 AK 99510 11 _ �P(E.�F•A��S''I, REV )371672-022 03/21/2022 _ �_• �q h, SCALE MOUNTAIN VALLEY ESTATES, BLOCK 2, LOT 4 P.I.D. NO DRAWN DRM MICHAEL JOHN MATEY — StwenR.Pannone , 050-631-12 NHN BIRDSONG DRIVE ', CE -8149= PERMIT NO. SOIL LOG ' ,' .. _.... �_= osPxxxxxx EAGLE RIVER, AK SHEET Septic System Owner -installer Agreement The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner to perform work on an on-site wastewater disposal system to serve that individual's owner - occupied, single-family or duplex home if the homeowner meets and agrees to the following requirements: 1. The property owner and excavation equipment operator may perform work on no more than one owner -installation project in a 12 -month period. 2. Owner's projected active involvement with the installation: j,LI r r- 4 a,( u j`"t D,.., „ c <' we I( r �,, s 1./ t 14-1( i� P-,2 d •}-A„ � � fs0 0C,-9 �e Gt/ -4-1,!r,.a f,• Sy5Al- 1 3. The name of the excavation equipment operator: 3>A ^ /;%= C�r.K •'c% 4. 1 agree that there will be no monetary compensation for installation services rendered. 5. The name of the inspecting engineer: Da., Mo, u n 2 4-, n an c �r 6. 1 agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On-site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. As owner of (legal description) �_ F "/ gloGk 2 doh fn.'., �/,} (t<„ �S K a I agree that the information above is true and accurate. Owner's printed name: %l'I '�� a� ( Le Owner's signatur<"----, Date: (" 2 '� :�����.��i1�ng�A►ddres��µA��U,. Bax�19�6�Q i���hacage; l�laska �95a9�G�54�*w�muri,����� �� ��, MAWTAMIT lumillill(D Tllmm�; nox 1369, SwAn ]Ltou-rE A ANcmoRAcjE,, AX-ASHA. 9950a 1201 Raaana St. 99515 344-7714 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 155 A. DRILLED AT THE RATE OF PER FOOT. PROPERTY OWNER BeAn-l-e C� 01- R(=PgAt D 00&k4. LOCATION OF WELL SITE —Lt. 4 Bik, .2 ft. lkat�. F-4ta� DRILLER BeVU-p- CiaU4 O� RamPa-'It WELL LOG: 0----161 Coa&4e gAw" 20% 4V4aru4 dtV mnte&tat. 16---48, q ha&dpaa mateAtat. cxm"aed 9,t wet... Swemt .howl de 48-- - 94 t R con�?mRAate- ol- ty-token bed tock. itke matz&,i" lZo urate& 94--155' Bed tock. R 4edinenAaA�t tock. Uel haAd. IJatxA Vtet.d o-� thtee Vfll 4&otainq t&oft 136 to 151 A. A Po&ou4 app- Imok-en aAea pudwcinq, a uetV4 "ad � Zow. Ouattttj i -d ai4a vel good. bJate& &ec-cue/vi back up to wtth,&L 35 A o� juAvc . Steet caitng seated Into &ed,,wck at 94 4. Su,Gntefiiai,GLe Puma 4houLd be 4xwtatted 10 to 15 A o4 tratt-on. Th,14 Weit can a- 4o be, deepened 4 ma &e wate& VA. --w t4 nzzded. 123,, 00 pAzt 4. Ila jet �p o,,L t&anipaAtat-t-m coot. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ------------- THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART PRILLING WORKS DATE— fib4ch 26tA, 197-5