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Home My WebLink AboutEKLUTNA HEIGHTS #1 BLK 3 LT 15Eklutna H ights Block 3 Lot 15 #051-06 ! - 17 Municipality of Anchorage ~~'- Development Services Department ~'~'~"- ·. Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw SL "' P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.d.anchorage,ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030134 PID Number: 051-061-17 Name: Larry & Reoina Harville WastewaterSystem: [] New [] Upgrade Address: PO Box 670781 Chuoiak. AK. 99SS7 ABSORPTION FIELD Phone: Number O! Bedrooms: ~R R-RO R 1 3 [] Deep Trench [] Shallow Trench I-I Bed I"1 Mound [] O~er: LEGAL DESCRIPTION s~, ..~.,: Total Depth Irom ~ig!nal grade: 1.2 ~,o~Fr' 8 3 1 S Eklutna Heights No. I 2.97 F,. 5.03 FL 0.9 3 ~t. 3 9 Ft. Well: [] New [] Upgrade o.,.~.,~: .umbe, of,..: Public Water Ff. F, 392 ~r, D3034 & F810 F~ R.P.C. 6/10/O3 Yield:GPM IPump set at: Ft. Icasing Height AbOve c'mund:Ft TANK SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: T'~_ To Septic Absorpbon Lift Holding Public/PrivalMdnulactuteL Capacity: Tank Field Station Tank Sewer Line Anchorage Tank 1000 we, 200% 200'+ NA NA 25'+ M.~..~: , Steel 2 s~.~c~w.te, 100'+ 100'+ NA NA ~ / LIFT STATION ~, L~. 5% 10'+ NA NA~ ~ze. M,nulactui'eL Fo~.~ S'+ 10'+ NA NA 'Pump on' Jevel at. 'Pump o~ ,.~,~ I H~gh water alarm c...~, o,.i. NA *50'+ NA NA ~..p Make & Model Elec~icai Inspections ped<x/l~ed by: *none known BENCH MARK Previously existing septic system Bottom door sill abandoned. ~..u.~ 100 Engineer's Stamp Inspections performed by: KND Enoineefina. Inc Dates: lSt~ ~ "' -'-4,~'H ~ 2"" -6/-11/-Z0 Do¥olopm~nt Servi¢o$ Department Approval ~ ~*i*~lo~ AS-BUILT SYSTEM DETAILS/SITE PLAN Permit SW030134 EKLUTNA HEIGHTS S/D, BLOCK 3, LOT 15 PID#051-061-17 SH4D~,~ I 13 14 15 ..-'' "'... ~LJ O~ 10~ ~"°*-~ I I SC~[[: 1' ~ 50' I B-E=98.9' B-F=90.1' SE~R ROCk ,~.... ..... ~¢~,~ PREPARED FOR: ~ -- . LARRY A REGINA HAR~LLE ~ , CHUGIAK, AK. 99567 · '~e / "~"':FLEU~N9 ~*~: ~9 ENGINEERING ',~;~~ ~' ' s,~ FLEMING ~: KMD 20441 PTARMIGAN BLVD. ' '"' ....... '"~ *~': ~EMIN6 0'~: 10/27/03 EAGI,E RIVER, AK 99577-8736 ~~ "~ "~ ~'~ .w~ [i`~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`~~~~~~~~~~~~~~~~~~~~~~~ ............................... MUNICIPALITY OF ANCHORAGE Development Sen4ces Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: May 15, 2003 Expiration Date: May 14, 2004 Permit Number: SW030134 Legal Description: ',EKLUTNA HEIGHTS #1 BLK 3 LT 15 Design Engineer: 0070 KND Engineering Owner Name: LARRY & REGINA HARVILLE Owner Address: 21212 ROCK PTARMIGAN STREET CHUGIAK, AK 99567- Parcel ID: 051-061-17 Site Address: 021212 ROCK PTARMIGAN ST Lot Size: 18867 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field ~ Septic Tank [--] Holding Tank [--] Privy r~ Private Well [] Water Storage Ail construction must be in accordance with: 1. The attached approved design. 2. Ail 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 calling (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 closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Parcel I.D. 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/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING OF/- O61 - / 7 Permit Number SW O ~0 ! ~- Property owner(s) Larry & Regina Harville Mailing address (1) PO Box 670781 Chuglak: AK 99567 ~address (2) 21ZI Z A pr~N//r~ ~T Zip Code Legal description (Lot, Block & Sub'd.) Eklutna Heights ~1~ Lot 1~ Block 3 Legal description (Se~ion, Township & Range) LotSize /8~ g~7 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Acresl~~ Day phone 2 2 7-1 0 4 0 Number of Bedrooms 3 [] Well Only [] Water Storage [] Jacuzzi [] Water Softening Unit I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Sig of property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: ~D ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 May 3, 2003 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer permit - Eklutna Heights Add. #1, Lot 15, Block 3 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. On April 7, 2003 we performed one testhole for the proposed system. The results of this test are attached. The general slope of this lot is from north to south at a grade of approximately 0-10%. We have designed our system utilizing the testhole that was excavated for the existing 3-bedroom house. An undocumented septic to the west of the house w~l be properly abandoned. The lot is served by public water. We propose to install one wide trench. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, ~'~) Engineering, Inc. K enneth M. Duffus, P.E. Attachments: On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL &: WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN EKLUTNA HEIGHTS S/D, LOT 15, BLOCK 5 1 4 ' ~ GRAIL d Drb.o os , ~ TSEPTIC .. .... . ~ , /TANK .. ... ~s~,c'... ..- ~co~~o -....' I~ ~°~°s~o ~,~,~ r, :~ , ~nMFqTFAD ROAD uSE ~ TRENCH .o ~c ~t~s ~mJN ~'¢ Total depth of s~tem is 8.0' fram original grade. ~.~o s~u. Total depth of grovel below distribution pipe is 5.0'. .o ..~*~ ~s .~. ~' ~ NOTES: No ~PmC S~S ~N 2~ ~ ~ ~ [x~,r,s ,omo. 1. INSTALL 1000 GALLON SEP~C TANK, INSULATE IF < 4' OF CO~R 2. CONTRACTOR ~LL ENSURE M~NIMUM 2% SLOPE INTO SEPTIC TANK. 5. ADDITIONAL FILL ~LL BE ADDED O~R SYSTEM TO ACHIE~ CO~R IF REOUIRED. OR INSULATE TRENCHES ~TH 2" HD BURIAL FOAM. 4. CONTRACTOR ~LL ENSURE ALL SEPARATIONS TO ADJACENT ~~ ~LLS, SEPTICS. LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. LARRY ~ REGINA HAR~LL[ CHUCIAK, AK. 99567 ~ (907) 227-1040 PAGE 1 OF 2 fIELD B~KS C~.O: ..... · -~,,: 0,,, EAGLE RIVER, AK 99577-8736 ~ ~sSIO ~ - 30 APR 03 ~~ o~. ~[: ~ NW146~ I" ..... '"" '"'""" '"'""" "' '"' ...... ""'"'"'""' ...... "Il · ~ ~[: 05014.DWO ~ ~': 03014 (907)696-6 K D PTIC WASTEWATER DISPOSAL SYSTEM DETAILS EKLUTNA HEIGHTS S/D, BLOCK ,3, LOT 15 HOUSE GRAVEL DRIV~ PROPOSE SEPTIC TANK ' 22.5 CO PROPOSED PRI PROPOSED R 0 ARY :RVE 05 1 D LD ELD .,~,~,,,~:,~.~.... · - .... PREPARED FOR: c,uc,~. ~. .................... ~ (SOT) ~7-~o~ ~ FIELD BOOKS c~ %'. ........ ..:~ · ~ ~: 03014.OWG ~cx~:~,: KMD ~)*~: 30 APR O~ ~,o: NWl 461 Scale: 1"= 20' PAGE 2 OF 2 ~~ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-6736 03014 696-611 I/FAX (907)696-8111 ]~X'qD ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 Performed for: Project: Depth (Feet) 1 11. 15- 16- 17- 18- 19- 20- SOILS PERCOLATION TEST Regina Harville Eklutna Heights #1, Block 3, Lot 15 1. ~° "i.,~''''''''.....~.~...:A · ~ Date Performed: 4/7/03 TEST HOLE # 03-1 ORG/OL -red/brown overburden SP-SM/GP -med dense, w/cobbles to 1' B.O.H. HOLE PRESOAKED PRIOR TO TEST SEE ATTACHED SITE PLAN FOR HOLE LOCATION Depth to water after monitoring? DRY Was Ground water encountered? NO What depth? NA Date? 4/14/03 Reading Date Gross Net Depth to Net Time Time Water Drop 1 4/7/03 1:00 8" 2 1:10 10min 1 10/16" 6 6/16" 3 * 1:11 - 8" 4 1:21 10min 1 11/16" 65/16" 5 * 1:22 8" 6 1:32 10 min 1 13/16" 6 3/16" 7 * 1:33 8,, . 8 1:43 10 rain 1 13/16" 6 3/16" 9 * 1:44 8" 10 1:54 10 min 1 13/16" 6 3/16" 11 * 1:55 - 8" 12 2:05 10 min 1 12/16" 6 4/16" · Water Added IPercolation Rate 1.6 (min/in) Perc Hole Diameter 6" Test Run Between ~; feet and 6 feet I, Kenneth fyi. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. ]~ND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907) 696-6111/FAX (907) 696-8111 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: Eklutna Heights Addition #1, Lot 15, Block 3 GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single-family residence on the referenced property as delineated on the attached Municipality of Anchorage (MOA) permit and site plan. 2. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regnla tions. 3. KND Engineering, Inc (KND) assumes no responsibility of the accuracy of the as-built survey provided by the owner or owner's representative. 4. The owner or contractor is responsible to notify the engineer of any discrepancies n~ted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or ttse of dwellings on or adjacent to property, nearby public wells, etc. 5. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land strrveyor prior to construction flags all setbacks. 6. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 7. Unless specifically agreed other~vise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 8. The MOA Development Services Department On-Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK ! HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic t,'mk is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimtun of 12 inches above the final grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be hvo adjacent cleanouts (tmless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. Page I of 3 Reference: Eklutna llts. #1 L15, b3 Date: 05/01/03 Page: 2 o f :3 7. All H.D.P.E. tanks shall have a vertical length of 4-inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high-groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed-up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches abOve final grad6. The pOrtion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: _T,vpe of Pipe perforated ~olid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield grnvel layer and the native soil backfill. 6. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the//200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter materinl, its gradation specification must conform to current MOA or DEC requirements. Reference: Eklutna tits. #1 L15, b3 Date: 05/01/03 Page: 3 of 3 INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic Systems. Th6 failure Of the inspecting engineer'to ' notice a material or construction non-compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing behYeen the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. KND's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS. Owner: Contractor: Driller: 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 51-0 61 - 1 7 HAA # C) /1/- O O _/-7/- 7 " Expiration Date: 3 '" /- O GENERAL INFORMATION Complete legal description EKLUTNA HEIGHT.g #1= BLOCK 3= LOT 1 5 'Location (site address or directions) 21212 Rock Ptarmigan St.: Chugiak; AK 99567 C6rrent Property owner(s) Larry. Mailing address Lending agency & Regina Harville Day phone. 688-8081 Day phone ',.,.. Mailing address Real Estat~'Agent "'Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: TYPE oF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Claudia Montgomery, Countrv. Realty Well [] Day phone 688-F, 000, TYPE OF WASTEWATER DIspOsAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 propedies 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. Mu ipality nic Of AnchOrage, Development ServiceS DePartment : · . . *iBuilding:S'afety Division '~ : On:Sitfi Writer &:Wastewate'r. Program , . :4700'Sduth Bragaw St. : ~i iP.O. Boxq96650 Anchorage, AK 99519-6650': . . wwW.Ci.anchorage.ak.us HEALTH AUTHORITY, APPROVAL CHECKI_IST Legal Descn)t,on:- EKLUTNA HEIGHTS -#1. BLOCK 3.~ LOT 1 5 · i parcel ID: 0 5 1 -0 6 1 - 1 7 'Well:;type Public ! ".} ~lf A, B, or C pi'0vi,de:PWSlD # ',: ~: Date'~compieted ~:'.;~ - Sanith~ ~e~l (Y/N) . .: : :~ . .. '~ .~,~ .- ~ .; .~ ~ ~ _ro_erl__rotected (Y/N) ' ..' Total. , 'depth, .~': ':ft,~:. ~:~. :,. Cased. ~- r~t° '~,:~: :::-ft,~. 1~ ~- Casing height ~above ground) ' ' : .~? I ~[~: ' ~FROM WELL LOG ~: , , ~ , . , ,, . ~ ~ .... . , , , . ~ ~j, ~, . .. . , : Date' of test : , ~: :~ : i '~.", '~Li ...[~'. ,: i .... :.: , , . . '" Statm water level :~'-~ ... ,:. :fl. ' i~t' Well ;proddction i~ :..; WATER SAMPLE R'ESUI~TS:. Coii~6rm ' ~: i~,~' .colonies)'J00 mi.. · - .~.- ~-: ~: :Other bacteria g.p.m. ' col0nie~/100 mi. Date.,,i.:: ,"°f adequacy,,,:.11,1 ' test:: ',.- "'NA -NEW,, .. SYSTEM, ', : ill ",. ",.'~' :'" : i: Results;..~.,. ..j,l(P'assJFai'), ...... r' ;' ,. . ....:'. Pass i r ,,. ~ I :,, r'.':'' ,'For. 3 . : .bedrooms· Flmdidepth m absorpbon.field before test ~,. :.inl : Water, added . . :galJ · ..'. ;New depth 'in. Elapsed T~me. . m~n.. Y~nal fired depth ,. m, .. Absorpton rate->= . : · g.p.d. , . ! v , , , , . ' .... i ' :,, - I ~ , ' :': , ..... , ~ ,, L : ? ' .~Any rejuvenation treatment (past 12 mo.) (WN'&;type)~ N 1,.~ .. ." :' .... If yes, give date ' . : ' ' ': :" ,. ' ~: ~ ~ ' ~ ; ' ~ ASBUILT .. ; .'. 15~-'~..~'~-~~ .... ;.r'.~. - S~/ARD & ASSOCIATES LAND SURVEYING 694-0829 SCAL~, .- DATE: GRID: DRAWN: I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY; AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, or FOR ESTABLISHING BOUND- ARY LINES.