HomeMy WebLinkAboutSTONEHILL TR 8-Atonehl*ll
Tract 8 - A
#060-342-05
Municipality of Anchorage
• Development Services Department; 4'
Building Safety _:_€_ -"
Division
j On-Site Water & Wastewater Program, 4700 South Bragaw St.'
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ok.us (907) 343 7904
edge 1 or 3
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW030098 PID Number: 060-342-05
Name
DON EVANS Wastewater System: ■ New ❑ Upgrade
Address:
NHN HILAND ROAD * EAGLE RIVER, AK. 99577
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 529-0855 ¢
O Deep Trench ■ Shallow Trench O Bed O Around 0Other
LEGAL DESCRIPTION
SoR°"'°
T"Dwtn „em en°"a 9' :
1 2 GPD/'Sq.
rt. 9.0 MAX rt
Black: Lot: Subdivision:
— TRACT 8—A STONEHILL
awlh to 0010 bal«n rren, WWnW glad.
Gm el d Plh bneetk Ow
SEE DWG.
R3.95 rt
Township: — Range: — Section: —
ra eed.d aww ergww e.aer.
Gonel Hnglh:
SEE DWG.
n 50+ a
WELL: ■ New ❑ Upgrade
a as .Aa
5
Nunber a IYwe wtlens. b..en �..
ckwmf bon P,Iwte. A.G.Q. Taa aepue l:oetl Tori
T" obwsaen «le:
n 1 — n
Pp wwa :
PRIVATE 200 n 20 rt
500 so.
rt D 3034/ F-810
a.rH.:
SULLIVAN WATER WELLS
bot. 0,44d:
5/12/03
stare wa« Le
76 r<
wrtasw
SOUTH FORK CONSTRUCTION
�" wa 8/5/2003
vlxd:
r,Anp set At:Cminq
Hweht Ab,e Ground:
3 cft
UNKNOWN n
2'+ rL
TANK
SEPARATION
DISTANCES
.septic
0Holding 13S.T.E.P. 0Other
To
Septic
Absorption
Lift
Holding
bk/Prkvte
NO1yd°�11en
tewcitr w eererw:
From
Tank
Field
Station
Tank
So a LMee
ANCHORAGE TANK
1250
Well
100'+
100'+
—
—
•25'+
Wt rka- STEEL
b" a `w"°'b"•
2
Surface water
100'+
100'+
—
—
—
LIFT STATION
Lot Line
5'+
10'+
_
_
_
s" In swan.
Ne.e,lactw«:
Foundation
5'+
10'+
°n �"' w
at a:
1pn .a«
Curtain DrainNONE
KNOWN
Pu Nwe �'
00CU 1 w l)*Ctw P«lwwwd by.
Remarks:
BENCH MARK
*DID NOT INSPECT LINE FROM HOUSE TO TANK.
lAeluon .nd ae.erlplwn:
BOTTOM OF TANK
UNABLE TO VERIFY SEPARATION FROM WELL TO
SEWER LINE.
~ted E`Yeh"' 92.69
n
*25'+ PER EXCAVATOR.
ENGINEERS SEAL
POF
•...... •. S X00
a Cl)
Inspections performed by: GEG, Ltd. Dates: 1st 8/5/2003
P ^ ; y
0
„•, •„ .Q
2nd 8/5/2003
3rd 1/10/2005
" 1 ff a A.. ar ss.
Development Services Department Approval
papa 795 goo
Re' viewed and approved by: Date:1/(3t
-15
Q°i •.,t L. aS� q�lPO
�Up°dar sl got o=
RvGofesafo 0
000��o
PERMIT
SWONUMBER: AS DRAWING PARCEL ID NUMBER:
SW030098 060-342-05
r A 7-113-1
STI
219.52 208.06
ST2
226.92 215.80
DBL1
228.83 217.79
DBL2
230.50 219.53
COI
238.03 227.37
MTl
238.75 227.94
CO2
283.73 274.91
MT2
284.08 275.16
NEty •S'.. '�.' �. ''•
SHOP • :. '.'
NEW 1250
•'• ••'. SEPTIC
STI
E
THI6+
IBL2 ///NEW DRAINFIELD
/DSII /
a
ALTERNATE SITE
C0 2
• °' \
4TH/4 $.
y••
0
1 • CO
+ ' ' • • • A'E1y
DID NOT INSPECT SEWER LINE
(SEE ATTACHED LETTER WITCH \ ° •;. a •. y�N
STATES R WAS INSTALLED 25'+
FROM WELL PER EXCAVATOR.) \
GARNESS ENGINEERING GROUP, Ltd. p 9
CONSULTANTS& GENERAL CONTRACTORS���� �•••••• •• .. ...... ...........
101 L IIgY 11010, pAC 101 • MC Wwr, M .At (W1)] 32" � �1L w�gvwryY•.Yy.1aw
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• .. f ....... .....
DON EVANS (907) 529-0855 2 OF 3 y e t y Ga ness:
LECAL DESCRIPTION: DRAWN BY: Ogg. ' - CE—
STONEHILL SUBDIVISION: TRACT 8—A. R.A.L.
TYPE OF WORK: DATE 04 dP�ofesslOA�ao
AS—BUILT DETAIL OF NEW SEPTIC SYSTEM 1/12/2005
PERUrrNUMBER: AS DRAG PARCEL NUMBER:
SW0
SW030098 060-33 42 -OS
GRADE . 101.87
ST2
TOP
K AT
INLET 9 S7I I I I /,--OTOP OF TANK AT
UTLET . 97.57
n
U
NEW 1250 GALLON
INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT
AT INLET . 96.99 A I OUTLET . 96.82
BOTTOM
. 1
THj3
ORIGINAL LIGHESTE POINT) •57 TTFINAL GRADE 101.35
\ TT /'IFILTER FABRIC
—BOTTOM3.95' INVERT OF PIPE
RELETTVE ELEVATION OF
LBOTTOMOF TEST HOLE. .•
' • `\\\,
� 1
DON EVANZ:o
/ �•tK� _
PREPARED FOR. /
LEGAL DESCRIPTION:
.• 11
STONEHILL SUBDIVISION;TYPE OF WORK:
�I1
PROFILEFOR NEW SEPTIC SYSTFUI• \\\\\
18/01 2005 17.29 FAS 907 694 1122
SOUTH FORK CONSTRUCTION
SOUTH FORK CONSTRUCTION
P.O. BOX 770567
EAGLE RIVER. ALASKA 99577
(907) 694.4351 FAX (907) 694-1122
6YL�� n4) th
la001
01111� 09/19/2003 10:26 FAS 907 694 1122 SOUTH FORK CONSTRUCTION
■
now
�erttff ebrtrYi�rgLog
by
Doc co. em
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK. ALASKA 99567 • TELEPHONE 688-2750
OWNER OF LAND: 1r�7n F 4jjq N S
ADDRESS:
LEGAL DESCRIPTION: STo• N/fG 7R�c-i'
,— A
DATE:�3 --
PERMIT NUMBER: pLj06�— -{)me otissue.6Lo2-9-'2 3
TAX IDENTIFICATION NUMBER: O_ko ag g -_g 57
Is well located at approved permit location? -X1es D No
Method of Drilling: u-jW iotary J cable tool
Depth of well: 2001.
Casing Type.17ZEl Wall Thickness _ a 9 v hches
Diameterr� ' , Inches, depth d feet
.�
Liner Type: 1 57 4 3 ` 16r L—
Casing Stickup Above Ground: r7 — feet
Static Water Level: -? 6 feet
Recover Rate: 3 gpm
Method of Testing: AZZ
Well Intake Opening Type: :t open end ] open hole
J Screened: Start
feet Stopped feet
• Perforations Start
feet Stopped feet
t 7 C
volume
Grout Type: (3.6ill
S crj.-t S
Depth: from Q _
feet, to, ? Q feet
Well Disinfected Upon Completion? `j Yes ] No
Method of Disinfection: r u1
OP- 1Nc c0 PPS
Comments:
EA
9
e001
0 A 5 ,--jG S TI5.r,.J,O
J,= <r!? ✓rd J e,-
r�� [ICvG 4-� rJ
.. t. .'.y
� -C. el r1
•�� rf.< i Z-
S crj.-t S
�lGr.� hC G iJ
oden
I I C
ILr
Driller's Name • S.eb.---
ATTENTION: It Is the responsibility of the Property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
r
i✓C/Y T7Jy"6 6So. 08
ASBUILT
1 HEREBY CERTIFY THAT 1 HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
.r>o.Y�•s � l jri� 7X.!�? B .9
AND THAT NO ENCR6ACHMENTS 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.
SCALE:
DATE:
6�_Y
GRID:
su.Jsr
FB:
DRAWN:
:uo &;u
OF. A
_... .. d �►
PERMIT NUMBER:
SW030098
AS -BUILT DRAWING
rA r-B�
STI
219.52
208.06
ST2
226.92
215.80
OBL1
228.83
217.79
DBL2
230.50
219.53
COI
238.03
227.37
WTI
238.75
227.94
CO2
283.73
274.91
Mfg
284.08
275.16
JVtly •S.. •�.' .. •:,.
•:.'.
SHOP 4•.. • ��•� .
a
WATER UNE
LOCATION PER
DID NOT MSPECT SEWER UNE
(SEE ATTACHED LETTER WITCH
STATES R WAS INSTALLED 25'i
FROM WELL PER EXCAVATOR.)
PARCEL ID NUMBER:
060-342-05
NOTE: ALL SEWEI
LINES ARE INSULATED
PER CONTRACTOR.
TH16+
DRAINFIELD
a
i
.• • • 01 3,MT 1 ALTERNATE SITE A
• + 02
NEW 1250 CALLON•
SEPTIC TANK
INSULATION UNDER DRIVEWAY
4 INCH THICK 4 FEET WIDE
PER CONTRACTOR
4TH14 S.
WATER LINE
1 • •. 0 / F LOCATION PER
CONTRACTOR
4 •':
4• •~ FC \
� ••' , a . h0�g7M
GARNESS ENGINEERING GROUP, Ltd.
>*
CONSULTANTS 3GENERAL CONTRACTORS •••••••• •••••• ••••••••••
3101 L 111DDR RSD, WR 101 • MQ ow4r. M RNCf • R 007= -111741, • Mf (007)] =Sfl . R®IC w..pwrpMwy �y�.
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• ••••••••.•
DON EVANS (907) 529-0855 2 OF 3 �0 y f Y G ness:•
LEGAL DESCRIPTION: DRAWN BY:OO g• RSL
STONEHILL SUBDIVISON; TRACT 8—A. R.A.L.
TYPE OF WORK: DATE: QR
440
AS—BUILT DETAIL OF NEW SEPTIC SYSTEM 1/12/2005
���000
N0024/01 2005 12:58 FAX 907 694 1122 SOUTH FORK CONSTRUCTION
■� ,ien. l• 2005 0:37PM Ga mse EnFine4rin8 GrooD, Ltd.
■N
■a
■
0001
No -3405 P. )
GARNESS ENGINEERING GROUP, Ltd.
m�ecw.ac rzc��au>a CONSULTANTS & GENERAL CONTRACTORS r mw
FACSINI E TRANSMITTAL
DATE: 1 ! s NUMBER OF PAGES:
(INCLUDING COVER)
TO: I
FROM: . c `—Y(' )KJ
REF: tr�, 1 1Z LiN:5- �fA74 P.
COMMENTS: .
�%lot,L"f L' ls� To
I�v�cJ �J4-1f K Lt-Nc ZS
cc
A7F-:)2 I E-cA -' -C- :1I
-,� A
3701 F. Tudor Road, Suitc 101 • Anchorage. AIC 99507
Ph: (907) 337-6179 6 Fax: (907) 33R•3246 • Web%ite: gamewngincerirg.u+m
• 027/01 2005 09:28 FAX 907 89.1 1122 SOUTH FORK COVSTRCCTIOV
■o lan.!i. :UUP ":17PM Ga:ness En!ineerin! Group, Ltd.
0:
SWC300 8 AS -BUILT DRAWING
A'fTr S • � • �
SHOP B .. • �
F-77-6 —1
uEw +�zsD c
SEPTIC TAN
Iz001/001
No•3405 P. 2
PARCEL 0 NUMBER:
060-342-05
Pio✓ i?t,C K
TM4a$
,Z NLW DRAtNFljDBLt
ALi[RN02
f�
S�o,P W C:k r. .
'Psz 3 S ins �
DW NOT INSPECT SEWER LINE \
(SEE ATTACHCD LETTER WITCH /
STATES R WAS INSTALLED 25'+
rROM WELL PER EXCAVATOR.)
GARNESS ENGINEER2NG GROUP, Ltd.
=NSULrANT S GENERAL CONTTLGCTOFS.i.+.e•.�v.�++
v. L. ned mom, a.n .P• ..,o,n.,eG .. ruc. • ••P•C IMr7lSr�1T W l+e�-p.. • vP>RG ..�..�.•...+.«•...+
PwEPARED ESR: PMCN; NUI2DCR: PACE NUMBER:
CON EV; (907) 529-0855 2 OF 3
LEGA; DE=w1wl10N: DRAWN BY:
STONEHILL SUMMON; TRACT 8-A, R.A.L.
TTPF, OF WORK: LUTE:
AS -BUILT DETAIL OF NEW' SEPTIC SYSTEM 1/12/2C
2 208.D82
215.803
217.790
219533
E
2273752279,
274.91
1212282.08
275.16
uEw +�zsD c
SEPTIC TAN
Iz001/001
No•3405 P. 2
PARCEL 0 NUMBER:
060-342-05
Pio✓ i?t,C K
TM4a$
,Z NLW DRAtNFljDBLt
ALi[RN02
f�
S�o,P W C:k r. .
'Psz 3 S ins �
DW NOT INSPECT SEWER LINE \
(SEE ATTACHCD LETTER WITCH /
STATES R WAS INSTALLED 25'+
rROM WELL PER EXCAVATOR.)
GARNESS ENGINEER2NG GROUP, Ltd.
=NSULrANT S GENERAL CONTTLGCTOFS.i.+.e•.�v.�++
v. L. ned mom, a.n .P• ..,o,n.,eG .. ruc. • ••P•C IMr7lSr�1T W l+e�-p.. • vP>RG ..�..�.•...+.«•...+
PwEPARED ESR: PMCN; NUI2DCR: PACE NUMBER:
CON EV; (907) 529-0855 2 OF 3
LEGA; DE=w1wl10N: DRAWN BY:
STONEHILL SUMMON; TRACT 8-A, R.A.L.
TTPF, OF WORK: LUTE:
AS -BUILT DETAIL OF NEW' SEPTIC SYSTEM 1/12/2C
24/01 2005 12:58 FAZ 907 694 1122 SOUR FORK CON'STRUCTION
• !arl'2l• 2005 ON74 Garness Enaineeri9s Group. Ltd.
0002
No -3405 P. 2
PE;twTNUM98 AS-BUH T DRAWING PARCEL ID NUMBER:
SWO
SN'030098 060-342-05
A
N
rT R
STI
219.52 208.06
ST2
226.92 215.60
DBLI
228.81 217.79
DBLZ
2W.s0 x1i
cot
238.0722MT1
2.38.75 72CO2
283.7127
Mit
28A.D81275.16
NEW 1250 C
SEPTIC TAN
DRA:N►IELD
1�] MTI 44TZRnA7E Sar
1 02
• Tj
Z
DID NOT INSPECT SEWER UNE
(SEE ATTACHED L[T:TR WITCH
STATES R WAS INSTALLED 25'+
PROM WELL PER EXCAVATOR.).
GA ERNESS ENGINEERING GROIUP, Ltd.
CONSULTANTS i GENEF?L CONTRACTORS .w��•��•�
n� 4 ..AM ADrJ. YIC IDS r Ntl�JLf � �t MNv . wYt lNv)lllylr � Ha Q�I1FS]I�LV � R�DL �rY��•0.•n.
P cpm LD rOR: PHONE NUMBER: PACS NUMSER,
DAN EVANS (907) 529-0855 2 OF 3
L'SAL DESCRIPTION: DRAWN BY:
STONEHILL SUBDIVISON; TRACT 8—A, R.A.L.
TYPE. ;s WORK: -- .. DATE:
AS—BUILT DETAIL OF NEW SEPTIC SYSTEM 1/12/20
(R•.. D1Ak.1
u y .•CD OCYS�
AD.t'1 CE . • : 1
pro
• MUNICIPALITY OF ANCHORAGE /
—Development Services Department
On -Site Water& Wastewater Program
4700 South Bragaw Sheet
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Apr 28, 2003
Expiration Date: Apr 27, 2004
Permit Number: SW030098 Parcel ID: 060-342-05
Legal Description:jStonehill Tract 8-A
Design Engineer. 0041 AK Water & Wastewater Consultan- Site Address: NHN
Owner Name: Dan Janke Lot Size: 572814 SQ. FT.
Owner Address: PO Box 770567 Total Bedrooms: 4 Permit Bedrooms: 4
Eagle River, A 99577 -
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ 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 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: 4-0,22.03
w
Date: 28/0.3
Municipality of Anchorage
' Development Services Department
Building Safety Division
— On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650
www.cl.anchorage.ek.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 060-342-05 Permit Number S (u03oo98
Property owner(s) DAN JANKE Day phone 694-4351
Mailing address (1) P.O. 80Y 770567 + EAGLE RIVER, AK
Mailing address (2)
Zip Code 99577
Legal description (Lot, Block & Sub'd.) TRACT 8—A- STONEHILL Si RDIVISION
Legal description (Section, Township & Range) N/A
Lot Size 2; 7 a'6i y Acres/Sq.FL
THIS APPLICATION IS FOR:
Number of Bedrooms 4
Sewer Only ❑ Well Only ❑
Sewer and Well Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi ❑
Swimming Pool
❑
Water Softening Unit ❑
Therapy Pool
❑
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.
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
-(Signetur"f-property-owner or authorized-egent) -
Permit Fees: � 55D
Date of Payment: 4 °23 '03
Receipt Number. 3-i295 G1*.
Waiver Fees -
Date of Payment:
Receipt Number.
ALASKA WATER FS, WASTEWATER
CONSULTANTS, INC.
April 18,2003
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Well and Septic System for Tract 8-A; Stonehill Subdivision
To whom it may concern:
The proposed 4 bedroom house will be served by a private well and septic system. The proposed
septic system will consist of a 1250 gallon septic tank and a 5 -wide type drainfield. Six test holes
were dug on the property. The septic system will be designed around the 30 foot radius of test
hole #3. The well is to be drilled as it is shown on the site plan and design drawing. 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. The insitu sandy/silty soils will act as a sand filter.
2. TRENCH DESIGN:
a.
Percolation Rate: <I minutes/inch
b.
Proposed Application Rate: 1.2 gallons/day/1t2
c.
Number of Bedrooms: 4
d.
Design Flow: 600 gallons per day
e.
Minimum Absorption Area: 500 112
f.
Total Depth: 9 feet (max.)
g.
Effective Depth: 4 feet
It.
Width: 5 feet
i.
Reduction Factor: 0.5
j.
Minimum Length: 50 feet total length
k.
Effective absorption area = 500 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: The average topography in the area of the proposed drainfield are 15-20
percent slopes running approximately south/southwest to north/northeast. In short, there are no
slope concerns.
6901 Debarr Road, Suite 2B • Anchorage, AK 99504
Ph: (907) 337-6179' Fax: (907) 338-3246 0 Website: akwwc.com
I am 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.
4.5.
NOTE. Attached is a site plan drawing, a design drawing, six soil logs, and a 7 page
construction specification letter which are all part of the design package for this septic system.
6901 Debarr Road, Suite 2B • Anchorage, AK 99504
Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: akwwc.com
RAMERT S/D;
LOT 3.
RAMERT S/D;
LOT 2.
C1C#�2
RALIERT S/D;
LOT 4.
RAMERT S/D:
LOT S.
STONEHILL S/DI \ \
OT 1. STONEHILL
. L..o. ',k._ LOT 7
I
TEST HOLE
LOCATIONS ARE
APPROXIMATE
STONEHIL3 S/D:
LOTQ
A�l
STONEHILL S/M
LOT 4, PG
G�
PROPOSED
WELL
CHUGACH STATE PARK
70SED SEPTIC SYSTEM
DESIGN PAGE 2 OF 2)
FAA
DNAWN BY:
T
- •� ••..
•••••• ..
•• ., (1`7a
••••• ........
ALASKA WATER & WASTEWATER
CONSULTANTS,*�
INC.
AOM DF A A00 PMp $MTF 70•AWWw A4F AK 00604•PU F(OA71}p-6170*FAX IW)SM-7744
SCALE:Z
1" = 200•
PREPARED FOR PHONE NUMBER:
PAGE NUMBLR:
DAN JANKE 694-4351
1 OF 2
y n. GD ness.'
> C — 5 at,
O e ado
�4 �O P� lee s10n0`��O
�Opp000l
LEGAL DESCRIPTION:
STONEHILL SUBDIVISION; TRACT B -A.
TYPE OF WORK:
SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATION
IROPOSED DRAINFIELO. EKCVATE A TRENCH
-
ALTERNATE SrtE
THAT IS 9 FEET DEEP MAXIMUM BY S FEET
WIDE BY SO FEET LONG. ADD 4 FEET OF
.s+;
CLEAN, WASHED SEWER DRAINROCK. INSTALL
�
SLOPE
TRENCH PARALLEL TO SLOPE CONTOURS.
�..�-
=
=-ate
_
TMTJ
:..,
;.
LINE UNDER ROAD SHALL BE
INSULATED WITH 4 INCHES OF
�•
>.j :l �:•> —
BLUE BOARD INSULATION THAT
♦
IS 4 FEET WIDE AND BURIED -
. .
:e.`•et•„ .;-:: '..:'...
AT A MINIMUM OF 9 FEET DEEP
i TMH#
�o.
r
SEPTIC TANK / a • , ••• x
p•.• :':,..-� •., PROPOSED
�� ;.'4-.�a:.F •: : �.e � BEDROOM 1
->: "••'4:,.�;•..., HOUSE
I
RT pS T00 WEIUI
1 I
\ /
\ PROPOSED
WELL /
ALASKA WATER S WASTEWATER WALL, Z.T.G.
CONSULTANTS, INC. = 50. ...
411 ° '.. .. . .. ..... .....°
�......
ONI pcgp04 0040 Tf TO • 4NfwMpf.0 p% OOi04 • fNl1NC !00113 A.AOO -FAX lOOAJJnJ1w
TG4 a
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
DAN JANKE (907) 694-4351 2 OF 2 O r Go ess.
LEGAL DESCRIPTION: O e0E— .�dG
STONEHILL SUBDIVISION; TRACT 8—A
TYPE OF WORK:40ed Pro Fessfo���
PROPOSED WELL AND SEPTIC SYTEM LOCATION ��Op0000
ALASKA. W2
WASTEWATER
IJUIL LV" - rLrtli VlJl�wi.
LEGAL DESCRIPTION: STONE HILL SUBDIVISION; TRACT8-A,
PERFFOIRMED FOR: DAN JANKE/DAN EVANS DATE: 2/5/2003
PTt
(t e1) ITFCT HOLF #11
1 - ORGANICS
11 3
6-
71011 7-
10-
11
12-
13 B.O.H.
4156 14-
15-
6
17
pc .J
18 .E
19
GM/SM
w/ COBBLES
(LOOSE)
DEPTH TO
GROUNDWATER
• .
• 1•
•-
DRY
2/12/2003
1 —
—
IIII�IIIII
—
IIIIIJI
2 —
�//�i
0'
//i
11
NNW
•
6'
—
IIIIIiIII
4 —
7
0.
6'
�IIIIIIII
—1
x'.68.
•
ZOO&
6
7
DEPTH TO
GROUNDWATER
DATE
DRY
2/5/2003
DRY
2/12/2003
1 —
—
6-
—
14
10-200'
TH)a
DATE
READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
2/5/2003
1 —
—
6-
—
2 —
7
0'
6'
3 —
—
6'
—
4 —
7
0.
6'
5 —
—1
6'
—
6
7
0-
6.
PERCOLATION RATE 1.17 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4.0 FT. AND 4.9 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ONO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS: THE INSITU SANDY/SILTY SOILS WILL ACT AS A SAND FILTER.
PERFORMED BY AKWWC. INC. 1. JEFFREY A. GARNESS. CERTIFY THAT THIS W PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7,111161
• .. oa�pF � op
ALASKA WATER & WASTEWATER
CONSULTANT ........ .. ••• ••• •••••••Q
SOIL LOG — PERCOLATION TEST 0... .f re A.. ...r •• ••ness.••••, •••• O
0
'•,
LEGAL DESCRIPTION: STONE HILL SUBDMSION; LOT 8-A. Q� s -7953 'P
PERFORMED FOR: DAH JANKE/DAN EVANS DATE:�S/2003 4�Q a ............ �cqg
(E� °_== TEST HOLE 2 p4p�rcres:so^°a�
teet OO000 0
ORGANICS
SOIL CI ASSIFICATIONS --- `
GP ML
3 GM CL
GC OL
SW MH
'. •'• : SP CH TESTHOIE TH#a
5 $M i ; OH �` LOCATIONS ARE
SC APPROXIMATE
6 �THj1
DEPTH TO
7 GROUNDWATER DATE
GM/SMDRY 2/5/2003 TN/i
8 w/ COBBLES TM+
(LOOSE)
DRY 2/12/2003
9—
to-
11-
12-
13-
14-
15—
101112131415 �..... A.
B.0
16
Qi
17
18 p N9It 6W
19 f /fR�o.PRo C55`O�'y PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4.0 FT. AND 4.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ONO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL
COMMENTS: THE INSITU SANDY/SILTY SOILS WILL ACT AS A SAND FILTER
PERFORMED BY AKWWC. INC. I. JEFFREY A. GARNESS. CERTIFY THAT THIS W)PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Z413103
��aaa�a�a
t�r� vim®
ALASIZA WATER &
CONSULIAN
3TEWATER
LEGAL DESCRIPTION: STONE HILL SUBOVISION; TRACT B—A,
PERFORMED FOR: DAN JANKE/DAN EVANS DATE: 2/5/2003
DEP
(tees ( ORGANICS ITEST HOLE 3
1
2
2
5
7
9�I�I f 11 W/GIVIISM �
(LOOSE)
11
12
13
14
15
16
DEPTH TO DATE
GROUNDWATER
DRY 2/5/2003
DRY 2/12/2003
ATER LEVI NET DROP I
LOC
DATE READING CT MEK I (MINUTES) I W READING EL (LACHES)
.HN011
�aad�
milli
14-1
Baa
ZE,r"B
•
DEPTH TO DATE
GROUNDWATER
DRY 2/5/2003
DRY 2/12/2003
ATER LEVI NET DROP I
LOC
DATE READING CT MEK I (MINUTES) I W READING EL (LACHES)
...........
7yox f'
��f0•P e�0�l� RCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19 ��R0FE5� TEST RUN BETWEEN 4.0 FT. AND 4.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS: THE INSTTU SANDY/SILTY SOILS WILL ACT AS A SAND FILTER.
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 3 103
�aad�
Baa
...........
7yox f'
��f0•P e�0�l� RCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19 ��R0FE5� TEST RUN BETWEEN 4.0 FT. AND 4.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS: THE INSTTU SANDY/SILTY SOILS WILL ACT AS A SAND FILTER.
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 3 103
do4
ALASKA WATER SL WASTEWATER'4 _*p�0
-- CONSULTANTS. INC. ...... ... . .. ....
SOIL LOG — PERCOLATION TEST .. . ...........
et re A. ness
LEGAL DESCRIPTION: STONE HILL SUBDVISION; TRACT 8—A. Q s —7953
DAN JANKE/DAN EVANS DATE: 2/5/2003 ap°' ...•' SAG
PERFORMED FOR: p4�e�...........
• • • • • •'' 6�Q�
DEPTH ���DOOvo��o4
(feet) = ORGANICS TEST HOLE 4
SOI CLASSIFICATIONS
2 --- '�
3 -^
ML
GP
GM CL
GC OL :AT
ST HOLE �TMJe
4 ° ° ° " SW MH TIONS ARE
°• .e• ` SP CH �HJ1ROXIMATE TL/s
5 SM �.; OH
GM/SM SC + T-9.
6 w/ COBBLES TM#2
T (LOOSE) DEPTH TO DATE TH%
GROUNDWATER
6 DRY 2/5/2003
DRY 2/12/2003
9 S1'ITE 200' PLAN
10
BEDROCK DATE READING CLOCK NET TIME WATER LEVEL NET DROP
11 o.0.11. TIME (MINUTES) READING (INCHES)
2/5/2003 1 - - 6° -_
12 2 _ 1.5 0. 6
13 3 _ - 6-
14—
6 — 1.5 0° 6°
15
16 +
f..
Ger ss
u h 1�
�• � 7g5gr�ro
t% � rV
Rf0 PROFESS�O��
18
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 3.0 FT. AND 3.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES 0 NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS: THE INSITU SANDY/SILTY SOILS WILL ACT AS A SAND FILTER.
PERFORMED BY AKWWC, INC. I, JEFFREY A GARNESS, CERTIFY THAT THIS W 'S FIERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: Z (1.1 OJ
LA IS ZA. WATIER & WASTEWATER
-- CONSULTANTS, INC. ....aaw ... ....0....
SOIL LOG - PERCOLATION TESTA.
0... ..
LEGAL DESCRIPTION: STONE HILL SUBDMSION; TRACT 8—A, Q4 a 'J•( (, 7953 es.
DAN JANKE/DAN EVANS DATE: 2/5/2003
PERFORMED FOR: O�O� F°Qom
00°Od pro l es slot\
(f `� TEST HOLE#51�O0000�
ORGANICS
t -
2
3
a
5
6
7
6 GM/SM
w/ COBBLES
(LOOSE)
9
10
11
12
13
14 B.O.II
,s
16•' -
Ch
h
17 '�;., e t
er G
•
a •
• .
saa®■e���
IIII11111
��aaa�a�a
Irlll!11
�aaa��a
HMOs
illllllll
%//%
X1111111
�.de
•
y�Y
IDEPTH TO
GROUNDWATERI DATE
TEST HOLE
LOCATIONS ARE STM!•"
�TMl+ APPROXIMATE
T"!5
TH/]
n�l12
THl4
SITE PLAN
1'-200'
gPROFE551 ' PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. o klNl-Hta)
19
TEST RUN BETWEEN 3.0 FT. AND 3.5 T.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL
COMMENTS: THE INSRU SANDY/SILTY SOILS WILL ACT AS A SAND FILTER.
PERFORMED BY AKWWC. INC. 1. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
saa®■e���
��aaa�a�a
�aaa��a
gPROFE551 ' PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. o klNl-Hta)
19
TEST RUN BETWEEN 3.0 FT. AND 3.5 T.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL
COMMENTS: THE INSRU SANDY/SILTY SOILS WILL ACT AS A SAND FILTER.
PERFORMED BY AKWWC. INC. 1. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
ob4OF °Opp
ALASKA WATER & WASTEWATER o*'.. I .7;00
— CONSULTANTS, INC. ...:..... .. . .. .........D
e" SOIL LOG — PERCOLATION TEST .........
Q J If y A. ss.: O
LEGAL DESCRIPTION: EONS HILL SUBDIVISION; TRACT 8—A, Oa a E 7953
PERFORMED FOR: DAN JANKE/DAN EVANS DATE- 2/5/2003 �Qp�e •.. IVc4p�
DEPTH _ _ pp�dP�ofession°4o
(feet) s_—_ ORGANICS TEST HOLE 6 °4D0000��
1 ==
Srnt cI ASSIFlCATIONS
GP
ML �-
GM CL "t-
GC OL
4 o SW MH TEST HOLE �TMje
5 •"112 "'" - 1. SP , CH TH#1 RE
M TECOBBLE
GM/SM SM . , OH ,�, T�/s
6(LOOSE) ES SC �?
DEPTH TO TM 2
7 GROUNDWATER DATE
8 DRY 2/5/2003 n��♦
DRY 2/12/2003
9 SITE PLAN
i "200'
10-1
11 DATE READING TIME (MINUTES) READING (INCHES)
2/5/2003 1
12
13 I A A
14
15
:c
I�e!!!W
16 Tab ix
L e E7953 /1
17
PROFES`+�0
18 s
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 3.0 FT. AND 3.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES N NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL
COMMENTS: THE INSITU SANDY/SILTY SOILS WILL ACT AS A SAND FILTER.
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W S RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
CLOCK
NET TIME
WATER LEVEL
NET DROP
-
-
6
-
2
-
1.5
0"
6"
3
4
1.5
0"
5
-
-
6"
-
6
-
1.5
0"
6"
Municipality of Anchorage
-e �Development Services Department - 1�:
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650 �.
Anchorage, AK 9951M650 ■
www.munl.org/onsitlonsile
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
RUSH! FOR A SINGLE FAMILY DWELLING
Parcel I.D.
d(c0-3�I�-D� COSH# d$031Q
Expiration Date: f' n2 3 -
1. GENERAL INFORMATION
Complete legal description STONEHILL SUBDIVISION TRACT 8—A
Location (site address) 7500 HILAND ROAD •EAGLE RIVER AK • 99577
Current Property owner(s)
DON EVANS Day phone 529-0855
Mailing address 7500 HILAND ROAD • EAGLE RIVER AK • 99577
Day phone
Lending agency
Mailing address
Real Estate Agent
JACKIE THOMPSON W/ PRUDENTIAL VISTA Day phone 317-9046
Mailing address 16635 CENTERFIELD DR ' EAGLE RIVER AK . 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
ervices Department (DSD) Issues Certificates of On -Site Systems
The Municipality of Anchorage Development S
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 On -Site 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 samples. (Certificates may be reissued for a period of up to one year with valid water
r properties served by Class A or B wells or a public water system.
samples.) Certificates are valid for one year fo
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
TYPE OF WASTEWATER DISPOSAL:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
O
Community Class Well
❑
Community site
El
Public Water System
❑
Public Sewerr
ervices Department (DSD) Issues Certificates of On -Site Systems
The Municipality of Anchorage Development S
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 On -Site 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 samples. (Certificates may be reissued for a period of up to one year with valid water
r properties served by Class A or B wells or a public water system.
samples.) Certificates are valid for one year fo
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As ce tied by my seat affixed hereto and as of the validation date shown below, I verify that my
invest ation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
showhat 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 riles and from my investigation and Inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with aft applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179f 7♦?j�
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LID. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily idonliriablo features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for —4— bedrooms.
Disapproved.
Conditional approval for bedrooms, with the fllowing stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By:
i
(Rev. I IN5)
c,�QP _iY OF A;rC.
• ON-SITE •'•��i;
WATER AND ; m=
WASTEWATER
PROGRAM '
Original Certificate Date:_ 0 — 'P 9 " O S
Municipality of Anchorage
Development Services Department
4 . Building Safety Division 9 •,
On -Site Water 8 Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage. AK 99519-6650
www.muni.org/onsite "
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: STONEHILL• TRACT 8—A Parcel ID: _ 0'3
A. WELL DATA ABOVE GRADE IN CONCRETE PIT. PIT IS POURED CONCRETE WITH DAYLIGHT DRAIN.
CONSTRUCTED BY DAN JANKE W/ SOUTH FORK CONSTRUCTION. YES
PRNATE If A, B, or C provide PWSID# N A Well Log'(Y/N)
Well type YES
Date completed 5 12 2003 Sanitary seal (YIN) YES Wires properly protected (YIN)
Total depth 200 ft. Cased to
20 ft. Casing height (above ground) .18+ in.
FROM WELL LOG AT INSPECTION
Date of test
5/12/03 10/10/08
76 ft 55 ft.
Static water level
Well production 3 g.p.m.
6.42 g.p.m.
WATER SAMPLE RESULTS:
Coliform �_ colonies/100 ml. NitrateZ • R i mg.IL Other bacteria
colonies/100 ml.
10 6 08 Collected by: GEG Ltd.
Arsenic: t4O ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA
8/5/03
Date installed
Tank Type/Material
SEPTIC/STEEL
Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) YES_
Foundation cleanout (YIN) YES Depression over tank (YIN) NO . High water alarm (YIN) N_ �A
8/18/0JR'S PUMPING
�
Date of pumping —
8 Pumper
C. ABSORPTION FIELD DATA eetow EwsnNc G_�
e/s/03 Soil rating d. , /bd 1_2 System type TRENCH
Date installed g (g'p'/ft'ot '
Length 50+ ft. Width
5 ft. Gravel below pipe 3.95 ft.
Total depth 2:—
ft. Eft. absorption area 500 ft' Monitoring tube YES Depression over field NO
Date of adequacy test
10/10/08 Results (PasslFail) PASS For 4 bedrooms
Fluid depth in absorption field before test 4_5 in. Water added 705 gal. New depth 8 In.
Elapsed Time: 25 min. Final fluid depth 4_5 in. Absorption rate >= 800+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN &type)
NONE KNOWN If yes, give date----:"—
D. LIFT STATION
Date installed
"Pump on" level at in.
E. SEPARATION DISTANCES
Size in gallons
"Pump oft"
Manhole/Access
water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer/septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 5'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
�Q 0
I certify that t have determined through field inspections and �� g
review of Municipal records that the above systems are in ..•.
conformance with MOA COSA guidelines in effect on this
date. ... ....
0 ffr A. Garn ss,:
Engineer's Printed Name JEFFREY A. GARNESS ; < <
0. /•. CE -79 "G
Date Ori 3�oL' �� se' fo�l3�a ��Av
fin_ a
.•�� "�4p000
COSA Fee / 7 �/ Waiver Fee $
Date of Payment Date of Payment
Receipt Number_ Receipt Number
(Rev. 11/05)
SGS ReLN
1085520001
Garness Engineering Group, Ltd.
printed Date/Time
10/23/2008 9:36
8:50
Client Name
Stone Itill S/D Tract SA
Collected Dateffime
10/072008
10/072008 11:20Client
Project NamdN
Sample ID
Stone I lilt SID Trac/ 8A
Received DatefTime
Technical Director
Stephen C. Ede
Alatri:
Drinking Water
Results
PWSID 0
Sampic Remarks:
Allowable
PMP Analysis
PQL Units Method Container ID
Limits
Date Date
Init
Parameter
Results
Metals�p�Ms
C
(<10)
10116108 1020!08
NRB
ND
500 ug/L EP200.8
Arsenic
Waters Department
B
(<I01
10/07/08
JDZ
3.87
0.100 mg/L SM20 4500NO3-F
Total Nitmtc/Nitritc-N
Microbiology Laboratory
10/07/08
DLC
coVt00mL SM209222II
A
(<200)
Colony Count
0
coUl00mL SM209222B
A
(<I)
10/07/08
DLC
Total Coliform
0
coVloOmL SM209222B
A
(<I)
10/07/08
DLC
Fecal Colifor m
o