HomeMy WebLinkAboutKASILOF HILLS BLK 2 LT 14Kasilof Hills Block 2 Lot 14 #015-161-32 Municipality of Anchorage Page 1 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 9 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990179 PID Number: 015-161-32 Name: Spinell Homes Wastewater System: New 0 Upgrade Y P9 Address:210 Vanguard Drive Anchorage, AK ABSORPTION FIELD Phone: No. of Bedrooms: 344-5678 1 Three 0Deep Trench 0 Shallow Trench C3 Bed ❑Mound XXOther LEGAL DESCRIPTION Soil Rating: 2 Total Depth from original grade: GPO/Sq Ft. 3.5 Lot: Block: Subdivision:Depth 14 2 Kasilof Hills t0 pipe bottom from original grade: 1 Gravel depth beneath pipe Ft 5 Ft. Township: Range: Section: Fill added above original grade: Gravel length: 1 Ft 30 Ft. WELL: ® New ❑ Upgrade Gravel width: 12 Numberoffines: Disanoebetveenlim 4 2.4 Ft. Ft. Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area' 360 Pipe material: Private 187 Ft. 40 Ft. so. Ft Orenco Kit DrillD Alpine Drilling t r'u �f7g%99 static water Level: +2 Installer. Spinell Homes Date Installed: 8/4-9/99 Ft Yield: 4 Pump Set at casing MapY above Ground: 11 TANK GPM Ft. Ft. SEPARATION DISTANCES 0Septic 0Holding XXS.T.E.P. To Septic absorption lin Holding blic/Pn au Manufacturer. Capacity In gallons: From Tank Fwd station Tank sewerunes Anchorage Tank 1,250 Weir >100 >1 00 >100 N/A N/A material:Steel Number of Compartments: Three Surface >100 >100 >100 N/A N/A LIFT STATION Water Lot Line >51 >101 >51 N/A N/A Size In gallons: 250 Manufacturer. ^ Anch. Tank/Orenco Foundation>5' >101 >51 N/A N/A -Pump on-levelat: Pump �rlevel at High water *is= at: curtain None I Noted on Lo Pump Make B Model Electrical Inspections performed by: Drain OSI Muni. of Anch. Remarks: Artesian well. BENCH MARK Bottomless Sand Filter Absorption Location and Description: Top of Foundation System. Cleanout. Insulati0 Placed Over Bed. Assumed Elevation:100.0 qui•Vr::`?;_'Eis+�l Inspections performed by: A. Harala Dates:lst 8/4/99 �,/��j:;,�.Q • �.: � .y7�•�• 2nd 8/9/99 �I YF3LAM'-A:�$i Department of Heal and H an Services approval It •'• •'_-• •/�i4ti Reviewed and approved by: a Dater It� 72-013 (Ft". GNI) MOA 25 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) MEMORANDUM DATE: January 13, 2000 TO: Dan Roth ... FROM: Mike Anderson, P.E. ' "' "" SUBJECT: Lot 14, Block 2, Kasilof Hills Subdivision Septic System As -Built Certificate of Health Authority Approval The septic system as -built has been modified to include the location of the air line to the absorption bed. The air pressure gauge is located in the crawlspace along the north wall of the house approximately 7' from the east end. It currently reads 3.5 psi. Byron (Todd) Schroeder is the owner of the home. He works for Spinell Homes and assumed they controlled the lot. The owner of the lot should be shown on the Certificate of Health Authority Approval. have enclosed a copy of the MOA electrical inspection indicating an approved system. Hopefully, this will satisfy the remaining requirements for the certification of the Health Authority. Please call if you have any questions. Municipality of An Page 2 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 - Anchorage, AK 99519-6650 - 343-4744 On -Site Wastewater Disposal System or Well Inspection Report Permit Number SW990179 PID No. 015-161-32 '12' 'X 30' Bo Sand Filter M3 M1 terra M2 G Al site H\ TH5 Q\ Hit F- B S2 �aoge _ Sl c Com4resso C1 T116 Fo°= Bedroom ' doTae A Air Compressor a d Gauge are Located in .the C awlspace 7' From the East en of. the North wall. Air Line is5" DPE With .5" Foam.Pipe rap. A B C 1 35.1 18.6 S2 41.0 15.5 MPI 43.0 15.4 M1 31.1 64.2 M2 33.5 42.4 M3 40.4, 48.2 M4 39.7 6.9.0 M11 O Well ss i '`u t AS -BUILT ��"I�"�t PLAN �- SCALE 1" = 30' ��R►_,' Municipality of Anchorage Page 3 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 - Anchorage, AK 99519-6650 - 343-4744 On -Site Wastewater Disposal System or Well Inspection Report Permit Number SW990179 PID No. 015-161-32 N x 1 98.30 GAL. I\ 1 .25". iiDPE STEP Tank .93.6 ' To Bed L H E 106.2 Flushing Valve -4 . I1 xtile Fabric /Isul tion103.1 er Sand Gravel3/8" Pea 101.0 Airline 30' 97.0 NOTE: 12" X 30' Bottomless Sand Filter Kit From Anchorage Tank. 1 /2" IIDPE Air Line Insulated With 1/2" / � Foam Pipe Wrap Inside' a Schedule 40 PVC S�t?F•�T+7eljt Jacket and Buried a Minimum of 3'. ,,p'� � t PROFILE AS -BUILT . ....�FI►TMrxa: HORIZONTAL SCALE 7" = 10' 4' • { � NO VERTICAL SCALE i�� A ,�•,W`�^ �11T1'7g'V117� s �� 13 -SEP -99 10.16 son Rick Mystrom Mayor FROM.SPINELL HOMES INC ID.9073441976 Municipality of Anchorage Department of Health and Human Services 825 'L.' Street P.O. Box 196650 Anchorage, Alaska 995196650 N:p:tAv w.danchorage.akus PACE 1/1 Permit Number. #SW 99_ 0179 Date of Issue: 7-8-99 Parcel Identification Number. 015.161-32 Date Started: 8-15-99 �ate�o' " pp permit location?� Yes'0 No Legal Descriptio tap7eted fHXs 9_ 7s well located ata roved Pt p• 1CasdofHrAs 8/k21t 14 Property owner'Name & Address: Sp/nell Homes 9210 Vanguard Drive Anchorage, Ak 99507 Borehole Data: Depth (D) Soil Type. Thickness & Water strata From To Stick up organics and slit gravelly silt bedrock h12/0 .0 . 21 2 14 14 35 25 ..187 165 175 ��G X01999 p1ao0 of A�c�SoN1ees Mon`o,pR,t�Non'an Qept.Noa Method -of Drilling ® air rotary O cable tool " Ca§ing type: steel "Wall Thickness: .250 incites 'Diameter. 6 inches Depth: 40 feet Liner Type: Diameter: inches Depth feet Casing stickup above ground: 2 feet Static water level (from ground level): * 2 feet Pumping level: 187 feet after 2 hours pumping 4 um Recovery Rate: 4 gpm Method of Testingail-Lift Welt -Intake Opening Type: 0—OM End • 0 Open Hole © Screened • "Start feet Stopped feet Q Perforations 'Start fat -Stopped feet • GroutType: bentonite #! 8 Volume: LLag ' Depth: Start 0 feet Stopped feet Pump: Intake Depth. feet Pump size hp Brand Name Fell-Biseafeeted anon Completion? ® Y -es 0 No Method of Disiafeetion: Comments: Well Diller: Alpine Dn7 ling & Enterprisesl P.O. Sox710496 • • Anchorage AK 99511 a wr}} lc �te4lae property Owner with;' 3"ays of completion and the property j1.'t�{t/.r Clio"nT.tti+P O W�fi1n(. 1-11' "1 ' of iI.o11h :tr Ti.\F(On 'C �nnr.v W.1'i,.n F(1 A?VC nrnn.wwl�tinn Received Time SeP.13. 10:16AM MUNICIPALITY OF ANCHORAGE Department of Heafth and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number. SW990179 Legal Description: KASILOF HILLS BLK 2 LT 14 10'. SQC�CYA 1n 1 V1IfC.a Date Issued: Jul 08, 1999 Expiration Date: Jul 07, 2000 Parcel ID: 015-161-32 Design Engineer. 0014 Anderson Engineering Site Address: 011081 KASILOF BLVD Owner Name: Spinell Homes Lot Size: 30450 SO. FT. Owner Address: 9210 Vanguard Drive Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99507-0000 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-4744 (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. 5. The following special provisions. THIS PERMIT ISSUED FOR THE CONSTRUCTION OF AN INTERMITTENT DOSING SAND FILTER (IDSF). THE ATTACHED PROPERTY OWNER AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE. Received By: Issued By: Date: 14 °A ` `f Date: 7 -b? -q,7 rNL LC w0 To M(;VF. !�E[ ( F)('Gc !'✓ CUNF�r-- e of / OT To 5 LV C 01?0_= /F a) --- Received By: Issued By: Date: 14 °A ` `f Date: 7 -b? -q,7 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX June 22, 1999 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 14, Block 2, Kasilof Hills Subdivision Septic System Design Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 14, Block 2, Kasilof Hills Subdivision intends to construct a three bedroom home on the lot. A septic system is currently in place on the lot, but it flooded during the recent breakup. It is currently dry, but is probably within 4' of the groundwater level. A new system must therefore be constructed to serve the house. The attached site plan and backup documentation describe the proposed system and the location of the new well. The testholes placed on the lot revealed silty gravel with some sand. The percolation rate was measured at 11 to 12 minutes per inch. No groundwater was encountered during excavation but was noted at 5' to 8' below the surface during the monitoring period from mid April to mid June. We have therefore designed a bottomless intermittent sand filter with a lift station for the lot. The bottom of the filter will be at least 2' above the highest recorded groundwater level. The existing septic tank will be pumped, crushed, backfilled and abandoned in place. The ground surface of the lot slopes from the east to the west at varying grades. The sand filter will be constructed in the highest area of the lot which has a slight slope to the southeast. No conflicts exist between the septic system on this lot and other wells or systems in the area. Some grading of the lot will be required to contain and reroute surface water and maintain 100' clearance from the septic system. Lot 14, Block 2, Kasilof Hills Subdivision June 22, 1999 Page Two If the system is constructed as designed the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, ry".G f aL- Michael E. Anderson, P.E. Attachments UKal� i. 4W -E v \ LA \\ \ IP- THIS PROJECT • I � 1 , I �• .i 49TH I �7z ........... �,,•••' AREA MAP +11��\��\'o�� SCALE 1" = 100' • o o �7 LOT 13 r '^ 9 Existing Septic Tank3 .. ' to be Crushed,. Backfi}'ed and Abandoned. / fv tility Easement 'Alt. Sit O •I ._.. -BOT,... 14 No Conflicts witp Wells or Septic Systems in the Area: Proposed 1 Well t Three Bedr om ,i Ouse 1 %j l Snfir y'' SITE PLAN; SCALE 1" a 40'- ,;�•_' joa ANDERSON ENGINEERING SHEET NO. OF P.O. Box 240773 ANCHORAGE, AK 99524 CALCULATED By DATE (907) 563-7155 (907) 337.8855 CHECKED By DATE SCALE -10.—Utility.'-Easement 1 I 1 36' !Lon Intermittent e X (See -Detail )-I Bottomless-Sand-Fi?ter -Bo omi 7- rrH5 i 1.25"jHDPEjLine Sl ped ed 1 Air Lin —to -;Drain -to -Lift -S ation All Connections lTo e t 1. —Stiinless-St6el-Wi -T 1 1 Stainless Steel !Ba s' 1 I '1' --Air-Line -,ShallBe -1 /:2 !H6PE!insulat�ed With 11) Foam 3e-,1wrap-,Inside - Sched 40 PVC Jacket Buri'ed73 `7 minimum I 204. 1;250-Ga11bon_ to _7 ir-Compress-or-7Shall-Be-Iocatef 0 n'the Crawl pa1 celor Garzge.1 t or Shall Provide c -01_j0-PSI-jPressur6-Gauge- _10010_WelI_Rd_dpU__S_ Air Compressor ShalljBc a! j,Th!6ma s -Indus tries-'Model 70 Ased By AnchoraS jsuppli i -�—Tar j k - _7 I Three Bedroom I House 7 'Air PressureltGauge -Shall, Be -Mounted I ft's -i -d 7 The -House.'-_-,---' v* -'491H* 14 SYSTEM PLAN ... ... 4M' SCALE 1" = 20' I ---------- PRO F S -PC LOT 14, BLOCK 2, KASILOF HILLS DESIGN FACTORS: 3 Bedroom Home Pere. Rate: 12 Min./Inch Application Rate: 2 GPD/SF SYSTEM REQUIREMENTS: Bottomless Inter. Sand Filter 1,250 Gallon STEP Tank 2' Lake Otis Sand or Equal Air Supply Line (Anch. Tank) 6" of 3/8" Pea Gravel 3 Bedrooms X 150 GPD = 450 Gallons Per Day 450 GPD/2 GPD/SF /10 LF (Width of Bed) = 22.5 LF Length of Bed Therefore: Construct a Bottomless Intermittent Sand Filter System 1 0' Wide X 30' Long. Distribution Piping to be Placed at 1' Below Original Ground Surface. .'2" High Density Direct Bury Insulation and 2' Protective Cover Over Filter. •I 1/4" VA 5f}1 AO PVL VWW2 LPA FROM 5t8P fMX MD MMJFCW i ••,der , tmkr. (VR wa up A( ATFJLH •mi ii :a.• PLAN VIEW BOTTOMLESS SAND FILTER DETAIL (NO SCALE) NOTE: Grade Area to Drain Away.f t c Ger ( Maintain 4' Separation From Bedrock. /............... D.AA Provide 4' of Cover or 2" Insulation and 2' Cove4XI-E LOT 14, BLOCK 2, KASILOF HILLS DESIGN FACTORS: 3 Bedroom Home Perc. Rate: 12 Min./Inch Application Rate: 2 GPD/SF SYSTEM REQUIREMENTS: Bottomless Inter. Sand Filter 1,250 Gallon STEP Tank 2' Lake Otis Sand or Equal Air Supply Line (Anch. Tank) 6" of 3/6" Pea Gravel 3 Bedrooms X 150 GPD = 450 Gallons Per Day 450 GPD/2 GPD/SF /10 LF (Width of Bed) = 22.5 LF Length of Bed Therefore: Construct a Bottomless Intermittent Sand Filter System 1 0' Wide X 30' Long. Distribution Piping to be Placed at 1' Below Original Ground Surface. 2" High Density Direct Bury Insulation and 2 Protective Cover Over Filter. 'irii : •oa9' 2 =MN. OF FLIER ARLM 181, 10FCf; 2;Lf T 3/q"WCLAtE'KN.S(iW.1) Mf F.t OVER fl NN. am n Z r MPI. CF COQ �L PROFILE VIEW BOTTOMLESS SAND FILTER DETAIL (NO SCALE) NOTE: Grade Area to Drain Away. Maintain 4' Separation From Bedrock. Provide 4' of Cover or 2" Insulation and 2' Bury nsula lV *67 1 •' : 49M 19CIi4:1EN67Efi,�Pi ; . 43M -E ., Municipality of Anchorage DEPARTMENT OF HEALTH 5 HUMAN SERVICES 825 -L7 Street, Anchorage. Alaska 99SM-06W SOILS LOG — PERCOLATION TEST PERFORMED FOR: Spinell Homes DATE LT If, P;, kaSllop 1Ci��5 Township, Range. Section: LEGAL DESCRIPTION: 7 SLOPS DEI P-r/o! 1 r l7 /.fir of 2 G- 4 o 5 D 6 /a 7 8 9 10 11 12 13 14 15 16 17 18 19 -14 '-49TH ,� WAS GROUND WATER ENCOUNTERED? 1F YES, AT WHAT DEPTH? De;Z to Ww mmuw ? 20 PERCOLATION RATE Imrrnevv+Cq PERC MOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Perc. Cavity lresoaked prior to testing. ��Gyl/'t 50/I2S t/.LO!/r17L!'� �K lece %ISG Wa PERFORMED BY: I'e^�eERTIFY THAT THIS TEST WAS PERFORMED Michael E. Anderson ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE' 17.068 (Rev. t/P_SI Municipality Anchorage • "'` DEPARTMENT OFHFI+.LTH b HUMAN SERVICES 825'L7 Street. Anchorage, Alaska 94502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 11 Soinell Nomes ,.(� DATE LEGAL DESCRIPTION: r �' k' 1 • ��'�' °I TOwnshiP, Range. SeCiiOn: N 234667 9 10 i2N 1'G�RI S 11 12 134 1 14• 15. 16 17 18 19 20 -{ I! JI PERCOLATION RATE lmwjmvchl PERC HOLE DIAMETER r • TEST RUN BETWEEN 4 FT AND �.Z_—FT COMMENTS Perc Cavity presoaked prior to testing. S(JW- iii PLAN WAS GROUND WATER . A PERFORMED BY: I Z"«RTIFY THAj THIP TEST WAS PERFORMED t Michael E. Anderson L LL1jf ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72-008 1Rw. 4/E51 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 14, BLOCK 2, KASILOF HILLS SUBDIVISION GENERAL: 1. The scope of this project includes the procurement and placement of a new 1,250 gallon combination septic tank/lift station and pressure distribution system. Work also includes the construction of a new 30' long x 10' wide Bottomless Intermittent Sand Filter. A minimum of 2' of Lake Otis Sand or material meeting the attached specification must be imported and placed in the filter area. The filter must then be constructed atop the imported material. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. The property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK/LIFT STATION INSTALLATION 1. The 1,250 gallon septic tank/lift station is to be constructed by a certified tank manufacturer. Construction shall include an 18' manhole for access to the lift station. 2. The septic tank/lift station shall be sufficiently bedded to prevent settling or shifting of the tank. Lot 14, Block 2, Kasilof Hills Subdivision June 22, 1999 Page 2 3. All standpipes shall extend a minimum of 12 inches above final grade. 4. Septic tank/lift stations installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 5. A foundation cleanout shall be installed one to four feet from the building foundation. No cleanouts are required between the lift station and the drainfield in a pressure distribution system. 6. Final grading over the septic tank/lift station shall be such that a positive slope exists away from the septic tank. ABSORPTION BED CONSTRUCTION: 1. The absorption beds shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion in the drainfield rock must be perforated. 5. Direct bury insulation must be placed over the distribution system when less than 3' of backfill depth is available. Finish grade over the bed must be mounded to prevent settlement or depressions. MATERIAL SPECIFICATIONS: 1. The lift station must be constructed by a Municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF - 5 i s recommended. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: 'Lot 14, Block 2, Kasilof Hills Subdivision June 22, 1999 Page 3 Cast iron (perforated and solid), ASTM D3034 or PVC (Perforated and solid), ASTM F810 or HDPE (perforated, but not solid) and ASTM D2662 or ABS (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. EQUIPMENT SPECIFICATIONS: 1. Air Supply Line Shall be a Wasteflow Emitterline, 1/2" Inside Diameter from Anchorage Tank. Line shall be insulated with 1/2" foam pipe wrap inside a 2" Schedule 40 PVC Jacket buried a minimum of 3' below the surface. 2. Air Compressor Shall be a Thomas Industries Model 5070 as supplied by Anchorage Tank. Compressor shall be located in the garage or crawl space. 3. Pressure Gauge from 0 to 10 PSI Shall be furnished and installed. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, 'Lot 14, Block 2, Kasilof Hills Subdivision June 22, 1999 Page 4 cleanouts and insulation. No backfill should be in place at the time of the second inspection. The contractor is responsible during the layout of the system to assure that all separation distances from adjacent wells in the area are met. FILTER SAND SPECIFICATION ACCEPTABLE SOURCES: 1. Road sand from Central Paving Products (Palmer). 2. ASTM D 33 concrete sand from Quality Sand (Wasilla). 3. Pit run sand from Beaver Lake Sand & Gravel (Wasilla). Any sand from a source other than the above must havo a sieve analysis performed which indicates that the product is a sand and has less than 40% passing the #100 seive and less than 2°o passing the #200 seive. 0 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) MEMORANDUM DATE: July 6, 1999 TO: Dan Roth FROM: Mike Anderson, P.E.-Mca' SUBJECT: Lot 14, Block 1, Kasilof Hills Subdivision Septic System Design Revision We have added the replacement absorption bed to the site plan and have added a note to the system plan stating the pressure gauge must be installed at a location inside the house. In addition, we have attached a completed Property Owner Agreement concerning the maintenance of the new system. Hopefully, this will resolve your issues with the design and permit application and the permit can now be issued. Thank you for your assistance with this matter. uy.q>i iKVM,bel NZLL MUI1Gb !NL suaeanravv aa.c N This agre==A, dated )0 f� 19�S is =dc between the 1 • r n4ro1if "1 acid .mea SDEMS) .n • property owner(s) of- • L g' jP r. /. •if.. . The property owners agree to the Mowing; 1•u1 • 1 1 w• / 1• •/ 1 An11,. •. .I 1l • •/ •• ••., ••• nN+•, n •11 .• • • •I. �/' a_ti r1 I •-rt •t AL1 • • � .O • • v t 11 411 / . � +O 4 . +/ •Ma _ 1 - I/ • .� a +jj wt Aa a .l •t•lU� •Ila+ .11• dO♦ :U• r Irk /r, 1'1 •.a _• .11• IaA 1' (SLgnauIrc) (Signature) -Dotarize Here _ stare of on this day of L3,y an __T., 6c4w pe'lionally appeared before me, NI/_ who is personally known to me srhose identity I proved on the basis of chose iduitity I provdd on tbe:-oathlaffirmatioa of �tb— a credible Witness to be the signer of the abov[PAUCIA oW"'OIIFkh%tbt/a aelaoci ged that he/she signed It. . Stn WOODKE:NOTAFiYPUBUCCalq() zA�/l/ZReceived,Time Jul• 6. 1:AN, ssiap tires k4u.-PI6661 19 'Irf MUNICIPALITY OF ANCHORAGE, DE. ATMENT OF HEALTH AND HUMAN SER" ZS Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 2844720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES TO SEPTIC ABSORPTION Andress WELL / /- FROM TANK FIELD O?Q/NG �c,,( A,WELL 63-t, phone(s) permit No. No of beorooms 6-61- 2,V/ S' LEGAL DESGOTI N LOT LINE Lot Btook Subawrsw�qOlt r ->'o• �� Z F-6��ll�o LLS FOUNDATION r� 1►� TtJ Townsmecti p. Range. Son ,E AS -BUILT DIAGRAM (Show location of wml septic system. peopeny lines, tounoauon, '1' onveway. waLLv bodies, etc I TANKS SEPTIC ❑ HOLDING _ Mtnu,acturer Capacdy m gmmns � f,-(�•.�IL I ZED Material Nu. of Companments INL 1, 2 TYPE OF SYSTEM SEI o t A Pcf ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER f t Depth to pipe Wttom from iota, oepth bum ongma, piton M 77. original grade FT �' .5 FTFm added aboveoogina, pude Grave, depfn beneath pipe 0I0 FT Z:) s5 FT Gravoi ,enga, A Guve, wndm �T'.3,OFT I � FT Iota, absorption area I Distance cetween lines C7S7, SOFT I FT Nupt>rss11 ones Son rating pipe matrna, •JL�J I Z SOFT pJc, A•s­r msunerDate Installed ,SD,���L 1..75 -2i-iD- Bla WELLS `521PR VATE C3 OTHER Qdentilvl (.wsa,ti,abon IA.b.C, Iota, Depth Cased to �j�►j` ��jEts-�E.� . FT FT � mst,nu, Date Instm,eat . REMARKS: E tut, 1:41 Im A, EN INEF`R EAL 'VV6A _ Inspections Pe or +ed by ' RR G ' Date Z�Lo CEJ �.D %L �f� _7 •�'9' ['nJ �% / tM• •1• 'vil gtneenng I SRB 196x """" a eerily that this inspection was performed according m all , T •.. *.�- aq1C t EabarT A. Shafer� 0 Municipal and Sla ergo defines iin el(ecfon'mrs date: 6 d G { �� ; No. laS7•F f ,Y +f Health Department Approval: y � � ~"r Date. 72-013 (185) M1 OJ 6G5_ • j 00'Os• — e��[e '•'wo'�OEe6YN 00 11 .Oi Ye+ 1, Af.OP. 0001, .,b 0[ C[ r .� . 53 Iouf,lq 02.0,. 01 [ P b .a O P J ='S 9/ P m _ N W u` � OOP +w•7 .out 02.01 �~— � aO, s �+ 3 e � • t• 1 �•• P i•+ 07 ' O <...OeZ J S v i• M•.fJ .D � � C .14a O • N ib [p2 UpE �� � 1N c Ls � £ l 0 P o 00 N P c J Xb Q �3 e 01 0 •$ J r p2.a s e �v2 v % sale tl N '/ O op 4 • W 9 C' I Ii O. • ° Ob 10 0-1 N , All a yi00t ol 4 O X113 w• , � .` N P S 8 S Engineering S^.6 196x is '- Qiver, Alaska 99S77 SUBJECT: 81- 2 C ,MPUTATION SHEET lT4S/LOF y/GLS Sh I -q 1 43 DATE: SHEET BV _ CKD. uT/L. 65M7-. /O' MUNICIPALITY OF AN C 4C DEPT. OF HEAL ENVIRONMENTAL pR07 C&C FEB 03L%') Z RECEIVE L I �• 2c sz (.,/ L 5/76, OF I-rgS/LOf aid •. .904e WWA A. Shaiwr W No. 1457.6 f•�i; S E S Engineering SZB 196x Ca;13 giver, Alaska "S/77 SUBJECT: L /`t• C MRJTATION SHEET $L K2 e hS110P 11ILtS ka DATE: SHEET OF BY s / r D CKD O/J 5 / TE Gv/3 57E dtJ�7"CP DIS�ASA L SyST��/J es�VleC !v ®Os.�c %PJT Coe 461e. - i6 ;x /, IS` %O a 6 9' DISE_ Z4��X-�2 � 6�dee /,,V reeG /9 71o.V _ . tVWeF-,eE E0610 GoU6W • / S. _ L 6'Sf p6 A( � 00. ._. _._ .:. .._ . ............ ... SheN. ' •�, MUM XC I FOAL I TY OF ANCHOF-CAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AF, 99501 264-4720 OSFEE WI-F� L _ WELL F�EFiM I T PERMIT NO: 860035 DATE ISSUED: 02/03/86 APPLICANT: S&S ENGINEERING ADDRESS: SRH 196X EAGLE RIVER, A): 99577 CONTACT PHONE: 694-2979 LEGAL DESCRIP: SUBDIVISION: KASILOF HILLS LOT: 14 DLOCK: 2 SECTION: 24 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 30450 (SQ.FT. OR ACRES) MAX BEDROOMS: 4 Listed below are the options available to'you•in designing your septic system. Choose the option that best fits your site. * GRAVEL LENGTH } 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 -FT. EACH) ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anch6rage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for. the set back: distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4: I understand that this permit is valid for a maximum of. 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) ANeQAANDIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BEUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL BY A LICENSED ELECTRICIAN. SIGNEDDATE: ---------------------3APPLICANT: GISSUED BY DATE: ���b TNCM 13 ED W _ DF -:A I hl DEPTH TO PIPE BOTTOM' (FT.) 4.0 4.0• 4.0 GRAVEL DEPTH (FT.) 2.0 0.5 2.0 TOTAL DEPTH (FT.) 6.0 4.5 6.0 GRAVEL WIDTH (FT.) •2.5 23.0 5.0 GRAVEL LENGTH (FT.) 172.0 ** 45.0 97.0 ** GRAVEL VOLUME (CU.YDS.) 39.9 38.4 45.0 TANK SIZE (GALS) 1,250.0 1,250.0 19250.0 SOIL RATING (SQ.FT./BR) 172 172 1172 * GRAVEL LENGTH } 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 -FT. EACH) ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anch6rage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for. the set back: distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4: I understand that this permit is valid for a maximum of. 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) ANeQAANDIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BEUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL BY A LICENSED ELECTRICIAN. SIGNEDDATE: ---------------------3APPLICANT: GISSUED BY DATE: ���b n ,a t:l u, !!: .,! II' isl', i f, 'll't Y_.• t .:III f. I. ll!:.;I:,.. .. ... IJ t:Y. r {„�;i•;•I1tI:J .J .,'lt I _ , I I ILLI_:, II_I:V!3Hl h': 1=t1 ':iS'i 1, i l_: 1 .- !,..I -•1. ih,> u��l ion--, .anoi IMP to q In rl -%4ran ln„ nl-;r 1, Il;t f)I,I I I AlI , I.. '.l'..:,I 6,1111 it,•.' 1,.',1,111 ["li,;, t.'_. I,II ul,- X111. .,,I' ,'1nt _ I= tI., inuiI, 1pLIt, r,l ;,l l,. Ilnl ..Irt qRWO :IIU.I tto .t.M W :11 .'_I ... of t 1, ,l t:, ,l( ID .1 .. 1,.,I 1iII .,.::I, „n. l.. te! uul t,. 11. ,. r:. st l -,,,I„ It :I, _ . ..I •.I l, 1,. .. .. . ,' ,,. I I l . .,1;, .l to, 1 1!.1 t . 1i11 n!II- 11'. ,I ! -I'I it I•.l R,l i.. 'I 'i`.'f. .-I) 4J( 1-(I•..,!' i; F.l f I.l f:ltf,; 1!f. 1 ,.. iillt S.l i.:;l,l i,!!i• n 1s SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 59 PERCOLATION TEST `. 825 L. Street. Anchorage, Alaska 99501 2644720 SOILS LOG —PERCOLATION TEST NO2 57"63 -WY PERFORMED FOR: PacsfEGT Nr-f(faTS GCIKP DATE PERFORMED: 5'13'$3 LEGAL DESCRIPTION: ICA511.0F 6111.-L5 5U3 eLOGK A u- r I 4f 712N 114W S;ZX SLOPE SITE PLAN DEPTH (FEET) OI - 1 brow" SUtt 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2C COMME ;UM) suety 9c0.ve,l vH10 WAS GROUND WATER fC ENCOUNTERED? GJ O P IF YES, AT WHAT 1 E DEPTH? G•J e_CO �. s.r /n� Reading Date Gross Time Net Time Depth to Water Net Drop +AxO 3'55 .5A I 5-13 3:ti Io ,,,.,t. -z0 .3z rH.o 3;6,17 55 2 3:57 10 .37- 3Z3 -Z3 3 11:07 to turn. -I ,7T +N7.0 WDS N N :I S / o corn. .;Z5 . ZO 11;A$ ,0 .10 15 +MT.0 q:}9 •51 .IS 6 439 It, min •33 17 7 All; M9 10 en.ts. •.v PERCOLATION RATE I III (minutes/inch) s LL TEST RUN BETWEEN 3 �' FT AND FT w PERFORMEDBY: r.0 n^N �d4C+C CERTIFIED BY: 72-008 (6/79) c 5GA� Municipality of Anchorage -� Development Services Department Building Safety Division ' On -Site Water and Wastewater Program 5 A , TV 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 VAMci.anchorage.ak-us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY.APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. 015-161-32 HAA# IYAC oQ4 Expiration Date: � Z2 /o C- 1. GENERAL INFORMATION Complete legal description Lot 14 Block 2 Kasilof Hills Subdivision Location (site address or directions) 11081 Kasilof Boulevard Current Property owners) Lloyd & Deanna McClelland Day phone 677-3769 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 11081 Kasilof Boulevard Anchorage, AK 99516 Day phone Jeff Schroder Day phone 2423450 2600 Cordova St Suite 100 Anchorage, AK 99503 Unless otherwise requested, NAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Three 3 3. TYPE OF WATER SUPPLY: Individual Well 123 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 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 5 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 less than 30 days old. (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, 1 verify that my investigation, based on procedures outlined in the Health Authority 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. Name of Finn Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date - 11/9/2004 5. DSD SIGNATURE t/edf . -11 ;f 49th NEL L ANDER�I No. CE -4391 Approv or bedrooms. -�� ��,-�.• Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory �_ PRorl�eee"' •...•• 0< Maintenance Agreements Supplemental Engineer's Report Other BY: Original Certificate Date: 22 0 (Rw.1200) CIN SI7�r m= .4ikRAND �_ PRorl�eee"' •...•• 0< Maintenance Agreements Supplemental Engineer's Report Other BY: Original Certificate Date: 22 0 (Rw.1200) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St P.O. Box 19WW Anchorage, AK 995196650 www.ci.aru:fwrage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Wen type Prime If A. B, or C provide PWSID # _ Date completed 7/&M 9" Sanitary seal (YIN) Y Total depth 7 fL Cased to eft. FROM WELL LOG Data of test 7/8/1999 Static water level Artesian ft Well production 4 g.p.m. WATER SAMPLE RESULTS: Coliform _L-owonko00 ml. Nitrate -cMCL mg./I. B. SEPTIC/HOLDING TANK DATA Well Log (YM) Y Wires Properly protected (YIN) Y Casing height (above ground) 24 n. AT INSPECTION 11 /4/2004 Artesian it 4.2 g -p.m. Other bacteria 0 colonies/100 ml. Tank Type/Material STEP/Steel Date installed 8/4M 999 Tank size 1.250 gal. Number of Compartments 2 Cleanoufs (YM) Y Foundation cleanout (Y/N) X Depression over tank (YIN) P- High water alar (YM) Y Date of pumping 11/9/2004 Pumper A Plus dome Services C. ABSORPTION FIELD DATA Data inswued 9/1/1999 Soil rating (g.p.dAe orfe/bdr) GP F System type $and Filter Length 30 fL Width 12 R Gravel below pipe .5 fL Total depth 3.¢ IL Eff. absorption area &fl? Monitoring tube X Depression over field IV Date of adequacy test 11 / 4 / 04 Results (Pass/Fall) Pass For g bedrooms Fluid depth in absorption field before test Q in. Water added_4% gal. New depth$ in. Elapsed Time: i min. Final fluid depth Q in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date I D. LIFT STATION // Date irlstalled tWt%W4[ Size in gallons 250 'Pump on' level at 42 In. 'Pump ofr level at 42 in. Datum Bottom of Tank Cycles tested 6 E. SEPARATION DISTANCES Manhole/Aocess (Y/N) Y High water alarm level at 44 in. Meets alarm & oircu t requwwnw ts4 Y SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanMtft statim on lot >100' On adjacent lots >100' Absorption field on lot >1l)0' On adjacent lots >100' Public sewer main N/A Public sewer manhole/cleanout NLA Sewer /septic service line >2V Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO Building foundation >8 Property line >6 Absorption field >G Water main N/A Water service line >70 Surface water >100' Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main >10' Water Service Brie >147. Surface water >199 Driveway, parking/vehicle storage >2S Curtain drain None Noted Wells on adjacent lots >11W F. COMMENTS G. ENGINEER'S CERTIFICATION....,.V N I car* that I have determined through field inspectlorrs and 49th t � review of Municipal records that the above systems are In = .. ' _ . . conformance with MOA HAA guidelines in effect on this date. C��; t•� � IQrJNG 4 MmEraw : /. Engineer's Printed Name Michael E. Anderson. P.E. ��j r' + No CE-43ft Date ]1/912004 444 y ... HAA Fee $ `i Date of Payment 1 1 1 14164 Recedpt Number fit U' (iter. 12=) Waiver Fee S _ Date of Payment Receipt Number I. - rw . . I . as--. ..VI OO...V. - w L -, SG� SCS Re LN Client Name Project Name/# Client Sample ID Ntatrix 1047277001 Anderson Engineering Lot 14, Block 2, Kasilof Lot 14, Block 2, Kasilof Drinking Water Sample Remarks: Nitrate was analyzed by Mat -Su Test Lab of Alaska. All DatesITimes are Alaska Standard Time Printed Date/time 11/09/2004 11.22 Collected Date/time 11/0212004 10:30 Received Date/Time 11/022004 11:50 Technical Director Stephe . Ede Released y �/• Parameter Results Allowable Prep Analysis PQL Units Method Container ID Limits Date Date Init Microbiology Laboratory Total Coliform 0 1 coV100mL SM209222B A (<-1) 11/02/04 DKC SGS/CT&E ENVIRONMENTAL SERVICES Drinking Water Analysis Report for Total Coliform Bacteria READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE MUST BE COMPLETED BY WATER SUPPLIER n PUBLIC WATER SYSTEM IDA PRIVATE WATER SYSTEM .[3 Send Results i -. 77-7 2110 Send lnwe" j.�a1L �� Ifrt� SZL 6771 SAMPLE COLLECTION: �Y��»•»; Dal.: Yw Time: _ coMctor. /✓/7LC awm. ' TramPontcl to Lab By: A 5ame as collector OU TO BE COMPLETED BY LABORATORY Sample Receiving: Date: pe oy Time: 1I SO Delivery Nlett Received comm.ms: n Send Rssulu 200 W. POTTER DRIVE ANCHORAGE, ALASKA 99518 Tel: 907-562-2343 Fax: 907.551-5301 1047277 us.nd Imo ce SAMPLE TYPE: Koutine ❑ Treated Water Repeat Sample Untreated Water wl 1 e (refer to lab ❑ Speclal Purpose c3s.mpl. over 3o hours oll: Fiestas may be univy"s ❑ ae ❑ RUS4 SAMPLE Phone.#: Fax #: v"1' ........................................................... ..... ............. • Sent to ADEC: Water Analysls Reece ANC FSK JUN BacteriolooiCal MMO-MUG (P7A) RESULTS: - ' tA1./llmr i/IZIB^I 17�— Total coliform Analysis S•Aa E. Cak Analyst: - SeM to CXnnt Phoned Q ' Faxed Q • MEMBRANE FILTER RESULTS: • Analytical M.thod:Mad count Colonies7lWml DriMThne' - Spoke rrM: Membrane Filter . v°r#'r'b'"` *rc... -eG © Satisfactory MMO-MUG(P1A) , ❑ Unsatisfactory Ee• TNrc•Tw ss»»..•. r. c.•M ' I.,�I •�.n M•oe. ii. Reported By: 9 ��✓'I't� Dateff'ime• (I k r sq�ana. Form#FW-0053 1211T/03 .. .........., ».c....enoucul'..nt(•..W Fmn 1717nA rls I! 111111. - mac -amu lest 1_aD Matsu 'best Lab of Alaska Water Quality Testing 1 M11ile 32 Paimer•Wasilla Hwy. Midtown Community Business Park phone: (907) 7453005 Client SGS Enviromental Ate,: Forest Taylor Lot 14 Block 2 Casilof-1047277001 Client ID: Results PWSID x: Date Pre Source: Nitrate -N M.S.T.L#: 20041078 Sample Matrix: 11!4!04 Comments: Email: mat -s Ulestlab0M0er5h5a.00m Method Parameter Units Results MDL Date Pre SM 4500-NO3-E Nitrate -N mg1L <MDL 0.50 ' 11!4!04 Legend: MRL - Method Report Level MCL - Max. Contaminate Level B -Present In Method Blank E . Estimated Value H . Above MCL D . Lost to Dilution je—jo5ooA By Jon Paul Campbell . Lab upervisor tl1EM Y P.O. Box 2749 Palmer, Ak. 99645 Fax: (907) 7454010 Date Arrived: 11=4 Report Date: 1114/04 Sample Date: 11/2104 Sample Time: 1030 Collected By. Date 1114104 10.0 C 1 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTAi`IDING BETWEEN MUNICIPALITY OF ANCHORAGE AND _�S n IHS MEMURANIJUbt OF UNDERSTAND—UlIG ruadc uud cub"Led;Uiu as vi ibis _1_ day of 20p�,by and between t ��ac , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: I. ADVANCED WASTEWATER TREATMENT SYSTEh'IS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment Sys'em (AWWTS), described as Bottomless located at Lot_ 141 Block 2, Rasilof. Intermittent Sand Filter Hills Subdivision Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or P.rnetior. of an AW''ITS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "A AC") 15.65 B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC Page 1 of 5 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. 1llaintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction). An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating). An Advanced Wastewater 'Treatment Systcm Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all requirements of this agreement, the conditions of the Operating Permit, the requirements. of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65. 3. Fee. Owner shall pay to Municipality an annual fee of $0.00 (S .00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. Pace 2 of 5 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of on site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the A"WWTS without a Construction Permit from the Municipality. 6. Nlaintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, owner agrees to comply with all applicable ordinances, laws, regulations, rules and order for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's ANVWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: Page 3 of 5 C. Owner acknowledges that the fine schedule for failing to maintain and repair an , AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the systems. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner ,agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's ANVWTS. 7. Nonwaiver. The failure of either party at any time to enforce_ a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way affect the validity of this Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. S. Amendment. A. This Memorandum of Understanding shall only be amended, .modified or changed by a writing, executed by authorized representatives of the parties, with the same formality as this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. Page 4 of 5 B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the - :. Memorandum of Understanding. 0NVIV'ER: Date: �v 11 1q b� STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: _ Title: Date: ss. The foregoing instrument was acknowledged before me this eday of `�, 2001, by d� `7 t.%n /lix�Jfx,rLnrl�the -4cl,'- of1/,/A 40 on behalf of Municipality of Anchorage. NOTARY PUBL4C FOR ALASKA Page 5 of 5 OFFICIAL SEAL STATE OF ALASKA NOTARY PUBLIC SHERRY PRATT My cemm.UwX-ammizizWe pires: /0-07zOC G Richard\ASS1GNMUMAAACode Addendum AMC 15.65 [N00.0257Mfemoranudm of Undcrsunding Version Vl.doc Pase 6 of 5 Municipality of Anchorage \ Asa so. 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. 015.161-32 HAA # /J&' Q 09 S9 Expiration Date: 2/ 02 1. GENERAL INFORMATION Complete legal description Lot 14 Block 2, Kasilof Hills Subdivision 'Location (site address or directions) 11081 Kasilof Boulevard Current Property owner(s) Todd Schroeder Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P.O. Box 110625 Anchorage AK 99511 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Three 3 Day phone Day phone 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 5 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 less than 30 days old. (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 Health Authority 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. Name of Firm Anderson Engineering Phone 522.7773 Address P.O. Box 240773 Anchorage AK 99524 Engineer's Printed Name Michael E. Anderson. P.E. Date 611812002 oF.AC, a,►., S. DSD SIGNATURE CE -4331 Approved for 3 bedrooms. p� OFESSt� -tea tt it Caa�oo Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: L%�/� - Original Certificate Date: b z I OZ (Rev. 1290) r Municipality of Anchorage • Development Services Department , Budding Safety Division :. .,. Onsite Water 3 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519.6650 www.cianchorage.ak.us I` (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 14. Block 2. KasOof Hills Subdivision Parcel ID: 015161-32 A. WELL DATA Wen type Prate H A, B, or C provide PWSID if _ Date completed M= Sanitary seal (Y/N) Y Total depth BT ft. Cased to 40' ft. FROM WELL LOG Date of test 71M"9 Static water leve Artesian ft. Well production 4 g.p.m. WATER SAMPLE RESULTS: Coliform 0 coloniesN00 mi. Nitrate 2111 mg.A. Well Log (Y/N) Y Wires properly protected (YIN) Y Casing height (above ground) >24 in. AT INSPECTION &16!2002 Artesian ft. Other bacteria 0 colonies/100 ml. Date of sample: 6M612002 Collected by: GFA B. SEPTICIHOLDING TANK DATA Tank Type/Material SeoddSteel Date installed 61411999 Tank size 1.250 gal. Number of Compartments 3 Clearwuts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YM) Y Date of pumping 11/1512001 Pumper A Plus Home Services C. ABSORPTION FIELD DATA Date installed 9111'1999 Soil rating (g•p•d./ft2 or tt2/bdrm)G2 PDISF System type ISF Length 30 ft. Width 12 ft. Gravel below pipe .5 ft. Total depth 3_5 ft. Elf. absorption area 360 ftr Monitoring tube Y Depression over field N Date of adequacy test 6M612002 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test Q in. Water added466 gal. New depttr0 in. Elapsed Time: Q min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N H yes, give date D. LIFT STATION Date installed 9HH999 Size in gallons 250 Manhole/Access (Y/N) Y 'Pump on' level at 42 in. 'Pump air level at 42 in. High water alarm level at 44 in. Datum Bottom of Tank Cycles tested 5 Meets alarm ti circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot >100' Absorption field on lot >100' Public sewer main WA Sewer /septic service line >2T On adjacent kris MW On adjacent lots >100' Public sewer manhole/cleanout NIA Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >S Absorption field >5' Water main NIA Water service line AW Surface water MW Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation MW Water main >10' Water Service line AW Surface water >100' Driveway, parking/vehicle storage >2S Curtain drain None Noted Wells on adjacent lots AW F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field kmpecdons and review, of Municipal fecords that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Michael I° Anderson, P.E. Date 611912002 HAA Fee Date of Payment Receipt Number 1 NTJ 'rl (Rev. tzfoo) Waiver Fee S � • Vi _ L,. •...• •'"' Cc -43111 P"OiESS1C\\��o'y Date of Payment Receipt Number A C.) D m N ii n N � \ o cz 0 N 77c�� c z <n a Y D = U N m A + N C w z Y �'O^rory�jn p(Z•1 Z Z [n 0 o Nom� zol m0z 0 0m Y TlQZ 0 fn 0 C T in A O A i30�0 m ?�A?zz �-i-a z E c00ogo omo Q �Y v, c� O>Rv o cnmA.., i 2s60 a> F o c _ 0 z rn IV 7 m l A � , vs'dy` 0►��9 �o oo°e �s .00 Ogg I I W 0 fxF CIOD O 0 00 00 o p 'op o.., j— rn C/) 1 r. J �.. No O O 9 fS O .064 zQ \ / rn \A! '^ 4 0z u N < W z C/) � A•• r O O rn i i �1 Q . < • i � i z s ' iYi53 0°8� 00 0 Q z ' 0y` •00 1 C I I W 0 JUN -18-02 02:39PM FROM -CUE ENVIRONIENTAL SRV 9075615301 T-339 P.03/03 F-154 ME Environmental services I= Labonmry DIVId" W. Pottw Dr" ung Water Analysis Report for Total Coliform Bactena READ nvsreucrrofVs ON RAYERsa slDa earoJtaR OLLFt?MO SAMILa OM, Analysis Showa this Waur SAMPLE to br k Sadatsctm p Unszd$hcuwy a swm eli�ab r 30 hour old. twa s may bt p Sample too lon`to transit: sample should not bo ovar�Chouts old st eaamtnanon to indices reliable results. Plasse send new sample via special deliv mul. Data Roe" TIM@Received �gnP7 Analysis Baia. `�� Analytlal Mathadn *k4gmbrene Filter p MMO-MUG p PUBLICWAT9R3YST9"LO.M o P UVATL WATERSYSTRM p sear RRA p Seaa b SAMPLE DATE. � Lp Year SANPLETYPE: ARoutine a ...Rslxst Sample ([or routlaa ample ` with last rot. no. _ C3 special Purpaa SAMPLE LOCATION �pT �% ]3GoUL 7-,L 1 p Treat" Water ° uotraaudwsw Than Collected �.00 rIa% • Nuffjwofcoloniesll 8111. AnNyst 10233?4 I Collected By w.rr_-4 a FbU JON ❑ F»d ova _ Time: — CIIOM aadfled d awaWy rattlts ha0f❑ ❑ SMwwka Faut! entad DSc _ Time. -- aACMRIOLOGICAL WATER ANALYSIS RECORD C44 MMO.MUG Regain Tow Calf ris Calealoellos d Membnae Filter- Dtnct.Coast COf IFIRM Verffeadest LTB RGB -------- Fecal Coufons Coollrtattdoa Colltorwlo0 ad Float MembrsaaFlltorRtaaW DZ Time bn Dain Raportad BY f Comments: ^Received Time Jun -18.: MC. rwx mw t)cfw ON .~Ow.+ JtIN-18-02 02:39PM FROM -CUE ENVIRONIENTAL SRV All&G CUE Environmental Services Inc. - -----r----- CPS E Ref.N Client Name Project Name/N Client Sample ID matrix Ordered BY PWS1D 1023374001 Anderson Engineering Lot 14, Block 2, Kasilof [Tills Lot 14, Block 2, Kasilof Hills Drinking Water 0 9075615301 T-339 P.02/03 F-154 All Dates/Pimes are Alaska Standard Time Printed Date/time 061182002 12:15 Collected Date/Time 06/12/2002 13:00 Received Dste/rime 06/132002 9:00 Technical DIS Ste he C. Ede Allowable PreP Analysis ]nit Resalts PQL units Method Limits Date Date Parameter ;lar ra naoartme= 06/13/02 JDT Nitrate -N 0.211 0.200 mg/L EPA 300.0 (<10) robie�o^� •abnratory 0 coUl00mL 5!v11892220 (<1) 06/13/02 51311 Total Coliform Received Time Jun -18. 1:48PM .r 1J-aLr-ee I.u. ae 40 ■ Rick Mystrom Mayor f It Vl'1.-JPIf/GlL OVf.LO lM.. IV.�WIiYY/O/O Municipality of Anchorage Department of Health and Human Services 825 'L' SVeet INEW P.O. Box 196650 Anchorage. Alaska 99519-WS0 Orm hep'1Mww.d a nrlf orag e.a k w Permit Number- #SW 990179 Date of Issue: 748-99 Parcel Identification Number: 015-161-32 Date Started 8-1T X39 `Dato�oiiipleted B iT��g 7s well located at approved permit location? ® Yes'O No >�l D�ript=op; Xast7ofJQs B& 2 U 14 Property Owner ame & Address: Spinell Homes 9210 Vanguard Drive Anchorage, Ak 99507 BotrholeDsta Soil Type. Thickness & Water Strata Depth(it). From To . AfetbaldfDritino ®airro tars ❑cable tool "'Ca§ing type: steel Stick up -0 2 ' ' Wall Tluckness::230 inches organics and at 2 14 'Diameter 6 inches Depth: 40 feet gravelly silt 14 S5 Liner Type: bedrock 35 .187 Diameter. inches Depth: feet Casing stickup above ground: 2 feet hr2/o 165 175 Static water level (from ground levee: •+ 2 feet Putnpin. level: 187 feet after 2 hours ptmtping 4 gpm Recovery Rate: 4 ppm 15lethod of Testing: gLL& 'We8-Intake•Opcning Type: - ❑( c End Open Iinle ❑ Screened • --Start feet Stopped feet []Perforations -Startfeet -Stopped feet GroutType: bentonite # 8 Volume: Start 0 feet Stopped feet Pump: Intake Depth feet Pump size hp Brand Nana Yell -Disinfected Upon 4Completion? ® Yes 0 No � Method -of Disinfection: Comments: Well Willer. Alpine DnMng & Entcrprisesl P.O. Box,110496 •Anchorage AK 99511 fl#cai«fft ' 4-weR-l0554e41te property ownerwithin 34d of completion and the property nxl..M n. th'r .-TI h. -TT, 6"" n.+ ,.A. s w`"U/ to It'.rl .f nFi7r�hh b S7�m�u..t`a.�,:�n:t1.:.. An'41we nfnn.wnt�f:nw Received Time SeP•13. 10:16AM 2'R MUNICIPALITY OF ANCHORAGE' DEPARTMENT OF HEALTH 4 HUMAN SERVICES Division of Environmental Services On Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING � Parcel l.D.# 015_161-32 HAA# 4990"o �`-�r/�, 1. GENERAL INFORMATION Completelegaldescription int• 14 Block 2. Kasilof Hills Sub. Location (site address or directions) Propertyowner rpi.,P1t Hnmes Dayphone 344-5678 Mailing address 9210 vanguard Drive Anchorage AK 99507 Lending agency Mailing address Agent Address _ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: Three- (3 ) 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. nass(n...wl) Fo.n MOA/t1 5. 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 of this Health Authority Approval application 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Engineer's signature M- 45 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. M 9524 Date 12/30/99 Conditional approval for bedrooms, with the following stipulations: Additional Comments • Date ' dR-00 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. rums m.•. M •� won m hCL; �.. Municipality of Anchorage DEC 3 1999 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUMIU, rN I :.1F ANC 825 L Street, Room 502 • Anchorage, Alaska 99501 • Health Authority Approval Checklist IegaiDascrlption: Lot 14, Block 2, Kasilof Hills Panrell.D.: 015-161-32 A. WELL DATA Well" Private If A, e, or C, attach ADEC letter. ADEC water system number Lop present (Y/N) Y Data completed 7 / 8 / 99 Total depth 187' Cased to 40' Casing height (above ground) 2' Sanitary seal (Y/N) Date of test Stafk water level Well production Y Wires properly protected (Y/N) Y FROM WELL LOO WATER SAMPLE RESULTS: 7/8/99 +2' (Artesian) AT INSPECTION 9.p.m. 9 -p.m - Nitrate .613 mg / L Other bacteria 9 Date of sample: 12/14/99 Collected by: MEA B. SEPT10HOLDING TANK DATA Date instaned 8/41/99 Tank size 1 , 2 5 0 Number of Compartments 3 Cleanouts (Y/N) Y Foundation cleanout (YH4 Y Depression (Y/N) _d_ Hlgh water alarm (Y Y C. ABSORPTION FIELD DATA Date instatied R/4-9/99 Son rating (g.p.d./ft' cr fF1bdrm) 2 System type G h a t f ow npd Bottomless Sand Filter Lem 30'Wkllh 12' Gravel thickness below pipe - 5 Total depth 't c' Effective absorption area360 SF Monitoring Tube present (Y/N)—.)L_ Depression over field (Y/N) N Dateofadequaaytest New Const. Results(Pass/Fan) Pass For Three bedrooms Fluid depth in absorption field before test (In.); Immediately after gal. water added (in.): Fluid depth (Ina) Minutes later. Absorption rate a a.p.d. PamDdde treatment (past 12 months) (Y/N) ro If yes, give date ai L +, 72.028 (Rev. 8/9or i D. LIFT STATION Date installed 8/4_9/99 Sizeingallons 250 (1,250 STEP) Manhole/Access (Y/N) High water alarm level at* 44" "Pump on" level at" 42" "Pump off' level at" 42" Cydestested New Construction E. SEPARATION DISTANCES *Datum Bottom of Tank SEPARATION DISTANCES FROM WELL ON LOT TO: SepWholding tank on lot > 1 n0' 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 >251 Litt station >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation > 5' Property line % 5' Absorption gold ire Water main/service line —LI-IL—Surface water/drainage > 1 n n ' Wells on adjacent lots > 10 0 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line > 10' Building foundation > 10 ' Water maln/servloe line >101 Surface water >1001 Driveway, parldng/vehide storage area >251 Curtain drain >501 Wells on adjacent lots 1104' F. ENGINEER'S CERTIFICATION I cer* that t have determined Mm field inspections and review of Municipalre systems are in conformance with,MOA 't d 1JQ nes in effect on Mdate ,F,e t i tt Signature Engineer's Name1419hael a. Data 12/30/99 HAA Fee 5 ` e e . _o Waiver Fee $ Data of Payment ,1 --:� 0— 72 Receipt Number Div, -00/ /:L:79I 72.026 (Rev. 3196)• ' Date of Payment Receipt Number €: _ 4W,1-1 12-22-99 08:I7 FROP-CTE ENVIRONIENTAL 5615301 T -TIS P.02/03 F-009 CT&E Rete Client Name Project Name/;F Client Sample 11) AlatriK Ordered fly PWS1D CUE Environmental Services Inc. Enroieiiiierviciilii 996693001 Anderson Engineering LoT 14,1Casilof Lot 141Casilof Drinking Water 0 Client POB Printed Date/rime Collected Date/time Received Date/time Technical Director Releared 12121/1999 19:20 12/14/1999 14:30 12/14/1999 16:25 Stephen Ede AlloraDle Prep Analysis Init Parameter Results POL units Mernod Limits Date Date WTERS DEPT 0.613 0.500 sB/L EPA 300.0 (<to) 12/14/199912/14/1999 SCL Ritrat DE MICRO LAI Total Coliform 9 08/100 I+L, No coil Received Time Dec -22. 8:21AM col/100mL SmiS 92228 12/14/1999 KAP 12722-99 WIT FROM -CTE ENVIROKENTAL 5615301 T -T16 P.03/03 F-009 CTU Environmental SOMW6 Inc. L6botatQfV Division 200 W. Paw Dri" AK 99616.1606 fri g Water Analysis Report foi Total Coliform Bacteria Ta"^ 62.2343 JtEADINSTRUCTIONSONR£{'FRSESIDS6£FOR£COIl£CTINGSMfPEC.OMPLETEDBY1 WDRA OKT D PUBLIC WATER SYSTEM LO -0 O PRIVATE WATER SYSTEM 17 Sead iamb 0 S� 4eet<o a seal itm. SAMPLE DATE: gp0173 ,A4L� Paste memo Day y4w SAMPLE TYPE: 0 Repass Sampo (for road" aOwr wltY lab rK. 119.1 0 Spedml Pttrpow SAMPLE LOCATION t0y-I', KAse49f' Comments: 0 Trasd Water 0 ummad Wwn TUN cwbmd G6etd By �;3 o pNl Nl ' rr hr yqe shows aw Watd SAMPLE w br. Seadwory p U9stuisfumry a Saopk 9va 30 boar old. Icalo MY be sa"16 O Semplo tug {ma m u mpt: saWk stmW II9t b0 9VR 46 Goaes old a esemmeaon w Mac" 10 mw am* ray WW dol;•aY VOL Dw Aseoird i 2 • I 4 -, q Aaob* NWN Andy" MdlodstsC-Membw�e Fir • Numbaotcolooiar100mL 996693 "bPvl. 0 m nb Jon _ loco Dar Taw cum aad6d of aaudstw r7 rads: L'�13 mmm6 9MV'e1J i( a roLMCAL WATER ANALYS5 >R1CORD SUMO M XMkuW Ted COW" S. Cog Membra" Yom obos Coot Vomno : LTD ma Fail Ce9fera Cosa md•a r Cw*w11f ail Flea Membraao 3U 'M Rep.re.d Bf —ILL,alan..'-- mw. rmmwa r.0 r of -a.omm �1910m Mw99er of to to woo L NEW �E�wo WEST VIIIGIhM Ehv1ROhMEM� —Received d Time—Dec-22. s , ,w_ 8 ; 21 AMS wNm wuru►No• _