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Home My WebLink AboutT15N R1W SEC 19 LT 24T15N RIW SEC 19 Lot 24 #051-241-01 Municipality of Anchorage Page I of z DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: _Sul 040 4 9;9 PID Number: _C7_SI - 241 ^r1 I Name: CARO ztz Wastewater System: koNew ❑ Upgrade Address: Pat i3e)X -7 707m I E ABSORPTION FIELD Phone: No. of Bedr ma: O Deep Trench ❑ Shallow Trench f7 Bed O Mound O Other LEGAL DESCRIPTION Sollfiating:Totall DiW Djth��m original grade: Lot: Block: _ Subdivislon: /� Z L S Q • GPD/SqFt. Depth to P06 bottom from Original pride: (( Gravel depth beneath pipe Township: S � Range: ttyj tsntloll�jlct Ft Fill added above original grade: .,S FI Gravel length: - Ft SO Ft. 11 New ❑ Upgrade deeWFi Gravel tyr� � Number of lines: ggtance beliveen fines v. , ,C): Classification (PriTotal De Cased To: Ft. Total absorption area: Pope material: Ft . FLFt. Driller. Date Drilled: Static Water Level: SO. FI. Installer. f q P V Date Installed: Ft. UC Yield: Pump Set at: Casing bow Ground: . GPM Ft. t. TANK SEPARATION DISTANCES 13 Septic 0Holding s.T.E.P. To From Septic Tank Absorption Field Lin Station Holding Tank Publicnftsta Manufacturer. Capacity In gallons: Striver Llrse Well 102 l� r /D �� HDf Material: 5_ Number of ComDertmenis: Surface +/ ' t ►oo' + o +►oo' LIFT STATION Lot Line !/ bZ' / / / Size in gallons: Manufacturer. Foundation e7 / C� [ f J `Z / O r Pump on" level at: "Pump off" level at: High water alarm at: Curtain Drain 7 Pump Make 8 Model Electrical Inspections peAormad by: �sr- P3 -off Remarks: LA BENCH MARK Location and Description: A)I}TL 17"17 GROZ OF Assumed Elevation: 100 Ft E Inspections performed by: Gk)r�ot� Dates: isf o r 2nd IIS?1Os t�ansroPHErtsw000 i Department of Health Human '. C'IM and Services approval �"�' Reviewed and approved by: ate: _ss...72-013 (1/91) MOA 25 Permit No. SW040489 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 24, SEC. 9. T15N. R1W PID No.: 051-241-01 •- MONITOR TUBE G -SEWER CLEAN OUT 0 - TEST HOLE ELEVATIONS (NOT TO SCALE) �O. 33' BLM ROW ESMT. Co SNfP ABANDONED UNDOCUMENTED TH1 SYSTEM STATION IDTH2 RESERVE 329.1 LuIL IN S V SHED CORNER V ASSUMED ELEV -100.0' TEST HOLE b� GVT LJ ^91.3' '*�190.P O 01/31/05 ENGINEER'S SEAL CE -10387 SWING TIES C 73.8' 52.0' D iu.vl 86.2' SCALE n 1' 60' Q �O v`O o z •- MONITOR TUBE G -SEWER CLEAN OUT 0 - TEST HOLE ELEVATIONS (NOT TO SCALE) �O. 33' BLM ROW ESMT. Co SNfP ABANDONED UNDOCUMENTED TH1 SYSTEM STATION IDTH2 RESERVE 329.1 LuIL IN S V SHED CORNER V ASSUMED ELEV -100.0' TEST HOLE b� GVT LJ ^91.3' '*�190.P O 01/31/05 ENGINEER'S SEAL CE -10387 MAR-24-2005(THU) 16:22 Mar 24 05 11:29a EAGLE RIVER ENGINEERING SUMMER ELECTRIcnL To: Chris Woods Reference #: Section 19 - Lot 24 T -,14'-11 R -1-W Chris — (FAX)907 694 3297 0073701595 Date: 02/24/05 All wiring for Lift Station meets Licensed Electrician NEC Codes, MOA Standards, and Orenco Rules of Wiring. Thank - you, Guaranteed Services P. 001/010 F.I MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Wafer 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW040489 Legal Description: T15N Rt W SEC 19 LT 24 Design Engineer: 0848 Eagle River Engineering Services Owner Name: CAROLINE MILLER Owner Address: PO BOX 770701 EAGLE RIVER, AK 99577-0701 Date Issued: Dec 01, 2004 Expiration Date: Dec 01, 2005 Parcel ID: 051-241-01 Site Address: Lot Size: 83373 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑� Disposal Field [?] Septic Tank ❑ Holding Tank E] 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. 5. The following special provisions. THE PRIMARY BED MUST HAVE 2 FEET OF M.O.A. APPROVED FILTER SAND, AS STATED IN AMC 15.65.060 SECTION "C" Received By. Date: /e Y Issued By(__]� Date: !< r .� 09/03/03 11:27 FAX 9073438437 NOAJ". USE ENFORCEMENT ®001 Municipality of Anchorage • f- Development Services Department Building Safety Dlvleion Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650'- www.cl.anchora9emk.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. V5:1- 241 - O/ Permit Number SW Property owners) Ci 11-'& , VZ. Alru- 'iz, Day phone ^ 213 7 Mailing address (1) hn 06X 77070f Mailing address (2) 16-4 L6 RTV'eyL IL 9 4 S' 77 Zip Code R % S 7 7 Legal description (Lot, Block & Sub'd.) T 1 S N fZ /ti i SCC_ I ` t oT 5 Legal description (Section, Township & Range) _['1 SN 21 e„) 5vi 19 Lot Size 931173 AcreslSq.FL Number of Bedrooms 14 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only, ❑ Sewer and Well ❑ / Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub [] Jacuzzi ❑ Swimming Pool ❑. Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct I further certify that this application is being made for a Single Family DwellN"Is in acc9rdance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: .� Waiver Fees: Date of Payment. I I Date of Payment: Receipt Number. UPI P)tA(Y1 Receipt Number (Rtv, 14100) Eagle River Engineering ,Services Christopher R. Wood, P.C. 10421 VFW RD. Suite 201 (907) 694-5195 tel Eagle River, AN 99577 (907) 694-3297 fax November 24, 2004 Dan Roth Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: T15N Rl W Sec 19 Lot 24 Narrative & Permit Application Dear Mr. Roth: Eagle River Engineering Services (ERES) has been contracted to design replacement septic system at the above referenced property. The proposed new 4 bedroom septic system and replacement site will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are all large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +20' distance from the proposed new septic system, and no private wells are within 100' of the new system. 3. This permit is for a new septic system. 4. Drainage will not be affected and is not a major consideration in our design. The original system was undocumented, so the homeowner has opted to install a new system. Two test holes indicated that the underlying soil in the area for the septic system is generally comprised of 8 feet of gravelly sand GP -SP underlain by blue clay CL material. Water was present slightly above the clay layers, at 6.8 feet on Test hole 2, and 9.0 feet at Test hole 1. The elevation the effluent pipe from the house is found to be at will dictate whether or not a lift station will have to be used for the primary system. It appears that a gravity feed bed will fit for the primary site. A lift station and sand filter will be required for the alternate site, due to shallow water table and sand/gravel gradation. The water table was monitored for a week in November for water table information. This work will not affect the reserve septic areas on adjacent lots. If you have any questions please call our office at 694-5195. Sincerely, EAGLE FUVER EN INEER G SERVICES Christopher R. Wood, P.E. Principal \2003%04-119SEPTICNARRATI V E. DOC LEGEND: 100' WELL RADIUS ® - TEST HOLE •- MONITOR TUBE O - SEWER CLEAN OUT - WELL - EASEMENT PROPOSED LEACH FIELD o - DRIVEWAY SCALE: 1"= 50' y A c EAST SEPTIC +30' ._10' UTIL. ESMf Q' \ 4 EXISTING \ CESSPOOL r ALL NEW 1,250 GAL SEPTIC TANK LOT 24 EXISTING o0 1 a WELL13 N c6 INSTALL F.C.O. I N � WITHIN 4' OF / = FOUNDATION " DIA. PIPE / O GALLON :JAND z BASIN PUMP, EQ'D � cV r50 15' X 50'OESERVE AREA 0 1 H 2 1 Z o -1 WELL +200' 21 SEPTIC +30' NO 1. NO KNOWN CURTAIN DRAINS EAST 329.1LOT 25 9 Nn kMnWN ClfOrAPC Ulm WELL/SEPTIC SITE PLAN LEGAL: BLM LOT 24, T15N R1W SEC 19 OWNER: CAROLINE MILLER CONTRACTOR: N/A JOB 04-119 DATE: 11/22/-0-4F SCALE 1"= 50' EACLE RIVER ENCINEERINC SERVICES 10421 VFW RD. SUITE 201 EACLE RIVER, AK. 99577 (907) 694-5195 FAX. (907) 694-3297 .CHRISTOPHER R. WOOD. CE -10387 0 �z 75 C3_ O N MW o� f'1 W f 3 F N W Q Pl Y F - z O O H U � W tict 3 Z 0 ~ U a O V i J W � � N W °' F—\ a Cc; .L IL Jd W a o W A WW tl 0 W J O in <z Qm Q' 13\-,I J W a o N 0 U > °' F—\ a Cc; .L Jd W Z naJ A WW tl 0 W J W .U.J O <z Qm UfN 13\-,I Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — MOA CERTIFIED INSTALLER LEGAL: T15N Rl W Sec 19 Lot 24 7 November 24, 2004 1 I l y A/1 m z y a/ C/ �r- A� A. GENERAL I _ ` ( �7 7 G I " l 1. The replacement septic plan is for a 4 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. A licensed surveyor should locate any utility easements and exact 100' radius from the existing and neighboring on-site wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed. B. SEPTIC TANK 1. The sewer piping from the house shall be 4" PVC 3034 laid at 2% grade maximum — 1% minimum and insulated with 2" of burial foam if shallower than 3 ft., with 2 ft. minimum. 2. Septic Tank shall be a minimum 1,250 gallon tank of MOA approved construction, insulated, or place with 4' of soil cover, min. C. BED 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The depth below grade of the gravel layer is not to exceed 3.0' as measured at the monitor tube. 4. The effluent lines (3) are to be 4" perforated lines, connected at the ends with a 10' piece of perforated pipe. There shall be 2.5 feet of clearance from the edge of the bed to the perforated lines, and five feet between each of the 3 runs. Cleanouts shall be installed at the beginning of each run.. 5. The bed gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of Y or equivalent is to be placed over the bed. Mounded side slopes not to exceed 3:1. 7. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: BOTTOM OF GRAVEL LAYER = 3.0' Below Grade at monitor tube GRAVEL THICKNESS = 6" under pipe, 2" over pipe BED LENGTH = 50' BED WIDTH = 15' SOIL RATING = 0.8 GPD/115 BEDROOM CAPACITY = 4 SEPTIC TANK = 1,250 Gallons EFFLUENT PIPE = 4" diameter perforated pipe, holes down. D. LIFT BASIN. IF REQUIRED 1. The auxillary lift basin shall bean OSI 500-L with OSI lift station pump model OSI-05-204IIIF, or other engineer approved lift basin and pump. \2003\04.119Bcd-gravity-spcc.doc 2. A receipt from a licensed electrician shall be provided to the engineer verifying lift station wiring to all applicable codes. 3. Contractor shall notify engineer immediately upon exposing existing effluent line, and engineer shall solely determine whether lift station is required. Twenty-four(24) hours notice required for all inspections. Additional Charges will be incurred for the 3 required inspections and preparation of septic system as-builts. \2003\04-119M-gravity-spec.doc EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694,5195 ERES Project No.: 04-119 Calculated By: CW Date: 11/24/2004 Legal: T15 N R1 W Sec 19 Lot 24 Single Family 4 Bedroom Dwelling t3edsuurface wastewater Disposal Field PRIMARY SYS Water use at 150 gallons per bedroom = Percolation rate = Wastewater application rate = Required absorption area = Bed width (M) = Gravel depth (D) = TEST HOLE 1 600 gallons 1.5 minutes per inch 0.8 gallons per day per square foot 750 square feet 15 feet 0.5 feel Required length = Required absorption area / Bed width Required length = 750 / 15 Required length = 50 feet Total Excavation Depth = 3.0 feet 04-119_pdmarydrainfieldCalc.xis 1:56 PM 11/24/2004 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 04-119 Calculated By: CW Date: 11/23/2004 Legal: T15 N R1 W Sec 19 Lot 24 Single Family 4 Bedroom Dwelling R E34v2 V& Bed Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = Percolation rate = CH Wastewater application rate = Required absorption area = Bed width (W) = Gravel depth (D) = TEST HOLE # Z IZ6,S62Jt✓ 600 gallons 1.5 minutes per Inch 0.8 gallons per day per/,�C t 750 square feet 15 feet 0.5 feet Required length = Required absorption area / Bed width Required length = 750 / 15 Required length = 50 feet Total Excavation Depth = A-tr feet 3.'6' fcrt; May_ SOTMV%% OF i'oCKV /.y, f5.4.S. M4Y 04.119_drainfieldCalc 4:32 PM 11/23/2004 'M a � u I — ME I — I jo 4-1 ; '- r tom; ._ a I ' 1 TT— ME l--la!'(Hal) POOH olweu6a lelol 1 Fr C O N to M r see $s FL 0 if 3 ryry`o' ovG�.S E m ? S_ n$ I ZIx o 3 v x = I — I jo '- r tom; ._ a 1 TT— l--la!'(Hal) POOH olweu6a lelol 1 Fr C O N to M r see $s FL 0 if 3 ryry`o' ovG�.S E m ? S_ n$ I ZIx o 3 v x = Municipality of Anchorage Development Services Department Building Safety Division • i! On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 t,www.d.anc_ ti_onae.akus (907) 3043.7904 Soils Log - Percolation Test Performed For CA P d t- 111 , tyl—, i L A Date Legal Description: /-14 tv 'A'-7 1 ti �,--_ Township, Range, Section: ;r, , / 5,Ee- l,7 TN-/ Depth 1- 2- ° D e 3-60 4- 5- 6- 7- 10- 11- 12-1 13- 14 - Reading 5- 6 -7 -10- 11- 12- 13- 14 - rian 01"^"(& ID P5(:" -L Grl-Sy,1 V LL GUO.SAtb WAPAA;1, &VIK -I L — 3 L_L� E WAS GROUND WATER vis �Lqy ENCOUNTERED? 6 IF YES, ATWHAT DEEM! �� L 13oltoe-i oF iwtD-PthtuWn-rAR-r, Monitoring? 90 it Dale: 23 Li Reading Date Gross Time Net Time Depth to Water Net Drop 3 .ras•DP _ Tr a 9 • r TEST RUN BETWEEN unml FERC HOLE DIAMETER 61' AND Fir PERFORMEDBY: _ GHKIS LJC oL> IKAJJ,r-CERTIFY THAT THIS TEST WAS PERFOR61ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: / / Municipality of Anchorage Development Services Department Building Sarey Division • +r1 On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196850 Anchorage, AK 995194650 ,,.www,d.anchoraoe ek_us (907) 543.7904 Performed For. Legal Description: //-z Depth Soils Log - Percolation Test Date Performed:_Llj��O N .z5zH LdT ,yy Township, Range, Section:_ 7;,,X OR(NG� 7DP$piG S�1�ro- �RAJtZ 8- 9_ _� ' (3LNE-ENCOUNTERED? 10- WSGOUNDWATER L` IFYEPTI?.5-� r� L Depth to WaterAfter 011- s Monitoring? G•�y P 12- Date: / 2 3d y 13 - Reading I Date I Gross Time I Nel Time Depth to Water Net Drop � O / 70 5iT r rn 11M MINOR" PERCOLA710HRATE < tm:uw.rnl PERC HOLE DIAMETER G r �R AND FT COMMENTS TESTRUNBETWEEN ee� PERFORMED BY: NIC.tS h1C►Ott I '..,"- PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:IS/ST WAS C Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program r 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. o517-14inl HAA# WU4 Expiration Date: 1. GENERAL INFORMATION Complete legal description _ 1'_ 15' 2 I W 5 F.G. 19 LOT Y Location (site address or directions) 1793-9 3' RGH 7-26E Si Current Property owners) 64 RO t_ r:"L Ms. LLEl2 Day phone _ 6 S 53 - 21 -z, ?L - Mailing address Po BOX 77o7ol 644L Rid . At- 99g-77 Lending agency Day phone Mailing address Real Estate Agent h.Wf iSbtW-I;oA) Day phone 1'907-3S2-S30e Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site ' Q-� Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ 'Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority. Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for 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 Eagle River Engineering Servkm Phone10421 VFW R(t, SM 20 Address Feela Rfuer AK !fir Engineer's Printed Name C tfRSS7VPHCR_ R. Wctob Date 2/07-105- 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments A:oP":•••••• WATER AND • Nl1VIL1\/11 Lf\ PROGRAM Attachments: Ho". HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: L . 0 . _ Anka�t Or, Original Certificate Date: (R•v.OM) 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.ci. anchorage. ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: _ f I SIJ iZlk/ SEG 11 L --OT Z Parcel ID: b $121/ /O/ A. WELL DATA Well type PR'JRi'6 If A. B, or C provide PWSID # _ Well Log (Y� /V D Date completed 0001C- Sanitary seal &N) SES Wires properly protected (3)N) V4.5 Total depth +94, ft. Cased to itq , ft. Casing height (above ground) min. FROM WELL LOG AT INSPECTION Date of test NDd1t Z O 0 Static water level 1WA)k ft. Well production tAA)K g.p.m. WATER SAMPLE RESULTS: Coliform _colonies/100 ml. Arsenic: mg./I. B. SEPTIC/MOLDINEa TANK DATA Nitrate <2J.— mg./l. Date of sample: Zk3/'Oy Tank Type/Material /1NGrf024C E 1 4AJC STEL !0f t. to. Tank size I FW gal. Number of Compartments 32- ft, �• % g.p.m. Other bacteria 0 colonies/100 mi. Collectedby: GH1P couR71ZZi;g Date installed f A4 LO S-- Cleanouts 6?N) YE5 Foundation cleanoutt%_Yjj.� Depression over tank (YdP-dZD High water alarm 64N) )/ES Date of pumping N 14 - Pumper &'!f J 'V 6i ./ S ySTFM C. ABSORPTION FIELD DATA Date installed IZ07k S Soil rating (g.p.d./ft2 orfAxtrm) Q't7 System type _ 13 ct:_> Length $D ft. Width /5— ft. Gravel below pipe Q. S ft. Total depth ft. Eff. absorption area 750 ft2 Monitoring tube V Depression over field AL Date of adequacy test AJIA N y r5�9 Results (Pass/Feiy PAS 5 For 14 bedrooms Fluid depth in absorption field before test — in. Water added_ gal. New depth= in. Elapsed Time: =min. Final fluid depth=in. Absorption rate >= — g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) AN A- If yes, give date AIM D. LIFT STATION Date installed 6 Size in gallons "Pump on" level at _�Lz(, in. 'Pump off" level at in. Datum 307/ nE a. iWl- Cycles tested A16W tyirb' 6 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: r sapGatenk/lift station on lot 1 D $ Absorption field on lot /N3 Public sewer main i Sewer /septic service line 4f) Manhole/Access ON) y High water alarm level at y S in. Meets alarm & circuit requirements? 1 t r On adjacent lots On adjacent lots +/�6 Public sewer manhole/cleanout 4-/00— Holding "/00Holding tank 't' too SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: r11 � Building foundation 5 Z Property line 6z Absorption field Water main h /r?O r Water service line 9 S r Surface water ffc Wells on adjacent lots 1-100 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: r � Property line 2 S Building foundation 45 Water main 't'/r9 � S � Water Service line 'No0 Surface water t"/m0 Driveway, parking/vehicle storage 6— r Curtain drain '� SO r Wells on adjacent lots+/r51D Nod+ /cZs-71J F. COMMENTS _ _ _ G. ENGINEER'S CERTIFICATION 1 certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. ppl� R Engineer's Printed Name 6K2iS70to Z I OOL> �� C0 Date 7-,/e27/`0.s pill HAA Fee $ Date of Payment Receipt Number nye F. - (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number 12-13-04;10:24AM; ;907 6616301 • 2/ SCS ReLB 1047839001 Client Name Eagle River Engineering Project Name/# T15N RI W See 19 Lot 24 Client Sample ID T15NRIWSee 19Lot24 Matrix Drinking Water aampcc Acmancs: All Dates/fimes are Alaska Standard Time Printed Date/Time 12/10/2004 10:09 Collected DatdPime 12/03/2004 12:55 Received DateMme 12/03/2004 15:57 Technical Director / StephylC. Ede Panmcter Results PQL Units Method Container ID Allowable Prep Analysis Init Imus Date Date Waters Department Nitrate -N 0.100 U 0.100 mg/L EPA 300.0 B (o-10) 12/03/04 DIA 12icrobiology Laboratory Total Coliform I col/100mL SM20 9222E A (<=1) 12/03/04 DPT %' r G�ITT' � .a xolv`�li� -4ASB' ll�/G/JT/Gd�r//�B�f UILT I HEREBY CERTIFY -THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: lrrzyra; yTs.✓.P/mac/ AND THAT NO ENCROAC9ENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY VENANTS OR WHICH DOTNOT OAPPEAR ON THE RECORDEDIONS SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. h SCALE: � "So DATE �///rte GRID: FB: io � ar DRAWN: �.,. ov;4 MR "icp S.w.rd R�, LS -916 •�