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Home My WebLink AboutMANOR LT 1Manor Lot 1 #050-671-43 Municipality of Anchorage Development Services Department \ Building Safety Division OnSfte Water and Wastewater Program. 4700 South Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 Pagel of 4 www.cl.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number SWSW050141 PID Number. 050-671-43 Wna Hahn Wastewater System: ® New ❑ Upgrade AOtri' oanariveABSORPTION FIELD Ph" to~ Of esdroorm ?1 O Dap Tram ®Shanow Trondr Dead O Mwrd D other Tarop�tam al grade LEGAL DESCRIPTION n Blak. la, &Lmnapn: Depth to pp* boom *= adgnel Weds. Grna deph breath ped Tonnstvp Range saaron FA added above a" Wade 2�O Ft Gravel Length sn Ft Well: ® New ❑ Upgrade Genal widen Nunipmra Yee Gvenoe bMsen twee clureolen (Penedo. A B. Cp Toed Deph. Cage W Toed ebeapoon ones, Ppm Metered. Dnller Dae Drtled SWc Wada Leval inata w Dale Installed G-trJy N• CO 07- 7We- 1012512005 Aw Ground YOW Pero set K Caaara wiWtr TANK GPM FI. FI SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ® Other. Advantex System To From Septic Tank Absorption Field LIR Station Holding Tank ublic Pdvate Sewer Line Maralac0aer Anch Tank/Orenco capernr 1250c.1 118.4 161.7 118 120 Moaner Nuffber of con aOrnenle 2 wee Steel Bulrewsta 100+ 100+ 100+ LIFT STATION La tine 25+ 35 25+ B¢. 250 Gal MarWMuar Anch Tank/Orenco 16 24 -Pero m'wmM 'Poop or itno N' 110waterMemM FaaMelpn 15 44 In 42 In 46 In Cunrn Drrn 50+ 35 50+ Paro Mak. a PWO71 Meg E .pe Lo . padamed Z An- ,A,vDo :a ARc-,A BENCH MARK 2' Rigid Insulation over field & posttank line. Loubn and Desa"on, First Floor Aarared Eeveom. 500 Ft Engineer's Stamp *16 oe&'Lw%%%%j4 ff A: . ........:;�qf0 Inspections performed by: PES. LLC Dates: 1"10125/2005 t' a�T. �.....t 2n°10/2612005 :................T.0 0 . . ... Development Services Department approval ................ ' # .Steven R. PGnnon0 •�## ANj-�r Reviewed and approved by: Date: a� CE i%. H 7LW) �-2 � "i� (Rev ... If44 if\ �� PERMIT NO:SWO50141 RECORD DRAWING P.I.D. NO: 05067143 ENDICI WASTEWATER DISPOSAL SYSTEM LOT 1 MANOR S/D I NO WELLS W/IN 100 FT OF PROPOSED SEPTIC SYSTEM R EX\15 W \ \ \ \ \\ NEW 4 BR HOUSE _ a , WELLF G 11 2 II I 1 � I � I NEW 1 W/AX20 POD & PUMP \ gg NEW'PRIMAR EXIST'(QLFx5'Wx0.5'E � TRENC SEPTIC PROPOSED RESERVE 60LF'x5'x0.5' ED TRENCH 1 0 R. Pannone t I I I I I I (I rG EPTIC EXISTGWA' SERVICE LII` 1 I _ EXIST' -G---- 161.7 I-IEXIST'G ROAD \\ DITCH % CO A JB C FC 14.7 accordance with AMC15.65. T1 18.8 27. LS1 24.8 33.3 LS2 27.5 30.7 M1 55.2 23.4 M2 17517 Kiloana Drive 56.4 21.7 C7 ' 56.3 20.1 --------------- ---------- EX G SEPTIC 35.1 END CURTAIN DRAIN. START q,16.9 c2 \ SOLID PIPE 10.0 12.3 EXISTG WELL 105.9 � EXISrG SEPTIC NO WELLS W/IN _ 100 FT OF PROPOSED — \` ,SEPTIC SYSTEM 3) Maintain 10' separation to all lot lines and proposed water Ones. 4) Lots served by Private water system. No wells within 1 00'of proposed system. PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax NOTES: 1) Al work shall be performed in •�1 accordance with AMC15.65. 0 2) Materials used shall be in accordance with those specified In % AMC15.65, Wastewater Disposal. PREPARED FOR: Mr. Dana Hahn i� 17517 Kiloana Drive � Eagle River, AK 99577 ' 276-1333 3) Maintain 10' separation to all lot lines and proposed water Ones. 4) Lots served by Private water system. No wells within 1 00'of proposed system. PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax PERMIT NO: SWO50141 RECORD DRAWING DETAILS P.I.D. NO: OSM71-43 WASTEWATER DISPOSAL SYSTEM LOT I MANOR SID 30M W~ cs Ld L-4 0 of NIX o —Itis g*(e ... ....... .. lit 11c J .2 ." so . T" J. . ... .. ........ I ..... VL . .. .. ....... PREPARED FOR: PANNONE ENG. SVC, LLC 0%•Ste Mr. Dana Hahn P.O. BOX 102954 17517 VJloana Drive ANCHORAGE, ALASKA 99510 ♦Eagle River, AK 99577 .. .......... 227-3522 P, 272-8218 Fax 1 276-1333 DATE: 11111/05 "Imilk SCALE: NTS DESIGN Certif ieb ;Dn'tting Log by Doo 00. aba SULLIVAN WATER WELLS P.O. BOX 870272, CHUGIAK, ALASKA 90567 *TELEPHONE 866.2759 /,%4,j OWNER OF LAND: rI p Fl j TN a r j�.J ADDRESS: CE cz. % i LEGAL DESCRIPTION: _fMIJJ I?- L464 Ao-r I DATE !Z S PERMIT NUMBER: D O 44H Date of Issue TAX IDENTIFICATION NUMBER: CITO -_6-Z.L_- 2 Is well located at approved p'e'rmit location? 1519D No Method of Drilling: & rotary D cable tool Depth of well: I /P Casing Type '& Wall Thickness ',,Sp inches Diameter 61, . Inches, depth feet Loner Type: eu J Nr Casing Stickup Above Ground: d feet Static Water Level: _'rl O feet Recover Rate: —ar gpm Method of Testing: /4112 - YMI Intake Opening Type: D open end D open hole D Screened; Startfeet Stopped feet Cl Perforations Start feet Stopped feet Grout Type: -L?;.rk'j Ti GrVoluo11Wu me Depth: from L feet, to feet Well Disinfected Upon Completion? 4EMes D No MethodofDisinfection: �'`<<��•-�+: 5_01tbYt. Comments: DEPTH Driller's Name C4f.�c McKJ�o , f4A4- .l ii A. 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. Nov 22 2005 5:17PM HP LASERJET FAX 622-6777 P.l bon ILLectric, Inc. yVi y I • • Ruver. 44 99577 1 (907)622--6777 �t November 22. 2005 Re: Lot 1 Manor Subdivision Dear John: The lift station at the above referenced Property has been wined In accordance with NEC and StabeADcal codes. Thank you. Sincerely`L� Kevin S. Hornbudde, owner Administrator license Number 1284 Specialty Contradar ucense Number 27285 MUNICIPALITY OF ANCHORAGE Development Services Department �b`�"�\\`' Ity On -Site Water 6 Wastewater Program y 0 4700 South Bragaw Street 1 P.O. Box 196650, Anchorage, AK 99519.6650 d (907) 343-7904 j ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Aug 12, 2005 Expiration Date: Aug 12, 2006 Permit Number: SWO50281 Parcel ID: 050-671-43 Legal Description: MANOR SUBDIVISION LOT 1 Design Engineer: 0062 Pannone Engineering Services Site Address: 11725 INSPIRATION DRIVE Owner Name: DAN & DEBORAH HAHN Lot Size: 33780 SQ. FT. Owner Address: 11725 INSPIRATION DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER. AK 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. 5. The following special provisions. -THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55. PLEASE SEE THE ATTACHED SHEET'PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM'. Received By: Issued By. Date: F /to 0� Date: g4lor Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 1J ° 4700 Bragaw St. - ' " ' •' P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage. ak. us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. C) - (0--)-1- LA Permit Number SW Property IV tAA NAA phone 'z:?ti— IS -S3 Mailing address I _-� $1'4 IL ( t c,AAJA P se' Zip Code Site address I ( 72 S 7,✓5_P4 (2,KTtO v ""b 4%,V6 Zip Code Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size_332,F'0Acres/Sq.Ft. THIS APPLICATION IS FOR: 4 9 S -i 7 V"2. LI Number of Bedrooms u Sewer Only ❑ Well Only Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi El Pool ❑ Water Softening Unit ElTherapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. c� _ (Signature of property owner or authorized agent) Permit/Rush Fees: _6D Waiver Fees: Date of Payment: 71105 Date of Payment Receipt Number: -72 / (Rev. 09/04) Receipt Number: PERMIT NO: END CI DESIGN DRAWING WASTEWATER DISPOSAL SYSTEM LOT 1 MANOR S/D f '`SEPTIExISTST M 1 11 SEPTIC �� SE I .! F G ROAD w f� N \\ 1 \ 1 11 1 14•�' O I ►L 11 1 70 NOTES: 'c 1) All work shall be Performed In accordance with AMC15.65. 2) Materials used shall be in accordance with those specifled In AMC15.65, Wastewater Disposal. 3) Maintain 10'separatlon to all lot lines and proposed water Ones. 4) Lots served by AW Wu water system. No wells within 200' of Proposed system. W R. 0 1 1 1 1 1 1 1 4 QPOSED 4 BR 11 HOS F 1'Z 0 1 1 1 104.8 1 EXIsrG Rf GI CI EXIsrG WATER SERVICE LINE ---------- P.I.D. NO: 050.671.43 EXIST!N - - - - EXISrG —CQF2TAIN SEPTIC 1 7 PROPOSE 1500 GAL. /AX20\1"O`Q & AUX. 7.1 vmr- VIAL -1 �- ----- ---- ExlsrG %`• ` \ SEPTIC PROPOSED `RESERVE 25' X 15',x �.5' ED\BED PROPOSED PRIMARY 25' x15'x0.5'EDBED NO WELLS W/IN 200 FT OF PROPOS \SEPTIC SYSTEM Mr. Dana Hahn PANNONE ENG. SVC, LLC 17517 Klloana Drive P• 0• BOX 102954 EagleRiver• AK 99577 ANCHORAGE, ALASKA 99510 276-1333 227-3522 P. 272.8218 Fax L;!!LA 521105 SCALE: 1•=50• PLAN Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM Permit. An application to drill a new or replacement well shall be submitted to this department by the property owner or their agent prior to commencement of drilling operations for a single family water well. A permit for domestic water source shall not be issued if there is no existing or permitted on- site wastewater disposal system or connection to public sewer service for the property available, scheduled and approved. A permit for a domestic water system shall be valid for one year from the date of issue. Application. The application shall be on a form provided by the department. It shall be signed by the property owner or authorized agent attesting that the well will be sited, drilled and completed in accordance with standards and provisions in AMC Chapters 15.55 and 15.65. The applicant shall submit an accurate site plan signed by the property owner or property owners agent drawn on an 8- 1/2 by 11 inch sheet (or larger if necessary) to a scale not smaller than 1 inch to 50 feet. The site plan shall show: 1. Legal description of the lot or parcel. 2. Location of the proposed well. 3. Lot lines, roads, rights-of-way and easements on or adjacent to the lot. 4. Location of all proposed or existing structures on the lot. 5. Measured distance to all existing water supply wells within 50 feet of the proposed well site. 6. 100 foot protective well radius. 7. The location must be shown of all components of wastewater disposal systems. This shall Include sewer trunk and service lines; sewer clean -outs and manholes; fuel tanks; curtain drains and out -falls; and any known areas containing hazardous waste or other potential pollutants. Also included are existing (or proposed) paddocks, kennels, animal enclosures or containment areas within 200 feet of the proposed well. The minimum separation requirements between wells and specified facilities or areas shall be: SEPARATION BETWEEN FROM WELL TO: MIN. SEPARATION DISTANCE IN FEET Sewage holding tank Septic tank Septic absorption field Private sewer service line Public sewer trunk line Public sewer manhole or clean-out Hydrocarbon storage tank Curtain drain Animal feed lots, shelters, containment areas Any source of potential contamination 75 100 100 25 75 100 25 25 100 75 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Dept. of Health & Human Services within 60 days of completion. MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SWO50141 Legal Description: MANOR SUBDIVISION LOT 1 Date Issued: May 25, 2005 Expiration Date: May 25, 2006 Parcel ID: 050-671-43 Design Engineer: 0062 Pannone Engineering Services Site Address: 11725 INSPIRATION DRIVE Owner Name: DAN & DEBORAH HAHN Lot Size: 33780 SO. FT. Owner Address: 11725 INSPIRATION DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER. AK 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 Date: 0 51ZLZ7 Issued By. Date: S/7405- Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 05D - Parcel I.D. —066 671.43 Permit Number SW Property owner(s) Dana & Deborah Hahn Day phone 276.1333 Mailing address (1)17517 Kiloana Drive Mailing address (2) Eagle River, AK Zip Code 99577 Legal description (Lot,_Block & Sub'd.) Lot 1 ManorSlD Legal description (Section, TownshipMange) Lot Size 33780 Acr !q.F THIS APPLICATION IS FOR: Location -11725 Inspiration Drive Number of Bedrooms 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 Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) P'eJ)C, Permit Fees: z4lx - LRS Waiver Fees: Date of Payment: -5-64'05 Date of Payment: Receipt Number: X8 9 ?„ Receipt Number: (Rev. 1210o) Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax May 21, 2005 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lots Manor S/D Septic System Permit Request Ladies and Gentlemen: I am writing to request a permit to construct new well and septic system be issued for this property. The proposed systems will serve a proposed four-bedroom house. 1. Soils. See the attached soils log. Ground water was monitored through the seasonal high period of 2005. Ground water was measured in the monitor at a depth of 6 feet below ground surface. Bedrock was not encountered in the test hole. It is my opinion that the overall soils appearance of the soils, an application rate of 2.0 gallons/day/square feet should be used using a class III advanced treatment system. 2. Trench Design. a. Percolation Rate: b. Application Rate: c. Number of Bedrooms: d. Design Flow: e. Min. Absorption Area: f. Total depth: g. Effective Depth: h. Width: i. Reduction Factor: j. Minimum Length: k. Design Length: 1. Effective Absorption Area: m. Septic Tank Size: Cont'd on page 2 C:\Work\Letters\l hianor.002.doc 16-30 Min Per Inch 2.0 gpdpsf 4 600 gallons per day 300 sf 2.0 feet 0.5 feet 15 feet 0.0 20 feet 25 feet 375 sf 1500 gallon Advantex W/AX20 Pod. Page 2 3. Surface Water: There is no surface water within 100 feet of the proposed system. A drainage ditch is located west of the proposed system over 100 feet away. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The average topography in the area of the proposed septic system is approximately ten percent in the area of the SAS. 5. Future Upgrade Area: I am proposing that the primary field be installed at this time. A new 1500 gallon Advantex advance treatment system will be installed outside the 100 -foot well radius. I have shown the proposed location on the site plan. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven R. Pannon , P.E. Civil Engineer Attachments: Q\WORK\LETTERS\1 MANOR.002.DOC PERMIT NO: DESIGN DRAWING P.I.D. NO: 050-67143 WASTEWATER DISPOSAL SYSTEM LOT 1 MANOR SID \ NO WELLS W/IN 'I o \\ 200 FT OF PROPOS II D co \,SEPTIC SYSTEM E� 11T'G \ \ SETIC -rte \ I I s \\ EXIST'G ROAD li EX�ST G WATER \ —DIRCH — _ — SERVICE LINE— \ CIR s _-- W--- w-- --- w "' 4 Z \ f \ , RI \ O f \\ Z \\ NOTES: 1) All work shall be performed In accordance with AMC15.65. 2) Materials used shall be In accordance with those spedfied In AMC15.65. Wastewater Disposal. 3) Maintain 10' separation to all lot lines and proposed water lines. 4) Lots served by AW WU water system. No wells within 200' of proposed system. )POSED 4 BR HOUSE \ \ % \ r ` EXIST'G ROAD `\ DIRCH 1 1 \ 4 \ \ PROPOSED .ESER\ TIG — — — EXISTG AIN SEPTIC 10% PROPOSED 1500 GAL. DV9NtEX 'SANK /AX2 P0� & AUX. '� UMP VAiJLT� 11.0 \ f— 1 % \\ 10% a � for , 1 x 15'•\x 0.5' EDBED PROPOSED PRIMARY 25' x 15' x 0.5' ED BED NO WELLS W/IN •S OF•••`��` 200 FT OF PROPOS 5�P'SEPTIC SYSTEM !... ............... •••••• •••� PREPARED FOR: PANNONE ENG. SVC, LLC Steven R. Pannone tN� Mr. Dana Hahn 2 P. 0. BOX 102954 � •• CE 81 � ,� 17517 Kiloana Drive �jC"�$C��•''�� Eagle River, AK 99577 ANCHORAGE, ALASKA 99510 444 ��\.... 276-1333 227-3522 P. 272-8218 Fax 4a,•••••• DATE: -- PLAN SEPTIC C3 PERMIT NO: DESIGN DRAWING DETAILS P.I.D. NO: 050-67143 WASTEWATER DISPOSAL SYSTEM LOT 1 MANOR SID Ld Ld cn PREPARED FOR: . Steven R. Pannone Mr. Dana Hahn P. 0. BOX 102954 E 81 17517 YJloana Drive ANCHORAGE, ALASKA 99510 DESIGN SCALE: NTLS' C3 PERMIT NO:SW05 DESIGN DETAILS P.I.D. NO: 050-671-43 WASTEWATER ABSORPTION SYSTEM LOT 1 MANOR SID AX -20 FILTER WITH INSULATED LID. ROTATED 90 FOR CLARITY. INLE CLEAN - 3' PVC PIPE TO AMBIENT AIR I STEEL .P. TANK ACCESS MANHOLE DESIGN CALCULATIONS TANK SIZE: Number or Bedrooms - 4 _- L d-1 -U] I STEEL .P. TANK ACCESS MANHOLE DESIGN CALCULATIONS TANK SIZE: Number or Bedrooms - 4 1500 gallon Advantex tank Total Bedrooms -4 Design flow -150 gal/br/day, SOIL ABSORPTION SIZE: Total flow - 600g/day Advantex Sewer System AX20 Pod - Class III System Perc Rate= 31-60 minAnch Application Rate= 2 GPD/SF Size Required= 600 GPD/2 GPD/SF = 300 SF ��••••�x��' Use bed, 0.5' effective �.• (E OF,, �� 25' Long by 15' Wide 25 LF x 15'x 0.5'= 375 SF Total . moi, • � 3'' -"'--- • rrcerr�rctu -UK: PANNONE ENG. SVC. Leven R. Pannone Mr. Dana Hahn P. O. BOX 102954 d. CE 8149 ' 17517 Kiloana Drive ANCHORAGE, ALASKA 99510 Eage �� :•• Eagle iver.AK99577 272-8218 PHONE &FAX �",��•� DATE: 5-21-t DESIGN MnT Tn ere] e SOILS LOG - PERCOLATION TEST♦♦�� to PANNONE ENGINEERING SERVICES pj� .... ..... �O P.O. BOX 102954 ANCHORAGE, AK 99510 .. •"'"........... (907) 272-8218••• ...........••• • 1ven R. Pannone .� CE 814 J. PERFORMED FOR: Mr. Matt Frenzel DATE PERFORMED: 314105 ��j �/ � , .. •''�� '000000 _`�y♦ LEGAL DESCRIPTION: LOT 1 Manor SID �44III,,IIIIHIL �;':.. ♦ TEST HOLE 2 SLOPE \ _ SITE RyQN I ------— OrganicsOR 1 }_-- fXIST` ---EXIST1- \ 2 Brown Gravelly –DImu ------ AIN `\ J GM Sir l0 Silt' \ \ \ GGravelEXIS Ta \; —,O a 1 S NExlsr 1 a r,;\�,\� S TEST 'O T 7 GPI Rocky GRAVEL HOLE �D \ \ E 'G ROAD GM w/a°0`Yon,e�Su� \\ DIRCH s ZEXIST'G 10^ 9 Q 1 \CURTAIN i �\ \\ DRAIN to 12 13 BOH WAS GROUND WATER SLOPE 14 ENCOUNTERED? Y TEST HOLE 15 IF YES, AT WHAT DEPTH? -12'- 18 17 DEPTH TO WATER AFTER MONITORING? -6'- 18 DATE: 5-15-2005 19 17 20 PEROLATION RATE 16 (min4nch) PERC HOLE DIAMETER 6Inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by Owners. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. WATER READING DATE GTIME NET TIME U LEVEL READING NET DROP 1 3/1/05 1:52 6" 0" 2 2:22 JO MIN 11/9" 1-7/e• 3 2:22 6' 0" / 2:52 30 MIN 1 1/e" 1 7/S" S 2:52 6' 0' 6 5:22 }0 MIN 1 1/9" 1 7/B' Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 RECERCULATING SEPTIC TANK AND TRICKLE FILTER SPECIFICATIONS Lot 1 Manor S/D 1. GENERAL STATEMENT OF WORK 1.1 The work and plans covered by these specifications consist of furnishing all labor, materials, tools, transportation, and equipment necessary to complete an recalculating septic tank with trickle filter system as described herein and on the attached Contract Drawing. All work under this project shall comply with current Municipality of Anchorage (MOA) Regulations and shall conform to the following: • Four (4) Bedroom Private House 1.2 The Contractor shall carefully examine the project documents, have full knowledge thereof, have investigated the site and be satisfied with all conditions affecting the work. The Contractor shall notify the Engineer IMEDIATELY if conditions are encountered during the site investigations that affect the work. Any failure of the Contractor to become acquainted with the available information will not relieve the Contractor from the responsibility of performing the work as stated in these specifications. 1.3 The Contractor shall call for locates of utilities. Damage to utilities by the Contractor if locates are not called for is the responsibility of the Contractor. 2. MATERIAL 2_1 Tank: Septic: Tank shall be a two (2) -compartment steel tank of at least the minimum size indicated on the drawings and shall be MOA approved. The compartments shall have a separate 4" clean-out riser. Steel tanks shall be protected to SUP3, under ground fuel tank standards. 2_2 Manhole Riser or Lift Station Tank: An additional second compartment manhole riser shall be capable of being equipped with the following: a. A junction box (Nema 4x) or equal, bonded or attached to the pump basin. b. UL listed electrical cord grips, installed in the J -box. C. An additional tank (MOA Approved) may be provided for the effluent pumping assembly and the items above. 2_3 Effluent Pumping Assembly, Controls, Alarm & Piping: a. Effluent pumping assembly shall be of approved materials, including: A 110 volt or equal UL listed effluent pump; High-density PVC cylinder housing the pump, with level controls and screen, serving as a baffle to prevent the screen Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax from clogging; All piping shall be PVC or other non corroding material approved by the MOA. b. Pump controls and alarm system shall be an approved system with the following options: - Event Counter - Elapsed Time Meter - Program Timer - 10 Watt Heater - Remote alarm panel option with a minimum of 80 dB sound pressure at 24 inches, operating temperature 30 AC to 65 AC, and continuous sound to be located in the house. - Oil tight visual alarm with push -to -silence feature. Automatic audio alarm reset. - 15 amp motor rated toggle switch, double pole, double throw with three positions; Manual (man), Automatic (auto), and off. - Nema 4x rated fiberglass enclosure with hinged cover, or equal. - All controls to be installed per manufactures instructions. - Control panel to be installed on outside wall of home within sight of septic/lift station. c. Piping from septic tank to the trickle filter is to be 1 '/4" PVC schedule 40 solvent weld piping properly bedded and sloped to drain back to the lift station. Insulation board shall be placed over the line where the cover is less than four feet. d. The Air Compressor shall be a Thomas Linear Series model No. 5060-A or 5070V -A or MOA Approved equal. 2.4 Trickle Filter a. Trickle Filter Pod shall be AX20 manufactured by Orenco Systems Inc. and distributed by Anchorage Tank & Welding. b. Install all materials according to manufacturers instructions and in accordance with MOA regulations. 2.5 Soil Absorption System a) The drain field shall be constructed as shown on the drawings and in accordance with all applicable regulations described in Municipality of Anchorage AMC Title 15.65, "Wastewater Disposal Regulations" (MOA). b) Gravel to be used in the soil absorption system shall be well graded rocks and cobbles with size ranging from 1/2" to 2 '/2" and approved for use in soil absorption systems by MOA. c) Perforated pipes shall be F810 LDPE or PVC 3034 pipe, with two rows of perforations and shall be approved for use in soil absorption systems by MOA. Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax d) Clean-out pipes and monitor tubes shall be 3034 PVC solid pipe. e) Clean-out caps shall be rubber "Jim Caps" securable with adjustable metal bands. Friction fit caps will not be accepted. PART 3 EXECUTION 3.1 LOCATION AND GRADE a) The septic tank shall be placed at the locations and elevations as shown on the Drawings. Fiberglass tank shall have a minimum of six inches of sand bedding under the tank and around the sides to the spring line of the tank. b) The drain field shall be placed in the location shown on the Drawing, with minor adjustments allowed to minimize excavation and accommodate the existing terrain. The drain field piping shall remain level over the length of the drain field. c) Dewatering may be required for all excavations that penetrate the groundwater surface. Dewatering costs shall be incidental to the excavation. If ground water is encountered during the excavation for the septic system, notify the engineer immediately. 3.2 EXCAVATION a) General: The Contractor shall accomplish all excavation required by the drawings through whatever substances encountered, to the depth as shown on the plans. All excavation shall be accomplished in accordance with the State of Alaska safety code and other applicable safety requirements. b) Water Removal: Water is expected in the limits of excavation as evidenced by the soil test pit information. If an apparent water table is observed in any of the excavations less than 5 feet below existing grade, notify the engineer immediately. 3.3 INSTALLATION A. Septic Tank 1. After excavation the tank shall be placed on undisturbed soil on a level grade at a depth as indicated on Drawings. Backfill around the tank with structural fill. Fill shall be installed in 12 -inch lifts, compacted to 95% maximum density. Any damage to the protective coating during installation shall be repaired as recommended by the manufacturer. 2. The tank inlet shall be set at the elevation shown on the drawings. Care shall be taken during installation to ensure the proper elevation drop Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax between the inlet and the outlet. Install flexible "furnco" rubber fittings at connection from tank to inlet and outlet pipes as indicated on Drawings. B. Joining Pipe Sections 1. Pipes shall be joined to one another, to the polyethylene fittings, cleanouts, and electrofusion couplings. 2. Cleanouts: (1) All earthwork and fill necessary to install the cleanouts shall be considered incidental. 3. Jointing: a. Fit the heat channel in place, ensuring that ends are deburred and square to allow easy passage of electrocal or glycol heat trace. b. Fit the insulation half -shells snugly in place. Band with strapping to hold tightly in place. c. Heat Shrink Coupling: Cover entire exposed joint plus an overlap of four inches on pipe coated on either end. Heat in accordance with manufacturer's instructions. 4. Installation: a. Install insulation half -shells and heat -shrink wrap at pipe connections. Maximum gap in half -shells shall be '/4 inch. b. Lower assembled insulated pipe carefully into trench. Do not allow joints to deflect greater than the elastic capacity of the heat shrink sleeves. If sleeves are found to be damaged, reduce the deflection and repair the damages sleeves. c. Tolerances: (1) Lay mains to indicated line and grade. Perform earthwork in accordance with the Drawings. (2) Minor Changes in Direction: Pipe deflection will be allowed for small changes in direction, provided that the pipe bending radius is less than 30 times the diameter of the outer jacket of the insulated pipe system. C. Drain Field a) The drain field area shall be excavated to the elevation and dimensions as shown on Drawing. Remove all organic and silt material to the top of the well -graded sand layer. After excavation, the open bed shall be protected from surface runoff to prevent the entrance of silt and debris. Under no circumstances shall the use of heavy equipment be permitted on the drain field surface. All smeared or compacted surfaces shall be raked to a depth of 1 inch, and loose material removed, before any of the drain rock is placed. Pannone Engineering Seruices, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax b) After all organic and silt material is removed, sand bedding shall be placed to an elevation shown on the drawings. Sand shall not be compacted. c) The bottom of the bed should be as level as practical. d) The gravel -less system and distribution piping shall be installed as shown on the drawings. e) The drain field shall then be backfilled with sand bedding to a depth of 1.0 above gravel -less system. Filter fabric and insulation shall be placed over the sand bedding. Backfill above insulation with material excavated from the building pad to the elevation shown. The material shall be mounded over the drain field as shown on Drawings. Backfill of drain field shall not be compacted. D. Close -Out A. Contractor shall submit unqualified as -built drawings and certificates on MOA approved forms to the Engineer, and MOA for approval to Operate. ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND —E)C%/\Cc. Gl�✓� THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 23' d day of /M 2005 by and between NA E4 A u ,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: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Ll MANVog- 5I D located at ':T—A) z A–nc v'ba tvC ��AAllaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS 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, "AMC' 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. Maintenance 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 System 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 — 6) — ($ '.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. Page 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 AWWTS without a Construction Permit from the Municipality. 6. Maintenance 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 orders 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 AWWTS 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 AWWTS. 1 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. 8. 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: Owner: �PAJA 0AN.ty. 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. OWNER: By_ 1 Date: IK o,,./ 23, ZOOS MUNICIPALITY: By: _ Title: Date: NOTARY Judicial District ) % qcs PUBLIC}* ',^ �l`' .. State of -�Q 3C ) ss. /l�OF On this day personally appeared before meL Aon Il� 1 ► to me known to be the individual, or individuals described in and who executed the within and foregoing instrument, and acknowledge that KQ— signed the same as j \ i n free and voluntary act and deed, for the uses and purposes therein mentioned. Given under my hand and official seal this i2L�-�day of V'Y1`v"ll1 kA . Notary Public i"ridfor the M. to of A _ Resident at lt. My Commission Expires ernm ss ott�k res December 17, 2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK .99519-6650 www.ci.enchorage.ak.us (907) 343-7904 Qdv C.. 1I ERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 050-671-43 HAA# 05olOaq Expiration Date: 'T�r�oG+ 1. GENERAL INFORMATION Complete legal description Lot 1 Manor Location (site address or directions) 11725 Inspiration Drive, Eagle River, AK Current Property owner(s) Dana and Debra Hahn Day phone 276-1333 x311 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 17517 Kiloana Drive, Eagle River, AK 99577 Day phone Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. 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 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. M".11199) 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 based on procedures outlined in the Health Authority Approval Guidelines for 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 applicable Municipal and State codes, ordinances, and regulations In effect at the time of Installation. Name of Firm Pannone Eng. Svc. Phone 272-8218 Address P.O. Box 102954, Anch, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 11/28/2005 Engineers Comments: In conducting an adequacy test, l attempt to provide a thorough, conscientious **�SILt•ts1j%t( engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The ��P�E „OF 4 reported results describe the performance of the system under the conditions encountered at the time of �� •,. •" the test, and separation distances measured to readily identifiable features. The operational life of all i c,.•' ...111 wells and septic systems depend on the local soil condition, ground water levels that may fluctuate rH •••••% during the year, and the water usage of the family being served by the system. These conditions are M F�. outside the control of the evaluator of this system All systems eventually fail and satisfactory test results 0 do not guarantee future performance of the system, nor do they guarantee that there arc no hidden dc cc ...... ..... .... ............. or encroachments. PES can therefore not provide any warranty for future performance nor give any _�i ** Steven R. Ponnone estimate of how long the system will continue to meet the operational requirements of the ADEC or ��C) No. CE 8149 MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon 1� or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. �141'ESS\Gr 6. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments WASTEWATER nnnronnl J . . _ •' Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report {,W� Well Flow Advisory Other By: r It l��"" Original Certificate Date: Expiration Date:3) t INS/ Reissue Date: (Rev. 11199) al Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 1 Manor SID Parcel I.D.: 050.671-43 A. WELL DATA Well type P If A, B, or C provide PWSID # Date completed4911 12005 Sanitary seal Y Total depth 118 It Cased to j1$_ft FROM WELL LOG Well Log Y Wires properly protected Y Casing height (above ground) 24 in. AT INSPECTION Date of test 9115/1005 Static water level 90 It _ Well production 15 9 -p.m WATER SAMPLE RESULTS: Coliform _k_colonies/100 mi Nitrate 0l 10 m'gn Dale of sample: 11/2312005 Collected by: Steve Pannone B. SEPTICIHOLDING TANK DATA It 9 -p.m Other bacteria 0 colonies/100 ml Arsenic NIA mgll Tank Type/Material Anchorage Tank Orenco Date installed 10/2512005 Tank size 1250 gal Number of Compartments 2 Cleanouts Y Foundation cleanout Y Depression over tank N High water alarm Y Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed 1012612005 Soil rating (g.p.dJft2 or ff°/bdrm) 2.0 System type Shallow Trench Length _0 ft WidthSJ It Gravel below pipe 0,5 It Total depth } It Effective absorption area 2&fe Monitoring tube Y Depression over field _PL Date of adequacy test Results (Pass/Fail) Pass For 4 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) If yes, give date (Rev. 11/98) D. LIFT STATION Date installed 10126/2005 Size In gallons 250 Manhoie/Access 1L "Pump on" level at 44 in"Pump off" level at Datum Bottom of Lift Sta Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankilift station on lot 100+ Absorption field on lot 100+ Public sewer main _NIA 49 in High water alarm level at 46 in Meets alarm & circuit requirements? Y On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout NIA Sewer /septic service line 100+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 15 Property line 50++ Absorption field 27 Water main 100+ Water service line 50+ Surface water 100+ Drainage 100+ Wells on adjacent lots 00+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 50+ Building foundation 15+ Water main 100+ Water Service line 50+ Surface water 100+ Driveway, parking/vehicle storage 50+ Curtain drain None Observed Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION•.•V-- (- ; I certify that I have determined through Reid inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines /n effect on this date. i �.....t Engineer's Printed Name Steven R. Pannone. P.E. �+c� ? s1e e k �Pennpr :_ / �,// ♦ N, CE E149 Date//!��(O ++iF��S!12�'`Gi: +� .. HAA Fee $ !1 U v Date of Payment « D Receipt Number (Rev. 11/98) Waiver Fee $ Date of Payment Receipt Number �Bs-y611oy0- - ASBUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: /�A.voif .rl/B Lor/ AND THAT NO ENCROACiMENTS 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, . ate,pF At q,� 14, GRID FB �vavzs �� I; % Dv.n. Mark S.w*,d k /G� JSB #jr... LS -16918 . tai DRAWN f +t,0.*yT." 11-22-0600,60 ; SGSXT&E EWRONMEH1 nn C Drinking Water Analysis Report for Total Coliform Bacteria READ W6rW=J0Me ON MV[Ra[ ZICe JIVOM C=pCrtMs aAWjZ MUST BG COMPLETED BY WATQR SUPPLIER PUIILIc WATDI iYROA IDs �p/RIVATI WAT[R SYQTIIV IT 0 D.MRWU SAMPLE COLLECTICN: Tbny 2N O AM ir.y Irm"Oo.M to Lob ar, X20me as tdloctor TO BE COMPLETED BY LABORATORY Berneie Recwivina: Dole: I I /:) 0011very Me•! RecWved Commarw: SAMPLE TYPE Routine A Q 61MACw 3D ftn ae{ Raab mq be unm wwo ❑ as ttwr ftw Fa Remou Lemwra ;607 661 6301 3 2/ 2 200 W. POTTER DRIVE ANCHORAGE, ALAW W518 Td: 907-662.2313 Faic 007.651.6301 tas Ra/ Ne 7057786 Tnded WNor 0 Repeat SamPN l3 Unteeaw wwor (reHrto lgb n*� ) ❑ RUSH SAMPLE Pheru A. , Fox ...........................................................................................»................................................. ANSIG 1001tu1 Wne. AneAwl. Pgaard. Amst *;e D.q_i/z��/S` Analrw IF An&YkW Veiled: Membrane FRter MMO-MUG (P/A) Reported By. MM0.MU0 AIN RpIA7a: 70"1 cofflew. e ear. M[MORAN[ FILM RCMT$: OwefCeune �� ctin+IeotoemL VerSutlon; nra.e.. �LT DOD• n.neeti.. I [ $YH b K!G AMC FSK AN w+n>a serdb cl"t named co Fared OaLRIn e. S V0, 2Satisfactory ❑ Unsatisfactory O&wmme;jZI2Lf— Anse nn0.1M.YYY.bar! GO -0u 6. k ryu�tw01 Forth 1�1703�M Fpm Y FW CC33 12/17/03 VW1LGro�GDatelPublcS�OCUMt{yt1FORMMppro�W'Co8 IIJ.zo . .OJr cc. OiVI 8 I. . SGS Environmental Services Inc 200 W. Potter Drive Anchorage, AK 99518 Tel; (907) 562-2343 Fax: (907) 561-6301 SGS Ref. 0: 1057786 AN datea/Nmes aro Alaska Standard Tme ) Client Name: Parnone Englnoonng Printed Datelr,me: 1129105 16:10 Pro,'W Name: Li. Manor PT Collected DateMme: 1123105 14:10 Client Sample M Li. Manor PT Received Dat&Mme: 1123x05 14:50 Mawk. Drinkin0 Water Technical Di ec or. 3✓JaJ�phann Ede PVVSID Rebased S Sampis Rama xs: Allowable Prop Analysis Parameter Results PQL Units Method tlmks Date Date Ink Bacteria 0 013, W;0 coil 82228 1123105 11/23/05 tf Nitrate 0.97 0.10 mgrkg EPA 300.0 10.00 1123104 1123.'05 azs