Loading...
HomeMy WebLinkAboutPARADISE VALLEY BLK 9 LT 9Paradi*se Valley Block 9 Lot 9 #020-414-07 \1 Municipality of Anchorage I " Development Services Department Building Safety Division - On -Site Water and Wastewater Program. 4700 Bragaw Sl. P.O. Box 196650 Anchorage. AK 99519-6650 Page I Of 3 www ci anchorage ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT - yly o7 Permit Number: �{PID Number. Nan1° Wastewater System: I4 New ❑ Upgrade ° t �r ie_or ABSORPTION FIELD pu — �) / N or Bearooms / � V Deep Trsnoh O $heli. Tra h O Bed O MOutd Deur $pl Rtlrq Total DOM ken IXpMi prs.�a LEGAL DESCRIPTION GPDXt> Fi. 91O Lot $uodm.on Depth to pips Donne h«n wgn CLii SCJ Ft Grs+ depth b"Mh qpe 6 FI To INP R" section Fn sddad aDova onpnW ¢ade GravW LWp;n • SFt. Ft. W New ❑ Upgrade �y,v«.WWh NumDei bras O Distatw Derwen lMa' -- FL Well: Ft. Cl B. CI J111... ToW Dapm Gsed to �-s) TOW aosaphon Wes �/ P M ena I �o�PnvayC Ft V / Ft F� n« j.k Dies pnr�d ] $tn�c Way« L" in«anar 9 •? � /`Q 7 Deu lnslWua 19 -:?q-(37 I IYiNd rNs«rt 1 Gang Nwa"„DT,ey�M ANK GPM / FI. al FI SEPARATION DISTANCES Septic ❑ Holding ❑ S.T E P. ❑ Other. To Septic AbsorptionLift Holding ublrJPnvate saaa« From Tank Field Station Tank Sewer Line ckcrQ 4.1k w«l ( ' 113' -- a�'+ Mai«w Sf�e Nun d LarOpnm«sa sreacewW« �. Q�'� LIFT STATION La IUM ;?q, .3� s, Fc,i,c1r.*M 31, 14 Ll' Poop an MNW P wW H'g"wVw ate -W W W Pump Mama .. 1 E.eclnrul inapaceoin penoimad DY, Cwien Dian tletoklr i - Rema I e j• e1 r BENCH MARK 1 a 5' bove d; ` e LxW�On Wio a.GwUOn �� T -t nny- a Q r; NI - �I} ' O `4'1 "A; 10168'71 � r 1 US ln&99alww "sChWD0diiL,Mn• Engineer's Stamp Inspections performed by: iRs61 &Rd. Dates: 1" c.r0 a Alosko 99567 nd �%�7 y %, OF { -`_ 2 a� a�s�f✓1 Development Services Department Approvalmom I .1 Date: O , �aa� Conditional Approval �� P o ..... '.. ....«:� A. �"°'� : �•. Reviewed and approved by: - Date: ! '• " •• -''4i�'. �4+e_ (Rev 01N610 a..,• PERMIT NO.SWO70212 PACE 2 OF 3 Municipalit of Anchora e DEPARTMENT OF HEATH 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 LOT 9, BLOCK 9, PARADISE VALLEY P.I.D. No. 020-414-07 SEPTIC 11Z EA NEW LOT 8 DBL1 &DBL2 NEW TRENCH - `. LOT 10 40' A. U . 1467.9 PERMIT No. SW070212 PAGE 3 OF 3 Municipalit of Anchora e DEPARTMENT OF HEXtTH 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 LOT 9 BLOCK 9, PARADISE VALLEY P.I.D. NO. 020-414-07 ST1 FINAL GRADE 92 5,/ I NEW 1250 GALLON SEPTIC TANK FINAL GRA M11 -U' .0 95.5' 2" INSULATION 92.3' C01=95.3' =95.6' ;01=91.6' ;02=91.1' WATER FOUND ® 80.3' 78.8' B.O.H. N. T. S. III I'.-LL-LU,iJ 111: C:JAi filui'l: ILi: U),!1 C�1: 1'•1 TCe� DriCCing, qnc. Watrr Wrll Drtflin3 and Puma Sen -fu 'Ancbar='. %Iusfa (a07) 345•OS93 We// Log Drilling Slaned: 0,2Q2DD7complcied:Gd'22 (.2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Sutton 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 provide a well log to the DSD within 60 days of wel; completion. Permit `umber. SWO50079 Datc ot'lssuc: _dUn /1 A D007 Parcel Identification Number: _Ma -41_4 Is well loentcd rat approved permit locution' (X) Ycs or ( ) No LOT Property O„n,cr Name a Address: McGee Homes 6200 Lake Otis Pkwy Site: 6012 Romania Dr. City/©dro"O: SuNliivision: BLOCK 4.nchorage Paradise Valley 9 9 Meridian Town hip Range Scetinn _ _ +nf __%. of _ _'/a nI _ _ '/ BOREHOLE DATA(from top Of C2Sing)Depth Drilling method: (X) Air rotary. ( ) Cablc tool. Other Material: Type, Color,4 wetness I From To Well use: ( ) Public supply, (X) Domcsnc, Other stickup 0 2 Depth onto)c:I$6— fiCasing stickup: 2 R Casing type: steel _ Thickness: .250 Inches Gising diamcry 6 inches depth: 8186 Silt & gr2vel 2 22 Casng ALiner type: �— Diameter: _ inches Depth: Staue water (from top of easing): 108 fr on OB f 2Z /2007 silty gravol w/ littlo H2O 26 Pumping level & yield: _ feet atter ___ hours to — gpm Recovery n:c: 8 gpm. Mclhod ormsting: airlift dry sift w/ rocks 26 70 Development method: airlift Duration: 1 hour silty clay 70 85 Well in take opening type ( ) Open end. ( X) Open hole, Other_ _ Screened: Start. - li, S:oppcd _. - rt Screen type: - Slotimcsh size: - dry silt w/ rocks 85 87 Per(omicd: Stan: - tl, Stopped: 0 Start: - I). Stopped: (I bedrock w/ soft layers 67 130 Note:......_............................................................................................ bedrock 130 185 Grout type: ben=itQ_ voiurlc - Depi from around surfaco ,ro 20 tt Pump intake depth: _ -- li Pump size: hp, Brand nitme: Was well disinfected upon comp!ction'.' ( X ) Ya, ( ) No Method of dlsinrcction:Cralclum.H cchloriie..(.Chlorine.)... Driller comments/ disclainmrs:...............................................:............ Water entering.well thru.fractures in. bedrock.at..... depths between 120' to 125' for a total, cf 8 ,gprn ..............................�J.ohnn.............................................................. Wclldrillcrnumc: yicay .. Company name: ...Hefty_D{tiling,•!r!q.......................................... Mailing nddrccs:... 3.5.4..p AkUla Dr. city. Anchorage _ S,aic: AKZip 99516 phone numhcr : ( 907 345 _ 0593 fax:345-4700 Driller] Y,gnature: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Sutton 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 provide a well log to the DSD within 60 days of wel; completion. Permit `umber. SWO50079 Datc ot'lssuc: _dUn /1 A D007 Parcel Identification Number: _Ma -41_4 Is well loentcd rat approved permit locution' (X) Ycs or ( ) No I:! r; moo: 1.4,; led: :.)Ii FKkj!i: IU: Uiz, 12:: 11.� Pump Instaliation L AMW CRMMD vsat: _ v 0 re 0.C, . Top OAC U=T,M c G e ol,eS onTe 3 � Piticss Adapter M=r..afaetnrer's `Name: CaM' d alb -X r Pittess Adapter Installer. �p TYPE S�.bntr5t bf� -- `j t , UAXC fknc� �S = d UMM /D S QF -07- a Uo • t- -Mk c PunD g la % b 18 `I II Uator (� I I Dwr TTPF- Too Tyc � J" C' C, g co,mttn iQ/EN✓ 1 12 P0= .r+m r- Tfw✓�%Gr giu. s:, �, a GNat i GDCTW. AU vat* C2 N D AN" --k - q WAIM TAM Tlia W 11 82 M" H.q f'5Af. " �eeSM v.'s+c sts. (.12eta T1o� . cAS9 MSF: irrn TO 7, NTAMF LT.7U."ali.0 Tpa Frac.Awre" Ill W rxl/ .r�lt•r, 13 To CMMMM Frv- ToCCLrjtN F well was disinfected upon completion. method: calcium hypochlorite. �fijyO)mm��, !nr - 3540,9kyb /Dr. �iAS•+5 Ancfiomge A3 , 99516 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program h 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 ` r��j l (907) 343-7904 G0`�, 'AID ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Date Issued: Jun 18, 2007 Expiration Date: Jun 17, 2008 Permit Number: SW070212 Parcel ID: 020-414-07 Legal Description: PARADISE VALLEY SUBDIVISION BLOCK 9 LOT 9 Design Engineer: 0003 S & S ENGINEERING Site Address: 6012 ROMANIA DRIVE Owner Name: MCGEE HOMES Lot Size: 24484 SO. FT. Owner Address: 6012 ROMANIA DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516 - This permit is for the construction of: Q 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 catling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: Z s Municipality of Anchorage r, Development Services Department .f� L Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Oa'C — N (Al -o 7 Property SA ITT phone ;?1/D D Mailing address /� Zip Code Site address A012 ko!ry7g/1(a Drive Zip Code Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms / THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal ❑ 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. Z (Signature of property owner or authorized agent) S If r K t �V d e-4 r.v C Permit/Rush Fees: %160 i 17 Waiver Fees: Date of Payment: C hf /O 7 Date of Payment: Receipt Number. O.9 Y �t S $ Receipt Number: (Rev. 11105) KALTNAUTNORITY APPROVALS SEWER&WATER AAM EXTENSIONS SEWER A WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELLINSPECTION S FLOW TEST ROAD DESIGN WIL TEST PERCOLATION TEST STRUCTURALS AEDNANICAL INSPECTIONS ONSITE WASTEWATER DSPOSALSISTEM DESIGN ROBERT C. COWAN, P.E. CMLENGINEEM (907)694-2979 June 13, 2007 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 9, Block 9, Paradise Valley Subdivision It is requested that you issue a permit to install a well and a septic system to serve the proposed four bedroom dwelling on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation 5/8/04, water was found at 13 feet. After monitoring, ground water was found at 13.5 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, ,W� 4-�- Robert C. Cowan, P.E. RCC/bj Enclosure 1" = 40' DESIGN SITE-PLAN sco ■> / A w rn �o d ate o., rn �'i /' rl 0 r 00€ 1­3 ,/' PN A r \N II (n L- ..3 O O O 1 6v 10, rn / / dao 4,y o n cfl co d V cMow MM M ow M MO O * V o n r 0 VO '�O''y aLWO 11 nJC A � A O a O DO 1 O Oco X0 a°�? t�cp, IN ^ 2 O / y HIM�x I /Y o„- IN M0F!a lilii Municipality of Anchorage q—.NEER'S S • { 9 Development Sen'ices Department Building Safety Division - yr On -Site Water and Wastewater Program ... 4700 South Blagaw St. -"-P !-••. P.O. Box 140:0 AnchOrge, AX 99519-6650 �, R ROBERT C. COWAN �Q www ci anohcraee.ak.us �4i. \ CE - 8301 , ''• :. (907) I fit ..».........' ��� lt w71111 i LtJu — i v, vv.a.u�ii ...... j wZ`w/�•. • `� or Yo ,MCI; M00I./ e ,caned Fir _ _• Legal Description: L07- 9 Q l K 1) PhA 010, f L 1/4LL (YTownstup. Range. Section: ' •- ».- Depth �G 0A C_,1 ovs e -f o• 3- ••r�- 4- .r r 5- 6• •pf 7- 8- < � ` , .e 9- i e 10- I I 0-11J� 12- 13- 14- - eL-4ju.y S P 6P sfff-n $ COAVOL WAS GROUND WATER � ff ENCCIFTTERE07 5 13' L IF YES. AT WHAT DEPTH? _ 0 DePthtoW eer After p 13 y} Monitoring? E 0 D.4: 17• t treading I Date I Gross Tme I Not Time I Depth to Water I Net Drop 15 " " a.o.N . pt?*S%vt S" o a r , s'/X,r 10 .. 1 s- of 0 17• f'y .. 301 1 g- io', 19- fr '• f /„ w ro / 11/r " 10 " 20- a 1r*4,f )o•, PE:.COUTICN RAT? �. o (ema:e:YGf FERC Y.ClE C1::.1E iiR T_STRUNcE 1.YEE.•: Fi A:10-7 �JFT com,.fENTS •rv,Th f9 l'L- tuft 0^ 51 T4 S'd /e T, G SYJTC M -- S 3 S ENGINEERING ICERTIFY THAT THIS TES WAS PERFORMED B'J7084Eag6Jtlrar PERFORMED 16'g'l�li!�r�r� ��a`��jt 'A 7`,��"'CIP..L GUIDELINES C! EFFECT Of] THIS DATE. DATE: r /7 /0 N ROBERT C. COWAN, P.E. CMLENGINEERS (907) 694-2979 FAX(907)694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM IEN.TNAUfNDRIn CONSTRUCTION PRACTICES APrnwAu and MATERIAL SPECIFICATIONS SEWER& WATER AWN E(TENSKM REFERENCE: Lot 9, Block 9, Paradise Valley Subdivision June 13, 2007 gC'MTER GENERAL: 1. The scope of this project includes the installation of a 1300 gallon HDPE septic tank and a septic trench to serve the proposed four bedroom residence REERtNGSTUpES ArmW REPGRTs located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all TION &FFWWT�EST applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. T[TE Twp 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. ROAD CESM 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health SM TEST Department. PEfCO11TON SEPTIC TANK INSTALLATION: TEST 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. All HDPE `MAL septic tanks are required to have a 4" monitoring pipe installed next to the WCRA PISPECTKM tank extending to the bottom of the tank. CN SRE WASTEWATER dSPOSALSVSTEY CESrGN r Ps9s 2 Lot 9, Block 9, Porsdiss Vali*y Subdivision Juno 13,200T 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. All HDPE septic tanks are required to be covered with a minimum of 2" direct burial insulation. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCHIDRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalis of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution.pipe..This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench uwst be mounded to prevent the formation of a depression after settling. Papa Lot 9, Block 9, Paradise Valley Subdiviston June 13,2007 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tyne of Pine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No AS1'1\1 D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Miraft 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sc%ver rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. Paye 4 Lot 9, Block 9, Paradise Valley Subdivision June 13, 2007 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in anyway the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owners representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be re1ionsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTI: -%CTOR / INSTALLER MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Apr 13, 2005 Expiration Date: Apr 13, 2006 Permit Number: SWO60079 Parcel ID: 020-414-07 Legal Description: PARADISE VALLEY SUBDIVISION BLOCK 9 LOT 91 Design Engineer: 0003 S & S Engineering Site Address: 6012 ROMANIA DRIVE Owner Name: DOUGLAS BROWN Lot Size: 24484 SO. FT. Owner Address: 6012 ROMANIA DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99516 - This permit is for the construction of: ❑,/ Disposal Field ❑,/ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3_ The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: ( oS Issued Byl Date: .' 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 O � • B4 tf O Parcel I.D. 6�h- UK/- d? Permit Number SW Property ZD phone 50-7291 Mailing address G 1 a- o & Fa s s D rl v4 . AN cr,(,,t4 c t *1Y Zip Code '3 9 s 0 7 Site address hoi a Rt-,rVIAn Ici OSI VG Zip Code G% ISV4o Legal description (Lot, Block & Sub'd.) Lot Legal description (Section, Township & Range) i Lot Size ��� `id Acre q.Ft. THIS APPLICATION IS FOR: Number of Bedrooms "T Sewer Only ❑ Well Only ❑ Sewer and Well 19 Water Storage ❑ Sewer Upgrade ❑ 11flam;13a714-.4V191elhyVRIM Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single `{Family Dwelling and is in accordance with appplicable Municipal Codes. 5ENGINEERING 1 d. 77034 Eagle River Loop Road No. 20.4 Eagle River, Alaska 99577 (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: 0.3 iT Receipt Number: 1 pc%i140 IAfn (Rev. 09/04) Waiver Fees: Date of Payment: Receipt Number: S& WAYWMAHOrm APPWN&3 SEWER 6 WATER MAME%TENSKM SEWERSWATER PSPECRDN ENGINEERPIG STUDIES ANDREPORTS WELLWPECTICN f FLOWTEST SITE PLANS SMTEST T-? STRUCTUULA AECIImrx Pencu" CNSRE WASTEWATER DIsP06ALS tem DESIGN ROBERT C. COWAN P.E. CMLENGINEERS (907)694-2979 FAX(907)694.1211 March 22, 2005 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 9, Block 9, Paradise Valley Subdivision It is requested that you issue a permit to install a well and a septic system to serve the proposed four bedroom dwelling on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation 5/8/04, water was found at 13 feet. After monitoring, ground water was found at 13.5 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, i946. RCC/bjj Enclosure 17034 kom H EAGLE mER LOOP 4 SURE 204 i EAGLE AMP, ALASKA 99577 1" = 40' DESIGN SITE—PLAN eco oy_ A W01 t0 Nib 00 opo / rr1 O cy // O� -qm rr nV��1 ` /// /// •� Qf N A d o O 7•� � l V / '""' I I I I 7 L Ln O C -i u EA y \} NO AND O y oz .... Go Y i 0 \f 0 ' o o�Gs o C Ln 0 op MMV m 00 9S�On'p6b r t� vo y���S�a ozmo x r o s �u zip r "C O C 3. Zo-io Opp o y y / C r Sin^ KKN � \J • L CAM G NIj a at •r • �« A% c �•• •C�n !. s 1" = 40' DESIGN SITE -PLAN CA AH ovc N �� Zv�,ri 7 eaCo 1-3 G V-1 'nvo b 0) VI A Oo = ;u m v L •-a O OHO v f N0 w 'CA o i Oz 9co 800. W Y 0 0 OPO !<< W ►� � O 'P I � O n�0-G� N w � I o � O oA N c MO �y n MM 3E _'z m o C' O s Aoyz Y "� W n = A -10 io ,a, O°` oao 0 C I..� n Z L°'ya /XO, '9nn O c`° <>c 62 n Ov'm / - O :R Municipality of Anchorage Development Services Department Bulldog saley Division ' y,t On -Site Water and Wastewater Program 47CO South Bragaw S: P.O. Box 1S6650 Andhoraye. AK S9519-66:0 W" d anchcraceak.us (S -0i) 3�J•7SC7 \'ortsf Loy- I blVVI4 \IVI• VV• R ROBERT C. COWAN- `�i.\ t� .•�._•.• �-.�' 1. >ericrme4 Fir H Yo Neon M 17 oma/ - ----_ _na''` o'?'�"'d _._.. rJ...-T I Legal Description: LOT' C) Q l K C) Ph-A4QI S L 1/���{YTowns p. Range. Seckn: Dept) �C It I C7 AG A.VI c f 16- 17- 18- 19- POwwy S P c-A,444e GP sJ�n $ COAVOL 11.0.14 . WAS GROLNOVIATER y J ENCCINIERED? S Net Drop 13' IF 1'ES. AT MEAT CERTM _ C Depth to Yraw Af:erp 13 A Monitoring? E S—/17/&q Dux: rwn pERCOLATICN RAT- L 0 Ivc:eaYt.`I FERC RCtE CIA0.IETER 6 „ TEST RUtt'cET::ES•`: '/a� F: AND i'/a FT COMMENTS •rvlTA.dL� rfJ2 ONfarpt fC-i`TIc SYJ7e- S & I — S ENGINEERNG 1-?wPERFORMED BS & 1L� CERTIFY THAT THIS TEST WAS IR / PERFORMED I TRP aS►fa'ikZ" '�' � °a :CIPAL GUID=ELINES IN EFFECT ON THIS DATE. DATE: S` 17 /0 a/ Tune Net Time Depth to Water Net Drop U s,iar /0 J` ". 1 S'/in 1Oit MGross �0 I IS%yv /Q ii IS` „ h JO" pERCOLATICN RAT- L 0 Ivc:eaYt.`I FERC RCtE CIA0.IETER 6 „ TEST RUtt'cET::ES•`: '/a� F: AND i'/a FT COMMENTS •rvlTA.dL� rfJ2 ONfarpt fC-i`TIc SYJ7e- S & I — S ENGINEERNG 1-?wPERFORMED BS & 1L� CERTIFY THAT THIS TEST WAS IR / PERFORMED I TRP aS►fa'ikZ" '�' � °a :CIPAL GUID=ELINES IN EFFECT ON THIS DATE. DATE: S` 17 /0 a/ M S& W.&TNAIRNOPiir APPROVALS SEWER& WATER MAN EXTENSIONS SEWERS WATER INSPECTION ENaNEERRgSTWIES ANOREPORTS WELL INSPECTION S FLOW TEST SITE PIANS SOIL TEST PERCOLATION TEST StRxTURAaL NSPEC710Ns ONSITE WASTEWATER DISPOSAL SYSTEM OESION ROBERT C. COWAN, P.E. CMLENGINEERS (907)694.2979 FAX(907)694.1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 9, Block 9, Paradise Valley Subdivision March 22, 2005 GENERAL: The scope of this project includes the installation of a 1300 gallon HDPE septic tank and a septic trench to serve the proposed four bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and 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 any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17004 NORTH EAGLE RIVER Loop i SURE 204 4 EAGLE RIVER. ALASKA 99577 Page 2 Lot 9, Block 9, Paradise Valley Subdivision March 22, 2005 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 fl. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 fl. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCHIDRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 9, Block 9, Paradise Valley Subdivision March 22,2003 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. Page 4 Lot 9, Block 9, Paradise Valley Subdivision March 22, 2005 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER Municipality of Anchorage Development Services Department *A. Building Safety DivisionOnSke Water and Wastewater Program 4700 South Bregaw St. P.O. Box 198050 Anchorage, AK 99519.8850 www.d.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: S&S Enalneedna Legal description: The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on _ ❑ Calculation error in design. ❑ Additional soils information needed. ❑ Water monitoring results inadequate. ❑ Discrepancy in information submitted. ❑ Topographic infomrabon missing or inadequate. ❑ Incomplete; missing _ ❑ Incomplete; missing _ ❑ Additional adequacy test information needed. _ ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. _ 1 ' ❑ Locations of all soils, percolation and water monitoring tests not shown. _ f� ❑ Proposed system too deep for soils information submitted. v ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ D' J ® Other. srrE PLAN sHows PRoposED TRENcHI NO Ad -E TO TOF BANK OR LOPE GREATER Name of reviewer. Joe Goodall Date: 2005 / Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK \ Municipality of Anchorage -- Development Services Department Building Safety Division P On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I:Q., 02 O 07 COSA # O 0 O IS -7 Expiration Date: 140 k- 1. GENERAL INFORMATION Complete legal description Lot 9; Block 9; Paradise Valley Subdivision Location (site address) 6012 Romania Dr. Anchorage, AK Current Property owners) McGee Homes Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 6200 Lake Otis Pkwy. #202 Anchorage, AK 99507 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well IZI Individual Water Storage ❑ Community Class Weil ❑ Public Water System ❑ Day phone 242-8286 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site IZI Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 Certificate of On -Site Systems 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 S & s Engineering Address 15861 S. Birchwood Loop Chu iak, AP 9567 Engineer's Printed Name l �'cs� c✓ �i c nr .%� ltp��GVn- i C -3i -'•—o6' 1244 r 47,6_74 ✓TN/J .15 Pail Pin.',► L- 5. DSD SIGNATURE Approved for 1 bedrooms. Disapproved. Phone 694-2979 Date Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: 'v' Original Certificate Date: (Rev H.057 0 J� (Aktt PvJ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program , 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. a!20 - U /4'07 COSA # 09015"T Expiration Date: C1 - 3 a - ( -9- 1. GENERAL INFORMATION Complete legal description Lot 9; Block 9; Paradise Valley Subdivision Location (site address) 6012 Romania Dr. Anchorage. AK Current Property owner(s) McGee Homes Day phone 242-6286 Mailing address 6200 Lake Offs P" N 202 Anchorago. AK 99507 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well IZI Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site IZI Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water 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 Certificate of On -Site Systems 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 S d S Engineering Phone 694-2979 Address 15861S. Birchwood Loop Rd. Chugiak, AK 99567 Engineer's Printed Name _ & O %t7- C Cp w/I„/ Date 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Lf Conditional approval for _V__ bedrooms, with the Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory _l Arsenic Advisory or V OF ?' i ROCERT G COWAN j Q f _�•.. C.-Bf301 A stipulations: Maintenance Agreements Supplemental Engineer's Report Other By Original Certificate Date: 6 " 3 79 - 0 m" „usi Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 wvAv.muni.org/onsite (907)343-7904 CERTIFICATEOFON-SITE SYSTEMS ,A/PPROVAL CHECKLIST Legal Description: Lo-r('4LOrK {IT��N"tAlsr �/nUE(/ Parcel ID: 02 0 —!VIV � 7 A. WELL DATA Well type rL?IU1i7E If A, B, orCprovide PWSIDlf= Date completed f Z/&�2 Sanitary sealow) _ts r Total depth �86 ft. Cased to {I ft. Well LaE J) Wires properly protectedSW) *S Casing height (above ground) 18'4 in. FROM WELL LOG AT INSPECTION Date of test 22 b Static water level /OE5 Ta ft, ft. Well production 8 g.p.m. 9 -p.m - WATER SAMPLE RESULTS: ,/ Coliform colonies/100 mL Nitrate �� 7 mg1L Other bacteriacolonies1100 mL Arsenic: mgll Date of sample: d$ Collected by. S 9 C RrR 7�E�lX7G B. SEPTICIHOLDING TANK DATA Tank Type/Material SE rnC' v i t -t: L Date installed 8 d Tank size' )aSD gal. Number of Compartments —22— Cleanou"1 !) Foundation cleanout) _AS Depression over tank On J06 High water alarm (Yd) /W Date of pumping ti — Pumper N 6 CO CCAJ C. ABSORPTION �Fl LSD) ATA _ Date installed CJ :9 a? Soil ratingg.p.dJft2 r ft2lbdrm) �• System type Length q3 ft. Width 3 it. Gravel below pipe Total depth/ I ft. Eff. absorption area i/ e Monitoring tube r!5Depression over field /v0 Date of adequacy test 6u� l eAY�tZucil Results (Pass/Fail) — For J_ bedrooms Fluid depth In absorption field before test _ in. Water added= gal. New depth __::l in. Elapsed Time: =min. Final fluid depth — in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) �ti�/t If yes, give date f.. D. LIFT STATION k) / }} Date installed / Size in gallons 'Pump on' level at _ in. "Pump oft" I Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 1 Absorption field on lot Ito 'I" Public sewer main A -)L)+ Sewer /septic service line o2, + r Animal containment areas f High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots /0,0 On adjacent lots jco + Public sewer manhole/cleanout L) 6 Holding tank r Manure/animal excrete storage areas /� f SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I r r Building foundation s Property line _�� Absorption field S 1 Water main N Water service line /O t Surface water leo / Wells on adjacent lots 16tO f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line to '+ Building foundation !� "/ Water main /J f Water Service line /D t Surface water too /f Driveway. parking/vehicle storage /O i Curtain drain AAA JUE O)CL1'VWells on adjacent lots _/LLf F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and review of Municipal records that the above systems are in r' conformance with MOA COSA guidelines in effect on this date. P�7t I ROBERT;C.'CCWAN jr Q- fr Engineers Printed Name Pdpf t C - 6)1✓/4fV it -z- CE=i3C01 .,r' 1W Date_ C`�;-a./40g COSA Fee $ 5q- so Waiver Fee $ L� Date of Payment cg -q IDS Date of Payment Receipt Number `-3O D Receipt Number (Rev. 11/05) Municipality of Anchorage 1'� '•` ~Y'yf • ''` Development Services Department Building Safety Division ' On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 080157 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 9, Lot 9 of Paradise Valley subdivision. This inspection revealed a nitrate concentration of 7.41 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. SGS Rett 1081868001 Client Name S & S Engineering Project Name/a L9;D9; Paradise Valley SID Client Sample ID L9;1)9; Paradise Valley SID Nlatr[s Drinking Water PWSID All Dales/Times are Alaska Standard Time Printed DalelTime 05/192008 8:50 Collected Date/rime 05/072008 15:45 Received Date/Time 05/072008 16:10 Technical Director Stephen C. Ede Samplc Remarks: Allossable Prep Analysis Parameter Results POL Units Method Container ID Limits Date Date [nil Metals by SCP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 05/11108 05/12/08 TK Waters Department Total NitratcMitritc-N 7.41 0.100 mg/L S%120 4500NO3-F B (<10) 05/16/08 LCP Microbiology Laboratory Colony Count 0 col/100mL SX1209222O A (<200) 05/07108 DLC Total Coliform 0 col/100mL SN1209222O A (<I) 05/07/08 DLC Fecal Coliform 0 col/100mL S%1209222D A (<I) 05/07/08 DLC SCALE: 1"= 40' VA LOT 9 v �\ O LOT 28 a-mn 10-1� ° 06 ,� A OFA Ott Fred ' ata;ka 'I�I�i�Os .3255. . ...A � EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED Fb O7 9, pg 24 FLAT ARE NOT SHOWN HEREON. Off' LOT 10 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that 1 have perfomred a of the fdiowing described PmPerlr M Anchorage Recording Precinct Alaska, and that the Irnprovoments situated thereon are within the property tines and do not overlap or encroach on the property tying adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the premises in question and that there aro no roadways, transmission cores or other visible easements on said property except as kdicated hereon. Dated at Anchorage. Alaska this m ay of Novemher 2007 FRED WALATKA b ASSOCIATES Engineers and Surveyors