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Home My WebLink AboutTUXEDNI PARK WEST BLK 2 LT 3TuxednI* Park West Block 2 Lot 3 #041-022-53 Municipality of Anchorage Development Services Department - Building Safety Division '- On -Site Water and Wastewater Program, 4700 South Bragaw Street P.O. Boz 196650 Anchorage, AK 9951M650 Page 1 of 4 www.oi.anchorage.ek.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWSWO50280 PID Number. 041-022-53 .. Wastewater System: ® New ❑ Upgrade yea.., ABSORPTION FIELD Pham Number of Bela ® Deep Trarrh O Shallow Trarrh 0 Red 0 Maud ❑ Dew LEGAL DESCRIPTION Soe Ralrtp rpnmtl nal adv Too] Depth eomo "1-2 Bock Loi SL",,r n Depth No P" boean elan ongnel artas Gr" Lepel berrah p" ToWWW Range Sedan: Fa added above odpnel grade 0 Ft Grevel Larpm. 47 F1 Well: New Upgrade ®❑ GrnarWidth: Number dam. Dia be0~bres Cleeed"m IPMate. A B. CP Private Twat Dept- 406 Ft caved W. 90 F, Total a *wpbm area 658 Pve MnerW 3034 PVC Dnller Alpine Drilling Data Dolled 313012QO6 SWh Wetar level 86 eutesar . 1 —1 Homes Date blelled 9122/2005 YMw Pure SateCavip He'PrM 1lb2 Grand ch TANK 3 GPM Fl. 2 Fr SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption LM Holding lublrJPrivate MinnlatliYK capecAr Fran Tank Field Station Tank Sewer Line Anchors eTank 150OGM Was 111.1 132 110 Steel H, ear2cawarwwae s'al"Watar 100+ 100+ LIFT STATION Lal.,. 30+ 13.5 Sue M-49"*rar DialFo 5.5 12.1 'Pump w le.el a. 'Fury olr level a Hgh water Yarm a eM 1 1 M F in 100+ 100+ Pump Melo a Meda Electrkal w.pedlehe perWhad br LA.Cwn u.n Rarer BENCH MARK Laatan arra Desapeon. - Top of Concrete Slab ==. - ' � , ;,jurmee Elevnan. :'100.0 FL Engineer's Stamp `♦ OF Inspections performed by: PES, LLC Dates: V19122/2005 el....: 2"°09/22/2005 ..... ..............:s.....� 0 i Development Services Department approval """""""""at Steven R. Ponnon? G� i Reviewed and approved by`�K— Date: — - D G �'♦ J `,, �rar�j CE�81/a9 .; r^4�' # ��C�J/ (Rev 12M) 5,,.• PERMIT NO:SW050280 RECORD DRAWING P•I.D.NO: 041-022.53 WASTEWATER DISPOSAL SYSTEM LOT 3 BLOCK 2 TUXEDNI S/D —--------------------------------------- ------` ----- — -- i i i i i f 'I 20% NEIN I NEW WELL tiBR HOUSE I I NEW PRIMARY SAS M7 > 47LFX3'WXTED C1 \ 332.0 2.1 ; m I r e 1 5.5 111 M NEW SAS 47LFX3'XTERESERVE= X10% 41� \\ q v , PT ��sx trn -- r1o% Tz I 14.0 M2 C2 Df" TF1 LIS NEW 15000 ON FILE 13.5 SEPTIC TANK AREA UNDEVELOPED NO WELLS OR SAS WAN 400' A B FCO 32.90 23.40 TI 37.05 21.50 T2 46.90 15.80 PT 53.50 14.95 Mt 70.30 15.00 Ct 72.65 16.95 C2 68.80 48.80 I M2 69.00 48.60 _ .DESIGN CALCULATIONS: PERCOLATION RATE: <1 MPI NOTES: 3) Maintained 10' separation to APPLICATION RATE: 1.2 GPDSF 11 1) All work was perfamled In all lot lines and proposed water (125 SF/BR)accordance with AMC15.65. lines. �� 11 ��(Q',.••'•• 11 BEDROOMS:5 AREA REQUIRED: 650 SF 2) Materials used were in 4) Lots served by private water DEEP TRENCH: T EFF DEPTH accordance with those specified In system. No wells within 100' of 9 TM � i ?• 40 47 LFx 3' WIDE, 10' TOTAL DEPTH +.....i.. -: - l'�l •,,,,,,,,,,,,, �•• •r• •• •• AMC15.65, Wastewater Disposal. proposed system. TOTAL AREA: 658 SF 11500g SETIC TANK PREPARED FOR: PANNONE ENG. SVC, LLC ♦ Steven R. Pannone r� •1 P. O. BOX 102954 �sss•...� ��•''' E 8149 �� p��•°1� JOHN HAGMEIER HOMES 2204 CLEVELAND AVE. ANCHORAGE, ALASKA 99510 227 3522 P, 272-8218 Fax -00404 ANCHORAGE, AK 99503 (907)248-6789 DATE: 03-06 5-0 PLAN SCALE: 1'.60' PERMITNO:SW050280 RECORD DRAWING DETAILS P.I.D. NO: 041.022-53 WASTEWATER DISPOSAL SYSTEM LOT 3 BLOCK 2 TUXEDNI PARK WEST SID ua nvaa wa Nova IV aeru HOL010n 4� J d � d O 000000000 g00000.000 a W 00000000. 000000 0 LL 0000000 h 01 00000000.W C> 00000000 (� 00000000 W 00000000 i m W W = � {WC Zr 0 a w F- p m W a LLI W w0.a o o� _ J LL ON3 NOV31V LL 0 3WU WOIM�Or� Q OOf p LL 0000000 z m m 00 0000 00000 00 0 = 4 00000000 W 00000000 H Z � 00000000 a. OF 00000000 00 0 00 00 0 0 00 000 0 0 U 3 rc 3 o- p m = J � N F p Om N N A O N m W,MaT m m yarwra m m m �7 uaxna p g . #L TM 0...... ..... ............,....., ... ........................ a PREPARED FOR: PANNONE ENG. SVC, LLC Steven R. Pannone .�� John Hagmeier Homes. LLC P. O. BOX 102954 8148y' �222� 2204 Oevelane Ave ANCHORAGE, ALASKA 99510 Anchorag248-8 age• AK 99503 227-3522 P, 272-8218 Fax v \\\\\• �� • SCALE: 0"9- 8 DETAILS FRom : ALPINE DRILLING FAX N7. : 907 345 02Q2 Mazj. 04 2006 05:4'MM P1 ALPINE DRILLING & ENTERPRISES Permit Number. #SW050280 Date of issue: 8.11.05 Parcel Identification Number: 041.022-53 Date Started: 3-28-06 Date Completed: 3-30-06 Is well located at approved permit location? 9� Yee ❑ No Legal Description: Tuxedini Park West Blk 2 U 3 Property Owner Name & Address: HagmeterHomes 2204 Geveland Ave. Anehomew Alaska 99503 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool So!] Type, Tblchxss & Water Stress From To Geeing type: XW Silty gravel 0 32 Wall Thielmess:2M inches Silty sand 32 41 Diameter. ¢ inches Depth: QQ feet sandy gravelly silt gravelly silt bedrock 41 65 65 87 87 406 Liner Type: etcr inc1eS Depth: feet Caning stickup above ground: 2 feet Static water level (from d level ( i�) �.eet Pumping level:_jMfeet after 2 hours pumping 3 Spm Recovery Rate: 2 gprn Method of Testing: ALE Well Intake Opening Type: Open End ® Open Hole ❑ Screened Startfeet Stopped feet perforations Startfeet Swpped feet Grout Type: benlonile Q mrles Volume: Lbg Depth: Start!2 fent Stopped.2 feet Pump: Intake Depth feet Purap size hp Brand Name ._ Well Disinfected Upon Completion? E, Yes ❑ No .Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine DrOng 9 Enterprises PO Box 1104M A.achorage AK 99511 Attention.- The well driller shall provide a well log to the ptopeM owner within 30 dais of completion and the propery owner or the well duller shall provide a well leg to the Development Services Department within 60 days of completion. 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 Permit Number: SWO50280 Date Issued: Aug 11, 2005 Expiration Date: Aug 11, 2006 Parcel ID: 041-022-53 Legal Description: TUXEDNI PARK WEST SUBDIVISION BLOCK 2 LOT 3 Design Engineer: 0062 Pannone Engineering Services Owner Name: JOHN HAGMEIER HOMES Owner Address: 2204 CLEVELAND AVE ANCHORAGE. AK 99503 - Site Address: 9767 ATELIER DRIVE Lot Size: 79847 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy Q 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. /avj_"r Date: 3�66Oz Issued By. Date: 9 1 1, �5 Municipality of Anchorage • Development Services Department Building Safety Division i On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ek.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 044 I - 0 ZZ— SZS Permit Number SW Property owner(s) John Hagmeier Homes Day phone 248.6789 Mailing address (1)2204Cleveland Ave AIA, cj9ap3 address (2)__9_!F&,F • A-rELjM_De-\vr✓ Zip Code Legal description (Lot, Block & Sub'd.) Lot 3, Block 2 Tuxedni Park West Legal description (Section, Township & Range) Site Adress: Atelier Drive Lot Size 79.847 Acres Number of Bedrooms 5 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information Is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12100) LLA—) Waiver Fees: Date of Payment: Receipt Number: Pannone Engineering Services, LLC Consulting Engineers August 5, 2005 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 3, Block 2 Tuxedni Park West S/D Well & Septic System Permit Request Ladies and Gentlemen: P.O. Box 102954 ge, Alaska, 99510 I am writing to request a permit to construct a new well and septic system be issued for this property. The proposed systems will serve a new five -bedroom house. The lot is currently undeveloped and will be served by a private water system. 1. Soils. See the attached soils log. A single test hole was excavated during the subdivision process and is on file at your department. No ground water was observed to a depth of 17 feet in the test hole. Bedrock was not encountered in the test holes. It is my opinion that the overall soils appearance of the soils, an application rate of 1.2 gallons/day/square feet should be used using standard treatment system. 2. Trench Design. a. Percolation Rate: b. Application Rate: c. Number of Bedrooms: d. Design Flow: e. Min. Absorption Area: L 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 Q\Work\Letters\3-2 Tuxedni Park West.001.doc <1 Min Per Inch 1.2 gpdpsf 5 750 gallons per day 650 sf 10.0 feet 7 feet 2-3 feet 0.0 46.5 feet 47 feet 658 sf 1500 gallon Septic Page 2 3. Surface Water: There is no surface water within 200 feet of the proposed system. 4. Topography: The average topography in the area of the proposed septic system is approximately 10 to 15 percent, and then steepens to approximately 15% flowing to the west. 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, \P .. ..../ , .. i{x 0 T Steven R. Pannone, P.E. i .........o:... Civil Engineer r Attachments: C:\WORK\LETTERS\3-2 TUXEDNI PARK WEST.001.DOC Steven R. Pannone: No. CNo. C.�x...�...... E 14 P1111411 � 411 ;ate PERMIT NO: DESIGN DRAWING P.I.D. NO: f WASTEWATER DISPOSAL SYSTEM LOT 3 BLOCK 2 TUXEDNI PARK WEST S/D AREA UNDEVELOPED NO WELLS OR SAS WAN 200' .---------------- I I --------------------------- ------------� PROPOSED WELL ----------------------------------------I 1 Steven R. Pannone John Hagmeler Homes, LLC 2204 Cleveland Ave •ra,.•' Anchorage. AK 99503 248.6789 • � I Asx L PROPOSED 15009 SEPTICTANK DHI TH L16 ON FILE APPLICATION RATE: 14 GPDSF (125 SF/SR) BEDROOMS:5 AREA REQUIRED: 650 IF DEEP TRENCH: T EFF DEPTH 47 LFx 3' WIDE,10' TOTIkL DEPTH TOTAL AREA: 658 SF 1500g SETIC TANK PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax TATE: 8.5-05 IPLAN I., C. .tiCM '{ / PROPOSED NOTES: 1) All work shall be performed In V SBR HOUSE LLI PRO ED IMARYSAS > Fx TED, 10TD PRO ED SERVE SAS -_ 20% 47LF TED. ITrD 10.0 114.0 W 4) Lots served by private water W system. No wells within 100' of proposed system. - Steven R. Pannone John Hagmeler Homes, LLC 2204 Cleveland Ave •ra,.•' Anchorage. AK 99503 248.6789 • � I Asx L PROPOSED 15009 SEPTICTANK DHI TH L16 ON FILE APPLICATION RATE: 14 GPDSF (125 SF/SR) BEDROOMS:5 AREA REQUIRED: 650 IF DEEP TRENCH: T EFF DEPTH 47 LFx 3' WIDE,10' TOTIkL DEPTH TOTAL AREA: 658 SF 1500g SETIC TANK PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax TATE: 8.5-05 IPLAN I., C. .tiCM _'20% AREA UNDEVELOPED NO WELLS OR SAS NOTES: 1) All work shall be performed In accordance with AMC15.65. WAN 200' 2) Materials used shall be In accordance with those specified In AMC15.65, Wastewater Disposal. 3) Maintain IV separation to all lot lines and proposed water fines. 4) Lots served by private water system. No wells within 100' of proposed system. 164 OF too Steven R. Pannone John Hagmeler Homes, LLC 2204 Cleveland Ave •ra,.•' Anchorage. AK 99503 248.6789 • � I Asx L PROPOSED 15009 SEPTICTANK DHI TH L16 ON FILE APPLICATION RATE: 14 GPDSF (125 SF/SR) BEDROOMS:5 AREA REQUIRED: 650 IF DEEP TRENCH: T EFF DEPTH 47 LFx 3' WIDE,10' TOTIkL DEPTH TOTAL AREA: 658 SF 1500g SETIC TANK PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax TATE: 8.5-05 IPLAN I., C. .tiCM • 1 PERMIT NO: O w LL W w W K O M 4 YY K 4 O 00 a a LL d? It Ir e0 N V) Steven R. Pannone,•. DESIGN DRAWING DETAILS WASTEWATER DISPOSAL SYSTEM LOT 3 BLOCK 2 TUXEDNI PARK WEST SID Z O F- LLI John Hagmeler Homes, LLC 2204 Cleveland Ave Anchorage, AK 99503 248.6789 OI as Jno r VO � 31enD0 VOWrD 1lW NV31J WOw aatvomoa P.I.D. NO: n r a b 0 W F- S U 2 W w w w 0 PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax 'ATE: 85.05 DETAILS W LL. O DHI CONSULTING ENGINEERS 800 E DIMOND BLVD. SUITE 3-5.45 ANCHORAGE. ALASKA 99515 SOILS LOG—PERCOLATION TEST TEST HOLE LOG #15 PERFORMM FOR: ROGER CREMO DATE PERFORMED:.4 B O3 LEGAL DESCRIPTION: LOT 3 BLOCK 2 TUXEDNI PARK WEST w.O.f 02558 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 9• FROZEN ORGANIC LAYER REDDISH BROWN SILTY SAND W/ GRAVEL. ORGANIC ROOTS BROWN SANDY GRAVEL (ROCKY) ROCK TO 6' WAS GROUND WATER S ENCOUNTERED? NO L IF YES, AT WHAT 0 EffE DEPTH ? P DEPTH OF WATER E GRAY GRAVELLY SAND, DRY AFTER MONITORING ?NO WAT R DATE. 4123/03 OCCASIONAL BOULDER TO 12• rinw 9gA ams 9C kr VC 1 `A/eS MID. IR OEM 1'F>t"-1UII 413 0 Q• 413 2 1/9/41 ase 6' e• 1 4/0/91 ale 1:91 e• a 419 SLOPE • E OF -44 'I� t O :.......... I � �DENNIS EE • � � � �4'm� ••,• CE 5807 �41 �••.......•'�sJ•. � � �Fessl�•• SITE PUN HARD DIGGING B.O.T. PERCOLATION RATE _�(MINUTES/INCH.) PERCHOLE DIAMETER _ 6• TEST RUN BETWEEN; 4.5 FT. AND 5.0 THIS SOIL LOG IS PROVIDED FOR THE SOLE PURPOSE OF COMPLYING WITH AMC 15.65.160 & AMC 21.15.110. REUSE OF THIS INFORMATION FOR ANY OTHER PURPOSE OTHER THAT 013TAINING SUBDIVISION APPROVAL IS STRICTLY PROHIBITED. PERFORMED BY. I. DEE HIGH CERTIFY AT AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SIGN IN ALL STATE —558STR15 Muni<cipal>ity of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON—SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING A ''f I Parcel I.D. 041-022-53 COSA # 01002-10 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 3 Block 2 Tuxedni Park West SID Location (site address) 9767 Atelier Drive, Anchorage, AK Current Property owner(s) John Hagmeier Homes, LLC Day phone 248-0789 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 2204 Cleveland Ave.. Anchorage, AK 99517 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual Well ED Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site 19 Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite 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 engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the 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 Pannone Engineering Services LLC Phone 272-8218 Address P.O.Box 102954 Anchorage AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 5115/06 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The 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 wells and septic systems depend on the local soil condition, ground water •�P��MQF aaa••. levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that 407. there are no hidden defects or encroachments. PES can therefore not provide any warranty for future —'i performance nor give any estimate of how long the system will continue to meet the operational .i — requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed i 7'+ Steven R. Ponnone above. Any reliance upon or use of this report by any other person or party is not authorized nor will it N c�E8149 confer any legal right whatsoever. �i •+.'-'%�',•.-�'�' �� 5. DSD SIGNATURE aaaa.-E551 .•' Approved for ,r bedrooms. Disapproved. 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 Original Certificate Date: G ' — D (Rw 1105 Municipality of Anchorage • Development Services Department Building Safety Division " Onsite Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-W50 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST A. WELL DATA Well type P .,_ • Fpii.r i. Total depth -49LfL If A, B, or C provide PWSID # Sanitary seal (YIN) Y Cased to -2LfL FROM WELL LOG Date of test 312012008 Static water level 88 ft. Well production 3.0 9.p.m. WATER SAMPLE RESULTS: Coliform �oolonies/100 mL Nitrate O' W mg/L n! Arsenic: UD T mgA Date of sample: 0 B. SEPTICIHOLDING TANK DATA Tank Type/Materiat Anchomas Tank Steel Tank size 1500 gal. Number of Compartments; Foundation cleanout (Y/N) Y Depression over tank (YIN) N Date of pumping �J W0 Pumper C. ABSORPTION FIELD DATA Well Log (Y/N) Y Wires properly protected (YIN) Casing height (above ground) 24 in. AT INSPECTION ft. g.p.m. Other bacteria-jc�— colonies/100 mL Collected by:r r II lit � r� l l lti'► j Cleanouts (Y/N) Y High water alarm (YtN) NIA Date installed JIM=$ Soil rating (g p.d.e or fe/bdrm)12 System type Deeo Trench Length 47 IL Width 3 fL Gravel below pipe 7 fL Total depth 19 ft. Eff. absorption area faf Monitoring tube Y Depression over field N Date of adequacy test Kk'w Results (Pass/Fall) Pass For tbedrooms Fluid depth in absorption field before test. Water added= gal. New depth= in. Elapsed Time:'_" min. Final fluid depth — in. Absorption rate >_ "' Q + g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed 'Pump on' level at _ in. Datum Sae in 'Pump otr level Cycles E. SEPARATION DISTANCES / SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAtft station on lot 111.1 Absorption field on lot 137 Public sewer main 100+ Sewer /septic service line 25+ Animal containment areas 100+ Manhole/Access (YIN) in. High water alarm level at in. Meets alarm b circuil requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5,5 Property line10+ Absorption field 17 Water main 144+ Water service line 25+ Surface water 100+ Wells on adjacent kits 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 13.5 Building foundation 12.1 Water main 100+ Water Service line 25+ Surface water 100+ Driveway. parkinglvehide storage 20+ Curtain drain None Wells on adjacent kits 100+_ F. COMMENTS C -ti an G. ENGINEER'S CERTIFICATION �104(t,\i I certify that I have determined through field inspections and review of Munkoal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R Pannone, P.E. COSA Fee $ 11 T I/,E) Kub"% Waiver Fee $ _ Date of Payment 5c V ( Date of Payment Receipt Number � -i Receipt Number (Rev. 11105) %._ No. CE i•.`d •.,4j I %._ No. CE SGS Ref. #: 1062596 Client Name: Alpine Drilling Project Name: Tuxedni Park West, L3, B2 Client Sample ID: Tuxedni Park West, L3, B2 Matrix: Drinking Water 1lrhile7 SGS Environmental Services Inc 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 All datesAimes are Alaska Standard Time Printed Date/Time: 05/30/06 12:30 Collected DateMme: 0523/06 16:00 Received Date/Time: 0524/08 11:10 Technical Director. Slepheryfde Released Allowable Prep Analysis Parameter Results PDL Units Method Limits Date Date Init Bacteria 0.00 92228 .0524/06 0524/16 tlf Nitrate 0.66 0.10 mg/kg EPA 300.0 10.00 0524/06 0524/06 air Arsenic ND 5.00 ug/L 200.8 10.00 0524106 0525/06 scl 1 11=50' C a 35' v m 2004-155 TUXEDNI PARK WEST SUBDIVISION LOT 36 B47 B SOCK 2 7. N 89.58'31 "E 343.87' 10' GAS ESMT. ' — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -T — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -i 20' T. do E. ESMT. --- ------- - - - - -- --- - ---- -- - - - i I I � I � I � Ld WELL I iS I o (a331� I n TK/e I o� BLDi 0 I SEPM SYSTEM Yy z�� N v1 I N 685.00...E T, 2 BUILDING DETAIL SCALE: 1 "=20' NOTE: 50' RADIUS TEMPORARY TURNAROUND EASEMENT TERMINATES WHEN ATELIER DRIVE IS CONSTRUCTED TO THE NORTH BOUNDARY UNE. GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI. R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 I GRID 2042 15 6/2006 I F.B. JOB NO. 06-05 1 TPW32 I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS 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 SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE OF q 1� `� P��,,......, <qs� r 4 491li . 0004 ................... . Jeffery astalal : o r • r ♦. �� ••. LS -6091 � �°1 �afa!llonol �o N 03 (':