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HomeMy WebLinkAboutCLAUDE H SMITH LT 1Claude H 0 Smith Lot 1 #051-232-66 Municipality of Anchorage ' ;, ,�;• Development Services Department i Building Safety Division Onsite Water and Wastewater Program. 4700 S. Bragaw SL P.O. Box 196650 Anchorage. AK 99519-6650 Page of www.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW020369 PID Number: 051.232.66 NH1e CHARLES D. GRAY Wastewater System: ❑ New ® Upgrade A°"°" ABSORPTION FIELD Phone: Nurnber of Delo s: ®Deep Trento D Sna^pw TrMdt O ae0 O Matra O Omer. LEGAL DESCRIPTION Sod R.Ivp. Taal Depth to o9,90:0.8 GPDtFf' 9.0 9.0 FI. 13 c : La: Subameion: Depth b plpe bMan tan odgwal yeas: Gravel depth bansam pipe: 1 CLAUDE H. SMITH 3.04 Ft. 5.96 FI Towrtaap: Ratge: aerxwn: Fa,00eaab ongm grw$e: Gravel Lbpm: 0-0.35 Ft. 5o Ft. Well: ❑ New ❑ Upgrad Grovelwmn: 2 N=wof ,be: Dwenc.betwaenlms.: 1 FI. Ft. Clauawetwn (Private, ti a. cl:Tdat Dean: Cued b: Talal abeagwn arse: P" Matenel: Private FI. FI. 596 Fe D3034 & F810 Drmer: oweDrabd: StatwWmwLeveLFL Datel�a W. *\s1`�(� Calkins Const. 1011612002 yea: P ps«at: c.pytuphtA^peGwro: TANK GPM FI. FL SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption LIR Holding PubliUPrlvat j nu W mar. ly: From Tank Field Station Tank Sewer Une Anchorage Tank 1000 Gel. wea 100'+ 100'+ NA NA 25'+ MHeral. Steel 1*vhW of companinents. 2 sudacewster 1004 100'+ NA NA LIFT STATION Lot L" 5'+ 10'+ NA NA tee, Gat. n, Wa. 5'+ 10'+ NA NA PumpM llWel al. Pump pa High WWW alarm at. Founaatbn m in. NA '50'+ NA NA Pump Mese a VOW" lrlspeotwna pedormro by ctwm Dram R18 *none known BENCH MARK Old tank & field abandoned L op afro s mete . Top of gas meter gauge EE.. New tank & field Insulated 106 FL Engineer s Stamp OF At %I •• Aw • '1' f Inspections performed by: KND Engineering, Inc. Dates: 1'I 1011612002 'r* ?4 w L��j 2nd 1011612002 .aa e• •M•N •aa ,I{IIa, Development Services Department Approval 741211 OQ Kenn ' •;� W r J+. ,� • :a CE 7113 Reviewed and approved by: Date: 2 0 ,: 1 rF'•,• .•• ��a. AS—BUILT SYSTEM DETAILS/SITE PLAN Permit SW020369 I CLAUDE H. SMITH LOT 1 PID# 051-232-66 REEK Drive A __ ---10' Tele Esmt -- ------ — — — K D I I' D C co 100'WELLRADIUS (STING EXI GALSEPTI 0 t K 4T N 2-1 ?o rI S DRIVEWAY N � IC PNS I -2 L T 1 II 100' V ELL RADIUS XISTTNG 1 I I SEPTIC I G � I � L SCALE( 1' = 50' 3.2 3.1 A -C= 61.0' B -C= 75.0' A -D= 57.5' FINAL GRADE 71,0' y 91.50 92.5 B -D= �,c A-E= 39.0' PmAA ID "'° ' .m.. a Vt B-E= 87,5' 1000 GAL A -F= 76,0' SEPTIC 89.1 B -F=38.0 TANK ROCK':_.\ sw Y. 5W oF•..... 1 PREPARED FOR, SCALE, NTS 77.19 ,a CHARLES D. GRAY 18826 MINK CREEK DRIVE * : * CHUGIAK, AK 99567 �' ' "' "' ' ' '"", (907) 688-2016 �'•• ...... ... .. �... / FlELD BOOKS COMPUTM I.` ce-7119 DOUNOAAT: MAW �d�7 � ENGINEERING mARNQCECm KMD 20441 PTARMIGAN BLVD. Amx" WARD DAZE 03 EAGLE RIVER, AK 99577-8736 �"—SS10 — ma nE: aark NW10-94 .... : ::.:»:. .::::::.. ACAD M' 02059.DWG '10B KO'' 02059 (907)696-6111/FAX 07)696-8111 ATID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER. AK 99577-8736 SOILS PERCOLATION TEST Performed for: Charles Gray Date �9 �l sJ. L' ........»...».. Kenneni M. : i �•._ CF. 711c Project: Claude H. Smith Lot 1 TEST HOLE # 02-2 Depth (Feet) 16- 17- 18- 19- ,20 - SEE ATTACHED SITE PLAN ORG- dark brown FOR HOLE LOCATION GM/CP— mod dense, brown W/ cobbles to 5" sand content increasing w/depth-SP B.O.H. HOLE PRESOAKED PRIOR TO TEST %Vas Groundwater encountered? NO What depth? NA Depth to water after monitoring? NO Date? 10/23/02 Reading Date Gross Time Net Time Depth to Water Net Drop 1 10/16/02 1:00 - 6" - 2 1:10 10 min 22/16" 314/16" 3 1:11 - 6" - 4 1:21 10 min 24/16" 312/16" 5 • 1:22 - 6" 6 132 10 min 24/16" 312/16" 7 " 1:33 - 6" - 8 1:43 10 min 25/16" 311/16" 9 • 1:44 - 6" - 10 1:53 10 min 26/16" 310/16" 11 1:55 - 6" 1 - 12 2:05 10 min 25/16" 311/16" • Water Added Percolation Rate 2.71 (min/in) Pere Hole Diameter 6" Test Run Between 3 feet and 4 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. G-Plvc 1 .vB9 sp ca ',v 299• cs ASBUILT SEWARD h ASSOCIATES LAND SURVEYING 694-0829 1 HEREBY CERTIFY -THAT I HAVE SURVEYED THE SCALE: FOLLOWING DESCRIBED PROPERTY= /H yDi .� aF A"�� DATE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS �/ r �Q •' s�-0+' INDICATED. IT IS THE RESPONSIBILITY OF THE � ;'':M�-' •• ;'9 OWNER TO DETERMINE THE EXISTENCE OF ANY GRID " ' ••• ••• A EASEMENTS, COVENANTS, OR RESTRICTIONS iY�v/orf/ i WHICH DO NOT APPEAR ON THE RECORDED SUBDI- kS. . ' Duan• Merk Sward VISION PLAT. UNDER NO CIRCUMSTANCES SHOULDFDRAWN: D f � LS -6918 _: * t ff ANY DATA HEREON BE USED FOR CONSTRUCTION 1 °4,OF FENCE LINES, OR FOR ESTABLISHING BOUND- �ARY LINES. JDAM MUNIClPALITYOFANCHORAGE (Oly� 3 :1 Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 23, 2002 Expiration Date: Sep 23, 2003 Permit Number: SW020369 Parcel ID: 051-232-66 Legal Description: CLAUDE H SMITH LT 1 Design Engineer: 0070 KND Engineering Site Address: 018826 MINK CREEK DR Owner Name: Charles D. Gray Lot Size: 44431 SO. FT. Owner Address: 18826 MINK CREEK DRIVE Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567-6736 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 Issued Date: S Z Date: 3 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 Parcel I.D. 051-23266 Permit Number SW 02 0 54 `/ Property owner(s) Charles D. Gray Mailing address (1) 18826 Mink Creek Drive, Chuglak. Day phone 688.2016 AK 99567 Mailing address (2) Zip Code Legal description (Lot, Block & Sub d.) Claude H. Smith, Lot 1 Legal description (Section, Township & Range) Lot Size 44431 Acres/Sq.Ft. Number of Bedrooms 3 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 ❑ 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. of property owner or authorized agent) Permit Fees: 4161 Date of Payment: 09 /t7/oz Receipt Number: r2 S727f) Q, (Rev. 12100) Waiver Fees: Date of Payment: Receipt Number: YU14 J ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 September 17, 2002 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer permit—Claude H. Smith, Lot 1 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. Due to the encroachment to the existing well, the existing septic system, including tank will be abandoned. On July 30, 2002 one testhole was performed for the proposed system. The results of this test are attached. The general slope of this lot is from east to west at a grade of approximately 04%. We have designed our system utilizing the existing testhole that was excavated for the existing 3 -bedroom house. The lot is served by an individual well, located on the north side of the house. We propose to install one 2' wide deep trench. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, 12 ,D Engineering, Inc. r Kenneth M. Duffus, P.E. Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Well Log & Partial Plat WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA I CLAUDE H. SMITH S/D LOT 1 NO PUBLIC WELLS WITHIN OW Cr WNPOSED SYSTEM NO PRIVATE WELLS WITHIN rW 6 PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN ear 6 PROPOSED WELL EXCEPT AS NCTM DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/0.8 GPD PER SQ. FT. (4.57 MIN/IN.)= 563 SO. FT 563/(2'(W) X 6'(D)) (6.0' GRAVEL) = 46.9 FT, TRENCH USE 1 TRENCH - 47 (L) X 2' (W) X 6.0'(D) Total depth of system Is 9.0' from orlglnal grade. Total depth of gravel below dlstrlbutlon plpe Is 6.0' . NOTES, 1. CONTRACTOR REPLACE EXISTING SEPTIC TANK WITH 1000 GAL TANK, INSULATE TANK IF (4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4, ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. PREPARED FOR, CHARLES D. GRAY 18826 MINK CREEK DRIVE CHUGIAK, AK 99567 (907) 688-2016 FIELD BOOKS SOUNDA . STAKNa Aseu�r. DRC. FILL AM HIE: nnncn COWITFD: DRAM: VBG OEC'm KMD DATE 9/16/ NW105 02059 Scale, 1'= 100' PAGE 1 OF 2 ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 I WASTEWATER DISP❑SAL SYSTEM DETAILS CLAUDE H. SMITH LOT 1 V---------- o -- D� � 7' i I --F— 33' C® C 33' 0-4% 41' '------ 10' _Tele_Esd -4®/® I ED TH 1 PREPARED F❑Rj CHARLES D. GRAY 18826 MINK CREEK DRIVE CHUGIAK, AK 99567 (907) 688-2016 FlELD BOOKS Dawt¢u .owo�. Dawe STAKPO CHEOM KMD w r.. DAM 16 w- nc: °tl° NW105 AcAD H48 02059.DWG "K" 02059 87' 0-4©/® Scales 1'= 20' PAGE 2 OF 2 X\6 ,L\l LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 OFqZ K1I��LJ' ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 Kenneih M. C CE 7116 SOILS PERCOLATION TEST Performed for: Charles Grey Date Project: Claude H. Smith Lot 1 TEST HOLE # 02-1 Depth 16- 17- 18- 19- 20 - SEE ATTACHED SITE PLAN 0 R - dark brown FOR HOLE LOCATION GM/SM— med dense, brown w/ cobbles to 4" SW -well-graded sands B.O.H. HOLE PRESOAKED PRIOR TO TEST Was Ground water encountered? NO What depth? NA Depth to water after monitoring? NO Date? 8/7/02 Reading Date Gross Time Net Time Depth to Water Net Drop 1 7/30/02 1:00 6" - 2 1:10 10min 39/16" 27/16" 3 • 1:11 6" - 4 1:21 10 min 311/16" 25/16" 5 • 1:22 6" 6 1:32 10 min 313/16" 23/16" 7 • 1:33 6" - 8 1:43 10 min 312/16" 24/16" 9 ' 1:44 - 6" - 10 1:54 10 min 313/16" 23/16" 11 ' 1:55 6" - 12 2:05 10 min 313/16" 23/16" ' Water Added Percolation Rate 4.57 (min/in) Perc Hole Diameter 6" Test Run Between 3 feet and 4 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. r r SAM Co::ZId rr4lLr;. Co. �s r SON j,T" � � �� ~� �• �D .� I i AV /,fdl4� ;�&'Id4041of X7 -- .• f - elee /rwL -� 7 4:g IICI/� -�� - - 7e EXISTING 1/2" REBAR o SET BY RCJ N 0.3' B.G. n} I f' 125 I + LOT 197-A ERSHIP (CONT'D.) °DERAL CREDIT UNION s7 DATE IWLEDGMENT IN TO BEFORE ME 197.9 er— Z/✓[(l-c�/ :A RES m' 1 el M� �N 1D LOT 1 CHS 1D S H S w z a J 2" B.C. ON 2" ODGIP. X 30" LOT 189 SET 0.5' AG. I I r 1 890 53' 00" E. 329.08 en \3i 00 O I I fy.>4e N 1 TELEPHONE I!f EISEMENT in )N �' rn p,1 LOT 2 c 44,129 S.F. owALL44,431 S.F. O HOUSE co LOT 1 m GARAGE 03'53.. w 11 M J O m O TEMPORARY 50'RADIUS m 8 O I TURNAROUND Z i U. Q I LOT 20L W m m —►1 Ir 33' POwERLINE RESERVATION LLIsm ( \822- S h I C H S v> I Suso. to p I LOT 2 m I ( I 1978 1 F LOT 190 SET AT PROPORTION ,IN 1973, JRS 5/8"1 MNK DRNI N 89° 47' 57_E 328.13 LOT 195 � / e 8 Q / 328.29 _ 657.08 PROPORTIONING BLM BRNG. B IS POWERLINE o 00 LOT, LOT' 20; m MIS I I I 2"B.C. ON 2" ODGIP. A30" I SET 0.4' AG. W 1/16 l I I 328.51 Fop. I 1 1 328.44 Prop CERTIFICATE (REC. S. 890 Municipality of Anchorage Development Services Department 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 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 051-23-266 COSA#1o039g Expiration Date: / O — 3 l — O 1. GENERAL INFORMATION Complete legal description CLAUDE H_ SMITH, LOT 1 Location (site address) - 18826 MINK CREEK DRIVE Current Property owner(s) CHARLES GRFY Day phone 688-2016 Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of 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 Firra-l(ND—ENGINFFRING, INr Phone 6964011 Address 20441 PTARMIC3AN RI_Vn_, EAGLE RIVER, AK A9577 Engineer's Printed Name_ KENNETH M. D 1FFt14 Date Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, KND can not give any estimate of how long a � system will function satisfactoryfor current or future '�(` OF Al. %%I occupants or can KND guaratee that no unseen = y,�P�.••'~•�•'••.,gS� encroachments, deficiencies or discrepancies exist. • q�j_ 5. DSD SIGNATURE Approved for __3_ bedrooms. Disapproved. Conditional approval for Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X bedrooms, with the following stipulations: Itt(Wa k, �XI....'199*,� r\QP . yn ON-SITE IV� WASTEWATER Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: %— 3 1— O rrse..,�As 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 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: CLAUDE H. SMITH. LOT 1 Parcel ID: 051-23-266 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID ft Date completed 10/27/1971 Sanitary seal (Y/N).Y Total depth _$]_ft. Cased to —5Z --ft. FROM WELL LOG Data of test 10/27/1971 Static water level 2S ft. Well production 3 g.p.m. WATER SAMPLE RESULTS: _ Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 25+ in AT INSPECTION 1111111111111�*Aq g.p.m. Coliform _Q­colonies1100mL Nitrate _NQ—mgtL Other bacteria 0 colonies/100 mL Arsenic: —ED mgA Date of sample: 6/28/2006 Collected by: KND Engineering- Ine B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/STEEL Date installed 10/16/2002 Tank size 1000 gal. Number of Compartrnents2 Cleanouts (WN).Y Foundation cleanout (YIN) Y Depression over tank (YIN) b High water alar (YIN) N Date of pumping 6/16/2006 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA Date installed 10/16/2002 Soil rating (g.p.d./ft? or fefbdr) O.8 System type DEEP TRENCH Length J%ft. Width -Lft. Gravel below pipe 5.96 ft. Total depth.1 ft. Eff. absorption area 596 I` � Monitoring tube Y Depression over field H Date of adequacy test 6/28/2006 Fluid depth in absorption field before test Q in. Elapsed Time: ,1Q min. Final fluid depth Q in. Results (Pass/Fail) mss For 3_ bedrooms Water added 450 gal. New depthjL in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date ----- D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at_in. 'Pump ofP level at_in. High water alarm level at_in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/IIR station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line $Hill 5�- V On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank _ 10 0'+ Animal containment areas 50'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 101+ Water main _10'+ Water Service line 10'+ Surfacewater 100'+ Driveway, parking/vehide storage 10'+ Curtain drain 50'+ Wells on adjacent lots 10 0 1 + F. COMMENTS 11 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name KENNETH M. DIFFUS ?-31- COSA Fee AN.N. Waiver Fee $ _ Date of Payment/I "N�Qtr& Date of Payment Receipt Number _twy Receipt Number, (Rev. 11/06) SCS ReE N Client Name Project Name/N Client Sample ID Matrix Sample Remarks: 1063514001 KND Engineering Claude 11. Smith Lot 1 Claude 11. Smith Lot 1 Drinking Water All Dates/rimes are Alaska Standard Time Printed Date/time 07/112006 15:14 Collected Date/rime 06282006 16:30 Received Date/time 06282006 17:10 Technical Director Stephen C. Ede Allowable Prep Analysis Pammeter Results PQL Units Method Container ID Limits Date Date [nit Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 06/30/06 07/07/06 M11 Waters Department Nitrate -N ND 0.100 Microbiology Laboratory Total Coliform 0 mg/L EPA 353.2 D (<10) col/IOOmL SM209222B A (<I) 0629/06 ALR 0628/06 TLP Municipality of Anchorage Development Services Department +.r Building Safety Division On -Site Water and Wastewater Program e 4700 South Bragaw St. P.O. Box 198850 Anchorage, AK 99519-8850 www.muni.orglonsite (907)343-7904 ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET To: Ken buffus Legal description: Claude H. Smith Lot 1 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 information missing or inadequate. _ ❑ Incomplete; missing ❑ Incomplete; missing ❑ Additional adequacy test information needed. _ ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. _ ❑ Proposed system too deep for soils information submitted. ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ® Other. Need to apply for waver for less than 25 feet well to prhvate septic service line. Name of reviewer: Leff Date: 7-26_06 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK