HomeMy WebLinkAboutRAVEN WOODS #1 BLK 4 LT 3P-aven Woods Block 4 Lot 3 #015-232-30 Municipality of Anchorage Development Services Department ?�? Budding Safety Division On -Site Water and Wastewater Program. 4700 Bragaw St P.O. Box 196650 Anchorage. AK 995198650 Page of S www ci.anchorage.ak us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW070199 PID Number: 015-232-30 Noma Randy & Susan Heaston Wastewater System: ❑ New © Upgrade aaoaa 6231 Trappers Trail Rd ABSORPTION FIELD Pl p rdndard Bsaddma 4 RDW Trarrd 0 SMao-s Tnrxm O Bed 0 Ma 0 Omar LEGAL DESCRIPTION SW Re" '°Moto iyb' or ""°"JF 0.7 GPwF 12 &ah 4 3 s'�°"M0A Doom ti, ww eonam tram oronr paa cnei aew� eansam woo Raven Woods #1 3.5 FI. 8.0 Tpmtlq Rwlaa SxTan FI FJ tl0ad tlOw «pnr draw Grave Carpio 0 FI. 54 FI. Well: ❑NeWGnwl wgln rrnowaenaa walnwa Dwwasn rte ❑ Upgrade 2.5 FI. 1 NIA Cr"rolan (Pn. A a. C) rdw Dean Csasd MIdr FI tlaawcn ru Hps ManarW FI. A 864 FI' PVC, F-810 D1ie°• Dar D'Jsd suet Warr Lwwl InrM Dwa mwaead FI A+ Home Services 8/20/2007 year P,ariP Sw r Inspections performed by: Cindy Ellis Dates: 1" 8/20/07 1. •• ,'.'? ; 2ne 8121107 Development Services Department Approval,: Conditional Approval Date: Reviewed and approved by: IRn (Wn) 24a,e: 5 ,z7- 100.00 A Engineer's Stamp 'dY W. Ellis CE • IOS77 .' Gvp Flagnl Addw Gmwa GPM FI. FI TANK SEPARATION DISTANCES Aseptic [I Holding OS.T.E.P. [:I Other. To Septic Absorption LM HolOing utNiUPnvate M « a" ty Fran Tank Field Station Tank serer Lma Anchorage Tank & Welding 1500 Gr Woe 128' 115' 128' NIA 103' Ma'— Steel NamM d Compammwxa 2 Surface Www 100'+ 100'+ 100'+ N/A LIFT STATION 40' 10' 40' N/A1500 STEP Gr Anchorage Tank & Welding 26' 25' 26' N/A 'Pomo an rM" 32 'Poop dr rw w Mpn wow rrm a m 22 .136 m Cunrl Orael NIA N/A N/A N/A Nano Mws a Mad" Erclncw Inepw . wdanntl by ax O O MOA R«nrar Old septic tank was abandoned in place, per code. BENCH MARK Inspections performed by: Cindy Ellis Dates: 1" 8/20/07 1. •• ,'.'? ; 2ne 8121107 Development Services Department Approval,: Conditional Approval Date: Reviewed and approved by: IRn (Wn) 24a,e: 5 ,z7- 100.00 A Engineer's Stamp 'dY W. Ellis CE • IOS77 .' 100' well radius NN 54' long & \ I S 76°5719 8' effective e — — � MT1I g0 K O MT2 TH# R' TH#1 Location of line r is uncertain Manhole , ST2 STI A u DC01 0 CO2 civ ggpygC r h Sum \ t° 1976 drainfield � �FI1gy 1500 gal. \c m O 2 STEP Tank Concrete septic tank abandoned in place. \ r 11 r 0 0 o 1 I� m ft7 ,7 I� A B DC01 22.2 41.3 00O2 22.9 41.9 ST1 27.4 45.2 ST2 35.3 51.6 MH 53.1 1° AS-BUILT CL Based upon a survey by Shane Hoft, LS-6914 8/29/07 N 89°36'20"W Raven Woods #1 Blk 4 Lot 3 Record Drawing of Septic Upgrade Randy & Susan HeastonEngineering,QE.ACq' Parcel ID No.: 015-232-30 Watkins Inc. Permit No: SW070199 `2 Cindy Cindy W. Ellis, P.E. E W; t"S ; May 19, 2008 P.O. Box 110443 Anchorage, Alaska 99511-0443 Scale 1 inch = 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 37.3 MT1 34.9 27.5 MT2 75.5 78.6 Sump 90.5 107.7 DCO 91.76 Raven Woods #1 Blk 4 Lot 3 Record Drawing of Sept;c Upgrade Randy & Susan Heaston Parcel ID No.: 015-232-30 Permit No: SW070199 Final Grade = QR dR w J O X Z Q 1500 GALLON STEEL STEP TANK SEPTIC SECTION N.T.S. Note: Benchmark= Garage Slab=100.00 MT2 Final Grade=103.35 MT1 1.25"0 PIPE SEWER ROCK TRENCH N.T.S. Note: Test Hole Relative Depth= 85.76 No Water Watkins Engineering, Inc To Existing Drainfield (1976) NOTE: ORIGINAL GRADE= 102.80 - 103.76 AS -BUILT OF qt':. 0. 49 TH i 9 Dy Vi EMS Cindy W. Ellis, P.E. P.O. Box 110443 DE -1057 May 21, 2008 Anchorage, Alaska 99511-0443 No to Scale Phone: (907) 349-1851, Fax: (907) 349-193 oQ0000ppp4 OF &� 44 >,�QP•� .S' Opp .......................... a Z, //.af— . 4 •. vv -ter. YY GYJ..iL7 NOTE: THE REBARS SHOWN AS FOUND WERE USED FOR THE PURPOSE OF THIS SURVEY THE COMPUTED POSITIONS AS DETERMINED FROM THE SUB BOUNDARY ARE FROM 1.21' TO 2.39 FROM THESE FND. REBARS. THE RIFORMATION HEREON 6 FOR THE USE OF LENIOIW SSTRRRKONS BPEGFIOLLLY TO SHOW ANY CON.LICTS BETWEEN EMTRA2 BTRUCTIRES AND PATTED LOT LMES OR EABEMENTB AND 6 WT TO BE USED FOR POWT1ON iW ADDTHXIAL STRUCTURES OR FENCEUNES, EASEMENTS OF RECORD. OTHER THAN T1OBE SHOWN ON THE RECORDED R.AT. ARE WT SHOWN HEREON NOTE. ANY FENCELWES SHOWN ARE LOCATED APPROKRMTELY AWARE OR LOCATE BTRU ES NOT TO BE USED lO DETERMINE PROPERTY LSEB ANY ►AVI Sq WN MAY BE APPROK TE DUE TO SN OVI WIp}gNS T SURVEY V-40' 1 HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEES INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 2. BLOCK 4. RAVEN WOODS NO.1 SUB. ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT THEVTSIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE. ALASKA THIS _,9TH DAY OF_AUGUST 2907 HOLT LAND SURVEYW 110519. FB1262.12888 TEL 245-5512 ALIG-27-2007 07:30A FROM: T0:3491934 P: V1 from ApplSadlttcrosyxta� ►rl Z4 Aup 2_007 C:.7J,58 Ar AKDT Page 1 6! 1 MUNICIPALITY OF ANCHORAGE, BUII DINO SAFETY DIVISION 4=0NOUIH Bf4AGAW INSPECTION INFOHMATION i HELP: 343-7982 INSPECTION VOICE 343-e3C0 IN`P."T:^N FAX r 777 A^7:.^.L7-7 rns:7 tu.tni M�EO'i^.SFeI;!i•:^4 Nf't NAItE: NONE PERMtT A: 67-Cda2 COMPANY: EDS ELECTRIC IN'+PECT DATE- D.124.12W7 PHONE c cc3-0(xx - PHONC M: ADDRESS: ri231 TRAPPE:l£ TRAIL a.1 LOT 3 ELOCY, d S IBDIVIC40N: RAV-N'N0003 sf COMMENTS or DIRECTIONS PO9 SEPTIC LIFT STATON CAL:. TO MEET TYPE OP INSPECTION: .. %iral Eltnneal COMMCNTS: (POR INSPECTOR USE ONLY r PRINTED NAME RUC -24-2007 FRI 01:54PM I0: PHONE M: GRtO+' SYJJ7.38 DATE:. _ PAGE: I MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 09, 2007 Expiration Date: Aug 08, 2008 Permit Number: SW070199 Parcel ID: 015-232-30 Legal Description: RAVEN WOODS #1 BLK 4 LT 3 Design Engineer: 0844 WATKINS ENGINEERING Site Address: 006231 TRAPPERS TRAIL RD Owner Name: RANDY & SUSAN HEASTON Lot Size: 58370 SO. FT. Owner Address: PO BOX 927 Total Bedrooms: 4 Permit Bedrooms: 4 BARROW. AK 99723-0927 This permit is for the construction of: ❑✓ Disposal Field 0 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. l Received By: Issued By: l3 A Date: Date: 8 K Municipality of Anchorage Development Services Department a� Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onshe (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. 015-232-30 Property owner(s) Randy & Susan Heaston Day phone Mailing address PO Box 927, Barrow, AK Zip Code 99723 Site address 6231 Trappers Trail Rd, Anchorage Zip Code 99516 Legal description (Sub'd., Block & Lot) Raven Woods #1 Blk 4 Lot 3 Legal description (Township, Range & Section) al.� •Vii -p a a ZD Lot Size 58,370 Sq. Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field El Initial ❑ Septic Tank (] Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ 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 or authorized agent) Receipt Number. C g 2 % Receipt Number. (Rev. 11105) Watkins Engineering, Inc RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net August 3, 2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Raven Woods #1 Bilk 4 Lot 3 Proposed Septic System Upgrade To Whom It May Concern: Attached please find the application and supporting documentation to upgrade the septic system for the referenced 4 bedroom house. The original septic system was installed in 1976, and the drainfield is now surcharged. It is proposed to retain the drainfield for future use. A lift station will be required for the new drainfield, so the septic tank will be abandoned in place. The proposed design is based upon a test hole dug on July 23, 2007. Test hole #2 was dug to 18 ft with no water encountered. After a 7 day monitoring period, no water was detected. Test hole #1 was dug to 13.5 ft and had water at 12 ft; no development is planned around TH#2. The proposed drainfield will be installed in a silty sand layer between 7 ft and 12 ft. A percolation test between 6.5 ft and 7 ft resulted in a rate of 13 minutes per inch. An application rate of 0.7 gpd/ft2 is used in the design. The soil log is attached. Proposed Soil Absorption System: 4 Bedrooms x 150 GPDBR = 600 GPD System Type: Deep trench Application rate: 0.7 gpd/ ft' 600 GPD / 0.7 gpd/fe = 857 ft' required Maximum Depth: 12 ft Effective Depth: 8.0 ft Proposed Length: 54 ft Absorption Area: 864 ft2 Sewer Upgrade Permit Application torRaven Wood Blk 4 Lot 3 Watkins Engineering, Inc.; August 3, 7007; page Z There are no surface waters or private wells within 100 ft of the proposed septic system. There are no slope concerns. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Sincerely, Cindy W. Ellis, P.E. President r—R=toa 1 WELL 6 WELL Septi I Septic Area \ / \ Block 1 / \ — l / z / WELL > Septic Area m U) U) >0 5 �I ------------------ co ------�----------\ a I Septic Area WELL Raven Woods #1 Bik 4 Lot 3 Site Plan Randy & Susan Heaston Parcel ID:015-232-30 Cindy W. Ellis, RE August 3, 2007 Scale- 10 - 100' Block 4 Proposed Septic System 2 I• I \\k I I I I I I Tract C "Existing I \ I / 4BR Hou I 5 stove / I I I tea'► WELL I I � I i3Ov I I Z Existing Septic System j O t-----� _ It. 4 /�\ > I I U. � WELL I 0 Appx.I Location I n� GRIZZLY AVE_ 5 I Watkins Engineering, Inc. P.O. Box 110443 Anchorage, AK 99511-0443 Phone: (907) 349-1851 Fax: (907) 349-1934 3 49 TH+ "A; W ELLIS 10377 DESIGN DETAILS 4 BR, 600 GPD 0.7 gpd/ft2 Requires 857 ft2 Deep Trench 8.0 ft effective 54 ft long Max 12 ft deep Proposed trench: 54' long 8' effective, max depth 12'. 1.25" pipe with .25" holes 24" OC. -76052'19"W MT \ S TH#2 TH#1 0 ° 30ft T ° Install DCO (no FCO) Proposed gal steel STTEPEP tank 0 location of line dual outlets is uncertain �PNgCT _ _ oRr qr 1250 concrete tank (1976) 4s° R HO�se� to be abandoned in place Existing 52 It trench,/ \ 7 ft effective (1976) to be retained r t, Test Hole #2 Proposed tO 7/23/2007 Trench 0 o Organic 0.5 ML 1.5 4.0 1.25" PVC fl SM/ pipe N ML 8.0 ft sewer N rock ~� m, No Water 12.0 �\O� 0 5GP�� o- BOH 18.0 G�0�.e\o 11 �O N 89036'20"W Raven Woods #1 Blk 4 Lot 3 OF At op Proposed Septic Upgrade p p pg Watkins Engineering Inc'' q�s°oo Randy & Susan Heaston vo f D 49 TM r D Parcel ID No, 015-232-30 v .`?' ........................:.. Cindy W. EIAs, RE August 3, 2007 P.O. Box 110443 D: ci W. ELLIS : v GD• •.. -1osn : •.moo Op'•, ' Scale 1 Inch - 30 ft Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax (907) 349-1934 •... `',•�� 4�4o4pO�p0`�pc DESIGN DETAILS 4 BR, 600 GPD 0.7 gpd/ft2 Requires 857 ft2 Deep Trench 8.0 ft effective 54 ft long Max 12 ft deep Municipality of Anchorage 4 Development Services Department Building Safety Division ,r s a,t Onsite Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage. AK 99519-6650 I^dY VI/. Ellis www cl.anchorage akus \t CE.tosn (907) 3417904'+., r Soils Log - Percolation Test�10NP'c Performed For. RANDALL & SUSAN HEASTON Date Performed: 7232007 Legal Description: RAVEN WOOD #1 BLK 4 LOT 3 Township. Range. Section: Test Hole #1 Dpw upper zoneperc (Feet) Organic 1 - 1 1 17- 18- 19 - ML She Plan ATTACHED Reading WAS GROUND WATER Gross Time SM ENCOUNTERED? Yes Net Drop 1 7252007 S 10 IF YES. AT WHAT DEPTH? 13.0 L 2 Depth W Water Alter 0 P 10 Monitoring? 12.0 E 3 Date: 6101107 3:38-3:48 She Plan ATTACHED Reading Date Gross Time Net Time Depth to Water Net Drop 1 7252007 3:16-3:26 10 6"-3" 3.0" 2 7252007 3:27-3:37 10 6"-3" 3.0" 3 7252007 3:38-3:48 10 6"-3" 3.0" 4 7252007 3:51-4:01 10 6"-2.5" 3.5" 5 7252007 4:024:12 10 6"-3.5" 2.5" 6 7252007 4:13-4:23 10 6"-3.5" 2.5" 7 7252007 4:24-4:34 10 6"-3.5" 2.5" PERCOLATION RATE 4.1.1 (.-A&VI ch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 2 FT AND 2.5 FT COMMENTS 4 hour presoak prior to test PERFORMED BY: Cindy Ellis/ Rocky Trainor ) ��. , ,`{,(o. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI S IN EFFECT ON THIS DATE. DATE: N -3—o-7 Municipality of Anchorage Development Services Department Building Safety Division �,.. Onsite Water and Wastewater Program 4700 South Bragaw Sl. P.O. Box 196650 Anchorage, AK 99519-6650 Www ci anchorage sk us (907) 343-7904 Soils Log - Percolation Test Performed For: RANDALL & SUSAN HEASTON Date Performed: Legal Description: RAVEN WOOD #1 BLK 4 LOT 3 Township, Range, Section: ML 15-I BOH ATTACHED WAS GROUND WATER ENCOUNTERED? Yes IF YES, ATWHAT DEPTH? 13.0 Depth to Water After Monitoring? 12.0 Date: 8101107 Reading Test Hole #1 Depth lowerzoneperc (Feet) Organics ML 15-I BOH ATTACHED WAS GROUND WATER ENCOUNTERED? Yes IF YES, ATWHAT DEPTH? 13.0 Depth to Water After Monitoring? 12.0 Date: 8101107 Reading Date Gross Time Net Time Depth to Water Net Drop 1 7252007 2:43-3:13 30 6"-3" 3.0" 2 7252007 3:14-3:44 30 6"-3.5" 2.5" 3 7252007 3:454:15 30 6"-3.5" 2.5" 4 7252007 4:164:46 30 6"-3.5" 2.5" PERCOLATION RATE 4.0 11 PERC HOLE DIAMETER 6 TEST RUN BETWEEN 4.5 FT AND 5 FT COMMENTS 4 hour presoak prior t0 test. PERFORMED BY: Cindy Ellis / Rocky Trainor I 4fi 4el P 6v �>� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELittS IN EFFECT ON THIS DATE. DATE: 9-3-07 Municipality of Anchorage *'Li Development Services Department r� Building Safety Division �� N y1 Onsite Water and South Bragawter St Program 4700 P.O. Box 196650 Anchorage, AK 99519-8050 C'l y W Ellis Www.cl anchorage ak.us '' CE -10577 ' (907) 343-7904 ''., ,.,4 Soils Log - Percolation Test �10"A`c Performed For. RANDALL & SUSAN HEASTON Date Performed: 7232007 Legal Description: RAVEN WOOD #1 ELK 4 LOT 3 Township, Range. Section: Test Hole #2 DepN ;Feet) Organics ML 16- 17- 19-:— — H Site Plan WAS GROUND WATER ENCOUNTERED? No IF YES, AT WHAT DEPTH? Depth to Warr Amar wonhonmg? None Date: 7/30/07 Reading Date Gross Time Net Time Depth to Water Net Drop 1 7252007 2:48-3:18 30 6"-3.75" 2.25" 2 7252007 3:19-3:49 30 6"-3.5" 2.5" 3 7252007 3:50.4:20 30 6"-3.75" 2.25" 4 7252007 4:214:51 30 6"-3.75" 2.25" 5 7252007 4:52-5:22 30 6"-3.75" 2.25" PERCOLATION RATE 13 (n nAnAnc A) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 6.5 FT AND 7 FT COMMENTS 4 hour presoak prior to test PERFORMED BY: Cindy Ellis / Rocky Trainor I `V &(, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDEL#ES IN EFFECT ON THIS DATE. DATE: g -3--o7 GREA �R ANCHORAGE AREA BORA :-GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM p NAME,-eMAILING ADDRESS LOCATION�M� J'u- r� LEGAL DESCRIPTION L- 3 4 '`a'.'�'- `-hP SIP SEPTIC TANK: DISTANCE ((�� FROM WELL MANUFACTURER INSIDE LENGTH INSIDE WIDTH TILE DRAIN FIELD: j ,vl11. 1 NUMBER OF 21 -MATERIAL COMPARTMENTS LIQUID DEPTH LIQUID CAPACITYZ-:LS—Z GALLONS. TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE OF LINES +5�' NUMBER OF LINES f DISTANCE BETWEEN LINES TRENCH WIDTH_ IN. TOTAL EFFECTIVE ABSORPTION AREA ,a-6 SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE � ' IN. ABOVE TILE IN. WELL: TYPE_� 4"'� CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION , LOT LINE . SEWER LINE . TANK . SYSTEM , CESSPOOL . OTHER SOURCES APPROVED DISAPPROVED REMARKS —. DISTANCES: INSTALLED BY: C. o'. SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ -032 DIAGRAM OF SYSTEM - -E Y t • H t_ Y -f- •� • �-� f= F=i t --i t.;1 -i �a E = : f=E �� L t 11_i t, Y DEPARTMENT /~ HEALTH AND EN'•+'IPC�Nt9EtJTNL/"t-1`TECTIOhJ % 251C. E. � ,� UDOP RD. , RNr_.HORAr,E: AF:. • 276-2221 J..iF-l_L t=ir•FG: C�tJ—•=ITE _ F-IJEK f=•[_FOt•1 I T FERHIT NO- c 76.715 ? 0PF'LICnNT �TCIF OYVFRSON SpA Box 1501P. 744-6549 LOCATION TPH&KKK'_• JRHiO kC�IIBD J#1 L07 SIZE `;C. oo SQUARE FEET LEGAL L-: 04 PAVENW ODS TYPE OF SOIL ABSOPBTION 5r'STEM IS: TRENCH NO:;It1Utl NUMBER OF BEDROOMS = } SOIL RATItJG C50 FTiDR.?= 180 E `OIL ABSORPTION SYSTEM IS: THE REQUIRED SIZE OF TH— �'F•TF-i= 1�% t_f=tJGTH= t yy r3i=�r l!E=L-•EF'TH= THE LENGTH DIMENSION IS THE LENGTHECDISTANTE BBETWEEN SURFACEF THE TRENCH OF R FFTHEL THE DEPTH OF 0 TRENCH OR. PIT IS GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET?. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIF AND THE DOTTOM OF THE EXCAVATION CIN FEET?. T I rl t-4 L• i=i F<- E F= E r! t_t I F. E G• BA&MLLING OF ANY SYSTEM WITHOUT FINAL INSPECT IOtJ AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. - SYSTEM I MINIMUM DISTANCE BETWEEN A WELL AND AJY 011 -SITE SEWAGE DISPOSALSF'ilSALIS� - =i1 DAYS 1� 0 FEET FOP. A PRIV6TE WELL OP. 200 FEET FOR: A PUBLIC WELL. - WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN OF THE WELL COMPLETION. SPECIFICATIONS ANC, CONSTRUCTION DIFGRHh#S ARE AVAILABLE TO INSURE PROPER INSTALLATION. F' i'= F=' t• 1 I T •:' H L I C• F =' �=E f<: E_� t -J E Y F. i� F<_ F = �. i_i t•1 I c =.1_i E I CERTIFY THAT 1: I AM FAMILIAR WITH THE P,EOUIREMENTS FOP ON-SITE SEWERS AND WELLS AS SE FORTH E1'r' THE MUNICIPALITYOF INrA FOF:CANCE WITH THE CODES. I WILL INSTALL THESYSTEM MAY RESIDENCE IS REMODELED THAT THE ON-SITE SEWER THANEM BEDROOMS- -------------------- SIGNED:, EN LAF:GEMEhJT IF THE SIGNED:-+------- - -- -------` ------------- APF'LICAtJT NEVE _ r JEP_r N ISSUED B' LZ5`� - ---GATE---5?--- -- / �6 T,, I 82_76 I Yl ORGANIC MATIj2 L:: SIl1PWISOMF `GRAVEL ' & TRACE'SRND .i _ . 6.0' e " SAND e — 7.0' a f z z Y� '% 'T H t: - r�> z. 15. Q' T.D SIO-tAA7ER' TABLE,'.W.b,. PERCOLATION TEST GORDON FRANKIE R & M NO. 656257 DROP ELAPSED INCHES INCHES TIMETIME 19.0 0 ' 9:30 0 19.5 0.5 9:31 1 19.5 0.0, 9:31 1 19.5 0.0 1 9:33 1 20.0 0.5 9:34 1 20.0 0.0 . 9:35 1 20.0' 0.0 9:36 1 20.5 0.5 9:37 1 20.5 0.0 9:36 1 20.5 0.0 9:39 1 21.0 - 0.5 9:40 1 21.5 0.5 9:45 5 - 22.0. 0.5 9:50 5 22.5 0.5 9:55 5 5 23.0 0.5 10:00 23.75 0.75 . 10:10 10' 24.5 0.75, .10:20 10 25.25 0.75 . 10:30 10 6.25.E . 60 minutes i 9.60 min/inch n 0 n o M R&M CONSULTANTS,INC. •w u�r ••ter. w�. ww �o�r �wewo��o�, .r. ��eo• •.w. wr•wr•.awo • raw. coo weu.a September 3, 1976 Mr. Gordon Frankie Able Body Shop Box 1702 Star Route Anchorage, Alaska R & M No. 656257 RE: Test Hole and Soil Log Report for Sanitary System Lot 3 Block 4 Ravenwood Subdivision #1 Dear Mr. Frankie: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This in- vestigation was performed in accordance with your request of September 2, 1976 and those procedures outlined in a letter dated July 15, 1976, by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 15 feet below ground surface. The final log prepared for the test hole ahs been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling. A percolation test was performed from a depth indicated and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Rooney Vice President JWRJpe xe: Municipality of Anchorage ANCHORAGE FAIRBANKS JUNEAU 0 n .la M R&NI CONBULTANTs.INC. AA• EAST a+AT. AVE. • SOA 0041 • ANCNORAOU.Ar.09000 . P.w.w+•970•04.3 . ♦.x. oso.ena.a June 24, 1976 R S M No. 656257 MUNICIPALITY OF ANCHORAGEDEPT. OF HEALTH L ENVIRONMENTAL PROTECTION; Gordon Frankie Able Body Shop JUN 3 01976 Box 702 Star Route Anchorage, Alaska RECEIVED RE: Test Hole and Soil Log Report for Sanitary System Lot 3 Block 4 Ravenwood Subdivision 01 Dear Mr. Frankie: we are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of June 21, 1976 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole were put down within the Lot 3 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 1EL5 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. %�� �124viv `V _Jamesy Vice -President JIWDFJ/ddp xc: Municipality of Anchorage ANt "CAAG8 FAICISANK9 -JUNEAU N a H rl H Ln En ly f= D a H I Log Represents Location of Test Hole Lot 3 Block 4 RAVENWOOD SUBDIVISION 16.0 SILT W/TRACE SAND (ML) 18.5 T.D. NO WATER TABLE Mr MAM %rC.S3 tD� F.8 Log of Test }toles CKD: R&M CONSULTANTS, INM GRID DATE: '»'""" "" """' " ' Frankie Gordon PROINO 656257 SCALE: I"=3' -O" Anchorage, Alaska DWG.NO. A01 TH 1 6-24-76 0.0 1 N ORGANICS 1.0 ->l' r 000 d.ea lob°¢ ' a C) op± GRAVEL W/SOME oQ° - SAND AND TRACE SILT (GM) M H a co 0 . F 7VQ N a H rl H Ln En ly f= D a H I Log Represents Location of Test Hole Lot 3 Block 4 RAVENWOOD SUBDIVISION 16.0 SILT W/TRACE SAND (ML) 18.5 T.D. NO WATER TABLE Mr MAM %rC.S3 tD� F.8 Log of Test }toles CKD: R&M CONSULTANTS, INM GRID DATE: '»'""" "" """' " ' Frankie Gordon PROINO 656257 SCALE: I"=3' -O" Anchorage, Alaska DWG.NO. A01 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH 8L HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # I-) I' -:i— a '2)-Q -.V(1 1. GENERAL INFORMATION Complete legal description HAA # - 1� Q9 I Q LI _i( Lot 3; litoch 4; Raven Woods Subdivision 01; Location (site address or directions) 6231 T4appea6 Trait Property owner Patsy T. F4anhe Day phone Mailing address 6231 T4appeA6 Taaft Anchotage, Ataska 99516 Lending agency ceatrre Vt)Ntgege ATrN• re„/n Day phone 549-5626 Mailing address AgentNe-it Tomtinson FORTUNE PROPERTIES, INC. Day phone 562-7653 Address 3000 A StAea Anchoaage, Ataaka 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well xx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system.. . 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. rtms (R«. 1N1) Fran, Moi m 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Phone 5&SENG Address 17034 Eagle River Loop Road No. 204 Ea,Av River, Aiaska 99511 Engineer's signature Date /0-5-9/ PROFESSO 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. / Conditional approval for bedrooms, with the following stipulations: Additional Comments By: __ .c�,t.Lt— Date — / o— /o - c/ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered In the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M (p••. 1l91) 8• MOA W Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:4a AjAUcc k-4)tFrA�^ 100CA1 51% Parcel I.D. A. WELL DATA O/S%23x-3o Well type�La f If A, B. or C, attach ADEC letter. ADEC water system number tj /18 Log present (Y/N) A) Date completed 1711 Driller U 1� Total depth l) 15� Cased to �4 O /-I` Casing height I'Z �� t Sanitary seal (Y/N) G Wires properly protected (Y/N) ROM WELL LOG AT INSPECTION Date of est �� ��� t 5R,PALITY OF ANCHORAGE Static NVIRONMENTAL SERVICES DIVISION water level t7 7 — Q Well flow�- �« . ; g.p.m. s-�-S gp.m. 19�� Pump level SEPARATION DISTANCES FROM WELL TO: -RECEIVED Septic/holding tank on lot too/f ; On adjacent lots / DO 't Absorption field on lot 1 d0 i� ; On adjacent lots 7 no Public sewer main /J 1A Public sewer manhole/cleanout N Sewer seryice line 2.S t Petroleum tank t 2,0 NC �iJOLJ A) WATER SAMPLE RESULTS: �- Coliform 6r17)S f ctorI_ Nitrate 4SAt iiQc-1 4 (�)-N) Other bacteri �-*n2" Date of sample: O/ Collected by: 4 S AELJa i to e�.IT i Na B. SEPTIC/HOLDING TANK DATA Date installed l) --,4-1 Io Tank size ! Z 50 G 0 1 Compartments z Cleanouts (Y/N) _ Foundation cleanout (Y/N) ti Depression (Y/N) )0 High water alarm (Y/N) tj 1A Alarm tested (Y/N) �{Q Date of pumping "' 1—Z-4 -qD Pumper At" t4onMc Scr17tce5 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot L 100 t On adjacent lots t n0 ,+ Foundation S t To property line (n f Absorption field S ) Watermain/service line ( O r . Surface water/drainage 72428 (Rev. 7/91) Prom CONTINUED ON BACK PAGE C. LIFT STATION Date Installed . Size in gallons Vent(Y/N) _ High water alarm level "Pump on" level at , . Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access(Y/N) "Pump off" level at' Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Surface water Date Installed 3 b Soil rating 19_0 0,1gP- System type Q roe,- Length < � Width 'A Gravel thickness :" - Total depth Total absorption area ::7 2 RCleanouts present (Y/N) 1U Depression over field (Y/N) A.) Date of adequacy test - ((- Z 3 - 9 O Results (pass/fail) .4 S S for bedrooms Peroxide treatment (past 12 months) (Y/N)1w If yes, give date _ i SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot nn It r ( One tots � �� o � Property line (D 014 - To building foundation r f To existing or abandoned system on lot 0 14 On adjacent lots 3� f Cutbank_e2/1Watermain/service line J n rf r Surface water ( oe3 '} Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that t have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S 8 S ENGINEERING 17034 Eagle River LoRoad No�a yam`:' >y-�� � •;.•+j;.4e Signature ;eSignature 4 � Eagle River, Alaska 99577 .. ..... .. • • �i Engineer's Name / Date�c.... giadls`Ba •.E. ��% f (' l \Fp PROFESStONP��?�r 0 HAA Fee $ / 70 v Waiver Fee: $ Date of Payment ID - •) ' Date of Payment Receipt Number ;2-3/2 Receipt Number 72-026(A". 1191) Back MOA 21 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING 3 ENGINEERING CO. 6633 B STREET ANCHORAGE. ALASKA P9518 TELEPHONE (901) 682.2343 FAX: (90 AULISIS DEPORT II SIMPLE for /OSRordest 3482S Det* Report Printed: OCT 191 4 01:10 ! Client Unit ID:L1 14 RMI KOpS S/D EI PMSID :Ol Client Meee is t, S IMGIM1112M0 Collected OCT 1 91 1 his, Client lcet :SYSIMOP Recalled OCT 1 91 4 13:50 hue. IPO I PO I MODE RECEIVED Preserved with :13 IIQCIRID 1eq I Ordered IT :1. SUPER 13e4118 Coefleted OCT:2 91 Releret 0ased i Supe rls r T1PU�C. 110 SeI) Isparta 3IIN to: Released II : �� 1)S R S tRC2A6I1IIC 2) ............................................................... Cheuleb Ref 1: 93511! Lob Sepl ID: 1 Famuter Tatted ............................ MITA1TE-M Metric: MATER Result units Method --------------------------------------- MD(0.10) e?/1 IPI ISI.2 Stals '=TINT SAMPLI COLLECTED IT: R.D.J. TAG 11111111) SAMPLI COLLICTID 11 Ramat'" 1400 IDIS, ME AEC11VID SAMPLE It 1350 SIS. Allowable Llaite 10 • ••-1 Tests'Perfotmad •••••••••••••.••���iel Instructions bore 111- Mot It:alTsed .p�o'•-••••••••••••••••••••••••••••••••••• n- Ron* Detected Dl•O:tireilebl* e' See 342PIe Remarks lbovs LT•Le1e Than, GT -Greeter Ihen *SGS Member of the SOS Group (SCCIC6 Gdnersle do Surveillance) CHEMICAL & GEOLOGICAL'LABORATORIES OFALASKA, INC. TELEPHONE (907) =Z-ZJ4J $833 b Sire% ! Anchorage, Alaska 09516 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER 0 PUBLIC WATER SYSTEM 1.01 .K PRIVATE WATER SYSTEM Name Phone No. S & S ENGINEERING Mating Addnee 70 4 Ea' a ver oop koa 0.2 Eagle River, Alaska 99577 eiir Tule zip code SAMPLE DATE: ® Mo. Day Year SAMPLE TYPE: Z Routine ❑ Check Sample (for routine sample With lab ref. no. ) r Treated Water G Special Purpose O Untreated Water SAMPLE NO. LOCATION Tlme Collected Collected gv 2 L 1 4 L� 5 / o, AT \ TO BE COMPLETED BY LABORATORY Analys Shows this Water SAMPLE to be: Satlsfactory ❑ Unsatisfactory ❑ Sample too long In transit; sampte should not be over 30 hours old at examination to Indicate reliable results. Please send new sample via special delivery mall. Date Received )O -// Time Received —12dD Analytical Method: Membrane Filter ' No. Of colonies/100 ml. 10% Rot. No. Result' Analyst 91.5174Q © _ - M �--� m ED WATER ANALYSIS RECORD READ INSTRUCTIONS Membra Ilter. Direct Countr� �-"�CoGformn00 ml BEFORE Verification: LTO_ ec0_� , COLLECTING SAMPLE Final Membrane Filter Results t� jo 'L 9Collformn00 ml Reported eye _ ste_.� Time:' fcaa > a.m. TNTC = Too Numerous To Count p.m. OB = Other Bacteria Held For Confirmation CHEAlICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING ENGINEERING CO. y...e..,..,e, TELEPHONE (907) 562.2343= 5633 B Street Anchorage. Alaska 99518 i Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D. tt )1 PRIVATE WATER SYSTEM S & S ENGINEERING ea.na Aa* s 17034 Eagle River Loop Read No. 204 Eagle River, Alaska 99577 car swe Za ewe SAMPLE DATE: Mo. SAMPLE TYPE: EE Day Year Routine ❑ Check Sample (for routine sample vrith lab rof. no. 1 ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected Ito. LOCATION Collected By 21 I 3 4 I SI I TO BE COMPLETED BY LABORATORY shows this Water SAMPLE to be: RECEIVED ❑ Unsatisfactory OCT 10 1931 ❑ Sample too long in transit; samplege .,zhput not be over 30 q y� 9 4 to Indicate relic e , I ease se Services new sample via special delivery mail. Date Received /0�//; Time Received 3 T 5 Analytical Method: Membrane Filter No. of colonies/100 ml. t jResuIt* Analyst 0-7— BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter: Direct Count �� Collfornv100ml Verification: LSB BEFORE Fecal Coliform Confirmation ece COLLECTING SAMPLE Final Membrane Fl Ser Results �y coliform/100 ml Reported ey r—�r_ v,/�/�/.•� a --;,ate TNTC = Too Numerous To Count Time: °.m. p.m. OB = Other Bacteria •, MUNICIPALITY OF ANCHORAGE Department of Health & Human Services • DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel l.D.# f'l�a—a2,�—�� HAA# /Z ILA AUE 1. GENERAL INFORMATION (Must be completed prior to submittal) )nRe,%,. ' VICE �U MSI ENVd.�N��1EN1Al SERVICES DIVISION (a) Legal Description (include lot, block, subdivision, section, township, range) (JOV 27 1990 Lot 3: Block 4: Raven Wood." $1 Location (address or directions) 6231 T4appem Taait (b) Property owner paiAy T_ Fhnnko Telephone: (home) Business Mailing Address 6231 Tkappeh6 Trail Anchorage, Ataaka 99516 (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent VISTA REAL ESTATE ATTN: Chki6 Jame6 Address41'a6ka-99503 Telephone 562-6464 FlobiF. 0229-8511 (e) Mail the HAA to the following address: (or check here Wxif hold for pick up.) List contact person and day phone number below: S & S ENGINEERING 17031 Eagle River Loop_ltQadNo.204 1E.. I[& River, Alrska 99577 2. TYPE OF RESIDENCE Single -Family IXx Number of bedrooms _4 3. WATER SUPPLY Individual Well EXx Community ❑ Public O Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site IBx Public O Community ❑ Holding Tank 13 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-0 2S (R•v. 7/8E) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system Is safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my Investigation and Inspection, the on-site water supply and/or wastewater disposal system is In compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this Inspection. Name of Firm G S Addresk/'3a=,�i, Riva leap Road No. 204 Ea0le River, Alaska Date Telephone 417 1716/-1- / i.a A. Uaf.a• U" W748 6. DHHS APPROVAL �/ Approved for _L_ bedrooms by Date 0 Approvedix--Disapproved Conditional Terms of Conditional Approval CAUTION J The Municipatityof Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above byan independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections oranalyzedata before a certificate is Issued.The Municipalityof Anchorage Is not responsible forerrors oromissions in the professional engineer's work. n-025 (R.. 7M) B"k Page 2 of 2 IV �. .... , ........ i.a A. Uaf.a• U" W748 6. DHHS APPROVAL �/ Approved for _L_ bedrooms by Date 0 Approvedix--Disapproved Conditional Terms of Conditional Approval CAUTION J The Municipatityof Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above byan independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections oranalyzedata before a certificate is Issued.The Municipalityof Anchorage Is not responsible forerrors oromissions in the professional engineer's work. n-025 (R.. 7M) B"k Page 2 of 2 WL"C'PAL" 01 A MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH (MOA ) Health Authority Approval (H ENMOWENTAL PRO CHECKLIST- F FEBRUARY 1984) �1f 2 ^ Igt] 343-4744 RECEIVED A. WELL DATA Legal Description: —L Q -r J 11Lnf L Or Well Classification __-fe�Dl V I L1.>fK_ If A, B. C, D.E.C. Approved (Y/N) Ip Well Log Present (Y/6) N Date Completed l_ Yield 4,5 lUPri Total Depth OV— Cased to aa'* Depth of Grouting Static Water Level Q Lr' Pump Set At 131 + Casing Height Above Ground ►Z" ` Sanitary Seal on Casing (DN) Electrical Wiring in Conduit (6/N) 1J Depression Around Wellhead (Yo _ 0 SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 1004- ; On Adjoining Lots 10w To Nearest Edge of Absorption Field �o�» n Lot 1r" - ; On Adjoining Lots 106 � To Nearest Public Sewer Line ^ tom_ To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot 7 - Water Sample Collected by Date 11 -IS -90 Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed Ji -A -11. Size 12'Sb No. of Compartments Z - Y Standpipes a/N)y Air -tight Caps ON) !q IFoundation Cleanout (Y NQ Depression over Tank (Y/O tJ Date Last Pumped 11-2"1--`1 Pumping/Maintenance Contact on File (Y/N) A %�a- ; for Holding Tank High -Water Alarm (Y/N) 40- Temporary Holding Tank Permit (Y/N) AJ A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well xoo`4' To Building Foundation 57 r To Property Line -- 101 4- To Disposal Field To Water Main/Service Line /C 04- To fTo Stream, Pond, Lake or Major Drainage Course /va CommentsRompfz4� SL,•t P llonE SGA l,e es 72-M(Rw. 7/88)F,wl Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 1& 04 )�,e- Type of System Design' -57 -"cat Date Installed ()- 4-1t, Length of Field SV Width of Field °SV~ Depth of Field Gravel Bed Thickness % Square Feet of Absortion Area 7z 8 Statndpipes Present &N) Depression over Field (Y& Date of Last Adequacy Test 1l- L3-90 Results of Last Adequacy Test 4 845, SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 1 o0 '+ To Property Line 10,* To Building Foundation ' 1a To Existing or Abandoned System on Lot On Adjoining Lots 3° To Water Main/Service Line 108`- To Cutback (if present) ^f To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Installed Size in G 110 "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Comments Dimensions Manhole/Access (Y/N) "Check Permitted Bedroom Rating Against HAA Request' "Pump Off" Level e (Y/N) Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this Inspection. S & S ENGINEERING Signed 17-011 oa No.30q Company Eagle River, Al== Date L 0 MOANS 0-6 ° - ao-7.- Receipt No. Date of Payment �l Z.3 " g0 Amount: $ Receipt No. Waiver Fee: $ Date of Payment 72-M (R«. neat Back Page 2 of 2 f' CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ll a 5833 B STREET - ANCHORAGE, ALASKA 99518 - TELEPHONE (907) 582-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORI RI SAMPLE for Work Order 1 30203 Date Report Printed: NOV 19 90 4 09:05 Client Sample ID:L3 14 RAVEN WOOD 11 PWSID :OA Collected NOV 15 90 4 14:50 hrt. Received NOV 16 90 4 15:00 his. Preserved with %AS REQUIRED Client Nana S & S ENGINEERING Client Acct SNSENCP P.0.1 NONE RECEIVED Req 1 Ordered 1y : R. SHAPER Analysis Completed :NOV 16 90 Send Reports to: Laboratory Supervisor : . REN C. EDE 1)S 6 S ENGINEERING Released 1y : 2) Z4-vv ::....................................................................................... Special Instruct: Chenlab Ref 1: 904859 Lab Smpl ID: I Matti:: WAIER Parameter Tested NITRAIE-N Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED BY RAY. Result Units Method ---- --------. ND(0.10) sq/l EPA 353.2 Allowable Limits 10 .............................................................................................................. 1 Teets Performed See Special Instructions ►hove UA -Unavailable ND. None Detected " See Sample Remarks Above NA- Not Analyzed LT -Less Than. CT -Greater Than CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 5622343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.N Anal Is shows this Water SAMPLE to be: ,,;4 -PRIVATE WATER SYSTEM Satisfactory ��� Z�7� ❑ Unsatisfactory Name Phone No. S E S ENGINEERING ❑ Sample too long in transit; sample should not be over 30 hours old at examination Mailing AddQ934 Eagle River Loop to indicate reliable results. Please send Eagle River, Alaska 99577 new sample via special delivery mail. City State Zip Code r �� rr� Date Received SAMPLE DATE: m m E Time Received /5Dd Mo. Day Year SAMPLE TYPE: 4n—Routine ❑ Check Sample (for routine sample with lab ref. no. 1 ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE NO. 1 I L LOCATION >T ;:, 5t.oc-e— 4 Time Collected I L� Collected By 1�4- 2 3 1 4 l sl I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Analytical Method: Membrane Filter No. of colonies/100 ml. Lab Ref. No. Result* Analyst 90.4659 Z. FTa ED U m U m U m BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Fllter. Direct Count Verification: LTB Final Membrane Filter Results Reported By TNTC = Too Numberous To Count OB = Other Bacteria ml Time: �� a.m. p.m. PART ONE IF TWO REMAINDER TO FOLLOW