HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 2 LT 14ogl
River
Height
lock 2
Lot 14
050- 281
-27
(9~T)
Pump [n.s~a[[a~]en Log
7,/e~. D~LHi~ Permit ~umber: $~ .
Identification Number:__
~,egal Description
H
Pump
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 Pag~ of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
i3SP101~38 050-~81-~7
Permit Number: PID Number:
Neme: I r'oy .Uo, vis
Wastewater System: /~New [] Upgrade
Address: 10131 ~/iLciwood
ABSORPTION FIELD
Phone: 3 5 7 -- 9 3 9 4 Number of Bedrooms: 3 ~eep Trench [] Shallow Trench [] Bed [] Mound [] Other:
LEGAL DESCRIPTION SoilRating: 0,8 Total Depth from original grade:13,b
GPD/Ft2 Ft.
B,ock: 14 Lot: 2 S~di~,s~J,e k~iver' Ht;s Depth to pipe bottom from orig~,r Sade: Gravel depth beneath pipe: 10
Ft. Ft.
Township: Range: Section: Fill added above odginal grad~_ Gravel Length:
Well: (/~ew []Upgrade Gravelwidth: :3 Ft. pi~)e~,:Uumbero~'ir~s: IOista'ceUe~ee"'ines:l -- Ft.
Classifica~n~P].r?t~.AtB~): TotalDepth://.~ Ft. Cased,o:/ /'~ Ft. Total absorption area: 56~'5Ft, Sched 40
Date Drilled: Static Water Level: ~,sta,er: PomF. o, nin9 Date Installed: 10/29/10
Pump~: Casing Height.~e Ground:[
~.~ ~ TANK
SEPARATION DISTANCES ~eptic ~ Holding ~ S.T.E.P. ~ Other:
T~ SeptiCTank Abso~tionField StationLift HoldingTank ~ubli~P~vate'lsewer Line Man~a~urer:~ ~ ~ ~ O ~ ~
Weft ~/+ ~00/+ ~ ~ ~/+ Material: ~[ Num~ of Compa~ments:
S~e~~~ LIFT STATION
Lot Line ~ ~/+ ~/+ ~ ~ ~ ~ Size: Man~a~ure~
Gal
Foundation ~ 0/ + ~ ~/+ ~ ~ ~ ~ ~Pump on; leve~ at: ~Pump o~' level at: ~ High water ala~ at:
Cu~ain Drain~ ~ ~ ~ ~ ~ ~ ~ Pump Make & Model Electri~l Insp~[ons pedo~ed by:
Rema~s: ~ ~ ,~ f ~~. f BENCH MARK
~ T~T~ ~ ~~ ~/¢~ Deck AssumedElevation:~00Ft.
E ngi~m ~
Inspectionsperformedby~°P~hRim EngineePin9Dates: 1st 10/E9/10
Development Se~ices Depa~ment Approval ~ ~:~ ~:~':'~":-~" "* ":~:?
Conditional
Approval
Date:
(Rev. 04~06) ,,,// / /
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RECBR]3 DWG MEASUREMENTS
A 3
ST CB1 11,5
STCB2 17
DCB 20
CB1 24
CF12/MT 39
24,5
30
37
33
-0 U
Al~cerna~ce
Trench
CB1
1000 GaLLon
Septic Tank
PriMary
Trench
MT/CO2
Sep%i(
100' Wet(
Radius
(2) ADEC
Waivered
Class C Wells
Well
Lot 14
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NOR TH IE I M ~.~.' ......... ~~$. ! ,_ ~ ~ ,_ - ,,,.~v-,,
ENGINEERING ~.~.~,-L~,,.,,:',~,~.iHEIGHTS SUBDIVISION RECORD
PO Box 770724 ~'~" '~" '~- ~,'~i ................................ -nn^~ /Tklm
907 694 7028 , ~[~/t( ~,
, · ' VASTEWATER PLAN ?'-~'~'~i]' ..........
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Domestic - Commercial - Geothermal
Phone 907-68~759
u~w.$ullivanwatorwelts.com
Well Log
Permit Number: OSP 104238 Date of Issue
Date Started: 1012§12010 Date Completed: 10/25/2040
Property Description EAGLE RIVER HGTS. Lot 14 Block
Property Owner Name & Address:
Borehole Data:
S~)il Type, Thickness & Water Strata
Casing Sfickup
Overburden
Sand & Gravel Dense
Hardpan
Hardpan W/Clay
Hardpan
Sand
Sand & Gravel W/Clay
Sand & Gravel
Parcel Identification Number: oso284 27000
Is well located at approved permit location? 1~(' fYes [~ lNG
Section: Town: Range:
TROY DAVIS HOMES
165 E. PARKS HWY. #204B WASILLA, AK 99654
Depth
From To
o 2
2 4
4 '12
12 34
34 36
36 55
55 67
67 404
104 113
Method of Drilling IX] air rotary ~-] cable tool
Casing type:
Wall thickness 0.2s inches
Diameter 6 inches Total: 443 feet
Liner type: .......... '
Diameter inches Depth: feet
Casing stick-up above ground: 2 feet
Static Water Level(from top of casing)
Pumping Level: feet after
~ hours pumping gpm
Recovery Rate 7 gpm
Method of Testing: Air
60 feet
Well Intake Opening Type
IX I Open End I. _ii Open Hole
[t Screened Start feet Stopped
Perforations Start feet Stopped
feet
feet
Grout Type: Bentoni.te.~.granular Volume: 50 Pounds
Depth 44 Start 0 feet Stopped 44 feet
Pump Intake Depth: feet
Pump size: HP brand name
Well disinfected upon Completion? !X_.I Yes I__ !No
Method of disinfection CHLORINE $0 PPM
Comments:
173
4700 ~r~aw ~re~t
Pump Installation Log'
eR Dri/Iin g Permi~ tXumber: SW _
creel Identification Number:.,,
~.mp .7mta4c. ~ ~P~ BetowTop ofWe~ C~E: ~* feet
[des~ z&~pt~ Bu~ De~: /~ feet
.Il
On-Site Water & Wastewater System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP101238
Tax Code Number: 05028127000
Work Type: WellSeptic Initial
Permit Effective Dates: October 20, 2010
Design Engineer: STEVE ENG
Subdivision: EAGLE RIVER HEIGHTS
to October 20, 2011
Site Legal Address: EAGLE RIVER HEIGHTS BLK 2 LT 14 G:0053
Owner/Address: TROY DAVIS HOMES INC
1075 CH ECK STREET #107 WASI LLA AK 996548067
Site Mailing Address:
10131 WILDWOOD ST, Eagle River
Lot Size in Sq Ft:
Total Bedrooms:
10824
3
This permit is for the construction of:
Y Disposal Field Y Septic Tank
N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions: Permit includes 4 foot lot line waiver 0SP101239.
Received By: /
Issued By: , ,.,
Anchorage, Alaska 995'19-6650 · (907) 343-7904 · Fax (907) 343-7997
http :llwww.muni.or.qlOnsite
Development Services Department
On-Site Water and Wastewater Program
Department
**** VARIANCE/WAIVER REVIEW ****
WR#: OSP101239 HA#:~ Permit~: OSP101238
PID#: 050-281-27
Legal Description: Eagle River Heights, Block 2, Lot 14
Engineer: North Rim En,qineerin,q
Applicant: Troy Davis
Your request for a waiver of the required 10 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 4.0 feet.
This waiver approval applies to the existing absorption field to property line separation only.
Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
mmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmm mmmmmmmmmmm mmmmmmmmmmmmmmm mmm m m m m m mmmmm
Waiver is Granted: X Waiver is not Granted:
Date: 10/20/:2_01_0 Approved by..~~4/~~
N.gnqe of Reviewer
~~~mmm~~~~~mmm~~m~~mm~m~mm~~m~~m~~~~~~~~m~mm~m~~~mmmmmmmmmmmmmm~~~m~mm~~~~~~mm~mm~~!
Rec~: 04585C Amount: $200.00 Date Paid: 10/14110
**** VARIANCE/WAIVER REVIEW ****
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www. muni.org/onsite
(907) 343:7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O ~O- 2 ~/- ~' 7
Property owner(s) '~-~0 y /-~
Mailing address /~'" ~" ~ ~,.~'~
Site address/~%~-/¢~_ /~rv¢-¢'
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
Lot Size /'¢ f ¢2~ Sq. Ft. Number of Bedrooms
Day phone
"~ cfZip Code
Zip Code
7
THIS APPLICATION IS FOR ([~ all that apply):
Absorption Field ,~
Septic Tank
Holding Tank []
Privy []
Private Well ,[~
Water Storage []
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.
(Signature of property owner or authori nt)
II
Permit/Rush Fees: '7 '~ ~'c.;
Date of Payment: / 0 '- //-/- '-/ 0
Receipt Number: (_~) L/',~-"' g ~-~(-..
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
THRIM
' E¢~Ic~EERING
MEMO
Steve Eng, PE, PH
P.O. Box 770724, Eagle River AK 99577
(907) 694-7028 tel
northrirneng@aol.com
Date: 10/13/10
To: Jay Crewdson, PE
MOA On-Site
Number of Pages: ~>
Subject: Eagle River Hts, Block 2, Lot 14
Septic System Design, Water Well Permit, Lot Line Waiver
I have met with you several times on the subject property. You originally directed me to the State
DEC to obtain a waiver for the two Class C wells. The DEC issued a waiver (attached) to the
Class C wells ~ 100' to the proposed Lot 14 septic tank & 114' to the Lot 14 absorption trench.
The subject property has developed neighboring properties, with no other conflicts. Large lots are
present to the east with no conflict. The lot slopes slightly to the southwest. All the water wells in
the area indicate no bedrock and a water table near 100'.
We are also requesting a lot line waiver to 4' for the absorption trench & replacement trench site.
Please review the wastewater system design & well location for the proposed single family home.
I have included design plans & specs, design guidelines, & soil tests. If there is need for
additional information or clarification please give me a call.
Thanks-Steve
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-Over 200'
To Lot 5 ~/eLL
Proposed
Septic
System
Sept
Red ~e/l Rodius Depicts
The Duplex 100' Rodius
Lot 13
Lot 18
Duptex
14
Lot 17
Duptex
~eLL
R:
Lot 15
RiO~.
16
ENGINEERING ..............
F~O B'ox 770724 i',F~."--'"'~,,'~'-'"?~-~
90 7. 6 94. 702 8 '~
EAGLE R
HEIGHTS SUBDIVISION
BLOCK 2 LOT 14
SUBDIVISION LAYOUT
1' = 50'
IDPLAN
RAWlNG
DESIGN NOTES:
1. Total Depth of Trench is 13.5'
Slight Slope To Southwest.
2. Sewer Service Line minimum 2%
3. New Home Construction.
4. ADEC Approved Waivers To
5. Request 4' Lot Line Waiver.
Class
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Trench
Proposed
1000 Gallon
Septic Tank
PriMary
Trench
MT/C02
U
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Sep-tk
slope.
C Well
100' Well
Radius
(2) ADEC
Waivered
Class C Wells
Well
Lot 14
/drm
RiO0,
N OR THIEIM
ENGINEERING
PO Box 770724
907. 694. 7028
EAGLE RIVER
HEIGHTS SUBI)IVISION
3LBCK 2 LOT 14
WASTEWATER ])ESIGN
1" = 30'
PLAN
])RAVING
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SBILS
LBG - PERCBLATIBN TEST
Da~e Performed: 10/6/10
Performed For~ Troy Davis
Lega[ Description: Eag[e River Hfs, BLock B, Lot 14
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
14 -
16 -
17 -
2,0 -
~1 -
DEPTH
(FEET)
//..///////2
':
..-:.. !',' ~..,'.0.{'
'..5 :-..-.'.'
· ....:( :';..':,'..:
[",. ,' ::.::.L.'-,.
Brganic
GM
SiLty
T,H, Locotion~ See Attached Design
Sandy Grave[
Groundwater? No
Depth
Water Depth
AFter Monitoring,None Date: lO/lB/lO
~ Date Gross Time Net Time Depth Net Drop
1 10/12, 0 -- 3,, --
2' 10/12, 30 30 rain, 6" 3"
3 10/12, 32, -- 3,, --
4 10/12, 62, 30 min, 6" 3"
5 10/12, 65 -- 3"
6 10/12, 95 30 rain, 6"
7 10/12, 97 -- 3,, __
8 10/12, 12,7 30 rain, 6" 3"
9 10/12' 130 -- 3. __
10 10/12, 160 30 min, 6" 3"
Percolation Rate 10 min,/inch Perc Hole Diameter
Test Run Between 4' and 5'
Comments: Presoaked,
PerFormed By NorthRim Eng, I J CERTIFY THAT THIS TEST WAS
Performed in Accordance with A[[ State/Municipa[ GuideEines in Effect
FIN THIS DATE, DATE: IO/1;E/iO
~~ GEFITECHNICAE '
ENGINEERING T H, 1
BLDCK P LDT 14 ~ lO/12,/lO u-
.... ...... K' ~ /': 555 CO'OVA
~CHO~GE, ~ 99501
.. _ -" : :J ~' '~~'~ ;}. f Phone: (907) 269-7519
D~. OF ~O~T~ ~O~8~RVA~O~ / F~: (907) 269-3487
,/ h~ ://~. state, ak, us/dec/
DMSION OF WATER l
W~TEWATER DISC~GE A~HO~TION ~OG~ ~
September 23, 2010
Steve Eng, P.E.
Northrim Engineering
P.O. Box 770724
Eagle River, Alaska 99577
Re:
Eagle River Heights. Block 2, Lot 14-Waiver of Separation Distance from
two Class "C" Source Wells to a New Onlot Wastewater Treatment and
Disposal using a Deep Trench Soil Absorption System- ADEC Plan
Tracking Number 8320
Dear Mr. Eng:
On September 15, 2010 the Department received an engineering plan
submittal for a waiver from two existing duplex's with Class "C' source wells to
the new design for an existing single family home and a deep trench type (6
foot effective depth), on-site soft absorption system for the wastewater system
and a new 1000 gallon two compartment septic tank can be granted based on
the following.
Please remember that our drinking water program has been rewriting their
definitions. Class "C' Drinking Water Systems were created and authorized
including Duplex's and should a reclassification be done on some of these wells
they may or may not be a Class "C" Drinking Water System.
The engineer has recommended reducing the separation distance from the
source well that serves Lots 17 & 18 from 150 feet to 114 feet to a new onsite
deep trench soft absorption system on Lot 14. Samples taken show nitrates
were not detected (sampled 08/25/2010). The source well logs shows a barrier
of silt and then clays with some gravels (122 foot well depth). The first 31 feet
consisting of coarse sand and gravel.
The new 1000 gallon septic tank on Lot 14 will also require a waiver that
reduces the separation distance from 150 feet to 100 feet between the same
source wells serving the duplex development on Lots 17 & 18.
The Department has reviewed the engineering plans submitted for the onsite
wastewater disposal and treatment system and the waivers are reduced to 114
feet to the disposal field and 100 feet to the septic tank per the Wastewater
Regulations 18 AAC 72.015 and are based upon the information provided and
the engineer's recommendation.
If the wastewater disposal system fails or contamination can be traced back to
the system, the waiver will be invalid.
This approval is contingent upon compliance with the following
conditions:
1) The soil cover over the deep trench soil absorption system must be 4 feet
in depth.
2)
If the applicant fails to construct, alter, install, or modify the system
within two (2) years after the date that the department issues an
approval to construct, the approval is void, and plans must be
resubmitted, [along with associated fees], for department review and
approval.
3)
Deviations from approved plans which affect capacity, flow, operation,
major design of units, point of discharge, materials of major system
components (such as pipe, lagoon liners, etc.), or separation distances,
must be approved by DEC in writing prior to their implementation.
4)
This approval is contingent upon your receipt of any other state, federal
or local authorizations which are required for your project. You are
required to obtain all other necessary authorizations before proceeding
with your project.
5)
You are advised that ff this development will require placing fill in
wetlands or working in a stream, river, or lake, permits from the U.S.
Army Corps of Engineers and the Alaska Department of Natural
Resources may be required. A Coastal Projects Questionnaire will help
you identify other permits and approvals that may be required for your
project.
This approval does not imply the granting of additional authorizations nor
obligate any state, federal or local regulatory body to grant required
authorizations.
Any person who disagrees with this decision may request an adjudicatory
hearing in accordance with 18AAC 15.195- 18 AAC 15.340 or an informal
review by the Division Director in accordance with 18 AAC 15.185. lnfo~xaal
review requests must be delivered to the Division Director, 555 Cordova
Street, Anchorage, Alaska 99501, within 15 days of receiving the decision.
Guidance information on the informal review process may be found at
http://www, dec.state, ak. us/cornmish/ReviewGuidance.htm. Adjudicatory
hearings requests must be delivered to the Commissioner of the Department
of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box
111800, Juneau, Alaska 99801, w/thin 30 days of the decision. If a hearing is
not requested within 30 days, the right to appeal is waived.
Thank you for your cooperation. If you have any questions please do not
hesitate to contact me at 269-7519.
Respectfully,
William R. Rieth, P.E.
Environmental Engineer
Enclosure: As stated
cc: William Smyth, WW, w/o enc.
Municipality of Anchorage
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
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
050-281-27
GENERAL INFORMATION
Complete legal description
Location (site address)
COSA# (~(~/11 0¢~ ~
Expiration Date: '-~f/~' //,
EcgLe River Hfs, BLock 14, Lo~ 2
10131 Witdwood
Current Property owner(s)
Mailing address
Lending agency
Troy ]D~vis Day phone
165 E, P~rks Hiw~y 99654
357-9394
Day phone
Mailing address
Real Estate Agent
Mailing Address
Audrey M~$on
RE/MAX o¢ E~gte River
Day phone
622-3344
Un/ess otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: ~' 3
3. TYPE OF WATER SuppLy:
Individual Well ~' X
Individual Water Storage []
Community Class __ Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding Tank
Community On-site
Public Sewer
~ x
[]
[]
[]
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 procedure_s outlined in the Certificate of On-Site Systems Approval Guidelines~for this application,
shows that the o~ater supply and/or wastewater disposal system is (are) safe, fun~Lr~l~nd adequate
for the num bex~~om s" ~ and type of structure '~nd~cated' herein. I further' verify that~ bas~ ~"~, ~JnfPrmati°n: :~,~
obtained ?~,. ~i~'l~/lunicipality of Anchorage files and from my investigation and inspection, th~0Ct~,~ite,~ater
supply ~,~stewater disposal system is(are) in compliance with all applicable Municipal and Statd (~des,
ordinance-s~'and regul~,s~r~gct ~ ~h~ i i~neeeo~,{~llation. . 69.4- 70E~8
Name of Firm P.D. _]3ox 7707_~4 Phone
Address S-I;eve En(~ 4/4/11
Engineer's Printed Name Date
DSD SIGNATURE
~/' Approved for .-~
Disapproved,
Conditional approval for
bedrooms.
bedrooms, with the following stipulati~
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ~//"~-///
(Rev. 11105)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
LegalDescription:.?"' ! ='_
Date-of test
Static water level
Well production
A. WELL DATA
Well type P If A, B, or C provide PWSID # ~
Date completed ]O/~'-5"//O Sanitary seal (Y/N) __~
Total depth //? ff. Cased to ///~ ff.
(
FROM WELL LOG
. g.p.m.
Well
Log (Y/N) ~
Wires properly protected (Y/N) F
Casing height (above ground)..~(3 in.
AT INSPECTION
WATER SAMPLE RESULTS:
Coliform ~ colonies/100 mL' Nitrate 3. ~'~mg/L
Arsenic: /~, ~"~'~Ug/L' date of sample:
B, SEPTIC/HOLDING TANK DATA
. Tank Type/Material ~ .x~/-~lO,~ .~ ~-~.2 ~.. ~'~.~----.-
Tank size/~OO gal. Number of Compartments 2.
Foundation cleanout (Y/N) ~1~ Depression over tank (Y/N)
Date of pumping .A_] ~ Pumper ,~)
C. ABSORPTION FIELD DATA
Date installed/~/~2 ~/~/4~) Soil rating (g.p.d./ff2 or ff2/bdrm) 43, ~
Length ~" ~' ft. Width ~ ft.
Total depth/~. ~ ft.
Date of adequacy test
Collected by:
Eft. absorption area ~Z'~t~ Monitoring tube 7 ....
/LI'~..J Results (Pass/Fail)
Fluid depth in absorption field before test ~ in.
Elapsed Time: -- min. Final fluid depth
Any rejuvenation treatment (past 12 mo.)(Y/N & type)
Cleanouts (Y/N) y
High water alarm (Y/N) ,~'
System type ~--~..~ o_j~
Gravel below pipe /<:~ ft.
Depression over field ~J
For -~ bedrooms
New depth"- in.
"-- g.p.d.
If yes, give date '-'
Water added -- gal.
in. Absorption rate >=
D. LIFT STATION /4,///f,J'
Date installed ,.,,,'
"PumPDatum on" lev~n.
· :E. SEPARATION DISTANCES
Size in gallons
"Pump off' level at~
Cycles tested
in. /3~;[ig~ water alarm ,~,,. Meets alarm & circui~V:iu~iements?
in.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Animal containment areas
/0(3 'v
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation f4~ ~'
Water main /'~ ~-
wells on adjacent lots /o 0~) ~'~'
/oo t,f-
Property line /"~) df.-- Absorption field ,~ ~
Water service line //~J "?e.. Surface water ~'~:3 '"f'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property tine ~ o/~. Building foundation /49/~' Water main
Water Service line ,/O /P' Surface water //Oc~.~'f' Driveway, parking/vehictestorage
Curtain drain /,3/~r Wells on adjacent lots //~C,)
.F, COMMENTS ~)EP.. b~X~tVEt~ "7"o 0,.~$ ~t,o~.Z.~,.~
I certify that l have determined through ,field inspections and ~.~.~,~
review of Municipal records that the aoove systems are in
conformance with MOA COSA guidelines in effect on this date
Engineer's Printed Name ~:;>~"~--.- ~ C
COSA Fee $. Waiver Fee $
Date of Payment
Receipt Number
(Rev. 4/10)
Date of Payment '
Receipt Number
LOT 14 BLOCK 2 HAS %
10,886 Sq. FT. OF AREA
~ t ~89°59'00'E 131.95
33.00
~_~ · . 46 c~, ; 20.9 ELL
Li~ ,.f:-.i~ ':.:,'.~..'~.; '}~::[~::~,: 2.0
28,2
~ ~ ' c4~r '
3s.oo N89'59'00;~' 131.95
I
, 15
¢~APHIC SCALE: I lnoh = ~0 Fe~t
FOR: Troy Davis Homes ~ate Scale Legal Description
~--28--11 1" : ~0' Lot 14
I
2
s,~. ~. N~53 2110026 BAG~ BIVER HEIGHTS
9330 Vanguard Drive, Suite 131
Anchorate, Alaska 99507 Drawn b~ Field Book SUBD{VISION
(9o?) ~6a-~o~o C~F 237
I hereby certify that the property described hereon has been surveyed
by me, or at my direction, and that the improvements situated thereon _~
are within rhe property lines and do not overlap or encroach on the ~ ...... '.'~{~
property lying adjacent thereto unless otherwise sho~. That no ~ ~..
premises in question and that there are no roadways, transmission ~W .' 49
lines or other easements on said property except as shown. ~ .... ~.~ ....... ~..~...~
It is the responsibility of the o~ner or builder, p~ior to eons[ruction.
to v~rify propo~d building g~ade relative to finish grad~ ~nd utilit~
eonneetion~ 8nd to determine the existene~ of ~ny ~ements, eoven~nt~, ~'. kS-732~
or restrictions which do not appear on the recorded subdivision plat. ~ ~"., ~,~.// .."%~
Reproduction may cause distortion, w t I~te
ANALYTICA
GROUP
Troy Davis Homes
Attn: Samantha Nispel
165 E Parks Hwy, Ste 204B
Wasilla, AK 99654
907-357-9394
Fax:
Client Sample ID: Lot 14 Block 2
Sampling Location: Hose Bib
Client Project: Eagle River Heights
Sample Matrix: Drinking Water
COC #:
PWS#:
Residual Chlorine:
Comments:
SP-Analytica, Inc.-Anchorage
4307 Arctic Blvd.
Anchorage, AK 99503
Phone: 907-258-2155
Fax: 907-258-6634
Report Date: 3/25/2011
Receipt Date: 3/10/2011
Sample Date: 3/10/2011
Sample Time: 10:00:00AM
Collected By: KP
Flag Definitions:
MRL = Method Reporting Limit
MCL = Maximum Contaminant Limit
B = Present also in Method Blank
H = Exceeds Regulatory Limit
M = Matrix Interference
J = Estimated Value
D = Lost to Dilution
** = RL higher than MCL; target not detected
TNC = Too Numerous to Count - result rejected
CF = Confluent Growth - result rejected
TCNG: Turbid Culture No Growth - rejected
Lab#: A1103156-01A
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
9223B-PA (Aqueous) - Coliforms in DW
E. Coli Pass PASS/FAIL 1.0
Total Coliform Pass PASS/FAIL 1.0
Lab#: A1103156-01B
Test was conducted by: Analytica - Anchorage
1 3/10/2011 3/10/2011 KM
1 3/10/2011 3/10/2011 KM
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
4500-NO3E (Aqueous) - Nitrate+Nitrite pres Test was conducted by: Analytica - Anchorage
Nitrate-Nitrite as Nitrogen 3.84 mgFL 0.50 10 3/22/2011 3/22/2011 MC
Lab#: A1103156-01C
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
200.8/200.8 (Aqueous) - Family Well Water I Test was conducted by: Analytica - Thornton
Arsenic 0.933 ug/L 0.15 10 200.8 3/17/2011 3/17/2011 RM
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