HomeMy WebLinkAboutCLYDE M DICKSON BLK 1 LT 5Clyde M.
Dickson
Block 1
Lot 5
#007-055-05
SEP -29-2006 11:28 S&S ENGINEERING 907 694 1211 P.02i02
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' Certified'Wetl'
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.. '.For ,�. _:_�s>� ....,•. ..
_ Date eompleted:r/!.. ef--
Depth of well
• ,Stu o[ cas+�g r+_ii { •..: _ _
' • iarite to water 7 . ,. ,' •..:.; � .
Distance to witer while puinpingr2.i2 .at tate
. gallons pec o
hur .
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Description of Formation g r'. ; from to
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I certify the above true and eorrecK
., Driller •
Swofford Drilling
3401 Spertord Road
Spenctrd, ANA*
We advise you to attach this certificate to your deed• ;+,','.';•;
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—__._
rump Installation Log
NVC11 Drillirng Permit Number: SW--.._ Date ofIssue-
Parcel Identification Nvirileer:
009 - a 55 - 0 S
Legal Description
Property ftutyet Tlarne S. Oddness; -- -
a^'--�s�-.��. •�,--
/u-�.+J � G �__
- z/. -moi
I'llmp Iastallalian Date:
Pairip Intake Depth Below TOP of
`MM C: Shig: (ps feet
O'71 - Il j ; V. �
itRT -c
-Manufacturer's "'�(- V "l _
lump tilridel:
l.t
Pump Size. lip
Pitte&S Adapter'Ruri2l lDcptlt: �. }�
feast
Pitless Adapter _NL3uutacLure r's .Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? D 'ye� E, No
Metljod of Disinfection:
k,t 6� c 73
Comments:
Pump installer Dame:
t 1A
r+attet]tiun: The lump ii15C 1l2L sl]--li nrolrtd; it pump im a?jlarion lag to the DSD tivitbir, -10 days of pump installaimn_
US
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
— < ue 6+ = L
yo*� V 8 fl Certificate of On -Site Systems Approval
Parcel I.D. 007-055-05 1 Expiration Date: 6�,
1. GENERAL INFORMATION
Complete legal description Clyde M Dickson, Block 1, Lot 5
Location (site address) 3312 Old Muldoon Road
Current Property owner(s) Andrea Soule
Mailing address
Real Estate Agent
Day phone
3312 Old Muldoon Road, Anchorage, AK 99504
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
it
Individual
❑
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
it
Waiver/Variance request
COSA to be released to the engineer, unless otherwise requested
COSA Fee $
Date of Payment
Receipt Number �c10'oZ�JGi
COSA 4 05C \ 1p t l (a
engineer
Date:�(o 1 (Q
Waiver Fee $ _
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the valid4tion date shown below, I verfy 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 investigationand 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,
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in acprdance with MoA COSA
guidelines and regulations. The reported results describe the performance of the system under the conditions encountered afthe tir ne. of the,tes�
and separation distances measured to readily identifiable features. The operational life of all wells and septic systemS d.4end on the, localsoil
condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the;syste.W.'rhese conditions ":•y�
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results- do not guamnlee future -
performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot.brovide•any w�rratdty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510 _
Engineer's Printed Name Steven R Pannone Date 0511$ 2
� 016
6. DSD SIGNATURE
System #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
• � S�everi k. • tiririarie � • •
CE -8149
Conditional approval for bedrooms, with the following stipulations:
i
By: VL, E2: Original Certificate
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAblue sheer f L, c
If more than 1 septic system is on the lot
COSA Checklist # + of +
Structure served by this system 1
Certificate of On -Site Systems Aroval Checklist
Legal Description: Clyde M Dickson, Block 1, Lot 5Parcel
ID:007-055-05
A. WELL DATA
- Well type Private If A, B, or G provide PWSID #
Well Log (Y/N) Y
Date completed 03/25/1965 Sanitary seal (YIN) Y_
Wires properly protected (YIN) Y
Total depth 66 ft. Cased to 66 ft.
Casing height (above ground) 12+ in.
FROM WELL LOG
AT INSPECTION
Date of test 03/25/1965
05/05/2016
Static water level 40 ft.
25
Well production 6 s g.p.m.
4.2 g.p.m.
WATER SAMPLE RESULTS:
Coliform Ne9 colonies/100 mL Nitrate 0`912 mg/L
ND 05/06/2016
Arsenic ug/L Date of sample:
Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material `
Date installed
Tank size gal. Number of Compartments
"Claanouts (Y/N)
Foundation cleanout (Y/N) _ Depression over tank (YIN)
_ High water alarm (YIN)
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date installed Soil rating (g.p.d./ft' or ft2/bdrm)
System type
Length ft. ' Width
ft. Gravel below pipe ft.
:,.
Total depth. ft. . Eff, absorption area fe ' Monitoring tulle ,Vpgpression-over field _
Date of adequacy test Results (Pass/Fail)
For _bedrooms
Fluid depth in absorption field befote test in. Water added gal. New depth in.
Elapsed Time: min, Final fluid depth ` in.
Absorption rate >=g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN $.type)
If yes, give date
D. LIFT STATION .
DaXe installed Size in gallons
Manhole/Access (Y/N)
"Pump on" level at in. "PumpiofP level at
in. High water alarm level at in.
-Datum ' Cycles tested
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT To
Septic tank/lift station on lot N/A
On adjacent lots 100+
Absorption field on lot N/A
On adjacent lots 100+
Public sewer main 75+
Public sewer manhole/cleanout 100+
Sewer /septic service line 25+
Holding tank ,100+
Animal containment areas 00+
Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT To:
Building foundation Property line
Absorptiolilield
Water main Water service line
Surface water
Wells on adjacent lots
ABSORPTION FIELD ON LOT TO:
Property line Building foundation
Water main
Water Service line - Surface water -
- Driveway, parking/vehible storage-
Cuttain drain on adjacent lots
---Wells
F. COMMENTS ,
Survey on file
G. ENGINEER'S CERTIFICATION,'
I certify That I have deterntlned through field inspections 'snd '; •' �y
review Municipalcords that,the in.
of above systems
are
conformance with M017GoSA guidelines in etfec( on this
date. ;
engineer's Printed Name Steven Rannon@
q Nnnaie
Date 05405h12016
say
■
t'i'(
Municipality of Anchorage*AE
• [development Services Department
Building Safety Division aOn-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. 055- 05 COSA# (')SC- 1 I I`'
Expiration Date:
1. GENERAL INFORMATION
Complete legal description M. 0,ckso r 31K 1
Location (site address) 33 t z 0 ►�� t'� y1 o o n 12 02
Current Property owner(s) 13o6 Rcbc,czk-s Day phone
Mailing address
Lending agency
Mailing address
Day phone
Real Estate Agent TEAhE Wf,6"}- Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
11_11A• 513Z
2. NUMBER OF BEDROOMS:
-3_
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
19
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my. investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm 5I? w1V%6Gc_%,vy
Address x-03 W. 1%�' Ave.,. S+f_ ZO , A"rc. oru�.t AK iisDi
Engineer's Printed Name LABS Sj�49 01.�
5. DSD SIGNATURE
Approved for
Disapproved.
bedrooms.
Phone 2.1.9' 3116
Date
OF A�Zcvklt
i C�X_*
LARS E. Sr
:°�� .'•911" �
SrESa
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
V 19-V I I L
MATER AND r;=
Pi CGRAM
i
A
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
1
By Original Certificate Date: /
(Rev. 11105)
Municipality of Anchorage *A%
• "� 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
Legal Description: Qjc e M D «VLSo r, 3W L-tS Parcel ID: 003- -0576-0
A. WELL DATA
Well type Priv-,}E If A, B, or C provide PWSID # -- Well Log (Y/N) y
Date completed 3 251«(I5 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth % ft. Cased to �_ft. Casing height (above ground) + Z- in.
Date of test
Static water level
FROM WELL LOG
-3LZ5 [1 (15 _
40 ft.
Well production (o
WATER SAMPLE RESULTS:
9.p -m.
Coliform Nf- (r colonies/100 mLNitrate 4..51 mg/L
Arsenic: N D ug/L date of sample: 63 20l J
B. SEPTIC/HOLDING TANK DATA pulet;c.
Tank Type/Material
Tank size -+ gal.
Foundation cleanout (Y/N)
Date of pumping -'
C. ABSORPTION FIELD DAT
Date installed --
Length — ft.
Total depth ft.
AT INSPECTION
y 13 zo►► _
g.p.m.
Collected by: L A 2s S04M. L\ a n d
Date installed
Number of Compartments Cleanouts (Y/N)
Depression over tank (Y/N) High water alarm (Y/N)
A
Pumper
P',blit. SES, ev_
Soil rating (g.p.d./ft2 or ft2/bdrm)
Width
It'll
System type
Gravel below pipe '"- ft.
Eff. absorption area — ft2 Monitoring tube `_ Depression over field —
Date of adequacy test _ Results (Pass/Fail) -- For bedrooms
Fluid depth in absorption field before test in. Water added — gal. New depth in.
Elapsed Time: r min. Final fluid depth -- in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed Size in gallons �.1 Manhole/Access (Y/N)
"Pump on" level a in. "Pump off' level at in. High water alarm level at in.
Datum Cycles teMeets alarm & circu' equirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot N,A_
Absorption field on lot /V'IA
I
Public sewer main W4 Lpe+
Sewer /septic service line 2 S �+
Animal containment areas So
On adjacent lots �V4LA
On adjacent lots /V JA
Public sewer manhole/cleanout too t�
Holding tank _/VIA
Manure/animal excrete storage areas 100%t
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Py6I i c. SewE R
Building foundation — Property line —
Water main
Wells on adjacent lots
Absorption field
Water service line — Surface water
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
Water Service line
Curtain drain
F. COMMENTS
Building foundation Water main
Surface water — Driveway, parking/vehicle storage
Wells on adjacent lots —
G. ENGINEER'S CERTIFICATION
l certify that / have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name LARs
Date -27-1 Z0 t,l
COSA Fee $ 1,170
Date of Payment C1 JdV 1 //
Receipt Number C5-5 3(,o Q
(Rev. 4/10)
Waiver Fee $
Date of Payment
Receipt Number
1�15'�al�i�iar\ o
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
wvw.muni.org/onsile
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. (W7`-0' 5_6 05 COSA# engta
Expiration Date: — a— 02
1. GENERAL INFORMATION
Complete legal description
Lot 5; Block 1; Clyde N. Dickson Subdivision
Location (site address) 3312 Old Pluldoon Rd. Anchorage, AK 99504
Current Propertyowner(s)
Janeil((/pB�rowne
❑
Dayphone 333-3533
Mailing address
❑
❑
#q1A Clg5Og
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
�m:P1u1343•l2 34711.1.7 ;f,.1
Individual Well
Individual Water Storage
Community Class Well
Public Water System
3
xj
Individual On-site
❑
❑
Individual Holding tank
❑
❑
Community On-site
❑
❑
Public Sewer
EY
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
ongineer-registeredin-theState-oMaska—Certificates ofiOn-SiteSystemsApproval are required-for-thelransfer-of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm S h S Fnpin�inn Phone6g4-9q7q
Address 17034 N. Eagle River Loon Ste. 204 F.aple River, AK 99577
Engineer's Printed Name f. I A64T C. Co cv.¢,✓ Date q/27 A G
C
5. DSD SIGNATURE ry, e- ,y CE -8801
903ERT C. COWAN
�j �
_1z Approved for 3 bedrooms. +l.===......
Disapproved. •1>L.t�a�*-��
Conditional approval for bedrooms, with the following stipulations:
tttlt(ffwfr fj"�
Or i
Additional Comments �����QQ••'•�• •C'yp���
Jam: • ON-SITEVVAILRANU
WASTEWATER
_ PROGRAM
Attachments:
COSA Checklist X Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Report
Nitrate Advisory. _X -Other
By: �t �ii Al. PC,00� Original Certificate Date:
(Rev 11105)
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519650
www.muni.org/onshe
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
�yID
Legal Description: � 5 ; �L�1L ��� £ //I. �ax afo arcel ID: 0 7- � � ✓� ' O
A. WELL DATA
Well type Po -t vRTE
Date completed 5/65
Total depth -jjLft.
If A, B, or C provide PWSID p =
Sanitary seal ON) �
Cased to IR -5 -ft.
FROM WELL LOG
Date of test '6/2 S
Static water level 146
1 ft.
Well production 6.0 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate 6,0 f mg/L
Arsenic: iT' mgA Date of sample: *1 110k
B. SEPTICIHOLDING TANK DATA jT' OJU4c-
Tank Type/Material
Well Lo (ON)
Wires properly protectedd94) 7LS
Casing height (above ground) JLLin.
AT INSPECTION
f9 to
a26 ft.
9.3 g.p.m.
Other bacteria 0 colonies/100 mL
Collected by: 4SQ' S EX: 4f P 1l,)Fs
Date installed
Tank size gal. Number of Compartments _ Cleanouts (YIN)
Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ High water alarm
Date of pumping
C. ABSORPTION FIELD DATA
Date installed
Length ft.
Total depth _ ft.
Date of adequacy test _
Fluid depth in absorption
Elapsed Time: min.
Pumper
Soil rating (g.p.d.W or fe/bdrm) _y� System type
Width / ft. Gravel below pipe ft.
Eft. absorption area _Lft` Monitoring tube _ Depression over field _
l Results (Pass/Fail) For _ bedrooms
test _ In. Water added_ gat. New depth_ in.
Final fluid depth _ in. Absorption rate >= g.p.d.
treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed Size in gallons ��
'Pump on' level at _ in. 'Pum evEfBt _ in.
Datum Cycles tested
E. SEPARATION DISTANCES'f Obi IC.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot A -) R
Absorption field on lot V In
Public sewer main /DO 14-
Sewer
+
Sewer Moos line 62S( f
Animal containment areas SD 1-f
High water alarm level at in.
Meets alarm & circuit requirements?
On adjacent lots A-) LA
On adjacent lots A-7 .11l
Public sewer manhole/cleanout /Oo
Holding tank A.) /4
Manure/animal excrete storage areas /� f
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation
Water main
Wells on adjacent lots
Property line
Water service fine
Surface water
SEPARATION DISTANCE :FR70M.A18140TION FIELD ON LOT TO:
Property line uilding foundation Water main
Water Service
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Surface water
Wells on adjacent lots
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guid line ineN ton this date.
Engineer's Printed NameL
Date 1/.)-'7 /O C
COSA Fee $ 30- �+
Date of Payment 0)/;l 7 /V 6
Receipt Number 0 G 6
(Rev. 11/05)
Driveway, parkinglvehide storage
Waiver Fee $
Date of Payment
Receipt Number
p•` RDSM C. COWAN
�, •' C'!' • 8601 �"
tt ��'Cii:31:1�•�'�1r
OCT -02-2006 12:38 S&S ENGINEERING 907 694 1211 P.O2/03
Wof
SCS Rets
1063796001
Client Name
S & S Engineering
Project hamar
Lot 3, Block 1, Dickson SD
Client Sample ID
Lo( 7, Block 1, Dickson SD
Matrix
Drinking Water
Sample Retnarks:
AN Dates/rimes an Alaska Standard Time
Printed Date/time
0929/2006 11:05
Collected Date/time
09/192006 11:18
Received Dott/rime
09/19/2006 11:34
Taboical Director
Stepaert C. Ede
Allowable Prep Analysis
Parameter Results PQL Units Anew Container lD limits Dale Date Init
Metala by ICP/MS
Arsenic ND 5.00 va/L EP200.8 C (<10) 09/19/06 09/23106 MH
Waters Department
Nitrue-N 6.01 0.120
Mierobiology Laboratory
Total Coliform 0
ma/1. EPA 353.2 B (<I0) 09/19.106 ALR
coV100mL S.M209222B A (<I) 09/19/06 71.12
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.orglonsite
(907)343-7904
Nitrate Advisory
Certificate of On -Site Systems Approval # 060469
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block 1, Lot 5 of
Clyde M. Dickson subdivision. This inspection revealed a nitrate
concentration of 6.01 milligrams per liter (mg/L) was reported for the
property's well water sample. The Environmental Protection Agency (EPA)
has established a maximum contaminant level (MCL) of 10.0 mg/L for
public drinking water systems. While private wells are not subject to this
regulation, EPA standards are based on existing health information and can
therefore be used to gauge the relative quality of water from private wells.
Please see the attached "Nitrate Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
0
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Recent, 7,20-0(.tW
EASEMENTS OF RECORD, OTHER THAN Fe 0 •I)
THOSE SHOWN ON THE RECORDED Bt
PLAT ARE NOT SHOWN HEREON. Pe
.40
AS -BUILT NO CORNERS SET THIS DATE
1 hereby certify that I have performed a Mortgagee's inspection
of the following described property: Lor 5j
BLoGX /1 CLyDLr M. OIG I�SorJ 546D.
'Anchorage Recording 'Precinct,. Alaska, and that the
improvements situated thereon are within the property Ones and
do not iovertap or encroach on the property tying adjacent
thereto, that no improvements on property lying adjacent thereto
encroach on the premises in question and that there are no
roadways, transmission Ones or other visible easements on said
property except as indicated hereon.-
Dated at Anchorage, Alaska
this h' day of M A A4H 2004-'
FRED WALATKA & ASSOCIATES
(907) 248-1666 Engineers and Surveyors
or
1
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S CALF
n
: timed weir hfn 1
EASEMENTS OF RECORD, OTHER THAN Fe 0 •I)
THOSE SHOWN ON THE RECORDED Bt
PLAT ARE NOT SHOWN HEREON. Pe
.40
AS -BUILT NO CORNERS SET THIS DATE
1 hereby certify that I have performed a Mortgagee's inspection
of the following described property: Lor 5j
BLoGX /1 CLyDLr M. OIG I�SorJ 546D.
'Anchorage Recording 'Precinct,. Alaska, and that the
improvements situated thereon are within the property Ones and
do not iovertap or encroach on the property tying adjacent
thereto, that no improvements on property lying adjacent thereto
encroach on the premises in question and that there are no
roadways, transmission Ones or other visible easements on said
property except as indicated hereon.-
Dated at Anchorage, Alaska
this h' day of M A A4H 2004-'
FRED WALATKA & ASSOCIATES
(907) 248-1666 Engineers and Surveyors