Loading...
HomeMy WebLinkAboutMOUNTAIN PARK ESTATES #2 BLK 2 LT 6Mountain Pctrk Estates #2 Block 2 Lot 6 #017-022-06 0 Municipality of Anchorage ; ' ° Development Services Department if ?{Yy' � ' • Building Safety DMsion t- • i1 On -Site Water and Wastewater Program, 4700 Bragaw St. ../ �f. P.O. Box 196850 Anchorage, AK 99519-6650 Page ( of 7 v ww.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW070003 PID Number. 01742206 Nam Estate of Daniel C. Albanese Wastewater System: • New © Upgrade "'at 12940 Hillside Drive ABSORPTION FIELD p10^a Num" °IBS 3 O Dap Tarn O ShMoa Taxa O B.d 0 Mould 0 Omer LEGAL DESCRIPTION Sal Rang 0.7 GPD.Wy Total D.Mfrom ova gnat 13.9 Ft. eod 2 `° 6 Sialmsion Mountain Park Est 02 o.a isese bottom Macoma grata 6.9 Ft. Grua ape, beneath pre 7.0 Ft Fa GravM Una' Tomoin9 Rap. S.caat aJd.d Foow copal Bata 0.8 R. 46 n. Well: • New • Upgrade G..w can. 3 fl. r./1t.t M t.». 1 Musa between Ines 15 to old n Cassfammn (Pima. A B. C1 Told Oman Ft. Cad b Ft Total team= M 644 Ft Pam MMI* ASTM/D3034 Drat OM. pial Sul Way Uva Ft IaWMr Scott's Services Data masa 3/9/07 Yield GPM Ramp Sat K Ft. r..na herr Ahab Grant Ft TANK SEPARATION DISTANCES 0 septic ❑ Holding ❑ S.T.E.P. ❑ Other • To From Septic Tank Absorption Field Lift Station Holding Tank udr/Pd ate Sewer Una Maiidad"a` Anchorage Tank & Welding, Inc Capacity 1000 of Wall 122' 112' N/A N/A 121' Miami Steel fats of Comp.rearva 2 sar.aawaw 100'+ 100'+ N/A N/A LIFT STATION La tae 20' 9' N/A N/A Sus N/A Gal Mandalay Fonm^a' 10' 25' N/A N/A 'Pup on' Ira at m 'Puny oft' rw a In HMI waw arm at rt wMaOren N/A N/A N/A N/A Rap Maim IS Moot Eacrrai iapaaoa portarma: M Ry"""a Old tank abanoned In place. Diverter valve installed, BENCH MARK and 1982 trench retained. Cloaca end Lawmaan Man -door to garage - Treshhold Percolation test conducted at west end of trench. Mand Ea.Mga. 100.00 Ft Inspections by: Cindy W. Ellis, P.E. Dates: 1M 3/5/07 Stamp O,F performed tad 3/9/07 ei ' Development Services Department Approval Conditional Approval Date: �,�P *! 49T 1 � :y �� - ,.,.,.._a.4-,,, -02t-4— Reviewed and approved by: ,/� la Date: 3'29 'Q na dy W. Ellis.:. CE.1osn Ma lar"��3Si01WaCfr N 89°56'06"W 216.00' 10' UTILITY EASEMENT S 0°03'45"E 110.0 PAVED TENNIS COURT SBR !louse 1982 Tien 7' effectiv 53' long. n�0 Percolation Tut — S 89°56'06"E 216.00' STI ST2 DCO TI _DV =tSump P C01� 7 CO2 / M,tS171£000 M ►. 0 0 0 0 Based upon a survey by Shane A. Holt, LS -6914 March 12, 2007 AS -BUILT Mountain Park Est#2 Blk 2 Lot 6 Record Drawing of Septic Upgrade Estate of Daniel C. Albanese Parcel ID: 017-022-06 Permit No: SW070003 Watkins Engineering, Inc. Cindy W. Ellis, P.E March 26, 2007 Scale 1 inch - 30 ft P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone (907) 349-1851, Fax: (907) 349-1934 A B FCO 20.2 16.5 ST1 27.3 17.4 ST2 29.9 21.9 DCO1 31.1 23.1 DCO2 32.1 24.3 DV 33.1 25.4 MT1 30.8 34.1 CO1 31.0 36.8 MT2 62.1 34.0 CO2 65.1 36.7 CO3 40.5 10.8 SUMP 80.1 47.2 STI ST2 DCO TI _DV =tSump P C01� 7 CO2 / M,tS171£000 M ►. 0 0 0 0 Based upon a survey by Shane A. Holt, LS -6914 March 12, 2007 AS -BUILT Mountain Park Est#2 Blk 2 Lot 6 Record Drawing of Septic Upgrade Estate of Daniel C. Albanese Parcel ID: 017-022-06 Permit No: SW070003 Watkins Engineering, Inc. Cindy W. Ellis, P.E March 26, 2007 Scale 1 inch - 30 ft P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone (907) 349-1851, Fax: (907) 349-1934 FCO -0 ST1 M 94.66 FINAL GRADE = 100.29 ST2 95.28 STEEL SEPTIC TANK 1000 GALLON DCO DV • rf acCA V \ 94.42 N.T.S. X To 1982 Drainfield MT1 CO1 FINAL GRADE = 100.04-101.64 MT2 CO2 • atelA Filter Fabric AellA 94.66 4" PIPE SEWER ROCK 87.32 94.32 NOTE: RELATIVE DEPTH OF TEST HOLE = 81.23 NO WATER 87.32 F 46.0 TRENCH N.T.S. NOTE: ORIGINAL GRADE = 98.94-101.23 87.32 AS -BUILT Mountain Park Est #2 BIk2 Lot6 Record Drawing of Septic Upgrade Estate of Daniel C. Albanese Parcel ID: 017-022-06 Permit Number. SW070003 Watkins Engineering, Inc. d000p4 '6 OF Ate 4 •br.S ••.. Of. . �.�P,.• .- 0b o' 49 IH '.•'y"o00 0 0 OD'.:.•. CI x10577 S CindyW. Ellis, PL Marc26, 2007 No Scale P.O. Box 110443 Anchorage Alaska 99511-0443 Phone (907) 349-1851, Fax: (907) 349-1934 E .� . �O 0 O"4Oo• o�����oo �� Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196850 Anchorage, AK 99519-6650 vww.d anchorage ilk us (907) 343-7904 Soils Log - Percolation Test Performed For. Estate of Daniel C. Albanese Legal Description: Mountain Park Est #2 Bik 2 Lot 6 Depth (Feet) 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - Deepened TH to 20 ft on 3/7/07. Soils consistent with previous TH. No bedrock or water to 20 ft 8011 20.0 ft Slope 1FLAT WAS GROUND WATER ENCOUNTERED? no Date Performed: March 8, 2007 Township, Range, Section: IF YES. AT WHAT DEPTH? — Depth to Water ARar Monitoring? dry Dara: 3/20/07 s L O P E Site Plan See attached si e plan for locations of percolation test and test hole. Reading Date Gross Time Net Time Depth to Water Net Drop 1 3/8/07 2:02 0 6 - 2 3/8/07 2:32 30 4 2 3 3/8/07 2:37 0 6 - 4 3/8/07 3:07 30 4 2 5 3/8/07 3:09 0 6 - 6 3/8/07 3:39 30 4 2 PERCOLATION RATE 15 TEST RUN BETWEEN 10.0 FT AND 10.5 FT COMMENTS 4 hour presoak prior to test. tmawr%mrn) PERC HOLE DIAMETER PERFORMED BY: Cindy W. Ellis / Rocky Trainor I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUt4S IN EFFECT ON THIS DATE. DATE: 3 -24 -01 MUNICIPALITY OF ANCHORAGE 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: Jan 10, 2007 Expiration Date: Jan 10, 2008 Permit Number: SW070003 Parcel ID: 017-022-06 Legal Description: MOUNTAIN PARK ESTATES #2 BLK 2 LT 6 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 012940 RABBIT CREEK RD Owner Name: ESTATE OF DANIEL ALBANSES Lot Size: 23760 SQ. FT. Owner Address: 12940 HILLSIDE DRIVE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE , AK 99516 - This permit is for the construction of: O,. Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. 1. THE SUBSURFACE DISPOSAL FIELD IS TO BE CONSTRUCTED SUCH THAT THERE ISA 14' SEPARATION FROM THE EXISTING FIELD. 2. THE ENTIRE SUBSURFACE DISPOSAL FIELD IS NOT WITHIN A 30 FOOT RADIUS OF A PERCOLATION TEST. THE ENGINEER NEEDS TO DO AN ADDITIONAL PERCOLATION TEST DURING THE CONSTRUCTION OF THE SEPTIC FIELD. PLEASE SUBMIT STAMPED AND SIGNED RESULTS WITH THE AS -BUILT INSPECTION REPORT. IF THE RESULTS REQUIRE A DESIGN CHANGE, CONSTRUCTION OF THE SYSTEM WILL STOP PENDING ON-SITE REVIEW AND APPROVAL. r Received By .--Sr �L(./Z/Y4f41) Date- 0.7/07 l Issued By. /J#✓ W(JTA&J tt1_ Date: 11l%7 7 Mayor Mark Begich Municipality of Anchorage PO. Ike( 106650 • Anchorage, Alaska 9.3I9 -(E50 • Telephone (9)7) 34.38301 • Fax (07) 343-820() 4700 Iimgnw Street • Anchorage, Alaska 96507 www.rannt.org Building Safety Division January 10, 2007 Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Waiver Request for Mountain Park Estates #2, Block 2 Lot 6 Waiver Request WR#: 070003 Parcel ID # 017-022-06 SW070003 Dear Jeffrey Gamess, P.E.: 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 5.0 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. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Deb Wockenfuss Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department Building Safciy Division On-Sitc Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Waiver Review Worksheet WR#: O7O0O3 PID#: O17-022-06 HA/Per mit# SWO700O3 Date Received: January 10, 2007 Legal Description: Mountain Park Estates #2, Block 2 Lot 6 Engineer. Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Applicant: Estate of Daniel Aibanses Waiver Requested: 5' Lot line waiver Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver Is Granted: X Waiver Is not Granted: Ust Conditions or Reasons for above: Date: 1110107 By: Deb Wockenfuss Name of Reviewer Rec#: 31386 Amount: Sill Date Paid: 1110/2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 011-622 -0(c Property owner(s) ESTATE OF DANIEL Al BANESE Day phone 276-1033 (AGENT) Mailing address 12940 HILLSIDE DRIVE • ANCHORAGE AK Site address Zip Code 99516 Legal description (Sub'd, Block & Lot) MOUNTAIN PARK ESTATES SUBDIVISION #2• LOT 6. BLOCK 2 Legal description (Township, Section & Range) N/A Lot Size 3 .10 Sq.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR ( ®ail that apply): THIS APPLICATION 1S AN: Absorption Field ® Initial 0 Septic Tank 0 Upgrade Holding Tank 0 Renewal 0 Privy 0 Private Well 0 Water Storage 0 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. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: 96 U • V Date of Payment: IrDpiejvc Receipt Number. 1? 1 2 G1 (Rev. 11/05) Waiver Fees: 1' S' 00 Lo-? L :a t_ Date of Payment: A1.2 / Jv C Receipt Number. 3/ 3 CC- GARNESS ENGINEERING GROUP, Ltd CONSULTANTS & GENERAL CONTRACTORS immwmmemzentumn December 20, 2006 Municipality of Anchorage Development Service Department On -Site Water R. Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Mountain Park Estates Subdivision; Lot 6, Block 2, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to install a new 1000 gallon septic tank and a a deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPIIY: As can be seen on the attached topography site plan the average topography below the drainfield is relatively flat. In short there are no slope concerns. 5. LOT LINE WAVER: We request a 5 foot lot line waiver from the proposed drainfield to the south property line. We are unaware of any advers impacts with the granting of this waiver. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any q stions, please contact us at 337-6179. Thank you for your assistance. ely e Presi E., M.S. NOT . Attached is a site plan drawing. a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.C. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: www.gamessengineering.com MOUNTAIN PARK EST. /2; LOT 3, BLOCK 3. / / h ani' wFr I� Is, —11 1 on wp t RA0II 1\ MOUNTAIN PARK EST. /2; LOT A. BLOCK 3. \ /7 / gine UtA — V/ r\ 1) \ 1 \ O 1/ \ / Y / . / i1 AREAS MOUNTAIN PARK EST. 12; LOT I. BLOCK 2, 4NTMN MOUNTAIN PARK EST. /2 PARK EST. /2; LOT 5. BLOCK 3, / \ F1 nn' WFI L monis, 1 1 • RO awa) I I LOT S. BLOCK 2. 1 — ‘--I (APP - \ \ �..,L_�\ \ / MOUNTAIN PARK EST. /2; �/ \ s• ;Tr'. LOT 6. BLOCK 3. / / / \ �y'� ;% v _ I' �. • /' Q I gyp/ -\ I ^O V D= \ 1 ' WEIL RADIUS - TtC // 1 ‘ \ (APPROXIMATE) / ! Ma) / 1 \\ Cn I PROPOSED SEPTIC UPGRADE MOUNTAIN PARK EST. /2;\ \� (SEE DESIGN PACE 2 OF 2) LOT 7. BLOCK 3. \ W % /, F 1 \ 0��; _}.-.// /r 1 , \Z I I ' //�SEPTK AREA J I \ X61_ Q �� 1 / r 1 ' rpeR°* (n 1 — 7 L l /I EXISTING 3 BEDROOM HOUSE 'l MOUNTAIN PARK EST. /2; MOUNTAIN PARK EST. /2; LOT 8, BLOC` 3. - LOT 8, BLOCK 2, --- I MOUNTAIN PARK EST. /2; LOT 9. BLOCK 3, MOUNTAIN PARK EST. 12; LOT 9. BLOCK 2. J Ll W I > ix 0 W 0 N J -J - TRACY ROAD ••••• moi, ASPEN HIGHLANDS /1, LOT 1, BLOCK 1 CCSDNG SYSTEM \ \ ASPEN HIGHLANDS 11. \ LOT 13, BLOCK 1 /- \ AI I1 rtytastal \ / ASPEN HIGHLANDS 11. - LOT 12. BLOCK 1 1 I 1 E: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 701 C 7110011 Ado, 1108 101 • 01IMORwF. 4f 00507 • PHOK (007)377-4170 • FY (007)33-3746 ROSRF: ,..._ _l ... ty.cent PREPARED FOR: ESTATE OF DANIEL ALBANESE PHONE NUMBER: 276-1033 (AGENT) PAGE NUMBER: 1 OF 2 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES S/D X12; LOT 6, BLOCK 2 DRAWN BY: C.J.G. 1- - 100 TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE DATE: 12/20/2006 rey A. Gamess. .1212o7D6'�e`act CE -79 Professioc°oo LpO�O000/ (Rev.01405) JDEGN CRITERIA: NUMBER OF BEDROOMS: 3 GALLONS PER DAY (CPO): 450 PERCOLATION RATE/S: 10 MIN./INCH PROPOSED APPLICATION RATE: 0.7 MINIMUM DRAINFIELD SO.FT.: 643 DRAINFIELD DESIGN. MAXIMUM DEPTH:11.5 FEET WIDTH: 2.5 FEET LENGTH:46 FEET M.OA APPROVED SAND FILTER: N/A EFFECTIVE:7 FEET REDUCTION FACTOR: N/A ACTUAL SOFT.: 644 1 NOTE: THE CONTRACTOR SHALL HAVE ALL WELL RADII SHOWN AND THE SOUTH LOT UNE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. NOTE: THE DECK ALONG THE SOUTH SIDE OF THE HOUSE AND FENCE WILL NEED TO BE REMOVED PRIOR TO CONSTRUCTION. fvi GIG. Ltd. HAS A 7 PACEJ SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEC. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER. WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. 1 10' UTILITY EASEMENT EXISTING SEPTIC TANK IS TO BE PUMPED. CRUSHED AND COMPLETELY ABANDONED .OOf-Q -"" CC / / N. Lil 0 Z N rN E: INSTALL FOUNDATION CLEANOUT PROPOSED 1000 GALLON SEPTIC TANK 1 - 40 INSTALL DOUBLE . CLEANOITTS 5' LOT UNE WAIVER REQUESTED PROPOSED DRAINFIELD EXISTING DRAINFIEU) TO BE USED AS A RESERVE SITE NOTE: CONTRACTOR WILL NEED TO RAISE PLUMBING INSIDE HOUSE TO ACHIEVE GRAVITY FLOW. GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6. GENERAL CONTRACTORS 3701 L MOM WAD. SAIL[ 101 • 0K7101414. MI 91507 a N\K (007)337-0179 • f71 (107)336-3370 a YltC n9arrawnrow44994. PREPARED FOR: ESTATE OF' DANIEL ALBANESE PHONE NUMBER: 276-1033 (AGENT) PAGE NUMBER: 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: MOUNTAIN PARK ESTATES S/D #2; LOT 6. BLOCK 2. C.J.G. TYPE OF WORK: DESIGN OF PROPOSED SEPTIC SYSTEM UPGRADE HILLSIDE DRIVE DATE: 12/12/2006 (Rev. 01/15) Zit MILS GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS 0701 L TUDOR SUR 101 • M✓'•n.MF IK 19501 LEGAL DESCRIPTION: PERFORMED FOR: DEPTH (feet) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOILS LOGGED BY: COMMENTS' PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: B 9 • 1 • 1-61n • r91.: SOIL LOG - PERCOLATION TEST •[6518: y...... esn••••nomerin MOUNTAIN PARK ESTATES SUBDIVISION 92; LOT 6, BLOCK 2, ESTATE OF DANIEL ALBANESE ORGANICS LOAM SM TO GM TEST HOLE #1 SOIL CLASSIFICATIONS GW GP GM GC SW SP SM SC DATE: 12/8/2006 ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE DRY 12/8/2006 ORS 12 �14�pL f A. Carne • '• E-795 SFO tx Profes slot%e. 000000�4 r c 7- / / i 1F.1-rrrTN/1 • �eRx" -C • �I IIS V ``I .. IOWWELL RADIUS /{ (APPROXIMATE) / 1 / \� 1 \ MOUNTAIN PARK EST. j2; �__L-- 1L — - LOT 7. BLOCK 2, SCALi: �/ I I // 1• . 10o' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 12/11/2006 1 1:30 — 6" — 2 2:00 30 2 1/2" 3 1/2" 3 2:00 — 6" — 4 2:30 30 3" 3" 5 2:30 — 6" — 6 3:00 30 3" 3" PERCOLATION RATE TEST RUN BETWEEN 10 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 5 FT. AND 6 FT. A FOUR HOUR PRESOAK WAS PERFORMED: E YES 0 NO JODY MAUS PERCOLATION TEST PERFORMED BY: BENNY MAUS L.wf ill. .�_`OCK 3, 1 �� '•_1 1, ROAD � ild ��' MOU TNN PARK /2; 0T 4, BLOCK 2, •�-, 1 �� ► t\''� ' � `. OUNTAIN PARK LOT 5. BLOCK EN HIG LOT HIGHLAND 3, BLOCK 1 OUNTN LOT 11(APPROXIMATE) I MOUNTAIN P LOT 7. = • K 2, AREA / MOUNTAIN PARK EST. I I LOT 8. BLOCK 2. �I EN HI OT 12. MOUNTAIN PARK EST. LOT 9, BLOCK 2. CONSULTA 1 • **so 1 a Mf e0 INEERING GROUP, TS & GENERAL CONTRACTORS • NU,[ 10 551-4179 • Fox • 138-324 efr •w. MED FOR: STATE OF GAL DESCRIPTI• MOUNTAIN DANIEL ALBANE PARK ESTATE E OF WORK: SITE PLAN FOR PROPO (Rev. 01/05) PHONE NUMBER: 276-1033 (AGENT) PAGE NUMBER 1 OF 2 S/D #2; LOT 6, BLOCK 2 M UPGRA n MUNICIPALITY OF ANCHORAGE • -DEPARTMENT ( - OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME D & B General, Inc. PHONE 349-6965 rl]NEW LJ UPGRADE MAILING ADDRESS P.O. Box 10-1349 Anchorage, hlaska 99511 LEGAL DESCRIPTION L6 B2 Mountain Park Estates #2 LOCATION Hillside Drive NO. OF BEDROOMS 3 SEPTIC TANK DISTANCE TO: Well 100'+ Absorption area 6' Dwelling 10' PERMIT NO. Handwritten ManufacturerMaterial Greer Steel No. of compartments 2 Liq. capacity in gallons 1250 IF HOMEMADE: Inside length Width Liquid depth J C92 S Z I -.Manufacturer DISTANCE TO: Well Dwelling PERMIT NO. Material Liquid capacity in gallons TI LE DRAINFIELD TRENCH DISTANCE TO: Well 106' t Foundation 20'Nearest lot line 10'PERMIT NO. No. of lines 1 Length of each line 53' Total lenS�3 th 9f lines Trench width 24 inches Distance between lines Top of tile to finish grade 4' Material beneath tile 84 inches Total effective absorption area 742 sa, . ft . w 0 •11— as Ln N Length Width Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line _, w Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area (s) OTHER S p '- PIPE MATERIALS PVC, Cast CO LI, SOIL TEST RATING 240 � INSTALLER D & B General, Inc. C' REMARKS oF At a Al00„`a,\��4 * s. , UUIIHIII 49TH ' %* rA 411.14 . Ilan 1E lil :_4v. OCT. 24, 1970 .:� �il k SII? D12.IVE- APPROVED DATE LEGAL E.F.F. 7/21/82 P.E.L.S. 72-013 (Rev. 3/78) NLE T/:',R=H~;I- i -TTA LA-2I1--.1;FnEli Li El DEPARTMENT HEALTH AND ENVIRONMENTAL .OTECTION 825 'L' STREET. ANCHORAGE/ W. 99501 264-4720 tA1E L_ Fg PA E.> FE' ',S; NE tA Fs: FR FT" EE P1 I 1- PERMIT Na ( 820293 ) APPLICANT D B GENERAL PO BOX 10-1349 HNCH 99511 349~6965 LOCATION HILLSIDE DRIVE LEGAL L 6 B 2 MT. PARK ESTATES #2 LOT SIZE 2'3800 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOmS = 3 SOIL RATING (SQ FT/BR)= 240 THE REQUIRED SIZE OF THE SOIL HB5ORPTION SYSTEM IS: ���1-II-1=,= LJE: PA Cfi "I" B -F=, 'f2: FV.e6NEA._ EE:F= TT" IIHT= W THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BO|TOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FnE: FR: EEC.> LE FR' r- A C.: IT LIR PA S77,.; ,af =7- fIL CD �FAIL_ �c) r,A� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL HILL SERVE 1- HA g: -.g PA :5;11,P' EEIT" 11 PA EZ PH" �T-F•IDI����� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTIM MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF AUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WEi| TO A PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. • WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTHLLHTION. NA I �r-' T F"-? �tEr._ EE �� 2:;11 7.41:31- :;;T:17-1.! I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WEDS AS SFT FORTH BY THE MUNICIPALITY GF ANCHORAGE 2: I WILi INSTHLL THE SYSTEM IN ACCORDANCE WITH THE CQDES. • ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE • RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMa SIGNED:~~. _~___~~_ APPLICANT D & B GENERAL ISSUED V4.0 P=ermit # Applicant: Location: MUNICIPALITY OF ANCHORAGE Department'`. Health and Environmenta"''`rotection 825 L Street, Anchorage, AK. ,+501 264-4720 * #* HANDWRITTEN PERMIT * * WELL AND/OR ON-SITE SEWER PERMIT Mailing Address: Phone Number: R: c /6-13y9 r`1 3 Y9 6 ?6,s-- Legal Cos Legal Description: L (o /5.2 /hi-. lavttiA Lot Size: , 06-b Type of Soil Absorption System Is: Trench: ✓ Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: � Soil Rating(sq.ft/br) o2c/p The Required Size of the Soil Absorption System Is:' DEPTH 1/ .LENGTH 5-)-- GRAVEL DEPTH 7 WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /6�' GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number ofresidences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of. public well. Minimum distance from a private well to a private sewer line is. 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 2 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodel -d to include more that 3 bedrooms. SWP/024(1/81) Issued by: Date: K. - DE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: IJ 7 SOILS LOG PERCOLATION TEST DATE PERFORMED: //43 — 87_ LEGAL DESCRIPTION: Ak(ti.' �+t'i.v-k E2 Ilc:te..5- kdt ' (i [ GC. L SLOPE' -! SITE PLAN 1 13- 14- 15 A4y 16- 17- 18- 19- 20 — COMMENTS h0 C_0 lrn�NV.re 3/ WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? /wQ m S L 0 P E Ell= III NMI ■ v r Reading �`.._ Date Gross Time Net Time /le!!u Depth toNet Water r_t_ Drop ci- -/- al 0 5--/0.81- //=3C l'/ :•.44' / O , 7,5- ,73 •,9- , 0-z. 1 Z p;S% I0) ,47 ,C,6 41-1.10 // :s';e 4I4zO O 96 -r 14.2_V 3 /2:08 rID ,8% .48 4/ /7:/ 10 , etl .Cle 0 ,. 741 . 07 PERCOLATION RATE TEST RUN BETWEEN L€ (minutes/inch) 1 FT AND 3 7- FT PERFORMED BY:/V1AC ItLANC»' i✓I iG-SN.vIA^/ 72-008 (6/79) CERTIFIED BY: DATES // A ox 1369, STAR ROUTE A ANcn®RAGE, ALASKA 99502 844"7714 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 200 DRILLED AT THE RATE OF ?23, 00 PER FOOT. PROPERTY OWNER (°Jt. C. C. BUCX 338-2412 LOCATION OF WELL SITE Lt,„ BtG . Sub. at. f „ i-) DRILLER Belo Le. GCauw curtpala D�U�l�inn a)il i. WELL LOG: 0---•-90' D-LLLe.ct -bft Dave Ilcvcpe,r. of. ;i-1.1vine Dru U ince. cou v a g4.aveL. SeveAcr L ana,LL Bau,L.deA . R cem,ente L ;vra.ve,L Pyr ou. 70 ;to 90' 90--730' ;Z cetneruted grave L tr-i f_/. ,Laij e o/ decor, roecl �resl�.ocl o / 730--20i0 BedAocL.. ;2 4eciAmen,truzJ nock.. �L food_ po our 2 aluututcvc ,Ba )cock. !Amu, n 783 - o 794 ./ee.L, Ca eta pod/le,it cr. .ir,, :111,(Av alien o-,° Thhee .Pf?. 180 aa.L4 aefz. hotve. 80 Pzt a? matc a;Lan.cUn,�r 3/4 110 e Su ateitAtli-La ; to a 411.0wLd J.re it o;Lal Led 10 to 15 1ratLo,z. MUNICIPALITY OF ANCHORAGE DFPT C° ENVIROiJi Lf ?,- o . LTION ,.1 JV B 1982 RECEIVED Coat_ o-? D2i 1 L n.a. g23.00 r.e�� foot X 200 Pe.o ;"g,600.00 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. /f4 0001/0 \: WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF . THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS DATE Lip 18,th., 1982 SERVICE CHARGE 0 F 1%z% PER MONTH WILL BE ASSESSED ON PAST DUE_ ACCOUNTS. APPLI(_ NT FILLS OUT UPPER HA.' ` ONLY Property earner InU G k. e0�(/ S7-rea `�-/p�S/ Mailing 4tddress ~ Sl /Q /eg //‘ 575- / /9///e /9k., Zip Code 79-2.--0 7 Phone 2 76 /6"// Buyer 69.-/W/c. /y//9//t//'S Address 749/ L // t/ ,Q 7 V/` Zip Code 3 p ' ,'j Lending Institution 7eSCh//-� S ('e/"/J/T Address D r / r N- (J^//O A/ (/3)2y4/ �'/C//1-/ Zip Code 7 `, D�3 /7Y`Zip /(.p //L FS%/1Tl? 0L dph� 6r tjtioro Auk Zip Code 9-5 7 Phone // -2 72 �y7 6 t2..7‘ / /*' Realty Co. & Agent Jo /.//t/ /1-,--;279A//11/ h/6- Address SW/9 / 9 J A -/}/e, Legal Description �J%.. /3-tocdm` 02_ MJ, GJ/ /e` /57s- 7 97�`S - 7 Street Location N/,1 A/ /'/LLS//)/" -7- 22/P/ I//`_' Type of Residence Single Family ❑ Multiple Family No. of Bedrooms Inspector ❑ Other Water Supply Individual Pi=i L a9.3' ❑ Community LCL n - / J ❑ Public Utility - - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilledpriorto that date, give well depth (attach log if available). Sewer Disposal o g Individual Q ar,a9_� 0 Public Utility .7-2 )-Cn LA?S? ❑ Holding Tank Year Individual Installed: / e;=-2- When Connected to Public Utility: \ t1 <-- .e,.j�1F(�1('j`(`.G�v NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time 1,,, nit i'f'.SlA 'Lu 0 Time I� cmt I_A 01aA det,€) Date Date Date - Date Inspector Inspector Inspecto cc1- V In ' edto YO Field Notes: ,,,,,,Li„._ .-1-6,4&)____ I / ^--� — ,i Z-- MUNICIPALITY OF ANCHORAGE DFPT CT I".1T! R. Co-- J --t) 61,-k, 1 /' `.4 ENVIROidt,_P,:A.. ;..U,ECTION 1'. 6\1 8 1982 RECEIVED ( ) APPROVED BEDROOMS ( ) DI DISAPPROVED ( TE CONDITIONAL APPROVAL' DATE i i —3 0`� \ t1 <-- .e,.j�1F(�1('j`(`.G�v *CONDITIONS OF APPROVAL �� A ,, 0 .........���qqp I jg„.)...,,,_ A / j�y�. BY: Soils Rating Date Sewer Installed ---7____ 8Z_ Well To Absorption Area -POO Well to Tank -14 00 Well Log Received Septic Tank Size I c"YJ 72-023 (3182) CHEMICAL & GL LOGICAL LABORATORIES 1 ALASKA, INC. 4 TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 ' 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: LD NO. Water System Name Phone No. t Mailing Address City SAMPLE DATE: M Day :. State Year Zip Code SAMPLE TYPE: ❑ Routine ❑- Check Sample (for routine sample with lab ref. no ) ❑ Treated Water ❑ Untreated Water 0 Special Purpose SAMPLE NO. 1 LOCATION Time Collected Collected By 2 f tl ;.Il 3 4 5 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received ' Time Received - Analytical Method: ❑ Fermentation Tube =;Membrane Filter Lab Ref. No. Result* Analyst *No. of colonies/100 mi. or No. of Positive portions. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected Source a.m. p m Lab No ate Received Time Received Presumptive 10m1 10m1 10m1 -> 10m1 10m1 1.0mI 0.1m1 24 Hours 48 Hours - - Confirmatory - - 24 Hours 48 Hours - - EMB Broth 24 hours. Broth 48 hours• Multiple Tube Report- 101111 Tubes Positive/Total 10m1 Portions Membrane Filter: Direct Count Coilform/100m1 Verification: LTB BGB Final Membrane Filter Results. - Reported BY .. - ... %._. ._- pate Coliform/100m1 Time. - a m p.m. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING COSA# p4 0r � Parcel I.D. 017-022-06 �-r Expiration Date: G - 3 D- O 7 1. GENERAL INFORMATION Complete legal description Mountain Park Estates ft2 Block 2 Lot 6 Location (site address) 12940 Hillside Drive, Anchorage, AK 99516 Current Property owner(s) Estate of Daniel C. Albanese Mailing address Day phone c/o Laurie Cerrito, 17261 La Rinconada Drive, Los Gatos, CA 95030 Lending agency Day phone Mailing address Real Estate Agent Mailing Address Nell Wall / Dail Realty Day phone 276-1033 555 W Northern Lights Blvd. *208, Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 0 ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 9 . Individual Holding Tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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 Watkins Engineering, Inc. Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for By: Phone 349-1851 Date 3 -Z8 -o7 bedrooms, with the following stipulations: ty,(QF Q •..*01; ON-SITE WATER AND . WASTEWATER PROGRAM ; fi: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory �Op%ENTS0\6' NN Arsenic Advisory ,,))n n° Maintenance Agreements Supplemental Engineer's Report Other (Rev 11/05) Original Certificate Date: 3-30- 0 7 Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 Bragaw Street P.O. Box 196850 Anchorage, AK 995194650 www.munt org/onsbe (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Mountain Park Estates 02 Block 2 Lot 8 A. WELL DMA Wes type PA If A, 8, or C provide PWSID # _ Wed Log (YIN) Yes Date completed 7/18182 Sanitary seal (YM) Yes Wires properly protected (Y/N) Yes Total depth 200 t Cased to 200 ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test July 18, 1982 November 21. 2006 • Static water level 80 ft. 54 ft. Web production 3 g.p,m. ji.3 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 840 mgIL Other bacteria 0 colonies/10D mL Arsenic: dater=man Date of sample: 3115/07 Collected by: Rocky Trainor & Games B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Septic Tank Date installed March 5, 2007 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YM) Yes Foundation cleanout (Y/N) Yes Depression over tank (Y/N) No High water alarm (YIN) N/A Date of pumping WA - New Pumper C. ABSORPTION FIELD DATA Date installed 3/7/2007 Sob rating (g.p.d./ffs or it=/bdrm) 0.7 System type Deep Trench Length 48 ft. Width 3 11. Gravel below pipe 7 R. Parcel ID: 017-022-06 Total depth 14 11. Eft absorption area 844 i? Monitoring tube Yes Depression over field No Date of adequacy test WA - New Results (Pass/Fall) For _ bedrooms Fluid depth in absorption field before 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.) (Y/N & type) $f yes, give date D. UFT STATION Date installed WA Size in gaibns 'Pump on" level at _ in. 'Pump of level at _ in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankfift station on lot 127 Absorption field on let 112' Public sewer main 100'+ Sewer /septic service line 121' Animal containment areas 100'+ Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 1004' On adjacent lots 100'+ in. Public sewer manhole/cleanout 100+ Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10' Property kne21_ Absorption field 8' Water main 100+ Water service line 33' Wells on adjacent Tots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 11' Building foundation 25' Water Service kne 30 Surface water 100'+ Curtain drain WA Wells on adjacent lots 100'+ F. COMMENTS: • Well glow test conducted by Jeff Gameaa. P.E. Surface water 100+ Water main 1001+ Driveway, parkirglvehide storage 18' G. ENGINEER'S CERTIFlCATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems am b conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Cindy W. Elis Date - L`6 -07 COSA Fee $ q 30 Waiver Fee $ Date of Payment `5480? Date of Payment Receipt Number /,e42/9 Receipt Number (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 070071 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 2, Lot 6 of Mountain Park Estates #2 subdivision. This inspection revealed a nitrate concentration of 8.4 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. SCS Refit Client Name Project Name/4 Client Sample ID Matrix PwSID 1071061001 Watkins Engineering Mountain Park Est Mountain Park Est #2 131k2 Lot6 Drinking Water 0 All Dates/Times are Alaska Standard Time Printed Date/Time Collected Date/Time Received Date/Time Technical Director 03/27/2007 10:14 03/152007 12:20 03/152007 12:42 Stephen C. Ede Sample Remarks: Parameter Results PQL Allowable Prep Analysis Units Method Container ID Limits Date Date Init Waters Department Total Nitratc/Nitrite.N 8.40 Microbiology Laboratory Total Coliform 0 0.100 mg/L EPA 353.2 13 (<10) 03/17/07 1DS co1/100mL SM209222D A (<1) 03/15/07 DPT Mar.15. 2007 8:03AM Garness Engineering Gr000, Ltd. No.1311 P. 3 SGS Rcf" Clkat Name Project Namekt Client Sample 11) Matrix 1066877001 Games Engineering Group, W. Mountain Park Est Sb 2 Iat 6131k 2 Drinking Water All Da kill Imes are Marta Staadonl Time Printed Daleffime 12 , 77• Collected DaWlYme 11/312n06J2.1� Received Date/Time 172006 13:20 Technical Director Stephen C. Ede Sample Remelts: 3532 -'the MS for Nitrate nvcavered below the QC criteria The batch LCS Is within QC limits. Penman Results PQL Nates Department Nitrine-N Microbiology Laboratory Total Coliform 7.28 0 0.100 Units Method tr¢L LP200.8 m(✓1. EPA 353.2 01/100mT. SM20 9222R Allowable Prep Analyst" Container 11) Limits Dam Dale Init C (<ID) 112896 12/01/06 TK 0 (<101 1122/06 ALR A (<1) 11/21/06 DPT 0 (0 0 eI z aARIQ iQISTIIH •00'01.1, M.SP.£0.0 N r -4-- 1t UTILITY EASEMENT oN.DECK 11% on as toot ... O 1 40'01,1, 3..SP,£0.0 S SAUNDERS ROAD