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HomeMy WebLinkAboutPROSPECT HEIGHTS #5 BLK 1 LT 5 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Name: ~)L..O ,-~ ~ ~ ~ 5 Wastewater System: ~New D Upgrade ~d~: ~.~o ~o~ ~. ~~ ABSORPTION FIELD Phone: ~ -- ~ ~3~ ~ No. of Bedrooms: ~ ~DeepTrench D Shallow Trench D Bed ~ Mound O Other Total Depth f[om original grade: LEGAL DESCRIPTION SoilRating:t, ~ GPD/Sq. Ft. /~* I Lot: ~ Block:/ ~~~ Subdiv~ion:~ ~ =Depth to~,plpe~boffom/~fr°m~.°rigin~l/grade: Ft.Gravel depths, ~eat~ pipe Ft.  Fill added ~bove original grade: Gravel length: / Township~ Ran~ Sectio~ , ~ ~0 Z.%' Ft. ~1 Ft. Number of lines: Distance~n lin~: WELL: ~ New D Upg ride Gravel width: ~ ~ Ft. / ~/~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Date Drilled: Static Water Level: Installer: Date ins~alle~: Yield: I Casing Height Above Ground: GPM Pump~ Ft. ~O~ Ft. TANK SEPARATION DISTANCES ~septic ~ Holding ~ S.T.E.P. To Septic Absorption Lift Holding >ublJc/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank SewerLines ~ . ~ J Wel~ J~/+ /~D~ ~/~ ~ j~/ Material: Number of Compa~ments: SudaCewater JO0I+ ~/~ ~oo~+ ~ LIFT STATION Line lie I+ ~ ~l~ Size in gallons: Ma Remarks: BENCH MARK [~ b~ I l O~ ~ ~ ~ Location and Description:  Assumed Elevation: Depa~ment of Health and Human Se~ices approval ~,.-.~-~, u ..,,- / i!: :-. 7'/::::.\..:'.,.i ':.'i?,, ,.. CO ~ , '.~/ ..','~:-'t~ :~'~: ' :~ . :', .. ~' :' .' ' : .. '': , .'t '" :' :~: 7 :" ~ ~""t:. ":'- '~ - .:.~ TH ~Z 3DU3LE ~1500 6ALLDN ~EPTIC TANK F~C~D TO FOUNDATION = 1.0 WT TD F~C~O TO A = 14,5 ~T TO C = 67~5 B TO ~1 = 89~5 C08 TO A = 69~0 C TO ~1 = 49,5 CD8 TO C = 57~5 B TO S8 = 35.0 C TO ~8 = 55.0 COl TO B = 65~5 CO1 TO C = 78.5 DATE: 11/~6/97 DRAWN, GARNESS SCALE, AS-SUTLT SRAWTNG ANCHORAGE TANK. INLET INV, 98,63, OUTLET INVERT : 98,40 TANK SET LEVEL C ))IA, PVC LINE FROM HOUSE GRBUND ELEV, AT TANK 96,8 DOVER = 3,1 FEET, 2 INCHES OF INSULATION ./ --BOARD PER THE CONTRACTOR, COLONY BUILDERS. 4 INCH DIA, PVC (93034) GROUND ELEV. OVER TRENCH IS 95,0+ MINIMUM COVER : 8,8 FEET FOR LOCATION DF M,T SEE PLAN DRAWING ---FILTER FABRIC & INSULATION OVER DRAINRDCK ,~ '4 INCH DIA., ASTM FSlO, PERFORATED PIPE A. INVERT DF DRAINPIPE = 91,58 B. DDTTDM OF TRENCH = 84.0P C, NO GROUNDWATER TO DEPTH DF 17 FEET IN TEST HOLEs, D. TRENCH LENGTH : 51 FEET E. TOTAL ABSORPTION AREA : 770 SQ, FT, + ]]ENCHMARK IS GARAOE FLOOR ASSUMED ELEVATION = 100,43 SEPTIC SYSTEM AS-BUILT: LOT 5, BK 1, PROSPECT HTS ~5 ~REPARED FDR~ COLONY BUILDERS ALASKA WATER & WASTEWATER PROSPECT 82-313 HEIGHTS SUBD., ADDN. LOT 5, BLOCK 1 106,160 S.F. NO. 5 LOT 1 PROPOSED ACCESS EASEMENT -- ACROSS LOT 1 ZERMATr CIRCLE 1 "=50' EXISTING W£U. LOT 5 10' T. (( E. ESMT. N 89050'24"E 330.02' LOCATION OF WELL STATE OF ALASKA DEPARTMENT OF NATURAl RESOURCES DIVISION OF WATER WATER WELL RECORD BOROUGH SECTION SECTION TOVVNSHIP I RANGE []N []E ElS []W MERIDIAN LOCATION/SKETCH: DEPTHS MEASURED FROMp'~asing top []ground surface 80REHOLE DATA: Depth Material Type and Color From To / RECE] DEC ~!997 Mun~olp~l~ty ~ ~-\iiGrIo/~ Dept. Health & H ] WELL OWNER: WELL DEPT~'/" / ~ I. Oepth o, h~~'~, ,t of casing:/~ ? ft Depth . DATE OP COMPLET,O. DEPTH TO_.STATIC WATER LEVEL: ,/~/~/ ft beloved' top of casing I-I ground surface Dat.: /~ ~ // , ~' ~' METHOD OF DRILLING: /J~'~ir rotary [] cable tool [] other USE OF WELL.~domestic [] irrigation li monitor [] public supply [] other CASING STICK-~[p:. ~. ft. Diam: ~__in. Casing type: ~ . ~ in. to/'~.~/ft OPENING TYPE: [] open end [] screened l-'l perforated/~'open hole Depths of openings: to ft SCREEN TYPE: Diam: in. Slot/Mesh Size: Length: ft GRAVEL PACK TYPE: Volume used: ,Depth to top: GROUT TYPE: ,;~~ Depth: from ft to ft DEVELOPMENT METHOD: Duration: ~- ~ PUMPING LEVEL AND YIELD: ~ ~/~ ft after ~ hrs pumping ~ gpm PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPLETIONT'~ YES [] NO CONTRACTOR INFORMATION: REMARKS: PLEASE IVIAIL WHITE COPY OF LOG TO: DNR/DIVISION OF WATER Signatu(e of Authorized Respresentative Date PO BOX 772116 EAGLE RIVER AK 99577-2116 PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970182 . DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:ONEY JOHN ANTHONY & RITA GAE OWNER ADDRESS:3820 LAKE OTIS PKWY, SUITE 204 ANCHORAGE, AK 99508 DATE ISSUED: 7/10/97 EXPIRATION DATE: 7/10/98 PARCEL ID:01513505 LEGAL DESCRIPTION: PROSPECT HEIGHTS ~5 BLK 1 LT 5 LOT SIZE: 106160 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 (182LAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SA_ME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: q-/7- ?A DATE:7--//'9? Water & W tew ter June 26, 1997 8471 Brookridge Drive - Anchorage - Alaska 99504 (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers Municipality of Anchorage Department of Health & Human Services Division of Euvironmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Well & Septic System for Lot 5, Bk 1, Prospect Heights #5 S/IX To whom it may concern: The subject property is currently undeveloped. The Peterson Group is proposing to build a 5 bedroom home on the site, wtfich will require the installation of a well and a septic system. Comments regarding the proposed systems are summarized as follows: 1. SOILS: Attached is a copy of the soils logs. Test hole #1 had the most consistent profile, with well graded gravel from 1' to and average depth of 11.5'. Test hole #2 had sandy gravelly soils from a depth of 1.5' to 12', however the profile between 5' & 8' was a silty soil, with lenses and pockets of sand. All of the perk tests indicated rates faster than 1 minute per inch; however, there are tighter underlying soils Milch will negate the need for a sand filter. 2. TRENCH DESIGN: f. g. h. Reduction Factor = N/A i. Width: 2 feet minimum j Minimum Length: 50 feet k Effective absorption area = 625 fi2 Percolation Rate: <l minutes/inch. Allowable Application Rate: 1.2 gallons/day/fi2 Number of Bedrooms: 5 Design Flow: 750 gallons per day Minimum Absorption Area: 625 fi2 Total depth: 10.5 feet Effective Depth: 6.25 feet (7.5 feet of rock, but 1.25 foot neglected to account for silt/sand las)er encountered in TH #2) -MUNICIPALITY OF ANCHORAGI~ ENVIRONMENTAL SERVICES DIVISION dUN 2 7 1997 .RECEIVED 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPItY: Attached is a topography map which shows the contour of the subject lot. According to this drawing, there are some localized slopes, near the north end of the trenches, that are at a grade of approximately 35%. Given the porosity of the receiving soils, it is highly unlikely that any wastewater will migrate laterally, and daylight. In short, it will move downward rather rapidly. The majority of the topography, within 50 feet of the proposed trenches, is moderately sloped at less than 25%. Given the soil conditions, it is my recommendation that the required separation distance of 50 feet to a slope greater than 25% be waived in this case. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, 244-9612, or on my digital pager at 1-800-481-1162. Thank you for your assistance. ' j REVISED--1 ~'~ ~ ~ ~ ~ ] CDT 3, ~:~ ~ ~ I PROSPECT HTS ~ '~ ~ % ~ ~ / ~5, VACANT, ~ ~ ~DUNDATIDN C/D PROPOSED 1500x L4 INCH PVC (93034) / / / G~LLON ~EPTIC SLGPE~ ~T 1/4 INCN / / I TANK PER FOOT, ~ELL LOT 6~ BK i PRO~RECT HEIGHT~ ~5, PRIVATE ~ELL AN~ ~EPTIC ON LOT,~ NO S~PARATION Dt~TANCE CONCERNS AND STRUCTURES IS APPROXIMATE, THE CONTRACTOR SHALL VERIFY THAT ALL REQUIRED""~*~i~ ~ELL & SEPTIC SYSTEM~ LOT 5. BK 1, PROSPECT HTS, ~ 5 ' : . ~.~., ........... PREPARED FOR, PETERSDN GRDUP 'U ' ' ~a~*~~ ~ ' ........ DATE: 9/17/97 DRAWN: GARNESS SCALE~ 1" = 100' ::P R 0 $ P P C '1- H ff I G H LOF Z, F~LO~ K ] "F'I.'~AI. '-"tR~lt,?U~l~' AC,., ~,..)lu'I .... ./ uD~Z  09 CZ) OLd fl- Q_Oh - © 0 rw er* NOlSafl )' ~r~Ll, RADIUS (APPROX. LOC.) LO F-- 0 LOT 1, DK 1, PROSPECT HEIGHTS #5. VACANT PRIMARY TRENCH 50 FEET WELL o LUT ~, HEIGHT~ PRnSPECT PRIVATE SEPTIC, RESERVE TRENCH 50 FEET LDNS, PRDPOSE~ 5 BEDROOM HOUSE PRDPO~ED TH WELL i C/O PROPOSE9 150D 4 INCH PVC (93034) GALLON SEPTIC SLOPED AT 1/4 INCH TANK PER FOOT. LOT 4, ~K 1, PROSPECT HTS ~5 RESERVE \\ LOT G, BK I PROSPECT HEIGHTS ~5. PRIVATE WELL AND SEPTIC ON LOT. NO ~EPARATION DISTANCE CONCERNS LOT 3, 9K1 PROSPECT HTS #5. VACANT. EXISTING WELL o NOTEj THIS IS NOT A SURVEY. THE LOCATION Of ALL WELL~, SEPTIC SYSTENS, AND STRUCTURES IS APPROXIMATE, THE CONTRACTOR SHALL VERIFY THAT ALL REQUIRED SEPARATION DISTANCES ARE MAINTAINED. WELL & SEPTIC SYSTEM~ PREPARED FOR: PREPARED BY: DATE= LOt 5, BK 1, PROSPECT HTS, # 5 PETERSON GROUP ALASKA WATER & WASTEWATER 6/26/97 IDRAWN~ GARNESS ISCALE~ 1' = 100' RESERVE TRENCH TH # 1/ TRENCH PRDP~$E9 WELL. ~BUBLE PROPDSED 1500 GALLDN ~EPTIC TANK. C/D INCH PVC SLDPED AT 1/4 INCH PER F00T, WELL & SEPTIC SYSTEM: PREPARED FDR: PREPARED BY, DATE~ LDT 5, BK 1, PRDSPECT HTS #5 PETERSDN GRUUP ALASKA WATER & WASTEWATER SERVICES 6/26/97 DRAWN~ GARNESS SCALE~ 1' = 30' I / I- 5 't4, ~.17 ~O& ~ $.~. f..-...- .dC. / 54~ 0 847..0 --- I TRENCH LENGTH ,= 50' i~EET. TOTAL ABSORPTION AREA 625 SOUARE FEET (MIN.). BACKFILL WITH NATIVE SOIL AND MOUND. FABRIC SILT BARRIER. 2 INCHES OF BOARD INSULATION IF SOIL COVER IS LESS THAN 3 FEET. INSULATION SHALL COVER THE ENTIRE WITH OF THE TRENCH. --4 INCH DIA. PERFORA TED PIPE, WITH HOLES DOWN. SHALL BE LEVEL WITHIN .01 FEET. PLACE 2 INCHES OF DRAINROCK OVER TOP OF PIPE. TOP OF DRAINROCK SHALL BE AT THE SAME ELEVATION OVER THE ENTIRE TRENCH WIDTH, TUBE (TYP), PERFORATED IN DRAINROCK. FEET MIN. NOTE: 1. TRENCHES SHALL RUN PARALLEL TO THE SLOPE CONTOURS. 2. FOR LOCATION OF MONITORING TUBE, SEE SITE PLAN. 3. CONSTRUCTION PRACTICES, AND MATERIAL SPECIFICATIONS SHALL COMPLL Y WITH ANCHORAGE MUNICIPAL CODE 15.65, "WASTE- WATER DISPOSAL REGULATIONS". 4. INSTALLATION SHALL COMPLY WITH SPECIAL PROVISIONS AS NOTED ON THE SEWER PERMIT. 5. SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED. 6. DRAINROCK SHALL BE SCREENED PER M.O.A. SPECIFICATIONS. DIRTY DRAINROCK WILL BE REJEC TED. TRENCH DETAIL: LOT 5, BK 1, PROSPECT HEIGHTS #5. PREPARED FOR: PETERSON GROUP ALASKA WA TER & WASTEWA TER SERVICES DATE: 6/27/97 DEN: GARNESS SCALE: NTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 7 8 9 10 11 12 13 14 15 16 17 18" 19- 20- WAS GROUND WATER ENCOUNTERED? f~ O COMMENTS ,./¢ Township, Range, Section: SLOPE SITE PLAN //~ s IF YES, AT WHAT OL DEPTH? ~'~ p E Depth to Waler A,erJ,~ ~,/~///~ Monitoring? t'Jr. Dale: ~ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~' / (minutes/inch) PERC HOLE DIAMETER TEST RUN ~ETWEEN ~ [TAND ~' -~ FT PERFORMED BY: ~.~_.,~1~: ~-,.Z...'~'t~--~ I '~--'~ ~'~::;'~"¢ CERTIFY THAT)'HI~,,TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/':~/¢:~"" 72-008 (Rev. 4~85) DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG PE"FORMED FOR: 1 2 3 4 5 6 7 8 9 10 11 12 13 14- 15- 16- 17 18 19 20 Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ~',~ O S IF YES, AT WHAT O DEPTH? ~ p E Monitoring? t,J f,,,~-- Dale: Reading Data Gross Net Depth to Net Time Time Water Drop oJ.G-- io.o PERCOLATION RATE ~' / ' (minutes/inch) PERC HOLE DIAMETER' TEST RUN BETWEEN ~',~- FTAND /O ET PERFORMED BY: , 4~c~ ~7~--~'~-~ I d~---~'¢:~~4 CERTIFY THAT THIS TEST WAs PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '~ / '~/~:~ ~7'" 72-008 (Rev. 4185) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTFI & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519~6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING --/.~ ~0~ NAA # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: -~ TYPE OF WATER SUPPLY: Individual well ~ Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site 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. 72-025 (Rev, 1/91) Front MOA #21 STATEMENT OF INSPECTION Ry 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.. Alaska Water & Waste(water Name of Firm "~"" ~"t C~°°~'"r Hf.d. ICLrcle ~7- , .,,~,, ,.,,,,. ~...,--- · - Phone A~h-~r aee~ Xlas~/9~504 Address -/ I ,b'l/ / Ilv \ Engineer's signature ~ .... ~'~,~,~/~z/t~ ~ Date DHHS SIGNATURE ~ Approved for ~-/~'~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: AdditiOnal Comments 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 order to 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. 72-025(Rev. 1/91) E~ck MOA~21 ~uu~lc~P,~uT'y Municipality of Anchorage AP~ ~ 199~ DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Se~ices Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: /~O'T ~ i ~/-/~/r ~ /]~o~pE~__.¥ /"/-T,~ ~ Parcel I.D.: A. WELL DATA Well type Log present (WN) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter, ADEC water system number Date completed Cased to /,~,c/' ~ Casing height (above ground) /¢~ , t¥ Wires properly.protected (Y/N) ]~//~,~' Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform ~ Date of sample: /~/Z~/~ FROM WELL LOG AT INSPECTION i I1~ g.p.m. Nitrate Collected by: ,~'~t g.p.m. Other bacteria - ~ -- B. SEPTIC/HOLDING TANK DATA Date installed c~/16-iq-j~"~ Tanksize l~00 Number of Compartments ~ Cleanouts(~]~,J)~-. Foundation cleanout ~tN) ~'~'_~ Depression (Y/~_)~ ~o High water alarm (Y/N) Date of Pumping /~/~ Pumper I~/~ ~ C. ABSORPTION FIELD DATA Date installed o'[Ill-iq- Length ~ [ ~ Width Soil rating (.p.~. ~ or fF/bdrm) J,),, System type Gravel thickness below pipe t~,r./._~ ' Totaldepth Effective absorption area '~r-~°ro S'F Monitoring Tube present (~N) ~/Es Depression over field (Y~) I%)° Date of adequacy test ~//'~ ~Y:S Results(Pass/Fail) ~/~ For Fluid depth in absorption field before test (in.); Fluid depth 0v~//~ (ins) Minutes later: Peroxide treatment (past 12 months) (Y/~ Immediately after b/~.l- gal. water added (in.): Absorption rate = /v'///- g.p.d. If yes, give date bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /00 ~-f On adjacent lots Absorption field on lot /00 ~ On adjacent lots lbo Public sewer main ~//:I- Public sewer manhole/cleanout Sewer/septic service line ~//~ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation /0 f.(- Property line ,/0 /-/- Absorption field Water main/service line /0 ~ Surfacewater/drainage ! O0 ~Y-- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /~ ~'/- Building foundation ' /~ ~4- Water main/service line Surface water /C)d ' + Driveway, parking/vehicle storage area Curtain drain ~,~E ~l,~O~,,~ Wells on adjacent lots /O~ F. ENGINEER'S CERTIFICATION// I certify that I ha~ de~mine~ru eld inspections and in conforman,~e w~h ~DA_ .l~l~[gui ~.lines in effect on this date. Signature ~~'~!~"~_.~ ~ Engineer,sNarn~e~' ~ J~ A' ~./~c~ HAAFee $ ~ ~3~ Date of Payment Receipt Number ,~ ~"7~ (~/-'7/'~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number FROM:: 'ALASKA UATER & UASTEUATER PHONE NO. : 9073383246 Apr. 06 1998 iO:12AM Pi ChemLab Rat. ~_' 95.'i457-001 Client Name; AJ~ka Water ProJe~t N~: ClJe~[ ~ample ID; ES. B1 Prospeo{ Matrix: grln~t~ W~e~ O~er~ ~: Jim RWSID client PO~= rile Pdn[ed Daten'ime: 4/6/98 oo:oo C~lt~le~l Date/Time: 4/21~B 15;30 Received O~ime; 4t~g8 08:30 Technical Oim~n ~tephen Erie Param~r Results PQL Units Allm~,,eble Prep Analysis Method Llmlte Date Date Init Totel Coliform (MF) 0 4/31ge TNIW Nib~ate 2,890 O,'I mg/L EPA, 300 , .... 10,0