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Home My WebLink AboutCONTOUR ACRES #4 BLK 4 LT 2 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 Permit Number: '-~'¢--¢J 9~Oo~3 PID Number: O/'7 '- 3<~'/-3/ Name: ~ ~ ~tW~ ~. L A~-~ WastewaterSystem: ~New ~Upgrade Address: i~&~/ ~&~ ~ I~ ~cHO~A~c A~ 99~/~ ABSORPTION FIELD Phone:mNO. of Bedrooms: 3 /~/~ I ~ ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION so,,.~t,n~.~ GPD/Sq. Ft, Total Depth fr~riginal grade: Lot: ~ Block: ~~Subdiv~i°n: .~ ~/ Depth to pipe bosom from originalgrade:~ ~ Ft. Gravel dept~eneath pipe Ft. ~ow.,,,>: J..nge: JSect,o.: Fill added above original grade: Gravel length:. ~ / ~ ~ ~ ~- ~ '~'/' ~ Ft. Ft. WELL:~ New ~ Upgrade Gravel width: Number of lines: Distance between lines: ~ ' Ft. / '-- Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption are~ Pipe material: ~ Driller: , ,~ , Date Drilled: 8taticWater Level: Installer: Date installed: Yield: ~ J Pump Set at: Casing Height Above Ground: O, ff sPul ~OO Ft. ~ Ft. TANK SEPARATION DISTANCES ~Septic g Holding g S.T.E.P. To Septic Absorption Lift Holding =ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~~ Wel~ /~0~ /~ ~ .-- ~? Material: ~ Numbero~ompa~ments: Su~ace w.t~r/~07 /~o~+ -- ~ '~ ~ LIFT STATION Lot ~ ~ _ s,z~ i...,,o.s: J =an.,.c~ Line ~<~ ~ ~ Foundation /~/ ~/ - _ --- "Pump on" level at: I "Pump off" level at: ~m at: Cu~ainDrain -~ ~ ~ ~ ~ Pump Make & Model J Electrical Inspections performed by: Remarks: BENCH MARK Location and Description: /00 ~, Inspections performed by: ~' / ~ ~'/~[~/~ Dates: 1st ~L. ~.~ Depadment of Health and Human Se~ices approval ~,,, -~'..<~... .... ./. Reviewed and approved by: ~/~~~, ~~Date: ?'~- ~ ~ '[" 72-013 (Rev. 9/91) MOA 25 DEPARYHENT OF HEALTH AND HUNFAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O, ]]ox 196650 tAnchor~oe, A[~sk~ 99519-66501 TeLephone, 34:3-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LRGAL LOT 2, BLOCK 4, CONTOUR ACRES #4 P.[.D. NO. 017-,581-51 LOT ,5_ ~ ~IU$ (APPR~ LOT 4 ALT. S NEW 1500 GAL. SEPTIC T.~ .DBL2 LOT 2 -- NEW DRA ELD WELL SCAI~ l" = 40' ROBERT C. COWAN CE - 8801 PERMIT NO. SW980043 PAGE 5 OF 5 Mu nici~ii~.¢l~ Ar~choro, Qe DEPARTMENT OF AND HUH'AN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e~Anchorage, Alask~ 99519-6650 · Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2, BLOCK 4, CONTOUR ACRES ~4 P.].D. NO. 017--581--,51 S?I ST2 ~..~ ~FINAL GRADE 91 1250 GAL , CO1 MT2nCnO2n MTI_Jco1 = 96.4' II II II/lc02 = 97.?' ~ .~,,.,-F~L GRADE III ~'HJ~-JCO1 = 90.7' II1~ 'c°~,,=9°'8' MT2 = 86.7' MTl = 86.6' NO WATEE FOUND 80,7' B.O.H, A B FCO 11.5' 52.5' ST1 24.5' 55.5' ST2 35.5' 41' DBL1 57.5' 45' DBL2 40.5' 45.5' C01 37' 65.5' C02 66.5' 44' MT1 55' 65.5' MT2 65.5' 44' M-W DRtLLIN(], P O BOX 110378 ANCHORAO~-, AK 99511-0378 345-4000 FAX 345-3287 RAT~ WEll, RICO{U) W~L U-BUILT: DATE OF DEFYH OF HO~ ~FEET DEPYI! ~ STATIC WATER LL'ViI,: ~ff .CASING ~PE: ~ D~: ~ IN, ~ROM dYO ~ FY I[ VOI,U~ gElD: DEI~'I{ ~0 DEPI'H: ~ROII ~ t~ JUN 30 1998 Municipality ct A~clnorage Dept. Health & Human Services DATE ] O~ER , ] o~n ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN Date: Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SERVICES (907) 694-2979 FAX (907) 694-1211 RECEIVED APR 2 7 1998 Municipality of Anchorage Dept, Health & Human Services REFERENCE: 10T JL 8~ec~ ~ Cc~ro0R 4c,~,~3' ~ ~ The septic in~peTtions for %he. referenced property were performed on ~/~/~ and ~/_~ff~ . Prior to submitting the On-site Wa~tewater Disposal System and/or. Well I.nspection Report we are wa~t~ng for the F,~4r,,~/~.~v~? to be completed. If we may be of further service please contact us. Sincerely, t C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW980043 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:LARREA CATHERINE A OWNER ADDRESS:12801 REATA DRIVE ANCHORAGE, ALASKA 99516 DATE ISSUED: 3/27/98 EXPIRATION DATE: 3/27/99 PARCEL ID:01738131 LEGAL DESCRIPTION: CONTOUR ACRES #4 BLK 4 LT 2 LOT SIZE: 104544 (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 (18AAC80). 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 SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ~/~- 3- 2 7-- ?$ ',tneemnq ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. March 9, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 2, Block 4, Contour Acres S/D #4 Request you issue a permit to drill a well and install a septic system to serve the proposed five bedroom house on the referenced property. A test hole was excavated and a sieve analysis was performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation no groundwater was encountered and after seven day groundwater monitoring, the test hole was found to be dry. This property has enough ama for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. There are no points of contamination within the proposed well radius which can be seen on the attached site plan. If you require additional information, please contact us. Sincerely, RCC/jlm Enclosure 17034 NORTH F_AGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 I o~ -'(o r,...) -G) / -- ,, Oz~oOO · / / ~ ~.~,~, ~ I , t/ \ ~z~. =, ,'1 1:~ ~'":~,~ / I ~( [,~ ~-'---"--'-{'~---.- ~ // r ~ ~, ~..n.'-~ / / / ,~'~u.~]us ~ J ~ ,, ~ -~ IA ~' l- / i L _ , ~:. :,_..: / ,' ,.. .... ---,_ ;,,..,,, ,.,., ,'t' [~2) ~ / / £ \ ,~ ,.._ / P"'-, I~ ~ /.m' , ~ ~ / / / % o~ ~ ~,~-'... ...J ~ /,,_'~ u /~"/ / ~_.__ '"to" h/ · ~ '~ rO .... ,/ ~ ~', / ~' , , , .~".~. ~Ui / - -- __ __ 3'lVOS '~ -"-'k./~ N91S~IO NV'Id qIIS ,00 L = ,, L PERFORMED FOR: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Co,~u £7~u c T/d~,~ WAS GROUND WATER ENCOUNTERED? ~ O S L IF YES, AT WHAT '~ O DEPTH? p E Depth to Water Alter jO/%y ~/,~ ~/o~ ~ Monitoring? Date: ,A2> ....._.~,~,. Township, Range, Section: SLOPE SITE PLAN A ,,," / Gross Net Depth to Net Reading Date Time Time Water Drop -/JJ/z PERFORMED BY~4 ==~, .... 7;; L;;~ R~;~ ~=. ~ ACCORDANCE ~[v~A~B ~EIPAL GUIDELINES IN EFFECT ON THIS DATE. PERCOLATION RATE ~" (minutes/inch) PERC HOLE DIAMETER ~ ~ETWEEN __ FT AND __ FT CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: */~'V t'~ ~ 72-008 (Rev. 4/85) Percent Passing by~Weig.~ht 0 (~ C::) 0 (~ C:) (:::) (:::) 0 #16 I No. 20 # 30 ~ No. 40 # 50 No. 60 # 80 ~ No.100 o. oo O.02mmIi ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIl. ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 2, Block 4, Contour Acres S/D #4 March 9, 1998 GENERAL: The scope of this project includes the installation of a 1500 gallon septic tank and a five foot wide drainfield to serve the proposed five bedroom residence or the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. o The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. o Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. o The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 Page Two Lot 2, Block 4, Contour Acres S/D #4 March 9, 1998 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 f. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. Page Three Lot 2, Block 4, Contour Acres S/D #4 March 9, 1998 The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: TYpe of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt bamer, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Page Four Lot 2, Block 4, Contour Acres S/D #4 March 9, 1998 Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. Them will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/OWNER Parcel I.D. # 017-381-31 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 2, Block 4, Contour Acres #4 Location (site address or directions) NHN Vaquero Road Property owner Mailing address Lending agency Mailing address Agent Address Bethard Construction 12801Reata, Anchorage, AK 99516 Day phone 345-1615 Day phone Day phone e Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well xxx 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: XXX 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 BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from.my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature S & S ENGINEERING i/u~4 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 DHHS SIGNATURE Approved for /~'"O ~ /~ 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) Back MOA #21 Legal Description: LoT ~ MUnicipality of Anchorage ~ DEPARTMENT OF HEALTH & HUMAN SERVICES P~ E C E IV E Environmental Services Division ~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 3434~1~44 4 19° 9 Municipality el Anchorage Health Authority Approval Checklist OePt. Health 8, Human Sen/ices 8. L~< .~ C.o~:r0~A ~c~.$ ~-~ Parcel I.D.: .OI 7- .3 ~/- 3 ) A. WELL DATA Well type ~ Log present (~/N). Total depth ~ ~0 Sanitary seal i~N) "/ If A, B, or C, attach ADEC letter. ADEC water system number -- Date completed ~'/1 ;~,/' ~ ~ Cased to ~ 6'~/ Casing height (above' ground) Wires properly protected (~N) I Date of test Static water level FROM WELL LOG AT INSPECTION Well production g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: 0 Nitrate SEPTIC/HOLDING TANK DATA Date installed ~./;35-/~t ~' Tank size Collected by: Other bacteria S & S ENGINEERING '.?C34 -%~:~ =;,,,~ L~,~p ~..a6 No. ~i Eagle River, Alaska 99577 Number of Compartments Foundation cleanout (~N) '7'4-.)' Depression (Y/~) Date of Pumping ~t/.4 T~.~ Pumper w ABSORPTION FIELD DATA Date installed ~'//'~/¢I ~ '' Soil rating ~or fF/bdrm) High water alarm (Y/I~) ~ o System type Leng{~h ~ ~; Width ~ ,.C Gravel thickness below pipe Total depth l J, S'- Effective absorption area ,(~.~ o ~ z. Monitoring Tube present(~N)¥~-J' Depression over field (Y,~) /v ~ Date of adequacy test /'-'/4 - ~"~ Results (Pass/Fail) For ~ ~ bedrooms Fluid depth in absorption field before test (in.); ~ gal. water added (in.): Fluid depth Absorption rate = __.-- .g.p.d. Peroxide ~1~ months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* ~ "Pump off" level at* ~.-, High water alarm level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ,/o o -/- Absorption field on lot ! 00 ~-/- Public sewer mmn /V/,~ Sewer/septic service line ~- On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station ! /oo SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: -/' Foundation . I ~' Property line '~ 3 Absorption field · Water main/service line /0 -/-- Surface water/drainage /0o -/-- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line z~ ~ Building foundation ~ 3 Water main/service line Surface water ? O (3 ·-/-- Driveway, parking/vehicle storage area '3 0 ! /4) 0 .-/- Curtain drain ~v o ~ ~. ~ ~ o ~ ~ Wells on adjacent lots ! ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformancewithMO.4HAAg_uideline~ineffectonthisdate. /~7" ign ture Engineer's Name ~0&~,,~-- C". Co~,~/~, ~... Date ~ / z//~W q'* z-'. s are HAA Fee $ ~ Date of Payment ~/,~Z'/~? Receipt Number Z.//~-~,/_~ Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* R~BERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN ID(TENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN CLIENT: r~ 4 rt4/l~ta LEGAL DESCRIPTION: ~ 7" · WELL DEPTH: ~ ~-O DATE DRILLING COMPLETED: WELL FLOW TEST DATA (907) 694-2979 FAX (907) 694-1 DATE: CASING DEPTH: J J' 3 ',/.~. / ,~' /11~ / q ~ DRILLER: MISC. DATA: CASING HEIGHT: ) ~.-/'- SANITARY SEAL: WIRES IN CONDUIT: ¥~ $' GRADING O.K.: BACTERIA AND NITRATE SAMPLES COLLECTED (date): TEST DATA: METER PUMPING DEPTH TO CLOCK READING RATE WATER REMARKS TIME (GAL) (GPM) (FT) il' ~ Pvm~ RESULTS: WELL CURRENTLY PRODUCES O.~ GPM WITH A DRAWDOWN TESTED BY: ~0/~ ~' , FLOW RATE NOT GUARANTEED--SUBSEQUENT VARIATIONS CAN OCCUR. 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577 FROM-¢TE ENVIRONMENTAL 5615301 T-3g? P.0;/0; ;-$55 CT&E Environmental Services Inc. Laboratory Divi.ion 200 W. Prater Drive ~lkmg Water Analysis Report for Total Coliform Bacteria ^.,h,,,.,. ^K ..r~.-'~SO~ Tel: (907) 562-2343 READ INSTRUCTIONS ON REI/ERSE SIDE BEFORE COLLECTING .SAMPLE ....... Fax (907) 561-5301 Must BE COMPLETED'BY WATER SOP'PLI£R PRIVATE WATER SYSTEM L ,P/ '5~44~ Zr~, Co~e Repeat Sample (for ro~flne ~,ampie with lab ret'..o. . ) Special Purpose ;~ AMPLE LOCATION 0 Un~reuedWater Time Collected Collected By 4oo? Ple~,r ~ ( ommcnts. M MO-MUG Resale: Total Coli[orm Membrane Fiber: Direct Coant Verd]¢atiun; LTB Fecal Coliform ¢:aaflrmatlOO - TO BE COMPLETED BY LABORATORY Analys~s shows this Wa~er SAMPLE lu Saosfactory Unsat,~factory Sample over 30 hours old. results may be ,nrehabl~ D Sample ~oo long m ~anst[; sample should not be o~er 48~oum old at exa~maoon [o indicate teh3bl~ r~sql~. Please new sample ~m s~e~ai~live~ mail. Time Analysis B~an J ~. ~ ~llylCal ~thod: ~ ~cmb[a~e Fflt~ .*_ ,L',lu~bm:.af r~!,',-,~ ] n~ mi. :e~;ult* Analyst .............. Fbks Jun o.,, O1~ Jo/el ,,,,~ ...lqql Client notified of unsatisfactory reiuhs: Phaned BACTERIOLOGICAL WATER ANALYSIS RECORD £. Coil BGB COLIFIRM SpoKe Colonies/lO0 mi Cohform/100 mi Time /~.'{~ hrs [] Faxed I~1t~ Member o! me SaS Gro.p lsoclom Oenera,e de S.rve,.encel .......... ~N',/J~ONM~NTAL FACILITIES IN ALASKA, CALIFORNIA. FLORIDA, ILLINOIS. MARYLAND. MICHIGAN. MISSOURI, NEW 0ERSEY, OHIO. WEST vIRGINIA '~;!, .U.~.*BO I$:0g FROM-CTE ENVIRONMENTAL ~t~l~ C T&E Environment. I Secvic .s Inc. · ~ 5615301 T-38T P.02/03 F-555 E Ref.# Name ~j~'.n,t Name/# Sample ID ~ d~'red By Remarks: 992362001 S & $ Engineering L2, B4 Contour Acres L2, B4 Contour Acres Drinking Water Client POt/ Printed Date/Time 06/03/99 13:11 Collected Date/Time 05/28/99 16:00 Received Daw/Time 05/28/99 17:40 Technical Director: Stephen C. Ede Attonabte Prep AnaLysis Limits DaTe Date ln~t 0 cOtllOOmL $~1B 9ZZZB 05128/~9 KAP 0.500 U 0.500 m~/L EPA 300.0 10 max 05128/99 05/2~i9~ gel