HomeMy WebLinkAboutFALLING WATER BLK 2 LT 2Falling Water
Block 2
Lot 2
#050-772-03
Municipality of Anchorage Page of
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: SW PID Number: (95/i 7%Z 03
Name:
9'T /'JarP.Y
Wastewater System: VNew ❑ Upgrade
Address:ESS �, 9950
ABSORPTION FIELD
Phone: No. of Bedrooms:
5G _ ZZ/ ✓�
❑Deep Trench ❑Shallow Trench Bed ❑Mound 1:1 Other
LEGAL DESCRIPTION
Soil Rating:
D- 1
Total Depth trot
'714
GPD/Sq. Ft
Nvc-vgrade:
Lot: Block: Subdivision:
Depth to pipe bottomfrom original grade:
sfr
Gravel depth beneath pi e
/N�
.3. —f Ft.
0, Ft.
Township:
Range:
Section:
Fill added above original grade:
0-1
Gravel length: /J
Ft.
/ Ft.
WELL: P�'New El Upgrade
Gravel width: /
5
Number oflines:
Is
Distance between line@:
11
Ft
GES! y' S Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:
Total absorption area:
Pipe material: -
/p1ZVi%T6
Ft.
Ft.
L20 SO. Ft.
/++ 7131-/
Driller:
Date Or lied:
Static Wa er Level:
Installer:
6126EN G. C-
Date installed ,
d7111019
Lt.IVA
Ft.
Yield:
Pump Set al:Casing
Height Above Ground:
TANK
GPM
,� FI.
Ft.
SEPARATION
DISTANCES
)(Septic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
Lin
Holding
CofttPrivate
Manufacturer:
/
Capacity in gatll7ons:
DFrom
A 0
Tank
Field
Station
Tank
Sewer LinesA*dp
Well
/00
N/A
N/A
D '
Material:
666
Number of Compartments:
f/ _
SurfaceA
1100
no,
Nl LIFT STATION
Water
Lot
�O4
7
Size in gallons:
Manufacturer
Line
Foundation
r
O lJ
I�^
�y /-t
"Pump on" level at:
"Pump off"
High water alarm at:
CurtainA//�
Pump Make
Electrical Inspections performed by:
Drain
/7/
Remarks:
BENCH MARK
Location and Description:
S19N)alt-T6 . /
fpor9 S
D WELL iM
Assumed Elevation:
" 3 to5i /NSv TeON
-
/
� ,,q>r+m0 •a •••e �•va.e a �� io
i, • ✓�.
asr "J
f" OtY"
��•E•S• 47/�/Z9�
o•d��..7� Q
+�"
Inspections performed by: Dates: 1st
•,.�a�:,<
: r
2nd
A
♦ Louis A. 6utera t
��
��
Q /
,,00���� 4
Ith Services fb`Va
es CE -6736,` tL
���`Fo �,'
Department of H and aF-
C
••.,.,•••
Reviewed and approved b Date: D 8 5
72-013 (Rev. 9/91) MOA 25 U
9
I
Permit No. S6') / 1101Id 9
Page �� of
Municipality of Anchorage
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
Legal Description: A%fi7rse_ for l 81,4-/- .Z PID No.: 050 % % Z e�E
50' STREAM MAINZ ESM
373.49
�? S 89°47'31' W
o/10'X10' UTILITY ESMNT. z
I�
HOUSE I �D
&UIQ DING ti ry EXCAVATION
�Cb
WELL GAN o
0` _ 10 po,
S
OT 2 d ��
�0 1000 GAL fL�l
3fn Z SEPTIC TANK �� w
�L w 100.0'SET BACK 9
500 GAL C
GGA A �0 SEPTIC �ANK
9f f F D
Ln
BED
I 15'X 72' i
SWING TIES — — — B
A - C = 118.5 10' DRAIN ESMNT. 310.81
B - C = 102.0 78,92 S 89°4428' W
A - D = 123,4
B - D = 96.9
A - E = 173.3 100.0'
B - E = 47.1
A - E = 113.7 SCALE 1" = 60'
B - E = 108.6 WELL
• - MONITOR TUBE
o - SEWER CLEANOUT
- WELL
ELEVATIGNS TOPOE WELL EASEMENT
(NOT TO SCALE) AS' SUMS ELEV = 109.81
ENGINEER'S SEAL
NOR
GROUND LEVEL AT,
O •'��%%%%%`,
• OF q4 lot
2' 35PSI INSULATION 1 BED 955 m ��.\
0 - 1' ADDED FILL THl 93.5 �
1 /
�' NO G T 00
00 * . 49 T * �OF /
81.2 goo.
=TANK 3.9 92.10 92.10 /�A _0IS A. BUTERA94.CE-6736
WEST MT 91.5
EAST MT 9L6 X11;`"":`'
08/10/95
72-013 A i 21911 MOA 25
Aw
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SULLIVAN WATER WELLS
P.O. ROX670272, CHUGIAK, ALASKA9251T a TELEPHONE OU -2769
OWNER OF LAND-iffAc -tT ()iq 4 r_kjAc /11 14) AQ DEPT
ADDRESS 6;N S' S rJAP*3 A �y* AAef STA'I'I('LFVFL0FWATER jrr
LEGAL DESCRIPTION&4t� DRAW DOWN FT.
DATE - Statord Ended GALS. PER HR
PRItMff NUMBER
KIND OF CASING
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DRILLER'S NAME
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tsr lbll?IgV 0 2-•cr0p)&,t 1,
VM
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
I PAGE 1 OF 1
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940289 DATE ISSUED: 8/12/94
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES EXPIRATION DATE: 8/12/95
OWNER NAME:MURPHY BRETT D
OWNER ADDRESS:6245 EASTWOOD CT.
ANCHORAGE, AK 99504 r&zZtjz
PARCEL ID:05077203 8>1101kS 11; 36,4AA
LEGAL DESCRIPTION: FALLING WATER BLK 2 LT 2
LOT SIZE: 76930 (SQ. FT.) �
NUMBER OF BEDROOMS: HIS PERMIT: I'
J
THIS PERMIT IS FOR THE CONTRUCTION 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) .
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:
THIS PERMIT REPLACES PERMIT NO. SW -920281 DATED 9/11/92.
RECEIVED B
ISSUED BY:
DATE:
DATE:
Louis Butera, P.E.
Registered Civil Engineer
February 23, 1995
Jim Cross, P.E.
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Falling Water Lot 2, Block 2
Narrative
SW940289
Dear Mr. Cross:
RECEIVED
FEB 2 %1995
Murncjpahty of Anchorage
Dept. Health & Human Services
RECEIVED
FEB 2 41995
Niunic,,pahly 01 Anchorage
Dept. Health & Human Services
On behalf of our client, Mr. and Mrs. Brett Murphy, we are applying for a modification of the
above referenced permit with expires August 12, 1995. The system is to be expanded to a five
bedroom system by adding an additional tank and leachfield area as per the attached site plan.
The existing leachfield has not been utilized and can be easily modified to meet the expansion.
We have attached the permit which can be modified to meet our objectives.
If you have any questions please call our office at 694-5195.
Sincerely,
.........
Louis Butera, P.E.
C:\WPWIN60\WPDOCS\1995\92-124A. NAR
P.O. Box 773294 • Eagle River, Alaska 99577 • Telephone (907) 694-5195 • Fax (907) 694-3297
SEPTIC +100' L 0 T 3
50' STREAM MAINT. ESM
373.49
o " S 89'47'31' W
52 00 10'X10' UTILITY ESMNT. z
S b2 o
HOUSE
> BVI�DING tiEXCAVA7-113N
C3 £
s
WELL G2N o
S o 2 /00 o d�� ONS g
OT 2 dmf
'cam° EXISTING
y °0 1000 GAL Lis IZsz
fJI Z SEPTIC TANK
T 100.0'SET BACK �� 9
3�G
L ox NW NEW 500 GAL CPq
SEPTIC TANK �F<
9f2 Ngo £ 15'D X 29' dRrLF ~
A U
Rfp 10, oz
Ira' / <gCfMfhP ®TH �
------ I gRfq 15IXTI'13
10' DRAIN ESMNT. o.et 10, BED
78.92 S 89.44'28' w
5/8' REHAR
LOT 1
100.0' NEIGH.
SEPTIC +30'
APPROX. OO W NHILL
HOUSE
LOC.
WELL
® – TEST HOLE
• – MONITOR TUBE
o – SEWER CLEANOUT
– WELL
— – EASEMENT
SEPTIC SBTE PLAN ��.•••.��
LEGAL: FALLING WATER LOT2 BLK2 OF
OWNER: BRETT MURPHY
CONTRACTOR: N/A * 49 TH
JOB # 92-124 DATE: 02/23/95 SCALE 1 = 60' -' 0
�...0
EAGLE RIVER ENGINEERING SERVICES �� c LOUIS A. BUTERA Zoo
P,O. Box 773294 CE -6736 ==
v
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297 �111%�\FEssION����
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
02/23/95
LEGAL: LOT 2, BLOCK 2, FALLING WATER
A. GENERAT_.
1. The septic plan is for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the
field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the
contractor to meet Municipality of Anchorage.
6. It is the responsibility of the owner to obtain all necessary permits or easements
and to locate any adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. It is always recommended that a surveyor locate the nearest lot line position and
the location of any easements.
B. SEPTIC TANK
1. A 500 gallon tank shall be placed after the existing 1,000 gallon septic tank.
2. Septic tank and line shall be insulated witn 2" 35 psi burial foam.
C. BED
1. The bed area is to be over -excavated 2', and a filter sand material placed to gravel
bed elevation.
2. The bottom of the sand filter bed shall be level, plus or minus 1.5".
3. The total depth of the bed excavation is not to exceed 6' at any point.
4. All leachlines are to be placed level from the existing, solid manifold, in the
location shown on the site plan.
5. The bed gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or
equivalent is to be placed over the leachfield.
7. The area over the bed is to be finish graded to prevent ponding of surface water
runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
RECOMMENDED ADDITIONAL EACHFIELD DIMENSIONS:
TOTAL DEPTH = 4' gravel bed/6' sand filter GRAVEL DEPTH = 1'
BED LENGTH = 29' BED WIDTH = 15'
SOIL RATING = 0.7 GPD/ftz BEDROOM CAPACITY = 5 total
SEPTIC TANK SIZE = 500 gallon
NOTE: Filter sand to be from ADEC approved source (Quality Sand & Gravel)
Twenty-four (24) hours notice required for all inspections.
C:\WPWIN60\WPD0CS\ 1995\92-124A.SPC
EAGLE RIVER JOB f&1,11g6 w1jrM z . ZZ -
ENGINEERING SERVICES SHEET NO. OF
P.O. Box 773294 /'
EAGLE RIVER, AK 99577 CALCULATED BY DATE /�lZ 7'73 (7
(907) 694.5195 CHECKED BY ✓'J DATE
ncn, a
Single family five bedroom residence
. _ 5 bedrooms =
750 GPD
Soil rating =
0.7 GPD/ftz (sand filter)
750 _ 0.7 =
1,071 square feet
Leachfield dimensions:_
Width
= 15'
Length
= 71.4'
✓ f :: a N
rrR
^ .t
'i
t•tF 5�,
4y •
_
_ �.., . � _..
i•ar�T
to plrw� • • • ot'•'i'
Lc u,5 A, Culora 1 �d
1«
A
erraa ,� • C)taA
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PMMT204.,
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE ,n
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:SW940289 DATE ISSUED: 8/12/94
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES EXPIRATION DATE: 8/12/95
OWNER NAME:MURPHY BRETT D
OWNER ADDRESS:6245 EASTWOOD CT.
ANCHORAGE, AK 99504
PARCEL ID:05077203
LEGAL DESCRIPTION: FALLING WATER BLK 2 LT 2
LOT SIZE: 76930 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION 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) .
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: /
THIS PERMIT REPLACES PERMIT NO. SW -920281 DATED 9/11/92.✓
RECEIVED B
ISSUED BY:
DATE: $'-/!;7'?5/
DATE: ? ��
Louis Butera, P.E.
Registered Civil Engineer
July 28, 1994
Jim Cross, P.E.
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Falling Water, Lot 2, Block 2
Narrative
SW920281
Dear Mr. Cross:
On behalf of our client, Mr. Brett Murphy, we are requesting reissuance of the above referenced
well and septic construction permit. The design, attached and stamped, remains unchanged from
the 1992 version. There has been no development to affect the siting.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
C:\WPWIN60\WPDOCS\1994\92-124A.NAR
P.O. Box 773294 • Eagle River, Alaska 99577 • Telephone (907) 694-5195 • Fax (907) 694-3297
Municipality of Anchorage
M
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
November 15, 1993
Brett D. Murphy
6245 Eastwood Court
Anchorage, Alaska 99504
Subject: Lot 2 Block 2 Falling Water Subdivision
Permit #SW920281, PID #050-772-03
The subject permit, issued September 11, 1992 by this office for a
single family well and/or on-site wastewater system, has
expired as of September 11, 1993.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as -built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
Smit , P. E.
Ootn
gram Manager
On-site Services
enc: Copy of Permit
cc: Eagle River Engineering Services
PAGE 1 OF 1
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:SW920281 DATE ISSUED: 9/11/92
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES EXPIRATION DATE: 9/11/93
OWNER NAME:MURPHY BRETT D
OWNER ADDRESS:6245 EASTWOOD CT.
ANCHORAGE, AK 99504
PARCEL ID:05077203
LEGAL DESCRIPTION: FALLING WATER SLK 2 LT 2
LOT SIZE: 76930 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION 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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THIS SEPTIC SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE
APPROVED ENGINEER'S DESIGN DATED 9/8/92.
RECEIVED BY:
DATE: a�6rc'')l
ISSUED BY: x4 i_ �� �2 - DATE: �� /7
Louis Butera, P.E.
Registered Civil Engineer
September 8, 1992
John Smith, P.E.
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Failing Water, Lot 2, Block 2
Narrative
Dear Mr. Smith:
The proposed septic upgrade will have very limited impact on adjacent properties for the
following reasons:
1. The area has large lots allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance, and are developed.
3. Reserve space is adequate, due to absorption capacity of soil.
4. Drainage will not be effected and is not a major consideration in our design.
This system will require a variance to allow the bed system to be installed on a 10% slope. The
lot has a 15 % average slope from top to bottom, with small benches at various levels. The
leachfield has to be a bed system due to the requirement of a sand filter. Placing the field at
a depth of 4' should preclude the possibility of effluent surfacing. There is not a concern of
water table encroachment on the uphill side of the bed, as no water table was recorded in a very
coarse soil material.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
P.O. Box 773294 • Eagle River, Alaska 99577 • Telephone (907) 694-5195 • Fax (907) 694-3297
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: LOT 2, BLOCK 2, FALLING WATER
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
and State Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the
field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the
contractor to meet Municipality of Anchorage, Department of Environmental
Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements
and to locate any adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. It is always recommended that a surveyor locate the nearest lot line position and
the location of any easements.
B. BED
1. The bed area is to be over -excavated 2', and a filter sand material placed to
gravel bed elevation.
2. The bottom of the sand filter bed shall be level, plus or minus 1.5".
3. The total depth of the bed excavation is not to exceed 6' at any point.
4. All leachlines are to be placed level from a solid manifold.
5. The bed gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or
equivalent is to be placed over the leachfield.
7. The area over the bed is to be finish graded to prevent ponding of surface water
runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS
TOTAL DEPTH = 4' gravel bed/6' sand filter GRAVEL DEPTH = V
BED LENGTH = 43' BED WIDTH = 15'
SOIL RATING = 0.7 GPD/ftz BEDROOM CAPACITY = 3
SEPTIC TANK SIZE = 1,000 gallon (minimum)
NOTE: Filter sand to be from ADEC approved source (Quality Sand & Gravel)
Twenty-four (24) hours notice required for all inspections.
—i SEPTIC «100' L EIT 3
50' STREAM MAINT. ESMNT, REBAR
� 373.49
S 89°47'31' W
hZ2p I
S ( I z 0
>10'X10' UTILITY ESMNT. ��L I oN
°10 HOUSE I N o
q/ ~ PROPOSED YELL o
kp
Z � I
s
j�°oo LUT 2 loo,o' C I z
Iasi I w
�< VV
I00.0'SE1 BACK
z
�OG�T
0� ° lo% � D
9\ro'
fp C Ij
0
`
tsl Ill
6 to• ZTH
REPLACEMENT15' �
IAREA 10
E==x'I
\ 10, 43'
10' DRAIN ESMNT. 310.81
78,92 S 89°44'28' W
20'
LUT 1
100,0' NEIGH.
SEPTIC X30'
APPROX. DOWNHILL
HOUSE
LOC.
WELL
NOTE: CALL ENGINEER FOR LOCATION ® — TEST HOLE
PRIOR TO PLACING FIELD • — MONITOR TUBE
o — SEWER CLEANOUT
+ — WELL
— PROPOSED LEACHFIELD
— — EASEMENT
SEPTIC SITE PLAIN
LEGAL: FALLING WATER LOT2 BLK2
OWNER: BRETT MURPHY
CONTRACTOR: N/A---.
JOB # 92-124 DATE: 09/08/92 SCALE 1' = 60' '
EAGLE RIVER ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
(ENGINEER'S SEAL)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: sre.vT /%�%aiy;o ti DATE PERFORMED:
1-41- L /nlF
LEGAL DESCRIPTION:f /�%��� 7✓-I7r/t° Township, Range, Section:
rye yH; SLOPE SITE PLAN
1 .
2
3 0
�a.
5
7 �
8
91 -C
TO0v�So i/
lJ YCr ✓Y'� �Ovr/S F.ar�i.d
Yoe
Ck Yo ?6 fc 4rre
e
13
14
15
16 -}
� x, u�s5e>9
��'��c�• Lou!s ,H. iii: +.ars
17 lj r
18 FOPROF SS+`�`'�mw
1s
20
COMMENTS
■■.■
Gross
Time
Net
Time
Depth to
Water
■ONE
�■■■
mom
n
17
■■,M
■.MO
■w
.I■■
I,M..
MEMO
■■■■
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Ne)
Depth to Water After
i
Monitoring? � /� Dale:
s
L
O
P
E
Reading Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
4
/
n
17
PERCOLATION RATE d• 2 (minutes/inch) PERC HOLE DIAMETER 6
TEST RUN BETWEEN FT AND s FT
cc
PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _ %ASA5��
72-008 (Rev. 4/85)
EAGLE RIVER JOB Falling Water Lot 2, Blk 2 92-124.cal
ENGINEERING SERVICES SHEET NO. OF
P. 0. Box 773294
EAGLE RIVER, ALASKA 99577 CALCULATED BV L.B. DATE 09/03/92
Phone 694-5195
CHECKED BY DATE _
SCALE
3 bedrooms _
450 GPD
Soil rating
0.7 ;GPD/ft2 (sand; filter) '
450 = 0.7,
6A2 square feet
Leachfield dimensions:
Width
= 15'
Length
43'
i
.1
Vl_���li Ili1\/l;l(''�lll.'�1�l�llhli�ll'1�!(11"�7('\t/l�tw
Louis Rules, P.F,.
Registered Civil Engineer
July 28, 1994
Jim Cross, P.E.
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Falling Water, Lot 2, Block 2
Narrative
SW920281
Dear Mr. Cross:
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
AUG 12 1994
RECEIVED
On behalf of our client, Mr. Brett Murphy, we are requesting reissuance of the above referenced
well and septic construction permit. The design, attached and stamped, remains unchanged from
the 1992 version. There has been no development to affect the siting.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
C:\WPWIN60\WPDOCS\ 1994\92-124A.NAR
P(I P-, ) 7,)(11 • P;mly Rkrr_ Alaeka 99577 • Tchephonr (9117)1;91.5195 • I;m t9KI 601.3297
SEPTIC 4100'
LOT 3
CL 50' STREAM MAINT
h;
;10'X10' IJIILII Y ESMNT. �Qj
L❑T
00
Z/ •" PROPOSED YELL
100.0'
/ 1000'SET BACK
z
a
J IP pi
�n £
a /
ESMNT, 373.49
S 89047'31"
HOUSE
,9� lesi
EE 1 NTH
REPLACIEMENT\AREA I L _
1_0'_ DRAIN I SMNI,. _ __ -_ 310.81__
78.92 S 89 44'28" W
L IJ I 1
100.0'
APr RDx,
'Ul1SE
LIIC.
WELL
NMF_: CAL_I_ ENGINEER FOR LOCATION
PRIUR TO PLACING FIELD
'SEPT C SBTE PLAN
LEGAL FAI LING WATER LOF2 BLK2
OWNER: P14II MURPHY
CONTRACTOR. ISI/A
9' 1 ' '1 DATE 09 08/92 SCALE
JOB 11 _
REBAR
_T—
I
z o
A
V NEIGH,
SEPTIC 4.30'
DOW1NHILL
I
:-1
0 -
TEST HOLE
• -
MONITOR TUBE
0 -
SEWER CLEANOUT
Q -
WELL
+1++H+4H+ -
PROPOSED LEACHFIELD
— — -
EASEMENT
1 " - 60'
RIVER E'NGINEE'RING SERVICES
11.0. 13ox 773294
EAGLE' RIVER, AK. 99577
(907) 694-5195 FAA': (907) 694 3297
Ilry�"x�v ey aeia °a CN,�Lta 'i�yF�
/� .• � � I q Pn '�� lY
d:• f
dap se°°a < exr e.ev •.0 ,.•,�
ea
Louis A. l er❑
u_-,9736
tP� eq .,` • CTS
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: LOT 2, BLOCK 2, FALLING WATER
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
and State Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the
field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the
contractor to meet Municipality of Anchorage, Department of Environmental
Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements
and to locate any adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. It is always recommended that a surveyor locate the nearest lot line position and
the location of any easements.
B. BED
1. The bed area is to be over -excavated 2', and a filter sand material placed to
gravel bed elevation.
2. The bottom of the sand filter bed shall be level, plus or minus 1.5".
3. The total depth of the bed excavation is not to exceed 6' at any point.
4. All leachlines are to be placed level from a solid manifold.
5. 'Tile bed gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or
equivalent is to be placed over the leachfield.
7. The area over the bed is to be finish graded to prevent ponding of surface water
runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 4' gravel bed/6' sand filter GRAVEL DEPTH = V
BED LENGTH = 43' BED WIDTH = 15'
SOIL RATING = 0.7 GPD/ftz BEDROOM CAPACITY = 3
SEPTIC TANK SIZE = 1,000 gallon (minimum)
NOTE: Filter sand to be from ADEC approved source (Quality Sand & Gravel)
Twenty-four (24) hours notice required for all inspections.
EAGI.E RIVE
ENGINEERING ME iICES
P. 0. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
Single family three bedroom residence
3 bedrooms = 450 GPD
Soil rating = 0.7 GPD/ft2 (sand filter)
450 - 0.7 = 642 square feet
Leachiield dimensions:
Width = 15'
Length = 43'
i I -'iI I -, ". , '„, Iv, - 01471
JOB Falling Wat^r Lot 2, Blk 2 92-124.cal
SHEET NO -___ _ _ _ _ OF _ - _.
CALCULATED BY __ - __L•B _.. __- DATE._ 09/03/92
CHECKED DV _ .. _. _. DALE. _
SCALE. __ __ _. ... _.. _._ _. _ _ _
(ENGINEER'S SEAL)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: 13reAil- DATE PERFORMED:_
LEGAL DESCRIPTION:/-wf-2 Township, Range, Section:
SLOPE SITE PLAN
1
2
3 0
4
o . 6G �)
.o C/ YLf ✓t" � /�O v r lS F.4�/i 4�
5 w, 1.21 S-4. d
6 /
7
13
Net
Time
Depth to
Water
Net
Drop
S%or
/-/v"
S
6
OF A4� It
/ 3c
S,i
a
pj
.
16
e
Oe1.a...•Y.
•,
�.. i
17
a
e �.
Louis A. L°utera 1" j
0
��
20
COMMENTS
WAS GROUND WATER
ENCOUNTERED? /Ve)
IF YES, AT WHAT
DEPTH?
Oepth to Water After
Monitoring? -1119 Dale: s �110i
■■■■■■■■■■
■■■■■■■■■■
■■■■■■■■■■
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
S%or
/-/v"
S
6
2 " .5 Ov
/ 3c
S,i
or..
PERCOLATION RATE C- 2 (minutes/inch) PERC HOLE DIAMETER 6
TEST RUN BETWEEN Z FT AND S FT
PERFORMED BY: `, 1� r S. I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Municipality of Anchorage
Development Services Department
,_..
Building Safety Division"
On -Site Water and Wastewater Program s <<
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. X1$0- 77a - 03 HAA # C)
Expiration Date: gi - IoL - 05-
1.
S1. GENERAL INFORMATION: , ,p
Complete gdescriptiont? >��.�i rrpi �Gti�lir_ oC o2 BoZ
tete le al _ +,
.. R:
Location (site address or directions) 3/,QD 7 f'� -A,
Current Property owner(s) grGl;f�( i'iiYoy Day phone (11/6 - 1998
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Day phone
p�irtciR W1Cs�j,"OirTkmDayphone .2GS- glop
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: S
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage ❑
Community Class Well ❑
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
1E]__
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 Health Authority 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 Eagle River Engineering Services Phone 69 ✓ -:5,195
1042 1 VFW ,
SutW 201
Address FaglA Rivar AKAAR77
Engineer's Printed Name ifHielrrepiI r.Fz ,P. /Vmb Date T/104d5
5. DSD SIGNATURE kt&�
t�RRNroOD
: CE:;
J/ Approved for S bedrooms. � '�•,,,. ,;:�<
................mil
Disapproved. �ss(owi
Conditional approval for bedrooms, with the following stipulations:
Additional Comments: WATERAND me
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: "z /—a Original Certificate Date: s-
(Rw. 0=R
05/10/2005 14:38 9073449821 JRS SEPTIC PAGE 01
JRs Pumping
PO Box 773415
Eagle River, AK 99577
(907)694-6454,
1eimnw Information - ......7
Eagle River Engineering
10421 VFW Rd Ste 201
Eagle River, AK 99577
(907) 894.5195
Job Description: 20Wg
P.O. Number.
Terms: Net 30
Saleuop: hnkole
Map Book:
Service Agreement
Number.
015204
Order Dale:
20 -Oct -2004
SerNce Date;
12 -Nov -2004 12:00 am
Technician:
Tony
Job Type Recall
Map Odd: 149150A
ole Site Infwmldlon _-
J
Cross Streets:
Eagle RimRoad
Chris - Bra" S Valerie Murphy(home o
Job Comments:
Last service 1021103. 2000pv
31507 Eagle River Road
–Schedule as a summer )ob. needs chains to access In winter–
TallaSeptic
on fr008ont, left side of dw past big vee./o
Checked and pumped tank - levels normal, little bit of gravel In 6ont
2 tanks: 15008& 500g
of tenk
Eagle River, AK 99577
(907) 694.5195
Tax Percent
242.2717
0
.--- �- _
Service Type
_
QtY Prka Esoh x 2 Men Tax Extension Actual
Contractor Job
1
$137.00
No No 5135.00
Price due to dletance
Addltionat Location Comments: Diagram:
Next dw sher Misty Mountain Rd - 3 housesF00
/aon
mad..2nd len teR w/ steep dw.Dusty
331,house
rose Cola w/ white trim. No Mrs on
TallaSeptic
on fr008ont, left side of dw past big vee./o
2 tanks: 15008& 500g
DW
Gallons Planned: 2000
—.- .�. Gallons Actual;
Hose Length: 2
Double Tank: w
Pump System! Yj
Barnes Infer I_I
83
Mas Ousel I- I
NonTaxabie Total Taxable Total Tax Total Grand Total
Estimated Charges: 3135.00 $0.00 $0.00 2135.00
Actual Charges:
Customer agrees to the terms end conditions printed on the back. THIS IS A BINDING AGREEMENT.
Signature and Title of Custaner Representative
Date
Accepted try JRs Pumping Date Accepted
For your added convenience we accept American Express. Dicover, Vise and Master Card payments over the phone.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.ancfiorage.ak.us
(907)343-7904
C4_11
Who
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. <Z%r- HAA# �Lq
Expiration Date: — 14 — C7 9
1. GENERAL INFORMATION
Complete legal descriptionEi1 LL NiV LAt:2 L Z F� 2 -
Location
Location (site address or directions) 3 I'007 LA -LLE
Current Property owner(s) J?�R r:4f + trA F21E m%,aPtfI Day phone 69 G
Mailing address 31W07 / di rr 2i It2 R-0�}�, P_2jl cAr_ C19577
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Day phone
LINDA w Z COLD iUJ- ,?A�vr_ 5 Day phone 2 4 S-91)9
---
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Er
Individual Well
❑
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
LJ
individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 Health Authority 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
Address _fpyZiyFi t
Engineer's Printed Name
GRUZE5 Phonejcj�_ S /_
Date
5. DSD SIGNATURE a : CHRISTOPHERR WOOD
Approved fori
bedrooms. •. , �'�''
Disapproved.ossioNra o�
X Conditional approval for 5 bedrooms, with the following stipulations:
See Eagle River Engineering Services letter dated November 1 2004
- This letter must accompany all copies of the Health Authority
Additional Comments �=
J • ON-SITE ;
WASIEWATER
PROGRAM
/9m)-1111�
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: - a/, �� l Original Certificate Date: 0 GSC
( .v. mroz) l/
VVIUM
Develop
On
3m
9w�65�0
.,,..... ... w,., .., 9y9y
ry/ia'iaY
ft
Tevel� "", J"2
fit
SZ
tion'
............... .
D.
Date installed Size in gallons Manhole/Access (Y/N)
"Pump
on" level at _ in. "P Af IeveG�
High water alarm level
_ at in.
D Cycles tested Meets alarm & circuit requirements?`
E. SEPARATION%DISTANCE„"``
SEPARATION b"i"STA""F1C`ESO LL ON LOT TO: `
Septic tank/lift station on lot its ' On adjacent lots
Absorption field on lot fico' On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer /septic service line t ' Holding tank t iepe '
SEPARATION DISTANCES ROIGI SEPTIC/HOLDING AUK ON LOT I G.
Building foundation To " Property line _�' Absorption field
Water main f iQ' Water service line i i0' Surface water f ioo
Wells on adjacent lots o'
SEPARATION DISTANCE FR,M"BSORPTIOWFIELD ON COT TO:
Property line 2.31 Building foundation /0S' Water main fio ' .,.,.
Water Service line fio' Surface water + ioo' Driveway, parking/vehicle storage iy '
Curtain drain fso' _-Wells on adjacent lots -,e ,Po
F. COMMENTS
FJK COCJ M&AL. ofZ P"&c ,vf, 9X A4 I/ Lp
G.
P- S�
I certify that I have determined through field inspections and
T
review of Municipal records that the above systems are in; :*
conformance with MOA HAA guidelines in effect on this date. •. •• •-•=
Engineer's Printed'Name CHWTOPMERkWOOD
' 7.t �C
:Date 11 poi Log �a"�, CE-�-
�o
.*I�
HAA Fee .11D
Waiver Fee $
t l)d
Date of Payment j/j)r} Date of Payment
'
Receipt Number Receipt Number
e
_.
(Rev. 12%01)`
Eagle River Engineering ,Services
Christopher R. Wood., P.E.10421 VFW RD. Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694-3297 fax
November 1, 2004
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Falling Water Lot 2 Block 2
Conditional HAA Request
Dear Mr. Roth:
Eagle River Engineering Services (ERES) has conducted a Health Authority Approval inspection
at the above referenced property. Due to the steep driveway and recent snow, the septic pumpers
have not been able to pump their septic tank. The tank was pumped in October, 2003, and
everything was noted as normal. The leachfield absorbed all of the required test water.
ERES is requesting that you issue a conditional Heath Authority Approval in order to expedite
the sale of the property. Three bids have been solicited, with $135 being the high bid. The
homeowner has placed $202.50 in escrow, one -and -a -half times the bid amount, and will have
the septic tank pumped on or before May 15s .
ERES, the homeowner, and buyer appreciate your consideration of this matter.
If you have any questions please call our office at 694-5195.
Sincerely
istopher R. Woo IPE.'�
Principal
\2003\04-117HAAREQUEST.DOC
SGS Rett
1046652001
Client Name
Eagle River Engineering
Project Name?#
N/A
Client Sample ID
Falling Water, L2, B2
Matrix
Drinking Water
PWSID
0
All Dates/Times are Alaska Standard Time
Printed Date/Time
10/2[/2004 14:44
Collected DatelTime
10/08/2004 9:00
Received Daterrime
10/08/200 9:53
Technical Director.
Aide
p_hpsy
Sample Remarks:
Total nitrite/nitrate was analyzed by Mat -Su Test Lab of Alaska.
Allowable Prep Analysis Init
Parameter Results PQL Units Method Container 10 Limits bale Date
Microbiology Laboratory
Total Coliform 0 coV100m], SM209222B A (<=1) 10/08/04 DKC
1V9-4 IDPO'd 569-1 IOES199106 S3OIAN3S AN3 S9S 'IS3 3913-WONd WdEVIO VO -R-01
M�=Sru Test Lab of Aga
Mlater Quality Testing
.a 3.2 Poimer-Waslllg Hwy.
eidtown Community Business Park
phone: (207) 749•a0es
Client: SGS Enviromental
Atin.:
Client ID:
PWSID i/:
Source:
M.S.T.L.#'
Sample Matrix:
Comments:
Forest Taylor
1046652001
2004888
SM 4500-NO3-E Total NO3/NO3 mg/L
Legend: MRL = Method Report Level
MCL = Max. Contaminate Level
a - Present In Method alenk
E = Estimated Value
H = Above MCL
0 = Loa/ to Dilution
Rep d`By Jdh Paul Campbell
Lab Supervisor
Email: uteallabt64rooersNaa.com
P.O. aox 2749
Palmer, Ah. 99945
Fax: (901) 745.9010
Date Arrived: 10/12/04
ReportDale: 10112104
Sampla bete: 1016104
Sample Time; 0900
Collected By:
<MDL 0,50 10/12/04 10/12/04 10.0
109-d LO/90'd 969-1 IOE9199L06 S301AHS AN3 S9S 'IS3 3910-IN0BA Wd00:£0 00-t1-01
JRs Pumping
PO Box 773415 Service Agreement
Eagle River, AK 99577 Number. 011618
(907) 694-6454, Order Data: 17 -Oct -2003
Service Date: 21-001-2003 12:00 am
._.. Technician: Tony
Billing Information
Bract Murphy Job Description: 20DDg
31807 Eagle River Rd P.0, Number:
Terms: Net 30
Eagle River, AK 99577 Salesrep: Nikole Job Type Repeat
(907) 896-1998 Map Book: Map Grid: 150A
..._—. - -
f -- . I Cross Streets, Eagle River Rd
ob Sita �nlormMion
._..
Job Comments: New - no record of previous service gallons unknown
Brett ..
31807 Eagle River Rd
Eagle River, AK 99577
(907) 696.1996
Tax Percent:
p
Servs Type oty
Price Each x 2 Men Tax
o
Extension Actual
$125.00
Septic Servide Under 2k 1
$125.00 No No
Gallons Planned: 2000
Location Comments:
Diagram:
.. ._...,____.._...__..__._._._.._...._—_._......__.._....._._
gAdditional
Next dw after Misty Mtn Rd. 3 houses on rd-
• c/o
Gallons Actual:
2nd on left, sleep dw
Pipes In front, left side of dw past BIG tree
• 2• Tanks 15M9
ank and 5000
Hose Length! 2
Double Tank: IJ
�Clo
Pump System! 17
Baffles Inlet: I J
Barnes outlet: I.J
Non'Taxabla Total .'Taxable Total . Tax Total Grand Total
Estimated Charges: $125,00 $0.00 $0.00 $125.00
Actual Charges: ..�•►
Customer agrees to the terms and conditions printed on the back. THIS IS A BINDING AGREEMENT:
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Signature and' itle of Customer Representative .,Date
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Accepted by JRs Pumping... ,
For your added eonvenlenee we accept American Expreesl DicoveryNisa and Master Card payments over the phone.
After 30 Days 1.5% Will be charged or THERE WILL BE A DELIVERY $25.00 For NSF Checks Returned