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HomeMy WebLinkAboutATELIER BLK 2 LT 1Atieli"er Block Lot 1 #041-031-23 Municipality of Anchorage ;� �:• Development Services Department ^ j Building Safety Division '—" On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 195650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW 19026PID Number. 041 OTi 1Z3 H•" Ch 1Q, L Wastewater System: New Upgrade .da e.. 9200 Atelier Roan ABSORPTION FIELD Pr Nurow d Baammr P(Desp Trwch O SMInm TWXh O and O Many O 0~ LEGAL DESCRIPTION $Oa RBWa: To'Y Depth hom M91WI2rade _ 9.", P F B,p Lot 8W6rwL Degn W pps Wom Lam MV.M gredds Grant dpmq &U, p•Pe: 5. L 2 I AI: r S,el1�\'LJ� —T • FI. FI 7o,.'n.n,D Rwpe SWwn Fiaddedsbp wlpmw 80 G,"LMpd[ 2 J FI. Ft. Well: i • ❑ New ElUpgrade GravM.Wlrl 2 FI, Wn tw a IM. 2 D..Iww bw"eon I+,e. p F, cn,.Vflce n(Pmwe. 0.cr T"DpM: ea.adn. Tar abewpaM waa50o 00 RFG�b D FL Fl it ` p•ner Dale DOW S41K Www Leve Mnaw. Date aW ad < FL I 1 Y,wd Pump w a' ea.eq wgm A"' G"d TANK GPM FI. FL SEPARATION DISTANCESSeptic ❑Holding ❑S.T.E.P. ❑Other: 7o Septic Absorption Litt Holding PSwiuvrnat MwMwl�v. �- csoac:y 1250 I From Tank Field Station Tank Sewer line Nfirt 1 ptai= cal Wen w N, 101' ' S' _ INIMY C st NYTptr Ol CompMTO" F 'l. sJraoswalw N.O. Al. 0. — LIFT STATION 251 d. MwrAaaurw Lal LM24' -Gal 'Pump wl IevN el -Poop pd' "rM Hid" wr. Ma,m a, �•. N — � Pu Maks S Mods EMCMW Hepewom pedp br Com Drm 0 . D, P.mah. ' BENCH MARK .cictQ - 7-n Looapn wn De.mWm Ga�4 S h Mwmq E ara a•. I� FL 1 n e �a �u� wi LG ..vi .Fri cN 4 et k aeA. Al Inspections performed by: _NO ,a Ll ei'MS Dates: 1" ••' ,F 2n° �P T ➢� Development Services Department Approval31 Q Reviewed and approved by: Date: (an 120) / c F;L�? SWAW YES AH = s TXT SH = 41' BE s JL5' u = 99.5' CE _ 28' BI = 65' BF s 36' 1 N s 94' Cl = 5150 1 BJ = 68' 6G = 37.5' Bu = 27.5' CC = 36' I 1 1 i i i i 25 0 25 50 75 100 125 150 SCALE, 1' = 50 a - Ey. 49th IBE14 SPURKLAND No. CE -2225 rUerCtN ar'UMANU P.L. LOT 1 BLOCK 2 ATELEIR SID SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE CHARLES CARY DATE: SEPT. 27, 1004 (NCH. AK. 99501 907 279-3916 11 9200 ATELIER DRIVE SHEET,• 21J GRID: 2142 PERMIT #SV950263 PID # 041-031-23 ATL02012.DV6 D/V£RT£R VALVE 0 a Standard Trenches; 2' Wide 25' Long 9' Deep 5.5' Sewer rock 4' Cover F14 Monitor Cleanouts — 4' Cover 1000 gal Septic tank .�.," ,9 4 49th ...i.. ...... .... .t... '.Pis, TOB N SPURKLAND r •' No. EE -2223 S / 1::11=il=u=il=II11=11=11=11=11=11=11=11:411=11=11=I1-1f a1� II?••.. Silt Barrie Monitor is IT OF Cleanouts SEW ROCK sUFECTAr 4' Cover I I I=i1=11=1�-•' ELEV. I: zll��ll=11=11=I1v11=II=11=11=11=11=11=IR[II=11=11=II=1b=11z 11=II=11=:1-11=II=11=1111="— Silt I c 1= d=t1=11=11=11=11=11=11=11=11=11=11=11=11=11=11=11= I =1=11=11=I'z11=11=11=11-" i 1:11=11=11=11=II=II=11=11=11=11=i1=11=11:111=II=11=11=11:=11z 11=11=I1z: 1 + 1=11-11=11=11=11=11=11=11=11=11=11-11= II -11=11=11=11= 1=1 =11=11=1'_" i I''.ell=11=11=11=II=11=11=11=11=11eI1z:11=1Dz11=11=11=11=11:zlla i Barrier 1250 got. septic tank ls IT air i�iji�i�i�i�.i�i�i�i�i�i�i�i�i�i�i��•'���i�:�i�S���S [• EfFECMr N17 SCALE fU7. 89 4' ./1A -WH MARK ELEV. 100' TOBBEN SPURKLAND P.E.ILOT2 BLOCK ' WAYSSIDISEPTIC SYSTEM DESIGN 203 W15th Ave DATE, SUE 27, 2004 .• GRID, MEN/ / / PAGE 1 OI' 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" S'T'REET, ROOM 502 ANCHORAGE, ALASKA 9951.9-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950263 DATE ISSUED: 9/08/95 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. EXPIRATION DATE: 9/08/96 OWNER NAME:CARY CHARLES R & SHEILA OWNER ADDRESS: PARCEL ID:04103123 LEGAL DESCRIPTION: A'T'ELIER BLK 2 LT 1 9200 ATELIER. DR. ANCHORAGE ALASKA 99516 LOT SIZE: 65340 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: I. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIF_I_ED III 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 NO'T'IFY 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 FREEZTNG 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 B ISSUED BY: DATE: �r�l 4 DATE 203 W l 5th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 1 BLOCK 2 ATELIER CHARLESCARY No Ground Water or Impervious Layer to 15 'ft. Use Standard Trench Soil Rating. 2 min/in = 1.2 gal/sq.ft.day No. of Bedrooms 4 Required Area per Bedroom: 15011.2 = 125 sq.ft.. Total area required: 4 x 125 = 500 sq. ft. Finish Floor Elevation Ground Elevation at Absorption Field Testhole Total Depth 15 Ft. Less 6 ft. 9 Les 3 ft. Cover 6 Rock Depth 5 Ft Length of Trench 500 / 10 = 50 ft. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 50 Ft. TOTAL WIDTH 2 Ft TOTAL DEPTH 9 Ft ROCK DEPTH 5 Ft COVER 4 Ft SEPTIC TANK 1250 Gal The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. Pg. l Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG PERCOLATION TEST T bbQn Sj)VrkI,uid CE -2225 (A PERFORMED FOR: DATEPERFORMEN LEGAL DESCRIPTION: A.1 e 1, v--- Township, Range, Section: QltpTH SLOPE SITE PLAN 17 2 ff 1-1 N 3 - c 4- 5 - 6 7- ' 8 9 10 111 12 13 14 15 16 "k, 17 18- 19- 20 - COMMENTS WAS GROUND WATER ENCOUNTERED? S L O IF YES, AT WHAT DEPTH? Depth to Water Afte Monitoring? Date: Reading Date Gross Time Net Time Depth to Water Net Drop lb ,7 yy r Pb PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: CERTIFY THAT, THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) IV / •• �. 9th.... .� /)\ . IIJI 31-N SIOKLAND 0 ONN V/ NO IJ 1I Air T - - - - - �� C •''''..... •r•• 5 0 '50 loo �>> goo ; ,��o A \ SCALL- I" LCI P flll'Lll-1,' DOW c'> NOP i/M( i- 4 TOBBEN SPURKLAND P.E. LOT I PLOCK 2 ATJI R SEPTIC SYSTEM DESIGN CHARLES CARY 203 W 15TH. AVENUE AK. DATE: AUgUST 12, 1995 ANCH. 99501 A �� AK. ,� 9200 ATELIER DRIVE SHEET: 1�3 GRID: 2147_ New Trenche Exist. 7}^r,1?ch yG,F�. i7,J 99 ' NO MR/( K Instal( hull Bern Valve - // f 14� 1 Replace Sept/r lanl( r��rjr. L0 \\ ♦ � CSI- ,q •y ............... A .I:h... �.....�� ......M.. ..�.I......... f 0.....Jn....... ....................... t•.�.,� � - : 1I)11_N SNJRI<1 6N1) fit ♦��,�s, 1\1 o. L Y,') ?5 0 �.5 - 50 75 - - 100 1 i'S 150 �1 �.••'< <� # SC/ILC� V = )0 V1,#4f �'1��11(.��5�1\1��1 ���NlFlnu���Mf�au�,� ����rA��►.��� ASSUMI1) ELF -V, 100,00 17 TOBBEN SPURKLAND P.E. LST 11L0CK f> /17 THER SEPTIC SYSTEM DESIGN 203 W 15TH, AVENUE DATE: AUGUST 12, 1995 ANCH. AK. 99501 CHARLES CARP ,,,,,-,\ — 7n,a 9200 ATELIER DRIVE SHEET: 213 GRID: 2142 /5 Jul -- - - - -----Clean � Clean Uut `` Stancdarcy he" P,'7' l_ Ong >' Deed IO,� I_ �_- Sewer ro(l< t� 4' Lover" �� ._�� li',50 gal Septic Ion/( co-Montor Clean - = - - - - --- - - - O/W- �'7/ M V/Il- Vl. '3 Clean L7ut , 11INJ RUN Nil SC41V C... ....�.:.h7 f.Y•� �..s.. .0 fie' "1,IRM NNI)•+ N S,TUMKI IW 10 1 am, anow -�� 10j s oi( `� 3' Cover P/Ol1i �-C7r - E xi" t. (iroAncy M;n Cover 99 T �I�I➢ II T➢=1ll lll Ilf =IDI ll=� �lh'ITh111 l0 -) III III III IItfl I I I I I I -I 11 I_I I- I I III III -11 III fair F m �«" . 001, >f [¶ TiI Ill III I IIl III-III=11J1�--'° III -I_ III III V 111, 1- ll` i11 111 (II= II k IU IU -ID III 111 SII III -III -III 96.0 - - Ill 111 ID ID=ID _ ID ID III 111 Il III- III -I -III � III III — - illi 11 I I R ;-"' - L, 100.5 Marafi 140 -- i 90.5 5 f -t of, Septic h'od< --- G'S0 ,gal, sq) -tic lan/c N�� SC,41_1 13i N(f l (ARAE/- /):�, SUM/ V 01 V, /00,00 TFIBBEN SPURKKAND R. ���� j l/ ; ff"K I �� f1 �S/' %� SI -I, I W SYSKM M SHIN 203 w15th Av(- -.l CMNN_l_S OR DAII; MJOSI ,)U, /91)") 50 Anchorage Ak 991 ��00 AlLL�f,_l DkIVE -1 IL ,'1/3 GR. _204212043 2142 2143 134 12 COPYRIGHT 1993 JMR + PIPE MATERIALS O� SOIL TEST RATING INSTALLER REMARKS 1 45 1 n � _ s\ APPROVED ) . DATE LEGAL C�� 72-013 Rev.3/781 I r'• SYSTEM AND/OR WELL INSPECTION REPORT u)izsNUSAL PHONE NEW NAME ❑UPGRADE MAILING ADDRESS n if LEGAL DESCRIPTION ✓,( �'L� � � BED�Fj.CQOMS LOCATION �/ �, NO. OF � v ,L1 Well I�b�orption area � � V Dwelling I � t PERMIT NO. DISTANCE TO: U x d Materia, No, of compartments ZManufacture Qr T Width Liquid depth w H Liq. capacity in gallons IF HOMEMADE: Inside length PERMIT NO. Well Dwelling p Z DISTANCE TO: — ena iqu capacit 0 Z Q Manufacturer 2 I—PERMIT Nearest lot line NO. S � Well Foundation �` = DISTANCE TO: w lines L ng In of e ch li e Total length of liges �i Trench wid � hes Distance betwe n dines 1 (�C. a Z No. of 1= 2 W Q Material beneath rile _ T b� Total effective bsorp jon area L 0 Top of tile to finish grade i cc � Depth PERMIT NO. Length Width w110, F- Type of crib Crib iameter i deA�t�QW:;- ective abs ption area aNearest to Will Buildi lot line w w� @rSTANCE TO: `_�`� Distance to lot line PERMIT NO. /7 Cl(:) C S Depth Driller J LU Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER r 1 7 PIPE MATERIALS O� SOIL TEST RATING INSTALLER REMARKS 1 45 1 n � _ s\ APPROVED ) . DATE LEGAL C�� 72-013 Rev.3/781 I 1%1 K.J 144 1 K0 :r. DEPARTMENT � 825 'L' K-1EEC K_K_ F:l P4 K> HPPLICHNT CHARLES CHRY LOCATION ATELIER DR LEGHL L1 B2 ATELIER S/D 5559 PENN CIRCLE #1 LOT SIZE ]]] 94 / Z/ r/ 65340 SQUARE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: RD; FEE KK 1-1= F�-"! �����= �� ������� ���w Pi= � 1:11" F"'I l" -A C:::: 0- HEALTH AND ENVIRONMENTAL F*1K� PROTECTION Q'L6 STREET, ANCHORAGE, HK. 99501 THE DEPTH OF H 264-4720 THE DISTANCE BETWEEN THE SURFACE OF THE ^~�°^--~~^— THE ���,. ���� �W���� THERE IS NO SET WIDTH FOR TRENCHES. MAY REQUIRE ENLARGEMENT IF THE 5559 PENN CIRCLE #1 LOT SIZE ]]] 94 / Z/ r/ 65340 SQUARE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: RD; FEE KK 1-1= F�-"! �����= �� ������� ���w Pi= � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H 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. MAY REQUIRE ENLARGEMENT IF THE THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ������������ ������-��� ����� � :1 ���= �C��Cl �����Cl tA� 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 WILL SERVE. ___ ��C'-� r::��.::. ��no F" EE CT w x m o4nE., F::,.p F;-*_-'"lEE 0 t.j 1: Fit EEC RD; BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL 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 INSTALLATION. K FEE 15110 1: -1 * E F":" 1 F1 EF 0 ���EEC ��E-.--: F�-"! I CERTIFY THAT 1: I HM 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 THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO I1-LUDE MORE THAN ] BEDROOMS. SIGNED� -------- S CF APPLICANT CHARLE ISSUED B M_ DHTE ___ 2204 claveland nctc h, ' 50 talc f er `c,r r..rri 7 -3�)-1 7 _ ' c�. Tor 'Porn 'Ca}']or -._.. _ - 11t:e1 icer crrl,di•� i_�ic>n _ l nal "nncrirt.ion: Latl Piocl.2___._Sut,division - Yes <<rcolat ion f,o1��st This rcrm e�,rtc Soils Lon - revt.h F Soil fraractcristics cPt ph r I 9 EY i. Slightly Silt Sandy Gravel I ._� r;r;tL-orn o.�F t.c.,l_ bole. �0 _ 1 i Y'?s (muni rater Encountered ?-NO_...__ �> °6 __ J ' I Ir Yes, At what [Tenth? J � P-adil,Q nate Grnss Time Kct Time Depth to -'20 Not _ �. Percolation rate Minute rnpose la d Installation: Seenace Pit - - h of Inlet - [T�:nt.h To ott ;m Of P i t Or i I r n :h C r,,.,,,: 'i i S : 1.50 quaKe- :f Pot--=quz:r_ed- per hedroOm :frum rni nus 2to ..1.5' navid Paul Lata Certitir-d P}'�,�Ct.�,,y-(�'•..r. f anslruchon c -7 -est c ab I. "ONE TEST IS WORTH A THOUSAND OPINIONS" 2204 CLEVELAND AVENUE • ANCHORAGE, At-A§KA 99503 • 277-0231 July 25, 1977 Rowan Company P.O. Box 4--2321 Anchorage, AK 99509 Attention: Tom Taylor Re: Lots 1-8, Block 1 and Lots 1-8, Block 2 Atelier Subdivision Dear Tom, At your rec;uest we have completed a sul)sur_face soils investigation on your property and transmitted herewith are the .results of the test borings data. The purpose of the test borings was to determine the soil types, ground water and bedrock conditions which occur to a depth of 16 feet. A total of 8 test borings were drilled as shown on the enclosed map, the test borings were drilled to a depth of 16 feet with a tracked i counted Mobile :B--50 drill using continuous flight augers. Soil samples were generally obtained at 5 foot intervals. Laboratory analysis of the soil samples consisted of moisture contents and sieve analysis. The results of each of the test borings and Tab tests are shown on the following pages. Rowan Company Atelier Subdivision July 25, 1977 Page 2 Discussion The typical soils encountered on this property consist of Sandy Gravel (GP), Gravelly Sand (SW -SP), Silty Sand (SM) and Sandy Silt (ML). Drainage areas required for on-site sewage systems at the locations tested would generally range from 125 square feet to 275 square feet per bedroom in these soils. No ground water or bedrock was encountered to a depth of 16 feet. If you have any futher questions regarding this report, please contact our office. Very truly yours, CONST UCTION TEST LAB David Paul Laboratory Manager DP/NAH/Iiaa Enclosures Approved: Neal A Pau sam, P.E., T, S. i CONSTRUCTION TEST LAB "dne test is worth a thousand opinions" 2204 Cleveland - Anchorage, Alaska 99503 - 277-0231 Hole No. — one Location See enclosed map___ Top Elev.-__ Existing -- — Sheet — of - --- W.O. No. _Operator--2P- Date or DPDate _— 7 14 77 _ - - Client — Rowan Company Project Atelier Subdivision Depth CLASSIFICATION SAMPLE Feet SYSTEM DATA LEGEND 1 � . 2 3 4 Q GRAVEL Brown Gravelly Sand, Q 5 0 , moist (SP) Grab Sample • @ -5 feet Moisture = 4.3% SAND • 7 •, 8 9 SILT f jai 10 Qe Grab Sample @ -10 feet / ie 11 Moisture = 5.1% 12 13 = CLAY 14 Gravelly Sand, damp (SP) 15 a ✓� 16 ORGANIC .� ✓ Bottom of Test Hole CONTENT ✓ v 17 .,✓✓ 18 125 Sq Ft drainage area per 19 bedroom. PEAT 20 21 22 FROST 23 24 25 WATER ..,° TABLE 26 ----- CONSTRUCTION TEST LAB "One test is worth a thousand opinions" 2204 Cleveland - Anchorage, Alaska 99503 - 277-0231 Hole No. �- two Location See enclosed map Top�Elev. Existinq Sheet — of -- -- W.O. No. ._.m.—operator---DP— Date or npDate —__1/14,/77 7 14,/77 Client Rowan Company Project AtelierSubdivzsi Depth CLASSIFICATION SAMPLE Feet " SYSTEM DATA LEGEND -� 1 � 2 Brown Gravelly Sandy 3 . Silt (ML) 4 �i, GRAVEL Grab Sample 5 @ -5 feet 6 i Moisture - 13.4% 7r�?-.�_��_ �_�_ __� .. —_ �_ _,_ _ SAND , i 8 ; �•! Saturated Brown Silty •' Sand (SM) 9 `,, SILT 10 12 ./ Sandy Silt (ML)� 13 CLAY 14 .,. Silty Sand (SM) 16 ORGANIC �V � 17 Bottom.-CONTa F'NT ✓ v ✓ 18 °C50 to 275 Sq Ft drainage area 19 per bedroom. PEAT 20 21 -- 22-- 22 FROST 23 24 25 CATER 26 t TABLE CONSTRUCTION TEST LAB "One test is worth a thousand opinions" 2204 Cleveland - Anchorage, Alaska 99503 - 277-0231 Hole No—three— Location o.... three—LocationSee enclosed ma_p Top Elev. Existincq Depth.�..__..__.__._..___......__ CLASSIFICATION Feet SYSTEM 1 Peat 3 4 5 6 /f Silty Sand, with oc- 7 casional Gravel, wet 8 (SM) 9 10 � 11 �j 1.2 - 13 14 i 15 Dryer 16. 17 ". Bo 18150 to 250 Sq Ft drainage area 19 per bedroom. 21.- 22 23 24-- 25 26 Sheet — of W. 0. No. - -__-Operator--Q—P-.— Date or DPv-.— Date Client.Yttp-- Project_ Atelier Subdivision _ SA1 PLE DATA Grab Sample @ -5 feet Moisture = 13.4% LEGEND GRAVEL SAND SILT CLAY ORGANIC CONTENT PEAT FROST WAT E R `.TABLE CONSTRUCTION TEST LAB "One test is worth a thousand opinions" 2204 Cleveland - Anchorage, Alaska 99503 - 277-0231 Hole No._�._o .four Location -� See encQse�srq_.,,�. Top�FElev._-- Existiag,__ x Depth Feet 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 CLASSIFICATION SYSTEM 6" Peat & 6" Reddish Silt rJ . •J Brown Sandy Gravel (GP) Qom• 100 Sq Ft drainage area per bedroom. s s � Q . Q Sheet — of W.O. No.__Operator DP - Date ___2214/77 Client_ _ Rowan Compan�,_=�� Project -__Atelier Subdivision SAMPLE DATA Grab Sample @ -5 feet Moisture = 3.0% • �_--- -- �_ Grab Sample Silty Gravelly Sand (SP -SM @ -10 feet fs � 150 Sq Ft drainage area per Moisture = 3.0o bedroom. - Brown ~Sandy Gravel (GP) . 100 Sq Ft drainage area per �. bedroom. f . Bottom of Test Hole LEGEND GRAVEL SAND SILT CLAY ORGANIC CONTENT PEAT FROST WATER TABLE CONSTRUCTION TEST I -AB "One test is worth a thousand opinions" 2204 Cleveland - Anchorage, Alaska 99503 - 277-0231 Hole No.— five Location— See. nclosed..,mAp_ Top E1ev.a.,.. Existing .._.�nx._.�... v . Sheet of W.O. No. --Operator DP Date — 2Z -1A 2Z.—... -- Client -. _ Rowan Cany Project—Atelier-Subdivision Depth CLASSIFICATION SAMPLE Feet SYSTEM DATA LEGEND 1 G 2 3 Brown Gravelly Sandy Q 4 i' Silt GRAVEL Grab Sample 4 4 5 i @ -5 feet 6 i Moisture -- 6.4% ' '.• F 7 R / SAND 8 Wet, with occasional •' '• ' ` �• cobbles %7/ 10 • Grab Sample SILT , /', _-_.__._ __. . •i. @ -10 feet 11 �i: 12 '/ Brown Sandy Silt f. 13 / • CLAY 14 �< Hit Gravel 15 ✓, _..,_, 16 ORGANIC ✓✓ Bottom of Test Hole 17 CONTENT ✓v f 18 150 to 275 Sq Ft de` nage area 19 per bedroom. PEAT 20 1 21- 22 22 FROST 23 24 25 WATER 26 TABLE CONSTRUCTION TEST LAB "One test is worth a thousand opinions" 2204 Cleveland - Anchorage, Alaska 99503 - 277-0231 Hole No_- six Sheet — of ---�-+ Location See enc 1 o s ed map W.O. No . _.,,�,�.,_,,.-,.Ope r a to r.. _.�..-DP-- _� See = Date 7/14/77 Client Rowan Company _ Top�Elev. Existinc Project_ Atelier Subdivision Depth- CLASSIFICATION SAMPLE Feet SYSTEM _ _ DATA LEGEND '— 1 T 6" Peat & 6" Reddish Silt 2 °d 3 Brown Sandy Gravel (GP) 4 125 Sq Ft drainage area per 5 ,, bedroom 6 f 7 8 /. 9 Brown Silty Sand, with 10 occasional Gravel (SM) 11 a • r 12 ►i 13 �a 14 15 � 16 17 16 19 20 21 22 23 24 25 26 150 to 275 Sq Ft drainage area per bedroom Bottom of Test Hole Grab Sample @ -5 feet Moisture = 3.30 Grab Sample @ -10 feet Moisture = 7.40 GRAVEL SAND SILT CLAY ORGANIC CONTENT PEAT FROST WATER TABLE CONSTRUCTION TEST LAB "One test is worth a thousand opinions" 2204 Cleveland - Anchorage, Alaska 99503 - 277-0231 Hole No.. --..._Seven_ Location_.F See enclosed mar) Top _.�E1ev. Existin.q-----..--- — Sheet — of W.O. No. —Operator .t�,E—_-- Date Client__ Rowan Comiany Project_,Atelier Subdivision Depth CLASSIFICATION SAMPLE Feet SYSTEM I DATA I LEGEND 1 � 2 • / 3 °i, Brown Slightly Silty / Sand (SM) 4 . 5 ° 6 125 Sq Ft drainage area per • bedroom 7 ' 8 9 ° • 10 � 4 11 ° 12 13 14 "�' Brown Sandy Silt, wet 15 •iA 150 to 275 Sq Ft drainage area 4 i per bedroom 16 Bottom of Test Hole 17 18 19 20 21 22 23 24 25 26 Grab Sample @ -5 feet Moisture = 5.30 ![ affly" SAND SILT CLAY ORGANIC CONTENT PEAT FROST WATER TABLE CONSTRUCTION TEST LAB "One test is worth a thousand opinions" 2204 Cleveland - Anchorage, Alaska 99503 - 277-0231 Sole No.. - eight----._ Sheet ---- of -- 1.*ocation See enclosed _m-ap W.O. No.,-.---Operator----2E--- - •. _w_w.._ Date Client, Rowan_Comna,?'T__� Top Elev� Fr:-_? il an�� �, n �. Project Atelier Company De Fe pth et CLASSIFICATION SYSTEM SAMPLE DATA LEGEND • 2 �'� Silty Gravelly Sand, Sm 3 (SM-SP)Al Q o4 4 -0 ° GRAVEL 5 . , . .�,_..._..._�.�...__.._,__._ - _ .._._...._ Grab Sample _. •• W.._.._.__.�_._..�..._. @ -5 feet 6 ° Moisture = 7.4% . . SAND •, 7 t s i° ,• . , 8 Silty Sandy Gravel, wet 9 Lj SILT �. 10 13�.1� '1' CLAY 14 Xv Q 15 ✓ ✓ 16. ��/ �,........m��_.____._,� �__»___._._.__._n ____ ____ .-.. ORGANIC ✓ Bottom of Test Hole CONTENT ✓ 17 v✓✓ 18 19 PEAT 20 21 _.v .. 22 FROST 23 24 - 25 WATER TABLE 26— x H ��w ro t N _. F- rt, m � T O V N 0 m Ul a �(J � n r U) n " ro J T t7 b G C � :A ti n n n a d � o 0 (17 N 4! ♦ Gl1 CD (lJ U O U O O U O U O O O O 100 10l i( 8( � 5( 0 � J( w a �( CD S. 21 C rn VI i A � /t 13 I� 0XV3 � T sa N O a A .a 00 00 00 00 00 00 00 _ m n o c, 0 0 01 H 4. cn rn ao co v oa ct 10Q - T O ret /0 1P x 60 - - 7 O n 50 c 30 x r 20 )/ n - -Pi _ C, __ I Ip oll C7 r+r 4A 2 - 10 cn C7 c C r N Q y I m000 _ x e 70 m p °J S £I /'l a0 50 c 60 T i000v� 2 I eQ !� 00 t G v n Qe _?. .; ., - 200 } r:.. -- _ __ y_ CA `.06- T.05 ".0< - e - - - -.Q6 05 04 _ v w c 03 03 Z _ m p I 01 0 2 '< m d v I•i-I °� ✓y r O _ Q 009 X Doe .008 7-4--— cn y 005 - 005 - _ H 004 _� 004 r M A3 b' N O 003 - on] t-] N• 002 .00 1-3 01 .�utnu. a N /J a CP Oi Q1 (D O p p O O O O U O O O O c� 0 A If I 0 s 100 90 40 30 20 �I 10 ra at Go CD O O Ci O U O O O O U N ♦ 17'I !D n m Q1 - m I oD —M Z DO 100 - ►00 — sDo N Boo i — - - 800 — LL _ 10 O — to r { ►D" 1--, go JJJ 1.L C ► J V 7► i I Of _ - -09 OB 001 W � C DI T f0 r W _1__L_a U) _ .1ill ♦ ._101 o..L ('� _ _� H .._ .._�_ .... o D 70 n N 100 —... a so , 50 C 10 - /! e 30 ]� Q 30 r 20 I I tl _ cn 10 a Li C Q P , b PloeI fi• _... _ — �_ L t LAV N 2 . — i — — — — 10 u+ ol - � � G r H c' C t 70 d0 50 60 s 07 b cn rn. 06 y - - --I - - 06 05 - 0 5 _ _ s 0d _ » � � 03 03 m c a m ~ D2 - - 02 -< (t (D �I _ 009 - y n n x ooa - - - xa 001 x * a �Ij ci O (j] m 009 001 - - 006 0 0 5 =" b 3 t _ W 0o4 Dud - O y 1-'• N •. cn 003 002 on3 on. I Mi O) ::J I� - � o n o •� - o , o — 1 r 0a Y �+. 0 6 h —05 n 04 s _,' 0 3 a 02 .01 .008 .008 005 004 003 002 7 D o O O [7 O •7 O v r rt" L7 r m IT�TIi[- ro Ln y G) �C)�`I�iili X _. N• Ul `rA rr 3Ra Pi v r Fi Y, C) to 60 0 v n Ci ro — 1 r 0a Y �+. 0 6 h —05 n 04 s _,' 0 3 a 02 .01 .008 .008 005 004 003 002 7 D o O O [7 O •7 O 200 IT�TIi[- �C)�`I�iili to 60 40 30 20 l,��r rl�rr r .1-7 — 1 r 0a Y �+. 0 6 h —05 n 04 s _,' 0 3 a 02 .01 .008 .008 005 004 003 002 7 D o O O [7 O •7 O ,70 \ T >r U 7 m N _ tc, a p O 3p o • o o m c••� -+ _ tD CJ a FN `^ O f (D loo t0 m � O h n _�l a Cl) W� 60 H if, C— tip) b' N Or - Qt la 4 - 7 N - 40 30 20 r C b FA h i. I✓ cn y II ,70 0 O U -•O N _ W O p O Uf O Ql O O W O tD CJ O O FN loo t0 a 60 r_ - - 7 S Q 40 30 20 r y b �D zi e T - 20 A S - in - as 50 60 g N o a� Cf � 1 y.06 v cn —.05 T C—) .04 } "' - _ _ _ 05 Ol 00 a 02 CJ r CC' Z „ 'e r+, 0 1 a0e 009' -t 0 9 0a 0 0 7 0Cd r*t _ m H .005 -� - -.005 p. 00 - 004 r �I00� on0 N 002 - .oat I 00 n O C, O O O n G r7 O G I'd GNG, N- — ro w t cr rn m � o O O O O O O O O O O CJ 200 6 100 10 _ 1 so 50 7 a .0 30 I_ _ a 20 I 124 10 o r 7-4 2 ITr t�; if ir-i(iTr .I 0e O6 .05 04 m e ro n y - C q En r c m h o $ rt r w a O ct N O E p g, tV _ F' (D (D— DF-- cn N T, 001 m �-3 (D x F- a -001 o n 0 C, rn 005 H ono H A7 Cf' ul O �:j pl OU N• Icy V Fj- F.J Hl F-3 rr C) 0 0 i a, c i 6� t' 1-3 1) Q7 �, Q rT� rn 0 m � D cu (n *C7 C1] I'd GNG, N- — ro w t cr rn m � o O O O O O O O O O O CJ 200 6 100 10 _ 1 so 50 7 a .0 30 I_ _ a 20 I 124 10 o r 7-4 2 ITr t�; if ir-i(iTr .I 0e O6 .05 04 m e ro n y - n m h o $ d a O ct O E s 21 F' .01 cn N T, 001 m �-3 (D x -001 o n 0 rn 005 H ono H A7 Cf' O �:j pl OU Fj- Hl F-3 0 0 i 1-3 1) i it 7 0 0 i7 DD 00 01 06 0S• 0l OJ x 02 < 0 0 m 09 rn 0e OT C8 w 0 5 y. r 0 7 U7 0: I 0 0 it 1.11.1 L1.1 SJ -J_ I I I t I I I 1 14_1_1_j 1 .)__.1J-Ll__L- '_L I _I I p 0; --' Ia CL -J C" lP A w N -' O C7 O Cl O O O C7 G a v � O N n O � b W r C 52,O£ N U) �D H N c,.a ♦ Cl1 (T, C. tfi O 0 0 0 0 0 0 0 0 o n o 100 ml Cil I00 so so 50 O ® 40 N 30 A 20 i - M 79 a 10 e A N M — e s a r a r- rs cin 2 n i� a va cL m 1 a � e rn 4 ew w 3 c . 2 a q R H C9 r 0 8 y. 0 6 N —.05 T n.04 .03 X 02 x m Cn . 0 1 008 008 005 004 003 002 /t 00 07 06 05 04 03 S 02 0 ?7 0 J 4 Y -i r*, 0a _ 01 C 8 �^ 05 r 04 < C. cn n3 � n; 0 ,, c r C) N r -� rn N 0 6) FJ ro R1 7 s Ul C7 s� C) Fd n v 0 s n n d Cn En a v � O N n O � b W r C 52,O£ N U) �D H N c,.a ♦ Cl1 (T, C. tfi O 0 0 0 0 0 0 0 0 o n o 100 ml Cil I00 so so 50 O ® 40 N 30 A 20 i - M 79 a 10 e A N M — e s a r a r- rs cin 2 n i� a va cL m 1 a � e rn 4 ew w 3 c . 2 a q R H C9 r 0 8 y. 0 6 N —.05 T n.04 .03 X 02 x m Cn . 0 1 008 008 005 004 003 002 /t 00 07 06 05 04 03 S 02 0 ?7 0 J 4 Y -i r*, 0a _ 01 C 8 �^ 05 r 04 < C. cn n3 � n; 0 ,, c C:) t O O r- !00 100 roe a S00 a 9J0 — Roo 600 r- 1 LJ 0 � zD T m c0 r0 pJ IA 5 .— c� t7 v ♦ o v) 0m tD r u M o t T �_ v 00 a, 4 1 f 1 OE r -4 �L _ N w f" A0 A 0 0 H O .D a 9DD' w � U 1 0' Q) ^+ 4-J ou iD aj m s - - - x CI _ - - o x - - - ED e� a 90 00 1 N P7 Cp Id m C 4 a _ _ t ep w C vc ol D z tN Q �' C_ OC .. 0r - � OS � L _ _ _ _ I 01 001 L.� �.� J___ X11-.1_ J l �_- (.. _._I-1 0 ..._.__1 0 0 .� ._� o ODI 0 0 0 o v- o 5 2204 Cleveland Anchorage, Alaska 99503 - Performed For Tom Talor_ Date Performed 7-30--77 Lenal r)escrintion: Lott _Blocl:2 Subdivision Atelier Subdivision__ This Form Perorts Soils Lon Yes - �Percolation Test_______._ r) e n t h est_____.— r)enth Feet Soil Characteristics 6 Slightly Silty Sandy Gravel 12 --- 14-- -1- 6 -- Bottom of test hole. 18 ---- Was Cround Water Encountered?—No. IF Yes, At what Depth? + R�adinq Date Grnss Time Net Time Depth to H2O "yet Groh C--- - - _. Percolation Rate Minute �rinrosed Installation: Soenaoe Pit Drain Fie Depth of Inlet Denih 7o 'not-t'-Jm Of Pit Or trench r N i S : 150. sgpar_e_ -Coot recluir-ed--Per __bedroom_- noon minus 2'-- Test Perfor,:=d 8y David Paul Cata Certified P- t e yte% 7 I 11� I I � + R�adinq Date Grnss Time Net Time Depth to H2O "yet Groh C--- - - _. Percolation Rate Minute �rinrosed Installation: Soenaoe Pit Drain Fie Depth of Inlet Denih 7o 'not-t'-Jm Of Pit Or trench r N i S : 150. sgpar_e_ -Coot recluir-ed--Per __bedroom_- noon minus 2'-- Test Perfor,:=d 8y David Paul Cata Certified P- t e yte% 7 60j2Sf7uCtion gelt "One tert is wurtb a Aauv and opirions" 2204 Cleveland Anchorage, Alaska 99503 - Performed For Tom Taylor Date Performed 7-30-77 lenal 0escrintion: Lott Block -2 -Subdivision Atelier Subdivision This Form Renorts Soils Lon Yes Percolation Test— net) t h est_ tenth Feet �----� 4 — Soil Characteristics 6 Slightly Silty Sandy Gravel 8 — Caw) 10 — 12— 14 -- 16— 18 Bottom of test hole. 20 Was Pround Water Encountered? No If Yes, At what De.nth? Readinq Date Gross Time Net Time Denth to H2O Net Drool L r� Percolation Rate Minute Proposed Installation: Seenaae Pit Drain Field Depth of Inlet_ _ Denth To Bottom 0f Pit 0r Trench_ C n u1I E N T S : 150 square foot required per bedroom f Dm minus ' -t0 15' . Test Performed By David Paul _ Data Certified P -:�l-L Date. % IravCA cjc�t V I .ec, Ci l `b Yro J � CS� a� pu7"FgGc. l Oft OqRr 6,0PLA w Id 3vu--V� anchor Drillin-, Phone-3?� October 12) 1979 ,r LC Char:l.ez/ Cary .Aucl a,F.1. :Ln 11 t `.J— -------------------- ! 8 ft. Sand. lxrotvel 13--------------------�6 ft. Gravel 36---------------------50 f t . r,l-1-y 58 --------------------- 6-, ft* Silt t(:,r 63 --------------------- 5 ft. Gravel 'Jlater i'Ied 10 G1:'t 10 f t . water in well r 1. TYPE OF RESIDEN E ❑ SINGLE FAMILY ❑ MULTIPLEFA�ILY i THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS ❑ ONE ❑ THREE EJFIVE E-1OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL I ❑ COMMUNITY ❑ PUBLIC UTI LIMY Connection Veilified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC!UTILITY i Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER A7 G ❑Septic Tank or ❑ H (ding Tank Size: I Dm O If Tabk is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AROA MATERIAL A 4. DISTANCES WELL �O: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest jLot Line 5. COMMENTS i ISY APPROVED FOR 3_ BEDROOMS ❑ CON6ITION'AL APPROVAL (letter must ac mpan certificate) ❑ DISAPPROVED DATE (D -3DB" BY -�4 72-010 (Rev. 6/79) jj1325 "L" STREET Municipality ANCHORAGE, ALASKA 99501 o j! (901) 264 41 1 1 Anchorage GEOFtGF 1. SULI_IVAN, MAYOR F)FPAI?TMF-NT OF HEALTH AND FN\IIHONMFNTAI._ PROTFCTION June 26, 1980 Charles R./Sheila M. Cary 9200 Atelier Drive Anchorage, Alaska 99504 Subject: Lot 1 Block 2 Atelier Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (1) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. (2) The top of the well rasing sealed with a sanitary seal so that it is air tight. (3) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. Please notify this department for a re -inspection when the rioted descrepancies have been corrected. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Statebank Mortgage Loan Department 310 East Northern Lights Boulevard 99503 Municipality of Anchorage _ \ .� 1 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 Parcel I.D. 641— 031— 23 COSA #� ) t : , Expiration Date: 0 1.� dE'NERAL'1NFORMATION Complete legal description ALL, tof I BlauI Location (site address) 9200 Afjt „ Ori✓c �Curcent Property owrr`er(s) 0"It, An, Day phone 334 — 8Z9 y Mailing�acidress 92CD Afejien Ck%✓e•AvA=je,,Ak MDT - Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Address Engineer's Printed Name 5. DSDNATURE 7 Approved for Disapproved. bedrooms. Phone Z79 -39/h Date b o ` t1- ',t i AP<<. G i.L qs ( l 4giff:1''' �:IAnSE.SPURKLAN'no D• j r low Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: Original Certificate Date: Ic Log (R".,,ft) Municipality of Anchorage Development Services Department Budding Safety Division On-Sks Water & Wastewater Ptogram 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995198850 www.muni.orglonsite (907)343-79D4 CERTIFICATE OF ON—SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Aidier Loi 1 SQ0L Parcel ID: 0o41 -o31-23 A. WELL DATA Well type _tt, If A, B, or C provide PWSID #_ Date completed r r T9 Sanitary seal (Y/N) Y Total depth j5 ft. Cased to 65 ft. FROM WELL LOG Date of test 421 i1 Static water level 55 ft. Well production 10 g.p.m. WATER SAMPLE RESULTS: Coliform cdonlesblODmL Nitrate LW mglL Arsenic: ND mgA Date of sample: 2d" B. SEPTICfHOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (YIN) Y— Casing height (above ground) 31 in. AT INSPECTION 31 ft. 5.1 g.p.m. Other bacteria _0 cdonies/100mL Collected by. Cars =Fgvrkly. j Tank Type/Material Sfej jA w�a 11-^k Date installed Septa `"fix% 11 15 Tank size IZ°O gal. Number of Compartments 2 Cleanouls (Y/N) v Foundation cleanout (Y/N) y Depression over tank (YIN) N High water alarm (Y/N) !Y/—A Date of pumping 4LO? Pumper issues C. ABSORPTION FIELD DATA Date installed 4 Length _2S125 ft. Soil rating (g_d or feftrm) I.2 Width T ft. Total depth J_ ft. , Eff. absorption area50011' System type pftp- Tmnck Gravel below pipe S.5 ft. Monitoring tube y Data of adequacy test 01 Results (Pass/Fail) Pn58 Fluid depth in absorption field before test � in. Water added 840 gal. Depression over field ! ✓ For 4 bedrooms New depth in. Elapsed Time: Z40 min. Final fluid depth 23 In. Absorption rate >= WO g.p.d. Any rejuvenation treatment (past V mo.) (Y/N & type) Now, Know^ If yes, give date -' D. LIFT STATION :..:Date installed Size in gallons Manhole/Access (Y/N) - `Pump on' i t --:In. `Pump off" level a in. High water alarm lev in. Datu Cycles to Meets ala Grcuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflih station on lot 10014- Absorption oolrAbsorption field on lot 100+ Public sewer main A/>'A —7 Sewer /septic service line 25 /! Animal containment areas 50'+• On adjacent lots >/00 0 On adjacent lots 7k4o Public sewer manhole/cleanout N i9 Holding tank 1A Manure/animal excrete storage areas tOD I+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation lo -f Property line 104 Absorption field 14+ Water main .v�A Water service line 25 + Surface water tw '+ Wells on adjacent lots I DO '+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line )0%* Building foundation to + Water mainq Water Service line 7- t+ Surface water Y /Do t Driveway, parking/vehicle storage 5 t Curtain drain Aont Observ#r Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and SF ©F A r ,`, j 1 s i^•'• 1 review of Municipal records that the above systems are in conformance with MOA COSH guidednes in effect on this date. .• T 10 Engineer's Printed Name L' 11 4 Lars urhldrld 0 t;.LARSE.` ;K Date 8lIv,0� 1 �' COSA Fee $ Waiver Fee E Date of Payment Date of Payment Receipt Number Receipt Number (Rev. 11/05) R D2/V6 o � o -5 7 ' 06 "i✓ ' DW yj O IN 6s, 9.slo sF / 5B9'S7'05• W /71.95 C) EASEMENTS EASEMENTS OF RECORD,!OTHER THAN THOSE SHOWN ON THE RECORDED PIAT, ARE NOT SHOWN HEREON. I hereby certify that I have surveyed the following described property, Lot --L— Quck? Addition L rE s. % � K. CUP.:: •� r.ra recording precinct, Alaska, and that the improvements situated thereon are within the property linerand do not overlap or encroach on the property lying adjacent thereto, that no Improvement, on property lying adjacent therero ,encroach on the premises In question and that there are no roadways, transmission Ilnes or ether visible eo"ment, on wid property except as Indicated hereon. Anchorage, Alaska ? enc r" X97. ,!'Et. F /." r! F/E C� IC OGT. =J0% y. �fJs+�•✓ fronts HJdonen o �s y No. 13083 t'f9`n0 pee• •...•e.••'N�tsr j : T� 1F'F i E.o:.r StMwd c, ,sr ' c n �•• 6s, 9.slo sF / 5B9'S7'05• W /71.95 C) EASEMENTS EASEMENTS OF RECORD,!OTHER THAN THOSE SHOWN ON THE RECORDED PIAT, ARE NOT SHOWN HEREON. I hereby certify that I have surveyed the following described property, Lot --L— Quck? Addition L rE s. % � K. CUP.:: •� r.ra recording precinct, Alaska, and that the improvements situated thereon are within the property linerand do not overlap or encroach on the property lying adjacent thereto, that no Improvement, on property lying adjacent therero ,encroach on the premises In question and that there are no roadways, transmission Ilnes or ether visible eo"ment, on wid property except as Indicated hereon. Anchorage, Alaska ? enc r" X97. ,!'Et. F /." r! F/E C� IC OGT. =J0% y. �fJs+�•✓ fronts HJdonen o �s y No. 13083 t'f9`n0 pee• •...•e.••'N�tsr