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Home My WebLink AboutPARADISE VALLEY BLK 8 LT 9 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: .-~t~]~)~O.~'' PIDNumber: O'Z.o - ~ Name:. ~F~Y ~ ~t ~A~ ~5~ Wastewater System: ~New ~ Upgrade Address: ~'2~ '~ Lo~ ~O~A~,AiC ~s%~ ABSORPTION FIELD Phone: ~ ~C~Z. ~No. of~rooms: ~ Deep Trench ~ShallowTrench ~Bed ~Mou~d ~Other Total Depth from original grade: LEGAL DESCRIPTION s°~'~a~: I, ~ ~/sq.~. Lot: ~ Block:~ ~OJ~Subd[v~i°n: ~ Depth to pipe bo~om.~,.~from~ original~ grade: Ft. Gravel depth/.ben~ath~ ~ pipe Ft. Township: J Range: I Section: Fill added above original grade: G~llength: . -- -- ~ ~'~ ~ ~. ~ ~ '~"~ ~78~ ~t. WELL: ~ New ~ Upgrade Gravel width: ~ I Number of lines: Distance be~een lines: Ft. ~ I O Ft., Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: DriUer: Date Drilled: Static Water Level: Installer: Date installed: Yietd: Pump Set at: Casing Height~bove Ground: ~ GPM V '/~' Ft. J r~ Ft, TANK SEPARATION DISTANCES KSepti~ ~ Ho~ing ~ S.T.E.P. TO Septic Absorption Lift Holding ~ublic/Private Manufacturer: ' Capacity in gallons: From Tank Field Station Tank Sewer Lines A ~C~O~A~ ~ i'~5 WelF joei,f ~Ol~ ~ ~ ~ Material: ~.~ ~ Number of Compa~ments: Sudace Water JO°l~ ~'+ - -- - LIFT STATION LineL°t ~ ~ .~ ~ ~ ~ Size in gallons:II Manufacturer: Foundation j~l ~ "Pump on" level at: ~atI High water alarm at: CuAain Drain ' ~0~ ~e~ ~ ~Electrical Inspections pe~ormed by: Remarks: BENCH MARK Location and Description: ~6~ ~ ToP OF I Assumed Elevation: ~-.,.- Inspections pedormed by: S l S ENGINEERIN~ ~ ...... x.,,g..~r,~},..~ ....... ;,,, Eagle River, Alaska 995~ 2nd. 7 '- q - ~ '~ .~,'~. ~os~ c. COWA;~ ~, ~:~. C~ - 8~01 /~: Department of ~(3 ~-~o~ % -. ~ - Hea~nd Human~e~ices approval '~, ".~. ~''... Reviewed and approved by' Date:/2 -2~-~ '~'" .... Permit No. SW950405 2 2 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 LOT 9, BLOCK 8, PARADISE VALLEY S/D 020-415-29 Legal Description: PID No.: / / / / / '~ ~ DBLz 56.0' 43.5' / / ~ / / / ~ [ ~~ MT~ 54,0' 27.5' A / , _/ ~ ,/ ~ C03 69 5' / ~ ~LL R[nr ......... / MT2 93 O' / ¢~~~"/ C04 940' 53.0' SEPTIC T~IiN ~ W . X X /X X / = · ; kd06 = 91 1' , "X ~ k % I ~ ksk / c04 = 96.2~ /: ' x ~ ~ (03 = 90 9' ' ~ ~ ~. ~ o _ - , R C05 = 87.1 % ' '%~/ N0 WA~ g FOUND ~ Xx 'x~x coz~>~ 80.1' ~.0.H. ~ x x~,x~m ~'NEW TRENCH~S _ , ~ GRADE ~-t~ r -: ',t % ~.~-~ 72-013 A (Rev. 9/91 ) MOA 25 M'¥V DRILLING, Inc, P,O. Box 110378 · 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG WeB Owner JEFF EDMUNDSON Use of Well DOMESTIC Location (address of: Township, Range, Section, if known; or distance main road BLOCK 8, LOT 9, PARADI'SE VALLEY SIIRnT'V'rqTnN ANCHORAGE, ALASKA Size of casing 6" Static water level Screen ( Describe screen or perforation .,N/A Well pumping test at 4 gallons pe~ (l~,~ of drawdown from static level. Date of completion 27 FEBRUARY' 1~g6 Depth of Hole 255 . feet Cased to 117.36 feet 133.50ft. (~)~)~) ibelow) land surface. Finish of well (check one) open end ( ); Perforated ( ). x ); (]ninute) for 2 hours with 100% WE',-L ,:;~G Depth in feet from ground surface 0 _.TO_ 2 2 .TO 10 10 .TO 38 38 TO. 43 43' TO 46 46 TO 52 __ 52 TO 89 89 .TO 90 90 .TO 108 108 .TO_ 117 117 TO. 160 160 TO 185 ._ 185 .TO. 228 Give details of formatioas: :'.~tetrated, size of material, color and har~.ess .... CAmS'~'N=~=T IC K UP m m TOPS'OIL: GRAVEL GRAVEl.: GROWN, SI'LTY~ :!.: GRA1/EL: LOOSE GRAVE[: WET" GRAVEL: STI T~' ._~ .~ TV,; n~ CI AY': 'qr'l TV' SAND. ~T~Ty, DAMP BEDROCK: BROWN. SI'LTS_T.(~.E ARGFITTF _ A/A: FRACTURED BEDROCK: GREY'. SILTSTQNE.,~EIT'TF 228 ~0 255 A/A: FRACTURED, SM,.AI..L_,hVD:FR qF,a. PK ~N SPARA_n_T'C FRACTURES ,TO. 1 --CUSTOMER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PERMIT NUMBER:SW950405 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:EDMUNDSON JEFFREY L & OWNER ADDRESS:24824 TEAL LOOP CHUGIAK, ALASKA 99567 PARCEL ID:02041329 PAGE 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT DATE ISSUED:12/27/95 EXPIRATION DATE:12/27/96 LEGAL DESCRIPTION: PARADISE VALLEY BLK 8 LT 9 LOT SIZE: 21510 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 (iSAACS0) . 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: BY: ISSUED BY: ~~~/~ DATE: HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION &ELOWTEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST ST R U CT U RAt. & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. November 30, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 9, Block 8, Paradise Valley S/D Request you issue a permit to drill a well and install a septic system to serve the proposed four bedroom house on the referenced property. Two test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. At the time of excavation no water was encountered in the test holes and after seven day ground water monitoring, the monitoring tubes were found to be dry. This property has enough area 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/gk Enclosure 17034 NORTH EAGLE RIVER LOOP . SUITE 204 · EAGLE RIVER, ALASKA 99577 · ,:, · = 40' SITE PLAN DESIGN ~C:ALE ~0 · ' ~- ~0 m ~ 0 ~ ~ ~ ~ ~ / ,~ ~ ~ ~ ~o~8~ / oN~2H~ ~~ o~O Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: v4L~ d. )/ DATE PERFORM'L~:'"/~.-7*.~ /~ /~'].~.~ ~, Township, Range, Section: "' ~ ~:.' :" ~.~ 1 2 3 4 5 6 7 8. 9 10 11 12 13 14 15 16 17- 18- 19 2O COMMENTS WAS GROUND WATER ENCOUNTERED? L IF YES, AT wHAT '~ O DEPTH? p E Depth to Water After tb..~¥ /o//?/~5- PAonitoriflg? Date: SLOPE SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop fi:,' ~[ (~ 't~" q: ~ o () '?/?,, PERCOLATION RATE __ TEST RUN BETWEEN __ (minutes/inch) PERC HOLE DIAMETER ~o // FT AND '~' FT PERFORMED BY:-S & $ ENGiNEERINg.~- I ~/ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WI T.~ ~ ~ ~eT~s~ 8T~ ES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/~) PERFORMED FOR: LEGAL DESCRIPTION: Municipality of Anchorage ~EPARTMENT OF HEALTH ~ HUMAN SERV'CES 825 "L" Street, Anchorage, Alaska 99502-0650 so,cs - P .co .T,O. T ST v4 ~ L ~ y Township, Range, Section: 1 2 3 4 5 6 7 8 9 10-- 11 12 13 14 15 16 17 18, 19- 20- COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT ~ O DEPTH? p Depth to Water Alter D~-¥ Monitoring? ' __ Dale: Reading Date Gross Net Depth to Net Time Time Water Drop Iot~l'?t- q:~..~ .- ~ .,,,,', .- y',~ ~ ~,~ ~" ~/~,, N :-~Y -~ ,~ ,~ q tl~ ,, ~1~ ,, PERCOLATION RATE ~3 (minutes/inch) PERC HOLE DIAMETER ~) // TEST RUN BETWEEN ~ FT AND "~ PERFORMED BY:$ & SENGI'NEERING ' ~--~'/~ ~ CERTJFY THAT THiS TEST WAS PERFORMED IN 17034 Eagle River Lc~ ' /o 72-008 (Rev. 4/~) APPROVALS SEWER&WATER MNN 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 ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE= Lot 9, Block 8, Paradise Valley S/D November 30, 1995 GENERAL: 1. e o e Be The scope of this project includes the installation of a 1250 gallon septic tank and five 'foot wide drainfields to serve the proposed four bedroom residence for 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. 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. 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. ~EPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. e The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3e Ail 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 9, Block 8, Paradise Valley $/D November 30, 1995 DJ 6e 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 ft. 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: e 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. e Bo 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. Page Three Lot 9, Block 8, Paradise Valley S/D November 30, 1995 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2e The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Se Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4e Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, 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. · Ail 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. Page Four Lot 9, Block 8, Paradise Valley S/D November 30, 1995 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. e The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. e The final inspection is to occur upon final grading of the property. 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. There 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 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 Parcel I.D. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 0~.0-¥15-~I HAA# l~C~(~ Lot 9; Block 8; Paradise Valley Subdivision Location (site address or directiOns) 6130 Au~tr~ St. Anchorage, AK Prbperty owner Mailing address Lending agency Mailing address Jeffrey & Elizabeth Edmundson Day phone 6130 Austria Drive Anchoraqe, AK 99516 Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual weil Community well NOTE: XXX Public water If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding tank CommunitY on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION 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 verifythat 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 Eagle River, Alaska 99577 Phone Date DHHS SIGNATURE '.~ Approved for ¢ Disapproved. Conditional aPproval for bedrooms. bedrooms, with the following stipulations: Additional CommentsNote: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is ---~uggested that a p~ ~ng he performed tO insure the wells continued suitability. Nitrate concentration is 7.41 mg/1. EPA 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 DH HS cio 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, I/91) ~ack MeAlY21 r'NVIRONMENTAL SERVICi~$ DIVISION Municipality of Anchorage D£C 0 ~19% ~ DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division R J~ C ~ j V ~ D 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: A. WELL DATA Health Authority Approval Checklist ~,[.~z~.~_ ~,~ ~OA~AO~, ~=-- Parcel I.D.: Well type If A, B, or C, attach ADEC letter; ADEC wate~ system number Date completed Cased to I i"7, ,~ ¢, Log present (~) Total depth Sanitary seald~N) FROM WELL LOG Casing height (above ground) Wires properly protected AT INSPECTION Date of test Static water level Well production g.p.m. ~ g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed "'J ' ~ '-¢~ Tank size Foundation cleanout {~N) Date of Pumping Nitrate 7, ¢ / Other bacteria Collected by: $ & $ ENGINEERING 17034 Eagle River Loop Road, No, Eagle River, Alaska 99577. I'Z~ Number of Compartments '~- Cleanouts(_;.~N). Depression (Y/~ ~ High water alarm (Y/~) Pumper ' " C. ABSORPTION FIELD DATA 'Date installed Length '/i~' (Z ~ ?~J~Width ~' Effective absorption area ~'OC, ~;~ Date of adequacy test /~E¢ Soil rating ~or fF/bdrm) l ~ I Gravel thickness below pipe System type Total depth Monitoring Tube present(~/N) ¥~'~ Depression over field (Y/~ ~o Results (Pass/Fail) '-- For 'iii Fluid depth in absorption field before test (in.); Fluid depth °~ (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) Immediately after -'"'gal. water added (in.): Absorption rate = ~ g.p.d. If yes, give date bedrooms 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) ~..~..~B~flC~on"~ level at* "Pump off" level at* High wate~ *Datum Cycl ed SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot I0o 14' On adjacent lots loc Absorption field on lot I°°14' On adjacent lots loc Public sewer main ~/~ ~'Public sewer manho~e/cleanout ~j JR Sewer/septic service line ~5' 'P ., Lift station 14 /A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~ I Property line ~ ~ Absorption field ~.~. ! Water main/service line ll~) {' Surface water/drainage loc!'1- Wells on adjacent lots Ion I.+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: % Property line 1 ~. Building foundation '2. ~ I Water main/service line Surface water Ioo14'' Driveway, parking/vehicle storage area mol Curtain drain 14//~ Wells on adjacent lots j OOl't- ENGINEER'S CERTIFICATION .... .~ ~c.t.,%. OF , ' certify that, have determined thru field inspections and review of Mun/c,pa, recol~C~t?~.~ ebc ;.~j~Ctec~n~s are ...... ~, ~'.,, .... . ~,f.. in conformance with MOA HAA guidelines in effect on th~s date. _~, c~.~.. ~ Signature ~,.// L._ .-~'~-¢'~,/--¢....---~ · ~'.,~,,~,...~_,,z,/~,;,~i;¢~:;,,~ HAAFee $ ,~ Date of Payment ./~7~/~;/¢~ Receipt Number ¢ ,~*~/'~)'/7~/'" 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number ',~/~m~ CT&E Environmental Services Inc. ,~ma~ CT&E Ref.# 966313001 Client Name S & S Engineering Project Name/# Lot 9 Blk 8 Paradise Valley Client Sample ID Lot 9 Blk 8 Paradise Valley Matrix Drinking Water Ordered By PWSID 0 Sample Remarks: Sample collected by: Bob C. Client PO# Printed Date/Time 12/03/96 16:37 CoilectedDate/Time 11/27/96 08:00 Received Date/Time 11/27/96 08:40 Technical Director: Stephen C. Ede Released By ~-*~'~ ~ Parameter Results PQL Units Nitrate-N Total Coliform 7.41 0 0.500 mg/L 0 col/lOOmL Method Allowable Prep Analysis Limits Date Date Init SM18 4500-NO3F 10 max SM18 9222B 12/03/96 EM8 11/27/96 WEP