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HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 2 LT 5River Vi W Estates Block 2 Lot 5 #050-721 - 18 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:. '/'~( ~J Cf ~ 0 ] 37 7 PID Number: Of)mo ~ 7'Z ~ - Name: OAl',,~ ~J~,~(3f~'y' Wastewater System: ~ New ~ Upgrade Address; ¢o. ~ I~"~ ~,~., A~ ~,~,~ ABSORPTION FIELD No. of Bedrooms: Phone: ~q~ "~[~ ~ ~DeepTrench D Shallow Trench DBed DMound DOther Total Depth from original grade: LEGAL DESCRIPTION SoiiRating: ~ , ~ GPD/Sq. Ft, ~o Block: Subdiv~ion: Deplh to pipe bottom from original grade: Gravel depth beneath ~ipe Lot: ~ 2~ ~ I~ ~3'~ ~. ~' Ft. ~ ~_~ Ft. Township: ~ Range: Section: Fill added above original grade: Gravel length: .~ i I WELL: ~ New ~ Upgrade ~;ave~ width: ~, ~ I - Ft. Number of lines:l Distance betweenlines:~ Ft. Clpssification (Private, A,B.C): Total Depth: Cased To: I Total absorption area: Pipe material: Date Drilled: St~ticWater Level: Installer: Date installed: Pump Set et: ~ Casing Height Above Ground: Yield: ~ GPM d' ~, [ ' "~.1 _ i * .~. TANK SEPARATION DISTANCES Cs..tic ~ Ho~d~no ~ S.~.E... TO Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~&C I{o¢-~Gg ~¢f~ g[~& '~ Number of Compa~ments: Well- iooi:~ ioo~~ .... .Z.~ i f Material: ~'¢~ ~ '~ " STATIO~ s~ ' ~IFT Water l;~°l~ I00~ . ~,~- I ~c)~'~ ...... .~ ~ Size in gallons: Manufacturer: ~ Lot Line ~ ..... , .~ "Pump on" level a~p off" level at: High water alarm at: Foundation CudainDrain ....~ ¢~6 ~ ~.)uJ~ ~ Pum~ode[¢__ Electrical Inspections pedormed by: Remarks: BENCH MARK Location and Description: Assumed Elevation: icc, OFt' Inspections performed by: s & s ENGINEERING Dates: 1st ¢/'/q¢ ~~"¢"~; ..... Department of Heal. th and Human Services a~-OW~T'','¢~, ;: ,. Reviewed and approved by: Date:/2 -/¢.-¢~ '~', ,,.,"'" ":"; ;:';" 72-013 (Rev. 9/91) MOA 25 Permit No. SW c/~tai3 7 2 2 Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196850 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report .... LOT 5, BLOCK 2, RIVER VIEW ESTATES 0.5072118 Legal L~escr~puon: PID No.: ,;ALT. SITE ~'~4'/,~, % / %¢-, / SEPTI(; TANK % [ ST2 79.0, -- % I C01 89.0' 83.5' %[ C02 114.~ 99.0] 72-013 A (Rev. 9/91) MOA 25 HEALTH AUTHORITY APPROVALS SEWER&WATER MC, IN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL tNSPECTION & FLOW TEST SI1 E PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSf EM DEStGN ROBERT C. COWAN, RE. ROBERT A. SHAFER, P.E. December 9, 1996 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-121 '1 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.Oo Box 196650 Anchorage, Alaska 99519-6650 RECEIVED DEC I ':') 199(:) ~., UI~ .¢ I..~,: t , ., Dept I leai'~h & i-k~n'~'p' S(;rv~ces REFERENCE: Lot 5 Block 2 Riverview Estate Subdivision Dear Mr. Cross, This is to provide additional information relating to the soils placed on the septic tank for the subject property. Our observation was the material placed on the tank was a gravelly sand which is porous and would not be able to retain much water or moisture. We would expect the soils are probably around 100 pounds per cubic feet as opposed to the design criteria of 120 pounds per cubic feet used in the tank design calculations. We also understand a safety factor of 2 was used in the tank design. If we may be of further service, please contact us. Sincerely, 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA99577 HEALTH AUTHORITY APPROVAL8 SEWER &WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES /'.ND REPORTS WELL INSPECTION & Fi. OW TEST SiTE PLANS ROAD DEStGN SOILTEST PERCOLAIION TEST STRUCTURAL & MECHANtCAL INSPECTIONS ONSffE WASTEWAEER DISPOSAL SYSTEM DESIGN v ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 June 20, 1996 RECEIVED Municipality of Anchorage LAND USE OFFICE Attn: Dan Boles 3500 E. Tudor Road Anchorage, AK 99507 REFERENCE: Lot 5; Block 2; Riv~rview Estates Dear Mr. Boles, The septic inspections for the referenced property were performed on 5/19/95. P~or to submitting the On-site Wastewater Disposcl System and/or W~l Inspection Report we are w~ting for the foundation to be completed. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.e. RCC/gk cc M.O.A. Department of Health and Human Services 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Rick Mystrom, Mayor Mtmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O, Box 196650 Anchorage, Alaska 99519-6650 343-4744 May 24, 1995 Dan P Murphy PO Box 143391 Anchorage, Alaska 99514 3391 Subject: Lot 5 Block 2 River View Estates Subdivision Permit 9SW940137, PID ~050-721-18 The subject permit, issued May 24, 1994 by this office for a single family well and/or on-site wastewater system, has expired as of May 24, 1995. 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, Erogram Manager On-site Services enc: Copy of Permit cc: S & S Engineering 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 PAGE 1 OF 1 PERMIT NLSqBER:SW940137 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MURPHY DAN P OWNER ADDRESS:P.O. BOX 143391 ANCHORAGE, AK 99514 DATE ISSUED: 5/24/94 EXPIRATION DATE: 5/24/95 PARCEL ID:05072118 LEGAL DESCRIPTION: RIVER VIEW ESTATES BLK 5 2 LT LOT SIZE: 65096 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 ALASICA 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 PROVI S~ RECEIVED BY: //~Y DATE: DATE: b) ©OC Co. SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759 OWNER OF LAND , ADDRESS LEGAL DESCRIPTION DATE - Started PERMIT NUMBER DEl'TH OF ~',ELL . : S]--xTIC LEVEL Ol. WATER Fl-. DRAW DOWN FT. GALS. PER HR KIND OF CASING KIND OF FORMATION: From Ft. to Ft. From_ Ft. to Ft From : Ft. to Ft.. From Ft. to :~ . Ft From_:: r FI. to ' Ft. From__Ft. to Ft. From Ft. to Ft. · From Ft. to Ft. From Ft. to Ft From Ft. to Ft From Ft. to Ft From ' Ft. to Ft From _Ft. to Ft.. From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Ft. to _Ft. From From From Frolr From Fron' Frop! · From From Fi'om__ From _ From From From From Ft to_ Fl. Ft. to Ft Ft. to Fl. Fl. to Ft Fl. Io Ft Ft. to Fl. Ft. to Ft Ft. to Ft. Ft. to Ft Ft. to _Ft Ft. to Ft Ft. to Ft, Ft. to Ft, _Ft. to__ Ft. Ft. to Ft, Ft. to Ft. Ft. to Ft MISCL. INFORMATION: RECEIVED ,]UN 1 6 1994 Municipality ol Ancl~orage Dept. Health & Human Services DRILLER'S NAME Tom Fink, Mayor N unicipality of Anchorage Department of Health and Human Services 825 "L" Street P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 7, 1993 Dan P. Murphy PO Box 143391 Anchorage, Alaska 99514 3391 Subject: Lot 5 Block 2 River View Estates Subdivision Permit #SW920191, PID #050-721-18 The subject permit, issued July 22, 1992 by this office for a single family well and/or on-site wastewater system, has expired as of July 22, 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. /Pr/Oa~am Manager //~-site S~rvices enc: Copy of Permit cc: S & S Engineering PAGE 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:SW920191 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MURPHY DAN P OWNER ADDRESS:P.O.BOX 143391 ANCHORAGE, AK. 99514 PARCEL ID:05072118 1 OF DATE ISSUED: 7/21/92 EXPIRATION DATE: 7/21/93 LEGAL DESCRIPTION: RIVER VIEW ESTATES BLK 5 2 LT LOT SIZE: 65096 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 (iSAAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS ON-SITE INSTALLATION IS FOR A FOUR BEDROOM SINGLE FAMILY RESIDENCE ONLY WITH A SINK AND TOILET IN THE DETACH- ED GARAGE, ANY TYPE OF OCCUPANCY IN THE GARAGE WILL NECESS- ITATE CHANGING THE CLASSIFICATION FROM SINGLE FAMILY TO MULTI-FAMILY RESIDENCE. THEW SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE APPROVED ENGINEER'S DESIGN DATED 7/16/92 ISSUED BY: ~-. , ~ DATE July 14, 1992 ROBERT SHAFER, P.E ROGER SHAFER. P E CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSALSYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 REFERENCE: Riverview Estates Subdivision, Block 2, Lot 5 We request you issue a permit to install a septic system to serve the proposed four bedroom house on the referenced property. Two test holes were performed on the property. The approximate location of the test holes are located on the attached site plan. The monitoring tubes within the holes have been checked and found to be dry. This property has enough area for future septic upgrades, which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. Sincerely, Roger J. Sharer, P.E. RJS/LSU/lsu 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 ,Og = ,,/ £I71E7~ 773/~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~..~¢-r"~'~' ~-'~b-¢-"~ ~t',..J~.~.~'~ ~¢~t/~ Township, Range, Section: 2 3 4 5 6 7 8 9 10 11 12 13 DATE '." PERFORMED: ~, ~lp SLOPE SITE PLAN h Hme Time Water Drop ~ ~[%,,, ,,, ,,%,,_.(.. TE ~ (mmutes/,nchj PERC HOLE DIAMETER ~ ~'-~0¢ESS~0x*2;~:5~ VES~ RUN ~WE~N ~,¢ ~T*~ ¢,~ ~V COMMENTS ~%%~" WAS GROUND WATER ENCOUNTERED? DEPTH7 Oeplh Io Waler Ntsr ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS D~,TE 72-008 (Rev. 4185j CERTIFY THAT THIS TEST WAS PERFORMED IN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION:~.-¢.,¢ ~"-- i--~---¢--~-~....1"..~ ~ '~-~X/,¢.~_~ Township, Range, Section: SITE PLAN 6 10 11 12 13 14 15 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplh 10 Waler Aller \ ~, Moniorino? __~'~Zd)ale: ~f¢-~ Date Depth to Water 16 17¸ 19 20. COMMENTS PERCOLATION RATE TEST RUN BETWEEN '~,~'~ (mmules/Jnch) PERC HOLE DiAMETER _~ "_ -- FTAND ~' ~ FT PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: ~:~:> ~ "2'"/~ ~:~ 72-008 (Rev 4,'85) TO: Municipality of Anchorage Department of Health and Human Services P.O. Box 196650, 825 L Street Room 502 Anchorage, Alaska 99519-6650 Attn: Robby Robinson RE: Owner install of on site wastewater septic system PARCEL ID: 05072118 From 1984-1988 I worked for the Feild Maintenance Unit of the Federal Aviation Administration in southern Alaska. I was ivolved in and crew leader on jobs installing buried potable water supply systems, power and communications cables in ridgid conduit and PVC and aircraf~ navigational equipment foundations. During this time I became quit familiar with the operation of level transits, methods of bedding and insulating buried systems and I have several hundreds of hours operating backhows I have purchased a level transit, a smart level and all the other tools I will need to install this system and build my own home. If you have any questions concerning my qualifications please give me a call at WK 271-2471 or HM 696-5953 after 7:00pm Thank You Dan P. Murphy / Municipality ®f Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D_054-931-ea 050-7Z\- lg 1. GENERAL INFORMATION: Complete legal description River View Estates: Block 2, Loth 5 Expiration Date: I `( ;� �?—lc/ Location (site address) 21530 Rushing River Circle *Eagle River, AK 99577 Current Property owner(s) Sandra Siekaniec Day phone 763-202-3031 Mailing address Real Estate Agent 21530 Rushing River Circle *Eagle River, AK 99577 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 55-0— Date _ (� Date of Payment g)21 i Receipt Number 0 4oaoll, G COSA # QGCIO� , Date: Waiver Fee $ Date of Payment Receipt Number, Waiver # 5. 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 On -Site 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 1 Engineer's Printed Name: Jeffrey A. Garness Date: L /Zr /1 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells) and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for -3 bedrooms 0 System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following OF ti w°�1 ...... VE .JeA. rne. 793 ��11 _ro f es5iofiobo #AECC884 Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA blue sheet 10-10-12.doc Nitrate Advisory Arsenic Adviso Other `fGzo Legal Description: River View Estates; Block 2, Lot 5 Parcel ID: 050-721-18 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Al Well log is filed with Onsite (or attached) Date drilled *5/94 Total depth *300 ft Cased to *72.33 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 6/12/19 Well production at time of test 2.2+ gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Neg tive Nitrate mg/L i rate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by GEG, LTD Date of Sample 8/12/19 Static water level at beginning of test 115 ft Comments *Per 1996 Inspection Report - Well Log in MOA online records is to faint to read B. TANK DATA Age of tank(s) 24 years Tank type/material septidsteel Measured operating fluid level in septic tank 51 ❑ Standpipes/foundation cleanout per record drawing Date of pumping I D. ABSORPTION FIELD DATA C. LIFT STATION ❑ Required maintenance completed Age of lift station year Lift station material Commen : Which system tested (date installed) 1996 Adequacy test date 8/92/19 ❑ ALL standpipes present per record drawing ❑ Results R Pass For 3 bedrooms Total measured depth from grade 12.5 ft (max) Fluid depth prior to test **66 in Measured depth to pipe invert from grade 5.0 ft (min) Water added **516 gal ❑ N/A — pressurized field New depth **78 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 165 min depth into effective 6.26p FE]Code-requiredsoil cover over field Final fluid depth **75 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) Gallons introduced n/a gallons y n/a If es, enter date Comments/Deficiencies: 'FCO in house per previous COSA- GEG did not confirm "See attached GEG report COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' El Yes if No Community Sewer Manhole/Cleanout > 100' Q Yes if No ft 71 Yes if No ft Neighboring Tank > 100' ❑Q Yes if No ft Private Sewer/Septic Line > 25' E] Yes if No ft Absorption Field on Lot > 100' ❑Q Yes if No ft Holding Tank > 100' 0✓ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ✓❑ Yes if No ft 0 Yes if No ft ft If septic tank is under driveway comment below 24 Year old septic tank and drainfield are likely approaching the end of their useful life. Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft 0✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' El Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Q Yes Absorption Field > 5' El Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' ❑r Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' El Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' El Yes if No ft Water Service Line > 10' ❑r Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100'❑ Yes if No ft F. ENGINEER'S COMMENTS 24 Year old septic tank and drainfield are likely approaching the end of their useful life. G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECC884 DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval #OSC191391 Subdivision: Riverview Estates B 2 L5 947-343-7944 Fax: 343-7997 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 24 years old. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. . tg z ox 9565 Anc10,111k 5 6 U GARNESS ENGINEERING GROUP, Ltd ------ ____J ENGINEERING o SALES o CONSULTING _--- -- __- August 19, 2019 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Subject: Explanation of Septic System Evaluation on River View Estates; Block 2, Lot 5; To Whom It May Concern: Our firm performed an evaluation on the septic system serving the 3 -bedroom home on the subject lot. The result of the field investigation and adequacy test is summarized as follows: The septic system consists of a 1,250 -gallon septic tank and trench type drainfield that is 39 feet long, 2:5 feet wide, and has an effective depth of 6.5 feet. The septic system was installed in 1995/1996. We performed an adequacy test on 8/12/19. Prior to the start of the test, the Monitoring Tube (MT) had 66 inches of liquid in it (9 inches below the invert of the distribution line). Five -hundred and sixteen gallons (516) of water were introduced into the drainfield over a period 90 minutes, which caused the liquid level in the MT to rise 12 inches, to a total depth of 78 inches (3 inches above the invert of the distribution line). Over the recovery period of 165 minutes, the liquid level in the MT dropped 3 inches (liquid level right at the invert of the distribution line). Although the liquid level in the drainfield did not drop below the invert of the distribution line during the recovery period, I am confident, that a later recovery reading would have indicated a liquid level below the lateral. Based upon this data and assertion, it is reasonable to believe that the absorption rate of the trench is at least 450 gallons per day. Both the septic and tank and the drainfield are approaching the end of their useful life; therefore, it is our recommendation that an advisory letter be attached with the issued COSA. If you have any questions, please contact us at 337-6179. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program '!, r~ 4700 Braoaw Street ,,, ..,/ ·' P:O. BO7( -i'96650 /'"'"'~ .// Anchorage, AK 99519-6650 ~ /¢¢ ~? . www.muni.org/onsite / / (907) 343-7904 / J ! CERTIFICATE OF ON-SITE SYSTEHS APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 050-721-18 1. GENERAL INFORMATION Expiration Date: ~ '-' / fO - / / Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mail!rig address Real Estate Agent Mailing address RIVER VIEW ESTATES S,/D; BLOCK 2, LOT 5 21530 RUSHING RIVER CIRCLE * EAGLE RIVER, AK * 99577 DANIEL SVOBODA & ELIZABETH BRANN Day phone 21550 RUSHING RIVER CIRCLE * EAGLE RIVER, 'AK * 99577 Day phone PIPER EMERSON W/ REMAX Day phone XXX 110 W. 58TH AVE, #100 * ANCHORAGE, AK * 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 31 TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · 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 samples. (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. o 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as o, L.~ vo,,u~,,o, date ~' .... o, ,~,,vn below, ' ....~" *~* ~" investigation, based on procedures outlined in the Certificate of On-Site 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: Phone Date 557-6179 DSD SIGNATURE In conducting this evaluation, GEG, LtD. attempted to provide a thorough, "~:,'~r',~'~-~"~%'~'~.~A. c~nscienti~usengineeringana~ysis~fthesysteminacc~rdance~withADECandM~Aperformance ~"~ ~...F....~. ~..~ DSD Guidelines & Regulations. The reported results described the of the ~_~, .~v. . system, under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septicsystemsdependon thelocalsoilscondition, groundwaterlevelsthatmay ~. .... fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide o any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for "~,~ the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. bedrooms. ,~'~'.-' ON-SEE ".~..~ bedrooms, with the following stipulations: Approved for ~'~ Disapproved. Conditional approval for Attachments: COSA Checklist "..Septic System Advisory Well Flow Advisory (Rev. 11/05) Arsenic Advisow Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: //- Municipality of Anchorage Development Services Department CERTIFICATE OF Legal Description: WELL DATA Well type PRIVATE Date corn pleted Total depth 500 Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 0N-SITE SYSTEMS APPROVAL-CHECKLIST 5/1994 RIVER VIEW ESTATES S/D; BLOCK 2, LOT 5 If A, B, or C provide PWSID# N/A Sanitary seal (Y/N) YES Cased to 72.3 ft. .ft. FROM WELL LOG 5/1994 150 8 g.p.m. Nitrate 1.45 mg./L. Date of sample: 10/22/2010 Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: ND ug./L. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size '.1.250 gal. *INSIDE HOUSE SEPTIC/STEEL Number of Compartments 2 Total depth * 12.6 ft. Eft. absorption area 507 ft2 Monitoring tube YES Date of adequacy test ** 10/29/2010 Results (Pass/Fail) PASS Fluid depth in absorption field before test 33 in. Water added 950 gal. .Elapsed Time: 120 min. Final fluid depth 45 in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN · *DRAINFIELD WAS PRE-SOAKED W/ 1515 GALLONS ON ~10~28/10 UNTIL Depression over tank (Y/N) NO Pumper. [*BELOW EX ST NC C DEI Soil rating ~or ft2/bdrm) 1.2 Width 2.5 ft. Foundation cleanout (Y/N) *YES Date (~f pumping' 11,/1/2010 ABSORPTION FIELD DATA Date installed: 5~1;8-19/10 Length 39 ft. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 10/28/2010 114 ff. 2.86 g.p.m. YES YES 12+ in. Other bacteria 0 colonies/lO0 mi. Collected by: GEG Ltd. Date installed 5/18-19/1995 Cleanouts (Y/N) YES High water alarm (Y/N) N/A J.R'S PUMPING System type... TRENCH Gravel below pipe 6.5 ft. Depression over field NO For 4 bedrooms New depth 60 in. 600+ g,p.d. If yes, give date - 100% FULL. Parcel D. LIFT STATION Date installed "Pump on" level at Datum E. in. Size in gallons Manhole/Access (Y/.~) ~ "Pump off" level_.a~. High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES SEPARATION DISTANCES .FROM WELL ON LOT TO: 100'+ Septic tank/lift station on lot Absorption field on lot 100% Public sewer main N/A Sewer/sePtic service line 25'+ Animal containment areas 50'+ On adjacent lots 100% On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N,/A Manure/animal excrete stOrage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line. 10% Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots, 100'+ N/A Absorption field 5'+ Surface water. 100'+ 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ F. COMMENTS G. ENGINEER"S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date COSA Fee $ F~O-e-~' Oa,eo, a men i/} Receipt Number ~'7~'& ~' (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number SGS Ref.# 1105716001 ClientName ~ Garness Engineering Group, Ltd Project Name/# -'~ 21-'$30 Rushing River Client Sample ID ~ '~T~30 Rushing River Matrix Drinking Water Printed Date/Time Collected Date/Time Received Date/Time Technical Director 11/01/2010 '16:03 10/22/2010 9:30 10/22/2010 12:20 Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Hardness as CaCO3 170 5.00 mg/L SM20 2340B C 10/25/10 10/26/10 KDC Waters Department Total Nitrate/Nitrite-N 1.45 0.100 mg/L SM20 4500NO3-F B 10/25/10 AYC Microbiology Laboratory E. Coli Negative I 100mL SM20 9223B A 10/22/I 0 DLC Total Coliform Negative 1 100mL SM20 9223B A 10/22/10 DLC Private Individual Analysis Alkalinity 119 10.0 mg/L SM20 2320B D 10/22/10 LP Aluminum ND 20.0 ug/L EP200.8 C 10/25/10 10/26/10 KDC Antimony ND 1.00 ug/L EP200.8 C (<6) 10/25/10 10/26/10 KDC Arsenic ND 5.00 ug/L EP200.8 C (<10) 10/25/10 10/26/10 KDC Barium 4Ll 3.00 ug/L EP200.8 C (<2000) 10/25/10 10/26/10 KDC Cadmium ND 0.500 u~ EP200.8 C (<5) 10/25/10 10/26/10 KDC Calcium 52400 500 ug/L EP200.8 C 10/25/10 10/26/10 KDC Chloride 2.97 0.100 mg/L EPA 300.0 D (<250) 10/23/10 10/23/10 SDP Chromium ND 2.00 ug/L EP200.8 C (<100) 10/25/10 10/26/10 KDC CO3 Alkalinity ND 10.0 mg/L SM20 2320B D 10/22/10 LP Conductivity 359 1.00 umhos/cm SM20 2510B D 10/22/10 LP Copper 11.9 1.00 ug/L EP200.8 C (<1300) 10/25/10 10/26/10 KDC Fluoride 0.111 0A00 mg/L EPA 300°0 D (<2) 10/23/10 10/23/10 SDP HCO3 Alkalinity 119 10.0 mg/L SM20 2320B D 10/22/10 LP Iron ND 250 ugFL EP200.8 C (<300) 10/25/10 10/26/10 KDC SGS ReL# 1105716001 Client Name Garness Engineering Group, Ltd Printed Date/Time 11/01/2010 16:03 Project Name/# 21,930 Rushing River Collected Date/Time 10/22/2010 9:30 Client Sample ID 21~0 Rushing River Received Date/Time 10/22/2010 12:20 Matrix Drinking Water Technical Director Stel)hen C. Ede Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Private Individual Analysis Lead 0.378 0.200 ug/L EP200.8 C (<15) 10/25/10 10/26/10 KDC Magnesium 9470 50.0 ug/L EP200.8 C I0/25/10 10/26/10 KDC Manganese 8.11 1.00 ug/L EP200.8 C (<50) 10/25/10 10/26/10 KDC Nickel 8~09 2.00 ug/L EP200.8 C (<100) 10/25/10 10/26/10 KDC OH Alkalinity ND 10.0 mg/L SM20 2320B D 10/22/10 LP pH 7.50 0A00 pHunits SM20 4500-H B D (6.5-8.5) 10/22/10 LP Selenium ND 5.00 u~L EP200.8 C (<50) 10/25/10 10/26/10 KDC Silver ND 1.00 ug/L EP200.8 C (<100) 10/25/10 10/26/10 KDC Sodium 4270 500 ug/L EP200.8 C (<250000) 10/25/10 10/26/10 KDC Sulfate 50.8 0.500 mg/L EPA 300.0 D (<250) 10/23/10 10/23/10 SDP Thallium ND 1.00 ug/L EP200.8 C (<2) 10/25/10 10/26/10 KDC Total Dissolved Solids 217 10.0 mg/L SM20 2540C D (<500) 10/28/10 JJR Zinc 65.9 5.00 ug/L EP200.8 C (<5000) 10/25/10 10/26/10 KDC Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.munl.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parc COSA# Expiration Date: (~ - ,.~- O .'-.7 GENERAL INFORMATION Complete legal description Lot 5, Block 2, River View Estates Subdivision Location (site address) 21530 Rushing River C~rde, Eagle River. Alaska Current Property owner(s) oan Mumhy Day phone 6~.-3344 Mailing address Lending agency Day phone Mailing address Real Estate Agent Audrey Mason Day phone 622-3344 Mailing Address Unless othe~vise requested, COSA will be held by DSD for pickup. 2. NUMBEROF BEDROOMS: 4 3. TYPE OF WATER SUPPLY:. Individual Well [] Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding Tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Se~ces 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 titIe (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 proper'des 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 vedfy that my investigation, based on procedures outlined in the Certificate of On-Site 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 vefif,/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 Douglas T. Kenley Address 98o6 E. No~lh Star Circle. Palrner, AK 99645 Engineer's Printed Name I~lasT. Kenley 5. DSD SIGNATURE Approved for /~ Disapproved. Conditional approval for ~ bedrooms. Phone 907-546-1073 Date - ~dr~ms, with the following stipulations: "' ON-SiYE'" W^TFRAND :. WASTEWATER : =' Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other /~/. .'.'~C~/"~Odginal Certificate Date:~ Municipality of Anchorage Development Services Department Building Safety Otvision On. Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anci'mrage, AK 99519-6850 www.muni.org/onsite (g07) 343-79O4 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST WELL DATA Well type P. vate Total dap~ 3oo ff. Date of tast Static water level 15o Well pmauction 8 WATER 8AMPLE RESULTS: IfA, B, arC provide PWSID # Sarlltap/leaJ (Y/N) Y ~ta 72.3 FROM WELL LOG 5/94 Casing height (above ground) AT INSPECTION ft. 114 ft. g.p.m. 3.1 g.p.m. Y ~2 in. Coliform 0 .colonies/150 mL Amenic: 7.14 mg/I B. SEPTIC/HOLDING TANK OATA Tank ~oenaaterm 'sep~mm Tank size 12so gal. Faur~oll deartout (Y/N) Y C. ABSORPTION FIELD DATA Langm 39 ft, Date of ~ample: S/13m~ N~r of Compartments 2 Depression over tank (Y/N) N Pumper J.R. Pm~n9 Olher bacteria 0 colonies/IIX) mL Collected by: F~ed Soil rating (g.p.d./ft2 ar ft2/t3drm) '1~. System type.'tm~ch V~101h '2.5 ft. Gravel belowpipe 'e.5 ft. T~tal depth '10 E. Eft. ebsofl~on area 'SO7 ~ Monit~'ing tube Y De~on over field Date of adequacy test 4/13~07 Results (Pass/Fall) Pm Far 4 bedrooms Fluid daplf~ in abaoq~on fieKI before test 7-3/4 in. Water 8dded 1029 gal. New dapt~ 40 in. ElapsedTmte:l~6 min. Final fluid depth 36-3/8 in. )d3~onrata >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give data. -- Date installed C~out~ (Y/N) Y High water alarm (Y/N) D, UFT STATION Date installed 'Pump on' level at in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump off' level et __ in. Cyde$ tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot At)sorption field on lot 14o*' Public sewer main Sewer/septic sewice line Animal containment areas Manhole/Acc~__ss (Y/N) High water alarm level at ~ alarm & circuit requirements? Building fomx:laflon 4o +' Water main Wells on adjacent lots On adjacent lots On adjacent lots too*' Public sewer manhole/dieertout Holding tank Manure/animal excrete storage ereas Al~som~on flald. · Surface water, SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Pmpety line ~o*' Water service line 2~' Water main N/A Dm,~y. paining/vehicle mmage to*' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 30-' Bull(ling foundation 7~' Water Service line 25-' Surface water Curtain d~aln Nmm kr, wm Walls on adjacent lots 100~' F. COMMENTS: ~F.xn~ro~x~. G. ENGINEER'S CERTIFICATION ~'_4~' & · ~,;I: Engineer'a Plinted Name-n?-'*;tas T' Kelley Date ~ ~' ,- ~ 1).v~.. ~ - .- ,.., ._v-~',~ COSA Fee $ ~'~D '" waiver Fee $ '**' "' """" Receipt Number Receipt Numt~r (Rev. 11/05) 04-30-07;14:30 ; ;907 561 5301 # 2/ 4 SCS P.e tJ~ Client I~amc l'rojc~t lqAme/# Clicnt Sample ID 1071510001 Douglas Kenley P.E. [,5 BI2 PGvcr ¥1cw Es~ SD Wcl! Cent Tnk 2 l flO Rushing Drinkinl[ Water All Dal~,/Timcs ere AJa~ka Slaadard Time Prlntcd Date/Time 04~0~007 9:00 Collected Dnt~ime ~11~007 14~0 ~e~cd Dat~lme ~1~007 12:55 Technical D;rector SteDben ~ Erie Samelc Rcm~ks: t~ala b~ xC~ Kc~ul~, P~L Units Method ?.14 5.00 ~.~ EP2OO.S C (<10~ 04/18/07 04r28/W TK Total Nim~t '~Nitritc-N 0.9~$ O. lO0 m'l~ EPA 353.2 B (<10~ 04/1~07 JDS l~Ac=obiol oq~ Laboratox'y Tot~ Coli~onu 0 ~ol/100ml., S,M20 9~*~m A {<11 04/12/07 ASBUILT I HEREBY CERTIFY .THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY, ND THAT NO ENCROACHMENTSEXIST EXCEPT AS INDICATED. IT IS THE RESPONSI:31LITY OF THE OWNER TO DETERMINE THC EXISTENCE OF ANY EASEMENTS, COVENANTS~ OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINE~ OR FOR ESTABLISHING BOUND- ARY LINES. SEWARD SCALE, DATE' GRID: FB: DRAWN~ ASSOCIATES LAND SURVEYING 694-0829 . ~**'"~"~ ~.:.~