Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink AboutRIVER VIEW ESTATES BLK 7 LT 5River View Estates Block 7 Lot 5 #050-791-05 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211063 PID Number: 050-791-05 Dwelling: nE Single Family (SF) 171 with ADU El Duplex (D) 171 Two Single Family Project: n New IME Upgrade Name AARON & ASHLEE HOWARD A ORPTION FIELD rbfiEJ DeTrenched ound El De Trench El Wide Trench El Bed ound Site Address 21009 RIVER PARK DRIVE, EAGLE RIVER, AK � Other Phone Number of Bedrooms Soil Rating depth t original grade 854-1817 (C/O AGENT) 5 rsF ITotal Ft. LEGAL DESCRIPTION Depth to pipe invert from oridepth EXISTINq' beneath pipe Subdivision Block Lot Ft. RIVER VIEW ESTATES 7 5 Fill added above originaljGr Ft. I length Ft. Township Range Section n an c Gravel width Ft. Beds: Number of Lines Dist e between lines Nz� Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer rption area Number of trenches Dist. between `1� From Tank Field Tank Line Ft2 Well 100'+ EXISTING - - 25'+ TANK 9 Septic El S.T.E.P. El Holding El Other Manufacturer INFILTRATOR Capacity 1530 Gal. Surface Water 100'+ EXISTING - - Material Number of compartments Lot Line 5'+ EXISTING - - NA PLASTIC/HDPE 2 Foundation *5+ EXISTING - L ATION Manufacturer Capacity Remarks 'TANK OUTSIDE 45 DEGREE ANGLE OF REPOSE OF FOUNDATION Gal. >EIec Alarm location] ri ailed y PIPE MATERIAL House to tank D3034 drainfieldTankto D3034 Installer NORTHERN EXCAVATION Drainfield EXIST. CO/MTD3034 Inspector GEG CONSULTANT, BENCH MARK (Assumed elevation) 100.00 ft Inspection vt 3/19/2021 Location and description nd dates: 2 rd TT BOOM OF WINDOW SILL NEXT TO TANK 3 - 41" ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date '9ks,QQ .. . . ....... ............ ......................o Septic System ApproyaA--=:::::�_ Date . , 13 Frey aress.: 0 CE -79/3 Note: this approval does not include well permit requirements.# ECCq��07777O4�oo��o (t-ev uo/uz/izj) NUMBER: PARCEL NUMBER:I OSP263 RECORD DRAWING 050-791-05 A B INSTALLED DBL COS `- MH 22.1 22.1 '- ---. ST1 14.5 29.8 O (DBL1 & DBL2) c v NEW IM -1530 INFILTRATOR SHED \ \ \ I I O 1 PLASTIC SEP/TIC TANK i EXISTING \ O I� I 5 -BEDROOM U I I I HOUSE �c C07 p / i EXISTING DRAINFIELDS. C05, MT1, & C06 WERE REPAIRED/FIXED AS PART OF THIS INSTALLATION 100' RIVERVIEW ESTATES; / •�. SETBACK BLOCK 7, LOT 6 i goo SHED EXISTING / WELL � � 1 .1 • `9 1 \ 10' UTILITY EASEMENT RIVER PARK DRIVE \ ` _ \'N�� _ GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING ANCHORAGE, ALASKA' PHONE (907) 337-6179' WEBSITE: www.gamessengineering.mm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: AARON HOWARD C/O MIYUN STOGSDILL 854-1817 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: RIVER VIEW ESTATES; BLOCK 7, LOT 5 J.L.M. TYPE OF WORK: DATE: RECORD DRAWING OF SEPTIC TANK UPGRADE 3/23/2021 RIVER VIEW ESTATES; BLOCK 7. LOT 4 LOCATION OF RIVULET/DRAINAGE SWALE PER SHANE HOLT, PLS 2021 AS -BUILT SURVEY y\ i i 7 o Q \ o I o I / SCALE: / 1"=40' , o may... re.y......... .n..e...ss....... o ■ ♦ � =: r:Q �� # , 7 53 �_� 4 AV AV LICENSE ,I��5��' '• . #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: OSP211063 RECORD D RAW I N G 050-791-05 .*%-6F 11 49 GARNESS ENGINEERING GROUP, Ltd .....:..... .... ENGINEERING SALES CONSULTING /' 0 ANCHORAGE, ALASKA ' PHONE (907)337-6179'VJEBSITE: www.gamessengineering.com �• ` • • •• •••••••••• •••••••••••• •• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0:, •• ffrey ess W AARON HOWARD C/O MIYUN STOGSDILL 854-1817 3 OF 3 # -, CE -7953 == PROJECT/LEGAL DESCRIPTION: DRAWN BY: RIVER VIEW ESTATES; BLOCK 7, LOT 5 J.L.M. �1*�F0 P•�•"'••••14�1P�.•� TYPE OF WORK: DATE: LICENSE , . �,`S"��' RECORD DRAWING OF SEPTIC TANK UPGRADE 3/23/2021 #AECC884 D-0zxmzn-1 z A 0 m D 0 0= <o-1= Ln -izm ommm •n vm.. 03-irH D;o z m 0 H z H -< T — -1 m -1 O Z m tnmtAM airzc Hnzocm tnzmr-ntnm•-1 =mt-m m-iH O to Htnm0�0 Z O m n m m z S (AH OO z= m -1 0 O m � ;00=H, vXm m to D n O H O 0H -i D00 VIz z m=11Z - I Z H H :3.8 j O m H V f •AG z-C—�0 0m mov Tz-i;u m v v => ;o ➢ -H-r > Z D n= •OH -i0 -im azo o�zc xr- mFFttAm 3 H= D z D 0 A3H mnz-+ -i-0 to vr0 m00 btn-0m p3z zCpi OH mH LIn--IZ -1z z-1 m 0 to G) Z � 0 H X � --i Vmi O L, n m =e -i m mH IA H omvz-c � i m O x < VI z Ln Om Dtn z m 3 z O m -0m 0 to a LA -ii ti � n 0 O D i"' X O ; m D m T3 r- 0 0 m mr n m zz z G m 9mt�n-i r O Z mzDtn m O m z = N 0 0 Z � i~n n z n Z 1 N 0 ry w9 102 rzwo v+nor I x 'o -1 w O to 70 67 r -�Aza wM z m<v M azv, 7: c o< 10 pa m In < H omz N 61 Z ZmAa $boa v,pAa 2aa2 S 't mm°zam °pmm Z .y yZZ myA m p a tem -3<A , off o A x _0m a0 n -iHmfiJn y T o mmAQ- m A b t=f omo -i oO -c _m f cn m Z �r� A o o m A r p mm m to -3 -3 -0 Gl h -n -< m S m H m s O H A m u =1 V r- n p = ;;o --i n;;a b r -m = v C n m m c o m • 1""' d S -3 O n 4 S f <© V7 H H D A 70 D H m ;;a t. AzZ3 tl Gl G Gl m m H o m z t/J 21- - n C� 4 Ht-e.k --i � Gl m S V QQC s r-- m z ty y n m n ty ty Cn H m p Cl HL) HH 7C Z -i -3 m A o c 70 m= D H d A 2 ----------- ------- ----------- - O ha 0 _--__-_-_--__ T H m -3 -o m ra H " t7 , �;u Q �. N C n 0 R 3 z 7 0 D N 00 01'10' W 250.00 N 00 01 ' 10" W250.00 0 0 H o -0 O a m-jA _0m a0 • m T i- m •• _ mmAQ- m > b 70 C4 z o a -i oO -c 0 f cn m Z n z 3 D o T m s OG o A A O/^/ p = n d n • 0 rrri V • 1""' d S V7 -5 00 A 3 E -3 t. o - n C� 4 Ht-e.k -c p r QQC s m N C n 0 R 3 z 7 0 D N 00 01'10' W 250.00 N 00 01 ' 10" W250.00 0 0 0 • O O e 40. G� T s OG 0 F'. 0 m D MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211063 Work Type: SepticTank Upgrade Tax Code Number: 05079105000 Site Legal Address: RIVER VIEW ESTATES BILK 7 LT 5 G:0357 Site Mailing Address: 21009 RIVER PARK DR, Eagle River Owner: HOWARD ASHLEE L & AARON D Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: �111CnC �' r• v. De1)"rtill ell t 3/16/2021 3/16/2022 40000 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4, From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: Z 5 MUNICIPALITY b ANCHORAGE �\" ry• _ .®r.30�=. _ Development Services Department� 4 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 050-791-05 Property owner(s) AARON HOWARD Day phone 443-618-8408 Mailinq address 21009 RIVER PARK DRIVE, EAGLE RIVER, AK 99577 Site address 21009 RIVER PARK DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub's., Block & Lot) RIVER VIEW ESTATES; BLOCK 7, LOT 5 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) M (vv/wo AD U) Septic Tank 0 Upgrade (D) ❑ Holding Tank ❑ Renewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 2 Z 5— Waiver Fees: Date of Payment: � —G/ '2( Date of Payment: Receipt Number: dLq 27C7 Receipt Number: Permit No. 0-5P211063 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewrater\Forms\Clie nt Form, s\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211063, Deb Wockenfuss, 03/16/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211063, Deb Wockenfuss, 03/16/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211063, Deb Wockenfuss, 03/16/21 Municipality of Anchorage Page , of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Sox 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: PID Number: 4�,-2 Name: / J0MCS Wastewater System: ❑ New ❑ Upgrade Address: VA-rJGUA)Zb ABSORPTION FIELD Phone: �`f'— No. of Bedrooms: ❑Deep Trench VShallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: G Total Depth from original grade: -S GPD/S . Ft. //— /l/ r Lot: Block:5uubo Ision /y Depth to pipe bottom from original grade: Gravel depth beneath /pipe Vr✓KV I V�l7— 0 Ft. 3, — T / Ft. Township: Range: Section: Fill added above original grade: Gravel length: -Ae_� Ft. ///v Ft. WELL; New ❑ Upgrade Gravel width: r Numberollines: Distance between lines: !r . ¢' Ft_ .3 f3,1;-/?.,, Ft. ,2-013 (Rev. 9191) MOA 25 Classification (Private, A,B,C): TotalDepth: Cased To: Total absorption area: - Pipe material:4 y7/� rl✓ l v� Ft. %� Ft. I I6i7 SO. Ft. -?JO G Drills: Dat Drill d: Static Water Level: Installer:/ (_ Dat installs : %r 3rd Ft. Yield: Pump Set at/: `+ Casing Height Above Ground: TANK I GPM lO Ft. Z•27 Ft. 'NK SEPARATION DISTANCES 2"Septic C1 Holding ❑S.T.E.P. To Septic Absorption Lift Holding7Sewer rivals Manufacturer: Capacity in gallons: From Tank Field Station Tank ines �' 2 oao WellI I/v/A8 Material: v Numb t Compartments: Surface >Jag" >/ow, LIFT STATIONWater N Lot ,� I r / S Size in gallons: Manufacturer: Line 7� 7 Foundation f%/ 7' / / "Pump on" level at: "Pu 'level at: High water alarm at: Curtain . / /v / / / / ✓ Pump Make &Moa Electrical Inspections performed by: Drain 1 BENCH MARK Remarks: e.l,!/ic, %e/� ��✓�icd n/ �o7�>C�i�i Location and Description: Assumed Elevation: °e Ft - ENGINEER'S SEAL 7 . p� z �/�' Dates: 1s Inspections performed by: 2nd ✓7 i L j r N.chcn.' Li. ?t.nckt on .. � Department of Health and Human Services approval �i `� 3 1(i l F d/` ✓ Reviewed and approved by: �� Date: /2 -1 4`P -r tt ;tj� _. ,2-013 (Rev. 9191) MOA 25 Permit No. 4VVi1005� Page Z_ of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description �'S+ I Vr�V I �W fiS PID No.: i �a� IPS (°4 �N 'off V � , r0 loo' I1,�Jiu-5, sE��k Permit No. SW400%e' Page _? of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 i Telephone: 343-4744 On -Site Wastewater Disposal Systemy and/or Well Inspection Report Legal Description: �5_�IV-I��I�4VP1 No.: O5702ip� 0 00/ \0 �7/ V / i '�, .... Vis... STATE'.OFALASKA JLUO,- 00�-s DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD LOCATION OF WELL BOROUGH �I SUBDIVISION Rivo—rgwtk�— LOT BLOCK SECTION O:TRS SECTION TOWNSHIP ❑N RANGE ❑E MERIDIAN ❑S ❑W LOCATION/SKETCH: WELL OWNER: = DEPTHS MEASURED FROM:❑casing top ❑ground surface ELL DEPTH: 1 GATE OF COMPLETION Depth of hole: ft Depth of Casingift ! / BOREHOLE DATA: Depth Material Type and Color From To p� DEPTH TO STATIC WATER LEVEL: ft below E l top of casing ❑ ground surface � YA ✓'.rV�A' (h�ir�s�]IYf:b'�9�. �.wja.), METHOD OF DRILLING: \'� air rotary ❑ cable tool ❑ other USE OF WELL:-trdomestic ❑ irrigation 0 monitor ❑ public supply ❑ other is ,d s CASING STICK-UP- y� ft. D� m: in. ft Casing type: ,ej ZZT'—.�" L in. to 07r7 ft 77 tt, WELL INTAKE OPENING TYPE: ❑ open end ❑ screened ❑ perforated ❑ open hole Depths of openings: to ft r. M SCREEN TYPE:, Diam: in. 3r Slot/Mesh Size: length: ft GRAVEL PACK TYPE: Volume used: Depth to top: GROUT TYPE: Volume: Depth: from ft to ft DEVELOPMENT METHOD: Duration: PUMPING LEVEL AND YIELD: ft after hrs pumping gpm PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPLETION? ❑ YES ❑ NO CONTRACTOR INFORMATION- � REMARKS: Regi tereo Business am�� ',� PLEASE MAIL WHITE COPY OF LOG:TO: DNR/DIVISION OF WATER Signature of Authorized Respne entative Date PO BOX 772116 EAGLE RIVER AK 99577-2116 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:SW940058 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:SPINELL HOMES INC OWNER ADDRESS: 0507910500088 PARCEL ID:05079105 LEGAL DESCRIPTION: RIVERVIEW ESTATES BLK 5 LOT SIZE: 40000 (SQ. FT.) NUMBER OF BEDROOMS: 6 THIS PERMIT: 6 7 LT THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 8/17/94 EXPIRATION DATE: 8/17/95 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE TOTAL DEPTH OF THE DRAINFIELD MUST NOT EXCEED 11.0 FT. UNLESS THE TEST HOLE IS DEEPENED TO 18.5 FT DURING CON- STRUCTION. RECEIVED ISSUED BY DATE: DATE: ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 August 16, 1994 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Attention: Robbie Robinson Subject: Lot 5, Block 7, Riverview Estates Subdivision Revised Site Plan Permit No. SW940058 Dear Robbie: .. i The owner of the subject property intends to upgrade his proposed home to six bedrooms. The septic system permit was previously issued based on a four bedroom home. The attached site plans have been revised to include the actual location of the new home and the septic system redesigned to accomodate six bedrooms. Soil conditions in the area are excellent and the construction of the larger system will present no problems. The topography of the lot, however, limits the area available for the alternate site. For that reason the we are proposing utilizing the innovative sand filter type system for the alternate site. With a percolation rate of ten minutes per inch a drainfield of 225 square feet will be required for a six bedroom home which generates 900 gallons per day of septic effluent. The location of the alternate drainfield is shown on the site plan. Our review of the lot and the surrounding area indicates the larger septic system can be placed on this lot as shown on the attached site plan. Please review this information and amend the permit to allow placement of a septic system to serve a six bedroom home. Please call if you have any questions or comments. Sincerely, E a�-A � Michael E. Anderson, P.E. Attachments '.i V 1 1 I 1 i '.i PAGE 1 OF 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:SW940058 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:ALASKA USA FEDERAL OWNER ADDRESS: P.O. BOX 196613 ANCHORAGE, AK 99519-6613 PARCEL ID:05079105 LEGAL DESCRIPTION: RIVERVIEW ESTATES BLK 5 LOT SIZE: 40000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 7 LT DATE ISSUED: 3/29/94 EXPIRATION DATE: 3/29/95 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 1.5.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5, THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE TOTAL DEPTH OF THE DRAINFIELD MUST NOT EXCEED 11.0 FT. UNLESS THE TEST HOLE IS DEEPENED TO 18.5 FT DURING CON- STRUCTION. //�/�� Ll r.�--Y / , DATE RECEIVED BY: ISSUED BY: DATE: -_Y/ ? l G+ 1 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 March 23, 1994 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 5, Block 7, Riverview Estates Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: The terrain of the subject lot is shown on the attached site plan. Also noted is a small drainage rivulet which runs along the eastern lot line. The septic system has been located a minimum of 100' from this ditch. The existing drainage pattern on this lot will not be affected by the proposed development. The lot to the east is currently vacant and all systems to the west are at least 200' from the proposed septic system. If the System is constructed as designed, the following statements can be made: 1. The system, if constructed as designed, will have no adverse impact on the wells currently in use or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. Sincerely, Michael E. Anderson, P.E. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 May 3, 1994 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Attention: Robbie Robinson RECEIVED MAY 2 1994 Municipality of Anchorage Dept. Health & Human Services Subject: Lot 5, Block 7, Riverview Estates Subdivision Permit No. SW940058 Dear Robbie: There is not enough fall on the subject lot for a standard type gravity septic system. I have, therefore, designed a pressure system to compensate for the topographic deficiencies. Calculations are included to verify the size of the pump and the efficiency of the system. Please review the attached information and let me know if you have any questions or comments. Sincerely, Michael E. Anderson, P.E. Attachments Lot 5, Block 7, Riverview Estates Subdivision DESIGN FACTORS: Four Bedroom Home Pere. Rate: 10 Min./Inch Application Rate: .8 GPD/SF Reduction Factor: .5 SYSTEM REQUIREMENTS: Shallow Trench System 1,500 Gal. S.T.E.P. System 4' Drain Rock Under Pipe 4 Bdrms. X 150 GPD / .8 GPD/SF / 5' Width * .5 Red. Factor = 75 LF Therefore: Construct a Pressure Distribution System Utilizing a 1,500 Gal. S.T.E.P. System with 2 Laterals, Each 38' in Length. Pump Type: 20 OSI 05 HHF - 5 Stage Two Laterals - 38' Long - 12.1 GPM/Lateral 7 Orifices Per Lateral - 5.4' Spacing Orifice Size - .25" Facing Downward Lateral Diameter - 1" Manifold Diameter - 2" 31D Ac.4 //L4 V ( �� IleUL U1�D�L').. e a.kj#-J P4-oc.ur �26 SS U RE' �Y S ern CA L0, J LA-T-lA PJ SHEET NO. OF- CALCULATED F CALCULATED BY / c' " DATE TI f.19 -r CHECKED BY DATE RODUCl f0411SkA Shea, M -I iPa I RENCO SYSTEMS, INC 2826 COLONIALROAD RO 7EBURG,0R97470 (503)673-01 350.00 - .. ..C.....'...'.. .......... .. .. ...... EFFLUENT 1/2 Hp to 11/2 Hp SINGLE PHASE, 60HZ ... ........ .. 115/230 VOLT 20 OSI 15 HHF - 9 stage ........;..4 PC#2 .. .. ... ... 300.00 5/92 •1.....:....... ... ... .. i...... ... .. ... • .. . ... ... ---20 OSI 10 HlIF - 7 Stage .. ... ... ...... .. 250.00 .... - ... . ... ....... ... . ... ... .. ... ....... ....... .. .4..1..... . ....... ... ... .. .. .... .... ...... ... ............ ...... ..... .... ..... ..... ... ... si, ....... ... ... .....:..............:...:•.....: ....... ....... . ...... ....... . .............. .. ... ......... .. . . ... .. .. 200-00 ............ ............. .....4......... 0 i X., ...... .. ....... V 46- --i ... ... .20 OSI 05 t z 10.()o f..... ....... ... .. ...... ...... ... ... ...... O .......... ... . ....... .. T .. v... ... ... .. .......... ....... .. 100.00• V.4�-- .. .... .......... . ... ... J ... ... ... ... ... ..i..:...... I... ... ...j.. .. ... X ... ... .. ... .. ....... ... ... ....... ... ... ... .......... .. ... .. .. ... ....... .......... ... ... ... .. ........... ............. ....... ... ... ... ....... .. .. ... .... ...... . . ....... ....... ... ... 50.00 40 OSI 05 HH - 2 stage - I ...... ............... .. ... ... ........ ... ........... .. .... ... .......... ... ....... ... .. ........ ... ....... A VWZ1� fi 111W413' ..... 13 I* 20 OSI05HHF-5s age .. ....... . ....... :..4.,..+.....6.7 w 1/4" flow contre ller ..9..i......;... om 0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00 40-00 45-00 50.00 L NET DISCHARGE, GPM RENCO SYSTEMS, INC 2826 COLONIALROAD RO 7EBURG,0R97470 (503)673-01 •w•�......w..w,en.,v.a..+v..*•.+..�-.. .. •...c�•.. ,.\. ` �� ••�4,1a1`�y'1.�4 �� '^�yaa�� A'r . ^�+,c•r••r,rMnvTNrww.p�Y i,.Ji»aw..'a .� '`' ` / ''•. 5 414 C 4j 41- Ov �� /'�w��1, -v'' vn'•rnn.. MlW.,. rr ',\ •r.t�Y.^.w.++-nrvr.. r.•n._ 1. •.... •+...rte.•^M..._w+.rp.-,.-.ter-u-....`�r.�' .n,,,r.._,,., ._�..•.^--•r..® ^ �� M" � / ,,�. ••�• rte. " , l w 4 / �Ppt_y L401906 v4 S.� E,y� nit•• J o r9 l,J % CAM w I' ICD1�O5 ' L fL-� Yl(£.C� �.V(!LC t��.----'may ,. �. • ' _��x4 as 0e44a• a eq ?� 07 o yy • f Y\ A G �9 Ole at R ONO � a-j�eoOeaeq eoeo0 r u• i I 7 I • . ( �}n• pgo00•o e•••oaoT3ie •�q e• 7n� Michael E. Anderson I' �/ �6 4361-E Y111 fir, to J-A 1n l i �. have • Xqj 21, A r7 A 1j w --------- LAI Lot 5, Block 7, Riverview Estates DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home Shallow Trench System Perc. Rate: 10 Min./Inch 1,250 Gal. Septic Tank Application Rate: .8 GPD/SF 4' Gravel Below Pipe 600 GPD/.8 GPD/SF = 750 SF / 5 LF Trench Width = 150 LF Trench 150 LF Trench X .5 Reduction Factor = 75 LF Trench Therefore: Construct a Wide Trench System with 4' Gravel Beneath the Distribution Pipe. ,A4 Pat (ENGINEER'S, SEAL) e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L'• Street, Anchorage, Alaska 99502-0650 �� SOILS LOG PERCOLATION TEST PERFORMED FOR: PlAfri-ii 17oMC$ DATE PERFORMED: -'moi 5A34 LEGAL DESCRIPTION: L t -*5%/i IIK Township, Range, Section: i--� p �TTs•�. SLOPE SITE PLAN 1 2 3 JZ"Pv1 5 6 7 8 9 10 11 12 13 14 O, D �p/Okv 61 / nom. J • o J•t"Tr /*6 o o 15 • 16 J 17 18 19 WAS GROUND WATER ,/ ENCOUNTERED? ��/YYY S IF YES, AT WHAT L DEPTH? 0 P E Depth to Water Aher J Monitoring? Date: 3 / Reading Date Gross Time Net Time Depth to Water Net Drop / zS' : (/o -731 Ix -s i57 �?•g/ / ,r 7. S s . - '�7.• � .38 -r '2Pj• � � i' 43 35 20 PERCOLATION RATE /0 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 3FT AND � FT •�j COMMENTS Pn�soaw�� AJO)r• TV eSr PERFORMED 8Y: , , I ,,(d � L—IC-E-R-TIFY THAT THS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (ENGINEER'S SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES I 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST SPltd5%.L. AMa _ PERFORMED FOR: DATE PERFORN{�L7 LEGAL DESCRIPTION:_ _ j�, "RA/ew 4�5-A. Township, Range, Section: T SLOPE SITE PLAN E L 1,4>T I I 1 1 7 2 6o;A.•.' Gam/ / /s°D 5//� 3 p.d•0,o� Od _ 0 4 0 0 o. 6 7 8 9 10 11 12 13 14 15 16 17 18 19 o' /11�1 / -- ZP10I WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHATL DEPTH? �� O P E Depth to Water After Monitoring? Dale; 3 /O Reading Date Gross Time Net Time Depth to Water Net Drop l 2/zL 3 /L > /o. 5' to v 3�Lt3 /6 ,G•U /.oG X 3'�S•� / io.3$ / 20 II II PERCOLATION RATE /� (minutes/inch) PERC HOLE DIAMETER 7 TEST RUN BETWEEN 47 -/FT AND S FT COMMENTS P1ZG-5QAy—Cb b P/Z)0 9- -M i"E'ST, PERFORMED BY: y� 1 �� t r3 --CERTIFY THAT TI IS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: �1 �a �y (ENGINEER'S SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG s PERCOLATION TEST PERFORMED FOR: n r�/'�� DATE PERFORMED: •- ►�j 3 i LEGAL DESCRIPTION: L �y 5 ZI/ Township, Range, Section: su�/ SLi—r—�r�-t t-- SITE PLAN 14"T 3 4- 7 7 0 8 9 e'• ' 10 11 12- 13 2 13 0,6 . 14 15 J 16 17 18 19 20 f3 D 104 1ik--3 WAS GROUND WATER `� ENCOUNTERED? "7`'r_ _ IF YES, AT WHAT DEPTH? S _ L O P E Depth to Water After Monitoring? —/0 8 Dale: 9 /9 Reading Date Gross Time Net Time Depth to Water Net Drop 37 3 Vs i 9. i5* :07 g / PERCOLATION RATE SG (minutes/inch) PERC HOLE DIAMETER L__ ,�J/ �, TEST RUN BETWEEN FT AND FT COMMENTS Pf7,d_50A-V- 7 PP -)D 2 —m -r;-r;ST PERFORMED BY: A /�,4,RA LQ I yi! /ey(A� e X<.1.eJ -meq t•(pY,THA/T THI TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: necomber 21, 1983 ur. 'IcIck. Lyon" n s t roctioo fall A& 95')'O SLII)jeCt: errors on HalOwl:Itten Permits near n r, o r, s <C, have discovov-od calculation errorson five porttlit:-, it;-lueld to (M --it.)tiolls aro. I,OL 14, ,lock 5, Rl'. VO) -v i ev; estates Lot S Hlock 7, Riverview estates 1,C)t 14 ,lock 7 ki vol -view Karate: kol- .3 Block 7, Riverview I; F3 t -,% t e s I., o V. ), Block 7, Riverview J,: e t, a t- e s; :Isaac CC"r-Itacl., the DepartillonL an .90011 as !.)Orisiblo to 1.1,1ke necessary -,()vreci- ion.,3 on i--Iieso emits, sincerely, seen newel: reg arc=ing ?eenn:plan SO I /e j /D -L 0 11 UN 11.1 r11L.1 I t yr ruvvi tvrxrw� Department Health and Environmental T'rotection 825 Street, Anchorage, AK. 301 264-4720 �r HANDWRITTEN PERMIT Permit �< <` WELL AND/OV1ON SITE SEWER PERMIT Applicant: yok S cdGUS 7' Mailing Address: Location:/� �1 pQ _ Phone Number: Legal Description: 1, oS �Z� / /�rti.' ea` Lot Size: Type of Soil Absorption System Is: '.french: Drainfield: _ Seepage Bed: � Holding Tank: Maximum Number of Bedrooms:_ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: ii l' DEPTH S / LENGTH. GRAVEL DEPTHa"44 WIDTH The engtd� dimension is the length(in feet) of the trench or drainfield. The depth of a 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. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HeL:aI-NG) TANK SIZE GALLONS 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. * # * TWO(2) INSPECTIONS ARE REQUIRED # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 u 3 I certify that: (1) I am 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 codes. (3) I understand that the on-site sewer system may require enlarg ment if the residence is remodeled to include more that 3 oom Signed: z yti Issued by:� A licant Date: SWP/024(1/81) SOILS LOG MUNICIPALITY OF ANCHORAGE11 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: —TAZ-A-� ({��C'�-�lt��sDATE PERFORMED: LEGAL DESCRIPTION: LO/ 2-,)"'f' , 7 /c?/y, 'V/. e r DEPTH � -- f -'-i �I�SLO� 1 PEE SITE PLAN f14AJDy G'�,&(FEET) ,I viC-z -1 Ws/ -- 0'—Fl 7 2 J � 5 q, 6 L� 7- 8- 9 89 10 V ,� 11 WAS GROUND WATER S ,rt ENCOUNTERED? L - 0 P 12 IF YES, AT WHAT E DEPTH? 13 ' ,- G19 -P --IS Reading Date Gross Time Net Time Depth to Water Net Drop 20-[u- PERCOLATION RATE /V (minutes/inch) TEST RUN BETWEEN I� FT AND FT COMMENTS �8/LfET/.(/� ' `- -j PERFORMED 72-006 (6/79) CERTIFIED DATE: o //- Certificate of On -Site Systems Approval Parcel I.D. 050-791-05 Legal description River View Estates Block 7 Lot 5 Site address 21009 River Park Eagle River Current property owner(s) Kyle and Jessica Estes Expiration Date: 2 X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 1/31/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUHMP LITY OF A CH0 AG Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section �'' Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-791-05 Complete legal description RIVER VIEW ESTATES BLOCK 7, LOT 5 Location (site address) 21009 RIVER PARK, EAGLE RIVER, AK 99577 Current property owner(s) KYLE & JESSICA ESTES Day phone 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ® Plastic ❑ Concrete ❑ Fiberglass Age 2 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 1�� +� Waiver Fee $ Date of Payment [ / G�e�� Date of Payment COSA # a i /(J ® 9 Waiver # JA ®1R/Acl COSA Applicalion.doc COSA Checklist.docx COSA Checklist Legal Description: RIVER VIEW ESTATES BLOCK 7, LOT 5 Parcel ID: 050-791-05 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 6/15/1994 Total depth 85 ft Cased to 70 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 1/16/2023 Static water level at beginning of test 42 ft. Well production at time of test 1.82 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.652 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 1/16/23 Comments 2021 COSA SHOWED 0.9 GPM WATER FLOW. B. TANK DATA Measured operating fluid level in septic tank 44” Date of pumping 1/16/2023 Required maintenance completed, if AWWTS Comments: 2021 1530-GAL INFILTRATOR S.T. C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA – TESTED WEST TRENCH* Which system tested (date installed) 5-8/1994 ALL standpipes present per record drawing Total measured depth from grade 8 ft (max) Measured depth to pipe invert from grade 3.4 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective.* If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 1/16/2023 Results Pass Fluid depth prior to test 0 in Water added 1200 gal New fluid depth 6 in Elapsed time <20 min Final fluid depth 0 in Absorption rate 750 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 45.6 in Effective depth used 0 in (IR shows 3.18’ W ED) Effective depth remaining 45.6 in (4.17’ OR 50” ED MEASURED IN WEST TRENCH) Comments/Deficiencies: Tested W trench only. 2021 COSA was approximately 22 months ago and showed similar results. All other laterals and field cleanouts remained visually dry and per the 2021 COSA. No indications or other freezing issues per observations and statements. *4.17’ effective depth was measured in W trench. Pipes appear to be fixed per 2021 tank permit. Middle trench & first trench seem to have 3.27’ & 3.39’ ED respectively with first trench having 8” of MT fluid. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No *5+ ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below. F. ENGINEER’S COMMENTS *2021 tank is outside foundation prism. See 2021 COSA and IR. 2023 COSA per current testing, visual observations, winter conditions and per MOA file and client information provided. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 01/31/2023 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 1/31/23 Municipality of Anchorage °�T� R! s �Q On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 050-791-05 1. GENERAL INFORMATION: Expiration Date: (9 ^,;� S — 22 Complete legal description RIVER VIEW ESTATES; BLOCK 7, LOT 5 Location (site address) 21009 RIVER PARK DRIVE EAGLE RIVER AK 99577 Current Property owner(s) AARON & ASHLEE HOWARD Day phone C/O AGENT Mailing address 21009 RIVER PARK DRIVE, EAGLE RIVER, AK 99577 Real Estate Agent MIYUN STOGSDILL Day phone 854-1817 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 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: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. $550 COSA Fee $ Date of Payment Receipt Number OSC211133 COSA# 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- Anchora e Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 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 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, Q. Z_ r v L. ..... ............ ' Jirey`-A--G'arness•- t/ CE -7953 ` 10 WQ�dprofessio_,z, #AECC884 ggr�.SrrE �: with the fglt" ing� 1t� ' Nsp rnn: F GA 44 � X:�\ 1� 1110;}))11� Original Certificate Date: 3 " 2—S Z/ 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc Legal Description: RIVER VIEW ESTATES; BLOCK 7, LOT 5 Parcel ID: 050-791-05 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA __-❑-Well- log- is filed -with Onsite (or attached)-- -- -- Well productionattime of test 0.9-gpm - _ . Date drilled 6/15/94 Water storage tank volume NIA gallons Total depth 85 ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to 70 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 3/1/21 Static water level at beginning of test 34.8 ft. Comments B. TANK DATA Age of tank(S) _ Nears Tank type/mat PLASTic Measured opera i In septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA 5 WIDES (3- TRENCHES) Which system tested (date installed) 5-8/1994 ❑ ALL standpipes present per record drawing Total measured depth from grade 7.9 ft (max) Measured depth to pipe invert from grade *3.2+ ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective * ❑ Code -required soil cover over field ❑ Coliform bacteria is Negative Nitrate 0.213 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG,LTD. Date of Sample 2/18/21 C. T STATION 1771Require tenance com 7 Age of lift station ars Lift station mal Adequacy test date 312/21 Results R] Pass For 5 bedrooms Fluid depth prior to test **0 in Water added '*2783 gal -- 2 .� b6 New depth 11 in CF - Elapsed time 42 min Final fluid depth **0 in ❑ System presoaked Absorption rate 750+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced **626 gallons If yes, enter date Comments/Deficiencies: 'SOUTH END OF TRENCHES HAVE SLIGHLTY LESS THAN 3 FEET OF COVER. NO FREEZING ISSUES (SEE OWNER'S STATEMENT). "TESTED WEST TRENCH ONLY. ADDED WATER FROM WELL AND WATER HAULS TO WEST TRENCH ONLY. ADDED 626 GALLONS OF WATER TO WEST TRENCH ON 3/1/2021. ADDED ADDTIONAL 2,783 GALLONS OF WATER TO WEST TRENCH ON 3/2/2021 T9�� USING WATER FROM WELL AND WATER SUPPLIED BY LOCAL WATER HAUL COMPANY. GEG CONSULTANT JODY MAUS DISCUSSED TESTING PROCEDURE WITH TIM EKLUND FROM THE MOA ONSITE DEPARTMENT ON 3/2/2021 AND HE DID NOT OBJECT TO TESTING METHOD. 3,409+/- GALLONS OF WATER ABSORBED IN 1,895 MINUTES IN WEST TRENCH ONLY (ALL OTHER TRENCHES ARE BELIEVED TO HAVE REMAINED DRY DURING TEST PERIOD)_• COSA Checklist yellow sheet 0 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) ❑ Yes if No Septic Tank/Lift Station on Lot > 100' Surface Water > 100' 0 Yes if No ft Community Sewer Manhole/Cleanout > 100' ✓1 Yes ❑✓ Yes if No ft M Yes if No ft Neighboring Tank > 100' P(l Yes if No ft Private Sewer/Septic Line > 25'1771 Yes if No ft ______.__.__A_bsorption.F_ield_ond.Lot_>_1.0Q' []_Y_es._._._if_No._.._.__—ft__ ft Community Wells > 200' --H-olding_Tank_> 100'_�✓ Yes if No ft Neighboring Absorption Fields > 100' ft If septic tank is under driveway Animal Containment > 50' Yes if No ft 111 Yes if No ft if No ft If absorption field is under driveway comment below Property Line > 10' ❑✓ Yes if No Manure/Animal Excreta Storage > 100' Wells on Adjacent Lots: 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' ❑ Yes if No *51+ ft Surface Water > 100' 0 Yes if No ft Property Line > 5' ✓1 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' ✓� Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' 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' Yes if No ft Water Service Line > 10' M Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' 121 Yes if No ft F. ENGINEER'S COMMENTS *NEW TANK IS OUTSIDE THE 45 DEGREE ANGLE OF REPOSE OF FOUNDATION. **ASSUMED BASED UPON WHERE WATER LINE IS LOCATED IN HOUSE. G. ENGINEER'S CERTIFICATION l certify that l 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 4.e ess; C 7953 l •mac G f e s sionaQo #AECC884 Jeff Garness From: Miyun Stogsdill <miyun.i.stogsdill@gmail.com> Sent: Tuesday, March 23, 2021 10:02 AM To: Jody Maus; Sonja Blewett; Jeff Garness Subject: Fwd: Septic System Freezing Concern- River Park Sent from my Whone Begin forwarded message: From: Aaron Howard <ahoward138@gmail.com> Date: March 23, 2021 at 9:43:02 AM AKDT To: miyun.i.stogsdill@gmail.com Cc: Ashlee Howard <alhoward.rn@gmail.com> Subject: Septic System Freezing Concern Miyun, Concerning your request about the septic system. During our 4 year stay in the home we have never once dealt with freezing issues. I know that this response is fairly basic but I don't know much more about it since it was never an issue. If there are some specific questions, by all means, reach back out and I will answer them best I can. Respectfully, Aaron Howard (C) 831-383-9623 Municipality o Anchorage �� : R� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Nater Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC211133 During a recent COSA on-site inspection and test of the potable water supply well on Block 7, Lot 5 of River View Estates subdivision, the well's productivity was determined to be .9 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 5 -bedroom residence is .52 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 �Y CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-791-05 1. GENERAL INFORMATION Expiration Date: / 0 — / / 3 Complete legal description RIVER VIEW ESTATES BLK 7 LOT 5 Location (site address) 21009 River Park Drive Eagle River Current Property owner(s) Thomas & Heather Campbell Day phone Mailing address Real Estate Agent 21009 River Park Dr 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: 6 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: Received by: r`A 'i r Date: r` COSA to be released to the engineer, unless otherwise y§,q'}'iested by the engineer. COSA Fee $490.00 II 12 Date of Payment l Y1 l J Receipt Number b3�$ COSA# ©t>c-\Z 1 Waiver Fee $ Date of Payment Receipt Number Waiver 4 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 7/612013 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future f O� `� occupants or can ArcTerra guarantee that no unseen V L encroachments, deficiencies or discrepancies exist. 00, 1 � n Tia 6. DSD SIGNATURE System #1 Approved for. bedrooms. System #2 Approved for. bedrooms. Disapproved. r KEItnETH 111, ll Il Y 01 1 � b Conditional approval for bedrooms, with the following i� By: C Original Certificate Date: 7-/9 ' -! a The'Zlclpility7ZAn`cge 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: RIVER VIEW ESTATES BLOCK 7, LOT 5 Parcel ID: 050.791.05 A. WELL DATA Well type PRVT If A. B, or C provide PWSID # Date completed 611511994 Sanitary seal (YIN) Y Total depth 85 ft. Cased to 70 ft. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: 611511994 ft. Coliform NEG colonies/100 mL Nitrate 0.671 mg/L Arsenic: ND ug/L Date of sample: 6/2012013 B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 24+ in. AT INSPECTION 612012013 ft. a= Collected by: ARCTERRA Tank Type/Material SEPTICISTEEL Date installed 811911994 Tank size 2000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N)V /V La Date of pumping 611812013 Pumper JRs Pumping C. ABSORPTION FIELD DATA Date installed 811911994 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 System type SHALLOW TRENCH Length 116 ft. Width 5 ft. Gravel below pipe 3.8-4.1 ft. Total depth 11.12 ft. Eff. absorption area 1160 ft2 Monitoring tube Y Depression over field N Date of adequacy test 612012013 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 900 gal. New depth 14 in. Elapsed Time: 1440 min. Final fluid depth 0 in. Absorption rate >= 900+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum Size in gallons "Pump off"level at _ in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 751+ Sewer /septic service line 25'+ Manhole/Access (Y/N) High water alarm level Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 54 Absorption field 54 Water main 10'+ Water service line 101+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 104 Water main Water Service line 101+ Surface water 100'+ Driveway, parkingIvehicle storage 10'+ Curtain drain 50'+ (NONE KNOWNI Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of determined through field inspections and review of Municipal records that inspections and review of Municipal records that the above systems are in Municipal records that the above systems are in conformance with MOA above systems are in conformance with MOA COSA guidelines in effect on conformance with MOA COSA guidelines in effect on this date. COSA guidelines in effect on this date. on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 6128/13 COSA brown sheet -1 0-10-1 2.doc OF AZ *111 in. ?• �NETH MDUF' /N 1°T 7tt8 �w Age ,;fib G f3 °.i :ss10S i F, RNERVIE'W ESTATES SUSDIVISION LOT 5, BLOCK 7 4omc a F. C. �I1HA4 wrevcru Re Af:-bwlr' H B4 � SA'eYe'• E V r RWGA 'VAWr... . /b0•oa• S -B iI avrry aorritY rNr t t#rt evrvq*# to awt4W1 umSSSMF.Y71R MreertT #*Viet*# -tout #et ator e# teeraNtmools each, #AW, to IMINIe#. It Is tM rw#atalNfttr sae fool "It AYY. of rM sIrMS tv NtrrlM the *V1stM4e of av `b'otarty. A94.4a eaee #Nwttq, aaeatMto er •oa toot*", NtetM tst 0 iw'i*V# Wow 11 tM +IMN#*# oN#MrlatM ttwt, flNor M Mrawr bwaaa otw4 SKID DAIT M7 eet# ler" it* so" 1M aretrrovtlN M tr SWIK T t •M•.# writtl AtN eweb`Y rt Text IIMs. r•#• Iee no. .tlfdrlRy( RIOOeCfMS YIVM;CT, UywltfA MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage,'Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # D5'079105' HAA # —H R 9 9. GENERAL INFORMATION Complete legal description Lor S BLOCR_ "1� 21-fc-rz..,jIc- t,J L:sT-A7-CS Location (site address or directions) Property owner SPIt-JCLL MCS TAIL - Day phone 7F> Mailing address Lending agency Day phone Mailing address Agent Day phone . Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well �X X Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. j 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X X x Holding tank ; rl Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State AD EC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 - - 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 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 furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm A/,]DLT2SOiJ moi.)GWCEl2ln1G Phone 34q-4sSI Address /� Engineer's signature � U'-CL� Date Gam" A)L 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Z 41 bedrooms, with 3 y .V OF A4' {`�IiI5 �eoeoa ••m �` A A, „ee n •o_ A9A •o • 4.•(L(�'pe�• mea •. •.�� Michael E. Andonon • b361 E c ••> •°e�F�°,ni •oa•. •o e•a•o � nv the following stipulations: Date q - I 1�4 - Cl tI '0 CAUTION 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 72-025 (Rev.1/91) Back MOA N21 Municipality of Anchorage Department of Health and Human Services Safi HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: der 5, 60uc.7 /2%\J n.viL-1J Ls-Mra, Parcel I.D. A. Well Data Well type P' �y 4T -G— If A, B, or C, attach ADEC letter. ADEC water system number AI/A Log present (Y/N) y Date completed &11 194 Driller A Pl c NZIU-iAl, Total depth 9 `-7' Cased to 70 ( Casing height 3 4 n Sanitary seal (Y/N) a Wires properly protected (Y/N) Date of test Static water level Well flow Pump levell FROM WELL LOG 3� SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot AT INSPECTION o� M Irl -0 rn M. g.p.m. CD 7 o spud ••••3 M 5i Z e } 175/ r mn On adjacent lots On adjacent lots > 1 75 r Public sewer main A/ 1A Public sewer manhole/cleanout ^/ LA / Sewer service line '> /D� Petroleum tank /� WATER SAMPLE RESULTS: Coliform 0 Nitrate � / M9 F L. Other bacteria Date of sample: BLZ-L9 `/ Collected by: A Am -.4 LA B. SEPTIC/HOLDING TANK DATA Date installed /19 19`% Tank size Z, 660 6AL . Compartments --I 'CAJ 0 Cleanouts (Y/N) Foundation cleanout (Y/N) 3 Depression (Y/N) High water alarm (Y/N) Alarm tested (Y/N)"Nj./4 Date of pumping -\/W X57" rL-y cr /o ,J Pumper "MA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot r r _r 114--- On adjacent lots 7 1 / Foundation 1 To property line .'�! Absorption field Surface water/drainage -�t !U Z-' 7/ Water main/service line so' 72.026(a/93)'Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons - Vent (Y/N) allonsVent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water Date installed l 6117 9`4 Soil rating (GPD/Ft) � System type Length 11b Width 5 Gravel thickness &/- Total depth /t — /L Total absorption area ALAJ 1`7-/- Cleanout present (Y/N) Date of adequacy test ALAJ WNsI •• Results (pass/fail) Y Depression over field (Y/N) Al PA SS for 61 Bedrooms Water level in absorption field before test 0 After test U / Peroxide treatment (past 12 months) (Y/N) 1A If yes, give date AJ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /0 To building foundation t " t On adjacent lots l � Property line To existing or abandoned system on lot On adjacent lots > / 7S-' Cutbank '> 50 / Water main/service line Surface water Driveway, parking/vehicle storage area Curtain drain �o^/ E. ENGINEER'S CERTIFICATION I certify that have checked, verified, or conformed to all MOA and HAA guidelines in effe6ton the date of this inspection. Signature L Alit SOS{ Engineer's Name �Z z G� , C� (� �` I Date HAA Fee $ (3L70 e /rJ� Date of Payment l— / — % / Receipt Number , 6�, 111'6 5 7 7� 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number Commercial `Testing & Engineering Co. Environmental Laboratory Services LABORATORY ANALYSIS REPORT CfKERef# 94.3918-1 Client Sample ID L5, B7 RIVERVIEW ESTS SUBD PRIVATE WELL Matrix WATER ClicntName ANDERSON ENGINEERING WORK Order 80990 Ordered By ALAN ANDERSON Printed Date 08/05/94 @ 11:02 lus. Project Name Collected Date 08/02/94 @21:10 lirs. Project# Received Date 08/03/94 @08:30 lus. PWSiD UA Technical Director STEPHEN C. EDE Released By<T-Y= -`=- Sample Remarks: ROUTINE SAMPLE COLLECTED BY: A.H. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Hrit N i trate-N 0.15 mg/1. EPA 353.2/300.0 10 See Special Instructions Above UA = Unavailable x See Sample Remarks Above NA =Not Analyzed 11= Undetected, Reported value is the practical quantification limit. LT= Less Than D= Secondary dilution. GI'= Greater Ihan 08/03/94 DJS 5633 B Street, Anchorage, AK 99518-1600 — Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA