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HomeMy WebLinkAboutMAGNIFICENT MT SLOPES TR 8B-1 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: SV,,J~'ZO'~(O PID Number: N%me: ~3~% ~6~ ~oo~ WastewaterSystem: ~ New ~pgrade Address: 'Pal ~o~ ~7~I;~L~,~ ~6,~,~'{s~' ABSORPTION FIELD Phone: ~ -~5~~ '~ ~ Deep Trench ~hallowTrench ~Bed D Mound DOther Soil Rating: Z~ (oP~ Total Depth from original grade: LEGAL DESCRIPTION ,~o~,~ ~ 5' ~" Lot: Block: Subdivision: Depth to pi~e bottom from original grade: Gravel depth beneath p~pe Township: Range: Section: Fill added above original grade: Gravel length: O.5 Ft. ~oO Ft. WELL: ~ New ~de Gravel depth: Number of lines: belween lines: ~ Ft. I ~ Ft. Classification (Private, A,B,C): ,~ Ft. Ft. ~ SQ. ~." Driller: ~ Date Drilled: Static Water Level:Ft. Inst~ller:~o~ ~1~ Date~.installed:~ ~ ~"~ ~ield: ~M PumpSetat'. Ft, Casing Helght Above Grou;~: TANK / SEPARATION DISTANCES ~eptic U Holding U S.T.E.P. I'~ ~ Material: Number of Compartments: Well I'~f ~FT ~ ~ I~T ~6E ~ Surface '-- LIFT STATION Water ~ ~ ~ Lot Size in gallons: Manufacturer: Line 15~T I ~ ¢~ ~ ~ "Pump on" level at: "Pump off' level at: J High water alarm at: Foundation ZO q~ I Curtain .~ Pump Make & Model Electrical Inspections performed by: Drain ~ ~' ~- BENCH MARK Remarks: O~ ~4-~ ~, ~A~r~ Location and Description: Inspections performed by: ¢-~,~ ~- ~,m-,~ Dates: let Z~ ~*~ ,~ ~.. Department of He~/[~h and Human ~ervices approval Reviewed and approved bY:~r~'~ / ~ Date: /~-/~-- 72-013 (1/91)MOA 25 Permit No. E$~,j c~ Z.C_):~ t (~ Page I of '~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: ECEIVED ~.)0T 6 19u2 Mu~ cipalily of Ai~chorage Dept, I ealth & Human Ser~ic~ / / 72-013 A (2/91) MOA 25 Permit No. ~'~J q'Z.O~.O Page Z- of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: t,-'t&~..~.t~:tct~ ~'r ~,~.~,~.c.~,. 'T~ ES~&.-t RECEIVED OOT B 1%2 Munioipality of Al'~chor~ga Dept, Health & Human Services 72-013 A (2/91)MOA 25 Permit No. ,%v,J c4 Z.o~tC,) Page ~ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: PID No.' RECEIVED 00"F 6 19',~2 icl> 72-013 A (2/91) MOA 25 t32 5 L, S .1':. ~'"(,:~.x~,~ L PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920310 DESIGN ENGINEER:CRAIG C. WITHEE OWNER NAME:YOUNG JAMES BRADLEY OWNER ADDRESS:P. O. BOX 771364 EAGLE RIVER, ALASKA PARCEL ID:05052188 99577 LEGAL DESCRIPTION: MAGNIFICENT MT SLOPES TR 1 8B- DATE ISSUED: 9/28/92 EXPIRATION DATE: 9/28/93 LOT SIZE: 119498 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. VERIFY INTEGRITY OF EXISTING 2. USE PERMEABL~E BARRIER OVER .P ~EPTIC TANK. DATE: DATE: linc' LE~r,,ji~4 SEP ~ 8 '19'~2 IVy.! ~ :; ~;~:',iEy ol Anchorag~ [)opt, Hoalt'q & Huma~ Se v'ces ¥'~i [:::' i'" C) ~:) (:,2 F" !;:! (('2 IZ !' ii : :i. C) I' } (7] ,'i. !:!; 4'. ;.':t I"1 C: C') ~i; <':':i. t' (:{! [3 (::' .'J. F'i (~t fli,~:~ .i I'1 '(', ~i'( .'J, II (7') C[ .i. ['1 EI~.'J.5!i~ lo'L .'J.51:; ,/:':~l:)pr"ox:Lm,:.a'E~,:~ly 'l.u,..0o I~t..u",<lr-'~.:x:J (?.00) 'fl/.x'.!'i:: :i..~l 'Lh!.~? ~::l:i..5;i;'t,~:,.~"l~:::!'.' ~;d'i!::i '~.'.l'/t.:, t.,.u::.~].15 On o.d..'Jo.c:~:,r~t'. ].l::!t:!?~ ,:,:,x,:z~'<q-~d 'bx,,c:, I"~!..u"~dr'e!c} 6~.rld '~::i.'f'Ly }-::(f.)l::it. ./i.t'L :l. !:~,~.'ts;'l.: 'L'.(:.)I"1 (:LC) ) 'i:(.'.:.!t~.)t. 'f r'oili t'J'le? pl"(::)[:)t~,l"'k.y ]. J. rl~+?. Bt.ti ]. d :i.r~(',} ~, ~'i. ll-[.7:i)(i:lr".-~.'J. Ly ;[f'Hi~j:)o}c:'!':J.C)l'1 L.tpora .'i.f'l!B'l./.~'::~].].6':'~'['..'J. ol1 o'f the 'l/'.o.l"li:: J::H"C)C)I':SB 'IAE) iTq{:) LtJ'h'~:~C:C:e.}p'!7.&~J':)]. 6)~ 'i. '[:. g,~5. ]. ]. k'i(!:'? I'"E?IiZ)]. ?{~E:(({,CI ~.lj.. t'.h 6?. 'l.~&l'l I-:: o'J: Your .i. mmE,.;,d :i.,4::YL(e o.'L'[:.(m't 'l.'.:i, Ol'i or'l 'l:.ll5.~.il; apl::)]. :i.c:a'l/:.;i~(::)ll ,'~.,,._B I'"'..~:,(_ILU:(,!~B'IZ(7)(:iI LC) .-'.:~. ], iL CH, d ir/~ii'i;'a].].a'L;i.!::)r'l ye'!: tl"nts~ 'fall. I'f yc)Lt I"~aw:~ O.l"ly 'T ~P<Ac'F tA / 0 P o ~ \,4 +1 4'Z.~ =- ,-~ 4'Z- = -'q .= © PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 'g>c~3{~ *F~ : . WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT OL DEPTH? I~ '~.. ~"~ P E Ooplh to Water Alter, ~,, q ~.~..i~-Z. Monitoring? [ t Date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Gross Net Depth to Net Reading Date I~LL~ / t~'3 Time Time Water Drop IO.~,h'm G:LSq'.q'q lo' q'l" 11~1~~' I" ~:~,q ~' '7: IG'. 50 iD~ :~'5' ' ~'~/2" cS/~t ~ '~ ~q,~ ~' 'l;Zq'.'~ "l'qO" I~" 5/1~" 7~t,~ ~, ~'.~o: Zo z~t' :~o" I ~ '~/~" 1 ~/~c," PERCOLATION RATE ~ ~ (minutes/tach} PERC HOLE DIAMETER __ TEST RUN BETWEEN '- ' FTAND FT CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE: [''~J %~,--~'T E{- ~ 72-008 (Rev, 4/85) Municipality of Anchorage ~..~(..~~e!e~ DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 ...'.., SOILS LOG -- PERCOLATION TEST I "I~ ,,, ~ ~* DATE PERFORMED: ~~~ ~% LEGAL DESCRIPTION: %~°f~% ¢~['%[~ Te~ 8[~*- [ Township, Range, Section: [ ~-%% ~E t-~ SLOPE SITE PLAN '? "-- ~r, ~ N 1 WAS GROUND WATER ENCOUNTERED? 11 --- S L .IF YES, AT WHAT - DEPTH? ~. ~. ~',~, pO 12 E Depth lo Waler Atl?r ,-, d ~.~qz 1 3 Modloring? ~1 ~ Dale', ~ Reading Date Gross Net Depth to Net Time Time Water Drop Z'7,~ " '7: ~t' ~O ~o' ~,s-" t.g-~/q'' ¢/¢~ ,' 'zR,~ " ~',Oi;OO 'Zq' St)" I~'s/~'' ~/~c-," 14 16 17 18 19 20 PERCOLATION RATE 30 (mmutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN L~I FT AND 5, S FT PERFORMED BY: (~--['~,INN-~2 C '~z.~N ~ ¥~,-~,,,~. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: L'~ ~*'~ ,~.~.~'~" ¢~ 72-008 (Rev. 4/85) Hca. MUNICIPALITY OF ANCHORAGE n and Environmental Prote¢ Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 ¸on INSPEL, TION REPORT ON-Silo £t~WAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL_ INSIDE LENGrH NUMBER OF MANUFAC'IUFiE,q ._ ~---..'°11~------- M.&TERIAL .............. ~' '~¢--' [ COMPARTMENTS INSIDE WlDI'H~ .... LIQUID DEPTH ~ __ LIQUID CAPACITY CGALLON5. I TOTAL LENGTH 7 t [ 'NE ~0 ~ OF LINE DISTANCE FROM WELL ~ .... FOUNDATION__~_ _NEAREST LO'F L z ........ ~ of Lines ._[ ..... DISTANCE BETWEEN LIMES ~]~ .... T RENCI'I WIOTH~_ IN. TOTAL_ EFFECTIVE ABSORPTION AREA .... ~ SQ. F'T. LENGTH OF EACH LINE ~ t DEPTIt OF I ILTER DEP~I: TOP OF TILE ~O I:!NIStt GRADE ~ MATERIAl. BENEATH 'rILE "~ ~IN. ABOVE -rILE SEEPAGE PIT: DI,.xMETER OR WIDTH ..... LENGTIt .... DEPTH Log Crib Rings BUILDING FOUNDATIC)N .... Crib Size: DIAME-I'ER .... DEPrt4__ DISTANCE FROM: WELL TOI'AL EFFEC'FIVE NEAREST LOT LINE_ ABSORPTION AREA (WALL AREA) __S(~, FT. Well Class: _-~aJ Depth: Well Distance To: Lot Line Bldg: ~©~Sewer Line: Pipe Materials: ~ of Bedrooms: Installer: _~tt~ Remarks: &~ [ [ APPROVED I i [Z:4i~:F'I:;I[;i:ThIEi:NT HI}!};Fll..."f'H I:::11',1[;;~ E;l",l'v']Zl:;i:ONl'"IE!:l",l"f'Fll .... KZ)~ li",!l ...... 5::!i;; % '"IF' lEE :iEF, Ii!E!;; P,.ti iEE iF;ii: F" E: !F;;ii:: li'"'ll :;i!;; '-'1~ .... F'IEP::t'"I:I;T I",lO. ( }:"?' 21!i!; }!; L.l::) C I:::l T :1: I::)N L..E:(Z!iFII 'l"l:;i:l::~(::T :!!i'J;:':*IHFIGIq ]: F: :[ E:E:NT hl'T :iii;L..OF'E!: I f/'F :~!; :[ ;i!:lE 'T'HIE LE:NEi'I"H I:::' :1: I"IEZN!~; ]: (:ll",l ]: :iil; THE L.I'Xt",IG'I"H ':: ]: N FIEIE'I" ::, OF TI'"IIE I"I:;i:IENTZZ:H OF;i: I:::,1:;i:1:::1 :[ I",ft= ;[ li!!:l...l::,. THE [.':'EF"I"H OF:' I::1 TF;?.EZNC':I'I I:::i~:;;: I::;']:T ]Z?ii; '1"1'"t1!~: I;,:IZEi;'FF:INE:I~ii: EUE'I"NE:EZI",I THE ~ii;Lll:;~:F'l:::lE:Eil OF:' "rHIE (iiF::(::ll...l[",][.':, F:II',I[:-" 'i'HIE E:O't"T(ZZd"'l 01::' THE li~:;:':;(:::t:::l',,,'f:~T:lZl:]N '::].'1',1 "I'HE:I:;i:E :[% NO :!~;li~:"l" ki]:[)T['"] ['::l:::ll:;?. 'f'l'"H;~': GI:;;tI:::t',,,'E:I... I)IEF"I'I'I :l:'.!i:; '1"1..11i;!: i'"I:I:i'.,I:I:HI...II'"I I::,IEI:::"I"H OF:' Gl?.l:::lk,%l.... I;ilUii:TI,.llili:l!ii:N THE (:)I...I'I'F:I:::IL...L I:::IND 'I"HE E:OT'I"EU"I I:::11::' 'T'IqE: IE'?:;(:::FI'v'I:::I"I' :[ l:::ll",t ( :1:i",1 I:::'IEli!:T ::'. :[ CE:I:;]:'I"]:F::'"r' 'T'I'IFIT ::L: ]: I::lJ"'l F'I::II"'I:I:I.~:I:I::IF,: I.,J:['l'l'"l 'T'HE: I:~:IE6!I.J:I:I:;i:IEHE:NT:ii!; I;::EU:;;: EU"f-'lii~;:l:"l'lE ::~;lii:l,.llEl:~::iii; I:::ll",l[::' I.,.IEi:l.l.:iil; I:::l:;!!; :E;tET I::'E[I:;~:'T'H li!i?'r' "r'HIE hll...It'.,I ]: E: ]: I::'F:II... ]: 'T".r' O1= 2: :1: t.,J :[ L.L. :1: I",I:!~;TFII. J... 'f'HIE '.~i;"r':iii;'t'lEl"l ]: N I.,.I :1:"1'1"1 'THE: ::!i:: 3: I..II",II:::'IEI;i:tSTI=II",I[::, THFI'T' THE: I:::[l",l""':!ii; :i!;li![I.,.JE:l:;i: :i?¢:!ii;'l"lEJ'"l I"'ll:::l"r' I:~:l!ii:J:;:!l...l:l:l:~:Jiii: E:t",II..I:::II;;;:GIi::t'"II!ii:NT :il::: 'Fl'"tl!!!: I:;i:E:!!i;]:l:::,l!i!:l",lE:l!i: :[:iii; I:;;:E:HC)I:::,Ii!i:L..IE[::, 'FEi :l:hl h'lE$;:li!!: 'I"HI::II"4 ,::1. :i!!; :[ I:::IF'F'L ] ::l:::lh,l'l" GIdCA1ER ANCIIOId\(;[ ARLA I;;' I)cpdrLn~enL of I nv i ronlnen La, ,~ual i ty 3330 "C" Street Ancimrage, Alaska 99bt'13 Perfor, ed for ~ ~~ ' Date Perfor,ued ]his form reports: Soils log ................. Percolation Lest " Dep tit Feet -1-% ................. 14 - Was ground water encountered? .... ..... Reading Percolation rate minute. -Proposed insLalla-~{~i(:-'~S-e~_'~qe Pit ~ Drain Field I)eptlm of Ii)leC ' I)ept~F-L}~'Fb~$i~?n~:F-'pit or tre.ch ...................... :-' Date Gross Time Net 'rime Depth to Water Net iJrop MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HU MAN SERVICES Division of Enviro ~mental 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. # O50-52-188 1. GENERAL INFORMATION Complete legal description Tract 8B-l, Magnlficient Mountain Slopes Location (site address or directions) 25116 Eagle River Road Property owner Mailing address Cathy Anderson Day phone 25116 Eagle Rier Road, Eagle River, AK 99577 694-8877 L'ending agency Mailing address Day phone Agent Remax/Brooke Stiltner Day phone 694-4200 Address 16600 Centerfield Driver Suite 201t Eaqle River, AK 99577 Unless otherwise requested, HAA wi//be held forpickup. NUMBER OF BEDROOMS: ~" 3, TYPE OF WATER SUPPLY: NOTE: Individual well xxx' Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: :; : : i:; . ~i i:i ': Individualon-site Holding tank Community on-site : ::'- ' ': "PUblic:seWer NOTE: XXX If communitY wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev, I/91) Front MOA#21 STATEMENT OF INSPECTION BY ENGINEER ' :' ' As certified by my seal affixed hereto and as of the valid ation date shown beioW, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further 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 n compliance with all Municipal and State codes, ordinances, and regulations m effect on the date of this ~nspection. Name of Firm s & $ ENGINEERING Phone 6 R ~- ~ ~/ '7 ~ 1~.0;~:. ~agle River Loop Roa~ No, 204 Address Eagle River, Ala~Ea 99577 x Engineer's signature ~'~.'J~ //~ Date I /)3/r4~, DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date /-¢7'9<:2/2 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 DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections 0r analyze data before a certificate is issued. The Municipality of. Anchorage is not responsible for errors or omissions in the professional engineer's work: 72-025 (Rev. 1/91) Back MOA ~1 RECEIVED Municipality of Anchorage dAN DEPARTMENT OF HEALTH & HUMAN 8ERVIOESMUN~C~rALIT'r O~ AM Environmental Services Division ENVIRONMENTALSERVICI~[~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: TRacT" ~ r.~ - I l'~8(,.~,,F,c~¢,.'i-. ,~:r,,, £~'~?¢:5 Parcel I.D.: A. WELL DATA Well type (~/z~ If A, B, or c, attach ADEC letter. ADEC water.system number Log present (Y/(~ .w ~ Date completed Total depth --v 2- ~- o ' Cased to Casing height (above ground) Sanitary seal (~'~N) 'Y/Z J Wires properly protected f~N) V ~ J- Date of test Static water level Well production FROM WELL LOG g.p.m. AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform 0 Date of sample: 1 ;~/ ~/ B. SEPTIC/HOLDING TANK DATA Nitrate Collected by: Other bacteria O S &$ ENGINEERING .....,, ,.,,,~ F.~.~;~ R;wr L~op ~,oa(i No. 204 Eagle River, Alaska 99577 Date installed I ¢1 '7 7 Tank size ) 5- co o Number of Compartments '~ Cleanouts (~/N) y ¢3 Foundation cleanout ((~)'N) "y 4..~- Depression (Y~-~ /,z 0 High water alarm (Y(~J~ /,, o Date of Pumping / o J ~ ~'/'~ ~' Pumper ~- rc -~ C, ABSORPTION FIELD DATA Date installed cd / ~¢~'/ fi2._ Soilrating (g,p.d,/fFor~-t~Fm_~ ~-8'-o Systemtype T~,~,,,~-/-/ Length I o o Width. 5" Gravel thickness below pipe '~. 5~ Total depth Effective absorption area'~ ~'I r-r*(c4 Monitoring Tube present ~N) '¥r~ Depression over field (Y/~ Date of adequacy test I / 1 / ~ ~ Results P~_.~Fail) /oA.£ ~' For Fluid depth in absorption field before test (in.); ~)&Y Immediately affer/~5~-0 gal. water added (in.): Fluid depth ~ '/:~" (ins) Minutes later: ) ¢ Absorption rate = ~5-0 ¢ g.p.d. Peroxide treatment (past 12 months) (Y/N) ~'~ '~/~' ~ '~¢ "~ "-'~ If yes, give date bedrooms 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) Size in gallons __...-  "Pump off" level at* High water alarm level at* ~--'""- *Datum Cyc e~-~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line ,/o o .,c On adjacent lots ) oo ~ On adjacent lots Public sewer manhole/cleanout Lift station /4- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ! 5' Water main/service line ')~ Property line ) 0 --~ )o ~- Surfacewater/drainage /o0 4- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property lines (' ~'~/v~/~ Building foundation Absorption field ':30 Wells on adjacent lots Water main/service line Surface water Curtain drain ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots / CO I certify that I have determined thru field inspections and review of Municipal records .t~.'~l~ .,~,..v~"'~[ns are in conformance wit~ MCJA HAA.auideline~ in effect on this date. Signature ..... Engineer's Name ~ ~&,~)~ ~- ~ ~/~ ...... ~ .............. ~,~. ......... ?.,~ Date J // 3 / ~¢ HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Date of Payment Receipt Number ROBERT C. COWAN, RE. ROBERT A. SHAFER, P.E. HEALTH AUTHORI~W 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 ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN January 11, 1999 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Departlnent of lqealth and Human Services PO Box 196650 Anchorage, AK 99519 RECEIVED REFERENCE: Tract 8B-I, Magnificent Mountain Slopes Request you grant a waiver on the re£erenced property Fol' the horizontal separation distance between the leachfield and tile west property line at 3 feet. We do not anticipate ally adverse effect on the adjacent property. If you require additional information, please contact tls. Sincerely, Robert C. Cowan, P.E. RCC/sh 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ,, EAGLE RIVER, ALASI(A 99577 FRO~I-¢TE EiqVIRONMEiqTAL 581~01 T-~? P.03/03 F-403 CT&E Environmemal Services inc. Laboratory Division r~r~/.f.~,~,~ea~r~~~S~'~J~~.ar~r~ll~e'~J~Jla 200 W Potter Drwe Drinking Water Analysis Report for Total. Co!ifonn Bacteria ~..ho,.,., ~ ~,.~.os Tel (9071 562-2343 READ INSTRUCTIONS ON ~VERSE SIDE BE~O~ COLLECTING SAMPLE Fan: 1~7) 561.5301 ~UST ~'~-OMPLET~D BY WATER SUPPLIER TO BE COMPLETED BY LABO~T~RY Analysis show~ t~ Wutrr SAMPLE to Q FUBLICWATERSYSTEMLD-O ~~5 ~ Sausfacto. KPRIVATE WATER SYSTEM CI Senti l{gyMpi , . t"i Senti in Date Received Time Received Unsa~isfaelory Sample o'~cr 30 hours old. results may be unrehable Sample too long m transit; sample ~hould no~ be over 48 houm o14 a[ exammauun ~o ~nd]cm~ reliable msulls. Pleas= send ' new sable v~a special dcllveU marl Anal~aical Melhod: ~¢' Membtal~e Fflt~x U MMo-MUO Analyst SAMPLE DATE: ~ Day /~MPLE TYPE: Repeat Sample (for routine ~amp. l~ wi~h lab ret'. no, ) r3 Special Purpuse SAMPLE LOCATION 7ri,.,(/Y Comments: Stn~ Id A,U,t..,,. ..... a Fok~ Jun Du~e Tim; Client notified of unsa{lst~c~o~ results: Spuk~ T~me MMO,-MUG Itgaal,: To~aI ColiDrm Membralte Filter: Dir~ Counz Verification: LTB ~ F~al Coliform Confirmation Final Mem~raue Fll~er R~uhs Reposed BY ~'~ ~ E. Coli Colonies/lC0 al COLI~IRM [] Fa~eO ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA FI_DF, IDA. ILLINO}!/ L&~;WCLANB MICHIGAN. MI§$0uRI, NEW JERSEY E~T vinGiNiA DEC-Zg-g8 )4:03 FROk~-CTE ENVIRON)~4EN'rAL ,~t~r~m~. CT&E Environmental, m,~.~,.~,~,.t.,..,~r,.,,Servi~es Inc. 561530t T-ZST P.02/03 F-403 CT&E Ref.# Client Name Project Name/# Client Sample ID Matrix Ordered .By PWSID Sample 987290001 § & S Engineering Tra~t 8 B-I Magnificeng Trac~ 8 B-I M~gifi~ni Drirddng Water Client Printed Date/Time 12129198 08'35 Collected Date/Time 12/18/98 11:05 Receiv~'d Dat~/Time 12/18/98 14;00 Technical Director; Stephen C, l~de Released pQL Urli tS Ho'I:Jl od AItOw~Dte Prep AnnJySJS ki~J[s D~Te Oo~e Ini{ NiTrate-N o coL/lOOmk sM~JJ 92226 O.100 m~/t. EPA ]00.0 1~/10/9~ RMV 10 n~ 12/Z~/9~ 12/18198 Rick Mystrom. Mayor Municip ty of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us S & S Engineering ATTN: Robert Cowan, PE 17034 Eagle River Loop Rd, #204 Eagle River, AK 99577-0000 January 27, 1999 Subject: Waiver Request for MAGNIFICENT MT SLOPES TR 8B-1 Waiver # WR990003 Lot Line Request for Parcel ID 050-521-88 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 3 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval fi'om this depmtment. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Civil Engineer I On-Site Water Quality Program WR# WR990003 Date Received: Legal Description: Tract 8B-1Ma8nificient Mountain Slope~ Engineer: Applicant: MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Wa'iver Review Worksheet PID~ 050-521-88 HA~ HA990014 Jan 13, 1999 Permit Robert C. Cowan, PE, S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River. Alaska 99577 Cathy Anderson Waiver Requested: Lot line waiver of 3 feet from th~ mh~nrpt~mn ~!d to the west property line Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: Points: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: Date: Rec ~: 04437/189 By: Amount: $ 115.00 Name of Reviewer Date Paid: Jan 13, 1999 MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services '" On-Site Services Section ' P.O. Box 196650 Anchorage, Alaska 99519-6650 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~ O~ ~,~ ~,~,~,~,~,~,~,~,~ 1, GENERAL INFORMATION., Complete legal description Location (site address or directions) ~Mailing address Lending agency " Mailing address Agent Address Day phone 2, NUMBER OF BEDROOMS: · 3. TYPE OF WATER SUPPLY: Day phone Unless otherwise requested, HAA wil! be held for pickup. ~ ~ ~ - Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ·, ,.,~-. lng to the legality and status, of system. 4, TYPE OF WASTEWATER DisPOSAL: ,?' ,, ' Holding tank Community on-site ''~ NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA ti21 6. DHHS SIGNATURE -'~ Approved for STATEMENT OF INSPECTION BY ENGINEER" As certified by my seal affixed hereto and as of the yalidation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, t~ suffl~y=~C/.er wastewater disposal sYstem is in compliance· with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Engineecs Signature ~~d-~1~., ~' ' ' Date ~ ~ ~ ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: . . ...... · _._' ............ .; , Additional Comments By: · 7'he 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 ~n the State of Alaska. The DHHS does thru as a courtesy to purchasers of homes and theii;'lending ir~t'itutions in order to 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 engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST' If A, B, or C, attach ADEC letter. Parcel I.D. Date completed Cased to ADEC water system number Driller Casing height Legal Description:-~¢¢>~>~&t~,-~ T'e/~¢% ~t%-. I A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) FROM WELL LOG Wires properly protected (Y/N) AT INSPECTION MUNICIPALI'IY 01: ,'~,l ~ :~ ENVIRONMENTAL SERVICES ; On adjacent lots ; On adjacent lots Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot g.p.m. Public sewer main Public sewer service line Public sewer manhole/cleanout Petroleum tank Nitrate Other bacteria WATER SAMPLE RESULTS: Coliform Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed [ ~"~'-'J' Tank size Cleanouts (Y/N) ~ Foundation cleanout (Y/N) High water alarm (Y/Nb Date of.pumping 'Z.'~) ._~>~..~ c~... Compartments Depression (Y/N) Alarm tested (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot l~15 J'-T' TO property line J~ ~"T" Surface water/drainage On adjacent lots 7 ZOO ~'~F Foundation Absorption field l.~J it_T. Water main/service line 72-026 (Rev, 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LiFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Z-P~P°I ~:~F> Length tOO ¢-% Width ~ FT' Total absorption area ~OOO Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~ To building foundation On adjacent lots '~ 2.OO f="'r Surface water Curtain drain Soil ratingk--'~-' i"~,/ 2'50 Gravel thickness Cleanouts present (Y/N) Date of adequacy test for If yes, give date System type ~.Lo*-4 Total depth Onadjacentlots '~ ZOO[cT. Propertyline To existing or abandoned system on lot (c~ ¢'T Cutbank '-- Water main/service line "~ 80 F'I' Driveway, parking/vehicle storage area bedrooms E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines'in effect, on the date of this inspection. Signature Engineer's Name Date 5 ~T [~ HAA Fee $ / ~'~ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 RECEIVING RECORD RECEIVED FROM VIA ' - )01i ~Ce~ COLLECT 3 4 7 Dep' I,eal'lh 8, -tumar~ Services 12 : REMARKS: CONDITIONS, ETC. ii $OOP~H POOPER PI. ~,. BE SURE lO MAKE T,IS CARBONLESS ~L~O/Om~O RE(ORD AC(URAIE AND COMPLETE Io ASBUILT-NO CORNERS SET THIS DATF.. .. I HEREBY CERTIFY .THAT I HAVE SURVEYED THE SCALE~ FOLLOWING DESCRIBED PROPERTY'. Magn±fieent ~1" = 60' Mountaln SlopesSubd., Tract. 8B-1 DATE= . AND THAT NO ENCROACHMENTS EXIST EXCEPT AS 8/21/92 INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER.TO DETERMINE THE EX STENCE OF .,..,ANY GRID: EASEMENTS, COVENANTS, OR RES'rRiCTIONS SW262 WHICH. DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FBi ANY DATA HEREON BE USED. FOR CONSTRUCTION 31-40 OF FENCE LINES, OR FOR ESTABLISHING.BOUND- DRAWN~ ARY LINES. DMS Municipality: o;/\ ~chora'ge. Oept Healih & l-J[ll~al~ 8ervice~ . SEWARD & ASSOCIATES L~TD SURVEYING 688-4566 205 ~ES'F 15'[H, IiVENUE SUITE 206 (907) ],'79-.39!6 EilAg]. ,:.:! R:J vc?r~' ¥ Al. a.!z;ka 9957'7 ,::~.~ar'(? tl'~.at: sc, mc.', ] (.'~r'~{::!:i ~IC.'! :i i'i~:i'~'.:i ~:LVI::i ~::)~'~ ,~ FI'IA a'~i::t VA ,~ r~:)ciu:i r(::~, 3 ~'Jc.', .[: c:)(.~i(::l 'I: h~':'~t: '~,.'~::~ u" ~F,~':.,p '~. :i. i:: sys'i: c..:,m (::h:)e)s r'~ (::)'E ~at :i. ~:?F y 'k I'~ (:~:, Hun :i l::: :i p (::l~:~:,s:i. (Iii arid Fh..u',:i c::i. t::)a] a!.:iprc)va] ~.u~mh'zO. :! y tai.::ra~:~i 3 tr:~ 4 ~.,~i::.:.~:.?l.::~. ]" (:] t .:'~'~ ] C:: c:~ ~:i '~: (::/'l: iii y ~[i c~ I'" V :i, (:: C:' ~i '{: (::,r c:l (.':? ~i J. ,:..:~ ri :i. I] (] ,:! ri (::, ~.',~ !j~ y y;-i.: ().~ ffi a~ i] (:J :L Iq ~E. p (.,? C: '?. :i. ~';} th~.:.~ :i. ~s'k~':~:t. :L aL.:i. (::)~ ~,~:i :1. :t. run ,'::d::)c.,u'h ~I~: :t ~ (:~OC),, ()C),, :in 'khal: pr :i. ct.:.', :i ?i :i. nc: i u(::l,:?cl :[~:z! ,:}() ,, CiO .i:(:~' a l::ia(::k:l-[(:)e~ 't.'.(] cJ :i. ~"! ~:1'-~:, i~.~,c:(:,.~(~sal'",/ 'l::.(:.)~i'i:l"~(::):i (;.:~s ,, CHEMICAL & GEOLOGICAL LABORATORY r~ A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. ~ L~.o.^'rom' ~ 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 AiiAI, TS[S 'LT, S L~S fo: ~NVO~(:X ~; hf~5!d (2 onLab Ko:c.~, "') "i ' :) RECEIVED OCT 6 1%2 Oep'i, He,~;ith & Human Services ~.~.~ SSS Member ol the SGS Group (Soci~t0 G~n0rale de Surveillance) CHEMICAL & GEOLOGICAL BORATORY A DIVISION OF COMMERCIAL TESTING &'~'E~GINEERING CO. TELEPHONE (907) 562-2343 :' 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER [] PUBLIC WATER SYSTEM I.D. # [[11111 [] PRIVATE WATER SYSTEM / .- ,; i~? -_.;, . Mailing Address SAMPLE DATE: SAMPLE TYPE: State Zip Code Mo. Day Year r-l, Routine [] Check Sample (for routine sample with lab ref. no, [] Special Purpose ) [] Treated Water /,F?"Uutreated Water SAMPLE LOCAT. t,O,N / /- _..,~ ,' No. J 1 fl : ' ,,,,'L.:'. ~,.-i ,- , ,I I Time Collected Collected ,.~-:By J:. ::' ,'-,.' :: :,..: , TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail, Date Received . Time Received Analytical I~ethod: Membrane Filter ? * No. of colonies/100 mi. Lab Ref. No. 92,5084 Result* ' I --1 r)ept. Health & BACTERIOLOGICAL WATER ANALYSIS RECORD Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE TNTC = Too Numerous To (' OB = Other Bacteria Membrane Filter: Direct Count Coliform/100 mi Verification: LSB BGB Fecal Coliform Confirmation Final Membrane Filter Results ,,~ Reported By ~ ¢' ~ :/'''''~' / PART ONE OF TWO REMAINDER TO FOLLOW Coliform/100 mi -- ,: RECEIVED INSPECTIUN APPOINTMENTS (~_~..~._.~' TIME TIME TIME INSPECTOR INSPECTOR I NSP ECTO,~ MUNICIPALITY OF ANCHORAGE ~PALIT¥ OF ANCHORAGE-  825 L Street - Anchorage Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10) days for processing. PHONE 2, BUYER PHONE MAILING ADDRffSS 3. t. ENDI~G INBTITUT~O~ . PHONE -- MAILING A~D~ESS ' I 4. REALTOR/AGENT MAiLiNGADDR~/ ~ I PHONE 5. LEGAL DESCRIPTION .... ~-L~z~P.~.CJJ~.~..i~.~.~ ~ STREET LOOAT~/~ ~ ' z 6, 'FYPE OF RESIDENCE ~ f NUMBER OF BEDROOMS ~. SINGLE FAMILY ~ MULTIPLE[ FAMILY 7. WATER SUPPLY INDIVIDUAL~ COMMUNITY PUBLIC UTILITY ~ One [] Four [] Two [] Five ~. Three [] Six Other * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled priortothatdate give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM /~ XI-SITE** ? YEAR ON-SITE SYSTEM WAS INSTALLED. INDIVIDUAL/O . . . [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE ~/~TH REE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY ~ INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]eN'DIVI DUAL/ON -SITE DATE INSTALLED I--1PU BLIC UTI LITY Connection Verified INSTALLER r--]Septic Tank or [] Holding Tank Size:_/ ~--'.-~'~ If Tank is homemade [;OILS RATING give dimensions: / .~ 5" TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line I I WELL TO: Absorption Area to nearest Lot Line 5. COMMENT8 OVED FOR BEDROOM8 [] CONDITIONAL APPROVAL (letter must accompany c¢.,rtificate) 72-010 (Rev, 6/79) .~~CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. = TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER ' 274-3364 5633 B Street V ........... -,~ Drinking Water Analys~s Report for Total Coliform Bacteria Water System Name Phone No. Mailing Address City State Zip Code MO. Day Year SAMPLE TYPE: [] Routine I;3 Check Sample (for routine sample with lab ref, no, ['~ Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 3 I LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~ .Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received ' Time Received Analytical Method: [] Fermentation Tube ,~ Membrane Filter Lab Ref. No. I I I Result* Analyst wNo el colonies/100 rnl or No, of Positive po~t~ons. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (bi Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Date Received Time Received -- p,m, Lab, No, Presumptive 1Omi lOml 1Omi 1Omi 1Omi 1,0mi O,~,ml 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Broth 48 hours.. Multiple Tube Report= 1Omi Tubes Positive/Total /Omi Portions Membrane FIItsr~ Direct Count __ Collform/lO0ml Verification: LTB .BGB Final Membrane Filter Results ; , Collform/ZO0w~l Reported By ? Tlme~ ' , a,m, ~ Date ! ' ~ CHIzMICAL & G £OGICAL LABORATORIES .; ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I,D. NO, Water System Name Phone No. Mailing Address City State Zip Code Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 3 I 4 I 5 LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst L J L I I I eNo Of colonies/100 rnl or No el Positive portions. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (bi Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source a.m. Oate Received Time Received p.m. Lab. No. Presumptive 10mi ].0mi 10mi /0mi 10mi 1,0mi 0,1mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Multiple Tube Report= Membrene Filter= Direct Count_ Verification: LTB Final Membrane Filter Results Reported By roth 24 houri; Broth 48 houri: 1Omi Tubes Positive/Total 1Omi Portions Collform/lOOml BGB Collform/100ml Date Time; a.m, EXCAVATION ROBERT A, SHAFER WORK November 20, 1981 CIVIL ENGINEER 694-2979 MUNICIPALITy OF ANCIIORAGE DEPT. OF I~:ALTtt & ENVIRONMENTAL FT;OTECTION Brad Young SRB 196 Eagle River, Alaska 99577 Dear Mr. Y~ung, Reference: Tract 8B-l: Magnificient Valley Subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1500 gallons. The absorption trench was tested by a continuous flow of 699 gallons of water over a 24 hour period without any measurable rise in the water level in 'the sump at the end of the trench. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. If we may be of further assistance, please do not hesitate to call. /~B~RT~A. SHAF : P.E. cc: A].aska M~tual Savings Bank ATTENTION: Victor Molzella Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA