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HomeMy WebLinkAboutMCHENRY TR AMunicipality of Anchorage Page of 2
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: -S('tJ 99 0 / 3 / PID Number: a 21,6- `2 4/
Name:
Wastewater System: ❑ New [!,Upgrade
Address:
33az st��herr �t;F. Anc�, �}k 9os02
ABSORPTION FIELD
Phone:
2 yg - $'/ ZS
No. of Bedrooms:
$ s
S Deep Trench 11Shallow Trench ElBed 11Mound 1-1Other
LEGAL DESCRIPTION
Soil Rating:/, 2
Total Depth from original grade:
GPD/S . Ft.
1S,
Lot:�� t� Block: Subdivision:
'rr'Gt C k A M c.11 -eh
Depth to pipe bottom from original grade:
1,1.8
Gravel depth beneath pipe
1, 2,
ry
Ft.
Ft.
Township:
Range:
Section:
Fill added above original grade:
Gravel length:
O Ft.
y/1 Ft.
WELL: CxUST ❑ New ❑ Upgrade
Gravel width:
Number of lines:
Distance between lines:
3 Ft.
/
Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:
Total absorption area:
Pipe material: F_S/(> Pere
Ft.
Ft.
SO. Ft.
A -30 3 y 14Gn - Per F
Driller:
Date Drilled:
Static Water Level:
Installer:r/ ''b
CGcrf.' E7tC'avah,,
Date installed:
7/27/9
Ft.
Yield:
Pump Set at:
Casing Height Above Ground:
C wTAN K
GPM
Ft.
Ft.
SEPARATION DISTANCES
U Septic ❑ Holding ❑ S.T.E.P.
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
Public/Private
Sewer Lines
Manufacturer:Capacity
A n ch r r _ ,e Gtr
in gallons:
Well-�j
7
' G9 !
_
_
2
> s
Material: �2
S el
Number of Compartments:
1
Surface
Water
>roo,
>tGo'
-
-
-
LIFT STATION A/. /4.
Lot
Line
,
20
?0,
-
-
Size in gallons:
Manufacturer:
Foundation
v /G E
7O'
_
"Pump on" level at:
"Pump off" level at:
High water alarm at:
Curtain
Pump Make & Model
Electrical Inspections performed by:
Drain
-
_
-
-
Remarks: T11,ere u, -eV hod -eheu A rudQ
BENCH MARK
d, er e,i" e11 C �P�+ �i oY 7 n a /
S Afe 7��,h kc Qna 1%.e bre in / Olee,tAAete.
Location and Description: �,!!
130 �LAom
f
�ovf<ff
!r.w s 1,ALe a -r ule1/ of �+e .711Gi Lnk;
YneILer o/7 noriA sId. "f
FCo C4" s //>Lhn wO1 a CCS �''� 1tf � e b
ru✓P +/I� l�e�C�ln� e 7LYe
Assumed Elevation:
LL
or e coinpO'n "7 p i Sys Pte+ 7,; a^ 1-,A ofl,��
ENGINEER'S SEAL
to f e1'J a_.1/1 /e 4 5-Iri cci tn%a Eli e O7ti
ecirrnrOn40
Aq
q.
Inspections performed by: Fl�lh�� 7_`4'1,1ra/ S"cDateS:1st -7l zP99
9,F
2nd -7/2.7/99
i70000Po o© a 00 a 00 a 00000© C2GC C C.
to
Department of Health and Human Services approval.
oV O® Q®0000009e OE i
THEODOf E F. flOOfiP o
'
.°. CF - 352
Reviewed and approved b : Date: �� '/
PP Y °
72-013 (Rev. 9/91) MOA 25
PERMIT NO: SW990131 Fl� PAGE 2 OF 2
PID NO: 012-245-24
fl%p 1� } O j �' G Etl f m IY�p %.
.Rmm00000°00000.00000c+o. s
iaC' a#j
'�d�0000 ouoG�V 00� oo oQ cAp
8 °m THEODORE F. OOR9 a fj
CE - 3589 z
SWING TIES:
FROM: COR. "A"
COR. "B"
TO:
DBL. C.O. "E"
49'
107'
S.T. C.O. "F"
49'
104'
S.T. C.O. "G"
49'
101.5'
DBL. C.O. "H"
50'
101.5'
TR. C.O. "1"
56'
103'
TR. M.T. "J"
71'
104'
TR. C.O. "K"
88'
107.5'
NEW M.T. "M"
57.5'
114'
INV. I NEW 500 GALLON
88.2' SEPTIC TANK
INV.
88.1'
PRE-EXISTING
1000 GALLON
SEPTIC TANK
PROFILE VIEW
NOT TO SCALE
I
1
I
,
1
vl�
PRE-EXISTING "E"
1000 GALLON O "I
SEPTIC TANK
1
PLAN VIEW
SCALE: 1" = 30'
PRE-EXISTING
SOIL ABSORPTION
DRAINFIELD
NEW 41' LONG
..K.. SOIL ABSORPTION
TRENCH WITH
4.2 FEET GRAVEL
J ,
H"
T.H.
,,,LNEW 500 GALLON
SEPTIC TANK
-----------
INV.
87.9'
87 8.
T.H. #1
\—BOT. ELEV. 77.6'
DRY 7/26/99
ISTIN
DRM
GROUND ELEV. 98.6 +/-
0
"B"
------ -
e V.
NEW 41' LONG ININ
SOIL ABS: TRENCH. s
W. 4.2'-GVL. BEL-OW'PIPE `
BOTTOM TRENCH ELEV. 83.6
TRACT "A' McHENRY S/D
SEPTIC SYSTEM UPGRADE
AS -BUILT INSPECTION REPORT
FLATTOP TECHNICAL SERVICES SCALE: AS NOTED
14530 ECHO STREET DRAWN BY TFM
ANCHORAGE, ALASKA 99516 SEPTEMBER, 1999
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Permit Number: SW990131
Legal Description: MCHENRY TR A
Design Engineer: 0019 Flattop Technical Services
Owner Name: Ed Bryant
Owner Address: 3302 Strawberry Road
Anchorage , AK 99502-3109
Upgrade
�-A
Date Issued: Jun 09, 1999
Expiration Date: Jun 08, 2000
Parcel ID: 012-245-24
Site Address:
Lot Size: 43768 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 2
This permit is for the construction of:
Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy
All construction must be in accordance with:
1. The attached approved design.
❑ Private Well ❑ Water Storage
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
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
With the use of a flow splitter, the upgrade trench must have an absorption area adequate for 2.5 bedr000ms. This
can be accomplished by increasing the trench length to 40'
Received By: Date: G 19199
1
Issued By: ( LJ�UADate: 6-9-99
CIVIL & ENVIRONMENTAL ENGINEERING . ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E.
PH: (907) 345-1355
May 5, 1999
M.O.A. DHHS
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
The purpose of this letter is to provide the required design narrative in support of our application for
a permit to upgrade the wastewater disposal facilities on Tract "A', McHenry S/D to 5 -bedroom
capacity from its present 3-bedroon capacity. Soils logs, perc test results, a site plan, design drawings
and specifications are enclosed for your review.
The proposed upgrade will be constructed in the vicinity of test hole # 1. As can be seen from the
soil log, the native material below 2' is clean sand with a measured perc rate of less than 1 minute per
inch. Using the soil application rate of 1.2 gpd/sq. ft. specified in the wastewater ordinance, this 2
bedroom upgrade requires a total absorption area of (2 x 150)/1.2 = 32 square feet. The proposed 32
foot long trench design with an effective gravel depth of 4 feet has a total absorption area of 256 square
feet.
The topography of the lot is generally level. A splitter valve will be installed to divide the flow
between the existing drainfield and the upgrade trench. A site for ultimate replacement of the 5 -
bedroom system is shown on the site plan.
The proposed project will have no significant impact on present or future water supply and
wastewater disposal systems serving adjacent properties, nor will it have any significant impact on
reserved space -surface and subsurface, or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
Sincerely,
Ted Moore, P.E.
I to
MAY 17 1999
3vtUNIUMLItY OF ANCHORAGE
ENVIROMEWAL SERVICES DIVISION
STRAWBERRY ROAD
—.—.—.—.— _.— — — — — — —.
.._...._.—.
EXISTING 66' LONG x 5' WIDE
SOIL ABSORPTION DRAINFIELD
(FIND OR INSTALL C.O.'S & M.T.)
EXISTING
1000 GALLON
SEPTIC TANK
PRIVATE
WELL
\
00,
r- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -I- - V
SITE FOR 5-BDRM
REPLACEMENT
SOIL ABS. SYST.
T. H �.�
#2 - - - - - - CONSTRUCT NEW 32' LONG
- - - - - - - - SOIL ABSORPTION TRENCH
---------- WITH 4'GVL. BETW. 1 V& 15'B.G.L.
INSTALL FLOW
o SPLITTER
44-1i
T.H.
INSTALL NEW 500 GALLON
SEPTIC TANK (10' BURIAL) ;
f WELL R 100'
JON -GLEN S/D
EXISTING (PUBLIC WATER & SEWER)
r 5-BDRM
HOUSE
------>---------------------------
FL
�0• "' 49'
W ••es••eeseeo��eeNeee-O Hl
yo •o••••.ee ••e ea
THEODOPE F. MOORS ,," 1
i �•�YW °e�OAaU� / {�
LOT 2
LOT 3
LOT 1
0
INSTALL NEW M.T. IF EXISTING M.T. IN DRAINFIELD CANNOT BE FOUND
TIE DISCHARGE LINE INTO EXISTING 5' WIDE DRAINFIELD DISTRIBUTION PIPE
"Awl CONSTRUCT 32' LONG SOIL ABS. TRENCH
4" DIA WITH 4' SEWER GRAVEL BETW. 11' & 15' BGL
D -D034
C.O. M.T. C.O.
INSTALL "- 4" F-810
DB. C.O. 32
INSTALL "ZABEL"
FLOW SPLITTER "A"
EXISTING INSTALL NEW
1000 GAL. 500 GALLON
SEPTIC SEPTIC TANK
TANK (APPROVED
FOR 10' DEEP
BURIAL)
t - MONITOR TUBE
3
1
Lo
r
OUND BACKFILL 12"
RIGINAL GRADE
LTER FABRIC
4" DIA PERF PIPE
1/2" - 2 1/2" GRAVEL
BOTTOM OF EXC.
SECTION "A - A"
SCALE: V = 5'
PLAN VIEW
SCALE: 1" = 10'
�k`
eoao
.tl
49TH `
eeeeseeoeeeeeeoi NeoOo en.l�
• -ee�oNo��O�
1 0��
TRACT "A", McBENRY S/D
SEPTIC SYSTEM UPGRADE
PLAN AND CROSS-SECTION
FLATTOP TECHNICAL SERVICES SCALE: AS SHOWN
14530 ECHO STREET DRAWN BY: TFM
ANCHORAGE, AK, 99516 MAY, 1999
Flattop Technical Services
14530 Echo Street, Anchorage, AK 99516
Phone (907) 345-1355
Tract "A" McHenry S/D
3302 Strawberry Road
Wastewater disposal system upgrade
Specifications
1.0 General:
1.1 The scope of the project consists of adding a 500 gallon septic tank and installing 32 lineal feet
of soil absorption trench with a total of 4.5 feet of sewer gravel between 10.5 and 15 feet below ground
level.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or required by the engineer conducting the inspections.
All construction procedures and material specifications shall conform with Municipal and State
requirements. All separation distances shall be in conformance with Municipal requirements, unless
specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around
any buried utilities.
1.4 The contractor shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading
after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the
construction.
2.0 Septic Tank:
2.1 The existing 1000 gallon septic tank and double cleanout may be retained in service. The
existing discharge line leading into the end of the existing drainfield shall be cut off and capped. Any
existing septic tank which is not retained in service must be properly abandoned by thoroughly pumping,
removing the top and backfilling with soil.
2.2 The new 500 -gallon, single -compartment septic tank shall be Municipally approved and shall be
set level on undisturbed soil. It shall be equipped with a watertight manhole cover and a 4" cleanout.
The tank shall be designed by the supplier for burial with 10 feet of soil cover.
2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The
waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot.
A double cleanout shall be installed within 5 feet downstream of the septic tank, with a "Zabel " flow
splitter installed in between the cleanouts to divide the flow evenly between the existing drainfield and
the upgrade trench being constructed.
3.0 Soil absorption system:
3.1 The soil absorption system shall be constructed by excavating a 32 foot long trench to a total
depth of 15 feet below ground surface. The native sand that will be encountered maybe unstable and
appropriate safety provisions must be undertaken to protect the safety of workers in the trench.
3.2 The bottom of the excavation shall be level. The sidewalls above the level of the top of the
sewer gravel should be sloped back as necessary to prevent their collapse.
3.3 A total of 4.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with
the perforated distribution pipes laid level such that the pipe inverts are no less than 4.0 feet above the
bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing
the #200 sieve.
3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on
the design drawings. The portion of the monitor tube extending through the sewer gravel shall be
perforated.
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. The top
surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain
to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no
steeper than 3:1.
3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have
the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and
seed to promote rapid revegetation of all areas disturbed by the construction.
4.0 Inspections:
4.1 A minimum of 4 engineering inspections will be required during the course of the project: (1)
initial stakeout with the contractor to establish the location of the system and to discuss the plans,
specifications and construction procedures, (2) after the native material has been excavated to expose the
infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test
information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected
up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and
grading is complete. The septic tank requires one inspection after it is set level and the piping
connected, but prior to backfill. This inspection may be incorporated with any of the above inspections.
5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Tract "A" McHenry S/D
DATE PERFORMED: April 19 1999
PERFORMED FOR: Ed Bryant
DEPTH SLOPE
(feet) Pt. and loam
1
Yellowish silty loam
2-
3-
4-
5-
6 345
6
7-
8-
9-
10-
0 89100
MIM
13�t;,
14-
15-
16-
17-
18-
19—
SP/SW
41516171819
SP/SW Clean dry medium sand
0%
Depth to Groundwater
Date
No groundwater
4/19/99
Monitor tubed
4/26/99
SEPTIC
SYSTEM
w
a
O
co
,y
r
�,c •°eee��e�oe oi,•�. �����
.0 °° Th'EODOKE F. AAOORE S'
O
s°°OJcno•r.•°° t; g
~ a
SITE PLAN
— _ STRAWBERRY ROAD
Clock
Time
r - - - -------- -- ---- - -I--i
Percometer
Reading
Net Drop
(inches)
EXISTING
SEPTIC
SYSTEM
i I ,
9 T.H.
,°
Start
10:31:20
�
,
235/8
#1
10:32:20
1
T.H.
33/8—
3/8Add
Add water
10:32:52
235/8
#2
10:33:52
1
203/8
31/4
Add water
10:34:27
4� FENCE J
#3
WELL '
1
203/8
EXISTIN ,
5-BDRM
GREEN HOUSE
HOUSE
0%
Date Reading
Clock
Time
Net Time
(minutes)
Percometer
Reading
Net Drop
(inches)
4/19 12" Presoak
Start
10:31:20
235/8
#1
10:32:20
1
201/4
33/8—
3/8Add
Add water
10:32:52
235/8
#2
10:33:52
1
203/8
31/4
Add water
10:34:27
235/8
#3
10:25:27
1
203/8
31/4
20
21
B H PERCOLATION RATE <<1 (minutes/inch) PERC HOLE DIAMETER 6"
TEST RUN BETWEEN 10.5 FTAND 11.0 FT
COMMENTS: Excellent sand for soil absorption system. Design trench on basis of 1.2 gpd/sq. ft.
PERFORMED BY FLATTOP TECHNICAL SERVICES. 1 1 ;� 2/LL0-o'+L CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5- /-C 199
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
TEST HOLE # 2 SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Tract "A" McHenry S/D
DATE PERFORMED: April 19 1999
PERFORMED FOR: Ed Bryant
DEPTH SLOPE
(feet) Pt. and loam
1
MUSM Yellowish silty loam
2-
3-
4-
5j 345
6-
7-
8 78
9
10
4 12
13
A
14
16
17
18-
19—
SP/SW
819
SP/SW Clean, dry medium sand
B.H.
0%
Depth to Groundwater
Date
No groundwater
4/19/99
Monitor tubed
4/26/99
SEPTIC
SYSTEM
Start
11:32:07
ir
40
0
b�°oo.>°a00000000•000eo�o0,"0�
/roc
.� o°°°oo0000000000000b
';a THEODOCRE F.OMOOR9 ye
.'' {•��s:rt ° o a °ems"
'fly�CM_Lr� amm�r5. 5-:4f
SITE PLAN
— — STRAWBERRY ROAD
Clock
Time
r- - - - - - - - - - - - - - - - - - -- -i
Percometer Net Drop
Reading (inches)
4/19 12" Presoak
EXISTING
SEPTIC
SYSTEM
Start
11:32:07
i I �
9 T H.
,° I
233/8
#1
#2 I
1
dry
Add water
11:33:30
T.H.
##2
11:34:30
#1 0) I i
dry 6
Add water
11:34:50
233/8
° U, i
11:35:50
1
dry 6
4o FENCE J
EXISTIN
i ° rrBDRM i
GREEN HOUSE
HOUS
Date Reading
Clock
Time
Net Time
(minutes)
Percometer Net Drop
Reading (inches)
4/19 12" Presoak
Start
11:32:07
233/8
#1
11:33:07
1
dry
Add water
11:33:30
233/8
##2
11:34:30
1
dry 6
Add water
11:34:50
233/8
#3
11:35:50
1
dry 6
20
PERCOLATION RATE <<1 (minutes/inch) PERC HOLE DIAMETER 5"
TEST RUN BETWEEN 11.5 FTAND 12.0 FT
COMMENTS: Excellent sand for soil absorption system construction
PERFORMED BY FLATTOP TECHNICAL SERVICES. I laves �)� CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: May 5. 1999
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
Name: '~I(~'~A~L. ~ ~V WastewaterSystem: DNew , ~Upgrade
Address:
5yo~ ~8~y ~ ABSORPTION FIELD
Phone: Z~-- O ~ IN°'°fBedr°°ms:
~ ~ Deep Trench ~ShallowTrench ~ Bed ~ Mound ~ Other
Total Depth from original grade:
Lot: ~~A Bloc~; ~ ~u~ Depth to pipe bottom from original grade: Graveldepth beneath pipe
Township: Range: I Section: F~I added above original grade: Gravel length:
Number of lines: Distance ~n lines:
WELL: ~S~ D New D Upgrade Gravel ~: ~,~ ~ Ft. / ~ Ft.
Classification~,~(Private, A,B,C): Total Depth: Ft. Cased To: Ft. Total absorption area~ SQ. Ft. Pipe material: ~ ~ 0
Driller: Date Drilled: Static Water Level: Installer:~l~ (~ Date installed: /~/
Yield: Pump Set at: I Casing Height Above Ground: TAN K
GPM Ft.~ Ft.
SEPARATION DISTANCES ~Septic D Holding D S.T.E.P.
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank SewerLines ~ ~~ ~ /) ~
Number of Compa~ments:
Su~ace
Water ~00 ~/~ ~)~ ~/A W/~ LIFT STATION
LineL°t /~ / / 7 I ~ ~ ~ASize in gall°ns: Manufacturer:
Remarks: BENCH MARK
Location and Description:
I Assumed Elevation:
ENGINEER'S SEAL
Inspections pedormed by: ~ ~A~ Dates: 1st /0/~
2nd
Department of Hea e approval . ........
72-013 (1/91) MOA 25
' I
Permit No. 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
PID No.:
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
November 23, 1993
RECEIVED
NOV 2
Municipally. ol Anchorage
Dept, Health Human Services
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Attention: Robbie Robinson
Subject:
Tract A, McHenry Subdivision
Health Authority Approval Certification
Dear Robbie:
On Monday, November 22, 1993, Whitters' Excavating, removed 4" to 6" of
sand from the monitor tube on the new septic system located on the
subject lot. The clear space inside the tube now extends to the bottom of
the drain field rock. The system is now acceptable for Health Authority
Approval Certification.
Sincerely,
Michael E. Anderson, P.E.
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:SW930387
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER NAME:MCHENRY MICHAEL &
OWNER ADDRESS:3302 STRAWBERRY RD.
ANCHORAGE, AK 99502
PAGE 1 OF
DATE ISSUED: 9/22/93
EXPIRATION DATE: 9/22/94
PARCEL ID:01224524
LEGAL DESCRIPTION: MC HENRY TR A
LOT SIZE: 43768 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 (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:
DATE:
DATE:
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
September 17, 1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Tract A, McHenry Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
The septic system on the subject property encroaches within the 100'
separation on this and the adjacent lot. In addition, the system is more
than 20 years old and an upgrade is needed. Soil conditions on the
property are very good for an onsite system. No groundwater was
encountered during exploration activities.
If the system is constructed in accordance with the attached design the
following statements can be made:
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.
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.
o
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.
The system, if constructed as designed, will have no adverse impact
on drainage patterns in the area.
Sincerely,
Michael E. Anderson, P.E.
V,/. BO AV i:'.
AVE,
J .'J~HADY' ~-~.~H
CT.
~/.
TRACT A, MCHENRY SUBDIVISION
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
Three Bedroom Home
Percolation Rate.' 2 Min./Inch
Application Rate: 1.2 GPD/SF
Shallow Trench System
1000 Gallon Septic Tank
1' Gravel Below Pipe
(3 Bdrms. X 150 GPD) / 1.2 GPD/SF = 375 SF
375 SF / 5' (Trech Width) X .87 (Red. Factor) = 66 LF
/
Therefore: Construct One Shallow Trench 66/LF with 1' Gravel
Beneath Distribution Pipe.
Well Logs in the area indicate sand to depths exceeding 100'.
SHEET NO. OF
SHEET NO. OF
CHECKED BY DATE
SCALE / ' ~' ~"~''
M~chc~l E. ~nd~rson
Anderson
-E
SEAL)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
5
6
7-
8-
I0-
11
12
13
14
15
16
17
18-
20-
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT ~ ~)
DEPTH? p
E
Gro~ Net D~th to Net
Reading Date Time Time Water ! Drop
TEST RUN SETWEE. ~.1~. FT,,ND ~ FT
COMMENTS
PERFORMED BY: ~ I *~'~ ~Y THAT THIS T~ST WAS PERFORMED
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72.,008 (Rev. 4/85)
®
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 012-245-24 Expiration Date: ►v 0 V
1. GENERAL INFORMATION:
Complete legal description MCHENRY; TRACT A
Location (site address) 3302 Strawberry Road *Anchorage
Current Property owner(s) Curtis Holema
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
© Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone 550-2144
Day phone
3. NUMBER OF BEDROOMS:
5
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑X
Individual
FZ
Individual Water Storage
❑
Holding Tank
❑
Community Class_Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ -5550
Date of Payment /2
Receipt Number Og193G
COSA # Qfc Z 1 I `i 7Z
Date:
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
Tj
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: L to Z i
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 5 bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms,
N... f . ......:T.
2 fr.Y..:... ...
ss.:
IQ �° CE 795
��ShrN •.�1� I�.�•"�to;o
#AECC884
OF A*
ON-SITE
WATER AND
with the foliowil ip �t V'ATER
J PROGfAM
����ll ► i �S EK `ll��l\
OBy: Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist_
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory X
Other T" 0_�L CL"� sore �(
COSA Checklist
Legal Description: MCHENRY; TRACT A
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 1952(?)
Total depth *105.5+ ft
Cased to UNKNOWN ft
Q Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 6/24/21
Static water level at beginning of test 75.1 ft.
Comments *PER GEG TEST DATA
B. TANK DATA
Age of tank(S) 28122 years
Tank type/material sE'MSTEE
Measured operating fluid level in septic tank 49'139°
0 Standpipes/foundation cleanout per record drawing
Date of pumping 7/12/21
D. ABSORPTION FIELD DATA
Parcel ID: 012-245-24
Structure served by this system
Well production at time of test 9.0+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes ❑E Nc
Coliform bacteria is Neve
Nitrate mg/L M Nitrate less than MRL (ND)
Arsenic!:>v: t\ ug/L ❑ Arsenic less than MRL (ND)
Collected by GEG, LTD
Date of Sample 7/22/21
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments: FCO INSIDE HOUSE PER 2005 COSA
Which system tested (date installed) 7/27/99
Adequacy test date 6/24/21
M ALL standpipes present per record drawing
Results Q✓ Pass For 5 bedrooms
Total measured depth from grade 14.75 ft (max)
Fluid depth prior to test 30 in
Measured depth to pipe invert from grade 9.83 ft (min)
Water added *915 gal
❑ N/A — pressurized field
35
New depth in
pQ Monitor tubes go to bottom of effective. If not, state
Elapsed time 120 min
depth into effective
n Code -required soil cover over field
Final fluid depth 31 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 N/A gallons
If yes, enter date N/A
Comments/Deficiencies: TESTED EAST TRENCH ONLY - WEST TRENCH DRY UPON ARRIVAL 8 STAYED DRY THROUGHOUT TEST
COSA Checklist yellow sheet
El
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
Q Yes
if No
Community Sewer Manhole/Cleanout > 100'
Q Yes
if No
ft
[ 7v Yes
if No ft
Neighboring Tank > 100' P11 Yes
if No
ft
Private Sewer/Septic Line > 25' 0 Yes
if No ft
Absorption Field on Lot > 100' M Yes
if No
ft
Holding Tank > 100' E] Yes
if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' Q Yes
if No ft
Yes
if No
ft
ft
If septic tank is under driveway
comment below
J ff e or s.
/
Manure/Animal Excreta Storage > 100'
COSA Checklist yellow sheet
Community Sewer Main > 75' 0 Yes
if No
ft
E] Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
Q Yes
if No
ft
Surface Water > 100'
❑r Yes if No ft
Property Line > 5'
P1 Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
0 Yes
if No
ft
Private Wells > 100'
E] Yes if No ft
Water Main > 10'
0 Yes
if No
ft
Community Wells > 200'
✓0 Yes if No ft
Water Service Line > 10'
0 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' Q 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' S Yes if No ft
Surface Water > 100' Q Yes if No ft
F. ENGINEER'S COMMENTS
Adjacent to shed.
G. ENGINEER'S CERTIFICATION
X06000 ,
o OF A O�Q
I certify that I have determined through field inspections
and review
of Municipal records that the above systems are in conformance with TH
MOA COSA guidelines in effect on this date.
....... .................�
J ff e or s.
/
CE 79 (3
v
COSA Checklist yellow sheet
4��� Pro f es sio°°ate
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#AECC884
e
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Arsenic Advisory
Certificate of On‐Site Systems Approval # OSC211472
Subdivision: McHenry, Tract: A
A water sample revealed an arsenic concentration of 50.9 micrograms per liter
(ug/L). The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Information on arsenic is available from the On‐Site Water and
Wastewater Program website (www.muni.org/onsite) or at 343‐7904.
This advisory must be attached to all copies of the subject Certificate of On‐Site
Systems Approval.
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Septic Tank Advisory
Certificate of On‐Site Systems Approval # OSC211472
Subdivision: McHenry Tract: A
The septic tanks for this property are 28 & 22 years old. The average life for a steel
septic tank is 20 years. Typical replacement costs range from $7,000 to $11,000.
This advisory must be attached to all copies of the subject Certificate of On‐Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
STRAWBERRY ROAD
TRACT A
LOT 2
LOT 3
LOT 2 LOT 1
LOT 1
SH ED
S H
SHEDSHED
WINDOW WELL
(WW, TYP)
CHIMNEY
40.2'14.7'16.0'27.2'6.2'8.0'7.1'13.4'11.3'7.8'39.5'29.1'8.4'35.9'EXISTING
HOUSE
10.0'10.3'
55.7'
56.1'
EAST 164.92'
WEST 164.93'N00° 02' 40"W 265.38'S00° 02' 50"E 265.38'LOT 330'30'10' TELEPHONE AND ELECTRIC EASEMENT10' TELEPHONE AND ELECTRIC EASEMENT10' TELEPHONE AND ELECTRIC EASEMENT
10' TELEPHONE AND
CO (10)
CO
CO
CO
CO
O 'D O W D
A C R ESO 'D O W D
A C R ESJO N -G LEN N
M C H EN R YSU B D IV ISIO N
MCHE
N
RY
SU B D IVISIO N
3' ROADWAY AND PUBLIC UTILITY EASEMENT
3' NOTICE OF UTILIZATION 2006-072475-0
ED
ELECTRIC EASEMENT
WW
WW
COVERED AND
SCREENED PORCH AREA 10' UTILITY EASEMENT6.1'
4.9'
NOTE:
THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN
WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH.
TRACT A
MCHENRY SUBDIVISION
AS-BUILT
CLEAN OUT
WATER WELL
FENCE
Asphalt
Concrete
Overhang
Wood Deck
LEGEND:
DRAWN DATE:
DRAWN BY:
SCALE:
CHECKED BY:
8/4/2021
SC
ADS/SC
1" = 30'
PLAT:
WORK ORDER: 21103
82-182
FB/PG: 821/75
GRID: SW2226
ORDERED BY: CURTIS HOLEMAN
SURVEY CERTIFICATION: LCGLANTECH, INC HAS CONDUCTED A PHYSICAL
SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES
THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE
PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED
OR SHOWN.
EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE
THE EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR
RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED
SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY
LINES, OR FOR PLOT-PLAN PURPOSES.
250 H Street
Anchorage, Alaska 99501
Survey Department
Phone: 562-5291
Mainline
Phone: 243-8985
AECC 668
LEGAL
DESCRIPTION:
ADDRESS: 3302 STRAWBERRY ROAD PARCEL #: 012-245-24-000
REF: N/A
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions) .~ OZ_. ~'~FzA L,J ~'&"/L/L/V ~-o ~
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Day phone
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
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 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 in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm //~-,/'J ~%r~.~o*J ~/'~(~,~c':L'-P-,I~)/-, Phone
Address
Engineer's signature
Date /0/7~(,
o
DHHS SIGNATURE
Approved for --~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of 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
Legal Description: ~Z~'i~,~'-..'~' //t~/&/7/'~ ~c~. Parcel I.D.
A. WELL DATA
Well t yp e/O~;Y'~
Log present (Y/N) /~/
Total depth
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed ~j ~z..~)~j,.J Driller
Casedto '~' ~0 / Casing height /~//
Wires properly protected (Y/N) j~
g.p.m.
Date of test
Static water level
Well flow
Pump level
FROM WELL LOG
SEPARATION DISTANCES FROM WELL TO:
Septic/~h~ tank on lot //
Absorption field on lot
Public sewer main
Public sewer service line
AT INSPECTION
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout > %c~'
Petroleum tank
WATER SAMPLE RESULTS:
Coliform
Date of sample:
Nitrate Other bacteria
~)~ Collected by: /'~-~
B. SEPTIC/H~I~IN~ TANK DATA
Date installed
Cleanouts (Y/N)
High water alarm (Y/N) /~/~"~'
Date of pumping
Tank size /~,o~ ~a//~o,t.c Compartments ~
Foundation cleanout (Y/N) ~' Depression (Y/N)
Alarm tested (Y/N) /,///,4-'
SEPARATION DISTANCES FROM SEPTIC/',.~.,~ TANK TO:
Well(s) on lot ///:'/ On adjacent lots /~7~- ~
Topropertyline /~ Absorption field ~'~
Surface water/drainage > ,~z:;~ ' / .~/~ ' /
Foundation
.Water main/service line
72-026 Rev. 3/91 Front MOA21 CONTINUED ON BACK PAGE
C. LIFT STATION /v'//~--
Date installed Manufactu~
Size in gallons ~ss (Y/N) ___
Vent (Y/N) "Pu~ "Pump off" level at
High water alarm level ~ Cycles tested
Meets MOA elects (Y/N)
PA~T~
SE DISTANCE FROM LIFT STATION TO:
Well~n lot On adjacent lots Surface water
D. ABSORPTION FIELD DATA
/
Date installed /c,/l//~
Length ~,7' Width ~
Total absorption area '~ 7~'
Depression over field (Y/N)
Results (pass/fail)
Peroxide treatment (past 12 months) (Y/N)
Soil rating /, '~' ~'/~/~/~'
Gravel thickness /
Cleanouts present (Y/N)
System type Yv/Ir?~-
Total depth
Date of adequacy test
for
If yes, give date
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot ~
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots ~//~/ Property line >t7'~ '
To existing or abandoned system on lot >?-~"
Cutbank /'//Y-'" Water main/service line >/~'~:~'
Driveway, parking/vehicle storage area
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 ,,>' ~-::~-~" ~ ....... ~ ,~.~ ~ .,~
Enaineer's Name , - , xc4-f,e-,' ~ ~-- ,~,',~-.~ ~- ~c.~,, ~:,~ ~,~,,;~ ~ .,;~; :,~.~,~;~,.:~
Date /O/'Z¢/~ ~
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/91) Sack MOA
Waiver Fee: $
Date of Payment
Receipt Number
, fr _oCOMMERCIALTESTING & ENGINEERING CO.
NMENTAL LABORATORY SERVICES
......... REPORT of ANALYSIS
Chemlab Ref~ :93.5618-1
Client Sample ID :MCH~RY - 3002 STRAWBERRY
Matrix :WATEE
5633 B STREET
ANCHORAGE. AK 99518
TEL: (907) 562-2343
FAX: (907) 561-530~
Client Name :ANDERSON ENGINEERING
Ordered By :
Project Name :
Project~ :
PWSID :UA
Sample Remarks: ROUTINE SAMPLE COLLECTED BY: M.E.A.
WO~( Order :72363
Report Completed :10/25/93
Collected :10/21/93 ~ 11:15 hrs.
Received :10/21/93 ~ 11:45 hrs.
Qc Allowable Ext. Anal
Parameter Results Qual Units Method Limits Date Date Init
Nitrate-N 0.10 U mg/L EPA 353.2/300.0 10 10/22 LLM
* See Special Instructions Above UA = Unavailable
** See Sample Remarks ~bove NA = Not ~alyzed
U = Undetected~ Reported value is the practical quantification limit. LT = Less 'Fhan
D = Secondary dilution. GT = Greater Than
~SGS Member of the SGS Group (Socibtb Gbn~rale de Surveillance)
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