Loading...
HomeMy WebLinkAboutHOCKER BLK 2 LT 2Hocker Block 2 Lot 2 #042-081-14 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131069 PID Number: 042-081-14 ❑ New ®Upgrade Name: RONALD ALLEN ABSORPTION FIELD ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound Address: 14391 CANYON ROAD *ANCHORAGE, AK ElOther Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 717-8560 3 5.0 GPD/Sq. Ft. 5 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: SEE DWG. Ft. Gravel depth beneath pipe: 3.02 FL Subdivision: Block: Lot: HOCKER 2 2 FlII added above original grade: Gravel length: SEE DWG, R. 33 Ft. own4 Ip: — ange: — ec Ion: — Gravel width: Deds Number of lines. Distance between lines: Ft. — Ft. SEPARATION DISTANCES Total absorption5 area, 284+ [lumber of trenches: 1 Dist. between trenches: — To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines 50. Ft. Ft. Well 100'+ 100'+ 100'+ — 25'+ TANK ❑ Septic ® S.T.E.P. ElHolding El Other Manufacturer: Capacity: Surface water 100'+ 100'+ 100'+ — GRERR 1500 cal. Lot Line 5'+ 10'+ 5'+ — N/A Al STEEL Number of compartments: 2 Foundation 5'+ 10,+ 5'+ — LIFT STATION Curtain Drain UNKOWN *20' UNKNOWN Manufacturer. Capacity: GREER/QUANICS 1500 cal. Remarks: OLD TANK WAS DECOMMISSIONED PER UPC 'Pump on' level at:" TIMER Pump off" level at: TIMER High water alarm at: 46" WR#OSP131070 (0' SLOPE WAIVER) *ASSUMED. Pump Make & Model: P—SE-41—T Electrical Inspections performed by: POWER LIGHTING & CONTROL LLC MOA INSPECTOR JEFF POET INSPECTED THE TRENCH "FILL" PIPE MATERIAL EXCAVATION IN SOILS. House to tank D3034 Tank to D3034 drainfield Installer WILCO Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 115.61 Ft. Inspection Dates: 1st 5/10/13 2nd 5/10/13 Location and Descrivtion: 3rd 5/15/13 4th — TOP OF GARAGE SLAB 0 LEFT SIDE OF DOOR. Community Development Department Approval ENGINEERS SEAL Conditional approval: Date: i A ..., ... ..... J ey-A.- Garness. Q ..� CE77953 p Approved:Date:Profesan�oo PERMIT NUMBER: AS-BUJLT DRAWING PARCEL ID NUMBER: OSP131069 042-081-14 fTl C01 144.54 136.83 MTi 145.68137.99 CO2 1140.63 138.42 MT2 142.57140.31 ORIGINAL SEWER CO3 123.77 118.72 MT3 120.47172.18 FD 122.65 113.70 COS 92.22 78.30 POD1 90.70 78.85 PGD2 89.8578.59 MH 84.50 73.85 ST1 88.49 75.37 DBL2 88.57 75.04 DBL1 88.89 75.21 C04 79.71 62.20 HOCKER S/D; BLOCK 1, LOT 2 OVERHEAD POWER LINES \ / / HOCKER S/D; BLOCK 1, LOT 3A I I I I - CURTAIN DRAIN OUTFALL LOCATION PE 1987 AS -BUILT SURVEY. ORIENTATION A 0 LOCATION OF CURTAIN DRAIN IS PER 19 2 iI� MOA INSPECTION REPORT. NO OUTFALL IS APPARENT. BOTH MOA INSPECTOR (JEFF, / POET) AND GEG TECHNICIAN (ROB \// CAMPBELL) LOOKED FOR THE CURTAIN/\ DRAIN OUTFALL AND WERE UNABLE TO \ LOCATE IT. OUTFALL IS 100'+ FROM//THE \ SEPTIC SYSTEM. / \ PLAT T ASSUMED ( CURTAIN IN DR DRAT / OVERHEAD \\ / POWER \/ / LINES--. '\ IP `Ave,'nue OF I OLD DRAINFIELD 1 THiCO3 ca_ 1 1 �l 1 .• ...: 1 1 II MT i/ A -- FCO 1 I� LOCATED IN 650 AEI OCELL/ }''''" GARAGE UNIT C05 u / I' P _. '�, i� EXISTING 3 BEDROOM w;', HOUSE i ORIGINAL SEWER LINE v \ �CONNECTED TO AT C04. J— ;ENERAL LOCATION OF OLD TANK. ABANDONED PER UPC. GARNESS ENGINEERING GROUP, Ltd. -... .. CONSULTANTS & GENERAL CONTRACTORS 3701 E NOOR ROAD, SUITE 101 • ANCHORAGE, M 99507 •PHONE (907)337-8179 • FM (907)338-39A8 . NEBSRE: w".Sdme n9imain9.com PREPARED FOR: IPHONE NUMBER: PAGE NUMBER: RONALD ALLEN 717-8560 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: HOCKER; BLOCK 2, LOT 2 5/22/1 TYPE OF WORK: DATE: AS—BUILT DRAWING 5/22/13 4?P.IK ...... .7* CE,. 79 37 X,pi O f,, Si000\10 m Q fTl A V, ' ^ or Vrrrr�� � O m i (D C m 0 oy W C O� 0-) 71 � Z7 I � m n n 00 r m p GA1 D D A Z o D r I o w o G 2 m O N N MNX C OmLn m' D m Z Amo JC I N I m <�m m m m W r m to 000 rO�r D � m 2 D on m m r m 0 rn® w m +0 Sm 0 r o z 0 m o � o v o r 0O D Z S Z c4 A O A 0 m So I =Am AO 'D A SO _wto M21 ,� o®C j/���/j 0 V m rO N� � S Z I - o 0 m m O O o S O®� rnNA D ,�D \rn O 0 N C: o m >m2o `L Zmz z Z > D mA 0 r ➢ C OC `N ® m Z o A u w N { O Z r mr O v � n 00 00 m DATE: DRAWN 9Y:....: 5/22/13 PNB Q (f LEGAL DESCRIPTION: O ��� \ .... .�....... P HOCKER; BLOCK 2. LOT 2 I\Je�frFey A ; rness.- TYPE OF WORK: GARESS ENGINEERING GROUP, Ltd OQ 'CE 79 vo PROFILE AS -BUILT DRAWING CONSULTANTS& GENERALCONTPACTORs� amt x moon �n wne tot. •xrJnxtuc tx. nao� vewxc (soA u�-et»/ru: Wn an axw xmvtc ....oe •ua..+ou.mm 4 @teea PREPARED FOR:Profio essD�\� RONALD ALLEN PHONE NUMBER: PAGE: �QO to 907-717-8560 3 OF 3 DDDoo POIPERiN6 ALASKA'S SUTURE May 22, 2013 Garness Engineering Sonja Blewett 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Subject: Encroachment Permit Request (No Encroachment) Old Drain Field and Curtain Drain Lot 2, Block 2, Hocker Subdivision Grid 3043, EN13015, 042-081-14 Dear Ms. Blewett: It was determined after a site visit by Chugach to the above referenced propertythat the existing drain field and curtain drain do not encroach into the Electrical Easement area of the existing overhead facilities. There are no Chugach -owned conductors installed where the customer provided as -built had indicated; we believe this to be a telecommunications line. Chugach will process the necessary paperwork to reimburse you for the $35.00 recording fee collected in anticipation of this encroachment needing to be recorded. If you have any questions, please call me at 762-4726. 7A" Respectfully, 7 �� > Paul Hatcher Right -of -Way Agent III Enclosures Chugach Electric Association, Inc. 601 -k—t , n;;,�, P.J. Bx: 19u3N, An =W, AWi 99S I q6W? • (;071 563-7494 Fa: f9.7J 56? -0C:7 + 180) 478.740,' :r�.-v.chugach•�lectrk.com • info."�hug���rk,caa Power Lighting and Control LLC 13841 Savage Dr. Eagle River ,AK 99577 Aaron Chambers (907)242-5211 In reference to property -14391 Canyon Rd , legal-Hocker BLK2 LT2 , Owner -Ronald Allen. Installation of power and control of new septic system Power to controller was piped using 1/2 emt with water tight fittings housing 2 circuits, one for power ,one for the control circuit from a nema 3 sub panel being fed from and next too service on the outside of building over to the nonmetallic control panel.All metal conduits entering the control panel are bonded via grounding bushings to supplied terminals .All control wires leave via a 2 inch conduit and are terminated at the vault using water proof wire nuts. The installation followed the latest NEC and Municipality guidelines . Thanks, Aaron Chambers CON 36389 expires 12/31/2013 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131069 Tax Code Number: 04208114000 Work Type: Septic Permit Effective Dates: May 06, 2013 to May 06, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: HOCKER Site Legal Address: HOCKER BILK 2 LT 2 G:3043 Owner/Address: ALLEN RONALD SCOTT 14391 CANYON RD ANCHORAGE AK 995160000 Site Mailing Address: 14391 CANYON RD, Anchorage This permit is for the construction of: �---i0 -/3- Lot Size in Sq Ft: 35758 Total Bedrooms: 3 Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage 9: 30 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: Submit a letter of non -objection from Chugach Electric with the Inspection Report regarding the original drainfield and curtain drain being within 10' of the overhead power lines. Cpl Go-4�Z Received Issued By: 5/101/3 _rank * be t'75fnlled east 0�r_)ax/erblr72 161.1 not under -the Jr,Leu.st 1Y. mrej. welt Date: Date: c Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp://www.muni.ora/Onsite Development Services Division On -Site Water and Wastewater Program "" ent Mit Depament **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP131070 COSA#: _ Permit#: OSP131069 PID#:042.081-14 Legal Description: Hocker Block 2 Lot 2 Engineer: Garness Enaineerinq Group Applicant: Ronald Allen Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 0.0 feet. An additional waiver for the curtain drain to be 20' from the proposed field is approved. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ................................................•.............................1 Waiver is Granted: X Waiver is not Granted: Date: 2 Approved by: /V Name of Reviewer ....................................................... fir....................... Rec#: 09013G Amount: $200.00 Date Paid: 4/25/13 **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application � For A Single Family Dwelling Parcel I.D. 642' 63t -y4 Property owner(s) RONALD ALLEN Day phone 717-8560 Mailing address 14391 CANYON ROAD *ANCHORAGE, AK Site address 14391 CANYON ROAD *ANCHORAGE, AK Legal description (Sub'd, Block & Lot ) HOCKER, BLOCK 2, LOT 2 Legal description (Township, Section & Range) Lot Size Sq. Ft. APPLICATION IS FOR: ( Ra that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 APPLICATION IS AN: TYPE OF DEWELLING: Initial ❑ Single Family (SF) Upgrade ® (w/wo ADU) Renewal Duplex (D) F-1❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: SLOPE WAIVER & CURTAIN DRAIN WAIVER Distance: 0' & 20' 1 certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 536 ''lam Waiver Fees: o2i�o. Date of Payment: q�l4T a G/3Date of Payment: C/ Receipt Number: ' 6136— Receipt Number: Permit No. Q 510131069 Waiver No. [ 7/� S 13JU70 (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd. -- - CONSULTANTS & GENERAL CONTRACTORS. 2013 Municipality of Anchorage Development Service Department On -Site Water& Wastewater Program 4700 Elmore Rd. Anchorage, Ak 99519-6650 Ref: Proposed Septic Upgrade for Hacker; Block 2, Lot 2; To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to install a new 1000 gallon septic tank and a dual 5 -wide trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. The dual trenches are proposed to be installed in soils identified as "mixed fill" per approval by Jay Crewdson. The material perked at 5.45 min./inch and is capable of supporting a drainfield. S ee -4 >k 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters noted within 100 feet of the proposed septic system. 4. TOPOGRAPHY & SLOPE WAIVER REQUEST: As can be seen on the attached design drawing the topography around the drainfield runs east to west at a 20-25% slope. There is a slope of 30% at the west end of the dual trenches. We request that your department issued a 0' slope waiver to the 30% slope. The following are mitigating factors for the justification of these waivers: • The slope will be vegetated. • Per the percolation result we can anticipate a rapidly downward movement of flow rather than a lateral movement. • There is an alternate site with a flow diyerter inlied which will allow the drainfields to be alternated. • Ike wi-a� t c tt 4� Ott c��l �^ 4� '.i CO', 5. CURTAIN DRAIN WAIVER: Due to site constraints we are requesting a 20 foot waiver to a nearby curtain drain located on the property. Justifications for the waiver are as follows: • The existing drainfield is located closer to the curtain drain than the proposed drainfield location. • A flow diverter will be installed so that the proposed drainfields and the existing drainfield can be alternated to allow for each system to rest and recover reducing the possibility for a future failure. • The existing encroachment has existed for over 30 years. In short there is minimal risk associated with the grating of this waiver. See attached cross section drawing. We are unaware of n adverse impacts this installation would have on adjacent wells or septic systems. If you have an questinpons, le e intact us at 337-6179. Thank you for your assistance. Since elvll �'y V Jeffr Gar ss, P.E, M.S. Pres' e 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com --------------- i \ \ F 100' WELL RADIUS r / / SEPTIC LOCATION & CURTAIN DRAIN LOCATION ARE APPROXIMATE FOR HOCKER; BLOCK 2, LOT 2 \ / tri•. a:;+., f" / .1— �<� — "y— — — .... ��. ? I—,,.. n �RE4 CSEPTIC / HOCKER S/D; \ HOCKER S/D; ARS / BLOCK 1, LOT 3A \ BLOCK 1, LOT 1 \ BEEDE S/D; I ` BLOCK 1, LOT 36 ROCKER S/D; BLOCK 1, LOT 2 I APPX. LOCATION _ SELL I — _ — _ OF 100 WELL rl / RADIUSOVERHEAD D // ---j FLAT TOP_Av_enue POWERLNES � v I I I I I I I I ��ROCKER S/D; ,POP BLOCK 2, LOT to --------------- I BEEDE S/D; / / CSEPTIC BLOCK 1, LOT 2 / ARtD r APP I OF I r'.„ - 1 U WLLL KAUIU] 3n% �• ;I l /lk� / HOCKER$/D; PTI BLOCK 2/COT 1A \`+;`,1 ARE) tri•. a:;+., f" / .1— �<� — "y— — — .... ��. ? I—,,.. n / \ BEEDE S/D; BLOCK 1, LOT 36 TIO SELL / D // ---j � v I I I I I I I I GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS 3701 E. NDOR ROPD, SUITE 101 MG MGE, PIC 99507 • PHONE (907)337-8179 • FAC (907)338-3246 WE89RE ww .9ameam9 ..Hn9.w PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RONALD ALLEN 717-8560 1 OF 2 LEGAL DESCRIPTION: ROCKER; BLOCK 2, LOT 2 TYPE OF WORK: SITE PLAN M 3/18/13 _,yS�Oo _9*I yGar ess.,' Ey� �G i a r� .c�4 vtaIL,IN umlIrml/A: NOTE: THE CONTRACTOR NUMBER OF BEDROOMS: 3 ELEVATION OF SEWER LINE SHALL HAVE THE NORTH GALLONS PER DAY (GPD): 450 GPD MAY NEED TO BE ADJUSTED LOT LINE, AND ALL WELL PERCOLATION RATE/S: 5.45 MIN/INCH TO TO MEET GRAVITY FLOW. RADII FLAGGED BY A PROPOSED APPLICATION RATE: 0.8 REGISTERED LAND SURVEYOR MINIMUM DRAINFIELD SQ.FT.: 563 SQ.FT PRIOR TO CONSTRUCTION. MAXIMUM DEPTH: 5 FEET WIDTH: 5 FEET LENGTH: 2 ® 33 FEET = 66 FEET M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE: 3 FEET REDUCTION FACTOR: 0.58 ACTUAL SQ.FT.: 568 SQ.FT LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND OVERHEAD POWER LINES \ HOCKER S/D; BLOCK 1, LOT 3A I ALL EXISTING SEWER LINES WHICH RUN UNDER DRIVEWAY ARE ASSUMED TO HAVE BEEN INSULATED. i 1 / I I % OVERHEAD \ / – CURTAIN DRAIN PER MOAT I POWER RECORDS. NO OUTFALL 19 I LINES _ APPA_ NST 1 PLAT TOP ;Avenue /\\ OVERHEAD I I EXISTING 1000 \ POWER I GALL6N SEPTIC ` / 30% PROPOSED f— DRAINFIELD H#1 qll V..' T I l . BE :I REM VED AND 1 REPLAIqED WITH A • I NEW 1 00 GALLON '_ > ''.i SEPTIC TANK. I ''; `'•' / / 1 I• EXISTING 3 BEDROOM BL HOUSE C/o 'ROPOSSt$ 1000 GALLONTANKSEPTIC!f. •;;., ;! PRESENT GARNESS ENGINEERING GROUP, Ltd. - CONSULTANTS & GENERAL CONTRACTORS::.. 3701 E. NDOR ROAD. SURE 101 • MCHOWE, W 99507 a PHONE (90))337-81)9 • FM (907)338-3248 • WEBSITE: Ww .gam a.engiaeenng.a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RONALD ALLEN 717-8560 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: HOCKER; BLOCK 2, LOT 2 PNB TYPE OF WORK: DATE: SEPTIC DESIGN UPGRADE 3/4/1' i A �a 1.. �.. ...... ... f ey A. ss CE 7 53� PSo 1\1D f es sio�o_ oo�ooppp OF GARNESS ENGINEERING GROUP, Ltd CONSULTANTS & GENERAL CONTRACTORS * 4 {r D 3701 E TU90ft ROPD, SUM 101 ANCHOR,IGE, M. 99507 - PHONE: (90J)3A-6179 - FVC: 907)338-3246 WEBSITE: gom gneenng.co . ... .................� SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: ROCKER; BLOCK 2, LOT 2 r A. G rness. Q PERFORMED FOR: RONALD ALLEN DATE: 3 26 143 m O I �ce4 4, DEPTH ---- 4e ap� _o (feet) TEST HOLE #1 �pp0000��� — SOIL CLASSIFICATIONS 2 GW ORG 3 MIXED FILLr Nn "'"+^`��' GP ML S{vm psi cafAcff5 GM CL 4—:== __ eiC, GC OL _ 00-0 0 o SW MH 5 =–= �� SP CH SM ' ' OH 6 – – SC SEE ATTACHED SITE PLAN 7 DEPTH TO 8 9 SCALE: 10 1" = 100' 11MIXED DATE READING CLOCK NET TIME WATER LEVEL NET DROP GM AND COARSE 12GRAVEL. So E 13 3 4:15 – 6.00" – 14 15-1 B.O.H. 16 17 18 L 1 19 PERCOLATION RATE 5.45 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4 FT, AND 5 FT - 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERCOLATION RESULTS ARE WITHIN 1/16TH OF AN INCH PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: L e? GROUNDWATER DATE 14' 3/26/13 14' 4/2/13 4/1/13 1 3:45 – TIME (MINUTES) READING (INCHES) 4/1/13 1 3:45 – 6.00" – 2 4:15 30 0.50" 5.50" 4 4:45 30 0.50" 5.50" 5 4:45 – 6.00" – 6 5:15 30 0.50" 5.50" Oo rn N 00 I I Y N w M M m N '=, a @ +�w � C) J o d� @ a_ o m o o U) o RI O- O II N Q N 20 30 I 1 S rN £r a>5�@" �c 09906 Mu2 ss ~ ` @ ail I N �o �=�E.y� 3� I I II Y3�d2ya>. a12 I c I I I K m m oaEi NE i rn LL A w Z oN 4cL'0 o W3= •- I I I Ofo�ioz °o mac. -o >. �� 0'05 o I I I U > II- = S c o u m� o > N o asnOH 4 U I I Z a O tiN UI I —_ U— c O N U@ c M we�j o3S Z/L L ❑ I I @ N C 9 3@ O N m 0 9Z '6b I I o II❑ $ o o o c 017Z coo ,z. -E7 @ w 6 d t d m 9'L v ru 1+/ I S .E ._ K c o `N `N E LL m E O- @ y Q NII II Q a 0 O> O N N V C N \ N.L.. O 9 d N (! O M "eManup Iana1 I o x a om m m 55 o `o I ----- I i m i, � N N a I O I J mo I o I r---------- m '' LU in 00 a 00 00 00 m >LO t 0 00 20 't 7I zJ 000. t 3 y t % Z o N I �! ,,� lb i M��ow v CL CL N // I/ v ~ 00 Z // I N LL, /� I IZ m N �❑/ / I W =wHOZ o I / C) / o OWE W / / I j rwZ WZO / 0$O I- .. _ W Z0W Q 2LuF 30 30 U) w o a LL'6M M„96.90o00N 108£8 I 0 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ®NEW Oak) o W �� t�7 ❑ UPGRADE MAILING ADDRESS 3837 i ct LEGAL DESCRIPTION - Lvt l g kc 2 LOCATIONLow eNO. R OF BEDROOMS al Well/00 r DISTANCE TO: Absorption area _ ® Dwelling PERMIT N0920227 920 ,. 2 7 V _Y Z a. Manufacturer Mf/� 6eee Material - ��C' No. of compartments 2 W H w Liq. capacity in gallons Sl� IF HOMEMADE: Inside length --^- Width --- Liquid depth -m--- DISTANCE TO: Well Dwelling PERMIT NO. j a z 2 Z F Manufacturer Material Liquid capacity in gallons w 2 DISTANCE TO: Well /V�to f Foundation�w. ,� ®® Nearest lot line/0+ PERMIT NO. 0227 _j Z No. of lines Length of each line ° Total length of line r Trench width Distance between lines may, 'tel P Z w ®` 2 inches Q H p Top of tile to finish grade> . Material beneath tile Total effective absorption area ,,C 2 60 inches 420 / f Length Width Depth PERMIT NO. LU a nType of crib Crib diameter Crib depth Total effective absorption area LU FL y Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. J LU DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER - �'c.l '� ✓- PIPE MATERIALS �g��" SOI L TEST RATI NG INSTALLER [' AICAY t /. REMARKS / v tc Lillie p VGl C 2 IM ' I Will A r�r 1911446%and grave WJA Q f'i it 2 , o dv n e� i CJ �' 3 F(� fN (tca rule; - Leo APPROVED APPROVED DATE LEGAL i/ -./J=82 L42 13iock 2 Rorkry �_Ubo r`1 FLY r --J I C." 1. F" F"lf 1 1 ��F.�" ��44� DEPFIIRTMENTI AND ENVTRONMENT�/ \ROTECTIQN 825 / STREET,FYNCHORHGE/ HK 9�j01 264�4720 �U\4 , � ��� ������L ���EE' �����I Y' HPPLICHNT DAN CROW 4�5847 LOCHTION MILE 2.2 CI8NYON RD LEGHL L2 B2 HOCKER S/D LOT SIZE ]�2�0 �Q�HRE FEET TYPE OF SOIL HBSQRPTION SYSTEM IS� TRENCH MHXIMUM NUMBER OF BEDROOM� � 4 SOIL RATING (SQ FT/BR>� 105 THE OF THE SOIL HBSORPTI8N SYSTEM IS: ��������� �� �F����� ���� THE LENGTH DIMENSION IS THE LENGTH (IN FEET) QF THE TRENCI OR DRf-,iINFIELD to THE DEPTH OF 8 TRENCH OR PIT IS THE DISTANCE".' BETWEEN SURFACE OF TH� GROUND HND THE BOTTOM OF THE EXCHVATION <IN FEET) ' THERE IS NO SET WIDTH FOR TRE��CHESav*+��w�° THE CiRHYE1, DEPTH IS THE MIWIMjJM DEPTH ()F GRF'VE­L BETWEEN THE OUTFHL L PIPE ' HND THE BOTTOM OF THE EXCHYHTION (IN FEET). ���... I f 7-' ,.IE C., F:: -m 1"' 1 f-- f P-1 11�_ �1 �IC.I! r-.4:3.3. PERMIT APPLICANT THE RESPOINISIBILITY TO INFORM THIS THE INSTHLLHT�8N IM-�PECTIOIS OF HNY WELL5 R�JHCE�NT TO THIS PROPERTY HND THE NU[1BER QF RESIDENCES THHT THE WELL Wfl-L SERYE. -F- 9. 1A �D I r-4 E" C- -Y'" I C) P4 ���11-i"'i- E.. Q R 1 '1 F;-". E:". I-- BHCKFILLJNG QF ANY SYSTEM WITHOUT FrNHL INSPECTION AND HPPFOVHL E!Y THIS DEPHRTMENT WILL BE SUBJECT T11) PROSECUTION� MINIMUM DIST�NCE BETWE�N H W�LL HND HNY OM-SIT� S�WHGE �I�PO�HL SYSTEM IS 100 FEET FOR Al PRIVHTE WELL OR 150 TQ 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNC� FR0M H PRIYHTE WELL TQ �� P�IVHTE SEWER LINE IS 2� F�ET HN[> TO F1 C8MNUNITY SEWER LINE IS 75 FEET. ".-jELL LOGS FIRE F.E8UIRED HND MUST BE RETURNED TO THE DEPARTME�T 30 DAY'::', OF THE WELL COMPLETIC,N. OTHER REQUIREMENTS MA' -r' HPPLY, 5PECIFICRTIONS HND CONSTRUCTION FIRE F�YH�LHB�E TO T.NSURE PROPER, INSTHL�HT�ON ����1 1 '-V1F.-­- 1 t -�C r - I E: 1 4.'"�F I CERTIF9 T�HT 1� I HM FHMILIHR WITH THE REQUIREMENTS FOR ON�SITE SEWERS AND WELLS HS SET FQRTH BY THE MUNICIPALITY QF HNCHQRHGE 2: I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODE� I UNDERSTAND THHT THE ON���ITE SEWER SYSTEM MHY REQUIRE ENLHR8"MENT IF THE RESIDENCE IS REMODELED TO INCLUDE MQF'�'E THF -IN 4 BEDROOMS. CHNT DAN CROW �y = w Y t /"'•`1 SOI LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Q rA_N t4 sIrDATE PERFORMED: 'Y - C LEGAL DESCRIPTION: �^ <a—� �" �7 C� "`{ f_3�r IFrIpro I` SLOPE SITE PLAN 1 F T <t�a�wR<.i JL , r i.'@ � F'�ltn.t 2 ^' 3 ----•.4 5 6 7 8 "____9 10 11 12 13 14 15 16 17 18 19 20 COMM PERFORMED BY: AA C4/L 4;3, yy A WAS GROUND WATER ` ENCOUNTERED?� F E IF YES, AT WHAT DEPTH? HIMI,■■■■■■■ Date Gross Time Net Time WHEIMEMMIMMIN Net Drop l2 _3 - ti '-i .1`� tI :36 ,/ 5- : 3 .5' . 0 17 MENNEN MENNEN IN EMEMEM! /- now, NEREMIN P Iam MEMO AV No on M■■NI■IME M■\i1■t■��' Reading Date Gross Time Net Time Depth to Water Net Drop l2 _3 - ti '-i .1`� tI :36 ,/ 5- : 3 .5' . 0 17 /- P AV R 7- a' `i -Sof .5` , Ya i L t/ ._ 6-,5" fC yE 0 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT CERTIFIED BY:_ -r 140 'A DATE: %t /C ez c l 7- 7. d EO Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcell.D. 042-081-14 Expiration Date: 1. GENERAL INFORMATION Complete legal description HOCKER• BLOCK 2 LOT 2 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 14391 CANYON ROAD *ANCHORAGE AK RONALD ALLEN Day phone 14391 CANYON ROAD *ANCHORAGE, AK 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Day phone 717-8560 TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by Date: u COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ a� i5ro Quah Waiver Fee $ Date of Payment 5(a 3i13 (± Date of Payment Receipt NumberO$ �J1J�11� Receipt Number COSA # c DGCii � I 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. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E Engineer's Comments: In conducting this evaluation, GEG, UD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test / results do not guarantee future performance of the system, nor do they guarantee that I` there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for ---3— bedrooms. IUSda - 337-6179 Date �Z11 CE -7953 dpro f es stor`d. System #2 Approved for bedrooms. `\O�Ff(��� Disapproved. �QQ _ ON-SITE Conditional approval for bedrooms, with the following stipulationZt WATER AND Original Certificate Date: 6 — —F — The knielppali( 6r,6chorage Develop, emt 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11/05) Nitrate Advisory Arsenic Advisory Other r , s .. 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: HOCKER; BLOCK 2, LOT 2 Parcel ID: 042-081-14 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/7/82 Sanitary seal (Y/N) YES Total depth 46 ft. Cased to 46 ft. FROM WELL LOG Date of test 5/7/82 Static water level 32 Well Log (YIN) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 5/14/13 23 ft. Well production 5 g,p.m. _ WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 3.49 mg./L. Arsenic: ND ug./L. Date of sample: 3/8/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL Tank size 1500 gal. Number of Compartments E Foundation cleanout (YIN) YES Depression over tank (Y/N) NO Date of pumping I2LMLTTA Pumper, C. ABSORPTION FIELD DATA *BELOW FINAL GRADE (INSULATED) QUANICS AEROCELL SYSTEM 11/15/82 105 DEEP TRENCH Date installed 5/10-15/13 Soil rating ( .p.d./ft r /bdrm 5_0 System type SHALLOW TRENCH 11 + 31=42 5 Length 33 ft. Width 5 ft. Gravel below pipe 3.02 ft. 9.25 420 Total depth *2.69+ ft. Eff. absorption area 284+ ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For E bedrooms 2.84 g.p.m YES M� 12+ in. Collected by: GEG. Ltd. QUANICS AEROCELL SYSTEM Date installed 5/10-15/13 Cleanouts(Y/N) YES High water alarm (Y/N) YES Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — D. LIFT STATION Date installed 5/10-15/13 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump off' level atTIMER in. High water alarm level at 46 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm &circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankA!ft station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout N/A Holding tank Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain *20'+ Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I cerfffy that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS DaterJzZI !3 (Rev. 11/05) 0F... -V, f.i� . M NUAW -795 83801 N00006'15"W 109.77 5 0 � cn 0£ 0£ A D I zoy m OZO s I yZT II 00 ca o A � i�\dO i fpr. ?01 OV m m z O/� I N /I/ y 00 C� o I / I ,N) 8 � s�o•n �hST�, I/ � m I m o m m �J 00N 00 �Z OZ Graveld' way I i W rA I pOmm ao w o r I 9 m � 0 OD ° N N I CD I — I` Gravel driveway >• o a< g m m m- a °, o H��Q°:mnon S� I I m a A I I Ico�— — 9. �� mss�m� f� �� I I I �- Deck Si o m m G m r z I I 9)24.6—f '8 a.m 03mcmg tiT I 9. 28.0 I m o m s S and '" I 1 1/2 Story Frame I I F A House a ffif�=mem w rime 91 °.e Sa, am Qa a I I I � 50.0 8.3 ami "R m.am O Z� I I I a o 8g�at zS1 m I I =c I Sm O m a ='— c m N. I I __ Ilv N00°00'50"W 106.60 _ 1 r OL .855 y 2 > 3 a a (m = m5 mg 2 rn p L I p nm �fO , 0 % m O m _ A co OD m ° 0 O ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN, �MUNICIPALITY / OF ANCHORAGE AND THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this R. -( jv.h Day of of2013, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as (. uC S located at I � o C, V e i /5 �)- L :�) , Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65_ These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of G ($ y .00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule -offmaintenance and repair contained in the Owner's AWWTS 7 Operating Permit is: I tom„ c e zq'1c, C. 1c r - C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. MUNICIPALITY: By: Title: Date: STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this3t day of 20_L�,, by NOTARY UBLIC FOR ALASKA My Commission expires:, )j,;,;,, )I .2 i Parcel I.D. # 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 042-081-14 HAA# HA910050 1. GENERAL INFORMATION Complete legal description Lot 2 Block 2 Hocker Subdivision Location (site address or directions) 9950 Flatop Avenue, Anchorage Property owner Ron Thomas/Lisa Frostad Day phone 272-7372/276-2713 Mailing address PO Box 110464 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: Three (31 3. TYPE OF WATER SUPPLY: Individual well XXXXXX Community well Public water NOTE. If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxxxxx 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 LZn vow JOU9 (L6/t A98) 9Zo-ZL 'Niom s,jeeui6ua puoissa;oid ayl ui suoissiwo jo saoaaa jo; opsuodsa.) lou sl 96eaoyouy }o Alilediolunlnl ayl •ponssi si oleoipl jeo a ajo;aq elep Wleue jo suoiloodsui lonpuoo lou op SHHa io so9Aoldw3 -sluewaalnbei alels pue leaapa; ulePao Nslles oljapjo ui suolpnll;sui bulpual aiayl pue sawoy;o sieseyo.)nd olAselinoo ase sly; saop SHHa ayl •eNselyio aleiS ayi ul paaaisibei leaui6ue leuoissa;ad luepuedepui ue Aq anoge 9 ydej6ejed u! UGA16 suoileluesaidej ayl uodn Aluo paseq saleo.ggJ90 leno.)ddy Ajpoylny ylleaH sonssi (SHHa) saolnaaS uewnH pue ylleaH;o luawliedaa a6eaoyouy;o j!ledioiunW ayl %�,wwA Ow RM u4TM sgpeuc tggaadoad goeCgns aus •aaauzbue aqq dq pagaTduro3 u 'T6 -ST -Z ;o Tpnoaddy Teuoi-4TpuOD aq4 buTpaebaa aaauzbua atIq uioaj sluewwo(] leuolllppb' moilelndils 6ulmollol ayl yllM 'swooapaq aoi lenoidde leuoil!puo0 'panoiddesl(] -swooapaq —£— £ aoi panoaddy 3kinJL JNJIS SHHa °9 ale(] ainleu6ls s�89u!Bu3 TOS66 a eaotlouy anuany tl-4g g.saM T16 ssaappy £BSO-6LZ auoyd sa zH 73 uaut N xo - WJU bo aweN •uolloedsul slyl;o alep 9141 uo 139149 ul suollelnbei pue'saoueulpao 'sapoo a1elS pue IedloiunW !!e yilnn aouelldwoo ui sl welsAs lesodslp aalumelsem ao/pue Alddns Salem ails-uo ayl'uo!Joedsul pue uopie6lls9nul Aw woai pue salla 96eaoyouy;o A411edlolunw ayl woai poulelgo uollewio;ul 9yl uo paseq ley! A;loan aayl.rni l vlaaaq paleolpul ainloruls jo edAl pue swooapaq jo aagwnu ayl aol alenbope pue leuolioun;'ejes sl welsAs lesodslp aalennalsem jo/pue Alddns aalenn ails-uo ayl leUl smogs uolleolidde lenoiddy �(luoylny gllee'sly! io uolle6lisanul Aw ley! Ajp9A I 'molaq uonoys alep uollep1len ayl 10 se pue olaaay paxliie leas �(w �(q palillaa3 sy a33NION3 AS NO1103dSNl dO 1N3W31b'1S °S TRYCK LAYMAN &HAYES ENGINEERS/SURVEYORS/LANDSCAPE ARCHITECTS TRANSPORATION and COMMUNITY PLANNING 4977.0 Mr. Dan Roth Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, Alaska 99507 Re: Final Health Authority Approval Lot 2, Block 2 Hocker Subdivision Dear Mr. Roth: ECE1 VED JUIV 13 1991 ef)t. Hf"Za a'; Fda Anrnai o vices Last winter Tryck Nyman Hayes, Inc. completed the testing of the well and septic tank on the above .referenced lot. We recommended that a conditional approval be issued based on minor spring cleanout repair work. This work has been completed. Attached is a sketch showing location of the 2 new cleanouts. Please finalize the Health Authority Approval. Yours very truly, TRYCK NYMAN HAYES, INC.41 y Qy rp �'kin� "Y.� phpA YM d Carey Mey r, P.E. Proje .Eng' eer'•.� �SY3" n b� a.•uu� � �� 'Y' y' i 9M5 � '?A3M 991fl$ PLfii lt9a:P95 �" nagru. @Fn5 to R•t$F'9e ouano FJa� Ca ey . MDye •��� �g®.n ro' � "mag M Ir Y♦' als-r. CO. 15.5 w� NEW CQ . -- " MUNICIPALITY OF ANCHORAGE • .� Department of Health & Human Services - DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # Em q - CAI - 1)-i HAA #. 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LOT 2 1� 6 LO q(C 2 N OG(OQ t tJ 130 Location (address or directions) Rots -r( ml}s Z?ti-7372 W (b) Property owner L 45A FIZOSTAD Telephone: (home) Business Mailing Addressyo' -&4 11134.64 (c) Lending Institution Telephone _ _Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: ; Cd IL 242--7372 ©s� t 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3 ti 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: if community well system, must have°written confirmation from the State Department,of Environmental , ., Conservation attesting to tFi legality and status: Y 4. SEWAGE DISPOSAL On -sites Public ❑ Community ❑ Holding Tank ❑ Note: If community well system,,must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 Z ;o Z abed aoee (Bea n88) szo-ac •ilaom s,aaaulbuo leuolssa;oid ay; ul suolssiwo jo sioaaaaoi elglsuodsa];ou sl a6Laoyouy;o �(;liedlolunlry ayl •penssl sl a;eol;l;jao a aao;aq e;sp aZ�C•eue ao suolloedsul;onpuoojou op SHHa;o saeAoldw3 •s;u9waalnb9j awls pug Jame; ule;aao �(;sl;esb;aapio ui suol;n;l;sul Bulpual clay; pue sawoy ;o saaseyomd o; Asaunoo;e se sly; saop SHHa OU 'e�lsely ;o a;e;S ay; ul p9aa;s16aa a99u(6ue Ieuolssa;oid;uepuadepul ue �(q anogs g ydeABeaed ul u9nl6 suol;e;uesaadai ay; uodn �Sluo paseq paieol;uao jsnoaddyA;uoy;ny gUeaH sanss! (SHH(1) saolnaaS uewnH Pug 411e9H10;u9w;asd9a 96saoyouy;o /C;lledlolunlnl ayl h ,y a0-4.Vz�es s/ 7/lrrh 119SN373Y ty8 1GN('�,77f M 3 en 0 ) t70(f 1 W -L S S �� lenoaddy lsuol}lpuo ;o swaal leuol;ipuoa panoiddesla r panoaddy Aq swooapaq ao; panoaddy IVAOUddV SHHa '9 ......... O� k �' �� >•,�o �� PN�f ?1�at�t� c'�o(v � �N o �h'i st�-a 1��� �'d a'► -ll eAay�£S �o� aye �,Mr�d(��(aj'� —E)Q.1 VD -X210M �Om'�i g4y`....... �a _ .-*\OWN '>vrot- 0-L-dov-jd :al4v5s30* 3q C.? Q -)Gams 10()(VV—TTj mA Bill- ark 111 Gw-a'YJ Nkfl ° ,',°tl•aio�...: � acvo�a� �N.1 1nnc; J -v e;,V cm c ge-nim �. �dnc�d�Y->�rvoulaty� '># .�� plcv3wwo�zl S 11,110-C a;ea 105th i Ad �b"d0voov a n1Qs 'M Ilb ssa�ppy 50-bLZ auoydalol SNI VCh NV N ?J1 waif;oaweN •uol;oadsui sly; ;o a;ep ay; uo;oa;;a ul suopelnbei pue 'saoueulp.(o 'sopoo a;e;S pus IedlolunW IIs y;!nn aousljdwoo ul sl weleAs lesodslp as;emelsum ao/pue Alddns as;em ails-uo ay; 'uol;oadsui Pug u011861;sanul Aw wol; pus salt; 86sjoyouy ;o A;llsdiolunVq ay; woa; pains;qo uol;ewio;ul ay; uo paseq ;sq; A;Iaan jay;an; 1 •ulaaoy pa;eolpul a.)n;ona;s;o ads(; pus swooapaq ;o .tagwnu ay; ao; a;enbape pug' leuol;oun; ,ales sl wa;s�(s Iesodsip'aoleme.Iseen jo/pue AIddns jejuni ails-uo ay;,;sy; senoys lenoaddy A;laoy;ny y;leaH S 1411 uol;e6l;sanul Aw Is q.1 A;iaan I ImoIaq unnoys a;ep uol;epllen ay;;o se pue o;aaay pail ;;e Inas Aw Aq pail! luao sy NOI1VWdOdNI aNV V1V0 `HOdV3S 3l1d `S1S31. `SN01103dSN1 ONMIAONd WHId ONIa33NION3 '9 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) EN1�Ikv ER;��e �'jgMgRKLIST - FEBRUARY 1984 343-4744 FEB 1991 A. WELL DATA Legal Description: Lor2 y DLOCxz HocKep, 5o&P. Well Classification PRIVAT&r If A, B, C, D.E.C. Ap roved (Y/N) Well Log Present (Y/N) Y Date Completed /�114y .7l 14707,;'Yield1/_�m u4Si T�5 � Total Depth 4051 Cased to 46' epth of Grouting 2.31 (i.H5-rtes-'? Static Water Level 2 C"Mi Pump Set At if Casing Height Above Ground 1 Sanitary Seal on Casing (Y/N) YE5 Electrical Wiring in Conduit (Y/N) YES Depression Around Wellhead (Y/N) NO SEPARATION DISTANCES FROM WELL: i r To Septic/Holding Tank on Lot 10 On Adjoining Lots '100 To Nearest Edge of Absorption Field on Lot +100- f ; On Adjoining Lots °{'100/ N To Nearest Public Sewer Line A To Nearest Public Sewer Cleanout/Manhole N.1 A To Nearest Sewer Service Line on Lot +1Or Water Sample Collected by BILL THOMR5 ; Date t=E6 i.0 1991 Water Sample Test Results '581 5FACrORY FOR CAU FORM5 ANO N ITR/i'V Comments THIS HOMIZ HA3 DEM! PQ910ED W1,114 40 (iA{.5 OF 570QA4Ee TY6 WELL TEST WAa COMPiMD A- TM WITARRANIIJ6 2.40 SAL EAM1 v�910 E AND -WN °13 AWNINA " 1AE 7E:5r. TRE welL FizoDO .ED 450 GiAAl- IN APPRD%. I e5, B. SEPTIC/HOLDING TANK DATA Date Installed f` f32 Size 1250 No. of Compartments Standpipes (Y/N) 1'E 5 Air -tight Caps (Y/N) E�5 Foundation Cleanout (Y/N) f�- 1N11i%fZ> Depression over Tank (Y/N) NO Date Last Pumped Pumping/Maintenance Contact on File (Y/N) N1 Ar ; for WIA Holding Tank High -Water Alarm (Y/N) NIA Temporary Holding Tank Permit (Y/N) WJA- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 105, To Building Foundation 45 J f To Property Line +10To Die oeal Field to(0 To Water Main/Service Line 4 10 1 _ p To Stream, Pond, Lake or Major Drainage Course 4- 100! C40 To 6JfzrA)0 Comments ONI.y ®NE cLeAN'BUr :Yi5ax 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA OS 5 Soils Rating in Absorption Strata 1=/C3DRt11 Type of System Design( iI2Ef�G�I Date Installed I I I ti�2 Length of Field 42 Width of Field G Depth of Field D . r ,t Gravel Bed Thickness `+ a Square Feet of Absortion Area �Statndpipes Present (Y/N) NOT VISA4I.E Depression over Field (Y/N) No Date of Last Adequacy Test 4� Results of Last Adequacy Test 15"5FWQ" foR 3 BDRm SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well +1001 To Property Line +10r To Building Foundation 120r To Existing or Abandoned System on Lot N/A ; On Adjoining Lots + (Of +10 � To Cutback if resent NO Wr BA14K PRESeNT. To Water Main/Service Line (� present) To Stream, Pond, Lake, or Major Drainage Course '+100 (Z!51 70 Colmo DMIN) To Driveway, Parking Area, or Vehicle Storage Area +10 Comments rJn OIZ TU LOOK INTO FIELD DURING TEST. THE F1EL0 ACIMMO THE U0 6AL OF 5T09A-C ANO 450 CAL ( Z x150rA!,/BDRm) F4ELp or D. LIF ION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) '"Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection:„, Signed PJA Company a °�-`�.s.�:� gineVA al I 1 Date _ ......«.,°° "a•°...,.,,,. MOA No. � `..° ,.T.,: ry.. ...... •, .,_. z y�T`_ Carry S.Mey,r 4 cru:,"n ,6353 ao Receipt No. aQ CI S I Receipt No. Date of Payment a -I Waiver Fee: $ Amount: $ t -A0 -C -C)• Date of Payment 72-026 (Rev. 7/66) Back Page 2 of 2 a ISAACS PU ING SERVICE j (Norm T! ts, pwner) I 6211,., �th A Street ANCHOR G , ALASKA 99507 Phone 563.3300 ( b b .1 tjailx ivu PRODUCT 609aes Inc, GroWn, Mass. 01471. NORTHERN TESTING LABORATORIES, INC. 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 3330 INDUSTRIAL WAY FAIRBANKS, ALASKA 99701 (907) 456-3116 • FAX 456-3125 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY CLIENT TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D. # Received at: XV Anch. ❑ Fbks. ❑ PRIVATE WATER SYSTEM Date Received Tort / /EjV-1 r N Q wrw f, H -a j°y Time Received Z� NAME Mailing Address City State SAMPLE DATE: Phone 2,,q - l —0,54� Mo. Day Year Purchase Order No. SAMPLE TYPE: Routine ❑ Special Purpose ❑ Check Sample (for original contaminated ® sample with lab reference no. Sample Time No. Location Collected Wpb( L- L 2 3 4 5 6 7 8 9 10 Signature of Representative ❑ Treated Water ❑ Untreated Water Collected by Zip Code Laboratory Ref. No. A -A- I to R LABORATORY USE, ONLY CASH CHARGE REPAID T NS TIAL SPECIAL INSTRU 10NS MAIL HOLO EOR PICKUP Next Sample Due COMMENTS: SATISFACTORY UNSATISFACTORY RESAMPLE OTHER BACTERIA TOO NUMEROUS TO COUNT Direct VerHication O SG8 Count `LS---�-- o U R OB TNTC Final Result` Comments 0 s "filo. of Total Co Trm Col 1'ies per 100 mis Rdg6rted by Date Q �l �nV v y r. NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL WAY FAIRBANKS, ALASKA 99701 (907) 456-3116 • FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 Tryck, Nyman & Hayes 911 West 8th Avenue Anchorage AK 99501 Attn: Carey Our Lab #: A108347 Location/Project: - Your Sample ID: Well,Lot-2,Blk-2,Hocker Sample Matrix: Water Comments: Method Parameter Units ------------------------------------------------- EPA 300.0 Nitrate -N mg/l q� JJ" F. Reported By: William E. Buchan Anchorage Operations Manager Report Date: 02/12/91 Date Arrived: 02/07/91 Date Sampled: 02/07/91 Time Sampled: 1326 Collected By: BT Flag Definitions U = Below Detection Limit DL Stated in Result B = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Date Result Flag Analyzed ------------------------- 1.6 02/11/91 1. MUNICIPALITY OF ANCHORAGE ,--I0/ 2, O O 1 14 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) v "7— AwelC ,-- /7DGYLsK / JZ?.-t,�1 Se23� OnsiteX Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 A 1. MUNICIPALITY OF ANCHORAGE ,--I0/ 2, O O 1 14 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) v "7— AwelC ,-- /7DGYLsK / JZ?.-t,�1 Se23� OnsiteX Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 �Z 62- cKt�K r 5. ENGINEERING FIRM PROVIDII JNSPECTIONS, TESTS, FILE SEARCH, D 4 AND INFORMATION ti 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 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 Telephone 5Z,S o Address �L�' _ Je 7Z ig y fSa j Date �or�y sem' F 00 :49f" •�p*� ...........►>�........1*too L.I ... ... .......� / E-2251 e�°i rofession'A 6. DHEP APPROVAL Approved for C3 bedrooms by 1 `Q ' "l °y"`g Date Approved �� Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 MUNICIPALITY OF ANCHORAI MUNICIPALITY OF ANCHORAGE (MOA) DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 #1N 2 6 19870, 264-4720 RECEIVEV Legal Description:�,� � $zvC �7 - A. WELL DATA Well Classification r ��� If A, B, C, D.E.C. Approved (Y/N) Well Log PresentVYN) Date Completed ✓` ��$ Yield i Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing ) Electrical Wiring in ConduitN) Separation Distances from Well: To Septic/Holding Tank on Lot _ Depression Around Wellhead (49) i f ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot �; On Adjoining Lots To Nearest Public Sewer LineA — To Nearest Public Sewer r Cleanout/Manhole A!I To Nearest Sewer Service Line on Lot Water Sample Collected by /S L' ; Date Z7� Water Sample Test Results Comments & � //rf' G,%ZG ftr�i 772�557- !311'� /*i'/e- Ae1ZLIA10 fv 16.57. B. SEPTIC/HOLDING TANK DATA Date Installed Size /Z�5_0 No. of Compartments m Standpipesdr") Air -tight Caps 1A) Foundation Cleanout (Y I1 Depression over Tank (Y f Date Last Pumped �_Z X141 Pumping/Maintenance Contract on File (Y/N) � ; for Holding Tank High -Water Alarm (Y/N) +J Temporary Holding Tank Permit (Y /N) 'J Separation Distances from Septic/Holdii ng Tank: To Water -Supply Well ler To Property Line /6 / f To Water Main/Service Line /0 Course Comments Page 1 of 2 70_r19an LIRA Y To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /�5 S Type of System DesignZL� �tl Date Installed 7— Length of Field 7� / Width of Field Z Depth of Field 8 Square Feet of Absorption Area Depression over Field (YAV — ,Q Results of Last Adequacy Test A l/� ,�// Gravel Bed Thickness 5` 0 Standpipes Present& Date of Last Adequacy Test 288% Separation Distance from Absorption Field: To Water -Supply Well /OV �� To Property Line To Building Foundation /% /ow To Existing or Abandoned System on Lot On Adjoining Lots To Water Main/Service Line To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date r\ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments /oy�fi Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Cycles during Adequacy Test. Meets MOA I certify that I hhaaavv the c1l, ver fled, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed 4"4—( . ` Date 6 `04'97 Company MOA No. ��—O� ���►r►A\ •'G� � tai Receipt No. Ski i7(7�. L O ��P'�. ; ©'�•f�._��QsL', Date of Payment �' `� ��� * y(T •-�i9*� Amount: $ 1.C)0,C'C.7 l...• 0NFYL=.^► ...:... Page 2 of 2 72-029 (11/94) :Y C. REID, JR. CE -2251 `g10 10 d� ALASKA 6I0ROWnTAL COnTnOL SCRuiCOS, InC. engineerinq & 6nuironmental Studies June 19, 1987 HUD - Federal Housing Authority 701 C Street, Box 64 Anchorage, Alaska 99513-0001 Re: L^t 2, Block 2, Hocker Subdivision on June 109 1987, a 4 hour well flow test was performed on the private well at the above referenced lot. The calculated yield of this well is 1.75 gallons per minute or 2520 gallons per day. In order to bring the available water up to FHA standards of 3 gallons per minute for 4 hours, or 720 gallons, additional storage must be provided. Storage calculations are as follows: Yield - 1.75 GPM x 240 minutes = 420 gallons Existing storage = 60 gallons ----------------- Total gallons available = 480 gallons FHA Requirement = 720 gallons 720 - 480 = 24U gallons additional storage. This well is 67 feet deep with bedrock encountered at 46 feet. I` is doubtful teat additional gallons per minute would be found deeper. We request that you approve the additional 240 gallons of water storage. If you have any questions, please call. Sincerely, Alan C. Wien Engineering Technician Approved by: jero.Rei.d Jr. PhD, PE 1200 West 33rd Auenue. Suite B • Anc6orcQe, Alaska 99503 • (907) 561-500 r nC,LL IM: n s Date brilleds Static Water Level_ feet Draw Down feet Type Material Drilleds Gallons Per Minute J Total Feet of Lasing 7 0 feet to %,' 1S90 Gk - 61C),46&51 Al' to " CcJ� f rPi�cl/ .,/J.t>ds. to to to to Hefty Drilling S.R.A. Box 1553 H Anchorage,Alaska 99507 \G\pPd\ pF��'E pROStiG�\�N to 10 ;4N41 N- EN4\RGN NCq( I LABORATORIES CHEMICAL & GEOLOGICAL LABORATOJOES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907)562-2343 FEDERAL TAX ID # 92-0040440 xivAGY`,1ISREPUF"l'11X aAl�'iE; lfxiit111�kv?'r,); k: en r, I-j*flip i s.0 L Bc KiClf' ER /D. 15,20 flPt,. 5-27-87 Urderea iSy JRCPl k is h DRE«'S #i AEC$ 1200 W 33RD AVE.8TE D Aidl,i'l lRAif,E. AK. 9- 50� 14 Special ROUT DIE SAMPLE COLLECT EDB`s AEC°S. instruct: COPIES HELD rOR I'It.;1 UP. C"bemiabRet #: 6371 Lab Smpl ID: 3 Parameter Tested N1 �.GIATE_R TOTAL COLIFOPM a=anr:� i e Rem'rks: Work uraei 1'io, JI tent AC -0 kln{ Bate '-;eP0( Pr !!;r£ a JON ,i t teN;P1.1�1 j UlikL' a=� Matrix. Water t3 i l Ouraki ( C Result/Units IIetllod ;.;Init ------------------------------- 2.4 mp/l lu ,i col/lt)3ml 2 Tests Nertormed See Special instruct ionsAbove ND= None Detected See Sample Remarks Above tllh-. WIct Anal ymd j',T=Less Than, G'kzGreat Frr Tnan Alpine Drilling & Enterprises INVOICE Domestic — Commercial No 2134 Pump & Water Systems P.0 Box 1104" Job Ne / Loc do Anchorage, Alaska 99511 P (907)`` 345.0202'( L �. . � I 1 T ✓VI �. 'R e 3 IT.. --DivG / -�r�ch�r� (17l gQSi(� PHONE '5I r h `3, (o DATE ' /Z r 9-7 QUANTITY DESCRIPTION AMOUNT 5F�(1 forrn'A'fio rn c Lr of ypr , a'c. of 41' 4-o . 2a8 -- LABOR HOURS RATE AMOUNT " TOTAL MATERIAL TOTAL LABOR 160 i WORK ORDERED BYDATE (YJMP. TOTAL ABOR PAY THIS AMOUNT Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. y yt