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HomeMy WebLinkAboutBIRCH PARK LT 4Birch Park Lot 4 #015-143-14 Municipality of AnchorageI� ,' ::C- ; : F On -Site Water and Wastewater Section • (907) 343-7904, ., Page 1 o ON-SITE WASTEWATER INSPECTION REPOR FEB 2 8 202 Permit Number: OSP191365 PID Number: 015-143-14 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single;Farriily . Project: ❑ New 0 Upgrade Name Tom & Sarah Hepler ABSORPTION FIELD ❑Deep Trench XWide Trench ❑Bed E] Mound Site Address 5639 Fenwick Circle, Anchorage, AK ❑ otner Phone 907-223-2667 Number of Bedrooms 4 Soil Rating Total depth from original grade 23* GPD/SF 8.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade , : .. . , . 8:1. Ft. Gravel depth beneath pipe 0.5 Ft, Subdivision Block` Lot <,:: Birch Park 4 Fill added above original grade 0.3 Gravel length 20 Township Range Section Ft. Ft. Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding ! Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1 00Ft2 1 Ft: Well 1 QQ+ f111 1 V O+ 25+ TANK Septic [I S.T.E.P. [3Holding El Other Manufacturer Infiltrator (2 tanks)** Capacity 540 & 1530 Gal. Surface Water 100+ 100+ ! Material Number of compartments Lot Line 5+ 10+ NA Plastic 1 & 1 Foundation 10+ 10+ LIFT STATION i Manufacturer Capacity Remarks *design uses 6 GPD/SF Gal. **BioMicrobics BioBarrier AWWTS Alarm location Electrical installed by In PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield ARM Services Drainfield 3034 Co/MT3034 Inspector Crewdson Engineering BENCH MARK (Assumed elevation) 100 ft Inspection 1W 10/1/19 2�d 10/2/19 Location and description 3`a 10/3/19 4th 10/9/19 Bottom of siding at BM on record drawing ON-SITE WATER AND WASTEWATER SECTION APPROVAL p .: �OFAtg1ll Conditional Approval: Date TH -.James A. Grewdson ,• Septic System Approved 011527 • w low f��'FQ — �G,� Date �$ aD�d R;ao10 ��' Note: this approval does not include well permit requirements. l\ OFESS .N-"` R Lt7�9 lRwi n�/m�an� 14% DRAIN 0.5'x5'x20' MI -12 SHED SF TC S1 7a M1C1 TH1 BL S H1 �o BENCHMARK ELEV 100' ELEV MI -11 EG 99.0' JFC ® FG 99.3' S1 PLAN SCALE: 1"=20, PROFILE NOT TO SCALE MI -12 I FG 00.2' FG 99.0' SWING TIES (feet) A B FC 11.9 16.3 MH1 46.2 34.9 51 53.5 39.4 MI -12 58.1 47.0 SF 59.8 49.7 C1 64.8 62.8 M1 66.0 64.0 C2 75.7 67.0 M2 74.0 65.1 LEGEND BL - blower BM -bench mark BOR - bottom of rock BR - bedroom C# - cleanout DP - distribution pipe ED - effective depth EG - existing ground ELEV - elevation FC - foundation cleanout FG - finish grade INV - invert MH# - 24" manhole M# - monitor tube SC - settling chamber SF - sand filter SFH - single family home TC - treatment chamber TOT - top of tank NOTES 1. This is a BioMicrobics BioBarrier 0.5 Advanced Wastewater Treatment System 2. Control Panel: located. on the exterior house wall near FC. 7TH1 3. Benchmark: bottom of the siding at BM. 0.5' OG 4. The alarm system uses an SJE Rhombus MySpy WiFi Messenger located inside the house. SM 40 MPI Civil & Environmental Engineering PO Boz 671389 Chugiak AK99567 a Cellc.t@oL Cell/Text: 907-280-9493 . Fax: 907-688-221 Birch Park, Lot 4 Record Drawing Plan and Profile OF .:9 James A. Crewdson /0 C11527 1 .Prep Permated for: Tom OSP191365 epler Page: 1 of 1-19 k��`c° Ro Eo�P� ALL I.4FORMATIOH SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREW SON ENGINEERING, LLC AND SNAU NOT BE USE. FOR ALLC #112279 ENGINEERING Oft CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC 8 L� SM DRAIN 6 MPI SETTLING CHAMBER TREATMENT CHAMBER ELEV Infiltrator IM -540 TANK Infiltrator IM -1530 TANK DP INV 90.6' BOH 2" INSULATION 2" INSULATION BOR 90.1' . 15' ELEV 84.1' ELEVATIONS: ELEVATIONS: DRY - TOT 97.2' TOT 97.1' INLET INV 96.7' INLET INV 96.6' OUTLET INV 96.4' OUTLET INV 96.3' Civil & Environmental Engineering PO Boz 671389 Chugiak AK99567 a Cellc.t@oL Cell/Text: 907-280-9493 . Fax: 907-688-221 Birch Park, Lot 4 Record Drawing Plan and Profile OF .:9 James A. Crewdson /0 C11527 1 .Prep Permated for: Tom OSP191365 epler Page: 1 of 1-19 k��`c° Ro Eo�P� ALL I.4FORMATIOH SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREW SON ENGINEERING, LLC AND SNAU NOT BE USE. FOR ALLC #112279 ENGINEERING Oft CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC Municipality of Anchorage 0411 Development Services Department On -Site Water and Wastewater Section 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 WWW.muni.org//onsite (907) 343-7904 Soils Log s Percolation Test ALLC 112279 �y ames k Crewdson C11p527 �w� 11r��R�OFES 10�'��~ Performed For: -To t—�@_ I�p, ) p Date Performed: iD°- i ` .10 icl t" Legal Description: t!` (t t/\ C ,V_1`Lo-� `�1 Township, Range, Section: T/41 [Do eet) 1- 2- 3- - 3-Ji� 4- 5- 6- t� 7- - 9- 10- 11- 12- 13- 14- 15- 16- 17 - 18- 19 - 9 10- 11-12-13- 14- 15 16- 1.7- 18- 19 - Site Site Plan MENEM Date Gross Time �N:@NTum�e� Depth to Water ONE NONE MEN ■■■■■■■M■■ ENNERMS1 WE ■■■■■■E■ME ■■■■M®®®®■ .■■■EE■®®NEENNEE so■ N■■N®■■®®® ■■■M®®®®M® WAS GROUND WATER r (. ENCOUNTERED? N s IF YES, AT WHAT DEPTH? L Depth to Water After P —�-- Monitoring? E Date: Reading Date Gross Time �N:@NTum�e� Depth to Water F N_eDrop HLRGULATION RATE i i (minuteslinch) PERC HOLE DIAMETER TEST RUN BETWEEN -FT AND FT COMMENTS PERFORMED BY: C t"N In.9L) v, I CYA W J.J�b VICERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE., DATE:- 1 RVa SIHI 13S S83NUOD ON :31ON VV101SdG Q • BOr vNSvlv'I3i8ISio!)Nl0?JO338 3f)VS4H3W 0 0 1 0 .09 *S3NII 30N33 80 ASVONnoe ONIHS118viS3 M--- 803 80 NOuonNiSNO3 803 03sn 38 NO3?j3H,W,---- vivo mv oinOHS S3owisnnosio ON 830Nn, vgvg-IRIYZ 3NOHd *lVld Noiswoens M80338 3HI NO MddV,,L�l�ib-b-t;&v7-w-yj"�l;A5wr m ION 00 H:)IHM SNOlI3l8iS3?J 80 SiNVN3AO:):g 31MS "08 !)NllMOa -3 000,1 SiN3n3SV3 AJIM 30 33N3iSlX3 3Hi 3NM3130: -S*1*8 la-lviSvo V 3Ar 01 H3NMO 3Hi 30 S' i. 3Hi Sl i1i oll '9Nlk3Amns *a31VOIGNI SV Id3:DX3 iSIX3 SIN3nH3VO83N3!i aNvi iaivisvo ON ivHI ONV 3AO8v 03131d30 AnIM08d: - 3Hi 13A3mns 3AvH i ivHI A311833 A8383H 1"IffolaWITA 313810 NOW N33 SST9C 1-9 L.99069 s — — — — — — — ' Lt — — — — — — — — — — — — — 3s— — — — — — AS3 3sn onand .9 no�4 *IHS3 '3 V *1 .0 1 — — — — — — — 1� "3-38z)030 — 113M RUM TAT: 9r 03HS V431SAS 011d3S 0 -r--L->l3V813S IN3rid013A30 -9 L— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -- — — 'INS3 *3 V *1 .01 .IL*gZt 3..9L.89®68 S Q INS3 *3 V '1 .01 0 0 1 0 .09 'INS3 *3 V '1 .0 1 CD 0 N1 m 03HS ;u '80 13AV80 0 ,o*9Z b 16 L6 rn 1,9Z,9942 S C4 30VWD 100*9 L NOUVAN3S3d WIG SC '1V4S3 '3 V *1 .01 --- z 09 .r *INS3 SVD V *1 -OZ RUM TAT: 9r 03HS V431SAS 011d3S 0 -r--L->l3V813S IN3rid013A30 -9 L— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -- — — 'INS3 *3 V *1 .01 — — — — — — — — — — — — — — — — — — — — FA x (XdV) 30N33 ---ol IN, W .IL*gZt 3..9L.89®68 S INS3 *3 V '1 .01 03HS '80 13AV80 3AI80 *3'V ,o*9Z b 16 L6 rn C4 30VWD 1013Z ONUSIX3 NOUVAN3S3d WIG SC '1V4S3 '3 V *1 .01 --- — — — — — — — — — — — — — — — — — — — — FA x (XdV) 30N33 ---ol IN, W j MUNICIPALITY 6LI ■ ®F ANCHORAGE Development Services Department '�j Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-143-14 Property owner(s) Tom & Sarah Hepler Mailing address 5639 Fenwick Circle, Anchora Site address Same Day phone 907-223-2667 e, AK 99516 Legal description (Sub'd., Block & Lot) Birch Park, Lot 4 Legal description (Township, Range & Section) Lot Size 138,026 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field R Initial El Single Family (SF) Q (w/wo ADU) Septic Tank Q Upgrade F-1 Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment:�1 Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: DiyF Ma01[.7 GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191365, Rebecca Carroll, 09/09/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191365, Rebecca Carroll, 09/09/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191365, Rebecca Carroll, 09/09/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191365, Rebecca Carroll, 09/09/19 MUNICIPALITY OF ANCHORAGE l a ♦, a, i J' THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered ;into as of this Z7 -Dayof .-V of 20 9 , by and between herein the "OWNER," and the Municipality of Anchorage, herein. the "MUNICIPALIT3"', in accordance with Anchorage Municipal Code (AMC) 1.5.65365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants pennission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as a .sem' located at (legal descriptio.n) 1Yz,Lj T iC Y 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section' Throughout the term of this Agreement, the Owner shall enter into a service agreement �t r with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained ina satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. 4L It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). X-11 y Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/22018) Page I of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with. AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. not occur without a new Owner agrees that any sale or transfer of title of the property will n Certificate of On -Site Systems Approval., Owner agrees that the AWWTS installation, and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The tern of this Agreement shall begin on, the date of approval by the Municipality to operate the installed system, or upontransfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity, of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement 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 Agreement, 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. Pa 2 of 3 (rev. 05/18/2018) C € WNER: By: (signature) (print name) Date: f ' Z 7' t � STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before ane this 27 day of , 20 , by NOTXkY J? LIC FOR ALASKA. My Co 'ssion expires: (-M zZ MUNICIPALITY: Bv: 6&41tJ1 (signature) kelheec,-� ��ro L ( (print name) (rev. 05/18/2018) �t�t�69iB�ffj�d �O .•••ee••se•• .f1 'PP 4 140rq,9 = e •••'••s••.a••••� sd It®OP AI AI Y� Date: / h// Title: Page 3 of 3 1 244.9' F- - - - - - - - -- - 00 1 1 Q ® 10' T. & E. ESMT. o I 0 33' BLM RESERVATION 1 34.1'gil'GRAVELDR. 36.0' I I EXISTING GARAGE 0 0 N SEPTIC SYSTEM ® EXISTING BUILDING A' C p SHED —+ --{-10' T. & E. ESMT. & UTIL. ESMT. o 0 c; 10' T. & E. ESMT. S 89058'16"E 128.71' I x - FENCE (APX)—A 5' DEVELOPMENT SETBACK = I HEREBY •. SURVEYED THE I � 20'T.&E.& ENCROACHMENTS -INDICATED. GAS ESMT. o 35' JEFF A. GASTALDI. R.L.S.'DETERMINE O F-1000 E. r•WLING 'r ;; a I z 15.00' UNDER i CIRCUMSTANCES SHOULD ANY DATA S 89°58'25"E I I I iv O SW2637 12/5/2014 I 10' T. & E. ESMT. 50, I � O O • • a O WELL DEC SHED 10' T. & E. ESMT. 5' PUBLIC USE ESMT. S 89058'16"E 363.83' C4 SEN ICK CIRCLE� . w HEREBY •. SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS -INDICATED. LLC RESPONSIBILITYSURVEYING, IS THE OF OWNER TO JEFF A. GASTALDI. R.L.S.'DETERMINE THE EXISTENCE OF F-1000 E. r•WLING 'r ;; i ENANTS OR RESTRICTIONS00 Ni ANCHORAGE, 99507:1 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 — UNDER i CIRCUMSTANCES SHOULD ANY DATA GRID DATE i i FOR CONSTRUCTION OR FOR SW2637 12/5/2014 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING . ALASKA JOB NO. NO CORNERS • • a �E OF A< ,`�•'• °°° Seg.. `o; 49TH 'o ®®° o m ® Jeffery A. Gastaldl ® o 'p, LS -6091 AN s'ro •. 12/9/2014.• ��� °ap ®•......®•®•®6c J rDfessionai L4 it FA vkws�*o 1 o v ( Z 11 =50' I _ _ J CD ScanFile 2003 v7,3 - Computer. ATG-A-04915HD - User. escrow - Date(Time: 1/29/2013 11:01:31 AM - Page: 771159 ESCROW DOCS: 8284 Date Scanned: 6124A2005 r),r q0 4jo 3 ---------- 9 84i3 V Oi 13171 'T WOVE 165.00 TO Utility �Easement ---------- 9 0 C1 0 Q oM "4.00 46 C —ate 31 0 �F 4 M 0 3 M 10 x I m f f N00'04'001W 140.00 ff CA 81 RCH ROAD Municipality 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 S ""/w0179 01'5—I6-1,2--7Gl Permit Number: PID Number: Name:n _/ Jj� f%.o O Gr'on C, D YZ C46v Wastewater System: ❑ New Upgrade Address: X000 5A;le 100A"Jk�;?503 ABSORPTION FIELD Phone: a 5 7- 1 3& 11VO _ 6O7 � V / No. of Betlrooms:G/ Ar [I Deep Trench ❑Shallow Trench XBed ❑Mound XOther LEGAL DESCRIPTION $oil Rating: 0 Total mc_—, original grade: GPD/S.Ft. Lot:y Block: 7' x,,77 Subdivision: O IG—O�G'� � Depth to pipe bottomfromodginal grade : 2/-'-• -LF, NA t- Graveldepthbeneathpipe- 3 v7 1 J Ft. Ft. Township: q / d. /V Ranger Section: Fill addetlpbove original grade: �' 'L— Gravel length: Ft. Ft. W ;4;m❑New ❑Upgrade Gravel width: 140 Number of lines: Distance between lines: : Ft. F,. Classification (Pri t .B,C): Total Depth: Cased To: Total absorpY rea: o Pipe material: S� V rSJ0 ASTM DJo3y FL Ft. so. Ft. HDPE Driller: ate Drilled: Static Water Level: Installer: N/ Date installed: Ft. Yield: pSet at: asing Height Above Ground: ) XiS%/✓1 - TANK PM Ft. Ft. PARATION DISTANCES ❑ Belotl El Holding ❑ S.T.E.P Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gall0 Tank Field Station Tank Sewer Lines rWater ���/� �Do /It- 100 } 'VIA Material: NuSurfacmber Compartments: 1od�t 1oof/001- NA �lJl LI ATION O f I % e s; p,� n, /, /q �1 Size in gallons: Manufactur Ko o"G /V YV Foundation �.� h /+ I 5 ��— A A /( ,11 /� Q ld •'Pump on" level at: "Pump oN' level High water alarm at: Curtain Pump Make& odel Electrical Inspections perform by: Drain Remarks: BENCH MARK Doslr> 5��� Eller S Sfe>d-t Location and Description: .y� Q�' Q�/O //J tcLLG f /It ('1114 T 0 2 e r_/ p. Assumed Elevation:/©� /"/S Ft J 1500) e . �1e 711`r� >ti VZr) t ,le�q ENGu+IE�F4�S;AL , OF • d a Inspections performedFdylSY'tA "mzi, ,- p-''/' 't ^ ' 'motes: 1st d e8 a. .. awe...}. CONSULTANTS, INC. 2nd- 6901.6, SpurM 2B . r, Y -oa (rjD}yEBAR(yR�y+RD.. NONNY fly IA Department of Hea an um rvices approval 6' ;J' C -7953 1� �/. .211' Reviewed and approved by: Date:X29� `ROFesso°'Pm 72-013 (Rev. 9/91) MOA 25 `_ Z PERMIT NUMBER: AS -BUILT DRAWING PARCEL INUMBER: SW980478015-11 42-74 1 i HDPE PRESSURE LINE 10' UTILITY EASEMENTS -- — - - MT2 I NEW I.S.F. BE qMT4 M1 EXISTING 1500 GALLON -- - -- S.T.E� TANK BV2 *TH#1 "ev1 ST2 5f2 MN �XMNG 1500 GALLON 5,T,r,P, TANK ffV,Vf_74- I ug for PP"c� -- 97,15 Pitcm PPi) .. -mRf L4 PFi Af011Uf-91.16 wfOM OF MGM 1186-96.98 FENWICK CIRCLE Mf ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: TOWNSHIP 12N, RANGE 3W, SECTION 22, LOT 40 OF TRACT A TYPE OF WORK: AS -BUILT OF SEPTIC SYSTEM UPGRADE PREPARED FOR: PHONE NUMBER: RELO ACTION C/O REMAX PROPERTIES 257-0138/440-5074 DATE: DRAWN BY: SCALE: PAGE: 5/17/99 A.C.G. 1 = 40' 2 OF 2 95.0 -BOffOM Of IID 95,00( eUg) ..........� A. Garness. -7953 eOAo� A ASSUMED ROUTING OF C r-- I PRESSURE LINE 22.9 Mil II w I — MTI 141.9 I - I I EXISTING BED — 130.7 MT3 — Mlle____-_ 123.5 5f2 MN �XMNG 1500 GALLON 5,T,r,P, TANK ffV,Vf_74- I ug for PP"c� -- 97,15 Pitcm PPi) .. -mRf L4 PFi Af011Uf-91.16 wfOM OF MGM 1186-96.98 FENWICK CIRCLE Mf ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: TOWNSHIP 12N, RANGE 3W, SECTION 22, LOT 40 OF TRACT A TYPE OF WORK: AS -BUILT OF SEPTIC SYSTEM UPGRADE PREPARED FOR: PHONE NUMBER: RELO ACTION C/O REMAX PROPERTIES 257-0138/440-5074 DATE: DRAWN BY: SCALE: PAGE: 5/17/99 A.C.G. 1 = 40' 2 OF 2 95.0 -BOffOM Of IID 95,00( eUg) ..........� A. Garness. -7953 eOAo� A B C BV1 34.1 22.9 — BV2 34.3 23.4 — MTI 141.9 — 122.1 MT2 150.0 — 130.7 MT3 — 132.4 123.5 MT4 — 139.6 131.0 5f2 MN �XMNG 1500 GALLON 5,T,r,P, TANK ffV,Vf_74- I ug for PP"c� -- 97,15 Pitcm PPi) .. -mRf L4 PFi Af011Uf-91.16 wfOM OF MGM 1186-96.98 FENWICK CIRCLE Mf ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: TOWNSHIP 12N, RANGE 3W, SECTION 22, LOT 40 OF TRACT A TYPE OF WORK: AS -BUILT OF SEPTIC SYSTEM UPGRADE PREPARED FOR: PHONE NUMBER: RELO ACTION C/O REMAX PROPERTIES 257-0138/440-5074 DATE: DRAWN BY: SCALE: PAGE: 5/17/99 A.C.G. 1 = 40' 2 OF 2 95.0 -BOffOM Of IID 95,00( eUg) ..........� A. Garness. -7953 eOAo� N P1 y7 1 FR 1 1 1 . 36 OfIRCEL . EL-ECTR 1 C, I No P. 0 1 , ;, -w I of i NXIEWTIONARPORT 'MUNICIPALITY OF ANCHORAG) T -- BUILDING S-.FETY DjVj$jON ,3500 FAST TWOR ROAh, -ANWBORAGE, Atxw,,� r,'N'5'PW17ON8,-,VWoe: (Vop) SO -3464 lea W (90) 3434VS ()O )343 711,15 OF 'BLO(X 7:32, AM lo: SUBDIVISION: ... ........ L] COJ%0i.',,jjA CO C] DO jjut ..... ... ... RECEIVED MAY 18 1999 Murlicipainy of Anchorage Dept. Health & Human Services .......... 100NOTRwome nmVN027(�g 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 C;YV Libv-XV\ ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Dec 29, 1998 Expiration Date: Dec 29, 1999 Permit Number: SW980478 Parcel ID: 015-142-74 L�,w4 Legal Description: T12N R3W SEC 22 LT 40 TR A , Design Engineer: 0041 AK Water & Wastewater Consulta Site Address: t 9 9� ` I1ti����5 � `L `1 Owner Name: Relo Action c/o ReMax Prop. Lot Size: 83200 SQ. FT. Owner Address: 2600 Cordova, Suite 100 Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage AK 99503 - This permit is for the construction of: Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage 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 (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. IDSF - This permit is for a bottomless intermittant dosing sand filter. Received By: Issued By: /i,�V/✓/iG�. �G( Date: I Date: f. V - rl": , Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 213, — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers 15 - December 1X, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer Upgrade for Lot 40 of Tract A, Section 22, Township 12N, Range 3W, To whom it may concern: The existing 4 bedroom house is served by an onsite septic system, and a private well. The existing bed is surcharged and must be upgraded. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: The existing septic system consists of a 1500 gallon S.T.E.P. system and a 40 foot by 50 foot bed. Two test holes were excavated to the north of the existing septic system. The soils were found to be impermeable at approximately 4.0 to 5.0 feet, limiting the design depth to 2.0 feet below grade. Because of the shallow depth of the impermeable soils, a mounded bed/trench type system will be necessary. Due to impermeable soils and the large square footage required for a mounded bed/trench system, we propose to install a bottomless Intermittent Sand Filter (I.S.F.) system. It is our opinion that the cost to install a ISF would be less than a large mounded bed system. It is also our opinion that the I.S.F. system should perform better. 2. SOILS: On November 19, 1998, two test holes were excavated and percolation tests were performed at the area of the proposed septic upgrade. As can be seen from the attached log, the soils below the organic layer is a ML/SM material to a depth of approximately 4.0 to 5.0 feet. From 4.0/5.0 feet, the soils transition to a ML material to a depth of 16.5/17.0 feet (bottom of test holes). No ground water was encountered at the time of excavation. Two percolation tests were performed in each test hole. A percolation test was performed in the upper benches of each test holes and found the percolation rates to be 9.2 minute/inch and 6.7 minute/inch. Two tests were attempted below the 6 foot level in each test hole and the perk rates were found to be greater than 120 minute/inch. 3. TRENCH DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: 9.2 and 6.7 minutes/inch b. Allowable Application Rate for ISF: 2 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 300 ft2 f. Effective Depth below pressure pipes: 2.5+ inches g. Width: 10 feet h. Length: 36 feet. i. Effective absorption area = 360 It (>300 ft2 OK) j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch LD, "Anchorage Tank". 1. Sand Material: Per Latest Guidance from the Municipality of Anchorage m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1 % passing the #8 sieve. We are proposing to excavate down to a depth of 2 feet (remove all organics), place a minimum of 2.5 feet of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 3 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. 4. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 5. TOPOGRAPHY: As can been seen on the attached topography site plan, the general slope of the property is a grade of 3 percent to 7 percent running from approximately southeast to northwest. In short, there are no slope concerns. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (5th floor, 9th & L St.). 7. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you toy your assistance. P.E., NOTE: CONTRACTOR SHALL FIELD VERIFY ALL SEPARATION DISTANCES PRIOR TO CONSTRUCTION. a !I y ! I II R w LOT 33, NE 1/4, SECTION 22, T12N, R3W o I! V p Q I! 100' WELL RADIUS I I PROPOSED SEPTIC UPGRADE ! ! (SEE DESIGN, PAGE 2 OF 3) +TH$2 �I ---- ! i �TM()1 EXISTING ��ODUS OM 1 �^o _ 100' WELL RADIUS WELL E�(ISTING SEPTIC SYSTEM- I FENWICK CIRCLE /yy /AR - — - ��� i ! 100' WELL RADIUS ! WELL /l/�p4-� ��.�`l WELL Oy 'd LOT 40C, NE 1/4, LOT 40B, NE 1/4, P� o� SECTION 22, T12N, R3W SECTION 22, T12N, R34! LOT 40A, NE 1/4, ! SECTION 22, T12N, R3W LOP 6. THUNDERBRUSH S/D LOT 7, LOT 5, ! LOT 1, THUNOERBRUSH S/D I THUNDERBRUSH S/D Tr'rIUNDERBRUSH S/D I ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 ••""' PHONE: (907) 337-6179/FAX: (907) 338-3246 \ ••. s,tit, O 4 H �* t� LEGAL DESCRIPTION: SECTION 22, TOWNSHIP 12N, RANGE 3W, LOT 40 OF TRACT A?; TYPE OF WORK: SITE PLAN FOR SEPTIC UPGRADE (I.S.F.) ..... ..:... n ss;�✓� �J��je r y 7953 PREPARED FOR: PHONE RELOACTION C/O REMAX PROPERTIES 257-0138/440-5074 �(��c'�e0r''•••"'•••'•�E�A'^ ,����\1rofesslo(II DATE: DRAWN BY: SCALE: PAGE: 12/9/98 J.L.M. 1 = 100' 1 OF 3 PROPOSED BOTTOMLESS INTER DOSING SAND FILTER (I.S EXCAVATE 1.5 TO 2.0 FEET MAXIMUM (REMOVE ALL ORG, BY 10 FEET WIDE BY 36 FEE (SEE DETAIL, PAGE 3 OF 1.25 INCH HDPE LINE SLOPED BACK TO PROFILE LIFT STATION FOR DRAINAGE OF LINE. NO GRADE LOW SPOTS WHICH WILL ALLOW WATER TO COLLECT. ALL CONNECTIONS SHALL BE EXISTING 1500 GALLON S.T.E.P. SYSTEM STAINLESS STEEL WITH STAINLESS STEEL VERIFY INTEGRITY. IF OF POOR INTEGRITY, BANDS. NO HOSE CLAMPS. REPLACE WITH A NEW 1500 GALLON S.T.E.P. f SYSTEM WITH DUAL OUTLETS. IF INTEGRITY *TH#2 IS GOOD, THE CONTRACTOR SHALL MODIFY THE FLOAT SWITCH, PUMPS, AND CONTROL Sym, PANEL AS REQUIRED FOR ORENCO'S w a a INTERMITTENT DOSING SYSTEM AS SUPPLIED M BY ANCHORAGE TANK. 10' UTILITY EASEMENTS /U MH M +1'H$1 MT[ _-, EXISTING BED TO BE— USED AS A RESERVE SITE I I INSTALL BALL (SEE DETAIL I c THE CONTRACTOR SHALL HAVE THE NORTH PROPERTY LINE FLAGGED A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. THE CONTRACTOR SHALL PROVIDE VALVE KEYS ON BOTH BALL VALVE FENWICK CIRCLE DETAIL ALASK PROFILE GRADE H*� INSTALL 1 1/4' PVC BALL VALVES (SEE PROFILE) m f e G ess: 0•9s •• �jlner_ • CE 7953 •' �cpG .... '•�G CAp4 CAP Sym, � w a a M � /U MH M m 1/4" CO PIPE S.T.E.P. SYSTEM BALL VALVE - A WATER AND WAS'TEWAT'ER. CONSUL'T'ANTS, INC. 6901 DEBARR ROAD SUITE 2B. ANCHORAGE, AK 99504 PHONE: (807) 337-6179/FAX: (907) 338-3246 SECTION 22, TOWNSHIP 12N. RANGE 3W, LOT 40 OF TRACT A, TYPE OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE (I.S.F.) RELO ACTION C/O REMAX PROPERTIES 257-0138/440-5074 12/9/98 I. —J.L.M. 1 1= 40' 1 2 OF 3 H*� * m f e G ess: 0•9s •• �jlner_ • CE 7953 •' �cpG .... '•�G CAp4 AIR 1AW COIL 5PACRD AT 3/ 4" DIA. 501, 40 PVC LATRRAL5 10' K 36' WMOMLR5515P, �APPROX, 2 PRRf. OMNCO CHOCKS, OIIRLDS, AND PLII� m lNown ON t301fOM.PRR551P2R"WA51VLOW"IWPROVAMP VALVES f�R ORENCO DR51GN) ING DR5IGNRD 6YOWNCO ANDDYMICHORMLR TANK. MIRD PYANO10RAGR f", ——.----- ® —I O — L I I V� 4" DIA. 5CH 40 HDPR 4" DIA, MONITORING M AT RACH PLII�iING Vq�,VES-, DISaiARGR LINK PROM COP.N�R, MWORMEP D M15N fO? (WftH FWTDC11Vl CmR5) STEP TANK AND MANIP06D Of SAND AND D1510MON PIPE fFxT+D A$ovr-- INVERT. (ROLL 1/4INCH DIAHOLR5) 612-010e PLAN VIEW 6" LA`IRR OP 3/ 8" PRA GRAVEL MT 3/ 4" PVC LATRRAL5 0W 4) MT 2" OP IN51LAION WTH ff PVC LAII M5 D(W NMA, 6RAX IL1ER PAVC MIDWAY IN 11t 5fRMUM. OVER PEAL WI, (C,RAVEI.t)RLONPIPR e 3"+) 2' MIN, OP Cat MN`s' � IMPRRMRATiCRIDA& R N� ORIGINAL GRAM z v-� 4 PRET MIN, OP FILTER SAND 0.--o ATR XLON �g'PROFILE VIEW IMI'RRMRAI�LR rl� OPW l3At421RR ALASKA WATER AM WASUWATM CONSULTANT% INC. oo F F '•••• 6901 DEBARR ROAD, SUITE 29, ANCHORAGE, AK 99504 dG(� O.:q, . PHONE: (907) 337-6179/FAX: (907) 330-3246�,.••s��o LEGAL DESCRIPTION: qq • •• O SECTION 22, TOWNSHIP 12N, RANGE 3W, LOT 40 OF TRACT A, a,>.,;,,, , , „ ,•, .......... TYPE OF WORK: BOTTOMLESS SAND FILTER (ISF) DETAIL •. •••• ; Q r A. Garness; PREPARED FOR: PHONE NUMBER: 0 m —7J53 a0 RELO ACTION C/O REMAX PROPERTIES 257-0138/440-5074 QD�as •. DATE: ProfesaW DRAWN BY: SCALE: PACE: p4o�od ,& oa 12/9/98 J.L.M. N.T.S. 3 OF 3 ��OpO0000 �I UJ I N LOT 33, NE 1/4, SECTION 22, T12N, R3W pE0 O 5 v 1- O ti PROPOSED SEPTIC UPGRADE (SEE DESIGN, PAGE 2 OF 3) ♦TH12 *TH 1 ESTING N BXIEDROOM HOUSE Qui ti 10D' W.� ELL RADIUS WELL EXISTING SEPTIC SYSTEM oa MJ o LOT 40C. NE 1/4. LOT 40B, NE 1/4, LOT 40A, NE 1/4. SECTION 22, T12N. R3W SECTION 22. T12N, R3W SECTION 22, T12N, R3W LOT 7,LOT 5. W LOT 1, THUNDERBRUSH S/D THUNDERBRUSERBRUSH S/D ALASKA WATER AND WASTEWATER CONSULTANTS9 INC. o OF q COp04 6901 DERARR ROAD, SURE 21. ANCHORAGE, AK. 99504 -AY: � gS,�pO PHONE: (907) 337 -6170/ (807) 338-3246 G0 •' P 0 9 TH '• 9� LEGAL DESCRIPTION: SECTION 22, TOWNSHIP 12N, RANG 3W, LOT 40 OF TRACT A ....:............................� TYPE OF WORK: SITE PLAN... ........................ . 0 QO4 ••EL0 RED FOR: PHONE NUMBER: ACTION C/O REMAX MOPERTI S 257-0138/440-5074 [DArE 5 ALE:......••' 1 /26/98 DRAWN BY: A.C.G. 1= 100' 1 OF 3 PHONE (907) 337-6179 + FAX (907) 338-3246 SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: SECTION 22, TOWNSHIP 12N, RANGE 3W, LOT 40 OF TRACT A PERFORMED FOR: RELO ACTION C/O REMAX PROPERTIES DATE PERFORMED: 11/19/98 DEPTH _-^-. TEST HOLE #1 (feet) 1 - ^^ ORG PAGE I OF 2 1 1 1 1 1 1 1 1 1 1 2 COMMENTS: ML/SM SOIL CLASSIFICATIONS NET TIME (MINUTES) ORG ML CL OL MH CH OH GIN GP GM GC SW SP SM SC az Q a ` 'u', 4+ HO RS PRIOR TOT o�o ML DENSE SILT BECOMING DENSER WITH DEPTH DEPTH TO DATE GROUNDWATER NET TIME (MINUTES) DRY 11/19/98 DRY 11/30/98 WAS PRESOAKED 4+ HO SITE POLON PROPOSED SEPTIC UPGRADE (SEE DESIGN. PAGE 2 OF 3) +TH2 4 EXISTING HOUSE — -- � Ia7Hj/1 --- - I j J,I II RA WSEU- - 5 E}fISTING SEPTIC SYSTEM FENWICI( CIRCLE DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/20/gE PERC. HOLE WAS PRESOAKED 4+ HO RS PRIOR TOT STING ----_------ -- ---- --� -- 3:39 _ - - --- 6 2 —4:09 — - 30 2 3/4" -- 3 1/4" - 3 4:09 - --_ -- 6" - — ---- 4 4:39 30 2 3/4" 3 1/4" - — 5 -- -4:3_9- - _ --6" — 6 5:09 30 2 3/4" 3 1/4" PERCOLATION RATE 9.2 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.5 FT. AND 43.0 FT. PERFOMED BY ALASKA WATER & WASTEWATER I, THIS WAS PERFORMVD Ip ACCORDANCE WITH ALL DATE. DATE: /i 8' , CERTIFY THAT IN EFFECT ON THIS INC. SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: SECTION 22, TOWNSHIP 12N, RANGE 3W, LOT 40 OF TRACT A PERFORMED FOR: RELO ACTION C/O REMAX PROPERTIES DATE PERFORMED: 11/19/98 DEPTH (feet) TEST HOLE #1 1 PAGE 2 OF 2 2 CLOCK TIME SOIL CLASSIFICATIONS WATER LEVEL READING NET DROP (INCHES) PERC. H LE WAS PRESOAKED 4+ HO GW STING ORG 3 ° ':a '. GP ML — 3:38 — -- 9 --_ GM 4:08 CL 4 — 3 GC 30 OL — 0 0�0 SW MH SP CH N SM .' OH 6 Sc O 7 B 9 10 11 12 13 14 15 16 17 18 19 w C.7 Q w w cn COMMENTS: DEPTH TO DATE GROUNDWATER SEE PAGE11 OF 2 SEE PAGE 1 OF 2 PERCOLATION RATE 120+ (MINJINCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND A 6.5 FT. PERFOMED BY ALASKA WATER & WASTEWATER I, THIS WAS PERFORMW Ip ACCORDANCE WITH ALL DATE. DATE: L f S' CERTIFY THAT �T ON THIS CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) PERC. H LE WAS PRESOAKED 4+ HO RS PRIOR TO T STING rDATEREADING — — 3:38 — -- 9 --_ 2 4:08 30 9" — 3 4:38 30 9" — PERCOLATION RATE 120+ (MINJINCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND A 6.5 FT. PERFOMED BY ALASKA WATER & WASTEWATER I, THIS WAS PERFORMW Ip ACCORDANCE WITH ALL DATE. DATE: L f S' CERTIFY THAT �T ON THIS ATER die WASTEWA'T'ER CONSULTANTS. INC. SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: SECTION 22, TOWNSHIP 12N, RANGE 3W, LOT 40 OF TRACT A PERFORMED FOR: RELO ACTION C/O REMAX PROPERTIES DATE PERFORMED: 11/19/98 DEPTH -- TEST HOLE 2 (feet) cccc- 1 — = ORG PAGE I OF 2 2 DATE GROUNDWATER $ DRY SOIL CLASSIFICATIONS DRY 11/30/98 WAS PRESOAKED 4+ HO RS PRIOR TOT STING .a GIN ORG 3 1 3:42 d` ML/SM 6" ° . v.'. GP ---- ML 4:12 - 30- --- 11. ----5 3 4:12 GM 6" CL 4 4 4:42 30 1 1/2' 4 1/2" GC OL 4:42 — 6" - - 6 -- SW 30 — --1 1/2' MH 5 as awe as ® SP CH SM OH Sco9% TO 6 s DEPTH 10 11 12 13 14 15 16 17 18 19 COMMENTS: ML DENSE SILT OMING DENSER WITH DEPTH i SITE PLAN I" = 100' PROPOSED SEPTIC UPGRADE (SEE DESIGN. PAGE 2 OF 3) ♦TH$2 EXISTING 4 BEDROOM HOUSE I*TH$1 I I I I 100' WELL L --J o--i}7YlIlTS`— E%ISTING SEPTIC SYSTEM FNI-l- FENWICK CIRCLE DATE DATE GROUNDWATER NET TIME (MINUTES) DRY 11/19/98 DRY 11/30/98 WAS PRESOAKED 4+ HO SITE PLAN I" = 100' PROPOSED SEPTIC UPGRADE (SEE DESIGN. PAGE 2 OF 3) ♦TH$2 EXISTING 4 BEDROOM HOUSE I*TH$1 I I I I 100' WELL L --J o--i}7YlIlTS`— E%ISTING SEPTIC SYSTEM FNI-l- FENWICK CIRCLE DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/20/96 PERC. HOLE WAS PRESOAKED 4+ HO RS PRIOR TOT STING 1 3:42 — 6" - -- ---- 2 4:12 - 30- --- 11. ----5 3 4:12 — 6" — 4 4:42 30 1 1/2' 4 1/2" 5 4:42 — 6" - - 6 -- — 5:12 30 — --1 1/2' 4 1/2" — PERCOLATION RATE 6.7 (MIN./INCH) TEST RUN BETWEEN 2.0 FT. AND / PERFOMED BY ALASKA WATER & WASTEWATER I, THIS WAS PERFORMEP IV ACCORDANCE WITH ALL DATE. DATE:y T - 96 PERC. HOLE DIA. 6 (INCHES) 14111Lk, CERTIFY THAT :T ON THIS ALASKA WATER ATER CONSULTANTS. YNC. SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: SECTION 22, TOWNSHIP 12N, RANGE 3W, LOT 40 OF TRACT A PERFORMED FOR: RELO ACTION C/O REMAX PROPERTIES DATE PERFORMED: 11/19/96 (feet) TEST HOLE #2 1 PAGE 2 OF 2 2 DATE SEE PAGE SOIL CLASSIFICATIONS WATER LEVEL READING NET DROP (INCHES) 11/20/98 PERC. H LE WAS PRESOAKED 4+ HO GW ORG 3 3:40- 4:1030 4:40 30 ------ 30 5 3/4" 5-1/2" .GP ML GM CL 4 GC OL SW MH 5 "o gym.. ®v a^, SP CH N SIM .' OH 6 ILL SC 7- 8— w U Q 9 n - W 10 LLJ 11 12 13 14 15 16 17 16 19 20 COMMENTS: DEPTH TO GROUNDWATER DATE SEE PAGE 1 OF 2 WATER LEVEL READING NET DROP (INCHES) 11/20/98 PERC. H SEE PAGE 1 OF 2 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/20/98 PERC. H LE WAS PRESOAKED 4+ HO RS PRIOR TO TESTING 1 2 3 3:40- 4:1030 4:40 30 ------ 30 5 3/4" 5-1/2" ---.._1 /4 1 /4 PERCOLATION RATE 120 (MIN./INCH HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. PERFOMED BY ALASKA WATER & WASTEWATER I, THIS WAS PERFORMPD Ip ACCORDANCE WITH ALL DATE. DATE: Z (. CERTIFY THAT IN EFFECT ON THIS PROPERTY OWNER AGREEMENT y FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL ME SYSTEM This agreement, dated 2 r/ 1999 , is made between the Municipality of Anchorage Department of Health and Human Services (DHHS) and the property owner(s) of: This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and . operation statement shall verify that the engineer has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. y.. j 614J61, c c Tl (Printed Name) (Signature) (Printed Name) ------------------------------- -Notarize Here -------------------------------------- State of On this a ! day of personally appeared before me, who is personally known to me \` 11111111/�whose identity I proved on the basis of �L whose identity I proved on the oath/affirmation of �.•' ��o a credible witness ® A t� b �1}g,As f the above document, and he/she acknow dged that he/she signed it. Notary Public My commission expires /���evno Municipality of Anchorage Page —L_ of _5 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 a Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5l//110A01-t PID Number: Name: Ai>` V / I _ 1>1 `V_ Wastewater System: `New ❑ Upgrade Address: Jf_' ABSORPTION FIELD Phone: 3 'rooms: No. of 1114' 1 L1 Deep Trench ❑Shallow Trench XBed 71 Mound El Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Sq. Ft. Lot: �/ //�t Block: /// Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Ft. FL Township: Ra,/nge: Section: _L � Fill added above original grade: Gravel length: _ 1 1>l a Ft. Ft. WELL: ew El Upgrade Gravel depth' w,'c qO Number of lines: 7 Distance between lines. Ft. Ft. Classification (Private, A, ,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. 8'A'�'=rP SQ. Ft. // '� t% 9 „ r 0 Driller: Date Drilled: Static Water Level: Installer: Date installe AO/� Ft. Yield:Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding [4-T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: f Capacity in gallons: From Tank Field Station Tank Sewer Lines /Ii -0-0 Well I0q t .�I,,.,U "i' V-v ao tq A W/A Material:&� Number of Compartments: � Surface f %A h(A 1_11A LIFT STATION Water Lot�� &0 Size in gallons: Manufacturer: Line Foundation 0 "Pump on" level at: /_s "Pump off' level at: - :36 High water farm at: ( Curtain �.� (�/ Pump ,MaIke,&-Model Electrical Inspections performed by: I Drain /(-�' / tLu 1A 6"1111C Remarks: BENCH MARK ,� UA Location and Description: %4 /, A `- LYd � Lds/p Assumed Elevation: 13 FI q ENGINEER'S SEAL Inspections by: �> a Dates: 1st performed 2nd 0111649L t Department of Heal d Humai vices approval �11 .' Reviewed and approved b ate: l� . 72-013 (1191( MOA 25 -I-� I 30 I 1500 GAL STEP I 20 ' I 40X50 4-BEDRO RESIDENCE BED 161 .;.:.:.::. :..'.:: 100 ::. 16 #f :;.: ::•:: 152 Well I I I I — \ 100 II \ i I l Y �- ell SEPT SYSTEM I lY I I I I Well: 25 0 25 50 75 100 125 150 SCALE, 1' = 50' _ TOBBEN SPURKLAND P.E. TRACT A AM LOT 40 SEPTIC SYSTEM AS BUILT 203 W 15TH. AVENUE SECTION 22 T12N R3W DATE, JANUARY 17, 1992 ANCH, AK. 99501 SHEET, 2/3 GRID, 2637 4900 5Q00 PVC TO STEP TANK 1507 GAL. STEP TANK N17 SCALE NhaPl 140 6' of Septic rock 1507 Gal TESTRaf 16 FEET BELOV OR161ML GROUND NO WATER TUBBEN SPURKLAND P,E, SEPTIC SYSTEM AS BUILT 6751 W. DIMOND BLVD, TRACT A 9LM Lir 40 SEC 22 T12N R3W 11 ANCH, AK. 99502-3904 NARVIN E. PICKENS DATE, JANUARY 17, 1992 .e„�. �.e_��e� 4701 011MAW ♦1 11 SHEET, 313 GRID, 2637 TI_IE 1 5 : 5 i 0 P . 0 1 INSPECTION WORT MUNICIPALITY n£AOON'OOR1AfU E71DCI��t"'" SA"TY DI4ISION 3 IN5PRCTIDN;t t J07),�C>;I^3AGh _ - "- IN£O�(ERMITN;g((J01'/i)"(8G••87.].1 mat. ==Z" 51 Y.Y.L"p'33t'.�L.SI'4'�T'LGi •.�l C1,J.-T.::�W2'. VA'dM£. SAFEWAY E1,I:CT PHONE . 00.'I9 ADDRESS: 56.19 IfCNWICL( rUIiTJ: SECTION 22 DATE92 : l.;ih/1) L OT: BL.MAO lil.('1CF.: COMMENT: M TYPENOF-IN5PV(TIQN: EOLECCTVXCALV'INAL 0 0--^__ r"' NO OBS£RUE�1___w�-I __ CORRECTIONS r.SSENTIAL AS / EXPLAINED BELOW f. ] WILL PrEXAMINE AT NEXT INSPECTION C ] DO NOT CONCEAL UNTIL. REIN;)C'LCTED ---------------------------- COMMCNT6Z ANN 2 19`32 p d4?� MUNA,.n&1.1U t)ept. kADalth INSPECTOR: ---- WNENy CCIRREQT IONS ARE MADC' , PLEASE CALL POR INSPECTION MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910299 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:PICKENS MARVIN E & SHELLEY OWNER ADDRESS:4701 GRUMMAN #1 ANCHORAGE, ALASKA 99507 PARCEL ID:01514274 LEGAL DESCRIPTION: T12N R3W SEC 22 LT 40 TR A LOT SIZE: 82200 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 9/23/91 EXPIRATION DATE: 9/23/92 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PR RECEIVED B ISSUED BY: DATE:. �L(-- DATE:. Z- 2`T - 11 va c bei � �+� l�%lylat 0- .. �pl�::-*" 11-V F� 11-% 0 "o 11-3 FD. - r� 200W15th,Avenue, Suite 206 ANCUU8AGE/ALASKA YY501 (907) 279-3916 SEPTIC SYSTEM DESIGN TRACT A DL -M L -OT 40 SEC- 22 T12M R3W Marvin E. Pickens No Ground Water or Impervious Layer to 16 ft. Use Pressurized Bed Soil Rating^ From test April 19v May 3 1991 7^5 min/in and 40 min/in Use 40 min/in= .3 gal/sq.ft-day Require� Area per Bedroom: 500 sq,ft,. Ground Sorface at Ahsorption Field 5% Slope Numher of Bedrooms I. 9ed Area 4 x 500 - 2000 sq. ft. SYSTEM CONFIGURATION BED TOTAL LENGTH TOTAL WIDTH TOTAL DEPTH ROCK DEPTH COVER SEPTIC TANK 1500 SAL. STEP The installation of this well and septic system will not impact adjacent lots. The well location conforms to the siting of the existing wells in the area, and will not prevent the adiac: ent lot o1Mn(NI s from developing these lots or replacing the existing septic systems" The installation of tkis scp+ic system will not prevent wells from be installed on the adjacent lots" There are no devcloped or natural surface / sub surface drainage courses on this or Lhe adjacent lots, The proposed septic system will not change the general slope of the area" Ponding and/or concentration of surface runnff will not result from this instal]ation, Septic System Design Tract A B|M Lot 40 5ec. 22 T12N R3W pg.1 a +.� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST (ENGINEER'S SEAL) PERFORMED FOR: 1-'Jaj.✓I✓I ;"- :e I L �1L(r1.S DATE PERFORMED: LEGAL DESCRIPTION: 7�LA-�� i3til�% �eU / �fU Township, Range, Section: DEPTH SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Aller MDribrinD7 Date: S L O P E Reading Date Gross Time Net Time Depth to Water Net Drop ,�-. 3-11 Cis. Irl / /0' [3 u 3 0vv • t.li .ri 1� t . 20I PERCOLATION RATE % (minutes/inch) PERC HOLE DIAMETER r I� / TEST RUN BETWEEN '� FT AND h Z-- FT COMMENTS PERFORMED BY: ll -S I �+` '� CERTIFY THAT THIS TEST WAS PERFORMED IN / ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: r r 72-008 (Rev. 4/85) T14 'A' Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES y r �.. ,., 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST re'in,`"q. rt zz2s PERFORMED FOR: MARL/iNk I=e PLC.KEN-S DATE PERFORMED: �APA''001✓r LEGAL DESCRIPTION: r PACT ADLVA LUY U l7 Township, Range, Section: rf Q NIS V2 3 ht�il 8 I:E G 2Z SLOPE SITE PLAN Ft7( ,=27TH, 0t2F7A1it L.S I TF1 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 n 18 19 20 so -"(y �;' 1-1--( F:1-t'fl 9614,J ? �tlDS'2 $oT1ON or- N0Ld WAS GROUND WATER w, ENCOUNTERED? V\1V S L 0 P q E /6 Gross Net Depth to Net Time Time Water Drop IF YES, AT WHAT DEPTH? Depth to Water Altar Monitoring? 00 Dale: Reading Date To p b/z n 160 t, D 7;1 S 5 I: 0 5 0l • ' Zo ` = � 0,17 11 y 4' % 0: i PERCOLATION RATE 7_?-.. (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN & FT AND A ALFT PERFORMED BY: v . I AGdG CERTIFY THAT THIS TEST WAS PERFORMED IN E A ACCORDANCE WITH ALL STATND MUNICIPAL GUIDELINES IN EFFE T ON THIS DATE. DATE: �j 'L nq 72-008 (Rev. 4/85) C LO I _ I SECTION LOT 33 TRACT A I F E N W I C KrSEPTIC 0 PTIC I e1� I I S g I LOT 4 I L T 40C Q �'1 0 S I � ell Z I R Lar 6 , R LOT 1 LOT 7 LOT 5 LOT 8 � I U,... N Lar 2 1 LOT 4 50 0 50 100 150 200 250 300 SCALE- 1' = 100' TnBBEN SPURKLAND P.E. TRACT A BLM LOT 40 SEPTIC SYSTEM DESIGN 203 W 15TH.501 AVENUE ANCH, AK. 99SECTION 22 T12N R3W ANDATE SEPT, 17, 199/ rami ?7a-3910. MARVIN PTCKLN.0 I I SHEET, 113 GRID: 2637 TBM TOP OF REBAR ELEV. 100,00 YI ASSUMED I I I REPLACEMENT SITE 1500 GAL STEP I 40X50 �4-BEDR RESIDENCE BED I 100 P�ERC # 103.3 El'Cr 0 WM ;:;;;:' 1 7,8 P OPOSED Well 43 I 100 I I I I I ell SEPT C SYSTEM I I 1 1 f Ve, Well 1' bbm, Si:ur;clnnd 44 iPT eo Cc2225 nv' �����Th01 25 0 25 50 75 100 125 150 ESSIOt�w� SCALEr I' = 50' TNBBEN SPURKLAND RE, TRACT A BLM LST 40 SEPTIC SYSTEM DESIGN 203 W 15TH, AVENUE SECTION 22 T12N R3W DATE, SEPT. 17, 1991 ANCH. AK. 99501 A V N P CKENS SHEET! P/3 GRID! p637 50.00 O 1-1/4 PVC 1/8' Holes of 6' 2' PVC TO STEP TANK 40.00 1500 GAL. STEP TANK Monitor Tube — O cpi r' la d M'n. 3 Ft of Cover Fill rop Of Bed £lev, 106.00 — — E'X(S7jNG 6R0[/ND SURFACE I —III—III III—_ -I / aoo Bottom Gf Bed Elev. 102.00 MiroA 140 6' of Septic rock 1500 Gal STEP Tank TOBBEN SPURKLAND P.E. TRACT A BLM LOT 40 SEC 22 T72N R3W SEPTIC SYSTEM DESIGN 6751 W. DIMOND BLVD, DATE SEPTEMBER 17, 1991 ANCH, AK. 99502-3904 MARVIN E. PICKENS 9'Q 95 4701 6RMMHAN #1 SHEET- 313 GRID, 2637 --r rho �� y �q '(/Ji�•l %Z� �G9 (� i" ��ZG.�}�i &PI %� �tlPI4i4 5'e c1�Cg, ort c3_t. -b-✓1- -rt GJctSle(-:frc i >ku'.-C'-n �_-YP A/ - _. �L) N �i j_ CJ -S , % I a ✓ ,c' r✓_t _/>ave 4twdf�%f_G7_/__ r/.JZ[./vJ- el h, i�J �'1_ . _. _(�./_I C. �t yd)i /l_. -P6,rk'h�.0j) -4e 5,y S. &/?n VC "led •%'.�-__. Oil�p("l[(J:---._r: .0 cr4 FIVED`G SEP 18 1991 --:moCnorage Hr. e; Human Services ill-/ nc�t�'4ii1Ct _ - —-/lAG9�5_ STATtr i ! DDEPARTMENT;rC IVISION .�OF, ;GEOLOGI WATERWE } LOQ FB LOCK -C 19N QTRS SGL TOWNSHIP cy iar.c acu.,c i Signatureof tk ,RhSOURCES,, -' GEOPNYSIGAL';; SURVEYS MERIDIAN 77 ���IOF,.COMPLETION , Lary �dtion ❑monitor= 4 it v,. Lam. `!�1n• a" ❑screened;"' ' ❑open hole' + ft Ohm yin }gth: >ft. ;o top: ft ,-s I r �•�1 'i51 %,",<+ �, �' I In'�. WELli ,INTAKE i �t open condi , 6 1 I % , ❑ perforated G�;f`'1°y 1�laNp ; /fir/+ /:�+ Depth's of openings: '+ t`o , ✓fl'i'1C'I'1;�..GYY.t �/C / .;�. ',` )lf,Z�t �L/li,l, , SCREEN TYPE ;��.�,�"( s t Slot/Mesh Size. Set:Between and , �,i-; GRAVEL PACK =TYPE: 'Volume used: Dep -•. GROUT-- TYPE:- :�;- 'Vo . Depth: -from ft to , t �Qp't �iea�r�l U, HUtY;811 erv1c1 DEVELOPMENT, METHOD + 4 cy iar.c acu.,c i Signatureof tk ,RhSOURCES,, -' GEOPNYSIGAL';; SURVEYS MERIDIAN 77 ���IOF,.COMPLETION , Lary �dtion ❑monitor= 4 it v,. Lam. `!�1n• a" ❑screened;"' ' ❑open hole' + ft Ohm yin }gth: >ft. ;o top: ft ,-s I r Municipality of Anchorage Development Services Department r' p z Building Safety Division s. .. On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 � www.ci.anchorage.ak.us (907) 343-7904 r CERTIFICATE OF HEALTH AUTHORITY APPROVAL` FOR A SINGLE FAMILY DWELLING Parcel LD. HAA# 64DI-1 42 1. GENERAL INFORMATION Expiration Date: ! .0,' a 0 Complete legal description T12N RX SECTION 22: LOT 40 TRACT A Location (site address or directions) 5639 FENWICK CIRCLE * ANCHORAGE. AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address GREG & KWM WOLCOTi Day phone 242-8366 5639 FENWICK CIRCLE * ANCHORAGE AK 99516 Day phone DONNA ORR W/ REMAX PROPERTIES Day phone 240-7493 2600 CORDOVA STREET * ANCHORAGE AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells ora public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority 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. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, Ltd. 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 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. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. 337-6179 V X Conditional approval for 4 bedrooms, with the fllowing stipulations: At the time of title transfer the new property owner shall sign i -be arrachpA maintenance agreement which shall be returned to this ff 1 f unconditional approval is issupel Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other By, f�rr, �i Original Certificate Date: 1 (Rev. 12101) T i GrX% Na:r.tu�Wa'c�iil Forage bC B -+"E^�Auvyl'..u� W +'h R3='M �uev-".n» .n:�%++r a s4fi r • � PP 4ll partment ° nr Pram n e r Y 9,. .»...... or C p de Welf L' ��;�� gni rvi TIIUi ft M-8 OW gpm. 508" ME s/100 ml Ni#rale �`�� mg /l Other' bacteria,. 'Data of camnla• 8I24/7�04 r„ne,..oa ti:,• E � - -a e✓vz•� .� V" ss. x x". ;`i ES 1 Size in gallons 15 0 Ma0nhole/Access (Y%N')' i "Pump off'fe'vel atT7MERin. ' High` water alarm level at 46 in `i a ea,'7 iE$�; ` MULTIPLE Nleets alarm & circui-re uirements. Cycles tested 4 Mot cent lots awer manhole/cleanout N/A Vater service Ili ne"l ` '10'+ Surface water 100 + ,..a..., ,. .., MI VY..{( 612PTION FIELOON LOTTO:"' ling foundation ace water ' 100,+ Driveway`, parking%vehiole`storage 10'+ �' , f•"kfM ?.» `�S'��.k Pa�'r*i°€„^°�„""�^,cF rx�'tTM^•;s�v-kx era,, �.� s; .F <„',` s on adjacent, lot"s 100 + Y3w+C�ry w ^+ . '�""Ni 'G^•saar�.a3<6a-a+if tav,�.3w,xv fi?;y Q(/�: ].� .'�/,�,`(� deferm�ned through fiehy inspections and d records that the above systems are in 0 MOA HAA guidelines in effect on this date: essr 953Name �oa c00O •? �� ofessi000\o Waiver Fee $ Date of Payment Receipt Number 08-30-04 08:42AM FROM-CT&E ESI, SGS ENV SERVICES _Sri$40— SCSRet.# 1045414001 Clicnt Name Garness Engineering Group, Ltd. Project Name/# TI2N,R3W,Sec 22,Lt 40,Tract A Client Sample ID T12N,R3 W,Sec 22,Lt 40,Tract A Matrix Drinking Water Sample Remarks: 9075615301 T-888 P.02/03 F-407 All Dates/Times are Alaska Standard Time Printed DateMme 08/27/2004 6:43 Collected Date/Time 08/24/2004 14:55 Received Date/Time 08/24/2004 5:35 Technical Director Stepheye ph Release � Parameter ResultsAllo Ic Prep Analysis PQL Units Method Container ID Limis Date Date lnit Waters Department Nitrate -N 1.47 0.100 mg/L EPA 300.0 B (<=10) 0824/04 JJB Microbiology Laboratory Total Coliform 0 col/100mL SM209222B A (<_]) 08/24/04 DKC 08-30-04 08:42AM FROM-CT&E ESI, SGS ENV SERVICES 9075615301 SGS/CT&E ENVIRONMENTAL SERVICES -SG$- Drinking Water Analysis Report for Total Coliform Bacteria READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE MUST BE COMPLETED BY WATER SUPPLIER ❑ PU9klC WATER SYSTEM Ili [941VAMINAPI(SYSTEM / -- -- send Results �/ Send Inwku ❑ Send Results MwreymmNa//m7 ams Ul � CNIwN NMm Pham NamWr _ Fa NZ MON ACeaaa cin, saw aP Ca4a SAMPLE COLLECTION: Deter Time: Collector. T-888 P.03/03 F-407 200 W. POTTER DRIVE ANCHORAGE, ALASKA 99516 Tel: 907-562-2343 Fax: 907-561-5301 1045414-JA�- I Osondinvoice W aymm welt rnpa0y Name .rte CenwM Nalco Mh Naadwr FU N~ Mdw*A $ civ em aPcus. SAMPLE TYPE: ❑ Routine ❑ Treated Water ami ❑ Repeat Sample ❑ Untreated Water ^oc� ❑ (refer to lab no. 1 - Special Purpose ' Transotted to Lae By; ;;some as collector Other. ams ane TO BE COMPLETED BY LABORATORY Sample Recelvinn: r�'� r�(( - Date: �f..%"�� ❑sample Ever 30tiouraaid; ❑ RUSH SAMPLE Time: /. S'S�i Results may be unreliable 40 Delivery Method: Received By: Comments: Phone #; _Fax M ..................................................n.................................................a........................................ Bacteriological Water Analysis Record: Sent to ADEC: MMO.MUG IPIA) RESULTS: ARC FSK JUN Analysis Began:Ssezw3m ® Total Colgot IDaternme: Analyst: .TL E. Can: Analytical Method: 1® Membrane Filter ❑ MMO-MUG (P/A) MEMBRANE FILTER RESULTS: Direct Count jff�� Colontes1100mL Vaniicauon: TacT— LTB: BGS: F..aca { EC: Sant to Client: Phoned Q Faxed Q Date/time: spaim wlm: Satisfactory ❑ Unsatisfactory TNTC • Too Numamua to Caunl Reported By: 1 . rJ� Datemme: 013... rea.wd. sign-wm C.. *mm MF9 ♦q,Hmq w G-27-2000044 112:42P FROM:R+ HOME SERVICES, IN 907-868-6770 • 54 p110HT 1,, `9 6� V 8478 n FULL NO A+ HOME SERVICES, INC. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER • Kim Wolcott 5639 Fenwick Circle �`...-- Anchorao_�eAK 24516 Block Lot ac TO:3383246 INVOICE # P: 1/1 24141 DATE DESCRIPTION AMOUNT 01-24-04 P=p Septic & Lift $95.00 _ a;>•:i?1,�;r:.... ...., . ,,fir' — - f lieu - fax receipt 495-7071 TOTAL 9 REMARKS �,:.. I Qd G a I I o n s _ V Septic Leach Area Holding Tank ❑ PROBLEM AREA — CALL FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape ❑ sludge buildup on bottom ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground needs replacing _ Standpipes 1D; ime ❑ Floater on top ❑ Needs Septictrine MUNICIPALITY OFANCHORAGE • DEPARTMENT HEALTH &HUMAN SERVICES of Division of Environmental Services On -Site Services Section !� P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 015-142-74 -HAA # NQ N1 1. GENERAL INFORMATION Complete legal description T12N; R3W; Sec 22; Lot 40, Tract A Location (site address or directions) Property owner Mailing address Lending agency 5639 Fenwick Circle Anchora e, AK Relo Action C/0 Remax Day phone " 2600 Cordova Street Anchorage. AK 99503' Day phone Mailing address Agent Bill Bradvr Remax PrBperties Day phone 257-0138 Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well XX 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 XX 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 x21 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 forthe 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 effecAlaaka dl f $lis inspection. wntewat Co su tants N1K, phone 337 �l7°I Name of Firm 619 1 dad, ulli 2B -� Address Engineers signature67 Date 2 ° 49 Alaska's Water & Wastewater Consultants,. of a� � Shall be PAID t� or prior to, closing for the ti 3�j Engineering Services Providsd� 1...�. 6. DHHS SIGNATURE Approved for U bedrooms. Disapproved. Conditional. approval for By: Additional Comments — bedrooms, with the following stipulations: UITIC Date` 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(8 .W) Beck MOA021 RECEIVED Municipality of Anchorage MAY 21 1999 !� DEPARTMENT OF HEALTH & HUMANN5Ri@iWALQF F ANC.11URAGE Environmental Services Divfl 0r,0NMENTALSERVICES DIVISION 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist ,F Legal Description: Tf�1 Q31i�SPC 22 LDf yd '✓Qd4.arcel I .: ©r? _ /y 2 9 41 A. WELL DATA Well type If A, B, or C, attach ADEC letter. AG�DEC water system number Log present(Y) /Z :�> Date completed ` � 2 �l Total depth / Cased to Sanitary seal ON) Y P FROM WELL LOG Date of test i Static water level Well production %S g.p.m. Casing height (above ground) la '-/-- Wires properly protected &N) e AT INSPECTION ll/211A WATER SAMPLE RESULTS: Coliform 6/ Nitrate �.`) /i��/j/�����- Date of sample: / % Collected by: /i r B. SEPTIC/HOLDING TANK DATA Other bacteria r Date installed I a'7 g1 Tank size 1606 Number of Compartments oZ Cleanouts (Y/N)_y'e.5 Foundation cleanout (Y/N)� Depression (Y/N) IqM High water alarm (Y/N) Q S Date of Pumping Sjl9 Pumper i C. ABSORPTION FIELD DATA r4�CtrO ,fin+Kvn �rF Dateinstalled/Soil rating(g.p.d./ff orftz/bdrm) 02 System type Length 3 (� / Width / Gravel thickness below pipe c> / Total depth c /' tIO Effective absorption area 3�0 2 it Monitoring Tube present�Y/N) Depression over field (Y/ 1� o � Date of adequacy test a Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); Immediately after= gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed ' I g / Size in gallons /5 00 ire Manhole/AccesN) `� "Pump on" level at*'�mP� "Pump off' level at* High water alarm level at* — //(p *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /0[l .-t4 On adjacent lots /CSD i Absorption field on lot /�Cj '� On adjacent lots Public sewer main /u14 Public sewer manhole/cleanout /V� Sewer /septic service line 5 /'f Lift station IDC) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation cr7 -y" Property line of c3 f Absorption field Water main/service line /D / Surface water/drainage 06 r Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line / U / Building foundation /D F- Water main/service line Surface water Driveway, parking/vehicle storage area r Curtain drain AlOne k1766y✓1 Wells on adjacent lots F. ENGINEER'S CERTIFICATION t certify that 1 in conforman inspections and review of Municipal �s in effect on this date. Signature Engineer's Name Date C;–/16 /� c HAA Fee Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Mv) .�— Date of Payment Receipt Number 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 Parcell.D.# C)ve'l^ oAA--1L1 1. GENERAL INFORMATION Complete legal description 1 kA c! A al- Lf I,_O i ti1 U -CSC_ as - g.31& Location (site address or directions) Eb3 n F-zvi ei ✓ Property owner�� as✓( n 1 tai c -60-v45 Day phone Mailing address 4i0 ) CQ ru c"ret"` P Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water V Day phone Day phone 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 X 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 (11m 1/91) Front MOA 421 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm % v 12-e 0 Phone A?q Address 1>1,0 3 Engineer's signature 6. DHHS SIGNATURE im Approved for Disapproved. Conditional approval for vNom— - Additional Comments bedrooms. Date bedrooms, with the following stipulations: 111TIC1 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.1191) Back MOAk21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: l.Ac, A 44) 0,P_e,d-0- Parcel I.D. A. WELL DATA Well type I`- If A. B, or C, attach ADEC letter. ADEC water system number N�/A Log present (Y/N) x Date completed ?-t)- V - q/ Driller AX � A44sklt V A;D-L Total depth Cased to 1 �6 Casing height Sanitary seal (Y/N) / Wires properly protected (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG .?,q �ql lot t'u I I t SEPARATION DISTANCES FROM WELL TO: AT INSPECTION MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION JAW 2 1 1992 RTTEIVED Septic/holding tank on lot ld)q ; On adjacent lots /l Absorption field on lot > On adjacent lots it Public sewer main Public sewer manhole/cleanout Iq Sewer service line U Petroleum tank _ N11" WATER SAMPLE RESULTS: (a�tS Coliform ice' ,�/,Nitrate �` � � Other bacteria —� Date of sample: '/If) q Z_ Collected bv: B. SEPTIC/HOLDING TANK DATA Date installed 11I�-Y I n I Tank size Cleanouts (Y/N) 1:70-0 Foundation cleanout (Y/N) Compartments Depression (Y/N) -2/ High water alarm (Y/N) NSA Alarm tested (Y/N) t& Date of pumping 1`1111-y Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot b On adjacent lots > / O c> Foundation f To property line ,a5 Absorption field 00 0 Water main/service line Surface water/drainage r(�A. 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed ifb-7Lal Manufacturer Mitt( I a (, Size in gallons 9:T -G i� Manhole/Access (Y/N) Vent (Y/N) _Y "Pump on" level at i/ "Pump off' level at High water alarm level 4t.) Cycles tested NIA Meets MOA electrical codes (Y/N) V SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot ;tEt 1�% On adjacent lots 0_40 Surface water D. ABSORPTION FIELD DATA Date installed "Ix', At .t Soil rating, -� IF—" System type 11 6( Length 0 Width t l� Gravel thickness b Total depth4 Ausct Total absorption area Cleanouts present (Y/N) 1�4 PU � 4 / d Depression over field (Y/N) `-`t Date of adequacy test �f1� Results (pass/fail) ��U>� for bedrooms Peroxide treatment (past 12 months) (Y/N) ) T If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot i A On adjacent lots -� / Property line C-10 To building foundation 1 J O To existing or abandoned system on lot N//k On adjacent lots 5 U Cutbank t�Water main/service line Surface water /r4/H Driveway, parking/vehicle storage area 5 !(1 Curtain drain ' 41A E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's N me (-x/16 .¢ i'l �'AU d ILLeL roe p 6 Date 1 6 l61 " ii c HAA Fee $ Date of Payment / ^ 121 % D Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number MAY -20-99 14:55 FROM; CTE ENVIRONMENTAL 5616301 T-002 P.01/02 F-003 CUE Environmental Services Inc. Laboratory Division CT&E Ref. N: 992191-1 Client Name: AK Water & Wastewater Cons Project Name 118 Client Sample ID: 5639 FenwicR Matrix: Drinking water PWSID sample 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 552-2343 Fax. (907) 561-5301 Client PON. nla Printed Date/Time, 5120199 15:00 Collected Date/Tirrla: 5116199 17.30 Received Dater rime: 5!19199 12:45 Technical Director Stephen Ede Released By: Allowable Prep Analysis Parameter Results PQL units Method Limas pate Date init Total Coliform (MF) 0 coln00 ml SM9222B 5119199 KAP Nitrate 1.45 0.5 mg1L EPA 300 10.0 5/19199 SCL tv MaV 2� 1g99aor",'` of Pr, ns� X01 &Num2 OHOt Wpb NOV-10-98 07:48 FROW-CTE ENVIRONMENTAL 5615301 ME Environmental Sarvioas Inc. CZ&F Ref.# 986350001 Client Name AK Water & Wastewater Consultants Inc. Project Name1N 5639 Feawiolc Circle Chert Sample ID 5639 Fenwick Circle MOrrls Drinking Water Ordered By PWSID 0 Parem@Ler Raaul T6 r0[CL Coliform 0 uierate•N 0.956 T-515 P.02/09 F-62.9 Client POW Printed VatelTime 11/09/98 1234 CollectedDate/Time 11/74/9814:30 Raeeivad Date/Time 11/05/98 12:00 Technical Director, Stephen C. File Released By ALLewapLk Prep Ane Lysis POL Units Netha(1 LIMITS BATE Data inir ccl/1a0,m 8/18 92428 91/05198 R11V 0,100 in3/6 EPA 300.0 10 max 11/05/98 11{05/98 GP RECEIVED MAY 18 1999 Municipality of Anchorage Dept. Health & Human Services NOV-10-98 07:48 FROV-CTE ENVIRONMENTAL 5615301 T-515 P.03/09 F-029 AIMME Environmental Services Inc. Laboratory Divisioft 200 W. Poner Drive DrinkingWater Analysis Re ort for Total Coliform Bacteria Anchorar. AK SSOIS-1608 Y P READJNSTRt1CTlONSONREYERSSlAP88FQRCOZL$CTdNt9k4 GSA& rai:IRU7168x-xa4s ax;19071561.5301 Q PUBLIC WATER SYSTEM LP, 4 `it PRIVATE WATER SYSTEM Q Sand Reduar "" - -- fJ ScnAfnvotzx en num � SandResuta ,�1 SoaoJNvaYae ���� / � ,�S A- ✓w r t �c _ �FHc ranr MAN�- MM SAMPLE DATE: Ll.l_:.1 Month �S(AMPLE TYPE, `F Routine Ll Repeat Sample (for routine Nati Ie rlrh lab ref. no. ❑ Special Purpose SAMPLE LOCATION 5 63aT FftjL'-IeIG-L°tf.G Comments: illiHI Pay Year Q Treated Water C3 Untreated Nater Time Callected Collected By 6ial2..l ms .� ?WWFM Analysis Shows this Water SAMPL r to be: X Sarisfaelory a Unsansfaclory c Sample over 30 hours old, results may be unreliable E3 Sample too long m uansa; sample should not be over 46 gouts Old al examinatiml is indicate reliable results. Please send new aardple via special de)ivemgIil. Date REcelved Time Recelved Analysts bVIIAez An4lyliclaMabadt q MambratteFilier la MMR -MUG • Numher of colonirs/100 ml. I,ysr"j-NA. - . ..n.�.....e AnalYst Jun U Favrd Dau: Titlta: Client Notified of unsatisfactory results: phoned .� Spokr with FazM Date: Time BACTERIOLOGICAL WATER ANALYSIS RECORD MMQ-MUG Rauh; Total Coliform — 9 Coli — Membrane Fitter. Direct COURT Verincadonl LTB tics Fecal Cuilfortn CoaOrwadao Final Membrane Filter Resulm c:--) Reported BY Dots r!'9% Colooloul0(1 ml COLIFrRM _ _ __ - _. C.olifonmlNBnil Time _LL., v-1' "— brs ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA, FLORIDA. ILLINOIS. MARYLAND. MICNIOAN, MISSOURI, NEW JERSEY. OhIO, WEST VIRGINIA N O7 N U TML' �..e Tim Nngpo70.n. 0% d c m CU 0, ¢ E E LLJ U 01 ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA, FLORIDA. ILLINOIS. MARYLAND. MICNIOAN, MISSOURI, NEW JERSEY. OhIO, WEST VIRGINIA NORTHERN TESPNG-, LABORATORIES, IKK 2US PAIROANKS STREBT 'ANCHOfiAdE,ALAfiKA4B6A9 `W Ibb�1 �'�7� FAX 271045 Mo INDUSTRIAL WAY FAIR6ANKS,ALABKA 0b741 . t (001, 490`115 • FAY. 4SW25 Drinking Water Analysis Report f6r TO BE COMPLETED BY CLIENT Q PUBLIC WATER SYSTEM I.D. ( PRIVATE WATER SYSTEM f'W atM SAMPLE DATE: 1- .2 Phone j2 Mo. Oay Year Purchase Order No. SAMPLE TYPE: Jd Routine 0 special Purpose 0 Chock Sample Ifor original contaminated sample with lab reference no, - r. -h 0 Treated Water Untreated Water Tim No, L tRilo,l C011W44 4aIN<tod by 2 ...... _.... r � 'Z 4 5 _TjLA� DMLLXNC, e � Pump Sales and BervlCe %�;w kincfel br ve 7 Anchorage, Alaska 99502 a Bacteria TO BE COMPLU0 BY LASORATORY Received at: X Anch. Fbks. Date Rocalved / ' .` ! --...r— Time Received Naxt Sample Due r1� COMMENTS: UZI SATISFACTORY MUD IMN7MIilAL UNSATISFACTORY U RESAMPLE R OTHER BACTERIA OB TOO NUMEROUS TNTC TO COUNT DATE AZTALYZED 1/3/92 1700 t4EMME FII TER plrrat VuR10tloe nail �USA 005 R"Alt, 40mW%Y 10---- Signatura of.$.4resentative *No, of TOW Coliform TAW p r 100 MIS. FOR LA00RATORY U94 ONLY UZI Gw1a MUD IMN7MIilAL A CIµ INrfAVCT10l1: t6UG NAI155 Re ort b r 1 Date 1 .5a . D LoC2 -------------------------------------------------------------------------------------------------------- .SC,N— 1 4-9 1 TUE 1 G : 57 0 P . 03 /,2Ile' fl CHEMICAL & GEOLOGICAL LABORATORY W i �Po A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. TELEPHONE (907) 562-2343 5633 B StreaR E LPeOR�mp� Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria `GAN 2 9 i:y_7. TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D. #� PRIVATE WATER SYSTEM I My TO BE COMPLETED BY LABORATORY i Analysis'shows this Water SAMPLE to be: i E Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. SAMPLE DATE: L� �Tl <�GJ C 1l f I22/9Z Date Received Mo. Day Year Time Received 1500 SAMPLE TYPE: yRoutine Analytical Method: Membrane Filter ❑, Check Sample (for routine sample with lab ref. no. ) ❑, Treated Water ❑ Special Purpose Cl Untreated Water No. of colonies/100 ml. SAMPLE Time Collected Lab Ref. No. Result' Analyst No. LOCATION Collected By i 1 iC yF" 32.0257 Ge y FT -1 3 I �mmJ 4 m 5� �� m A D.EC �_2 Z l9�ilC BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter: Direct Count Coilform/100 ml Verification: LSB BGB BEFORE Fecal Coliform Confirmation COLLECTING SAMPLE Final Membrane Fit te esults Cooilform/100 ml Reported By e L /' Date z 3—/ Z /6")n TNTC = Too Numerous To Count a.m. PART ONE OF TWO: p'r"' OB = Other Bacteria REMAINDER TO FOLLOW °r woneronr CH HCAL & GEOLOGICAL' iABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. TELEPHONE (907)662-2343 5633 B Street Anchorage, Alaska 89618 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D. # PRIVATE WATER SYSTEM Analysis shows this Water SAMPLE to be: SAMPLE DATE: IO i UC AliJ Mo. Day Year SAMPLE TYPE: Routine Check Sample (for routine Sample with lab ref. no. ) ❑ Treated Water ❑ Special Purpose Untreated Water SAMPLE Time Collected No. LOCATION Collected By 1 L4 Or ;/O �.�� tom: I a. vi 2I I K3 5 A.D.E.C. !-/7-92 A—QCT}. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE /6-Satlsfactory ❑ Unsatisfactory ❑ Sample too long In transit; sample should not be over 30 hours old at examination to indicate reliable reau@s. Please send new sample via special delivery mail. Date Received 1 is biz. Time Received100 Analytical Method: Membrane Filter ' No. of colonies/100 mi. Lab Ref. No. Resuft• Analyst 92.0184 QW V I m �- J FEI r i W ' BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter: Direct Count%r OJ5 0614"W1100 ml Verlfleadon:LSB_ Af!7P'[I i✓t✓ BGB (/legaf(NG Fecal Coliform Confirmation��r9h✓e, Final Membrane Filter Results q Collform/100 ml Reported ByDate TNTC = Too Numerous To C0 unt - r �& ■.m. Held For Confirmation PART ONE OF TWO: ^p.m, OB = Other Bacteria REMAINDER TO FOLLOW sod 010 00000000000000000000 00000000000000000000 61:sl, to -10—a6 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5833 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562.2343 FAX: (907) 561.5301 ANALYSIS JIESULTS for INVOICE 150375 Chemlab Rof.I 92.01B4 Sample I 1 Matrix: WATER Client Sample ID o LOT 40 SEC 22 PENWICH PWSID UA Collected JAN 15 92 A 10:45 hrs. Received : ,IAN 15 92 J 15:00 hxs. preserved with AS REQUIRED Analysis Completed JAN 17 92 Laboratory Supexvieox STEPHEN C. EDE Client Name +TOBBEN SPURKLAND. P.E. Client Acct :TOBBENS BPOf + POf ;HOME RNCEIVED Reqs ordered By Send Reports to: 1)TOSBEN SPURELAND, P.E. 2) Released By .... J10..:.....................s Unite ..................................,,......,.................................. "'""" Het hod Allowable L1miu Parameter Result -------------------------------------------------- --•---- NITRATE -N 0.84 mg/l EPA 353.2 l0 Sample ROUTINE SAMPLE COLLECTED BY: T.S. Roawaxks: 1 Teets Performed See Special instructions Above UA•Unavailable See Sample Remarks Above ND- None Detected NA• Not Analyzed LT -Gene Than, GT•Grsater Than IO SGS Member of the SGS Group (S00160 (adndrale de Survelllance) \ I� ry- rnQ 1 i.. ..► Ao n��ry \ !hI ,