HomeMy WebLinkAboutCONTOUR ACRES BLK 2 LT 2Contour Acres
Lot 2
Block 2
#017-451-16
Municipality of Anchorage Page 1 of ,3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW990210 P]D Number: 017-451-16
Name:BRIAN HOEFLER Wastewater System: · New [] Upgrade
Address:
5520 COUNTRY CLUB LANE ANCH., AK 99516 ABSORPTION FIELD
Ph°ne:(907) 561--2139/345--8496 Ne. of Bedrooms:
5 · Deep Trench ~ Shallow Trench B Bed O Mound O Other
LEGAL DESCRIPTION 0.6 ~,,/sq. ~ 9.03 - 9.52
2 2 CONTOUR ACRES 1.82 - 2.51 ~ 7.21
- - - 1.19 - 3.24 ~ 90
WELL: a New ~ Upgrade 2.5 ~ 1~ -
PRIVATE 265 ,. 250 ~ 1298 so.~ ASTMD-3034/F810
ALPINE DRILLING 10/20/99 214 ~. KINCAID + SONS 2/17-3/2/00
TANK
SEPA~TION DISTANCES = s.~t~ ~,o,,~., ~ s.~.E.,.
To Septic ~so~Uon ~ft Holding ~ubl~c/Pdv~te
From T=nk Reid St=tion T=nk s.~.r u..~ ANCHORAGE TANK 1500
Well 100'+ 100'+ - 25'+ STEEL 2
su,.=. ~oo'+ lOO'+ - LIFT STATION ~
Water
Drein NONE KNOWN
I I
Remarks: ~,~ I~ ~ coo~ BENCHMARK
~, ~ ~ ~ ~ THRESHOLD OF MAN DOOR ON NORTH
{~O~ END OF HOUSE
100,00
~ .............. i '.~'~
Inspections pe,ormed by:_ AWWC, INC. Dates: 1st 2/,7/00 ,~':. E ~ ~ ........ ~.~.
2nd 3/2/00 ~ t~ ~ ~
~ ~ ....... t.....".-:
3rd 3/6/00 & %id ~f r~/~ 'nes~.'
of Health and Human Semites approval
DepaAment ~h?~ ',.. ,..'
Reviewed and approved b ~ ~ Date:~-9o-e°
$W990210 017-451 -16
~ T TH~5 DBLI~
I ~1 (~OCYCLE OR
/
/
FCO
ST~ ~.o3 ~3.5~ ~N /
co2 ~.9~ ~o~.o4 ~ 55
6/26/2000
BRIAN HOEFLER (907) 561-2139/~45-8496 2 OF 3 , ~eTre, A. ~s~: "~
_E~AL DESCRIPqON: qk ~_., . ~ ,.' '~
CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2
AS-BUILT OF SEPTIC SYSTEM UPGRADE :.
A B
ST1 34.03 6.3.58
ST2 42,30 70.68
DBL1 45.51 73.39
DBL2. 46.36 74.17
C01 59.88 89.17
MT 72.49 91.05
C02 98.91 08.04
PERMIT NUMBER:
sw99o~o AS BUILT DRAWING PARCEL'"C4
FIt¢~
PREPPED fOR: PHONE NUMBER: PAGE NUMBER:
BRIAN HOEFLER (907) 4/18/00 3 Of
CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK Z,
AS-BUILT OF SEPTIC SYSTE~ UPGRADE
........ _C_ ~O~JNTRY Ct. UB
00'01'00" w 275.00'
LANE
,00'~0~' ~ .Og',60. O0 N
Fpom : ALPINE DRILL 90? 345 0202 Jun. iS. 2000 09:29 PM
Munici alit of Anchorage · p Y
Department of Heal!h and Human Services
625 'L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650 ..
Rick Mystrorn hllp:l/www.ci.anchoraga.aR.us ' ·
Mayor
Per,nit Number: #SW~9~0219 Date o£.Is.~e: .7~2t-99 Parcel Identification Number:~
Dale SLaHe~,: ~ Date Completed: 'I0-20-99 Is well located at approved permit location? [] Yes []
Legal I)eaer~pttoU~: Contour Acras BIk 2 It 2
PrOl~rly Owner Name & Address:
Borehole Data:
Soil 'type, ]'hietates$ & Water Strata
sticl~-up
silt
gravelly silt
silty cobbly gravel w/bldrs
gravelly silt
s#ty cobbly gravel w/bldrs
silty gravel
water sand S gravel
silt
bedrock
Bdan Hoofler
320f Merganser Ave
Anchorage, Ak 99616
Oepth (ft)
From To
0 2
2 4
4 4~
41 65
65 18t
181 210
210 221
221 226
226 247
247 265
RI-'_C £ IV£D
JUN 28 2000
Municipality of Anchorage
Oept. Health & Human Service~
Method of Drilling [] air rotary
Casing type: ~teel
Wall Thickness: .250 inches
Diameter: _6 inches Depth: 2~50 feet
Liner Type:
Diameter: .__ inches Depth:
Casing stiekup above ground: _2 feel
[] cable tool
Static water level (t}om ground level): 214 feet
Pumping level: 265 feet after
_2 hours pumpiDg _4 gpm
Recovery Rate: _4 gpm
Method of Testing: Air lift
Well Intake Opening Type:
[] Open End [] Open Hole
[] Screened Start feet Stopped ,
[] Perforations
feet
Start 22._.~ feet Stopped 226 feet
Grout Type: bentonite t! 8 Volume: 1 bg
Depth: Start_0 feet Stopped feet
Pump: Intake Depth .__ feet
Pump sim hp Brand Name
Well Disinfected Upon Completion? [] Yes [] No
Method of Disinfection: CIorin~ rObla(s
Comments:
Well Driller:
Alpine Drilling & Enterprises
P.O. Box 110496
Anchorage AK 99511
A~tention: Tim well driller shall provide a wall Jog to lhc property ownor withi*~ ~0 day, of completion aad the properly
MUNICIPALITY OF ANCHORAGE
Depalfment of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM/WATER sUPPLY PERMIT ~/'O~/(P'~.?'~ pY'v~
Initial
Date Issued: Jul 21, 1999
Expiration Date: Jul 20, 2000
Permit Number: SW990210
Legal Description: CONTOUR ACRES BLK 2 LT 2
Design Engineer: 0041 AK Water & Wastewater Consulta
Owner Name: Brian Hoefler
Owner Address: 3201 MERGANSER AVE
ANCHORAGE, AK 99516-2708
Parcel ID: 017-451-16
Site Address: 005320 COUNTRY CLUB LN
Lot Size: 124700 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms; 5
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.
Received By:
Issued By:
Date:
ALASI WATER & WASTEWATER
February 28, 2000
Municipality of Anchorage
Department of Health & Human Services
Division of Enviromnental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Second Revision of Septic System Design for Lot 2, Block 2, Contour Acres Subdivision.
Permit # SW990210
To whom it may concern:
The design for the septic system on this lot was modified on 10/5/99 and verbally approved by
Donna Mcars. The test hole locations were aproximate on that design and have been corrected
by a land survey. Much of the proposed area around test hole #2 is buried with up to 4 feet of
fill. Also, the new septic tank has been placed in the proposed area. Consequently, we have
performed additional soils tests and relocated the drainfield accordingly.
If you have any questions, please call us at 337-6179.
jei ~x~ Gaha~s, P.E., U.S.
Pr, fit
NOTE: Attached is a site plan drawing, soils logs for the new test holes, and a design drawing
which are all part of the revosed design package for this system.
6901 Debarr PPad,, Suite 2B ~ Anchorage, AK- 99504 ~ (907) 337-6179 ~ Fax (907) 338-3246
Ii' DESIGN /
REVISED ,,
I
CONTOU~ ACRES S2;"D \
-.~ <~ LOT 1 BLOCK \
~sx~ W~T~
CONTOUR ACRES SUB"IVISION. LOT 2, BLOCK 2,
BRIAN HOEFLER 565-2159/345-8496
)A~: JD~WN BY: JSC~: PAGE:
2/28/00 J J.L.M./J.W.M. J
~0'~7~ Z ~ iz~o~°-
/111
· PROPOSED DEAIN.~.,~E~. EXCAVATE A--~ RESERVE srTE (BIOCYCLE OR-~
TRENCH THAT IS (~ET DEEP (MAX), ~ REACTEX SYSTEM, UFT
I~Y 90 FEET LONG-BY 2.5 FEET WIDE, ~ STATION WILL BE NEEDED)
I ~//~ i TO SLOPE CONTOURS. X,
~ ~ ...... -.... 10' UTILrTY EASMENT ........
,~/ , ..'Y"X ?.;
.~°/ _ x ...-/.'-' _~ <;"
~ J TH#2 / ~--EXlSTING 1500 gALLON
~ j . / SEPTIC TANK
ALASKA WATER AND WASTEWATER CONSULTANTS, INC. ~'~'~'~'~
0901 DEDARR ROAD, SUITE 2B, ANCHORAGE, AK, 99504
PHONE: (907) 337-6179/FAX: (907) 358-3246 ' "'
LEGAL DESCRIPTION:
.,,
'IYPE OF WORK:
DESIGN OF SEPTIC SYSTEM UPGRADE
DATE:2/28/O0
J.W.M. 1 -- 40' ;[ OF 2 ~rOfess[O~
I
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
PHONE (907) 357-6179 * FAX (907) 338-3246 '
ISOIL LOG - PERCOLATION TESTJ ~.:'..~.~ !~.,..~..
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2 ~ ///,~i,y~x.~__..~.-
PERFORMED FOR: BRIAN HOEFLER
DATE PERFORMED: 8/12/98 (/O~..'"J.. C~-7953 ....",~
JtEST HOLE #2J
__ : ORGANICS
1..... ._. (PAGE 1 OF 2)
~ ORGANIC/LOAM
SOIL
CLASSIFICATIONS
2~-j~~: -- ~ SITE PLAN1' +THi~
GM Cl
i GC OL
o ,SW HH *THIS THJ2
~ sP CH ~--~
SM OH
DEPTH TO DATE - --
ML 3ROUNDWATER
DENSE SILT WITH
SM LAYERS DRY 8/12/98 J
THROUGHOUT DRY 8/19/98 PROPOSED ,~ ,~'~'~ ~ V
j
' I ,
11[llllt ' DATE READING CLOCK NET TIME WATER LEVEL NET DROP
l J]:"[,: TIME (MINUTES) READING (INCHES)
12 8/13/98 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
13 1 2:30 6"
2 .3:00 30 2"
14 3 3:01 6"
4 3:31 30 2" 4"
15 ~'~B.O.H: 5 3:35 6"
16J -'- 6 4:05 30 2" 4"
18
19 PERCOLATION RATE 7.5 (NIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 3.5 FT. AND ~.0 FT.
COMMENTS: PERCOLATION DATA ON THIS PAGE FOR UPPER BENCH PERC. HOLE ONLY.
PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATE: ~/~/~
DEPTH TO DATE
3ROUNDWATER
DRY 8/12/98
DRY 8/19/98
ALASKA WATER & WASTBWATER CONSULTANTS, INC.
[SOIL LOG - PERCOLATION TESTJ
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2 ............
PERFORMED FOR: BRIAN HOEFLER
DATE PERFORMED: 8/12/9B ~2,~,:.b'.... ~:-7953 ....'~,~
DEPTH--(feet)ITEST HOLE #2[
1-- (PAGE 2 OF 2) '~'~.~.~-~.'~.."~:~
S~iL CLASSIFICATIONS
:~t:.,..~ ~ SITE PLAN1
;:.,,;..-.¢::, GW ~=~: ORG I": I00' J
4-- GC OL 'm#,~
SW MH *'m#5
B-- Sp CH
6- LU'--' SC . --.
a. SROUNDWATER DATE - --
10-- 3: . ,
u CLOCK NET TIME WATER LEVEL NET DROP
11 -- ~- DATE READING TIME (MINUTES) READING (INCHES)
U-0 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
12--
13 -- ~ 1 2:29
L~ 2 2:59 30 3 1/4," 2 3/4,"
14,-- ~ 3 3:00 6"
o 4, 3:30 30 3 1/8" 2 7/8"
15--
~ 5 3:35 6"
16-- ~u 6 4:05 30 3 1/8" 2 7/8"
17--
18--
19-- PERCOLATION RATE 10,4 (HIN./INCH) PERC, HOLE DIA, 6 ,(INCHES)
20----- TEST RUN BETWEEN 6.0 FT, AND 6,5 FT.
COMMENTS: PERCOLATION DATA ON THIS PAGE FOR LOWER BENCH PERC, HOLE ONLY.
PERFORMED BY ALASKA WATER & WASTEWATER, l, JEFFREY A. GARNESS, CERTIFY THAT THIS
WAS PERF~R~J/~D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON
DATE:
DEPTH TO DATE
;ROUNDWATER
?u~. WATER & WASTEWATER CONSULTA1N'TS, INC.~=~.~ OF',~;.,~
PHONE (907) ~137-6179 FAX (901) 558-3246
PERFORMED FOR: BRIAN HOE~ER ~'~ *' [ ..... ~"'] ..... :'"3
I TEST HOLE . · ·
2-- -- F~ S I C~ SIFICATI NS SITE PCANk ..................... $-~7S ....
~ GW ~ ORG I r' = IOO' /N
4-- 3-- WI~ ML (DENSER DEPTH ', ~,* ~ ~, GM GP GC SW ~~ OL CL ~mt~ TH~7+ ML MH . -. +m~2X ~ I +mis mt2,
5 ' Sp CH
SM OH //
7-- DEPTH TO DATE
GROUNDWATER -~
11- DATE READING CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINUTES) READING (INCHES)
121 2/25/00 1 1:38 6"
2 2:08 30 MIN 1 1/4" 4 3/4"
13~ 3 2:08 6"
4 2:38 30 MIN 1 5/8" 4 5/8"
14~ S 5 2:38 6"
6 3:08 30 MIN 1 5/8" 4 5/8"
19 PERCO~TION RATE 6.5 (M)N./INCH) PERC. HOLE DIA. 6" (INCHES)
20
TEST RUN BETWEEN 3.5 FT. Al ~.. 4.0 FT.
PERFORMED BY A~S~ WATER ~ WAST~ATER I, , CERTI~ THAT
DEPTH TO DATE
GROUNDWATER
/ DRY 2/23/0,0
ALASIrdt WATER & ~TASTEWATER CONSULTANTS, INC.
PHONE (907) 337-6179 * F~ (907) 558-3246
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2
PERFORMED FOR: BRIAN HOEFLER ,~.Jef ey . ~.'
I, s,I
DEPTH ~
2 SOIL C~SSIFICATIONS ~'~-~-~-
111111111
, 0, SW NH TH~2
~ Sp ] CH /
SH ] OH //
SC // TH~I
DEPTH TO DATE
DRY 2~23/00
lO~l~l]~l~l I ~
11~sM DATE READING CLOCK NET /I~E WATE~ LEVEL NET DROP
TINE (NINUTES) READING (INCHES)
12 2/25/0C 1 1:38
2 2:08 30 MIN 1 1/4" 4 3/4"
13 3 2:08 6"
4 2:38 30 MIN 1 5/8" 4 5/8"
14 5 2:38 6"
6 3:08 35- MIN 1 5/~" 4 5/8"
16 ~
17~~
18
19 ~ PERCOLATION RATE 6.5 (~IN./INCH) PERC. HOLE DIA. 6" (IMCHES)
20
N~)~ , CERTI~ THAT
MU GUIDELINES IN EFFECT ON THIS
DEPTH TO DATE
3ROUNDWATER
DRY 2~/23/00
COMMENTS:
PERFORMED BY ALASKA WATER & WASTEWATER I, {
THISDATE. WASDATE:PERFORMED. z~/~ ~120ACCORDANCE WITH ALL STATl /~N ~.~
ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~ OF' ~
6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK. 99504 .......
ISOIL LOG - PERCOLATION TEST]
.r-.;.7. T ?-:
DATE PERFORMED: 2/2,3/00 toilS..:. '.! ~-7953 .'"
[Ih % '.. .."
(fe*O TEST HOLE #7 '~I~,2"~,~ ..........
'~',
SOIL CLASSIFICATIONS
3-- ~ GP FT1T~ ML I ~,TH#4\\ TH#6
GM CL .,~s~ TH#7+
4- GC o, ,~. ,?~. ~
~- ~ sP CH /
SN OH
7I--'~ DEPTH TO DATE
3ROUNDWATER
(/) SEE PAGE 1 FOR
9-- <~ -- GROUND WATER.
CD
10-- _~
0 CLOCK NET TINE WATER LEVEL NET DROP
11 -- U') DATE READING TINE (NINUTES) READING (INCHES)
n-' 2/25/0(3 1 1:57 6"
12-- 0
LL 2 2:07 ~0 MIN 5 5/8" 5/8"
1~-- --- 3 2:07
Ld 4 2:57 30 MIN 5 1/2" 1/2"
14--- (_9 5 2:37
~ 6 3:07- ~0 ~N-- 5 1/2" 1/2"
15--
LLI
16-- (/3 ___
17--
19-- PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES)
20-- - TEST RUN BETWEEN 8.0 FT. AN~/~ L5 FT.
PERFORMED BY ALASKA WATER & WASTEWATER I, , CERTIFY THAT
THIS WAS PERFORM)ED I~ ACCORDANCE WITH ALL S--"J-A~E//~)~'~JNIC'~P, AJz/GUIDELINES IN EFFECT ON THIS
DATE. DATE: ~
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2B ~ Anchorage ~ Alaska 99504
(907) 337-6179 N Fax (907) 338-3246
Consulting Engineers
July 8, 1999
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Well and Septic System for Lot 2, Block 2, Countour Acres Subdivision
To whom it may concern:
The proposed 5 bedroom house will be served by an onsite septic system and a private well.
Comments regarding the proposed upgrade are summarized as follows:
SOILS: On August 12, 1998, two test holes were excavated and a percolation tests were
performed. On April 30, 1999, three additional test holes were excavated and percolation tests
performed. Attached are the soils logs and pe~colation test data. No ground water was
encountered at the time of excavation of the test holes. Due to the favorable percolation rates
and the overall appearance of TH#2 & TH#5, the primary site will be installed within the 30 foot
radius of TH#5 and the alternate site would be installed the 30 foot radius of TH#2. Also, due to
the overall appearance of the soils a 0.60 application rate should be used.
TRENCH DESIGN:
a. Percolation Rate: 8.6 & 9.6 minutes/inch (for TH#5
b. Allowable Application Rate: 0.60 gallons/day/ft2
c. Number of Bedrooms: 5
d. Design Flow: 750 gallons per day
e. Minimum Absorption Area: 1250 Ct2
f. Maximum Total Depth: 11 feet
g. Width: 2.5 feet
h. Length: 2 ~ 45 feet long each (90 feet total length)
i. Effective Depth: 9 feet
j. Effective absorption area = 1620 ft2
SURFACE WATERS: There is no surface water within 100' of the proposed septic system.
TOPOGRAPHY: As can be seen on the attached topography site plan, the average slope is a
15-20 percent slope farming from approximately east/southeast to west/northwest; in short, there
are no slope concerns, The trenches are to be installed parallel to all slope contours.
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 Y~I for your assistance.
//!
Sincerely ~ !
· M.S.
Presi/
NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, nine soils logs
and a 4 page construction specification letter which are ali part of the design package for this
septic system.
I
~ I LOT 1 BLOCK ~
mi CO.lOU~ AORES
........... _~ ..... ~ ~TERNATE
............. 5~
PROPOSED SEPTIC ~M
~ I :~-~--~" ~ ~
'
caS~
ALASKA WATER AND WASTEWATER CONSULTANTS, INC.
PHONE= (~O7)
CONTOUR ACRES SUBDIVISION, LOT 2, BLOCK 2,
SITE P~N FOR PROPOSED WELL LOCATION
'REP~EO FOR: PHONE NUMBER:
~-~/~s-~4~
BRIAN HOEFLER
m I
DATE:7/8/g9// D~WN BY:
J.L.M./K.D.W. 1 = 100' 1 OF 2
/ NOTE: THE CONTRACTOR SHALL HAVE THE NORTH PROPERTY
UNE FLAGGED DY A REGISTEREO LAND SURVEYOR PRIOR TO
CONSTRICTION
10' UTIUTY EASEMENT
/~LONw~G~pRoPOSEO DRNNFIELD '~. ·
CAVATE ~WO TRENCHS :il-lAm TH#3 J
E 11 FT. DEEP (MAXIMUM)
2.5 FT WIDE BY 4,5 FT.
TH#~4 LONG EACH. ADD 9 FT. OF CLEAN,
HED DRAINROCK. INSTALL
~ T/////CO~//cO TRENCHS PARALLEL TO SLOPE
LLI CONTOURS.
Z
0 III III n
Ii
)- Il/ ~ I/i RESERVE SITE. ]WO'~....~ I ! . '
Ill ' III ..~_2.~. LONG TRENCHES ~/ //
I-- Il/ fli WITH 9 FT. TOTAL DEPTH. ~. /
Z ~ UTi/; /1! 6 FF. Of EFFECTIVE. / / ~L~/ / ~ PROPOSED
~ 'X ,~! UT,'I! I/ ~- I1 / 1500 GALLON
'~ ~CO '"'~1 ;: ~ II / SEP]lC TANK
0
~ ~_ ~. ~ INSTALL FCO~ /'
WE.. \ 'X /
ALASKA WATER AND WASTEWATER CONSULTANTS, INC.
PHONE: (907)337-6179/FAX: (907)538-32'4-6 /'~'1 ."J-'~,',
CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2 .........
~YPE OF WORK:
DESIGN fOR PROPOSED WELL LOCATION AND SEPTIC SYSTE~ ,k~.~..~/ t/~ ~'k~=':'"'l
BRIAN HOEFLER (907) .....
K,D.W. 1 = 4.0' 2 OF 2
ALASKA WATER & WASTEWATER CONSULTANTS, INC. ..~'~,-.r ,...,,
PHONE (907) 337-6179 * FAX (907) 338-5246
I SOIL LOG- PERCOLATION T£STI ~.4it.}.~.~..
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2IL ~}[...2.~[
8/12/98
DATE PERFORMED: ~. '..
__ u11;,% "-.[ ..."
ORGAN,CS I TEST HOLE # 1 I 'a~'%~' ........
~r o fess[o~
DEPTH
(PAGE 1 OF 2)
1~ ORGANIC, LOAM
........
SOlE CLASSIFICATIONS
;~..,,:?.:.~¥: GW z~: ORG I" = I00' [
GP ML
GM I CL
.... SW MH ~J5 TH~2
-
~ ' SP I CH
SM ~ OH
SC
ML SROUNDWATER
DENSE SILT WITH
SM ~YERS DRY 8/12/98
THROUOHOUT DRY -- Y
~o
11 DATE READING CLOCK N~T TIME WAIER LEVEL NEI DROP
TIM~ (MINUTES) R~ADING (INCH~S)
12 8/13/98 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
13 1 2:35 ~ 6"
2 3:05 30 4" 2"
14 3 3:05 ~ 6"
4 3:35 30 4" 2"
15 5 3:37 ~ 6"
16 6 4:07 30 4" 2"
17 _
18
~9 PERCOLATtON RATE lS (M~./~CH) PERC. HOLE mA. ~ O~CHES)
20 TEST RUN BETWEEN 4.O FT. AND 4.5 FT.
COMMENTS: PERCOmT~ON DATA ON TH~S PAGE FOR UPPER BENCH PERC. HOLE ONLY.
PERFORUED 8Y A~SKA WATER & WASTEWATER. I, JEFFR~ A. OAR~ESS, CERT~ THAT TH~S
WAS PERFGRgED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
PATE: 71~
DEPTH TO DATE
SROUNDWATER
DRY 8/12/98
DRY 8/19/98
ALASIr~A- WATER & WASTEWATER CONSULTANTS' INC'
6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, At<. 99504
PHONE (907) 5;57-6179 * FAX (907) 358-3246 '
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2 ~';':'"/"~/' '/'7~' ....... ;...
(feet), , ~xP~r o f e s sioO~°~:~
1_ (PACE 2 o~ 2)
SOIL C~SSIFICATIONS
2-- SITE PLANk ..........
6H CL
4~ 6C OL
o ~ SW HH
s¢ tm PROPOSEO
m CLOCK NET TIHE WATER LEVEL NET DROP
11 ~ ~ DATE READING TIHE (HINUTES) READING (iNCHES)
i ~ 8/13/98 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
13 ~ ~ 1 2:35 6 3/4"
14~ m - 3 5:35 30 6" 1/4"
0
19-- PERCOLATION RATE 120 (~IN./INCH) P~RC. HOLE DI~. S (INCHES)
20:- TEST RUN BETWEEN 7.0 FT. AND 7.5 FT.
COHHENIS: PEECO~IION DATA ON IHIS PAGE FOR LOWER BENCH PERC. HOLE ONLY.
PERFORMED BY A~SKA WATER & WASIEWATER. I, JEFFR~ A. GAYNESS, CERII~ THAT THIS
WAS PErFUmED I~ ACCOSDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
PHONE (907) 337-6179 (907) ~:~..~,,.
-
DATE PERFORMED: 8/12/98
~EPTH ~
.... ~ (PAGE 1 OF 2)
~ ~ ORGANIC/LOAM SOiL C~SS]FICATIONS
~L 3ROUNDWATER
DENSE SILT WITH
:-,: su ~YE~S D~ ~/12/~
w~
~0 '
~] DATE R~ADING CLOCK ~ET TIHE WATER LEVEL NET DROP
~l~: [, ~ TIME (MINUTES) READING (INCHES)
12 8/13/98 PERC. HOLE WAS PRESOAKED ¢+ HOURS PRIOR TO TESTING
15 ~ 1 2:30 6" __
2 3:00 30 ___ 2" ¢,,
14 -- 3 3:01 6"
15 ~-~ '_ ~ 4 3:31 30 2" ¢,,
~ 5 3:35 6'T
16 IB~'H' 6 4:05 30 2" ¢,,
19 PERCOLATION RATE 7.5 (NIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 3.5 FT. AND 4.0 FT.
COHHENTS: PERCO~TION DATA ON THIS PAGE FOR UPPER BENCH PERC. HOLE ONLY.
PERFORMED BY A~SKA WATER & WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS
WAS PERFQR~D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATE:
DEPTH TO DATE
;ROUNDWATER
DRY 8/12/98
DRY 8/19/98
PHONE (907) 3,57-6179 * FAX (907) 338-3246 ,..' ..
[SOIL LOG - PERCOLATION TESTI
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2 "~~
PERFORMED FOR: BRIAN HOEFLER
1__ (PAGE 2 OF 2)
SOIL C~SSIFICATIONS
GM CL
4-- GC OL
5 ~ ~ SP CH
SH OH
7-- ~ DEPTH TO DATE
GROUNDWATE~
10~
~ CLOCK NET TI~E WATER LEVEL NET DROP
11 ~ ~ D~TE READING TIHE (HINUTES) READING (INCHES)
o
m PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
z
~ 2 2:59 30 3 1/4" 2 3/4"
14~ ~ 3 3:00 6"
2 o 4 3:30 30 3 1/8" 2 7/8"
15 ~ J ~ ~ 6"
~ 6 4:05 50 5 1/8" 2 7/8"
16~
19~ PERCOLATION RATE 10.~ (HIN,/INCH) PERC, HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 6,0 FT. AND 6,5 FT,
20~
CO~HENTS: PERCO~TION DATA ON THIS PAGE FOR LOWER BENCH PERC. HOLE ONLY,
PERFORMED BY A~SKA WATER · WASTEWATER. I, JEFFR~ A. OARNESS, CERTI~ THAT THIS
WAS PERFCR~D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DEPTH TO DATE
GROUNDWATE~
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
PHONE (907) 337-6179 * F~ (907) 338-3246
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2~-"~' ~'/-~ ~-'~ '~.~ ~"~
PERFORMED FOR: BRIAN HOEFLER ~ ~e~, A. Garness~ .......
DEPTH ~
(fee~
SOIL C~SSlFICATIONS
~ ~ SITE PLAN
'~":'""¢ GW ~:~: ORG I": O0
,>:.~-~ ¢ GP ~a~ HL I
GH CL
GC~' OL TH~4
SW MH ~5 m~2
~ SP CH +
SM OH
SC
DEPTH TO DATE
GROUNDWATER
DRY 4/~0/99
DENSE SILT WITH DRY 5/7/99 PR
SM POCK~S/ 16.5 6/50/99 ~EO
~YERS
10 THROUGHOUT
11 DATE READING CLOCK NET TINE WATER LEVEL NET DROP
TINE (MINUTES) READING (INCHES)
12 5/5/99 PERC.~HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING__
~ 1 3:10 ~ 11"
13 ~~ ~ 2 3:40 30 11" ~ 0"
1~ 5/5/99 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
1 5:13 ~ 6"
15 2 ~:~5 50 5 1/4" 3/~"
16 ~ ~ 3 3:4~.- ~ 6"
m z 4 4:15 30 5 3/8" 5/8"
17 ~ ~ 5 4:15
6 4:43 30 5 3/8" 5/8"
18
19 PERCOLATION RATE 48 (MIN./INCH) PERC, HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 5.5-6.0 FT. AND 3.0-3.5 FT.
COMMENTS:
PERFORMED BY A~SKA WATER ~ WASTEWATER, I, JEFFR~ A. GARNESS, CERTI~ THAT THIS
WAS PERFUMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DEPTH TO DATE
GROUNDWATER
DRY 4/50/99
DRY 5/7/99
16.5 6/50/99
]SOIL LOG - PERCOLATION TEST]"'"'"-'/ ""'"" ~/{~:°."' 4'.~,~/J,~A
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2. BLOCK 2
PERFORMED FOR: BRIA, .OEFLER ~,~¢¢.~;;;?...),
DATE PERFORMED:4/30/99 '-- ' .'" X¢
[TEST HOLE ~4
(PAOE 1 OF
2)
DEPTH ~
(feet)
SOIL C~SSIFICATIONS ~ PLAN[ +~
· .;~g,:;~:~-:~ GW =:::: ORG I" = I00' J
ML GH CL
WITH SOME SAND GC OL TH~4
AND O~VEL ~ ,~ SW HH
SM I OH
ML/SM SC ~ % TM~I +
DEPTH TO DATE - ~
GROUNDWATER
PROPOSED ,~ Z V
10
~1 DATE READIN~ CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINUTES) READING (INgHES)
~ 5/7/99 PERC. HOL~ WAS PRESOAKED ~+ HOURS PRIOR TO TESTIN~
1~ 1 2:55 _~ 6"
2 3:25 30 1/2" 5 1/2"
14 ~ ~3 ---~:25 ---- ~6"
4 3:55 -~ 1/2'~ 5 1/2"
15 5 3:55
16 6 4:25 ~ 30 1/2" 5 1/2"__
17
18
19 PERCOLATION RATE 5.5 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 3.5 FT. AND 4.0 FT.
COHHENTS: PERCO~TION DATA ON THIS PAGE FOR UPPER BENCH PERC. HOLE ONLY.
PERFORMED ~Y A~SKA WATER ~ WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATEr ~/~/~
DEPTH TO DATE
GROUNDWATER
ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~ OF' .A.~
PHONE (907) 337-6179 * FAX (907) 338-3246 h
l SOil LOG - PERCOLATION TESTJ
PERFORMED FOR: BRIAN HOEFLER
DATE PERFORMED:. 4/30/99 ~/0~../. ~E-7953 .."
I I .-'
DEPTH --
(feet) TEST HOLE #4 u~[** ~ ..........
SOIL CLASSIFICATIONS
2-- SITE PLAN[' +m#~
GH CL
4-- GC OL TH#4
' -o o °~ SW HH *TH#5 TH#2
SH OH
6 -- ,-' I SC ~ ----, ~ 'rH#~.
7 -- .~ DATE - --
3ROUNDWATERI
_S~ ? WELL
o ~
~u) CLOCK NET T]HE WATER LEVEL NET DROP
11 -- c~ DATE READING TIFIE (HINUTES) READING (INCHES)
,,0 5/7/99 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
Z
o
13-- ~ 1 2:56 6"
~- 2 3:26 50 5 1/4" 2 5/4"
14-- ~ 5 3:26 6"
~ 5 ,3:56
tn 6 4:26 30 3 1/4" 2 3/4"
16-- td _
bJ
17--
18--
19-- PERCOLATION R.aTE 10.9 (PIlN./INCH) PERC. HOLE DIA. 6 (INCHFS)
20--- TEST RUN BEIWEEN 7.0 FI. .aND 7.5 FI.
CO[V]N]ENTS: PERCOLATION DATA ON THIS PAGE FOR LOWER BENCH PERC. HOLE ONLY.
PERFORMED BY, ALASKA WATER & WASIEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS
WAS PERF(JRI~D IN ACCORDANCE WITH ALL STALE AND MUNICIPAL GUIDELINES IN EFFECT ON
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
PHONE (907) 557-6179 * FAX (907) 338-5246
ISOIL LOG - PERCOLATION TEST]BLOCK 2 ,,~/~..'"'~_Cl//~J~./..~ F...'~./--.'-..
I I "'
TEST HOLE ~5
DEPTH ~
(feeO ORGANICS (PAGE 1 OF 2)
SOIL C~SSIFICATIONS
l ~.,..,,,~ ~- SITE PLANJ +~3
~.~;.,~ ~:- ~ GP ML
GH CL
~ SP CH
SM OH
SC
GROUNBWATE~
ML DRY ~/~0/99
DENSE SILT WITH PRO,OSEO ,~
SM ~YERS DRY 6/50/99 WE~ ~
THROUGHOUT
~o ~
~ DATE READING CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINUTES) READING (INCHES)
12 5/7/g~ PERC.~HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
15 ~ 2:58 6"
2 5:28 50 2 5/8" 3 5/8"
~4 '- 5 5:28
4 5:58 50 2 ~/2" 5 1/2"
15 5 5:58 6"
~ ~- 4:28 3o 2 ~/2" 3 ~/2"
18
2g PERCOLATION RATE 8.6 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
0 TEST RUN BETWEEN 5.5 FT. AND 4.0 FT.
COHHENTS: PERCO~TION DATA ON THIS PAGE FOR UPPER BENCH PERO. HOLE ONLY.
PERFORMED BY A~SKA WATER & WASTEWATER. J. JEFFR~ A. GARNESS, CERTI~ THAT THIS
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATE: ~ J ~ / ~
DEPTH TO DATE
GROUNDWATE~
DrY 4/50/99
DRY 5/7/99
DRY 6/50/99
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
69D1 DEBARR ROAD, SUITE 2B * ~CHO~GE, AKm 9950~
~SOIL LOG - PERCOLATION TESTJ ,
LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2 ....
(fe.O TEST HOLE ~5 ~ ......
SOIL C~SS)FICATIONS
2-- , .. - tSITE PLAN[
I GM CL
4-- ~ GC OL
~ o o, SW HH ~5 TH 1+TH~
5-- ~ SP CH
~ GROUNDWATER
0
~ CLOCK NET TIHE WATER LEVEL NET DROP
11 -- ~ DATE READING TIHE (HINUTES) READING (INCHES)
~ 5/7/9g PERC, HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
~ - ~-- ~:29 -~0 2 7~s" ~ ~/~"
14 ~ m 3 3:29
o 4 ~:59 30 2 7/8" 3 1/8"
15-- J ~ 6"
~ 5 3:59
19-- PERCOLATION RATE 9.6 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 6.25 FT. AND 6.75 FT.
COHHENTS: PERCO~TION DATA ON THIS PAGE FOR LOWER BENCH PERC. HOLE ONLY.
PERFORMED BY A~SKA WATER & WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS
WAS PERFO~M~ IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
10' LITILfTY EASEMENT
~ ~ ~TH#3
~/ (MAX.), BY 52 FEET LONG BY 2.5 FEET
<~ ~/ WIDE. ADD SiX FEET OF CLEAN, WASHED \ ~
~ SEWER DRAINROCK, INSTALL TRENCHES
~ PARALLEL TO ALL SLOPE CONTOURS. RESERVE SITE
CD ~ TH#5 / /
II
r~
z- ', /// //
,.-,~ PROPOSEO J III !rr~- I, / 15oo GALLON
o~ '-'w~u_ ill' //,J~ j/ / SEPTIC TANK
o -------.. I ~li ,~l~- l/ /
~ I /#MT /Il' II /
INSTALL DOUBLE
ALASKA WATER AND WASTEWATER CONSULTANTS, INC.
6901 DEBARR ROAD, SUITE 20. ANCHORAGE. AK. 99504
LEGAL
D£SCRIPTION=
CONTOUR ACRES SUBDIVISION; LOT 2, BLOCK 2 ~....:
DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
BRIAN HOEFLER (907) 563-2139/345-8496
DATE:I 0/4/99 ORAWN BY: SCALE: PAGE:
K.D.W. 1 = 40' 2 Of 2
REVISED DESIGN / ,
I,. 100' WELL RADIUS
<l~ LOT 1 BLOOK S278 \ J /
CONTOUI~ ACRES \ ~ /
j z J
J=
SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM ~,,~4 .............. :....~
PREPPED FOR: PHONE NUMBER: ~A~
BRIAN HOEFLER 565-2159/545-8496 v~'..l/;~-~ ...'
]A~ JD~WN BY: SC~: PAGE:
10/4/99 I J.L.M./K.D.W. I ~: ,oo, I 1 OF 2
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
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
017-451-16
1. GENERALINFORMATION
Completelegaldescription CONTOUR ACRES SUBDIVISION: LOT 2. BLOCK 2.
Location (site address or directions) 5520 COUNTRY CLUB LANE ANCHORAGE. AK 99516
Property owner
Mailing address
Lending agency
Mailing address
BRIAN HOEFLER Day phone (907) 561-2159
5520 COUNTRY CLUB LANE ANCHORAGE, AK 99516
Day phone
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Individual well xxx
Community well
Public water
NOTE:
If community well system, provide wdtten confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding Tank
Community on-site
Public sewer
NOTE:
XXX
If community wastewater system, provide written confirmation from State ADEC
ing to the legality and status of system.
72~25 (Rev. 1/91 ) Front MOA #21 Computer Version
INote: Alaska Water and Wastewater Consultants, Inc. shall be paid $400. O0 at,
]
or pr/or to, closing for the engineering services provided. J
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 andk)r
wastewater disposal system is safe. functional and adequate for the number of bedrooms and type ef
structure indicated herein. I further verify that based on the information obtained from the Municipality of
Anchorage fifes and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is in compliance with all Municip~l/~nd State codes, ordinances, and regulations in effect
on the date of this inspection. ,.~Y/
Name of Firm ALASKA WA~ &,~S,'I~I~(C~A'dER CONSULTANTS, INC. Phone (907) 337..6._179
Address 6901 BEBARR~OAd, S~¢E/~C'/AN~HORAGE, ALASKA 99504 ,
Engineer's Signature %H~,//F~/~/#//' Date
In conducting this evaluation, AWWC, ¢c. ~tte~Cpted to -pdovide a thorough, conscientious engineering analysis of the
system in accordance with ADEC and/MO,~ DRHS 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 afl wells and septic systems depend
on the local soils condition, ground water 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.
At44/VC, Inc. can therefore not provide any warranty for future estimate of how long the
system will continue to meet the operational requirements of the ADEC or MOA DHHS.
The content of this report/s 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. DHHS SIGNATURE
~ Approved for -~
Disapproved
Conditional approval for
bedrooms
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of
homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of
DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA #21 Computer Version
Legal Description:
A. WELL DATA
Well Type PRIVATE
Log present (Y/N)
Total depth 265'
Sanitary seal (Y/N)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744
Health Authority Approval Checklist
COUNTOUR ACRES S/D; LOT 2, BLOCK 2, Parcel I.D.:
017-451-16
if A, B, or C, attach ADEC letter. ADEC water system number N/A
YES Date completed 10/20`/99
Cased to 250' Casing height (above ground) .2. ~
Date of test
Static water level 214
Well production 4
WATER SAMPLE RESULTS:
Coliform 0
Date of sample: 6,/15/00
B. SEPTIC/HOLDING TANK DATA
Date installed 2/17/00
Foundation cleanout (Y/N)
Date of Pumping NEW
C, ABSORPTION FIELD DATA
Date installed ' 3/2/00
Length 90' Width
YES
Wires propedy protected (Y/N) YES
FROM WELL LOG
10/20/99
g.p.m.
ATINSPECTION
Nitrate-
0.799 mg/L Other bacteria 0
Collected by: A.W.W.C., INC.
Tank size 1500 Number of compartments 2 Cleanouts (y/N). YES
YES Depression (Y/N) NO High water alarm (Y/N) N/A
Pumper
Soil rating~r fl2/bdrm) 0.6
2.5' Gravel thickness below pipe
System type DEEP TRENCH
7' Total depth 10.71'-12.27'
Effective absorption area 1298 SQ. FT. Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO
Date of adequacy test NEW Results (Pass/Fail) For 5 Bedrooms
Fluid depth in absorption field before test (in.);
Fluid depth (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3198)* Computer Veto[on
Immediately after gal. water added (in.): __
Absorption rate =
If yes, give date
D. LIFT STATION ~~'""~
Date installed Size
Manhole/Access (Y/N) ~at* "Pump off' level at*
*Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots 100%
100% On adjacent lots 100%
N/A Public sewer manhole/cleanout N/A
25'+ Lift station N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5'+ Property line 5'+ Absorption field ,) -F__
Water main/service line 10'+ Surface water/drainage. 100% Wells on adjacent lots '100'+
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO:
Property line
Surface water_
Curtain drain
10'+ Building foundation 10'+
100'+
Driveway, parking/vehicle storage area
F. S.G . ER'S 9
I certify that I ~bve d~t~Fl
of Municipal l'ecordsIti'(~
with MOA HQ guid~¢~f,
Signature ~--~/~
Engineer's Name/./ ~ tj
Date ~,/4i)°
NONE KNOWN Wells on
field inspections and review
systems are in conformance
~n this date.
JEFFREY A. GARNESS
Water main/service line__.1._0'+ ....
10'+
adjacent lots ~F_
HAA Fee $ ~'~"3~'~'0
Date of Payment ~'/,,'2-~>~/~2~
Receipt Number
72-026 (ROY. 3/96)* Computer Version
Waiver Fee $
Date of Payment
Receipt Number
06-20-00 17:45 FROM-CTE ENVIRONMENTAL
,~t~ CTIE EnvlrormmenIal Services Inc.
6615301
T-E98 P.02/03 F-454
CT&E
Client Name
Project Name/#
Client Sample ID
Matrix
Ordered By
pWSID
1003122001
AK WaTer & Wasrewa~--x Consul~an~ lac.
ConTour Acres S/D L2 B2
ConTour Acres S/D L2 B2
Drinking Water
0
Sample Remarks:
Clien! PON
Printed Dater'-rime 06/20/2000 16;38
Collected Date/Time 06/15/2000 14:49
Received Date/Time 06/16/2000 13:00
Technical Directq~ Stephen C. Ede
Pre~ AnaLysJ~
Oa~e Da~e Init
Nftrate-N
Hfcro~fotogy kaborasory
cot/lOOmL SM18 92228