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HomeMy WebLinkAboutGLACIER VIEW HEIGHTS #4 BLK 2 LT 5Glacier View Heights #4 Block 2 Lot 5 #050-501-41 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 ,On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: PID Number: 050f_5 iD/4/ Name: Wastewater System: (New ❑ Upgrade rD Address: #/ ABSORPTION FIELD ,A �� s Phone: No. of Bear oms: XDeep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION spit Rating: /Zgrade;ITotal Depth from original /)—/a GPD/Sq. Ft. Lot: Block- Subdivision: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe A S L– &LAG/CZ rE aT 3 / Ft. O Ft. Township: Range: Section: Fill added above original grade: Gravel length: leo .9,s-/ Ft. Ft. WELL: New, 11Upgrade Gravel width: Numberoflines: Distance betweenlines: I t Xrl f,uG � ,C, — ive ,pe ecrd .3 5 Ft. rJ 1A Ft. Classification (Private, A,B,C): Tota the Cased To: Total absorption area: Pipe material: Ft. I Ft. � SQ. Ft. LJSTi» 3J 3 F8/0 Driller. Date Drilled: Static Water Level: Installer: Date installed: Ft. GYec„t 7 - Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES gSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Private Manufacturer. Capacity in gallons: From Tank Field Station Tank Sewer Lines `)rvGN•/PA6E 12r Welt- �3Z >a -s' Material: STEEL Number of Com(artments: a Surface Water -Ytaa' +roo LIFT STATION NlQ Lot Size in gallons: Manufacturer. Line -5s Foundation "Pump on" level at: ump off' level at: High water alarm at: /5 90 Curtain Pump Mak odel Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: Tcyo oL i1ilnrV —Lr � o Assumed Elevation: ENGINEER'S SEAL OF aer,�g ��•a•�•aoo•eos!ee"%f! ea Inspections performed by: EM=S Dates:1st 2nd UMN6bN�MM1i M Department of Health and Human Services approvalr•�sr,$ Louis -A. Boteta d Cq Reviewed and approved by: Date: 72-013 (Rev. 9/91) MOA 25 I Permit No. 99-E-3129 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 5, BLOCK 4, GLACIER VIEW HTS *4 PID No.: 050-501-41 SWING TIES Q — TEST HOLE o — MONITOR TUBE A—C = 19.9 o — SEWER CLEAN OUT — WELL EASEMENT B = 28.9 A—D = 27.6 — LEACH FIELD SCALE 1' - 50' B—D = 30.4 A—E = 39.7 8—E 39.7 08/13/99 ® Tor MANNO I ELEv.-s�a`O$' (A591YED1 = A—F = 81.6 F B—F = 69.3 A—G = 86.6 B—G = 73.9 F \� �q0 LOT 4 LOT 5 p � ASCD M20 G E C �\ / 8.52100 \ 1Y OPoVE t L-100 \ J WELL S Ac r F \Sf s 0, ! 0 \ \ �] r�or �UoME MANHOLE uD . �\ LOT 6 ASS6 ELEV - 500.00 1-!f 5� FlI I PROFILE (N.T.S.) H \\ m ORIGINAL GROUND y \ GROOUNDD LEVEL AT: 0 \ 470 M m NO GWT 452.0 Q — TEST HOLE o — MONITOR TUBE �'j o — SEWER CLEAN OUT — WELL EASEMENT — LEACH FIELD SCALE 1' - 50' 08/13/99 ll�•� (gym MUNICIPALITY OF ANCHORAGE Department of Health and Human Services ^ �� M On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM /WATER SUPPLY PERMIT Initial Permit Number: SW990106 Date Issued: May 24, 1999 Expiration Date: May 23, 2000 Parcel ID: 050-501-41 Legal Description: GLACIER VIEW HEIGHTS #4 BLK 2 LT 5 Design Engineer: 0024 Eagle River Engineering Services Site Address: Owner Name: John & Evetter Delagmito Lot Size: 43670 SQ. FT. Owner Address: 17520 Northgate Drive Total Bedrooms: 4 Permit Bedrooms: 4 Eagle River, AK 99577 - This permit is for the construction of: ❑✓ Disposal Field[V] Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑✓ Private Well ❑ Water Storage 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: &�2 Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax May 5,1999 RECEIVED Jim Cross, P.E. Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Glacier View Heights 94 Lot 5 Blk 2 Narrative & Permit Application Dear Mr. Cross: MAY 0 6 1999 MUNIUPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to absorption capacity and lot size. 4. Drainage will not be affected and is not a major consideration in our design. This lot has a existing well located on the east side, it's location is compatible with the well located on the adjacent lot 6. This well was installed without a permit and well log. We have a flow test performed in 1990 showing a static water level of 61' and a flow rate of 8 GPM. There is a steel casing of+40' depth. The well location necessitates the septic being placed on the west side of the lot which is also compatible with neighboring lot 4 septic system. There is an existing culvert buried along the west property line that captures a drainage that flows under Eagle River Road and carries it through the lot to the south where it discharges +100 feet from the lot boundary. This culvert was inspected in 1990 by S&S Engineering (see attached letter). It was determined that the culvert was not perforated. We are therefore designing a trench type system that is located approximately 20' from the determined location of the culvert. There are no conflicts with adjacent properties, their well or septic reserve areas, or any slopes or cutbanks in allowing this variance. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \1999\99 -007 -NAR NELL 1100' LOT SEPnC �T o0 o / 166.10 f EIVE401E u�Ipp ELV..S0O00' (AMMEO) NO \�q0 ORNNAOE (TW) ` 4• Se .� 2J� TM2 JsJ \ = 12' ORIVEOvERALL I ORAOOE 8.21;— \ / — 12 ORI1EUNE 1ryh \ /O• sso.\� it q z s \ VACANT LOT 0� ' / NO M /SEPM PROPOSED HOUSE Eo O S].2] 4 166.&S NOTES: 1) ASSUMED ELEVATION OF INDICATED MANHOLE IS 500.00' TO TOP OF LID 2) CURVE DATA. Cl R=525.00 L=5.00 NO SURFACE WATER NO KNOWN CURTAIN DRAINS WELL/SEPTIC LEGAL: LOT 5 BLOCK 2, 1 OWNER: JOHN & EVETTE 0 CONTRACTOR: N/A JOB# 99-007 1 DATE: 05, LOT 5 SITE PLAN LACIER VIEW HTS #4 LAQU ITO D5/991 SCALE 1 " = 50 EAGLE RIVER ENGINEERING P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) SER VICES 694-329 LOT 6 •100' sE 0— TEST HOLE MONITOR TUBE SEWER CLEANOUT WELL EASEMENT PROPOSED LEACHFIELD EXISTING LEACHFIELD ELEVATION OF q-4Soo, ;�. �G * : 49 TH ........................ c LOUIS A. BUTERA T10 ' CE -6736 V.5 Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Glacier View Heights #4 Lot 5 Blk 2 10/19/98 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. S. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. 9. Any remaining open test hole excavations shall be filled. B. SEPTIC TANK 1. Septic tank and lift station shall be 1250 gallon MOA approved tank. C. TRENCH 1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 12', referencing the ground surface at the uphill side, at any point. 4. The effluent line within the trench shall be laid level within 0.03'. 5. The trench gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. Mound if necessary 7. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH= 12' GRAVEL DEPTH = 8' under pipe, 2" over pipe TRENCH LENGTH= 31' TRENCH WIDTH= bucket width SOIL RATING = 1.2 GPD/ft2 BEDROOM CAPACITY= 4 SEPTIC TANK = 1250 gallons Twenty-four (24) hours notice required for all inspections. \1999\99 -007 -spec EAGLE RIVER JOB 1e)f S Q ENGINEERING SERVICES SHEET NO. OF P. O. Box 773294 EAGLE RIVER, ALASKA 99577 CALCULATED BY G/� DATE S/TOSS Phone 694.5195 CHECKED BY DATE Y0.0[I Ml j 11 Lm6n Ym 01111. amf'ep���,aaawmamamsuoam�m Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ® e� Louis A. Butera a 825 "L" Street, Anchorage, Alaska 99502-0650 i CE -6736 a SOILS LOG —do PERCOLATION TEST PERFORMED FOR: De A? pGAy f'/U DATE PERFORMED: / G/ e.re• LEGAL DESCRIPTION: Lof S/i�s1- yir Township, Range, Section: -r-1"1 f P H SLOPE SITE PLAN I /E 7/ �optr ,'I orf <...•c 2 / 3 0 4- 5 5 / I 6 0 I 7 I 8 I 9- to - 11 10 11 I 12- 13- 14- 15- 16- 171 2 131415 16 17 ` t 18 19 20 Grr� S//%y .iArGr, l�rwrG� �rey /�C.� cl2."r• fy COMMENTS F L f% y>L G 2 WAS GROUND WATER ENCOUNTERED? A) IF YES, AT WHAT DEPTH? Oepth to Water Alter Monitoring? dY7 Bate: S ,S/9y Reading Date Gross Time Net Time Depth to Water Net Drop is't' 'Ya,-st T, 33' Z S s-6 a,;)? 7 41 7: v/ S, 3a' 7 7:53 S• 21� Is PERCOLATION RATE //6 (minutes/inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN S FTAND t5 FT PERFORMED BY: 'e745 /t .�i"r ' fF'5 , 1 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) '6. " �,. IR v Municipality of Anchorage �® 49 `\ DEPARTMENT OF HEALTH & HUMAN SERVICES $ •�• a OQe•�•••••••:••_ ,� 825 "L" Street, Anchorage, Alaska 99502-0650 Louis A. Butera SOILS LOG - PERCOLATION TEST sem.®� CP 6736 --� PERFORMED FOR: De I4 DATE PERFORMED:/1S %9 LEGAL DESCRIPTION: �f Township, Range, Section: S .B/i�� F/t� TF'!1 P,xYH rr SLOPE SITE PLAN 1 0.0 0- 2 2 3- 4- 5 45 /D 6 i 7 1 8 t 9- 10 10 D 1, b l 12 131 1 14 1 15- 16- 17- 18- 19 5 16 1718 19 Grn S//fJ. �ANG�� l�rwrG� clfre�C �N.!✓ G2rr, fj, .. ■■■■NEEM■■ ■C.:EsMEME■ NNEENEEMON IF YES, AT WHAT DEPTH? Depth to Water Aller Monitoring? d 'Z Due: Reading Date Gross Time Net Time Depth to Water Net Drop 2 C/: i /o..... 6,55 7: 3 r /? .-...+ - 5.65 4• �� 7:3,a- S•vJ % 7,y 20/. PERCOLATION RATE U'4 Immuteyinch) PERC HOLE DIAMETER 6 - TEST RUN BETWEEN 5 FTANO 6 FT COMMENTS PERFORMED BY: z 4Sz�- �/.'-6� �^'S '^'Ce i•..S I � � CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S�r/yS 72-008 (Rev. Q85) 3;I Iqr- 0 rn Iq � C? c? ti ti 00 CY) CY) o x N O Q a U) N co c O O N c0 U N W, LO N 0 N co N iv cu c O cu D. x W O O O d' i O LO I O 0 0 a� L c6 d Ln J N J m I— C� W 2 W OfW a rJ V c O Q U cn a) 70 is a) J ti ti LO 0) a O N 0) m W 0- O J OfW Q J (7 W J Q W r ti N N U) U cu U) W Q N F W J W W CO2 O W CO0 ctQ J W U W C O Q O CL c a) U N 0 0 a) Zi 0 a� 0 CL 0_ ca N cu Ln U) E U a) C O a) r x c 0 cu Q tm N c 0 0 a) t_ 3 ui 0 0 a� 0 ca 0 CL a C O a C: 0 M 0 0 0 CL O .� 0 CL 3 v N C1 N C N 'tm m Q a O ~ U L C O O a) .N ca .N d O CL Q. g 'y c v � N .0 ++ O C 3 aa) CL Vi E v) c Q. -0 O O E a7 v d = O v d d cC O A a) 0 N Q 'a G. E a2i 0 C. 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W m a) a) LL L ) 0 m >+ co a - o co m m LL O m >, co a. 0 a) U) 0 O iz O Ll - r ^W V � �Q I.L TO ♦i V Z Q LL. � a o C/) V }�+ L L (6 Z p � N U) U)CU 0) C,6 c E 3: 0- 0 O WA C) Z p O o Nt C) 0 O O LO z pl T- U c M L N C)o c ''a U)^) rn U N O C) C ❑ c .0 Lid Ln 0 O O O I --v 0 N 3 U U U) L E Q) J z ❑ U)O m C :E � E L) co Q. (n 0)U) 0 d U co ❑ C 0 Li 2 J (3) _0 Y = U 2 N >1 2a 0) C Cl) cu a) o y m O w0 rJn O N a) •L O U N ❑ A� v z a)a CCU O o 'Ui w i Qw w a a =W El'> aQ sQ E (D LLJ c �«- Q aN ^ W J L F=d N �-a. W o ❑ d = a)) -0 o � � W ❑ a) W � cn N � _0a >, W W H r L s cLa co F- F- Cf) 0 cn � a) a) U) Q Q Y } z z 3 v 1- Qo O O U LO a = c a W W H N a) co O E 0 L a a n, a) CO L- 0 J U O F}- I}— N Q Q > cu Q M W CV M d LCA CO ? W m a) a) LL L ) 0 m >+ co a - o co m m LL O m >, co a. 0 a) U) 0 O COSA Checklist Legal Description: GLACIER VIEW HEIGHTS #4 BLK 2 LT 5 Parcel ID: 05050141000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled unk Total depth +76 ft Cased to +40 ft ❑■ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 4/23/24 Static water level at beginning of test 59 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 50 Date of pumping 5/13/24 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 7/23/99 ❑■ ALL standpipes present per record drawing Total measured depth from grade 12 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑■ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficienci COSA Checklist June 2022 Well production at time of test 5+ gpm Water storage tank volume0 gallons Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Coliform bacteria is Negative Nitrate mg/L ❑■ Nitrate less than MRL (ND) Arsenic ug/L ❑■ Arsenic less than MRL (ND) Collected by NRim Eng. Date 4/23/24 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 4/23/24 Results g Pass Fluid depth prior to test 54 Water added 600 gal New fluid depth 69 in Elapsed time 60 min Final fluid depth 58 in in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 96 Effective depth used 58 in Effective depth remaining 38 in in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' ❑Q Yes Community Sewer Manhole/Cleanout > 100' [ Yes if No ft ❑■ Yes if No ft Neighboring Tank > 100' ❑■ Yes if No ft Private Sewer/Septic Line > 25' ❑■ Yes if No ft Absorption Field on Lot > 100' ❑■ Yes if No ft Holding Tank > 100' ❑■ Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment > 50' Yes if No ft g Yes if No ft ❑■ Yes if No ft Water Service Line > 10' ❑■ Yes if No Manure/Animal Excreta Storage > 100' If tank or field is under driveway Community Sewer Main > 75' ❑■ Yes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑Q Yes if No ft Surface Water > 100'■❑ Yes if No ft Tank to Property Line > 5' Fi Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' [E Yes if No ft Private Wells > 100'■❑ Yes if No ft Water Main > 10' ❑■ Yes if No ft Community Wells > 200' ❑■ Yes if No ft Water Service Line > 10' ❑■ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS G. CERTIFICATION & STATEN'IENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm NorthRim Engineering Phone 694-7028 En-incer's Printed Name Steve Eng COSA Checklist—June 2022 Date 5/8/24 ®F. ,���� r�`� AV .49 * 10 �„ Stave Eng �, CE-62562AF 4�0' � 5/8/2 KA +-j v L v +' O Q CO ON L C: 0 LU o o � u N 4- O dam•+ 03 N w CO U EL,"a = OJ > i N O U c (U L y_ w CL) U U v -0 N Q) 2 C d � 3 O 0 nj O m t UD ai = >�, O 0 E U m Q- a1 v Q H A N c� a) U N ate -J O N . N O U — O O t u � c� V, E o O 3 KA t0 O L- CL Q Q Q V) a N +-j v L v +' Q CO ON L C: 0 0 O 0 O 4- O dam•+ a)mo CO U OJ > i N O U c (U N aj U U v -0 N Q) N U V) � > O Q Q E �> � N a, cn O O 0 nj O m t UD ai = >�, O �_ O cn '- °' >' L r) N N i (Ij O +, O : U m Q- a1 v Q H A N c� a) E L O Q 0 L O tiA L O N � OJ ate -J O N . N O U — O O t u � c� V, E O f6 i O •tQ 4-J U Q N ; �+ N c -0 O L O Ln fU N Ov O H U LI)h-- t0 O L- CL Q Q Q V) a N �•i� a n m OFA - EAGLE RI VER ROAD _ 49LH V Laos A U, , o 15-9778 �r �r0ftesipici tO� ��-7 -''f (S541211'45"E 237.35) w WOOD e DECK _--- LOT 5 ao' 1 1 I HOUSE I 1 LOCArom 1 WC I , . DECK ® 83.38'£ LL _10- UTIUIYE&,ELeENT __--_—__ —� S50'52'32"E 206.23 S .t / n (550.59.33-E 208.21) 1n L:s o00 L GLACIER LOOP n ro O g N � n LEGEND: ►«,No s/s- etux i FEN" ........ SCFM sTANDPMEs CLEAN OUT o EAGLE RIVER WALLwTL er. DIET. ENO/NEERWO SERVICES ASSUILT SURVEY r ..0• 8/13/99 aJ l j l P.O. Box 773204 10421 VFW Delve OWNER: JOHN DELAOUITO E+Qle R/ver. Alooka 68677 DESCRIPTION. LOT 5. BLOCK 2. ERES Project Number: 99.007 M" eaaaees FAX elan M4-3"7 GLACIER VIEW HTS 4 CADD File Name: 99.00TAS I hereby certify that I have surveyed the following described property. Lot S. BLOCK 2. DLAGER NEW HEIGHTS ie Anchorage Recording Precinct. Alaska. and that no encroachments exist except as Indicated. It is the responsibility of the owner to determine the existence of any easements. covenants. or restrictions which do not appear on the recorded subdivision plot. Under no circumstences should any data hereon be used for construction of fence lines. or far estahlishino Aoundory lines_ i� I T -d T60S-969-LO13 •ouT rsualsnrpU uuayIuoW .WU91=TT LOOZ 20 udUM'n MUNICIPALITY OF ANCHORAGE Development Services Department P T Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-501-41 1. GENERAL INFORMATION Expiration Date: 10— q ` 2-62c) Complete legal description GLACIER VIEW HEIGHTS #4 BLK 2 LT 5 Location (site address) 22711 Eagle Glacier Lp Eagle River Current property owner(s) Linda and Glenn Hutson Day phone 907.382.0919 Mailing address 22711 Eagle Glacier Lp Eagle River Real estate agent Day phone 2. TYPE OF DWELLING: 0 Single Family ( wo ASD ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distan Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ S 0 Waiver Fee $ Date of Payment 3 /2-312OZO Receipt Number d Z26 1 COSA # ©�l Z 2111 Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Eklutna Engineering, LLC Phone 907.355.9820 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE Date 7/7/2020 6. DSD SIGNATURE System #1 Approved for _�_ bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: 'WCV Original Certificate Date: S-3)--2020 d2© The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory A Well Flow Advisory Other w►^C[' COSA Checklist blue sheet Legal Description: GLACIER VIEW HEIGHTS #4 BLK 2 LT 5 Parcel ID: If more than 1 septic system on lot: COSA Checklist # of Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled LINK Total depth + 76 ft Cased to + 40 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 2' in. Date of flow test for COSA 311112020 Static water level at beginning of test 61 ft. Comments B. TANK DATA Age of tank(s) 21 years Tank type/material septic steel Measured operating fluid level in septic tank 9 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 2 Sept 2019 D. ABSORPTION FIELD DATA Which system tested (date installed) 1999 ❑ ALL standpipes present per record drawing Total measured depth from grade 12.2 ft (max) Measured depth to pipe invert from grade 4.2 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 5 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Curtis Townsend, PE Date of Sample 62312020 C. LIFT STATION ❑ Required maintenance compl Age of lift station y Lift station material Comment Adequacy test date 31112020 Results ED Pass For 4 bedrooms Fluid depth prior to test 56 in Water added 743 gal New depth 71 in Elapsed time 1440 min Final fluid depth 53 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) no If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Q Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft Q Yes if No ft Neighboring Tank > 100'✓� Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' Cf✓ Yes if No ft Neighboring Absorption Fields > 100' 0 Yes if No ft Water Main > 10' Animal Containment > 50' P/1 Yes if No ft 0 Yes if No ft Q Yes if No ft Water Service Line > 10' 0 Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' Q Yes if No ft � Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' if No Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓I Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' P/ Yes if No ft Community Wells > 200' Yes if No ft Surface Water> 100'✓0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. '&n p. �.eo�•t� Oe ..s•••s.. eo • ,1 •... COSA Checklist yellow sheet �� ' ; �............. d Date ' `?•� ' ROfESS� ENGINFER'S r MUNICIPALITY F ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On -Site Water and Wastewater Section Fair. 343-7997 www.muni.org/onsite Septic Tank AAdvisory Certificate of On -Site Systems Approval#OSC201115 Subdivision: Glacier View Heights #4 BLK 2 Lot 5 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 2 years old. Typical replacement costs range from $8,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 �1 Anchorage, AK 99519-6650 4" www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. COSA#f7/1�� 1. GENERAL INFORMATION Expiration Date: Complete legal description GLACIER VIEW HEIGHTS #4, LOT 5, BLOCK 2 Location (site address) 22711 EAGLE GLACIER LOOP • EAGLE RIVER, AK 99577 Current Property owner(s) JOHN DELAOUITO Day phone 696-3241 Mailing address 22711 EAGLE GLACIER LOOP * EAGLE RIVER AK 99577 Lending agency Day phone Mailing address Real Estate Agent ANN ROBERTS w/PRUDENTIAL VISTA Day phone 689-6464 Mailing address 16635 CENTERFIELD DRIVE • EAGLE RIVER AK 99577 Unless otherwise requested, COSA will be held by DSD /or pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 or a 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 5. As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the onsite water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations In effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 71 /0 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 benefil 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. Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory bedrooms, with the fllowing stipulations: Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other By.�J/J „� Original Certificate Date: d 7 (Rar. 7 L05) 1 Municipality of Anchorage Development Services Department Building Safety Division .: . . On -Site Water d Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 www.muni.org/onsite (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: GLACIER VIEW HEIGHTS SUMMON /4, LAT 5, BLOCK 2 Parcel ID: Q.! © —SO/" 1+/ A. WELL DATA *BASED UPON NEARBY WELL LOGS. SEE ATTACHED LOGS Well typeRP NATE K A, B, or C provide PWSID# N/A Well Log (YIN) NO Date completed UNKNOWN Sanitary seal (Y/N) YES Total depth +76 ft. Cased to .+40 ft. FROM WELL LOG Date of test V Static water level N Well production 9— p.m-WATER SAMPLE RESULTS: Coliform _0 colonies/100 ml. Nitrate _ND mg./L. Wires properly protected (Y/N) YES Casing height (above ground) 24 in. AT INSPECTION 3/30/2007 64 ft, 5.41 g.p.m. Other bacteria 2 colonies/100 mi. Arsenic: NO ug./L. Date of sample: 3/30/2007 Collected by: - GEG. Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 7/22/1999 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YM) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 3/29/2007 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA Date Installed 7/22/1999 Soil rating .p.d. r ft°/bdnn) 1_2 Length 31 ft. Width 3.5 ft, System type DEEP TRENCH Gravel below pipe 8 ft. Total depth 12.2 ft. Eft, adsorption area 496 ft= Monitoring tube YES Depression over field NO Date of adequacy test 3/30/2007 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before testN3 in. Water added 677 gal. New depth 57 in. Elapsed Time: 300 min. Final fluid depth 54 In, Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N 'Pump on" level at _In. "Pump o1PJ�l atm' High water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO Septic tankAdt station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property rt line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have deterrnlned through field inspecdons and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineers Printed Name JEFFREY A. WNESS Date 41Ila 102 COSA Fee Date of Payment Receipt Number (Rev. 11!05) Waiver Fee $ Date of Payment Receipt Number wqi SGS Ref.# 1071327001 Client Name Gamess Engineering Group, Ltd. Project Name/# Glacier View #4 SD L5132 Client Sample ID Glacier View #4 SD L5 D2 Matrix Drinking Water P%I'SID 0 Sample Remarks All DalmITImes are Alaska Standard Time Printed Date/Time 04/112007 12:52 Collected Dale?ime 03/302007 10:30 Received Date rime 03/302007 14:53 Technical Director Stephen C. Ede Allowable Piet, Analysis Pammner Results P0L Units hh•Ihod Conminer ID Limits Date Date Init Metals by SCP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 04/02/07 04/05/07 TK Water$ Department Total Nitratc/Nitrite-N ND Microbiology Laboratory Total Coliform 2 O0, No Coli 0.100 mg/L EPA 353.2 D (<I0) 04/03/07 1DS col/100mL SM209222O A (<1) 03/30/07 DPT �•i� a n m OFA - EAGLE RI VER ROAD _ 49LH V Laos A U, , o 15-9778 �r �r0ftesipici tO� ��-7 -''f (S541211'45"E 237.35) w WOOD e DECK _--- LOT 5 ao' 1 1 I HOUSE I 1 LOCArom 1 WC I , . DECK ® 83.38'£ LL _10- UTIUIYE&,ELeENT __--_—__ —� S50'52'32"E 206.23 S .t / n (550.59.33-E 208.21) 1n L:s o00 L GLACIER LOOP n ro O g N � n LEGEND: ►«,No s/s- etux i FEN" ........ SCFM sTANDPMEs CLEAN OUT o EAGLE RIVER WALLwTL er. DIET. ENO/NEERWO SERVICES ASSUILT SURVEY r ..0• 8/13/99 aJ l j l P.O. Box 773204 10421 VFW Delve OWNER: JOHN DELAOUITO E+Qle R/ver. Alooka 68677 DESCRIPTION. LOT 5. BLOCK 2. ERES Project Number: 99.007 M" eaaaees FAX elan M4-3"7 GLACIER VIEW HTS 4 CADD File Name: 99.00TAS I hereby certify that I have surveyed the following described property. Lot S. BLOCK 2. DLAGER NEW HEIGHTS ie Anchorage Recording Precinct. Alaska. and that no encroachments exist except as Indicated. It is the responsibility of the owner to determine the existence of any easements. covenants. or restrictions which do not appear on the recorded subdivision plot. Under no circumstences should any data hereon be used for construction of fence lines. or far estahlishino Aoundory lines_ i� I T -d T60S-969-LO13 •ouT rsualsnrpU uuayIuoW .WU91=TT LOOZ 20 udUM'n Y'+ 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 Parcel I.D. # D50 `i /-4/ 1. GENERAL INFORMATION Complete legal description Lir 5 L5La,L •Z Gee«_ ✓cam✓ Location (site address or directions) Property owner Hca Day phone 6g4-22-62 Mailing address /2.5 Ale-�,597w6t -9 f s�E 4� Piv�.2 <3y 95s'» Lending agency — Mailing address— Agent N Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: IV - 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 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 % 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.1191) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 E ,f LeF l2vc7z- Phone GAS 5195 Address /o c 6,< %73099 Engineer's signatureDate Jam'- a 5s 6. DHHS SIGNATURE /,-' Approved forF:0.212.bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 orderto 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-M(R..1/91) Back MOAN21 Municipality of Anchorage ,L> 19g9 !� DEPARTMENT OF HEALTH & HUMAN SERVICEC� Environmental Services Division Y NjP� YRv as DIN 'NO 825 L Street, Room 502 •.Anchorage, Alaska 99501 • (9(j*l 4744 Health Authority Approval Checklist 11-0 Legal Description: LorS tx�x 2 c � � -/ Parcel I.D.: C60-661-4/ A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number /n/ bf Log present(Y/N) Date completed Pst, Late 70" Total depth 4- Cased to tyo ' Casing height (above ground) Sanitary seal (Y/N) FROM WELL LOG Date of test f A Static water level Well production 9•P•m• WATER SAMPLE RESULTS: Wires properly protected (Y/N) AT INSPECTION /°` A/ —99 6Z Y"f Coliform O Nitrate O -Sm / _ Other bacteria O Date of sample: Collected by: RNs •�� B. SEPTIC/HOLDING TANK DATA Date installed %- 9Y Tank size /2-'9LD Number of Compartments Z Cleanouts (Y/N)_41-- Foundation cleanout (Y/N) �t Depression (YIN) /1) High water alarm (Y/N) Date of Pumping 11,24 ^'64"' Pumper C. ABSORPTION FIELD DATA s✓ k/ N 1/4 Date installed 7- 99 Soil rating (g.p.d./ft2 or ft2/bdrm) / 2 System type Li�i2twa 1 Length 3i Width 3.5 Gravel thickness below pipe ' Total depth Effective absorption area Bcn fry Monitoring Tube present (Y/N)_74Z— Depression over field (Y/N) A Date of adequacy test N )A / Results (Pass/Fail) /o, r r For y bedrooms Fluid depth in absorption field before test (in.); Immediately after= gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate = a.p.d. Peroxide treatment (past 12 months) (YM) 72-026 (Rev. 3/96)' /2/ 1'�' If yes, give date D. LIFT STATIO Date installed Manhole/Access (Y/ High water alarm level at* Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM Septic/holding tank on lot Absorption field on lot Public sewer main /1)0 Size in gallons "Pump on" level at* *Datum ON LOT TO: "Pump off" level at* On adjacent lots / °O On adjacent lots Public sewer manhole/cleanout /✓ h Sewer /septic service line r� s ' Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation /5' Property line l4 Absorption field 3n Water main/service line —t -la ' Surface water/drainage fig' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 3��5) Building foundation 4o Water main/service line Surface water i Driveway, parking/vehicle storage area Gfa Curtain drain N/A Wells on adjacent lots -/-/°D/ F. ENGINEER'S CERTIFICATION l certify that I have determined thru field inspections and review of Municipal record�q dWb Mwrtems are in conformance with MOA HAA guidelines in effect on this date. �a*,.+a+axya�a$��i Signature`�� �U�4daamYtln00axloaa nndnees s x Engineer's Name � • 4 Afa, ,.h�Fe Date / — y a LU1�is' S. Outara e /r CE-fl73f HAA Fee $ 3M kL Date of Payment e — eaQ, -`0 Receipt Number �( D r f 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number ME Environmental Services Inc. Laboratory Division ME Ref. M 995903001 Client Name: Eagle River Eng. Svc. Project Name: n/a Client Sample ID: Lot 5 Block 2 Glacier View Hts #4 Matrix: Drinking Water PWSID n/a 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 Client PCM n/a Printed Dat?/Time: 10/25/99 21:00 Collected Date/rime: 10/21/9914:47 Received Date/time: 10/22/9910:30 Technical Director: Stephen Ede Released By: Allowable Prep Analysis Parameter Results PQL Units Method Limits Date Date Init Total Coliform (MF) 0 col/100 ml SM9222B 10/22/99 KAP Nitrate 0.5 U 0.5 mg/L EPA 300 10.0 10/22/99 SCL