HomeMy WebLinkAboutKNOLL ON THE WOLD BLK 1 LT 2Knoll on the Wold
Lot 2
Block 1
#041-031-55
Municipality of Anchorage page _I_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: S W1 4 Q 01 b I PID Number.
Name:�� S , X�
Wastewater System: b&ew [3 upgrade
Address: „�
L,&v
ABSORPTION FIELD
VVAaytu-� r
Phone:
No. of 80rooms:
Deep Trench 0 Shallow Trench Cl Bed 0 Mound ❑ Other
LEGAL DESCRIPTION
soil Rating:
t46
Total Depth from original grade:
t O vr-i-
Q GPD/Sq_;G-.
Lot: Block: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe
I iL n r l l e ., 1 OQ
Ft.
7 Ft.
Township:Range:
Section:
Fill added above original grade:
Gravel length:
Ft.
A A i5c'7 Ft.
WELL: 1¢' New ❑ Upgrade
Gravel width:
Number of lines:
Distance between lines:
I L +
'
Ft.
Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:
Total absorption area:
Pipe material:
y- " eL4 e
17-& Ft.
17- 8 Ft.
ILI &0 SO. Ft.
FE Lo O 3
Driller. _
Date Drilled:`
n-Z'Q
Static Water Level:
D Ft.
Installer.
Date installed: 3& O /�
'L
Yield: Pump Set at:
Casing Height Above Ground:
TANK
GPM'0040M Ft.
Ft.
SEPARATION DISTANCES
YSeptic D Holding Cl S.T.E.P.
To
Septic
Absorption
Lift
HoldingPublic/Private
Manufacturer
Capacity in gallons:
From
Tank
Field
Station
Tank
Sewer Lines
C 44 _ 1
rJ Q
Welhl
vb
1_70
1 S
S Material:
1=.
Number of Compartments:
9-
Surface
VIo
H .F
LIFT STATION
Water
Lot��
1
'"
,
-
Size in gallons:
Manufacturer.
Line
Foundation
16
"Pump on" level at:
"Pump off" I el at:
High water alarm at:
Curtain
N
Pump Make 8 Model
Electrical Ins ions performed by:
Drain
BENCH MARK
Remarks:
Location and Description: ' 1
C! i K r,
T_
Assumed Elevation:
IvD
ENGI,N�� 5F
1�va
0000S." is
;
.�0 '500+• �O•..Q[Y'•it.tit
�--
7 s
i�
Inspections performed by: Dates: is
2nd)AO 0L�r{,
: T .urn Spvr'rland �v{
r
+� Cff�J�Ae�s+ CE -2225
Department of Health and Human Services approval
Vi, p�ip,+••..ae...•�i G>;,,,
N,�.
g-;2 Ll-,OC)y'N&�'V��
Reviewed and approved by: Date:
72-013 (Rev. 9/91) MOA 25
0
I
'.;..;• 25 0
i
/
Or
REPLACEMENT TRENCHES
C
A
25 50 75 100
` SCALE, 1' = FT.
� �rJ►�rrr�,
OF R�♦♦
�.�P�...................
49th
9
SWING TIES
CD 30.5 FT
BD 16.7
Cr 42.5
BE 29
BF 54
AF 50
BG 48.5
AG 51.5
SH 65.8
AH 66.5
SK 61
AK 68
IBBEP SPURKLAND ,l•��' j
No. CE -2225 ' �=
' 2FESS 1O�'
�
0
125 150
1250 CAL SEPTIC TANK
STANDARD TRENCHES. /
TOTAL DEPTH 10 FT
TOTAL LENGTH 100 FT
EFFECTIVE ROCK DEPTH 7 FT
COVER 3 FT /
Z 200 FLOW SPLITTER /
1UH&N 5FUHKLANU !'.t. KNOLL 0117 THE AMD, BK I LOT 2 SEPTIC SYSTEM AS BUILT
203 V✓ 15TH. AVENUE ROBERT SINGER DATE. • APRIL 11, 2000
ANCH, AK. 99501 5116 EMMANUEL AVE. SHEET. • 2/3 GRID: 2142
907 279-3916
11
PERMIT # S61990161 PID # 041-031-55 KTW01021.DVG
�1
E
kn
Mondor Clean Ou
Clean Out
c
a
a,
Standard Trenches
a,
2' Wide o
50' L ong t q
10' Deep O O O
7' Sewer rock
3' Co ver 141*
1250 got Septic tank
Monitor Clean Out Z 200 FLOW SPLITTER
Clean Out
NO SCALE OF
G'••• ��i
Al
49th
�.......... ........ .............. ::.....
�
0.......:l.:.. ��..... ..0
�•.� TOB EN SPURKLAND
••C��l No. CE -2225 _=
••••.,,• ,.••''' �r
IVU JC.HLG
BENCH MARK. souoM sID1NG
ASSUMED ELEV. 100.00
TOBBEN SPURKLAND P.E. KNOLL ON THE WOLD LOT 2 BLOCK 1 SEPTIC SYSTEM AS BUILT
203 W 15th Ave ROBERT SINGER DATE: APRIL 11, 2000
Anchorage age Ak 99501 101C 11 SEPTIC SYSTEM SCHEMATIC SHEET- 3/3 GRID: 2142
PERMIT # SV990161 PID # 041-031-55 KTW01023.DWG
Municipality of Anchorage
Department of Health and Human Services
825 "L" street 4�
P.O. Box 198850 Anchorage, Alaska 99519-6650
Rick Mystrom httplAmmdenchorege.ak.us
Mayor
Permit Number: #SW990151 Date of Issue: 6-25-99 Parcel Identification Number: 041 -031 -
Date Started: 9-2-99 Date Completed 2-99 Is well located at approved permit location? ® Yes ❑ No
Legal Descriptio .. &_01Z on the Wold Blk 1 Lt2
Property Owner Name & Address: Robert Singer Timberline Homes P.O. Box 111646 Anch, Ak 99511
5116 Emanuel Court
Anchorage, Ak 99508
Borehole Data:
Depth (ft)
Method of Drilling ® air rotary ❑ cable tool
Soil Type, Thielmess & Water Strata
From
To
stick-up
0
2
Wall Thickness: .250 inches
gravelly silt
2
23
Diameter: 6 inches `,DapW 120 feet
silty gravel
silt
silty gravel
gravelly sand
23
51
58
76
51
58
76
84
Liner Type:
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 104 feet
Pumping level: 128 feet after
silty gravel
84
123
2 hours pumping 12 gpm
water sand &gravel
123
128
Recovery Rate: 12 gpm
Method of Testing: air lift
Well Intake Opening Type:
® Open End ❑ Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: bentonite # 8 Volume: I bar
Depth: Start 0 feet Stopped _ feet
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection:
Comments:
Well Driller: Alpine Drilling & Enterprisest
P.O. Box 110496
Anchorage AK 99511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
Hamm nr fhP arnll Arillnr .hall m•nviAn a ..F Ina fn fha Tlanf of An.hl, Xr W- ,mon Snn,ina. within An love of rmm�lMinn
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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
IcarY-
t t7 1
ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW990161
Legal Description: KNOLL ON THE WOLD BLK 1 LT 2
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Robert Singer
Owner Address: 5116 Emanuel court
Anchorage , AK 99508 -
Date Issued: Jun 25, 1999
Expiration Date: Jun 24, 2000
Parcel ID: 041-031-55
Site Address:
Lot Size: 67290 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
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: 6 . z� -q
Date: f/ _ 2f — /
T.SPUTUCLAND P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 2 BLOCK 1 KNOLL ON THE WOLD
ROBERT SINGER
Municipality of Anchorage
Department of Health and Social Services
820 I Street
Anchorage, Alaska 99501
May 12, 1999
We are submitting an application for the installation of a well and septic system on this lot. The submittal consists of
three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed
improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a
schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed.
The septic system design is based on the following:
No Ground Water or Impervious Layer to 16 ft.
Use Standard System
Soil Rating. From Testhole May 13, 1999
22 and 48 min/in use 0.45 gal per sq.ft/day
No. of Bedrooms 4
Required Area per Bedroom: 150/ 0.45 = 333.33 sq.ft.
Total area required: 333.33 x 4 = 1333 sqft
Testhole depth 16 feet
Bottom Rock At 10 feet
Top Rock At 3 feet
Rock Depth 7 feet
Total Trench Length 1333 / 14 = 95 ft.
USE 2 trenches each 50 LF
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH
100
FT
TOTAL WIDTH
2
FT
TOTAL DEPTH
10
FT
ROCK DEPTH
7
FT
COVER
3
FT
SEPTIC TANK
1250 GAL
The installation of this septic system will not prevent wells from being installed on the adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation.
49th
TOBB -N SPURKI�AND
iF
Cry',• O. CE -2225
•. O
��h� pROFESSIO��+••.
✓V SCALE, 1' _
��I
LOT / J�v
/
1 "L LOT 2
\ / O /
4
LOT 3
1 .�o �v
1 � s
TOBBEN SPURKLAND P.E. KNOLL ON THE 11"OLD, BK 1 LOT 2 SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE ROBERT SINGER DA TE. MAY 12, 1999
ANCH. AK. 99501 5116 EMMANUEL AVE. SHEET: 1/3 GRID: 2142
907 279-3916
PERMIT # SW990XXX PID # y KTW01021,DW5
r
1
/ - - • 25 0 25 50 75 100
SCALE. 1' = FT.
OF
J 49th
/ s.....L................................ }
F` '?
TOBJLN SPURKLAND 0
mr
♦jC/J,'•.• NO. CE -2225 ?=
PRIMARY TRENCHES
1250 GAL SEPTIC TA♦NK♦411 •••RDFESS10NP����
= STANDARD TRENCHES. x\ulsk ►��
TOTAL DEPTH 10 FT
TOTAL LENGTH 100 FT
EFFECTIVE ROCK DEPTH 7 FT
COVER 3 FT
USE Z 200 FLOW SPUTTER
REPLACEMENT TRENCHES `
#2
-(� tel
125 150
TOBBEN SPURKLAND P.E. 'NOEL 011' THE TrOLD, BK 1 LOT21 SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE DATE: MAY 12, 1999
ANCH. AK. 99501it 1
ROBERT SINGER
/907) 279-3916 � 5116 EMMANUEL AVE. SHEET. • 2/3 GRID: 2142
PERMIT # SW99OXXX PID # y ®W1601021.DW5
r
Monitor
Clean Out
Standard Trenches.,
2' Wide
50' L ong
10' Deep
7' Sewer rock
3' Co ver
Clean Out
NO SCALE
Clean Ou
o�
c
a
a,
a,
tz
q
O O Q
1250 gal Sep tic tank
Clean But -1 F Z 200 FLOW SPLITTER
.,—, mirrfo
•' OF��
49th
.............................
. ..T....... .....
TOB EN SPURKRKLA D ���=
✓ • ACE
o. -2225
J'• '•i
ftFESS
/Vu JUMI-L-
BENCH MARK.
ASSUMED ELEV. 100.00
TOBBEN SPURKLAND P.E. I 'KOLL ON THE WOLD LOT 2 BLOCK SEPTIC SYSTEM DESIGN
203 w15th Ave ROBERT SINGER DATE: MAY 13, 1999
Anchorage Ak 99501 SEPTIC SYSTEM SCHEMATIC SHEET: 313 GRID! 2142
Tiq
Munl.lrallty of Anchorage
DEPARTMENT OF -IEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
2
1
l
C
E
It
SAG_ OF All.Ri`t+'a� '
7�• ` (ENGfNEER'S PEAL')'p
w
fQ. '•C t.•' CLOP •P i.)70..9fftl C
i....%
e rTo' ,)cn Spc rklanci 4w
J
C&2225air
AZO
h �.. y'C C
PERFORMED FOR: °i t/• DATE PERFORMED: •�3 i
LEGAL DESCRIPTION: %WIv V Township, Range, SeCti=
H b , Z SLOPE SITE PLAN
DFTI
' O.ti2aw� ty N
2
3
4-
5
v«QiY% gG
6
7 w
'Lei
a
9 L
10
11
12
13
14
15 I j�
16
!40 L- E-:
17
18
19
WAS GROUND WATER
ENCOUNTERED? b
S
IF YES, AT WHAT L
O
DEPTH? P
E
Depth to Water Atter
Molitoring? C— Date.
GrossTimeIF
FA I
20 —{ U
IL_�I PERCOLATION RATE .C2 Z_ (minutes/inch) PERC HOLE DIAMETER
TL'ST RUN BETWEEN 5' FT AND 11 FT
DISCLAIMI=R, Groundwater conditions indicated are for the dates shown only.
Past and future presence and/or depth of grot.ndwater can not be predicted
rom these o soya ions. -
PERFORMED BY. - Y - g --- I 1- . _ CERTIFY THAT THIS TEScT7 WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIZ ELINES IN EFFECT ON THIS DATE. DATE: 6/17/7
72-008 (Rev. 4/85)
,� H � PSV,,,...° �''°,'`-,�.��►;.
I o'� (ENtINE0k's SEALf
!� '. •.•a•as••ru s•e..••
Munlarality of Anchorage
DEPARTMENT OF nEALTH & HUMAN SERVICES �p obben Spurkland0
825 "L" Street, Altt-horage, Alaska 99502-0650 Ir N •• CE -2225 14, ,s
SOILS LOG — PERCOLATION TEST �{��''�%c••••••••,..•����od
� pRnr cc ta�+a
PERFORMED FOR: ty DATE PERFORMED:
LEGAL DESCRIPTION: Vl�
t— 01%0%. rut_ /0(QTownship, Range, Seclion:
SLOPE SITE PLAN
P " $ltlt L 0 2
E T �—n
1 /
z
3 [
I O
4
5 .,
6
ID
7 t
8 y
s
G r
10
11
12 a
13-
14 l
t
15
16
17
18
19
DzNSe_
ML
Or— 4 o t F—
- •
.
■■■■■■■■■14■
■■■■■■■■■■
IF YES, A
DEPTH?
Det.tl. to wale
Monitoring?
�'= M
�1
20 -{ I p / o1
II I PERCOLATION RATE 6�,.L (minutes/inch) PERC HOLE DIAMETER �LG,
TL;ST RUN BETWEEN 15 FT AND 141 FT
DISCLAIMERL Grnundwater rD_nditions indicated are fnr the dates shown only.
Past and future presence and/or depth of grotndwater can not be predicted
rom ese o erva ions. _ ._.,
PERFORMED BY: _-_ I j,S _ _ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GMC ELINES IN EFFECT ON THIS OAT F. DATE: � /!7• g �'
72-008 (Rev. 4/85)
Municipality of Anchorage ; , .
Development Services Department �•'°`
e; Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 .
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. nU -n_ t- rid COSA #_ n
Expiration Date: — 3— O 7
1. GENERAL INFORMATION
Complete legal description
a
Location (site.address) 5210 Tec i ; rt. e
Current Property owner(s) Sa..ac . $ i., 4 „.,
Day phone -331-561(,,
Mailing address 9 10_ Ter_ f 1� ,Q`�„� �y AV, 9950 -4 -
Lending agency
Day phone
Mailing address
Real Estate Agent _ T.,
IZi
Day phone
Mailing Address
Unless otherwise requested. COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
K
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 Onsite 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 sample results. (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
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 Onsite 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.
C_.._l l _ _ 1
Name of Firm £nsineerm4 Phone 7M-37/ 1
Address '2o3iJ �5+�` ke 20 Aacl°'ayc AT 99`,oi —
Engineer's Printed Name Lars .Sp Akly- Date
OF
i
P , LAPS E?'JR CLAD
6. DSD SIGNATURE /!!� . tt:ao f
t� Approved for _bedrooms. '(IPFOFESSt����-�
Disapproved. \\\\�����
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X— Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineers Report
Nitrate Advisory Other
By:
Original Certificate Date,
47-
(RNVAIM
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water 3 Wastewater Program
4700 Bragaw Street
P.O. Box 198850
Anchorage, AK 99519-6650
www.muni.orylonsite
(907) 3437904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
.,.
A. WELL DATA
Well type Res. If A, S, or C provide PWSID 0 = Well Log (Y/N) Y
Date completed i0NQy Sanitary seal (Y/N) Wires property protected (YM) _
Total depth Iib R. Cased tol a0 ft. Casing height (above ground) 20 in.
FROM WELL LOG AT INSPECTION
Dais of teat b199 q C) I
Static water level 10 q ft 10b ft.
Well production I a 9 -P.M. 5 9.p.m.
WATER SAMPLE RESULTS:
ColMorm _�_coloniea/100 mL Nitrate 2,50 mgA_ Other bacteria - -d cobnieV100 mL
Arsenic: _�_ mgA Date of sample: *0--+ Collected by: L.S ,
B. SEPTICfHOLDING TANK DATA
Tank TypdMaterial i T nk 151,1 Date installed11 1 3 2000
Tank size Ia SO gal. Number of Compartments Cleanouts (YIN) y
Foundation cleanout (Y/N) %r Depression over tank MINI) N% High water alarm (YIN) /V
Detsofpumping OSU(o Pumper Venal &c&oJtors I P.m Pin) .Service..
C. ABSORPTION FIELD DATA
Data installed -41 2(�Q_ Soil rating QJ�or R /bdnn) 0.15 System typeDkep Trcr,ck
Length 2 % 50 ft. Width 01 ft. Gravel below pipe 7- ft
Total depth —ILS—ft. ERabsorption area ! &W Monitoring tube 'Y Depression over fold //
Data of adequacy test r 9 0 Results (Pass/Fail) %�, For 4 bedrooms
Fluid depth in absorption held before test 12021 in. Water added 680 gal. New depth 29 in.
Elapsed Time: I IO min. Final fluid depth .!4,1Q_in. Absorp tion rate >= (n 00 g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yea, give date —
D. LIFT STATION
Date installed
•Pump on' _ in.
E. SEPARATION DISTANCES
Size in gallons ManholelAcoeas (YIN)
'Pump otr level in. High water alar in.
Cycles Meetsalarm requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankilift station on lot loo'+
Absorption field on lot 10014 -
Public sewer main NA
Sewer /septic service line '25
�+ -
On adjacent lots
100,+
On adjacent lots 100 +
Public sewer manhole/cleanout N A
Holdingtank V/A
Animal containment areas So r+ Manurelanimal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
r
Building foundation 1 o ' + Property One 10,+ Absorption field S t
Water main N A Water service line l0'+ Surface water 1001+
Warts on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10"+ Water mein ;!MLA
Water Service Ane I O r � Surrace water 10011- Driveway, perlmryvenide $wraps 5o 1 F
Curtain drain N. O. Wells on adjacentkts 1W,-
F.
0O 1t
F. COMMENTS:
G. ENGINEER'S CERTIFICATION
1 certify that I have determined through field inspeodons and
review of Municipal records that the above systems are in
oonfwmance with MOA COSA guidelines in effect an Mis date.
Engineers Printed Name Lars Spur kaZ
Data
COSA Fee $ %v
Date of Payment '
Receipt Number •- !q -M/4
(Rev. I IMM
Waiver Fee $
Date of Payment
Reeelpt Number
a cxIYI� I
* •Ac.a a+•.a
acro ><n.a
aua.a e+aao*
BASHER DRIVEk
UNDER NO CIRCUMSTANCES MOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES.
THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASS)MES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY.
LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS N SCALE
y � to lil r SURVEY TYPE SYMBOLS
lJ RIUIIDATOn A IULT • ®M
❑ M4 SIRUCTAIE AS-OL&T SET R Z"= ;WDRAINAGE ASPHALT
x ... l
PLor O FOUND ROAR 4 p. WOW FENCE CONCRETE
mo
f-1 RtAN ... SLr ❑ LOTamtcr araaARn ® ASSUMED ELEV. —;r r METAL FENCE WOOD DECK
mwCtIRm Tw ScR<menrxwnal As-exr ... ue minwxS s•r
IT IS THE RESPONSIMUTY OF THE BUILDER OR OWER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE OROUND AND VISIBLE WILL BE
CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FWCES, WCUILS SEPTIC CLEANOUTS. SIDEWALKS. DRIVEWAYS,
TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., AR[ SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW
THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PR[VENT SOME IMPROVEMENTS FROM BONG SEEN AND LOCATED.
WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL OISTANCIES ARE RECORD UNLESS OTHERWISE NOTED.
SURVEY CERTIFICATION r�,a
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LOT 2, BLOCK 1, KNOLL ON THE WOLD
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SCS ReLq
1071476001
Client Name
Tobben Spurkland P.E.
Project NamcM
Knoll on the Wold BI L2
Client Sample ID
Knoll on the Wold BI L2
Matrix
Drinking Water
PWSID
0
Sample Remarks:
All DateaTmes are Alaska Standard Time
Printed Date/time
04/30/2007 8:59
Collected Date/time
04/10/2007 10:20
Received Daterrime
04/10/2007 16:12
Technical Director
Stephen C. Ede
Allowable Prep Analysis
Parameter Results PQL Units Method ContainerlD Limits Date Dau Ink
Metals by ICP/MS
Arsenic ND 5.00 ug/L EP200.8 C (<10) 04/18/07 04/28/07 TK
Waters Department
Total Nivatc/Nitritc-N 2.50 0.100
Microbiology Laboratory
Total Coliform 0
mg(L EPA 353.2 B (<10)
cot/100mL SM209222B A (<I)
04/12/07 IDS
04/10/07 DPT