Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
FIRE LAKE LT 2 TR D LESS NW CNR
Fire Lake less NW CNR Lot 2 Tract D #051-333-34 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Section �� {` LL'i', Phone: 937-343-7904 Fax: 907-343-7997 Pump Installation Lo Well Drilling Permit Number: Date of Issue: Parcel Identification Number: 051 LLegaliptlonBlock �Lot P perty Owner iazne & Address: o-6. L z �� r Less NUJ Cr4 R, Pump Installation Date: Pump Intake Depth Below Top of Well Casing: � � feet Pzzznp Manufacturer's blame: Pump Model:2----- Pump Size: p Pitless Adapter Burial Depth: -- — feet Ir Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Comp tion? i� Yes C3 No Method of Disinfection: Comments: Pump Installer Na ANCHORAGE WELL & PUMP SERVICE 7640 King Street Company: Anchorage, AK 99518 PH: (907) 243-0740 — .Vailing Address: �ziy: State: Zip: attention: The pump installer shall provide a pump installation log to On-site within 30 clays of pump installation. Municipality of Anchorage ZD On -Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191076 PID Number: 051-333-34 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name LARRY & ANNETTE SMITH ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 14707 OLD GLENN HWY., EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 1 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot FIRE LAKE TRACT D LESS NW CNR 2 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft' Ft. Well 100'+ -- 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1000 Gal. Surface Water 100'+ -- Material STEEL Number of compartments 2 Lot Line 10'+ -- NA Foundation *5'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks Existing septic tank decommissioned per code. *To addition / porch with deck supports — installed per Alarm location Electrical installed by permitted design. Installer NORTHERN EXCAVATION PIPE MATERIAL House to tank 3034 Tandra n k to 3034 Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdectio 1� 4/5/19 12/21/19 Location and description Zed 3'd 4'" BOTTOM OF TRIM ON-SITE WATER AND WASTEWATER SECTION APPROVAL 411\\\\ OF A Conditional Approval: Date ..� Q'•' TH • • '. Curtis Huffman. :. j 1���l ' • .02/5/209 01. •'.C����..� Septic System Approved - Date o2 20 X620 i1�F0PROFESstioN "dew Note: this approval does not include well permit requirements. \�\\\11~ kmev uoiutri 8) FIRE LAKE TRACT D LESS NW CNR LOT 2 ADD. ON PIER V X100' WELL RADIUS (� MT z0-xzl ® CRIB T \NEW 1000 -GAL PID: 051-333-34 PERMIT: OSP191076 600. 0 ' E N89 42'06"E 274.17' SCALE, 1' = 40' A -C=9,1' B -C=13,8' FCO co co co co A -D=11,3' 98.2 98.0 �FlNAL GRADE B -D=15.7' 94.80 A - E =15, 0' INSULATION B -E=18,6' 94.2 000 GALLON 4.05 A -F=17,3' STEEL TANK EXISTING CRIB B -F=20,9' A -G=19,3' B-15=22,7' SEPTIC SECTION PREPARED FOR: LARRY & ANNETTE SMITH ��� OF A 44s FIRE LAKE TRACT D LESS NW CNR LOT 2 14707 OLD GLENN HWY, EAGLE RIVER * 9TH0. FIRST WATER CONSULTING DATE: 2/5/2020 rtis Huffman 14; A4 13030 SUES WAYS CE 128991 Ge AO DRAWN: FWCS 2/5/2020. ANCHORAGE, AK 99516 '%Qmssioll ' 907.350.9566 firstwaterAK@gmail.com SCALE: 1" = 40' ::E - P w (D 0 , = 'C� X (n C� W Qc)O CD 0 CD Z 0� Rr rd 0 E F) CD , v) CL > FTI Fq 0 2- 00 (D CDq 0 C- 3 Sy4A m a r CL >(IQ 0'a cra CT ro CP 0 C/) � Cay q fn. 20 0 ol > 0 S. Iz "D 0 r3� co rau SCHUIZ � PROP CIO) cms 07 P O�--3 (D (D (D C/) C/) 0 C-+ 0 (D 0 Ul (D (D 0 03 �se.2T.1.rte MUNICIPALITY OF ANCHORAGE I Ment , \ On-Site Water&Wastewater Program No' Sf;, PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,_ r. \ : 4 . % http://www.muni.org/onsite *k \ y E>i_ Li L.,.j I)cpartmcnt .1n;;;;;;NG On-Site Wastewater Disposal System Permit Permit Number: OSP191076 Effective Date: 4/4/2019 Work Type: Septic Upgrade Expiration Date: 4/3/2020 Tax Code Number: 05133334000 Site Legal Address: FIRE LAKE LT 2 TR D LESS NW CNR G:0554 Site Mailing Address: 14707 OLD GLENN HWY, Eagle River Owner: SMITH LARRY M & ANNETTE H Lot Size in Sq Ft: 64033 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 1 This permit is for the construction of: ❑ Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: `���(1q /', �/ 1 Issued By: i�w Date: 1/q7 c( MUNICIPALITY OF ANCHORAGE ill0 ( ,e., Community Development Departments Phone: 907-343-7904 Development Services Division --,__ Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-333-34 Property owner(s) LARRY & ANNETTE SMITH Day phone 907-223-8987 Mailing address PO BOX 671248, CHUGIAK, AK 99567 Site address 14707 OLD GLENN HWY, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) FIRE LAKE LOT 2 TR D LESS NW CNR Legal description (Township, Range & Section) Lot Size 64033 Sq. Ft. Number of Bedrooms 1 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Ei all that apply) Absorption Field I I Initial LJ Single Family (SF) U (w/wo ADU) Septic Tank > Upgrade Duplex (D) ❑ Holding Tank n Renewal Multiple Dwellings E Privy n (SF and/or D) Private Well (-I Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Si na re of ert owner or authorized agent) � � p Y 9 ) Permit/Rush Fees: 41 22 S, D 0 Waiver Fees: Date of Payment: 04103119 Date of Payment: Receipt Number: o6'4S3D Receipt Number: Permit No. OCP I 9 I 01 Co Waiver No. PermitApp_9-1-12.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 April 3,2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage,Alaska 99519-6650 Fax 249-7847 Re: EMERGENCY - New Septic Tank Permit Legal: FIRE LAKE LOT 2 TRACT D LESS NW CNR The tank has collapsed and owner has requested we proceed forward to obtain a septic permit ASAP to upgrade the septic tank on the subject lot. The proposed upgrade will serve the existing 1-bedroom cottage. The lot is served by a private water system and the tank upgrade will not impact any of the neighboring properties due to the lot layout. Please contact me if you have any questions. Sincerely, Michael N.Anderson,P.E. DESIGN CRITERIA: DECOMMISSION EXISTING SEPTIC TANK & INSTALL NEW 1000 GAL. S.T. MAINTAIN 5'+ FROM PIER BLOCKS, 5'+ TO FIELD & 100' TO WELL WITH 4' OF COVER OR INSULAITON, i 7 7 r 7 7 <o°5 ' 6 0 i X100' WELL RADIUS INSTALL NEW 1000—GAL SEPT1C TANK 5' FROM ADDITION W/ COs. C C• 'Os 20'X20 011101) 2,, me ,9 —ADD FCO �� O .,0, l�J \DECOMMISSION 411 ,y s EXISTING S.T. ^ �S `bt`• 6 0• ADD.ON PIER 7, y ti� 6 BLOCKS '> `YDS $ o x��i�/ V9. • l3' 0 • O ' E N89.42'06"E 274.17' Septic Design Prepared for A746:M16\ LARRY &ANNETTE SMITH i_% OF A.L. ° , FIRE LAKE TRACT D LESS NW CNR LOT 2 ,z �c ' ' 1 A 14707 OLD GLENN HWY, EAGLE RIVER / Al..* 49TH 041/10* / Michael N. 4 Anderson, P.E. �� MICHAEL N. ANDERSON DATE: 4/3/2019 No. CE 9469 4601 Natrone Ave. DRAWN: FWCS 1 Y(3 fist . ,c1w of Anchorage, Alaska 99516 ssta�� iAsor (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 40' ��`__41P. _= MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMF..NTAL_ PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Sweet - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE vv nchQ / �. t �(� 8� �_. UPGRADE MAILING ADDRESS vv^^;�� --------__ _--------------- LEGAL ESCRIPTION dr LOCATI N NO. OF B-DROOMS a WellAbsorpti,r r� a DISTANCE TO: �G7 /!�� welling O / PERM NO. U Y - _.--_- -- _ - � ����SS��z No. of compart nts a Za Manufacturer Material.- 7- W N Liq.i'gcLty in ons opQQ IF HOMEMADE: Inside length Width Liquid depth Y DISTANCE "f0:well Dwelling PERMIT NO. J02 2 _ F —__. _ -___'. -. __ -- _- --- - __-- --- -__ .--_. _ -__ -. Manufacturer Material - _- - _..- ___-- - Liquid capacity in gallons 3: w= Well n DISTANCE TO; /�Q( Foundation Neatest lot line ( U/j Q yL PERMIT NO. _ - NO. J w Z Z W No of tines Length ofd li(Ie JJ Total lengtlyofj lilnoe french wi Distance bet e n lit s F- cc F - __ - s - _- _ - Inches Total effecti e b or I ion area cc Top of tile, to finish grade Material beneath tele inches Length Width Depth PERMIT NO. w Typo of crib Q F- as w Crib diameter Crib depth Total effective absorption area w DISTANCE TO: Well Building foundation Nearest Int line Class Depth Driller Distance to lot line PERMIT NO. W Septic tank Absorption area(s) DISTANCE TO: Building foundation Sewer line OTHER PIPE MAW SOI L TEST RATING /50 V - — -- ---- - - INSTAL- ---. -------�.-----------------NNIS w REMARK APPROV D DATE %%LEGAL / W�, '7�,4_112 /eo,-+ 72-013 L5A. 3/78) /'T ["U" I #, I =IL I T' -r lGF nP4G1-" F?F=l C3E DEPARTMENT Or HEALTH AND ENVIRONMENTAL rkOTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 C-1 " -:F. I TE E-=WaFR F"EFZM I T PERMIT NO. 800207 ) APPLICANT MARVIN SHEPLER LOCATION MI 16 GLENN HWY SR BX 365 ER 99577 7 l n 688-2609 LOT SIZE 100000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: G,EF>-r"- � L.Et+lli -r H= 445 0FZF1Vr=-L. DaF}TH= THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). FREt3!Li I FZEGti 'SEF -r 10. "r F=N K d-::; I ZE= 1100la C3FlL.1 13N PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ----- TW01 < ;�2 } I N!SF oF=C-r I ONtS F=11;tE FZI=-QU I REE -01 --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F:'EFRM I T aXF'' I F;ZE<-- E>a0aMOEF;� -3�L: 1:OEB: E) I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED: ---------------------------------------- APPLICANT MARVIN SHEPLER, ISSUED BY---` - ��1,.,��sC.. �4(l_---DATE-IL_'E L�� V4.0 D PRR Tt4ENT IN' 45-R_ TH AM €VV I iR+:MW-NTAL PROTECTION 82'S 't..' STREET, HFi+ M R% JEi AK 99501. 264-4t�29 PEMI T M. < 8eM207 � APDL TI'iANT MHRV I Ny� a�+:H�C�jPLER SR 8X 3;65 crt 9957 T -c"b t o� ,::Arl+.+tti mt is t70..C.m Aw L Ec sFil, LT. 2 TR D. F I F'.EL AKE /D LOT S I E Va SVURRE FEET TYPE ['J' OIL Ste'--WAPTION Tth-TE14 15'. Thi t' X I IPM NJweER OF RECSR+C93M" 3 SO I t., RA T I NS <50 F f /M a I.50 THE FtEtA t I RFD s I ZE. OF niE SO I L< ABSORPTION S4S T Ei4 I S : ' [..r �, F="' -f'!'-"k � r ' E__ Fes'` 4`•d1:3 T' t-! � �-'v� t..:3 �"'t�i'ti+'>�.1.... C`:a� Lr is 'i" t�l �' i'' { 'THE LEWTH D I t :W310H IS THE t_EMTH < I N F E n OF THE Tf*..WH OR t?F R I NF I EL D. ME DFPTH OF R TR'O&l H OR PIT 15 THE D I S TF KI F BETWEEN THE SURFACE +:?F TWE. l'"jtm Ai`Ri? THE E+OTTOM L -F THE E.xcwfiTION <IN FEeri, '11*JW IS NO SET WIDTH Fog rRm�ws. rt#E tlWvrEL. DEPTH t<; THE M I N I Ilia DEPTH OF GRAYEL BETWEF-H rHIE OUTFALL PIPE MO THE BOTTOM Cf NE EXCAVATION <IN F'EETY i:;t(F-C-4 U I Fri Cr t5CT-F�l'r T C'-. -F-""K 1 -t..4+ IAla 93r-lL-t.-+:D'etit' mpt I T rpt:. i c:prr r HRs rte RcsPoNs 18I u rY r4 Iwo Rt4 rH I5 MPARTMENT DUR INti TFC fWSrfik.LHTION INSPEC" ONS kaf r1NY WELLS HDJA+'v"T TO THIS PROPERTY MAI) THE OJt*ER OF PCS I ENCE'S rMt TME t*I- .. WILL SERYF- wK.FIL.LIM OF HNY SYSTEM WI "rHOUT F'IWL INSM",TI+m Am tpt7f ovy-L ey THIS j COEPRRTI"T 14ILL 8E ; JCCT TO MSECUTIOM M I N I MUt4 D T S TRNt . 8E TT•tEEN 8 MLL HNP ANY ON -S I TF 'SEf D I5PUS- flL S't mm 15 vto FFer FoR A #'prvfiTE 14ELL OR L50 TO 200 FEET FROM A PlM_IG YIE!_t< DEPENDING UPON rfW TYPE r F PUBLIC WELL. } M I N I "_tt4 D I S TA NCE, FRIM H M I'r'ii'i E WELL TO A PR I V II TE SEWR LINE 15 25 FEET t To A +=:4'3MM I TY SEMR LINL is 75 FEET. CIT PIER RCQ#J I REM4 Ta MAY APPLY. SPEC K= I CH T UMS R ND CONS M.I C T I ON O t AGRF"S tett» WMI► ABLE rD I►t-o-PUtRE PROPER MirFiLLHTTOK I ccxrwy rm4T is I AM FAMILIAR WITH THE. ftjsR oN-Slrt: Ew-ps AM 14ELL_5 AS SET FORTH ey rHF tso m I r I Flit _ I r y of AwwCw. 2 : I W I L.L. INSTALL THE 453Y'S, TEM IN i Xj3Ro8W..E WITH THE 3: I j,#0,w-kS TAW THAT THF ON ^S I rF'.* W -R SY% f EM MAY f tFQtJ I RF EtJt PRt3EMEN T IF TW REQ51 M IS FzEt L CO TO I NCtUDE MK THAN 3 MORO(IM. nw- FRF'FLicANT RAIN SMEfi_F,I2. 115%-luED By + tK SOILS LOG MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION Pouch 6850, Anchorspe, Alda 99602 2762221 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: /" IU�� L ��� Af DATE PERFORMED: JU %Or 8 C� LEGAL DESCRIPTION: I IZe % /Tl'f C�i�) i> G (� L I Z �� D Le �E DEPTH SLOPE SITE PLA (FEET) �- (.7r� e: ✓i IL ---r_ f ` 1 j 2 4 ave w ✓ac Sr S Ge I 5-7 s clewIi Cor~YS 7 I 8 7-/3 I J� 1�/St 5���� -� �7���A.1 lfw 10 C7/2✓+1/EL 11 WAS GROUND WATER v/ c S N / ✓ L ENCOUNTERED? L D 12 �1 �- L ��jy P 13- 14 3 l`(y ��PTH?AT WHAT E i 14 15 16 17 18 19 20 I I PERCOLATION RATE (minutes/inch) L-�V�� // �TEST RUN BETWEEN /FT AND FTy� ` t � COMMENTS `>_ 6 OY7 / C �'IZ� 1-k7' 71 T" ✓ /f b5alWel %/'. Ay I'm //7 Reading Date Gross Time Net Time Depth to Water Net Drop PERFORMED BY: i2 008 fiiirl CERTIFIED BY. TE:�a foc --ow 0 F) f 6e)C) __1 Gc--Q-P' GRE' �-R ANCHORAGE AREA B0r 'IGH Department of Environmental Quality 3330 C Street Anchora a Alaska 99503 9. INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME!I j r' h��S � PQlQ/ MAILING ADDRESS Sti �. Pc"A 3(0 $ CZ7a���'��K, VY PHONE ` LOCATION 'Me 14 X-1- LEGAL DESCRIPTION�iIC� 1) riY'� /-I k2 -��ICC1 A SEPTIC TANK: �/N a DISTANCENUMBER OF FROM WELL 135 MANUFACTURERStC'A -5)PPl MATERIAL �re'(f1 COMPARTMENTS L uL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. SEEPAGE PIT: /53X�C)X�OXzcf / e NUMBER OF PITS P � 2N _ OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL4__ CRIB SIZE: DIAMETER_DEPTH DISTANCE FROM: WELL //i TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE 3S ABSORPTION AREA (WALL AREA)y�SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE kt CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES: 4c " z L' yk -wl Ap7 moo` 00-,wf�ED=I���' INSTALLED BY: ct' e� f- 0 PIPE MATERIAL: east rpvu LOT SLOPE: REMARKS: Form No. EQ -031 NEAREST SEWER LINE , REMAR DEPTH SEPTIC I r TANK DIAGRAM OF SYSTEM opo C.LEAtu t(t6Nw4V DATE /y i3 APPROVED DISTANCE FROM: SEEPAGE SYSTEM 9F -it YaL; !%ne test is worth a thmsand opinions" 13620 TUDOR "?,A)pi,"CHORAGIE. ALASKA 09607 • TKLF.PHONE 333-0472 Performed For t4, at Performed --7-24-'13 legal Oescrintion: Lot 10 P I o(: S1jhd i v i i or) D Fire bake Sub. This Form Renorts Soils I n(I Pfyco I ati on lest n -r, ti, v(- T," )ij I" i!,? I I 5 --- 7 i n Bo t, Low Was Ground f f'r If' Yes, At wh,, i. riorl,'t) � Read n q pate L Percolation Rate Minute Proposed In3tei e (, r) a a e Pit yes Drain Field Death of Inlet _Depth T To - -k o t -t o m 0f Pi t Or T VIMMENTS: jpc sj na e 1�e qui -re(I Per bedroom t. below e No bodrock or watcFITa5le� epage pit T.eSt Performed By Jim Mack Data Certified By:Constructi on rotas Lab Manager Date: 7-21�-73 Municipality of Anchorage ` •;;., Development Services Department j Building Safety Division .. ... On-Site Water and Wastewater Program. 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519.6650 Page of 3 www.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: T' ' , 0,20 37.5' PID Number: C951— 333 3 Name: A L Wastewater System: [:]New o Upgrade Addrm::4 2 Nes ;n oq VX ABSORPTION FIELD Pha+e: NurtEer air �df 0�: a Dm T,,,h 1(Sliaew Trerid, O Bed O m,,w O OthW. LEGAL DESCRIPTION Sol Rath¢ Total 0" tan odprd Wade: an. as app? 8laere:— a.La.Lot: SubdMsan:/�• L t Int Depth to ppe bodan ham oronat Wad, Grret depot Oaw th Ppe: (�.. ' Ad f._ e F Ft. .S E)rsr4V& f FL Tow srvp: Range: Sechdrl: Fid added above original Wade: Gravel LVVC 'r0A4 Jjootd Ft. L Cc /3 Well: ❑ New ❑ Upgrade Graved width: S wmoeratrimm I�-- D41ar"betweennnes: Ft. FL Ctassimbon (Private, A. . CJ: t Total Depth: r �• r Cased to: Total absapanarca: GGO I i0 �ao,t Materut 51 1 Ft. FL rorAL FP &TAI oruler. Data Qwed• Sutk Water level: ttsutler: TW4,4-0 LA Date ttstaee2 /0/$/03 FL . Yield: irp set at Cas. Graac: TANK GPM Fc. Fl. SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. ❑ Other. TO Septic Absorption Utt Holding ub eprNate capaorr. From Tank Feld Station Tank Sewer Une l s wen q.i Material: Corrpartrnents: surface Water / o 'f-oa ' f LIFT STATION Lot Line Dr} 10'*- I ' Gal. er. Foundation 'f' 10,4- 0r4-Curtain Turin on' level at cull aL' IaWI wV ler alarm aL' , 0 PWV Maw a 4o0el Eleculco tispecooro perlome° tp. Curtain Drain 0 1.J✓1 Renerks: Fo L. tac.,;T4.d Vrvrn4.R No�fE . BENCH MARK L=oon arc Desrnpan: � f D I �. �r Assumed r .100 Ft. v CJ r'• •••�' to at �• f �� S & S ENGINEERING�• Inspections ates: 1" /o�eS �03 1 . t '» "^•'""`• performed b6zd� Eagle River, Alaska 995772nd /a f-/4 3 �i Sf •• RO ERT C. COWAN % C Development Services Department Approval 1,`�c CE-8801 ,! Reviewed and approved by: Date:t1j FD "` "����• tac. 1_001 1•►'�' 1 PERMIT No. SW010384 PAGE 2 OF 3 Municipa(it of Anchorage DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT 5$4r,..✓ LEGAL)% LOT 2, TRACT D, FIRE LAKE S/D P.I.D. No. 051-333-34 CLASS C WELLY DR,�fW� v EX TN V� O 4000'* 1000 GALLON +`0 J SEPTIC TANK S O ` •.+� CO2M 01 NEW TRENCH -/ATH I :7 r' jpf 15' UTILITY EASEMENT 1 ,,, �r..�� ....... - - - - - - - - - - - - - - - - - - - - - - ------------------_ p ti ROBERT C. COWAN I � CE -6801 � �`rh C �r•� ••. • '••• `•' .... LOT E-1 iii �: �:;::�,• >,._ �::...�,.• _tip PERMIT N0. SWO1 0384 PAGE 3 OF 3 Municipalit of Anchora e DEPARTMENT OF HEATH AND HUKAN 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 sic iro,J LEGAL "LOT 2, TRACT D, FIRE LAKE S/D P.I.D. No. 051-333-34 CO1 CO2 MT1 C01 = 95.8' CO2 = 95.0' FINAL GRADE 2" INSULATION I [—'c C01 = 90.8' SR CO2 = 91.0' MT1 = 86.8' NO WATER FOUND 80.8' B.O.H. N. T. S. A B FS 42.Y_7S 1 .0 C01 53.5 37.5' CO2 66.5 25.5 MT1 63.0' 27.5' MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 � � la✓SP�cTTv !� lo�g�o� 2:asp, A,,. ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Permit Number: SW020395 Legal Description: FIRE LAKE LT 2 TR D LESS NW CNR Design Engineer: 0003 S & S Engineering Owner Name: Raychel Shepler Owner Address: 14706 OLD GLENN HWY EAGLE RIVER, AK 99577-9200 Date Issued: Oct 08, 2002 Expiration Date: Oct 08, 2003 Parcel ID: 051-333-34 Site Address: 014707 GLENN HWY Lot Size: 64033 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 1 This permit is for the construction of: [✓J 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. `'5. The following special provisions.' THE FLOW FROM THE SEPTIC TANK SHALL BE SPLIT SO THAT ONLY 1/3 OF THE EFFLUENT GOES TO THE NEW ABSORPTION TRENCH AND 2/3 GOES TO THE EXISTING ABSORPTION TRENCH. Received By: Issued By: Date: %D 5 /o i Date: 8 DZ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. (4)5 �- ��� -3 Permit Number SW 0Z099S Property owners) �� t ✓l Day phone q2_' S of Mailing address (1) Mailing address (2) kp, IN it T1�1 bl� Zip Code Legal description (Lot, Block & Sub'd.) E e- LT oZ %A�� �esS �w Lll�• Legal description (Section, Township & Range) Lot Size &105f2 Acre q.Ft. Number of Bedrooms / THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of propL"rty owner or authorized agent) Permit Fees: f IO•Lf RGKeAA_1sC. Waiver Fees: Date of Payment: '�f /y o� Date of Payment: Receipt Number: 7 Receipt Number: (Rev. 12100) Gcogje 1'. 11'11erch, 5lagor Anchorage Municipality of Anehorage l3 d All -America City Bilildirlg Stafety Diivisioii 2002 September 9, 2002 Raychel & Marvin Shepler 676 Lake Nelson Lane Arrington, VA 22922 -Dear Mr. And Mrs. -Sheeler, I received check #1112 in the amount of $100.00 for the renewal of your septic upgrade permit. To proceed with the renewal, I have filled out an application form for you; however, I need to have your signature to verify that the application is for a single-family home. I have enclosed the application. Please sign and return it as soon as possible so we can continue with the renewal process. If you have any questions, please call me at (907) 343-7904. QUI Sonnet Fleener Permit Clerk Municipality of Anchorage On -Site Water & Wastewater Enc: renewal application P.O. I3ox 14)6650 • Anchonge, Alaska 99519-6650 • Telephone: (907) 343-&3,`301 • P.LC: (907) 343-8200 4700 S<n.th I3rapw Strcet • Anclioragc, Alaska W507 IIttp://%%-%%- '.ci.aacluirage.alc.us MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO10384 Legal Description: FIRE LAKE LT 2 TR D LESS NW CNR Design Engineer: 0003 S & S Engineering Owner Name: Raychel Shepler Owner Address: 14706 OLD GLENN HWY EAGLE RIVER. AK 99577-9200 Date Issued: Sep 20, 2001 Expiration Date: Sep 20, 2002 Parcel ID: 051-333-34 Site Address: 014707 GLENN HWY Lot Size: 64033 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 1 This permit is for the construction of: 0 Disposal Field 0 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 ( 1 BAAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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: z� Date: q —'7-1— O l /t:��/4 Date: .-9-n-2. 0 — 01 I Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. (i�;- /' 333 — 3 `� Permit Number SWO / O 384 Property S Day phone _ "1 6-001 T Mailing address (1)' g "'y LAC t,+- RI v`.E 4e Mailing address (2) Y Zip Code cl `T P-7 Legal description (Lot, Block & Sub'd.) LD ` �� 1 !aGt �/ Ere L alta Legal description (Section, Township & Range) '�E55 Nw ONR LS' 75 9 63 Acre Sq Ft Number of Bedrooms ot ize & 1-1, b33 THIS APPLICATION IS FOR: Sewer Only Well Only El Sewer and Well ❑ Water Storage El Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi 1:1 Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. S & S ENGINEERING �Y'w '� �-i [.►.� 17034 Eagle River Loop Road No. 204 — Fa le River„��k9 99577 (Signature of property owner or authorized agent) MENNEN MENNEN Permit Fees: 3 Waiver Fees: Date of Payment: 1 / � /0 / Date of Payment: Receipt Number: o a a 3 / Receipt Number: (Rev. 12/00) SN v vE1I S & �RII1G ROBERT C. COWAN, P.E. iaE CIVIL ENGINEEnS Auuw (907)694-2979 FAX(907)694-1211 August 23, 2001 /@ALTNAUINOPoTY APPROVALS MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 SEWER&WATER Anchorage, AK. 99519 ` MAIN EXTENSIONS REFERENCE: Lot 2, Block D, Fire Lake Subdivision SEWER&WATER WSPECTION Itis requested that you issue a permit to upgrade a septic system to serve the existing three bedroom dwelling on the referenced property. Or"-" 'TRt�.cN I3 Ut's^�G AQOQo i34c4VS4 TN6 �T�J7��4 CNOVL-N Fof1 �. 13EOticC.nSt LvA.vikS ARt ASt.-4 �2f�✓�sr40 i"��.•+A.O.Ec• ENGINEERwG STUDIES A test hole was excavated and a percolation test performed on 8/3/01. The approximate ANOREPORTS location of the test hole is located on the attached site plan. At the time of excavation, no water was found. Ground water was monitored and after seven days water was not found as shown on the attached soils logs. WELLIFISPECTION S FLOW TEST We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent SITERAM properties. If you require additional information, please contact us. ROAD DESIGN Sincerely, SOIL TEST qY j 147� Robert C. Cowan, P.E. RCC/bj j PERCOLATION TEST Enclosure STRUCTUFIAI& MECNAWAL 71SPECTIONS ONSITE WASTEWATER OSPOSALSVSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577 1" = so, I DESIGN I SITE -PLAN — Ln A 0 d >enF L4 w=� m v ►-. mop Ov"�nm Pv V� IOP 90 Zmn� FTH LTJ +VNy Ip V � m r VS d C �1 r H M D rn rni m z .y ki Ra O NT 95\ S\ q TR Iq ON i V�r r� b �(A- C Or-coM 1 �Nv C/) r m C) N NCO Ul-0 N � H o-3 OO7-1v Mi 9 m� m v � 07 m N W O TIN II o Performed For. Legal Description: Depth %) Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.Ci.anchorage.ak.us (907)343-7904 Solis Log - Percolation Test 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- ,O .0 WAS GROUND WATER ENCOUNTERED? �D S IF YES, AT WHAT DEPTH? L 0 Depth to Water After P Monitoring? -0n'i E Date: M0 hl OF �t r P i ROBERT C. COWAN rp��� CE -8801 ,1 Date Performed: O I e, Section: rI k-- s Site Plan PERCOLATION RATE r. I (minutesrmch) rtM, MVLt VIF ICICM v TEST RUN BETWEEN G FT AND % FT COMMENTS V/SVAL+-Y Or'.twit .,r,'a() AL 1--644f - �O 1)o Wry It- ue tvD. N SIEVE ( SA.-,Oy� PERFORMED BY? & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN /�(% �+IB�iA�N1ot4QISRolafd 0PICIPAL IDELINES IN EFFECT ON THIS DATE. DATE: /60/01 tCu1® Eagle River, Alaska 99577 Rpm NOUN PERCOLATION RATE r. I (minutesrmch) rtM, MVLt VIF ICICM v TEST RUN BETWEEN G FT AND % FT COMMENTS V/SVAL+-Y Or'.twit .,r,'a() AL 1--644f - �O 1)o Wry It- ue tvD. N SIEVE ( SA.-,Oy� PERFORMED BY? & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN /�(% �+IB�iA�N1ot4QISRolafd 0PICIPAL IDELINES IN EFFECT ON THIS DATE. DATE: /60/01 tCu1® Eagle River, Alaska 99577 t, J or 6 D N'l VONY KNOWLES, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION • DIVISION OF ENVIRONMENTAL HEALTH DRINKING WATER AND WASTEWATER PROGRAM 555 CORDOVA STREET: Telephone: (907) 269-7519 ANCHORAGE, ALASKA 99501 Fax: (907) 269-7650 September 18, 2001 Robert C. Cowan, P.E. 17034 North Eagle River Loop Eagle River, Alaska 99577 Re: Fire Lake Alaska Subdivision Lot 2, Tract D, Request to waiver separation distances ADEC Project # 1497, Class C Public Water System (PWSID # 218624) Dear Mr. Cowan: This is in response to the waiver request received in this office on August 27, 2001. 1 have reviewed your plans, sample results and soils information for waivers for the existing two residences on Lot 2, Tract D, Fire Lake Alaska Subdivision. A undocumented Class C Public Water System exists at Lot 2, Tract D, Fire Lake Alaska Subdivision and two homes are each served by this well. A Public Water System •Identification number (PWSID # 218624 ) has been assigned, please use this number on all future samples taken. The two homes each have their own septic tank and on -lot soil absorption system Waivers Your requests are for waivers between your Class C public water system well and the parts of the on -lot wastewater Isystems as follows: • To lessen the separation distance between the Class C public water system well and the seepage pit ( 19.7 1) serving the single bedroom home to a distance of 110 feet. • To lessen the separation distance between the Class C public water system well and the septic tank (1980) serving the three bedroom home to 95 feet. • To lessen the separation distance between the Class C public water system well and the absorption field (1980) serving the three bedroom home to 102 feet. -- — --- • To lessen the separation distance between the Class C public water system well and the proposed addition to the existing soil absorption field to serve the three bedroom home to 110 feet. A review of the well logs, soils reports, Current water samples, and the plan drawing has taken place. It appears the waiver requests are reasonable. Therefore, in accordance with the State Drinking Water Regulations (18 AAC 80.020), the following waivers are granted. Tile separation distance between the Class C public water system -well located on Lot 2, Tract D, Fire Lake AK Subdivision and the seepage pit (197 1) serving the single bedroom home on this same lot has been waived from 150 feet to 110 feet. The separation distance between the Class C public water system well located on Lot 2, Tract D, Fire Lake AK Subdivision and septic tank (1980) serving the three bedroom home on this same lothas been waived from 150 feet to 95 feet. The separation distance between the Class C public water system well located on Lot 2, Tract D, Fire Lake AK Subdivision and the absorption field (1980) serving the three bedroom home on this same lot has been waived from 150 feet to 110 feet. • The separation distance between the Class C public water system well on Lot 2, Tract D, Fire Lake AK Subdivision and the proposed addition to the existing soil absorption system on this same lot is waived from 150 feet to 110 feet. The distances noted in the waivers are from your revised submittal. It appears that these distances are from the nearest edge of the wastewater disposal system component to the nearest edge of the existing Class C public water system well. If any wastewater disposal system fails or contamination can be traced back to the system, the four waivers will become invalid. I must strongly recommend that prior to submitting requests for construction approval or separation distance waivers, field verifications to confirm existing conditions be completed. Public Water System It appears that the Class C public water system (PWSID # 218647) has been designed in accordance with State Drinking Water Regulations and guidance. Therefore, in accordance with State Drinking Water Regulations (18 AAC 80.200(a)), registration for the Class C public water system is granted. The signed cover sheet on the Class C registration form is enclosed. The submitted nitrate value of 4.7 mg/1 is a concern. I recommend that a yearly nitrate sample be taken and the sample results submitted to this office. Remember please use the Public Water System Identification number on all samples taken concerning this public water system. This approval does not imply the granting of additional authorizations, nor obligate any state, federal or local regulatory body to grant required authorizations. If construction has not begun with two years after issuance of plan approval, the approval is void, and plans must be submitted to the Department for review and approval. All future correspondence should include the above project number. If you have any question please do not hesitate to contact me at 269-7519. Respectfully, William R. Rieth, P.E. -- Environmental Engineer WRR/lb Enclosures: As stated cc: Thomas Tiley, ADEC, DW/WW James Cross, MOA •09/19/01 05:17 FAX 9072697650 DEC A. 1. Public Watec STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION INVENTORY,AND SOURCE REGISTRATION FORM FOR CLAS� 'C P.UBL C WATER SYSTEM i Name and Location: '`f'; D Ir, ft prc' ' D a004 I.eval dr_scrintion ofnronertv: 40 �.'Z` .: /?Q ea Di ;=#O J l LJ.'Ih m:A S,_�� Number of people served daily: L'T-l'r�OVtil Number of service connections: Public Water System Owner: Owner Address: j' 4- ` 8. Owner Phone:t0 Qv �/ '� "' '©� A. 2. Required Check List: $75.00 registration fee as.roiiujred by .18 AAC 50.1910. • Results of nitrate and coliform.watcr,samples do not exceed the MCL set at 18 AAC 80.300. (attach reports from certified laboratory) ❑ Source water protection rcguirements of ISAAC 80.015 have been met._ t3 (see section B; page 2 foz details) Minimum separation6r a'distrequirements of 18 AAC 80.020 have been met. • (see sect iorfB. page 2 for details) $gv pojk;f " %3 Cross -connection provisions of .18 AAC 80.025 have been met. (see sectionB. page 2 for details) A. 3. Public WaterSystem Source:., ;,; : • ' YES Well depth is less tbart J0 feet to the first opening for water collection. YES 114DI Well is located less than 50 horizontal feet to a surface water source. YES '' Source uses an"inftitiation gallery, spring, rain catchment, or surface water. YES Source requires treatment to meet an MCL set at 18 AAC 80.300. If answer YES to anyof the:abgvp prblic Water System Source, then complete section C. on page 2. .. . .'r . I:u Department This water system is hereby granted department approval to operate. The following public water system identification number Is being assigned to this public watersystem Z BY TITLE V DAIT- ADEC Staff Signature (rev 10199) •.. Page ROBERTC. COWAN, P.E. S & S ROBERTA.SHAFEKPE. preening CMLENGINEERS >�>tv� (907)894.2979 August 22, 2001 FAX(907)694-12» STATE OF ALASKA _ r+EALTHAurHMTY Dept. Of Environmental Conservation APPROVALS 555 Cordova St. Anchorage, AK 99501 SEWER&WATER Reference Lot 2; Tract D; Fire Lake AK Subdivision RUIN EXTENSIONS We request you grant the following waivers for the referenced property: SEWERBWATER 1. The horizontal separation distance between the Class C well NSPECTION on Lot 2 and the seepage pit (1971) to 110 feet. 2. The horizontal separation distance between the Class C ENGINEERINGSTUDIES well on Lot 2 and the septic tank (1980) to 95 feet. IND REPORTS 3. The horizontal separation distance between the Class C well on Lot 2 and the absorption field (1980) to 102 feet. FLOWECTION 4. The horizontal separation distance between the Class C well on Lot 2 and the proposed addition to the existing absorption field (1980) to 110 feet. C as s, wN A rrgc N4J� S:TE PLV -JS General Well Information: The onsite well was developed in 1954, according to personal records (previous owners) and current owners' ROADDESIGN statements. The well was hand dug, is —40 feet deep, and cased with a aluminum culvert. The static water level is —12 feet, with water entering the well at the 36-39 foot level. SOILTEST A risk analysis was performed using the State of Alaska, Department of Environmental Conservation's Separation Distance Waiver Guidelines. PERCOLATION Our results are as follows: TEST a. WATER TABLE: STRUCTURAL& The static water level was measured at 12 feet. The total depth of MECK AL TIO NSPECRONS the well is —40 feet. SPE Wells in the area appear to be drilled relatively deep and to comparable depths, approximately 200 feet. ONSITE WASTEWATER OSPOSALSYSTEM DESIGN 17034 NORTH EAGLE FINER LOOP •SURE 204 •EAGLE RNER, ALAS KA99577 • PA i-•�- Lor? TR D �IRC�AKE AK .. : 1' V ...... . ... .... % .. From the well logs of the surrounding properties we can see that there appears to be several confining layers of clay/silt mixes (hardpan), creating a impermeable layer between the bottom of the existing onsite septicsystems and the onsite Class C well bottom of well, and water entry point. b. SOIL ABSORPTION: From the soils log used in the design of the Lot 2 existing septic system, we find the receiving soils for the septic system have an —1 foot organic layer (OUML), with silt/sand/gravel (GM soils) to 14 feet, rated as 0.8 gpd/sq.ft which should provide good septic effluent treatment. The onsite well.- should be protected from contamination from any surfacing effluent by soil absorption, topography which slopes away from the well and vegetation. Surfacing effluent should receive some additional treatment through heavily vegetated area and the vegetated lawn. c. PERMEABILITY: The OUML soils to —1 feet, and GM soils to 14 feet should provide an acceptable absorptive layer, slowing effluent travel to subsoils and hence into the aquifer. The soils to 14 feet are rated at 0.8 gpd/sq.ft, allowing for acceptable retention/treatment times in the leachfield, providing good effluent treatment. d. HORIZONTAL SEPARATION: The horizontal separation distances between the: Lot 2 well seepage pit (1971) is 110 feet. Lot 2 well and septic tank (1980) is 95 feet. Lot 2 well and leachfield (1980) is 102 feet. Lot 2 well and proposed leachfield addition is 110 feet e. ADDITIONAL CONSIDERATIONS: 1. The existing systems have been in service for twenty-one and thirty years respectively with little to no apparent adverse effects to the onsite well or surrounding properties. PItG-� 3 LD T- .L Tet D FiRWict. Ak �l 3. The current water sample results from the Lot 2 Class C well are: Nitrate mg/L Fecal Coliform Other Bacteria 4.70 0 0 We request these waivers with some trepidation. We see no purpose in penalizing the current or future property owner for a well which has been in service for 40 plus years, and feel that while the situation is not ideal, water quality continues to remain in the acceptable range. We do not anticipate any extraordinary adverse effects on neighboring wells, septic systems or reserve areas by the granting of the requested waivers. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mjc waivers/L2FireLK Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORi i r APPRVVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. _ Or / —3.3 3 — 3 y 1. GENERAL INFORMATIONSdCrr•A✓ Complete legal description ''Lot .2% Tr HAA# Expiration Date: _� — / 3 — O Location (site address or directions) 14701 Old Glenn Hwy, t!1 Current Property owner(s) RaychPl Sbepl er Day phone _ 414-16-3-6582 Mailing address Lending agency Mailing address Real Estate Agent Matt Dimmick Day phone Day phone ' 762-5866 (.IJIL Mailing Address Prudential J.W. 3201 'C' St. Ste. 200 Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 7410/4 1 /a '3 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class C Well Public Water System D_ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civi; engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year witn 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. TYPE OF WASTEWATER DISPOSAL: ❑ Individual On-site CG2�r3� ❑ Individual Holding tank ❑ }© Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civi; engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year witn 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 Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & S Engineering P; ono 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robert C. Cowan Date if /6/0-3 ¢f ROBERT C. COWAN f W� 5. DSD SIGNATURE °cf CE -88011 .Z 0 Approved for �,_ bedrooms. kli4 �y Disapproved.'''�'� Conditional approval for bedrooms, with the following stipulations: YO . Additional Comments WATER ANDip*+� ER Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other gy:4�/ / — Original Certificate Date: 11-13-03 (Rev 01102) n ........... ....... Municipality, of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program s" "' 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: �n0A) LOT- 2 ; T GT D; F12E Parcel I0:_05 -t — 333^-34- A. WELL DATA 41kZ186Z4 Well type If A, B, or C provide PWSID # G Well Log (Y/N) Al a Date completed _ Sanitary eal (Y/N)_ Wires properly protected Y/N) i Total depth ft. Ca to ft. Casing height (abo ground) in. FROM W L LOG AT INSPECTIO Date of test Static water level Well production g.p.m. g.p,m. WATER SAMPLE RESULTS: Coliform D colonies/100 ml. Nitrate mg.A. Other bacteria I colonies/100 ml. Arsenic: r mg.11. Date of sample: U0 43 Collected by: S ez'J& H/EF Al(� B. SEPTICIWGLDWG TANK DATA �Y r f Tank Type/Material L / Gjrmi Date installed /4-7 3 Tank size IV 00 gal. Number of Compartments Cleanouts (Y/N) Y Foundation cleanout (Y/N) Depression over tank (YIN) High water alarm (Y/N) Date of pumping 1 -4 v3- Pumper �2 5 C. ABSORPTION FIELD DATA Date installed 19? -3 Soil rating (g.p.dJfe or�1 &10 jlfi System type Length l `lam ft. Width 2O f 10 ft. Gravel below pipe Total depth ft. Eff. absorption area �O8 f? Monitoring tube Y Depression over field +J Date of adequacy test Jd / 03 Results (Pass/Fail) P SS For 2 bedrooms N Fluid depth in absorption field before test 0 --'Yin. Water added gal. New depth6iG in. Elapsed Time: GO min. Final fluid depth IeO in. Absorption rate >= _;00 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) /J If yes, give date D. LIFT STATION Date installed W1 A "Pump on" level at in. Datum E. SEPARATION DISTANCES Size in gallons Manhole/Access (Y/N) "Pump off" level at _ in. High water alarm level at in. Cycles tested Meets alar & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/Iiftstatiffon lot / �O Absorption field on lot Public sewer main N / A '} SQ.wer /septic service line On adjacent lots / OO 'r On adjacent lots /00 r Public sewer manholelcleanout N ' A Holding tank N A - SEPARATION DISTANCES FROM SEPTIC/WGLDWG TANK ON LOT TO: r t Building foundation 54- Property line -r- Absorption field S 4 - Water main N 4 Water service line i D {- Surface water (OD r i Wells on adjacent lots I O D -1- SEPARATION SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: r Property line Building foundation 10 + Water mainyJ 1A, Water Service line 104 II Surface water 1 OD t Driveway, parking/vehicle storage 2't Curtain drain /lot -)F %iNow.J Wells on adjacent lots t 00 F. COMMENTS -Y 6,kx,- A E G e.J.4 1 ✓ 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 HAA guidelines in effect on this date. Engineer's Printed Name 14 b8JyA7— C. 66W4,/ Date ///(,/0-3 HAA Fee $ 3 Date of Payment %/ /7 /0 Receipt Number 0 y H -7 r S— J (Rev. 12101) Waiver Fee S Date of Payment Receipt Number r��•"�F: A( S� .i I ROBERT C. COWAN ♦ t„ I�C�;.� CE .8801 i �•, +�� �'• •M••.'' .�:J t f�•.•.. `4 til► F-WFE" ;e Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 wmv.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.COS1 -333-3s% 1. GENERAL INFORMATION sran.r HAA# D -3 0 _57 76 Expiration Date: _�2 - 13 Complete legal description ^ Lot 2 • Tract D: Firelake Subdivision Location (site address ordirections) 14706 Old Clenn Hwy, Current Propertyowner(s) RaynhPl Sheller Day phone x34-261-6582 Mailing address . Lending agency Mailing address Real Estate Agent . 1• Day phone Hatt Dimmick Dayphone 762-5866 Mailing Address Prudential J.W. 3201'_C' St. Ste. 200 Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 1�z 11 /17 40 3 2. NUMBER OF BEDROOMS: _3 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class C Well Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Server The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & S Engineering Phone 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robert C. Cowan Date/ G103 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for ' bedrooms, with the following stipulations: .,1 0 NUN .'• 9 Additional Comments WATER AND PROGRAM Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By. Original Certificate Date: (Rev 01102) Municipality of Anchorage ` 0 Development Services Department `' Building Safety Division S ! - �' ' On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 vmvw.ci.anchorage.ak.us (907) 343-7904 rW /HEALTH _At ITHORITY APPROVAL CHECKLIST Legal Description: �TIOnA T -21: I m.A-er I Ft (ZE Parcel ID: all - 3 3 3- 34 LAf.�E 1517 A. WELLDATA pp *'218GZ4 Well type 7= If A, B, or C provide PWSID # 1� Well Log (Y1N) Date completed _ Total depth ft. FROM W Date of test Static water level / Well production ` WATER SAMPLE RESULTS: Sanitary s6al (WN) Coliform colonies/100 ml Arsenic: "_ mg -11. B. SEPTIC/H81=BttdB TANK DATA A ft. DG ft. g.p.m. Nitrate 0.71 mg./I. Wires properly protected (Y/N) Casing height (above g/ound) in. AT INSPECTION Other bacteria �_ colonies/100 ml. Date of sample: 101J�'ID3 Collected by:.rj iUG1 �G�11� Tank Type/Material PfIL� Date installed P50 Tank size 1000 gal. Number of Compartments Cleanouts (Y/N) t Foundation cleanout (YIN) — Depression over tank (Y/N) /J High water alarm (Y/N) N Date of pumping 0. _ Pumper wiz t S C. ABSORPTION.FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) %$j% System type Length 6 ft. Width 3 ft. Gravel below pipe �✓ /ft. Total depth -�ft. Eff. absorption area �ft2 Monitoring tube y Depression over f�ld 4R.0Date of adegCacy test /01)7103 Results (Pass.+ei4 10A4 -s For 3 bedrooms Fluid depth in absorption field before test-3frin. 2o.S Elapsed Time:.min. Final fluid depth 4-0 in 0 30 Any rejuvenation treatment (past 12 mo.) (Y/N & type) Water addedg0! gaL New depth -40.Sn. 30055 0 � Absorption rate >= 4g•p•d• AJ If yes, give date D. LIFT STATION i Date installed I "Pump on" level at in. Datum Size in gallons "Pump off" level at _ in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/Iift-station on lot -S On adjacent lots Absorption field on lot _ X02 On adjacent lots /00 :- Public sewer main AJ A4 Public sewer manhole/cleanout AJ Sewer/septic service line 7-5-10- Holding tank X14 SEPARATION DISTANCES FROM SEPTIC/H&H)MG TANK ON LOT TO: Building foundation J�- f- Property line 10 4- Absorption field_ 5 '� Manhole/Access (Y/N) High water alarm level at in. Water main N 1A Water service line '%0 it Surface water /00 rr Wells on adjacent lots 100 t1 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line L /0 Building foundation /0 r /0 r Water main OLD i 'Water Service line / 0 Surface water (0014- Driveway, parking/vehicle storaget Curtain Grain w4F !A"M y V>V Wells on adjacent lots / 00 rr F. COMMENTS !} - P- i:. -C.y,Q/i p /o G. ENGINEER'S CERTIFICATION �` •�S t4+ r ,•g' I certify that I have determined through field inspections and review of Municipal records that the above systems are in ► • "'" '"' conformance with MOA HAA guidelines in effect on this date. ; „ ..<• • •............• EnEngineer's Printed Name L J / eA—T' `�'� �, i ROBERT G 01 1�� g C o wA.� f� �:� C. - 8801 Date �O 44.Q ••_....��•'�A••��4•� r•rt S HAA Fee S 3 7'S e o Date of Payment 11 7 0 3 Receipt Number d Al If 31 S-' (Rev. 12/01) I; Waiver Fee S I / 5� cl- O Date of Payment // /-7 /O 3 Receipt Number O '+ It 71 S'-� T I NOIY-12-2003 11:41 , S&S E7JG I NEER I NG, 907•:694 .1211 - .P.01/01 ►fitxNwrro�an APPROVALS WINER A WATER MwvaEram CEM&WATER . MPEOTLON ENOMERING STMES ANOREPORTS WELLiNspoc eN a rMINTEST SITE PLANS RQA40EWN SO LTEST PERCOLATION TEST MCKMOM ►aPEOTgPa CNsrrt WASTEWATER ' DSPOSALSTSTEM ,1 DESIGN l . i LMTC.COWAN,PE. CIVII.ENGINFM . ' •''''' '•(907)ti94.297D November 12, 2003 FAX (907) 694.1211 , STATE OF ALASKA _, Department of Environmental Conservation 555 Cordova Anchorage, AK 99501 r;Irp. Attention: Bill Reith REFERENCE: Lot 2; Tract B; Fire Lake Alaska Aubdivision We request you revise the waiver Issued on the above referenced property for the separation distance between the proposed trench serving the 3 bedroom house and the class'C well from 110 feet to 102 feet. The trench has been Installed and the lesser distance was required in order to maintain separation from the existing trench. If you require any additional information, please contact us, Sincerely, Robert C. Cowan, P.E.�ir;,. RCCRs I11� t ID .............tiq� e 1P, C. COWAN \ 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER• ALASKA 99577, .... _.. . C. MUNICIPALITY OF ANCHORAGE a;a Building Safety Division S A E T T MEMORANDUM DATE: November 12, 2003 TO: File FROM: Jeff Poet Engineering Technician III SUBJ: Fire Lake Lt 2 Tr D Less NW CRN There are 2 homes on this property. The 3 bedroom home with the septic system installed in 6-16-80 had a ADEC waiver of 110 feet from the absorption field to the class C well. Bob Cowan of S & S Engineering is amending the waiver to 102 feet. I phoned -William Rieth of ADEC who did the original waiver and asked if this amendment was reasonable and if it would be approved. Mr. Rieth said it was and informed me it would be OK to approve the Health Authority if the nitrates did not increase since the original waiver was approved. The nitrates in the latest water sample have decreased, therefore I am approving this Health Authority. Jeff Poet HEALTHAUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION 6 FLOW TEST SITE PLANS ROADDESIGN SOILTEST PEROOLATIoN TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL.SYSTEM DESIGN nG November 6, 2003 MUNICIPALITY OF ANCHORAGE Development Services Department Building Safety Division, Onsite Water & Wastewater Program 4700 S. Bragaw St. Anchorage, Alaska 99519-6650 REFERENCE: Section Lot 2; Tract D; Firelake Subdivision ROBERTC. COWAN, P.E. ROBERTA. SHAFER. PF- I . E_ CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 Request you grant the following waiver for the existing three bedroom house on the referenced property: a waiver for the separation distance from the existing deep trench drainfeld (circa 1980) and the south lot line of the above referenced property at one foot. The mitigating factors involved which support the issuance of the waiver is as follows: 1. The existing drainfield was constructed in 1980. No survey work appears to have been conducted at the time of construction, which allowed the installation of the trench too close to the south lot line. The inspection report indicates the approval authority believed the trench was ten feet from the south lot line. 2. The trench was approved at the time of construction by the Municipality of Anchorage, 6/16/80. We therefore recommend a waiver for the separation distance between the existing deep trench and the south lot line at one foot. We do not anticipate any adverse effects on the neighboring properties by the granting of this waiver. If you have any questions, please contact us. Sincerely, --o-z Z��� Robert C. Cowan, P.E. RCC/mjc 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Boz 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)333-7904 Waiver Review Worksheet WR#: 030102 PID#:051-333-34 HA#:030574 Permit#: Date Received: 11.07-03 Legal Description: Firelake Lot 2 Tract D Engineer: S & S Engineering 17034 N. Eagle River Loop Ste 204 Applicant: Ravchel Shepley o.tt•`:i`C �__ _� o iI�.z�'�.• tip., � n SAI[TY Waiver Requested: 1 foot separation distance between the existing Deep Trench and South Lot Line Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: ................................................ 0 V 0 N a a a 0 a a N 00 a a 0 a a 00 a a a N 0 a 0 N N a Waiver is Granted: L/ Waiver is not Granted. List Conditions or Reasons for above: Date: 1 — 2 - D 3 By: a Reviewer ....................................... .................................... Rec#: 44315 Amount: $150.00 Date Paid: 1117/2003 Municipality of Anchorage Mark Begich, Mayor Building Safety Di-t7sion P.O. Box 196650 • 4700 Bragaw• Street And ioragc, Alaska 99519.6650 • (907) 343.8301 • I'WX (907) 343.800 It nnui imrg November 7, 2003 Robert Cowan, PE S & S Engineering 17034 Eagle River Loop Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Fire Lake Lot 2 Tract D Waiver Request # WR030102 PID #051-333-34 Dear Mr. Cowan: Your request for waiver of the required 10 feet horizontal separation from a property line to a wastewater absorption field has been approved. The approved separation distance is 1 foot from the existing deep trench and the south lot line. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal system will required all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343- 7904. Sincerely, v effrey Poet Engineering Technician On -Site Water & Wastewater Section LEGAL DESCRIPTION TNar "Roo of Vial 0 N FIRE LIME SUBDMSM PI LN be f2) N ]ole" JI, TeamMe H N«rN, Ranco I •a«, f..«a 11.rtlou WMa. Ma Iupu.r t0. 1W6 a Pbr Mp P-111. la.al.a N Me Irrlrray. a.«ap 0 ... Rol TNoa JWSW pr.ner. $.a RI ra.oe. OWN MI Pe.M.ar«li of Iib MNN«etf Palnbr Kp•e.1 «M N Mia Pea.aeN M..MM a lams.: Baaa+rq ar M Jaa4M..« -a— of sold Tar D: Maa..Nr4 rM ea.r Mrb«, Pa. el .«ol Val, D N«rN M61 M« la M 11"Ma.r«N Sa«1ole1 M Of .oa Nlarrai M 4«ae..N.a M Nod r. "a M wOk 41, Peer 261: M.a.MM fool SaarMo, W ly Po1.lde1 M N«M 54"46' [a.. 554.44 b.l 1. a MM .I Inr«.arbn aRb M. N.rrN Me.ld«, M Of sold liar D: IN«b. a" Rol 11k.a. 6«Hoof 60. M.M 69.92. [a1 ro IM Na6w.r M. of MN flat': IMnt, role rM Co.' 6a. of .ed Trar SwrN BJD (.a1 b IM SoulNa.r .«ar al Trar D: Morn. MM Nb SoN6 e«.oa«7 Mel fna 71a1 D NarM 6952 e.« 43721 Mr. M.. a N.., b Rb PMr of Mprwny EXCEPTRIO TMEREFRW Mor woo. to" aMM M mhe .1 M 41 re. Lao. PM. I /ew' RIAAce T ( / d"O O�MN•feY .01 1 Ir/ / a�f' e 0 IrG15f •fil. i+, te. M gee' e 6 ILI44 NOK . j p t�I.M "al E 2/..21 1M(L of ".at214.11' (ldl 0 N TYS2Y 4]7.21 IBESLM1pN1 MCOv. � Y MW..• ui 1 a U K E -I Z O A`fQ IROWT a:,pR"1 33 1 �I FOR ON CQ[. M B7� E-1 t.. Y4 b 1 F p •RMK IIAI MEC )B-") LIT W M BB•SpY 45721 IDESCRPTIOBI ' KCw. r KIM.l it 1 o< C ♦ B��.w►frr�• 6 -3- "Mu [mwppf .1 fE " M ItO'd .crew.-: wt wf w fpww wffp Bf v w N Mf wpm Y wwlwa y w.E p n ar plcMfeelf N Br e.• BwIM.Yr p LWfItIrL p f'wlh M.MpC ECM. 1/E' wMf td ft e p fpM wMf aM MMM �� cwntlmf. wp p plwwfr Off .fwlwsf N Oaf MfwM . to m .4 w pfw o . p p' RQfw M M rpwaN WMlew elol. El -. MpY M aMM. "Im MnfU fpw.` �eecw�wd y ftl W e.wsp sf p d `c SBS Engineerin; M) .1p.YU ginner s'."1 fMl.ni w.1. pPl (SEE .BNE) 10-29-03;17:12 ;CT and E S & S Engineering ;5615301 a 2i 3 .200W. Potter Drive Drinking 'Water; Analysis Report for Total Coliform Bacteria Anchorage, AK 99519.1605 Tel: (907) 562-2343 READ INSTRUC770NSONREYERSESLDEBEFORE COLLEt:TINGSAMPLE Fax: 907 561-5301 .- MUST BECOMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: PUBLIC WATER SYSTEM I.D. # (''K. Satisfactory is PRIVATE WATER SYSTEM U ti fa SendR at E3Sendfnvoke m YLi ya ran^ aYs .. YY YM YYc am , � b O Send Rualls t3 Sendinvoice c,np,Yy one cak ly bb SAMPLE DATE: Month SAMPLE TYPE: Routine (3 Repeat Sample (for routine sample with lab ref. no. o Special Purpose SAMPLE LOCATION D Sec• %�%: %,Zart' , FI�ZG 1 ❑ Treated Water ❑' Untreated Water , Time Collected 3►) ctory ❑' nae s ❑ . Semple over 30 hours old, results may be unreliable ❑Sample too long in transit; sample should not be over3 Vhours old at examinstiou to indicate reliable results. Please send new sample via special delivery mail. Date Rt,ceived Time Received. Analysis Began 1-706—r' Analytical Method: of Mbmbrane Filter ❑ MMO-MUG `0 nl. 1037014 of .Resuk• Analyst IN 1111111111111111 r Sent toA.DXC. Anch Fbks Jan ❑ Fazed Collected By n-&Ad� MANX Print Date: Time :Client notified of unsatisfactory results: ❑• ❑ Phoned Spokewith• Faxed Date: time. BACTERIOLOGICAL WATER ANALYSIS RECORD ' MMO-MUG Result: Total Coliform rr EE Coli' Membrane Filter. Direct Count 01& _ fn6- '`q Colonies/100 ml Verification: LTB _ BGB COLIFIRM TNTC 7#0NYYwYYr r. aMr Fecal Coliform Coafirmatlon Final Membrane Filter Results &L6-cY Coliformllooml p Reported By ' zJ Date/0-2X dP 7 Time �i hrs Comments: N CT&E EWronmet1i3l Services Inc. 200 West Potter Drive, Anchorage, AK 99518-1605 t[9071562-2343 1(907) 561.5301. www.sgsaWrorvnentat.com • Ment+enl VIe SGS Gaup 1SacUtf efni.JY do SYmann) ' SAMPLE DATE: Month SAMPLE TYPE: Routine (3 Repeat Sample (for routine sample with lab ref. no. o Special Purpose SAMPLE LOCATION D Sec• %�%: %,Zart' , FI�ZG 1 ❑ Treated Water ❑' Untreated Water , Time Collected 3►) ctory ❑' nae s ❑ . Semple over 30 hours old, results may be unreliable ❑Sample too long in transit; sample should not be over3 Vhours old at examinstiou to indicate reliable results. Please send new sample via special delivery mail. Date Rt,ceived Time Received. Analysis Began 1-706—r' Analytical Method: of Mbmbrane Filter ❑ MMO-MUG `0 nl. 1037014 of .Resuk• Analyst IN 1111111111111111 r Sent toA.DXC. Anch Fbks Jan ❑ Fazed Collected By n-&Ad� MANX Print Date: Time :Client notified of unsatisfactory results: ❑• ❑ Phoned Spokewith• Faxed Date: time. BACTERIOLOGICAL WATER ANALYSIS RECORD ' MMO-MUG Result: Total Coliform rr EE Coli' Membrane Filter. Direct Count 01& _ fn6- '`q Colonies/100 ml Verification: LTB _ BGB COLIFIRM TNTC 7#0NYYwYYr r. aMr Fecal Coliform Coafirmatlon Final Membrane Filter Results &L6-cY Coliformllooml p Reported By ' zJ Date/0-2X dP 7 Time �i hrs Comments: N CT&E EWronmet1i3l Services Inc. 200 West Potter Drive, Anchorage, AK 99518-1605 t[9071562-2343 1(907) 561.5301. www.sgsaWrorvnentat.com • Ment+enl VIe SGS Gaup 1SacUtf efni.JY do SYmann) ' 10-28-03 06:25PM FROM -CUE ESI, SGS ENV SERVICES SCS ReL# 1037014001 Client Name S & S Engineering Project Name/# str. L2; Tract D; Fire Lake S/D Client Sample ID Vac. L2; Tract D; Fire Lake SID Matrix Drinking Water Sample Remarks: 9075615301 T-412 P.01/01 F-894 All DatestTimes are Alaska Standard Time Printed Datemme 10/28/2003 17:12 Collected Date/Time 10/27/2003 12:20 Received Daterrime 10/27/2003 13:50 Technical Director Stephen C. Cde Released Allowable prep Analysis Pnramcta Qualifies Results PQL Units Method Container ID Limits Date Dote Init Waters Department Nitrate -N 2.79 0.100 mg/L EPA 300.0 D (<=10) 10/27/03 IIB