HomeMy WebLinkAboutANCHOR VIEW #1 LT 1Anchor View #1
Lot 1
#015-461-40
Municipality of Anchorage �•� :fir.,
Development Services Department
/ Building Safety Division .. ..
On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage. AK 99519650 PayeI of
www.a.anchorage.akus (907) 343-7904 .
ON-SITEWASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 5 . Q T3 3 PID Number: QT 5 — 7p/ 1 — "Q
Name.a
r Pr i e
Wastewater System: New ❑ Upgrade
Address:
Ea fi�i e eP� 15weD63 4netfolwe,ift
ABSORPTION FIELD
Phone: 4 ,i/O ` 7 j"' 3O NurtDa of 8edroare.
`I `i J
0 Dm hedl KStubw Trench O &4 Cl Maxed O Ogler:
LEGAL DESCRIPTION
Sol RaM¢ /
Tow Dept tomad9rol grade:
l{.i, ipp�Fls
F,.
Block: LOC S[y����Son: L
I
Oepdh to pips Dodom homarlgnal
Grapy depah pe wat h pper
r 1 r1G tt'
Ft.
Ft.
Township: Fargc Section:
Fd added allow a original grade: +
•5FI.
Gravel Le hprc
Well: New Upgrade
Gravel w.dec
5
Arcs:
;z
Distance between tines:
3.0
Ft.
FL
Caav
aor`l j/. Ck
TotalDep°+:
Cased to:
Total aosorOhwarea: oODF�
p wn
O3
VA 1 ea.
FI.
FL
I
ler; -
Date Gelled:
5-00
Suuc Water Level:�
.
i �vs On ictc`Erta
Date wtaee¢
� I —Q�
FL
Ya
6
Puny Set x
kr0
Caving Height Above
TANK
GPM
ej Ft.
FL
SEPARATION DISTANCES
14 Septic [I Holding ❑ST.E.P. pother.
To
Septic
Absorption
Lift
Holding
ubliHPrihste
acus,
parry.
From
Tank
Feld
Sttaatiion
Tank
Sewer Line71-em;er
�js
VQGat.
well
UvL
I�Q$�
UUI
I
15,
I
95%+
wteac H /0 ( E
J
arc«roartmenes
Surface Water
I
1 l+
CO
LIFT STATION
Lot Line
H$
u:
a�oG,�.
s- P C 300
Foundation
I I`
I`
�/(} ,
•Purtp bin' level at y/.(�
L49 Yl
'Puny or level at: r
5-1,
Hign water alarm at:
5
(J
—7 k
I T, in.
Curtain bran
O
Woe
�r �'
/M1/v.r
QUrtp % d fb0el
�G E(Dt°./'
�eU11O1 ►gpeCtlOnf Deldnned W. / , Q / 1
ed
BENCH MARK
Loabon irhd Description:
Tiles Bc► c
Assunwo evawon:
rci e 100A.
0........•....
• %
S 8 S ENGINEERING
17034 Eagle River Loop Road, No. 204
:J
'
Inspections performed by: n+e 99577Dates: 1 d
�•'•~ -
Zed I 60..
D�
a
Development Services Department Approval
r, ROBERT G COWAN /
��,cCE-8801
Reviewed and approved by: Date: �'� 7-03
+tt�<�'' ••__....•'•'�C°��"
,Rn lath
PERMIT NO. SW990433
PAGE 2 OF
Municipalit of Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 0Anchorage, Alaska 99519-6650 • Tele hone 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 1 ANCHOR VIEW S/D #1 P.I.D. NO. 015-461-40
I
-------------------------------------------i
10' UTILITY EASEMENT
---------------------------------------------
I
I
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- �MT1 I
I'I
NEW 1300 G
HDPE SEPTIC
LOT 2
9A
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1-I- 50'
A ROBERT C, COWAN I Q.
�C�.ti CE -8801 elt�
PERMIT NO. SW990433 PAGE 3 OF 3
Municipalit of Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Tegl�ephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 1, ANCHOR VIEW S/D #1 P.I.U. NO. 015-461-40
s� 1 snf 93.7'
FINAL GRADE
NEW
90.6 1300 GALLON
POLYETHYLENE
SEPTIC TANK
MT3
102.1' 97.8'
2" INSULATION
90.3'
NIT1 MT2
97.7'
!�
MAR
118
t -DISTRIBUTION PIPE -11
its
MT3 = 94.3'
MT4 = 94.3'
MT1 = 91.4'
AL
NO `PATER FOUND
80.2' B.O.H.
MT2 = 91.2'
N. T. S.
A
B
C
FCO
1 2.0
67.5'r
15.0
59.0
18.0
56.5
22.0
540-
24.0
52.5
119.0
—
91.0
86.0
—
41.5
MT3
125.0
—
82.5
MT4
—
32.0
37.5
MT4 = 94.3'
MT1 = 91.4'
AL
NO `PATER FOUND
80.2' B.O.H.
MT2 = 91.2'
N. T. S.
Nov 10 03 09:33a DEAN CO 907 277 7087 p.2
Municipality of Anchorage
1! 1 Department of Health and Human Services .
T 825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
Rick Mystrom httPlAwNi.cl.anchora9e.ak.us
Mayor
Permit Number: #SW99D433 Date nflssue: 1226-99 .P"M IdentiGcatinn_Number. 015-461-40
Date Started: 3-24-00 Date Completed: 3-25-00 Is well located at approved permit location? ® Yes ❑ No
Legal Descriptio-. Anchor View #1 It 1
Property Owner Name & Address: Harvey Prickett
405 E Fireweed, Suite 203
Borehole Data:
Type, Thickness 8c Water Strata
stick-up
Depth (ft)
From To
0 2
Method of Drilling ® air rotary ❑ cable tool
Casing type: steel
Wall Thickness: .025 inches
organic and silt
2
3
Diameter: 6 inches Depth: 81 feet
gravelly silt
3
19
Liner Type:
silty gravel
silt
silty gravel (wet)
bedrock
19
25
26
42
25
28
42
267
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 9 feet
Pumping level 267 feet after
2 hours primping 6 gpm
Recovery Rate: 6 gpm
Method of Testing: eirlift
Welt intake Opening Type:
❑ Open End ® Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: bentonite # 8 Volume: I btzs
Depth: Start 0 feet Stopped _ feet
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: clorine tablets
Comments:
Well Driller: Alpine Drilling & Enterprises
PO Box 110496
Anchorage, AK 99511
Attention: The wcft7ddfter-�provide a well log to the property owner within 30 days of completion and[ the property
^%-m~ nr #k^ %,.^ira Ii., C"11 m�nj,1,4P O .VPII inn t^ ti A n nt ^f {Ibt}'1 k 14-m— Can,,;PP %z,;thin An I.OI/C IST e^mnj^t;^n
HEALTH AUTHORITY
APPROVALS
SEWERS WATER
MAIN EXTENSIONS
SEWER& WATER
INSPECTION
ENCINEERINGSTUDIES
ANDREPORTS
WELL INSPECTION
& FLOW TEST
SITE PIANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL,
INSPECTIONS
CNSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
S&SN
Date: rA /Oy
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Lai I f�/V Gh/ 0 A_ V tf w
ROBERTC. COWAN, P.E.
ROBERTA. SHAFER, P.E.
CIVIL ENGINEERS
(907) 694-2979
FAX(907)694-1211
The septic inspections for t4e�ueferenced property were
performed on_Y/7000 and S'//#v. Prior to submitting
the On-site Wastewater Disposal System and/or Well Inspection
Report we are waiting for the 4s/1,1I&-T SuA✓# y to be
completed. OW�d ,o,/
If we may be of further service please contact us.
Sincerely,
-)Yj Z/,, -h,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
OnSRe Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
1 Ais Pe'm U A1
A-1 la K16 -D 01 pr,-)
J//a s'/rsa@ 3Ptv•
ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Permit Number: SW990433
Legal Description: ANCHOR VIEW #1 LT 1
Date Issued: Dec 28, 1999
Expiration Date: Dec 27, 2000
Parcel ID: 015.461-40
Design Engineer. 0003 S & S Engineering Site Address:
Owner Name: HARVEY PRICKETT Lot Size: 217868 SO. FT.
Owner Address: 405 EAST FIREWEED, SUITE 203 Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE, AK 99503 -
This permit is for the construction of:
❑d Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached appr7 --
2. All requirements sI
Wastewater Dispoi
3. The engineer mustla 1
(907) 343-4744 (24
4. From October 15 to,
must be either. A.
B.
Received By:
Issued By:
D �0 i lel co-
Alaska
-� / �L 'ing
weather
2
Date: ! Z —30 — `l 9
Date: /2-2R47
Municipality of Anchorage �}
C j Department of Health and Human Services
825 "L" Street
Rick Atystrom. P.O. Box 196650 Anchorage, Alaska 99519-6650
Afavor
nup a/www.ci.a ncnoragc. ak. us
August 10, 1999
Harvey Prickett
8510 WILLIWA AVENUE
ANCHORAGE, AK 995044249
Subject: ANCHOR VIEW #1 LT 1
Permit # SW980476 PID # 01546140
The subject permit #SW980476, issued by this office for a single family well and/or on-site
wastewater system, is due to expire as of 12/24/99.
If this is a well permit and you have drilled the well, a well log must be sent to this office
for documentation of the installation and to close the permit.
If this is an on-site wastewater systm and a licensed Professional Engineer has inspected
the installation, the original as -built inspection report must be sent to this office for review,
approval and documentation. All inspection reports must be submitted within 30 days of
construction completion.
A new permit must be obtained from this office for a well and/or on-site wastewater
system NOT installed by the expiration date. However a new permit can be issued free of
charge for a second year if the application for the renewal is received on or before the
date of expiration of the original permit for which a fee was paid.
When applying for a new permit after the original permit has expired or for more than a
second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well
permit.
If you have any questions, please call this office at 3434744.
Sincerely,
A'�� bo
�
/ r ""
James Cross, PE
Program Manager
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
Department of Heafth and Human Services
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: SW980476
Date Issued: Dec 24, 1998
Expiration Date: Dec 24, 1999
Parcel ID: 015-461-40
Legal Description: ANCHOR VIEW #1 LT 1
Design Engineer. ,p117DXNO-Engtff6enng Om3� Site Address:
Owner Name: HARVEY PRICKETT Lot Size: 217668 SO. FT.
Owner Address: 405 EAST FIREWEED, SUITE 203 Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99503 -
This permit is for the construction of:
❑� Disposal Field ❑✓ 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:
,W2 lrz..,
Date:
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER P.E.
CIVILENGINEERS
(907) 694-2979
FAX (907) 694-1211
December 4, 1998
AAPPRMAUS OftlTV
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
SEWERS WATER
MAN EXTENSIOM
REFERENCE: Lot 1, Anchor View Subdivison
SEWERSWATER
WSPECTION
Request you issue a permit to install a septic system to serve the four bedroom
dwelling on the referenced property
Test holes were excavated and percolation tests performed. The approximate location
ENGINEERING STUDIES
ANDREPORTS
of the test holes are located on the attached site plan.
ON Idro IT A�0
At the time of excavation"10/28/98 water was not found. After seven days of ground
water monitoring the monitoring tubeswt"adry.
WELLP SPECTION
8 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
SITE RAMS
adjacent properties.
If you require additional information, please contact us.
ROAD DESIGN
SOILTEST
,,S/iincerely,
1
1z.
✓
Robert T/( •'/•�
Rert C. Cowan, P.E.
RCC/rdp
PERCOLATION
TEST
Enclosure
STRUCTwua
MECHANICAL
WSPECTIONS
ONSITE
WASTEWATER
DISPCS&SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577
170!4
LOT 1. ANCHOR VIEW S/D
R.D.P. I R.C.C.
Pring DESIGN CRITERIA:
4 BDRM = 600 GPD
SOILS = 0.6 GPD/SQ.FT.
600/0.6 = 1000 SOFT. REQ'D.
PA
12-4-98 1 1 OF .2
STRUCTURES, EASEMENTS. OR ENCROACHMENTS
SHOWN ON THIS SITE PLAN ARE AS SHOWN ON
AN AS -BUILT SURVEY DRAWN BY:
UNKNOWN
IT IS THE RESPONSIBILTY OF THE CONTRACTOR
TO VERIFY EASEMENTS, REQUIRED SEPARATION
DISTANCES, AND PROPERTY UNES PRIOR TO
CONSTRUCTION.
I67LJ L. ESMT.
TRENCH CRITERIA: ALT SITE
6' DEEP TH5�^
4' EFFECTIVE PROPOSED 1500 CAL. VA
5' WIDE S.T.E.P. TANK
100' LONG (2 O 50' EACH) TH #2
REDUCTION FACTOR = 0.5
LOT 1 PROPOSED TH #31
4 BEDROOM
217,868 S.F.
HOUSE
P/L
LOT 2
217,868 S.F.
ALL PORTIONS OF SYSTEM
WITH LESS THAN 3.5' OF
COVER REQUIRE INSULATION.
PROPOSED W
IF
rn
IC4
C4
IF
IN
UNDEVELOPED
ROPOSED TRENCHES
(PRESSURIZED)
0
ROBERT C. COWAN
CE -8801
f f yfF�, •'+
CONTRACTOR IS REQUIRED TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
WORK.
PRESSURIZED TRENCHES:
2 LATERALS - SO' LONG EACH
15 HOLES/LAT. (3L! O.C.) - 30 HOLES TOTAL
3116' DIA. HOLES FACED DOWNWARD
1 OR 1 1/4" OIA. LATERALS
2' DIA. SOLID MANIFOLD
ALTERNATE SITE:
2' DEEP (REMOVE ORGANICS)
4' M.O.A. APPROVED SAND
0.5' EFFECTIVE
15' WIDE
80' LONG (2 O 40')
Na EM W" MAr war ME
E1ACT pMEMSpaS AMO OESOM
PA Enn NM Mo. K
MECESS . TO MER STE
CNOWNS.
LOT 1. ANCHOR VIEW S/D
R.D.P. I R.C.C. 1 12-4-98
1Eng1$ ering PRESSURIZED TRENCHES:
2 LATERALS -S-0- LONG EACH
15 HOLES/LAT. (3,6' O.C.) - 30 HOLES TOTAL
316" DIA. HOLES FACED DOWNWARD
1 OR 1 1/4" DIA. LATERALS
'Rw
EAGAI RNEX.. ALASKA ArVER �99 77 2" DIA. SOLID MANIFOLD
PHONE/ (907)694-2979
rup (907)694-1211 P/L
10' UTIL. ESMT.
DESIGN CRITERIA:
4 BORM = 600 CPD
SOILS = 0.6 GPD/SQ.FT.
600/0.6 = 1000 SQ.FT. REQ'D.
TRENCH CRITERIA:
6' DEEP
4' EFFECTIVE
5' WIDE
100' LONG (2 0 50' EACH)
REDUCTION FACTOR = 0.5
ALTERNATE SITE:
2' DEEP (REMOVE ORGANICS)
4' M.O.A. APPROVED SAND
0.5' EFFECTIVE
15' WIDE
80' LONG (2 0 40' EACH)
ALL PORTIONS Or ST4rEY
WITH Uiro THAN S.6' OF
COVLR RERUIRR INSUTAnON.
LOT 1
217,868 S.F.
TH #5
'111�09,
A.
PROPOSED 1500 G
S.T.E.P. TA
INSULATE UNDER
DRIVEWAY
PROPOSED
4 BEDROOM
HOUSE
TH
OF 2
6
n S R03ERT C. COWAN
?I TO CE -8801
1ftfF,;sr, •�``��
CONTRACTOR IS REQUIRED TO
ORTAIN LOCATES
PRIOR TOO ANY ANY EXCAVATION
WORK.
a
a
0
W
>
W
0
N
^o
o �
r
T PROPOSED TRENCHES
z (PRESSURIZED)
A G 2' MANIFOLD
TH $3 w
'a PROPOSED 100'
WELL RADIUS
o I�
('1
Munklpality of Anchoragej 49TH
DEPARTMENT OF HEALTH S HUMAN SERVICES
825"L7 Street, Anchorage, Alaska 99502-0650 /
RJ. !tAFEfIP.E • �
SOILS LOG — PERCOLATION TEST I �••• r +,s
PERFORMED FOR: NI�/� E��i � DATE PERFORME�x • OF w
LEGAL DESCRIPTION: `'� ( /'V.1C Ih�li Township, Range, Section:
1
I�ul
�
dIL
2-0
3
O•��
4-
0
5
5-
s.
6-.
7-
•
8-
89
9-
to
to -
11
if
12-
2
13-
13
o
"
14
.B
15
9
'0
16-
617
17-
18
181
ikl
20
COMMENTS
11 ,
SLOPE
WAS GROUND WATER
ENCOUNTERED? I N r7
S
IF YES, AT WHAT L
O
DEPTH? P
i)2y /o-d5=g8E
Moth to Wrier After _ , _. I
Monitoring? �8rit: I�fGlyl
SITE
N
PERCOLATION RATE —1-4yh)
_ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN —` FTAND =LFT .
PERFORMED BY: 17034 Eagle Rkw Loop Road N0. 2Q4:
ag arver, as a4/_-11,�CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT O HIS GATE. DATE:
72-008 (Rev. 4,85)
n
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED F
LEGAL DESCRIPTION
is-
19-
20-
COMMENTS
z
Q-4
•:d�
3
4-
5 5
•�'
7
.
a�
�M M
lr'I
8
�Lam`
��'M
"`
1
/O •r -
1U
w
it
r
.•O
12
D �Ptr
i
13-
3
1a
14-
15-
15
16
16-
17-
17
181920COMMENTS
n
DATE
Township, Range, Section:
SLOPE
WAS GROUND WATER j♦ Wo
ENCOUNTERED? —No
S
IF YES, AT WHAT L
O
DEPTH?
P
E
Depth to Watre
Monitoring? _ Dmr.
Ary M
PERCOLATION RATE (minutestinchh) PERC HOLE DIAMETER
TEST RUN BETWEEN Sle' FT AND .— —FT .
PERFORMED BY: 17034 Eagle Riverlaws
Loop Rad NO. 20{� -. (V ` 1 /� –CERTIFY THAT THIS TES? WAS PERFORMED IN
Ravin River, A 99317
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT 04 THIS DATE. • DATE:
72-008 (Rev. 4,851
�=M'mm
Ary M
PERCOLATION RATE (minutestinchh) PERC HOLE DIAMETER
TEST RUN BETWEEN Sle' FT AND .— —FT .
PERFORMED BY: 17034 Eagle Riverlaws
Loop Rad NO. 20{� -. (V ` 1 /� –CERTIFY THAT THIS TES? WAS PERFORMED IN
Ravin River, A 99317
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT 04 THIS DATE. • DATE:
72-008 (Rev. 4,851
'rC.) +r• �i'_t•f
fMunicipality of Anchorage , :�� ) ,•�",
DEPARTMENT OF HEALTH & HUMAN SERVICES Ar; '•.71 /�
I�1!! N „• YN s NNN NNiM,N�
825 "L" Street, Anchorage, Alaska 99502-0650 ��J��D�� �1
SOILS LOG — PERCOLATION TEST ;+iACY`ROBERT G COWAN
PERFORMED FOR: NAoqOli Y PRI /:KCT`T— DATE PERFORM ED':'J•O,;a•••FC•%T_;~
LEGAL DESCRIPTION LO T f ANCH of V It w Township, Range, Section:
DEPTH
SLOPE SITE PLAN
/ C
(FEET! ,N11 J
1 `; 1� OR4ANIC S 1`1
'� • N
2 .•. •e L o o 1 Z
3 I (YwI jILtY , SH -0 t L.ra✓eL
4
6
7
y�c
8
13
14 /•
15 e
16
17
I?-d.N•
1s
19
20
Ll
COMMENTS
DCNs
91 LT
I.,I►N WAS GROUND WATER
SM -A ENCOUNTERED?
C,A y4 L IF YES. AT WHAT
DEPTH?
No
Depth mWater Ater,phy Ir1r�4Y
Monitoring? Dolt
NEENNN MEN
■■■■■.■■■.
NEENEENEEN
Reading Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
R1! RK
-
3
o
—
S,
o
to •
Z 7/y
1 AVT G
PERCOLATION RATE _L_ (minutevmchl PERC HOLE DIAMETER
TEST RUN BETWEEN a` FT AND J FT
- -,1v6NLtrr RIG
PERFORMED BY: _ 17014 ray'e .'--Cr'tfi CERTIFY THAT THIS TEST WAS PERFORMED IN
Rt,, oat No.
I
ACCORDANCE WITH ALCS1aIE TFNe�W�178UIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
ROBERTC. COWAN, P.E.
ROBERTA. SHAFER, P.E.
ON-SITE WASTEWATER DISPOSAL SYSTEM CML ENGINEERS
CONSTRUCTION PRACTICES (907)694-2979
and FAX (907) 694-1211
MATERIAL SPECIFICATIONS
HEALTHAUTHORITY
APPROVALS
REFERENCE: Lot 1, Anchor View Subdivision
December 4, 1998
SEWER&WATER
GENERAL:
MAIND7(TENSIONS
1. The scope of this project includes installing a pressurized leachfield and 1500 gallon
S.r. E. A to serve the four bedroom residence.
SEWER&WATER
INSPECTION
2. Construction shall be in accordance with the approved site plan and design drawings,
Municipal permit with any special provisions or conditions, and all applicable State and
Municipal Wastewater Disposal Regulations.
ENGINEERINGSTUDIES
ANDREPORTS
3. The contractor shall be responsible for obtaining any necessary underground utility
locates.
WELLINSPECTION
4. Unless specifically agreed otherwise, the property owner shall be responsible for final
&FLOW TEST
grading areas subsequently depressed from soil settling.
5. Contractors installing wastewater disposal systems must be certified by the Municipal
SITE PLANS
Health Department for system installations. Owners installing their own systems must
also receive prior approval from the Municipal Health Department.
SEPTIC TANK INSTALLATION:
ROAD DESIGN
1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction
SOILTEST
shall include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank.
PERCOLATION
TEST
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
STRUCTURAL&
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP - SURE 204 - EAGLE RIVER, ALASKA 99577
Page 2
Lot 1, Anchor View S/D
December 4, 1998
5. A foundation cleanout shall be installed one to four feet from the building foundation.
In the line between the tank and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic tank). These cleanouts shall
be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in
line, shall be to clean toward the leachfield. The second cleanout shall be to clean
toward the septic tank. Two flow dividers shall be installed sending 3/4 now to longer
trench and remaining 1/4 flow to shorter trench.
6. Final grading over the septic tank shall be such that a positive slope exists away from
the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of
the excavation shall be within 2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock)
placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the
locations shown on the design, and extend a minimum of 12 inches above final grade.
The portion of the monitoring tube extending through the gravel shall be perforated
from the bottom of the trench to the invert of the distribution pipe. This is equivalent to
the effective depth of the gravel as noted on the design.
Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent the formation of a
depression after settling.
Page 3
Lot 1, Anchor View S/D
December 4, 1998
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
FY3Ire1
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
3. Insulation shall be at least 2" thick extended direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco,
or equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever requirement applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of
the wastewater disposal system. These inspections will occur as follows:
1. The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
Page 4
Lot 1, Anchor View S/D
December 4, 1998
2. The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting
engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a
pre -construction meeting will take place on-site. The inspecting engineer will not coordinate,
direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
specifications and plans and in accordance with the attached M.O.A. permit. There will be no
contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with the
owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor
to carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
Municipality of Anchorage
-�� Development Services Department ;'rt=
Building Safety Division.
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.munf.org/onsit/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR
A SINGLE FAMILY DWELLING /�,
Parcel I.D. D l� — W I— Y U COSA# N.4 — �% o 1()s7
1. GENERAL INFORMATION Expiration Date: — -3 0 — 0 9
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
ANCHOR VIEW #1• LOT 1
8951 SULTANA DRAKE ' ANCHORAGE. AK • 99516
CALVIN WORTHINGTON JR Day phone
8951 SULTANA DRAKE • ANCHORAGE. AK • 99516
Day phone
JERI JEFFREY W/ PRUDENTIAL Day phone 762-3108
3801 CETERPOINT DRIVE #200 • ANCHORAGE, AK i 99503
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
❑
Community On-site
❑
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 Systemst
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
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 riles 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.
Address 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK 99507
'Engineer's Printed Name JEFFREY A. GARNESS, P.E.
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 d 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 ofthe system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
S. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the flowing
Phone 337-6179
Date !i I Z S/v9
94
Attachments: L/
COSA Checklist Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Report
(((tlll(U)Ury:
Y 0FgNr�,i
••',O _
• le
ONSITE •:�c
WATER AND ; m=
WASTEWATER :
PROGRAM
• N�
•,.
Nitrate Advisory Other p
By: Original Certificate Date:' L — 0 — 0 1
(Rw „N5)
Municipality of Anchorage
• -� Development Services Department
Building Safety Division
On -Site Water & 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 CHECKLIST
Legal Description: ANCHOR VIEW ' #1 • LOT 1 Parcel ID: Q f'J 'q 4 _/ — 1� b
FOUND AT SURFACE LEVEL INSIDE CASING. WATER LEVEL ASSUMED TO BE SURFACE LEVEL.
A. WELL DATA 'ICE
Well type PRNATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES
Date completed 3/25/2000 Sanitary seal (YIN) YES Wires properly protected (YIN) YES
Total depth 267 ft. Cased to 81 ft. Casing height (above ground) 18"+ in.
FROM WELL LOG AT INSPECTION
Date of test 3/25/2000 4/14/2009
Static water level 9 ft. 'SURFACE LEVEL ft.
6 m. 1.03+ g.p.m.
Well production 9•P•
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate 2.17 mg./L. Other bacteria 0 colonies/100 ml.
Arsenic: 0 ug./L. Date of sample: 4/13/2009 Collected by: GEG Ltd.
S. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/H.D.P.E. Date installed 4/28/2000
Tank size 1300 gat. Number of Compartments 2 cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES
Date of pumping 4/14/2009 Pumper' MCDONALDS PUMPING
C. ABSORPTION FIELD DATA rlow EXISTING GRADE
Date Installed 5 1 2000 Soil rating .p.d.I r ft'lbdrm) 0_6 System type DUAL TRENCH
2 ®50 4/4 ft.
Length 100 TOTAL ft. Width 5/5 ft. Gravel below pipe
Total depth !Z,5LZ aft. Eff. absorption area 1000 ft' Monitoring tube YES Depression over field NO
Date of adequacy test 0'4/15/2009 Results (Pass/Fail) *'*PASS For 4 bedrooms
Fluid depth in absorption field before test 5 in. Water added 66100 gal. New deptht 4 In.
Elapsed Time: 111100 min. Final fluid depth 5 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date
**HOUSE WAS VACANT PRIOR TO TEST. **$1000 CALLONPRE SOAKTAND
ADEQUAONLYCY TEST
D. LIFT STATION
Date installed 4/28-5/1/2000 Size In gallons 280 Manhole/Access (Y/N) YES
'Pump on' level at 48 In. 'Pump off" level at 51.5 in. High water alarm level at 44.5 in.
Datum TOP OF RISER Cycles tested 3 Meets alarm & circuit requirements? YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
100'+
On adjacent lots
100'+
Water main _ N/A
Absorption field on lot
100'+
On adjacent lots
100'+
Public sewer main - N/A
Sewer /septic service line 25'+
Animal containment areas 50'+
Public sewer manhole/cleanout N/A
Holding tank N/A
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'+
Welts on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
10'+
Building foundation
101+
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 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.
Engineer's Printed Name JEFFREY A. GARNESS
Date 4 12 S/0 9
COSA Fee 5 0
Date of Paymen41241 0
Receipt Number (-)64 ZR'y
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
GASTALLI LAND SURVEY
PHONE NO. : 9072489362
pLAT N0. 80-113
ANCHOR VIEW SUM,
LOT 1
217,868 S.F.
ADDN. NO.
Apr. 28 2009 06:13RM P1
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• GASTALDI LAND
SURVEYING, LLC
JEFF A. GASTALDI, R.LS.
1000 E DOWUNG RD., SUETS e
ANCHORAGE. ALASKA 99507
PHONE 248-5454
LCFID GATE
2741 4/28/2009
P B JO8 NO.
00-03 AV11
111= 100'
10' LML ESMT.—tiL30.00'
N 89.56'45"E
E2]
I HEREBY CERTIFY THAT 1 HAVE SURJEYFD THE
PROPERTY DEPICTED ABOVE AND THAT N0.'
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY OF THE OWNER TD
DETERMINE THE MSTENCE OF ANY EASEMENM
CpVEN4lR5 OR REa`TRICT10N3 WHICH DO NOT
APPEAR ON THE RECORDED SUBDMSION PIAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA.
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTADUSHING BOUNDARY OR FENCE UNES.
ANCHORAGE RECORDING DISTRICT. ALASKA
NOTE: NO CORNERS SET THIS DATE.
N 89'55150"E 660.48'
--
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• GASTALDI LAND
SURVEYING, LLC
JEFF A. GASTALDI, R.LS.
1000 E DOWUNG RD., SUETS e
ANCHORAGE. ALASKA 99507
PHONE 248-5454
LCFID GATE
2741 4/28/2009
P B JO8 NO.
00-03 AV11
111= 100'
10' LML ESMT.—tiL30.00'
N 89.56'45"E
E2]
I HEREBY CERTIFY THAT 1 HAVE SURJEYFD THE
PROPERTY DEPICTED ABOVE AND THAT N0.'
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY OF THE OWNER TD
DETERMINE THE MSTENCE OF ANY EASEMENM
CpVEN4lR5 OR REa`TRICT10N3 WHICH DO NOT
APPEAR ON THE RECORDED SUBDMSION PIAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA.
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTADUSHING BOUNDARY OR FENCE UNES.
ANCHORAGE RECORDING DISTRICT. ALASKA
NOTE: NO CORNERS SET THIS DATE.
SGS Refa
1091436001
Client,Name
Garness Engineering Group, Ltd.
Project,Name/#
Anchor Vic%v #1, LI
Client Sample ID
Anchor View #I, LI
Matrix
Drinking Water
P%1 SID
0
Sample Remarks
Printed Date/Time
04/202009 9:57
Collected Date/Time
04/132009 13:50
Retched Date/time
04/132009 15:00
Technical Director
Stephen C. Ede
PuamctcrAllowable
Results
PQL Units
MethodConumer ID Limns
Prep Armlysis
Date Date
Imt
Metals by ICP/MS
Arsenic
ND
5.00 ug/L
EP200.8
C
(<10)
04/14/09 04/16109
NRB
Waters Department
Total Nitrate/Nitrite-N
2.17
0.100 mg(L
SM204500NO3-F
D
(<10)
04/17/09
JDZ
Microbiology Laboratory
Colony Count
0
col/100mL
SN1209222B
A
(<200)
04/13/09
DLC
Total Coliform
0
col/IOOmL
SN1209222B
A
(<I)
04/13/09
DLC
Fecal Coliform
0
coUl00mL
SM209222B
A
(<I)
04/13/09
DLC
0
2of4
Municipality of Anchorage
• Development Services Department
Building Safety Division s
On -Site Water and Wastewater Program 3.A 9 T T
4700 South Bragaw St
P.O. Box 196650 Anchorage, AK 99519650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. m5-4 f,1 -4o HAA#
Expiration Date: Z / 7 - C -
I.. GENERAL INFORMATION
Complete legal description Lot 1 ; Anchor view s,ibd i mi si nn /f1
S9 s-1
Location (site address or directions) A G„1 r n n n n r
Current Property owner(s) Harvey Prickett Day phone 277-7090
Mailing address
Lending agency
Mailing address
Real Estate Agent
405 E. Fireweed Ln. Ste. 203 Anchorac_e, AK 9950
Day phone
Day phone
Mailing Address '7 /
Unless otherwise requested, HAA 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
El
Individual Water Storage
❑
Individual Holding tank
❑
CommunityClass Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water 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.
a
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.
NameofFirm s & s FnginPpring Phone 694-2979
Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577
Engineer's Printed Name Robert C. Cowan Date // /11 /O 3
5. DSD SIGNATURE
\/ Approved for !:t- bedrooms.
Disapproved. . .
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
:VVAILHANU
WASTEWATER
PROGRAM
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: Original Certificate Date: 11-17-03
(R�.01M)
.... ,... .., r . r. .. .. _ ..... _ _ .
-� Municipality of Anchorage
Development Services Department
Building Safely Division
—� On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: J_o 7- 1 4 N C(f 0 A Vl fLA/ V- / Parcel 10: 0IS- "y 6�
A. WELL DATA
Well type Pkv drf
Date completed3b3'A 0
Total depth '34 67 ft.
Date of test
Static water level
Well production
If A, B, or C provide PWSID #
Sanitary seal ,9/N) V* s
Cased to 9 i ft.
FROM WELL LOG
3 /a-S%o 0
3
WATER SAMPLE RESULTS:
Coliform '0 colonies/100 ml.
Arsenic: — mg./I.
B. SEPTIC/HOLDING TANK DATA
ft.
Well Log j) _ y co 1
Wires properly protected 6)N) y'I-J
Casing height (above ground) 7 `/-*' in.
AT INSPECTION
1 oby/c3
ft.
g.p.m. -5,19 g.p.m.
V
Nitrate o2-0 S mg./I.
Date of sample:) ob-d 3
Tank Type/Material -5644 Tic- / R D P E
Other bacteria 0 colonies/100 ml.
Collected by: 5 & JERG(NEERIND_
17034 Eagle River Loop Road No. 204
Eagle River, Alaska 99577
Date installed 5-4 /0 O
Tank size 3 0 0 gal. Number of Compartments 2 Cleanouts&N) Ylf J
Foundation*cleanout ON)ykJ Depression over lank (Y/6) Nd High water alarm 194) ( 4; hr fr4n ir)
Date of pumping /0 0 3 Pumper 4 f //oiy ¢ S4A Vr aE-
C. ABSORPTION FIELD DATA sl�gac oW
Date installed r�1�c' 0 Soil rating g.p.d./RZ or fe/bdrm) 0, C System type TflC^'°yr l
% r ` S_ ft. Gravel below
Length rcr rore� ft. Width pipe ft.
i
Total depth G . ft. Eff. absorption area %oy 0 ft2 Monitoring tube Y151 Depression over field N o
Date of adequacy test �o�a $/03 Results Fail) PA 3S For _ bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth) :- in.
Elapsed Time? 3 7 min. Final fluid depth `� - in. Absorption rate >= U o g p d
Any rejuvenation treatment (past 12 mo.) (Y/N & type) 1v c j -k_ K.10 if yes, give date
11- 4-03; 5:41PM; ;907 5615301 a 3/ 5
SCS ReL#
1037063002
Client Name
S & S Engineering
Project Name/#
NA
Client Sample ID
Lot I Anchor View #1
Matrix
Drinking Water
PWSID 0
Sample Remarks:
All Dates/Times are Alaska Standard Time
Printed DatclTlme
11/042003 7:40
Collected DateITime
10282003 12:45
Received DatelTime
10292003 14:40
Technical Director
Stephetg. Ede
Parameter Results PQL Units Method Container ID Allowable Prep Analysis
Limits Date Date Init
Waters Department
Nitrate -N 2.08 0.100
Microbiology Laboratory
Total Coliform 0
mg/L EPA 300.0 B (<=10) 10/29/03 JJB
col/100mL SM18 9222B A (<=1) 1029/03 DKC