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HomeMy WebLinkAboutCONTOUR ACRES #4 BLK 2 LT 9Contour Ac e Block Lot 9 #017-381-23 Municipality of Anchorage Z?'. '~'''' Development Services Department Building Safety Division On-Site Water and Waste,eater Program. 4700 S. Bmgaw SL P.O. Box 196650 Anchorage, AK 99519-6650 Page www. ci.anchorage.ak.ue (g07) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ..~>UU QI Otgq~) PlO Numben ""~: ~C.O/'~ ~a) h a. ~,t v/¢~ Wastewater System: ,[~'New D Upgrade LEGAL DESCRIPTION I, ~_ /~+ ~,. ~0 ,,. Well: ~ New [] Upgrade c,~,~,,,ox ~ r,. I SEPARATION DISTANCES [~epti¢ rlHouing rl$.T.E.P, l-IOther. Tank Field Station Tank Sewer LI~e ~tC.[ . ~"~. s~w.,. M[o HID '~ LIFT STATION,, "'"'~' BENCH MARK £~n~e~$ ' .., Inspections performed by: ~ Dates: 1" / ,. ' , ~evelopment Se~ices Depa~ent Approval . , BENCH RiLT£~ AS BUILT 20, 2001 CTAfl£flg~,BVG ?4.7 tT 64.0 Well £ENCH II'OBBEN SPU£KLAND 203 ~/ 151'H. AVENUE ANCH. AK. 9950I PE£HIT # 010090 N SCALE, 1' = 50 FT. 1~5 1~0 SEPTIC SYSTEli AS BUILT D4TE: APRIl. 20, 2001 SHEET: 2/3 gRID: 28J7 Plfl It 017-381-£$ 2000 oal Septic tank Standard Trench: 2' Vide 50' Long 12' Deep 8.0' Sewer rock 4' Cover 0 NO SCALE Monitor /~ Cleanouts 4' Cover Silt Barrier 9t5~ / B.O £t oF Septic Rock Effe¢tNe NO SCALE 0 2000 Oat septic tank ~[NQ7 ~ ~AIIO SI. AB ASSUWED [~. I~0.0o tt TOBBEN SPURKLAND P.E. II ~0~ WI~%h Ave II Anchorage Ak 99501 CONTOUR AVRES //4 BK 2 LOT 9 S0017 JOHANNES I ~A~£, J~H£ ~ 2~01 PERWIT/S~010090 PARCEL Iff / 017-381-23 C~0209~DW~ " Municipality of Anchorage Department of Health and Human Services 825 'L' Street P,O. Box 196650 Anchorage, Alaska 99519-6650 ~'ck Mystrorn htr p J/www.cLa nc horage a k.us Mayor Permit Number: #SW 010090 Date oflssue: 4-27-01 Date Started: 5-7-01 Date Completed: 5-09-01~ Legal Description: Property Owner Name & Address: Borehole .D.a ta: $oi Type, Thickness & Water Strata stick-up gravelly silt sandy silt gravelly silt Bedrock Contour Acres fl4 BIk 2 Lt9 Parcel Identification Number: 017-361-23 Is well located at approved permit location? [] Yes [] No ScoffJohannes 13050 BadgerLane Anchorage, Ak 99516 Depth (R) From To 0 2 2 17 17 24 24 128 128 306 Method of Ddlling [] air rotary [] cable tool Casing type: steel Wall Thickness: .025 inches Diameter: .0.6 inches Depth: 137 feet Liner Type: Diameter: ~ inches Depth: Casing stickup above ground: _.2 fcct feet Static water level (fi.om ground levcO: 125 feet Pumping level: 306 fcct after _2 hours pumping _3 gpm Recovery Rate: _3 gpm Method of Testing: air lift Well Intake Opening Type: [] Open End [] Open Hole [] Screened Start __ feet Stopped []Perforations Stan~feet Stopped feet Grout Type: Bentonite # 8 Volume: 1 bg Depth: Start _.0 feet Stopped _+ feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: C/or/ne Tablets Comments: Well Driller: Alpine Dr/lling & Enterprises P 0 Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property MUNICIPALITY OF ANCHORAGE Development Services Depa~lment On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, ,AK 99519-6650 (907) 343-7904 ON-SITE WASTEqNATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Apr 27. 2001 Expiration Date: Apr 27. 2002 Permit Number: SW010090 Legal Description: ~CONTOUR ACRES t/4 BLOCK 2 LOT 9 Design Engineer: 0007 Tobben Spurkland. PE Owner Name: sco'rr JOHANNES Owner Address: 13050 BADGER LANE Total Bedrooms: 5 ANCHORAGE. AK 99516- Parcel ID: 017-381-23 Site Address: 13050 BADGER LANE Lot Size: 114562 SQ. FT. Permit Bedrooms: 5 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage .all construction must be In accordance with: 1. The attached approved design. 2..all requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify 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: ~ ~ D~te: LZ 7--6/ 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 SEWERA/VELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-581 Permit Number SW OlOOC]O Property owner(s) Mailing address (1) I SITE ~ address (2)1~0~0 Legal description (Lot, Block legal description {Section, lown~hip Lot Size / i~ ~ Bv, Day phone ~qS,-- ~-113"" Zip Code qt~ Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only Water Storage Jacuzzi ~] Water Softening Unit 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. I , (Signature of property owner or authoriz Permit Fees: Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: T.S?URF'U AND ?.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 9 BLOCK 2 CONTOUR ACRES #4 SCOTT JOIIANNES Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street Anchorage, Alaska 99519-~650 April 18,2001 We are submitling an application for the installation of a well and septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet I/3), the proposed improvements of the lot, of which only the well and septic system is subject to this permit application, (sheet 2/3), and a schematicofthesepticsystem,(sheet3/3). Soillogsandpereolationtestsofapplicabletestholesarealsoenclosed. The septic system design is based on the following: No Ground Water or Impervious Layer to 19 fl. Use Standard Trench Soil Rating. From Testholes 04/16/01 <,~ mia/in = 1.2 gal per sq.fl/day No. of Bedrooms 5 Requlred Area per Bedroom: 150/1.2 - 125 sq.~. Total area required: 125 x 5 - 625 sqft Testhole depth 19 feet Bottom Rock At 12 feet Top Rock At 4 feet Rock Depth 8 feet Total Trench Length 625 / 16 -- 39 SYSTEM CONFIGURATION STANDARD TRENCtl TOTAL LENGTH 50 FT TOTAL WIDTH 2 FT TOTAL DEPTII 12 FT ROCK DEPTH 8 FT COVER 4 FT SEPTIC TANK 1500 GAL The installation of this septic system will not prevent wells from being installed on the adjacent lots. There are no developed or natural surface I sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Pondihg and/or concentration of surface runoff will not result from this installation. I I I I TOBSEN S£URKL4ND P.E. 205 W lSTlt. AVENUE ANCH. AK. ~9501 (907) 279-$915 ?Veil L~NE SEPTIC SYSTEM DESIGN DATE: APRIL 20, 2001 SHEET: I/3 GRID: 2837 PERMIT # 010XXX PID # YYY CTAO£Og].DVG 12 I'OBBEN SPURKL4ND P.E. 203 ~; 15TN. AVENUE ANCH. AK. 9950I (907~ 279-3,916 PERHIT it OIOXXX 10 SCALE~ 1' = 50 FT. 150 I ICONTOUR ACRES //4 BK 2 LOT 9 SCO~[ JOHANNES 12900 BADGER lANE PID # YYY [ SEPTIC SYSTEI~ DESIGN DATE: APRIL 20, 2001 SHEET: 2/3 GRID: 2837 C TAO2Og~.B~G Standard rrench: 2' Vide 50' ton9 12'Deep ~O'Sewer rock 4'Cover ~ 1500gal Septic tank ND SCALE Silt Barrier - B.O £t o£ Septic Rock Effective Honltor NO SCALE 15009al. septic tank TOBBEN SPURKLAND P.E. II 203 Wl5~h Ave Anchorage Ak 99501 CONTOUR AFEES ~4 BK £ LOT £ SCOTT JOHANNES t2~OOEAflG~LANE II SEPTIC SYSTEM SCHEMATIC I~ATE, APRIL 20, 2001 SHEET, Jr/J (]RID, 2B$7 PERMIT ~ SWOIOOXX PARCEL CTAO2Og$.D~/G PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4, 5- 6- 7- 10 12 13 14 15 16 17 18 19 20 Munlcll~allty o! Anchorage DEPARTMENT OF '~EALTH & HUMAN SERVICES 825 "L" Street, Am:horage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST sLoPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT t~l=//-/.- ~°/~ ~ I Time Time Water Drop qqy ~o I~ 1o PERCOLATION RATE '~'~'~t.* {m,nutes/mch} PERC HOLE DIAMETER ~:~ ~lf TEST RUN BETWEEN '~ FT AND . ~ FT DISCLAIMFR~ flrnttndwater cnnditlnns indicated acm for the date~ ~hown only. Past and future presence and/or depth of groundwater can not be predicted trom these observations. PERFORMED BY: "~ ,~ = I ,, "~, "~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCEWITHALLSTATEANDMUNiCIPALGUi[f~LINESiNEFFECTONTHiSDATE. DATE: ~'/~"'/~--~) ~ 72-008 (Rev. 4/85) MunlclFallty of Anchorage DEPARTMENT OF qEALTH & HUMAN SERVICES 825 "L" Street, Am:horage, Alaska 99502-0650 SOILS LOG- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19. 20- ¢;//7 / HI-. FI,I.,-- t.-Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S YES. AT WHAT ~ DEPTH? p E ,,, I ~'/A ~ ~-I& -~ I Time Time Water Drop PERCOLATIONRATE~ I~ im,nute~mCh) PERCHOLEDiAMETER 'EST .UN BETWEEN 7 .AND ~ FT cnndit~n~ indicated ~re for the detes shown ~.1~. and/or depth of groundwater can not be predicted DISCLAIMFR? Aro,ndwatPr Past and future presence trom these ob$.e..~va~lon$. PERFORMED BY: to ~ , ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUlL ELINE$ IN EFFECT ON THIS DATE, DATE: 72-~8 (R~. 4/~) CERTIFY THAT THIS TEST WAS PERFORMED IN z/- I/, - ~, l .• !i i • Municipality of Anchorage On Site Water and Wastewater Program 2 (907) 343-7904 1' _ IIV S A CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-381-23 Expiration Date: Ql' 72-1 I 1. GENERAL INFORMATION Complete legal description _CONTOUR ACRES #4 BLK 2 LT 9 Location (site address) _13050 BADGER LN, ANCH. AK Current Property owner(s) _DENNIS HOPPMAN Day phone Mailing address _SAME Real Estate Agent D- . ,. ;.. = ry . • 910 N :- 6 <�'jito! , r . 2. TYPE OF DWELLING: 4Z .->>� Z Single Family (w/wo ADU) 4OG ©�;to i) 111Duplex �� a ❑ Multiple Dwellings (Single Family and/or Duplex) << 3. NUMBER OF BEDROOMS: 5 9 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank Cl Community Class A Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Adak Received by: — ,� '(-A-(° Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 57-(4' Waiver Fee $ Date of Payment $ 121]a Date of Payment Receipt Number . 0,2736$6" Receipt Number COSA# Cc-L.1.7130 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm MIKE N ANDERSON. P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON. PE Date 7/31/18 �• - {Jt' 'yI; • ° • ,P ..o .. t 6. DSD SIGNATURE `s• ° °° W ° R O°°°° ° MICHAEL N. ANDERSON °`4 /' �/ j CE-9469 `,, Y. System #1 Approved for bedrooms. �� •• �/ /, System #2 Approved for bedrooms. �‘ � •' 0; Disapproved. Conditional approval for bedrooms, with the following stipulations: OP 4 J hG " ON-SITE . WATFR AND rr. +j WASTEWATER _; PROGRAM1. to- c S. / By: �'�^' � , / Original Certificate Date: 21 — 1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory ' •-• Septic System Advisory Arsenic Advisor/;• Well Flow Advisory Other COSA blue sr+eet_1O.1O.12 bob If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system _ Certificate of On-Site Systems Approval Checklist Legal Description: CONTOUR ACRES #4 BLK 2 LT 9 Parcel ID: 017-381-23 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# Well Log (YIN) Y Date completed_5-9-01 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 306 ft. Cased to 137 ft. Casing height(above ground) 18"+ FROM WELL LOG AT INSPECTION Date of test 5-9-01 7.16.18 Static water level 125 ft. 158 ft. Well production 3.0 g.p.m. 0.86 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 4.10 mg/L Arsenic: ND ug/L Date of sample: 7.16-18 Collected by: MNA B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 5.17.01 2600 Tank size tea gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 7-29-18 Pumper QUALITY PUMPING C. ABSORPTION FIELD DATA Date installed 5-17.01 Soil rating (GPD/SF) 1.2 System type DEEP TRENCH Length 50 ft. Width 2.5 ft. Gravel below pipe 8.0 ft. Total depth 12 ft. Eff. absorption area 800 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7-16-18 Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test 11 in. Water added 800+gal. new depth 15 in. Elapsed Time: 1350 min. Final fluid depth 12 in. Absorption rate >= _800_g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date • D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at in.High water alarm level at in. Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 100'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 1004 Holding tank NA Animal containment areas 100'+ Manure/animal excrete storage areas 100'+ SEPTIC TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5' Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10 Water main 100'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(None Known) Wells on adjacent lots 200'+ F. COMMENTS e (Do �� OF •4 X� '� ' '•.-y ,,*:•49TH %*l�/ G. ENGINEER'S CERTIFICATION f• 0• MICHAEL N. ANDERSON ..,Z;# 1 certify that 1 have determined through field inspections and ���•, CE/9/77 ' review of Municipal records that the above systems are in r 'ri' . •�% conformance with MOA COSA guidelines in effect on this date. ,� �QFp;\ •ESS1• y�:= l�\, 4 Engineer's Printed Name MIKE N. ANDERSON, PE Date 7131/2018 COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT �' 4;', 907-343-7904 907 343 7904 h On-Site Water and Wastewater Section \ ` 1 Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On-Site Systems Approval # 0SC181383 Subdivision: Contour Acres #4, Block: 2, Lot: 9 This well's productivity was determined to be .86 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 5-bedroom residence is .52 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org 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 AUTHORITY APPROVAL FOR A SINGLE FAMIEY DWELLING ,, Parcel I.D. GENERAL INFORMATION Complete legal descriptio~n - 14 2.. o TOotZ. A, Cr'z, ,ti Location (site address or directions) ~/~-C) ~ ~rL. Current Property owner'(s). ~ c_~ ~ 1" ~''~....~ < s Mailing address ' ~ Lending agency Mailing address Real Estate Agent Mailing AddJ'ess Expiration Date:_ Day phone ~ I- Day phone · Un/ess otherwise requested, HAA will be held by DSD forpickup. TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer NUMBER OF BEDRoOMs: TYPE*OF WATER SUPPLY: · Individual Well . -* [~ Individual Water Storage r-I Community Class. Well [] Public Water System l'"i The Municipality of An. chorage Development Services Depadment (DSD) Issues Certificates of "Heal[h 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. iMuniciPality of Anchorag,e, .Development Services Department Building Safety Division~ ~On-Site Water & Wastewater Program i' 4700 South Bra'gaw'St. ' . . i P.O. Box 196650 AnChorage, gJ< 99519-66~0 www~ci.anchorage.ak.usI : , i (907) 343-7904 ~ : .,i HEALTM AUTHORITY APPROVAL CHECKLIST A. WELL DATA " , L ' Well type J~ If A, B, or C provide PWSID # f'Y/:¥ !,Well LOg(Y/N)i' Date completed I- ' , Sanitary seal (Y/N) '// . Wires.. properly, r prote~ted (Y/N).. ,y. ,= . Total depth ,.A v ~, .ft. 'Cased to. 13 ~ ft. Casin~~ height (:above groun,d). · FROM WELL LOG . AT INSPECTION ! Date of test o [ ~.~ 9 ] o l Static water level I ,~. ~" ft. I ~,:~ !ft. Well production ~ g.p.m, i:~o ~ J, ~ g,.p.m.; WATER SAMPLE RESULTS: j Coliform O colonies/100 mi. Nitrate 0.'[~ mg./i. Oth~er bacterla ~ I~ I') "' _ . _ colonies/100'ml. Arsenic: / mg./l. Date o[ sample: ~/~'~? ' . ~ B. SEPTIC/HOLDING TANK DATA : 'i Tank size ~ gal. Number of Compadments, ~.- Cleanouts (y/N) 'i;/ . : r Foundation cleanout (Y/N) ~ .. Depression over tank (Y/N) t,,i/ High water alarm (~/,N) :~,.%.] Date of pumping. ~/o ,i/ Pumper /Z~ + ,. C. ABSORPTION FIELD DATA i t~ , Date installed Soil rating (g.p.dJft~ or ft%drm). 1. ~.. i System type ..i /,¢.~f~ Length ~C> ft. Widtl~. ~., ~ ft. Gravel be]ow Pipe ~ ft. Total depth _/,~.. ft. Eft. absorption area ~o oft~ Monitoring tube. / , Depression' .t over~ field i,-, : Date of adequacy test . ~l/v ~[ Results (Pass/Fail).. "~ : For bedrooms l Fluid depth in absorption field before test (:~ in. Water added~gal. ~ New depth C~ ~ln. Elapsed Time: in. Final fluid depth O in. Absorption rate >= :! 7~5" ~ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) I~ ' r If yes, give date v/ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory, Health Authority Approval # 040062 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 2, Lot 9 of Contour Acres //4 subdivision, the well's productivity was determined to be 0.75 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 5-bedroom residence is 0.52 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. 14 00e01'13~ ~ 02-24-0~ C2:~5~ ~RO~CT&E ESI, SGS EHV SERVICES gOT5615~O! T-~68 P.02/£3 ;-6Z6 $¢;$ Ref.# 1040S49001 All Dntes/Tlme~ nrc Al~kn Slandard Ttme Clte~u N~me Tobbcn Spu~kl~nd P.E. Printed Dnte/Time 02/24/2004 8:58 P;oject Natne/# Lot 9, Block 2. Contour Acres Corrected DatWTime 02/19/2004 I~:00 Ct}~nt Sampk ID Lo~ 9, B~ock 2, Contour Acres Received D~te/Time 02/1~r2004 16:20 ~::trix Drinking Water Technlcal Director Stephen C. Ede Released By ~ ~ \- .~tmplc Ecm~tks: Allewnblc ~ Aflalys~ P~:cmctc Rcs u~u PQL Units Method Con~nitm' ID Limi~ pate D~,te Init Nit~ate-N 0ot88 0.100 m~L EPA 200.0 A 02/20,~)4 .lib ~i=robiology Labora=or~ Toul Coliform coYl00mL SM18 9222B A (<=1) 02/19/04 DKC