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Home My WebLink AboutPARADISE VALLEY BLK 2 LT 19 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~.~lLLIl4.,t.,f ~klO.V' DISTANCES ~ SEPTIC ABSORPTION ^o~,~, TANK FIELD WELL TownSh,p. RaAge. ~,on TAN KS ~ :./ - TYPE OF SYSTEM ......... , ~RENCH D BED D W. DRAIN DOTHER WELLS ~PRIVATE ~ OTHER [Identifvl REMARKS: ~ale: ~ T~ ~ t. ,~ ,D' , ENGINEERS SEAL Health Depa~nl Approval: 72-013 (3~85} ' ' ' "* P.O, BoJ( 110378 a 10330 Old ~ev~ard Highway· : ' · · · · ANCHORAGE, ALASKA 99511 ' " U~e ~! We]~ ' Domes cic Well 'Owner Deecribe screen or .' ~eet .~rom st~Uc D~t~ of Depth ln feet from .,...- 2TO 4 -" ~TO 96 96, 157 'TO ' oPenend ( X.' ); s.of ¼"X l"'slot,.perfs from 157~163' '" " ":'"' :'"'" "."'! "':"""':": ." .":" ~': ",": .' . :' "'- : . !';: Penetrated' · .... ." size of material, color and harclnes~ · ' '." ' AWv'WA Cert~ed Contractor - 2 ~ STATE. MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 545-4720 O N - S I T E S E W E R & S E P T I C T A N'K P E R M I T Permit Number: 880064 , Date Issued: 05/27/88 Engineer Designed Owner Address: WILLIAM KNOX 18701 FRANCE CIR. ANCNORAGE, AK 99516 Day Phone: 545-2659 Parcel Id: 020-424-02 Lot Legal: Subdivision: PARADISE VALLEY Lot: 19 Block: Section: 11 Township: 11N Range: 5W Lot Size ~18~ (sq. ft. or acres) Hax Bedrooms: This Permit: 5 Total Capacity: 5 SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic'tankCs) < 4.0 feet requires insulation over tank(s). INSTALL PER DESIGN ISSUED ~/5/87, PERMIT #870256. NOTIFY DHHS PRIOR TO 1ST &2ND INSPECTIONS. THIS PERMIT EXPIRES 12/51/88. I CERTIFY THAT: I. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. I will adhere to all MOA and State of Alaska requirements ~or the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. I understand that this permit is valid for a maximum o~ 5 bedrooms. I also understand that the capacity of the total system is ~ bedrooms and any enlargement will require an additional permit. Signed: DATE: (Owner) WILLIAM KNOX Issued By: DATE: DN-S M U N I C I P A L I T Y O F A N C H O R A G E A ~r~ Department of Health & Human Services 825 L Street~ Anchopage~ Alaska c~9~01 54~-4720 ~ I TE SEWER ~ SEPT I C' TANK RM I T Permit Number: Date Issued: Owner Address: 880064 05/27/88 E~gineer Designed ~ILLIAM KNOX 18701 FRANCE CIR. AN~HO.RAGE~ AK ~516 .Parcel Id: 020-424-02 Lot Legal: Subdivision:'PARADISE VALLEY Lot: -Section: 11 Township: 11N Range: Lot Size 518~ (sq. ft. or acres) Max Bedrooms: This Permit: 5' Total Capacity: Block: Day Phone: sEPTIc TANK: Minimum total septic tank capacity: 1~000 gallons. ~Each.~septio tank must have at least ~ compartments. Depth to ~op~Of~i~ tank(s) feet requires insulation over tank(s). .~,. ~ NSTAL~:~ PERi. DES 18N ~I SSUED ~/5/87 ~ ~ ' ~OTI~Y~iI~iDHHS ~.~RIOR'~TO~ IST ~&~ND ~INSPE~TIONS. . · THIS PERMIT EXPIRES· 12/51/88. "' THaT " ~ '" ' I CERTIFY : .~ .., ... i, I am,familiar ~ith the requirements for on-site sew~¢s"and uells.as set forth by the ~nicipalit~ of.Anchorage (MBA) and %he State of AIaska, ~..I will install the.eystem tn accordance with all.MOA codes and. regulations, and tn,co~pli~hce with· the design criteria of this permit. ,,~., 5. I will adhere to all MOA and State of Alaska requirements fo~'the set back distances from any e>:isting well~ wast~water disposal system or public sewerage system on'this or any adSacent or nearby lot. . .. 4. I understand that tht's permit is valid fo6 a maximum of .5 bedrooms. I also understand that the capacity of t~e total system is 5 bedrooms and any'enlargement, will require an additional permit. .' ', "" ... DATE:' Signed: (Owner).WILLIAM'KNOX < 4.0 MUNICIPALITY OF ANCHORAGE Department of Health &'Human Services · 825 L Street, Anchorage,.Alaska'99~01 54~-4720 . ON-S I'TE SEWER PERMIT ~Per m'i t :~NQmber :' bate Issued: Owner Name: WILLIAM KNOX Day Phone: Owner Address: .18701 FRANCE CIRCLE· ANCHORAGE, AK ''P~rcel Id: 020-424-~ .... ~ ...... ' ~. ' · · ~ ~ '~. ~ection: 11 Township: llN Range: Lot Size ~1S99 '¢sq·[t. or acres) Max Bedrooms: 'This Pe'rmit~ ~ Total Capacity: '~ "-', ·" SEWER SYSTEMS: Listed below are.the options available to you~in.designing you~ sewer system. 'Choose the o~ti~n that best fits your .site. T R E N C H '.-.. 'B E.D ~ . W. D R A i ~ Depth to Pipe Bottom' (~t): 4.0 Gravel Depth (~t).' 5.5 · Total Depth (.ft):. ' 9.5 Gravel Width (ft): 2..5 Gravel L~ngth (£t): '72.0 ** Gravel Volume (cubic yds): '40.0 Soil Rattng'.Used (sq ft/b~m)~ 2&~ 0.5 ' 4&.O: ' . 89.0 ** Gravel length.> 50 feet requires multi'pie soils ~emts.' .... ** Gravel length > 75. feet requi?es ~ultiple ru~s (not' exceeding 75 ft '~ach). LIFT_.STATION: IF a lift station is ins£alled~ a high water ~larm'must be connected to the residencE.,' · '- ' SEPTIC TANK: Minimum total septic tank capacitY: 1~000 gallons· 'SEach 'septic tank ~ust have at 'least ~ iompartments. Depth to top of septic tank(s) ~ 4.'0 fee~ requires insula£ion oven tank(s). .- I CERTIFY THAT: '-'' o 1. I am familiar'With the requirements for on-site sewers and wells as set forth by the Municipality o£ Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulattons~ and in-compliance with the design ~riteria of this permit. ~. I will adhere to all MOA and State of Alaska requirements for' the set back distances ~rom any existing ~ell~ wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid ~er a maximum o~ ~ bedrooms. 'I also understand that the c~pacity o~ the' total system is ~ bedrooms and any enlargement will'require an additional'permit. Signed: (Owqer) WILLIAM KNOX ALASKA I J'IUIROI I I rlTAL cOrlTROL SI RUIC{ S, linC. J~nqi.~rir,~ f~ J!~iro'nmcnlal SluJ:Jic$ June 26, 1987 Hunictpality of Anchorage Department of Realth & Buman Services 825 L Street Anchorage, Alaska 99501 Re: Paradise Valley Subdivision. BlOck 2. Lot 19 MUNtcmALrry OF A"'--.- ~. '~l,'~L PRO1..ECr/ON 'JAN ~ 8 1989 RECEIVED Dear S!r: On Ju=e 24, 2987, Alaska Environmental Control Services, monitored the testhole located on the above mentioned property. At that time the testhole was dry down to 16'. If you have any questions please feel free to contact us. · Sincerely, t200 Wcsl 33r~1 Aue,uL ~,~r B .And, oraq¢. Alaska 99503.[907) S61-50~0 ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE. ALASKA 99503 (907) 561-5040 SHEETNO. OF CHECKED BY DATE PERFORMED FOR: LEGAL 'D.ESCRIPTION: 3- 9 ;0 11 12 13. 15. 16. 17. 19- 20- COMMENTS PERFORMED BY: ALASKA . IL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 ': ~T~T BORINO 2 . ,' SOILS LOG - PERCOLATION TEST l~Lll~_sm KI~OX ' · 0~TE PERFORMED: ': ~t 1~ ~. 2~ Pa~se Valley Subd, . BRO~ SILTY SAIfD WIT~ . ...' OCCASIONAL COBBV,V-c ~ D~, MO~T ' HOIST.c ~ . OCC~ION~ ~BBr.~-q ~ ' W~ GROUND WATER ~m *, ENC~ERED? HOIST.= 6~ SOILS LOG pEfCO L.~ .T.I ON ~-~'8-8~, - ."(" ' LEGAl. DESCRIPTION: 2 · 10 14- 15 16 17 19- 20- COMMENTS PERFORMED BY: .[~ ALASKA SOIL TESTING AND ENGINEERING 6100 A S~reet Anchorage, Alas~ c~502 ,~ "':' (907) 561-7453 " TEST BOP/~G 2 (CONTI~D) SOILS LOG -- PERCOIL~TION TEST ri . SOILS LOG " ~' ' 'P'~:~I~COLATION ' TEST ' ~ '7 Tr..ST 2 ' '' ' :" ~" ; :" ' : '-. ~. ~-.8~ '~"' ..... ' ~ ~ .... DATE PERFORMED: SITE PLAN....t . . .. WAS GROUND WATER ~.' .~.-ENCOUNTERED? ;- ,' IF YE~. AT WHAT :' . DEPTH? ."~ ." . ', 1 /2-,5.-~4 10:16 FTT.T. q.6 :. 1/8' .',: : 2 " 10:~6 ~,0 mi: i/2 '~' 1 "~ " 3.3.:16 .~,0 ~/~1' · ,, ~:~+6 · .,. .. ' ~./',_6 'j ~ ' ,, l.l:b,? . . ~.:' ¢6,,0~t. z~.s= .~o~ sci) U.I. ~TANDARD SIEVE SIZE SIEVE ANALYSIS' I HYDROMETER J : ~ ~ ":' .GRAIN .~FZE IN MFI, LIMETiR} * "· · · · · ~ Ic-LI G.AVEL "1 sa,,. I ''~~' '1 P. ROJ~CT Lot 19, '.~k.. '2,'Para~,.e Valley ~ CLZE~'T. . ., ., ... !-.. : ' .: 4. 63 lO 0.~ ~ ALASKA SOIL TESTING AND ENGINEERING GRAIN SIZE DISTRIBUTION FIGURE 6 lO0 ~. 90 I, ?o ~- 6o ~ 4o ~ 2o u. '. io U..q, 3TANDAIID .~IEVE SIZE .aRA Lot 19, Bk. 2, ~a~se V.~ey Su~d. T~T ~NG OR PIT 2 S~ .. 2 ~I~ SOIL ~~TI~ ~ ~ST ~SlFI~TION SOIL ~ I~TION S~t~ Sand ". ~U.S. ~T~D~ P~ C~T .;.' · .~ 1~ ' ;' 1" 97 " , ,~:. ../. '~/8" 8~ .:, 4 ?j . lO' 20 60 0.~ ~ ALA,~KA ..~OIL TE,~TINe AND ENGINEERING GRAIN SIZE DISTFIIBUTION · FIGURE 7 .: ~'...-.. nJ'-.,..I '. " '", ' ~-.~ · ClL (INA EL ~ '~' : , ~AND ' · FINE~ ' ' "' ~...~. CLIEh"~ ~ill~m £nox .. :' ,, , :%f TE~T I~RING OE PIT 2 SAY, PLE., .?'~ .: DEPTH' ?.~' . "' ._.; UNIFIED SOIL CLASSIFICATION ~OIL TEXTURAL'CLAS~IF/CATION $ilt7 .;...'.-,:.~ . ,,..,. .......... . . ·. . .. ........ ' "~a' :' U.-~. RTANDARD ... '~;''- '";" ' '~:*' F' ;. · .. .... ,o. 2" :' · "Y~';~ V ' ~-~i ..... - ' .;-. - .4 ,-~ . . , .- . ,. ;........ · .,. . - . , <~. ~, j.-~,.' ~-., .. ~ ..... , ~ ..... ~ · -'~ "~" - .... ._... ..~ -. .... ~ '[ ;;'.....~... .... . .':.. ~. .'}~,,_ ~ .~ ],'"'" - ' .': ~. " ~0 ' ' ao ~}~- "'- '~-', : 1~ '- ~9 '-'" . .. -. · 0,~ ~ ..:.. .. .. ALASKA ~OIL TE'TIN. AND GRAIN SIZE DISTRIBUTION ENalWEEklNO F~aU~E 8 SUBDIVISIDH: PAFIA'DIsE'VALLEY LO'I: 19 ., BLOCK: 2 ~:on that best-llts y~ur site, ~ . ,. - ........ . 't~tl~',.. . .'S'I~E., ._(~hLSl"., . ..~""-"... ,. : 1,O00,O. . *~ . 1,O0(,~O ** .'.; ' . . , '. ...:.-~.. T':'."'~'~ GF'AVE. LENd, TH'> 75 FT. -RE~UIFd~S rJULTIF'LE RUNS (N:,t EXUL'~DIII8 7b ~ T. I~ACH, ~; 7 ", '.'i.: .: . · ..~' . .. ~'..' ..'.. ,.-. '.' -r ; ;. " , 'It)rib b~' the Municipality ol .Anchoraoe (MOA; and the Stat~ ol Al~ml:a. ~.. I ~1)] ~flhet~ Lm all MOA and SLate of Al~sLa reqL ~IF: 'A.,L it I~jSTAIION 1~ INSTALLED ~t4 AN AREA COVEF:E[' BY M~A BUILDIN~ CODES,' :~T}IEfl ~f:: ~II'ELEClf*ICAL F'CRMIT AND lfISPICTIflN MU31 BE' OE. TAINCD~ (:fl AS-BLIII_T$ '..~ ,'kllLI. rct:l .cE :~,F'F'RO'JED K'I1HOU] Ar4 ELEC~F'ICAL ]N3PE'LffIOt4 b'EPORT; AND. (5) THE -' '~. ~: ,' j ' .'.~' PERFORMED FOR: LEGAL DESCRIPTION: 8, 9, 10 11 12 13, 14 15- 16 17 18 ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorase, Alaska 99502 (907) 561-7453 · m-~T BOR:ING 1 SOILS LOG - PERCOLATION TEST William K~ox PERCOL.~TION .¢.~. TEST ,:'L': Lot 19, Bk. :~, Paradise Valley Sulod. BROWN SI~.TY SAND WITN O~CASIONAL COBBLES, DAMP, DENSE MOIST. =~ GRAIN ..e,T?*~ DIST. BROWN SILTg SAND WI~ · ': OCCASIONAL COBBLF.5, DAMP, DENSE ~ MOIST.=11% GP.A/B S/ZE DIST. Fla. SLOPE NO DATE PERFORMED: SiTE pLAN · Oroll N~I D~pth to ' Nit Re~ling I~te T'*me Time Wet~ ., . D~ COMMENTS [ ,~... --' ¢.:;~,; .-~:,~t..,,,.~..,v~ ~ . PERFORMED BY: ~[ilrk ~O[~ CERTIFIED BY:' ~ ~. · ~R~HOtUM · ~ ~TE: -~:.. c~ ~7~ P~T ~NDU~-~'~ ~'N OF T~T ~. ~i Z~,~ :' .......... ...~ . BROWN CLA~:¥ S1~.T, DAMP, '.:. ' STIFF ' MOIST * =10%. PAAST. ~D.=~ DIA. ~ . · , c ~....'~.~.~ ' 'MOD. FA~.=I.O~ 2' OF SU~A~ ~ ~ ~ ~ B~ ~0~ ~P~...~.~ ,~ SU~A~ U.S. STANDARD SIEVE SIZE m 8o ~ ?o ~ 6o m ~o · Gna ~f~E ~N III~LIMETI~RS ' · · · , ICRLI G.*VEL ¥ I .AN~ I ,,NEE · '"' I'"' P.~OJgCT ~,ot 19, ~k. ,2~ Paradise .V~le..~ Subd. CL~ ~T Wi~4nm ~OX : T~T ~RI~ OR PIT 1' ~ 1~ SOIL T~ C~I~CATION .. U.~. ST~D~ 10 100, 0.02 mm DE~TH F~OST CLASSIFICATION . SLlt7 Sand PEA C~T. lO0 92 ?6 ALASKA SOIL TESTING AND ENGINEERING GRAIN SIZE DISTRIBUTION lO0 20 10 0 .GRAIN .~' -.. ~ IcRL I G.AVEL " " SANG ". ~ROJ~.CT Lo~ 19, ~k. 2, ~a~ V~e~ Su~. · .~ i~C~T W~ Knox ' . ' ~ .... ? '..'',,. '~.:. .. ~ · . .' ~ ~T ~L~ O~ PIT ' 1'" S~ :. ~IL T~ C~I~TION - gilt" ~ '("- 31." 10 20' 93 -.::. 91 : 91 86 ?? 66 ~o' ~6 -~6 ALASKA SOIl. TESTING AND ENGINEERING GRAIN SIZE DISTRIBUTION FIOUI~E 5 MunicipalitY of Anchorage Development Services Department Building Safety 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-424-02 1. GENERAL INFORMATION Expiration Date: Complete legaldescription PARADISE VALLEY SUBDIVISION; LOT 19a BLOCK 2 Location (site address or directions) 18701 FRANCE CIRCLE * ANCHORAGE, AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address RUTH KNOX Dayphone 345-2639 _c/o. CAROL BUTLER w/ REMAX PROPERTIES Day phone CAROL BUTLER w/ REMAX PROPERTIES Day phone 2600 CORDOVA * ANCHORAGE, AK 99503 257-0116 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site I 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 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 propedies 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 engineers work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior to closing for the engineering services provided. 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504- Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 537-6179 Engineer's Comments: th conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, end separation distances measured to readily identifiable features. The operational life of alt wells and septic systems depend on the Iocat soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. 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 tight whatsoever. 5, DSD SIGNATURE Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: . C,,,~, ~.~. ..... ., ~/~,-,. ,,k";.~,~ .- ,. ,-~, ~' WA'--: ~ : ,~t~-~AND :rn: '- · PROGRAM .- Attachments: HAA Checklist Septic System Advisory Well Flow Advisory ~.,,e?,. ' .......' ~j.,-" Manitenance Agreements ~J)) l ~ ) ) ~ ~ : " Supplemental Engineer's Reort Other (Rev. Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & WaSfewafer Program 4700:S0Uth 8ragaw St. , P.O..8ox .196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7004 HEALTH /~.UTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA PARADISE ,VALLEY, S/D; LOT 19~ BLOCK 2 Parcel ID: 020-424.02 welHype .PRIVATE If A, 8, or C provide PWSID# Date completed: 5/16/1086 Sanitary seal(YIN),,YES Totat ¢epth., 180 ft. ft. Casedto. 179 FROM WELL LOG ,5/,~ 6/i986 Date ¢~'.test Statlc. waU~r level , , 144, , ff. Well i~rOdUCtior~ .......... 20 : g.p.m. WATER SAMPLE RESULTS: Coliform ,, 0 ,, colonies/100 mi. Araenl~. ,2,00 ug~l.. B. SEPTIC/HOLDING TANK DATA Tank:l~e/Uaterlal ,, ..... STEEL ,, , Tank slze~.!000 .pal. Number of Compartments 2 Foundation cleanout (Y/N) ,YES. Oepression over tank (Y/N) NO Date of pumping ..... 2/~7./2003 Pumper , ,, C, ABSORPTION FiELD DATA BE EXlSTINO GRAD Oateirista!led: ,,, s/4/teas Soft rating (g.p,d~ft~o~ .26¢ 63 ~ Width 3 ff. Length., Well Log(Y/N) , , YES , Wires propedy protected (Y/N) . YES Casing height (above ground) ,,,12+ AT INSPECTION 2/ 7/2oo3, ,,, 145, , , ff. _ 4.0+ g.p.m. in. Nitrate 1.63 regaL. Other baoterla ,.0 colonies/100 mi. Date of sample: 2/17/2003 Collected by: AKWWC~ INC. Oats installed , 8/4/,1988 Cleanouta (Y/N) ~ . , YES High water alarm (Y/N) .... N/A CHUGACH PUMPING System type DEEP TRENCH Gravel below pipe __ 7_ fl. Total depth .::'!o-2 ,, ft. Eft. absorption area ,882, ft~ Monitoring tube YES Oats of a<Jequacy test . :2/~1~/2003 , Results (Pass/Fall) , PASS, Fluiddepth in'absorption field.before test ~66 in. Water added 589 gal. Elapsed Time: ! 173min. Final fluid depth 65, in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (y/n &type) ,, . NONE KNOWN Depression over field NO For .3. bedrooms New depth .80.Sin. 4-50+ g.p.d. If yes, give date, . - D. LIFT STATION Date installed Size in gallons "Pump on" level at in. ~ ~ ~ Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ 100'+ High water alarm level at Meets alarm & circuit requirements? Fo On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line 10'+, Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line t 0'+ Curtain drain NONE KNOWN COMMENTS Building foundation 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Absorption field 5'+ Surface water, 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ in. 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 Pri/~te~Name · · JEFFREY A. GARNESS HAA Fee $ ~ Date of Payment Receipt Number ~ ~-~-~ (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number # 2/ 4 CT&E Ref2 Client Name Project Name/// Client Sample ID Matrix Sam~eRema~s: 1030873001 AK Water & Wastewater Consultants Inc. Paradise Valley L19 B2 Pa£adise Valley L19 B2 Drinking Water All Dates/Times are Alaska Standard Time Printed Date/Time 02/26/2003 13:21 Collected Date/Time 02/17/2003 12:30 Received Date/Time 02/17/2003 16:25 Technical Di~tephen C._E~' Allowable Prep Analysis Parameter Results PQL U~its Method Limits Date Date Init Selenium 2.00 U Nickel 5.00 U Antimony 1.00 U Thallium 0.800 U Metals Department tlardnesa as CaC03 93.2 Private Individual Analysis Aluminum 20.0 U Arsenic 2.00 U Barium 5.94 Cadmium 0.100 U Calcium 29000 Chromium 4.00 U Copper 26.0 Iron 250 U L~ad 0.400 U Magnesium 5020 Manganese 5.00 U Phosphorus 500 U Potassium $00 U Sodium 3110 Silicon 4960 Silver 1.00 U Zinc 79.8 Chloride 1.24 Fluoride 0.200 U Nitratc-N 1.63 Nitrite-N 0.200 U Sulfate 10.4 Total Dissolved Solids 138 2.00 ug/L EPA 200.8 5.00 ug/L EPA 200.8 1.00 ug/L EPA 200,8 0.g00 ug/L EPA 200,8 10.0 mg/L SMI72340C 20.0 ug/L EPA 200.8 2.00 ug/L EPA 200.8 3,00 ug/L EPA 200.8 0.100 ug/L EPA 200.8 500 ug/L EPA 200.8 ~,.00 ug/L EPA 200.8 1.00 ug/L EPA 200.8 250 ug/L EPA 200.8 0.400 ug/L EPA 200.8 $00 ug/L EPA 200.8 $.00 ug/L EPA 200.8 500 ug/L EPA 200.8 500 ug/L EPA 200.8 500 ug/L EPA 200.8 1000 ug/L EPA 200.8 1.00 ug/L EPA 200.8 2.00 ug/L EPA 200.8 0.200 mg/L EPA 300.0 0.200 mg/L EPA 300.0 0.200 mg/L EPA 300.0 0.200 mg/L EPA 300.0 0.500 mg/L EPA 300.0 50.0 mg/L SM20 2540C 02/24/03 02/25/03 KGF 02/24/03 02/25103 KGF 02/24103 02/25/03 KGF 02/24103 02/25103 KGF 02/24/03 02/25103 KGF 02/24/03 02/25/03 KGF (<=50'} 02/24/03 02/25/03 KGF ('<-2000) 02/24103 02/25/03 KGF (<~5) 02/24/03 02/25103 KGF 02724/03 02/25103 KOF ('<=100) 02/24/03 02/25/03 KGF (<-13003 02/24103 02/25103 KGF (<=300) 0~24/03 02/25/03 KGF (<~15) 02/24/03 02/25/03 KGF 02/24/03 02/25/03 KGF {<-50) 02224103 02/25103 KGF 02/24/03 02/25/03 KGF 02/24103 02/25103 KGF (<-25000 02/24/03 02/25/03 KGF 02/24103 02/25103 KGF (<= 100) 02/24/03 02/25/03 KGF (<=5000) 02/24/03 02/25/03 KGF (<=250) 02/19103 IS (<-2) 02/17103 JS (<=10) 02/17/03 JS (<=1) 02/17103 JS (<=-250) 02/19103 JS (<=500) 02/17103 PLW " ,~'~__~ CT&E Environmental Servlce~ Inc, CT&E Re f.,~ 1030873001 Client Name AK Water & Wastewater Consultants Inc. Project Namd# Paradise Valley LI9 B2 Client Sample ID Paradise Valley LI 9 B2 Matrix Drinking Water All Dates/Times are Alaska Standard Time Printed Date/Time 02/26/2003 13:21 Collected Date/Time 02/17/2003 12:30 Received Date/Time 02/17/2003 16:25 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Resul~ I'QL Unils Method Llmi~a Date Date Init Private Individual Analysis HCO3 Alkalinity 92.0 20.0 mg/L SM20 2320B 02/19/03 SKW CO3 Alkalinity 20.0 U 20.0 mg/L SM20 2320B 02/19103 SKW OH Alkalinity 20.0 U 20.0 mg/L SM20 2320B 02/19/03 SKW Conductivity 200 1.00 omhos/cm SM2$10B 02/21103 PLW pH 7.69 0.100 pHunits EPA150.1 (6.5-8.5) 02/17103 SKW Alkalinity 92.0 20.0 mg/L SM20 2320B 02/19103 SKW Total Coliform 0 col/100mL SMI8 9222B (<--1) 02/17/03 IS J