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Home My WebLink AboutFOREST RIDGE BLK 2 LT 3Forest Ridge Block 2 Lot 3 #017-112-96 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St P.O. Boz 196650 Anchorage. AK 99519-6650 Page / of 2 www ci anchorage ak us (907)141.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: =&kp 7 02 09 PID Number: Or 7- F 12 -9,6' X Q son HCB.-aalAe_X Wastewater System: ❑ New ® Upgrade AaOgta / 1�1�i! S -O, WFnLl/O /• C-F�'rle r- _ LSI, Pnorr NunEN W Bmaoans 'S 2 - 3 ? 2_3 O Deep Trenm O SnNlmr Trmrn 0 Se,, O Moura 9•DiMr LEGAL DESCRIPTION Sou Ra'tp Rsele a e GPDSI' Too,,D•pm from ongnai Waft 3 s ' t Slrnab{ 9�0o- IN Sugantan 2 tCO I/l/ R D•pm to ppe Daum from p gnat Waft 3.2 &O'N own beneath pppe Fr. 0.3 Fr To nv.'p Range sz FA a Nitre onpnm graft GrarN Length — FL 20 Fr. Well: EXuST ❑ New C1 Upgrade Wa.w wimn / S Nu mptr N ims D,si.noe ft, ims 2.s Fi Cusvr;aum,Pmn• A.B CI Tam Dtpm cas•Ow Taim aft"Ion wea p,pe Mmeno III. I Ft / 300 Fr° PV L. Dr„.o Dau Drmef Suit Waim 1.6 N mstNw Date msuetf Ft fat & try x 7 Ymf Pump SN N Ca”"e""a A Gfo TANK GPM Ft. Fi Exis T SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T E.P. ❑ Other. To Septic Aesapfren Lift Holding lublictPrivate , Kiwm �ny From Tank 5WA Station Tank sewer Line Get Wall 7 rcn F Mvenm Numwr N cwnpanmenu S, Acewai« ) rGy . LIFT STATION EX/ST LN Lm 2 r Gal Fo.n:a�an 2 2 a 'Pump on M.N ai P.mp p1r Nrw ai H�gn.ai« mrm N in m In Cmm� Ormn � Pump Mate a Mwiei Etectnam a,s • s pmr by Ra+a•.f Prr u uu ns lta l d, bow BENCH MARK l4ol," Lorean anf Dtwpuon rryu�r1A_ 11 --d uLLr-c cu tFaet of arr. ,A I F'CUI r j7p/r1 fpm riL%(iirA,wm.a ratFti rn .....an hu c{eor uUa /uripF, VOIvCf n�G( >;G1��r..CP L1ni� /'8 -t.4rP Q L!- •F�W hi�ny pit F'9Y lvi N/FWR Engineer's Stamp Inspections performed by: _r=lai',`P Tach Svc Dates: 1' 8 /2-6 le, > n4 l-wrlgri' rFD�X.tlily G(stt ;o IaGk Of-Qlr', 2 _6 /2b/U] Development e6:9- .anee r A`+•••••••� Services Department Approval t.•:J_ Conditional ApprovalDate: try'" = �' •TM`��`� 4� FB H.•HN••NNet to NtQ.•.t (! 1.UeeJtttet� Ht•e.•�e� �7 •,�.� NCODORE F. MOORE•a Reviewed and approved by:Date: o '• % A,& PERMIT NO: SW070209 PID NO: 017-112-96 RECONSTRUCTED 18'x20'ISF EXISTING 1500 -GALLON STEP TANK u r EXISTING RESIDUAL a DISPOSAL N X . F DRAINFIELDS s LOT 3, BLOCK 2 FOREST RIDGE S/D PAGE 2OF2 SOUTH WINDSOR CIRCLE , ' N �. WELLS DRIVE -TB `i .. VALVES 1; SWING TIES: FROM: COR. "A" COR. "B" '.� "F TO: i ISF M.T. "C" 53.5' 39.5' ISF M.T. "D" 52.5' 28' ISF SAMPLE PORT "E" 61' 35.5' EXISTING _ �tiF SAMPLING �n` . '.Q�• �. y 1b /� TH Z ••.`�m PORT PLAN VIEW: t`�`� f b z9_ *$ SCALE: 1" = 30'•� ................:...e P d000RE F. A100RE CL -3589 .9fo� FINAL GRADE 3' SOIL COVER i- 0 5' PEA GRAVEL FILTER J 1.0' AIRFIELD SAND FABRIC ..<. � ° PRE-EXISTING ISF SAND ......... ... ... .. . .. .. \ ISF CROSS-SECTION VIEW SCALE: 1" = 5' ELEV. 112.9' INV. 109.T ELEV. 109.4' ELEV. 108.4' \_ELEV. 107.T MUNICIPALITY OF ANCHORAGE Development Services Department r On -Site Water 8 Wastewater Program 4700 South Bragaw Street Ali p P.O. Box 196650, Anchorage, AK 99519-6650 U (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 21, 2007 Expiration Date: Aug 20, 2008 Permit Number: SW070209 Parcel ID: 017-112-96 Legal Description: FOREST RIDGE BLK 2 LT 3 Design Engineer: 0019 FLATTOP TECHNICAL SERVICES Site Address: 015100 SOUTH WINDSOR CIR Owner Name: J. BRYSON MCBRATNEY Lot Size: 41696 SO. FT. Owner Address: 6200 LAKE OTIS PKWY #1010 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99507 - This permit is for the construction of: Q 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. A GAUGE AND AN AUDIBLE ALARM MUST BE ADDED AFTER THE AIR COMPRESSOR TO HELP ENSURE THAT WHEN THE PUMP GOES OUT, REPAIRS WILL BE MADE. THE ALARM WILL BE ON A SEPARATE CIRCUIT. Received By: Date: Municipality of Anchorage Development Services Department I Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O! 7 — It 2 — 9K Propertyowner(s) T (Terrill 1"c13M12"If Septic Tank Day phone S63- Ys C�9 Mailing address i!� 200 4,412e QH( FLL• 7X 1# lv/ Zip Code 9,9S-e,;� Site address 15-(00 Crrrlr Zip Code Legal description (Sub'd, Block & Lot) 1-d F3, f3le'rk • 2 Fo ��i f R,c�gc fid Legal description (Township, Section & Range) Lot Size 'll, V14. Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ 044NIr - LRt Number of Bedrooms 4i THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal ❑ y'S F RLVCVAi /_ e4rfzC;-) 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. (Signature of property owner or authorized agent) Permit/Rush Fees: Y60 Waiver Fees: Date of Payment: 19//,//07 Date of Payment: Receipt Number: �� 0 Receipt Number: (Rev. 11/05) i - 4 ;FLATTOPTECHNICAL SERVICES__ CML 3 ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS TED MOORE, P.E. 14530 ECHO CANYON ROAD PH.1FAX: (907)345-1355 ANCHORAGE, AK 99516 E -Mail: tgmoore@gcl.net August 13, 2007 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to reconstruct the existing ISF on Lot 3, Block 2, forest Ridge S/D, located at 15100 South Windsor Circle. The existing ISF has "biomatted up" to the point where it is no longer able to handle the wastewater load generated in the residence, causing untreated effluent to daylight onto the surface of the ground. While this situation first occurred almost a year ago, we have been unable to locate a source of ISF quality sand until recently. The specific steps proposed to reconstruct the ISF are described below in the specifications. A site plan and specifications for the repair and "Airfield Sand" sieve test results are enclosed, along with copies of the original ISF design drawings that describe the configuration of the ISF. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. c u D ww m F Y m 0 J Y �_ m J tr �w co of I , , I EXIS i . HOU , I LOT 2 I R=100' EXISTING WELL C - LOT 3.BLOCK 2 ; FOREST RIDGE SID ; SOUTH WINDSOR CIRgLE TING RM is � N SE DRIVE i .... - WELL 49 m i ti 0 ........... ..... ,.9 THEODOREF.MOORE i a, • CE -3589 ble..-* A Pb .....• ,, iAV 1�;of�� GREENPOINT AVENUE (PLATTED R.O.W.) LOT 5. BLOCKLOT 3, BLOCK 2, FOREST RIDGE SID POLLOCK HMSTD INTERMITTENT SAND FILTER RECONSTRUCTION SITE PLAN FLATTOP TECIfNICAI. SERVICES j 1 INCH = 50 FEET 14530 ECI10 CANYON ROAD DRAWN BY TFM ANCHORAGE, ALASKA 99516 AUGUST, 2007 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. I• I , LOT 4 31 of - EXISTING INTERMITTENT SAND FILTER L TO BE RECONSTRUCTED IN SAME a I LOCATION PER SPECIFICATIONS wI ; EXISTING SAMPLING PORT TO BE RETAINED O I I a EXISTING SOIL ABSORPTION DRAINFIELDS TO BE RETAINED ml ' I I EXISTING 1500 -GALLON STEP TANK TO BE RETAINED ------------- L----------------------- ---------------------------------------- 49 m i ti 0 ........... ..... ,.9 THEODOREF.MOORE i a, • CE -3589 ble..-* A Pb .....• ,, iAV 1�;of�� GREENPOINT AVENUE (PLATTED R.O.W.) LOT 5. BLOCKLOT 3, BLOCK 2, FOREST RIDGE SID POLLOCK HMSTD INTERMITTENT SAND FILTER RECONSTRUCTION SITE PLAN FLATTOP TECIfNICAI. SERVICES j 1 INCH = 50 FEET 14530 ECI10 CANYON ROAD DRAWN BY TFM ANCHORAGE, ALASKA 99516 AUGUST, 2007 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. Aug. 8. 2007 10:29AM Anchorage Sand & Gravel 2007 Airfield Sand Work Sheet Sample I.D.: 2007 Avg. Sampled By: QC Lab Time Sampled: 34 Tests Sieve Cum. Cum. % Comb. % Sp.o, Weight Retalned Passing " ®' Total Weight No. 2572 P. 2/2 LE" LOT 3, BLOCK 2, FOREST RIDGE SUBDIVISION -S OF q DRAWNJ.L.M. CKO. R.C.C. ogre 2-1-96 aNr. 4 OF S ytP Vnigeizing 18' o, tool" c X01 CE•8801 3.S MIL PVC LIN[RRIPICE SHEILD ORENCO YODEL LI #I F,, I IS O S/4' DIA. SFI 40 pVC LATERAL J0• 1/0' DLL ORIFICE SPACED 27 O.C. • ONTTOR TUBE i Jib, (TTP. OF 4) FLEE CONNECTOR 1 1/4' DIA FI2XABLE PVC HOSE I" or 1-1/4' DIA, PVC BOOT (The loot nanae 4' PVC CAP u bonded to 00 rill. Liner)� ' PVC BOOT EFFLUENT FROM , SEPTIC TANK— —ATO DRAINFIELD 20' 4' DLA. CLASS 123 SLOTTED PVC PIPE ACUT pSLOTS 2-1/Z' DEEP 1 1/4' DIA. CL200 PVC AT 4" ) 1 1/4' DU. MANIFOLD CL200 PVC MIN. TRANSITION FROM RISER TO DIFFUSER LINE (— FLET CONNECTOR) r--, n.EUBLZ PVC NOSE 0 1/7 A@ UNE 0 ' PVC BOOT (Size TO FIT) Z JACXM..D 1NSOL fIbPE ARCTIC PIPE FLUSHING VALVE 3 AND ENCWSURE SI 2' INSULATION around peruneter TOP'VIEW ' of titter 20' X 18' SAND FILTER w/ GRAVITY DISCHARGE Permit No. SW960632 Page 3 of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 3, BLOCK 2, FOREST RIDGE S/D PID No.: 017-112-96 74013 A (M.."1)MOA 25 BTL c0100.0' ' GRADE • & SIDE ) INTICIN NEW 92.8' 1500 GAL S.T.E.P. 92.8' 113.2 SBUTL 113' INS07ATI (TOP & Sl N' ES) ' F PEA GRAVEL g DI t08.tin Tf�FN SAND FILTER . ........ 108.5'TOP OF SAN SIH TS .106.5—/SBH .108.5 105 3 .104.2'-7C0C2 • 108.8 FIN LL GRADE 05 147'4 C04 H'r'le INS LATION ENGINEER'S SEAL Cat . i c 3 gg g 5•R .4''�'•••-•...L!is TO 1' =LING (LAKE OTIS SAND GRAVEL) — OF q TO 1' I. S GE SAND UT4 9 3' 1 • 102.9' GR A 94.2' LWD WATER FO JND ."—'."' .• J'o 10atrt C. COWAN - 88.2' B.O.H. CE -8801 y. Z1�JP8 "^10�1U' 74013 A (M.."1)MOA 25 Flattop ?echnicaCSemices 14530 Echo Canyon 9Zpa4Ancfiorage,.9X99516 9?kone (907) 345-1355 Lot 3, Block 2, Forest Ridge SID 15100 South Windsor Circle Intermittent Sand Filter Reconstruction Specifications 1.0 General: 1.1 The scope of the project consists of removing soil cover material and contaminated gravel and sand from the existing "biomatted up" ISF and reconstructing the ISF to the original design standard with clean sand and gravel. 1.2 Construction shall be as depicted on the approved site plan, original design drawings and these specifications. Minor deviations from these drawings maybe allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 STEP Tank and Residual Disposal Drainfields 2.1 The existing STEP tank and residual disposal drainfields are to be retained in service without modification. 3.0 ISF Reconstruction Procedure: 3.1 The contractor shall remove and stockpile the existing soil cover over the ISF. Care shall be taken to avoid damaging the plywood ISF enclosure. The insulation and filter fabric shall then be removed and disposed of properly. 3.2 The contractor shall carefully remove the "flower pots", manifold and distribution laterals from the existing pea gravel and stored in a protected area. If these items are undamaged and can be thoroughly cleaned and jetted out they may be reused when the ISF is rebuilt. 3.3 The contractor shall carefully remove the existing pea gravel and upper 12 inches of the original ISF filter sand from inside the ISF box to create a level surface of uncontaminated original filter sand above the level of the existing %2" air line and slotted underdrain. If the original sand encountered at this level still shows evidence of biomat contamination additional material shall be removed until uncontaminated sand is encountered. Particular care shall be taken during this process to avoid damaging the ISFenclosure and/or its vinylliner. 3.4 Prior to rebuilding the ISF the contractor shall test the air distribution network to verify that it is working properly. This shall include verification that the compressor is working properly and there is a functioning pressure gauge on the air line demonstrating that the required air pressure is being delivered to the air diffuser line. If the existing air distribution network fails to work properly and cannot be repaired, it shall be removed and replaced with a new air diffuser line from "Orenco" and associated transport line and compressor. 3.5 A minimum of 12 inches of clean "Airfield Sand" shall then be placed on top of the remaining existing ISF sand in the ISF box to create a level surface at or above the elevation of the top of the original ISF sand. "Airfield Sand" can be purchased from Anchorage Sand and Gravel and shall have less than 2% passing the #100 sieve and less than 1% passing the #200 sieve. 3.6 A total of 6 inches of washed pea gravel (0% passing the #100 sieve) shall be placed on top of the "Airfield Sand". After being restored to original condition the original manifold, distribution piping network and "flower pots" shall be re-laid in the pea gravel. The inverts of the distribution pipe shall be level at an elevation not less than 3 inches above the top of the "Airfield Sand". Once the pipes have been laid a "Squirt test' shall be constructed with the orifice shields removed to verify that uniform distribution is achieved with a head height of approximately 5 feet. 3.7 Once the proper operation of the system has been verified the orifice shields shall be replaced and the pea gravel redistributed to form a level surface covering the piping and orifice shields. Then, new 2" rigid insulation shall be installed over the entire top of the pea gravel in addition to approved filter fabric. A minimum of 24 inches of backfill material shall be placed over the top of the insulation. The contaminated material removed during excavation may be used in the lower portions of this backfill. The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.8 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the cover material and contaminated gravel and sand has been removed to expose a clean sand infiltrative surface, (3) after the new airfield sand is in place, (4) after the pea gravel has been placed and the distribution pipe network has been reinstalled and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and grading is complete. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. w 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 SUBMITTAL COMMENT SHEET To: Flattop Technical Services Legal description: Forest Ridge, B2 L3 ®Permit ❑C.O.S.A. ❑Inspection Report ZD The attached paperwork has been reviewed and is being returned for the following reasons: 1. It is the Onsite Department's policy to have the designing engineer state why an Advanced Waste Water System has failed. 2. A gauge and an audible alarm must be added after the air compressor to help ensure that when the pump goes out, repairs will be made. Name of reviewer: Deb Date: 8120107 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report f - Permit Number: <w 9 is 003'Z PID Number: 017 - 11 z - If - Name: Name: 6M Soo G BeTnl EY .1 M Wastewater System: ® New El Upgrade Address: ZS40 "KW4 C,Rc�e Ao-,t„rwr, Ak 99stc ABSORPTION FIELD Phone: No. of Bedrooms: Zy 4 - C Z 33 14 OLSCLFr4v9t4IT91tits ❑ Deep Trench ;K Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: * 1.0 URD 5o ft. Total Depth from original grade: O. GPD/S . Ft. Lot: 3 Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe ' Z eaai T, 210 I.T. O . S' Ft. 0. to Ft. Township: Range: Section: Fill added above original grade: I Gravel length: ' '— _ Li . 5 Ft. I ZA CZ ® f -o' Ft. WELL: NNew ❑Upgrade • Gravel width: I Number of lines: Distance between lines: Ft. �• i Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: A STM 0 3 e 31 Qf'IJ Pfm 101 Ft. 1 10 1 Ft. 1117,70 SO. Ft. ""I” PVC F%)� Driller: Date Drilled: Static Water Level: Installer: Date installed: Vi L?IAC Pit tl.ud `4-23-9t 8 Ft. G04oA t' gas L D E/".$ 5-22-96 Yield: Pump Set at: Casing Height Above Ground: TANK C GPM Ft. % Ft. SEPARATION DISTANCES 13 Septic ❑Holding CKS.T.E.P. To septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ANLW C TAnIK 1500 Well ul f Material: STEE,- Number of Compartments: IOOI+ 1001+ 1001+ Surfac Water loo'-+ too'+ loo'+ — — LIFT STATION Lot„I, Line �00� 1 ZZ ,�, 6b_ --' —' Size in gallons: 1500 Manufacturer: 1 AJc4IoRAVE T'A,JIc_ Foundation' 16 4 I 16 — "Pump on” level at: "Pump off" level at: " High; alarm at: 0! yg" s 5" Curtain Drain —' ffonVc kaon Pump Make & Model os1 oSNN I Electrical Inspections performed by: 1"l- i? . A. RemarkS: aK eF j.%j&Nf ��n Houses L1SHeD BENCH MARK Location and Description: 14 J NTaL2MrlTAt-4r SAWO Fll_TI�¢. fH T611 = ToP of 1444. 6nJ T'D INrl8L0 , Y"') X)LTSA 01 ST. Lsvg.� P, P•w4 Ga,,. B/rrf Oe I%}v' LATg?Atf 4„rF/ .. Assumed Elevation: 100,0 Ft EN L sn pT ab o_t, 56vddOF t y LAT{/d 9,.I (//Ir'S>gAo cC $ l'ST A4,:p.'{). � ORI t,v TE7 4.7 �f0� i2,.�1 AE iv4N. S 6 S ENGINEERING Inspections by: 1st •• �...• performed af>I>a: Eagle River, Alaska 99577 2nd 5- 13-% 0%.e ROBERT C. ,COWAN,• Department of Health and uman Services approval g,s� CE-Sp01 1�� Reviewed and approved by: Date: 9-2 7— 72-013 (Rev. 9/91) MOA 25 I— W w V) Permit No. SW960032 Page 2 of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 3, BLOCK 2 FOREST RIDGE S/D pin ni., • 017-112-96 A (HBV. 9/91) MOA 25 WE L RADIOS B 1 ' — 5 ° ' 5 U68 ' 61 SOUTH INDSOR; CIRC E ' - ' — N M 2 72' 4 126' 1 — 4 BDRM M 3 ' _ H 0 S E B � P 0 112 7' — q F D Fco A WELL W i �vv W I WO 2 �� SBMTIo °SBMT2 O O Q I H U I TNE1♦ CD I o ALT. SITE w EW SAND FI TER i� c MT202 / $PMP R B451N 0 i i INSTALLED FLApW ( WIDER (FO) (' ( / ///S.T.E.P. i NEW 15 )0 GAL ( TANK I2 I I I li I Meec 1. M�e EI�I , r (ic A�q NEW TRENCHES .ROBERT C. COWAN' SCAI� 1L- e. , CE -8901 — — — — — — — -fit 20' C.E.A. E ��- A (HBV. 9/91) MOA 25 0 Permit No. SW960032 Page 3 of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 3, BLOCK 2, FOREST RIDGE S/D Pin nIn . 017-112-96 72-013 A Mw. 9/91) MOA 25 STI CO 100.0' NAL GRADE + N IIF N (TOP & SIDES) INSULATI NEW -- �— 92.8' 1500 GAL S.T.E.P. 113.2'-\SBMT1 SBMT 113' INSULATION (TOP & SI ES) 3" F PEA GRAVEL SAND FILTER 108.8' BTTOM OF LI 06.0' - ^;z``k` 108.5' TOP OF SAN DIS RIBUTION TERALS SB T1 = 106.51—/SBM Z= 106.5' 105 9' C D3 = 104,2'-7CO2 = 106.6 FIN L GRADE 03 MT2 CO2MTI 05 MT4 C04 9373 INS CATION . ENGINEER'S SEAL 6" TO 1' LEVILING SAND "a' R CO3 = 99.8 C7:10-4 .5 R (LAKE OTIS GRAVEL) r¢ OF C05 = 99.9' ., C �' p.��«••••••.L TO MT2 = 9 2 M 1 102.9',.{ 1' LEVELIN SAND MT4 = 99.3' M-3 = = 102.9' 3 GR ♦ 94.2' UND WATER FO ND ��„` ••••� R08ERT C COWAN ss.z B.o.x. O CE -8601 f 72-013 A Mw. 9/91) MOA 25 JUN -25-1996 11:35 COLONY BOILERS. INC. P.01 STATE Of ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MIN" & WATER MGMT WATER WELL RECORD LOC.ATlON OE WELL 3 BOROUGH suuogv 1 N LOT 'BLOCK ;SECTION .OTRS SECTgN TONINSMIP RANGE MERIpIAN ❑N ❑E .CJS• C7w i, LOCATION/SKETCH: WELL OWNER: it P' ip pp - i. p DIEPT4S MEASURED FROM:Wcasing top LJ ground surface WELL DEPT . DATE OF COMPLETION Depth of hole: Q ft Depth of casing: '%6 S BOREHOLE DATA: Depth. material Type and Color From To DEPTH TO STATIC WATER LEVEL: t below too of Casing ❑ ground surface �~ Date:_! �$ l�e.�,.� e , METHOD OF DRILLING: R air rotary ❑ cable tool ❑other USE OF WELL: V domestic ❑ irrigation ❑ monitor Cl public supply ❑ other _ ^ft. -- CASING STICK-UP, 2' Diam: in. t0 /01 ft S �() Casing tYPe:� in. to ��tt i+ ?i WELL INTAKE OPENING TYPE: 0open end ❑ screened ❑ perforated ❑ open hole Depths of openings: to ft SCREEN TYPE: Diam: in- SIoVMesh Size: Length: ft (_ � ?� GRAVEL K TYPE: umeused:Depth to top: Volume GROUT TYPE: Volume: Depth: from ft to it ^ — DDEVELoOPMENT HCjD:' �r�L_ RECEIVED JUL 181996 PUMPING LEVEL AND YIELD: ZO-C:2 ft alter �hrspumping tU gpm Municipality of Anchorage PUMP INTAKE DEPTH: ft Horsepower: VS Dept. Health &Human Services _. WELL DISINFECTED UPON COMPLETION? 6„YES ❑ No ,",'OV.TACTOR ".NFORMATION: REMARKS: _ PLEASE MAIL WHITE COPY OF LOG TO: 96 DNR/DIVISION OF MINING & WATER MGMT Date 3601 C st, Suite 800 Anchorage, Ak 99503-5935 TOTAL P.01 MUNICIPALITY ANCHORAGE //)/ PAGE 1 OF 1 + DEPARTMENT OFHEALTH AND HUMAN SERVICES 1�� '�� P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT d PERMIT NUMBER:SW960032 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MCBRATNEY J BRYSON OWNER ADDRESS:2340 LOREN CIRCLE ANCHORAGE, ALASKA 99516 PARCEL ID:01711296 LEGAL DESCRIPTION: FOREST RIDGE BLK 2 LT 3 LOT SIZE: 41696 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 3/11/96 EXPIRATION DATE: 3/11/97 �_'4n Ic" c" �z JG 10 -0 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED 'INANCHORAGE 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 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: 3 /,I/gr. kkK l /t zq_-:�E.. DATE : 3 ^ ! �( - 5 6 Ove EX Pyr! nv-N A4 D LD i Wt L -L- 5 r res->� rA-vL � A -H ir—v-lp— 1�/vsf Plv C /v m k-yrlp-&/ Mtuncipality of Anchorage Department of Health and Human Services a 825 " L' Street Rick Mystrom, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 March 14, 1996 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 3 Block 2 Forest Ridge Waiver Request #WR960001, PID #017-112-96, SW960032 Dear Mr. Cowan: Your request for a waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 1 foot between the lot line and leachfield (east lot line). This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J Roth Civil Engineer On-site Services DJR/ljm MUNICIPALITY OF ANCHORAGE Department of HealthandHuman Services On-site Services Section Waiver Review Worksheet' WR# WR960001 PID# 017-112-96 HA# Permit # Date Received: February 14, 1996 Legal Description: Lot 3 Block 2_Forest Ridge Engineer: Robert C. Cowan, P.E., S &-S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River, Alaska 9957' Applicant: Colony Builders Bill Taylor Waiver Requested: Lot line waiver of l foot between leachfield and east property line. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: _X Waiver is NOT Granted: List Conditions or Reasons for above: 0&4,w //2 Foot e Rfecri✓ 1. SECO�+d/P'lZY 1916•/NRiPLD A1O /HPA.iT ra e� i KBa.Pi.us P%PO�°biei y aTS RLL 4,2, 1400 s d • Fr. . Date: 2 - 2 5— 91 By: dfzi/ll %i O TAI Name of Reviewer Rec #: #01655/5730 Amount: $115.00 Date Paid: 2-14-96 F'IE 3.i?V49y 8, 1996 HEALTHAUTHORITY ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWER & WATER MAIN EXTENSIONS REFERENCE: Lot 3, Block 2, Forest Ridge Subdivision Request you issue a permit to drill a well and install a SEWER&WATER septic system to serve the proposed four bedroom house on INSPECTION the referenced property. Also, we are requesting you issue a permit for the installation of a Intermittent Sand Filter system for disposal of on-site domestic waste water on the property. Additionally, a 1 foot sepftration ENGreferenced ANDIREPOR SSTUDIES distance waiver between septic leachfield and lot line is requested. Two test holes were excavated and percolation tests WELLINSPECTION performed. The approximate location of the test holes are &FLOWTEST located on the attached site plan. At the time of excavation, water was encountered at 8 feet in test hole #1 and 8 feet in test hole #2 and after seven SITE PLANS day ground water monitoring, water was found at 2.5 feet and 6 feet, respectively. This property has enough area for a future septic upgrade ROADDESIGN which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the SOILTEST installation of the proposed septic system. There are no points of contamination within the proposed well radius which can be seen on the attached site plan. PERCOLATION TEST If you require additional information, please contact us. Sincerely, STRUCTURAL& MECHANICAL MUNICIPALITY OF ANCHORAGE INSPECTIONS (,, . ENVIRONMENTAL SERVICES DIVISION Robert C. Cowan, P.E. RCC/gk _Q (D % 1996 Enclosure ONSITE WASTEWATER RECEIVED, DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 I N z ! QL u. V) IJ W N 0 J Li z ILL v m I LEGAL LOT 3 BLOCK 2, FOREST RIDGE SUBDIVISION DRAWN J.L M CKD.R C ( DATE 2-1 _96 SHT.1 OF 5 S & S1 100' WELL RADIUS WELL I DESIGN CRITERIA: ;In&,LLn 4 BDRM = 600 GPD .. ...,.... •w ,,....,.... LOT 2 APPLICATION RATE FOR �P T% ROBERT C. FOWAN /,2r POLISHED EFFLUENT = 1 GPD/SQ.FT. �1+`c'." CE -8801 /, i 600/v 100 SQ .FT. REQ'D.hitt i}..I''":Lsz;;':;w"• RAS\US PROP. 0. !/ I_ LOT 6 1� P \ DRAINF MLD \ \ j ±2' DEEP(REMOVE ORGANICS \` SOUTH WINDSOR \ 1' SAND FILTER' / FOR LEVELING _\ I CIRCLE o WELL 0.5' EFFECTIVE LOT 5 5' WIDE I PROP. r 120' LONG HOUSE �1 NPS – \ g• 2' @ 60' LUNG EA. \ \�L REDUCTION FACTOR = 1.0 r . i PROP. 1 500 GAL. WELL \rG SAND FTY C' FCO l ti�TR s '} Fico S.T.EP. SEPTIC TANK MH 1p \\�// c `.. �� p W 20' X 18' ! = I w \ c Mfi —PROP. SAND FILTER �ZL SEE SHT. 3 OF 5 �` ` �� { AND SHT. 4 OF 5 r,1T P SEPTIC AREA LALT. SITE\ co coo SAMPLING BASIN \ I fl,, flMT II II !F LOT 4 I I I ILL iINVIALL ZABEL Z200 FLOW v / ALT. SITE DESIGN I I DIVIDER OR EQUAL LOT 3 A i REMOVE ORGANICS +1.5' AND FILL WITH LAKE OTIS GRAVEL LII STRUCTURES, EASEMENTS, OR ENCROACHMENTS TO 1.5' ABOVE GRADE SHOWN ON THIS SITE PLAN ARE AS SHOWN ON 0.5' EFFECTIVE AT MT[j AN AS—BUILT SURVEY DRAWN BY: 5' WIDE cc co GASTALDI LAND SURVEYING 120' LONG 5-> 10% �` IT IS THE RESPONSIBILITY OF THE CONTRACTOR 2 @ 60' LONG EACH —PROPOSED TRENCHES QSEPTIc TO VERIFY EASEMENTS, REQUIRED SEPARATION SOILS = 1.0 AREA DISTANCES, AND PROPERTY LINES PRIOR TO REDUCTION FACTOR = 1.0 L , CONSTRUCTION. L— — — — — — — — — — — — — — — — (CONTRACTOR IS REQUIRED TO ALL PORTIONS OF SYSTEM__ __ _ — — 20' C.E.A. ESMT, OBTAIN UTILITY LOCATES WITH LESS THAN 3.5' OF 10' T. & E. -SMT. IPRIOR TO ANY EXCAVATION L[)VH'_R _.AT.'nMPP TTTCTTI ATTnN - ---- ----- -------I WORK. CLIENT T�'-4G'NE. my vAT, .z .Mn !N 71, t :o. !f NECE554FY, i0 A{EU 5:IE CL'.DI➢•.NS J J LEGAL LOT 3. BLOCK2 FOREST RIDGE SUBDIVISION DRAWN J. L M CKD. R C r DATE 2-1-96 sHT. 2 OF 5 PROP. 0 QI Rc<F�so 4 P D R IVI f/ �' HOUSE FCO J o'°/ cc � ow MH c° \ ym A ' MT W jH#I , `• MT/� -ALT. SITE /®5-10% CO rco F. SMT I F. I °I II II I I I i I I i I I I I ! LOT 3 C ! ! I L I I MTP i MT!. - , u............j..�, ROBERT C. COWAN F eo%.%` CE -8801 v'A i �Ae `'• . t�l f�i�:nsrr cl`ll� PROP. 1500 GAL. S.T.'\ . SEPTIC TANK —PROP. SAND FILTER SAMPLING BASIN NSTALL ZABEL Z200 FLOW DIVIDER CR EQUAL PROPOSED TRENCHES SEPTIC > AREA LOT 4 CLIENT THE ENGINEER MAY VARY THE EXACT DIMENSIONS AND DESIGN PARAMETERS IN THE FIELD, IF NECESSARY, TO MEET SITE CONDITIONS. Orifice Shield A-- p 3/4- DLA. SCH 40 ,'�' ROBERT G COWAN ! �C P 1/9" Orifice PVC LATERALS�•• CE-B80I !� r�A SIDE VIEW TOP VIEW -T' JACKETED INSULATED AIR LINE EFFLUENT FROM —� THE SEPTIC TANK USE FLEX CONNECTOR) INSULATE TOP OF LINE) 6"-3/b" PEA GRAVEL SAND FILTER PEF SUPPORT FRAME: PLYWOOD SHEETS 3/8" PEA GRAVEL I 18" r-- s 1/2' DIA. SON 40 PVC LATERALS IA. SOH 40 BOOT BOOT 13 BONDED TO T 30 MIL. LINER [L 95 PSI ASITION_FROM ARCTIC RISER ' L2" SAND LEVELING LAYER below 30 Mil PVC liner 4" CLASS 125 SLOTTED PVC PIPE The underdrain to be laid flat ORIFICE SHIELD DETAIL GRAVEL nder FILTER-/ AIR line SAND Mil PVC Liner SIDE VIEW 20' x 18' SAND FILTER w/ GRAVITY DISCHARGE 4" PERFORATED MONITOR PIPE ONE AT EACH CORNER OF BED(TYP.) (WRAP WITH FILTER FABRIC) (EXTEND TO B071`011 OF SANDS VALVE BOX FLUSHING VALVE T7,67'R PVC SAND, Backfill between the plywood and the excavated v: alts 2" Insul. +35 psi Burial Rated TO DRAINFIELD 3/8" PEA GRAVEL 1 e ROUND ROCK AI 4' UNDERDRAIN PIPE i UNDERDRAIN DETAIL LEGAL LOT 3, BLOCK 2, FOREST RIDGE SUBDIVISION DRAWN J.L.M. I CKD. R.C.C. I DATE 2-1-96 1 SHT.3 OF 5 Orifice Shield A-- p 3/4- DLA. SCH 40 ,'�' ROBERT G COWAN ! �C P 1/9" Orifice PVC LATERALS�•• CE-B80I !� r�A SIDE VIEW TOP VIEW -T' JACKETED INSULATED AIR LINE EFFLUENT FROM —� THE SEPTIC TANK USE FLEX CONNECTOR) INSULATE TOP OF LINE) 6"-3/b" PEA GRAVEL SAND FILTER PEF SUPPORT FRAME: PLYWOOD SHEETS 3/8" PEA GRAVEL I 18" r-- s 1/2' DIA. SON 40 PVC LATERALS IA. SOH 40 BOOT BOOT 13 BONDED TO T 30 MIL. LINER [L 95 PSI ASITION_FROM ARCTIC RISER ' L2" SAND LEVELING LAYER below 30 Mil PVC liner 4" CLASS 125 SLOTTED PVC PIPE The underdrain to be laid flat ORIFICE SHIELD DETAIL GRAVEL nder FILTER-/ AIR line SAND Mil PVC Liner SIDE VIEW 20' x 18' SAND FILTER w/ GRAVITY DISCHARGE 4" PERFORATED MONITOR PIPE ONE AT EACH CORNER OF BED(TYP.) (WRAP WITH FILTER FABRIC) (EXTEND TO B071`011 OF SANDS VALVE BOX FLUSHING VALVE T7,67'R PVC SAND, Backfill between the plywood and the excavated v: alts 2" Insul. +35 psi Burial Rated TO DRAINFIELD 3/8" PEA GRAVEL 1 e ROUND ROCK AI 4' UNDERDRAIN PIPE i UNDERDRAIN DETAIL LEGAL LOT 3, BLOCK 2, FOREST RIDGE SUBDIVISION DRAWN J.L.M. I CKO. R.C.C. I DATE 2-1-96 1 SHT. 4 OF 5 S&S\ ,ineentnG 15" FLEX CONNECTOR - 1 1/4° DIA FLEXABLE PVC HOSE 1" or 1-1/4" DIA. PVC BOOT (The boot flange \ is bonded to 30 mil. liner) EFFLUENT FROM SEPTIC TANK— 20' 1 1/4" DIA. CL200 PVC -- 1 1/4" DIA. MANIFOLD--- CL200 PVC MIN. TRANSITION FROM RISER TO DIFFUSER LINE (USE FLEX CONNECTOR) FLEXABLE PVC HOSE O PVC BOOT (SIZE TO FIT) 3 4"-2'" JACKETED INSUL. HDPE ARCTIC PIPE 2" INSULATION ' 3 ROBERT C. COWAN.v.-4Q f �f E 8801 30 MIL PVC LINER RIFICE SHEILDfF?,-��•. •..•. / ORENCO MODEL LI 2q3�. f ... �l9i�P�w2 zf 3/4" DIA. SH 40 PVC LATERAL 1/8" DIA. ORIFICE SPACED 27" O.C. MONITOR TUBE a a e a a (TYP. OF 4) 4" PVC CAP J AIR LINE O around perimeter TOP VIEW of filter SAND FILTER w% GRAVITY DISCHARGE PVC BOOT ----ATO DRAINFIELD 4" DIA. CLASS 125 SLOTTED PVC PIPE (CUT 1/47 WIDE SLOTS 2-1/2" DEEP AND AT 4" O.C.) FLUSHING VALVE AND ENCLOSURE LEGAL i nT z of nnv rnnroT n11hr CI Innl�n C`I /lAi 5 4 LINE FROM SAND FILTER - C 4" DIA. SOLID MANIFOLD ZABEL Z200 FLOW DIVIDER OR EQUAL MT 1O'MIN. -5Q'(TYP.) DETAIL -A ROBERT C. COWAN CE -8801 . f tt, CD C PERFORATED PIPE HOLES FACED DOWNWARD CO MTO ====(DO E5'(TYP.) MTO I_ INTERMITTENT SAND FILTER SPECIFICATICNS Forest Ridge Subdivision; Lot 3; Block 2 ra I :i• o- is • v The work covered by these specifications and the plans consist of furnishing all labor, materials, tools, transportation, and equipment necessary to complete an intermittent sand filter system as described herein and on the attached drawings. All work under this project shall comply with the latest edition and addenda to all applicable codes, ordinances and standards including MOA-DHHS septic installation guidelines and On -Site Wastewater Disposal Systems permits. 4 Bedroom single family home = 600 GPD Soil acceptance rate = .45 GPD/SF Use 1.0 GPD/SF for polished effluent 600 S.F. required Using a 5' wide drainfield with 1' effective depth 600/5 = 120 LF Construct drainfield as shown on attached site plan. SITE INVEaSTIGATION The Contractor who proposes to complete this project must carefully examine the project documents, have full knowledge thereof, have investigated the site, and be satisfied with the conditions affecting the work. Conditions include, but are not limited to those bearing upon transportation, disposal, handling and storage of materials, availability of labor, water, electric power, roads, and uncertainties of weather, physical conditions at the site including all underground utilities, the conformation and conditions of the ground, the character of equipment and facilities needed preliminary to and during prosecution of the work. The Contractor must be satisfied with the character, quality and quantity of surface and subsurface materials or obstacles to be encountered insofar as this information is reasonably ascertainable from an inspection of the site, including all prior exploratory work, as well as from information presented by the plans and specifications made a part of this project. Any failure by the Contractor to become acquainted with the available information will not relieve him/her from responsiblity for performing the work as stated in these specifications and drawings. Locations of utilities shown on the plans are not exact. Above ground utilities have been field located. Below ground utilities are shown as depicted on "as -built" plans. The Owner and his Engineer shall not be held liable for Page Two damages to utilities incurred during construction due to deficiencies or omissions on the plans. At least 24 hours prior to commencing work, the Contractor shall contact all local utility companies to obtain underground utility locates. The Contractor shall exert due care to prevent damage to utilities. Should a utility be damaged, the Contractor shall notify the utility company and shall have repaired at his own expense any damage resulting from failure of the Contractor to request an underground utility locate or to exert due care. If any utility company determines that a utility has to be temporarily raised, lowered, moved, guyed, shored, braced or otherwise protected during construction, it shall be done at the expense of the Contractor to the satisfaction of the utility company. Typically, there will be a minimum of eight (8) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Inspection of work in progress may be made by the Engineer and MOA - DHHS at any time. The following schedule of required inspections is to be adhered to. 24 hour notice is required prior to each inspection. Inspections can only be arranged during weekdays and during normal working hours. The following inspection schedule is to be strictly adhered to: 1. Septic tank/lift station is in place, but not backfilled. Sewer piping from building to tank is complete, properly bedded and backfilled. 2. Sand filter pit is excavated and prepared for filter construction. Prior to placement of filter liner material 3. Engineer to be notified with Contractor's schedule during actual construction of the sand filter to allow spot inspection during construction. Any deviation from reported schedule is to be reported to the Engineer. 4. Final inspection of the sand filter with all pressure piping in place, but prior to placement of cover material. Flow testing of pressure piping at this time will require completion of lift station wiring prior to this inspection. Page Three 5. Inspection of open trench excavation of leaching trench as per MOA code. 6. Inspection of leaching trench prior to final backfill with all piping in place. Inspection will require pressure testing of leachfield piping with sand filter pump in place. 7. Inspection of final grading. The Owner shall contract with the Contractor to perform the work outlined in these specifications and plans and in accordance with the attached MOA 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 Contractor's activities. Final acceptance of the Contractor's work rests with the Owner and the MOA. 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. All landscaping, fences, sidewalks, paving, driveways, utility markers and other improvements, removed to facilitate the Contractor's operations shall be fully restored to their original condition and location by the Contractor unless otherwise directed by the Engineer. Items damaged by the Contractor during removal, storage, or restoration, shall be repaired or replaced in kind by the Contractor. This work shall be considered incidental to the project. Page Four 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes ASTM D2241 Yes Yes ASTM D2239-74 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 extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, 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 MOA or DEC requirements. Page Five SEPTIC TANK/LIFT STATIM A. General The work under this section consists of the performance of all operations pertaining to furnishing and installing the septic tank/lift station and piping to the sand filter. B. Materials 1. Tank for Lift Systems: a. Septic tank shall be a 1500 gallon two compartment steel tank specifically for the use of Orenco Systems Inc. patented lift station assembly Orenco No. 4200. b. The tanks shall be designed for soil loading conditions as required by Municipal and State regulations. The design or analysis shall be in accordance with accepted engineering practice and local regulatory agencies. c. All welding shall be in accordance with applicable codes and standards. 2. Risers a. First compartment shall have a separate 4" pumpout riser. The second compartment shall have a separate four inch pumpout riser. b. An additional second compartment outlet riser shall be 12 gauge sheet steel, and shall extend 12 inches (minimum), above surface grade, shall have a minimum nominal diameter of 24 inches, and shall be capable of being equipped with the following: 1. A junction (Nema 4x) box or equal, bonded or attached to the riser. 2. UL listed electrical cord grips, installed in the J -box. c. A lid - shall be furnished with the riser. It shall be constructed of fiberglass or equivalent aggregate finish. Meet H-10 loading requirements and have a latching mechanism. Page Six d. Riser installation - each riser shall be sealed or welded to the top of the tank in such a manner as to prevent infiltration of ground water. e. Lid Insulation - four inch rigid extruded polystyrene shall be placed in the riser directly below and attached to the lid. f. Riser Insulation - two inch sprayed shop applied urethane on circumference of riser with 46465 Tnemec coating. 3. Effluent Pumping Assembly: a. Effluent pumping assembly shall be Orenco systems (TM) model 20-OSI-05-HHF series consisting of following: 1. i H.P. 110 volt or equal U.L. listed effluent pump. 2. Screened pump vault (U.S. patent No. 4439323) 59 inches deep, 3/16 inch thick high-density PVC cylinder houses the pump, level controls and screen and serves as a baffle to prevent the screen from clogging. Fifteen 11-2" diameter holes are drilled in the vault at a level that places them at about the midway point in the depth of the septic. Flap check: Allows the vault to drain when removing the tank. Screen: 15 inch diameter cylinder of high-density polyethylene 1/8 inch mesh. 3. All piping shall be PVC or other non -corroding material. b. Pump controls and alarm system - Control shall be Orenco systems SICTETMRO 110 volt with following options consisting of: 1. Event counter. 2. Elapsed time meter. 3. Program timer. 4. 10 watt heater. Page Seven 5. Remote alarm panel option with a minimum of 80 DB sound pressure at 24 inches, operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil -tight visual alarm with push -to -silence feature. Automatic audio -alarm reset. 7. 15 amp motor rated toggle switch, double pole, double -throw with three positions; manual (man), automatic (auto), and center (off) (H.O.A.). 8. Nema 4x -rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer's recommendations. 10. Control panel to be installed on outside wall of home within sight of septic tank/lift station. c. Piping from the septic tank to the sand filter is to be 11-," PVC schedule 40 solvent weld piping properly bedded as described in Materials Specifications and sloped to drain back to the septic tank. Insulation board 2" thick and 2' wide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. In order to insure proper inspection procedure the system is to be installed in the following order: 1. Sewer line from house to tank 2. Septic tank/lift station 3. Sand filter 4. Leachfield 5. Final grading Page Eight 1. Pipe Grade and Alignment: Variance of individual pipe sections from established line and grade shall not be greater than 0.02 feet, providing that such variance does not result in a level or reverse sloping invert. During the progress of the work, the Contractor shall provide instruments such as transits, or levels, for transferring grades from offset hubs or other construction guides from the control points and bench marks provided to the Contractor by the Engineer. The Contractor shall provide qualified personnel to use such instruments and who shall have the duty and responsibility for placing and maintaining such construction guides. 2. Pipe Laying: All pipe shall be laid with Class C Bedding, free of large stones and organic matter. Each section of pipe shall be handled carefully and placed accurately; the spigot end shall be fully inserted pointing in the direction of flow and glued in place to make a watertight seal. Each section of pipe shall be properly supported to insure true alignment and an invert which is smooth and free from roughness or irregularity. At all times, when work is not in progress, open ends of pipe and fittings shall be securely and satisfactorily closed so that no undesirable substance will enter the end of the pipe or fittings. 3. Bedding of Pipe for Sewer Lines: The pipe should be bedded with Class C Bedding materials compacted to 95 percent. Native materials may be used as backfill material above the pipe, provided it is free of large stones and organic matter to a point one foot above the top of the pipe. Installation. All pumping services shall be installed in accordance with the manufacturer's recommendations and standards. Electrical installation is to be to code by licensed electrical contractor, with Municipal inspection where required. If MOA inspection not required, a licensed electrician is to provide letter to the Engineer stating that the system meets or exceeds all applicable Codes. Page Nine 4. Excavation: a. Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.01 foot, on undisturbed or compacted to 95 percent classified sand fill material. Line excavated tank pit walls with two inches +35 PSI burial foam full depth of tank. Backfill between tank and foam with sand material and compact, in a manner to prevent damage to tank surface coating. b. Create a level sand surface over tank and add two inches burial foam +35 PSI directly over tank. Mound unclassified soil over tank location to a depth of two feet above finished grade to allow positive drainage away from tank and counteract buoyancy. 5. Connections: a. All connections to be as per MOA - DHHS and UPS requirements PVC 3034 piping with Caulder or equivalent couplings for inlet riser pipes. b. All tank connections are to be completely water tight. WAZi11aMOk41+:3 The work under this Section consists of the performance of all operations pertaining to furnishing and installing the sand filter. A. Materials 1. Sand Filter: a. The contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand specifications with the additional requirement that all but 1 percent of the materials passing the #100 sieve be removed. A sample of the proposed filter sand must be submitted to the Engineer for testing one week prior to construction. A sample will be taken from the sand bed during construction for purposes of quality control. If the sample does not meet specifications, all sand will be removed and replaced. Page Ten b. Contractor shall be responsible for providing pea gravel. Where pea gravel is specified, the pea gravel shall be a washed material containing no fines (0 percent passing the #100 sieve) and a maximum size of ," diameter. c. Contractor shall be responsible for providing round rock. Where round rock is specified, the round rock is to be washed gravel with rounded edges well graded with maximum diameter of z". d. Contractor shall be responsible for providing the manifold assembly. Manifold assembly shall be the Orenco Model SFM 1036 or equivalent with orifice shields and flushing assembly. All drilled holes to be cleaned of burrs and pipes flushed prior to assembly. Flushing valve to include riser to +12 inches above finish grade with extension handle provided to operate globe valve from ground surface. e. Liner - Orenco Model LI or equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter sand volume. Seams to be permanent as per Manufacturer's recommendations. All connections, such as boot flanges, through sand filter to be permanently bonded to liner. f. Pump Basin - Sand filter pump basin is to be Orenco Model PBSF1561FI with flow inducer and matching 15 inch diameter riser sections as needed to extend 12 inches above finish grade maintaining a water tight seal through the full length of conduit riser. PVC splice box to be installed with a conduit seal kit. g. Filter Secondary Pump - Orenco Model 20 OSI 05 HHF with appropriate float assembly and high pressure discharge assembly. h. Contractor shall be responsible for providing filter fabric. filter fabric shall be Orenco Model LIFF or equivalent. i. Contractor shall be responsible for providing insulation. Insulation shall be +35 psi board rated for direct burial. j. The 2 inch thick rigid insulation on the sidewalls of the filter box shall extend the full 4 foot height of the plywood box and be inside the plywood box. k. Linear Air Difuser Line and Compressor - Available from Orenco Systems, Inc. - no model number available. Feed line from house to filter is HDPE Artic Insulated Pipe 3/4"-2" SDR -11 Maskell-Robbins or equivalent. Page Eleven 2. Construction of Sand Filter: Sand filter construction is to follow procedures as outlined in the Orenco Installation Manual as applicable to this design. Care is to be taken to protect the integrity of the sand filter PVC liner material. This includes careful placement of soil material into liner. Any perforation of the PVC liner material will require patching in a method that exceeds original manufacturer's strength. Rock, pea gravel, and filter sand are to be hand leveled to proper depth (tolerance within 0.01 feet) in filter, taking care not to allow mud or fine soil material into the filter or rock layers. This would include any soil material picked up by excavation machinery buckets while loading specified material. Contractor should estimate filter materals volumes such that allowance is made for wastage of material in contact with ground at site. Work on the sand filter may be suspended at Engineer's discretion due to inclement weather conditions such as rainfall. The sand filter and material stockpiles will be completely covered by a tarp overnight during construction until finished. Filter internal construction should be accomplished in one day's time. The Engineer will reject any sand, round rock or pea gravel that does not meet specifications or is contaminated in transit or while handling. If such material is placed in the filter, all soil material may be required to be removed and replaced with new material. 1. General The work in this section pertains to furnishing all materials and installation of the septic leachfield. 2. Materials All materials shall be as approved by the MOA - DHHS for leachfield construction. Leachfield piping is to be fabricated to allow pressure distribution. All holes in fabricated piping are to be deburred and flushed clean. Page Twelve 3. Construction Construction is to be as per MOA - DHHS Code and guidelines. 4. Drainfield a. The drainfield is to be located in position shown on site plan. b. The bottom of each drainfield excavation shall be level, plus or minus 1.5" or 0.131. c. Leachfield trench is to be excavated to indicated depth. d. The 1;" effluent pipe is to be level in leachfield. e. The drainfield gravel is to be completely covered with typar fabric material. f. The area over the drainfield and sand filter is to be finish graded to prevent ponding of surface water runoff over and between trenches. Topsoil 6" and seed. 5. Leachfield Dimensions: TOTAL DEPTH = 2' GRAVEL DEPTH = 0.5' DRAINFIELD LENGTH = 120' DRAINFIELD WIDTH = 5' SOIL RATING = 0.45 G ®/sq.ft. BEDROOM CAPACITY = 4 POLISHED EFFLUENT = 1.0 GPD/SF PERFO LEGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 '' II� TEST RUN BETWEEN Z"I-S FTAD 'S• 5 FTJ� COMMENTS Tla G Z -OC OF fl'll.�. EkA"* -Q tX L-C%.olV -' Uu �lN . _ . A PERFORMED BY: 5.$ C 5"'NEWRING I �"". CERTIFY THAT T/ 1S TEST WAS PERFORMED IN ACCORDANCE WII;?W R* A�I�fAMSE9i9*S IN EFFECT ON THIS DATE. DATE: It -T S Es& River, Alaska 99577 72-008 (Rev. 4/85) PERFORMED LEGAL DESCRIPTION: l DEPTH /) 1 , -7, +I.I 5 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST LC- Tpr( W(2 . DATE i0/q/qS Township, Range, Section: SLOPE WAS GROUND WATERT ENCOUNTERED? .7 S IF YES, AT WHAT r L O DEPTH? p E Depth to Water After /q / Monitoring? Date: 109S— ®®��1. PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND F7 PERFORMED BY: S & S ENGINEERING I� �_ CERTIFY THAT T S TET WAS PERFORMED IN ACCORDANCE WIT'y.A�4�STA7E-M1DvMl PUT1NEL;lft IN EFFECT ON THIS DATE. DATE: �1 3 �� I ICIYK, AMMafRRRa "577 72-008 (Rev. 4/85) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND F7 PERFORMED BY: S & S ENGINEERING I� �_ CERTIFY THAT T S TET WAS PERFORMED IN ACCORDANCE WIT'y.A�4�STA7E-M1DvMl PUT1NEL;lft IN EFFECT ON THIS DATE. DATE: �1 3 �� I ICIYK, AMMafRRRa "577 72-008 (Rev. 4/85) -=ti.:..i.-.-•o:':. .. .. »r.-.. a. w'.aML �'Kgh..t. x: .. wL...'.r✓�+u:1^.b^.�..-n+✓,.+.�.rirv.--..+r o......:_^.nn. yy."4't#Nv:.. �.�y... rv...r.� .µ.yr -....+... ur w rvu .T M'.)... r�C STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD LOCATION OF WELL BOROUGH SUBDIVIM- N BLOCK SECTION OTRS SECTION TOWNSHIP RANGE MERIDIAN ,LOT ❑N ❑E lk�pJ �i ❑ S.,. ❑ W LOCATION/SKETCH: WELL OWNER: DEPTHS MEASURED FROM:Kcasing top ❑ground surface WELL DEPT HY DATE OF COMPLETION I Depth of hole: 0 / ft L Depth of casing: l: t BOREHOLE DATA: Depth Material Type and Color From To DEPTH TO STATIC WATER LEVEL: .� O Z— ? ft below ® top of casing ❑ ground surface Date:_/ / / Z ® METHOD OF DRILLING: air rotary ❑ cable tool ❑ other G USE OF WELL: 'El domestic ❑ irrigation ❑ monitor ❑ public supply ❑ other CASING STICK-UP* ft. Diam: 6 in. to /01 ft in. =ft W S /D Casing type: to WELL INTAKE OPENING TYPE: open end ❑ screened ❑ perforated ❑ open hole Depths of openings: to ft SCREEN TYPE: Diam: in. Slot/Mesh Size: Length: ft GRAVEL PACK TYPE: Volume used: Depth to top: GROUT TYPE: Volume: RECEIVED Depth: from ft to ft DEVELOPMENT MET: _ MAY 7 996 Duration: , „{ , t Municipality of A.nchorag PUMPING LEVEL AND YIELD: � Dept De Health & Human Servi Vq_/ ft after .. �_ hrs pumping gpm PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPLETION? &,YES ❑ NO CONTRACTOR INFORMATION: REMARKS: PLEASE MAIL WHITE COPY OF LOG TO: , DNR/DIVISION OF MINING & WATER MGMT Date 3601 C St, Suite 800 Anchorage, Ak 99503-5935 Ph(907)762-2538,Fax(907)562-1384 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel LD, # S 1 ? —1 ( )- — 4) G 1. GENERAL INFORMATION HAA # Complete legal description Lot 3; Btociz 2• Fo%r26t Ridge Subdivi6ion Location (site address or directions) NHN South Windsors Ci)j,cte. Ancho7an2. AK Property owner Co°ony Buitdzt6 Day phone 244-6233 Mailing address 2340 LofiPn Qi_!LoLE AnahQjaclp, AK Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXK Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) From MOA #21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Phone 17034 Eagle River Loop Road No. 204 Address Eagle R* 0OIZ77 Engineer's signature G h Date 6 c 6 6. DHHS SIGNATURE y Approved for ¢ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: UITIC Dated -2 7-/&' The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Re .1/91) Back MOA M91 m rJ 06/06/96 16:02 ME ESI RNCHORR6E + 9076941211 NO.503 904 Ah CT&E Ref.# Client Name Project NamrJ# Client Sample ID Matrix Ordered By ME Environmental Services Inc. Laboratory Division ►s— 200 W. Potter Drive Anchorage, AK 99615.1606 Tel: (907) 562-2343 Fax; (907)561.5301 963468002 Client PO/f S & S.Engineering Printed Date/Time 08/05/96 11:11 N/A Collected Date/Time 07/31/96 17;30 Lot 3 811x:k Forest Ridge Received Date/Time 08/01/96 09:30 Drinking Water Technical Director PW3lD 0 Released By.�^ Sample Rcutarks: Parameter Nitrate•M Total Coliform Allowable Prep Results PDL Unita Method Limits Date 0.1000 0.100 m8/L EPA 353.2 17 OB W/O COLI SM18 92228 Member of the SO$Group(SOc*6Girdralede Surveillance) Analysis Date Init 08/01/96 E5C 08/01/96 TAv ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA 08/06/96 AL 16:13 CT&E ESI ANCHORAGE + 9076941211 NO.504 907 CT&E Environmental Services Inc. Laboratory Divisionrwwwiw.riwi►iiiiiwoiwiwwirwiww�rwi�rwiiwwwrwwwiiwo Drinking Water Analysis Report for Total Coliform Bacteria Anchorage, AK Driveaer 9518.1605 READ INSTRUCTIONS ON REVERSESIDE BEFORE COLLECTING SAMPLE Tel: (907) 562.2343 Fax: (907) 551-5301 MUST BE ❑ PUBLIC WATER SYSTEM I.D. # TX PRIVATE H'A'TER SYSTEM WATER SUPPLtLK Dit- SendRra/n'Rs S 4 J V Sendinvoice ENG'INE.t, Rt.,-& aw11mmN C WyNn u,n Pmx nnr um ur us um er - — - '=o. Result* Analyst ry M P ❑ Sand Restdrx ❑ Sendrnyorce nnywn. �.,x o'uxlmm .wman ,eM ,ry w'I P SANIFLL•' DATE: ET 13-771 H�l Month Day Your SANNIPLE TYPE: If Routine ❑ Treated Water ❑ Rcpcat Sample (for routine sample pC Untreated Water with tab ref. no. ) t7 Special Purpose Time Collected SAMPLE LOCATION Collected By Lo -r 3 61.uC4C 2 F0Rt6sr RIO&£ S- 06M 896 C- rlerfC P.im Comments: TO BE COMPLETED BY LABOKAI'OKY Analysis shows this Water SAMPLE to be: ,t3" Satisfactory C) Unsatisfactory O Sample over 30 hours old, results may be unreliable o Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received X1. I Time Received QQ� �`�� Analysis Began /1 1 � Analytical Method: ?--,Membrane Filter ❑ O MMO-MUG * Number tifeolonies/100mt. - — - '=o. Result* Analyst 02 1 7 a'Is 953450,� o� BACTERIOLOGICAL WATER ANALYSTS RECORD NuNIO-MUG Result: Total Coliform F.. Calf Membrane Filter: Direct Count 0 Colonies/100 ml Verification: LTBBGB COLIFIRM Fecal Coliform Coo Clrmalian Final Membrane Filter Results RcpartcA 8y J' Date b ' z ' Tints S M1rs �� Member of the SGS Group (Soel4t* G6nArala de Surveillance) r:WC - rou N—"W Tp C'u" On . whu um .'w ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN. MISSOURI• NEW JERSEY, OHIO, WEST VIRGINIA ❑ Sent to A.D.E.C. Anel FbU3 .tun Ful 85 Date: ;! Time: Client notified of unsatisfactory results: 11onned Spoke with Fuxcd Dale: Timc: BACTERIOLOGICAL WATER ANALYSTS RECORD NuNIO-MUG Result: Total Coliform F.. Calf Membrane Filter: Direct Count 0 Colonies/100 ml Verification: LTBBGB COLIFIRM Fecal Coliform Coo Clrmalian Final Membrane Filter Results RcpartcA 8y J' Date b ' z ' Tints S M1rs �� Member of the SGS Group (Soel4t* G6nArala de Surveillance) r:WC - rou N—"W Tp C'u" On . whu um .'w ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN. MISSOURI• NEW JERSEY, OHIO, WEST VIRGINIA 08/06/96 16:12 CT&E EST ANCHORAGE 4 9076941211 NO.504 PO4 Aliffilk CT&E Ref./ Client Name Project Naote/N Client Sample M Matrix ME Environmental Services Inc. Laboratory Division ryaF i , i , 0w,lr/ri►/,�F/I•�s,,, 200 W. Potter Drive Anchorage, AK 99518-1605 Tel: (907) 562-2343 Fax: (907) 561-5301 963468002 Client POH S & S Engineering Printed Dat fife 08/05/96 11:11 N/A Collected Date/Time 07/31/96 17:30 Lot 3 Block Forest Ridge Received Date/Time 08/01/96 09:30 Drinking Water Technical Director Ordered By PWSID 0 Released By �� G &Lntple Remarks: Parameter Nitrate•N Total coliform ALLoHable Prep Analysis Results PGL Units Method Limits Date Date ]nit 0.1000 0.100 my/L EPA $53.2 7;<-DO'g7P�OLT^ SM18 92220 GHLO A.dlirGa /44,i4-A1*7 08/01/96 ESC 08/01/96 TAV q Member of the SGS Group (509/616 G6n6rale de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA, FLORIDA. ILLINOIS. MARYLAND, MICHIGAN, MISSOVRI, NEW JERSEY, OHIO, WEST VIRGINIA YJU� iG �0 10; Uta t- I &E Lbl. HIA HUHHbt -• `JU ib'J41211 A51QL ME Environmental Services Inc. LabordtotY Division Drinking Water Analysis Report for Total Coliforr READ INSTRUCTIONS ON REVERS$ SIDE 8EFORE COLLECTING SAMPLE MUST BE COMPLETED BY WATER SUPPLIER O PUBLIC WATER SYSTEM I.D. 0 PRIVATE WATER SYSTEM li Send Rnalu S 2, CK Sendlnvoiee (NGtN�FrPiNG __— NR bv{ \YTO 94 l Me SeWPLE DATE: Month , ' Oni. VN { �{. V1M10{I . anna naarq. 96.3700 1 .ry an o a. O Send Remlts ❑ Send Invoice �e»p..r n.m. oaeom 41yVea AOaeu ,ry we n ra Ell ' m EU SeWPLE DATE: Month , ' Day Year SAMPLE TYPE: 96.3700 1 ,lEt Routine — ❑ Treated Water Repeat Sample (for routine sample W Untreated Water with lab rer. no. 96.3 q 6 S ) Client notified of unsatisfactory results: 0 Special Purpose Time Collected SAMPLE LOCATION Collected By -0r 3 BL4,o.0 A AAEs—RrDL£ ,o:dd.t-t and C. Mug+ 1 NIJ. 'r2S IJU2 1 Bacteria 200 W. potter 0"ve Anchorage' AK 99SI$-1605 Tel: (907)562.2343 Fax: (907) 561.5301 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory O Unsatisfactory O Sample over 30 hours old. results may be unreliable O Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delivery Mall - Date Received � Time Received Analysis Began Analytical .Nietbod:r MhtOtUGilter " Number of colonies/ 100 ml. Lab Ref. No. Result* Analyst 96.3700 1 J Q M Sent to A.D.E-C. Anth Fbks Jun Fazed Date: Time: Client notified of unsatisfactory results: Phoned Spoke With. Feted Date- Time: BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-mum Result: Total Coliform E. Coli Membrane Filter: Direct Count Colonies/100 ml Verification: LTB BGB COLIFIRYI Fecal Colirorm Confirmation Final Membrane Fitter Results coliform/too ml Reported 9y ^� Date Time « t� _ hrs V- Comments: r..Tc • r»..v.»�.». t, c..+.