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HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 5 LT 2AProspect Heights #1 Block 5 Lot 2A #015-091-32 On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161346 Tax Code Number: 01509132000 Work Type: Well Initial Permit Effective Dates: November 28, 2016 to November 28, 2017 Design Engineer: ANDERSON ENGINEERING Subdivision: PROSPECT HEIGHTS #1 Site Legal Address: PROSPECT HEIGHTS #1 BLK 5 LT 2A G:2441 Owner/Address: SMITH GRIFFIN M Site Mailing Address: 9800 SLALOM DR, Anchorage This permit is for the construction of: Lot Size in Sq Ft Total Bedrooms: Deparhncnt 55701 4 N Disposal Field N Septic Tank N Holding Tank N Privy N Private Well Y 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By Issued By: Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015 - ocl I - 3a Property owner(s) Ge1FFwt SM'TN Day phone 903- BOIS Mailing address 9800 5LAt,OM LVWC/ ArkgoRA&&. AIC Zip Code 4451E Site address gBDo $LAvom DRtVE. W&+oeA66- Aoc Zip Code 445l Legal description (Sub'd., Block & Lot) FRC69W HE160T1 011 BLoCa S LOT SA Legal description (Township, Range & Section) Lot Size r--6, 701 Sq. Ft. THIS APPLICATION IS FOR (® all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank 19 Privy ❑ Private Well ❑ Water Storage R Number of Bedrooms THIS APPLICATION IS AN: Initial Q Upgrade ❑ Renewal ❑ 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: Date of Payment: 2—l6 Receipt Number: 06 (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: November 28, 2016 Municipality of Anchorage Development Services Dept- On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Prospect Heights #1, Block 5 Lot 2A Water storage Tank Dear On -Site Services Engineer: The owner of the above lot is selling their 4 -bedroom home. There are two wells currently serving the lot, although there are no well logs for either of them. Both are low -producing wells. At previous COSA's they appear to have produced as much as 1-3 GPM. However, production has slowed, and at the latest testing (on 11/14 and 11/18) they together produced a total of 0.16 GPM. This is not enough for the size of the home, so they have decided to add water storage to make up the difference. Since the wells produce more than 150 GPD total, enough for one bedroom, the home is required to have a minimum of 500 -gallon storage. One of the wells itself is over 300' deep, and the static level of the well is only 10'. This means that one well itself can store more than 300 gallons of water. The owners have an additional 300 -gallon storage tank for installation, and the cut sheet is attached. We are confident that this will satisfy the storage requirement, allowing the COSA to be issued. Sincerely, Benjami chiller, PE *10 V" smkt'� gG wMela-D tPOYML& WIW6'L IM A ften1Aj" WAY 11/14/2016 Listing Category Search Page I NSF International 0 The Public Health and Safety Organization NSF Product and Service Listings These NSF Official Listings are current as of Monday, November 14, 2o16 at 12:15 a.m. Eastern Time. Please contact NSF International to confirm the status of any Listing, report errors, or make suggestions. Alert: NSF is concerned about fraudulent downloading and manipulation of website text. Always confirm this information by clicking on the below link for the most accurate information: http: //info.nsf.org/Certified/PwsComponents/Listings.asp?Compam7=237Qo&Standard=o61& NSF/ANSI 61 Drinking Water System Components - Health Effects NOTE: Unless otherwise indicated for Materials, Certification is only for the Water Contact Material shown in the Listing. Click here for a list of Abbreviations used in these Listings. Click here for the definitions of Water Contact Temperatures denoted in these Listings. Norwesco, Inc. (http:/Jwww.norwesco.com) 4365 Steiner Street St. Bonifacius, MN 55375 United States 800-328-3420 952-446-1945 Visit this company's website (http//www.norwesco.com) Facility: Hanford, CA Protective (Barrier) Materials http://info.nsf.org/Certified/PwsComponents/Listings.asp?Company=23790&Standard=061 1n 11/14/2016 Listing Category Search Page I NSF International Water Water Water Contact Contact Contact Trade Designation Size Restriction Temp Material Tanks[il Applicator Tanks 20 - 500 gal. CLD 23 PE Applicator Tanks (Slim Line) 150 - 200 gal. CLD 23 PE Below Ground Holding Tanks 2000 gal.- 5100 gal. CLD 23 PE Cistern >= 500 gal. CLD 23 PE Cistern DL[2] >= 600 gal. CLD 23 PE Cistern Sphere 250 - 325 gal. CLD 23 PE Cistern Sphere DL[2] >= 325 gal. CLD 23 PE Cone Bottom 16o - 1o,000 gal. CLD 23 PE Drainable Leg 710 - 3210 gal. CLD 23 PE Elliptical 200 -1600 gal. CLD 23 PE Elliptical Leg Tanks 335 - 4035 gal. CLD 23 PE Flat Bottom Utility 26 - 200 gal. CLD 23 PE Horizontal 35 - 5025 gal. CLD 23 PE Inductor Tanks 15 - 8o gal. CLD 23 PE Loaf Tanks 50 - 500 gal. CLD 23 PE Mini Bulk >= 120 gal. CLD 23 PE PCO 30 gal. - 300 gal. CLD 23 PE Pickup >= 210 gal. CLD 23 PE Specialty Water (10oo Gallon Sphere) l000 gal. CLD 23 PE Specialty Water Tanks 250 gal. - l000 gal. CLD 23 PE Specialty Water Tanks (w/Steel Frame) 375 gal. CLD 23 PE Spot Sprayers 14 - 25 gal. CLD 23 PE Total Drain 5 - 12 gal. CLD 23 PE Tuna Can 5000 gal. CLD 23 PE ,Vertical 22 - 20,000 gal. CLD 23 PE` Water Hauling Tanks 1250 gal.- 2400 gal. CLD 23 PE [1] Certified tanks are available in black, blue, green, or white. [2] DL - Domed lid. Facility: Lancaster, OH http //info.nsf.org/Certified/PwsComponents/Listings.asp?Company=23790&Standard=061 2f7 Development Services Department Euiluing Sare`ry Divi<-ian Ol - lie r'C a C Wa5te'Naier program 3 4:700 $ragaw 51 rev, -i _ 'U p.0 Sax 196-50 :Nafk3egich Anchorage, AK 90519-6650 Mayor x,ww,muni.ar�rgnsir? (9a 7j' -43-79T1 pump Installation Log .all Drilliue Permit dumber: SW_ Date of Issue: _ ircel Identification Number:_ .gal Description Pra erty Owner Name &Address: Izap Depth Below To of WeIl Casio �j/l% feet unp Intake . P p gyp Manufacturer's Name:�)��T imp N1ode1: %� /J 0'2*S 1-2— _ imp Size - hp ,Bess Adapter Burial Depth: feet .tless_Adapter Manufacturer's Name: Bess AdapterTnstailer %a Disinie� ed Upun Camn[erian?�Y'� ] i`�o. :etlzud �[=^-sinectioc: o mments: ,tteatioa. Vae pump irtstelier shall provide a pump inatatlation lag to the DSD within 30 days of pump instailaiion. Development Services Department ' Building Safety Division `j¢? --r On -Site Water & Wastewater Program � sks �` 4700 Bragaw Street i P.O. Box 196650 Mark Begich Anchorage, AK 99519-6650 Mayor www muni oro/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SwAA Date of Issue: NIS+ Parcel Identification Number: �_•()C)I.n-cw Legal Description Property Owner Name & Address: P� ZAtr. IA63ht� t O -Al 6LCCk.,St P�eftr � l4.zia F.�mon Aw�ho 1r A . Wb* Pump Installation Date: 02 2 pOlp Pump Intake Depth Below Top of Well Casing: 5 ( 4 feet Pump Manufacturer's Name: A iXOi'y101 t)r Pump Alodel: A 5-1 r)D Pump Size J'/2- hp Pitless Adapter Burial Depth: 12 feet Pitless Adaptcr Alanufacturer's Name: 0.416OW-V , Pitless Adapter Installer: Ux, ' .YWwv'j Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: ,t -rtfds Comments: Pump Installer Name: M—W DRILLING INC. P.O. BOX 110378 ANCHORAGE, ALASKA 9'ibl l nl I M n 0 Inn..n ra c[) 0 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. • Municipality of Anchorage Page I of 3 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 Permit Number: S W 60 O 126 PID Number: DI >; - O°I 1 7-Z —2 - Name. i� ` t Wastewater System: ❑ New oz Upgrade Addre33: D S Cti Dy- ABSORPTION FIELD Phone: No. of Bedrooms: .3 �t p 088D Trench O Shallow Trench O Bed O Mound O Other LEGAL DESCRIPTION Soil Rating: b Total Depth from original grade O PD/ Ft Lot: elock: Sbdivi1sion: I Depth to Pipe bottom from original grade: Gravel depth beneath pipe _ Y CC 'i ti I.t Ft. .•'> Ft Township: Range: ISection: Fill added above original grade: Gravel length: 7% ^— Ft. Ft WELL: ❑ New ❑ Upgrade Gravel width: 7Ft Numberoflines: f Oitlante between hoes — FI Classification (Private, A,B.C): Total Depth: Cased To: Total absorption are _ 7 O Pipe material: r e 10 SO S I Ft. FL so Ft, f Driller: i Date Drilled: Sam Water Level: Installer. yy,�,, �w2� e- Date Inflalte L 1/ 0'0 �cJ\ FI. 7 L yield:v Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES b�Septic 0Holding 0S.T.E.P. To Septic Absorption Lm Holding lubliulonato Manufacturer. A t k Ca pacity In gallons: e7 O From Tank Field Statwn Tank wer nea SeLi N L ! Well tip 130 — — NIA Materiel: 4 5'iLe- 1 Number mea f Compa ts: Surface `�o �10 LIFT STATION Lot Line z O -h �a,v au f Sizeingallons: Manufacturer. "Pump on- level at: 'Pump o ' evel at: High water alarm at. Foundation 3b � 7 curtain �'lo "lo Pump Make A Model EI tical Inspections performed by: Drain BENCH MARK Remarks: _ f1 n O let.( if "L. s1 P fy-o ID Yti Lt Location and Description: tl `wLLt G or --c tX u.l 4e- _ Assumed Elevation: 00 ENGINEER'S SEAL �S of AL �t� •'C 4 ••'..1 ..e• kr ; d? ••• I Inspections performed by, Dates: 1st 01"e••rL1•J• •••••�•-=•• 21d 2/ •o �....�.:..yfk�drQ....... , Tobb nSpurkland Department of Health and Human Services approval j jCE.212s •: �soo Reviewed and approved by: ate: G -�/-off �•SS���� r�'r PROFE+ ]2-0r3 (Rev 91911 MOA 25 SWING TICS / AC 20.0 fT � / BC J2.6 AD J6.0 BD 5S6 AE 111 / BE 104 STANDARD TRENCH TOTAL LENGTH 75 FT TOTAL DEPTH 9 FT EFFECTIVE POCK DEPTH 5 FT 1250 GAL SEPTIC TANK 25 0 25 �- A C QQ PTE18 BENCHTOP C . v We// F •� **....L57 ', '49th _V � - 0 ..... 50 75 100 125 150 r //��-- E•I'=50FT. / /0/ �j-A% TOE EN No. WHYLN SPURKLANU P.L.I I LOT 2A BLOCK 5 PROSPECT IIEICIITS I I SEPTIC SYSTEM AS BUILT 203. K.TH. AVENUE PETER EGGMANN DATE. AUG. 10, 2000 (907) 779-3916 ANCNAK. 99501 9800 SLALOM DRIVE SHEET. • 2/3 GRID. 2441 PERMIT a SWD0128 PID k 015-091-3? PRH052A2.DVG Standard Trench 2' Wide 75' L ong 9' Deep 50' Sewer rock 4' Cover NO SCALE Sil t Bo 73.0 5.0 ft of Septic Rock Effective Monitor NO SCALE 49th tBW SPURKLAND No. CE -2225 73.3 1250 gal. septic tank BENCH MARK CONCRETE PAD ASSUMED UVATION 100.00 FT TUBBLN SPUtKLANU P.L. PTARMIGAN HEX ESTATE SEPTIC SYSTEM SCHEMATIC 203 W15th Ave LOT 4 DATE; AUG. 10, 2000 Anechorage Ak 99501 JOJI CHRIS CIRCLE SHEET- 3/3 GRID: 244/ PERMIT p SPIOOO128 PARCEL ID 1 015-091-32 PRH052A3.DWG i MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 20, 2000 Expiration Date: Jun 20, 2001 Permit Number: SW000128 Parcel ID: 015-091-32 Legal Description: PROSPECT HEIGHTS #1 BLK 5 LT 2A Design Engineer: 0007 Tobben Spurkland, PE Site Address: 009800 SLALOM DR Owner Name: PETER EGGMAN Lot Size: 55701 SQ. FT. Owner Address: 9800 SLALOM DR Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE , AK 99516-1056 This permit is for the construction of: Q✓ Disposal Field Q✓ 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 3434744 ( 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.' �1 F"THE EXISTING LOG CRIB ABSORPTION FIELD SHALL BE ABANDONED IN ACCORDANCE WITH AMC 15.65 ,AT THE TIME THE NEW SYSTEM IS BEING CONSTRUCTED. 4 Received By: Issued By: Date: E ,Z 2-- CIV Date: �— 2-L,9 —00 MUNICIPALITY OF ANCHORAGE / ST f 0dP'� Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343.4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 26, 2000 Expiration Date: May 26, 2001 Permit Number: SW000128 Parcel ID: 015-091-32 Legal Description: PROSPECT HEIGHTS #1 BLK 5 LT 2A Design Engineer: 0007 Tobben Spurkland, PE Site Address: 009800 SLALOM DR Owner Name: PETER EGGMAN Lot Size: 55701 SQ. FT. Owner Address: 9800 SLALOM DR Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE , AK 99516-1056 This permit is for the construction of: ❑ Disposal Field Q✓ 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 5 afo 0 d Date: 5 - 2 �-00 7 7 / / STANDARD TRENCH.` TOTAL LENGTH 75 FT TOTAL DEPTH 9 FT EFFECTIVE ROCK DEPTH 5 FT / 1000 GAL SEPTIC TANK -2- BE NL H \ Ek T. L06 CRIB If'ell IYe11 w` / • E / 4c i0 75 100 125150 of 50 FT.. / •1�:: TOB ##ie. r n $PURKLAND TOBSEN SPURKLAND P.£.I I LOT 2A BLOCK 5 PROSPECT HEIGHTS (I SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE PETER ECCMANN /907) 279-3916 DA TE. JUNE 15, 1000 ANCH. AK. 9950/ 9800 SLALOM DRIVE SHEET. • 2/3 GRID. 2441 PERMIT # SI✓00128 PID k 01.5-091-?rn PRH052A2.DW6 / / LOT 2B LOT 2A LOT 3 / REPLACE SEPTIC TANK LOT I \ / / LOT 26 IYe / / I' LOT 27 .• OF i, •.• p�................ 49th• 0 50 100 / 150 200 250 300 j.......... SCALE+ y� _ l 0 F!. �Nn' TOBB N SPURKLAND / / No. CE -2225 LOT 25 IIUUHLN SPUHKLANU P.L. I I LOT 2A BLOCK 5 PROSPECT HEICHTS I I SEPTIC SYSTEM DESIGN I 203 Y/ 15TH. AVENUE PETER fCGMANN DATE: MAY 25, 2000 ANCH. AK. 99501 SHEET. 1 3 GRID: 2441 /en71 970_xora 9800 SLALOM DRIVE � PERMIT # SWOOXXX PID # YY PRHO52AI.DWG T. SI-)-JR-1KL, AX3 F.J~,. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 2A BLOCK 5 PROSPECT HEIGHTS PETER EGGMAN Municipality of Anchorage Department of health and Social Services 825 L Street Anchorage, Alaska 99501 June 15, 2000 We are submitting an application for the upgrade of the septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following : No Ground Water or Impervious Layer to 15 R. Use Standard Trench Soil Rating. From Testhole 05/30/00 23 min/in = 0.6 gal per sq.fl/day No. of Bedrooms 3 Required Area per Bedroom: 15010.6 - 250 sq.ft. Total area required: 250 x 3 - 750 sqR Testhole depth 15 feet Bottom Rock At 9 feet Top Rock At 4 feet Rock Depth 5 feet Total Trench Length 750 / 10 = 75 FT SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTI1 75 FT TOTAL WIDTH 2 FT TOTAL DEPTH 9 FT ROCK DEPTH 5 FT COVER 4 FT SEPTIC TANK 1000 GAL RECEIVED JUN 19 2000 Municipality Ot Anchorage Dept. Health & Human Services The installation of this septic system will not prevent development of adjacent lou. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. Gi �' •Ma• .HT1 ja'(,t -.•'iCNGINECR*S SEAL) "t' , • "�, MunUralily of Anchorage "'' //""-•OO �T f DEPARTMENT OF nEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 T z.., ;e -.i SOILS LOG — PERCOLATION TEST `fey ti. c =•s ,'-r • -`e1� T PERFORMED FOR: ��✓ �`�((/FiJ DATE PERFORMED: J/3D�j �fl LEGAI. DESCRIPTION:I-CIT i' -A B t- Es Township, Range, Section: FQ7;3�H-j WL. I r.. Lcr c SLOPE SITE PLAN fF E PF 2 3 .. 1'1QrG-p pGYivt 4 ML 6 6 ,\S t n,LCW. et�L 7 B s _ 7,13 102, 3.0I 3v -A I lr3 10 < t w 11 _� r 12 e�. e 13- 14- , . 15 �c 16 15 OT OF 17 16 19 WASGROUNO WATER ENCOUNTERED) N 'V o S IF YES. AT WHAT L Det•TH7 p L J E Og.h to Water All L _77— Mooilorinp7 Date; aJ 49 rk Eeadln0 Data Gross Not Time Time Depth to Water Net Drop -- Q So Satt as O a3 • d3 7,13 102, 3.0I 3v -A I lr3 20-{ I IL_ JI PERCOLATION PATE 0Z (m-nutevinth) PERC HOLE DIAMETER I TLST RUN BETWEEN FT AND FT DISCLAIMER• Grnnndwator rnnditinns indiratPel arP for thp da e% shown only. Past and future presence snd/or depth of grolndwater can not be predicted 19 Vm LIIC bC VUbur dI, IUDS. PERFORMED BY: - - 5 I - S - _ CERTIFY TH T THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIZ ELINES IN EFFECT ON THIS DATE. DATE: /0- U4� 72-008 (Rev. 4185) / / / LOT 3 LOT 2B LOT 25 / LOT 24 /000 GAC 5.1. INSTALLED LOT I i i LOT 26 11'e i _�►_ \ LOT 27 B ` I& 'Alkiko OF 44! 49th ... .. A �0 50' 0 50 100 / 1501 00 250 300 %, ...,,� y .i SCALE �' _ ! o r 0%? TOB N SPURKLAND / �jCI�,•.,• No. CE-2225 7�1" �OjjftF'ESS��� ITOBB£N SPURKLANU N.L.I I LOT 2A BLOCK 5 PROSPECT HEIGHTS I I SEPTIC SYSTEM DESIGN 203 V/ 15TH. AVENUE PETER EGGMANN DATE: MAY 15, 1000 /9071 27.9-3916 ANCH. AK. 99501 9300 SLALOM DRIVE SHEET. • 1/3 GRID: 2441 IPERNIT � S6'00x.XX PID # yy PRH052ALDV5� S6'0JX.XX PID a YY PRH052ALDV5 STANDARD TRENCH TOTAL LENGTH 75 FT TOTAL DEPTH 9 FT EFFECTIVE POCK DEPTH 5 FT / 1000 GAL SEPTIC TANK _ 101 ♦ BENCH MA ' 'ell ` TOP C CR TE ♦ Well CF ♦ � '�gaagl V Well ♦ �.� E........, ,i 49th s 25 0 15 50 /5 100 125 150 • S 50 FT. /... •... / % TOBBE SPURKLAND •' / •,�I�lct NO. CE ^222 • j.•,1� IIVOUCIV JrVKf%LA1v I I LOT 2A BLOCK 5 PROSPECT HEIGHTS I I )LF11U JISILM UL�l6'N I 203 W 15TH. AVENUE PETER fCCMANN DA TE. JUNE 15, 2000 ANCH. AK. 99501 SHEET. 2 3 GRID: 1441 /aml �7o_Taia 9800 SLALOM DRIVE � PERMIT # S VJ0128 PID X PRH052A2.D VG 11 TEE O 1000 got Septic tank EXISUNG Standard Trench Si( t 5.0 Ft of Effective 2' Wide 75' Long 9' Deep 5.0' Sewer rock 4' Co ver i 49th l\ I44 SPURKLAND No. CE -2225 , NO SCALE G rvu JLHLL lUBBLtJ Sf WKLAND P.L. PTARMIGAN VIEW ESTATE SEPTIC SYSTEM SCHEMATIC 203 W15th Ave LOT 4 DATE: JUNE 15, 1000 Anchorage Ak 99501 JOJI CHRIS CIRCLE SHEET 3/J GRID 2441 I PERMIT 9 S1"l000118 PARCEL ID j 015-091-J1 PRH051AJ.DWG GRAB-HO.I G: 'TER ANCHORAGE AREA BORO, H DreARTMENT OF ENVIRONMENTAL QUALM r� 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279.8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM �%%!� � '` Cf'�fV� � MAILING ,elf NAME 4L-2 2 -5 ADDRESS �/�cy�y�%c� /3�. PHONE LOCATION �/���� ffl��Y %ff� LEGAL DESCRIPTION i SEPTIC TANK: DISTANCE FROM WELL MATERIAL NUMBER OF COMPARTMENTS /%%z_ 1c� J/�Z GGGyf?S3f� LIQUID LIQUID CAPACITY /le9 Gd GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH `— SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER " OR WIDTH 1---2LENGTH Z DEPTH LINING MATERIAILA� 0,144ef'-si/a'i(/L%ii/ct� . DISTANCE FROM WELL BUILDING FOUNDATION�?ias ., NEAREST LOT LINE/�f���''-C-�X �;;I . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ���`-�d' SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL_ NUMBER OF LINES_ ABSORPTION.4 EA- -- FOUNDATI CE BETWEEN LINES FT. LENGTH OF EA , NEAREST LOT LINE TRENCH WIDTH DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE WELL: �/�ivi®�f/_�Lry r s ✓ DISTANCE FROM TYPFr�i1[��as DEPTH BUILDING FOUNDATION. LOT LINE DISTANCES: i:✓1ri�i1�� �f%' TOTAL LENGTH OF LINES TOTAL EFFECTIVE ABOVE TILE WATER 1_ SAMPLE , NEAREST NEAREST 4_� SEPTICr✓ SEEPAGE OTHER SEWER LINE , TANK , SYSTEM—✓ CESSPOOL SOURCES= DIAGRAM OF SYSTEM I N' fit oi'oJEa , yy/frF B� �o o,4a: i V-1 /�-y't ��. A.. I tl 10t ---- - --_ SEEPAGE PIT "/PL AFD ( ! 5 Z1_ o: 1. 't.I `.' 10 LSE Jl FIED c%1 �. ------ TO TO BE INSTALLED BY _-._ _._._._ /. - --- _ _---------------_-- NOTE: THIS PERPo FI 155 NQT VALID WITHOUT %':! 7i-a,T IIP,.. ANTICIPATED ..—V[ R QdIIF�Lk7 E o'i 6t 6'E[. LINO Or AlWV SYS 1-_-M Vl ITHOL+ 'r daT FINAL IR'fsi''L.C71f➢Pa €1Y Th-0F_' %Yl.9•i"or3iT"Y t!VILL, OE SUBJECT TO 4="8fl�T; S:UTICSid. ,1I f.M .� TAC SIZE '9�TY PEy rpj ��y- ,. - - -- -� � ""�--"-�—"onf�-P­tOS f_EpAGE AREA SIZE Dt1 A{aNAM 0r' rnDNDaTro>d 'ro sepnc TANK__. 5 f�" ' FOUNDATION To SEEPAGE PIT._ n e t DRAIN FIELD i?-imc TANK TO SEEPAGE PIT WALL_ C i _- I r•` CAiI Iflon SIP:;0,; PIPC H 111, SfP IIC -IANK It -.,t? SF: PAGE PIT D �J �. � Cf Pt CRIB --a-_. RAIN FIELD _�,.,[—:, e.- \\ ILI iO NEF _q " r 1 Ur L114E I / It j t' ` u F CAS `I '� TO „FF 'TIC' LANK —__ SEEPAGE PI I. �f C -1 7-- \ -_ OftrilN FI FL.D ALSO CONSIDER AREA WELLS. -� IS, IP04� _ f�2l b fP_q MAIN 50 SEPTIC TANUhrlSiCl;BIC SOIL _ yy t{) �e SEEPAGE PIT I,O {�',e C)k A IN:Ie 1.D -Q_f a_ --' 116 ._ -- I i 7 II II JA :i DTIC TAN}( too�PA1 Et BA,-KPILLT . -- SEEPAGE PI'rd��a ei f+ C 1 re9,1 "',: meer lino eroaes A4UL i0 Cpl6 DRAIN FIELD i _. (CRIB A 111kI11U!' APO"[ SllCF, "1'O fiIVER LA;: C, STREAM. u ,�r do 1..<.;y' iAStf) 'f ll 1-E1 IFPU7•d INTO AND OUT OF SEPTIC TANK AND INTO CRID CROSSING GAP OEE - C I I fLls. - - - LI f h 1 -_c uol r.Asrn na (t tIVAr!URI ,3 FEET INTO UNDISTURBED SOIL. I 7 :I I t s0il iF". n 1CF1 DIAMETER N SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT Ilii ILG CAST IRO 1 t I! I0 ; C- lU! 7! IhIJ •: I114 i'l LITIGHT REMOVABLE CAPS . 10f70 Tf 'K 1?). CxceP[ 1C' pn �r tl;rg Foust tank d [I a, tno.r'd t. k:� 3AOG6$13I�.A,. I 1 11."';,n not exceed 7:. rn •'C P 6' Ver IUu cn flat I^ I I1r .� •'"C I ( 1. 1H 1 EPtIC __ terrains, - TO BOROUGH REGULATIONS REGARDING INSTALLATION. I 1 I `� tl IPC _ On' =tf1 I6G1i SIPBh PIPE Ili n � / S.PAGE PIT- to CA / \. _'��-_,���,-I,�l-. _/ -��' 'f �: f i:_c,l I �/T _ •c _ _ CRIB � I ) .V HEALTH OUR�HORITY Gk-i[L UA(KrI LL LICENSED DESIGNER TO IJ !1 fl DIF 111;'1' YNAT I Af. FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE JARLA I30RO.;;r Ai t xf N€, ACCORDANCE WITFI TN 2�J.6 t? AND THA- lr; E:- i -iOVE i;ILAED I r:, IN ;SAID CODE, / - - ATER ANCHORAGE AREA BORON DEPriRTMENT OF ENVIRONMENTAL QUALITY CASE # 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For Gate BgldersoA Date Performed 6 — 1.3 72 Legal Description: Lot 2, Block _Subdivision Pre,312aoi' lysrahkr **/ This Form Reoorts Soils Loq>c Percolation Test Depth Feet Soil Characteristics 1 2 ToPso ti t ! I -1 3 n G-rl S i So, wi 4 7 d 9 10 CV T) SQ, GA oh pas vp oP tesf pi b`, i I I IL i I I I I I I i G.! SF S,, a" V%V%+ orr w*sf Clow»%.11 sile or- Pt 4o be eN iar.%,J upL:11! Was Ground Water Encountered?_ sj 060 1 — If Yes, At what Depth? Readinq Date Gross Time Net Time Depth to H2O Net Drop' F— I Perc:nlatinn Pato Proposed Installation: Seepage Pit Drain Field Death of Inlet Depth To Bottom Of Pit Or Trenc CnMMENTS: I_yqj�t�zsloxZ. + $Sx4/Y r Izen d % J A Ffl0'r fr,a ., i F 6, Test Performed By —T—A R—e,,,m Data Certified By: ^- - i e REID ENVIRONMENTAL ENGINEERING R E2 SRA BOX 1584R ANCHORAGE, ALASKA 99507 X RM(VAWhX MUNICIPALITY OF ANCHORAGE DEPT. OF I'. -:'LTi & ENVIRONMEMJ;..I F.:.-•ILCTION March 28, 1980 MAR 2 8 980 Mrs Betty Smith RECEIVE Prospect Heights Subdivision Block 5Lot 2 Dear Mrs Smith: On March 27th, I performed a soils adequacy test on the Septic Tank/Pit located in Prospect Heights. After the septic tank had been pumped, 1000 gallons of water was dumped into the pit. Within 107 minutes over 700 gallons of water had seeped into the soil . At 8:30 AM, March 28, 1980,there Was no water left in the pit. The plot of the rate of fall shows that the system is more than adequate to act as a seepage pit for a three bedroom home. @oo��aea��y�SG�c 7 � _. 6y`C0v ep 0aAe ._ _1 Leroy u % No. 2251-E • DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE C SINGLE FAMILY ❑ One ❑ Four ❑ Other INSPECTOR INSPECTOR INSPECTORP f J,Vj 7. WATER SUPPLY MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. 1—Al-Til;__ & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT)�I p�1 IN 825 L Street - Anchorage, Alaska 99501 tl IVIRONib1E;dT', i ,.•_' i ECTION • c'1 AR 1 8 111180 ENVIRONMENTAL SANITATION DIVISION depth (attach log if available.) Telephone 264-4720 II vv REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWM9LVI DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE MAI LING ADDRESS " PROPERTY RESIDENT (If dfff//er//ent from above) PHONE 2. BUYER, i PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE "/� � ��t''•� �-Z,f��, >`� ter— neC./ �%� `�--.��<<�Cy MAILING ADDRESS 4. REALTOR/AGENT PHONE y� y �C�-C��GG�i'G._✓✓c�� �i �/ /��Z�iL/L ci. i .,.�iC=-��c.�. �.,��-J2/_��J3 J ��`�I� MAILING ADDRESS ,o 5. L AL DESCRIPTION _ {2/l o G J / • G- STREETI CATION ��J 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS C SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY i] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE-' %% 7 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 4 D- I' /1 171//N 2 0. `o.-Z)n c s. CHEMICAL & GL�LOGICAL LABORATORIES k --'ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER �. 274-3364 5633 B Street ° Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I' TO BE COMPLETED BY LABORATORY WATER SYSTEM: I.D. NO. water System Name Phone No Mailing Address ii City _ j _ "` State Zip Code SAMPLE DATE: C Mo. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample With lab ref. no. i ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. LOCATION Collected By 3 51 1 Analysis shows this Water SAMPLE to be: El Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: ❑ Fermentation Tube O Membrane Filter Lab Ref. No. Result' Analyst I F7 I m ED .No. of colonies/ 100 ml. or No. of Positive portions. 06.1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Source a.m. —p.m. Lab.No. — loml I 10m1 I loml 1.0ml I 0.1ml EMB Broth 24 hours: Broth 48 hours: COLLECTING SAMPLE Multiple Tube Report: 10ml Tubes Positive/Total 10m1 Portions Membrane Filter: Direct Count Collform/100ml Verification: LTB BGB Final Membrane Filter Results Collform/100ml Reported By Date Date Collected READ INSTRUCTIONS Date Received Time Received. Presumptive loml 20ml 24 Hours BEFORE 48 Hours Confirmatory 24 Hours Source a.m. —p.m. Lab.No. — loml I 10m1 I loml 1.0ml I 0.1ml EMB Broth 24 hours: Broth 48 hours: COLLECTING SAMPLE Multiple Tube Report: 10ml Tubes Positive/Total 10m1 Portions Membrane Filter: Direct Count Collform/100ml Verification: LTB BGB Final Membrane Filter Results Collform/100ml Reported By Date March 20,, 1980 Larry A. Smtith Star Route A Box 2064B Anchorage, Alaska 99507 Subject-- Lot 2A Block J Prospect 73'eiC.fhts Subdivision Ei i;7rovcal foryour individual star ar wi water facilities can not be: r;:,-azai:ea until t1hollovying items have been Completed- \ � 1'. \/ office froy� ir.l e -m Labf 5633 L, tree j for our U �� i701101% to 'Cf'Fis office, (3) Locate anCi expose the ss.t`2'Lldpipfes to the le+achinq area for o r inspection. This is to the - 3U.I a ixi c1ist'32icerequirements fare imiet. 4etweevk your wall anc sewor system. (fl l t`n a( aqu acy ti;:;,it be ar&or_ae on the e;{2dsi'CJ_n (L/leaching area. This :est will determine if the system is <adoquate accorinn to I.National Standards. �\ ;-i1t...lC3sed- This Y'F3pC)rt 11eedIs to 'Jt -2t to b'"1 ss Larry Smith K?a+jc �Avo if t!"}C3re are. any r-urther C?"uest:!.ons, please contact this office at 264-4720. Asso(Aate Specialist CC: First Hational Bank of Anchorage ache ::1orts ign Loan Departmant Post Office ==epi 720 99510 Betty Smith ?i =? l z� ; o raz7y gealtors 5060 B Street Suite 105 59503 !: EO UEST F(;R AL'PROVAL OF INDIV:LDU<1L SEWER AND WATER FACILITIES 1. ��,v;�,ding l_rc�titi.3tion Il�edt.t<�st: First Escrow 1.> P:c?;;_r'_y Owner. Ralph E. Ferguson Yia.Uinu Andress: 240 West 5th Avenue 99501 Phone : Phone: 277-0332 Legal Desc:ri.A?':.ioi;.a Lot 2A block 5 Prospect Heights Subdivision 4: Single Fam-i-ly Residence: ( x) Number of Bedrooms: Three "3r lti ple Family Residence: t ) Number of Bedrooms: 5. 4 c 11 Svstem: individual Well 6) Com1minity,/Public System ( ) Depth of 4^iel_i 500' 6del.1- Log on File ( ) C?:1st, actio n Bacterial Analysis 6� Scz-,, a.cle Disposal. System: On-site system (x) Public Utility { ) 1972 1—erni : Installed - Tank S.-i.:y.e Manufacturer r.bso.rp,f-:_on A'ee. Soils Rote material D.is l.ay)~os : Well to S: _ptic `.Dank --------- —_ to A' sorpt ion Area ^ — to Sewer Line Nearest Lot line Absorption Area to tiea.res c. Lot Linie _,MUNICIPALITY OF ANC,HU;-: 04': .Af.k FPkRI'FaP ..` D E Tj iR`1t°?Cr OF HEALTH AND ENVIRONMENT � PROTECTION 825 1, Street, 2"79--251:i., Anc:xiorage, Alaska ext. 22^. or ?_25 99501 Q� Date Received: July 19, 1977 `-„---- 'Gime0: 0 a.m. ##2: Time #3: Time ir. 7 1-77 Thursday y Date 7� Date — 1_n:;P J e4nedy Insp _Z1s 0,.Y% Insp _pw. !: EO UEST F(;R AL'PROVAL OF INDIV:LDU<1L SEWER AND WATER FACILITIES 1. ��,v;�,ding l_rc�titi.3tion Il�edt.t<�st: First Escrow 1.> P:c?;;_r'_y Owner. Ralph E. Ferguson Yia.Uinu Andress: 240 West 5th Avenue 99501 Phone : Phone: 277-0332 Legal Desc:ri.A?':.ioi;.a Lot 2A block 5 Prospect Heights Subdivision 4: Single Fam-i-ly Residence: ( x) Number of Bedrooms: Three "3r lti ple Family Residence: t ) Number of Bedrooms: 5. 4 c 11 Svstem: individual Well 6) Com1minity,/Public System ( ) Depth of 4^iel_i 500' 6del.1- Log on File ( ) C?:1st, actio n Bacterial Analysis 6� Scz-,, a.cle Disposal. System: On-site system (x) Public Utility { ) 1972 1—erni : Installed - Tank S.-i.:y.e Manufacturer r.bso.rp,f-:_on A'ee. Soils Rote material D.is l.ay)~os : Well to S: _ptic `.Dank --------- —_ to A' sorpt ion Area ^ — to Sewer Line Nearest Lot line Absorption Area to tiea.res c. Lot Linie a Department of Health and Environmental Protection Request for Approval. of Individual_ Sewer and Water Facil.i,_ies Legal Description: Corttin4nts : Lot 2A Block 5 Pros eY v t Heights Subdivision Ad Affadav_it Attached,J�( )� Lette.r. Attached: ( ) Approved: Date: .__ ___------ Disapproved: _^__ _-- Date: Department Worksheet.: CITY DEPARTMENT OF HEALTH AND SOCIAL SEr._ ES 06-1220(a) Rev. 1973 ALAS. DIVISION OF PUBLIC HEALTH Lab Na. INDIVIDUAL AND SEMI-PUBLIC �-7 BACTERIOLOGICAL WATER ANALYSIS OFFICE DATE nalysis shows this Water SAMPLE to be: INDIVIDUAL � SEMI-PUBLIC ❑ CHLORINE RESIDUAL PPM Satisfactory Unsatisfactory REPORT RESULTS TO ❑ ! '' '� t C ❑ Questionable Sample too long in transit; sample should not be over 46 ❑ P in reliable results. Please NAME r j i hour, old at examination to send new sample. ADDRESS-�/ C' ei C � ❑ Bottle broken in transit, please send new sample. CITY ADDRESS OF SOURCE ZIP CODE COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY —f -r- 0, � t �./ DATE COLLECTED � -- AME COLLECTED !1 Sample Collected From Kitchen Tap ❑ Bathroom Tap ❑ Basement Tap ❑ Other (List) - ❑ Drilled ❑ Bored Well- ❑ Dug ❑ Driven SOURCE: ❑ Spring ❑ Cistern ❑ Other— Dug Well or Cistern Construction:Tile Brick or Walls -171 Wood E] Concrete [ Mme .l ❑ Open Top ❑ Concrete Top - ❑ Wood [3 Concrete LOCATION:❑ In Basement ElBasement Offset F]Under House []In Yard ❑ Other Septic Building Sewer Feet, Tann Feet. DISTANCE TO: or Other Drainage Pipe Tile Seepage Cess- Feet. Field -- Feet. Pit Feet. Pool Feet. Privy Other Possible Sources of Contamination ❑Asbestos - MATERIAL: Building Sewer- ❑ Cast Iron ❑Wood ❑Tile ❑Fibre Cement ❑ Plastic Joint Material - Type ❑ No GENERAL: Does Water Become Muddy or Discolored? ❑ Yes When? Feet. Diameter of Well Depth Well Casing Diameter Depth -- Material Water Depth Feet. Length of From Bottom - In Utility Drop Pipe Offset in PUMP LOCATION: ❑ In Well ❑ Basement ❑ In Basement ❑ Room On Top I` _ ❑ Of Well E] Other ❑ No PURPOSE OF EXAMINATION: Illness Suspected? E3 Yes SignatureNew Source of Supply? ❑ Yes ❑ No Repairs to System? ❑Yes ❑ Na 9 Rev. 1973 READ INSTRUCTIONS Data Received Time Received— Lactose Broth - lOcc lOcc 24 Hours ON 48 I—— _ Brilliant Green 24 Hours -- REVERSE SIDE —48 Hours EMB BEFORE Lactose Broth, 24 hrs. AB hrs.- - Coliform Density MF Results SANITARIAN'S REMARKS loco AGAR am __pm Lab. No. to c lace 1.0« 1.01 c Gram's stain (Most probable No. per 100cc) a.m. COLLECTING SAMPLE Date p.m. Reported by -� - -� Absent - This analysis indicates Coliform Organisms to be: - Present a \ I THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER of BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK - MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS I1�APPROVED FOR —3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 4C B4 • -� Municipality of Anchorage ° On -Site Water and Wastewater Program (907)343-7904 �• E*• Certificate of On -Site Systems Approval Parcel I.D. 015-091-32-000 Expiration Date: 02 17 1. GENERAL INFORMATION Complete legal description Prospect Heights #1, Block 5, Lot 2A Location (site address) 9800 Slalom Drive Anchorage, AK 99516 Current Property owner(s) Griffin Smith Day phone 903-8015 Mailing address 9800 Slalom Drive Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: Fx� Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Four 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ED Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: I��/IA 11/� l� JaliP i Date: I COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5264 Date of Payment IUL2//% Receipt Number 6549(0(1 COSA# off-/ (,01(55 8 Waiver Fee $ Date of Payment Receipt Number 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, P.E. 6. DSD SIGNATURE YSystem #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone 522-7773 Date 11/16/2016 �g T ; •°°°° 4. Conditional approval for bedrooms, with the following stipulations: By: ll� J Original Certificate Date: 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f c If more than 1 septic system is on the lot: COSAChecklist# of Structure served by this system' Certificate of On -Site Systems Approval Checklist Legal Description: Prospect Heights #1, Block 5, Lot 2A Parcel ID: 015-091-32-000 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed Unknown Sanitary seal (Y/N) Y Total depth >310 ft. Cased to >40 ft. FROM WELL LOG Date of test Unknown Static water level Well production Unknown ft Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) >12 in. AT INSPECTION I( Ill�l� 10 ft. Unknown g p m O,oq 0.07 g. p. m. WATER SAMPLE RESULTS Coliform 0 colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 8/24/16 Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size; 1,250 gal. Number of Compartments 2 Anderson Engineering Date installed 5/26/2000 Cleanouts(Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 8/26/201 6 Pumper Around -The -Clock Pumping C. ABSORPTION FIELD DATA' Date installed ,6/21 /00 Soil rating (g.p.d./ft2 or ft2/bdrm) .6 GPD/SF Length 1; 575r' ft. .yj Width 3 ft. Total:LISth 9 +ft}!-' "'Eff. absorption area 750 ft2 Monitoring tube. 1026[16 Pass Date .of adequacy test Results (Pass/Fail) System type Deep Trench Gravel below pipe 5 ft. Y Depression over field N For 4 bedrooms :n ". �• Yrt1ti i;; iitSl!ni!Sz :: a ,. Fluid depth n absorption field before test 0 in. Water added 600 gal. 60 0 Elapsed Time: min;:'' Final fluid depth in. Absorption rate > Any rejuvenation treatment (past 12 mo.) (Y/N & type) N New depth 0 in. _' 600 g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off' level at E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Cycles tested >100' Absorption field on lot >1 00' Public sewer main >75 Sewer /septic service line >25' Animal containment areas >50' Manhole/Access (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots >100' >100' Public sewer manhole/cleanout Holding tank >75 >150' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5"' Property line >5' Water main >1 0Water service line >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10 Building foundation >10 Water Service line >10' curtain drain None Noted Surface water > 100' Wells on adjacent lots >100' Absorption Surface water d >51 >100' Water main > 10' Driveway, parking/vehicle storage > 10 in. F. COMMENTS Two private wells are on the lot. Both are in use and serve the home. OW Soo txnw0 uAng SLi1"a iwIK tsftmnrs 3o0+ OOL4oAS W Teas VICILL G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Benjamin Schiller, P.E. Date 11/16/2016 COSA brown sheet -1 0-10-1 2.doc '4•` i Yt 1 �4. Yoepsepp PP Y Oh ea. njam Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC161558 During a recent COSA on-site inspection and test of the potable water supply well on Block 5, Lot 2A of Prospect Heights#1 subdivision, the well's productivity was determined to be 0.016 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the subject well currently Does Not Meet 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. Additional 300 gallon water storage has been added. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. /14 ?O\ LOT 2B �AN09E4S�M/ \ \ \\\ LOT 2A LOT 1 - 9>>6 Ory \\ \ NOTE: Asphllb lm Kapp hd A wa aMt. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED RLATARE NOT SHOWN HEREON. 4z °s 00 RF e OHeI ss 1'O 8311M SCALE: 1'= M O p� A"VL 411NOCORN yv / A58ULT NO CORNERS SETTMS DATE Annlpnps Rewr6ng Pndrct,Abab,aMt4ltla IaV�'aniaela MlreMf menNn anf wrtlan Vn POPeEY�aa aM Eo rot oreEap a enw M m me Pr^paM NL9 agaaM merto, met ro IrtgmrcmeMaonms pmperty Ipg eEjeaM mereto rvostll on me premlaea h µe5bn eriJ mat meta en ro tmEMyp, tnmmisbn aroaaaror Wlbb eaXI11N1b on aH prapxrynaq saYmmlM naaon DalMet AnEwnge, Naab M. 3UN Est elZAar�,NP1 FRED WAIATNA 6 ASSOONTES Em9M .EsvVetwa • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcell.D. 015-091-32 1. GENERAL INFORMATION Complete legal description Expiration Date: as PROSPECT HEIGHTS #1 BLOCK 5 LOT 2A Location (site address) 9800 SLALOM DR., ANCHORAGE, AK 99516 Current Property owner(s) STANWICH MORTAGE LOAN TRUST Mailing address Real Estate Agent BOB BROCK 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone Day phone 261-7603 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual FN Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water SySt^cii� ❑ Pubiii. SVVVVI F-1 Waiver[Variance request for: NONE Distance:_ Received by: 'u ,.ori Date: � <- COSA to be releasedeh�eqjgineer, unless otherwise requested by the engineer. COSA Fee $ V? d Date of Payment l r 11 V 113 Receipt Number t1 qR W 6 COSA# (j)SC1a16-gg Waiver Fee $ Date of Payment Receipt Number 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 SPURKLAND ENGINEERING Address 203 W. 25TH AVE.,STE.202A, ANCHORAGE, AK 99501 Phone 279-3916 Engineer's Printed Name LARS SPURKLAND Date 11/5/2013 �....�.v„t, 6. DSD SIGNATURE r a I / System #1 Approved for bedrooms • • • ' ' LAS _. SPURKL AND. System #2 Approved for bedrooms ! U;_, - 5 0 �- Disapproved Conditional approval for bedrooms, with the following stipurtislas��`��R Original Certificate Date: r 3 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 Advisory Well Flow Advisory Other COSAbluesheet f .. If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: PROSPECT HEIGHTS #1 BLK 5 LOT 2A A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # Date completed UNK' Total depth >310/>'ft Date of test Static water level Sanitary seal (Y/N) Y Cased to >40 ft. FROM WELL LOG LINK LINK ft. Well production UNK g P m WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 1.13 mg/L Arsenic ND ug/L Date of sample: 10/29/13 B. SEPTIC/HOLDING TANK DATA Parcel ID: 015-091-32 Well Log (YIN) N Wires properly protected (YIN) Y Casing height (above ground) 18+ in. AT INSPECTION 10/31/13 55/293 ft 1.5 (COMBINED) 9 -P.M. Collected by: ANSON MOXNESS Tank Type/Material SEPTIC/STEEL Date installed 5/26/200 Tank size 1250 gal. Number of Compartments Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N Date of pumping 10/31/13 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 6/21100 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 System type TRENCH Length 75 ft. Width 3 ft. Gravel below pipe 5 ft. Total depth 14.6 ft Eff. absorption area 750 fe Monitoring tube Y Depression over field N Date of adequacy test 10/24/13 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 43 in. Water added 510 gal. New depth 55 in. Elapsed Time: 1260 min. Final fluid depth 44 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.) (YIN & type) NO If yes, give date D. LIFT STATION Date installed _ Size in gallons - "Pump on" level at in. "Pump off' level at Datum Cycles tested --- E. E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 25'+ Animal containment areas 50'+ Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Water main NA Water service line 10'+ Wells on adjacent lots100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation10+ Water Service line 10+ Curtain drain 50+ Surfacewater 100+ Wells on adjacent lots 100'+ Absorption field 51+ Surface water 100'+ Water main INA Driveway, parking/vehicle storage 10' F. COMMENTS TWO WELL ON LOT, BOTH IN USE. " SYSTEM PRE SOAKED 10/24/2013 G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKLAND Date 9/19113 COSA brown sheet 10-10-12.doc in. 4 SPLITMand EfluNearong Environmental Consulting and Design 2S r— I Municipality of Anchorage November 21, 2013 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Water Sample Results 9800 Slalom Dr., Anchorage, AK 99516 Ladies and Gentlemen: The water system at the above referenced property consists of two low producing wells, pump controls and a 600 gallon storage tank. A combined water sample was collected from a faucet on October 29, 2013. The water quality results met EPA drinking water standards for Total Coliform, Nitrate, and Arsenic and are recorded on the COSA Checklist sheet. We are requesting that individual samples from each well not be required with this COSA application. During the 2007 COSA inspection, the water samples were drawn from the well head for each well. Each well met EPA drinking water standards and the results were recorded on the COSA checklist sheet. At that time, the well casings were inspected to verify that there were no perforations with in the top 40 feet of the casing. No cracks or perforations were observed during the camera inspections. Nothing was observed during this most recent inspection, that would indicate that water quality or subsurface conditions have changed. The wells do not appear to be a contamination risk. If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lars Spurkland, P.E. Civil Engineer 203 West 15`" Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net R r (� Parcel I.D. 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 wvnnr. muni.orgionsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 015-091-32 1. GENERAL INFORMATION COSA# og0169-- Expiration Date: %— L'7 — Q-7 Complete legal description Lot 2A; Block 5; Prospect Heights Subdivison #1 Location (site address) 9800 Slalom Dr. Current Property owner(s) Peter Eggman Mailing address Lending agency Mailing address Real Estate Agent Mailing Address L=Q Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well El Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone 244-6623 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site El Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems 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 engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verify that my Investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm s a s engineering Phone 694-2979 Address 15661 S. Birchwood Loop Rd. Chuglak, AK 99567 Engineer's Printed Name R0J66.41, C- Date IV/x(1/0 7 1 T % ROBERT G COWAN 5. DSD SIG ATURE yl `mac'• CE -8801 Approved for 3 bedrooms. ,+1. r�_ �•., Disapproved. 1111e1;:;" Conditional approval for bedrooms, with the following stipulations: raracnmems: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory _ C Other By: Original Certificate Date: ' 7 — 07 (Rw SLOS) Municipality of Anchorage Development Services Department " Building Safety Division ` • • .11 On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onshe (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST yY3 Legal Description: J+�S� �2pS/1c� ` / Parcel ID: A. WELL DATA /tomwZ( R 1471isE) Well type7¢I�T6 �teiffrf If A, B, or C provide PWSID # = Well Log (Y/N) A10 N Date completed,' ' uAAK_- Sanitary sea ) yrs Wires properly protectedON) C Total depth u 40—L& Cased toy �•5 ft 6s•6 Casing height (above ground) I Zt in. �� FROM WELL LOG afu- - 1. 1 V_WZ. Date of test — 0 •(1K' /;- Static water level ,t1k ' gwr_- ft. Well production - 'K'- rum- g.p.m. WATER SAMPLE RESULTS: -* I ;V+Z Coliform o D colonies/100 mL Nitrate? + *9/L Arsenic: 0JQ ug/L date of sample: 4WO 7? B. SEPTIC/HOLDING TANK DATA Tank Type/Material ScFnc_ � L Tank size j7,5v gal.``/I Number of Compartments a AFoundation cleanou (/) .5 Depression over tank (Y6 zz D 3 zZ O'� 2 I ' ft. 3.5 i � / J$ g.p.m. Other bacteria _d_0 colonies/100 mL Collected by: 34-S &*1x7 fIP_lu'iv Date installed 5 17L 11A9 — Cleanout (>�l !) k/1"% High water alarm ()1S A 2_ DateofpumpingL1/5'1_ Pumper ��wu�_ruaro a-Rfn� C. ABSORPTION FIELD DATA Date installed 619 j t'� Soil ratingg.p.d./ft r ft2/bdrm) L% 6 System type L ' T r r Length �rJ ft. Width 3 •D ft. Gravel below pipe S• O ft. r Total depth ft. Eff. absorption areaft' Monitor tube *S Depression over field f. Date of adequacy test 3 D Resu (Pas ail) For —4 -bedrooms rl Ir Fluid depth In absorption field before test in. Water added gal. New depth in. It Elapsed Time: % min. Final fluid depth in. Absorption rate >= _ g.p.d. Any rejuvenation treatment (past 12 mo.) (`& type) %1n If yes, give date — D. LIFT STATION-fV/A– Date installed "Pump on" level at _in. Datum E. SEPARATION DISTANCES Size in gallons Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: # I'* z Septic tank/lift station on lot C04 �} Absorption field on lot 10t+r+ I 10CA Public sewer main _ 1.714 Sewer /septic service fine '+ 2 r4 Animal containment areas5b� raD r+ in. High water alarm level at Meets alarm 8 circuit requirements? I On adjacent lots L+0 1 / -�I r r On adjacent lots IL1')-1 GYM-/ Public sewer manhole/cleanout Nhq I N Holding tank A) LA r Manurelanimal excrete storage areas fQ9 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: r + r r Building foundation - Property 1Absorption field / -f Water main —J�,)!A Water service line /0 4 Surface water /00 4 - Wells on adjacent lots /CO f in. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /0 Building foundation /O Water main "'M r t / Water Service line Surface water /rte r' Driveway, parking/vehicle storage /04 / Curtain drain AA`illE' kAYAV1V Wells on adjacent lots /OD F. COMMENTS '�t�' Sln,'Yz �Fftl SD2,V-Eli �jti?f' 8t� A1k� 1]PJL//�I7(• bI�� G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and % `•7 ' Y ; � ' '. - review of Municipal records that the above systems are in �'`e 5 conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name rl'g�c2 T COwfr" i' r'i cow"AN µ .� It�ii.'y C8 -8E01 Date 1t / C 0 7 tt r, COSA Fee 5 L-1 -50 �a�! Date of Payment LI/11, log Receipt Number 45 30B (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage . _ •., w. Development Services Department / 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 Nitrate Advisory Certificate of On -Site Systems Approval # 070102 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 5, Lot 2A of Prospect Heights #1 subdivision. This inspection revealed a nitrate concentration of 7.02 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. M co M 0 J 14h �e� -,I a•�`� • '41 45 I O a 3 �'•�•� sell •�B D �t;.'.�:1�G1afi �e•C yt�i-t.!;i.�:. 't..f.A ,:1:��:�•1:''�. 00 �'d ••Y •^'.' 'Y •l.•. 'r j: r ."ice• 't•Y ••{%�.�1;;''� / N O le t .40 / 2�O ° / sY / 0 / 00. J / P. H R� S' Lou 0 �WWw Ww K = ON O f- �22 W N LLIa W w m 04/15/2007 23:20 9073453287 5 m c CD ti M W DRILLING _ b � O r m � w 0 \J a �I V' i 8 U O OL v� i 0 M W DRILLING PAGE 01 _ b � O r m � w 0 \J • �I V' PAGE 01 _ b � O m � 0 h i 8 U OL v� 0 ,o N