HomeMy WebLinkAboutSOUTH HILLS BLK 1 LT 1South Hills
Block 1
Lot 1
#017-063-07
Municipality of Anchorage
Development Services Department
Building Safety Division
- On -Site Water and Wastewater Program, 4700 S. Bragaw SL
Page I of 3
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 943.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SWO10-78e PID Number. 017-06'-T-07
Da1%•J
Wastewater System: ❑ New (2 Upgrade
•"731) Fhllsxo(wetv wet
ABSORPTION FIELD
Piwe NumW r CO B.a.a.a
(L Dop Trench O Sruov. Tranah O 80 Cl MCUM O oevr:
26 2 -SI z
36 Raxrhp' Taal O.PIn can «,pnn gra0.
LEGAL DESCRIPTION
1.2 rPcle 7.0 I 6.0 Ft,
Bwuh L«'. iMl
W PP. batpn aipnal aprb•'
DDPMm Iro
2.� Z.O
Grana 0•MfD.eraN p0•. /-.
J•0 J• Z FI
(��` //SS�.N.,i
1 1 iVU!'r Holt_
FI.
Towrhxn,p Raga S.aiax
Fa 006E antra aiPrul V.Oa:
Grana L.nptb:
'12 + K2 et 6y Ft.
Ft.
GrarN rget
NuTbr«WNa
Dutaixe W"00k aNF
❑ rade
Well: Ex1ST C3 New Upgrade
2.S Ft.
2
Ft
IS
cb,rboxW (Fora.. A B. c),
raa o.M.
Cased tP'.
ran abxapum was
O i + F2
Pipe S AeW
5t�i.rr K0 PVC
FL
Ft
,�
Data dxu0-
SMPC W,Ie L.va.
Wux.n
Leer 11- 9)4Ca✓o /x
Dau •IeIW
10/2-/01
Ft
T,.,, Pump set at G... o New W . Gra.,e
TANK
GPM Ft. FL
SEPARATION DISTANCES
❑ septic 0 Holding 13 S.T.E.P. ❑ Other.
To
Septic
Absorption
Lift
Station
Holding
Tank
PSewer Line
Sewer Line
M.nJad,/.r
/?.nG11prQ Q sunk OrYnCO
Cap"Ay
1ScwGa
From
Tank
Field
mat" a
/
Numb.r 01C«nPetm•^H
1 2
wax
10.7'
lot'
103'
>?S'
/Lee
LIFT STATION
s,n,p.wee
1Uo
> 1CV
> tcp
—
Manulaaure
La Ln.
70'
338'
701
u• L
Tn iY rttl Gal QPCnfO
•punp W ural at 'PhmP W sere a'. H,gn roar eem at
FourhPaon
36 '
26'
3 �'
—
2 2 In
Phnxp Mw S M6N
Euancal Hap. ' PMam.d by'.
Guna.. ore.
�+
--
-
-
O11 '/t ArM.U.
A.
R.marx. BENCH MARK
01r. xnal Septic funk seco
Laaa«h and pnmgxnCC :
%'l slot Sw [o.nc.
4Qn.040ndla 6X p -un :n ✓tmoc..x .>
Nwriud Enr,um
�
cl<Ph.w M CC" "I 40X ~Itai ✓ 100.0 Ft
f daw
0n F%! /wJet11jprW Cor' llcattre Ales n
Engineer's Stamp
x4c&"I;RLt Pwocle In twa-ec-it
�petl,mgQ
%rf%p -rich S✓c Dates: 1" 2 0/01 •.. * ��
Inspections performed by: f ��— V*?;9T1f •'1
'lndq/2B/G/ 0.....0000 ..0 .00900001..0e
Services Department Approval T � ...� ... 40
Development
^ . T/iFODORE F. �100RE is
Date:o2—! Y—O2_ 1`:%e;••• CE a
Reviewed and approved by:7it
. -3589
�fQ`
tae. 1:61 a%p�,"a;y; •. ..•��`
I
PERMIT NO: SWO10388
PID NO: 017-063-07
0
NEW 42 -FOOT LONG
SOILABS. TRENCH -
W. 5.0' EFF. GRAVEL
NEW 43 -FOOT LONG
SOIL ABS. TRENCH
W. 5.2' EFF. GRAVEL
NEW 1500 -GAL.
STEP TANK
1.25" SCHED 40 PVC TBM
47 � ' PUMP
CONTROL-
BOX
ONTROL-
BOX
E"
T.H. #2
"G..
&T
HILLSIDE WAY
PAGE 2OF3
SWING TIES:
WELL
LOT 1, BLOCK 1
SOUTH HILLS SID
FROM: COR. "A" COR. "B"
TO:
STEP C.O. "C" 89'
36.5'
LIFT M.H. "D" 93'
46.2'
� ...... ��• '� ►
y'� • •'�
TR. M.T. "E" 77.5'
92'
�, �1 r .*.
TR. M.T. "F" 40.5'
68'
4•9�Tf..I.\:.....t
TR. M.T. "G" 65'
103.5'
THEODORE F. MOORE ; f.
LOT 1, BLOCK 1, SOUTH HILLS
SID
,•,�
•. CE - 3589 ;;
SEPTIC SYSTEM UPGRADE
.
r. " '••.,,,,•..• ', �'
AS -BUILT PLAN VIEW
•°° ".':•.'P.
FLATTOP TECHNICAL SERVICES
I SCALE:1"=3C
PERMIT NO: SWO10388
PID NO: 017-063-07
INV.
89.2'
4' SOIL COVER
4" RIGID FOAM
500 -GALLON
PAGE 3OF3
2' SOIL
2" FOAM '
P:; n CITH t a 0:1-
.. ......... ;
X0
..................
: THEODOPE F. MOCRE
C,'+•• CE -3567'x`
3' SOIL
COVER
LOT 1, BLOCK 1, SOUTH HILLS SID
SEPTIC SYSTEM UPGRADE
AS -BUILT PROFILE VIEW
INV.
FLATTOP TECIINICAL SERVICES NOT TO SCALE
14530 ECHO STREET DRAWN BY TFM
ANCIIORAGE•, ALASKA 99516 OCTOBER, 2001
.. 1.25" DW
INV.
SCHED 40 PVC
94.4'
W. 3116" HOLES
:: SPACED 18"
INV.
89.0'
BOTTOM TR._
ELEV. 89.4'
TEST HOLE
#2
GND. ELEV.
96.5'
BOT. ELEV.
81.5'
NO WATER
P:; n CITH t a 0:1-
.. ......... ;
X0
..................
: THEODOPE F. MOCRE
C,'+•• CE -3567'x`
3' SOIL
COVER
LOT 1, BLOCK 1, SOUTH HILLS SID
SEPTIC SYSTEM UPGRADE
AS -BUILT PROFILE VIEW
INV.
FLATTOP TECIINICAL SERVICES NOT TO SCALE
14530 ECHO STREET DRAWN BY TFM
ANCIIORAGE•, ALASKA 99516 OCTOBER, 2001
,Oct 02 01 08:59p Marilyn Elsenbast 3463559 P•1
' F,161-) r s,�s'Isss �, P-1
-fZ4eefi C ti'. kl. Onl I I L OC
KIAV
FROM CAROTI MECTRIC FAX N7. : 3464032 Sep. 2D 2001 12:14PM P1
INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING GAFETY DIVISION
3500 EAST TUDOR ROAD
INSPECTI0yt VOICE 5534464 INSPECTION: FAX(80»3434235 INF0:3438211
NAIVE �i RroT. r..t.ECTR PERMIT/ Z97/
sy PN6N@0U1A6�4030
ADDRESS
6►ptilON
LOT _BLOCK EUBOM910Ny� I owT� ' /����
COMMCNTSorWRECTIONS: /� , �!
�-"�. /'�./LJ7 JK.I .
%-4/1 NO NoNCOMPLUINCE OBSERVED
(I CORRECTIONS ESSENTIAL A9 WLMNED BELOW
tIVALLRbECAM*MAYNE)CTWSPECTION DONOTCONCEALUNTILREINSPECTED
COMMENTS: (FOR INSPEMR USE ONLY)
INSPECTOR r t..
.
uN-Do<C=lzvuNJD, RQoeI4
I
4EN CORRECTIONS ARE MADE PLEASE CALL FOR REINSPECTION
DO NOT REMOVE THIS NOTICE
MUNICIPALITY OFANCHORAGE
Development Services Department
Onsite Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 24, 2001
Expiration Date: Sep 24, 2002
Permit Number: SWO10388 Parcel ID: 017-063-07
Legal Description: SOUTH HILLS BLK 1 LT 1
Design Engineer: 0019 Flattop Technical Services Site Address: 007311 HILLSIDE WAY
Owner Name: Howard Davis Lot Size: 59015 SO. FT.
Owner Address: PO BOX 395 Total Bedrooms: 4 Permit Bedrooms: 4
CLAM GULCH , AK 99568-0395
This permit is for the construction of:
Disposal Field Q✓ Septic Tank Ej Holding Tank ❑ Privy El Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3_ The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: 9 *"L >!G /
Date: 17-24-01
Municipality of Anchorage
.. Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ek.us
(907) 343-7904
ON-SITE SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O 17 - OE3 - 0-7, Permit Number SWO/0388
Property owners) 1k+ w ce► c�
Day phone
262 -Sr 25� _
Mailing address (1) P.O. Oo 39S
Mailing address (2) C /a�^ �'<<� k
Zip Code
99 sY& -03&-
Legal description (Lot, Block & Sub'd.)
'4,
Legal description (Section, Township & Range)
Lot Size 546)1 S Acres/Sq.Ft... Number of Bedrooms i
THIS APPLICATION IS FOR:
Sewer Only ❑
Well Only
❑
Sewer and Well ❑
Water Storage
❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑
Jacuzzi
❑
Swimming Pool ' ` ❑
Water Softening Unit
❑
Therapy Pool ❑
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.
5�i _%.'
(Signature of property owner or authorized agent)
Permit Fees: 20 Waiver Fees:
Date of Payment: i / l 8 / O/ Date of Payment:
Receipt Number: ; Receipt Number:
(Rev. 12100)
CIVn. B ENVIRONMENTAL ENGLYEERLNG • ENERGY CONSERVATION 6 ANALYSIS
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
September 18, 2001
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 upgrade the wastewater disposal facilities on Lot 1, Block 1, South Hills S/D. The present
system is no longer able to accept the wastewater load generated in the residence. Soils logs, perc test
results, a site plan, design drawings and specifications are enclosed for your review.
The proposed system will be constructed in the vicinity of test hole # 2. As can be seen from the soil
log, the native material between 3 feet and 6 feet below ground level is a sandy gravel with a measured
perc rate of less than 1 minute per inch. The underlying silt and sand strata do appear to be permeable
and will provide the necessary filtration before effluent reaches a water table. Using the soil application
rate of 1.2 gpd/sq. ft. specified in the wastewater ordinance, this 4 -bedroom residence requires a total
absorption area of (4 x 150)/1.2 = 500 square feet. The proposed 84 -foot long trench design with 5 feet
of sewer gravel (of which 3 feet covers the designated absorption stratum) has a total effective
absorption area of 504 square feet.
The topography of the lot in the area of proposed construction slopes gently towards the north and
west at approximately 3%.
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.
I
OLD RABBIT CREEK ROAD I
I
oF At
I
t I
.. r•*• .•••••• ,^f -?b LOT 1, BLOCK 1
w' I
� '••"'• ' '�'•�••"•
A : THEODOREF. OOREABANDON EXISTING
•: �- tl I
:�{•, CE -CF - FI35II9 � 1250 -GALLON SEPTIC
Vv ,
',';�'•.,��•����,.• f<t�� TANK AND SEEPAGE PIT-----------
T.H. #1A I
INSTALL NEW
..�� 1500 -GALLON 'P
^* LOT 2, BLOCK 1 T.H. #1 STEP TANK co
MIT,
€
I
SEEPPIT ' 4 BDRM
EE
SEPTIC HOUSE D I
SYSTEM \ I
® ; WELL L I
aHOUSE T.H. #2
I
; CONSTRUCT (2) `, I
42 -FOOT LONG
SOIL ABS. TRENCHES',
,
W. 5.0' EFF. GRAVEL
I
_- - :----
--------------
HILLSIDE WAY
LOT 2, BLOCK 2 LOT 1, BLOCK 2
,
,
,
INSTALL NEW
1500 -GALLON
STEP TANK
1
4" DIA
42 D-3034
11 FROM
M.T. HOUSE
......................... ................
1.25" DIA
SCHED 40
CONSTRUCT (2) 42 -FOOT LONG 1.25" DIAMETER PVC
SOIL ABSORPTION TRENCHES SCHED. 40 PVC M.T.
W. 5.0' EFF. GRAVEL BETWEEN W. 3/16" HOLES
2.0 8 7.0' BELOW GROUND LEVEL SPACED 18"
M.T. –j I 42
�o�mggq
Ilk e�O
P.
PLAN VIEW n...f ....:.............. s
SCALE: 1" =10' 17.7
y,...�.................... p
11 . T.ipODC>: F. f.00RE'� >"
CZ -3589 1•'
.•'•4,"
MONITOR TUBE <:
MOUND COVER MATERIAL W
ORIGINAL GROUNDS _
7' RIGID INSULATION
FILTER FABRIC
ci
1.25" DIA SCHED 40 PVC v'
W. 3/16" HOLES @ 18" O.C. ;
12-21R"GRAVEL
T— BOTTOM OF EXCAVATION--
LOT 1, BLOCK 1, SOUTH HILLS S/D
SECTION "A - All SEPTIC SYSTEM UPGRADE
SCALE: 1" = 5' PLAN AND CROSS-SECTION
FLATTOP TECHNICAL SERVICES SCALE: AS SI IOWN
14530 ECHO STREET DRAWN BY: TFM
ANCI[ORAGE,AK,99516 SEPTEMBER, 2001
TEST HOLE # 2
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Lot 1 Block 1 South Hills SID
DATE PERFORMED: September? 2001
PERFORMED FOR: Howard T. Davis, Jr.
SLOPE
utr
(te
Pt and loam
ML Gray sift
GP/GM Gray somewhat silty sandy gravel
Many cobbles and boulders
ML Gray sitt
SP Medium sand
Gray, angular
ML Gray gravely sift
Dry, dense, hard
B.H.
-\10%
A .
Dept&Grour4waterDate
ogon
r Or Pit f„
............ 0
THEODORE F. MOORE d C
CE -3589 -�
•''• ...
SITE PLAN
T H. #1A
3%
T.H.#� 69S
1
75
5 -Gallon Presoak
allongesoa)
# 1
sP
PIT -b
!a
;HOUSE
N
33/4
q
J ?
1
-3/43
—11-3/4—
;GAR.
1 56
Date Reading
3%
a
.
0
5 -Gallon Presoak
allongesoa)
# 1
J
1
N
33/4
Date Reading
Clock
Time
Net Time
(minutes)
Percomeler
Reading
Net Drop
Onches)
5 -Gallon Presoak
allongesoa)
# 1
3
1
612
22314
33/4
q
1
-3/43
—11-3/4—
a!—
1 56
05
1:57
1
17"�4
167/8
2
B
PERCOLATION RATE «1 (minutesllnch) PERC HOLE DIAMETER 6"
TEST RUN BETWEEN 4.5 FTAND 5.0 FT
PERFORMED BY FLATTOP TECHNICAL SERVICES. 1i-cc•w�_ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9i 1 b lU/
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
TEST HOLE # lA SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Lot 1 Block 1 South Hills SID
DATEPERFORMED: September? 2001
PERFORMED FOR: Howard T. Davis, Jr.
DEPTH
(feet)
1-
2-
3-
4-
5-
6 -
11'
12
13
14
15
16
PL
SM reddish sandy loam
ML/SM Brown sandy sift
SP/SM Gray gravely sand
Dry, soft digging In test hole
Densely compacted at perc test site
seeps at bottom of stratum
ML Gray gravely sift
B.H.
Depth to Groundwater Date
a er se_eps
ater 8. ' 9114101
,a
.✓:......... ........ a........�
a n�t000x<_ s. uooa� . 1^
CE -3599
SITE PLAN'
4T.H. #1A
3%
T.H. #1 696
917 12" resoa
75
esoa
SEEP
F4T 61
HOUSE
1
3-3/8
rz-- 415116
318
wa er
T.H. #2
_::
2—
--YMS—
,GAR.
636
s+;pg:gi`i€
93
9/16
Date Reading
3%
Net Time Percometer Net Drop
(minutes) Reading (Inches)
917 12" resoa
Date Reading
Clock
Time
Net Time Percometer Net Drop
(minutes) Reading (Inches)
917 12" resoa
esoa
T1 R
to
1
3-3/8
rz-- 415116
318
wa er
4705
23
2—
--YMS—
water
.TnO
23.3/8
93
9/16
PERCOLATION RATE <1 (minuteslinch) PERC HOLE DIAMETER 5"
ILL--..JJJ TESTRUNBETWEEN 6.75 FTAND 7.25 FT
COMMENTS: This test hole was dug after sewage -contaminated water encountered in T.H. #1 at depth of 10.0'. The pert test was
conducted at an intermediate location where the soil strata were encountered at a somewhat deeper depth.
PERFORMED BY FLATTOP TECHNICAL SERVICES. I,s 2•�, CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 91,6101
(Efattop 7ecknicaCServices
14530'Echo Street, Jincfiorage, JIX 99516
None (907) 345-1355
Lot 1, Block 1, South Hills S/D
7311 Hillside Way
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists of abandoning an existing 1250 -gallon septic tank seepage pit
and installation of a new 1500 -gallon STEP tank which pumps effluent up into two parallel 42 -foot long
soil absorption trenches containing a total of 5.3 feet of sewer gravel.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be 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 Septic Tank:
2.1 The existing septic tank and seepage pit must be properly abandoned by thoroughly pumping,
removing the top and backfilling with soil.
2.2 The new 1500 -gallon, 2 compartment STEP tank shall be Municipally approved and shall be set
level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a
4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial
type, rigid insulation.
2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The
4" diameter ASTM d-3034 waste line from the residence to the septic tank shall have a minimum slope
of 1/4"' per foot, and the discharge line between the tank and the soil absorption system shall be 1.25"
diameter Schedule 40 PVC. A cleanout shall be installed within 4 feet of the building foundation.
3.0 Lift station:
3.1 The lift station shall be installed in the second compartment of the STEP tank which has an
additional 250 gallon capacity. The lift station package shall be an "Orenco" system as supplied by
Anchorage Tank. The tank shall be located at a site outside the /00 foot radius from the well where the
final ground elevation will not cause the soil cover to exceed the allowable burial depth of the tank.
3.2 The contractor shall be responsible to obtain the necessary Municipal electric permit and
inspection, and shall provide a copy of the electrical inspector's report to the engineer overseeing the
construction of the wastewater disposal system.
3.3 The lift station shall be equipped with a watertight, insulated manhole riser and cover extending
a minimum of 6" above final grade with positive surface drainage away from the manhole. The
contractor shall be responsible for determining the necessary length of the manhole riser.
3.4 The on, off, and alarm floats shall be set at the elevations specified by the lift station supplier,
and their proper operations shall be verified by the contractor. The high level alarm shall be mounted
inside the residence at a location suitable to the owner and/or tenant.
3.5 The discharge line from the lift station to the soil absorption system shall be 1.25" dia. Sched 40
PVC. All pipe connections in the distribution system shall be glued, and the ends of all pipes capped.
4.0 Soil absorption system:
4.1 The soil absorption system shall be constructed by excavating two parallel 42 -foot long trenches
to a depth of 7.0 feet below ground level. The long axes of the trenches shall parallel existing land
contours.
4.2 The bottom of the excavations shall be level. Any compacted or smeared surfaces shall be raked
to allow proper infiltration.
4.3 A total of 5.3 feet of approved sewer gravel shall be placed in the bottom of the excavation with
the perforated distribution pipes laid level such that the pipe inverts are no less than 5.0 feet above the
bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing
the 9200 sieve. The distribution piping shall be 1.25" diameter Schedule 40 PVC with 3/16" diameter
holes drilled in the bottom at 18 -inch intervals. The ends of the distribution laterals shall be capped.
4.4 Monitor tubes shall be of 4" diameter and installed in the locations shown on the design .
drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated.
4.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A
minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less
than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the
gravel, in addition to the filter fabric.
4.6 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.
4.7 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.
5.0 Inspections:
5.1 A minimum of 4 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 native material has been excavated to expose the
infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test
information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected
up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and
grading is complete. The STEP tank requires one inspection after it is set level and the piping
connected, but prior to backfill. This inspection may be incorporated with any of the above inspections.
5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
GRE q:R ANCHORAGE AREA BOF IGH
Department of Environmental Quality
0 n�
3330 C Street tl \
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME f ns'�y MAILING ADDRESS ;7695 1414 �d # PHON E q
73
LOCATION LEGAL DESCRIPTION 91 5 4`% l j 113 -5//
SEPTIC TANK:/' { t
DISTANCE
NUMBER OF
FROM WELL w C MANUFACTURER G ���✓ MATERIAL ✓ / COMPARTMENTS-
INSIDE
OMPARMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY! Z �" GALLONS.
SEEPAGE PIT:
/ i
NUMBER OF PITS. DIAMETER OR WIDTH / LENGTH Z® DEPTH
LINING MATERIAL
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
WELL:
CRIB SIZE: DIAMETER_DEPTH- DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT.
TYPE PYiVa7t CONSTRUCTION -5t&�'4Ck'Y DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE SEWER LINE TANK /49 SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ -031
DIAGRAM OF SYSTEM
well
� %Y�rySrIP
z� ��rrrl
�i n/li �it>ni% CZ f�; pe
Y
N
DATE
APPROVED
G.A.A.B.
o Q�f
�Q
J
44[o NM��
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
GREE :R ANCHORAGE AREA BOF .IGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE
MAILING ADDRESS `�, L /
PERMIT NO.
�-�S7
FINANCED THROUGH TO BE INSTALLED BY
solL TEST RESULTSTHIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
c�cXl�� V%�c,�v^r
SEPTIC TANK SIZE��� TYP }7 r��' SEEPAGE AREA SIZE PE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
�.
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK , SEEPAGE PIT
DRAIN FIELD
TO NEAREST LOT LINE.
/7
WELL TO SEPTIC TANK C/
SEEPAGE PIT Z67
,.0
DRAIN FIELD /(�
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
SEEPAGE PIT
DRAIN FIELD /y,�Z"` �� /tea /�"
SEPTIC TANK, G' i, SEEPAGE PIT /"" J. DRAIN FIELD/`- /
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS. n/
GRAVEL BACKFILL/ z
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS ILINNN ACCORDANCE WITH SAID CODE.
DAT Z / APPLICANT'S SIGNATURE �`/✓�Li���' /J� _
F M NO. EQ -016
k
{
17
-
_F-
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS ILINNN ACCORDANCE WITH SAID CODE.
DAT Z / APPLICANT'S SIGNATURE �`/✓�Li���' /J� _
F M NO. EQ -016
Performed for
Legal Description:
This form reports:
Depth
Feet
i_
2-
3-
4-
5-
6'
7_
GREATER ANCHORAGE AREA 60ROUGN
`. _,epartment of Environmental Quay
3330 "C" Street
Anchorage, Alaska 99503
SOILS LOG - PEROLATION TEST
Date Performed G,�3/jam
s logPercolation tes
14 -
/6
Was ground water encountered? i)c If yes, at what depth?
--tReading Date Gross Time Net Time Depth to Water Net Drop
Percolation race III iflu Lc.
Proposed instal latio
T—n:----
Seepa-_ge Pit Drain Field
I.�epth of Inlet _ Depth to bottom 6 -T -pit
pit or trench
COHNIENTS:
Performeo f3 :-��,�G�✓----Certified fay: �«__�___.__._.^Date:
EQ -040 (6/74)
Richard Anderson
2 --may. -75
V, v, n -,V, South Hill
xxa t? a t
171t y
top- The sediments were loosez
A
soil to moderately compacted I
with a high moisture
Gw content, All contacts
5—L -:L between soil types were
erratic with this profil
Sp representing a average
of the over all total.
Gm
to
Gw V
L
.1-- 4 -4 -
Yes
Air srh' D? 1- 15 feet 0
_J
41
DATE
NET TTTIPT-. T�� �1'
- --- ------ - -
ar. C.:.'!§ xx ai
ft
ft Gw af
Pt/ drml 2 ft SD at 5Qqq;Ut/bdrrn,
f
calculated average
By. Percco
—1-9 May - 75
MUNICIPALITY OF ANCHORAGE
® + DEPARTMEN�F HEALTH AND ENVIRONMENT PROTECTION
' 825 L Street, Anchorage, Alaska -99501
279-2511, ext. 224 or 225
"alDDp(IuSw� Date Received: April 21, 1977
#1: Time #2: Time /n_ ILl-7i �l l r QS #3: Time L -/L
Date - ( Date pj;�(� Date :���j
Insp - Insp Insp P_'_1 CZ7�f
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Alaska Statebank
Mailing Address: 310 East Northern Lights
2. Property Owner:
Mailing Address:
Richard Anderson
Phone: 279-7637
Phone:
3. Legal Description: Lot 1 Block 1 South Hills Subdivision
4: Single Family Residence: (x:�
Multiple Family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
5. Well System: Public/Community System: ( )
Permit # Depth of Well
Construction
n
N
Individual Well: ( 35
Well Log on File ( )
Bacterial Analysis
6. Sewage Disposal System: On-site System (x) Public Utility ( )
Permit # Installed 1975 Installer
Septic Tank Size Manufacturer
Absorption Area
Soils Rate
7. Distances: Well to Septic Tank
to Sewer Line
to Nearest Lot Line
L -
Nearest Lot line
Material
to Absorption Area
Absorption Area
Page ;wo
r Department of Health and Environmental Protection
' - Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 1 Block 1 South Hills Subdivision
Comments:
Affadavit Attached: (') Letter Attached: ( )
Approved: < Date: Jr�
Disapprov Date:
Department Worksheet:
M
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY DEPT. OF HEALTH &
3330 "C' Street, Anchorage, Alaska 99503 — 274-4561 ENVIRONhrENIAL PROTECTION
APR 2 b 1977
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES RECEIVED
1. Type of Inspection: CMRO VA FHA CONY XX
9_ Prnnerty Owner: Richard Anderson
Mailing Address: Day Phone
Z IVamo of Rijvar. Howard T. Davis
Mailing Address: SRA Box 421 D, Anchorage, Alaska Day Phone 279-5661
4. Name of Lending Institution: Alaska Statebank
Mailing Address: 310 E. Northern Lights Blvd., Phone 279-7637
Anchorage, Alaska 99503
5. Name of Realtor or Agent: ------
Mailing Address: -------- Phone ------
6. Legal Description: Lot I Block I South Hi I Is Subdivision
Location: Hillside Drive
7. Type of Facility to be inspected: Single Fam i I y Residence
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation 1975
EQ -037 (1/74)
No. Bdrms. 4
Individual XX
Individual (on-site) XX
@fake yQ 4'
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval )
Parcel I.D. 017-063-07 Expiration Date: ! I aJ
1. GENERAL INFORMATION
Complete legal description South Hills, Block 1, Lot 1
Location (site address) 7311 Old Hillside Way
Current Property owner(s) Chad & Jennifer Solberg
Mailing address 7311 Old Hillside Way
Real Estate Agent
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
Day phone
Day phone
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual l]
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water S stem t— Se - r
y u PiiUlic JCWCI U
WaiverNariance request for: Distance:
Received Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $
Date of Payment
Receipt Number
COSA # 05C 131 ;� �S
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 Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE
System #1 Approved for bedrooms
System #2 Approved for _ bedrooms
Disapproved
Date 7/26/13
Conditional approval for bedrooms, with the following stipulations:
�4�By: Original Certificate Date: -1
They uni ' ali chorage 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 C I- %, c
If more than 1 septic system is on the lot:
COSA Checklist # _I_of 1
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: South HIIIS, Block 1, Lot 1
A. WELL DATA
Well type Private
Date completed _
Total depth ft.
Date of test
Static water level
Well production
If A, B, or C provide PWSID #
Sanitary seal (Y/N) Y
Cased to ft.
FROM WELL LOG
ft.
Parcel ID: 017-063-07
Well Log (YIN) N
Wires properly protected (Y/N) Y
Casing height (above ground) 18 in.
AT INSPECTION
7/19/13
70
ft.
g.p.m. 3.5
g.p.m.
WATER SAMPLE RESULTS:
Coliformcolonies/100 mL Nitrate 0. 7riegmg/L
Arsenic AIDs ug/L Date of sample: 76'7 /13 Collected by: Pe� s
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material S.T.E.P/Steel
Tank size 1,500 gal. Number of Compartments 2
Y N
Date installed 10/2/01
Cleanouts (Y/N) Y
Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ High water alarm (YIN) Y
Date of pumping !O l6/ Pumper i i�n +� �' i c P S
C. ABSORPTION FIELD DATA
Date installed 10/2/01 Soil ratingd./ft or ftz/bdrm 1.2 GPD/SF stem —�
(g•P• ) S Y type li@�X, ! /'• tic. L
Length 84 ft. Width 2.5 ft. Gravel below pipe 5.0 ft.
Total depth 7.4 ft. Eff. absorption area 504 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 7/19/13 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 24 in. Water added 699 gal. New depth 31 in.
Elapsed Time: 410 min. Final fluid depth 24 in. Absorption rate , 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date
D. LIFT STATION
Date installed 10/2/01
"Pump on" level at 43 in.
Datum Bottom of Tank
E. SEPARATION DISTANCES
WELL ON LOT TO:
Size in gallons 250
"Pump off' level at 40
Cycles tested 3
Septic tank/lift station on lot 100+
Absorption field an lot 100+
Public sewer main 75+
Sewer /septic service line 25+
Animal containment areas 100+
Manhole/Access(Y/N) Y
in. High water alarm level at 45 in.
Meets alarm & circuit requirements? Yes
On adjacent lots 100+
On adjacent lots 100+
Public sewer manhole/cleanout 100+
Holding tank 100+
Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+
Water main 10+ Water service line 10+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10+ Surface water 100+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
/ 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 Steven R. Pannone
Date 7/26/13
COSA brown sheet 10-10-12.doc
Absorption field 5+
Surface water 100+
Water main 10+
Driveway, parking/vehicle storage 10+
Municipality of Anchorage
'-� Development Services Department *AE
Building Safety Division
On•Zite Water and Wastewater Program4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904 G
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. _ 1217 -OG3 -C,>-7 HAA #_ Cw
Expiration Date: = / O - O
9. GENERAL INFORMATION
Complete legal description I- c,f 1, 13 /Uc k 1, Sa /}y I(r S /�
Location (site address or directions) -7311 y-� 1/side wG y
Current Property owners) _l% uUa--d i '13e f t e Day phone- 2,5- 2-
Mailing address P• G. 00xK S C/o,;, Gic%� i� 99s �& 039x5_
Lending agency G�cct rd(e aco F neen 1*; r- ( Day phone�Sa3)
90, - 991d
Mailing address 13cx l.Ck ice as-�,�, per{ 9 �o3s-
Real Estate Agent kcvrn 74fX/O,-, PrX4c(Day phone S73 -77.E?_?
Mailing Address q 2 Yl �!j "S,4.1 14nC,4 0!2c m 99sU3
-.Unless otherwise requested, HAA will be held by DSD for pickup. r' lrose, Cn, Rea /76._k-tc.,n TGyI�r
2.` NUMBER OF BEDROOMS: �_ C' z 73 — 7Zz� ,- lote &c- t�o.
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank ❑
Community On-site ❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from. the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties 'served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
v ! Municipality' of Anchorage
r
Development Services Department
I ! Building Safety Division
On-Site Water & Wastewater Program s" 9"
4700,South Bragaw St.
P.O.Box 196650 Anchorage AK 99519-6650
www. ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: _ h- 8��c �-1, Sa u M H116- s /1b Parcel ID: d i 7 -X63 - 6 %
A. WELL DATA
Welle!��f IfA,•B,orC provide N•A.
tYR p Well L'og •(Y/N) N
Date completed !9 7,S' Sanitary seal(Y/N) 'r Wires properly protected (Y/N) Y
Total,depth� (� I /o ft. Cased to �o- ft. Casing height (above ground) I `y in. .
FROM WELL LOG I ; AT INSPECTION
i
.:I
Date'of tesf 1 / Zf% 0"4/
Staticwate level ft 69'! ft
Wel[production m. � 3 •�O �
9•P g.p.m.
-WATER SAMPLE RESULTS:
Coliform ! .a colonies/100 ml. Nitrate 4
/ !Mg./I., , Other bacteria _�_ colonies/100 ml.
Arse In c: II=- mg./I. Date of.sample: A-6 /c> Y Collected by-., Fla f -,4:p 7--4 S -c,
B. SEPTIC/HOLDING TANK DATA
Tank T e/Material S?E F Sf�P �:
Type/Material, installed 912-9101
Tank size '1- SUU gal: Number of Compartments 2 € Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression�over tank (Y/N) High water, alarm (Y/N) Y
Date of pumping Pumper <<4
i+ �I�' , „ � ..• , !, � �;
C. ABSORPTION FIELD DATA
7 ,!
Date installed 9 / Z& /D/ Soil rating ;(g.p.d./ft� or ft2/bdrm) /� Z System type 'TrtncA
Length ! ;ham °/ ft.. Width 2. S . ft Gravel below pipe _ S: �, S' 2 ft.
1,
i � ii •. Gid !'I( r
Total 'depth Imo_ ft. Eff. absorption areas , / ft Monitoring tube Y Depression over field ti
Date of ad '�uacy test 128 / o Y Results (Pass/Fait) 1'�crr F For bedrooms
l 13
Fluid depth in absorption field before test 2 in. Water added / 7 _gal, a , New depth/ 6 in.
Elapsed Time: 1 / min. Final fluid depth /S' ' in. Absorption ii >= GGp g.p,d•
°Any rejuvenation treatment (past 12 mo.) (Y/N'& type) N If yes, give date N• A.
1 •
OLD
RABBI- CREEK ROAD
SO'
,
,m
�r
r
I
O I
I;u
,D
3 I Z
C]
� o .I=
c 0
co
0 MANHOLE 0 1
(T) LIFT BTA. 3S.3 O Q
O.H. DECK
B 8 z ,D
I
0 I SINGLE FAMILY
(V I FRAME HOUSE 8HCD
0 I I
O
N I
ENTRY
\ \ WELL
I �
OF
/ o
49TH �d
....:............�............. 0
_
> SHANE . HOLT. ;D
v
I n / r� / 00 '� •• LS•6 1 4
�o 0
I / q�RCB BI NAI' `'GorJ
/ I
S 6 3 04 2'0 411E) C-77-27'
3.7.2 ,� , AS -BUILT SURVEY
SCALE: V- 40'
H' L L S E— N/AI HEREBY THAT I Y
MORTGAGEE'S CERTIFY I S ECTIOHAVOF THE FOLLOWING
DESCRIBED PROPERTY.
LOT 1. BLOCK 1, SOUTH HILLS SUB.
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN
EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT
STRUCTURES OR FENCELINES. THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. WITHIN THE PROPERTY LINES AND THAT NO VISIBLE
ENCROACHMENTS EXIST OTHER THAN NOTED.
NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINE DATED AT ANCHORAGE. ALASKA THIS _23RD_
OR LOCATE STRUCTURES. DAY OF _JANUARY 2004_.
ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. HOLT LAND SURVEYING 9247. FB109-65, GPS FB
TEL. 345-5513
' 2— 2-04; 4:58P1d; ;907 5615301
iCS Ref.#
1040501001
All Dates/Times are Alaska Standard Time
Tient Name
Flattop Technical Srv.
Printed Date/Time 02/02/2004
13:36
Project Name/#
_tient Sample 1D
N/A
Ll, B1, South Hills
Collected Date(Time 01/28/2004
11:00
Matrix
Drinking Water
Received Date/Time 01/28/2004
12:50
'de
Technical DIrector
_Stephen
'WSID
0
Released B,,�%�
iamplc Remarks:
'ammeter
Results
Allowable Prep
PQL Units Method ConlaincrlD
Analysis
I units Date
Date Init
Paters Dopartmont
Nitrate -N. 0.100 U 0.100 mg/L EPA 300.0 B (<s10) 01/29/04 JJB
diorobiology Laboratory
Total Coliform 0 col/100ml, SM18 9222E A (<=1) 01/28/04 DKC
t