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Home My WebLink AboutWILD IRIS LT 2Wild ]:ris Lot Z #015-141-70 o Department of Health and Human Services Building Safety Division On-Site Water and Wastewater Program, 4700 South Bragaw Street P.O, Box 196650 Anchorage, AK 99519-6650 Page 1 of 4 w,,vw,cl.anchorage,ak,us (907) 343-7904 ON-SITE WAST~¥ATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWSW030071 PID Number: 015-14'1-70 Name: Rpn. ~. M~,llndn !~irky Wastewater System: [] New [] Upgrade ,lllflR Wild Iri_~ nlr R_clRIR ABSORPTION FIELD Phone: Nuneer of Bedrooms: .17R2 4 i-i Deep Trench I~ ~hallow ?reno'1 r'l Bed r't Mound I'l Othec S~41 Rating: Total Depth from original grade: LEGAL DESCRIPTION 1-2 ~..~ 5.516.o B~ock: LO{: Subdh4sion: Depth Io pipe boaom flora oflginel grade: Gm,el depth beneath pipe: -- 2 Wild Irls 313 ~,. 2.513 To~'~ship: Range: Section: F~II ~dded above original grade: Gravel Length: 0 ~,* 65158 Well: [] New [] Upgrade ~,~,~m: ..,~.,of,.o,: 515 r,. 1 I1 15 Ctass~fication (Pthrate. A. B, C): Total Depth: Cased Io: Total absorplion area: P~pe Material: Private -7_= ? rt. -~-~.-,z- rt. 3251290 r~ 3034 PVCl F810 PE ~I,£'P~¥:~[L,.o6. t4.q~-.o3 t ~ n. Beek Ex~vatino 612312003 ~ o.u ~,. ~ n. TANK SEPARATION DISTANCES El septic I-] Holding l-I S.T.E,P. [] Other: Septic Absorption Eft Holding )ublic/Prlvate Manufacturer:. Capacity:. Tank Field Station Tank s~rune Anch Tank 1250 ~. Matarteh Number of Con~artment$: w~ '140 135 110 Steel 2 ~, w,~,~t~on '100+, 8., '100+,~3.~ ~ LIFT STATION ,4 4 ~ '.u~ o,' ~o~l .: ~ ~' ~ a~: I H,~ ~t~..l~ at: cu,~ m.. 100 + 100+ ~mb ~k, & ~o~., E,.~., ,~-~on..~o..~ br. Both primar~ and reserve system instaUed und0r this BENCH ~ARK permit. Garage Slab 100.0 Engineer's Stamp *$ ~ :.,. - %.. ~t Inspections performed by: Pannone Eng. Svc Dates: 1"612312003 ~' ~..:" ~ 2~0612312003. ~ Department of Health anI Human Services approval / /0 -- "*"~'~-~O'.~. ',~t~"-.~:~StevenN° cER' .... Ponnone:.~ ,8149 .'"r?-~: Reviewed and approved by: /,-- ~ Date: ~ *~ ..3' ~,:~'.~..~c:~q' (Rev. lt~) [ eh' ~:~ '°ooo, ,oooo PER. T NO, 030071 AS-BUILT P.I.D. NO, 015-141-70 ~ V/ASTEV/ATER I)ISPBSAL SYSTEM LOT 2 V/ILl) IRIS S/I) NO ;,/ELLS OR SEPTICS W/IN 200' OF PROPOSED SYSTEM, TI ~0.6 34.6 T~ ~7~ 39.9 DC ~82 40.8 DV S4~ 64.1 C1 ~3.4 33.5 m zz.e 3e,e ~ELL~ LOT UNDEVELOPED cz eez e7.7~ NO ~ELLS OR SEPTIC. H2 87.4 96,8 C3 95.0 t0~.4 H3 894 96.0 C4 38.7 43.4 H4 4L4 45.4 ND VELLS SYSIEH. 104 oHOUSE 58LFx5'x3'EFTV~ / EEC RATE= 1 H[N/[NCH C,%Vork%DRAVINGX~WILD IRISRI 5 SF/BR, 4 BE HDUSE ~--SS~~ ~ 500 SF REQUIRED ~ ~ ~ ~i~ 5-WIDE TRENCH, 3' EFF. ~. ~..~.~,, 0.58 REDICTION FACTOR ~-- ~ ..* ~ -%;.~ % ~ 58 TOTAL LF, AREA=2906.5' TDTALsFDEPTH ~Y 49~ ~ m.....L. -- ' ............ .~.....~ I~50g SEPTIC TANK ~'""~~i-i~Z PREPAREI) FDR, PANNDNE ENG. SVC, LLC . .. -- P.O. BDX 10~954 ~~_CE ~49 _..*'~ 11188 WItd Iris C~r. ANCHORAGE, ALASKA 99510 vo~ ............ m ~-- SCALE, 1'=60' PERHIT ND' 030071 AS-BUILT ]DETAILS WASTEWATER ABSORPTION SYSTEM LOT 2 WILD IRIS S/D P.I.D. ND, 015-141-70 w w 7 n ~_) W C,\Work\DRAWING\2 WILD IRISRI4.DWG lnONV393 inON¥313 I,I I PREPARED FOR' Gene & HeLtlnd<l Blrky 11188 WiLd Irl$ Cir. Anchorage, AK 99516-1555 (907) 349-2314 CeLL 229-1752 PANNDNE ENG. SVC.,LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX DATE~ 12-28-01 I NOT TO SCALEI AS-t~UILT m FL'~'I : ILPINE DRILLING FRX NO. : ~07 345 0L:~2 Jun. 29 2903 ".2:07P11 P1 unici ali of Anchorage M p ty Department of "~e~2~t. gh' ,ns~detHuman Services P.O. Box 198850 Andnorage. Alaska 99619.6650 Rick Mysttom ht~'Jhww.ct,a ~Jnomge.~.us Mayor Permit Number: #$W ~30071 Date of Issue: 4.f0.03 l)aFcel Ident~¢aflou Number: 0f~-'141-?0 Date Started: ~ Date Completed: ~22-~ Is w~ll loca~ at approved permit Iocztion? [] Yes [] .No Legal Description: Properly Owner ~ame & Address: Gene & Melinda B/rky PO Box flf071 AnchoreFer Alaska 9,9~11 ~p~ (~) ¥~o~ To 0 2 32 32 45 45 f63 ~86 220 220 227 Me~hod of Drilt~-g [] air rot~ Bor~hoic Data: So~1 Type, ~"aJckne~s & W~ ~ S~.UO ~lty sexy gmv~ silt gravity s~ gre~l gra~lly a~ sl~ we~r ~end & grail [-[ cable tool Ca, lag t~pe: stee! Wall Thlckn~s: ~ Diameter: ~inches Depth: 227 feet LI-er Type: ~ D;~mct~: inch~J D~pth: _ feet Casi~ sfldmp above ~'ouad: 2 feet St.~tic wtter levd (from ground lev:l): f?~; Ret Pumptug level: ~27 feet ~ hours pumpt,g 30 gpm Recover/Rate: 30 gpm Method of Testing: A/r ~ Well Intake Opeel,,g. Type: [] Open End [-10pea Hole [] Screened Start fcct Stopped fc~t [] Perforu. ionsStart feet Stopped feet Groat Type: A_ento.itt # ~ Volume: / Depth: St~t Pump: Intake Depth feet Pump size hp Bread Nan~e Wd] Dbtnt~ctcd Upon Complction? [] Yes [] Method of Dbinfecflen: ch/or/ne feble~s Comments: J~h~e $$ ~c~e~e. Well Driller: Alpine DnTiing & Enterprises PO Box '110496 Anchorege Aleske 9951 Auentton: Thc w~ll driller sl,~]l provide a well log to thc property owner within 30 days ~ completion and ~e property MUNICIPALITY OF ANCHORAGE Deve/oprnent Sen/ices Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 345-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Renewal Date Issued: Apr 10, 2003 Expiration Date: Apr 09, 2004 Permit Number: SW030071 1;L~gal Description: WILD IRIS LT 2 Design Engineer: 0062 Pannone Engineering Services Owner Name: Gene & Melinda Birky Owner Address: PO Box 111071 Anchorage, AK 99511- Parcel ID: 015-141-70 Site Address: 011188 WILD IRIS CIR Lot Size: 52377 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field r~ SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection, Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Mailing address (2). Legal description (Lot, Block & Sub'd.) ~/'!',/z~_ Legal description (Section, Township & Range) Lot Size ~.D___, ~' ") 7 Acres/Sq. Ft. Number of Bedrooms Zip Code THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool [] Well Only Water Storage [] Jacuzzi [] [] Water Softening Unit [] I certify that the above information is correct. I fudher 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 authori~ agent) Permit Fees: Date of Payment: Receipt Number: (Rev, 12/00) Waiver Fees: Date of Payment: Receipt Number: MUNICIPALITY OF ANCHORA GE Development Sen/ices Department On-Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Jan 07, 2002 Expiration Date: Jan 07, 2003 Permit Number: SW020002 ~'.Legal Description: WILD IRIS LT 2 Design Engineer: 0062 Pannone Engineering Services Owner Name: Gene & Melinda Birky Owner Address: 8026 Queen Victoria Dr. Anchorage, AK 99518- Parcel ID: 015-141-70 Site Address: Lot Size: 52377 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ail 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: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak, us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell. D. ~/',~'- /4//' 70 Permit Number SW Property owner(s) Gene & Melinda Birky Mailing address (1) 8026 Queen Victoda Ddve Mailing address (2) Anchorage, AK Legal description (Lot, Block & Sub'd.) Lot 2 Wild Iris S/D Legal description (Section, Township & Range) Lot Size ~,~.CC,,3 ~ 3-77 .Acres/Sq.Ft. THIS APPLICATIONiS FOR: Sewer Only [] Sewer and Well [] Sewer Upgrade [] THIS "PROPERTY CONTAINS: Hot Tub [] Swimming Pool [] Therapy Pool [] Number of Bedrooms 4 Day phone 229.1752 Zip Code 99518 Well Only [] Water Storage [] Jacuzzi [] Water Softening Unit [] I certify that the above information is correct. I further certify that this application is being made for a Single Fatally Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12/00) 13 ?'t( Waiver Fees: Date of Payment: Receipt Number:. Pannone Engineering Services, I~LC Consultin§ En§ineers (9071 ~?~-821~ December 28, 2001 P.O. Box 102954 Anchorage, Alaska, 99510 (907) 272-8218 Fax Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2 Wild Iris S/D Well & Septic System Pea,it Request Gentlemen: My fix m was contacted to investigate the possibility of installing a new septic system serving this lot. A single test hole was excavated on June 4, 1999 by Tobin Spurkland in preparation of the subdivision of the existing BLM Lot 18. The soils report and a percolation test result is attached. The soils were visually rated. I will perform a percolation test at the time of installation to verify the soils. Ground water was monitored for seven days. No bedrock was encountered in the test hole. No ground water was encountered in the test hole or at the monitoring on December 28, 2001. The lot is approximately 10 acres in size. Lot 2 slopes to the northwest at approximately 2-4 percent in the area of the test holes, then flattens to approximately 2 percent on the northern portion of the lot. The proposed installation will be located in the western portion of the lot. The proposed well will be located in the northern port/on of the lot, greater than 100 feet from the proposed system. The proposed location is greater than 100 feet away from existing neighboring wells and 25 feet from the water service lines. The surrounding ~vells are located greater than 100 feet from the proposed installation. The proposed installation ~411 not affect the future development of the surrounding or existing lots. See the attached design. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Civil Engineer Attachments: C:\Work\Letters\2 W/id Iris.001.doc PERMIT NO, DESIGN P.I.~. NO' ~/AST£~/ATER DISPaSAL SYSTEM LaT 2 ~/TLD IRTS S/I] NO ~ELLS 0~ ~/]N ~00' 0~ PROPOSE~ SYSTEN. [ VELL~ LOT UNDEVELOPED ND ~ELLS DR SEPTIC. ND VELL~ 0~ ~EPTICS PROPBSE 5eLFX5'x3'EFI¢; ~ ~Ii X/~ 5 m ~ ~ 58 LF, 6.5' TOTAL DEPTH 49~ ~ - ~ TDTAL AREA=EDD SF ~~ PREPARED FOR, PANNONE ENG, SVC, LLC (907) 349-E314 ~7-35~ P, ~7~-8~18 F~x Cell ~9-175E OATE~ 12-~8-01 ~ DESIGN I PERMIT Nn~ ~o u DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 2 WILl) IRIS C,\Vork\I)RAWING\KRI~TIN,I)WG lnON¥~ N~,TIV(~ N["I03 PREPARED FOR, Gene & MeLtln~: BIrky 8026 Queen Vlc'%orla Anchorage, AK 9951B (907) 349-~314 Ceil P,I,I). ND, I,I I PANNDNE ENG. SVC.,LLC P. 0. ])DX 102954 ANCHDRAGE, ALASKA 99510 272-8218 PHDNE & FAX NOT TO SCALE DESIGN GR,,CE COt~U4ZTY C~'~CH ,. D.scm.~eN '~/,-P"f L.~ 'I' I & 2 14 16- 17 / ~ · :20 - __ m,~ev,~(P) Pi:AG HOt,~ O~AMIIAA FiSt and future_presence &~d/or d?th~,~ groqndweter can nat be predicted PERFORMED FOR: Munl:!Fallty o! Anchorage DEPARTMENT OF '~EALTH & HUMAN SERVICES 825 "L" Street. A~,t.'horage, Alaska 99502-0650 SOILS LOG- PERCOLATION TEST 8 9 10 11 12 13 14 15 16 17 18- 19- 20- Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? SITE PLAN (~ros$ Ne! Depth to Nat Feadino Date Time Time Water Drop PERCOLATION RATE ~1 Im,nutes/mch) PERC HOLE DIAMETER TLST RUN BETWEEN __ FT AND __FT DISCLAIHF~ C, rnundwntPr r~nditinns indicated are for the dates shown only. Past and future presence and/or depth of gro{ndwater can not be predicted trom cnese observac]ons. PERFORMED BY; T. ~ __ I ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUN,CIPAL Gt,,~ EUNES ,N E~EC~ ON ~H,S DA~ F. DATE: &~y/e ¢ 12-~8 (Rev. 4/85) 8801 Rendon Drive Anchorage. AK 99507 TERRA FIRMA INC. Telephone: (907) 3~~. 5934 Fax:. (907) 3~,~, 5934 e-mail: termfin~alaska.net PROJECT NAME: Wild Ids Subdivision PROJECT NO.: ANC 1092 SAMPLE LOCATION: TH-4 (~ Lot 2 SAMPLE NO.: 99-S-2 DESCRIPTION: Well Grd. Sand w/Gravel DATE TESTED: 8/11/99 TESTED BY: T. Selmer REVIEWED BY; R. Caron, C.E.T. ~,~ % GRAVEL: 38.t USC: SW % SAND: 59.9 FC: NFS % SILT/CLAY;[~ .02 mm:l ASTM D1557(uncorrected} pcf ASTM D4718 (CO~Tected) pcf ~OPTIMUM M.C. (,correctedl NATURAL M.C. 2.9~ 100.0 80.0 70.0 ~ ~ 80.0 ,.:- g: ~ 40,0 PARTICLE S~7~= ANALYSIS AST~ D422./C13~ U,~. STANDARD ~IEV£ OPENINGS t I ! J I ,' I I Ifil i It I !1 i t fil I i Fi, I il i! t I l ii ! !11 I ~ q II t il : Ill , i I ! ! , )Ii il!ii I ' ! !l t r ~i , I!It t t I I I ~ ii i, i litl I I i t I t II ,I I I I Il i I t~li~ ?I; I ,~ll)i~ '"II II ! ! II ! i i i ill ii I i II I II :l I i I It I i ,,~l~ , t,:j ill ill ..ti l i, I . ;IIii , ,,, :_~ , !,,,, , . ,,, lO.O; o.o 1{3o lO o,1 o,oi o,ool P/kP. TtCLE St7..E II~l I/ALLtNIETER$ SIEVE ANALYSIS TEST SIE~/E TOTAL % SIZE PASSING SPECIFIC-.ATIO~ 6" 4" 3" 2" 1" 100 3/4" 97 1/2" 88 3/6" 80 #4 62 #10 33 ~20 12 #4O 5 # 60 4 #100 3 #200 2.0 1:35.0, 130.0 125.0 120.0 MOISTURE-DENSITY RELATIONSHIP HYDROMETER TEST ELAPSED DIAMETEF TOTAL % 'TIME Cram) PASSING o o.5 1 2 4 8 15 60 250 144o (AASHTO T90) 115.0 IDEGRADATION 4.0 &O 0.0 10.0 1Z0 14.0 I(ATM T-13) The t~t~ng s&~r~es mpc~t~d herein ha~ boen pefc~ned ~o recognized Indus~y s~andards, tmi4~s ~ ~. No o~he~ win~my t~ made. TFI ~ ix, made ~ ,,*m~m MunicipalitY o.f Anchorage Development Services Department . i Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-141-70 GENERAL INFORMATION Complete legal description Location (site address or directions) Expiration Date: /"/' "' 7 "' g)//z Lot 2 Wild Iris Subdivision 11188 Wild Iris Circle, AnchoraqeT AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Gene & Melinda Birk¥ Day phone 229~1752 11188 Wild Iris Circle, Anchora.qeT AK 99516 Day phone Real Estate Agent Mailing Address Day Phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: · 2. 'NUMBER"OF BEDROoMs: 4 3. · TYPE OF WATER SUPPLY: " Individual Well ' ' Inciividuai water storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: [~ Individual On-site ................... [~ --I-"l Individual Holding tank I-"1 I-"1 Community On-site [--I [-'1 .......... Public Sewer [-'l The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home ,owners, Certificates of Health Authority Approval are valid.for 90 da~.s from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. 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, (Rev. 11/99) Municipality .of nchorage DeVelOpment Serv!¢ S' Department ' ~, ~ ' Building Safety DiviSion on.site Water and Wastewater program ' ~ =4700South BragawStreet ' P.O. Box 196650 Anchorage', AK 99519-66~0 ~ , www.ci.anchoragb.ak.us , ,. ~ (907) 343-7904 i' HEALTH AUTHORITY APPROVAL E KLIST Legal D'escription: Lot 2 Wild Iris. , : ' ' A. WELLDATA " ' ' Well type P : . , ' : If A, B, or C provide PWSID Date completed _411012003. Sanitary seal_ Total depth _227 .ft ,= Cased to_ 227~ff · ,FROM WELL LOG . Date of test ,' 41;1012003. _ Parcel I.D.: 015.141-70 Static wa(er level ~ · 175 ft ' Well production 30 WATER SAMPLE RESULTS: Coliform ~coloniesll00~l Date of sample:- t213112003 ' B. SEPTIClHOEDING TANK DATA Tank Type/Material, AnChorage Tank Steel : Date installed' 612312003 - ?.. Tank size 1250 gal cleanouts y_., . Foundation Cleanout Y 'Date Of pumping _.~'(]J ,_ Pumper c. ABSORPTION.FIELD`DATA ~ ~ Number of Compartments 2: Depression over tank N iHigh ~ater alarm .N/~A g.p.m Collected by:_ Steven R. Pannone AT INSPECTION g.p.m Other bacteria_ v ,coloniesll00 mi , Date installed' 6123i2003 ' S0il rating (g.p.d./ft2~0r ft2/bdrm) 1.2' System tYPe Shallow Trench · · .- ;. ...... 7{''5~''' ,~,~~Width' 515 ;It ,oP . Gravel below p~pe _2.513 ~ f . . ~ Lengm ~:~t:~o_~ ;~CC,-f'IOT'I' ' ' ~11~Pm . ' - · _.. ..... ~.L,,-~ ;rea 32~/~ ~2 MonitoHngtube y~ Depression ~ver field ~!N- Total depth 5.516.0 ff ~ect~ve ausu[puu , _ ~--. ~ . Date 'of adequa~ test ~-~ Results (Pass/Fail) Pass_ For J bedrooms Fluid depth in' ab~.orption field before test ~ in Elapsed Time:O.O. min Final fluid depth _ Any rejuvenation treatment (Past 12 mo.) (YIN & tYPe) (Rev. 11/99) Water added'.~., gal.. New depth "~ . in., .. in Absorption rate->= ~/7~'g.p:d. ,/~ ,)c3 If yes, give date _ Wires properly protected Y_ Casing height (above ground) 24 In. G$ R~ 1035142001 ',Bent Nine Pannon~ ]~ng. 'l~t $~ple ID ~c~ S~ htrh ~ W~t~ W$1D 0 Jn"~cl e l~marks: All Datssiq'lm~ are Alaska Standard Tin~ Printed Date/Trine 01/05/2004 14:55 Collected Date~flme 12/31,'2002 10:00 Reeelv~l Dttoq3me 12/~1~7~03 10:21 Techni~,l Dt~~~_ C. A~lownblc ?~ Antlysis · Con~ner ID LL~q DsT Dn:c Init Nf~te-N 1.23 0.100 mg/L EPA 300.0 B (<-10) ' 12/31103 Total Coliform col/lOOmL SMI$ 9222~ A ('~1) 1W31/03 DKC BLM Lot 16 i BLM Lot 15 ! ~ ( N 89'58'23' E 164.79' > ---.-- 10' TEL. COM. &: ELEC. ESMT. I I , II Lo! 2 I 52,382 sq.ft. ~ ! I 1.203 Acres .o 17 D 'o; I ' I '- 0 ' .;-"-",,_jj, o ,. "' .,~. _-~.OF AL ~ 17 c- i ' ~ _ 5~ ;..,~..~...~~-., _ ,! .......... /~ ' ~ ' ', '%~%. No.~S-~3,, ..'~ I I '( S 89'58'39" E 114.77' ) ~ · / 2102 CLE~~ A~ ~L. ~ (907) 243-9966 a phmi~ ,u~',y of mis prope~ ~ ,hown on ANCHO~GE, ALAS~ 99517 FAX. ~ (907) 243-9967 ~d t~t m~ ~m~U ~imt~ m~on ASB~LT OF: LEG~ DESC~PTION: ~ lin~ ~a no ~aehm~ ~is, om= LOT 2 ~CLUSION NOT~: It is the own~ ~ponsibility ~ ~T- O to det~Jne ~e existence of any ~D ~S S~D~SION - ~LAT 2000-14~ ~v~mm, ~ r~cfions w~ch do not ~K ORDER NUMBER: DA~ ~ ~ receded subdi~sion plaL NOTE: Under no JAN. 04. 2004 1'=50' 8enJec~cl.net ei~s~nces should any da~ h~on ~ used for the ~ J MJH - 2001-21~66 co~s~cfio~ or for ~c cs~llshi.[ ofg~p~ li~cs.