HomeMy WebLinkAboutWILD IRIS LT 1Wild lri
Lot I
#015-141-69
Municipality of Anchorage
Development Services Department:~:" '~' "'"
Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Bragaw St.
P,O, Box 196650 Anchorage, AK 99519-6650 Page of
www. ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: .~t~(/O I O~.~ ~) PID Number:
~.e ~:.¢'rC.~ J~'C/'~A~ /t'~ WastewaterSystem: [~ew r']Upgrade
Address
I, I1~O ~1~iI~1 '~',"i> ABSORPTION FIELD
..~ ep ?mm:h n Shallc.~Trenc~ J"l Sed I'1 Mound I'1 Other:
LEGAL DESCRIPTION ~Z~' ~.~,.,, ~o ~,.
Well: ~New ~ Upgrade
SEPARATION DISTANCES ~eptic D Holding ~ S.T.E.P. D Other:
T~o Septic Absorption Li~ Ho~ing PubliEP~vate ~!~ cl~ic,Jy
Tank Field Station Tank S~r l~e ~ ~ ~ ~ ~
V
/X ""7
"*~' BENCH ~ARK
Engineer's St~mp
~-.. . .
Development Se~ices Depadment Approval
No.
$CAL£,
L.
AC 21.5
BC $ TANK
AD 41.8
~ 2g. S TRDtCH CO
A£ 44.8
E. I12TH. AVE.
TOBBEN SPURKLAND P.E.
205 W ISTH. AVENUE
ANCN. AK. 99501
(£07) 279-3916
~rI/,Ii IRIS S/B LOT 1
SEC 22 TI2N £3V
ER/CA McCASUN
SEPTIC SYSTEM AS BUILT
DATE: JULY 12,2005
SHEET: 2/3 C, RIO: 2656
PERtiIT # SV010195 PID # 015-141-69 VBIflflOI2.D~G
~ lflO0 go{ 2epti¢ tank
St~nd~rd Trench:
P' Vide
§0' Long
lO' £eep
5.0' Sower rock
5' Cover
NO SCALE
Monitor
5' Cover
/
5.0 £~; oF Septic Rock /
Effective
NO SCALE
I00
lOOO ga£ septic tank
BEiV~WARK
OOHO~
ASSUAIED E7.L'VATION I00,00 Fr
TrlBBEN SPURKLAND P.E. J J
203 ~,/15i;h ,Ave
II
Anchorage Ak 99501
~Tg-~glt~
LOT I ~ILD IRIS
SEC. 22, TI2bf, OSW
SEPTIC SYSTEM SCHEMATIC
DATE, JULY 142005
SHEET, $/$ GRID, £636
PERMIT ~ SW010195 015-I41-69 WDIOOOI$.DHIC,
Performed Fcr;
Legal Descripticn:
2-
3-
4-
5-
6-
7-
S-
10-
11-
12-
13-
14-
15-
16-
17-
20-
CO,".tMENTS
Municipality of Anchorage
Development Services Department
Building Sal'ety Division
On. Bite Water and Wastew"ater Program
4700 Sou~h Bragaw SL
P,O. Box 1-e6650 ,~c,horage, AK 99519.6650
_www.cl.anchoraqe.ak.us
(~7) 343-7~:)4
Soils Log - Percolation Test
SIo0e
Township, Rand;e,
Sect~cn:
Site Plan
WAS GRCUND WATER
IF YES, AT V/FAT DEPTH?
Depth to ','later After
Monitoring?
Re:-ding
Date.[ Gross Time
t-.'e t Time
Depth to ?later
Net Drcp
i=ERCCLATiCH P.A'TE __ i'~l'l"lt~"ll~) F."-RC HCLE DIAMETER
"rEST R~'N SETWEE~'I __ FT A.'qO__ FT
PERFORMED BY: y ~ I '[: .~ CERTIFY THAT THiS TEST WAS
,
PERFORMED IN ACCORDANCE WITH ALL STATE AND ,MU,'.llClPAL GUIDELINES IN EF,=FCT OH TE.S DATE. DATE:
G~oundwater Well As-Built & Log
· If'ell Owner: McCaalin. Eries & Justin · Ute ef Well;
· Lega/Descr//n'/an: Lot I Wild Iris Subdivision {Plat No. 2000-146)
Anchorage, Alaska
Domest.{c
Construetlon
· Gro~ttNotes: (1) Sack- No. ! tzmonite $ranulel
· D~te ofc~ptetton: 10 January 2002 · P. mp
Well Log
Depth in feet from
top of cooing, Detalia of formations.penetratedt size of ~tcrhl~ color a~ hardaeu.
O, TO 2 C~in$ stic~p.,,
2 TO 20 Gravel
20 TO 30 S~d
32 TO 34 Sil~s~d
3a TO ~4 Silt
44: TO-'-~- -~-~;fi~ .........................
56 TO 58 S~dy~avel
~-'68 TO 81 Gravelly silt ........ ~ ~ '~,
83 TO 110 Silty~a~: d~ ~~~
110 TO 117 Sil~ ~vel: ~bbley .... ~~~,t~=~ioc
117 ~O 177 ~ax~ly s~dy silt ~sa ~o'L S:~ ~,~ ....
i77 TO 182 Silw~avel: drop .........
182 TO 207 Silt with ~c~ion~ ~vel laye~(-~my
207.. T~_. 2~ SilW ~avel
209 TO 213 ~avcl: wa~rb~M~cle~, ~,s~tlymd7
MUNICIPALITY OF ANCHORAGE
Deve/opment Services 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: Jun 18, 2001
Expiration Date: Jun 18, 2002
Permit Number: SW010195
,Legal Description: WILD IRIS LT 1
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: ERICA McCASLIN
Owner Address: NHN WILD IRIS CIRCLE
ANCHORAGE, AK 99516-
Parcel ID: 015-141-69
Site Address:
Lot Size: 40584 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field r-~ Septic Tank ~ Holding Tank ["-] Privy
[] Private Well ~ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Date: & -- / 8-0I
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/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. OIS"'lql'I.,q'~-"' ~-:
Permit Number SW OI 0
Property owner(s) E ~¢..[C~ ~,~ ~ C¢,.51 ;' t,~
Mailing address (1) ~. 0 ~o~ }1~?~
Ma:',:,,~g address (2) ~ WIL~ ZRt5 CI~ ~ E
Legal description (Lot, Block & Sub'd.) ~O~ ~
Legal description (Section, Township & Range) 5¢~ g~ ~/3~ ~.~
Lot Size O. ~3/V~,~ Acres/Sq. Ft. Number of Bedrooms
Day phone ~ ~[ - /7/', '7
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 further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(S/~atUre"-- of proper~l~l(/vner or authorized agent)
Permit Fees:. ~ /'/" ~ O, o 0
Date of Payment: .~'-
Receipt Number:
(Rev. 1~00)
Waiver Fees:
Date of Payment:
Receipt Number:
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 1 WILD IRIS SfD
ERICA McCASLIN
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
Anchorage, Alaska 99519-6650
May 7,2001
We are submitting an application for the installation ufa well and septic system for this lot. The
submittal consists of three (3) drawings showing the present improvements on the lot and the
adjoining properties, (sheet.l/3), the proposed improvements of the lot, of which only the well and
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 16 ft.
Use Standard Trench
Soil Rating. From Testhole 06/04199
<l mirdin = 1.2 gal persq.fl/day
No. of Bedrooms 3
Required Area per Bedroom: 150/1.2 = 125 sq.ft.
Total area required: 125 x 3 = 375 sqfl
Testhole depth 16 feet
Bottom Rock At l0 feet
Top Rock At 5 feet
Rock Depth 5 feet
Minimum Trench Length 375 / 10 =37.50 ft.
SYSTEM CONFIOURATION
STANDARD TRENCH
TOTAL LENGTH 50 FT
TOTAL WIDTtl 2 FT
TOTAL DEPTtt 9 FT
ROCK DEPTII 5 leT
COVER 4 FT
SEPTIC ANK 1000 GAL
The installation ofthis well and septic system will not prevent wells and septic systems from being installed on the
adjacent lots.
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 ofthe area. Ponding and/or concentration &surface
runoffwill not result from this installation.
LDT 2
I
N
LOT 3
LOT I
4 ~ ~ ~9~h ~
_ '~;~.~.."~;~
TRACT
TOBBEN SPURKIMND P.E.
2o3 · I~T~. AVENU£
, (9oz) 2z£-3916
II
IF/LO IRIS S/D LOT 1
SEC 22 TI2N RS~/ ER/CA McCASUN
SEPTIC SYSTEM DESIGN
DATE: MAY 7, 2001
SHEkT: I/$ gRID: 2636
PERNIT # S~'OIOXXX PID # XX I,/BIO0011.DVG
/
! / ! SCALE, Y I= 5~ FT.
-~ ~eH
I I I I
LOT 4
I ~ I ~ ~ ~o~
I
E. II£TH, AVE.
IOBBEN SPURKLAND P.£
203 HI ISTN. AVENUE
ANCI-I. AK. g9501
II
~z,o mIS $/z~',LOr z
SEC 22 T12N R$~ ~
ER/CA k/¢CASUN ~ /'
SEPTIC SYSTEk/ DESIGN
DATE: k/AY 7, 2001
SHEET: 2/$ 6RID: 2655
I/.DIOOO1E...D~/G
PERMIT # SWOIOXXX PID II XX
PRIMARY ~R£NCH
Stondord lrench:
R' Vide
58' Long
18' Beep
5.0' Sewer rock
5' Cover
£££~A~£YENT ~ENCE
NB SCALE
Monl~or
C(eonouts
5' Cover
$11'e Bo rrle
/
5,0 £~ of' Sept;lc Rock
Effective
NO SCALE
· o oJ
1000 go! Septic fnnk
0
I000 got septic ~onk
TDBBEN SPURKLAND P.E.
203 ~15th Ave
Anchorage Ak 99501
~79-~91~
LOT 1 PrlLD IRIS S/D
sec. 22, rl2y, lea,/
E~ICA Yc C4SUN
SEPTIC SYSTEM SCHEMATIC
DATE, WAY ~ 2001
SHE£Ti J/3 GRID, 2~3~
PERYlT [/ SlYOIOOXX PARCEL ID ] XX WDIOOOI$.D~YG
PERFORMED FOR:
LEGAL DESCRIPTIONL
Munlcll: allty of Anchorage
DEPARTMENT OF hEALTH & HUMAN SERVICES
825 "L" Street, Am;borage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
Township. Range, Section:
1
2
3-
4
5
6
7
8
9
10
11
12
13
14
15
16
17
19
20
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
s
IF YES, AT WHAT
DEPTH? pO
Deplh Io Water Alter
Monitoring? Dale:
Gross Net Depth to Net
Peading Date
~"/~ ~ /~ _/~/.01 Time Time Water DrOp
PERCOLATION RATE : ~ Im,nutes/,nch) PERC HOLE DIAMETER ~ I[
TEST RUN BETWEEN '~- FT AND . ,~Y~--- FT
DISCLAIMFR'- GrntJndw~t. pr condiition~ indicatPd atp ~or the dates shown oqly.
Past and future presence and/or depth of groundwater can not be predicted
trom these obsessions.
PERFORMED BY:
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUll
72-008 (Rev. 4/85)
· j
PERFORMED FOR:
Munl~l;al]l¥ o! Anchorage
DEPARTMENT O; '~EALTH & HUMAN SERVICES
825 "L" Street. A.chorage, Alaska 99502-0650
SOILS LOG- PERCOLATION TEST
~LM LoT'
/-..o ,. ~,/
Township. Range. Section:
WAS GROUND WATER
ENCOUNTEREOl
o F
SLOPE SITE PLAN
IF YES, AT WHAT
O~PTH~
PERCOLATION RATE /---- { tm,nutes/,nch) PERC HOLE DIAMETER
TLST RUN BETWEEN FT AND FT
D[$CLA[NF;~ ~nunH~atP~ c,~nd~tinn~ ~n~ica~ed a~e f~r the da~es
Past. and rut.ute presence end/or dept,h of gro{ndwat,er can not, be
shown only.
predicted
trom these ooserv.~.]~ns.
PERFORMED BY; ~ ~
I . -- CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL O[*l;. ELINES IN EFFECT ON THIS OATF. DATE: . ·
72.~8 {Rev 4185)
8801 Rendon Drive
Anchorage, AK 99507
TERRA FIRMA INC.
Telephone: (907) 344-5934
Fax: (907) 344-5934
e-mail: terrafir~alaska.net
S~,M PLE NO.:
DESCRIPTION:
DATE TESTED:
TESTED BY:
REVIEWED BY:
PROJECT NAME: W'dd Ids Subdivision
PROJECT NO.: ANC 1092
SAMPLE LOCATION: TH-1 ~ Lot 1
99--S-1
Silty Sand
8/11/99
T. Selmer
R. Caron, C.E.T. /~/
,..~.~..._
% GRAVEL: 9.7 USC: SM
% SAND: 48.5 FC:
% SILTICLAY:[~ .02 mm:I
ASTM D1557(uncorrected1 pcf
ASTM EH718 (correctedI pcf
OPTIMUM M.C. {co.ected)
NATURAL M.C. 0.6%
TTT[TT-T' '.. , lllllll I I
iillll i
t11111
~oo Illill I I IIIIIII I I
t111111 I IIIIIII I I
~o.o It11111 I [1111111 !
ltllll I I IIIIIII I
I
IIIIII I I IIIIIII I I
IIIIII I I ~llllll I I
~ iii. il
Ii/lit I I
LJlII I
LLUII I
3oo ill/Il I
~LLLIII t I t11111 I I
~o.o !itlll i I llitll I I
tttlli i i Iltlll i I
Ililll I I
~oo illl/I I
o.o IIIII I I I
1oo
I(0 0 ·
~ ~- 60.0
Illll I t I
Iltll I I I
IIIIII I I
.'-!1111 t I
IIII1..' I I
IIIII I I*1
lllil I I I °
IIIIII I t
IIIll I I I
IIIIII I I
IIIIII I I
IIIIII I I
IIIIII I I
IIIIII I I
IIIIII I I
IIIII I I I
IIIIII I I
PARTICLE SIZE ANALYSIS
. ASTM D422/C1~
U.S. STANDARD SIEVE
Itlll
IIIII
Illll
illtl
IIIII
Jill I
t11111
II
II~ll I
[11111 I I I
' IIII I
It1111 I I
IIIII I I I
IIIII I I
illl l I I I
tliii I I
IIIII I I I
i""l'
lO o.1 O.Ol o.ool
PARTICLE SIZE IN MILUMETERS
SIEVE ANALYSIS TEST
SIEVE TOTAL %
SIZE PAS~ING Specffx:at~
6"
4"
314" 97
3/6" 94
# 4 90
#1o 88
~20 82
#40 77
#60 73
#100 69
~200 41.8
150.0
145.0
140.0
135.0
MOISTURE-DENSITY RELATIONSHIP
ASTM D1557
i I I -- -- --
I i I
130.0
0.0 ZO 4.0 6.0 8.0 10.0 1ZO
HYDROMETER TEST
ELAPSED DtAMETEF TOTAL %
TIME (mmI PASSING
0
0.5
1
2
4
8
15
30
60
250
1440
IPERMEABILITY
(ASTM D2438I
DEGRADATION
(ATM T-13)
L.A. ABRASION
(~SHTO
1~e t~'t ir~g ~ read'ted I~Mein hav~ bee~ pe~xmed to moo~ Indu~ .{.,..~rd~. un~e~ Mheee,+ae ~ed. NO ~' v,~nlnly ii mede. ~xxdd engineer1 g la~'pm~atie~ er opinio~ be I'equlm¢l.
IF.
q
44
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015" I%l- ~
GENERAL INFORMATION
Complete legal descriptio.n ,, L.,o T' ! ~ I L.~
. Location(site addres~ or directions) ! I I
Cur~en~ Prope.dy own'ir(s) ~ v4tq
Mailing address "~.0 ."~O ~
Lending agency
O%Oq
Expiration Date: /
Day phone
Day phone
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested. HAA will be held by DSD for pickup.
NUMBER OF BEDROOMS:
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
[]
[]
[]
I
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.
e
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-
site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage flies 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.
5.. DSD SIGNATURE
~"' Approved for
Disapproved.
Conditional approval for
Name of Firm . "-~/p~,~-- Phone
Address ¢¢--¢'~ _1~_ '15~'~¢~ /¢Z-O5
Engineer's Printed Name l(~J~J~.~...~/3o('V'--Lml,~ ,..Date ·
~ bedrooms. ~ ~' "*'~,('~ "~-
bedrooms, with the followir~g stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Odginal Certificate Date:
{Rev. 01J02)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak, us
(907) 343-7904
Legal Description:
A. WELL DATA
Well type
Date comple{ed'
Total depth ~"!~' ff.
HEALTH AUTHORITY APPROVAL CHECKLIST
/.07 I u J/,.D
IfA, B, or C provide PWSID # ~
Sanitary seal (Y/N) ~
Casedto ~.1~ ..
FROM WELL LOG
Date of test '
Static water level I
Well production
WATER SAMPLE RESULTS:
Coliform ~colonies/100 mi.
Arsenic:~ I,// mg./i.
B. SEPTIC/HOLDING TANK DATA
g.p.m.
Well Log (Y/N) '~
Wires properly protected (Y/N) y
Casing height (above ground) ~ ".in.
AT INSPECTION
g.p.m.
Nitrate .{~j~ng./I.
Date of sample:. %/~,.t
Other bacteria, b4 IP colonies/100 mi.
Collected by: ~-'
Tanksize IOg)~ gal. Nu~rof~m~en~ ~ Cleanou~tN).
Foundafiondeanout~) ~ ~pmssion~er~nk~/N) ~ H~h~tera~(Y~)
Date of pumpi.g P.m~r ~0~ ~C~,~II
C. ABSORP~ON FIELD DATA
Datei~lled II/,~/oJ Soilmflng (g.p.d. Eor~dm) ~ ~stem~pe
Leng~ ~ O ff. ~d~ ~ ff. Grovel ~1~ pipe ~ ff.
Total dep~ ,I O ff. Eft. ab~on ama ~ · Moni~fing ~ ~/ Depression over field
Date of adequa~ test H/~ ~c~ Results (Pas~Fail) ~ For ~ bedmo~
Fluid dep~ in abso~flon field be~m test ~n. ~ter add~ ~al. New dep~ ~in.
Elapsed Time: ~min. Final lluid depffi ~n. ~so~fion rate >= ~ ~ g.p.d.
~y rejuvenation ~ent (past 12 ~.) (WN & ~) t~ If yes, give date
D. LIFT STATION
Date installed
'Pump on" level at~
Datum
in. 'P.~np off level at
Cycles tested
SEPARATION DISTANCES
Man~~ss (Y/N)
in. ~//Righ water alarm level at
. Meets alarm & circuit requirements?
in.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots '~ I C~.'.'~
On adjacent lots "7 I ~
Public sewer manhole/cleanout
Holding tank ~/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation' .~ Property line tll.~ Absorption ,fi, eld
Water main t',.I/~. Water service line o~-5 '~ Surface water
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
Water Service line
Curtain drain
Building foundation '~_~ Water main
Surface water I~. / 0 Driveway, pan~ing/vehide storage
Wells on adjacent lots "7 I
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I ~ that I have determed ~ugh field ~nsp~tions and
....
mwew of Muntc~pal ~s ~at ~e a~ systems am m
confo~an~ wRh MOA H~ guidelines in effect on this date.
. ,
En ,nee P..ted N m.
Date
H~ Fee $
Date of Payment
Receipt Number
(Rev. 12/O1)
Waiver Fee $
Date of Payment
Receipt Number
1
I
I
o, ' 'o,
~ · E. IlZr-./~ 'AV~. m
LO! ../. , Block .'
"/Y/Td Z. ris . bLdivi. io .
Anchorage R~cording District, Alaska
LOT SURVEY CERTIFICATION
I I~'lby Csrllfy fhot Ihovl IUl~Vlyld thl pfo~ert~ shown and de~rlbld
Ret.
Date
®
[nlemenfl Of record other then thole Ihown o~
the plot of.record ore 11ol ohown hereon unloii
cfherwllo noted.
LEGEND
· ~ Brass or Aluminum *co~ed monument*recurred
0 Iron pipe Gn~or rebor recovered.
~ ~x~ hub ~t~ck recovered
· 5/8"x~" rebut set this survey
.~IS OF V~/~L
= ZI~7. ~.~.'~. 1~7~ '~U~
Prepared by: ~ L.
Registered Lo~ ~urveyor
(907)279.S2~ 519 ~ K/ghfh Ave. Anc~oge Al~ka 9~01
Property 6f:./ '/. ~ , · ,
SG$ Ref.# 103f672001
Client Nnms Tobben Spuridand P.E.
Prolcct Nsm&~ Lot I Wild Iris
Cll,.nt Ssmple ID Lot 1 Wild Iris
Matrix Drinking Water
All Date~rlmes ate Alaaka Standard Tirnc
Printt, d Dare.line 09/09/200-4 15:09
Colletted Date/rime 09/04/200'4 14:40
RecelYed Dat~l'lme 09/04/2003 15'.25
TKhnltiI Dirtier ~tep~e~ C. Ede
Sample R~rnark~:
Allowable Prep AnalTs[s
Parameter ~uallflers Re'lis P~L Unt~ Moil:od . Container ID Ltmi~ Dn~e pat~ Init
Watero Do,ar t=ent
Nitrate-N
14/crobtology
Total Coliform
0.5S2 0.100 mgtr_.. EPA ~00.0 B f<'"10) 09/0~/03 .tS
eo~/100mL SM1 g 9222B A {'<"' 1 ) 09/01t03