HomeMy WebLinkAboutTRAILS END BLK 7 LT 9Trails End Block 7 Lot 9 #015-192-17 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131108 PID Number: 015-192-17 Dwelling: ❑o Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade Name: JIM LEPLEY ABSORPTION FIELD EJ Deep Trench HShallow Trench El Bed Mound Address 11440 DOGGIE AVE. ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 3 GPD/SF -0.5 TO +1 Ft LEGAL DESCRIPTION Depth to pipe invert from original grade 0 TO +1.5 Ft, Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot TRAILS END 7 9 Fill added above original grade . .5 TO 5.0 Ft Gravel length Ft. Township Range Section Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 5 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 300 Ftp --- I -- Ft. well >100' >100' >100' NA >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding M Other Manufacturer BIOCYCLE Capacity 1500 Gal. Surface Water >100' >100' >100' NA Material Number of compartments Lot Line >5' >10' >5' NA FIBERGLASS 4 NA Foundation >5' >10' >5' NA LIFT STATION Manufacturer Capacity Curtain Drain >50' >50' >50' NA BIOCYCLE 1500 Gal. Remarks EXISTING SEPTIC TANK ABANDONED Pump on level at 25 Pump off level at 44.5 High water alarm at 22.5 PER MOA REQUIREMENTS. DIVERTER in. in. in. VALVE INSTALLED TO EXISTING A.F. Pump make and model MEYER Electrical Inspections performed by MOA Installer PIPE MATERIAL House to tank 3034 Tank to drainfield SCH40 A+ HOME SERVICES Drainfield SCH40 CO/MT F810 Inspector ANSON MOXNESS & LARS SPURKLAND BENCHMARK (Assumed elevation) 49&111,6 ft L.S. Inspeea iiosn fa 6/7/13 d 6/10/13 Location and description 2 3'" 6/11/13 4'" BOTTOM SIDING @ "A" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date �. /�-PgE.OF• ..4g ...�� . E.SPUR KLAND.: % ��f r •, 1 5 0 �C`i Approved Date (o-/-/� 61� 444 Inspection Report_9.1- 2. LOT 10 Septic VACANT Area SWING RFS A B DBL. C.O. C 45' 43.5' DBL. C.O. D 46' 44.5' S UTIL EASE BIO. MH E 47.5' 48.5' — DF. MT. F 77.5' 90' — — — DF. MT. G 89' 105' ABANDON fX1STING SEPTIC PER UPC REOUIREMFN Septic I SUPE"'°x Area 3 BDRIN (- y D SFR S< 0 w Sttwc - mx ID 9-tnx IT A INSTALLED 3 -BEDROOM SEPTIC SYSTEM W/ BIOCYCLE AWWTS INSTALLED DIVERTER BED LENGTH 20' SL°� "PDX BED WIDTH 15 FEET FffrI -u -Pox MAX EXCAVATION DEPTH 1 FOOT F2TER SAND 1.5-3 FEET ROCK DEPTH 0.5 FEET INSULATION 2" COVER 2 FEET (MIN) BLOCK 7 8 I I ,sxm°e -tux C Septic I I Area c� L S I W Area ISI I I � R P NOTE. THIS 1S NOT A SURVEYED PLAT. WELL d SEPTIC LOCATIONS TAKEN FROM ON-SRE WATER AND WASTE WATER DEPARTMENT DOCUM£NTAIWN. ALL LOCATIONS SHOWN ARE APPROXIMATE. R5 0 25 50 75 100 125 150 SCALE, 1' = 50 FT. SPURKLAND ENGINEERINGI ( TRAILS END BLK 7 LT 9 I I RECORD DRAWINGS 203 V 15TH. AVENUE ANCH. AK. 99501 JAMES LEPLEY DATE, MAY 16 2013 (907) 279-3916 11440 BOG91£ AVE NYMP c&e MIP call PERMIT # LISPI31108 PID # 015-192-17 TRAILSENBB7L9.SC50DVG 4' MDRITDR ASTM 3034 GRADE TO BRAIN 2 EL£V.= I01' TESTHOLE _ 1 ELEV.= 98.8' VAR" SEVER ROCK Hlws EL£V.= 98.2' ELM= 97.7-96.2' 30' �- �-� \i� I STANDARD BED I •OF A I Xx, NTS i �? 9ttt 0, •,4 H .;. tl ��.SPURKLAND.;Z It �3:,• ,J11 00 ��� PRO' sl INSTALLATION 1. EXCAVATE A 10' x 10' x 14Y DEEP hUE FOR B117CYCLE SYSTEM 2 PLACE A MBYMW OF 4' SAND a' GRAVEL RN LEVELING COCWSE IN THE BL27ILN IF THE EXCAVATION CLWACT AS REQUIRED 3 PLACE 4 SHEETS OF Y x 8' x 2' BIRECT BURIAL RI61B IN aArMY IN RF OF CLOPACAD LEVELIAG CO(MS£TO PROTECT BOTTOM IF FIAMASS TAMC. TAKE EXTRA CARE TO ASSWE TMT INSIX.ATITM' IN ALL BMECTIONS A BACKFILL ARDW TAMP LP TO INVERT 17F 4' IMYUENT AND 1-1/4' EFFLLENT LIAES WITH FREE FLOVING MATERIAL FREE OF LARGE STWE STONES DR BOMBERS. 24' NAX o III® co .� � b BISCHAR6E 2 £LEV.=98.7M ELM= 94.2' (6/7/13) 8RR.1' Am ELM= I NUKE CLEAN OUTS INE FINISICD GRADE AVAY UW MP IN ALL BIRECTI M 4' PVC MUCK m PPRINARY CHAMBER m AERATIDR CHAMBER `N ®CLARIFIER ®DISgh,NRGE CHAMBER .BOTTOM OF TAMC Y%rya y:I.'7%ll1R�t jr;;9 XWTDR TUBE r SAW45RAVEL BACKFILL rl"I'Mlrfa19:14 0 IJPUNKLANU MUINEtNINi(I TRAILS END BLK 7 LOT 9 (I SEPTIC SYSTEM SHEMAT/C 203 V 15TH. AVENUE BA TD JUNE Il, 2013 ANCIL AK 99501 JAMES LEPLEY (907) P79-3916 11440 B1 OE AVE.. ANCHORAGE, AK 99516 SHEER 3/3 6RIIT. 2641 I PERMIT # OSPI31108 PID # 015-192-17 TRAILSENBB7LOB3.DVG I Municipality of Anchorage Development Services Department Building Safety Division �r On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchorace. ak. us (907) 343-7904 Soils Log -Percolation Testmil; Performed For: JAMES LEPLEY Date Performed: Legal Description: TRAILS END BLOCK 7 LOT 9 Township, Range, Section: _ PRE-SOAKED. WAS GROUND WATER Date ENCOUNTERED? YES Net Time Depth to Water 5 IF YES, AT WHAT DEPTH, 6' L O Depth to Water After P Monitoring? 5.5' E Date: 5122113 5121113 CaW.DH.S on 617113 10 MIN Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop 5121/13 10:06 AM 0 MIN 13.313" 11.125" 5121113 10:16 AM 10 MIN 12.250" 2.188" 10.625" 5121/13 10:26 AM 20 MIN 13.250" 1.625" 11.125" 1 5/21/13 10:36 AM 30 MIN 13.313" 2.125" 11.625" 5/21/13 10:46 AM 40 MIN 13.375" 1.688" 11.500" 5/21113 10:56AM 50 MIN 13.375" 1.875" 11.563" 5/21113 11:06 AM 60 MIN 1.813" PERCOLATION RATE 5.5 (mimrt sfinch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 1 FT AND 2 FT PERFORMED BY: ANSON MOXNESS I ( &h )UVAFJCERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIP INES IN EFFECT ON THIS DATE. DATE: 5/22113 On -Site Wastewater Disposal System Permit Permit Number: OSP131108 Tax Code Number: 01519217000 Work Type: Septic Permit Effective Dates: 'June 04, 2013 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 to June 04, 2014 Design Engineer: SPURKLAND ENGINEERING Subdivision: TRAILS END Site Legal Address: TRAILS END BLK 7 LT 9 G:2641 Owner/Address: LEPLEY JAMES P & SCOTT CHRISTINE D 11440 DOGGIE AVENUE ANCHORAGE AK 995161276 Site Mailing Address: 11440 DOGGIE AVE, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 22800 Total Bedrooms: 3 N Private Well N 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: 4 2 Date: / Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp://www.muni.orgiOnsite Development Services Division On -Site Water and Wastewater Program irenr S �o F '� n Department **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP131140 COSA#: _ Permit#: OSP131108 PID#: 015-192-17 Legal Description: Trails End Block 7 Lot 9 Engineer: Spurkland Enaineerincl Applicant: Jim Leoley Your request for a waiver of the required 3:1 slope on the required cover on a mound system has been approved. See the approved design. This waiver approval applies to the proposed Error! Reference source not found. only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ................................................................ 0.............. Waiver is Granted: X Waiver is not Granted: Date: Approved by: Uv. Name of Revi er ........................................................." .................... Rao#: 06347G Amount: $200.00 Date Paid: **** VARIANCEIWAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-192-17 Property owner(s) James Lepley Day phone 301-3259 Mailing address 11440 Doggie Ave., Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Trails End Block 7 Lot cj Legal description (Township, Range & Section) Lot Size Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field El Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 APPLICATION IS AN: TYPE OF DWELLING: Initial El Single Family (SF) El (w/wo ADU) Upgrade 0 Duplex (D) ❑ Renewal ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. of property owner or Permit/Rush Fees: 5 -0 - Date Date of Payment: Receipt Number: Permit No. Q.sf Permit App_9-1-12.doc ' Waiver Fees: Date of Payment: Receipt Number: Waiver No. Environmental Consulting and Design SEPTIC SYSTEM DESIGN Trails End Blk 7 Lot 9 Municipality of Anchorage May 28, 2013 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 11440 Doggie Ave. Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system will serve a 3 -bedroom single-family residence. The existing system did not meet COSA operational requirements. A soils log, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: No groundwater observed to a depth of 5.5 feet below ground surface (5/22/13) Soil Rating. From Testhole 5/15/13 5.5 min/in = 3 gal per sq.ft/day No. of Bedrooms Required Area per Bedroom: 150/ 3 =50 sq.ft. Total area required: 50 x 3 = 150 sgft System: We are proposing a BioCycle AWWTS, and a mounded bed absorption field. The absorption field will be 20 feet long and 15 feet wide and contain 0.5 feet (300 sq.ft. effective) of sewer rock. Soils: A test hole was excavated on May IP, 2013. Seethe attached soil logs. Groundwater was monitored for through May 22 d, 2013. Ground water was observed at a depth of 5.5. Surface Water: No surface waters were observed with 100 feet of the proposed septic system. Topography: The lot slopes to west at approximately 10%. Waivers: No waivers are required at this time. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net SPUTMand EIMOOMMIMU Environmental Consulting and Design The installation of this septic system will not prevent wells and septic systems from being installed on 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. If you have any questions or concerns, please contact me at 279-3916. Sincerely L/')p Lars Spurkland, P.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 3541597, Lspurkland@gci.net s l o 'tom` 7 I to LOT t VACANT J L 5' UAL fA_S£_ _ iV I I I sTR I 1)LOT VIII I I 9 fE4' I I I G I I I I B Q I I I 4 III 7 I I I III NOTE.• ARS IS NOT A SURVEYED PLAT. WELL h SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXBIAT£. 50 0 50 100 150 200 250 300 SCALE I' = 100 FL I BLOCK 6 LOT 1 2 VACANT mzls=� 4 SPURKLAND ENGINEERING I I TRAILS END BLK 7 LT 911 SEPTIC SYSTEM DESIGN 203 V 15TH. AVENUE JAMES LEPLEY DA 1E.- MAY 16 2013 ANON. AK 99501 (907) 279-3916 11490 DOGGIE AVE ANCHORAGE AK SHEET, 1/3 GRID, 2641 PERMIT # 0SP111OXX PID # 123-456-78 7R4ILSENDB7L9.SC100.DV6 LOT 10 Arec VACANT J L 5' UTIL EASE — — — FABANDON EXISTING S£PTlC YST£M P£R UPC RfDUfR£M£N ell Area c!) I I o 3 BDRM I m SFR SLa-t " tf II Q9 suff -lax W &LrwE - IN INSTALL 3 -BEDROOM SEPTIC SYSTEM W III W1 B10CYCLE AWWTS v I INSTALL DIVERT£R RED LENGTH 20' BED WIDTH f5 FEET SL - tux MAX EXCAVATION DEPTH I FOOT FILTER SAND 2 FEET I O ROCK DEPTH 0.5 FEET 1 _ SULARON 2" ATE 10Z INC COVER 1 FEET (MIN) 7 BLOCK 7 8 sxLPt Septic I I � Area c� 1 Area 1. ISI I I IRP NOT£.• SLOPES EXCEEDING 25X WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPTION FIELD LOCATION. NOTE.* THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPRONMATE. 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT lol SPURKLAND ENGINEERINGSEPTIC SYSTEM DESIGN 203 V 15TH. AVENUE TRAILS END BU 7 IT 9 ANCH. AK. 99501 JAMES LEPL£Y DATE, MAY 16 2013 (907) 279-3916 11440 DOGGIE AVE SHEET., 213 GRID, 2641 P£RNIT # 17SP1210XX PID # 015-192-17 TRAILSENOMRSC5MG 4' MONITOR ASTM 3034 GRADE TO BRAIN - INSULATEN - G£OT£XTILE BACK FILL .,_..:FILTFRSg_ ND'24't. ,. 30' STANDARD BED NTS 24' MAX -1/ PVC DISCHARGE A o Lo s ® O FOUNDDATIDN CLEAN OUT FINISHED GRADE AVAY TO4P IN ALL DIRECTIONS 11 ¢ x 0 P BLUEBOARD INSULATION INSTALLATION L EXCAVATE A 10' x 10' x 10' BEEP HOLE FDR SIOCYCLE SYSTEM. 2. PLACE A MINIMUM DF 4' SAND OR GRAVEL FOR LEVELING COURSE IN TIE BOTTOM IIF THE EXCAVATION COMPACT AS REWIRED 3 PLACE 4 SHEETS OF 2' x 8' x 2' DIRECT BURIAL RIGID INSULATION 17N TOP IIF COMPACTED LEVELING CORSE TO PROTECT BOTTOM OF FIBERGLASS TANK. TAKE EXTRA CARE TO ASSURE THAT INSULATION COURSE IS LEVEL IN ALL DIRECTIONS 4. BACKFILL AROUND TANK UP TO INVERT OF 4' INFLUENT AND 1-1/4' EFFLUENT LINES VITH FREE-FLOVING NSF MATERIAL FREE OF LARGE STONES OR BOULDERS 20' 17.5' 1-1/4' SCHEDULE 40 PVC V/ 3/8' NIXES P 30' H MONITOR TUBE MONITUR TUBE SAND/GRAVEL BACKFILL /(TT Nt /... . ..........o E. SFGRKLANID:r,% SPURKIAND ENGINEERINGSEPTIC SYSTEM SHEMATIC 203 V 15TH. AVENUE TRAILS END BLK 7 LOT 9 013 ANCH, AK 99501 JAMES LEPLEY 11 1 DATE+ MAY 22, 2RI MIM ?79-791A 11440 BII66IE AVE.. ANCHORAGE, AK 99516 SHEET+ 3/3 GRID, L9641 !PERMIT # OSP113XXX PIB # 015-192-17 TRAILSENDB7LOD3.BV6# OSP113XXX PID # 015-192-17 TRAILSENDB7LOD3.DV6 4' PVC INFLUENT O PPRINARY CHAMBER ® AERATION CHAMBER ti ®CLARIFIER OBISCHARGE CHAMBER ,BOTTOM OF TANK BLUEBOARD INSULATION INSTALLATION L EXCAVATE A 10' x 10' x 10' BEEP HOLE FDR SIOCYCLE SYSTEM. 2. PLACE A MINIMUM DF 4' SAND OR GRAVEL FOR LEVELING COURSE IN TIE BOTTOM IIF THE EXCAVATION COMPACT AS REWIRED 3 PLACE 4 SHEETS OF 2' x 8' x 2' DIRECT BURIAL RIGID INSULATION 17N TOP IIF COMPACTED LEVELING CORSE TO PROTECT BOTTOM OF FIBERGLASS TANK. TAKE EXTRA CARE TO ASSURE THAT INSULATION COURSE IS LEVEL IN ALL DIRECTIONS 4. BACKFILL AROUND TANK UP TO INVERT OF 4' INFLUENT AND 1-1/4' EFFLUENT LINES VITH FREE-FLOVING NSF MATERIAL FREE OF LARGE STONES OR BOULDERS 20' 17.5' 1-1/4' SCHEDULE 40 PVC V/ 3/8' NIXES P 30' H MONITOR TUBE MONITUR TUBE SAND/GRAVEL BACKFILL /(TT Nt /... . ..........o E. SFGRKLANID:r,% SPURKIAND ENGINEERINGSEPTIC SYSTEM SHEMATIC 203 V 15TH. AVENUE TRAILS END BLK 7 LOT 9 013 ANCH, AK 99501 JAMES LEPLEY 11 1 DATE+ MAY 22, 2RI MIM ?79-791A 11440 BII66IE AVE.. ANCHORAGE, AK 99516 SHEET+ 3/3 GRID, L9641 !PERMIT # OSP113XXX PIB # 015-192-17 TRAILSENDB7LOD3.BV6# OSP113XXX PID # 015-192-17 TRAILSENDB7LOD3.DV6 (5Sp131tqo Environmental Consulting and Design SEPTIC SYSTEM DESIGN Trails End Blk 7 Lot 9 Municipality of Anchorage June 11, 2013 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 11440 Doggie Ave. Ladies and Gentlemen: We are requesting a waiver of the required 3:1 side slopes on a mounded absorption field. At 3:1 side slopes the toe of the slope would extend approximately 22 feet from the edge of the absorption field. A 2:1 slope would not require placing fill in the utility easement and bring the toe of the slope to approximately 14.' The proposed system is a mounded bed with advanced treatment and pressurized distribution. Pressurized distribution should ensure that effluent is distributed over the entire bed surface, preventing localized overloading. Treatment provided by the BioCycle AW WTS will maintain aerobic conditions in the absorption field, which will also prevent localized overloading. One and a half to 3.0 feet of MOA filter sand has be placed beneath the sewer rock. Effluent from the drain field will pass through the filter sand vertically with little horizontal migration. This fine grained soil will ensure that septic system effluent will be sufficiently polished as it migrates through the soil column. The receiving soils are silty gravel to a depth of 10 feet. A percolation rate of 5.5 minutes per inch was observed at a depth of 1 foot. With a percolation rate of 5.5 minutes per inch effluent ponding at the receiving soil interface is not anticipated. Increasing the slide slopes of the mound should not have any adverse impacts on the operation of the absorption field. We are requesting a maximum side slope of 2/1. If you have any questions or concerns, please contact me at 279-3916. Sincerely, pur� .• Lars parkland, P.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gcinet � ' A (C) w Q y ti W Q 4i Q 2 LAJ h I Q tCD Q O IX v �I i � O � ►� 2 v m v W LO --;-------- -------- --- — LwZZ> CLI o cl- w o a o ! 4 p �,I p �rrt WZ�M i k ilt " I-- ----- Q ------------ftl- ' :Y -{! o (J j M V p C:) o�� r} cY�NI 111 0 1 111 .CD W �' UJ • y 0 Q J 0� rm -- • i 0 0 0 .--� 0 0 0 ON W o Municipality of Anchorage Development Services Department Building Safety Division r' ': • —i yam, On-Site Water and Wastewater Program L i 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www. ci.anchoraae.ak.us ' '•' n (907)343-7904 � ��•.� Soils Log - Percolation Test LIILE, Performed For: JAMES LEPLEY Date Performed: Legal Description: TRAILS END BLOCK 7 LOT 9 Township, Range, Section: COMMENTS PRE-SOAKED. WAS GROUND WATER Date ENCOUNTERED? YES Net Time Depth to Water S IF YES, AT WHAT DEPTH? 6' L Depth to Water After p Monitoring? 5.5' E Date: 5/22113 5/21/13 Reading Date Gross Time Net Time Depth to Water Net Drop 5/21/13 10:06 AM 0 MIN 13.313" 11.125" 5/21/13 10:16AM 10 MIN 12.250" 2.188" 10.625" 5/21/13 10:26 AM 20 MIN 13.250" 1.625" 11.125" 5/21/13 10:36 AM 30 MIN 13.313" 2.125" 11.625" 5/21/13 10:46 AM 40 MIN 13.375" 1.688" 11.500" 5/21/13 10:56AM 50 MIN 13.375" 1.875" 11.563" 5/21/13 11:06 AM 60 MIN 1.813" PERCOLATION RATE 5.5 TEST RUN BETWEEN 1 (minutesMl ) PERC HOLE DIAMETER 6 FT AND 2 FT PERFORMED BY: ANSON MOXNESS I pt/ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIP INES IN EFFECT ON THIS DATE. DATE: 5/22/13 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 614/9/0/ 7/ PID Number: Name: DAY�D yP�riE}� Wastewater System: PIN ew ❑ Upgrade M� Address' /2740 c-51,1145tC Phone: 34 r— ;la O I No. of grooms: LEGAL DESCRIPTION Lot: Block: Subdivision: 9 �,4s F -WP Township: / N I Range: gw I Section:2.(� w / WELL: NIA ❑ New ❑ Upgrade Classification (Private, ",C): Total Depth: Cased To: Ft. Ft. Driller. Date Drilled: Static Water Level: Ft. Yield:GPM I Pump Set at: I Casing Height Above Ground: Ft. Ft. SEPARATION DISTANCES To seplic Abeorpeon Va From Tank Field station Well m/.5 //2.5 111A Surface Water Lot Line Foundation Curtain Drain Remarks: Holding Tank N1A N/A N/A NIA N/A 42 /8 N/A N/A 3.5 58 N/A N/A N/A N/A l i/A N/A ABSORPTION FIELD&,V Np) ❑ Deep Trench O Shallow Trench O Bad Xmound O Other Soil RatiJ ng:O. Total 4spin from original grade: J7 / GPD/Sq. Ft.� Qop* toto�pipe bottom from onginal9rade: Gravel depth beneath pipe ld Fill added above original grade: Gravel len the 2.0 Ft 05,Y95 Ft. h: j&iLIVAI ffi9NJP Numbbe/eroflines: Data betweenlines: * • � 1150Ft. ✓ WIlAl Ft. Total absorption area: /Z25 Pipe material: �},/ /�� �C AS7M105&'94 SO. Ft. taller In6Mc 45xo4VArioN 67-1-91 Date installed: o'se TANK . Septic O Holding O S.T.E.P. Publie/Pnvate Manufacturer. Capacity In gallons: Sewer Lin„ UNK /000 1144 Material: TEFL Number of Compartments: 2 AA LIFT STATION `i✓ONE% /61 Size In gallons: I Manufacturer. N/A "Pump on- level at: I "Pump oft" level at: I High water alarm at: N/A Pump Make 6 Model I Electrical Inspection$ performed by: BENCH MARK L. 1g-Description: A7':5 07W EAsT' &ORNER Lor Inspections performed by: CARL Age4M5Dates: 1st7l?1e/ ,666 WR16 r .c• 2nd 7/3//9 Department of Health and Human Services approval / Reviewed and approved by: _/`Y" `-�6� Date: 72-013 (1/21) MOA 25 EG. = 20/. 3 Assumed 25 , ENGINEER'S SEAL ! t ` 49th ROe!RT W. WRIGHT L CE -8156 Peori:ssto�'''.� Ft Permit No.-S%y 9/0/ 71 Page I of z✓' Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 9 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: I -[,•q , DLPCIL7, fZAjUS lal> 15,1_I6p PID No.: d t S' / `r'2 - 17 PDJO� AV WUr-, �d.. Tei►-�� .s/8 R�a4,e ELE✓. = 20/. 3 I:xIsP� WP.1.1. - MP069r> 3 BDIZM F}olKt: NoUSr, ----- ---- 9, 5LZK7 Y i .o s�r� srsr ��.• a . � u 1 ARgok � i 5CAL9: 'J r e 40' i 72-012 A (2191) MOA 25 49th: 11 X ROBERT W. WRIGHT Ir�J y CE -8156 ��I`� PROFESSIONa�. Permit No.6W/910/7/~ Page Z of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOTS/ BC�C7 T.P�:/LS ENO S!/B PtD No.: /S' / - PD�AG WIIJIA E.YCA l�/ITE f1ND I ti jvtZM4'�(ON : �RE L oCf1 TE E.Y/sT/NG T,eP770 TANK 6 a -,re NOTE .3, ¢'Sat/O PVC HEtrDER PIPE •. 29<7Y� ` 3r �. k1 N m to �— .......................' Is' .o ILIV G/ 3 ,p 3s' ' ��Pvc so�iD oN/TdR Tt/BE I -44'4' 4UT ,D G7YP� N N� 72 013 A 1291) MOA 25 DES/GN 745951R4,f'/M�9TE L(v/Ps' 4F e'rl.MN6: � SySTEM rl ¢"yE,eF. PvC P/PE r-, Permit No. SW 9/O/ %/ Page `3 of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: SOT 9, BGOCK%, 7PC4145 ENO SUED. PID No.: V � It ..._ Z 66107 :9N/7A4-,GUOa'd' 1A•. Q „ t.Q u_,._. .. F4 ek :.::` 6 SON ZMs � ':Tea ' 7.7i137/ad/d I I = 8 310/v X o/v a"r�s �9/v/d/d W�1S�CS aN6' O/y96'-1 Z ZG7/d , : aZ! _ �'r' 7�/1Dd .9 7C1G3S SIX --7. _ �. _ZIOIv 5.:. r °o! N7 7Ad 4/70S` i4 il OX 2 QIO lU O 141 A,rk �i/ �q' �! p //_I .....__...._y..� -- %-.`_ 4w._._...__.__.._.._.__...__. .._ ENGINEJ;B.•UEAL.---- W (6'OF At Kj J r % 108ERT;W. WRIGHT l+ CE .8156 r` ✓�' _ ; ... ,�snvy.. !+2•dS F' o�sodoa�d :: a1�1 Fo ya� P/0,FSS10t�p a7 72-017 A 12/01) MOA 26 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910171 DATE ISSUED: 6/26/91 DESIGN ENGINEER:HIGH, PHUKAN & SORENSEN CONS. ENGRS EXPIRATION DATE: 6/26/92 OWNER NAME:RILEY CHARLES D & SARA J OWNER ADDRESS:12710 SILVER FOX NO. 2 ANCHORAGE, ALASKA 99515 PARCEL ID:01519217 LEGAL DESCRIPTION: TRAILS END BLK 7 LT 9 LOT SIZE: 22800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY; ISSUED BY: l,Jtn Pis\ r,(.,A 4, c� �m 1a DATE: alfgO / DATE : / -2 8 , 4/ PROJECT JOB NO.ys%�37K PAGE ff Gar,o ecoc.�e 7 Tk.9its 4W, t E 1 { -OF- SUBJECT 'Or C s/ SrE�J /eEl �criES� OAT �!�/ IDATE -0F Col oel, 4rE f/ELD J2E- /, PEKC RATE PER P.eeiljOC/S UES"/rr�Y,.• 35A!/rl///i✓ 2, t/N.4A/U,sTED .saes .QATE: 267 634-/av,61W 3. I&MB:ER 40F BEaRoa?t-1s ,3 ,4. f e,6r, 4 OF f}Qs'a ePr14A1= 9 BEd RaoMSX 267Szl' &O,aV 4, /. 5= /240/. S.SF 5, F'/ELd D/ME/VCVOAISz /2ol.S.� = 34.G6fr &,s -e s6grr vpemce l 6, 7-4N,r sizE .= Co] 49th �+ t ROBERT W. VAIGNT CE -8156 10400 6:f1 L Permit No. Page_._ / of 6' Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage. Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: GOT 7, QCOCK 7, TKi1/G S' END crUBP. PID No.: DOGG/E A!/Eit/UE -• ; EX/Sr/,YG: -�o �YEGG •�•4DlUS -''� - �iYEGL iPAO/US ceso '' _NavrE"' '^•., ,HOUSE D t7 I •�Pria_.sY.s7" aF=rP,elNr or. ,,= 1 �1 "•�',�T.,r,� -13ED a a-E.orlc sYST. PROPoSEP R,EPFACe- . •�.,`• BBQ• SEE SNT; 2 of'3_ ��'�°I•--•.RESE,PVE. Fo of / .. �� � - `• -iB2 sE 7C JYSr o 13-013 A (119 q MOA 15 ENGII(f. F!VS SEAL . r 49th ' �..,•1`• ...... ROBERT W. Y3,,IG:R CE -8156 Permit No. Page Z of --.5- Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: L079l 4644✓'C7 T' 45 ENO.5ZI9 PID No.: ¢'SOG/O PYC N fiErrDEi? Pres—� 3� G' k1 N m °�E.I 0.411. re' ANo iPE LOCATE ,9X1S77NG tf'EPT7C TANK o J'EE NorE 3. L CEA/VGSUa7"L1 D GrYPi 12-00 A (2riq 4GA 25 ,,o-410173' of A04rlC.V SYSTEM ��Mrrs of E,r'isn�vG 6 , 3' SYSTEM PIG P/PE / I C7YP.) r 49th ROLERT W. WRIGHT CE -0156 Permit No. Page 3 of S Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage. Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT V., 6LOCK7. 7/e4/4S ENO SU.BD. PID No.: Z 6 S1O7 3/V/7itla3doad ' JJ Rk I N Nis :� '731137 /fid/d �� d Jildu ri 3L ON aas I ��- �v/ i.• I '7 VZVa FU PIN x'317/d 4 A P V.10/t/ gag L �lON 33S u9 , ' ` •9N/d/d W31S�iS ON6� "' 7Si1Yd 9 JL1d�s 9N/1S/Xd . U, v "� � �N61 JLLd.�S .�NCISIX� c�'�a'Nd1 SN/1SX� �1Yro09�y rj Q Q /-WR V o3s4?d0ad E OF ROCERT W. WEIGHT a �� I@1 �4to ROiESs,01'�_-_9�M 73-015 A (7/91) MOA Y5 -••••� "� � �N61 JLLd.�S .�NCISIX� c�'�a'Nd1 SN/1SX� �1Yro09�y rj Q Q /-WR V o3s4?d0ad E OF ROCERT W. WEIGHT a �� I@1 �4to ROiESs,01'�_-_9�M 73-015 A (7/91) MOA Y5 -••••� Permit No. Page Page ¢ of `S Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES . ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: 407*9 BLOCK7 TEA/GS ENO c5'UBO, PID No.: DOGG/E .4V9. Q 4 -----------------------198 'I 19C FKOiPoS'EO _ 19� _.. . f f� �,...... 192 ' ; %". ••, �~• .190 i -,188 1 . t No,2Ty 1. , r•------ ----------- 182 // /JW GeiIDE CvNTaU� OF 49th n { ROEERT W. WRIGHT it 72-012A(2/101)MOA : ~ ^- June 11, 1991 H91374 5of5 LOT 9, BLOCK 7, TRAILS END SUBDIVISION SEPTIC SYSTEM REDESIGN PROJECT NOTES: 1. All construction shall be in accordance with Chapter 15.65 of the Anchorage Municipal Code, Wastewater Disposal Regulations, as currently amended. 2. All fill slopes over system shall be 3:1 max. (3 horizontal to 1 vertical.) 3. Contractor shall excavate, remove, and reuse existing 1000 gal. septic tank if possible. Contractor shall notify Engineer upon removal of septic tank to allow inspection, prior to replacement. 4. Contractor shall expose existing sewer gravel and piping. Remove and reuse existing PVC perf. pipe if possible. Contractor shall verify that existing system has been installed at a level grade. If existing system subgrade is not level, contractor shall regrade to provide a level subgrade. 5. Contractor shall leave existing septic gravel in place. 6. Maintain a minimum of 4 ft. of cover over PVC lines and septic tank. 7. Filter fabric shall be placed between septic rock over PVC perf. pipe and backfill material, filter fabric shall be typar 3401 or approved equal. 8. Filter sand shall conform to Anchorage Municipal Code, Section 15.65.060, D. 9. All pipe to be 4" PVC per ASTM D3034 or approved equal. i(F 49th �+ 9 ROEERT W. Y:71GHT "rte'• CE -8156 IeC kii�P5CSs0°�` June 11, 1991 W.O. H91374 ONSITE SEPTIC SYSTEM NARRATIVE PROJECT: LOT 9, BLOCK 7, TRAILS END SUBDIVISION. Owner: Mr. David Riley The following narrative is submitted as part of the bed type septic system upgrade for the onsite septic system for lot 9, block 7, Trails End Subdivision, and is submitted in accordance with the Anchorage Municipal Code, Section 15.65, wastewater disposal regulations, Section 030.13.4. The submitted design shown on the attached drawings and notes is a modification to the 'existing unused septic system in place at this time. A brief history of this site shows that the existing system was installed on 2/8/86 and approved by Dept. of Health and Human Services on 2/26/86. Mr. Riley contacted High Phukan Consulting Engineers to inspect the existing system on Lot 9 prior to purchase. Our inspection showed that the system had inadequate cover, and we recommended that additional cover be applied to bring the system within municipal standards. After purchase, Mr. Riley contacted the DHHS, and an inspector from that department visited the site, noting high ground water in the system and indicated the system was condemned, as it did not meet minimum separation distances above seasonally high ground water. High Phukan Consulting Engineers was again contacted by Mr. Riley, to find a solution to the problem at hand. Mr. Dee High of our firm visited the site, and advised Mr. Riley to dig 2 water monitoring pits to allow the ground water fluctuation to be measured. During the following weeks, it was noted that the ground water was approximately 41 inches below the ground surface above the existing system, and approx. 25 inches below the ground surface below the lower end of the system. The soil above the seasonally high ground water is an organic silt which is tight and somewhat plastic. Because of the high level of the seasonally high ground water, and the unsuitability of the existing soil above this ground water elevation, we have chosen to utilize a 4 foot thick filter -sand bed system over the existing unused septic system. During telephone conversations with Mr. Dan Bowles of the DHHS, we were informed that this type of system design would be acceptable for this specific site. Please note on sheet 1 of 5 of the design drawings that the slope across the extent of the site exceeds the maximum 10% allowed by municipal regulations. 'The degree to which this site exceeds the regulations is minor in that the slope falls between 10% and 11 %.T -We ask that a waiver be granted to the maximum slope regulations for this lot and septic design. We have shown topographic contour lines on our desr,.l, which indicate the relocation of soil taken by Mr. Riley to provide the necessary 3 feet of cover over the existing system, prior to his being informed that the system had been condemned. Our design considers the existing contours, and we have shown the design site grading in our drawings to modify the drainage of the site such that surface water is directed away from the design system. Item A: Wells Lot 9 is ordered on 3 sides by developed lots. Due east is Doggie ave. which borders the entire east side of lot 9. To the north is lot 10, to the south is lot 8, and to the west is lot 2, all of which have systems well away from subject property. None of the lots surrounding lot 9 have wells within 200 feet of either the existing or proposed systems. The existing system does not affect any of the existing wells or placement of new wells on adjacent properties. Item B: Wastewater Svstems All of the directly adjacent lots bordering lot 9 have existing septic systems in place. The reconstruction of the septic system on lot 9 will have no impact on those lots adjacent. Item C: Reserved Space There is space remaining on all adjacent lots for placement of new systems or upgrade of existing systems. Lot 9 has adequate area in the southwest corner for a replacement system as shown on our sheet 1 of 5 design drawing. Item D: Drainage Drainage for the area is generally to the West. Lots 8, 9 and 10 drain to the west away from Doggie ave. The contour on lot 9 show a slight swale from the northwest corner of the proposed 3 bedroom house across the proposed system. Sheet 4 of 5 of our design drawings show regrading of the site to prevent surface drainage from travelling across the proposed system. END OF REPORT 49th ? 9 ROBERT W. WRIGHT >ir� CE -8156 - DRILLENG, inc. >\ , P.0, Box 110378 ! 10330 Ofd Seward Highway (907) 349-8535 ANCH,bRAGE, ALASKA 99511 � r Rr/E � 1991 - `'? S�ufhc�nPr81 DOILLNG LOG, Regional Div '- bescof ya`oal Well Owner T)AVTP RITT.F.V _ e oto Location (address of: Township, Range, Section, if. known; or distance . main road`\ -< T;nt 9 h1 k 7 Trai1 a„ A& Size of casing Vii" Depth of Holp etCased t0 54' t f Static water level 10, low) land surface. Finish .ft. of well (check one); open end (.XX Screen ( } ; . Perforated Describe screen or perforation Well pumping test at--IG—g � (minute) for—L--hours. with .: drawdown from 1, 100% ft. of static Date of completio 1-29-9 4 WELL LOG Depth in feet from 1 ground surface df formations perietrated,.size, of material, color and hardness 0 TO 2w;u P 2 TO 20'wel (Hard -Pan) 20 38 L,P & Gr,�ve l TO j 38 44— Gravel TO ; .xk$.x 44 49 avec TO 49 " 54 � TO TO TO TO �' iv Tb W TO Certificate N o'r::. 314 & 973 —TO- 4 TO -TO - 2 2 — STATE PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.U. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW910013 DATE ISSUED: 1/28/91 DESIGN ENGINEERS & S ENGINEERS EXPIRATION DATE: 1/28/92 OWNER NAME:RILEY CHARLES D & SARA J OWNER. ADDRESS:11440 DOGGIE AV faiuchG�Ct�t 9g51(o PARCEL ID:01519217 LEGAL DESCRIPTION: ' WL9'END BLX"__ .7_LT . .9 LOT SIZE: 22800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL. CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. . 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). .."S. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIOhI. �iL� / / RECEIVED BY: _. -..- - - ---U-- -- ---------- ----- DATE:._ /L 2 �1 --- 1-29 ISSUED BY: - y-�.��------------ DATE:=1� ---- Municipality of Anchorage Department of Health and Human Services Tom Fink. 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 10, 1991 Jesse C. Bell 301 K Street Suite 601 Anchorage, Alaska 99501 Subject: Lot 9 Block 7 Trails End Subdivision Permit #1900358, PID #1015-192-17 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1990. A new permit must be obtained from this office for a well and/or on-site wastewater system n9t installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as -built inspection report (three-part form) must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, Since Py Joh mith,E. Pro am Manager On-site Services JW/ljm:200 enc: Copy of Permit please call this office at 343-4744. "Kids Are Our Future" FI U II 1 L 1 f fi L 1 I Y U f h N L; H U R A G E Depart.mant of ftealth & Human Services 025 L Street, Anchorage, Alaska 99001 343--0- O N- S I T E W E L L F E R M I 7 Permit Number: 900059 Date Issued: 11/05/90 Owner Name: JESSE C. BELL Owner Address: 301 K STREET, SUITE 601 ANCHORAGE, AK 99501 Farcel Id: 015-192-17 Lot. Legal: Subdivision: TRAILS END Section: 2Z Township: Lot Size 22000 (sq.ft. or acres) Max Bedrooms: This Permit: 3 Total Lot: 9 Block:: 7 12N Range: 3W Capacity: 3 Day. Phone: 276-1077 NELL: Log must be submitted to Municipality of Anchorage Department of Health and Human Services within 30 days of well completion. INSTALL PER ATTACHED SITE PLAN. NOTIFY DHHS PRIOR TO ANY CHANGE OF WELL LOCATION. THIS PERMIT IS ISSUED FOR THE PLANNED I BDRH. SIMOLE FA"LILY DWELLINi_ ONLY AND EXPIRES ON 12/31/90: I CERT EFi FHl1T: 1. I am familiar with the requirements for on-site sewers and wells as set. forth by the Municipality of Anchorage (MOA) and the. State of Alaska. 2. I "ill instoll the system in aeeordancc with all MOA codes and regulations, and in compliance with the design criteria of this permit. Z. I will adhere to all MOA and.State of Alaska requirements for the set back dintancrs from any existing well, wastewater disposal system or public wawa,race system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargement will ren' -e an additional permit. '_signed: DATE: (Owner) JESSE C. S .L Issued Dy: DATE. -Yom -; .._ + �� __ ------------- -//O/v ----- �I I .Lori- I I I i Lo_ 2_ �(IT�Yels UTL. 1'0L6 — I I 11 I SU7�� ry L?aw-rtuNrS� li II o I $t!PrIG ca ►� S 0 00 00 10LZ to �0 I 0 0 • I I�ID� G•E.A• �PS6hl[!h ��"`-`• S S�° S9 �- moo" W Fo�ND SIS Rn9•a. _Lora._ II I I .Lora li I� PROPo3E D W/Avep. welt . Fowo Sia Iteon2—��� PLOT PLAIT AS BUILT Y- SCALE V%%4.0' M?G 4MMG% 1 M Clogs LL OrM DO GRID Z64.1 30.0 30.o r JOB ITO 90 -Z-LO 1731 George Bell Circle Anchorage, Alaska 99515 (90T) 345-6476 I 8creby certify that I have surveyed the followinq described property: Lot 9 .Block -I , TRAtts t'stao S43otV115ioh1 AW 14Cc.ac a Recording District, Alaska, and that the improvements situated thtreon are within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property txctpt as Indicated Darton. f1. Dated this the 2`(o Day of Oc.T_-&M . 1990 , at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear an the recorded subdivision plat. 4� v y1.1 A Vis.. K•nn•i 0. V LS: 5202• i 111F L(zc&,oN S ol! ( 0211 , - o-� wask t&�r 54s4c>hs on adi q cc ni- Ws. CbmOtA Z-8-86 • ^ MUNICIPALITY OF ANCHOHAGI: _ DEP. ,TMENT OF HEALTH AND HUMAN SERVI .S t Environmental Health DNiafon 1 825 -L- Street. Anchorage. A6vka 99502• Telephone 264.4720 ,r ON-SITE SEWAGE DISPOSAL SYSTEM ANO/OR WELL INSPECTION REPORT "•"j at�0h (Be ��� DISTANCES TO I SEPTIC I ABSORPTION ii/• N FROM TANK FIELD WELL WELL %1c..� Ho.,.• e..,••...D •.o w b.•n.or, I.I OT t,-i ►�tfT 1,1 _ .''.'�"!';u „Dr a,clrnon LOT LINE FOUNDATION twwv,p a•nO•• a...w• p ►•10( I O1 I Y I� t w} -rlUa '�'i�•,1 �aE>~ �{ assU,ll tNAcaA,+IS•Wn,,+rnw... w•..rn .r. lDe.. "c' TINKS I t SEPTIC ❑ HOLDING «w.ww.ww Lap" gran, 2CGt� -A%Jji 1 rja D r..r.•. ,.o. w Cw.Dwmr•". A TYPE OF SYSTEM I , V- ❑ TRENCH • �( BED ❑ W. DRAIN ❑ OTHER lronbD,. Wan+aw lol,•wipn Yaww4nrWe ( y / M� tr wgwr v,e, 4.0 FT ASI I a h r. awoo oD., we.w rove 4•ww Dw.w. Dp •„.n - 1 •- 0.0 FT o _S ,T c'~ -Yn 0....• ran 34. D FT 3'F�Q iT tiv�laaL ' L t/ 1- \ w tool r.vw•en w I D.:r•c. D«nwI M•., � / sacT /a ... !w •.ww ,w m««r 2AP7 SO FT 'P&_/4` JC�Zdf� P,C� WELLS tzcPo•�.� RIVATE E3 OTHER IlAentlhl C.a.a~ N a CI- ?JD�� l�'iSC1��INt✓w fil Ff i • My1M• Dow M'r.0 REMARKS: 4 r✓loT�,-rorE� �-� Era- -rte p I o ,tic-+ by 3 1 ''•• . a 5 6 5 Erpiroe,In� _. i I VZ2 1711 .Md/ Pl Nxl m,o,dw on Offt-" Kmf,tm M M ,r0,., A. SA.Iw J •• i roll-) "iv.. Pt..o 2 Qj [ r �r. I�s�� •':�i o wcroa W Yr nrmn .n "T.?aR an. -- 14•nn Dlprlww., ADD•n„1 • � '-r I'a'• . • r.,�� AS-pl,L.l l"1 �roM 2-8-810 sl�oL.�T�-- lo��•IoA� o•� �roPosed L�a�er Well — low from Norfh and EAS f-Plbptrfc� IN1e . ** GRAVEL LENGTH i 75 FT'. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) i(* TANK MUST HAVE: AT LEAST 1WO`COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back: distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECT10N MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL. INSPECTION REPORT; AND (3) THE ELECTRICAL WORT; MUST BE DONE BY A LICENSED ELECTRICIAN. S I (iNED ))ATE: Lo APF'LICAN F: S&S E "-LiJLLRING ISSUED BY DATE: e(� /�'/l DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 025 L STREET, ANCHORAGE, AK 99501 A 264-4720 '` WLLL F= LFiNII i" PERMIT NO: 060041 DATE ISSUED: 02/07/06 AprLICANI: S&S ENGINEERING ADDRESS: SRB 196X EAGLE RIVER, AK 99577 CONTACT F'HUNE: 694-2979 F LEGAL DESCRIP: SUBDIVISION: TRAILS END LOT: 9 BLOCK: 7 SECTION: 24 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 22000 (SQ.FT. OR ACRES) MAX BEDROOMS: 3 Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. - - - - - - - - - - - - - - - - - - - - - -("FBF=N(__F-F - - - - - - - - - - - I {F=L} W _ - - - - - --- - 13FZ61-:% I N DE111H TO F'IF'E BOTTOM (FT.) 4.0 4.0 4.0 'GRAVEL DEPTH (FT.) 5.0 O.5 3.5 TOTAL DEPTH (FT.) 9.0 4.5 7.5 GRAVEL WIDTH (FT.) 2.5 225.0 5.0 GRAVEL LENGTH (FT.) 96.0 +* 49.0 103.0 *� GRAVEL VOLUME (CU.YDS.) 40.9 45.4 76.3 TANK SIZE (GALS) 1,000.0 * 1,000.0 +* 1,000.0 SOIL RATING (SG.FT./BR) 310 267 310 ** GRAVEL LENGTH i 75 FT'. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) i(* TANK MUST HAVE: AT LEAST 1WO`COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back: distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECT10N MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL. INSPECTION REPORT; AND (3) THE ELECTRICAL WORT; MUST BE DONE BY A LICENSED ELECTRICIAN. S I (iNED ))ATE: Lo APF'LICAN F: S&S E "-LiJLLRING ISSUED BY DATE: e(� /�'/l MUNICIPALITY OF ANCHORAGE �1 _ DEP....TMENT OF HEALTH AND HUMAN SERVI..-S ' Environmental Health Division • 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name / DISTANCES Addass d ✓ a`r7w,0/1 �./ (/ J TO SEPTIC / n FROM TANK ��niel.) ABSORPTION WELL FIELD vno��'--`-"Y�GtT�NA// Permit No. footBearooms WELL /iDrla� Nrrr )1, S6/ -2Z93 LEGAL I0LOO 4t DESCRIPTION I 3 LOT LINE Lot Block Subdivision Tit-�� FOUNDATION F����'Ds Township, Hange. Section 017f t P-1 AS -BUILT DIAGRAM (Show location of well. septic system. property Imes. lourwation. I mwuway. %atm 000 -es. etc) TANKS a I — Y" SEPTIC Manuractmer Aw_t:flIZ/�Ca� Malenai ''''II ��F , ❑ HOLDING Capacity on gallons -VA* -„L 1 el No. of Companmems Z TYPE OF SYSTEM ❑ TRENCH BED Depth to pope Dutlom hum original grace 'T^'O FT fill a weci above onfl'naI pada ❑ W. DRAIN ❑ OTHER I oral Depth from original grace L}•S FT Graves oepth beneath pipe 0.0 FT n•S FT Gravel lengdl Gravel wiaih ?ILP. o FT FT total absorption area SQ FT I Distance between lines - \/ YP FT hones Sod rating pipe material SOFT^�W Installer Date InstalieD So. 2--e- WELLS $-WELLS �c' Ot"o5ii—rte >f -PRIVATE ❑ OTHER (Identi(v) Uasvbutiwl lA.B.CI 101.1 Lkpm Caseo to FT FT Installer Dale Inmallec. 11,14ALT1:I&I Dry 1-110 P -&D` 'V-1 D (L, <,-> A�G/�� IOEJ WP�fF'L- I�a/lEa- 1 Co C I., V C" --r" --r'551 , • ! -Dol, T �I � �T7oC�G1r� Scale: I". AM. Inspect -o s erformed by. Data S do 5 Engineering I SRB 195x tertily that this inspection was perlorrned according to all Ea -le give alasL� oQOp477 'Z 8 _ Municipal arta Slate pm�gnes m e11�ecYDh gnt Oate: �1 %7�% Health Department Approval:" �" • ' " �'-`•'p Date. 72-013 (3;95) Dq, eOJE: /RebaA A. Shafer . Ho. I457-1 9•or FO a- •.....' IAy U* I .� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST ro�1 �i9Ft PERFORMED FOR:E/l7' A/y/Ii%ONO DATE PERFORMED: LEGAL DESCRIPTION:/ / .(J ! TA/Lr Fljo Township, Range. Section: I• ,3 /r0 pE�PTIs / n / /� S40PE WI, TE 1 brw 6 2Z/ 10 N r a 2 - c� - 3-�%."% �ry. 4- 6- -6 m G /V% - 2.6 f7 �u 7—� B — l� 9- 10– WAS GROUND WATER A �O a, ENCOUNTERED? /V y� L IF YES. AT WHAT 1() 12-� DEPTH? p E ` % y 13 �Depth to Water Atter aT70iG! �/�IP Monitoring? Date: ! 14 – Reading Date Gross Net Depth to Time Time Water 17- 18- 19- T Net Drop ti Q 20 - PERCOLATION RATE –:?5— (minutesnnch) PERC HOLE DIAMETER �L r �/�TEST RUN BETWEEN FT AND ! FT COMMENTS IVL)N/ 70,CZA`4 / 2 -ec Iwr TA L 45�4 S & 5 Fn01„rering �/f SRB 19611 / C/ CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: Eagle ".Iver, Alaska 99577 ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELIN I FFECT ON THIS DATE. DATE 72-008 (Rev. U85) ' S & S Fngineering r+ r`, ' SRB 196x C(imr�UTATION SHEET DATE: Eagle River, Alaska 99577 SHEEP OF BY SuaIECT: L 9 B '7 7_1P6 IL S F/t/0 5/0 CKD 17 7 I � , Z67�/BR 4/ trox V— - '� L ! , � _ I I I_! i � I I I ._l f ,�, ✓._!_ �{.1-d .�r�7H_Top/�.E' ' !_4,0•/'T, 2-__D /U~ ./',f.f Z/.E: js� -- -GeA✓ L.-D�f�J7 1 JI SFT, (7R 3c>Lo p � �SI_7e__E N �`._I I✓'E9— 1 I --�_. I s. =! �(� f ,/�._ _�_� /�1_l!_-'-��S7E I, 0�,�;'•r�:0/Y� moi;-�-�I-,y .G�PFUF4wiorH,_'_30.0_/'_7 ' I I I w. Q: w. .�._•jr.._ �`_ _GQ AJf�_LEub7/� �4/.. O_�f..7 I ' I -1 i--I-IJ?•�/l.:.5� I - �w•L- - _62AJEG _ (IO LUKtt ', ! 45.3 i% _I I�I _. I� I. 1 '_. R� TA)4/K_l $/t C_ alo _GNL I I �_' i ' _. _�._-1 I ! I I I I I I ' I :�_' _•-_r _ M �1. ._. '--'I�_.l_`� �.__I_1 I ' _: 1. :--' —' LI � J -I I I �! �� 1 I I '- I 1- l '- --�_-: I I I' -� I �-�' ' I�-I. i...• - I - j_ / I I I ti of At- 1 T 41 14, - ---�- -- .� 14 s7 i d ,i � S FES k � A ,r•�a i EPL. JS O fit tao Municipality of Anchorage On-Site Water and Wastewater Program ;TIM' (907)343-7904 SAFETY Certificate of On-Site Systems Approval Parcel I.D. 015-192-17 Expiration Date: 7 7 -1r 1. GENERAL INFORMATION: Complete legal description TRAILS END; BLOCK 7, LOT 9 Location (site address) 11440 Doggie Avenue*Anchorage,AK 99516 Current Property owner(s) Robin Depsev Day phone 907-601-9253 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual El Individual Water Storage ❑ Holding Tank 0 Community Class Well 0 Community 0 Public Water System 0 Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 6-67) Waiver Fee $ Date of Payment ( ("`{q Date of Payment Receipt Number OLP act , Receipt Number COSA# 05e.(41 I 6610 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: I/-i--/q 00000000 In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system o OF A 'N in accordance with the guidelines and regulations established by the Municipality of Anchorage and ,..c�-.• - ' industry practices. The reported results describe the condition of the system/s on the date/s of the QQQ Q . ' ' .32-9 c2-9 00 evaluation. Separation distances were measured to readily identifiable features. Hidden defects or U __encroachments may exist that were not identified during the evaluation. The operational life of all wells Q * f 9 �� 0.0 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and '/ 0 are outside the control of GEG. Satisfactory test results do not guarantee future performance of the V f Corn-ss.: Q system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of QO CE •7• Q the well or septic system. GEG makes no representation whether an alternative well or septic system s Q •(P can be installed on the property in the event either of the current systems fail to perform adequately in n(6' 1••4: ./.q' F,cAo4:7 the future. The content of this report is for the sole benefit of the person/party that retained GEG toDap ofess o"°g' perform the evaluation. Reliance upon the information provided in this report by any other person or �� .POp�� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE ?(\-/ System #1 Approved for - - bedrooms System #2 Approved for bedrooms Disapproved .„ Conditional approval for bedrooms, with the following s �1 P�EK�P�EFZ v s M �P RP �?^ pRpG IC BY: Original Certificate Date: 1— 7 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. 7. ATTACHMENTS: COSA Checklist 7 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12,doc COSA Checklist Legal Description: TRAILS END; BLOCK 7, LOT 9 Parcel ID: 015-192-17 If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1 A. WELL DATA E Well log is filed with Onsite(or attached) Well production at time of test 5.4+ gpm Date drilled 129191 Water storage tank volume gallons Total depth 54 ft Well disinfected for coliform test? ❑Yes ❑■ No Cased to 54 ft 0 Coliform bacteria is Negative ❑Q Sanitary seal is functioning correctly Nitrate 5. 13 mg/L ❑ Nitrate less than MRL(ND) Ej Wires are properly protected Arsenic ! ug/L ❑Arsenic less than MRL (ND) Casing height(above ground) 12+ in. Collected by GEG, Ltd. Date of flow test for COSA 12/27/78 Date of Sample Static water level at beginning of test 18.5 ft. Comments DATE OF SAMPLE: 12/27/18 &1/2/19 B. TANK DATA C. LIFT STATION Age of tank(s) 5 years Required maintenance completed Tank type/material FBEAG ASS Age of lift station 5 years ❑■ Standpipes/foundation cleanout per record drawing Lift station material Date of pumping SEE ATTACHED MAINTENANCE Comments: BIOCYCLE - DOUBLE CLEANOUTS BEFORE TANK D. ABSORPTION FIELD DATA Which system tested (date installed) 6/11/13 Adequacy test date '22"18 ❑■ ALL standpipes present per record drawing Results ❑✓ Pass For 3 bedrooms Total measured depth from grade 5'+ ft(max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade ft(min) Water added 651 gal 0 N/A—pressurized field New depth 0 in • Monitor tubes go to bottom of drainfield. If not, state Elapsed time 0 min depth into effective El Code-required soil cover over field Final fluid depth 0 in ❑ Absorption rate 450+ gpd System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100' 0 Yes if No ft III Yes if No ft Neighboring Tank> 100' 0 Yes if No ft Private Sewer/Septic Line>25' 0 Yes if No ft Absorption Field on Lot> 100' [1]Yes if No ft Holding Tank> 100' ['Yes if No ft Neighboring Absorption Fields> 100' Animal Containment> 50' Q✓ Yes if No ft []Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' �✓ Yes if No ft �]✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations> 10' 0 Yes if No ft Surface Water> 100' Q✓ Yes if No ft Property Line> 5' QYes if No ft Driveway/Parking > 0' ✓QYes if No,comment Absorption Field> 5' El Yes if No ft Wells on Adjacent Lots: Water Main> 10' E Yes if No ft Private Wells> 100' ✓QYes if No ft Water Service Line > 10' Q✓ Yes if No ft Community Wells> 200' 2 Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ✓Q Yes if No ft Driveway/Parking > 0' p✓ Yes if No,comment Property Line> 10' ✓�Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells> 100' 2 Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells>200' ['Yes if No ft Surface Water> 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION ,„,--c Q~ A ' �� oP� •••....... ..9A 1 certify that I have determined through field inspections and review 0'` J.,,. .'•- -- of Municipal records that the above systems are in conformance with I er H 49 P' vo MOA COSA guidelines in effect on this date. ' 0 � $ D , cif rey . .� s.•. .. C 7 53p� (ki�o, ..pl?(" •o�E,c70 COSA Checklist yellow sheet �DO�c ress�goo #AECC884 �40�0 A: MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT i/! - 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # OSC191006 Subdivision: Trails End, Block: 7, Lot: 9 A water sample revealed a nitrate concentration of 5.13 milligrams per liter (mg/L). 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. Mailing Address: P.0. Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT,herein the"AGREEMENT" made and entered into as of this Day of of 20 ,by and between Adam&Erika Fay ,herein the"OWNER,"and the Municipality of Anchorage,herein the"MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System(AWWTS), described as located at(legal description) Trails End L9 B7 2. Maintenance, Repairs and Alterations. (Owner is required to read,understand and initial each section) -1'.t'/' Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s),replacement costs, and inspection costs. This includes an annual maintenance fee(typically$400 to$600). "4T1c-- Owner agrees that only maintenance and repair personnel approved by the Municipality • or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. %v -.i'1"- Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system,which could include sewage backup and costly repairs or drainfreld replacement. (rev. 05/18/2018) Page 1 of 3 ,:),47: M." Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. r�ht Owner aelmowled es that the fine forlailin to maiiTtain and re"air an AWWTS ma l5 assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. ,')-(7-2.9,,r7 Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. • Airf Owner agrees that the AWWTS installation and maintenance requirements as provided ..... ................_..._..by-the-AW_W_TS vendor/.installer_andapproved_by._the.Municipality_are.the.governing......._. .... .._ . .. guidelines for the construction,maintenance and repair of the Owner's AWWTS. M' +;iM Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. • 3. Term. The teen of this Agreement shall begin on the date of approval by the Municipality to operate the installed system,or upon transfer of title,and shall continue while the AWWTS is operational or until title is transferred. • 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions,nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only he amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. • (rev. 05/18/2018) Page 2 of 3 • OWNER: (signature) Date: 1/ 1) 9 1(.."4.A TFCAy (print name) STATE OF ALASKA )ss. THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this day of CLICIVIanl 2019,by ,7 v P-"zi STATE OF—ALAS116.." .1 NOTARY ' BLIC NOTARY PUBLIC FOR ALAS,KA qt• ' My Commission expires: ti 3A3/ Mattie Dawson ; MY commission Evires Mamh 31,2021! • MUNICIPALITY: — - By: 111 (signature) Date: 7 (print name) Title: • • (rev. 05/18/2018) Page 3 of 3 • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certii icte of On -Site Systems Approval o 015-192-17 �\` i ' tt Parcel LD. Expiration Date: 9 4�- f. 1. GENEON Complete legal description TRAILS END BLK 7 LOT9 Location (site address) 11440 DOGGIE AVE., ANCHORAGE, AK Current Property owners) JIM LEPLEY Day phone 301-3257 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well PI Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiverivariance request for: NONE Distance: Received by: 1' �—� Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ V - Cly Waiver Fee $ Date of Payment m(A3 Date of Payment Receipt Number 71426 Receipt Number COSA # 08e,13 /;&,3 Waiver # 6. 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. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Phone 279-3916 Date 6/11/13 „ Conditional approval for bedrooms, with the following By: LZZ�// t 0"Original Certificate Date: 6 r 1 - / The nicip ity o An orage 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 blueshee[ r � .. If more than 7 septic system is on the lot: COSA Checklist # of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: TRAILS END BLK 7 LOT 9 A. WELL DATA Well type PRI If A. B, or C provide PWS ID #- Date completed 1/29/91 Sanitary seal (Y/N) Y Total depth 54 ft. Cased to 54 ft. FROM WELL LOG Date of test 1/29/91 Static water level 10 ft. Well production 10 9.13 -m - WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 6-56.05 11�mg /L Arsenic ND ug/L Date of sample: 4/10/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material BIOCYCLE/ FIBERGLASS Tank size 1500 gal. Number of Compartments 4 Foundation cleanout (YIN) Y Depression over tank (Y/N) N Date of pumping NEW Pumper C. ABSORPTION FIELD DATA Parcel ID: 015-192-17 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) >24 in. AT INSPECTION 5/28/13 2 ft. 7.1 g.p.m. Collected by: ANSON MOXNESS Date installed 6/7/13 Cleanouts (YIN) MANHOLE High water alarm (Y/N) Y Date installed 6/10/13 Soil rating (g.p.d./ft2 or ft?/bdrm) 3 System type BED Length 20 ft. Width 15 ft. Gravel below pipe '5 ft. Total depth 3 ft. Eff. absorption area 300 fe Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test _ in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date - D. LIFT STATION Date installed 6/7/13 "Pump on" level at 25 in. Datum PUMP CHAMBER Rif E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 1500 "Pump off' level at 44.5 Cycles tested NEW 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' in. Manhole/Access (Y/N) Y High water alarm level at 22.5 Meets alarm & circuit requirements? Y 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 'S Property line 'S Water main NA Water 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 '50' (N.O.) F. COMMENTS G. ENGINEER'S CERTIFICATION Surface water '100' Wells on adjacent lots '100' I certify that l 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 6/11113 COSA brown sheet -10-1 0-12.doc Absorption field f'& Surface water '100' Water main NA Driveway, parking/vehicle storage >25' _e�0•se,��, �*coFAlgslll %,3 t!* ;y97 �i RSPURKLAND: �j�• 1150 �i �Fo . 4 H I,�.•P��� 1l�oFE 1`N� Municipality of Anchorage Community Development Department ° p Development Services Division $ A ETY On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 131253 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 7, Lot 9 of Trails End subdivision. This inspection revealed a nitrate concentration of 6.05 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. i1N04�aw'i 0`- Se�C sysfo4l PMS I M I I LOT 1I I LOT 10 1 1 ,o' C.E.A. EASEMENTS 1 5' UTILITY EASEMENT / 1 s'3D"E I:9.0aT , — — 11 Fr +NNETAINING WELL 1 BALUNY WITH b µTALL PATIO BELOW SEPTIC 40.0 I., ,0 e p CLEANOUT ro CONCRETE TWO-STORY " DRNEWXY RESIDENCE SEPCQ\ e CLEANOUT ` TMENT CANT. . 123.0• PO DECK p LOT 9 \ " 2.0'x5.1' � R I I 22,800 S.F. CANT � W a p SHED 8.0'x6.0' SHED 10.2'x12.2' b0 ,A 0• SHEDS 89.59 30 190.00 ENCROACHES 1 1 to.5' LOT 8 ILII � ILII � LOT 2 LOT 3 Ira m c Ira PLOT PLAN AS BUILT X SCALE 1' = 40' GRID 2641 Project No. 13055A3 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax *§'pFO kerl®langsurvey.com / Jonatharl®langaurvey.aom P��........... Qs�o I hereby certify that 1 have surveyed the following described property: LOT 9, BLOCK 7, TRAILS END SUBDIVISION (PLAT# F-604). Anchorage Recording District, Alaska, and that the Improvements situated thereon are * 491x1 within the property lines and do not encroach onto the property adjacent thereto, that """"""" "' "" no Improvements on the property tying adjacent thereto encroach on the surveyed promises and that there are no roadways, transmission lines or other visible KENNETH G. LANG easements on sold property except as Indicated hereon. 5 02 Dated this the Ie Day of ZLIf4o , -L%)%5 , at Anchorage, Alaska pV�hA ' . l } 13 .••_ It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverifythat based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the dateofthis inspection. Name of Firm obbeH SeoY�clo�,�Y C Phone -2 « Address .2 o3 /51-4 10's Engineer's signature Date '41 qY AW rm0 `�� sem•, CE -2225 V t � ..NN •t.,. r 6. DHHS SIGNATURE g�hdcoti�►s•�1r l� Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments r 61 By>` Date2--/7-174 CAUTION %The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority ..-.Approval Certificates based only upon the representations given in paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct. inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72o25(n«.1121) Swk MOAm ® Municipality of Anchorage ARL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L -O+ ci 13 u 1 A. Well Data 112,411-5 =N)D Well type Log present (YM) Total depth Sanitary seal (YM) Date of test Static water level Well flow Pump levelt Parcel I.D. 015 — 19 2 —1-7 If A. B, or C, attach ADEC letter. ADEC water system number yDate completed i' Z 9' Driller 5 Y Cased to `� Casing height ?Y*15 Wires properly protected (Y/N) Y FROM WELL LOG AT INSPECTION r - zq q U b2.�� ( t� g.p.m. 14 eu-r SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 10 2 Absorption field on lot 117 Public sewer main (`t/A Sewer service line > G D WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: B. SEPTICIHOLDING TANK DATA ; On adjacent lots 7 Iao On adjacent lots ? 1O0 Public sewer manhole/cleanout A Petroleum tank M 2e -b5 Other bacteria 1, 0 Collected by: S , Date Installed ;1.8- P(� Tank size I ovc7 Compartments Z Cleanouts (Y/N) y Foundation cleanout (Y/N) Depression (Y/N) N High water alarm (Y/N) NIA Alarm tested (YM) N 1A, Dateof pumping ' I 31 • 4 Ll Pumper l Aa.o-e-`.S SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot $02- On adjacent lots 7 I To property line qd + Absorption field Ix; Surface water/drainage N 10 Foundation 35 Water main/service line 7 70 72.026(999)• Front CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Size in gallons Vent(Y/N) Nc)WE High water alarm level 'Pump on' level at Meets MOA electrical codes (YM) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA Date installed -1' (' I ) Length 7:15 Width Total absorption area Date of adequacy test On adjacent lots Manufacturer Manhole/Access (YIN) 'Pump off' Level at Cycles tested Surface water Soil rating (GPD/Ft) 0.5? st 3 5� Gravel thickness & f 16 Water level in absorption field before test Cleanout present (YIN) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) C 1 - SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 11-7 On adjacent lots -� 10-0 To building foundation .S11:� On adjacent lots > 1v0 Surface water N 1c) Curtain drain N 10 E. ENGINEER'S CERTIFICATION System type K o u N )7 Total depth Depression over field (YM) N for Bedrooms After test Or .If yes, give date Property line To existing or abandoned system on lot Cutbank Nit Water main/service line > 50 Driveway, parking/vehicle storage area i 5-7 1 certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signalure t •,+ 0 Engineer's Name G o� b e H S uwkL !�_ {' ' d G• � •.oTo_:. S,rrr'nntt �W�� Date all i 4 `{ ` QQ r; ••.., ..• -•`' HAA Fee $ (%00' AD Waiver Fee $ Date of Payment oZ — y Date of Payment Receipt Number °� S6C�� a6f Receipt Number 72,026 (393)• Back .46111, COMMERCIAL TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES a•+:� na Drinking Water Analysis Report for Total Coliform Bacteria 5633 B STREET ANCHORAGE. AK 99518 READ INSTRUCTIONS ONREVERSE SIDEBEFORE COLLECTING SAMPLE TEL: (907)$62.2343 FAX: 1907) $61.5301 MUST BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY 0 PUBLIC WATER SYSTEM I.D. N I I I I I I I Analysis shows this Water SAMPLE to be: 0 PRIVATE WATER SYSTEM Satisfactory ❑ Unsatisfactory 0 SendRerulrr Cl Sendlnvoice ❑ Sample over 30 hours old, results may u•.le sy.lwn t:n..c.m,.nr\�. c„u,,,,,,,� be unreliable ❑ Sample too long in transit; sample should PhonlhYmb.r f.rhumbr not be over 48 hours old at examination to indicate reliable results. Pease send new sample via specialdel' ery mail. 47Suu L,c«. Date Received Time Received 1 b 4S� ❑ Send Rerulu .-Vk e Jnroice 1`) ` ��� 5 1-7 0t � ►V`J �A N ) Analysis Began Analytical Method: ErIMembrane Filter v.�ms AAdbw. 0 MMO-MUG +ty cats z,c.a. Number of eoloaies/100 ml. SA.\II'LE DATE: ® Lab Ref. No. Result" Analyst v Month Day Year 4021-,® 0 1 SAMPLE TYPE: ❑tt// Routine 0 Treated Water Sent to A.D.EC. Anch Fbks Jun ❑ [( Repeat Sample (for routine sample 0 Untreated Water Fazed rwith lab ref. no. ) Date: Time: p Special Purpose Time Collected Client notified of unsatisfactory results: SAMPLE LOCATION. / a nr 7 Collected By ❑ ❑ � J —7F,& Phoned _ Spoke with Fazed 7Dn 9 9; /�/Ls ��fO Date: Tine: Plan Ihim BACTERIOLOGICAL WATER ANALYSIS RECORD N510 -MUG Result: Total Coliform E. Coll Membrane Filter. Direct Count a Colonies/too ml Verification: LTB BGB COLIFIRM nTC-r..A...e..rToe...t Fecal Coliform Confirmation • 08-or4.aurei. Final Membrane F 1terResults Coliform/loo ml Reported By /�f Date Z'1h `l �T(me 1� / brs Comments: -' S 7S Ltemper of the SGS Group (Social! Gdnbrate de Suneinanct) ENVIRONIAENTAL SERVICES IN ALASKA. COLORADO. UTAH. ILLINOIS. OHIO. LIARYLM,'D. WEST VIRGINIA. NEW JERSEY. SOUTH CAROLINA t 1 Commercial Testing & Engineering Co. Environmental Laboratory Services REPORT of ANALYSISA 5633 B Street nchorage, AK 99518-1600 CT&E Ref.>t :94.0517-1 Tel: 1907)562-2343 Client Sample ID :L9 B7 TRAILS END Fax: (907)561-5301 Matrix :WATER Client Name :TOBDEN SPURKLAND, P.E. Ordered By :TOBBEN SPURKLAND Project Name s Project# PWSID :UA Sample Remarks: ROUTINE SAMPLE COLLECTED BY: T.S. Parameter Nitrate --N 0 WORK Order :75505 Printed Date :02/04/94 @ 09:08 hrs. Collected Date :02/01/94 @ 16:30 hrs. Received Date :02/02/94 @ 11:40 hrs. Technical Director :STEPRql C. EDE��— Released Dy QC i Results Qua1 Units Method 2.65 mg/L EPA 353.2/300.0 Allowable Ext. Anal Limits' 'Date Date Init --------------------------- 10 02/02 LLA * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT - Greater Than A®"G SS LL v Member of the SGS Group (SotiA:A GAnArale de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS. MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA i M -W DRILLING, Inc. P.O. Box 110378 • 10330 Old Seward Highway (907)349.8535 ANCHORAGE. ALASKA 99511 DRILLING LOG LWoj, -OCA Well Owner I)A\'IP RI, -LY O , Use of Well p�••, Location (address of: Township, Range, Section, if known; or distance main roarf lot 9 3I1f. 7 Size of easing 6" Depth of Hole yi; feet Cased to f -V feet Static water level 10 ft, UMX04. (below) land surface. Finish of well (check one) open end ( \n ); Screen ( ); Perforated Describe screen or perforation Well pumping test atgallons Pei AP.W (minute) for 1 hours with rlr) ft. of drawdown from static level. ; ,_•+. Date of completion 1-29-9i wcll inn Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness i 0 TO 2 CSC Sf:tkk-up 2 TO 20 Clxy Fc Gravel (Iiard Ilan) 20 35 Day.p Clay E. Gravt;l TO 3f;TO 44 Dry Clay & Gravel 41, 49 We.t.''Silty.Cravel � TO 0TO 54 ravel & Wauer TO TO TO TO TO N%V%VA Cti:a(:va Cb:,tiocw: C-rtificlte 573 TO TO —TO- OO 0 ' 3 — CONT RACTOF