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Home My WebLink AboutTUNDRA JEWEL RANCH LT 10 Municipality of Anchorage Page / of 4 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage. Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:-.S{&/C]~-~O/~'"~t/'~ PID Number: ~-~/'/~-~ - Name: ~U ~/~ Wastewater System: ~New D Upgrade Address: ~o.~ox 47//o~, dAuoia/~ ??547 ABSORPTION FIELD I ~ ~ NO. of Bedr~ms P~one: ~?~,~,~/ :~ ~ Deep Trench ~ShallowTrench ~Bed ~Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION soi,,~,~: /.Z Lot: ~O Bl~k:~~~ ~bdiv~i°n:~ Depth to pipe ~Eom from odginal g~de:~, ~ Ft. Graveldepth ~neathpipe~ Ft. WELL: ~ New ~ Upgrade G~ width: . Number of lines: D[s~nce ~ lin,: C~/,~cation ~Pdvate, A.B.C): ,o~tb: Cased ,o: To, I absorption '">'~0 Pipe material: fitlY; P~p ~t: . . ~ ~ing ~ight&~ve Ground: SEPARATION DISTANCES ~Se~U: TO Septic Ab~tion L~ Holdi~ ~ubli¢flvate Manufacturem ~paci~in gallons: Sudace Lot Cu~ain ~ ~ ~¢;;~ Remarks: ~O ~// /~ ~¢(~. BENCH MARK .o~tion and D~ription: ~rin/~l ~/I o~n~ed ~1 ~[Z[?( rep 0¢ Fo~dn~z'~ P ~ o~ no ~z~v~ e~aL. d/o~.~)/~ Inspections pedormed by: · S. ~,/,= Dates: 1,~ Depadment of [th and~nadCe ce Reviewed and approved bt: ¢~'Y '~~ Date: 72-013 [Rev. 9/91) MOA 25 Permit No. ~ Page ~ 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: '7~/J/3,~,~'~/.U'~'.L/~/,./(":.I-/lOT I~ PID No.: 72-013 A (1/93) · Permit No. ~ Page -~ of z~ 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: c.o 72~13 A (1/90) · Permit No.. ,5(.u ~GOIG ~ Page '~ 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: 7'/./,oo~.xl ~'E~,~L /..o7'{0 PID No.: Oo q< Itl F-- Q -J< ................................ 03 ......................................... ~ ............................. ~3'""~' ............................... .Z..O .................................................................................................................. ~l [ Ov ~: cc>- .=:..u: b< ~< o~ O~- ~g oI 1- 72-013 A (1/93) SULLIVAN WATER WELLS P.O. BOXe?02?2, CHUGIAK, ALASKAgg$17 · TELEPHONE~S8.2759 /r' / DEl'TH OF ~'£LL "1 STATIC LEVEL OF WATER r'r. - L~>~' DRAW DOWN FT. _. F,om l' From.--~--~Ft. to From ~'0 r,o~rt. F~om~O F~om . F~om . ,, F~om From - .. From Ft. From From~FI. to. FI. From to Fr Frem- Io Fl,.~ - From to Fl.. From to FI. From ~o FL From fo~Ft. ' - · From FI. Ft., FI. ! . Ft._ _%.r_~;,~,J-x~) Front. Fl. lo FI m m From__ FI. teK. , ,., From Fl. lo Ft. to Ft. Ft. Ft. MISCL INFORMATION: / I FI. tO. FI. lo FI, FI. lo__Ft.. FI. to__Fl ..... FI. to · FI. OCT 5 1996 Municipality o; Anchorage Dept. Health & Human Service~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE. i OF i ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960166 DESIGN ENGINEER:SKLH CONSULTANTS OWNER NAME:FIELDS BURTON C & BETTY J 50% OWNER ADDRESS:P.O. BOX 671109 CHUGIAK, ALASKA 99567 DATE ISSUED: 7/02/96 EXPIP. ATION DATE: 7/02/97 PARCEL ID:05119307 LEGAL DESCRIPTION: TUNDRA JEWEL RANCH LT lO LOT SIZE: 15420 (SQ. FT.) NLTMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: REMOVE EXISTING CONCRETE FOUNDATION(S) AS REQUIRED BY AMC15.65.060.A.3. RECEIVED BY: ISSUED BY: DATE: DATE: SKLH Consultants 1700 Vashon Circle Anchorage, AK 99515 2 July 1996 Mr. Jim Williams Dept. of Health & Human Services Municipality of Anchorage 825 L. Street Anchorage, AK 99510 Re; Tundra Jewel Subdivision, Lot 10 Supplemental System Design Information 9617 RECEIVED JUL 2 1996 Municipality of Anchorage Dept. Health & Human Services Dear Mr. Williams: I am providing you with the following information per our telephone conversation of today. You requested information regarding any existing wells or on.site soil absorption s~stems for adjoining properties to the south of Tundra Jewel, Lot 10. There are three lots abut- ting the south property line. Per field notes collected previously and confirmed today, two of the lots are undeveloped with no wells nor on-site wastewater disposal systems visible. However, the third lot, that lot adjoining the southeast corner is developed. My inspection shows the existing well and septic system for this lot are not impacted by the proposed new septic system nor the well relocation. The septic system for this lot is over 100 feet from the proposed well relocation on Tundra Jewel, Lot 10 and the new septic system is not within the protective radius of the adjoining lot's well. Currently there exists on Tundra Jewel a concrete slab floor, foundation walls, and a con. crete slab-on-grade. A portion of the foundation walls are to be used for an existing house which has been transported to the lot. The remaining components are to be de- molished and removed during the construction of the new septic system. These items were not shown on the submitted system design drawing for essentially two reasons. The first being clarity since the test hole radiuses, well radiuses, proposed septic tank, primary absorption field, and secondary absorption field all converged upon the same area and, secondly, everything is to be removed during construction. /,S~vfn C. Henslee, P.E. OE 7604 9617Q207.wpd Hopefully, you will be able to complete your review with the information provided above. If you should have any additional questions, please do not hesitate to call. Sincerely, SKLH Consultants 1700 Vashon Circle Anchorage, AK 99515 I July 1996 Mr. Jim Williams Dept. of Health & Human Services Municipality of Anchorage 825 L. Street Anchorage, AK 99510 Re: Tundra Jewel Subdivision, Lot 10 Revised System Design RECEIVED JUL 1 1996 Municipality o! Anchorage Dept. Health & Human Services Dear Mr. Williams: Attached is a revised system design for the above referenced property. The system was revised due to the omission of a 200-fl protective well radius not shown on the original submittal. This radius substantially affects the available area for a new system and a replacement. The revisions consist of reducing the size of the system from a three-bedroom design to a two-bedroom design and moving the primary and secondary field locations. The public well radius is shown on the attached drawing. Sincerely, C. Henslee, P,E. CE 7604 96170107.wpd SKLH Consultants 1700 Vashon Circle Anchorage, AK 99515 LOT 10 TUNDRA JEWEL RANCH SUB. PROPOSED ON-SITE SOIL ABSORPTION SYSTEM FIVE WIDE TRENCH 12 June 1996 SOILS INFORMATION Two test holes excavated to 16 feet below ground level. No groundwater or impervious layers present. Relatively clean poorly graded sandy gravel in both test holes below 1.5 feet. Visually classify receiving soil layer, both test holes, as GP per the USCS. Percolation rate, TH-1 ... Percolation rate, TH-2... 4 m.p.i. Greater than 1 m.p.i. (Filter material req.) SYSTEM DESIGN Application rate, TH-1 ... 1.2 gal. per day/square foot of area (gpd/sf) Design daily flow, 3 bdrms.., 3'150 gpd/bdrm = 450 gpd Required absorption area... 450 gpd/1.2 gpd/sf = 375 sf Length with 4 ft of septic rock... 375 sf/5 ftx 0.5 (reduction factor) = 38 feet Summary: NARRATIVE Total length 38 feet Total width 5 feet Total depth 8.5 feet Rock depth 4 feet Cover depth 4 feet Septic tank 1,000-gal The installation of this well and septic system will not impact adjacent lots. The well location conforms to the siting of the existing wells in the areas and will not prevent the adjacent lot owners from replacing the existing septic system. All neighboring lots are currently developed with on-site systems. There is no impact on current drainage patterns with the installation of this system~.~.r. ~1,11¢ 1;~ 1996 RECEi.V. ED PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15- 16 17- 18- 19- 20- COMMENTS TH- J. Munlclpallty of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LOT lO BF...~- ~3~/-/ Township, Range, Section: SLOPE /.5' '1 GP WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT ......, DEPTH? Oeplh lo Water After SITE PLAN < / /o __ Gross Net Depth to Net m Reading Date Time Time Water o / /I;O7 0 I~," -- I ~/ Hits I0 lq ~/4" 3. z5 Z ~;Y II ~ Z3 I0 I~ Vz" 3.5o 3 I ~/ II: ~ /~ 15 Y~ 2 ~ ~ / I/~ ~3 /0 /~ ~//~ Z ~//~ PERCOLATION RATE ~, g~' (m~nutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 7 FT ^ND 7. 5 FT PE.FO.MEO BY: z?o r , CE.T,,Y THAT TH,S TEST WAS .E.,ORMED ,H ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN/EFFECT ON THIS DATE. DATE: ~. ~_/.~7~_~ 72-008 (Rev. 4185) PERFORMED FOR: LEGAL DESCRIPTION: ~"/~ TH-7, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST J'~"~/.,~'"~ /'~/~/J(:::/./ Township, Range, Section: M'/OL G? 6- 7- 8- 9- 10- 11 12 13- 14- 15o 16- 17- 18- 19- 20- SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN S IF YES. AT WHAT DEPTH? ~/~ p E ~pth t~ Water Alter, Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~[ (minutes/inch) PERC HOLE DIAMETER T~STRUN~ETWEEN 7 ~TAND 7,~" FT COMMENTS FaX/W' //~ Im?'~' ~lFer moment/mvv./r~/. I /~'./~~/ CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 15:16 CT&E ESI ~gCHORASE ~ J4~709~ CT&E Environmental Services Inc. Laboratory Divillon ~~:~,a-,a~-,eee-~ae,,~e,~rl/'~s~,~'ll~e'~/~rJ'~'~r,a~'arJ',e~ Laboratory Analysis Report CT&E RE.// Client [Name Project Name/# Clieag Sample ID Matrix Ordcrecl PWS[D Sim:pie Remark: 966332001 $ K L H Co~ul~ants Tundra Jewel Lnt I0 Lot l0 'l'~lza Jzwe] Drinking Water 0 Clieqt PO# Printed Date/Time 12/04/96 09:24 CollectedDate/Thn¢ 11~7196 14:43 Received Date/Time 11/27/96 16:00 Technlcal Director: Stephen C. Ede Released B~.~,~ ~[touabte Prep Xraty$1$ Nltrate. H 1.19 0.100 ~J/t $H18 &5OO-RO]F 10 rnax 12/03/96 [MB total Cotlforn 0 0 =ot/t0CmL ~18 9~2~a 11/~?/96 1~ 200 W, Potter Drive, Anchorage, AK 99518-180~ -- Tel; (907) 562.2343 Fax: (907) 501-530~ 3180 Peger Road. Fairbanks, AK 99709-5471 -- Tel. 1907) 474.8656 Fax: (907) 474-9885 ENV[RONMENTAL FACILIT)eS IN ALASKA. CALIFORNIA. FLORIDA. ILLINOIS. MARYLAND° MICHIGAN, MISSOURi. NE%V JERSEY, OHIO. WEST VIRGINIA CT&E Environmental Services Inc. Ds[nkJng Water Analysis Report for T6tal Coliform Bacteria ;ac w. A~¢horage. AK 9~518.1~05 Rf.4D I:VgT~CTIGA'$ O:V ~[ S/Df ~[FO~ COLLEC~INC $~M~Lf Te~: DO7] SAMPLE DATE: Month S.-XMPL~ TYPE: R0ufin¢ Repeat Sample (far routine $ample $peclat Purpose Year Tree:ed Water Untre'~ted Water · .~$x:(907) 561.5301 TO BE CC, M?L~-T'~D BY L.qaOR.-~TOKY Ana!ys~s shows this Water S.~MPLE to ~: O Uns*:isfi::oo' Sample ~oo Io~g in transit; sam~lc sheuld not be over 4~ hours cid te indTca:: re:iab:¢ result. Please new simple ~Ja ~7eclal d¢llve~ m~il. Date Received 1~/~' An.,:ydcal Method: ~ M:mb:anc Filter 0 MMO.MUG · Numbcrcfco!cn;esq¢O ml. Result* 252I Anco, rbks Time: Time Collected Collected By Jun btb10-MUC Result: Total Calif~rm ~$embrane Filler: Direct Count · Ve,ificatlen: L. TI~ Client notified of unsatisfacta~' rcSult$: Corem:ntis £. Cell ~7~) . .. Colon;cs/TOO mi BOB COLIFIRM Callf0-rr,/t 03 mi Time ~ hfs 0 Fecal COliform ConfirmaClon Final ,Membrane Filter {~esults ~ ~ I MUNICIPALITY OF ANCHORAGE · DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Se6tion P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # . CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1, GENERAL INFORMATiON * Complete legal description Location (site address or directions) /V'c~O Gl~.'m)/~ Prope~yowner ~ ~/~ Day phone Uailinghddress ~0,'~X ~' 7//0~ Lending agency ~ Day phone Mailing'address Agent ,/~U /3U.]77¢/' Day phone ! Address e Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: ' Individual well Community well Public water NOTE: 2. If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank community on-site Public sewer NOTE: If communitY wastewate'r system, provide written confirmation from State ADEC attesting to the legality and status of system. , 72-02~{Re~.1/~1) F~on! MOA~21 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 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 in compliance with all Municipal and State codes, ordinances, an.d regulations in effect on the date of.this inspe~...,tion.:.~,-. ;.; .~ NameofFirm ~,3~/--/'~ ~'ffT. SZ'l/'~O~'b.-~ Phone · . .... x' .*' :,.; ~ - ,,,/ Engineer's signature v~/: ?~J~z~3~ .... Date DHHS SIGNATURE · Approved Z- Disapproved. Gondifional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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 DH HS 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. ~2-~(Rev. l~l) Ba~k MOAI21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 * (907) 343-4744 Legal Description: A. WELL DATA We,, Pv f Log present (Y/N) Total depth Senitary seal (Y/N) Date of test Static water level Well production Health Authority Approval Checklist If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~"~/~'~' Cased to Z~ ;~ / Casing height (ab~ ground) ~ Wires pmpe.y Pmta~d ~) . WATER SAMPLE RESULTS: (,~'e¢ 43 Coliform ~ Nitrate Date of sample: /'2-~- ~ //!-Z ? -~, B. SEPTIC/HOLDINGTANK DATA Date installed '..~_.~..~/~Tank size [_ Foundation cleanout (Y/N) ~"' Depression (Y/N) Date of Pumping ~ Pumper C. ABSORPTION FIELD DATA Date installed' ~1~-30 '?~, Length ~.-~ Wld~ Effective absorption area Z Other bacteria Number of Compartments ~- Cleanouts (Y/N) I/ /V'" High water alarm (Y/N) /t]/~ Soil rating ~or ft=/bdrm) - /- 2 Gravel thickness below pipe Monitoring Tube present (Y/N) Y Date of adequacy test ~ Results (Pass/Fail) ~'For ~- ~ Fluid depth in absorption field before test (in.); Fluid depth ~J/~ (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) Immediately after ~V,~ gal. water added (in.): Absorption rate = /~/~ g.p.d. If yes, give date /~,J/~) . Depression over field (Y/N) ~ bedrooms 72,-026 (Rev. 3/96)' D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons "Pump on" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /~),.~ / Absorption field on lot /~'-'~" On adjacent lots On adjacent lots F. Public sewer main ~J~ Public sewer manhole/cleanout Sewer/septic service line .~{~) ~' Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation /~ ~ Property line 2/ Absorption field Water main/service line ~.-~ Surface water/drainage ~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation /// Water main/service line ~'7 Surface water Driveway, parking/vehicle storage ama Curtain drain Wells on adjacent lots //~/ /3 /V~¢ ,/~/dY; F. ' ENGINEER'S CERTIFICATION Receipt Number 72-02S (Rev. 3/96)' tn* conformance v~fth MOA? HAA guidelines in effect on this date. ~r.%J~ W-~-'~""""~ "-"~.~- 't J? t {,~'- ,.., '~, ',. :,, ,,on..,; .Z./.~Z., ,/~ ~:.,~, ~.-:.: :-~. ~ :.,..~, ~.,0 /z/~l ~ .~; . _'~ H~ Fee $ ~ ~0 ~ WaNer ~e $ Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or pdor :to closing for the engineering services provided. 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 Ar~chorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposa! system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in.effect at the time of installation. NameofFirm ALASKA WATER &: WASTE'WATER CONSULTANTS, INC. Phone ,557-6179 Address 6901 DEBARR ROAD. SUITE 2B '*1 ANCHORAGE, AK 99504 /I/Ot~ Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date ~, O, Engineer's Comments: I wale a therou h In conducting this evaluation AKWWC, Inc. attempted to pro ' g , conscientious engineering analysis of the system in ac'cordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time o~ the test, and separation distances measured to readily identifiable features. Th~ operational life of all wells and septic systems depend on the local soils condition, gro'undwater levels that may fluctuate during the year. and the water usage of the famzly betng served by the system. These conditions are outside the control of the evaluat6r of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future esbmate of how long the system, w#l conbnue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any relianc~ upon or use of this report by any other person or party is not authorized, nor will it confer' any legal fight whatsoever. DSD SIGNATURE Approved for Disapproved. bedrooms. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: (Rev. l?J01) Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: ~ [Z$/o'? Municipality of Anchorage Development Services Department Building Safety Division On.SEe Water & Wastewater Program 4700 South 6ragaw SL ,P.O. Box 196650 Anchorage, AK 99519-6650 www.ct.anchorage.ak,us (go7) 343-79o4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ..... TUNDRA JEWEL ,RANCH S/D; LOT 10 Parcel ID: A. WELL DATA 051-195-07 Well type p~NA'r[ Date completed Total depth, 262 ,fl. If A, B, or C provide PWSID/t ,8/lg96,,, Sanitary seal (Y~N) YES Cased to 262 lt. FROM WELL LOG Date of test , ,8/lgg6 ~ Statio water level 185 , , , It. Well production , 7 , g,p.m. WATER SAMPLE RESULTS: Coliform 0 colonieS/100 mi. Arsenic: N/A mg./L. SEPTIC/HOLDING TANK DATA Tank Type/Material ...... STEEL Tank size' 1000 gal. Number of Compartments ., Foundation cleanout (Y/N) YES. Date ~f pumping 3/5/2003 ABSORPTION FIELD DATA Date installed , s/3o/lsgs Length 25 lt. Well Log (Y/N) ,,, Wires properly protected (Y/N) , Casing height (above ground) ^T INSPECTION s/ o/2oo 190 ,fl. 5.11 g,p.m. YES 24+ in. Nitrate 2.15, mgJL. Other bacteria 0 , colonies/100 mi. Oata of sample: 2/27/2005 Collected b~. AKWWCt INC. 2 Depression over tank (Y/N), NO Pumper ~sa. ow n~ OP,~EI SOIl rating l~or It~drm) ,1, ;2 Width , 5 ....... ff. Date installed 8/22/lg96 Cleanouts (Y/N) YES High water alarm (y/N) N/A JR'S pUMPING Total depth ,, *~.2 ,, fL Eft. absorption area 250 fl' Monitoring tube YES Oats of adequacy test 5/10/2001 Results (Pass/Fall) PASS Ruid depth in absQrpti0n field before test 0 in. Water added 4_~55 gal. Elapsed Time: 10 min. Final fluid depth 2 in. Absorption rate Any rejuvenation treatment (past 12 mo.) (Y/N & type) . NONE KNOWN Systemtype ,,SHALLOW TRENCH Gravel below pipe, ,, 4 It. Depression over field NO For 2 ,bedrooms New depth 9 in. 300+ g.p.d. If yes, give date - D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pu~ ~ ~ Cycles tested E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ High water alarm level at .in. Meets alarm & circuit requirements? On adjacent lots *88' On adjacent lots *92' Public sewer manhole/cleanout Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *SEE An'ACHED WAIVER REQUEST G. ENGINEER'S CERTIFICATION Absorption field 5'+ . Surface water. 100'+ Building foundation. 10'+ Water main N/A Driveway, parking/vehicle storage 10'+ I certify that I have determined through field inspecUons and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed~lame Date JEFFREY A. GARNESS HAA Fee $ ~ Date of Payment Receipt Number (~. 1~1) Waiver Fee $ ~ Date of Payment ~~,-~ Receipt Number George I: B'uerch. Mayor Municipality of Anchorage B ~uilding Saf¢~' Di~sion 3/28/2003 JeffGamess Alaska Water Waste Water ConSultants Subject: Waiver Request for 88' well to tank and 92' well to septic field Waiver Request #WR~)30022 Parcel ID #051-193-0~ Dear Gamess: Your request for a waiver of th, required 100 feet horizontal separation from the septic tank to well has been approved. ~he approved separation distance is 88 feet. This waiver approval applies to ~the existing septic tank and field to well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Anchorage Ali.America City 2002 If there are any further concerns at 343-7904. Sincerely, or questions regarding this waiver, please call our office ~er -Site Water & Wastewater pr,Ogram P.O. Box 19C~350 · Anchorage, Alaslm 99519-6650 · Telephone: (907) 343-8301 · Fax: (907) 343-8200 4700 South Bragaw Street · Anchorage, Alaslm 99507 http://xx~rw.ci.anchorag¢.ak.us Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastcwatcr Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 Waiver Review Worksheet WR#: {)30022 PID#: 051-193-07 HA#: 030110 Permitg: Date Received: 3118103 Legal Description: tundr~ Jewel ranch aid lot 10 Engineer:. ala;ka W~lterwastewater consultants. Inc Applicant: left oarness Waiver Requested: 88' from well to tank arid 92' from well to seotlc field Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waivor is Granted: J Waiver is not Granted: List Conditions or Reasons for above: Date: ~( '2-8./e ~ By: ~~w~e~ R~t: $2550 Amount: $1000 Date Paid: .¢oO-~eF'cF-. .'TI~¢ S4,~4 ~c ~4,4en. /¢vc.[ /$ /or_.n'/-cd a4 Iqo fee4 ALASI WATER WASTEWATER CONSULTANTS, INC. March 5, 2003 Municipality of Anchorage Development Services Department Onsite Services Section 4700 South Bragaw Street Anchorage, Alaska 99516 Reft Waiver Request and Health Authority Approval for Tundra Jewel Ranch Subdivision, Lot 10. To whom it may concern: The existing 2 bedroom house is served by a private well and septic system. We request you grant a 88 feet separation distance waiver from the well on the referenced property to the septic tank on Lot 28, Block 1, Skyline View S/D; and a 92 feet separation distance waiver from the well to the drainfield on Lot 28, Block 1, Skyline View S/D. The following items are justification for the waivers: · The lots are generally fiat in the area. There is a slight mound and heavy vegetation between the well on the subject property and the neighboring septic system. If the septic system was to overflow, it appears that the effluent would not travel toward the well head. · The other path of contamination is subsurface migration wastewater should the tank begin to leak and the location of the septic system is in a very visible area so that ifany effluent was to surface, it would be noticed and the problem corrected. · As can be seen on the attached well logs, the aquifer is relatively deep, with approximately 180 feet of silt, sand, and hardpan soils that have served to inhibit the migration of untreated wastewater into the aquifer. · Recent water sample results indicated nitrate levels of 2.15 mg/L and no bacteria were present. In short, it appears that there has been no significant impact on the aquifer because of this encroachment. Based upon the aforementioned facts, it appears that there is minimal risk associated with the 88 feet and 92.feet separation distance waivers. The well that serves the subject property was drilled on July 1996, and the septic system that serves Lot 28, Block 1, Skyline View S/D was installed on 5/10/1983.. In short, the septic 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com system is "grandfathered". A check for the $1000.00 waiver review fee was submitted with this request. If you have ~ ~estions, please contact us at 337-6179. Thank you for your assistance. Pre~ ~e~iE., M.S. ' 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com I I I I &m~ I TUNDRA JEWEL RANCH S/D; LOT I ~ ' I I SHERMAN STREET ._ _ _. .... ~ ......... ,, ~ ........ L~ 18, BLOCK 1, N ~ I I / I I I I I LOT 1, B~CK 2, I I ~ I I I I I ~ / I I ~ ~. / I II I L~ 17, B~K' 1, / ~ ~l zu. u~c~ ], I I ~ S~NE ~ S/D; I I I [ ~ I I S~NE ~ S/D; ~1 ~ 2. BLOCK 2. I '', k~: / i, gl ' Ii I ~] , I O, II I I I I O~ S~ ~ S/D; II I I I I ~T26. B~K 1, ~/~/2oo~ .............................. D~w. AI~ASI~ ~TER & ~STE~VATER 6901 DEGAR~ ROAD. SUITE 2~ ' ANCHOrAGe. AK OO50A · PHONE (907)3~7-617q ' FAX (q071338-52~6 1" = 1 oo' ..... PR~ FOR PHONE NUMBS: P~E NUM~: ~A~ SCHIPP[R ess-sose ~ or 2 e~J~'~j'~."~y'"Z~ TUNDRA JEWEL RANCH SUBDIVISION; LOT 10, SITE P~N FOR WELL WAIVER REQUEST SHERMAN STREET ---- - - . / /..~;~ 1 .~:~~'.~.": / '~ , ~'.~,., .: / .:'-! '~..,..~:F / I..' :", "; / / / I'.':Q. / / I'"' '?, ', / .:' .*' -' /"~. / / I :: · '' / ',: . · .' · '"'",~...,. . : '."-" ' ·" ~"~.~---. / / /:~, .,. /...:-, . . . -~'-,,-~,,1 / /,. ::..'.:'...,... /. :',.; '. ,:'"::.":; x-. ~~. .. :...-: .... ::. _~/ ',..,...~....;...,:'- " · · // / · I / ~/" ":~. 7',-; 's.' L ~/ ' ", · ',,, )~'///~ / / / ~',.~,~,,,~ /' ':"; :":: :".:; ~ .; · ~., .,.. ~, .: '. ....... : ....:. ~-' ,a . ........ /_ / /~~.".."..'.'::~... ..d ~, 1 ,glo ot--r--.~ ~ '"'"'~ /:'-': ~'.'i...'., '1 t,,~ / ~'/ ',.'~"' ',." "'"~ ~ /'; ,i~'.,:,',: ::1 ,~o~ I .-I .:.~."-.-'".::,.iz / ' ~ :.'" .:"_.',,' '.:1 ~.~ I g/ /..,.. :. : .. . v,//, \ I / J'.;'"":'.'".:';;/ ~ / ,.o/ I ! 'CT 10 ~;) /0/ LOT ', .... ........ I .!.,~ _..-- ~ ~ I I · " . s/~/~o0s ~,~ .p.F..~ .,~./c' ..,.,.. DRAWN BY-" ..' ALASKA WATER & WASTEWATER ~ , , CONSULTANTS. IN(i. ' , MATT SOHIPPER 688-8066 2 OF L~G&L DESCRIPTION: TUNDRA JEWEL RANCH SUBDIVISION; LOT 10, LJ~.~" '..~1 ....... "~.~ DRAWING DETAIL FOR WAIVER REQUEST CT&£ Ref.# Client Name Project Name/# Client Sample ID Matrix 1031065001 A~ Watc£ & Wastcwatcr Consultants Inc. Tundra $cwcl Ranch Ll0 Tundra 3cwcl l~nch 1.10 ~rinkin§ Water All Dates/Times are Alaska Standard Time Printed Date/Time 03/03/2003 14:20 Collected Date/Time 02/27/2003 8:45 Received Date/Time 02/27/2003 16:15 Technical Director ~.~....-- St~..~9~ Ede Samplc Remarks: Allowable Prep Analysis Parameter Result~ PQL Uni~ Me,od Limit~ Date Date Init Waters Department Nitrate-N 2.15 0.200 mg/L EPA 300.0 (<=10~ ' 02/27/03 JS ~iicrobiology Laboratory T0Ul ColWonn 0 col/100mL SMI8 9222B (<=l) 02727/03 SKW ;gO7 ~61530~ # 3/ 3 CT&E .Environmental Services lnc: " ' ' 200 ~. Potter O;ive Drinking Water Analysis Report for Total Coliform Bac.teria ^,cho,,go. ^K ss~s.~sos Tel: (907) 562-2343 J~MD INETJ~UCTIONS ON P, EFEHSE SIDE J~EFOJ~E COr. r. FCTIN~ S~tPLE Fax: (907)' 561-5301 · ~s'rBE cO~eLm'~D ~-z WAT~RSUm.mR I'EIVATE WATER S. YSTEM a SendR~ult$ ~l. ~endlnvotce SAMPLE DATE: ' ' ~ Month .qAMPLE TYPE: ; 13 Routi0e . .. 13 Repeat Shmple (for routine sample with'lab rd..ho. ' ) I:J Special Purpose .SAMPLE LOCATION · '/,,,,A...,%,.,.\ Lt , ,, Day Y~r 13 Treated Water ~/ Untreated Water Time Collected Collecte}l By · TO BE COMI'I~TED BY LABdRATORY- Analy. sls shows this .Water SAMPLE to be: ~ Satisfactory 0 Unsat/.~factoEt 0 Sample over 30 hou~ old, r~sul[s may be unreliable . 13 Sar~16 too l~ng ih transit; sample should not be ~ovcr~ll~aoUrs old at examination to indicatcrcEablercsults. Please send new, sample via special delivery.mail. Time Re?Ired ==~ Analytical Method: ~I_. Membrane l:ilter ' o MMO-MUG 1 031065 Result* Sent to k.~.E,C. Anch Fbks Jun Date: Time: Analyst [] Fazed Client notified of unsatisfactory resulis.'. ']'honed · Spoke with Dale: . Time: [] Faxed BACTERIOLOGICAL WATER ANALYSIS RECORD E. __ Cdonles/l~0 mi MlClO-MUG R~ult: Total d~llform Membrane Filter: Direct Count Verification: LTB BGB_ Fecal Coliform Confirmation Flnal'Membrane~*ilter R~ults. -. ~, ' ~ . / · COLIFIRM Coliform/100 mi OB -Other ~aet.~le Col~.133ents: : ~sl~-~ Member of the 8G$ Group {Socit, t6 G6n~,de de Sun/e[liance) ENVIRONMENTAL FACIUTIE$ IN ALASKA, CA?FORNIA, FLORIDA, ILUNOIS, MARYLAND, MICHIGA.*{, MISSOURI, NEW JERSEY, OHIO. WE~I' ViRGIN/A ' · er fie DdU g SULLIVAN WATER WELLS P.O. sIOX670212, CHUGIAK. ALASKAgg$6~' · TELEPHONE'Se&.2750 DRAW DO~H FT. --~ DATE - S~rt~d Ended ~ GA~. ~ER HR ~ ~ PERMIT NUMBER ~INI) OF CASING ~,~ KIND OF FORMATION: . , rrorn FI, ID _FI. From / From _. FI. to From~q? Ft. lo ,~(~L FI. From , . ,FI. to Ft, From Ft. to Fl. From FI. to , . FI,_ -- From = From From- FI. lo, Ft.,, From- FI. ID__Fl, Ft. to~FI .... Ft. to~FI. From__Fi. lo FI. From--- FI. Io~FI. From Fl, lo FI. From Fi. to Ft. From FI. to. Ft. Front FI. to MISCL. INFORMATION: / OCT ) 1996 Munlcipalit~ ol Anchorage Dept. Health & Human Services DRILLER'S NAME WESERVE ALLALASKA CHUGIAK, AK ;-- 6883199 : P.O. BOX 670042-- CHUGIAK, AJ.ASKA 99567 WASILLA, AK 376~3199 ~ ,- '" Ea~le R~ver Ak,.' ADDt~ .... _r~0~.~ ~.7.~ 2&.~.~_...~.-...~= .............................. w~[a - srr~ .L~= _ Z0 .~.Lk,_l :: ?~ ~. ~£.2L~ ?~'.t .c3.,..u. ~L~_k_ _a~.<.-_ .... .... ......................................... ~T~- ~ND£D __.~=L.4~3.~ ............................................... , DF. PTU OF W£LLZ3P..£~ ................. L_ .......................... '~'STATIC 1.~I~ OF ~tI~R ~. _[~2...~.~ ..................... : ~w ~w~ ~..~2_.r.~ ............................................ G~.P~RH~ 600 7es~ P~p 4 Hrs. : ~DOFC~G 238 ~c. KIND OF FORMATION: FROM ......... _9.0 FT'. T~ .............. ..2... FT. _..s_r.u.k..u.P._ FRO~ ......... Z. FT: TO .......... 3_ Fr...~.!I_ ................ " · FROM ......... ~1. F~. TO .......... f.. FL _~'.~;~". ~.L.'.rJ2~.,; ...... FROM ........ f FT. TO ............. 9_.I_ FT. FROM ....... ~-[. FT. TO ......._--73.. FT. _.¥.~.,a~d ~_V ............ 1~ TO 5~ l~r FROM ...... ..22...~..... ~ ........................................... FROM ...... ~A. FT. TO ........ _~.. FT.....".o..~g.~_"_r__ .......... : FROM ......... I~. Fr. TO ........ I_72. Fr....~_~£.~._s.~:.:.~ .... FROM. ............................... ....~,.~.~.~ ............ FROM ..... 2..[o..s_ ~. To ..... 3.!!. FT. FROM ___-_2IZ FT. ~O ....... ?.3.;5_ Fr. FROM ....................FT. TO ...................FY ...... FROM .................... FT. TO ........... C"5' FT ...... ~_~ .......... FROM FT. ~O FROM ................. FI'. TO .......... _.~.._. FT.r--...._~_~ ........... FROM ................. FT. TO .............~,~.. FT~-..~.~ ........... ~ o _~-~ FROM ................... FT. TO ........ l:~- FT .......-~-~'-. ........... FROM ................. FT. TO ................ FT, FROM ................... FT. TO ............. FI' .................. FROM ................... FI. 1'O ................ FT .................. FROM ........... FT. TO .............. FI' .......... FROM ............... FT. TO ............... FY ................... MISCI. INFORMATION: :;o '~arran:y or no warraa=ie~- This well i$'.producmg/~"'" 0allon$ ~,. water p~r hou, MOON DRILLING BOX 3,370 PALMER, ALASKA 99(~5 TELEPHONE 745-4071 I~d¥Ol~E Set pump @-, '~''''' feet. IN¥OICI' NO LOG TEI~M$ .,'. , ,/'?- .~" '" ...'..:-," , ~- IN FT. "~ CA$IN ;FORMATION ~ FT. CA[~ FORMATION IN FT. CA3IN __t '~, r~" .",~,~ ~,,' ~oz' " ao~ ~" ~o? { / · __ti "lit: I r' ~11 II ~ ' 133~ ' " 233 ' ' ~4o ~; (4- ~(-:P ~ , J4o ..... 4t 141 241 --41 ~ I :"~C ', ', , , -14~ -~ ~ ' "'"',., ~.," -- ' '" 20 · T . ' .. 1~1 2 1 --II DRILL REPORT DECEMBER 10, 1979 Driller- )like Morgan SOILS: 0 - 50 50 - 125 125 - 140 140 - 205 205 - 220 Sand and Gravel Sand, Gravel and Clay Clay Sand, Gravel and Clay Gravel and Water Well cased to 230 - 6" casing. 195 - 230 crushed 9ravel on exterior to 8" thickness, Box 11 Talkeetna, AK 99676 ~Y-17-01 17:24 FR0~ ~I~K CT&E Environmental Services Inc. T-785 P.02/03 F-108 1012445001 AK Wate~ & Wastcwater Comulta~ts Inc. Tundra Jevel Ranch S/D Lotl0 Tundra ]cvcl Ranch S/D Lotl0 Drir~ng Water CT&£ Ref.# Client PO# Client Name Prtnted Date/Time 05/17/2001 8:52 Project Name~ CollectedDate/Time 05/10/200! 14:50 Client Sample ID Received Date/Time 05/11/2001 9:50 Matrix Technical Director Stephen C. ~de Ordered By PWSID 0 Released Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Method Limits Date Date Init Wa~era Depar:men= Nitrate-N 1.88 0.500 mg/L EPA 300.0 [<10) 05/1 !/01 SCL Microbiology Laboratory Total Coliform 20 OB, No Coli col/100mL SMI8 9222B 05/I 1/01 SKW ~Y-IZ-0! 17:24 FRO~- T-785 P.03/03 F-108 zTL CT&E Environmental Services Inc. Laboratory Division 200 W. Potter Drive Drinking Water Analysis Report for Total Coliform Bacteria ^.=hot.,..AK 99518-1605 Tel: {907) 562-2343 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: (907) 561%5301 MU"ST BE COMPLET~:D BY WATffR SUPPLIER O PUBLIC WATER SYSTEM I.D- # II /1111 ,1~ PRIVATE WATERSYST£M r'l Send Results 12 Send Invoice Send Result~ 12 Send lnyolce SAMPLE DATE: Month SAMPLE TYPE: 12 Routine 12 Repeat Sample (for routine sample with lab ret. no. ) 12 Special Purpose SAMPLE LOCATION Day Year n Treated Water ~,-- Untreated Water Time Collected Collected By 101 445 TO BE COMPLETED BY LABORATORY AnalSsis shows this Water SAMPLE to be: Satisfactory Unsatisfactory 12 Sample over 30 hours old, results may be unreliable O Sample too long in transit; sample should not be over~g~aours old at examination to indicate ~liablc result. Ple=e send new sample via s~cial~ivety mail. Analysh Began /~ g~ ' An~l~l~l ~ethod:~ Mcmb~nc Fil[~ - o MM~MUG ' * ~umkr of col~niegl~ ml. Rflult* Analyst ..~ch Fbks Jun Date:. Time: Client notified of unsatisfactory results: Phont~l Spoke with Date: Time: Comments: BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUG Result: Total Coliform Membrane Filter:. Direct Count Verification: LTD Fecal Coliform Confirmation ,::,?o .o,~ ~/,:, ~,~' Co,on,e~,OOml BCB COLIFIRM. Final Membrane Filter Results ~ Coliform/100 mi · ~~~__Date Time ,, hfs Fazed [] Fazed ~~ Member of tho SGS Group {Social6 Ganaralu de Surveiltsnco ENVIRONMENTAL FACILITIES IN ALASKA. CAUFORNIA. FLORIDA. ILLINOIS, MARYLAND. MICHIGAN, MISSOURI. NEW JERSEY, OHIO. WEST VIRGINIA JUL-OZ-O1 14:21 FI~I/-CTIE ENVIk~q~[NTAL SRV 9075615301 T-469 P.01/01 F-531 CT&E Environmental Services Inc. Laboratory DM~on r~mrl~'~l~'~r~'~,~.mr~-~,~ar~,lwr~,~,~,~ 200 W, Putter Drive Drinking Water Analysis Report for Total Coliform Bacteria A.~o,..o, AK 99618-1605 Tel: 1907) 562-2343 READ INSTREICTION$ ON i~y£1~V£ SIDE ZEFORE COLLECTING SAMPLE M~ST BE COMPLETED BY WAlk SUPPLIER P~AT~ WATER SYSTEM n Send Resales Month Day Year SAMPLE DATE: SAMPLE TYPE: Routine Ct Repeat Sn. mple (for routine sample with lab r~f. no. } 0 Special Purpose SAMPLE LOCATION Fax: [907} 561-6301 TO fie ~bMPLETED BY LABORATORY lysts shows this Water SAMPLE to be: SatisfactoTy Unsafisfactor~ Sample over 30 hou~ old, r~suhs may be un~liab]e ~ampIe ~oo long in ~siT; sample should not be ov~ou~ old at examination to indicate ~liable Tesuhs. Please send ~ew sample via s~cial delive~ mail. . I~o Date Received Time Received Analysis Began Analytical Method: ~---Uembrane Filter "n MMO-MUG .. * Number ofcotonies/100 tnl. lit* Analyst 1B127?B ~m ComTn~TIt~: n Treated Water ~ Untreated Water Time Collected Collected By bks Jun Date; ...... 'rime: Client notified of unsalisfactory results: Phoned BACTERIOLOGICAL WATER ANALYSIS RECORD Spoke with Time: F#xed Faxed MMO-MUG R~ult: Total Coliform Membrane Filter: Direct Count Verification: LTB Fecal Cuiiform Conflrmaflou E. Colt O Colonies/100 mi BGB COLIFIRM, Final Membrane Filter Rfuits Coliform/100 mi i~B Member of the $GS Group ISociAt6 GGnGrBIp de Surveillance) ENVIRONMENTAL FACILmES IN ALASKA. CAUFORNIA. FLORIDA, ILLINOIS. MARYLAND. MICHIGAN. MISSOURI, NEW' JERSEY, OHIO. WEST VIRGINIA Uay-O?-200I 1Q:47am Frog- T-965 P.002/0~4 FROAD [ASElaENT ..... I Of/ EL[(;-jv~ i 2' POWERLINE IEAS~IAIrNT r~lz ~/e- R,'~ ~ N BS'59'W(.R) 132'(R) W/ YELL(~V PLASTIC M~UREO V~ ~C~TED RECORD The location of ~e st~cture(a) 1"- ~0' as shown on thls record (as-built) co~les wl~ ~1, AMC PHO< (~7)~3-1110 R /~, IIay-Q?-2GQ1 IQ:4T,,, / _ .'--~ ...... ~..B~5~£ ~,~;~.' "~ ~:'~--~'~ cra- ~3t88'(u~~~: ~ .~,.~ ~ ~. BROK~ ~ ~ ~ ~ ~-~ ./ /LOT/lO ~ ~ W/ ~LL~ P~TJC ~ N Bg'sg'wl 132'(R) U~URED V~UE ~CU~O RECORD · 1 "m 40 ~ The location of ~e st~clureCs) as shown on this record drawing (as-built) oo~1~ PHO~ (907)~-IIi0 OR 745-1110 P~R~: LOT . ~ --, · 1UND~ J~EL ~NCH fP~T P--SBI~ PALER REC~I~ OlSTRICT: ~ T~ ~ ~ E~CH~S VISIBLE DATED THIS: 29TH DAY ~ OCTOBER .. , 19~ Ar JASlLLA, ~ICH ~ ~T ~ ~ ~ RCC~O ~IVISI~ PLAT, ~R ~ F~ EST~LISHI~ ~Y ~ FEtE Ll~S. 1HIS IS mt k LOT C~R L~ATI~ ~Y. ~ ' "~52~7-~o I~ . ' '" ~'~".. - ~o' po,~ j~-~u' x I~ Uay-0?-2001 10:4?am From- :,o°l· ·* T-98~ --' / / / / / I / F-l?6 JEWEL RANCH SUBDIYI$1OHI LOT 9. FOR WAIVER R[QuE~r 10:48am From- / I % % % T-685 P.004/004 F-IT6 .:.,, F &WA TUNDR& d~gk SUBO~I$10~I LOT FOR ~ATVER Rg~U~ST .... ...,.~ ,'[