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HomeMy WebLinkAboutDIGEL LT 4Lot 4 #051-042-98 Municipality of Anchorage , Development Services Department Building Safety Division T " On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.ci.anchonage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 6J W037® �%5 PID Number. 05-/-0z/'?-q0 Nl,r5f 1414 5kC El System: (9 New Upgrade Address: 16 lV/ I �� d �`� l jly ABSORPTION FIELD Phone: ^�•' (31 go/ Number Number of Bedrooms: / % 13 Dew Trento p Shallow Trench ABetl M Mound [3 Other: LEGAL DESCRIPTION Soil Rating: 0,q Total Depth fromonginalgrade: f GPD/FI° FL Block: Lot: Subdivision: t 0 / pth to pPe bottom frau ginalT: A6V iI Gravel depth beneath pipe: 0 y`� f or Ft. t/. ✓ Ft. Township: Range: an: Fill added above original ft ­+Gravel Length: g -5® Fl. Well: New ❑ Upgrade Gravel witlth: /' Number of ines: Distancege -an lines: ^'eJ7 FI. Ft. Classigpyp'(privatet% B. C): 'U •Il�- Total DePN: FL ,4ii�, Cased �`}/ m 1 FL Total absorption area: I ®� Ftpl p ad `'�yy`7 �/� Il'/ D•X/3 Zj l( f D ler. DaeDnll StaticWaterLevel: (a)grovn®IFt. Installer: 61ae/er Flivaln DateInstalled: II Q 3�V� >n ill u Set t: Yeld: "'all <a( 5 GPM ' l ��'j�} ll Ft. Casing Height Above Ground: 3 Ft. TANK SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T,E.P. Other: To Septic Lift Holding ubliHPrwate Manu(aamrec / Cle Capacity: isoi� Gal. From TankStation Tank Sewer Line / �. Well `t5t Material: (^,� /45SNumC¢r fy-- of ComPanments: Surfacewater t g/1 1� LIFT STATION V�,J(��Gal. Line �� t ize: Manu acturar ��Lot D Oe Foundation I a \ {/ 0 I 'Pump on- level at: 7 3" / � in. "Pump Off level at: �J 17 75 In. High water alarm at: ql. as in. Cumin Drain loo le ,1 t4r� W. P�u��/�P Make & Model A 'C r% �q0 Electrical Inspections performed by J3,11 Cc S El,i 'hey C Y: Remarks: r, nt d r- a elft ' 0,4 14 BENCH MARK Loraaon and Cesrnption: ,}.. I op deGk- ;w 13, 'k ,, , �,prz s ��7��g�r of t u2 1 Assumed Elevauon: 100 Ft. ''11 14440 Adi.}-.D DVV Ol// V, } r p(A, L47yiA4LS . •.. En tampOF Road, 204 by: 17034 Eagle River Loep No. st Dates: t 0--a3 -O� Inspections performed 2nd iaa 3 - © Services Department Approvale-8801Reviewed C. COWANDevelopment r,,q_\R0BERT and approved byGo��,�� r Date: - O�aL..... qtr PERMIT NO SW030456 PAGE 2 OF 3 Munlcipallt of Anc' lora e DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 •Anchorage, Ataska 99519-6650 • Te(e hone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4 DIGEL S/D P.I.D. N0, 051-042-98 I I I I �O0, wF44 100' WELL I Rq0 RADIUS I IUS F. GRAVEL DRIVE ATH#2 w z Iv A 0'G w w IQ",IU G o sF O/j C ATH#1 W w_�W Z FCO J w i IBM Q NEW BIOCYCLE UNIT io' MiN\ ATH MT2 N MTI MT3 gra h MT4 SCALE: 1" = 40' yO... LOT 3 :.� ROBERT C. COWAN � r 2' p CE -8801 I I PERMIT N0. SW030456 PAGE 3 OF 3 Munlclpallt OP Anchora e DEPARTMENT OF HEATH 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 LOT 4 DIGEL S/D P.I.D. NO. 051-042-98 MT1 MT2 MT1=101.9' FINAL MT2=101.1'_\ � GRADE MT3 MT4 MT3=10 1 .5' MT4=10 1 .8' -EFFLUENT INLET .r�SA'ND Ft4'LER,. � MT1 =98.3' MT3=98.5' MT2=99.0'- MT4=98.3' DIST. PIPE=98.8' BOTTOM OF SAND=96.3' NU�- Cnt l./ PPL OorE,,.l 9Ata f,.� NO WATER FOUND 82.5' B.O.H. N. T, S. A B C FCO — 15.5' 18.5 310 — 20.0' 24.5' MT1 66.0' 45.0' 79.5' MT2 58.5' 1.0' 43.0' MT3 76.0 26.5' 48.0' MT4 86.5' 54.0' 86.5' N. T, S. RUG -26-2004 09:21 S&S ENGINEERING 907 694 1211 P.01i01 Division of Mckwell; Inc. 11425 Anion ,56r,d Anchorage, AK 99316 state Contractor License #28624 M0A Contractor License #1976 8-25-04 To who it may concern: Electrical wiring for the bio -cycle septic system at legal description below has been installed per current national electrical code. Lot 4 Uigel Subdivision 22175 KnA Vista Peters Creek, AK 99567 Sincerely, Brickwell— President phone: 907-345.2923 '° F= 907-770-2933 * CA- 440-9331 TOTAL P.01 NEN.THAUTHORITY APPROVALS SEWER&WATER IMN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELLINSPECTION &FLOWTEST SITE PLANS ROADDESIGN SOIL TEST PERCOLATION TEST STRUCTURAL MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN t?CK1riG ROBERT C. COWAN, P.E. / CML ENGINEERS /(907)6942979 ' August 23, 2004 FAX(907)694-1211 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, Alaska 99519 REFERENCE: Lot 4, Digel Subdivision Request you grant the following waiver for the existing four bedroom house on the referenced property: a waiver for the separation distance from the existing leachfield bed and the south lot line of the above referenced property at five feet.. Additionally we request approval of a bed exceeding 15' in width. The installed bed width is 26'. However, the extra width is not needed to meet the area requirement for this system. We do not anticipate any adverse effects on the neighboring properties by the granting of this waiver. If you have any questions, please contact us. Sincerely, V12. �+v Robert C. Cowan, P.E. RCC/jhm 17034 NORTH EAGLE RIVER LOOP % SURE 204 • EAGLE RIVER, ALASKA 99577 r)a]W of Anchorage P.O. Boa 196650 • Anchorage, Alaska 99519-6650 • Telephone (907) 343-8301 • ra< (907), 343-8200 4700 Bragaw Street • Anchorage, Alaska 99507 HR v.nnlni.org Mayor Mark Begich Builduig Safety Division 15 Jul 04 S & S Engineering 17034 N. Eagle River Loop Suite 204 Eagle River, AK 99577 Subject: Waiver Request for Digel Lot 04. Waiver Request #WR0400 '9 Parcel ID 9051-042-98 Dear Mr. Cowan: Your request for a waiver of the 101e1� feet from the Absorption Field to the Property Line is approved The approved separation distance is 5 feet. This waiver approval app Jes to,"'ie JR a tstii}g, Absorption Field to Property Line separations only. Any future upgr co the Citi site wastewater disposal system will require all separation distances be mebor'ariotier approv from this department. 2 If there are any further concerns Oryqueshoiis regards tiffs waiver, please call our office at 343-7904." Sincerely, —. of Oct Engineering Tech On -Site Water & Wastewater Program Community, Security, Prosperity A n Certitteb 33rdUng log by f>OC co. dba SULLIVAN WATER WELLS PA. BOX 870272, CHUMAK, ALASKA 99587 , -,.. OWNER OF t]RCfR L 421264 PERMIT NUNIB� Dateaf Issue/D y TAX IDENTIFICATION NUMBER Q -TZ -M—qL- is well located at appMW permit locatlon? 4'f& LI No Method of Drilling: erg rotary U cable tool Depth of well6 4 Casing Wpe i"7� E L WaN Thickniass ' IZ J-2 inches DiarneW � � inches. depth 6 teol Liner Type: *&)044 66V Stidap Above Ground: 3 feet Static WaferLevet AO L 1 'U4 L, i-Jc (- (Bat Recover Rate. r _qpm Method of Testing: A) i2 Wish Intake Opwr*V Type: end ❑ open hole a Screened" , Start few Stopped feet O Perforations Siad feet Stopped feet Grout Type: [SF.v`, a••3./ b- ,• 69. Depth: Gam O feek to feet YPeU Disinfected Upon COMpIEMM? 4jft U No Methodof Ditsiracoon._C1-/arKrw $i1 �t°•'� 'As",.t7 4 CU<,9 J /0 01r'X r Drdlerns Name /24,�A .C..— VITUMON: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality A Anchorage. Department of Health & Human Services and/or Department of Environmental Conservation, MatSu Borough: )epartment of Environmontal Conservation. TO/T0 39vd NvAnins 69ZZ889 TO:00 666T/10/TO MUNICIPALITY OFANCHORAGE �� �� Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street Q"103-10`30 P.O. Box 196650, Anchorage, AK 99519-6650 ' r) (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW030456 Legal Description:-rge T of _r Design Engineer: 0003 S & S Engineering Owner Name: First Alaska Contractors Owner Address: 6161 A Street Anchorage , AK 99518 - Date Issued: Oct 23, 2003 Expiration Date: Oct 22, 2004 Parcel ID: 051-042-98 Site Address: 6161 A Street Lot Size: 49586 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑✓ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907)343-7904(24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. �l 01ANG. YES/64 GF B/oGS�ILF r¢,�pv,ey j 6v A ST IE wig T E{Q Tk 64 TM ois'Nr / #v,r T �5D OF jrYr Received By: Issued By: Date: Date: 2 -3/0-3 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program S 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci. anchorage.ak. us (907)343-7904 ON-SITE:SEWERPJVELL PERT' A --PLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. (,WSJ — 04 — (5?0 Permit Number—SW 03 0 414 Property owner(s) Fl ,!Z i �^ 41—,# 5SV ,2 7 /2tA GTQ.IEDay phone IW O/ address (1) I / 4 3 ` j /7�GMV'-Zd1 Ae Mailing address ( Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size 49 Cjg�O Acres/Sq.Ft. THIS APPLICATION IS FOR: Zip Code q9 `,> / ls Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: 5 Waiver Fees: Date of Payment: Z% 03 Date of Payment: Receipt Number: 0¢C�SU% '5'5- Receipt Number: (Rev. 12/00) HEALTHAUfHORITV APPROVALS SEWER &WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN August 18, 2003 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 4, Digel Subdivision ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 It is requested that you issue a permit to install a well and a septic system to serve the proposed four bedroom dwelling on the referenced property. Two test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation (7/24/03), water was found at 5.5 feet. After seven days of monitoring, ground water was at 3.6 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, -AIZ112'1� Robert C. Cowan, P.E. RCC/bjj Enclosure 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 ` 1 " = 40' DESIGN SITE—PLAN n OSr U1 O D >_ mNo 0 O U1 Op O x m- O O 0 p..yy `J <r Aa Asy D m N p O On �,ti c czi m —_ _ ______in OOn F:3 KNIK VISTA STREET mDo -Sr SECTION LINE EASEMENT < 0 ----- ----------------------- MOn 15 TELECOM & ELECTRIC EASEMENT N z o C- zw m O ,3 a4 ov O" oil I Ao m0 �\\ASF ko >m �R D _ A O pL9 O On OOn O r O O N o ati r �R N. T. S. DESIGN PROFILE AL -o a 0 ISA D Ori iG n,yD AU n n z _n `- €s V n m QO ;-mi= o a obM N zm. Mom y s n&ox v m Ci _m� d yd oam onm z_m D o W yo - (ies06'� � 00—)�3 a �z A zc D o� � a7� m m -Zi � Cy j V X ao 3 V 30 3N 3 - 3m i 0 N $� N v \ii q O aO N y• GqV tli ocs ay m-+ r A a i r r`r 7rn �PaJ Z= t �,•'4 z ' x F�: o���.w HEALTHAUTHORITY APPROVALS SEWER& WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELLINSPECTION & FLOW TEST SITE PLANS ROADDESIGN S& ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 4, Digel Subdivision November 17, 2003 GENERAL: ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 1. The scope of this project includes the installation of a Biocycle Wastewater Treatment System and a pressurized absorption bed to serve the proposed four bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. 3. The owner/contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must be certified by the SOIL TEST Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. PERCOLATION SEPTIC TANK STALLATION: "/14 40 i O C y c, TEST /tank. A septic tank is be constructed by certified septic ufacturer. Constructions 1 include two 4" cle outs for pumpin access. STRUCTURAL& ICAL INSPECT ONS The sept' tank shall be suffici tly bedded to pre nt settli or shifting of the ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577 Page 2 - S & S Engineering Lot 4, Digel Subdivision November 17, 2003 3. 4. 5. 0 All standpipes oZwith tank shallextend iningrade. Septic tanks instthan 4 . of cover shall be of 12 A foundatio cleanout shall b nstalled one to four t from the bi In the li between the t and the leachfield re shall be two (unless effluent p ing system exists in the septic tank' shal a located o disturbed soil not ore than 10 ft. fro t cl out, in line all be to clean towar the leachfield. Th ecor clean tow the septic tank. above final �ent cleanouts These cleanouts tank. The first cleanout shall be Final grafting over the septic tat) shall be such that"a'positive slope exists away from the septic tank. / LEACHFIELD BED INSTALLATION: 1. Excavate the proposed Bed Area to the depth shown on the design. The bottom of the excavation shall be within 2 inches of level. If the bottom of the excavation becomes smeared, it must be raked or scratched (ruffed -up) before gravel or sand placement. 2. If a sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches of level. 3. Sewer rock shall be placed uniformly throughout the entire bed. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. Gravel depth below the distribution pipes shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. 4. The distribution piping must be as shown on the design. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. 5. Silt barrier material must be installed between the final gravel layer and the native soil backfill, unless insulation is used, then the silt barrier should be installed over the insulation. Ensure the silt barrier covers the entire gravel surface before placing backfill. Page 3 - S & S Engineering Lot 4, Digel Subdivision November 17, 2003 6. Monitor tubes shall be of four (4) inch diameter, installed at the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. The monitoring tube should not extend below the bottom of the gravel surface. 7. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finished grade over the bed must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tyne of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever specifications applies. Page 4 - S & S Engineering Lot 4, Digel Subdivision November 17, 2003 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER ��— • / /�/ � ) 5011. S 1.OG MUNICIPALITY OF ANCHORAGE 1� i • .. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION x. PERCOLATION 825 L. Street, Anchorage, Alaska 99501 264-4720 TEST SOILS LOG - PERCOLATION TEST FILE COPY PERFORMED DATE PERFORMED: _t„T LEGAL DESCRIPTION:_ U E Tt4i,�.Mu tSLOPE SITE PLAN UC 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMM rf 6p,) j 4.5— r,7A 8 / i 10 3 146 WAS GROUND WATER ENCOUNTERED? 1 S _[v �'� 11 L P IF YES, AT WHAT E DEPTH? — Reading Date Gross Tioie Net Depth to -- _ Net -- Time Water Drop / ntv- PERC)LAT ION RATE -'l— TEST 'l c) .__ TEST RUN BETWEEN I FT —(minutes/inch) Sy? FT PERFORMED BY: ,r!('t'k:L... sil rIV��ALAFiKR '�ln'.f'WTIFIED BM:G-�'L'l"1...-� iJ 4_— )_ �— PAIE5 PH.694-237a �,!�— 72008 (6!7'j) Municipality of Anchorage Development Services Department Building Safety Division • �.,� On -Site Walerand Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-66511 www cianchcraoe.ak.us (907) 343-7904 Soils Log - Percolation Test Performed For: I r,4,r- Date.Per Legal Description: LC -T- 4 ' !-) I &ez -P+*- I SISite Plan Depth G� 2- 3- 5- 7- 10- 11- 12- 13- 14- 15- 16- 17- 1 pl- 19- �2Lf/i7v' t L 5 Q -C). a{ 5 0 4'iAS CROOi10 WATER Dale EXCCL'NiERED? M. AT MAT DEPTH? J S 5 L IF 0 Depth to 4`Jaler Alter p Monitoring? 1 E Dele: 1 l7 3 Reading Dale Gross Time I Net Time Depth to Water Net Drop 2 2s o3 a — 0 I C Fc COi-ATICH PATE O F=RC HCLE DIAMETER CO - TEST P.UNSEP!FEN_ FT ARID FT COIF l`,IE ITS P-RFOM,I-D BY: :2+7 &y6.1t,( e72/I.)(r -:V �✓�'-- CERTIF`! TH Z 'It THIS TEST t`1:`. PERFOR?MED IN ACCORDANCE WITH ALC STATE A.?ID C!UNICIPAL GUIDELINES IN EFFECT OPI THIS DATE. DATE: t� �7 �O ,J Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6'050 www d anchcraoe.ak.us (907)343-7904 70 1 IZ'08 RT C. COWAN �Oi:. CE -403 Soils Log -Percolation Test Performed For: t"" I ee T- A -1 -A -1,V A (;t,,Aj S Date Performed: 4(� Legal Description: LoT 41&EL- 'F - Slope Site Plan 9- 10- 11- 12- 13 14- 15- 16- 17- 1 �- 10- 20- COd:IMEANTS WAS CROUNDY/ATER ENCOUNTERED? 5'S IF YES, AT WHAT DEPTH? L 0 Dep Vhter Afler. f / n Mon hloniforing. W E Data: 093 Reading Depth Gross Time � Net Time (Feet) Net Drop 1- 2- �Zso31 a I l' ( ` 3 — 4-/ D I C) I 5- 112" 6- D I D 7- l— 9- 10- 11- 12- 13 14- 15- 16- 17- 1 �- 10- 20- COd:IMEANTS WAS CROUNDY/ATER ENCOUNTERED? 5'S IF YES, AT WHAT DEPTH? L 0 Dep Vhter Afler. f / n Mon hloniforing. W E Data: 093 Reading Me Gross Time � Net Time Depth to Water Net Drop �Zso31 a I s — i I D I C) I �� n 112" D I D l u l— I ( I I pz:^-OL iICPIRaTc 1ju(r. iaWes.Srtl) F=RC HOLE DIAMETER 161, TEST FUNS�i NE N % Fi AND FT PERFORMED BY: 7 �J.J(y-ra E%(_ idi(f I CERTIFY THAT THIS TEST I PERFORMED I ACCORDANCE WITH ALL STATE A?!D h1U11Ci PAL GUIDELINES hal EFFECT ON THIS DATE. DATE: p p / 1 DESIGN SITE -PLAN 1v X of Z u �o G 0 cn �� >0 w < a 'o N N O som mamas Ln \J� 0 qNo Cky D O r0 N m m m .zo O C < p m m _J bmNA AAx C(PK _ _ _ _ _ _ _ _ _ _ _(J J m _ O m • NN0'�e t- N yOm ` r r+VN 0 \ —im 0 Nvp lit Om mom ° �a z N m m O r KNIK VISTA STREET C o� m A y�� n N m D o ___-___-- -_ ----- 3 SECTION LINE EASEMENT p m TZz 0 _ _ _ _ _ r 15 TELECOM & ELECTRIC EASEMENT z z z F) m I^ N 1v X of Z u �o G 0 cn �� D \ x ➢m <p < / 4Q \ \ A \J� 0 _ N m - pR0 o 1v X of 4yap cn �� �,p A N N N,o Z ` 0 lit Om mom -o D N 0 O r C Dm m A y�� n N Z D o CAD m TZz 0 r r z z m I^ y = X N 1v X of T. 7 DESIGN PROFILE m 0 m m O ON ='a ammo m 2 asmm \ vm a o�rmi � mm SND f. A?n0.C1�l o Z_ N Z7 3 W 0 m m m O Fi 9L• mm' r �A m� vms 2 \ vm a mm SND o 0 m r O Fi 9L• mm' r �A vms 2 00 vm a mm SND o Z_ N Z7 3 W c O y r Ln � wP Q C) O V 9 O O 00 T– Nv -O ^N N i a l� b� -J y.�y �J ^az n o `.J � N 5 Y/ F-� � 3z o O co no ?o > r� 9`^ , a2 P-7 L/ V O z y�y N 0 M 1 Sn vm a mm N M 1 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND =_-1�4 �\ rV�_1 THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this day of 20D3 by and between ;1MQS S\ S ,herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW)VTS), described as located at 2 217-5` X -Mk Vi -6774 57- Q/0erc/_ �OI6F-L ;rL,a GoT Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "ANIC") 15.65 B. Certificate of On -Site Systems Approval. An approval by the Municivality of existing water and wastewater disposal systems given at the time of prope..y, sale and title transfer in accordance with ANIC Pace 1 of 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction). An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating). An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all requirements of this agreement, the conditions of the "Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65. I Fee. Owner shall pay to Municipality an annual fee of Z� tifJ (5 -*.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. Paee ? of 5 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of on site approval is issued to the new owner or transferee of the „property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, owner agrees to comply with all applicable ordinances, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owners AWWTS Operating Permit is: u)trQ7'L Pzse ; of 5 C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the systems. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way affect the validity of this Memorandum of Understanding or any part hereof, or the right of such parry thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality as this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. Page 4 of 5 B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: S S S1 rn S Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding 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 Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: MUNICIPALITY: By: By: - I� Title: Date: .$��� �! 2r7�.�J Date: STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT } he fore�oi instrument was cknowledsed before me t P ay o 20 1 by b the of i r} If of ,nirinaitil © t:�nf�hnnoe_ NOTARY PUBLIC F R ALAS&A Pase 5 of 5 INTERMITTANT DOSING SAND FILTER SPECIFICATIONS Lot 4, Digel Subdivision August 18, 2003 GENERAL STATEMENT OF WORK The work and plans covered by these specifications consist of furnishing all labor, materials, tools, transportation, and equipment necessary to complete an Intermittent Dosing Sand Filter system as described herein and on the attached drawings. All work under this project shall comply with current Municipality of Anchorage (MOA) Regulations. 4 Bedroom House 600 GPD Bottomless Sand Filter and absorption area (360 S.F. required) Sand filter to be constructed on accepting soil with all organics removed. (bottomless only.) SITE INVESTIGATION The Contractor must carefully examine the project documents, have full knowledge thereof, have investigated the site, and be satisfied with the conditions affecting the work. Conditions include, but are not limited to those bearing upon transportation, disposal, handling and storage of materials, availability of labor, water, electric power, roads, and uncertainties of weather, physical conditions at the site including all underground utilities, the conformation and condition of the ground, the character of equipment and facilities needed preliminary to and during prosecution of the work. The Contractor must be satisfied with the character, quality and quantity of surface and subsurface materials or obstacles to be encountered. Any failure by the Contractor to become acquainted with the available information will not relieve him/her from responsibility of performing the work as stated in these specifications and drawings. Location of utilities will be the contractor's responsibility. Page 2 Lot 4, Digel Subdivision August 18, 2003 SEPTIC TANK / LIFT STATION / AIR COMPRESSOR A. General The work under this section consists of the performance of all operations pertaining to furnishing and installing the septic tank/lift station, air compressor and piping to the sand filter. B. Materials 1. Tank a. Septic tank shall be a two compartment tank of at least the minimum size indicated on the drawings and MOA approved. b. First compartment shall have a separate 4" pump -out riser. The second compartment shall have a separate 4" pump -out riser. 2. Manhole Riser or Lift Station Tank a. An additional second compartment manhole riser shall be capable of being equipped with the following: 1. A junction (Nema 4x) box or equal, bonded or attached to the pump basin. 2. UL listed electrical cord grips, installed in the J -box. b. An additional tank (M.O.A. approved) may be provided for the effluent pumping assembly and the items in (a.) above. 3. Effluent Pumping Assembly, Controls, Alarm & Piping a. Effluent pumping assembly shall be of approved materials, including the following: 1. A 110 volt or equal U.L. Listed effluent pump. 2. High-density PVC cylinder housing the pump, with level controls and screen, serving as a baffle to prevent the screen from clogging. Page 3 Lot 4, Digel Subdivision August 18, 2003 3. All piping shall be PVC or other non -corroding material. b. Pump controls and alarm system shall be an approved system with the following options consisting of: 1. Event counter 2. Elapsed time meter 3. Program timer 4. 10 watt heater 5. Remote alarm panel option with a minimum of 80 DB sound pressure at 24", operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil -tight visual alarm with push -to -silence feature. Automatic audio -alarm reset. 7. 15 amp motor rated toggle switch, double pole, double throw with three positions; manual (man), automatic (auto) and center (off) (H.O.A.). 8. Nema 4x -rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer's recommendations. 10. Control panel to be installed on outside wall of home within sight of septic tank/lift station. c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld piping properly bedded as described in Materials Specifications and sloped to drain back to the lift station. Insulation board 2" thick and 2' wide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. d. The air line from the house to the filter is to be HDPE arctic insulated pipe 3/4"-2" SDR - 11. The compressor will have a gauge (0-10 psi) and be installed in a heated area, (living area or garage only) for ease of monitoring by house occupants. Page 4 Lot 4, Digel Subdivision August18,2003 4. Air Compressor a. Air compressor shall be a Txopus LINEAR SERIES model number 5060-A or 5070V -A or M.O.A. approved equal. CONSTRUCTION SEQUENCE In order to insure proper installation, the system is recommended to be installed in the following order: I. Sewer line from house to tank H. Septic tank/lift station III. Sand filter IV. Leachfield bed (if required) V. Final grading CK�7►6�M�IL�C�]►1 1. Construction Instruments Contractor shall provide instruments such as transits, or levels, for establishing proper elevations and levelness of pipe or materials. 2. Pipe Laying All pipe shall be laid with material free of large or sharp rocks and organic matter. Each section of pipe shall be handled carefully and placed accurately. The spigot end shall be fully inserted pointing in the direction of flow and glued in place to make a water tight seal. Each section of pipe shall be properly supported to insure true alignment and an invert which is smooth and free from roughness or irregularity. At all times, when work is not in progress, open ends of pipe and fittings shall be closed so that no undesirable substance will enter the end of the pipe or fittings. Page 5 Lot 4, Digel Subdivision August 19, 2003 3. Bedding of Pipe for Sewer Lines The pipe should be bedded with materials free of large or sharp rocks and organic matter, compacted. Native materials may be used as back fill material above the pipe, provided it is free of large rocks and organic matter. All lift stations shall be installed in accordance with the manufacturer's recommendations and standards. Electrical installation is to be in accordance with the National Electric Code (latest adopted edition) by a licensed electrical contractor, with M.O.A. inspection where required. If MOA inspection is not required, a licensed electrician is to provide a letter to the Engineer stating that the system meets or exceeds all applicable codes. 4. Excavation Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on undisturbed or compacted classified sand fill material. Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti -flotation weights that may be required in areas of shallow ground water. 5. Connections All connections to be as per MOA requirements, PVC 3034 piping with Caulder or equivalent couplings for inlet riser pipes. All tank connections are to be completely water tight. SAND FILTER The work under this section consists of the performance of all operations pertaining to famishing and installing the sand filter. A. Materials 1. Sand Filter a. Liner (if required - not required for bottomless sand filter) - OSI Model LI or equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter sand volume. Seams to be permanent as per Manufacturer's recommendations. All connections, such as boot flanges, through sand filter to be permanently bonded to the liner. Page 6 Lot 4, Digel Subdivision August 18,2003 b. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand Specifications with the additional requirement that all but 1% of the materials passing the #100 sieve be removed. All aand shall be approved for use by the Municipality of Anchorage (M.O.A.). If the sample does not meet specifications, all sand will be removed and replaced. c. The Contractor shall be responsible for providing pea gravel that shall be a washed material containing no fines (0% passing the #100 sieve) and a maximum size of 1/4" diameter. d. The Contractor shall provide the manifold assembly. The manifold assembly shall be of approved materials with orifice shields and flushing assembly. All drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing valve to include riser to finish grade. Lateral distribution piping is to be laid level (@ ± 0.05'). e. Side walls and top of the filter box to be insulated with 2" direct burial polystyrene insulation. f. The Contractor shall be responsible for providing filter fabric. g. Air coil in sand filter to be geoflow WF16-4-24 150 LF placed 6" above bottom of sand. Construction of Sand Filter The sand filter construction is to follow procedures as outlined below, as applicable to this design. Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05 feet) in filter, taking care not to allow mud or fine soil material into the filter or gravel layer. This would include any soil material picked up by excavation machinery buckets while loading specified material. The Contractor should estimate filter materialvolumes such that allowance is made for wastage of material in contact with the ground at site. The area over the sand filter to be finish graded with a minimum of 2 feet of cover and to prevent ponding of surface water run off. Side slopes shall not exceed 3:1. The Engineer will reject any sand or pea gravel that does not meet specifications or is contaminated in transit or while handling. If such material is placed in the filter, all soil material may be required to be removed and replaced with new material. CONTRACTOR/ INSTALLER " = 40' DESIGN SITE -PLAN AI <�r o o cn o S9 D 10 CD mNo r0 m N � d cyz (n m Z m m _m ZNrri mm N I� KNIK VISTA STREET m n O D — — — — — — — -r — — — — — — — — — — — — — — — — — — — m M ., 3 SECTION LINE EASEMENT C) 15' TELECOM & ELECTRIC EASE ENT D 1� I \ r I N O _ D 9 y x� SSA ti '9y Ln Cn�00 m a u A .. r � O II Z m D P it n -o c CIO N z cn A o c) m m d o �N -v o n y � 3 v m z z ti x� SSA ti '9y Ln Cn�00 O O N .. r O II Z L D P it n -o cn A o c) d o �N -v -3 mop„ O n O Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-042-98 p x 1. GE-NEAL INFORMATII +Cvnlplete legal cles ORA, t Current Property owne _Mailing address .' Lending`agency Mailing address Real Estate Agent Mailing Address f r HAA# 0DLi 3 Expiration Date: First Aklaska Contractors Day phone 529-0189 'A" Street, Aneherage, Ak 90-518 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Day phone Day phone F ,.. .. The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. TYPE OF WASTEWATER DISPOSAL: ® Individual On-site 10 ❑ Individual Holding tank ❑ ❑ Community On-site . ❑ ❑ Public Sewer ❑ F ,.. .. The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage 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 S & S Engineering Phone 694-2979 Address 17034 Eagle River Lp. Rd. Eagle River, Ak. 99577 Engineer's Printed Name Robert C. Cowan Date 5 /-;"Y/0 OF 5. DSD SIGNATURE A ROBERT C. COWAN '"c, 't CE - 8801 V� Approved for bedrooms. �'�rF; Disapproved. +tlt�yw4`y� Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By:�� Gl/• �o t Original Certificate Date: 2 -,P,& -OLA (Rev. 01/02) D. LIFT STATION Date installed 12123-03 Size in gallons (SCDC:> Manhole/Access(91\1) Ye-S "Pump on" level at %1.91n. "Pump off' level at,7-175n. High water alarm level at q k �2-G in. Datum of Dig)_- Cycles tested 2 Meets alarm & circuit requirements? YES- E. SEPARATION DISTANCES .„� ,nom „•„�;� «� ...� ��w. ,..�.�� . �u�..�.,�. ...,� _...�.:�, a..,.w e,�,.. SEPAR%CTION'DISTAt`TCES FROM WELL ON LOT TO:'�� Sep tic' tank/ lift station on lot 100 On adjacent lots Inc) 4- Absorption field on lot I Qi7 i On adjacent lots _ ja�t- ,,,_ _.. Publiq sewer main N/+� Public sewer manhole/cleanout v�•�" t w Sewer /septic service line Holding tank �A .,,., SEPARATION DISTANCES FROM SEPTIC/HOLDING'TANK``ONL`OT'TOm"`v""'�"�" �'"""" '"" Building foundation Ib r Property line IO r{ Absorption field Water main/ / Water service line I Surface water (COOS 4 Wells on adjacent lots 160'+ SEPARATTON DISTAIS`CE'rR�A SORPTION`F1ELb OLOTTO: Property line ��*� Building foundation to I f Water main Water Service line �� I} ,Surface water (tom t +- Driveway, parking/vehicle storage IO 1 Curtain drain, Ail" /e::NO" Wells on adjacent lots F. COMMEFITS..:... - E OF /{ G. ENGfNEER'S CEkTIFICATlON `""" ``�'" """ "� ` ` I certify that I have determined through field inspections and review of Municipal records that the above systems are in Y conformance with MOA HAA guidelines in effect on this date.�`�-�•/ ,A, t ROBERT C. COWAN Q Engineers Printed Name PO,6,E t;- C. Co w,y ✓ 'cl:. CE -Bgpl Date/2 U 1113 `: r .„�``�q= l .. • °o i HAA Fee $ zl30. x i J7S^. °° C/2voi) Waiver Fee$ / 75' Date of Payment Date of Payment Receipt Number Receipt Number (Rev. 12/09):'. .... - _... ;,,.�...w..,,.. 8-18-04; 9:36AM; SGS Ref.# 1044900001 Client Name S & S Engineering Project Name/# Lot 4, Digel S/D Client Sample ID Lot 4, Digel S/D Matrix Drinking Water ;907 5615301 # A- 2 All Datesfrimes are Alaska Standard Time Printed Daterrime 08/172004 11:41 Collected Date/Time 08/102004 15:15 Received Date/Time 08/102004 16:00 Technical Director Stepheo. Ede Sample Remarks: .. Results L Units Method Container ID Allowable Prep Ana PQ lysis parameter limns Date Date Init Waters Department Nitrate -N 0.100 U 0.100 mg/L EPA 300.0 E (<=10) 08/10/04 JJB Microbiology Laboratory Total Coliform 0 col/100mL SM20922213 A (<=1) 08/10/04 DKC .. ;907 5615301 # A- 3 8-18-04; 9:36AM; SGS/CT&E ENVIRONMENTAL SERVICES Drinking Water Analysis Report for Total Coliform Bacteria READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE MUST BE COMPLETED BY WATER SUPPLIER O PUBLIC WATER SYSTEM IDN 'gPRNATE WATER SYSTEM [) Sand Results Q Send Imola' w.�ysr+�xn crxxr. ou+.nxm Pe.rr NureC � fuNerYar Car SYq.. �PCetN . SAMPLE COLLECTION: hv.Yr.,u4 wMi��.e�F>sM p.eyYsxeaw Dab: 1' a.na MY Vw Loc Coll r] Send ReaWts SAMPLE TYPE t&`Routine Transported to Lae By: Same as collector Other. 200 W. POTTER DRIVE ANCHORAGE, ALASKA Mi8 Tel: 907-562-2343 . Far. 907 -561 -Mi I am Raf ft. ,'lRl'A asswinuotm Treated Water Repeat Sample Untreated Water (refer to lab no.l ❑ Special Purpose O BE COMPLETED BY LABORATORY Sample Receiving: I Date: D�� ❑Semproowra0Iwxaok; El RUSH SAMPLE; ' L=TA Results mwr ay be etleWe Time: =T, . Temp: CtejaJj . Delivery Melt Received Comments: Bacteriological Water Analysis Record: Analysis BaHan. % 11() Analyst Analylfeal Method: M• Membrane Filter E] MMO•MUG (P/A) For Ramble Sent to ADEQ MMO-MUG (PIA) RESULTS: ANC FBK JUN TOW Coliform: 1DaIe1TWft*.— E.Colk . Sent to Cuant MEMBRANE FILTER RESULTS: Phoned 0 . Faxed d Direct Count ^ CUon4eslt00mL DateRime: VedOratian: Spokevft, Terors,.LTH: {SGB: ® Satisfactory ,rde.xwn { EC: ❑ Unsatisfactory ' Txre.*aexeewee. x, o.1.,t c.,, Date/Time: 11izi104 1%�' o6 •Gdx.e.." sported By: 1/- ' ' Fmm l F1AL ranee +n,++.nn AUG -2-2004 eaAFRO em9>9«© ^rKf.907 256-4086 k JM�US V w,INA e:694 1211 7 m:2,2