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HomeMy WebLinkAboutBEAR PARK LT 7A_ Municipality of Anchorage 't Development Services Department Building Safety Division..+• On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 Page of www.ci.anchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. Sa10V0.1z0 PID Number. 05l - e-�09 Nunn' �izt. wutl� Cit c70n l_ �}�Brn�o.-. Wastewater System: [New ❑ Upgrade �hlt Bax 9757/0- 172, tv 'cL qr Ak 91(47 ABSORPTION FIELD P'� iNu dBwd . �0�) 37 6 - '7136 -q o D..p TradT Efsn.nw Tran o tied 13 MouM LEGAL DESCRIPTION ad'RaWv /..I- TOW D.Mh edn dgvW prpa GPD1F'Is /'3 Fl. 81 rA D.Ih Id pbd firm dgna pide Gave OWh bath ppapeari ' 11.1) Ft. 4.3 Ft C Rnga / w Swan: TO.MM P:15- J FA plod abwa mq" grade S Glm LeVhm 39 Fl. Ft. Well: [v7New El Upgrade G a "wart 5 Ft. N«m«alnaa 1 Dntma ouwsen ln.s /I/'L FI cwswr . (PMn.. A, S. c). TOW Dph: caved W. Tota ZZ70.— W.pp. Ma«W P/n+"Vett? - I 1a -I Ft, /,7I FL 375 Fe ASrM g03N Dl�ltlt7on WQ�Daa W JV�( Dm.d. SWC Wm«L« l� a� /aa l 1 ha. yyt Da. haaYp. V0 FL YaM. 0 GPM 1 pure setp re.nkn0ty" C...y H"N ♦ndv. Grdua-11 a— ett.t TAN K FL FL ,n SEPARATION DISTANCES &Iseptic ❑ Holding ❑ S.T.E.P. ❑ Other. To From Septic Tank Absorption Field Lift Station Holding Tank ubbHPnvate Sewer Line "t" '4-kjG/t.E' 1-' T�`•" -• p"+b 11000 Gy we' 110 101 +�S f Mat«W S t �- HunM , ,. Suraoa wa« 4 /00 ' a 100' LIFT STATION Ld lir 45, 4 10, u.. Gal . w Fdagaan i t +/0' Purp On' Nva tx 'Poop l at. Hpn "m a«a M. h h, C~ Dram t 1 JI% a5-0 jMdIN ENca�ral hp.GanF ppormp by: RarrWU BENCH MARK Lo tan «w Descnp n. sunrd i.vawt. E ' Inspections performed by:C/iris`itb/tb- P. /tk?'C/ Dates: 1" 51//? r / 1*• 2nO 17�Oji Development Services Department Approvall 1c_1:;t CHRWOPMILWO �/ 4 Reviewed and approved by:: /%J, Date: _D_5 tott►id� Permit No. SW040320 Page 2 of 2 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT ON—SITE WATER & WASTEWATER PROGRAM 4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650 On—Site Wastewater Disposal System and/or Well Inspection Reports Legal Description: BEAR PARK LOT 7A 051-642-88.q SWNC TIES INA■7M 1M®►z-4 EWIM►zN EM►_M® RESERVE AREA .D on N TH1®B.M X 62¢9osy 8 p A � o 16989 �9iNFFl F D O - SEPTIC PIPE _¢_ - WELL 0 - MONITOR TUBE LOT 7A FRAME HOUSE C 1000 GAL SEPTIC TANK SCALE 1" 0 N 89'54'41" E 144.00' Il GARAGE SLAB ASSUMED ELEVATION - 100' ORIGINAL GROUND LEVEL AT. 94.5 MT -1 0.5' FILL MT -2 TH-1 d.0 4.6' 7YPAR 0 a 485.8-189.5 • o o 0 o .3' AA EL' . 90.3 o • . •o ? 0 76.585.6 NO G.W.T.. NEIGHBOR KIDS DROPPED DIRT/ROCKS INTO MT - 06 -06-05 ENGINEER'S SEAL =m ................. CHRISTOPHER R. WOOD. h••. CE -10387 JUN -06-05 04:44 PM PREFERREDCUSTOMHOMES 907 337 9136 VVgFATON l JLrrER YYELLI3, ZNC. 3p0 Box ti37XOXO, VVeL= VL0 AK 99007 4C907)1 376-2041 wim3L L LOGE Name: Preferred Custom Homes of Alaska Address: P.O. Box 875910 - Msc. 172 Wasilla State: AK Zip Code: 99687 City: _ Well Site: Bear Park Lot: 7 Block: Additional: Nell Depth: Below Ground: Above Ground: �al/Min: '5tatic Level: istng: ner Pipe: Depth: 121 ft. 119 R. 2 ft. 20 76 ft. 6" 1D Steel none none 87' to 92' Bentonite 29+ n: 0 To: 35 Formation: hardpan, gravel 35 44 silty sand 44 75 silty gravel. sand 75 85 sand 85 95 silty gravel, Hater 95 121 silt Pitner P.01 evelop. Method: Air d: Rotary LResidential none : none none Pate Drilled: 10-27-04 n: 0 To: 35 Formation: hardpan, gravel 35 44 silty sand 44 75 silty gravel. sand 75 85 sand 85 95 silty gravel, Hater 95 121 silt Pitner P.01 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 5113JC5 "OOVN ,S% 1,&'or e— 8 -Ju iF#". ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number. SW040320 Legal Description: BEAR PARK SUBDIVISION LOT 7 Design Engineer: 0024 Eagle River Engineering Services Owner Name: PREFERRED CUSTOM HOMES OF AU Owner Address: 22505 URSA MAJOR CIRCLE CHUGIAK , A 99567 - Date Issued: Aug 05, 2004 Expiration Date: Aug 05, 2005 051 -tit-It-1-61 Parcel ID: 051-042-87 Site Address: 22505 URSA MAJOR CIRCLE Lot Size: 54221 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑Q Disposal Field ❑d 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. Received Issued Date: AUG-05-2004(THU) 12:11 EAGLE RIVER ENGINEERING (FAX)907 694 3297 P.001/001 09/03/03 11:27 FAZ 9073438437 1t0A_LAND, USE ENFORCEMENT ®001 Municipality of Anchorage -� Development Services Department Building Safety DMilon ; OnSitewater and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 993IM650 www.c).anchoragmakus (907)343-79D4 ON-SITE SEWER/WELL PERMIT APPLICATION Rn(-nY FOR A SINGLE FAMILY DWELLING ROLOFF PENbj Nf+ ,rZE'PL4T' Parcel I.D. 0S 1 oyZ52-- end Permit Number SW ?IZMaZ tto C4,tSmm NoMts ep 4A: RrNA' Property owner(s) 1N,4A1 d-' F1ZPw' QA PAR)`5 Dayphone or. E.R. 3 7G , 6 8Rvo1< Mailing address (1) Po BOX 67_I`1Z5r_ 5'T L.TNl; address (Z)— j u mVL� Gf'C I£ Zip Code. c) 7!576 7 G 44-4-10d Legal description (Lot, Blodc & Sub'd") FEAR PMJ-, al- 7A Legal description (SmUon, Township & Range) T /Ze2 ( 1 O 56 C. Lot Size Acre q.FL Number of Bedrooms _ 54,6101% 5a. THIS APPLICATION IS FOR: Sewer Only ❑ Well Only, ❑ Sewer and Woll Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuai ❑ 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 Fag ny Dwelljjpq and Is inAccvrdance with applicable Municipal Codes. of property owner or authortzod spent) Permit Foes: J�' 141 Dl� C-0 1–lrl °D Waiver Fees: Data of Payment" 7 tai 11 U4 Date of Payment Receipt Number. Receipt Number (tie.. 12=) r —NOV . Eagle River Engineering Services Christophcr R. Wood, P.E. 10421 VFW Road Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax July 26, 2004 Dan Roth Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Bear Park Lot 7A (pending plat approval, re -plat of Lot 7) Narrative & Permit Application Dear Mr. Roth: The proposed septic tank and leachfield for a 3 bedroom house will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance, and wells +100'. 3. This permit is for replacement of the septic tank and leachfield upgrade. 4. Drainage will not be affected and is not a major consideration in our design. Lot 7A is a pending re -plat of Lot 7, Bear Park. A test hole was excavated for the re -plat. The test hole indicates a well graded sand and gravel to 18' depth. Water monitoring during May indicated no seasonal water table. Drainage will no be affected, and is not a consideration in our design. This work will not affect the reserve area on adjacent lots. If you have any questions please call our office at 694-5195. Sincerely, EAGLE RIV .R ENGINEERING SERVICES C istopher R. Wood, P.E. Principal 0003\03-077SErncNNertnnvE.00c • — MONITOR TUBE — WATER KEYBOX G — SEWER CLEAN OUT 6 — DIVERTER VALVE + — WELL ®.___ TEST HOLE ---- ---- — EASEMENT PROPOSED LEACH FlELD EXISTING LEACH HELD ©— DRIVEWAY 'ryZ4 EXISTING VVELL WELL oft, a� Too* W RADIUS 7' E%ISLAND SEPTIC BED WELL/SEPTIC LEGAL: BEAR PARK SUB.. LOT 10' T & E EASMENT 20' DRAIN EASMENT i C 11 1 1 K .sa CfB� ;i S�#1 NEW 1000 C i SEPTIC TDO' WELL RMIUS D SCALE 1 *_50' .9 I'.k11SSTd�s ` tovol C.l,/, REPLACEMENT SEPTIC BED SITE PLAN OWNER: RYAN SPARKS tyi 3j CONTRACTOR: PREMIER HOMES JOB# 03-077 1 DATE: 07/26/04 1 SCALE 1 "=50' EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX.(907) 694-3291 1. NO KNOWN CURTAIN DRAINS SEPTIC +30— C14 N � 1 O b z z To• �E.ISRNG ICD jWELL � ELL 1 40' L l6ITo, .9 I'.k11SSTd�s ` tovol C.l,/, REPLACEMENT SEPTIC BED SITE PLAN OWNER: RYAN SPARKS tyi 3j CONTRACTOR: PREMIER HOMES JOB# 03-077 1 DATE: 07/26/04 1 SCALE 1 "=50' EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX.(907) 694-3291 1. NO KNOWN CURTAIN DRAINS Eagle River Engineering Services Christopher R. Wood, P.E. 10427 VFW Rd. Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — MOA CERTIFIED INSTALLER LEGAL: Bear Park, Lot 7A July 27, 2004 A. GENERAL 1. This septic plan is for a 3 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed. B. SEPTIC TANK 1. The sewer piping from the house shall be 4" PVC 3034 laid at 2% grade maximum - 1% minimum and insulated where it is under driving surface with 4" of burial foam, 2' wide centered over piping. 2. Septic Tank shall be a minimum of 1,000 gallon tank of MOA approved construction, insulated, or place with 4' of soil cover, min. C. TRENCH 1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5", and shall be located no deeper than 11' below top of original ground surface. 3. The trench gravel shall be covered with typar fabric material. 4. Natural soil shall be placed over the trench to a minimum depth of 3, or 2" of insulation and 2' of soil. 5. The area over the trench is to be mounded, or finish graded to prevent ponding of surface water runoff. Care shall be taken to ensure that the required fill depth is maintained over the entire trench. 6. The septic tank and Icachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well, and is the Contractor's responsibility to verify. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = (NTE) 1 P GRAVEL DEPTH = 7' under pipe, 2" over pipe TRENCH LENGTH = 30' TRENCH WIDTH = 3' SOIL RATING = 1.2 GPD/R2 BEDROOM CAPACITY= 3 SEPTIC TANK = 1000 Gal. Twenty-four(24) hours notice required for all inspections. \2003\03-077rrcnch- spec.doc EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 6946195 ERES Project No.: 03-077 Calculated By: CW Date: 07262004 Legal: Bear Park Lot 7A TEST HOLE 1 Single Family 3 Bedroom Dwelling Deep Trench Subsurface wastewater Disposal Field Water use at 150 gallons per bedroom = 450 gallons Percolation rate = 1 minutes per inch Wastewater application rate = 1.2 gallons per day per square foot Required absorption area = 375 square feet Trench width (W) = 3 feet Gravel depth (D) = 7 feet Required length = Required absorption area 12 / D Required length = 375 / 2 / 7 Required length = 27 feet Total Excavation Depth = 10.5 feet 03-077 IeachfieldCalc.xls 2:09 PM07262004 Municipality of Anchorage Development Services Department Building Safety Division • �.t On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 9951 M650 r W".cf anchora°e.ak.us (907)343-7904 Soils Log - Percolation Test Performed For. RYA/J StPA RC$ Date Performed:_/Z//$ 0r' Legal Description: R C A i2 PA P -r d i -7 A Township, Range, Section: T l$ AJ RI W 56C_ q Slope Siln plan Depth 1- .N� 6VOtn1N 70P50TI, 2 6 J — DARC TuQOwrJ 3 SAND w/ GRaJe�- 4- 5-1 1 so- LAoc. GlcA-/ SAND u/;DA1r I I I A ROLL- WAS GROUND WATER i ENCOUNTERED? Nn 10- tRAcr o sn.1 - a IF YES, ATWHAT DEPTH? L Depth to Water After 0 11- Monitoring? Alf: 6 12- Date: 5/17 /P 13- 14- 15- 16- 17- 18 DA^nP NCAA Gcit.V 19- COTIOfA Or COMMENTS . _..___...__._..-�, r— c^•...s•.. , rcm� nULt UW hIFR L TEST RUN BETWEEN FT AND FT iii PERFORMED BY: a HR _e t EX>t, Ie'—S�/ 4% i� .�i✓ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL 4Sr LINES IN EFFECT 0N THIS DATE. DATE: 177/ /n mowi . _..___...__._..-�, r— c^•...s•.. , rcm� nULt UW hIFR L TEST RUN BETWEEN FT AND FT iii PERFORMED BY: a HR _e t EX>t, Ie'—S�/ 4% i� .�i✓ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL 4Sr LINES IN EFFECT 0N THIS DATE. DATE: 177/ /n Municipality of Anchorage Development Services Department s +r Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET To: Eagle River Engineering Services Legal description: Bear Park Lot 8 The attached paperwork has been reviewed and Is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ Calculation error in design. _ ❑ Additional soils information needed. ❑ Water monitoring results inadequate. _ ® Discrepancy in information submitted. 1.) Please verify parcel ID and Lot number. 2.) Please verify Percolation rate, ❑ Topographic information missing or inadequate. ❑ Incomplete; missing _ ❑ Incomplete; missing _ ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. _ ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. _ ❑ Well log required. ❑ Omission in narrative. _ ❑ Insufficient fill over tank or field._ ® Other. Proposed well location in existing T & E easement along eastern property boundary. Name of reviewer. Julie Makela. P. E. Date: 8/2/2004 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality of Anchorage 6�. B • -- Development Services Department •'``'` ```' j Building Safety Division :f ='.' ' " s•' _ On -Site Water and Wastewater Program 4700 South Bragaw St. 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 LD. fL5/- 1. GENERAL INFORMATION Complete legal description Location (site address or dir HAA #_ 057oa4q Expiration Date: 1 — 1 - os - Current Property owners) ?rr1i r -'e) e�ut-lent i1twit.f— Day phone R7& - g l36, Mailing address Lending agency Mailing address Real Estate Agent G erX 77r i9 17o7- it/r+�r�.11� off 996fi� Day phone Day phone 6_171/ - �7 Mailing Address _ 166r0 Ce. rlegh i'e /W 0%. , , r/i . o2C/, Sag 6 /(?"Vi '? -4 j! Unless otherwise requested. HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 2' Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ 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 seat 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. 1 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 Eagle River Engineering Services Phone igy- 5 /9S Address Fanle River_ AK99577 Engineer's Printed Name PLS i ati r 2 �. ofICCY/ Date lune .4, 91)Q 5. DSD SI NATURE Approved fort bedrooms. Disapproved. Conditional approval for bedrooms, with the folio% Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: O / / "0- Original Certificate Date: G — q ` i7 J� (Rev. 01107) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: &EAR PhR1C LO "7 A Parcel ID: 051 -O y2-'8Ob A. WELL DATA Well type BgLa>!T6 If A, B, or C provide PWSID # _ Date completed O l i'/'oy Sanitary seal ODN) _yt�5 Total depth J2,Lft. Cased to 12- / ft. FROM WELL LOG Date of testy/Z?ki Static water level 76 ft. Well production 20 -f" g.p.m. WATER SAMPLE RESULTS: Coliform ' colonies/100 ml. Nitrate (2.gamg.A. Well Log 0) Y�5 Wires properly protected 6i 1) YE 5 Casing height (above ground) in. AT INSPECTION ,OVtZJ i,Je/_Z_ A1 4 ft. V114- g.p.m. Other bacteria / colonies/100 ml. Arsenic: — mg./I. Date of sample: ALOWor Collected by: G *RCS L JOO> B. SEPTIC/HOLDING TANK DATA Tank Type/Material 5 %EEL 14ArG1f 7-.+V Date installed 5 3 05— Tank size 11000 gal. Number of Compartments 2 Cleanouts 0) '/r S Foundation cleanout & -ye-5 Depression over tank (Yo 00 High water alarm (Y16) 1JQ Date of pumping d//k- A it0 7A*umper Al b C. ABSORPTION FIELD DATA Date installed S/1 Z46 Soil rating (g.p.d./W or ft�l/bdnn) _Z System type 5#4LLOW tR6e1G/� Length 34 ft. Width $ ft. Gravel below pipe _4/_ft. Total depth�/ ft. Eff. absorption area ,3,ZCft' Monitoring tube _Ye� Depression over field _ 0 Date of adequacy test W,+ A!6;W fi/0Z 1 Results (Pass/Fait) PA 53' For 3 bedrooms Fluid depth in absorption field before test. in. Water added_&&al. New depth in. Elapsed Time: A6k min. Final fluid depth �in. Absorption rate >= N $'D g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date� 1/4 D. LIFT STATION Date installed "Pump on' level at _in. Datum E. SEPARATION DISTANCES Size in gallons T Manhole/Access Y `eiygp oHj je�era� _ in. High water alarm level at in Cycles tested Meets alarm 8 circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: r Septic tanklliit station on lot 1/0 Absorption field on lot /01 r Public sewer main f 757r r Sewer /septic service line 't 2-5, On adjacent lots On adjacent lots f- I6O r r Public sewer manhole/cleanout 1 /0 Holding tank -f /00 r SEPARATION DISTANCES FROM SEPTIC/I 196BIN6 TANK ON LOT TO: r Building foundation t S r Property line +5 r Absorption field t S Water main -fi /O Water service line / 10 r Surface water +100 r Wells on adjacent lots t /d 6 r SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 'f" 10 r Building foundation f /0 r Water main r r I Water Service line f- /O Surface water -- /Od Driveway. parking/vehicle storage r Curtain drain + <0 r Wells on adjacent lots 't' /00 F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name GFtCg/a lfce Z- L ax*> Date 6 to s10S HAA Fee $ 5-4-50 Date of Payment G'8 Io f Receipt Number h(j�0y (Rev. 12/01) r .11 M IC'.r Fee $ 13S Date of Payment Receipt Number 3 4. E. 3 E ESM'T zc DRAfNA e X — �a� N,wrc FAKIr ENaRO.A..�C�HCi 1-" j{ tA/. j! rl: h11T. U4 MATcR p �� '•. 37. �i ve -- Icfy-,Oo AS -BUILT I hereby certifv that I have surveyed the following described property. L o T 7A s S _: A u P D Anchorage Recording Precinct, Alaska. and that the improve- .c•-'• "• • •',; f�I t_ y y: ' tl r=°. •"' a �' " ments situated thereon are within the property lines and do not " �•"?�?: �• '•,.�•' r'•. }� overlap or encroach on the property I adjacent thereto, that pPropertymiri �':" :� `"y•r, *• no improvements on rot ad aicent thereto encroach .�{ i, - �' 1 on the premises in question and that there are no roadwa}'s, r p r3't�t y"-: • transmission lines or other visible easements on said pmpertv •' " •'^•' �••• �, except as indicated hereon. { : ............•.•, . .. — Dated at Eagle River, Alaska `i� this day of 110 N0. L51•� r�41'_. -' ROBERT C. JOHNSON ?; • ✓�. �yl•..•� �•� ,-•_'.. SCALE.: Registered Land Surveyor No. 880 -LS vL. • •, . ••'>'. 1" Box 77-0556, Eagle River, Alaska 99577 ..�- Phone (907) 693-2543 8- 8-05; 4:13PM; ;807 5815301 M 2/ SCS ReLP Client Name ProjectNameN Client Sample D) Matrix Sample Remarks: 1053106001 Eagle River Engineering Bear Park Lot 7A Bear Park Lot 7A Drinking Water All Date✓rlmes are Alaska Standard Time Printed Date/rfine 06/08/2005 14:21 Collected Date/rime 06/02/2005 18:30 Received Dote/Time 06/03/2005 14:00 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Faults PQL Unita Method ContainerlD Limits Date Date Init Waters Department Nitrate -N 0.407 0.100 Ificrobiology Laboratory Tots! Coliform 1 OB, No Coli mg/L EPA 300.0 B (<-10) 06/03/05 BJA coVl00mL SM209222D ' A . (<-I) 06/03/05 TLF