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HomeMy WebLinkAboutCHEROKEE RIDGE LT 3Cherokee Ridge Lot 3 #015-272-96 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP151095 PID Number: 015-272-96 Dwelling: M Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: M New ❑ Upgrade Name: White Raven Development, Inc. ABSORPTION FIELD M Deep Trench ❑ Shallow Trench []Bed ❑Mound Address 12580 Old Seward Hwy. Anchorage, AK 99515 El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 .6 GPMF 9.9 Ft LEGAL DESCRIPTION Depth to pipe invert from original grade 1.9 Ft Gravel depth beneath pipe 8 Ft. Subdivision Block Lot Cherokee Ridge 3 Fill added above original grade 2-3 Ft Gravel length 47 Ft. Township Range Sedan Gravel width 3 FL Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption LiR Station Holding Sewer Total absorption area Number of trenches D'rst. between trenches From Tank Field Tank Line 752 Ft= One Ft. Well >100' >100' >100' >7�' >25' TANK 0 Septic 0 S.T.E.P. 0 Holding 0 Other Manufacturer Anchorage Tank capacity 1,250 Gal. Surface Water >100' >100' NA NA Material Number of compartments Lot Line >5' >10' NA NA Steel Three NA Foundation>5' >10' NA NA LIFT STATION Manufacturer Capacity Curtain Drain None Noted Anchorage Tank/Orenco 250 Gal. Remarks Pump on level at 42 in. Pump off level at 38 in. High water alarm at 44 in. Pump make and model OSH P2001' Electrical Inspections performed by MOA Installer PIPE MATERIAL House to tank D3034 draarn Bid D3034 White Raven Development, Inc. DraintieldF810 comm Inspector W. Roberts BENCH MARK (Assumed elevation)100.0 ft Inspection +" 7/27/15 7/27/15 Location and description 2n° s^" 0 Front Door Threshhold. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineers Stamp Conditional Approval: Date �.• E OF •49th � %. `.....s......`.. .......... .,.�.� of . E MICHAEL E. ANDERSON ZAA :- �.� ,• NO. CE-4381 Approved Date ��iFo a •� \+tinEs:�+ ••� IG.YVY CD cli r-- PDOd 9JOW13 Ce) N _0 �d LO U') LO O z 0 .00'091 3,,02,OL.OS ro in zv co N a; N om L2 0 Lij LAJ 0 o MIX E 0 Cf) OL Al rl a 0 cr) g (D 0 At r LU (D cL M coE 19 a) CL m (f)o w COO' E LL: w 0 it W 4) L.Lj Po ui 0 0 0) 0) LLJ (D N 04 -1 7NU 0-a 0 Lq= < M U) 2 8 —J PI) LU E 0 .@LF- 0 V) .L) Z 0) CW Co =m< � 20do 00 "00 LO LO wm 0) 00 E 00 Z w 0 V) A0 T 20 ma 0 a L /0 p 0 -Li < rl E U) 0) CD I LO I a. co 0 0 z E 4) CL Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP151096 97.4 x F PID No. 015-272-96 N c 5-21-14 47' (Trench Length) NOTE: 1" PVC - Y, 'O Holes at 1.6' On Center. PROFILE AS -BUILT No Scale 94.0 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 3, Cherokee Ridge Subdivision PERFORMED FOR: Hultquist Homes DATE: 7/27/15 PROJECT No.: PARCEL ID#: TECHNICIAN: W. Roberts DEPTH TEST HOLE 3A (feet) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 1 1 1 1 Silty Gravel GM :* SLOPE WAS GROUND WATER HNCOUNTERED7 NO IF YES Q WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: None DATE OF MONITORING: 8/5/15 SITE PLAN See Site Plan DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO (INCHES) NET DROP (INCHES) 3/4/15 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 2:45 2.25^ 2 3:15 30 3.63" 1.38" 3 3:16 2.13° 4 3:46 30 3.38^ 1.25" 5 3:47 2.25^ 6 4:17 30 3.50' 1.25" PERCOLATION RATE: 24 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 3 FT. and 4 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR To TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 12/1/15 co C? N N N 0 O O Z O FL po0�j GAOW13 0 0 0 Lo 00 LO 00 E Z m w E W 0 Ln ,00'09L 3,,N,O L,OS v�a L, h N O N _ m IT O N V N � z (�U Z l N Q O W i a � u m Z- C X (O— N b. NW� /�n v) >0 = Loo, `o G CO Y N W I`� vi Q W CD 0 0 m m L LJ o C �F-2 a N m d a LU C �2Q� >OF -SU (h o m �0 W > o J U) J m U m ry nil W o= n0 w v = U 0 J po0�j GAOW13 0 0 0 Lo 00 LO 00 E Z m w E W 0 Ln ,00'09L 3,,N,O L,OS v�a pa, L M„ 0C,0 L, h N 60 N _ m N N N h V O Z- ;r N b. V >0 = Q G o] N V z d y Cy O �U0F tr o L LJ C I I10 L1J —J >OF -SU (h o m --/-� v O M o J J « J O � L p nil W r 4-- c F- N Q Kam E Z d'c�eN N IW-Din°wa O w ax�c O w O O O N E m 0 = FLMM 00 LO00 pa, L M„ 0C,0 W J Q U (n O O _ C 0 0 O N C N C w+ 3 O a 6 o >0 = j c z d y Cy O �U0F tr o L LJ C I I10 L1J —J >OF -SU (h o m --/-� v o J Cf) J nil W 4-- c W J Q U (n MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 3, Cherokee Ridge Subdivision PERFORMED FOR: HUltgUlst Homes DATE: 7/27/15 PROJECT No.: PARCEL ID#: TECHNICIAN: W. Roberts DEPTH TEST HOLE 3B (feet) 11 12 13 14 15 16 17 18 19 SLOPE WAS GROUND WATER ENCOUNTERED? No IF YES @ WHAT DEPTHS DEPTH OF WATER AFTER MONITORING: DATE OF MONITORING: 7. i= 44�9,t�h W �/.... �.Q .............................. R MICHAEL E. ANDERSON F No. cE-43Bi s SITE PLAN See Site Plan sa DATE READING OB/OG 1 WATER D (INCHES) NET DROP (INCHES) 2 TEST HOLE PRESOAKED PRIOR TO TESTING - 3 3:03 Silty Gravel 0.75' GM 4 3:33 30 5 1.50" 6 3:34 B.O.H. 11 12 13 14 15 16 17 18 19 SLOPE WAS GROUND WATER ENCOUNTERED? No IF YES @ WHAT DEPTHS DEPTH OF WATER AFTER MONITORING: DATE OF MONITORING: 7. i= 44�9,t�h W �/.... �.Q .............................. R MICHAEL E. ANDERSON F No. cE-43Bi s SITE PLAN See Site Plan sa DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) WATER D (INCHES) NET DROP (INCHES) 7/27 TEST HOLE PRESOAKED PRIOR TO TESTING - 1 3:03 0.75' 2 3:33 30 2.25' 1.50" 3 3:34 1.00 4 4:04 30 3.25° 1.5011 5 4:05 0.75^ 6 4:45 30 2.25' 1.50" PERCOLATION RATE: 20 (MIN/INCH) PERC. HOLE DIA--L—(INCHES) TEST RUN BETWEEN: 3 FT. and_4_FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TRENCH COMPLETED IN ABSORPTION TRENCH TO VERIFY CONTINUITY OF SUBSURFACE SOILS. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 12/9/15 Al�-tne Drilling & Enterprl.L"s Well Log Permit Number: #SW151095 Date of Issue: 3-05-15 Parcel Identification Number: 01527296000 Date Started: 6-19-15 Date Completed: 6-20-15 Is well located at approved permit location? x Yes ❑ No Legal Description:Cherokee Ridge tat 3 Property Owner Name & Address: Hultquist Homes inc. 12580 Old Seward Highway Anchorace. Alaska 995153506 Soil Type, Thickness & Water Strata Stick-up silt gravelly silt cobbly gravel silty cobbly gravel gravelly silt siltygravel silt silty gravel wet silty water sand & gravel From To 0 2 7 19 32 58 91 155 162 173 WATER QUALITY TESTING 001iformCOU100ML N#tmtes 3•�_ t Mg/L Arsenic _ 1U t\ ug& 1vEa 1Uh' 2 4 71115 2 7 19 32 58 91 155 161 173 181_ Method of Drilling x air rotary ❑ cable tool Casing type: steel Wall Thickness:.250 inches Diameter: 6 inches Depth: _ feet Liner Type: Diameter: _ inches Depth: _ feet Casing stickup above ground: 2 feet Static water level (from ground level): 154 feet Pumping level. -L80 feet after 2 hours pumping 10 gpm Recovery Rate: LQ gpm Method of Testing: &M Well Intake Opening Type: x Open End ❑ Open Hole ❑ Screened Start _ feet Stopped feet ❑ Perforations Start _ feet Stopped feet Grout Type: bentonite granules Volume: 2 brs Depth: Start 0 feet Sto d ? feet Pump: Intake Depth _ feet Pump size hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 f` Development Services Department Building Safety Division • On -Site Water & Wastewater Program 4700 Elmore Road P,O. Box 196650 Mark Beglch Anchorage, AK 99507 s " s . r Mayor www.mumoro/onsite (907)343.7904 Pump Installation Log Well Drilling Permit Number: SW 15±095 Date of Issue: 51512015 Parcel Identification Number: 01527200M Legal Description Property Owner Name & Address: Lot 3 Cherokee Ridge HuagWst Homes Inc. 12580 491 Seward Hwy. Anchorage, sK 99515 11 Pump Installation Date: 912812015 Pump Intake Depth Below Top of Well Casing: t76 feet Pump Manufacturer's Name: Goulds Pump Model: IOSBIG422C Pump Size 1 by Pitless Adapter Burial Depth: N18 feet 11 Pltless Adapter Manufacturer's Name: NIA Pidess Adapter Installer: NIA Disinfected Upon Completion? © Yes ❑ No ad of Disinfection: 11 Comments: Pump Installer Name: Aarow, Pump & well Service, LLC Please save for your engineer. P.O. Box 110496 This is needed for your COSA. Anchorage. AK 99511-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. On -Site Water & Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151095 Tax Code Number: 01527296000 Work Type: WellSeptic Initial Permit Effective Dates: May 05, 2015 to May 04, 2016 Design Engineer: ANDERSON ENGINEERING Subdivision: CHEROKEE RIDGE Site Legal Address: CHEROKEE RIDGE LT 3 G2635 Owner/Address: HULTQUIST HOMES INC 12580 OLD SEWARD HIGHWAY ANCHORAGE AK 995153506 Site Mailing Address: 11492 ELMORE RD, Anchorage Lot Size in Sq Ft: 43560 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: PRIOR TO CONSTRUCTION: The engineer of record for the design test hole states the test hole is "For MOA Review Only" and as such, the test hole will not be allowed for construction. The primary and alternate drainfield designs shall be have verification test holes (USC gradation, percolation testing, 7 -Day groundwater monitoring) completed prior to construction. If design changes are required, an approved change order shall be acquired prior to construction. Test hole results shall be submitted with the final inspection report. Received E Issued By: MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program Unff•-.M Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-272-96 Property owner(s) Hultquist Homes, Inc. Mailing address 12580 Old Seward High Day phone Anchorage, AK 99515 Site address 11492 Elmore Road Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Cherokee Ridge, Lot 3 Legal description (Township, Range & Section) Lot Size 43,560 Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms Three (3) APPLICATION IS AN: TYPE OF DWELLING: Initial 0 Single Family (SF) 0 Upgrade ❑ (w/wo ADU) D ❑ Renewal El Duplex (D) Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. -;q/� E (Signature of property owner or authorized agent) Permit/Rush Fees: 611 2LS = -$(— Date of Payment: 4iLa'7h5 C4, Receipt Number: 09%31 G Permit No. OSP15icis Permit App_9-1 -1 2.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX April 25, 2015 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Cherokee Ridge Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 3, Cherokee Ridge Subdivision intends to construct a new three- bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Also identified on the plans are the existing wells in the area and septic systems on surrounding lots. No conflicts exist between the proposed septic system and well or septic systems and wells on adjacent lots. Drainage contours are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test hole placed on the lot in the area of the absorption trench and alternate site indicate silty gravel with sand (GM). The percolation rate of the soil was determined to be 22.9 minutes per inch. No groundwater was found during the placement of the test holes and none was noted during the monitoring period. An application rate of .6 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1,250 -gallon STEP tank and a 47' long by 3' wide by 8' effective depth absorption trench to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 3' below the surface and the total depth will be 11'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. Additional percolation tests will be completed in the GW/SM layer to verify the absorption rate. In addition, a new percolation test will also be completed to verify the soils for the alternate site. The results of both tests will be submitted with the inspection report for the completed system. Lot 3, Cherokee Ridge Subdivision April 25, 2015 Page Two The ground surface on the lot in the area of the septic system slopes to the southeast at a shallow grade with some cross sloping from the east. The new trench will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments �°• 49th �•• ;;�r MICHAEL E. ANDERSON NO. CE -4381 0 J O J i 0 J N 0 J fn� m 0 J 0 2 . N J J m m E 0 5 0 (]VON 3ZI l3 aooa aowia o N 0 J O J i 0 J N 0 J fn� m 0 J -------------------- UC� C Icy U„d, L p•.+ w0+ Q J ° O (n N CL U x d z 0� I I O U -)Q >_ Z V)U) J W E N L i r U7 m O O ,00.091 3,,w,OL.OS p z o N _0 N ��i-------��--- W J O O ry t C iQ - L f cn a` � 213 I LO � 00 09 L M„0£,0l.ON N w O O 1= O U I I I I I I I O So UC� C Icy U„d, L p•.+ w0+ Q J ° (n N CL I z 0� I I >_ ZU _ V)U) J W E I I c� N I 1 W J o OU g H O ry C)O � f>i� f cn a` •••qtr 213 O 00 09 L M„0£,0l.ON �� w w Lj -�� ♦fid••., � � : _U O` I •• •• C So Icy w I o I\ to (d O ~ \ I NN I OD I \ n E I I So C, Icy I\ I \ I \ N I 1 O ry � + f a` •••qtr 213 00 09 L M„0£,0l.ON �� w w Lj -�� ♦fid••., � � : _U O` ••••••...: •• •• C C, LOT 3, CHEROKEE RIDGE SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS Three Bedroom Home Deep Trench System Perc. Rate: 22.9 Min./Inch 1.250 Gallon STEP Tank Application Rate: .6 GPD/SF 8' Drainfield Rock 3 Bedrooms X 150 GPD/.6 GPD/SF (Application Rate) = 750 SF Absorption Area 750SF/16 SF/LF = 46.8 LF Trench Length THEREFORE: Construct 47' Long x 3' Wide x 8' Effective Depth Absorption Trench at the Location Shown. Flow Line Elevation in Trenches to be 3' Below Original Ground Surface. Total Depth to be 11' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Maintain 100' Separation from Wells in the Area. Natural Backfill 2'6" Geotextile Fabric 6,. O 4" Perforated PVC (Holes Down) 8'0" Drainfield Rock 3' TYPICAL DEEP TRENCH SECTIONOF �..•••q•����, (NO SCALE) �OP� ........... NOTE: Grade Area Over Trench to Drain Away. Ct 49th Minimum 6' Separation From Bedrock. 0..' ... .......... .......... Minimum 4' Separation From Groundwater. Vol psc�,(, Minimum 100' Separation From Wells in the Area. ' CHA � E.AN�•���WN MICHAEL E. ANDERSON Minimum 100' Separation From Surface Water or Streams: 0� ;•, No. CE -4381 TEST HOLE 3 SOILS LOGO - PERCOLATION TEST OR ORGANICS 2 GVWSM TIGHT SILTY 3 SAND GRAVEL q SOIL INTERFACE 5Cy 6 7 8 8 GM/SM SILTY SAND f0 AND GRAVEL 11 12 19 14 15 18 BOH 17 78 DATE PERFORMED: 5120/14 PEROLATION RATE 22.9 fminfmd17 PERC HOLE DIAMETER inches TEST RUN BETWEEN 5.0 FT AND 6.0 FT COMMENTS: Test hole excavated by Brian T. Harten. Prec hole was presoaked. Perc test ran for at least 1.5 hours. Last three readings reported. Bottom of pere hole in GM/SM. Test performed in representative soil. PERFORMED BY: Steven R. Pannone P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPA��L��G777�UIIDLII7N��E++S IN ENG TTON THE DATE OF THIS TEST. NOTES: PAMONE ENG SVC LIR. '�� OF Ag�ti Date FOR MOA REVIEW ONLY P.D. SOX 102954 ANCHORAGE, AK 99510 ."(�•qg' 1� 5/27/2014 PHONE (907) 272-8219 FAX (907) 272-8211 *� —b Scale NTS .... .:..V/. P.I.D. NO T12N UK SEC 21 N2SE4SE4NE4 Y 75-272-222 BRIAN T. HARTEN Steven °(�. PanriaRe PERMIT NO, CE 8149 ELMORE �L' x SOILS LOG ANCHORAGE, AK 99516 Ilk Rtp{ gt1 `� s 4e0F 5 SLOPE _. LA TH � d ( WAS GROUND WATER SLOPE ENCOUNTERED? NO IF YES. AT WHAT TH DEPTH? NONE' x DEPTH TO WATER AFTER MONITORING? NONE' DATE: 207d CLOCK WATER READING DATE TIME NET TATE LEVEL READWG NET DROP 1 5(21!2074 6:09 4.73 2 8:39 3R MEN 6.00 3.27 a B:d1 3.33 4 9:17 30 MIN 4.94 1.67 s 9:72 3.76 s 9:42 30 MIN 5.07 1.31 COSA Fee $ Date of Payment Receipt Number_"j DOSA# CIS I� Waiver Date of Receip 1 Waiver # �ef-f:'- t. c N more than 1 septic system Is on the lot: COSA Checklist# of Structure served by this system C rtlfta.te of Qn.-Site S Approval Checklist t Legal Description: Cherokee Ridge, Lot 3 parcel ID. 015-272-96 A. WELL DATA Well type Private - If A, B, or C provide PWSID # Well Log (Y/N) Y I Date completed 6/20/15Y Y Sanitary seal (Y/N) Wires protected (Y/N) Toti[dapth-LP—lft. Cased to 1 I- 't Csalng height -(above ground) >18 'in. FROM WELL LOG At MOEcTi6N Data Of test 6/20/15-- Static;water level f64 ft. Well producljon 10 g.p.mi 9 -P -M. WATER SAM RLE RESULTS: C61fibrin colonies/100 mL Nitrate img/L Arsenic O ug/L Data of sample: 11/29115 collecied'by, And.''Erig'ine-ering B.. GOPTIQ-L . -L 0. .40 1ING T ARK DATA 7/27 Tank ASteial 115,- Tank size - 1,260 gal. Number of Co"arfinents 3 :CWnouW (Yft4) - , - Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping New Const. Pumper C.,-A13SQRPT10N.FIKQ, QATA Date installed 7/27115 Soil rating (g.p.d.tfe or fe/bilrin) •6 GPD/SF System type Deep Trench ' Length 47 " tt - width 3 ft. Grave I I below pipe t ft -n2 -12 area fe' - monitoring tube—,- Depression ever field Total depth ft Eff. absorption N Date of adequacy test. New Const. Results For bedroom Fluid depth in absorption field Wore test _ in. Water added 9 . of, New depth_ in. Elapsed Tirrjelg•, min. Final fluid depth in. Absorption rate >= g-p.d. Any rejuvenation treatment (past 12 mo.) (YIN & 4") N If yes, give date D. LIFT STATION Date installed 7/27/15 Size in gallons 250 "Pump 6W lever at '42 in. "Pump ofi' Is at 38 in. Datum Bottom of Tank Cycles tested New Const. E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankAdft station on lot Absorption field on lot Public sewer main >7 ManhoWAccess (YIN) Y High water all at 44 arm levein. Meets alarm & circuit r quire irements? Y >100' On adjacent lots >100' >1 00' On adjacent lots ' >100' 5 Public sewer manhole/cleanout >100 Sewer /septic service line >25Holding tank Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO Building foundation >5 Property line >5 Absorption field >5 Water main X10' water service line >10' Surface water >1 b0' Wells on adjacent lots >100' - ABSORPTION FIELD ON LOTTO: Property line >10' Building foundation >10' Water main""'°`' �rtJ�nn�Nn( Water Servile Brae >1 _ Surface water > 100' Driveway, psrinng/ Mde storage >1(j' s None Noted, >100", Curtain drain ' -Wells on adjacent lots,. F. COMMENTS _ G `ET(GII�ER'S CERTIFICATION qap i certify that-/ have determined) through field inspections -and .•�P,�^ ++ review af,Mun>arpal,mads that .they above,:WVems_srie n conformance with MOA COSH guidelines in efieci on this date. 49th�i Engineer's Printed Name Michael f.-Andt?rsOrt P.L n �/ 20(� 5 12/1/2V15. .- - .. � MICHAEL E. ANDERSON i �i.. f. slyy CE-43�8r+1 ++ f+ ESSm�O� COSA brown sheek_/0-10-12.doe ho C c 9 m 3mDN� r ©, VSrm N VO@ w YI K > D = 0 ° 3 xM m M m r p N (A p e« O a m CL m � � 0 2M3° am aa» �Z� cwn �c wm' o IL a a cu O P NVQC 1C S D O 43 o N m 2 �m 001 N V n 9 ° rte 7 n m 30 � a m �oWx w rn N "ate o rywrto a O N cop 0 a CL n I� PT, CD CD CL UQ O CD � y CT' C a.• O Q x w 0 o n o o r ©, 6 �40b000`` o M U SO'10'30"E 150.00' cn 0 Elmore Road T�� N w n Fn' 0 T7 Vl � CJ ro � ea R7 fC3 Vy A y �i M tf rs a I I o ©, 6 �40b000`` o U SO'10'30"E 150.00' cn 0 Elmore Road T�� N w n Fn' 0 T7 Vl � CJ ro � ea R7 fC3 Vy A y �i M tf rs a I I