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HomeMy WebLinkAboutBIRCH NORTH ESTATES LT 2Birch North Estates Lot 2 #015-501-37 u Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSP111117 PID Number: 015.501.37 ZLIg & Susan Floyd Wastewater System: ❑ New ® Upgrade Address: 80 Birch Road ABSORPTION FIELD Phone: Number of Bedrooms: ® Deep Trench D Shallow Trench D Bed ❑ Mound O Other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: 0.6 GPD/FP 8.0 Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade. Gravel depth beneath pipe: 2 Birch North Estates 2.5 Ft. 5.5 FL Township: Range: Section: Fill added above original grade: Gravel Length: 1.0 Ft. 95.0 Ft. Well: El New El Upgrade Gravel width: Number of lines: Distance between lines: 3.0 Ft. 1 Ft. Classification (Private, A, B, C): Total Depth:Cased to: Total absorption area: Pipe Material: ExistingPrivate Ft. Ft. 1045 F 3034 PVC Driller. Dale Drilled: Static Water Level: Installer: Date Installed: Ft. Beek's Contracting 9/2712011 veld: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Absorption Lift Holding lubliclicrivate Manufacturer. Capacity: From Tank Field Station Tank Sewer Line Anchorage Tank 1500 G.I. well 121.3 100.9 50+ Material: Steel Number of Compartments: 2 Surface Watar 100+ 100+ LIFT STATION Lot Line 40.3 10.0 size: 250 Gel. Manufacturer. Orenco Foundation 8.4 16.4 Pump on" level at: "Pump off" level at: High water alarm at: 43 in. 40 in. 45 in. 14/A NIA Pump Make&Model Electrical Inspections performed by: - Curtain Drain P2005M(C6-AP—I!,A&ATS �Y a Remarks: BENCH MARK Location and Description: House FF Assumed Elevation: 700.0 Ft. Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: ist 9/23/2011 ������•a�O . OF q4�S4�i 2"d 9!2712011 �•O ?�?.••'' �y�i� Development Services Department Approval Conditional Approval PP Date: lf z 49TH �I Alf if ... ........� 0 -St 7 n •R. •Gnnoneii ,/_/��" � ♦ %'e,• No//. C 8149 � ♦•1� Reviewed and approved b PP Y 0 Int Date: . J ��` �� x.. N/06) u LEGEND A B C - W— WATER LINE/ FC 30.7 WELL RADIUS - ------- - - Tl 31.5 16.1 — T2 34.7 20.8 SS EXIST'G SEPTIC LS 35.6 22.2 SS NEW SEPTIC mi 57.6 22.8 M2 36.9 26.5 TREE LINE M3 81.7 66.3 Fl 81.9 66.3 ........... ------ 41 TH-4/25/91 #2 (TED MOORE) � 112101 (E) DRAIN FIELD IN FAILURE 1,000g SEPTIC TANK (E) ABANDONED PER CODE/ ABANDONED PER CODE ..... ..... 41 NEW 1,5009 S.T.E.P. TANK WELL (E)', 119.2 Ls TH2 f ..2 4BR REMOVED DRY WELL18.6 A Tl HOUSE (E), RELOCATED 20' UPHILL FC M1 FROM NEW SAS B WELL/(E) j 100.9 C NEW DRY WELL LOCATION 102.8 M2 NN 121.3 100.9 I NEW DRAIN FIELD M3 TI WELL (E) ��5.5' ED x 3W x 95LF x 8' TO B.O.G. 13.2 10.0 CONNECTED IN MIDDLE OF FIELD z F1 1 iS1 'iL TREE' LINE LOT UNDEVELOPED LL NO WELLS (DR SEPTICS 44 CONTRACTOR SHALL HAVE `BOTH WELL RADIUS' STAKED PRIOR TO CONSTRUCTION NOTES:PAMONE ENG SVC, LLC Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 11/18/11 PHONE (907) 272-8218 FAX (907) 272-8211 Awl AW Scale 1 =50' BIRCH NORTH ESTATES, LOT 2 P.I.D. NO CRAIG & SUSAN FLOYDtle*v*e*n V one .... . 015-501-3� *ann 10480 BIRCH ROAD CE 8149 PERMIT NO, OSP111117 Anchorage, AK 99507 .01 -- PLAN F0 ....... . \:W, sheet 2 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: 4—BEDROOM HOUSE, NEW 1500g S.T.E.P. TANK, NEW DRAIN FIELD, EXPAND EXISTING DRAIN FIELD. WELL RADIUS STAKING. 4. GROUNDWATER WAS NOT ENCOUNTERED DURING EXCAVATION. 5. CONTOUR INTERVAL=4 FEET. BASED ON MoA MAPPING DATED 1999. —1.s 0.5 _ SM/ 5.54 GM I 6.0 3.0 —14 82.5 BOH 1' OF FILL WITH TOP 6" TOPSOIL & VEGETATION 14" 0 PERFORATED PIPE WITH Na" HOLES ® 30' O.C. 'ILTER FABRIC 96.2 05 TH-2 5 15 1- 92.7 1.5 ]RAIN ROCK '2T 1 SM UPGRADE SECTION NEW 1500 g S.T.E.P. TANK DESIGN PARAMETERS UPGRADE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,500g S.T.E.P. PERC. RATE: 16.9 MPI SOIL RATING: 0.6 gpd/SF AREA ROD: 1000 SF SYS. TYPE: TRENCH, 5.5'ED, MIN LENGTH: 91 LF USED: 95LFx3'WIDE, 5.5'ED, 8' TD B.O.G. TOTAL AREA: 1045 SF —12.5H SP/ 4 BOH GPBo.5 o= 2� I�j12 W IIf Q PROFILE Wm TRENCH - SEE DESIGN wo.c. ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO, R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER TO TOTAL DEPTH B.O.G. BELOW ORIGINAL GRADE NOTES: .��+���\\\ Date PANNONE ENG SVC, LLC +� OF A/, klk 1/23/12 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 r PHONE (907) 272-8218 FAX (907) 272-821149 TM ScaNTS �...... .� P.I.D. Na BIRCH NORTH ESTATES, LOT 2 / 15-501-3 CRAIG & SUSAN FLOYD �ven R. Pannone PERMIT NO. 10480 BIRCH ROAD ��� . CE 8149i/ OSP111117 DESIGN NOTES Anchorage, AK 99507 +�1�Fy�•...�% Sheet l� �o�EssiP 3 OF 3 Com pality of Anoborage ln, pe r: On -Site Wastewater Disposal System Permit Permit Number: OSP111117 Tax Code Number: 01550137000 Work Type: Septic Upgrade Permit Effective Dates: June 28, 2011 to June 27, 2012 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: BIRCH NORTH ESTATES Site Legal Address: BIRCH NORTH ESTATES LT 2 G:2537 Owner/Address: PANNONE ENGINEERING SERVICE PO BOX 100217 ANCHORAGE AK 99510 Site Mailing Address: 10480 BIRCH RD, Anchorage Lot Size in Sq Ft: 48862 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. C(� V`ev;sws 41AP best r) �oe Ll bed rat; vas-. 9/e/,1/,r Received By: Issued By: Date: Zz l l Date: s' l On -Site Water & Wastewater Program Mayor Darr Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D.r— Property owner(s) C+g61C►- 4,1,p .5j54-,/ F71_0' +.D Day phone Mailing address ! 19cff SD 'A1AeX-,96-6 I A -K WS -0-7 Site address joge66 DJAQ4 &�q/) Legal description (Sub'd., Block & Lot) glge—N Aj ,�-lrrf S 4,0,.7- Legal ,0,T Legal description (Township, Range & Section) Lot Size W., S6 Z_ —Sq . Ft. Number of Bedrooms � THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) ❑ Initial Absorption Field N Septic Tank E6- Upgrade K Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 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/Rush Fees: _-) ° --Date of Payment: Receipt Number: Permit No. C - r GABuilding\On Site\Forms\Client Forms\Permit App_010411.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 1 /11) Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com March 4, 2011 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Birch North Estates, Lot 2 Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed systems will serve an existing three-bedroom house. Currently the lot is developed. The lot is served by a private well. The existing trench is in failure and shall be reused as a reserve. The existing tank shall be decommissioned per code and a new S.T.E.P. tank installed. A new drain field will be installed south of the existing field and will be sized to handle a three-bedroom waste stream. The surrounding developed lots are served by private water systems. The private wells are located over 100 feet from the proposed soil absorption system. 1. Soils. Two test holes were excavated by Pannone Engineering Service in June of 2011. See the soil log attached. Ground water was monitored for seven days. No ground water was monitored after the monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 0.6 gallons/day/square feet should be used, using a deep trench drain field. 2. Soil Absorption System Design. a. See Sheet 2 of the design package 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The average topography in the area of the proposed septic system is approximately 5 to 7 percent based on the survey information in the area of the septic system. There are no steep slopes within the vicinity of the proposed drain field. [Vailing: P.O. Box 100217, Anchorage, AK 99510-0217 P Ys'lca l: 615 East 2`d Ave, CtAite B6, Anchorage, AK 9i.9503 Telephone: (907) 272-8218 FAX: (9 r) 272-8211 Page 2 of 2 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mallin : P.O. Box 100217, Anchorage, AK 99510--0217 Physical. E?.5 East 82..Ave, Suite B6, Al;rrcxEr rK 9 _5 �3-; Te ph ne:(907)272-82 8 FAX:(9071272-8211 LEGEND W— WATERLINE/ . ..... . ..... . ...... .. ......... ... WELL RADIUS .... ........ . ....... . ..... ..... .......... SS EXIST'G SEPTIC SS NEW SEPTIC ............ TREE LINE TH 4/25/91 #2 (TED MOORE) (E) DRAIN FIELD IN FAILURE TO BE EXPANDED INSTALL FLOW SPUTTER 25.OLF x 5'W x 25ED x 7' TD FOR A TOTAL OF 1,000g SEPTIC TANK (E) 108.OLF x 5'W x 25ED x 7'TD ABANDON PER CODE AND REUSED AS A 48R RESERVE 1,500g S.T.E.P. TANK (P) EXPAND EXISTING FIELD (P) A/ WELL (E) 25LF x 5'W x 2.5'ED x 7'TD (195SF) 116.1 TH2 48R REMOVE DRY WELL 11.0 HOUSE (E)? RELOCATE 20' UPHILL FROM NEW SAS 10*0 WELL (E) NEW DRY WELL LOCATION _Z7 100.9 122.6 CO 100.8 DRAIN FIELD (P) — TH1 WELL (E) 5.5' ED x 3W x 95LF x 8' TD B.O.G. 18.0 0.0 CONNECT IN MIDDLE OF FIELD . ....... TREE LINE IV___ W \N LOT UNDEVELOPED NO WELLS OR SEPTICS b .3 � w CONTRACTOR SHALL HAVE ,,BOTH WELL RADIUS' STAKED PRIOR TO CONSTRUCTION NOTES: PAMOM ENG SVC, LLC Date CHANGE ORDER 0 A/- 8/8/11 P.O. BOX 100217 ANCHORAGE, AK 99510 it Scale —PHONE (907) 272-8218 FAX (907) 272-8211 ,0*.- 49 TH 1"=50' �11 ..... . . ....... P.I.D. NO BIRCH NORTH ESTATES, LOT 2 k, * " ' > nnopejo, . ..... .. .. ...... 015-501-37 CRAIG & SUSAN FLOYD S�teven R. nnone PERMIT NO. 9 10480 BIRCH ROAD -P,*- CE 8149 OSPI11117 Anchorage, AK 99507 PLAN Sheet k�� Dio�i�s�60� I xx 1 OF 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: 4 -BEDROOM HOUSE, NEW 1500g S.T.E.P. TANK, NEW DRAIN FIELD, EXPAND EXISTING DRAIN FIELD. WELL RADIUS STAKING. 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 14 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 5. CONTOUR INTERVAL=4 FEET. BASED ON MCA MAPPING DATED 1999. 1' OF FILL WITH TOP 6" TOPSOIL & VEGETATION 4" 0 PERF PIPE FILTER FABRIC TH-2 —0.5 1 —1.5 0.5 2.5 5.5 y spy SM/ DRAIN ROCK GM 6.0 3.0 h- -14 BOH UPGRADE SECTION Z o, z a'o 0 o a TEST HOLE Z O a v~ ~ U U 4.0 MIN NEW 1500 g S.T.E.P. TANK DESIGN PARAMETERS UPGRADE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,500g S.T.E.P. PERC. RATE: 16.9 MPI SOIL RATING: 0.6 gpd/SF AREA RQD: 1000 SF SYS. TYPE: TRENCH, 5.5'ED, MIN LENGTH: 91 LF USE: 95LFx3'WIDE, 5.5'ED, 8' TD B.O.G. TOTAL AREA: 1045 SF CONNEC770 s O Z W 0 —13 BOH EXISTING EXPANSION SECTION w w �w �w 0 U P. Q ZO W DIP 4" 0 PERF PIPE TH-4/25/91 TEST HOLE FC FILTER FABRIC #2 (TED MOORE) xy A* CLEAN OUT NO. -0.5 �- ik �3 Wyk �y4.: p5k �k "KY K�4A� �k '�'4L" �•f Kfk �t �k R. 1. RIGID INSULATION -1.5 �k.t DV � -2.s ML TD 4.5 B.O.G. 0.5 L SM 2.5 >.. SM I I F -5.0—I DRAIN ROCK -s 6.0 SW —11 ML —13 BOH EXISTING EXPANSION SECTION w w �w �w 0 U P. PROFILE TRENCH - SEE DESIGN DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,500g S.T.E.P. PERC. RATE: 15 MPI SOIL RATING: 0.8 gpd/SF AREA RQD: 750 SF SYS. TYPE: WIDE TRENCH, 2.5'ED, RF: 0.64 MIN LENGTH: 96 LF USE: REUSE EXISTING 83LFx5'WIDE, 2.5'ED, 7' TD B.O.G. ADD 25LFx5'w, 2.5'ED, 7' TD B.O.G TOTAL AREA: 843.75 SF 0 Z Q A CU Q ZO W DIP DUCTILE IRON PIPE g TEST HOLE FC 4" 0 P¢erf Pipe T# TANK CLEAN OUT NO. xy A* CLEAN OUT NO. M# �- ik �3 Wyk �y4.: p5k �k "KY K�4A� �k '�'4L" �•f Kfk �t �k R. 1. RIGID INSULATION L.' �k.t DV � „- FLOW SPLITTER TD TOTAL DEPTH B.O.G. BELOW ORIGINAL GRADE PROFILE TRENCH - SEE DESIGN DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1,500g S.T.E.P. PERC. RATE: 15 MPI SOIL RATING: 0.8 gpd/SF AREA RQD: 750 SF SYS. TYPE: WIDE TRENCH, 2.5'ED, RF: 0.64 MIN LENGTH: 96 LF USE: REUSE EXISTING 83LFx5'WIDE, 2.5'ED, 7' TD B.O.G. ADD 25LFx5'w, 2.5'ED, 7' TD B.O.G TOTAL AREA: 843.75 SF 0 Z Q A CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER TD TOTAL DEPTH B.O.G. BELOW ORIGINAL GRADE NOTES:PAMONE ENG SVC, LLC _����` Date CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 r ��OF A�gc�ll4 8/8/11 , PHONE (907) 272-8218 FAX (907) 272-8211 Scale �, , TM *+�r NTs BIRCH NORTH ESTATES, LOT 2 % P.I.D. NO CRAIG & SUSAN FLOYD • • • 1 `. Pan 15-501— . Steven R. Pannone � PERMIT N0. 10480 BIRCH ROAD I�+�'F . CE 8149 �� OSP111117 Anchorage, AK 99507 i �'s•'r DESIGN NOTES �ill�\`` ``` Sh2eOF 4 TEST HOLE SOILS LOG - PERCOLATION TEST SLOPE TEST HOLE WAS GROUND WAl ENCOUNTERED? IF YES, AT WHAT DEPTH? DEPTH TO WATER, MONITORING? - DATE: 6 READING DATE OR TOPSOIL 1 ML BROWN SILTS 2 4.67 3 2 4:34 4 6.54 1.87 5 4:34 6 - 4 5:04 SM SILTY SAND 7 5 5:04 8 4.67 - 9 534 30 MIN 10 1.78 11 12 SAND 13 SP/ POORLY GP GRADED 14 BOH 15 16 17 18 DATE PERFORMED: 6-08-11 SOILS LOG - PERCOLATION TEST SLOPE TEST HOLE WAS GROUND WAl ENCOUNTERED? IF YES, AT WHAT DEPTH? DEPTH TO WATER, MONITORING? - DATE: 6 READING DATE CLOCK NET TIME WATERTIME LEVEL READING NET DROP 1 06/08/11 4:04 4.67 - 2 4:34 30 MIN 6.54 1.87 3 4:34 4.67 - 4 5:04 30 MIN 6.50 1.83 5 5:04 4.67 - 6 534 30 MIN 6.45 1.78 PEROLATION RATE 16.9 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 6 FT AND 7 FT COMMENTS: Test hole excavated by Pannone Engineermi g Svc. Test Hole was presoaked before perc test. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ONTTHE �DATE OF THIS TEST. NOTES:FOR CONSTRUCTION ate PANNONE ENG SVC, LLC OF A4.,gll D6/27/11 P.O. BOX 102954 ANCHORAGE, AK 99510 A.• '.' S l� PHONE (907) 272-8218 FAX (907) 272-8211 j*) - TM*--. *O Scale 49 BIRCH NORTH ESTATES, LOT 2 % """' F P.I.D. �NO •.• 15-5011 —3 CRAIG & SUSAN FLOYD "S'te'v'en R. Pannone PERMIT N0. 10480 BIRCH ROAD I�+-�Q% CE 8149 OSP111117 Anchorage, AK 99507 s� SOILS LOG 11i1\\ OSS`==i4� Sheet 3OF 4 PEROLATION RATE 2 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by Pannone Engineering Svc. Test Hole was presoaked before Derc test. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ONTTHE OF THIS TEST. SOILS LOG - PERCOLATION TEST �DATE PANNONE ENG SVC, LW P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 � pF q� �k ^, 'C� .4. 4 co '�y�� *: 49R . . . . . . . . . Steven R. Pannone �+�� CE 8149 cs •� �lk1ki OFFS`==�r Date 6/27/11 FOR CONSTRUCTION TEST HOLE 2 BIRCH NORTH ESTATES, LOT 2 CRAIG & SUSAN FLOYD 10480 BIRCH ROAD Anchorage, AK 99507 P.I.D. NO 15-501-3 PERMIT NO. osP111117 SOILS LOG Sh4eOF 4 OR ORGANICS / SLOPE TE LA MASS 1ROOT ML TH 2 BROWN SILTS 2 3 TEST % HOLE % 4 i i w� 5 0 6 / SM/ SILTY SANDS 3 7 GM TO SILTY GRAVELS 9; TH1 10 i 12 13 SLOPE 14 WAS GROUND WATER ENCOUNTERED? N BOH 15 IF YES, AT WHAT TH 1 DEPTH? -0--' 16 x 17 DEPTH TO WATER AFTER MONITORING? - - 18 DATE: 6-15-11 DATE PERFORMED: 6-08-11 CLOCK WATERTIME READING DATE NETTIME LEVEL NET DROP READING 1 06/08/11 4:40 4.68 - 2 4:50 10 MIN 10.85 6.17 3 4:50 4.68 - 4 5:00 10 MIN 9.85 5.17 5 5:00 4.68 - 6 5:10 10 MIN 9.80 5.12 PEROLATION RATE 2 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by Pannone Engineering Svc. Test Hole was presoaked before Derc test. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ONTTHE OF THIS TEST. �DATE PANNONE ENG SVC, LW P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 � pF q� �k ^, 'C� .4. 4 co '�y�� *: 49R . . . . . . . . . Steven R. Pannone �+�� CE 8149 cs •� �lk1ki OFFS`==�r Date 6/27/11 FOR CONSTRUCTION Scale NTS BIRCH NORTH ESTATES, LOT 2 CRAIG & SUSAN FLOYD 10480 BIRCH ROAD Anchorage, AK 99507 P.I.D. NO 15-501-3 PERMIT NO. osP111117 SOILS LOG Sh4eOF 4 MUNICIPALITY OF ANCHORAGE Q/S-_0/-37 DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name -rn DISTANCES OM TO TANK SEPTIC ABSFIELDION WELL AddressCi r� O G C WELL � / 3 Q 7 Phone(s) s� 3- /7fla Permit No. q No. of Bedrooms 3 LOT LINE 3 y LEGAL DESCRIPTION Lot Z Block "' Subdiv sion U.4 Nn -i =S FOUNDATION Township, Range, Section AS -BUILT DIAGRAM driveway, water bodies, (Show location of well, septic system, property lines, foundation, etc.) TANKS SEPTIC ❑ HOLDING NE Manufacturer _C_ 1- Capacity in gallons /aoo L ?, Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH ❑ BED W. DRAIN ❑ OTHER Depth to pipe bottom from original grade 41/Z- FT Total depth from original grade 7 FT I o "T61 8� Fill added above original grade //Z -FT Gravel depth beneath pipe Z 1& FT Gravel length 3 FT Gravel width s FT Total absorption area G � S SQ FT Distance between lines I � FT Number of lines Z_ Soil rating / 90 SQ FT Pipe ma anal 5TA& D3 A.3 4 Installer '5"Ab UJA Date Installed $ z � o 401 01 WELLS PRIVATE ❑ OTHER (Identifv) tuAU Classification (A,B,C) PRIVA-rC- Total Depth 1ej 0' FTJ Cased to / UU FT Installer 1i&u2 14A tz, Date Installed: REMARKS: 5aa A'rrAG4c13 5W�-- r' FoR- Scale: Inspections Date: ±Iv 0 Performed c(�s�ua,��ba�uesaYa�mmge® t b°rot 4(uSt;�re�s�® 111496°e®me o o s OeC1060; •t° •�8��• °O A° 0� n,-Mchae) E. Anderson f s� �'- 4381 - E °®°�°„°l'a. �'�t�:•� vi C S AN h T - N e.N 6lZYq® a „,,/^� f�j V r �A- C , ' D ASO certify that this inspection was performed according to all , Municipal and State guidelines In effect on this date: 8 Z',� v/ 407 �l Health Department Approval: 10 K Date: 72-013 (3/85) WELL: :ig must be submitted to Municipality o{ Anchorage Department o[ Hea1th I Human Services within 30 days of well completion. lNFQRM D.H.|f.�. PRIOR TO INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS, CALL 343-4681 AND LEAVE A MESSAGE. CONS7RUCT PER ENGINEERS ATTACHED DESIGN. THIS PERMIT EXPIRES 12/31/90 AND VALID 1:::,OR A SINGLE FAMILY HOME. I CERTIFY THAT: MUNICIPALITY OF AI'll CHORAG1:::. {amiliap with the requirements Department o{ Health & Human Services sewers and we1ls as set �orth by the Municipality 825 L Street, Anchorage, Alaska 99501 343-47�O 2. ON-SITE SEWER & WELL PERMIT and in compliance with the design criteria o[ this permit. 3. Permit Number: 900258 `��[��"���� requirements for the set back Date Issued: 08/�7/90 Engineer Designed disposal system or public Gwner Name: THOMAS L. S7EWAR� Day Phonex Owner Address: 8420 WILLIWA CIRCLE 333-8684 also understand that the ANCHORAGE, AK 99504 system is 3 bedrooms and any enl gI e n,t vj -.I. J. rI a dditi l rmit. Signed: Parce1 ld: 015~501-37 DATE: � Lot Legal: Subdivision: BIRCH NURTHESTATES Issued By: r=-------�7--�r----�------------------ Section: 15 Townshipx 121\1 Range: 3W y� rl DATE: ��~~�� ..... ------..... .... ....---- LoL Size 48862 (sq.ft. or acres) Max Bedrooms: This Permit: 3 Total Capacity: 3 SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic tank must have at least 2 compartments. Depth to top o[ septic tank(s) { 4.0 feet requires insulation over tank(s). WELL: :ig must be submitted to Municipality o{ Anchorage Department o[ Hea1th I Human Services within 30 days of well completion. lNFQRM D.H.|f.�. PRIOR TO INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS, CALL 343-4681 AND LEAVE A MESSAGE. CONS7RUCT PER ENGINEERS ATTACHED DESIGN. THIS PERMIT EXPIRES 12/31/90 AND VALID 1:::,OR A SINGLE FAMILY HOME. I CERTIFY THAT: {amiliap with the requirements [or on-site sewers and we1ls as set �orth by the Municipality of Anchorage (MOA) and the State o[ Alaska. 2. I will instalI the system in accordance �ith all MOA codes and regulations, and in compliance with the design criteria o[ this permit. 3. I will adhere to all MOA and State oaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum o[ 3 bedrooms. I also understand that the capacity o[ the tota1 system is 3 bedrooms and any enl gI e n,t vj -.I. J. rI a dditi l rmit. Signed: DATE: � (Owner} T Issued By: r=-------�7--�r----�------------------ — y� rl DATE: ��~~�� ..... ------..... .... ....---- lll 9IUr'-54'-1r'6: le,41 , lrer/lIM& �.�..a��w � •�v �Yr •!R • 1 ill-• � ��' a As - I . O b ' 0d sit I'd U',•! 0 ' 935 14 : 28 Ido . 0 C) , P 02 I rrAlit' u, F � '�, � � .�I a7. Q �/d 1'. r� � �iV r wY• �� r Q0 -o- ;J WA • _001 �y y w • r • `� `l em foe � AWAY NO MON01 W IM VATIN I hM14- s111I1i Uret I hive oerfetmH a Natept!'1 In. epe�rU,OA�43�1b150,1jR/wW�@ dCidrllrei pn4-n f , ' � ,,4r, I rrri�/�iw+dLwx,IKd�'Ji�Sr"i i'1+ �••..r......,'��.--I •'!.'" �-r,+—.. -..r. I !' 1 ' ,. ;' AilOhp�p ! Ilt#G1rdl!!d �>sMelnRt AI111w, Ywi II{11 ♦ IMI►rrr1. � mrYT� d�u.led Ikrrrnn ire �iii�la Ihp JI i yrrti nr4 end do �, �" ``.fr'A / +•� not rrRtlMM +Sr anere/pM OlJ iha prPJ+41!ihR Olsen 1htFt. 0; y ! dJ4nr>as��. �' te. �hel h5 itntIMvnrernll 9n pfYpC n yer !if 1heTti �rih�' 1 ,J " In + 'J'�^ J; Ill O>s t 1 tlMtY }A YMeti JJ ,, ;� �`� lr �, ly �+ fm eYr, r+t►{IIh11Nk.tt IIItiN nihA! MIpI R 1AAtmfny i nn1aL 1�rr�rriy e�e�p{ rA In¢1a111� l+uoor. '�� •,r�ll'' 11w►w r A+ithetR}tR,A1�HyYr' IAARt611'Nf0 OP p�CICAD, 4T11CA tNAN �'w�w���.r.Jrl •,• • TT}CIOi IHOWN dN TMe HEcunaso FLAT rN! NOT IMOWN IfKMFON, r.q WALA IjNA J4 ANF,ru:{wr - Butwo alrw...w....r.•,rl /�-AJA ■YJ►IMttY�r C OT R 0 J A Z /04 'Ql- A jc:,,jvC- C-x��rra� 5 y src-�t C r+opo s .. -r F�GvtL ' I �i 1.7--" Aim s nr' R•ESfrJ, J C 14 St-0Piz S to, ti, Z-3 z. r,00o GAu.o J SC"c L.vr Rupos- (AEIL. Lor L o -r 3 3, o � oTEs CA,-AaauT vNMss spcc Flcb. CoNS-rnvCr, . w►oEN brui)NFICsrtrn/\ GSee ArrAU4CO -bGTAI 5, SOIL. f2A.," ri 190 J= -Z/g D>r A . . a WE c.2, OA- 5 L -T i7C,;, ©� LpT• .3. sees *ease s 3...•••rs •.•..• .. •. ..... �Michaol E. Anderson i e. 4381- E S6 -p wc. ITC ? S G4 t�C � IL ,� 5•p /Ao U N fl '+ D .b + l j Aw A� I=RpM � i2A ! rti F ►tom �' G2vvaD y n4zFori.ATvo T--45VLAT►oIJ • a ► 0 5' ��D �4iNFrE�b CACC.vLl}rlorJ 190::2/MpA. X 3 BDRM. x .7v�Rr-� . FkU-on� $� err -r-or A t_ S t,�ir Dom% Lett GTH pr 'pt2.fl�►.t OF Ak mm�g•oil asm.mer i�ea.e®s� m t+, k19cHael . E. Ander * ' .E :' IZA Flattop Technical Services .,'o'+►'+►r►vr� 14530 Echo Street Anchorage, Alaska 99516 i �Q,••• ; r d .. Cry `�" I! - • •'f' �` +..r Municipality of Anchorage * ;• 49 H � DEPARTMENT OF HEALTH & HUMAN SERVICES �••�• ••••�••'•�,; """0 825 "L" Street, Anchorage, Alaska 99502-0650 • .........•�•0 SOILS LOG — PERCOLATION TEST • THEODORE F. A100RE s i -3509 AF CE PERFORMED FOR:Aq E L E N PARKER ~ PRIORITY ONE " E• DATE PERFORMED:` �+ 2S 9c LEGAL DESCRIPTION:_ L 2 pIRC A NORTH EST, Township, Range, Section: 7 12 N-) R 3 W SEC Io' + i DEPTH P -t^ SLOPE . SITE PLAN 1 r 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 sM SANDY LOAM (REDDISN� Depth to Water Net Drop C N PRESOAK 4 2 ML '.■■■"■■■ 27 8 4:22 SM SILTY FINE SAND +H20 + N o 4, 2q Q- 26 .9- LOOSE START START '■■.■.N■O�■ 23 ' /6 SM SILTY FINE SAND iS lip INMENEEN■■ 110MMORNMEN INEWIMERFarall IN 13E N■."®',■ CE M E N-rED 23 318. -A2 SW GRAVr:LLIASGROUND �DSAND Ry)ENCOUNTERED? RUNDWATER +N o S:'23 11 NO IF YES, AT WHAT ML SANDY DEPTH? GRAVELLY SILT Depth to Water After WARD DIGGING Monitoring? DRY Date: S B.N. 12„ S L O P E MMENNOMMEN Gross Time Net Time I N� Depth to Water Net Drop C N PRESOAK 4 2 4:02 '.■■■"■■■ 27 8 4:22 ■ '.N.■"M■ME■ +H20 + N o 4, 2q Q- 26 .9- START START '■■.■.N■O�■ 23 ' /6 41 S -:D7 iS lip INMENEEN■■ 110MMORNMEN INEWIMERFarall IN MMIUMMENN1■ N■."®',■ S: o`7 : 3o 23 318. -A2 Reading Date Gross Time Net Time I N� Depth to Water Net Drop C N PRESOAK 4 2 4:02 27 8 4:22 2y 73q— y +H20 + N o 4, 2q Q- 26 .9- START START 4: 52 23 ' /6 41 S -:D7 iS 22 5 ib `/ + R'0 S: o`7 : 3o 23 318. -A2 5:22:30 IS 22 tYR +N o S:'23 23 3/8 9-.38 !Sr 22 i 1 + 43L 0 3. 3 8: 3b 23 9//,6 LTJ PERCOLATION RATE - 1 S r V P �R ,+ t s//b (minutes/inch) PERC HOLE DIAMETER T. H • #2 TEST RUN BETWEEN /Z FT AND S FT COMMENTS M -T. INSTALL ED NO WATER 013SERVED AT I(M E T N DU G PERFORMED BY: _ FLATTOP :[Eco . Svcs I Ea CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: —S:1.3 19a 72-008 (Rev. 4/85) r V TO SOILS LOG MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST ���� h, Net Drop Gross # _ ;Net Depth to Time 5 Tlme Ch!r)�, ,.:Water . V s' pz 2 12 . zz f . Ira' Z 3': ■�!�■ ■�.ni■n■■■ '� SYS �aSly b Z 3 �G ���� (minutes/inchj4,{ : �•, ra, s A "to�rE 7 ff,AND FT _ wn nlRO INDIWATER /YO . L No 1■■■■m■u■■■ 49 _1171q0 ■■111■ 1■■■■11■■■■N ■■1'■ 11■■■mu■■■M 11111F 1R■■■■►a■■■m . ®®111. 1�.. ■®■�®■■®� EmilEERIE 1 1 i 0 h, Net Drop Gross # _ ;Net Depth to Time 5 Tlme Ch!r)�, ,.:Water . V s' pz 2 12 . zz f . Ira' Z 3': '� SYS �aSly b Z 3 �G ���� (minutes/inchj4,{ : �•, ra, s A "to�rE 7 ff,AND FT _ wn nlRO INDIWATER /YO . L i 0 h, Net Drop Gross # _ ;Net Depth to Time 5 Tlme Ch!r)�, ,.:Water . V s' pz 2 12 . zz f . Ira' Z 3': '� SYS �aSly b Z 3 �G (minutes/inchj4,{ u _ Tyr f F A "to�rE 7 ff,AND FT " 49 _1171q0 104,n—, Ajc,,jvc anu yfirl% 5�'nG S yst� r ,Vol Gor 1`- �Aos� tr�tu } }s d, rL,o®D >^rzi Ate` r 104,n—, Ajc,,jvc anu yfirl% 5�'nG S yst� r ,Vol 3. 1 Gor 1`- �Aos� tr�tu } £ Y OF Z a�ov 410 PIP, t .. .® .�. �. l �� Nyicfiaei � Andorran . ��w, "��. "14n1Qt�T � , tl►�t�EtS� � 3. 1 o z J I 0 q "t" AVEMUE OURVE AREA: -riie 6000 v' RESERVE 14 R6 A IS BASe C ON A AESi 6 N 901L RAIIN6 of 190 Al�13ORM WHICH REQUIRES 2000 QSIMA O F RFSERVE AREA���a�►�w��R 0 X 3 x%000 a"AF •.••.....,•� •� �� • CO i r* : 49T" SLOPE ANALYSIS: s...:.................:::�:.� 'fNE TERRAIN 14 0 ..........................�. Torr R&SeRve THEODORE F. MOORE �s�l CE - 3589 --'IV �� f AREA SLOPES To ,'•►••••••'��p � 4V41Agfess0�'«� 714.-N.W. AT 2"370 A 0 ,w U OC 0 z in W a O _a LU !L z L2, BIRCH NOR"T H ESTATES WELL 4- SEPTIC SYSTEM S ITE PLA N DAI E : S %qo SCALE: I"=50 DWN BY t CA NOTE' 't4 iS IS NOT A SURVE`IED PLAT, ALL LOCATIO1N5 ARE A PPROXI MATE 0 Flattop Tec1jnica'I dery ces 14530 Echo Street Anchorage, Alaska 9951" Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG •— PERCOLATION TEST T. H. # I Ar a AW •t•••••••••••••••••0. •••:•••a THEODORE F. MOORE;• S �.% CE - 3589 � ���o PERFORMED FOR: N E L E N PA R k E R " PR log I TY ONE IRS. DATE PERFORM�D:t� �• ZS/ 9( LEGAL DESCRIPTION:_ L 2 BIRC I'•I NORTH kST, Township, Range, Section: 7 12 Ni) R3 W, 5EC 15 nl coral SLOPE ' SITE PLAN 2 4, PT ML TAN SILTY LOAM SW CLEAN COARSE BRowN SAND 420 SEEPS ML SILTY SAND (DAMP) GM SILTY 6RAVEL- SM /ML SILTY SAND (DRY) VERY FINE GRAINED BROWN SM /ML SIMILIAR To ABOVE, VERY DENSE CONES WE GM SANDY SILTY 6, H 91 WAS GROUND WATER ENCOUNTERED? ES IF YES, AT WHAT DEPTH? 4/2�l 5 42-S LL!l Depth to Water Alter„ Monitoring? 11 6.4L. Date: 6/2. PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS -MON ITOR TUB& INSTALLED COULD NOT CoNDucT 1'ER TEST DVE TO E CE of SNdwn�tELT PERCOLATING 7HRuyGH VP LAYERS PERFORMED BY: _FLATTOP' TECH. SVCS I _ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72.008 (Rev. 4/85) Flattop Technical Services ,..r'rr►�►a�,� 14530 Echo Street i �(E.,, F,�->�►` Anchorage, Alaska 99516 ` �`':e Municipality of Anchorage * Li 91N �.r DEPARTMENT OF HEALTH & HUMAN SERVICES ������•�•••��•�•�•"""•'� 825 "L" Street, Anchorage, Alaska 99502-0650 •••. �........ ..............p SOILS LOG — PERCOLATION TEST THEODORE F. MOORS • s • Ci: - 3539 •' mat �► T' N' PERFORMED FOR: N E L E N PARKER PR I OR I TY ONE ". 9• DATE PER FORMBD:,� LEGAL DESCRIPTION:__L, 2 BIRCH NORTH EST, Township, Range, Section 7 12 N, R 3W , SEC I5 5 DEPTH PT SLOPE SITE PLAN .1(FFrT1sM SANDY LOAM (REDDISN� 2 ML 3 4 F E 8 9 10 11 12 13 14 15 16 17 18 19 20 SM SILTY FINE SAND LOOSE SM SILT11 FINE SAND CE ME N'rED SW GRAV,ELL`1 5AND CDRY) WAS GROUND WATER ENCOUNTERED? NO IF YES, AT WHAT ML SR N DY DEPTH? GRAVELLY 61,L -r DepthWARD I GG 1 N G Monitoring? to Water Alter D Monitoring? oRY Dale: S Reading Date Gross Time Net Time IH� Depth to Water Net Drop FSOAK4:02 2 7 8 4:22 24 y +420 4,24 2(0 START 4: 52 23 6 *I S.07 IS 22 11/ +9,0 S: o7 : 3o 23 3/g• It 2 S:22 :30 IS 22 t +No 5:23 23315 ill, 35; 38 ISr 22 1/1 1+420 3; 38:3b 23 946 it -t '>:.—.7.'av IS '22 3/g PERCOLATION RATE 15 (minutes/inch) PERC HOLE DIAMETER _Z_ T• N • #-2 TEST RUN BETWEEN yi FT AND -IS- FT COMMENTS —M,T• INSTALLS D NO WATER Ot35EaV AT TIM E -r N Dv G PERFORMED BY: - FL-ATTOP -Taco- S VCCj I �"r—.,Q CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) CIVIL & ENVIRONMENTAI. ENCINEEIZING • ENERGY CONS ERVAIION & ANALYSIS THEODORE F. MOORE, P.E. 11+lav 3, 1990 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 Helen Parker Priority One Investments 401 E. 45th Ave. Anchorage, AK 99503 Dear Ms. Parker: Per your request I have conducted soils tests to determine the suitability of the soils on Lot 2 of Birch North Estates for construction of an on-site wastewater disposal system. The soils test logs and a site plan showing a recommended layout are enclosed. The soils in the vicinity of test hole # 1 are not suitable for installation of an on-site wastewater disposal system due to the presence of a shallow seasonal water table, which stabilized at 12" below ground level a week after the test hole was excavated. The soils in the vicinity of test hole #2, located 119 feet to the northwest, are significantly better. No water table was encountered, and there is a silty sand stratum between 2.5 and 6.5 feet in depth which has a percolation rate of 15 minutes/inch' and requires an unadjusted soil absorption surface area of 190 square feet per bedroom. A soil absorption bed could be constructed in this area, with. the base of the bed at 3.5 feet below ground level. Because of this shallow depth, some special planning may be required in the house design to avoid the necessity of a lift station. Please call me if you have any questions on this report, or if you wish me to prepare a design and specifications in order to apply for a construction permit. Sincerely, Ted Moore, P.E. JOB to Z, 3 ► R c M ^100 `'N �S ►�4TE S SHEET NO. ( OF - CALCULATED BY `" ' DATE /L L V CHECKED BY ' DATE SCALE �0'•yC' PRODUCT 205.1�WInc., Grolon, Mus, 01471. To OrOer PHONE TOLL FREE I -M225-8380 ... Lo c.a -no �! _: . ,. ... .. L t 4.At�JC ... .... .... ... all.. �f .... f....... ..11 ........ ... i ��O� ............... ......... ............................... ....... ....:.. .....,. ..... DR aiN P ... o ° �" ... ......1y. ......... G /1 A. JEI.....d.. o... Q......0 ......: ........ QI ' a 10 ........ ..:..... . 4 . ................... ....... ... ..'... :.... N.. ... .._...... .. ... .. .. �. _ � RA�N.�.......... .. a otb..a...................T�go. ... ........ :: �°...... SS,, .:......:. .... :.........:.. .................... .................. ... ... ....... .... ...... .. ..._ .................... .. ... .. :. .. .. . ..i ... .. :. .:.. ..... .. .... .. ....... :;..._..... 1....... .. ....... ....._ ..... .. .. .. .... .. .... Tin -.n -.T.+..++.+. w -e e.;.:ww ..._ ....... .............. ..... ..... .................e .. ..... .. __. .... .......... .....: .... .. ._. .. .. ... PRODUCT 205.1�WInc., Grolon, Mus, 01471. To OrOer PHONE TOLL FREE I -M225-8380 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 " L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST .. r' �01 P !imU;. d. a•un .caromG J.2c^ 00 OaY OID 0 �� Sr �.Un Day JlpDeb oemau�§®qo ovae nu U� y'yn ,als';icha<ai t. l�nciersoh Aa 4.381 - E eT' f(„ � ora s>rOry �•§.'��'�50 dot?p AJID ni!:I ,r� �lj0 C0 �r" rr PERFORMED FOR: PR1DM'P% (/d&' /�.tyAt_ STATIC DATE PERFORMED: 4I LEGAL DESCRIPTION:_. to"r ZI 8)&Cae I�JOK pl Township, Range, Section: TI ZA 2 3 W S IJP TgETM T, j— SLOPE SITE PLAN 2 IA 3 . 5 6 ,1 7 8 9 , • 'a 10 O ' . G itLA J GLLl ° :5 AND 11 Q S (/J 12 13 14 15 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? tin ■■■■..■.■■ Depth to Water PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER �/J TEST RUN BETWEEN FT AND FT COMMENTS 1 �ATG714A - WvCout,)-r lla bunA"G ESC cAVAmD ( IAS SAry1� PERFORMED BY: ' ' ` " A -'j bms0") I /4/C0At't C AIEW0� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: AJG UST' Z�� /'7 90 72-008 (Rev. 4/85) December 13, 1990 Municipality of Anchorage Department of Health & Human Services Environmental Services Division 825 "L" Street Anchorage, AK 99501 Attention: Dan Bowles Subject: Lot 2, Birch North Estates Septic System As -Built Dear Dan: Attached is the as -built of the septic system located on Lot 2, Birch North Estates Subdivision. This system was installed on August 24th and 25th of this year. During excavation for the field slightly different soil conditions were found. The cemented silty sand Tense was not present so the field was placed between 4' and 7-1/2' below grade, eliminating the requirement for insulation. A new soils log reflecting this condition is also attached. Photographs were taken of the installation, but were somehow misplaced by the photo developing agency. I hope this will not cause any problems. Please advise if additional information is required. Sincerely, C C Michael E. Anderson, P.E. JOE GIE"ROWSKI DRILLING CO. MILE 501/2 PARKS HWY LIFETIME ALASKAN SERVING ALASKA 8927950 P.O. BOX 772847, EAGLE RIVER, ALASKA 99577 OWNER OF LAND ...........................'... "..............................................:. DEPTH OF WELL .............................4....... .............................. ADDRESS 1 ' � 1 ` ' STATIC LEVEL OF WATER FT . a WELL — SITE ............`......... ..::.:.r ..... ti ,...:.. :....:.... ` ................... DRAW DOWN FT. ....... ........................................................................ DATE— STARTED ................ ....................................................................... GALS. PER HR........... :�'.. � � ...r..? �.... �,.a..�::...... ........................ DATE —ENDED .........1........:......................................... ............ KIND OF CASING '. i ':' :. ... ... I d .................... ........... ........... ................. KIND OF FORMATION: FROM ...................... FT. TO .....:.............. FT....��A ' .......!-.... j FROM ....................... FT. TO ....................... FT.................................. FROM.................... FT. TO .......:' ........... FT. l .................... FROM ....................... FT. TO ........................ FT................................. FROM ..................... FT. TO ....... ..: �............. FT....:... ..........:........ FROM ....................... FT. TO ........................ FT................ ......... FROM. ................ FT. TO ................ FT......:...................... FROM ....................... FT. TO ........................ FT................................. FROM ............. . :.... FT. TO . .....?.......... FT. r .x. I :: v ....... W 4 t e FROM ....................... FT. TO ........................ FT................................. FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT......................... ...... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT c .................................. FROM...................... FT. TO ..................... FT.................................... FROM...................... FT. TO ...................... FT.................................... -FROM ...................... FT. TO ...................... FT-- ......................... FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. x FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ....................... FTS...�.............................. MUMCIPALlIY OF ANCFIQ FROM ..................... FT. T06P.T:•OF•HEAL-TH T _• .......................... MISCL. INFORMATION: RECEIVED DRILLER'S NAME.................................................................................................................. Parcel I.D. 015-501-37 .Y0`': ate Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: 09- 13 —` Complete legal description BIRCH NORTH ESTATES; LOT 2 Location (site address) 10480 Birch Road Current Property owner(s) Richard Cooper Day phone 230-4615 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: ❑ Individual Well ❑ Individual Water Storage ❑ Community Class _ Well ❑ Public Water System ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ WaiverNariance request for: N/A Distance: N/A Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1� - / Date of Payment Receipt Number C5�101� COSA# Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Garness Engineering Group, Ltd. (GEG) Phone (907) 337-6179 Address 3701 E. Tudor Road, Suite 101, Anchorage AK, 99507-1259 Engineer's Printed Name Jeffrey A. Garness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the persoNparty who retained GEG. Reliance upon the information provided in this report by any other person orparty, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SIGNATURE 2 System #1 Approved for Abedrooms System #2 Approved for bedrooms P ��Y OFA"Cl' Disapproved JAG ON-SITE 09.. G>. Conditional approval for bedrooms, with the followingski ulaftWER AND By: Vv� � � �t/ Original Certificate Date: -s 13 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet &1-12.doc If more than 1 septic system is on the lot: COSA Checklist # of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: BIRCH NORTH ESTATES, LOT 2 ParcellD: 015-501-37 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 9/4/90 Sanitary seal (Y/N) YES Total depth 140 ft, Cased to 140 ft, FROM WELL LOG Date of test 9/4/90 Static water level 80 ft, Well production 8 9— p.m- WATER SAMPLE RESULTS: Coliform ow colonies/100 ml. Arsenic: ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate mg./L. Date of sample: 4/21 /16 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 4/21/16 83.1 ft, 3.6+ 9.p -m. Collected by: GEG. Ltd. Tank Type/Material STEEL Date installed 9/27/11 Tank size 1500 gal, Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) YES Date of pumping t '1& I Pumper_ Ind- puy',. 4 C. ABSORPTION FIELD DATA *BELOW EXISTING GRAD Date installed 9/27/11 Soil rating ft2/bdrm) 0_6 System type DEEP TRENCH Length 95 ft. Width 3 ft. Gravel below pipe 5.5 ft. Total depth *9.6 ft. Eff, absorption area 1045 ft2 Monitoring tuba YES Depression over field NO Date of adequacy test 4/21/16 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 34 in. Water added 664 gal. New depth 46 in. Elapsed Time: 125 min. Final fluid depth 39 in. Absorption rate >= 600+ g.p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — *PER 2011 MOA ELECTRICAL INSPE D. LIFT STATION Date installed 9/27/2011 Size in gallons 0500 Manhole/Access (Y/N) YES "Pump on" level at in. "Pump ofP level at in. High water alarm level at 33 in. Datum BOTTOM OF TANK Cycles tested 3+ Meets alar & circuit requirements? *YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lilt station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main Public sewer manhole%Ieanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property.line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION (Rev: 11m) I certify that 1 have determined through field inspections and p review of Municipal records that the above systems are in . • . . . . . . . • •' • •' •' • • •' •' • conformance with MOA COSH 90delfnes in effect on this date........... Q ,Je A. Gar ess: Engineer's Printed Name JEFFREY A. GARNESS �� @ O�d�n"aA117^��odo� E—f79 3 Date Sjr7'J!b (Rev: 11m) M �G ,04 amen i i i2A CG.d UNDER NO CIRCUMSTANCES SHOULD AN -AS - THE SURVEYOR TAKES' RESPONSIBILITY FOR THE'IWAAL LISTED DISTANCES PREVAIL 0' LOT SURVEY SURVEY TYPE FOUNDAVON AS^-BDILT FINAL BTRUCTURE AS -BUILT ❑ PLOT PLAN ... AS -BUILT ... LUT SURVEY ... TWOGRAPRY- 5-RUIL a CORN RECRnrICAttoN AS-SiALT. PLOT PLANS & LOT SURVEYS IT IS THE RESPONSIBILITY OF THE BUILDER OR OWt SURVEY OERTIFICATIONVl 104th AVENUE nj PLOT PL,AN.. _ _ .i't�' \y.n..,.e.,. ib..y erebMrttAvtr cAlwrr v�ro.a tr� M. wrt ann anea.wbd Aanay aw Mm I b... rna a� riabb.A.e m or Ma tot aemas y m riven a 1M IAv. and b ftir but ur mY b.v bra g Mau m'Na•dMnp.lm. p 49th FIXRVOATION AS—BUILT l Amst E raaa t. YwWY `MG4' Mut f Bau. MalROI A. MBUYt urn.Y i(VM y' T"f. F.. iwnaalPi m Mtr Sot aha e.et ,i 1M1. mnrw'ev ad NeemaUa. m .mw. �F ft • u.�.. f ROBERT E. JOHN m baa .aa m ncmdmnh bwt wu. `. mma eNr.�r ♦ ? ♦O �s •"•. 4121-5 FINAL $TRUCTURE AS -BUILT '<a '• t Rahn E Jobaa..F„ M-nbr sBfY Mut 1 Aar M•^^•a. m w-9uit iumY of Ma . 'e `� '®.v ....... 3_- _ I I IED FOR CONSTRUCTION OR FOP, ESTABLISHING BOUNDARY OR FENCE UNES: ON ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR. THE COST OF THE SURVEY. I. REPRODUCTION MAY CAUSE ERRORS IN SCALE, SYMBOLS SET-REBAR• DRAINAGE'''•''---'`'''`' ASPHALT 0 FOUND RESAR. •B—G-9- WOW FENCE x`•+ri'' CONCRETE R SET 00 ASSUMED ELEV.*--*-* METAL FENCE WOOD DECK NOTE: - TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE TIVE SHOWN. ' FENCES, WELLS. SEPTIC-CLEANOUTS,: SIDEWALKS: DRIYEWAYS, BINE ETC.. ARE -SHOWN IN--THEIR--APPROXIMATE LOCATION. ONLY_ SNOW DNS MAY PREVENTSOME IMPROVEMENTS FROM -BEING SEEN AND LOCA -AT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOI P:regared by, Robert E. Jahns, Jr. & Assoc. Professional Land Surveyors t♦b 1700 Brink Drive. ANCHORAGE, ALASKA 99504 tSealc `1R 6Q� R= Lot IF. R= Plat F'de No. ... Data SUrveyeh 4121116 Drambx RE.I CheekedJMK OF Date Drawn: 4122116 Grld: 2537 W"D' 16'-134 f" AV Leou.0 DowiPtioO: LOT 2 BIRCH NORTH ESTATES' 104th AVENUE i i I m N NY I .1'. OR 35 . sas°a'e•xwr� ,rima - a a ' o nR WLL L I ���aeH.f3 � DO NtW'SC INT' I i 3_- _ I I IED FOR CONSTRUCTION OR FOP, ESTABLISHING BOUNDARY OR FENCE UNES: ON ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR. THE COST OF THE SURVEY. I. REPRODUCTION MAY CAUSE ERRORS IN SCALE, SYMBOLS SET-REBAR• DRAINAGE'''•''---'`'''`' ASPHALT 0 FOUND RESAR. •B—G-9- WOW FENCE x`•+ri'' CONCRETE R SET 00 ASSUMED ELEV.*--*-* METAL FENCE WOOD DECK NOTE: - TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE TIVE SHOWN. ' FENCES, WELLS. SEPTIC-CLEANOUTS,: SIDEWALKS: DRIYEWAYS, BINE ETC.. ARE -SHOWN IN--THEIR--APPROXIMATE LOCATION. ONLY_ SNOW DNS MAY PREVENTSOME IMPROVEMENTS FROM -BEING SEEN AND LOCA -AT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOI P:regared by, Robert E. Jahns, Jr. & Assoc. Professional Land Surveyors t♦b 1700 Brink Drive. ANCHORAGE, ALASKA 99504 tSealc `1R 6Q� R= Lot IF. R= Plat F'de No. ... Data SUrveyeh 4121116 Drambx RE.I CheekedJMK OF Date Drawn: 4122116 Grld: 2537 W"D' 16'-134 f" AV Leou.0 DowiPtioO: LOT 2 BIRCH NORTH ESTATES' Municipality of Anchorage & Susan Floyd • -� Development Services Department Building Safety Division On Water a6A -Site and Wastewater Program rr 4700 Bragaw Streettt!' s: a P.O. Box 196650 \ Anchorage, AK 99519-6650 www.muni.org/onsite Real Estate Agent (907)343-7904 Day phone CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-501-3U COSA# n5cirAlno Expiration Date: G - 1.6--1.2 1. GENERAL INFORMATION Complete legal description Birch North Estates Lot z Location (site address) io48o Birch Road Current Property owner(s) Craig & Susan Floyd Day phone Mailing address 1o48o Birch Road, Anchorage, AK 9g5o7 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: - Individual Well ® Individual On-site 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Boxsoozi7. Anchorage, AK 99510 Engineer's Printed Name _Steven R. Pannone. P.E. Date 3149!11 7_ Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features, The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the systei These conditions are outside the control of the evaluator of this system. All systems eventually fail : satisfactory test results do not guarantee future performance of the system, nor do they guarantee thai there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will confer any legal right whatsoever. 5. DSD SIGNATURE �G Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ,,�11(I " r By: G Original Certificate Date: 3 (Rev. 11105), Municipality of Anchorage • Development Services Department ° Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Birch North Estates. Lot z Parcel ID: o-1S-5oi-q7 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 9/4/19Q0 Sanitary seal (YIN) Y_ Total depth Iko ft. Cased to 14o ft. FROM WELL LOG Date of test 9141-1990 Static water level So ft. Well production a g.p.m. WATER SAMPLE RESULTS: Coliform V&- colonies/100 mL Nitrate �1�mg/L Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) -1S in. AT INSPECTION x/z9/zo-1z ft. 9.0 g.p.m. Arsenic: kD— ug/I Date of sample: Z /Z Collected by: CIE–.5. B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P. / Steel Date installed 9127/203.2 Tank size i5oo gal. Foundation cleanout (YIN) Y Number of Compartments z Depression over tank (Y/N) N Date of pumping New Pumper C. ABSORPTION FIELD DATA Cleanouts (YIN) Y High water alarm (YIN) Y Date installed 9/27/203.3. Soil rating (g.p.d./ft2 or fe/bdrm) o.6 System type Deep Trench Length 95.o ft. Width 2.5 ft. Gravel below pipe 5.5 ft. Total depth 8_o ft. Eff. absorption area x.045 ftz Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed a/27/2012 Size in gallons 250 Manhole/Access (YIN) Y "Pump on" level at r43 in. "Pump off' level at 4o in. High water alarm level at 45 in. Datum Bottom Tank Cycles tested AE14) Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 121.3 Absorption field on lot ioo.g Public sewer main 75+ Sewer /septic service line 2c+ Animal containment areas so+ On adjacent lots zoo+ On adjacent lots ioo+ Public sewer manhole/cleanout zoo+ Holding tank ioo+ Manure/animal excrete storage areas ioo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 8.& Property line io+ Absorption field c+ Water main io+ Water service line zc+ Surface water ioo+ Wells on adjacent lots ioo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line io+ Building foundation io+ Water main 75+ Water Service line io+ Surface water ioo+ Driveway, parking/vehicle storage io+ Curtain drain 50+ Wells on adjacent lots zoo+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and J. 49TH z`9 review of Municipal records that the above systems are in .; ;s. conformance with MOA COSA guidelines in effect on this date. ; R. Engineer's Printed Name _ Steven R. Pannone. P.E. P nnone;. �j�i NoSteven . CE 8149 Date 3�®2�i' ��i.�D` ...........:";�'� COSA Fee $ (05 -- Date of Payment 319 112 Receipt Number Q d 0 aci0(g (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number gym:. SGS Ref.# 1120624001 LOQ Units Client Name Pannone Eng. Srv. Printed Date/Time 03/08/2012 15:37 Project Name/# Birch North Est Lot 2 Collected Date/Time 02/29/2012 12:30 Client Sample ID Birch North Est Lot 2 Received Date/Time 02/29/2012 15:35 Matrix Drinking Water Technical Director Stephen C. Ede Sample Remarks: Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analvsis Date Date I it Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (QO) 03/05/12 03/07/12 NRB Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM20 4500NO3-F B (<10) 03/05/12 CMA Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 03/01/12 DLC Total Coliform Negative 1 100mL SM21 9223B A 03/01/12 DLC EvoTo� meaw nota PIt.V°f£➢ASA4kD G Comm — — 0kNG DISTRICTM 104th AVENUE I. fACidr BU,IMtO SEIBAL% SW 55'.40". T2 GB 9GEfJ.6DRIG 4TBAC% • AEN AXIMit< g CK .Z WELL ° R U i N � - ED ] 1 N69'5r; 39'E q 3 UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR. FOR ESTABLISHING. BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES .RESPONSIBILITY FOR THE 1NITIAL TRANSACTION ONLY:AND ASSUMES FINANCIAL UABILITY ONLY FOR THE COST OF THE SURVEY. LISTED .DISTANCES PREVAIL OVER :SCAUNG :REPRODUCTION .MAY CAUSE ERRORS IN SCALE. LOT SURVEY SURVEY TYPE 'SYMBOLS FCONDAnau-AS-BUILT SET REBAR D ASPHALT ❑ RNA_ STRUCTURE AS -BUILT - DRAINAGE I FOUND REBAR 'WOOD FENCE CONCRETE 7_1 PcDoPUN . ASnroU — — OT 17 —Rr— TOPDURR .F I — ^rook m DO Il ASSUMED EL )( )( X 'METAL FENCE WOOD DECK IT IS THE RESPONSIBILITY OF THE BUILDER OR :OWNER, PRIOR TO. CONSTRUCTION, TOVERIFYPROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS :AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, <COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE .RECORDED SUBDIVISION PLAT. m be qm ma'10 Ne EaeL N my ma mous av Wnmem M1ow D<n � �y wwe aw cd„ct. �, MON AS BUILT E Jana ✓.. hcWY urtlh qat 1 �� r.nof m la- u>t Ma 1 Mk b[ enC lxot m Me e N� r T, 49.1 MW6EC 6 35 A9' 569"639" id1 Hi m.1.712 Na O �p WELL ° R U i N � - ED ] 1 N69'5r; 39'E q 3 UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR. FOR ESTABLISHING. BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES .RESPONSIBILITY FOR THE 1NITIAL TRANSACTION ONLY:AND ASSUMES FINANCIAL UABILITY ONLY FOR THE COST OF THE SURVEY. LISTED .DISTANCES PREVAIL OVER :SCAUNG :REPRODUCTION .MAY CAUSE ERRORS IN SCALE. LOT SURVEY SURVEY TYPE 'SYMBOLS FCONDAnau-AS-BUILT SET REBAR D ASPHALT ❑ RNA_ STRUCTURE AS -BUILT - DRAINAGE I FOUND REBAR 'WOOD FENCE CONCRETE 7_1 PcDoPUN . ASnroU — — OT 17 —Rr— TOPDURR .F I — ^rook m DO Il ASSUMED EL )( )( X 'METAL FENCE WOOD DECK IT IS THE RESPONSIBILITY OF THE BUILDER OR :OWNER, PRIOR TO. CONSTRUCTION, TOVERIFYPROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS :AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, <COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE .RECORDED SUBDIVISION PLAT. m be qm ma'10 Ne EaeL N my ma mous av Wnmem M1ow D<n � �y wwe aw cd„ct. �, MON AS BUILT E Jana ✓.. hcWY urtlh qat 1 �� r.nof m la- u>t Ma 1 Mk b[ enC lxot m Me e FINAL STRUCTURE AS -BUILT i, Rm E. ° ' a, x - a'x7 n,a , r 'P� ... / r' now �<m.w°,m ....r <. m. mks ws ma n �n�miaN P ONLY THOSE IMPROVEMENTS ABOVE GROUND .AND VISIBLE WILL BE SHOW41. FENCES. WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS. ETC.., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. Prepared by Robert E. Johns, Jr. & Assoc. Professional Land Surveyors 1700 Brink Drive:. ANCHORAGE, ALASKA 49504 Cole:1" = 60' Rec. Lot S.F. Ree. Plat File No. ate Survoyod: 2/23/12 DroK, b), REJ Checked by JFK ote Drom 2/23/12 Grid: 2537 W.O� 12-40 :qal Descrintion: LOT 2 BIRCH NORTH ESTATES +I-4 MUNICIPALITY OF ANCHORAGE .� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section OPF"C E I V E D P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 N O V 12 19A 3 CERTIFICATE OF HEALTH AUTHORITY Municipality of Anchorage APPROVAL FOR A SINGLE FAMILY DWELLIf%1pt• Health & Human Services Parcel I.D. # C) ��� " �'� HAA # W QS In -1n � 1. GENERAL INFORMATION Complete legal description Lot 2 • B.inch North Ebtatu Location (site address or directions) 10480 B.inch Road Property owner Maunice and Kathtyn Boytoz Day phone 346-1869 Mailing address 10480 B.inch Anchorage AK 99516 Lending agency Day phone Mailing address Agent Jutie Hutes/CENTURY 21 PACIFIC NORTH Day phone 345-1444 Address 1120 Hu{Aman Road Anchorage. AK 99516 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: if community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) From MOA #21 U ___ 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address S & S ENGINEERING Eagle River, Engineer's signature 6. DHHS SIGNATURE X_ Approved for Disapproved. Conditional approval for Additional Comments bedrooms. Phone d �y�y97r Date ll l� 9j bedrooms, with the following stipulations: By: � �� Qa t.y-r - _ Date / / — / UITlr The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA 021 Municipality of Anchorage Department of Health and Human Services ry HEALTH AUTHORITY APPROVAL CHECKLIST E I V E V OSS- soo37 NOV 1219A Legal Description: Lor Z 15KC-14 N64TH EST1 W Parcel I.D. Municipality of Anchorage A. Well Data Dept. Health & Human Services Well type PAI VA17T If A, B, or C, attach ADEC letter. ADEC water system number kVA Log present N) ?�� Date completed IL41 q0 Drillerta LK.ICL/CO3 r Total depth �� Cased to L40y Casing height Zt Sanitary seal(Y N) l Wires properly protectedON) VG FROM WELL LOG AT INSPECTION o z Date of test ht %d / / % 3 ?-1Z v Z D Static water level 80 (��N �` !� 81 " a�cow° �� C`a4Rv r �f -86 �wH —9— a N c rn C 7,7 Well flow -3* g.p.m. < �, Pump levell N°T IZ(EACH T in C SEPARATION DISTANCES FROM WELL TO: R' Septic4r06ng tank on lot / r ; On adjacent lots /00 `-f Absorption field on lot io ; On adjacent lots /(?a (f Public sewer main 17S f Public sewer manhole/cleanout /COc) i Sewer service line ZS Petroleum tank No/Je K J0&. J WATER SAMPLE RESULTS: Coliform 6/ /oO A4 _ Nitrate rp Other bacteria .%DA., _ Date of sample: / �� % 3 Coll ted by: 's 71-S �IC�/it%Z/NG B. SEPTICAM11119MINIrrANK DATA Date installed &Zq= Z90 Tank size I6TD,d> 4(_ Compartments Z Cleanouts N) Foundation cleanout6) Depression (Y4 ✓ 16 High water alarm (YQ f o Alarm tested (Y/N) e /IJA Date of pumping !� / /_;/ l/.3 PumperT C�/t ( H LA44) Puml"m c SEPARATION DISTANCES FROM SEPTIC/I 19hBING TANK TO: Well(s) on lot 3 / On adjacent lots Do �f- Foundation 23 To property line 34 Absorption field Water main/service line /6 Surface water/drainage /010 72-026(3/93)• Front CONTINUED ON BACK PAGE C. LIFT STATION WV J6- Size in gallons Vent(Y/N) High water alarm level "Pump on" Meets MOA electrical codes (Y/N) SEPARATION DISTANCE Well D. ABSORPTION FIELD DATA FT STATION TO: On adjacent lots Manufacturer Manhole/Access (Y/N) "Pum evel at Surface water Date installedZ� 96 Soil rating (GPD/Ft2) �i�� System type ` JA 06 LyeA/6IJ Length �� ( Width 5 Gravel thickness 2.5 Total depth % Total absorption area Cleanout present<fyj�) r�-S Depression over field (Y(O -Ajo Date of adequacy test _%% v 3 Resultsass fail) ,per for 3 Bedrooms Water level in absorption field before test/( 19�� After test Peroxide treatment (past 12 months) (Y/N) /`�A� 10 11.1 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot —,o On adjacent lots A00 f Property line i 4 To building foundation ll To existing or abandoned system on lot Na On adjacent lots Z O �(- Cutbank ,UJ.uC AEJ649 Vater main/service line Z 4 -- Surface water �/�� r� Driveway, parking/vehicle storage area ��- Curtain drain KPOOtJ E. ENGINEER'S CERTIFICATION I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect{on the,aato of this inspection. 4 Signature >; Eng Date HAA Fee $ -� X s t�O Date of Payment //-/z- -'73 Receipt Number Z�J 7/ 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number 11/10/93 15:46 C.T&E ENV I RD41ENTAL LAE SERVICES No. 667 D0 COMMERCIAL' TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES '3114IA ILtltl REPORT of ANALYSIS Chemlab Ref .# :93.6006-1 5633 a STREET Client Sample ID :L2 BIRCH NORTH ESTATES S/D ANCHORAGF A K 9951P TCI: (907) 582-2343 Matrix :WATER FAX: (907) 58+•5301 Client Name :S & S ENGINEERING WORK Order :73012 Ordered By :R. SHAFM Report Completed :11/10/93 Project Name Collected •11/08/93 @ 08:00 hr. Project# : Received :11/08/93 @ 10:40 hr: PWSID :LTA Technical Director:6T iEN . EDE Released By / , Sample Remarks: ROUTINE SAMPLE COLLECTi?:A BY: S.S. QC Allowable )ext. Anal Parameter Results Qual Units Method Limits Date Date Ini, ------------------------------------------------------ ------------ ------------------------------- Nitrate -N 0.10 U mg/L EPA 353.2/300.0 1011/09 ---Di RECEIVED NOV 1 219i3 Municipality of Anchorage Dept. Health & Human Services Csx=x�s��FtCnC33DClA'==�s�C�stC CCC��sss.s�a�CCe1Sy-C����,aoCC;S.W4kr.^.��r�cxi�atmlC� csxag�¢w�C9.:=-`�s��a�iltlf�Rl9pf11�:R�ae See Special Instructions Above UA = Unavailable see Sample Remarks Above NA m Not Analyzed U = Undetected, Reported value is the practical quantification Limit. LT = Less Then D r Secondary dilution. GT = Greater Than QC.M. MelrCer of the SGS Group (SocielE Veinorale, de Srvedldnce) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINO1$. OHIO. MARYLAND WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA fi MUNICIPALITY OF ANCHORAGE - Department of Health & Human Services' �j "NrAc SERV�Cr' JURAGE DIVISION OF ENVIRONMENTAL SERVICES } S 01VISION 343-4744 �� rl t7 ls�I APPROVAL ON-SITE SEW RFAND WATER FAINSPECTIONOCIIL TY FOR SINGLE FHEALTHIAMILY DWEL IAECE1 VE nn �.J Parcel I.D. # ) - HAA # VAf-�1 k C)L) l 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lor 7 ioi J_ (-p / v c, %u 14 E5' -r4 -r -Cs - T I Z-6 2 :3 "' 515w Location (address or directions) (b) Property owner r fan^ S CW A Telephone: (home) 33e� _660HBusiness ©� Mailing Address (c) Lending Institution AJk►" SArj IL C r- ' ` IL Telephone 7,7b - j) S L Mailing Address (d) Real Estate Company and Agent t'RtO 121 d el'ej ? Address -4o` E • 45 r± n,,C:: t1/J U4 cILA &C 0 A 1z' Telephone G� 3 — 1-7 0 o (e) Mail the HAA to the following address: (or check here* if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-FamilyK Number of bedrooms 3 3. WATER SUPPLY Individual Well K Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site'4 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Ar. *De LSc11%3 E -'(,j(,)4 m-- Aj+L Telephone 3.37- 6 845 Address �0- &Q, X_ 240773 ArJCiH©2..46 C. 4y- 9 Date .�P' Fhi d.o eaaee.,aaq 'r eee°aaeosaaaa�aasosaeyrgeseryea • C3A -,d s°sengoaoueee eoe eeeo eeeee °• Michael E. Anderson �c— 4381 - E 00' -\, �4%"ROFEESO�"' Engineer's Seal 6. DHHS APPROVAL Approved for 2 bedrooms by Date Q Approved 4�2< Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) • Health Authority Approval (HAA) CHECKdMW - FEBRUARY 1984 L dVti<:rNIMENTAL SERVICES DIVIS4344744 Legal Description: L -0r Z . FiRCN tjoww cs-r4i cs Ari o 4 199i 7712w N 23 0515' A. WELL DATA RECEIVED Well Classification RLWAT'C If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) _ Date Completed T J1 %0 Yield 8 P M I LAN K #J vi .4 Total Depths Cased to � Depth of Grouting Static Water Level 1 D Pump Set At f3� Casing Height Above Ground Z Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 1310, ; On Adjoining Lots X00 `#` I I To Nearest Edge of Absorption Field on Lot �� 9 ; On Adjoining Lots /00 t To Nearest Public Sewer Line /41 IC5 To Nearest Public Sewer Cleanout/Manhole 141 Le S i To Nearest Sewer Service Line on Lot X00 Water Sample Collected by CNG -M LAe. ; Date /ZZ 8 go Water Sample Test Results A Gcc P TQ13 Lc -- Comments B. SEPTIC/HOLDING TANK DATA —� Date Installed Size 14 D GALNo. of Compartments —T;o Standpipes (Y/N) Air -tight Caps (Y/N) Foundation Cleanout (Y/N) Depression over Tank (Y/N) ,Y Date Last Pumped t1JEW ZNSTA"-)70 Pumping/Maintenance Contact on File (Y/N) ; for • r Holding Tank High -Water Alarm (Y/N) At _Temporary Holding Tank Permit (Y/N) N SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well /3`� To Building Foundation z3� To Property Line -3 f To Disposal Field To Water Main/Service Line 0 To Stream, Pond, Lake or Major Drainage Course n% Q Comments 72-026 (Rev. 7/88) Front Page 1 of.2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 19p If''Z Type of System Design (AJ i DC b A),J Date Installed S ® Length of Field 93, Width of Field -5 Depth of Field 2 +JZ i Gravel Bed Thickness 3 `I Square Feet of Absortion Area P77 Statndpipes Present (Y/N) Y, Depression over Field (Y/N)/►/y Date of Last Adequacy Test /JeW X� STALLIQ�70^) Results of Last Adequacy Test A C&Vpi'AB LF" SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well //9' To Property Line To Building Foundation 4 To Existing or Abandoned System on Lot /9 1A ; On Adjoining Lots 106 i r To Water Main/Service Line To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course A !A To Driveway, Parking Area, or Vehicle Storage Area �A Comments D. LIFT STATION !`J JA Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) *"Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent (Y/N) I certify that I have checked, verified, or conformed to all MOA and Signed J , Company A,, d rn so i Cn1G /tjcm Ir j Date 14j h/ MOA No. Receipt No. ` Date of Payment Amount: $ f Receipt No Pumping Cycles during Adequacy Test. HAA guide*•i4mlect on the date of this or rysc Gsgasoememmem°m,••m•••®mm°I .gineer's Seal s••sss°ss0•••••••.••mm•••m•s •• '.� ® ; Michael E. Anderson �9 , �•, 4381 - E 00, c�� x'19 0 FE S SI��ZT�� Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back � S a 0 461 Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET • ANCHORAGE, ALASKA 99518 • TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 30992 Date Report Printed: DEC 26 90 @ 16:24 Client Sample ID:L2 BIRCH NORTH ESTATES Client Name TOM STEWART CONST PWSID :UA Client Acct TOMSTEW Collected DEC 21 90 @ 13:00 his. P.O.# NONE RECEIVED Received DEC 21 90 @ 14:40 his. Req # Preserved with :AS REQUIRED Ordered By Analysis Completed :DEC 26 90 Send Reports to: Laboratory SupervisoWHENC. 1)TOM STEWART CONST Released By 2) ==_........ ........=.====.a== Special Instruct: Chemlab Ref #: 905346 Lab Smpl ID: 1 Matrix: WATER Parameter Tested Allowable Result Units Method Limits --------------------------------------------------------------------------------------------------------------- NITRATE-N ND(0.10) mg/l EPA 353.2 10 Sample ROUTINE SAMPLE. SAMPLE COLLECTED BY TOM STEWART. Remarks: POURED TOTAL COLIFORM SAMPLE FROM CONTAINER FOR NITRATE UNDER CLIENTS OBSERVATION. 1 Tests Performed See Special Instructions Above UA=Unavailable ND= None Detected "' See Sample Remarks Above NA= Not Analyzed LT -Less Than, GT -Greater Than o2onsticuatlon gest ,r..wag "Ons tsa is WM 1% s tho"W"d opinbns" 2204 Cleveland Anchorage, Alaska 99503 Performed For Design Enterprises Date Performed 1_- Lenal Descrintion: Lot 2 Block Subdivision Provo Egtn to — This Form Renorts Soils Lon Yes Percolat on Test—yps neoth Feet 2 4- 6- 8- 10 — 12 -- Characteristi Tan dry Silty Sand with occasional gravel 14 —. Bottom of test U111 e 16— No groundwater or bedrock 18 _ encountered 20— Was 0 -.— Was Crounl Water Encountered? No If Yes, At what Depth? • � �lrl,Ii W �Readinq Date Gross Time Net Time Death to H2 0 Net Dron ~— 1-7-78 Saturate 1-8-78 1:00 3 718" ' 1:10 EMISSION 3 112 " 1:20 an ,mr.11M 4 it h No MEMMMini " 1:40 45 " " 1:50 50 ,r • � �lrl,Ii W �Readinq Date Gross Time Net Time Death to H2 0 Net Dron ~— 1-7-78 Saturate 1-8-78 1:00 3 718" ' 1:10 10 3 112 " 1:20 20« it 1.30 " 1:40 45 " " 1:50 50 ,r rrrLuiaL.rUIf r%aLt: 1 iv ninuLe Prnrosed Installation: Seenaae Pit Drain Field Deoth of Inlet - Depth -To ot r Bo Of Pit Or Trench COmf'ENTS : 210 Sq. Ft _dzaindge area regui red per hgdrnnm from minus 2' to 13.5`. T Test Performed By // �-f/,rQ,G�L_ _ Data Certified 8y: CTL Date: 1-8-78