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HomeMy WebLinkAboutELLIS-GREEN RESUB LT 4 OF 103Ellis -Green Resub Lot 4 of 103 #075-093-05 Drilling Co. Driller Well Owner - 1VATER lv,..LL DRILLERS LOG Ai - 00 NOT FILL IN USGS No. Area Use of Well Location (address of: Township,- Range, & Section (if known); distance from road: Elli;-414-Qe-10 kezit) otell- /03 0,5 S ,1/12,4>zrn_a_eizize-to) we, Lorc.4.,_, nE'„5i• siLiLscd T/o e a E 5171, Size ,of Casing (Deptn of Hole i,/./D feet-. Cased to feet. • Static water level 45:7 feet (above) (below) land surface. Finish of well c_ • / (check one) Open end (VI": Screen ( ): Perforated ( ). Describe screen or perforations: Well pumping test at Zee, gallons per (hr) (min) for hours with feet of drawdown from static level. Remarks % 7 Date completed g- /8" 7.3 1VELL LOG •_!i':____._Depth in feet from' Give details of for J.iciEs/•-pelritrated, size of material, ground surface:_ color, and hardness,- to • to AV..: to to to to to to to to to r•-7/7,1,•// •••( < 0 `-• (TG w III. I.' - r -a _ _ • , D G -//w2/ DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 May 21, 1986 BILL SHEFFIELD, GOVERNOR 274-2533 USKH ATTN: Terry Waldele, PE 2515 "A" Street Anchorage, Alaska 99503 SUBJECT: Horizontal Separation Waiver Between Wells and Sewer Main, GIRDWOOD SEWER L.I.D. 60-3, LOT 13 of USS 3042 Girdwood, Alaska 8621 -WA -078 Dear Mr. Waldele: The department has reviewed the subject waiver request and hereby approves the attached waivers submitted in your April 30, 1986 letter. This approval supercedes the waivers formerly approved in our October 24, 1985 letter. Construction practice described in your April 30, 1986 letter are required. In addition, this office must be notified of construction timetable for observation. Sincerely, jel Steven W. Eng, PE r� District Engineer SWE:pkk ATTACHMENT Architecture • Engineering Land Surveying April 30, 1986 Mr. Steve Eng Alaska Department of Environmental Conservation 437 "E" Street, Suite 200 Anchorage, AK 99501 Re: Snow Valley L.I.D. 60-3 GA -2 Trunk (Phase I) 2515 "A" Street Anchorage, Alaska 99503 (907) 276 1765 Dear Mr. Eng: As Engineering Consultants to the Anchorage Water and Wastewater Utility on the projects referenced above, we are writing on its behalf to seek ADEC approval of several waivers of the State Wastewater Disposal Regulations, in trative 72.021.a). with ThisTitle anlupdatedthe versionaofdthei"request forCode, waivers" 72 submitted February 26, 1985. Variance requests numbered 1 through 8 are shown on the attached table. These variances encompass properties located in Ellis Green Subdivision, Ramstad Subdivision and Lot 13 of U.S. Survey 3043. Waivers were approved previously for Lots 13A, 1381 and 13F (ADEC letter dated 10-24-85). Our previous submittals have shown that these lots at present have a number of conflicts between their drinking water sources and associated holding tanks, septic systems and outhouses. Also, raw sewage has been observed in local drainage ditches, indicating a failure of private sewage treatment systems in the area. The requested variances for this project would clear the way for a new, safer sanitary sewer system that would improve the situation over what is now existing. However, the alignment of Snow Valley L.I.D. 60-3 and GA -2 trunk (Phase I) sanitary sewer passes close to drinking water sources (wells) at a number of locations. These locations were graphically illustrated on the project plans previously submitted and further described in the table attached. To address this rblem, the otherpspecial materials ntofreduce this sthe rpotential project ufor liron pipe and contamination. p The following measures will be taken to prevent well contamination: 1. Within the subject well radii "waiver" areas 1-7, all sewer pipe will he 8 -inch ductile iron pipe Class 50 with a wall thickness of 0.27 inch. Within the subject well radii "waiver" area 8, the sewer pipe will be 16 -inch ductile iron pipe, Class 50 with a wall thickness of 0.54 inch. Ductile iron pipe has a life expectancy greater than most other conduit materials because of its structural strength and its resistance to abuse, abrasive elements and corrosion. Also, this section of sewer is not planned to have any future service connections because the adjacent land is either public land or prohibited from developing bythe Turna�gain Arm Comprehensive Plan. James A.Hue111,A.LA. p e0 on &bei>en, h., P.., S. Earl D. Korynla, P.E. ra9vdDn A. ilnwJu, P.E, Edwin H. Mos, P.E Gary H. Pahl, A.LA. ntchard A. Mayes, P.E. Mr. Steve Eng April 30, 1986 Page Two 2. Sewer pipe within 75 feet of private wells and within 100 of Class "C" community wells will have "Field Lok Gasket System" joints by Tyton Pipe Co., or similar joints, with heat shrink sleeves, Raychem WPC/87 or TPS, or similar at the joints. In addition, this particular sewer system has much less potential for leakage or exfiltration than others, because it is a gravity system and will have a 0.0 psi working pressure, making it ideal for construction within well radii. On a gravity system there is more concern to infiltration than exfiltration. This is especially true of gravity systems which function only partially full because of their steep slope and resulting higher velocity of -Now, which is the case fwith lowingionlystemy 1/4�fulllst orof the less, thusem is reducingethe potly entialed dwill be for exfiltration even further. 3. The manholes in this system that are within the protective well radii are much less likely to leak than others because of their special construction. Within the manholes, the sewer line is mechanically sealed and gasketed to prevent leakage of any sewer into the manhole, thus preventing any leakage of sewage out of the special manholes. Also, the cleanouts that are within the protective well radii are much less likely to leak because they will be mechanically joined and gasketed to prevent leakage of any sewage. 4. A construction inspection program approved by the ADEC will be implemented to insure proper construction of the system. A copy of our contract with AWWU for construction administration is attached for your review. The contract scope of work describes the program proposed by AWWU for your approval. 5. The use of on-site sewage disposal systems on the lots in question will be discontinued and the existing building plumbing will be connected to the new sewer system as soon as possible. In summary, this project will improve the conditions in this area substantially if it is allowed to proceed. We believe the waivers requested herein are in the best interests of the public and should be granted. Thank you for your consideration of our request. Sincerely, Terry L. Waldele, P.E. Project Manager TLW:lz Enclosure - Subdivision 1. Ellis Green 2. Ellis Green 3. RAMSTAD TABULATION OF VARIANCE REQUESTS Proposed Sewer Improvements Requiring Waiver of Minimum Separation Distance Well Lot Type 103-2 Private 103-4 Private 12A Private Existing Violation Yes Undetermined (Sewage dis- posal system location is unkown) Yes 4. U.S.S. 3043 13A* Private Yes 5. U.S.S. 3043 13B1* Private Undetermined (Sewage dis- posal system location is unknown) 6.. U.S.S. 3043 13F Private Yes 7. U.S.S. 3043 13H* Public, Yes Class C 8. U.S.S. 3042 71 Public, Class C Proposed Approximate Sewer Distance Improvement From Well C.O. 14 Sewer line Between M.H. 10 & M.H. 14 C.O. 14 M.H. 3 Sewer line between STA 13+75 to STA 14+75 Sewer line between M.H. 4 & M.H. 18 M.H. 18 M.H. 4 Sewer line between M.H. 4 & M.H. 18 Sewer line between M.H. 18 & C.O. 17 C.O. 17 77' 65' 77' 63' 53' 78' 93' 47' 65' 10' Sewer line 11' between C.O. (Existing 17 & M.H. 18 well to be relocated approx 90' away from C.O. No Sewer line 43' between M.H. 21 & M.H. 22 M.H. 22 *Waiver previously approved by letter dated 10-24-85. 121' SUBDIVISION: /Z/f « gN SUG SEWER INSPECTION REPORT INDICATE NORTH STREET b ti i BLOCK: 1 LOT. O -P /O ys'SEWER SERVICE LINE SKETCH SHOW LOCATION OF CONTROL MANHOLES/CLEANOUTS a ALLEY F p SIZE MAIN: S TYPE MAIMS/✓✓�_Th -CONNECT DEPTH AT MAIN -CONNECT DEPTH AT Prop. Line (4.5 -p - CONNECT LOCATION: /OOFT n,t Dig .9017-$tJ °f r2ta tc-Z emt(e N. Gadget s740_egr��ia- 3V �SE. of c/o COM ME NTS: _G adili _er•te-et INSPECTED BY: sJpy..e/ittxaZ - DATE: _T_/ti fj-,9 b lde: i6tt3" N -�dwf OW L -se Z<toeZm w z 0Q �<3N FO Z0 Z -13SNSI _}131 OV08 ;NI VV ONIISOSVOOV aV08 1VO8dS 1H01n. uar nai 33; r E �� .;, p J�1 ° ir-= ��.-,�_.�, zm �� III 6 rr- di 1 Hva n.1 9n • 5 1 I 1 '111 o -- MUNICIPALITY OF AN( ANCHORAGE WATER & SFA SNOW VALLEY L.I.D GA -2 TRUNK (PHASI SCHEDULE A C016 TO M.H.10O C.O17' ll C1Gtt1MH (11101 9L3.Isy3S . �\ S•NL dI WaldiNriLLS III I -- —I y 1 / IN 1 / / //Aid; I ' Y ,I/ / / / / m a i; l I u d 1 / y \ shy �s s° \ A o i , / w°��\ 4 I 1 11 1 vI I e �" -12 \\ v u3 / I 12 1 a 1, 2 m I 1 I 71 I as^1L c�as �-�—L J IL I ,NoeT RATn� ' ;�\ J LOLIIF 1lCA� .p 1 1 I O 7 LOT ilT 1 l 111/7 A 011 'ij I I _.1 U>i _¢ RC9,.\\ I1,, (/%lol Fria IMI w I1?. 6}II1igi..R.. .:.. T II c - °Q •oulo q sa8I Ia 0 o� i a d 3 - �~ m I I I 1 , ^ Ill I000 05 (941.2-8, yS OI @C. sNoI H; I 11 JII III 111 ! III " 1I III \v / _ I� r �l I I l 1 o 1j\\ ❑ a 1 1 * 1 1 / —, - - 0 C rIV j I � I fif�Lp J 11 •• - r s ac — -� b L Wr ff- ON1ll �— II kl v 4111 1R \ \ v m 1 I1 g I II I- �' � II I, r I 1 1I Ir 1 X , 1 1 Irl I s c 1 b I o� I'_, ° 9 / i I I1 al . a \'I ` f \ - 4 s i s r°041144 ' 0 r I 11 1 [ ] To 1 : J V Pc - t9 17.7 >r as I - L - -1- / \ Z 0 / v s 9591 j, { I H O l \ s; F 3 o$ o I I { I I �4I 1 p P , Hf / I1 A l V / \ � z �' 11 R 1„ e � I o tl % 3 neuiro 1 I � �r - z „ IINI1Nz=_ ---\ ONt1SO_`JY_...—_. i n -- \ 0s.sy4 ao r1r I 1 1 11 _______.A., \V \\ 11 1"� i 1 1 / 1 Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON—SITE SYSTEMS APPROVAL Parcel I.D. 075-093-05 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent ELLIS—GREEN; LOT 4 OF 103 Expiration Date: / a.. — 30 - / LI 107 LINDY LANE *GIRDWOOD JOSH HEGNA 107 LINDY LANE *GIRDWOOD Day phone 830-2549 2. TYPE OF DWELLING: ▪ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System WaiverNariance request for n/O 0 1 Day phone ontil SEP si02014 TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer ❑ • Distance: — Received by: .7.42 COSA to be released to The engineer, unless otherwise requested by the engineer. Date: /04/7V COSAFee$ 52,��, -�3is0o=O"t(,(cb Date of Payment ! /30/,t Receipt Number b1537 COSA# t�x(y 1516 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, 1 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 (am) 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 Address GARNESS ENGINEERING GROUP, Ltd. 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described 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 sons condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever 6. DSD SIGNATURE By System #1 Approved for P System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms. Phone 337-6179 Date oop�00�� OF MsC OV, bedrooms, with the following stipulations: 4(10 P nest: Al CE -79, 71.Z�.�/ o\ opo P0000g` ttOFIAN •grrii a= �i ON-SITE zr- W::::ERAND -O WAEWATER !?..._...POGRAM ,` IjFSER\ Gi;,, )7111 The Meroc .al@' !" chorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the repre natation 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. ATTCHMENTS; COSA Checklist Septic System Advisory Well Flow Advisory r� 7:31O—Original Certificate Date: 9-30 - / tz (Rev. 11/05) Ly Nitrate Advisory Arsenic Advisory Other Certificate of On -Site Systems p sv5 Legal Description: ELLIS—GREEN; LOT 4 OF 103 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Approval Checklist Date completed 8/18/1973 Total depth 140 Sanitary seal (Y/N) YES ft. Cased to 140 ft. FROM WELL LOG Date of test 8/18/1973 Static water level 87 ft. Well production 10 9-10.m• WATER SAMPLE,RESULTS: Coliform „Or- Y/ colonies/100 ml. Nitrate ➢1/419 mg./L. Collected by GEG. Ltd. Arsenic: ug./L. B. SEPTIC/HOLDING TANK DATA Parcel ID: 075-093-05 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) AT INSPECTION 9/19/2014 77 ft. 3.92 g.p.m. Date of sample 9/19/7014 PUBLIC SEWER Tank Type/Material Tank size gal. Number of Compartments Date installed Cleano 12+ in Foundation cleanout (Y/N) _ Depressio /N) High water alarm (Y/N) Date of pu Pumper C. ABSORPTION FIELD DATA Date installed Length ft. Soil rating (g.p.d./ft2or ft2/bdrm) Width ft. Total depth ft. Eff. absorption area ft2 Monitoring tube Date of adequacy test Results (P. . -1) Fluid depth in absorption field before t- _ in. Water added _gal. Elapsed Time: Final fluid depth in. Absorption rate >_ A - venation treatment (past 12 mo.) (Y/N & type) If yes, give date System type Gravel below ft. Depression over field For bedrooms New depth in g.p.d. D. LIFT STATION Date installed Size in gallons "Pump on" level at in "Pump off' level Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: N/A N/A Septic tank/lift station on lot Absorption field on lot Public sewer main *65' Sewer /septic service line **25' Animal containment areas 50'+ Manhole/Access (Y/N High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots On adjacent lots N/A N/A Public sewer manhole/cleanout *77' Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Wells od Llots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water service line Surface water Water service line Curtain F. COMMENTS Wells on adjacent lots *PER DEC APPROVED Water main water parking/vehicle storage WAIVER LETTER 4/30/1986 **PER AWWU CONNECT CARD G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems am in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date f2/j3//44- (Rev. 11/05) Lot 3 Lot 2 / \ Lott 8404P /./Noy NF U 8>38 2g S6 ?oz.. s3bp,$C eA 0 .g0 °ei Aero N 9e N ret ��GOSTNO �RO�o .V\\\ -Ssc. ? .&l� " 1'te,, sr /I 49th * n�I h %%Fred Walatka: P. /'".� • 3255 - S • It: EASEMENTS OF RECORD, OTHER THAN \ \\VS.%` THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 14-9, pg 49-50 / SCALE: 1"= 30' AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 4 of LOT 103, ELLIS-GREEN RESUBDIVISION U S SURVEY 3042 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 23rd day of September 2014. FRED WALATKA & ASSOCIATES Engineers and Surveyors BE (907-248-1666) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P°O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 1,241.4 vet CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I D # C \ — n9.1- n4) . GENERAL INFORMATION Complete legal description Rebub ag Lot 4 oA 103 Et.tils Green Subdivision ,Location_(site address or directions) NHN Agah.ti.no Mine. Road G.indwood, AK r petty U1oute)civca Swed Day phone 783-2198 , ..♦;. ...` 130 Rahbunn Wau Mailing address Santa Cnuz. AK 95062 e L`endmDay phoneg agency Mailing: address �Agent¢'Judy Bauer/Remax oA A.2yesha Address P.O. Box 1029 G.iitdwood; AK 99587 Unless otherwise;xequested,.HAA will beheld for pickup NUMBER OF BEDROOMS:' Day phone 783-2010 rrtr aF TYPE OF WATER SUPPLY D m Individual well ; XXX rt1 c� p ,, ,,�, Community well \ +1�, ) Public water.R 1' ri,a , NOTE: If community well system, provide written confirmation frodn.. State AivE attest 0; ing to the legality and status of system. I; : 1 , `;. f TYPE OF WASTEWATER. DISPOSAL: rr ',.. �t., 't Individual on-site (l�,f�..,-4,�:�,, NOTE: Holding tan Community •on -site's Public sewer ' XXX If community wastewater system, provide written confirmation from State ADEC • attesting to the legality and status of system. ) 72-025 (Rev. 1/91) Front MOA Mgt 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my invest gation 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 S & S ENGINEERING Address 17034 Eagle Riwr Loop Road No. 204 Rae* RtvofAtask' 79577 Phone K c79 Date i 4P 8 CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates basedonly 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 inspection& 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. 1/01)-. Back MOA 021 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Lar Y or= /03 Legal Description: I£ «t S G -k ✓c 5/ A. WELL DATA Parcel I.D.: Well type PR Iv 4 T e{ If A, B, or C, attach ADEC letter. ADEC water system number Log present aN) Y' $ Date completed Total depth 1.10 Cased to H Sanitary seal &/N) Ye- 5 y l,i/ 73 FROM WELL LOG Date of test /r b' / 7 ) Static water level Well production / 0 g.p.m. WATER SAMPLE RESULTS: 47 Coliform 0 Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed Tank size Nitrate Casing height (above ground) -F- Wires properly protected (3(N) AT INSPECTION /'r/95- 7 7 - 77 5'- 6 g.p.m. 0 , / Other bacteria D Collected by: S4 S ENCINECRINO 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 Number of Compartments Cleanouts (Y/N) Foundation cleafout (Y/N) • Depression (Y/N) High water alarm (Y/N) Date of Pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p../ft2 a ft2/bd Length Width ' n { Gravel t ess below pipe Effective absorption area Date of adequacy test Fluid depth in absorpti. ' reld before test (in.); Fluid depth Minutes later: m C Z (is v r -n m3. -ID Z • r furl h) C? m�+ � D < `. 2 System type m 4T• 47 N o Total depth Q o g Z Mo . ng Tube present(Y/N) Depression over field (Y/N) Results (Pass/Fail) For bedrooms Immediately after gal. water added (in.): (in.) Absorption rate = g.p.d. Peroe treatment (past 12 months) (Y/N) If yes, give date D. LIFT STATION Date installed i A Size in ga Manhole/Access (Y/N) evel at* "Pump off' level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot / A ; On adjacent lots / A Absorption field on lot (A-; On adjacent lots N /'4 Public sewer main „ $ Public sewer manhole/cleanout 7 Sewer /septic service line 5- -f aF 1../A'v4.6 is C rrd/_ Lift station 1" /4 Or S/ 2t /fs6 (» P-7Ac(f e-0) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation Property line{{ Water main/service line Surface watgk/d4nage SEPARATION DISTANCE FROM SO t "/ • N FIELD ON LOT TO: Building foundation Water main/service line Absorption fi Wells on adjacent lots Surface water Driveway, parking/vehicle storage area n drain Wells on adjacent Tots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review ofMunicip. tg� that t , a. y ems are in conformance w. hA�OA,Ruidels in effect on this date. H7, Signature Engineer's Name Date /2 ti CA 4 C. Co w4 AJ q /Ie / a s— HAA Fee $ Date of Payment Receipt Number .3/‘, (310 j Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ ROBERT C. COWAN CE - 8801 Date of Payment Receipt Number 08/18/95 17:21 COMMERGIRL TESTING * 9076941211 CT&E Environmental Services Inc. Laboratory Division Laboratory Analysis Report CT&E Rei•il 95..3505-1 Matrix WATER Client Sample ID R.S. L4 OF 103 ELLIS GREENE 8/D Client Name Ordered By project Name project# PWSID S k S ENGINEERING R. COWAN uA NO.199 D02 WORK Order 17264 Printed Date 08/18/95 a 17:35 hrs. Collected Date 08/18/95 B 11:45 hre. Received Date 08/18/95 ® 12130 hre. Technical Director STEPHEN C. EDE Releae®d Sample Remarks: SAMPLE COLLECTED 8Y: JOHN. Parameter OC Allowable Ext. Anal Results Oual Unite Method Limits Date Date Init Nitrate -N 0.10 U mg/L EPA 353.2 10. 08/18/95 CMR See Special Instructions Above See Sample Remarks Above Undetected, Reported value ie the practical quantification 111n1t. Secondary dilution. 200 W. Potter Drive, Anchorage, AK 99518-1605 -- Tel: (907) 562.2343 Fox: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WFSr VIRGINIA UA - Unavailable NA - Not Analyzed L'1' - Less Than OT - Greater Than