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Home My WebLink AboutSCHOMMER LT 2chommer Lot 2 #051-154-65 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101016 Tax Code Number: 05115465000 Work Type: Septic Upgrade Permit Effective Dates: May 19, 2010 to May 19, 2011 Design Engineer: S & S ENGINEERING Subdivision: SCHOMMER Site Legal Address: SCHOMMER LT 2 G:1257 Owner/Address: SCHOMMER JOHN J PO BOX 672554 CHUGIAK AK 995672554 Site Mailing Address: 20030 SUNSET BLVD, Chugiak Lot Size in Sq Ft: 44235 Total Bedrooms: 3 This permit Is for the construction of: Y Disposal Field N 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. Special Provisions: 1. The Engineer needs to do an additional test hole prior to the construction of the septic field. Construction may proceed at your own risk before the 7 day water monitoring is complete. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. 2. Areas reserved for the original and replacement disposal sites may not have driveways, parking areas or structures over them. Please place a permanent vehical barrier for the reserve field location. Received Issued By: S 2v /v -5-y/a/io May.02.2010 02:07 PM Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 198850 Anchorage, Alaska 99507 www.muni.orglonsite (907) 343.7904 PAGE. 1/ 1 ZD OSP 10101(0 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING C rtc,INFL (0T- gtMPIVIVCb IuTe> Lcrr1aa _,eWcvninrx_ 4 , "b4- Fo)? Parcel I.D-45 f 0,5,1 - 1 s y - !.S LfT `�fforoiv ►�� L 444 �sSct2a pTrorU , Property Mailing address P.O. BOX 672554 Site address phone 271-5003 Code 99567 Code Legal description (Sub'd., Block & Lot) LOT 2; SCHOMMER SM Legal description (Township, Range & Section) Lor 150; SEC. e; TISN; R1 W Lot Size '-14,235 Sq. Ft. THIS APPLICATION IS FOR (0 all that apply): Absorption Field 1] Septic Tank 11 Holding Tank 1] Privy C1 Private Well 13 Water Storage 0— I cortify that the above infor Single Family Dwelling and (Signature of property PemWRush Fees: Date of Payment: Receipt Number. (Rev. IM) correct. I ft rdance with Number of Bedrooms 3 THIS APPLICATION IS AN: Initial Upgrade I] Renewal 1] certify that this application is being made for a :able Municipal Codes. Waiver Fees: _ 7/3 Date of Payment I SV 5b Recoipt Number. 1EMTMMRH00Ty A"AWA y SEWER A WATER MANN MCC "R&WATER NSPECMN ENC9KERN09TuDcs ANDREPORTS WELLNSPECTION EFLOWTEST SITEPEANS SOIL ?EST PERCOUTON TEST STWXtLRALB PEEDWO M, NSPCCTONg ONSITE WASTEWATER DSPOSALSTSTELI OESM ROBERT C. COWAN. CIVIL ENGINEERING PH: 907.694.2979 FAX: 907.694.1211 May 2, 2010 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 2; Schommer S/D It is requested that you issue a permit to add a new 1 bedroom deep trench to the existing 2 bedroom trench to serve the existing three bedroom house on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation (5/28/1997) water was not found. After seven days of monitoring ground water was not found. A proposed test hole will be done at time of construction for the trench extension and alternate site. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Enclosure 15861 S. Birchwood Loop Road - Chugiak, Alaska 99567 C= m' DESIGN PROFILE 0)00�� § \ e�n�_� I � rnC-) \ j � ¥ ; 0 7 Ln §# O C 2 TV Ln Ln L4 \ ®® / Sy�k @ . »2 \ ;ET i � ¥ ; 0 Ln E O TV Ln Ln L4 % . | ��± ~ $+2 ■ \__ P.O.W. 7&5 BLVD. | FF aR-o ! ; 0 Ln E O Ln Ln L4 \ ®® Sy�k @ . »2 ;ET ' y R � m . @ :2- ) m - .... o f C. / G I SITE—PLAN I DESIGN I xs 0 r , 0�9L 00. �f"'�0 w Oo 0 0 0 �2 .nGlGO 0 0 n I \ F�T \ F� \ l r - x > 0 a �+ W n7 x m CD cn \ \ \ ^ rr7 --o Z Toe � OF=SOP f N NQi Oo 90 N O O m � O r m m Z m m -v O 0 i < m "ZIP I N I 0 n N �0 = 35' DEDICATED R.O.W.z wp baoz s�� n DQj.� 7 • , T � o iNa C) SUNSET BLVD.=.' os' Ex Z C� --K. nz MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Sep 03, 2009 Expiration Date: Sep 03, 2010 Permit Number: SW090173 Parcel ID: 051-154-65 Legal Description: Schommer Lt2 Design Engineer: 0000 ZZ - NONE NEEDED Site Address: 20030 Sunset Blvd Owner Name: John Schommer Lot Size: 44235 SO. FT. Owner Address: PO Box 672554 Total Bedrooms: 3 Permit Bedrooms: 3 Chugiak , A 99567 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907)343-7904(24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. THE WELL ON LOT 1 MUST BE DECOMMISSIONED PER CODE, amc 15.55.040 PROHIBITED ACTIONS, "F. NO PERSON SHALL ALLOW A WATER SUPPLY WELL TO REMAIN OUT OF SERVICE FOR MORE THAN 90 DAYS WITHOUT PERMANENTLY DECOMMISSIONING THE WELL' Received By: Issued By: Ol�l/h1� Date: 3 Date: Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel l.D. C05HS�-Crf-Cby Properrt Mailing Site address Legal description (Sub'd., Block & Lot) Z phone / q:Qr(9 t ► 6 :ode —I r% Code Legal description (Township, Range & Section) -f150 - EA -0 t4�6-Moti Lot Size LK 1235 Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field ❑ Initial ❑ Septic Tank ❑ Upgrade ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Private Well Water Storage ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwellingapq Is in accordance with applicable Municipal Codes. or authorized agent) Permit/Rush Fees: 7-00 Waiver Fees: Date of Payment: 8Z Date of Payment: ZOReceipt Number. n D fj2ii2 Receipt Number. (Rev. 11/05) Ir; _a - . .--. ... .'T:. �T l :•Ltlt S:-S•:.or�L•: '.•L tf•O n•a^J. R.E.Y iii --- -- �C h..f.. Locof I u� T^., 1►DME E awm - TEST HOLE - MONITOR TUBS" SEWER CLSC�B!DI VI laN sl TE PLAI WELL. / •� a .1 'elm A*Amw N I \ � \ I .I 1 1 / v ,1 I r J .1 'elm A*Amw N I \ � \ I .I 1 1 / t Eff N — n� Wt LUW ,(/)K K JZo�Q C9 rz ft WWOva - �dOki 03 bj 0 $ W� r \ I I t Eff N — n� Wt LUW ,(/)K K JZo�Q C9 rz ft WWOva - �dOki 03 bj 0 $ W� '1 ~> r~ (_- 50 N O0°/7'O0"W ~80.4,,67.1 + (BLM REC) eo4a . SUNSET BOULEVARD 99 z Municipality of Anchorage Page __ ! of '2. DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: .~dff-/ol3, t PID Number: O.~1 - /5~ - of ~ame: ,,,.~.~,,~. ~C~.~ot,~ly~e~?.,, Wastewater System: ~New ~ Upgrade Address: _¢.o. ¢o~ ~7z5~ ~a~A[~, p,~ q~s~ ABSORPTION FIELD Phone: I No. of Bedrooms: '~ J - ~O~I ~ ~DeepTrench ~ Shallow Trench O Bed ~ Mound ~ Other Total Depth from original grade: LEGAL, DESCRIPTION soi, B..~: O. q¢ ~o/s~.~t. 8' Lot:J' ~O 8lock:~ Subdiv~ion:~ Depth to pipe bottom from ori¢in~l~ grade: Gravel depth beneath/pipe~ ~ Fill added above original grade: Gravel length: Township: j~ Range: J~ISecti°n: 8 J'--ZI ~6' Ft. Ft. WELL: ~New E3 Upgrade Gravelwidth: ~' 51Ft. Number of lines:j Distance~eenlines:. Ft. ased TO: Pipe rnateriah Classification (Private, A,B,C): Total Depth:..~, ~ Total absorption area: Driller: Date Drilled; StaticWater Levei: Installer; Date installed; ~¢~ PumpSetat: Ft. CasingHeight~boveGround: SEPARATION DISTANCES ~sopt~ u Holding ~ S.T.E.P. TO Septic Absorption Lift Holding Publfc/Private Manufacturer: Capacity in gallons: From Tank Field ' Station Tank Sewer Lines ~ ~O~A~[~ '~A~ J~ ~00 ~ Number of Compadments: Wel~ jO01+ lOOt+ ~ ~ ~l~ Matoriah ~ ~ Sudace Water tool+ ~oo'+ .... LIFT STATION LOt Size in gallons:~ Manufacturer: ~~ Line lot+ JO I~ ~ ~ ~ Foundation ~1~ lot+ -- -- ,__ 'Pump on" level at: ~~ I High water alarm at: >ump Make ~ctrical Inspections pedormed by: Remarks: ~ CA~ To ~¢o~o~ BENCH MARK Location and Description: Elevation: J 00. O Fi, ENGINEER'S SEAL Inspections pedormed by: _s & s fNSINEERIN6 Dat~' IsL ~" I - ~ 1 ..... ;,/~,,,f,¢V,.-*...~ .............. ~,~ 17034 EaCe River Loop Road~ Ne, ~ ' : ~ Depadment of Health. and H~man ~e~ices approval ~ %~',,,.,~ o,~.%..CE-880] ..' ".x.'?~ '~ ~" Reviewed and approved by: Date: ~-/~ -~ ,x,.~.~,,0rc%xo"~ ~' 72-013 (Rev. 9/91} MOA 25 PERMIT NO SW970131 PAGE 2 OF 2 Municip. alit; oF AnchoPaoe DEPARTMENT OF HEAF=TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES D~V~S~ON P,O. Box ~96650 eAnchoPaoe, Ataska 99519-6650 e Te[ephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL. ~NSPECTION REPORT LEGAL LOT 150, SE(;. 8, T15N, RIW P.LD. NO. 051--154--09 ST1 STi~ looo GAL I',,.,~, o, SEPTIC TANK / MT1 = MT~ 95.3' MT CO COl = 104.8' COM = 104.§" CO1 = 101.5' C02 = 101.5' NO WATER FOUND 89,3' B.O.H WELL NEW 1000 GAL. SEPTIC TANK ALT. .~__NEW TRENCH ooo:r / / I / I I I / I I / ~-.q A B FCO - -- 38,0' 15.0' 40.0' 20.5' 40,5' 24,0' 45.5' 52.5' 1,.3.5' 62.0' 62,0' ROBERT C, COWAN CE * 8801 S & S Engineering I7034 N. Eagle River Loop, Suite 204 Eagle River, Alasl~ 99577 Dear Engineering Expel~s; meRECEiVED MAY 6 1998 Municipality of Anchorage Dept. Health & Human Services Per our conversations about my first well that has to be abandoned, I offer the following description of steps I took to accomplish the task, The area around the well casing was excavated to 5 f~et below grade, Four feet was removed from the casing. The easing was filled to within l0 feet of the top of the remaining easing with a slurry mix of clay and sand. The remainder the easing was filled with 5-sack concrete mix. A metal plate was welded to the top of the easing and the hole baekfilled to grade. If you have qnestions, or need additional i~fformation, please contact me at 271-5903, or leave your number on my digital pager: 2674949, Thm~k you '~~' i~alling Address: 20030 Sunset Blwl P.O, Box 672554 Chugiak, Alaska 99567 Chugiak, Alaska 99567-2554 L~g~l: 'rlSN, R1W, $iiC8,Lti50 '~ SUlLLi /gg WATER WELLS P,O.[IOX610272, CHuG~An A~ASKA99567, TELEPHONE69B-27~9 ADDRESS /00 LEGAL DESCRI~ION~Y g~-~ ~1~ l~'7 /.~ DATE-Started Ended -- PERMIT NLIMBER ~ DEf'THOF WELL _ 1 O0 STATIC LEVELOF WATER FT, -~/ DRAW DOWN FT. KIND OF CASING From_,-- Ft, 1o .... Front__ Fl. to____Ft- From_____ FL lo~___ Ft Fearn __Fl, From~___Ft. lo_ _Fl. Fromm__Ft. to~_ Ft From ~Ft, to_ __Ft, Ftom____FLto--~FL~ From.~FLto-- ,Fl From--- Fi, to__--Ft, From~__Ft. to___ Ft, From_____Ft. to__ ~FI ~ From. .__Fl, to- MISOL, INFO~IATION: I Frame__FI. ~o__ FI..__ From .... Ft. to __Ft.,__ From--- Fl, to.__ Ft -- From__---Ft. to --Ft,- From__Ft. to .... Fl,-- From__ Ft, lo ,__Ft, ~ From.__Ft. to____Ft. - Frmn____.Ft. 1o__. Ft, .-- ---- SEP 17 1997 MuH~Oll)ality Of Anchorage Oept. Health & Human Services MAR-03-1998 16:11 AAL 500 90? 271 2850 P,02/02 SULLIVAN WATER WELLS P.O. BOX6?027,~,CHUOlAK, ALRSKAgg557 '~ TELEPHONE0$8.9?$9 ~TA~C ~ O~ ~.~T~R ~, . ~ DRAW DO~N DATE.Sta~Ied .... Ended ~~, Gi~ PER HR PE~}T NUMBER ..... KIND OF CASING -- KIND OF FORMATION= ~,o,~._O__~,.,o~L_-~t.--d~'~lf-'d~ ~~ ~,o,, ~,. ,o_~.~,._ ~,,,, ,~_~,.,o~ ~,._~'~~~ ~,o,~__~,.,~_ .~,._ _ ~,,~_~_~,.,o~,._ H.~~ ..... ~,o,,.,. ~,.,0_ ~, . Ft ~o FI, ~ F~FI ~0 .F~ ...... ,,o. _.,o_ ~,~~~~T____~,.,,. .,,.. .... ....... Free--FI to ~'~ ,, ~n. Ft. to~ .F~ ...... From~Ft, t~t,--~ __~ F~o~ FI. to____Fl .......... From~--FI, to ....... Fl .... ORILLER'S NAME ..~__~JL,,~____~ TOTRL P.02 ROBERTC. COWAN, RE. ROBERTA, SHAFER, RE. WELL INSPEC31ON & FLOWIEST ROAD gESIGN SOIL TEST Date: CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 ir, Street P.O. Box 196650 Anchorage, Alaska 99519--6650 RECEIVED AUG 21 199'/ Municipality ot Anchorage Dept, Health & Human Services REFERENCE: The septic inspections for _the referenced property were performed on 2~-/-9~ and ~'9/-~ 7 . Prior to submitting the On-site Wastewater Disposal System and/or Well Tnspection Report we are waiting for the ~,&¢ /~2_~zz_ __ to be completed. If we may be of further service please contact us. Sincerely, Ro~e~rt ~'. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP ' SUITE 204 ' EAGLE RIVER, ALASKA 99577 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ~uNCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL sYSTEM PERMIT PERMIT NUMBER:SW970131 DESIGN ENGINEER:S & S ENGINEERING OWNER NANE:SCHO~ER JOHN J OWNER ADDRESS:P.O. BOX 672554 CHUGIAK, AK. 99567 DATE ISSUED: 6/12/97 EXPIRATION DATE: 6/12/98 PARCEL ID:05115409 LEGAL DESCRIPTION: T15N R1W SEC 8 LT 150 LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PEP, MIT: 2 'PHIS PERMIT IS FOR THE CONSTRUCTION OF: ]DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: THE ATTACHED APPROVED DESIGN. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AN[) THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS {18AACS0). THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRE]) FOR WELL ONLY PERMIT) FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SA~E DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: INSTALL BARRIERS AROUND/OVER ABSORPTION TRENCH (PROPOSED AND ALTERNATE SITE} SUCH THAT DRIVING OR PARKING OVER THE TRE?~f ~ O~J~. RECEIVED BY:~ ISSUED BY:__~(~ ' ~~' HEALTH AUTHORI~ APPROVALS SEWER & WATER INSPECTION ENGINEERINGSTUD]ES AND REPORTS WELLINSPECTION & FLOWTEST SITE PLANS SOILTEST STRUCTURAL & MECHANICAL INSPECTIONS W,'NS TEWAT E R DISPOSAL SYSTEM DESIGN ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS (907) 694-2979 May 20, 1997 FAX(907)694-'I211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 150, Section 8, T15N, R1W Request you issue a permit to drill septic system for the proposed two referenced property. a well and install a bedroom house on the A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. The monitoring tube within 'the test hole has been checked and found to be dry. This property has enough area for a future septic upgrad, e which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, Sincerely, Robert C0 Cowan, RCC/mg please contact us. Enclosure 17034 NORTH EAGLE RIVER LOOP o SUITE 204 · FJ~GLE RIVER, ALASKA 99577 1"'. = 60' SIT[i-PLAN SOALE WITHIN 200'+ I SUNSET BI,VD. PERFORMED FOR:__ LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS __ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG .- PERCOLATION TEST ' '.'., CF .~_~or .'~ ~ DATE PERFORMED: ~'~'~'"" Township, Range, Section: ~hJ~ ~1~ ~ .~c, ~ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth 1o Water Ait~ Moniloring? OP~¥ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ ~) Immures/tach) PERC HOLE DIAMETER TEST RUN BETWEEN ~* FT AN[) __(o FT 72-008 (Rev. 4/'85) ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. HEALTH AUTHORITY A~PROVALS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCEs Lot; 150, May 20, CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Sec'tion 8, T15N, R1W 1997 GENERAL: 1. The scope of this project includes the installation of a 1000 gallon septic tank and a leachfield trench to serve the proposed two bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department :for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a. certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access~ The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of ].2 inches above final grade. 17034 NORTH EAGLE RIVER LOOP ' SUITE 204 ' EAGLE RIVER, ALASKA 99577 Page Two Lot 150, Section 8, T15N, R1W May 20, 1997 Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation· In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION= Excavate the proposed trench to 'the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel. (sewer rock) placement· Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then 'to ]De placed over the distribution pipe to provide a minimum of 2 inches of cover over 'the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four ( 4 ) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design· Page Three Lot 150~ Section May 20, 199'7 8, T15N, R1W 50 Backfill over 'the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERI~J~ SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipa materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM FS10 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer· Insulation shall be at least 2" thick burial polystyrene (Dow Chemical Company equal). extruded direct Styrofoam HI or Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxfc silt barrier (Typar 3401, MJ. rafi 140N, or equal) must be installed between the final leachfield grave], layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the ~t200 sieve. o When sand is being used as a filter material, its gradation specifications must conform to current M.0.A. or D.E.C. requirements, which ever requirement applies. Page Four Lot 150, Section May 20, 1997 8, T15N, R1W INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic: tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final inspection is to occur upon final grading of th~ property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is 'to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 150, Section 8, T15N, R1W May 20, 199'7 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on 'this project or the failure of 'the contractor to carry out the work in accordance with these construction documeirts. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or 'the safety precautions incident to this projeet~ CONT]{ACTOR/INSTALLER Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 1T J 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. COSA# OSC1616 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lo 2; schommer subdivision Location (site address) 20030 Sunset BNd. Current Property owner(s) John Schommer Mailing address Lending agency Mailing address Real Estate Agent Mailing Address PO Box 672554 Chugiak, AK 99567 Day phone 688-9446 Day phone Day phone -'-- Unfi�M=od,-COSRwptbo-MtdbpDSDYorptckap— - 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual On-site El 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 S a s Engineering Address 15861 S. Birchwood Loop Rd. Chugiak, AK 99567 Engineer's Printed Name Roberta Shafer 5. DSD SIGftATU ve --(rte/ Approved for bedrooms. Disapproved. Conditional approval for Phone 694-2979 Date -,6112-110 bedrooms, with the following Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: v' . Original Certificate Date: o—.21-10 JR. IIM) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore 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: _ LT o?: f .ADMH6e g Parcel ID: 0.5'1- /.zi l/ 5" A. WELLD�T� Well type VIi7>✓• Date completed AV9 /Cy Total depth NLft. If A, B, or C provide PWSID # Sanitary sealoN) A I Cased to �ft. FROM W L LOG Date of test q8 Static water level ;k, h ft. Well production 3•0 g.p.m. WATER SAMPLE RESULTS: Well LoqV/N) Wires property protecteCN) rt Casing height (above ground) /A 'I in. AT INSPECTION vi ft. g.p.m. Coliform d colonies/100 mL Nitrate 0// mg/L Other bacteria 40 colonies/100 mL Arsenic: _11� ug/L date of sample: �W� Collected by. S9'1S /IIIE�r211L�Z B. SEPTIC/HOLDING TANK DATA Tank TypelMalerial 6 T IGy(GC Tank size I D gal. Number of Comb Foundation cleanout(lf J) _j Depression o Date of pumping I D C. ABSORPTION FIELD D�Tp /./��! rlr Date installed % Soil rating 1 r TSL of Pumper (g.p.d.lfe or ft'/bdrm) I p �S Length 50 i X7.5 ft. e5.5 Width 3 -U ft. System type � l Aa LX" r q Gravel below pipe 6 fL Total depth8_l3' t. Elf. absorption are 79#ftz Monitoring tube Depression over field r�l� 1 BGeM Date of adequacy lest _��Jvxxx1t Results (Pas Fail) For, bedrooms rr l� e Fluid depth in absorption field before test SS in. Water added gal. New depth Q in. rr Elapsed Time: 00 min. Final fluid depth66 In. Absorption rate >= �� g.p.d. Any rejuvenation treatment (past 12 mo.) ()& type) 0 If yes, give dale '— D. LIFT STATION N /a Date installed Size in gallons 'Pump on' level at _in. 'Pu f' -scat Datu Cycles tested _ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: r Septic tankfift station on lot gr f I Absorption field on tot Public sewer main At /19 Sewer /septic service line o`LS /{ r Animal containment areas 154� In. High water alarm level at In. Meets alarm ti circuit requirements? On adjacent lots 100 On adjacent lots Public sewer manhole/cleanout— /✓/17 Holding tank Alln r Manure/animat excrete storage areas /Gb SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation -lo4- Property line Absorption field $ Water main Z7 Water service line �� /� Surface water /dV& 4 - Wells Wells on adjacent lots t& '/' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10 Building foundation I 0 I Water main I / � Water Service line 'r Surface water /M -f Driveway, parkingHehicle storage _0 Curtain drain _ NMX KA" Wells on adjacent lots F. COMMENTS 1&V-V1n71!CXxH RWb 4DXnD C-VS7744 a VFMCCM 7t7 (- oF- 5 BF-D�ni 'S4TTtC- SYSTMM G. ENGINEER'S CERTIFICATION I certify that I have determine rough field inspections and review of Municipal roco tha tho abov toms re In conformance with MOA CO A r line ! ect n tlr' date. Engineer's Printed Name Date 6112-1170 COSA Fee $ .2-s0 Date of Payment G - 15,- / Receipt Number D 2r y 3 0 (Rev. I M) Waiver Fee $ Date of Payment Receipt Number r� uw� � wOa� IKIbm WrA .Atl �t �Mfa ..IM rb01 OlK Irl NtbwO rtbcr nen IYYr �tAb .M rYYY2 �[ YO/ ttYr R.II Mii Ttw.a I WELL R 4 I b Lofts CO d wwlY CO i 2 I x1111NINf4N I NNE u � ,.. r "a-wo;1 m., — _ — – _ n TARIKA AVENUE — _ – — _ UNDER NO CIRCUMSTANCES SHOULD AN AS -GMT BE USED FOR CONSTRUCTION OR FOR ESTABUSHWG BOUNDARY OR FENCE LINES.. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FNMOAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING, REPRODUCTION MAY CAUSE ERRORS N SCALE. Lar 11URtEY SURVEY TYPE SYMBOLS EOMgAIKW As ? • SET REBAR rt DRAINAGE ASPHALT FWAL SaIU4:1tM Af-@ILT O FOUND REBAR �s WOOD FENCE CONCRETE RED RAN ... AS -MALT'... L011LAIKY... IafaGARn ® ASSUMED cmv..--:--:. METAL MCC ® WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF F E BUILDER OR OWNER. PRIOR TO ONLY THOSE SNPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES. WELLS. SEPTIC CLEANCUTS. SIDEWALKS. DRIVEWAYS. TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW THE EMSTENCE OF ANY EASEMENTS. COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION Prepared by IRAN ..*0`1tBB, OF too Robert E. Johns, Jr. & Assoc. PLOT ��,� ��.•.�E •�P.•• "" '•. �� Professional Land Surveyors ..,� ..•........... �. = (�.. •.., ��. 042 E u A.E. ANCHORAGE. ALASKA M501 ••� NV.—. �. - x. SetlA: 1 w 60H F«, lot S.F. RITC. PIaL F.A X4 f••.. w.rw��r t iQ11OA110N AS -MALT •M, .. oat. san. .x, 6/07/10 Y Drabs e R EJ 0hw" e > K r.A a AHS .. r....w r l ..... ... _ r.. wrrw. wr... P ....... ». ... ... »• .+•'•'.w»rll•w ..�'L :�--•—r-- `JMK OBERT NS. r e: oat. Dna 6/07/10 `w1257 W.D. 1161 n 2 ? •a: •i� t•• 1— r1nAL 31RUC1URE AS -@U LT :.•"' L ...........r... I 1 ••.,• ,.+'y¢'� �r� LAvd D.wobmt: LOT 2 wY. w F w NN r~Ir Y • 10 yb•.M••••• ��'arPFowna�� ^ � SCHOMMER ��`^�•.-•"'w %Sisk S -GS; - SGS ReLM 1102511001 LOQ Units Client Name S $ S Engineering Printed Date/Time 06/10/2010 1124 Project Narrte/p Lot 2 Schommer S/D Collected Date/Time 06/042010 11:30 Client Sample ID Lot 2 Schommer S/D Received Date/time 06/04/2010 13:05 hlatrix Drinking @Vater Technical Director Stephen C. Ede Sample Remarks: Parameter Results LOQ Units Allowable Method Container ID Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 06/07/10 06/07/10 KDC Waters Department Total Nitrate/Nitrite-N 0.110 0.100 mg/L SM204500NO3-F 0 (<10) 06/04/10 AYC Microbiology Laboratory E. Coli Negative 1 100mL SN1209223B A 06/04/10 DLC Total Coliform Negative I 100mL S%1209223D A 06/04/10 DLC MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services (:)n-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # _ CERTIFICATE-: OF HEAl_TH AUTHORITY APPROVAL POR A SINGLE FAMILY DWELLING 051-154-09 , HAA # _.S:-~C'~ ( ,.~ /.~.-, 1, GENI"RAL INFORMATION Complete legal description T15N R1W, Sec 8, Lot 150 Location (site address or directions) Property owner 'John- Schommer Mailing address_ Po :B~.x 6?2554 , Chua±ak, AZ( 9956? Northland Mortgage/Patt:¥ Lending agency Mailin. g address Agent Address Day phone Day Chone 2605 Denali, Suite 100, Anchorage, AK 99503 Day phone 2'71-5309 274-5150 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 2 NOTF: Individual well xx× Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATE"R DISPOSAL,: NOTE: Individual on-site XXX Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State Ar)EC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA ¢21 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 investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, Phone ordinances, and regulations in effect on the date of this inspection. S & $ ENGINEERING Name of Firm ..... · ,--U,~ ~.iver Loop Road No, 204 Eagle River, Alaska 99577 ,..~ Address . ' /" EngineeCssignature ~/,~/~/ 2. //~¢'~.,- bedrooms. DHHS SIGNATURE Y Approved for Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: O~'/'z~ ~-/, ~~ Date /-// -- The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Cedificates 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 orderto 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. DEPARTM E"NT OF HEALTH & HUMAN SI--RVICE~.~ Environmental Services Division ~,~UNIC~,^tHv OF ANCHO~AG~-'~'""L~ 825 L Street, Room !302 · Anchorage, Alaska 99501 ~,~t4~L4~:~s Health Authority Approval Checklist Legal Description: Z;oT- ~5-o ~ Sro(.. ~g 3- 15'~v f~l ~ Parcel I,D, A. WELL DATA Well type Log present .~/N) Total depth Sanitary seal (~YNI /oo if A, E½, or C, attach ADEC letter. ADEC water system number Date complete~ '7 / q 7 Cased to 3 o~ ~2~. z o ~3/{ Ca.,~ng height (above ground? FROM WELL LOG 0. q ~ g.p.m. Wires properly protected (~N) Date of test Static water leve' Well production A'F INSPECTION g,p,m. WATER SAMPLE FIESULTS:. Coliform o Nitrate _ Dateofsample: ,~J a~/~ ~ ,~'/,~/ ,~ g o. I ~/ Other bacteria O 4~ Collected by: __ ~ ~' B. SEF'TIC/HOLDING TANK DA'rA Dateinstalted ~'/'~/ ~17 Tanksize ./~o FounOation clean'ut ~' Y?~o-~ Depression (Y/~) Date of~P, umping .f~ ]~ -"~ ~""/. Pumper C. ABSORI:!TIQN FIELD DATA Date in'stalled ~/q/~ 7 Length, g-6 .Width G"7 ~ Effective absorption area Number af Compartments '~ Cleanouts ~N)_ _ rv 0 High water alarm (Y/~ ~v 0 Soil rating ~or ffqbdrrn) O~ z4 ~.- System type Gravel thickness below pipe (~ Total deoth ¢~ %" ' Monitoring Tube present {~/N) ~'~%J_ Depression over fisld (Y~ "" o Date of adequacy test ~v/.4 -- ~ ~ ~ Results (Pass/Fail) _ For c'~ bedreoms Fluid depth in absorption field before test (in.); Immediately after ~ga_.~[~.l. w~te~adeleci~,~ Fluid depth (ins) Minu. tes.~:. ~- Absorption rate = g.p,d. Per~[~Areatr~t~12 m°nths) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) ~ar~~ High water alarm level at* ~ *Datum Cycles t,~ed~'' E. SEPARATION DISTANCES "Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot / o 0 '~- Absorption field on lot / o o '-/- Public sewer main '~ /'~ Sewer/septic service line ~- 5- -r f /o0 On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: '*- Absorption field Foundation ~- 4- Propertyline 10 f Water main/service line /0 -~ .Surface water/drainage /0 o + Welts on adjacent lets SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line /0 -/- Surface water .) o Curtain drain F. ENGINEER'S CERTIFICATION Building foundation ) o -~ Water main/service line Driveway, parking/vehicle storage area ,,J o w ~ Wells on adjacent lots .~ / o o ~ I certify that I have determined thru field inspections in conformance with MOA blAA gt~lel~ effect on this date. Signature '~J//~ ~ c ~,/~'/'~"~-- Engineer's Name /~ 8 Z~ ~-'~ ;"~ (~' ~'o ~ Dat / / f HAAFee $ ~,~D-D Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* SEWER & WATER INSPECT{ON SITE PLANS ROAD DESIGN PERCOLATION 1EST Sf RUCTURAL & MECHANICAL JNSPEC11ONS ROBERT C. COWAN, RE. ROBERT A. SHAFER, EE. CLIENT: WELl.. FLOW TEST DATA LEGAL DESCRIPTION: /-4) 7'- / 5-o $ ,'r-~_, ~ 'T- 15'- ,v WELLDEPTH: )00" CASING DEPTH: ~. 'r~ ~-o DATE DRILLING COMPLETED: -'1 / ~ 7 DRILLFR: CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 DATE: MISC. DATA: CASING HEIGHT: ~ /~- J' SANITARY SEAL: WIRES IN CONDUIT: '¥ '~.¢ GRADING O.K.: BACTERIA AND NITRATE SAMPLES COLLECTED (date): TEST DATA: METER PUMPING DEPTH 'FO CLOCK READING RATE WATER REMARKS TIME (GAl..) (GPM) (FT) _)' 2-~, o~. ~/ q~' ~ RESULTS: WELL CURRENTLY PRODUCES TESTED BY: DRAWDOWN lc:LOW RATE NOT GUARANTEED--SUBSEQUENT VARIATIONS (:;AN OCCUR. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE M E }.'1 0 R A N D U M WATER WELL ADVISORY iiZ!Af, TH AUTHOP, I%'Y APPROVAL Dur~n~ a rece::t H~:~z:n Auhhority Approval on-sAte and hesl cf t!e ~2otab].e water supply well on Lot ~:i ec-k ~ o:: / / b, Subdivision, producfih.'ihy was determined to be 0, ~ gallons per r. ixute. The ~ : ........ ,qell ' -~n~ m.~_:._.. ..... productivity required by thzs D:.:o ~ . 4o'~ a O bedroom residence ' ~ ~,~ l ~a:!ons ....~.~ rain' ko. 21%hough the subject wellcd~.en~y~ exceezs ,n~=mu~ all part,es concerned are ~e~=== .... ~a~,c~=~ os the well may ~ .... ..,~,: ........ .......... ~ wa:er uses such as washing cars ani walerl. Rc !aw2s ~:ll :;~:fl:,e~s :'lay b<d required. This ad'.iscrv ndE.. be attached te all copies ef the CT&E Environmental Services Inc, Laboratory Division 200 W. Potter Drive ^nchore~le. AK 99518 Tel: (907) 562-2343 Fax: (S0'?) 561-5301 ChemLab Ret. fl: Orient Name: Project Name: Client Sample ID: Matri)~: 98.5278 S & S Engineering LI~0 Sec8 T15N R1W L160 Sec8 T15N R1W Drlnklng Water Client PO~¥: Printed Date/Time: 9/21/98 14:4§ Collected Date/Time: 9/17/08 09:00 Received Date/Time: 9/17/98 11:40 Technical I::)ffector: Stephen PW$1D n/a Sample Remarks: Results PQL Units Total Coliform (MF) . --T-N~ co1/100 mi Allowable Prep Analysis Method Limits Date Dale init SM9222B 9/17/98 KAP Nitrate 0.'f90 0,1 mg/L EPA 300 10.0 9/17/98 GCP zTk CT&E Environmental oE, rv~ceS-17rc,--~ Laboratory Division )rinking Water Analysis Report for Total Coliform Bacteria 2o0 w. ~,o,t~ o,~ Anchorage. AK 99518.1605 F~4D h¥STR UCTION$ ON REVER3E SIDE BEFORE COLLECTING SA~'IP£E Tel: (907) 562-2343 MUST BE COMPLETED BY WATER SUPPt, IER PUBLIC WATER SYSTE~! I,D. # I I}lll} PRIVATE WATER SYSTEM -~ $~nd R~ule C] $~¥ Inva~c't ~on~ Day Y~r SAMPLE ~ Rep~atSample (formu~ne~mpl~ with tab ~f. no. q ~, ~ v 7 ) ~ Sp{ciml SABLE L~}ATION :t ~- U=tmated Water Time Coll~ted ~y Fax: (gOT) 561-5301 TO BE. (::OMPLF-TED BY LASOR~TORy Analysis shov, s this Water SAMPLE to bet ~ Satisfactory UnsatisP4ctory Samplo over 30 hours oki, resutL~ may be unreliable Sample too Ion8 in transit', s=mple should not be over 4~ hours old =t exa.min=tioo tO indicate reliable r~sult.s. Plea.~ send m.,w sample via special deliver' mail. Analy~cnl ~l[ethod: x~l~<.a.~lembran~ Filter ..... tOO mt. EtE35 ,3Ei R~.ult® Analyst Seat Ia A.D.E.C". An¢lt FI2k~ ,Jun Fax~ C~lent notified of unsatisfactory results= _ (2 Fnx~ Comments: BACTERIOLOGICAL WATER A~ALYSIS RECORD ,',IWIiO-,',IUG Resal~ Total Collferm _ .~lembrane Filte~. Direct Count Verification: LTB. BGB,--- Frei Coflform Confirmation -- ___ E. Co~t . __ -- Colonle~llO0 n~l -- COLIFiI~!4' _ ~m~ Meml~f of the SGS G¢ou~ lSat:idle Gdn~flle de Surveillance) ENVIRONMENTAL FACIUT1ES IN ALASKA, CAUFORNIA, FLORtOA. ILUNOIS. MARY!_ANO. MICHIGAN, MISSOURI. NEVi/ JERSEY. 0HIO. WEST VIRGINIA