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Home My WebLink AboutDEARY LT 19A Deary Lot 19A #007-094-80 30planb drilling Co. SOX 1713. STAR ROUTE SPENARD. ALASKA �� SUBSURFACE EXPLORATION 1. LOCATION PROJECT. Al DPA eH HOLE NO 2. TYPE OF EXPLORATION/. CONTRACT NO NUMBE 3. SURFACE ELEVATION WEATHf l ' DEPTH -BEGIN 6HIFTIrl DEPTH -END SHIFT '77 DEPTH DRILLED A. PERMAFROST ENCOOUUNTf RED: FROM TO S. WATER LEVEI DATER SHIFT n- !q S• TIME DISTRIBUTION HOURS SUMMARY COLUMN DRILLER FISHING DRILLING REPAIRS PULL CASING HELPER STANDBY MOVING 7. GASOLINE - S. OIL SUPPLIES AND REPAIRS (ITEMIZE) S. CASING LOG S. SOILS LOG TOTAL NO. LENGTH LENGTH SAMPLE DEPTHSTYPE NO. FROM TO SAMPLE I MATERIALS AND REMARKS - -c - - - :// - - 7,//_),?Alel, M -2-Y7 42 N4,6 i FS c .c r i e'_ � CJ I i /!., ,. i 1.14 hQ A O .( Y) "l If DRILL E INSPECTOR 09c-10-2001 04:00po Fren- T-500 P-002/002 F-006 NORTHERN TESTING LABORATORIES, INC. 33301NDUS'n1AL AVENUE FAIRBANKS. ALASKA 99701 1907145&1116 -FAX 4S6 -312S $751 SI.VEnADO WAV: UMT N ANCNOAAGE. ALASKA 99519 19071349 -1000 -FAX 3041016 POUCH 140043 PRUDNOE SAV. ALASKA 99734 (90716'.9 -2145 -FAX 6592146 P.T.S. 912 E. 15th Ave, Suite 102 Anchorage, AK 99501 Arm: D. Karez Phone: (907) 561-6266 Fax: (907)563-3813 NTL Lab#: A300294 Client Sample ID: Deary Well Location/Project: Dewy Well COC 9: 30539 Sample Matrix: Water Comments: Report Date: 12/7/01 Date Arrived: 12/4/01 Date Sampled 12/4/01 Time Sampled: 13:50 Collected By: DK Flag DeCmitioW MRL = Method Repotting Limit MCL -Maximum Contaminant Level B - Below Regulatory Minimum H - Above Regulatory Maximum M - Matrix Interference - Best Available Estimate U - Less Than Detection Limit D — Lost To Dilution -- - — Prep Prep Analysis Analysis Parameter Result Units Fla[ MRL MCL Method Date :Method Date SM 4500 NO3E Nitrate -14 Reported By: Wendy Mitchell Anchorage Laboratory Manager 0.23 MWL 0.10 10 12/5/01 SM 4500 1215101 NO3E • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 007-094 T " 1. GENERAL INFORMATION Complete legal description DEARY LOT 19A Location (site address) 3627 CAMPBELL AIRSTRIP RD Current Property owner(s) RUTH DEARY Mailing address Real Estate Agent DAVID WINDSOR Expiration Date: ` — Day phone Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex URMITTA ❑ Multiple Dwellings (Single Family and/or Duplex) 9 L 3. NUMBER OF BEDROOMS: 1 JUL z 9 2094 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Dnbl'r � ,l , C Item n , I PwF,yljr• Se�uor r�X Waiver/Variance request for: NONE Distance: Received by: 4 - �-, `Z _ C-- Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ �yta P Waiver Fee $ Date of Payment 7I aP)lIq CL Date of Payment Receipt Number ��o/� vt Receipt Number COSA # CKDCrit{I �� to 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 SPURKLAND ENGINEERING Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND 6. DSD SIGNATURE Phone 279-3916 Date 7/28/14, cE•aF'AL�1sj�1 • 'slI .:..j System #1 Approved for bedrooms �� LARS E. SPLlRKLAND:O-,C e-1 System #2 Approved for bedrooms j v3 1 9100 Disapproved Conditional approval for bedrooms, with the following stipulaYI�t�s�� By: dfd. Original Certificate Date: The M cip ity o nC orage 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 7 , .. If more than 1 septic system is on the lot: COSA Checklist # 1 Of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: DEARY LOT 19A A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID #- Date completed LINK Sanitary seal (Y/N) Y Total depth 93+ ft. Cased to >40 ft FROM WELL LOG Date of test Static water level ft. Well production _ g.p.m. WATER SAMPLE RESULTS: Coliform NEG Monies/100 mL Nitrate ND mg/L Arsenic 14.4 ug/L Date of sample: 7/15/14 B. SEPTIC/HOLDING TANK DATA Parcel ID: 007-094-0 g10 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 7/28/14 70 4.3 ft. Collected by: ANSON MOXNESS Tank Type/Material Date installed Tank size gal. Number of Compartments_ Cleanouts (Y/N) Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ High water alarm (YIN) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ftz or ftz/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. M. absorption area ftz Monitoring tube Depression over field Date of adequacy test 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.) (YIN & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons _ in. 'Pump off" level at Cycles tested _ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot NA Absorption field on lot NA Public sewer main 75'+ Sewer /septic service line 25'+ Animal containment areas 50'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Water main Water service line Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation _ Water Service line Surface water Curtain drain Wells on adjacent lots F. COMMENTS Manhole/Access (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots NA On adjacent lots NA Public sewer manhole/cleanout 1004 Holding tank NA Manure/animal excrete storage areas100 + G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKLAND Date 7/28/14 COSA brown sheet 10-10-12.doc Absorption field Surface water Water main Driveway, parking/vehicle storage rlil Municipality of Anchorage s Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.mani.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 141366 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 19A of Deary Subdivision. This inspection revealed an arsenic concentration of 14.4 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Svstemc Approval,