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HomeMy WebLinkAboutILIAMNA ACRES LT 7A Municipality of Anchorage Page 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: ,-~:~\~'_// C~0~,~'7 PIUNumber: 0/0--ID/- Name: C-~-I~d,~l '-~ ~TE~ Wastewater System: ~New D Upgrade Address: ~1~ ~. ~M ~¢~ ABSORPTION FIELD Phone: No. of Bed ms: ~--70/~j ~-7~/~-- ~ ~ Deep Trench ~ Shallow Trench ~Bed ~ound ~Other L E G A L D E S C R I PTi O N so, Rating: Total Depth from original grade: Lol: Block: Subdivision: Deplk Io pips boltom from obginal grads: Gravel depth beneai~pipe 'Township: Range: Section: Fill added above or:sinai grade: Gravel lenglh: WELL: ~ New D Upgrade Gravel width: Number of lines: Dislancebelweenlines: I~ Ft. ~ ~ Ft. Classification (Private, A,B.C): Total Depth: Cased To: Total absorption area: Pipe materiah Driller: Date Drilled: Static Water Level: Installer: Dale installed: Pump Set at: Casing Heighl Abov~round: TAN K SEPARATION DISTANCES u s~¢~i~ u .o~di.~ ~.T.~.~. TO Septic Absorption Lill Holding ~ublic/Ptivale Manufacturer: ~ . CapAcity in gallons: From Tank ,ield Station Ta.~ S .... Lines ~ I ~ V~ Number of Compartmenls: Surface w~ I~o ~ oO ~ ~o LIFT STATION Foundat,o. ~ ~ ~ ~ , ~ "Pump on" level at:v~ ",umpof~legat: Highwate~a~ CurtainDrain ~ 4 ~ Pump~cCMake & Model Electrical Inspecli~rformed. ~ ('bY: Remarks: BENCH MARK ~ %¢~ tO ~ ~ t ~ Assumed Elevati~ E~GINEER'S SEAL Department of Healt nd Hu Services apprpval/ ' ':'~; · Beviewe~ and approveO by .... ~ate _. . 79-013 (Rev. 9/91) MOA 25 EA£ T .142, AVE, I ® ££ALE~ I_~' = 50 FT, 125 15~ £EVISEO: JAN. II, 1995 NEW WELL LOCATION TOBBEN SPURKLAND P.E. II II 203 W 15TH, AVENUE ANCH. AK, 99501 (907~ 279-,3916 LOT 7A ILIAMNA ACRES .5100 E. 142, AVE. PETER CRIMP I I SEPTIC SYSTEM ASBUILT DATE: OCTOBER 27, 1994 SHEET: 2/5 GRID: 5057 AC /~.5 BO 20 AB 48.5 ~D 58 AE B$.5 BE 79 AF 90 BD SECHON A-A F ~onilor 99,¸ MonHor to bottom of F/I/er Sand No Perforolions ~00.2 Sewer Rock I-1/4" Dis/ibu/ion Pipe M/raft 140 5' "Filler" Sond 96_+ 1- I/4" Discharge Ground Wa/er ~94 4 fee/ below surfoce 1250 901 STEP tank BENCH MARKL: FINISHED FLOOR ASSUMED ELEVATION lO0. OOF? 205 W 15TH, AVENUE ARCH AK. 99501 (907)' 279-~91~; LOT 7A ILLIAMNA ACRES PETER CRIMP 5100 E. 142. AVE. SEPTIC SYSTEM ASBU/LT DATE: OCTOBER 27, 1994 SHEET; 5/5 GRID: 5057 COMMERCIAL TESTING ENVIRONMENTAL LABORATORY SERVICES & ENGINEERING CO. Drinking Water Analysis Report for Total Coliform Bacteria READ INSTRUCTIONS ON REFERSE SIDE 2~EFORE COLLECTING SAs~IrpLE 5533 B STREET ANCHORAGE. AK 99515 TEL: (907] 562-2343 FAX: (907) 561-5301 ~ST BE COMPLETED BY WATER SUPPLIER "W/~PRi~ATE WATER SYSTE3I U ~gendResalts [] Send£nvoice [] Xend ResuPZs [] Send £n'~'oice SAMPLE DATE: Month Da)' Year SA~,¥WLE TYPE: ~<~ Routine [] Treated Water (for routine sample u/xQ Untreated Water [] Repeat Sample with lab ref. no, ) · ~ Special Purpose Time Collected S.42~rPLE LOCATION Collected By Date Received Time Received Analysis Began TO BE COiVWLETED BY LAEIORATORY Analysis shows t/ds Water S.~M~LE to be: Satisfactory u Unsatisfactory [] S~nple over 30 hom-s old, results may be unreliable [] Sample too iong in transit; sample should not be over 48 hours old at examination to indicate reliable resets. Please send new sample via special delivery mail. . Analytical Method: ~embrane Filter [] :'VfiMO -MU O * Number ofcolordes/100 mi. Lab Ref. No_ - Result* Analyst SenttoA. D.E.C. ~ Fbks Jun Date: Client notified of unsatisfactory results: Phoned '-~ Spoke 'Mth · i Date: . . Time: Faxcd Paxed Comments: BACTERIOLOGICAL WATER .4~N.&LYSIS RECORD i'v~:IO-i',SUG Result: Total Coliform E. CoE Membrane Filter': Direct Coun( Verification: LTB __ BGB COLEFIJR2~5 Fecal Col/form Confirmation Final Membrane Filter Results _ ('~ Reported By~TC(1.bO~ate ~'~.~:'~.c~¢ Time TWO Colonies/100 ml Coliform/t00 mi ' '-"'" - pqt: OF TO [OkkOW -=, cf,,,,'~'o SGS Group (Soci¢t~ G=3n~rale de Sur,,,eil:ance) ENVt~O qMENTA, S=R\.,],'--c I'4 ALASKA. ..... :~ , COLORADO· UTAH ~' NO'~ O~10 t~ARv~,qm WEST ' .... 'aW '-~ - ................ ~G~NI.~. N- ~=~S=Y. SOUTH CAROLINA CT&E Ref.~ Client Sample ID Matrix Commercial Testing & Engineering Co. Environmental Laboratory Services m-,~i,-~'~-~,-~'~-,~,-~,~,'~l,'~,'~'~l-~-,~jjjffffj~j~jfjj~ LABORATORY ANALYSIS REPORT 94.6235-1 L7A ILLIA~NA WATER Client Name TOBBEN SPURKLA/qD, P.E. WORK Order 11553 Ordered By Printed Date 12/28/94 @ 15:41 hrs. Project Name Collected Date 12/21/94 ~ 15:00 hrs. Project~ Received Date 12/21/94 ~ 15:16 hrs. PWSID UA Technical Director STEPHEN C. EDE Sample Remarks: ROUTINE S~4pLE COLLECTED BY: T.S. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N 0.44 mg/L EPA 353.2 10. 12/27/94 C~IR ======::=:======:=: ........ ======================================================================================== * See Special Instructions ~ove UA = Unavailable .;*~ See Sample Remarks AJ~ove NA = Not Analyzed ~ = Undetected, Reported value is the practical quantification limit. LT = L~ss Than = Secondary dilution. GT = Greater Than 5633 B Street, Anchorage, AK 99518-1600 --Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA Rick Mystrom, Mayor Mtmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 3, 1995 Tobben Spurkland, P.E. 203 W. 15th Ave., Suite 203 Anchorage, AK 99501 Re: Lot 7A, Iliamna Acres Subdivision Dear Mr. SpurMand: This letter is a follow up to our conversation in December, 1994 concerning the new well on Lot 7A, Iliamna Acres, installed under permit #SW940277. As we agreed from data obtained from field inspections, this well was installed with less than the required 100 ft. horizontal separation distance from the on-site septic system on Tract 10-C, Iliamna Acres. As you are aware, no separation distance waivers are granted for new construction wells. As a result, this well must be properly abandoned and a new well must be constructed which maintains the minimum separation distances required by Anchorage Municipal Code Chapter 15.55. The As-Built Inspection Report you submitted for this property, which stated that the separation distance from the well to any portion of a septic system was more than 100 ft., cannot be approved until the above requirements have been met. Please contac~ this office at your earliest convenience to subnfit a schedule to accomplish the abandonment of the existing well and the construction of the new well. If you have any questions regarding this matter, please contact me at 343-4360. ~Sf~m e~sCerely' Program Manager On-Site Water Quality cc: Peter Crimp, Paula Collenberg T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 Subject: As Built Report Lot 7A Iliamna Acres Replacement Well January 12, 1995 Gentlemen; Transmitted herewith are a well log for a replacement well installed on this lot by Hefty Drilling on December 20, 1994. A revised siteplan showing the location of the well is also included. The well drilled by Sullivan was abandoned by filling the casing with sand and topping the sand with bentonite. The well casing was cut off 5 feet below ground level, and a 1/4-inch plate was welded to the open end of the casing. Yours RECEIVED JAN 1 19'05 . Mun;c,p~dily otAnchorage Dept, Health & Human Service8 ./ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940277 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:CRIMP PETER & OWNER ADDRESS:5100 E 142ND AVE ANCHORAGE, ALASKA 99516 DATE ISSUED: 8/05/94 EXPIRATION DATE: 8/05/95 PARCEL ID:01710134 LEGAL DESCRIPTION: ILIAMNA ACRES LT 7A LOT SIZE: 49598 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. 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 SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ALL SAND USED IN THE FILTER LAYER MUST BE A CLEAN COURSE ~ ~I~ . o~ ~ ~IN~ T~ ~00 ~I~V~ ~ ~ O~ ~ ~I~ ~H~ ~00 ~I~V~. ~ ~I~ ~IS ~T B~ ~OVID~ ISSUED BY: / ~ ~ ~ ~ DATE: T.SPURKLAND P.E. 203W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)~276-6013 SEPTIC SYSTEM DESIGN LOT 7A ILLIAMNA ACRES PETER CRIMP Ground water at 4 ft Use Pressurized Bed hnport filter sand to obtain separation Soil Rating. From test Oct. 20, 1993 2 min/in Use .7 gal/ft.sq Required Area per Bedroom: 150/.7 = 214.3 sq.ft.. Number of Bedrooms 3 Bed Area 3 x 214.3 = 642.9 sq. ft. SYSTEM CONFIGURATION MOUND TOTAL LENGTH 43 FT. TOTAL WIDTH 15 FT. BEDAREA 43X 15 =645 SQ.FT. SEPTIC TANK 1250 GAL STEP. hnport 3 feet of "Filter" Sand fi'om Quality Sand and Gravel Wasilla, or "Lake Otis" gravel 6 inches of Concrete Sand and 8 inches of sewer rock 3 feet of cover The installation of this well and septic systems will not prevent wells and septic systems fi'om be installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result fi'om this installation. PRESSURE CALCULATIONS Total head loss: 30 ft. Pump delivery at 30 ft. From pump curve: 33 gpm 0.42gpm Discharge per 1/8" hole at 5 feet of head: Number of holes: 33/0.42 = 80 Spacing of holes: 32.5x12x3/72 = 15[inches] Septic System Design Lot 7A Illiamna Acres pg.1 -TH r~_ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST P E R F O R M E D F O R ~*-~.,e.-~.~..V' C Y" ~' t.'~!~ ~) LEOA' DESCR,PT,ON: LO~C 7A IL~...~ ~t.~Townsh~p, Raoge, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS SLOPE s L IF YES, AT WHAT O DEPTH? p E [J8plh to Waler After MonilorJng? Oate: JO/~-~7 (ENGINEER'S SEAL) SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ (m~nutes/inch) PERC HOLE DIAMETER ~_~ ,r 72-008 (Rev. 4~85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG b PERCOLATION TEST PERFORMED FOR: ~ Y'"t ~ t"~ 't I ,r~'( ,i;(~blG1NE~ER'S SEAL) '., ~,O ' ~ ~..'~. DATE PERFORMED: ~ LEGAL DESCRIPTION: [,,~1'~ '7 A ~} IJ~' HL 2 3 5 6 8 ~0 12 13 14 15 16 17 18 19 20 I COMMENTS _.~;l¢"~ to T°wnship' Range, Section: SLOPE ENCOUNTERED? IF YES, AT WHAT Deplh to Waler Alter ~ ~ Moniloring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST R U N~IV E E N __ (mmulesilnch) PERC HOLE DIAMETER __ FT AND ~ ~ FT PE.FORMEO. : '7-7' I CER.,.THA?.STESTWASPERFORMEDIN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ?t~AC ? 8 SCALE, 1" = i00 FT. I Ll~f ?A ~OOz,;'.% I ' ® ~h)- fYell LDT 7D , fei VE£ T[IIV £00 ~50 SO0 L:TT~ L:T 7C TOBBEN SPURKLAND P.E. J J 205 W 15TH. AVENUE II ANCH. AK. gg501 =(907~ 279-3~ l~ LOT 7A ILIAMNA ACRES 5100 £. 142. AVE. PETER CRIWP SEPTIC SYSTEM DESIGN DATE: JULY 15, 1994 SHEET: 1/$ GRID: $0J7 EA£ T .I 4~, AVE. ~5 o I 50 75 SCALE; ~' 150 TOBBEN SPURKLAND P.E. II 205 W 15TH, AVENUE II ANCH. AK. 99501 f907/ 27§-~?1 ~ LOT 7A ILIAMNA ACRES 5100 E. 142. AVE. PETER CRIIdP II SEPTIC SYSTEM DESIGN DATE: JULY 15, 1994 SHEET: ,,~¢/$ GRID: 5057 I -1/4 PVC with I/8" holes at 19" ~ A )© © I-I/4 PVC Holes Pointing Up SECTION A-A Monitor 8" Sowor Rock 1-1/4' D/st/burton Pipe M/raH 140 6" Concrete Sand 5' "FiNer" Sand Monitor In/ Filler Sand No Perforations 5 Ft. of Cover. 4" Topsoil 1250 ga/ STEP tank Ground Water 4 feet below surface BENCH MA£KL: SOUTH WEST CORNER OF HOUSE BOTTOM SIDING ASSUMED ELEVATION IO0. OOFT TOBBEN SPURKZAND P.E, II 205 W 15TH. AVENUE AK. 99501 LOT 7A ILLIAMNA ACR£S PETER CRIMP 5100 E. 142. AVE, J J SEPTIC SYSTEM DESIGN DATE: JULY I?, 1994 SHEET: 5/5 GRID: 5057 WELL LOG Date Oril]6d:.. 12/20/9~l Peter Crimp Lot. 7A Iliamna Acres Static Water Level 37 feet Gal'Ions Pet' Minute 6 Draw Down N/A feet Total Feet of Casi,n9 11o ' ]F~pe Material Drilled: 0 feet~ to 2 ft, Casing Stickup to 4 Et, Overburden 4 ft,! 80 to 12 fi, Silty Grave]. to 80 ft, Hardpan to 94 ft, Weeping Hardpan 104 ft, silty Sand ' , I 104 ~t, to t10 ft, Sand w/water ~o Screened w/,006 Slot co HEFTY DRILLING ~540 AKUt.A DRIVE ~NC, HOP,.AGE, AK 99516 (907) 34,5,0593 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage,' AK 99519-6650 www.muni.org/onsite (907) 343-7904 Parcel I.D. O\'"-'l--IO t- % q e CERTIFICATE OF HEALTH AUTHORITY APPROVAL .FOR A SINGLE FAMILY DWELLING Expiration Date: GENERAL INFORMATION Complete legal description Lot 7a, Iliamna Acres Subdivision Location (site address or. directions) 5100 142 Avenue, Anchorage, Alaska Current Property owner(s)' Peter M. Crimp & Paula Cullenberg Day phone 269-4631 Mailing address 5100 142nd Avenue, Anchorage, Alaska 99516 Lending agency. Day phone Mailing address Real Estate.Agent · ' ' Mailing Address Un/ess otherwise ~quested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 3 Day phone TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage I'"1 Community Class ~ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Developmen't serVices Department (DSD) Issues Certificates' of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 pedod of up to one year with valid water samples.) Certificates are valid for one year for propedies 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. e STATEMENT OF INSPECTION BY ENGINEER As cedified by my seal affixed hereto and as'of the validation date shown below, I verify that my investigation, based on procedures 'outlined in the Health Authority 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 fudher 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 Douglas T. Kenley P.E. Address 9960 E. Puffin Drive, Palmer, Alaska 99645 Phone (907) 746-1073 Engineerls Printed 'Name Dc~uglas T.' Kenley DSD SIGNATURE ~ Approved for ~ Disapproved. Conditional approval for bedrooms. Date T. stipulatk bedrooms, with the following Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: (Rev. 01/02) X Maintenance Agreements Supplemehtal Engineer's Report Other ,~¢-'--.-'/""'"~/~ Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O, Box 196650 Anchorage, AK 99519-6650 www. muni.orglonsite . (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECK I ! : Description: Lot ?.~ Illiamna Subdivision Eegal WELL DATA ~ ....... Well type P,v.to ! ,- If A, B, or C provide PWSID # P~rcel ID: Well Lo~ (Y/N) Y Date corhpleted 12~20/94 Total depth 110 ft. Date of test ~iatic water level : 37' Well production '6 WATER SAMPLE RESULTS: I", '~lifor'rh' o colonies/lOO mi. Arsenic: -- mg./I. - SEPT C/UOLD N YA K DATA Sanitary seal (Y/N) :Y Cased to 110 ff. FROM WELL LOG 10/20/94 ft, g.p.m. Nitrate 0.509 mg./i. Date of sample: Wires properly protected (Y/N) '~asln e : I!~ ':' · g hight (above ground) I AT INSPECTION 7/12/03 ' .. 42 : I ft. 3.01' i.'l' g.p:m. Other bacteria Collected ~y:i· Y 35 in. Fred Kenley ;T~ink Type/Material Tank size 1250 gal., 'F~0undati'°n cleanout (Y/~) Y · Date of pumping 3/15/04 C.',ABSORPTION FIELD DATA D~te installed 10/20/94 l~engtl~' I: 43 ft. ' S.T.E.P./Steel Date installed 1'0/14/94 Number of Compartments .2 Cleanouts (Y{N) Y Depression over.tank (Y/N) Y High water alarm (y/N) Pumper A, Plus Services ' ·"." i Soil rating (g.p.d./ft=0~;ft~/bdrm) 0.7 Width: 15 ,ft. Gravel below pipe Mound 0.5 ft. ·otal depth 6.5 ft. ~ Eft. absorption ar~a 645 'ft~ Monitoring tube Y p~6~si0'n'over field N D~te of adequacy test :7/12/03 ~ i: Results (Pass/Fail) '_Pa~.s " : FOr 3 bedrooms I[dd depth in absorptior{ field before test" ~ in. 'Water a~lded 545 gal. ~;i New de pth 0 in. EI,apsed~ime: 45 minl Finalfluidldepth :o in. Absorption rote >= ., 450 g.l~.d. A~ny rej.uvenation treatment (past 12 mo.) (Y/N & type) N :If yes, give date Y 0 colonies/100 mi. '. i' LIFT STATIOI~ "!i :~ · Date installed: :10/20/94 ,, .' '~".Pump onT 'level at '.,~z, in.~; . ;D~tum ,.:, B:O.T. i! ::-, ' ~ :'' 1' : !~ ~ .~ ji~ , Size ir gallons 1250 . Manhole/Access (Y/N) !111 i: ' "PumpI off' level at 38 in. : High,water' '~larmI level atL~': !44 Cycled tested . Meets alarm'& c~rcuit requirements. Y !SEPARATION DISTANCES ,,, /I! ,, 1, ,.,,, .. , SEPARATIO~ DISTANCES FROM W~LL ON LOT TO : : . !: : ~ i..~,S&ptictfi~/li~tstati'oh'6nl~tl 120+Feet .- . Onadjace~t'lots~ ~.lO0+Feeti ,~b'sorptl&~lfi~',d ~n~ ~;:, ~' ~ ~30+Feet Onadjacent,0tS~'. F~Pubhcsewer ma,nj '..~ N/A ! ' Pubhcsewer manhole/cJeano~ , J[ ...... N/A ~SEPARATION D STANCES FROM SEPTIC/HOLDING TANK:ON LOT ~O: ~BWlding'~n~at~o'h J : 14+ Feet Ero~y line 70 Ft. '~ :: ~AGsorptioh field__ 130 Feet ',WatermaJn ~ ~ ,N/A ................Watersew~ce hne 25+ Ft , ' ~, ; ~ , , , . ~SEPARATION D STANCE FROM ABSORPTION FIELD ON LOT TO: [':]PrOpeKy~lJne~l I[~0+Ft. ::~:,~ Building foundation 49*Feet Water'ma~l__N/AT ~. ~WaterSe~ce hne , 25 Ft.. Sudacewater 100+Ft. Dnve~y park~g~ehmle~om e., ~Cudain drain ~e k~nt~'e~ 'Wells on adjacent lots. ~?~t.~ . F.',.COMMENTS ~, ' ['[,'. . ~[,,.~ ..... ~. ~ ........ ~,, . . ............. ~ , ;~;~?ENGINEER S 'CERTIFI~ATI0'N , ii certify that a e determined through fie/d inspections and ..rewewefMl. ,.,, . ~icipalrecord~ that the ab?ve systems are in . · conformance 'with MOA HAA guideline§ in effect op this date. Engineer's P 'int d Name"]; ,i.~': !i ,', .'.l'! Il "1, : ' ,i :~ , ,Waiver Fee $ I Date"of,Pa~tment Rec~ip~ Nu ~mber ..... Ii ' , 811'6 03-17-04 IZ:30P~ FRO~-CT&E ESI, SGS ENV SERVICES 9075615301 T-722 P.02/03 F-975 S_GS_. SGS Ref.# 1041237001 Client Name Douglas Kenley P.E. Project Name/g Lot 7A liliamna Client Sample ID Lot 7A llliamna Matrix Drinking Water PWSID 0 Sample Remarks: All Dates/Times are Alaska Standard Time Printed Date/Time 03116/2004 16:47 Collected Date/Time 03112/2004 11:40 Received Date/Time 03112/2004 12:05 TechnicaIDirector Ste en C. Ede P, csults PQL Allowable Pxcp Analysis . . Units Method Containcr ID Limits ~ a~ Init WaCers Department 0.509 0.100 mg/L EPA 300.0 B (<=lO} 03112/04 JJB Microbiology Laboratory Total Coliform col/lOOmL SMI8 9222B A (<=13 03112/04 DKC