HomeMy WebLinkAboutMCGILLIVARY LT 166BMcGillivary
Lot 66B
#018-282-25
O
Municipality of Anchorage ,, '~
· Development Services Department
Building Safety Division
On-Site Water & Wast•water Program, 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 "~ ~'
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of
On-Site Wast•water Disposal System and/or Well Inspection Report
Permit Number:. SW020102 PID Numbec 018-282-25
"°me:DAVID McGILUVARY Wastewater System: [] New · Upgrade
P.O. BOX 151256 * LA~[WOOD, CO 80215 ABSORPTION FIELD
No. of Bedroomt
Ph°ne:(`30`3) 2.36--8155 `3 13 Deep Tm~ch · Shallow Trench [] Bed [] Mound [] O~her
LEGAL DESCRIPTION ~' ~' o.s ~/~ ,.I rs ~.~ ,~ .~,~
9.0 MAX
- 166B McGILLIVARY `3.42-5.0 ~. 4.0
- - - SEE DWO. ,. 60
WF:LL: [] New [] Upgrade 5 ru 1
~'"~=~*("'N'"'~'~'c)=_.,..,~.-. I~ Ic-'4'' r~=,,~,,.,~
~ ,. ~ 600 ~. ~ D 30`34/ F-810
.. A+ HOME SERVICES 5-6/2002
SEPARATION DISTANCES .Be~u~ ..~.~ .s.T.~.. ~o~,~
Tank StaUon Tonk ANCHORAGE TANK 1000
wall 100'+ 100'+ - - 25'+ STEEL 2
s.,o¢, wot.. ~oo'+ ~oo'+ - - - LIFT STATION
Curtoin Droln NONE KN0~ q- "' ' -'~'~..~='!
I
:~emarks: BENCH MARK
· WAN'ER GRANTED wrrH ISSUANCE OF PERMFF CONCRETE SLAB ~ SIDE DOOR OF' HOUSE
EXIS33NG SEPTIC TANK ABANDONED PER UPC.
'~-"'-': " 100.00
Inspections performed by: AWWC, INC. ,,~.Dates: 1st 6/5/2002 *: ~'//.'7~.'. ~ '"' *
l~4.~..~,,,./C,I,.~Cor 2nd 6/6/2002 !'d ........ ~'~r::: .....
!. ,~ ,, .~1/I.~F ¥... ;s~ :"'*~
3rd 6/6/2002~,..~1 ff~)~/~, ~G~ ~ ,
Development Service. s Departmen~t Approval
,..
by:~Date:/- -/ ~...~~;F.~--(~ ~ ~1,~"" ..'"'"~/o..j~o ....... __' ~ ~'~'~
R~viewed
end
approved
A~.L..~ IU -- 0! 8-282-25
NUI~B[R:
SW020102
HO~E
/ ~2 45.24 53.83 - 0 I
DBL1 48.54 ~5.92 - Q
/ / DB~ 49.76 ~6.89 -
/ / co2 - ~7.so e4.o2 I
/ / ~2 - 46.89 65.18
~S~ WATER & WASTEWATER ~ ........ : ..... ~...
CONSULTANTS, lNG. 1" = 40'
DAVID McGILUVARY 2~6-8155 2 OF
McGI~IVARY SUBDIVISION; LOT 166B, ~.. '. , .... '"
AS-BUILT DRAWING OF S[PTIC SYSI[M UPGRAD[ '~A~
pERI,~IT HUI~BER: AS-BUILT 018-282-25
SW020102
NEW 1000 GALLON
~N,~:R'r Or BU~C SEPTIC TANK ~ OF' BUN~ AT
AT INLET w 95.95 OU'fi. ET -- 95.75
. 94.50
CONSULTANTS. INC. N.T.S. ' .........................
McGILLIVARY SUBDIVISION; LOT 1668 ~,"~ .......
PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE
MUNICIPALITY OF ANCHORAGE
Development Sen/ices Department
On-Site Water & Wastewaler Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: May 10, 2002
Expiration Date: May 10, 2003
Permit Number: SW020102
Legal Description: MCGILLIVARY LT 166B
Design Engineer: 0041 AK Water & Wastewater Consult. an'
Owner Name: David McGillivary
Owner Address: PO Box 1511258 Total Bedrooms: 3
Lakewood, CO 99999-9999
Parcel ID: 018-282-25
Site Address: 015000 LOC LOMAN LN
Lot Size: 44849 SQ. FT.
Permit Bedrooms: 3
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. Ail 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.
Received By:
Date: ,~-/,c-~-~''~
Date: ~_~O~..
M-nlcipality of Anchorage
Development Services Department
Bullding Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Waiver Review Worksheet
VVF~: WR020014 PID~: ~ I.,IA~:
Date Received: ~110/02
Legal Description:
Engineer. Alaska Water & Waatewater Consultants. Inc.
Waiver Requested: ] l~get from west emoe~tv line to dralnfleld
Criteria: Geology
A. Water Table
B. Soil Sorption
C. Permeability
D. WaterTable Gradient
E. Horizontal Separation
Total:
Permit~. ~W020102
Points:
Waiver is Granted: , ~/~ Waiver Is not Granted:
Ust Conditions or Reasons for above: ~'~-E E/J~,I/./EE/~/$
Name of Reviewer
Rec~: 19560 Amount: $150.00 Date Paid: 1~110/2002
Mtmicipality of Anchorage
George P. Wucrch, Mayor
Building Safety Dix'ision
P.o. lh)x 196¢~50 · 4700 $. Bragaw Strcct
Anchorage, Alaska ~}519-('W.~50 · (.0,07) 3~3-8301
htll~://www.cl.anchor,.~gc.al¢.us
5/10/2002
Jeffrey A. Gamess
Alaska Water & Wastewater Consultants, Inc.
6901 DeBarr Rd. Suite 2B
Anchorage, AK 99524
Subject:
Waiver Request for McGillivary Lot 166B
Waiver Request #WR020014
Parcel ID #018-282-25
Dear Mr. Garness:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
2.0 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further c~ncems or questions regarding this waiver, please call our office
at 343-7904.
~~..rely,
Daniel J. Roth
Civil Engineer
On-Site Water & Wastewater Program
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.ci.anchorag e.ak.us
(907) 343-7904
Parcel I.D.
ON-SiTE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
018-282-~'~ Permit Number
Property owner(s)
Mailing address (1)
Mailing address (2)
DAV1D McGILLIVARY
p,o. BOX 1511258 * LAKE'WOOD. CO
Day phone~
Zip Code 261-7552
Legal description (Lot, Block & Sub'd.) LOT 166B: McGILtlVARY SUBDIVISION
Legal description (Section, Township & Range) FI,/A
otSize ^cres Numberof Be ,oom,
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
Well Only
Water Storage
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Jacuzzi
Water Softening Unit
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
ALASKA WATER &: WASTE'WATER CONSULTANTS~ INC.
Permit Fees: ,.~--~C)<::~
Date of Payment:
Receipt Number.
Waiver Fees:
Date of Payment:
Receipt Number.
CONSULTANTS, INC. ~
April 11, 2002
Municipality of Anchorage
Development Service Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragraw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
Reft Proposed Septic System Upgrade for Lot 166B, McGillivaty Subdivision
To whom it may concern:
The existing 3 bedroom house is served by a private well and septic system. We have been hired
to upgrade the septic system. A test hole was excavated in the area of the septic system upgrade.
The septic system will be designed around the 30 foot radius of this test hole. We are proposing
that a 1000 gallon septic tank and a five foot wide drainfield be installed. Comments regarding
the design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring.,
and the percolation test results. It is our opinion that an application rate of 0.8 gallons/day/W
should be used.
2. TRENCII DESIGN:
a. Percolation Rate: 9.2 minutes/inch
b. Allowable Application Rate: 0.8 gallons/day/ft2
e. Number ofBedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 563 ft2
f. Total Depth: 9 feet (max.)
g. Width: 5 feet
h. Effective Depth: 4 feet
i. ReductionFaetor: 0.50
j. Minimum Length: 60 feet long
k Effective absorption area = 600 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
4. TOPOGRAPIIY: The area for the proposed septic system is mostly fiat; in short, there are
no slope concerns.
5. LOT LINE WAIVER REQUEST: We request that a 2 foot lot line waiver be granted from
thc west property line to proposed drainfield. We are unaware of any adverse effects on the
adjacent property with the granting of this waiver.
We arc unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
NOTE: ~4ttached is a site plan drawing, a design drawing, a soil log, and a 7 page constntction
specification letter which are all part of the design package for this septic system.
6901 Dcbarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
I
I LOT 158, Tt2N. RSW, SECTION
LOT 158, T12N, RSW, SECTION 33, I
LOT 1~7, T12N, R~. S[~ON
I
/
~ /
~ ~ ] 0
I
i~THO~ fl~ TO 9.5 ~~
~c
LOT 187, T12N, R~, SE~ON
CONSULTANTS, INC.
DAVID McGILLIVARY (505) 236-8155 1 OF 2
SITE P~N FOR PROPOSED SEPTIC SYSTEM UPGRADE
/
/ ~ '\
/.._ ,--;x,~,o I \
~ 'IRENC. I~AT ~ 9.0 ,~1 I
OE~ ~[UUM ~ 5 ~
F ~ ~ / ~ou.oA~o.
' I~ ~ ~ _ I I c~o~
:~ I ~I ~ ~RO~S~ ~000
~UB~
/
/ / ~
/ / /
~ ~0~. SOl~ C~IR~
~I~NC O~Nn~ ~ BE/~ ~ A R~ S~~ ~
/ ~MP~Y P~ U~ ~O~
/ /
/ /
/ / NOTE: THE CO~CTOR S~ ~VE THE W~T LOT
/ / UNE ~D ~[ 100 FOOT WE~ ~11 ~GGED ~ A I
/ / REGI~RED ~D SU~OR PRIOR TO CON~U~ON.
/ /
~S~ WATERcousut,~u~s. & ~STEWATER~,c.
DAVID McGILLIVARY 256-8155 2 OF 2 ~:jle r~am, ss.:
~..
UcGILLIVARY SUBDIVISION; LOT 16~B,
DESIGN OF PROPOSED SEPTIC SYSTE~ UPGRADE
AIASI~ WATER & ~VASTE~fA'rEP , ~'""', ~ '~,~' '""~"...%
CONSULTANTS, INC ..... I
ISOIL LOG - PERCOLATION TESTI ~ ,.J.~.-.-~.....I.~7..:....l
LEG~ DESCRIP~ON: UcClLLN~ SUB~SION: LOT 166B,
PERFORMED FOR: ~O McClL~ DA~: 4/2/2002
~'~ ITEST HOLE
~ OW ~ ORG /
I
~ GP HL
GH CL ~ t
I
GC OL
SP CH
SHSC OH
GM/SM DEPTH TO DATE .
=~_Iltl{l DENSERDEPTHW/ GROUNDWATER
DRY 4/2/2002 ~ O I
D~ 4/10/2002
ISITE P~]
10
11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINUTES) READING (INCHES)
4/3/2002 ~ ~:~5 - 6- -
12 2 1:45 30 2 1/2" 3 1/2'
13 3 1:45 - 6- -
4 2:15 30 2 3/4" 3 1/4'
14 5 2:15 - 6- -
6 2:45 30 2 3/4' 3 1/4'
PERCOLATION RATE 9.2 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19-
TEST RUN BETWEEN 5.5 FT. ~D 6.0 FT.
20-- A FOUR HOUR PRESOAK WAS PERFORHED: I YES ~ NO
SOILS LOGGED BY: ~EB CALL PERCOLATION TEST PERFORHED BY: ~LEB ~LL
COHHENTS:
PERFORMED BY ~W.W.C., INC. I, JEFFR~ ~ G~NESS, CERTI~ ~T ~lS W~ ~ERFORMED IN ACCORD~CE
W~H ~L ~ATE ~D MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE:
GREATER ANCHOP~GE AREA BOROOGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279~8686
Date ReCeived
Time of:Inspection ~ <:,:, ~
Date of Inspection~/,,~ ~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Aoproval Requested o -~- -~ ~. /./ ~:>' ./ ~.:
Address: ~" ,) - · / .... .;~ , ;~: Phone:
4. Location ~'%..' ~' "~'' '9" ' "' ';9'? :C :' 'p v :/-:~,,"~: ""-~'~(
)' .~_/- ' , .'
5, Type of Fac~l~y ~o be ~spec~ed~ ..~...F~, ., · ....
74
Number of Bedrooms:
Well Data' .,, ':,' 'i ::
A. Tyoe B. Depth
C. Construction~&%-g' .4~/¥/*~/2D, Bacterial Analysis
Sewage Disposal System:
Disposal Field.. Tot:al Length of Lines
Distances:
A. Well To:
Septic Tank_.f.?:.~ ..... , Absorption Area
, Nearest Lot I,tne.~' /--
, Other Con'tamination
~oundation to S¢.ptic Tank ~-~' A ',, Absorptibn Area
Absorption. Area to Nearest Lot Line__~).~, _/
, Sewer Lines
A. Installed..,~ ":~,;:-_____ B. Installer :
~-'C. Septic Tank: 1. '~ .....
Size¢ .-.,. ,v.; 2, Manufacturer
Request for Approval c ividua] Sewer & Water Facili
Page Two ,
9. Comments:
/ ,
/ Ap,.~rova~ Va]id for One Year From Date Signed
Greater Anchorage Area Borough, Department of Environ~enta] Quality
D~fAGRAM OF GYSTV]M
I certify that the information contained in this request for approval to be a true
and accurate representation of the subject sewer and water facilities located at:
Signed 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.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parce, .O. 0t8-282-25 ·
1. GENERAL INFORMATION Expiration Date: ~ - ~O - O
Complete legal description McGILLIVARY SUBDIVISION; LOT 166B
Location (site address or directions) 15000 LOC LOMAN LANE * ANCHORACE, AK 99516
Current Property owner(s)
Mailing address
Lending agenc~ .~
Mailing address
Real Estate Agent
Mailing address
DASD McClLL~ARY Day phone (303)236-8155
P.O. BOX 151258 * LAKE'WOOD, CO 80215
Day phone.
CLAIR RAMSEY w/ DYNAMIC PROPERTIES Day phone
3111"C" STREET * ANCHORAGE, AK 99503
261-7552
Un/ess otherwise requested, HAA will be held by DSD fer pickup.
2. NUMBER OF BEDROOMS:
3.~ TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
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 Development 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 ~Nith new water samples. (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.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ I,~O.¢.~at, or pdor
to closing for the engineering services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I ved[y 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(am) safe, functional and adequate
for the number of bedrooms and type of structure indicated hemin. I furfher verffy 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC.
Address 690'1 DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504
Engineer's Printed Name JEFFREY A. CARNESS, P.E.
Phone 337-6179
Date ~/~ -.//c~"z.
Engineer's Comments:
In conducting this evaluation, AWWC, Inc. a~tempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & 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 soils condition, groundwater levels that may
fluctuate durfng 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 ara no hidden defects or encroachments. A WWC, Inc. 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 repo~t is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
· otherpersonorpartyisnotauthodzed, norwillitconferanylegaltfghtwhatsoever.
5. DSD SIGNATURE
~f Approved for ~ bedrooms·
Disapproved.
Conditional approval for
bedrooms, with the fllowing stipulations:
~F' ON-SITE 't~
[ ~ WASTEWATER : 5
Attachments:
HAA Checklist
Septic System Advisory
Wetl Flow Advisory
.... ...
Manitenance Agreements
Supplemental Engineer's Reort
Other
(Rev.
Original Certificate Date: ~ _,~o 0 - C 0.2_
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4100 South Bmgaw 8L
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.ancl~rage.ak, us
(90Z) 343-7~04
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
IdcGILLNARY SUBDMSION; LOT 166B~
Parcel ID: 018-282-25
A. WELL DATA
Well type PRrVATE If A, B, or C provide PWSID# N/A
Date completed ~ 1~7= Sanitmy seal (Y/N) YES
Totaldepth 112+ lt. Caseqto 40+ fl.
FROM WELL LOG
Date of test
Staff; water level
Well production
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi.
well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
6//7/2002
59 It.
2.5 g.p.m.
Nsenic,: N/A mgJL.
NO
12+ in.
Nitrate 0.2 mgJL. Other bacteria 0 cctonies/100 mi.
Date of sample: 6/7/2002 Collected by: AWWC~ INC.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tanksize 1000 gal. NumbarofCompertments 2
Foundation cleanout (Y/N) YES
· Date of pumping NEW
C. ABSORPTION FIELD DATA
Date installed a/5-a/2002 Soil rating (~r fl;/bdrm) 0.8
Length 60 fl. Width 5 ft.
Depression over tank (Y/N) NO
Pumper
Date installed 6/5-6/2002
Cleanoute (Y/N) YES
High water alarm (Y/N) N/A
SYstem type TRENCH
Gravel below pipe 4
Total depth *e.,~ ft. Eft. absorption area 600 Itz Monitoring tuba YES
Date of adequacy test NEW Results (Pass/Fall) -
Fluid depth in absorption field before test - in. Water added - gal.
Elapsed Time: - min. Final fluid depth - in.
Any rejuvenation tmalment (past 12 mo.) (Y/N & type) -
Depression over field NO
For ,3 bedrooms
New depth - in.
Absorption rate >= - g.p.d.
If yes, give date -
D. LIFT STATION
Data installed Size in gallons , M~ __
'Pump on" level at in. 'Pump off' . High water alarm level at in.
~ Cycles tasted Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankiliff staUon on lot 100'+
Absorption field on lot 100'+
Public sewer main N,/A
Sewer/septic senace line 25'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer rnanhole/cieanout
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Fo
Building foundation 5~+
Water main
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line '2'+
Water sen, ice line 10'+
Curtain drain NONE KNOWN
COMMENTS
Property line 5'+
Watar service line 10'+
Building foundation 10'+
Surface watar 100'+
Wells on adjacent lots. 100'+
Absorption field 5'+
Surface water. 100'+
*WAIVER GRANTED WITH
ISSUANCE OF PERMIT
Water main N/A
Driveway, perldng/vehicie storage 10'+
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
rm4ew of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this data.
Eng!neer'e Printed Na/ne '
Date
JL;-eREY A. GARNESS
' Date of Payment
Receipt Number
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
JUN-H-0Z 0Z:441q~ FROM-CI'&E ENVIRONI~NTAL SRV
~d~l~K CTAE Environmental Services Inc.
9075615301 T-268 P.02/03 F-Q40
All Dates/Times are Alaska Standard
CT&£ P. ef,# 102324500I Printed Date/Time 06/13/2002 8:32
Cll~t Name AX. Watc~ & Wastewater Comultnnts ln~. Collected Date/Time 06/07/2002 8:4 l
I'roJ~t Name/~t Lot 166B McOdliva~ S/D R~lved Date/Time 06/07/2002 9:00
L'~lent Sample ID i 5000 Loc Lonmn Tetknlcal Dtrect~.--~ Stephel~L'n~Kde
Matrix Drinking Wate~ ~
Ordered By
PWSIB 0
-Sample
EP 300 - Sample was initially run ~thin hold time. Sample was Teton paat hold time due to failing QC acceptance criteria. Results
COl~T11~d ~om ~lJtlnI ~'~L Aflowabl¢ prep Analy~i~
Limits D~te D~e Init
0.200 U 0.200 mg/L EPA 300.0 (<101
~itxate-H
~t. cz:ob:LoLog~'
Total Coliform
col/I O(~L SMI8 9222B (<U)
06/07102 !r`AP
N 90~00'00"£ 150.00'
Z
D