HomeMy WebLinkAboutTHE VILLAGES TIDE VIEW LT 4The Vl*llages
Ti*deview
Lot 4
#020-091-48
'" QQNST■ I"CTI®
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2204 Cleve/ Ave. 710 Third Ave.
" w TCS ■ LAD
P.O. Boa 10-1126 P0. Box 2540
MATERIALS TESTING • OUALRY CONTROL
Anchoroger AK 99511 Foirbonks ,AK 99707
'9 ■' SOILS ENGINEERING
277-0231 452.1267. 456.5155
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE XXNEW
Fred Nolke
349-1062 I OUPGRADE
MAILING ADDRESS
SRA Box 4106V, Anchorage, Alaska 99502
LEGAL DESCRIPTION
7�tlt1719
p ,
Lot 4, Block 3, T38�-w via�Cf. ct-n
tai
LOCATION _
NO.OF BEDROOMS
Seaview Scenic Way
3
Well Absorption area
u DISTANCE TO: I 1351 78
Dwelling PERMIT NO. �h^
51 4}}egib le �f0 � 3
�Y
o. 2 Manufacturer
Material No. of compartments
N4 Gre r
Steel 2
Liq. capacity in gallons Inside length
1250 IF HOMEMADE:
1W,
Width Liquid depth
ll Dwelling
Y DISTANCE TO:
PERMIT NO.
JVZ
zManufacturer
Material liquid capacity in gallons
O Well Foundation
W = DISTANCE TO: ] 52 1 221
Nearest lot line PER M_IS NO.
in, Illegible QC -)b031
LL = No. of lines Length of each line Total lenptn of lines
l 1
Trench width Distance between lines
Few 100, 1 1
48 - inches N/A
f Top of the to finish gradeMaterial beneath tole
4811
Total effective absorption area
0
48 inches 800 SF
Length . , Width Depth
PERMIT NO.
w
4 H Type of crib Crib diameter Crib depth
Total eflectiws absorption area
d d a
LiuW
u' DISTANCE TO: Well Building foundation
Nearest lot line
Class Depth Driller
Distance to lot line PERMIT NO.
J
W DISTANCE TO: Building foundation Sewer line
Septi[ tank Absorption areafs)
I
OTHER
PIPE MATERIALS
PPVL
SOIL TEST RATING
225 SF/Bedroom
INSTALLER
Harry Mackey —
REMARKS
f
ie
a,
o
Kinney R. Bottler •
r
_
`� _�
C.f
MUNICIPALITY
v/
DEPT. OF I: 0 Fps •••.. e...NP�,�� —�
�4C4
hUD 1 8 10180 -
APPROVERECEIVED DATE LEGAL
8/13/80 Lot 4,
Block 3, Tideview
e_� r
MUtJ I (= I F� nL_ I TY C,IF:;r � FiNCHJF Zn0E=-
w' DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L' STREET. ANCHORAGE, AK. 99501
264-4720
WELL RNLI O N -SITE SEWER P E R M I T
PERMIT NO. C 800031 ) sq Q - /0 Z.
APPLICANT FRED NOLKE JR. SRA BOX 4106-V
LOCATION L4 83 VILLIAGES TIDE VIEW
LEGAL TL4 B3 VILLIAGES'TIDE VIEW! LOT SIZE 45000 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BP.)= 225
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
E>EF�'TH= 'P" LENGTH= SS!5 C3FZl=l +EL DEFm'TH= 4
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
FZEQU I FZEE> SEPTI G TANK S I ZE= 1000 GRL_LONS
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- TWO C 2 ] I NSF}ECT I ONS RRE FZEQU I REO ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
FD'ERM I T EXFD I RES dEGEMBER 31r
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR Oto -SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
15)50
AND WELLS AS SET
ENLARGEMENT IFG THE
A� S 006
20 d
L X35
o• �
V4. 0
/'1
CONSTRUCSIQN y^'ST LAB
r..� "One Test is r:orth a Thousand Opinions"
2204 Cleveland Anchorage, Alaska 99503 277-0231
Perforned for Mr. Fred Nolke Date Per`ormed 3-13-80
Leal Description: Lot 4 Block 3 Subdivision Village -Tide View
This For.n reports: SOILS TEST YES PERCOLATION TEST _fir
Depth Soil Characteristics
Feet
0
12" FROST (Wet)'Peat —
f
5' BrownSitty Sand —L
erc w/occ Gravel (SM)
7Test
8 w
' -
-
LL
11' Sandy Silt w/occ
Gravel (ML) _ --
12'
Brown Sitty Sandy Gravel _
-. (rm)
16'
Bottom of Test Hole
Eas ground Water Encountered-YES—
If YES, What depth?
i Reading i Date Gross Time I Net TL-ne Depth to H2O Not Drainafjo t
INCHES .---_ 1-
i 3.13-80 94 -EPS ! SATSIRATE-_PERI4D �..{-
I__- j..2=14-80 i O FIRS
IA -ERS ( 29"i -
i 3.5 HRS I 30-3/4"
i ( 4.n FIRS i 31-1/4" i
Percolation 'tate 1"/20 Minute
Proposed Installation: SEEPAGE PIT DRAIN FIELD
Depth of Inlet De?th to Botto-n of Pit or Trench
CO TENTS: 225 SQ FT utairiage are"w-{required per bedroom. -
Test Performed by (— ,V Data Certified By /w--
�"` Date
TIME
DATE
INSPECTOR
0 INSPECTION APPOINTMENTS
TIME
I \ % VS en m
DATE RECEIVED
TIME/
DATE DATE
\\- \Lk -q-) aft tekiN-i \C>
INSPECT \ INSPECTOR
t t•, ,v.
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONENVIRONMENTAL PROTECTION
825 L Street -Anchorage, Aloka 99601
• ENVIRONMENTAL SANITATION DIVISION SEP 2 5 1980
Telephone 284-4720 Rk r� I X E D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER F C L
DIRECTIONS: Complete all pans on page I. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNE PHONE
pxcD CRI CK q, 51 %VD LAE Vs a3.-2 9
MAILING ADDRESS
SQXA I1 X /,goo[/ -L � �NCft�o.QA(5;c� Al<.
PROPERTY RESIDENT (It different from above) PHONE
2. BUYER PHONE,
MAILING ADDRESS
3. LENDING INSTIT ION PHONE
MAILING ADDR SS
9-AISO/v
4. REALTOR/AGENT I PHONE
MAI LI NG AD DR ESS
5. LEGAL DESCRIPTION
�o T
STREET LOCATION
SGEw/G PfF7�"lq-,v
NUMBER OF,BEDROOM10i
❑ One #t Four ❑ Other_
❑
Two-00
Three 13 Six
ACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach tog if available.)
Jlb D YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) c�/��� _ �•"
�/c.LA6�s
S. TYPE OF RESIDENCE
>
SINGLE FAMILY
❑
MULTIPLE FAMILY
7. WATER SUPPLY
�I
INDIVIDUAL'
❑
COMMUNITY
❑
PUBLICUTILITY
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE"
❑
PUBLIC UTILITY
SGEw/G PfF7�"lq-,v
NUMBER OF,BEDROOM10i
❑ One #t Four ❑ Other_
❑
Two-00
Three 13 Six
ACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach tog if available.)
Jlb D YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) c�/��� _ �•"
EI PUBLIC UTILITY
Connection Verified INSTALLER
THIS SIDE FOR OFFICIAL
USE ONLY
1. TYPE OF RESIDENCE
111
NUMBER OF BEDROOMS
❑ SINGLE FAMILY
❑ ONE
❑ THREE ❑ FIVE
❑ MULTIPLE FAMILY
❑ TWO
❑ FOUR ❑ SIX
2. WATER SUPPLY
PERMIT NUMBER
❑ INDIVIDUAL
DEPTH OF WELL
❑ COMMUNITY
DATE DRILLED
❑ PUBLIC UTILITY
Connection Verified
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
PERMIT NUMBER
❑INDIVIDUAL/ON SITE
DATE INSTALLED
EI PUBLIC UTILITY
Connection Verified INSTALLER
❑SepticTankor ❑Holding Tank
Size:If Tank is homemade SOILS RATING
111
give dimensions:
z_ Z
TYPE OF TANK MANUFACTURER
A
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES
WELL T0:
Absorption Area to nearest Lot Line
5. COMMENTS
DATE
Septic/Holding Tank IAbsorption Area (Sewer Line
U � + kb L.J eX%
I
APPROVED FOR 3 BEDROOMS
❑ CONDITIONAL APPROVAL (letter must acc mpa
10`, DISAPPROVED
BY rQ
12/t
72010 (Rev. 6/79)
❑ OTHER
INearest Lot Line
J
_ h
• Municipality o�
of
Anchorage -
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE K SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
October 6, 1980
Frederick 11./Susan Nolke
Star Route A Box 4004-L
Anchorage, Alaska 99507
Subject: Lot 4 Block 3 Villages Tideview Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1) The water analysis report be delivered to this
department from Chem Lab, 5633 B Street, for
our review.
(2) A well log submitted to this department for our
review.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Alaska Pacific Bank
101 Benson Boulevard 99503
Municipality of Anchorage
• Development Services Department
�IBuilding Safety Division
On -Site Water and 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
Parcel I.D. 0OD -Oq l -4A HAA # D 50339
Expiration Date: ' - f - 0 5
1. GENERAL INFORMATION
Complete legal description Ttia
V:ll4acs
T;Xy ;w
Lok 4
Location (site address or directions)
_ 16920
Current Property owner(s) Fee& Alolke Day phone 345- 2329
Mailing address
Lending agency
Mailing address
Day phone
Real Estate Agent F50 g Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: A
3. TYPE OF WATER SUPPLY:
Individual Well 159
Individual Water Storage ❑
Community Class Well ❑
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ❑
Individual Holding tank . ❑
Community On-site ❑
Public Sewer IR
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 with
new water sample results. (Certificates may be reissued for a period of up to-bne 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.
I
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 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 further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
Name of Firm
Address 'W3 W. 15,14%
Engineer's Printed Name T.Ae^
5. DSD SIGNATURE
Approved for __ Lf bedrooms.
Disapproved.
Conditional approval for
Additional Comments
Phone 2-49-391(o
bedrooms, with the following stipulations:
ON-SITE
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: _ /��/ �!/. i Original Certificate Date:
(Rsv QIM2)
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
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Thp. \IA o - TAt.uiw Lot q Parcel 16:
A. WELL DATA
Well type aim& If A. B, or C provide PWSID #= Well Log (YIN) Y
Date completed 19 1"Iss Sanitary seal (YIN) Y Wires properly protected (YIN) Y
Total depthpn—ft. Cased to Jt)—ft. Casing height (above ground) 118 in.
C am RD, -V-)
FROM WELL LOG
Date of test lo� 6� NrS
Static water level
Well production 9 9 -13 -m -
WATER SAMPLE RESULTS:
Coliform _J:�—colonies/100 ml. Nitrate 1.14 mg./I.
Arsenic: = mg./l. Date of sample: S2 oc
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tank size gal. Number of Compa !s�
Foundation cleanout (YIN) ression over tank (YIN) _
Date of pu Pumper
C. ABSORPTION FIELD DATA
AT INSPECTION
bA-o �S
W4 ft.
73 g.p.m.
Other bacteria -,9L— colonies/100 ml.
Collectedby: Lw&
Cleanouts(Y/N) _
High water alarm (YIN)
Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) _ System type
Length ft. Width ft. Grav w pipe ft.
Total depth _ ft. Eff. absorption area ft2 Monitor' a Depression over field
Date of adequacy test Resu ass/Fail) For _ bedrooms
Fluid depth in absorption field before _ in. Water added_ gal. New depth_ in.
Elapsed Time: _ min Final fluid depth _ in. Absorption rate >= g.p.d.
Any rejuven reatment (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" _ in.
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO
IManhelVA c -cess (Y/N) _
High water alarm level at
Meets alarm & circuit requirements?
Septic tank/lift station on lot On adjacent lots
Absorption field on lot — On adjacent lots
Public sewer main >150 Public sewer manhole/cleanout Sc
Sewer /septic service line >ISD r Holding tank _
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Property line
Water main
service line
Wells on aWacentTots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line Building foundation
field
Surface water
Water Service line Su Driveway, parking/vehicle storage
Curtain drai Wells on adjacent lots
F. COMMENTS
# FIe,.> RcaF.ic�a�. d.+c io �'.w.ca�. • .,.,. r.a..;
r n
G. ENGINEER'S CERTIFICATION.,ya
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name .ft 50..r iCbnei
Date�14�'2oo�
HAA Fee $ � Jo Waiver Fee $ _
Date of Payment 7�17�� Date of Payment
Receipt Number �l� Receipt Number
(Rev. 12101)
in.
VILLAGES SCF/V/E PARKWAY
Elev. /00,0 \ \
BU/LD/NG „SFS �C �
�rf�rv�1• \pq No CovCS, decks or porchcS
hod been tonsiruc4ed as of
• —
OF �' j
49TH
.W ..
LOT `+' h �.t'jwaI J. Palmer, ,m %
/(
!
h O Sj mss,% No. LS 4575
�t�1F ...... • oS
THE VILLAGES •
TI DE VIEW
SUBDIV1510 N
OF
U-5. GOVE2N MEDT LOTS 7, 9, 9 f 10
5EC. 3, TIIU, R5W, 15. IA.
-AS BUIL.T-
-JURVF-Y—
OF
JULY 4,1980
SrnLa i'= 50•
BY
EDWARD J. PALMER.,
REGISTERED LAND SUEVEYOC
SRA 50% 4.IOLW
ALIC902A6E .ALASKA•
JUL-25-2005 08:53 AM T SPURKLAND
LOCATION OF WELL •• 11114016 template 61IN4r Ia. Ib n 10.1
907 276 6013
P.01
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of OLolotiDar a DLoDhytleal Surveys
Orllllae Permit No.
A _n L_ N.
le. earwla
8011•I6186
Let
Black
le. 1/4
iwllea Nt.
TanaNlpsp
E� p
Mer11Un
AMC 14
VILIAArs
par(
Ir. DISTANCE AND DIRECTION pR011 ROAD INTEReE0TI0Ns .
B. OWNER OF WELLI ,
.
•.
FIZC I). 14OLkf
..
Address: ,
street Address bed Area of Well Lasatlea
A. WELL Lot fle t Below
fees
d. WE.L�L�fDEPTNI Eflnal)
S. DATE OF COMPLETION
Material Ties Teo eastern
.•–A•—fl'
'
t, ❑Cable lest, ®Rdary (3Driven C) Del
Asset ❑Aotld [Jeered ❑ Giber t
11 1
ATkrQLEVC)q17Q2,61 70P dfr S!
LOIS: 8 D•wovtle C) P•klil Su11I, ❑ Inlrpry
P(MI)V10 -4 ist P14 AIR LIFT 1706PIM,•
O Irrl/atlea ❑ neonates ❑ Cew0er11e1
'
[3 Tell Wall I–) other:
S. OABINtI C] Threaded xQ Welded
FIZAcTuartz (Mow" 1ARIVWhItyrIft, 104. Ing
dhm.,le. Depth sI 12 Ibl./ft.
e hrri? Its,I IL/1*m,
Ir. to—It. Depth ttlokwp It.
IrIZAir"I'Llf?f
E. IINISN Of WElll
4 u
brtleltlMNLO►J Diameter,god
211a,e
�
ru •
Bill/mesh Slle:- An LsylNl V71
Eat between Iqd It, and -1 6q III.
r•
eaaklllllnl Grove) reek NQ ,
ONE Pool'
10. GTATIC WATER LEVEL' re TIA
T❑
_11.
Abera atE) Below lend surfs** Dole
I
ELeltwsal tied:
TISIAL e µ11feA SAA10
11. PUMPING LEVEL lista* land felt*N and YIELD
15A
rL 011e -MI. remlln/���^(1�
- ft. after—bro. pumplat-14-w.
•
IE.GROUTINa Will gravies: • p Yea ❑ Na
Material:. 0seat Cew•al ❑Claw N I
IS, PUMP, fYJ•makia) NR 3 1'2 sTAetr
L.npN •f Orlir Pipe )4e I. aoaallr , 19. t.r.w.
® Sabo, O 111 Contrlfleal [3 Other
_
'
' 1*. REMARRt:
FROWES 14 6PM. amara LIFT
ppMpiN[-Il. WATEI? DID NOT
IL• WATER WELL CONTRACTOR•* CERTIFICATION: elAIN
• IS. Water Te+tore l ria _• C] r ❑ 0
Tai• 9811 wn drilled rater my )urldlatloa and INA ..Port Is urs to Ike best of my knowledge one belled
W.N.Vi"IfC ARIL IN•i A-1Q'7k0
R•1'el Nae eelineU Naw• Centrist Llaetae Nom►e
A44-Iss: (?12 AWC11 A je
tigaed: n 0a FT
Owls:
Aollhorload Neereernleli•a •, .
I
hew aA•WWR 111/110 COPY Dierl►rgen:
M
SCS ReO
1053611001
Client Name
Tobben Spurkland P.E.
Project Name/N
The Villaees-Tideview Lot 4
Client Sample ID
Tideview Lot 4
Matrix
Drinking Water
Sample Remarks:
All Dates/Times are Alaska Standard Time
Printed Date/Time
Collected Date/Plme
Received Date/rlme
Technical Director
06/30/2005 15:18
06120/2005 19:30
06121/2005 10:07
Stephen C. Ede
Parameter Results Allowable Prep Analysis
PQL Units Method Container ID Limits Date Date
Nit
WatersDepartment
Nitrate -N 1.14
0.100 mg/L EPA 300.0 B (<-10) 06/28/05 JJB
Microbiology Laboratory
TotalColilortn 0 coV100mL SM209222B A (<-I)
06/21/05 TLF
Municipality of Anchorage
Development Services Department
Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: Tobben Spurkland
Legal description: The villages Tideview Lot 4
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on _
❑ calculation error in design.
❑ Additional soils information needed.
❑ Water monitoring results inadequate.
❑ Discrepancy in Information submitted.
❑ Topographic information missing or inadequate.
® Incomplete; missing Need engineer to stamp survey that he added well location to.
❑ Incomplete; missing
❑ Additional adequacy test information needed.
❑ Water sample unacceptable. _
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown. _
❑ Proposed system too deep for soils information submitted.
❑ Well log required.
❑ Omission in narrative. _
❑ Insufficient fill over tank or field._
❑ Other.
Name of reviewer: Jeff
Date: 7/28/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK